HomeMy WebLinkAbout10 UNION AVENUE_FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
3 -/Ooco/4*3
File Number: 8737 Z
Date Received: 3 - C, :Z Z
SYSTEM:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray FiP sh syy'tsm
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
14- Other. /Z:7klif C_
Address: /Q J--i r C%
Bakersfield, CA 933
Business Name: C-Le-'-) ,r-6 Q
BUILDING SQUARE FEET: F INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
2.
0
4.
Date Time
Signature
Signature
Tanknology
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: (512) 451 -6334
Fax: (512) 459 -1459 Date Printed and Mailed: 5/20/2013
BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
INSPECTOR CRAIG PERKINS
1501 TRUXTUN AVE.
BAKERSFIELD, CA 93301
Test Date: 4/24/2013
Order Number: 3412046
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
CHEVRON # 355920
10 UNION AVENUE
J ITB # 7723
BAKERSFIELD, CA 93307
Testing performed:
ATG
IMPACT VALVE
LEAK DETECTOR
SPILL BUCKET TEST
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Tanknology
Work Order: 3412046
Site Name / ID: CHEVRON # 355920 / 355920
Address: 10 UNION AVENUE JITB # 7723
City: BAKERSFIELD
LDT 5000 Field Test Apparatus Page 1 of 1LineLeakDetectorTest
Date: 4/24/2013
State: CA Zip: 93307
Tank ID Unleaded Premium Diesel
Product REGULAR PREMIUM Diesel
Product Line 1 1 1
Tested From 10 10 3
Existing/New Existing Existing Existing
Mechanical/Electronic Mechanical Mechanical Mechanical
Manufacturer/Model Vaporless LD -200 Vaporlessl-D-2000 Veeder Root FX1 D
Serial No. 07121111 UNKNOWN 301086138
Pump Operating Pressure (psi) 33.00 32.00 32.00
Calibrated Leak (ml /min) 189.0 189.0 189.0
Calibrated Leak (gph) 3.00 3.00 3.00
Holding PSI
N /A for Electronic Lo's 23.00 32.00 17.00
Resiliency (ml)
N /A for Electronic 1-13's 190.00 190.00 100.00
Metering PSI
NIA for Electronic Lo's 35 26 9
Opening Time (sec)
NIA for Electronic Lo's 5.47 7.22 4
est Results Pass I Pass Pass
Technician Name: Edwin Pineda
a
Certification #:: 2344
Technician Signature: (14 In . ` Expire.Date: 4 /5/.2095
Environmental Compliance for Petroleum Systems
C2013Tanlmdogylnc,Aualn,Tx Mldghlsmserved. tenknclogy.com
49Tanknology Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order: 3412046
Site Name /ID: CHEVRON # 355920
Address: 10 UNION AVENUE JITB # 7723
City: BAKERSFIELD
Date: 4/24/2013
State: CA Zip: 93307
Dispenser
Number Grade
Secure
Mount?
Valve
Lock? Pass/ Fail Comments
1/2 87 RE r rf Pass r Fail G Not Tested
1/2 91 WE R ro, Pass M, Fail C Not Tested
3/4 40 W 7J C:, Pass C Fail rw Not Tested
3/4 87 r r Gs Pass G Fail M Not Tested
3/4 91 52-5 17J M, Pass C Fail r Not Tested
5/6 87 r r r Pass r Fail r Not Tested
5/6 91 r ry—JO r*j Pass C Fail 00 Not Tested
7/8 87 r r r Pass iv, Fail r Not Tested
7/8 91 R' r t:1 Pass C Fail r Not Tested
9/10 87 r r rc Pass ra Fail C Not Tested
9/10 91 R—j E30 r Pass 0 Fail r Not Tested
11/12 40 r r r Pass r Fail r Not Tested
11/12 87 R J r Pass r Fail r Not Tested
11/12 91 rJ r r+ Pass r Fail C Not Tested
mhnidan Comments:
Technician Name: Edwin Pinedan
Signature:
Environmental Compliance for Petroleum Systems
2013 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com .
Appendix VI
Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at hftp : / /www ;sWrcb.ca.gov.)
MONITORING SYSTEM CERTIFICATION
For Use ByAll Jurisdictions Within the State ofCalifornia
Authority Cited., Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23j: California Code of
Regulations
This form must be used to document testing and servicing of monitoring equipment. A separate cerdficadon or report must be prepared for each monitoring
system control panel by the technician who performs the work. A copy of this form must be provided to the tank system:owner %operator. The
owner /operator must submit a copy of this form to the local agency regulating UST systems within 30 days oftest date.
A. General Information
Facility Name: CHEVRON # 355920 Bldg. No.:
Site Address: 10 UNION AVENUEIrfB # 7723 City: BAKERSFIELD Zip: 93307
Facility Contact Person: MINTA Contact Phone No.: 661- 861 -0543
Make /Model of Monitoring System: Veeder RootTLS 350 Date of Testing /Servicing: 4/24/2013
B. Inventory of Equipment Tested /Certified
Check the appropriate boxes to indicate specific equipment Inspected /serviced:
Tank ID: Unleaded - REGULAR Tank ID: Premium - PREMIUM
r In -Tank Gauging Probe. Model: MAG PROBE r In -Tank Gauging Probe. Model: MAG PROBE
Annular Space or Vault Sensor. Model: VR-409 Annular Space or Vault Sensor. Model: VR-409
r Piping Sump / Trench Sensor(s). Model: VR-208 r Piping Sump / Trench Sensor(s). Model: VR =208
r FlII Sump Sensor(s). Model: VR -208 r FlII Sump Sensor(s). Model:. VR-208
r Mechanical Line Leak Detector. Model: Vaporfess LD 2000 Mechanical Line Leak Detector. Model: Vaporless LD 2000
Electronic Line Leak Detector. Model: j Electronic Line Leak Detector. Model:
Tank Overfill / High -Level Sensor. Model: EXTERNAL ALARM r Tank Overfill / High -Level Sensor. Model: EXTERNAL ALARM
Other (specify equipment a and model in Section E on Page 2). ri Other (specify ul ment type and model In Section E on Page 2).
Tank ID: Diesel - Diesel Tank ID:
r In -Tank Gauging Probe. Model: MAG PROBE In -Tank Gauging Probe. Model:
r Annular Space or Vault Sensor. Model: VR-409 R Annular Space or Vault Sensor. Model:
Piping Sump / Trench Sensor(s). Model: VR-208 r Piping Sump / Trench Sensor(s). Model:
Fill Sump Sensor(s): Model: VR -208 r FlII Sump Sensor(s). Model:
R-, Mechanical Line Leak Detector. Model: Veeder Root FX1DV r Mechanical Line Leak Detector. Model: .
Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model:
Tank Overfill if High -Level Sensor. Model: EXTERNAL ALARM J Tank Overfill / High -Level Sensor. Model:
Other (speci ulpment type and model in Section E on Page 2). Other (specify equipment a and model in Section E on Page 2).
Dispenser 1/2 Dispenser 3/4ID: ID:
r Dispenser Containment Sensor(s). Model: VR 208 r Dispenser Containment Sensor(s). Model:', VR -208
r Shear Valve(s). r Shear Valve(s).
I Dispenser Containment Float (s) and Chain(s). Dispenser Containment Float(s) and Chain(s).
Dispenser 5/6 Dispenser 7/8ID: ID:
rJ Dispenser Containment Sensor(s). Model: VR -208 Pr, Dispenser Containment Sensor(s). Model: VR -208
P Shear Valve(s). P1 Shear Valve(s).
i Dispenser Containment Floats and Chain(s). Dispenser Containment Float(s) and Chain(s).
Dispenser 9 /10 Dispenser 11/12ID: ID:
r Dispenser Containment Sensor(s). Model: VR -208 r Dispenser Containment Sensor(s). Model: VR -208
r Shear Valve(s). r Shear Valve(s).
Dispenser Containment Floats and Chains . J Dispenser Containment Float(s) and Chain(s).
