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HomeMy WebLinkAboutUNDERGROUND TANK FILE #2 (3) Hazardous Materials/Hazardous WaSte Unified Permit. 'CONDITIONS OF PERMIT ON REVERSE SIDE This _°ermit is issued for the followin_a: -~/~~r~ [] Hazardous Materials Plan ~ ~.,!~~~,.~.~,~ n Ur~rground Stomg~ of H~.~rdous Matert~ls Permit ID #:: 015-000-001297 ~ !~.~. ~ ~ ~'~,~'~:,~."':..'...'~_~_~_~_~_~_~. , [] Risk Management Program . · :. ! ~,~.....~,~,~. .~ · ~r ,,~:/!'~, .. '., ' ,,~,~,,, ~?~':~"..... ~,~,...~.?*.~ ~ ~'~'%'"~.'T~, [] HazardousWasteOn-SiteTreatment CIRCLE K STORES INC ,':"..."'- ' ..,."'~",' .... ?-¥ "",:,."~,, ~OOUO,~ ~ .~,~ ..... "., ', ............. ~ ,.,.:¥..." .~,~.': ~"~ .... . . ~, ~; :,¢. ~. ';~ ... , ~-.".'_, ..~.. ,f..:~ ..~ ~... ...... /......,~ ;, ~,¥"'., ..... LOCATION: 5600 AUBURN ST 2 /' `'~) ~ '~' ~'~' ...... ,.: t ~};f ,. ,..,,~., ~ ,-..-..~-..~ .%~ · ,' ,~ .'' ~ ....... -.'-j: .", "-,c,. , ~' ~.-,~ .'- /,', :-:~, i~AKERSI~IELD '" CA' · i~. ~' ~,..~.~ ,~i ? "-. ~ ~.~ ~ '. ". TANK HAZARDOU~S."S~B~r~N(:E -',~,,, CAP~C~}~ D SPEU~ ,ER~I~;g;~IS~ONITORING 01015'000'001297'00015-000-001297-0002 ~E~D PLuS?GASOlINE ~?'-~-..:~ ':?~ ~AT,,MECH. SHuTS~OEE'~SH'~AR VAL. G E UNLADED GASOLINE~'._~ ~'~::::~?:t~00: FLO'~T 'M~H.,SHUTS O~ ~HfiAR VAL. .~ ,;.~ · : . . . ;, ,~ ..... ,~ ~.::.~ ...,: ~ . .. ,~ ..-d:.x ' /'.'..¢/ .~ ~, ~ - %,' '~. ~ " ,.~'~., .., .............. ~.~.' ~ ~ ~ ~ ;,.,~';.,'.:, '... ,..'~~-- iSSued by: Bakerdield Fire Depa~ment  1715 Chester Ave., 3rd Floor* Approv~by: Bakersfield, CA 93301 , OmceofEv~~ic~' Voice (661) 326-3979 F~ (661) 326-0576 Expiation Date: II ' Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ~ ......... This permit is issued for the following: : .~¢¢?i' ?i¢';'¢~"~:~'*:::iiiiiiiiL ~;i!~ ~;i?~}~i~i:iU~e=round Storage of H~rdous Mateflals ' ~ ' ~ ~" CIRCLE K STO~S ~G,,gS~OS, LOCA~ON 5600 ~~ ~--.-..""4 ~.,, ~' ~.. ~' .~ ':: .~, ,~.,......:,,. CO2 Unlead~ Gmoline 10,000 '%:.::....6~ i,':'"' -' ........ '0003 Premium Unl~dM G~oline 10,000 '~I:;"~: '~;:',}.5~'8 -,~:,_:~ ~ ~ ~,, ,~ {, ~.~¢. ATG D~ P~SS~ ~D .......... <..,....~ ...........  B~emfield Fke D~ment' Approv~ by: O~CE OF E~ O~AL S~ ~CES ' 1715 Chewer Ave., 3rd Floor B~e~fiel& CA 93301 Voice (805) 52~5979 F~ (805)3264576 ExpimtionDate: dUn~ $0~ ~000 90~6 t:!uJoJ!It:~ 'plaHSJa~ie8 ~ ~S uJnqnv 009~ /.6~I00-I~0-SI0# l!mJad ~098# DNI S3HO~LS N W-IDHID :ol 866I 'J~qmoAONJO ,(gp pu~ S[.ql UO p0nss! S! l!unod s!qi, March 10, 2004 Teri Nicholson Circle K Stores #8605 5600 Auburn Bakersfield, CA 93306 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE F~R~ CHIEF RE: Failure to Perform/Submit Annual Maintenance on Leak Detection at the Above ~c:~ ~:z~ Stated Address. ADMINISTRATIVE SERVICES 2101 "H" Street Dear Business Owner; Bakersfield, CA 93301 VOICE (661)326-3941 FAX (661) 395-1349 Our records indicate that your annual maintenance certification on your leak detection system will be past due on 02-19-04. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 You are currently in violation of Section 2641(J) of the California Code of Regulations.. FAX (661) 395-1349 "Equipment and devices used to monitor underground storage tanks shall be installed. PREVENTION SERVICES sam. SERV,CES.E.V,.O..E..A, SE.V,CES calibrated, operated and maintained in accordance with manufacturer's instructions, 1715 ChesterAve. including routine maintenance and service checks at least once per calendar year for Bakersfield, CA 93301 VOICE (661) 326-3979 operability and running condition." FAX (661) 326-0576 You are hereby notified that you have thirty (30) days, April 10, 2003 to either perform or PUBLIC EDUCATION 1715 ChesterAve. submit your annual certification to this office. Failure to comply will result in revocation of Bakersfield. CA 93301 your permit to operate your underground storage system. VOICE (661) 326-3696 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at 661-326-3190. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 ~lncerely, VOICE (661) 326-3961 FAX (661) 326-0576 Ralph Huey TRAINING DIVISION Director of Prevention Services 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 By~ FAX (661) 399-5763 Steve. Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db ~ ~::~.,,~ UN D PROGRAM CONSOLIDATED F TANKS UNDERGROUND STORAGE TANKS - FACILITY (one page per site) Page __ of __ TYPE OF ACTION [--]1. NEW SITE PERMIT [~3. RENEWAL PERMIT ~]5. CHANGE OF INFORMATION (Specify change - r'"~7. PERMANENTLY CLOSED SITE (Check one item only) El4. AMENDED PERMIT local use only). El8. TANK REMOVED 400 E]6. TEMPORARY SITE CLOSURE · ' "' ! ' "' ~' I. FACILITY / SITE'INFORMATION ~' ' ' BUSINESS SITE ADDRESS 401 FACILITY OWNER WPE ~ 4. LOCAL AGENCY/DISTRICT' 5600 AUBURN ST ~ 21._ CORPO~TION ~ 5. COUN~AGENCY* INDIVIDUAL ~ 6. STATE AGENCY* BUSINESS ~PE ~ 1. GAS STATION ~ 3. FARM ~ 5. COMMERCIAL ~ 3. PARTNERSH{P ~ ~ 7. FEDE~L AGENCY' 402 ~2. DISTRIBUTOR ~ 4. PROCESSOR ~ 6. OTHER I 403 TOTAL NUMBER OF TANKS Is facility on Indian Rese~ation or *If owner of UST is a public agency: name of supe~isor of REMAINING AT SITE trustlands? division, section or o~ce which operates the UST. (This is the contact person for the tank records.) 3 ,o. ~ Ye. ~ ~o.05 ,0~ ',' ~;: ' ' ' II. PROPER~ oWNER INFORMATION' PROPER~ OWNER NAME 407 ~ PHONE 408 RUPERT, JAMES E. ~ (510) 245-5219 MAILING OR STREET ADDRESS 409 13104 SAN JUAN AVE CI~ 410 ~ STATE 411 ~ ZIPCODE 412 BAKERSFIELD ~ CA ~93312 PROPER~ OWNER~PE ~ 2. INDIVIDUAL ~ 4, LOCAL AGENCY/DISTRICT ~ 6/ STATE AGENCY 413 ~ 1. CORPO~TION ~ 3. PARTNERSHIP ~ 5. COUN~AGENCY ~ 7. FEDE~LAGENCY ..... '~; ;~ '~ ' ' III. ~KOWNER INFORMATION 'L . TANK OWNER NAME 4t4 ~PHONE 415 Circle K Stores Inc. ~(909) 270-5193 MAILING OR STREET ADDRESS 416 495 East Rincon Ste 150 CITY 417 ~ STATE 418 ~ ZIP CODE 419 Corona ~ CA ~9287g TANK OWNER ~PE ~ 2, INDIVIDUAL ~ 4. LOCALAGENCY/DISTRICT ~ 6. STATE AGENCY 420 ~ 1. CORPO~TION ~ 3~ PARTNERSHIP ~ 5. COUN~AGENCY .-~ 7. FEDE~LAGENCY ~ ~K) HQ 4' 2 INDICATE METHOD(S), ~ 1. SELF-INSUREO ' ' ~ 4, SURE~ .............. BOND ' :--~ ~. ~A+~rFd~ .... "~ 10:' LOCAL GOV=T MECHANISM ~ 2, GUA~NTEE ~ 5. L~ER OF CREDIT ~ 8. STATE FUND & CFO LE~ER ~ 99. OTHER: ~ 3. INSU~NCE ~ 6. ~EMPTION ~ 9. STATE FUND & CD 422 : V~_ LEGAL NoT~FIc~T~OH A~O M~JLI~G ADDR~ - ' Check One box to indi~te ~ich address should be used for legal notifi~tions and ~iling. ~ 1. 'FACIEI~ ~ 2. PROPER~ 0WNER ' ~ 3. TANK owNER 423 Legal n0tifi~tions and ~ilings ~11 be sent to the tank o~er unless box 1 or 2 is checked· ,~' ,' VII ADDI I~AMT~i~MATII~F ' Ce'~ifi~tion: I cedify tha{ the infor~tion prodded herein is tree a~d acetate to the best of my kno~edge.~ ..... SIGNATURE OF APPLICANT ~ DATE t t~0q 4~4 I ~'°NE(909) 2'0-~ 93 425 NAME OF APPLICANT (print) TITLE OF APPLICANT 426 Michelle Wilson, West Coast Environmental Compliance ManaGer STATE UST FACILITY NUMBER (For local use only) 427 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 428 UPCF (1/99 revised) 5 Formerly SWRCB Form FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of_ I. FACILITY IDENTIFICATION ii I I ? ll I I II IiEPAlD#(HazardouswasteOnly) BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 Circle K Stores Inc. #2708605 / / 08605 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility... If Yes, please complete these pages of the UPCF .... 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 HAZARDOUS MATERIALS INVENTORY - (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 CHEMICAL DESCRIPTION (OES 2731) quantity for an extremely hazardous substance specified in 40 CFR Part 355, (This is repoerted with the HMMP.) Appendix 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) UST FACILITY (Formerly SWRCB Form A) 1. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] 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? [] YES [] NO 7 UST TANK (closure portion-one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any 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 [] NO 9 EPA ID NUMBER - provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? [] YES [] NO 10 per recycler) ONSITE HAZARDOUS WASTE 3. Treat hazardous waste on site? [] YES [] NO 11 TREATMENT - FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page per unit) (Formerly DTSC Forn~ 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (fOr CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? [] YES [] NO 12 ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION S1TE [] YES [] NO 13 ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 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 your CUPA or local agency.) UPCF (1/99) 5 _ ~, U~IED PROGRAM CONSOLIDATED FOR~ ~ FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page __ of__ I. IDENTIFICATION FACILITY ID# I Iii:iI Ii:.[ ][ [I BEGINNING DATE loo I ENDING DATE 101 BUSINESS NAME (Same as r^CmXTV NAME or DBA- Doing Business As) 3 I BUSINESS PHONE 102 Circle K Stores Inc. #2708605 / / 08605 I (661) 871-7979 BUSINESS SITE ADDRESS m3 5600 AUBURN ST CITY ~oa CA ZIP CODE ~o5 BAKERSFIELD 93306 DUN & BRADSTREET m6 SIC CODE (4 digit #) 107 15-156-7054 5541 COUNTY 108 BUSINESS OPERATOR NAME ~o9 } BUSINESS OPERATOR PHONE ~o Company Overated I (661) 871-7979 II. BUSINESS OWNER OWNER NAME m I OWNER PHONE H2 Circle K Stores Inc. I (909) 270-5193 OWNER MAILING ADDRESS 13104 SAN JUAN AVE CITY 114 I STATE 115 ZIP CODE BAKERSFIELD [ CA 93312 III. ENVIRONMENTAL CONTACT CONTACT NAME il7 I CONTACT PHONE Michelle Wilson - (ConocoPhillivs Comvanv) I (909) 270-5193 CONTACT MAILING ADDRESS Il9 495 East Rincon Ste 150 CITY ,2o i STATE 1211 ZiPCODE 122 Corona CA 92879 -PRIMARY- IV. EMERGENt ~Y CONTACTS -SECONDARY- NAME 123 NAME 128 Comvanv Overated TITLE 124 TITLE 129 Overator BUSINESS PHONE 125 BUSINESS PHONE 130 (661) 871-7979 24-HOUR PHONE 126 24-HOUR PHONE 1-866-805-4357 PAGER # 127 PAGER # 132 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 familiar with the information ~ubmitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNE~~~TED...__ REPRESENTATIVE D~T~ Q/I O~14 NAME OF DOCUMENT PREPARER 135 NAiME OF SIGNER (print~ 136 TITLE'~Ob SI~NER\ 137 Michelle Wilson West Coast Environmental Compliance Manager UPCF (1/99 revised) OES FORM 2730 (1/99) 495 East Rincon Ste 150 Corona, CA 92879 January 16, 2004 Bakersfield - City 1715 Chester Ave, 3rd FI Bakersfield, CA 93301 ATTN: UST Compliance Department ~-'~o0 ~~.u-~f~- ~V~ RE: Circle K Stores Inc. Certificate of Financial Responsibility Attached is the Certificate of Insurance for Circle K Stores Inc., effective December 17, 2003 through December 17, 2004. Please call me at (909) 270-5193 if you have questions. Sincerely, Michelle L. Wilson West Coast Environmental Compliance Manager attachment CERTIFICATE OF INSURANCE NAME: SEE ATTACHED SCHEDULE ADDRESS: SEE ATTACHED SCHEDULE POLICY NUMBER: ST8089599 ENDORSEMENT: Not applicable PERIOD OF COVERAGE: December 17, 2003 to December 17, 2004 NAME OF INSURER: AMERICAN INTERNATIONAL SPECIALTY LINES INSURANCE COMPANY ADDRESS OF INSURER: 70 PINE STREET NEW YORK, NY 10270 NAME OF INSURED: Circle K Stores, Inc. ADDRESS OF INSURED: 1500 N. Priest Dr. Tempe, AZ 85281 CERTIFICATION: 1. American International Specialty Lines Insurance Company, the Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tank(s): I I TANK# I CAPACITY I INSTALL LOC. # ADDRESS UST/AST GALLONS DATE SEE ATTACHED SCHEDULE For taking corrective action and compensating third parties for bodily injury and property damage caused by accidental releases, in accordance with and subject to the limits of liability, exclusions, conditionS and other terms of the policy arising from operating the underground storage tank(s) identified above. The limits of liability are $1,000,000 each occurrence and $2,000,000 annual aggregate exclusive of legal defense costs which are subject to a separate limit under the policy. This coverage is provided under ST8089599. The effective date of said policy is December 17, 2003. 2. The insurer further certifies the following with respect to the insurance described in Paragraph 1: a. Bankruptcy or insolvency of the insured shall not relieve the Insurer of its obligations under the policy to which this certificate applies. b. The Insurer is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or damaged third party with a right of reimbursement by the insured for any such payment made by the Insurer. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95-280.102. c. Whenever requested by a Director of an implementing agency, the Insurer agrees to furnish to the Director a signed duplicate original of the policy and all endorsements. d. Cancellation or any other termination of the insurance by the Insurer, except for non- payment of premium or misrepresentation by the insured', will be effective only upon written notice and only after the expiration of sixty (60) days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of ten (10) days after a copy of such written notice is received by the insured. e. The insurance covers claims otherwise covered by the policy that are reported to the Insurer within six months of the effective date of cancellation or non-renewal of the policy except where the new or renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable, and prior to such policy renewal or termination date. Claims reported during such extended reporting period are subject to the terms, conditions, limits, including limits of liability and exclusions of the policy, I hereby certify that the wording of this instrument is identical to the wording in 40 CFR 280,97 (b) (2) and that the Insurer is eligible to provide insurance as an excess or surplus lines insurer in one or more states, Signature of Authorized Representative of Insurer Scott Smith Regional Manager Authorized Representative of American International Specialty Lines Insurance Company 1375 E. 9~h Street, Cleveland, OH 44114 K Stores Inc. - Certificate of Insurance Site !2700010 :302 E TEHACHAPI BLVD .TEHACHAPI iCA KERN 02 IU 14976j i~'~'~'-':' ::" :~'~'~ '~'~'~i~'i"~c~ ............ ~.~i .................... !~ ............ i~ ":i. '.":'":"" i ii~i~'Z"::[~'":": ':' !2700337 : 10597 JURUPA RD MIRA L~)M,~ .......... !cA :RIVERSIDE ~01 !~'(~3~'~ i 1059'~ Joi~Ut~ ~i~ .......... MII~A LOM~ !~ ...... 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[J~S..~..~,J.~ ...................................... '=.,?~L~.V~!:LE~Y. ...................... iC~ ...................... i,~..~.f~.[~.,.~ ..9.~,!.! 12700858 i 18465 US HWY 18 iAPPLE VALLEY !CA iSAN BERNARDINO i03 U 981( !~2700902 {6940 OLD WOMAN SPRG YUCCA VALLEY CA iSAN BERNARDINO !01 (~;'~'~'~ ..................... ~i;ii~"iSiZ6'~i~/~"§i~i~ ................. ~;b'i~i~"~i;'~:9 .................. [~ .................. !§,~i:i"~i~i~i~iSii;,i'6'"'~i~ .......... jq ............................................................... ~.~.,~ i'~'~i~i~ ...................... [~'6"~'i:i~"~iS~Xfii'~i~i~ .................... i'~;6 ~X"gX'£i:i~'~; .................. i'i~X' ....................... ;§X~ 'i~i~i~X'i~iS'i'~'6' i~i .......... u 96'~ !2700951 15809 MANZAN TA AVE iOARM CHAEL iCA SACRAMENTO i01 U 1497~ i~'oo-~ ~ ~ -~, ~-~ i~-~T~'[[ T~A---~EH--~'~ TE'£ ~s-~'-~--U'~ f6 ~ !'~'i6'~'~ .................... . 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I'~X ..................... i'S~"[Lii~"~i'~6"" t~'"'"'")i.J ................................ ~1270 5634 STINE RD ~BAKERSFIELD ICA KERN i0~___~ 14978 270 ~-2-7'~ 5--~'~ -§~i'~'~"l~ 'iBAKERSFIELD ~.;~... J ~'~'-N- .............. ~ ~'6':i ~i':i ..................... :i'~'~"~"i,)i×i~ '§:f ~ ~i~§::f'~'iSi~'i;ii~ ................ i~;~ ..................... !i~'is'i~i~i;~[ ............................ i'i~-'""'"'[[~ .................................. t .......................... ~i ~~-,~ ....... F~v~-~o~s iCA --i~'~3 _.lu ------~-------~ ~-fST's~'F-'--~¥~-'i~Xi~k~-'~ ................. ;F~¥~'~--'--'T'~- ..... /~6[X~6 ............ ?~'-IO' ........ T ............ '~ J2701527 685 PARKERRD FA RFIELD !CA SOLANO i03 '~U 9816 [~f~§~f ..................... ~'~"P,4i~"i~[i ............................................... !~xiR',~'~[~ .............................. [~ ......................... :§iS[',~f,i~ ............................... i'~'i'"'"'":[(J ....................................................................... ~.i'i~ 12701775 J24051 JOHN F KENNEDY DR j MORENO VALLEY iCA iRIVERSIDE J01 JU 9816 j2701776 ~24051 JOHN F KENNEDY OR MORENO VALLEY '~A iRIVERSIDE 02 ~ { 9816 ~:fi~:i'f~'~ ..................... [;~ii~'i'":i~ffi:i"i~"~'i~i4i4i~b:YiSi~ ....... i~6i~i~i4iS"g~,i:F'i~; ............. [~;~ ....................... ii~i~i~i~'iiSi~ ?i~§'"'"""[~ ....................................... t .............................. ~:i'~ i2701914 J1930 LAKE BLVD .i~AVIS {CA JYOLO 02 -TO i 9816 'I l'~'~i~'i'~i~ .................... ?i'f~"'~.i~'i:i~i:i~'~'~' ........................... !'i~isi~is~× ..................................... 'i'i~){ ....................... i'i~ig~i~§i'i~i~ .................... !i~¥'"'".i:] Page 1 of 3 K Stores Inc. - Certificate of Insurance Site Listi~ ~705439 124.0, N MAIN ST .... :SALi~S ..... ~CA :.MONTE'RE~ 102 lb .......... 9816i :~5",~ ................. 1240 N MAIN ST !S,~[i~l~. ............................................................................................. CA ~MONTEREY ;04 ~U ~'~'~ ......... ;,~o ~ ~.,. s~ ~'~z'~',~ ;~ ~.~'~f7'7."'.'.'"~'~'~'~.".'-'"' [~7.. L'.'.'.'.'.'/;' ."7'".~' ~'~ ;'2705449 .... 7647 PACIFIC A~." '. ...... ~'~f0~f~N .... ~ ~SAN JOAQU N 01 [~ ~9i 11 ~9; ;2705449 .7647 PACIFIC AVE 'STOCKTON ~CA ~SAN JOAQUIN ~03 ~U .......... :~ .............. {1~'~'~ ~'~ ' ' "~4~ ~ACtFtC'~ ................ ;~'~ ............. 1~* ........ ;'SAN JOAQUIN 02 ~U :2705617 :8600 AVIATION BLVD ~INGLEWOOO ~CA 01 ~U : 120231 ~'~7~s~1~" ;~'~'S'bwPAC~F~Cbbi~T'~'~'"'~H~d6~ ~'~i ~:Lb~'X~'~i~ ~'i'"~ '. .' [~,~:~".'~'iX'O~.b~:~.'.'.".'......'..'.'.: .':'...'. ~.~i.~'~"~'7'.'"." .....:....~.~.~.~.~.....~.~:::~:.~:~.~...:~..~.~.~.~..~.~.~E.....~:..::.:...~.~.~:.~.~:~::[~:..~..::~.:.....~..:::~...:..:::::.:~.~.:~.?.~ '.".::::"::'.':'.':'~" 2705659 8451 S~USON AVE PICO RIVE~ CA LOS ANGELES ~03 ~U i 1036~ 2705659 ~8451 S~USON AVE ~PICO RIVE~ ~CA ;LOS ANGELES ~02 ~ 1186~ ~2705670 ~1425 E 4TH ST ONTARIO ~CA SAN BERNAROINO ~01 ~U ~ 120321 '~'~ ............. ['~f{'~ ~L~ 6~ ~'{'G~ ~i~ ~ ~i~'~ .................... ~{ ........ ~ ~'~{ ~'~'~ ................ ~ ~'~'"~'~E'~'~ ............................. ~'~i~ ............................ ~'~ ................... ~i~'~i'~ ..................... ~5"'"'"'"!'~ .............................................................. ~'~'~'~ i2705705 304 S MAIN ST ~CORONA iCA ~RIVERS DE ~01 U 151~ ~'~'~'~is~'"~'~xi'~ ~ c~'~x ~'~x ..................... i'~'i~'~i'~ ................... ~'"'"'I'~ i'~'~ 2705708 i98 BONITA RD , CHU~ VISTA ~CA ~SAN DIEGO i02 ' 151~ ~2705728 ~4200 CHINO HILLS P~ CHINO HILLS iCA ~SAN BERNARDINO ~02 ................................................................ [~0.~ 12037 [~.~t;~;......~...;;;;.;;......;~.~;;;[.~;~;~.~;~;~.i[~;~;~;~.~.~...~.~..~;;.;~.~.~.~.;~;~;~;~;i.~.~;;~i;~....L..~.~.;....~...~;.~.~.~..~;;.~.~;~.;;.~;.;.......;.~..7~.~;;.;.~.j~.;.~.~.~;~.j;~;~..;;~. ............................................................................. ~ 2705731 ~ 1501 E MAIN ST ~ BARSTOW iCA ~SAN BERNARDINO ~01 151 ~2705731 1501 E MAIN ST ~BARSTOW ~CA ~SAN BERNARDINO ~02 151~ i27057~ ~981 F~NCISCO BLVD ~SAN ~FAEL ~CA ~MARIN ~01 ~ 10058 ~'~'~ ................... ?~'~i"i'[~6~"~ ........................................ ~i~i'~ ......................................... t~X ....................... ~6~ .............................. ~'i ........... ~i'~F~ ................... ~i"~E~8'~"~ ....................................... ~'i~i~'~ ........................................ ~'~ ................... ~'6'~ ........................... t~i"'"'"'"ld ..................................... ~ .......................... ~'~ ~270580~--~1~90~ FOOTHILL BLV~ ~F~NTAN~~C~--~%N~ERNARDINO ~0~~ ]U ~ 1178~ ~.~.!.~ .................... J.~..~,~.~.~,.!.~ ....................................... ~.~.9.~.~ ................................ ~ ........................ j.~.E~.~9.~ ........................ ~.9~..,,..,..**[~. ................................. ~2705911 ~783~ US H~ 111 ~ OUINTA iCA ~RIVERSIDE j03 JU 14976 ~2705911 ~783~ US H~ 111 ~ QUINTA ICA ~RiVERSlDE ~01 U ~4976 ~2708~5 ~1161 E VALLEY ~ ESCONDI~ ~*~ ~N DIEGO ~0~ IU 9816 · ~'~ ..................... ~'~'¥~-~"~'~x~"~ .............................. ~'~'~i-~ .......................... j~x .................... ~x~-'~i~6 ....................... ~i-'"'"'"' ~E'i"Z.7i7~"~iii'. ~2~08~5 --,,J1161.Ey~LLEYP~ ESCONDI~ ~CA ~SANDIEGO ~03 U 9816  2708605 , 15600 AUBURN ST. ' - --- BAKERSFIEED iCA JKER. [03 U' 981, ~2708606 ~1030 OAK ST BAKERSFIELD ~CA ~KERN ~01 U 9816 ~.~.~ .................... ~.~9,.~.~_~.T_ ....................................................... ~.~B.~.~.~ ........................ ~.~ ....................... ~.~.BB ......................................... ~A .......... ~ ............................................................. ~.~ ~2708~1 295 N WATERMAN AVE ~SAN BER~RDINO ~CA ~SAN BERNARDINO 02 .~ ................................... ~ ........................... 9~.~.~ [270~I ~295 N WATER~N AVE SAN 8ERNARDINO i~ !SAN BERNARDINO [01 U 9816 ~2708~1 ~295 N WATERMAN AVE iSAN BERNARDINO .~ ~SAN BERNARDINO ~03 ~ 9816 ~2708644 ~11724 AIRBASE RD 'ADE~NTO iCA ~SAN BERNARDINO J03 ~'~ ..................... }'~"i~"~'~"XiA'~X~"~5 ....................................... [~'~[~5 ............................... [~ ...................... ~A'~"E~'~XESi~6"T~'~ ........ u 12708688 ~10520 CAM NO RUIZ ~N DIEGO ~ ~SAN DIEGO ~03 U ~ 9816 ~270868S i10520 ~MINO RUIZ SAN DIEGO iCA '~SAN DIEGO j02 '~'~E{ ..................... ?~'~"~[~"A~' ................................... ~A"~][~5 ............................. ~ ...................... t'{~"Si~ .................... i'~ .......... 27087~ ~247 E OLIVE AVE IFRESNO ~ ~FRESNO ~02 U 9816 '~"~ E OL VE AVE FRESNO ~CA FRESNO ~ U 9816 '5~'~g' .................... ~5'~i'~'~'~'~"~ .............................. ~'~f6'~ .................................... F~ ........................ ~'~A~"~'~i'~"~ ............. ~ .................................................................... ~'~ i~'~ ..................... ~'~' '~'~'~"~'E~ .............................. [~'~' ................................. ~ ......................... ~"~'~i~'"~'~ ..........~ ..................................................................... '~'~ 2708755 ~27~ WHITSON RO SELMA ~CA FRESNO 01 U 9811 ~'~'~ ............. 7'"'"~'~'~'~'~"~'~"~ ........................................ i~'~'~ .......................................... i~ ...................... ~ ................................. ~'~s ........... u ........................................................................ ~'~ ,270882"'"""~5 2222F ST ~BAKERSFIELD ,CA SKERN ~03 [2708~3 j 1~0 CARPENTER RD ~NOOESTO ~CA ~STAN S~US ~01 Page 3 of 3 K Stores !nc. - Certificate of Insurance Site Listl ;~'70i940 1600 w MAIN ST TURLOCK iCA ,STANISLAUS '01 iU 98~6! · 1600 W MAIN ST ~ 270 ! 984 795 SHADOW RIDGE DR VISTA ' CA SAN DIEGO · 03 ~2701984 ' 795 SHADOV~' R'Ii~'GE DR vIsTA ......... iCA 'sAN'DIE~0 .02 iU : .... 98i6! r~ ~'i'~4' ' '795 'SHA~)0W 'Ri~E~ ~ ~ ..... ;~1§'i;~ !~)~ §,~'6i~b ......... :2702964.. ,~0 BROADWAY CHULA VISTA :CA 'SAN DIEGO 02 iU 9942:. 2702964 !60 BROADWA'~ ......... CHUL,~'Vi§¥A :'~A'' ' :sA'~i bii~6 01 ju 2~0~970 ;704 MAIN ST ;RAMONA ;CA ~SAN DIEGO ~02 ]U 11849 2702970 ,704 MAIN ST RAMONA iCA ,SAN DIEGO ;01 iU ' t1849 2703608 21998 COLORADO SAN JOAQUIN iCA FRESNO ::02 U !: 11849 !2703608 21998 COLORADO SAN JOAQUIN iCA !FRESNO 01 ~U ! 14976! ',~.ii~'~;i.' ~".i~'~ 'i'.'.'.'"; ~i'.". 7..' i~I ..i'.'i.~' ~.~.E~ 1'7.'.. 'Z.i~ '.'. ~.i'..'.'.~ i' 12703621 !1704 E PACHECO iLOS BANDS iCA MERCED ;01 iU 9684 ]2703621 11704 E PACHECO ............... i[6~'~X~-§ ....... ~ ........... !i~:-{~' ....... ~'~;~i~'C'J'J".'-..'..~).~-~;'~'~'!~.~'.'X~EZi'.'Z'; ......... T~'~-~-~ ...................... ~X; .............. "'~X~"~'~'6~i~i!~'!T--! !2705008 11424 CR PPEN AVE iADELANTO iCA iSAN BERNARD NO 02 iU 981~ [?__o .s_oJ._7 ............. ! ~_s.:~.~. L!L _o_s_s_o~ .............................. ! 9..o_~_.~6L9.~ ............... L~6 .................... ~EC_.~.9 ................ L°J....__.!.u_ ................ )2705017 2549 BLOSSOM ::DOS PALOS iCA MERCED 02 IU 9816~ r2~ ~-'~i~-___~.._~A~--~6- ....... ~-A-~E--~ ~ CA .... ~'~ED ~ ~ -T-----~q~ i~-i~i'~ ......... "iib'U~i*~i~,-¢-¢~-~i~ ....................... T~T,~TZ, f~~ .....!.i;-i' ............... ~i;iYn'c~b ..... ~o'Y-'_I.U.. ............. 2705057 8197I ST HESPERIA CA SANBERNARDINO i01 U 981( 12705057 8197 I ST !HESPERIA !CA iSAN BERNARDINO 102 U 981~ i2705057 i8197 I ST iHESPERIA !CA SAN BERNARDINO i03 U 981E :' 2~7. 0_ _5~_6_3. ......... j..8.1_ _9~__M S__S,._,O_N_ _B L__V_I~ .................. i ?~,E_N_.AVO~N iCA ~RIVERSIDE i02 U 9810 12705063 i8190 MISSION BLVD !GLEN AVON ~C~' !RIVERSIDE i03 U 981E 12705063 ~8190 MISSION BLVD GLEN AVON CA iRIVERSIDE 101 U 98161 !2705095 14360 GENESEE AVE SAN DIEGO !CA !SAN DIEGO i01 U 9684 [270j09__5 .........~.4_3_60___G**E_~I_E_S__E_E._A.V_E_ .................. ~A__N. D__IEG0 .... ~CA_, SAN DIEGO 103 _U_ 968~ 2705095 4360 GENESEE AVE SAN DIEGO iCA SAN DIEGO i02 U 968~ i~.!_°..s3~. ................... i~.MIP.S_!9..N_ ............................................... j.~.U..B_)._.~_._U_x. ........................ j...C.6. ..................... J..R_LY..~_R.~L~g. ................... !.o.~ ......... u 981e 2705203 i6290 MISSION RUBIDOUX CA RIVERSIDE i02 12705203 i6290 MISSION ~RUBIDOUX !CA jRIVERSIDE 101 .U_ 981E ~2705214 765 W REDLANDS BLVD RED[ANDS iCA SAN BERNARDINO i01 U 11682 705214 1765 W RED[ANDS BLVD iRED[ANDS !CA iSAN BERNARDINO i03 U 14976 12705221 i8609 GARVEY AVE ROSEMEAD )CA iLOS ANGELES i01 u.U- 10310 [2705221 18609 GARVEY AVE ROSEMEAD CA LOS ANGELES 02 U 1031(3 12705221 8609 GARVEY AVE ;ROSEMEAD {CA iLOS ANGELES !03 U 10310 12705230 j16408 ORANGE PARAMOUNT {CA iLOS ANGELES i01 U 9816 12705230 )16408 ORANGE ~PARAMOUNT !CA iLOS ANGELES !02 ~U 9816 i.~.~;~ .................... i.!.~.q~..Df~UD~ ................................................ f~f~MD. UUT. ......................... [9~ ..................... i.~:~.6U.~.~:~ ............... ~. ........... j2705238 L785 W HARVARD BLVD SANTA PAULA iCA iVENTURA ]01 U 9816 SANTAPAU[A ~:~'6 ~'~'~ .................... ~ ~"~"~i~)~'6"~i~6 ........................... iCA iVENTURA i03 U 9816 j~a~ ~--~[ ~ SAN BERNARDINO iCA [SAN BERNARDINO i03 U 11848 2705239 j2734 DEL ROSA SAN BERNARDINO CA ~SAN BERNARDINO }02 U 11849 i2705242 13405 E HIGHLAND AVE HIGHLAND iCA ISAN BERNARDINO 102 U 11849 !2705245 16105 CLAY PEDLEY iCA iRIVERSlDE i03 U 9816 ~-05-~-~ ~ 6~'~-~- i'~"E"~ L--~' [C~- ...... ~'~ERSlDE ~" ~J- ...................... -9'~ [2705247 15804 MISSION BLVD ~RUBIDOUX )CA iRIVERSIDE i01 _U_ 9728 12705247 i5804 MISSION BLVD iRUBIDOUX ~CA RIVERSIDE i03 U , 9728 I~-7~F ........... F~o~T~§ib-ii'~-E~6' ................. F~b-~F66-O~- .....~;i ..... ~iiTV-E-R-~i-6E ....... '~6i-'- ~- .................. -~7-'2-~ 2705252 1518 W FOOTHILL iRIALTO iCA SAN BERNARDINO 101 U 9728 2705252 518 W FOOTHILL iRIALTO iCA JSAN BERNARD NO !02 U 9728 !~'~:~- ........... ~-~6--S~I~"~LVD i~i~:~--U-~ HE GHTS ~ §*A--(~I~"~T i~-~-~-- y~'~--s~ ..... ~~s ,._~£- Z~~F~--- o---~--~"~ [2705431 )830 E ST iMARYSVlLLE iCA iYUBA )02 U i 9816I i2706432 1899 HAWTHORNE ST iMONTEREY CA iMONTEREY 02 U 9816) ~ z o_~.~.C Z.Y;i ~,.~ ~ ~i~? ~Z 17.1.1.1 i'~C. ,.-,. '.J_-..' .-..~.~ c. ~i i',T.Z'~ J ~'~'~ ~ Page 2 of 3 CIRCLE K 86115 5600 AUBUR(I BAKERSF I ELD CA. 93:306 '661-871-'7979 MAR 5.. 2004 9:16 AP1 SYSTEM STATUS REPORT ALL FIJNL';T I t3NS N,3};&'IAL 1 I,D/EI'4T,JRY REP/}R]' T i :UNLEADED 'v'OLUME = 511 63 LILLa(_;E =, 665:3 '30% IJLL~GE= 5671 CAL~ TC VOLUHE = :3143 GALS HEIGHT = ,'32.96 INCHES I,,,J~TEF,' 'v'OL = 0 GALS; WATER -- ---~-- 0: O'O--I NCt4ES = 6:---: .6 DEG F T 2 :I:>LLIS VOLUME = 3447 LILL~GE = 6:369 '30~i LILLAGE= 5:387 G~LS TC VOLUME = 3443 HEIGHT = 35.05 INCHES I.,'.I~TE~ VOL = 0 G~L8 W~TER = 0.00 INCHES TEMP = 78.8 DEG F T 3: PREI"I I UM VOLUME = 31 47 GALS ULLAGE = 6669 GALS 90%; ULLAGE= 5687 GALff3 TC VOLUME = 3!21 GAL~ HEIi]HT = 32.84 INCHES WATER 'v'OL = O GaLS WATER = O. OCt INCHES TEMP = 71.8 DEG F CITY OF BAKERSFIELI) FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CitECKLIST 1715 Chester Ave., 3''a Floor, Bakerslield, CA 93301 Section 2: Underground Storage Tanks Program [] Routine ~['Combined [~ Joint Agency [] Multi-Agency [] C~omplaint [] Re4nspection Type of Tank _'l'~[tO F' Number of Tanks Type of Monitoring .___O~[_..IA/X Type of Piping j"~ ~" OPERATION C V COMMENTS Proper tank data on file Proper owner,!operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations ,,~ Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y ,N COMMENTS SPCC available SPCC on file with OES A'd~quate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=ComplJance V=Violation Y=Yes N=NO Inspector: /.,(_.X~ ~ x)~ ~4f~f~--1/~ '4~.,e~swaite-K~3w~ s i b I e Party Office o~_..~mental S~q61) ~3979 ' ~ Whi~e - Env. Svcs. F'ink - Business Copy .~ Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave SECTION 1. Business Plan and Inventory Program Bakersfield, CA 9330l Tel: (661)326-3979 ADDRESS-- ' ----- PHONE No. No. of Employees '~L~O~ ~~~ ~ o~-~/-~7,~ ___~ ........... FACILITYCONTACT 3usiness ID Number 15-021 - Routine J~Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V ~' C=Compliance '~ OPERATION COMMENTS ~, v=violation [~r [] APPROPRIATE PERMIT ON HAND ,~ [] BUSINESS PLAN CONTACT INFORMATION ACCURATE I~' [] VISIBLE ADDRESS [~ [] CORRECT OCCUPANCY · ~ [] VERIFICATION OF INVENTORY MATERIALS ~ [] VERIFICATION OF QUANTITIES J~L [] VERIFICATION OF LOCATION j~ [] PROPER SEGREGATION OF MATERIAL ~ [] VERIFICATION OF MSDS AVAILABILITYE I;~ E3 VERiFiCATiON OF HAT MAT TRAiNiNG [~ [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,~' [] EMERGENCY PROCEDURES ADEQUATE ,A [] CONTA,NERS PROPERLY LABELED .... -~-~'--'FO--i-gg-~T-*'C--~-+~;'~'--~ ,~ [] RRE PROTECnON ,J~ [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES ~No EXPLAIN: - Environ ces Yellow - S~ation Copy Pink - Business Copy TRIANGLE PAGE 01 02/09/2004 ~ OF BAKEI~{~D O1~'I~ OF ~,,~ONlV~_ .NTAL SERViCi~ 1715 Chester Ave.. Bakersfield,, CA (661) 3263979 APPLICATION TO PERFOI~,[ FUEL MONITORING CERTIFICAIION CITY OF BAKI~FIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD AT ~0~ S,TE INSTRUCTIONS: Please call t~r an inspector only when each g~up of inspections with the same number a~ ~ady. They will ~n in consecutive o~er beginning with number I. DO NOT cover work t~r any numbe~d group until all items in ~hat ~up am signed offby the Pe~itting Authority. Following thes~ inst~ctions will ~duce th~ number ot ~quir~d inspection v~sRs and thcretb~ prevent ~sessment o~addidonal TANKS AND BACKFILL INSPECTION I DATE I INSPECTOR Backfill of T~k(s) Spa~ Test Certification or M~ufaotum Method Cathodic Protection of Tank(s) PIPING SYSTEM Piping & Raceway w/Collection Sump Co.sion P~tection of Piping. Joinm, Fill Pi~ Electrical Isolation of Piping From T~k(s) Cathodic Protection System-Piping Dispenser P~ SECONDARY CO~AINME~, OVE~ILL PROTE~ION, LEAK DETE~ION Liner Installation - T~k(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges 0r Sensor, Float Vent Valves Pwduc~ Compatible Fill Box(es) Product Line Leak Detectoffs) Leak Detectoffs) for Annual Space-D.W. Tank(s) Monitoring Well(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Gmundwater · FINAL Monito~ng Wells, Caps ~ Locks Fill Box Lock Monitodng Requirements Type j Authorization t~r Fuel Drop co~'r.,cTo. ~ ~oh~co~¢m~ uc~su~ q~t~3 _ PERMIT APPLICATION ~t CONSTRUCT/MODIFY ~~ Bakersfield Fire Dept.* -~-UND.ERGROUND STORAGE TANK ~ Environmental Service ' I ~1 ~ B~ersfield, CA 93301 " TE: (661)326-3979 ~PE OF APPLICATION (CHECK) D NEW FACILI~ D MODIFICATION OF FACILI~ D NEW TANK INSTAL~TION AT EXISTING FACILI~ S~ DATE ' ~O~SED ~MPLE~ON DATE .~ ~ FACILI~ ~DRESS CiTY · · ZIP ~DE TYPE OF ~USINESS ~ ~N ~ - ' C[[Y ZIP CODE ~DRE~ - . ) CITY ) ZiP CODE ' O ~ PH~E ~ ~ ~KERSFIELD CI~ B~INESS LICENSE NO. WORKMAN ~MP NO, INSURE~ B~EFLY DES~IBE THE WORK TO BE D~E WATER TO FAC~UTY PROVIDED BY ~ '~ DEPm TO L ~1~ WPE ~ECTED~T S{SE . / TO'~ INSTALLED ~ [ m ,ES m NO ~ YES D NO ~IS SECTION IS FO~MOTOR FUEL TANK NO. VOLUME , UNLE~ED REGULAR PREMIUM DIESEL AVIATION /%00o THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO (IF KNOWN) CHEMICAL PREVIOUSLY STORED FOR OFFICIAL USE ONLY The applicant has received, understands, and will comply with the attached conditions of the permit and any oih~ state, local and federal regulations. Tht~ form ha.~ been completed under penalty off ,o ,,, APPLICANT NAME (PRINT) APPLICAN~GNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVE BUSINESS NAME_ CIRCLE K STORE #2708605 DATE_03/15/01 ' DRAWING SCALE BUSINESS ADDRESS 5600 AUBURN STREET BAKERSFIELD ZIP CODE 93306 1"=30'-0"-+ ~ A B C D E F G H MAP SYMBOLS VACANT LOT ~ ~ ELECTRICAL PANEL ELECTRONI~C MONITORING POIN T~S SHUT-OFF \ / / ~ ELECTRONIC LINE LEAK DETECTOR G ..~ ~[~[/ / ~ AUTOMATIC TANK GAUGE~~ TELEPHoNEE"EROENCYsHuT-OFF PUVP ~ T~A TANK MONITORING ~ ALARM ~ ,~ ~ ~ FIRE EXTINGUISHER O ~ STORM DRAIN ~ ~J ~ SANITARY SE~R ~ ' j __ ~ ', ~ . STAGING AREA ~ J ~' ~12 X 5 GALLON ~ ! x x FENCE ~( ~ ~ P E~EROENCY RESPONSE STORAGE TANK 0 ~-- ~) UNOERCROUND Z ~-~ STORAGE TANK 4 (FLAMMABLE LIOUIDS) ~ ) ~ ~ DIESEL FUEL (COMBUSTIBLE LIOUiDS) (COMBUSTIBLE LIQUIDS) xN ~ CARBON DIOXIDE  (COMPRESSED GAS) ~ ~ CAR WASH PRODUCTS ~ - - NORTH AUBURN SmE~ TANK AT FILL SUMP SECTION ~ ~uc~--r (riLL) ~ auc~-r (v,~'~) CONCRETE TANK SLAB SECTION ~~~s t" DROP TUBE DETAIL IPHASE I EVR UPGRADE - DIRECT BURY Executive Order VR-102-A Exhibit 1 Figure lA OPW Phase I Vapor Recovery System Equipment List ~e~?~.~..~.~'e~::.:i· ,.:::'.:,i ~!.::'.::..i.::~: :i~ ::'.::i.?::! ::? .i'.i:" ~'~~.':'.:::./.: .: .:':'.:.i.~.~ :i::~o~ie~::...'~..'~:.:' :.:' ::,:::::!::.'.':::~: :':':'? :.': Spill Containers and Figure 2E OPW/POMECO 1-2100 Series Covers ~ 1 C-2100 Series 1 SC-2100 Series Replacement Drain Figure 2F OPW 1DK-2100 Valve Kit Gasket Seal Adaptor Figure 2G OPW FSA-400 Rotatable Phase I Figure 2H OPW 61SALP-EVR (product) Adaptors Figure 21 61VSA-EVR (vapor) Installation Tool Figure 2J OPW 61SA-Tool Dust Caps Figure 2K OPW 634TT-EVR (product) 1711T-EVR (vapor) Drop Tube Overfill Figure 2L OPW 61SO-EVR Series Prevention Device = Jack Screw Kit Figure 2M OPW 61JSK-4400-EVR Tank Bottom Figure 2N OPW 6111-1400 (optional) Protector Tank Gauge Port Figure 20 Morrison Brothers 305XPA Series Tank Monitoring Components Cap and Ring Kit Pressure/Vacuum Figure 2P Husky Model4885, 2-Inch Threaded Vent Valve ~ The OPW/Pomeco 511 series covers include the 1-2100, lC-2100 or 1SC-2100 spill containers, 2 Ball float vent valves are not certified for installation of this system in new facilities (including those undergoing major modifications). OPW Fueling Components - Phase I Vapor Recovery System - VRol02-A ~OPW 1.2100~EVR'SEmES ,DI.~CT BURY SP!rLL ~CONTAINMENT FOR CARB/EVR The OPW~&On 1.2100-EVR Series Spill Containers are cerffied'for'installation on OI;'W Phase 1EVR Systems. All Fill Port SpiltC. onta~s t~an.enhanced=tOK-~21~0~EVR vapor.tight drain, valve (OEVR Medeb).. The Vapo~ retain-Spill-,C~ t~in.e,,~ (PEVR Models}~feature a permanent plug In the drain port as per EVR requirements. The 1-210GEVR Series Threao-un Containers are available n Composite or Cast Iron bases with either 5, 7:5 or 15 gallon buckets. The FSA-400 Threaded Riser Face Seal Adaptor is installed on the ~tt pipe below 1he .spilt container to.provide a.true sealing surface for the drop tube flange on me 61SO-EVR overfill.prevention valve, The 61SO-EVR series valve is installed in the base of the OPW EVE s~ill container with the patent pending 61~JSK Jack Sc.re~, device, This conflg,,ur'~t, ion all.o.w? li.q, uid in the .spill container to be drained direc~ into the drop tube thereby isolating the dram valve from ~he tan~( u~ge, eliminating a notorious leak point in: previous systems. EVE Balti-Pert. AI)plicafiens S0~.EV~ Se~es U,,"J~P~ s~ pages 2~ & 23. ~ 1.2tO0-P~R ~ OPW ,t-2tO0-DE1/R SE~Es ~ 1DK-2100-Et/R V~oOR R~-COVER~ .~t CONTNNER PRODUCT FILL SPILL CONTAINER DRAIN VALVE 01~/FSA-400 THREADED RISER ADAPTOR O~AIN PLUG SERIES OVERFILL PRE1/ENTION VALVE OPW Threaded Riser Adapter (Face Seal Adaptor) ~.' .~i.~, ~ :, EVR requirements. The FSA-400 is installed on the fill pipe dser below..,e ~:' sp~ container to provide a true sealing surface for the drop tube flange on the 61SO.400C-EVR overfill prevefltio~ valves. The F,~-400 is also ~;~:,::=..:?~.~.:.;¥.?~;=:;~ required on tar~ gauging risers and optior~ on vapor ris~s and rotatable ..... ~'~'~;~ O1~ 61JSK-4400-EVR adaptors. 0PW FSA-400 JACK ,~.REW (Pa~, ~d~r~) Ordering Specifications , , 61JSK-4400-EVR (3ack SCrew Device) Ordering Sp~.atlons _ -L-~-t P_r-I~-I~ p_art No ........... OPW 6~ISK-44OO-EVR Jack.~crew Assembty~ CARB 61SO Installation $36.96 KIL Required on all 61SO. EVR Models I North America Toll Free- TELEPHONE: (860) 422.2525 · Fax: (800) 421-3297 · Email: domestlcsales~pw-fc.com www. opw-fc.com · ~.~__~r~,,,,,, O Co~yt~gnt 2003, OPW F~ing Components * P.O. Box 405003 '· Cincinnati, OH 45240-5003 4, Printed In USA · 3/03 OPW lSC-21OO-EVR SERIES SEALABLE COVER SPILL CONTNNERS OPW and Pomeco Spill Containment Manholes are designed to prevent spilled product from entedng the soil near the fill and vapor return riser connections on underground storage tanks during normal tank filling operation, or in the event of tank overfill. The spill containers catch spillage to help .prevent-soil contamination and groundwater pollution.The OPW 1SC-2100-EVR Sedes Sealable Cover spill Co , ers ,re to , th leve . Th .,opar. t!o. o! the cover is similar to that of a plumbers plug. When the lever is latched, down, me p~es are drown [ogemer, expanding me sea~ agamm the machined mounang ring wall. The 1SC.2100-EVR spill containers are ideal for areas with a high water table, areas subject to tropical rain and standing water, and cold regions where melting snow and road salt can enter standard spill containerS;.= 'Features: · Simple "Plumbers Plug" Operation - Seal is ~ Product Identification Tags - Availal:de for expanded against mounting dng wall. both the spill container cover and bucket to · Vertical Sealing,Surface - Prevents gravel positively identify the product contained in the and debris from damaging or interfering with UST with standard APl symbols. (See product the seal. I.D. tag specification page for mom informaUo~) ,~ lt/mchlned Seating Surface - Ensures ~ Capecltles. 5 and 15-gallon; spedal deep waterUght seal. Teflon coated stainless steel, bucket 5-gallon thread-on model is available ,,~ Field Replaceable Seal - Designed for to provide adcrfdonal clearance for threaded-top 6liNG Overfill Prevention Valve installations. ~' "~ .... all-weather performance. .'~ i;.i:.~.;!:i ~:' ~ ! .:~ ~. · Black Anodized Aluminum Top Plate - · Fuel Competlblllty- Designed to to deter cover theft, accommodate all fuels, including OPW 15C-2100, 15.~al'lon methanol, ethanol and MTBE. Thread-On Spill Container · Potted Hinge Mechanism - to prevent ice and debris from hindering lever operation, e Highway 20 Rated {H20) - All OPW spill containers and manholes exceed the requirements of the Highway 20 rating. Sealable Cover Operation Dimensions · ~.'.:' ~' ' E.~ '~ ':;:...,...-.. 13 ....' ,.. ,..,.~ Sap, On Mo~s Tt~'ead,On tn. cm. In. cm. in. cm. in. cm. in. a~. !}~ c ~'~ ??:3::.:.':.!~ ~' ":!ii':;~i:.i.~i c ~J~' ~:?~:'~.i':'.i; ~.' .,:i'?~::;!:':.:; ~- ~:::i!~":::;;:.:~ ......... ~ 'Sulk'act 2' tom "O' dlmalsto~ f~ Caet lroa B~e t~ #Oeep B~cket Modd. ~ 'Ordedng Spedflcations - OPW 1SC Sealable Cover EI/R ~erle= Thread-on Spill Containers Lid In Open Pe~ition DEVR ~od®l$ - PIll Port with Drain Duratuff' Il Base with Drain Valve Models Cast Iron Base with Drain Valve Models · · 1SC411,~'VR 15 !:!~:':! ~mlmm 47 .i!,~I ~lr4AO/J ~SC-21tSC43EVR 15 !~!! /Jun~num 4~ i"~!!I SIHA0J Lid in Closed Pasitia. PEVR Models - Vapor Port with Plug Replacemm~t PGr~s ~sc.~0e.~'~5 ~i:!~:~: ~ .~ !~!:'t s~,l ~sc.~.~ ~ ?{~'/: ~ ~3i ...L~_._ ..... _c~_~_ ....................... ~.z~.~w; 7.5 :i~ii::'A~,, 4~ ';iraq $.o.;oj ~ 7.5 :~'~.~, 4~ ~:~g:.:.t ~,~.OOl c0410~s &.onzeLeverAm~ 1SG-ZtlS. PE~ t5 ~'::~i~ Aluminum 47 24;:::1. ~45.001 I$¢.2115C-KVR 15 :!;~.~. ~mlmm 47 !2i:iI SS0.0OI m~sTm I.o,~Plate ' C04141B Rubber In~t MaMrbls:. Alountfngrlng; Teflon plasma coM~d cast iron Cover. ca~t aluminum Bellows: high-density polyeffiylene 1~12627M Nrluslment Nut CoveraeaP. Iow~wellnilfile Ba~e:Dur~tuff'llorcastlro~ ISCTOOL , Optlo~Easyc:)i~Too~ Clamp~ stainless steel tDK-ZI00-EVR Drain V~e Kit $45.00 Levee bronze Seals: iow swell nltrtle OVERFILL PROTECTION OPW 1-2100-DEVR S~Es OPW 1DK-2100-EVR ~) OPW 61JSK-44Q0-EVR PRODUCT FILL SPILL CONTAINER DRAJN VAJ.VE (F~. 14) JACK SCREW (Fat~nt Fending) (PG. 14) (F~ ~4) OPW FSA-400 00PW 61 S0-400C-EVR THREADED RISER ADAPTOR SERIES (PG. BOTTOM PROTECTOR (~c. ::?'" '"::' North America Toll Frae -TELEPHONE: (800) 422-2525 * Fax: (~00) 421-32S7 * Email: domest~ales~opw-fc.com :~Af~ International - TE~PHONE: (513} a70-3315 or (513) 870~ ' V~ ~.o~-~.~m ~ ~%~ ~ ~g~ ~, O~ F~i~ ~ e P.O. ~x ~ talln/M~o ; '" Husky PV Vent Ins ainte~an~e Instructions Page I of 2 PRESSURENACUUM VENT MODEL 4620 AND 4885 INSTALLATION AND MAINTENANCE INSTRUCTIONS INSTALLATION The PN Vent is designed to fit on top ora 2" vent pipe. Remove the PN Vent from the carton and visually inspect for any shipping damage. .~.~+.:~.,., ... Model 4620 Slip On P/V Vent down and place the seal into the vent opening. Using ,~:. -,:,--w-~-:--r · .,~ wrench, back the 4 screws out .so that the P/V Vent will slip over the vent pipe. Place the PN Vent on top of the vent pipe and push or pull down on the P/V Vent to slightly compress the seal. Tighten the 4 se~ screws fmly. Periodic maintenance is recommended (sec below). Model 4885 Thread On PN Vent Apply fuel resistant pipe sealant to the threads on the 2" vent stack. Screw the P/V Veto omo the vent slack and tighten to a range of 20 to 50 fi-lbs with a suitable wrench. DO NOT OVER-TIGHTEN. Periodic maintenance is recommended (see below). MAINTENANCE Annually inspect thc P/V Vent valve for foreign objects without removing thc P/V Vent valve from the vent pipe by u-~ing the following procedm~: 1. Remove the screws that holds the top cover on. 2. Remove any debris that migh! be sitting inside the lower cover. 3. Check the drain holes in the lower cover for blockage. 4. The two (2) screens should not be removed. 5. Reinstall the top cover and retaining screws. 6. Tighten the screws firmly. file://C:Wly% 20DocumentsWrojects~JIB~Equipment%20Manual~Husky%20PV%20Vent%L2 4/25/2002 03/20/2003 i0.' 20 8i88406929 TRIANGLE ' PAGE 83/2812883 18:28 8i88406929 TRIANGLE -' PAGE 05 n~A ~~. -- · .v=.a so w.~~~~ u~~~~~,~~~- Pa~e 2 of 3 PAGE 07 83/28/2083 10:20' B1BB4 9 TRIANGLE ........................ ~ ~r'4- ........ "il~::::::.:.:-::!iiiiiii:ii'i!!!i:!iii':i:i::::i!:-'iii-' . ' '"'. · . . . . ::::::::::::::::::::::::::::::::::::::::::::: ::: ::::::::::::::::::::::::::: .... Z::::::':: ::-, .... . ..... ....... :.. .......... ~. '~:j::;:::: .............................. ::::::::::::::::::::::: :::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::: [nstru.e,tlons If you aL,'~edy, la~ a dlasra~ that shows all required iafonmtiotg you may include it, rather than this page, with your Monitoriag System Certific. atiom O~ your site plar~ show thc general lal~ut of tanks and piping. Clearly identify locations of th~ following equipmeBg Lf installed: mov. itoring v~tem control panels; sense~ monitoring tank spac.~ sumps, di~3mser ~n% aPri!..~mta~ or othar $~,omlar~ ~toinmeat ag~s; m~ehaniml Or:el~qro~ic line leak detectors; :md ia-tank liquid level probes Of wed for ]ealc ~l~"'liea), /XL the space provided, note the date this Site Plan was prepared. 03/20/2003 i0:20 '8188406929 TRIANGLE PAGE 08 BY~TE~ BETUP T 1:UNLEADED .... PRODUOT OOD~ : FEB ~9, ~00~ 7:50 ~M THFJ~qL OOEFF :,000700 CO~MUNIC~TION~ SETUP T~NK DI$~ETER : TAN~ PROFILE : 4 PTB FULL VOL ; ~YSTEM UNIT~ 69.0 I~H ~L : U.~. ~T ~TTINGS: 46.0 INCH VOL : 499~ 8~T~ ~NGURGE 2fl. O INCH VOL : 1898 E~I~H NONE FOUND MON DD Yy~y HH:~;~ ~ R~-23~ S~U~ITY FLO~T SI2E: 4.0 IN. B4~B COD~ : OOOOOO CIECL~ X 860S WATER WARNING ; 2.0 SS00 ~UBURN H~OH ~TER LIMIT: BAgE~FI~LD 0~.93306 661-871-7979 ~ OR LA~L VOL ggl6 O~RFILL LIMIT SHIFT TrHE I : 6;00 ~ R~-2~2 END OF ME~E 8834 SHIFT TIME 2 : Di~BLED DISABleD HIGH PEOD~T 95~ BHIWT T{~ 3 ~ DIBBLED 9~20 SHIFT TIME 4 : DIALED DELIVERY LIMIT . 490 T~NK PERIODIC ~NIN~ DISRBL~ LON ~ROD~T ~ DISheD B~DBN L~B L]~IT; DIBBLED LINE ~NNUAL ~RNINO~ ~NIFOLDED TRNKB DI~ED T~I ~NE PRI~ TO VOL~ES E~D L~K MIN PERIODIC: TEMP COMpE~ATION V~L~ (D~ ~ ): 6~.0 LEAK MIN ANNUAL ~ l~W ~ICK HEIGHT O~F~T : PRECISION ~B~ DURATION ~ 12 P~IODIC TEST ~YLIGHT SAVINO TIME OUICE DISABLED ANNUAL TEST FAIL B~TEM BEC~ITY A~M DISAB~D COD~ : 000000 PERIODIC TE~ FAIL GROSS TEST FAIL ~RRN DIBA~ ANN T~BT AVOWING: OFF T~ TBT ~IPHON DELIv~Y DE~Y : 2 MIN 8188486929 TRIANGLE PAGE 89 T 2: pLLI~ ..... pRODUCT CODE : 2 T @:PREMIU~ THERMAL COEFF :.0000'70 PROD~ COD~ TAN~ Di~ ~ 92.00 T~RH~ CO~ .OOOTOO T~N~ P~FI~ · ; 4 PT~ T~N~ DI~ 92.00 FU~ VOL : 9816 :TANg P~FILE 4 69.0 INCH vOL : 8058 ~ULL VOL a6.O INCH VOL ; 4992 &g.O I~H VOL 8058 2~.0 I~H VOL ; 18~ ~&.O INCH VOL 4992 LEAK T~T METHOD ~8.0 INCH VOL 18~8 TE~ ON ~ : ALL TANX FLOAT ~I~: 4.0 IN, 8496 JAN 1, lgg6 FL~T $IZE: 4.~ IN. 8496 START TIM~ : DI~AB~D HIGH ~ LIMIT: 3,0 WRT~ W~RNIN~ ; 2.0 D~TION : 2 HOUR8 HIOH WATER LIMIT: 3.0 MRX OR ~L VOL: O~E~ILL L1MIT ~ 90~ ~ O~ ~B~L ~L: ; ~8~4 OVERFILL LI~IT : gO~ LERK T~T REPORT FO~T HIOH P~D~T : 9S~ : 8~S4 NO~L : Sa2B HIGH P~DUCT : DEL I V~V LIHIT : 5~ ; 9325 : 490 D~I VERY LIMIT : 490 LO~ P~DU~ : BOO L~K ~RN LIMIT: 99 LO~ PROD~ : ~UDD~N LO~ LI~IT: BO L~ ~ LIMIT: 99 T~NK TILT : 3.80 SUDDEN LO~ LIHIT: ~0 TAN~ TILT : ~.50 ~N1~OLD~D T~NKB T~: ~N~ WPLLD L{N~ L~K ~UP L~K ~IN PERIODIC; : 981 ~ MIN P~IODIC: : 981 W 1 :UNL~D~ L~ MIN ~NN~ : 1~ : 981 LEAK MIN ANNUL : 1'0~ PIP~ TYPE: FIB~RGL~ : 981 LI~ L~HI I00 FEET D.RO OPH TEBT: EN~LED P~IODIC TE~ ~PE 0,10 ~H T~: ENaBLeD GUICK P~IODIC T~T TYPE ~H~D~N RA~: ~.0 GPM RNNURL T~T FRIL RLRRH DI~LED RNNURL TE~ FRIL TRNK; NONE P~R [ OD I C T~BT FA I L ~ARH D I ALARM D [ ~ -~ P~ I OD I C TE~ FA I L AL~ O 18ABLED GROS~ T~T FA I L A~RM DI SAB~D ORO~ T~ FAIL ALA~ D I ~B~D ~NN T~T A~R~ING: PER ~BT A~AGING: OFF ANN T~T AV~RA~I~: OFF P~R T~T A~OI NQ: OF~ TANk T~T NOT I ~V: OFF TANK T~T NOT I FY: OFF TNK T~T SIPHON BR~A~:O~ W ~:PR~IUM DELIVERY DELAY ; 2 MIN T~ T~T ~IPHON BREAK:O~ PIPE TYP~: FI~ERGL~ D~IU~Y DE~Y : 2 HIN LIN~ ~NGTHI tOO FEET 0.20 OPM T~T: E~L~ aH~WN RA~: 3.0 GPH O. 03/20/2003 10:20 $18@406929 TRIANGLE PAGE 10 CIRCLE K 8605 W ~:PLU~ WI:~LLD LINE DIS~OgLE SETUP 5600 AUBLL~N 18AXERSFIELD PIP~ TYPE: FIBERGLAF~ 661-871-7979 LINE LENGTH: 100 FE~ W I:UNL~DED 0,~0 ~H TEBT~ ~N~BLED F~B 1~- 2003 7:52 PM 0.]0 ~H TEST: EtChED LIGU[D ~NBOR ALMS BH~D~N R~TE: 3.0 G~H L 1 :F~L A~RH WP~D LINE LEAK 0.10 ~H T~T HM/DD L 2:F~L ~M' TEST HI~ORY ~TE : ~ 0 L I:BE~OR OUT TA~: NONE L 2:BE~OR O~ ALUM W 2: PR~ I UH W 2 :PREM I ~ LIGUID 8E~OR ~ ~BT B.O GAL/HR L B:F~L ~LA~ FEB lB, 2000 7:Sd L 6:F~L ALARM L 5:BE~OR OUT L 6:BE~O~ OUT ~M FIRST 0.20 ~L/HR ~CH MONTH: FEB 19, 2003 6:27 LIGUID SENSOR ~L~ LINE L~ LOCKO~ ~TUP L d:F~ ~ FIR~ 0.10 GAL/HR L ~:SE~OR OUT ~RM EACH MOTH: LOCKO~ BC~UL~ L 4 :SENSOR OUT ~ILY 8TOP TIME : DIBBLED CIRCI.]~ K 8605 5600 AUBURN BAKEP,~SFIELD C~.g3306 GIRCL~ K 8~05 LI~U1D SE~O~ SET~ B~ER~I~LD CA.9~306 L I :~NNULA~ 87 ~LLD LINE L~ ~B TR I -~ATZ (S I NG~ FL~T) T~T H I BTO~ GRT~QO~V : ANNU~ 8P~ WPLLD LINE L~K T~ H I BTO~Y W I :UNL~ED L 2:UNLEADED T~I~TAT~ (SINGLE FL~T) ~T 3.0 G~L/HR P~; W 3:PLUB CAT~O~Y : ~TP SUMP ~B l~, 2603 7:42 LAST 3.~ O~zHR PAS~ FEB L 3:89 ~NNU~ FI~T 0.20 ~AL/HR TRI-STATE (BIBLE FLOAT) ~CH ~NTH: CATEGORY : ~NNULAR ~AC~ L 4:89 MTP S~P FIRST 0.10 G~/HR TRI ~TA~ (BI N~LE FLOAT} ~AOH M0~H; CATE~RY : STP ~U~ F I~T O. 10 ~L/~ ~ ~NTH: ~I-~T~ (~I~L~ FL~T) CAT~RY : ANN~R SPAG~ 03/20/2003 10:20 8188406929 TRIANGLE PAGE TANK L~AK TEST HISTORy T $:;'REMIUM L~T OROSS TEBT TANK LEAK TEST HISTORY NO TEST PAE;SED T I:UNL~ADED LAST ANNUAL TE~I' PA~SP_.D: LAb-'T GRO~ TEST PR~3ED: NO TF_~T PAS~ED NO TEST PASSED FULLEST ANNUAL TF~RT I~T ANNUAk TEST PASSED: NO TEST P/%SSED NO TEE~T PASSED L~T P~RIODIO TF~T FULL~ST ANNUAL T~ PASS NO T~ ~S~D NO T~T ~ED L~T P~RIODIO T~T P~BB: FULLE~ P~IODIC TEST a~RM NISTORY ~0~ ~SS~D ~¢H MONTH: .... IN'T~NK ~L&~M ..... ~ ~T ~ ~ ~ ~ ~ END FULL~ P~RIODIC TEST P~ ~H MONTH: ~LARM HI~TORY REPORT ..... PAPER OUT FEB 19, 200~ 7:50 PM PRINTER ERROR TANK L~o~K T~ HISTORY FL:'B 19, ~00~ 7:50 PM ? 2:PLUS BATTERY I~ OFF JAN ~BT GRO~B T~BT ~ TE~ LAST ANNUAL T~BT PASSED; A~H HISTORy ~PORT . NO ~T PR~D .... IN-T~NK R~M ..... FU~T ANNU~ TEST PA~S T NO T~ST L~ST PERIODIC TEST FULLEST PERIODIC TEST PA~I~D ~CH MONTH: ALARM H [ 8TORV .... ~ N-T~ RLR~ ..... T 1; UNL~D OVERFILL A~H JaN 8, 20~3 2:44 INVALID FUEL L~ FEB 15. 2003 a:lo 83/28/2883 10:28 8188406929 TRIANGLE PAGE 12 AL~tt HISTORY R£PORT ..... 8ENSO~ ALARM ..... ~ HI~TORY'~EPORT L I:ANNULAR 8? ..... ~ENSO~ ALARM ..... ALARM HIStOry REPORT ANNULA~ BPACE L 3:B9 ANNULAR B£N.~OR OUT AL~ ANN~ 8PACE ..... ~E~R ALA~ ..... FEB 19, 2003 I:11 ~ 8E~OR OUT ALR~ L 5:9] ANNUL~ ~UEL ~L~N F~ 19. 2003 I :Il PN ~NNUL~ ~ACE 9EN~O~ OUT ~N FEB 19, 2003 1:07 ~M FU~ A~M FEB lg, 2003 1:11 PM SETUP DATA WA~NIN~ FEB 19. ~OOO I~:57 PM · FUEL ALA~ NOV 26 2002 3:05 PM ~TUP DATA ~RNI~ F~ 19. 2003 12:47 PM ~V 26, 2002 2:0~ PM SETUP DAT~ U~RNING NOV 26, 2002 3:~6 PM ALARM HIBTO]~Y RE~ORT ..... ~EN~.OI~ ALARM ..... ~LA;~ HISTORY L 2: UNLEAD~ ..... ~EN~OE ~' A~ HI~TO~ ~EPO~T ~P ~UMP L ~:89 ~ ~EN~ OUT A~ ~TP 8~ ..... S~OR A~RM ..... FEB 19, 2003 l:II P~ ~EN~OE O~ ALUM .,/ L 6:91 BT~ ~ ~UEL ALARH F~B 1~. 200~ I :~ 1 PM BTP ~NBOR OUT FUEL ~M FEB 19, 2003 12:~S ~ FEB ]9, 2003 12:25 PM FUEL ~A~H FU~ A~M B~.~ DA~A ~RNI~ NOV ~6. 2002 0312012003 10:20 8188406929 TRIANGLE PAGE 13 ALARH HISTORy R~pORT ..... 8~N~OR ALARM ..... OTHER ~£NSOR~ ALAAM HISTORY REPORT ..... SENSOR ALARH W 3:PLUS AI~RH HISTORY REPORT WPLLD 8H~D~N W i:UNL~ED 0~008 LINE FAIL WPLLD ~HUTDOWN A~ FEB 19, 200~ 11:4] AM FEB 19,-200~ 11:4~ ~M WPLLD ~H~DOWN ORO~ LIN~'FAIL DEC 6, 2002 ~:57 PM F~ 19, 200~ 1I:4~ AM WPLLB SHU~OWN ~M DEC lg, 2002 8:54 PM IBOFTWARE REVISION LEVEL 80FTWARE~ ~46016-10D-C ~REATED - ALARM HIBTOAV REPORT S-MODUI~ 880160-060-~ ..... 8~N~OR ALARM ..... BYSTEM ~P. ATUR~8: W ~:PR~I~ ~RIODI¢ IN-TANK T~TB WP~ S~U~DOWN ~LM ANNU~ IN-T~NK O,lO ~N~L&O.RO CONT GRO~ LINE FAIL WPLLD · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse ~ . so that we can return the.card to you. ~'~ec~e;Jved by (Prj~.~l~ · Attach this card to the back of the mailpiece, or on the front if space permits. ~?~ ~ v-i ~ D. Is.d~el~very a~iress d~fferent from ~tem 17 [] Yes 1.Fr~.~R1Article AddressedNicmotsoNto: !IlL If '~ES, enter delivery address below:. [] No CIRCLE K STORE 5600 AUBURN #2 13. ~ JJ [] Certified Mail [] Express Mail BAKERSFIELD CA 93306 lJ [] Registered [] Return Receipt for Merchandise ~'~ ............... JL [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2'i ..... 7002 2410 .0002 1974 9930 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE ~Jl~ First-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Ser~/ices 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 Postage $ I'1.1 Certified Fee '~1-'1 Postmark ~ Return Reclept Fee Here (Endorsement Required) r--t Restricted Delivery Fee ~ (Endorsement Required) }~u .rot,,,,:,/TERI NICHOLSON "' som~, CIRCLE K STORE i ~ I~m'°i 5600 AUBURN #2 '. ...... ] [~i~ AKERSFIELDCA 93306 ...... l ~ /.: .... .. Certified Mail Provides: mm A mailing receipt (~,~eu) zOO~ ~u~m~e u~o4 sa · A unique identifier for your mailpiece , mm A record of delivery kept by the Postal Service for two years Important Reminders: ~ · Certified Mail may ONL¥'~be combined with First-Class Mail® or Priority Maile · Certified Mall is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt serv~co, please complete and attach a Return Receipt (PS Form 3811) to the art[cie and add applicable postage to cover the fee.. E,.ndorse mailpiece "Return Receipt Requ,ested". To [eceive a fee waiver for a ouplic.ate return receipt, a USPS® postmarK on your ~ertified Mail receipt is requ~reo. · For an additional fee, delivery may be restricted to the addressee addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "RestrictedOelivery". · If,a postmark on t.h.e Ce. rtified Mail receipt is desired, please pre_sent.the arti.~ cte at the post o~ice ;or postmarking. If a postmark on the ~Jerti;ied Mat; race[pt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an Inquiry. Internet access to delivery information is not avaJlable on mail addressed to APOs and FPOs. March 12, 2003 Teri Nich0l~0n Circle K Store 5600 Auburn #2 Bakersfield, CA 93306 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Perform/Submit Annual Maintenance on Leak Detection at FIRE CHIEF RON FRAZE the Above Stated Address. ADMINISTRATIVE SERVICES Dear Business Owner: 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Our records indicate that your annual maintenance certification on your leak FAX (661) 395-1349 detection system was past due on March 4, 2003. SUPPRESSION SERVICES 2101 "H' Street YOU are currently in violation of Section 264 l(J) of thc California Code of Bakersfield, CA 93301 -- ~ , ,,°e"uta';ons. voice (661) 326-3941 FAX (661) 395-1349 "Equipment and devices used to monitor underground storage tanks shall be PREVENTION SERVICES installed, calibrated, operated and maintained in accordance with FIRE SAFELY SEFt~CES * ~AL 8ER*/ICE8 1715 Chester Ave. manufacturer's instructions, including routine maintenance and service checks Bakersfield, CA 93301 at least once per calendar year for operability and running condition." VOICE (661) 326-3979 FAX (661) 326-0576 You are hereby notified that you have thirty (30) days, April 12, 2003 to either PUBLIC EDUCATION pcrform or submit your annual certification to this office. Failure to comply 1715 Chester Av~. Bakemfleld, CA 93301 will result in revocation of your permit to operate your underground storage VOICE (661) 326-3696 system. FAX (661) 326-0576 FIRE INVESTIGATION Should you have any questions, please feel free to contact me at 661-326-3190. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 o]ncere~y, FAX (661) 326-0576 Ralph Huey TRAININa OlWSlOn Director of Prevention Services 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 01/30/2003 11:56 81884 S TRIANGLE PAGE I I I FAX ~..: Jantlary 31,200:t Numb~ ofpagoa includiag cover sheet: 1 ' City of Bakersfield Fire Department To Compliance testing/inspections supervisor From: Lorraine Sofft Steve Underwood Monitor ccttificaQon Phor~c: Phone: 818 840-?020 Fa~ phone: 818 840-6929 ~ax pho.,.: 661 324 6557 CC: 661. 326 0576 I I III I I I I I ! REMARKS: [] Urgent [] For your review [] Reply ASAP [] Please conmn~t NOTIFICATIONI In accordance with Article 3, Section 2637 (b) (5) (48-hr notification), of California Code of Rogulations Title 23, Divisi~m 3, Chapter 16, Underground Storage Tank Regulations (Secondary Testing and Annual Maintenance Certification). This is to notify you that the following Tosco gasoline service station(s) is/are scheduled for annual Tank Monitor Certification on the following date(s); 1. Circle K 08605 5600 Auburn ST,, Bakersfield. 93306 2f20/03 (~ 11:00 AM Annual Monitor Certification. (This station has three tanks 87, 89 & 91 with wireless product 1/ne leak detectors) Thank you, Lorraine Soff6 January 22, 2003 Circle K FIRE CHIEF ~oN mAZE 5600 Auburn Street Bakersfield CA 93306 ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 RE: Upgrade Certificate & Fill Tags VOICE (661) 326.3941 FAX (661) 395-1349 Dear Owner/Operator: SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 Effective January l, 2003 Assembly Bill 2481 went into effect. This VOICE (661) 326.3941 FAX (661)395-1349 Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIRONm:HTJU. SERVICES 1715 Chester Ave. You may, if you wish, have them posted or remove them. Fuel Bakersfield, CA 93.301 vOiCE (~6~) 32~-a979 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 Chester^vb. Should you have any questions, please feel free to call me at 661- Bakersfield, CA 93301 VOICE (661) 326-3696 326-3190. FAX (661) 326-0576 FIRE INVESTIGATION Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 /' TRAINING DIVISION 5642 Victor Ave. Steve Underwood Bakersfield, CA 93308 Fire Inspector/Environmental Code Enforcement Officer VOICE (661) 399-4697 FAX (661) 399-5763 Office of Environmental Services SBU/dc 81/21/2883 13:54 8188486929 TRIANGLE '~ PAGE TRIAN~E 2525 W. BURBANK BLVD., BURBANK, CA 91505 i~NVZt:tON,'V,~NTA L, INC, , ,,,, , ~1 III I JI I I FAX ,,.,.: ,,,,,,,,,,,.,,,,,,oo, Number of pages includ/ng cover sh.o~t: 1 City of Bakersfield Fire Department II Jl II 1 IIII III · II I III I ' To Compliance t~stin~/inspectfons gupervis°r From: Lorraine Sofft Steve Underwood lV[oilitor corfificatioll Phone: 818 840-7020 Phon,: F~ phone:., 818 84~6929 F~pimn~: 661 324 6557 ..... CC: 661 326 0576 ~ ~ ~ ~ ~ II I II I REM~ ~ u~ent ~ For your r,~w ~ R~ly A~P ~ Pt~ commt NOTIFICATION! In accord~ce ~ Article 3, Section 2637 ¢) (5) (48-~ notificafi~), of Cflifomia Code of Re~lations Title 23, Divisi~ 3, Chapter 16, Under~ound Storage T~ Relations (Second~ Tes~g and ~.ual Mainten~co Certification). ~is is to nod~ you ~at ~e following Tosco gasoline se~ce station(s) iff~e scheduled for ~ual T~ Mo~tor C~ fication on ~e follo~g date(s); ......................... ~ ..... -~ 1/ Circle K 08605 5600 Auburn ST, Bakersfield 93306 2/3/03 ~ l.l:00 AM Annual'Monitor ~C~[fificaflon.,.. ~his station has thr~ tanks 87, 89 & 91 ~ ~el~s product Hue leak detectors) T~ you, Lo~e Soff~ ....... ~ .............................. ~ CIRCLE K 8605 5600 AUBURN BAKERSFIELD CA,9:]306 661-871-7979 JAN 15. 2003 9:46 AM SY~;TEI"I STATUS REPOR'F ALL FUIqCTI':}NS N(II. I NVEI'~TC~RY REP©RT ~-: T 1 :UNLEADED VOLUME ; 5621 GALS ULLAGE = 4195 GALS 90;'; ULLAGE= 3219 GALS TG VI}LUME = 5..576 GALS HEIGHT = 50.47 INCHES WATER VOL = 0 (]ALS WATER = 0.00 INCHES TEMP = 71.3 DEG F T 2:PLUS VOLLIptE = 4512 GALS ULLAGE = 5304 GaLS 90s~ ULLAGE= 4322 GALS TC VOLUME = 4507 GaLS HEIGHT = 42.64 Ilill~ES WATER VOL = 0~:-~".~' WATER = 0.00 I,~ES TENP = 73.5 DEG F T 3:PREMIUM VOLUME = 3189 GALS ULLAGE = 6677 GALS 90~ ULLAGE= 5695 GALS TC VOLUME = SlO? GALS HEIGHT = 32.79 INCHES WATER VOL = 0 GALS [dATER = 0.00 INCHES TEMP = 74.3 DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT " OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd FLoor, Bakersfield, CA 93301 FACILITY NAME (~.,1'c1¢..~ .q'~'Ott_, INSPECTION DATE 'i-I ~'-' G 3 ADDRESS ..~00 .~.~}~0Ftk PHONENO. ~(~ ~q~? FACILITY CONTACT BUSINESS IDNO. I5-210- INSPECTION TIME NUMBER OF EMPLOYEES ¢ Section 1: Business Plan and Inventory Program [~ Routine [~ Combined [~ Joint Agency [~ Multi-Agency ['] Complaint {~ Re-inspection OPERATION C, V COMMENTS Appr. opriate permit,on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials k Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency proceduresadequate -"' Containers properly labeled Hou'sekeeping Fire Protection -- Site Diagram Adequate & On Hand C=Compliancc V=Violation Explain: Questions regarding this inspection? Please call us at (66 I) 326-3979 Business Site~esponsj, ble Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~[~c.{r~. ~. ~'~)p(_. INSPECTION DATE Section 2: Underground Storage Tanks Program [21 Routine ~ Combined [] Joint Agency [] Multi-Agency _ [] Complaint [] Re-inspection Type of Tank .~{r} ~" Number of Tanks Type of Monitoring Ct l. i/}'h Type of Piping OPERATION C V COMMENTS Proper tank data on file ~w / Proper owner/operator data on file .~,, Permit tees current [,4/ Certification of Financial Responsibility I, 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 ,;//=Violation Y=Yes N=NO Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy 1380 Lead Hill Blvd., Suite 120 Roseville, CA 95661 - · · phone 916.774.3000 ConocoPhdhps December 18, 2002 Steve Underwood Bakersfield Fire Department 1715 Chester Avenue Bakersfield, Califomia 93301 RE: New Office Location Dear Mr. Underwood: Effective December 23, 2002, my new address will be. Edward C. Ralston ConocoPhillips 76 Broadway Sacramento, CA 95812 (916) 558-7633 -Phone (916) 558-7639 - Fax E-mail - Ed.C. Ralston~,ConocoPhillips.cOm All correspondences and reports should be directed to the new address as of the effective date. Sincerely, Edward C. Ralston Site Manager ConocoPhillips P.O. Box 52085 Phoenix, Arizona 85072-2085 1500 North Priest Drive Tempe, Arizona 85281 Kathy Strickland Environmental Compliance 602/728-418-7149 (direct line) 602/728-5245 (facsimile) December 20, 2002 Re: Financial Responsibility- 40 CFR Part 280, Subpart H Revised for: Name Change to ConoeoPhillips and Coverage Period I am enclosing information relating to ConocoPhillips and its subsidiaries including Circle K Stores Inc. requirement to provide financial responsibility for the ownership and operation of underground storage tanks by its operating entities pursuant to 40 CFR Part 280, Subpart H and similar state regulations. ConocoPhillips Company meets the insurance coverage requirements set forth under 40 CFR § 280.97. It is intended that this financial responsibility likewise satisfy the requirements of authorized state programs. ConocoPhillips provides this financial responsibility for all underground storage tanks at retail locations, terminals and bulk plants which are owned and/or operated by all ConocoPhillips entities including Circle K Stores Inc. The information enclosed consists of a Certificate of Insurance and a Certification of Financial Responsibility in the form prescribed by the federal regulations. I am attaching site list for you r jurisdiction, according to our database. Please let me know if there are discrepanices'between this list and your records. Please forward this information to the appropriate person in your agency. You may direct any q~u. estions to me at (602) 728-7149. Very truly yours, Kathy Strickland Environmental Compliance Enclosures December 20, 2002 CA State Water Resources Control Board UST Program P. O. Box 944212 Sacramento, CA 94244 CERTIFICATION OF FINANCIAL RESPONSIBILITY ConocoPhillips Company and all of its subsidiaries, including Circle K Stores Inc., hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: MeChanism: ,'~* , Section 280.97 '~ Ins~J~ahce:"(~oVer~ige Issuer: Sooner Insurance Cor~pany'~' ~: '~ Certificate of Insurance No. 2003-16 Amount of Coverage: $1,000,000 per occurrence $2,000,000 annual aggregate Effective Period Of Coverage: From January 1, 2003 until April 30, 2004, unless earlier Revoked or replaced by written notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Taking corrective action and compensating third parties for bodily injury and. property damage caused by accidental releases. Sooner Insurance Company CERTIFICATE OF INSURANCE. Certificate No. 2003-16 Date: December 20, 2002 Policy No.: S-7501A-03/04 Certificate Holder: CA State Water Resources Control Board UST Program P. O. Box 944212 Saci'amento, CA 94244 Insured: ConocoPhillips Company and its subsidiaries including Circle K Stores Inc. Address of 600 North Dairy Ashford - ML3136 The Insured: Houston, TX 77079 Covered Per the attached list Locations: Policy Term: December 1, 2002 - December 1, 2004 CERTIFICATION (1) Sooner Insurance Company, the Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tanks: [See attached list] for taking corrective action and/or compensating third parties for bodily injury and property damage caused by accidental releases in accordance with and subject to the limits of liability, exclusions, conditions, and other terms of the policy arising from operating the underground storage tanks identified above. The limits of liability are $1,000,000 each occurrence and $2,000,000 annual aggregate, exclusive of legal defense costs, which are subject to a separate limit under the policy. The coverage is provided under policy S-7501 A-03/04. The effective date of said policy is December 1, 2002. (2) The Insurer further certifies the following with respect to the insurance described in Paragraph 1: (a) Bankruptcy or insolvency of the insured shall not relieve the Insurer of its obligations under the policy to which this certificate applies Management Offices Administrative Offices 600 North Dairy Ashford - ML 3136 112 Lake Street Houston, TX 77079 Burlington, VT 05401 TEL: (281) 293-6680 TEL: (802) 658-9466 FAX: (281) 293-2941 FAX: (802) 658-5520 (b) The Insurer is liable for payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged third-party, with a fight of reimbursement by the insured for any such payment made by the Insurer. This provision shall not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95:280.102. (c) Wherever requested by a Director of an implementing agency, the Insurer agrees to furnish to the Director a signed duplicate original of the policy and all endorsements. (d) Cancellation or any other termination of insurance by the Insurer except, for non-payment of premium or misrepresentation by the insured, will be effective only upon written notice and only after expiration of 60 days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of 10 days after a copy of such written notice is received by the insured. (e) .The insurance covers claims otherwise covered by the policy that are reported to the Insurer within six months of the effective date of cancellation or non-renewal of the policy except where the new or renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, if applic, able, and prior to such policy renewal or termination date. Claims reported during such extended reporting period are subject to the terms, conditions limits, including limits of liability and exclusions of the policy. I hereby certify that the wording of the instrument is identical to the wording in 40 CFR 280.97Co)(2) and that the Insurer is licensed to transact the business of insurance, or el~.gible to provide insurance as an excess or surplus lines insurer, in one or more states. Scott W. Irwin Vice President Authorized Representative of Sooner Insurance Company 600 North Dairy Ashford - ML 3136 Houston, TX 77079 Management Offices Administrative Offices 600 North Dairy Ashford - ML 3136 112 Lake,Street Houston, TX 77079 Burlington, VT 05401 TEL: (281) 293-6680 TEL: (802) 658-9466 FAX: (281) 293-2941 FAX: (802) 658-5520 i2611158 129727 STOCKDALE HWY !BAKERSFIELD IKERN CA 93312 Bakersfield Fire Department ;27086.06. l'03O'oA'K's~ ............................................. !"i~~R~ ................................................... ~' ................... ~-~-3~ ............ · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. X ~~"1 ~1 Addressee · Print your name and address on the reverse so that we can return the card to you. '~. R.eceived J~ (Printe~'Name)~ I~ ~e, ive~ · Attach this card to the back of the mailpiece¢ ~ ~~ or on the front if space permits. ~- ~ ~ ~ D. IS delivew add~e~ diffe~ f~l? I~ 1. A~icle Address~ to: If YES, enter delive, aO~{(be*;~, ~X~¢~, ~RN CO~Y WATER AG~NC~ P O ~OX 58 ~ 3. Se~ice Type BA~ESF[~LD CA 93302 ~ ~ Ce~ified Mai B Express Mail ~ ~ Registered ~ Return Receipt for Merchandise % ................. .... ~ ~ Insured Mail ~ C.O.D. 4, Restricted Delivew? (~ra Fee) ~ Yes 7002'a'860 0000 1914 8435 ; PS Form 3811, August 2001 Domestic Return R~eipt 10259542-M~835 UNITED STATES POSTAL SERVICE First-Class Mail Postage & Fees Paid USPS ' Permit No. G-10 ° Sender: Please print your name, address, and ZIP+4 in this box ° BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENV!RO,NMENTAL SERVICES 1715 Ch~.ster Avenue, Sui'~ 3,00 Bak,~wsfieid, CA ~'?~01 Postage $ 1:3 ~ [ r-~ Certified Fee Postmark Return Receipt Fee Here ~ (Endorsement Required) ~3 Restr~ed Delivery Fee r-i (Endorsement Required) ru Tot~- ' ~ r,- L.....; e o ~ox 58 (' ............ Stree · [ pia'i,.: ................. ~,' Certified Mail Provides: · A mailing receipt · A unique identifier for your mailpiece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mall may ONLY be combined with First-Cless Mail or Pdority Mail. la Certified Mail is not available for any class of international mail, · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail, For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt sewice, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be _restricted to the addressee or addressee's authorized agent. Ad~se the'cle'~,k or mark the mailpiece with the endorsement "Restricted Oeliver~'. ~' ' · If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking, if a postmark on the Certified Mail receipt is n~l~eded, detach and affix label with postage and mail. IMPORTAN .l~a. this receipt and present it when making an inquiry. PS Fo~m 3800, April 2002 (Reverse) 102595-§~'-M-ll.q~ December 1, 2002 Kern County Water Agency P O Box 58 Bakersfield CA 93302 FIRE CHIEF r,. '~L,~ ~ RON FRAZE · CERTIFIED MAIL ADMINISTRATIVE SERVICES ~~ 2101 "H' Street Bakersfield, CA 93301 (661)3.5-134, FINAL REMINDER NOTICE su. PRESS,O. SE.V!CES JANUARY 1, 2003 DEADLINE 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Deal' Tank Owner/Operator: PREVENTION SERVICES F~,,,E,,~c.,.,.,~O,,~.,,~.~.~,. You will be receiving this letter on or about December I, 2002. One 1715 Chester Ave. Bakersfield. CA 93301 month from today, January 1, 2003, your current underground VOICE (661) 326-3979 storage tank(s) will become illegal to operate. Currant law would FAX (661) 326-0576 require that your permit be revoked for failure to perform the PUBLIC EDUCATION necessary Secondary Containment testing. 1715 Chester Av~. Bakersfield, CA 93301 VOICE (661) 326-36~ In reviewing your file, I sec that you have received "Reminder FAX (661) 326-0576 Notices" since April of this year. This is your last chance to comply FIRE INVESTIGATION with code requirements for Secondary Containment testing prior to 1715 Chester Ave. Bakersfield, CA 93301 January 1, 2003. VOICE (661) 326-3951 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at 661- TRAINING DiViSION 326-3190. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 Sincerely, FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc !CA 2524 OSWELL ST BAKERSFIELD IKERN ,93306 3 Department i i 82°°:A sTO'C-K-DA---LE l ' i Bakersfield Fire iC__A !257393 -IWY. ....... BAKERSFIELD KERN 93311 31Department ..... ~ I 29727' STOCKDALE t 3~, Bakersfield Fire i2611158 HVVY BAKERSFIELD KERN 93312 Department j I ' Bakersfield Fire ..... ICA 12701270 5634 STINE RD BAKERSFIELD KERN 93313 21Department ..... ' .... Bakersfield Fire ......... ~_CA 270~605 !5600 AUBURN ST IBAKERSFIELD KERN 93306 3 Department · ' ........... Bakersfi~'id Fire iCA 2708606 1030 OAK ST BAKERSFIELD KERN 93304 31Department ....... Bakersfield Fire lCA 12708825 2222 F ST BAKERSFIELD KERN 93301 31Department ConocoPhillips P.O. Box 52085 Phoenix, Arizona 85072-2085 1500 North Priest Drive Tempe, Arizona 85281 Kathy Strickland Environmental Compliance 602/728-418-7149 (direct line) 602/728-5245 (facsimile) December 5, 2002 Re: Financial Responsibility- Corrected (Effective Period of Coverage) - discard previous one sent 40 CFR Part 280, Subpart H I am enclosing information relating to Phillips Petroleum Company and its subsidiaries including Tosco Corporation requirement to provide financial responsibility for the ownership and operation of underground storage tanks by its operating entities pursuant to 40 CFR Part 280, Subpart H and similar state regulations. Phillips Petroleum Company meets the insurance coverage requirements set forth under 40 CFR § 280.97. It is intended that this financial responsibility likewise satisfy the requirements of authorized state programs. Phillips provides this financial responsibility for all underground storage tanks at retail locations, terminals and bulk plants which are owned and/or operated by all Phillips entities including Tosco Corporation and Circle K Stores Inc. The information enclosed consists of a Certificate of Insurance and a Certification of Financial Responsibility in the formPrescribed by the federal regulations. I am attaching site list for you r jurisdiction, according to our database. Please let me know if there are discrepaniees between this list and your records. Please forward this information to 'the appropriate person in your agency. You may direct any questions to me at (602) 728-7149. Very truly yours, Kathy Strickland Environmental Compliance Enclosures CERTIFICATE OF INSURANCE Certificate No. 2003-16 Date: November 20, 2002 Policy No.: S-7501A-03/04 Certificate Holder: CA State Water Resources Control Board UST Program P. O. Box 944212 Sacramento, CA 94244 Insured: Phillips Petroleum Company and its subsidiaries including Tosco Corporation and Circle K Stores Inc. Address of 600 North Dairy Ashford - ML3136 The Insured: Houston, TX 77079 Covered Per the attached list Locations: Policy Term: December 1, 2002 - December 1, 2004 CERTIFICATION (1) Sooner Insurance Company, the Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tanks: [See attached list] for taking corrective action and/or compensating third parties for bodily injury and property damage caused by accidental releases in accordance with and subject to the limits of liability, exclusions, conditions, and other terms of the policy arising from operating the underground storage tanks identified above. The limits of liability are $1,000,000 each occurrence and $2,000,000 annual aggregate, exclusive of legal defense costs, which are subject to a separate limit under the policy. The coverage is provided under policy S-7501 A-03/04. The effective date of said policy is December 1, 2002. (2) The Insurer further certifies the following with respect to the insurance described in Paragraph 1: (a) Bankruptcy or insolvency of the insUred shall not relieve the Insurer of its obligations under the policy to which this certificate applies Management Offices Administrative Offices 600 North Dairy Ashford - ML 3136 112 Lake Street Houston, TX 77079 Burlington, VT 05401 TEL: (281) 293-6680 TEL: (802) 658-9466 FAX: (281) 293-2941 FAX: (802) 658-5520 (b) The Insurer is liable for payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged third-party, with a fight of reimbursement by the insured for any such payment made by the Insurer. This provision shall not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95-280.102. (c) Wherever requested by a Director of an implementing agency, the Insurer agrees to furnish to the Director a signed duplicate original of the policy and. all endorsements. (d) Cancellation or any other termination of insurance by the Insurer except, for non-payment of premium or misrepresentation by the insured, will be effective only upon written notice and'only after expiration of 60 days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of 10 days after a copy of such written notice is received by the insured. (e) The insurance covers claims otherwise covered by the policy that are reported to the Insurer within six months of the effective date of cancellation or non-renewal of the policy except where the new or renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, ffapplicable, and prior to such policy renewal or termination date. Claims repo. rted during such extended reporting period are subject to the terms, conditions limits, including limits of liabilitY and exclusions of the policy. I hereby certify that the wording of the instrument is identical to the wording in 40 CFR 280.97Co)(2) and that the Insurer is licensed to transact the business of insurance, or eligible to provide insurance as an excess or surplus lines insurer, in one or more states. Scott W. Irwin Vice President Authorized Representative of Sooner Insurance Company 600 North Dairy Ashford - ML 3136 Houston, TX 77079- Management Offices Administrative Offices 600 North Dairy Ashford - ML 3136 112 Lake Street Houston, TX 77079 Burlington, VT 05401 TEL: (281) 293-6680 TEL: (802) 658-9466 FAX: (281) 293-2941 FAX: (802) 658-5520 December 5, 2002 CA State Water Resources Control Board UST Program P. O. Box 944212 Sacramento, CA 94244 CERTIFICATION OF FINANCIAL RF..SPONSIBILITY Tosco Corporation, a wholly owned subsidiary of Phillips Petroleum Company, hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism uSed to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism,: Section 280.97 - Insurance Coverage Issuer: Sooner Insurance Company Certificate of Insurance No. 2003-16 Amount of Coverage: $1,000,000 per occurrence $2,000,000 annual aggregate Effective Period of Coverage: From December 1, 2002 until April 30, 2003, unless earlier revoked or replaced by written notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Taking corrective action and compensating third parties for bodily injury and property damage caused by accidental releases. January, 2002 ~.~'. ~ Page_ of__ Secondary Containment Testing Repo orm This form is intend~cl for use by contractors performing pe~odic tesa'ng of UST secondary containment systems. Use the appropriate pages bf this form to repo~ resul~ for all components test~. The complet~ form, written test procedures, and printou~ from test~ (~applicable), shouM be provid~ to the facili~ owner~operator for submittal to the local regulato~ agency. 1. FACILI~ ~O~TION Facility Na~: Bakersfield 76 2608605 I Date of Testing: 9/27/2002 FaciliWAddress: 5600 Auburn St. Bakersfield CA 93306 FaciliW Contact: I Phone: Date ~cal Agency Was Notified of Testing: 9-27-2002 Na~ of ~cal Agency hspector (~present during, testing: 2. ~S~NG CO~CTOR ~O~ATION Co.any Name: Shirley Environmental Testing Tec~ici~ Conducting Test: Robe~ Vargas Credentials: ~ CSLB Licensed Contractor ~ S~CB Li~nsed T~ Tester Mannfactnrer Training M~ufacturer Component(s) Date Training Expires 3. SUMMARY OF TEST RESULTS Not Repairs! Component Pass Fail Not Repairs Component Pass Fail Tested Made Tested Made STP 87 x STP 89 x STP 91 x Disp 1-2 x If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the.facts stated in this document are accurate and in full compliance with legal requirements Te{¢hnician's Signature: //~_.~// Date: 9~27~2002 ~SWRCB January, 2002 Page __ of__ 4. TANK ANNULAR TESTING Test Method Developed By: [] Tank Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: [ Equipment Resolution: Tank # Tank # Tank # Tank # Is Tank Exempt From Testing?~ [] Yea [] No [] Yes [] No [] Yes [] No [] Yes [] No Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Ri): Test End Time: Final Reading (RF): Test Duration: Change in Reading (Rr-R~): Pass/Fail Threshold or Criteria: Was sensor removed for testing? []Yes []No []NA []Yes []No []NA -lYes []No []NA []Yes []No []NA Was sensor properly rep]aced and !1-1 verified ~unctional a~er testing? [] Yes [] No [] NA Yes [] No [] NA -1 Yes [] No [] NA [] Yes [] No [] NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~ Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {Califomia Code of Regulations, Title 23, Section 2637(a)(6)} gWRCB~ January, 2002 Page __ of__ 5. SECONDARY PIPE TESTIN~lll~ Test Method Developed By: [] Piping Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ~ ing Run # Piping Run # Piping Run # Piping Run # Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of piping-run isolation: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading' (R~): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R~): Pass/Fail Threshold or Criteria: 'Test Result: '~i Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~WRCB';January, 2002 Page __ of__ 6. PIPING SUMP TESTING Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Sump Diameter: Sump Depth: Sump Material: Height fi.om Tank Top to Top of Highest Piping Penetration: Height fi.om Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested~ Does turbine shut down when sump sensor detects liquid (both []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA product and water)?' Turbine shutdown response time Is system programmed for fail-safe []Yes []No []NA []Yes []No []NA []Yes []No'[]NA []Yes []No []NA shutdown?* Was fail-safe verified to be [] Yes [] No [] NA operational?' Wait time between applying pressure/vacuum/water and starting 5 test: Test Start Time: 9:20 9:20 9:20 Initial Reading (R0: 2.5245 3.4618 4.1892 Test End Time: 9:35 9:35 9:35 Final Reading (R~): 2.5232 3.4509 4.1887 Test Duration: 15 Min 15 Min 15 Min Change in Reading (R~-R~): .0013 .0009 .0005 Pass/Fail Threshold or Criteria: PASSED FAILED PASSED Test Result.: Was sensor removed for testing? []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA Was sensor properly replaced and verified functional after testing? [] Yes [] No [] NA [] Yes [] NO [] NA [] Yes [] No [] NA [] Yes [] No [] NA Comments -(include information on repairs made prior to testing, and recommended follow-up for failed tests) Test 2 for STP 87 oassed. Change in reading .0000 Test 2 for ~TP 89 failed. Change in readina..0142 Test 2 for STP 91 f~iled: Ch_n_pOe in readinn. -0043 Test 3 for STP 89 failed. Change in reading .0006 Test 3 for STP 9~ nassed. Chan(~e in readina .0013 ~ If the entire depth of the sump is not tested, specify how much was tested. If thc answer to any of thc questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) ~WRCB~January, 2002 Page __ of__ 7. UNDER-DISPENSER CONTAINMENT O_J'DC) TESTING Test Method Developed By: [] UDC Manufacturer '['~ ~dustry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: UDC Manufacturer: Bravo UDC Material: Steel printed UDC Depth: 7" Height from UDC Bottom to Top piping comes in of Highest Piping Penetration: thru the bottom Height from UDC Bottom to conduit from Lowest Electrical Penetration: bottom Condition of UDC prior to clean testing: Portion of UDC Tested' N/A Does turbine shut down when UDC sensor detects liquid (both []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown?' []Yes []No []NA []Yes I-INo DNA DYes []No I-INA DYes []No I-INA Was fail-safe verified to be []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA operational?* Wait time between applying pressure/vacuum/water and 2 Min starting test Test Start Time: '1'1:54 Initial Reading (R0: 1.4832 Test End Time: 12:11 Final Reading (RF): '1.4843 Test Duration: 30 Min Change in Reading (RE-R0: ,001 Pass/Fail Threshold or Criteria: PASSED Test Result: ~ D~ ~D,F~ ~'~::.D~ :: []~:.F~i Was sensor remOved for testing? []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA Was sensor properly replaced and verified functional after testing? []Yes []No []NA F1 Yes []No []NA []Yes []NO []NA []Yes []No []NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~ If the entire depth of the UDC is not tested, specify how much was tested. If the answer tO any of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) §WRCB~January' 2002 ILgRI S~G Page__of__ 8. F SER CONTAINMENT SUMP TE Facility is Not Equipped With Fill Riser Containment Sumps [] Fill Riser Containment Sumps are Present, but were Not Tested [] Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Fill Sump ti Fill Sump ti Fill Sump ti Fill Sump ti Sump Diameter: Sump Depth: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: · Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R0: Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R0: Pass/Fail Threshold or Criteria: Test Result: ~ IQ i~ i~i~ Is there a sensor in the sump? [] Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No Does the sensor alarm when either product or water is []Yes []No []N~ []Yes []No []~ []Yes []No []t~, []Yes []No []~ detected? Was sensor removed for testing? []Yes []No []lq~ []Yes []~ []l~ []Yes []No []l~ []Yes []~ []l~ Was sensor properly replaced and verified functional after testing? [] Yes [] No [] I~ [] Yes [] No [] Ra, [] Yes [] ~ [] I~ [] Yes [] No [] I~ Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) gWRCB~January, 2002 Page __ of __ 9. SPII~L/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes [] Spill/Overfill Containment Boxes are Present, but were Not Tested [] Test Method Developed By: [] Spill Bucket Manufacturer [] Industry Standard []Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: '~ ..... '~ ~~~~~/~Spill Box # ~f~l~Spili Box # ~,~li~l~r~l~Spill Box # ~~!~l~Spill Box # Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R0: Test End Time: Final Reading (Rv): Test Duration: Change in Reading (Rv-R0: Pass/Fail Threshold or Criteria: Test Result: :i !~.. ! !;! Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) gWRCB~anuary, 2002 ,~ Page of Secondary Containment Testing Repor orm / This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (if applicable), shouM be provided to the facility owner~operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Bakersfield 76 2608605 I Date of Testing: 81612002 Facility Address: 5600 Auburn St. Bakersfield CA 93306 Facility Contact: I Phone: Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Shirley Environmental Testing Technician Conducting Test: Robert Vargas Credentials: [] CSLB Licensed Contractor [] SWRCB Licensed Tank Tester License Type: A HIC HAZ I License Number: 798892 ~ Manufacturer Training Manufacturer Component(s) Date Training Expires 3. SUMMARY OF TEST RESULTS Not Repairs Component Pass FailNot Repairs Component Pass Fail Tested Made Tested Made STP 87 x STP 89 x STP 91 x Disp 1-2 x Disp 3-4 x If hydrostatic testing was performed, describe what was done with the water after completion of tests: Technician s Signature:T° tire best, of my CknEowR~e~;eC,~eTdEiCnHth~sICdoculANmenR~tSarPeOacNcSurIBatLeEaFnOd/ .~~~ ~ iRn ~uOllNcoDUmpCliTanINcGewTitHhIISegTaElrSeTqui%eGmentSDate: 8/6,2002 SWRCBOanuary, 2002 Page __ of__ 4. TANK ANNULAR TESTING Test Method Developed By: [] Tank Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: I Equipment Resolution: ~ ~I~ ' ~ Tank # Tank # Tank # Tank # Is Tank Exempt From Testing?~ [] Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No Tank Capacity: Unleaded Unleaded Plus Premium Tank Material: Tank Manufacturer: OW Steel OW Steel OW Steel Product Stored: Unleaded Unleaded Plus Premium Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R~): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R0: Pass/Fail Threshold or Criteria: Was sensor removed for testing? []Yes []No []N~ []Yes []No []~ -lYes []No []l~, []Yes []No []l~ Was sensor properly replaced and verified functional after testing? []Yes []No []NA []Yes []No []NA -lYes []No []NA []Yes []No []NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) s Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such systems that are hydrostatically monitored or under constant vacuum, are exempt fromperiodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} 8WRCBtJanuary, 2002 Page __ of __ 5. SECONDARY PIPE TESTIN~/l~ Test Method Developed By: [] Piping Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ~~~v~~;l~l~5!l~ Piping Run # 91 Piping Run # 89 Piping Run # 87 Piping Run # Piping Material: Environ Environ Environ Piping Manufacturer: DW FRP OW FRP DW FRP Piping Diameter: Length of Piping Run: Product Stored: Unleaded Unleaded Plus Premium Method and location of DWIST DWIST DWIST piping-mn isolation: Wait time between applying pressure/vacuum/water and 5 Min 5 Min 5 Min starting test: Test Start Time: 11:14 11:14 11:14 Initial Reading (Ri): 4.7343 3.2577 4.1206 Test End Time: 11:29 11:29 11:29 Final Reading (R~): 4.7350 3.2578 4.1261 Test Duration: 15 Min 15 Min 15 Min Change in Reading (RF-R~): -.0007 -.0001 -.0055 Pass/Fail Threshold or PASSED PASSED PASSED Criteria: Test Result: ~':'::~:::::::::5a Pas~D:::::Fad?~<,~~::~'~¥~'~'"": :: ~Pass: ,~E ~;~'?:~ ~ ?~'~ iD~:~ ~!1~2°~ ' .................... ~:~: .......... ~ Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCBlJanuary, 2002 Page __ of__ 6. PIPING SUMP TESTING Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Sump # 89 Sump # Sump # Sump # Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Good Portion of Sump Tested~ 2" above product Does turbine shut down when sump sensor detects liquid (both []Yes []NO []l~ []Yes []NO []R~ []yes []NO []~ []yes []NO [] product and water)?* Turbine shutdown response time Is system programmed for fail-safe []Yes []No []~ []yes []NO []~ []Yes []No []l~ []Y~ []No [] shutdown?* Was fail-safe verified to be operational. Wait time between applying pressure/vacuum/water and starting 10 MJn test: Test Start Time: 10:48 - 1 ~ :43 Initial Reading (R0: 1.1263 - 1.1106 Test End Time: ~ ~ :03 - ~ 1:58 Final Reading (RF): 1.1252 - 1.1102 Test Duration: 15 Min Change in Reading (Rv-Ri): .0009 - .0004 Pass/Fail Threshold or Criteria: PASSED Test Result: :IS~P ' " ~ I J:~:~,,~ :~<ag~,~ ~g~a!l<~' was sensor removed for testing? []Yes []No []l~ []Yes []No []~ []Yes []NO []l~ []yes []NO [] Was sensor prOperly replaced and verified functional after testing? [] Yes [] No [] I~ [] Yes [] NO [] I~ [] Yes [] NO [] I~ [] Yes [] NO [] Comments - (include information on repairs made prior to testing, and recornnrnended follow-up for failed tests) Secondary. tostboots had to have ULC-2000B applied to secondary, tostboots. We need to return to m-te~t. Retest~-d !1/!/200_2_ 89 passed hydrosta_tic test- ~ If the entire depth of the sump is not tested, specify how much was tested. If the answer to ~ of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) SWRCB;January, 2002 ~l[ Page __ of __ 7. UNDER-DISPENSERnI~ONTAINMENT (UDC), ~ TESTING Test Method Developed By: [] UDC Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ~ ,~ I, ~ UDC # 1-2 UDC # 3-4 UDC # UDC # UDC Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top of Highest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: Portion of UDC Tested~ Does turbine shut down when UDC sensor detects liquid (both [] Yes [] bio [] product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown?* []Yes []bio [~lhl~ []Yes []bio []1~, []Yes I-]bio [5~lqlk I-lYes []bio []bilk Was fail-safe verified to be FlYes []bio I~11~ I-lYes []bio IRII~ FIYes []bio []l~ []Yes []bio []~ · 9* operational. Wait time between applying pressure/vacuum/water and !5 Min 15 Min starting test Test Start Time: ~16:$1 ~16:3~1 Initial Reading (Ri): Test End Time: ~15:45 '15:45 Final Reading (RE): ~1.2032 'l .'1452 Test Duration: '115 ~in '15 Min Change in Reading (RE-Ri): -.0WI 8 ,0009 Pass/Fail Threshold or Criteria: Test Result:: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? [] Ym [] Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~ If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) SWRC~,January, 2002 .~ Page __ of__ Facility is Not Equipped With Fill Riser Containment Sumps [] Fill Riser Containment Sumps are Present, but were Not Tested [] Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Fill Sump # Fill Sump # Fill Sump # Fill Sump # Sump Diameter: Sump Depth: Height fi.om Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Ri): Test End Time: Final Reading (Ri:): Test Duration: Change in Reading (RF-R~): Pass/Fail Threshold or Criteria: Test Result:: : []~ []~i [] Is there a sensor in the sump? [] Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No Does the sensor alarm when either product or water is []Y~ []l~o []~ []Y~ []l~o []l~ ~Y~ []t~o []l~ []Y~ []l~o []l~ detected? Was sensor removed for testing? []Y~ []lqo []l~ []Y~ []~ []1~, []Yos []1~o []~ []Y~ []No []~ Was sensor properly replaced and verified functional after testing? [] Y~ [] I~o [] I~ [] Y~ [] No [] I~ [] Yos [] No [] I~ [] Y~ [] No [] I~ Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB~anuary, 2002 Page __ of__ 9. SPILIdOVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes [] Spill/Overfill Containment Boxes are Present, but were Not Tested [] Test Method Developed By: [] Spill Bucket Manufacturer [] Industry Standard []Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum []Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Spill Box # Spill Box # Spill Box # Spill Box # Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Ri): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R0: Pass/Fail Threshold or Criteria: D:Pass ~::Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB January, 2002 - Page __ of__ Seco dflry Containment Testing Tfiis form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (if applicable), shouM be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Bakersfield 76 2608605 I Date of Testing: 9127/2002 Facility Address: 5600 Auburn St. Bakersfield CA 93306 Facility Contact: I Phone: Date Local Agency Was Notified of Testing: 9-27-2002 Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Shirley Environmental Testing Technician Conducting Test: Robert VargaslBrett Mitchelson Credentials: [] CSLB Licensed Contractor [] SWRCB Licensed Tank Tester License Type: A HIC HAZ License Number: 798892 Manufacturer Training Manufacturer Component(s) Date Training Expires 3. SUMMARY OF TEST RESULTS Not Repairs i Component ,Pass FailTestedN°t [ RepairSMadeComponent Pass Fail Tested Made STP 87 x Retest STP 89 x STP 89 x Retest Dispener 3-4 x STP 91 x Disp 1-2 x If hydrostatic testing was performed, describe what was done with the water after completion of tests: Retested 11/Y5/2002 CER~F TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING T~thebest~fmyktt~w~e~~atedi~tthisd~cu~-~accurateandinfullc~mp~iancewithlega~requirements Technicians Signature:X~, j ~_Z.,,A_~yr f~./,~.....