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HomeMy WebLinkAboutUST-REPORT 4/20/2004 FIRE ORDINANCE VIO TION A ' ;7 - eR Ba~ersfield Fire Dept. ] 1715 Chester Ave. CHECKED BELOW ,aOLAnON NO REQUIREMENTS COMBUSTIBLE WASTE/ ! 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U,F,C.) COMBUSTIBLE STORAGE I ! Relocate combustible storage to provide at least 3 feet' clearance around motor fuse box/fire door (NEC.) (UF.C.) , Relocate fire extinguisher(s) so that they will be in a conspicious location, hanging on brackets with the top to the extinguisher not more Ex'nNGulsNERS __,_'*_... than 5 feet above the floor. (NF.PA, No. 10) ........................................................ Provide and install (amount) __ approved (type & size) portable fire extinguisher to be immediately accessible for use in (area) (U.F.C.)  'Recharge all fire extinguishers. Fire extinguishers shall be serviced at least once each and/or after each year, use, by a person having a valid license or certificate. (U,F.C.) SIGNS 7' Provide and maintain "EXIT' sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the FIRE DOORS/ Repair all (cracks/holes/openings) in plaster in (location) . Plastering shall - FIRE SEPARATIONS return the surface to its odginal fire resistive condition. (U.~.'.'.'~ ....... 1 0 Remove/repair (item & location) . Self-closing doors shall be designed to close by gravity, er by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EX~TS 11__.. Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) tl 2 Provide a contrasting colored and permanently installed electric light ever or near required exit (location) ......................... to clearly indicate it as an exit (U.F.C.) ........................................ STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stainvays stair shafts. (Fire escapes/stair shafts are to be I maintained free from obstructions at all times,) (U. F. C.) k--&CTR, A--i ............ ............................................. (N,E.C.) (U.F.C.) APPLIANCES ~ Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed.  Remove mulitiple attachment cords from specified electrical convenience outlet (one plug per outlet). (NE,CO (U.FC.) oN {DAm L?~O,' ~ AN,NBPEC~ON ~LL BE M^DE.,F NO COMP.,^.CE. ADD,TIO~AL PERSON ~:r..~a NOT~(/'O~,,OLAT ON ^FTE~ WOt.^I~O~S 0 E t OF. THE~IRE CHIE~ DATE COMPS'ED / FIRE PREVENTION SERVICES ~.~-~'E-~- ........... . ........................................................................ l?l~ CHESTER AVE. , C.F.C. CALIFORN|A FIRE COOE U.B.C. UNIFORM BUILOING CODE BAKERSFIELD, CA 93301 I B.M.C. BAKERSFIELD MUNICIPALCOOE PHONE: 326-$975 i N.F P.A. NATIONAL FIRE PROTECTION ASSOCIATION N. E, C, NATIONAL ELECTRIC CODE fd 1916 (rev Feb. 2003) YO0-S IdOBIL 800 34TH BAKERSFIELD CA 98301 6F 969-1974 04-20-04 11:22 AM SYSTEM STATUS REPORT T 2:DELIVERY NEEDED I NVEIqTORY REPORT T I:SUPER VOLUME = 2517 GALS ULLAGE = 7224 GALS 90% ULLAGE= 6249 GALS TO VOLUIdE = 2515 GALS HEIGHT = 27.86 INCHES WATER VOL = 13 GALS WATER = 0.82 INCHES T~ = 66.7 DEC F T 2:SPECIAL VOLUME = 711 GALS ~T~ VWL ' 0 D~LD W~TEK = B.DO I~HE~ TEMP = fig.0 DEG F Bakersfield Ftre Dept. NIFIED PROGRAM INSPECTION C~ECKLIST,~t~ 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME . I _ ~ / INSPEC"[ION O~.TE INSPECTION TIME ..................................................................................... ~'~Bi,/~--N-~- .............. FACILITYCONTACT Business ID Number 15-021 - Section 1' Business Plan and Inventory Program [] Routine ~Combined [] Joint Agency [] Multi-Agency Fl Complaint [] Re-inspection C V ('C=Compliance~ OPERATION COMMENTS k v=Violation ~ [] APPROPRIATE PERMIT ON HAND ~, [] BUSINESS PLAN CONTACT INFORMATION ACCURATE [] CORRECT OCCUPANCY /U'-~ V~, ~/~_ ~f;~._ ~+r~.~ l J~ [] 'VERIFICATION OF INVENTORY MATERIALS ~ [] VERIFICATION OF QUANTITIES ~ [] VERIFICATION OF LOCATION ~ [] PROPER SEGREGATION OF MATERIAL J~ [] VERIFICATION OF MSDS AVAILABILITYE ~ [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ [] EMERGENCY PROCEDURES ADEQUATE ,~ i"1 CONTAINERS PROPERLY LABELED J~' [] HOUSEKEEPING [] ~ F,REPRoTECTION J~ [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE,9: [] YES ,J~.No EXPLAIN: ~,~ OFFICE OF ENVIRONMENTAL SERVICES  ~,~ ~ UNIFIED PROGRAM INSPECTION CltECKLIST ~_~.~:.~ 1715 Chester Ave., ya Floor, Bakerstield, CA 93301 Section 2: Underground Storage Tanks Program n Routine ' ~Combined ~ Joint Agency n Multi-Agency O~mplaint ~"Re-inspection Type of Tank ~ Number of Tanks lype of Monitoring C~ Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data or~ tile Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Y'.-. Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Ad&quate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Office Of~en~ff~rces~ 32~79 While- Env. Svcs. I'ink -",,~i,,~ c,, ~- B u~Site Respon/ible P~y -D ', Postage $ _-r' Certified Fee / I-'1 Postmark . rm Return Reciept Fee | Here I--t (Endorsement Required) ~_ · r'-! Restricted Delivery Fee | ~1 (Endorsement Required) ~ ru Total Postage & m pontro o s Mobil ~ I · Complete items 1, 2, and 3. Also complete I-1 Agent item 4 if Restricted Delivery Is desired. I"1 Addressee · Print your name and address on the reverse so that we can return the card to you. ~. Received I: C. Date of Delivery · Attach this card to the back of the mailpiece, \.~ .-~ c~ ,(~ or on the front if space permits. D. Isdellvery addressdtfferent fr°m Item 17 [] Yes .,, 1. Article Addressed to: If YES, enter delivery address below: [] NO Yoo's Mobil 800 2~..th c · ~tl:eer [3. so~c~ Typo I ~ ~rtlfled Mall ~ ~ M~I Bakersfield, CA 93301 J ~ ~ R~e~ ~ R~m ~ ~r Memhand~e ~ Insu~ M~I ~ O.O.D. 4. R~ ~llve~ ~ F~) ~ Y~ 2.~lcleNum~r 7003 2260 0004 7652 3393 . ~ PS [o~ 3811~ug.~o~t ~[ [~ ~[C:R~m R~l~ ~0250~M,lm D December 12, 2003 CERTIFIED MAIL Yoo's Mobil 800 34th Street Bakersfield, CA 93301 RE: Propane Exchange Program FIRE CHIEF RUN ~,~ZE Dear Owner/Operator: ADM~NISmATIVESERVtCES The purpose of this letter is to advise you of current code requirements for 2101 "H' Street Bakersfield, CA 93301 propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not VOICE (661) 326-3941 FAx (~61)395-13~9 apply to large propane tanks, only propane exchange systems. SUPPRESSION SERVICES Over the past two years this office has noted a dramatic increase in the propane 2101 "H' Street Bakersfield. CA 93301 exchange system in the city of Bakersfield. It has also been noted, with great VOICE (661)326-3941 FAX(661)395-1349 concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. PREVENTION SERVICES FIRE SAFETY .~ERVICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. Accordingly, procedures for storage of propane cylinders awaiting use, resale or Bakersfield, CA 93301 )~'OICE (661)326-3979 exchange, have been adopted through BMC (Bakersfield Municipal Code) and ]FAX (661)326-0576 adoption of the 2001 UFC. The procedures are as follows: PUBLIC EDUCATION 1715 ChesterAve. Storage outside of building for propane cylinders (1,000 pounds Bakersfield, CA 93301 VOICE (661) 326-3696 or less) awaiting use, re-sale, or part of a cylinder exchange point FAX (661) 326-0576 shall be located at least 10 feet from any doorways or openings in FIRE INVESTIGATION a building frequented by the public, or property line that can be 1715 ChesterAve. built upon, and 20 feet from any automotive service station fuel Bakersfield, CA 93301 VOICE (661) 326-3951 dispenser. (Note distance from doorways increases when FAX (661)326-0576 cylinders are over 1,000 pounds cumulatively.) TRAINING DIVISION 5~2 wctorAve. Cylinders in storage shall be located in a manner which Bakersfield, CA 93308 VOICE (661)399-4697 minimizes exposure to excessive temperature rise, physical FAX (661) 399-5763 damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete filled. 2) Spaced not more than 4 feet between posts, on center. Lette~To: Owner/Operators of Propane Exchange ~tems Re: Propane Exchange Program Dated: December 12.2003 Page 2 of 2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. 4) Set with the top of the posts not less than 3 feet aboveground. 5) Located not less than 5 feet from the cylinder storage ai'~a. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, Steve Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer SECONDAR~",SYSTEM CERTIFICATION FORM UST Annular Space ,' :: ......... Tank! ..... Tank 2~)L)~ T ............... T ..... ~j:,,~., '. , , ............. . ~;..,~'~'"~:~;:?'""'.,,.,;:.~, ,~,~,~, ::~0:~_,....' ~'"': ..... ' ~' -~.~:- ...... .: .-"D~ ".'.. ~ ' .. / ':~"'" ' SECONDARY ;SYSTEM CERTIFICATION FORM rr,,~,,,..' Turbine Sumps ~,~[,,, ,~ ~ ..... -. Page 2 qf ~ SECONDAR,Y SYSTEM CERTIFICATION FORM DA TE___L~L~o 3 FACILITY I1~~ ~?: UDC T~TING D[SPENS 1,, DISPENSER 2 DISPENSER 3 D~PENSER 4 ..~, ~IGHT OF . .. %?', C~TIFICAT1ON ~> ~ - ~B '~ ' ~,?,.?, ,},x~'" / / N~,t,:,' ' - ......... . ........... .... k~,~,~, , START ~E ,.,.1,,:.......... - _. -~..: . ........ ..... ,... , ~:;,,,~.~ [~TIAL ~.; .................. .. ~,... WA~R ' -" HEIG~ ~.~;. ............... . .............. . ..................... - ,s~.'.,~ ~, .;'. HEIGRT ;,~, L] I11_ L I , I .I i' - ;___;-. ........... ' .t~;M,:'. ' 'y~,~:.. t~"~"'" ~.~F~'..' 0t,'1' ICE 01' tiJ~VIt~,OX.Xli;JS,'TAI.. SI;.'Rx,'ICES ~.x,,Z~?~.,. 1715 Chester ,..X~e,, 13~kcrslield, CA (.661) 326.3979 APPLICATION ~I'O P£RFORM A T,,\ NK TIGHTNE$S TE~'q'F/ SECONDARY CONTAIN.XlI,iN'I' TESTING FACILITY PER~T TO OPERATE ~ OPERATORS NA~ OW~RS N,4~ N~BER OF TANKS TO BE TESTED IS P~ING GOING TO BE TANK ~ VOLUME COUNTS NAME & PHONE NU,%lf3Ei~ TEST METHOD NAN~ OF TESTER OR DATE/'& 'I LME I'~T APPROVED BY DA'I'E 51GN.,x I'URE OF APPL3CANT CITY OF BAKERSFIELD OFFICE OF' ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakerstield, CA (661) 326-39'19 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING FACILITY , t//01~.~ ./'//~, ~ P~ TO OPERATE ~ S - / qgG- l- ff OPERATORS NA~ JoO OW~RS NA~ y~o ~ER OF TANKS TO BE T~TED IS P~iNG GOING TO BE ~~, TANK ~ VOLUME CO~S ,,, ~ 10~ ~e~/~ TEST ~THOD,, ~ ~_ NA~OFTES~R OR SPECIAL ~SPE~OR ~ ~,X D~~ T~E T~T IS TO BE CONDUCFED. ~. ~~0aJ J;oo Pm APPROV~ BY DATE SIGNAT~ OF APPMCA~ '~ ~ 1 0-1 &-2003 2: 31~M CALVALLEY EQU I P 1 661 32r-,2r-,2 P. 2 · .MONITORING SYSTEM CERTIFICATION . ' For U~e By ill JurHdict~on~t ~Yithin the State of California . Authority Cited: Chapter 6. 7, Health and Safety Cod~-; Chapter 16, Division 3, ~itle 23, CalOrornla Code of Reguldttons This form must be used to document tearing and servicing of monitoring equipment. A s~parate c~rtifieatloR or .r,~port mast pt~ued for each monitorin~ system control panel by the technlaian who performs the work. A copy of this form must be provided to thc tank system ow~.~r/operator; The owner/operator must submit a copy af this form to the local agency regulating UST systems Within 30 days of test date. A. General Information Facility Name: _.'~_.~ ._~.. 19~/~; / L _ Bldg. No.:. . Sit~'Address: ~'O0 5'V~'/. <?/'~ ..... tilT: _/'~t_/C.~'.~/t//~ ._~ Zip: ...... Pa'cllltY Contact Person; Contact Phone No,: ( Make/Model of M0nitoring System: ~/'/~f~'~ ~/'~ ~ Date of Testin~$ervlclns: ~1~ //~ Y~.. B~ Inventory of Equipment Te~ted/Cerfifled Cheek 0~e s i] ~: ln*T~k Ol~ugingP~r. obe. Modal: ~'~/a.~ ...... / J~' In-Tank OaU~ing Probe. Model' ,U4 ~' Annular Space or Vault Sensor. Modal: ~i't,,a~t~'t ra~,,e' .i'e,a,,3]- ~1 Annular Spa¢~ or Vault S~aso~. Model: ,tr-/~: Y',~,,~'-~,-~,.c,-~' I~ Piping Sump/Trench ScnSot'(s), Modal: .-_g'o~ ~¢/aX'~p [~ii[ Piping Sump/Trench Sensor(s). Modal: ~;o~,~.S"t~c,a,~' . 13 Fill ~ump Sensoris). Mode. h ........... [ C! Fill Sump Sensor(s). Model: -'? ......... - ~ M~hanl;al Linc L%k Detec;or. Model: ~l,~ [][1' Meohanicai Line Leak Detector, Modal:' II~l~ak · 13 Electronic LIn~ Lank Detector. Model: ! C] P:l~-~rosllc Line Leak Dedector. Model: ...... ~-' ' 13 Tank Overfill / High-Lewl Svnsor. Modcl: [ O Tank Overfill / High-L.~vol ,~molr. Model: '= ' · [ ~ 0b~er ~_s~..Cll~ equipment b'pa and model in Section £ on P_nge 2). CI Other (speelfy equipment lyl~ and model in 8eolian Bun Ps~e ~) ' ' [ ~ In-Tank Gauging Prob~, Model; /~J. , [3 In-Tank Gausing Probe. Model: [ ~ Annular Spaca or Vault Sensor. Model; p'/z~ '~,~' ~,~ rs? . [] Annulm' Spa~ or Vault Sensor. Modal: [ ~ Piping Sump / Trench Serlsor(s). Mode4: .~ ~z4~ ~ _~t,,," K! Piping Sump / Trench ~sor(s). Model: ' I [] Fill Sump Sensor(s). Modcl: _.~ ~ Fill Sump S~tlsor(s). , Model: I,~.M~chaldcal Ling L~ak i~,octor. Model: /~/.-~ ~ Mechanical Line Lank Detector. ' Model: 13 I~feclronle Ll~e Leak Detector. Model: [~ Electronic Line Leak Detector, O .Tan'k Overfill I Hl~h-Leval 5~nsor. Model: ~1 Tank Overfill / lti~h-L~val Sensor. Model: , ~.,?~___ er (Sl~Oify,.~,qulpment typ~ and model in Section 1~ on Page ~), 13 Other (speelIy equipment typ~ and modal In Section I~ on' Pa~e 2).. D~lpens~r ID: __! _'-_~ ' - Dispenser ID: '7- ~ [3 Dispenser Containment San$0r(s). Model: ~ Dispenser Contalnm~l Sensor(s). Model: I~ ~haat Yulv~s). ~ Sh~u' 9 ? ............. m' Ol.p. , ' o (s)and CS,in(s), . Dbl~er ID: ?~.y_ Dispenser iD: '. C] .DiSpenser Containment Sensor(s). Model: 13 Dispenser Contalement Sensor(S). Modal: lg She~r Valve(s). ~ Shin' Valve(s}. .: Iii D_L~_~g~ Containmant Float(s) and Chain(s). ~._D~_ penner Contaim~nt Float(s) and C. hain(_s_).__ Dl~.pe#l~r ID: ",~"'~ ....................... Dispenser ID: 'i.~.. CI Diapeas~r Contal. nmant Sansor.(s). Model: CI Dispense' Containment Sensor(s). Model: : I~ Shear Valve(s). Q Shear Valve(s). ~ispenser Con~..n.m. ant ,Floats,) and Chain(s). ..CI....D. ispenser Containment Float(s) and Chain(s). , " *if tbs faolllty oontaina more teaks or dispense, ts, ~opy' ~is form. Include information for every tank'and dlspcaa~' at tim faellity. : . C, Ce~tiflcatlon - ! certify that the equipment igeatlflefl in thla doeument was inspectedlservieed tn neeordanee w/ih the manufaetueers' guidelines. AtL~ehed to shit C:erttficatlon is information .(e.g. menufaoturere' checklists) necessary to verify that : . InformatiOn is current and a Plot Plan shawls& the layout of monitoring equlpmea£ For any equipment capable of generating reporOa, l.have also attached a copy of the report; (c. ite'clt alt that apl~ly): CI System set-up rq Alarm history report Certification No.: ~g,'.~X'q'q'?tr' Li0ens¢. No.: _'7_1~t//7~__._/~ Teath.~g Company Name: .C_~_-L/w[/¢? li~ o/?'~/l¢,a r._ Phone No.:(~) 13'2, site Addr~: ~ov _ny~ ~.~, ._ff~Xo~x~C,'~.Z~.: C-a,,_ ..... Date of'rutinr/$ervloi~S: ~ //.~/.t~_ Page. 1 of 3 K1/01 ' Monltori~ll System Certification ~ ' 10-1 A-2003:2: 31 PM C;ALVALLEY t='gXJ ! P 1 i~G 1 -"~'~.~2.~2 P. 3 D~ Results Of Testing/Servicing 'Software Version lns~led: _~ Yes Cl No*' Is the.audible alnn~ operntional~. ...... - ~[ Yes I~ N°*..' Is theYJsual alarm operational? . ~ Yes ~ No~ Were aJi sen~or~ vlsuaily inspected, fun~ion~ll....Y te~ted, nnd'co~flrme~l ~peration. al?. ~ Yes ~' No* W. ere 'tdl sensors instaLled'it"lowest point of secondary containment nnd posi'~0ned so that olher equipmen~ will not int~fere with their proper..o. ~rafion? ~..Yp~ ~ No* If ajarms '~e relayed to a ~motg monitoring station, is all c. on~muntcations equipment {e.g. modem) I~i N/A ~ Ye~' .O Not For i~'essurized piping ;yslems, does the t~'~bine automati~til};'~hut down If the pip'lng se~:ondno, con~nm~nt gl N/A monitofin§ system.detects a I~ak, fails to operate, or is electrically disconnected'/ If)es: which nensors initlnl~ positive Jhul-down7 (Ch~c/~ all tAat apply) ~'Sump/Tr~nch Sensors; ~ Disl~nser Containment Did you confirm positive shut-down due to leaks and sensor failure/disconnection? l~Yes; n No. . ~1 Ye~ C:I No* For tank. si,~llems that Utili? the monitoring system' ns the primary tn~k' 'overfill Warning' de,;,ic~ (i.~..no Ila N/A mechanical overfill prevention valve is installed), is the ove~lll warning alarm vi$ibl~ nnd audible' at 'the tank · fill p.0int(~) and op~ratin$ properly? If so, at wh_at percent of tnnk ¢.npa.ci.ty does the alarm tri~,l~et? ,% "i:1 yes* ~i~. No Wn$'~ny-monitorlng equil~nent replaced? lfye~, identify apecific sensor~, probes, et other equipment rep. la,ed nnd list the manufacturer name and mod~l for nil replaceme~l, p.nr? in Section E, below. ~ yes* ~ No 'W~ liquid found 'inside any secondary ~ontainment syst,n~ d,si~n~l ~ dry systems? (Ch~:/~'~'ii that O Product; ~ Water. it-yes, describe causes in Section E, belo. w. '~ i ye~ ' "~ No* Was monitoring ~.y.st~.m. set"up revi~v~d to ~nsuro pr..o, per ~ettin~? Attach set up top°rt~, JfaPl~licabi* [f-Yes" Q' No* Is al! monitoring equipment ope~tio~! p. er manufacturer's speclflca~on,,,~, * In Section E below, describe bow and when the~e deficiencies were or wifi be eorretted. Page 2 of 3 0,~}1 0-1A-21;~1~3 2: 31 PM CALVALLEY EOU ! P 1 661 32~2r-',2 P. 4 ' .hi-Tank Gaugin~/.SIR Equipment: ~i~ Check this box if tank gauging is used only .tbr inventory Control, " I;! Check this box if no tank §au§in8 or SIR equipment 19 installed. Th~s section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. C~lete the followins checklist: .... Yes O No* Has nil Input wiring been inspeoted for proper entry nnd termination, including testlng, ,,., for ground faults? Yes n N.o* W. em~ll tank gauging probes' ~;isually inspected for damage and residue ,bu!!dup? . -O'Yas C3 No"' Was accut'acy of'syste~n product level rc~di~s tested? ' Yes C3 'No*" Was ~ccUracy oFsystem water level readin~ tested'~ ........ Yea E] No'"' Were all probes rcins{;ql~d properly7 Yes Q No* Were cji i~ems on the equipment m;,~ufacturer's maintenw~ce'~hecklist completed? ,, In the Section H, below, describe bow and when the~e deffctencle~ were or will be e. orreeted. G. Line Leak Detectors (LLD): [] Check this box i('LLDs are not installed. Corn the followln ' Q3 No* For equipment'start-up or annual equipment certification, was a leak almulated to verily L, LD per'refinance? I;i N/A (C/~ec/c a//t/~Q/¢~p/~ly) Simulated leak rate: ~ 3 g.p.b.; (3 0. I g.p.h; c3 0.2 g.p.h. Yell IZI .No*" "~e~e all I..LDs c°n~u'med oper~ti°nal and accurate within regulato~'r~q~it:~ments? -¥e5 -!n No, was thc testing apparatu~ properly calibr~'~? Yes C3 No* For't~nnical LLDs, does the LLD restrict product flow if'it ~fetects a leak? ......... 13 N/A ' Yes [] No"' For electronic LL, Ds, dOes the turbine automatically shut ofTif'the LLD detects a leek? O N/A Yes K] No"' For eleCtroei~ L. LDs. does the turbine automatic, ally shut oil' it' any porlmn of the monitoring system is disabled {3 N/^ or disconnected? Yes .C3 Noe For electronic ~.I.,Ds, does the turbine automatically shut off if' an); portion of'the monitoring system C3 N/A malfunctions or faib a test? Yes ' Q Noa For electronic LLDs,'have ~1[ a~c~essJ~)le ~vlring connections been visually it~spected? ri N/A Yes IZ! No* Were ail Items on the equspment manuf'a~'mrer s maintenance checkimt completed? lu the Section l-l, below, describe how and when these deflelcneic~ were or will be corrected, Comments: Pa~t ~ of 3 03~1. 10-1 ~-2003 2: 3~M CALVALLEY E~I · Monltorhl[ System .' UST Monitoring Site Plan $i~ Address: ~strucfions If y~U already have a diagram ~at,shows all r~ulmd [n~rmafion, you my include it, ra~er than this pag~ wiflt ~ur MoP--ting gystem Cer~fieation. On your site plan, show the goneral I~out of ~nk$ and piping. Clearly identi~ · l~attom of tho ~llo~ng ~uyment, if ~n,t~t,d: moni~ring ~ystom consol p~el$; s*n$o~ monltoring ~nk ~nular $1~e~,~ sumps, dispenser pans, spill oontain~r,, or ~her a~onda~ ~n~nm©nt am~; m~¢hani~l or el~nio Iin~ i¢~ d,~et~; and [n-t~k Uquid level pmge~ (If u~ed ~r leak det~tion). In tim ~¢, provided, note ~ d~ thi~ 8it, Plan' Page ~-12-212)03 2:~11:>M FR~ALVALLEY EOUIP l~132B2B29 P. 2 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979. APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACILITY OPERATORS NA~-_, OWN~S NAME__. 5~m~._. N~E .OF'MON~R ~UFACTURER DO~ FACULTY ~VE DISPENSER PANS? Y~. ~ NO TANK # VOLUME CONTENTS NAME Ola TESTINO COMPANY CO~RACTORS ~CENSE ~ 7~/7~ ' NA~ & PHONE NU~ER OF CONTA~ P~SON~ DATE& T~T~TiST0 BECONDU~ ~/.--~. O~.:. ., ,'~[ '{~}~ , .,~ , APPROV~ BY . DA~ SiONATU~ O~ ~C ": ' """ ..; ~,,..t,, ~ ,, p1010033.jpg (1280x960x24b jpeg) p 1010032.jpg (1280x960x24b jpeg) p1010031 ,jpg (1280x960x24b jpeg) p1010030.jpg (1280x960x24b jpeg) , -'..~i~e~ CITY OF BAKERSFIELD ~_~ ~c~ o~ ~:~vmo~~'r~s~v~c~s 1715 Chester Ave., Bakersfield, CA 93J01 (661) 326-3979 k T~K OE~ ~- ~ ~ ~ ~NVIRONMENTAL OTHER ~ ~ ~~~(o.1 ~ (~ ~) 3J~TU ~ OF o~~TOR (~ 471 T~ OF ~E~TOR JPCF (7~) SACUP~OR~~'~D . ._ CITY OF BAKERSFIELD d~FICE OF ENVIRONMENT~SERVICES .' 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS- TANK PAGE 1 , C,~ o~ ,~ ~) L TANK DE~ TANK I0 I ~ J T~ ~FA~RER ~ J(:~ CrT'Y OF 8AKERSFIELD OFFICE OF ENVIRONMENTAL SERVI(I~ 1715 Choler Av~., ~ke~fleld, CA 9~01 SYSTEM ~ESSURE ~ 2. ~TION ~ 3. ~ ~ ~ t. ~ESSURE CONSTRUCTIOn' J~LE W~ ~ ~. U~O T~ ~ N. O~ER ~ ~ 1. SI~E WALL ~NUFACTURER~. ~U~E WALL ~ M. U~ ~ 2. ~U~E WALL ~ ~. OTHER ~ ~FA~RER ~1 . WUFAC~RER e. ~, ~TER~LS A~ ~ 2. STA~ ~ ~ T. ~V~ ~ ~ 2. STAINLE~ STEEL ~ T. ~V~O ~EEL ~RROS~N ' CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (CM~ M tiler apply): ~ S. OAJLYVISUALMONITORINGOF~SYSTEM*(.~PIPINQII~TEORITy I--I S. C)AILYVISUAL. MONITORINGOF~pUMI:qNGSYSTEM TEST(O.! Cd=H) I"l 6. TRIENNL, U. INTEC4Rr~ TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN m~__ _nw GROUNO PtFqNG): SAFE SUC'nON SYSTEMS (NO VN. VES IN BELOW GROUNO PIllING): C.4~VITY FLOW. GRAVITY FLOW (Ct~t M ~at apply): [] 9. mENNU~U~'Ec, anY TEST (0.~ (SPH) [] 8. OAa. YWSU~LMONfTOeea~ I'1 0. mr:N~AL~TEST(O.I 8ECOIOA.q~Y CONTAJI~D lY4qNG 8ECONDA~LY CONTAJN; PRE~U;mCD ~ (Cr~ M Mt spply): ~SSURJZED ~ (C~w~ ~ Mt ~): ;~ SYS'rEMF~;~ ~-I ~). A~ PIJMPSHUTOFF~ ~. SYSTF. MFAJLR;SYSTEMO~N$%~ECTR~N 12 RESTRICTtON · )e4NUN. ~n'EC.,RrP(TEST (0.1 ~ l"J 12. N~NUN. ;NTEGRrrY TEST (0. I C.~) CONT1'NUOUSSUMPSENSOR+AUO48LEAHDVi~UN. ALARI~ I'-i 13. CC)NTIMJO(~UMP~g~OR +AUOIBLEANDVLSUALALA,qM~ EMERGENCY (3ENERAI'O~ ONLY ((::~Jed'M MIAMy) EMERGENCY OENI~AI'O~ ONLY M M ~hat ~,~.') [] .l$' AUTOMATIC LINE LEAK C3L=TEG'TOR (3-0 (3PH TEST) VVlTHOUT FLOW ~HUT OFF OR [] 15. AUTOMAlqCLINELEAKDETEG~TOR(3.OC.-,pHTEST) RESTRICTION [] 'lei. ANNUAL INTEGRr'rY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) i'-] 17. DAILY VISUAL CHECK [] 17. C)AJLY VISUAL CHECK DISPENSER CONTAINMENT ~HUT~OFF ~ VALVE l'~ 4. OAILYVI~UAL CHECK OATEINSTALLEO 4~ ~] 2. CONTINUOL~OI~a~I~.RPAN~I~O~*,AUOIilL~ANOVi~./ALALARM~ [] 5. TRF. NCHUNER/MoNrroRINO IX, OWNER/OPERATOR alGNATURE $1GNAT..U_~RE.~~.~ 0ATE 470 iUPCF (7/99) S:~CUPAFORM$~/VRCB-B.WPD -,_~~ CITY OF BAKEI~SFIELD ~__~. (~ICE OF ENVIRONMENT. ER¥[CE$ 171~ Chewier Ave., Bakersfield, CA 93~ 1 (661) 326-3979 uPCF (7~) 8:~UP~O~~~'~° OFPICl Ofr EN¥1RONMENTAL CORROS~N I ~ lo / ~ (o.~ ~ ~ 9. ~~~(ml~ ~ ~y~~ ~ · ~~~(o.~ I L~~) ~o. ~L ~O~~A~~ ~ L ~~~A~~ RESTR~T~ ~ ~6. ~NU~I~~T(0.; ~) ~ 16. ~I~E~(0.1  ..... · ': .-':: ... '.'i ~ .. ~~;~,~ -" O~N~R~M~ ' ~ · ~Y~~ ~ OF O~~TOR~O 471 T~ '~PCF (7~) S:~cUP~O~~B'~D COitRECTION N(]IrlCE 039~.~ BAKERSFIELD FIRE DEPARTMENT Loc, ation ~ ~q'~ ~T- Name \/0~ ~ ~\~)~ t~( You ~e hereby required to m~e ~e foiIo~ng co~ections at the above locatlon: Cot. No. Completion Date for Corrections ~/~ t ' Date .~'"1- (~ 3 ~.~ //"~ Inspector 326-3951 FD 1950 ~¥T I :DELI'v'ERy NEEDED ~ TC VOLUP1E = E:i 6 -;-: [,dATER = 0,81 INCHES ~'!'EPIP = 6~3,5 DEG VC, LiJME = t 949 TC VOLUME = 1947 GRLS b. JP' '~ ',./,;)[, = 20 GALS Lk~ = 1.10 INCHEf~ TEMP = 66.9 DEG VOLL~P1E = :346:3 ULI,,~GE " 62?8 90% ULLACE 5;30 3 GmLS TC VOLIJME = :3461 HEIGHT = 35,09 INC;HES WATER VOL = 13 C;RLS t, IA]'ER = 0.83 INC:HES TEMP = 67.3 DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3''a Floor, Bakersfield, CA 93301 FAC1LITY NAME 'x/Q0 0' tko (O, {'e~ INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine ~ Combined [] Joint Agency [] Multi-Agency_ [] Complaint[~1 Re-inspection Type of Tank ~)~ Number of Tanks Type of Monitoring ~ c~aA. Type of Piping OPERATION C V COMMENTS Proper tank data on file ~ Proper owner/operator data on file Permit lees current Certification of Financial Responsibility ~/' / Monitoring record adequate and current ~ Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance ~ V=Violation Y=Yes N=NO Inspector: _ Office of Environmental Services (661) 326-3979 Bus onsible Party White - Env. Svcs. Pink - Business Copy Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental Sezvices ' '' "'"" "" '""" ' ' ' ' '" " · 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY_~· --~L~-/--~-NAME ~ b I" I~ ' ' INSPECTION OATE INSPECTION TIME ADDRESS PHONE No. No, of Employees ..... a0_.O_. 3q +1., ............................... FACILITYCONTACT Business ID Number 1.5-021 - Section 1' Business Plan and Inventory Program Routine '~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint I'1 Re-inspection / C:Compliance ~ OPERATION COMMENTS t. V=Violation APPROPRIATE PERMIT ON HAND VER~F~CAnON OF MSDS AVA~LAS~UWE VERIFICATION OF ABATEMENT SUPPLIES ANO PR~EOURES ......................................................................................... EMERGENCY PROCEDURES ADEQUATE .......................................................................... ~ ............................................................................... ..................................................................................  ............................................. S~TE D~A~.A~ ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: i'[ YES ~ No EXPLAIN: QUESTION~/~EGAROINGfl~tI~SPECTION? PLEASE CALL US AT (661) 326-3979 .... ~---~/-'/-'L'- --~ /Inspector .............. Badge --~ No.. ............................. ~-usin~~' White - Environmental Services Yellow. Station Copy Pink - Business Copy ' 84/29/2;)89 17:83 6G18363177 REDWINE TESTING SVCS PAGE 03 /~,,// ~4/23/~00~ 12:$3 G~13920~21 PA6E: 02/02 ~mmp Manu£aa~u~e~:~ Zsol~ion Nm~ha~iem: ~ PRODUCT START TI~ END TI~ TEST VO~ O0; 00'/G~ 00: OO/GPH {PSI)_.. (GPH) ;A;L I ce~&fy thG~ the a~o~ lin~ ~es~$ were co.ducked acco=ding co The ce~t pass/fa.%1 ia de=craned uaing a threshold of 190 ml hour (0.05 GPM) ~ate m~- I 1/2 ~ wo~kin~ p=essU=e O= 50 p~i which T~h:~ ~ = _J~8 J, ~CH State Llcense:~__99-1~T/ $1gna~u= ~~~ M~. CE~T Z FI CATION: ~01. LT 04/23/2003 i7:03 6618363177 REDWINE TESTING S~CS PAGE 02 04/23/20I~3 12:§3 8513~J25821 ~W~E. 01 t~ RXCE ENV/RO AL 5643 ~OOKB CT ~KEI~aFI~LD, C~. 93~08 0~={E61) 392-8687 & ~ (661) 392-0621 ~ST ~S~T8 ' Tesb Date:O~/23/2005 SILLING:~DWINE TESTING SERVICES SZTE:34=h STREET NO~L ~,O.SOX Z56~ 800 34~h ST 8A~EP~Fi[LD, CA. 93302 BAKERSFiElD, CA PI~ODUC? ~I~OD~T M~CH.or ~T~¢. MONZTO~t UNL-59 -.00O-P~ NO TEST ~LA~ ~ S~P P~M-91 ~..002-~S N0 TEST ~NU~ & SUMP A precision ~e;t w~ perVo;mad on p=oduc~ ~ines a the above loQabion using the ACURIT~ TM PIPELINE TESTER. ! h~ve =evie~ed the data produce~ in con~unction wish this test fO~ pu, z~o~e of verif~inq =he results a~ cettifyin~ ~he ~=oduc~ line ~e~t sye~ems. The cest~g was performe~ in acorrdance w~t~ A~S P=o~oo~l, and thereEe=e ~at£sfLea all requi~emen~s fox such resting a~ ~et Eoxth by NFPA 3~9-92 an~ ~gE~A ~0 CFR part 2~O. The results of testing are ehowD O~ the Zoltowing >age. Included wi~h ~he repc£= are reproduction of ~ata =ompile~ ~u=~n ~he ~e~= which formed th~ ~asia ~o= these oonclus~on. Thl~ info, etlon ~s st0=e~ In a pe~nen~ file if future ~zification of %es[ resv[~ is needed. 84/2312883 i7:08 6618363177 REDWINE TESTING SVCS PAGE 82 · ~!Z~/2~03 12:53 ~613~2~621 P~ ~l/B2 RICH ENVIRONMENTAL ~ecl~ion ~d~ct ~ine Test Test D=~;=: 04/23/2003 E,O,~ ~5~7 ~00 34th ~T UNL-89 -.000-PASS NO TEST ~;~ ~ SUM~ ~-91 -. 00Z-PASS NO T~T ~NU~ m SU~ using the ACU.RITE TM PIPELINE TESTER, in oonJunction w±~h this test for p~rpose o~ ~ing the results an~ scot:dance with A~$ Protocol, a~d therefu£e satisfies The results of testing are ahow~ on =he £ollowing ;age. Included with Paganin= file if futu:e ~rifica:ion of ~e~t res~ Ltm is needed. 04123/2003 17:08 6618363177 REDWINE TESTING SVCS PAGE 03 ~/z~/2~3 12:53 6613~2~621 PAGE 82/82 RICH ENVIRO iVTAL CT ~2%KEJR~IrIEI~D ~ ~, 93308 WO~ P~DUCT ST~T TI~ E~ TZ~ T~ST ~L~ oo:oo/~, oo:oo/c~a ~ssL_ ~G~ the eq~pment ~nufac~u~e~s proc~du=es. ~e results as l~a~ed ~=e ~o hour ~0.05 GP~) =m=e mr. I 1/2 ~in=s working presm~r8 or 50 ~si which ever l~ grea~er. - Tcch:~J~S J. ~H S~ate L~ense:fl 99-109~ CITY OF BAIrd~FIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 ( INSPECTION RECORD POST CARD AT JOB SITE Facility ',N~ ~Q it,,.) ~ fliO(Zlt{ Owner 50~t~ fl[b/gl/,/ YO() ] INSTRUCTIONS: Please call for an inspector only when each g~up of inspections with the same number a~ ~ady. They will mn in consecutive order beginning with number I. DO NOT cover work ~or any numbered group until all items in that group a~ si~ed o~by the Pe~itting Authority. Following these instructions will reduce the number o~required inspection visits and there~bre prevent ~sessment of additional ~ees. TANKS AND BACKFILL ,~ ~ Spark Test Ceaification or M~uhctu~s Method ~ Cathodic Protection of Tank(s) PIPING SYSTEM Piping& Raceway w/Collection Sump ~[ q [~h q - t~-03 N~~ Co~osionPmtectionofPiping, Joints, Fill Pipe ~ff~ ~,el~ ~ ~ CI_i~.,~ ~ Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping O,~n= ~ ...................................... q-t 3~ 0 '3 SECONDARY CONTAINMENT, OVE~ILL PROTE~iON, LEAK DETECTION Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensor, Float Vent Valves PmductC°mpatibleFillB°x(es) ~[--~ "0 5 ~ ~ro~t L,~ Le~ ~=to.~ q_~q .~ ~ .~ ~ Leak Detectors) for Annual Space-D.W. Tank(s) ~ Monitoring Well(s)/Sump(s) - H20 Test q- t 7' 0 ~ Leak Detection Device(s) for Vadose/Groundwater Spill Prevention Boxes q'-( '~ 0 ~ ~a FINAL Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements Typel~otl~cetO q? Auth°fizati°n 'hr Fuel Drop CONTRACTOR CONTACT flO~g'.t/~ 'Toe~¢ir- PHONE#%3q'~oqf3 I OFFICE OF E ONMENTAL SERVI E ' 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) [ ]NEW FACILITY J~ODIFICATION OF FACILITY [ ]NEW TAN{(. II~T~-L~A'I'ION AT EXISTING FACIL1T~ J~PA'~ "/ o~0o_R PROPO~ED COMPLETION DATE J~P~I~ t~t. EXIS'I]NG FACILITY PERMIT NO. crry //g,q~:e,o$~-~ec~ ZIPCODE ~$Sol TYPE OF BUSINE~ APN # , TANK OWNER PHOI~NO./,,~/- ,?~ ADDRF~8 CTI'Y/~4l:~e.X~'te.-~) ~PCODE c}-~3 II PH01~ NO. ~.n CITY B~ LICI/N~ NO./~, ~]/~ WORKIdAN COMP NO. BRIEFLY DE~R1BE THE WORK WATER TO FAC]IJTY PROVIDED BY ~(~4t.l~'o~JIR JO~-£~L ~-~~ DEPTH TO GROUND WATI~ ,.~00 /~T. SOIL ~ EX~F. CI]K) AT J/~TE ~,~/)v NO. OF TANKS TO BE Hq~TALLJ~ 0 ARE ~ FOR MOTOR FUEL " ' YES. X SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FEE ..~ YES ' SECTIOI~ FOR SfOTOR ~L TANK NO. VOLUME UNLEADED REOULAR PREMIUM DIESEL AVIATION ,3 e: ooo X~ SgCTION FOR NON MOTOR FUgL STORAGg TANKS TANK NO. VOLUME CHEMI~ STORED CAS NO. CHEMICAL PREVIOUSLY' STORED ('NO ~ ~) 0Y KNOWN) FOR OFFICIAL USE ONLY E~ ~P.I~ .~N~I'Ji&T'IU:: ~F.';. ;'::':: ".: '~:: ~.: F ~":: g ~.//'/~l~m~'~.· ':1~O~..'.':.: :'/;m~,~m.::;.~ ~/,~.::':",~)~'.1~O~ ~{{,"l~.q:.~ ~:.," ~ {~{ ~ ~ ~ ){ m:e~,%~ ,~i .:~~.;~,..~-....-.,:?..::::.::.;::;:.;:;;;::;:.~/:::;,~ .., ;%:.. :;.'~' .;;:';~;.;;;~:~:":;;;~=~ ~, :~... ....~.~ ~ ..:.::. ~ ~.~ ~ .... ~. .~.~, . ~PRO~ BY: ~C~ N~ ~ 810~ T~S APPLICATION BECOMES A PE~T W~N APPRO~D D /, January 22, 2003 Yoo's Mobil FIRE CHIEF RON FRAZE 800 34th Street Bakersfield CA 93301 ADMINISTRATIVE SERVICES 2101 "H' Street Bakers.eU. c^ 903o1 RE: Upgrade Certificate & Fill Tags VOICE (661) 326-3941 FAX (661) 395-1349 Dear Owner/Operator: SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 Effective January 1, 2003 Assembly Bill 2481 went into effect. This VOICE (661) 320-3941 FAX (661) 395-1349 Bill deletes the requirement for an upgrade certificate of compliance ~ (the blue sticker in your window) and the blue fill tag on your fill. PREVENTION SERVICES FIRE SAFETY SERVICES * ENtflRONIIEI~III, SERVICES 1715 Chester Ave. You may, if you wish, have them posted or remove them. Fuel Bakersfield, CA 93301 VOICE (661) 326-3979 vendors have been notified of this change and will not deny fuel FAX (661) 326-0576 delivery for missing tags or certificates. PUBLIC EDUCATION 1715 ChestorAvi~. Should you have any questions, please feel free to call me at 661- Bakersfield, CA 93301 326-3190. VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Sincerely,~ VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DlVlSION ~ ~/teve Underwood 5642 Victor Ave. Bakersfield, CA 93308 Fire Inspector/Environmental Code Enforcement Officer VOICE (661) 399-4697 FAX (661) 399-5763 Office of Environmental Services SBU/dc L D December 30, 2002 Lina Yoo Yoo's Mobil 800 34th Street Bakersfield, CA 93301 RE: Update Information for Tank Facility Located at FIRE CHIEF 800 34th Street, Bakersfield, CA RON FRAZE Dear Ms. Yoo: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 9,3,301 VOICE (661) 326-3941 Per your request, I am outlining the required modifications to your FAX (661) 395-1349 facility to meet Title 23 California Code of Regulations regarding underground storage tank systems. SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 The information provided in this report comes from the SB989 Pre-test VOICE (661) 326-3941 FAX (661) 395-1349 report completed by Bruce Hinsley of Cai-Valley Equipment. PREVENTION SERVICES F~s~,s,~Es.~.,~,=,,,~=~,~. l. Turbine sumps: May have to be replaced due to the large 1715 Chester Ave. Bakersfield, CA 93301 "'"*;Vene" a"ons. VOICE (661) 326-3979 2. Lined pipe trench needs to be replaced with a system (double- FAX (661) 326-0576 wall-fiberglass) that can be tested. PUBLIC EDUCATION 3. Sensors need to go into positive shut-down. 1715 ChosterAvi~. 4. Check with the local Air Pollution Control District regarding Bakersfield, CA 93301 VOICE (661) 326-3696 fill-tight requirements for vapor testing. FAX (661) 326-O576 FIRE INVESTIGATION Your tanks appear to be double-wall-fiberglass and currently meet 1715 Chester Ave. code. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661)326-0576 If I can be of further assistance, please feel free to call me at 661-326- TRAINING DIVISION 3190. 5642 Victor Ave. Bakersfield, CA 93308 VO,F~~ <~73~3~..7~z Sincere. Jy, ~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services 10-30-2002 3; 471:::'M FROM CAI_VALLEY I:'QU! I::' 1 ~6;1 ,_-32E,2529 I:'. · - MONITORING SYSTEM CERTIFICATION i For U.~ By'All.lurLqdictlort~ Within the Slats of California ,~utho/~tty Ciled: Chapter 6. 7, H¢,xdth and SaJbly (:ode; Chapter ItS, Division 3, 7¥tle 23, California God~. of Reguh#ion$, This form must be u~d to document testing and servicing of monitoring equipment. A separate certification or ,report must be prepared for each monRorin~system control panel by the tcchnieian who performs the work. A copy of this form mu~ be provided.to the ta~k System owner/operator, The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General loformation Facility Contact Person: __ __ Contact Phone No.: MakeJModel of Monltoring System: t~/?~¥_O £1~£., __ Date of Testing/Servicing: .~'._/.,~tg/O~. B. Inventory of Equipment Te~ted/Certified Check thc ta~Jpro:printc btoze! to indicate specific .c..qulpetettt in.npccted/scrvieed-* , ,,, ,, , Piping Sump / l'tcaJeh $on.~r($). MOdcI:. ¢t/~) Seta~f'~.7~Ydf~'~ ] li~ Piping Sump / Trench .~:nsor(s), Modcl:$O,t~$~c~r.~'_~/.~;;-", ~ Fill Sump Sensor(s), Model: r~ Fill Sump ${:nsor{$). Model: · . gl Mcclmntcfll [.Jot: Leak Dctccaor. Model: ~.._ (~' Mechanical Linc Leek Detector. Model: O Electronic LiJze Leak Octector. Model: __ {~ I~lecttonic bh~o i~l~. Detector, Modeh ~ Tank Overfill / Hl~.h. Lcv¢l Sensor, Model: ~l Tank Ovegfill / High-Level Sensor. Mudel: n. Olhcr (.,,'pecil~y cqt ipn, ent type ~d modcl in Section E on Page 2). ~ Othex (Sl~Clfy equ, ip,meet type and m,odcl in Section, Tank ID: ._._=2. Taok ~3~ ln-'l'~flk (~augJng Pr,he. Modcl: ~ 13 In-Tank Oauging Pml)c. Model; ' , ~fl~Annulm' Space or Vault $e,n~r. Model: ~_~,..?b, nZ:$eJa/'o~.. ..... {~ Annular Space 0¢ Vault Sensor. MOdcI: · ~]~ Piping Sutnp /Trench Sensor{S), Model:$e;-_t-Ce~-/..-~_ gL?D~' El Piping Sump / Tr~nclt ,%nsor(s). Model:' El Fill Suni'p Sensor(n). Model: __ ~ Fill Sump $c~n$or(,q). Modcl: ~il Mccltanic~nt linc. Leak I)ctcctor. Model: ~i[,.~. ........... O Me~hanio~l Line I,~ak Dctoetor. Modcl: ' ~ Elccironic I,i,c I,c~k t)ctc~a,~. Modal: ~ .... . __ ¢"t Electronic [,in~ l,cak DGIc~:lor. Modol: [~ Tank Overfill / I ligh. L~vel S~nsor. Model: ~ ....... ' ~ Tank Owrfill / I ligh-L~vo] Sensor. Model:' ~ Other (specify equipment type and model in. Soctlon F, on P ,,ago 2). ~ arbor (specify equipment type and model in Section g.. on Page 2). El Dispea~cr C. ontain,nent Sensor(s). Modcl:. ' t:l Di~cnser Gofltainmont Sensor(s). Model: ~ Shear Valvc.(s). : : ~ Shear Valvo(s). ' ~ Dispenser (:ontalnmcnt Float(s) and Ci~ain(s). i_. jlr Di~penscr C/,)ntainment ?loat(~) end Chain(,$),. ' I~ Di..qpenser Contaimnent SenSOr(s). MOdel:' r'l DispeaSer Containment Sensor(s). Model: ~ir siena' Valvc(s). i El Shear Valve(s). . . [ . ~ 'DJa~a$cr Cooraimnent Float(s) dud Chain(a). i El D~eflser Containment Float(s) and Chela(s). "i ~ [~ Disponser. Containmcnt S~r(.n). Modcl:.~ El Dispense, r Containment Sensor(a).. Model: ~ Shmr Valve(s). ; rn Shear Valve(s). { . ~i}Diap,.c?scr Containment F'lo, at(s~ a~d Chain(s)'; . El Di.spcnsor Containment Float(s} and Chain(s). : · If thc fac~iity COntains morn'tanks or'disp~aser~, copy itMs form. Include [nib~matlon' for every ta~l[ ~nd dispenser at the"~'a~ii!ty. C, Certification - I certify that th~ equipment identified in this document'was inspeeted/~ar~iccd in accordonJ,.e with~t'M~ · manufaeturors' guidelines. Attached t~ this ~'ertifleatton is information (e.g. manufacturers* checklists} ne¢~ry to ver!f~' that ~i.~. information Is correct and a Plot Plan ~'howin~ the layout of monitoring equipment, for any ~iulpment capable of gen~,ratinE iucb reports, I have alan attac__h,.~,d a copy of the report; (e. Aee~ ttllthat apply): [~ System set-up l:l Alarm hJstor)7 rel~. rt ? , Page J of 3 03/01 . Monitoring System CertJfiutio~ ; , 10-3@-2002 3: ,~.8P1'4 FROH CAI_VALLEY EQU I P 16613252529 P. 3 D. l~esults of Testing/Servicing Com'plele the followinR checklist: Yes K) No* is ti~e audible alarm operational?. ::_~ ¥¢s ~i" No* Were all' s;nsors visually t,nspect?d, fi. mctio,=lly tested, and confirmed c;'~rati..onal? : ~ Yes Ci, No* Were ail sensors installed it lowest point of secondar~ containment and positioned so Ihal other eqtfipm'ent will ,~o~ bterfere with their pl~oper operation? . -~i~' Yes C~"No* it' alarums'are rela~ed tol a remote monitoring, station, is all commumeat~ons equipment (e.§. modem) ~ N/A operational? ·. C! Yes C! No* F'o~"presstii~d plp!ng sys.tcms, does the'turbine automatically shat down if the pJpln~'~'~eondnry ~ntai~t~nt CI N/A monitoring system detects!ti loak, fails to operate, or is electrically disconnected? If'yes: 'which set, sots initiate posttsw shut-down. (¢.h~.c. lc ~fl that W:)l~l.v) ,Rl"'$ump/Trench Sensors, ri Dispenser Co~snment S~nsors.. Did you confirm positive s. hut-down due to leaks and sensor failure/disconn~tion? la-Yes; C3 No. ' CI Y~s L3 No* 'For tank systems ~h~t uti'li~e the m0nltorin8 system as the primary tank overfill 'wanii~ devlee (i;e~ no ~ N/A mechanical overfill'prevention valve is'Installed), is the overfill warning alarm visible and aUdibl~ at the tank fill point(s) and.o..pe)'atin§ l~roperly? fi'so, at what percent, o,?.tank capacity does the nlan~ trlgga'? ~ =%,. 'Q Yes* BI No Was any monitorin~ equipment replaced? Ill,es, identify specific sensor~ probes, o~: ~ther equipment replaced and list the manufacturer name a~d mod~l for ali replacement p,arts in Section E, below. C3 Yes*' ~1 No Was ilquid t'ou~d inside airy secondary containment systems dzaig, ned as dry system? '"~Che¢/~ .C3 Product; ri Water. Ill{es, describe cause~ in S~tJon ~, beJow, El Vis CI N(;* Was monitor!ag .s. ys.'lem se.t-up reviewed to ~nsure proper setting..s..? Attach Set. up r~l~'m.:.!f, applicab!e. .. Itl Yes CI No,* .... Is all monitoring e.q.uipment operatiofial ~,r manufacturer's sp~c, ,!.fi,cations?. ' ..,, ~' In Sectlola JR below describe how and when these deficiencies were or will be corrected. Comment. s: Page 2 of 3 03/01 10-30-2002 3: 4~M FROM CALVALLEY E~UI P 1 ~S 192~2~29 -F. l~-Tank Gauging / SIR Equip~ment~ ~ Check ~is box if~k gauging is used only for inv~ ~on~l. : ~ Check this ~x if no ~k ~uging or SIR ~uipment Is in~a~ed. 'l'~s section must ~ completed if in-~k gauging eq~pment is used to perlb~ l~ detection monitoring, Complete ~e follow~g checklist: ~ Y~,~ No* t-l~q all input wiring been insetted ~'r pm~ ent~ and terminally, including testing for ~und faul~- ~ Yes ~ N~;' Were'aU tank gauging probes visually ins~t~ for dama~ aud ~idu~'baildup? ~ ..... 0 Yes 0 NO* W~ ~uracy ofsy~h'i¢ pmcluct level r~din~i "~ Y~'- ~ No* W~s accuracy of system water level readings tested? : Q Y~ ~' No* W~m all pro~ reinstalled pro.fly? .......... ~ 1~ th~ 8~tion ~. bdow. d~ribe how and when tl~ d.fi~i~nei~ ~r~ or wffi ~ G. LinC.Leak Detectors (L~D): O Ch~k this ~x if LLDs am not installed. Complete the foUowing checklist: '~ Yes ~ No· For equipment ~tart-up ot ~nual ~quipment e~ifimfion, was a I~k almulated to ~ N/A (Chac~all~ta~p~) Sim~latodle~rate: ~3g.p.h.; ~0,1g,p,h; ~0,2g.p,h. ~ Ycs ~ N~* W~c all LLDs confirmed o~cr~tional ~d accurate within regui~t~ requirement? .... ~ ~S ~ ~o' Wa~ th~ te~ting apparatus prop~rl7 ~ali~t~d~ ..... ' .... ~ Y~ ~ 'N~i For clcclronio bLt)s, d~e~'~i)c turbine automatically ~hut o'~if~c LLD de~ls a I~k? ~ N/A ~ Y~ ~ No* For electronic LLDs. doe* *he mrhine'~utomaticallY shut off if any potion of ~e moniioHn8 sysmm 1. dlsabl~ ~ N/A ~r dis~onnec~d? -~ Y~q 0 No* For ~le~t~onic LLDs, does the turbine a~omatically shut off if any ~i~'~'~{ thc monitoring system ~ N/A malfunctions or [~ils a ~st? ~ Y~ ~ No* Were all itoms on the ~uipment manufacturer'S mainten~ce ch~'il~ ~mpleted? . · in Ibc S~{ion !{~ below, d~cri~ how and when t~e deflclenei~ were or will ~ corrected. H, Co~nments: .......... Page ~ of 3 ~l 10-90-2002 ~.- ztgPM FROM CALVALLEY ~'QUI P 1 ~S 1 -. ~ni~oring System Ce~ification UST Monitoring Site Plan ,. ,~52;;;;::;5;22: .......................... = · ...... - ............... .' ': ...... a ......... C ........... ~ .... . ...... '. : . ~ . . ':---'~ ;. ~..(~:. ...... ~ .......... ~ ........... I"-' ,' .. ...... ~..,~,~ .......~ ....... ~ ....... .....~ .... ::::::::::::::::::::::::::::::::::::::::::::::::: .......................... ."!", "' : ' .I '.. :.:.., ~: . ................... ... . . . . . . . . ~ . . ..... :::::::::::::::::::::::::::, .::: :.,~ .... ~. Date m~ w~ dra~: ~ /~ : Instructions If you air, ad7 hay, a dias~m that showa all required informadon, you may include it, raffler than thia MonRoring Sy~tmn C~ificad~n. On your site plan, ~how the g~nm'al layout of ~nk~ and pipMg, Clearly identif~ l~tion~ of th~ following ~uipm~nt, if in~ll~d: ' monitoring ,y,~m eon~l p~el~; ~n~r~ monitoring mk ~nular ~p~a, aump~, dispenser pan~, ~pill ~ont~iners, or o~er ~nda~ containmm~t ar~a~; m~h~ni~al 6r ~1,o~ lin~ I~k d~,ctor~; ~d in-~k liquid level prob~ (if u~d for I~ d~t**doa). In ~e ,~ee provided, noto the d~t~ thi~ Sit~ Plan was pmp~d. Page .... of__ o~o AES PLT - 100R 3500 Gilmore Av~ue ,, , ,,, Bak=rifielcl, CA 9~308 ~61-327-9341 F~61-3~255~ . ~ST VOL D~. ?RO~ ~ME ~1 START ~L~L~ ~ VOL ~L) ~L) ~ ~SS PASS FAIL 7~ VOL D~. ~ . , ~E,,, PSl ~ARTVOL (ML) ~D VOL (M~ ~!.) ..... ~H ~ ~ PASS F~L . COMM~: ~ ~ , ~E 'PSI ST~T VOL ~ ~D VOL~L) ~L) GPHGA~S 9ASS ]:ALL COM~: .................................................... 10-30-2002 3:~l~C~M FROM CALVALLEY EQUIP 1661~'2B2B29 P. 7 C~I-ValI,~ F, qu~,ment $$00 G~lmo~ ~1-327-9~41 ' F~ 661-325-2529 LBT-8~ L~ ~tor Test ' Date T~cr-pmof se~ ins~l~d? Yes No ..... ~et~r Trot at Dhpenser 3. Line p~u~ ~ ~p ~ut off ]~ , psi (~, 23) 4, Bl~d~ck T~t wi~ p~p off ~ (~. 26) . 5. St~u~ ~e ~ ~i flow ~ ~c~ (~ra. 30) No 10-30-2002 3:SE~M FRQM CALVALLEY EQUIP & 3500 Gilmore.4ve. Bakersfield, C4I 93308 661-327-9341 F.4X# 661-$25-2579 VAPORLES$ MANUFACTURING, INC. . '. _~ LDT-890 Leak .._.l:~eemr.Te~t~eord. Contractor oate ~ Produ~ Teelmician ' '" -' Submersible Pump Idmtlfieatlon · Manufacturer ModelNo. ,~ial Number - E~k Detecto~ IdeU6ficafio~,' .......... ~ Dc~criotlon Other Swle Leak Detector Piston-type ,Tamper-p_roof seal installed? Yes ..... No ..... Leak l~ete~o~ Il Submersible Pump ..... Test at Dispenser I. Opera~n~ Pump Pressure ~'O ~ei (para, 15) 2, Gallons per hour rate _~ (para. 22) 3. Line pre~nure with pump shut off_ ..... / ~ mi (l~ra. 23) 4. Bleedback Test with pump off mi (para. 26) 5. Step-throw, h time to f~ll flow 3 seconds (para. 30) 6. L~ak d~ec~or slays in leak search position. (para.42) Yes No__ Pm m Leak _,~____~tor fits ~st Form 890C(9-~.96) *Complete thermal expansion 2st before failing Isak 1996 Yaporless Manuflicturing, Inc., Prefn?,ot~ Valley. AZ 10-30-2002 3:S1PM FROM CALVALLEY EOUlP Cai. Faltey Equipment 3500 Crllrnor~ Ave. Bakersfield, C~ 95508 661-$27-9541 FAX# 661-325-2529 VAPORLE$$ MANUFACTURING, INC. LDT-890 L_~__~,D~. rector Testlg~eord , Contractor Teclmic~ T~t at ~p~ser 3. Lin~ ~a~ ~th ~ ~ut off /~' psi ~. 23) 4. Ble~ack Test ~ pu~ off ~ (~. 26) No LE~K DE~E~OR Pa~ F~ ~ x'/' ' Fot~e By All .htrisdictions tFithin the State of Call, ia ~ Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulation, This form must be used to document testing and servicing of mouitoring equipment. A separate certification or repOrt must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be ~rovided to the tank system owner/operator. The owner/operator ~nust submit a copy of tiffs form to the local agency regulating U gT systems within 30 days of test date. A. General Inforlnation Facility Name: ~'3- ]'~tg~i'// , Bldg. No.: Site Address: _<?00 3q*h' City: /~at./CgtrI.'./-'t:to//~/~ Zip: Facility Contact Person: Contact H]one No.: (.__). ' Make/Model of Monitoring System: ~I'./~Ydo ~/t~C Date of Testing/Servicing: ~' /wTO/O~.. B. hlventory of Equipment Tested/Certified Check thc a~proprlale boxes to indicate specific equipmen! inspecled/serviced:~. Tank ID: I Tank ID: ~'~ ~l~/f Annular Space or Vault Sensor. Model::~'l/~ /'a.~/.: Se~,J'o~ ~it Annular Spaceor Vault Sensor. Model: f'~/~' Piping Sump/Trench Sensor(s). Model: .'~/~p .$ct<fb(/_[ e/r~_~_~ ffi l'iping Sump/Trench Sensor(s). Model:..q'o'/npSe#.fl~,r/J.~'~/x~r~~' FI Fill Smnp Sensor(s). Model: [] Fill Sump Sensor(s). Model: [] Mechanical Line Leak Detector. Model:. ~ ~t' Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector. Model: f-1 Electronic Line Leak Detector. Model: [] Tank Overfill / Iligh-Level Sensor. Model: [] Tank Overfill / High-Level Sensor. Model: : [] OIher (specify equipment type and model in Section E on Page 2). [] Other (specify equipment type and model in Section E on Pa~e 2}. Tnnk ID: 2 Tank ID: ~ In-Tank Gauging Probe. Model:' /T/a'~. [] In-Tank Gauging Probe. Model: ~ Annular Space or Vault Sensor. Model:' F/'~ ?tt~/.:..f'¢hJ'0r- [] Annular Space or Vault Sensor. Model: ];~ Piping Sump /Trench Sensor(s). Modcl:Ju~$e~t~-~C,/J~?,~.~c [] Piping Sump / Trench Sensor(s). Model: [] Fill Su,n-p Sensor(s). Model: : [] Fill Sump Sensor(s). Model: ~ Mechanical I.inc Leak Detector. Model:: ~/.j~9 [] Mechanical Line Leak Detector. Model: [] Electronic I.inc Lc,k Detector. Model: [] I£1cclronic I.,inc I.cak Delcclor. Model: EJ Tank Overfill / ! ligh-Lcvel Sensor. Model:! ~ [] Tank Overfill / I ligh-Lcvcl Sensor. Model: [], Other (specify equipment[ type and ~nodel in, Scctimi~ E on Page 2). [] Other (specify equipment type and model in Section E on Page 2). Dispenser ID: ' ~/-Z : I Dispenser ID: '~-~ [] Dispenser Containment Sensor(s). Modcl:i i [] Dispenser Containment Sensor(s). Model: ~! Shear Valve(s). I i {~ Shear Valve(s). I ~fl Dispenser Containmcnt Float(s) and Chain(i). I ~r Dispenser Containment Float(s) and Chain(s). Dispenser ID: ~--~ I i Dispenser ID: [] Di.spenser Containment Sensor(s). Modehi [ '~ [] Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). i ] [] Shear Valve(s). I~ Dispenser Contaimnent Float(s) and Chain(i). i [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: ~--~ i Dispenser ID: [] D'spenser Containment Sensor(s). Model:i r-1 Dispenser Contaimnent Sensor(s). · Model: . ~ Shear Valve(s). I i [] Shear Valve(s). : . .: : ,EilOispenser Containment Float(s) and Chain(s)'.I [] Dispenser Containment Float(s) and Chain(s). e ty more tanks or dispense[s, copy this form. Include inlbrmation for every tank and dispenser at the facility. '.~ C. Certification - x certify that th equip, ment identified in this document was inspected/serviced i. nccordnme with lth~ manufacturers' guidelines. Attached t6 this C~ertification is information (e.e. manUfacturers' checklistsl necessary to i, erify that,lhil'. information is correct and a Plot Plan ~howin~ the layout of monitoring equipment. For any equipme~t capabl~'of gem rating litlclt' reports, ! have also atta~d a copy oft~he repo"t; (check allthat apply): C! System set-up CI Alarm history repi,ri ' i '"~' I echnlc,an Name nnt ~' ~'~ ~t~ · '' (P'):'-/J.F"I~C~ ) t~.~ Signature: ~.-t.~ Certification No'.: ~"~.?q'.~/-/e/Tq : I License. No.: '~7~c//~0 /t~ Testing Company Name: ~-~/-//~//£.ttt~ '"r~/~A~et~T- Phone No.:(~'~'/ ) ~ff-~'_~ / Site Address: ~'00 3t-/n,.__~r. ,t~..~-e/rj..~ ~//~.-~ ~q:, Date ofTestmg/Serv,cing: _,~__/,;~ / ~_ ~ Page ! of 3 03/01 Monitoring System Certification ,~ D. Results of Testiug/Servicing Software Version luslalled: 0 Complete the following checklist: I~ Yes [] No* Is tile audible alarmloperational? ~ Yes [] No* Is the visual alarm 0pcrati(!nal? I~ Yes [] No* Were all sensors visually ipspected, functionally tested, and confirmed operational? ~ Yes I-1 No* Were all sensors installed fit lowest point of secondary containmeut and positioned so that other equipment will not interfere with their, pro~er operation? sift Yes [] No* If alarms are relaX, ed to! a remote monitoring station, is all communications equipment (e.~g. modem) I~ N/A operational7 ! ! / ' [] Yes [] No* For pressurized piping systems does the turbine automatically shut down if the piping secondary ~ontainment D N/A monitoring systen! detectsla leak, fails to operate, or is electrically disconnected? If yes: wlfich ser sots Initiate ; positive shut-down?' (Che~k all that appO') ~Sump/Trench Sensors; [] Dispenser C_~ptainment S ~nsors. Did you confirm polsitive s~hut-down due to leaks and sensor failure/disconnection? [] Yes; [] No. ~ Yes [] No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e, no ~ N/A inechanical overfill!preve~tion valve is'installed), is the overfill warning alarm visible and audibl~at the tank fill point(s) and ope.rating properly? If so, at what percent of tank capacity does the alarm trigger? [] Yes* ~ No Was any monitoring equip!nent replaced? If yes, identify specific sensors, probes, or other equipment replaced :,. and list tile manufad, turer n?me and model for all replacement parts in Section E, below.! ' [] Yes* ~l No Was liquid found ir~side ally secondary contaimnent systems-designed as dry systems? (Check all that aP,ply) [] Product; [] Water. If yes, describe causes in Section E, below. . ' 83 Yes [] No* Was monitoring sy~/tem se~-up reviewed to ensure proper settings? Attach set up reports, ifapplicable : ~.lil Yes~ ..[] ..... No* Is all monitoring equipmefit operational per manufacturer's specifications? * In Section E below, describe how and ~vhen these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03/01 '" / i I Check this box if no tank gauging or SIR equipment i1 installed. This section must be completed if in-tankI gauging equipment is used to perform leak detection monito,fing. Complete tile following checklist: , [] Yes [] No* Ilas all input wiring beeu inspected £or proper entry and termination, iucluding testing for ground fau!ts? [] Yes [] No* Were al~ tank gauging prob?s visually inspected for damage and residue buildup? [] Yes [] No* Was accuracy of system product level readings tested? IZI Yes [] No* Was accuracy of system water level readings tested? gl Yes [] No* Were all probes reins~talled properly? [] Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed7 * In tile Section fl below, describe how and when these deficiencies were or will be corrected. : G. Line Leak Detectors (LLD): [] Check this box i£LLDs are not installed. Complete the following checklist: ~ Yes ~l No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? [] N/A (Check all that apply) Simulated leak rate: Ji~3g.p.h.; []0.1g.p.h; [] 0.2 g.p.h. I~! Yes [] No* Were all LLDs confirmed operational and accurate within regulatory requirements? ~ Yes [] No* Was the testing apparatus properly calibrated? I~ Yes [] No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] N/A , [] Yes [] No* For electronic LLDs, does the turbine at, tomatically shut off if the LLD detects a leak? I~1 N/A [] Yes [] No* For electronic LLDs, does fl~e turbine automatically shut off if' any portion of the monitoring system is disabled ~ N/A or d~sconnected? [] Yes [] No* For electronic LLDs, does life lu,'bh~e automatically shut off il' any portion of the monilorlng system ~l N/A malfunctions or Fails a testT. [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected? ~ N/A ~ Yes [] No* Were all items on tile equip?ent manufacturer's maintenance checklist completed7 ~, ~,, ~.~ e~.0~on u below, describe hosv and nvlteu these deficiencies were or svill be corrected. H. Comments: Page 3 of 3 : 03/01": ." ~,~ ~ionitoring System Certification UST Monitoring Site Plan ' .~ . ~ ...... ~ ......................... :,::: :::::::::::::::::::::::::: ::':: ...... mm ·- r~.~ .... I''~ .....~ ....... ~ ......... ~ .... . ................. ~..[ ........................... ~ .... , Date map was drawn: Instructions If you already haw a diagram that shows gll required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping clearly identify ocations of the following equipment, if installed: monitoring system control panels; sensors monitoring rank annular spaces, smnps, d~spenser pans, spill contain:ers, or other secondary containment areas; mechamcal or electromc hne leak detectors; and in-tank liquid level PrObes (if used for leak detection). In the space provided, note the date tills Site Plan was prepared. : Page ~ of~ os/oo CVE Cai- Valley Equipment 3500 Gilmore Ave. Bakersfield, CA 93308 661-327-9341 FAX# 661-325-2529 VAPORLESS MANUFACTURING, INC. LDT-890 Leak Detector Test Record Contractor Customer Date ' Locfition Product Technician c Submersible Pump Identification Manufacturer Model No. Serial Number Leak Detector Identification Manufacturer Description Other Style Leak Detector .~¢~J~Zd'~/~'~'T " Diaphragm-tyPe Piston-type. Tamper-proof seal installed? Yes No Leak Detector in Submersible Pump Test at Dispenser 1. Operating Pump Pressure _~/ osi (para. 15) 2. Gallons per hour rate _.~ (para. 22) 3. Line pressure with pump shut off ].Y psi (para. 23) 4. Bleedback Test with pump off mi (para. 26) 5. Step-through time to full flow "~ seconds (para. 30) 6. Leak detector stays in leak search position. (para.42) Yes No LEAK DETECTOR TEST Note: Po$~ - l.~ak detector fits test protocol Fail - Leak detector fails test protocol Pass. Fall Form 890C(9-1-96) *Complete thermal expansion test before failing leak detector. 1996 Vaporless Manufacturing, Inc., Prescott Valley, AZ CVE Cal- Valley Equipment 3500 Gilmore Ave. Bakersfield, CA 93308 661-327-9341 FAX# 661-325-2529 VAPORLESS MANUFACTURING, INC. LDT-890 Leak Detector Test Record Contractor Customer Date Location Product Technician ' Submersible Pump Identification Manufacturer Model No. Serial Number Leak Detector Identification Manufacturer Description Other Style Leak Detector ~ez~L?~/'('¢ V" Diaphragm-type. ~ Piston-type. Tamper-proof seal installed? Yes No Leak Detector in Submersible Pump Test at Dispenser 1. Operating Pump Pressure ~ O psi (para. 15) 2. Gallons per hour rate ~ (para. 22) 3. Line pressure with pump shut off / .~ psi (para. 23) 4. Bleedback Test with pump off mi (para. 26) 5. Step-through time to full flow 3 seconds (para. 30) 6. Leak detector stays in leak search position. (para.42) Yes No LEAK DETECTOR TEST Note: Pass - Leak detector fits test protocol Fall - Leak detector fails test protocol Pass. Fall Form 890C(9-1-96) *Complete thermal expansion test before failing leak detector. 1996 Vaporless Manufacturing, Inc., Prescott Valley, AZ CVE Cai- Valley Equipment 3500 Gilmore Ave. Bakersfield, CA 93308 661-327-9341 Fi, X# ~61-325-2529 VAPO~ESS MANUFACTU~NG, INC. LDT-890 Leak Detector Test Record Conffactor Customer Date ' Location Product Io~ ~oo ~ ~~'~1~ .C~- .... ..'..._. ~l-~Z- Tcc~ici~ ~e ~1~ C~e ~ Diap~agm-~e Piston-~e. Tamper-proof seal Mstalled? Yes No Leak Detector In Submersible Pump Test at Dispenser 1. ~eratMg P~p Pressure ~0 psi (p~a. 15) 2. Gallons per hour rate ~ (para. 22) 3. Line pressure with pump shut off fl~ psi (para. 23) 4. Bleedback Test wi~ pump off ~ (para. 26) 5. Step-~ough t~e to ~I1 flow ~ seconds (para. 30) 6. Le~ detector stays in leak search ~sition. (p~.42) Yes No LEAK DETECTOR TEST Note: Pass - ~ak det~e~r fi~ test pm~ol Fall - ~ak de~etor fails test p~ol Pass Fall Fo~ 890C(9-1-96) *Complete the~al exp~sion test before failing leak detector. 1996 Va~rless Manufacturing, inc., PreseoR Valley, AZ Cai- Valley Equipment A£S PLT - 100R 3500 Gilmore Avenue Bakersfield, CA 93308 Ph#661-327-934 ! Fax#661-325-2559 NAME: ~4-~5~' )~Ob/'L '= LINE #1: ~7~/~. TECHNICIAN: Bruce W. Hinsley ADDRESS: ~"O0 _~4-'~7 LINE #2: ~'/(~/L LICENSE NUMBER: 90-1069 CITY, ST: ~a~,~..~,-.~'-~t2l,e/ag~/ ~ ' LINE#3: ~>'~,/~.. TESTDATE: /~Z THE CO~E~ION CONSTANT IS FO~D BY: (60 M~/HR)/(3790~I~GAL) = 0.0158311 (M~/HR) (GA~) Divide the volume differential by the test time (15 minute) and multiply by 0.0158311, which ~I1 convert the volume diffe~n~al ~m millilite~ per minute to gallons per hour. ~e conve~ion consent causes the millilite~ and minutes ~ cancel out. TEST VOL DIFF. PRODUCT TIME PSI START VOL (ML) END VOL (ML) (ML) GPH GA~/LOSS PASS FAIL ~7OZ 13:3o ~0 21~ Iq7 /g -. alt ~ t/ 13.'~5 ~o l~ 17~ 17 -. o17 ~ COMMENTS: TEST VOL DIFF. PRODUCT TIME PSI START VOL (ML) END VOL (ML) (ML) GPH GAIN/LOSS PASS FAIL ql UL 1370o // 15:1~ $o COMMENTS: TEST VOL DIFF. PRODUCT TIME PSI START VOL (ML) END VOL (ML) (ML) GPH GAIN/LOSS PASS FAIL ~q ~/~ I.~.,~ .5-0 13-o Iq/o /o --.o19 z..- COMMENTS: ...................................................... ~ ' CITY OF BAKERSFIELD-'~y ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION i, TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING PERMIT TO OPERATE # OPERATORS NAME OWNERS N~'Vm Yoo NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED ,/'~ ' TANK # VOLUME CONTENTS TANK TESTING,COMPANY. ~ ~l- [,/a//e,a"-. . . . NAME & PHONE NUMBER OF CONTACT PERSON/~y,/x.Q ,$/-,~a ¢/e,.s.- Cgh 32 7-q.75/t TEST METHOD ~ ~ N^ME OF TESTER OR SPECIAL INSPECTOR ~r~6-¢ C~UWn~C^VION # D^TE & x~vm TEST IS TO, B~. dOm:mCrED 10-/7-0Z6~ APPROVED BY DATE SIGNATURE OF APPLICANT r'l Postage $ ~3. r't Certified Fee O Return Receipt Fee Postmark _n (Endorsernect RequiredJ Here =O Restricted Delivery Fee I'-I (Endorsement Required) ru Total Postage & Fees 1::3 ~'Sent To r,-[ . YO0 S HOBIL ~i;;'~'~i,'c~;,:~ ..... 2'ZS'"Z': ........ '_' ................................................ · Complete items 1,2, and 3. Also complete [] Agent item 4 if Restricted Delivery is desired. ~ Addressee · Print your name and address on the reverse so that we can return the card to you. C. Date of Delivery · Attach this card to the back of the mailpiece, ~ ~ '~ 'O ~ or on the front if space permits. ' address different from item 17 [] Yes 1. Article Addressed to: If YES, enter delivery address below: [] No YO0 ~ S MOBIL 800 34TH STREET BAKERSFIELD CA 93301 3. Service Type ~] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes ,,, 7002 0860 0000 1641 7336 --15S Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835 October 21, 2002 Yoo's Mobil 800 34* Street Bakersfield, CA 93301 CERTIFIED MAIL FIRE CHIEF RON FRAZE NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 RE: Failure to Submit/Perform Annual Maintenance on Leak Detection System VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 "H' Street Bakersfield, CA 93301 Our records indicate that your annual maintenance certification on your leak detection VOICE (661) 326-3941 FAX (661) 395-1349 system was past due on October 1, 2002. PREVENTION SERVICES YOU are currently in violation of Section 2641($) of the California Code of r~ s~ sE.v*cEs. ~NW.Omm~,~. SE~CES 1715 Chester Ave. Regulations. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, PUBLIC EDUCATION 1715 Chester Av~. including routine maintenance and service checks at least once per calendar year for Bakersfield, CA 93301 operability and running condition." VOICE (661) 326-3696 FAX (661) 326-0576 You are hereby notified that you have'thirty (30) days, November 21, 2002, to either FIRE INVESTIGATION pcrform or submit your annual certification to this office. Failure to comply will result 1715 Chester^vo. in revocation of your permit to operate your underground storage system. Bakorsflold, CA 93301 vOiCE (661) 320-3051 FAX (661)326-0576 Should you have any questions, please feel free to contact me at 661-326-3190. TRAINING DIVISION 5042 Vlctor Ave. Sincerely, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Ralph Huey Director of. Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney D September 30, 2002 Yoo's Mobil 800 34th Street Bakersfield CA 93301 REMINDER NOTICE FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES RE: Necessary secondary containment testing requirements by December 31, 2002 of 2tm 'H' Street underground storage tank (s) located at the above stated address. Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Tank Owner / Operator, SUPPRESSION2101 'H' StreetSERVlCES If yOU are receiving this letter, you have not yet completed the necessary secondary Bakersfield, CA 93301 containment testing required for all secondary containment components for your underground VOICE (661) 326-3941 storage tank (s). FAX (661) 395-1349 PREVENTION SERVICES Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety s~r~stmnCES.1715 Chesteraen~°n~wr~Avo. sEmncEs Code) of the new law mandates testing of secondary containment components upon installation Bakersfield, CA 93301 and periodically thereafter, to insure that the systems are capable of containing releases from VOICE (661) 326-3979 the primary containment until they are detected and removed. FAX (661) 326-0576 PUBUC EDUCATION Of great concern is the current failure rate of these systems that have been tested to date. 1715 ChesterAv~. Currently the average failure rate is 84%. These have been due to the penetration boots leaking Bakersfield, CA 93301 VOICE (661) 326-3696 in the turbine sump area. FAX (661) 326-0576 For the last five months, this office has continued to send you monthly reminders of this FIRE INVESTIGATION 1715 ChesterAve. . necessary testing. This is a very specialized test and very few contractors are licensed to Bakersfield. CA 93301 perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. VOICE (661) 326-3951 FAX (661) 326-0576 The purpose of this letter is to advise you that under code, failure to perform this test, by the TRAINING5642 VlctorAve.DlVlSlON necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. Bakersfield, CA 93308 VOICE (661) 399-4697 This office does not want to be forced to take such action, which is why we continue to send FAX (661) 399-5763 monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services · Attach this card to the back of the mailpiece, or on the front if space perm ts "/~ ~ ~ ~/~~~ee ........ ..._. ,., ,. ~,lcle Aaaressea to. - If YES~e~ ad~ss be~ ~oos Hobil 800 34~h S~ ~a~e~s~ield Ca 93301 '13. Se~iceType I ~ CeAified Mail ~ Express Mail ~ Registered ~ Return Receipt for Merchandise D Insured Mail ~ C.O.D. 4. Restricted Deliver? (Extra F~) ~ Yes 7DB[ D3~B DDDE 5~ 73~E PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 -'.'.'.'.'.'.'.'.'3' Postage $ ru Certified Fee Return Receipt Fee Postmark rtl (Endorsement Required) Here r'-I Restricted Delivery Fee t--I (Endorsement Required) Total Postage & Fees rr~l [sent T° . r~[ zoos MObil .= 1~ ; ;;'.'~'~'~'~'. '~'~ 7 ............................................................................ ~[orPOeoxNo. 800 34th St F~.~l'-I City, State ZIP+ ~: ..~ September 13, 2002 Yoo's Mobil 800 34th Street Bakersfield, CA 93301 CERTIFIED MAlL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE FIRE CHIEF RON FRA2~E ADMINISTRATIVE2101 "H" StreetSERVICES R.E: Failure to Submit/Perform Annual Maintenance on Leak Detection System Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Underground Storage Tank Owner: SUPPRESSION SERVICES 2101 "H' Street Our records indicate that your annual maintenance certification on your leak detection Bakersfield, CA 93301 VOICE (66t) 326-3941 system is past due on September 27, 2002. FAX (661) 395-1349 You are currently in violation of Section 2641(J) of the California Code of PREVENTION SERVICES Regulations. FIRE SAFE~ SERVICES · ENVIRONMENTAL SER~/tCES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 "Equipment and devices used to monitor underground storage tanks shall be installed, FAX (661) 326-0576 calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for PUBLIC EDUCATION 1715 Chesterav~. operability and running condition." Bakersfield, CA 9.3301 VOICE (661) 326-3696 FAX (661) 326-0570 You are hereby notified that you have thirty (30) days, October 13, 2002, to either perform or submit your annual certification to this office. Failure to comply will result FIRE INVESTIGA'rION in revocation of your permit to operate your underground storage system. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3951 Should you have any questions, please feel free to contact me at 661-326-3190. FAX (661) 326-0576 . TRAINING DIVISION Sincerely, 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 3994697 Ralph Huey FAX (661) 399-5763 Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Port Jr., Assistant City Attorney YO0-S MOB I L 800 34TH BAKERSFIELD CA 93'301 661 --869-199'4 09-23-02 9:27 AM SYSTEM roLL FLINCTION~: NORMAL 1 N'~/ENTO,K",.' REPORT T 1: V';-~L UPIE ~ 4'980 C;AL~ ULLAGE - ,1761 90:~'; ULLAGE= :]1786 TC VOLOHE = 4969 GAL~ HEIOHT = 46.11 INCHE~ WATER VOL = 12 GAL~ WATER = 0.80 INCHE~ TEMP = 92.3 DEG F T 2 :PLU~; V':)L UME = 3159 ULLAGE ' 6582 90% ULL~,.]E= 560? O~~ ,~ TC VOLUME = '3152 G~, HEIGHT = 32.81 ~TER VOL = 15 I,,.I~TER = 0.93 [ NCHE~ TEMP = 89.4 DEG F T 3: ~"REM l UP1 VOLUME = 1951 GALB ULLAGE = 7790 90~,~ ULLAGE= 6815 TC VOLUME = 1/947 HEIGHT = 2:Y. 27 IN(:RE8 ~TER VOL = 13 U~TER = 0.82 I NCREE; TEMP = 88.7 DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME 'y0~q '.~1,!~_, INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine []~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ~ Number of Tanks Type of Monitoring ~L WI Type of Piping /:]O1/'~ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file ~ / Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: _.~ C~/q~~ ~ , Office of Environmental Services (805) 326-3979 B le Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 FACILITY NAME ~O0'.$ ~t3_[n,(~. INSPECTION DATE ADDRESS ,~0{3 ~t./-(--(x.~/- PHONE NO. R(oq- FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES "~ Section 1: Business Plan and Inventory Program [~l Routine [~"~mbined [~ Joint Agency ~ Multi-Agency ~.~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures t,_ / / Emergency procedures adequate ~.. Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~] Yes ~No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 BusineSs Site ~eS~o~9~7~e/Party Whit¢-Env, Svcs, Yellow - Stat/on Cooy Pink - ,usin,ss Colby CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACILITY ~O T 3 ~ sr. ADDRESS '~DO ~c/sr /~Ker'5 7c/'e/,~'/ C a. OPERATORS NAME, OWNERS NAME NAME OF MONITOR MANUFACTURER DOES FACILITY HAVE DISPENSER PANS? YES f NO TANK # ' VOLUME CONTENTS I /n/~ ~7 2 /OK 3 Io/c q/ NAME OFTESTING COMPANY ~/-/,/,a.//?~ ~:r~O,/'f/He/4-/- CONTRACTORS LICENSE # '7t~'/-//"7~9 ~ /-/'//~_ NAME & PHONE NUMBER OF CONTACT PERSON/~/,"~cCe/-bh.t/e.~ 327,4,Y5,'/' , DATE & TIME TEST IS TO BE CONDUCTED '~-:~p-~2- ~ tYgr: ~ ~-I~-oz ~ ~. APPROVED B Y DATE SIGNATURE OF APPLICANT August 30, 2002 Yoo's Mobil 800 34th Street Bakersfield, CA 93301 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator, ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 If you are receiving this letter, you have not yet completed the necessary secondary VOICE (661)326-3941 containment testing required for all secondary containment components for your FAX (661) 395-1349 underground storage tank (s). SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284. l (California Health VOICE (661)326-3941 8~ Safety Code) of the new law mandates testing of secondary containment FAX (661)395-1:349 components upon installation and periodically thereafter, to insure that the systems are PREVENTION SERVICES capable of containing releases fi.om the primary containment until they are detected 1715 Chester Ave. and removed. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661)326-0576 Of great concern is the current failure rate of these systems that have been tested to ENVIRONMENTAL SERVICES date. Currently the average failure rate is 84%. These have been due to the 1715 Chester Ave. Bakersfield, CA 93301 penetration boots leaking in the turbine sump area. VOICE (661) 326-3979 FAX (661) 326-0576 For the last four months, this office has continued to send you monthly reminders of TRAINING DIVISION this necessary testing. This is a very specialized test and very few contractors are 5642 Victor Ave. Bakersfield, CA 93308 licensed to perform this test. Contractors conducting this test are scheduling VOICE (661) 399-4697 approximately 6-7 weeks out. FAX (661) 399-5763 The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 3 1, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Fire Inspector/Environmental Code Enforcement Officer I Office of Environmental Services L D July 30, 2002 Yoo's Mobil 800 34th Street Bakersfield CA 93301 REMINDER NOTICE FIRE CHIEF RON FRAZE RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at ADMINISTRATIVE SERVICES the Above Stated Address. 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Tank Owner / Operator: FaX (661) 395-1349 SUPPRESSION SERVICES If you are receiving this letter, you have not yet completed the necessary 2101 "H' Street secondary containment testing required for all secondary containment Bakersfield, CA 93301 VOICE (661) 326-3941 components for your underground storage tank (s). FAx (r~l) 395-1349 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California PREVENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary FIRE SAFETY SERVICES* ENVIRONMENTAL SERV1CES 1715 ChesterAve. containment components upon installation and periodically thereafter, to insure Bakersfield, CA 93301 VOICE (661) 326°3979 that the systems are capable of containing releases from the primary FAX (66t) 326-0576 containment until they are detected and removed. PUBLIC EDUCATION Of great concern is the current failure rate of these systems that have been 1715 Chester Ave. Bakersfield, CA 93301 tested to date. Currently the average failure rate is 84%. These have been due vOiCE (661)326-3696 tO the penetration boots leaking in the turbine sump area. FAX (661) 326-0576 FIRE INVESTIGATION For thc last four months, this office has continued to send you monthly 1715 ChesterAve. reminders of this necessary testing. This is a very specialized test and very few Bakersfield, CA 93301 VOICE (661) 326-3951 contractors are licensed to perform this test. Contractors conducting this test FAX (661) 326-0576 are scheduling approximately 6-7 weeks out. TRAINING DIVISION The purpose of this letter is to advise you that under code, failure to perform 5642 Victor Ave. Bakersfield, CA 93308 this test, by the necessary deadline, December 31, 2002, will result in the VOICE (661) 399-4697 FAX (661) 399-5763 revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerel ,~ , ~/ ~ Steve Underwood Fire Inspector Environmental Code Enforcement Officer D May 29, 2002 Yoo's Mobil 800 34th Street Bakersfield, CA,93301 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 800 34th Street REMINDER NOTICE FIRE CHIEF RON FRAZE Dear Tank Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in California VOICE (661) 326-3941 FAX (661) 395-1349 Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 "H" Street Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Bakersfield, CA 93301 VOICE (661) 326-3941 Health & Safety Code) of the new law mandates testing of secondary containment FAX (661)395-1349 components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are PREVENTION SERVICES 1715 Chester Ave. detected and removed. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. ENVIRONMENTAL SERVICES Secondary containment systems installed prior to January 1,2001 shall be tested by 1715 Chester Ave. Bakersfield, CA 93301 January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component VOICE (661) 326-3979 that is "double-wall" in your tank system must be tested. FAX (661) 326-0576 TRAINING DIVISION Secondary containment testing shall require a permit issued thru this office, and 5642 Victor Ave. shall be performed by either a licensed tank tester or licensed tank installer. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerel Steve Underwoo Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures D April 17, 2002 Yoo's Mobile 800 34th Street FIRE CHIEF Bakersfield CA 93301 RON FRAZE ADMINISTRATIVE2101 "H" StreetSERVICES R.~: Necessary Secondary Containment Testing R~luired by December 31, 2002 Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)39s-1~9 REMINDER NOTICE SUPPRESSION SERVICES Dear Tank Owner/Operator: 2101 "H" Street Bakersfield, CA 93301 ' VOICE (661) 326-3941 The purpose of this letter is to inform you about the new provisions in California law FAX (661) 395-1349 requiring periodic testing of the secondary containment of underground storage tank systems. PREVENTION SERVICES 1715 ChesterAve. Senate Bill 989 became effective January 1, 2002. Section 25284.1 (California Health & Bakersfield, CA 93301 VOICE (661) 326-3951 Safety Code) of the new law mandates testing of secondary containment components FAX (661) 326,-0576 upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Secondary containment systems installed on or after January 1, 2001 shall be tested upon VOICE (661) 326-3979 installation, six months after installation, and every 36 months thereafter. Secondary FAX (661) 326-0676 containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 TRAINING DIVISION and every 36 months thereafter. 5642 Victor Ave. Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office, and shall be VOICE (661) 399-4697 FAX (661) 399-5763 performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize ~/nd have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Si Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures insu,ance S~lstem5. inc. "'" ,9,.,, ,^x(,,,, ,,,.,,56 CERTIFIC OF INSURANCE INSURED ~ SUNG HWAN ¥OO O! This is to certify that Crusader Insurance Company DBA provides the. coverage herein described under the following: ¥OO'S 34TH STREET MOBIL Po_licy N.]m~er: CIC-904114 800 34T~ ST Policy Period: 02-10-2001 to 02-10-2002 BAKERSFIELD CA 93301 PRODUCER CERTIFICATE HOLDER GOLDKN BELLS INS AGKNCY . ' .... 02 CITIC~%PITAL SMALL BUSINESS .. 7002 MOODY ST ~209 ' ~'" FINANCE INC LA PALMA CA 90623 250 R CAP~ENTE~ l~Y.,~1FL-115 IRVING TX 75062 This certificate of insurance has been issued for information only and is not a policy or contract of insurance and confers no rights on the certificate holder. Further, this certificate does not-amend, extend, of alter the coverage provided by the policy described herein and is subject to all the terms, exclusions, and conditions of the policy. Bu nq Coverage $400,000 General Form Personal Property Coverage $150,000 General Form Loss of Earnings Endorsement General Form Each Thirty Days Aggregate Limit _ $25,000 $100,000 SE_CTION Z L!ABTT:TTY COVERAG]~ ~arage Insurance . . Per Occurrence Limit Aggregate .Limit $1,000,000 L~quo_r Liability .E~..d~rsement $2,000,000 . - er occurrence Limit Aggreqate Limit _ $50;000 ........ $50 ,'000 Garage~e.eL~r's LegaZ Liability Insurance · Per Vehicle LiaLi~ ' Pe.r .Occurrence Limit ~15,000 $15,000 · Certificate holder is ~a~ed as Lender's Loss Payable on the above referenced See poli.cy: : pglicy.for terms and conditions. · sCeeert_i_~,z_.cat_e_hol.der is n.amed a_s.l~ortgagee on the above referenced pelicr. SPECIAL ITEMS .... ' U×5050 (06/01) ~EN MONITORING PR~EDURES UNDERGROUND STORAGE TANK MONITORING PROGR,O4 This monitormf profrmn must be ke~ at thc UST loc~on at all times. ~ inflnnmion on this immimrh~ Service, wirh~, 30 da7~ of am/c.~ to the momtormf procedue~ unle~ tequ/zed to ebe.~n appmv~ before m~lrin$ ti~ chanse. Required by S~iom 2632(d) =ha 26416n) CCR. Facfliv/Addre. ' ~t~t3 .~q4~, g~ Describe the frequency of performing the monitoring: Tank ?n ~i(,~.,~ ~, What methods and equipment, identified by name and model, will be used for perfomh~ the monitoring; C. Describe the location(s) where the monkorin8 will be performed (facility plot plan slmuld be attached): D. List the name(s) and title(s) of the people responsible'for performin8 the monitoring and/or maintaining the equipment: E. Reporting Format for monitoring: Tank dtma F. Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenanee sehednle but notle~s than every 12months. d~,~. ',~c~rl¥ ~(v. ~{~ ~3 /-' G. Describe the training neces~aary for the operation of'US'r, sy,stem, inclu4Lng piping, and the EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all t/mes. The information on tttis monitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2632(d) and 264 l(h) CCR. Facility Address ~ --~C~ ~ q ~ ,~, 1. If an unauthorized release occurs, how will the hazardous substance be cleaned up.'? Note: If released hazardous substances reach the environment, increase the fire or explosion h~'ard, are not cleaned up fi.om the secondary containment within 8 hours, or deteriorate the second~ containment, then the Office of Environmental.Services must be potful within24hours, d~,e_ k;t~'~ I^,Jre~ ,~ 4 ,o~¢t~r~tt~' I/haJrr'r~a[( 2. Describe the proposed methods and equipme.n.t to be,used for rem. ovi~g and prope.rly dispo~sing of any hazardous substance. 3. Describe the location and availability of the requ?ed cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: ; _.?~~.~.. 171:5 Chester ,Ave., Bakersfield, CA 93301 (661) 326-3979 UNOffRGII~OUNO ~TO~Off TANK8 . TANK PAGE :, L T~K O~~ /otc 0 z ~~ ~ ~~ 0 ,, ~ 0~. o~ 0 ~ ~W~AV~T ~. ~ 0~.~ ..... ~ 0 I. II 0 I ~I ~" ~:~'~(~.' ;' '~.~ ,'~5~:~::. ~ ':~ ............. ~. .... - . . -~,.. ~.,.~...,,: .~.. ,~,, ...... ~,. ~,,~. ,,~~ ~ ~..~'~':'~."~:~ ,.~--:' ~.,~,.,..... .... .,.... .. . :...:.......... ~::~;~...f ~: .. ~,~.: ':'~ 0 J. ~~A~ ~. ~A~ ~. ~~ UPCF (7~) 8:~CUP~O~~C~O.~O s~sr~&4 rY~ ~ messuee C] z SUCT~N O Z (~A~rY 4~ C] CONS~RUCT~O~ ' ~ '~"u~c~u"~~u~ w~ ~ ~. u~ ~ ~. ~ua[e w~ ~ ~. o~ ~ ~.~i~ ~ ~ F~A~~~L ~ ;~rECT~N i~ 3./~~A~~ ~. U~ ~ 3. ~~Ar;~E~~S ~ t ~(~) ~ O~- ;~ S. ~EL ~A~ ~ 9. ~ ~ ~ ~ S. S~EL WI~ATI~ ~ ~. U~ U~~ ~ ~ .~ ~U~ ~ ~F~~~~N,~~~ ~(o.t ~ ~ a. ~~~(~1 lo. (~) lo. ~ ~ ~O~~~F~~ ~ ~. A~O~~F~ ~F~U~~O~~~ ~ c ~0~~ ~ c ~0~0~ ~S~iC~N ;6. ~ i~ ~ST (0.1 ~) ~ 16, ~ I~GR~ TEST (0.1 (7~) S:~CUP~ORMS~~.~O ~ ~ __ CITY OF BAI(ER~FII~LD ' ~~~. 171~ Chester Ave., Bakersfield, CA 93301 (661) 326-~979 ~ O~ ~T~N ~ ~. ~ ~IT~ ~T ~ 4. ~O ~R~ ~ ~. ~ OF ~O~N) ~ ~. rE~Y ~ ~O~ ~o~r~N ~ ~ L T~K 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STOOGE TANK~. TANK PAGE 1 -' '~-'~TIFICATION OF FINANCIAL RESPONSIBILITY , Sect~n 280Zare ~ ~11o~: i 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STOOGE TANKS - UST FACILITY ~PE OF ACTION ~ 1. NEW SITE PERMIT ~ 3. RENEWAL PERMIT ~ 5. CHANGE OF INFOR~TION (Spec~ change - ~ 7. PER~NENTLY CLOSED SITE (Check one i~m only) ~ 4. AMENDED PERMIT local use on~). ~ 8. TANK RE~VED 4~. ~ 6. TEM~RY SITE CLOSURE I. FAClLI~ 1 81TE INFORMATION N~EST CROSS STRE~ ~1. FAClLI~ O~ER ~PE ~ 4. LO~ AGENCY/DISTRICT* ~ 2. INDIVIDUAL ~ 6. STATE AGENCY' BUSINESS ~ 1. ~S STATION D 3. F~M ~ 5. ~MMERC~L ~ 3. P~TNERSHIP ~ 7. FEDE~L AGENCY* ~2. ~PE ~ 2. DISTRIBUTOR ~ 4. ~OCES~R ~ 6. O~ER TOT~ NUMBER OF T~KS Is faoli~ ~ In~ R~fi~ ~ *~ ~ RE~INING AT SITE ~? ~. ~ ~ ~ ~ ~at~ ~e UST. D ~. ~TION ~ ~. P~SH~P ~ S. ~U~AGENCY ~ 7. FE~ ~GENCY T~K O~ER ~ 414. ~ONE 415. ~ILING OR STRE~ ~DRE~ 416. CI~ 417. J STA~ 418. ZIP~DE 419. I TANK O~ER ~PE ~ 2. INDNIDU~ D 4. LO~ AGENCY / DISTRICT ~ 6. STA~ AGENCY 4~. ~ 1. ~TION ~ 3. P~TNE~IP ~ 5. ~U~AG~CY ~ 7. FEDE~LAGENCY · . ..... . . . ~' ,".. ~..' W. BO~D OF EQU~TION UST STOOGE FEE Acc0UN~ NUMBER '. D 3. INSU~NCE ~ 6. ~E~ION ~ 9. STATE FUND & CD 4~. VI. LEG~ NOTIFICATION AND MAILING ADDRESS ~ ~e b~ to in~te ~1~ a~ ~1~ ~ ~ f~ I~ n~ifl~fi~ ~d mailing. L~al notifiers and m~lln~ ~11 ~ ~t to ~e ~nk ~ unl~ ~ 1 ~ 2 is ~. 1. FACILI~ ~ 2. PROPER~ O~ER ~ 3. TANK O~ER 4~. VII. APPLICANT SIGNATURE ~ME OF APPLI~ (pSnt) 4~. TITLE OF APPLI~ 4~. I UPCF (7/99) S:\CU PAFORMS\swrcb-a.wpd 6630 Rose, dale HwY., # B, Bakersfield, CA 9330~ Phone (661) 588-2?77 F~ (661) MONITO NG SYSTEM CERTIFICATION' ' t ~is fo~ m~t b~ used to doc~t t~g ~d s~ic~g of mo~iwr~g equipment., ~ s~pamt~, ,ce~fica~°n. o~ reoo~ ~ must., b~ 'prepped for ~h'~~g svs~ ~n~l p~el by ~e ~ci~ who peffo~.~e worE. A ~py of~S .~e ~ sy~em o~edo~t~,~ ~e o~ope~or m~t sub~t a copy of ~s fo~ to"~ local agency m~g UST sys~m~ wi~ 30 d~ys of t~t d~te. ?"~-.. ~ Gener~ ~oma~on , B. l~vent~ 0fEquiPm~ntT~Ce~ed - Tank~: ~ ~kOg ~uular Space or Vault S~sor. '. M~el: ~ ~ ~ O - qo ~ ~nnular Space or Vault Sensor. Model: ~ Piping S~p / Tr~ch Sen~S~. M~el: - ' : ~ ~Pifig Sump / T~nch S~sor(s). Mod~: ~Sump S~so~s); ~ P M~el:O~ 9q ~90 - ~ ~Sump Sensor(s). ~ Model: ~ MechaniC, Line Le~ Detector. Model: - ,~ Mech~i~l Line L~ Detector. Model: ~ Elec~onic Line M~ Dete0tor. Model: .. ~ Electronic Line L~ Detector. .M~: ~ Tank ~!1 / High-Level Sen~r. Model: ~ Tank O{~!1 / High-Level Sensor. Model: ~ ~er s '-ci '" ui meat e~dmodel~S~onEOnPa e~. ~.O~ ' ci e ui meat. e~dmodelin'SectionEonPa. .~ e2. Tank ~: ~ KO~ Tank ~: ~-T~k Gauging Probe. M~el:.~OTffSoq ~O x O~. ~ I~-T~k Oau~ng Probe. Model: ~nul~ S~ or Vault S~r.. 4 M~el:~ ~,q tl~ qO ~ qo~ . ~ ~nul~ Spa~ or Vault Senior. Modd~ ~ Piping Su~ / ~ch S~so~s). M~ ~ -' ~ Pip{ag Sbmp / ~n~ Sens0~s). M~el~ ~ Sump S~sor(s). ~f' ~d~: O~q q.~qO,- ~o ~ ~ Fill Sump Se~o~s). M~el: ~ M~h~i~l Line L~k D~r. Mod~: , ~ Mechanical Line L~k Detector, ' Model: ~ Dispenser containment Segso~s). Mo~l: ~h~ Vali~n~nt Sensors). Model. ~h~r Valve(S). Y ' Dtspens~ ~: Q ~Q 0 ~ q D~s~ l~: ~ Di~en~r Con~nm~t ~enso~s). Model: ~ ~ispenser~n~nm~t Sensors), Model: ~r ~h~ Valves). ~ ~is n~r~Con~inm~nt Float s ~d Chain s. ~ ~~~ment ~oa s ~ ~ain s, ~ D~penser ~: Dispen~r ~: ~ ~ispenser~ontainmeut ~enso~s). Model: ~ ~is~user Containment Sensor(s). Model: ~ Sh~ Valve(s). repo~ I have a~o amqed a copy erie ~po~ (~ ~ ~yf. , Y -~'~- ~'o Ceffificafioa No.: lO O ~ License. No.: _ '~ Testing C0~y Name: ~~ ,~a Phone No.:(~) 03/01 P~e I of 3 Monltodng Syst~ Certification O; Result~ of Tesflng/Servicing ~ Software V~rsion Insl~lle& ~ _~(~) [ ~. C~'~t'e.s 12 No* Is. the ~u&'ble alarm op~r, ational? Oi/ye.s 12 No* Is the visual alarm operational,? ...... (~'"~.~s 12 No* Were all. s~.ns°rs Visually insp~t~d, functionally tea~ed, and. c°.nfa'med operational? [~Yes [2 No* Were all sensors/nstalled at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper oper.ation? . . . :- ........ {i]'~es' [2 No* If alarms are relayed to a remote mon/t°ring station, is all' commurdcations equipment (e.g. modem) 12 N/A operational? {~'~es {2' lqo* For pressur/zed piping systems, does the turbine automatically shut down if thee.piping secondary containment 12 N/A monitoring system detects a leak, fa/ls to operate, or is electrically d/sconnected? If yes: which:sensOrs initiate positive shut-down? (Che,~ all that apply) [l]'b'~nch Sensors; Q.D./~enser Containment Sensors. ~- Did you confirm positive shut-down due to leaks .and sensor fa/lure/dlsconnection? {iPYes; Q lqo. [l~"Yes 12 No* 'For tank systems that utilize the nion/loring system as the pr/mary ~nk overf'dl wamlng device (i.e. no 12 N/A mechanical overfill prevention valve is installed), is the overfill warn/ne alarm Vi~le and audi'ele at the' fdl point(s) ~nd oper~_..gnE properly? If so, at what percent of tank capacity does the ~arm trigger? . % Yes*' 12 No Was any monitoring equipment replaced? If yes, identifY, speC/fie S~ors, pWbes, or other equipment replaced. and listthe msnn~ctumr nsme and model for all replacement parts h Secti°n .E.~ bblow. ~r~s* 12 No was ua~ia toun~inside any secautar~ containment symms designed as d~, systems? (Ctoc~ all tiat 12 Product; I~'~V~t_er_.. Ify~s~ des_c~._~_e causes/n Section E~ below... I~"Yps 12' No* Was ~o~!toring system set-up reviewed to ensu~ proper settings? Attach set up reports~ if applic, able ~"(lres 12 NO* Is a,ll mnnlt. Ol"~R eGuio~ent ODeri~HoRal Der mgmttgCtUl'er'S specifications? In Section E below describe liow and wh~m these deficiencies were or will be ¢ori-ected. I Page 2 of 3 03/0~ In-Tank Gauging / SIR Equipment: Iii Check this box if tank §au§rog is used only for ~v~nto~ con~ol. ~,~eck ~s box ff T~s s~fion must b~ ~ompl~t~ if in-~ gau~g ~q~pment is ~ ~ p~o~ 1~ det~fion mo~toring. dete ~e foHo~g ch~: ~ U~'.~o* H~I~ ~put~w~g be~n ~pec~ f°rPro~r eU~'~d t~afio~, ~c~d&g t~s~g fey ~°~d fault? ~s ~ No* W~e an ~ gaug~g pmb~ vi~y ~~ for d~agc ~d r~idue buildup,~ Y~ ~ No* W~ acc~cY of system'p~oduct level rcad~gs ~sted? ~y~ ~ ~o* W~ accura~ of system water level ~gs tc~ed? "' ~y~'.' ' ~ No*' W~o aUi~ on ~ c~t ~~r's ~~ce ~t compleX? ~&e S~flon ~ ~ow, d~ibe how ~d ~en ~ d~ef~ci~ were or ~1 be co~t~. · L~e Le~ De~ctors ~LD): ~ Ch~k ~ ~x ff L~s go not ~st~cd. ~ N/A (C~kaR~a~ly) S~~m~: ~.p.~; ~ 0.1 g.p~; ~ 0.2 g.p.h. ~. ~ No* W~ &e ~ ~~ ~glY ~ ~ No, For m~ L~, do~ &o ~D r~ct pm~ ~w fir ~ O~A .. ~ ~ No*' For el~c ~s, do~ &e ~b~c aum~6c~y &ut off ff&e L~ dem~ a ~ N/A , Y~ ~ No* For elec~o~c L~s, do~ ~ ~ auto~6c~ly shut offif ~y po~ of ~ N/A or di~nn~ ~ N/A ~.~lfim~o~s ~ ~ilk a t~? · Y~ ~ No* For'~~ L~S, ~ve ~ a~ibk ~g c~o~o~ been ~s~y ~p~d? ~ ~ No* W~e ~ i~.on ~ o~p~t'~~r's ~~ ~he~!st ~o~letod? , ~e S~6on H, b~ow, d~be ~w ~d when ~e d~~ we~ or ~11 be eorrect~. Comments: 03101 Pnge 3 of 3 UST Monitoring Site Plan Site Add~ess: ......................................... '"' ======================================== .......... ========================================== ....... · w '~ ~,~ . ..~. · ...... ~ · ~ .......... U' fl ........... ~ V'. :~:::::: :..~: ...... ~ ......... ~ ............ Date m~ was ~ you ~ ~ ~ ~. ~t shows all ~a~--~hf~a~-you~y-~ludc-i~-~er-~-~s-pase, wi~ yo~ Moniw~ng Syst~ C~fion. ~ yo~ ~m p~, show ~e gene~l layo~ of ~ ~d pip~g. CI~Iy idenfi~ l~afions of the follo~g eq~pment, if ~smB~: m~t~ng system con~l p~els; s~sors mo~to~g ~ ~ul~ detecW~; ~d ~2~ liq~d level probes (~ m~ for 1~ deter). ~ ~e ~a~e pm~de~.note ~e &te ~is Site PI~ w~ p~p~. Pase ~ of os/oo ~ Postage $ ,:34 D'" Certified Fee _ 2 ,. 10 ~-R Return Receipt Fee Postmark r'u (Endorsement Require0.} i . 5 0 Here Restricted Delivery Fee I-'1 (Endorsement Required) _ . r~ ~po~e&re. $ 3.94 · ~ llete items 1, 2 and 3 Also complete ite'h'r~ f Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. [] Agent [] Addressee 1. Article Addressed to: ] I O. Is delivery address different from item 1~ [] Yes Don Dozah ~' ~ [] No Stuart's Petroleum 11 East 4t~h St Bakersfield CA 93307 RE: Yoo '$ Market I ~iurn Re~-~iPt for Merchandise 800 34th St ~Ua, ~C.O.D. _l 4. Restricted Del/very? (Extra Fee) [] Yes 2. Article Number (Copy from service label) _ ?'~0 0520 0021 9610 ~162 ~ PS F:~~ 1999 Domestic Return Receipt 102595-99-M-1789 September 27, 2001 Don Dozah Stuart's Petroleum Certified Mail 11 East 4th Street Bakersfield Ca 93307 FIRE CHIEF NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RON FRAZE RE: Failure to Submit/Perform Annual Maintenance on Leak Detection ADMINISTRATIVE SERVICES 2101 "H" Street System at Yoo's Market, 800 34th Street, Bakersfield Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Mr. Dozah SUPPRESSION SERVICES Our records indicate that your annual maintenance certification on your leak 2101 "H" Street Bakersfield, CA 93301 detection system is past due. September 1, 2001. VOICE (661) 326-3941 FAX (661) 395-1349 You are currently in violation of Section 2641 (J) of the California Code of PREVENTION SERVICES Regulations. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 "Equipment and devices used to monitor underground storage tanks shall be FAX (661) 326-0576 installed, calibrated, operated and maintained in accordance with manufacturer's ENVIRONMENTAL SERVICES instructions, including routine maintenance and service checks at least once per 1715 ChesterAve. calendar year for operability and nmning condition." Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 YOU are hereby notified that you have thirty (30) days, October 27, 2001, to either perform or submit your annual certification to this office. Failure to comply will TRAINING DIVISION s~42 Victor Ave. result in revocation of your permit to operate your underground storage system. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Should you have any questions, please feel free to contact me at 66]-326-3190. Sincerely, Ralph Huey Director of Prevention Services by: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walt Porr, Assistant City Attorney , OO-,'~ NOB I L 800 34TH 661 -869-1974 09-10-01 10:47 ~f"l ,~ WTEI1 STATUS REpC, r,T T I :Ot,'ERFiLL ALARM I NVENTOP,',/ REPORT T I :UNLEADED VOLUME = 2825 GALS LILL~GE = 6916 90?{ LILL~GE= 5941 G~LS TO VOLUHE = 2760 GALS HEIGHT = 30.27 INC;HE~ WhTER VOL = 12 GhL$ WATER = 0.79 INCHES TEMP = 92.9 DEG F T 2 VOLUME = 4393 GAL~ ULLAGE - 5348 GALS 90:~{ ULLAGE~ 437~ TC VOLUPlE = 4~99 HEIGHT = 41.88 WATER VOL = 17 GAL~ W~TER = ~ . 01 TEMP = 90,4 DEG F T j; PREPI ~ IJM VOLUME = 2528 GAL~ ULLAGE - 7213 GALS 90~.~ ULLaGE~ 6238 GaLS TC VOLUME = ~476 GaLS HEIGHT = 27.95 INOHES WATER VOL = 13" WATER = 0.82 I NCHE~ TEMP = 89.2 DEG F qi )RRECTION NO CE BAKERSFIELD FIRE DEPARTMENT N°_ § 9 1 Sub Div. ~O(~ _~ _f~,~'l', . Blk. Lot You are hereby required to make the following corrections at the above location: Cot. Completion Date fo,' Correctionff/} [ OL/~/O ! Date .... t-h~pector 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~OO; ~ttO~l'(:, INSPECTION DATE Section 2: Underground Storage Tanks Program [21 Routine [~ombined [] Joint Agency [] Multi-Agency3 [] Complaint [] Re-inspection Type of Tank IXO~ Number of Tanks Type of Monitoring C/--~ Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file ~ Permit tees current Certification of Financial Responsibility Monitoring record adequate and current ,~//' Maintenance records adequate and current Failure to correct prior UST violations ~ Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO ~p Inspector: .& Office of Environmental Services (805) 326-3979 onsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301 FACILITY NAME x,/0o~ tlAt}{n~[r, INSPECTION DATE Jrt/0 ~0 ADDRESS ~_00 3q{-~x,tiT PHONE NO. ~_(oq -~ ?q FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES q Section 1: Business Plan and Inventory Program [21 Routine ~ Combined I~ Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V~ COMMENTS / Appropriate permit on hand Business plan contact information accurate L. / Visible address ~,~ / / Correct occupancy Verification of inventory materials ~, J / Verification of quantities Verification of location L~ ~' Proper segregation of material ~ r Verification of MSDS availability L~ / / Verification of Haz Mat training Verification of abatement supplies and procedures L / Emergency procedures adequate ~ / Containers properly labeled 1~ / Housekeeping L,, r / ,..-- Fire Protection C f't~. {2:'~-ttae6t.,3fxt~ Site Diagram Adequate & On Hand ~. / C=Compliance V=Violation Any hazardous waste on site?: ~ Yes ~.No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 e Party White-Env. S v cs. Yellow - Station Copy Pink-Business Copy Inspector: D FII E August 3, 2001 Yoo's Mobile FIRE CHIEF 800 34th Street ~ON F~E Bakersfield Ca 93301 ADMINISTRATIVE SERVICES 2101 "H' Street RE: Deadline for Dispenser Pan Requirement December 31, 2003 Bakersfield, CA 9:~01 VOICE (661) 326-.3941 FAX (661) 395-1349 REMINDER NOTICE SUPPRESSION SER¥1CES 210 t IH" Streot Bakersfield, CA 900O1Dear Underground Storage Tank Owner: VOICE (661) 326-3941 FAX (661)395-1 349 You will be receiving updates from this office with regard to Senate Bill PREVEN~O. SE.ViCES 989 which went into effect Sanuary ! 2000. 1715 Chester Ave. ' Bakersfield, CA 93301 :! VOICE (661) 326-3951 FAX (661) 326-0576 ']'~iS bill requires dispenser pans under fuel pump dispensers. On December 3 ], 2003, which is the deadline for compliance, this offce will ENVIRONMENTAL SERVICES be forced to revoke yom' Permit to Operate, for failure to comply with the 1715 Chester Ave, Bakersfield, CA 93301 regulations. VOICE (661) 326-3979 FAX (661) 326-0576 It is the hope of this office, that we do not have to pursue such action, TRAI.I.G ~)n/ISIO. which is why this office plus to update you. I urge you to start planrdng 5642 V'mtor Ave. Bakersfield, CA 93308 to rea'o-fit your facilities. VOICE (661) 399-4697 FAX (661)399-5763 If yom' facility has been upgraded already, please disregard this notice, Should you have any questions, please feel free to contact me at 661-326- 3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm Business Name: Business Address: O~X ~OS MOBILE SiteID: 015-021-000345 Manager : BusPho~e: (661) 325'6320 Location: 800 34TH ST Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:77-032-4494 Emergency Contact / Title Emergency Contact / Title SUNG H YOO / OWNERS BROTHER / Business Phone: (661) 325-6320x Business Phone: (661) - x 24-Hour Phone : (661) 325-6320x 24-Hour Phone : (661) - x Pager Phone : (661) 395-8929x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 325-6320x MailAddr: 800 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner STUARTS PETROLEUM Phone: (661) 325-6320x Address : 800 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: !, ~ ~"~/~/ -DO hereby certify that I have ~ype ~ reviewed the a~ached h~ardous mate~als man~ ~d t~t it ~ong w~h merit plan for ~ (~e of Bus~~) ~y co~ions constitute agement plan for my facility. -1- 04/20/2004 ~OOS MOBILE ~ Hanmar Inventory SiteID: 015-021-000345 MCP+DailyMax Order ~ By Facility Unit ~ Fixed Containers on Site Hazmat Common Name... ~SpecHazIEPA Hazards~~ GASOLINE GASOLINE F IH DH L 10000.00 GASOLINE F IH DH L 10000.00 GAL F IH DH L 10000.00 GAL Mod -2- 04/20/2004 YOOS MOBILE SiteID: 015-021-000345 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~U~U~ ~v~ / ~±~ ~v~ GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Liquid/Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10000.00 GAL 10000.00 GALI 1000.00 GAL HAZARDOUS COMPONENTS I CAS# 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecret RS BioHazl Radioactive/Amount EPA HazardsI NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4: Ag. Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag. Definedg: Ag.Definel0: -- Ag.Definell -3- 04/20/2004 ¥OOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 -- Last Action Type: Location In Site: FRONT OF STATION - UST TANK DESCRIPTION Tank ID#: 1 Mfr: Compart Tank: N Installed: 0/ 0 Capacity: 10000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: REGULAR UNLEADED Matl Name:GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNKNOWN Installed: Corr Prot: UNKNOWN Installed: Spill Cnt : 1994 Alarm : Exempt: No Drop Tube : 1998 Ball Float : Striker Plate: 1994 Fill Tube S/O: 0 TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No 4 04/20/2004 YOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 03/19/1998 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/19/2000 Name:STUARTS PETROLEUM-JOHN R. STUART Ttl:PRESIDENT Prmt Number: 0345 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :08/17/1994 CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:09/19/2003 -5- 04/20/2004 F YOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0002 Facilit~ Unit: Fixed Containers on Site , COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Ambient Ambient UNDER GROUND TAi~K Liquid/Pure CONTAINER TYPE Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL I HAZARDOUSCOMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag. Definedl: Ag. Defined2: Ag.Defined3: Ag.Defined4: Ag. Defined5: Ag. Defined6: Ag. Defined7: Ag. Defined8: Ag.Definedg: Ag. Definel0: -- Ag. Definell -6- 04/20/2004 ¥OOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: FRONT OF STATION - UST TANK DESCRIPTION Tank ID#: 2 Mfr: UNKNOWN Compart Tank: N Installed: 0/ 0 Capacity: 10000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: REGULAR UNLEADED Marl Name:GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNKNOWN Installed: Corr Prot: UNKNOWN Installed: Spill Cnt : 1994 Alarm : Exempt: No Drop Tube : 1998 Ball Float : Striker Plate: 1994 Fill Tube S/O: 0 TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No 7 04/20/2004 YOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: LINED TRENCH Mfgr : Mtl : FIBERGLASS & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 03/19/1998 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/19/2000 Name:JOHN R. STUART Ttl:PRESIDENT Prmt Number: 0345 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :08/17/1994 CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:09/19/2003 8 04/20/2004 F YOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 F STATE -q-- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure Ambient I Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 10000.00 GAL I 10000.00 GAL I 1000.00 GAL HAZARDOUS COMPONENTS %Wt. I RSI CAS# 100.00 Gasoline No 8006619 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod MISC. LOCAL AGENCY DATA Ag.Definedl: Ag.Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined5: Ag.Defined6: Ag. Defined7: Ag. Defined8: Ag. Definedg: Ag.Definel0: -- Ag. Definell 9 04/20/2004 YOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: FRONT OF STATION - UST TANK DESCRIPTION Tank ID#: 3 Mfr: UNKNOWN Compart Tank: N Installed: 0/ 0 Capacity: 10000 Gals No. Of Comparts: Additional Info: TANK CONTENTS Tank Use: MOTOR VEHICLE FUEL Petrol Type: UNLEADED PLUS/MIDGRADE Matl Name:GASOLINE Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): FIBERGLASS Material(s): FIBERGLASS Lining : UNKNOWN Installed: Corr Prot: UNKNOWN Installed: Spill Cnt : 1994 Alarm : Exempt: No Drop Tube : 1998 Ball Float : Striker Plate: 1994 Fill Tube S/O: 0 TANK LEAK DETECTION Sgl Wall: AUTOMATIC TANK GAUGING Dbl Wall: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Last Used: Qty Remaining: Was Filled: No -10- 04/20/2004 ZOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : UNKNOWN Mtl : FIBERGLASS & : Corr : Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS DISPENSER CONTAINMENT Installed: 03/19/1998 Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Date: 04/19/2000 Name:JOHN STUART Ttl:PRESIDENT Prmt Number: 0345 Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST :08/17/1994 CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:09/19/2003 -11- 04/20/2004 I,Betty Wilson - Yoo's Mobile 800 34th -----, Page 1 I From: Steve Underwood To: Betty Wilson Date: 1/30/03 7:38AM Subject: Yoo's Mobile 800 34th St. Betty, I recieved a call this morning, from Lina the stor owner. She indicates that she was billed for (4) tanks when infact the computer and my records show her to have (3) tanks. Would you please give her a call at 330-7686. thanks 52 9o YOOS MOBILE SiteID: 015-021-000345 Manager : BusPhone: (661) 325-6320 Location: 800 34TH ST Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:77-032-4494 Emergency Contact / Title Emergency Contact / Title JCiIN A STUART / OWNERS BROTHER / Business Phone: (661) 325-6320x Business Phone: (661) - x 24-Hour Phone : (661) 325-6320x 24-Hour Phone : (661) - x Pager Phone : (661) 395-8929x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: (661) 325-6320x Mai'lAddr: 800 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner STUARTS PETROLEUM Phone:. (661) 325-6320x Address : 800 34TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hanmar Common Name... ISpooHazIEPA HazardsI Frm DailyMax IUnit[MCP GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE F IH DH L 10000.00 GAL Mod I, '~l~l~r H ."f~oDo hereby certify that I have (Type ~ print name) reviewed the attached hazardous materials manage- ment plan for Y~N~~il~oi~h~Ltbat_italong with any corrections constitute a complete and correct man- agement plan for my facility. v ~/ 09/20/2002 YOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Liquid /Pure Ambient Ambient UNDER GROUND TANK I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL I I HAZARDOUS COMPONENTS I I %Wt. RS CAS# 100.00 Gasoline No 8006619 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 r STATE ~ TYPE PRESSURE --~ TEMPERATURE I CONTAINER TYPE Liquid /Pure Ii Ambient Ambient UNDER GROUND TANK I AMOUNTS AT THIS LOCATIONI Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS I I %Wt. RS CAS# 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS TSecretl oRSIBioHaz Radioactive/Amount I EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F IH DH / / / Mod -2- 09/20/2002 YOOS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Liquid /Pure Ambient Ambient UNDER GROUND TANK Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Gasoline 8006619 HAZARD ASSESSMENTS TSecretl ~S BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP No N No No/ Curies F IH DH / / / Mod -3- 09/20/2002 ~ YOOS MOBILE SiteID: 015-021-000345 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 02/16/1993 NOTIFY CHEVRON LOCAL REPRESENTATIVE AND/OR CHEVRON DISTRICT OFFICE. THEN NOTIFY LOCAL FIRE DEPT. -- Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan 02/16/1993 TRANSPORT TO MEMORIAL HOSPITAL - 1 BLOCK AWAY. 4 09/20/2002 YOOS MOBILE SiteID: 015-021-000345 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 02/16/1993 UNDERGROUND STORAAGE - RELEAASE PREVENTION NOZZELS AT PUMPS. -- Release Containment 02/16/1993 TRAINING ALL PERSONNEL IN PROPERLY HANDLING PROCEEDURES. -- Clean Up 02/16/1993 FLOATING ANY SPILL WITH WATER. Other Resource Activation -5- 09/20/2002 YOOS MOBILE SiteID: 015-021-000345 Fast Format Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 02/16/1993 A) GAS - BEHIND BLDG IN BACK OF RESTROOM B) ELECTRIC - IN SW CORNER OF STORAGE ROOM C) WATER - SHUT OFF VALVE IN BACK BY RESTROOM D) SPECIAL - EMERGENCY SHUT-OFF IN SW CORNER OF STORAGE ROOM E) LOCK BOX - NO Fire Protec./Avail. Water 02/16/1993 PRIVATE FIRE PROTECTION - ???????????( DO YOU HAVE FIRE EXTINGUISHERS OR SPRINKLER). NEAREST FIRE HYDRANT - ????????????? Building Occupancy Level 6 09/20/2002 YOOS MOBILE SiteID: 015-021-000345 Fast Format ~ Training Overall Site -- Employee Training 02/16/1993 WE HAVE 6 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ON THE JOB TRAINING WITH CONSTANT SUPERVISION. Page 2 Held for Future Use Held for Future Use -7- 09/20/2002 .............. SiteID: 015-021-000345 Manager : BusPhone: (805) 323-9694 Location: 800 34TH ST Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:77-032-4494 Emergency Contact / Title qen.~ Emergency Contact / Title Business Phone: (805) ~ ~5~-J~9~ Business Phone: (805) ~4x 9~ ~ Pager24-H°urphonePh°ne : ~805} ~_~ 24-HOUrphonePhOne : (805)831-2966x Pager : ( ) _ x~z~.~,l~~l Hazmat Hazards: ~g-~ Fire Im~lth De~~~ Contact : Phone: ( ) - x MailAddr: 800 34TH ST State: CA City : B~ERSFIELD Zip : 93301 O~er ~ED ~SO~ Phone: (805) 323-9694x Address : 800 34TH ST State: CA City : B~ERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif 'd: RSs: No Emergency Directives: = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hanmar Common Name... JSpeoHazJEPA HazardsJ Frm DailyMax Unit MCP GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE . F .~. IH ~DH L 10000 00 GAL Mod GASOLINE ~, L~ ~-00 ~.' 6F~''¢ ........... ' ....... ~ .... IH 'DH' '~ L 10000.00 G~ Mod ~y~ or p~nt ~,~m~) reviewed the a~chc, d h~rdou:~ merit plan for %~o's ,~ny ~ions oonstilute a complete and aorrsat man- 1 08/10/2000 STUARTS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 V STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient I Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION ! Largest Container I Daily Maximum Daily Average GAL [ 10000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline No 8006619 HAZARD ASSESSMENTS TSecret RS BioHazl Radioactive/Amount I EPA Hazards, NFPA USDOT# MCP No N°llINo No/ Curies F IH DH / / / Mod = Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure Ambient I Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL 10000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS 100.00 Gasoline No 8006619 IOR TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod 2 08/10/2000 STUARTS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 10000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Gasoline 8006619 HAZARD ASSESSMENTS TSecretl ~SIBiOHazNO N No Radioactive/Amount No/ Curies FEPA HazardsiH DH NFPA/// I USDOT# I MCP 3 08/10/2000 F STUARTS MOBILE SiteID: 015-021-000345 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 02/16/1993 NOTIFY CHEVRON LOCAL REPRESENTATIVE AND/OR CHEVRON DISTRICT OFFICE. THEN NOTIFY LOCAL FIRE DEPT. -- Employee Notif./Evacuation -- Public Notif./Evacuation Emergency Medical Plan 02/16/1993 TRANSPORT TO MEMORIAL HOSPITAL - 1 BLOCK AWAY. 4 08/10/2000 F STUARTS MOBILE SiteID: 015-021-000345 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site --Release Prevention 02/16/1993 UNDERGROUND STORAAGE - RELEAASE PREVENTION NOZZELS AT PUMPS. -- Release Containment 02/16/1993 TRAINING ALL PERSONNEL IN PROPERLY HANDLING PROCEEDURES. -- Clean Up 02/16/1993 FLOATING ANY SPILL WITH WATER. Other Resource Activation -5- 08/10/2000 F STUARTS MOBILE SiteID: 015-021-000345 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 02/16/1993 A) GAS - BEHIND BLDG IN BACK OF RESTROOM B) ELECTRIC - IN SW CORNER OF STORAGE ROOM C) WATER - SHUT OFF VALVE IN BACK BY RESTROOM D) SPECIAL - EMERGENCY SHUT-OFF IN SW CORNER OF STORAGE ROOM E) LOCK BOX - NO -- Fire Protec./Avail. Water 02/16/1993 PRIVATE FIRE PROTECTION - ???????????( DO YOU HAVE FIRE EXTINGUISHERS OR SPRINKLER). NEAREST FIRE HYDRANT - ????????????? Building Occupancy Level 6 08/10/2000 STUARTS MOBILE ~/~/5~/~/~/~/5~/5~¢~/~/~/5~~ SiteID: 015-021-000345 Trai~ng ~~~~~~~~ Overall Site i~ Employee Trai~ng ~~~~~~~ 02/16/1993 i o WE ~VE 6 EMPLOYEES AT THIS FACILITY. o o WE DO HAVE MSDS SHEETS ON FILE. O B~EF SUMMARY OF T~INING PROG~M: ON THE JOB T~INING WITH CONSTANT o SUPERVISION. o o o iee~e Held for Fumre Use ~eeeeeeeee~e~eeeeeeeeeeeeeee~eeeeeee~eeee~eeeeeeeei o 0 ieeeee Held for Fumre Use 0 o -7- 08/10/2000 STUARTS MOBILE ~/~/~/~/5~/~/~/~/~/~/~5~5~~ SiteID: 015-021-000345 Response/Risk Management ~~~~~~ Overall Site i o o O O o o i~ Finance/Admi~stration O o -8- 08/10/2000 i STUARTS MOBILE ~fi~~~~~ SitelD: 015-021-000345 i~ Full Format ~~~ Type + Category + Sub-Category +Date2(ASC) Order o O °Reference Dates Summary Description o °CAPRIOLI 07/28/1995 OK ° O o o o o o o o °CAPRIOLI 09/21/1994 OK ° o O O O o o o o O O °Reference Dates Summary Description o °CAPRIOLI 09/28/1993 FOLLOW UP o o o o o o o o o o o °Reference Dates Summary Description o °HUEY 10/29/1993 FOLLOW UP OK ° o o o o O O o o °BUSINESS PLAN PROGRAM COMBINED PROGRAM INSPECTION °Reference Dates Summary Description o °Steve 03/17/1997 Business Plan Inspection OK ° o o o o o Station converting to a mobil station, highbred LPT system. Will include ° ° positive shut down. New Veederoot Leak detection system, o o o o o -9- 08/10/2000 i STUARTS MOBILE ~~~~~~ SiteID: 015-021-000345 ~ Full Fo~at ~~~ Type + Catego~ + Sub-Catego~ + Date2(ASC) Order °UNDERGROUND STOOGE TANK PROG~M ROUTINE INSPECTION °Reference Dates Su~au Description °Steve 03/27/1998 Final Inspection OK o o O O o Demo on upgrade system ok O o o Note** small eak at O ring on 92 turbine was called by Erffie Lancaster, O o ring was replaced and certified by E~e to be repaired. o O o o °Steve 03/20/1998 Seconda~ Piping Inspection Ok O O O O o SecoMa~ piping test using soap,no leaks have scheduled final in one week. o O O o o °Steve 03/19/1998 Primau Piping Inspection OK o o o o o Station conveging to a mobil station, highbred LPT system. Will include o o positive shut down. New Veederoot Leak detection system, o o o o o °UNDERGROUND STOOGE TANK PROG~M COMBINED PROG~M INSPECTION °Reference Dates Su~a~ Description °Steve 03/17/1997 UST Inspection Minor Co~ection o 04/29/1997 Remm to Compliance o o o Customer must remove "Hold Open" devices from ~el pumps o o o o °800 34~ 10/24/1995 UST & HAZ-MAT inspection. See Field Cit.. O O O o O o o o °800 34th 11/03/1993 UST I~pection. o o o o o Need to register and pemit ta~s. Delivered A,B, and C fores, o o Scully a~. monitor not in LG-113-10. o o o O o - 10- 08/10/2000 i STUARTS MOBILE ~~~~~~ SiteID: 015-021-000345 i~ Full Format ~~~ Type + Category + Sub-Category + Date2(ASC) Order i~~~~~~~~~ One Unified List i °UNDERGROUND STORAGE TANK PROGRAM OTHER INSPECTION °Reference Dates Summary Description o °Steve 09/23/1999 Removal of (1) 1,000 gal. Waste oil Tank o O O o O o Removal went without incident. Tank and assoicated piping was in excellent ° o condition. Ground showed no signs of contamination, o O o ° Note*** Tank will be re-used for live-stock waste and not desrtoyed. ° o O o o o O o o - 11- 08/10/2000 i STUARTS MOBILE ~~~~~~ SiteID: 015-021-000345 f~ Full Format ~~/~/~ Type + Category + Sub-Category + Date2(ASC) Order i~~~~ PERMITS / OVERSIGHT °UNDERGROUND STORAGE TANK PROGRAM CLEAN CLOSURE GRANTED o °Reference Dates Summary Description ° °WINES 12/24/1997 NFAR ON BASELINE SOIL SAMPLE REPORT ° O O o o O O O O -12- 08/10/2000 STUARTS MOBILE SiteID: 015-021-000345 Manager : ,/ BusPhone: ( Location: 800 34TH ST Map : 103 CommHaz : Low City : BAKERSFIELD Grid: 19D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:77-032-4494 Emergency Contact / Title Emergency Contact / Title ~' ~xc- -- ~ ~ ~-~_~r~ ....................... ' ........ ~usl~es~~e: ....... ~ Business Phone: (805) 3P~96-94x 24-Hour Phone : .............. r ....... (805) °°~ ~-- Pager Phone : (&&/) ~¢~-~x Pa~er Phone : ( ) - x 'Hazmat Hazards: Fire ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 800 34TH ST state: CA City : BAKERSFIELD Zip : 93301 Address : 800 34TH ST ~~--~/,- State: CA City : B~ERSFIELD , , ~/]~ ~O , Zip : 93301 to ~O~lO0~ Tota~ASTs: Period : = Gal Preparer: . ~O~lo~8 Gal '~-8 TotalUSTs: = Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory One Unified List ~ -- As Designated Order Ail Materials at Site ~ Hazmat Common Name... ISpocHazlEPA HazardsI Frm I DailyMax Unit MOP GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE ~-x ~ F IH DH L 10000.00 GAL Mod I, z.~,~/ z~,oz~,~ Do hereby certify that I have' (Type oTpdnt heine) reviewed the attached hazardous materials mao. age- ment plan for -/~& /~'~o/t- and that it alon~ with ' (Name of Business) . any corrections constitute a complete and correct man- agement plan for my facility. Signature Date 1 07/18/2000 STUARTS MOBILE SiteID: 015-021-000345 = Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ivUVl~ ~Vl~ / ~£1_~J.J ~vl~ GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9  STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~Pure I Ambient I Ambient I UNDER GROUND TANK Largest Container Daily Maximum Daily Average GAL 10000.00 GAL 1000.00 GAL 100.00%Wt' Gasoline HAZARDOUSCOMPONENTS i~IN S CAS# 8006619 TSecret RS BioHaz i HAZARD ASSESSMENTS I Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~UIVUVlU~ ~Vl~ / ~ ~ ~Vl~ GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 F STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure I Ambient I Ambient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION ,Largest Container . Daily Maximum I Daily Average GAL 10000.00 GALI 1000.00 GAL HAZARDOUS COMPONENTS 61~9 I 100.00 Gasoline N 8006 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Mod 2 07/18/2000 STUARTS MOBILE SiteID: 015-021-000345 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE . Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 F STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE LiquidT, Pure Ambient I, Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 10000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Gasoline N 8006619 HAZARD ASSESSMENTS TSecretl RSIBioHazI Radioactive/Amount I EPA HazardsI NFPA 'USDOT# MCP No No No No/ Curies F IH DH / / / Mod -3- 07/18/2000 CITY Of BAKERSFIELD ' CLAIM VOUCHER · I Vendor No. I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated. CLAIMANT'S NAME AND ADDRESS: Mohamed Mansour Chevron US Products Co (AUTHORIZED SIGNATURE OF CITY AGENCY) 800 34th Street Bakersfield, CA 93301 Date: 04-01-99 Initials of Preparer: CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This customer overpaid Haz Mat bill in the amount of $264.00. We have since made an adjustment to the California State surcharge in the amount of $8.50 leaving them with a credit of $272.50. Dept. El / Objt Project # Invoice # Amount Date of Invoice 0000 7900 $272.50 VOOCHZA TO~,L $272.50 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims. Every person who with intent to defraud, ipresents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined & Approved for Payment Amount or writing, is guilty of a felony. ' STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA Y3301-5201 (805) 32~-3~79 DATE: 4/01/~9 TO: CHEVRON USA PRODUCTS CO MOHAMED MANSOUR 800 34TH ST BAKERSFIELD, CA 93301 CUSTOMER NO: 2909 CUSTOMER TYPE: ES/ 2909 CHAROE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 3/01/99 BEQINNINQ BALANCE 179.00 2/0i/99 PAYMENT 88001 3/3i/~9 Cha~ge adjustment 4/30/99 8.50- CA STATE SURCHARQE FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 8. 50- DUE DATE: 5/03/~ PAYMENT DUE: 272.50-- TOTAL DUE: $272.50- PLEASE DETACH AND SEND'THIS'~COPYWITH~'REMITTANCE J~ DATE: 4/01/~9 DUE DATE: 5/03/99 REMIT AND MA~E CHEC~ PAYABLE TO: CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 93303-2057 (805) 32~-~7~ ............ CUSTOMER NO: 290~ CUSTOMER TYPE: ES/ 290~ TOTAL DUE: $272.50- cus~w~' ,& NO. ~ ~0~_ MISCELLANEOUS RECEIVABLES ADJUSTMENT , ADDRESS CHANGE CLOSE ACCT j · FINANCE CHARGE i · OTHEn ADJ i'"/ MAILING ADDRESS %©r~ '~¼--~ .~ SITE ADDRESS PARCEL NUMBER ADJUSTMENT i CHG DATE I CHARGE CODE ADJUSTMENT AMOUNT MANSOURS CHEVRON SiteID: 215-000-000345 Manager : BusPhone: (805) 323-9694 Location: 800 34TH STur~ihu----- Map : 103 CommHaz : Low City : BAKERSFIELD ~ Grid: 19D FacUnits: 1AOV: CommCode: BAKERSFIELD STATION 04 SIC Code:5541 EPA Numb: DunnBrad:77-032-4494 Emergency Contact / Title Emergency Contact / Title NABEEL MANSOUR / OWNERS BROTHER MAHAMED MANSOUR / OWNER Business Phone: (805) 323-9694x Business Phone: (805) 323-9694x 24-Hour Phone : (805) 834-9920x 24-Hour Phone : (805) 831-2966x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Agency-Defined Topic Title ~ Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA Hazards] Frm DailyMax UnitlMcP GASOLINE F IH DH L 10000 GAL Mod GASOLINE F IH DH L 10000 GAL Mod GASOLINE F IH DH L 10000 GAL Mod WASTE OIL F DH L 1000 GAL Low I, f~o~-- ,~..~.,~.so,~,.'- _ Do hersby ce~i~ that I have reviewed thc "'~ .... ~ .... -~ ,, ........ ~.~.~, ~-,~,=~1- manage- · ; '~,',~' ~ ~ong with ment plan 'k:r ~~..~.~'"'- · - ......... and ~rrect man- any corrections co:~,~,~.u[a agement plan for my facili~. -1- 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit FRONT OF STATION - UST CAS# 8006-61-9 r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure I Ambient I Ambient UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst CoLt.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 10000.00 1000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. ~IEHS CAS# 100.00 Gasoline INo I 8006619 -2- 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit FRONT OF STATION - UST CAS# 8006-61-9  STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure AmbientIi AmbientIi UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 10000.00 1000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL %Wt. EHS CAS# 100.00 Gasoline No 8006619 -3- 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit FRONT OF STATION - UST CAS# 8006-61-9 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 10000.00 1000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Gasoline No 8006619 -4- 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit IN BACK BEHIND SERVICE BAY CAS# 221 Liquid Waste Ambient Ambient UNDER GROUND TANK AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 1000.00 500.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS %Wt. I EHS CAS# 100.001Waste Oil, Petroleum Based No 0 -5- 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 Fast Format Notif./Evacuation/Medical Overall Site Agency Notification Employee Notif./Evacuation -- Public Notif./Evacuation Emergency Medical Plan 6 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 Fast Format Mitigation/Prevent/Abatemt Overall Site Release Prevention -- Release Containment -- Clean Up Other Resource Activation -7- 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 Fast Format Site Emergency Factors Overall Site Special Hazards -- Utility Shut-Offs -- Fire Protec./Avail. Water Building Occupancy Level 8 05/09/1997 MANSOURS CHEVRON SiteID: 215-000-000345 Fast Format Training Overall Site ~ Employee Training Page 2 Held for Future Use Held for Future Use -9- 05/09/1997 O Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION Date Completed BusinessName: /~z~t~ ~'dgr ~/,', ~Vr~ .~f~. Location: ~O 0 $ ~ ~ Business Identification No. 215-000 ,-/~..,, of Business Plan) ~,,'~ ~ /0 ~;~. StationNo. /"7/ Shift /~, Inspector / ~"',~r!'~,.// Adequate Inadequate Verification of Inventory Materials I~ Verification of Quantities I~ I~]i~i '3~P, 3 O '~993 Verification of Location ~' ~] [ By Proper Segregation of Material~ Comments: Verification of MSDS Availablity ~ NUmber of Employees Omments: Verification of Haz Mat Training ~] Verification of Abatement Supplies & Procedures I~ Comments: Emergency Procedures Posted ~ Containers Properly Labeled ~ Comments: Verification of Facility Diagram I~ Special Hazards Asso(~iated with this Facility: ~/',~~'~,~.~/~S,~~, A I I Items O.K. ~ ff'usin~e~ O~nbr/a~nager Correction Needed I~] FD 1652 (Rev. 1-90) White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" 'Street Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer ithe questions below for the business as a whol 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: '/'~ ~,l ~., ~' ~ 'Ld~ v/~,~,'~ LOCATION: ~ ~. ~ r~ ~ ~ MAILING ADDRESS: ~~ ~ ~~NUMBER' ? ?-0~¢~ SIC CODE: PRIMARY ACTIVITY' ~ ~ / ~ L~ ~ ~/~ OWNER: ;~ ~ ~~ ~ ~ ~ ~~ MAILING ADDRESS.· ~ ~ ~ ~ f~ ~ ~. - ~2¢fs~,,~ ~ SECTION 2: ,EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE 24 HR, PHONE ~' FD15J Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 3: TRAINING: NUMBER OF EMPLOYEES: /~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &. SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. l UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TITLE i DATE 2. FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A. AGENCY NOTIFICATION PROCEDURES: B. EMPLOYEE NOTIFICATION AND EVACUATION: C. PUBLIC EVACUATION: D. EMERGENCY MEDICAL PLAN: Bakersfield Fire Dep. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A, RELEASE PREVENTION STEPS: B. RELEASE CONTAINMENT AND/OR MINIMIZATION: <ti C. CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ~' ~ ~-/<> ELECTRICAL'. ~Z',. ~ ~,~ WATER: ~ ~.~-~--~ ' SPECIAL'. LOCK BOX: YE~ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A, PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 4, BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 2130 "G" STREET BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME ~q ~J ~ 5¢ ~ r ¢ ~--//d ~¢m~7 FACILITY NAME (~/'/r2/'r2,c'~v/' ~/~Y~ SITE ADDRESS ~ ~ ~ ~Z ~ C'~ ~~¢~¢/~ STATE ~ ~, NATURE OF BUSINESS ~~/'/ %~//¢ ~ ¢¢~/¢~ SIC CODE ~-~¢/ DUN & BR~S~REET NUMBER OWNER/OPERATOR ~¢~.~¢~ ~ ¢~.~ PHONE MAILING ADDRESS ~ -~ ¢ ~ ~ ~' EMERGENCY CONTACTS NAME /~Z~ ~.(o / /~ ~ % ~] f~ TITLE E:7~Q ¢.~S BUSINESS PHONE ~-~ - ¢4¢fl 24-HOUR PHONE NAME /Y)~/4¢~ ~/ ,/¢~g~ %¢~ TITLE BUSINESS PHONE (~0 ¢~) 3 2~ 5~ ¢-/~/ 24-HOUR ~HONE ~ Sep(ember 30, 1992 REG~ONV LF_PC STANDARD FORM BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS INVENTORY Page_of__ 1) IN~NTORYSTA~S:~ew[ ] A~dition[ ] Revision[ ] Deletion[ ] ~ ~ C~eck~ifchemicalisaNON~DESECR~ [ ] ~DESECR~ [ ] 2) Common N~e: ' ~ ~. 'eOr ~ ~ t ~ (~ ~ ~ 3) ~O * (optional) 4) PHYSICAL & H~L~ PHYSICAL H~L~ H~RD CA~GORIES Fire ~ Reactive [ ] Sudden Rele~e of Pressure [ ] Immediate Health (Acme) [ ] Delayed He~h (Chronic) [ ] 5) WASTE C~SS~F~CA~ON ~ ~ (3-digi~ code ~om DHS Fo~ S022) USE CODE ~ ~ 6) PHYSICAL STA~ Solid [ ] ~quid ~ G~ [ ] Pure [ ] Minute [ ] W~te [ ] Rsdioam~e [ ] 7) AMOUNT AND TIME AT FAClU~ UNITS OF M~SURE 8) STOOGE CODES M~imum D~ly Amount: ~ ~ ~ [ ] g~l ~ ~3 [ ] a) Cont~ner: Average D~ly Amount: ~. ~ ~ cudes [ ] b) Pressure: Annu~ Amount: /. ~ c) Tem~r~ure: ~gest Size ~ontainer: '~ - · Days On Site ~ Circle~ich Moths: ~J, F, M, A, M, J. J, A, S, O, N. D 9) MI~URE: ~st COMPONENT CAS ~ % ~ AHM the three most h~ardous 1) [ ] chemi~ com~nen~ or ~y AHM com~nents 2) [ ] 3) [ CHEMICAL DESCRI~ION 1) IN~NTORY STATUS: New [ ] Addition [ ] RevisiOn [ ] Deletion [ ] Check ~ chemi~ is a NON ~DE SECR~ [ ] ~DE SECR~ [ ] 2) Common N~e: 3) ~T · (option~) Chemic~ Name: AHM [ ] CAS 4) PHYSICAL & H~L~ PHYSICAL H~LTH H~RD CATEGORIES Fire [ ] Resctive [ ] Sudden Rele~e of Pressure [ ] immedi~e He~th (Acme) [ ] ~lay~d He~th (Chronic) [ ] 5) WASTE C~SSlFICATION ,(3-digit code ~om DHS Form 8022) USE CODE 6) PHYSlCAL STA~ Solid [ ] Liquid [ ] G~ [ ] Pure [ ] Mi~ure [ ] W~te [ ] Radioactive [ ] 7) AMOUNT AND ~ME AT FAClLI~ UNITS OF M~SURE 8) STOOGE CODES M~imum Daily Amount: lbs [ ] g~ [ ] ~3 [ ] a) Cont~ner: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temper~ure: ~gest Size Cont~ner: ' · Days On SEe Circle~ich Months: AllYe~. J, F, M, A. M, J, J, A, S, O, N, D 9) MITRE: ~st COMPONENT CAS · % ~ AHM the three most h~dous 1), [ ] chemi~ com~nen~ or ~y AHM com~nents 2) "~ [ ] 10) Lo~ion ce~ under pen~ of law, ~at I have pemonally ex~in~ ~d am f~ili~ wi~ ~e infoma~on submi~ on ~is ~ all a~ch~ document. I believe PRINT Name & Ti~e of A~hodz~ Com~ny Represenm~ve ~a~re Dam