If the facility contains more tanks or dispensers, copy this form. Include Information for every tank and dispenser at the facility
C. Certification - I certify that the equipment Identified in this document was Inspected /serviced In accordance with the manufacturers' guidelines. Attached to
this Certification is Information (e.g. manufacturers' checklists) necessary to verify that this Information is correct and a Plot Plan showing the layout of
monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report;. (check all that appal. r System set-
up R Alarm history report
Technician Name (print): Edwin Pineda Signature:
Certification No.: B37453 License. No.:
Testing Company Name: Tanknology
743160 Class 'A'
Phone No.: (B00) 800.4633
Testing Company Address: 11000 N. MoPac Expressway Suite 500 Date of Testng /Servicing: 4/24/2013
Monitoring System Certification Page 1 of 3 12/07
D. Results of Testing/ Servicing
Software Version Installed: 328.03
Complete the following checklist:
IT- Yes No* s the audible alarm operational?
M Yes r No* s the visual alarm operational?
r° Yes C No* Nere all sensors visually inspected, functionally tested, and confirmed operational?
C..- Yes r No* Afere all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Interfere wiFt
heir proper operation?
C: Yes r No* f alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational?
rO N/A
Yes i^ No* For pressurized piping systems, does the turbine automatically shut down Ifthe piping secondary containment monitoring
C N/A stem detects a leak, fails to operate, or Is electrically disconnected? If yes: which sensors Initiate positive shut -down? (Check
all that apply) R. Sump/Trench Sensors; Wee Dispenser Containment Sensors.
Id you confirm positive shut -down due to leaks and sensor fallure /disconnection? 0 Yes; Co No
r Yes r No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill
G., N/A vention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If
at what percent of tank capacity does the alarm trigger? 90%
M Yes* r No s any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the
nufacturer name and model for all replacement arts in Section E below. 1—.s
r Yes* C No s liquid found Inside any secondary containment systems designed as dry systems? (Check all that apply)
Product; r Water. If es describe causes In Section E below.
0 Yes C No* monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable
Yes Irw No* s all monitoring equipment operational per manufacturer's specifications?
in Section t Delow, describe now and when these deficiencies were or will be corrected.
t. Lommens•
REPLACED 208 SENSOR IN 87 STP SUMP,ALSO REPLACED 208 IN DIESEL FILL SUMP
Monitoring System Certification Page 2 of 3 12/07
F. In -Tank Gauging / SIR Equipment: r Check this box if tank gauging Is used only for Inventory control.
r Check this box if no tank gaugingor SIR equipment is installed.
This section must be completed If In -tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
C Yes C No* Has all Input wiring been Inspected for proper entry and termination, Including testing for ground.faults?
C- Yes No* Were all tank gauging probes visually Inspected for damage and residue buildup?
r, Yes 0 No* Was accuracy of system product level readings tested?
Yes r No* Was accuracy of system water level readings tested?
t^. Yes C No* ere all probes reinstalled properly?
Yes 0^ No* ere ail items on the equipment manufacturer's maintenance checklist completed?
In the Section H, below, describe how and when these deflciendes were or will be corrected.
G. Line Leak Detectors (LLD): Check this box if LLDs are not installed.
Complete the following checklist:
f?. Yes Or No* For equipment start -up or annual equipment certification was a leak simulated to verify LLD performance? (Check all that
C apply) Simulated leak rate: r 3 g.p.h.; rl 0.1 g.p.h; I ._10.2 g.p.h. N/A
f: Yes r- No* Were all LLDs confirmed operational and accurate within regulatory requirements?
tv Yes 0. No* Was the testing apparatus properly calibrated?
is Yes r No* For mechanical LLDs, does the LLD restrict product flow if It deters a leak?
0 N/A
Yes r* No* For electronic LLDs, does the turbine automatically shut off ifthe LLD detects a leak?
f:} N/A
C Yes t^ No* For electronic LLDs, does the turbine automatically shut off if any portion ofthe monitoring system is disabled or disconnected?
N/A
0 Yes fr, No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or falls a test?
r' N/A
r Yes r No* For electronic LLDs, have all accessible wiring connections been visually Inspected?
rt' N/A
Yes r No* Were all Items on the equipment manufacturer's maintenance checklist completed?
In the Section m, below, describe now and when these deficiencies were or will be corrected.
SWRCB, January 2002 Page 1 of 1
Secondary Containment Testing Report Form
Thisform is intendedfor use by contractors performing periodic testing ofUST secondary containment systems. Use the appropriate
pages ofthisform to report results for all components tested. The completedform, written test procedures, andprintoutsfromtests (if
applicable), should be provided to the facility owner /operatorfor submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: CHEVRON # 355920 jDate ofTesting: 4/24/2013
Facility Address: 10 UNION AVENUE JITB # 7723, BAKERSFIELD, CA 93307
Facility Contact: MTNTA Phone: 661 - 861 -0543
Date Local Agency Was Notified ofTesting: 4/16/2013
Flame of Local Agency Inspector (ifpresent during testing): Ester Duran
2_ TF.STTNC_ rnNTRArTOR IMP'nRMATION
Company Name: TANKNOLOGY INC.
Technician Conducting Test: Edwin Pineda
Credentials: r CSLB Licensed Contractor r-I SWRCB Licensed Tank Tester
License Type: A -UT ILicense Number. 743160 - 8026748
Manufacturer
Manufacturer Training
Component(s) Date Training Expires
PHILTTTE SPILL BUCKET 8/82014
3. SUMMARY OF TFST RF,STTT.TS
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
WATER WAS PLACED IN SITE'S DRUMS
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THLS TES MG
To the best of my knowledge, the factts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: r5w n Date: 4242013
W0: 3412046
Spill Box Unleaded regular fill
Spill Box Premium premium rill
Spill Box Diesel diesel fill
If hydrostatic testing was performed, describe what was done with the water after completion of tests:
WATER WAS PLACED IN SITE'S DRUMS
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THLS TES MG
To the best of my knowledge, the factts stated in this document are accurate and in full compliance with legal requirements
Technician's Signature: r5w n Date: 4242013
W0: 3412046
SWRCB, January 2002 Page 1 of 1
9. SPELL/OVERFiLL CONTAiNMF.NT BOXES
Facility is Not Equipped With Spill/Overfill Containment Boxes r
SpilUOverfill Containment Boxes are Present, but were Not Tested r
Test Method Developed By: 0— Spill Bucket Manufacturer Industry Standard r Professional Engineer
r Other (Specify):
Test Method Used By: 0 Pressure r Vacuum 56 Hydrostatic . .
OJ Other (Specify):
Test Equipment Used: LAKE TEST Equipment Resolution: 0.0625 in.. .
t.,,•:: DJrect,Below Grade:- x=p fiT a y
Bucket Diameter. 12.00 12.00 12.00
Bucket Depth: 14.00 14.00 14.00
Wait time between applying
pressure /vacuum /water and Omin 0min 0min min
starting test
Test Start Time: 09:30:00 09:30:00 09:30:00
Initial Reading (Rt): 10.00 in. H2O 10.00 in. H2O 10.00 in. H2O
Test End Time: 10:30:00 10:30:00 10:30:00
Final Reading (RF)., 10.00 in. H2O 10.00 in. H2O 10.00 in. H2O
Test Duration: 1 hr 1 hr I hr
Change in Reading (RF -R1) : 0.00 in. H2O 0.00 in. H2O 0.00 in. H2O
Pass/Fail Threshold or Criteria: 0.00 0.00 0.00
TTli Result 4 € Pas Paste RPass x$ sz i,
COmmentS - (include information on repairs made prior to testing, and recommendedfollow -upforfailed tests) . .
WO: 3412046
aTanknology
Work Order: 3412046
Site ID / Name: 355920 / CHEVRON # 355920
Address: 10 UNION AVENUE JITB # 7723
City: BAKERSFIELD State: CA Zip: 93307
Site Diagram
This site diagram is for reference only and is not drawn to scale)
ESO<
M
Z
CA'
W.O.# SC1- 3412046
Iloloo
APR 24, 2013 2:27 PM
CHEVRON 2000
10 UNION AVE.
BAKERSFIELD
STA.35 -5920
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
150301
APR 24, 2013 2:28 PM
1:CHEVRON 2000
150302
APR 24, 2013 2:28 PM
2:10 UNION AVE.
150303
APR 24, 2013 2:28 PM
3 :BAKERSFIELD
150304
APR 24, 2013 2:28 PM
4 :STA.35 -5920
I51700
APR 24, 2013 2:28 PM
SYSTEM TYPE AND LANGUAGE FLAG
SYSTEM UNITS
U.S.
SYSTEM LANGUAGE
ENGLISH
SYSTEM DATE /TIME FORMAT
MON DD YYYY HH:MM:SS xM
I50F00
APR 24, 2013 2:28 PM
MON DD YYYY HH:MM:SS xM
I60100
APR 24, 2013 2:28 PM
TANK CONFIGURATION
DEVICE LABEL
1 UNLEADED
2 PREMIUM
3 DIESEL
4
CONFIGURED
ON
ON
ON
OFF
Cust Ref# : PO: 0015114456
I60200
APR 24, 2013 2:28 PM
TANK PRODUCT LABEL
TANK PRODUCT LABEL
1 UNLEADED
2 PREMIUM
3 DIESEL
4
160300
APR 24, 2013 2:28 PM
TANK PRODUCT CODE
TANK PRODUCT LABEL
1 UNLEADED 1
2 PREMIUM 2
3 DIESEL 3
4 4
160400
APR 24, 2013 2:28 PM
TANK FULL VOLUME
TANK PRODUCT LABEL GALLONS
1 UNLEADED 19703
2 PREMIUM 10369
3 DIESEL 7218
4 0
160700
APR 24, 2013 2:28 PM
TANK DIAMETER
TANK PRODUCT LABEL INCHES
1 UNLEADED 117.75
2 PREMIUM 117.75
3 DIESEL 118.50
4 0.00
160900
APR 24, 2013 2:28 PM
TANK THERMAL COEFFICIENT
TANK PRODUCT LABEL
1 UNLEADED 0.000700
2 PREMIUM 0.000700
3 DIESEL 0.000450
4 0.000000
161200
APR 24, 2013 2:28 PM
TANK MANIFOLDED PARTNERS
TANK PRODUCT LABEL SIPHON MANIFOLDED TANKS LINE MANIFOLDED TANKS..
1 UNLEADED NONE NONE
2 PREMIUM NONE NONE
3 DIESEL NONE NONE
4 NONE NONE
162100
APR 24, 2013 2:28 PM
TANK LOW PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 UNLEADED 500
2 PREMIUM 500
3 DIESEL 500
4 0
I62200
APR 24, 2013 2:28 PM
TANK HIGH PRODUCT LIMIT
TANK PRODUCT LABEL GALLONS
1 UNLEADED 18718
2 PREMIUM 9850
3 DIESEL 6677
4 0
162300
APR 24, 2013 2:28 PM
TANK OVERFILL LEVEL LIMIT
TANK PRODUCT LABEL GALLONS
1 UNLEADED 17732
2 PREMIUM 9332
3 DIESEL 6326
4 0
I62400
APR 24, 2013 2:28 PM
TANK HIGH WATER LEVEL LIMIT
TANK PRODUCT LABEL INCHES
1 UNLEADED 2.0
2 PREMIUM 2.0
3 DIESEL 2.0
162800
APR 24, 2013 2:28 PM
TANK MAXIMUM VOLUME LIMIT
TANK PRODUCT LABEL GALLONS
1 UNLEADED 19703
2 PREMIUM 10369
3 DIESEL 7029
4 0
162900
APR 24, 2013 2:28 PM
TANK DELIVERY REQUIRED LIMIT
TANK PRODUCT LABEL GALLONS
1 UNLEADED 2955
2 PREMIUM 1555
3 DIESEL 1054
4 0
170300
APR 24, 2013 2:28 PM
LIQUID TYPE
SENSOR LOCATION TYPE
1 UNLEADED ANNULAR TRI -STATE (SINGLE FLOAT)
2 UNLEADED STP SUMP TRI -STATE SINGLE FLOAT)
3 UNLEADED FILL TRI -STATE SINGLE FLOAT)
4 SPLIT TANK ANNULAR TRI -STATE SINGLE FLOAT)
5 PREMIUM STP SUMP TRI -STATE SINGLE FLOAT)
6 PREMIUM FILL TRI -STATE SINGLE FLOAT)
7 DIESEL STP SUMP TRI -STATE SINGLE FLOAT)
8 DIESEL FILL TRI -STATE SINGLE FLOAT)
9 DISP. 1 -2 TRI -STATE SINGLE FLOAT)
10 DISP. 3 -4 TRI -STATE SINGLE FLOAT)
11 DISP. 5 -6 TRI -STATE SINGLE FLOAT)
12 DISP. 7 -8 TRI -STATE SINGLE FLOAT)
13 DISP. 9 -10 TRI -STATE SINGLE FLOAT)
14 DISP. 11 -12 TRI -STATE SINGLE FLOAT)
15 TRI -STATE SINGLE FLOAT)
16
AM
TRI -STATE SINGLE FLOAT)
I90200
APR 24, 2013 2:28 PM
SOFTWARE REVISION LEVEL
VERSION 328.03
SOFTWARE# 346328 -100 -D
CREATED - 08.06.06.17.21
S- MODULE# 330160 -004 -a
SYSTEM FEATURES:
PERIODIC IN -TANK TESTS
ANNUAL IN -TANK TESTS
ISD
I20600
APR 24, 2013 2:28 PM
CHEVRON 2000
10 UNION AVE.
BAKERSFIELD
STA.35 -5920
TANK ALARM HISTORY
TANK 1 UNLEADED
HIGH WATER ALARM APR 24, 2013 12:48 PM
MAY 10, 2012 10:00 AM
OVERFILL ALARM APR 24, 2013 12:09 PM
MAY 10, 2012 9:54 AM
HIGH PRODUCT ALARM APR 24, 2013 12:52 PM
APR 24, 2013 12:09 PM
MAY 10, 2012 9:54 AM
INVALID FUEL LEVEL MAY 10, 2012 9:51 AM
PROBE OUT APR 24, 2013 1:04 PM
APR 24, 2013 12:07 PM
SEP 13, 2012 9:54 AM
HIGH WATER WARNING APR 24, 2013 12:48 PM
MAY 10, 2012 10:00 AM
DELIVERY NEEDED MAR 26, 2013 1:54 PM
DEC 22, 2012 6:00 PM
DEC 19, 2012 4:41 PM
MAX PRODUCT ALARM APR 24, 2013 12:52 PM
MAY 10, 2012 9:54 AM
LOW TEMP WARNING APR 24, 2013 1:05 PM
APR 24, 2013 12:08 PM
SEP 13, 2012 10:02 AM
TANK 2 PREMIUM
HIGH WATER ALARM APR 24, 2013 12:59 PM
MAY 10, 2012 10:01 AM
OVERFILL ALARM APR 24, 2013 12:49 PM
MAY 10, 2012 9:56 AM
LOW PRODUCT ALARM APR 24, 2013 12:45 PM
HIGH PRODUCT ALARM APR 24, 2013 12:55 PM
APR 24, 2013 12:49 PM
LIQUID ALARM HISTORY
MAY 10, 2012 9:57 AM
INVALID FUEL LEVEL APR 24, 2013 1:06 PM
10:24
APR 24, 2013 12:45 PM
FUEL ALARM
MAY 10, 2012 9:53 AM
PROBE OUT APR 24, 2013 1:05 PM
SENSOR OUT ALARM
APR 24, 2013 12:45 PM
9:31
SEP 13, 2012 9:49 AM
HIGH WATER WARNING APR 24, 2013 12:59 PM
MAY 10, 2012 10:01 AM
DELIVERY NEEDED APR 24, 2013 12:44 PM
APR 22, 2013 9:19 AM
MAR 26, 2013 8:40 AM
MAX PRODUCT ALARM APR 24, 2013 12:55 PM
MAY 10, 2012 9:57 AM
TANK 3 DIESEL
HIGH WATER ALARM APR 24, 2013 12:52 PM
MAY 10, 2012 9:56 AM
OVERFILL ALARM APR 24, 2013 12:46 PM
NOV 12, 2012 12:09 PM
MAY 10, 2012 10:03 AM
LOW PRODUCT ALARM APR 24, 2013 12:43 PM
SEP 13, 2012 9:45 AM
MAY 10, 2012 9:49 AM
HIGH PRODUCT ALARM APR 24, 2013 12:46 PM
MAY 10, 2012 10:03 AM
MAY 10, 2012 9:58 AM
INVALID FUEL LEVEL APR 24, 2013 12:43 PM
SEP 13, 2012 9:59 AM
MAY 10, 2012 10:06 AM
PROBE OUT APR 24, 2013 1:06 PM
APR 24, 2013 12:43 PM
SEP 13, 2012 9:45 AM
HIGH WATER WARNING APR 24, 2013 12:52 PM
MAY 10, 2012 9:56 AM
DELIVERY NEEDED APR 24, 2013 12:43 PM
MAR 30, 2013 10:32 AM
MAR 26, 2013 12:27 PM
MAX PRODUCT ALARM APR 24, 2013 12:46 PM
MAY 10, 2012 10:04 AM
LOW TEMP WARNING APR 24, 2013 12:43 PM
I30200
APR 24, 2013 2:28 PM
CHEVRON 2000
10 UNION AVE.
BAKERSFIELD
STA.35 -5920
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 UNLEADED ANNULAR
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:29 AM FUEL ALARM
MAY 10, 2012 9:33 AM FUEL ALARM
2 UNLEADED STP SUMP
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:28 AM FUEL ALARM
MAY 10, 2012 9:31 AM FUEL ALARM
3 UNLEADED FILL
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:27 AM FUEL ALARM
APR 24, 2013 9:27 AM FUEL ALARM
4 SPLIT TANK ANNULAR
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:38 AM FUEL ALARM
MAY 10, 2012 9:28 AM FUEL ALARM
5 PREMIUM STP SUMP
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 10:23 AM FUEL ALARM
APR 24, 2013 10:12 AM FUEL ALARM
6 PREMIUM FILL
APR 24, 2013 1:28 PM FUEL ALARM
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:34 AM FUEL ALARM
7 DIESEL STP SUMP
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:33 AM FUEL ALARM
MAY 10, 2012 9:24 AM SENSOR OUT ALARM
8 DIESEL FILL
APR 24, 2013 12:01 PM FUEL ALARM
APR 24, 2013 12:00 PM SENSOR OUT ALARM
APR 24, 2013 10:25 AM SENSOR OUT ALARM
9 DISP. 1 2
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:41 AM FUEL ALARM
MAY 10, 2012 9:34 AM FUEL ALARM
10 DISP. 3 4
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:40 AM FUEL ALARM
MAY 10, 2012 9:34 AM FUEL ALARM
11 DISP. 5 6
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:41 AM FUEL ALARM
MAY 10, 2012 9:35 AM FUEL ALARM
12 DISP. 7 8
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:42 AM FUEL ALARM
MAY 10, 2012 9:36 AM FUEL ALARM
13 DISP. 9 10
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:43 AM FUEL ALARM
MAY 10, 2012 9:36 AM FUEL ALARM
14 DISP. 11 12
APR 24, 2013 10:24 AM SENSOR OUT ALARM
APR 24, 2013 9:43 AM FUEL ALARM
MAY 10, 2012 9:37 AM FUEL ALARM
I10100
APR 24, 2013 2:28 PM
CHEVRON 2000
10 UNION AVE.
BAKERSFIELD
STA.35 -5920
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
UNIFIED - PROGRAM INSPECTION CHECKLIST
S E C T 10 N 1: Business Plan and Inventory Program
B_ E R S F I D
R FIRE
ARTM , T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE
Li-[5
INSPECTION TIME
ADDRESS
M
PHONE NO.
OS
NO OF E OYEES
FACILITY CONTACT BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE
Consent to Inspect Na le
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
X9 APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
9,p EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
zp
FIRE PROTECTION CFC: 903 8r 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY'HAZARDOUS WASTE ON SITE? YES NO Si nature of c ' t
Explai'n'.
rUN I ENNF IMfN I1VJI KU#_ I MfVJ:
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days of correcting all ofthe violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
t
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
ENHANCED LEAK DETECTION
TANK TIGHTNESS
4~
Rt
ARrm T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661- 852 -2171
Page 1 of 1
LINE TESTING SB -989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
FD2095 (Rev 03/08)
SITE INFORMATION
FACILITY /' j
ewr0 O
NAME 8 PHONE # OF CO A PERS N
I _ 05q3l C (,
ADDRESS
O Ave1 e -/ Q ICAL 93307
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? 0 YES NO
TANK # VOLUME CONTENTS
1 0 W) I ea.cl ecd
ern u.Yn
3 79 17 es 1
TANK TESTING COMPANY
TESTING OMPA Y
A.r) !o Inc, I NAME & PHONE . OF CONTA PER ON
h1 elle oU.YI SI (D - (00
M NG ADDRESSE Ter iSe fneA a X 590
PMP & PHONE # OF TESTEA OR SPECIAL INSPECTOR CERTIFICATION #
DAT ME EST TO 6 CON Urn ICC #00a /P^4/0 ^ UT
TEST METHOD
APPLICANT SIGNATURE
4
DATE
3 l9 /,3
TLid"61 BECOMES A PERMIT WHEN APPROVED
APP VED BY DATE
FD2095 (Rev 03/08)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTINGITANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
Individual tests and will be charged per
separate type test accordingly.)
PERMIT #
ENHANCED LEAK DETECTION
TANK TIGHTNESS
F/RI
ARrm r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 a Fax: 661 - 852 -2171
Page i of 1
LINE TESTING SB -989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590
Pay to the „ 1, ` , F1 i-6orderofCl,'j p(
djj %}O
WELLS FARGO BANK, N.A.
CALIFORNIA
WELLSFARGO.COM
For " aeu i23h ID Un'tG 2.
11600 58 L, 2111 1: 12 2000 21, ?1 :0 ? 2 60 2 50 2 6 111
5842
16-24-1220
Date
xi". Dollars
SITE INFORMATION
FACILITYChe ro SS 9a o
NAME & PHONE # OF CO
ll.•i
AC PERS N. - .
OSjl! -/
ADDRESS
0 Ave. er -Fie 9 330 7
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? O YES NO
TANK t! VOLUME CONTENTS
3 Dtes l
TANK TESTING COMPANY
TEST-L(,OMPA Y
Inc.,
NAME & PHONE p OF CONTA PER ON
111 cfle oW1 iS1 &7&-'/0&0
M (LING ADDRESS
1 l?r ise y1a S:x Vi 41b Tevneeu -do- Of -7c:A
A,M, & PHONE j# Of TESTEA OR SPECIAL INSPECTOR CERTIFICATION
DATP P TIME JEST TO BE COUrn ICC tt0O,;,W f t/ 0 - UT
TEST METHOD
APPLICANT SIGNATURE DATE
TANKNOLOGY -SO. CALIFORNIA
PH. (951) 676 -4060
41785 ENTERPRISE CIR S, STE D
TEMECULA, CA 92590
Pay to the „ 1, ` , F1 i-6orderofCl,'j p(
djj %}O
WELLS FARGO BANK, N.A.
CALIFORNIA
WELLSFARGO.COM
For " aeu i23h ID Un'tG 2.
11600 58 L, 2111 1: 12 2000 21, ?1 :0 ? 2 60 2 50 2 6 111
5842
16-24-1220
Date
xi". Dollars
BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
Inspection Request Phone No. (661) 326 -3979
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK-TESTING,-.- - _ _ _. -_
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TO OPERATION OF ANY SYSTEM,
ALL- UST-AND/ SHALL BE
INSTALL, COMPLETE AND ACCEPTE6 BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL) 1
REMARKS:
BUILDING ADDRESS: 7777
JOB DESCRIPTION: k_t4 Cr OCCUPANCY TYPE:
OWNER: C_(N_e.VAA6,Vj PERMIT NO. / - <,t
CONTRACTOR: Ac,6,L6 pq PHONE # --C{
FD 1743