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Home My WebLink About426 UNION AVENUE LINING TEST 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 5 /d60%' File Number: o20 $75 Address: (JA)td v3 O-Q" Bakersfield, CA 933 Date Received: — $— /3 Business Name: 7 SYSTEM: BUILDING SQUARE FEET: r INSPECTION LOG New Mod. D Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: Fire Sprinkler System Spray Fin sh System Aboveground Storage Tank D Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank D GY Other 1. 2. 3. 4. Date Time 7 VM3 5e;,PX $fir LE o1s + d 5 acilj3 z Tziv /i fN; i oiJ Signature Signature N ,.T '. "_& 11 9' 7 2X)9s QIU& voy Clo s ^ Law,vce) Comments: S7 7t, - D ;sfl j2yyK5 Tha? 2Ac ,t)oT,A. Q2,fg277v,u z7 Th;r c,vFls UNDERGROUND STORAGE TANK i PERMIT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD-MINOR MOD IPermit # TYPE OF APPLICATION: CHECK ONE ONLY) BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Ave., Suite 401 Bakersfield, CA 93301 Phone: 661 - 326 -3979 e Fax: 661 - 852 -2171 ARTM T Page 1 of 1 NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALL/EXISTING FACILITY MODIFICATION OF FACILITY MINOR MODIFICATION OF FACILITY STARTING DATE/ ePROPOSEO COMPLETION DATE r FACILITY NAME EXISTING FACILITY PERMIIi #r if °z rsj; FACILITY ADDRESS C ZIP CODE 5 TYPE OF BUSINESS APN # TANK OWNER CNI ` PHON#I 1 3014 2, O b ADDRESS C (`(\ Z CODEOD CONTRACTOR '%t i. v.' k "a a`. CA'LICENSE %# ;Ifs r* ICCi ro `; •. I ADDRESSI Y 6 v a "t 1 R s %ter 1 z_ C: r e Ji x Z CODE' ; P K >' r+ a•. ir. }',._ `Y. +_z t^__ ...tt r, 5.,4,t k•T. PHONE # f- w' 4 r Wk. 0 CT'TYBUSIN S- LICENSE #; y WORKMANS °COMP #:;y K1., nL . ... V • 2 l-ll BRIEFLY DESCRIBE THE WORK TO BE DONE: ' QS WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES NO YES NO THIS SECTION IS FOR MOTOR FUEL STORAGE TANKS TANK VOLUME' 1 j UNLEADED " REDULARr '' PREMIUM - DIESEL$ 1 h rY' .a _ i 1 ,OOI. '.:1, i•i k T +30. r x '3. j°i.r 'F,J- dt, 1-:' rl; Y., r F .V it . 1 Yt f l7 L i 1,51 4 4 i1 S L y F 1 5 •;rt•. OOO '. S'c _t ,.•i, Z ":14 r kVf;S cif _ i, f7il,_ . .. L r.J 4:M S r,i•> 1: - ( 1'.* 2 kG'r t ff h S•.(.,W n-1• 14 J A Y i 3..4 4rIx 1r- ''lit.• j'..'.r••.i... k.'*.?9i.•s.: ir _ F i ft ri IFS tom vi .: iy Y£.+ h.' Y -:,4' THIS SECTION IS FOR NON -MOTOR FUEL STORAGE TANKS TANKS it ' VOLUME y rt UNLEADED rl' : t ? REQULAR PREMIUM ° f DIESEL nr AVIATION ., YtL= rfc:• .Y. lixt8- r :_Lt Yyj..Nn,; 1 i7,. .y Nli :.lir..4 V T1 e fi. JIH•4$., f a{, - 1::: C- i'4 YC> J._s i J rl:, •.,, < ,1, o-.i y f i' Y 4 1 S s 1 eyt• c L •k,r..r '.F- .'fii";$ J, u•. c- aa i., r .;, ds Z.t •7• r L . , fi >y FOR OFFICIAL USE ONLY APPLICATION DATE r s, l ea < 1 FACILITY # .1 OF TANKS Ya 1 r FEES S + 1 -' f j, t .. t n .F " l ..1 2 f .4f. 'r-` t _I . s .'f 4 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. PRO ED BY APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WH A ROVED FD2086 (Rev 06/07) 4 Health and Safety Plan for Underground Storage Tank Interior Lining Inspection Lucky 7 726 S. Union Ave. Bakersfield, CA 93307 Contractor: SESSIONS 9521 W. Fritz Lane Bakersfield, CA 93307 661 ) 833 -9501 Fax (661 ) 396 -0569 License 844326A/ HAZ SESSTANK@AOL.COM S• I .. .''rot .. e • . {.. Sessions' Site Specific Health, Safety, and Work Plan 726 S. Union Ave. Bakersfield, CA 93307 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. lian Sessions, Contractor Introduction: 9 I au \3 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 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) 4,000 gallon, (7) 7,000 gallon and (1) 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 Alto Sessions' Site Specific Health, Safety, and Work Plan 726 S. Union Ave. Bakersfield, CA 93307 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: Government Contact: Mohamed Rafiq Owner Ernie Medina Bakersfield City Fire Prevention Officer 661 - 324 -8516 661 - 321 -3000 Nearest Hospital /ER: San Joaquin Community Hospital 661 - 395 -3000 2615 Chester Avenue Bakersfield, CA 93301 Directions from Site to Hospital: (from Google Maps) San Joaquin Community Hospital 2615 Chester Avenue Bakersfield, CA 93301 Page 3 of 8 1. Head north on S, Union Ave.. toward Daniels Ln.. Go 2.0 mi About 5 mins Total 2.0 mi 2. Tum left onto E. Golden State Ave. Go 1.0 mi About 2 mins Total 3.0 mi 3. Slight right toward 30th St (signs for Oidale) Go 0.1 mi Total 3.1 mi 4. Turn left onto 30th St Total 3.2 mi 5. At the traffic circle take the 4th exit onto Chester Ave. 03 mi Tot mi 6. Destination will be on the right About 1 min San Joaquin Community Hospital 2615 Chester Avenue Bakersfield, CA 93301 Page 3 of 8 o - 1 1 :J .. Sessions' Site Specific Health, Safety, and Work Plan 726 S. Union Ave. Bakersfield, CA 93307 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. Ventilation Procedure: Page 4 of 8 t f ''. t' {r .. .r'''(+ .... T. 'rl r .'.'VY.n Il ,!i :l'.l r 1!'t ' ss e•j `.. . —I. ` _ tl.!fit r. . v. .y ,.. i .. ..;f - •. ,`: v. +`: ! 1 1. t'i fir. !ia `.. .. J }1: • : •I.i. t•' G.' r; 1. .;i'.. C ... +. Y tlr I Sessions' Site Specific Health, Safety, and Work Plan 726 S. Union Ave. Bakersfield, CA 93307 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 1 ..J i t, .. .1 :. .i_r 7•.:7 J, 1 I'' c i °'rt i'. C{ro,7: i,,y ,, i .. l;i:'.1 "'•jf' no :il: f5 ran, to SA" S" t.:r f. i ?• .1 " J 1St .'. p,' 1 S'f l.: '. j M r'1 .M 1 , -i..)IIS.i :• I' Ow 1 - S .(i! lf. i• Its . °111 "i ' t1: "r i.lJi.. - 4 a Sf' t ^ti' Ii.i .'_ r, 1'. '. :, i'i 't. .a" ,'{' r • 11 : J-?'.,:i (•• ,'ri r., nr y; all m: ra'. r` j 'i •J •. } t! - r'°rw .;,.{ ,'!: :4._ c - •i 1 r L i i.. ti' it .. -_. fir' n; { "i A's: t K, ...J »:. 1` t,%1; rP• - G,: r ;,I` aa,. r._rtj', .r4. „i 1 "j J: _, .. , 1"'I 1•( 1 iJ). 1,1 ,'1 A,.y• . i1r . . . l it ,i;lv . r .. .. j' irJn 1r e 1 St Sessions' Site Specific Health, Safety, and Work Plan 726 S. Union Ave. Bakersfield, CA 93307 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 t Sii! i'_} f 4 t , Y r. •h: . `F. , : '1` 1 •I.i . '` . r!. !3 ', 1 li '.' IY ' i{ . • 'll , r I, v . 10, i,•t7fY. 1 Von an t ./.a, f' ']. J'. j .!', iii rr y j. 1! t -l', .7 1. •! :r. ,'i iL.',. , ji', /t, y. 1 F ' }'1'.+ i i Il 1, is 1 t r!ti 1 Ir .Y . t;. !'. l. '.11p/ f .':1:" 1', { "'t 4: ,. .._ !f.+. .. r 1 }it] 1 S . .. 1 t` t ,.. tt.;.+ .nr t Sii! i'_} f 4 t , Y r. •h: . `F. , : '1` 1 •I.i . '` . r!. !3 ', 1 li '.' IY ' i{ . • 'll , r I, v . 10, Sessions' Site Specific Health, Safety, and Work Plan 726 S. Union Ave. Bakersfield, CA 93307 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 11._ ,' ,- •• mot, , 1 - ;. 3 aX Sessions' Site Specific Health, Safety, and Work Plan 726 S. Union Ave. Bakersfield, CA 93307 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 r, .- iii ^ 11 4 STATE OF CALIFORNIA. iy.: C•.y nom" - +:S i a'''te:.; jr. '.•.• ,+...' Ff::.: +:s .bras - :ti K'.. - ,; `•`.r' .iv;.. ° . ..ly :r;`U'., .t le .,i.y ,• l: :i _ ti •,v` L rw' •ti> $.. `?1 7 tF • % .', 0.1,.•L, __ t i; et 4, _.Ty..1. i% :. yin . r ri_a: 'r l ^•+r .`: .. `4` ,. y:._ '` :NV 4.. _ , s` v i - , c 4" -i:: ?+jr•, :;;p.n y :.w,y +-:r 1. •w .•D i 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:. . to engage in the.fiusiness or act - h ttie capacity of a contractor in the 'follovving'c)assific4tlon(s): A - GFdVgRAL. BNGIfBBR1NG'CONTRACTOR HAZ - HAZARD. D.Ous - SUBSTANCES' REMOVAL Witness my hand and seal this.day, October C =4 f "• <:.•.. Ised August. 9s 20(9SIGNATUREOFLICENSEE - Stephta P. Sands Regisaar of Contractors ' SIGNATURE OF LICENSE QUALIFIER This license is the property of the Registrar ofContractors, 844326 Is not Iransferrable, and shall be returned to the Registrar Upon demand when suspended, revoked, or invalidated license Numberforanyreason. it becomes void if not renewed. 19L- 24 (REV.7.01) 040 05P01 59448 amrr ao+ State Of Califomia CONTRACTORS STATE UCENSE BOARD i c ACTNE LICENSE W 844326 INDIV SESSIONS 1 . A HAZ E 08/31/2014 www.cslb.ca.gov T 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 Ins or Small Business opened to provide Third Party inspection of underground storage tanks, repairs, coating and lining applications. Sessions - Bakersfield, CA 1986 -2011 ICC Certified Supervisor Started as a laborer in 1986 in providing inspection, lining and repair services in single and double walled underground storage tanks. Became a supervisor in 1990 and was promoted to 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. 1983 -1986 1980 -1983 t .. 1 ., - i. J i s t i i l: t r 1 . i 1'. ,1 SESSIONS 9521 W. Fritz Lane Bakersfield, CA 93307 661) 833 -9501 Fax (661) 396 -0569 License 844326A/ 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. r y. t:. i r. r 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 Engineer (1995 -1998) Supported Continuing Process Improvement Team in cathodic protection, materials selection, mechanical integrity, pressure vessels and failure analysis projects. Corrosion Engineering Manaeer (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) Engineering SpNialist - Bechtel Corporation, Houston, Texas (1979 -1984) Materials Application Engineer -Parsons Corporation, Pasadena, California (1974 -1979) 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 ofSouthern California, Los Angeles, California - 1963 1 BGARD FOR PROFESSIONAL ENGINEERS, LAND SURVEYORS, AND GFALOGISTS dCa•. 2535 CAPITOL OAKS DRIVE, SUITE 300 SACRAMENTO. CA 95893-290.4 976 263 -2222 CERTIFICATE NO. CORROSION ENGINEER EXPIRATION CR 111 03/31/14 ROBERT PAUL 2243 -- ASPEN MIRROR WY APT 204 LAUGHLIN NV 89029 RECEIPT a0. 205201ti8 7 P 1 r 7 TJ VERIFY': GTHENTICITY OF Cantlidate ID: Name: F e: Address UST Installation /Retrofittin FINGER.- AUTHENTIC OOCUMENTMU CHANGE COLOR FROM ORANGE TO YELLOW Date: 4/19/2011 Birth Date .. 8/27/1961 H BAKERSFIELD CA 93307'' ;x c r EXAMINATION RESULT,.;,- , fx i s.. p ongratulationsl You have:,passed -the above named examination' Your wallet card will be forwarded`fo ;. C you by ICC within six weeks.from_the lastrday of the month in which you tested. This certifica #e iscurrent :, . for two years. You may request a wall cerf f"cate from ICCas well. Throughout 201 i ,this certificate will be provided at x a q< no cost`to you,rf you request it within 90 days of yourexam. Only one wall certificate per exam passed - ' wilt be provided to you at no charge. For more information on requesting a walhcertficate, go to wwwaccsafe.oraCnsoector. PearsonItisextremelyimportantthatyou666 VUE and ICC of any changes, in name and or address to t F avoid'fle passibility of your wallet card ancUor certificate not being received. Please contact Pearson y t.. VUE ats800= 275 -8301 and-' a# certexam @ iccsafe.org with changes. to your name and addres§ "(name Ycharngesmayrequireadditionaldocumentation). There may be an additional -fee °if a certification is bre= issued due to a misspelled name or incorrect address. 1 RSox r y o t 1 AU r 5 3 n fYT ss': rte" HDIH QNV ,WBI H109 SVaUV _3XUVO H11M SHon Ol xuva.470Hd AIPGA3 OHV Al1Vf1C7H` J', umoO "S3oNVH3`1tlHl "ONf10u0N0b'8 03udbiob LLlnW:b;SVH 1N3WA3OG SIHl =1&3OVA 3Hl CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT srLVEgrO VIGCMES 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 9wgm'VVooq Y 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 L A CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT avAarBAWA EM 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 y _ 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 t t` t_ r. b I y i CERTIFICATE OF COMPLETION AUSTIN & KALEN ENVIRONMENTAL CONSULTANTS THIS IS TO CERTIFY THAT Im YMWWONO 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 s.. _ .. . x: BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # rites 1501 Truxtun Avenue, 1st Floor Bakemfleld, CA 93301 Ohn.,e• 941 -114 -1070. Pm..- 491- OR1.1171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 Over 10,000 sq R $0.028 x sq It 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 & Modification) $470 Additional hood $58 Spray Booth (New & Modification) $470 -- jAboveground Storage Tank (i inspection per Installal:10n ) AST SITE TWORMATiON LTION of vRw N aaoa81TY owre STARTM DATE comnuidN DATE NAME NAME -,& c``r 1 8s1(o Icny STATE CAF Z'PCO of: 7 CONTRACTOR INFORMATION COMPAU05 NAME CA LIFE a e s:c hs $ 4 ate ITM OF LTCFN91= e1aqRAnON DATE H f Z "S ao y PHD $ to 833 9s coNn+ACr.COMPANY emso FAX ADDRESS S \ 7—c- a O, 21P CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 Over 10,000 sq R $0.028 x sq It 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 & Modification) $470 Additional hood $58 Spray Booth (New & Modification) $470 -- jAboveground Storage Tank (i inspection per Installal:10n ) AST 180 /tank 82 Additional Tank ATI 96 /tank 82 Aboveground Storage Tank (Removal, Mod,or Inspect'n) A 109/tank 82 Underground Storage Tank (InstBilation/Inspection) MI 878/tank 82 Underground Storage Tank (Modification) M 878 /site 82 O Underground Storage Tank (Minor Modiflcation) MTM 167 /site 82 nderground Storage Tank (Removal) TR 573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 MOTE: $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- inspectlon) X 96/hr 82 Tent # 96/bent 84 O 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 96 /hr + (5 hrs min standby fee/insp)= $576 84 Re- inspection/Follow -up Inspection 96/hr 84 D Portable LPG (Propane): * of Cages? 96/hr 84 Explosive Storage 266 84 Copying & File Research (File Research fee $50/hr) 0.25 /page 84 Cl Miscellaneous 94 r i t i' -• . BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention servicesR_MXT pfVJ > 1501 Truxtun Avenue, 1s* Floorrr Bakersfield, CA 93301 I9YY ParM195 muss ve revileweu, stamped, and approved PRIOR TO BEGINNING WORK. 111 0 Alarm - New & Modification (minimum charge) $280 Over 10,000 sq ft $0.028 x sq ft z'''3 o e: bbl-326-3979 a Fax: 661 -8 -2 71 TION OF PROJECT e o PROPERTY OWNER STARTING DATE CDMKM6N DATE Uk NAME . PROJECT NAME 92.00-3 ADDRESS _ iaE, 82 PHONE # a.5 I !cPROJECiADORESSr 2 NXoi No Bakersfield,;CA 93307" an' Fay l,,5RSFI ELD srATE CA Z aPcoo CONTRACMg NAME F C, e e• CA LICRdSE S , e TYP O EXPRATION DATE H AZ LI PHO & lCONTRACrOCOMPANYNAME h t E s0 py•, Pyrotechnic (1 permit per event, plus an inspection fee of96/hr during business hours) py OTE: After hours Pvrotechnic event ins on is Q 121 hr FAX 8 I.96._G (c ADDRESS ' y,• C. 21P DE 3 Iz, r 96 /hr 840 I9YY ParM195 muss ve revileweu, stamped, and approved PRIOR TO BEGINNING WORK. 111 0 Alarm - New & Modification (minimum charge) $280 Over 10,000 sq ft $0.028 x sq ft BAKERSFIELD CA 93307 -: 844326A/HAZ PAY TO:THE' '" ` ` r ' 3 ORDER of :.: City of Bakersfield One,Hundred :Nihety- Two,and 00 /100 *.' ". r City'of Bakersfield P O :.Box 2057 Bakersfield;`CA 3303-2057 . MEMO Luck 7 ` t . i. 90c4279/1222 t Yr.•+ z'''3d, 2/19/2013 9 82 r, 96 /hr 92.00-3 f M1S RDN tl.i. "10 Panama Road 82 0 SESSIONSyr9521 Bakersfield,;CA 93307" T k` a' vFRITZLAN. W LANE 84 BAKERSFIELD CA 93307 -: 844326A/HAZ PAY TO:THE' '" ` ` r ' 3 ORDER of :.: City of Bakersfield One,Hundred :Nihety- Two,and 00 /100 *.' ". r City'of Bakersfield P O :.Box 2057 Bakersfield;`CA 3303-2057 . MEMO Luck 7 ` t . i. 90c4279/1222 t Yr.•+ z'''3d, 2/19/2013 9 82 Oil well (Installation, Inspection, or re - inspection) X 96 /hr 92.00-3 82 0 Tent # i#** 1rK**+#+#+#++#*# t#*#++ t* tk**+#** *##* * # * # + + + + * + + #t * *** *#• * #+4 * ** +fir * +# '• . DOLLARS °. 84 After -hours Inspection fee 121 /hr (2 hrs minimum) =$242 h t r. t - E s0 py•, Pyrotechnic (1 permit per event, plus an inspection fee of96/hr during business hours) py OTE: After hours Pvrotechnic event ins on is Q 121 hr a• I y,• 0 Re- Inspection /Follow -up Inspection 11600739L11' 1:L2221,2?90: 002 00238411' W manuacea Leaa uemmon (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 0 Tent # 96 /tent 84 After -hours Inspection fee 121 /hr (2 hrs minimum) =$242 0 Pyrotechnic (1 permit per event, plus an inspection fee of96/hr during business hours) py OTE: After hours Pvrotechnic event ins on is Q 121 hr 96 /hr + (5 hrs min standby fee/insp)= $576 5 hrs min standby fee/inso)=$605 84 0 Re- Inspection /Follow -up Inspection 96 /hr 840PortableLPG (Propane): # of Cages? — 96 /hr 84 0 Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84 Miscellaneous 84 To: Sessions SPECIAL INSPECTION REPORT Site: Lucky 7 Address: 726 S. Union Ave. Bakersfield, CA 93307 Date: May 29, 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 7,000 gallons Dimensions 8'x 20' 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 NL 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: 3131/2014. PASS FAIL X X X X X X X STAMP r Y` To: Sessions SPECIAL INSPECTION REPORT Site: Lucky 7 Address: 726 S. Union Ave Bakersfield, CA 93307 Date: May 29, 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 8' x 27' Product Fuel CCR Title 23 -2663 PASS FAIL b) Tank has been cleaned so that no residue remains on the tank walls X c) (A) Determine that tank has been vacuum tested at a X vacuum of 5.3 Inches of Hg for not less than one minute. 8) Witness ultrasound test - average of 75 or X greater of original thickness. Visually checked the internal lining for discontinuity, X compression, tension cracking and corrosion. Test for thickness and hardness of the lining In X accordance with nationally recognized industry codes. Test the lining using an electrical resistance Holiday X Detector in accordance with nationally recognized industry codes, Holidays located, repaired and re- tested Xd) 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 ONL 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: 3131/2014. STAMP w' ''. 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 1 EDES_CRIPTION 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 ;TYNE BAKERSFIELD CITY FIRE DEPARTMENT.' FIRE DEPARTMENT-(FINAL), 3- REMARKS: BUILDING ADDRESS: S• rV i p JOB DESCRIPTION: l:vi J c OCCUPANCY TYPE: OWNER: fK % PERMIT NO. -10660 Z CONTRACTOR: PHONE # - O FD 1743