The URL can be used to link to this page

Home My WebLink About2800 PANAMA LANE FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 5 S Date Received: - ( 3 Address: 22'66 A. Bakersfield, CA 933 Business Name: qL-4.('c-C SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank her. 7 GW C_ Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. 2. 3. 4. INSPECTION LOG Date Time r/y"1 Signature Signature Comments: &4rc:- _4 a . &;,,Izae 232b9R- 9M '3113 1.'M # 2 i L E?e- l O /ZCj3 BILLING & PERMIT STATEMENT ' BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # R /Re 2101 H Street Bakersfield, CA 93301 Dhnno Fmv KK1 -RS7 -7171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. a• - +"Aayc icim timnur moumcaaon) MTN SITE INFORMATION LOCATIOk OF PROJECT PROPERTY OWNER ARCO Same STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDS PHONE # PROIECTADORE55 2800 Panama Lane CITY F%KFi— S EI STATE CA ZIP CODE CONTRACTOR INFORNIATION 96 /hr CONTRACTOR NAME CA LICENSE # Advanced Compliance 971259 TYPE OF LICENSE EXPIRATION DATE C61 D40 3/31/2014 PHONE ! 661- 706 -4321 CONTRACTOR COMPANY NAME FAX '# Advanced Compliance 661- 589 -9329 ADDRESS CITY ZIPCODE 13704 Littlefalls Ct. Bakersfield 93312 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. a• - +"Aayc icim timnur moumcaaon) MTN 167 /site 82 Underground Storage Tank (Removal) TR 573/tank 84 111 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even If scheduled at the same time TT 96/hr (2 hrs mirlimum) =$197 Cs tU Q 3 6K- 01 Kam' l a M j q a 82 0 Oil well (Installation, Inspection, or re- Inspection) X 96 /hr 82 Tent # 96 /tent 84 After -hours Inspection fee 121 /hr (2 hrs minlmum) =.$242 Pyrotechnic (1 permit per event, plus an inspection fee of 96 /hr during business hours) PY OTE: After hours Pyrotechnic event Inspection Is @ 121 /hr 96 /hr + (5 hrs min standby fee /Insp) =$576 5 hrs min standby fee Ins 605 84 Re- Inspection /Follow -up Inspection 961hr 84 Portable LPG (Propane): * of Cages? _ 961hr 84 Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84 Miscellaneous 84 M2021 (Riv 04/101 BILLING & PERMIT STATEMENT ' BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # Arms 2101 H StreetAffrAV Bakersfield, CA 93301 Phnne- 661 -126 -3979 • Fay- 661 -R52- 2171___ SITE INFORMATION Spray Booth (New & Modification) LOCATION OF PROJECT PROPERTY OWNER ARCO Same STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE S PROJECT ADDRESS 2800 Panama Lane crTY $A1GERS:F1 EL. D STATE aA ZIP CODE CONTRACTOR INFORMATION Underground Storage Tank (Modification) MOD CONTRACTOR NAME CA LICENSE ? Advanced Compliance 971259 ITYPE OF LICENSE EXPJRATION DATE C61 D40 3/31/2014 PHONE ! 661- 706 -4321 CONTRACTOR COMPANY NAME FAX # Advanced Compliance 661- 589 -9329 ADDRESS CITY ZIPCODE 3704 Littlefalls Ct. Bakersfield 93312 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 Over 10,000 sq ft $0.028 x sq ft Sprinkler - New & Modification (minimum charge) $280 Over 10,000 sq ft $0.028 x sq ft Minor Sprinkler Modification ( <10 heads) $96 (inspection only) 84 Commercial Hood (News & Modification) $470 Additional hood $S8 Spray Booth (New & Modification) 470 Aboveground Storage Tank (1 Inspection per installation) AST 180 /tank Additional Tank ATI 96 /tank Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank Underground Storage Tank (instal latlon/Inspectlon) NI 878 /tank Underground Storage Tank (Modification) MOD 878 /site Underground Storage Tank (Minor Modification) MTM 167 /site Underground Storage Tank (Removal) TR 573 /tank 11 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even If scheduled at the same time TT 961hr (2 hrs mirl1mum) =$197 a (,( 13 , K 12 Oil well (Installation, Inspection, or re- inspection) X 96 /hr Tent # 96 /tent After -hours inspection fee 121 /hr (2 hrs minimum) =$242 Pyrotechnic (1 permit per event, plus an Inspection fee of 961hr during business hours) PY NOTE: After hours Pyrotechnic event Inspection Is Cep 121/hr 96 /hr + (5 hrs min standby fee/insp) =$576 5 hrs min standby fee ins = 605 Re- Inspection /Follow -up Inspection 96 /hr Portable LPG (Propane): * of Cages? _ 96/hr Explosive Storage 266 Copying & File Research (File Research fee $50 /hr) 0.25 /page Miscellaneous Iq 82 82 82 82 82 82 84 2 82 84 84 84 84 84 84 84 i. UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING SB989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ENHANCED LEAK DETECTION TANK TIGHTNESS TEST B 9 P I FIRE ARTM I r BAKERSFIELD FIRE DEPT. Prevention Services 1501 Truxtun Ave., 1st Floor Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 LINE TESTING S &989 SECONDARY CONTAINMENT TESTING X TO PERFORM FUEL MONITORING CERTIFICATION Cathodic Protection Testing SITE INFORMATION FACILITY ARCO NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 2800 Panama Lane Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO TANK# VOLUME CONTENTS 1 87 UL 2 87 UL 3 87 UL 4 91 UL TANK.TESTING COMPANY. NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661- 706 -4321 MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312 Bruce W. Hinsley 661- 706 -4321 CERTIFICATION #: A25212 DATE & TIME TEST TO BE CONDUCTED Icc #: 8032698 SIGNATURE OF APPLICANT A. DATE 6/5/2013 APPROVED BY DATE FD 2095 (Rev. 09/05) 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 PERMIT NO. /3-16 <5 00 :Z-7 7 PRIMARY PIPE PHONE # ? - q 3Z SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING nl1 l WIM—AI I r UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVRUPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND/Olt AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: JOB DESCRIPTION: ;! wk C_ OCCUPANCY TYPE: /3 OWNER: -A, V' C C PERMIT NO. /3-16 <5 00 :Z-7 7 CONTRACTOR: PHONE # ? - q 3Z FD 1743 ga s5 Appendix VI Copies of Monitoring System Certification form and UST Monitoring Plot Plan available at http://www.waterboards.ca.00v.) MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of Califomia Authority Cited., Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification 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 ofthis form to the local agency regulating UST systems within 30 days of test date. A. General information Facility Name: ARCO Bldg. No.: Site Address: 2800 Panama Ln. City: Bakersfield Zip: Facility Contact Person: Contact Phone No.: ( Make/Model of Monitoring System: Veeder -Root TLS -350 Date of Testing /Servicing: -§_J1 6 / 2013 B. Inventory of Equipment Tested /Certified Check the appropriate boxes to Indicate specific equipment Inspected /serviced: Tank ID: 87 LIL Master Tank ID: 87 LIL Siphon X In -Tank Gauging Probe. Model: Map. X In -Tank Gauging Probe. Model: Mao. X Annular Space or Vault Sensor. Model: 794380 -409 X Annular Space or Vault Sensor. Model: 794380 -409 X Piping Sump / Trench Sensor(s). Model: 794380 -208 X Piping Sump/ Trench Sensor(s). Model: 794380 -208 X Fill Sump Sensor(s). Model: 794380 -208 X Fill Sump Sensor(s). Model: 794380 -208 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: X Electronic Line Leak Detector. Model: 99 LD -2000 Electronic Line Leak Detector. Model: Tank Overfill / High -Level Sensor. Model: Tank Overfill / High -Level Sensor. Model: Other(specify equipment a and model in Section E on Page 2). Other (specify equipment a and model in Section E on Page 2). Tank ID: 87 UL Siphon Tank ID: 91 LIL X In -Tank Gauging Probe. Model: Maa. X In -Tank Gauging Probe. Model: Maa. X Annular Space or Vault Sensor. Model: 794380 -409 X Annular Space or Vault Sensor. Model: 794380 -409 X Piping Sump / Trench Sensor(s). Model: 794380 -208 X Piping Sump/ Trench Sensor(s). Model: 794380 -208 X Fill Sump Sensor(s). Model: 794380 -208 X Fill Sump Sensor(s). Model: 794380 -208 Mechanical Line Leak Detector. Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: X Electronic Line Leak Detector. Model: 99 LD -2000 Tank Overfill / High -Level Sensor. Model: Tank Overfill / High -Level Sensor. Model: Other(specify equipment and model in Section E on Page 2). Other(specify ui ment and model in Section E on Page 2).. Dlspenser ID: 1 -2 Dispenser ID: 7 -8 X Dispenser Containment Sensor(s). Model: 794380 -208 X Dispenser Containment Sensor(s). Model: 794380 -208 X Shear Valve(s). X Shear Valve(s). Dispenser Containment Floats and Chain(s). Dispenser Containment Floats and Chain(s). DlspenserlD: 3 -4 Dispenser ID: X Dispenser Containment Sensor(s). Model: 794380 -208 X Dispenser Containment Sensor(s). Model: X Shear Valve(s). X Shear Valve(s). n Dispenser Containment Floats and Chain(s). n Dispenser Containment Floats and Chain(s). DlspenserlD: 5 -6 Dispenser ID: X Dispenser Containment Sensor(s). Model: 794380 -208 X Dispenser Containment Sensor(s). Model: X Shear Valve(s). X Shear Valve(s). Dispenser Containment Floats and Chains Dispenser Containment Floats 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 /seryiced In accordance with the manufacturers' guidelines. Attached to this Certification is Information (e.g. manufacturers' checklists) necessary to verity 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 apply): X System set -up X Alarm history report Technician Name (print): Bruce W. Hinslev Signature: Iv ghjNt?.i Certification No.: A25212 License. No.: 971259 C61/1340 Testing Company Name: Advanced Compliance Phone No.:(661) 706 -4321 Testing Company Address: 3704 Littlefalis Ct. Bakersfield, Ca. 93312 Date of Testing /Servicing: 6 / 18 / 2013 Monitoring System Certification Page 1 of 4 12/07 2/21/07 D. Results of Testing /Servicing Software Version Installed: 18.01 Comolets the followina checklist: X Yes 1 No' Is the audible alarm operational? X Yes 0 No' Is the visual alarm operational? X Yes u No' Were all sensors visually inspected, functionally tested, and confirmed operational? X Yes No' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No' If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational ?. X N/A X Yes No' For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system N/A detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut -down? (Check all that apply) X Sumpfrrench Sensors; X Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks pod sensor failure /disconnection? X Yes; No. ri Yes No' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention X N/A valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % Yes' X No Was any monitoring equipment replaced? If yes, identity speck sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. X Yes' No Was liquid found Inside any secondary containment systems designed as dry systems? (Check all that apply) Product; Water. If es, describe causes in Section E below. X Yes No' I Was monitoring system set -up reviewed to ensure proper settings? Attach set up reports, if applicable Yes No' Is all monitoring equipment operational per manufacturer's specifications? In Section E below, describe how and when these deficiencies were orwill be corrected. E. Comments: Monitoring System Certification Page 2 of 4 12/07 2/21/07 F. In -Tank Gauging /SIR Equipment: X Check this box iftank gauging is used only for inventory control. Check this box ifno tank gauging or 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: Yes No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes n No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes No* Was accuracy of system product level readings tested? Yes No* Was accuracy of system water level readings tested? Yes No* Were all probes reinstalled properly? Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box if LLDs are not installed. Complete the following checklist: X Yes No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all o N/A that apply) Simulated leak rate: X 3 g.p.h.; 0.1 g.p.h ; 0.2 g.p.h. X Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? X Yes No* Was the testing apparatus properly calibrated? X Yes No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A p Yes No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? X N/A p Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or X N/A disconnected? n Yes n No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or X N/A fails a test? p Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? X N/A X Yes No* Were all items on the equipment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when these deficiencies were or will be corrected. H, Comments: Monitoring System Certification Page 3 of 4 12/07 2/21/07 5 Monitoring System Certification Site Address: 2800 Panama Ln., Bakersfield Ca. vm m d m CDW UST Monitoring Site Plan N Monitor' . Store ESO - . . . . . . . . . . . STP . . . R ' ' Annular . . . . 87. . oc . G UDC . . UDC . . . . . . . . . . . . . . . . . . . . . M." o s5-, ®...... . Date map was drawn: Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page of 05100 Advanced Compliance 3704 Littlefalls Ct. Bakersfield, Ca. 93308 661 - 706 -4321 Fax# 661 -589 -9329 VAPORLESS MANUFACTURING, INC. LDT -890 Leak Detector Test Record Contractor: Advanced Compliance Customer: ARCO Date: 6/18/2013 Location: 35300 Panama Ln. Bakersfield, Ca. Product: 87 UL Technician: Bruce W. Hinsle Submersible Pump Identification Manufacturer: Red'acket Model No.: Serial No.: Notes: Leak Detector Identification Manufacturer: VMI Description: 99 LD -2000 Diaphragm-type: Piston-type: X Tamper -proof seal installed: Other Style Leak Detector: Notes: Leak Detector in Submersible Pump Test at Dispenser Operating Pump Pressure (psi): 28 para. 15 Gallons per hour rate: 3.0 ara. 22 Line pressure with pump shut off (psi): 28 para. 23 Bleed -back Test with pump off (ml): 80 para. 26 Step-through time to full flow (secs): 3 para. 30 Leak detector stays in leak search position (Yes/No): Yes para. 42 Leak Detector Test Pass / Fail Notes: Pass Complete thermal ex anion test beforefailing leak detector Advanced Compliance 3704 Littlefalls Ct. Bakersfield, Ca. 93308 661 - 706 -4321 Fax# 661 -589 -9329 VAPORLESS MANUFACTURING, INC. LDT -890 Leak Detector Test Record Contractor: Advanced Compliance Customer: ARCO Date: 6/18/2013 Location: 35300 Panama Ln. Bakersfield, Ca. Product: 91 UL Technician: Bruce W. Hinsle Submersible Pump Identification Manufacturer: Red'acket Model No.: Serial No.: Notes: Leak Detector Identification Manufacturer: VMI Description: 99 LD -2000 Diaphragm-type: Piston-type: X Tamper -proof seal installed: Other Style Leak Detector: Notes: Leak Detector in Submersible Pump Test at Dis enser Operating Pump Pressure (psi): 26 para. 15 Gallons per hour rate: 3.0 para. 22 Line pressure with pump shut off (psi): 26 para. 23 Bleed -back Test with pump off (ml): 85 para. 26 Step-through time to full flow (secs): 3 para. 30 Leak detector stays in leak search position (Yes/No): Yes para. 42 Leak Detector Test Pass / Fail Notes: Pass Complete thermal expansion test beforefailing leak detector SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing of UST spill containment structures. The completedform and printouts from tests (ifapplicable), should be provided to thefacility owner /operatorfor submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: ARCO Date of Testing: 6/18/2013 Facility Address: 2800 Panama Ln. Bakersfield, Ca. Facility Contact: Phone: Date Local Agency Was Notified ofTesting: Name ofLocal Agency Inspector (ifpresent during testing): Ernie Medina 2. TESTING CONTRACTOR INFORMATION Company Name: Advanced Compliance Technician Conducting Test: Bruce W. Hinsley Credentials: X CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other (Spec) License Number(s): 971259 3. SPILL BUCKET TESTING INFORMATION Test Method Used: X Hydrostatic Vacuum Other Test Equipment Used: Visual Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 87 UL Master 2 87 UL Siphon 3 87 UL Siphon 4 91 UL Bucket Installation Type: Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury X Contained in Sump Direct Bury X Contained in Sum Bucket Diameter: 12" 12" 12" 12" Bucket Depth: 14" 14" 14" 14" Wait time between applying vacuum /water and start oftest: 10 min. 10 min. 10 min. 10 min. Test Start Time (Ti): 09:30 09:30 09:30 09:30 Initial Reading (111): 9.50" 9.25" 10.00" 09.50" Test End Time (TF): 10:30 10:30 10:30 10:30 Final Reading (RF): 9.50" 9.25" 10.00" 09.50" Test Duration (TF — Tj): 1 Hr. 1 Hr. 1 Hr. 1 Hr. Change in Reading (RF - Rj): 0.0" 0.0" 0.0" 0.0" Pass/Fail Threshold or Criteria: 0.25" 0.25" 0.25" 0.25" Test Result: 11 X Pass Fail X Pass Fail X Pass Fail X Pass Fall Comments — (include information on repairs made prior to testing, andrecommendedfollow -upforfailed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and infull compliance with legal requirements. Technician's Signature:_ Date: 6/18/2013 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent.