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Home My WebLink AboutHAZ-BUSINESS PLAN 2003 FILE THIS DOCUMENT IN THE SECTION HAZARDOUS MATERIALS PLANS PROGRAMS PERMITS BINDER 1 Hazardous Materials Business Plan YEAR 2003 SBC - SA703 (Facility Name and ID) 5650 ALDRIN CT (Facility Address) BAKERSFIELD (Facility City) (Facility County) Maintain this HazardOus Materials Business Plan and Emergency Response Plan On Site, Until Updated, a minimum of every three years. POST THIS DOCUMENT ON SITE SO IT WILL BE AVAILABLE IN THE EVENT OF A GOVERNMENT AGENCY INSPECTION, SITE ASSESSMENT OR AUDIT. Revised by Stan Brodecki 12/02/2002 PROGRAM CONSOLIDATED FACILITY INFORMATION BUSINESS ACTIVITIES Page of ~i~}!}?!!~!~!~!!!!iii~iii~,:} EPA ID# (Hazardous Waste Only) 2 BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business AS) 3 SBC SA703 5650 ALDRIN CT BAKERSFIELD ~: ~ ..... :: I.,::ACTIVITIES DECEA~TION .................... ?: : ~? ;: Does::yourfacl i~~ : f~es~?~p ease comp ete~tl~ese: pages~ of the U A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the [-"~V HAZARDOUS MATERIALS INVENTORY ES NO 4 applicable Federal threshold quantity for an extremely hazardousIv'l- L__I I'~' CHEMICAL DESCRIPTION(oES 2731) substance specified in 40 CFR Part 355, Aappendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) ~ YES ~NO 5 ~ UST FACILITY (Formerly SWRCB Form A) 1. Own or operate underground storage tanks? ~ UST TANK (One page per tank) (Formerly Form B 2. Intend to upgrade existing or install new USTs? ~ YES F'~-"]NO 6 ,~' UST FACILITY ~/' UST TANK (One per tank · ~' UST INSTALLATION - CERTIFICATE OF COMPLIANCE(one page per tank)(Formerly Form C 3. Need to report closing a UST? ~YESr~NO 7 ~ USTTANK (ciosure portion-one page per tank C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: tank capacity is greater than 660 gallons, or ~ YES [~NO 8 ~ NO FORM REQUIRED TO CUPAS ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ~"'YES r-~ No9 ~ EPA ID NUMBER--provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted ~ YES r~---"]NOlO [~- RECYCLABLE MATERIALS REPORT recyclable materials (per HSC I~ 25143.2)? (one per recycler) 3. Treat hazardous waste on site?~ YES~r'~ No 11 ~,~ ONSITE HAZARDOUS WASTE TREATMENT- FACILITY (Formerly DTSC Form 1772) - ONSITE HAZARDOUS WASTE TREATMENT'UNIT(one page per unit) (Formerly DTSC Form 1772A,B,C,D, and L) 4. Treatment subject to financial assurance requirements (for Permit [~ YES~F~No12 [~- CERTIFICATION OF FINANCIAL by Rule and Conditional authorizaton)? ASSURANCE(Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? [~ YES,- ,['~--']NO13 ~- REMOTE WASTE/CONSOLIDATION SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1232) 6. Need to report the closure/removal of a tank that was classified as ~YESr~----"]NO14 ~- HAZARDOUS WASTE TANK CLOSURE. hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) ~E. LOCAL REQUIREMENTS 15 (You may also be required to provide additional information by yourCUPA or local agency.) , UPCF (1/99) 2 PROGRAM CONSOLIDATED FOR FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page ~ of 1~ I. IDENTIFICATION FACILITY ID// ~.~ .~ BEGINNING DATE 100 ENDING DATE 101 ~ g 01/01/2003 12/31/2003 BUS1NESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 BUSlNESS PHONE 102 SBC SA703 661-398-4415 BUSINESS SITE ADDRESS 103 5650 ALDRIN CT ',ITY BAKERSFIELD lO4 CA ZiP CODE93301 lo5 DUN BRADSTREET 10-340-1618 ' 106 SIC CODE (4481digit1 #) 107 COLrNTY 108 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 CINDY MADRIGAL 559-454-4460 II. BUSINESS OWNER 111 OVv~qER PHONE 112 tWNER NAME SBC 877-823-9833 )WNER MAILING ADDRESS 113 P.O. Box 5095, Room 3E000 114 STATE 115 ZIP CODE 116 CITY SAN RAMON CA 94583-0995 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Environmental Management, attn: Matthew Hopwood 925-824-5784 CONTACT MAILING ADDRESS 119 2600 CAMINO RAMON, RM 3E000 :ITY 120 STATE 121 ZIP CODE 122 SAN RAMON CA 94583-0995 PRIMARY IV. EMERGENCY CONTACTS SECONDARY NAME 123 NAME 128 CINDY MADRIGAL EMERGENCY CONTROL CENTER FITLE 124 TITLE 129 Site Manager 24 HR EMERGENCY SERVICE BUSINESS PHONE 125 BUS1NESS PHONE 130 559-454-4460 877-322-4722 24-HOUR PHONE 126 24-HOUR PHONE 131 877-823-9833 877-823-9833 PAGER.# 127 PAGER# 132 559-263-3834 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am uniliar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWN ER/OPER~OR /~ DATE 134 NAME OF DOCUMENT PP~PARER 135 4/4/2003 RHLDESIGNGROUP, INC.-AGENTFORPACIFICBELL NAME OF SIGNER (print) 136 TITLE OF SIGNER 137 Steve Skanderson Project Manager UPCF (1/00 revised) 167 OES FORM 2730 (1/99) PROGRAM CONSOLIDATED HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- C}IEMICAL I>EscmeTION One page per material per building or area) { ladd Ixl DELETE I IREVISE 200 I Page ._~ of I~7 I. FACILITY INFORMATION BUSn~ESS N~E SBC SA703 3 ZHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 SOUTHEAST SIDE OF LOT EPCR* '[~ ','~s [] NO 1 J4 II. CHEMICAL INFORMATION 205TUA~E sECRET 206 :HEMICALN~avm PETROLEUM HYDROCARBON I I Yes ~_~No If Subject to EPCRA, refer to instructions COMMON NAME 207 208 DIESEL FUEL #2 E~S [~ Yes {~ No SAS# 209 68476-34-6 I£EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. II HAZARD MATERIAL 211 212 213 TYPE (Cbeck one item [~ a. PURE ~] b. MIXTURE [~ C. WASTE RADIOACTIVE [~ Yes F~]No CURIES IpHYSICAL STATE ~ ~ ~ 214 215 I I a. SOLID iXl b. LIQUID ~.] c. GAS LARGEST CONTAINER 5000 Check item only) one 216 FED HAZARD CATEGORIES AVERAGE DALLY AMOUNT0 217 MAXIMUM DAILYoAMOUNT 218 ANNUAL WASTE AMOUNT 210 STATE WASTE CODE 220 UNITS* ~-] a. GALLONS ~ b. CUBIC FEET ~-] c. POUNDS [~ d. TONS 221 DAYS ONSITE: 222 Check one item only) ifEHS= amount must be in pounds. 365 CONTAINER UNDERGROUND TANK . CAN BAG ~n. PLASTIC BOTTLE OTHER TANK 1NSIDE BUILDING . CARBOY . BOX I Io. TOTE BIN STEEL DRUM h. SILO CYLINDER [~p. TANK WAGON STORAGE PRESSURE [~ a. AMBIENT [~b. ABOVE AMBIENT ~c. BELOW AMBIENT 224 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# ~.5% 226 DIESEl FUEL NO. 2 227 [~Yes [~No 228 68476-34-~ 220 2 0.5% ~a0 N^PHTH^LENE 2al [~es [~qo ::a2 0'1-20-3 2aa 3 234 PETROLEUM DISTILLATES 235 ~Yes [~qo 236 NONE 237 4 238 239 [~]Yes [~No 240 241 $ 242 243 [~Yes [~[No 244 245 If more hazardous component~ are pr~ent at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of papar capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 PROGRAM CONSOLIDATED HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) I IADD I IDELETE t lREvIse' 200 I Page 'q of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EPCRA [~ YES [~ NO ~ ~': 1 MAP# (optional) 203 GRID# (optional) 204 ?AC1LITY ID# g g 1 H4 II. CHEMICAL INFORMATION 205 TRADE SECRET IxI No 206 :HEMICALN,Wm PETROLEUM HYDROCARBON ~ Yes If Subject to El?CRA, refer to instructions 2OMlVION NAME 207 208 MOTOR OIL EHS [~ Yes ~ No CAS# 209 64742-65-0 IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. 3B [lAZARD MATERIAL 211 212 213 rYPE (Check one item .[~a. PURE [~b. MIXTURE [~c. WASTE RADIOACTIVE [~Yes [~]No CURIES 215 PHYSICAL STATE 214 Check one item only) [~ a. SOLID [~ b. LIQUID [~ c. GAS LARGEST CONTAINER 1 20 216 FED HAZARD CATEGORIES Eheck all that apply) [~ a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e.CHRONICHEALTH AVERAGE DAILY AMOUNT240 217 MAXIMUM DAILY240AMOUNT 21o ANNUAL WASTE AMOUNT 2,9 STATE WASTE CODE 220 UNITS* [~a. GALLONS ~ b. CUBIC FEET [~] c. POUNDS [~ d. TONS 221 DAYS ONSITE: 222 Check one item only) ifEHS, amount must be in pounds. 365 STORAGE ~iii ABOVE GROUND TANK ~!. PLASTiC/NONMETALLiC DRUM i~! FIBER DRUM ~m. GLASS BOTTLE ~i RAIL CAR CONTAINER UNDERGROUND TANK . CAN ' BAG ~_ln. PLASTIC BOTTLE OTHER TANK INSIDE BUILDING . CARBOY . BOX [~o. TOTE BIN STEEL DRUM h. SILO CYLINDER [~p. TANK WAGON 223 STORAGE PRESSURE [~ a. AMBIENT [~b. ABOVE AMBIENT [~]C. BELOW AMBIENT 224 STORAGE TEMPERATURE ~] a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT [~d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 75 226 LUBRICATING BASE OIL 227 [~[es [~No 228 64742-65-0 229 2 1.5 230 ZINC ALKYL DITHIOPHOSPATE 231 [~es [~qo 232 68649423 233 25 234 ADDITIVES 235 [~es [~lqo 236 237 4 15% 238 SOLV. DEWAX DIST. LT PARAFFIN 239 [~Yes ~lqo 240 64742-56-9 241 242 243 ~]Yes [~'qo 244 245 If more hazardous components are present at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 I IADD I IDELETE { [REVISE 200 I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EpCP. a ~-] ~s [] NO 1 H4 II, CHEMICAl, INFORMATION CHEMICAL NAME 205 TRADE SECRET 206 ETHYLENE GLYCOLS ~j Yes ~X~No If Subject to EPCRA, refer to instructions COMMON NAME 207 208 ANTIFREEZE/COOLANT EHS [] Yes [~No CAS# 209 107-21-1 IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. 3B HAZARD MATERIAL 211 212 213 E Cbeckoneitem [] a..URE ® b. MIXTURE[] c. WASTE IOACTIVE [] Yes []No CU ES PHYSICAL STATE 214 215 Checkone item only) [] a. SOLID ~f~ b. LIQUID [~ ~. GAS LAaOEST CONTAINER GALLON 216 FED HAZARD CATEGORIES UNITS* [~] a. GALLONS [--b. CUBIC FEET ~] c. POUNDS [~] d. TONS 22, DAYS ONSITE: 222 Check one item only) ifEHS, amount must be in pounds 365 ;ONTA1NER UNDERGROUND TANK CAN ~__1j. BAG ~n. PLASTIC BOTTLE OTHER T~ ~S~DE BUILDINO C~0¥ ~_~k. BOX ~_~o. TOTE Bm STEEL DRUM hl SILO ~]1. CYLINDER ~]p. TANK WAGON STOR~OE .RESSURE [~ a. ~MBIENT [~b. ABOVE AMBIENT I--lc. BELOW AMBIENT 224 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 80-96 226 ETHYLENE GLYCOL 227 [~Yes [~o 228 107-21-1 229 0-8 230 DIETHYLENE GLYCOL 231 [~Ycs [~qo 232 111-46-6 233 > 1 234 WATER 235 [~fcs [~No 236 7732-18-5 237 1-3 238 DIPOTASSIUM PHOSPHATE 239 [~Yes [~o 240 7758-11-4 241 242 243 ~Yes ~No 244 245 if more hazardous components are present at greater than t% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing thc required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 PROGRAM CONSOLIDATED HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CI-IEMICAL n :scmPTION One page per material per building or area) I tADD I ]DELETE I IREVISE 200 t Page (Z) of [(~ I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 :HEMJCAL LOCATION CHEMICAL LOCATtON CONFIDENTIAL 202 STORED IN FACILITY EPC~ [~ ws ~] ~o FACILITY ID# ~ ~ 1 MAP~ (optional) 203 GRID~ (optional) 204 1 H4 II. CHEMICAL INFORMATION ZHEMICAL NAME 2os T~E SECRET I I Yes I~N° 206 PETROLEUM HYDROCARBON ~-" If Subject to EPCRA, refer to instructions :OMMON NAME 207 208 GREASE/GEAR LUBE ERS [] Yes [~No CAS# 209 64742-62-7 If LBS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. 3B HAZARD MATERIAL 211 212 213 YYPE (Check one item [~a. PURE [~b, MIXTURE [~c. WASTE RADIOACTIVE [~Yes [~No CURIES 215 PHYSICAL STATE ~ ~ ~ 214 ~_] a. SOLID ~L~ b. LIQUID L~] c. GAS LARGEST CONTAINER 65 Check item only) one 216 FED HAZARD CATEGORIES [] a. FIRE [] b. REACTIVE [~] c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e. CHRONIC HEALTH Check all that apply) AVERAGE DAILY AMOUNT165 217 MAXIMUM DALLY 165 AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 Check one item only) ifEHS, amount must be in pounds, 365 STORAGE ~ii ABOVE GROUND TANK ~ell PLASTiC/NONMETALLiC DRUM i~! FIBER DRUM [~m. GLASS BOTTLE~ ~i RAIL CAR CONT.AINER UNDERGROUND TANK CAN BAG [~n. PLASTIC BOTTLE OTHER TANK INSIDE BUILDING CARBOY · . BOX I lo. TOTE BIN STEEL DRUM SILO CYLINDER L_jp. TANK WAGON STORAGE TEMPERATURE [~a. AMBIENT [~b. ABOVE AMBIENT [~¢. BELOW AMBIENT [~d. CRYOGENIC 22§ %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 52% 226 SOLVENT DEW,aXED RESIDUAL OIL 227 [~'es [~No 226 64742-62-7 229 2 50% 230 HYDROTREATED DIST HVY PARAFFIN 231 I__jycs xixixixl~o 232 233 64742-54-7 3 50% 234 SOL. DEWAXED DIST HVY PARAFFIN 235 [~es [~Xlo 236 237 64742-65-0 4 41% 238 HYDROTREATED BOTTOMS 239 ~'es [~No 240 64742-57-0 241 5 12% 242 ADDITIVES 243 [~Yes [~Xlo 244 PROPRIETARY 245 If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0. I% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 PROGRAM CONSOLIDATED HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) t IADD I IDELETE t IREVISE 200 I Page r~ of !{~0 I. FACILITY INFORMATION 3 BUSINESS NAME SEC SA703 ~HEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 SUPPLY SHOP EPC~, ~-[ YES ~k~ NO , optio.,) 2°3 optiun,) 2°, 1 D6 II. CHEMICAL INFORMATION :HEMicALs~vm PETROLEUM HYDROCARBON 205 T.~E SEC~TIIYes tXlNo 206 If Subject to EPCRA, refer to instructions 2OMMON NAME 207 208 PROPANE E.S [~ Yes {~ No SAS# 209 74-98-6 IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CLrPA) 210 FLAMMABLE GAS HAZARD MATERIAL 211 212 213 l'YPE (Check one item [~ a. PURE [~ b. MIXTURE [~ c. WASTE RADIOACTIVE [~ Yes [~No CURIES 2~5 ~.¥s~cAL S~ATE ~ ~ 2~n [~ a. SOLID [~ b. LIQUID ~ I c. GAS LARGEST CONTAINER 6O Check item only) one 216 FED HAZARD CATEGORIES [~ a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e.CHRONICHEALTH Check all that apply) AVERAGE DAILY AMOUNT60 217 MAXIMUM DAILY60AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ~ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS [~ d. TONS 221J DAYS ON SITE: 222 Check one item only) ifEHS, amount must be in pounds. 365 ;ONTAINER UNDERGROUND TANK CAN BAG ~n. PLASTIC BOTTLE ~;: OTHER TANK INSIDE BUILD1NG CARBOY . BOX Ilo. TOTE B1N STEEL DRUM SILO CYL1NDER [~p. TANK WAGON 223 STORAGE PRESSURE [~ a. AMBIENT ~b. ABOVE AMBIENT [~c. BELOW AMBIENT 224 STORAGE TEMPERATURE [~a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT [~d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 226 PROPANE 227 [~Yes [~No 228 74-98-6 229 230 ETHANE 231 [~es [~qo 232 74-84-0 233 234 BUTANE 235 [~es [~No 236 106-97-8 237 '4 238 239 [~es [~[No 240 241 5 242 243 [--]Yes [~No 244 245 If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OCS Form 2731 PROGRAM CONSOLIDATED HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CI~EmCAI. I)v, SCaleTION One page per material per building or area) I )ADD ) )DELETE I IREVISE 200 I Page ~) of ! ~ I. FACILITY INFORMATION BUSINESS NAME SBC 8A703 CHE','ICALLOCATION E.C~ [] ~S I~ ','O 202 SOUTHEAST GORNER OF BLDG ~ ........ i~ I MAP# (optional) GRID# (optional) 204 FACILITY ID# ~- I~ 1 H4 II.CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET X~ No 2015 PI::TROIEUM HYDROCARBON [_J Yes If Subject to EPCRA, refer to instructions :OMMON NAME 207 208 USED MOTOR OIL EHS ~-~ Yes [~ NO CAS# 209 8009=05-9 IfEHS is "Yes", all amounts below must be in lbs. !FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. SB HAZARD MATERIAL 211 212 213 215 PHYSICAL STATE 214 'Check one item only) [] a. SOLID [~ b. LIQUID [~ c. GAS LARGEST CONTAINER 2 1 0 216 FED HAZARD CATEGORIES AVERAGE DAILY AMOUNT2,~ 0 2~? MAXIMUM DAILY~4~AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE221 WASTE CODE 220 iCheck one item only) if EHS, amount must be in pounds. 365 TANK INSIDE BUILDING CARBOY k. BOX [~o. TOTE BIN STEEL DRUM SILO . CYLINDER ~]p. TANK WAGON 22:3 STOOGE PRESSURE ~a. mmENr [~. ~OVEm~IENT[~. ~ELOWAM~IEST 2~ %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# ~00% 22~ MOIOR OIL, USED 22? [~Yes [~No 220 0002-0§-~ 22~ 242 243 [~Yes [~No 244 245 If more hazardous components are present at greater than I% by weight if non-carcinogenic, or 0. I% by weight if carcinogenic, attach additional sheets oFpaper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 PROGRAM CONSOLIDATED HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CH :M CAI I> :scme 'ION One page per material per building or area) ADD DELETE REVISE 200 Page 1. FACILITY INFORMATION BUSINESS NAME S BC SA703 3 cr~r~c,~ ~OCA ~:~O~ Cr~C,~ ~OCA ~O~ CON~E~r~ ~02 STORED IN FACILITY EpC~ [~] WS [~ No FACILITY ID# ~ ~ 1 MAP~ (optional) 203 G~Dg (optional) 204 ~ H4 II. CHEMICAL INFORMATION ~0~ ~ s~c~x Ixl~o ~o~ C~C~N~ GLYCOLS I[ Yes If Subj~t to ~C~ refer to instructions CO~ON N~ 207 208 USED ANTIFREEZE ~Hs ~ yes ~o CAS~ 20¢ ~ 07-2~-~ IfEHS is "Yes", all mo~ts ~low must be in lbs. FIRE CODE ~ CLASSES (Complete if requir~ by C~A) 210 COMBUSTIBLE LIO. 3B ~ ~TER~ 2~ ~ 2~ 2 2~ 3 T~E (Check one item ~ a. PURE ~ b. MIXTURE ~ c. WASTE ~IOACTIVE ~ Yes ~No CU~ES ~ a. SOLID ~ b. LIQUID ~ c. GAS L~GEST CONT~ER 55 ~Ch~k one item only) Check all ~at apply) ~w~G~ D~[Y ~O~T 2~7 M~MUM Dm[Y ~O~T 2~ ~U~ W~S~ ~O~T ~ S~T~ W~ COD~ 22o 55 55 343 ~Chcck o~c item only) ~ ~ if EHS~ ~ount~must be m pounds. ~ 365 CONT~ER ~DERGRO~D T~K C~ BAG ~n. PLASTIC BO~LE OTHER T~K ~SIDE BUILD~G C~OY . BOX ~1o. TOTE B~ STEEL DRUM SILO C~DER IIP. T~K WAGON 22a STOOGE P~SSURE ~ a. ~BIENT ~b. ~OVE ~BIENT ~c. BELOW ~BIENT 224 %WT ~DOUS COMPONENT (For mixture or w~te only) EHS CAS~ 94% 226 ETHYLENE GLYCOL 227 ~es ~o 228 107-21-1 229 2 1% 230 DIETHYLENE GLYCOL 231 ~cs ~o 232 111-46-6 233 10% 234 WATER 235 ~cs ~o 236 7732-18-5 237 2% 238 DIPOTASSIUM PHOSPHATE 239 ~cs ~o 240 7758-11~ 241 242 243 ~Yes ~o 244 245 If~re h~dous com~nents are present at greater tb~ 1% by weight if~on-c~cinoge~ic, or 0. I% by weight if carcinogenic, attach addltion~ sheets ofpa~r capturing the required info~ation. ~D1T1ON~ LOC~LY COLLECTED INFOR~TION 246 If EPCRAi Please Sign Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- cI MICnI ])ESCamXlON One page per material per building or area) I IADD I IDELETE I IREVISE 200 I Page [O of I. FACILITY INFORMATION BUSINESS NAME S BC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 MOTOR VEHICLE ShOP EPC~ [] ~S ~) NO '~!~ 1 MAP~ (optional) 203 GRID# (optional) 204 FACILITY ID# 1 14 Il. CHEMICAL INFORMATION 2os ~E SECRET 206 CHEMICALN~V~ PETROLEUM NAPTHA ~ Yes IX[No If Subject to EPCRA, refer to instructions COMMON NAME 207 208 PARTS CLEANER EHS [~ Yes [~ No CAS# 8052-41-3 209 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 COMBUSTIBLE LIQ. II HAZARD MATERIAL 211 212 213 TYPE (Check one item [~ a. PURE [~ b. MIXTURE ~ ¢. WASTE RADIOACTIVE [~ Yes ~No CURIES PHYSICAL STATE 214 Check one item only) [~ a. SOLID [~ b. LIQUID [~ c. GAS ' LARGEST CONTAINER 50 216 FED HAZARD CATEGORIES [~ a. FIRE[] b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e. CHRONIC HEALTH Check all that apply) AVERAGE DAILY AMOUNT~j0 217 MAX/MUM DAILY~j0AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ~-~ a. GALLONS ~-b. CUBIC FEET [~ c. POUNDS [] d. TONS 221 DAYS ON SITE: 222 (Check one item only) if EHS, amount must be in pounds, 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM __ !m, GLASS BOTTLE RAIL CAR CONTAINER ~. UNDERGROUND TANK ,f. CAN j. BAG n, PLASTIC BOTTLEL~v OTHER ~. TANK INSIDE BUILDING ~i CARBOY k. BOX o. TOTE BIN X~ fl. STEEL DRUM__ SILO [. CYLINDER p. TANK WAGON -- -- 223 STORAGE PRESSURE ~-] a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT 224 STORAOETEMPERATURE [~a. AMBIENT [~]b. ABOVEAIVlB1ENT [~C. BELOW AMBIENT [~d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 100% 226 STODDARD SOLVENT 227 ~es ~lNo 228 8052-41-3 229 3 234 235 ~Yes [~qo 2:36 237 5 242 243 ~Yes ~Xlo 244 245 If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0,1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION One page per material per building or area) I lADD Ixl DELETE [ [REVISE 200 L FACILITY INFORMATION BUSINESS NAME SEC SA703 c~cAL LOCATION C:~MICAL LOCAnON CO~EmIAL 202 SOUTHEAST SIDE OF LOT EPee, ~'~ ~s [] NO FACILITY ID# - ~ ~ 1' ¢:~:~ MAP#i (optional) 203 GRID#54 (optional) 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ~_JNo 206 PETROLEUM HYDROCARBON L~J ','es If Subject to EPCRA, refer to instructions COMMON NAME 207 208 GASOLINE - UNLEADED E.S ~] Yes [~ No CAS# 209 8006-61-9 IfEBS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 I-A FLAMMABLE LIQUID HAZARD MATERIAL 211 212 213 FYPE (Check one item ~ a. PURE [~ b. MIXTURE [~ c. WASTE RADIOACTIVE ~ Yes [~] No CURIES PHYSICAL STATE 214 215 Check one item only)' ~ a. SOLID [-~ b, LIQUID [~ c. OAS LARGEST CONTAINER 12000 216 FED HAZARD CATEGORIES Check all that'apply) [~ a. FIRE [~ b, REACTIVE ~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT_0 217 MAXIMUM DAILYoAMOUNT 2~8 ANNUAL WASTE AMOUNT 2~9 STATE WASTE CODE 220 'UNITS* ~ a. GALLONS ~ b. CUBIC FEET [~ c. POUNDS [~ d. TONS 2211 DAYS ON SITE: 222 Check one item only) ifEHS~ amount must be in pounds. , 365 CONTAINER ~ UNDERGROUND TANK f.CAN BAG [_~n. PLASTIC BOrrLE OTHER TANK INSIDE BUILDING CARBOY . BOX ~o. TOTE BIN STEEL DRUM SILO CYLINDER I~JP. TANK WAGON 223 STORAGE PRESSURE [~] a. AMBIENT ~]b. ABOVE AMBIENT [~c. BELOW AMBIENT 22~ STORAGE TEMPERATURE [~] a. AMBIENT [~]b. ABOVE AMBIENT [~c. BELOW AMBIENT I--Id. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# ~0% 22~ MFTHYL IERI BUTYL EIHER 227 [~res [~lqo 228 1634-04-4 220 12 9% 230 TOLUENE 231 ~Yes ~'qo 232 108-88~3 233 14% 234 XYLENES 235 [~es [~No 236 1330-20-7 237 90% 238 GASOLINE 239 ~Yes ~No 240 NONE 241 5 5% 242 BENZENE 243 r--3Yes [~[No 244 71-43-2 245 it- more hazardous components are prcscm at greater than 1% by weight if non-carcinogenic, or 0. ] % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL I WSCRIPTION One page per material per building or area) [ IADD I IDELETE [ I REVISE 200 I Page ~ of/! {~ I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 EHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 WEST SIDE OF YARD EPC~ [] Y~S [-~ NO ?AC1LITYID# ~ g~{" I MAP#i (optional) 203 GRID#D5 (optional) 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET 206 NITROGEN I lyes ~]No If Subject to EPCRA, refer to instructions COMMON NAME 207 208 NITROGEN E.S [~ Yes []No CAS# 209 7727-37-9 IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requirad by CUPA) 210 INERT GAS HAZARD MATERIAL 211 212 213 PHYSICAL STATE 214 215 2beck one item only) [~ a. SOLID ~ b. LIQUID [~ c. GAS LARGEST CONTAINER 228 216 FED HAZARD CATEGORIES Check all that apply) [~ a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ ¢.CHRONICHEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 228 228 UNITS* ~ a. GALLONS ~ b. CUBIC FEET [~ C. POUNDS ~ d. TONS 22'1j DAYS ON SITE: 222 Check one item only) ifEHS, amount must be in pounds.. 365 STORAGE ~~~i ABOVE GROUND TANK ~ii PLASTiC/NONMETALLiC DRUM i~! FIBER DRUM ~m. GLASS BOTTLE ~i RAIL CAR CONTAINER UNDERGROUND TANK CAN BAG ~n. PLASTIC BOTTLE OTHER TANK INSIDE BUILDING CARBOY . BOX ~__~o. TOTE BIN STEEL DRUM SILO CYLINDER [_~p. TANK WAGON 223 STORAGE PRESSURE ~ a. AMBIENT []b. ABOVE AMBIENT []c. BELOW AMBIENT 224 STORAGE TEMPERATURE []a. AMBIENT ~b. ABOVE AMBIENT DC. BELOW AMBIENT []d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 100% 226 NITROGEN 227 [~Yes [~No 228 229 242 243 []Yes [~O 244 245 If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0. I% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - C IV, MICAL OWSCm]'TION One page per material per building or area) I IADD I IDELETE I IREVISE 200 I Page E,~ of J¢ i. FACILITY INFORMATION BUSINESS NAME S BC SA703 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 WEST SIDE OF YARD EPC~ [~ YES [~] NO ~i~J 1 MAP# (optional) GRID# (optional) 204 FACILITY ID# ':~! g~ 1 D5 II. CHEMICAL INFORMATION EHEM1CAL NAME HELIUM 205 TRADE SECRET ~_] Yes [_~ No 206 if Subject to EPCRA, refer to instructions COMMON NAME 207 208 HELIUM EHS [~ Yes [~ NO CAS# 209 7440-59-7 IfEHS is "Yes", ail amounts below must bc in lbs. FIRE CODE HAZARD CLASSES (Complete it' required by CUPA) 210 INERT GAS HAZARD MATERIAL 211 212 213 l'YPE (Check one item [] a. PURE [~ b. MIXTURE [~ c. WASTE RADIOACTIVE [~ Yes [~No CURIES 215 PHYSICAL STATE ~-~ a. SOLID [~ b. LIQUID [~ c. OAS 214 LARGEST CONTAINER 224 Check one item only) 216 FED HAZARD CATEGORIES Check all that apply) [~ a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 224 224 UNITS* Da. GALLONS ~-b. CUBICFEET [~C. POUNDS [~d. TONS 2211DAYS ON SITE: 222 I(Check one item only) ifEHS, amount must be in pounds.. 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM i m. GLASS BOTTLE RAIL CAR CONTAINER -- b. UNDERGROUND TANK -- f. CAN j. BAG i n. PLASTIC BOTTLE OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX I o. TOTE BIN d. STEEL DRUM h. SILO × 1. CYLINDER I p. TANK WAGON -- -- -- 223 STORAGE PRESSURE [~ a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT 224 STORAGE TEMPERATURE [~a. AMBIENT [~b. ABOVE AMBIENT ~c. BELOW AMBIENT [~d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 100 226 HELIUM 227 [~/es [~No 228 7440-59-7 229 2 230 231 [~¢s [~No 232 233 3 234 235 [~res [~o 236 237 ~, 238 239 [~Yes ~qo 240 241 5 242 243 [~Yes [~No 244 245 lfmore hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0. ]% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- C} E _ICAI I)Escm 'T[O One page per material per building or area) I IADD I iDELETE IxI REVISE 200 I Page Iq of I. FACILITY INFORMATION BUSINESS NAME SBC SA703 3 CHEMICAL LOCATION ,~HEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY ~PC~ r--1 ws [~ NO FACILITY ID# ~ ~ 1 MAP# (optional) 203 GRID# (optional) 204 I 14 IL CHEMICAL INFORMATION 205 TRADE SECRET 206 OIEMICALN~.m ACETYLENE ~Yes IxI No If Subject to EPCRA, refer to instructions COMMON NAME 207 208 ACETYLENE EHS [~ Yes [~ No CAS# 209 74-86-2 IfEHS is "Yes", all amounts below must be in ihs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 FLAMMABLE GAS HAZARD MATERIAL 211 212 213 TYPE (Check o.e item [~ a. PURE [~ b. MIXTURE [~ c. WASTE RADIOACTIVE [~ Yes [~ NO CURIES 215 PHYSICAL STATE~ ~l r~n 214 ~ a. SOLID [_~ b. LIQUID X[~ e. GAS LARGEST CONTAINER 288 (Check item only) one 2.16 FED HAZARD CATEGORIES (Check all that apply) [] a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT28~ 217 MAXIMUM DAILY28~AMOUNT 2'18 ANNUAL WASTE AMOUNT 2.19 STATE WASTE CODE 220 UNITS* ~] a. GALLONS ~ b. CUBIC FEET [~ c. POUNDS [~ d. TONS 22'1 DAYS ONSITE: 222 (Check one item only) ifEHS, amount must be in pounds, 365 STORAGE a. ABOVE GROUND TANK -- PLASTIC/NONMETALLIC DRUM -- i. FIBER DRUM re. GLASS BOTTLE RAIL CAR CONTAINER __ b. UNDERGROUND TANK __ --f. CAN __ i. BAG __ n. PLASTIC BOTTLE OTHER lc. TANK INSIDE BUILDING Ig. CARBOY k. BOX o. TOTE BIN ,d. STEEL DRUM h. SILO X ii. CYLINDER p. TANK WAGON .... 223 STORAGE PRESSURE ~ a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT 224 STORAGE TEMPERATURE [~a. AMBIENT [~b. ABOVE AMBIENT [~]c. BELOW AMBIENT ~]d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# l 100% 226 ACETYLENE 227 [~Yes [~No 228 74-86-2 229 2 230 231 ~Yes [~qo 232 233 3 234 235 [~Yes [~qo 236 237 4 238 239 [~Yes [~[No 240 241 5 242 243 [~Yes [~No 244 245 If more hazardous components are present at greater than 1% by weight if non-cardnogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION ' 246 IfEPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CI-m~CAI~ D~:scmex~o~ One page per material per buildin8 or area) I )ADD I IDELETE I )REVISE 200 I Page ~-.~ of I(~ I. FACILITY INFORMATION 3 BUSINESS NAME SBC SA703 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY E.C~ ~-] ~s [] NO ',,'-'~i~'~Jg: 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ~ 1 14 II. CHEMICAL INFORMATION cHEMICAL S~ 2os m~E SEC~T I [¥¢s IX~No 206 ARGON ~r S~hje~ to EPCRA, refer to instructions ARGON EHS [~ Yes ~] No CAS# 209 7440-37-1 IfEHS is "Yes", all amounts below must be in lbs. FIKE CODE HAZARD CLASSES (Complete if required by CUPA) 210 NON-FLAMMABLE GAS HAZARD MATERIAL 211 212 213 TYPE (Check onc item [~ a. PURE ~ b. MIXTURE [~ c. WASTE RADIOACTIVE [~ Yes [~No CURIES 2~5 PHYSICAL STATE 2'14 [~ a. SOLID [~ ~. U~UID [] ~. GAS L~GESTCONT~a~ER 288 Check item one 216 FED HAZARD CATEGORIES Checkal! that apply) [~ a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE [~ d. ACUTE HEALTH [~ e. CHRONIC HEALTH AVERAGE DALLY AMOUNT2~ 2~7 MAXIMUM DALLY~}~AMOUNT 2~6 ANNUAL WASTE AMOUNT 2~0 STATE WASTE CODE 220 Check one item only)~ t~ ifEHS, amount~must be in pound~,~ I 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE RAIL CAR UONTA1NER -- b. UNDERGROUND TANK -- f. CAN j. BAG n. PLASTIC BOTTLE OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X 1. CYLINDER p. TANK WAGON .... 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 ~ 00 226 ^RGON 227 [~es [~lqo 228 7440-37-'I 220 o tf more haz~-dous component~ are present at greater than 1% by weight if non-carcinogenic, or 0.1 ~/~ by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 U HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- C}Ir MICAL DEscmPTION One page per material per building or area) I IADD J IDELETE 1 I REVISE 200 I Page ~f~ of fro I. FACILITY INFORMATION BUSlNESS NAME 3 SBC SA703 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN YARD EPCRA [~ YES [~ NO ~' ~ 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# ~ 1 D4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET 206 OXYGEN L._] Yes [~]No If Subject to EPCRA, refer to instructions COMIvlON NAME 207 208 OXYGEN E,s [-~ Yes ~] No CAS# 209 7782-44-7 IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 OXIDIZER 3 HAZARD MATERIAL 211 212 213 TYPE (Check one item ~] a. PURE [~ b. MIXTURE [~ c. WASTE RADIOACTIVE [~ Yes [~No CURI~S 2~5 PHYSICAL STATE~ ~ r~Tn 214 ~ a. SOLID [ I b. LIQUID ~ c. GAS LARGEST CONTAINER 448 (Check item only) one 216 FED HAZARD CATEGORIES [~ a. FIRE [~ b. REACTIVE [~ c. PRESSURE RELEASE ['--] d. ACUTE HEALTH [~ e. CHRONIC HEALTH Check all that apply) AVERAGE DAILY AMOUNT 448 217 MAXIMUM DAILY 448 AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* [~a. GALLONS ~ b. CUBICFEET [~]c. POUNDS [~]d. TONS 221 DAYS ON SITE: 222 (Check one item only) ifEHS, amount must be in pounds. 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM l' __ __ __ L FIBER DRUM __ m. GLASS BOTTLE RAIL CAR CONTAINER b. UNDERGROUND TANK f. CAN j. BAG n. PLASTIC BOTTLE OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO X I. CYLINDER p. TANK WAGON .... 223 STORAGE PRESSURE [-~ a. AMBIENT [~b. ABOVE AMBIENT [~c. BELOW AMBIENT 224 STORAGE TEMPERATURE [] a.: AMBiENT ABOVE AMBIENT []e. BELOW AMBIENT CR¥OOENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS// I 100 226 OXYGEN 227 [~Yes [~[No 228 7782-44-7 229 2 230 231 [~es [~No 232 233 3 234 235 [~/es [~o 236 237 4 238 239 ~Yes ~IXlo 240 241 5 242 243 []Yes [~No 244 245 o If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1 ~ by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 CONSOLI D CONTINGENCY PLAN & BUSINESS PLAN BUSINESS NAME FACILITY ID # SBC SA703 SITE ADDRESS CITY ZIP CODE 5650 ALDRIN CT BAKERSFIELD 93301 EPA ID NUMBER CAD981630411 ~,: : : ~,~ ~ , : :~:: ~ :.~ ~ ~: ~ :::~:~ :...~ ~:~: : ~ : .... : ..:~.~ ~ ~::~: : ~ :: ::::~ ~ PRIMARY SECONDARY ~AME NAME CINDY MADRIGAL Emersency Control Center TITLE TITLE Site Manager 24 hour Dispatch BUSINESS PHONE BUSINESS PHONE 559-454-4460 877-322-4722 24-HOUR PHONE 24-HOUR PHONE 877-322-4722 877-322-4722 PAGER # PAGER # 559-263-3834 * Notifications * Your business is required by State Law to provide an immediate verbal report of any release or threatened release of a hazardous material to local fire emergency response personnel, and the Office of Emergency Services. IF YOU HAVE A RELEASE OR THREATENED RELEASE OF HAZARDOUS MATERIALS, IMMEDIATELY CALL: FIRE/PARAMEDICS/POLICE PHONE: 911 AFTER the local emergency response personnel are notified, you shall then notify this Unified Program Agency and the Office of Emergency Services. Local Program Agency: 661-326-3979 State Office of Emergency Service: (800) 852-7550 or (916) 845-8911 National Response Center: (800) 424-8802 INFORMATION TO BE PROVIDED DURING NOTIFICATION: .:o Your Name and the Telephone Number from where you are calling. .:. Exact address of the release or threatened release. o:. Date, time, cause, and type of incident (e.g. fire, air release, spill etc.) o:. Material and quantity of the release, to the extent known. °:' Current condition of the facility. .:. Extent of injuries, if any. ':' Possible hazards to public health and/or the environment outside of the facility.. List the local emergency medical facility that will be used by your business in the event of an accident or injury caused by a release or threatened release of hazardous material HOSPITAL/CLINIC: PHONE NO: SAN JOAQUIN COMMUNITY HOSPITAL 661-395-3000 ADDRESS: 2615 EYE ST CITY: ZIP CODE: BAKERSFIELD BUSINESS PLAN (01/2000 Version) I CONSOLI D CONTINGENCY PLAN & B ESS PLAN l. The .following alarm signal(s) will be used to begin evacuation of the facility (check all which apply): [] Verbal [] Telephone (including cellular) [] Alarm System [] Public Address System [] Intercom [] Pagers [] Portable Radio [] Other (specify): 2. [] Evacuation map is prominently displayed throughout the facility. 3. [] Individual(s) responsible for coordinating evacuation including spreading the alarm and confn'ming the business has been evacuated: Building Warden or CINDY MADRIGAL Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. [] Hazardous Waste/Hazardous Materials Storage Areas [] Production Floor [] Process Lines [] Bench/Lab [] Waste Treatment [] Other: Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. [] Utilities [] Sprinkler Systems [] Cabinets [] Shelves [] Racks [] Pressure Vessels [] Gas Cylinders [] Tanks [] Process Piping [] Shutoff Valves [] Other: Tank Monitor Alarm Panel Natural'Gas/propane: S.E. CORNER M.V. SHOP, E. SIDE OF OFFICE . Electrical: MAIN BLDG HALLWAY Water: SIDEWALK MAIN BLDG Tank Monitor Alarm: FLEET BUILDING Environmental Documents: FLEET & MAIN BLDGS Spill kit / Absorbent: FUEL ISLAND/FLEET AREA First Aid Kit: FLEET BLDG/MArN BLDG HALL BUSINESS PLAN (01/2000 Version) 2 CONSOLI D CONTINGENCY PLAN & BUSINESS PLAN EMERGENCY PHONE NUMBERS Emergency Name of medical facility/nearest hospital (enter): response SAN JOAQUIN COMMUNITY HOSPITAL phone Phone number of medical facility/hospital (enter): number 661-395-3000 Fire .................................................................................................................. 911 Police/Sheriff .................................................................................................... 911 California Highway Patrol ................................................................................. 911 Bakersfield Fire Department ............................................................. 661-326-3979 Ambulance Service .......................................................................................... 911 Poison Control Center ...................................................................... 800-342-9293 Agency California Office of Emergency notification Services ........................................................................................... 800-852-7550 numbers State Department of Toxic Substances Control ............................................................................................. 916-324-1826 State Water Quality Control Board Reqional Offices North Coast Region .......................................................................... 707-576-2220 San Francisco Bay Region ............................................................... 510-622-2300 Central Coast Region ....................................................................... 805-549-3147 Los Angeles Region ......................................................................... 213-576-6600 Central Valley Region: Sacramento Office .................................... 916-255-3000 Fresno Office ............................................ 559-445-5116 Redding Office .......................... : .............. 530-224-4845 Lahontan Region: Victorville Office ........................................ 760-241-6583 Lake Tahoe Office .................................... 530-542-5400 Colorado River Basin Region ............................................... ~ ........... 760-346-7491 Santa Aha Region ............................................ · ................................ 909-782-4130 San Diego Region ............................................................................ 619-467-2952 US Environmental Protection Agency (Region 9) ............................. 415-744-1702 National Response Center ............................................................... 800-424-8802 Other Other Important Numbers SBC Emerqency Control Center 877-322-4722 Shaw Environmental 800-537-9540 SBC Corporate Environmental Management 877-823-9833 BUSINESS PLAN (01/2000 Version) 3 AC, ,C ecu SITE MAP BUSINESS NAME PACIFIC BELL BKFDCA55 SA705 DATE 11/04/2002 DRAWING SCALE BUSINESS ADDRESS 5650 ALDRIN CT. BAKERSFIELD ZIP CODE 95501 NOT TO SCALE WHITE LANE '~ /-- ~ ~ SYMBOL LEGEND G ELECTRICAL PANEL SHUT-OFF Q NATURAL (;AS SHUT-OFF ® WATER SHUT-OFF I ~ E.ERGENC'~ PUMP SH U T - OFF o ~.K .O.,TOR,.~ ~ FIRST AID KIT PARKING z ~ FIRE EXTINGUISHER ~ < ~ STOR" DRAIN ~ ~ - SANITARY SE~R ~ ~ 1~~ ~ EVACUATION/ ~ ~ HMMP. AND MSDS O~ GAL ~ FIRE H~RANT ~o.,~.~/~.so~.[~s STORAGE TANK ~-- ~ UNDERGROUND ~-~ STORAGE TANK OFFICES ~ MOTOR OILS · LUBRICANTS (COMBUSTIBLE LIOUIDS) ~ (COR~OS,~ uou,~)I (FLAMMABLE LIQUIDS) ~ ~ DmESEL FUEL J [PARKING ~ (CO~BUST~BLE UOU,DS) (COMPRESSED GAS) PROPANE (FLAMMABLE LIOUID) (COBPRESSED GAS) ~~ ~ ~ ANTIFREEZE/COOLANTS WASTE OIL (FLAMMABLE LIQUID) ALD~IN COUHT ~ ARGON ~ WASTE ANTIFREEZE ~ .~uu. PACIFIC IE~ BELL ]MAP# 1 ;SITE MAP BUSINESS NAME PACIFIC BELL BKFDCA70 SAP70 DATE 11/01/2001 DRAWING SCALE BUSINESS ADDRF:SS 5101 OFFICE PARK DRIVE BAKERSFIELD ZIP CODE 93301 NOT TO SCALE 1 SYMBOL LEGEND NORTH ® ELECTR,CALsHuT_OFF PANEL r~ (~ ~® NATURAL GAS SHUT-OFF Q WATER SHUT-OFF ~ EMERGENCY PUMP 2 SHUT-OFF TANK MONITORING ALARM O TELEPHONE ~ FIRST AID KIT ~ FIRE EXTINGUISHER 3 ~ STORM DRAIN ~ SAN,TARY SE~R ® rc~ STAG,NC AREA EVACUATION/ 4 ~ HMMP, AND MSDS LOCATION ~-. FIRE HYDRANT PACIFIC BELL :: x FENCE ~ EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS 5 (----) ABOVEGROUN0 STORAGE TANK I~-- ~1 UNDERGROUND ~- ~ STORAGE TANK MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) 6 ~ ® ® ® BATTERY ELECTRO,YTE (CORROSIVE LIOUlD) Q GASOLINE (FLAMMABLE LIOUlDS) Q DIESEL FUEL (COMBUSTIBLE LIQUIDS) 7 ~® ® NITROGEN (COMPRESSED GAS) Q PROPANE (FLAMMABLE LIQUID) ACETYLENE (COMPRESSED GAS) Q ANTIFREEZE/COOLANTS 8 ~ WASTE OIL (FLAMMABLE LIQUID) ] FIRE PULL BOX 9 Emergency Response Fleet.doc SBC EMERGENCY RESPONSE PLAN : :::; :: ~ii~!'~:~ : ,,: :::: ,; NOTIFICATION PROCEDURES The Emergency Site Coordinator/Building Warden for the facili~ is responsible for noticing the occupants of the building and advising them on how to respond in the event of a hazardous materials incident as required in the SBC's Operating Practice 130 (The Fire Safe~ Program and Emergency Plan) and described in the SBC Emergency Plan Binder. Additionally, the Emergency Site Coordinator/Building Warden will contact the California O~ce of Emergency Se~ices, Local Administering Agency, and SBC's internal contacts as appropriate; the Operations Information (OICC) Control Center, local Securi~ O~ce, Environmental Management, Safety Depadment. The following describes what action our business will take to prevent a hazardous materials or waste release from occurring: 1. T~NING: Employees are provided training annually through the Training and Development Center to handle hazardous materials and how to read an MSDS as required by the Hazard Communication Standard; they are also trained on the SBC Operating Practice 130. 2. MATERI~S: Hazardous materials are utilized and stored following manufacturer's recommendations, as we are a consumer of products and not a manufacturer of hazardous materials. ~,~ :: ..... ~,,~ ~ ~ ~: MITIGA~!ON: (REDUCE THE: H~RD) The following describes what procedures will be followed to reduce any harm or damage to persons, propeAy or the environment: 1. Diesel/Gasoline: Under or above ground tanks are monitored and/or inspected frequently as required to maintain the integrity of tank contents. 2. Nitm~enlAceMeneloxy~enlPropanelAr~on: Compressed gasses are stored in a controlled and separate area. Cylinders have safe~ caps, am stored upright in storage stands and secured. 3. Motor Oil/Grease/Gear Oil/Hydraulic Oil: Stored in drums in a controlled ama. Drums are visually inspected daily to ensure integrity. 4. Antifreeze/Coolant (New & Used): Stored in drums in a controlled ama. Drums are visually inspected daily to ensure integrit$ 5. Waste Oil/Oil Filters: Stored in aboveground tanks or drums in a controlled ama and visually inspected dally to ensure integri~. The following describes what actions our business will take to stop any hazard caused by the release of a hazardous material or waste: The Emergency Site Coordinator/Building Warden is responsible for following these steps as outlined in the Hazard Communication Program, the Hazardous Materials/Waste Management Handbook and the SBC Operating Practice 130. 1. Determining the nature, location, magnitude and severity of the incident. 2. Move people away from the area as appropriate. 3. Avoidinhalation of all gasses, fumes or smoke. 4. Contain materials as appropriate by arranging physical barriers, use of absorbents (i.e., dirt, oil baking soda or 'other absorbent material). 5. Notify appropriate emergency personnel. I:~IAZMATXPACBELLXFORMS~Emergency Response Fleet. doc Last Updated: 11/07/2001 1 Emergency Response FLeet.doc Employees are provided INITIAL Safety Plan training on the Hazard Communication Certification, as well as function specific before they begin their work operations. This also includes training on the Emergency Operating procedures. Additionally, the SBC Emergency Plan requires that employees receive ANNUAL REFRESHER training on the Hazard Communication Certification, function specifics and the Emergency Operating Instructions. Specific employees are selected to be Building or Floor Wardens;for which they receive additional training and attend the following interdepartmental courses. Course #1000039 (Network Services First Aid/CPR); Course fl1000728 (Emergency Methods of Procedures); Course #1000824 (Hazardous Communication Certification); Course #1000825 (Hazardous Materials/Waste Management) The SBC Emergency Plan Binder serves as a reference guide for the Emergency Site Coordinator/Building Warden. The SBC Hazardous Materials/Waste Management Handbook requires that environmental management in the event of a spill or release of a hazardous material at SBC facilities complete a Hazardous Material Incident Report. Contractors utilized to clean up spills and releases for our facilities include: 1. Shaw Environmental Diesel Fuel/Gasoline: As outlined in the SBC Hazardous Materials Management Plan Item G (contingency plan): Incidents involving spills, the operator of the underground tank will notify: 1. Local Fire Department 2. Department of Public Health 3. SBC Operations Information Control Center 4. SBC Environmental Management 5. SBC Real Estate Client Service Center 6. SBC respective manager This varies with each building and should be verified with the Emergency Site Coordinator of each facility. A standard statement would be: METHOD OF ALARM TO EMPLOYEES: Vocal, intercom and fire alarms are used to notify our employees to evacuate. (For unmanned offices, we need only state "This is an unmanned office and evacuation map is posed at entrF of buildin,q. '~ ROUTES OF EGRESS: This also varies with each building and should be verified with the Emergency Site Coordinator of each facility. A standard statement would be: "Employees exit through front, rear and side doors. Alternate routes include...." The instructions for emergency exists and alternate routes to be used for evacuation are posted on each floor I:\HAZMAT~PACBELL~FOI~MS~Emergency Response Fleet. doc Last Updated: 11/07/2001 2 Emergency Response Fleet.doc METHOD TO ACCOUNT FOR ALL PERSONS: The SBC Operating Practice 130 identifies the Emergency Site CoordinatodBuilding Warden as the responsible employee to the Supervisors in the building to ensure that all employees are accounted for. Employees for this facility are instructed to meet ..... (obtain this information from the Emergency Site CoordinatodBuilding Warden). ALERTING NEIGHBORS: The SBC Operating Practice 130 identifies the Emergency Site Coordinator/Building Warden as the responsible contact to work with all agency emergency/rescue personnel to notify building neighbors. Emergenc Res SBC has emergency response plans and procedures in place for all facilities. The following is a description of the programs and procedures in place: 1. The Operations Information CONTROL CENTER (OJCC) is a 24-hour communications center established through which emergency condition information flows from and within SBC. In the event of a major emergency the center also provides coordination, communications and is the established liaison with federal, state, local and military agencies. 2. EMERGENCY PLAN BINDER, The SBC OPerating Practice 130 provides fire, safety and emergency guidance, checklist, forms, and company cOntacts for emergency situations~ interruptions of company services', and other threats to our operations, facilities, personnel or property. 'Outlined in the SBC Operating Practice 130 is the Emergency Site Coordinator/Building Warden program. The Emergency Site CoordinatodBuilding Warden is involved in directing and coordinating the following activities with the occupants of the facility. · Establishing and training the Emergency Site Coordinator/Building Warden organization. · Implementing the Emergency Procedure Plan. · Occupant emergency preparedness. · Reviewing the Planning Engineering sketch. · Establishing and maintaining the Emergency Procedures Board. · Developing and maintaining the Emergency Methods and Procedures (EMOP) binder. · . Scheduling and conduct semi-annual fire and take cover drills and record drill results on the , Fire/Evacuation Drill Report. · Conducting fire safety surveys using form SBC3077 · Daily administration of fire prevention practices. · Reporting all bomb threats to appropriate security office and the ECC. · Advising security of all emergencies. · Accompanying external or internal personnel agencies on building inspections. · Arranging for selection of Emergency Site CoordinatodBuilding Warden successor (transfer of responsibilities). · .Communicating to occupants via emergency communications systems (if applicable). · Contact the Departmental Safety Coordinator in the event of an OSHA visit. The SBC Operating Practice 130 also requires that each facility have an Emergency plan binder. The binder is a guide providing, for personal protection and emergency procedures for company locations during emergencies. The binder is developed and held by the Emergency Site Coordinator/Building Warden at each facility location. Additionally, the SBC Operating Practice 130 provides the following procedures for the Emergency Site Coordinator/Building Warden and 'Site Managers in the event of a hazardous materials incident at the facility. . I:~.AZMATxPACBELL',FORMS',Emergency Response Fleet. doc Last Updated: 11/07/2001 3 Emergency Response Fleet.doc 1. Identify and locate the problem. 2. Isolate, relocate or evacuate employees as required. ' 3. Notify emergency rescue personnel if needed. 4. Investigate the problem. 5. Avoid inhalation of all gasses, fumes or smoke. 6. If the release or threatened release has the potential to harm the population and environment contact: · Operations Information Control Center 877-322-4722 · SBC Environmental Management Hotline 877-823-9833 · Environmental Control Center for Fuel Storage Tanks 800-757-6575 · Security Office (SBC) 800-421-2568 · Local Hazardous Emergency Response Agency 911 · Office of Emergency Services (OES) (800) 852-7550 3. The "HAZARDOUS MATERIALS~ASTES MANAGEMENT HANDBOOK" (HM/WM) is provided to comply with environmental laws and regulations and to assist managers in the protection of employee's health and protection of the public welfare. This handbook gives our personnel a basic understanding of the regulations and other legal requirements pertaining to the management of hazardous materials and wastes. It identifies and provides procedures for the handling, transportation, storage and disposal of hazardous materials/wastes found at SBC facilities. In the event of a spill or release, the Hazardous Materials Incident Report is to be completed by SBC's Environmental Management group. The HMWH Section 8 outlines the procedures for completion of this report and immediate actions to be taken to protect health and environment. I:~AZMAT~PACBELLWORMS~Emergency Response Fleet. doc Last Updated: 11/07/2001 4 08/28~03 'FRI 08:50 FAX 191 855 SHAW E & I .~001 ', .~;haw Environmental & Infrastructure, Inc. Sh -I be Shaw GroLp Inc7 ,.oos Port Chicago Highway C;oncord, C. alifomia 94520~ ~,lain(925) 288-9898 [:,trect[925) 288-2103 Feoc (925) 827-2029 To-' Howard VWe From: Roi:, Delnagm Fax: 661 326 0578 Pages: t'1 Phone: Date: RE: CC: [] Urgent [~For Review J-'~Piease Comment I-1Please Reply [~Please Recycle Mr. W~ne - Steve Undervoed asked me to fax the results of the UST pull:s out at 5650~Aldrin Court in BaRersfield t~} you for your review. Could you gtfe the report a onoe-over as soon as you can and. ~ease let me know if we are good to go and' possi sly re-use the stockpiled soils? In-sltu Samples am labeled TP-~-~, stockpile samples are lab~l.~d C8-(~). Please call me on my oell at 510 8;'2 6577! Thanks! Rot) Co~idenUality Notk=e TI~s inferrnafloll OOl'Ralhed in this fax is intended f~r the use of I~e individu al or entib/named and may c,;ntain information that I~ ooIlfidenllal, privileged and/or othervd~e exempt from disclosure und~r applicable law. If you are not the Intended rer,,iphmt, any ;l$~errdnation. disbibution or copy~g of I~is ~ammunioato~ is sl]'Ic, Uy prohibited. If you received this .g?mmunJcatloft ~l error, please notify us immedlMeJy by telephone and rettu'l'~ the original fax to us at the address show~ o~/2s/o3 mz os:so ~tg~ :~ss s~wE& z ~oo2 ,, ..................... , ~= t~o ~oiz; Mnr-~7-03 5;~PM; Page 5/7 Shaw ~nv~ntal Client P~joct ID: ~838819 I Da~ Sampled: 03/26/03 4005 Po~ Chiclio Ils~ ~ Date Received: 03/26/03 Clienl Co~t: Rob Delna~m [ Dale Exlrau~cd: 03~03 Concord, CA I ~4J20 Client P.O,; [ D~c ~l~ed~ 03t25/03-03127i03 Diesel ~e (el 0~23) gxtra~table Hydr~( a:rboas es Di~el* 030347 I-fl02A TI'-01~ 0303471-O03A 'rr~2-2 ! 0,~o3471 TF ~4-f, ' I m~;L. and all TCLP / b)' dilu6un of onsinal {xlract. *TI~ IbLIowffi~ ~cnp'tio~ 0 8aiolin~ mn~ ;~m~uz~s b~ siffnifi~m; =) un~uwn m~ium ~llih8 point pb[~ Ihal ~s ~or .pposr co ~ ~riv~ t~ ~i~sal: t) ~ne tn i few ffreater than -2 vol ~$ I)HS Certification No. 1,;44 ~ A~lgcla Rydclius, Lab Manager 03/27/03 TEIU 17:2o [TX/RX NO 95561 [~005 03/28/03 FRI 08'50 FAX 19168562355 SHAW E & I ~003 .............. ' ....... x ..... , ..... ~ , =c~ ,~ ~o~; Mar-~r-O~ ~:2~PM; Page 4/7 Shaw Enviro~ntal · Client Project ~: ~g38819 Date S~lcd: 4005 Po~ C~c~So II,~ Date R~civcd: 03/26/03 Client Collect: Rob Dcina~ ~a~e ~cted; Concord, ~ ~520 ........ Client P.O.: Date ~1~: 03127/03 ~s~oline ~ange (C6-C12) Vola~le gydr~arbans as G~oline with BTEX and MTBE* rio ] ~ TP-U 1-2 $ NIl NL) ND !, D ND * ' ND 1U I f)I)2A i TP-I)I~ ,~ ND N~ i ND :,D : ND ND LOP ~ ND ND ND ~, ~ N~ ND UCI4A ' ~]2-6 ~ ~ ND ND ND ~f~ N~ N~ 0~ [ TP~]~ ~ N~ ND ND ~ID ND ND [ 103 00?A TP-04.,2 S N~ [~.Z? NU FID ~ ND 105 0U~A ~ ~-I~ S ND ND ND ~lO ND ND UOgA TP-05-2 S NO ND ND ~ O ND , ND I O I ~:0~ TP.05,~ S ND ND ND : aD ND ND R~n~8 t.i.lt rnr DF -h W NA NA N& ~ ~ NA ~,a~r ond vap~ ~amples ar~ rcpo~d in p~/L, ~0{I an~ sludge s~pl~ in mE'kg, w po .staples r l~/~pe, and TCI I ~L~d ~hr.matO~tam; ~ nplc pc~k ~lu~s wLth ~.tt~atu peak. ' ?he I~tlh~wJn~ d~criptio~ ~ J'[h~ 'I*PH chromatu~ram a~ etir~ory in oalu~ and M~CamPbcll An;,lylleal ia n~ m~¢ihl~ for unm~',dd~d or ~,kly ~odi~ :d ~a~line i~ ~i~nifiuun~ b~l hwvi~r g~uli~ ~n~ ~om~un~ ~ s ~niflcantCaSed ~um~unda (the mo~ rno~ilu ~etion) am ~i~ilqaanl; ~) ~oline ren~ co~puunds ~avi~& broad ;:h~mo~mphic pea~ ~aks p~t; g) a~un~ly aSc ~ 6&~ollnc ar die~el range compoufl~S UtC sJJni~ealtt; hJ lighter T~fl water immiscJb]= she~/~duct is present: 1) liquid derlve~ [~om ~solinc (a~iaTic n gas). m) ne rccn~izablc pat~m. DHS Ce~i~carion No. 1 ~4~. Angels Ryde~ius, La~ Manager 03/27/a3 THU 17:2o [TX/RX NO 9556} ~004 011,/28/03 FRI 08:51 FAX 19168~1~82:355 SltAW F, & I I lC !,~i .,%w'nue .emudh I.~DT, ]"acheco, Shaw EnvirOnmental ~[icnt Project ~I3: #$38819 Date Stmpled: 03/26/03 aB05 Port C. hicag~ H ~,y Date g.¢ce/.vcd: 03/26!03 Client Contact: IKob Deluagro Dam Extractcd: Concord. C./. 94S20 Cleat P.O.: Date Analy~ed.' 03,"27/03 t, Methyl tert-Butyl ~;ther* · Wnf~ Order: ¢)JfL~4?l I ' l' Matri~ MC0~¥14-bu.Tt cmer (,MN'LI,~) tub LD C ,icllT IL) OOIA 't I'-U 1 -b 5 F L) ~ I ll.q rJ04,& T *'-02-6 ,~ ~ [,I [ 71.2 · 006^ T :'-0~-6 S ,N .) I --.-~ 009A T ~-Oe,-2 S 2,10 20 1~ I){)SA T. *-04-6 $ NI ~ I OCI 9A T' '-05- Z S re I) I ~ha~; Iht Tcportint limit ~ J. '1 ~'watcr and raper ,~kmplcs ar d all TCLP & SPLP ettrBcltl ~m repnr~cO in pg:l., snil!sludllc/~nlld ~;;tmpl~ i, lag'kg, wife .~ampfc~ in ;'i)duCt;~'il/'llflg'-aqUCOIJI liqu d Samples jg m&/L. h) l;l~htcr than wafer immi~icil,le .~he=n/pr~luut ia prc~ent; ;.) liquhl ~,arnple ~hal. Uunluina b'TC&tt¢ tAM'i ~2 VOl. % ~=dimenl: j) ~;ample diJ%l~d due ua high DIIS Cenifi,cation No, 1644 ~/~ Angela Ryd~liu.~, i.ah Manager 03/27/05 TEU'IT:20 [TX/RX NO 98661 ~006 CHAIN OF CUSTODY BECOBD ~n~rd. CA ~4520 Fr~j~c~,X.~: ~g3BBIO R~uesMd Te~ls Sample ID ClienlS~plD Malrix Colle~ion Da~ Hold S~15C 90~ ~8015 SWB2~B O303471-0~ ~-02-2 S~I 3~26:03 11~2;~ AM A A A 0303471-0~ TP-O~-G Soil 3t~;03 11:25:~ AM ........ A A A 0~3471~ ~-D3-2 Soil 3~O3 12:00:00 PM .... ~-"- A A ~347t-0~ TP~3-6 Soil 31~03 12:~:00 PM A A A -OD? TP-O4-~ Soil 3:2~'03 12:25:~ PM A A A ............... O~3471 O3034TI-OOB ~-04-~i ~i~ 3~2~3 12:41:03 PM A A ....... ~ ................................ 0)03471-~0~ TP-O~2 ~m 3~26~3 12:45:00 ud.4 A A ' ~. A .......................... I'rel]are(I by: M~s.sa Vai~s ~TE: Sables a~e di,~ed ~ d, ys a~r tesuUs are m~t~ u~s ather ~an~emen~ a~e ma~. ~a~r~s ,~s ~1~ re~m~ ~ ~iem McCAI~nELL[~I~AI,YT! :^1 INC. I HAIN OF CUSTODY RECORD . _ . o ~tl~q~,d ~y~ ' ~nl~ 'limit Re~ivr,I Of: ' BEC. FiL(Jiii~A.iEy I~ LAB PERSER3'ED IN LAB 03/28/03 FRI 08:52 FA~ 191§~5~B2355 SHAW E & I ~007 .... ~ 0~., M~.~,,~u~a. ~,~u..ycJ.='~J-, ~.nc.; ~ ~ ,u~ o.e~12; Mar'-27-03 5;1UPM; Page Shaw En~ro~mta] ' Client P[oj~t ~; ~83881~; P~- Date Sampled; 03/26/03 Ba~ts~td 4005 Pot~ Chicago Rwy Da~ Received: 03/26/03 CH~t Conm~c Rob De~a~o Date Ex.acted: 03/26/03 Concord: CA 94520 C~e~t P.O.: Oate Anal~¢d: Oie~ Ranse (C[0-C23) E~raelable M~drocau'boas as Diesel* U~U~472-UO2A C S-2 S b[~ ~O[ ] 1 OJn)4~2.0fl~A C5-3 ~ M[~ I I00 I O~IO472.UI)~A . C ~-5 S ~ L, I P.r.f~ottlng I.im~t Fur CF =1; ¥/ 'hl~ moarl.q t$ot dct~te I at ~ .............. ~b~'~ thc ~pO~ imtt S . I' wate~ an6 vager ~amplcs am rcp,)~qd in ps:L, wipe samples in ug/wipu. ~uilt~elid/sludgg ~p] q in mg/kg, p~t/uWnun-aqueous liqtnd ~plca in hiE/L, a~ 0il TCLP / ~TLC' ~ ~ by dilution of original g~oli~le ~nge ~m~u~da are ~i~i~e&n[l ~) unkn~ medium bailing point pa[~em thai do~ nol ~ ~peat lo be de~veO I~om dimgl; ~ onc m ·fcw re~lCr I~un ~2 vnL % ~=dimcr [: ~ k=to;cn~ker0~e ~Fe: I) b~nk~;~il: m) ~el ri;I; nl ~;~da~t :;.Iwnt / mineral ~pir~L DHS Cetliti~ation No. 11~4 03/27,'(,3 T~U 17:10 [TX/IL~ N0 9555} ~005 03/28/03 FIT[ 08:52 FAX 19168582355 S]~W E & I ~008 ., ........ . ....... , ..... , , o=u ,=0 .ol=; Mar-~t-Oa 5:15PM; Page ¢17 Shaw ~nx~Ton~mt Cticnt Projcct ID; '~38819: PB- Date Sampled: 0M26/03 Oa~l~ld · 4005 Po~ Chicago Hw t Date Receiwed: 03!2~03 Client Contact: Rob Deln~gro Date F~acted: Concord. CA 94520 --_. Cli~m P.O.: Da[e-~l~cd: 03,;27!03 Gss0Ji~,e ~Dge (C6-CI~) Volalile H~drocarbons es 'Gasoll.:m with BT~X [)t)2A C5-2 $ ND ND HD ND ~ ND I 96.8 0fl?A C~-? S ~D ], ND ND NO ND ND J Ir~l . I ~Ju~{,r~ ~)m~m~gram; ~,mp ¢ pc~k Gocltmle~ with ~u~c prak. + I'h~ t~ll~wln; dc~u'ripHun~ n~t ,~ TPH ch~ma~ogr~ am cu~t~ry in nazur~ and M~'Cump~ll Anal~ cai is ~mt ~nsibl~ unmadil~ or ~akl7 nmditlcd' [a~olhm i~ s/fnific~t~ b) heavier 8~soli,',~ mrl~ ~m~u~ a~ siin ficant(ag~ ~sollne?); uo~pounds (thc mos[ ~nul)ile fru :t/on) are ~i~ifica~T; d) ga~olin~ ~n8~ gumpuunds having broad c tt,..etu~rbphic peaks ate ilgniflcs~l; biol0R/cully peok~ pr~ent: g) fCl~n~l)' aged ~,s~hnc sir diesel range compounds n~ si~nil~cant; h) Ii,bmr ~0n m~ ar i~mi~Jbl~ ~h~)prod~t I~ pr~unt: i} Iiqt~id detiv~d ~r(,m 8~aolinc {avia(lan I nsf m) no r~oE, d~blc p~m. ,,HSCCni~=ationNo. 1644 ',~ AngeJa Ry~el[us: Lab~,ager 03/27/(13 T]t'(J 17:10 [TX/RX NO 9555] [~004 03/28/03 FRI 08:52 FAX 19168582355 SHAW E & I ~009 ~y: Mc~m~e~£ Ans.y~¢e~'Znc.; I 9~5 798 ~1~; M~-27-0~ ~:I~PM; P~ 6/7 $1~aw Eavirortmenml Client ProjectlD: ~L83~IS] 9; .PB- !Dare Sampled: 03/26/03 Bakersfield 400~ Port Chicago H~'y Dat~ RBceivcc); 03/26/03 Client Contact: Rob l')elna~ro Oat~ Extracted: 03/26/03 Concord, CA 94:520 Clicnt P.O.: Date A~m.lyzed: 03/27/03 l~,Jethyl lcFII-ButYl Ether* OU~,% ~$-2 S NJ) 94.9 OLI4A ;~-4 $ NI~ 91 ,$ 0flSA ':'S,~ S NI3 92.7 ~?A C$.7 S NI3 ~3.~ I~RA I :S.8 S NI) ~4,4 Rvpotiing Liniit fur D~ =l; J W N,% NA ~D fll~l~ not d~ccTcd abnv ~ Ih~ ,'e~l~ing limit: N/A nt~u~ a~lil)qc not ~pli~ab]~ tu this analy~ is.. h) lighter Ihall water {~lmli~ hie ~h~n/product ia pee~m; i) iiqgid ~mple thut contains Eruat¢r Ih~m -2 vial, % se~imcntl J} ~plc dilu~gd dgo Lo h{gh .rguniG cra)tent. DIt$ Ccnificatiort No. 1644 ,_~ A~igcla Rydclius, Lab Manager 03/27/03 T~U 17:10 '[TX/RX NO 9555] 1~006 .... N^I?~ l leAL InC.Ir-'I ~ll ~]3~ r - CH^IN OF (:tJSTODY JtECOIUJ . cs-q ..... ~o~n ~ ...... i ....... j .......... o CHAIN-OF'CUSTODY RECORD C~cnl: ~ha.~. ~:vi~::'~n~l FEL. 4005 P~rl Chica~ tv,'y F.~ PO. Req~esled T~ts Samp~ ID CI~nISa~ID Ma/dx Collectbn D~e Hold SW~15C 8021B18~S ' 0~3472-0Q I CS- 1 SeX 3~2~'03 A A A 0303472-002 CS-2 sa~r 3;2&'03 1~14:0~ AM A A A 03Q~72- ~3 C~3 S~t 3!2~'03 I~ 16:DO AM A A A 0303472-~4 C~4 S~I ~'2~03 10;17:00 AM A A ......................... 0303472-~5 CS-5 ~f 312~03 10:~0 ~M A A A I 03~412~07 ~:5~7 ~l ~'~6~3 le:27:00 ~', --" ~ ...... ......................... ~" A ] ................ g303472-0~ (;~-b SoiF ~'2G;03 10:29:00 ~ A A A ' O' Comnl~16: NOTE: Sa~s ~e di~d~ 60 oa~ afLet {esull5 are ~ un~ss olher a~a~e~n~ are made. H~a~daus ~es w~ be te~d to client o~ d~ ~ at c~l expense 171~ CheaCe~ Ave., Bmke=a~leld, CA 93301 -"' (805) 326-3979 TANK REMOVAL XNgPECTZON FORM OWNER CONTRACTOR LABORATORY ~ OF SAMPLES TEST ' PRELIMANARY Al CO. PERSON CO2 RECIEPT 02% PLOT PLAN CONDITION OF TANKS DATE Ilml~CTOIm ~ 8r~Mf~Rf MRR 11 ;)003 2:35PM RHL DESIGN GROUP ;70'7 765 8908 P.2 MRR 03 2003 14:0G BKSFLD FIRE PREVENTION (G~1)8S2-21'72 p.2 FED 20 2003 18:2g 9KSFm.D FIRE PREVEMTIOH [8B1)852-2172 " . ' CI~ OF · : -~' O~CE OF E~O~E~~ SER~CES ~~"' 1~1~ C~e~ter Ave., P~ ~~~ON FOR ' ~OY~ OF AN ~~GRO~ STO~E CO~~OR ~S ~l ~ ~. ,, ' '~E.,_~_~ a~ Z~~' PROGRAM CONS¢ TANKS UNDERGROUND STORAGE TANKS - FACILITY (One pageper site) Page. I of 1 TYPE OF ACTION [] I. NEW PERMIT [] 3. RENEWAL PERMIT [] 5. CHANGE OF INFORMATION [] 7. PERMANENTLY CLOSED SITE 400. (Check one item only) [] 4. AMENDED PERMIT (Specify change) [] 8. TANK REMOVED [] 6. TEMPORARY SITE CLOSURE : :::: : ": :, ::: '.2!.:::: :'; .:;::;':Z:: 5'::!:: ;: : : :: :,: PacificBUS1NESSBellNAME (Same ~s FACILITY NAME or DBA - Doing Business As) 3. I[ ID#FACILITY (/ : ~[: ~'~Y~ 1. NEAREST CROSS STREET 401. FACILITY OWNER TYPE [] 4. LOCAL AGENCY/DISTRICT* 402. Aldrin Ct. and Grissom St. - Bakersfield, Ca. [] 1. CORPORATION [] 5. COUNTY AGENCY* BUSINESS [] 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL 403. [] 2. INDIVIDUAL [] 6. STATE AGENCY* TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER [] 3. PARTNERSHIP [] 7. FEDERAL AGENCY* TOTAL NUMBER OF TANKS 404. Is facilit~ on Indian Reservation 405. * If owner of UST is a public agency: name of supervisor of division, section or 406. REMAINING AT SITE or trust lands? office which operates the UST. (This is the contact person for the tank records.) 0 [] Yes [] No PROPERTY OWNER NAME 407. I PHONE 40s. SBC Environmental Management I 925-901-7104 MAILING OR STREET ADDRESS 409. 2600 Camino Ramon, Rm. 3E000K CITY 410.STATE 411. I ZIPCODE 412. San Ramon Ca 1 94583 PROPERTY OWNER TYPE [] 1. CORPORATION [] 2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE AGENCY 413. [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY OWNER.INFORMA~ON " ':' TANK OWNER NAME 414. PHONE 415. SBC Environmental Management 925-901-7104 MAILING OR STREET ADDRESS 4~6. 2600 Camino Ramon, Rm. 3E000K CITY 417.t STATE 418. ZIP CODE 419. San Ramon I Ca 94583 TANK OWNER TYPE [] 1. CORPORATION [] 2. INDIVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 420. [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY HQ 44- Call 322-9669 if questions arise 421. · ::, .::.. :::::.:! ,. :. . ':: ::-~' '::;:: :?:~;: '" :' · ·: : :~ i ; ,. : . : ",: ::. : :!~:': i ~ :::' :,:;~ : ::::::: ?;ii ! INDICATE METHOD(s) [] 1. SELF-INSURED [] 4. SURETY BOND [] 7. STATE FUND [] 10. LOCAL GOV'T MECHANISM 422. [] 2. GUARANTEE [] 5. LETTER OF CREDIT [] 8. STATE FUND & CFO LETTER [] 99. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CD Check one box to indicate which address should be used for legal notifications and mailing. Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked. [] 1. FACILITY [] 2. PROPERTY OWNER [] 3. TANK OWNER 423. Certification: I certify that the information provided herein is true and accurate to the best of my knowledge. SIGNATURE OF APPLICANT DATE 424. [ PHONE 425. I NAME OF APPLICANT (print) 426. TITLE OF APPLICANT 427. STATE UST FACILITY NUMBER (.Agency use only) 428· 1998 UPGRADE CERTIFICATE NUMBER (Agency use only) 429. (See Data Element 1, above. UPCF Hwfwrc-a (1/99) - 1/2 http://www.unidocs.org Rev. 02/16/00 ':, ~FIED PROGRAM CONSOLIDATED ~RM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (Two pages per tank) Page 1 of 2 +YPE OF ACTION [] 1. NEW PERMIT [] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION [] 6. TEMPORARY TANK CLOSURE 430. (Check one item only) [] 3. RENEWAL PERM IT [] 7. PERMANENTLY CLOSED ON SITE (Specify reason) (Specify reason) [] 8. TANK REMOVED BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. FACILITY ID: 1. SBC Environmental Management [ [ i?i'ij 'i:; [ ] LOCATION WITHIN SITE (Optional) 431. ).,,:: ::'' :: i:':': ':: :: i:;: T~N~i~CR~I:ON TANK ID # 432. TANK MANUFACTURER 433. COMPARTMENTALIZED TANK [-'1 Yes [] No 434. 205 1 Modem Welding IV'yes," complet .... page for each compartment. DATE INSTALLED 435. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS 437. (YEAR/MO) 1996 .5,000 1 ADDITIONAL DESCRIPTION (For local use only) 438. TANK USE 439. PETROLEUM TYPE 440. [] 1. MOTOR VEHICLE FUEL [] 1 a. REGULAR UNLEADED [] 2. LEADED [] 5. JET FUEL (Ifchecked, complete ?etroleum Type) [] lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION GAS [] 2. NON-FUEL PETROLEUM [] lc. MIDGRADE UNLEADED [] 4. GASOHOL [] 99. OTHER: [] 3. CHEMICAL PRODUCT COMMON NAME (from mzardous Materials Inventory page) 441. CAS# (from Hazardous Materials Inventory page ) 442. [] 4. HAZARDOUS WASTE (Includes Used Oil) [] 95. UNKNOWN TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH EXTERIOR [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. (Check one item only) MEMBRANE LINER [] 95. UNKNOWN [] 2. DOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TANK MATERIAL - primary tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444. (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FPP COMPATIBLE [] 99. OTHER: REINFORCED PLASTIC (FRP) W/100% METHANOL TANK MATERiAL - secondary tank [] 1. BARESTEEL [--]3. FIBERGLASS/PLASTIC [-18. FRPCOMPTIBLEW/100%METHANOL [] 95. LrNKNOWN 445. (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FRP NON-CORRODABLE JACKET [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446. DATE INSTALLED 447. OR COATING [] 2. ALKYD L1NING [] 4. PHENOLIC LINING [] 6. UNLINED [] 99. OTHER 1996 (Check one item only) OTHER CORROSION [] 1. MANUFACTURED CATHODIC [] 3. FIBERGLASS REINFORCED PLASTIC [] 95. UNKNOWN 448. DATE INSTALLED 449. PROTECTION PROTECTION [] 4. IMPRESSED CURRENT [] 99. OTHER 1996 (If Applicable) [] 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450~ TYPE 45t. OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452. (Check all that apply) [] 1. SPILL CONTAINMENT 1996 [] I. ALARM 1996 [5~]3. FILL TUBE SHUT OFF VALVE 1996 [] 2. DROP TUBE 1996 [] 2. BALL FLOAT 1996 [] 4. EXEMPT [] 3. STRIKER PLATE 1996 ~: ':' ?::~. !Y!: T~N:K LEAKi:DET:EC~i0N] IF SINGLE WALL TANK 4s3. IF DOUBLE WALL TANK OR TANK WITH BLADDER 454. (Check all that apply) (Check one item only) [] 1. VISUAL (EXPOSED PORTION ONLY) [] 5. MANUAL TANK OAUG1NG (MTG) [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) [] 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE [] 2. CONTINUOUS INTERSTITIAL MONITORING [] 3. CONTINUOUS ATG [] 7. GROUNDWATER [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION [] 8. TANK TESTING (SIR) + BIENNIAL TANK TESTING [] 99. OTHER ESTIMATED DATE LAST USED (YRAVIO/DAY) 455. I ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456. I TANK FILLED WITH INERT MATERIAL? 457. gallonsI [] Yes [] No UPCF hwfwrc-b (1/99) - 1/4 http://www, unidocs.org Rev. 02/16/00 JNIFIED PROGRAM CONSOLIDATED ~ ~ TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 ~ Page 2 of 2 UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458. [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459. CONSTRUCTION/ [] 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460. [] 1. SINGLE WALL [] 95. UNKNOWN 462. MANUFACTURER ["1 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461. MANUFACTURER 463. [] 1. BARE STEEL [] 6. FPP COMPATIBLE W/100% METHANOL [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464. [] 5. STEEL W/COATING [] 95. UNKNOWN 465. UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466. SINGLE WALL PIPING 467. PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT-OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply) [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES 1N BELOW GROUND PIPING): []6. TRIENNIAL INTEGRITY TEST (0.1GPH) [] 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW [] 7. SELF MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ALARMS AND (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION []c. NO AUTO PUMP SHUT OFF []c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPI-I TEST) WITH FLOW SHUT [] 11. AUTOMATIC LEAK DETECTOR OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPHTEST) SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0. I GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK DISPENSER CONTAINMENT 468. [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK 469. DATE INSTALLED [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5.. TRENCH/LINER MONITORING 1996 E~3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR [] 6. NONE DISPENSER + AUDIBLE AND VISUAL ALARMS I certify that the information provided herein is true and accurate to the best of my knowledge. SIGNATURE OF OWNER/OPERATOR DATE: 470. NAME OF OWNEPdOPERATOR (print): TITLE OF OWNER/OPERATOR: 472. Permit Number (Agency use only) 473. Permit Approved By (Agency use only) 474. [ Permit Expiration Date (Agency use only) 475. UPCF hwfwrc-b (1/99) -3/4 http://www.unidocs.org Rev. 02/16/00 PROGRAM C( TANKS UNDERGROUND STORAGE TANKS - FACILITY (One page per site) Page __1 of l TYPE OF ACTION [] 1. NEW PERMIT [] 3. RENEWAL PERMIT [] 5. CHANGE OF INFORMATION [] 7. PERMANENTLY CLOSED SITE 400. (Check one item only) [] 4. AMENDED PERMIT (Specify change) [] 8. TANK REMOVED [] 6. TEMPORARY SITE CLOSURE BUS1NESS NAME (Same as FACILITY NAME or DBA - Doing Busi .... As). 3. FACILITY Pacific Bell ID# 1. NEAREST CROSS STREET 4Ol. FACILITY OWNER TYPE ['-1 4. LOCAL AGENCY/DISTRICT* 4o2. Aldrin Ct. and Grissom St. [] 1. CORPORATION [] 5. COUNTY AGENCY* BUSINESS [] 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL 403. [] 2. INDIVIDUAL [] 6. STATE AGENCY* TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER [] 3. PARTNERSHIP [] 7. FEDERAL AGENCY* TOTAL NUMBER OF TANKS 404. Is facility on Indian Reservation 405. * If owner of UST is a public agency: name of supervisor of division, section or 406. REMAINING AT SITE or trust lands? office which operates the UST. (This is the contact person for the tank records.) 0 [] yes [] No ~ii: ' IL:~ :PROPERTY: OWNER INFORMATION.~.:~'~ '~ PROPERTY OWNER NAME 407. PHONE 408. SBC Environmental Management 925-901-7104 MAILING OR STREET ADDRESS 409. 2600 Camino Ramon, Rm. 3E000K CITY 410. STATE 411. ] ZiP CODE San Ramon Ca [ 94583 PROPERTY OWNER TYPE [] 1. CORPORATION [] 2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE AGENCY 413. [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY TANK OWNER NAME 414. PHONE SBC Environmental Management 925-901-710~ MAILING OR STREET ADDRESS 416. 2600 Camino Ramon, Rm. 3E000K CITY 417.[ STATE 418.I ZIP CODE 419. San Ramon Ca 94583 TANK OWNER TYPE [] 1. CORPORATION [] 2. INDIVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 420. [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY :- :: or EQu%IZXi oN VsI TY(TK)HQ44- 10lB1 i [9Ix[ 4 ] Call(916) 322-9669 ifquestions arise 421. : :PETRO~E~ UST FINANCIAL RESPONSIB~I~:::~ ':':::; ii::?i:i:' ';:::: 'i ~:::::~: :::i:;i::5:::? :~iiii: !ii! i: :i:..i7%:: :i :: '!ii! ::' ::' ~ i i'i iiiiii:.i '!:?i: , ii :~,::~!:i':: : : i r:ii~:i ::'''`: !::i i!:.: !i : :::~'i~!:~ ! ;~i:iii!i~:!!!:!!! ~i;i~:::i'::~:: ':," ::/ii !:i/ i, ~: ~'"~': ' '~'"': INDICATE METHOD(s) [] 1. SELF-INSURED [] 4. SURETY BOND [] 7. STATE FUND [] 10. LOCAL GOV'T MECHANISM 422. [] 2. GUARANTEE [] 5. LETTER OF CREDIT [] 8. STATE FUND & CFO LETTER [] 99. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CD Check one box to indicate which address should be used for legal notifications and mailing. Legal notifications and mailings will be sent to the tank owner unless box I or 2 is checked. [] 1. FACILITY [] 2. PROPERTY OWNER [] 3. TANK OWNER 423. Certification: I certify that the information provided herein is true and accurate to the best of my knowledge. SIGNATURE OF APPLICANT DATE 424. I PHONE 425, NAME OF APPLICANT (print) 426. TITLE OF APPLICANT 427. STATE UST FACILITY NUMBER (Agency use only) 428. 1998 UPGRADE CERTIFICATE NUMBER (Agency use only) 429. (See Data Element 1, above. UPCF Hwfwrc-a (1/99) - 1/2 http://www, unidocs.org Rev. 02/16/00 -~ ~JNIFIED PROGRAM CONSOLIDATED ~RM TANKS ,, UNDERGROUND STORAGE TANKS - TANK PAGE 1 (Two pages per tank) Page __1 of 2 TYPE OF ACTION [] 1. NEW PERMIT [] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION [] 6. TEMPORARY TANK CLOSURE 430. (Check one item only) [] 3. RENEWAL PERMIT [] 7. PERMANENTLY CLOSED ON SITE (Specify reason) (Specify reason) [] 8. TANK REMOVED BUSINESS NAME (same as FACILITY NAME or DBA- Doing Business As) 3. FACILITY ID: 1. SBC Environmental Management ' I ~?~ii~! [ I LOCATION WITHIN SITE (Optional) 431. : :: i I.:TANKDESCRmTiON . fi:i. ': :: :: :..::: ;:;: (A;s;~led!Pib~;~i'~h ~vith the location oftheusT system inciuding buildings and:landmark;:shall:be submitted!t6 th~:i0~alagen;y,).i, .;!: :"~;: TANK ID # 432. TANK MANUFACTURER 433. COMPARTMENTALIZED TANK [] Yes [] No 434. 2052 Modern Welding lf"Yes," complet .... page for each compartment. DATE INSTALLED 435. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS 437. (YEAR/MO) 1996 12,000 1 ADDITIONAL DESCRIPTION (For local use only) 438. TANK USE 439. PETROLEUM TYPE 44o. [] 1. MOTOR VEHICLE FUEL [] la. REGULAR UNLEADED [] 2. LEADED [] 5. JEI FUEL (If checked, complete Petroleum Type) [] lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION GAS [] 2. NON-FUEL PETROLEUM [] lc. MIDGRADE UNLEADED [] 4. GASOHOL [] 99. OTHER: [] 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441. CAS# (from Hazardous Materials Inventory page ) 442, [] 4. HAZARDOUS WASTE (Includes Used Oil) [] 95. ~ow~ TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH EXTERIOR [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443, (Check one item only) MEMBRANE LINER [] 95. UNKNOWN [] 2. DOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TANK MATERIAL - primary tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444. (Check one itemonly) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPATIBLE [] 99. OTHER: REINFORCED PLASTIC (FPP) W/100% METHANOL TANK MATERIAL - secondary tank F'll. BARESTEEL 1--13. FIBERGLASS/PLASTIC 1"38. FPPCOMPTIBLEW/100%METHANOL [-195. UNKNOWN 445. (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FRP NON-CORRODABLE JACKET [] 99. OTHER __ REINFORCED PLASTIC (FPP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446. DATE INSTALLED 447. OR COATING [] 2. ALKYD LINING [] 4. PHENOLIC LINING [] 6. UNLINED [] 99. OTHER 1996 (Check one item only) OTHER CORROSION [] 1. MANUFACTURED CATHODIC [] 3. FIBERGLASS REINFORCED PLASTIC [] 95. UNKNOWN 448. DATE INSTALLED 449. PROTECTION PROTECTION [] 4. IMPRESSED CURRENT [] 99. OTHER 1996 (If Applicable) [] 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450. TYPE 451. OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452. (Check all that apply) []I. SPILL CONTAINMENT 1996 [~I. ALARM 1996 []3. FILL TUBE SHUT OFF VALVE 1996 [] 2. DROP TUBE 1996 [] 2. BALL FLOAT 1996 [] 4. EXEMPT [] 3. STRIKER PLATE 1996 IF SINGLE WALL TANK 453. IF DOUBLE WALL TANK OR TANK WITH BLADDER 454. (Check all that apply) (Check one item only) [] 1. VISUAL (EXPOSED PORTION ONLY) [] 5. MANUAL TANK GAUGING (MTG) [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) [] 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE [] 2. CONTINUOUS INTERSTITIAL MONITORING [] 3. CONTINUOUS ATG [] 7. GROUNDWATER [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION [] 8. TANK TESTING (SIR) + BIENNIAL TANK TESTING [] 99. OTHER ...... ~':~:'; ?:.;~ :::;::i:: :L:;! ::?::i::i:Vi TANK CLosuRE :[NFO~ATION/PER~:~'~E:O'g~ iN PE~CE::/' ii '.'.'~ ': ~:i '.: ' "2:~: ~: :.;:.:.'i: i : ESTIMATED DATE LAST USED (YRAVIO/DAY) 455. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456. [ TANK FILLED WITH INERT MATERIAL? 457. gallons] [] Yes [] No UPCF hwfwrc-b (1/99) - 1/4 http://www.unidocs.org Rev. 02/16/00 N1F1ED PROGRAM CONSOLIDATED ~i TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 ~ Page__2 of 2 UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458. [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459. CONSTRUCTION/ [] 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460. [] 1. SINGLE WALL [] 95. UNKNOWN 462. MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461. MANUFACTURER 463. [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [-I 7. GALVANIZED STEEL [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464. [] 5. STEEL W/COATING [] 95. ~OWN 465. UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466. SINGLE WALL PIPING 467. PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 G PH TEST WITH AUTO PUMP [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT-OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply) [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING [] 5. DALLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES 1N BELOW GROUND PIPING): []6. TRIENNIAL INTEGRITY TEST (0.1GPH) [] 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW [] 7. SELF MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. B, IENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ALARMS AND (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION []c. NO AUTO PUMP SHUT OFF I-lc. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT [] 11. AUTOMATIC LEAK DETECTOR OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM SUcTION/GRAVITY SYSTEM [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW [] 15. 'AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DALLY VISUAL CHECK [] 17. DALLY VISUAL CHECK DISPENSER CONTAINMENT 468. [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK 469. DATE INSTALLED [] * CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH/LINER MONITORING 1996 [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR [] 6. NONE DISPENSER + AUDIBLE AND VISUAL ALARMS I certify that the information provided herein is true and accurate to the best of my knowledge'. SIGNATURE OF OWNER/OPERATOR DATE: 470. NAME OF OWNER/OPERATOR (print): TITLE OF OWNER/OPERATOR: 472. Permit Number (Agency use only) 473. Permit Approved By (Agency use only) 474. I Permit Expiration Date (Agency use only) 475. UPCF hwfwr¢-b (1/99) -3/4 http://www.unldoes.org Rev. 02/16/00 FEB 20 2003 16:29 BKSFLD FIRE PREVEMTIOM (G61)852-2172 p.3 TANK EXCAVATION, REMOVAL AND DISPOSAL ., 1. Abandonment of tanks in place will only be allowed if removal would pose undue risk to an existing structure. Proof of risk and a work plan/proposal shall be submitted to the Bakersfield City Fire Department Office of Environmental Services for revieTM and approval prior to the commencement of any work activity. 2. Excavation of enough material to expose the top of the tank, removal of contents, high pressure rinsing, and inerting may be done prior to the arrival of the inspector. TANKS MAY NOT. BE REMQVED WITHOUT AN INSPECTOR PRESENT. 3. Job site safety and assuring all Cai-OSHA regulations are followed is the contractors responsibility. 4. Excavations, holes, pits, trenches etc. shall be back filled immediately to a minimum of 90% soi¥compaction or as otherwise specified by the building official under any separate grading requirements. Any excavations not immediately back filled upon completion of tank removal and soil sampling shall be properly secured so as to ensure public safety (i.e. fenced off). 5. 'Any excavated material from the tank pit, piping hms, etc. not used as approved back fill will be properly disposed of, or if left on location, will be either containerized or covered with sUitable material to prevent the emission of hazardous, noxious or unpleasant vapors and/or odors. In addition the materials will be properly secured as to ensure public safety (i.e. fenced off). 6. Tanks shall be either decontaminated or transported as hazardous waste. 7. A Hazardous Waste manifest will accompany either the rinsate or the tank and shall be present on site and presentable upon request. 8. The interior of tanks being transported not as hazardous waste (decontaminated) shall have a lower explosive limit (LEL) of no' greater than 5% immediately following cleaning and prior to the introduction of CO2. . A. The contractor shall certify on the inspection form that the cleaning process was properly conducted and the LEL results did not exceed 5%. 9. Tlxe decontaminated tank shall be inerted with the introduction of CO2, in the form of dry ice or from canisters. A. A rate of 20 pounds of dry ice to 1000 gallons of tanks capacity, or the corresponding Weight of Carbon Dioxide (CO2). B. If canisters are used they shall be bonded to the tanks(s). C. A receipt for the CO2 shall remain on site and presentable upon request. 10. Prior to the removal of a decontaminated tank the LEL level will be no greater than'5 % ~,... and the oxygen level will be no grater than 12%. 11. No manways may be cut into tanks unless inspector from Bakersfield Fire Department, Office of Environmental Services, is present. FEB 20 2002 18:29 BKSFLD FIRE PREVEHTIOH (GG1)852-21'72 ~.- UNDERGROUND STORAGE TANK ABANDONMENT IN PLACE ( The following requirements apply to in place abandonment of underground storage tanks. 1. All conditions noted on the permit are to be strictly followed, including but not limited to: --- Notification of the regulatory agencies involved. --- Posting of the permit on the job site in clear view. --- Approval from the Office of Environmental Services is to be granted for any changes in the original application before beginning any work. 2. The preliminary site assessment isto be completed, results submitted to the Office of Environmental Services and approval granted before any of the following rdquired steps are taken. 3. All dispensers and piping with the exception of the vent line are to be removed for proper disposal, prior to cleaning the tank. 4. The interior of the tank should be water or steam-rinsed under presSUre, or the equivalent, to remove residual hazardous wastes. Documentation of the rinsing and removal of the rinseate is to be made; all such wastes are considered hazardous wastes, unless proven otherwise, and shall be transported under manifest. A copy of the manifest, signed by the disposal facility, is to be provided ~.-(~-. to the Office of Environmental Services within fourteen (14) days of rinseate removal. 5. The contractor "decontaminating" the tank is to haVe a copy of their decontamination pr0eedure on file with the Office of Environmental Services. 6. By use of an expl°sivity meter that measures LEL (lower explosive limit), the contractor, "decontaminating" the tank, is to document the complete removal of sludge and waste. A maximum 5% LEL reading is to be achieved for the tank to be "decontaminated" and no longer considered a hazardous waste. The contractor should have documentation of training in the use of the explosivity meter on file with the Office of Environmental Services, and a record of monthly equipment calibration on site. 7. The ends of the tank are to be exposed, unless they are under a building: 8. The fill drop tube is to be removed. The vent line should be left attached and open during the entire abandonment process. 9. The tank shg.u, ld not be filled or punctured until tho inspector is present, The Office of Environmental Services requires ~wo (2) working days notification. Only excavation to expose the top of the tank, high pressure rinsing and r~noval . of flammable/combustible liquids by pumping and inerting as described in #10 below may be done without an inspector present. FEB 20 2003 16:29 BKSFLD FIRE PREVEHTIOM (GG1}8'52-2172 p. S 10. The tank should be inerted before filling by use of an inert gas, such as carbon dioxide. The oxygen level will be verified, by the Office of Environmental Services to be below 12%. meter, Example: Use of either carbon dioxide or dry ice - 2 lbs. Per 100 gallons of tank capacity of 20 los. Per 1,000 gallons of tank capacity. Note: Dry ice should be placed in the tank, at least four hours before the Office of Environmental Services inspection. Warning: If a liquid or gas inerting agent is to be used, the dispensing device shall be electrically grounded to the tank. 11. The tank shall meet the following purging and/or inerting conditions: D. Any remaining liquid shall be pumped from the tank before purging so that less that 8 gallons of liquid remain in the tank. E. The tank shall be purged through a vent pipe that discharges at least 10 feet above ground level. F. No emission shall result in any odors detectable at or beyond the property line. G. No emission shall endanger the health, safety, comfort or repose of any person. H. The vent lines shall remain attached to the tank until the inspector arrives to authorize the filling. 12. All caps in the top of the tank are to be removed. If the caps, at the ends of the tank;, cannot be removed or do not exist, the tank is to be punctured in a safe manner th. at reduces deformation. At least two holes at opposite ends of the tank are require before the tank filling process can begin, 13. The tank should be filled with a two-sack concrete mix. Only enough water to allow smooth flow and good compaction should be added to the concrete mix. The filling process is to continue until the material flows fi:om all holes in the top of the tank. Care is to be taken in the filling process to prevent voids from occurring. 14. The vent lines are to be removed and properly disposed of and the tank capped. 15. The backfill over the tank should be compacted to Public Works standards. FEB 20 2003 16:28 BKSFLD FIRE PREVEMTIOM C6~1}852-2172 SOIL SAMp.L, ING/PRELIMINARY SITE ASSESSMENT 1. Soil samples shall be obtained under the direction of a professional engineer, geologist, or authorized representative of a state-approved laboratory. 2. Samples shall be collected, at a minimum, from depths of 2 and 6 feet below the tank bottom, dispensers, and product lines and from the following locations: A. Tanks less than 1,000 gallons - from the center of the tank. B. Tanks 1,000 - 10,000 gallons - 1/3 of the way in from each end. C. Tanks greater than 10,000 gallons - from thecenter and 1/4 of the way in the end of the tank. D. Below all dispensers. E. Pipiiag - every 15.feet and/or at connections, joints, bends, etc. 3. Any area of obvi°Us contamination of likely areas of contamination may be required to · sampled. 4. All samples shall be analyzed by a state certified laboratory. 5. Soil samples shall be analyzed for all known and suspected substances to have been stored in the tank. Methyl Tertiary Butyl Ether (MTBE) shall additionally be analyzed in all soil samples taken from beneath tank systems which contained any motor vehicle fuel. (i~i 6. All samples will be accompanied by a Chain-Of-Custody sheet. 7. A soil sample report/preliminary assessment shall be submitted to the Office of Environmental Services within five days after results have been received and shall contain at a minimum the following information. A. Name and location of where the tanks were disposed of. B. Name and location of where the rinsate was disposed of. C. A signed copy of the Hazardous Waste Manifest. D. A tank disposal receipt from the scraping facility. E. Copies of.all lab data sheets and Chain-Of-Custody documentation. F. A plot plan showing the locations of the buildings, tanks, piping runs, dispensers, and ALL SAMPLE LOCATIONS WITH CORRESPONDING I.D. NUMBERS _A..ND DEPTHS. February 11, 2003 FiRE CHIEF The Shaw Group Inc. eon Feaze Sydney Geels 4005 Port Chicago Hwy ADMINISTRATIVE SERVICES 2101 'H' Street Concord, CA 94520-1120 Bakersfield, CA 93301 CERTIFIED VOICE (661)326-3941 FAX (661) 395-1349 RE: Tank Closure at 5650 Aldrin Court SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 Dear Mr. Geels: VOICE (661) 326-3941 FAX (661) 395-1349 This will confirm our phone conversation of Tuesday, February 11, PREVENTION SERVICES ~s,-.~,s~Es-~.,.~..-,r~sE.~s 2003. I received a copy of temporarily closure for apparently several 1715 Chester Ave. Bakersfield, CA 93301 Pacific Bell facilities in California. However as explained to you, VOICE (661) 326-3979 : this office will not grant temporary closure on tank sites that do not r~ (r~l) 32~576 i plan to upgrade. PUBLIC EDUCATION 1715 Chester Av~. ~' Therefore, prior to March 17, 2003, you must either remove the. Bakersfield, CA 93301 VOICE (661) 326-3696 i tanks at the above mentioned site or put them back into service. FAX (661) 326-0576 i After March 17, 2003 the tanks will be considered illegally ~ abandoned. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 I Should you have any questions, please feel free to contact me at 661- FAX (661) 326-0576 I { 326-3190. TRAINING DIVISION ,5642 Victor Ave. Sinc y, ' Bakersfield, CA 93306 . VOICE (661) 3994697 FAX (661) 399-5763 ~.~. Steve Underwood Fire Inspector/Environmental Code Enfoi'cement Officer Office of Environmental Services SBU/dc ' D January 22, 2003 Pacific Bell FIRE CHIEF RON ~E 5640 Aldrin Ct. Bakersfield CA 93313 ADMINISTRATIVE SERVICES 2101 "H' Street Bakers.el,~. C^ ~0~ RE: Upgrade Certificate & Fill Tags VOICE (661) 326-3941 FAX (661) 395-1349 Dear Owner/Operator: SUPPRESSION SERVICES 2101 "FI' Street Bakersfield, CA 93,301 Effective January 1, 2003 Assembly Bill 248.1 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 IRE SAFETY SER1/ICES * ENVIRONMENTAL SF.I~lCES 1715 ChosterAvo. YOU may, if you wish, have them posted or remove them. Fuel Bake~field, 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- Bakelsfleld, Ca 93301 326-3190. VOICE (661) 326-3696 FAX (661) 3260576 FIRE INVESTIGATION 1715 Chester Ave. Sinc~ I~kemfleld, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VlctorAvo. Steve Underwood Bakeraflold, CA 9'&308 Fire Inspector/Environmental Code Enforceinent Officer VOICE (061) 399-4697 FAX (661) 399-5763 Office of Environmental Services SBU/dc / 4005 Po~'t Chicago Highway Concord, CA 94520-1120 S~a~w 925.288.9898 Fax 925.288.0888 Tl?e Shaw Group Inc."' I November 25, 2002 Mr. S ve Underwood Baker,lsfield Fire Department 2101 H Street Baker,lsfield, California 93301 SubjeiJ:r Scope of Work for Proposed Temporary UST Closure Activities, P-ac~ff'm_-~Bi~ll~ Facility,a5650-~/g-l~lgi~--C-o--~.rt,~ Bakersfield, California Dear Underwood: · On behalf of Pacific Bell, Shaw Environmental Inc. (Shaw) is pleased to present this scope of [ · . work perta~mng to proposed temporary underground storage tank (UST) closure activities at the - above}Imentioned Pacific Bell facility. There is a 12,000-gallon gasoline UST and a 5,000-gallon diesel lUST at the site that Pacific Bell would like to take out of service pending future removal (Figurb 1). The following scope of work details anticipated closure activities to be performed in order to meet the State of Cahforma Code of Regulations Title 23, Division 3, Chapter 16, Sectioh 2671 UST temporary closure regulations and the Bakersfield Fire Department closure · I reqmrements. Copies of the State of California forms are included in Attachment 1. Scope of Work Prior t? temporary closure activities, Pacific Bell will arrange for the removal of any fuels within the UsT systems. Prior to performing any work, Shaw personnel and their subcontractors wdl re¥~ew~ the health and safety plan (Attachment 2). The USTs and assomated p~p~ng will then be triple-]':insed by a hazardous-certified subcontractor using a hot-pressure washer and detergent in order ~o remove any residual liquids, solids, or sludge. Following rinsing, the tanks will be visually inspected to ensure all liquids, solids, or sludge have been removed. The rinsate will I . then be transported off-site under a hazardous waste manifest to Romic Environmental T' I .... echnolog~es Corporation ~n East Palo Alto, Cahfomia for recycling A copy of the rinsate mamf4;st wall be forwarded to the Bakersfield F~re Department upon receipt. / Follovldng rinsing activities, the atmosphere of the tanks will be inerted using dry ice at a rate of approy[imately 20 pounds per 1,000-gallons capacity. After approximately 15 minutes, the lower explos.~ve hmtts (LEL) and oxygen concentrations will be measured. Once the LEL and oxygen I .- concentrations are below 10%, the tanks access ports will be sealed using locking caps. The vent · I. p~pe wldl not be sealed per UST temporary closure requirements. The power will then be disconnected from the fuel dispensers and locked out. The existing tank monitoring system will remain, operational. Mr. Steve Underwood November 25, 2002 Page 2 Prior to performing field activities, the Bakersfield Fire Department will be notified at least 48 hours in advance to witness temporary closure activities. Every three months, a visual inspection will be performed in order to document the tanks are still out of operation, locks are still in place, and no fuels have been added. Atmospheric readings will then be measured inside the USTs to ensure the LEL and oxygen concentrations remain below 10%. A copy of the monitoring' form is included in Attachment 3. If you have any questions or comments, please do not hesitate to contact me at (925) 288-2103. Sincerely, Shaw Environmental, Inc. ~~ager cc; Mr. Andrew Taylor, SBC Pacific Bell Attachments: Figure 1 - Site Plan with UST Locations Attachment 1 - State of California Forms Attachment 2 - Health and Safety Plan Attachment .3 - Quarterly Monitoring Form ITl 905-9-91 FIGURE FUEL DISPENSERS VEHICLE MAINTENANCE GARAGE ~r"] 5,000-GALLON DIESEL US 12,OOO-GALLON GASOLINE UST PACIFIC BI~LL OFFICE BUILDING PACIFIC BELL . SAN RAMON, CALIFORNIA 811aw E&l, lnc FIGURE 1 SITE PLaN WITH UST LOCATIONS APPROXIMATE SCALE PACIFIC BELL FACILITY I 5650 ALDRIN COURT 30 60 FEET BAKERSFIELD, CALIFORNIA ATTACHMENT 1 STATE OF CALIFORNIA FORMS UNIFIED PROGRAM CONSOI,IDATED FORM TANKS UNDERGROUND STORAGE TANKS - FACILITY (one page per site) Page of__ TYPE OF ACTION [] 1. NEW SITE PERMIT [] 3. RENEWAL PERMIT [-I 5.CHANGE OF INFORMATION [] 7.PERMANENTLY CLOSED S1TE (Check one item only) I-I 4. AMENDED PERMIT specify change local use only I~ 8. TANK REMOVED .TEMPORARY SITE CLOSURE 400 I. FACILITY / SITE INFORMATION BUSINESS NAME (S .... FACILITY NAME or DBA Doing Business As)3 [ FACILITY ID# [ [ tEl NEAREST CROSS STREET 401 FACILITY OWNER TYPE [] 4. LOCAL AGENCY/DISTRICT* __~o 0,~X~)O ~ [~ 1. CORPORATION [] 5. COUNTY AGENCY* BUSINESS [] 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL [] 2. INDIVIDUAL [] 6. STATE AGENCY* TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR ~,6. OTHER 403 [] 3. PARTNERSHIP [] 7. FEDERAL AGENCY* 402 TOTAL NUMBER OF TANKS Is facility on Indian Reservation or *If owner of UST is a public agency: name of supervisor of division, section or office which REMAINING AT SITE tmstlands?- operates the UST (This is the contact person for the tank records.) t'),n 4O4 [] Yes ~No 405 4o6 II. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME 407 PHONE 4o8 MAILING OR STREET ADDRESS 409 PROPERTY OWNER TYPE ~N1. CORPORATION [] 2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE AGENCY [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY III. TANK OWNER INFORMATION TANK OWNER NAME 414 [ PHONE 415 MAILING OR STREET ADDRESS 416 CITY 417 I STATE 418 I ZIP CODE 419 TANK OWNER TYPE 1~' CORPORATION I-] 2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE AGENCY 420 [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY iv. BO;dm Gl* EQUALIZATION ~JST STOI~GE FEE ACCOUNT NUMm~R TV (T~:) }~q 44- I O I 3 I / I q I I I q I Call (916) 322-9669 if questions arise 42, V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(s) I~l. SELF-INSURED [] 4. SURETY BOND [--I 7. STATE FUND [] 10. LOCAL GOVT MECHANISM [] 2. GUARANTEE [] 5. LEIIER OF CREDIT [] 8. STATE FUND & CFO LETTER [] 99. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CD 422 VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used for legal notifications and mailing. Legal notifications and mailings will be sent to the tank owner unless box I or 2 is checked. I-I 1. FACILITY I~. PROPERTY OWNER [] 3. TANK OWNER 423 VII. APPLICANT SIGNATURE :ertification - l certify that the information provided herein is tree and accurate to the best of my knowledge. SIGNATURE OF APPLICANT DATE 424 I PHONE 42~ / NAME OF APPLI~rANT (print) 426 IITLE O~ APPUCAN_T ,.~ 427 STATE UST FACILITY NUMBER (For local use only) 428 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 429 UPCF (1/99 revised) 8 Formerly SWRCB Form A UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page ~ of _~ TYPE OF ACTION [] I NEW SITE PERMIT [] 4 AMENDED PERMIT [] 5 CHANGE OF INFORMATION [~]s, 6 TEMPORARY S1TE CLOSURE (Check one item only) [] 7 PERMANENTLY CLOSED ON SITE ['-] 3 RENEWAL PERMIT (Specify reason for local use only) (Specify reason - for local use only) [] 8 TANK REMOVED 430 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [-I Yes [~ No 434 {~ O~f'~l ~'~.~ ~'~q If "Yes", complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS ~ 436 NUMBER OF COMPARTMENTS 437 ADDITIONAL DESCRIPTION (For local use only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 44O ~,~. MOTOR VEHlCLE FUEL RI a. REGULAR UNLEADED [--I 2. LEADED ['-{ S. JET FUEL (Ifmarked complete Petroleum Type) [~] lb. PREMIUM UNLEADED [] 3. DIESEL f-I 6. AVIATION FUEL [-1 2, NON-FUEL PETROLEUM [] lc. M1DGRADE UNLEADED [] 4. GASOHOL I'-I 99. OTHER [] 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS# (from Hazardous Materials Inventory page ) 442 [] 4. HAZARDOUS WASTE (Includes Used Oil) [] 95. UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER [] 95. UNKNOWN ~]~2. DOUBLE WALL [] 4. SIGNLE WALL 1N VAULT [] 99. OTHER TANK MATEPdAL - primary tank ~. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 (Check one item only) [] 2. STAINLESS STEEL [-] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPTIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL secondary tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 445 (Check one item only) [] 2. STAINLESS STEEL {~,~4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPTIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTlC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING [] 2 ALKYD LINING [] 4 PHENOLIC LINING ~6 UNLINED [] 99 OTHER (Check one item only) (For local use only) 448 DATE INSTALLED 449 OTHER CORROSION [] 1 MANUFACTURED CATHODIC ~3 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN PROTECTION IF APPLICABLE PROTECTION [] 4 IMPRESSED CURRENT [] 99 OTHER (Check one item only) [] 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED ~f~ 450 TYPE (local ..... ly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED ~'¥~.~ 452 (Check all that apply) ~],1 SPILL CONTAINMENT~,,{,t ~ ALARM [] 3 FlLL TUBE SHUT OFF-n.~VALVE ]'--] 2 DROP TUBE [] 2 BALL FLOAT [] 4 EXEMPT 3 STRIKER PLATE IV. TANK LEAK DETECTION (^ description of the monitoring program shall be submitted to the local agency.) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) [] 1 VISUAL (EXPOSED PORTION ONLY) [] 5 MANUAL TANK GAUGING (MTG) [] 1 VISUAL (SINGLE WALL IN VAULT ONLY) [] 2 AUTOMATIC TANK GAUGING (ATG) [] 6 VADOSE ZONE ~2 CONTINUOUS INTERSTITIAL MONITORING [] 3 CONTINUOUS ATG I'-I 7 GROUNDWATER ~ MANUAL MONITORING [] 4 STATISTICAL INVENTORY RECONCILIATION [] 8 TANK TESTING (SIR) BIENNIAL TANK IESTING [--1 99 OTHER IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE EST,MATEDDATE LAST USED tYR~MO/DAY)i,~,.. 0'~-. 45~ I EST'MATED~ANTITY OF SUBSTANCE REMAININGgaII°ns a56 I TANK FILLED WITH INERT MATERIAL?[~Yes [] No 457 UPCF (12/99 revised) 10 Formerly SWRCB Form B UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check all that apply) Page ~of UNDERGROUND PIPING I ABOVEGROLrND PIPING SYSTEM TYPE [] 1. PRESSURE ~2. SUCTION [] 3. GRAVITY 458 [ [] I. PRESSURE [] 2. SUCTION [-] 3. GRAVITY 459 CONSTRUCTION [] 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 I-I 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER ~. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER a61 I MANUFACTURER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLE w/100% METHANOL [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] Unknown [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 99. Other [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS ~.4~. FLEXIBLE (.HDPE) [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) IA ~ ~cription of the monitoring program shall be submitted to the local agency.) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) [] 3. ANNUAL INTEGRITY TEST (0. I GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply) [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING [] 5. DALLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIP1NG): [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) [] 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW [] 7. SELF MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ALARMS AND (Check one) r'l a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION I-lc. NO AUTO PUMP SHUT OFF []c NO AUTO PUMP SHUT OFF [] I I. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT [] 11. AUTOMATIC LEAK DETECTOR OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM [Q3. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ~. DAILY VISUAL CHECK DATE INSTALLED 468 I~l 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING qb [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR 6. NONE 469 DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein is true and accurate to the best of my knowledge. NAM~)F O~NER/~I~RATOR (/~r. int) 471 TITLE OF OWNF~dOPERATOR A t,~ i 472 Permit Number (For local use only) 473 Permit Approved (For local use only) 474 Permit Expiration Date (for local use only) 475 UPCF (12/99 revised) 12 Formerly SWRCB Form B UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page .~ of ~ TYPE OF ACTION [] 1 NEW SITE PERMIT [-I 4 AMENDED PERMIT [] 5 CHANGE OF INFORMATION ~ TEMPORARY SITE CLOSURE (Check one item only) [] 7 PERMANENTLY CLOSED ON SITE [] 3 RENEWAL PERMIT (Specify reason - for local use only) (Specify reason - for local use only) [-I 8 TANK REMOVED 430 BUSINESS NAME (Same asYACIL1TY NAME or DBA - Doing Business As) FACILITY ID: ~ LOCAIION WITHIN SITE (Optional) 431 I. TANK DESCRIpTIoN (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes ~ No 434 ~01~(~ ~, ~ If"Yes", complet .... page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS I 436 NUMBER OF COMPARTMENTS 437 ADDITIONAL DESCRIPTION (For local use only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 44o l.. MOTOR VEHICLE FUEL [-] la. REGULAR UNLEADED [-I 2. LEADED [] 5. JETFUEL (If marked complete Petroleum Type) [] lb. PREMlUM UNLEADED ~ DIESEL [-I 6. AVIATION FUEL [] 2. NON-FUEL PETROLEUM [-] lc. M1DGRADE UNLEADED [~ 4. GASOHOL [] 99. OTHER I-~ 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS# (from Hazardous Materials Inventory page) 442 [--] 4. HAZARDOUS WASTE (Includes Used Oil) [] 95. UNKNOWN : III. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] ~. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER [] 95. UNKNOWN DOUBLE WALL I'-] 4. SIGNLE WALL IN VAULT [] 99. OTHER TANK MATERIAL - primary tank ~[~,,. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 (Check one item only) [] 2.. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPTIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLAST1C (FRP) TANK MATERIAL secondary tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 445 item only) [] 2. STAINLESS STEEL ~4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPTIBLE W/100% METHANOL [] 99. OTHER (Check one REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING [] 2 ALKYD LINING I--I 4 PHENOLIC LINING ~ UNLINED [] 99 OTHER (Check one item only) (For local use only) OTHER CORROSION [] 1 MANUFACTURED CATHODIC ~S FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION [] 4 IMPRESSED CURRENT [] 99 OTHER (Check one item only) [] 2 SACRIFICIAL ANODE (For local use only) (CheckSPILLallANDthat apply)OVERFILL~ 1 SPILL YEAR INSTALLED q ~I~ 450 TYPE (local ..... ly) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED i~i} 452 11~ CONTAINMENT ~0,._ALARM [] 3 FILL TUBE SHUT OFF VALVE [] 2 DROP IUBE'"'-II 2 BALL FLOAT [] 4 EXEMPT [~STRIKER PLATE IV. TANK LEAK DETECTION (A description of the monitoring program shall be submitted to the local agency.) 1F S1NGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) [] 1 VISUAL (EXPOSED PORTION ONLY) [] 5 MANUAL TANK GAUGING (MTG) [] I VISUAL (SINGLE WALL IN VAULT ONLY) [] 2 AUTOMATIC TANK GAUGING (ATG) [] 6 VADOSE ZONE ~ CONTINUOUS INTERSTITIAL MONITORING [] 3 CONTINUOUS ATG [] 7 GROUNDWATER ~ MANUAL MONITORING [] 4 STATISTICAL INVENTORY RECONCILIATION [] 8 TANK TESTING (SIR) BIENNIAL TANK TESTING [] 99 OTHER IV. TANK CLOSURE INFORMATION / PERNIANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 I ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 I TANK FILLED WITH INERT MATERIAL? 457 [~-,"0'~I 0 gallons] ~Yes [] No UPCF (12/99 revised) 10 Formerly SWRCB Form B UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check all that apply) Page ~/ UNDERGROUND PIPING ] ABOVEGROUND PIPING SYSTEM TYPE [] 1. PRESSURE ~. SUCTION [] 3. GRAVITY 458[ [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION [] I. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN ,;62 MANUFACTURER ~2. DOUBLE WALL [] 95. UNKNOWN [-} 2. DOUBLE WALL [-I 99. OTHER MANUFACTURER ¢61 MANUFACTURER ,*63 [] 1. BARE STEEL [] 6. FRP COMPATIBLE w/100% METHANOL [] 1. BARE STEEL [] 6. FPP COMPATIBLE w/100% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] Unknown [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 99. Other I'-I 3. PLASTIC COMPATIBLE W/CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS ~8. FLEXIBLE (HDPE) [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) (A d ~scriplion of the monitoring prol~'am shall be submitted to the local agency.) UNDERGROUND PIPING ABOVEGROUND PIPING S1NGLE WALL PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): I'-I I. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) [] 3. ANNUAL INTEGRITY TEST (0.1GPH) [] 4. DALLY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply) I"'] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIP1NG): [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) [-] 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW [] 7. SELF MONITORING [] 9. BIENN1AL INTEGRITY TEST (0.1 GPH) GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNlAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check orte) ALARMS AND (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a AUTO PUMP SHUT OFF X~,q-IEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION i'-[c. NO AUTO PUMP SHUT OFF []c NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT [] 11. AUTOMATIC LEAK DETECTOR OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM ~13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS ["] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALAILMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW I-I 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK VII1. DISPENSER CONTAINMENT DISPENSER CONTAINMENT [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ~4. DAILY VISUAL CHECK DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING ~., [ 0~ ~ [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FORDisPENSER + AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein is t~:e and accurate to the best of my knowledge. 471 TITLE 472 Permit Number (For local use only) 473 Permit Approved (For local use only) 474 Permit Expiration Date (For local use only) 475 UPCF (12/99 revised) 12 Formerly SWRCB Form B ATTACHMENT 2 HEALTH AND SAFETY PLAN HEALTH AND SAFETY PLAN TEMPORARY UNDERGROUND STORAGE TANK CLOSURE VARIOUS PACIFIC BELL FACILITIES THROUGHOUT CALIFORNIA November 26, 2002 Prepared for: SBC Pacific Bell 2600 Camino Ramon, Rm. 3E000 San Ramon, California 94583 Prepared by: Shaw Environmental & Infrastructure, Inc. 4005 Port Chicago Highway Concord, California 94520 Shaw Project No.: 838819.36 CNCD:tSHAREIUST~O2-OO68.doc Table of Contents List of Appendices .......................................................................................................................................... ii Disclaimer ..................................................................................................................................................... iii 1.0 General Information ......................................................................................................................... 1-1 1.1 Project Manager ..................................................... , ............................................................. 1-1 1.2 Site Safety Officer ................................................................................................................. 1-1 1.3 Work Objectives/Scope ......................................................................................................... 1-2 2.0 Site Health and Safety Information .................................................................................................. 2-1 2.1 Site Description ........................................................................................................ '. ............ 2-1 2.2 Site Background/History .......................................................................................... · ............. 2-1 3.0 Hazards ........................................................................................................................................... 3-1 3.1 Known/Suspected Chemical Hazards ................................................................................... 3-1 3.2 Monitoring for Chemical Hazards .......................................................................................... 3-1 3.3 First Aid ............................. : ............................................................................... : ................... 3-2 3.4 Physical Hazards and Biological Hazards ............................................................................. 3-2 3.4.1 Fire/Explosion Hazards ............................................................................... , .......... 3-22 3.4.2 Pressure Washing Hazards ..................................................................................... 3-3 3.4.3 Weather Hazards (Heat, Cold, Rain, Fog, Lighting, Sparks) .................................... 3-3 3.4.4 Slip, Trip, and Fall Hazards ...................................................................................... 3-5 3.4.5 Noise ....................................................................................................................... 3-5 3.4.6 Overhead Hazards ............................. : ............. : ..................................................... 3-55 3.4.7 Asphyxiation/Confined Space ............ ; ....................... ' ............................................ 3-55 3.4.8 Moving Equipment ................................................................................................. 3-55 3.4.9 Dry Ice .................. : .................................................................................................. 3-6 3.4.10Electrical Hazards .................................................................................................... 3-6 3.5 Site Control Measures .......................................................................................................... 3-6 3.6 Personal Protective Equipment ............................................................................................. 3-7 3.7 Training ............................................................................................................................... 3-77 3.8 Emergency Response Plan ................................................................................................ 3-77 4.0 Emergency Information ................................................................................................................... 4-1 4.1 Nearby Hospital/Clinic - Note this is Applicable Only to the Bakersfield Site ....................... 4-1 4.2 Emergency Route ......................................................... ' ........................................................ 4-1 4.3 Fire Department: Phone: 911 ........................................................................................ 4-2 4.4 Police Department: Phone: 911 ................................................................................... 4-2 5.0 Health and Safety Plan Approvals and Acknowledgement ................................................. ............. 5-1 5.1 Approvals .............................................................................................................................. 5-1 5.2 Acknowledgments ................................................................................................................. 5-1 6.0 Health and Safety Plan Acknowledgement ..................................................................................... 6-1 CNCD:ISHAREiUSTIO2-OO68.doc i List of Appendices Appendix A Proposition 65 Warning and Notification CNCD:ISHAREIUS730~-OO68. doc ~i Disclaimer The enclosed site Health and Safety Plan (HSP) has been designed for the conditions that Shaw Environmental & Infrastructure, Inc. (Shaw) presently believes may be encountered during temporary underground storage tank (UST) closure activities at various Pacific Bell facilities throughout California. These activities will be rinsing of the tanks, inerting the atmosphere using dry ice, and disconnection of the electrical power to the associated fuel dispensers. As the work is performed, conditions different from those anticipated might be encountered and the HSP may have to be modified. Therefore, Shaw makes no representations or warranties as to the adequacy of the HSP, except for warranties specifically stated in the HSP itself. This HSP is addresses the site at 5650 Aldrin Court, Bakersfield, California. The same activities will be performed at over 20 locations in California. This plan is intended to cover all of these sites, however the site emergency response plan for each is an addendum to this plan. CNCD:ISHAREIUST~O2-OO68. doc iii 1.O General Information As described in Section 2.0, the health and safety plan has been developed for work to be done for SBC Pacific Bell along at their facility at 5650 Aldrin Court in Bakersfield, California and other comparable temporary closure sites throughout California. This is the base plan and has been prepared for the site in Bakersfield. The site activities, hazards, and control measures at all of the sites are anticipated to be identical except for the emergency response plan. Shaw Project No.: 838819.36 Date: November 26, 2002 Project Site Location: 5650 Aldrin Court in Bakersfield, California 1. l Project Manager: Sydney Geels for Shaw The Project Manager is responsible for all on-site activities, including having all appropriate plans prepared and distributing the plans to Shaw field personnel and to authorized representatives of each contractor employed to perform work on-site. The Shaw Project Manager is also responsible for ensuring that the provisions of this Health and Safety Plan (HSP) are carried out. This includes ensuring that all Shaw field personnel have received adequate training, that an adequate supply of safety and emergency equipment is available, and that the required safety reports are submitted to the area Health and Safety Manager/Project Certified Industrial Hygienist (CIH). Site Safety Officer: $teven Aiosa or Rob Oelnagro for Shaw The Shaw Site Safety Officer (SSO) is responsible for implementing this site-specific HSP. Irish Construction may also have a SSO or foreman that will be responsible for health and safety aspects of the work not covered by this plan. The SSO shall be knowledgeable in various state and federal regulations. This includes ensuring that field personnel have read and signed the HSP, that a Tailgate Safety Meeting is conducted on-site prior to initiating field activities, and that appropriate monitoring is conducted. In addition, the Shaw Site Safety Officer will be responsible for monitoring the site operations for compliance with the HSP provisions and any applicable federal, state or local requirements. The Site Safety Officer shall stop work due to violations and unsafe conditions until appropriate action is taken to correct these deficiencies. The HSP may be amended by the Site Safety Officer to include necessary changes. The Shaw Site Safety Officer is required to be on-site at all times during tank closure activities to ensure CNCD:iSHARE~USTlO2-OO68. doc 1 - 1 compliance with the health and safety plan. If the designated Shaw Site Safety Officer must be absence, a qualified alternate will assume the SSO duties and responsibilities. 1.3 Work Objectives/Scope The scope of work for this project covered by this HSP is limited to temporary UST closure activities at the previously mentioned Pacific Bell facility. Activities Planned (Check those that are applicable): underground storage tank removal oversight of soil excavation with backhoe or other equipment confirmation soil sampling dudng soil excavation and removal geophysical survey soil boring and soil sampling with HSA or air rotary drilling groundwater grab sampling from monitoring wells groundwater sampling of on-site wells X other: temporary closure of USTs - hot pressure washing of tank interiors, pumping of residuals from.. tanks, visual inspection of the interiors of the tanks, transporting of collected residuals, inerting of tank interiors, sealing tank pipes, and de-energizing the tanks CNCD:ISH/IREIUST~O2-OO6&doc 1-2 2.0 Site Health and Safety Information 2.1 Site Description SBC Pacific Bell plans to temporarily close the USTs located at various facilities pending planned future removal sometime next year. At Bakersfield, two 10,000-gallon USTs contain diesel and gasoline for the fueling of Pacific Bell fleet vehicles will be closed. At the other sites, similar size tanks used to store fuels also are being closed Prior to closure activities, Pacific Bell will arrange to have fuels within the tanks to be removed. Shaw will then arrange for the USTs and associated piping to be triple-rinsed by a certified hazardous waste subcontractor using a hot-pressure washer and detergent in order to remove any residual liquids, solids, or sludge. Following rinsing, the tanks will be visually inspected to ensure all liquids, solids, or sludge have been removed. The rinsate will then be transported off- site under a hazardous waste manifest. FolloWing rinsing activities, the atmosphere of the tanks will be inerted using dry ice at a rate of approximately 20 pounds per 1,000-gallons capacity. After approximately 15 minutes, the lower explosive limits (LEL) and oxygen concentrations will be measured. Additional dry ice or water will be added to the tanks if the LEL is above 10% and oxygen level is greater than 10%. Once. the LEL and oxygen concentrations are below target levels the tanks access ports will be sealed. using locking caps. The power will then be disconnected from the fuel dispensers and locked out. The existing tank monitoring system will remain operational. Unusual Features: none 2.2 Site Background/History Waste Type(s) Mark those that are applicable): soil encountered Other (please specify): municipal trash may be X petroleum liquids groundwater CNCD:iSHAREIUSTIO2-OO68. doc 2-1 Waste Characteristics: (Mark those that are applicable): X Ignitable (gasoline fumes) X Volatile: fuel residuals - benzene, toluene, ethylbenzene, and xylenes Combustible (diesel radioactive fumes) X Toxic Corrosive reactive Other (please specify): see box above CNCD:ISHAREIUSI302-OO68. doc 2-2 3.0 Hazards 3.1 Known/Suspected Chemical Hazards The primary suspected chemical hazards are fuel fumes and carbon dioxide. Fuel fumes from gasoline tanks can be explosive. Diesel fumes are less volatile, however they may pose an aspiration hazard if they are aerosolized. The evaporation of dry ice (carbon dioxide) displaces oxygen and may pose an asphyxiation hazard. In addition to these chemicals, the workers may be exposed to petroleum fuel exhausts, and volatile organic compounds (VOCs) including benzene, from the traffic. Over exposure to these compounds can cause headache, dizziness, nausea, and eye, nose and throat irritation. Some of the chemicals of concern have been determined to cause cancer and reproductive harm. Table 1 consists of a list of representative chemicals of concern and their occupational hazard characteristics (PELs, IDLHs, etc.). Appendix A lists the Proposition 65 chemicals of concern which is required by the State of California. Overall Hazard LevehI [~ Serious ~] ModerateI [--] LowI I--I Unknown Onsite Monitoring Required ? [5(] Yes [--]No 3.2 Monitoring for Chemical Hazards Combustible Gas Indicator (CGI)/4-Gas Meter: During tank closure activities both the air in the breathing space of the workers and at the active face of the tank will be monitored continuously using a combustible gas indiCator (CGI) to determine the concentrations of explosive gases relative to the Lower Explosive Level (LEL). After the introduction of dry ice into the tanks, the bottom, middle, and top of the tank should be monitored for LEL and oxygen levels. Photoionization Detector (PID): During closure activities, the breathing zone will be monitored with a PID for non-methane organic vapors concurrently with CGI/4-Gas Meter monitoring to determine if any gases detected are likely to be toxic. A PID is not sensitive to organic carbon levels at lower concentrations than the CGI, thus it should be used to monitored the breathing zone.. CNCD.'ISHARE~USTlO.-OO68. doc 3-1 Results of all monitoring will be recorded on Field Activity Daily Logs. Background concentrations in air will be established upwind and downwind of the work area before work begins. Calibration and maintenance procedures for field sampling and monitoring equipment is provided in Table 2. Action levels are provided in Table 3. 3.3 First Aid Inhalation: At first signs of headache or dizziness, remove victim from work area and give fresh air. If breathing has stopped, administer artificial respiration. Get medical attention immediately. Skin and Eye Contact: Flush eyes immediately with water for at least 15 minutes, occasionally lifting the eyelids. Remove contaminated clothing. Wash affected body areas with large amounts of soap and water. Get medical attention if irritation persists after washing. Ingestion: Do not induce vomiting. Keep victim warm and at rest. Get medical attention. 3.4 Physical Hazards and Biological Hazards These hazards are primarily associated with on-site equipment and the general nature of construction work. The majority of these hazards (e.g., construction machinery safety, and' electrical safety) are managed under the Irish Construction plans and procedures. For this HSP, the physical and biological hazard identification has been limited to issues associated with trenching and landfill conditions, that is, the issues for which Shaw is responsible. X Weather Hazards X Slip, Trip, Fall (Heat, Cold, Rain, Fog) X Noise Moving Equipment X Pressure Washing X Overhead Hazards Other: Dry Ice 3.4.1 Fire/Explosion Hazards The closing of the tanks, particularly those that contained gasoline, may create a fire/explosion hazard. Prior to the work being started, all ignition hazards within 25 feet of the tanks should be eliminated. This area should be barricaded and only workers involved in the temporary closure activities should be allowed in this exclusion zone. No vehicles should be allowed in the exclusion zone. All electrical equipment should be grounded prior to starting cleaning operations. Sparkless tools should be used. CNCDASHAREIUST~O2-OO68. doc 3-2 3.4.2 Pressure Washing Hazards Only trained workers will be allowed to operate the pressure washing equipment. The equipment must be inspected prior to use to ensure it is operating conditions, in particular a spring-released trigger should be present and working and the hoses should be in good condition. The lowest pressure that is effective to do the job should be used. Workers operating the equipment and those within the exclusion zone must be aware of the potential for splash from the heated water and flying objects from the washed area. Workers must use a face shield with side protection and water-proof coveralls (polycoated tyvek or rain gear that can be decontaminated). The pressure wand should never be pointed at another person. Loose or frayed clothing, fins, chains, or other dangling clothing should not be worn. If there is a sudden or slowing stopping of the water flowing through the wand, the machine should be shut off immediately before other damage may occur. All workers should have non-slip footwear that is in good condition that will also solid footing on slippy surfaces that may be created during the pressure washing. 3.4.3 Weather Hazards (Heat, Cold, Rain, Fog, Lighting, Sparks) It is anticipated that this work will be done during the fall and winter months. Work may continue in light rains and wind, but must be suspended when be suspended if the rains are heavy or wind speeds are above 20 mph. Work shall not be done if there is any potential foran electrical storm to occur. Additional, if fog interferes with workers ability to remain in visual contact, work must be suspended. In addition, workers should be aware that when humidities are very low (e.g., <20%) there is an increase chance of having sparks caused by friction. During the fall and winter, workers must be prepared for working in cold temperatures. Workers should take steps to prevent cold stress and be aware of the symptoms of cold stress. Preventative steps include: · Dressing warmly: - dress, in layers with materials that insulate but also allow sweat to evaporate (e.g., cotton and wool), clothing should include items which protect the feet, hands, head, and face. However, hoods, loose fitting clothing, dangling belts and jewlery should not be worn due to the other threat of catching in moving machine parts. · Keep dry: wetness greatly increases the chance of cold stress, have extra clothing available if there's a chance you could get wet. · Take a break: become fatigued during physical activity reduces the body's ability to properly retain heat. CNCD:ISHAREtUS~O2-OO68. doc 3-3 · Replace fluids: replace lost fluids and calories by drinking warm, sweet, caffeine-free nonalcoholic drinks and soup. The effects of cold stress may not be apparent to its victim. The first symptoms ofhypothermia are uncontrollable shivering and the sensation of cold. The heartbeat slows and may become irregular, and the pulse weakens. As the condition worsens, severe shaking or rigid muscles may be evident. The victim may also have slurred speech, memory lapses, and drowsiness. Cool skin, slow, irregular breathing, and exhaustion occur as the body temperature drops even lower. This is a serious condition requiring immediate medical attention. Frostbite can occur without accompanying hypothermia. Frostbite occurs when the fluids around the body's tissues freeze. The most vulnerable parts of the body are the nose, cheeks, ears, fingers, and toes. Symptoms of frostbite include coldness and tingling in the affected part, followed by numbness; changes in skin color to white or grayish-yellow, initial pain which subsides as the condition worsens, and possibly blisters. Frostbite can cause irreversible tissue damage and requires immediate medical attention. Workers should protect their skin using sun block or clothing. Workers should also be .familiar with the signs and symptoms of heat stress. Workers should use the buddy system to watch for signs of heat exhaustion - cramps, pale cool moist skin; excessive sweating; dizziness, nausea - and more advanced cases of heat stress. Workers should also drink plenty of water, an electrolyte drink (e.g., Gatorade) or other fluid on a regular basis. Also, a cool location for breaks should be identified. If necessary, the safety officer should adjust work/rest cycles to account for worker heat acclimatization, PPE, and whether conditions. For this site permeable personal protective equipment (PPE) is required. Assuming temperature acclimated workers are on the site, the guidelines for the work-rest cycle are as follows: · For temperatures at or below 78°F, an individual can work 60 minutes per hour · For temperatures between 78°F and 82°F, an individual can work 45 minutes per hour · For temperatures between 82°F and 86°F, an individual can work 30 minutes per hour · For temperatures above 86°F, an individual can work 15 minutes per hour For temperatures above 98°F, an individual should be provided with body cooling equipment CNCD:ISHARE1UST~O2-OO68. doc 3"4 3.4.4 Slip, Trip, and Fall Hazards All work areas should be cleared of unneeded equipment and debris to minimize slip, trip, and fall hazards. Materials being excavated from the landfill need to be managed so not to create a hazard. In addition to creating a trip hazard, the waste may create cut hazards. The work should be done in a manner that avoids or minimizes worker direct contact with the waste. If handling is required, workers should wear gloves with good puncture resistance, coveralls, and boot covers. During the pressure washing of the tanks - the hoses shall not be laid over ladders, steps, walkways or in other fashions that creates a trip hazard. 3.4.5 Noise The general environment and the use of heavy construction equipment may cause ambient noise levels to be 85 dBA or more. It is anticipated that the worker using the pressure washing equipment will be exposed to high noise levels and should begin work using hearing protection. A role of thumb will be used as an indicator of potentially dangerous noise levels: if workers need to raise their voices to be heard while in close proximity (e.g., 1 to 4 feet away) the noise level is likely to be 85 dBA or more. At this point the SSO may initiate noise monitoring or take corrective actions, such as using hearing protection and reducing the source(s) of the noise, if feasible. 3.4.6 Overhead Hazards There may be underground and aboveground utility lines. Prior to initiating work, the site will be surveyed for overhead lines and obstructions that may interfere with operations. If an overhead line is found, the electrical company or other wire owner should be contact to determine the appropriate height separation for the power of the line. 3.4.7 Asphyxiation/Confined Space The inerting of the tanks using dry ice will create an oxygen-poor environment. Workers conducting the visual inspection will not lower their heads into the tank where the oxygen level is less than 19.5% oxygen. No entry into the tanks will be allowed since this is a permit-required confined space. 3.4.8 bloving Equipment The work must be arranged to minimize the potential for workers to be mn-over or hit by moving equipment. Workers will wear hard hats and high visibility traffic vests. Hand signs, CNCD:ISHAREIUSTtO2-OO68. doc 3-5 backup alarms and other means of communication must be used when the heavy equipment is being moved. Workers should not be within the area traversed by the backhoe boom and bucket. 3.4.9 Dry Ice Workers will be using dry ice for inerting the tanks. Skin contact with dry ice will burn the skin. Workers should use heavy, cloth gloves when handling this material. 3.4.10 Electrical Hazards The work involves working with tanks that have electrical power. Prior to initiating all work, the power source for the tanks and pumps must be identified and tanks de-energized under a lock out/tag out procedure. Only a qualified electrician shall disconnect the tanks from the inerted, cleaned tank. 3.5 Site Control Measures Work areas (to be a minimum of 25 feet in all direction from the tank) will be secured from the public by orange traffic cones or other appropriate barrier. Drinking or smoking is not permitted in the work area. At a minimum at 20A/20BC fire extinguisher will be present at the site. The Site Safety Officer shall enforce these measures and the buddy system, PPE and training requirements for all on site personnel. Spills are not expected to be a concern on the project. However, ifa spill is to occur, adsorbent materials are available. A Tailgate Safety Meeting will be held by the Site Safety Officer for all site personnel. The safety discussion will include, in addition to other items in this HSP, the following issues: Site Entry Procedures: The Contractor shall provide the Contract Manager or the Contract Manager's designee with safe access to the work site during the investigation. Personal Decontamination Procedures: Eating, drinking, chewing gum or tobacco, smoking, or any practice that increases the probability of ingestion of material is prohibited in the work site. Wash hands and face prior to eating, drinking or smoking and before leaving the site. Kneeling, sitting, leaning, or general contact with potentially impacted surfaces, or with surfaces suspected of being potentially impacted by petroleum products should be avoided. Medicine and alcohol can alter the potency of toxic chemicals. Prescribed drugs should not be taken by personnel if the likelihood of such potentiation effects exists. Ingestion of alcohol is prohibited. Flammable Gas Hazards: · Worker safety precautions include: no smoking on the site · Workers should use non-sparking and/or explosion-proof tools CNCD:ISHAREIUST~O2-OOd8.doc 3-6 · No vehicles will be allowed within the exclusion zone 3.6 Personal Protective Equipment X Hard Hat X Safety Eyewear X Safety Toed Boots Respirator (Type): Standby full-face air-purifying respirator (APR) X High visibility, brightly colored Vest Filter Type: Organic Vapor and high-efficiency particulate air (HEPA) X Hearing Protection (as needed) X Gloves (Type): Latex or nitdle duing sampling; heavy leather work gloves for managing dry ice Tyvek Coveralls (if needed) X Other: Face shields when power washing Other Emergency/Safety Equipment: X 15 Minute Eyewash X A/B/C Fire Extinguisher- X Barricades minimum of 20N20BC X First Aid Kit X Potable Water X Traffic Cones Additional emergency/safety equipment includes pagers and cellular phones. Workers are encouraged to avoid use of hand-held cellular telephones while operating motor vehicles. Handheld tools should be constructed of non-sparking materials. 3.7 Training All personnel on site will be provided with on-site training that provides an awareness of the hazards of fuel vapors and power washing hazards that may be encountered. At least one person at the site will have first aid/CPR training. All workers designated for fire suppression in the work zone shall be provided with training in the operation of the fire extinguishers that will be supplied at the site. 3.8 Emergency Response Plan The Emergency Response/Contingency Plan (ER/CP) is designed to define and communicate procedures to be followed in case of an emergency. Due to the nature of this work, there is a potential for an explosion or fire to will occur if landfill gases are encountered. In case of an emergency, the Site Safety Officer shall ensure that all personnel working at the site shall know at a minimum the following evacuation procedures: CNCD:ISHAREIUSTIO2-OO68. doc 3-7 1. If evacuation is necessary, all personnel will proceed to a predetermined location in the support zone, upwind and upslope (as necessary) of the work zone. THE SIGNAL FOR EVACUATION WILL BE THREE SHORT BLASTS IN SUCCESSION ON AN AIR OR CAR HORN. 2. Site-specific evacuation incident procedures will be discussed and documented by the Site Safety Officer. 3. Workers should turn off all engines and other equipment prior to evacuation 4. Any person requiring medical attention shall be evacuated promptly from any contaminated area. For personnel requiring medical attention, the emergency information guidelines in Section 4.0 shall be followed. CNCD:ISH.4REIUST~O2~OO68. doc 3-8 4.0 Emergency Information If injuries occur on site, take the following action:. 1. Stop work, evacuate any injured personnel, initiate first aid, implement procedures to limit the extent of the emergency event (ensure response actions do not endanger site personnel). 2. Get medical attention for thc injured person immediately, if necessary, from the emergency medical facility. 4.1 Nearby Hospital/Clinic - Note this is Applicable Only to the Bakersfield Site. The nearest hospital is the Southwest Urgent Care Center in Bakersfield, California. Phone: (661) 322-2273 Address: 6401 Truxton Avenue Bakersfield, California 4. 2 Emergency Route Figure 1 a - Hospital Route Overview Navigation Te~ ~ CNCD:ISHAREIUST~O2-OO68.doc 4-1 Figure 1 B - Destination Map for Hospital Yahoo! I~ CI2i)02 Navigation T~s ~ From Site 1: Start on ALDRIN CT 2: Turn Left on GRISSOM ST 3: Turn Right on WHITE LN 4: Turn Left on STINE RD 5: Continue on NEW STINE RD 6: Continue on CALIFORNIA AVE 7: Turn Left on MOHAWK ST 8: Turn Left on TRUXTUN AVE 4.3 Fire Department: Phone: 911 4.4 Police Department: Phone: 911 CNCD..iSHAREIUSTiO2-OO68. doc 4-2 5.0 Health and Safety Plan Approvals and Acknowledgement 5.1 Approvals I have read and approved this HSP with respect to project hazards, regulatory requirements, and Shaw procedures. Project Name: SBC Pacific Bell. Project Manager Barbdra Marks, CIH #5776 Project Certified Industrial Hygienis..t 5.2 Acknowledgments I acknowledge receipt of this HSP from the Project Manager, and that it is my responsibility to explain its contents to all site persomael and cause these requirements to be fully implemented. Any change in conditions, scope of work, or other change that may affect worker safety requires me to notify the Project Manager and/or the site Supervisor/Foreman. Site Safety Officer: r~/[~./,) Date: ]1' c~co:~s~,~xus~02-00~s.,to~ 5-1 6.0 Health and Safety Plan Acknowledgement I have read this site-specific health and safety plan, or its contents have been presented to me, and I understand the contents, and I agree to abide by its requirements. Name (Print) Signature Representing Date CNCD:ISH.4RE~US7302-OO68. doc 6-1 TABLE 1 Chemicals of Concern and Occupational Characteristics (1) Chemical CaIOSHA PEL 8- ACGIH TLV 8-hourTWA(4) IDLH (5) Comments hour TWA(2) STEL(3) Carbon Dioxide 5000 ppm; 5000 ppm ~ 40,000 ppm Major Constituent of dry ice, simple asphyxiate 30,000 ppm Dust (Particulate Not 5 mg/m3 respirable; 3 mg/m3 respirable; 10 Not Irritation Otherwise Regulated) 10 mg/m3 total mg/m3 total Established Gasoline 300 ppm [STEL = 300 ppm N/A (6) Carcinogen; flammable liquid; 500 ppm] kidney toxin; headaches; dizziness; eye, nose, and throat irritant (May be present due to proximity to highway traffic) Diesel Engine Exhaust Not Established 0.05 rig/m3 N Carcinogen, irritant, odor and color vary by source (May be present due to proximity to highway traffic) Benzene 1 ppm [STEL = 5 0.5 ppm 500 ppm Carcinogen; flammable liquid with aromatic odor (may be a ppm] trace gas in landfill gases) Toluene 50 ppm [STEL = 50 ppm 500 ppm Flammable liquid with benzene 150 ppm] odor; liver and kidney toxin; skin irritant; dermatitis; dermal i absorption; skin (6) Notes: 1. Source: National Institute for Occupational Safety and Health (NIOSH), Guide to Chemical Hazards, 1990. Ppm = parts per million, mg/rn3 = milligrams per cubic meter. 2. CalOSHA PEL = 8 CCR 5155 General Industry Standards for Toxic and Hazardous Substances, Permissible Exposure Limit. &hour time weighted average (TWA) 3. STEL = Short-term Exposure Limit. 4. ACGIH TL V = American Conference of Govemmental Industrial Hygienists, Threshold Limit Value. 5. IDLH = Immediately dangerous to life and health. 6. N/A = not applicable 7. Skin = The designation "skin" refers to potential significant contribution to the overall exposure by skin contact with vapors or with the substance. CNCD:I$ttAREIUST~OZ-OO68. doc 1 of 1 TABLE 2 Calibration and Maintenance of Field Sampling Equipment Monitor Type Calibration Method Calibration Frequency Maintenance Schedule Combustible gas CGI sensor calibrated against CGI span calibrated once per Instrument cleaned as needed indicator (CGI)/oxygenknown concentration of hexane month. CGI zero checked and no less than annually. meter/4 gas meter (02,(demonstration bottle). Zero setting daily. Oxygen sensor changed LEL, hydrogen sulfide,checked in non-contaminated air. annually and changes if and carbon monoxide) necessary. Oxygen sensor calibrated Oxygen sensor calibrated daily todaily. 20.9 percent fresh, non-contaminated air. Photoionization detector PID zeroed in clean air. Span PID zeroed and span checked Annual cleaning by qualified (PID) calibrated using known daily at start of work day.technician. Annual calibration concentration of isobutylene of electronics by qualified . (d~emonstration bottle), technician. Clean lamp if sensitivity drops or if used in very dusty environment. Draeger tube sampling Check air tightness of pump, timeCheck daily prior to start of Maintenance required .. system for one minute, chain should remain workday, whenever pump fails to pass slack. If chain taut, then leak test. Replace seals maintenance required, and/or lubricate per instruction manual. Air sampling pump Verify airflow using primary standard Verify airflow prior to and after Minimum of annua!cleaning:. (bubble meter) or precalibrated use with sampling head in Clean whenever pump unable rotameter, place. Spot check flow rateto hold flow rate. throughout sampling period.Maintenance required if pump will not hold charge or flow rate is erratic. TABLE 3 Airborne Chemical Action Levels In Breathing Zone Parameter Action Level~ Required Action2 Dust _> 0.5 mg/m3 above background Use Dust Suppression (watering or equivalent) Unknown VOCs > 5 ppm above background Detector tube for benzene, continue to work if no benzene < 50 ppm detected Benzene > 0.5 ppm Stop work; contact CIH3 02 --~ 23.5% or < 19.5% Stop work; determine cause3 LEL _> 10% of LEL Stop work; determine cause3 Airborne Chemical Action Levels in UST During Inerting Parameter Action Level~ Required Action2 O2 > 8% Continue inerting tank - trying distributing dry ice using water or adding additional dry ice, do not proceed with deconnecting electrical wiring until action levels have been met LEL >10 % of LEL Continue inerting tank - trying distributing dry ice using water or adding additional dry ice, do not proceed with deconnecting electrical wiring until action levels have been met Notes: ppm = parts per million. LEL = lower explosive limit. 1. Five excursions above the action level in any 15 minute period or a sustained reading in excess of the action levels for 5 minutes will trigger a response. 2. Frequency of air monitoring may be adjusted by the CIH after sufficient characterization of site contaminants has been completed, tasks are modified or site controls have proven effective. 3. Contact with the Project CIH must be made prior to continuance of work. The Project CIH may then initiate integrated air sampling along with additional engineering controls. No one is permitted to downgrade levels of PPE without authorization~ from the Project ClH. CNCD:~SHARE~UST~O2-OO68. doc 1 of 1 Appendix A Proposition 65 Warning and Notification As required under the Safe Drinking Water and Toxic Enforcement Act of 1986 (also known as Proposition 65), on February 27, 1987, the Governor published a listing of those chemicals determined by the State of California to cause cancer, birth defects, or other reproductive harm. Proposition 65 requires that businesses that handle any of the listed chemicals notify people in the affected area of that fact. Shaw anticipates handling some of the listed chemicals at the project sites. The chemicals present on site that have been determined to cause cancer include: · Diesel Engine Exhaust · Gasoline (whole vaporized) · Benzene The following contaminants on site have been determined by the State to cause reproductive harm: · Benzene · Toluene · Lead CNCD..ISH.~RE~USTIO2-OO68. doc B- 1 APPENDIX A PROPOSITION 65 WARNING AND NOTIFICATION CNCD: ISHAREI UST~O2-OO68. doc B -2 Equipment Decontamination Activity Hazards Control Measures Pressure washing Contact with product Proper PPE will be utilized as described in this HSP. Cutting hazards Pressure washing activities will be in accordance with Shaw Policy HS303. Inexperienced operator Only trained personnel shall operate pressure washing equipment. Slips, trips, falls Ensure proper footing in wet areas. Equipment Inspection Training Pressure washer Prior to use Pressure washer training 40 hour / 8 hour HAZWOPER Site-specific training CNCD:ISHaR£1U$~O.-O068.~loc B -3 ATTACHMENT 3 QUARTERLY MONITORING FORM Quarterly Monitoring Form Pacific Bell Facility 5650 Aldrin Court Bakersfield, California Date: Locks Secured: Tags in Place: No Power to Dispensers: LEL (in Percentage) Upper: Middle: Lower: Oxygen (in Percentage) Upper: Lower: Middle: Notes: Date: Locks Secured: Tags in Place: No Power to Dispensers: LEL (in Percentage) Upper: Middle: Lower: Oxygen (in Percentage) Upper: Lower: Middle: Notes: Quarterly Monitoring Form Pacific Bell Facility 5650 Aldrin Court Bakersfield, California Date: Locks Secured: Tags in Place: No Power to Dispensers: LEL (in Percentage) Upper: Middle: Lower: Oxygen (in Percentage) Upper: Lower: Middle: Notes: Date: Locks Secured: Tags in Place: No Power to Dispensers: LEL (in Percentage) Upper: Middle: Lower: Oxygen (in Percentage) Upper: Lower: Middle: Notes: NOU-~-200~ ll:S1 ENVIRONMENTAL MGMT 9~5 ~ ~241 P.01/01 5650 ~ ~ :, ,,~ 661-831~37~ ' ' ' ' / NOV 26. 2~2 t0:52 ~ A~ 10, 2002 2:38 ~ ~R ~, 2001 3:03 PM ~ A~ 2 D~S~ F~L SU~ NOV 26, 2~2 10;~4 ~ ~GH LIQ~ ~ 10, 20~ 2~9 PM AUG 28, 2~1 3;48 PM 3 D~EL P~ S~ NOV 26, 2002 10:41 ~ ~ 10, 2~ 2:38 ~ ~R 10, 2002 1~1 ~ ~OHLIQU~~ NOV 2~, 20~ 10:~0 ~R 10, 2~ 298 PM ~ A~ ~R ~, 2~ 3:03 PM NOV 26, 20~ 10:~ ~ NOV 26~ ~2 10:55 ~ ~0, 2002 2:~9 PM NOV 26, 2~2 t0:47 PANIC BE~ B~D 12 1918 M S~T 661 631-2540 "~S~S~~ ' NOV 2~, 2~2 ~:~6 AM F~L AP~ ~, 2002 8:34 ~ ~ 30, 2~1 8:~3 ~ ~ ~A~ 20~ ~N. P~ ~ NOV 26, 2002 9:~ ~ ~GH ~q~ A~ ~ 9, 2~2 8:34 AM ~OH LIqU~ A~ ~OV ~, 2002 10:01 ~ 30. 2~ 8:5~ ~ TOTRL P. 01 Certified Fee I~ Re~urn Receipt F~ Po~ ~n~mement R~ul~ ~ Hem Decem~r 2, 2002 ~ ~=n~o~em~t R~ui~ Rob Delnagro Shaw Environmental Inc I,.~Tj .......................................................................... II a~ c.~ 4005 Po~ Chicago Hwy I ~o~ [~ Concord, CA 94520-1120 . ADMI~SmA~W St~WCtS CERT~ MA~ 2101 "H' Strut Bake~fleld. CA FAX (~1) ~1~9 ~: Tempormy Closure of (2) Underground Storage Tanks at Pacific Bell Facility, 5650 Alan Ct. 2~ 01 'H' Street BakemfielO. CA 9~1 De~ Mr. VOICE (~*} 32S-3~ ~emasro: Pumuant to our phone conve~ation of Novem~r 22, 2~2 and your PREVE~ON ,~,~..~.,~. proposed workplan dated Novem~r 25, 2002, I am responding to your 1715 Chester Ave. ~.~,e~. c~ ~ request for tempor~ closure. VOICE (661) 320-3979 Request for temporary closure is hereby denied. The pu~ose of ,u.uc t.uca~o. ~anting tempor~y closure is to either up~ade or modify your tank 1715 Chesteravk , system. Cle~ly, none of ~ese m~ons exist. ~ you had intent to Bakomfiold, CA ~1 vOiCE (~1) 32.~ modify or upgrade the tank system, this office could ~ant tempor~y F~ (~1) closure. However, that is not the intent here. F~aE ~NVtS~ON mS Chesto, A~e. Should you take the tanks out of se~ice ~ outlined in your proposal, ~komfleM, CA ~1 vOiCE (~) ~.3~5~ yOU would have 90 days to either properly close (remove) or put the F~ (601) 3ffi~76 tank system hack in operation. ~AINING ~SlON ~ mo~a~.. I hope this answem your questions. Should you have fuAher concerns, ~kemfleld, CA ~ vOiCE (60~)3~ please feel free to contact me at 661-326-3190. F~ (~) 3~S7~ Sincerely, Steve Unde~ood Fire Inspector~nvironmental Code Enforcement Officer SBU/dc CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~0a. el(t{7. (~6~,~ INSPECTION DATE Section 2: Underground Storage Tanks Program ~ Routine ~l~Combined [~ Joint Agency ~i Multi-Agency ~ Complaint [~l Re-inspection Type of Tank ~[t)~.2~ Number of Tanks I Type of Monitoring dJ~ Type of Piping Dt~o t= OPERATION C V COMMENTS Proper tank data on file / Proper owner/operator data on file / Permit lees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current / Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance ,fi=Violation Y=Yes N=NO /j.~e4 L(~f ,~ Inspector: v '.~ ~/~P~Z~].~~ Office of Environmental Services (805)326-3979 B/.IS¥fl~ss S](te Re~on{ibl~Party White - Env. Svcs. Pink - Business Copy ! CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~tff!-~t(, l~..[( INSPECTION DATE ADDRESS ~$ SO A/~6t~- CT- PHONE NO. 3q~ "t--/~ FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine [~ombined [~ Joint'Agency ~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ~.. Business plan contact information accurate {~ /~ Visible address k. // Correct occupancy Verification of inventory materials ~ J Verification of quantities Verification of location [.., J Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate {.,~ Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardou~waste~n site?: ~] Yes [~ No Explain: {_L}_n~.~ C.~,. / Questions regarding this inspection? Plensecailus a,(661) 326-3979 Bu~n~s~'~i~ff,ffs~gd?ble~-arty White- Env. Svcs. Yellow- Station Copy Pink- B.~ine~s copy Inspector: r'~ Postage $ r"-z r~ r"t Certified Fee Postmark Return Receipt Fee Here ~ (Endorsement Required) ~3 Restrfcted Delivery Fee C3 (Endorsement Required) I'U Total Postage & Fees r~ [ Sent To ' ~'[ ......................... ~.c..~.Lc....s...~_~ .......................................... · !Street, Apt, No.; [.o~ ~.o..~?.......o.: ....... ~.?...~.?....?.~. ..................................... City, State, ZIP+4 BAKERSFIELD CA 93313 · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. [] Agent · Print your name and address on the reverse -I Addressee so that we can return the card to you. C. Date of Delivery · Attach this card to the back of the mailpiece, or on the front if space permits. D. Is dehvery address,d~fferent frornjtero~l, [] Yes 1. Article Addressed to: / = If YES, enter~elive~,address belo'~'~\ [] No PACiFiC BELL 5650 ALDRIN CT-- ;, .~,- BAKERSFIELD CA 93313 3. Service Type {1~ Certified Mai} [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mai{ [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 7002 '0860 0000 PS Form 3131 1, August 2001 Domestic Return Receipt , ? ~:~.~: ~. 102595-02-M-0835 BAKERSFIEL~ FIRE DEPART~ENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfield, CA 93,.301 ~ ~. October 31, 2002 Pacific Bell 5650 Aldfin Ct Bakersfield CA 93313 CERTIFIED MAIL REMINDER NOTICE F~RE CHIEF RE: Necessary secondary containment testing requirements by December 31, RON FRAZE 2002 of underground storage tank (s) located at the above stated address. ADMINISTRATIVE SERVICES 2101 "H" Street Dear Tank Owner / Operator, Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment SUPPRESSION SERVICES 2101 'H' Street components for your underground storage tank (s). Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California , Health & Safety Code) of the new law mandates testing of secondary PREVENTION SERVICES " containment components upon installation and periodically thereafter, to 1715 ChesterAve. i, insure that the systems are capable of containing releases from the primary Bakersfield, CA 93301 containment until they are detected and removed. VOICE (661) 326-3979 [ FAX (661) 326-0576 ~ ~ Of great concern is the current failure rate of these systems that have been PUBUC EDUCATION I tested to date. Currently the average failure rate is 84%. These have been 1715 ChesterAViL J' due to the penetration boots leaking in the turbine sump area. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 For the last six months, this office has continued to send you monthly FIRE INVESTIGATION reminders of this necessary testing. This is a very specialized test and very 1715 ChesterAve. few contractors are licensed to perform this test. Contractors conducting this Bakersfield, CA 93301 VOICE (661) 326-3951 test are scheduling approximately 6-7 weeks out. FAX (661) 326-0576 The purpose of this letter is to advise you that under code, failure to perform TRAINING OIVISION 5642 VlctorAve. this test~ by the necessary deadline~ December 31~ 2002~ will result in the Bakersfield, CA 93308 revocation of your permit to operate. VOICE (661) 399-4691 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 m-e at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services September 30, 2002 Pacific Bell 5650 Aldrin Ct Bakersfield CA 93313 REMINDER NOTICE FIRE CHIEF RON FRAZE RE: Necessary secondary containment testing requirements by December 31, 2002 of ADMINISTRATIVE SERVICES 2101 'H' Street underground storage tank (s) located at the above stated address. Bakersfield, CA 93301 VOICE (661) 326-3041 FAX (661) 395-1349 Dear Tank Owner / Operator, SUPPRESSION SERVICES If you are receiving this letter, you have not yet completed thc necessary secondary 2101 "H' Street Bakersfield, CA 93301 containment testing required for all secondary containment components for your underground VOICE (661) 326-3041 storagc tank (s). FAX (661) 395-1349 PREVENTION SERVICES Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety s,~rr, s~,~c~.~,~.o.,ra~,~ s~,~c~ Code) of the new law mandates testing of secondary containment components upon installation 1715 Chester Ave. Bakersfield, CA 93301 and periodically thereafter, to insure that the systems are capable of containing releases from VOICE (661) 326-3979 the primary containment until they are detected and removed. Pueuc EOUCAnO. Of great concern is thc current failure rate of these systems that have been tested to date. 1715 Chesteravi~. Currently the average failure rate is 84%. These have been due to the penetration boots leaking Bakersfield, CA 93301 VOICE (661)326-3696 in the turbine sump area. FAX (661) 326-0576 For the last five months, this office has continued to send you monthly reminders of this FIRE INVESTIGATION 1715 ChesterAve. necessary testing. This is a very sPeCialized test and very few contractors arc licensed to Bakersfield, CA 93301 perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. VOICE (001) 326-3951 FAX (661) 326-0576 The purpose of this letter is to advise you that under code, failure to perform this test, by the TflAININO DIVISION necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697. This office does not want to be forced to take such action, which is why we continue to send FAX (661) 399-5733 monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely/~ ~/q Ste~rw~~ Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services B~D August 30, 2002 W Pacific Bell 5650 Aldrin Court Bakersfield, CA 93313 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator, ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 If yOU are receiving this letter, you have not yet completed the necessary secondary VOICE (661) 326-3941 FAX (661) 395-1349 containment testing required for all secondary containment components for your underground storage tank (s). SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health VOICE (661) 326-3941 FAX (661)395-1349 (~ Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are PREVENTION SERVICES capable of containing releases from the primary containment until they are detected 1715 Chester Ave. Bakersfield, CA 93301 and removed. VOICE (661) 326-3951 FAX 1661) 326-0576 Of great concern is ~e current failure rate of these systems that have been tested to ENVIRONMENTAL SERVICES date. Currently the average failure rate is 84%. These have been due to the 1715 Chester Ave. Bakersfield, CA 93301 penetration boots leaking in the turbine sump area. VOICE (661) 326-3979 FAX (661) 326-0576 For the last four months, this office has continued to send you monthly reminders of TRAINING DIVISION this necessary testing. This is a very specialized test and very few contractors are 5642 Victor Ave. Bakersfield. CA 93308 licensed to perform this test. Contractors conducting this test are scheduling VOICE (661) 399-4697 FAX (661) 399-5763 approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have ariy questions, please feel free to call me at (661) 326-3190. Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services July 30, 2002 Pacific Bell 5650 Aldrin Ct Bakersfield CA 93313 REMINDER NOTICE F~R~ C,~F RE: Necessary Secondary Containment Testing Requirements by December RON FRAZE 31, 2002 of Underground Storage Tank (s) Located at ADMINISTRATIVE SERVICES the Above Stated Address. 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Tank Owner / Operator: FAX (661) 395-1349 If you are receiving this letter, you have not yet completed the necessary SUPPRESSION SERVICES 2101 "H" Street secondary containment testing required for all secondary containment Bakersfield, CA 93301 components for your underground storage tank (s). VOICE (661) 326-3941 FAX (661) 395-1349 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California PREVENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary FIRE SAFET~ SERVICES · ENVIRONMENTAL SERI4CES 1715 ChesterAve. containment components upon installation and periodically thereafter, t° 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 Avi). 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 For the last four months, this office has continued to send you monthly FIRE INVESTIGATION 1715 ChesterAve. reminders of this necessary testing. This is a very specialized test and very few Bakersfield, CA 93301 VOICE (661) 326-3951 contractors are licensed to perform this test. Contractors conducting this test FAX (661)326-0576 are scheduling approximately 6-7 weeks out. TRAINING DIVISION The purpose of this letter is to advise you that under code, failure to perform 5642 Victor Ave. Bakersfield, CA 93308 this test, by the necessary deadline, December 3 1, 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 D June 30, 2002 Pacific Bell 5650 Aldrin Court Bakersfield, CA 93313 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 5650 Aldrin Court. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bake~f~e~d. C^ 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, ti) ensure PREVENTION SERVICES that the systems are capable of containing releases from the primary 1715 Chester Ave. 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 ENVIRONMENTAL SERVICES 1715 Chester^ye. 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. .............. Fire InSpector/Environmental Code EnforcementOfficer Environmental Services SU/kr EXHIBIT A 2002 UST FINANCIAL RESPONSIBILITY KERN COUNTY Agency ~ Location ~ I City I ~ite Contact Bakersfield Fire Dept 3221 So. "H" Street Bakersfield Harry Dyck Bakersfield Fire Dept 1918 "M" Street I Bakersfield Harry Dyck Bakersfield Fire Dept ~' 5650 Aldrin Ct Bakersfield Cindy Madrigal Bakersfield Fire Dept 3501 Columbus Ave ;Bakersfield Harry Dyck Kern County Health'Dept 925 Jefferson St Delano Harry Dyck Kern County Health Dept 8313 E Segrue Road Lamont Harry Dyck Kern County Health Dept 1021 California St Oildale Harry Dyck Bakersfield Fire Dept 11609 Rosedale Hw~ Rosedale Harry D¥ck S~t~ et' Water K~sourc~s Control Board ~~~:) Division of Cle~ Water Progr~s ~~~,~~~~?;~~~~ P.O. Box 944212 ~~}~: Sacramento, CA 94244-2120 (Immctions on r~v~m, side) ~~~ GERTIFIGATION OF FINANGIAL RESPONSIBILITY FOR U~ERGROUND STOOGE T~NKS CO~T~N~G PETROLE~ A. [ m required to demomtmte Fin~cial Kesponsibili~ in ~ Required mounm m specified in Section 28.07, Chapter 18, Div. 3, Titl~ 23. CCR: . ~.fiO0.O00 dollars po; occu~encm ~ I million doll~ ~aual aggregate or ~ or ', ~ I million doll.s p~r occu~enc~ ~ 2 million doll.s annual ag~egate B. Pacific Bell hereby certifies that it is in compliance with the requirements of Section 2807, (Name of Tank Owner or Operator) . Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows:' SBC Not Applicable $2,000,000 Per Financial Test of Self Environmental Management For State Occurrence & Annual 'Yes. Yes Insurance Pacific Region Alternative $2,000,000 May 1 - PO Box 5095, Room 3E000 Mechanism Annual April 30 S,an Ramon~ CA 94583-0.9.95 A,q,qre,qate Note: If you are using the' State Fund as any part of your demonstra§on of financial responsibility, yo~r execution and submission of this certification also certifies that you are in compliance with all conditions for participation in the Fund. D. Facility Name Facility Address SBC/Pacific Bell ,See Exhibit "A" Facility Name Facility Address Facility Name, Facilib/Address E. Signature et Tank Owner or Operator Date Name and Title of Tank Owner or Operator .,t I~ ~ .'7 tl ~ 04126102, Stan Brodecki, Senior Environmental Manager ~' Signature, of Witness ar Notary ~ Date Name of Witness or Notary ~ ~ 04126102 Armi O. Stdckland CFR. (l~vi.s~d 04/95) FILE: Origi.al - Local Agency Copies - Facility/Site(s) Environmental Management P.O. Box 5095 Pacific Region Room SE000 San Ramon, California 94585 Phone 925-825-9835 PACIFIc BELL TELEPHONE COMPANY : 2002 FINANCIAL TEST OF SELF INSURANCE MAY '3' t00 BY:'- ....... ~---~ .... ;- Pursuant to'40 CFR 280.107(b)(6), [, Randall Stephenson, Senior Executive Vice Presidant and CFO of SBC Communications Inc. her%y certt~ for and. on behalf of Pacific Bell TelePhone Company~ tha~ it is in compliance with th~.requirements of Subpan H of 40 CFR. Pm 280. Pacific Bell Telephone Company is a subaldiary of SBC Communications Inc. . The financial a~surance mechhaism reed to demonsl~at~ financial ~espunsibility under Subpa~ H of 40 CFR 280 is'as follows: · Type of lvi~hanism: . 'FImmclal Test 0f Self-Insora~ce Name ofl~.. Nevada l~ll Me, chanism Number: 40 CFR 280.95 EffeCtive Period'ofCover~e: 01/01/"2002 to Il/31/2002 . . This mechanism covers both "taking c. orrecfivo action" ind/or "compensating fl~rd parties for bodily injorY, and property damage caused by" either "sudden accidental releases" or,."mmsudden ac~..~idantal releases" or "accidental release.q". ., Br~ ' Name: Randall Stephenson Title: Senior ExecUtive' ¥ice President and CFO ' Title: Executi~ Assistant to. Senior ExecutiveVP and CFO Corporata Seal: ' ' · ' . · ' ' D~ of A~t~a~io~ 4'. ~:0 .2002 .. ......... ~..~_..__.. ..... .,. i~~''- -: ~''':'~ '~'''' ~m~"~-_'-.: ~ ~'a~.~l'..', ~,o'~:~:. '.. :....' :. . .. :. .. · Page l. of 3 · -.'::,;..i~' . . ':. > . - PACIFIC BELL TELEPHONE. COMPANY 2002 FINANCIAL TEST OF SELF INSURANCE April 3, 2002 Re: 40 CFR I am the Senior Executive Vice President and CFO of SBC Communications Inc. at 175 E. Houston, Room '1307, San Antonio, Texas. This letter is in support of the use of"the financial test of self-insurance" to demonstrate financial i'esponsibility for "taking corrective action" and "compensating third parties for bodily injury and property-damage" caused by "suddan accidental releases" and "non~dden accidental releases" ia the araount of at least Two Million Dollars ($2,000,000.00) per occurrence and TWO Million Dollars ($2,000,000.00) annual aggregate arising from operating certain underground storage tank(s). Underground storage tanks at ~e facilities descn'bed in Exhibit I are assured by ~ finanCialteat or a financial test under an authorized state prosram by Pacific Bell Telephone Company. Please note that all tanks are assured by this financial test or a financial test under a state program approved under 40 CFR part 281.' A "financial test" is also used by Pacific Bell Telephone Company to demonstrate evidence of financial responsibility tn the following amounts undbr other EP~. regulations or state programs authorized by the EPA under 40 CFR Parts 271 and 145: EPA Regulations Amounl~ Closure (264.143 and 265.143) $ N/A Post-Closure Care (264.145 and 265.145) $ N/A Liability Coverage (264.147 and 265.147) $ N/A Corrective Action (264.101(b)) $ N/A Plugging and Abandonment (144.63) $ N/A Closure $ N/A Post-Closure Care $' N/A Liability Coverage $ N/A Corrective Action ' $ N/A Plugging und Abandonment $ N/A Total $ N/A SBC Communications Inc. has not received an adverse opini6n, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on its financial statements for the latest completed fiscal year. (Fill in the information for Alternative I if the criteria of p~ragraph (b) of 280.95 are being used to demonstrate. compliance with financial test requirements. Fill in the. information for Alternative I1 if the criteria of'paragraph (c) of 280.95 are being used to demons~ate compliance with financial t~ requirements). Alternative I I. Amount of annual UST aggregate coverage being assured by a financial test, and/or guarantee $2,000',000 2. Amount of corrective action, closure and post-closure care costs, liability coverage, plugging and abandonment costs covered by a financial test, and/or guarantee $0' 3. Sum of lines I and 2 $2,000,000 Page 2 of 3 PACIFIC BELL TELEPHONE COMPANY 2002 FINANCIAL TEST OF SELF INSURANCE 4. Total tangible assets $96.322 billion' 5. Total liabilities (ifany of the amount reported on line 3 is included in total liabilities, you may need to deduct that amount from this linc and add that amount to line 6)* $63.831 billion 6. Tangible net worth (line 4 minus lineS) $32.49 ! billion 7. is line 6 at I ,e~st $10 million? Yes 8. Is line 6 at least 10 times line 3? Yes 9. Have t'mancial statements for the intest fiscal year been filed with The Securities and Exchange Conunission?. Yes 10. Have financial statements for the latest fiscal year been filed with The Energy Information Administration? N/A I 1. Have Financial statemont~ for the latest fiscal year been filed with . The Rural Electrician Administration? N/A 12. Has financial information been prOvided to Dun and Bradetreet and has Dun and Bradstrect provided a financial m'ength rating of a 4A or SA? (answer "yes' only if both criteria have been met) Yes *SBC Communications Inc. Annual Report 2001 · I hereby certify that the wording of this later is identical to the wording specified in 40 CFR Part 280.95 (d) as such regulations were constituted on the date shown immediately below. Randall Stephenson Senior Executive Vice President and CFO (Date) Page 3 of 3 tvironmental Management West Region ~SBC Services, Inc. ~tO. Box 5095 '~' '~'Room 3EO00 · ' San Ramon, California 94583 Fax 925-975-0584 Fax 925-867-0241 May 9, 2002 City of Ba~field - CUPA Attn: R)~f~h E. Huey DirecJ, eff of the Office of Environmental Services Fir,~Departrnent 174 5 Chester Avenue, Third Floor Bakersfield, CA 93301 RE: Certification of Financial Responsibility - Underground Storage Tanks Please find the enclosed copy of the annual State of California Water Resources Control Board's Certification of Financial Responsibility form to demonstrate financial responsibility for SBC/Pacific Bell and its affiliate's underground storage tanks. Also enclosed is a list, Exhibit A, of SBC/Pacific Bell sites that have underground storage tanks on the premises in your area of jurisdiction. I can be reached at (925) 823-6161 if you have questions regarding this correspondence. Senior Environmental Manager SBC Environmental Management Attachment: Certification of Financial Responsibility Exhibit "A" DMay 29, 2002 Pacific Bell 5650 Aldrin Court Bakersfield, CA,93313 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 5650 Aldrin Court FIRE CHIEF REMINDER NOTICE RON FRAZE Dear Tank Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in California VOICE (66 !) 326-3941 FAX (661) 395-1349 Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 "H" Street Senate Bill 989 became effective January l 2002. section 25284.1 (California Bakersfield, CA 93301 ' VOICE (661) 326-3941 Health & Safety Code) of the new law mandates testing of secondary containment FAX (661) 395-f349 components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are PREVENTION SERVICES 1715 Chester Ave. detected and removed. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 328-0576 Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. ENVIRONMENTAL SERVICES Secondary containment systems instal]ed prior to January ] 2001 shah be tested by 1715 Chester Ave. ' Bakersfield, CA 93301 January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component . VOICE (661) 326-3979 that is "double-wall" in your tank system must be tested. FAX (661) 326-0576 TRAINING DIVISION Secondary containment testing shall require a permit issued thru this office, and 5642 Victor Ave. shall be performed by either a licensed tank tester or licensed tank installer. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures MONITORING SYSTEM CERTIFI( TION For Use By ,~ll Jurisdictions W~ithin. t~;~ State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chatit~r 16, DivisiOn 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work.' A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name:. PACIFIC BELL GEO PAR # SA-703 CLLC Code: BKFDCA53 Site Address: 5650 ALDRIN COURT City: BAKERSFIELD Zip: Facility Contact Person: GIL GHILARDUCCI Contact Phone No.: (661) 398-4063 Make/Model of Monitoring System: VEEDER-ROOT TLS-350 Date of Testing/Service: 4/10/02 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment ins ~ected/serviced: Tank ID: 2051 Tank ID: 2052 Gin-Tank Gauging Probe: Model: 847390-107 Gin-Tank Gauging Probe: Model: 847390-107 ~Annular Space or Vault Sensor: Model: 794390-420 [Annular Space or Vault Sensor Model: 794390-420 ~Piping Sump/Trench Sensor (s): Model: 794380-352 []Piping Sump/Trench Sensor (s): Model: 794380-352 15lFill Sump Sensor (s): Model: 794380-352 ~Fill Sump Sensor (s): Model: 794380-352 I']Mechanical Line Leak Detector. Model: UlMechanical Line Leak Detector. Model: U1Electronic Line Leak Detector Model: [21Electronic Line Leak Detector Model: UITank Overfill/High-level Sensor: Model: UITank Overfill/High-level Sensor: Model: I-IOther, Specify equip, type and model in Section E on Page 2 EIOther, Speci~ equip, type and model in Section E on Page 2 Tank ID: Tank ID: I-lin-Tank Gauging Probe: Model: I-lin-Tank Gauging Probe: Model: E]Annular Space or Vault Sensor: Model: I-IAnnular Space or Vault Sensor Model: UIPiping Sump/Trench Sensor (s): Model: UIPiping Sump/Trench Sensor (s): Model: E]Fill Sump Sensor (s): Model: [-1Fill Sump Sensor (s): Model: CIMechanical Line Leak Detector. Model: []Mechanical Line Leak Detector. Model: I"]Electronic Line Leak Detector Model: UIElectronic Line Leak Detector Model: · I-1Tank Overfill/High-level Sensor: Model: [-ITank Overfill/High-level Sensor: Model: UIOther, Specify equip, type and model in Section E on Page 2 E3Other, Speci~ equip, type and model in Section E on Page 2 Dispenser ID: Dispenser ID: Din-Tank Gauging Probe: Model: []Dispenser Containment Sensor(s): Model: [] Shear Valve(s). [] Shear Valve(s). []Dispenser Containment Float(s) and Chain(s) []Dispenser Containment Float(s) and Chain(s) Dispenser ID: Dispenser ID: I'lin-Tank Gauging Probe: Model: []Dispenser Containment Sensor(s): Model: [] Shear Valve(s). [] Shear Valve(s). E]Dispenser Containment Float(s) and Chain(s) []Dispenser Containment Float(s) and Chain(s) Dispenser ID: Dispenser ID: []in-Tank Gauging Probe: Model: I,IDispenser Containment Sensor(s): Model: [] Shear Valve(S).. [] Shear Valve(s). I-IDispenser Containment Float(s) and Chain(s) ' I"lDispenser Containment Float(s) ~and Chain(s) · If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equ. ipment $apable of generating such reports, I have also attached a copy of the report; (check all that apply): l~] System set-up r3 Al m ory reL~ort Technician Name (Print): DONS. THOMPSON Signature: ~ ~l, ~ Certification No.: 92-3354 License No.: 588098 Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222 Page 1 of 3 03/01 · ~ Monitoring System Certification Site Address: 5650 ALDRIN COURT, BAKERSFIELD Date of Testing/Servicing: 4/10/02 D. Results of Testing/Servicing Software Version Installed: 121.00 Complete the following checklist: [] Yes [] No* · I~ the audible alarm operational? [] Yes [] No* Is the visual alarm operational? [] Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational? [] Yes [] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) [] N/A operational? [] Yes [] No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) [] Sump/Trench Sensors;' [] Dispenser Containment Sensors. Did you e°nfirm positive shut-down due to leaks and sensor failure/disconnection? [] Yes; [] No. [] Yes [] No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no [] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly?. If so, at what percent of tank capacity does the alarm trig[~er? ?????/o [] Yes* [] 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. [] Ye~* [] No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) [] Product~ [] Water. If)es, describe causes in Section E, below. [] Yes [] No* Was monitoring system set-up reviewed to ensure proper settings? [] Yes [] No* Is all monitoring equipment operational per manufacturer's .specifications? · In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Site Address: 5650 ALDRIN COURT, BAKERSFIELD ~. ~ ~' ~ Date of Testing/Servicing: 4/10/02 F. In-Tank Ganging / SIR Equipment: [] Check this box if tank gauging is used only for 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. Complete the following checklist: [] Yes [] No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? [] Yes t"l No* Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes [] No* Was accuracy of system product level readings tested? [] Yes [] No* Was accuracy of system water level readings tested? [] Yes [] No* Were all probes reinstalled properly?. [] Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): [] Check this box ifLLDs are not installed. Complete the following checklist: [] Yes [] No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? [] N/A (Check all that apply) Simulated leak rate: [] 3 g.p.h.~; [] 0.1 g.p.h.2; [] 0.2 g.p.h.2 Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. [] Yes [] No* Were all LLDs confirmed operational and accurate within regulatory requirements? [] Yes [] No* Was the testin'g apparatus properly calibrated? [] Yes [] No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled [] N/A or disconnected? [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system [] N/A malfunctions or fails a test? [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected? [] N/A [] Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 03/01 "Site Address: 5650 ALDRIN COURT, BAKERSFIELD Date of Testing/Servicing:- Monitoring System Certification · UST Monitoring Site Plan .......... · ................. ~.~.~-. ~..~, ........... ... ....... I~(: .~..f Date map was drawn: ~ / Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. on your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line 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. Page __ of__ os/oo April 17, 2002 Pacific Bell 5650 Aldrin Ct Bakersfield CA 93313 FIRE CHIEF RON FRAZE AOMINISTRATIVE SERVICES RE'- Necessary Secondary Containment Testing Required by December 3 l, 2002 2101 'H" Street Bakersfield, CA 93301 VOICE (661)326-3941 REMINDER NOTICE FAX (661) 395-1349 SUPPRESSION SERVICES Dear Tank Owner/Operator: 2101 "H" Street Bakersfield, CA 93301 Thc purpose of this letter is to inform you about thc new provisions in California law VOICE (661) 326-3941 FAX (661) 395-1349 requiting periodic testing of the secondary containment of underground storage tank systems. PREVENTION SERVICES 1715 Chester Ave. Senate Bill 989 became effective January l, 2002. Section 25284. l (California Health & Bakersfield, CA 93301 Safety Code) of the new law mandates testing of secondary containment components VOICE (661) 326-3951 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. Secondary containment systems installed on or after January 1, 2001 shall be tested upon Bakersfield, CA 93301 VOICE (661) 326-3979 installation, six months after installation, and every 36 months thereafter. Secondary FAX (661) 326-0576 containment systems installed prior to $anuary 1,200! shall be tested by January ], 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 performed by either a licensed tank tester or licensed tank installer. FAX (661) 399-5763 Please be advised that there are only a few conU'actors 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. Sinc~~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures FILE THIS DOCUMENT IN THE SECTION HAZARDOUS MATERIALS PLANS PROGRAMS PERMITS BINDER Pacific Bell Underground Storage Tank(s) Routine Monitoring Procedures And Response Plan 2001 Pacific Bell- SA703 ~cilityAddress)~//~. BAKERSFIELD (Facility City) (Facility County) POST THIS DOCUMENT ON SITE SO THAT IT WILL BE AVAILABLE IN THE EVENT OF A. GOVERNMENT AGENCY INSPECTION, SITE ASSESSMENT OR AUDIT. I:\HAZMAT\PACBELL\FORMS\SBC Monitor Plan2 Merge.doc Printed: October 29, 2001 page 1 Pacific Bell: 2600 Camino Ramon, Room 3E000, San Ramon, CA 94583 ROUTINE' MONITORING PROCEDURES Section 2632 (d)(1) Title 23 CCR, Chapter 16 UNDERGROUND FUEL STORAGE TANK Facility Name: Pacific Bell (SA703) Facility Address: 5650 ALDRIN CT, BAKERSFIELD USTs Installed: Double wall composite 12,000 gallon unleaded gasoline tank and a 5,000 gallon double wall composite tank containing diesel fuel for fleet vehicle fueling. Piping Installed: Double Wall "Enviroflex" non-metallic flexible piping system for the product and vent lines. Under dispenser containment with a mechanical float. A. The Frequency of Performing the Monitoring: Monitoring is performed continuously on the: · Double wall UST Interstitial space and the fill and piping sumps. B. The methods and equipment used to perform continuous monitoring are: · Veeder Root UST Monitoring System Model # TLS-350 · Site fax modem · GPH magnetostrictive in-tank volumetric probes (2) Model # 847390-107 · Floating liquid sensors in the: 1. UST Annular space sensors (2) Model # 794390-420 2. Piping sump sensors (2) Model # 794380-352 3. Tank Overfills (2) Model # 790091-001 4. Fill sump sensors (2) Model # 794380-352 I:\HAZMATXPACBELL\FORMS\SBC Monitor Plan2 Merge.doc Printed: October 29, 2001 page 2 C. Locations where monitoring is performed: (see theplot plan for physical location). Continuous monitoring and leak detection are performed: In the interstitial spaces of the double wall USTs · In the primary tanks (by volumetric test) · In the piping sumps · In the fill sumps D. 1. The Site Manager, CINDY MADRIGAL at 559-454-4460 is responsible for performing: · Operational monitoring · On site record keeping, Note: Onsite records are maintained on a board mounted in the facility. And label "Facility Information Center" and contains the UST Routine Monitoring & Response Plan, Hazardous Material Business Plan and other environmental records and permits. · The reporting of any discrepancies and alarms with the monitoring system, UST, piping, and associated hardware. 2. SBC - Environmental Management (California & Nevada region) at (800) 757- 6575 is responsible foi' all maintenance and repairs to the UST monitoring system, UST, piping, and all associated hardware. E. Reporting format: · A site fax modem with auto-dial for up to 8 phone numbers is installed to fax all alarms and warnings 24 hours a day to SBC - Environmental Management and to an alarm monitoring/maintenance company on TLS-350s. · SBC - Environmental Management uses computers with Internal Environmental Management software program for accessing/polling all facilities with Veeder Root TLS-350's on a daily basis; of all inventory, alarms, warnings, in tank leak detection, and sensors leak detection status, performing set Up and programming changes, and system diagnostics with all data being stored. I:\HAZMAT\PACBELL\FORMSXSBC Monitor Plan2 Merge.doc Printed: October 29, 2001 page 3 F. Preventative maintenance, calibration, certification to manufacturer's specification and repair for the UST monitoring system and associated hardware are performed on a minimum annually. SBC - Environmental Management directs, manages, and schedules all maintenance and repairs for the California and Nevada region's, UST's, piping, associated hardware, and UST monitoring systems preventative maintenance, calibration, certification and ' repairs. Currently SBC - Environmental Management (California & Nevada region) has an annual contract with Tait Environmental Systems, 701 North Parkcenter Drive, Santa Ana, CA 92705, Phone (714) 560-8222 or fax (714) 560-8237 to perform Calibration and field services. G. Training: · SBC Hazardous Materials/Wastes Management Handbook, Section 20 Titled "Underground and Aboveground Storage Tanks" describes the methods and procedures company employees follow for underground and Aboveground storage tank and monitoring systems. · UST and the Veeder Root TLS-350 monitoring system operating instructions are on- site. On-site training is performed on initial start-up of the UST monitoring system and refresher training is performed on an as needed basis. Training includes this Underground Storage Tank Monitoring Plan and the Operating manuals for electronic monitoring equipment. I:\HAZMAT\PACBELL\FORMS\SBC Monitor Plan2 Merge.doc Printed: October 29, 2001 page 4 . Pacific Bell: 2600 Camino Ramon, Room 3E000, San Ramon, CA 94583 UST RESPONSE PLAN (Section 2632(d)(2) Title 23 CCR, Chapter 16) UNDERGROUND FUEL STORAGE TANK Facility Name: Pacific Bell (SA703) Facility Ad&ess: 5650 ALDRIN CT, BAKERSFIELD A. An unauthorized release of any hazardous substance (unleaded gasoline, diesel fuel) from the primary containment into the secondary containment (interstitial space, fill sump, piping sump, and piping vault) will be removed within 8 hours after the release has been detected, or contact our petroleum maintenance service contractor to remove the product from the secondary containment, and request additional time (as needed). Removal methods are by hand/electrical pump for small quantities and by vacuum truck for large quantities. Small quantities of any hazardous substance will be placed into steel drums. Large quantities will be placed into a vacuum truck tank. In the event of a release outside the secondary containment, the fire department will be contacted immediately calling 9-1-1. In the event of a non-emergency release the Bakersfield Fire Department Will be notified at 805-326-3979. An SBC authorized vendor will perform removal and disposal of any hazardous substance. Spill Kits containing Absorbent pads are located on site in the FUEL ISLAND/FLEET AREA for immediate Reponses to any release. B. Name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: Primary Contact: CINDY MADRIGAL Phone Number: Title: Site/Facility Manager 559-454-4460 Secondary Contact: OICC: Emergency Control Center Phone Number: 24 hours/day, 7 Days/Week 877-322-4722 Environmental Management Hotline 800-757-6575 (8am- 5pm) Executive Contact: Start Brodecki Phone Number: Title: Sr. Environmental Manager 925-823-6161 Corporate Environmental Management I:\HAZMAT\PACBELL\FORMS\SBC Monitor Plan2 Merge.doc Printed: October 29, 2001 page 5 PACIFIC I~ BELL ]MAP# 1 SITE MAP BUSINESS NAME PACIFIC BELL BKFDCA53 SA705 DATE 10/29/01 DRAWING SCALE BUSINESS ADDRESS 5650 ALDRIN CT. BAKERSFIELD ZIP CODE 95501 NOT TO SCALE WHITE LANE _ _ ',1 / _- ', _F.__ SYMBOL LEGEND ELECTRICAL PANEL SHUT-OFF G NATURAL GAS SHUT-OFF Q WATER SHUT-OFF 2 ! (]~) EMERGENCY PUMP /~ ^ SHUT-OFF TANK MONITORING ~ " ~ -~ I ;rMA, o ALARM ¥ ~ FIRST AID KIl PARKING 7° FIRE EXTINGUISHER n,, , ~ < ~ STORM DRAIN O_ ~ SANITARY SEWER EVACUATION/ ~',--/~ ~~0 ' ' r~-~'l HMMP' AND MSDSLOCATION 4 A~¥';A 0 GAL ~- FIRE HYDRANT ___[ g~1 12,000 GAL )( x FENCE ! -- , ~ EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS 5 / ~ -- [ ~--) ABOVEGROUND STORAGE TANK I~--~) UNDERGROUND ~--~ STORAGE TANK ~= OFFICES (~) MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUI~i~ BATTERY ELECTROL~ I Q :~ Q (CORROSIVE LIQUID) (COMPRESSED GAS) (FLAMMABLE LIQUID) (COMPRESSED GAS) ANTIFREEZE/COOLANTS Q WASTE OIL (FLAMMABLE LIQUID) PARKINGALDRIN COURT [] ripe PULL BOX ~) ARGON 9 '~ WASTE ANTIFREEZE a B C D E _ F G H J I d K L M Cali£omia Edition: June 1999' Veeder-Root : ,'~I/':':'~ ~:':: ~i'? TLS-200/200i/250/250i/300/300c/300i/300pc/350/350pc/350r/350rpc. UST ATGS ~i';ii . , (8473 Digital Sensing Magnetostrictive Probe) _ · AUTOMATIC TANK GAUGING SYSTEM Certification: 'Leak rate of 0.2 g-ph with P~)=99% and Pr^=0. 1%. Leak Threshold: 0.093 g-ph. A system should not be declared tight if the test result indicates a loss or gain.that equals or exceeds this threshold. Applicability: Gasoline, diesel, aviation fuel, and solvents. Tank Capacity: MaX/mum of 15,000 gallons. - Tank must be between 50 and 95% full. Waiting Time: Minimum of 8 hours, 18 minutes between delivery and testing. Minimum of 30 minutes between dispensing and testing. , There must be no delive?y during waiting time. Test Period: ' Minimum of 2 hours. Test data are acquired and recorded by the system's computer. Leak rate is calculated 15om the difference between the fkst and last data collected. There must be no dispensing during test. Temperature: Average for product is determined by a minimum of 5 thermistors. ' Water Sensor: Must be used to detect water ingress. (',, i:i Minimum detectable water level in the tank is 0.544 inch.' Minimum detectable change in water level is 0.027 inch. Calibration: Thermistors and probe must be checked and Calibrated in accordance with manufacturer's instructions. Comments; Not. evaluated using manifold tank systems. Tests only portion of tank containing product. As product level is lowered, leak rate in a leaking tank decreases (due to lower head pressure). Consistent testing at low levels could allow a leak. to remain undetected. EPA leak detection regulations require testing of the portion of the tank system which routinely contains product. : California regulations require at least one test per month after routine product delivery or when the tank is Filled to within 10% of · the highest operating level du~ng the previous month. Veeder-Root Evaluator: Midwest Research Institute 125 Powder Forest Dr. Tel: (816) 753-7600 Sirnsbury, CT 06070-2003 Tel: (860) 651-2700 Date of Evaluation: 05/14/93 Appearance on this list is not to be construed as an endorsement by any regulatory agency nor is it any guarantee of the performance of the method or equipment. Equipment should be installed and operated in accordance with all applicable laws and regulations. 314 California Edition: June 1999 Veeder-Root TLS-250, TLS 250i Plus, ILS 250, ILS 350, TLS-300/300c/300i/300pc, TLS-350 Series Interstitial Liquid Sensor for Steel Tanks (0794390-420, -460) LIQUID-PHASE INTERSTITIAL DETECTOR Detector: Output type: qualitative Sampling frequency: continuous Operating principle: float switch Test Results: unleaded synthetic gasoline ' gasoline" Accuracy (%) 100 100 Response time (min) 6.00 ' 6.51 Recovery time (min) <1 <1 Product activation height (cm) 3.67 3.62 Lower detection limit (cm) _ 4.05 4.17 *TLS-250, TLS 250i Plus, ILS 250 ** ILS 350, TLS-350 Specificity Results: Activated: diesel fuel, synthetic fuel, heating oil #2, water. Comments: Results shown are from July 1992 evaluation. April 1998 evaluation yielded similar results. EPA and many states require detection of 1/8 inch (0.32 cm) of product for groundwater monitoring. Test procedures used were Carnegie Mellon Research Institute's "Test Procedures for Third Party Evaluation of Leak Detection Methods: Point Sensor Liquid Contact Leal~ Detection Systems": FinalReport - November 11, 1991. Detector is reusable. Veeder-Root Evaluator: Carnegie Mellon Research Institute 125 Powder Forest Dr. Tel: (412)268-3495 Simsbury, CT 06070-2003 Tel: (860) 651-2700 Dates of Evaluation: 07/17/92, 04/22/98 Appearance on this list is not to be construed as an endorsement by any regulatory agency nor is it any guarantee of the performance of the method or equipment. Equipment should be installed and operated in accordance with all applicable laws and regulations. 317 Results of Third Party Standard EValuation Point Sensor Liquid Contact ProdUct Detectors This form documents the performance of the cable sensor liquid contact leak detection system described below. The evaluation was conducted by the equipment manufacturer or a consultant to the manufacturer aCCOrding to the Third Party Procedures developed according to the U.S. EPA's 'Standard Test Procedure.for Evaluating-Leak Detection Methods': Liquid-Phase Out-of-Tank Product Detectors."1 Tank owners using this leak detection system should keep this form on file:to prove compliance with the federal regulations. Tank owners should check with state and local agencies to verify that.this form .satisfies their requirements. Method Description - ' Name 350 Sedes U~T MQnitorir~g Systems: Models ILS 350 (serial #Beta 013; & TLS 350 Version with Interstitial Lie_uid Sensor, for Steel Tanks (0794390-4201 Vendor Veeder-Root Environmental Products 125 Powder Forest DdY~ (street address) Simsburv. CT 06070-2003 · !800~, 873-3313 (city) (state) (zip) (phone) ~ Detector output type: ;K Qualitative Detector operating principle: Electrical Conductivity' Capacitance Change ~..~.~.,_ ._.' ':'-' Interface Probe Product Permeable Product Soluble Thermal Conductivity ,.Pressure Switch Magnetic Switch X Other (Float Switch3 Detector,sampling frecluen~: Intermittent X Continuous ..,. ~ - ...... Evaluation Results The detector described above was tested for its ability to' detect test liquids in contact with the point sensor. The following parameters were determined: · Detection Accuracy - The measure of sensor response to the presence of liquids. ...... -"""~-~' Response Time - Amount of time the detector must be exposed to liquid before it responds. · Recovery ~me - AmOunt of time that passes before the detector returns to its baseline reading - after the test liquid is removed. · Lower Detection Limit - The smallest liquid concentration that the detector can reliably detect. · Product Activation Height - The height of liquid to cause sensor activation. · Specificity - Indicates the level of response, of the detector, tO'several different liquids. I Carnegie Mellon Research Institute. Test Procedures for Third party Evaluation of Leak Detection Methods:' Point ~ensor Li~3uid Contac1 Leak Detection Systems: Final Report - November 11, 1991. Liquid Contact Product Detector- Results Form Page I of 2 Liquid Contact Product, Detector UST Monitodna System' Models ILS 350 fBeta 013~ ~ TLS 350 Version with Interstitial Liquid Sensor for Steel Tanks (0794390-420) Evaluation Results (continued) --- > Compiled Test Results for Qualitative Detector Test Product Flow Rate: 0,12 _+ 0.003 gal/hr, Product Response Detection Activation Time Recovery Accuracy Helg ht at a Flow Rate of Time 0.12 + 0.003 gal/hr Response Time Regular Unleaded 1.42 + 0.03 in 6.51 +_. 0.06 min < 1 min - ' Commemial Gasoline 100% (3.62 ± 0.08 cm) (6te ?) , ., . ..... [104%]" _ Synthetic Fuel 100% 1.48 ± 0.02 in 5.85 ± 0.11 rain < I min (3 tests) (3.77 ± 0.06 cm) [98%]' Diesel Fuel 1'00% 1.39 ± 0.02 in 5.81 ± 0.05 min < 1 rain (3 tests) - (3.53 ± 0.06 cra) (98%)' Home Heating Oil ~2 100% 1.39 :t: 0.02 in 5.88 ± 0.06 rain < 1 min I" ~.: (3 tests) (3.53 ± 0.06 cm) ',....? .,,' '[87%]' Water 100% 1.23 + 0.02 in < 1 rain (3 tests) (3.13 ± 0.06 cra) 5.48 ± 0.04 min ' Specificity Reference: Regular Unleaded Commercial Gasoline Product Activation Height - Calculated Test Fuel Lower Detection Limit for 95% / 5% Condition Regular Unleaded Commercial Gasoline 1.64 in (4.17 cm) > Safety disclaimer: .This test procedure only addresses the issue of the method's ability to detect the presence of liquid product. It does not test the equipment for safety hazards. Certificatlon of Results I certify that the point sensor liquid contact product deteCtor was operated according to the vendor's instructions and that the evaluation was performed according to the Third Party Procedures developed according to the U.S. EPA's 'Standard Test Procedure for Evaluating Leak Detection Methods: Liquid-Phase' Out-of-Tank Product Detectors? I also certify that the results presented above are those obtained during, the evaluation. Maraaret Nasta. Ph,D, CarneGie Mellon Resecrch Institute ** (printed name) (organization performing evaluation) ~ ~ ~,/,'~,'~ Pfttsbumh. PA 15213 (signature~) U (city, state, zip) July 17, 1992 f412) 268-3475 ._... (date) (phone number) · ...: ** Consultant to the Manufacturer Liquid Contact Product Detector- Results Form Page 2 of 2 Califomia Edition: June 1999 Veeder-Root TLS-350 Series, TLS-300/300i Discriminating Dispenser Pan Sensor (794380-322) and Discriminating Containment Sump Sensor (794380-352) LIQUID-PHASE INTERSTITIAL DETECTOR Detector: Output type: qualitative Sampling frequency: continuous Operating principle: product permeable, reed switch/float Test Results: polymer ~tfip float switches .Discriminating Containment Sump unleaded water Sensor gasoline diesel Iow high Accuracy (%) 100 100 100 100 Response time (mm) ~10 '2-12 hrs <1 sec <1 sec Recovery time (min) 17.2 17.2 <1 sec <1' sec Lower detection limit - heigh~ (cm) N/D N/D 3.48 3112 Lower detection limit - thickness (cm) 0.0127 0.0127 N/A N/A Discriminating Dispenser Pan polymer sthp float switches Sensor unleaded water gasoline diesel low high Accuracy (%) 100 100 100 100 Response time (min) ~10 2-12 hrs <1 sec <1 sec Recovery time (mm) 17.2 17.2 <1 sec <1 set Lower detection limit - height (cm) N/D N/D 3.43 19.4 Lower detection limit - thickness (cm) 0.0127 0.0127 N/A N/A Specificity Results: Activated: commercial gasoline, synthetic gasoline, diesel fuel, jet-A fuel, n-hexane, toluene, xylene(s), water Not activated: polymer strip sensor did not respond to water Comments: EPA and many states require detection of 1/8 inch (0.32 cm) of product for groundwater monitoring. Test procedures were modified by evaluator using EPA's "Standard Test Procedure for Evaluation Leak Detection Methods: Liquid-Phase Out-of-tank Liquid Product Detectors". Veeder-Root Evaluator: Ken Wilcox Associates 125 Powder Forest Dr. Tel: (816) 795-7997 Simsbury, CT 06070-2003 Tel: (860) 651-2700 Dates of Evaluation: 01/02/95, 06/23/97, 04/20/98 Appearance on this list is not to be construed as an endorsement by any regulatory agency nor is it any guarantee of the performance of the method or equipment. Equipment should be installed and operated in accordance with all applicable laws and regulations. 321 Modtfi6d. Pro dure .,.: ReSults:ofU~S~ ~E~PA:Standard:~IgValuatton~"" ~' ' ' ...... ~ii~~ L~qu~d?,Phase """~" "" m~d~cted-by ~t~¢ ~i;p~ent nmnufa~u~r or. . ~ c~nsu[i~nt to lh.o mmut~c~rcr aCcording-tO ~t~ U.$, EPA's "S. i~ard" 'l~t Frocodum .t:Or.Ev.~u~tion. ~k De~etio~} ~heds:. L~quid. Phase ~t':o[t[~.L[qa'idPmduct ~tec~rs,. The m~it~c~fions ~ the pr~ur.e xx.~,e m~e to a~0~u~odMe. Ibc sp~]~ ~qu~s o~ i~tcrsr[tiai mo0]tor$, ~;, . . , .'. : .~-:. 125 Pawder~a~es~'Od.X~L.~~~2003 .' · '...' ..'- ;.- -~rm', ~ 06070-2003 {:203} 651 D~cte~r op~rat~.g pri~ipt< ( )E~c~ri~l. CondaUn]v[~ () ~tenOal.~C~t&.tcti~ty { )fntcrtgc. e~obe (X} Product P~m,eab]e () Pr~du~ Soluble [X) O.~cr ~d ssac~fl.oat pe~<,to'r~.,~p~ Crcqu~n~.: ["},[nt.e~iRcnt,, {X)~ntin~'' · ~mp. ~ bliowing.pammete~ ~te d~emtin.~; Sp<ifici~' - Wh~h~ ~ ~ the ~nsoe ~pO~ fo: ~ous P~risio~'~ ~mnt ~n multiple mc~n~ oflhe ~i'ne pe~c De{<ti$~t T:ime - A~mt of t~e the d~[<tor must ~c ~posed'to .pm~act Eefoee: i,t P~ge £ of 2 . .' ~".-.'..- .: :. :..: ~' :., : . , ,........ ..: · . . : :,:: :.:?:::...": '.'' 7' ':' :' :,: · :.~ . : · :'.,- . .,': , ,. · . :..-: :. J¢t-A j~ ~[ I ~0 ~i~ wilt not res pond to w~tcr. ]~-l~i~n,¢ 1'00 Tontine l O0 Xyten~S) loo W~ter ....... 100/0*~ > Safety ct~¢laime'~ 2'~ test p. rocedurc.'~l)"add~es the [ssu~ og fl,,e '~nle~itiat monitors.ability ~o .detect 'I~,~ ~lt ~o~ .'not t~,t the equipment forsa~e~ Ita?ard~. r-~l~ ~ntcd.on l~is: Fo~: a~ tho~e oh~in~ durb~g t~. ¢~umtio~ i. a~ ~b/that ~¢ ¢~]uation ~{,_K~! W~Icax. Ph.D:. Present ~cg Wilc,~.A~ia~ ~nu~-2,.[995 (Revised Apri:l t999}" (~todCt'N~b~' 7~3:~3~2). .Pag~ 2 of 2 Underground Storage Tank System Required by Section 2651 CCR, and 25294 HSC I. Facility Name: Operator Name: Site Address: Operator Phone: Date / Time of Reported To And Date / Time Type and Quantity of Hazardous Corrective Action Taken To Control and Clean up Disposal Location / Discovery Reported By Repoded Substance Released Release and Repair Manifest # To: Type: By: Quantity: To: Type: By: Quantity: To: Type: By: Quantity: To: Type: By: Quantity: To: Type: By: Quantity: To: Type: By: Quantity: To: Type: By: Quantity: To: Type: By: Quantity: To: Type: By: Quantity: [Revised 8, ,,o, GKHI Monitoring Report Release Log CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [~ Routine ~Combined [] Joint Agency [] Multi-Agency [~ Complaint [] Re-inspection Type o£Tank ~)~-~.~ Number o£Tanks I Type of Monitoring ~'~./~ Type of Piping ~ P~ 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 k..,,.-'/ 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=ComplianiCV=Violation~~~)Y=Yes N=NO /~ ~,. Officelnspect°r:of Environmental-'J~'/t J Services (g0~JS'6-3979 White-Env. Svcs. Pink-Business Copy /B6 ~'in__e/s g~"-9//Res~ible Party CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Pr4 t '~, (~¢[f INSPECTION DATE lO/3O/Of ADDRESS .C~, tO .fld,~ e~ PHONE NO. 3fg ~ qqa't FACILITY CONTACT BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine '~[ Combined l~ Joint Agency [~ Multi-Agency ~.~ Complaint {~ Re-inspection OPERATION C V COMMENTS / Appropriate permit on hand ~,, Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials / Verification of quantities Verification of location / Proper segregation of material L,, Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled [,.,, Housekeeping Fire Protection Site Diagram Adequate & On Hand ,A / C=Compliance V=Violation Any hazardouis wast,e on si~e?~ ~Yes [~]No Questions reg~ding ~is inspec~On? Please call us at (661) 326-3979 ~u~ne~~~~~~e e~s~ble Pa~y White - Env. Svcs. Yellow - Station Co~y Pink - Business Copy Inspector: B D August 3, 2001 Pacific Bell F~RE C,~EF 5650 Aldrin Ct RON FRAZE Bakersfield Ca 93313 ADMINISTRATIVE SERVICES 2101 *H* Street RE: Deadline for Dispenser Pan Requirement December 31, 2003 Bakersfield, CA 93301 VOICE (661) 326'3941 FAX (661) 395-1349 R E M I N D E R N O T I C E SUPPRESSION SERVICES 2101 "H" Street Dear Tank Owner: Sake,~e~a. CA 930O1 unaergrouna storage VOICE (661)326-3941 FAX (661) 395-1349 You will be receiving updates fi.om 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) 326.3951 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. Sakersfield, CA 93301 regu~anons. VOICE (661) 326-3979 FAX (661) 326-0576 It is the hope of this office, that we do not have to pursue such action, TRAINING DIVISION which is why this office plans to update you. I urge you to start planning 5642 Victor Ave. Bakorsfiold, CA 93308 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. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm TAIT Environmental Systems General Contractors · CA Lic. #588098 June 1,2001 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Mr. Steve Underwood Bakersfield City Fire Department 1715 Chester Avenuel 3rd Floor ' · Bakersfield, CA 93301 RE: Pacific Bell Sites & CLLC Codes: 5650 Aldrin Court, Bakersfield CLLC Code: BKFDCA53 Dear Mr. Underwood: Enclosed are the following forms for the above-referenced facilities: * U.S.T & A.S.T Monitor Certification Form Feel free to call if you have any questions. Very Truly Yours, TAIT ENVIRONMENTAL SYSTEMS CHERI L. BREWER Office Manager CLB Enclosures :\tes\pb2001\letters\kern\underwood.s2 CC: Stan Brodecki Cindy Madrigal (Post At Site) 701 North Parkcenter Drive- Santa Aha, California 92705 · (714)560-8222 · (714)560-8237 fax Regional Offices: San Diego, Concord. Sacramento, Phoenix · Tucson www. TAIT.com MONIT ING S S EM CERTI CATION For Use By.4ll dur~s~lictions i~ithin the State of California .4uthority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. Instructions are printed on the back of this page. A. General Information Facility Name: PACIFIC BELL Bldg. No.: BKFDC~33 Site Address: 5650 ALDRIN COURT City: BAKERSFIELD Zip: Facility Contact Person: CINDY MADRIGAL Contact Phone No.: (559) 4544460 Make/Model of Monitoring System: VEEDER-ROOT TLS-350 ..... Date of Testing/Service: 4/5/01 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment ins eeted/servieed: , Tank ID: 2051 (DIESEL) Tank ID: 2052 (UNLEADED) fiin-Tank Gauging Probe: Model: 847390-107 fiin-Tank Gauging Probe: Model: 847389-107 5lAnnular Space or Vault Sensor: Model: 794390420 [Annular Space or Vault Sensor Model: 794390420 fiPiping Sump/Trench Sensor (s): Model: 794380-352 []Piping Sump/Trench Sensor (s): Model: 794380-352 []Fill Sump Sensor (s): Model: 794380-352 [Fill Sump Sensor (s): Model: 794380-352 [3Mechanical Line Leak Detector. Model: F1Mechanical Line Leak Detector. Model: []Electronic Line Leak Detector Model: F1Electronic Line Leak Detector Model: fiTank Overfill/High-level Sensor: Model: 790091-001 fiTank Overfill/High-level Sensor: Model: 790091-001 F1Disp. Containment Sensor(s): Model: F1Disp. Containment Sensor(s): Model: FIShear Valve(s): F1Shear Valve(s): F1Dispenser Containment Float(s) and Chain(s): U1Dispenser Containment Float(s) and Chain(s): FlOther, Specify equip, type and model in Section E on Page 2 F1Other, Specify equip, type and model in Section E on Page 2 Tank ID: Tank ID: Flln-Tank Gauging Probe: Model: I-lin-Tank Gauging Probe: Model: F1Annular Space or Vault Sensor: Model: I-1Annular Space or Vault Sensor Model: EIPiping Sump/Trench Sensor (s): Model: FIPiping Sump/Trench Sensor (s): Model: F1Fill Stop Sensor (s): Model: F1Fill Sump. Sensor (s): .... Model: __ F1Mechanical Line Leak Detector. Model: F1Mechanical Line Leak Detector. Model: []Electronic Line Leak Detector Model: IEIElectronie Line Leak Detector Model: [3Tank Overfill/High-level Sensor: Model: [2Tank Overfill/High-level Sensor: Model: []Disp. Containment Sensor(s): Model: FIDisp. Containment Sensor(s): Model: []Shear Valve(s): []Shear Valve(s): ElDispenser Containment Float(s) and Chain(s): []Dispenser Containment Float(s) and Chain(s): fflOther, Specify equip, tTpe and model in Section E on Pa~e 2 []Other, Specify equip, type and modgl in Section E on Pa~e 2 C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' eheeldists) neceSSary to verify that this information is correct and a Site Plan showing the layout of'monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy. of the (check all that apply): [] System set-up report; Fi Alarm history report. Technician Name (Print): DON S. THOMPSON Cert./Lie. No.; 545-92-3354 Signature: ~,,_~ .~: '~,~12ta-lA~ Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222 Monitoring System Certification Site Address: 5650 ALDRIN COURT, BAKERSFIELD Date of Testing/Servicing: 4/5/01 D. Results of Testing/Servicing Software Version Installed: 121.00 Complete the following checklist: [] Yes [] No* Ii the audible alarm operational? [] Yes F1' No* Is the visual alarm operational? [] Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational? [] Yes [] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e'.g. modem) [] N/A operational? [] Yes [] No* For pressurized piping systems, does the turbine automatically shin down if the piping secondary containment [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all-that apply) []. Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [] Yes; [] No. [] Yes [] No* For tank systems that utilize the monitoring system as .the primary tank overfill warning device (i.e. no [] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly?. If so, at what percent of tank capacity does the alarm trigger? ??..97o./~ [] Yes* [] 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. [] Yes* [] No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) [] Product; [] Water. If yes, describe causes in Section E, below. [] Yes [] No* Was monitoring system set'up reviewed to ensure proper settings? [] Yes [] No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Monitoring System Certification Site Address: 5650 ALDRIN COURT, BAKERSFIELD Date of Testing/Servicing: 4/5/0! F. In-Tank Gauging / SIR Equipment: [] Check this box if tank gauging is used only for 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. Complete the following checklist: [] Yes [] No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? [] Yes [] No* Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes [] No* Was accuracy of system product level readings tested? [] Yes [] No* Was accuracy of system water level readings tested? [] Yes [] No* Were all probes reinstalled properly?. [] Yes [] No* Were ail items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): [] Check this box ifLLDs are not installed. Complete the following, ebeeklist: [] Yes [] No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? [] N/A (Check all that apply) Simulated leak rate: 1"13g.p.h.~; 1-10.1g.p.h.2; [] 0.2 g.p.h.2 Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. "~l Yes [] No* Were all LLDs confirmed operational and accurate within regulatory requirements? [] Yes [] No* Was the testing apparatus properly calibrated? [] Yes [] No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring' sys[em is disabled [] N/A or disconnected? [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system [] -N/A malfunctions or fails a test? [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected? [] N/A [] Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: · M6l~itoring System Certification UST Monitoring Site Plan Site Address: 5650 ALDRIN COURT, BAKERSFIELD .............. ~~ ~e¥ ./; o~.~ ....... '"''''' ': i i i i: i 2 i: i i i ~i ....... ,m,.~~~ ~~~;,~,~... )...m e;' ~'~ ...... '- ............... ~ ............... *~_. y ....... Date map was~awn: c] /~/ ~ ] Instructions · If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes Of'used for leak detection). In the space provided, note the date this Site Plan was prepared. CALM-02 Page __ of __ 11/15/99 Environmental Managemenl~, P.O. Box 5095 Pacific Region ~, Room 3EO00 _ San Ramon, California 94583 Ptlone 925-823-9835 April 20, 2001 City of Bakersfield Certified Unified Program Agency Ralph E. Huey Director of the Office of Environmental Services Fire Department 1715 Chester Ave, Third Floor Bakersfield, CA 93301 RE: Certification of Financial Responsibility. The attached is a copy of our Certification of Financial Responsibility for Pacific Bell and SBC Affiliates. Also enclosed is the list of our facilities with underground storage tanks in your area of jurisdiction. Please call me on (925) 823-6161 if you have questions regarding this correspondence. Stan Brodecki Senior Environmental Manager SBC Environmental Management Attachment: Certification of Financial Responsibility List of Site ~/~;~,o~,x, State of California ~ For State Use Only State of Water ResourceS'Control Board Division of Clean Water Programs P.O. Box 944212 Sacramento. CA 94244-2120 (instructions on reverse side} 'CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in the Required amounts as specified in Section 2807, Chapter 18, Div. 3; Title 23. CCR: ~ 500,000 dollars per occurrence . ~'] I mi!liqn dollars annual aggregate or AND or [~ I million dollars per occurrence [_~ 2 million dollars annual aggregate B. Pacific Bell hereby certifies that it is in compliance with the requirements of Section 2807, (Name of Tank Owner or Operator) Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: . C. Mechanism Mechanism Coverage Coverage Corrective Third Party Type Name and Address of Issuer Number Amount Period Action Comp SBC Environmental Management Not Applicable $2,000,000 Financial Test of Pacific Region For State Per Occurrence & Renewed Self Insurance PO Box 5095, Rm 3E000 Alternative $2,000,000 Annually Yes Yes San Ramon, CA 94583-0995 Mechanism AnnualAggregate Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance with all Conditions for participation in the Fund. D. Facility Name Facility Address Pacific Bell See Attached List Facility Name Facility Address Facility Name Facility Address E. .Signature of Tank Owner or Operator Date Name and Title of Tank Owner or Operator ' ' /~/ ~/~ 5/8/01 Stan Brodecki, Senior Environmental Manager Signture of Witness or Notary. Date Name of Witness or Notary /.'/ Armi D. Strickland , CFR ~'Revised 04~95) FILE: Original - Local Agency Copies - Facility/Site(s) January 22, 2001 FIRE CHIEF RON FRAZE Pacific Bell 5650 Aldrin Ct ADMINISTRATIVE SERVICES Bakersfield Ca 93313 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Dear Underground Storage Tank Owner: VOICE (661) 326-3941 FAX (661) 395-1349 You will be receiving updates from this office now, and in file future with PREVENTION SERVICES regard to the Senate Bill 989, which went into effect January 1, 2000. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 This bill requires dispenser pans under fuel pump dispensers. On · December 31, 2003, which is the deadline for compliance, this office will ENVIRONMENTAL SERVICES be forced to revoke your permit to operate, effectively shUtting down your 1715 Chester Ave. Bakersfield, CA 93301 fueling operation. VOICE (661) 326-3979 FAX (661) 326-0576 It is file hope of this office, that we do not have to pursue such action, TRAINING DIVISION which is why this office plans to update you. I urge you. to Start planning 5642 Victor Ave. Bakersfield, CA 93308 now to retro-fit your. facilities. VOICE (661) 399-4697 FAX (661)399-5763 If your facility has upgraded already, please.disregard this notice. Should you have any questions, please feel' free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector .. 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 ~t~t~t~. x~{,I INSPECTION DATE [O[[q[~O Section 2: Underground Storage Tanks Program [] Routine [~'/Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ,DID ~C...~ Number of Tanks I Type of Monitoring ~,t~ta,'t Type of Piping Dt,o ~' OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file V Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance Inspector: Office of Environmental Services (805) 326-3979 Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Oostt4tL. ~el~ INSPECTION DATE ADDRESS .e~(~50 ~-tvx ~ PHONENO. 3q~.qqa{ FACILITY CONTACT BUS.ESS IDNO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program / [21 Routine ~ombined [~ Joint Agency ~ Multi-Agency [21 Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address G / Correct occupancy Verification of inventory materials Verification of quantities I/ / Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardol~s waste on site?: [~es [~1 No Explain: I]$M/l~o~oc- t~ 6[ ~' Atxt[l,-~ree,t t '~b Questions regarding this inspection? Please call us at (661) 326-3979 le Party White- Env. S v cs. Ye,low - Station Copy h nk- Business Copy I nspector:_[~i ~UN-07-~000 1~:29 PB ENUIRONMENTAL MGMT 925 D ~OG~ CONSO~A~D ' T~ ERGRO STOOGE - FACILITY (one p~c pcr si~) P~g~. ~OFAc~ON ~ i.~WS~PE~ ~ ~ ~W~P~ ~ S.~GEOF ~0~0~ (~ ~ it~ only) ~ 4. ~ P~ s~fy ~ I~al use ~ ~ 8. T~ ~MOVED ~ 6.~O~Y S~ ~S~ L FACULTY / S~ ~O~ON ~ST CROSS ST~E'I' ~'~ FACILI~ O~ER T~E . ~ 4.~ AG~CY/DIST~C~ ~ite L~o ~ I. COK~TION ~ 5. CO~ AGENCY* BUS,ESS ~ 1. GAS STATION ~ 3. F~ ~ 5. COMMERCY~ ~ 2. ~DWIDUAL ~ 6. STA~ AO~CY* ~PE ~ 2. DIST~BUTOR ~ 4. PROCESSOR ~ 6, OT~R ,o~ ~ 3, P~E~I~P TOT~ NUMBER OF T~KS [ IsthciliWonlndi~Res~ationot *~ o~er of UST i~ ~ ~61ie ag~n~: n~ of su~isor of di~aion, s~6on ~ officc which PRO~R~ O~R ~O~A~ON PROPERTY O~ER NAME ao~ PHONE Pacific Bell (SA703) (800) 757-6575 ~L~G OR ST~ET ~D~S~ 5650 AI&~ Cou~ cI~ ~lo I' ~TATg 4~ [ ZIP CODE B~e~field CA ~ 93301 -P~OPER~ O~ER ~E ~ 1. CO.OPTION ~ 2, IND~IDU~ ~ 4, ~C~ AG~CY / DIST~CT- ~ 6. STATE AGENCY ~. T~ O~ ~O~A~ON TAN~O~EK N~E a~a pHONE Pacific Boll (SAT03) (soo) ~G OR ST~ET ~D~SS PO Bo~ ~0~5~ Room BE000 S~ R~on / CA ~ 94583-0995 "~K OWNER TYPE ~ I-. CO.OPTION ~ 2. ~DIVIDU~ ~ 4. L-O~ AGENCY / DiSTRiCt' '~ 6. STA~ AGENCY a20 ~ 3. P~I.~P ~ f. CO~ AG~CY ~ 7- F~DE~ AGENCY w. OF UST ACCO , 7Y(~)'HQ 44' [ 3 [ I I 9 ~ 1 [ 4 [ Call (916) 322-9669ifquestiom~ise V. ~O~E~ UST ~C~ ~SPONS~ ~DIGA~ ~THOD(s) ~ I- SE~F-INSUKED ~ 4. S~E~ BOND ~ 7, STATE FUND ~ 10. LOC~ GO~ MEC~NISM ~2, GUARANTEE ~ 5. LE~EROFGRED1T ~8, STAT~FUND&CFO~K ~ ~,O~R: __ ~ 3. ~SU~CE ~ 6. E~M~ON ~ 9. STATE F~ ~ CD ~, LEG~ NO~CA~ON ~ ~H.~G ~D~SS Ch~ ~ ~ m ~ca~ wixi~ ahfuld ~ed for leg~ ~fi~fl~ ~dh~llag. ~gd nofifiaafi~z ~d m~li~s ~ll be sent ~o ~; t~ ~ ~l~ ~x I ~ 2 is oh~ ~ l, FAG~ ~ 2. ~O~RW O~ ~. ~IC~ SlGNA~ ~fic~on - I c~ ~t ~c ~f~afion p~d h~in ia ~* ~d ~ur~t~ to ~ ~zt of my ~lz~. SI~~OF ~P~C~ , DATE 4~ PHONE 425 N~'~h~L)C~ (printl ~z0 TITLB OF APPLIC~T A~i D. S~ick~d En~iroRmen~ Associa~ STA~ UST FACILI~ NUMBER flor 1~1 u~ Duly) a2n 1998 UPG~DR CRRTI~ICATE ~BR ~CF (1/99 revised) g Fo~erly S~CB Fo~ A JUN-O?-2000 16:30 PB ENUIRONMENTAL MGMT 925 86? 0~41 P. 05 TANKS UNDERGROUND STOOGE - T~K PAGE 1 (~o pages per ~k) I I II I II ~ 3 ~WALP~ {g~j~r~fl-fotlo~lu~o~y) (Sp~y~n-~l~eoaly) ~ 8 T~O~ ~0 Padfic Bell (SA703) LOCA'ftD~ WITffiN Sl~ (~io~) ' I. TANK DESC~ON (A s~ed plot pl~ wt~ ~ location of ~ UST s~s~m including butldin~ ~d I~dm~ks ~h~l"~g submi~d to ~e 1o~ agency,) TANK ID t ~ T~ ~UFACTU~ ~ CO~~NT~EDTANK ~ Y~ ~ No DATE ~T~LED ~A~O} a)s TANK CAPACITY IN O~LONS a~ ~ O~ ~O~TM~g .... 1996 5,000 T~K USE 43~ PETROLEUM ~E TA~ ~T~RiAL - ~rJm~ ~k ~ B~ ST~L ~ ~. F~G~S5 / ~S~C ~ 5. CO~C~ ~ 95. ~OWN (Cb~oaeimm~lX) ~ 2. STagS S~ ~4. ~LC~W~ERGLAS8 ~ g. ~CO~W/I00%~Ti~OL ~ 99, ~R RE~ORCED ~STIC ~) ~ i0. COA~ S~ OR COA~G ~ 2 A~ ~G ~ 4 PHENOLIC LIN~G ~ 6 ~ 0 W O~R (~ one i~ only) ~ot I~1 u~ O~CO~OSION ~ 1 ~A~CA~ODIC ~ 3F~GLASS~OR~S~C ~ 9S ~O~ 44g "~4a (Ch~ one I~m only) ~ 2 SACRWIC~ ~ODE ~or ]oc~[ ~ only) ~ 2 DROP TUBE 199d 0 2 BRLL~AT ~ ~ 4 ~ ~ 3 S~R PLA~ 1996 IV. TANK LEAK DETECTION iA ~puon a~ moai~6aa ~,S,ii~L'~ubmln~ m i~l~t ~-g~G~B~L~TANK (~=k all *~ ~aly) "' 4s~ IF ~UBLE WALL TAN~F~K W~ BLADDER (gh~k on~ 1~ only) ~ I VISUAL ~OgED ~RTIO~ O~Y) ~ 5 MANUAL TA~ GAUG~G ~) ~ I VISU~ (S~G~ W~ ~ VAOLT ONL~ ~ 2 A0~TIC TA~ GAU~ (ATO) ~ 6 vA~S~ ZO~ ~ 2 CO~OU~ ~~ ~O~G ~ 3 CO~OU~ A~ ~ 7 GRO~WA~ ~ 3 ~U~ MO~G (SIR) BI~ TANK TES~G ~ 99 o~g ~ ,,[ ~ll°nsJ ,. , ~Yes ~ No - UPCF (1/99 revised) ! 0 Formerly SWRCB Form B JUN-O?-2000 16:30 PB ENUIRONMENTAL MGMT g2S 86? 0241 P.04 PROGRAM CONSOLIDATI~D i TANKS UNDERGRO STORAGE TANKS - TANK PAGE 2 ~ERORO~ P~G ~OVEGRO~D PIP~O ~A~ ~ 2. DO~L~ WALL ~ 9~, UN~O~ .- ~ 2, DO~ W~ ~ 99. ~AC~ ~1 ~A~ 2.5T~LESS S~ ~ 7. G~V~ 5~L ~ Unkno~ ~ 2. ~ESS S~ ~ 7. G~VAN~D S t~L 4. FmER~ASS ~ S. ~m~ ~). ~ 4, Fm~G~SS ~ ~. CA~ODIC ~OT~ON 5, S~L W/~A~G ~ 9. CA~ODIC PRO~ON ~ ~ ~. S~ W~OA~G ~ 9~. ~O~ ~1. P~G LEAK DETECTION (Ch~k ~[] t~ ~[y) (A d~i~oa oils moni~*i ~ s~U ~e ~obmi~ ~ ~ Io~ ~oy.) SINGLE WALL PIPING ~ S~GL/WALL PIP~G 1. ~o~c L~ ~K D~ 3.0 ~PH ~ST ~ A~O P~ ~ ~ I. ~IC L~ ~ D~OR 3.0 O~ FOR L~, SYS~ P~ ~ SYSTEM DI~ON + S~ O~ FO~ ~ SY8~ F~, ~O SYS~[SCO~ON + A~ ~ VISU~ ~. A~L~ AND VISU~ ~S. 2. MO~Y O.2 GPH ~T ~ 2. MO~Y 0.2 GFH ~ 4. DAVY VISU~ C~ CO~ON~ ~UC~O~ SYS~S ~ON~ ~U~ION SYS~ (Cboe ~l] ~ ~ply) ~ 5, DA~Y VISU~ MON~G OF ~G 5Y5~ + ~ PD~G ~ 5. D~Y VISUAL MONITO~NO OF ~G ~ p~O 5y~ S~ SU~ON SYS~MS ~0 V~S ~ B~OW GRO~P~mG): ~ ~, ~ ~ ~ O.I O~ 9. B~ ~OR~ TgST (O.l OP~ · G~ ~W (Ch~k gl thl~ spply): ~ 8. D~Y VISU~ MON~O~G SECONDARILY CO~AIN~D PIPING SECONDARILY CO~AI~ ~PING ~SS~D P~O (Ch=~ ~ll ~t ~pply); ~SS~ P~O (Ch~k ~ll ~ CO--GUS TU~ ~U~ SENSOR WiTH A~m~ ~ V~U~ 10, CO~OU$ ~ S~ ~SOR ~ A~ ~ VISU~ ~S AND (C~k ~t) ~S ~ (Ca~ ~ b, A~O PU~ S~ Off FOR ~S. SYS~M F~ ~ SYS~ ~ b AUTO ~ S~ O~ FOR ~, SYS~ FA~ ~ SYS~ D[S~NNE~ON DISUniON ~c. NO AU~ PU~P SH~ O~ ~c NO A~O P~ 5~ O~ I1. AU~MATIC~ ~DE~R(3,0 G~ ~OW S~ ~ I1. A~HC~DE~R 12, ~ ~ ~5T (0.1 ~ ~ 12. ~ ~G~ T~T (0.l SUC~ON/G~V~ SYS~ SU~ON/~VI~ SYS~ 1~. CONTINUOUS 5~ S~5OR + A~ ~ VISU~ ~S ~ 13, CO--GUS 5~ S~SOR + A~IB~ EMERGENCY GENE~RS ONLY (Cb~k sll ms~ april) EMERGENCY GENE~TORS ONLY (Ch~k ~11 ~ai ~vply) Ii. CO--GUS SUMP SEN~OR ~O~ A~O ~ S~ O~ ~ ~ la, cON~OU$ S~ ~SOR ~O~ A~O A~mL~ A~ VlSU~ ~S ~L~ AND VISU~ l~. AU~O L~ L~X D~OR (3.0 OPH ~S~ ~O~ ~W ~ 1~. a~O~nC L~ ~ DE~R ~.0 5~t OFF OR RES~I~ION Ig, ~ ~G~ ~ST (o. 1 GP~ ~ 1~, ~ ~G~ ~ST (0.1 ~ 17. D~Y VISUAL Ci~ ~ 17. D~Y VISU~ VIIL ~ISPENSER CONTA~ DISP~S~ CONTACT ~ 1. F~AT ~C~$M ~T ~S O~ ~ V~ . ~ 4. D~Y ~U~ ~C~ DAT~ ~$T~D ~a ~ 2. CO--GUS DIS~ PAN l~O~ + AUD~ ~ V~U~ ~S ~ ~. T~NCH ~ / MO~O~G ~ 3, CO--GUS DI~ P~ S~SO~ ~ AU~ S~ O~ FOR ~, OWNE~OPE~TOR SIGNATURE ' .[ ,06/07/2000 A~i D. S~ickl~d ] Env~en~l Associa~ / ~C~ (1/~ revised) ~ JUN-O?-~000 16:31 PB ENUIRONMENTAL MGMT 925 86? 0241 ?.'05 TANKS UNDERGROUND STOOGE - PAGE 1 ~ 3 ~WALP~ ($p~y~-~r~uaao~ly) (S~l~o-f~l~lu~oaty) D 8 T~O~ 430 BUs'sS N~ (~ ~FAC~I]~N~PBA-~insBu'i~)I { [ FACILIT~ ID:pacific Bell (SA703) ._ { ~ ~ J I''{ LOCATION WIT~-S]~ (o~o.~1) L T~K DESC~ION (A Sc~ed p{ut pl~ wi& ~c loc=ion of ~e UST sys~]ncluding bu]ldi~s ~d l=dm=ks sh~l ~e submi~d m ~$ {o~ 1996 12,000 T~K USE o~ PETR~EUM TYP~ 'fIL T~K CONSTRUC~ON "' ~ 2. DO~ W~ ~ 4. SI~ WALL ~ VAULT ~ ~9. ~~ ~O~C~ ~S~C ~) ~FORCED PL~C ~ ~ I o. ~A~D ~ s. CONC~ O~ COAT~O ~ 2 ~ ~O ~ 4 ~OLIC ~G ~ ~ ~LI~D ~ 99 O~ (Ch~ e~ i~ only) (Foe loal O~ CO~OSION ~ { MANOFA~ CA~ODIC ~ 3 F~EKO~SS ~ORCED ~S~C ~ 9~ ~O~ ~m PKO~C~N · ~C~ PROLCON ~ 4 ~95~ ~ ~ 99 O~R ~ 2 DROP TUBB 1996 ~ 2 ~A~FLO~T ~ ~ 4~ ~ 3 STRIKER PLA~ ] 996 (Ch~k ~* I~ only) ~ 1 VISU~ ~S~ ~K~O~ O~ ~ S ~AL TANK GAUG~O (~G) O I ~ (S~G~ W~L ~ V~U~T O~ ~ 2 AU~TIC T~ OAUO~O (ATO) ~ 6 VADO$~ ZO~ ~ 2 COPIOUS ~T~ ~ ~ CON~OUS ATG ~ 7 GRO~WA~R ~ S ~ MO~G ~ 4 STA~S~C~ ~RY ~O~ON ~ 8 TA~ ~ST~O (SIR) BI~I~ T~K TEST~O ~ 99 O~R I~TANK CLOSUR~ INF'~R~TION / PER~NE~ C~SOR~ IN PLAC~ g~lons ~ Yes ~ No UPCF (l/99 revised) 10 F0rmcrly S W'KCB Form B 'JUN-O?-2000 16:32 PB ENUIRONMENTAL MGMT 925 86? 0241 P. 06 ~.~'2;D ~O~ C0NSOLmA~D F~ 1 ERGRO STOOGE - PAGE 2 . UNDER~O~D ~I~O ABOVE~O~ ~u~ ~ 1. S~O~ ~ ~ 3. L~ ~CH ~ ~9, O~ ~ ~ 1, ~G~ W~ ~ ~. ~O~ ~ACm ~ 2. DOUe~ W~ ~ 95. ~O~ U ~, OO~ W~ ~ ~. O~ ~ACTU~ ~ ~ 1 ~A~ ~ 2. STA~E~S $T~ ~ 7, G~V~D S~L ~ Un~o~ ~ 2. STA~$ S~ ~ 7. G~V~D ~ 4. ~SS ~ ~. ~m~ ~) ~ 4. ~SS ~ V, CA~ODZC ~O~O~ ~ 5, S~ W/~A~G ~ 9, CA~ODIC PR~ON a~ ~ ~, S~ W~OA~G ~ 93, ~NO~ VII. PIPING LEAK DETEC~ON (O~ nl~ e~ a~} (A ~cd~[~ ~ ~l~d,~ ~=~ ~s, ~ ~bmi~ ~ ~o ~I ~.) ~GRO~ P~G ~'OV~O~D P~G S~GLE WALL P~G ~ SINGLE W~L PIP~G P~SS~D P~O (Ch~k ~11 ~st apply): P~S~ P~ (~h~k ~l ~nt apply): O~ FOk LE~. SYS~ Y~. ~ SY~ DISCO~ON + S~ OFF FOR L~ SYS~ FA~, ~ A~LE AND VISU~ ~S. A~LE ~ V~U~ ~ I. a~ ~O~ ~ST (0.I~ ~ 3. A~AL ~O~ ~ST (0.1GP~ ~ 4. D~Y VIIUAL C~ CO~ON~ 9U~O~ SYS~MS CON~ON~ SUC~ON ~YS~MS (~ all ~ai ~ ~. D~Y ~SU~ MON~O OF PU~O SYS~ + ~ ~ SU~ON SYS~MS ~O V~UE~ ~ BELOW GRO~G): ~ 6. ~ ~ ~ST (0,1 ~ G~V~ ~OW ~ % ~ MON~O~G ~ 9, B~ ~ ~ST (0.1 ~ O~Vl~ ~W (Ch=t ~l I~,t apply): ~ 8. DAVY VISU~ ~ON~G SECONDARILY CONTAINEB PIPING S~ND~LY CO~AINED P~SU~D P~G ~ dt ~ ~Iy]: P~S~D P~G (Ch~t ~I ~at 10. CO--GUs ~ S~ S~N~O~ ~ A~ AND Vi~U~ l 0. CO--GUS T~ S~ S~R ~ A~IBLE ~ a. AU~ PU~ S~ O~ ~ A LE~ O~ ~ a AU~ ~ S~ O~ ~ A ~ ~ ~. A~ PU~P SH~ OFF FOR LE~S, SYS~ F~ ~ SY~M ~ b A~O P~ S~T O~ FOR ~S, SYS~ FA~ DISCO~C~O~ D~C~ON ~ 1 l. A~O~C L~ L~K DE~R(3,0 GPH ~SD ~ ~W ~ O~ OR~S~ON ~ i1. A~O~C L~K DE~R ~ 12, ~~G~ ~ST(0,] GP~ ~ 12. AN~G~'~ST(O,I SU~/~V~ SYS~M SUCTION/G~V~ S~ ~ 13, CO--GUS S~ S~SOR + A~L~ ~D V15U~ ~S ~ 13. ~OUS S~ S~SOR + A~ ~ EMERGEN~ GENE~TO~ ONLY (c~ ~1 ~t ~p~y) EMERGENCY GENE~R~ ONLY (Ch~k ~ll ~ 14, ~O~OUS S~ S~SOR ~O~ A~O P~ S~T O~ * ~ 14. ~UOUS S~ S~SOR ~OUT A~O AUD~LE ~ V~U~ ~S A~L~ ~ V~U~ ~S ~ 16, A~ ~O~ST (0.1 OP~ ~ 16. A~AL ~~ST (0.1 O~ ~ 1~. DAVY VISUAL C~CK ~ 17. DAVY ~UAL ~CK VIII. ~ISP~N~RR CONTA~M~ DIS~S~ CO~~ ~ 1. FLOAT MEC~NISM ~T ~S O~ ~ VILYi ~ ~. DAVY YISU~ DA~ ~STALLED 4~8 ~ 2. CO~OUS D~P~S~ PAN SENSOR + A~ ~ VISU~ ~$ ~ 5. ~ ~R / MONiTO~G ~ 3, CO~OUS D~ P~ X~SOR WI~ A~ S~ Off ~R ~ d. NO~ 469 ~. OWNE~OPE~TOR SIGNATURE ~ 06/07/2000 A~i D. S~ickl~d Env~en~l Associate ~CF (1/99 revised) 12 For,,,~ly S~CB Fo~ B TAIT Environmenta~ Systems General Contractors · CA Lic. #588098 May 8,2000 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Mr. Steve Underwood Bakersfield City Fire Department 1715 Chester Avenue, 3r~ Floor Bakersfield, CA 93301 RE: Pacific Bell Sites & CLLC Codes: 5650 Aldrin Court, Bakersfield CLLC Code: BKFDCA$3 Dear Mr. Underwood: Enclosed are the following forms for the above-referenced facilities: * U.S.T & A.S.T Monitor Certification Form Feel free to call if you have any questions. Very Truly Yours, TAIT ENVIRONMENTAL SYSTEMS CHERI L. BREWER Office Manager CLB Enclosure :\tes\pb2000\letters\agency\kern\underwood.s 1 CC: Stan Brodecki Cindy Madrigal (Post At Site) 701 North Parkcenter Drive - Santa Ana, California 92705 · (714) 560-8222 · (714) 560-8237 fax Regional Offices: San Diego · Concord · Sacramento · Phoenix · Tucson · Reno www. TAIT.com Environmental Management P.O. Box 5095 ' Pacific Region Room 3E000 San Ramon, CA 94583 UST & AST MONITOR CERTIFICATION FORM Testing Date: 4/4/00 Next Due Date: 4/4/01 Site Location: PACIFIC BELL Tank ID(s): 2051, 2052 5650 ALDRIN COURT CLLC Code: BKFDCA53 BAKERSFIELD Geo Parcel: SA-703 County: KERN Site Contact: HARRY DYCK Site Contact Phone #: 559-454-3003 Make & Model of Monitor System(s): VEEDER-ROOT TLS-350 Serial # of Monitor System(s): 60137037305001 Tank 1 Tank 2 Tank 3 Tank 4 Tank ID # 2051 2052 Type of Tank: (Single Wall or Double Wall) UST or AST DW/UST DW/UST Tank Material (Composite, Fiberglass, etc.) COMP COMP Contents of Tank: DIESEL UNLEAD Capacity of Tank: 5076 12032 Type of Product Line: (Gravityl Suction, Pressure) SUCTION SUCTION Type of Piping: (Single Wall or Double Wall) DW DW ALL SYSTEMS Tank 1 Tank 2 Tank 3 Tank 4 Sensor Type (Float, Discrim, etc. Annular Space Sensor: PASS PASS FLOAT ~Fill Sump Sensor: PASS PASS DISCRIM Piping Sump Sensor: PASS PASS DISCRIM Piping Trench Sensor: N/A N/A Dispenser Containment Sensor: NIA NIA Other Types (Sensors): Compartmented Tank(s) I Type of Overfill Protection (mechanical, electronic, ball float) Type of Spill Containment (Make & Model) PHILTITE 5 GALLON FOR PRESSURE TYPE SYSTEMS ONLY Tank 1 Tank 2 Tank 3 Tank 4 Is Mechanical Line Leak Detector Present & Tested?: Does the Turbine Shut-Down if System Detects a Leak?: Does Positive Shut Down Occur if Monitor System is turned off?.: ALL SYSTEMS In-Tank Gauge Present. Probe Type and Type of Leak Detection (Ex..2 gph). YES MAG 2.GPH DAILY Does the Monitoring System have Audible & Visual Alarms? YES Is the Monitoring System installed to prevent unauthorized tampering?: YES Is the Monitoring Devices operable as per manufacture's specifications? YES Testing Company: TAIT ENVIRONMENTAL SYSTEMS Date: 4/4/00 Technician: DON S. THOMPSON e) Certified Tester's ID #: 92-3354 _ (Signature) STATE OF CAliFORNiA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK' P, ERUIT APPLICATION - FORM A COUPLETE THIS FORU FOR EACH FACILITY/SITE [ MARKONLY ~-'--] 1NEWPERMIT I--~ 3 RENEWAL PERMIT ~[~ 5 CHANGE OF INFORMATION [~] 7 PERMANENTLY CLOSED SITE ONE ITEM E~ 2 INTERIM PERMIT E~] 4 AMENDED PERMIT 6 TEMPORARY SiTE CLOSURE I. FAClLrI'Y/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME NAME OF OPERATOR NEAREST CROSS STREET PARCEL # (OFTIONAL) c,TY NAME6m _S STATEcA Z,PCODE S,TEPHONE.W: .AR .OODE · / BOX TO INDICATE CORPORATION [~] INDIVIDUAL [~] PARTNERSHIP F'--] LOCAL-AGENCY I--'-I COUNTY.AGENCY' E~ STATE-AGENCY' [~ FEDERAL.AGENCY' DISTRICTS ' · i! owner o~ MST is a pubtic agency, complete the following: name o! Supervisor of division, section, or office which operates the MST ~ 3 FARM ~ 4 PROCESSOR 5 OTHER OR TRUST LANDS I I EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY). I DAYS: NAME (LAST, FIRST) _ PHONE tt WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE ~_//~d~ONT'/2. 91~.'D7'7-77'77 NIGHTS.: NAM. E_(LAST. FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE It WITH AREA CODE II. PROPERTY OWNER INFORMATION-(MUST BE COMPLETEDI CARE OF ADDRESS iNFORMATION MAiLiNG OR STREET ADDRESS ~ ~ box ~01nd~cat~, ~ INDiViDUAL [~ LOCAL*AGENCY ~ STA'I'E-AGENCY - - - Ill. TANK OWNER INFORMATION- (MUST BE COMPLETED) NAME OF OWNER I CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS _ ] ~/ box lo indicate ~ INDIVIDUAL [---] LOCAL-AGENCY [~} STATE-AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 322-9669 if questions arise. 5 LETI'EROFCRED~T ~ $ EXEMPTION I~ 99 OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD SE USED FOR LEGAL NOTIFICATIONS AND BILLING; I. [] II. [] Iii. [] THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT DATE MONT~S~P(EAR LOCAL AGENCY USE ONLY I COUNTY # JURISDICTION # FACILITY It LOCATION CODE - OPTIONAL CENSUS TRACT # - OPTIONAL LSUPVISOR- DISTRICT CODE - OPT/ONAL I THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPliCATION- FORM B~ UNLESS THIS IS A CHMIGE OF SITE INFORMATION ONLY. OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEItI~NTING THE UNDERGROUND STORAGE TANK REGULATION~ FORM A (:3/93) F-(3RO~3A-R7 Environmental Management P.O. Box 5095. ,~-~ Pacific Region Room 3E000 San Ramon, California 94583 April 20, 2000 ,,V-~/ City of Bakersfield Mr. Ralph E. Huey Director-Environmental Services 1715 Chester Avenue, 3ra Floor Bakersfield, California 93301 RE: Financial Test of Self Insurance (Underground Tanks) The attached is a copy of our Chief Financial Officer Letter to demonstrate fmancial responsibility for Pacific Bell's underground storage tanks. Please call me on (925) 823-6161 if you have questions regarding this correspondence. · Stan Brod¢cki · I Senior Environmental Manager SBC Environmental Management Attachment ^pdl/¢ ,2000 State Water Resotu'ces Control Board Division of Clean Water Programs Underground Storage Tank Cleanup Fund - · 2014 T Street, Suite 130 Sacramento, CA 95814 Re: Financial Test of Self-Insurance (Underground Tanks) I am Senior Vice President & Chief Financial Officer of Pacific Bell Telephone Company, 140 New Montgomery St., San Francisco, California. This letter is in support of the use of the financial test of self-insurance to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or non-sudden accidental releases in the amount of at least two million dollars annual aggregate arising from underground storage tanks. Underground storage tanks at Pacific Bell facilities are assured by this financial test or a financial test under an authorized State Program by this owner or operator. A financial test is also used by this owner or operator to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or State programs authorized by EPA under 40 CFR Parts 271 and 145. EPA Regulations Amount Closure (§§ 264.143 and 265.143) ........................................................ - $400,000. .. Post-Closure Care (§§ 264.145 and 265.145) ........................................ $100,000. Liability Coverage (§§ 264.147 and 265.147) ....... : ............................... $2,000,000. Corrective Action (§§ 264.101 (b)) ....................................................... $100,000. Plugging and Abandonment (§§ 144.63) ............................................... SN/A Closure ................................................................................................. :.$7,400,000.' Post-Closure Care ...................... ; ....................................... i ................... $1,000,000. Liability Coverage ................................................................................. $2,000,000. Corrective Action ................................................................................... $3,700,000. Plugging and Abandonment ................................................................... $150,000. Total ....................................................................................................... $16,850,000 This Owner or operator has not received an adverse opinion, disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. Alternative 1 (Source: Form 10K, December 31, 1997) 1. Amount of ann~al UST aggregate coverage being assured by a fmancial test, an.d/or guarantee ......... $ 2,000,000. 2. Amount of corrective action, closure and post-closure care costs, liability coverage, plugging and abandonment costs covered by a financial test, and/or guarantee .......................................................... $16,850,000. 3. Sum of lines I and 2 ............................................................................................................................... $18,850,000. 4. Total tangible assets ............................................................................................................................... $15,935,000,000. 5. Total liabilities (if any of the amount reported on line 3 is included in total liabilities, you may need to Deduct that amount from this line and add that amount to line 6) ......................................................... $13,219,000,000. 6. Tangible net worth (line 4 minus line 5) ...................... . ................. ~ ............................... ~ ........................ $ 2,719,000,000. 7. Is line 6 at least $10 million? .................................................................................................................. Yes. 8. Is line 6 at least 10 times line 3? ............................................................................................................. Yes 9. Have financial statements for the latest fiscal year been filed with the Securities and Exchange Commission? ........................................................... : .............................................................................. Yes ! 0. Have financial statements for the latest fiscal year been filed with the Energy Information Admin... N/A I I. Have financial statements for the latest fiscal year been filed with the Rural Electrician Aclmin ....... N/A 12. Has financial information been provided to Dun and Bradstreet and has Dun and Bracistreet provided " A financial strength rating Of a 4A or SA? (answer "yes" only if both criteria have been met) ................................................... . ............................. Yes I hereby certify that the wording of this letter is identical to the wording specified in 40 CRF part 280.95 (d) as such regulations were constituted on the date shown immediately below. Sincei'ely, Randall Stephenson Senior Vice President & Chief Financial Officer Date:' ~~ State of California ~ ' State of Water Resources Control Board Division of Clean Water Programs · P.O. Box 944212 Sac~)~ento, CA 94244=2120 ~ctio~ on ~ve~ side) CERTIFICATION OF FINANCIAL FOR ~ERGROU~ STOOGE T~ CONTA~ING PETROLEUM A. I ~ required to demon~te F~ci~ Re~o~ibili~ ~ ~e R~u~d ~0~m ~ ~ecifi~ ~ S~tion 2807, Chapter 18, Div. 3, Title 23, CCR: ~ 500,000 doll.s per occu~ence ~ 1 million doil~ ~nu~ aggregate or ~ or ~ l.million doll.s per occu~ence ~ 2 million doll~ ~ual ag~egate B. Pacific Bell ~embF ee~s that it is in ~mpliance with th~ mqui~monls o~ ~eetion ~807, (Name o~ Tank Owner or O~m~r) ARicle 3, Ghapt~r ~8, Division ~, ~tl~ 23, Galffomia Gode o~ R~oula~ons. The m~ehanisms used to d~monslmte ~nancial msponsibili~ as mquimd bF S~ation 2807 am as follows: SBC Environmental Management Not Appli~ble Chief Financial Pacific Region For State Renewed Officer Le~er PO Box 5095, Rm 3E000 Alternative $16,850,000 Annually Yes Yes (a~ached) San Ramon, CA 94583-0995 Mechanism Note: If you am using the State Fund as any par of your demonstration of financial msponsibili~, your execution and submission this cedification also cedifies that you am in compliance with all conditions for pa~icipation in the Fund.' D. Facili~ Name Facil~ Address Pacific Bell See AEached List Facility Name Facili~ Address Facility Name Facili~ Address E. ~nature of Tank~ ~ner or O~rator ~ 'Date Name and Title of Tank ~ner or Operator ~~~~ ~//~ Stan Brodecki, Senior Environmental Manager Signtum of.~tness or Nota~ Date Name of ~tness or Nota~ CFR (~ =vised ~/95) FILE: Origiual - ~¢al Ageacy Copies - Fa¢ili~ite(s) 2000 UST FINANCIAL RESPONSIBILITY KERN COUNTY Agency Location City i Site Contact Bakersfield Fire Dept 1918 "M" Street Bakersfield ~ Keenan Bakersfield Fire Dept 3501 Columbus Ave Bakersfield f Bill Keenan Bakersfield Fire Dept 13221 So. "H" Street Bakersfield Bill Keenan Bakersfield Fire Dept ~11609 Rosedale Hwy Bakersfield Bill Keenan Bakersfield Fire Dept I11101 VVhite Lane Bakersfield Bill Keenan Bakersfield Fire Dept 5650 Alddn Ct Bakersfield Cindy Maddgal Kern County Health Dept ,925 Jefferson St Delano Bill Keenan Kern County Health Dept 8313 E Segrue Road Lamont Bill Keenan Kern County Health Dept 1021 California St Oildale Bill Keenan CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 4~)~¢,{tf~ .~c{{ {IJo~'~t dr_h,4CU' INSPECTION DATE Section 2: Underground Storage Tanks Program ~ Routine ~ Combined ~oint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection Type of Tank ~5 Number of Tanks Type of Monitoring C~ Type of Piping ~ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) ~q'0 qa[ AGGREGATE CAPACITY Type of Tank BIJ.} Number of Tanks OPERATION Y N COMMENTS SPCC available [dr 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? L// C=Compliance V=Violation Y=Yes N=NO Inspector: _ Office of Environmental Services (805) 326-3979 B31siness Site Respons~l~e Party White - Env. Svcs. Pink - Business Copy TA~T Environment~ Systems General Contractors · CA Lic. #588098 April 22, 1999 RETURN RECEIPT REQUESTED Mr. Steve Underwood Bakersfield City Fire Department 1715 Chester Avenue Bakersfield, CA 93301 RE: Pacific Bell Sites & CLLC Codes: 5650 Aldrin Court, Bakersfield CLLC Code: BKFDCA53 Dear Mr. Underwood' Enclosed are the following forms for the above-referenced facilities. * U.S.T & A.S.T Monitor Certification Form Feel free to call if you have any questions. Very Truly Yours, TAIT ENVIRONMENTAL SYSTEMS CHERI L. BREWER Office Manager CLB Enclosure :\jds\pb1998\letters\kern\u~e~ood.sl CC: Nancy Clancy Bill Keenan (Post At Site) 701 North Parkcenter Drive · Santa Ana, California 92705 · (714) 560-8222 · (714) 560-8237 fax Regional Offices: San Diego · Concord · Sacramento - Phoenix · Tucson www. TAIT.com TAIT Environmental Systems General Contractors · CA Lic. #588098 U.S.T. & A.S.T. MONITOR CERTIFICATION FORM Testing Date: 4/6/99 Site Location: PACIFIC BELL Tank ID(s): 2051 & 2052 5650 ALDRIN COURT CLLC Code: BKFDCA53 BAKERSFIELD Geo Parcel: SA-703 County: KERN Site Contact: ROBERT LEWIS Site Contact Phone #: (209) 582-2175 Make & Model of Monitor System(s): VEEDER-ROOT TLS-350 Tank 1 Tank 2 Tank 3 Tank 4 Tank ID # 2051 2052 Type of Tank: (Single Wall or Double Wall) UST or AST DW/UST DW/UST Contents of Tank: DIESEL UNLEADED Capacity of Tank: 5,076 12,032 Type of Product Line: (Gravity, Suction, Pressure) SUCTION SUCTION Type of Piping: (Single Wall or Double Wall) DW DW INDICATE THE SENSORS TESTED BY PLACING A YES, NO, OR N/A & PASS OR FAIL IN CORRESPONDING BOX: Tank 1 Tank 2 Tank 3 Tank 4 ' Sensor Type Annular Space Sensor: PASS PASS Fill SUmp Sensor: PASS PASS Piping Sump Sensor: PASS PASS Piping Trench Sensor: N/A N/A Dispenser Containment Sensor: N/A N/A Problems System(s) FOR PRESSURE TYPE SYSTEMS ONLY: Tank 1 Tank2 Tank3 Tank4 Is Mechanical Line Leak Detector Present & Tested.~: Does the Turbine Shut-Down if System Detects a Leak~.: Does Positive Shut Down Occur if Monitor System is turned offS.: Is Tank Level Gauging System Present. Probe Type if Applicable. YES MAG Type of In-Tank Leak Detection Test Performed by Monitor: .20 GPH DAILY Does the Monitoring System have Audible & Visual Alarms~. YES Electronic Overfill/Level: 85% 89% Is the Monitoring System installed to prevent unauthorized tamperingS.: YES Is the Monitoring Devices operable as per manufacture's specificationse. YES Date: 4/6/99 Technician: DON S. THOMPSON Certified Tester's ID #: 92-335~, (Signature) · 701 NorthParkcenterDrive. SantaAna, California 92705 · (714) 560-8222 · (714) 560-8237 fax Regional Offices: San Diego- Concord- Sacramento- Phoenix · Tucson www. TAIT.com ~o~o~.~ ~.l ~,~ ~e~- PACiFiC ~r;~4 BELL 2600 Camino Ramon San Ramon, California 94583 ~ A Pacific Telesis Company APR 2 2 1999 ~/~~.~~ .City Of Bakersfield Ralph E. Huey Director Env. Svcs Fire Department 1715 Chester Ave., 3rd FI Bakersfield Ca 93301 RE: Financial Test of Self Insurance (Underground Tanks) The attached is a copy of our Chief Financial Officer Letter to demonstrate financial responsibility for Pacific Bell's Underground storage tanks. ..................................... Also attached is the annual_Stateof_CalifomiaWater_Resources Control ............ - ....... ?.---:~ Board'sC-e-.rt~:~i-c.~-~-dfT.Fi-~-~a-~R~-~)~sib~i~f~-r~-~a~;~i~t~[;~i~B~ sites that have underground tanks on the premises in your area of jurisdiction. Please call me on 925-823-6161 if you have questions regarding this correspondence. Nancy Clancy Pacific Bell Environmental Management attachments BELL V~ce Pres~Oenx an~ San Ramon. California ~. ' Chief Financial Officer i510) 867-280~ A Pacitic Teles~5 ComDan~ Fax ~5101867.9831 E-~a;: r~7271~msG pac~;~ ce~ ~. April 13, 1999 State Water Resources Control Board Division of Clean Water Pwgrams Underground Storage Tank Cleanup Fund 2014 T Street, Suite 130 Sacramento, CA 95814 Re: Financial Test of Self-Insurance (Underground Tanks) I am Vice President & Chief Financial Officer of Pacific Bell, 2600 Camino Ramon, Room 4CS 100, San .Ramon, California. This letter is in support of the use of the financial test of self-insurance to demonstrate financial responsibility for taking corrective action and/Or compensating third p .re?ties for bodily injury and property damage caused by sudden accidental releases and/or non-sudden accidental releases in 'the amount of at least two.million dollars annual aggregate arising from underground storage tanks. ~- .......... ...... ~,? ...... :Uffd~g~-~-d;-~o-~ge 't~~c--~-c--B~~e nssured ,by, this ~mcial-test'or-a'~mncial~'test under an authorized State Program by this owner or operator. A financial test is also used by this owner or operator to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or State programs authorized by EPA under 40 CFR Parts 271 and 145. EPA Regulations Amount Closure (§§ 264.143 and 265.143) ........................................................ $400,000. Post-Closure Care (§§ 264.145 and 265.145) ........................................ $100,000. Liability Coverage (§§ 264.147 and 265.147.) ....................................... $2,000,000. Corrective Action (§§ 264.101 (b)) ....................................................... $100,000. Plugging and Abandonment (§§ 144.63) ............. Z ................................ SN/A · Closure ................................................................................................... $7,400,000. Post-Closure Care .................... : ............................................................. $1,000,000. Liability Coverage ..................................................... '. .................. ~ ......... $2,000,000. Corrective Action ................................................................................ ~... $3,700,000. Plugging and Abandonment.. .................................................................. $150,000. · Total ....................................................................................................... $16,850,000 This owner or operator has not received an adverse opinion, disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. State Water Resources Control Board April 13, 1999 Page Two Alternative 1 (Source: Form 10K, December 31, 1998) 1. Amount of annual UST aggregate coverage being assured by a fmancial test, and/or guarantee ......... $2,000,000. 2. 'Amount of corrective action, closure and post-closure care costs, liability coverage, plugging and abandonment costs covered by a financial test, and/or guarantee ............. ~ ............................................ $16,850,000. 3. Sum of lines I and 2 ............................................................................................................................... $18,850,000. 4. Total tangible assets ............................................................................................................................... $15,093,000,000. 5. Total liabilities (if any of the amount r~ported on line 3 is included in total liabilities, you may need to Deduct that amount from this line and add that amount m line 6) ......................................................... $11,833,000,000. 6. Tangible net worth (line 4 minus line 5) ................................................................................................ $ 3~.60,000,000. 7..Is line 6 at least $10 million? .................... ~ ................... i ................................................... : ..................... Yes 8. Is line 6 at least 10 times line 3? ............. ~ ....................................................................................... ~ ....... Yes ................ 9 .... Have financial statements-for the.-latest~_year been-filedwith the.S~curities-and Exchange 10. Have financial statements for the latest fiscal year been filed with the Energy InfOrmation Admin ..... N/A 11. Have financial statements for the latest fiscal, y~ been filed with the Rural Electrician Admin ........... 12. Has financial information been provided to Dun and Bradstreet and has Dun and Bradstreet provided A financial strength rating ofa 4A or (answer "yes" only if both criteria have been met) ................................................................................ N/A* *For SBC Communications Inc. (holding company)...: ..................................................... ... Yes I hereby certify that thc wording of this letter is identical to thc wording specified in 40 CRF part 280.95 (d) as such regulations were constituted on the date shown immediately below. Robert B. Pickering Dated: rd-- 13 '9~1 kdaml~. ~ ~ (Im~ m m, mm) · I I II CERTIFICATION OF FINANCI~ RESPONSIBILITY , K. l-,-mm~mmmml~eemaamam, lr' ''1 : .... ikmqmimdm.-,qmdMdi/3iTl, Cll~ll, l:lm~.l. Tilk2~.(~ [~),~m.~.,--m {Z3' ?' ''~' ' '-- -~- r~h''~- I~~ ~--' ~-~m Chief Financial En~mnmWl Man~ N{ ~iW For ~r ~r PO ~x W RM, 3E~T ~ ~m~ ~~ " {mchN) S{n ~mon, ~ ~S M~ilm 116,{,{ Annually Y~ Yu CERTIFICATION OF FINANCIAL RESPONSIBHATY · Please type or print inform~ ~l~ady..All.DST. sites owned or. operated maybe listed on one.form, DO~ INFORMATION B. : NtmeofTtnkOwner Full mme of either th~ tnk owner ~r the operator or Ope~tor C. M~:a~ ~ lndic~e which ~emved ma:banam(s) ere bei~ mai m show rmnciai respcem'b'~ either ss contained in the federal rc-gulatiuns, 40 CFR Pan 280 Subpart H, Sanions 280.93 thmush 280.107, or S~ctiun 2808.1 Ciapm- la, Div.. Nnme of'Issuer List ail names and Mdreas of compan~ md/or individuals issuing coving. numb=, Le~er ofCredit numtm-, ~ ~.. If using th~ Stat~ Ckanup Fund, kave. blank. Coverage Amount Indica~ mount of~ for each iismt mcclmfism. If more than one mechanism is indime, d, total must e~lUai 100% offlnanciai r~xmsib~ for m:h site. Coverage Period ~ .Indicate the effective ~ _~(s) of ail m~:hanisms. State Cl~nup Fund covera~ is Corrective Action Indicate y~s or no. Does the sp~ifie, d financial ussuran~ m~',hanism Im~vid~ covuage for corr~niv~ ~'tion? It is s r~lui~d cowra~e. If using the · Cleanup Fund, indica~ 'yes.' Third Party Indicate yes or no. Do~s the sp~cifi~l financial ussuran~ me~:hanism provide Compensation coverage for corrective action? It is a r~quh, ed coverage. If using lhe State Cleanup Fund, indicate "Y~s." D. Fa¢ilily .Provide all facility and or site mm~s and ~ddres~s. Information ...... ' ' E. $ign. ature Block ' ' ' Provide signature and date signt~t by tank owner or operator;, printed dr typed name and title of tank owner or operator; signatm~ of wimess or notary and clam signed; and printed or typed name of wimess or notary. (If notary signs please ~ attach documentation.) Where to Mail certification; Please send original to your local agency(les) [agency(ica) that issues the UST p~'mits]. K~p a copy of thc certification at ~ · If you have questions about £manciai respomibility r~quircmenta or about the CeTtification of Fimnciai P.,~'pousibility form," please contact the State Water Resmu~s ContWl Board, Underground Storage Tank Cleanup Fund at (916) 227-41307. Note: Penalties for Failure to Com~lv with Financial Resm~nsibilltv Reo,_,irements: Failur~ to comply may result in: 1) jeopardizm' g claimant eligibility for the State Cleanup Fund, and 2) liability for civil penalties of up to $10,000 per day, per underground storage tank, for each day of violation as stated in Article ?,' Section 25299.76(a) of the California Health and ~ Co~. 1999 UST FINANCI: ,RESPONSIBILITY Kern Coun~ 1021 Ca~ St ~ld ~, Ha~ Kern Cou~ ~1 Col~b~ Bakemfield ~k~ Ha~ C~ of ~kers~ ~ H ~ :~.: Bakemfle~ D~k~ Ha~ Kern Coun~ ~ Jeff~n St D~ano D~k~ Ha~ Kern Cou~ ~13 E S~ Rd ~m~ ~kr Ha~ 12 February9,1999 F~RE CHIEF Pacific Bell RON FR~Z E 5650 Aldrin Court ADMINISTRATIVE SERVICES Bakersfield, CA 93313 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 3~6-~34~ RE: Compliance Inspection SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 'H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (~05) 30~34~ The city will start compliance inspections on all fueling stations - within the city limits. This inspection will include business plans, PREVENTION SERVICES underground storage tanks and monitoring systems, and hazardous 1715 Chester Ave. Bakersfield, CA 93301 materials inspection. VOICE (805) 326-3951 FAX '(805) 326-0576 To assist you in preparing for this inspection, this office is ENVIRONIaENTAL 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 FAX (805) 326-0576 be in compliance. TRAINING DIVISION 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 TAIT ENVIRONMENTAL SYSTEMS i · CA Lic. #588098 · AZ Lic. #095984 RETURN RECI~PT REQUESTED ' Mr. Steve Underwood BAKERSFIELD CITY FIRE DEPARTMENT 1715 Chester Avenue Bakersfield, CA 93301 RE: Pacific Bell 5650 Aldrin Couet, Bakeesf~ield CLLC Code: BKFbCA53 bear Mr. Underwood: Enclosed ore the following forms for the above-referenced facilities: * Pacific Bell Monitoring, Device Certification Documents Feel free to coil if you have any que~stions. very u!y Yours, TA~T ENV'IROI~IMENTAL SYSTEMS CHERI L. BREWER Prdject Coordinator Enclosure :\jds\pb1998\letters\agency\kern\underwood.s CC: Nancy Clancy Cindy Madrigal (Post At 5ire) Bob Lewis 1100 Town & Country Road · Suite 1200 · OraMge, CA92868 · (714) 560-8222 · (714) 560-8211 FAX Other Locations: San Diego, CA - Concord,! CA · Sacramento, CA · Phoenix, ~. · Tucson, AZ Established 1964 TAIT ENVIRONMENTAL SYSTEMS U.S.T. & A.S.T. MONITOR CERTIFICATION FORI~u~' ,~.~o98- AZUc. Testing Date: 5/14/98 Site Location: PACIFIC BELL Tank ID(s): 2051 & 2052' 5650 ALDRIN COURT CLLCCode: BKFDCA53 BAKERSFIELD Geo Parcel: SA-703 County: KERN 'Site Contact: BOB LEWIS Site Contact Phone #: {209) 485-7638 Make & Model of Monitor System(s): VEEDER-ROOT TLS-350 Tank 1 Tank 2 Tank 3 Tank' 4 Tank ID # 2051 2052 Type of Tank: (Single Wall or Double Wall) UST or AST DW/UST DW/UST Contents of Tank: DIESEL UNLEAD Capacity of Tank: 5,076 12,032 Type of Product Line: (Gravity; Suction, Pressure) SUCTION SUCTION Type of Piping: (Single Wall or Double Wall) DW DW INDICATE THE SENSORS TESTED BY PLACING A YES, NO, OR NIA & PASS OR FAIL IN CORRESPONDING BOX: Tank 1 Tank 2 Tank 3 Tank 4 Sensor Type Annular Space Sensor: YES PASS YES PASS Fill Sump Sensor: YES PASS YES PASS Piping Sump Sensor: YES PASS YES PASS Piping Trench Sensor: N/A N/A . Dispenser Containment Sensor: N/A N/A Problems System(s) FOR PRESSURE TYPE SYSTEMS ONLY: Tank 1 Tank 2 Tank 3 Tank 4 Is Mechanical Line Leak Detector Present & Tested?: Does the Turbine Shut-Down if System Detects a Leak?: Does Positive Shut Down Occur if Monitor System is turned off?.: Is Tank Level Gauging System Present. Probe Type if Applicable, MAG Type of In-Tank Leak Detection Test Performed by Monitor: .2 Does the Monitoring System have Audible & V~sual Alarms? YES Electronic Overfill/Level: YES 90% Is the Monitoring System installed to prevent unauthorized tampering?: YES Is the Monitoring Devices operable as per manufacture's specifications? YES Date: 5/14/98 Technician: PAT BANBURY Certified Tester's ID #: 564-37-0364 (Signature) ' 1100 Town & Country Road · Suite 1200 · Orange, CA 92868 · (714) 560-8222 · (~14) 560-'8211 FAX · Other ~ocations: San DiegO),' CA · Concord, CA · Sacramento, CA · Phoenix', AZ ~, Tucson, AZ ' :~ A Pacific Telesis Company ~' L.J. Uribe " Environmental Associate P. O. Box 601883 Sacramento, Ca 95860-1883' October 20,1997 ~. ~:~~--~~~ BakerSfield City Fire Department Hazardous Materials Division 1715 Chester Ave., Suite 300 Bakersfield, CA 93301 Attention: Ralph Huey, Hazardous Materials Coordinator Attached is Pacific Bell's Underground Tanks Reconciliation Disclosure for the period from July 1, 1997 through September 30, 1997. If you have any questions regarding the Tank Monitoring process or the attached reports, please call Donna Hoover on (916) 972-4379 or Veda Bautista on (916) 972-4377. Thank you. L. j.VUribe Environmental Assocaite (800) 757-6575 Attachments KERN COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS SECTION - - UNDERGROUND TANK PROGRAM INVENTORY RECONCILIATION REPORT 07/01/97 TO 09/30/97 TANK 2051 AGENCY TANK ID: ' CAD981630411 ADDRESS: 5650 ALDRIN COURT BAKERSFIELD TANK 2052 AGENCY TANK ID: CAD981 630411 ADDRESS: 5650 ALDRIN COURT BAKERSFIELD FOR THE REPORTING PERIOD OF 07/01/97 TO 09/30/97, I HEREBY CERTIFY THAT DAILY INVENTORY RECONCILIATION RECORDS HAVE SHOWN VALUES WITHIN ALLOWABLE ERROR LIMITS SET BY THE WATER RESOURCES CONTROL BOARD FOR THE ABOVE TANKS. I REALIZE THAT MISREPRESENTATIONS OF DATA ON THIS FORM MAY RESULT IN CIVIL PENALTIES OF UP TO $25,000 PER DAY PER VIOLATION PERSUANT TO SECTION 25819 OF THE CALIFORNIA HEALTH AND SAFETY CODE. NAME: Donna Hoover SIGNATURE: TITLE: Fleet Supervisor DATE: 10/20/97 Pacific Bell Fuel Unit 3707 Kings Way, Room B-18 Sacramento, California 95821 PROPRIETARY INFORMATION: Not for use or disclosure outside Pacific Bell except under written agreement Environmental Management P.O. Box 5095, Room 'IN200 San Ramoa California 94583-0995 April 25, 199'7 /'~ City of Bakersfield R 2'0 1997 Bakersfield City Fire Dept 1715 Chester Ave 3rd F1 Bakersfield, CA 93301 RE: Financial Test of Self Insurance (Underground Tanks) The attached is a copy of our Chief Financial Officer Letter to demonstrate financial responsibility for Pacific Bell's underground storage tanks. Also attached is the annual State of California Water Resources Control Board's Certification of Financial Responsibility form and a list of Pacific Bell sites that have underground storage tanks on the premises in your area of jurisdiction. Please call me on (415) 331-0924 if you have questions regarding this correspondence. Environmental Management a~tachment P~,A. Da~)e~ 2600 Car~ino Ran~on, Ro~r~ PA(~ I F I ¢ ~r~ I~ E L L Vice President San Ramon. California 94583 Chief Financial Officer (510) 823-8520 A Pacific Telesis Company and Controller April 3, 1997 State Water Resources Control Board Di,~ision of Clean Water Programs Unde. rground Storage Tank Cleanup Fund 2014 T Street, Suite 130 Sacramento, CA 95814 Re: Financial Test of Self-Insurance (Underground Tanks) I am the Chief Financial Officer of Pacific Bell, 2600 Camino Ramon, Room 4S001, San Ramon, California, 94583. This letter is in support of the use of the financial test of self-insurance to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or non-sudden accidental releases in the amount of at least two million dollars annual aggregate arising from underground storage tanks. Underground storage tanks at Pacific Bell facilities are assured by this financial test or a financial test under an authorized State Program by this owner or operator. A financial test is also used by this' owner or operator to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or State programs authorized by EPA under 40 CFR Parts 271 and 145. EPA Regulations Amount Closure (§8 264.143 and 265.143) ..................................................................................................... $400,000. Post-Closure Care (88 264.145 and 265.145) ...................................................................................... $100,000. Liability Coverage (§8 264.147 and 265.147) ........................................................... : ........................ $2,000,000. Corrective Action (88 264.101 (b)) .................................................................. ~ ................................ $100,000. Plugging and Abandonment (88144.63) ............................................................................................ N/A Closure ................................................................................................................................. -;.:.. ........ $7,400,000. Post-Closure care ............................................................................................................................... $1,000,000. Liability Coverage ............................................................................................................................. $2,000,000. Corrective Action ............................................................................................................................... - $3,700,000. Plugging and Abandonment ............................................................................................................... $150,000. Total .................................................................................................................................................. $16,850,000. This owner or operator has not received an adverse opinion, disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. Alternative I (Source: Form 10K, December 31, 1996) 1. Amount of annual UST aggregate coverage being assured by a financial test, and/or guarantee .... $2,000,000 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee .......................... '. ..................... $16,850,000. 3. Sum of lines 1 and 2 ................................................ ~ ..................................................................... $18,850,000. 4. Total tangible assets ....................................................................................................................... $14,649,000,000. 5. Total liabilities (if any of the amount reported on line 3 is included in total liabilities, you may need to deduct that amount from this line and add that amount to line 6) ........................................... $10,722,000,000. 6. Tangible net worth (line 4 minus line 5) ............................................... · .......................................... $3,927,000,000. 7. Is line 6 at least $10 million? ......................................................................................................... Yes 8. Is line 6 at least 10 times line 3? Yes 9. Have financial statements for the latest fiscal year been filed with the Securities and Exchange Commission? ...................................................................................................... ~ ............................. Yes 10. Have financial statements for the latest fiscal year been filed with the Energy Information Administration? ...................................................................... '. .......................................................... N/A' 11. Have financial statements for the latest fiscal year been filed with the Rural Electrician Administration? ................................................................................................................................. N/A 12. Has financial information been provided to Dun and Bradstreet and has Dun and Bradstreet provided a financial strength rating ofa 4A or 5A? (answer "yes" only if both criteria have been met) ............................................................................. Yes I hereby certify that the wording of this letter is identical to the wording specified in 40 CRY part 280.95 (d) as such regulations were constituted on the date shown immediately below. Sincerely, Peter A. Darbee Vice President, Chief Financial Officer, and Controller Pacific Bell Date: CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in the required amounts as specified in Section 2807, 'Chapter 18, Div. 3, Title 23, CCR: -- [~ 500,000 dollars per occurrence [---] 1 million dollars annual aggregate or AND or [ X ] 1 million dollars per occurrence ~ 2 million dollars annual aggregate B.' hereby certifies that it is in compliance with the requirements of Section 2807, · (Nva~ o£Ta~z~O~=er orOperator) ' Article 3, Chapter 18, Division 3, 77tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as fo/lows: Chief Financial Pacific Bell': Not Applicable For $16, 850,000 Renewed Yes Yes Officer Letter Environmental Mgmt State Alternative (Attached) PO Box 5095, RlUl 1NZ00 .'. Mechanism Annually · San Ramen, CA 949583-0995 Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance with all conditions for participation in the Fund. D. Fa~lityName , Facility AdcLress Pacific Bell· See Attached List Facility Name Facility ~tdress FaciliD. Name Fa~lity A~tdress Faeili ty Name Fa~d ty ,~dr ess FaciU~y Name Fadlity Afldre~s Signature of Tank Owner or.O~ramr Nancy Clancy/Environmental Advisor Signature of Wita~,s or Notary / Date -- Name of~/~titness or No~u-y ~ CF..,,v..~,, /r FTi..E; Ori.~inal - Copies - FacilitT/Si~.(s) Mar~2% 16:02 1997 tank-addr-cllc-geopar-county-gal-product-Uevice Page l 314 832 L STREET FTUNCR11 HUMBOLDT 1000 DIESEL1 ~m~? FORTUNE, CA . 315 5.5 MI N/E GARSERVILLE GRVLCRIB TE020 HUMBOLDT 2000 DIESEL1 (250I) 300 GARBERVILLE, CA 317 4 MILES S/O SCOTIA SCOTCAIA TE033 HUMBOLDT 2000 DIESEL1 (250I) SCOTIA, CA 320 301 E STREET BRWLCR11 DR103 IMPERIAL 1SO0 DIESEL1 (250) TRUS BRAWLEY, CA 592 1029 2ND STREET ELCNCASO DR619 IMPERIAL 8000 UNLEROEO (350) REPL EL CENTRO, CA 593 1029 2ND STREET ELCNCASO DR618 IMPERIAL 8000 DIESEL2 (350) REPL EL CENTRO, CR 1540 ?63 STATE ST ELCNCA01 DA122 IHPERIAL 4013 DIESEL1 (350)RPLCD EL CENTRO, CA 3~3 3221 S. H STREET BKFDCA14 SA098 KERN 5000 DIESEL1 (250I) BAKERSFIELD, CA 334 3501 COLUMBUS ~ AUBURN BKFOCA13 SAl14 KERN 1000 DIESEL1 (~50I) ~00 BRKERSFIELD, CR Mar 2? 16:02 1997 tank-addr-cllc-geopar-county-gal-product-device Pa9e 8 >990 11101 WHITE LANE BKFDCA19 SR532 KERN 1000 DIESEL1 (2501) TRW BAKERSFIELD, CA ~113~ 1918 M STREET BKFOCA12 SRO04 KERN 20149 DIESEL1 (JSO)RPLCD BAKERSFIELD, CR SGSO ALDRIN CT BKFDCRS3 SA?03 KERN 5076 DIESEL2 (350)RPLCG BRKERSFIELD, CR :2052 5650 RLDRIN CT BKFDCR53 SR?03 KERN 12032 UNLEADED (350)RPLCG. BAKERSFIELD, CA 337 925 JEFFERSON ST DELNCR11 SA149 KERN 1000 DIESEL1 (250I) JO0 DELRNO, CR 1057 8313 E. SEGRUE RORO LRMTCRll SAOIO KERN 1000 OIESEL1 (250I)REPL LAMONT, CA 1035 1021 CALIFORNIR ST OLDLCRll SRO13 KERN 2000 DIESEL2 (250I+) RE OILDALE, CA 335 11609 ROSEDALE HIGHWAY 8KFDCAi? $R224 KERN 1000 DIESEL1 (250I) JO0 ROSEDALE, CA 204 11091 AVENUE 10 1/2 HNFRCASO SDRO0 KINGS 10000 UNLEADED (250) HANFORD, CA Environrnen~ai Manegem-::: /?P,A ~' ~'~--' ~.~ PO. Bo× ~0~. ~,oo~ ~r,~:.':.,:. /- ¢IFi(: BE San Rarnon, Caiiiornia ~c~':_:Z-0995 /' A Pacific Tetesis Com~an.,~,-~ City of Bakersfield , ..4~ ~ ~ Bakersfield City Fire Dept 1715 Chester Ave 3rd F1 Bakersfield, CA 93301 RE: Financial Test of Self Insurance (Underground Tanks) The attached is a copy Of our Chief Financial Officer Letter to demonstrate financial responsibility for Pacific Bell's underground storage tanks. Also attached is the annual State of California Water Resources Control Board's Certification of Financial Responsibility form and a list of Pacific Bell sites that have underground storage tanks on the premises in your area of jurisdiction. Please call me on (415) 331-0924 if you have questions regarding this correspondence. Environmental Management attachment P. A. Oarbee 2600 Camino Ramon PACIFIC'~:e''l~,,~,~ BELL Vice ~reside~t San Ramon, California 945~ Chief Fihancial Officer(5~0) 823-8520 A Pacific Telesis Company and Controller April 3, 1997 State Water Resources Control Board Division of Clean Water Programs Underground Storage Tank Cleanup Fund 2014 T Street, Suite 130 Sacramento, CA 95814 Re: Financial Test of Self-Insurance (Underground Tanks) I am the Chief Financial Officer of Pacific Bell, 2600 Camino Ramon, Room 4S001, San Ramon, California, 94583. This letter is in support of the use of the financial test of self-insurance to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or non-sudden accidental releases in the amount of at least two million dollars annual aggregate arising from underground storage tanks. Underground storage tanks at Pacific Bell facilities are assured by this financial test or a financial test under an authorized State Program by this owner or operator. A financial test is also used by this' owner or operator to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or State programs authorized by EPA under 40 CFR Parts 271 and 145. EPA Regulations Amount Closure (§8 264.143 and 265.143) ..................................................................................................... $400,000. Post-Closure Care (88 264.145 and 265.145) ...................................................................................... $100,000. Liability Coverage (8§ 264.147 and 265.147) .................................................................................... $2,000,000. Corrective Action (8§ 264.101 (b)) ................................................................................................... $100,000. Plugging and Abandonment (88144.63) ............................................................................................ N/A Closure .................................................................................... : ............................................ '; ............$7,400,000. Post-Closure care ............................................................................................................................... $1,000,000. Liability Coverage ............................................................................................................................. $2,000,000. Corrective Action ............................................................................................................................... $3,700,000. Plugging and Abandonment ........................................................... . ................................................... $150,000. Total .................................................................................................................................................. $16,850,000. This owner or operator has not received an adverse opinion, disclaimer of opinion, or a "going ~oncern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. Alternative I (Source: Form 10K, December 3 l, 1996) 1. Amount of annual UST aggregate coverage being assured by a financial test, an.d/or guarantee,.; $2,000,000 ' 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment'costs covered by a financial test, and/or guarantee.. .......... : .................................... $16,850,000. 3. Sum of lines 1 and 2 ................................................ : ..................................................................... $18,850,000. 4. Total tangible assets ....................................................................................................................... $14,649,000,000. 5. Total liabilities (if any of the amount reported on line 3 is included in total liabilities, you may need to deduct that amount from this line and add that amount to line 6) ........................................... $10,722,000,000. 6. Tangible net worth (line 4 minus line 5) ............................................. ~ ........................................... $3,927,000,000. 7. Is line 6 at least $10 million? ............................................................................ ~ ............................ Yes 8. Is line 6 at least 10 times line 3? Yes 9. Have financial statements for the latest fiscal year been filed with the Securities and Exchange Commission? .................................................................................................................................... Yes 10. Have financial statements for the latest fiscal year been filed with the Energy Information Administration? ................................................................................................................................. N/A 1 I. Have financial statements for the latest fiscal year been filed with the Rural Electrician Administration? ................................................................................................................................. N/A 12. Has financial information been provided to Dun and Bradstreet and has Dun and Bradstreet provided a financial strength rating ora 4A or 5A? (answer "yes" only if both criteria have been met) ............................................................. ~ ............... Yes I hereby certify that the wording of this letter is identical to the wording specified in 40 CRF part 280.95 (d) as such regulations were constituted on the date shown immediately below. Sincerely, Peter A. Darbee Vice President, Chief Financial Officer, and Controller Pacific Bell Date: '- State Water Resources Control Board CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PE3~OLEUM A. I am required to demonstrate Financial Responsibility in the required amounts as specified in Section 2807, Chapter 18, Div. 3, Title 23, CCR: - ~ $00,000 dollars per occurrence ~'~ 1 million dollars annual assregate : or ~ND or I X } l million dollars p~r occurrence ~'~ 2 million dollars annual assregate B. hereby certifies that it is in compliance with the requirements of Section 2807, Ovate ot Ta~ O~=~r o~ Operator) Article 3, Chapter 18, Division 3, 77tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: Chief Financial Pacific Bell. Not Applicable For 516, 850,000 Renewed Yes Yes Officer Letter Environmental blgmt State Alternative (Attached) PO Box 5095, RM 1NZ00 Mechanism Annually San Ramon, CA 949583-0995 Note:If you are using the State Fund as any part of your demonstration of financial responsibility, four execution and submission of this certification a/so certifies that you are in compliance w/th all conditions for participation in the Fund. iD. Fa~ihy Name Pacific Bell See Attached List Fa~i t~ Name Fa~lit7 .address I Fa~ili ~.' Name Facili t7 Address Facility Name Fadliv/,~ddress Fadli t7 Name Faciii t7 .a. dd r es~ Ma~,2~ 16:02 1997 tank-aU~r-cllc~geopar'county-gal-proouct-oevice Page 7 314 832 L STREET FTUNCAll HUMBOLDT 1000 DIESEL1 FORTUNA, CR 31~ 5.5 MI N/E GARBERVILLE GRVLCA18 TE020 HUMBOLDT 2000 DIESELI (250I) JO0 GARBERVILLE, CR 317 4 MILES S/O SCOTIA SCOTCA1A TKO33 HUMBOLDT 2000 DIESEL1 (250I) SCOTIR, CR 320 301 E STREET BR~L'CAll DRI03 IMPERIAL 1500 DIESEL1 i2SO) TRUS BRAWLEY, CA · 592 1029 2NO STREET ELCNCRSO DA618 IMPERIAL 8000 UNLERDED (350) REPL EL CENTRO, CR 593 1029 2ND STREET ELCNCRSO 0R618 IMPERIRL 8000 DIESEL2 (350) REPL EL CENTRO, CA 1540 763' STATE ST* ELCNCA01 DA122 I~PERIAL 4013 DIESEL1 (350)RPLCB EL CENTRO, CA 333 3221 S. H STREET BKFDCA14 SAO98 KERN 5000 DIESEL1 (250I) $00 ~' C~" .~-{~'-~'f-~','"rC. L! BAKERSFIELD, CR 334 3501 COLUHBUS e AUBURN BKFDCR13 SRl14 KERN 1000 DIESELt (250I) :00 BAKERSFIELD, CA 'Mar 27 16:02 1997 tank-addr-cllc-geopar-count¥-ga/-product-device Page 8 990 i1101 [JHITE LANE BKFDCA19 SA532 KERN 1000 DIESEL1 (250I) TRU BAKERSFIELD, CA 1139 1918 M STREET BKFOCA12 SRO04 KERN 20149 DIESEL1 (350)RPLCO BAKERSFIELD, CA 205~1'' 5650 ALo~iN CT BKFOCR53 sA?03 KERN 50?$ DIESEL2 i350)EPLC BAKERSFIELD, CR 2052 5650 flLDRIN CT BKFDCR53 SR703 KERN 12032 UNLEADED (350)RPLCG .... BAKERSFIELD, CR 33? 925 3EFFERSON ST DELNCRll SA149 KERN 1000 DIESEL1 (250I) JO0 DELRNO, CA 1~57 8313 E. SEGRUE RORD LRRTCRll SRO10 KERN 1000 DIESEL1 (250I)REPL LA~ONT, CA 1035 1021 CALIFORNIA ST OLDLCAll SRO13 KEEN 2000 DIESEL2 (250I+) RE OILDALE, CA 335 11609 ROSEDALE HIGH~AY 8KFDCRI? SA224 KERN I000 DIESEL1 (250I) JO0 ROSEDALE, CA 204 11091 AVENUE 10 1/2 HNFRCA50 $ORO0 KINGS 10000 UNLEADED (250) HANFORO, CA TAIT ENVIRONMENTAL SYSTEMS CA Lic. #588098 ' AZ Lic. #095984 MONITOR CERTIFICATION. & SITE SURVEY FORM ' Testing Date: 419197 Testing Time: Site Loc FIC BELL ~Tank ID #: 2051,2052 . ( 5650 ALDRIN COUR~J /~LLC Code: BKFDCA2F ~.....~BA~ ~ ? Gao Parcel: SA-703 County: KERN Site Contact: RON STANLEY Agency Required To Be On-Site? Yes [~] No {~ Agency Requiring Certification: BAKERSFIELD FIRE DEPARTMENT Agency Contact: RALPH HUEY Agency Phone No: (805! 326-3979 Agency Inspector: NIA Signature: NIA Special Forms Required: Yes [--] No [~ Testing Permit Required: Yes [--I No [] Permit Or Inspection Fee: Yes [--] No [~ Tank Testing Needed: Yes [] No [~ Line Testing Needed: Yes [~] No []. Leak Detector Test Needed: Yes [--I No [~ 1100 Town & Country Road · Suite 1200 · Orange, CA92868 · (714) 560-8222 · (714) 560~8211 FAX Other Locations: San Diego, CA · Concord, CA · Sacramento, CA · Phoenix, AZ . Tucson, AZ Established 1964 CLCC Code: BKFDCA2F TANK AND LINE INFORMATION Tank I Tank 2 Tank 3 Tank ID #: 2051 2052 Product: DIESEL UNLEADED Tank Material: STEEL STEEL Capacity: 4,315 11,627 Diameter: 95.75 95.75 Tank Type: Single Wall [--I Single Wall ['-I Single Wall ~ Double Wall ~] Double Wall ~] Double Wall [~] Above Ground Tank: Yes ~-~ No ~] Yes [~ No [~ Yes [] No Product Line Type: Single Wall [--I Single Wall ~ Single Wall Double Wall [~ DoubleWall [~ DoubleWall [--] Line Material: FIBERGLASS FIBERGLASS Pump Type: Pressure [] Pressure [~ Pressure Suction ~] Suction [] Suction r-] Line Leak Detector' Yes ~ No [~ Yes I--] No [~ Yes [] No r-] Leak Detector Type: 2 CLCC Code: BKFDCA2F MONITOR SYSTEM INFORMATION System #'~: Manufacturer: VEEDER-ROOT Model:. TLs-350 Serial Number: 60137037305001 System # 2: Manufacturer: Model: Serial Number: Tank 1 Tank 2 Tank 3 Automatic Tank Gauge' Yes [~ No ~-~ Yes [] No [] Yes J--] No ~-J Type: CAP [-~ MAG ~] CAP [-~ MAG [] CAP ~-~ MAG ~ Fuel Level: 2694 Gallons 8834 Gallons Gallons 50.19 Inches (Ton) 65.92 Inches (Ton) Inches (Ton) 50.5 Inches (stick) 66.0 Inches (stick) Inches (stick) Water in Tank: Yes [] No [] Yes [~ No [~ Yes ~-~ No ~ 0 Inches (Ton) 0 Inches (Ton) Inches (Ton) 0 Inches (stick) 0 Inches (stick) Inches (stick) ATG Test: Pass ~:~ Fail [~] Pass [~ Fail [~] Pass [] Fail [] Annular Sensor: Yes [~ No ~--~ Yes [~ No [] Yes [~] No [~ Annular Sensor Testing: Pass ~;~ Fail [~ Pass [~ Fail ~ Pass ~ Fail [-~ 3 CLCC Code: BKFDCA2F Annular Space: Dry [] Wet I"-1 Dry [~ Wet I'-] Dry I-~ Wet Piping Sump Sensor: Yes [~ No {--] Yes [] . No [-[ Yes r-'[ No [] Piping Sump Sensor Testing: Pass ~ Fail [~ Pass [~ Fail [] Pass [--I Fail r-1 Fill Sump Sensor: Yes {~ No {--1 Yes ~] No {--1 Yes [--1 No [] Fill Sump Sensor Testing: Pass ~] Fail [--1 Pass ~;~ Fail r-1 Pass ['-1 Fail Other Sensors: NONE NONE Water Present (In Sumps): Yes ~ No ~ Yes ~-~ No[~ Yes r-1 Noir' Where Present: Sump Pump-out: Yes r--] No ~ Waste Water Left on Site: Yes [--J No [~ Sump Conditions: DRY 4 TAIT ENVIRONMENTAL SYSTEMS CA Lic. #588098 o AZ Lic. #095984 OVERALL MONITOR SYSTEM PERFORMANCE CLCC Code: BKFDCA2F Remote Electronic Overfill Alarm Present? Yes I--] No Audible and Visual Alarms Function for the Remote Overfill Alarm? Yes ['-I No Do all Alarms include both Audible and Visual Alarms? Yes [~ No [] The Monitor System is Certified Per the Manufacturers Performance Standards? Yes Certified By: BRANDON HAM Date: 419197 Print ~"~OJ~:~~ ~ License Number: 569-39-3435 Signature' 5 :\jds\pacbell~pb1997~montcert\bkfdca2f.krn 1100 Town & Country Road · Suite 1200 · Orange, CA92868 · (714) 560-8222 · (714) 560-8211 FAX Other Locations: San Diego, CA · Concord, CA · Sacramento, CA · Phoenix, AZ · Tucson, AZ - .~ Established i964 ' ' * K E R S F I E L D FIRE DEPARTMENT January 6, 1997 REE CHIEF MICHAELR. KELLY Irene Soto Pacific Bell ~MI.~m,~.VESE,V,:. 2600 Camino Ramon 1 N-200 2101 'H" Street Bake~field. CA 93301 San Ramon, CA 94583 (805) 326-3941 FAX (805) 395-1349 CLOSURE OF 2 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE su.P.ESS~ONSE.~c~s TANKS LOCATED AT 5650 ALDRIN COURT IN BAKERSFIELD. 2101 'H" Street Bakersfield, CA 93301 P E RM IT #B R-0148. (805) 326-3941 FAX (805) 395.-1349 Dear Ms. Sore: PEEVENTION SERVICES 1715 Chester Ave. Bakersfield, CA93301 This is to inform you that this department'has reviewed the results for (805) 32b-3951 the preliminary assessment assoCiated with the closure of the tanks located FAX (805) 326-0576 ' at the above stated address. ENVIIK)NMENTAL SERVICES ~715 Chester^ve. Based upon laboratory data submitted, this office is satisfied with the Bakersfield, CA 93301 , (805) 32~-3979 assessment performed and requires no further action at this time. FAX (8O5) 326-O576 ~,.,.G O~VlS,O. If you have any questions regarding this matter, please contact me at 5542 Victor Street (805)326-3979. Bakersfield, CA 93308 (805) 3gq-ab97 FAX (805) 399-5763 Sincerelv,_ Howard H. Wines, III Hazardous Materials Technician HHW/dlm ~ cc: Kathy Gill, RWQCB Richard Johnson, Pacific Bell Walter Gage, IT Corp. Regional Office INTERNATIONAL 2055 Junction Avenue TECHNOLOGY San Jose, California 95131-2105 CORPORATION 408-894-1200 Fax: 408-894-0701 December 20, 1996 IT Project No. 765901 8~~~_______.~ ~--,'/ Mr. Howard H. Wines Bakersfield Fire Department 1715 Chester Street Bakersfield, CA 93301 Subject: Tank Removal Final Report Pacific Bell Facility 5650 Aldrin Court Bakersfield, California Dear Mr. Wines: On behalf of Pacific Bell, IT Corporation is pleased to transmit this final report on underground stOrage tank replacement activities at the above referenced site. If you have any questions, please call me at (408) 894-1200. Sincerely, IT CORPORATION Walter Gage Project Geologist cc: Nancy Clancy, Pacific Bell Richard Johnson, Pacific Bell / AUG-2?-1996 12:42 FROM SACTO FLEET ADMIN CENTER TI] 180532605?6 P.01 /'1302OO ~ 27, 1~ 1:49 PN PACIFIC 8~Ll BKFD S~ ~KERS,FZ,ELD CA 9S~ L~ZD A~R~ H~STORY REPORT SENSOR LOCATI~ 1 ~ESEL AN~R ~AY ~ ~ ~0:~ ~ FUEL A~ ~ ~, 1~ ~:i6 ~M ;UEL k~ ~ DIESEL FILL SUHP _ ~Y 30~ 1~6 1:41 P~ LI~ID ~ARNIflG NAY 30, ~6 10:05 AM HIGH LL~ZD A~RR~ ~AY 29~ ~& 1~:19 aN H2GH LZ~ZD A~RM~ ~Y 30, 1~ 10:~ ~ HI~ LIQUID A~RM~ / H&Y ~ 1996 10:07 ~ FUEL A~RN S ~L~Eg F~LL S~P . - 6 UNLE~ED PIPE SUSP ~Y 31~ 1~6 12:50 PM LI~ID ~Y 30, 1~6 10:~ AM HI~ LI~ID ~Y 29, 1~ 11:~ AM ~IGH LZ~ID ON~YZ I~1 ~ ~ 27, 1~ 1:&9 P~ PAC~F[C BELL BKFD 53 ~0 ALDRZN ~RSF~ELD CA 9~ s~R ~OCATZO~ sTA~S 1 DIESEL ~NU~R SE~R ~AL 2 D~ESEL FI~ S~P SEN~R' ~. DIESEL PIPE SUHP SENSOR NORHAL ~ ~LEADED A~R SE~R ~RMAL ~ ~LEADED F~LL SUNP SENSOR ~AL 6 ~L~D ~ZPE SUmP SEgSOR AN ESOP COMPANY li~!' ROBERT-H. LEE & AssOCIATES, INC. ARCHITECTURE ENGINEERING ENVmONMENTAL SERVICES 1137 Nogm McDO~LL BL~., PETrOl, CA 94954-1110 M~mo ADD~: P.O. BOX 75~08 PET~U~, CA PHONE 707-765-16~ FAX 707-765-9~8 VO[C~ M~ 707-765-23~ joHN W. JOHNSON Architect BRIAN F. ZITA Architect JOHN B. HICKS Architect Vice President Architect Bakersfield Fire Department ....... Vice President Ralph Huey JA~S .. any 2130 G Street Civil Engineer Bakersfield, CA 93301 BRUCE J. GREENFIELD Architect RE: UNDERGROUND STORAGE TANK WRITTEN MONITORING PLANS Associate HOWARD G. KIMURA Associate Dear Ralph HOey: ArchitectGARY M. SEMLING Enclosed are the Underground Storage Tank Monitoring Plan(s) and related documents for the A,sociate Pacific Bell facilities as listed on the attached sheet. BLITHE R. WILSON Architect If there are any further correspondences related to these submissions, please direct them to: Pacific Bell Nancy Clancy 2600 Camino Ramon, Room 1N200 San Ramon, CA 94583 Sincerely, ROBERT H. LEE & ASSOCIATES, INC. Project Manager '-~ cc:Nancy Clancy-Pacific Bell File ,/ MARIETTA, GA SACe. AS~TO, CA B~LL£VV~, WA LA HAa~.A, CA