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Home My WebLink About3225 BUCK OWENS BOULEVARD FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPMY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: ,30 Date Received: 3 —/3 Address: 37— Bakersfield, CA 933 Business Name: O 1 e 4 INSPECTION LOG Date Time Signature SYSTEM: L BUILDING SQUARE FEET: New Mod. Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: Fire Sprinkler System Spray FWsh System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank 13 X Other. 2;;fZlelf C---1 1 e 4 INSPECTION LOG Date Time Signature IS=77 April 23, 2013 Certified Mail - Return Receipt Requested City of Bakersfield Fire Prevention Services Attn: Ernie Medina 2101 H Street Bakersfield, CA 93001 661 - 326 -3684 (P) 661 - 852 -2171 (F) Re: Financial Responsibility — Fiscal Year 2012 — UST Facilities Enclosed are the documents for CST Brands, Inc. demonstrating financial assurance for Underground Storage Tank (UST) facilities owned by specific subsidiaries of CST Brands, Inc. These documents, listed below, have been updated to include CST Brands, Inc.'s financial data for fiscal year 2012. Please forward to the appropriate personnel within your agency. Letter from CFO specifying the successful completion of the financial test of self - insurance. Guarantee by CST Brands, Inc. on behalf of the specific CST Brands, Inc. subsidiary(s) owning the USTs. Certification of Financial Responsibility Certification of Financial Responsibility (California form) An addendum (list) that specifies the locations and tanks at each facility covered by these financial assurance mechanisms. Should you have any questions, please contact me at (210) 692 -2224 or e-mail: j ohn.willrodtgcstbrands.com. Ve truly yours, W R J Willrodt, Director Retail Environmental Enclosures CST Brands, Inc., One Valero Way, Building D, San Antonio, Texas 78249 -1616 Telephone (800) 456 -3533 Report # 18 Financial Assurance Store List 4/23/2013 10:30:46 AM Zone Store Status Address City State County Tank #- Compartment Fuel Type Capacity State Id 352 3074 O 13225 BUCK OWENS BLVD IBAKERSFIELD CA KERN 1 A U 14130 100719 352 3074 1 O 13225 BUCK OWENS BLVD IBAKERSFIELD CA KERN 2 A S 10140 100719 352 3074 1 O 13225 BUCK OWENS BLVD BAKERSFIELD CA KERN 1 3 A I D 20068 100719 1 of 1 x April 22, 2013 California Environmental Protection Agency State Water Resources Control Board UST Clean Up Fund Attention: Michael Hanks 10011 Street, 17`h floor Sacramento, California 95814 916 - 327 -9534 (P) - 916- 341 -5808 (F) Dear Mr. Hanks: Re: Financial Responsibility — Fiscal Year 2012— UST Facilities Enclosed are the documents for CST Brands, Inc. demonstrating financial assurance for Underground Storage Tank (UST) facilities owned by specific subsidiaries of CST Brands, Inc. These documents, listed below, have been updated to include CST Brands, Inc.'s financial data for fiscal year 2012. Please forward to the appropriate personnel within your agency. Letter from CFO specifying the successful completion of the financial test of self - insurance. Guarantee by CST Brands, Inc. on behalf of the specific CST Brands, Inc. subsidiary(s) owning the USTs. Certification of Financial Responsibility. CA - SWRCB Certification of Financial Responsibility An addendum (list) that specifies the locations and tanks at each facility covered by these financial assurance mechanisms. Should you have any question's, please contact me at (210) 692 -2224 or e -mail: john. willrodtna,cstbrands. com. Ve truly you s, J Willrodt, Director Retail Environmental Enclosures CST Brands, Inc., One Valero Way, Building D, San Antonio, Texas 78249 -1616 Telephone (800) 456 -3533 yaejrrr,:^ t a April 19, 2013 California Environmental Protection Agency State Water Resources Control Board UST Clean Up Fund Attn: Michael Hanks 10011 Street, 17`h Floor Sacramento, CA 95814 RE: UST Financial Responsibility — Fiscal Year 2012 Dear Mr. Hanks: Clay Killinger Senior Vice President and Chief Financial Officer I am the chief fmancial officer of CST Brands, Inc. located at P.O. Box 690350, San Antonio, Texas 78269 -0350. This letter is in support of the use of the financial test of self - insurance and guarantee to demonstrate financial responsibility for taking corrective action and /or compensating thud parties for bodily injury and property damage caused by sudden accidental releases and /or nonsudden accidental releases in the amount of at least $1,000,000 per occurrence and $2,000,000 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor (see attached addendum). A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA Regulations Amount Closure ( §§ 264.143 and 265.143) ......................... N /A Post - Closure Care ( §§ 264.145 and 265.145) ......... N /A Liability Coverage ( §§ 264.147 and 265.147) N /A Corrective Action (§ 264.101(b)) ........................... N /A Plugging and Abandonment (§ 144.63) .................. N /A Closure..................................... ............................... N /A Post - Closure Care .................... ............................... N /A Liability Coverage ................... ............................... N /A Corrective Action ..................... ............................... N /A Plugging and Abandonment .... ............................... N /A Total............................... ............................... N /A CST Brands, Inc., One Valero Way, Building D, San Antonio, Texas 78249 -1616 Telephone (800) 456 -3533 UST Financial Responsibility April 19, 2013 Page 2 of 3 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. ALTERNATIVE Il 1. Amount of annual UST aggregate coverage being assured by a test, and /or guarantee......................................:............................................. ............................... $2,000,000 2. Amount of corrective action, closure and post - closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee.................................................................................... ............................... $0 3. Sum of lines l and 2 ................................................................... ............................... $2,000,000 4. Total tangible assets ................................................................... ............................... $1,668,000,000 5. Total liabilities (if any of the amount reported on line 3 is included in total liabilities, you may deduct that amount from this line and add that amount to line6) ......................................................................................... ............................... 462,000,000 6. Tangible net worth (subtract line 5 from line 4) ......................... ............................... 1,206,000,000 7. Total assets in the U.S. (required only if less than 90 percent of assets are located inthe U. S.) ................................................................................. ............................... 1,153,612,000 Yes No 8. 1s line 6 at least $10 million? ..................................................... ............................... Yes 9. Is line 6 at least 6 times line 3? .................................................. ............................... Yes 10. Are at least 90 percent of assets located in the U.S.? (If "No," complete line 11.) ... No 11. Is line 7 at least 6 times line 3? .................................................. ............................... Yes Fill in either lines 12 -15 or lines 16 -18:] 12. Current assets ............................................................................. ............................... 384,000,000 13. Current liabilities ........................................................................ ............................... 228,000,000 14. Net working capital (subtract line 13 from line 12) ................... ............................... 156,000,000 15. Is line 14 at least 6 times line 3? ................................................ ............................... Yes 16. Current bond rating of most recent bond issue ........................... ............................... N/A 17. Name ofrating service ............................................................... ............................... N/A 18. Date of maturity of bond ............................................................ ............................... N/A 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration ?... Yes 2 - UST Financial Responsibility April 19, 2013 Page 3 of 3 I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below. Z ' ClaytonX kiIlinger/ Senior Vice President and Chief Financial Officer April 19, 2013 3- yy,.gc:Ega 'd'n: 3 suea'r yLr'T- GUARANTEE Guarantee made this 19ffi day of April 2013 by CST Brands, Inc., a business entity organized under the laws of the state of Delaware, herein referred to as guarantor, to the State of California, State Water Resources Control Board (SWRCB) and to any and all third parties, and obligees, on behalf of CST California Stations, Inc. (CSTCASI), of P.O. Box 690350, San Antonio, Texas 78269 -0350. Recitals. 1) Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95 (b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2) CSTCASI owns or operate the following underground storage tank(s) covered by this guarantee: See addendum to this guarantee. This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above - identified underground storage tank(s) in the amount of 1,000,000 per occurrence and $2,000,000 annual aggregate. 3) On behalf of our subsidiaries, guarantor guarantees to SWRCB and to any and all third parties that: In the event that CSTCASI fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the SWRCB has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CSTCASI. has failed to perform corrective action for releases arising out of the operation of the above - identified tank(s) in accordance with 40 CFR part 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CSTCASI fails to satisfy a judgment or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and /or nonsudden accidental releases arising from the operation of the above - identified tank(s), or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgment(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4) Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95 (b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CSTCASI . The guarantee will terminate 120 days from the date of receipt of the notice by CSTCASI, as evidenced by the return receipt. CST Brands, Inc., One Valero Way, Building D, San Antonio, Texas 78249 -1616 Telephone (800) 456 -3533 1) Guarantor agrees to notify CSTCASI by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 2) Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CSTCASI pursuant to 40 CFR part 280. 3) Guarantor agrees to remain bound under this guarantee for so long as CSTCASI must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above - identified tank(s), except that guarantor may cancel this guarantee by sending notice by certified mail to CSTCASI, such cancellation to become effective no earlier than 120 days after receipt of such notice by CSTCASI, as evidenced by the return receipt. 4) The guarantor's obligation does not apply to any of the following: a) Any obligation of CSTCASI under a workers' compensation, disability benefits, or unemployment compensation law or other similar law; b) Bodily injury to an employee of CSTCASI arising from, and in the course of, employment by CSTCASI; c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; d) Property damage to any property owned, rented, loaded to, in the care, custody, or. control of, or occupied by CSTCASI that is not the direct result of a release from a petroleum underground storage tank; e) Bodily damage or property damage for which CSTCASI is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 5) Guarantor expressly waives notice of acceptance of this guarantee by SWRCB, by any or all third parties, or by CSTCASI. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 19, 2013 CST Brands, Inc. al_4611,- Clayton . Killinger Senior Vice President and Chief Financial Officer Signature of witness or notary: 44"4VA&AAA't'v,AA&AAA*AA" MONICA M. RODRIGUEZ Notary Public STATE OF TEXAS c My Comm. Exp. 10 -08.2015 VTTTTTVV"VTVV""VV Certification of Financial Responsibility CST California Stations, Inc. (CSTCASI) hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism(s) used to demonstrate financial responsibility under subpart H of 40 CFR part 280 are as follows: Financial Test of Self- Insurance — 2012 - For taking corrective action and /or compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000 per occurrence and $2,000,000 annual aggregate arising from operating underground storage tanks. Guarantee — 2012 - For taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating underground storage tanks in the amount of $1,000,000 per occurrence and $2,000,000 annual aggregate. CST California Stations, Inc. Clayton illing Senior Vice President and Chief Financial Officer April 19, 2013 Monica Rodriguez April 19, 2013 ei... MONICA M. RODRIGUEZ Notary Publlo STATE OF TEXAS My Comm: Exp, 10 -08 -2015 CST Brands, Inc., One Valero Way, Building D, San Antonio, Texas 78249 -1616 Telephone (800) 456 -3533 State of California For State Use Only State Water Resources Control Board Division of Financial Assistance P.O. Box 944212 Sacramento, CA 94244 -2121 w (Instructions on reverse side) CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in the required amounts as specified in California Code of Regulations (CCR), Title 23, Division 3, Chapter 18, Section 2807, 0 F1500,000 dollars per occurrence 1 million dollars annual aggregate or El1 AND or million dollars per occurrence 2 million dollars annual aggregate g CST Brands, Inc. hereby certifies that it is in compliance with the requirements of Section 2807, Name or Tank Owner or Operator) California Code of Regulations, Title 23, Division 3, Chapter 18, Article 3, Section 2807. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: C. Mechanism Mechanism Coverage Coverage Corrective Third Party Type Name:and Address of Issuer Number Amount Period Action Comp Chief CST Brands, Inc. 1, 000, 000 Financial P.O.Box 690350 Per Occurrence San Antonio Tx NSA 2, 000, 000 Annual Yes Yes Officer 78269 -0350 Annual Lette Guarantee CST Brands, Inc. 1, 000, 000 P.O.Box 690350 Per Occurrence San Antonio TX N/A 2,000,000 Annual Yes Yes 78269 -0350 Annual Note: Coverage period is 04 -22 -2013 to 04 -30 -2014 as defined by 40 CFR 280.111(b)(2). Note: Ifyou are using the State Fund as any part ofyour demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance and shall maintain compliance with all conditions for participation in the Fund. See instructions. D. Facility Name Facility Address See Attached List Facility Name Facility Address Facility Name Facility Address E. Signature k Owner or Op rator ate Name and Title of Tank Owner or Operator Clayton E. Killinger Chief Financial Officer Signture Witness or Notary Date Name ofW, itlness or Notary id'L2 L LEL cjlyqflz j PtYO Ub'b CFR (Revised 11108) P FI UOriglnal - Local Agency Copies - Facility/Site(s) V9582.indd NS 4 -13 r v Ln Ln i CST Brands, Inc. One Valero Way, Building D San Antonio, Texas 78249 -16 m w U Cv C.4j U — CC Cl) Lij Y f:7) I I I III IIInIIIN IIINN I 7012 30=0 000z 1167 5103 City of Bakersfield Fire Prevention Services ATTN: Ernie Medina 2101 H Street Bakersfield, CA 93001 6.31 - us POSTAGE FIRST -CLASS FROM 78249 v Ln Ln APR 24 2013 w I Ill iflillIit trl111iiq'i1 t11Tl All, 1 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!P.,!,PI D P /lire ARrm r BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 . Fax: 661-852-2171 Page 1 of 1 NE TESTING SB -989 SECONDARY CONTAINMENT CJ FUEL MONITORING CERTIFICATION FD2095 (Rev 03/08) SITE INFORMATION FACILITY 1OCA NAME & PHONE # OF CONTACT PERSON 9- g ADD S o /- / LV . .C OWNER NAME Wr OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BET TED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 3- - 13 a 0 Icy a.0-i Q-1C.A. I o iyv TANK TESTING COMPANY TESTING COMPANYq NAME & PHONE # OF CONTACT PERSON MAILING ADDRESS 5 Djlo NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # D T & TEST T CO DUCTED U ICC # H9 S TEST METHOD ICANT SIGN DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) 4 UNDERGROUND STORAGE TANKS APPLICATION IR A T TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate individual testa and will be charged per separate type test accordingly.) PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 a Fax: 661-852-2171 Page 1 of 1 ENHANCED LEAK DETECTION , NE TESTING SB -989 SECONDARY CONTAINMENT TANK TIGHTNESS U FUEL MONITORING CERTIFICATION SITE ,INFORMATION .;, '' %•.,. F t,' _ FACILITY NAME & PHONE # OF CONTACT PERSON x-18 ADD S 2 t . 30 I OWNER NAME OPERATOR NAME PERMIT TO OPERATE* OF TANKS TO BET TED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 3' 0 1 di-ed C-uu I o 14 C-) e acxgjr-- UUARS OCBA.. To co Z LANIAODESCKCOMMERCEBANKIUKLOCRCOMMERCERANK EI(X GROVE COIAHEKCE RANK TANK.TESTINGICOMPANY i if "c A. •tea I ..,. -, - .t' TESTING COMPANY NAME a PHONE # OF CONTACT PERSON MAILING ADDRESS cA 9Sa,110 NAME 6. PHONE J OF TESTER OR SPECIAL INSPECTOR InAAA M4% C,, _ (P-- CERTIFICATION 0 D T & TEST Tp.BE CO DUCTED ICC # TEST METHOD DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY I DATE TANKNOLOGY INC. 90-103/1211 1956 PH, 209. 365.1246 1024 INDUSTRIAL WAY, STE. A -B LODI, CA 95240 G71,231 qq3 PAY TO THf JTI =YIOR _DER OF UUARS OCBA.. To co Z LANIAODESCKCOMMERCEBANKIUKLOCRCOMMERCERANK EI(X GROVE COIAHEKCE RANK MEMO 1:121101037: i 23500 i ills 1956 t 95 (Rev 03/08) 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 F-7— - - - - - 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 /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: 2.773 77- JOB DESCRIPTION: f= ytirC OCCUPANCY TYPE: OWNER: 4 PERMIT NO. /.3-/ CONTRACTOR: A ,,,,/<, t PHONE # t FD 1743