The URL can be used to link to this page

Home My WebLink About3301 WIBLE ROAD TANK TESTING 212HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. o?- /6600` File Number. J53 R' Address: 336 ( LAI k Q pct • Bakersfield, CA 933 Date Received: I::::?— /-- Z Business Name: 4A-;-) C.0 c-Md SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG 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 Building Sq. Feet: Calculation Bldg. Sq. Ft: UK Other. a., ( e s <<•9 c Comments: 1. 2. 3. 4. Date Time S/1 3 Signature Signature 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 JOB DESCRIPTION: 'K DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE REMARKS: 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) S' BUILDING ADDRESS: d , JOB DESCRIPTION: 'K OCCUPANCY TYPE: OWNER: c, a I PERMIT NO. /? -/D CONTRACTOR: 0 PHONE # —25Z FD 1743 BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # " PIRG 0 "! ' 2101 H StreetP&PARTMOA/T Bakersfield, CA 93301 Phone: 661 -326 -3979 • Fax: 661 -852 -2171 AIH peirmibs dtnt;isit be laviem;ed, staimpeda and approved PRZOR °TO BLEG'EMMENG WORK. 1Alarm - New & Modification (minimum charge) 1$280 Char in nnn a - - -- 7056 17,NjISSION_.BANK 10 Panama Road SESSIONS Bakersfield, CA 93307 9521 W. FRITZ LANE j BAKERSFIELD, CA 93307 90- 4279/1222 $ 661) 833 -9501 9/18/2012 844326A/HAZ 3 a PAY TO THE City f Bakersfield $ " 192.00 ORDER OF ry DOLLARS One Hundred Ninety -Two and 00/100 LL MEMO City of Bakersfield P. 0. Box 2057 Bakersfield, CA 93303 -2057 1.00705611• •:1222427911: 00 2 00 2 384.1• Y rG9 P UC, rwnL LerT/atsyts9 /Cath. Prot. NOTE: $96/hr ror each h; pe of test /per site /per UST System even if sched:;leci at the same time 96 /hr (2 hrs min Ium) = $19a2g ,. , g GK3r7Gy`(s I r" I - I ( Z 82 Oil well (Installation, Inspection, or re- inspection) X SITE INFORMATION 82 LOCATION OF PROJECT q Tent # PROP TY O ER 84 After -hours inspection fee 121 /hr (2 hrs minimum) = $242 STARTING DATE COM ON ATE NAMEKCL (( A ESS Ala C ^^ CITY g 41CI:.T' SFI EL-D STATE CA PHONE* R-3 ZIP CODE /J l„/ I PROJECT ME 1 r+ i 96 /hr + (5 hrs min standby fee /insp) _ $576 5 hrs mire standby iee /irr a) = $605 PR ECT ADDRESS 1. 84 INFORMATION 96 /hr CONTMCTQA4AME i CV ffi 1 CA ENSE 91.3 , Y OF LICENSE EXPIRA ON DATE i '$ ` PHONE A 3i S - 50 CONTRACTOR MPANY NAME F X # ` ADDRESS 3 84 ZIP D r ' - Copying & File Research (File Research fee $50 /hr) 0.25 /page C,l l f 77 AIH peirmibs dtnt;isit be l aviem;ed, staimpeda and approved PRZOR °TO BLEG'EMMENG WORK. 1Alarm - New & Modification (minimum charge) 1$280 Char in nnn a - - -- 7056 17,NjISSION_.BANK 10 Panama Road SESSIONS Bakersfield, CA 93307 9521 W. FRITZ LANE j BAKERSFIELD, CA 93307 90- 4279/1222 $ 661) 833 -9501 9/18/2012 844326A/HAZ 3 a PAY TO THE City f Bakersfield $ " 192.00 ORDER OF ry DOLLARS One Hundred Ninety -Two and 00/100 LL MEMO City of Bakersfield P. 0. Box 2057 Bakersfield, CA 93303 -2057 1.00705611• •:1222427911: 00 2 00 2 384.1• Y rG9 P UC, rwnL LerT/atsyts9 /Cath. Prot. NOTE: $96/hr ror each h; pe of test /per site /per UST System even if sched:;leci at the same time 96 /hr (2 hrs min Ium) = $19a2g ,. , g GK3r7Gy`(s I r" I - I ( Z 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 went inspection is @ $121/hr 96 /hr + (5 hrs min standby fee /insp) _ $576 5 hrs mire standby iee /irr a) = $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 FD2021 (Ray 05111) BILLING & PERMIT STATEMENT ' BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # viRe 2101 H Street Bakersfield, CA 93301 Phnnw F,F,1- 17F -1Q7Q a Far AAI -ASS -7171 AH 0 permits must be reviewed, stamped, and approved PRIOR TO BEGIINMENG WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 TREASURY ACCT NO Over 10,000 sq ft SITE INFORMATION LOCATION OF PROJECT1". PRO \ TY 0 ER Sprinkler - New & Modification (minimum charge) STARTING DATE COM ON ATE NAME SS 4-00 CCU-11 { CITY .gA k_'EF_"SFI ELD STATE CA PHONE S ZIP CODE Y PROJECT ME ` iR PRgjECT ADDRESS _ \ 1/1 Over 10,000 sq ft 0 .028 x sq ft CONTRACTOR INFORMATION CONZPA(T AME 1 CAJ,ENSE # TYPE OF LICENSE EXPIRATION DA PHONE S OV 470 58 hood vOrJ W1 CONTRACTOR C MPANY NAME F # ^ AD SS q n• w D AH 0 permits must be reviewed, stamped, and approved PRIOR TO BEGIINMENG WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 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 Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system ven if scheduled at the same time 96 /hr (2 hrs minium) =$192 q _ 4 _ I G "X05& $ (9 Z 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 $50 /hr) 0.25 /page 84 Miscellaneous 84 5:•!$' ;. ''i •i n.,i:. rrd ,N ' z. 1; lin n'1 yi : Ir : G. t V• ,PZ,r h_ w.: r L 5'.. Ts G ' < ;" _ ' _ rd.T'r - '`hV :. S . ?!, t _ ,.-'• . _ (.7.. .. i. -)Gii' fq kiP. u, li t ` .. 1 - ., r•3 -. ' ` j'.° .' u ' '7. 1 _ - 1 Y. h F :S til li:. lt- / L);t1 {J i•"' • "IY J. '! . A 1 I I.. lY Y . .x{7.'C SiYQ i Y:i y,'. r ti ,.1..i. .. .Ira{' . .:T .....I cHt.! ._.: v .. . . • 9, iiC ? {: f i .r .._ A`. a t _ r.`..f '„ t,tl ii T. 1;:., 9 lt p1'.'Y' ll I . •ir r .. ;'ll'.. ;I 1? i {Ih.' _ }'' t - s 1 UNDERGROUND STORAGE TANK APPLICATION TO PERFORM A TANK LINING RE- INSPECTION PERMIT N0. DI E BBPI i# AJAW r BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 FACILITY n C_ : O in, Mar+ ADDRESS 3 OPERA ORS NAME PERMIT TO OPERATE NO. OW RS N MEN ctf sesin6ay 4 I NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? -1 YES `eO TANK NO: . t ... - CONTENTS VOLLUME'f TANK TESTING COMPANY MAILING ADDRESS NAME & PHONE NUMBER OF CONT T0.Wn T PERSON F"I 3 TEST METHOD NAME OF T1ESTER OR CIAL INSPECTOR c j_q CERTIFICATION NO. O DATTTIME TEST IS TO BE COND CT D TURE OF APPLICANT Q_k 0 DATE n! , 1'& a APP ED BY DATE FD 2096 (Rev. 09/07) t ... i M k ?.o e: _ r Ali ,. ' ,i., . - ., . -:; i i Health and Safety Plan for Underground Storage Tank Interior Lining Inspection at HP GO GO MINI MART 3301 Wible Road Bakersfield, CA 93309 -6504 Contractor: SESSIONS 9521 W. Fritz Lane Bakersfield, CA 93307 661) 833 -9501 Fax (661) 396 -0569 License 844326A/ HAZ SESSTANK@AOL.COM 0,40 &.1110 W; SO W: nonown" n 0,40 &.1110 W; SO W: Sessions' Site Specific Health, Safety and Work Plan 3301 Wible RD Bakersfield, CA 93309 -6504 Approval: The undersigned person verifies that this work plan and confined space safety plan will be used to meet regulatory requirements and for the protection of the health and safety of workers during the confined space entry and tank inspection operations. Introduction: Date This safety and work plan addresses the activities associated with entering underground fuel storage tanks (USTs) in order to conduct tank lining inspections. The tank lining inspection and cleaning project will be managed and overseen by Sessions. Please contact Tawnya should you have any questions regarding this plan, 661 - 833 -9501. The required third party lining inspection will be conducted by TA's Tank Inspection and Welding Services. This project involves (3) 10,000 gallon lined single walled gasoline storage tanks. The tanks will be accessed via existing sumps and manways, no excavation or hot work is expected. The interior of the tanks will be cleaned and visually inspected prior to the lining being electrically tested. Entering a tank requires compliance with confined space entry procedures specified in this plan, including: constant ventilation and periodic air monitoring for hazardous tank atmospheres oxygen deficiency, flammability, and fuel vapors). Page 2 of 8 1,, r i• . ... r " Y t., t ' r -'J • I . l5 . Sessions' Site Specific Health, Safety and Work Plan 3301 Wible RD Bakersfield, CA 93309 -6504 Emergency Contacts: In case of a life threatening emergency, please do not hesitate to call 9 -1 -1. Sessions' Contact: Tawnya Bentley 661 - 833 -9501 Project Manager Client Contact: Kamalput Sinhu 661 - 889 -1930 Director of Maintenance Government Contact: Ernie Medina 661 - 326 -3682 Bakersfield Fire Department Prevention Services Nearest Hospital /ER: Mercy Hospitals of Bakersfield 661 - 632 -5000 2215 Truxtun Bakersfield, CA 93301 3301 Wible Rd Bakersfield, CA 93309 1. Head south on Wible Rd toward Alum Ave 0.5 mi 2. Turn left onto White Ln 0.2 mi 3. Take the ramp onto CA -99 N 2.9 mi 4. Merge onto CA -58 W 0.6 mi 5. Take exit 25 for California Ave toward Civic Center 0.2 mi 6. Turn right onto California Ave 7. Take the 1 st left onto Oak St 8. Take the 1 st right onto Truxtun Ave Mercy Hospitals Of Bakersfield 2215 Truxtun Avenue Bakersfield, CA 93301 Page 3 of 8 446 ft 0.3 mi 0.6 mi r J Y r w , i!'..1-1 i f Sessions' Site Specific Health, Safety and Work Plan 3301 Wible RD Bakersfield, CA 93309 -6504 Preparing the Site: Fuel tanks will be pumped out before Sessions' arrives on site. Remaining product —water or sediment —will be pumped out by Sessions using an explosion -proof pneumatic pump and stored in appropriate DOT drums. Hazardous waste drums will be properly labeled and disposed of by the client. No smoking will be allowed on site. The work area will be barricaded from traffic. The store will remain open during the inspection process. The product and vapor lines will be disconnected and blanketed off. Before any work begins in the tank, it will be degassed (ventilated) to remove any fuel vapors. Ventilation: Preliminary Safety Considerations: The concentration of flammable vapors in a tank may go through the flammable range before a safe atmosphere is obtained. It is necessary that precautions be taken to eliminate the possibility of discharge of static electricity during the degassing procedures. Special considerations must be given to ensure that the vapors are not vented into an area where they could produce a hazardous condition. The air compressor must be located where the intake will not induct hazardous vapors. It is best if the air compressor and other equipment that is capable of producing a source of ignition is placed upwind from the location of ventilation. Vapors should never be dispersed under a covered area such as the station canopy or trailer. The tank must contain NO MORE than ONE INCH of liquid before the tank is ventilated. As much liquid as possible must be pumped out. Page 4 of 8 3 .- ,.o . . '. +. , . fi. •is'a k13>!i. i, i i. „ 1'. ... t l 1. I ,... ilia. ...r { {.,J I.I1.. Ali ,. 3 . Y ( r..1 . t• 1.:. t t .'i i {. .. 1 .3 s ill IJ ., 'l ..'i.' i3• J'.. •(r. f ", wr.t i .t'2 t' i' r. r .'1 '. LI L{.., Sessions' Site Specific Health, Safety and Work Plan 3301 Wible RD Bakersfield, CA 93309 -6504 Ventilation Procedure: Ventilation of the tank can be accomplished by an air driven air mover. The eductor is placed on the fill tube and essentially draws a vacuum on the tank and sucks air from the tank through the fill. The eductor must be properly bonded and grounded to prevent the possibility of static electricity generation and discharge. The intake opening, the vent, must be unblocked to prevent a vacuum that could collapse the tank. When using this method, the fill (drop) tube must remain in place to assure that the vapors will be drawn from the bottom of the tank. Gasoline vapors are heavier than air and the drop tube assures that the ventilation is occurring at the bottom of the tank where gasoline vapors are expected to accumulate. An extension must also be used to discharge vapors above the ground a minimum of twelve feet above grade. This extension helps insure that vapors do not build up at ground level. A safe working environment will be established if the following safety procedures are followed: the eductor needs to be properly grounded; vapors must be dispersed in a manner that they are not accumulating in one area or are exposed to a source of ignition. Page 5 of 8 r. rt Sessions' Site Specific Health, Safety and Work Plan 3301 Wible RD Bakersfield, CA 93309 -6504 Tank Air Monitoring: Gasoline is a flammable liquid with a lower explosive limit (LEL) of 1.4 %. Required confined space air monitoring will be conducted by the on -site supervisor using a combination oxygen meter /flammability meter (sniffer). The oxygen concentration will first be measured then the LEL will be measured. Sessions will also measure the general hydrocarbon concentration (HC) using the part per million (ppm) scale. The atmosphere inside the tank will be monitored when first opened each day, and frequently throughout the day. The sniffer will be properly calibrated at all times according to the manufacturer's specifications. Any confined space that has not been monitored by the sniffer will not be entered by any person. LEL and Oxygen Levels: Tank entry: LEL must be LESS THAN S% Oxygen must be GREATER THAN 19.5% HC must be LESS THAN 300 ppm (without air - purifying respirator) Hot work /cutting: LEL must be LESS THAN 10% Tank Entry: Personal Protective Equipment (PPE): Workers who will enter the tank will be equipped as follows: Ear protection (if noise is excessive) Gloves (at all times) Sturdy boots (at all times) Flame- retardant coveralls (at all times) Full -face supplied air respirator (for initial entry to remove sediment) Air - purifying respirator (whenever HC is GREATER THAN 300 ppm) Full -body harness connected to a lifeline and extraction device (at all times) Ventilation: Ventilation must be continued throughout tank entry, regardless of LEL, HC and Oxygen levels. It is recognized that if ventilation is stopped, even though the atmosphere in the tank was within the safe range, hazardous vapors could accumulate again. Ventilation and air monitoring are the keys to a safe confined space. A confined space which is not being constantly ventilated should never be entered by anybody. Page 6 of 8 p "` !b': Sessions' Site Specific Health, Safety and Work Plan 3301 Wible RD Bakersfield, CA 93309 -6504 Employee Training for Tank Entry: There will be an ICC Certified (U1 Installation and Retrofitting category) supervisor on site at ALL times. There will be at least TWO confined space certified workers on site at all times. All on site workers will be aware of all safety and emergency procedures. They will have reviewed and understood this work plan before arriving on site. All personnel will be familiar with required PPE. Tank Cleaning: Safety Precautions: Ventilation must be continued throughout the cleaning process. A full -face supplied air respirator must be worn at all times, in conjunction with flame retardant coveralls and the full body harness connected to a lifeline and extraction device. The atmosphere inside the tank will be continuously monitored with the sniffer throughout the cleaning operations. An attendant will be present at all times to control the safety of the entrant. All tools and equipment will be non - sparking. Procedure: Using rags, shovels and 5- gallon buckets, the tank is mucked out using a rope and pulley system. Once the tank is free of all sludge, the tank is wiped down using wet rags. Tank Lining Inspection: Safety Precautions: All electrical equipment will be explosion proof or intrinsically safe. Sessions will aid TA's Tank Inspection Welding Services in abiding by the Tank Entry safety considerations including; LEL and oxygen monitoring, continuous ventilation and an attendant for the tank entrant. The tank inspection will only be conducted AFTER the tank has been thoroughly cleaned of hazardous residuals. When the holiday test is being performed, a fire extinguisher should be kept in the tank as flammable materials may be ignited by sparks from the holiday tester. Procedure: The tank lining inspection will be conducted by Third Party Special Inspector, Thomas Allen with TA's Tank Inspection & Welding Services. Before the lining is tested, it will be carefully visually inspected by both Sessions and TA's Tank Inspection & Welding Services to confirm the tank is free of fluid pockets. Page 7 of 8 4? 1 A V? ..K. .. r /• !415. . ' .. '(' • t .'Z' .. Wu , i ,.. 4 ` .A Sessions' Site Specific Health, Safety and Work Plan 3301 Wible RD Bakersfield, CA 93309 -6504 Equipment: Holiday Tester Mil Gauge Ultrasonic Thickness Meter Hardness Tester Air Test: Procedure: Once the tank is sealed, Sessions will perform a pressure test on the tank to confirm the tank is properly sealed. If the tank is tight, the tank will hold 3 -5 PSI for 1 hour. We will also perform a vacuum test to confirm that the lining is still properly bonded to the tank metal. If the lining still holds, the vacuum will hold 5.3 inches for 1 minute. Page 8 of 8 4 . . . State Of Califomia rCONTRACTORS STATE LICENSE BOARD ' compmaer ACTIVE LICENSE Affairs 844326 INDIV a. SESSIONS crwx.b. 0A HAZ ,d&h hPM o.r 08/31/2014 www.csib.ca.gov u=-- 1 h i y .. . '1 r { i w.. POLICYHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08 -30 -2012 JG BOSWELL NT HUGH BELLO PO BOX 877 CORCORAN CA 93212 -0877 GROUP: 000881 POLICY NUMBER: 0501678 -2011 CERTIFICATE ID: 14 CERTIFICATE EXPIRES: 01 -01 -2013 01- 01- 2012/01 -01 -2013 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form apprdved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other documentwithrespecttowhichthiscertificateofinsurancemaybeissuedortowhichItmaypertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. zAl Authorized Representative President and CEO UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER; EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01 -01 -2012 IS ATTACHED TO AND FORTIS A PART OF THIS POLICY. EMPLOYER SESSIONS, JULIANA AND SESSIONS, ROSS A NT 9521 FRITZ ST BAKERSFIELD CA 93307 B11,NTI REV,1_2012) . PRINTED : 08 -30 -2012 ti CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT T09V ALLEN HAS SUCCESSFULLY COMPLETED THE ANNUAL REFRESHER TRAINING FOR HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE, INCLUDING UNDERGROUND TANK SAFETY & CONFINED SPACE OPERATIONS CONSITENT WITH TITLE 8 CALIFORNIA CODE OF REGULATIONS: HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE § 5192 CONFINED SPACE & CONFINED SPACE RESCUE§ 5157 RESPIRATORY PROTECTION § 5144 FIRE EXTINGUISHERS § 6151 12031901 CERTIFICATE NUMBER INSTRUCTOR 3 -19 -12 TRAINING DATE t i .- CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT SrIEVE ROSS HAS SUCCESSFULLY COMPLETED THE ANNUAL REFRESHER TRAINING FOR HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE, INCLUDING UNDERGROUND TANK SAFETY & CONFINED SPACE OPERATIONS CONSITENT WITH TITLE 8 CALIFORNIA CODE OF REGULATIONS: HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE § 5192 CONFINED SPACE & CONFINED SPACE RESCUE§ 5157 RESPIRATORY PROTECTION § 5144 FIRE EXTINGUISHERS § 6151 12031901 CERTIFICATE NUMBER INSTRUCTOR 3 -19 -12 TRAINING DATE r CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT JOE X99WWO" HAS SUCCESSFULLY COMPLETED THE ANNUAL REFRESHER TRAINING FOR HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE, INCLUDING UNDERGROUND TANK SAFETY & CONFINED SPACE OPERATIONS CONSITENT WITH TITLE 8 CALIFORNIA CODE OF REGULATIONS: HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE § 5192 CONFINED SPACE & CONFINED SPACE RESCUE§ 5157 RESPIRATORY PROTECTION § 5144 FIRE EXTINGUISHERS § 6151 12031901 CERTIFICATE NUMBER INSTRUCTOR 3 -19 -12 TRAINING DATE a i c CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT 9 "I K Wooq HAS SUCCESSFULLY COMPLETED THE ANNUAL REFRESHER TRAINING FOR HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE, INCLUDING UNDERGROUND TANK SAFETY & CONFINED SPACE OPERATIONS CONSITENT WITH TITLE 8 CALIFORNIA CODE OF REGULATIONS: HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE § 5192 CONFINED SPACE & CONFINED SPACE RESCUE§ 5157 RESPIRATORY PROTECTION § 5144 FIRE EXTINGUISHERS § 6151 12031901 CERTIFICATE NUMBER INSTRUCTOR 3 -19 -12 TRAINING DATE CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT HAS SUCCESSFULLY COMPLETED THE ANNUAL REFRESHER TRAINING FOR HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE, INCLUDING UNDERGROUND TANK SAFETY & CONFINED SPACE OPERATIONS CONSITENT WITH TITLE 8 CALIFORNIA CODE OF REGULATIONS: HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE § 5192 CONFINED SPACE & CONFINED SPACE RESCUE§ 5157 RESPIRATORY PROTECTION § 5144 FIRE EXTINGUISHERS § 6151 12031901 CERTIFICATE NUMBER INSTRUCTOR 3 -19 -12 TRAINING DATE k S- . . i. i CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT SIGVE4UO VILC, M5 HAS SUCCESSFULLY COMPLETED THE ANNUAL REFRESHER TRAINING FOR HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE, INCLUDING UNDERGROUND TANK SAFETY & CONFINED SPACE OPERATIONS CONSITENT WITH TITLE 8 CALIFORNIA CODE OF REGULATIONS: HAZARDOUS WASTE OPERATIONS & EMERGENCY RESPONSE § 5192 CONFINED SPACE & CONFINED SPACE RESCUE§ 5157 RESPIRATORY PROTECTION § 5144 FIRE EXTINGUISHERS § 6151 12031901 CERTIFICATE NUMBER INSTRUCTOR zor 3 -19 -12 TRAINING DATE t. TO VERIFY OF THIS DOCUMENT YOU zCandidate ID: Name: Address f.fw'-, ST TURN OVER AND PUB THE PEARSON VUE LOGO USTInstAllation/Retrofifting Date:, Birth Date....--. e_ 4/1W2011 8/27/1961 rhf A2: BAKERSFIELD CA 93307 , EXAMINATION RESULT'., Co- _ga 'tuiationsl You have.:passed the Above named examination Your wAllbt cardAill be forwarded o you by ICC-within six Week m the last day of the month in which you tested. This for two years. Wka will be provided at, lCC as well. Throughout20111' ",certificate wYou_-may.re :rquestawallcertftid6t6'f.r.6m fidAte per exam passenocostt"u, if you request 'Jt*ithih 90,days of Only one wall, certiyourexam. harge. For more information on reques..n gQ-t6"--1 will be provided to you at no., b wall,66ftificiate wWWccsafe.ordinspector.: P' arson VUE and ICC of any:chghg6%n name and/or address oltjsw.extremely important that you notify Pearson not beinig d. Please contact 1:idafsohavoidfepossibilityofyourreceivedcard.*an'd o'r'ce VUE at 800;275 -8301 and certkam 0-icesafe.o a with 664hges to y6uri ffie.arid-addre Pearson{ ire additional documentation). There maybe an'a88s"-ie"'a,certffication,isgps ' may require re= issued due to a misspelled name or incorrect address.. Z R, _e Z TO VERIFY AUTHENTICITY Of N T= `CODECOUNCIL Candidate ID: LCHANGE COLOR FROM ORANGE TO YELLOW r XX4341052778 Name:. STEVEN ROSS Date: 11/11/2011 fR..4;.'. z Address 3318 Ton.Lorene Ave - y Birth Date 4/26/1963', BAKERSFIELD CA 93313 k c Yf3e y` s y EXAMINATION RESULT. Congratulations! You havepas`sed the above named examination Your,wallet card will be forwarded to yqu by ICC within six week "sfrom the last day of the month in which you tested. -This certificate-is current, d g-; . for two years. y ni-Yo-Wmay, request a -wall certificate from ICC as well. Throughout 201.1, this certrficate will be provided aty 1 < no cost toyou, if you request it within °90 -days of your.exam. Only one wall certrficate per exam passed r swill be <provided to you at `no charge For more information on requesting a wall;certificate, go toter b 1 www iccsafe ordAnsnector' It !s extremely important that you, nottfy Pearson VUE and ICC of any changes n name and/or address It r ". Zavoidthe;possibility,of your. wallet card - and/or certifWe not being receNed: Please contact Pearson yo VUE at 800 =275 -8301 and `ICC °at certexam0iccsafe.ora with changes to your naine and address (name Ychangesfr require additional documentation). There may be an additional'. fee if a certification is re issued du'e to a misspelled name or incorrect address. art r ,f T u t s y r: ps x h . NUVO NJOL'd J11N3A3 ONV AllW10VU0 110100 - SONVH01VHl :ONnowsNOtl9A3HOlO0lll(1W 7 SVH 1N3Wf100t1 SIHl d0 30Vd 3Hl1HnIUON'V 1-131 H1O8 SV3UV U331UVG H11M 1HOI1 Ol i. r . ,.