-.,.~ /,,/~'" Date: 9~27~2002 SWRCB January, 2002 ~ Page __ of__ 4. TANK ANNULAR TESTING Test Method DeveloPed By: [] Tank Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Tank # Tank # Tank # Tank # Is Tank Exempt From Testing?~ [] Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No Tank Capacity: Tank Material: Tank Manufacturer: DW Steel DW Steel DW Steel Product Stored: Unleaded Unleaded Plus Premium Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R~): Test End Time: Final Reading (RF): Test Duration: Change in Reading Pass/Fail Threshold or Criteria: Was Sensor removed for testing? [] Was sensor properly replaced and verified functional after testing? [] Ya, [] No [] NA [] Y~ [] No [] I~, [] Ym [] ~ [] I~ [] Y~ [] No [] NA Comments - (inClude information on repairs rnade prior to testing, and recommended follow-up for failecl tests) ~ Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} SWRCB January, 2002 Page __ of__ $. SECONDARY PIPE TESTIN~ Test Method Developed By: [] Piping Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Piping Run # Piping Run # Piping Run # Piping Run # Piping Material: Piping Manufacturer: OW FRP ' DW FRP DW FRP Piping Diameter: Length of Piping Run; Product Stored: Unleaded Unleaded Plus Premium Method and location of piping-run isolation: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R~): Test End Time: Final Reading(R~): Test Duration: Change in Reading (R~-Ri): Pass/Fail Threshold or Criteria: Test ReSuli:~ ' '~, ,~,i '~ !~'~ ~ ~ ~!~Y~ Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB January, 2002 Page of__ 6. PIPING sUMp TESTING Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ~,,r ........ Sump # 87 Sump # 89 Sump # 91 Sump # 89 retest Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested~ Does turbine shut down when sump sensor detects liquid (both [] Yes [] No [] NA [] Yes [] No [] NA [] Yes [] No [] NA [] Yes [] No [] NA product and water)?* Turbine shutdown response time Is system programmed for fail-safe []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA shutdown?* Was fail-safe verified to be []Yes []No []NA -lYes []No []NA []Yes []No []~ []Yes [] No []NA operational?* Wait time between applying pressure/vacuum/water and starting 5 Min 5 Min 5 Min 5 Min test: Test Start Time: 9:20 9:20 9:20 12:48 Initial Reading (Ri): 2.5245 3.4618 4,1892 2:5042 Test End Time: 9:35 9:35 9:35 1:23 Final Reading (RE): 2.5232 3.4509 4.1887 2.5014 Test Duration: 15 Min 15 Min 15 Min 30 Min Change in Reading (RF-Ri): .0013 .0009 .0005 .0004 Pass/Fail Threshold or Criteria: PASSED FAILED PASSED PASSED Was sensor removed for testing? []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA Was sensor properly replaced and verified functional after testing? [] Yes [] No [] NA [] Yes [] No [] NA [] Yes [] No [] NA [] Yes [] No [] NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Test 2 for STP 87 passed. Change in reading .0000 Te~t :2 for STP 89 failed. Change in reading .0142 Test 2 for STP 9! failed_ ChaBge in reading =0043 Test 3 for STP 89 fa!!ed. Cha.n. ge !.n. read!.n.9 .0006 Test 3 for STP 91 nassed. Chanae in readina .0013 ~ If the entire depth of the sump is not tested, 'specify how much was tested. If the answer to ~ of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) SWRCB January, 2002 - . ' Page __ of__ 7. UNDER-DISPENSEI~oNT~NT (UDC)TESTING Test Method Developed By: [] UDC Manufacturer '[] h4dustry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] VaCUum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ,, ~"i~ ~ UDC # 1-2 UDC # 3-4 UDC # UDC # UDC Manufacturer: Bravo Bravo UDC Material: Steel printed Steel printed UDC Depth: 7" 7" Height fiom UDC Bottom to Top piping comes in piping comes in of Highest Piping Penetration: thru the bottom from the bottom Height fiom UDC Bottom to conduit from conduit from Lowest Electrical Penetration: bottom bottom Condition of UDC prior to clean clean testing: Portion of UDC Testedt N/A N/A. Does turbine shut down when UDC sensor detects liquid (both []Yes [] No'[]I~ []Yes []NO []hl~ []Yes []NO []NA []Yes []NO [] product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdoWn?* []Yes []No []NA I-lYes []No []NA []Yes []No FINA []Yes []No I-INA Was fail-safe verified to be I-lYes []No I~NA F'lYes []No []NA []Yes []No I-INA I-lYes []No FINA operational?* Wait time between applying pressure/vacuum/water and 2 Min 5 Min starting test Test Start Time: 11:54 12:13 - 12:30 Initial Reading (R0: t.4832 1.6142 -1.6141 Test End Time: 12:11 12:28 - 12:45 Final Reading (RE): 1.4843 1.6142 -1.6140 Test Duration: 30 Min t5 Min Change in Reading (RF-R,): ,00'1 Pass/Fail Threshold or Criteria: PASSED PASSED . Was sensor removed for testing? []yes []No []NA []yes []No []NA []yes []No []NA []yes []No [] Was sensor properly replaced and ![] verified functional after testing?[] Yes [] No [] NA [] Yes [] No [] NA [] Yes [] No [] NA Yes [] No [] Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~ If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) SWRCB January, 2002 Page of__ 8. F~L RISER CONTAINMENT SUMP TE!~NG Facility is Not Equipped With Fill Riser Containn~nt Sumps [] Fill Riser Containment Sumps are Present, but were Not Tested [] Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify). Test Method Used: [] Pressure [--IVacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ~! : · Fill Sump # Fill Sump # Fill Sump # Fill Sump # Sump Diameter: Sump Depth: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R0: Test End Time: Final Reading (RF): Test Duration: Change in Reading (Rr-Rl): Pass/Fail Threshold or Criteria: Test Result:: .. ~: I~ ~Si.,,~,,, O~!l~',,, Is there a sensor in the sump? [] Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No Does thc sensor alarm when either product or water is I-lYes I-1NO I-INA I-lYes I-INO I-INA I-lYes I-INo I-INA .I-lYes I-INO I-INA detected? Was sensor removed for testing? []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA Was sensor properly replaced and verified functional at, er testing? [] Yes [] No [] NA [] Yes [] No [] NA [] Yes [] No [] NA [] Yes [] No [] NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB January, 2002 Page __ of__ 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes [] Spill/Overfill Containment Boxes are Present, but were Not Tested [] Test Method Developed By: [] Spill Bucket Manufacturer [] Industry Standard []Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: Spill Box # Spill Box # Spill Box # Spill Box # Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R0: Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R0: Pass/Fail Threshold or Criteria: Test Result:i 'i:. ~ ~a ~ ~'~ I ~"'""' ' :~:' Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) 5643 BROOKS CT BAKERSFIELD,CA.93308 OFFICE(661)392-8687 & FAX(661)392-0621 AT,~RT 1000 UNDERFILL AND ALERT 1050X ULLAGE SYSTEM Precision Underground Storage Tank System Leak Test 7ES~ ~SUnT~S ............ Test Date:08-26-2002 /~_.,O,# BILLING:KERN CONSTRUCTION / SITE:C~RCLE P O, BOX 6096 ~ 5600 AUBU~',h~? OLDlV~E %FULL WETTED NON WET ED PRODUCT LEA~' TAi~K UNL-87 9~16 74% -.016-PASS PASS .0~~/SN/A UNL-89 9816 71% +.022-PASS PASS -.000-PASS N/A 0" PREM-91 9816 74% +.015-PASS PASS -.002-PASS N/A 0" WATER BALANCE Measurements showed that water in the backfill area at the time of testing was below tank bottom, and therefore not a facter in test determination. A monitoring well or a well point was driven in the backfill area to determine that there is no water in the backfill at ~ank bottom. A precision test was performed on tanks at the above location using the Alert 1000 underfill system and the Alert 1050 ullage system. I have reviewed the data produced in conjunction with this test for purpose of verifying the results and certifying the tank systems. The testing was performed in acorrdance with Alert protocol, and therefore satisfies all requirements for such testing as set forth by NFPA 329-92 and USEPA 40 CFR part 280. The results of testing are shown on the following page, and indicate whether the wetted and non-wetted portion passed 'or failed. Included with the report are reproduction of data compiled during the test which formed the basis for ~hese conclusion. This information is stored in a permanent file if future verification of test results is needed. AL~NC 040 Test Certified By: rt~99-5072 ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA CIRCLE K 8605 5600 AUBURN ST. 8AKERSFIELO, CA 93306 9816 GALLON UNL-87 TANK 12KHz AMPLITUDE RATIO 25KHz AMPLITUDE RATIO 0.75 1 5 750+ 0.75 1 5 750+ I I N N U U T T E 3 E 3 S S 5 5 i 12KHZ DETECTTON RATTO = .998 25KHz OETECTION RATIO = .999 TEST RESULT = PASS DATE AND TIME OF TEST: 8/26/02 2: 3gPM BEGINNING BOTTLE PRESSURE = 3200 ENDING BOTTLE PRESSURE = 2700 BEGINNING TANK PRESSURE = &.5 PSIG ENDING TANK PRESSURE = ~.5 PSIG ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA CIRCLE K 8605 5600 AUBURN ST. BAKERSFIELD, CA 93305 98~6 GALLON UNL-S9 TANK ~2KHZ ANPLITUDE RATZO 25KHZ AMPLZTUDE RATZO 0 75 ~ 5 750+ 0 75 ~ 5 750+ I N N U U T T E 3 E 3 S S 5 5 ~2KHz DETECTION RATIO = ~.00 25KHZ DETECTION RATIO = ~.00 TEST RESULT = PASS DATE AND TINE OF TEST: 8/26/02 3: ~4PN BEGINNING BOTTLE PRESSURE = 3200 ENDING BOTTLE PRESSURE = ~BO0 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = ~.5 PSIG ALERT TECHNOL OGLES PLOT OF ULLAGE T£ST DA TA CIRCLE K 8605 5600 AUBURN ST. BAKERSFIELD, CA 93306 98~6 GALLON PREM-9~ TANK ~2KHz AMPLITUDE RATIO 25KHz AMPLITUDE RATIO 0.75 ~ 5 750+ 0 75 ~ 5 750+ M M I I N N U U T T E 3 E 3 S S 5 5 ~2KHZ OETECTION RATIO = .997 25KHZ DETECTION RATIO = .997 TEST RESULT = PASS DATE AND TIME OF TEST: 8/26/02 2' 54PM BEGINNING BOTTLE PRESSURE = 3200 ENDING BOTTLE PRESSURE = 2200 BEGINNING TANK PRESSURE = ~.5 PSIG ENDING TANK PRESSURE = ~.5 PSIG RICH ENVIRONldENTAL 5643 BROOKS CT BAKERSFIELD,CA.93308 OFFICE (661) 392-8687 & FAX (661) 392-0621 ACURITE TM PIP~,LINE TESTER WORK SHEET DATE: ~'~'OD W/O#: Facility Name: dl~-L~ k ~ o~ Facility Address: ~OC) ~0 ~0 ~AJ ~A~ P~g~), ~/~ Product Line T~e (Pressure, Suction, Gravity): ~~~ P~ Manufacturer: ~f~ ~g~ Isolation Mechanism: PRODUCT START TIME END TIME TEST VOLUME RESULT /READING /READING PRESSURE RATE PASS/ 00: 00/GPH 00: 00/GPH (PSI) (GPH) FAIL I certify that the above line tests were conducted according to the equipment manufacturer's procedures. The results as listed are to my knowledge true and correct. The test pass/fail is determined using a threshold of 190 ml per hour (0.05 GPH) rate at 1 1/2 times working pressure or 50 psi which ever is greater. Tech: JAMES J. RICH State License:# 99-1072 sWKC~3 January, 2002 Page __ of __ Secondary ontainment Testing Reporl Form ~This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (if applicable), shouM be provided to the facility owner~operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Bakersfield 76 2608605 I Date of Testing: 8~6~2002 Facility Address: 5600 Auburn St. Bakersfield CA 93306 Facility Contact: ] Phone: Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Shirley Environmental Testing Technician Conducting Test: Robert Vargas Credentials: [] CSLB Licensed Contractor [] SWRCB Licensed Tank Tester License Type: License Number: 798892 Manufacturer Trainine Manufacturer Component(s) Date Training Expires 3. SUMMARY OF TEST RESULTS Not Repairs Not Repairs Component Pass Fail Tested Made Component Pass FailTested Made STP 87 x STP 89 x STP 91 x Disp 1-2 x Disp 3-4 x If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFIC~..AT.I~ OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING T~ the best~f my ~n~w~e~ t~fac;tated in this 7c~e a~curate and in fu~ c~mp~ian~e wit~ ~ega~ require~ents Technician sSignature:'- "~-~-~-,.~y/ ~//~.~_~,..~. /~.~ Date: 8/6'2002 SWRC~B #anuary, 2002 Page __ of__ 4. TANK ANNULAR TESTING Test Method Developed By: [] Tank Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: I Equipment Resolution: ~'~ '~ ~ !! · "~ Tank # Tank # Tank # Tank # ls Tank Exempt From Testing?t [] Yes [] No [] Yes [] No [] Yes [] No [] Yes [] No Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R~): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R0: Pass/Fail Threshold or Criteria: Was sensor removed for testing? []Yes []~ ~ ~Y~ ~ ~ ~Y~ ~ ~ ~Y~ ~ ~ Was sensor properly replaced ~d verified ~nctional aaer testing? ~ Ym ~ ~ ~ ~ ~ Y~ ~ ~ ~ ~ ~ Y~ ~ ~ ~ ~ ~ Y~ ~ ~ ~ ~ Comments - (include informaa'on on repairs made prior to testing, and recommend~ follow-up for fad~ tests) ~ Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such systems that are hydrostatically monitored or under constant vacuum, are exempt fi:om periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} SWRCB January, 2002 Page_ of__ 5. SECONDARY PIPE TESTLN~ Test Method Developed By: [] Piping Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: I Equipment Resolution: Piping Run # 91 Piping Run # 89 Piping Run # 87 Piping Run # Piping Material: Environ Environ Environ Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Premium Plus Unleaded Method and location of DW/ST DW/ST DW/ST piping-run isolation: Wait time between applying pressure/vacuum/water and 5 Min 5 Min 5 Min starting test: Test Start Time: 11:14 11:14 11:14 Initial Reading (R~): 4.7343 3.2577 4.1206 Test End Time: 11:29 11:29 11:29 Final Reading (R~): 4.7350 3.2578 4.1261 Test Duration: 15 Min 15 Min 15 Min Change in Reading (R~-Ri): -.0007 -.0001 -.0055 Pass/Fail Threshold or PASSED PASSED PASSED Criteria: Test Result: ,' i! Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB January, 2002 Page __ of__ 6. PIPING SUMP TESTING Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ~:~'~:', ~1~,~,~ SumP # Sump # Sump # Sump # Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested~ Does turbine shut down when sump sensor detects liquid (both [] Yes [] No [] product and water)?* Turbine shutdown response time Is system programmed for fail-safe [] Yes [] No [] shutdown?* Was fail-safe verified to be [] Yes [] No [] operational?* Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Ri): Test End Time: Final Reading (Rr): Test Duration: Change in Reading (RF-Rx): Pass/Fail Threshold or Criteria: Test Result: ~ ~Fa, Was sensor removed for testing? [] Yes [] No [] Was sensor properly replaced and verified functional after testing? [] Yes [] Comments - (include information on repairs mclde prior to testing, and recommended follow-up for failed tests.) ~ If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) SWRCB January, 2002 Page .__ of __ 7. UNDER-DISPENSER~ONTAINMENT (UDC) TESTING Test Method Developed By: [] UDC Manufacturer ~ [] I~dustry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: UDC # 1-2 UDC # 3-4 UDC # UDC # UDC Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top of Highest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: Portion of UDC Tested~ Does turbine shut down when UDC sensor detects liquid (both [] Yes [] No [] product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown?* I-lYes []No []N~ I-lYes []No []N~ []Yes []No []N~ []Yes []No []N~ Was fail-safe verified to be operanonal. Wait time between applying pressure/vacuum/water and 5 Min 5 starting test Test Start Time: 16:31 16:31 Initial Reading (Ri): 1.2014 1.1464 Test End Time: 16:46 16:46 Final Reading (RF): 1.2032 1.1462 Test Duration: 15 Min 15 Min Change in Reading (RF-Ri): -.0018 ,0002 Pass/Fail Threshold or Criteria: Test Result: : Was sensor removed for testing? []Yes []No []NA []Yes []No []NA []Yes []No []NA []Yes []No []NA Was sensor properly replaced and verified functional after testing? [] Yes [] No [] Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) I If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) · SWRCB January, 2002 Page __ of __ 8. RISER CONTAINMENT SUMP TES~II~G Facility is Not Equipped With Fill Riser Containment Sumps [] Fill Riser Containment Sumps are Present, but were Not Tested [] Test Method Developed By: [] Sump Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Equipment Resolution: ~g~~; Fill Sump # Fill Sump # Fill Sump # Fill Sump # Sump Diameter: Sump Depth: Height fi-om Tank Top to Top of Highest Piping Penetration: Height fi-om Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Ri): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF2Ri): Pass/Fail Threshold or Criteria: Test Result: Is there a sensor in the sump? [] Yes [] No '[-I Yes [] No [] Yes [] No [] Yes [] No Does the sensor alarm when either product or water is [] detected? Was sensor removed for testing? [] Was sensor properly replaced and verified functional after testing? [] Y~ [] Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ' SWRCB January, 2002 Page __ of__ 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes [] Spill/Overfill Containment Boxes are Present, but were Not Tested [] Test Method Developed By: [] Spill Bucket Manufacturer [] Industry Standard []Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum []Hydrostatic [] Other (Specify) Test Equipment Used: [ Equipment Resolution: ~-;~i!l~!!ll~l~ ~i~l~::~~~l Spill Box # Spill Box # Spill Box # Spill Box # Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Rb: Test End Time: Final Reading (RF)~ Test Duration: Change in Reading (RF-R~): Pass/Fail Threshold or Criteria: Test Result: Comments - (include information on repairs made prior to testing,, and recommended follow-up for failed tests) 07/24/2002 23:32 8185674273 GPH PAGE 02/02 ..... ,.,.~,.. ,L-,,,. ~.,zv qO00X CI~" OF B~~~LD - ' O~CE OF K~O~ENTAL SER~CES 1715 Chester Ave.¢'Bnke~~'CA (661)32~39~9'." ' ' p~o~ j BRIEFLY DESCI~E TH~ WO~,X. TO BR' .~ CIRCLE K 8605 5600 ~UBURN BAKERSFIELD C~ 9:::306 661 --871-7979 AU(]; 26. 2002 2:24 PM SYSTEM ST~TI.}S 1 N\IE[,iTO~Y REPORT T 1 :UNLEADED VOLUME = 7401 ULLAi]E = 2415 GALS :I 90.% ULLAGE= 1 4'23 G~'4LF_; 3 TO VOLUME = 9253 G~LS HEIGHT = 63.65 INCHES WATER VC, L~ = 0 WATEE = 0.00 [ NC.'HES TEMP = 88.5 DEC~ F ,: · l: LL,J VOIXiP1E = ? 141 GaL~i~ ULLAGE = 2675 GALS 90~:.:: ULLAGE= 169,3 GALS TC; VOLUME = 7126 C;~LE; H~'~T = 61.63 I I',K:HE~ ~,:J~ VOL 0 GALS ~'R 0 00 I NCHE~ TEMP = 88.~ DEG F T :]: P~EM I i_iH VOLUME = 7425 (]ALS ULLAGE = 2381 GALS 90~ ULLAGE= 1 ~99 GALS TC VC,,LUME = 7279 GALS HEIGHT = 62.9I INCHEE; WATER VOL = 0 (3aLS WATER = 0.00 INCHES TEMP = 89.9 DEG F CITY OF BAI~SFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSP~t~T[ON RE(~ORD POST CARD AT JOB SITE ! NSTRU~IONS: Ple~e call ~ot ~ ins~tot only w~ ~h ~up of i~tions ~th the ~ numar ~ ~y. They will mn in cons~utive o~er bc~nning ~th numar I. ~ NOT cover work for ~y num~ ~up ~dl all it~ in t~t ~up ~ si~ offby t~ Pe~iUing Authodw. Follo~ng th~ inslmctions will ~ucc thc numar of ~ui~ i~don visi~ ~d ~emfom p~t ~t of~tio~ f~. .... ~SPE~ON , , , ,, I ...... DATE I ~SPE~OR B~k~li of T~(s) Sp~ T~ CeniR~tion or M~uf~t~ M~ Cath~ic Pmt~don of T~k(s) I f t - Co--ion Pmt~tlon of Pip~ Jo~, Fill El~cal [~l~on of Pip~8 From T~s) Cath~ic Pmt~tion S~tem-Pipln8 SECONDARY CO~AIN~, O~ILL PR~iO~, LEAK D~TE~ION Liner l~mil~ion - T~k(s) Liner [nsmlladon - Piping Vault With ~uct Com~le ~1~ ~el Oaug~ or S~, R~t Vmt V~vm P~uct Com~ible Fill Box(~) P~uct Line Leak ~tmto~s) Le~ ~t~t0~s) For Annual Sp~e-D.W. T~k(s) Monitoring Wcll(sySump(s) - H20 Test Leak ~tion ~vic~s) For V~o~Omund~ter Prevention Boxes Monitoring Wells, Caps & L~ks Fill Box L~k Monitoring Rcqui~ments Ty~ ~ ~ -~ Authod~tion for Fuel Drop ~.-- p1010106.jpg (1280x960x24b jpeg) L 88/81/2882 23:45 8185674273 QPI',I P~GE 02/82 ........... ~"//24/201~ 23: ~ 8Z85674273 ~' e2/e2 ~ OF B~~LD ~ 87/24/2882 23:32 8185674273 ~PH P~,GE 02/02 .,,o~.~~. .... _ .~,. ~ ELD O~CE OF E~O~ENTAL SER~CES 1715 Chester Av~.{'Bake~fi~'CA' 326-3999';, "; (661) ~A~ ~~ ~ --' : ...... . _ . - _ . _ , ~~ _ T~O, ~E ~~ ~~ P~ ~EL A~TzON S~o~ ~R~ M ~ ~.~~ T~ T~ NO. vO~ ~~ ~ ~ NO. ~~c P~OUSLY STO~ '. ~~~ -. . ...... ~.~T~, · . . './QPM, LLC Quality Project Management, L.L.C. 2109 ~., Suite 101 85282 Phone: ,175 Fax: (602) 4 6 LETTER OF 'SMITTAL ~ ARE SE~ING YOU: A~ch~ ~ ~e foRow~g i~: ~ Field R~ ~ ~ge ~d~ ~ Add.dm ~ ~er CoFies Date ~SE ARE T~NSM~D AS C~ED BELOW: ~ For appmv~ ~ Appmv~ ~ su~U~ ~ Result copi~ for approv~ ~For yo~ ~ ~ Appmv~ as nord ~ ~t copi~ for ~fion ~ ~ r~ues~ ~ For r~iew ~d si~ ~ P~E ~ ~ ~er ~ FO~ mm D~ CC: Si~ed: u';/J.~,/uz 1U:14 'Z~661 ,326 0576 BFD I/AZ K4T DI¥ CITY OF BAKE~~LD OFFICE OF E~O~ENT~ SER~CES 1715 CheNt~r Ave., Bak~fiel~ CA (661) 326--3979 PERMIT APPLICATION TO CONSTItUCT/MODIF~ UNDERGROUND STORAGE TANK TYPE OF APPLIC/~TION (CI-IECK) [ ]NEW FACILITY [~MODINICATION OF FACILITY [ ]NEW TANK INSTALLATION AT [~J. STING FACILITY STARTINO DATE__ _ ~7~ ~_~5'''O''~ PROPC~.D COMPLETION DATE FACILrI'Y N.,~vlE I~ EXJ~T[NG FAC[LrrY P~ NO.___ ........ comm~Acrog c~ r c. CAUC~S£ Ai~u~S . 'CITY ~- Z~'CODE~ Pl~O~NO.~l. ~. -- --- B~IUELUCrrV BUSIngS LICE~E WOmCVlAS COMP ~O.P .... BRIEFLY DESCRIBE THE WORK TO BE DONE · U/d DEPTH TO OROUN"D WATER /'TC ,' SOiL TY~E EXI~CTED AT Sn~- NO. OF TANKS TO IIE I~STALLED '- -~" ARE THEY FOR MOTOR FUEL - ' ,,~ YE~ --NO SPiL~. PREVe~{O~ COZqTROL ~ COUm'~ ~,~.m~ v ~u~ ON Sm~ ~ff, s~. _~o _.~EC'imON FOR M Om'OR T~d~FK NO. VOLUME ~ED REGULAR PREMIUM DI]~EL AVIATION , q.,- .. /~z~o ~ ' .~ ,,~.,~p.._~ .... S~e'flc~ son No~ M OTO~.E~m STOg,~G~- TANKS 'r~ ~o. vot.m~ ~cat, sro~ cas No. crmmc~a, r~--~nou$~¥ STOVX:O (SO ~ ~ 0~ ~OW~ ~ ~ 07/0S/2002 12:00 310879S994 PETODH TECH INC PAGE 02 PET'CON TECHNOLOGIES INC. July 9, 2002 To Whom It May Concern: I, Oytun Turumtay, Treasurer of Petcon Technologies Ino., give suthorization to Mr. Anthony Elliott to obtain any permits, licenses or any other necessary documentation on our behalf for any Phillips Petroleum/Tosco/Phillips 66 Company service station located in California. 14118 8. Ingleamd Avan~ H,~=~, CA 9~SO , CA Contractor Lioense #675998 A, C10, Haz · Workers Compensation Insurance policy #046-02, unit 0006359, T ~o e7~ m.~ expires 1103 F :~1o e/~ ~ · City of Bakersfield Business License #02-58725 (as of yet, have not received hard copy) If you have any questions or need any additional information, pl,;~ase do not rer~~.cem hesitate to contact me at (310) 679-9991. w~.~m Thank O~n Turumtay, Tmesu~r PoSen Technologi~ , ~;07/09/2002 12:00 3106799994 PETCON TECH INC PAGE 03 STATE P.O. B~X 807, SAN FRANCt,$CO,CA '8z~.101.-;..0~07 .' ~ .... IN~.I.J~,.=?~N"~ ', ~..f ~ ' '' ': ~ERTIFlCA?I~ ~ WORKERS' .COMPI=N~ATION .II~IJRANCI~ ~ .... . '~. · :....,4 ,'i POLICY NUMEIER: 048-02 IJNZT 000a36~ ,. ISSUE DAT~ 0t-0f-02 CERTIFICATE EXPIRES: Ol-01-O:J ,' .... .* (~ONTRACTORS STATE L I C£NSE BOARD .., . ' d ';' ' '''~ -- . i;,JO~: L, ZC #6?5998 ; ATTN" NORKERS' CO/~PENSATION DEPARTHENT. ~ .." ' .-.-' *' ,': INCEPTIQN~OATE: 0'1-0~-0~ · :,, P 0 ~OX 26000 '* ~. : "' ~:o..:* SACRAMENTO CA, 958Z.6 , :" :..*~,. ~ ~ :'. .¢ This iS to =ect~{¥ that we have issued a valid Workers' Compensation insurance policy in a form apt3ro,~ed by the C=lHornla Insurance Commissioner to the employer named below for the policy period indicated, TIlls policy iS not subject to ¢,~ncellation by the Fund except upon 3odays' advance written notice to tie eml~loyer, We will also give you~3~).d~,° advance notice should this policy be ¢artcel{ed prior to, Rs. nOr~'lal,expir.ation. :... ?.? .. .,, .. i! .': '.r.- ~'"'~' ' : ' 'i ' This certifk;ate .,~f ...Ins~irance is neZt ~n instance ·policy and dOes ru3t en~, n~ ex, nd" o~ alter the .~oven~§e ~ff~'ded by, the i~oli~!.e~;lis.~e.d heYef_n,.'~,,N~...~vithstan~l!rt~ any ~...eq,uil'ement, term, or =.o...,n.~tio~ el' any'.c~r~aCt"~¢; oth~ document wftu resi~e¢~..~3 wh.¢h this ~e~.flcate o~ ~dsur~n.'.¢~ ~..~e,,[ssued or ma?.-.pe~tai~'the insur~riee '~fford~.~d~ b~.J the ;?"'~'~,'~ policies des~'ibed herein is subject to alt the t~-ms0 ex&l~s~ons and conditi6rf~ ~f such po[icies, . :i ~ .~ "": i.. , . ? ~ '....' .~ ,. · : .. ,.~ ,.. i,,,~ ....,, ... 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[ ;; ~ .' ~.;~.:.~ ,..~'. , ..: ', -..-....,.-.: ,.~ .:;,,~:!., .,...{. ,,~;,,~ 5; , . · · ... :' ' - · ~ ~ x ~ .... " · : .: .':';',.;:.; · ': . ' .... · '~," ' ¥~.-:,. ':~..~:,'.Z'. . ' ....... . .... ,. - ........... I. ,.. / · · ... ..... ~ .......... ..-. . · .. . : .... ,,..:,,...:... :. ,L; ....... '~.. .. · . .. ., . ~.~=~ ..... - , .. .,; ...... . ...... ... : .... ~....... '~, ;L~ ..~: .... . w~-. ,. - · '. ' : , " ' . . .'.' ", '. :~' ."- .:; '. · . .. '~,':'.'.:' ">,~N~C~.,,,,., State OI~ C 01ilot~o ~ CONi'RACIOE$ SLATE LICEN.S; BOARD ACTIVE UCENSE ~675998 '"~ co~ ~A B CtO H~ H~ ~'~08/31/2003 ~ 87/i7/2882 12:85 3186799994 PETOOH TECH INC PAGE 82 PROJECT SPECIFICS 'TOSCO SITE #2708605 5600 AUBURN ST. BAKERSFIELD, CA THIS PLAN ADDRESSES WORKER AND COMMUNITY HEALTH AND SAFETY CONCERNS AND ACTIVITIES ASSOCIATED WITH TKE ARCO SERVICE STATION #2708605 AT 5600 AUBURN, BAKERSIZlELD, CALIFORNIA. ~ PLAN WILL BE IMPLEMENTED DURING ALL PHASES OF Tt-IE ON SITE WORK. ALL PETCON TECHNOLOGIES INC. PERSONNEL, SUB-CONTRACTOR AND/OR THIRD PARTIES V~-IICH MAY ENTER THE SITE ARE REQUIRED TO COMPLY WITH I~,A.S.P. AT ALL TIMES. THE SITE MANAGER HAS OVER-ALL PROJECT RESPONS1BLLITY FOR THE DEVELOPMENT, COORDINATION', AND IMPLEMENTATION OF THE TOSCO SERVICE STATION #2708605 WORK PLAN 1N A SAFE MANNER. THE SITE MANAGER IS ALSO RESPONSIBLE FOR THE IMI:'LEMENTING OF THE H.A.S.P. AS WELL AS SUPERVISING THE FIELD TEAM MEMBERS. THE SITE MANAGER FOR THIS SITE IS JESSIE ORNELAS OF PETCON TECHNOLOGIES INC. 87/17/2882 12:85 3186799994 PETCOH TECH INC PAGE 83 EMERGENCY ASSIST,,ANC,E INF,O~T!ON NEAREST FIRE DEPARTMENT AND PARAMEDIC IX)CATION: FIRE STATION 911 2213 UNIVE~ AVE. BAKERSFIELD, CA GEN. NON-EMERGENCY #: (661) 631-8421 NEAREST HOSPITAL WITH EMERGENCY ROOM: KERN MEDICAL CENTER (661) 326-2000 1830 FLOWER BAKERSFIELD, CA SITE MANAGER: JESSIE ORNELAS OFFICE HOURS 7:00 AM TO 3:30 PM (310) 679-9991 FIELD HOURS 7:00 AM TO 3:30 PM (213) 761-2091 AFTER OFFICE HOURS (213) 761-2091 07/17/2002 12:05 31067999cJ4 PETCOH TECH IHC PAGE 04 9.. ~ ~ Mapquest: Driving Dimctio_~i~: North America Page ~ of 2 Netscape Presents Home I Help N~ driving directions · Eum~ ~0 Auburn Et ~3 Un~sm~ A~ = ~ Rou~ ~eld, ~ ~eid, ~A ; U8 Whats N~ S~~ mil~ ~ DI~ ~$TANCE ~: S~ ~ut 90{n9 E~t ~n AUBURN ST ~ FA~RF~ RD 0.05 2: Turn RIG~ onto FNRF~ RD. 0.~ mil~ 3: T~e ~78. 1,94 m~es  4: Ta~ ~e ~RNON AVENUE ~, 0.1g ~ 6: Turn RIGHT on~ MT ~RN~ A~. 0.68 6: Turn LEFT onto UNI~RSt~ A~, 0.~ miles ~ 6 minuW 3,00 milos Yellow ~ http://www, mapquest.com/directions/main.adp?lg=cR9JOorrUaUAbShX02valA%25,.. 7/17/02 87/i7/2882 12:85 3186799994 PETCON TEOH THO PAGE 05 ~ ~ ,~ ~aap~uest: Driving Directi~[~: No~ Ameri~ Page 2 of 2 ~ ~e~. ~ae ~ ~ Map ~e~ ......................... D~ON: ~ke~eld~ CA ~l~l,: ,i.:[ :.:::: Z.%; ~ L~ ....= ....... ~,- ~ [~;~ ~ [~ · ' ;;~.,r.."=,::.= ~:;i'~~ ~ ~M~T~ ~ T~ ~ ~m-~-TumM~T~ 'Thet,~ d~cl]o~ ~ ~aU~f,~d only. No r~taaenta~an ts m&~ m'wnrrnnty given a~ ~o t~0ir contant, mad ~onditlo~ or mute u~l~iFit~ ol' exl~dllioum~emi, USer a~ume~ all dllk of uae, MaJ~Oue~t end ~ite Index I About MaD .Q~[~ I Par~ I MapSt~m I Hel~ Cen_te_r hltemational ~ Si_res I Mobile MapOue?~ I ,N:lvell~e..W_l_~ Us. I privacv Poliev& [,t~al Notices ~ 2002 MapQueal.com, Inc. All fight~ reserved. http://www.mapquest.com/directions/main.ad p? lg=cR9JOorrUaUAbShX02val^%25... 7/17/02 07/17/2002 i2:05 3106799994 PETCON TECH TNC PAGE '~ raap~ue~t: Driving Directio&North America P~§e 1 of Netscape Presents Home I Help ~1~ driving directions · Eu~pe 5600 Auburn St t830 Flower · Saved Rout.s I~kefl~fi~ld, CA ~ ~ US To~l Dis~n~: 3.51 mll~ Teal ~fi~ Time: 6 mlnu~s ~C~ON8 D~T~GE ~: S~ outgoing East ~ AUBURN ST t~ F~RF~ RD 0.05 miles  ~ ~ming ~ ~ 2: Turn RIGHT onto FAIRF~ RD, 0.09 3; T~e ~-178. 1,04 miles  4: Take the MT ~RNON A~NUE ~t, 0.1g mi~g ~ 6: S~y s~ight ~ go omo HEIG~ 6T, 0.01 mil~ ~: Turn LE~ on~ MT ~RN~ A~, 0.g7 mil~ 7: Tum RIGHT o~o FLOR ST, 0.20 miles  T~i EsOma~ ~: T~I Dis~n~: ~ minu~ Yellow P~ ~ ~;~ ~.,~4~ ...................... ~~~ ~ Zoom I~ ~ Re-~n~r http://www, mapquest.¢om/directions/main.adp?1g=cR9JOorrUaUAbShX02valA%25... 7/17/02. 07/17/2002 12:85 3166799994 PETCON TECH INC PAGE 67 ~, .aapuuesz: ur[vfng Directi North Amedca Page 2 of 2 DESTINATION_- ~830 Flower 8t Bekersflold, GA Ro-d[oplay Dlreol~oml wf'th; ~' OvewMwMepwltllTex~ ~ TextOrffy 0 Tum-by-TumMepewll~Text ~ directions em Infommti0nel only, NO mpmaelltati0n ia made 0r wan-amy liven aa to ~eir content, ~ coft~tlona or mu~ u~atdllty or expg~fflou~,rler~ Uaer aa,uL,~ga all I~tak et' ua~. MapOugat and I~ aulq~le~ aammle nO rg~penelttll~ for any/o~ ar d~ay re,~lti~l~ from .~h uee. Site Index I About MapC~est I Panners I ~ I Hela Center ~temationaLWeb'~iW~ ~ ~~_s..~t I ~,dvertise W[th ~S'i ~u~Iness ~a © 2002 MapChJe~.com, Inc. Afl rlghls reserve~, http:l/www'mapqueSt'c°mldimcti°nslmain adp?1g=cR9JOorrUaUAbShX02valA%25 7/17/02 B D May 29, 2002 Circle K 5600 Auburn Street Bakersfield, CA,93306 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 5600 Auburn Street 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 (661) 326-3941 FAX (661) 395-1349 Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002. section 25284.1 (California vo~c[ (661) 326.3941 Health & Safety Code) of the new law mandates testing of secondary containment FAX (661 ) 395-1349 components upon installation and periodically thereafter, to ensure that the systems PREVENTION SERVICES are capable of containing releases fi.om the primary containment until they are 1715 Chester Ave. detected and removed. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. ENVIRONMENTAL SERVICES Secondary containment systems installed prior to January 1 2001 shall be tested by 1715 Chester Ave. ' Bakersfield, CA 93301 January l, 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, ! 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 underw~ Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures 05/01/2082 18:18 3186799994 PETCON TECH TNC PAGE 03 04/29/02 15:16 ~661t 0576 ~ ~Z ~T ~I~ ~005 1715 C~ter Ave., B~e~~, CA (661) 326-3979 ~LI~ON I0 PE~O~ A T~ ~G~~SS 8ECO~ARY CONTA~NT ~T~G PERMIT TO OPERATE # .... OPERATORS NAME _ ...... OWNERS NAlV~ ........ NUMB~OFT~STOBE~~.~, . IS P~ING GOING TO BE TEST~D ~ T~ ~ VOL~ CO~TS  FAX~rransmittal ^ ~ ~ ~ $ ~ ~ ~ ~ ~ COVER SHEET FIRE DEPARTMENT PREVENTION SERVICES 1715 Chester Avenue · Bakersfield, CA 93301 Business Phone (661) 326-'3979 ® FAX (661) 326-0576 COMPANY: "-"~e'~COi'~ ~'~'/'~.,~~-~" FAX NO.' ~Ib -t;lq'qqq, ~OM: ~~ ~,U'~~ ~, Il II COMMENTS: 05/02/02 08:54 '~661 326 0576 BFD HAZ MAT DIV ~001 *************************** *** ACTIVITY REPORT TRANSMISSION OK TX/RX NO. 4058 CONNECTION TEL 13106799994 CONNECTION ID START TIME 05/02 08:51 USAGE TIME 02'46 PAGES 3 RESULT OK D April 17, 2002 Circle K 5600 Auburn FIRE CHIEF Bakersfield CA 93306 RON FRAZE ADMINISTRATIVE SERVICES RE: Necessary Secondary Containment Testing Required by December 31, 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 VOICE (661) 326-3941 The purpose of this letter is to inform you about the new provisions in California law FAX (661) 395-1349 requiring periodic testing of the secondary containment of underground storage tank systems. PREVENTION SERVICES 1715 ChesterAve. Senate Bill 989 became effective January I, 2002. Section 25284.1 (California Health & Bakersfield, CA 93301 VOICE (661) 326-3951 Safety Code) of the new law mandates testing of secondary containment components FAX (661) 326-0576 upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 Secondary containment systems installed on or after January 1, 2001 shall be tested upon VOICE (661) 326-3979 installation, six months after installation, and every 36 months thereafter. Secondary FAX (661) 326-0576 containment systems installed prior to January 1, 2001 shall be tested by January I, 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 contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures ' gle Environmental, Inc. Attn: Steve Underwood City Of Bakersfield Fire Department 1715 Chester Avenue, Third Floor Bakersfield, CA 9330:L Re: UST System Test Results Please find attached the tank/line/leak detector test and/or monitor certification results for Tosco Marketing Company facility(les) in your jurisdiction. If you have any questions regarding the attached please call (818) 840-7020. Triangle E~vironmental, ]:nc. For Tosco Marketing Company Attachments cc: Tosco Deale~ - Please file the attached test results in your Tosco Compliance binder. Thank you for your cooperation. Site# Test Date Site# Test Date 2525 W. BURBANK BLVD., BURBANK, CA 91505-2302 · TEL:(818) 840.7020 · FAX:(818) 840.6929 Triangle Environmental, Inc." 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 (813) 840-6929 US T TESTING SYSTEMS S UMMAR Y SHEE T Precision Underground Storage Tank System Leak Test Client: :: Phillips 66 Company Phillips Facility # 08605 1500 North Priest Drive Tempe, AZ 85281. Test Date: 3/~4/02 Kathy StrickLand (602) 728-7149 Facility: 2708605 Work//: 302363 Phillips Facility # 08605 County: KERN 5600 ,AUBURN ST Cross Street: FAIRFAX ROAD BAKERSFIELD, CA 93306 Tank Test System Tank Line # Product Capacity Type Rate/Results Ullage Result Rate/Result L/D Result Certified By: Technician: Ed Justice State Lic. #s: CA-1624 Comments: Monitor certification This precision tank testing system has been third party evaluated according to the guidelines of the EPA procedures for annual leak detection systems and found to exceed the criteria of detecting a leak of 0.10 gph with a Pd >95% and Pla <5% as required by Local, State and Federal EPA UST Technical Standards Part 280 for precision testing systems. This SB-989 secondary containment testing system exceeds the criteria for detection as required by state and local agencies. Triangle Environmental, Inc. UST MONITOR CERTIFICATION SUMMARY SHEET Client: PhilliPs 66 Company 1500 North Priest Drive Phillips Facility # 08605 Tempe, AZ 85281 :: Test Date: 3/4/02 Facility: Phillips Facility # 08605 Work#: 303363 County: KERN 5600 AUBURN ST Cross Street: FAIRFAX ROAD BAKERSFIELD, CA 93306 Monitor model: VEEDER-ROOT TLS-350 Serial #: 80648964705001 Certification Result: PASS Sensor Type: Quantity: Result: Tank Annular : 3 PASS Annular Type: DRY Waste Oil Annular: 0 N/A Audible Alarm? Yes Waste Oil Sump: 0 N/A Visual Alarm? Yes Vadose Wells: 0 N/A Fail Safe? Yes Line Pressure: 3 PASS Positive Shut-off? Yes Turbine Sump: 3 PASS Gauge Only Result: PASS Line Trench: 0 N/A ATG Monthly? No Fill Sump: 0 N/A ATG CSLD? No Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: ~~.~ Ed Justice Triangle Environmental, Inc. UST FACILITY INSPECTION/A UDIT SHEET Facility: Test Date: 3/4/02 Phillips Facility # 08605 5600 AUBURN ST BAKERSFIELD, CA 93306 County: KERN Cross Street: FAIRFAXROAD Work#: 302363 -- Status -- Type 'Number of N= N°t Present °r Observed C= Coaxial P= Pressure F= flex Disp. Hoses S= Satisfactory I~ Dual A= Angle Check M= Metalic U= Unsatisfactory N= So Stage I V= Venial Ch~k Regular: 4 4 Fill Cover: S Plus: 4 4 Fill Cap: S Fill Type: D Premium: 4 4 Fill Cap Seal: S Product Line Type: P Diesel: Drop Tube: S Tank Swing Joint Type: F Kerosene: Strike Plate: G Dispenser Swing Joint Type: F Total # of Gas Nozzles: 4 V/R Cover: S __ Status N= Not Present V/R Cap: S $= Satisfactory ~ Stage II U= Unsatisfactory B~ Balance V/R Seal: ' S Impact Valve: S A=~l~ V/R Dry Break: S Vertical Cheek Valve: N System Type: A Sub Pump: S Fill Spill Containment: S Assist Mfgr: GILBARCO Sub Pump Cover: S Fill Spill Mfgr: OPW Overfill: S Dispenser Containment: U Overfill Mfgr: OPW Sub Pump Containment: S Comments: Compliance Detail: (List items that need immediate attention.) COMMUNICATIONS SETUP ANNUAL TEST FAIL - - . ALARM DISABLED ~ :~ ~:~ SYSTEM SETUP PORT SETTINGS: PERIODIC TEST FAIL :~ .: ": '-, M~R 4. 200~ 12:17 PM NONE FOUND : :-'::-:::: ':: :-:-: ' ALARM DISABLED : : . CODE : 000000  SYSTEM UN1T~ A~N TE~T AVERAGING: OFF U.8. PER TE~T AVERAGING: OFF SYSTEM LANGUAGE TANK TE~T NOTIFY: OFF ENGL 18H ::?: _. SYSTEM DATE/TI~E FORMAT T~K T~T SIPHON BREAK:OFF ~ON DD YYYy HH:~M:~8 x~ R~-2~2 END OF ~ESSAGE D I ~ABLED DEL I VERY DELAY : 2 M I N : CIROLE'K 8~05 ': :... ~ 5GO0 AUBURN . · ' '-::: :."l BAKERSFIELD CA 9~306 :: SHIFT TIME 1 : 6:00 AM SHIFT TIME S : DISgBLED "~ SHIFT TIME 4 : DISRBLED ' TRNK PERIODIC ~&RNINGS D I S&BLED , I N-TRNK SETUP TRNK &NNU&L ~&RNINGS T 2:PLUS D I SgBLED PRODUOT GODE : 2 LINE PERIODIC ~RRNIIqGS T I:UNLERDED : ' DISRBLED PRODUCT CODE : 1 TRNK DIRMETER : 92.00 LINE RNNUgL t~gRNINGS THERRRL GOEFF :.000700 TRNK PROFILE : 4 PTS TgNK DIRMETER : 92.00 FULL VOL : 9016 ":.:.~':>~..':.: .<-:?~. DIS&BLED ; TRNK PROFILE : 4 PTS 69.0 INCH VOL : 0058 · '::. ~.. PRINT TG VOLUMES FULL VOL : 9816 46.0 INCH VOL : 4992 :% ..... EN&BLED 69.0 I NCR VOL : 0058 .:?[ 2B.O llqGR VOL : 1898 ?': 46.0 INCH VOL : 4992 ' ' : TEMP CORPENSRTION ~ 20.0 INGH VOL : 1898 ':'"il FLORT SIZE: 4 0 IN. 84¢6 8T ICK HE I GHT OFFSET ' ~ 2.0 DISRBLED FLORT SIZE: 4 0 IN. 8496 5IRTER ~RRNING : PRECISION TE$T DURRTION ' HIGH ~RTER LIMIT: HOURS: 12 bJRTER ~RRNING : 2.0 DRYLIGHT SgVING TIME HIGH ~gTER LIMIT: 3.0 ' lqRX OR LRBEL VOL: 9816 EN&BLED OVERFILL LIRIT : 90% :' ' ;: START DATE MAX OR LABEL VOL: 9816 : 8834 '-' .::.: · ~ RPR ~3EEK 1 ~UN OVERFILL LIMIT : 90~ HIGH PRODUCT : 95% ........... "::': ::"' ': STRRT TIME : 8834 : 9~25 ::::::::::::::::::::::::::::::::::::::::: 2:00 RR ;:~ HIGH PRODUCT : 95~ ,:~. DELIVERY LIMIT : OCT ~EEK 6 ~UN ?~: DELIVERY LIMIT : END TIME : 490 LO~ PRODUCT : 2:00 RR ~::::::::~ LERK RLRRM LIMIT: 99 ~UDDEN LOSS LIMIT: 50 .-:::: ..::::: ': :: ODUOT : ..::. : LERK RLRRM LIMIT: 99 ~:::::':TRNK TILT : · ::.':: ..:-: : ..... SYSTEM SECURITY ~UDDEN LOSS LIMIT: 50 , :::::~RRNIFOLDED TRNK~ :::::::::::::::::::::::::::::::::: CODE : 000000 TRNK TILT : ~.48 "" T~: NONE ::::::::::::::::::::::::::::::::::::: ' ::' MRNIFOLDED TRNKS ~'~:::~::~ :~:?':. 981 ::::..... :.:::. :. . ,.-.. ' . ~:~)~:::~:-~::::~::~.~:~' ::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::':):' :::::' :.::':.:' ' LERK Ml N RNNURL : 10% k, ::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::: +:::::.:..:::::: :::::::::::::::::::::::::::::::::::: ~ .... ::::::::::::::::::::::::: :' ::':-:: :::: .,~:::'...:: ,: ,k :: :: :- .: : :: :: .: '~,.:~-f.::.!:.?l :';:'::::::~::'~ .... ANNUAL TEST FAIL I,',:,.:"::::::,:;:::,:<,:,:. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::i::)::-=:::=: :=: ::::::::::::::::::::::::::::::: , :... ALARM DISABLED ': ' : :"-i~:E~R'~:8::-~--TES: TYPE· , ..:::':?'::::: ': ANNUAL TEST FAIL · ..: , - : ................ ' ': ...... ANN TEST AVERAGING: OFF ....... ii'::,: RLRRR DIe,BLED W 2 :PLU~  PER TEST AVERAG I NG: OFF i':;;'~'"W~':'<~ GRO~ TEST F~ I L P I PE ~PE: F I BERGLRSS TANK TEST NOTIFY: OFF ~LARH DISABLED LINE-LENGTH: 100 FEET 0.20 GPH TEST: DISABLED TNK TST SIPHON BRE~K:OFF ~NN TEST AVERAGING: OFF ' U. 1U'~P~-T~S~'i-' E'I'~A~L~D .......... PE~ T~T ~VERAGING: OFF ~:: SHUTDOWN RATE: 3.0 GPH :::::::::::::::::::::. ::::: ':: DELIVERY DELAY : 2 MIN :: ?~ O. 10 GPH TEST HM/DD T~NK TEST NOTIFY: OFF DATE : T 2 :PLU~ . ..:::.: ,/? ,: , STANDARD ..... ':. : ::: :: DELIVERY DEL~V : 2 MIN ::::::::::::::::::::::::::: ':.::::::.::.:::~:: T B:PREMIUM PRODUCT CODE : ~ ~.,'?::~ T~NK DIAMETER : 92. O0 ..::,'":J FULL VOL : 9B16 '~ j' ~ S:PREMIU~ 69.0 INCH VOL : BO~B ~ LE~K TEST ~ETHOD ~ 46.0 INCH VOL : 4992 ~ PIPE TVPE: FIBEROL~SS ': i 23.~ INCH VOL : 1S9S ' j TEST ON D~TE : ~LL T~NK LINE LENCTH: 100 FEET , ~ J~N 1, 2000 0.20 OPH TEST: DISABLED ~ START TIME : 12:00 ~M 0.10 OPH TEST: ENABLED ' ~ FLO~T SIZE; 4.0 IN. S4S6 TEST R~TE :0.20 G~L/HR SHUTDOWN R~TE; ~.~ WATER WARNING : 2.0 DATE : 999 0 ' · , HIGH WATER LIMIT: S.0 . T J:PREMIUM ~ D I SPENSE MODE: :' : MAX OR LABEL VOL: 9816 LEAK TEST REPORT FORMAT :::.::.:':; STANDARD OVERFILL LIMIT : 90~ NORMAL : 8834 · HIGH PRODUOT : 95~ : 9325  DEL I VERY L I M I T : 5% : 490 LOM PRODUCT : LEAK ALARM L I M I T: 99,:.::-"'-:.. ....... ..:. SUDDEN LOSS LIMIT: 50 ::: ~:~':'.~ .::.;:--::[ : TRNK TILT : ~.50 ~:~ .::~: ,....-.:'. . .:[ ~..:::: · .~(::~?.'~.:. :~: MRNIFOLDED TRNKS -:~:. ~PLLD LINE LERK SETUP ~.~....:.:. . , , . _ _ ~ :{ :?. ':':'::::::{. ' T~. NONE ' :... - ......... :..::::::y.. LINE LERK LOCKOUT SETUP '-- ::::' :-':::' ": ':, : : ]::~ ~: :::::: ...::.':'.::::,:. ~ .... : .... PIPE TVPE: FIBERGLASS [::::::::':' STOP TIME : DISABLED :::::::::::::?:4::::: LEAK MIN ANNUAL : 10~ :::]::::}:::': LINE LENGTH: 100 FEET :'- ]?:.::'::5,,:': : 981 ]::::.:::::'".::::: 0.20 OPH TEST: DI~BLED · ?:~:::::-:, :: : ........... :.: .,:':::':::::::: O. 10 OPH TEST: ENABLED ~):~:~:~::~"~'?. :] ........... :::'========================== '.'. ~::::<." ::~:: :,':::~:.:/J ~HOTDO~N R~TE: ~ 0 OPH ....... T I: UNLADED , DI~PE~E ~DE: .~ c:~:~., ~.;:_ :: ~,,~4:;:I:.:-:-:: :.:,:: :: ::~: ',~:~:%~:: ::;:;::B~,~:: :.:~.::':'~F: ::,t'.:: ~:,;'.~: ~5 ;::;::~L:~,;':: :: ::; :::::::::::::::::::::: ::~:,;'~'::;~4::-b:~:: ~:: 7:~ ~,;,:::::~::".:;~'~.-' f{f:' ": L 1:87-ANNULAR '.::?tT ~:PLu~ . CATEGORy : ANNULAR SPACE LAST .GROSS TEST PASSED: · J~N 1, 2000 12:00 ~H ..... STR~TI NG VOLUME= 2260 . . ..... voLu = 23.0 ':':')~? .":- ]:: ::: T~[-$TRTE (SINGLE FLO~T) SOFT~R~E~ 346016-100-C  C~TEGO~Y : STP SUHP ';:~:; CRERTED - 98,05,14,13,04 LRST ~NNU~L TEST PRSSED: S-HODULE~ 330160-060-~ . L 3:PLUS-~NNUL~R $YSTEH FEATURES: NO TEST P~SSED TR~-ST~TE (SINGLE FLO~T) ,¢:~.¢~i'~ PERIODIC IN-T~NK TESTS ' { L 4:PLUS-SUMP LRST PERIODIC TEST PR$S: i O, 10 MRNU~L&0.20 CONT T~ ~ -STRTE ( S ~NGLE FLORT) ',.;:.-,..':j~; ?? j~::;.~ CRTEGORY : STP SUMP ":~ ~ NO TEST P~SSED T~I-STRTE (SINGLE FLORT> ~ PASSED ERCH PIONTH: TRI-STATE (SINGLE FLO~T) ,. . '~ ":' ' . ~ ~' ~ STRRTING VOLUME= 4789 . ': ~ ! PERCENT VOLUME = 48.8 :'.' · ~ TE~T TYPE = ~TRNDRRD TRNK LERK TEST HISTORY ~ ~ LRST RNNURL TEST PR$~ED: ~ LRST GROSS TEST P~$SED: :' : i NO TE~T PR$$ED ?~i:~(~?~ J~N 1, 2000 12: O0 RM ;'::~" ::"~STRRTI NG VOLUME= 2828 ~PLLD LINE D ISRBLE SETUP FULLEST RNNURL TEST PRS$ ~ ~''''' ~ PERCENT VOLUHE = 28.8 ' :~ TEST TYPE = STAND'RD ".. ' ~ I:UNLERDED NO TEST P~SED ........... "' .... " LIQUID SENSOR RLM$ · LRST PERIODIC TEST PRS8: L 1 :FUEL RLRER ~" ' NO TEST P~SED NO TEST P~SSED L 2 :FUEL ~L~RM L I:$ERSOR OUT RLRRM FULLEST RNNURL TEST L 2:SENSOR OUT RLRRM FULLEST PERIODIC TEST :':'::::::~ L 8:FUEL RLRRM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ' NO TEST PRSSED L 6:~E~OR O~ RLRRH. - PAPER OUT T 2:PLus · PRINTER ERROR INVALID FUEL' LEVEL ' ========================= ::::::?: FEB 5- 2002 10:'17 ============================== :::: ~TTER,,, :S 0:: NOV :~. 200: ::~: PM =================================== ::: : '  '- ....... ~EP 6, 2000 4:00 PR DEL I VERY NEEDED ALARM H I ~TORY REPORT : NOV 16, 2001 9:06 PM ..... SENSOR ALARM OCT 1~, 2001 8:aa ~M L I:8?-ANNULAR ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ANNULAR SPACE  ~',i sENsoR OUT ~LRRM MAR 4, 2002 11:0~ R ~L~RM HISTORY REPORT T I :UNLEADED OVERFILL ~LRRM ...... . MAY 27, 2001 1:07 PM ": -: HIGH PRODUCT ALARM ~ ALARM HISTORY REPORT ~ OCT 25, 2000 ~:~ AM FEB 20, 2002 I:Sg PM ' :- . FEB 14, 2002 10:44 PM S~DDEN LOgS ~L~N  NAR 4, 2002 11:28 AM ' INVALID FUEL LEVEL SENSOR ALARM ..... ~P 6, 2000 4:08 PM OOT 18,. 2001 8:22 PM L 2:UNLEADED-SUMP .,: < JUN 2e. 2001 .a:Ol PM STP SUMP · JUN 1, 2001 a:S4 PM 'SENSOR OUT ALARM DELIVERY NEEDED ~.5:5:. ::::'.:': MAR 4, 2002 11:28 AM ===================================== LON TENP N~RNING DELIVERY NEEDED . APR 20, 2001 8:58 =========================== ::~ :: i ALARM HISTORy REPORT ..... SENSOR ALARM ALARM HISTORy REPORT ..... SENsoR ALARM ..... L §:PREMIUM-ANNULAR ANNULAR SPACE ..... SENSOR ALARM --- L 3:PLUS-ANNULAR SENSOR OUT ALARM W 2:PLUS ANNULAR SPACE MAR 4, 2002 11:28 AM WPLLD SHUTDOWN ALM SENSOR OUT ALARM MAR 4. 2002 10:37 AM .~ , MAR 4, 2002 1 I :28 AM FUEL ALARM MAR 4, 2002 11:19 AM GROSS LINE FAIL ...... FUEL ALARM ' "~:!:::::'::" MAR 4, 2002 I1:11 AM MAR 4 2002 10:37 AM · :. · '.:'i,i?:" FUEL ALARM ' :'"' '" :::":' FUEL .ALARM MAR 4, 2002 11:17 RR HIgH P~E~URE ~R~N "::':' :?'? APR 20, 2001 9~18 RM RLRRR HI,TORY RE~ FEB 18, 2002 3:~2 PH SENSOR ~LARM - L 6: PREM I UM-S~JMP STP SUMP ~ SENSOR OUT AL~ARM ,, MAR 4. 2002~11:28 AM FUEL ALARM I : MAR 4, 2002 10:48 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ % FUEL ALARM APR 20, 2001 9:01 AM . :. .- ALARM HISTORY REPORT : ~ ~ ~ ~ ~ END'~ ~ ~ ~ ~ ALARM HISTORY REPORT ..... ~EN~OR ALARM ..... ~ ...... ~EN~OR ALARM ..... . ':~.~': .... : .:.: : L 4:PLUS-SUMP ~'i S:PREMIUM STP SUMP :~~ ~PLLD SHUTDOWN RLM .,:,:::-~<C?':?.:::. SENSOR OUT ALARH~ ~t MAR 4- 2002 lO:12 RH RR~ 4, 2002 11 ;28 RM G~O~ LINE FAIL FUEL RLR~R ~ RRM 4, 2002 10;4~ RR .:.::?::: CONTINUOU~ PUMP RLM APR '2~, 2~01 8~5~ RM ':: . RLRRR HI,TORY REPORT ~EN~OR RLRRR ..... ~PLLD SRUTDO~N ~LM RRM 4, 2002 10:21 RM ........ : ..:.: GROSS LINE FAIL ..::?::::.~ H~R 4, 2002 ~0:2: CONTI NUOU~ PUHP RLH ~ ~ ~ ~.~ END ~ ~ ~ ~ ~ 8UN 23, 2001 4:04. PR CIRCLE K 8605 ~4 5600 AUBURN .-..,.. :.,~.-' .'-- '- ..... ",~ ..... ~ ......... i,>. ..... i-,,..~: ~'~'-' ' ' ~ " CA :i:.'t '.: ~it ;:-i:~i: ': :':.:: ::::: ::.::. ::::t:::~ ::; ::::,:::,;~?:~ ;! BAKERSF I ELD 93306 :'~! ':i~: ':i:::~ ? ': :~:::. ~:: );i~; :::? ~[~':i~'::'~'~ ~ ~:~:[.~:~i! ~'[~ i:i~ji; ~?~:~-~:[:?;;~':: ~??~!;; ?.:~: :'::::;:'~.' 661-871-7979 '. · "::: 1": :' ' ': :'[:?:::::'~;: · ']')":"~:[:::.;.:'/.,:'":~:' ~:': ' ::... ' .-. '-'.':'":' :~" ~ [ SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T 1 :UNLEADED : ULLAGE ~ 4850 GALS 90% ULLAGE= 3868 GALS TO VOLUME = 4951 GALS . ...... . ~....~,:; .... HEIGHT = 45.82 INCHES ~ .....- (;~{~:~{~-: '.':.]..,- . · .~ :~.j:~..' ..... - . WATER = 0.00 INCHES -... . : . ~ .... VOL~E ~ 2070 GgL8 . ' : ~. ::':::. ::::: :-- :,' ~:~:::.:::::: '.:'. ::':' -': '~': '.:':::"::: ::~ ULLAGE = 7746 GALS :. ' '. :' '::':.":':~ ....... :.' ........ : ....... :':: J 90~ ULL~OE= 6764 O~LS · . ,,::: :- :-.': J TO VOLUME = 206~ ' · '.: :' :.' ' ' · J HEIGHT = 24.45 INOHES : : .. :".:': . .'~'-: . . . ' ' ' ~ D~TER VOL = 0 ~~t~::':::;~:;~::::;::...,:.:.:::~:? .: .... ~ .......:.~.: ::.::: :. ..... TEHP = 70.6 DEC F ~~~ T B: PREH I UH ~:~'.~:,~:.' ::~ ..... ~ :~"~':~:':~:~?~: ::~. ~:~ ~?:.::. .¥..:~?: TC VOLU~E ~ 21328 :}. ; : :.: ...~: : ;,: ::::::'..':: :::?: · ...... ' :::.. :' .~:-' ~:.. '" ~ HEIGHT = 30.59 INOHES ?.:,.: ::: :' :::::::::::::::::::::::::::::::::::::::::::::: ::.. :':' :: :: ...:"':::: . W~TER VOL = 0 6~LB :: ::: ~:~ ::::?::::::::::::: ::: .:!:/ ... ::::: : :::::-'. ::: .'' ::: WATER = 0.00 INCHES :::::::::::::::::::::::::::::::::::::::::::::: ============== ====== ==?====== .::':':::::::~::. ..: ?: :. ::::.: :.: :::::.' . ::::::: ':' TEMP = 69.6 DEC F :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :,....::..:.:.::..'~:..:-::,:~?.'..: · . ..'.: ' : ' ~ ~ ~ ~ ~ END ~ ~ '::',::i~i}~}2~::::~5¢~:: .": ::':::': :::::::::::::::::::::::::::::::::: ~: '. :,:'.,::: :: '::!:: .::~ ::::,' ::: ::~ :::: · ::.::'::::~. ": :':~::::: ',-,~;,;-:;(:ii~,~;,,i.;,.i:',~ '~;~,,.;e,~tt~lq-',t,i.-?~'.,i:~ ~>~.~.;.;~,;,i;~;..;,.:,;::.i;iiiq:::;:,.;.;-. ;;i;.;;~...::.':-.;:illii4....';.i;.:,..-.:ii:;;.;:,:'.;.::-~.i~' ~ ~4~';:.i~i<'.:,~i~;' ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~?~}~?~:`~ ~}~::.::~::::;>~:,}~~~ ...... '~Y~TEH FE~TURE~: PERIODIC IN-TRN~ TESTS RNNURL IN-TRNK TEST~ PLLD 0,10 RRNURL&0.20 CONT ~PLLD 0,10 MANUAL&O,20 CONT , ..... . ... ~: T"~!~.ci:!i!'i:'~*'~ ", MONIT(J~G SYSTEM CER~CA~)N ~ .. For Use By All Jurisdictions Within the State of California Authority O'ted: Chapter67. Health and Safety Code; Chapter 16. DivisionS. ~ttle 23, California Code of Regulations This form must [ac used to ~locaunemt t~sting and servicing of monitoring cqu~pmcot. A separate cetiifieafion or ~e. port must b~ prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must lac provided to the tank system owneo'opexator. Th~ owner/oporator must submit a copy of this form to th~ local ~ rcgnlating LIST systems within 30 days of test date.. A. General hlformation ,.. FacilityNamc: 7{o~- OE ~o O~ Bldg. No.: $iteAddress:' B[~0{3 ~Oat~Ot~ -~-7'- City:. ~ek.~fS~'~t~[~ Zip:~.~L~ Facility Contact Porsom ~'~_.a/'~.¢~ _. Con~ctPhoncNo.:t~{ I~o"']l Makc/ModclofMonltoringSystc~ '~"~S- 31~0 ~ta~O/e D ~ DatcofTcating/Sctwici~. B. Inventor~ of Equipment Tested/Certified ' ' -~ In-Tank Gauging Prob~ Model: In-Tank Gauging Probe. Model: Annular Space or Yauit Scasor. Model: Annular Space ~r Vault Sensor. Model: Piping Sump i Tnmch Sensors). Model: Piping Sump I Trcm:h Seasons). Model: El Fill Sump Seasor(s). Mod~: O Mectnnical Line Leak Do___,x!__or. Model: r~ ] -' Elcc~onic Line Leak ~or. Model: El~x~ic Linc L~: D~_ __-o_ _or. Model: Mom T~O,~r~/Ir~L~aS~~. Mo~: 0.~o9 · 'lank ID: In-Tank Gauging Probe. Model:'~J~ ~} ~ '-, ! (~ In-Tank Gauging ~ Model: Annular Space or Vault Sensor. Model: 1-~ 0 .'~ ' ~] Annular Space or Vault Sensor. Model: Piping Sump / Trench Sensor(s). Model: c~ 0'~ ~ Piping Sump l Trench Sensor($). Model: Sump Sensor(s). Model: El Fill Sam0 .Se/rsor(s). Model: Electronic Line Leak Detector. Model: ~,] 0 { ~L.~ El Eleclronic Line Leak Detector. Model: Tank Overfill / High-Level Sensor. Model: Ch' .0-x.,-./~-' ~! Tank Overfill / High-Level Sensor. Model: G! Other (s in Soaion i Q Section E on Di~ID: ! ~ gt D~-~riD: El Dispenser Containment Sensor(s). Model: I-I Dispenser Containment Sensor(s). Model: Shenr Valve(s). E! Shear Valve(s). and Chain(s). D~rD: ~ -~ % Di~.~ m: I~1 Dispenser Containment Sensor(s). Model: C] Dispenser Containment Sensor(s). Model: Shear Valve(s). El Shear Valve(s). ~ Dispenser Con{ainment Float(s) and Chain(s). [ ~1 Dispenser Containment Float(s) and Chain(s). ~] Dispenser Containment Sensor(s). Model: 13 Dispenser Containment Sensor(s). Model: {~ Shear Valve(s). El Shear Valve(s). ElDispenser Containment Float(s) and Chain(s). E] Dispenser 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 ~rtify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification isinf~ornmtion (e.g. manufacturers' checklist) necessary to verify that this information is correct and a Plot Plan showing the layout of mom'l~ equipment. For ~ equipment capable of generating su..~...gh.~eperts, I have also. attached a copy of the relmrt; (check a//t/mtn: ~ System set-up ~ Al~R-m_.]~istor~ re/~ort Technician Name (print): 'i~O ~ o~- ,--k O~-'~; e.~ Signature: ~ Certification No.: ~:~,3q 0/~ ~)~-'~L"~ License. No.: Testing Company Name:"X-'c,e. r~cx\ ~ ~_c-,O ,r-Dc~ma_~-e ~ Phone No.:(~) i;~,~k~L'' · --. - . . ~ ',., .... ---_~.-..~-." ..- · - . . Site Address:ZS Z .~ i._9. %'~cle~_,-,~. "~1,~ ~_--~ ~&c~e,-,~L. e ~x ~{ffoff' Date of Testing/Servicing: D. Results of Testing/Servicing Software Version Installed: , . ' ~ Yes Fi No* Is thc audible alarm operational? 411 Yes 0 No* Is the v/sual alarm operational? 4~ Yes C! No* Were all sensors'dzually impected, functionally tested, and confirmed operational? 4~ Yes Cl No* Were all sensors installed at lowest point of___~vndary col~t~inm~jlt and pmifioned so that other equipment will not interfere with their proper operation? i2l Yes ~1 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) 4!1 Yes CI No* For pressnfi2~ piping syslrtm, does the turbino automatically ~ut down if ~ piping m~a~lary containment [! R/A monitoring ~tem dm a leak, falis4~operato, or is eleclrically disconnected? If yes: which ~nsors iniliate positive shut-down? (C/tack a//that app/y'~q~l Sumpfrr~ch Sensors; ~Dispevzer Containment Sensors. Did you confirm positive shutqtown du~ to leaks and mr failure/disconnection-'~q~ Yes; [! No. ~ Yes i2 No* For tank systems that utilize the monitoring system as the prlm~ry tank overffil warning device (i.e. no ~ ~ lq/A mechanical overfill prevention valve is imtalled), is the overfill warning alarm vis~le ~md audible at the tank fill point(s)'and operating properly? If so, at what percent of tank capacity does the alarm trigger? % [21. Y~s~''~ No Was any monitoring equipment replaced? If yes, identify specific ~ensors, probes, or otlm' equipment replaced -,,,, and list the manufacturer name and model for all replacement parts in Section E, below. 121 Yest~'--~l No Was liquid found inside any secondary containment systems designed as dry systems? (Check allJhat apply)ri Product; 121 Water. If yes, describe causes in Section ~ below. q~l Yes ~! No* Was monitoring system set-up reviewed to ensure proper settinl~s? Attach set up reports, if applicable 4~ Yes [1 lqo* 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: Page 2 of 3 03/01 F. In-Tank Gauging / SIR Equipment: . Check this box if tank gauging is used only for inventory control. Fl Check Ods box if no tank gauging or SIR equipment is installed. This section must be co'mpleted if in-tank gaUging equiPment is used to perform leak detection monitoring. I~l Yes FI No* Hasa~~i~putwiri~gboenin~pectedf~rpr~pexentryandterminati~n,inciudi~gtestingf~rgr~undfau~ts? Fl Yes Fl No* Wexe all tank gauging probes visually inspected for damage aad residue buildup? Q Yes 121 No* Was accuracy of system product level readings tested? ri Yes 121 No* ~ Was accuracy of system water level readings tested? '" Cl Yes Cl No* 'Were all probes reinstalled properly? Fl yes I-I No* Were all items on the equipment manufacturex's maintenanee checldist completed? * In the Section It, below, describe how and when these deficiencies were or will be correcfed. G. LineLeak Detectors (LLD): [1 Check this box ifl~LDs are not installed. Complete following checklist: the ~1 Yes Fl No* For equipment start-up or annual equX/p~ent certification, was a leak simulated to verify LLD performance? [~ N/A (Check all that apply) Simulatedleakrate.""~3g.p.h.; FI0.1g.p.h; Vi 0.2 g.p.h. - ~ yes vi No Were all LLDs com'Lrmed operational and accurate within regulatory requirements7 q~ Yes ' vi No* Was the testing apparatus properly calibrated? vi Ye&. ~ No* For mechanical lJ.Ds, does the l J.D restrict Product flow if it detects a leak? q~l Yes VI No* For electronic LLDs, does the tuffoine automatically shut off if the LLD detects a leak? ~! Yes VI No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled VI N/A or disconnected? 'i~ Yes 121 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions vi N/A or fails a test? :. ~1 Yes D No* For electronic LLDs, have all accessible wiring connections been visually inspected? ~ Yes · I [! No* Were all ztems on the eqmpment manufacturer s razantenanee checkhst completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Monitoring System Certification ~ .~ U~ST ]ylo~ring Site Plan .... ====================== 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, disp. enser pans, spil! .,c. ontaj_n_.e_~~, 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. l'a~e 7. o1'9 ? ~. : WORK A C'K~O WL EDGMENT Environmental, Inc AODRE~: 2525 W. BURBANK BL VO. ~L' (818) 840- 7020 C~/STA~: BURBAN~ CA 91505-2302 FAX: (818) 840-6929 COUN~ SER~CE ~Q~D TANK TIGH~ESS ~ST P~oDu~ LXS~ ~ST ~ FACXL~ ~SVE~O~ ~AK ~E~O~ ~ST ~ VAPOR ~ECO~Y ~SX SER~ PE~O~D P~ Qu~fi~ De~fiption ~fi~ De~fiption CU~OMER ~RINT NA~~~ CUSTOMER SIGNATURE DA~: ....... 1 N-TANK AL~RI'-'I ...... : F'REM I UM 'v'ER'~" NEEDED 80. 2002 9:54 AM T ! :UNLEADED I NVENT©RY I NCRE~SE INCREASE START JAN :30. 2002 '3:27 AM ",/OLUHE = 1088 GAI..S HE!GHT = 15.63 INC:HES [,,,lATER = 0, O0 I NC:HES TEMP = 67.0 DEG F. I I',1 -~SE El,K) JAN _ ::_J,: 10:10 ~I','1 VOL UI'IE : ?994 GALS HEIGHT = F©~,~.46 INCHES ~~~ - = O. O0 INCHES TEMP = 49.5 DEG F G~OdS) I I,K:REASE= 6906 INCREASE= 6970 T 3:PREMIUM I N'v'ENTORY INCREASE INCREASE START JAN :30.. 2002 9: 55 ar'.'l '.,.,~OIJJP1E = 986 GALS · . HEIGHT = 14.62 INCHES 14~TER = 0.00 INCHES ; 72.0 DEG F I NCR'EaSE END JAN :30. 21'_'_102 10:1,-'3 AM VOLUI'IE = 2922 ~)LS HEIGHT = :31.15 INOHEE', WFtTER = 0.00 INCHES TEMP = 60.6 DEG F INCREASE= 1936 I HCREASE = 19 4:3 C ! RCLE t.'.'. 8605 56110 AUBURN BAKERSF!ELD CA 98306 661 -871 -7979 dAN 30.. 2002 10:45 AM STATUS REPORT T :.3: DEL I4/ERY- i'.IEEDED I >3'R'y' REPORT T 1: UNI..E~::~DED VOLUME = 7959 GALS ULLAGE = 1857 (]ALS 9[1~4 ULLAGE= 875 GALS TC ¥OLUME = SO2! GALS HEIC;HT = 69,17 INCHES WATER VOL = O GALS WATER = 0.00 INCHES TEMP = 48.8 DEG F T 2 :PLUS VOLUME = 281 8 GALS ULLAGE = 69'38 GALS 90:~; ULLAGE= 6016 GALS TC VOLUME = 2816 GAL,G; HE [GHT = 30.37 INCHES WATER VOL = 0 ,:gALS = 0. O0 ] NCI'4EF_; = 68.9 DEG F T :3; I:>REM I UM VOLUME = 2921 ,:gALS ULLAGE = 6895 GALS 90% ULLAGE= 5__qJ 2~ GALS .... HEIGt-tT = 31.15 INCHEF:; WATER VOL = 0 GALS -WATER = 0.00 II',K:HES CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME dt~l't.{e... ~ ,_q{'OF'C. INSPECTION DATE t]3~0/O "Z.- '] Section 2: Underground Storage Tanks Program [] Routine '~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank D0.1 {::5 Number of Tanks ~'~ Type of Monitoring t~Li'Vx. Type of Piping OPERATION C V COMMENTS / Proper tank data on file k.d ,. / Proper owner/operator data on file / Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current / Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS spcc available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? Inspector:C=C°mpliance._~ V= V i°lati°n Office of Environmental Services (805)326-3979 White- Env. Svcs. Pink - Business Copy~-~ J ~...._.. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 0_.,q'¢{t~ ~ ~'~'Occ INSPECTION DATE t/,'~f)/O FACILITY NAME ADDRESS ,~(o00 A~l~O~Pl'x PHONE NO. ~'~[" '~q ?.c/t -- FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine [~ Combined ~ Joint Agency I~ 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 L Verification of Haz Mat training Verification of abatement supplies and procedures L'/ Emergency procedures adequate Containers properly labeled Housekeeping / Fire Protection k'/ Site Diagram Adequate & On Hand C=Compliance V=Violation ~//~~ Any hazardous waste on site?: [~ Yes [~o Exp/ain: Questions regarding this inspection? Please call us at (66 I) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: / Tosco Marketing Company , P.O. Box 52085 Phoenix, Arizona 85072-2085 TO S C O 1500 North Priest Drive M a r k e t i n g Tempe, Arizona 85281 C 0 m p a n y David A. Waldschmidt Assistant General Counsel 602./728-7470 (direct line) 602/728-5277 (facsimile) April 23,2001 Re: Financial Responsibility 40 CFR Part 280, Subpart H' To Agencies Listed on the Attached Exhibit A: · I am enclosing information relating to Tosco Corporation's requirement to provide financial responsibility for the ownership and operation of underground storage tanks by its operating entities pursuant to 40 CFR Part 280, Subpai-.t H and similar state regulations. Tosco Corporation meets the financial test of self-insurance set forth under 40 CFR § 280.95. It is intended that this financial responsibility likewise satisfy the requirements of authorized state programs. Tosco provides this financial responsibility for all under~ound storage tanks at retail locations, terminals and bulk plants which are owned and/or operated by all Tosco entities including Circle K Stores Inc., Tosco Operating Company, Inc., Tosco Refining L.P., Bay~ay Refining Company, Tosco Terminal Corporation and Tosco Corporation. For your information, Tosco's retail operations are collectively referred to as "Tosco Marketing Company". The information enclosed consists of a Certification of Financial Responsibility, a letter from Tosco's Chief Financial Officer in the form prescribed by the federal regulations and a facility address list for your state or region. Please forward this information to the appropriate person in your agency. You may direct any questions to me at (602) 728-7470. Very truly yours, David A. Waldschmidt Assistant General Counsel DAW/cs 8220CS I.DOC Tosco Corporation 1700 East Putnam Avenue Suite 500 Old Greenwich, CT 06870 Telepl3one: 203-698-7575 Facsimile: 203-698-7910 Craig .. [~easy Vice President Treasurer CERTIFICATION OF FINANCIAL RESPONSIBILITY Tosco Corporation hereby certifies that it is in compliance with the requirements of SUbpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism: Section 280.95 - Financial Test of Self Insurance' Amount of Coverage: $2,000,000 in the ag~egate Effective Period of Coverage: From January 1, 2001 until April 30, 2002, unless earlier revoked or replaced by written notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Corrective action and third-party compensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising from the operation of underground storage tanks. By: Craig ~. Deasy Its: Vice President and Treasurer Date: April/_~, 2001 he foregoing instrument was acknowledged before me this ~'#'day of by Craig R. Deasy, personally known to me as Vice President and Treasurer of Tosco Corporation, who executed the same on behalf of the corporation. Notary Public My Commission Expires~'~'~ '~ DENISE G, MECIL! Notary Public, State o! Connecticut No. 0111489 Qualified in Fairfield County Commission Expires March 31,2006 Tosco Corporation 1700 Fast Putnam Avenue ;. Suite 500 Old Greenwich, Connecticut 06870 · Telephone: 203-698-7506 Facsimile: 203-698-7903 Jefferson F. Allen T O S C O President April 16, 2001 Underground Storage Tank (UST) Financial Responsibility Letter from Chief Financial Officer I am the chief financial officer of Tosco Corporation, 1500 Putnam Avenue, Old Greenwich, CT 06870. This letter is in support of the use of the financial test of self-insurance to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and nonsudden accidental releases in the amount of at least $1,000,000 per occurrence and $2,000,000 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this owner or operator: (See Attached Listings) 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: Amount EPA Regulations: Closure (§§ 264.143 and 265.143) $ None Post-Closure Care (§§ 264.145 and 265.145) $ None Liability Coverage (§§ 264.147 and 265.147) $ None Corrective Action (§§ 264.101(b)) $ None Plugging and Abandonment (§ 144.63) $ None Authorized state programs: i Closure $ 28,509,000 Post-Closure Care $ 17,138,000 Liability Coverage $ 49,000,000 Corrective Action $ 5,997,000 Plugging and Abandonment $ None Total $ 100,644,000 This owner or operator has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification fi.om an independent auditor on his financial statements for the latest completed fiscal year. Alternative II 1. Amount of annual UST aggregate coverage being assured by a financial test, and/or guarantee $ 2,000,000 2. Amount of corrective hction, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee $ 100,644,000 3. Sum of lines 1 and 2 $ 102,644,000 4. Total tangible assets $ 8,407,200,000 5. Total liabilities $ 6,394,100,000 6. Tangible net worth $ 2,013,100,000 Yes No 7. Total assets in the U.S. (reqUired only if less than 90 percent of assets are located in the U.S.) $ N/A 8. Is line 6 at least $10 million? X 9. Is line 6 at least 6 times line 3? X 10. Are at least 90 percent of assets located in the U.S.? X 11. Is line 7 at least 6 times line 3? N/A 16. Current bond rating 0fmost recent bond issue Baa2 BBB 17. Name of rating service Moody's Standard Investor & Poors Service 18. Date of maturity of bond January 1, 2047 Yes No 19. Have financial statements for the latest fiscal year been filed with the: SEC X Energy Information Administration X Rural Electrification Administration X I hereby icertify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) and/or WAC 173-380-470 as such regulations were constituted on the date shown immediately below. ~~erson F. Allen Chief Financial Officer April 16, 2001 ATTACHMENT TO LETTER FROM CHIEF FINANCIAL OFFICER All under~ound storage tanks (UST's) owned and/or operated by Tosco Corporation and its affiliates and subsidiaries are covered by this financial test of self-insurance. These entities include Circle K Stores Inc., Tosco Operating Company, Inc., Tosco Refining, L.P. (collectively referred to as "Tosco Marketing Company"), Bayway Refining Company, Tosco Corporation, and Tosco Terminal Corporation. UST's are located at the following refineries, terminals, carbon plant, and bulk plants: REFINERIES & TERMINALS: Bayway Refinery Los Angeles Refinery (Wilmington) Sacramento Terminal 1400 Park Avenue P.O. Box 758 76 Broadway Linden, NJ 07036 Wilmington, CA 90748 Sacramento, CA 95818 Baltimore Terminal Los Angeles Terminal San Francisco Refinery-Rodeo 2155 Northbridge 13707 S. Broadway 1380 San Pablo Avenue Baltimore, MD 21226 Los Angeles, CA 90061 Rodeo, CA 94572 Colton Terminal Portland Terminal San Francisco Refinery- 2301 S. Riverside 5528 NW Doane Avenue Carbon Plant Rialto, cA 92316 Portland, OR 97210 2101 Franklin Canyon Rodeo, CA 94572 Ferndale Refinery Renton Terminal 3901 Unick Road 2423 Lind Ave SW Tacoma Terminal Ferndale, WA 98248 Renton, WA 98055 520 East D Street ~Tacoma, WA 98421 Honolulu Terminal Richmond Terminal 411 Pacific Street 1300 Canal Boulevard Honolulu, HI 96817 Richmond, CA 94804 Los Angeles Refinery (Carson) Riverhead Terminal 1520 East Sepulveda Boulevard 213 Sound Shore Rd. Carson, CA 90745 Riverhead, NY 11901 BULK PLANTS: 845 Walnut Ave. Greenfield, CA' 93927 100 Lee Rd. Watsonville, CA 95076 SUPPLEMENTAL ATTACHMENT TO LETTER FROM CHIEF FE-NANCIAL' OFFICER FACILITY LIST list of facilities covered by this financial responsibility mechanism has been filed with: California State Water Resources Control Board UST Program P.O. Box 944212 Sacramento, CA 94244 It may also be obtain'ed from: Tosco Marketing Company 2000 Crow Canyon Place, Suite 400 San Ramon, CA 94583 Attention: David Camille (925) 277-2335 or Tosco Marketing Company 3525 Hyland Avenue Costa Mesa, CA 92626 Attention: Michael Bryan (714) 428-7606 8222CS4.DOC EXHIBIT A US ENVIRONMENTAL PROTECTION AGENCY ARIEL RIOS BUILDING 1200 PENNSYLVANIA AVENUE NW WASHINGTON DC 20460 EPA REGION 1 1 CONGRESS ST SUITE i100 BOSTON MA 02114-2023 EPA REGION 2 290 BROADWAY NEW YORK NY 10007-1866 EPA REGION 3 1650 ARCH STREET PHILADELPHIA PA 19103-2029 EPA REGION 4 ATLANTA FEDERAL CENTER ' 61 FORSY'T'H STREET SW ATLANTA GA 30303-3104 EPA REGION 5 77 W JACKSON BLVD CHICAGO IL 60604 EPA REGION 6 FOUNTAIN PLACE SUITE 1200 1445 ROSS AVE DALLAS TX 75202-2733 EPA REGION 9 75 HAWTHORNE ST SAN FRANCISCO CA 94105 EPA REGION 10 1200 SIXTH AVENUE SEATTLE WA 98101 ALABAMA DEPT OF ENVIRONMENTAL MGMT UST COMPLIANCE SECTION P O BOX 301-463 MONTGOMERY AL 36130 AZ DEPT OF ENVIRONMENTAL QUALITY . UST SECTION 3033 N CENTRAL AVE #4T PHOENIX AZ 85012 CA STATE WATER RESOURCES CONTROL BOARD UST PROGRAM P O BOX '944212 SACRAMENTO CA 94244 DE DEPT OF NATURAL RESOURCES UST BRANCH 391 LUKENS DR. NEW CASTLE DE 19720' DC ENVIRONMENTAL HEALTH ADMIN UST DIVISION 51 N STREET NE RM 3019 WASHINGTON DC 20002 FLORIDA DEPT OF ENVIRON PROTECTION STORAGE TANK REGULATION SECTION 2600 BLAIR STONE RD. TALLAHASSEE FL 32399 GEORGIA DEPT OF NATURAL RESOURCES UST MANAGEMENT PROGRAM 4244 INTERNATIONAL PKWY STE 104 ATLANTA GA 30354 HI DEPT OF HEALTH SOLID & HAZARDOUS WASTE BRANCH 919 ALA MOANA BLVD RM 212 HONOLULU HI' 96814 LA DEPT OF ENVIRONMENTAL QUALITY UST DIVISION P O BOX 82231 BATON ROUGE LA 70884 MD DEPT OF ENVIRONMENT OIL CONTROL PROGRAM 2500 BROENING HIGHWAY BALTIMORE MD 21224 BUREAU OF WASTE SITE CLEANUP DEPT OF ENVIRONMENTAL PROTECTION 1 WINTER STREET BOSTON MA 02108 MI DEPARTMENT OF ENVIRONMENTAL QUALITY STORAGE TANK DIVISION P O BOX 30157 LANSING MI 48909 DEPT OF ENVIRONMENTAL QUALITY UST SECTION OFFICE OF POLLUTION CONTROL P O BOX 10385 JACKSON MS 39289 NEVADA DIVISION OF ENVIRON PROTECTION BUREAU OF CORRECTIVE ACTION 333 W NYE LANE NUMBER 138 CARSON CITY NV 89710 NH DEPT OF ENVIRONMENTAL SERVICES OIL REMEDIATION AND COMPLIANCE BUREAU PO BOX 95, 6 HAZEN DR CONCORD NH 03302' NJ DEPT OF ENVIRONMENTAL PROTECTION BUREAU OF USTS P O BOX 433 TRENTON NJ 08625 NM ENVIRONMENT DEPT UST BUREAU HAROLD RUNNELS BLDG ROOM N-2510 1190 ST FRANCIS DRIVE SANTA FE NM 87502 NY DEPT OF ENVIRONMENTAL CONSERVATION BULK STORAGE SECTION 50 WOLF ROAD ROOM 360 ALBANY NY 12233 NORTH CAROLINA DIV OF ENVIRON MGMT UST/LUST PROGRAM P O BOX 29578 RALEIGH NC 27626 DEPT OF ENV QUALITY UST PROGRAM 811 SW 6TH AVE 7TH FLR PORTLAND OR 97204 PA DEPT OF ENVIRONMENTAL PROTECTION DIVISION OF STORAGE TANKS 400 MARKET ST PO BOX 8762 HARRISBURG PA 17105 SC DEPT OF HEALTH & ENVIRON CONTROL DIVISION OF UST MANAGEMENT 2600 BULL STREET COLUMBIA SC 29201 DEPT OF ENVIRONMENT AND CONSERVATION UST DIVISION 4TH FLOOR L&C TOWER 401 CHURCH STREET NASHVILLE TN 37243 TX, NATURAL RESOURCE CONSERVATION COMM PETROLEUM STORAGE TANK DIVISION P O BOX 13087 ,- .... -;::::: AUSTIN TX 78711 ".~ VA DEPT OF ENVIRONMENTAL QUALITY · /;i OFFICE OF SPILL RESPONSE AND REMEDIATION P O BOX 10009 RICHMOND VA 23240 TOXICS CLEANUP PROGRAM WASHINGTON DEPT OF ECOLOGY P O BOX 47655 OLYMPIA WA 98504 :....~ WASHINGTON DEPARTMENT OF LICENSING -':-:~ UST SECTION .!!:.~ PO BOX 9020 · .'~ OLYMPIA WA 98507-9020 -.. ..... Triangle. Environmental Inc .' 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 (818) 840-6929 . US T TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: Tosco Marketing Co. TOSCOFacility # 08605 1500 North Priest Drive Tempe, AZ 85281 Test Date: 4/20/2001 Kathy StrickLand (602) 728-7149 Facility: 2708605 Work#: 10300955 Tosco Facility # 08605 County: KERN 5600 AUBURN ST Cross Street: FAIRFAX ROAD BAKERSFIELD, CA 93306 Tank Test System Tank Line # Product Capacity Type Rate/Results Ullage Result Rate/Result LID Result Certified By: Technician: Dan Marinescu State Lic. #s: CA-1393 Mfgr's fit: Comments: Monitor certification This precision tank testing system has been third party evaluated according to the guidelines of the EPA procedures for annual leak detection systems and found to exceed the criteria of detecting a leak of 0.10 gph with a Pd >95% and Pfa <5% as required by Local, State and Federal EPA UST Technical Standards Part 280 for p~ng systems. This SB-989 secondary containment testing system exceeds the criteria for detection as required by state and local agencies. ~ - . Environmefital, Inc. b--~;-w=::'== ........ :~-~ . ADDRE~: ' ~ g ~0. ~0 ~0 ~ ~ '" 2525 m BURBANKBLVO. TEL: (810 840-7020 C~/STA~: - ' ~ ~&t~[~C ~ .' "' B. URBANm CA91505-2302 · FAX:(818)840-6m9 COUNTY }< ~ N TECH: s RmcE (C CK) TANK TIGH~ESS ~ST ~ MONITOR CERTIFICATION ~ ENVIRON~NTAL REP~RS PRODU~ LINE TEST ~ FACIL~ INSPE~ION ~ OTHER LEAK DE~OR TEST ~ VAPOR RECOVERY TEST SER~C~ PE~O~D PARTS Quantit¥ Description Quantity Description ................................................. ================================== ............... ~::::: ::i::::::::ii..:;:.~?:i::~iiiii~::~ CUSTOMER SIGNATURE ~_~ ~d~/ DATE: SBD:. t 23--WOmO,tO~'~(3~97) riangle Envi , · T ronmental Inc ·· UST MONITOR CERTIFICATION SUMMAR Y SHEET Client: Tosco Marketing Co. 1500 North Priest Drive TOSCO Facility # 08605 Tempe, AZ 85281 Test Date: 4/20/2001 Facility: Tosco Facility # 08605 Work#: 10300955 County: KERN 5600 AUBURN ST Cross Street: FAIRFAX ROAD BAKERSFIELD, CA 93306 Monitor model: VEEDER-ROOT TLS-350 Serial #: 80648964705001 Certification Result: PASS Sensor Type: Quantity: Result: Tank Annular: 3 PASS Annular Type: DRY Waste Oil: 0 N/A Audible Alarm? Yes Waste Oil'Sump: 0 N/A Visual Alarm? Yes Yadose Wells: 0 N/A Fail Safe? Yes Line Pressure: 3 PASS Positive Shut-off? Yes Turbine Sump: 3 PASS Gauge Only Result: PASS LineTrenchQty: 0 N/A ATG Monthly? No Fill Sump: 0 N/A ATG CSLD? No Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: Dan Marinescu ' om .o C's cs C CAaXO ' ' ' For Use By AH J~dictio~ Within the StYe of~m~ ' ~.. , Muthori~ Cit~: ~pt~ 6.7; H~l& ~ ~ ~; ~pt~ 16, D~ion 3. Title 23..~m~ ~e of Re~tiom .... ~is fo~ m~ ~ ~ to d~ent· t~g' ~d se~c~g o~ mo~to~g ~pmen[ . ~ more ~ one' moffito~ ~em ~nml ~el ~ .~~ at ~e ~W,' ~-~mte ~fi~fion'6r ~ ~'~ pm~ for. - .' ~eh mo~to~ ~em ~nmi p~el by ~e t~hnlei~'~o ~ffom ~e wo~ A ~py of ~ fo~ m~ ~ pro~d~ to ~e ~,k ~em.om~o~r. ~e om~o~mr mm ~b~t a ~py of ~ fo~ ~ ~e 1~ ~ea~ ~a~g UST ~m ~in 30 ~ys of~ ~e. ln~om ~ p~ on ~e b~ of ~]8 p~e. ~ General Infomation Sit~j~d~s: · ~ ¢~O ~&~ ~. Ci,: ~~~l~L~ Zip: 0.~g . B.' Inveato~ 0f~pment T~Ce~ " '.} - T~m:. -~7 ~.~. . ... T~m: .. ' ~ '~¢.' ~.D~~n~mt~s~ .M~ ·. ~D~~n~inmmt~s~ M~ "'. ..... '--' .. - . . '-'.- · D~ ~~ n~s) ~ ~ ~ D~ ~n~;~m~t H~s) ~d ~s~...." .... ~ (~ ~i~t ~ ~ m~ ~on E on ~C2)-' ' · ' O ~(~ ~phmt~d m~d~ ~od~.~ ~2L:: T~: . ~ ~C T~: .". . ' ' ' ~ulg S~ ~ Vault ~r. M~ ..~e ~. . · O'~ S~orV~lt ~n ' ~M~d: -. - Pip~gSump/T~~s). · M~ . · ~. .' .O Pip~S~p'lT~~s). M~. -- ' ' Fill Stop ~ffs). M~d: ~ FiB Stop ~s). M~d: ' ' O.M~~~c. M~ .. :' ~ M~-i~.~c~.~r.. M~ . -.- ~dc~~or. M~ ~P~C~ · - ~ ~c~'~0r. M~& ~.r~Ut~i~-~d~. M~ 'o?~ ... -..~ r~,~attm~a~. ~ ...' .... D~~nmlnmmt~s~' M~& · · .. -- O'D~~m~t~s).. M~ , .: . ' Sh~ V~v~s). ~ ~h~ V~v~s). · ' D~~n~lnm~t ~s) ~ ~s~ ' · ' ' : ~ D~~b~mmt ~s) ~ ~,(s). -. -': .-:...: . : manufa~' ~idelin~ A~ to'~.~mfion ~ hfoma~on (~. m~u~' ~~ n~ ve~ .~at ~ infomaOon ~ ~ and a.Si~ phn sho~ng ~e hyout of mouito~g.~u~menC .Fgr any.'~u~m~t' -- ~pableofgenem~ngmOm~I~vea~a~acopyof~e(cJt~:~*~plY): .-~S~msetqp ~ - .- T~cim ~me ¢~0: ~ ~'F~~' ~ic. No.: -' Si~0cm .... nit~ri[~ System Certification · i '. · !" -.:' - · kite ),~:.. . - . . . we o~r~o~' ' g:.... ~..~/~/. '. D, R~UI~ 0fT~fin~Se~cifig.'. So~e Vemion Ins~l~ '- ~ ~ ' ~ ~ ' ~mple~e ~e folloMng ~ Y~ .... U NO*.: W~ ~ ~~y ~ ~o~Y ~ ~d ~ o~~ '" _ not ht~ ~ ~ck pm~ o~on?. .- . ' .. ~ Y~ 6~o* ~~m~M m ~ mo~mo~0~g ~6~ ~ ~ m~o~. _ ~pmmt (~ m~J~ - ~ ~A o~6o~?- - -' . ~ ~ monR6~g ~ d~ a l~.~.m o~.or ~ eI~y dmZ? ~ ~hi& ~m ~ ... -- -. 'Did~u~~i0w~ut4omdu~ml~d~r~~~on7 ~Y~;~No. ..~ . . '~ 'Y~ O"No*. F~.~ ~ ~at ~l~.~c' mofiito~g ~ 'm-~c. p~ ~ ~v~ m~g ~ ¢~ mo .. ~ .. -'..:. . ... .~s)~a~gm~~,~w~.~o~-~~.,cm~ . ..... % ... : ,. .... md~,~~~6.~dm~clfor~~mt~~on~ow: .... . .... . -. .... ~ ... ~.9~~ ow~.:-~y~~~~R~ow. . . ...:.~.;Y~'. '~ No*'.. g m~pm~~7.. '.-'. "'2 ~' . .. . .. -z :. '-- ~ -Y~ ~ O-So*~~~~ ~ ~ - ' .. ::.' .--' '- .... "~ ~ommenB: .- ' _s:td^.;iar~: .'.S'-Tgx~o k-~ ~ t: ~t :'. ~-. .' ~¢ o~:'~an.g/S~:~:~:. ~>'~ / ~ ~.~ . F. Jn-TinkGaug~giS~uipment: -. '~ ~~x~~g~o~Yf°r'hv~to~n~oL'. ' " O ~ ~ ~x ~no ~ ~ughg or 8~ ~uipm~i ~ ~1~ ,. ~.~on mm ~ ~mpl~ ~h~ ga~ ~pment N ~ to ~o~ i~ dot. on moNto~. . .. Compl~te ~e follo~ng ~ 0 Y~ ~ No* W~~u~gpm~~ly~fo~c~d~idua~dup? ~ Y~ ~ No* W~a~of~m~t~lcvclmdN~t~? ~ la the ~tion H, ~!o% d~ how~nd ~en ~ defici~d~ w~ or ~1! ~ co~ -- G. ~he~kDet~o~D): .. :' O ~~x'g~not~ -' ' .." ' . ._ ~mplete the following ch~ · '" 'O. ~A (~~P~) S~l~ ~3-g.p~!; O 0.I ~p~ O 0~p&.a' . " ' No~ I. R~ for ~Pm~t ~ ~fi~on ~d ~n~ ~om ' ' .. .. · .- ': -~' Onl~ mmdat~ ~ 1~ ~m~, ~~.~ o~y f~ ~c.~ ~.. .. ~ Y~ -~ O-No, W~c~~bssp~y~~ -. .-.. : ,- O~Y~ O No* .Fo~m~i~d~~~~flow~Rd~l~' .... · . p~a . . .. ~.Y~ O No* 'For~l~c~d~c~Nc~~ly~m'off~ctJn~al~ ... ~' ~' ~ No* ForcI~c!J~.d~c~c~~y.~o~y~6f~mo~g~~I~ '- ~ Y~' O"No*~ .For el~ic IJ-~ ~ ~. ~c ~ma~y ~m'o~ if ~y.'~on of.~c-m~ ~ O ~A maI~o~ or f~N a t~ .... ~ Y~. O 'No~ ForCl~nicL~haw~a~lc~~om~~lY~? .... - · .0 ~A -,. '' ~ Y~, 0 No· -W~~a~pm~tm~~sm~t~~mpl~? EL Comments: oo. · · ,,~ , -~ ;- .,,, .... ~;,: ",... .. ., , .. ;. -~' .- , . UST Monitoring Site Plan ~". . .......... . . . .'" . .: · . '9i~m~~e q J~J ~1 ~s~c6ons · ~ you ~y.~ve a ~ ~ ~o~ ffi ~ ~o~oa you ~y bclude i~ ~ ~ ~ ~ ~,yo~ Mo~to6~.~ ~~o~ ~.yo~ ~ p~ ~w-~e g~ by6~ of ~ ~d pip~. : ' ' -Cl~y id~ I~o~ of ~e t~g.~m~ ~ ~~ mo~to~ ~ ~n~l ~ ~ C.M~-02 Page' ~ of ~ ll~1.S~9 .......... .,- - - ~ - ': ' ': t ~!~.i~i 5600 AUBURN , " ''' " APR. 20. 2001 . 8:07 , M ~.i!i~i{~~ BAKERSFIELD' CA q:3306 ~ T fi:UNLEADED '. ..... ~ ,s:~:~ ',',: ', ' ' · ~ , ~:?" ....... ~-- - ~,, 661.-871n7979.'>' '-' .:..,, PRODUOT','CODE ·: ", '. ~ 1 .......................................... ~ .... ; . , .... ., . :~%'.~ ., . :...:..-- ,:': . . THERMAL ¢OEFF :.'000700 ' ' - · . ~ %%;~'?~ APR 20, 2001 '8:0? TANK DIAMETER ' : 92 O0 S~$TEP UNITS TANK PROFILE : 4 PTS U.S. , . '~',i?",~ FULL VOL : 9816 $YSTEM4LANGUAGE j;:~:": ;.~*'.::: :. ' ' ' '"" s9.o 1NCH VOL : eo~e miOL:sH.' . .' ' ' ¢?~::i:'.'~ SYST:M STATUS 4 .o :NCH VOL : SYST:M :: 28.0 INOH VOL : 1898 PION DD YYYY HH:MM:SS xM :...~"¢.. ALL. FUNCTIONS.....,. C I RCLE K 8BO~ :~: ":'" 'i INVENTORY REPOR~ FLOAT SIZE: 4.0 IN. 8496 5600 ~UBURN ~,,~:~':: . - BAKERSFIELD OA 98806 .:.. WATER WARNIN3 : 2.0 661-871-7979 .:<: T I:UNLEADED ' '' . HIGH WATER LIMIT: 3.0 VOLUME = 1213 G~ ~' SHIFT TIME I : 6:00 AM .~ ULLAGE = 86DJ GALS -.:: ~':.,: MAX OR LABEL VOL: 9816 j .""' '::' ~ OVERFILL LIMIT 90% { ~'''.::':' SHIFT TIME 2 : DISABLED 90::~ ULLAGE= 7621 · .: · SHIFT TIME J : DISABLED TC VOLUME = 1203 GALS :..' ' ' '-: ~ : 8884 :.:~ ' ' : '{ HIGH PRODUCT : 9~ ~ SHIFT TIME 4 : DISABLED HEIGHT = 16.8~ INCHES . · :. . ..:' W~TER VOL = 0 ' : 9825 TANK PERIODIC WARNINGS WATER = O.O0 INC:~E$ ',/'"'. ,' .... '" DELIVERY LIMIT : 10~ BISABLED TEMP = ?0 q DEG F · .: ,, '... : 981 TANK ANNUAL WARNINGS . . .~ ",. ":.' !:::' :':'". ". D: '.:: LO~ PRODUCT : 500 LINE PERIODIC W~RNING~ .--'.iT 2:PLU~ ' LE~K ~L~RP1 LIMIT; 99 DI8~BLED :'~ VOLUME = 4029 G~LS . .,:. ,..,.?".,..: ~::.:' .-. : ..... :,<::-':::.-,,:::,.::.,:~:. BUDDEN LOB8 LIMIT: 50 LINE ~NNU~L ~RNING8 ULLAGE = 5787 G~L~ '- ', ::>::~:Y~::'gd~::<.~:::::':'.. ,. ,~:,:, ,~ ~:,~ :~ .,,, .~,<~,~ T~NK TILT : 3 .48 DI 8~BLED 90~ ULL&OE= 4805 G&LS · '.: ~%:~¢., ~4'~:~,,~4 TC VOLUME = 4025 GAL~ .':".:::::~::~:;¢¢:~:?,:~u MANIFOLDED TRNK$ PRINT TO VOLUMES HEIGHT = 89.2~ INC~8 : :::::::::::::::::::::::::::::::: '~::-:-', :'.:<~, ::;~.:::.. T~: NONE ENABLED WATER VOL = 0 TEMP OOMPENB~TION TEMP = 72.B DEG F LEAK MIN PERIODIG: 10~ VRLUE'(DEG F );. 60.0 .,.: .,:,:.,.:... .......... : 981 ~TIOK HEIGHT OFF~ET · · D~S~BLED T S:PREM~UM :":: ':::'::":J"'::'::"/'::... LEAK RIN ANNUAL :' IOU PRECISION TEST DURATION VOLUME = 1959 G~LS '. .,':": ~ I. : 981 HOUR~: 12 ULLAGE = 7857 ~ DAYLIGHT ~RVING TIME 90~; ULLAGE= 68?5 {.' ". ENABLED ::::...:: TO VOLUME = 193~ G~LS .... PERIODIC TEST TYPE START DATE = -~. INC~:S : QUICK ~ APR WEEK 1 SUN WATER VOL = 0 GALS ~7'?<::: START TIME . WATER = 0.00 I NCM~S · .".......,:~ . ,~ ANNUAL TEST FAIL . : : ~ ALARM DISABLED :': END2:00DATEAM ~.: TEP1P = 76.5 DEG Y ..... · " END TIME ~ ~ ~ ~ : END x ~ ~ ~ ~ J PERIODI~ TEST F~IL . : OCT ~EEK 6 SUN J:': ~L~RM DISABLED :' 2:00 ~M .. ' ':'" ': ..... GROSS TE$T F~IL . ~:::......',.~ .... - .. .. ,,:......:::, , .:..::.....?:. ::::::::::::::::::::::::::::::::::::::::::: .,h:.?. :,:', : -<:' ::'i ~L~RM DI~BLED >'.:: SYSTEM ~EOURITY :-. '.': - ............... :~,[ CODE : 000000 :'"':.' c{;: :¢-%¢:¢:~ ';:~:~ ~ ~:,::x :~; : :,:,.,::::?:>:~ COP1MUN I OAT I O NS SETUP .. :: :'::-'.-: :- ::,.> :'4:'.: -, . '.::%:::'::'::. :'-:':::, :'?:7:-,-.: ,. ,. ...'-.:, TANK TEST NOTIFY: OFF ........... ..',-<: ....... . : . . ..'""'.. .,....::": PORT SETTINGS: ?' '.', ..... :" - NONE FOUND ........ -, TNK TST SIPHON BREAK :OFF . . .,. }.:::..,:.... ...... :,'- ,:: -, DELIVERY DELAY : 15 MIN .:...: :::...¢::, .-,. RS-232 SECURIT:/ ......... : ....................... : ............................. .: .-..: :.;:.::: :. ':::7:':: :.,. ::,:. CODE : O00000 .... ": . .' ; . '- ': -'..:-.,'.':..~::, :".'::,:':-"L:.:'.-'~S-23P ENh . .. ..... . :...' .. --- ~ - --- OF P1ESSRGE .,, . .......; ;.,. <. :,:...., ~:...'. , ..:..:, ..:....,.,< . . . . . ....., , . :,::.: ;, .... ,::.,::_.::~:::... },:;:,<,,::.,.,,:::::?:..;:,.:.,,..,::, DI ::".:: :'": ....... .< ..... :' >3:' ':.:.. (:" :',:: :.....:::::..< :.::.,:¢. :: :. :... ...:.: . . . ,?:_.. >:~...~ :..~ ::. , < :,~ ,-.:<: . . . . .... : . . ...... · . , ,,. , .... .,. . ........ .-. ....... ~..,? .,.::,;:,:,~,,:..~.: .,..,. · , . ..: . . .... , . .;: · :: - :. .. ... '. :: :..,- ..... :?.. , ,:>::-':'~.:;';:¢,~;~:?,: <:.,:d:L..< .... .,,, . , . . , . . :::-::':'. ,,::--:. : .....~,: ....,, . . . : ...... . .., · : ,- ., . ....... . ,.' .?:: · . ,:,: .. ":..... .. , . ;. . > , ~.:: -. :; ',., '::_. ".. ,' ',;'{.... '. ,: :~ :t<~:~ ............................... 'T 2 ;PLUS L '' -' ' ." :'~:', PRODUCT CODE : ' S :{:~:~ THERMAL COEFF · E~K TE~T METHOD, '..,..- . ~{~ .:. THERMAl.. C:O:FF: :.000700 ::>j~ T~NK DIAMETER :: .O0007E~2.0G T~NK PROFILE PT~ :--':j 69,0 INCH VOL : 8058 5AN 1, 2000 ' . ~:~ T~NK' PROFILE : 4 PTS' ~::::<~ FULL VOL : 981~ START TIHE : 12:00 ~M :~:~: FULL VOL : 9816 TEST RATE :0,20 G~L/HR ' f:~:': 69,0 INCH VOL : 805~ ~:~.~~ 46,0 INCH VOL : 4992 DURATION .:. 2 HOURS ; ~ 23,046'0 INCH INCH VOL VOL: 4992 1898 '::'?" 23,0 INCH WOL : EAK TEST REPORT FORMAT f~:'.i 4 L - NORHAL :'::¢~:';¢.<:: FLOAT SIZE:.,'0' I~, 8496 WATER WARNIN~ : 2,0 ~:~:',:;WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 .... OVERFILL LIPIIT · '.':/ LO~ PRODUCT : 500 LE~K ~L~RH LIMIT; ., ..... : , ~,..IPLLD LINE LE~K SETUP " ~UDDEN LO~ L:MIT; ..... ': .~, ..... , LE~}( ~L~RM LIMIT: 99 50 H~NIFOLDED PI PE TYPE: F I BERGLASS T~: NONE LINE LENGTH: 100 FEET 0,20 ~PH TEST: DIS&~LED ~.:~ LEaK NIN PERIODIC: 0,10 OPH TEST: EN&~LED LE&K MIN PERIODIC: 10~ ;:~:~:~j : ': SHUTDOWN R&TE: 3,0 GPH : 981 :.:~:: LEAK MIN &NNUAL : O,lO GPH TEST MM/DD - DISPENSE MODE: PERIODIC TEST TYPE STANDARD PER I OD I C TEST TYPE · ~U :;CK :' ~ PER I OD I C TEST ~ LINE LENGTH: 100 FEET ~L~M DInG'LED j 0.20 GPH TEST: DIS~LED .. GRO~ TE~T ", O. 10 GPH TEST: ENABLED GROS~ TE~T F~IL ~L~RI'IF~IL DI -J SHUTDOWN R~TE; 3.0 GPH ~L~RM DISABLED ~ O. 10 GPH TEST MH/DD T 3;PREMIUM DISPENSE MODE: "' :' ' ~:.]" LIQUID SE'r,~F_;OF: ALMS ' t!ii: START TIME: DISABLED · :ii~:J ." L '1 :FUEL ALhRM - If:/::: STOP TIME : DISABLED ............ , ' L 2:FUEL ALhRM T 1 :UNLEADED :~.:J L 4 :F',JEL ALARM -, ~ TC VOLUME = 1156 GALS :'.' { LIQUID ~ENSOR ALMS :"-[ HEIGHT 16.40 INCHES '..'{ L 5:FUEL ALARM :'::J L 6:FUEL ALARM i LIQUID SENSOR SETUP · : WATER VOL = 0 GALS ,-, WATER = O.OO INCHES -. ::J . :~ ........ .... .......' TEMP = 71.~ DEG F ..... ~ L l:87-ANNULAR ..,~-.,; ,,.., ..,,- .,: TC VOLUME = 4023 6ALS I~ ~ L 2:UNLEADED_SUMP :,.;:~:~:?p :..~:~:::~,:~WATER = O. O0 INCHE$ SOFTWARE REV I S I ON LEVEL ULLAGE '= 78~9 GALS SYSTEM FEATURES: 90~ ULLAGE= 68~7 G~LS PERIODIC IN-T~NK TESTS L 4:PLUS-SUNp , TC VOLUHE = 1934 G~LS ANNUAL IN-T~NK TESTS , TRI-STATE (SINGLE FLO~T) · '" ' '"J HEIGHT = 22.50 INCHES ~t'.':: PLLD .... : 'l WATER VOL = 0 GALS :. O, 10 MANUAL&O,20 CONT CATEGORY : STP SUMP ' ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ I: .... , .................................................................... i OATEGORY: ANNULAR SPACE '" ' ''' . . . ...:..., .. -..:....: .'~:..:~: -... ..... :--: .... ... FULL VOL : ' 9816 ~:~ .. RS-232 SECURITY.. ~.'... '" ENGLISH.."'' ",3..::' " 69.0 INCH VOL :. 8058' [J:~[' CODE : '000000 ' . : '" 46.0 INCH VOL : 4992 ~:l . .. , ,.,.:.- .... ,. . SYSTEM DRTE~TIME FORMRT 23.0 INC:H VOL : 1898 '::::~l .... . · . . / MON DD YVYY HH:MM:S~ xM CIRCLE K 8605 FLORT SIZE: 4.0 IN. 8496-J:~l. · 5600 RUBURN . ~ ~¢~[ RS-232 END OF MESSRGE BRKERSFIELD C;R 93306 bJRTER H~RNI NG : 2.0 :J::~ DISRBLED 661-871-7979 · :"' ,"'I OVERFILL LIMIT : - -'".' "' HIGH PRODUCT : 95% '"'"' :- "::' " :::"':" :'" :" :' " ...... "'.- DELIVERY LIMIT : 10~' " .... T~NK ~NNU~L ~RNI · ,.~ -: .... , D I ~BLED V~LUE (DEG F )~ ~0.0 . '" ' PRECISION TE~T DURATION ' :'., LEAK MIN ANNUAL : 10~ ;':.c -,:. ::. HOUR~: 12 ..................................... ~ .......... . .......... j'..:.:::::::.:,,.:::-..::::- ........... .,: :..... ======================================= : .-.... .... .- .... .. ........ .,. :., .,..:..:... ......... 'i1 PRODUCT CODE . ": . PRODUCT CODE ": 2 '- ,'~:;~4.<'4~:x>" ~:~5~ ~ ' . :<<:~,,~.:~:~...~:~o,,~:~,~, TANK DIAMETER :' 92.00 ~: TANK DIAMETER :.. :.: 92.00 .~,.,;~:~i~,,~.;,~,~:¢c~:.:~.~,~ ' -' TANK PROFILE' ::. '4 PTS' ~ ' TANK PROFILE, ;"...,:.'- 4 PTS. -,~;?:~c~:;~'-..~.,~-:,':.p START TIME : 12:00 AM '" ,~ ..... ,<.:~,,x-~,~,<~,~..:~ .' FULL VOL : '9816 ¢~': FULL VOL": 9816 ....... ,.".::-', :~;'-' .', .-'" TEST RATE :0,20 GAL/HR .'.?,:.:,~h':::' :..:.;.,'-:v:,::,','..~ 69.0 INCH VOL : 8058 :::?:: 69 0 INCH VOL:: 8058 '.'::'~ <:' ¢' ">:' ~':' ,'"~ .... DURAT I ON : 2 HOURS ' :'> :~:' ":"' ~':~<'<'<~'""" 46.0 INCH VOL : 4992 ':?; 46 0 INCH VOL': 4992 '":~:'<~':'*':"'""'~'::' ....... ' 23.0 INCH VOL : 1898 :::;: 23.0 INCH VOL : 1898 :,:':;.;:.:.:, .... ' LEAK TEST REPORT FORIflAT ,~;:':::x::',¢' NORMAL FLOAT SIZE: 4.0 IN. 8~96 ':::~:: FLOAT SIZE: 4.0 IN. 8496 WA~ER WARNING : 2,0 ?: WATER WARNING : 2,0 :~"~:~:",:~,,.:., HIL~H WATER LIMIT: 3.0 ,'.:: HIGH WATER LI~IT: 3.0' "::")':"~>::': MAX OR LABEL VOL: 9816 :;(."? MAX OR LABEL VOL: 9816 OVERFILL LIMIT : 90% '-:.,i OVERFILL LIMIT : .. : 8834 : 8834 ".' ' ..~ HIGH PRODUCT : 95% HIGH PRODUCT : 95% .'-'. . i : 9325 , : 9325 .: ."~ ~ DELIVERY LIMIT : 10% : DELIVERY LIPIIT : 10% -~ : 981 . ~ : 981 WPLLD LINE LEAK SETUP I' '..'~ LOW PRODUCT : 500 -' ~ LOW PRODUCT : 500 · '":.~ LEAK ALARM LIMIT: 99 : LEAK ALARM LIMIT: 99 · . :,. --' J SUDDEN LOSS LIMIT: 50 ' SUDDEN LOSS LIIfllT: 50 <.,:.,- ' ':.".":-':: : ' W I:UNLEADED .:..':~ TANK TILT : 3.50 ,':~ TANK TILT : 3.80 · '.',:~'~:' :."::: '.'. ',<.-: .- ' ,:,:<- PIPE TYPE: FIBERGLASS ~ANIFOLDED TANKS ;,I MANIFOLDED TANKS :~::i ,>~..::,:~ ~"'~'*¢,':-".,~::::>(,;~t ;;:i~:~;;T¢: NONE ~, T¢: NONE ~¢,:.;:~?~j.~:,~':,:¢.::,:~:~:';,~.~::~:,:,,:¢ L I NE LENGTH: 1 O0 FEET ;~:qCr ' :,>. :.; : ::,., - : : ;.: ::;-,<;....: rt. 0 10 GPH TEST: ENABLED :;~:,:::':;:',':-,¢':'::.'-,;;:'~::¢,:; ' ~ LEAK MIN PERIODIC: 10% LEAK MIN PERIODIC: 10% SHUTDOWN RATE: 3.0 GPH : 981 : 981 :'Y.:';'-':-:;::::::/,:';?:'::.~".. O. 10 GPH TEST ~M/DD T I:UNLERDED LEAK MIN ANNUAL : 10% :: LEAK ~IN ANNUAL .:'.:. ',- '.-:'..:- DISPENSE ~ODE2 ' : 981 :. 'J : 981 ?.:::.?:::;. '{?::.: 't.,. STANDARD :: >': ': '..- ': "( .... i PER I OD I C TEST TYPE : PER I OD I C TEST TYPE ...... -- QUICK QUICK .: . .". :.' ..... ~:.... ::'., -(:.:, :": :: L:.?;;.':~:;:';' ::~}..'.> -1-: ::::::::::::::::::::::::::::::::::::::::::: ANNUAL TEST FA I L ANNUAL TEST FA I L ~~i~J~~~~~ ALARM D I SABLED ~ ALARM D I SABLED PERIODIC TEST FAIL " ~ PERIODI¢ TEST FAIL , ;. . - ":'" ",'' :}~'..,,?{:., ALARM DISABLED [ ~:~ ALARM DISABLED ' ....... ' GROSS TEST FAIL ' GROSS TEST FAIL ..... ~ ALARM DISABLED ~ ALARM DISABLED ' '""': ' ~ ~ .. ,~ AVERAG I NG: OFF : %':':': . . ' ~.' ..... ,; '" '' ANN TEST AVERAGING: OFF ANN TEST :....,..:,..,.,,..::.:.. .. ,:,,: :..:.:,.: ........ ::,.-,:'. ',:.:,:,,::'.. ,':.u,;,~".~.,,:',,;~:. PER TEST AVERAGING: OFF ':.':.:?:~ PER TEST AVERAGING: OFF I :"-.:. ,:, :::., :. ::.....:.:.. ,, ::.:..,,..: :,,..::,..,..,,:: .... .. ::, :,:., :: :.:.: .... ~ TNK TST SIPHON BRERKtOFF : TNK TST SIPHON BREAK;OFF . ; DELIVERY DELAY ; 15 MIR DELIVERY DELAY ; 15 MIN . .::: -.::' :, : .- .... : . . ..... , ...:.;, ..: :~. :::::::::::::::::::::::::::::::::::::::::::::::::::: . . .,. . . . , . . ... . :";...' ; · ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ...: ....... .._.~ .,..:..:...,....-: ....... ..: .' .. .... ,: :,,' ...... : ........... . .... : ..... ,... ......... -:.:.., '.:' ~.. ..'; .. ~:-..:: :..;,:: .':.,.:.:.::, .. . ':' .., "'": , ':- ~ ;'""': -'."'.'.: ::.'.:.',- ,'" . . ." '- 2: <,.. - ', '-, . ' .' .-/:::' '., . , ',, '.:Y, ,.. ,.~ ':._: :':;::: :,::¢::::g:',:-::.' " ::':: , ,. ..... . ..... . ...... :.. '~;.'. ..-... . . .x'.~,-:?:&::'.: ,::.:-:. ::.-:: . . - . , ': .:-' ..:,: ..' ' :' -';': :.. '%',":<:.::,: ~:-'~': :.:: --:. : :-.-' . ,' ./ LIQUID SENSOR ALMS ~::j'~::~:~,.j STOP TIME : DISABLED :~:::- ~ 0.i0 GPH TEST:-' ENABLED L I:FUEL ALARM /??:~] SHUTDOL~N ~gTE: . L 2:FUEL' ALARM J,:.::~'~:{J 0.10 OPH TEST MM/DD L 1 :SENSOR OUT ALAR[I j::?:f;J D~TE : 999 O. · L 2:SENSOR OUT ALARM ~:::'1~] T 2:PLUS LIOUID SENSOR gLM$ ::~ ' .. L 4: FUEL ALARM }~)'}::?~t L S:SENSOR OUT ALARM '.'""'1::{ ' [:-..:.. LI¢~UID SENSOR SETUP S:PREMI UM L 5:FUEL ~L~RM / '.~ TRI-STATE (SINGLE FLO~T) · ' .... L 6:FUEL ~L~RM Ii:.-::~ O~TEGORY : ~NI,IUL~R SP~CE TRI-STRTE (~INGLE FLORT) ::.:.~ 0.20 GPR TEST: DIBBLED C~TEOORY : STP SUMP ~(~: ~'10 GP~ TEST: EN~LED: SHUTDOWN RATE' 3 O. lO OPH TEST'I4r~/¢,~ L 3:PLUS-RNNULRR DRTE : 999 0 ....... CRTEGORY : RNNULRR SPRCE DISPENSE MODE: PERIODIC IN-TRNK TESTS TRI-STRTE (SINGLE FLORT) ?::,.,*,,:-.v.~:'.*.: . .:--,,-~'¢.~ ANNUAL IN-TANK TESTS '- CATEGORY : ANNULAR SPACE : ! PLLD · ~ 0.10 MANUAL&0.20 CUNT I.: 0 lO MANUAL&0.20 CUNT ~ L 6:PREMIUM-SUMP ..... ,, ,~ ' ~ TR I iSTATE (S INGLE FLOAT) , ' . .:....... . . ... ... . :': . ._. .-:...: .... .....'.' .,:: .:. ALARM ' H I STORY REPORT · :: '-" SENSOR ALF~RP1 .:---:--. ' - .... SENSOR ALARM -. SENSOR ALARM E: 5:PREMI UM-ANNULAR ',.::,:::': L. 8:PLUS-~NNULgR.:: .. ". L '1:87-ANNULAR . '- ' - ' ' ~NNULA~ SPACE . · ~NNUL~R SP~CE FUEL ALARM ' FUEL ALARM FUEL ALARM APR 20, 2001 : 9:06 AM ' . APR 20, 2001 9:18 AM APR 20, 2001 9:23 FUEL ALARM ' FUEL ALARM ../ FUEL ALARM FUEL gLgR~ F~EL ~LgR~ /' FUEL MAY 8, 2000 IO:IS'AM OGT 26, 1999 2:50 PM NOV 15, 1999 ~:58 AM ALARM HISTORY REPORT ALARM HISTORY REPORT ALARM HISTORY REPORT ...... SENSOR ALARM ..... SENSOR ALARM ..... SENSOR ALARM ..... L 6:PREMIUM-SUMP L 4:PLUS-SUMP L 2:UNLEADED-SUMP STP SUMP STP SUMP STP SUMP FUEL ALARM ~ FUEL ALARM APR 20. 2001 9:01 AM ~ 2001 8:~6 AM APR 20, 2001 8:58 AM APR ~s~L"~::?'~:~J FUEL ALARM FUEL ALARM FUEL ALARM ~:~ MAY 8, 2000 9:47 AM MAY 8, 2000 10:~9 AM FUEL ALARM ~.~ [ FUEL ALARIq : ~ FUEL ALARM OOT 18, 1999 2:16 PM MAY 8 2000 10:24 AM MAY 8, 2000 9:48 AM ~ ALARM HISTORY REPORT · BENSOR AL~4RM SENSOR ALARM.- ..... WPLLD SHUTDOWN ALM .., .WPLLD SHUTDOWN ALM' ' , A~R 20,. 2001 9:39 AM. ORO~S LINE FA'IL GROSS LINE FAIL' APR 20, 2001 9:56 AM .APR 20,. 2001 9:J9 AM WPLLD ~HUTDOWN ALM FEB 15, 2001 6;14 PM WPLLD ~HUTDOWN ALM ..... ..,..:... ::...,~ =============================================== :::: ?:::: ::.:: ALARM HISTORY REPORT ..... SENSOR ALARM CIF:CLE }( 8605 5600 AUBURN Ef%%.:FI £LO ,:ii:~ 9:')308 I -. ? '379 JAN 2. 2001 8:5;3 AM S"~"ST EI'.'I ST~4TUS ~hL.L FLINCT I,:3, NE': ~07' 1 - ?'97'9 ',.)E N'f'.:) E:'}: EEF'OI;?T V':} L LIf"IE = '7;3E. 2 = ~4.4 9fJ~.~: LII..L~¥3E= 14'72 ,:i;ALS -HIT ' = 6:3.84 II"ICHES TEHP = 58.4 [:,E,:3 F'. ",.,"C'L UNE = 2~;2R LLL,gr~E = ?288 98% UI..LA,"gE = 6806 ttEIGHT = 28. 1:3 1NCHE-iS I,,.IRTE~ = O, O0 I I',b2HES TEMP = irE;. 6 [)ECg [:' 1' 3:['REMI UM 'v',:)L LIME = 20~'3 C&LS LIIirqCE = ?'757' 909; ULLAGE= 6'7'75 ,36LS HGH'F 24.85 i I',ICttES [.i~h'I'E~ = 0. O0 I I',I,i:t4ES TEMP = E, 4.8 DEO F January 22, 2001 FIRE CHIEF ~ RON FRAZE Circle K 5600 Auburn Street ADMINISTRATIVE SERVICES Bakersfield Ca 93306 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 Dcar Underground Storage Tank Owner: VOICE (661) 326-3941 FAX (661) 395-1 349 You will be receiving updates from this office now, and in the future with. PREVENnON 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 the hope of this office, that we do not have to pursue such action, TRAININ~ DIVISION which is why this office plans to update you. I urge you. to 'start plarming 5642 Victor Ave. Bakerst~e~.C^93a06 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 tlJt~c~_ [ 34~ct t; INSPECTION DATE I/a)[O ADDRESS 5~00 Ao{adr~x PHONE NO., ,~ 71,' 7 ~ 7~' FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [21 Routine [~'Combined [~1 Joint Agency ~ Multi-Agency ~ Complaint I~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate k.~/ Containers properly labeled Housekeeping Fire Protection r Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: {~ Yes Questions regarding this inspection? Please call us at (661) 326-3979 Business Site~esponsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME Q~.r'¢t~: ~,~ ,-qJgO~cb INSPECTION DATE t;O./O_ I. Section 2: Underground Storage Tanks Program [~1 Routine [~ Combined ~ Joint Agency [21 Multi-Agency I~l Complaint [221 Re-inspection Type of Tank ,/]('l/~" Number of Tanks Type of Monitoring ca~fIA Type of Piping OPERATION C V COMMENTS Proper tank data on file-- Proper owner/operator data on file Permit tees current L,/ Certification of Financial Responsibility / Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations L~ / 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? lfyes, Does tank have overfill/overspill protection? C=Compliance . V=ViolatJon Y=Yes N=NO Inspector: '~7 ~~/~}~'~ /~3ff]~ff(~ L~ Office of Environmental Semices (80~6-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy