HomeMy WebLinkAbout3300 PLANZ ROAD FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
3_ Oc oO 36 s
File Number: 3 '? 3 S
Date Received: ? -3c', 13
3 3n C i7
Address:
Bakersfield, CA 933
Business Name:
SYSTEM: I L BUILDING SQUARE FEET:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Sprat FWsh System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
MEmez
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
INSPECTION LOG
Date Time
Signature
MONITORING SYSTEM CERTIFIiCXTION
For tive -BpAlU ioivdictionviViiliin ,rhe,SiateolCalifru•nia.
urhn ,in %CitirlrCJta/fc>> °h:.7, Hiahh,andSgtt:?nsCode; Chapter 16, Oiiivion.3, TetlQJ? Cal #irrriia.Citde.(?fReg;ilallonv
T.I. Lis, fitrminw4bc •usedlt<tdcxumetictratin} xml.+en +icinl;ot'monitnrin .cqui tlenc. Lsgmarslecertifiearionorre [mutinust:be:
prepared fhr each mcmitorinl; tivstcm control' peel by thu teclinir.ian who performs (lirwork. A taipy of %this fomi mint he ;pnividl-dl
to the fwk system. awnerloperaror.. 'Me owmWiVertfor must submit a. copy of this forar to the: k,eat 4N-rr y regWatirrg UST syslerrts
vithin 30 -days ofthis date.
A. Generd lufarmatian
Facility Name: #7776 Howard's Market Bldg. No.:
Site Address: 3300 Planz Road City. Bakersfield Zip: 93309
Facility Contact Person: Ornem Garcia Contact Phone No.: 661- 393 -7000
Make/Model of Monitoring. System: Veeder -Root TLS 350 Date ofTesting/Servicing: 8/14/2013
B. Inventory of Equipment Tested /CertifiedChec the appropr(steboxes toIndkete gee10eequipment in%VeettditrrOcrd:
Tank iD: 12000 agI. Regular Tank ID, 12000 gal. Diesel
z] In -Tank Gauging Probe. Model. 847390.107 U In -Tank Gauging Probe. Mtxhl: 847390 -107
Annular Space or Vault Probe. Model. Annular Space or Vault Sensor. Model:
Piping Sump /L Trench Sensor(s). Model: Piping Sump /Trench Sensor(s). Model:
Fill Sump Sensors) Model: Hill Sump Simsor(s). Model:
Mechanical' Line, Leak. Detector. Model: 01 Mechanical. Line Leak' Detector. Model:
W L-•l'ectmnic Line Leak. Detector, Model: WPLLD W1 Electronic i- ine,Teak.Det clor. Model: wPLLD,
JI] Tank-Overfill i Righ Level! Sensor. Model: 847390 -107' U 'rank Overfill {' 11igh Leval' S'ensm. Model: 847390.107'
flier ('specify caul . type and models in Set . I on, 2) t thcr (tilxra'fyrcluip. type. ands rnndcl in.S l .n P' 2)
Tank ID: 112000 9ak Super Tank ID:
ir]', >'n- 't:arrll•.tisugjtVl`rOtm Afi:K10:84739e - 187 itrTardrtratrgirrtgProbe. modek
Annular Space, or Vault. Sensor. Model: Annular. Spactor VauIVScivsor.: Model:
01 Piping Sump/ Trench.lvcnsor(s): Model: 01 Piping Sump VftenchSensor(s). Model-.
Fill Sump Sensors(~). Model: Fill Sump Scnsor(s). Model:
Mechanical Line Leak Dececton Model: p Mechanical Line Leak Detector. Model:
x] Electronic Line Leak Detector. Model: WPLLD Electronic Line Leak Detector. Model:
xj Tank Overfill / High Level Sensor. Model: 847390 -107 Tank Overfill / High Level Sensor. Model:
Other (specify equip. type and model in Sec. E on Pg. 2) Other ('specify equip, typs and model in Sec. E on Pg. 2)
Dispenser ID: 18 2 Dispenser ID _3 8t 4
0 Dispenser Containment Sensor(s). Model: 794380.208 x] Dispenser Containment Sensor(s). Model: 794390 -208
n Shear Valve(s). x] Shear Valve(s).
r ispenser Containment Float(s) and Chain(s). Dispenser Containment Float(s) and Chain(s)
Dispenser ID: Dispenser ID:
Dispenser Containment Sensor(s). Model: Dispemer Containment Sensor(s). Model:
Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s) and Chains(s). Dispenser Containment Float(s) and Chain(s).
Dispenser ID: Dispemer ID:
Dispenser Containment Sensor(s). Model: Dispenser Containment Sensor(s). Model:
Shear Valve(s). Shear Valve(s).
Dispenser Containment Float(s) and Chain(s) I Dispenser Containment Float(s) and Chain(s).
it the tacutty 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 /services in accordance with the
manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that
this information is correct and a plot plan showing the layout of monitoring equipment. For equipment capable ofgenerating
such reports, I have attached a copy of the report; (check all that apply) x System Set -up rxIAlarm history report
Technician Name (print): Krlstopher Karns Signature: ,
Certification No: B34108 License No: 804904
Testing Company Name: Confidence LOST Services, Inc. Phone No: 800.339.9930
Site Address: 3300 Plariz Road. Bakersfield, CA 93309 Date ofTesting/Servicing: 8/14/2013
D. Results of Testing/Servicing
Software Version. Installed: 15.01.
Complete the following checklist:
Lxj Yu Nn* Us the audible alartu operational?
s Is, ttv—,ViAual a armvpei:atuxta ..
t" Nir *' Wet:a ',cnsars:vtsutdlytits xtc ;. imctionatlytrst .vicleun irmcd.operatiitnal'
x Yes No* Were all sensors costa 1 at owest ptmn of , t: &M-71mcrtt ixYanivn :cot
equipment will not interfere with their proper operation'?
Yes No* It alarms are relayed to a remote monitoring station, is a communications equipment (e.g. m 'in)
x N/A rational?
x Yes No* For pressurized piping systems, does the turbine automatically shutdown if the piping secondary
N/A containment monitoring system defects a leak, fails to operate, or is electrically disconnected? If yes:
which. sensor's initate positive shut- down? E] Suirip/Trench, Sensors Exj Dispenser C.r ntainment:.' nsors
W you ainfrrm prnitivu shut -doom due to leaks and s=m. r failure ?ill rnrrncatrncl? e} Y6s; LJ No;,
YiM Fj No* For • systems - utilize, tc amnituring systemas the primary tan •. ovt.7W %«arcing &vice; (i.e.. no.
NIA. mecltanicahowrtilUprcvention valve. is, inslalti.d); is tli .overfill warning alan, r, visual. and'audiblcat.
the tank fiapxiintfs), and o} xratingpmrwrly?ffso, ae what. percent of ink.capasitydoes ifte.afann.
trigger'! gp %
Ej Yes* No as any monitoring equipment replaced'? IfYes, identify spat is sensors, probes, or of cr equipment
replaced and list the manufacturer name and model for all replacement parts in Section I, below.
Q Yeti* Lxj No War liquid found inside any secondary containment, systems, delifatted as dry systems?
rx1 Product; M Water. 11' yes, describe causer in Section E, below.
as tnonitonng system set -u reviewed to ensure roper setting? ttach set -up re irts, i a scab e. FY-4ig* No* Is all monitoring equipment operational per manufaclurces specifications?
In Section E below, discribe hmv and. when these deficiencies- were or will he. corrected.
E. Comments:
F. In -Tank Guaging /SIR Equipment: [x] Check this box iftank guaging is used only for inventory control.
Check this box iftank guaging or SIR equipment is installed.
This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring.
Complete the following checklist:
Lx -Yes
No*
JEJ No* 1•las all input wiring been inspected for proper enter and tennination,including testing for ground faults?
Txj Yes I M No* Were all tank guaging probes visually inspected for damage and residue buildup?
xI Yes
No
No* Was accuracy ofsystem product level reading tested?
or mac anmca .. s, oes tects a leak'? the L restrict product ow i it ?
No* Was accuracy ofsystem water level readings tested'?
N/A
R; iE No* Were all probes reinstalled properly!
U Yes I 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 ifLLD's arc not installed.
Complete the followine checklist:
x] Yes No* For equip. start -up or annual equipment certification, was a leak simulated to varify LLD performance?
Check all that apply) Simulated leak rate: E3 g•p•h.: 0.1 g.p.h.; 0.2 g.p.h.;
Yes x_ No* Were all LLD's confirmed operational and accurate within regulatory requirments?
X es No as the testing apparatus properly calibrated?
Cs o or mac anmca .. s, oes tects a leak'? the L restrict product ow i it ?
x N/A
x] Yes No* For electronic LLD's, does the turbine automatically shut off ifthe LLD detects a leak'?
NIA
Lx] Yes No* 117or electronic LlAYs, does the turbine automatically shut off if any portion ol'the monitoring system is
N/A I disabled or disconnected?
x] Yes Ll No* For electronic 1..1.D's, does the turbine automatically shut off if any portion of the monitoring system
N/A malfunction or fails a test?
F0 Y No* For electronic LLD's, have all accessible wiring connections been visually inspected?
N/A
x YesENo Were all items on the equipment manufacturer's mmmainwmance checklist completed'?
In the section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
X11
IAJ. 11-:1 L. 7'/ E.
jmj 1,•0c.
WIPSFIEW 93ju%i
IAC 14. owl 9:0"41
P I i vl L.; N00 011.
4 1. Eli). - - A J A
4
S,`,'ITJ VURLS
VER111.1, IN-Tiii-11. 1*l,-.;k:;
tiNNUi-11 114 TWO,'. TL;:A2
SLfj
PROOMIN PLM
M13 14. 2n12 9:03 "I'l
CSLD TJE2T RESULTS
MUG 14. 2013 9:Aj 01
T 2:UNLV.F&Eb
PROBE SERIAL NUVI =601
0.2 GALYHR TEST
PER: AUG 14. 2013 PAS
P A P ENL-
JWL "Htt 71 r,
1300 PUM17.
DAWNED !U30-4
04111:: 14. f'01 :< 4:03 41
t'SL3 TEST PF.0,JLTS
MON 14. 2UQ =010 M-1
T z1:6* M- tull
PPOLDE '-'T-PIAL 141111 x'4066-15
U.2 (;ML -1(F: TEsx
PEP' 1`0-1, ILI, 2W-il lj•l
HOWARD2 776
3300 WIC
Fitil-11, FIELD 9J: ')9
41,l(. I.I. q::I:j
QSLA TENT MEMO
0" 14 j 910 : I 1
T 40110SEL
PRORE 2ERImL WLN Y40601
0.2 CHL "R TEII*
PER: AM 14 - 201 A WS
4' o P L14f)
TWI: I-LAY TEST HIST0R','
T I:
Lm,,-vr Gom TEW PHO :El :
iqu 'rFsT
1AST WNUAL TEST WSEW
4c,
1F.sa P +i Li
LHST PEPICilivrFST PAY
WNTH:
TAI-W l.Fiiil. ?U-T
T 2-10YAJEf4raler,
aj- 20th -!.:jJ0 Wil
TE61, rel"F.
LA'Jr WINU111. TEST Pr,.tiS %'D:
W TEST PAKED
FULLEsT M0,44. 'IMST PoiSS
W 129V Wsm,
Ime,;T Uu.czt.,!Lptc,
fill(, I•l, mll
TEST LEWTH 29 WR: -'-
STm?,T] NG 1/61.1.111E - 684a
V•Fj;K'F'1vT hf0LUl1U 57, 1
V6,1_411: VdW --wiLS
ULL,•W.;E 41 <10
f."I,)LI 43HE.8
I451 +:41L.:'_-
HE 1 QH7 59.49 INITFIES
WA,HR Wt. 0 t;iALS
Htq'Ek 0. (jIj I I+HES
7D o A i rdo v
T 2:1•Mmittl
001-11E . 1051 Ms
ULLmGE - 894, •&&s
90t ULLWE- 774a cNLA
T" V01-1111E - 2989 (UiLa
HEIVHT - 28.94 IN"HE2,
WMTER V;A. - 0 . 'ALS
U. (Ill I N1, I iE'.:
7 I.E.: V
T ablem-
T,::
RE) 1.1"y , I 4f) I IY04E-13
VOL - 0 011.
0. of) I H':*IW'r"
TON QV9 183 F
4 1. Eli). - - A J A
4
S,`,'ITJ VURLS
VER111.1, IN-Tiii-11. 1*l,-.;k:;
tiNNUi-11 114 TWO,'. TL;:A2
SLfj
PROOMIN PLM
M13 14. 2n12 9:03 "I'l
CSLD TJE2T RESULTS
MUG 14. 2013 9:Aj 01
T 2:UNLV.F&Eb
PROBE SERIAL NUVI =601
0.2 GALYHR TEST
PER: AUG 14. 2013 PAS
P A P ENL-
JWL "Htt 71 r,
1300 PUM17.
DAWNED !U30-4
04111:: 14. f'01 :< 4:03 41
t'SL3 TEST PF.0,JLTS
MON 14. 2UQ =010 M-1
T z1:6* M- tull
PPOLDE '-'T-PIAL 141111 x'4066-15
U.2 (;ML -1(F: TEsx
PEP' 1`0-1, ILI, 2W-il lj•l
HOWARD2 776
3300 WIC
Fitil-11, FIELD 9J: ')9
41,l(. I.I. q::I:j
QSLA TENT MEMO
0" 14 j 910 : I 1
T 40110SEL
PRORE 2ERImL WLN Y40601
0.2 CHL "R TEII*
PER: AM 14 - 201 A WS
4' o P L14f)
TWI: I-LAY TEST HIST0R','
T I:
Lm,,-vr Gom TEW PHO :El :
iqu 'rFsT
1AST WNUAL TEST WSEW
4c,
1F.sa P +i Li
LHST PEPICilivrFST PAY
WNTH:
TAI-W l.Fiiil. ?U-T
T 2-10YAJEf4raler,
aj- 20th -!.:jJ0 Wil
TE61, rel"F.
LA'Jr WINU111. TEST Pr,.tiS %'D:
W TEST PAKED
FULLEsT M0,44. 'IMST PoiSS
W 129V Wsm,
Ime,;T Uu.czt.,!Lptc,
fill(, I•l, mll
TEST LEWTH 29 WR: -'-
STm?,T] NG 1/61.1.111E - 684a
V•Fj;K'F'1vT hf0LUl1U 57, 1
U14 30, 5:4.f Wrl
TEST IXTIG71i 25 ilrIRZ
I IT, 754-1
PERl';FNT V01.11111:
34
FF, 1' F TF1711' ra
Em':R TEST voLLIVE.-
11q, 3,h. C'I)Lll3i J. :ACC 1111 otilo..-.. E,
h!0T Hilt; i/OLUIE- Ti b4• fit) TGsr"
PtP-64T A)LUVIE d 5-1...
P I :*, TV,It' 5717.' 14 (AllM03111. '01:* 011W VC,
TUIT LFIKM 11 11 1J1 -1- J.-Epawl- - f(,Lt-q'F23'kWr I 11C,
Tr-o.;Y LEI-1,1TIl 9 PER"MY
SUMW %'(',LiJIU-- 7607 Yry. V"Pl. r-,7 wFENTV0J.lL"lF" Eli. I
TEi-',T TYPE a .:7SLD I
rULLF"T FER101"ll.' TESTI V 104, I— LbTAIC' LEA TUYl' I PASMs FAIN PlOWll: TEfSF V-
T 3: 1*11,111 1.91 JMN I :2'17iI ',I r4•1
TF-JT :34 W1,01-:-S 1,1Ni ly. ::G4:±
34 HOU
14, 2013 I; 5P Ml I V•,;Lljjll: - ". 9
STmPTING Wol.11l* 3G 10 TEST
ENT
E
2613 1 :38 1.01
TENT LE-14-3TH :14 lR`l,lX'-8 JUM
U-lSl' HNNII;si. TC!"T tiTiARVW LWL- 4l!-6 s m 3 EIVOk, F-Ok-ENT -1A)LOME :JR, I s'FA-nTil4l'; VoLUME" w., m*. ;r TU'F T',`PF VOL-LRIE -
T'.-YE .-SLIP
APR I I :`(l I ,I 1 :41 Pill
hh' 11ST LEUI,TK, 3:.1 W, IIP!
STA.-I'l W; %JU 59 1,
01" wi'JB-5
EJ PER37F"sIT %0.01-w* 4I: 9
I ri 1: 44 till rvW t:'M D
TFI;I' Vi H*IJF.,c T•.'P'E
TE'U I.J.-.1bilTil -11 O-AIPS
OW1 IUST "-19. 11". 11-suPS
31: -11STATI-1 111;
TEST
F-W-2ED Fi-%,:-H PKATfil:
MAR 2010 AM
IAN I I . 1:1 1 ; -4u 14-1
TEST UACTH 3C' WUR-'
M41' 1.EN,-,;1*l1 -;u W41LIPS
sTAPTINC. vd.ifll, ::U19
1U1. 12. 2613
LKN1.,'l*HM2T
TA*Ti W; VOLUTIE' 7PFR-:4-141' VOLOHE I Usy rEF :J- J:NT 'Jol,1.11 IE
I'E2T TYPE - O Lb
1s 17 iVM
m P 5. 17,:%:! olmA Tik I.F.1-1,33TH 28 SEP
TESI LEw;'i'm iiouk,4- I W', W)ILUME- U-T 1,L11t31-l'
VOL E- iIEFI:-E:l-JT VC-Li NE b; V00,41E" ejl-f *r I I
C•LUIE = 54.9 TEST TYPE V-11111E .6
Trii.11' 'rvis TEST - L P
1`1KIR 31 - :?(Jl'-3 10:1. 14-1
TONI: I.For. 'I'UT Tu r Ly-v;ni *,v- tioup,-;
STAPTDIC; VOLUME'- -711A5 ifol IPnTF' 37utT4*1:0115Fl- PERCENT VOLLPIE
Tr T 1* PE - '::3-D I UMI: i. rT%:T 1","K.
14, 201rJ 0:11 I'll
T I M; VOLLUEW' APR "3. 2013 -1:4:1 !Arl
Ls*l, Lovali '2t; Krup'; 0 * Ladl It
TO:.,T T,,,F,E - STtANDmR• Lr'-u
PER.', FITI, volAPIC - I t;. 8
HS'r TYPE - l:,sLrj
U14 30, 5:4.f Wrl
TEST IXTIG71i 25 ilrIRZ
I IT, 754-1
PERl';FNT V01.11111:
TEST 1-1-12IGThI 2.1,1 IiRs
STF.-T 11C-LLPIE 11 .7 ,:;iAl.
ISM&J TOO f- F
END TEMP KI. I I'
TEST PER14ss 2-4
0.05 -- 1 .057 -.1.51
I-Ctv TEST ),.'L'LULT2
RoiTE - - o;.ni IQ
Al. HE, INVL
LOW I-EA-1 *I'L.;T UPOR
i * .: • L"14to * • * .
1-1. ','(II'J 2:44 14-1 HCA,IARfrc,. 'Plu. TEST LEW;fk 49 HOUP-i-
PU',*,J:(fl* VOLUME
TFST TJ,17 a L'siff.
Hur; 14. 2013 9 04 rill
C-C.T I'l. 211r: 55 pti NOV I Lf:v',: TEST
TE2.r LLN-.7.'TH 29 HOUff.; M•T
7*1 -- I START IIA3 , T flI-bkL1EL1QLLWlF-
1:+F41EKT %A)UVE 64.3 PI: A.I.111E VpOrl :-:I-Rj.j. I-11#1isrurrivji - t:*SLI, TO—r T*
Zrkl
r.
TEST STMP'l 1103 T I ME:
I'.; I I R ;Vf 140V 1".. JUL 19•
fla.:l' LFN-*.;TH Of-4 if--U
ST RT111IG '-*,^,IA4'IE= 1173 TAPT 1 R.", ViA t 11 If:= 2, 55
PEJ--4-1:14T VOLUME 26.4 PENC LP11, WoLuIlE
TOST TYPE CSIX, TE-:5T TVH CS1.0 TFS'r LEWTH
TFT VOLOVIF.* - UFVJ19.3 C,kL
6- 1411 rci- -:,7. %612
TD5T IXIW;T-I :'l HOURS TEST LENGTH 1.'t. HOURS STrkFT TO* = F
nTIIWIA hf; .:, - STAW( I WC- VOLLM F1411 T1 -:1-117, = 04 . F, F
25,3
I'Diff V,1'E - CS1.1 TG T,-T•L TEIA' PERIODS 2-4
rvw 5. 2012 5:05 to) LEW. TVaT PLSULTS
Lair L.Ffb';TH R#im 16 t;iii- IiR'
S,TA,;,I* I (*.i VOL! UE 68u, , I U. s Q "441. I IH •k:.'r I I-All,
PEP,`134T "I'A"UME 56*.,
TEST 1' I*E - 0.20 ':;1,;l. Hk FLh1*;8
iHmW*F' IN
TEMP J%rx) UiWE
SU 9. 'M11" ?:JI 14-1
Tf,,'r LXN TH HOOF-S A END
START 11*3 VOIANIE= 43C4:31 LIE"' :;`6- 4::11 mil
PE'ENT VOLUME - :36, W TEST LEI•+%.1-H -3I HOUP.1,
TE81 TYPE C*SLr, riARTII'b3 VOIAIML- 2
FPCE111' VOLLM - :17.13
TE: -;F TYPE Ev
Wi.RS
STf%RTIN,:; VOLIAIr' 2070
PEk1.';ENT *'Kil.1,41E a 17.:!
TES rl'Pr. - C:31-11
776
DEI. :6- 201 *2 6:52 f•rl
TF.3f LEMCTH '20 11DOW
4E.. 171
TESr T'•.-'I•L MLIG 14. 2QI3 9:1714 Afl
J. < 1:141, A - • • LEA% TEST REF%,.+,T
T 3:PREIIIIIII-I
PRa&F :'AERIAL 1,11.91 4fft-n5
TEST 1-1-12IGThI 2.1,1 IiRs
STF.-T 11C-LLPIE 11 .7 ,:;iAl.
ISM&J TOO f- F
END TEMP KI. I I'
TEST PER14ss 2-4
0.05 -- 1 .057 -.1.51
I-Ctv TEST ),.'L'LULT2
RoiTE - - o;.ni IQ
Al. HE, INVL
LOW I-EA-1 *I'L.;T UPOR
i * .: • L"14to * • * .
I
t4',+O-E-S 7'.16 towiPbS 776
rMa F•I.l;4N2. 1000 r,•L#iNZ
Broilli'l-.1A, I ELI, 1:40JO I EIA.- 9:);AJ9 Vj'V1SI--`1N LEVEI.
oul 15 - 01
771.
14. ):il4 41 AUG 14. 2(110 '4:1.14 41 rjo . WJ6
I-Ewl VE.S'f ::FPORT WPL1.0 LINE i-riij: I-EsT
Tor",.* F&41 1!-M
rmld: TF:Tr;
PRUEIF .1_1.T7pIj.jI 1), TF * WINUAL [III-Till ST"
CSIA,
1,11h,3 14. 2,01a 9 :0.1 f=f I
87
JEST
LINE PER 1 OT, 11" wANIN"AS
19. i.wrr 3.0 1.';im1L. Ilk
IJPL-'rl LINE LEAK TI:9T 1112 r1IS1-%F4LE11
MW I.I. 'Ifoij . 3-52 141
i:uzi, -41
ixi-jin,H _ ".0 11ps FfRtiT Ilk
LIFLUN 1.1141' I.Ei•l: MiT HIS
STR1 VOLINIE a a5r1.k, 6iiL EWf,11
TORY
JAN 3. 2012 1 :66 HM
F FEH 2. ^U1 .2 :50 til'i
lqb *1 ENV 7 F JHN :21 - 71011 3:11, ,J'1
10 1ETUI-
LHST 3.0 o'". 'Ilk PMS2:
tli, 0.' 7. 1171 23: (10 14.1
TEST
ri.11 -U.k')S -0.04
AUr 14. 2013 6:22 t4ft
tAfi'; 14• 2013
0 i1il.
FIkk'.T U.11) QiL,HP Pm;62!
i.Eml' 112T RESULTS W14TH:
RATF -- -0.16 GAL IIX s,' urwrs0.2j) t;kl. Ilk TE'57r I NVL ALIN 2'7- 2010 3:,A; 41 s-s,mi
0.20 1:4,11. *W i * - END ft SyrirrEti LAWAIMC&
LJHJ L2%IEL TF.2.1 D1`)R F431,. 11311
r&Aj'l:.TIl`IE
END M()I,j Cori
I.W., I u 19 r-ti
9:46.rPl
II()UPP.: 12
T I HE
lifildrIPIP. 776
11 : IW; PI I
Cjlij EPIHBLLU
JHN I . W I I r
S0HIFT TIME I
smFT 'rifiE
SH I FT T 111E771. e--'H) FT T I FIF 4
BAKFI"A') ELI - ?J30 1432,
1,11h,3 14. 2,01a 9 :0.1 f=f I
LINE PER 1 OT, 11" wANIN"AS
2ul,t
IJPL-'rl LINE LEAK TI:9T 1112 r1IS1-%F4LE11A0314. i:uzi, -41 TOP", LINE i-il-ORIP1 I-VPNIW-;S
LIFLUN 1.1141' I.Ei•l: MiT HIS D IF;o;417CFL1
TORY
LHST 3.0 o'". 'Ilk PMS2: TE11;- 1_" :(41PEI'2aT10I'I91AUr14. 2013 6:22 t4ft VAI, UE f DE•, F 1 : r•0.0
0 i1il. FIP seriln-, HE 1131-IT OFFSET
FIRST 13.2u Ilk i,mSS
1-1014r
F I k.--,r 0.*AI 13iiL Ilk PPS. FFI. 2. If,: I I 'T -iiT It, f-REI>P'Mx`I'l4CHMONTH:
1 JIM 3, 2012" I.-Xil': 141
I.W., I u 19 r-ti
9:46.rPl
II()UPP.: 12
T I HE
FFD 2. 2'0 1 11 : IW; PI I
Cjlij EPIHBLLU
JHN I . W I I r r+iTE
SUN1-to-O" FIRST (1.11) (;viL it), Pi-138 I-tAp WEEF I
EWH VRAMI: TAr.,T T IPIL
Orl W1
i' I Ps,r 5. 1 (1 1f1? JU14 26. 12•1(1 41 JC, lyiU
IEAC'H MAITH: Iv)v uED:
FNr)
oN 22 - 20 3 3:5", i0l 2:00 4•
JAN 24. TOV..,
rffj 11
6: Fj 1 4.1
41 RE-DIkLC-I' Luw.'AL Ilkllffoul*
Juli 24: 1') 10 4 :21; if rl ISAPI.Er,
31"STE11 I TV
1 Y 1
I
I is
I "k )P'r 8F I' T I W42
9Lr,..
hllt.'+rf W47EN LIMIT:
I
THER11-iml- 1-i'VA- . F
1,11.11, %u0
TANK E11411.1'ER
11 1 41)lj
STOP F! *.,I,
f P,r
R iu w0l..
NATR
tALIT-) TkHici-i I'l 'ihJTJ NC,'.-'-:
kUT,.', LE#il: ml.i;RN I.IHIT
Pki,OAXD
nLITi: 111,1:;11 U•THP 1,11,11T
riUT,,. LOW
I., VS.BLFT,
tirrt,a rtlEFT LJH1IT'
ECIFABLEri
DC-UJVKF,-',-' grib
PUWART-
L1,..rI,I,.I.l,,,,).
riNi14-1'I's ,
iI.lT,,) 1-*;tiI*6Fl*,L INPUT sFr
6 1 %AEllIz.
AUP S,V&11R FUEL tibilkH
k:*4kUZ,
AUI*"*" "-4'T1-p 111.jjptl
ft
UUT )AL.Fik(i
r- L. E1: 1
orii
RS-23-71 ENI, OF
ill-Ti;II)d -ETUP
FLOAT JI*.r-.! -1.0 IN.
UMTER 1-hPI41 to','
11k;H Wi4TF'I-*.' LIMIT, L1.0
op Lpill.11. VOL: 1-1000
6VERFILL L1111T 9Lr,..
hllt.'+rf W47EN LIMIT:
I
THER11-iml- 1-i'VA- . F
1,11.11, %u0
TANK E11411.1'ER
11 1 41)lj
fAb-'. PWIF I LE f P,r
R iu w0l.. 12,000
FLOAT JI*.r-.! -1.0 IN.
UMTER 1-hPI41 to','
11k;H Wi4TF'I-*.' LIMIT, L1.0
op Lpill.11. VOL: 1-1000
6VERFILL L1111T 9Lr,..
hllt.'+rf W47EN LIMIT:
I
HICA 1%111010.1,
1,11.11, %u0
TANK E11411.1'ER
11 1 41)lj
IjELIVER"i- LIMIT 10"•.,
FULL VOL
I 21uu
P-'1*-:;;; TT--qT Ft, IL
I -,!Oo
AL4m umrr: 79
SWI,i' 410 LrCs t LLKL1, 4
THWK TI;LT 1.00
LEK-, •U-01 LAHIT: 99:
P,flP;jEN L(X-z:;, 1,11•1,1-T: 1191
LEmi: 11,114,
I.EttE F111LO
wmorio:: rr.13T T'611,
t;TmI,Ir4 iklo
rilOWAL TEST Ff11l-
AlL®rr-111
1--EPIODIG TEST Rol,
iiLART [11:-SABLEr,
TI--`i',;T FAIL
iNN TL-T Pk.; I I P.; : OFF
TmW TF*:3*r wail,,e: CiFF
Tuir TST IiIPWIJ BP6,1:;!NF
r,ELIVEP',' CPEI-k; : I IIIN
ao4,1, 1,(j Ili. 8,196
1,10AT4: 1i
hllt.'+rf W47EN LIMIT: j. 1)
Ulti:-' OR LfsBEL VOL:
1,11.11, %u0
TANK E11411.1'ER 9 - GO
Tmliit PROVI I.F I PT
FULL VOL 121,11,11)
ao4,1, 1,(j Ili. 8,196
1,10AT4: 1i
hllt.'+rf W47EN LIMIT: j. 1)
Ulti:-' OR LfsBEL VOL: I *:'UUU
LP11T 90•;
PEPIN,111.'
10300
P-'1*-:;;; TT--qT Ft, IL
I I -3uu
Ll,,IlrT I f)".
I :-Tol
F r
TAIL TE.-.;T oFF
LEK-, •U-01 LAHIT: 99:
P,flP;jEN L(X-z:;, 1,11•1,1-T: 1191
rA(I;!. TILT
ra.i
1211
mfvht W. FhIL
oil AMI U, 1..4ibLM
PEPIN,111.' I'tS-17 FAIL
P-'1*-:;;; TT--qT Ft, IL
riLAK'
WH1 UST
F'Fh' TEST F r
TAIL TE.-.;T oFF
TIC TST DREo-;)::0FI:
rjrtj . I VI-J."'; rar.1 1V : I MIN
14PUS, LINE ID4' ;['YUP '.
Ef, I
f**121:0,7 OA,E
1w. "vCF1, OulAti 0TI117i, L I I W.,LF, F0496. [A) j-pI -tffmTETmWj: PPOF I LE I FIT sPERMP Pf"t
POLL 114)), 1,,
LIKE LEl•b',;*Fll: 5lll'1 Vi, --I'
FV•iT 81 I-E : 4 . rI I N. U-191-1 6PH ii;l E Yl -00"
IT R wt-W14 1 W 2.0 Ci. 17-1 1.,111 Tl-;jT I'M A)D rR[-STATE (SI 11
LUTE : 0 DIS
f Hit.':;I WiTn' IAHIT: 3.f+ T a:PROlIbill
p LmREJ. Vol.: I (Xjo 11Is1,EN-'F HOOP:
WRIFIL). LIMIT 90"
I LAU
IJNCfi LOSS LINIT: .19
TWO: TIA.T 0-00
1".14:
M Lr-[+.;IH: trio fl:h'r
0.2a il-•ll TF: Y: UP)mBLEL4
3.0
H1'1 ml-abhif. 11; Ojil 1411 TEST mH./fir,
rva-, :,7- u
wwf
AL' W!, Moatcv HI.AW.)
J t Ml irtPD
tifivi'l Yk TEST Fm 11.
ERIGN-" TEST Foll,
1'-11-,4NIA-Ell
TE2.'r FAIL
3: risi. SETHP
TWT OFF
PER TEST ii%/EPW310:: (T F plPf.., 'P.1)-E: -TUL
UPIP. LEW'JH: PiO FEET
Thfis.: TEST NUTIFY: i IFF 3PH TE,-
iqupciwri RATE: J. t1 (;;,H
TN): 1`11' ;IPHON DPrI%1:;0FF O.h-1 1-4,H LIC-A
C, AU.,-FUFL FA-AKM
EDELIVEP%- T b I FS L
M- f-I2t0-h
Erripa 1ARr;
I
r
W.- :FlJFL
001'
111.1. TAWK P.T
d 95% L l NE LEME Uy;),(MIT SET01-
rim I L.",
LEFts: Tl:::-T RP•OPT I'-?R9'I%4 STf'.I"I Tll-W: 01P*411 Eb
siof, i,•E : r-1:j1; l.Erp
I
LAYJ TEMP W"4MIlro
kU3 *.1, 2,012 M
I H Tr4,11: il .11] 3 1
mfp: i,re i uvi
t T i T;iCEA). T CNF!Fl.
AL.4,1 I
railY 1's. 'L013 8:,.,?" u41
1.1my 13. M3 7:39 tg.)
K;11 WmTER mbAH
AIA, :-,rji' I 1:411 W,l OVEPFILL i•iLfiPJ-1
mu" 21• 14*
7(fl) 1 tit: 4h' H11
Awz
i.ow f-Robo:'r i-iLmRNPb::T mLiiFd,lLOWf .01,L NAII 13, ':IUI'J 7: _'K; H11
FLOW
j 201 j 4:44 P11 101F617. - .3 3: 16 PH
r. JUN 1 110 13 7:59 F11 filIG '- . --I 11:47 W1
16, 2111 rj 3: 03 PM
7
AY
1 SUDDEN L038 ALHPM
fiUPOLM Lo.',r-:; iii-okil MAY 1,-J. 201': A::31'- M
07 X41
ml,
13• 7U I 3 7 :09 141
1::• 1 J3 W,
q: P
13• ?111 :i 1w; "i'l
HUG 10. _IJIU I 14-1
HIG.-I i+:()r0`T hLfAkfl
HIGH PPO[ou.r f4114F.,I,l JUL '-"2. 2111;3 4:12 Y•11
JUL 24' - 2013 41 PH IuG 10, 21010 9: -'JO 041
2. ^013 1 -24 Pm
t• ^.flI 1 9:48 All I NVA. I 11 FUEL LEVEL
11AY 13. 2,013 8:31 011
I 11VAL I I FUEL I EVI -.A - iiuG 111. _010 2, 1 011
Jjw L" 1 8:19 11
ft,11 Io 2171 1 H: 1's AN PROPDE 0i.1' APR _2. 3 7:.0M RN f im, , , 13• 1u:59 ot'l
llu(3 2. 2012 12:::u PH
HI:_A WmTrp ml.Fvpm F013 011T i4UG 2. ^_012' It :47 AM
J111- 3. '4113 W! PH wAv I ii - 13 7:45 HN
JUL 3. 1 : _10 Pi i +1.13 2. 2012 12: 21:- 1-PI
1 :26 rtl Abr; I :',. 2011 947 AM DELDIFPY NEFPED
Ilky 13. -o 1:7
1U
7: 22 41kGrlWATERMkIRM114-3 FEE$ 17. 13 3: 1,71 f-l* I
F&k 203 - t-,P3 2 - 2012 11 :43 AM AW 2 • 2012 1 1 : -17 ffl
FEE Irii3u i•I•l q 11
SFP 201 1 :37 rill
11ELIvEPY NEEDED W) i_'SLL, I L)LI: T] MF
1.;;I-1 PROL-u,.: -r mLoRM 11W 13. '2013 4:02 Pri JUN 21 . 2011 r3:f11'1 HI'l
JUL '21 - 201:r 1:1.1 PH JUN I - 210 13 7:5.9 N DEC. 5• 2012 11:017 hPi
6• 7:5.1 111 MAY 16. 2111:1 12: 51 PH NOV .Ifl- 2015 0:00 All
Jul. J. Fil
Mk-l PRONKT ALisPd-I
SUL, , 171EN 1,0&: ml-ok" AUG 1 .' - '?(111 9:4k r41
JUL 19• 201c 7:51 AH
H1,>i PPOVIA:7 mlArdl LOW TEJ'lP I-APHI
101, 22'. 1 litI Iiii", 1.4. XJ13 fill
h Lh3' 111. .'0111 Cl i41
I I A..'AL ID VUEL LD/F.I. END
JUL 3. , 3201 U:: P1
JUL 3. 201 -3 1 :46 •-1
PkODE OUT
JUL s- 'CW) 2:11, lw
MkY 13. ---U13 4:31,1 iwl
H1 ':A L4iTER WARuM
JUL I- t 4(J PH
JUL 3. 20 13 im
DEL 141,11111-
JUL "I - 20I J 4 3.1 PH
JUL G. 2101,4 IT'i
21)13 1. V1.1
LAYJ TEMP W"4MIlro
kU3 *.1, 2,012 M
L I UrX' 1 -2
U11--i•EMSER PmN
R, OUT Wj*rl
FIN
vP ttUT kLAM1,
RIP..
JUL 22. 20I3 2: -10 T-1-1
6 '. . I:Plrl .; 4 - . %
p • IAIL, c . • - -
I I
I
tib,Rfl
T 4--fAME1.
i-K.,BE OUT
illp.; 14, 210113 ':I : .." HI )
T
PRO-K 011'r
AUG 1-1. '-'I)L:i 9:24 HI'l
I
I w ,ri,.i a:
PULL LH'%/Fi.
mbC,' 14. '201n Ml
114 THOK MIAM'l
T 3 ' F'RFh I UM
LOP-2 id-mRM
AIX; 1-1. 21'11:3 9:225 101
I - 114-Ti-01):
T M,•PIRMIU"
1:800: 01 IT
ill)-. 14.
I wvarrop,., I
I I+l.'REASE .13THPT
M 14. 9-26 fAH
T [',.IEI. LEVU
ttE I 13HT
DE",' F
END
AW 14. 38 w"l
I Ir I i.11 111' . I
I. "T fK, I
TV
To", AET I Nt'.'PEASrE r,286
FuLL AU4:11
ALA*, I.I. 217il;) HH
WPLLD LINE LEAF
0 1:91
IJPLLE, SHUTDOWN HIA
mUC; 14. 2013 '.4::A fill
hIPLLCI LINE IZ-0: AL;ikll
w
CIl:; '-I:ZS4 HM
14-1--b Lill[-.'
Ij 3: Ebl.
14H.i.0
rWC; 14. 3012 q:..W r-stl
L ; : ".list" C1- •1
Ul-,-;IEWF),: 1-fil-I
i",UT F%04,11
JUL 22, .013 2:52 PH
OUT RU4.1-11
IUL 2Y.. NIIJ 2:51) P11
FUEL AL,4Wi
JUL .11:3 :4 i 1-
p • IAIL, c . • - -
I I
I
tib,Rfl
T 4--fAME1.
i-K.,BE OUT
illp.; 14, 210113 ':I : .." HI )
T
PRO-K 011'r
AUG 1-1. '-'I)L:i 9:24 HI'l
I
I w ,ri,.i a:
PULL LH'%/Fi.
mbC,' 14. '201n Ml
114 THOK MIAM'l
T 3 ' F'RFh I UM
LOP-2 id-mRM
AIX; 1-1. 21'11:3 9:225 101
I - 114-Ti-01):
T M,•PIRMIU"
1:800: 01 IT
ill)-. 14.
I wvarrop,., I
I I+l.'REASE .13THPT
M 14. 9-26 fAH
T [',.IEI. LEVU
ttE I 13HT
DE",' F
END
AW 14. 38 w"l
I Ir I i.11 111' . I
I. "T fK, I
TV
To", AET I Nt'.'PEASrE r,286
FuLL AU4:11
ALA*, I.I. 217il;) HH
WPLLD LINE LEAF
0 1:91
IJPLLE, SHUTDOWN HIA
mUC; 14. 2013 '.4::A fill
hIPLLCI LINE IZ-0: AL;ikll
w
CIl:; '-I:ZS4 HM
14-1--b Lill[-.'
Ij 3: Ebl.
14H.i.0
rWC; 14. 3012 q:..W r-stl
I.
L I UDC I
1.1s:Et6EF., hill
IE-,- rtif 41-1
14 O1-3 9':35 AN
114-TWO, - -- -.
T 4:111E ,EL
wFIA L.L. KbiW-1
fiul;
T 4.WU 17.1.
F-POBE IDLIT
1%th'. 14. 2(711:71 9::119 HP1
Ir4-TAW'
T '-': 1-1141YALIED
Irv:.:FILL. ALPApl
14. 9:39 fit-
T 4*1ESIA.
AW 14. n I ; 171 : '37
Flp.,)(3l: o
IN-Ti-011: ALARM
T 2;PPLI-11 till
Plb -f otaikil
I pr
lllt PR,)
I.I. :illill,; 11: -I."
I 1*::kUihE START
14. V"nl:,l 9.,a9 Ali
VOL -if IE 9"120 ".".s
HE 11-JHT t.,,. 69 1
WATFR s 0.94 1 PPME2
M'fi• F, L.E.3 F
I I's'PEK, E END
WJL 14. 2011 9*421 P4•
VOLLOIE - 1123171 1*3ril-8
HE I GHT - 84. 92 1 Ni:'HES
0,
T 1.1 IF Y :l'2.0 M-',: F
TC PJFT II+:'PEAf:E= 10,54
IN-TmIll: ALARM
T *j:PkEl')IkIH
PkoisE OUT
AO: I.I. 2,biI *-,:.I? r4I
11-1-1i4l):
T '3:VREMIOI
itivomr) Furi. I.r'%'rL
fll.16 14. 2-013 ':+:44 Hill
i
T Y+.% 1 IJ 1.1t)
INVENTOPY IPK-REAiF
I FM F,.-r
HO., 14. NOU 9:.I1 rill
VOLLOF
BLIGHT 75.1-,1 i W-HES
i-.IATER 0. Go I Ni'M72
TEMP y 91 .7 Ki F
I
HUG 14 • j 9: -V P41
vOLAIE
IE i 1;11'1'
11WIIEFI, u. cio I (qL'HF,:;
TEMP ri rlf:% F
j*sPEASE" 1 14
Ti` 1gFT (W'Un-21'= 1 1 M
S.F.1-uOR r a i iFl l .... - --
l. I : 1XIC, I *-I
UPISPENSER T'Nq
SDj:!'.0R Otfr fiLARN
14. 2013 9:
SEl`P3C•R
I. : 1.11,k • 3-4
ljj,>PEWA"K, PAN
SEPt-'36P mlJiFl•)
14. 201:., 9:
LINE I-Fit: ml-i;kll
w 1.91
1A L 114 FAIL
juG 14. 201:1 10:17 AM
HEV'41.ff 57.81 1 W-4;
umuk CI • DO I Wo fFs
TEm:- 81:.I1 I jEo. V
143 14 oI '1: v) ry I
IIL 11.;1 rr 84.85 1
IJAT-;;,? 1). CIO I I IIA lrS
TFI Ii- 3•J.4 Mk3 F
3673
Flp.,)(3l: o
IN-Ti-011: ALARM
T 2;PPLI-11 till
Plb -f otaikil
I pr
lllt PR,)
I.I. :illill,; 11: -I."
I 1*::kUihE START
14. V"nl:,l 9.,a9 Ali
VOL -if IE 9"120 ".".s
HE 11-JHT t.,,. 69 1
WATFR s 0.94 1 PPME2
M'fi• F, L.E.3 F
I I's'PEK, E END
WJL 14. 2011 9*421 P4•
VOLLOIE - 1123171 1*3ril-8
HE I GHT - 84. 92 1 Ni:'HES
0,
T 1.1 IF Y :l'2.0 M-',: F
TC PJFT II+:'PEAf:E= 10,54
IN-TmIll: ALARM
T *j:PkEl')IkIH
PkoisE OUT
AO: I.I. 2,biI *-,:.I? r4I
11-1-1i4l):
T '3:VREMIOI
itivomr) Furi. I.r'%'rL
fll.16 14. 2-013 ':+:44 Hill
i
T Y+.% 1 IJ 1.1t)
INVENTOPY IPK-REAiF
I FM F,.-r
HO., 14. NOU 9:.I1 rill
VOLLOF
BLIGHT 75.1-,1 i W-HES
i-.IATER 0. Go I Ni'M72
TEMP y 91 .7 Ki F
I
HUG 14 • j 9: -V P41
vOLAIE
IE i 1;11'1'
11WIIEFI, u. cio I (qL'HF,:;
TEMP ri rlf:% F
j*sPEASE" 1 14
Ti` 1gFT (W'Un-21'= 1 1 M
S.F.1-uOR r a i iFl l .... - --
l. I : 1XIC, I *-I
UPISPENSER T'Nq
SDj:!'.0R Otfr fiLARN
14. 2013 9:
SEl`P3C•R
I. : 1.11,k • 3-4
ljj,>PEWA"K, PAN
SEPt-'36P mlJiFl•)
14. 201:., 9:
LINE I-Fit: ml-i;kll
w 1.91
1A L 114 FAIL
juG 14. 201:1 10:17 AM
11 . 0,
I
WFIL,11 I- I NJ:, I.Efil:
Q 3: DSL
WNS L I WE FmI L
AUG Ia. R"Ia 10:34 AAN
IWOLD LA ME LEAK hLMISIW2:87
GR02S LINE FmIL
HUI.; Ia. rq'I
WPLLb LINi: L•jj: fjI,jil,.,Ij142:07
W"To smaljyp Au.,
AUC; 14- 201f3 10:29 141
HOWRINS 77t;.
3300 PI-miTz
BAKEPSPIELP 9330,q
AD! Ia, Zulu I0:qq "W1
SYSTF11 DEPORT
W KGROSS LINE FMIL
IJ I:WPLIZ SHUTI)SM
lel MR= Llmh FmIl.
31 11jI 11.31.1p, i
Li PIE Fijll"
H&ORD• 776
UPS rLmWZ
SmEEPSKELD DOW'
AUG Ia. 2013 10:50 M11
morm STmTUH MOW
mU. FUM010ITS
INVENTORY REPUICT
T 2:UNLEmDED
VOLUME a 7717 GW;
90* ULM& 2W GALS
TC VOLUME - 7559 nnLS
HEIGHT . &S,ug lNrHEP,
IJAT2k 1.1
wvmk 006 111014E
Two 842 W F
T SPREMIUhl
VOLUME . 202-1 f:;Ml-*:,
ULLYS . 0976 GAL.3
10h ULI+i,;E- '1776 i;Ai-'*
P7 VILIME - 1963 GALS
HEIGHT - 20.78 1 le.filis
WfiTFE, VOL - 0 ..;ALS
LJHT::R . Q. Oct INWHES
1 m . h8.7 E63 F
T 40 1 ESEL.
1--'0L-JNE = :"flcjoi. ':;ALS
LL&E . 0694 Gr BLS
90% ULLA(;f 7 -'494 r::rd '::5
Tr VOLUM 3354 GRLS
HEICHT a 113t INCHEP,
UNER VOL a 0 OALIS
UATEP 0.00 1 IP-HES
TEMP 9313 DEG F
END , k * A 'A
SWRCB, .January 2006
Spill Bucket Testing Report Form
Thisform is intended for use hp cnnlractors pe>f )Pming anywal testing ofUSTspill containment structures. The completedform and
printoutsfir tests (ifapplicable). should hey ptomided to the, facility ownerloperator. for .submittal to the l(x:al regulatory agency.
1. FACILITY INFORMATION
Facility Name: 77761•loward's Market Date ol'Testing: 8/14/2013
Facility Address: 3300 Planz Road , Bakersfield, CA 93309
Facility Contact: Omero Garcia Phone: 661- 393 -7000
Date Local Agency Was Notified ofTesting :
Name of Local Agency Inspector (ifpresent during testing): Esther Duran
2. TESTING CONTRACTOR INFORMATION
Company Name: Confidence UST Services, Inc.
Technician Conducting Test: Kristopher Karns
Credentials: 10 CSLB Contractor O ICC Service Tech. 21 SWRCB'I'ank Tester 0 Other (Specify)
License Number(s): CSLB #804904 ICC #5264406 -UT SWRCB # 09 -1743
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: DO Hydrostatic 0 Vacuum 0 Other
Test Equipment Used: Lake Test I Equipment Resolution: 0.0625"
Identify Spill Bucket (Hv Tank
Number, Stored Product, etc.)
1 Regular 2 Super 3 Diesel 4
Bucket Installation Type: 0 Direct Bury
X Contained in Sump
0 Direct Bury
9 Contained in Sum
0 Direct Bury
Contained in Sump
0 Direct Bury
0 Contained in Sum
Bucket Diameter: 12.00" 12.00" 12.00"
Bucket Depth: 12.50" 12.50" 13.00"
Wait time between applying
vacuum /water and start oftest:
5 min. 5 min. 5 min.
Test Start Time (Ti): 9:00 AM 9:00 AM 9:00 AM
Initial Reading (Ri): 11.00" 11.00" 11.50"
Test End Time (TF): 10:00 AM 10:00 AM 10:00 AM
Final Reading (Pw): 11.001, 11.00" 11.50"
Test Duration (TF —Tj): 1 hour 1 hour 1 hour
Change in Reading (RF- Ri): 1.00" 0.00" 0.00"
Pass/Fail Threshold or
Criteria: 0.0625" 0.0625" 0.0625"
Test Result: Pass 0 Fail Pass 0 Fall Pass 0 Fail 0 Pass 0 Fall
Comments — (inchtde information on repairs made prior to testing, and mcommended follotit -up frnr failed lesis)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
1 hereby certify that a# the information contained in this report is trite, accurate, and infull compliance with legal requirements:
Technician's Signature: Date: 8 /14/2013
r--
State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
SIT11KOTIPLAN'.Icr: 1
8"6 HOWARD'S MARKET
3300 Planz Rd.
Bakere0eld, CA 03309
881) 88843417
iCiiITSIiBY 167R T
LEGEND
11 UDC'
hi pf --'
X12 IUDC'3 - q
I !
IN iHEAL'Y "CAS
I R RECIMN
J W-B WATBR SHUTOFF
W4IE WATER SHUTOFF
An ANODE
ESO EMERGENCY SHUTOFF
P PRODUCT
V VAPOR
cMu1T
Rj MAIN CIRCUIT
BREAKER
4H
YEN78ii
O
ALARM
1
z
An
i cA"
s
CAT BASIN
9 -T-s WIBLR ROAD
aP g
7
y
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
RRIORTO "OPERATION OF ANY SYSTEM,
ALL UST.AND /OR =AST SYSTEMS SHALL BE
INSTALL, - COMPLETE -AND ACCEPTED.,BY
MISC. ACTIVITY I THEBAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)_ = _ a,
REMARKS:
JJ,/ A M i "i
BUILDING ADDRESS: 4 —
JOB DESCRIPTION: OCCUPANCY TYPE: IF
OWNER: , i PERMIT NO. /3- 106(08 3 ca s'
CONTRACTOR: .e PHONE #631 - 3 ,7C
FD 1743
BILLING & PERMIT STATEMENT
PERMIT #
e t<_ger[aEj
PARfY A/f
v4::Z
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Dhnno• ff1 -17f -1070 . F— lF.1 _f2G7_7171
All
13
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
Howard's Market Jamieson Hill
STARTING DATE NAME
8/2/13 1:00 PM Omero Garcia Maintenance Manager
PROJECT NAME ADDRESS PHONE #
Howard's Market PO Box 82515 661- 393 -7000
PROJECT ADDRESS
CITY / ^ K.ERSF l E LD STATE CA ZIP CODE
3300 Planz Road Bakersfield CA 93309 93380 -2515
CONTRACTOR INFORMATION
96 (inspection only)
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE #
Kristo her Karns 1804904 C61 D4 13/31/14 661- 631 -3870
CONTRACTOR COMPANY NAME FAX #
Confidence UST Services Inc. 661 - 587 -9758
ADDRESS CITY ZIP CODE
16250 Meacham Road lBakersfield 93314
All
13
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
TREASURY
ACCT NO
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
Sprinkler - Minor Modification ( <10 heads) 96 (inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
470
58 hood
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
Spray Booth (New & Modification) 470
98
Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82
Additional Tank ATI 96 /tank 82
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank 82
Underground Storage Tank (Installation /Inspection) NI 878 /tank 82
Underground Storage Tank (Modification) MOD 878 /site 82
Underground Storage Tank (Minor Modification) MTM 167 /site 82
Underground Storage Tank (Removal) TR 573 /tank 84
p4 Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
even if scheduled at the same time
96 /hr (2 hrs minimum) _ $192 82
Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82
Tent # 96 /tent 84
After -hours inspection fee 121 /hr (2 hrs minimum) = $242
Pyrotechnic (1 permit per event, plus an inspection fee of
96 /hr during business hours) PY
NOTE: 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 96 /hr 84
Portable LPG (Propane): # of Cages? _ 96 /hr 84
Explosive Storage 266 84
Copying & File Research (File Research fee $50 /hr) 0.25 /page 84
Miscellaneous 84
1 FD2021 (Rey 05/11)