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HomeMy WebLinkAboutUNDERGROUND TANK 2004 Hazardous'Materials/HazardOus Wastor Unified Permit s " ~is ~R h i~L~ fOr ~ ~ H~ous ~ls P~n - Permit ID ~:: 015~00~00619 D U~e~mu~ Stom~ of Ha~ous ~ Risk ~~ P~mm FASTRIP FOOD STORE ~621 a H~ou. W. mO~T~ LOCATION: 805 ~TH sT TANK _~ HAZARDOUi 015-000-000619_0001~ UNLEADED PLUS lNG 015-000-000619-00021 DIESEL 015-000-000619-00031 UNLEADED GASI 015-000-000619-0004~ PREMIUM GASOI Issued by: Bakersfield Fire Department  OFFICE Of ENVIRONMENTAL SER VICES' ' ~ 1715 Chester Ave., 3rd Floor ' : Approved by: Bakersfield, CA 93301 .- Voice (661) 326-3979 " : . Om~eofEv'maiu~nta'~ervices'"~ . Issue Date FAX (661) 326-0576 i Expiration'Date: ~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ~,~;~?~??i~;' ??~ ? ?i~-.:.'!~;~,, ~, ....... This permit is issued for the following: ?~'???i!i.,!:~.~!!i~:!??~:::;ii ~,,~ !ii~, .,iiiii'~,iiii!iil;::::!iiii!i!i?i~ii~e~ground Storage of Hazardous Materials PERMIT ID# 015-0214)00619 ~'~'~i '~, i ,~<>~,J!ii~i?, !!~:~',i~:: i i~'?,J?~i;~:.;,~,~;i~ -k::Management Program FASTRI P FOOD STORE '?'~'~ '~ ~?''~ ~ ~ ~?:~':~?:~;=:~:~:'::':::::' ::;~::~ ~::>~ :'';~ ~'~'~'' :;;~'~ ~a~d~S Waste ~p. '...'~I ~i ~ ~,..~ '~.4.'~F '~:' '..~...:'~ I1TAN I H~RDOUS SUBSTANCE PIPING PIPIN METHOD ONIT UNLEADED PLUS GASOLINE PRESSURE ALD DIESEL PRESSURE ALD UNLEADED GASOLINE PRESSURE ALD PREMIUM GASOLINE PRESSURE ALD ":'~"~;~C" .'-'=' Issu~ by: 1715 Chewer Ave., ltd Floor B~e~el~ CA 9~01 Voice (805) F~ (80S)~26~S76 Expiration Date: dun~ ~O, ~OOO ,,~mr~,~r 1, CA Cert. No. 00758 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (so5) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following information in the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: FASTRIP FOOD STORE 11621 Permit #015-021-000619 805 34th St Bakersfield, California 93301 RECORD OF TELEPHONE CONVERSATION Location: ~'~ ® ~ ~ ~ ID# Business Name: ~ ~, ~; p Contact Name: (~ ~-w~'V '~0 ~ ~ ~ ~ ~ ~~ / Business Phone: ~ ~ ' © ~ ~ F~: Inspe~or's N~e: Time of O~l: Date: ~-~ -~ Time: ~ Min: Type of Call: Incoming [~] Outgoing [ ] Rmurned [ ] Content of Call: 7~, ~ ~ ~(~ ~' Actions Required: Time Required to Complete Activity # Min: EXPLANATION OF SITE FACILITY/BUSINESS/OWNERS At this particular location the actual owners of the business are shown on Form 2A Section 1 Part A. Please be advised that the owners of the business do not own the gasoline facility portion of their business. The gasoline tanks and equipment are owned by: JACO HIL~ CO. P. O. BOX 1807, Bakersfield, Ca. 93303-1807 (maillng) 3101 State Road, Bakersfield, Ca. 93308 (location address) John Kerley, Operations Manager, (805) 393-7000 office The business owners completed the total package with the exception of items 1 through 10 on form 4A-1 (being the description of the Hazardous Materials Inventory sheet). The store owners operate the gasoline facilities for JACO HILL CO. on a commission basis and they (store owners) provide the employees who have control JACO HILL CO. over the gasoline pumps. makes the arrangements to have the gasoline delivered to the location and also provides maintenance on the gasoline equipment for major repairs. Normal routine maintenance of the gasoline equipment is the responsibility of the store owner. Fastrip Food Store, 805 ' 34th St.., Bakersfield PERMIT APPLICATION TO CONSTRUCT/MODIFY ~~ Bakersfield Fire Dept. UNDERGROUND STORAGETANK :i~ Environmental Service PERMIT"O. 1~ ~. ~''~ [ Bakersfield, CA 93301 Tel: (661)326-3979 TYPE OF APPLICATION (CHECK) [] NEW FACILITY I~MODIFICATION OF FACILITY [] NEW TANK INSTALLATION AT EXISTING FACILITY PROPOSED COMPLETION DATE START, NG D^TE June, 2004 June, 2005 FAC,L,TY NAME fastrip EXlSTINC FAC,L,TY PERM,T NO. FACILITY ADDRESS CITY ZIP CODE 805 34th Street Bakersfield 93301 TYPE OF BUSINESS APN :ti Gas Station I PHONE NO TANKOW,ER Jaco - Hill c,w Z,p393-7000CODE ADDRESS 3101 State Road Bakersfied 93308 CONTRACTOR CA LICENSE NO. Kern County Construction 481053 ADDRESS CITY ZIP CODE P.O. Box 6096 Bakersfield 93386 PHONE NO. BAKERSFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO. INSURER 634-9950 0319165 3848-2003 State Fund BRIEFLY DESCRIBE THE WORK TO BE DONE UPGRADE PHASE 1 VAPOR RECOVERY SYSTEM TO MEET EVR-102-D WATER TO FACILITY PROVIDED BY California Water Company GROuNDDEPTH TOwATER 150'JO/- SOIL TYPE EXPECTED AT SITE Clay Sand NO. OF TANKS ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE TO BE INSTALLED 0 [] YES [] NO [] YES [] NO THIS SECTION IS FOR MOTOR FUEL TANK NO. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO (IF KNOWN) CHEMICAL PREVIOUSLY STORED FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ The applicant has received understands, and will comply with the attached conditi~s of the permit and any/~the state, local and federal regulations. This form has been complete~und~rja~na/ty of perjur~,,,,~nd to t~e &,st of my knowledge, is true and correct. / I / / x.. - .. ~, ~~ Mark Blackburn ~'"~/,~-~1 .... A P"IffR OVE D B~'~ - ~ v -- 03 APPLICANT NAME (PRINT) / APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN~,PPROVED State of California AIR RESOURCES BOARD Executive Order VR-102-D OPW Phase I Vapor Recovery System · WHEREAS, the California Air Resources Board (ARB) has established, pursuant to California Health and Safety Code sections 39600, 39601 and 41954, certification procedures for systems designed for the control of gasoline vapor emissions daring the filling of underground gasoline storage tanks, in its CP-201, Certification Procedure for Vapor Recovery Systems at Gasoline Dispensing Facilities (Certification Procedure) as last amended October 8, 2003, incorporated by reference in title 17, California Code of Regulations, section 94011; WHEREAS, ARB has established, pursuant to California Health and Safety Code sections 39600, 39601 and 41954, test procedures for determining the compliance of Phase I vapor recovery systems with emission standards; WHEREAS, OPW Fueling Components, Inc. (OPW) requested and.was granted certification of the OPW Phase I Vapor Recovery System (OPW system) pursuant to the Certification Procedure by Executive Order VR-102-A, first issued on September 26, 2002, and reissued on October 10, 2002; WHEREAS, OPW requested a further modification to the certification to include additional components of the OPW system; WHEREAS, the requested modifications to the certification of the OPW system have been tested and evaluated pursuant to the Certification Procedure; WHEREAS, the Certification Procedure provides that the ARB Executive Officer shall issue an Executive Order if he or she determines that the vapor recovery system, including modifications, conforms to all of the applicable requirements set forth in the Certification Procedure; WHEREAS, G-01-032 delegates to the Chief of the Monitoring and Laboratory Division the authority to certify or approve modifications to certified Phase I and Phase II vapor recovery systems for gasoline dispensing facilities (GDF); and WHEREAS, I, William V. Loscutoff, Chief of the Monitoring and Laboratory Division, find that the OPW Phase I Vapor Recovery System, including modifications, conforms with all of the requirements set forth in the Certification Procedure, and results in a vapor recovery system which is at least 98.0 percent efficient as tested in accordance with test procedure TP-201.1, Volumetric Efficiency for Phase I Systems; NOW THEREFORE, IT IS HEREBY ORDERED that the OPW system is certified to be at least 98.0 percent efficient when installed and maintained as specified herein and in the following exhibits. Exhibit 1 contains a list of the certified components. Exhibit 2 -2- contains the performance standards and specifications, typical installation drawings and maintenance intervals for the OPW system as installed in a gasoline dispensing facility (GDF). Exhibit 3 contains the manufacturing specifications. IT IS FURTHER ORDERED that compliance with the applicable certification requirements, rules and regulations of the Division of Measurement Standards of the Department of Food and Agriculture, the Office of the State Fire Marshal of the Department of Forestry and Fire Protection, and the Division of Occupational Safety and Health of the Department of Industrial Relations are made conditions of this certification. IT IS FURTHER ORDERED that OPW shall provide a warranty for the vapor recovery system and components to the initial purchaser and each subsequent purchaser within the warranty period. The manufacturer of components not manufactured by OPW shall provide a warranty for each of their components certified herein. This warranty shall include the ongoing compliance with all applicable performance standards and specifications, and shall comply with all warranty requirements in SectiOn 9.2 of the Certification Procedure. OPW may specify that the warranty is contingent upon the use of trained installers. Copies of the warranty for the system and components shall be made available to the GDF owner or operator. IT IS FURTHER ORDERED that the certified OPW system shall be installed, operated, and maintained in accordance with theARB-Approved Installation, Operation and Maintenance Manual for the OPW Phase I Vapor Recovery System. A copy of this Executive Order and manual shall be maintained at each GDF where a certified OPW system is installed. IT IS FURTHER ORDERED that equipment listed in Exhibit 1, unless exempted, shall be clearly identified by a permanent identification showing the manufacturer's name and model number. IT IS FURTHER ORDERED that any alteration in the equipment, parts, design, installation or operation of the system certified hereby is prohibited and deemed inconsistent with this certification unless the alteration has been submitted in writing and approved in writing by the Executive Officer or Executive Officer's delegate. IT IS FURTHER ORDERED that the following requirements be made a condition of certification. The owner or operator of the OPW system shall conduct, and pass, the following tests no later than 60 days after startup and at least once every three (3) years after startup testing, using the latest adopted version of the following test procedures: TP-201.3, Determination of 2 Inch WC Static Pressure Performance of Vapor Recovery Systems of Dispensing Facilities, TP-201.1 B, Static Torque of Rotatable Phase I Adaptors and depending on the system configuration, either TP-201-'I D, Leak Rate of Drop Tube Overfill Prevention Devices and Spill Container Drain Valves; or TP-201.1C, Leak Rate of Drop Tube/Drain Valve Assembly. Shorter time periods may be specified in accordance with local district requirements. Notification of testing, and submittal of test results, shall be done in accordance with local district requirements and pursuant to the policies established by that district. Alternative test procedures may be used if determined by the Executive Officer, in writing, to yield comparable results. OPW PHASE I VAPOR RECOVERY SYSTEM - VR-102-D Testing the PN valve will be at the option of the local districts. If PN valve testing is required by the district, the test shall be conducted in accordance with TP-201.1 E, Leak Rate and Cracking Pressure of Pressure/Vacuum Vent Valves. IT IS FURTHER ORDERED that the OPW system shall, be compatible with fuels in common use in California at the time of certification and any modifications to comply with future California fuel requirements shall be approved in writing by the Executive Officer or Executive Officer's delegate. IT IS FURTHER ORDERED that the certification of the OPW Phase I vapor recovery system is valid through September 30, 2006. IT IS FURTHER ORDERED that Executive Order VR-102~C, issued on January 9, 2004 is hereby superceded by this Executive Order. Executed at Sacramento, California, this Z~'/~day of April 2004. William V. Losc"~'-off;,"C~liefDivisio~~ Monitoring and Laboratory Attachments: Exhibit I OPW Phase I Vapor Recovery System Equipment List Exhibit 2 Installation, Maintenance and Compliance Specifications Exhibit 3 Manufacturing Performance Standards and Specifications OPW PHASE I VAPOR RECOVERY SYSTEM- VR~102-D Executive Order VR-102-D OPW Phase I Vapor Recovery System Exhibit '1 OPW Phase I Vapor Recovery System Equipment List Equipment ManufactureflModel Number Pressure/Vacuum Vent Valve Husky Model 4885, 2-Inch Threaded OPW 623V, 2 and 3-inch Threaded Spill Containers and Covers OPW TTT-21VWVWX-YZZZ -ITT indicates spill bucket material/cover type: (not required with sump configuration lid) 1 = Aluminum 1C = Cast iron 1SC = Sealable aluminum cover with an expandable seal. WWW Indicates bucket size: 00 = 5-gallon 15 = 15-gallon 00E = 7.5-gallon (deep bucket model) X indicates bucket base type C = Cast Iron No letter indicates composite base Y indicates drain valve or plug ZZZ indicates special configuration EVR = Standard SH = Self supporting container without ring and cover Pomeco 5XX XX indicates spill bucket material/cover type: 11= Composite base, bolt down cover 21= Composite base, roto-lock cover 61= Cast iron base, bolt down cover 71- Cast iron base, roto-lock cover Sump Configuration Lid ~ Fibrelite FL-36 inch · Replacement Drain Valve Kit OPW 1DK-2100 Dust Caps OPW 634TT-EVR (product) OPW 1711T-EVR (vapor) OPW 634LPC (product) OPW 1711LPC (vapor) Product Adaptor OPW 61SALP-EVR Vapor Adaptor OPW 61VSA-EVR Extractor Assembly ~ OPW 233 Ball Float Vent Valve ~' 2 OPW 53VML OPW 30MV Jack Screw Kit OPW 61JSK-4400-EVR oPW 61JSK-4410 OPW 61JSK-44CB I' Face Seal Adaptor OPW FSA-400 OPW FSA-400-S Drop Tube OPW 61T (various lengths) Drop Tube Overfill Prevention Device OPW 61SO-XXXC-EVR Where XXX = 400,410, 412,420 or 440 Tan k Bottom Protector ~ OPW/Pomeco 6111-1400-EVR Tank Gauge Port Components 1 Morrison Brothers 305XPAl100AKEVR (cap & adaptor kit) Morrison Brothers 305-0200AAEVR (replacement adaptor) Morrison Brothers 305XP-110ACEVR (replacement cap) Ever-Tite 4097AGBR Adaptor Ever-Tite 4097AGMBRNL Adaptor Ever-Tite 4097MBR Cap Veeder-Root 312020-952 (cap & adaptor) Component optional for vapor recovery; may be required by other applicable regulations. The 53VML and 30MV includes both the 2" and 3" models Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 1, Page 2 Table 1 Components Exempt from Identification Requirements Component Name Manufacturer Model Number Replacement Drain Valve OPW l DK-2100 61JSK-4400-EVR .lack Screw OPW 61JSK-4410 61JSK-44CB 305XPA1100AKEVR (cap & Tank Gauge Port Component Morrison adaptor kit), 305-0200AAEVR (Cap and Adaptor) Brothers (replacement adaptor, and 305XP- 110AC EVR (replacement cap). Drop Tube OPW 61-T, 61SO Face Seal Adaptor OPW OPW FSA-400 OPWFSA-400-S Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 1, Page 3 Table 2-1 Gasoline Dispensing Facility Compliance Standards and Specifications Component Test Method ~ Standard or Specification Minimum, 360-degree rotation Rotatable Phase I Maximum, 108 pound-inch average static Adaptors TP-201.1 B torque Overfill Prevention Device TP-201.1D <0.17 CFH at 2.00 in. H20 Spill Container Drain TP-201.1C or <0.17 CFH at 2.00 in. H20 Valve TP-201.1D - Positive pressure setting: 3.0 _ 0.5 in. H20 P/V Valvel' TP-201.1E Negative pressure setting: -8.0 _+ 2.0 in. H20 Positive Leakrate: 0.05 CFH at 2.0 in. H20 ~ Negative Leakrate: 0.21 CFH at -4.0 in. H20 Gasoline Dispensing TP-201.3 As specified in TP-201.3 and/or CP-201 Facility Leak Connections and fittings Detection ~ certified without an No leaks Solution or allowable leak rate Bagging Table 2-2 Maintenance Intervals for System Components Manufacturer Component Maintenance Interval Husky Pressure/Vacuum Vent Valve .Annual Morrison Brothers Tank Gauge Components Annual OPW Pressure/Vacuum Vent Valve Annual OPW Dust Caps (all models) Annual OPW 61-T Straight Drop Tube Annual OPW Ball Float (all models) Every 3 years OPW Rotatable Phase I Adaptors Annual OPW Drop Tube overfill Prevention Valve Annual OPVWPomeco Spill Containers (all models) Annual Compliance determination is at the option of the district. Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 5 Figure 2A Typical Product Installation Using OPW System OPW 1-21 O0 · Spill OPW 634TT-EVR (Product) Dust Cap OPW 61SALP-EVR Product Adaptor OPW Replacement Drain Valve Kit OPW 61JSK-4400-EVR Jack Screw Kit OPW FSA-400 Face Seal Adaptor SO-EVR Dro Prevention Device (Optional) OPW/POMECO 6111-1400-EVR Tank Bottom Protector · (Optional) 6 inch Max. Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 6 Figure 2B Typical Vapor Installation Using OPW System OPW 1-2100 Spill Container I OPW 1711T-EVR (Vapor) Dust Cap OPW 61VSA-EVR Vapor Adaptor OPW 233 Extractor Assembly (Optional) OPW 53VML Ball Float Vent ValVe (Optional) Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 7 Figure 2C Typical Vent Pipe Manifold [ ~ Vent Valve T 2" Threaded Nipple Threaded Fittin~ls - 3 Places Approx. 4" -- Steel Nipple (6 places) Steel Coupler "Varies" (3 - 12" Typ) (3 - 12" Typ) Existing Steel Vent Pipes ~ ~ 1" x 1/4" Steel Flat Bar Or Equivelan! Bolted in Place 2 places minimum (Sway Control / Alignment Purposes) Note: This shows only one typical configuration; other manifold configurations may be used. For example, a tee may be located in a different position, or fewer pipes may be connected, or more than one P/V valve may be installed on the manifold. · Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 8 Executive Order VR-'I02-D OPW Phase I Vapor Recovery System Exhibit 2 Installation, Maintenance and Compliance Standards and Specifications This exhibit contains the installation, maintenance and compliance standards and specifications applicable to an OPW system installed in a gasoline dispensing facility (GDF). '1 General Specifications i 1. Typical installations of the OPW system are shown in Figures 2A and 2B. 2. The OPW system shall be installed, operated, and maintained in accordance with the ARB-Approved Installation, Operation and Maintenance Manual for the OPW Phase I Vapor Recovery System. 3. Any repair or replacement of system components shall be done in accordance with the ARB-Approved Installation, Operation and Maintenance Manual for the :I OPW Phase I Vapor Recovery System. '1 4. The OPW system shall comply with the applicable performance standards and ~I performance specifications in CP-201. Compliance of the system and all 'i components shall be demonstrated in accordance with TP-201.3, Determination . i of 2 Inch WC Static Pressure Performance of Vapor Recovery Systems of I Dispensing Facilities. Ii 5. There shall be at least one vapor recovery connection, throughout all Phase I deliveries, between the cargo tank and the GDF storage tank into which fuel is being delivered to ensure that vapor is returned to the cargo tank from the underground storagetank system. Pressure/Vacuum Vent Valves For Storage Tank Vent Pipes 1. No more than three certified pressure/vacuum vent valves (P/V valves) listed in Exhibit 1 shall be installed on any GDF underground storage tank system. 2. Compliance determination of the following P/V valve performance specifications shall be at the option of the districts: a. The leak rate of each P/V valve shall not exceed 0.05 cubic feet per hour (CFH) at 2.00 inches of H20 positive pressure and 0.21 CFH at 4.00 inches negative pressure as determined by TP-201.1 E, Leak Rate and Cracking Pressure of Pressure/Vacuum Vent Valves. b. The positive pressure setting is 3.0+ 0.5 inches of H20 and the negative pressure setting is -8.0 + 2.0 inches of H20 as determined by TP-201.1E, Leak Rate and Cracking'Pressure of Pressure~Vacuum Vent Valves. 3. A manifold may be installed on the vent pipes to reduce the number of potential leak sources and P/V valves installed. Vent pipe manifolds shall be constructed of steel pipe or an equivalent material that has been listed for use with gasoline. If a material other than steel is used, the GDF operator shall make available information demonstrating that the material is compatible for use with gasoline. One example of a typical vent pipe manifold is shown in Figure 2C. This shows only one typical configuration; other manifold configurations may be used. For example, a tee may be located in a different position, or fewer pipes may be connected, or more than one P/V valve may be installed on the manifold. 4. The vent pipe manifold shall be installed at a height not less than 12 feet above the grade used for gasoline cargo tank delivery operations and shall conform to all applicable regulations. 5. Each PA/valve shall have permanently affixed to it a yellow or gold-colored label with black lettering stating the following specifications: Positive pressure setting: 3.0 + 0.5 inches H20 Negative pressure setting: -8.0 _+ 2.0 inches H20 Positive Leakrate: 0.05 CFH at 2.0 inches H20 Negative Leakrate: 0.21 CFH at-4.0 inches H20 Rotatable Product and Vapor Recovery Adaptors 1. Rotatable product and vapor recovery adaptors shall be capable of at least 360-degree rotation and have an average static torque not to exceed 108 pound- inch (9 pound-foot). Compliance with this requirement shall be demonstrated in aCcordance with the latest adopted version of TP-201.1 B, Static' Torque of Rotatable Phase I Adaptors. 2. The vapor adaptor poppet shall not leak when closed. Compliance with this requirement may be verified by the use of commercial liquid leak detection solution, or by bagging, when the vapor containment space of the underground storage tank is subjected to a non-zero gauge preSsure. (Note: leak detection solution will detect leaks only when positive gauge pressure exists.) Vapor Recovery and Product Adaptor Dust Caps Dust caps with intact gaskets shall be installed on all Phase I tank adaptors. Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 2 Spill Container Drain Valve The spill container drain valve shall be configured to drain liquid directly into the drop tube and shall be isolated from the underground storage tank ullage space. The leak rate of the drain valve shall not exceed 0.17 CFH at 2.00 inches H20. Depending on the presence of the drop tube overfill prevention device, compliance with this requirement shall be demonstrated in accordance with the latest adopted version of either TP-20'1.1 D, Leak Rate of Drop Tube Overfill Prevention Devices and Spill Container Drain Valves; or TP-201 .lC, Leak Rate of Drop Tube/Drain Valve Assembly. Drop Tube Overfill Prevention Device 1. The Drop Tube Overfill Prevention Devi.ce (overfill device) is designed to restrict the flow of gasoline delivered to the underground storage when liquid levels exceeds a specified capacity. The overfill device is not a required component of the vapor recovery system, but may be installed as an optional component. Other regulatory requirements may apply. 2. The leak rate of the overfill device shall not exceed 0.17 CFH at 2.00 inches H20 when tested as in accordance with the latest adopted version of TP-201 ."1 D, Leak Rate of Drop Tube Overfill Prevention Devices and Spill Container Drain Valves. Face Seal Adaptor The Face Seal Adaptor shall provide a machined surface on which a gasket can seal and ensures that the seal is not compromised by an improperly cut or improperly finished riser. A Face Seal Adaptor shall be installed on the following required connections. As an option, the adaptor may be installed on other connections. a. Product Spill Container (required) b. Tank Gauging Components (required) c. Vapor Recovery Spill Container (optional) d. Rotatable Adaptors (optional) Ball Float Vent Valve A Ball Float Vent Valve (ball float) is designed to restrict the flow of a gasoline delivery by using back pressure when the storage tank levels exceed a specified level. If installed for overfill prevention, a ball float must be installed at each vapor and vent connection to the tank. Ball floats are not required components of the vapor recovery system, but may be installed as optional components for vapor recovery; other requirements may apply. Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 3 Vapor Recovery Riser Offset 1. The vapor recovery tank riser may be offset from the tank connection to the vapor recovery Spill Container provided that the maximum horizontal distance (offset distance) does not exceed twenty (20) inches. One example of an offset is shown in Figure 2D. 2. The vapor recovery riser shall be offset up to 20 inches horizontal distance with use of commercially available, four (4) inch diameter steel pipe fittings. Tank Gauge Port Components The tank gauge adaptor and cap are paired. Therefore, an adaptor manufactured by one company shall be used only with a cap manufactured by the same company. Connections and Fittin.cls All connections and fittings not specifically certified with an allowable leak rate shall not leak. The absence of vapor leaks may be verified with the use of commercial liquid leak detection solution (LDS), or by bagging, when the vapor containment space of the underground storage tank is subjected to a non-zero gauge pressure. (Note: leak detection solution will detect leaks only when positive gauge pressure exists). Maintenance Records Each GDF operator/owner shall keep records of maintenance performed at the facility. Such record shall be maintained on site or in accordance with district requirements or policies. The records shall include the maintenance or test date, repair date to correct test failure, maintenance or test performed, affiliation, telephone number and name of individual conducting maintenance or test. An example of a Phase I Maintenance Record is shown in Figure 2E. Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 4 Figure 2D Typical VaporRecovery Riser Offset TOTAL OFFSE Not To Exceed 20 Inches Vapor Riser'j Threaded Cap (typical) or Tee ' Threaded to Riser Threaded ElbcM/j~'''~- ~ or direclty into tank j Riser or Fitting threaded directly into tank bung Threaded Nippl Note: This figure represents one instance where a vapor recovery riser has been offset in order to construct a two-point Phase I vapor recovery system. The above figure illustrates an offset using a 90-degree elbow. However, in some instances, elbows less than 90 degrees may be used. All fittings and pipe nipples shall be 4-inch diameter similar to those of the spill container and rotatable Phase I adaptors in order to reduce back pressure during a gasoline delivery. Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 9 Figure 2E Example of a GDF Phase I Maintenance Record Date of Repair Maintenance/ Date To Maintenance/Test/Inspection Name of Individual Telephone Test/Inspection/ Correct Affiliation Conducting Failure Test Performed and Outcome Number · - Maintenance or Test Failure Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 10 Executive Order VR-102-D OPW Phase I Vapor Recovery System Exhibit 3 Manufacturing Performance Standards and Specifications The OPW system and all components shall be manufactured in compliance with the performanCe standards and specifications in cP-201, as well as the requirements specified in this Executive Order. All components shall be manufactured as certified; no change to the equipment, parts, design, materials or manufacturing process shall be made unless approved in writing by the Executive Officer. Unless specified in Exhibit 2 or in the ARB.Approved Installation, Operation and Maintenance Manual for the OPWPhase I Vapor Recovery System, the requirements of this section apply to the manufacturing process and are not appropriate for determining the compliance status of aGDF. PressureNacuum Vent Valves for Stora.qe Tank Vent Pipes 1. Each pressure/vacuum vent valve (PN valve) shall be 100 percent performance tested at the factory for cracking pressure and leak rate at each specified pressure setting and shall be done in accordance with the latest adopted version of TP-201.1 E, Leak Rate and Cracking Pressure of Pressure~Vacuum Vent Valves. Each PN valve shall be shipped with an card or label stating the performance specifications listed below, and a statement that the valve was tested to, and met, these specifications. a. The pressure settings for the PN valve Positive pressure setting of 3.0 + 0.5 inches H20. Negative pressure setting of-8.0+ 2.0 inches H20. b. The leak rate for each PN valve, including connections, shall not exceed: 0.05 CFH at 2.0 inches H20. 0.21 CFH at-4.0 inches H20. 2. Each PA/valve shall have permanently affixed to it a yellow or gold label with black lettering listing the positive and negative pressure settings specified above. The lettering of the label shall have a minimum font size of 20. Rotatable Product and Vapor Recovery Adaptors 1. The rotatable product and vapor recovery adaptors shall not leak. 2. The product adaptor cam and groove shall be manufactured in accordance with the cam and groove specifications shown in Figure 3A of CP-201. 3. The vapor recovery adaptor cam and groove shall be manufactured in accordance with the cam and groove specifications shown in Figure 3B of CP-201. 4. Each product and vapor recovery adaptor shall be 100 percent performance tested at the factory. Each adaptor shall have affixed to it a card or label stating the performance specification listed below, and a statement that the adaptor was tested to, and met, the following specifications. a. The average static torque for the rotatable adaptor shall not exceed 108 pound-inch average static torque when tested in accordance with the latest adopted version of TP-201.1B, Static Torque of Rotatable Phase I Adaptors. b. The rotatable adaptor shall be capable of rotating at least 360 degrees when tested in accordance with the latest adopted version of TP-20'l.'l B, Static Torque of Rotatable Phase I Adaptors. Spill Container and Drain Valves Each Spill Container Drain Valve shall be 100 percent performance tested at the factory. Each Spill Container Drain Valve shall have affixed to it a card or label stating the performance specifications listed below, and a statement that the valve was tested to, and met, the following performance specification. a. The maximum leakrate shall not exceed 0.17 CFH at 2.00 inches H20 when tested in accordance with the latest adopted version of either TP-201 .lC, Leak Rate of Drop Tube/Drain Valve or TP-201 .'1 D, Leak Rate of Drop Tube Overfill Prevention Devices and Spill Container Drain Valves. Drop Tube Overfill Prevention Device Each Drop Tube Overfill Prevention Device shall be 100 percent performance tested at the factory to verify that it does not exceed the maximum allowable leak rate. Each Drop Tube Overfill Prevention Device shall have affixed to it a card or label stating the performance specifications listed below, and a statement that the device was tested to, and met, the following performance specification. a. The maximu'n leak rate shall not exceed 0.17 CFH at 2.00 inches H20 when tested in accordance with the latest adopted version of TP-201 .ID, Leak Rate of Drop Tube Overfill Prevention Devices and Spill Container Drain Valves. Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 3, Page 2 Table 3-1 Manufacturing Component Standards and Specifications Component Test Method Standard or Specification Minimum, 360-degree rotation Rotatable Phase I TP-201. lB Maximum, 108 pound-inch average static Adaptors torque Rotatable Phase I Cam and Groove Specifications , Adaptors Micrometer (CP-201) Overfill Prevention TP-201,1D <0.17 CFH at 2.00 inches H20 Device. Spill Container Drain TP-201.1C or <0.17 CFH at 2.00 inches H20 Valve TP-201.1 D Positive Pressure: 3.0 +0.5 inches H20 PressureNacuum Vent TP-201 1E Negative Pressure: -8.0+2.0 inches H20 Valve ' Leak rate: < 0.05 CFH at +2.0 inches H20 Leak rate: < 0.21 CFH at -4.0 inches H20 Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 3, Page 3 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave,, 3ra Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [] Routine [~ Combined ~l Joint Agency [~1 Multi-Agency [~l~omplaint [] Re-inspection Type of Tank ~/A? ?'~, ~ ... Number of Tanks Type of Monitoring O_iL...Wh Type of Piping ~ l/k) ~" OPERAq"ION 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 T.y [,,~ 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 overtill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Office o£ nv~mental ~rvices ~-~'~326~9 Responsible Party N~ ~"~White- Env. Svcs. Pink - Business Copy  Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 INSPECTION DATE INSPECTION TIME FAC,L, NAME -- -- -- , ., _ ADDRESS ~;::~'*t~--~--~ ~]~'~ ~~ PHONE No. No. of Emp,oyees FACILITYCONTACT Business ID Number 15-021 - ', ' ' '~ Section 1- BUsiness Planand Inventory program [] Routine ~/Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection V ~ C=Compliance '~ OPERATION COMMENTS ~. V=Violation J [] 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 AVAILABILITYE [] VERIFICATION OF HAT MAT TRAINING [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ...................................................................... [] EMERGENCY PROCEDURES ADEQUATE [] CONTAINERS PROPERLY LABELED [] HOUSEKEEPING _~_ [] FIRE PROTECTION [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?; [] YES J~ No EXPLAIN: Q~SPECTION? PLEASE CALL US AT (661) 326-3979 ~._.° -Inspector-- ~~ B---~'g~ No. '- nsibleParty -- White - Environmental Services Yellow - S~ation Copy Pink - Business Copy "O .~ CITY OF BAKERSFIELD oF~CE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY [] 1. NEW SITE PERMIT [] ]. RENEWAL PERMIT FYPE OF ACTION , C~eck o~e ,tern o~) ~E OF INFOR~TION (~ c~e - ~ Z P'ER~NENTLY CLOSED SITE ~ 4. AMENOED ~RMIT ~cal use only) ~ 8. rANK RE~vEo ~ 6. TE~RY SITE CLOSURE 4~. I. FAClLI~ I SITE INFORMATION N~RES~ CROS~ ~TRE~ ~1. FACILI~ O~R ~P~ ~ 4. LO~ A~ENCY~IST~ICT' ~ 1. COR~TION ~ 5. COU~ AGE~ BUSINESS ~ STATEN ~ ~. F~M ~ 5. CO~ERC~L ~3. P~YNERSHIP ~ 6. STATE AGENC~ ~PE ~ 2. DISTRI~TOR ~ 4. ~OCES~R ~ 8. O~ER ~. D 7. FEDE~LAGENC~ 402. IlL T~K O~ER INFO~ON TANK O~ER~ ~ 2. INO~I~ . ~ ~. L~AGE~I~T ~ 6. STA~AGE~ 4~. w. ao~ o~ EaU~ON USX STO~aE FSE ACC~m ~U~.BEa INDI~TE M~S) ~SE~-INSURED ~ 4. SUR~ ~ ~ 7. STATE FUNO ~ 2. ~EE ~ 5. L~ER OF ~ED~ ~ 8. STATE FUND & ~O ~ER ~ ~. OTHER: ~ D. INSU~CE ~ 6. ~E~ION ~ 9. STATE FUND & ~ 422. VI. LEGAL NOTIFICATION AND MAILING ADDRE~ VII. ~PLICANT SIGNATURE ~TA T~ u~T FACILI~ NUMBER (F~ ~ u*e o~1 428. 1 ~ U~0E ~RTIFI~TE ~R (For ~c~l u~e o~1 4~. UPCF (7/99) S:\CUPAFORMS~swrcb-a.wpd , ,_.~. CITY OF BAKEI~FIELD , OFFI OF ENVIRONMENTAL Si~% ICES 1715 Chester Ave., Bakersfield, CA 93.t01 (661) 326-3979 UNOERGROUNO STOI~d~GE TANKS- TANK PAGE ! , o CITY OF ~AKER3FIELO ~' * ~k 0~FICl O4~ ENVIRONMENTAL. ~ERVICE$ CO~OS~N RESTR~T~ ~PCF (7/~1 S:~CUP~0R~C~8'~0 ~ ' OFFI~i~ OF ENVIRONMENTAL SF~V ICES · 1715 Ch~t~l~Ave., Baker~fldd, CA 93501 (I~1) 326-J979 L T~K OY~ER ~ORROS~N ~V~ ~ OF 1'CF (7/~) S:~CUP~R~C~8.~O ' OFFICiii~ OF ENVIRONMENTAL S~'ICES 17 L T~K Os.~ aLL ~ 'CF (7/g<J) S:~CU pAFORM,~W~CB*B.VvPO ._.~. CITY OF BAKERSFIELD ~' OFF[~I~ OF ENVIRONMENTAL Si~Ii,¥.iC£S 1715 Chest~Ave., Bakersfield, CA 93301 ~ 1) 326=3979 UNDERGROUND STOOGE TANK~ . TANK ~AG~ 1 0~.~ ~s.~ ~ 0 ~. ~~ 0~. o~ ~,, ~, ,,~ ...... _.__ . . ,- .,, ............. .~.,.,~. :~a',~r-~..:.':':: '.. · :.:.' '..;~:'.?,.~...~ .:- .,.:.:.:.:'::~;'~¢~. :F (7~) SACUP~ORM~~.~c [] 7. SEL~ UOMTO~NG [] z. G~vrrY ~ow:. C,~VTTY FU)W (Chect M M Wa~/): 0 $. ~IaLI~EG,~TYTE3T((~IGI~) i~ & DaLYVI~aI.~ E] · ~~Te3r(OJ~fH) IECOII314~LY CO~Ifl'~NED ~ ~COND~RILY CONTAINED (~ ~) bo. ~ ~2. ~~~(o.~ ~ ~ lz ~~~(~ ~ 13. ~~~~*~~~ ~ i~ ~ ~. ~TO~L~LW~~.0~~~~ ~ 15. ~0~L~L~~.0~ RESTR~T~ ~ te. ~NU~I~~ST(0.; ~) ~ 16. ~i~E~(0.1 ~) ~ ~. O~LY~S~ECK ~ 17. ~Y~E~ . ~, - ~ '~::...,,~. ~.-:-~. . ~.,.~..,.,. ~~... ~,'-'~ OAr 4M 0 ~ ~~~PM~*~~~ ~ S.~~/~~ . ~s ~ p~ ~ ~ ~o ~ OFF F~ ~ * AUO~ ~ ~ ~ ~ & ~ OF o~TQR/Ami) . A 471 ' T~F ~E~TOR ' I ~~l~~) 473 ~~~ 414 'CF (7/~) S:~CUP~OR~C~8'~¢ USE October Certified Re~rn (Endorsement Required) / Here r-~ Restricted DelIven/Fee / j j-) (Endorsement Required) ITl TotaJ Po~tage & Fee~ Mr. Dave Palmer ADMINISTRATIVE SERVICES 2101 'H' Street a, ,eld. c^ o, REMINDER NOTICE VOICE (661) 326-3941 FAX (661) 395-1349 : ~ Re: Deadline for Dispenser Pan Requirements December 31, 2003 SUPPRESSION SERVICES 2101 ~' Street For-Fastrip's @ 4201 Bell Terrace, 8001 & 1200 Cofee Road, eake~eld. Ca O:ml gS'"~~t'~egt~.~, 3701 Ming Ave., and 1702 Union Avenue VOICE (661)326-3941 FAx (~1) 3~5-~3~ Dear Underground Storage Tank Owner/Operator: PREVENTION'$ER~CES ms Cheaer^~e. A review of our files, indicate that you have not completed the retrofit of your Sakemfiold, CA ~301 VOICE (661) 326-3979 underground storage tank system. Current code requires that you install under FAX (661) 326-0576 dispenser containment pans prior to December 31, 2003. PUBMC EDUCATION 1715 ChesterA~. Further file review, indicates that you have been receiving Reminder Notices Bakersfield, CA 93301 vo~c[ (~1)3~-~0~ since April of 2002. With time growing short (2.5 months) this office is very ~Ax (~) 32c,-0s76 concerned that insufficient time is left for you to hire a licensed contractor and ~a£ InV~STIGAnON complete the necessary retrofit. 1715 Chester Ave. Bakomttold, CA VOICE (~)a~6-3*s~ Currently, contractors are scheduling 8-10 weeks out. I strongly urge you to FaX complete the repairs as soon as possible. Failure to comply with the state TRAINING DIVISION requirement could result in revocation of your permit to operate your sc~ wctor^ve, underground storage tank system. Bakersfield, CA 93308 VOICE (C~) ~AX I~) ~-$~6~ If I can be of any further assistance, please feel free to contact me at 661-326-3190. Sincerely~ yours, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db · Complete items 1; 2, and 3. Also complete r'l Agent itern~4 if Restricted Delivery is desired. .· Print your name and address on the 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. D. Is delivery address different from item 17 I-'1 Yes 1. Article Addressed to: if YES, enter delivery address below: [] No FASTRIP 805 34xu STREET ~.ervice Type BAKERSFIELD CA 93301 [~ffCertitied Mail [] Express Mail [] Registered [] Return Receipt for Merchandise I"1 insured Mail [] C.O.D. ~- ............. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number "~['J~2 3~5['] ~4 (Transfer from service label) 2ACPRI-O3-Z-0985 ~ Domestic Return Receipt PSForm 3811, August 2001 13" .~ postage $ 1::3 Here r-'t Retur.q Reclept Fee r-1 {Endorsement Required) Restricted Delivery 1~3 (Endorsement Requ mu,. Total postage ru ntro FASTRIP c~ ~ 4Tu STREET c3 ~,~'j~o.:~'" 805 3 .... ~ r~ CA 93301 .... r, ...... ; ....... B~D ~ · .~ September 8, 2003 CERTIFIED MAIL Fastrip' 805 34th Street Bakersfield, CA 93301 ~E CHIEF ;qC,N cRAZE ADMINISTRATIVE SERVICES 2101 "H' Sfreo, REMINDER NOTICE Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Re: Deadline for Dispenser Pan Requirements December 3 I, 2003 SUPPRESSION SERVICES 2101 "H" Street Dear Underground Storage Tank Owner/Operator: Bakersfield, CA 93301 VOICE (661)326-3941 FAX (661)395-1349 A review of our files indicate that you have been receiving quarterly reminders from April of 2002 to December 2002. Our files further show that since January PREVENTION SERVICES ,,~s,FE,,~s.~,,,,o,,~,,,~s~,~, of this year you have been receiving monthly reminders. · 1715 Chester Ave. o akersfield, CA 93301 ICE (661) 326-3979 The purpose of this letter is to remind you of the necessary retrofit of your FAX (,¥1) 326-0576 ? fueling system. Current code requires that you install under dispenser PUBUC EDUCATION containment pans prior to December 31, 2003. You will not be allowed to pump 171.~ChostorAve. fuel after December 31, 2003 unless you have completed the upgrade Bakersfield, CA 93301 VOICE (661) 326-3696 requirements. FAX (661) 326-0576 FIRE INVESTIGATION Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit 1715 Chester Ave. your facility as soon as possible. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 32643576 Should you have any questions, please feel free to contact me at 661-326-3190. 5642 Vlctor Avo. Sincer~ yours, Bakersfield, CA 93308 VOICE (661) 3994697 ~ FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db FF.'Clbl : SI_IN:SET I"'EC:I-JAilICAL_ F'PILq,NE NCi. : E,u=,£~SK;'d.:i. TZIE', A-.t'9., O'P j',r-r:.¥ C~.::=iJ. AH F',:I A PP!,I CAT I0, N ~[ 0 '~r r, tc,r~ ,~ ~,, ~- .-.~ .. ~ ~ -,- r~-..~-~-~,,~-rhr,c,~ NA~,~ OF M ,~.10~, . . _.._.~= ..... _ .=~ ........::.:::~,~. =~: ........................... DOES FAC. I:L,iTY H~-t.¥'E I')iSRZ&NSE;.[~ PANS? 'V~S&_?:2__ NO .......... COMMUNICATIONS SETUP FaSTRIP PORT SETTINGS: 805 THIRTYFOURTH ST. NOblE FOUND - --- _ ._ BAKERSFIELD..CA.93301 -"-- ---- 661-325-0110 RS-232 SECURITY CODE : AUG 12, 2003 8;51 AM T 2;PLUS UNLEADED PRODUCT CODE 2 SYSTEM STATUS REPORT THERMAL COEFF .000700 ............. RS-232 END OF MESSAGE TANK DIAMETER 111.50 ALL FUNOTIONS NORMAL DISABLED TANK PROFILE 1 PT FULL VOL 12062 IN-TANK SETUP' FLOAT SIZE; 4.0 INCHES WATER WARNING ; 2,0 T I:REG UNLEADED HIGH WATER LIMIT: 3,0 PRODUCT CODE i THERMAL COEFF ,000700 MAX OR LABEL VOL: 12062 SYSTEM SETUP TANK DIAMETER 111,50 OVERFILL LIMIT 90% AU(] 12., 2003 8:51 AM TANK PROFILE 1 PT 10855 97~ FULL VOL 12062 HIGH PRODUCT 11700 SYSTEM UNITS FLOAT SIZE: 4,0 INCHES DELIVERY LIMIT 120 U.S. WATER WARNING ; 2,0 LOW PRODUCT : 1 SYSTEM LANGUAGE HIGH WATER LIMIT: 3.0 LEAK ALARM LIMIT: 50 ENGLISH SUDDEN LOSS LIMIT: 99 ['iA× OR LABEL VOL 1'2062 TANK TILT : 0.00 FASTRIP OVERFILL LIMIT 8135 THIRTYFOURTH ST. 10855 MANIFOLDED TANKS BAKERSFIELD,OA.93:301 HIGH PRODUCT 97% 661-:325-0110 11700 T~: NONE DELIVERY LIMIT 1~ PERIODIC TEST TYPE SHIFT TIME 1 DISABLED 120 ~UICK SHIFT TIME '~ DISABLED SHIFT TIME 3 DISABLED LOW PRODUCT : 1 PERIODIC TEST FAIL SHIFT TIME 4 DISABLED LEAK ALARM LIMIT: 50 ALARM DISABLED S~DDEN ~OSS LIMIT: 99 PERIODIC TEST WARNINGS TANK TILT : 2.30 GROSS TEST FAIL DISABLED ALARM DISABLED ANNUAL TEST WARNINGS MANIFOLDED TANKS DISABLED T~: NONE PER TEST AVERAGING: OFF PRINT TC ',~OLOM~ ~:~iODIC TEST TYPE TANK TEST NOTIFY: OFF ~ U I CK ENABLED - - .......... TNK TST SIPHON BREAK:OFF TEMP COMPENSATION ~ PERIODIC TEST FAIL ~ ALARM DISABLED DELIVERY DELAY VALUE (DEG F ): 60,0 GROSS TEST FAIL ALARM DISABLED PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 LEAK TEST METHOD - '-"' -~' .... '-"-'~'~"-'~'--~___ TEST ON DATE : ALL TAN}( JAN 1, 2000 BTART TIME : 2:00 AM TEBT RATE : O. 20P~mL..," 'HR DURATION : '2 HOURS T J:PREMIUM UNC~AD~D T 4:DI~BEC PRODUOT COD~ 3 PRODUCT COD~ 4 THERMAL COEFF . O00~00 TH~RMAC CO~FF . DO04SO TANK DIAMeTeR 111.50 TANK DIAMeTeR 111 TAN~ PRO~IC~ 1 PT TANK PROFIC~ 1 PT FUCC VOC 12062 FUCC VOC FCOAT SIZe: 4.0 INOHE~ FCOAT ~I~: 4.0 INOH~ WATER WARNING : 2.0 WATER WARNING HIGH WATER BIMIT: 8.0 HIgH WATER CIMIT: MAX OR CAB~C VOC: i~06~ MAX OR CAB~C VOC: OVER, ICL CIMIT 90~ OV~RFICC LIMIT : 90~ 10855 : 10855 HIGH PRODUCT 97~ HIGH PRODUOT : 97~ 11700 : 11700 ~ LIQUID SEN~OR ~ETUP D:LIVERY LIMIT 1: DELIVERY LIMIT : 1D~ 120 : 120 - ~ L 1 :RE~ UNLEADED ~UMP LOW PRODUCT : 1 LO~ PRODUOT : ~ TRI-STATE (SINGLE FLOAT) LEaK aLaRM LIMIT: ~0 LEaK aLaRM LIMIT: SO CATEOORY : STP SUMP ~UDDEN LO~ LIMIT: 99 ~UDDEN LO~ LIMIT: 99 TaNK TILT : 1.40 TaNK TILT : 0.20 L 2:RE~ UNLEADED ~NNULAR MANIFOLDED TaNK~ MANIFOLDED TANK~ TRI-STATE (SINOLE FLOAT) T~: NONE T~: NONE _,HYEGORY : ~NNULAR SPACE PER I OD IO TEST TYPE PER I ODI C TE~Y TYPE ~UICK ~ ~UIOK L ~:PLU~ UNLEADED SUMP PER I OD I C TESY Fa I b PER I OD I 0 TE~Y Fa I L TR I -STATE ( ~L~RM DI~GBLED ALARM DISABLED CATEGORY : STP SUMP GROSS TEST F~IL GROSS TEST FaIL ALARM DISABLED ALARM DISABLED L ~PLU~ UNLE~D aNNULAR NORMALLY OLOBED PER YEST ~VER~GING: OFF PER T~Y aVERaGING: OFF O~TEGORY : ~NNUL~R ~P~CE Y~NK TEGY NOTIFY: OFF T~NK Y:SY NOTIFY: OFF :~K T~T-BIPHON B~E~K:OFF TNK T~Y ~IPHON ~RE~K:OFF ~ ::PREMIUM UNLE~D BUMP TR I -STATE DELIUERY DEL~Y : 1: MIN DELIWRY DEL~¥' : 1~ MIN CATEGORY : STP BUMP L G :PREMIUM ~NNULAR NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 7~DIEBEL BUMP TRI-STATE ( O~TEOORY : STP SUMP L 8:DIESEL ANNULAR NORMALLY CLOSED CATEGORY : ANNULAR SPACE . __ ALARM HISTORY REPORT ..... SYSTEM ALARM PAPER OUT R 3:PREMIUM UNLEADED JAN 4, 2000 9:00 AM TYPE: PRINTER ERROR STANDARD JUL 8, 2005 1:19 PM NORMALLY CLOSED BATTERY IS OFF JAN 1, 1994 8:00 AM SYS SECURITY WARNING LIQUID SENSOR ALMS OOT 1, 2001 10:19 AM L 5:FUEL ALARM L 6:FUEL ALARM L 5:SENSOR OUT ALARM L 6:SENSOR OUT ALARM L 5:SHORT ALARM L 6:SHORT ALARM R 4:DIESEL ALARM HISTORY REPORT OUTPUT RELAY SETUP TYPE: - - - - STANDARD .... IN-TANK ALARM ..... NORMALLY CLOSED T 1 :REO UNLEADED R 1 :RES UNLEADED LIQUID SENSOR ALMS OVERFILL ALARM TYPE: L 7:FUEL ALARM NOV 26, 2002 4:18 PM STANDARD L 8:FUEL ALARM JAN 18, 2002 8:15 PM NORMALLY OLOSED L 7:SENSOR OUT ALARM OCT ~o 2001 6:47 AM L 8:SENSOR OUT ALARM L 7:SHORT ALARM HIGH PRODUCT ALARM LIQUID SENSOR ALMS L 8:SHORT ALARM JAN 18, 2002 8:15 PM L 1:FUEL ALARM OCT .~, 2001 6:49 AM L 2:FUEL ALARM OCT 1, 2001 10:18 AM L I:SENSOR OUT ALARM L 2:SENSOR OUT ALARM INVALID FUEL LEVEL L I:SHORT ALARM L 2:SHORT ALARM JAN 16, 2002 10:00 AM JAN 5, 2002 8:00 PM PROBE OUT · o_ · OCT 1, 2001 10:19 AM R 2:PLUS UNLEADED OOT 1, 2001 10:07 AP1 TYPE: STANDARD NORMALLY CLOSED LIQUID SENSOR ALMS L $:FUEL ALARM L 4:FUEL ALARM L 3:SENSOR OUT ALARM L 4:SENSOR OUT ALARM L $:SHORT ALARM L 4:SHORT ALARM ALARM HISTORY REPORT SENSOR ALARM L I :RES UNLEADED SUMP STP SUMP FUEL ALARM AUG 12, 2000 8:S5 AM FUEL ALARM AUG 7, 2002 7:06 AP1 FUEL ALARM OCT 1, 2001 9:49 AM ALARM H~STORY REPORT ..... SENSOR ALARM OTHER SENSORS ..... SENSOR ALARM L @:DIESEL ANNULAR ANNULAR SPAOE FUEL ALARM ..... SENSOR ALARM ..... AUG 12, 2003 9:01 AM L ! :REG UNLEADED SUMP STP SUMP IN-TANK DIAGNOSTIC FUEL ALARM AUG 12, 2003 8:5S AM PROBE DIAGNOSTICS T 1: PROBE TYPE MAG2 SERIAL NUMBER 08?645 ID CHAN = OxCO01 GRADIENT = 348.9100 ..... SENSOR ALARM NUM SAMPLES = 20 L 6:PREMIUM ANNULAR ANNULAR SPACE COO 13~S.0 CO1 146S?.8 FUEL ALARM 002 146S?.9 C03 146S8.0 ..... SENSOR ALARM ..... AUG 12, 2003 9:02 AM 004 146S?.~ COS 146S?.9 L 3:PLUS UNLEADED SUMP C06 146~?.S CO? 146S?.2 C08 146S8.0 C09 146S?. STP SUMP CIO 146~?.0 Cll 424S9.9 FUEL ALARM AUG 12, 2003 8:5B AM C12 8607.7 C13 9434.4 C14 10123.0 C1S 10896.3 016 11946.6 Ol? 13196.5 018 42S02.S SAMPLES READ =236421374 ..... SENSOR ALARM SAMPLES USED =23641 L 4:PLUS UNLEAD ANNULAR ANNULAR SPACE FUEL ALARM ..... sENSOR ALARM ..... AUG 12, 200~ 9:03 AM L 5:PREMI UM UNLEAD SUMP STP SUMP FUEL ALARM AUG 12, 2003 8:S8 AM IN-TANK DIAGNOSTIC PROBE D I AGNOST I CS ..... M~ SENSOR ALARM T 2: PROBE TYPE ..... L 2:REG UNLEADED ANNULAR SERIAL NUMBER 08?64? ANNULAR SPACE ID CH~N = OxCO01 FUEL ALARM GRADIENT = 3S2,~?00 ..... SENSOR ALARM ..... AUG 12, 2003 '9:03 AM L ?:DIESEL SUMP NUM SAMPLES = 20 STP SUMP COO 1~72.2 CO1 954S.0 FUEL ALARM AUG 12, 2003 8:59 AM C02 9S45.0 C03 .............. - C04 9S4S.2 COS ~ C06 9S4S.4 CO? 9545.0 C08 9S4S.0 t~O, CiO 9S4~.8 Cll 44827.$ C12 7826.0 CI3 C14 9633.~ O1S 10016.4 016 10852.0 Gl? 12473.0 O18 44828.9 SAMPLES RESD ~=2 ~- ~AMP~ES' tlSED -=zS47U~SU4 il IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 3: PROBE TYPE MAG2 SERIAL NUMBER 087642 ID CHAN = OxCO01 GRADIENT = 352,6600 NUM SAMPLES = 20 CO0 1391.0 OOl 9440.0 002 9440.0 C03 9440.0 C04 9440.0 COS 9440.0 C06 9440.0 CO? 9440.0 008 94S9.8 009 9440.0 010 9440.0 Cll 44571.1 012 7716.S ¢13 8418.0 014 9042.8 C15 9596.5 016 10269.0 017 12286.3 018 44572.1 SAMPLES READ =231214479 SAMPLES USED =231208956 I N-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 4: PROBE TYPE MAG2 SERIAL NUMBER 087644 ID OHAN = OxOO01 GRADIENT = 348.9400 NUM SAMPLES = 20 C00 1400.0 O01 7297.4 C02 7297.1 C03 7297,1 004 7297.0 C06 7297.1 C06 7297.8 007 7297.6 ¢0@ 7297.4 009 7297.1 C10 7297.5 Cll 44967.2 012 8536.2 C13 9272.7 C14 9676.5 C15 9818.0 C16 10206.3 C17 12127.3 . CPS 44958.6 SAMPLES READ =227989968 SAMPLES USED =227987798 09'/28/01 07:45 ~'66!. 0576 BFD HAZ 3IAT DIV -' ' [~002 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictum~' Within the State of Californiu Authority Cited: C&~pter 6. 7. Health ant] Sqfety Code: Ch~mter 16. Division 3, Title 23, Cul~rn&t Code of Regulations This tbrm must be used (o document testing and se~icing or' monitoring equipment. A ~oarace cerSjfication or report must be prepared r~,r~ac~nitorin~ system control ~j~ by the technician who periorms me work. A copy of [his tbrm must be provided lo the tank system owner/operator. The owner/operator must submit a copy or' (his tb~ to the local agency regulating UST systems within 30 days of tes~ date. I A.. General Inf~ion Facility Name: ~~ Bldg. N0.: Site Adc~res.s: ~_~ ~~ City: ~~ Zip: Facility Contact Person: ~~~ Contact Phone go.: (~)~-- Mak~odel of Monitoring System: ~C ~~~---- Date of Testing/So.icing: ,~ /~/~ B. Inventory of Bquipment 'reste~Certified Check the appropriate boxes to indicate spe~ifl~_~pm*nt ~s~ecte~se~ice~: ,, , . ,  ~n-Tan~Gauging Probe. Model: ~~ ' ~.~nul=~n'Tank Gaugingspace or Probe.V~ult Sensor. Model:M°del: --~ ~nnul= Space or Vault Sensor. Model: ~ ~ PipingSump/TrenehSenso~s). Model: ~~- ~ ~ipingSump/TrenchSenso~s). Model: O Fill Sump Sen~or(s). M~el: ~ Fill Sump Sensor(s). Model: :~ Mechanical Line Le~ De~ector. Model: ~ Mech~ical Line Leak Detector. Model:' '~ Elec=onic Line Leak Detector. Model: ~ Elee~onic Line ~ Detector. Model: g Tank Overfill i High-Level SenSor. Model: Q T~k Ov~lll / High-Level Sensor. Model: ~ Other (specif~ equipment t~e ~d model in Section E on Pase 2). ~ Otker (s~cify equipment,t~e ~d model in Section E on Pa'~e 2). ~ tn-Tank Gauging Probe. Model: ~~ ~n-T~k Gauging ~obe. MoOch ~ ~mul~ Space or Vault Se'nsor. Modeh ~~-~ ~nnul~ Spaco or Vault S~n~or. Moaet: · ~PipingSump/TrenehSenso~s). Model: ~~-~ ~PipingSump/TrenchSensor(s). Model: ~ Fill Sump Sensor(s). M~el: ~ Fill Sump Sensor(s). Model: ~ Mechanical Line Le~ Detector. Model: ~ Mechanical Line Le~ ~tector. M~el: ~ Elec~onic Line Le~ Detector. Model: ~ ~ Elee=onic Line ~ Detector. Model: ~ Taok Ore. Il / High-Level Sensor. 'Model: ~ Tank Ove~ll / High-Level Sensor. Model; ~ Other (s~cifv. equipment type and model in Section,, E on Pa~). ~ Other Cs~eciD, , equipment, ,. type and,,model in Section. E on Pa~e 2). ~ispenserCont~nment Sensor(s). Model: ~ Dispenser Coats'inmOnt Sensor(s). Model: ~ ~ 5he~ V~ve(s). ~ear ~ Dispenser Containment ~oat(s) and Chain(s). ~ Dispenser Cont~nme~t Float(s) ~d Chain(s). Dis~nser ID: . ~ ' Disvenser ID:' ~ ' ' ~ ~spenserContamment Sensor(si. Model: ~ens~r Containment Sensor(s). Model: ~hear Valve(s). ~hear Valve(s). ~ Dispenser Containmept ~gat(s) and Chain(s). ,, ~ Dispenser Containme~ ~lo?(s) and Chain(s). Q Dispenser Cont~ment Sensor(s). Model: ~ DsspenserContmnment Sensor(~). Modeh ~S~ear Valve(s). ~ Sheur VaNe(s). ,DDJspenser Containment Ftoat(s) and Ctmin(s). ~ Dis~,gser Cent~nment FI~(Q and Chain(i). .-If the facili~ contains more tanks Dy dispensers, copy this fo~, Include infommtion for ever)' t~k and dispenser a~ the r~cili~y. C. Certification · t ce~ that the ~uipment ldenfi~ in t~s document w~ lmpect~se~ieed in accordance with the m~urac~en' g~delin~, Attached to this Ce~ficntion ts iMomfion (e.g. ~nufacmre~' chec~ls~) necessa~ to ve~ that t~s iMommtion is correct and a Plot Plan Showing the l~yout or mo~to~ng eq~pment. For any eq~p~ ~pable or generating such report, I have also attached a copy of the rep~: (ehe~_lI that apply): ~System set.up ' ~.41~ hlstoFy Certification No.: ~ License. ~o.: ~ ~ Testing Company Name~~7~ ~~/~ --- Phon: No.:(~_)~,~ .... _ . ~ -, ~ Date of Festing/Servieing~_ Page 1 or 3 :Ylon/torlng System Cerri/~catlon U9,'~8/01 07:46 "~66~6 0576 BFD HAZ ~iAT DI ' ~003 D. Results of Testing/Servicing Software Version [nstalled: ~. Complete the foilowin cheek.list: J~ Y~s '" ~l No* [ I~the audible ala~_._~_erational7 121 Yes {~' Noa ts the visual alarrn o.o__perational'? ~il Yes C) No*' Were all sensors visuall i7_.~..~.e..._~cted, functionally tested, and confirmed o.o.o~erational? ~ir Yes El No* Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment wil"----'--~ not interfere with their proper operation? '~ Yes ~ No" If alarms are relayed to a remote monitoring station., is all communications equipment leg. modem.} ~' N/A operational,'? · ~i~ Yes Q No* For pressurized piping systems does the turbine automatically shut down if the piping secondary containment- Q N/A Imonitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) [lir"Sump/Trench Sensors; ~ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [~'Ycs; 121 No. ~ Yes ~ No* For tank systems that utilize the monitoring system as the primary, tank overfill warning device (i.e. JlE N)A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tanl, fill point(s) and operating properly'," If so, at what percent of tank capacity does the alarm trigger7 ~"vO % ~ Yes* {~"No Was any moni~0rJng equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced Il ,,~ and list the.manufacturer name and model for all replacement parts in Section E. below. c3 Yes* No Was liquid found inside an),' secondary, containment systems designed as dr'7 systems? {'Check all that apply) ~ ~J Water. If.yes, describe causes in Section E, below. · · In Section E below, describe ho,,,' and when these deflclenc~ w,~ .... ~.~n ~.~ ~orrected. Page 2 of 3 o3/ol 09/28/0i 07:47 866 :6 0576 BFD HAZ ~AT DI ' ~004 F. · In-Tank Gauging / SIR Equipment: ~' Check this box il' tank gauging is used only tbr inventory control. ~ Check this box if no tank gauging or SIR equipment is installed. ' This section must be completed if' in-tank gauging equipment is used to perform leak detection monitoring. Cum )lore the following checklist: ~ Yes D No* ~H;s all input wiring been inspected thc prope; entO' and termination, including testing for ground faults? !~ Yes Q No*. W.e. re all tank gauging probes visually inspected ['or damage and residue buildup? ~ Yes ~ No* Was accuracy of system product level readings tesied? ' -- ~" Yes C] No* Was accuracy of system water level readings..tested? ~'- Yes ~ No* Were all probes :einstalled properly'.) ~' Yes ~ No* Were all items on the equipmem manufacturer's maintenance checklistcompleted? · In the Section H, below, describe how'and when these denclencies were or will be corrected. G. Line Leak Detectors (LLD): ,~ Check this box ifLLDs are not installed. Complete the following checklist: , '~ Yes D No* For equipment start-up or annual equipment ce~ificatlon, was a leak slmu[ated to verify LLD perfon'nance? D N/A (Check all that apply) Simulated leak rate: ~1 3 g.p.h.: i~l 0. I g.p.h; ~ 0.2 g.p.h. .. ~ Yes D No* Were all LLDs confim~ed operational and ac'curate within reg'ulatory require~nents? ~ Yes D No'~ Was the testing apparatus properly calibrated? ~ Yes ~ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? · ~ Yes Q No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a l~ak? ~ N/A ~ Yes ~1 No* For electronic LLDs, does the turbine 'automati'cally shut off if any porti'~n of the monitoring system is disabled ~ N/A or disconnected'? D Yes ~ No* For electronic LLE~s,' does the turbine automatically shut off it' any pc~rtion of the monitoring system malfunctions D N/A or fails a test'? D Yes tZI No* For electronic LLDs, have all accessible wiring connections been visually inspected? . N/A . 'ZI Yes , No* Were all items on the equipment manufacturer's maintenance checklist completed? · In the Section H, below, describe how and when· these detlclencies were or.will be corrected. ti. Comments: Page 3 of 3 03;01 Monitoring System Certification UST MOnitoring Site Plan Site Address: ~-. ,~'/'~" ',~>:'. · .~/~ .~ ............................... Date map was drawn: Instructiom} If y .. Y ..... "~.'- ":..',"?'.'~'~."e",~'/:' ....... .~ .-.'":'.;.~'"'*':.::: ...... ~'." .... ':*~"'." .~'"?'""~"~'"'~""~+'~" .... "' ''''~: ..... '"'" :'"'"";"~ ~'.' ' "~' "' ' Monito~g System Cemficahon? ~ o~ site pl~,"show ~e general !ayogt of t~ ~d, p~pmg..~-..Cle~l~ .ldent~ . locations, of ~e foiio~ng eqmpmmt, ~f ~nstalled: ~:'momtonng 'system g6n~o! p~el~;Ssensors ~omt6mg'~ ~ul~ spaces, sump'~, di~eflser' pans, Spill containers,: °r'°'ther S~conda~ 6oh~i~ht .~re.as~ 'mechahical 0r"elee~6nic .l~e'leak detectors; and in-tank liquid level probes (if used for leak dete4tion), h ~ ~ace pr6~ded, note ~e date ~S Site PI~ . .. ...... . .. .. ?~ .... . ~ ".'."*'?~ .... .::- · .... :.......... ~.- . :. was prepared -.. .'.' .... : ;,.~..~ :. .. ....;. :.~.: .... ::......~.. .. . '. ,'.:?~' ',7 "-:.'..¥:.2z'5;~;~.7 ' ':, ;...:3~ *. "'a ~;' :' ,'.' ':;fi'~i';~',~ ;,',~,'~2~'~'~:,~.'...'~" .~ · · ' . "''., .~ '~'~:',' ..... ~. .. p:....,:... :., .....:... ;....:...:~' :;, .~.:~Q2; .-.....2..? ..; · · . .. , : : . .,..,.~.. Rmum JqeClept Fee (Endorsement Required) Poslmark ._n .e~cted Derwe~ Fee .ere ('-naomement Required) Tolal Post~ge & Feee I ~ ~o. ° .... ............ · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. [] Agent '"' Print your name and address on the reverse [] Addressee so that we can return the card to you. B. Received by t. , · Attach this card to the back of the mailpiece, C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different 7 [] Yes If YES, enter delivery address below: [] No ' FASTRIP ,: 805 34va STREET ~ BAKERSFIELD CA 93301 ' I 3. Service Type · ~-- I ~' Certified Mail [] Express Mail -- J I [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. J 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number ' (Transfer from service label) 7002 3150 0004 9985 3363 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M.1540 FASTRIP 805 THIRTYFOURTH ST. BAKERSFIELD..CA.93301 661-325-0110 MAR 25. 2004 10:35 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T I:REG UNLEADED VOLUME = 6522 GALS ULLAGE = 5542 (]ALS 90~ ULLAGE= 4335 GALS TO "ALUME = 6487 GALS HE ~T = 59.30 INCHES WA~PL-9~ VOL = 0 GALS WATER = 0.00 INCHES TEMP = 67.0 DEG F T ~OB'ONLEADE[r VOLUME = 4084 GALS ULLAGE = 7978 GALS 9Q% .ULLAGE= 6771 GALS TC ~LUME = 4069 GALS HE%~flT = 41.46 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 65.1DEG F T 3:PREMIUM UNLEADED VOLUME = 3320 GALS ULLAGE = 8742 GALS 90~ ULLAGE= 7535 GALS TC VOLUME = 3304 GALS HEIGHT = ~5.62 INCHES WATER VOL = 0 GALS WATER = O.OO INCHES TEMP = 66.5 DEG F T 4:DIESEL VOLUME = 5971 GALS ULLAGE ~ _= 6091 GALS 90% ULLaGe= 4084 GALS TC VOLUME = 5949 GALS HEIGHT = 55.32 INCHES WATER VOL = 13 GALS WA-~R = 0.85 INCHES T~,,_.~ = 6,8.0 DEG ? July 8, 2003 CERTIFIED MAIL FiRE CHIEF Fastrip 805 34th Street ADMINISTRATIVE SERVICES Bakersfield, CA 93301 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 ,.,,3..,3.9 REMINDER NOTICE SUPPRESSION SERVICES 2101 'H" Street Re: Deadline for Dispenser Pan Requirements December 31, 2003 Bakersfield, CA 93301 VOICE (661)326-3941 F~.~1(661) 395-1349 Dear Underground Storage Tank Owner/Operator: PREVENTION SERVICES 1715 ChesterAve. A review of our files indicate that you have been receiving quarterly reminders Bakers,e~d. CA 933O1 from April of 2002 to December 2002. Our files further show that since January VOICE (661) 326-3951 FAX (661) 326-0576 of' this year yOU have bccn receiving monthly reminders. ENVIRONMENTAL SERVICES 1715 ChesterAve. The purpose of this letter is to remind you of the necessary retrofit of your fueling Baker~,e~d. CA 933O1 system. Current code requires that you install under dispenser containment pans VOICE (661) 326-3979 FAX (661)326-0576 prior to December 31, 2003. You will not be allowed to pump fuel after December 31, 2003 unless you have completed the upgrade requirements. TRAINING DIVISION 5642 Viclor Ave. Bakersfield, CA 93308 Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit VOICE (661) 399-4697 , FAX (661) 399-5763 your facility as soon as possible. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely, Ralph Huey Director of Prevention Services By: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU:db June 5, 2003 Fastrip 805 34th Street Bakersfield CA 93301 REMINDER NOTICE FIRE CHIEF P. ON FRAZE RE: Deadline for Dispenser Pan Requirements December 3 l, 2003 ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 9330~1 VOICE (661)326-3941 Dear Underground Storage Tank Owner: FAX (661) 395-1349 SUPPRESSION SERVICES A review of our files indicate that you have been receiving quarterly 2101 "H" Street reminder notices since April of 2002. Effective January 2003, you can Bakersfield, CA 93301 VOICE (661) 326-3941 expect them monthly. FAX (661) 395-1349 PREVENTION SERVICES The purpose of this letter is to remind you of the necessary retrofit of 1715 Chester Ave. your fueling system. Current code requires that you install dispenser Bakersfield, CA 93301 VOICE (661) 326-3951 pans prior to December 31, 2003. You will not be allowed to remain FAX (661) 326-0576 open after December 31, 2003 unless you have completed the upgrade ENVIRONMENTAL SERVICES requirement. Contractors are already scheduling work 6-8 weeks out. 1715 ChesferAve. I urge you to start planning to retrofit your facility as soon as possible. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 Sincerely, TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Services Office of Environmental Services i SBU/rs 'i May 7, 2003 Fastrip 805 34th Street Bakersfield CA 93301 FIRE CHIEF ~ON FR,LxZE REMINDER NOTICE ADMINISTRATIVE SERVICES 2101 "H" Stree! Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 RE: Deadline for Dispenser Pan Requirements December 31, 2003 SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 "H' Street Bakersfield, CA 93301 VOICEFAx (66(661)1) 395-326-39411349 A Review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can PREVENTION SERVICES expect them monthly. FIRE SAFETY SERVICES. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 The purpose of this letter is to remind you of the necessary retrofit of VOICE (661) 326-3979 FAX (661) 326-0576 your fueling system. Current code requires that you install dispenser pans prior to December 31, 2003. You will not be allowed to remain PUBLIC EDUCATION 1715 ChesterAve. open after December 31, 2003 unless you have completed the upgrade Bakersfield, CA 93301 VOICE (661)326-3696 requirement. Contractors are already scheduling work 6-8 weeks out. FAX (661) 326-0576 I urge you to start planning to retrofit your facility as soon as possible. FIRE INVESTIGATION 1715 Chester Ave. Sincerely, Bakersfield, CA 93301 ~ ~ VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Steve Underwood VOICE (661) 399-4697 FAX (661) 399-5763 Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc Bakersfield Fire Dept. UNIFIED PROGRAM~INSPECTION CHECKLIST I Enironmental Sezv~ces '"' ' ' ' ........................ ~ 1715 Chester Ave SECTION 1 Business,Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACI[J,~TY NA.ME , [INSPECTION DATE I INSPECTION TIME ....... ' _ ' ~: O~lO ~ -I FAC~LITYCONTACT -~ ~ ~ ........................... . Section 1' Business Plan and Inven~ P~mm ~ Routine ~Combin~ ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection C V~[C=C°~p"~n~V=Wo~t~o. ~ OPE~TION COMMENTS ~ APPROPRIATE PERMIT ON HAND VERIFICATION OF ASAIEMENT SUPPLIES AND PROCEOURES ~ ~ CONTAINERS PROPERLY ~BELED ~ ~ HOUSEKEEPING ANY H~ARDOUS WASTE ON S~TE?: ~ YES ~ ~" EXPLAIN: White - Environmenial Services Yellow - S~ation Copy Pink. Business Copy FaSTR I P S 0 5 T H I RT'TFO [JRT H ,_,T B~KERSF I ELD. Ch. 93301 651--325-0110 aPR 20, 200:3 9:13'1 aP1 S'¥'STEI'I STATUS REPORT aLL FUNCTIONS NORI"IAL 1 ?2E~I'.fI'()FYY' REPORT T 1 :REG UNLEADED · ',d©LUNE = 4:336 GALS, ULLAGE = ??2E, GaLS 90% ULLA® 6519 GALS TC VOLUP1E = 4320 GaLS HEIGHT = 43.:34 INCHES ;d~'rE~ VOL = 0 GaLS ~aTER = O. O0 II'.ICHES TEI'4P = 65.1 DEC; F , T 2:PLUS UI',ILEaDED 'k/OLIJl'qE = 2553 GaLS ULLAGE = 9409 GaLS 90% ULLaGE= 8202 GaLS TC ',.tOLIAI'"IE = 263S GaLS HEIGHT : 30.32 INCHES ;daTER ',JOL = 0 GaLS bJaTER = O. O0 INCHES TEP1P = 68.2 9EG F T S :PREI'tl UPi UNLEADED '~.,,'0; "~IE = 2~95 GaLS '- U[~ ~;E = 9367 GaLS 9~ULLAGE= 8160 GaLS HEIGHT = 00.66 INCHES b,IaTER VOL = O GaLS MATER = O. O0 INCHES TEP~P = a,?.6 DEG F T 4: D I ESEL '~/OLUP1E = i 254 (;aLS ULLAGE = 10708 GaLS 9~% ULLAGE= 9501 GaLS TC ',,/OLLIP1E = 1347 GaLS HEIGHT = 18.90 INCHES b,IaTER ',2C, L = 13 GaLS kIaTER = 0. S4 I I'.ICHE~ TEPIP = 71.3 DEG F ~ ~ :~ ~ ~ END ~ ~ ~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ?_a~"~4 qt~(..0c~( INSPECTION DATE Section 2: Underground Storage Tanks Program [221 Routine [~ Combined [2] Joint Agency [] Multi-Agency . [21 Complaint l~ Re-inspection Type of Tank 43Lt3~7--C5 Number of Tanks Type of Monitoring ~_Lli,X Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on 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 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? Office of Environmental Services (661) 326-3979~Bus~ness. 'Stte' Responsible' -' ~ Pat'ty While - Env. Svcs. Pink - Business Copy April 10, 2003 Fastrip 805 34th Street Bakersfield CA 93301 F,RE C.IEF REMINDER NOTICE RON VRAZF ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 RE: Deadline for Dispenser Pan Requirements December 31, 2003 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Underground Storage Tank Owner: SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 A Review of our files indicate that you have been receiving quarterly VOICE (061) 326-3941 reminder notices since April of 2002. Effective January 2003, you can FAX (661) 395-1349 expect them monthly. PREVENTION SERVICES FIRE SAFE'I'~ SER~CES * EI~'IRONIff~TN. SER~CE$ 1715 Chester Ave. The purpose of this letter is to remind you of the necessary retrofit of Bakersfield, CA 93301 your fueling system. Current code requires that you install dispenser VOICE (661) 326-3979 FAX (661)326-0576 pans prior to December 31, 2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade PUBLIC EDUCATION 1715 OhesterAvb. requirement. Contractors are already scheduling work 6-8 weeks out. Bakersfield, CA 93301 I urge you to start planning to retrofit your facility as soon as possible. VOICE (661) 326-3696 FAX (661) 326-0576 Sincerely, FIRE INVESTIGATION Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION Steve 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 March 5, 2003 Fastrip 805 34th Street Bakersfield CA 93301 FIRE CHIEF RON FRAZE REMINDER NOTICE ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1949 ];~E: Deadline for Dispenser Pan Requirements December 3 l, 2003 SUPPRESSION SERVICES 2101 "H' SIreot Dear Underground Storage Tank Owner: Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 A Review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can PREVENTION SERVICES FI~ESM;E'I3'SERVICE$.~.SERV~E$ expect them monthly. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3979 The purpose of this letter is to remind you of the necessary retrofit of FAX (661) 326-0576 your fueling system. Current code requires that you install dispenser PUBLIC EDUCATION pans prior to December 31, 2003. You will not be allowed to remain 1715 ChosterAv~. open after December 31, 2003 unless you have completed the upgrade Bakersfield. CA 93301 VOICE (661)326-3696 requirement. Contractors are already scheduling work 6-8 weeks out. FAX (661) 326-0576 I urge you to start planning to retrofit your facility as soon as possible. FIRE INVESTIGATION 1715 Chester Ave. Sincerely, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 Steve Underwood FAX (661) 399-5763 Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc February 3, 2003 Fastrip 805 34th Street FIRE CHIEF Bakersfield CA 93301 RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Slree/ Bakersfield, CA 93301 RE MINDE R N O TI C E VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION2101 "H' StreetSERVICES RE: Deadline for Dispenser Pan Requirements December 31, 2003 Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 Dear Underground Storage Tank Owner: PREVENTION SERVICES A Review of our files indicate that you have been receiving quarterly SM:ET/SERVICES · ENIP, RONI~NT~,. SERI/ICES 1715 ChesterAve. reminder notices since April of 2002. Effective January2003, you can Bakersfield. CA 93301 VOICE (661) 326-3979 expect them monthly. FAX (661) 326-0576 PUBLIC EDUCATION The purpose of this letter is to remind you of the necessary retrofit of 1715 ChesterAvb. your fueling system. Current code requires that you install dispenser Bakersfield, CA 93301 VOICE (661)326-3696 .pans prior to December 31, 2003. You will not be allowed to remain FAX (661)326-0576 open after December 31, 2003 unless you have completed the upgrade FIRE INVESTIGATION requirement. Contractors are already scheduling work 6-8 weeks out. I 1715 Chester Ave. urge you to start planning to retrofit your facility as soon as possible. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Sincerely, TRAINING DIVISION ~. ~ 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc D January 22, 2003 FIRE CHIEF Fastrip RON FRAZE 805 34th Street Bakersfield CA 93301 ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 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) 326-3941 ' 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 · EHYlRON~IENTN. SER~CE$ 1715 Chester^vD. 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 ChesterAvb. Should you have any questions, please feel free to call me at 661- Bakersfield, CA 93301 VOICE (661) 326-3696 326-3190. FAX (661) 326-0576 FIRE INVESTIGATION SC ~ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 )/i / " FAX (661) 326-0576 TRAINING DIVISION 5642 VlctorAve. Steve Underwood Bakersfield, CA 93300 Fire Inspector/Environmental Code Enforcement Officer VOICE (661) 399-4697 FAX (661) 399-5763 Office of Environmental Services SBU/dc January 13, 2003 Fastrip 805 34th Street Bakersfield CA 93301 FIRE CHIEF RON FRAZE RE: Deadline for Dispenser Pan Requirements December 31, 2003 ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 9.3301 voice 1661) F^X (661) 395-,349 REMINDER NOTICE SUPPRESSION SERVICES 2101 "H' Street Dear Tank Owner: Bakers,e~. C^ ~01 unctergrouna ~torage VOICE (661) 326-3941 FAX (661) 395-1349 A review of our files indicates that you have been receiving quarterly PREVENTION SERVICES reminder notices since April of 2002. FIRE SAFETY SERV',~ES · ~AL SERVICE$ 1715 Chester Ave. Bakersfield, CA 99301 VOICE (661) 3263979 The purpose of this letter is to remind you of the necessary retrofit of FAX (661) 326-0576 your fueling system. Current code requires that you install dispenser pans prior to December 31, 2003. I urge you to start planning to retrofit PUBLIC EDUCATION 1715 ChesterAvb. your facility as soon as possible. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661)326-0~B Should you have any questions, please feel free to contact me at 661- 326-3190. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 Sincerely- VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Steve Underwood VOICE (661) 399-4697 FAX (661) 399-5763 Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc ' CONFIII NICE UST SERVICL , 7.o. o air ,t_t akersfield, 9 3o9 , 8oo-339_993o , INC. ' or 805-631-3870 : F'r~3~L T~ST ~ESOT.TS: ALERT 1000 / ALERT ULLAGE 1050X / AES PLT-100R / AES SYSTEM II CUSTOMER ADDRESS: WORK ORDER: 4808 SITE ADDRESS: Jaco Oil Co. FastriD %346 P.O. BOX 82515 TEST DATE: 10/30/02 805 34th Street Bakersfield, CA 93380 Bakersfield, CA 93301 SITE CONTACT: 0maro Garcia PHONE NUMBER:661-393-7000 TECHNICIAN: Doug Young PHONE ~ER:800-339-9930 LICENSE:901076 WATER IN BACKFILL: 0.00" DATE & TIME OF LAST FUEL DELIVERY:6+ hours TANK INFORMATION: (WETTED) TANK i TANK 2 TANK 3 TANK 4 PRODUCT TYPE: Regular Plus Premium Diesel TOTAL GALLONS: 12000 gallons 12000 gallons 12000 gallons 12000 gallons PRODUCT LEVEL: 62 inches 74 inches 83 inches 64 inches PERCENT FULL: 68% 83% 92% 71% TEST METHOD: A/eft 1000 Alert 1000 Alert 1000 Alert 1000 WATER IN TANK: 0.00" 0.00" 0.00" 0.00" TANK MATERIAL: DWS DWS DWS DWS P. S. I. @ BOTTOM: 1.55 psi 1.85 psi 2. 075 psi 2. 304 psi TEST DURATION: 2.0 hours 2.1 hours 2.2 hours 2.1 hours FINAL LEAK RATE: -0. 010 gph -0. 034 pgh +0. 043 gph -0. 039 gph TEST RESULT: PASS PASS PASS PASS TANK INFORMATION: ALERT 1050X ALERT 1050X ALERT 1050X ALERT 1050X (ULLAGE) U/F ONLY ULLAGE GALLONS: 3805 gallons 2072 gallons 972 gallons 3501 gallons START PRESSURE: 1.5 psi 1.5 psi 1.5 psi 1.5 psi END PRESS~: 1.5 psi 1.5 psi 1.5 psi 1.5 psi TEST RESULT: PASS PASS PASS PASS PRODUCT LINES: AES PLT-100R AES PLT-100R AES PLT-100R AES PLT-100R LINE TYPE: Pressure Pressure Pressure Pressure START TIME: 8: 25p 7: 55p 9: 00p 7: 20p END TIME: 8:55p 8:25p 9:30p 7:50p TEST PRESSURE: 55 psi 55 psi 55 psi 55 psi FINAL LEAK RATE: -0. 002 gph -0. 004 gph -0. 001 gph -0. 001 gph TEST RESULT: PASS PASS PASS PASS MECHANICAL LEAK DETECTORS: Red Jacket FTA Red Jacket FTA Red Jacket FTA Red Jacket FTA ! MODEL: SERIAL NUMBER: ,"HECK VALVE PSI: BLm,:u OFF ml: LEAK RATE TESTED: rEST RESULT: Not Installed Not Installed Not Installed Not Installed A) These systems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329-87 and all applicable state codes. B) Any fai~a~e listed above may require further action, check with all regulatory agencies. //.,, . ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA Fastrip #346 805 34th Street, Bakersfield, CA J2000 GALLON Regular TANK ~.2KHz AMPLITUDE RATIO 25KHz AMPLITUDE RATIO 0 75 ~ 5 750+ 0 75 1 5 :iiii ~ ' 750+ : :: u N T U E ' 3 ::::::i T S ........ E 3 :::::::::::::::::::::::::::::::::::::::::::::::::: ~2KHz DETECTION RATIO = .985 25KHz DETECTION RATIO = .969 TEST RESULT = PASS DATE AND TIME OF TEST: ~0/30/02 9: 14PM BEGINNING BOTTLE PRESSURE = 2300 ENDING BOTTLE PRESSURE = 2200 BEGINNING TANK PRESSURE = 2.5 PSIG ENDING TANK PRESSURE = ~.5 PSIG ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA Fastr~p #346 805 34th Street, Bakersfield, CA ~2000 GALLON Plus TANK J2KHz AMPLITUDE RATIO 25KHz AMPLITUDE RATIO 0 75 ~ 5 750+ 0 75 ~ 5 750+ N N U U T E 3 T S E 3 S 5 5 ~2KHz DETECTION RATIO = .949 25KHz DETECTION RATIO = J.03 TEST RESULT = PASS DATE AND TIME OF TEST: ~0/30/02 9: 05PM BEGINNING BOTTLE PRESSURE = 2300 ENDING BOTTLE PRESSURE = 2200 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = ~.5 PSIG iiiii~88i ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA Fastr~p #346 805 34th Street, Bakersfield, CA 12000 GALLON Premium TANK 12KHz AMPLITUDE RATIO 25KHz AMPLITUDE RATIO 0.75 ~ 5 750+ 0 75 ~ 5 750+ I I U U T T E 3 E 3 S S 5 5 J2KHz DETECTZON RATIO = .962 25KHz DETECTION RATIO = ~.02 TEST RESULT = PASS DATE AND TIME OF TEST: ~0/30/02 9:23PM BEGINNING BOTTLE PRESSURE = 2300 ENDING BOTTLE PRESSURE = 2000 BEGINNING TANK PRESSURE = J.5 PSIG ENDING TANK PRESSURE = J.5 PSIG ALERT TECHNOI.. OGLES PLOT OF ULLAGE TEST DA TA Fastrip #346 805 34th Street, Bakersfield, CA ~2000 GALLON Diesel TANK :t2KHz AMPLITUDE RATIO 25KHz AMPLITUDE RATIO 0 75 1 5 750+ 0 75 ~ 5 750+ N N U U T T E 3; E 3 SI S 5 5 12KHz DETECTION RATZO = .93~ 25KHz DETECTION RATIO = J.23 TEST RESULT = PASS DATE AND TIME OF TEST: ~0/30/02 9: 31PM BEGINNING BOTTLE PRESSURE = 2300 ENDING BOTTLE PRESSURE = ~900 BEGINNING TANK PRESSURE = J.5 PSIG ENDING TANK PRESSURE = J.5 PSIG C~ OF B~~~~ O~CE OF E~O~~~ SER~~S ~ERGRO~ STOOGE T~ PR~~ 1715 Ch~ter Av~, ~ke~field, CA (8~ 3~-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY.. Fas~rip ~346 ADDRESS 805-34th Street, Bakersfield, CA 93301 PERMIT TO OPERATE # OI:q~RATORSNA.N~ Jaco Oil ¢ombany OWNERSNAM~ Jaco Oil Company NUMBER OF TANKS TO BE TESTED 4 IS PIPING GOING TO BE TEST~-~ y ~ TANK # VOLUME CONTENTS ~ 1 _12,000 Unleaded... 4 12,000 Diesel TANKTESTINGCOMPANY Confidence U'S.T S_ervices, MAILINGADDK~SS 417 ~4ontc_lair .q~.rap~..,. R~k=r~=~c]: Ca_ q3309 NAME & PHONE NUMBER OF CONTACT PERSON _C_heryl ~oun9 _( 661 ~ 631-3870 TESTMETHOD Alert 1000 U~.d._erfillfAES PAT 100-~g NAM~ OF TESTER Da,~rj 1 ~.~ M_ CERTIFICATION# 90-1076 DATE & TIME TEST IS TO BE CONDUCTED APPROVED BY DATE SIGNA~ OF APPi~ICANT September 30, 2002 Fastrip 805 34th Street Bakersfield CA 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES REMINDER NOTICE 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Underground Storage Tank Owner: SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 You will be receiving updates from this office with regard to Senate Bill VOICE (661) 326-3941 989 which went into effect January 1, 2002. FAX (661) 395-1349 PREVENTION SERVICES This bill requires dispenser pans under fuel pump dispensers. On FIRE SAFETY SERVICES * ENVIRONMENTAL SERVICES 1715 ChesterAve. December 31, 2003 which is the deadline for compliance, this office will Bakersfield, CA 93301 be forced to revoke your Permit to Operate, for failure to comply with the VOICE (661) 326-3979 FAX (661) 326-0576 regulations. PUBLIC1715 ChesterEDUCATIONAv~. It is the hope of this office that we do not have to pursue such action, Bakersfield, CA 93301 which is why this office plans to update you. I urge you to start planning VOICE (661) 326-3696 FAX (661) 326-0576 to retro-fit your facilities. FIRE1711NVESTIGATION5 Chester Ave. If your facility has been upgraded already, please disregard this notice. Bakersfield, CA 93301 Should you have any questions, please feel free to contact me at' 661-326- vOICE (661) 326-3951 FAX (661) 326-0576 3190. TRAINING DIVISION SincereJq, 5642 Victor Ave. Bakersfield, CA 93308 " VOICE (661) 399-469'Z ~. / ' FAX (661) 399-5763 ~ ~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 09,:25/01 07:45 ~'~6'6 6 057E BFD HAZ MAT D'f' ~]002 MONITORING SYSTEM CERTIFICATION For Use By ALl Juri.~'dictmo. s Wit/tm dz~' State ~f C'al~fornia .4uthoritv Cited: Chap,'er 5..'. Health aq~] Sq/~ty Code: CJmpter 16. Divisiou 3. Title 23, Cal~brnia Code of Regtdations This form must be used to document testing and se~:icing ct' monitoring equipment. A sea,rate certification or report must be prepared t'or each~g.nitoring s~stem control p~]~el by the technician who performs the work. A copy or this form must be provided to the tank system owner/operator. The o~vner/operator mu'st submit a cop.,,' ct' this tbwa to the local agency regulating UST systems within 30 day's of tesl date. A. General [nform~on . .. z p: Facility'Contact Person: .. .~ ~~ Contact Phone No.: (~) ~25~ O/dO N'Iake~od'ei of Monitoring System: ~m~ Date of Testing/Se~icing: ~/' 'B. Inventory of Equipment TesteWCertified ChecR the appropriate boxes to ind cate s ecific e ~pm~nt ~s ecte~se~iced: ....... ..... ~ ........ ~. P ..................... . Modal: 7 9~--~ ~mul~ Sbace or Vault .Sensor. Model: ~&nnui~ Space or Vault Sensor. ~ Fill Sump Sensor(s). M~el: ~ Fill Sump Sensor(s). Model: ~ ~ Mechanical Line L~ Detector, Model: ~ Mech~icat Line Leak Detector. Model:' ~ Elect:ohio Line Leak Detector. Model: ~ Elec~onic Line ~ Detector. Model: ~ Tank Overfill / High-Level Sensor. Mode]: ~ Tank Ove~ill / High-Level Sensor. Model: D pther (specify equipment t~e ~d model in Section g on Page 2). - ~ Ot~er (s~c,ify equipment,t~e ~d model in Section E on Page 2). ~ 'rank Oau~inespa;k G Pfobe.x · Modek' ~/ ~-Tm,k Oadgi~g ~obe. Model: ~ Model: ~O~ ~ ~ Annul~ Space or Vault Sensor. Model: ~ ~ Piping Sump ,' Trench Sensor(s). Mode]:..TffgaXo 2~ OipingSump/TrenchSensor(s). Model: ~ Fill Sump Sensor(s). M~el: ~ Fill Sump Sensor(s). Model: ~ Mechanical Line Le~ Detector. Model: ~ Mechanical Line Le~ Detector. M~el: O Elecgonic Line Le~ Detector. Model: ~ glec?onic Line &~ Detector. Model: ~ Took Ove~ll / High-Level Sensor. Model: ~ Tank Ove~ll / ttigh-Leve! Sensor. Model: .~ Other (}~cify equipment typ~.pd model is.$.e~Rq.~ .ga Pa~?).. · ~ Other (specify equipment type and model in Section E on Page 2). ~ Dispenser Cont~nment Sensor's). Model: ~ispenser Containment Scnsor(s). Model: ~he~ V~ve(s). ~Shear ~ Dispcn:~.CoNtainm¢nt ~oat(s)and Chain(s). ~ Dispenser g~nt~nment Float(s) ~d Chain(s). Dis~nser ID: _~/~/ Dispenser ID: ~ Dispenser Contaig~en< S~nsor(s). Model: ~ Dispenser Containment Sensor(s). Model: ~hear Valve's). ' ~hear Valve(s). .U Dispenser Contg.ip.{nent ~oat(s) nnd Cha~?s). '.~ DispenSer Containmen,t Float(s,) and Chain(s). 5/0 ..... :__ ~ 0ispenser Containment Sensor(s). Model:: ~ 'Dispen~erComaJnment Sensor(s). Modch ~hear Valve(s). ~ Shear Valve(s). DDJspe,ser Containmem Float(s) and Clmin(s). ~ Disphpser C~n[~nment H,gEt,?) and Chain(s). 'qf the facili~ contains more ranks or dispensers, copy this fo~. Include infommiion for every ~k and dispenser ~t [h~ facility. C. Certification - I ce~fy that the ~uipment iden~l:~ in ins document w~ i~peel~se~ieed in accordance with the mmmfac~ers' g~delin~. Attached to this Ce~fiention Is igomfion (e.g. ~nufacmrem' chee~is~) neeessa~ to ve~ that t~s i~ommtion is correct and a Plo~ Plan showing the layout of monitoring eq~pment. For any eq~nt ~pable of generating such report, I have also attached a copy of the repoN; (cheet ~I1 that apRO): ~System set-up ~ Alar~hlstor~report Technician N~e (print): ~*~5 . Signature: ~ /~ Testing Company Nam~'~':~>~ ~o~ Phone So.:( O~/_) 3Za - Site Address: ~OI /dmj~ ~u~ Date of Testing/Servicing: ~/~/ P',ige I of 3 03/0! Monitoring System Certification. ~ 09,'"28,'01: 07:46 ~661~6. 0576 BFD HAZ II,iT DI 1~003 D. Results of'Festing/$ervicing Sot'tware Version Installed: t~ O ";';';';"~- Col ~lete the followi checklist: ~..Yes '; ~ No* ! Is the audible alarm operatio~al?' !,t~' Yes ~ No.~ Is the visual alarm operational'? " ~:: t~] N°* ' Were all seas°rs visual l7 insp-ected, t'uncti°naljY tes_,ed, and confirmed opera__2ti.o..n,.ql.? ~1 No* Were ail sensors installed at lowest point of'secondary containment and positioned so that other equipment will- not interfere with their pro~ver operation? ~] Yes ~'~'N/A'~ N°~ } operational?If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ~l'-'Yes ~ No*I. For pressurized piping systems, does the turbine automatically shut down if the piping secondary ~'ontainmen: ~ N/A monitoring system detects a leak, fails to opera~or is electrically disconnected? It' yes which.sensors initiate positive shut-down? (Check all that applv) E~FSump/Trench Sensors: ~ Dispenser Containment Sensors. Did y0E~onfirm positive shut-down due to ieaks an~d seqsor failure/disconnection? ~l'~es: ~ No. ~3' Yes ~_~o'* For tank systems that utilize the monitoring system ag the primary tank overfill warning device (i.e. no ,~ N/A mechanical overfill prevention .valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) an~_operating properly.'? If so, at what percent of tank capacity docs the alarm trigger? . ~ % 125~'es* ' Cl No Was any monitoring equipment replaced.~ If yes, identify specific sensors, probes, or other equipment replaced .... and list the manufacturer name and model for all replacement parts in Section E, below. ~ZI Yes* ] (21"No ~'as, liqui~?.o, und inside any secondary, containment systems designed as dry systems? 'Checkall that apply) ~21'~Yes] ~"I~0' / vrocmc.t; ,.a water. Ifyes, describe causes in Section E below Wa.s momtormg syste~ set-up, r.?i.¢w.e.ct_Lo_~ensur~e proper settin~gs? Attach set up reports, if applicable ~'~Yes . [.~ No.i~ .. ,Is all mon. itoring equ!pm.ent operatio.ba.l.per manufacturer"s specifications'? * In ~o,"'finn F bmr,.% ,.h~,~..,,.4~,~ 1-, ...... '~ '"'"-'q these deficiencies were or '~4il be corrected. E. Comments: /~v.~,'./'&c.~-0 ~,--f,~ .,~::~ Page 2 of 3 , 03/01 09/28/01 07:47 "~661~6. 0576 BFD HAZ 3iAT DI ~004 F. In-Tank Gauging / SIR Equipment: "";~Check this box if tank gauging is used only t'0r inventory control. ,~1 Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used .to perform leak detection monitoring. Cm 31ete the following checklis, t: ......... if c5; ....................................... s UJ '~'o* [ Has all input wiring been inspected for proper entry and ........ t~rmination, including testing for ground faults? II ~-.~es ~1 No* i Were all tank gauging probes visually inspected for damage and residue buildup? ~ Yes ~ No*[ Was accuracy or' system product level readings tested'? ~l'~,.~es 121 No* Was accuracy oi" system water level readings tested'? ... ,_,es 7_1 NO* Were all probes reinstalled properly? ~ Yes ~ No* Were all items on the equipment manufactureFs maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ~sf"CCheck this box it' LLDs are not installed. Corn :,lete the following checklist: ~ Yes El No* For equipment start-up or annual equipment certification, was a l~'ak simulated to v~rify LI'D performance? I;~'"N/A (Check all that appt,,) Simulated teak rate: 7'13g.p.h.; i~10.1g.p.h; Lq 0.2 g.p.h. rq Yes {2"No, '"Were all LLDs confirmed operational m~d accurate withi'n're~'~latory requirements? {ZI Yes ~ No* 'Was the testing apparatus properly calibrated? ~ Ye; lZI 'No* 13~>r 'mechanical LLDs, does the LLD restrici'p'r0duct flo~' if it detects a lea'l~'5 ~' Yes ~l No*" ~or electronic I..LDs, does the turbine automatically'~hut off if the LLD d~tects a ieak? ~/^ ~1 Yes ~ No* For electronic LLDs, does the t'u'rbine"automa~cally shut off if any porti'~n of the ~onitoring system'is disabled IS]~/A or disconnected'? ~ Yes ~,,.~N'o* For electronic I'.i:'.~, does the turbine automatically shut off if any pc~rtion of the monitoring system malfunctions ~ff' N/A or fails a test'? ~ Yes ~.~* For electronic LLDs, have all accessible wiring connections been visually inspected? T~ t;'~'s r-I No* Were all items on the equipment'manufacturer's maintenance checklist completed'? * In the Section H, below, describe how and when. these deticiencies were or will be corrected. H. Conmmnts: Page 3 of 3 03/0~ Monitoring System Certification UST Monitoring Site Plan SiteAd&ess: ~ 3~~ ~ / /--.~'d~/~ ~ ~ Date map was drawn: Instruetion~ If you already have a diagram that shows all required information, you may include it, raiher' than'this ~age, with your spaces, sumps, dispenser pans, spill containers,: or other secondarY containment areas:, mechanical or'electrOnic linc'leak detectors; and in-tank liquid level probes (if used for leak detection). In the space prOvided, note the date this Site Plan was prepared. ' ...... WORK 0 P43 ER DATE: c~__ ~ ~2-. LOCATION OF JOB NAME ~j~"-2r-zfi] ,~,. ~;_._~_ .... CONTACT PERSON C I T Y ,f-~c_f ~_fl'a~,,' DESCRIPTION OF WORK TO BE PERFORMED · ASSIGNED TO' DATE: WORK PERFORMED: MATERIALS USED: ?',.~/~.~:>&' (2fl, VENDOR: MATERIALS USED: VENDOR: MATERIALS USED: VENDOR: MATERIALS USED: VENDOR: 2002 August 07.max .'r 2:PLUS UNLEADED .................... SYSTEM SETUP PRODUCT CODE 2 , THERMAL COEFF .OOO?O0 T '1 :REG UNLE~DEr) aUG 7, 2002 8:03 aP1 TaNK DIAMETER 111.50 PRODUCT CODE 1 T~NK PROFILE 1 PT THERPI~L COEFF ,0007~0 FULL. VOL 12062 TANK DIAMETER 111 . 50 ~ANK PROFILE 1 PT ~Y~TEM UNITS FULL VOL 12062 U.S, FLOAT SIZE: 4.0 INCHES SYSTEM LANGUAGE E NGL I S H bJATER t.~ARNING : 2.0 FLOAT SIZE: 4.0 INCHES HIGH MATER LIPIIT: 3.0 FRSTRIP kIATER bIARNING : 2.0 805 THIRTY'FOURTH ST. MAX OR [,ABEL VOL 12062 HIGH t,~RTER LIPlIT: 3.0 ~ARERSFIELD,CA.93301 OVERFILL LIMIT 90~4 661-325-0110 10855 MAX OR LR~EL VOL 12062 HIGH PRODUCT 97~ OVERFILL LIPIIT 90~4 SHIFT TIME 1 DISABLED 11700 10855 SHIFT TIME 2 DISABLED DELIVERY LIMIT 1~ HIGH PRODUCT 97~ SHIFT TIME 3 DISABLED 120 11700 . SHIFT TIME 4 DISABLED DELIVERY LIMIT 1~4 LOki PRODUCT ; 1 120 PERIODIC TEST bJRRNINOS LEAK ALARM LIMIT: 50 DISABLED SUDDEN LOSS LIMIT: 99 LOkJ PRODUCT. : 1 ANNUAL TEST T~NK TILT : 0.00 LEAK AL~RM'LIMIT: 50 DISABLED SUDDEN LOSS LIMIT: 99 MaN I FOLDE[, TaNK~ TANK T I LT : 2.30 T~: NONE ' ~ PRINT TC VOLUMES PlaNI FOLDED TANKS ENABLED PERIODIC TEST TYPE T~: NONE ~U I C;K TEMP COPlPENERT I ON PERIODIC TEST TYPE VALUE (DEG F ): 60,0 PERIODIC TEST FaIL ~iUICK' RLaRN DISABLED PERIODIC TEST FAIL GROSS TEST FaIL ALARM DI S~BLED aLaRM DISABLED PER ' TEST aVE~aG I NG: OFF ALl, aPt D I SABLED TANK TEST NOTIFY: OFF PE~ TEST AVERAGING: OFF TNK TS'r SIPHON B~EAK:OFF TANK TEST NOTIFY: OFF ' DELIVERk DEkAY : 15 PIlN TNK TST SIPHON BREAK:OFF COPIP1UNICRTIONS SETUP DELIVERY' DELi~Y : 15 PIlN PORT SET'r I NOS: NONE FOUND RS-232 SECUR1T¥ CODE RS-232 END OF MESSAGE D I SABLED T 4 ;DIESEL ~ ' LIQUID SENSOR SETUP PFeODUCT CODE 4 T 3 :PREM I UM UNLEADED '. ................ THERMAL I]OEFF .000450 PRODUC. T CODE :3 ' TANk' DIAMETER 111.50 THERMAL COEFF .000700 L 1 :RES UI,ILEAOED SUMP TANK PROFILE 1 PT TANK DIAMETER 111 .50 T~I-.ST&TE (~INGLE FLO~T) FULL VOL 120~2 TAblE P~OFILE 1 PT CATEGORY : STP 8UI"~P FULL VOL 12062 FLOAT SIZE; 4.0 INCHES .L '2;REG UNLEADED AI'.INULAF2 FI_O&T SIZE: 4.0 INOHE8 TRI-BTATE (SINGL, E FLOAT) W~TE~ W~NINO : 2.0 CATEGORY ; A{NULAR GPACE HIGH W&TE~ LIMIT; 3.0 W~TER WARNING : 2.0 HIGH WATER LIMIT: J.O Plax OR L~EL VOL 12062 OVERFILL LINIT 90~ ["I~X OR L~EL VOL: L 3:PLUS UNLEADED SUMP 10855 OVERFILL LIMIT 90:~4 TRI-.ST~TE (~INGLE FL, O~T) HIGH PRODUCT 97~ 10855 - C~TEOORY :BTP SUMP 11700 HIGH PRODUCT DELIVERY LIMIT 1~ 11700 I, 4:PLUS UNLE~D ~NNUL~R 120 DELIVERY LIMIT I~ORM~LLY CLO~ED LO~ PRODUCT : 1 120 CATEGORY : ANNUL~ ~PAC;E LEAK ALARM LIMIT: 50 LOW PRODUCT : 1 SUDDEN LO$~ LIMIT: 99 LEAK &L~RM LIMIT: 50 T~NK TILT : 0.20 ~UDDEN LO~ L[MIT: 99 · TRNK TILT ; 1.40 L 5 :PREMI LJM UNLE&D SUMP M~N I FOLDED TRI-~T&TE (SINGLE F'LORT) T~: NONE M&NIFOLDED T~NK~ C;~TEGORY : ~TP ~UI"IP T~: NONE PERIODIC TE~T TYPE GU I OK PER I OD I C TE~T TYPE L 6:PREMIUN &NNUL&R (]UICK NORN&LLY CLO~ED PER I OD I C TEDT FR I L C&TEGORY : &NNULRR BP~CE &LRRM DI~&DLED PERI ODIO TE~T F&IL GROS~ TE~T F~IL &L&RM DID&BLED &L&RP1 DI S&BLED GRO~S TE~T F& I L L 7: D I E~EL ~UMP ~L~RM D I ~&BLED TR I -ST&T[ (~ INGLE FLOAT) PER TE~T &VERBS ING: OFF C&TEGORV : STP ~UMP PER TE~T ~VER~GI NG: OFF TaNK TEsT NOTIFY: OFF TANK TE~T NOTIFY: OFF L ~:DIE~EL &NNUL~R TN[ TDT SIPHON BRE&K:OFF NORMALLY CLOSED : TN[ T~T ~IPHON BRE~K:OFF CATEGORY : ANNULAR SPACE DELIVERY DELAY : 15 MIN DELIVERY DELAY : 15 MIN LEAK TEST METHOD 'rEST ON DATE : ALL TANK JAN 1, 2000 START TIME : 2:00 AM TEST RA'rE : 0.20 GAL/'HR DURATION : 2 HOURS SOFTWARE REVISION LEVEL oul~o~ r~mmn, ~/ERSION 8.02 'I N-TANK DIAGNOSTIC; SOFTWARE~ 349500-008-C ....... · ,OREATED - 95.04.06.09.34 PROBE D IAGNO~T ICS R 1: RE(] UNLEADED T J: PROBE TYPE MAG2 NO ~OFTWARE MODULE TYPE: SERIAL NUMBER 087642 SYSTEM FEATURES: STANDARD ID CHAN = OxCO01 PERIODIC IN-TANK TESTS NORMALLY CLOSED GRADIENT = 852,6600 ANNUAL IN-TANK TESTS NUM SAMPLES = 2~ LIOUID SENSOR IN-TANK DIAGNOSTIC L 1:FUEL ALARM f;O0 1872.0 GO1 14~82.3 ............... L 2:FUEL ALARM C02 14382.0 ~.0~ 14382 3 PROBE DIAG~IOSTICS L 1:SENSOR OUT ALARM C04 14382.0 005 14382.4 T 1: PROBE TYPE MA02 L 2:SENSOR OUT ALARM C06 14882.2 007 14882.2 SERIAL /~UNBER 087645 L 1 :SHORT ~LARM 008 14882.8 C09 14~82.6 ID CH~N = OxCO01 L 2:SHORT ~L~RM C10 14~82.1 Cll 44575.2 C;R~DIENT = 348.9100 C12 8716.6 013 8564.8 014 9186.1 015 1006:3.1 NUM SAMPLES = 20 016 11669.3 C17 13147.J 0]8 445~6.1 CO0 lJJ2.J (301 21894.7 R "2:PLUS UNLEADED C02 21894.4 C0:3 21894.6 TYPE: SAMPLES READ =202'212983 C04 21894.7 C05 21894,7 STANDARD SAMPLES USED =202209528 COt 21908.2 007 21907.9 NORMALLY CLOSED C08 21908.7 C09 21908.7 C]0 21909.0 Cll 42474.1 012 9579.8 CI~ 10673,3 LIQUID SENSOR ALMS C14 13213.3 C15 1421~,1 L ~:FUEL ALARM ~C16 14281.8 C17 14534.8 L 4:FUEL ALARM 018 42476.9 L ~:SENSOR OUT ALARM L 4:SE{,ISOR OUT ~L~RM S~MPLES RE~D =20719~55, L 3:SHORT ~L~RM S~MPLES USED =207188166 L 4:SHORT ~L~RM I N-TAN}( D I AGNOST I C T 4'. PROBE TYPE MAG2 ~ R 3:PREMIUM UNLEADED SERIAL NUMBER 08~644 TYPE: ID OHAN = OxCO01 - STANDARD GRADIENT = J48.9400 NORMALLY CLOSED NUM SAMPLES = 20 IN-TAN}( DIAGNC)STIO LIQUID SENSOR ALMS 000 1395.2 001 9978.7 .............. L 5:FUEL ALARM 002 99~8.9 003 9978.B PROBE DIAGNOSTICS L 6:FUEL ALARM 004 99~8.9 ,.US 99~9 0 T 2: PROBE TYPE MAG2 L 5:SENSOR OUT ALARM 0~6 9999.~ CO7 9979.0 SERIAL NUMBER 087647 L 6 SENSOR OUT ALARM 008 9999.0 C09 9999.0 ID CHAN = OxC001 L 5 SHORT ALARM 010 9978.3 Cll 44969.6 gRADIENT = J52.JT00 L 6 SHORT ALARM C12 9253.6 013 9093.0 C14 9J44,6 C15 9624.8 NUM SAMPLES = 016 10442.J Ol9 1244i.8 C18 449~1.3 COO 1372.0 001 16870.4 C02 16870.1 003 16870.0 R 4:DIESEL SAMPLES READ =19916343J 004 16870.1 C05 16870.1 TYPE: SAMPLES USED =199161513 006 16870,1 C07 16870.2 STANDARD C08 16870.0 C09 16870.'6 NORMALLY CLOSED C10 ~6fl70,~ Cll 44830.8 0]2 9074.8 ClJ 9571 .5 C14 10698.0 015 12269.2 LIOUID SENSOR ALMS ~=od.6 017 13725.2 L 7:FUEL ~LBRM C18 448~0,8 L 8:FUEL ALARM L 7:SENSOR OUT ALARM SAMPLES READ -'~ ~:~'~,,-,' L 8:SENSOR OUT ALARM ~AMPLES USED =205549175 L 7:SHORT ALARM L 8:SHORT ALARM RL~RM HI,STORY REPORT ALRRM H I ~R"/ REPORT ....... I N-T~NK ....... T 8;PREMIUM UNLEADED T I:REG UNLEADED OVERF ILL OCT 1, 2001 10:17 AM OVERFILL ALARM JAN 18, 2002 8:15 PM HIGH PRODUCT ALARM OC;T 22, 2001 . 6:47 AM OCT 1, 2ggl lg:18 AM OCT 1, 2gill 10:16 AM INVALID FUEL LEVEL HIGH PRODUOT ALARM SEP 24. 2000 8 41 AM dAN 18, 2002 8:15 PM APR 24, 1999 10 87 PM OCT 22. 2001 6:47 AM JUL 4, 1998 4 21 PM OCT 1, 2001 10:18 AI"I PROBE OUT INVALID FUEL LEVEL OCT 1, 2001 10:22 AM JAN 16, 2002 lg:go AM OCT 1~ 2001 10:09 AM JaR 5, 2002 8:JO PM AUG 5, 1995 12:42 PM JAN g, 2002 5:13 PM PROB~ OUT DELIVERV NEEDED OOT 1, 2001 lO: 19 AM JUL 27. 1995 10:45 ~1"1 OCT 1, 2001 10;07 ~M RI. RRM H I;~TOR¥' REPORT RL~RI"I H I ~TORY REPORT .... I N-T~N}( ALARM ........ - I N-T~N),( ~L~RM T 4:DIESEL T 2:PLUS UNLEADED OVERF ILL ALARM OVERFILL ALARN OOT 1, 2001 10:18 AM OCT 1, 2ggl lO:l? AM PROBE OUT HIGH PRODUCT ALARM OOT 1, 2001 10:23 AM OCT 1, 2001 10:18 AM OOT 1, 2001 lg:ll AM INVALID FUEL LEVEL OOT 1, 2001 10:21 gM DELIVERY NEEDED SEP 24, 2ggg 8:43 AM' JUL 27, 199~ 10:45 AM APR 26, 1998 9:54 AM PROBE OUT OCT 1, 2ggl lg:2g AM ALARM HI~TORY REPORT OOT 1, 2001 10:07 AN ......... SENSOR ALARM L I:REG UNLEADED SUMP DELIVERY NEEDED ~TP SUMP FUEL ALARM JUL 27. 1995 10:45 AM AUG 7.. 2002 7:06 AM FUEL ALARM OCT 1, 2001 9:49 AM FUEL ALARM MAY 26.. 2001 11:47 AN ALARM HISTO REPORT SE NSO tARM ...... L 2:REG UNLEADED ANNULAR ANNULAR SPACE FUEL ALARM ALARM HI'STORY REPORT AUG 7. 2002 7:19 AM ...... ~ENSOR ALARM ...... FUEL. ALARM L 6:PREMIUM ANNULAR OC:T 1, 2001 12:59 PM ANNULAR SPACE FUEL ALARM SENSOR OUT ALARM AUG 7, 2002 7:16 AM OOT 1.. 2001 9:53 AP'I FUEl. ALARM OCT 1, 2001 1:02 PM FUEL ALARM C)Cff 1, 2001 10;04 AM ALARM HISTORY REPORT ....... SENSOR ALARM ....... L 3:PLUS UNLEAr)ED SUMP STP SUMP FUEL ALARM ALARM HISTORY REPORT AUG 7. 2002 7:138 AM ....... SENSOR ALARM ..... FUEL ALARM L ?:DIESEL SUMP OCT 1, 2001 9:46 AM STP SUMP FUEL ALARM FUEL ALARM AUO 7, 2002 7:12 AM MAY 2~, 2001 I 1:47 AP1 FUEL ALARM OCT 1, 2001 9:48 AP1 RL~RM HI~TORY REPORT FUEL RL~RM ........ .~ENSOR RLRRM ...... MRY 26, 2001 11:47 ~M L 4:PLU~ UNLERD ~NNULRR ~NNULRR SPAOE FUEL RLRRM ALARM HI~TORY REPORT AUG 7, 2002 7:18 AM ...... ~EN~OR ALARM ...... FUEL ALARM L 8:DIESEL ANNULAR 'OCT .1, 2001 10:0~ AM ANNULAR SPACE FUEL ALARM FUEL ALARM ~UG 7, 2002 7:14 AM I~AY 26, 2001 11:50 AM FUEL ~L~RM OCT 1, 2001 10:05 ~M FUEL M&V 26, 2001 11:50 ~M ALARM. HISTORY REPORT ...... SENSOR ALARM ....... L 5:PREMIUM UNLEAD SUMP STP SUMP FUEL ALARM AUG 7, 2002 7:10 AM FUEL ALARM OCT 1, 2.001 9:47 AM FIJEL ALARM MAY 26, 2001 11:47 Al"1 3812 Panorama Drive Bakersfield, CA Phone: 661-322-0660 Fax: 661-871-1788 CA.. License # 589517 SeCondary Testing Certification Facility ...... l.t~eet_ Address ~c~% Operator,s Name Owners Name Secondary Test Passed I~ Failed Name of Tester Kk~ ~-.t~% Tester License # ~z_o~'~fiz'_4q c; Name of Contact Person ~o r'~eo,~<; Phone # of Contact Person ~6i -.. q '~ q ~ ~ Date & Time Test was Conducted Date: o~ ~ i ~; ~oz Time: ~ 2- :~-,~ ~ v.~ Signature of Tester 3812 Panorama Drive Bakersfield, CA 93306 Phene: 661-322-0660 Fax: 661-871-1788 SECONDARY SYSTEM CERTYFICATION FORM DATE ~- ~.c~;-. o ?_ FACILITY ID FACILITY NAME & ADDRESS TURBINE SUMPS SUMP-1 SUMP-2 SUMP-3 SUMP-4 Start Time .............................. i): I:~' .at~ II: 15 "°'~4 i I '. B~ o.t,-q i lj B~ 'q'~ Initial Height of Water ........... w .71q'2r~ ~ ~-z. ',:" o ~-- r-4 .W $ 5 ' 5. q39,4." Stop Time .................. 11; .~¢~ ,~,,,t il: 3c~ o.~.~ J l; 4~ ~"~ II; ~ ~ ~'~ Final Height of Water w. ~qt ~ -- 7. s Z8 /" q. ~l ~ ~" ~'. q~ '" Resets ..................~ ~ P~ P~ ~ P~,~ Ce~ification (Si~ature) ... ~~ ~~ ~ ~~ ~~ ,~ OVERFILL BUCKETS OVERFILI_r.1 OVERFILL-2 OVERFILL-3 OVERFILL-4 Start Time ............... Initial Height Stop Time ................... Final Height of Water Results .................. Ce~ification (Si~amre) UST ANNULAR SPACE ' Tank-1 Tank-I Tank-3 Tank-4 Start Time ........................... Initial Vacuum Pressure ....... /Z Stop Time ............................. Final Vacuum Pressure ........ Results ................................. pt~ ~*.~g ~'~ s L; b"~,~' ~c~ .~.~ Certification (Signature) .... .~=e,oV~, ~:,e'~ ~ -...~e~,~:3-~ ~:z:~.~--~ SECONDARY PINING "7 D~P<.to~tS.~--- lc'~.q St~ Time ................. Initial Height of Water Stop Time ................. Final Height of Water Results ................ Ce~ification (Si~at~e) --t~r.:, j. -.:,.,.: ±-c,b,.., .. LJ '~Cl _.Mi. ':.,4~, ~- :~ .*,--~ ,.-,r- 'r --~ r * :,F...c ~.:,r-~. :..,..,) u.R 805 34 5T 08/16,.'2F.'.102. 9:20 Rh'i ~":,d,, e..-....q-I ,:~B Ca !.-661-322-'0Lg60 93301 ::~;MP ''- "'' ..,r.~ ..... .~ ..... 7--,...., i ¢_~-. _ ._,:..Ar-, , ,:_o REPORT .... oo~.-..:,,',::-J.,ok gS..'iE,/20¢:'2 :;. I: 30 ~r", OFP., i 08,.':1 '.5.,'2082 i .i.: 4.9 .:,,_,: ~.-.c..? C. TARTED 9: ;:~4. RM - ~ .... ¢"' TEc''? ' ': .:~ AET. E,. 08/'16/200];: .,,..,~~...c.d- .... :,~ ~EPORT .:,UIh- i TE.qT ,-.'-r , r- gEGIN LilUEL 3.5569 Ii'.1 S{IMP 3 END .,--r .... M,:.'- 9~ 19 Af'l ..... 'STARTE[:, ~R,"16,"20F_';2 T! "' OATS ~38./.16/'2092 ..... . ~ ~.: 33 . ,.-~ ,.-. - - :.. ,1,: :r'-,~ ::TART:'O " ~i'"1 Ir:..:', .... I.:,o...~. ': .... , E .... STARTED .... z.~, EH,":,' LEUEL ..:,.5.,bi iN "r ':'-T .... ",,:.'.-'":~F'r" .... '~ 9'""" END .-r- F UEAK "rt..4RESHOLD 9.A92 IN S~ECCH !FUEL ~...~o.:, lhl ,,-.,- '", ::;..:r TEST RESULT PH.-,..:,E, END' T;i'~E i'" "'-' HH ........ -T.?..~D ~,~q-E 98/.16/'2992 END, !_SUEL 7.39:i. 5 l;-..i END LEt;El .... 4,9~.c,,.: ......... IN :.:.n,,. .... ~ ?'"k' -' - '0~" TEST RF. gLLT PASSED rIFR 2 L,:.h, r~E'.ESH..,..D 9,902 fN ..... ~g'" '""-'.~' Il '" PASSEr;' TEST STARTED '3:04 AM ,-~ xTKST ST~F;'.TED 98,"16/'2002. ..,J.~ 2 -" ' 4. 8854 .d~ .... ~'" !_EUL~- . .:,,.Jl P 4 BFO,I', 'TEST '-" ........ :i. 5 ,6?; FN,'-) ?'"~ 9:19 AM -,-¢-~" -o ..... -~. END f)PIT~ ~,q-/t~*"2002 T ,q'r '" - BEA.T.;4 .:.7?.40 1?ll,'C'L 4,8367 ]:N ~.o, .... -~' ,88/16/.2902 ........ ....... ? .... .:, ART~.u !'-_.'40 TiME I i: 30 RM i_E¢~K THRESHOLD 8.882 IN BEG:[Iq L. EUEL 5.9394 TN ~-r_,-,. -.T RES J! T F~ILED EF!D Ti,ME .1 .~. ..... ~o ~bl END D~TE 0',3/16/'2902 ENr:, LKUEL 7.528I , END 5ATE 08/16/2002 ',..-.'.iD ...E ]EL ": q"~q ~ ' ,-rEST .......................OFB ..'5'.', UEAK ':'J-I~Eo,UJO~-~--''' ~ r, B. 002. TEST ~'. ~".:.;1_ ....T P~SSE,) ? .... :trAp. TED q: 84 '"~'.q- ~%~RTED 08/16/'2002 = ..... ~ 'El 4~._,4 1t4 ,Eul ........... 4, ~'= END T~ME 9:19 END !.EUEL 4.425:; If.i LF~K T -4~=-F;HOI D 9.'9~.:."~ ~i".~ ,~] I--~ L%, "%'6'4 r-.. :,') r..~¢.i kD' r-.l L,], ~:S, C-4 t"} U'$ ,7"~ ,~ C4 ,'0 TERT P;ESJLT PASSED :.:] E~ ~, w "' c,~aa <' '~ ~ ':~ ' '~b ,,¢ "~o:,x ~'~.' ':'~ ,E;:-:~ o~ '~' I'.'~ C' ...J i ! - _J L~ .-u.::~ 4 !.,.! ,...'~ ,."4 0':, . j '"' " _J .:J ;.-~ G', ~.~'4 Ld -:~ L:J [,..I -.J 4-, AR ~ I-.~- .. cD b- I~~ Cr~ .:--* 6.4 :'z: TEAT e.'r --ct. '-]: 8& BM ,:.;, r.,";, t-':, i'l" c;. I-.- I-- u.' BEO?.~ ~ E lED :~. 9044 IN .~ , e4 , ~-. ~... _., ."::~4D ....... ..... 4':' 9; ]'~ RM C:l ......,,.~,.~:.0" L:~. ~.- ,. '", - .E.- · I"-." ~--: ~.::: I-..- P- t-. :"-': ::.,r: '~-:. :11.:,.!!.~ :.i~l!{_..: , , :.. .., ,. . z. ~"~ ~, I-' t-' t"'ldL; W...JI-' LEAK TP!~'£S-tOLD ¢ ........ ' '¢~'~ I-.-' ~, ~ ,:0 i'.'i, 03 ..J I Ld .,-.'~ C,4 .rr f"3 LL I~], ?'") i_-~l. IJ") L']~ Cf", ',-'~ ~"4 .~: e...g LJJ '.£~ ~ -:T-' ':~ I ("4 .... ! I'-" I--' ...! ?;E- I'" ---':-,' ZL: bJ O? ., % ~.0 CL 12:: F'-' ~'-'-': ..J .,-- CO 0'. [:..' bJ I.<J .~.E '.:'2 .~Z td Ld ~: August 30, 2002 : Fastrip 805 34th Street Bakersfield, CA 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 lIRE CHIEF REMINDER NOTICE RON FRAZE ADMINISTRATIVE SERVICES Dear Underground Storage Tank Owner: 2101 'H" Street Bakersfield, CA 93301 VOICE (661)326-3941 YOU will be receiving updates from this offices with regard to Senate FAX (661) 395-1349 Bill 989 which went into effect January 1, 2002. SUPPRESSION SERVICES 2101 "H" Street This bill requires dispenser pans under fuel pump dispensers. On Bakersfield, CA 93301 VOICE (661) 326-3941 December 31, 2003 which is the deadline for compliance, this office FAX (661) 395-1349 will be forced to revoke your Permit to Operate, for failure to comply PREVENTION SERVICES with the regulations. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 It is the hope of this office that we do not have to pursue such action, FAX (661) 326-0576 which is why this office plans to update you. I urge you to start ENVIRONMENTAL SERVICES planning to retro-fit your facilities. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 If your facility has been upgraded already, please disregard this notice. FAX (661) 326-0576 Should you have any questions, please feel free to contact me at 661- TRAINING DIVISION 326-3190. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 Sincerely/~_ FAX (661) 399-5763 St Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr 07./31/'02 05:50 ~661 326 0576 BFD HAZ 5iAT DIV [~001 CITY OF BJd{ERSFIE, LD OFFICE OF ENViRO~NTA 1, SERVICES 1715 Chester Ave., Bake~field, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING FACII, .l~rY. Fastrip #346 ADDRF_-$$, 805 347H S.tr~et PERM1T TO opERATE # 6 19 OPERATORS NA~IE Jaco 0il Com~an~ OWNERS NPdViE Jaco-Hill N~ER OF TANKS TO BE TESTEJ) 4 IS P~ING GO~qG TO 'BE TESTED. yE_S' TANK # VOLUME CONTENTS [ [2000 MVF 2 [2000 MVF 3 [2000 MVF 4 [2000 MVF TANK TESTING COMPANY. SUNSET MECHANICAL M~21~NGADDRESS 3812 Panorama Driv~ 93306 N~ & PHO~ ~~. OF CO~A~ P~SON Mark Blackburn 322- 0660 ~T~OD Hydro-static ~ VacUum N~ OF~~ OR ~PEC~L~SPE~OR Ken Brus / Ron Rogers DA~&~~T~TOBECO~U~ Fri 08/16/~ 8:00~/5:00PM ~PRO~ BY DA~ SIONA~ OF ~P~C~ July 31, 2002 Fastrip 805 34th Street Bakersfield CA 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 '.-s,,e., REMINDER NOTICE Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 "H · Street Bakersfield, CA 93301 VOICE (661) 326-3941 You will bc receiving updates from this office with regard to Senate FAX (661) 395-1349 Bill 989 which went into effect January l, 2002. PREVENTION SERVICES FIRE SAFETY SERVICES o ENVIRONM~I~*TAL SERVICES 1715 ChestorAvo. This bill requires dispenser pans under fuel pump dispensers. On Bakersfield, CA 93301 December 31, 2003, which is the deadline for compliance, this office VOICE (661) 326-3979 FAX (661) 326-0576 will be forced to revoke your Permit to Operate, for failure to comply with the regulations. PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 It is thc hope of this office that we do not have to purse such action, VOICE (661) 320-3696 FAX (661)326-0576 which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, C^ 93301 If your facility has been upgraded already, please disregard this notice. VOICE (661) 320-3951 FAX (661)326-0576 Should you have any questions, please feel free to'contact mc at 661- 3 26-319O. TRAINING DIVISION 5642 Vlctor Ave. Bakersfield, CA 93308 Sin~ ~ VOICE (661) 399-4697 :' FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc S:~--.OR~NDENCE~2002-07~ DLINE,/J~R DISPF, I~J~ PAN LK:l~att,,d~ ss CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACILrTY Fastrip #346 (Site ID #619) ADDRESS 805 347H Street OPERATORS NAME jaco 0il Company oWNERs NAME jaco-Hill NAME OF MONITOR MANUFACT~R Ve eder- R o o t DOES FACILITY HAVE DISPENSER PANS? YES~ NO X TANK # VOLUME CONTENTS 12000 MVF 2 12000 ~MVF 3 12000 MVF 4 12000 MVF NAME OF TESTING COMPANY SUNSET MECHANICAL CONTRACTORS LICENSE # CA589517 NAME & PHONE NUMBER OF CONTACT PERSON Mark Blackburn 322-0660 DATE & T~dE TEST IS TO BE CONDUCTED 08 / 0 ? / 02 7: 30 AM- 9: 00 AM APPROVED BY DATE SIGNATURE OF APPLICANT L D July 31, 2002 David Palmer Jaco Oil Co. FIRE CHIEF P.O. Box 1807 CERTIFIED MAIL RON FRAZE Bakersfield, CA 93380 ADMINISTRATIVE SERVICES RE: Annual Maintenance on Leak Monitoring Systems 2101 "H' Street Bakersfield, CA 93301 vo,cE (661)32 941 R E M I N D E R FAX (66 )395-1949 SUPPRESSION SERVICES Dear Mr, Palmer: 2101 "H' Street Bakersfield. CA 93301 This letter is to advise you that the following Jaco Oil sites are coming due for annual VOICE (661) 326-3941 FAX (661) 395-1349 maintenance on their leak monitoring systems. They are as follows: PREVENTION SERVICES Howards Mini Man 3300 Planz Road Due 08-17-02 s~r~nc~s.~n,~ncE. Mt. Vernon Fastrip 3501 Mt. Vernon Due 09-04-02 1715 Chester Ave. Bakersfield, CA 93301 Fastrip #622 4013 S. 'H" St Due 09-06-02 vOICE (661) 326-3979 Fa.strip #641 1200 Coffee Rd Duc 09-07-02 FAX (c~) a2s-o576 Chris' Liquors 2732 Brundage Ln Due 09-07-02 Fastrip #6 1640 S. Chester Due 09-07-02 PUBUC EDUCATION Ming & Real Fastrip 3701 Ming Ave Due 09-07-02 1715 Chester AVe. Bakersfield, CA 93301 Fastrip #19 4901 S. Union Due -0-07-02 vOICE (661) 326-3696 Fastrip #640 8001 White Lane Duc 09-19-02 FAX (c~) 32~4)576 Wholesale Fuels 2200 E. Brundage Duc 09-27-02 FIRE INVESTIGATION Fastrip #621 805 34a Street Duc 10-01-02 17~5 chester,aVe. Fastrip g26 2698 Oswcll Duc 10.01-02 Bakersfield, CA 63301 Harris Market 1701 Union Ave Due 10-01-02 VOICE (661) 326-395~ Howards #6 4201 Belle Terrace Duc 10-15-02 FAX (661) 326.0576 Farrclis Fastrip 6401 White Ln #112 Duc 10-15-02 Howard's g4 3200 Panama Ln Due I0-15-02 TRAINING DIVISION 5642 VIctorAVe. Fastrip #633 6401 S. H Street Duc 11-01-02 Bakersfield, CA 93..'.'.'.'.'.'.'.'~8 VOICE (661) 399-4697 FAX (661) 399-5763 AS a courtesy, this reminder has been sent to you. No further reminders will be sent, and formal "Notices of Violation" will be sent 10 days after the due date, unless documentation of testing has been received. Should you have any questions, please feel free to call me at 661-326-3190. Since~/y, Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SB UIdc L D July 30, 2002 Fastrip 805 34th Street Bakersfield CA 93301 REMINDER NOTICE F~RE CHIEF RE: Necessary Secondary Containment Testing Requirements by December RON FRAZE 3 I, 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 components for your underground storage tank (si. VOICE (661) 326-3941 FAX (661) 395-1349 Senate Bill 989 became effective January l, 2002, section 25284.1 (California PREVENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary FiRE SAFET~ SERVICES. ENV~ONMENT/II. SERVICES 1715 ChesterAve. containment components upon installation and periodically thereafter, to insure Bakersfield, CA 93301 that the systems are capable of containing releases from the primary VOICE (661) 326-3979 FAX (661) 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 the last four months, this office has continued to send you monthly 1716 ChesterAve. reminders of this necessary testing. This is a very specialized test and very few Bakersfield, CA 93301 VOICE (SS1) 326-3961 contractors are licensed to perform this test. Contractors conducting this test FAX (661) 326-0576 are scheduling approximately 6'7 weeks out. TRAINING5642 Victor DIVISION Ave. The purpose of this letter is to advise you that under code, failure to perform Bakersfield, CA 93308 this test, by the necessary deadline, December 31, 2002, will result in the VOICE (661) 399-4697 revocation of your permit to operate. FAX (661) 399-5763 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. Steve Underwood Fire Inspector Environmental Code Enforcement Officer CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 . FACILITY NAME I"'rLq{'tt~ INSPECTION DATE '7 ADDRESS ~O..~"' -.'¥-~..6'-/- PHONENO. ,~r~C"' FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES ./ -/._...~ Section 1: Business Plan and Inventory Program ~ Routine ~ Combined [~1 Joint Agency [~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS APpropriate permit on hand Business plan contact information accurate L, J , Visible address ..~ Correct occupancy .,, Verification of inventory materials Verification of quantities Verification of location I Proper segregation of material :! Verification of MSDS availability 'i ~ Verification of Haz Mat training i Verification of abatement supplies and procedures Emergency procedures adequate --- I Containers properly labeled C., Housekeeping '1 Fire Protection Site Diagram Adequate & On Hand Qtlestion$C=C°mpliance V=Vi°lati°n ' this ~0 ~ :~ ~~~~~ Any hazardous waste on site?: [~] Yes Explain: regarding inspection? Please call us at (661) 326-3979 ~ ~ )c"gusiness ~;itezResi~on.~ible Party``/ White - EnD. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3va Floor, Bakersfield, CA 93301 FACILITY NAME It?'L4p · _ _ ap INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine [~ Combined [] Joint Agency ~1[ Multi-Agency . [] Complaint [] Re-inspection Type ofTank ./q'_l)?¢_~ Number of Tanks y Type of Monitoring ~Z. fi4 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=Complian7%~ V=Violation' ~/~~~ Y=Yes N=NO ~x. k~~_~_ ~ _~.~~ ~,~, ~.~/l~ z Inspector: _Jo~_~.t . Office of Environmental Services (805) 326-3979 ~v Business Sitg Resp~sibl~-Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES. 1715 Chester Ave., Bakersfield, CA (661) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION.. (CHECK) [ ]NEW FACILITY 'Il l~N OF FACILITY [ INEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE ~-- I'- (E~ PROPOSED COMPLETION DATE ~:~ - FF .............. '~'~'g:,ea~---WL~, Q EXISTIN .G--EACILITY PERMIT NO. TYPE OF BUSI E~L~.~ ~_o,..%...% ~---~l-~t-~,O ~ APN # TANK OWNER ,-~--~o E29 ,~. tL~o. PHONE NO. ADDRESS ,~10/ ~-~t'q['~ /~0. CITY ~'-~. ZIPCODE CONTRACTOR ~ ~,.~Y~... ~ 1/~4 t~aT~6kt~o~Ant~ CA LICENSE NO. ,~"~. ~"'/"7 ADDRESS ~'i~ -kq.'~o~O CITY ~,~, ZI?CODE PHONE NO. -- ~;:~c-~ -("3~ ~ O BAKERSFIELD CITY BUSINESS LICENSE NO. t'nSe,,l. ~:::~%-".~ WORKMAN COMP-flO. -~o~q -- O) ~ INSURER ~:3X'~,,',-X--C, ~--,o~,--..~. BRIEFLY DESCRmE T~E WORK TO BE DONE 'q',~F-~'~(t~ Fgk/tErg ,a~,~- Z~-_,C/t ?"r WATER TO FACILITY PROVIDED BY (a~//4/~ ~! DEPTH TO GROUND WATER /~4'-~ ~,9~2 -- '. SOIL TYPE EXPECTED AT SITE ~ NO. OF TANKS TO BE INSTALLED a,t'/~- ARE THEY VOR MOTOR FUEL ,~' YES. NO SPILL PREVENTION CONTROL AND COtONTER MEASURES PLAN ON FILE k~ YES NO SECTION FOR MOTOR FUEL TANK NO. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION SECTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED (NO BRAND NAME) (IF KNOWN) ~.~ FOR OFFICIAL USE ONLY IAPPLICATION DATE FAC1LITY NO. NO. OF TANKS FEES $ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULAT IONS. THIS FOR~ HAS BEEN COMP LETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF~M,Y~OWLEDGE, 1S · TRUE A~,I~ CORR~T.~ THIS APPLICATION BECOMES A PERMIT W~N APPROVE June 30, 2002 Fastrip 805 34th Street Bakersfield, CA 93301 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 805 34th Street. 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 VOICE (661) 326-3941 FAX (661) 395-1349 California Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California VOICE (661) 326-3941 FAX (661)395-1349 Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure PREVENTION1715 ChesterSERVlCESAve. that the systems are capable of containing releases from the primary Bakersfield, CA 93301 containment until they are detected and removed. VOICE (661) 326-3951 FAX (661) 326-0576 Secondary containment systems installed on or after January 1, 2001 will be tested ENVIRONMENTAL1715 ChesIorAve.SERVICES upon installation, six months after installation, and every 36 months thereafter. Bakersfield, CA 93301 Secondary containment systems installed prior to January 1, 2001 will be tested by VOICE (661) 326-3979 FAX (661) 326-0576 January 1, 2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank system must be tested. TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office and VOICE (661) 399-4697 FAX (661) 399-5763 shall be performed by either a licensed tank tester or licensed tank installer. 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~ . .. Fire Inspector/Environmental Code Enforcement Officer Environmental Services SU/kr D July I, 2002 Fastrip 805 34th Street Bakersfield, CA, 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 805 34th Street, Bakersfield. FIRE CHIEF RoN REMINDER NOTICE ADMINISTRATIVE SERVICES 2101 "H' Street Dear Underground Storage Tank Owner, Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 This bill requires dispenser pans under fuel pump dispensers. On December VOICE (661) 326-3941 FAX (661)395-1349 31, 2003, which is the deadline for compliance, this office will be forced to PREVENTION SERVICES revoke your Permit to Operate, for failure to comply with the regulations. 1715 Chester Ave. Bakersfield, CA 93301 It is the hope of this office, that we do not have to pursue such action, which VOICE (661)326-3951 FAX (661) 326-0576 is why this office plans to update you. I urge you to start planning to retro-fit your facilities. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 If your facility has been upgraded already, please disregard this notice. VOICE (661) 326-3979 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at (661)326- 3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sincerel~ VOICE (661) 399-4697 .. //] ~ FAX (661) 399-5763 - -- --~/.'~' Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services May 30, 2002 Fastrip 805 34th Street Bakersfield, CA 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 on Underground Storage Tank(s) located at 805 34th Street, Bakersfield. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES Dear Underground Storage Tank Owner: 2101 "H' Street Bakersfield, CA 93301 VOICE (661)326-3941 FAX (661) 395-1349 You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 This bill requires dispenser pans under fuel pump dispensers. On December VOICE (661)326-0941 FAX (661)395-1349 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 It is the hope of this office, that we do not have to pursue such action, which VOICE (661)326-3951 FAX (661) 326-0576 is why this office plans to update you. I urge you to start planning to retro-fit your facilities. ENVIRONMENTAL SERVICES 1715 Chester Ave. I,' Bakersfield, CA 93301 If your facility has been upgraded already, please disregard this notice. VOICE (661) 326-3979 FAX (661)326-0576 Should you have any questions, please feel free to contact me at (661)326- 3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sincerer., FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr D FII E T April 17, 2002 Fastrip 805 34th St FIRE CHIEF Bakersfield CA 93301 RON FRAZ. E ADMINISTRATIVE SERVICES RE: Necessary Secondary Containment Testing Required by December 31, 2002 2101 "H" Street Bakersfield, CA 93301 VOICE (661)326-3941 FAX (661) 395-1349 REMINDER NOTICE SUPPRESSION SERVICES Dear Tank Owner/Operator: 2101 "H' Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in California law VOICE (661) 326-3941 FAX (661) 395-1349 requiring periodic testing of the secondary containment of underground storage tank systems. PREVENTION SERVICES 1715 Chester Ave. 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) 326-0576 containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. TRAINING DIVISION 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 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. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures D April 12, 2002 FASTRIP 805 34TH STREET BAKERSFIELD, CA 93301 Re: Enhanced Leak Detection Requirements REMINDER NOTICE FIRE CHIEF RON FRAZE Dear Owner/Operator, ADMINISTRATIVE SERVICES 2101 'H" Street The purpose of this letter is to remind you about the new provision in California Bakersfield. CA 93301 law requiring periodic testing of the secondary containment of underground VOICE (661) 326-3941 FAX (661) 395-1349 storage tanks. SUPPRESSION SERVICES 2101 'W Street Your facility has been identified as not having secondary containment on at least Bakersfield, CA 93301 one of your underground storage tank components and as such falls under section VOICE (661) 326-3041 FAX (661) 395-1 349 2637.(1 ) of the California Code of Regulations, Title 23, Division 3, Chapter 16; PREVENTION SERVICES As an alternative, the owner or operator may submit a proposal and 1715 Chester Ave. Bakersfield, CA93301 workplan for enhanced leak detection to the local agency, by July 1, 2002; VOICE (601) 326-3951 FAX (661) 326-0576 complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be ENVIRONMENTAL SERVICES tested in accordance with this section by July 1, 2005. The local agency 1715 Chester Ave. Bakersfield, CA 93301 shall review the proposed program of enhanced leak detection within 45 VOICE (661) 326-3979 FAX (661)326-0576 days of submittal or re-submittal." TRAINING DIVISION 5642 Victor Ave. Please be advised that there are only a few qualified testers available to perform Bakersfield, CA 93308 "Enhanced Leak Testing". All testing must be under-permit through this office. VOICE (601)399-4697 ~ FAX(661)399-5763 For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU/kr Enclosures B D -Fll ff February 11, 2002 John Kerley JACO Oil FIRE CHIEF RON FRAZE ..... P O Box 1807 "Bakersfield CA- 933(J~ ADMINISTRATIVE SERVICES 2101 'H" Street RE: Deadline for Dispenser Pan Requirement December 31, 2003 Bakersfield, CA 93301 VOICE (661) 326-3941 for the Following Locations: Chris' Liquor, 2732 Brundage Lane, FAX (661) 395-1349 Fastrip, 8001 White Lane, Fastrip 1200 Coffee, Fastrip, 4901 S. Union SUPPRESSION SERVICES Ave., Fastrip, 805 34th St., Fastrip, 4013 S. "H" St., Wholesale Fuels, 2101 'H" Street 2200 E Brundage Ln., Howard's Mini Mkt., 3200 Panama Ln., Howard's Bakersfield, CA 93301 VOICE (661)326-3941 Mini Mkt., 4201 Belle Terrace, Howard's Mini Mkt., 3300 Planz Rd., FAX (661) 395-1349 Ming & Real Fastrip, 3701 Ming Ave., Mt. Vernon Fastrip, 3501 Mt. Vernon Ave., Harris Mkt., 1701 Union Ave. PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 R E M I N D E R N O T I C E VOICE (661) 326-3951 FAX (661) 326-0576 Dear Underground Storage Tank Owner: ENVIRONMENTAL SERVICES. 1715 Chester Ave. You will be receiving updates from this Office with regard to Senate Bili 98b Bakersfield, CA 93301 VOICE (661) 326-3979 which went into effect January 1 2000. FAX (661) 326-0576 ' TRAINING DIVISION This bill requires dispenser pans under fuel pump dispensers. On December 31, 5642 VictorAve. 2003, which is the deadline for compliance, this office will be forced to revoke Bakersfield, CA 93308 VOICE (661) 399-4697 your Permit to Operate, for failure to comply with the regulations FAX (661) 399-5763 ' - ' It is the hope of this office, that we do not have to pursue such action, which is why this office plans to UPdate you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661 ~326-3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officel~ Office of Environmental Services SBU/dm 1~-29-2001 2:ZLTPM FROM IACO_OIL_COMPANY E;$13938738 P. 2 MONITORING SYSTEM CERTIFICATION ' ~?t~' ~ For Use By Afl Julfsdic~on$ Within the Stets of California Authority Cited: Chapter6,?, Health end Sa~ Code; Chapter ~6, Di~on 3 Title 23, Caflfomia Code of Regule~on5 ~ ~ ~st ~ u~ lo ~ocu~m teeing and ~t~ng of monhofing equipment. If rn~fe than one monko~ng sy~em contel panel Js in,ailed ~ the facil~y, a ~nif~ or m~ mu~ ~ pre~ for each monito~n~ s~em control panel by the t~hnician ~o ~dorms Ihs ~. A ~py of this fo~ must ~ pfovid~ to the lank S~I~ o~e~ratot, ~e o~er/~mt~ must s~bm~ a ~py of t~Ps ~ the I~[ agen~ regulating UST s~lems ~hin ~ de~ of test date. A. General Info~on Facili~ Name: FASTRIP Ci~: BAKERSFIELD CA Zip: S~e Addm~: 8~ 34TH STREET Conta~ Phone No:3~_0~I0 Facili~ Con~t Person: MANAGER Date of Testing/~e~ice: 10/0112~1 Make/Model of Mon~orlng Sy~m: GILBARCO EMC Work Order Numar: 3118~3 B. Inventory of Equipment TestedlCeAified Check the appropriate ~xes to indicate specific equipment ins~cted/~i~d ~nk 1, Tank ID: 2 ID:  In. Tank ~uging Pro~.' ...... M~ei: MAG-1 ~ In-Tank Gauging Pro~. M~el: MAG-1  A~nular Spn=e or Veu~ Sen~r. M~cl: 4~ ~ Annular Specc of Vau~ $en~r. Model: RENAN ~ piping Sum~rench Sen~s). Modeh 2~ ~ Piping Sum~mnch $enso~s). Model: 208  Fill Sump ~e,sor(~). M~el: ~ Fil/SumpSen~s), ~ Me~al Li~ Lea~ ~t~r. Model: ~ Mechan~al Line Leak Dmeclor. M~eI:  EleMmnic Line Leak ~eclot, Model; ~ EJe~mnic Li~ ~ak ~ector. M~eh Tank Ove~l~igh-L~el Sen~r, M~el: MAG-1 ~ Tan~ O~l~igh-Level Sen~r. M~el: MAG-1 ~ ~her (s~i~ ~uipment ty~ and model in S~[~n E on page 2). ~ ~her (s~;fy ~uip~ ~ and ~el in Se~n E o, page lanK I0; ~ ' lank IU: 4 ~ In-Tank Gauging Pmk. M~el: MAG-1 ~ In-Tank Gauging Probe, Model: MAG-1  Annu~rSpa~eorVauE~en~r. M~el: HONAN ~ Annu~rSpaceorVau~Sen~r. M~et; RENAN Piping Sum~mnch Sen~s), Model: 2~ ~ P;pln9 Sum~mnch Sen~). M~eh 208 Fill Sump Se~o~s). Model: ~ Fill Sump Sen~s). M~el: Me~en~l Line L~k D~or. M~et: ~ Mother,el Line ~ak DMec~r. ~ E~mnic L~ne Leak D~ector. M~el: ~ E~ctmni= Line Leak ~or. M~el: ~ Tank~e~l~igh~evelSen~r. M~el: MAG-I ~~ Tank~orfilEHigh-LeveJ~en~r. M~el: MAG-1 ~ mher (s~ ~uip~ ~pe and ~del in S~tbn Een ~ge 2), ~ ~h~r (~ify ~ulpment ty~ and ~e~ in Se~bn E on page ~. ~ D~e~r~m~ Sensor(S) ~et: NO SENSORS ~ ~s~nserContain~m Sen~s) M~el: NO SENSORS ~ D~s~nser Con~in~nt R~t(s) and Chain(s), ~ Dis~n~r Conlain~m FIo~(s) a,d Chain(s). ~ Di~nset Conlain~nt $en~s) M~el: NO SENSORS ~ Oi~nser Continent Senses). Model'. NO SENSORS $ Di~en~r Contain~ Float(s) and Chain(s), ~er ID: " . ~Dispen~r Ols~n~r Contain~ Float (s) and Chain(s).lD: J~ D~nser Conain~nt Scn=~a) M~el: ~0 SENSORS ~ Dis~n~r Conlaln~ Sen~s). M~el: Ser vabe(s),  ~n~rC~taJnmenl Float(s) and Chain(s), ~ ShearVabe(s). ~ O~spenser ~mainment R~t(s) and Chain(s). * If the facili~ ~ntains mom tanks or d]s~n~rs, ~py this fo~, In~lude in~rmation for eve~ tank and dispen~r at the ~cility. C. Ce~i~cation I ce~i~ that the equipment identified in this docume~ was inspectedlse~ed in accordance with the manufa~urem' guidelines. A~ached to this ~i~cation is information (e.g manu~ctumm' checklists) nece~ to veri~ that this in~rmation is ~rrect. and a Bite Plan showing the layout of monitoring equipment, For any equipment capable of generating such re~s, I have ai~ a~ached a copy of the (Check all that apply): System ~t-up mpo~; ~' Alarm histo~ repo~ PRINTED NAME:RICHMOND PHILLIPS SIGNATURE: ~x .....-'" - ~<.:. ,:' COMPANY; Tank~logy PHONE NO: (8~) 8~ page I of 3 Based on CA fo~ dated 03/01 8-29-2801 2: 4..SPM FROM I ACO_O I L_COMPANY 6;6;13938738 P. 3 ~ Monitoring System Certification Site Address: 805 34TH STREET Date of Testing/Service: 10/01/2001 D. Results of Testing/Servicing Software Version Installed: Complete the following checklist: [] Ye'~ [] No* Isthe audible alarm operational? ....... ' ' [] Y~-~: [] No * Is the visual alarm operational? [] Yes [] No * Were alt sensors visually inspected, functionall'y 't~sted, and confirmed operational? ..... Were ail sensorS i:,$;,a~]ed at lowest point 'c~f ~econdary containment and Posttione~ so that o{her equipment will not [] Yes [] No * Interfere with their proper ol:eration? [] Yes [] No" ~ N/A If alarms are re'iayed to a remote monitoring station, is all communications equipmeni'[e.g, modem) operational? [] Yes [] No [] N/A For pres~;urJzed piping systems, does the turbine automatically shut down if the piping secondary containment · monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-<town? (check all that apply) [] Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut.down due to leaks an...~d sensor failure/disconnection? [] Yes [] No [] Yes [] No" [] NrA For tank systems that utilize the monitoring system as the primary tank overfill warning'd~vi~e (i.e.: no mechanical ovedill prevention vane is installed), is (he oved~ll warning alarm ViSible and audible at the tank fill Points(s) and operating properly? If so. at what Pement of tank capacity does [he alarm trigger'7 90 [] Yes" [] No Was any monitoring equipment replaced? If Yes, identify specific sensors, pr°'~s, or ot~er equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes* [] No Was liquid found inside any secondary ¢otqtatnmer~t systems de~,ign~J is ~lry systems? (check all that apply) [] Product; I~ Water. If yes, de~ril:e causes in Section E, below. [] Yea [] No* Was monitoring system set-up re~iev~'ed' i0 ensure proper settings? Attach set-up repoil~, if applicable. [] Yes [] No" Is all monitoring equipment operational per manufacturers' specifications? "-- · In Section E below, describe how and when these deficients were or will be corrected. E. Comments: page 2 of 3 10-29-2001 2:4.9PM FROM IACO_OIL_COMPANY 6613938738 P- ~. Monitoring System Certification Site Address: 805 34TH STREET Date of Terming/Service: 10/01/2001 F. In-Tank Gauging I SIR Equipment [] Check this box if tank gauging is used only for inventcr~ control, [] Check this box if no tank gauging or SIR equipment is installed, This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: [] Yes [] No ' Has all inpt~t wiring been inspected for proper entry and termination, inciudlng testing for ground faults? [] Yes E]No* Wet'e all tank gauging prot~e~ visually inspected for damage at~d residue b~il~up? ' ' E~Yes r~No, Was accuracy of system p~duct level readings tested? " E~ Y~ [~J(] No * Was accuracy of system water level readings tested? [] Yes E]No. Were all probes reinstalled pmperly?'" [] Yes [] No" Were all items on the equipment manufacturem' maintenanc..e checklist completed? ' in ......... H, bel~, de~;ribe how and when these d&f~ienc4es were or w'iil be corrected. G. Line Leak Detectors {LLD) · [] Check this box if LLDs are not installed, Complete the following checklist: For equtpment"~ta'rt-~lp or annual equipment certification, was a leak Simulated to verify LLD performance? [] Yes [] No' ~]N/, (CheCk all that apply) $imutated leak ~ate: [] 3 g.p.h [] 0.1 g,p.h r---~o.2 g.p.h [] Yes ;[~ No* Were all LLDs confirmed operational and accurate within regulatory requiremen[s? [] Yes: [] No'" Wa; ihe testing apparatus properly calibrated? [] yes [] No * [] N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leal(? [] Yes E]No* [] N/A For electronic LLDs, does the turbine ~utomatically shut off if the LLD detects a leak? [] Yes []No* !r'-] N/A For electronic LLDs, does the i~r'~ine automatically shut off if any I~rtion of the mon'itoring system is disabled or disconnected? [] Yes , [~--]No"[] NIA For elect'r'onic"LLDs, does the turbine automatically shut off if any po~ti"'on of the monitoring system malfunctions or fails a test? [] Yes []No* '[] N/A F0;'"electronic LLDs, have all accessible wiring connections b;en visually inspecte.? E] Yes E]No · Were all items on the equipment manufacturers' maintenance checklist completed? H. Comments: no mechanical or lids on this site. page 3 of 3 '- Postage $ ; 34 m- 2.10 r~- Certified Fee Postmark '_-I' ,, Return Receipt Fee I · 50 Here ?'1 (Endorsement Required) ~ r-1 Restr cted Delivery Fee I--I (Endorsement Required) i--i Total Postage & Fees $ 3 · 9 4, ~! ~l~lFSentT° Kerle ' = .............. ................................................................. .............................. · C~ ~Jet~ ite~ns 1, 2, and 3. Also complete iteTr¢'4 if'Restricted Delivery is d~sired. · 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. Addressee 1. Article Addressed to: Yes ~, , address below: [] No John KerSey Jaco Oil' P 0 Box 82515 Bakersfield CA 93380 3. Service Type ~ Certified Mail [] Express Mail RE: Fas trip #621 [] Registered [] Return Receipt for Merchandise 805 34th Street [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes I' 7001.~ 0360 0000 4741 7929 , PS ~ 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 D September 27, 2001 John Kerley Jaco Oil P O Box 82515 Certified Mail Bakersfield Ca 93380 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 Fastrip #621,805 34th Street, Bakersfield Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Mr. Kerlcy 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 20, 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 vO;CE (661) 326-395~ "Equipment and devices used to monitor underground storage tanks shall bc 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 running 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 TRAINING5642 Victor DIVISION 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 661-326-3190. 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 D September 10, 200 l John Kerley Jaco Oil Company CERTIFIED MAIL P.O. Box 1807 Bakersfield, Ca 93380 Fi"E C.,EF NOTICE OF EXPIRATION RON m~ZE ON MONITORING CERTIFICATION ADMINISTRATIVE SERVICES 2101 "H" Street Dear Mr. Kerley: Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 The following Jaco sites are currently due/past due on annual monitoring certification. These sites are as follows: SUPPRESSION SERVICES 2101 "H" Street Site Address Due Date Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 1. Farrells Fastrip, 6401 White Lane 9-04-01 2. Chris Liquors, 2732 Bmndage Lane 9-05-01 PREVENTION SERVICES 3. Fastrip #640, 8001 White Lane 9-05-01 1715 Chester Ave. Bakersfield, CA 93301 4. Wholesale Fuels, 2200, Bmndage 9-12-0] VOICE (661) 326-3951 5. Fastrip #19, 4901 S. Union 9-12-01 FAX (66t) 326-0576 6. Fastrip #621,805 34th 9-20-01 7. Fastrip #6, 1640 S. Chester 9-22-01 ENVIRONMENTAL SERVICES 1715 Chester Ave. 8; Fastrip, #26, 2698 Oswell Street 9-22-01 ~akersfie~d, CA 933O1 9. Howards #4, 3200 Panama Lane 9-23-01 VOICE (661) 326-3979 10. Fastrip #622, 4013 "H" Street 9-27-01 FAX (66t) 326-0576 11. Ming & Real Fastrip, 3701 Ming Ave 9-27-01 TRAININa reVISION 12. Fastrip #641, 1200 Coffee Road 9-28-01 5642 VictorAve. · 13. Howard's #6, 4201 Belle Terrace 9-28-01 Bakersfield, CA 93308 : VOICE (661) 399-4697 14. Howard's, 3300 Planz Road 9-28-01 FAX (661) 399-6763 15. Harris Market, 1701 Union Ave 9-30-01 "16. Mt. Vernon Fastrip, 3501 Mt. Vernon 10-2-01 Failure to perform or submit monitoring certification within 30 days of due date will result in revocation of your Permit to Operate. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Office Office of Environmental Services SBU/dm D August 3, 2001 Fastrip me c.~EF 805 34th Street RoN ~R~ZE Bakersfield, Ca 93301 ADMINISTRATIVE SERVICES 2101 'H' Street RE: Deadline for Dispenser Pan Requirement December 31, 2003 Bakersfield, CA 93301 FAX (661)305-,349 R E M I N D E R N O T I C E SUPPRESSION SERVICES 2101 "H" Street Dear 'Tank Owner: Bakersfield, CA 93301 u nucrF:~Jtou.nu ,.,Lora~e vOiCE (661) 326-3941 VAX (661) 395-1349 YOU will be receiving updates from this office with regard to Senate Bill PREVENTION SERVICES 989 which went into effect January 1, 2000. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3961 This bill requires dispenser pans under fuel pump dispensers. On FAX (661)326-0576 December 31, 2003, which is the deadline for compliance, this office will ENVIRONMENTAL SERVICES be forced to revoke your Permit to Operate, for failure to comply with the 1715 Chester Ave. Bakersfield, CA 93301 regmauons. VOICE (661) 320-3979 FAX (661) 326-0576 It is the hope of this office, that we do not have to pursue such action, XalInINa DiViSION which is why this office plans to update you. I urge you to start planning 5642 Victor Ave. ~akers,e~d, CA 93,306 to retro-fit your facilities. VOICE (661) 399-4697 FAX (661) 399-5763 If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. c Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME F0.~'h? :~ (~_! INSPECTION DATE ~d. / Section 2: Underground Storage Tanks Program [] Routine ~ Combined [] Joint Agency [] Multi-Agency . [] Complaint [] Re-inspection Type of Tank ./~F('_& Number of Tanks ~ Type of Monitoring d/..tta. Type of Piping I)ult~ 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 C/ 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 Environmenta"5 ~'~rvices (805) 326-3979 F"'"'~)~j.~e~ Site Responsible Party White - F. nv. Svcs. Pink - Business FASTR ! P 8115 THIRTYF,:}URTH ST. BAKERSF I [:_'LD · CA, 93301 AUG 7. 2001 9:40 AM SYSTEM STATUS REPORT ALL FIJNCTIONS NORF"I~L I I',IVEiqTOR"Z REPORT T 1 :REC; IJlq[.EADE[i VOLUME ?552 e"" ULLAGE = 4510 911% ULLAGE= 3303 GALS TC 'v'{>LIJME = 7419 HEIGHT = 66.87 INCHES WATER ',,/,3, L = 0 GALS WATER = O, 08 INCHES TEPlP = 85.2 DEG F ~, [ LIJ,_ UNLERE)ED VOLUP1E = 4170 GaLS ULLAGE = 7892 GALS 90% LiLLAGE= 6685 GALS TC WOLUPIE = 40S8 GALS HEIGHT = 42.18 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 87.6 DEC; F T 3 :[:'REPII UM UNLEADED VOLUME = 3402 C2'"" r ULLAGE = '8660 90¢~ ULLAGE= ?453 TC VOLUME = 33:33 HEIGHT = :36.26 INCHES I,JRTER VOL = 0 GALS WATER = 0,08 INCHES TEMP = 89.1 DEG F , T 4 :DIESEL 'v":}L LIME = :3305 (gALS ULLAGE = S757 GALS 90~:'~ ULLgGE= 7550 GALS TC VOL UM E '- '~ - o = ,J~6~ GALS HE I G HT '- ~ - = J .... 50 INCHES WATER VOL = 0 (gALS WATER = 8.00 INCHES TEMP = 88.4 DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Ft~C~J~ INSPECTION DATE 9/'7/Ot/ ADDRESS ~0~'- ,~jr././-~ 6[", PHONE NO. 2~.C* O il'O FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES ~ Section 1: Business Plan and Inventory Program I~l Routine ~ Combined 1~ Joint Agency [~ Multi-Agency ~1 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 {..,/.- I 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 u s Site espons' le Party w~,t~- ~:.,,. s~. v~llo,~ - statio. Co~,~, vial,- a.si.~s co~,v Inspector: ~~ /~e~ / Construction (661) 871-1 788 & MECHANICAL Continuous Monitori,n l Device Certification TEST DATE ~ %.~)_._C)- ~ FACILITY NUMBER CITY L~&t,K¢¢'~¢/J C~ ZIP CODE q530 MAKE AND MODEL OF MONITORING SYSTEM TANK I TANK 2 TANK 3 TANK 4 ;,.,Capacity of Tank /~ COO ~ j · Type of Product Line (Gravity, Suction, Pressure) .NDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR NO IN THE APPLICABLE BOX: Annular Space Sensor Sump Sensor Dispenser Containment Sensor Electronic Overfill/Level ~//',.~'~ Electronic In-Line Leak Detector /~/'(~ "~-----'-- ' Mechanical Line Leak Detector ~------"- In-Tank Gauging Device '~/~,.~' INDICATE THE FOLLOWING BY PLACING A YES OR No IN APPLICABLE BOX: Does the Monitoring System have audible and visual alarms? Does the turbine automatically shut down if the system detects ~/~. ~ (. a leak, fails to operate or is electronically disconnected? installed to prevent unauthorized tampering? Is the monitoring system Is the monitoring system operable as per the manufacturer's specifications? Which continuous monitoring devices Initiate positive shut down of the turbine? PRINTED NAME OF CERTIFIED TECHNICIAN ,j~* O~J-- TESTING COMPANY NAME ~ TELEPHONE CERTIFICATION DATA F~,STR I P 805 TH1RT',,,'F,:;,LIRTI.4 ST. BAI~:ERSF l ELD. ,:]:~. 93:]i01 661 -:325-0110 RUe; !?. 2000 9:03 Af.l S':¢'STEhl '.-::_;T,~TUS P.'.Ei::",::;,RT t4LL FUN,.'2T[ONS I N',..,' E N"f',L':,R ":," T 1: I;tE(;; UI'. LERDEf 'v":-':,L Ul't E = 551_-IL-I IJLL~GE = 6,~F,'--' G'" -' 91.-_1:;',, LII L~C;E= ~'-";:.R TE' ",.,"'::~1.. U["I E 53E, 8 tie [,;.-;tiT = 51 . 8'3 I I.,,~ATER ",,"OL = Lq (,J~4TER = ~'. 0el I I",IE;HES T 2: PLLI',:_; '~.",:_3 L UPIE = I 332 ULLAGE = 10?;3Ef HE I L';HT = I ~.I./:,'-~ . ._.,.,.~,,~ I,,,JRTER ',./C,L = El ~:].;~LS i,,.I,,4TER = I3. 013 INCHES TE¢'.'II:' = 92.3 £:,EG F T :2,: PF,'EI"II Ui'.'I LINLERDED 'v',:_':,L LIH E = 2L.'32E. I_IL L.R,:_';F_. = ,- .-, ,--, -- 90:i:;~ UI.I..C, GE= 8E29 GALS TC' VC'LUI"IE = 2761 HEIGHT = :31 .71 INCHES [.,', R"I'ER VE:,L = L-I I/.RTEF: = O. f]E~ INCHES TEhlI:::' = '_q.'2.7 DEG F T 4. :DI '...,'O L. ["iE = 138',9 IJI_I.¢r~L = l 06,?4 G~4I.S 91;1'~,, JI_I.,~-~]]E= 946? GALS TC ',..,',:]:,LI. II'.tE = 1;36,8 GALS HE1GHT = 19.'2'2 If?'- 'ES IdATER ",.,",:]:,L = 0 TEI'.IP = 91.0 [)EG F C ~(~RRECTION NOTRE BAKERSFIELD FIRE DEPARTMENT Location Sub Div. ~O~ .~q-fk ~ . S~k. ~ot You are hereby required to make the following corrections at the above l~ation: Cot. No Completion Date for Correctiolz~_~_ ~ ]~(~ ~ Inspector ~~~ 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME F'&4k{m ~ INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ./~ ~C-..~ Number of Tanks Type of Monitoring 6'L. ti, X 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 Inspector: ~ '~1 ~-'~~--D qT~oo.~.,~~ Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy ,, 06,'OT.'00 0T:49 t~6 ~26 05T6 BFD HAZ ~{AT DI{ [~002 -~O CITY OF BA~FIELD , OFFICE OF ENVIRONS~NTAL SERVICES 1715 Chester Ave., Bakers~ld, CA 93301 (661) 326-3979 UNDERGROUND STOOGE T~KS - UST FACILI~ UPCF (7/99) S;~U PAFORJ;4~.wI:d ,, 06,'0T.'O0 0T:50 '"~'661 0.576 BF'D EAZ ~.T D[V J~]003 (_~ CITY OF BAKERSFIELD OFFICE OF ENS,'IROLN~IENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 · ~-'~' "-~ UNDERGROUND STORAGE TANKS- TANK PAGE 1 , 06.'07.'00 07:$0 '~'66e8 0576 BFD H.~Z ~T D ~]004 · CITY OF B~),KERSFIELD OFFICE OF ENV~iONMENTAL SF-J:~flCES 171~ Cheater Ave., Bakerafierd. CA 93,301 (~1) 32ti-3979 ~ · ~NK ~ZAGE 2 TEST(0.1 C_~N) ~ ~. TiRZ~NN~I. rN'T~GR3T~ IC',r ~.1 ~ OF O~P~TOR (~ 471 T~ OF O~~R 41~ UPCF ( 7/~91 $.~CU PAFORMS~SWRCS. B.WI= D 06'07'00 07 51 ~651 0576 BF'D B..~.Z .~T DIV ~005 CITY OF BAKERSFIELD  OFFICE OF ENVIRONMENTAL SERVICES ~ 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND Sl'OfJAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank I, FACILITY IDENTIFICATION II. INSTALLATION " The installer haS been ce~tifled by the tank and piping manufacturers. The insbaliafion has been inspec~ and certified by a registered professional engineer. The installation has been ins~ and approved by t~e City of Bake~'sfield Office of Environmental Services. All work rmted o~ the manufacturer's installation checldlst has been complet~l. The installatio~ contractor has been certified or licensed by the Contractors S~a~e License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Id~enlffv method; IlL TANK OWNEPJAGENT SIGNATURE s~ ~ f,~"~~-' ~ ............. _ ...L,,-P 06'07 O0 07:$0 '~'661~ 0576 Br'-'D IEAZ ~;T D[V ~003 O CITY OF BAKERSFIELD ~ OFFICE OF EN%'IRON~I~ENTAL SERVICES 1715 Chester Ave., Bakersfiel~ CA 93301 (661) 326-3979 ' UNDERGROUND STOOGE TANKS - T~K PAGE 1 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 Ua0F-RGaOUNO s'roR*G; T^aXS- CERTIFICATE OF COMPLIANCE One form per tank ............. P~' __ I. FACILITY IDENTIFICATION ~ (Same ,,- F,~C~t ,TI' ~ ~x DeR - Oof~ ~ ~) ................................. ~'°'li I :'t I i I t.. _ f''~'~,~ ~,o~,~ 0~_~=~o ................. II. INST~ON ~e i~r h~ ~n ~ by ~ ~nk a~ pi~ manu~. The i~l~on ~s been ins~ and ~fi~ by a ~te~ p~f~ional engineer. ~e i~lla~n has ~en ~s~ a~ appmv~ by ~e Ci~ of Bak~field ~ of Environmen~l Se~s. ~ ~ rm~ ~ ~ man~s insertion ~t has ~n ~mp~. ~e ins~lla~ ~n~r ~s ~n ~ or li~n~ by ~e ~om S~te Li~m Baa~. ~o~er ~ ~s us~ as al~ by ~e Ci~ of Bakemfield ~ of En~nmen~l Se~ces. IlL TANK OWNER/AGENT SIGNATURE 06 O? O0 0:-:$0 '.5 03;6 BF-D EAZ ~i.~.T DJ;' ~003  CITY OF BAKERSFIELD ~ OFFICE OF EN'VIRON,'%[ENTAL SERV]CES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS- TANK PAGE 1 C~ OF ~KERSFIE~ O~E OF ~N~ONMENT~L !7~ C~(er Ave., ~ak~r~d. CA 9~01 "" "" '~:( "~ O~ ~ ;' ~' ' UPCF (7,~9) S~CU PA FO RM'S~SWRCE~' 8'W~P D CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STCH~,~GE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE , One fo~ ~r ~nk i I. FAClL~ IDEN~F1CA~ON 9~1~ ~ (~ ~ F~ ~ - ~ ~ ~) .............................. · ' ; , , I" II. INSTALLATION ~ The installer has been ~ed by ~ tank and piplncj manufacturers. [] The installation has been inspec'~ and ce~fied by a registered professional engineer. 1[3'" The insballaUon has been [nspec:ed and approved by the Cibf of Bakersfield Office of Environmenlml Services. Au work on manufactures installa§on checldist has been completed. [~3x'x The installation contractor has be~n certffied or licensed by b~e Contractom State License Beard. 0 Another method was used as all~ed by the City of Bakersfield Office of Environmental Services. Identify meth _ed; 06'07 00 07:.50 "J~$i 2~ 0578 Br'-D EAZ ~T DJ',' t~003 O CITY OF BAKERSFIELD ~ OFFICE OF EN'VIROtN~IENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 · UNDERGROUNO STORAGE TANKS- TANK PAGE I ......... '~ 0576 ~r'""D ~kZ MAT D ~ [~005 CITY OF BAKERSFIELD  OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND SKOR.AGE TANKS-INSTALL,e, TION CERTIFICATE OF COMPLIANCE One form per tank I, FACILITY IDI=NTIFlCATION il. INSTALLATION -' ~1, The installer has been ~ed by ~ tank and pipir~j manufacturem. The installation has been inspec'~d and certified by a registered professional engineer. The installation has been [nspec:ed and approved by the Ci~ of Bakersfield Office of Environmental Services. AU work rmted on the manufacturers installation checklist has been completed. The installatk~ contractor has been certffied or licensed by the Contractors Sta~e License Board. Another method was used as all~,ved by the City of Bakersfield Office of Environmental Services. Identify_ method; IlL TANK OWNER/AGENT SIGNATURE ' April 4, 2000 Jaco Oil FIRE CHIEF Mr. John Ro~ ~AZ~ ~eney P O Box 1807 ADmnm'mA'r~ SF.~nc~ Bakersfield CA 93303 1807 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 Dear Mr. Kerley: SUPPRESSION SERVlCE~ 21Ol 'H' S~et You have been identified as thc compliance coordinator for the Bake~,ld. CA 9~01 facility/facilities referenced in the attachment. VOICE (805) 326-3941 FAX (805) 395-1349 The permits to operate this facility/facilities will exph'e on June 30, 2000. PREVENTION SERVICE8 171s C~to, Ave. However, in order for this office to renew your permit, updated forms A, Bakemfmld, CA 93301 · VOICE (805) 326-3951 B, & C must be filled out and rcttLrned prior to the issuance of a new FAX (805) 32~.0570 permit. ENVIRONMENTAL SEFMCF~ 1715 c~t., Ave. Please make sure that you are sending the updated forms which are Bakemfleld. CA 93301 VOICE (805) 326-3979 indicated by the date 7/99 in the lower leR hand comer. Please complete FAX (805) 326-0576 and return to this office by May 15, 2000. Failure to comply, will result in TRAINING DMSlON a delay of isSuance of your new permit to operate. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4897 Should you have any questions, please feel free to call me at FAX (805) 399-5763 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facili~ Address Farrells Fastrip 6401 White Lane~ Bakersfield, Ca 93309 Fastrip 8001 White Lane, Bakersfield, Ca 93309 Fastrip 1200 Coffee Road, Bakersfield, Ca 93308 Fastrip 4901 S. Union Ave., Bakersfield, Ca 93307 Fastrip 2698 Oswell Street, Bakersfield, Ca 93306 Fastrip 1640 S. Chester Ave., Bakersfield, Ca 93304 Fastrip 1fi~'~3'.4' '~Bakersfield, Ca 93301 Fastrip 12851 Rosedale Hwy, Bakersfield, Ca 93312 Fastrip 4013 S. "FI" Street, Bakersfield, Ca 93304 Fastrip 6401 $. "II" Street, Bakersfield, Ca 93304 Wholesale Fuels 2200 E. Brundage Ln., Bakersfield, Ca 93307 Chris Liquors 2732 Brundage Ln., Bakersfield, Ca 93304 Howards 3200 Panama Lane, Bakersfield, Ca 93312 Howards 4201 Belle Terrace, Bakersfield, Ca 93309 Howards 3300 Planz Rd., Bakersfield, Ca 93309 SUNSET MECHANICAL 3812 PANORAMA DR. BAKERSFIELD CA. la:~-] 322.0ee0 , ! Continuous Monitoring Devic6 Certification .... ..--.~.~-~.~. [ .... ~ ~ . ~~~. MAKE AND MODEL OF MONITORING ~YSTEM~ ........ lANK1 lANKY Contenls of Tank Capacl~ of Tank .,, , ...... T~ o~ ~mduot t~ne: {Gra~i~. Suction, ~m~ur~). Anpular space Sensor Sump Sensor ........... .... ,,, Mechanical . Line, Leak Detector In Tank Gauging Device , INDICATE THE FOLLOWING BY P~CING A YES OR NO iN APPLICABLE BOX: poes the monltorlng sy~[em have audible and visual el,rms? Does the turbine automatically shut-down if the system detects a leak, fails [o operate or i~ elec~ronlcally dis~nn~ted? _ I's ~e monitoring .s?tem Installed to preve? unauthorized lampering? Is the monitoring system operable as per the manufacturers specifications? ~ich continuous monitoring devlces lnitiats positive shut-down of the tu[blne? ~/'~i0 ~ 81G~TURE OF CERTIFIED TECHNIC$~ ~ ~ .... . D February 9, 1999 FIRE CHIEF Fastrip Food Store #621 RON FRAZE 805 34th Street ADMINISTRATIVE SERVICES Bakersfield, CA 93301 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 RE: Compliance Inspection SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 "H' Street Bakersfield. CA 93301 VOICE (805) 3263941 FAX (805) 395-1~9 The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, PREVEhqlO, SERVICES underground storage tanks and monitoring systems, and hazardous 1715 Chester Ave. materials Bakersfield. CA 93301 Inspection. VOICE (805) 326-3951 FAX (805) 326-0576 To assist you in preparing for this inspection, this office is ENVIRONMENTAl. SERVICES enclosing a checklist for your convenience. Please take time to read this 1715 Chester Ave. Bakersfield, CA 93301 list, and verify that your facility has met all the necessary requirements to VOICE (805) 326-3979 be in FAX (805) 326-0576 coml. mance. TRAINING DMSlO. Should you have any questions, please feel free to contact me at 5642 Victor Ave. Bakersfield. CA 93308 805-326-3979. VOICE (805) 399-4697 FAX (805) 399-5763 Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure C~RRECTION N OTJj~ E BAKERSFIELD FIRE DEPARTMENT N-° 6 4 3 Locatior~ Sub Div. You are hereby required to make the following cor~ctions at the above l~ation: d~dc Completion Date for Correot'~// Date · - ~ Inspector 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CH ECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~C~.~.~ 'T~'~2( INSPECTION DATE ADDRESS P,e,~- .qq ~t~ 3,~: PHONENO..~..q-Oll(~ FACILITY CONTACT BUSINESS ID NO.. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES I Section l.: Business Plan and Inventory Program [~Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION CI V COMMENTS Appropriate permit on hand Business plan contact intbrmation accurate Visible address Correct occupancy Verification of inventory materials V~ Verification of quantities Verification of location Proper segregation of material fit' Verification of MSDS availability Verification of Haz Mat training Vt' Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping .fir Fire Protection ~ hCtOttl t-4r~e/ Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: I~[ Yes [21 No Explain: ~ Questions regarding this inspection? Please call us at (805) 326-3979 : ' ~ Site/~. espons..~_ Party White - Env. Svcs, Yellow - Station Copy Pink - Business Copy Inspector: _k'Z~i CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME {"a~',,9 '~'~'0~ INSPECTION DATE Section 2: Underground Storage Tanks Program [2~/Routine I~] Combined [~l Joint Agency [21 Multi-Agency [21 Complaint [~ Re-inspection Type of Tank t0t0t~ Number of Tanks Type of Monitoring ~.~tt6 Type of Piping Dfltt OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility It~ 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: .dj f.~~r'~ ~_~_ ~.~~. Office of Environmental Services (805) 326-3979 'Business Site Ifes~"on~"~arty White - Env. Svcs. Pink - Business Copy Jaco Oil Company -]akrOn,trio,'~ ~' ,.,~,,t,~..W:~3"'~ .... :,.,~)6' FJC $1rY'.ile .:~'05~ 393~873~ B~kers~,t;~ld, Calltcr~Ja 93303-i807 ........... " ' ................... i? I S. L. .... it"':' ......... :,c,} ........AS -:OWE. ~ --: e, .... , :!', ".AR~TJri:,O REP : .......-,::,.-~ EVAC~IATION PROCF. DURE FOR A POWER FAILURE .,-g, ~ if ri,-:,-.~ea. They are kept: , t ,.t,'~ ,~ 1~ ..... :~ ~..: . .~,,m , -. ,.~ ~ hOCk 3t ~ FU<;Fi~ ' "''"" Sr .2 '"'" -. a~,,, .-, ot'~~ pcsition, '" 'i'ut'~ ofr u~~ breakers except ~ ~ _ ( O~e row o f lights on sales f.loor~ BFeaker box ~s '~ocated: Call st. pc t'v iso ~-. Hake sure ,:ii doors are c].osed to anyEh[nn that i5 t.o be kept cold or [ro~en such as w~!k in doors, ice merchandise, i. ce cz'ea:T~ cases, ..tc Do not open any of these doors electt:{c, it,, has been ~ .... ster,e until :supervisor arrives. ~E, z.', RFSI'OF 'r~:'n breakers back on k!~_~7.~ slowly one at a t:in-c.. ~ ~ 0~t~ ~.,;1 -,~-t. ; );'O~t d,3o ........ " " .o.~bie dow~ ar, d let toggle go. It should now Ctneck to be su~:e 'fha~ a'~ equJpaent is - , ..... 1.~ prop,zrly. l~".~ [- ,- -,. ~ I }t~.,. ,,~,..,,:uia.:.., walk-in box and ice cream cabinets. POOR OI IGINAk mz~m..~ EVACUATION PROCEDURE FOR A FIRE ~.~:~'n,~.~, off gasoline' ~ by using eme'rgency switch located: Secure nunev b' ~' ..... ~o,~F:'~g ~.'eglstet-.~; ('~ ..... ~' tinie Dial {~Ii for' Fi~'e D,?pa~ d,~(-,,~ ('i'hl~ can be done from pay phone outside i ~ ,~ .... ~--"~:f ....... ~ n...~.~=.,ha. ) Be s,a~'e to give Address for your' st .... ~ ls Have all vehicles removed Item parking lot. a ff r i v e. s'Lo~.-e personnel a..e sa~e, and that the ~ire Department , c.~F other en~er.gc:~c}, &:e.['so~nel are on the way. Ot~, "-P PANIC POOR omGmA . }:'MERGENCY EVACUATION PROCEDURE FOR AN EARTHQUAKE bi:.ur_ off Gasoline by using emergency switch located: [.~....,, F:h]., ~n~ . } : ....... aY ~:,~.~y from g~ass ,L.,O..~ or w.~.r;dcws. ~,r,,:r~ eatthq'..t~ke :sc:ns .... ~.--¢. c,~-','. .... ~,,r' any j.~'~,~red,., r--', ...... re- trst Che..~k [~r s.~fc, ty - .~.~ch a:~: Hav~, I i~es to any equipment been d:i~.:~jed? J'L so tul'~ off all b~-edkers, Breaker box i.~: locat, ed: .... .r~ .......... I; so shut off main gas valve, ft: ~s ]oca tc'd: :)c, not.._~se any ! ~.j?,.t ~z' any ,~'~.~t'~ flam~¢- .,p..n c.a~, ..... uo, c.t.c. very Ca'd~.[.CUSlz'. ..... :~'~ ,~.' f wON S~,~;~cct' a gas ,..,..,,.'1 1[or :~!~%.' erw ~':j~.Irt%' }.~-E,-;onn.~ f~...Ld,_~, ~ ...... ~ · i oak do hoL dse ~ ...... ~, ..::,ne aL store A t~ r~y spark cod d cause . ,~,., ..;~,.:,. pL-e. ciut~ ".,~m .. ~',i1 J <" ['>~'2V ~".~I ~'4 L. t_: .qt_ ay uf~t ~ I heLD. ,,. '~'''[~.','~s,,. . ~_.c:~ve bt.c. rc only Lf ~ece,~;sa.~;'y. ano it ,w-:'~nc:}. ,:,Fe ~-' be t. akef: ::are cf f; DON'!' PANIC BAKERSFIELD FIRE DEPARTMENT February 13, 1998 fiRE CHIEF MICHAEL R. KEU.Y Fastrip Food Store #621 805 34th Street AO~UNmU, nW~ Bakersfield, CA 93301 2101 'H' Street BakerieS, CA 93301 (805) 326-3941 FAX (805) 395-1349 ~m~n ~ac~ RE: "Hold Open Devices" on Fuel Dispensers 2101 'H" Street Bakersfield, CA 93,~1 (80~) 326-3941 Dear Underground Storage Tank Owner: FAX (805) 395-1349 I~VENllON SEI~VICES The Bakersfield City Fire Department will commence with our annual 171,5 Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks. Bake~ld, CA 93,301 (805) 326-3951 lAX (805)326-0576 The Bakersfield City Fire Department recently changed its City Ordinance ENVlI~ONMENI'AL SBmCES concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire 1715 Chesfer Ave. Department now requires that "hold open devices" be installed On all fuel Bakersfield, CA 93301 (805) 326-3979 dispensers. The new ordinance conforms to the State of California guidelines. FAX (805) 326-0576 The Bakersfield Fire Department apologies for any inconvenience this TRAINING DIVISION ~ Victor Street may cause you. Bakersfield, CA 93308 (805) 399-4697 FAX CS05) 399-5763 Should you have any questions, please feel free to contact me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey HAZARDOUS MATERIALS INSPE~ON ~ ~)akersfield Y~'e Dept. OFFI'~E OF ENVIRONMENTAL SERVICES 1715 Chester Ave. B~crsfield, CA 93301 Date Completed Business Name~ ~ Loca~on: ~ 3q~ 6V Business Identification No. 215-000 ~ {? ~op of Business Plan) Station No. Shiff~ Inspector Arrival Time: V',5-o ~ Depaflure Time: ~'. ~5~ Adel~ate Inadequate Adel~e Inadequate Address Visable [] Emergency Procedures Posted [] Correct Occupancy 133/ [] Containers Propedy Labled ~ [] Verification of Inventory Materials ~ [] Comments: Verification of Quantities [] Verification of Location ~ [] Verification of Facility Diagram ~ [] Proper Segregation of Material ~ [] Housekeeping [] Fire Protection ~ [] Comments: Electrical [] Comments: Verification of MSDS Availablity~/' [] Number of Employees: i [ UST Monitoring Program ~ [] Comments: Verification of Haz Mat Training I~ [] Permits ~ I-I Comments: Spill Control I~ [] Hold Open Device [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures ~ [] Proper Waste Disposal ~' [] Comments: Secondary Containment [] Security ~ r-I Special Hazards Associated with this Facility: Violations: Business Owner/Manager PRINT N~ME / [SIGNATURE -[" All Items O.K Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy UNDERGROUND STORAGE TAN I_NSPECTION Bakersfield Fire Dept. Bakersfield, CA 93301 FACILITY NAME ~C)~',~ BUSINESS I.D. No. 215-000 ~/? FACILITY ADDRESS ._~O,~ 3~/'~ ,.~T, CI~ ~ ~.~. ZIP CODE FACILI~ PHONE No. .~- ~/10 ~' INSPECTION DATE ~q~Y. , ~ Pr~ TIME IN TIME OUT ~ d~- ~lo~ Ina ~te Ina INSPECTION ~PE: /' y~ /~ ROUTINE ~ FOLLOW-UP ~e REQUIREMENTS ~ ~ ~a ~y~ no ~a lb. F~ C Su~ ~ 10. O~infl F~ Pa~ 1 ~ ld. S~te Sum~rge Paid ~ ~ lf. W~en Contm~ E~sts ~n ~er & O~ to O~e USTI/ ~ 2b. Approv~ W~en R~ine Monitoring Pr~ure ~ ~ 2c. Una~ho~ Relea~ R~n~ Plan ~ ~. Tank Int~ T~t in Last 12 Months ~ ~ 3b. Pre~ur~ Piping Int~ri~ Test in Last 12 M~ths ~ ~ ~. Suction Piping ~ghtn~s Test in Last 3 Years ~ V ~. Gmv~ F~ Piping T~htn~ T~ in Last 2 Yearn ~ ~. T~ R~uEs Subm~ Within ~ Da~ ~ 3f. Dal~ ~sual MonRoHng of Su~i~ Pr~ Piping ~ ~. Manual Invent~ R~ncil~ti~ Each ~th ~/ ~. Annual Invento~ R~ciliati~ Statement Su~ , ~ ~. Metem Calibmt~ Annually V/ 5. W~kly Manual Tank Gauging R~ds f~ Small Tanks V 6. Month~ Statisti~l Invento~ R~nciliation R~uRs ~ , V 7. Month~ A~atic Tank Gauging R~u~s ~/ 8. Grou~ Water M~ing ~ 9. ~ Uon~oring ~ 10. Continuous IntemtRial Mon~oflng f~ Doubl~Wall~ Tan~ ~/ 11. M~hani~l Line Leak Det~tom ~ 12. El~tronic Li~ Leak Det~tom ~/' ~ , 13. Continuous Piping Mon~oHng in Sum~ V/ 14. A~omatic Pump Shrift Ca~bil~ ~ 15. Annual Maintenan~Calibmtion of Leak Det~t~ Equi~ 1~ 16. Leak Det~tion Equipment a~ T~t Meth~s Llst~ in L~113 S~ ~ 18. Re~ Changes in U~g~C~d~ions to O~mtin~~ / Pr~ures of UST S~tem W~hin ~ Da~ t~ 19. Re~ Una~ho~ Relea~ W~hin 24 H~m ~ ~. Approv~ UST S~tem Re~im a~ U~md~ ~ 21. R~rds Sh~ng Cath~ Prot~ Ins~ ~ ~. S~ur~ MonRoHng Wells ~ ~. Dr~ T~ ~ a~.~=~T~n~ DA~_.~ ~/~ RECEIVED BY: ~' ~'' ~ ~'' KERSFIELD FIRE DEPARTMENT l/~1/83 BUREAU OF FIRE PREVENTION X-128 Date APPLICATION . Application No. In conformity with provisions of Pertinent ordinances, codes and/or regulations, application is made by: ' .Taco Oi! Co.~ P.O. Box 1807. iBnkersfle!d. CA 93303 Name of Company Address to display, store, install, use, operate, sell or handle materials or processes involving'or, creating con- ditions deemed hazardous to life or propertv as follows: (4) 12,0,00 ~_dml t~nderground sto~a~e tanks Co be locat:ed at FasCrip Food Store, 805 3/,th St., Bakersfield, CA Date ~ Fire Marshal FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA * 93301 R.E. HUEY November 14, 1 995 R.B. TOBIAS, HAZ-MAT COORDINATOR ':~ FIRE MARSHAL (805) 326-3979 (805) 326-3951 r John Kerley JACO Oil Company P.O. Box 1807 I ' . Bakersfield, Ca 93303-1807 RE: Fastrip Store #21 at ~~.'~-'.t~ in Bakersfield, Ca. Dear Mr. Kerley: This is to inform you that this department has reviewed the result of the Tank Removal Report dated October 9, 1995 associated with the tank replacement. Based upon the information provided, this department has determined that appropriate response actions have been completed, that acceptable remediation practices were implemented, and that, at this time, no further investigation, remedial or removal action or monitoring is required at the above stated address. Nothing in this determination shall constitute or be construed as a satisfaction or release from liability for any conditions or claims arising as a result of past, current, or future operations at this location. Nothing in this determination is intended or shall be construed to limit the rights of any parties with respect to claims arising out of or relating to deposit or disposal at any other location of substances removed from the site. Nothing in this determination is intended or shall be construed to limit or preclude the Regional Water Quality Control Board or any other agency from taking any further enforcement actions. .:.. This letter does not relieve the tank owner of any responsibilities mandated under the California Health and Safety Code and California Water Code if existing, additional, or previously unidentified contamination at the site causes or threatens to cause pollution or nuisance or is found to pose a threat to public health or water quality. Changes in land use may require further assessment and mitigation. If you have any questions regarding this matter, please contact me at (805) 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician HHW/dlm cc: R. Huey J. Castillo, RWQCB ..... SENSOR ALARM ..... L 5:PREMIUM UNLEAO SUMP STP SUMP ..... SENSOR ALARM L i :REG UI',ILE~DED SUMP STP SUMP FUEL ~L~R["I AUG 1. 1995 9:32 AM ..... SENSOR ALARM ..... L 6:PREMIUM ANNULAR ANNIJLAR SPACE ..... SENSOR ALARM ..... FUEL ALARM L 2:REG UNLEADED ANNULAR AU(]-; 1, i995 '3:35 AM ANNULAR SPACE FUEL ALARM AUG 1, 1995 9;33 ~M ..... SENSOR ALARM ..... L 7:DIESEL SUMP STP SUMP ..... SENSOR ALARM ..... FUEL ALARM L 3 :PLUS LINLEADED SUMP AU(]; 1, 1995 9: 3? AM STP SUMP. FUEL ALARM AUC; 1 · 1995 9: 3',3 AM ..... SENSOR ALARM ..... L 8:DIESEL ANNULAR ANNULAR SPRCE ..... SENSOR ALARM ..... FUEL ALARM L 4:PLUS UNLEAD ANNULAR AUG 1, 1995 9:38 AM ANNULAR SPAC;E FUEL ALARM'- AUG 1, 19-~,/9::34 AP1 BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION INSPECTION RECORD POST CARD AT JOBSITE F^c.~ ow.E. -~-~.~ ADDRESS ~ ~' ADDR__$$ c~, z~P c~w, z~P PHONE NO. PERMIT # INSTRUCTIONS: Please call for an Inspector only when each group of inspections with the same number are ready. They wtll run in consecutive order beginning with number 1. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these insfl'uctions will reduce the number of required inspection visits and therefore prevent assessment of additional tees. TANKS AND BACKFILL [,, Backfill of Tank(s) / Spark Tast Cerlification or Man ufacturas Method Cathodic Protection of Tank(s) PIPING SYSTEM ~ Corros.o..,o.~on of Piping. Join.. RII ~ Ele~l Isola~on of Piping From Tank(s) Ca~odic ProlCon Sys~m-Piplng SECONDARY CONTAINMENT, OVERFILL PROTECTION, I_I=~,K DETEC', ,~,~, Liner Installation - Tank(s) Uner Installation - Piping Vault With Product Compatible Sealer Z~ Level Gaugas or Sensors, Roat Vent Valvas .~//~.---' C) Product Compatible Fi,, Box(as) ~' ! c/'~, [..-.- '.~~~~~ Z../ Product Line Leak [~tector(s) ~///~--"_.~'"' ~~ (~./_.~ ~. Monitoring Well(s)/Sump(s) - H20 Test '. - Leak Detection Device(s) for Vadase/Groundwater FINAL Monitoring Wells. Caps & Locks Monitoring Requirements ~,/X / ~..~ CONTRACTOR LICENSE TANK REMOVAL INSPECTION FORM ~~~ FACILITY ~A~ ~ ?-( ADDRESS ~0g ~Z~ S'c OWNER _~A6o-~d,c~ PERMIT TO OPERATE# CONTRACTOR ~c~'/CAcz( 6-~ ~,~C~,~,/~ CONTACT PERSON 3o~ ~BO~TORY ~c % OF S~PLES ~ TEST METHODOLOGY D~ Z ~6~ ~c ~.~/0.~., ~,~ ~ PRELI~NARY ASSESSMENT CO. ~ ~ CONTACT PERSON ~ CO~ RECIEPT ~~ (4~0 ~ LEL% -- O- O:% PLOT P~N.' CO~ITION OF T~KS ~C~V ~, so~e ~u~7,m~ ~m~ ~6 CONDITION OF PIPING CONDITION OF SOIL ~ INSPE~ N~ CITY of BAKERSFIELD RECEIVED "WE CARE" HA~. MAT. DIV. J B~RS~Ig~D ~IR~ ~tR~ · BAKERSFIELD, 93301 / ~ZARDOUS ~TERIAL DIVISION 326-3911 ~ ~?~5 Ches~e~ Ave., Bakersfield, CA 9330~ . (805) 326-39?9 I, /cw~ /~/Z~-, ~ an authorized agent of name ~,.~z~/ //%~ ~ here by attest under penalty of Contracting Co. perjury that the tank(s) located at 90~ 3~'i ~t and Address being removed under permit% '~J~- ~ /~.~ has been cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured i~ediately following the cleaning/decontamination process. /Date / Name (print) ~ ' ~ Sighatu~e~-~ Conformation by: City of Bakersfield 1 U GOLDEN STAOMETALS, INC. DISPOSAL FORM Bakersfield, Calitornia 93387 Date ,19 Phone (805) 327-3559 · Fax (805) 327-5749 Contr~r~j....-~. Scrap Metals, Processing & Recycling License No. Contractor's Phone No. DESTINA~ON: G.S.M. · 2000 E. BRUNDAGE LANE · BAKERSFIELD, CA 93387 TOTAL EHSD PERMIT QTY GALLONS SERIAL NO. NET TONS 250 .14 ~UNTY 5o .24 ~ ~0 - 6 ft .61 ~N :)000 ~ ' "--"~.- .97 CLEAN & DRY (ACCEPT), OR ~/~LESIDUALS PRESENT (REJECT) 30~' ~.32 READING 5000 7500 3.28 DISPOSAL FEE ~ ......... 3.82 SCRAP VALUE .... 12ooo 4.93 OTHER  TOTAL net 30 days from receipt of tank. Contractor's sjgnature represents acceptance of terms for payment, and confirms ,.. , CERTIFICATE OF TANK DISPOSAL / DESTRUCTION ER'[IFk THE RE~IPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETE' Y ---STRO)/¢~ Fdn ~S~/¢Y.CLING PURPOSES CZ~f. /~ ~ ~ - ' 'WH fE--Oon~actcrCopy Y~L~--~//leCopy · PINK~.°erma~ntCo¢~/ ~/~ FGrmp~o~App,.~,,eClprmS or ~O~B ~.~20~3~ to,~E~'res~ ~9'3~94)e1~ ~e Instructions on back of page 6. ~NI~RM HAZARDOUS us EPA ID ~. ~anlfest 2. Page ' WASTE~ M~ ANIFE~/ST 6. U~ EPA ID Numbec . 7. Tr~s~er 2 Core,ny Na~ 8. US EPA ID Numar 1. US ~T ~ript~n 0~luding Pro~r Sh;pping Name, Hazard Class, and ID Numar) 12. Comoi~m 13. Total b. 15. Special Handling Instructions and Addition~ Info~m~ian 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of the consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable federal, state and international laws. If I am o large quant~y generator, I certify that I have a program in place tO reduce the volume and toxicity of wost~ generated to the degree I have det~rmbed to be econcmlc=!F;, ~ra.,~c=bt? ,:n~ thct .~ ~--,,~ ~.!~-:t.:~d ,~.= ~ro~.'cob~e methc~ ~,f treatment, storcge, ':','~o~,v~,"l" .... ~ curr=ntly ovai~c:b!e Do ."..e which minimizes the present and future threat to human heaffh and the environment; OR, i~ I om a small quantity generator, I hove made a good faith effort to minimize my waste genero'4on and select the best.' waste mana~lement method that,, is. avo~lab~to me~ and I~nat I can afford. 1 Acknowledgement of Receipt of Materials Acknowledgement of Receipt of Materials 1~. Discrepancy Indlcafion Space erator Cer~flcation of receipt of hazardous materials covered._.b.Z_this manifest except as noted in Item Do No?BE, UN . DTSC 8022A (7192) White: TSDF SENDS THIS COPY TO DTSC WITHIN 3'3 DAYS. EPA 8700~22 "~/-~ To: P.O. Box 3000, Sacramento, CA 95512 U=RSFIELD FIRE DEPART EN · ~ZARDOUS MATERIAL DIVISIO~ 2130 G Street, Bakersfield, CA 93301 TANK REMOVAL INSPECTION FORM FACILITY ~A%~? ~ Z( ADDRESS ~0g ~ O~ER ~A~o ~,~ PE~IT TO OPE~TE~ CONT~CTOR ~/J~z~ ~ ~~ CONTACT PERSON ~ ~BO~TORY ~c ~ OF S~PLES ~ TEST METHODOLOGY P,~ Z ~6~ ~e <~'~/0.~ ~,~ PRELI~NARY ASSESSMENT CO. ~ ~ CONTACT PERSON CO~ RECIEPT ~~ (~gO ~ LEL% - O-- PLOT PLAN.' CONDITION OF PIPING CONDITION OF SOIL ~ DA~ USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) Report STATION NAME: 34TH & Q FASTRIP #621 STATION #: 346 COMPANY NAME: JAC0 OIL ADDRESS: 805 34TH STREET CITY: BAKERSFIELD ZIP: 93301 STATE: CA PHONE: PERIOD ANALYZED: MAY, 1995 DATE OF REPORT: 06/14/95 PART A: Data Tank ID: Tank and Lines Status: Product: Quality: Dels: Sales: 02 iTIGHT . 02-UNL #1 POOR 40603 40922 04 TIGHT 04-FS D#2 GOOD 0 2891 05 TIGHT 05-FS MID POOR 20293 20191 00 TIGHT 00-FS PRE POOR 9834 11154 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: O/S listed below represent removals, additions or delivery diShrepancies which were accounted for as part of the SIR analysis. Tank ID: Comments and Recommendations: 02 ~light gaining trend not in excess of parameter- watch tank ~5/2/1995:DEL 1092} {5/9/1995:DEn 112) {5/18/1995:DEL-140} (5130/1995: 386} 04 {5/16/1995: 254} {5/17/1995: -359} 05 Slight gaining trend not in excess of parameter- watch tank (5/2/1995:DEL 633} (5/13/1995: -37227 (5/14/1995:DEL 3804} oo (5/23/199~: 130} (~/30/1995: 194} (5/31/1995: -~25} USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) Report STATION NAME: 34TH & Q FASTRIP #621 STATION #: 346 COMPANY NAME: JACO OIL ADDRESS: 805 34TH STREET CITY: BAKERSFIELD ZIP: 93301 STATE: CA ~ PHONE: PERIOD ANALYZED: APRIL, 1995 DATE OF REPORT: 05/15/95 PART A: Data Tank ID: Tank and Lines Status: Product: Quality: Dels: Sales: 00 TIGHT 00-FS PRE FAIR 13832 15276 02 TIGHT 02-UNL #1 POOR 40380 40073 04 TIGHT 04-FS D#2 GOOD 5007 2170 05 TIGHT 05-FS MID POOR 14789 17180 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: O/S listed below represent removals, additions or delivery discrepancies which were accounted for as part of the SIR analysis. Tank ID: Comments and Recommendations: {4/10/1995: 273 {4/30/1995: 620 {4/24/1995: -249{ 4/26/1995: -106} 4/27/1995 :DEL 533 {4/30/1995: -258 04 {4/26/1995:DE5 139} {4/30/1995: -241} o5 {412711995: 117} For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) Report STATION NAME: 34TH & Q FASTRIP STATION #: 346 COMPANY NAME: JAC0 OIL ADDRESS: 805 34TH STREET CITY: ZIP: 93301 STATE: CA PHONE: PERIOD ANALYZED: MARCH, 1995 DATE OF REPORT: 04/17/95 PART A: Data Tank ID: Tank and Lines Status: Product: Quality: Dels: Sales: 00 TIGHT 00-FS PRE POOR 19304 17796 02 TIGHT 02-UNL #1 POOR 44437 44477 04 TIGHT 04-FS D#2 GOOD 1992 2615 05 TIGHT 05-FS MID POOR 21371 20907 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: O/S listed below represent removals, additions or delivery discrepancies which were accounted for as part of the SIR analysis. Tank ID: Comments and Recommendations: 00 Data adjusted for tilted tank {3/2/1995:DEL 102} {3/23/1995: -868} {3/26/199S:DEL 1089} {3/27/1996: -296} {3/31/199S:DEL -1408} 02 Majority of o/s exceed +/-100 -> review sticking procedures I3/2/1995:DE~ 104} {3/16/1995: 339} {3/20/1995: -167} 3/31/1995:DEL -187} 04 {3/2/1995: 212} {3/5/1995: -144} {3/15/1995:DEL 108} 05 {3/2/1995:DE~ 299} For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. ~}~',~ 1715 CHESTER AVE., BAKERSFIELD, ~A '~'2~, (805) 326-3979 ' ~PL~CATION TO PE~FO~ A TI~NESS,~ ~ER OFfS TO BE TESTED ~ IS PIPING ~ING TO BE TESTED ~ T~ VOL~E CONTE~S  _ ~ '" ~mh .., TAEfK TESTING COMPANY ~-/~4~IOLO(p~ ADDRESS ,,TEST '~THOD T~ !_ N~ Or TESTER ~%~.,,~~a~ CERTIFICATION $ DATE ~ TIME T~ST IS TO BE CONDUCTED ~' [~ '~ DATE SIGNATURE OF A~'PLICANT TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston, Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Service Order#: 146235 Test Date: 05/10/95 Underground storage tank system(s) tested and found tight for: Tank Owner: JACO OIL COMPANY Test Site No.: 785 Test SiteAddress: JACO OIL COMPANY FASTRIP #32 BAKERSFIELD, CA 93309 Tank(s) only, 4 Line(s) only, 4 Leak Detector(s) only. Tank sizes & products tested: , Lines Tested: lA PUN, 2A PLU, 3A REG, 4A DIE Leak Detectors Tested: 101794-0348 FX1 UNREADABLE DLD 121494-3486 .............. 1093X-6732 XLD C valio only with Corporate Seal UnitMgr. CedificateNumber&Name 083 S~gVg~ g, ~AN~Z~S 06/96 Patent #4462249, Canadian Patent # 1185693, European Patent Appl. #169283 TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Report for tank identification & site location drawing. SO# / ~ (o~ 3 ~' Ow te# MONITOR WELLS ~r Product Detected AMOUNT in inches Standard Symbols for diagram'below: OFilI Q Vapor Recovery O V.R. w / Ball Float (~ Monitor Well Q ObservatiOn Well L (Outside Tank Bed Area) (Inside Tank Bed Area) Ball Float (~ Tank Gauge., O Vent Manway EEl Iron Cross ~ Turbine ~ion Diag.ramTin.c~u.de .the. Vapor.'Re. coyety System.. Vapor Recovery System & Vents were tested with which tank? Parts and Labor used · General Comments When OWNER or local regulations require immediate reports of system failure-Complete the following: REPORTED NAME TO: Phone# OWNER or Regulatory Agency FILE NUMBER ~rs Name Vacutec. Ce cat~n umber Date Testing Completed 3--/~-9s .; TEST VacuToctTM REPORT s.o. Date 05/10/95 Owner JACO OIL COMPANY Site# 785 Phone <800> 253-8054 InvoiceName/Address USTMAN INDUSTRIES, INC. 12265 W. BAYAND AVE. #110 LAKEWOOD, CO 80228 Attn: BRUCE McDUFFY Site Name/Address JACO OIL COMPANY FASTRIP #32 3701 HING AVENUE BAKERSFIELD, CA 93309 TANKS LINES Leak Pet Ullage TANKS and LINES Tested to CFR-40 Parts See Tank Dipped Dipped Probe Water Bubble Air Line Final Exist 280-281 & NFPA 329 Spec's. Diag. Dia. & Water Product Water Ingress Ingress Ingress TANK Line Delivery LINF LINE Leak LINE LD(s) NEW For Material Level Level Level Detected Detected Detected · Material Syst. lype TEST TEST Rate · Pass/ LD(s)  1~ ST/ · · · · · · Tight · ~ FRP/ START START START or ST/ · STAR/ · END · · Tighlor Fail/ or & Tested Other: $a~ lank Tank Lined END END END Yes/No Yes/No Yes/No Fail Line # FRP ' PS/SS/GS TIME TIME , # Product Capacity GPH Fail %lONE PASS 1 PUN )i,~et~ lA ST PS ]-0:15 10:45 0.000 T p - ~.,~s~,,~u~G: 101794--0348 FX1 Percent of Fill at Pump New/2nd LD SN/IVIDL/M~G: ~ Material Start Time; Time of Test: Mf~).; LINE TES'r PSI .5 0 0 0 Tank Probe Inclinometer · End Time: Test PSI: Entry; Deqrees: Dispe~ser Shear Valves 2 PhU$ ~m~t,~ 2A ST PS 10: 20 11: 00 0 . 000 T p - ~cos~/u~/,~[~: UNREADhBI',E DLD Material Percent of Fill at Pump New/2nd LD SN/MDL/MFG: Start Time: Time of Test; Mfg.: LINE TEST PSI 5 0 0 0 Tank · Probe Inclinometer · End Time: Test PSI: Entry: Dec~rees: Dispenser Shear Valves 3 REG Diameter 3A ST PS Li:15 111:45 0..000 T p - ~i~,~s~,~o~,~: 121494-3486 FXl UNL Material Percent of Fill at Pump New/2nd LQ SN/MDL/MFG: Start Time: Time of Test: Mfg.: LINE TEST PSI ,5 0 0 0 Tank Probe Inclinometer · !Diameter End Time: Test PSI: Entry: D~qrees: DisQenser Shear Valves 4 DIE -~ I I 4A ST PS 11:20 11:50 0.000 T p - Ex"'LDS'/M~L/UFG: 1 0 9 3X-- 6 7 3 2 ' XLD ,O,j Percent of Fill at Pump New/2nd LD SN/MOL/MFG: Material Start Time: Time of Test: Mfg.: LINE TEST PSi .5 0 0 0 Tank Probe inclinometer ° End Time: Te~t PSI: Entry: Deqr~es: Dispense~ Shear Va;ves Diameter I r J Exist LD SN/MDL/MFG: Material Percent of Fill at Pump New/2nd LD SN/MDL/MFG: Start Time: Time of Test: Mfg.: LINE TEST PSI: Tank Probe Inclinometer End Time: T~st PSI: Ent~: Dec]lees: Dispenser Shear Valves Operate Diameter '1 Exist LD SN/MDL/MFG: Material Percent of Fill at Pump New/2nd LD SN/MDL/MFG: Start Time: Time of Test: Mfg.: LINE TEST PSk Tank Probe D~qr~s: O?erate lyes/not End Timg: T~st PSI: Entry: I Inclinometer Dispense~ Shear Valves Tanknology Corporation International I^NK~OIOG¥ Rogion: WESTER~ RE~ION Unit ~ 023 Stato [_ic. # ~5-1525' Stato: Ch 5225 Hollistor St., Houston, IX 77040 NOlff: Original YacuTect Dat~ recordings are revi,wo0 by lanknology's ^udit Conlrot Department and maintained on file. (800) 885-85~3 · lAX (71:3) 6~0-225§ TAK-01 HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE., BAKERSFIELD, ~A 93304 APPLICATION TO PERFORM A TIGHTNESS TEST ~ER OF~ TO BE TESTED ~ IS PIPING ~ING TO BE TESTED T~% VOL~E CONTE~S TANK TESTING COMPANY, ~--/~lOLO<o~ ADDRESS TEST '~THOD ~ I DATE & TIME TEST IS TO BE CONDUCTED ' ", UNDERGROUND STORAGF_. TANK PROGRAM PE.:[MIT APPLICATION TO CONSTI:::JUCTIMODIF'Y:, UNDERGROUND STORAGE. TANK TYPo_ OF APPLIC~' T~ON (CHEC:O ~ NEW FAC:LJTY C~ MOOIFi'C'A'TION CF FAC:UT'(' ~ NEW TANK iNSTALLATION AT EXISTING STARTING gATE ~ P,qC)POSED CC)MPL~m'I, ON OATE FAC',LITY NAME ~(ISTING FACILITY PERMIT No. FAC'.LITY AOORE~S ZIP COOE TYP£ OF BUSINESS APN TANK OWNER PHONE No. _,.~'~"_~_ CONTRACTOR CA LICENSE No. AOORE~.S. C;TY ~ ZIP COOE PHONE No. BAKE~SF!ELC C:T'Y ~USINE.~S LICENSE No. W©RKMAN CGMI:. ,~VArEn re ~,~C:Lt~"f PROV[CEO BY' _~~,~- ,C/,,~ ~ No. CF TANKS TO BE '"'"T'.~,~o ,..,,.,._,~ :~ 4.~ ,-',RE THE'( FOR ~4GTOR FUEL .~..:~ ~NO SECT;ON .'-OR FACTOR FUEL TANK No. VOLUME UNL:ACED ." R.":,'llU M OlE~EL AVIATION S~CTTON FOR NON MOTOR FU~LSTORAG~TANKS TANK Nc. 'VOLUME C H ::',,llC..~,. STORED CAS NO. C.":r.:,'IIC,-,L,~r~c"/'""'u¢~v,,,. ,,,.,,.,,,,.. (no crcnc ,',,cmo) (if known) STOr~ED C,-;'~C~l: ;; ~. ........-..-: .... ..- .......... . .......... ~,.I, .. N~ ............................................. ~O'""C~~ J~N~>~:~:<-,:::¥.'~--.~::;~:~': ...................... ' ..... MAS 8E~N PEHMIT APP~CA~ON FOH HEMOVAL OF AN UNDEHGHOUND ~TO~GE TAN~ S~ IN~RMA~ON SITE ~/~ ~ ADDRESS ~-~'~PCODE ~~ APN FACI~IWNAME ~/~ CROSS STREET '~ ~ // ~ TANK OWNER/OPERATOR ~-~/~ PHONE No. MAILING ADDRESS ~. ~ ~ CIW~~ CON~ACTOg INFOgMATION, INSURANCE CARRIER ~ WORKMENS COMP NO. ' P~IMANAgY ASSEMENT INFOgMATION COMPANY .~ ~~ ~' PHONE No. ~ ~~LICENSE No. ADDRESS ~/~ ~~/~ CI~~ZIP CODE INSURANCE CARRIE~ ' - - ~/~-- WORKMENS COMP No. TANK C~eAN*NG ~NFORMAr~ON WASTE TRANSPORTER ID~NTIFICATION NUMBER/ ~~ FAC[LI~IN~NTIFtCATIO~ NUMBER ~ ~ TANK ~ANSPORTER INFORMATION TANK INFORMA~ON TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL STO~ED STO.~D P,eV~OUSLY STORED THE APPUCANT HAS RECEIVED. UNDERSTANDS. AND WILL COMPLY WITH TH~ A~A~HED CONDITIONS OF THIS PERMIT ANO ANY OTHER STAT~ LOCAL AND FEDERAL REGULATIONS. 'THIS FO~M HAS BEEN ~OMPL~ED UNDER PENAL~ CF PENURY, ANOTO THE BEST OF MY KNOWLED~UE AND A~R~~ APPLICANT NAME (PRIN~ APPLICANT SIGNATURE T~Ic APPliCaTION RF~MFS A PF~MIT WN~N APPROVE~ rate Underground Hazardous Materials Storage Facility State I.D. No 000338 ........... ~::~::?????.~:-":;":?:."'::',' .......... p . 619 EVERSEO SIDE Tank Hazardous G~ii:~?iiiii?:!?i?i; ..... Ye.?.a~iiiiiiii!iiii.~:~::.. :ii ;?.~ank "::~:;;:.;!~;~i~i~ ii i':ii:i;!i!!~::;: Piping Piping Piping Number Substance C~;~6ff~%':]:~' I n"~'i~ii~iai!:~;.':::;., ii :?.?T y p e M o h;i f6?i'~?;::;i'!i[:!i? Type Method Monitoring 01 UNLADED PLUS .~:~:'~ :~;? ? ;':];;~ ]:;~;:;:~.:~ ~;;~':.~.;?~ ~ ~WL MIR~.: ~'::~'~:~ ~ LPT PRESSURE ALD 02 PREMIUM ~?:!'~,0~ ~:~' ::::;;;:;;;;;~:':..-~;:~;~;;;~?.?:?.~W~?::?::"~?~:::~.::.. MIR~;;;~?~:[ ':~.'::~: LPT PRESSURE ALD 03 DIESEL ~::~iOQO ~:'~ ::~:?::'.'?;1;g~:~"?':]':?~??[;SWE:::]~'. ? '.;~'?:MIR~T~ :.:'::::: LPT PRESSURE ALD '~::~;:.-.......'~::::. ....:... '-~: ........ ~; ,...,:::::::?': .... , ....... ~..: . ..... . ..... ?:.-...-:.. .... :.:OoRM[tl~ns.;:s~.bje~'to chan ~e:::m...~eg ulab~s?  JACO-HILL HAZARDOUS MATERIALS DIVISION FASTRIP 1715 Chester Ave., 3rd Floor 805 34TH STREET Bakersfield, CA 93301 {805) 326-3979 BAKERSFIELD, CA 93301 8alph fi. Huo~, Ha~ardou~ Mat~rial~ Coordinator Valid lrom: 07-01-04 to: 07-01-00 Jaco Oil Company 3101 State Road Bakersfield, California 93308 m p O. Box 1807 Bakersfield, CaJifomia 93303-1807 · Phone: 805 393-7000 · Fax: 805 393-8738 August 1, 1994 LETTER FROM CHIEF FINANCIAL OFFICER I am the chief financial officer for Jaco Oil Company, general partner of Jaco Hill Co.. This letter is in support of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount of at least $10,000 per occurrence, and $10,000 annual aggregate coverage. Underground storage tanks at the following facilities are assured by this letter. Fastrip #621,805 34th St., Bakersfield, CA 93301 1. Amount of annual aggregate coverage being assured by this letter: $10,000 2. Total tangible assets: $5,869,372 3. Total liabilities: $1,737,100 4. Tangible net worth $4,132,272 I hereby certify that the wording of this letter is identical to the wording specified by subsection 2801.1(d)(1), Chapter 18, Division 3, Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Signature Name: Brian Busacca Title: Chief Financial Officer BB:jlc (ij)RRECTION NOJCE BAKERSFIELD FIRE DEPARTMENT ~i~12 0 ! 87 Sub Div., Blk. Lot. You are hereby required to make the following corrections at the above location: Completion Date for Corrections /2P,//.~//~ rT"- Date ~//'~/~7' -~'~/~,~- ~'~ -~~ ',:" ~ Inspector .~ ,326-3979;:~. ~. UNDERGROUND $ 'ORAGE INSPECTION tt Bake' 'fleld Fire Dept. Bakersfield, CA 93301 FACILITY NAME F~,~ P-;' ~ BUSINESS I.D. "o. 215-000 ~'/ FACILITY ADDRESS _~Cx.~ ~ ~ '~_.h_ ,.,~+ CITY ZIP CODE FACILITY PHONE No. .~,5~]--~ -O I [[2 INSPECTION DATE Cl /I ~ / ~ ~ ~ua Produ~ Produc~ TIME IN TIME OUT NSPECT ON TYPE: '"" ROUTINE Ii FOLLOW-UP stz, s~, S~ze REQUIREMENTS yes no n/a yes no n/a yes no n/a la. Forms A & B Submitted Form C Sum,ted lc. Operating Fees Paid ,/ ,/ ld. State Sumharge Paid le.. Statement of Financial Responsibility Submitted <~L.'~,~,~% ~<,,~-~ i lf. . Written Contract Exists between Owner & Operator to Operate UST 2a. Valid Operating Permit 2b. Approved Written Routine Monitoring Procedure v 2c. Unauthorized Release Response Plan , 3a. Tank Integrity Test in Last 12 Months , ~,,' 3b. Pressurized Piping Integrity Test in Last 12 Months 3c. Suction Piping Tightness Test in Last 3 Years ~ 3d. Gravity Flow Piping Tightness Test in Last 2 Years v/ ~'~ ,/ ~/' 3e. Teat Results Submitted Within 30 Days :~f. Daily Visual Monitoring of Suction Product Piping 4a. Manual Inventory Reconciliation Each Month 4b. Annual Inventory Reconciliation Statement Submitted 4c., Meters Calibrated Annually , , 5. Weekly Manual Tank Gaugihg Records for Small Tanks ~ 6. Monthly Statistical Inver~tory Reconciliation Results· v' v/r v/ v/ / 7. Monthly Automat c Tank Gauging Results - v/ ,/ v/ 8. Ground Water Monltorint~ 9. Vapor Monitoring ~ ,,,,,' ~,, ~ , 10. Continuous Interstitial' Monitoring for Double-Walled Tanks v/ v/ ~,/ ""~ 11. Mechanical Line Leak Detect(~rs , 12. Electronic Line Leak!.Detectors · 13. Continuous Piping Monitoring in Sumps v/" t,,/r; 14. Automatic Pump Shut-off Capability V 15. Annual Maintenance/Calibration of Leak Detection Equipment 16: Leak Detection Equipment and Test Methods Listed in LG-113 Series 17. Written Records ,l~aintained on Site "~'~L-~O ~,~1,¥1~.~1~_~ D43~r~, 18. Reported Chang~ in Usage/Conditions to Opersting/Monltoring Procedures of U~ST System Within 30 Days 19. Repoi~ed Una~orized Release ~;,Vlthin 24 Hours v/ /// ex,-' 20. Approved US~System Repairs an~l Upgrades v,// .--, v/ ~,,/< 21. Records Showing Cathodic Protection Inspection 22. Secured Monitoring Wells I 23. DropTube .T~I01~,~ ,.jA[I_/p_' ~,. U~f:~f;:~. RE-INSPECTION DATE t~_///~/q~' ,-~ RECEIVED INSPECTOR: .~2'~.~'_ -'_~_~,,~ ,/.~___ OFFICE FD 1669 BAKERSFIELD FIRE DEPAR ,.'NT HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE., BAK£RSFIELD hA 93304 (805) 326-3979 ' 8T-O OX APPLICATION TO PERFORM A TIGHTNESS TEST ~ER 0F T~S TO BE TESTED__ IS PIPING ~ING TO BE TESTED T~% V0L~E CONTE~S TAN'K TESTING COMPANY ~/U~FTOL~y ~DDRESS z/z2d~ ~*'~7-]/~'~',, TEST 'METHOD___ NAME OF TESTER CERTIFICATION STATE REGISTRATION DATE & TIME TEST IS TO BE CONDUCTED DATE S IQ'NATURE- OF- Ai~'i~'LICANT JUL 1., 1Bd4 ~ 06:05 FANKNOLOGY SOUTHERN (]AL TO 919097935250 P. 02 ... ~,,,~- ~ I~ ~ ' ~' 1715 CHESTER AVE., BAKERSFISLD ~A 93304 ~'" (805) 3~8-39~9 ' , NAME Or TESTER CERTIFICATION STATE REGISTKATIOI~ DATE & T!5~E TEST IS TO BE CONDUCTED ::i';'TANKNOLOGy CORPORATION INTERN/ C{ION. AL 'ii': :'.'," .''. 5225 Hollister, Houston, Texas 77040.6294 Phone (800) 888.8563 FAX (713)690.21~ U ~L~ ~b 1994 ~,~ ',.,.Certificate of Tightness Service Order #: 115649 Test Date: 0 ? / 19/94 .~ Underground storage tank system(s) tested and found tight for: 'Test'Site'Address: JACO OIL ¢OSPAN¥ INC. FASTRIP #621 '" .. 4Tank(s) only, 4 l,ine(s) only, 4 I_oak Detector(s) only~ -Tank sizes & products tested: ':~ 1 12000 REG U~I', 2 12000 DIE 3 12000' NO" hEAD 4 12000 SUPR UNL Lines Tested: /i'~,i 1A"REG 2A DIE, 3A NO , 4A SUP ~eak Detectors Tested: XLD · 10891-5509 XLD XLD 10194-2624 XLD unit Mg[. Certificate Number & Name 312 DAVID TOHIR 10/95 Valid onlywith 1315 DAVID TOHIR 12/96 CorporateSeal U.S. Patent #4462249, Canadian Patent #1185693, European Patent Appl. #169283 . TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Report for tank identification & site location drawing. VacuTect TEST' REPORT ~~/' Date 07/19/94 Owner JACO OIL COMPANY INC. ~ Site# 346 <800> 255-8054 ~hone InvoiceName/Address USTMAN INDUSTRIES, INC. 12265 W. BAYAND AVE. ~110 LAKEWC, OD, CO ~0228 Attn: BRUCE McDUFFY Sito~amo/~ddmss JAC90IB CO~Ph~Y I~C. ~STRIP ~621 805 34~H 8~REE~ BhK~RS~iELB, Ch 9330~ TANKS LINES Leak Met Ullage TANKS and LINES Tested to CFR-40 Palls ~e Tank Dipped Dipped Probe Water Bubble Air Line Final ' Exist 280~81 & NFPA 329 SpeCs. Diag. Dia. & Water Product · Water Ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s) NEW For Material Level Level Level Detected Detected Detected B Material Syst. Type TEST TEST Rate B ~ss/ LD(s) Loc. ST/ ~ ~ ~ ~ a · Tight B B B ~ B Tight Fail/ Tested Oth~r:  FRP/ START START START or ST/ START END or or & ~k Tank Tank Lined END END END Yes/No Yes/No Yes/No Fail Line ~ FRP PS/SS/GS TIME TIME GPH Fail NONE PASS Product Capacity · Pump Material Sta~Time: ~ ~ Time~rCent°fFillatofTest: '/~ ' ~ Mfg.: ,:Y~ . ~ 50 00 ~T Endmime: ~: ~Z Tank --'/ ifil Probe ~ Inclinomet~ ~ U~O Oper~es/no~ Y T~ P~: .... I Ent~: p~qr~s: Material ~ : ~ ~rcent of Fill at '/ A il Pump : LINE~STPSI 50 · 00 Sta~ Time: Time of Test: .... Mfg.: Tank --~ . UU Probe ~'~LL Inclinometer.~ . ~00 O~er~e~es/no~ Y ~T End Time: ~ ~: Z Z Test PSI: Ent~: .... De~r~s: ~ ~ ~,ZUUU Diameterl}U . UUU Ubi. UU MU. ~bUl N N N T 3A ST ~S 5~:~6, L5: O. 000 ~ - ,xi.~os.,uou~.s: XLD ~ EAD9 5,,0'. U U u o o u u. · u I N~/2nd LD SN/MDL/MFG: PLUS Material LINE fEeT PSI 50 Sta~ Time: ~ q: ~ ~ ~rcent of Fill at Pump T~me of Test: ~ ~ ' ~ Mfg.: Incli~omet~ Um T 4A ST PS 5155 L6:25 O.O0O P - E~,stLDSN/MDUMFG:IO194--262% XLD JNL 95'~0.'U00 bJ'bU 0U.'i/ New/2nd LD SN/MDL/MFG: Pump LINE TEST PSI 50 · 00  Material Sta~ Time: l ~: D ~ ~rcenl oi Fiml at b ~/ . ~ ~fg.: ~ Time of Test: ~T EndTime: ~ / : ~ / Tank - ~ ~ Probe ~'~ Inclinomet~ ~ 2~O Oisp ..... ShearVamves Tgst Psm: ' Enl~: D~gr~Q: ' Opera~e(~es/.o) Y m New/2nd LO SN/MDL/MFG: ~r~nt of Fill at Pump LINE TEST PSI: Material Sta~ Time: Time of Test: Mfg.: ~ Tank I Probe Inclinometer Operate {yes/no~ Eqd ~me: Test P~I: m Ent~: Deqr~: Diameter I [ I ' Exist LD SN~DL/MFG: ~rcent of Fill at Pump LINE TEST PSI: Material Stad Time: Time of Test: Mfg.: Dispenser Shear Valves Tank I Probe~ p~r~0:lnclin°meter Operate (yes/no~ ~nd ~me: Test PSI: I ERI~: , Tanknology Corporation International I~RK~OkOGY ~o~ion: ~EBT~RN RE~IO~ ~nit ~ 037 State kic. ~315 State: C~ 5225 ! tollistor St., Houston, IX 77040 ~oTfi: Original V.culoct ~ata rocordin~s are reviowod by lanknolo~v's ~udit Conlrol ~e~a.mont and maintainod on file. (800) 8~ 8-85~3 * F~X {713) ~00-2255 MONITOR WELLS Well NUmber I 2 3 4 5 6 7 8 9 10 11 ,12 .Well Depth Depth to Water ~ ~t ~_~ / -~ ~, ? ~/L -d-~'- ' U~~ ( ~~ .. P~uct De~d ~OUNT in i~ ~:'* *' Standard Symbols for diagmm below: ~Fill ~ 'Vapor Recovew ~ ,'''~ ~ V.R. w / Ball Float ~ Monitor Well ~ Obse~ati°n Well  (Outside Tank Bed Area) (Inside Tank Bed Area) ' Ball Float ~ Tank Gauge 0 Vent ," ~Manway ~ Iron Cross ~ Turbine ' Location Diagrai~-~nclude the Vapor Recovery System. ,1"¢ Vapor Recovery System & Vents were tested with which ta~~ - ' Pa~s and Labor used General Commentq ,- ~~o~ V/~ ~~ ~ .~"' / ~h~n OWneR or local ro~ulafions roquir~ imm~diat~ roport~ of ~t~m failur~-Complo~ the following: REPORTED NAME' DATE TIME TO: Phonee OWNER or R~ulato~ ~en~ FI~ NUMBER ~ ~ ,,..~. ' ~_ Pdn V~u~ ~~n ..um~r , Jaco-Hill Company 3101 State Road Telephone (805) 393-7000 Post O//ice Box 1807 Bakersfield, California 93308 Bakersfield, California 93303-1807 January 20, 1994 Mr. Ralph Huey CITY OF BAKERSFIELD , ERGROtn 21Ol "H" STI ET RECEIVED BAKERSFIELD, CA 93301 JfiN 2 4 1994 Subject: FASTRIP FOOD STORE 805 34TH STREET HAZ. M,~T. DIV. BAKERSFIELD, CA Dear Mr Huey: To comply with the monitoring program requirements outlined in the State Underground Storage Tank Regulations, Jaco-Hill Company utilizes Statistical Inventory Reconciliation (SIR) with tank integrity testing as a release detection method at the above referenced facility. Current regulations require Jaco-Hill Company to (1) submit a summmy to the local agency which indicates the results from the statistical inventory reconciliation reports for the previous 12 months, (2) perform tank integrity tests bi-annually and (3) perform integrity tests on the piping and line leak detectors annually. Attached for your review is the following: The annual summary of the SIR reports for this facility prepared by our SIR vendor, Ustman Industries Inc. Copies of the results of the line and leak detector tests which were performed November 17, 1993, by Tanknology Corporation International. Review of the results indicate the product lines are tight and the leak detectors are functioning properly. Jaco-Hill Company strives to maintain compliance with all state and local regulations at our facilities. Should you have any questions or require additional information, do not hesitate to contact me at (805) 393-7000. Operations Manager JK/jk attachments USTMAN SIR SYSTEM- Monthly Monitoring Rep~r~---~ -~ -- DECEMBER, 1993 Report Date: 01/11/94 Company name :JACO OIL Station Name: 34TH & Q FASTRIP Station # : 346 Address: 805 34TH STREET City: State: CA CUMULATIVE MONTHLY REPORT - JACO OIL- 1993 LEGEND --> T - TIGHT IL - INVESTIGATIVE LOSS ?? - INCONCLUSIVE ND - NO DATA SUBMITTED TANK JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 346-00 T T T T T T T T T T T T 346-02 T T T T T T T T T T T T 346-04 ?? T T T T T T T T T T T 346-05 T T T T ?? T T T T T T T Tank ID: Product: 00 00-FS PRE 02 02-UNL #1 04 04-FS D#2 05 05-FS MID USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. ertlflcate of Ti ness Se~iceOrder~ 030697 TestDate 11/17/93 Underground storage tank system(s) tested and found tight for: TANK OWNER'. ~co o~ co~ ~c. TEST SITE ADDRESS: 3ACe O~ COMPANY INC. 346 FASTRIP I~ 805 ~4T~ STREET B~KER~LD, G~ [ ] TANK(S) ONLY, t qLINE(S) ONLY, t4J LEAK DETECTOR(S) ONLY. TANK SIZES & PRODUCTS TESTED ~ REG UNL 3 DIE 4 SUPR UNL LINES TESTED lA, 2A, 3A, 4A ~ ~ S~J.~ LEAK DETECTORS TESTED 10891-5510 XLD, XLD, 10891-5509 XLD , DLD UnitMgr. Certificate Number & Name 083 STEVEN E. HAWKINS 06/94 Valid only with U,S, Patent *4462249. Canadian Patent # 1185693, European Patent Appl. # 169283 Corporate Seal TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Test Report for tank identification end site location drawing. SO~ ~ 0 r' Site#~ MONITOR WELLS , Well Number I 2 3 4. 5 6 7 8 9 10 1 1 12 Well Depth Depth to Water . P~u~ Det~d AMOUNT in inche. Standard Symbols for diagram below: ~Fill ~ 'V~por Recove~~ ~ V.R.'w/Ball Float ' ~ Monitor Well ~ Obse~ation:Well- (Outside Tank Bed Area) (Inside Tank Bed Area) ~ Ball Float ~ Tank Gauge · ~ Vent -;.~:. ' Manway Iron Cross Turbine Location Oiagram-~nc~ude ~he. Vapo[ Recover'System. " . i 1,~ ~. . ~ vapor Recove~ System & Vents were tested with which tank? Pa~s and Labor used ~ ' When OWNER or local regulations require immediate repo~s of system failure-Complete the following: REPORTED NAME" DATE TIME TO: Phone~ OWNER or R~ul~to~ ~en~ FI~ NUMBER  rs Sig~m Da~ Testing Comple~ · VacUTectTMTEST REPORT ' l ,~c..;;~o~,~o.r~.x,! J S.O. # 030697 Date 11/17/93 OWner JACO OIL COMPANY INC. Site# 621 ~ · Phone <800> 253-8054 InvoiceName/Address USTMAN INDUSTRIES, INC. 12265 W. BAYAND AVE #110 LAKEWOOD CO 80228 Attn: BRUCE McDUFFY SiteName/Address JACO OIL COMPANY INC. 346 FASTRIP 805 34TH STREET BAKERSFIELD, CA TANKS LINES Leak Det See Bp Ullage TANKS and LINES Tested to CFR-40 Parts Diag. Tank Dipped Dipped robe Water Bubble Air Line Final Exist 280-281 & NFPA 329 Spec's. For Dia. & Water Product Water ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s) NEW Loc. Material Level Level Level Detected Detected Detected · Material Syst Type TEST TEST Rate · Pass/ LD(s) ST/ · · · · · · Tight · · · · · Tight Fail/ Tested Other: O Tank Tank FRP/ START START ~TART or ST/ START END or or & Product Capacity Lined END END END Yes/No Yes/No Yes/No Fail Line # FRP PS/SS/GS TIME TIME GPH Fail NONE PASS i PLUS Diameter , , lA ST PS ].1:05 11:45 0.000 T P N E~s, LOSN,,DL,MFG: 10891--5510 XLD UNL / I, Material Percent of Fill at Pump New/2nd LO SN/MD L/MFG: Start Time: Time of Test: Mfg.: LiNE TEST PSI 5 0 · 0 0 Tsnk I Probe Inclinometer Dispenser Shear Valves End '[]m~: Test PSI: I Entry; Decline: Operate I),es/nol 2 REG Diameter I I 2A ST PS [.1:55 12:25 0.000 T p. N Exls, LDSN,UDUMFG~ XLD UNL ~.,' MaterialStart Time: Time of Test: Mf~l.: LINE TEST PS, 50 00 Percent of Fill at Pump New/2nd LD SN/MDL/MFG: Tank I Probe Inclinometer · Dispenser Shear Valves End 'lrimg; Test PS1; ! Entry: D~r~ Operate I~,es/nol i,' Material Percent of Fill at Pump New/2nd LD SN/MDL/MFG: Start Time: Time of Test: Mf~l.: LiNE TEST PSI 5 0 0 0 Tank Probe Inclinometer End Time; Test P~I; Entry: p?gr~},~: Dispenser Shear Valves 4 SUPR Diameter y .... ~ . 4A ST PS ].3:15 13:55 0.000 T P N Exi.,LOSN~D~,~G: DLD UN n V' ' Material Percent of Fill at New/2nd LD SN/MDL/MFG: Pump I Start Time: Time of Test: Mfg.: LiNE TEST PSI 5 0 0 0 Tank I Probe Inclinometer · End Timg; Test P~I; I Entry; Deareesi Dispenser Shear Valves Diameter , Operate I~,es/nol ...... [ I Exlst LD SN/MDL/MFG: Material New/2nd LO SN/MDL/MFG: PerCent of Fill at Pump Start Time: Time of Test: Mfg.: LINE TEST PSi: Tank ! Probe Inclinometer Dispenser Shear Valves DiameterEnd Tirqg; Test F'81; I Entry: ~)~]r~ I Operate I~,es/,ot , , Exist LD SN/MDL/MFG: Material Percent of Fill at Pump t New/2nd LO SN/MDL/MFG: Start Time: Time of Test: Mfg.: LINE TEST PSI: Tank I Probe End Time: Tg~l[ ?~1; IE0tr¥; I Inclinometer Dispenser Shear Valves De(~rees: Operate (yes/no~ Tanknology Corporation International TANKNOLOGY Region: WESTERN REGION Unit # 416 State Lic. # State: CA 5225 Hollister St., Houston, TX 77040 NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. (800) 888-8563 · FAX (713) 690-2255 TAK-01 USTMAN SIR SYSTEM Monthly Monitoring Report SEPTEMBER, 1993 Report Date: 10/07/93 Company name :JACO OIL Station Name: 34TH & Q FASTRIP Station # : 346 Address: 805 34TH STREET City: State: CA PART A: ......................................................................... Data Tank ID: System Status: Product: Quality: Dels: Sales: 00 TIGHT 00-FS PRE POOR 6778 7285 02 TIGHT 02-UNL #1 POOR 28408 44729 04 - TIGHT -- 04-FS D#2 FAIR 6396 1890 05 TIGHT 05-FS MID POOR 16616 15934 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: Comments and Recommendations O/S listed below represent removals, additions or delivery discrepancies which were accounted for as part of the SIR analysis. oo {9/13/1993: -1739} {9/16/1993:D . , 120} {9/23/1993:D , ,-1189} 02 I9/1/1993: -111} I9/6/1993: 8688} {9/21/1993: -194} 9/26/1993: 6426} 9/30/1993: -170} 04 I9/1/1993: -968} I9/2/1993:DEL 1033} I9/12/1993: -1447} 9/13/1993: 1400} 9/14/1993 :DEL -4940 {9/19/1993: -404} 9/ .9/1993: 369} ~/30/l~93:DEB 202 ~or regulatory complSance in CalSfornSa, a pSp~n~ 5n~e~rS~y ~ost evory 12 months and a ~ank 5n~e~rS~y ~ost every 2~ months are roqu~red 5n association wS~h 8IR monthly monS~or~n~. '" FILE ,JONTENTS INV,'~ITORY ~eecmit to Op&ra~e' I'O~e~OO//~_;- Date ~Cons:ruetion Permit I Date ~Permit Co abandonl No. of Tanks Date ~ended Permit Conditions ~ ' ~Appticat~on-to Rbandon tanks(s) Date - ~Annual Report Eorms · '' ' Copy o~ Nrttten Contract Between O~ner & Opera'of ' ~Correapondence - Received .... Da  Unauthott~ Release Reports Rbandonmen~/C~oau~e RepotS. .... Sampling/~ab Re~rts ' ' C~pliance Check ('N~w Construc'tf~n 'CheCklist) ..... C~pltanee Check (New Cons:ruction Check,tat) e~an Check (New Construction) Plan Check (New Construction) e~an Check (~xisting ~acllity) elan Check (,Bxisttng Facility) ~" ]ncomplete RppI tcation" ~ee~mit Rpplication Checkltst ~eerm/t Znsttuctions ~Dt scalded ~?i~htne88 Test Results Date ~Monitorl~ HeA~ Construction Data/Pe;m~t ~Bnvt;o~enta~ Sensitivity Data;  GFoundwate; Dri~tng, BoFing Logs Location o~ Hater ~Statement oe Unde;g;ound Conduits ~P~ot P~an Featuring A~ Environmentally Sensitive Data ~Pho:os ~ConsCructl°n sheet showLng date ;eceLved and tally 1700 FIower' Street % K[..N COUNTY HEALTH DEPARTMENTC. ,EA,THOmCER Bakersfield, California 93305 ' - · .. Leon M Hebertson, M.D. Telephone (805) 861-3636 . . *' ENVIRONMENTAL HEALTH DiViSION ** '~. DIRECTOR OF ENVIRONMENTAL HEALTH ~ .. Vernon S. Relchard INTERIM PERMI T ~ PERMI TeO6OOll C TO OPERATE : I S S ugm: NOVEMBER i, 198~ EMP I RES : NOVEMBER 1, 198[ STORAGE FACILITY NUMBER OF TANKS= 4 FACILITY: f OWNER: FAST~IP FOOD STORE #21 t JAC0 HILL COMPANY ~346 805 34TH STREET I P,0, BOX 1807 BAKERSFIELD, CA [ BAKERSFIELD, CA 93308 TANK J: _AriEl IN YRS_I SUBSTANCE CODE PRESSURIZED PIPING? 1-4 2 MVF 2 YES NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NdN--TRANSFERABLE *** POST. ON PREMI SES DATE PERMIT CHECK'LIST RETLTRNED: Kern County Health Departmen~ /.~ Permit Division o~ Enviro~en~l He~ A~lication ~e~ 1700 Flo~r Street, Bakersfield, ~ 93305 - · ~PLI~TION ~R PE~IT ~ OPE~TE ~E~R~ · ' ~~US SUBST~CES S~E FACILI~ ~ of Application (ch~k): ~New Facility ~ificatton.of Facility ~isti~ Facility ~ansfer of ~ership A. ~ergen~ 24-~ur Contact (n~e, area c~e, mone): Zs ~ank(s) ~ca~ on ~ ~r[cuZ[uraZ · R , SEC (R~a[ ~a~[o~ C. C~Cractor ~ ~ ~ ~ ~ ~ntractor' s ~e ~. E. T~(s) S~re (~eck all ~t a~ly): T~ [ ~s~ Pr~uct ~tor Vehicle Unlead~ R~ular Pr~i~ Die~l ~s~e F.~i~l ~siti~ of ~terials Stor~ (mt ces~ry for ~tor icle ~ls) Ta~ $ Ch~i~l Stor~ (no~c~rcial ~e) (if different) G. Transfer of Ownership Date of~nSfer Previous Owner " Previous Facility Name I, accept fully all obligations of Pezmi~ No. issued to · I understand that the Permitting Authority may review a~d ~)difY or terminate the transfer of the Permit to Operate this %~%dergromd storage facility upon receiving this completed form. This form has been completed under penalty of perjury and to the best of my knowledge is true and correct. H. 1. Tank is: [[]Vaulted ~]Non-Vaulted [[]Double-Wall []Single-Wall 2. ~ Material  Carbon Steel [~Stainless Steel D Polyvinyl Chloride •Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Alum~inum [] Bronze [.] Un kl3own O Other (describe) 3. Pr imar~, Containment Date Installed Thicknes?,(I.nches) Capacity (Gallons) Manufacturer •Double-Wail ~Synthetic Liner []Lined Vault ~N°ne--O~k~0-~: I-]Other (describe): Manufacturer: r~Naterial Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining ---~Rubber []Alkyd []Epoxy ~Phenolic [-]Glass []Clay ~311ined O~kno~ []Other (describe): i: 6. Tank Corrosion Protection "--.' .... ---~r--Ga-~-~ass-Clad .... [-]Polyethylene Wrap-r~vin¥1-~Wrap~31~ ~Tar or Asphalt []Unknown []None []Other (describe): i ' Cathodic Protection: ~None []Impressed Current System ['1Sacrificial 9a3ode System Desc'ribe System & Equi[:ment: 7. Leak Detection, Monitoring, and Interception a. .Tank: []Visual (vaulted tanks only) []Groundwater Monitorll~' OVadose Zone Monitoring Well(s) r~u-Tube Without Liner ~ R U-Tube with C~mpatible Lfner Directing Flow to Monitorir~ Vapor Datector* [-ILiquid Level Sensor* [1Conductivit~ Sensor' ( ) n Pressure sensor fn Annular Space of Double Wall Tank Liquid Retrieval & Inspection Fr~m U-Tube, Monitoring Well or 9~lnular Space Daily Gauging & Inventory Reconciliation [~Periodic Tightness Testing None [] Unkaown [] Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' [.] Monitoring S~ap with Rece~y ' O Sealed Concrete Raceway •Half-Cut C~alpatfble Pipe Raceway [-]Synthetic Liner Raceway r~ n Unknown O Other en Tightness Tested? F3Yes ~ [']Unknown 'Date of Last Tightness Test R%sults of Test ! Test Name Testing Company 9. Tank ~ ~ Repaired? [-]Yes ~ OUnkno~ Date(s) of Repair(s) Describe Repairs' 10. Overfill Protection -" []Operator Fills, Controls, & Visually Monitors Level [-]Tape Float Gauge [-]Float Vent Valves []Auto Shut- Off Controls [-]Capacitance Sensor []Sealed Fill Box ~None []Unkno~ •Other: List Make & Model For Above Devices Underground Piping: a. --i ...... Sm nUn own Material 'rnx_c~ness~,.. (~ncnes; ~_. ~ Diameter ~ch q~Manufacturer /~,7C ' un~eSsure •Suction [-]Gravity Approximate Length of Pipe b. .-rground Piping Corrosion Protection :  lvanized--~Fiberglass-Clad [2]Impressed~_Cu~rent -_~Sacrificial [Polyethylene Wrap ~Electrical Isolation ~Vinyl Wrap []Tar or Asphalt [-]Unknown [2]None ~Other (describe): c. Underground Piping, Secondary Contai~nent: I-]Double-Wall []Synthetic Liner System ~None []Unknown [-]Other (describe): Facility Name ~ /~ ~'~-i ( Pemit No. ' W "TANK ~ ~__ _ (FILL OUT SEP~TE FO~ FOR ~ T~K) --~R ~ SE~ION, ~ECK ~ ~PROPRIATE BOXES H. 1. Tank is: ~Vaul{~ ~Vault~ ~uble-Wall ~Si~le~all 2. ~ ~terial --Caren Stol ~ s~inless~Steel ~ ~l~inyl C~'oride ~ Fi~rglass~l~ Steel ~Fi~rglass-Reinfo~c~ Plastic ~Concrete ~ Bronze ~ Other (de~ri~) 3. Pri~r~ Contai~nt ~te Ins~ll~ ~ic~e~s (Inches) Ca,city (~11o~) ~nufacturer ' 4. Tank ~eCOndary Cohtai~nt I ~l~all ~thetic Liner ~Lin~ Vault ~ne ~Other (de~ri~): ~ufacturer: ~%erial ~ic~ess (Inc~s) ~city (~ls.) 5. Tank Interior Llni~. . ~Other (de~ri~): ..... ~.~_Tank-Corrosion~ Prote~-ion --- : - " ~Tar or ~lt ~k~ ~No~ ~er (de~ri~): ' ~ ~ .Ca~ic Proration: -~ne ~es~ ~rent ~t~ ~crifictal ~e 7. Leak ~t~tion, ~nitori~, a~ In~rce~tion ~V~ose Z~e ~nitori~ ~ll(s) ~~ Wi~ut ~ner . ~ Pre~e ~r in ~ular S~ of ~le Wall T~ b. Pipit: Fl~Restricti~ ~ak ~t~tor(s) for Pre~uriz~ Pipi'~' 8. Tank Tigh~ess ~en Tiqh~ess ~st~? ~Yes ~ ~o~ ~te of ~ Ti9h~e~ Test Kesults of ~ Test ~e ~sti~ ~ny 9. Tank ~ ~te(s) of ~ir(s) 10. ~erfill Pro~ction ~rator Fills, Controls, & Vis~lly ~nitors ~vel ~Ta~ Fl~t ~e ~Fl~t Vent Valves ~ Auto Shut- Off Controls  citance ~r ~al~ Fill ~x ~ne ~o~ Ot~r: List ~ & ~el F~ ~e ~iceS 11. Pipi~ Thickne~ (i~hes) ~'1% Di~eter Se~ g~nufacturer /~,~ .... ~essure ~tion ~Gravity ~proxi~te ~ of Pi~ ~ -- ~Tar or ~Polye~yle~ Wrap ~Electrical I~lati~ ~Vinyl Wrap ~U~no~ ~None ~er (de~ri~): c. Undergro~ Pipit, Seco~ary Contai~nt: ~l~all ~S~etic Liner ~st~ ~ne ~o~ ~Other (de~ri~): TAN___~K 4_ ~ (FILL OUT SEPARATE FORM FOR EACH TANK) .EOR EACH SECTION, CHECK ALt. APPROPRIATE BOXES H. 1. Tank is: ~']~aulted []Non-Vaulted []-1Double-Wall []single-Wall 2. ~ Material --~Carbon Steel [-] Stainless' 'Steel ['~ Polyvinyl Chloride [] Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Al~in~n [] Bronze []-]Unknown [] Other (describe) 3. ~ Containment ............ Pate~InstallecL_ Thicknes_s__(Inches) Capacity.-~Gallons) .......... Manufacturer__ 4. Tank Secondary Contai'nment ' []-]Double-Wall []Synthetic Liner []Lined Vault ~None []Unknown ~]Other (describe): Manufacturer: ['~M~terial Thickness (Inches) Capacity (Gals.) 5. Tank ~nterior Llnin~ ---~Rubber []Alkyd [~Epoxy [~Phenolic []']Glass []Clay ~l~lined []t~tknown ............ [] Other -(descr~ib~): ................................. 6. Tank Corrosion Protection ~G~ ~ass-Clad []Polyethylene Wrap F]Vin¥1 Wrapping{ ~Tar or Asphalt []Unknomm ~]None []Other (describe): .Cathodic__ Protection: ~{None []Impressed Current System ['l~'rificial ;~xte System 'Describ~ System & Equil~uent: 7. Leak Detection, Monitoring, and Interception a. Tank: []Visual (vaulted tanks only) []Groundwater Monitoring' Wail(s) nvadose Zone Monitorin~ Well(s) []U-Tube Without Liner F7 U-Tube with Compatible Liner Directing Flow to Monitorin~ [] Vapor Pstector* [] Liquid Level Sensor* [] Conductivit~ Sensor' [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Bstrieval & Inspection From U-Tube, Monitorin~ Well or Annular Space Dail¥ lu~in~ & 'Inventory Reconciliation ~Periodic Tightness Testin~ No~e ~J Unknown ~] Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitoring Stoup with Raceway [-]Sealed Concrete Raceway []Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway []None [] Unknown [] Other 8. ~en Tightness Tested? []Yes ]~qo []Unkno~mm Date of Last' Tightness Test Results of Test. Test Name Testin~ Company 9. Tank ~ ~ Repaired? []Yes ~ []Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Operator Fills, Controls, & Visually Monitors [~vel []Tape Float Gau~e []Float Vent Valves F]Auto Shut- off Controls []Capacitance Sensor []Sealed Fill Box ~None []unknown []Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~yes [~No []unknown Material SJ~ Thickness (inches) ~__ %{ Diameter ~ch g~Manufacturer ......... ......... ~[Pressure. ~r']Suct'ion _[]Gravity_ __Approximate--Length of-Pipe-1~-- -~.~_~ b. UnSerground Piping Corrosion Protection : {Galvanized []Fiberglass-Clad F]Imlxessed Current []Sacrificial Anode Polyethylen~ Wrap [2]Electrical Isolation ~Vinyl Wrap []Tar or Asphalt []Unknown []None [].Other (describe): c. Underground Piping, Secondary Contai~nent: I-]Double-Wall ~]Synthetic Liner System F~N~ne []Unknown ~Other (describe): Facility Name ~ ~_~ ' Permit No. TANK. ~_ ~ ' (FILL OUT SEP~TE FO~ FOR ~,~ T~K) FOR ~ SE~ION, ~ECK ~ ~PROPRIATE BOXES 2. ~ Material .Car~n Stol ~ S~inless' Steel ~ ~l~inyl C~oride ~ Fi~rglass~l~ Steel Fi~rglass-Reinforc~ Plastic ~Concrete ~ ~in~ ~ Bronze ~k~ ~ Other (de~ri~) 3. Priory Contai~nt .............. ~te Install~ ~ic~e~s (Inches) ~city (~llons) ' ~nufacturer 4. Tank Secondary Co~tai~ent ~Other (de~ri~): ~ufact~er: ~-terial ~ic~ess (Inc~s) ~city (~ls.) 5.. Tank '-Interior ~ ........... ~Other (de~ri~): 6. Tank -C6rr6~-i~n Pr6tedtlon .Ca.lc Prot~tion. ~ne ~es~ ~rent ~t~ ~crificial ~e 7. Leak Detection, ~nitori~, a~ Interce~ion a. Ta~: ~Vis~l (va~ ~ o~y) ~Gro~ter ~nitori~' ~ll(s) ~V~ose Zone ~nitorl~ ~11(s) ~~ Wi~ut ~ner ~ Pre.ute Se~r in ~ular S~ of ~uble Wall Ta~=  ily ~i~ & I~entory Re~nciliation ~ri~ic T~h~e~ Testi~ b. Pipit: Fl~Restricti~ ~ak ~t~tor(s) for Pre~uri~ Pipi~= en Tigh~ess ~st~? ~Yes ~ ~o~ " ~te of ~ Tightne~ Test ' R~sults of Te~ Test ~e ~sti~ C~ny 9. Tank ~ ~ te (s) of ~lr (s) " 10. ~erfill Pro~ction ~rator Fills, Controls, ~ vis~lly ~nitors ~vel ~Ta~ Fl~t ~e ~Fl~t Vent Valv~ ~ Auto Shut- Off Controls ~OLher~ List ~ ~ ~el F~ ~e ~ices Thickne~ (i~hes)~1 Dtmeter 5{~ g~Hanufacturer b. Undergro~ p~pig-'cofr'~sion Prot~tim : ............. ~Polye~yle~ Wrap ~Electrical I~lati~ ~Vinyl Wra~ ~Tar or ~lt ~Unkno~ ~None ~her (de~ri~): c. Undergro~ Pipig., Seco~ary Contai~nt: ~Other (de~ri~): , PERMIT CHECKLIST This checklist is provided to .ensure that all necessary packet enclosures were received and that the Permittee has obtained all necessary equipment to implement the first phase of monitoring requirements. Please complete this form and return to KCHD in the self-addressed envelope provided ....... ~i~hin $0 ~a~¥-'~f~c~C~'2TM .... - Check: Yes No  A. The packet I received contained: · 1) Cover Letter, Permit Checklist, Interim Permit, Phase I Interim Permit "'M~n'it~ng~R'equirements,-'"Information-'~shee~ "(Agreement-Between-O~ner .... and Operator), Chapter 15 (KCOC #G-3941), Explanation of Substance Codes, Equipment Lists and Return Envelope. 2)Standard Inventory Control ~onitoring Handbook #UT-10. 3)The Following Forms: a) Inventory Recording Sheet b) Inventory Reconciliation Sheet with summary on reverse  c) Trend.Analysis Worksheet ~ 4) An Action Chart (to post at facility) ~/ B. I have examined the information on my Interim Permit, Phase I ~onttoring Requirements, and Information Sheet (Agreement between O~ner and Operator), and find owner's name and address, facility na~e and address, operator's na~e and address, substance codes, and number o~ tanks to be accurately listed (if "no" is checked, note appropriate corrections on th~ back side of this sheet).  C. I have the following ?equired equipment (as described on page 6 of Handbook): 1) Acceptable gauging instrument · ~/ 2) "Striker plate(s)" in tank(s) ~ 3) Water-finding paste ' D. I have read the information on the enclosed "Information Sheet" pertaining to Agreements between Owner and Operator and hereby state that the o~ner of this facility is the operator (if "no" is checked, attach a copy of agreement between o~ner and operator). E. I have enclosed a copy of Calibration Charts for ~11 tanks at this facility (if tanks are identical, one chart will suffice; label chart(s) with corresponding tank numbers listed on permit). J__ F. As required on page 6 of Handbook #UT-10, all meters at this facility have had qalibration checks within the last 30 days and were calibrated by a registered device repairman if out of tolerance (all meter calibrations must be recorded on ~/~ "~eter Calibration Check Form" found in the Appendix of Handbook). ~ fi. Standard Inventory Control ~onitoring was started at this facility in accordance ........................ with ~roce~ures described in Handbook #UT-10. Date Started" ' Date: i/ / C' 7" ,/ --/ OPERATIONAL AGREEMENT FOR UNDERGROUND TANKS ], Jaco Hill, a Gen. Ptnshp. owner of underground storage tanks written contract with Jaco Jamieson, a Gen. Ptnshp~ the operator ~f same, to fulfull a requirement of my Permit to Operate, ~-~_[L~. I ha, yes,provided the operator with a copy of the Permit to'Operate and Chapter 15 of the Ordinance. i, Jaco Jamieson , operator of underground mtorage tanks located at 805 3~th St.~ Bakersfield, Ca. have received ~from Jaco Hill , owner 'of same, a cOpy of Permit to Operate # ~6 ~ [~, and Chapter 15 of the Ordinance describing fines an,l penalties for non-compliance. I have read and understand my "esponsibilities under, this Permit and agree to'do the following: -- monitor the underground tanks as specified in the Permit.to Operate. --maintain appropriate records as required by the Permit to Operate. -- implement all reporting procedures as required by the Permit to Operate. Jaco Hill Jaco Jamieson SiEned BY: ~¢n~ ~ _ ~.,_~ _ BY:.//Operator Date '' "Jaco Oil Company '3101 State Road Telephone: (805) 393-7000 Post Office Box 1807 Bakersfield, California 93308 ~ Bakersfield, California 93303-18 ~ May 26, 1987 Ker.~ County Health Department 1700 Flower St. ' " · Bakersfield, Ca. .. ".':'".. ' '~'-~TTN~ ...... An n-~'B'oy~ e - ---~- ' -"..' '.. Dear Ann: ' .. Enclosed please find a copy of our revised forms. These forms .' and procedures will be implemented system wide as of June 1, 1987. We will be holding meetings in our office on May 28, 1987 at 9:00 a.m. and 11:00 a.m. should you wish to send anyone from yoUr office. ... Sincerely, . _ Roy F. Saunders RFS:js encl REPORTING PROCEDURES FOR INVENTORY SHORTS/OVERS Any loss that is--~~bl~ under-the ~uidelines ~must to the Health Department and Jaco's office. The guidelines for reporting are as follows: 1) A~y shortage or overage on any tank over 200 gallons on ~..~a daily basis must be reported to the Health Deparmtent and ............. i.~ our office. 2) Any shortage or overage over 350 gallons or above 5% by the weekly calculation mus.t be reported to the Health Department and our office. 3) On a monthly basis, any shortage or overage over 1½% of monthly throughput must be reported to the Health Department and our office. 4) On a monthly basis, if your total number of shortages exceeds the action number chart it needs to be reported to the Health Department at once. The Health Department reporting number is: 805-861-3636, 24 hours Jaco Oil's office number is: 805-393-7000 The Health D~partment will need your location and permit number for reporting purposes. .. "'Jaco .Oil Company DAILY REPORT INSTHUbTIONS -. ..... Ah ..... Fi.il in the month, day_~_a~_~9a_r~_at the top as well as the lb%-~'i~fi- at-~th-~--b6226m bf -the'~agef .............. B) In A~ea #1, write down the pump number, ~otal sallons and total money reading from the console, or the dispenser as the case may be. C) Lithe #2, is the total of all pump readings. ': D) .,~ne., #17 is the start figure, or totals carried forward from the ~ ~previous day -" * F) Line #9 is for deducting pump tests that were returned to the " underground tanks. .~-...: G) ' Line #15 is the net total Sales after adjustments. H) Line #10 is the total sales in gallons for the day. This should : be taken from Line #15. I) Line #11 is the total sales in money, by grade, less pump tests and credit cards., if any, to determine your deposit. J) Line #4 is the beginning inventory by the prior days gauging ~ (Line #5 of prior days report). K) Line #12, receipts are gross gallons received for inventory. These gallons are not to---~temperature corrected. L) Line #14, these numbers are in section l0 which cmne from Line 15 of the report. (Total gallons sold by grade of product). , i M) Line #5 is the sum of Line 4 plus Line 12 minus Line 14 to determine Book inventory. I: N) Line #3 is the inches you gauged.the tank at the close of the report. 0) Line #15 is the gallons those inches represent from the tank chart. P) Line #16 is the difference between Line 5 and Line l~. Q) Line #15 is your beginning number for Line 4 for the next day. - Line #2 becomes Line 17 for the next day. Special Notes: l) Daily tank gauging must take place at the same time that ~he final shift is cut off for the da~. It is imperative that this be done to have accurate paperwork. 2) It is recommended that the gauging be performed by the same oeople as much as possible. 3101 State Road Telephone: (805) 393-7000 Post Office Box 1807 Bakersfield, California 93308 Bakersfield, California 93303 ... .-.. :l:: ~,~- ~ ~,.c 'r,u ~x ~' ' ~ ~ / ~.. JACO OIL COMPANY, P.O. BOX 1807, BAKERSFIELD, CALIFORNIA 93303, (805) 393-7000 A Monlh /'~ ~ ~-x~. Day -- LEADED PREMIUM ~,~ REGULAR NO LEAD ~ UNLEADED PREMIUM ,~ DIESEL ~ t ?' "" .... "" ' - ' I I - " ~ '" ~~ - : ''' ! ' ' I ! "1 ' I I ' ' I I ¥ . I :¢. I I .- i i I I '-.; ' "" .i i i I ~ I I I I i I Total ~ ~ Finish ' ' Total Star~ ~ I TOTAL ~ ~. Tests ~ ~ I I ! TOTAL ~ ~10~I ~ I ~ I I SALES ~¢~ TOTAL GALLONS Beg. Add Rcpts. B + or ... GASH Leaded Premium L. Prem. Regular Reg. NO Lead No Lead ) 0 Unleaded ~emium NIL Prem. [ 0 / Diesel TOTAL REMARKS: ~ Total ~ CIGARETTE SALES ~ Less Ct. Cards UNIT PRICE AMOUNT Less Pump Test I NAME: CITY: DEPOSIT · . ' WHOLESAL -... I BULK .LA.T 8 .................. I -- 2200 E; BRUNDAGE .......... . BAKERSFIELD, CALIF, 93307 ,, ~ INC. DATE. ~ '. ~ I (805) 327-4~00 Truck # :" . · ,1 SOLD TO: SHIPPED TO:-- ?':"'""!~)::'~':'":"'?"~':""~"'"~:'"'~-'" ~ G o l lo ~ ~ ~ ~~ot5 cd. ,,L, I GAUGE TOTAL PRODUCT BEFORE AFTER PRICE 01 Gasoline - Flammable Uquid UN1203 ) Lead Gaaollne - Flammable Liquid UN1203 i 0 em. No Lead Gasoline - Flammable Liquid UN1203 Premium Gasoline- Rammable Uquid UN1203 . _":,.'.',. " · '.1 04 Diesel Fuel ~2- Combustible Liquid NA1993 .......:.,. '..'.....,./ :-. :..' · .-.;,.~;.'..'..' .:,.~,:...:...:~ , :,~.~.:..-~., .: - PC PART NUMBER PRODUCT DESCRIPTION " : Flammable Liquid [] 80 Drums Delivered ( ) Returned ( ) 80 Drums Delivered ( ) Returned ( ) . · I This invoice Includes California and federal taxes if applicable. Terms: Net by the ~0th o! the follow- .....,.... .... lng month. A I~P/b Interest will be assayed on past due amounts, which is a.n annual percentage I Of 18%, In the event an action Is brought by wholesale fuels Incorporaled for the collection of sums InVOice T~lal f due, reasonable attorney:e lees and costs shall be paid In addition to the sum due, I Charge Check_,~..~.._Check # C.O,D. (Cash)~ WHITE OFFICE · ' ' GREEN · OE[IVER~ ....Jaco Oil Company OVER/~HORT CALCULATIONS .. l) Fill in Permit #, Location~ ~onth and Year. 2) Identify each product you are keeping the recap on. B) Enter the total sales by product from Line 10 of the Daily Report to the appropriate date line. .. -. ~) In the Plus and Minus columns enter the amount over or -short for each day from Line 16 of your Daily.Report. 5) T~.weekly total on this foz~m will be.the figure you will '. '.~'use as your gallons over or short for th~ week you are . .,' I.' 6) To determine the gallons over or short~ you take the i" 'gallons over, less the gallons short, to arrive at a net '- i..- " number. This numbe~ can be a negative number... . ~ .- '?) The monthly recap will be the total gallons over less the .~ - total gallons short. Again, this can be a negative number. This is the total amount over or short for the month. INVENTORY CALCULATION l) To complete this portion, you need two numbers: a) The net amount over and short from recap of overs and shorts for the week; b) Total weekly sales by the meter reading also is on the recap. 2) SECTION A: Enter the net gallons over or short for the week on the first line and total sales for the week on the second line. By dividing the gallons sho~t or over by the gallons sold you will have a fraction. By multiplying this fraction ~y 100 you will have a percentage ef variation. SECTION B: Simply answer the'two questions ~ased on the information you have gathered. At the end of the month a recap of the month (28-~1 day period) 1' shall be calculated using the same format. ' 3101 .State Road Telephone: (805) 393-7000 Post Office Box 1807 Bakersfield, California 93308 Bakersfield, California 93303 ,....J'aco Oil Company 3101 State Road Telephone: (805) 393-7000 Post Office Box 1807 Bakersfield, California 93308 Bakersfield, California 93303-1 ACTION NUMBER CHART In an effort to detect leaks, an "action number" has been ~ de~eloped. For each month you will count, the number of total shortages by product. If a product comes up short " "--mo-r-e-..than_..the_.acti~on_numbe~ ,'_..it~indicates _a.~possibl~_~.~le~,a_k~__a.9~ is : to be reported at once. This recap will be totaled at the .. end of each month. ~At the bottom of the over/short calculation. '- ....... ACTION NUMBERS ,. JANUARY 17 FEBRUARY 15 MARCH 17 APRIL 16 MAY 16 JUNE 16 JULY 16 AUGUST 16 SEPTEMBER 16 OCTOBER 17 NOVEMBER 16 DECEMBER 17 bu;-~u~ ! anuT~uoo 'ON . · . .~ : ~. , ~. ~ ~ ~: .~. _ ~ ~ ~ - ~ . . .. -- Z ~ o ~ ~ o ~ u z-- ~uno~ uzoM q~ ~cdoz 'sox ~u~' auT~nc~ ~nu~u~- ~ .... 6~uno~ ~ego pa~aaox~ s 2oqs ~nO~ H ~'i ~=~o uo~:~A s~ '~ ~uno,, ~2,qo papoaoxa saSe~og~ :no~ aAeH g~'I P~7:~ u~7~7:,,% sc~ -~ ~ p~o, -s~D ~o~ ~ S~ ~o4sl:~no s~s LOt ~ t ~ ~ ~5Ol ' 'v 9I 0 1% r ~,~, k9 ~ ti b 91 4t/"?_. "- ' :' ' ' ' m q:oqs/~a,o sled 'v _ -- /:;~' ; '"" "' .... ' - ' :7.__ : -' t;to= '~ uv~0~ , = LHOHS ~:.IAO fi'lOS SNOq'lVD SAVG - " ,t,H~)!{fi )T:.IA(~ C'JlOS SNOT]VD x ' ' ~ ' ]~OX ~9 ~ ..~"--i 'U -q~u°w )' [ ~ '~1..% f~ ~ ..... rio!~cOOq uv~.A/bHOR'l'b CALCULATIONS PERMIT # Locat ion Month Year PRODUCT: ~,- DAYS GALLONS SOLD OVER SHORT Gal:. owr/=-h~rt PRODUCT: ..... c, al~. ove~/s.~.~t __1 ; DAYS GAI,LONS SOI,D OVER SHORT : TOTAL Gals. sold 2 TOTAL Gals. sold i ~ 3 -- x 100% variation 2 ._ ~ x !~D% variation 4 B. ~s ~mt. over/short exce~ 350 gals? -- 3 ~ B. ~s ~z.t. over/zhDrt excc~ 350 gals? 5 -- ~ - ~nt~nue ~z~rin9 __ ~) - C~tinue ~.~nitoring Ye~ - ~rt wi~n 24 hfs o~i~very 4 ~ Yes - F~rt %~,ithin 24 hfs o~ 6 ~I -- aiscovery 7 ~s ~e variati~ e~ed 5%? { ~es the variation exceed 5%? -- ~ - ~tin~ routine ~i~rin9 6 __ ~ - ~ntinue routine ~nitoring TOTAL __ Yes - ~rt to ~ttin~ Au~rity 7~ __ Yes - ~rt ~ Pe~itting ~rity within 24 hfs of disuuve~ TOTALS { within 24 hfs, cf d~s~gve~ 9 / A. Gals over/short ~ 8 ~ a. Gals over/short 1 0( + " 9 ~ + TOTAL Gals. sold t 1 . =OT~ Gals. sold , 10 X 10O% Variation X 100% Variation ~t. ~er/s~rt e~ 350 g~s? 11 ~ B. ~s ~t. ~er/s~rt e~e~ 350 12 B. ~e~ - ~t~=e F~i~r~g ~ ~ 1 2 { -- ~ - ~nt~ue ~=ni~ring 13 14 __ Y~ - ~mrt wi~ 24 ~s o~i~ry{ 13 } -- Yes - ~mrt wi~ 24 ~s o~i~ TOTALS ~s ~e variati~ ex~ 5%? { 1 4 { ~ ~S ~he ~iati~ ~ 5%? 1 5 : -- ~ - ~t~ rou~ne ~i~ring { ~ - ~t~ rout~e ~i~ring -- Yes - ~rt ~ ~tting ~ri~ [ TOTALS { -- Yes - ~mrc ~ ~mtting ~ri~ 1 6 w~=~ 24 ~s of di~ve~ { 1 5 { wi~ha~ z4 ~=s of lB A. Gals over/short A. Gals over/short + 17. +. TOT~ Gals. 19 ~ ~a~s. so~4 18 X 100% Variation X 100% Variation 2 0 S. ~ ~t. ~r/~rt ~ 356 g~? 1 9 B. ~s ~t. ~/s~t ~ 350 ga~? 2 1 . _ __ ~ - ~t~ue ~i~r~g 2 0 ~ - ~nt~u~ E~ni~rin~ -- Yes - ~r~ wi~ 24 ~s o~. __] TOTALS __ ~ - ~ wi~m z4 ~ o~i~ 2 1 -- ~ ~ ~iati~ e~ 5%? ~s ~e ~ti~ e~ 5%? 2 2 : ~ - ~ r~t~ ~r~g TOTALS ~ - ~gtm~ r~t~ ~i~r~ 23 -- Y~ - ~t ~ ~t~ ~i~ 22 -- Y~ h ~rt ~ ~tt~g ~ri~ -- 2 8 I -- I X '100, Va:iation 2 7 I ,. TOTALS~ ~ ~. ~s ~. ~r/~rt e~ 3~o ~a~? '~ ~. ~s ~. ~r/s~ ~ 35o -- -- Yes - ~mrt wi~n 24 ~s o~i~ 2 9 ~ s~ - ~ ~m ~4 ~s o~ TOTALS ' ~ ~es ~e ~ti~ ~ 5~7 ~ - ~t~ue r~t~ ~i~t~g~ ~ - ~tinue routine ~i~ing ' ." MONTHLY~ ..- · i%6h~'l~ ~o -' TOTALS { ~L~:l'~ s~6 .............. --~~.~ ~ ~- ................ "· Gals over/sho=t ..... ~..~ -. . ~ ' TOTAL Gal~. sold TOTALS ~ (TOTAL H TAGES TO=~ ~al~. so~a GRAND " Have your shortages exceeded chart ~t? x ~00% varia~io~ TOTALS (TOTAL SHORTAGES) x ~00~ ~ Ye~ ~ s- ~s vari=~ion e~=~=~ ~.5=? Have your shortages exce~ed chart ~o~t? ~. ~s va:ia=i= ~==~ , If Yes, re~rt to Kern Co~ty -- ~ -~ntinue P~utine ~i~ring Yes No ~- ~ntinu~ ~utin~ ~itoring · ~ut ...... If~o. ~nn~ ~ n,~ ~n ~ ~n~ n~ __ Yes - Re~rt to Pe~itting Authority If Ye~re~r~o Kern Co~ty __ Yes - Re,ri to pa~itt!ng r, ' 17~ ~ S~,~ .... ERN COUNTY HEALTH DEPA - H~L~ OFFICER T~ldm~e (805) ~1-~ E~RONME~L H~ ~Sl~ ' * ~E~ ~ E~~ H~ August 19, 1987 P 0 Box Dear Hr. ~aonders: After careful revie~ of the reportable inventory .' variations at your facility located at 805-34th Bakersfield. California (per.it S060011C). this Depart=ent has concluded that these results are due to a history of lo~ throughput. This letter Is to advise you that you will be granted a ,provisional exe=ptlon" fros the standard reportln~ described in your per. It packet. This Depart=ent is currently undertaking a study of the inventory control problems, of low-throu~hput tanks. To facilitate this, a copy of reconciliation ~orksheets for tanks listed on the attached outline must be sent to this Department ~onthly so that we say add this information-to our data base. Please send all submittals to sy attention. Our prell=lnary Information indicates that' a chan~e In reportable variations Is necessary when the throughput of a tank is less than 2,000 ~allons per ~eek and less than 10,000 ~allons per sonth. .The acco~panyin~ "Lo~-Throu~hput Tank Reporttn~ Outline" describes these chanzes. A revised action chart and an example of a chan~ed su~=ary sheet (on the back of inventory reconciliation worksheet) have also been enclosed for ~our convenience. Please ~ake these chan~es on your ~orksheets for weeks ~hlch you have lo~ throughput. : DISTRICT OFFICES Roy Saunddrs Page 2 ...' August 19, 1987 · . .. ..... ~. ~.-:.-.-.~ .Be advised that this provisional exemption is subject to change as further data becomes available to the .Health Department. If, however, a listed tank at any time exceeds the defined low-throughput amounts, 'you must revert .to :.:...~ ,. you have any questions regarding this correspondence can be reached at (805) 861~3636 between 8 am -9 am, ' .... ' ?.. -y '~ ~, ,~... Sincerely, "' - ..... .......................................... ! ..... Z .... Jani-s *~ehman ............... Environmental Health Specialist " "~:~-'- .' Hazardous Materials Management Program Enclosures (Form letter #HMMP 510) Lote--Throul~hput Tank Revorttni~ Outline These amended per=it requtre=ents are °nly applicable to tank(~') indicated belo~ ~hen ~eekly throughput is less than 2000 ~allons and =onthly throughput ts less than !0,000 Kallons: . :~. ', Efffective Date:, August ,19~ 1987 Tank $ , 1.. Revised inventory reconciliation ~onttoring ~orksheets are to be sub~itted to the Health Department on a monthly basis. 2. Revised Action Chart is to be posted at facility 3. All varia~ions exceeding the following amounts must be reported as described on page 16, Part "2" of Handbook SUT-IO. DAILY - 75 gallons WEEKLY - 150 gallons . MONTHLY - 200 gallons . . TREND ANALYSIS - No change (Form ~HMMP-110) ," ........Jaco Oil Company 3101 Slate Road '"Telephone: (805) 393-?000 Post Office Box 1807 Bakersfield, California 93308 Facsimile: (805)393-8738 Bakersfield, California 93303-1807 .,".'~'/' ~ ~'.~X ' June 27, 1990 Kern County . ' -~-Environmental_Health__Departmen 2700 '~" Street, Suite 300 Bakersfield, Ca. 93301 .. Ms. Amy Green: . ' "'" Please be advised that the attached forms are those forms that we have requested that all of our operators in Kern County utilize in completing underground tank monitoring. Please advise us if you have any problem with these forms. La~ence Henson Gasoline Operations ....... ~VRR~S~ORTS-~CALCULATiONS PERMIT ~ Location Month Year A. Gals. over/short PRODUCT: Gal.~. o,e~/,hort PRODUCT: DAYS GALLONS SOLD OVER SHORT -'un..DAYS GALLONS SOLD OVER SHORT TOTAl, Gals. sold 1 TOTAL Gals. sold 1 * ~ ~s t~ variatim ex~ 517 ~ , . T,.R . ~ A. Gals ovec/shor t 8 Yes - ~rt within 24 hfs o~i~r~ 1 3 Yeo - ~} v/~in 24 ~a o~i~ - -- within 24 ~s of dimu 1 5 16 18 ~ + mo~a~ oals. sol4 -- 18 - x ~00% variation 2 1 : Xes - ~rt wi~in 24 hfs Glint 21 TOTALS ~s t~ variatim ex~ 517 TOTALS ~ - ~t~ r~tl~ ~imriN 2 5 A. ~la over/iho~t 24 A. 27 x 100t variation 27 U. 28 ~ B. ~s ~t. over/s~rt e~ 350 -TOTALS .........__ Yes - ~rt wi~in. 24 hfs otiave~ --TOTALS --~a'~ {ariatlm' ~ St? 3 1 " -- Yes Re~rt to ~mltti~ ~t~[ity 30 -TOTALS . (TOTAL SH( RTAOgS + ~ ~,l,. ,oxd GRAND _ ' ~' Have your shortages exceeded char~ amoun.? n. ~svari.ti. ex--l.S,? ,lave your shortages exceeded chart amount? If ~es, report to KeEn County ~ Yea - Be~tt to ~zmitti~ ~t~rity If Yea, report to Kern County ---- :, ~h:~,~9~:%.. ~f ai~rv I~ NO, continue monitoring vithin 24 h~a of diary Ir NO, continue monttorina e i~o.~a o ~ ~, . pl~q ON · mn!uJaad ", Sgqvs Hsvo .Lonooud , - ~o + gUOlleD ge~3Ul '~Ul qoo8 sele$ 'cln$ 'elcl3U PPY '~ul '§eS ~NO'I'IY~ 'IY.LO.L I I ~ ~ I I I I I i I I I i I I 41UOlq sUOIl~D Aeuolq SUOlleD Aeuoiq ~UOll~D AOUOlq SUOlle~) ~ouolq SUOll~O e '19s91a ~ antesud ClSOV3'INn 0 GYm'1 ON ~) UV'II'I~:JU w~.) lq ~ et'".. ~ea muor~ 000Z-£6~ (cj0g) '1~01~£6 VlNEIO-II'IVD 'O'131:lSklg)~¥g '/0St XO8 'O'd 'ANVd~O:~ '110 OEJVr Environmental SensitiVity ' ~ Inspection Time ~ ~ UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY ..' * INSPECTION REPORT * No. of Tanks . Is Inform~ion on PermiEAppli~tion Cor~? Y~ No ~rmit Po~? Y~ No Ty~ of In.reiGn: Routine ~ Complaint Rejection iTEM VIOLATIONS NOTED 1. ~imew Containment Monitoring: ~ lnte~ing an~ Di~ing ~em ~n~rd inv~t;~ ~ntro, Monitori~ ~ Mod~i~ I~e~W ~n~! Monitoring d. lmTank L~el ~ng D~i~ ~ Gmundw~ Mon~t~ng f. V~ Zo~ Monitoring 2. ~ndaw ~n~in~ Mon~oHng: ~ Lin~ ~ ~ubl~Wall~ Ta~ ~ Vault 3. Pipi~ ~:~riz~ b. Su~ion ~ Gmvi~ Tightness Testing , . 6. New Construction/Modification 7. Closure/Abandonment . 9. Maintenance, General Safety, and Operating Condition of Facility Comments/Recommendations: INSPECTOR: , REPORT RECEIVED BY: / , ~ _,_~ , ~ .'. . _ Health 580 4113 170 (7-87) -' KE NTY AiR ,:~0~.~_U ~CN CC4'~TAOL.'3Z ICT !73C '~,l" ~cree~. S~i:~ 273 ~a~r~f~eld, CA. ~3SG1 · .' "'" (805) 861-3682 ~ II VA~R R~V~RY INSP~CTI~ FO~ N~ZL~ .~PE 'NOZZLE ..... - 7. SIGNS POSTED K~ To s~em tvme. s- ] ~ey ~o defici~gl~: NC: not cer=ifi~, B: brok~ RJ=R~ Jacket ~lf Rasse~nn ~ ~ ~s ad~stm~tz . L= l~g, L~ l:e_ . F ..~'~8~ T,~,~, ,,L~.~RKED WITH A "T" CODE IN INSPECTION RESULTS;. ARE IN VIOLAT~CN OF 1._ THE CALIFORNIA ~ VIOLATION T~...~x..,~, ~x~.-~_5~.~i~_r--~_.._UE_.U.._. !u_~.uuu.uu P~.N DAY FOR E~C2H DAY OF . cutoffs: k~um) ~Ot-~b~Z I;L~NCB~'qiNG FINAL REL~OLUT~ON OF THE VIOLATION. NOTE: CALIFORNIA HF_AL,~ ~ SAFETY ~;ODE-SECTICN 41g60.2j RE(~.III~cJ.~ I"HAT THE ABOVE LI~TED 7-DAY" DEFICIENCIF~ BE CORRECTED '4[i'HiN ? DAYS. FAILURE TO ~!PLY MAY RE..RULT IN LEGAL ACTION i~ERN COUNTY AIR POLLUTION CC. NTROL DISTRICT 2700 "M" S~r~, Su~ 275 Bakersfield, CA. 9330! '" (805) 861-3682 ~E I VA~R RETRY INSPECTI~ FO~ 4. 8~ OR MI~ING r'Z~_ CAP 5. 8~K~ O~ L~K ON VA~R CAP 6. FILL CA~ NOT P~PERLY S~TED -- %, VA~R OA~ NOT P~PERL~ $~qTED ~0. FILL ADAPTOR NOT TI~T ~1. V~R ADAPTOR NOT TI~T 15. ~KET 8~E~ ADAPTOR & FILL ~ '" '3~ DRY 8R~K ~t~:~TERZO~TED ~ ~IAL FiLL mBE ,-, 15. ~IAL FILL TdBE SPRING ME~ ISM DEFECTIVE ., .~~., . '5. T~4K 9EPTH M~EU~B,iT · ~..~'~u~J 8E OR LESS) 19. O~ER ) , ~R 12.1. '~E CALI~IA H~L~ & SAF~ ~DE -- SP:O[F~ P~ALT[~ O~ UP TO $1,000 O0 PER OAY FOR ~ V[O~T[~ 86~-3682 ~EE~ING F,NAL ~LUTI~ OF ~E VIO~Ti~(S) :[O~TI~'~ .T~LS~E -, - Station Address Major Cross Street_..-~. Telephone No - · Totali~' R~ading When WARNING U.~ of thi~ de~c~ ~ prohibited by rote law and un- authori~t rmomi of thi~ tag or u~ of thi~ equipment mil con~tum a ~olation of the law punishable by a m~mum d~l fine of $1,000 I~r day or a ma~mum criminal line of $500 pm' day and/or ~ix month~ in iail. ! declare under l~nalt~ of l:~U~ that the devi~ ta~d ms not u.~d, nor ~s the tag remo~d, until the required repairs ~m effected and the divot notified. Repaired by Title (Please print) Signature Date Time Totalizer Reading at Time of Repair Repairs made. BEFORE USING THIS DEV~tT.elel~r/e~r local air pallu~ion con~'ol dis~c~ at ~ ~ ~ '~'~ ~ ~ · ~ ~i~ ~e made to the no~e ~ ~u must noti~ the Coun~ De~ment of Weigh~ and Me.urn. 68313 oO PERMIT NUMBER (%[0OO% TYPE'OF INSTALLATION ( ) 1. In-Tank Level Sensor i~/2. Leak Detector (~3. Fill Box ~--7 CONTACT PERSON 3~h~ -IN TANK LEVEL SENSORS ........................................... Number of Tanks L~st By Tank ID Name of System Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS Number of Tanks ~ Ltst~By Tank ID Name of System ~~QC~ Manufacturer & Model N~mber /~//~ Contractor/Installer 3. FILL BOXES Number of Tanks ~ List By Tank ID Name of System Manufacturer & Model Number /\///~ Contractor/Instal 0 OR ........... DATE Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION ~. 2130 G Street, Bakersfield, CA 93301 I(~ .~b UNDERGROUND TANK QU~=S-T-IOR!YAIRE REOP. IVEI~ ~j~l. FACILITY/SITE No. O~ ~nN[S ~ A~s'~ ............ DBA OR FACILI~ NAME ~ I N~PERATOR ADDRE~ ~ J N~REST CRO~ STRE~ PARCEL No.(OPTIONAL) CI~ NAME STATE ZIP CODE ~ BOX TO INDICATE ~ CORPORA~ON ~ INDIVIDUAL ~ARTNERSH~P ~ LOCAL AGENCY DIS~ICTS ~ COUN~ AGENCY ~ STATE AGENCY ~ FEDE~L AGENCY EMEEGENCYCONTACT PERSON (PRIMA~ EMERGENCY CONTACT PERSON (SECONDA~ optional DAYS: NAME (~ST. FIRS~ PHONE No. WITH AR~ CODE DAYS: NAME (~ST. FIRS~ PHONE No. WITH AR~ CODE NIGHTS: NAME (~$T. FIR$~ PHONE ~, WITH AR~ CODE NIGHTS: NAME (~ST, FI~ PHONE ~. WITH AE~ CODE II. PROPER~ OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRE~ INFORMATION MAILING OR STRE~ ADDRESS ~ BOX a INDIVIDUAL a LOCAL AGENCY a STATE AGENCY ~ O ~O~ j~ ~ TO INDICATE ~RTNERSNIP QCOUNW AGENCY aFm~L AGENCY CIW NAME fiTAT~ ZiP CODE J P~ONE ~. WITH AR~A CODE III.TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRE~ INFORMATION AILING OR STREET ADDRE~ ~ BOX ~ INDIVIDUAL ~ LOCAL AGENCY ~ STATE AGENCY ~q M¢O~' /~ TO INDICATE ~RTNERSHjP ~ COUNW AGENCY ~ FEDERAL AGENCY A STATE ZIP CODE PHONE No. WITH AREA CODE OWNER'S DATE VOLUME ,PRODUCT IN TANK No. INSTALLED STORED SERVICE /~ I~oo0 "--~eq.~.lA~ ~,,os,~/,'luc, ~N YIN YIN DOYOU HAVE FINANCIAL RESPONSIBILITY? Y/N WPE · - Fill one segment olfor each tank, unless all ~ks and piping are ~constructed of the~,~ame materials style andt~e then only fill ° one segment out. please identify tanks by owner ID #. I. TANK DESCRIPTION COMPLETE ALL ITEMS - ,SPECIFY IF UNKNOWN c. DATE ,NSTALLEO<MO, DAY/YEAR, I ? 3J D. TANK OAPAO'TY ,N GALLONS: III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] 1 DOUBLE WALL '~ 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER S. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [~ 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLEW/FRP (PrimaryTa. nk) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] , RUBBER LINED [] 2 ALKYD L,,ING [] 3 EPOXY LINING [] , PHENOL LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER J~) LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO__ D, CORROSION E~ 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 95 UNKNOWN [] 99 OTHER IV, PIPING INFORMATION C~RCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A, SYSTEM TYPE A [J 1 SUCTION A~ 2 PRESSURE A tJ 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A~ 3 LINED TRENCH A IJ 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A [I 2 STAINLESS STEEL A IJ 3 POLYVINYL CHLORIDE (PVC)A (~4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A IJ 7 STEEL Wl COATING A U 8 100"/o METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A IJ 99 OTHER D, LEAK DETECTION ,~ 1 AUTOMATIC LiNE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIALMoNITORiNG [] 99 OTHER V. TANK LEAK DETECTION [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] 6 TANK TESTING [] 7 INTERSTITIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN I A. OWNER'S TANK I. D. # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK C'~)N-~TRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOXD A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED, TANK) [] 99 OTHER B, TANK [] 1 8ARESTEEL [] 2 STAINLESS STEEL [~].3 FIBERGLASS [] 4 STEELCLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVlNYL CHLORIDE [] 7 ALUMINUM [] e 100% METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"/o METHANOL ? YES_ NO__ D, CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] .5 CATHODIC PROTECTION [] 91 NONE [] 95 UNKNOWN [] gg OTHER IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U ~FUNDERGROUND, BOTH IF APPLICABLE A, SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B, CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER 'A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE C. MATERIAL AND CORROSION A U 5 ALUMINUM A IJ 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100"/o METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER --D, LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [~] 2 LINE TIGHTNESS TESTING [] 3 INTERSTtTIALMoNiTORiNG [] 99 OTHER V. TANK LEAK DETECTION .; 1 VISUAL CHECK L~ 2 iNVENTORY RECONCILIATION ~ 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING