HomeMy WebLinkAbout3401 CHESTER AVENUE LINING INSP 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
13- -16666 !A/
File Number: 71137 G Address: 3461 S• LR-r- ,s,
Bakersfield, CA 933
Date Received:
Business Name: o,s Gp
SYSTEM: BUILDING SQUARE FEET: F INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish Sysgem
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
0113
IN EC D/ Lam'
Signature
Other. 0,,1( ,
Comments: RtA, -L I ,e 2ssF % 2N / L'y,A) , /'Vs/.
Bey ycJ
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.
l L 1 i `1 7 0
PERMIT NO. - CfCO XR f
CONTRACTOR: jp,J PHONE # 133-
UST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
MISC. ACTIVITY
REMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
PRIOR TO OPERATION.OFANY SYSTEM,
ALL"UST AND/OR AST SYSTEMS -SHALL BE
INSTALL, COMPLETE_AND.ACCEPTED BY)
THE - BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE -DEPARTMENT (FINAL)_S
BUILDING ADDRESS: &qC / .S tP_r
JOB DESCRIPTION: 14 ,J i (:Ob 62. OCCUPANCY TYPE:
OWNER: cp PERMIT NO. - CfCO XR f
CONTRACTOR: jp,J PHONE # 133-
FD 1743
To: Sesseons
SPMAL INSPECTION REPS
Site: 13 Hi 13, Inc.
Gasco
Address: 3401 S. Chester Ave. Bakersfield, CA 93304
Date: May 1, 2013
The following results for the above location represent the conclusions of the Special Inspection, which are
to be presented to the regulatory agency.
Tank No. 2
Capacity 10,000 gallons
Dimensions 7'11" x 27'
Product Fuel
CCR Title 23 -2663
b) Tank has been cleaned so that no residue remains on the tank walls
c) (A) Determine that tank has been vacuum tested at a
vacuum of 5.3 inches of Hg for not less than one minute.
13) Witness ultrasound test - average of 75% or
greater of original thickness.
Visually checked the internal lining for discontinuity,
compression, tension cracking and corrosion.
Test for thickness and hardness of the fining in
accordance with nationally recognized industry codes.
Test the lining using an electrical resistance Holiday
Detector in accordance with nationally recognized
industry codes, Holidays located, repaired and re- tested
d) Tank is suitable for continued use for a minimum of five (5) years
e) Tank is suitable for continued use for a minimum of five (5) years
ONLY if it is relined, or other improvements are made.
f) The tank lining is no longer suitable for continued use and shall be
closed in accordance with Article 7.
Coating inspector Thomas M. Allen, III
Professional Engineer Robert Paul P.E.
Address 2243 Aspen Mirror Way Suite 204 Laughlin, NV 89029
Signature: J Rul
Registered Professional Engineer No. Corrosion 111
Expiration Date: 3/31/2014
PASS PAIL
X
x
X
x
x
X
x
STAKE
To: Sessions
SPECIAL INSPECT11ON REPORT
Site: 13 Hi 13, Inc.
Gasco
Address: 3401 S. Chester Ave. Bakersfield, CA 93304
Date: May 1, 2013
The following results for the above location represent the conclusions of the Special Inspection, which are
to be presented to the regulatory agency.
Tank No. 1
Capacity 10,000 gallons
Dimensions 7'11" x 27'
Product Fuel
CCR Title 23 -2663
b) Tank has been cleaned so that no residue remains on the tank walls
c) (A) Determine that tank has been vacuum tested at a
vacuum of 5.3 inches of Hg for not less than one minute.
8) Witness ultrasound test - average of 75% or
greater of original thickness.
Visually checked the internal lining for discontinuity,
compression, tension cracking and corrosion.
Test for thickness and hardness of the lining In
accordance with nationally recognized industry codes.
Test the lining using an electrical resistance Holiday
Detector in accordance with nationally recognized
industry codes, Holidays located, repaired and re- tested
d) Tank is suitable for continued use for a minimum of five (5) years
e) Tank is suitable for continued use for a minimum of five (5) years
QB Y if it is relined, or other improvements are made.
f) The tank lining is no longer suitable for continued use and shall be
closed in accordance with Article 7.
Coating Inspector Thomas M. Allen, III
Professional Engineer Robert Paul P.E.
Address 2243 Aspen Mirror Way Suite 204 Laughlin, NV 89029
Signature:
Registered Professional Engineer No Corrosion 111
Expiration Date: 3/31/2014
PASS FAIL
x
x
X
x
x
x
Q
STAMP
April 30, 2013
13 Hi 13, Inc.
3401 S. Chester Ave.
Bakersfield, CA 93304
Re: Gasco
3401 S. Chester Ave.
Bakersfield, CA 93304
Structure -to -soil potentials measurements for each tank exceed the recognized MACE International
criteria of -850 millivolts and 300 millivolts shift for full cathodic protection.
The Rectifier settings and outputs are as follows:
Output Volts 25 V D.C. Amps 8.4
Setting Coarse B Fine 1
Hourmeter None
This survey was conducted in accordance with the procedures described in the NACE International
Standard Recommended Practice RP0285 -95, Cornvsion Control of Underground Storage Tank
Systems by Cathodic Protection and American Petroleum Institute (API) Recommended Practice
1632, Cathodic Protection ofUnderground Petroleum Storage Tanks and Piping Systems
This system is operating as designed and all underground storage tanks are receiving the required
protective current.
Thank you for the opportunity to assist you in this phase of your corrosion mitigation program.
Should you have any questions or concerns please do not hesitate to contact us at any time.
Respectfully,
Juliana Sessions
Professional Engineer: Robert Paul, P.E.
Address: 2243 Aspen Mirror Way, Ste. 204, Laughlin, NV 89029
Signature: I
Registered Professional Engineer No. Corrosion 111
Expiration Date: 3/31/2014
2
0
Health and Safety Plan for
Underground Storage Tank Interior
Lining Inspection
Gasco
3401 S. Chester Ave.
Bakersfield, CA 93304
Contractor:
SESSIONS
9521 W. Fritz Lane
Bakersfield, CA 93307
661 ) 833 -9501 Fax (661 ) 396 -0569
License 844326A/HAZ
SESSTANK@AOL. COM
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Sessions' Site Specific Health, Safety, and Work Plan
3401 S. Chester Ave., Bakersfield, CA 93304
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.
J ian essions, Contractor
Introduction:
O
Da
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 Juliana 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 (2) 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
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Sessions' Site Specific Health, Safety, and Work Plan
3401 S. Chester Ave., Bakersfield, CA 93304
Emergency Contacts:
In case of a life threatening emergency, please do not hesitate to call 9 -1 -1.
Sessions' Contact: Juliana Sessions 661 -833 -9501
Contractor
Client Contact:
Owner
661 - 337 -0588
Government Contact: Ernie Medina 661 - 321 -3000
Bakersfield City
Fire Prevention Officer
Nearest Hospital /ER: San Joaquin Community Hospital 661 - 395 -3000
2615 Chester Avenue
Bakersfield, CA 93301
Directions from Site to Hospital: (from Google Maps)
1. Head southeast on S. Chester Ave toward Chester Village Ln Go 0.3 mi
Total 0.3 mi
2. Make a U -turn. Go 4.7 mi
About 15 mins Total 5.0 mi
3. Make a U -turn at 28th St Go 381 ft
Destination will be on the right Total 5.1 mi
San Joaquin Community Hospital
2615 Chester Avenue
Bakersfield, CA 93301
Page 3 of 8
El
Sessions' Site Specific Health, Safety, and Work Plan
3401 S. Chester Ave., Bakersfield, CA 93304
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
0
i
Sessions' Site Specific Health, Safety, and Work Plan
3401 S. Chester Ave., Bakersfield, CA 93304
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
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Sessions' Site Specific Health, Safety, and Work Plan
3401 S. Chester Ave., Bakersfield, CA 93304
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 5%
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
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Sessions' Site Specific Health, Safety, and Work Plan
3401 S. Chester Ave., Bakersfield, CA 93304
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 S- 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
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Sessions' Site Specific Health, Safety, and Work Plan
3401 S. Chester Ave., Bakersfield, CA 93304
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
As;
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STATE OF CALIFORNIA
71:. i; ;' (` 3 i t .fir. 7. i 1 •:'Y __
Pursuant to Chapter 9 of Division 3 of the:Business and Professions Code
and the Rules. and Regulations of the Contractors State License Board,
the Registrar of Contractors does hereby issue this license to:. .
88SIONS
to engage In theliiLisineAs 'or act ;. i :the. capacity_of a contractor
in the 019w. Ipg Isslfi n
A - GEMLAL ENGVjMMNG'C0NTFACTO1t
IiLii - HAZA-RDOq8AJMANM-REM0VAL'
Witness my hand and seal this. day,
October 6, 2004
L%vcd August , 9, 2004. SIGNATURE OF LICENSEE
f Stephen P. Suds
Registfor of Contractocs
SIGNATURE OF LICENSE QUALIFIER This license is the property of the Registrar of contractors, 8"26
Is not transferrable, and shall be returned to the Registrar
upon demand when suspended, revoked, or Invalidated License Numberforanyreason. It becomes void if not renewed.
13L-24 (REV. 7.01) Ift OSPOf 59440 AUMT jem momi
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State Of CalifomiaI % CONTRACTORS STATE UCENSE BOARD
Coasn ACTIVE UCENSE
AIWu
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mer
844326 INDIV
SESSIONS
s A HAZ A&L
hdpm
08/31/2014 www.cslb.ca.gov Tel
Thomas M. Allen, III
Owner and Operator
TA's Tank Inspection & Welding Services
310 Hudson Drive
Bakersfield, CA 93307
661)865 -0929
SUMMARY
Over 25 years of experience working with underground storage tanks, repairs, coating and lining
applications and inspection equipment.
Experience began at Sessions; focused on tank inspections, linings and coatings all over
California, Arizona, and Nevada over the last 25 years. Provided inspection, lining and repair
services in single and double walled underground storage tanks for all branches of the US
Military, hospitals, universities, law enforcement headquarters and numerous gas stations. Once
the California Code of Regulations required Third Party inspection, facilitated inspectors in
meeting inspection and reporting expectations of Sessions.
PROFESSIONAL CERTIFICATIONS
California Code of Regulations Title 8 Hazardous Waste Operations, Emergency Response,
Underground Tank Safety and Confined Space Operations Certificate Number 11011503
International Code Council Underground Storage Tanks Installation and Retrofitting Candidate
I.D. XX43441049416
PROFESSIONAL EXPERIENCE
TA's Tank Inspection & Welding Services - Bakersfield, CA 2011 - Present
inspector
Small Business opened to provide Third Party inspection of underground storage tanks, repairs,
coating and lining applications.
Sessions - Bakersfield, CA
ICC Certified Supervisor
Started as a laborer in 1986 in providing inspection, lining and repair
double walled underground storage tanks. Became a supervisor in 1990
International Code Council Certified Supervisor in 2001.
Knight's Construction - Lakeside, CA
Building Construction
United States Navy
E -5, Second Class Petty Officer
EDUCATION
Earned a High School Diploma in 1979.
1986 -2011
services in single and
and was promoted to
1983 -1986
1980 -1983
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SESSIONS
9521 W. Fritz Lane
Bakersfield, CA 93307
661) 833 -9501 Fax (661) 396 -0569
License 844326AJ Haz
Equipment used for special inspector, inspecting
interior lined tanks:
1. Holiday Detector:
Tinker & Rasor Model AP
For checking for voids, cracks, pinholes, etc. through the
lining.
Settings 100 to 125 volts per mil.
2. Mil Guage:.
QuaNix 1500 Automation Koln
The QuaNix 1500 is a combination guage measuring
non - magnetic coatings on steel or iron (Fe) and
insulalting coatings on non - magnetic, metallic substrates
NFe) .
Measuring range 0 -200 Mils.
3. Ultrasonic Thickness Meter:
Panametrics Model 26DL Plus (Triple Echo Meter)
For reading substrate thickness with or without linings.
4. Barber Colman Hardness tester:
If the tank is newly lined, this gage will be used to check
if the lining is cured to the hardness required by the
material manufacture.
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ROBERT PAUL, P.E.
2243 Aspen Mirror Way # 204
Laughlin, Nevada 89029
CellNOice mail: (702) 460 -8300
rpaul@chtechservices.com
SUMMARY
Over 45 years of in -depth experience in virtually all aspects of corrosion control, including corrosion engineering
methods, mechanical integrity, operations, and procedure development. Adept in developing and effectively
implementing systems and programs to control corrosion through cathodic protection, materials selection, coatings,
inhibitors, water conditioning, instrumentation, metallurgy, and welding.
PROFESSIONAL CERTIFICATIONS
Registered Professional Engineer. California- Corrosion 111
Texas - Retired
NACE Corrosion Specialist- Retired
PROFESSIONAL EXPERIENCE
Sessions- Bakersfield, California 2008- Present
Corrosion Engineer
Certify inspections and cathodic protection of underground fuel storage tanks for service stations and other
applications.
Extreme Inspections— Bakersfield, California 1998-2011
Corrosion Engineer
Certified inspections ofunderground fuel storage tanks for service stations and other applications.
C &H Technical Services — Tehachapi, California 1998 — Present
Corrosion Engineer
Consultant, as well as hands -on implementation, for Pipeline Management Plans that satisfy oilfield mechanical
integrity requirements outlined in the California Code of Regulations, AB 1960 Title 14, Division 2, Chapter 4,
Section 1774. Implement mechanical integrity projects at offshore platforms. Implement projects for pressure
vessels, pipelines and miscellaneous requests.
Bechtel Petroleum Operations, Inc: Elk Hills - Tupman, California 1986 - 1998
Mechanical Integrity En%dneer (1995 -1998)
Supported Continuing Process Improvement Team in cathodic protection, materials selection, mechanical integrity,
pressure vessels and failure analysis projects.
Corrosion Engineering Manager (1986 - 1995)
Supervised 12 engineers, chemists and technicians in designing and monitoring ofoilfield corrosion control systems.
PRIOR EXPERIENCE 1963-1984
Corrosion Specialist- Bechtel Hydro & Civil, Jubail, Saudi Arabia (19841986)
Engmeering Specialist -Bechtel Corporation, Houston, Texas (1979 -1984)
Materials Application Engineer - Parsons Corporation, Pasadena, California (19741979)
Senior Cathodic Protection Engineer - Harco Corporation - Houston, Texas (1970 -1974)
Corrosion Engineer - Signal Oil and Gas Co. Refinery, Houston, Texas (1965 -1970)
Process Compounder - Goodyear Tire and Rubber Co., Los Angeles, California (1963 -1965)
EDUCATION
BS, Chemical Engineering, University ofSouthem California, Los Angeles, Califomia - 1963
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BOARD FOR PROFESSIONAL ENGINEERS,
LAND SURVEYORS AND GEOLOGISTS
2535 CAPITOL OAFS DRIVE. SURE 300
SACRAMENTO, CA 95833-2944
918 283 -2222 m
nn * t 1+T7 T Ln
e- .
CERTIFICATE NO, CORROSION ENGINEER
EXPIRATION
CR 111 03131/14
ROBERT PkUL
22431.ASPEN MIRROR WY APT 204
LAUGHLIN NV 890229
RECEIPT No.
2052018
y ~
IVUE FINGER: AUTHENTIC DOCUMENT WILL CHANGE COLOR FROM ORANGE TO YELLOW
f, :.. .... °%x y }. :..sit _ '£ •i ;x'
UST Installation /Retrofittim
Date: 4/19/2011
Birth Date':';`' ', 8/27/1961 2
Y h'
BAKERSFIELD -CA 93307
v
EXAMINATION RESULT: PASS .-,.
Cong "ratulations! You have::passed the above named examination. YourVallet card will be forwarded to
you .by ICC within six weeks from . the last-day of the month in which you tested. ' This certificate iseurrent
for two years. ,.. ,.. <. _.
You may ;request a wall certificate from ICC as well. Throughout 201 ,this certificate will be provided at _ y
no cost "to,:you, if you _.within- 90.days of your exam. Only'one wall certificate per exam passed ' rP > 9
will be_provided to you at nocharge. For more information on requesting a wall certirficate, go to rs
www iccsafe.or insQector.
Its extremely important that you notify Pearson VUE and ICC of anychanges,,m name and/or address to a
r avoid'the 'possibility of yourYwallet card and/or certificate not being received. Please contact Pears -
VUE at 800 =275 -8301 and'ICC st ger"m @iccsafe.ora with changes_to your name and address (name
changes?m "ay require additional documentation). There may be an additional °fee`'rf a certification is
re= issued due to a misspelled name or incorrect address.
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1HOIUGNIJ 143714103 SJ3k1N 83)48V0 H1IM SHOII 01 NUVO 908i ATN3A3 ONV A- nynOVkI0 80100'S30NVH71VHl`ONfIOtl`JN0V8 0380103111(IWilSVH 1N3W(1000 SIHl a1030Vni 3H1
CERTIFICATE OF COMPLETION
AUSTIN & KALEN
ENVIRONMENTAL CONSULTANTS
THIS IS TO CERTIFY THAT
SILVE4 rO VILCM S
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
12031901
CERTIFICATE NUMBER
FIRE EXTINGUISHERS § 6151
INSTRUCTOR
3 -19 -12
TRAINING DATE
CERTIFICATE OF COMPLETION
AUSTIN & KALEN
ENVIRONMENTAL CONSULTANTS
THIS IS TO CERTIFY THAT
3(94M WOOTEN
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
7 'V.XXBATnV
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
f
CERTIFICATE OF COMPLETION
AUSTIN & KALEN
ENVIRONMENTAL CONSULTANTS
THIS IS TO CERTIFY THAT
TQ9W ,ULEX
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 3 -19 -12
CERTIFICATE NUMBER TRAINING DATE
INSTRUCTOR
111111111 IN !I
CERTIFICATE OF COMPLETION
AUSTIN & KALEN
ENVIRONMENTAL CONSULTANTS
THIS IS TO CERTIFY THAT
J(m MAWW OND
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 3 -19 -12
CERTIFICATE NUMBER TRAINING DATE
INSTRUCTOR
i
iJ
i
5
e
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT ; kjj'pJrrffNj'1501 Truxtun Avenue, 18t Floor
Bakersfield, CA 93301
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge) 280
SITF •
0.028 x sq ft
LOCATION OF PRWECT PROPEMy OWNER
Sprinkler - New & Modification (minimum charge) 280
STARTING DATE COMPLETION DATE NAME
Over 10,000 sq ft
PROWNAME ADDRESS PHONE
Minor Sprinkler Modification ( <10 heads) 96 (inspection only) 84
PROIECrADDRESS
r V e err SA W-E125 I E-LD STATE CA CODE
Additional hoad 58
CONTRACTOR NAME CA U a
ess ova 4 4 32(0
OFLICENSE EXPIRACENSE N DATE
i 14+
PHONE a
CONTRACTOR COMPANY NAME
5
FAX
ADDRESS
180 /tank
ZIP
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 (New & Modiflardon) 470
Additional hoad 58
Spray Booth (New & Modification) 470
Moveground 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) NTM 167 /site 82
Underground Storage Tank (Removal) TR 573 /tank 84
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 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 12 r
96/hr + (5 hrs min standby fee/insp) =$576
5 hrs; min n =
84
Re-Inspection/Wow-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
0 Miscellaneous 94
v... ..
r
BILLING & PERMIT STATEMENT A BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # is<a 1501 Truxtun Avenue, 1t FlooratrrAVIFBakersfield, CA 93341
DhnnP• Ff1_17F -4470 9 Fax• Ff.1_flS7 -7171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
1 Alarm - New & Modification (minimum charge) 1$280
r i Thor IA MA en
SITE. TNF
l
LOCATION OF PR03ECT PROPERTY OWNER
96 /hr (2 hrs minimum) =$192
STARTING DATE COMPLETION DATE NAME
PROJECT NAME
C7-
ADDRESS PHONE #
i ~t
PRO]ECrADDRESS
IL Cmr 1 /AW ,;?SpELA STATE aA UP CODE~
3 3r
90 4279/1222 nx311`1 /2013
CONTRACTOR e• o
3
ONTRACR]R NAME CA LICENSES
43(e
T a OF LICENSE EXPIRATION DATE _
H Z Ui
PHONE S
Lt `233...r. --Gl
CONTRACTOR COMPANY NAME FAX #
6c.{C I 3 I t'
ADDRESS
aa ' \\z
zip CODE
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
1 Alarm - New & Modification (minimum charge) 1$280
111 00 ?43t,i1' I: L 2 2 2t, 2?9 L1: 00 2'00- 23k3L.0
r i Thor IA MA en
l
96 /hr (2 hrs minimum) =$192
7434
tlsv NN O. 10 Panam Road
82
SESSIONS Bakersfield CA 9
96 /hr
9521 W..FRITZ LANE
93307.
82
BAKERSF,IELD, CA
661),833 -9501 ' _ 90 4279/1222 nx311`1 /2013
844326A/HAZ 3
f
121 /hr (2 hrs minimum) =$242
PAY TO .,THE City Of Bak@rSf12Id 4 L t $ " *
192:00
Pyrotechnic (1 permit per event, plus an Inspection fee of
96 /hr during business hours) PY
OTl: After hours Pyrotechnic event Inspection Is 121 hr
r. ORDER OF,
Re- Inspection/Follow -up Inspection
i .,.
rr* r..+ r+.:f#..« r«.:.. r...+ rtfr..+ *.......rr«....o-•.rr.fr «,r+..:+ ++tom *tc•...r•.+•+.... *i..:.
One Hundred'Nlnety 00/100Twoand oLLARS ,
96 /hr 84
CIty of Bakersfield?'
Explosive Storage
P O:Box 2057 ... `
84
Bakersfield,'CA 93303 -2057
0.25 /page
Jfr
84
O Miscellaneous
MEMO.
84
Gasco - 3401`.S. Chester ' Msaba
111 00 ?43t,i1' I: L 2 2 2t, 2?9 L1: 00 2'00- 23k3L.0
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96/hr for each type of teWper site even If
scheduled at the same time TT
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
OTl: After hours Pyrotechnic event Inspection Is 121 hr
96 /hr + (5 hrs min standby flee /insp)= $576
5 hrs min s nd f n = 0
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
O Miscellaneous 84
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY)/NEW
TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD
Permit #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 Truxtun Ave., Suite 401
Bakersfield, CA 93301
FIRE Phone: 661-326-3979 • Fax: 661-852-2171
Rrm r
Page 1 of 1
TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALVEXISTING FACILITY
CHECK ONE ONLY MODIFICATION OF FACILITY MINOR MODIFICATION OF FACILITY
STARTING DATE/ PkbpbSi6 6M'Pr'
Li'
ETIO
FACILITY NAME EXISTING FACILITY PERMIT # ` ` 't)
FACILITY ADDRESS Z)m Oil
TYPE OF BUSINESS APN 0
TANK OWNER PHONE # 3 a 9-C&Ra
ADDRESS CEDL (-\ X V - - I ZIP CODE
CooNT*rRAcTb 7
N
BRIEFLY DESCRIBE THE WORK TO BE DONE: I
IIFY
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED 1 ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES 0 NO YES NO
THIS SECTION IS FOR MOTOR FUEL STORAGE TANKS
VOLUME'' PREMIUM
C
THIS SECTION IS FOR NON-MOTOR FUEL STORAGE TANKS
UNLEADED REGULA PREMIUMP7U DIESEL ;:."'
y
T V X.
FOR OFFICIAL USE ONLY
APPLICATION TANKS' v
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE,
LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS
TRUE AND CORRECT.
RO D BY APPLICANT NAME (PRINT) APPLICANT SIGNATUREKZ: ww'
THIS APPLICATION BECOMES A PERMIT WHEN AXPROVED
FD2086 (Rev 06/07)