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Home My WebLink AboutUNDERGROUND TANK FILE #1~R I~NGLE EN~IRONM£N'T~L , INC, , UNL SI ' For ', 5688 RUBURN SI,, I[IKERSFIELD, C~, Permits # 't:L~,eO3qrS' spector Facilit~ N~a Pi~le K 0ate 4-a~-~ FIN~ INSPECTION' C~C~IST . [ - . I Plot Plot plan notes '" ' Yes No .... ,".'" ,:;! 1. All new and existing thnks located on plot plan? ~:~ 2. Does tank product correspond to product labels on '.:'~ plot plan? "? 3. Was there no modifications identified which were i,,~! not depicted on the plot plans? . ~!! If "No" described .' ;? .-. , " 4. Are monitoring wells secure and free of water and ... product in sump? : S. Is piping sgste~ pressure, suction or gra~it~ Per~its'# '~,_Dou~q ~) Inspector Lehman) '.;. FINAL INSPECTION .C~gC~IST · ': Plot plan notes .... Yes ;;~. ; 1.. All new and existing'tanks located on plot pian? I~ I~l '.",~ ... 2.' ~oes tank product correspond to product labels Oh ~i '..:'~ 3. Was' there no modifications identified which were 'l~ '[::(~} ' not depleted on the plot plans7 4.' ~re ~onttorin~ ~ells secure and free of ~ater and ~ product in su~p¢ · Is piping system pressure, suction or graVit~¢ . 04/~21Z2004 10:06 8188406929 TRIANGLE PAGE Triangle Environmental, Inc. 2~25 West Bm'bank Blvd,, Dm'ban k, .CA 9150~-2302 (818) 840-7020 (818) 840-~929 UST TESTING SYSTEMS SUMMAIt Y SHEET ..... -P~eCiaion Under~ruunfl Storage Tauk Sy~m Leak T~t CU~t: ~o~o ~ Co. Facili~ ~ 27(]8605 1500 No~ ~cat ~ve x~, ~z ~s~, Test Date: 2/16/04 ~y $~ic~d (602) 728-7149 08605 B~K~RSFffi~, CA 9~306 ~os, Street: ~~ROAD Ta~k T~t S~s~ Tank ~ne ~ Produ~ Capacl~ Type ~t~eml~ Ullage genolt Ra~uR ~ ~olt I Unladed ~ 98~6 S~ 40~ N/A N/A N/A PASS 2 U~cd Plus ~816 S~ 40~ N/A N/A N/A P~ 3 Unlmded Re~ 9816 Sya~ 40~ N/A N/A N/A PASS Ce~Ufled ny~ Technician: R~anic Humptu~es State Lic, #s: 006-05-008 $ 2/ Comments: '"' ' Compliance Y./D & monitor ccrtification, Spill bucket test. This precision tank t~sUng ~ystem Ires b~n third part~ evaluated according to t!3e guidelines of the .g.l*A proct~lures .for annual leak detection systems and found to exceed the criteria oJ'detectiog a leak of 0.10 gpb ~n'ith a ~Pd ~95% and l)ra <.~e/o as required by Local, Stem and Federal ]SPA V3ST Technical Standards Part 280 for precision testing systen~. This SB-989 secoudary containment testing system exceeds the crJtm~a for detection as required by state a~d local agencies. 04/21/2004 18;06 8188406~2~ TRIANGLE PAGE 82 Triangle Environmental, Inc. SYSTEMS TANK, LINE AND LEAK DETECTOR TE,qT REPORT Facility: Facility # 2708605 Tank #: 1 Test Date: 2/1.6/04 Product: Unleaded Premium wo~:#.. 20004374 Teat Method: .qy~tem 4000 Test ldethod: TLDT I Capa¢ily: 9816 Manuthctur~r: Diameter (in): L/D Model: Product Level. (i~): L/D ~l~tial #: Liquid Volume (Gals): Line Dram Ba~ (mi): Liquid percent (%): L/D T~p TfllLe (neC): Spccific Gravity: Holding l~ssum (psi): Coef. of Expanaion: Melzring Preaanre (ps/): Water OU Tank (in): L/D Test Rata (~rph): Watcr In Tank (in); L/D Result: PASS Product Temp. (F): New leal~ d.atect0~ No Head Pressure (psi): Test S~a~t Time: Test I/nd Time: Test M,:thod: Tgi LT-3 Test Rate (~ph): lhlmp Bran~ Teat Re.quit: N/A Sysem Type: Li~o rrcssur¢ (psi): /~ Li~ Start rim~: T~s! Method: ULLAGE ; Li~ Fad I'irae: UllageVolume ($als.): Li~e Sta~ i~v~l: Ulla§eUllage T~StR~suh: Time:N/A ........ Ullag~ Vacuum (psi): Line T~I Raie ~ph): Line Test ~.esult: WPLLD 04/21/2004 10:06 8188406929 TRIANGLE PAGE 83 Triangle Environmental, ][nc. SYSTEMS TANK~ LLNE AND LEAI~ DETECTOR TE~ T REPORT Facility: Facility 9 2708605 Tank g: 2 Test Date: 2/16/04 Product: Unleaded Plus Wo~k~, 2~4374 T~t Metho~ Syst~ 4~0 l~od: C~aci~: 9816 I Mau~m~r: Dia~ (in): ~ Model: '.Li~id Volume (~ls): L~e D~u B~ k (~): Liquid Pe~nt ~A): ~ ~p ~m~ (Sec): Sp~ Ora~: Hol~ Pr~asme ~): Co~. of ~x~siou: Me~ P~uz. ~): Wa~r ~ T~ (~): ~ Test ~a, (~h): Te~t 8~ T~t End T~e: Teat Me~: ~ LT-3 Test R~ (~: ~ B~d: Test ~s~t: N/A Sys~ '~: Test Me~d: ~ ~e Sta~ Iavel: Ullage Test ~: 04/21/2004 10:86 8188486929 TRIANGLE PAGE 04 Triangle Environmental, ][nc. SYSTEMS TANK, LINE AND LEAK DETECTOR TE~,T REPORT ]Facility: Facility # 2708605 Tank #: 3 Test Date: 2/16/04 Product: Unleaded Regular Wo,k#~ ~000~74 Test Me~h.~l: TLDT Capacity: 9816 Maau§ t~turer: Diameter (/n): L/D Model: Product L~d (is): L/D ~erld #: Liquid Volume (Gal~): L~e Drain ]Back (mi): Liquid Petit (%): LfD Trip Ttm~ (sec): b'~ciflo Gravity: Holding Pressm~ (psi): Coe£. of Bxpa~sion: Metcrin$ Pmsstu · (psi): W~ter On T~k fin): Lf~ Te~t Water In Tank (in): L/D Remit: PASS Product Temp. (P): New leak ~ll,~ectoe7 No Head Pressure (psi): Test 8~art Time: Test Ead T[mo: Teat M~ thod: 'l'HI LT-3 Test l~ (gph): Pump 1~ raud: Test Result: NtA tys~m Type: Line Pressure (psi): lllll Line Start Time: Tes~ Method: ULLAOE Line Eud Time: UllageVolume (,gala.): Line Start I~vel: Ullage Test Time: Line Bnd I~vel: Ullage Vacuum (ps/): Line Test Ram (~ph): Ulla~c Kcsult: N/A Line Test R ~tlt: WlaLLB 04/21/2004 10:06 8188406929 TRIANGLE PAGE 05 Triangle Environmental, Inc. 2~2~ W~t Burbank Blvd~ Burbank, CA 91~0~-230:.~ (818) 840-7020 (818) 840.6929 SECOND~tRY CONTAINMENT RES UL TS Client: conoco P~,~co. Facility # 2708605 I500 North Priest Drive TInnpe, AZ 85281 Test Date: 2/[6/04 Kathy ~l~lcklaad (~0~-) 7~8-7 Facility: 2708605 Work #: 200041~74 Facility # 2708605 County: KERN 5500 ~,UBUR.~ ST Cross Street~ FAIRFAX i~.OAD BAKF. RSFII~LD, CA 93306 Contr~otor's License # 673971, "A", "G-10", "HAZ" .ill I Il .. IIIII ' --' ' I II Tanka: UnM~: Te~t Typee: Type $I Is hydrostatic with water, Type #2 Je pneumatic with nitrogen, Type I~ is vacuum and T~pe $4 Is visual Inspection 04/21/2004 10:06 818840G929 TRIANGLE PAGE 0G : TRL~GLE ENVIRONMENTAL~ I~[C. , , , SPILL BOX ANNUAL INSPECTION REPORT FORM, 1. FACILITY [NFO~TION '.;...' Facility Address: .,.:.: ,... Facility Contact: 0 ~ v't ~Y" Phone: v°t · ': Date Local Agency Was Notified of Testing: ... Name of Local Agency inspector (if present during teding):~ 2,. '[~6TING CONTRACTOR RoapJ¢ ~.umpb_rtcs Triangle Environmental, Inc. 2525 West Burbank Blvd. Burbank. California 91505 (818) 840-7020. (818) 840-6929 FAX. California Contractor License # 673971, A, C-10, HAZ, HIC ' 3. TEST RESULTS - DATA .......... Test type Spill box/ Size Location Start End Hydmstatic Result .._Tank # Episode i Product Box Mfr (gals) Fill./Vapor Time Time Or Visual P/F Comments: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONI~UCTING THIS TESTING To tho best of my knowledge, the fads stated in this docttttt¢ot ar~ accurate and itt full compliance with legal requirements Technician's Signature:~~~~~1~' Date: ~,"~(~- 0/~ 04/21/2004 18:66 8188466929 TRIANGLE PAGE 07 MONITOR/NG SYSTEM CERTIFICATION For 'U~e By 'All .luri~diction$ Within the State of CalifornL2 Authority Cifed: Chapter 6.7. Health and Safety Code; Ctwpter 16, Div. i~ion 3. Titit 25. Californla Code of Regulationt This form moat b~ u.~.,d Ia document t~tlng and s~rvlcin8 of monitoring ~quipm~nL A, .¢oara~e ,:e~j_fication or rcoon must be~omoared for each m~nhorJne swlem co_ntroLo, anel by the lechnician who p~rfonm the work. A copy of this form must b~ provided to thz tank system ownerlop~ator. The owner/operawr must submit a copy of this form to ~h~ local age ~cy regulating U.~T days of ~t da~e. A. General Make/ModelofMonStoringSystem: ~_L,~' '~ C~ ' Da(cofTesdng/$ea'vicing: ~_.~_/~___/~ ~.~ B. Inve~ltory of Equipment Tested/Certified C'he~ thr aglH'Lm'iat~ bozel to Ind;~aie 60ee.,~,,e equipment In.~pected/~¢~: , ......... .. I Ii( ].-'nek acing Vmb.. ModeJ: ..~(~k~.~ ~ ln-Tan]~ O-ugina Probe. Model: ~' ' I .~ Anntfl~r SPae. e or Vauh Sensor, Model: ..~,~r~~ ~, Annular Space or Yault .% nsot. Model: ,~L~i~ ' I"L~"lalpingSumplTte~chSenso~(s), ModeI:_~LO. aYa~ J~ Pipin/lSumptTl~chScn~r{.~), Madel:~ CI Fill Sump Scmor(a). Model: (~ Pill Sump Senaof(s); Mo~eJ: I C} Meahanimtl Line Leak Demctot, Modal: , ,t ri Meehanir~i Line Leak Der,;clot. Model: ~ _ . ~1 Electronic ~ne Lr-ak De~e~tet. Mode, l: Yd ~'Q..L~ ~ ~ronic Line Lr. ak i~te~ act. Model: O Tank Overfill ! ~igh-LeYel $~nao~. Mode. l: ~ C1 Tank Ovr.~fl I High-Level Sensor. Model: O Other (~g~ifg. eq~Jpment ~ypeandnmdelin~ion la-on Peg¢2}, ] [] Q3h~r Cspedfy~u. Lomcnlt~,pe andmodc.! in Section I'.' op_page2), ~ln-Tmk Oath'inS Probe, ModrJ: _~.n,'a,~ :1 ICI In-Tank Causing Probe. Model: ~ Am~u]ar Space or'Vaull Sealer. Model: ~'O - I = Annular Space m' Vault SeMor. Mo0el: 4~,PJpJng Sump I Trench Sensor(g). Modal: rtalt~ O FiP~n8 Sv~p i Trench Sr.n:or(s). Model: CI Fill $1]tt~ Sensor(e). MOd~: C] Pill Sump Semo~(s}. Model: O Mechanical L~e Leak Detector. Mode): O Mechanical Line ~ Dct,,,ctot. Mod~l: ~i~o~ic Linc Lt..ak Delec~ot. Model: ~ ., . ~ ~eclteni~ Line Leak Dem~or. Model: O Tank Ov~rfiU I High-Level $~na4~', Mode]: ~ Tank Overfill I High-Level SeMar. Model: .~ Olhcr (spedf¥ equlprnen! t}~ a~d model in Section E on P~e 2l, ~ ,.Other (s0e~ify ~,uJpmem t i, pe nn.d_mlxl¢l Iff SectiOn ]~ o~ Page 2). ~Di~e~er Containme~! Sensor(s), Model: 1:] Dispenser ConStituent $c'~so~s), Model: ' ID,.Shear V.~vc(s). O S~' Valve(s). O Dizpan~Conm~nn~nt,%:~mr(0. M~I: 0 She~ Valves). *]f~e f~Ti~' contalns ~ t~ ~ dJs~ns~, c~ thj6 fo~. Include info~fi~ fore~ ~nk and di6~s~ at ~ facility. C, Ce~fi~tio~ · I ee~fy ~at (~ ~ui~t idled in ems d~ment w&q i~ecte~ieed in ack.nee ~ ~d~in=. A~ to ~b ~fl~tbn Is mro~eoa (e~. ~n~ae~~ c~e~) n~ to ~ co~.~ 8 PJ~An sho~ng me hTout.~ ~(?~ ~i~enL F~ aVy e~p~ ~pable d gen~afi~ ~ P~e ] ~ 3 Moni~ng S~lem Cmifi~tion 04/21t2004 10:06 8188406929 TRIANGLE PAGE 08 D. Results of TestinglServicing Sofwar~ version lnst~le~: ~ ~,~ ch~i~: Y 0 NO* Is ~be audible ale~ ~md~al? ~ Y~ ~ No* W~ all s~ns~ tns~l)ed at io~t ~int of s~d~ con~inment and ~iti~ so ~at oth~ ~q~flt not iflt~ ~th ~eit ~t~ o~fiofl? ~ Y~ ~No* ~f a]~ ~ z~ to 8 ~ot~ ~fllto~ng 8tafion~ i~ all co~nUnie~tiOn8 ~ulpm~t (e.8. m~) ~ Y~ ~ No* For p~ssuri~ pJpin~ ~8tc~. d~ the tu~ine"a~to~tical]y shut do if t~ piping ~e~n~ a ~A m~wr~$ system de~ g 1~, hils to op~, ~ is e]~i~ally d~n~t~? If ~: which senso~ inidate pOSitive shut-do~? (Ch~ck ~1 t~ ~piy) ~u~rench $enwrs; [ Disp~r~?nt~fl~t 5~sors, Did you ~fi~ positive shm~o~ d~ to t~ks and s~sor [ailu~di~ nnection? ~; 0 No. 0 '~ 0 Ho* P~ ~k ~stc~ that utilize ~c monitoring sys~ ~ t~ prim~ ~nk ovg~]] wa~ing devj~ (t,e. N/A ~hanical ove~ll ?~vcntio~ valve i~ i~m]led), is the oval] we~: g a]~ visible a~d audible at the fill point(al.and o~tiflg Owperlx? If ~, at what percent of ~k c~ac d~s the ~ Y~* ~ No Was shy m~il~ni ~ui~nt rzpla~? If y~, identify sp~ific sons, ;. pro~ ~ o&~ ~qulpmcni and lis~..lhc ~nufaclu~ name and model br all replac~m ~'in Se:d~ E, ~. ~ Y~* ~ No Was liquid found insi~ ~y s~d~ containment ~st~ ~siioed a ,st~ (Check oli ~ ~p~) Pwduct: ~ Wat~. If ~s, d~s~be ca~ in S~fion ~ bgow. ~Y~ ~ Nos Was moni~o~ s~ ~l. up revie~ to e~u~ proof s~ng~? ~l~, set up ~po~, if applicable ~ Yu ~ No~_ Is all m~iW~g ~ui~ o~6~! ~ ~nufa~'s s~i~cago~ * In ~on E below, d~rl~ how and when th~ d~dm~ w~e or w~ ~ mrna. E. Fage 2 ~ ~ ~1 04/21/,2004 10:06 8188406929 TRIANGLE PAGE 09 In-Tank Gauging / SIR ]~quipment: 0 Check this box if tank gaughtg is used only for invem~ con~o]. ~ Chcck this box If no tank g~ngmg or S~ ~lpm~t is i=~]~. ~iS ~On mUSt bC complet~ if in-~nk gau~in~ ~uipm=nt i~ us~ to ~ffo~ ',c~ det=c~on mo~to~nE. Co~piete the f~)o~O~ .h~J~] .......... '~y~ ~ ~o* Hasall/nputwiringb~nJns~forp~o~an~te~nntio~indu~i.~.~t~fl~gfof~u~? Y~ ~ No* W~ nil ~nk gauging pro~ ~i~ly ins~t~ for d~ge ~d r~id~ ~' ldup~ , ,,', .... Y~ ~: No* W~ all items on th~ui~t ~nufact~'s mnl~t~c ~cc~i? c~,~]et~ ... In ~e S~flon H, ~ow, d~% how and whm ~e d~degd~ we~ or ~ be co~ect~. , Line ~ Detectors ~D): ~ C~k this box ifps ~e not I Y~ ~ Not ~or ~quip~nt s~n-up or annual ~uip~nt ~nifica~on. w~ a ~ Y~ ~ No* ~as Iht Icing ~S pr~ly ~li?n~d?' ' Y~ O' No* Pot ~banic~ ~s, d~ thc L~ ~ pr~ua flow ff i~d~cts ~ N/A Y~ 0 No* P~ classic ~e, d~ the turbine automatically shut o~i~ ~ ~ de~ ~'~7 ~. Y~ ~ No* F~ el~onic I.T.Ds, d~ ~ ~ine auto~ti~ly ehut off if any ~k n of t~ m~it~g s~t~ is disagiO'" ~ N/A ..... In the ~¢~ I~ below, d~ bow and w~n th=e d~d~ we~ or ~H be Pa~ 3 of 3 e3~3 04/21/2004 10:06 8188406929 TRIANGLE PAGE Moni¢orlnll Sys(cm Certi~cntlo~ , Instru_ctions ~ you air--dy have a dia~ t~t shows all ~quir~ infa~tion, you may include it, ~er ~ th~ page, wi~ Mo~tofi~ System Ce~fi~. ~ your siie pl~, show ~ g~l layout of ~ and piping, Cle~ly locations of the follow~g equipmen~ if install~: monim~ng syst~ ~n~o] panels; s~so~ monit~ ~ a~ul~ ~paces, sumps~ die.set para, ~ill ~n~ine~, or o~ s~c~d~ coni~inm~t ar~s; m~h~l or elsie line d~tectors; ~d in-~ liquid level pro~s (if ~sed for leak d~leciion). ~ the ~a~ ~r~Jde~ not~ ~e date P~ge ~ of~ osl~O 04/21/2004 i0:06 83.88406929 TRIANGLE PAGE T 2 :PLUB ' PRODLI~ OODE : 2 " ~ N-T~ ~ TH~ ~ :. O~OTO g~ ~UP T~ DI~ : ~.00 TR~ ~FI~ : 4 P~ ~ 1~, 2004 10:10 AM T I:UN~DED P~ ~L : 9816 ~D~T ~DE : ~ 69.0 I~H VOL : 8058 TH~ ~F :.O~OTO0 46.0 [~H VOL : 4992 T~ D]~ : 92.00 23.0 [~H VOL : 1898 S~ UN I ~ TR~ P~F I ~ : 4 P~ FU~ ~L : 9816 U.S. &9.0 INCH VOL : 8058 ~T ~IZE; 4.0 IN. ~ L~N~GE 46,0 I~H VOL ; 4992 ~[SH 2~.0 I~H VOL : 1998 WAT~ ~NIN~ : 2.0 S~M DRT~TI ME FOR~T ~N DD YY~ HH:MM:~ xM HIGH ~T~ LIMIT: CIRCLE ~ 8605 FLOAT SIZE: 4.0 IN. 849& M~ OR L~EL VOL; OV;~ ILL LIHIT : 5600 ~UBU~N ~TE~ WARNING ; 2.0 : SS~4 ~KERSFIELD CA.SQ~Q6 HIGH WATER L]HIT: O.O HIGH P~ODUCT ' 95X 661-871-7979 MRX O~ ~B~ VOL: 9B]6 DELIVE~ LIMIT : 8HI;T TIM; ] : 6:~ ~ OV~PILL LIMIT : 90~ : ego BHI~ T[M~ 2 : DIbBLeD : 8B~4 SHIFT ~IM~ ~ : ~I~BL~ HIOH P~DUCT : gSX L~ P~DUOT : 500 ~HIFT T~ 4 : DI~ : ~25 L~K ~M LIMIT: 99 TA~ PERIODIC ~RN]~B D~IVE~ LIMIT : 5X ~D~N L~8 LIMIT: 50 DIBBLED : 490 ' TA~ TILT ; TR~ RNN~ W~NI~8 L~ P~DU~ : 500 ~NIPO~D TANKB DI~ LE~ R~M LIMIT: 99 Ta: NO~ LINE P~IODIC WA~NI~8 SUDDEN L~ LIMIT: DI~B~ TAN~ TILT : LI~ ~NN~ WARNI~8 L~ MIN ~IODIC: DI~BL~ ~NIFO~D TANK~ : PRI~ ~ VOL~ E~ED LERK MIN ~NNU~L : : 981 T~ O~PEN~TION VRL~ (DZG F ): 60.0 ; 981 PERIODIC TEOT TYPE BTI~ ~I~' OFFSET L~K MIN ANNUAL ' 1~ ~UIC~ DI~L~ ' P~ECISION T~T DURATION : ~U~: 12 ~NN~L T~T FAIL DR~I~ ~VIN~ TIME P~ODIC T~ST TYPE AL~ DI~ED D I ~L~ ~UICK P~IODI~ T~ FRIL PER I OD I C T~ F~ I L R~ D I SRBLED AL~ DISAB~D ANN T~T AV~GINO: P~ TEST AV~OINO~ OFF O~OS~ T~ FA I L ALARM D I ~LED TANK T~T NOT I FY: 0~? ANN T~T A~AO[NO~ OFP T~ TST ~IP~N BRE~::OFF PER T~T A~AO I ~: OPP D~IVE~ DE~Y : 2 MIN CO~UNIOATIONS SETU~ TANK TEBT NOTIFY: OFF TNX TBT ~ ] PHON BREAK: OFF D~LI~Y D~LaY : 2 MIN ~ORT ~ETT 1 NGS: NONE POUND CODE : END OF HE~:LSAGE DII3ABL£D 04/21/2004 10:06 8188406929 TRIANGLE PAGE ?. T~ DI~ : 92.0~ JAN I, 1996 0.10 ~H T~: F~ VOL : 9816 ~ R~ :0.20 ~L/~ o.zo GPH ~BT ~ ~ 69,o I~H ~L : 8058 D~TION : 2 HOU~ ~ : ~ 0 46,0 I~H ~ : 4992 TA~: NO~ 23,0 I~H VO% : 199~ ~T SIZE: 4,0 IN. 8496 L;~ TEBT REPO~ FO~T NOR~L ~R W~RN l NO : 2.0 HIGH ~TER ~IM~T: 8.0 ~ OR ~B~ VOL: 9BI6 OV~Fi~ LIMIT : : 8884 ; HIGH PRODU~ : : 9~25 D~IVERY LIMIT' : 5~ LI~ LEAK LOCKOUT SETUP : 490 WPLLD L I~ ~( B~UP LOC~O~ ~DULE ~ PROD~T : ~00 ............ ~ILY ~ A~ LIMIT: 99 ST~T TI~: DI~LED B~N L~ LIMIT: 50 STOP TI~ : DI~BL~ T~N~ TILT : 3.50 W 1 ;U~ERD~ ~NI~O~ED TANKS PIPE T~: FIBE~B T~: NO~ LINE L~TH: lO0 0,20 GPH ~: E~LED 0.10 QPH T~= ENABLED L~K MIN ~ERIODIC~ l~ BH~N RATE: 3.0 GPH : 981 D.IO GP~ T~T MM/DD DRTE: ?~ 0 : P~IODIC TEST ~PE LIGUID ~ENBOR SETUP GUI~ RNN~ ~ FAIL L I :~NNU~ ~ D I ~BLED ~ORY : ~NNULAR P~IODIC ~T FAIL ALA~ D [ L 2:U~H~D~ SUMP GRO~ ~ F~ l L W 2: PREM I ~ TR 1-8TATE (~ I NG~ FLOAT ~ DIS~LED OATE~ : ~p P I PE ~PE: F ~ BE~L~ RNN ~8T AV~ROlI~: O~F LINE LEITH: lO0 FEET P~R ~T RV~RRGI~: OFF g.20 ~H T~: E~ ' L 3:89 0.10 GPH T~: E~BL~ TRI-BTATE (9I~ FLOAT) TANK ~ ~TIFY: OFF SH~DO~N ~TE: ~.0 GPH C~TE~Ry : ~NN~R 0.10 OPH TE~T TNK T~ ~IPHON B~E~K:OFF ': DATE : ~ 0 T~: NO~ D~IV~ DELAY : 2 MIN L 4:89 STP FR I -STATE (~ I NGL~ FLOAT :~TE~ORY : 8~ BUMP L 5:91 RNNULAR 'FRI-~TATE (BIBLE FLOAT) ~ATEGORY =RNNULAR L 6:9! BTP BU~P TRI-BT~TE (BINGLE FLOAT~ (~TEOORY : ~TP BUMP 64/21/2664. 10:86 8188406929 TRIANGLE PAGE 13 · . I N-TAN~ I N-T~ DI~N~IO P~ T B: P~ ~E ~1 T I: P~ ~ M~I ~ ~I~ N~ 249264 ~L~ LI~ Di8~ S~ ~IENT - 352.6900 N~ ~:F~ ' 20 N~ ~" 20 COO 1325.0 CO! 1552~.0 002 ]5520,0 CQ~ 15520 W t:UN~ED COO 1335.0 COl 16114.6 ~04 1~520,0 C05 'LIQUID BE~O~ AL~ 002 16114.8 CO~ 16114.4 006 15520.0 007 15520.Q L I;F~L R~RM C04 16114,4 CD~ 1611d.6 COB 15520.0 009 15520,0 L 2:FUEL R~RM 006 16127.3 CO7 16t27,0 CID 15520.0 C11 ~2773.6 L I:8E~OR OUT ~REM CO9 16127.0 CO~ 16i26.7 Ct2 20308.3 C13 19216.9 L 2:SENSOR OUT ~ARM C10 1~1~6.7 011 45149.3 Ct4 19t50.2 Ct5 18967.6 Ci2 21812.7 01~ 21]17,1 CiG [8901.G CI7 Ct4 21255.4 Ct5 20~92.~ Cia 42774.~ w 2;PREMIL~I C]6 21182.4 CI? 20915.? L~QUID BE~R ~ OtB 4~14~,3 BRMP~ R~D =39712869 L 5:FUEL ~RRM S~P~9 U~ED =~g710817 L 6:FU~ ~RR~. S~B ~RD -39752097 L 5;~OR O~ ~ ~PL~ ~ED =39749219 LIQUID SE~OR A~ L 3:F~ A~RM L 4 :P~L A~M L gI~N~ OUT L 4;~N~R OUT ~LRR~ ~N-TRN~ L~K D~gTIC T 1: P~OD~ TYPE P~BE DI~NO~I~ ~RIAL N~BER 24731 T 2: P~BE TYPE ~GI ~RDIENT - 9~IRL N~R 249266 ID C~N = OxCO00 ' NUM BRMPL~ = 19~03 GRRD[E~ = 351 .l?OO COO 1334.9 COl 16563.6 ,: NUM S~PL~ = 20 ': C02 16563.6 CO~ : ~ C04 16563.5 C05 16563,5 80~E REVIBION LEVEL ; COO 13~3,1 001 3709.? 006 12802.4 C~? 12802 d C02 3709.2 C03 3709.d VE~ION 16.02 C08 12802,4 C09 128~2 4 80~E~ 346016-i00~ C04 ~909.~ COB 3709.8 C~R~D - 98.05.14.13.04 C06 ~?09.9 C07 3709,4 CIO ]2802.4 Clt 45149 C08 3709.9 C09 3709.8 C12 21816.? C13 21G19 C14 21201,2 015 20982 9 ~-HODU~ 330160-060-R CIO ~?09.~ Cli 429~0.t Ct6 2t]09.2 Ct? 20?64 ~T~ P~TURE~: C12 1~628,9 013 1726~.2 Ct8 ~5151.0 PERIODIC IN-TANK TEBT8 CI4 i7206,3 015 171~2.9 RNN~L IN-TANI( ?~T~ Cl6 17~g8.4 CI? PLLD CI~ 42~31.6 D. l O ~N~&O, 20 CONT NPLLD BAHP~ 'R~D -99749492 ]N-TANK L~.~K DI~NOSTIC ~OBE DIAGNOSTIC~ T 2: PROBE TYPE MA~I SERIAL NMqBER 249266 GRADIEI~ = 351.1?00 NUM SRPIPLE$ = 31820 COO 13:~3,5 COl co2 3749.! co;3 5749,! CO4 3749.1 CO§ 3749.1 COS ~9.t CO? 5399.1 C08 5~g9.! ¢09 5399.] CiO 5399.t Ct] 42931.~ C12 1916@.~ Ct3 ¢14 t7494,6 Ct5 17487.6 CI6 t7457.4 C]? ]?075.6 84/21/2004 18:06 8188486929' TRIAI',,~'.-,LE PAGE " - - ~ ~- DIS~I~ ~ ~ HIGH ~1- 5407 ~T ~ ' V~ 1- 100680 .... ~ O~ ~ DI~G~]~ H~ OFF t L 9:89 ~NN~ :' T G: ~O~E ~E ~GI ~T~L ~:260672 ; ~P~= S~I~ N~ 249264 CR0:69~9 ~I~26 L~ R~I= ~IENT - 35[.1200 : HIGH R~I- 5406 O.lO GPH~ ID~ ' V~UEI- 10086D N~ ~PL~S = 6i542 3.0 GPH ~0 1324.8 OD] 15592.4 P1:19,034 ~2:i8.926 ~l L 4:89 S~ CO2 15692,3 COS 15592.~ ~PL~= 5 C04 t5592.3 CaS 15592,3 O.~D GPH LO~ REP]= C06 t3777.4 CO? ~37~7.4 PI;32.630 pG:32.d44 ~ HIGH ~F~= 5406 008' t37~7.3 CO9 137~7.4 VALUEI= 954]0 OlD 13977.4 Cll 429~4.~ MID TEST C12 20468.0 C13 19265,3 P1:1~.13~ P2:19.418 P~I ' 014 19192.9 C15 19065.7 L 5:91 : C16 18~a4.2 Gl? 18957.3 ~- , 018 42975.7 L~ R~I= 795 HIGH R~t= 5396 [ V~UEt = 101162 L 6:9~ ~P BUMP LOW ~F t ' 795 HIGH ~F1- 5397 WPLLD I.]HE LER~ OI~:~ ~ 3:~LU~ ~ 16, 2004 10:t2 ~M L ?: D I BPEN~ I ~ E~LED ~L~- T~ ~0~ L~ R~F! PEri NG HIGH R~Ft= W I: U~DED PUMP OFF V~I - ~NDLB DIS~EN~INO E~D TOTAL ~E:271088 DI~P~I NO C~; 2064 D~RI~:9 L 8: P~ ON O.lO GPH: IDLE %~ ~LE ON HIGH REFI- 5398 TOTRL M~: 793758 3.0 GPH V~LUE{ -999999680 CRC~28~53 PARIS:59 PI:2[.542 P2:2~,090 ~I O.lO ~H: {DL~ 0.20 GPM P1:40,880 P2~40,070 3,0 GPH P[:21.~66 P2t2~.9~2 ~1 HID T~T PI; 0.~00 P21 O.OOa ~I O, 2~ OPH : P1:33.aSO P2:3a,~66 PSI MID TEI~T P1:20,306 P2:lg.g94 PSi " GRO UN DTF~P D I P, GNOgT [ C · 1: SAMPLES- 50 LOW REF]= ?93 H[OH REFt= 5396 VRLUEt=999998400 LIGUID DIAGNO~TIC 8~MPLES= 5 LOI4 REFI~ 793 LOrd REFI= '/93 NIGH REFt= 5395 H[GH REFi~ 5405 V~LUE{=9999ge400 04/21/2004 10:06 8].88406929 TRIANGLE PAGE VAL~t-S~g98400 .... I N-T~ ~N ..... ~ 1: T I: U~ED L~ ~1= 7g~ JAN ~2, R004 ~:50 AM HIGH ~1m 5999 DEC 16, 2003 6:B9 ~ V~UEi=999998~OO ~P 21, 20D3 10;49 ~M I~lD FU~ LE~g O~ 26, 2003 9 ~2 PM ~EP 29, 2009 ~ ~1 ~M CIRCLE K 6605 5600 AUBUF~N ~Y~R~FI EI~ CA, 93G06 66 I-g? 1-9979 ALUM H I ~ORY RE~RT F~ 16. ~004 10:12 AM ..... ~OR A~M ..... " W I: UN~D ~ T~T ~PO~T CO.IN.OB P~P ALM T I:U~DRD D~ t3. ~003 ~ 24, ~003 ~:08 AM NO T~T ~TA AVAILA~E ~LLD 8H~D~N ALM ~ ~ ~ ~ w E~ ~ ~ ~ ~ ~ ~V 6, 2OO~ 1:57 PM ..... 8ENBOR ALARM L I :ANN~R ANNUL~ ~OR O~ ~RM PEB 19~ 200~ 1:~1 PM FUEL FEB 19, 200~ 1;07 PM ~ ~ ~ ~ ~ END A~RM HI~O~ REPORT ~ETUP DATA ~RNING NOV 26, ~00~ ~:0~ ~ ..... 9Y~M A~ ..... PAPER OUT PRINTER ERROR J~N 14, ~004 4:49 AM ~TTERY ~80~ J~N 1, 1996 8:00 AM ALA~I H I~ORY ~PORT ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ .... IN-TANK ~RM T [ NV~ I D FUEL ~E~ OGT ~. 200~ 04/21/2004 10:06 8188406929 TRIANGLE PAGE 16 ~ H!BTORY REPORT ~ ; ~ H!i~I'ORY p~RT L ! :ANNULAR ! ANNL~ ~ ..... ~?.J~i0R AL.~RM ..... BENBOR OUT ~RM ; W I.'Ut~.F..ADED PEB 19, 200~ l:ll PM CONTI NLK)U~ pUMP RLM DEC 15. 2003 8:50 PM FUEL RLARM ]~1~ 19, 200:3 CONTINUOUE* PUMP AI~'I OCT 24. 200-q 2: DB AH ~I~TLIP DATA WARNI NOV 26, 2002 NF'LLD SHUTDOWN MAY &, 2003 ! :57 PM AI.,~RM HI~tTOR¥ REPORT : ..... ~EI~BOR RLARM ..... L I :RNN~R 87 ANN~ ~E F~ 19, 2009 FU~ ~ ~ tg, 2003 9ETUP DRT~ W~NI ~V 26, 2002 3:05 PM R~A~ HI~ORY REPORT : ~LA~M HI~TOR¥ R~PORT T 3: PREM I I ~1D FUEL LEVEL ; AUG 3, 2003 10:57 AM : ..... ~AN~R ~LARM ..... · I: OTHE~ SE~RB ~Rh HI~O~y REPORT ..... 9~NSOR ~R~ ...... ~ ~ :UNLEadED CONT CONT[NUOU~ ~UM~ ~l,bl OCT ~ - ~ ~ ~ END 04/21/.2004 10:06 8188406929 TRIAIqGLE PAGE I L 6:91 IBTp BUMP L ! :ANNUL~R 87 ANNUI-~R FUEL ALARM ~B 16, 2004 10:55 AM C]~L~ ~ 8605 CIRO~ ~ 8605 5600 AUBURN 5SO0 ~UBURN BAKERSFI~D CA, B~K~FI~ CA, 9~06 661-8? 1 -?979 661-871-9999 FEB 16, 2004 11:30 AM P~ 16, 2004 t0:!3 AM L~K T~T REPORT L ~:89 ANNU~R ANNULAR SPACE; '~Y~EM ~ATU~ REPORT T ~:PL~ FU~ P~BE ~RIAL NUM 249266 ~EB ]6, 2004 10:57 ~ ~LL FUN~]O~ NO T~'r DATA AVA ILAB~ ..... SENSOR ALAI~M ..... WPLLD L INI~ LEAK ALARM L 5:91 ANNULAR W 2:PRB~IIUH ANNULAR g;>A~£ QR~ LIN~ F~IL FUEL ~ARM F~ 16, 2004 10:59 CIRCLE K 8605 5600 ~UBURN 661-8~1 FEB 16, 2004 10:13 W~LLD L I NE LEAK ALARM L 2:UNLE~D ~UMP W~LLD SH~DOWN ~LM B~T~ ~TATU8 .......... FUEL ~L~RM ~ ~'UN~ I ON~ ~JPLLD L [ NE LEAK ALHRH W !: UNL~DE;D CIRCLE K 8605 ..... ~EN~OR ALARM ...... GROBB LINE F~[L S600 A~U~N L 4:89 ~P ~L~'IP FEB t6, 2004 I1:~2 ~ : B~ERBFI~LD CA.93306 ~TP ~IJPIP 661 -~7 L -7979 FURL ALA~I FEB l ~,. 2CJI'id J ] ; I ~ ~lfl FEB 16, 2004 10:]3 ~M L~ TEST R~PO~ T 3 :PREM1UM PRO~ ~ERIAL N~ 2dg26d ' NO ~T ~TA R~/~]LRBLE 04/21/2004 10:06 8188406929 TRIANGLE PAGE 18 WPLLD LINE LEAK ALARM ...... 9ENSO~ ALARM ..... W 3:PLUS L 5:9i ANNULAR GEOS~ LINE FAIL ANNULAR FEB 16, 2004 11:52 mM . ~£NBOR OUT AL.RRM FE~ 16. 2004 12:27 WPLLD LINE LERK ALP,~ W 8:PCU8 ..... SENSOR ALARM ..... WI~LLD SHUTDOWN ALM L 6:91 STP ~P F~B l&, 2004 11:52 AH ~N~OR OUT ALARM " C[Rf~LE K 8605 5600 AUBURN I~E'~FIELD C~.99306 ..... SENSOR ALARM ..... 661-g~1-7979 L I:ANNULRR 87 ANNULAR F~ 16, 2004 12;D2 ~M 8~N~R OUT FEB 16. 20~4 12:27 SYSTEM STATUS REPORT ALL FUNCTION~ ~RI~L ..... 9~N~O~ RI, ARM L 2:UNLEADED SUMP ...... STP BUMP SEI'~,-'.-'~O~ OUT ALRRM ..... ~ENSOR ALA~ ..... FEB 16. 2004 t2:27 PM L 3:89 ANNULAR RNNULRR SPACE SENSOR OUT ~L~RH FEB 16, 2004 12:27 PM 04/21/2004 10:06 8188486929 TRIANGLE PAGE BUR~ ~ 91~0~-2~2 FAX: (818) 840-6~g COUN~ ~N~ ~ TECH: PARTS Quantitl(_ D~:fiplion Quantity Des=~lption 04/21/2004 10:06 8188406929 TRIANGLE PAGE 20 'i: 04/2112004 10:06 8188406929 TRIANGLE PAGE 21 gle Environmenta[, [nc. County of Kern At~: Amy Green 27o0 M Street, Suite 300 Bakersfield, CA 93301 Pc: UST System Tc~t Plcasc find attached thc tank/linc/lcak detector test and/or mo~ito~ certifi.cation results for Conoco Phillips Marketing Compaay facility(ies) in your jurisdic'ion. If yoa have any questions regarding the attached, please call (818) 840-7020. Tr/angle Environmental For Conoco Phillips Marketing Company . . Site # Test Date Site # Test Date 00.5 60 ~ 3-5-0'-/ 0oo lo ~7 0 2525 \~/. I~I ;RI~,ANk' Itl.VD. t~[ ;RBANK, ¢ :A t~l $~'~5 ' t'~' . . . .,.. t .: * '1'I.71. :(HI,~ ) 840-7020 · FAX. (,'4 I,q) ~ 04/21/2004 10:30 8188406929 TRIANGLE PAGE Bi .~' Triangle Environmental, Inc. US T MONITOR CERTIFICATION S UMM/.{R ~f SHE. ET Client: Co~oco Phillips Co. i~oo ~o~ ~,i.~ ~w Facility # 2708605 Tempe, AZ 85281 est Date: ~./16/04 r~,cm~, 2708605 Facility # 2708605 Wo,.k#; =ooo~?~ Coanty: 5600 AUBURN ST Cross S~'eet: FAIRFAX ROAD Monitor model: VEEDEK-ROOT TLS-350 Serial #: 80648964705001 Certification B,esult: 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 Vadose Wells: 0 N/A Fall Safe? Yes Line Pressure: 3 Pass Positive Shut-off? Yes Turbine Sump: 3 Pass Gauge Omly Result: Pass LineTrenehQty: 0 N/A ATG Monthly? No Fill Sump: 0 N/A AT~ CSLD? 'No Comments: Thfs certifies that the monitor and sensors, as listed above, are operational and calibrated per the rnanul'acturer*s specification. Ronnic Humpbfics 04/21/2004 10:37 661392062! PAGE 01/01 o CI~ OF BA~RSF~ELD O~ICE OF E~O~E~~ SERVICES 1~15 Che~terAv~, B~er~fi~d, CA (661) ' FAX '(661) '85Z APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION OFERATORS NA~ ?'F ~ L{.. T~ ~ VOL~ CO~S N~ &PHO~~~.O~CO~A~SON_ JAMES RICH 16.61).39.~-8687 . ....... ~_ ,.. ~PRO~ BY ' DA~.,. SI~NA~ OF ~C~ 84/21/2664 lB: 38 GG13920G2I PAGE FAX( 65]. ) 392-062.1 CITY OF BAKERSFIELD : OFFICE'OF ENVIRONMENTAL SERVICES 1715 Ch~mr'Aw., B~ersfi~;1, CA (661) 326.3ff79 APPLICATION ,.TO PERFORM FU'E~ MONITORING CERTIFI~A. TION CONTINUED .. (See 2nd File) ' gle Environmental, Inc. May 23, 2000 ' · To: Implementing UST Program Agency Re: UST System Test Results Please find attached the tank/line/leak detector test results and/or monitor certification(s) for Tosco marketing Company facility(ies)in your jurisdiction. If you have any questions regarding the attached please ca11(818) 840-7020. Triangle Environmental, Inc. For Tosco Marketing Company Attachments Cc: Tosco Dealer-Please file the 'attached test, results in your Tosco -Compliance binder. Thank you for your cooperation. 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 (818) 840-6929 UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: Tosco Marketing Co. Tosco Facility # 08605 1500 North Priest Drive Tempe, AZ 85281 Test Date: 5/8/00 Kathy StrickLand (602) 728-7149 Facility: Work #: DB8605 Tosco Facility St 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: David Bushmeyer State Lic. #s: . .::: :.. .~._~ Mfgr's #: 461 20034 Comments: Monitor recertification This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. 1 '. ?".'::~: ':;::5" '. t:4" '-:'b; '(:7: '.'. '?',-"?"~:', , :'?":.'. "b':. '~,;'... ':. ·: ' "' ":.'. '"' ' ' '*,: ":7'?:': -' ": ': ,' ': C. ::: ' ':':;: ' ;"%7 ~ .'~i;':;":' ": ':i4:,':L¥?:":::-<~:~:: '~:"; - -.:.?.:,_-:.!:. ;:....., v :.. - ........ · .... ', ;. ":-.'.:, :: ...." ,.~-~'. ..... : <--:'::: .-,:. :' 7 ' '. ' .- ",~--':. :-:~.:':.'.-?'!'::'-'::.-":'.' ; ..' : .' " . 7 ': · ' :' . :- - ?. '"'**k.';. . . PRI-:'ER.*.'OLIT," L :'.. -' .;:: ' . "'. .... : ". ':,iT'; ?; %...:, ." · - l'.'laY · 8',' 20Oo'i'f0": ,.:2-.. .., .;: :. .,' ,. *...*' .-,,% -. ;: .',?-':- '* " ?"';l SYSTEi'I AL&RM ....... S¥STER UNITS ': j PRINTER ERROR .-"- U.S. MRY 8, 2000 10;15. Rt,I : ::: .., ::',:.!ii"' ,' ..: SYSTE~ LANeUAeE I · ENOL I SH ,"' : ' SYSTEM DRTE×TIME FORMAT : · ,- , : ::::. : · .' ::': ':':":(::iT::,,'. ' : CIRCLE K 8605 5600 ~UEURN :::::'.:::::: :.:: :~:':;": : , . .:-. :- -:,: :,,.x,::.:::.?.:.;..:: :. E~KERSFIELD OR 93306 ' ::::.: · :-;,;.'.! :::,, ~:,: i:.';.:~..:, ~: ::-' ,':i¢:.:,";?:: ::: ','::r:.:'::i~: :~: :'~j. !¢: :,,<~:i!):'~.~4~¢::~ :.':,: . ' .......SENSOR ~LARM ....... ~ *:".::...:,:.,~:'. ,'., ',., .::.;: :.!~:¥ ' ': :' ':.:~;:::::: l..: ;:';:,,:,,:.;:::: :,, :; :',<""~".i"r~*: ':~*':.:' ,:,:~ SHIFT L ,'3. r ~"::.~:¢::'; `*~*~.~:~.`..~.*~`:~*~.~:.~`:.~.~::s~:`~x~:.>~::.:~ ,' TIME 1 : 6:00 Aid RNNI..ILRR ::':'i ::: .:'.' . :..' ' SHIFT TIME 3 : DISABLED , MAY 8, 2000 10:24 AI'"I TRNK PER'IODIC ~ARNIN~S D I S~BLED T~NK ~NNURL ~RRNINGS D I S~BLED LINE PERIODIC WARNINGS PRINT TO VOLUMES L 1:07-~NNULRR ENABLED RNNULRR SP~CE FUEL : ;'! rs~p CO'PENS~TION V~LUE (DE~ F ): 60.0 STICK HEIGHT OFFSET :.: ..... : DISABLED ': :'"' PRECISION TEST DURATION · :::::'::' ' HOURS." 12 DR*FLIGHT SRVING Tilde ' ' ENABLED START D~TE '::;: ..... ;':':~'::!"" :?:' ': ii APR WEEK : SUN SENSO~.:,An~M -~ .... -:. ':':::::::::: ........:::"':' ' :'::;':-' .... ;::':":'::::'"::::::::::>:" 2:00 ~1 L 2."UNLE~DEDZ~Uf;jP END DRTE STP SUMP ...... ' .... ' OCT WEEK 6 SUN FUEL RLRRM :"::':"::" ':" '" : · '" .:.;; -': :' END TIME MRY 8, 2000 ·10:34 · · :.:'::/ 2 -' co ~M . : :.:::, .. :,:. ,' . ':. '.::i::::i:':":: :.::"::' ::':. :. ! SYSTE~ SECUR:T¥ :~ :i?:.·:::::' ":?::/' :' :::::-:. ':::.::.. ' ..... - ::::',:,-:'-::: ':::::. ...... " :..::·:' ::::.:'..:::!<.::: '"::':·.- ::::'.::, '::::."'::?:::. ':.?i:':". :::::!.' ' ' ..... SENSOR L 2: i]NLE~DED-E~UIdP ,.- , '.,,'. STP SUMP ' - ,::.-::, .' FUEL ALRRM BJ~¥ 8, 2000 10:39 RI'I :::':'., :'--Ti'.::'. "'"i;'' '"': '" '"" ' ':: :-:': '.' :::,::.: . '.::' '. : ..: : ' :. '. ' :- · ::'..:. ':iT,......:,:.~: :::::::::::::::::::::::: :. ::-. .: ...: . :: . , ' .:: U · ,":.7.:::' - . t · ,,:, . .:. - ':,< ::'-'-.: ·, :-,' .',: '. :' ,.'.: :.. ,,: ':!:88:f:2 ;ET'>':.': i ' · - ' · ::.,., :. , '.:..::..::.:: : . ... / . . :'.:,::' ':.:.- ':::.: ..... : ' .. :.:.:.::... ,.. ..::., :,.,..--.. ,.: . : ..... ,?..,::,.:.::::. ,:: . · ":.. ¢:~, -' . . .... ':::'::: .:.:.- - , ¢ : '. ,... ' . '; ..' · I ' ~ LEAK M I N PER I OD I C: 1 · ' '- ": ..i.-. · : 981 '::. :::?.~,::::!: .... .....:.: ..! COMMLINICAT IONS SETIJP , - ............ LEAK MIN ANNUAL : 10~ :'~,~!t~%,~4~¢~'~.'~1 PORT SETTINGS: ' ! PERIODIC TEST TYPE VERS I ON 16.02 SOFTWARE~ 346016-I00-C RS-232 SECURITY i ANNUAL TEST FAIL CREATED - 98.05.14.13.04 CODE : 000000 ~ ALARM DISABLED ' '{' S-MODULE# 3,30160-060-A ..!:. :. SYSTEM FEATURES: ' PERIODIC TEST FAIL .: , PERIODIC IN-TANK TESTS ALARM DISABLED " : ANNUAL IN-TANK TESTS :"::': ~'-..,.. r PLLD GROSS TEST FAIL ~ 0.10 MANUAL&0.20 CONT DISABLED ..' RS-232 END OF MESSAGE ALARM DISABLED ::::::::::::::::::::::::: WPLLD :.:ii!iL' ,,~':.,:, ~ :pL.:, :,~: ....... ' ANN TEST AVERAG I NG: OFF ::!:'i'i'!':::::g::i:~:~::~:~i:~:~:'~ : PER TEST AVERAG I NG: OFF TANK TEST NOTIFY: OFF : TNK TST SIPHON BREAK:OFF . ':.: '. { DELIVERY DELAY : 15 MIN ': '"' ' ' :., .i ' ' - .... SENSOR ALARM ..... IN-TANK SETUP · . '."'" .:'.i L 2: UNLEADED-SUMP " STP SUMP :::::::::::::::::::::::: PRODUCT CODE : 1 ~~',..,i MAY 8. 2000 9:45 AM THERMAL COEFF : .000700 TANK DIAMETER : 92.00 TANK PROFILE : 4 PTS FULL VOL : 9816 T 2:PLUS ...::, ... 69.0 INCH VOL : 8058 PRODUCT CODE '- 2 46.0 INCH VOL : 4992 THERMAL COEFF : .000070 · ::':':'.- ; 23.0 INCH VOL : 1898 TANK'DIAMETER : 92.00 · : :!:::'.:. .::i ':?:' ':. i .TANK PROFILE', : 4 PTS :::::.:.:-:..,~ ; FULL VOL '- 9816 ""~<~': ....... :':<'i FLOAT SIZE: 4.0 IN 8496 69.0 INCH VOL : 8058 ::::::::::::::::::::::::::::: .... - .... SENSOR ALARM ...... · -:'.. :::::::::::::::::::::::::::::::: L 4:PLUS-SUMP ,: "' 4~.0 INCH VOL: · .:."L::-:~;:~:>?:::': STP SUMP WATER WARNING : 2.0 ,,,,. 23.0 INCH VOL : 1898 FUEL ALARM ~. 0 '::?;~.'~:<?. ..: I MAY 8, 2000 -.:,::.. ,,::: 2 " · :':"':'::: ": I 9:47 AM MAX OR LABEL VOL: 9816 FLOAT SIZE: 4.0 I.N. 8496 · i. I OVERFILL LIMIT : 90~ :. :-. : 8834 WATER WARN I NG : '~. 0 : HIGH PRODUOT : 95~ ~HIGH WATER LIMIT: 3.0 · : 9325 . ' DELIVERY LIMIT : lOYo ~!':':'MAX OR LABEL VOL: 9816 : 981 ,.OVERFILL LIMIT : 90~ · .. : ' :8834 ::. !i LOW PRODUCT .... : 500 ,"IGH PRODUCT : 95*. LEAK ALARM LIMIT: 99 .?'" : 9325 !!i!'.:::/" - .... SENSOR ALARM ..... ::'::!:: SUDDEN LOSS LIMIT: 50 "::DELIVERY LIMIT : ?:': .' L 6 :PREM I UM-SUMP STP SUmp : TRNK TILT : 3.48 : 981 ::::::::::::::::::::::::::::::::: FUEL ~L~RM MANIFOLDED TRNK~ LOB PRODUCT : :,;::.:.:<.:~:~::: MRY: 8, 500 ii~'~:~{~{~;~{~:~ 2000 9: 48 AM T~: NONE f.~;~(,sp~¢~?,~ ~ hE~K ALARM LI~IT: 99 ~:~¢:t~:~: ··-SUDDEN LOSS LIMIT: 50 .g(~¢,::%i}~f~? ' ' :"TANK T I LT : 3. BO ' :{?~.:-:.;. , .~ .- . .... :,,. .... ; . .'"2 " ': :': :" "- . '- .;:-....:J: .. . MANIFOLDED T~NKS '" :' ..:.' ::': :':;:?::;::: :::::::::::::::::::::::::::::::: :.:::::,.-'::..:.: NONE :>:::'::., ' i, · .: , , .-.. ...:: . ====================== :::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::: : .,::- ........... :,:- ......... ._.-.:.:-..:. .. :: . ; ..:~: , . :...:...: ,:: .: .::.-,:-..::...: ,..::..... ,.. :'.",.. .,, .:::..'. .: :(?~::j'¢~::':::.· .... ::::;: · .:;; · :'.. - . .. . , ,... -, :,....:¢ *- ~ . . .., , . :: .,,,..,-,, :,: , .. , . . .,< :~.;.:?;.?:~-.:,.. .... :,:.,.:. ,..,,+ :.,::,.<.:., , . . . . ,,:. , .: · . -:....;. :... . . . , ,j~.. · .. . :...": ,,,:.,. .,.:: . - . , ~'..' . ::.:ii ': : 98..! LEAK ALARM LIMIT: 99 ::::""MiN ANNOAL:SUDDEN LOSS LIMIT: ,, · :'?:::::: '::: '. · : 981 TANK TILT : o.~,o . .::.:,:.,:.: . ',::. : , WPLLD L I NE LEAK SETUP 't M~NIFOLDED T~NKS :- ::.::.':::i~:: '?~NNU~L TEST F~IL LEaK MIN PERIODIC: 1~ ~ 1 :UNLEADED · 981 : PIPE TYPE: FIBERGLASS :> "::<' ' ALARM DISABLED :':';': ' 1~ LINE LENGTH: 100 FEET "::: '" 'J" j'"'PERIODIO TEST FAIL LEAK MIN ANNUAL : : 981 0.20 GPH TEST: DISABLED 0.10 GPH TEST: ENABLED :'::' "~ G~OSS TEST FglL : .'.PERIODIC TEST T~PE 0.10 GP~ TEST ~:DD ~//' . ~ DATE : 999 : :::': ~. . T I:UNLEADED DISPENSE MODE: :::- :*'"~ ANN TEST AVERAGING: OFF ~ ANNUAL TEST FAIL .' :?::. :: '.::.:.~]::,- PER TEST ~VER~GING: OFF ",'.::.:::~<:~>?<',:,.:,,:,,.,,.,::: · PERIODIC TEST FAIL DISABLED ~L~RM .. " GROSS TEST F~IL J?::'"':": DELIVERY DEL~V : 15 MIN ~. ~L~RM DIS~ELED ': ::.. ': "J}, j' ANN TEST AVERAGING: OFF '"' ": :::' T~NK TEST NOTIFY: OFF . 2:PLUS : '':?' ..:.:.---: .::--::. TNK TST SIPHON BRERK:vrr DELIVER~ DEL~ : 15 ~I~ PiPE T~PE: FIBERGLAS8 . LI~E LENGTH: 100 FEET 0.20 GPH TEST: DISgBLED ' ' O. 10 GPH TEST: ENABLED ?:::::{:??~}~ J'"T%:PREMIUM SHUTDOWN RATE: B.O GPH - THERMAL'GOEFF : .000700 DATE : ~9~ 0 '":::::':: TANK DIAMETER :' 92.00 T 2:PLUS ' ....": TANK PROFILE : 4 PTS DISPENSE MODE: .. ::.?:: .:... ":69.0 I~H VOL : OOSO STANDARD :::::::::::::::::::::: :~"',23.0 INCH VOL : 1898 :' ,":' :':: :' ::::::::::::::::::::::: FLO~T ~IZE: 4 0 IN. ~496 :::::::::::::::::::::: LE~K TEST ~ETHOD " ,-:.:.:,: .....WATER WARNING : 2.0 :.;.:.:~,:>.,:.::,:, TEST ON DATE : ALL TANK ~[...' - ~::~¢' · ;:?:::::::::: ' HIGH ~TER LlfllT: 3.0 .,..:::::::~::::: ~N 1, 2000 ~::~:.::::::: :. START TI~E : 12:00 ~M ::::::::::::::::::::: OVERFILL LIHIT : 90~ :: DURATION : 2 HOURS :' ......... BB~4 :'"'"' ::? ":: :'"~" ' ' ~ .',": W 3:PREMIUM .::'.:.::>: . '~ HIGH PRODUCT : 9E~ ' '::': T FORMat :'J::J:'::':::'DELIVERY ..... : 9~:~ ' . ':::j LE~K TEST REPOR NORmaL PiPE TYPE: FIBERGLASS ::..".': ::. LIIglI : 10~ : .... <.~ LINE LENGTH: 100 FEET :::::" ' : 9~1 " " 0 20 GPH TE~T: DIe'BLED :' :: ::::: ' -"'::iV-"'-:'.':' .v.: .....':':-::::'::::. :':' '": :i:::::': ~ 0:10 GPH TEST: ENABLED ..... ............ :: ::.:,: :-.:: :::.: -: ,,:: .: ~ ~' 0.10 GPH TEST MM/DD '.( :-..:~.: ::::::::::::::::::::::::::::::: ,: ::~.?:'.:-.~..:::.:,~.....,: , :;. -: ~"..~'?: ?~' :~'&~;.':'~7[~:~::~::::~?~':,?,::~.~:: ' , ".: · '' . ' ,?,': :' '::' · ,:'. ::: ::' :':.~:::': 4', '::t~ ?::bd' :' ~ :.::7 . ..... - . :::.: .. : .::: . .. .. :. : ::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :,:.:.' .' .;_-': . . : : -.. , . , . '.: . ' :.,.tit;:., :::;: ~::f~;:;}.:.-:~ :..:.;:::, :: ::'::; :' ~:.:,.,.: ::'::: , ::' . ".,~' ~;;1' , .': ' .:/ ;.t, fl;'::::--,:-~ ..... . - 1. . . .: t · ,: :.':~ ' , ,' ::,:" :. [:',.':,-.'t: ..... ' ' -. ' ; . ..::fg:;:;.~:, :,;' ,: ' , :: :., :', {'.':,; : .- ;':' ., ,. " .:Z' ' , ...' ''" :'"' , ~ ....: ' ': ':': :.::':?": ::-'.'."::' : I TR:-STATE <S:NGL_.$.. [ ; ...: . ,"..,. ..... '.. ':-,.:.: ..... ........ ,. ! CATEGORY : STP Isur'l~' .... '::. "': :;" LINE LEAK LOCKOUT SETUP ':' .~ ....... SENSOt:-: ALARM ...... .:'.i .'.. ::::.'"'::?iii LOCKOUT S¢I-IEDIJLE ': - ' . :~ L 5: [:>REM I UH-.ANNULfiR : - R N I',iLILAR " '~ DAILY FLIEL RLARI'-'I : :':: ~ ': ii;:' :::::::::::::::::::::::::: START TIME: DISABLED I"1~":" 8. 2000 10:1:~: AM . ================================== STOP TIME : DISABLED ~ h,';:F., ':;~; ~: ,:,:, ~ fid' ,:~. ~' :! :T::i 1,4PLLD LINE DISABLE SETUP / " ' -. ~ ' i t,,I 1 :UNLEADED :. ':' .:.:: .:. ~ i SENSC'R ALAt:-:tM : :.:..:,,: ..:'!: I · . ~ ' t LIQUID SENSOR ALMS L 5:t::'REMIiJM-RNNLILRR · : .:.i:.. ...: "'::: ?:.. i L 1 :FUEL ALARM ~t',iI'.IIJLgR SPACE · , i: :; .' L 2:FUEL ALARM FIJEL AL&RM · :':' "" LlgUlD SENSOR SETUP i"lR',:"- 8. 2000 10:15 I,,I 2: PLUS L i :8?-ANNULAR LI(:IUID SENSOR ALl'IS TRI-STATE (SI NGLE FLOAT) L 3:FUEL ALARM CATEGORY : ANNULAR SPACE L 4:FUEL ALARM t,,l 3: PREM I UM .. '?:::'i::::':" .:::: TRI-STATE <SINGLE FLOAT) L S:FUEL ALARM CATEGORY : STP SIJIdP L 6:FLIEL ALARM t, :1:: ":-":::<:. :",::-:':: ...........~, L 3 :PLUS-ANNULAR I :<i :-.:P:::~: :;;:,: ll~',':: :1: :!:: '.1~¢.:'i h',' ?.':(',~: ~ 'h': :: :::::::::::::::::::::: :::::::::::::::::::::::::::::: ':i:::~ CATEGORY : ANNULAR SPACE :i:.!!!':::i:i::. ',:..:i::-:!i .............. :~:.. ::::::::::::::::::::::::::::::::::::::::::::::::::::: <j::' :::i:: :!::::" ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: TRI -STATE (SI NGLE FLOAT) ;:{.i!:: :::::::::,,:::::::::::::::::::::::::::::::::::::::::::::::::::: ....... .:::: :: ....... ' ....... ,v: :. ,. · ', .: CATEGORY : STP SUIflP ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::: .... ' '. " ., .~., ........ .: TRI-STATE (SINGLE FLOAT) I~ '.., : '::~:'~!:~ <..~; ~ ~.[<:::~;:.:::....': <-,: - ..,... : .:~:.~:.:.:.' ":.: ..... ~?: '.., '" ':i:i ': :". :.~:!:::' '"[.. ::':: :: ... '4:.:':1.::':. · ' : '.;,!:'i,i"':. ,:-:!. :.> '-, .: k-::-? .::(:j;!'.:':-".~; :.t.;:F'!:' ·..,. ::: ,::".'::.:: F'. ::::::::::::::::::::::::::: ::-i.,.: :::,::.... ::::: .:'-- ..:. SERVICE REQUESTED (CHECK_) TANK TIGHTNESS TEST ~] MONITOR CERTIFICATION ~/ ENVIRONMENTAL REPAIRS ~ PRODUCT LINE TEST [] FACILITY INSPECTION ~ OTHER ~-] LEAK DETECTOR TEST [~ VAPOR RECOVERY TEST ~] SERVICES PERFORMED /. PARTS Quantity ' Description Quantity Description ~, ~ <",-~, ...::.~.:.5 ,~i~; :::' ,. ',.-~ }:,o i:-' r~ ....... .... C.., T RESPONSiBiLITY FO~ .-:~: ~'" RECEIPT OF THIS ~ERCi'{ANDiSE COST RETAIl. % CUSTOMER PRINT NAME · - -~ /'V sm~a2~-womc~m~(~0 ', ' MONITORING SYSTEM CERTIFICATION For Use'By All Jurisdictions Within the State of California ~4uthority Cited: Chapter 6. 7, Health and ~tfety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document, testing and servicing of. monitoring equipment. If more than one' : monitori.ng system control panel is .installed at the .facility,' a. separate certification'0r report must'be prepatecl for. each moriitoting system control panel by the technician'who peffomis the work A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agen .c~. regulating UST systems within 30 days of test date. lrtqtructions are printed on the hack of this page. o A. General Information B. 'lnvetitory of Equipment Tested/Certified ' "- ':~ . .. Check the. apPropriate boxe~ to indicate ~,pecitic'equipment inspected/~J'viced: . .. - ..: .. - '- 5paco or Vault Sensor, Model; ~;: . 12.Fill Sump.Sensors),, .. Model: : " .12. FffiSump Scnsod[s). · - :" i Mod~ . . ': : 12 TankOv~fill/Itigh-LevelS~nsor. Model: · '-. ...... 12 TankOverfilb'I-ngh-L~elSensor. Model: . ' 12-DispcnscrCo~tainmentSensor(s); .Model: 12 D' .lSlXm,_,_,_,_,_s~ConminmentSensor(s). Model: -'. '... -'. -' · I~"Shear Valve(s): '- .ContainmentFloat(s)and(~z~(s). . 4~Dispca,5~. ContainmcntFloa~(. s).an.d. Chain(s)'- -..- .-, .--:~ Tank ID: I '2~ ... · · Tank ID: 3auging Probe. Model: ~/1(~ . 12' ~n-Tank Gauging Prob~. '.. ':'Model: . 'l~'Annular Spac~ or Vault Sensor. Model: ./~.~ .12 Annular Spa6e or Vault Sensor....Model: "4~-Piping ·Sump I Trench Sensor(s). ' Model: -. · 12 Piping Sump./Tnmch S~msor(s). Model:. -. · · Cl Fill Sump Sensor(s). Model: [~ Fill SUmp Sensor(s). Model: 12. Mechani ..cai Line Leak Detector. Model: .... '. 12 M~hanical Line Leak. Detector. Model: . -, 'ffi-El~ctronic Line I,,mk Detector. Model: -. - 4~- El~tronic Line I.~akDeti~tor. · Model:. 12.TankOverfili/High-LevelSenmr. Model:: '- ' .'.. CI Tanl~Ovedill/Itigh-LcyelSenSOr. Model: · , -- 12 D~ Containment S~sor(s). Model: ..... 12 Disp~n~ Containm.~nt Sensoi(s).. Mod.el: '. ~ Shear Valve(s). '. 12 ~Sh~r Valve(s). 'l~D~Containment Float(s) and Chain(s). · ' · .~ :.12 D~Coi~f~inmcnt Floal(s) and C~i~(s). - -'. ..:...: '. 120th~r(siix~y~quipm~nttyP~and modelin S~ciion EonPag¢2).' i120th~r(si~ify~luipmenttyp~and.modelinSeetionEonPag~2). '.'. · -. Cl. Certification - I certifythat the'equipment identified in-this dOCument wa~ inspected/sea;viced.in accordance with the · manufacturers' guidelines. Attached to'th~.Cer~ification is information.(e.g- manufacturers' checklists} n.-ecessar), to . verify that this information is COrrect and a Sit~ Plan showing the layout of monitoring equipment.. F.or any/equipment' -. capable'of genera'ting such reports, I have,also attached a copy of the (ch~/f al/f/faf, apl~ly): ."q~System set-up rep~:rt; 4~'Alarm history report. "~ -~.'~nitorin~ System Certification .'Site Addregs:. .- .: Date ofT~iag/Servicing'.-~"-/<~ D. Results of Testing/Servicing.' Software Yer$ion Installed: ' ] Complete the following checldLst: · ~ ye~ .a ~o.*ts,¢.aucU~.~¢ atarm operational? : .. . '~' Ye~ ' [1 lqoi Is the~ alarm opetatioml. ? :~. Yes [! lq.o*-Were all ~msor~.vi.mall. yimpe~____~,t, funclionallyl~l,~ndconfamedo .p~raiional? · 1' .Y~ 'O lqo* W~rea~se~s~rsinsta~eda~west~p~int~fse~ndatyc~n~i`meutandp~siii~neds~~~t~ not hterfere with theh' proper operation?. . El Yes [1 No* If alarms are relayed to a remot~ monitoring stati6n, is all communications equipment (ecg. modern): '~ N/A. operational? - - · ~. Yes .O No* For .Nesmtized piping ~ does the utrbine automatically shut down if the piping seco~ containment ' ' ~' ~ N/A monitoring system detects a leak, fails.tooperate, or is elixai. '~lly disconnected? If yes: 'which sensors initiate ' · -' -. positive shut-down? (Check. all ttmt apply)-~ Sutnp/Tren~ Sensors;' D Dispense~. Cqn~t. Sensor~. ' . . ' 'Did you confnm positive ~hUt-down due to leaks and~,ensor failure/disconnection?~ ~es; o. 'gl'Yes D No*- For.tank system that utiliz6.the' motiitoting system:as-the ptirhaty tank'ovetfill warn. lng device (i.e. ~o .... ~ .... i ~: lq/A , mechat~ical'oyerlill preveution-~tal~-is.' .installed), is the overfill warning a!ann vis~l, .and audible .at th~ tank ... - ....an po!nls) .aha 0petal. '. ~ proper~..~-so, .at w..hat.peteen,t o.f~apa~ ,a~es.ae ~ ui~... %. . · [l"Y~s*:~ lqo' :.Was '.anymo. nit&ing equipment .replaced~..Ifyes, ideniify specifi¢~ probes, or:Other, equipm'entreph.~. .:... ..... and list the mamtfactu~er, nami.mid model for all replacement pans in ,Section E, below-....~ ........ -. " '-.'- '.9 ~,' ue~ o water.: ~yes, aesen~ .c~ses~Seeaon a ~ow.. .. .. .~.'¥='"'0'~o* t~Um,ovit~i~r~Pm~.,oP~ti:o~!P~m~~~i,~i°~ ':'-"-'" " · . -..: .- ~ In $eetion E below; describe hoiv. and when tl~ese ilefieieneies we.r~ or ~-be corrected. " . · .-. - - ' - - .... ' E- Comments: .- CALM-01 . Page 2.of3 ' . . '" 11115/99 · · ~ '.Monitoring. System Certification · S. ite~A~idre~$: Date of Testin~Servicing: ' ' F. ~n-Tank Gauging / SiR Equipment: Il Check this box if tank gauging is u~ed only for inventory control. I-I Check this box if no tank gauging or SIP, equipment is installed. . Thisse~tion must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: fI yes. El No* Has all input wiring been ~ for proper entry and terrain .ation, including testing for ground faults? ! Yes El' No* Were all tank gauging probes visually inspected for. damage and residue buildup? ' yes Il No* Was accuracy ofsystem product lcvcl readings tested? Yes E! No* Wa~ accuracy of system water level readings tested? '1 Yes El No* Were all probes reinstalled, proPerly?...- · -- . .. ... J] Yes' E! No* Were all item~ on the equipment manufactdrer's' maintenance..cheeklist completed? ' .-... · In the Section H, below, describe howand when these deficiencies were or will be corrected. G. Line Leak DeteCtOrs (LLD): .. .Il Check this box ifLLD~ are not installed. Complete the following checklist: ~ yes 12 N6* /:or equipment start-up or annual- ' equipment' certificatioa~ was a leak'simuhted to verify LLD ,p~f, ormanc, e? 'El' N/A (Check tdl that apply) $imulated leak rate: 4~. 3-g.p.h); El0.1 g;p.h.~ El0~2gp.h.~ . ' ' · Notes:. 1. Required for equiPme~/t start-up cer~ficatien and annual certification. ' · -... · · ': .2.' Unless mandated by local agency, ce~. 'fication.reqnired only for electronic LLD start-up.. · ~i Yes' El No~ Wereall .LLDsconfinnedopetationalandaccumtcwithlnreg~htoryrequiremen~? ~ Yes El No* Wa~ thetesting apparatus Properly cal~rated? Il' Yes Il No* For mechanical LLDa, do~th¢ LLDre~rictpwductflowifitdete~'aleak7 ' Own .. ~Yes O No* -For¢l~tronicLLDs, does~¢turbincautomaticallyshutoffifthcLLDdesax~saleslc~ .. EI.~A ~ Yes '- El 1%* For electronl¢ LLDs, does the turbine automatic~dly shut off if anY portion bfthe monitoring system is. disabled El lq/A or disconnected? '~ Yes' El 'No* For electronic LLDs, ~oes the. turbine automatically shut. off if any-portiOn of the'monitoring, system El lq/A malfunctions or fails a test? ~ Yes El No*. For electronic LLDg have all accc~l¢ wiring connections b~n visually inspected? El N/A -~ Yes~ El No* .Were all items on the equipment manufacturer's maintenanc~ checklist complct~i? · In the Section H, below, describe how and when these deficiencies were or will be.corrected. IL Comments: · ' . l~$.oni~orit~g System Certification , ~ UST Monitoring Site Plan Site Address: Ins~cfions ' · If you already' have a diagram that shows all required information, you may include it, rather than this page, with.you~ Monitoring. System Certific~on~ On your. site plan, show. the general layout of tanks and piping. .... ~ -Clearly identify locations of the following equipment, if installed: monitoring system con~rol panels; sensors · monitoring tank ~nnlllar spaces, sumps, dispenser pans, spill containers, or other secondary con~inmeat areas; · ..mechanical or electronic line leak detectors; and in-tank liquid level probes (if-used for leak detectiov/). In the · space provided,, note the date this Site Plan was prepared. CALM42 Page '__ of__ I mS/9~ Triangle Environmental Inc US T MONITOR CERTIFICATION S UMMAR Y SHEET Client: Tosco Marketing Co. 2500 ~o.h Priest Drive TOSCO Facility # 08605 Tempe; AZ 85281 Test Date: 5/8/00 Facility: Tosco Facility # 08605 Work#: DB8605 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: N Line Trench: 0 N/A ATG Monthly? Yes 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: David Bushmeyer ,,' .i~ IFIED PROGRAM CONSOLIDATE RM TANKS UNDERGROUND STORAGE TANKS - FACILITY ~C AUBURN ST, FAIRF~ RD ~ ,. ~,~,o. I RUPERT, J~ES E' 1 80~589-5795 ~ OR ~ ~ 13104 ~ JUaN AVE C~ 4~ ~TATE 411 J BAKERSFIELD CA ~ 93312 P,O. Box 52085 Phoen~ ~ 8~72 Me~iza ~ ~la for Tosco R~ional Compfian~ S~cialist BUSINESS ACTIVITIES Pa,~¢ I of I- FACILITY IDENTIFICATION F~CILITY ID # .... J:,.!;:i!! ~ I~PA ID # (N~?~rdous W~ Only) BUSINF. SS NAM~ (Same ss Facili~ Name of DBA-Doing B~sim~ Circle K Stores Inc. ~705605 / / 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 thciliry..~ ..... If Yes, plea~., ~ mplc~c these pages of fl~e UPCF .... A. I-IAZARDOI~$ MATERJALS Have on site (for any purpose) h~rdous r~rerlals at or above ~5 gallor~s for liquids, .500 po~-I~ for solids, or 200 cubic feet for compressed gas~s HAZARDOUS MATFcRLa, L~ INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 - CHHMICAL DFc.~CP, IFrlON (Ot~ 2731) quantity for aa extremely hazardous substance specified ia 40 CFR Part (This is tepee, md wi~h the HMbIP,) 355, AppendLx A or B; or handle radiological materials in quam/ties for which an emergency plan is required pursuant to 10 CFR Par~s ~0, 40 or 7O? B. UNDERGROUND STORAGE TANKS ~L~STs) UST FACILITY (rom~ySwso~ 1. Ow~ or opera~ underground s~orage c~nks? [] Y~ [] NO ~ ugr TANK (~ o~0/r~a~ r~ 2, Intend ro upgrade cxi.sting or iastail ~ UST$? [-] yES [] NO 6 UST FACILITY UST TANK UST L~STALLATION -. CF~RTI~CATE OF COMPLIANCE (~ per cu/0 $. Needwreponclosin§aUST? ~]YES [] NO 7 C, ABOVE GROUND PETROLEUM STORAGE TAHKS {AS~fs) Own or operate AS)Cs above these thresholds: --any tank capacity is greau~r tha~1660 §allor~, or [] YF.S [] NO $ NO FORM P,F,Q~ TO CUPAs ---the total capacity for the f~cility is grea~r ~han 1,320 gallons? 'D. HAZARDOUS WASTF. 1. Generate hazardous waste? [] YES [] NO 9 F_2A ID NUMBER - provkl¢ at th~ Wp of 2. Recycle more than 100 kg/month of excluded or exempu~d RECYCLABLE MATERIAL~ RN_PO~ rccyciable mater/aLs (per HSC 25143.2)? [] YES [] NO 10 ONSITE ~U$ WASTE 3- Treat haza~/ou$ wa.~e on si~e? [~ YF.S [~ NO 11 TREAT~ - FACR. ITY ~ orsc ONSITE HAZARDOUS WASI~ TREATIvI~NT - UNIT (~ DT~C r~om:s t772A,B,C,D ~xslL) CERTIFICATION OF E{NANCIAL 4. Tteaunen~ subjec~ ~o financial assurance requi~mc-r~s (for [~] yr~ [] NO 12 ASSURANC~ ir~e~ ~rsc r~n ~ Permit by Pule and Conditional Authorization)? 5, Consolidate hazardous waste ger~erated at a remote site? REMOTE WAST~ / CONSOLIDATION [] YES [] NO 1~ SITE ANNUAL NOTIFICATION 6. Need ro report the closure]removal of a umk flc~t was chssified ~s [] Y~ [~ No 14 HAZARDOUS WASTE TANK CLOSURE bazar&ms ~as~e and cie. reed on~i~c? CERTIFICATION I~orncr~ orsc rcnn E. LOCAL P,~QUIREMENT$ · (You may ~aso ~e mqu/red ~o prov/dr zdd/fianal irdom~ion by your CUPA or local aReacy.) 0I/9 -qDVd I 9E~&L~$~6: eli : l~iO~ld 95:~I FACILITY INFORMA?ION BUSINESS OWNER/OPERATOR IDENTIFICATION L IDENTIFICATION BUSINHSS NAME (~ ~s gAClLrr¥ ~;AM~er l~a - ~ ~ire~s AS) 3 { BUSIN]I~S PHONE Circle K'Stores Inc. ,~2708605 / / 08605 [ 6618717979 BUSINF.~ $1T~ ADDi~ESS 56OO AUBUI~ ST CiTY {~ J Zlla CODE BAKERSFmLD J CA 93306 DUN & BRAD~ {o~ SiC CODE (4 digit #) 04-8564975 5541 COUNTY KERN BUSINESS OPEP. ATOR NAME 10~ { BUSINESS OP~P. ATOR PHONE _Company Operated { 6618717979 II. BUSINEgS OWNER OWNER NAM]8 ,n 10~rlq~R PI-lONE _Ciml¢ K Stor~ In¢, - ~)C-40 [£9.75] 2?7-23]9 OWNI~ MAILING ADDP,~$ P.O. Box 52.0.~ Phoenix AZ 85072-2085 III.ENVIRONMENTAL CONTAC~ CONTACT NAME n, CONTACT PHONE Merliza Alcala - (TOS_CO) (925) 277-2319 CONTACT MAILING ADDP.~S ~2. _000 Crgw canyon Pl..//400 _San RamotL ............ CA 94583 -PRIMARY- ~V. ~MImGENCY CONTACTS -SECONDARY- N.,MM'E m NAM~ Comua~v Ouerated Tosco Maintenance Call Cen£e~ TrrICE' - ' " 12a TITLE _Ouemtor · BIJSINF,~ PHoNB {z~ BUSINESS PHONE 66187 ] 7979 1-8oo-726-23 ~2 24-HOUR PHOIqE ~s 2~-HOUR PHON'E 1-800-726-2312 PAGER # ~ PAGER # ADDITIONAL LOCALLY COL~ INPORMATION: C~tifi~fiom ~ on :ny inquiry of those individmda responsible for obtaini~ the kfformatioa, I ¢¢rtify under l~nalry of law that I have l~nOnally eJ~mxlr~l and am 6,m,'l;ar wida the informalion sublets} aud balieve the ~aforlna~oll i~ ~¢, accut~, m_nd cOmpleu~. NAME OF SIGNF~ ~0 I~ T1;~LB OF~JIGNF.,R lY/ Merliza Z. Al~ala for Tosco Regional Compliauce Specialist UNIFIED PROGRAM CONSOLII)ATED FORM UNDERGROUND STORAGE TANKS-T~N'K PAGE 1 Circle K Smr~ hc ~ 2708605/08605 BI/I HOWd Igi~//~S~6:OI :HO~ 90:9I BO-9~-~g~ I~N-IF~D PROGRAM CONSOLmATED FORM $1TE#2?0S60~S~05 UNDERGROUND STORAGE TANKS - TANK PAGE 2 · L VI, PI~INGCONSTRUCTION(a~i~a~) ~,e ~ ~r FI. OW: ~,avrrr P-ow(c~¢*,~ ~ ~): .'q JCTIO .'¢~e'lca¥ ITY SYS-FEM: SUCIION/GRAV/TY SYS'TIIM: CONTINUOUS g~MP f;l~l~$~O~,+ AL/DIBLI~ AND vI~JAL AI~.R.MS 0 1'~ CO~I'F~ ~ Sb-'lqltog'~- AI.,!Dn~ .~ AND VlSI/AL 8I/~ HD~d Ig£~LL~S~6:0I :~0~ 98:9I 00-9~-~d~ UNIFIlgD PROGRAlVi CONSOLIDATED FORM U~ERGROUND STOOGE TAN~-T~ PAGE 1 ]E TAI"q~ CONTEN'I~ TANK U$F 4.~ PEIIIOLL~IM ~ 0 3. U~ ~PE OFTANK [] 1. ~O~ W~ ~ 3. ~ W~ ~ 0 5, ~NOLE OR ~A~ [] 2. ~c~c~L~ ~PILL A~D OVE~I~ ~R ~L~ ~ ~E ~ ~) 451 ~ S~LE W~ T~K ~ ~ ~: ~ ~ ~ W~ T~ O~ T~K ~ ~D~ ~ ~ ~): F~DDA~RD~O~ 4~ [ ~D~~E~G I UNIFIED PROGRAM COi~O!.mAT~D FORM TANKS UNDERGROUND STORAGE T~ - T~K PAGE 2 ~DERGRO~D P~C i A~RO~D ?K~ON ~b'DEROROU~ P~P~C A~RO~D ~ c. NO a~ ~ 8~0~ 0 e, ~ A~ ~? ~OFF ME~ ~ A~ Fo~To~ R~XON~ Co~~ S~~ D'NIF~D PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS- T~K ~AGE 1 Ckclc K Stor~ hc ~ 2708605/08605 K TANK COKrENTS T~ U~E A.~ t~TROLKLTM X 1, ~ v~C~ ~1~ ~L~ ~ ~ L~D ~ ~. J~L ~,~e~e~ ~ lb. P~~ED ~ t D~EL ~ ~. A~L ~ ~. C~ ~ 4. T~OR~G ~] 1. ~L~ED ~ I ~~ ~ 5. ~G ~9f ~~ ~~D ~7 OR SPILL ~D 0~I~ gv~ O~ UNIFIED PROGRAM CONSOLIDATED FORM Sll'E~z7osmf~s~ UNDERGROU~ STORAGE TANKS - TANK PAGE 2 ~ 3 SECOND.,~,ILY CONT.~iNED I~'I~G SECONDARILy COIqI'AINED PIPII~ PIPING ~ ~ 1,6~ a~ld2): FI~a-'URIZED PIPING (~ ~ON ~~ SY~M: ~~ S~: ~ ~ s~R.~ ~ ~ ~AL A~S ~ 13. ~ ~ IIMI~G~NCY ~o~ 17. iiq i SiLl D Fill r April 4, 2000 Tosco Marketing FIRE CHIEF Merliza Alcala RON FRAZE 2000 Crow Canyon Rd g400 A~U,N,SmATWE SE~WCES San Ramon CA 94583 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 3263941 FAX (805) 395-1349 Dear Compliance Coordinator: SUPPRESSION SERVICSS 2101 'H' Street You have been identified as the compliance coordinator for the Bak~d. CA ~30~ facility/facilities referenced in the attachment. .. VOICE (805) 326-3941 FAX (805) 395-1349 The permits to operate this facility/facilities will expire on June 30, 2000. PREVENTION 8ERVICE8 1715 Chester Ave. However, in order for this office to renew yOur permit, updated forms A, Bakemfield, CA 93301 VOICE (805) 326-3051 B, & C must be filled out and returned prior to the issuance of a new FAX 1805) 326.-057e permit. ENVIRONMENTAL 8ERVICE8 1715 c~.t,,, Ave. Please make sure that you are sending the updated forms which are Bakersfield, CA 93301 VOICE (~05) 32~=3979 indicated by the date 7/99 in the lower left hand comer. Please complete FAX (805) 320-0570 and remm to this office by May 15, 2000. Failure to comply, will result in TRAJNING DMSION a delay of issuance of your new permit to operate. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 3994697 Should you have any questions, please feel free to call me at FAX (805) 399-5763 661-326-3979. Sincerely, Steve Undenvood, Inspector Office of Environmental Services SU/dam attachment , Facility Address Circle K 5634 Stine Road, Bakersfield, Ca 93313 Circle K 5600 Auburn, Bakersfield, Ca 93306 Circle K 1030 Oak Street, Bakersfield, Ca 93304 Circle K 2222 "F" Street, Bakersfield, Ca 93301 Stockdale 76 5401 Stockdale Hwy, Bakersfield, Ca 93309 Country Club Union 2524 Oswell, Bakersfield, Ca 93306 CONTRACTOR SERVICE STATION ADORESS ~.) PAGE ES 5600 "ro co-. EEl- hEPORTED PROBLEM MATERIAL DESCRIPTION ~W MFG~ N~ES & SERIAL NOS. IF PUMP TOTALI~R ~S C~NGEO, SH~ BEFORE & AF~R TOTALIZER READINGS. TIME RATE AMOUNT OTY. PRICE AMOUNT / -- ~ CORE CREDIT , TOTALIZER READINGS TRAVEL TIME I NO' OF [ " , ', MILEAGE TO SITE SUBTOTAL PERSONS ~ m , , AND TIME AT SITE MATERIAL II DISPENSER ~ ~ VENDOR'S EOUIPMENT ~ m , VEHICLE MARK ( SERIAL NO. ~ ' ~ ~0 ~( )~ I , ', ', NUMBER UP * ,, ITEM ~ME RATE TOTALSUB' MARKup % AMOUNT ENDING ODOMETER READING MATERIALTOTAL ,' ~ ~ ~ - ~ EQUIPMENT ; , , , SALES TAX ON , RENTAL ~ , , , BEGINNING ODOMETER READING TOTAL MATERIAL CONT~CTOR ' , , , LABOR CHARGE , i ~ ~ TOTAL MILEAGE TO SITE ~ TOTAL REMARKS CONTRACTOR CONF)R~ED SERVICE CALL iRAVEL IIME ', ) ARRIVAL TIMLAT SITE ~ TOTAL DATE TIME - TOTAL , EQUIP. RENTAL , PERSON WHO PLACED CALL TOTAL TIME AT SITE , lOlgL . ~ 5- I0-- ~3 I~. ~TE~ ~ HR MIN. SU~CONTRACTO" SERVICE PERSON (PRINT NAME) SERVICE PERSON (PRINT NAME) . BEFORE SIGNING FORM, AUTHORIZEO PERSON (PRINT NAME) TOTAL ~ , ~t ~ ~A ~, LL 0 VERIFY ARRIVAL TIME, AuTHoj~ II SERVICE PERSON'S SIG~TURE SERVICE PERSON'S SIGNATURE DEPARTURE TIME, AND RSON'S SIG~ATU~ ~-- ~ ~ ~ bXi ~.1y C~~ SERM'CES PERFORMED. ~~~ ~ ~ ~ .... FORM 3~8B11 (REV. 1-94) PRINTED IN U.S.A. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST .__ 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME C~ccl,.~ ~ INSPECTION DATE /'(o ~0© ADDRESS ,~)~ j~lbot'~ PHONE NO. g[?[ ' ?qT? FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES "~ Section 1: Business Plan and Inventory Program [21 Routine ~ombined [] Joint Agency [21 Multi-Agency [21 Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy [,/ / Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~l Yes Explain: Questions regarding this inspection? Please call us at (805) 326-3979 Bu~nes~~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 Q~Ce./¢., V-- INSPECTION DATE /n ~ Section 2: Underground Storage Tanks Program [] Routine [~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ~}~ G- Number of Tanks Type of Monitoring ~ t.. t/~ Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations O'/ Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~ f ',~J".~'O ~~'~~ Office of Environmental Services (805) 326-3979 Bu.~-r,~S~R~ponsible Party White - Env. Svcs. Pink - Business Copy CIRC;LE K 86135 5600 AUBURN . BAKERSFIELD Ca 9330~ 661 -871 -7979 JAN 6. 2000 8:50 AP.'l SYSTEM STATUS REP©RT aLL FUN,2TIONS I,K'..F:MaL CIRCLE K ~3605 5600 AUBIJF;'N EIAKERfSF I EL[:, 661 -871 -7979 S~,_,TEI'I ST~TLIS REI:'ORT aLL FIJNCT I {:,I',IS N,:_-:,RMAL T 1 :UNLEADED VOLUME = 4510 GALS ULLAGE = 5306 GALS 90'2.; ULLAGE= 4324 GALS TO VOLUP1E = 4478 HEIGHT = 42.62 II', t.,I~TER VOL = 0 G~ WATER = O.I]O [ NC;.HES TEl"ll::' = 69.9 DEC; F T 2: I::'LUS V©LUP1E = :3:363 GALS ULLAGE = 6453 GALS 90% ULLAGE= 5471 [_-;ALS TC VOLUME = 3:359 ,]ALS HEIGHT = 34.4:3 INCHES I,..IATER VOL = 0 GALS [,.laTER = O. 00 INCHES TEPIP = 7,'3.9 DE,:3 F T 3: PREM I UM 'q©LUP1E = 2349 GALS ULLaF;E = 7467 GALS 90% ULLAGE= 6485 GALS TC.', V,:)LUME = 2322 ,,'_;Al HEIGHT = 28.72 I b,)ATER VOL = 0 GALS WATER = 0.00 INCHES TEMt::' = 76.3 DEG F L D February 9, 1999 F~RE c.~EF Circle K Stores Inc. RON FRAZE 5600 Auburn Street ADMINISTRATIVESERVICF.8 Bakersfield, Ca 93306 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 RE: Compliance Inspection SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 'H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (S05) 395-~9 The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, PREVEN'nO. SERVICES underground storage tanks and monitoring systems, and hazardous 1715 Chester Ave. Bakersfield, CA 93301 materials inspection. VOICE (805) 326-3951 FAX (8O5) 326-O576 To assist you in preparing for this inspection, this office is ENVIRONMENTAL. SERVICES enclosing a checklist for your convenience. Please take time to read this 1715 Chester Ave. Bakersfield, CA 93301 list, and verify that your facility has met all the necessary requirements to VOICE (805) 326-3979 FAX (805) 326-0576 be in compliance. TRAINING DM$1ON Should you have any questions, please feel free to contact me at 5642 Victor Ave. Bakersfield, CA 93308 805-326-3979. VOICE (805) 399-4697 FAX (805) 399-5763 Sincerely, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure Tosco Corporation 72 Cummings Point Road Stamford, Connecticut 06902 Telephone: 203 977-1075 Facsimile: 203 326-3190 T 0 S C 0 Craig R. Deasy 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 aggregate Effective Period of Coverage~ From January 1, 2000 until April 30, 2001, 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 P~. Deasy ~' Its: Vice President and Treasurer Date: March 29, 2000 WPLLD LINE LEAK ALARM W 1:87 GROSS LINE FAIL SEP 9, 1998 11:40 AM WPLLD LINE LEAK ALARM W 1:87 WPLLD SHUTDOWN ALM SEP 9. 1998 11:40 AH WPLLD LINE LEAK ALARM W 2:89 GROSS LINE FAIL SEP' '9.. 1998 11:52 A['.'I LINE LEAK ALARM WP'LLD SHUTDOWN ALM SEP 9.. 1998 11:52 AM CIRCLE K 8605 5600 AUBURN BAKERSFIELD C~ '33306 805-871-7979 SEP 9, 1998 11:59 AM STATUS REPORT W ':' :~_,R~- ..... h I NE FA I L W '2:WPLL[, SHUTDOWN ALM SENSOR ALARM SUMP STP SUMP FUEL ALARM BEP 9, 1998 9:00 AM CIRCLE K 8605 6600 AUBURN BAKERSFIELD CA 93306 805-871-7979 SEP 9, 1998 9:12 Aid STATUS REPORT ALL FUNCTIONS NORHAL WPLLD LINE LEAK ALARM W 3:92 GROSS LINE FAIL SEP 9, 1998 10:56 AM WPLLD LINE LEAK ALARM W 3:9~ WPLLD SHUTDOWN ALM SEP 9, 1998 10:56 AM ~PLLD LINE LEAK ALARM W 3:92 GROSS LINE FAIL SBIc9, 1998 11:25 AP1 -I,,,.IP L:I:I:'~L--H,I'E~-I:~-AK~A L A R M '::.2 ',-:: H LIT [ ,L-:,I.,,,.I N ALM '9. 1998 11:25 AM CITY OF BAKEP~IELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (80~) 326-3979 ~NSPECTION RECORD POST CARD AT SOB INTRUSIONS: PI~~m~~~M~~~~~~. T~ ~ ~~ ~PE~ON DA~ ~R ~H of T~s) C~ ~ of T~s) PIPING C~ ~ ~ Jo~ Fill ~ , EI~ ~1~ o~ F~ T~s) Di~ P~ ~ ~1~ - T~s) ~ault Wi~ ~ C~ble ~ , ~vei ~g~ ~ S~ ~ V~ V~v~ , ~ C~ble Fill ~ ~) f~ ~ S~.W. T~) M~m~g W,H(~yS~) - H29 T~ Spill ~ti~ ~ FIN~ Fill ~x ~k Tosco Corporation 72 Cumminc3s Point Road Stamford, Connecticut 06902 Telephone: 203 977-1000 Facsimile: 203 964-3187 TOSCO CERTIYlCATION 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 aggregate Effective Period of Coverage: From January 1, 1998 until revoked or replaced by notice to the Implementing Agencies listed on the attached Exhibit A. 1,' Coverage: Corrective action and third-party compensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising fi.om the operation of underground storage tanks. By: Craig R./Deasy Its: Vice President and Treasurer Date: April 27, 1998 State of Arizona ) )§ County of Maricopa ) The foregoing instrument was acknowledged before me this 27th day of April 1998 by Crai~R..~._Deasy, personally known to me as Vice President and Treasurer of Tosco Corporation on behalf of the corporation. BARBARA A. HUNTER J~a~ Pubk- State of ~2ona u~co~ cough, ~Notary Public ~ Comm. ~ ~ 11, 2~1 .]un-19-98~...~/\ 09:58A a&s en~l.~ne_e_~..~_n.c~ ...... r818 842-37.60 P.03 i~ i.~,~ OFFIC~F ENVIRONMENTAL SE~ES ~,,,~ / UNDERGROUND STORAGE TANK PROGRAM PERMIT-APP~CA~ON TO CONSTRUCT/~ODI~ UNDERGROUND STORAGE TANK ~PE 0F APP~ICA~OH (~HEC~ Q NEW FAcILI~ ~O01F~A'TION OF FACILI~ ~ NEW TANK INSTALLATION AT EXISTING FACILI~ STARTING DATE ~ - [ - ~ ~ PROPOSED COMPL~ION DATE ~ -( FACiLI~ NAME c ( ~ C C~ ~ ~S~o ~ E~STING FACILI~ PERMIT No. ,. FACILI~AOORESS ~ ~U~uA'~ St. ~AI~X ~D. ZIP CODE ~o~ ~PE OF BUSINESS ~5 STA~ e~ APN TANKOWNER ~o5co ~A~TI~G ~o~PA~ PHONE No.~I~ CONTRACTOR ~ se~vt~ ~T~,o~ ~o~A~S CA LICENSE No. ADDRESS il4t ~ CA~0 ~A~ C~WA~yo G~A~ZlPCOOE~[ PHONE N0.'~o~ .~[ ~~ BAKERSFIELD CI~ BUSINESS LICENSE No. YS ~ WORKMAN COMP. No.~7 ~G,,,~ INSURER ~o~bE~ E~G[E BREIFLYDESCRIBETHEWORKTOBEDONE 1~5~A~ NE~ ~5 ~o WATER TO FACILI~ PROVIDED BY DEPTH TO GROUND WATER SOIL ~PE EXPECTED,~SITE No. OF TANKS TO BE INSTALLED O ARE THEY FOR MOTOR FUEL ~ES Q NO ~ECT1ON FOR MOTOR FUEL TANK No. VOLUME UNLEAOED REGULAR PREMIUM DIESEL ~ AVIATION SECTION FOR. NON MOTOR FUELSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED CAS No. CHEMICAL PREVIOUSLY (no Dranc~ name) (il' known) STORED ........... ~ ........ · " -:< ,. ....... :,~ -'", ', :,e,,.~:~:. :,~' ,:,',.~ ,"'"-':,:,,,~c' .:.:~,:~'~-~,:~',':,~,~.,,.',:,;-,-.x.:.,,.~., .~,c,.~:<' ~,,c,,.:¢,,-~, ~,..,~,,x,-.,-,.~,, ............ ' .... .......:.i' AP PL1CZAT[OI~.:.rl A': '":'""':' '¥':'";"' >: ': '"::*::'::':;~'"' iE:-"': ..,.,.":'"::'~",:~z~:;'~"<: ' ~?~:¥~': ' '~::;';:~.. x. :.,,.-,,::.:....,:,:.,, ....:.;,:,-,:.::..::,~:~,- ~ ~.: E A OI[ITY '~ "~'~:"":~ ~':~'$;"J':'"~';:' '?'"~":':" "'" :':'~:' No,...:~': .,', .'.;:~,:-;~:...~.,:, ' :: ' '~:::~:~'~:~:¥"::YfT~A~' '~.:.~ m ~%',:~ ~" ~"' ::;::':"~:~""?'~::'::¥'"';"~;'":': '"' '~' ' ~::. ;::-,..'.: .:, ,,l'~O~:,~ ~:,!:,T,'A N KS..,~' ':':' .... "':'" :""*" '"4;: :~:'::~ :~' ":;~":'"": ......................... '"' '"'""s?;"'"'? ':;'I~ED.$"" '":"'~:':~::':' :" ' ' "';'':: '"' ' ' '" THE A P~LICA NT NAS ,qECEIVED. UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONOIIIONS OF THIS P ER MIT AN0 A NY OTHER STARE. LOCAL AND FEDERAL REGULATIONS. THIS FC~RM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, ANO TO THE BEST 01:; MY KNOWLEOG~. IS I'RUE AND CORRECT. /- APPLICANT NAME (PRINT) APPLICANT SIGNATURE THiS APPLICATION BECOMES A PERMIT WHEN APPROVED BAKERSFIELD FIRE DEPARTMENT February 13, 1998 FIRE CHIEF MICHAEL R. KELLY Circle K Stores Inc 5600 Auburn Street ADMINI~IRATIVESEI~VICES Bakersfield, CA 93306 2101 'H" Street Bakersfield, CA 93301 (805) 326-394 I FAX (805) 395-1349 SUm~aSION s~qcra RE: "Hold Open Devices" on Fuel Dispensers 2101 'H' Street Bakersfield. CA 93,.'.'.'.'.'.'.'.'~31 (8051326-3941 Dear Underground Storage Tank Owner: FAX (805) 395-1349 n~fVENnON.~mt~.S The Bakersfield City Fire Department will commence with our annual 1715 Chester Ave, Underground Storage Tank Inspection Program within the next 2 weeks. Bakersfield, CA 93301 (805) 326-3951 FAX(8~5) 326-0576 The Bakersfield City Fire Department recently changed its City Ordinance ENVIRONIVlENTALSERVlC*.S conceming "hold open devices" on fuel dispensers. The Bakersfield City Fire 1715 Chester Ave. Department now requires that "hold open devices" be installed on all fuel Bakersfield, CA93301 dispensers. The new ordinance conforms to the State of Califomia guidelines. (805) 326-3979 FAX (805) 3264~76 The Bakersfield Fire Department apologies for any inconvenience this IRAINING DIVISION 5642 Victor Street may cause you. Bakersfield, CA 93308 (8O5) 399-4697 FAX (~51399-5763 Should you have any questions, please feel free to contact me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey Triangle Environmental, Inc. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-7020 FAX (818) 840-6929 T.E.L UST TESTING SYSTEMS SUMMARY Precision Underground Storage Tank System Leak Test Client: TH~ cmcL~ K COMP^NY Circle K #08605 P.O. BOX-52084 Phoenix, AZ 85072-2084 Test Date: 12/16/96 Carmen Tucker (602) 530-5086 Facility: Work #: 340233 Circle K #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 1 Unleaded Premium 9816 N/A N/A -0.02 PASS PASS '2 Unleaded Plus 9816 N/A: N/A -0.04 PASS · PASS 3 Unleaded Regular 9816 ' N/A N/A -0.03 PASS PASS Certified By: Technician: Tony Kiani State Lic. #s: 1049 Comments: Compliance test P-L/TST and Monitor Certification This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. \ Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Circle K #08605 Tank #: 1 Test Date: 12/16/96 Product: Unleaded Premium Work#: 340233 Test Method: Test Method: R.J. FTA Capacity: 9816 Manufacturer: Red Jacket Diameter (in): L/D Model: PLD Product Level (in): L/D Serial #: 40790-2116 Liquid Volume (Gals): Line Drain Back (ml): 160 Liquid Percent (%): L/D Trip Time (sec): 3 Specific Gravity: Holding Pressure (psi): 10 Coef. of Expansion: Metering Pressure (psi): 10 Water On Tank (in): L/D Test Rate (gph): 2.2 Water In Tank (in): L/D Result: PASS Product Temp. (F): Head Pressure (psi): Test Start Time: Test End Time: Test Method: TEI LT-3 Test Rate (gph): Pump Brand: Red Jacket Test Result: N/A System Type: Pressure ~ Line Pressure (psi): 50 Line Start Time: ~9:50:00 PM Test Method: ULLAGE Line End Time: 11:05:00 AM UllageVolume (gals.): Line Start Level: 180 Ullage Test Time: · Line End Level: 160 Ullage Vacuum (psi): Line Test Rate (gph): . -0.02 Ullage Result: N/A Line Test Result: PASS Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Circle K #08605 Tank #: 2 Test Date: 12/16/96 Product: Unleaded Plus Work#: 340233 Test Method: ] Test Method: R.J. FTA Capacity: 9816 [ Manufacturer: Red Jacket Diameter (in): L/D Model: PLD Product Level (in): L/D Serial #: 40190-2112 Liquid Volume (Gals); Line Drain Back (mi): 160 Liquid Percent (%): L/D Trip Time (sec): 2 Specific Gravity: Holding Pressure (psi): 11 Coef. of Expansion: Metering Pressure (psi): 12 Water On Tank (in): L/D Test Rate (gph): 2.2 Water In Tank (in): L/D Result: PASS Product Temp. (F): Head Pressure (psi): Test Start Time: . Test End Time: Test Method: TEI LT-3 Test Rate (gph): Pump Brand: Red Jacket Test Result: N/A System Type: Pressure Line Pressure (psi): 50 Line Start Time: 9:30:00 PM Test Method: ULLAGE Line End Time: 9:45:00 PM UllageVolume (gals.): Line Start Level: 240 Ullage Test Time: Line End Level: 200 Ullage Vacuum (psi): Line Test Rate (gph): -0.04 Ullage Result: N/A Line Test Result: PASS Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Circle K #08605 Tank #: 3 Test Date: 12/16/96 Product: Unleaded Re~lular Work//: 340233 Test Method: Test Method; R.J. FTA Capacity: 9816 Manufacturer: Red Jacket Diameter (in): L/D Model: PLD Product Level (in): L/D Serial #: 40190-2125 Liquid Volume (Gals): Line Drain Back (mi): 140 Liquid Percent (%): L/D Trip Time (sec): 3 Specific Gravity: Holding Pressure (psi): 10 Coef. of Expansion: Metering Pressure (psi): l 1 Water On Tank (in): L/D Test Rate (gph): 2.1 Water In Tank (in): ~ L/D Result: PASS Product Temp. (F): Head Pressure (psi): Test Start Time: Test End Time: Test Method: TEI LT-3 Test Rate (gph): Pump Brand: Red Jacket Test Result: N/A System Type: Pressure Line Pressure (psi): 50 ' Line Start Time: 9:10:00 PM Test Method: ULLAGE Line End Time: 9:25:00 PM UllageVolume (gals.): Line start Level: 330 Ullage Test Time: Line End Level: 300 Ullage Vacuum (psi): Line Test Rate (gph): -0.03 Ullage Result: N/A Line Test Result: PASS Triangle Environmental, Inc. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-7020 FAX (818) 840-6929 T.E.L UST FACILITY INSPECTION/A UDIT SHEET Facility: Circle K #08605 Test Date: 12/16/96 5600 AUBURN ST BAKERSFIELD, CA 93306 County: KERN Cross Street: FAIRFAX ROAD Work #: 340233 · - Status '---- Type .Number of s= not Vr~ent or Oh,e~ C= Coa,lal P= Pr~,n~ F = n,, Disp. Hoses S= Satisfactory D= Dual A= Angle Check M= Metalic U= Unsatisfactory N= So Stage [ V= Vertical Check Regular: 2 4 Fill Cover: S Plus: 2 4 Fill Cap: S Fill Type: D Premium: 2 4 Fill Cap Seal: S Product Line Type: P Diesel: 0 0 Drop Tube: S Tank Swing Joint Type: M Kerosene: 0 0 Strike Plate: N Dispenser Swing Joint Type: M V/R Cover: S __. Status __ Stage II N= Not Present B= Balance V/R Cap: S S= Satisfactory A=Asist U= Unsatisfactory V/R Seal: S Impact Valve: S System Type: B V/R Dry Break: S Vertical Check Valve: N Assist Mfgr: Sub Pump: S Fill Spill Containment: S Sub Pump Cover: S Dispenser Containment: S Overfill: S Sub Pump Containment: S Comments: Compliance Detail: (List items that need immediate attention.) Triangle Environmental, Inc. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-7020 FAX (818) 840-6929 T.E.I. UST MONITOR CERTIFICATION SUMMARY SHEET Client: THE CIRCLE K COMPANY P.o. Box 52084 Circle K #08605 Phoenix, AZ 85072-2084 Test Date: 12/16/96 Facility: Circle K #08605 Work#: 340233 County: KERN 5600 AUBURN ST Cross Street: FAIRFAX ROAD BAKERSFIELD, CA 93306 Monitor model: LEAKSENSOR II Serial #: Sensor Type: Quantity: Result: Tank Annular: 3 PASS Annular Type: DRY Waste Oil: 0 N/A Vadose Wells: 0 N/A Audible Alarm? Yes Line Pressure: 0 N/A Visual Alarm? Yes Turbine Sump: 3 PASS Fail Safe? No Fill Sump: 0 N/A Positive Shut-off:? No ATG Result: Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: ~ Tony Kiani ~/~ Triangle Environmental, Inc. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-7020 FAX (818) 840-6929 T.E.I. UST WORKSHEET SUMMARY SHEET Client: THE CIRCLE K COMPANY P.O.~OX 52084 Circle K #08605 Phoenix, AZ 85072-2084 Facility: Date: 12/16/96 Circle K #08605 5600 AUBURN ST BAKERSFIELD, CA 93306 County: KERN Work #: 340233 Repairman: Tony Kiani LaborHours: Work Description 1: Permit charge Work Description 2: Parts List Qty. Description Item gl: 1 permit charge $55.00 Item #2: Item #3: Item #4: Item #5: Item #6: Item #7: Item #8: Item #9: Item #10: Item #11: Item #12: CC~ RECTION NOTICE BAKERSFIELD FIRE DEPARTMENT No-. 5 9 3 You are hereby required to make the following cor~etions at the above l~afion: Cot. No Completion Dal. efoi'Correctio~~ Inspector 326-3979 HAZARDOUS MATERIALS INSPE(~ON ~l~l~ersfield l~e Dept. 1715 Chester Ave. Bakersfield, CA 93301 Date Completed Business Namei ~.trcl~.- Location: ~ac) Business Identification No. 215-000 I~ '/'7. (Top of Business Plan) Station No. Shift Inspector.e,'t-c~c. Ot~/cra,'o~'(' Arrival Time: Departure Time: Inspection Time: Adel~te Inadequate Adel~te Inadequate Address Visable [] Emergency Procedures Posted [] Correct Occupancy ~ [] Containers Properly Labled I~ [] Verification of Inventory Materials I~ ~ Comments: Verification of Quantities ~ [] Verification of Location BI'/'.. [] Verification of Facility Diagram[~g'/ [] Proper Segregation of Material 13/ [] Housekeeping I~ [] Fire Protection [] Comments: Electrical ~ [] Comments: Verification of MSDS Availablity [g/' [] Number of Employees: (.,,o UST Monitoring Program ~r [] Comments: Verification of Haz Mat Training [I3/' [] Permits ~ [] Comments: Spill Control [] Hold Open Device [] ~ Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures El/' [] Proper Waste Disposal ~" [] Comments: Secondary Containment [] El Secudty [] El Special Hazards Associated with this Facility: Busin;ss Owner/Manage; P-~INT NA~E t~,' ~-(~N~,TUR~E - -' /-' / Correction Needed White-Hoz Mat Oiv. Yellow-Station Copy Pink-Business Copy UNDERGROUND STORAGE TAN iSPECTION Bakersfield Fire Dept. .............. ' ............ ........... " ............... '~" Office of Environmental Services :~ Bakersfield, CA 93301 FACILITY NAME ~l~'ci(_ ~-, BUSINESS I.D. No. 215-000 FACILITY ADDRESS q~oo Ad~d('~ CITY ~[~( ZIP CODE FACILITY PHONE No. ~7/- ? ~ ~7 ~ ~ io~ INSPECTION DATE .3..._~! ~' ~' Product Product Product TIME IN TIME OUT ~ P/~. 'OC Insl Date Inst Date Inst Date INSPECTION TYPE: I ~ ~g [q£ ~ Size Size Size ROUTINE FOLLOW-UP ~, ~ed ~/1, ~ REQUIREMENTS yes no n/a /es no n/a yes no n/a la. Forms A & B Submitted 1 b. Form C Submitted t,// lc. Operating Fees Paid ld. State Surcharge Paid le. Statement of Financial Responsibility Submitted V/ lf. Written Contract Exists between Owner & Operator to Operate UST .t// 2a. Valid Operating Permit 2b. . Approved Written Routine Monitoring Procedure 2c. Unauthorized Release Response Plan V/ 3a. Tank Integrity Test in Last 12 Months V/ 3b. Pressurized Piping Integrity Test in Last 12 Months / 3c. Suction Piping Tightness Test in Last 3 Years b/' ~ 3d. Gravity Flow Piping Tightness Test in Last 2 Years V/ ~ 3e. Test Results Submitted Within 30 Days (// '~ 3f. Daily Visual Monitoring of Suction Product Piping ~ dl 4a. Manual Inventory Reconciliation Each Month V' "~ 4b. Annual Inventory Reconciliation Statement Submitted ,V/ 4c. Meters Calibrated Annually 5. Weekly Manual Tank Gauging Records for Small Tanks 6. Monthly Statistical Inventory Reconciliation Results V~' 7. Monthly Automatic Tank Gauging Results V/' 8. Ground Water Monitoring A/ 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks V/ 11. Mechanical Line Leak Detectors L,/ 12. Electronic Line Leak Detectors V~ 13. Continuous Piping Monitoring in Sumps V'" 14. Automatic Pump Shut-off Capability L,~ 15. Annual Maintenance/Calibration of Leak Detection Equipment ~' 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 17. Written Records Maintained on Site V' 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20. Approved UST System Repairs and Upgrades 1,/ 21. Records Showing Cathodic Protection Inspection 22. Secured Monitoring Wells 23. Drop Tube V~ RE-INSPECTION D/,~TE ,~ RECEIVED BY: FD 1669 (rev. 9/95) . THE CIRCLE K CORPORATION CONVENIENCE FOOD STORES ~ T--~,: :'. ......... .... October 18, 1996 Ill'! ..... t ~. ..~ ,.: /~,?fi. 1715 Chester ~venuo, Suite 300 Bakersfield~ RE~ New Comp~ance Contact De~ Agent~= .~e~ of respomibffi~ wi~ the C~cle K company ~ve been remsi~ed since it's purch~e by Tosco Corporation. Ple~e note that yo~ new con~ for C~ffornia reg~dii~g gasoline comphance hsues ~e Ms. Heathm' S~ ~d Mr. C~h Syb~g at the following ad,ess:~ C~cle K Stores inc. G~ohne Enr~onment~Compli~tce 601 Union Sb'eeL Suite ~00 Seaffle, Was~ngton 98101 Phone: (206~2-7378 or ~-7078 Change becomes ~e~ve upon your receipt of this notice. Respe~uHy, Re~on~ Comp~ce Coord~ator cc: Heath~ S~th Chr~ Syb~g P.O. BOX 52084 · PHOENIX, AZ 85072-2084 · (602)437-0600 CERTIFICATION OF FINANCIAL RESPONSIBILITY Circle K Stores Inc. (including its affiliates and subsidiaries) 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' {}280.96 - Guarantee of The Circle K Corporation Amount of Coverage: $2,000,000 in the a~gregate. Effective Period of Coverage: May 1, 1996 until revoked or replaced by notice to the Implementing Agencies lined 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 ofunder~ound storage tanks. CIRCLE K STORES DIC. and its affiliates and subsidiaries Its: Executive Vice President o Finance Date: April 22, 1996 WITNESS Name: Cortlar~ J. Silver Its: Assistant Secretary Date: April 22, 1996 TONDFCJS\4828CS 1 CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O, Box 52084 · Phoenix, AZ 85072-2084 K"~TORES INC. SCHEDULE B 4/22/96 STORE STREET CITY ZIP COUNTY STATE 00750 2715 CENTER ST ROSAMOND 9356 KERN CA 00770 49594 29 PALMSHWY MORONGO 9225 SAN CA 00777 1005 MISSION RD FALLBROOK 9202 SAN DIEGO CA 00801 18965 VAN BUREN BLVD WOODCREST 9250 RIVERSIDE CA 00837 17671 GRAND AVE LAKE ELSINORE 9233 RIVERSIDE CA 00838 35472 DATE PALM DR CATHEDRAL CITY 9223 RIVERSIDE CA 00858 !18465 HWY 18 APPLE VALLEY 9230 SAN CA 00872 13261 PERRIS BLVD MORENO VALLEY 9238 RIVERSIDE CA 00902 6940 OLD WOMAN SPRG YUCCA VALLEY 9228 SAN CA 00903 68-258 RAMON RD CATHEDRAL CITY 9226 RIVERSIDE CA 00951 5809 MANZANITA AVE CARMICHAEL 9560 SACRAMENTO CA 00956 6825 GREENBACK LN CITRUS HEIGHTS 9562 SACRAMENTO CA 00977 739 ARDEN WAY SACRAMENTO 9581 SACRAMENTO CA 00989 12854 FOOTHILL ETIWANDA 9173 SAN CA 01023 80-100HWY 111 INDIO 9220 RIVERSIDE CA 01028 1665 W HANFORD- HANFORD 9323 KINGS CA 01034 15853 MAIN ST HESPERIA 9234 SAN CA 01045 11408 VENTURA AVE ,OJAI 9302 VENTURA CA 01057 5555 HEMLOCK ~SACRAMENTO 9584 SACRAMENTO CA 01070 795 EPERKINS ;UKIAH 9548 MENDOCINO CA 01096 500 RIMROCK RD BARSTOW 9231 SAN CA 01102 4833 SHASTA DAM BLVD PROJECT CITY' 9607 SHASTA CA 01106 1693 CENTRAL AVE MCKINLEYVlLLE 9552 HUMBOLDT CA 01118 1200 N CREST DR CRESCENT CITY 9553 DEL NORTE CA 01156 1263 FRANKLIN AVE YUBA CITY 9559 SUTTER CA ' 01161 1395 PALM WASCO 9328 KERN CA 01173 1370 BARDSLEY TULARE 9327 TULARE CA 01178 428 SKYLINE AVENAL 9320 KINGS CA 01197 6930 MORRO RD ATASCADERO 9342 SAN LUIS CA 01205 16470 CAMBRIDGE LATHROP 9533 SAN JOAQUIN CA 01212 600 RIO TIERRA AVE SACRAMENTO 9583 SACRAMENTO CA 01215 1421 OCEAN LOMPOC 9343 SANTA CA 01232 4381 EL CAMINO REAL ATASCADERO 9342 SAN LUIS CA 01242 3232 STINE ROAD BAKERSFIELD 9330 KERN CA 01.244 9408 KIEFER BLVD SACRAMENTO 9582 SACRAMENTO CA 01270 5634 STINE RD BAKERSFIELD 9331 KERN CA 01271 697 STATE ST SANJACINTO 9238 RIVERSIDE CA 01274 44046N JACKSON ST INDIO 9220 RIVERSIDE CA 01315 2585 JENSEN AVE SANGER 9365 FRESNO CA 01326 8101 LANDER AVE HILMAR 9532 ;MERCED CA 01327 1860 MAIN ST MORRO BAY 9344 ~SAN LUIS CA 01329 11 MARKET ST COLUSA 9593 ~COLUSA CA 01330 671 G ST LINCOLN 9564 IPLACER CA 01332 215 HARDING BLVD ROSEVILLE 9567 PLACER CA 01337 ,19615 PEACEFUL OAK RD SONORA 9537 TUOLUMNE CA 01340 1506 SACRAMENTO AVE BRYTE ,9560 YOLO CA 01355 111 EAVEK LANCASTER 9353 LOS ANGELES CA 01361 10785 COLOMA RD RANCHO 9567 SACRAMENTO CA Locations Covered by 40 CFR Section 280.96 Page 12 of 40 K STORES INC. SCHEDULE B 4/22/96 STORE STREET CITY ZIP COUNTY STATE 05217 12512 KNOTT AVE GARDEN GROVE 9264 ORANGE CA 05221 8609 GARVEY AVE ROSEMEAD 9177 LOS ANGELES CA 05224 1880 E 4 ST ONTARIO 9176 SAN CA 05230 16408 ORANGE PARAMOUNT 9072 ILOS ANGELES CA 05232 6760 CARNELIAN ALTA LOMA 9170 !SAN CA 05233 16880 SLOVER FONTANA 9233 :SAN CA 05234 12105 PIONEER BLVD NORWALK 9065 LOS ANGELES CA 05236 1695 ROYAL AVE SIMI VALLEY 9306 VENTURA CA 05237 510 E LOS ANGELES AVE SIMI VALLEY 9306 VENTURA CA 05238 765 W HARVARD BLVD SANTA PAULA 9306 VENTURA CA 05239 2734 DEL ROSA SAN 9240 SAN CA 05240 3008 N E ST SAN 9240 SAN CA 05242 3405 E HIGHLAND SAN 9240 SAN - CA 05244 16125 BASELINE FONTANA 9233 SAN CA 05245 6105 CLAY PEDLEY 9250 RIVERSIDE CA 05246 3350 COLLEGE BLVD OCEANSlDE 9205 SAN DIEGO CA 05247 5804 MISSION BLVD RUBIDOUX 9250 RIVERSIDE CA 05248 3950 PIERCE ST RIVERSIDE 9250 RIVERSIDE CA 05249 105 S PEPPER SAN 9241 SAN CA 05250 190 W SAN MARCOS BLVD! SAN MARCOS 9206 SAN DIEGO CA 05251 1801 E ORANGETHORPE PLACENTIA 9267 ORANGE CA 05252 518 W FOOTHILL RIALTO 9237 SAN CA 05253 920 W BLOOMINGTON RIALTO 9237 SAN CA 07953 481 SWEETWATER RD SPRING VALLEY 9207 SAN DIEGO CA 08545 1161 E VALLEY PKWY ESCONDIDO 9202 SAN DIEGO CA - 08563 ,1419 CROWELL LIVINGSTON 9533 MERCED CA 08581 :1666 ALPINE BLVD ALPINE 9200 SAN DIEGO CA. 08605 5600 AUBURN ST BAKERSFIELD 9330 KERN CA 08606 1030 OAK ST BAKERSFIELD 9330 KERN CA 08607 1564 N BLACKSTONE FRESNO 9370 FRESNO CA 08636 4125 PHELAN RD PHELAN 9237 SAN CA 08640 20920 BEAR VALLEY RD APPLE VALLEY 9230 SAN CA 08641 295 N WATERMAN AVE SAN 9240 SAN CA 08644 11718AIRBASE RD ADELANTO 9230 SAN CA 08671 8606 THORNTON RD STOCKTON 9520 SAN JOAQUIN CA 08675 8899 LA MESA BLVD LA MESA 9204 SAN DIEGO CA 08680 80980HWY 111 INDIO 9220 RIVERSIDE CA 08686 2220 WESTWOOD REDDING 9600 SHASTA CA 08688 10520 CAMINO RUIZ SAN DIEGO 9212 SAN DIEGO CA 08734 247 E OLIVE AVE FRESNO 9372 FRESNO CA 08735 2097 MENTONE BLVD MENTONE :9235 SAN CA 08755 2790 WHITSON RD SELMA :9366 FRESNO CA 08767 2850 CAMERON PARK DR CAMERON PARK 9568 EL DORADO CA 08825 2222 F ST BAKERSFIELD 9330 KERN CA 08843 1640 CARPENTER RD MODESTO ~9535 STANISLAUS CA 00254 799 6 ST DURANGO 8130 LA PLATA CO 00888 300 E PAGOSA PAGOSA 8114 ARCHULETA CO 01609 105 S 2 ST LA SALLE 8064 WELD CO Locations Covered by 40 CFR Section 280.96 Page 14 Of 40 ENCLOSED PLEASE FIND: 1. CIRCLE K STORES INC. MOST CURRENT FINANCIAL RESPONSIBILITY CERTIFICATION 2. ·tOT OFGASOLINE =s tttTt_~C WITHIN YOUR JURISDICTION TC~ A ~TTTg-"TD A T~"I~ TH A T Vf-~TT'F~ A F"I:TIkTg-'V IATTT T KEEP A COPY IN EACH STORE FILE. A COPY WILL BE RESIDENT AT EACH FACILITY. F T 1'~ ,~ [-'I? ,~'-'"~I"'~'I~Tr~-~ ~ ~ ~ ~ T~ ~/~TT TT 4 lT~ QUESTIONS AT (602)530-5113 RUTH BULMER SR. COMPLIANCE COORD. Bakersfield FD : State of C_.~lifomia Stat~ Wa~r Reaourc~s Control Bo~ CERTIFICATION OF FINANCIAL RESPONSIBILI FOR UNDERGROUND STO~ TANKS C~NING P~O~UM A. I ~= required to demons~a~ ~mancial Re~nsibai~ in the required amounu ns s~ed ~ ~ ~. Chap~r 18. Db. ~. ~0e 23. CCR: ~ ~D or ~ 3, C~er 18, D~n 3, T~/e 23, ~/~rn~ ~e of ~gu~. T~ ':" Nu~r ~ ~um Per~ ~n Comp. GU~~ THE CIRCLE K CO'OPTION ~280.96 2,000,000 CONTINUO['S ~S ~S 3003 N. C~T~ A~N~ 40 ~R _18TH FLOOR PHO~IX, ~IZONA 85012 N~?.:If y~u are using the State Fund as any part of your demorstration of fi'~',cml responsibility, your execution and submission of thb certif'Kzation also certifies that you are in compliance w~h all coFx~/tJors f~r Darticimation in the Fund. Circle K Store ~8825 12222 "F" St., Bakersfield F ~cT.--~.. N,==e F ~citi ty .~tctteu Circle K Store #1270 15634 Stine.-Rd., Bakersfield F~.? N~e · Fsafility ~[flteu ..... ' Circle K Store ~8605 5600 .Auburn St., Bakersfield Circle K Store '%8606 11030 Oak St., Bakersfield Circle K Store #1242 3232 Stine Road, Bakersfield ° " N W MI MANA ER Si~z-~c W~ ' ~N taty ' D~te Na~eof~r~m~orNom'v · I~¥ 1, 1996 SR.. GASOI'.INR COI~I'.I/~CE COORDINA'I~OR CERTIFICATION OF FINANCL~L RESPONSIBILITY Circle K Stores Inc. (including its affiliates and subsidiaries) hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism ua~3 to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism: {}280.96 - Guarant~ of The Circle K Corporation .aa-nount of Coverage: $2,000,000 Ln ~e ag.gregate. Effemive Period of Coverage: May 1, 1996 until revoked or replaced by notice to the Implementing Agencies Es-ted on the anached E.'d-~ibit A. Coverage: Corrective a~ien and t~rd-party compensation for bodily injury and pro?errz.' damage caused by sudden and nonsudden accidental releases arising from the operation ofundergound storage tanks. · CIRCLE K STORES I2',TC. and its affiliates and subsidiaries Its: Executive Vice President - Finance Date: April 22, 1996 WITN~E S S Name: Cortlarl;~ J. Silver Its: Assistant Secretary Date: April 22, 1996 TOND'~'CJS\4828CS 1 CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O, [3ox 52084 · Phoenix, AZ 85072-2084 April 26, 1996 Agencies listed on the Attached Exhibit A Re: Financial Responsibility under 40 CFR part 280 To Whom it May Concern: I am enclosing information relating to Circle K's requirement to provide financial responsibility for the owners~p and operation of underground storage tmnl-:s pursuant to 40 CFR parr 280. Contrary to the information sent you in my letter of January. 16, 1996, Circle K xvill be utilizing a ~m~arantee under 40 CFR 280.96 rather than the financial test of self-insurance under 40 CFR 280.95. As such, the standby trust a~eement with Bank One Arizona, A.Z. will continue to e,'dst. This change does not affect the amount of coverage required or provided by the company in complying with the regulations. The packet includes a Certification of Financial Responsibility, the Guarantee of The Circle K Corporation and the Letter from our Chief Financial Officer. You w:ill note that the packet includes an updated tank list for each of your states. Please forward this notice to the appropriate person in your agency. You may direct any questions to me at (602)530-5138. VeD' truly yours, .,q Cortland J.,"Silver, Jr. / Assistant General Counsel CJS/tm 4849CS I.DOC CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · RO. Box 52084 · Phoenix, AZ 85072-2084 Triangle Environmental, Inc. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-7020 FAX (818) 840-6929 T.E.L UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: C~RCLE~:STO~S, rSC. Circle K #08605 P.O. BOX Phoenix, AZ 85074 Test Date: 1/3/96 Suzarme Rooney (602) 530-5336 Facility: Work #: N2377 Circle K #08605 County: KERN 5600 AUBURN ST Cross Street: FAIRFAX ROAD BAKERSFIELD, CA 93306 Tank Test System Tank Line ID # Product Capacity Type Rate/Results Ullage Result Rate/Result L/D Result I Unleaded Regular N/A N/A 0.004 PASS PASS 2 Unleaded Plus N/A N/A 0.002 PASS PASS 3 Unleaded Premium N/A N/A 0.008 PASS PASS Certified By: Technician: James J. Rich State Lie. #s: CA-1072 Comments: MONITOR CERTIFICATION. This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. I Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Circle K #08605 Tank#: 1 Test Date: 1/3/96 Product: Unleaded Regular Work#: N2377 Test Method: Test Method: R.J. FTA Capacity: Manufacturer: Red Jacket Diameter (in): L/D Model: PLD Product Level (in): L/D Serial #: 40790-2125 Liquid Volume (Gals): Line Drain Back (ml): 350 Liquid Percent (%): L/D Trip Time (sec): 2 Specific Gravity: Holding Pressure (psi): 14 Coef. of Expansion: Metering Pressure (psi): 16 Water On Tank (in): L/D Test Rate (gph): 120 Product Temp. (F): L/D Result: PASS Head Pressure (psi): Test Start Time: Test End Time: Test Method: TEl LT-3 Test Rate (gph): Pump Brand: Red Jacket Test Result: N/A System Type: Pressure Line Pressure (psi): 50 Line Start Time: 8:15:00 PM Test Method: TEl ULLAGE Line End Time: 8:30:00 PM UllageVolume (gals.): Line Start Leve! (mi): 146 Ullage Test Time: Line End Level (ml): 142 Ullage Vacuum (psi): Line Test Rate (gph): 0.004 Ullage Result: N/A Line Test Result: PASS TANK IS MONITORED. Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Circle K #08605 ~Tank#: 2 Test Date: 1/3/96 Product: Unleaded Plus Work #: N2377 Test Method: Test Method: R.J. FTA Capacity: Manufacturer: Red Jacket Diameter (in): L/D Model: PLD Product Level (in): L/D Serial #: 40790-2112 Liquid Volume (Gals): Line Drain Back (mi): 360 Liquid Percent (%): L/D Trip Time (sec): 2 Specific Gravity: Holding Pressure (psi): 15 Coef. of Expansion: Metering Pressure (psi): 17 Water On Tank (in): L/D Test Rate (gph): 80 Product Temp. (F): L/D Result: PASS Head Pressure (psi): Test Start Time: Test End Time: Test Method: TEl LT-3 Test Rate (gph): Pump Brand: Red Jacket Test Result: N/A System Type: Pressure Line Pressure (psi): 50 Line Start Time: 9:15:00 PM Test Method: TEl ULLAGE Line End Time: 9:30:00 PM UllageVolume (gals.): Line Start Level (mi): 200 Ullage Test Time: Line End Level (mi): 198 Ullage Vacuum (psi): Line Test Rate (gph): 0.002 Ullage Result: N/A Line Test Result: PASS TANK IS MONITORED. Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Circle K #08605 Tank #: 3 Test Date: 1/3/96 Product: Unleaded PremiumWork#: N2377 Test Method: Test Method: R.J. FTA Capacity: Manufacturer: Red Jacket Diameter (in): L/D Model: PLD Product Level (in): L/D Serial #: 40790-2116 Liquid Volume (Gals): Line Drain Back (mi): 380 Liquid Percent (%): L/D Trip Time (sec): 2 Specific Gravity: Holding Pressure (psi): 14 Coef. of Expansion: Metering Pressure (psi): 17 Water On Tank (in): L/D Test Rate (gph): 105 Product Temp. (F): L/D Result: PASS Head Pressure (psi): Test End Time: Test Method: TEl LT-3 Test Rate (gph): Pump Brand: Red Jacket Test Result: N/A System Type: Pressure Line Pressure (psO: 50 Line Sta~ Time: 8:4~:00 PM Test Method: TEI ULLAGE Line End Time: 9:00:00 PM UllageVolume (gals.): Line Sta~ Level (mi): 278 Ullage Test Time: Line End Level (mi): 270 Ullage Vacuum (psi): Line Test Rate (gph): 0.008 Ullage Result: N/A Line Test Result: PASS TANK IS MONITORED. Triangle Environmental, Inc. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-7020 FAX (818) 840-6929 T.E.I. US T MONITOR CER TIFICA TION SUMMARY SHEET Client: Test Date: 1/3/96 CIRCLE K STORES, INC. P.O. BOX Phoenix, AZ 85074 Facility: Circle K #08605 Work#: N2377 County: KERN 5600 AUBURN ST Cross Street: FAIRFAX ROAD BAKERSFIELD, CA 93306 Monitor model: E/W LEAK SENSER 2 Serial #: N/A Is monitor labeled correctly? Yes When monitor is turned off or in alarm does turbine shut down? No Sensor Type: Quantity: Result: Tank Annular: 3 PASS Annular Type: Dry Waste Oil: N/A Vadose Wells: N/A Line Pressure: N/A Turbine Sump: 3 PASS Fill Sump: 0 N/A ATG Result: N/A Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: James J. Rich ~FAC~R & MODEL ~~ STATUS: '3 ANNULAR SENSORS PASS ]5. N/A MYDROSTATIC PASS__ N/A_~ __.VADOSE SENSORS PASS__ __,LINE PRESSURE PASS, N/A '~ SUMP SENSORS PASS~ N/A (D/W PRODUCT LINES) WHEN MONITOR IS TURNED OFF OR IN ALARM DOES THE TURBINE SMUT DOWN? YES~ NO.~><t SUCTION.~ INSPECTED BY* TECMNICIAN ~--~ ~9, ~L ~! ¢ (~ SIGNATURE ~ / //~ 172 WELT VERDUGO AVE., ~UR~ANK, CA 91502-2132 · TEL: (818) 840-7020 · FAX: (818) ~6-6929 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 FACILITY ~.:/~ce.~: /< ~' ~'GC'b2." ADDRESS ...%'ec:n' r~.~%:.,~.:J $ -r PERMIT TO OPERATE.~ = OPERATORS NA~IEC~£~ l~ Co,~c,~£?;~.,.~' OWNEF.$ N~IE ~..',.~.;~..~ C~:,w~u,~,~,.; ~ER OF TA~$ TO BF. TESTED O IS PIPING C~ING TO'BE TESTED TAN~% VOLUME CONTENTS TA~K TESTING COMPAA~- -~a,,~ S~,~',~,:-.~'~e,-'~ ~..~'~DD~SS TEST METHOD ~2'~ N~E OF TESTER3a,,~s ~%,c~t CERTIFICATION 9 STATE REGISTRATION % DATE ~ TIME TEST IS TO BE CO~UCTED // 3]~ Co ............... ~ ~:. ':,.....~ ............ --~,~. ~{~~ BY: : -- D~E ' ~ SiGNA~RE OF APPLI~T ' BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 FACILITY ~/~dL~ /~ ~ ~O~' ADDRESS ~oo ~u6u~ 5~ PERMIT TO OPERATE ~ OPERATORS NAME~j£~ ~ Co~?~,~ OWNERS NAME ~- ~ c~m?o~.~/ NUMBER OF TANKS TO BE TESTED ~ IS PIPING GOING TO'BE TESTED TANK# VOLUME CONTENTS TANK TESTING COMPANY.~,~&~ TEST METHOD N~E OF TESTER~a~g ~c~ CERTIFICATION ~ /O 73 STATE REGIST~TION ~~ BY: DATE I UNDERGROUNDSTeRAGE I tKINSPECTION , , ~i ..... BakerSfield Fire Dept. Office of Environmental Services :::~i Bakersfield, CA 93301 FACILITY NAME ~_..~¢~Q. ~ ~:~"_~(~.-~""~ BUSINESS I.D. No. 215-000 tc~,~'"7 FACILITY ADDRESS ,._~('_~c/'~'O_ g"'~--~ CITY _~1~%.~'.'o_{r!(_ ZIP CODE FACILITY PHONE, No. ~D~ ~D~ ~D~ INSPECTION DATE I ~, / I ~-/¢~7_~"' ¢~) ( C) ~.. ,~Pr0duct Product Prod-u~'- TIME IN TIME OUT .' ¢ Inst Date Inst Date Inst Dale~ INSPECTION TYPE: ~_: /o,~ / ?~ ROUTINE !,/~ F0~.LOW-UP ' Siza Size ( h_ . D~"~ / ~, ~:> / ~.~ ~-.) REQUIREMENTS yes no n/a yes no n/a yes no n/a la. Forms A & B Submitted //' ~ //~' I lb. Form C Submitted v/ ~ lc. Operating Fees Paid v/ ' ~ ld. State Surcharge Paid /' ~ le. Statement of Financial Responsibility Submitted ~ ~' lf. Written Contract Exists between Owner & Operator to Operate UST ,./ ~ ~'"' 2a. Valid Operating Permii ~ ~ 2b. Approved Written Routine Monitoring Procedure ~ ~'~ 2c. Unauthorized Release Response Plan ~ ~ 3a. Tank Integrity Test in Last 12 Months ~ 3b. Pressurized Piping Integrity Test in Last 12 Months ~ 3c. Suction Piping Tightness Test in Last 3 Years ~ 3d. Gravity Flow Piping Tightness Test in Last 2 Years ~" ,,l 3e. Test Results Submitted Within 30 Days v/ 3f. Daily Visual Monitoring of Suction Product Piping ,,"' 4a. Manual Inventory Reconciliation Each Month "~ '"" 4b. Annual Inventory Reconciliation Statement Submitted ~" 4c. Meters Calibrated Annually ~ 5. Weekly Manual Tank Gauging Records for Small Tanks ~ ~ 6. Monthly Statistical Inventory Reconciliation Res.ults r-,, { I/ ~ 7. Monthly Automatic Tank Gauging Results~ [/ ~'~ '~2~ / 8. Ground Water Monitoring ~ \ \ ~,~x~ ~ / 9. Vapor Monitoring / I\-- ~ v 10. Continuous Interstitial Monitoring for Double-Walled Tanks "'" '"' 11. Mechanical Line Leak Detectors ~ 12. Electronic Line Leak Detectors "/ 13. Continuous Piping Monitoring in Sumps ~ ,/ 14. Automatic Pump Shut-off capability v~ 15. Annual Maintenance/Calibration of Leak Detection Equipment b/ ~ 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series ~ '-"' "/' 17. Written Records Maintained on Site (~ ~ 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days ~'~ 19. RePOrted Unauthorized Release Within 24 Hours v/ 20. Approved UST System Repairs and Upgrades ~/ ~ t,/ 21. Records Showing Cathodic Protection Inspection t,..- 22. Secured Monitoring Wells ~ 23. Drop Tube t,,/ ~ II ~" RE-INSPECTION DATE ' ~, . RECEIVED BY: ~ FD 1669 (rev. 9/95) PE WII 'STRFEt NT Bak~l~eld ];ire Dept. ~:~=~ ~:~ .~,~=~~ ~ ~i5 Chester Ave. B~ersfieid, CA 93301 FtR~0RKS, ~O~. F '11-52090 T~KTE*TINO, ~ 5 011-56068 OTHER ~.~ ~USTOItER RECEIPT ~A)~E ~OUNT TP ....... ~,~RN T~K ~20,16 82 CK STATE SURCH~R -$3i5~8~ 86 CK ~ .,. I'OT~L CHECK ~336.8~ ~ENT CITY ~j~ BA KERSFIELD FIRE D£PA R FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA · 93301 September 29, 1995 R.E. HUEY R.B. TOBIAS, HAZ-MAT COORDINATOR FIRE MARSHAL (805) 326-3979 (805) 326-3951 Circle K Stores Inc. Ruth H. Bulmer 3003 N. Central Ave. Phoenix, AZ 85012 Dear Ms. Bulmer: I am sorry for any confusion created by the (Notice of Violation) issued for your two stores located in Bakersfield, California. I am pleased however, that the state surcharge will be paid within the 30 day period specified in the N.O.V. It will not be necessary however to re-submit State A & B forms nor is it necessary to submit any application directly to the State Water Resources Control Board. As we stated in the N.O.V. (paragraph 2) "This means that for state registration renewal you must submit a state surcharge of $56.00 for each tank. That is all you have to do! In your letter of September 25, 1995 you also stated that section 25287 of the California Health and Safety Code did not mention a five year renewal requirement. That language can be found in section 25225 of the code. With regard to a standardized form prepared by the board provided by the local agency (ref section 25286 California Health and Safety Code) these forms (ie. State A, B and C forms) are provided at the time of new tank installation or any tank system modifications. We do not need to have them re- submitted every 5 years as long as the information is correct. If I can be of any further assistance please do not hesitate to call. Sincerely yours, ~~P h~dE(::;uHs U~Yaterials Coordinator REH/ed September 25, 1995 City of Bakersfield Fire Department Attention: Mr. Ralph Huey 1715 Chester Avenue Bakersfield, CA 93301 RE: Permit Renewal and State Surcharge Fees for Circle K Store #8605, 5600 Auburn St. and ........ : .... C~r-cre~'K-Store-#860'6, 1O'30Oak St-. -' - Dear Mr. Huey~ Circle K is in receipt of your September 15, 1995 Notice of Violation letter which in part states that "...owners...must register those underground storage tanks with the State of California Water Resources Control Board and renew that registration every five years...pursuant to Section 25287 of the California Health and Safety Code". You have given Circle K 30 days from the date of the letter to pay surcharge fees. Your letter was received by this office today, September 25. Every effort will be made to pay the fees within the required time period, j Section 25287 of the California Health and safety Code (CHSC) describes the state surcharge fee, how it is collected and disbursed - no mention of a 5 year renewal requirement nor a. requirement to submit an application directly to the State Water Resources Control Board. Section 25285 mentions "...a permit to operate issued by the local agency pursuantto Section 25284 shal.l-be effecti-~e--fo~ Lice. years. A.local agency shall not issue or_renew a permit to operate an underground storage tank to any person who has not paid the fee and surcharge .... ". Section 25286(a), states that "...renewal of the permit shall be made by the owner on a standardized form prepared by the board and provided by the local a~ency...". To date, no form or fee request from your agency has been received by this department except for the aforementioned letter. CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 (602) 437-0600 City of Bakersfield Fire Department Attention: Mr. Ralph Huey Page 2 As evidenced by past performance, Circle K does strive to remain in compliance with all regulatory agencies and is quite willing to cooperate with any and all requirements. All forms previously provided by your agency have been completed and-returne~ in a timely manner and all fees-paid promptly. State Forms A & B will be submitted with the check for State surcharge fees. If these are not the forms referred to in your September 15 letter, please provide me with the correct forms. They will be completed and returned in an expeditious manner. Respect fully, Ruth H. Bulmer Sr. Gasoline Compliance Coordinator CC, Bob Staab Myron Smith Chris Wierda Larry Morris CITY of BAKERSFIELD FIRE DEPARTMENT ~ FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA * 93301 R.E. HUEY R.B. TOBIAS, HAZ-MAT COORDINATOR FIRE MA[~SHAL (805) 326-3979 (805) 326-3951 September 15, 1995 CIRCLE K STORES INC #8606 3003 N CENTRAL AVE., 16TH FLOOR RE: 2 BAKERSFTELD LOCATTONS PHOENIX, AZ 85072 1030 OAK STREET ;5600 AUBURN S'?REET,#2 Dear Business Owner: NOTICE OF VIOLATION STATE REGISTRATION REQUIREMENT Failure to renew your state registration is a violation of Section 25287, California Health and Safety Code, and will result in your Permit to Operate the underground tank(s) being revoked. Owners of underground storage tanks must register those underground storage tanks with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to return the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH/ed ~ERTIFICAT~OF FINANCIAL RESPONSIBILTT~ PLEASE PLAC~B~N STORE FILE. THE CIRCLE K CORPORATION May 16, 1995 CONVENIENCE FOOD STORES Bakersfield Fire Department 1715 Chester Avenue, Suite 380 ,, EE= Notification Address and Phone Number Information To Whom It May Concern: Please be reminded of the Circle K Stores Inc. mailing address for all correspondence involving gasoline and environmental compliance issues, business plans and related fees, formal inspection notices, violat(ons, and/or settlement letters, new rule implementation and regulation updates, permit renewals, and completion of registration forms or State Forms A & B involving our California facilities= Circle K Stores Inc. Attention: Gasoline Compliance P. O. Box 52~84 Phoenix, Arizona 85072 The physical mailing address is= Circle K Stores Inc. Attention: Gasoline Compliance 3003 N. Central Avenue, 16th Floor Phoenix. Arizona 85013 (602)437-0600, FAX(602)530-5088 See attached list of gasoline facilities within your jurisdiction. Nothing should be sent directly to the actual facility. If you have any questions, please contact me at (602)530-5113. Cordial ly, Ruth Bulmer Sr. Compliance Coordinator Western Region P.O. BOX 52084 · PHOENIX, AZ 85072-2084 · (602)437-0600 *** HAPPER SYSTEH *** CIRCLE K CORPORATION Tue Hay 16 10=19=13 1995 Page= .DATE 03:28:30 RID 46 16 MAY 95 BATCH M A S T E R S T 0 R E F I L E STFILE RUN ~STORE.ZONE. .LG. .G.M.L.B. . ZIP .CNT.24 .DISTRICT .DATE * NO . NO . .EN.S:AO.S.V.Q.W.ADDRESS .CITY ~ST. CODE~ PHONE .STR.STR~ .NANAGER :COUNTY .OPENED.R 01242 5927 CK 0 SC 1 1 3232 STINE RD BAKERSFIEL CA 93309 (805)831-5539 YES CHRIS W]ERDA KERN 77-11 01270 5927 Pi 0 SC 1 1 5634 STINE RD BAKERSFIEL CA 93313 (805)834-8625 YES CHRIS WIERDA KERN 78-07 08605 5927 CK 0 SC 1 1 5600 AUBURN ST BAKERSFIEL CA 93306 (805)871-7979 YES CHRIS ~IERDA KERN 88-05 08606 5927 CK 0 SC 1 1 1030 OAK ST BAKERSFIEL CA 93304 (805)861-8048 YES CHRIS WlERDA KERN 88-03 08825 5927 CK 0 SC 1 1 2222 F ST BAKERSFIEL CA 93301 (805)324-1758 YES CHRIS ~IERDA KERN 87-05 ..... END REPORT ..... State California ' - State Wa~r R~oume~ C~bl Boad ~a~ctioas on ~) CERTIFICATION OF FINANCIAL' RESPONSIBILI FOR UND~GROUND STOOGE TANKS CO~AINING P~O~M A. I am required to demo~te ~nan~al ~n~b~i~ ~ ~e mqu~d ~mounts as s~fied ~ ~cfion 2807, ~ap~r 18, Div. 3.~tle 23. CC~ or. A~ 0r B. CZR~ K S~O~S ZNC. ~ ~ZL~S hereby ce~es that ~ ~ /n ¢om~l~n¢e ~h the ri~uiremen~ A~icle a C~pter 18, D~ion a r~le 2~, ~lEornia Code of Regu/ati°~. ~e m~n~ ~ed to demo~tmte fi~l res~/~ii~ as required by ~ction ~807 are as fo//o~: 195 ~ LOUISE ~iE BL~. RO~ HI~, H 12775 Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this cerZification also certifies that you are in compliance with ali conditions for participation in the Fund. 3232 Stine Rd. Circle K Store %1242 B~ersfield, ~ 93309 5634 Stin~ Rd. Circle I Store ~1270 B~ersfield,~ 93313 5600 A~urn St. Circle I Store t8605 Bakersfield, ~ 93306 1030 Oa St. Circle ~ 'Store ~8606 Baersfie14, ~ 93304 2222 'F' St. Circle K Store ~8825 B~ersfield, ~.93301 Underground Hazardous Materials Storage Facility CONDITION Tank Hazardous G,~ii:i~iii??:::!?2Ji; ..... Ye~a~i!iiiii!.:~. ;~ ~'.~Tank ""~:::~:~ ~:~':::~:~::~ Piping Piping Piping Number Substance C~:~.~,i¥%.~';?' In'~'i~ii~.~:;~:~;.'::::..~:?'..(Type Moh:i{~?i~?;::;~':~?~?:: Type Method Monitoring Z U~.~& ,:v ~"- '''~ ~':~ .................. ~'""':'~:'~'::~::~ '~"~:' ":~ ~ ....... :" '~: ':::~:~:~:'::" ~ '"'-P " ~"~';~"; ~c. b ~,.~., · ~[.'...... :::~..':::. :::.. -::~:.'...... :~:..::::(:} .... '? :'.:..?~::. '...:.:.: .... : ~... "::::.:'"..: ?. issued By: :] :: HAZARDOUS MATERIALS DIVISION 1715 Chester Ave., Ord Floor Bakersfield, CA-93301 (805) 326-3979 Approved by: H RDOUS MATERIALS DIVI 2130 G Street, Bakersfield, CA93301 (805) 326-3970 UNDERGROUND TANK QUESTIONNAIRE I. FACILITY/SITE No. OF TANKS 3 DBA OR FACILITY NAME INAME OF OPERATOR / CTRC_T,R K ~q'PORR :#:8605 ~TRCT,R K ,q'Pf~RR.q TNC_ ADDRESS t NEAREST CROSS STREET PARCEL No.(OPTIONAL) 5600 AUBURN STRRR~- { CIW NAME J STATE ZIPCODE ,/ BOX TO INDICATE ~CORPORATION ~INDIVIDUAL [~PARTNERSHIP [-~ LOCAL AGENCY DISTRICTS [~ COUNTY AGENCY [~ STATE AGENCY [~FEDERALAGENCY TYPE OF BUSINESS Q 1 GAS STATION a 2 DISTRIBUTOR J KERN COUNTY PERMIT J~ 3 FARM J~J 4 PROCESSOR ~ 5 OTHERJ TO OPERATE NO. 090034C EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE I DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE Parmley, Marcy (805)871-7979 NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE J NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE ! NICNOLSON, TER[ (805)335-6032 I1. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION PACIFIC MGMT. ,CORP. , AS TRUSTEE MAILING OR STREET ADDRESS ,/BOX J~NOIVIDUAL ~] LOCAL AGENCY Q STATE AGENCY 1929 20TH STREET TOINOICATE [~PARTNERSHIP [-1JCOUNTY AGENCY [~FEDERAL AGENCY CITY NAME STATE I ZIP CODE PHONE No. WITH AREA COOE BAKERSFIELD CA J 93301 UNK III. TANKOWNER INFORMATION (MUST BE COMPLETED) )~{(.. NAME CARE OF ADORES$ INFORMATION CIRCLE' K STORES INC. GASOLINE COMPLIANCE MAILING OR STREET ADDRESS / J~OX [~ INDIVIDUAL J~ LOCAL AGENCY J~ STATE AGENCY P. O. BOX 52084 TO INDICATE' ~-)PARTNERSHIP [-]COUNTY AGENCY ~FEDERAL AGENCY c~TY NAME STATE I Z~PCODE PHONE No. W~TN ARU, CODE PtlOENTX A?.I 85072 (602) 4:37-0600 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE 1 MAR. 1988 10,000 unle~dedgasc~ne regular ~ N 2. MAR. 1988 10,000 u~n_lead_e_d-plus ,..j a--- o ~ ~..,..,= N 3 MAR 1988 10,000 unle~d_ed~ premium Y N Y/N Y/N , DO YOU HAVE FINANCIAL RESPONSIBIUTY? ~ TYPE ' BAKERSFI.ELD FIRE DEPARTMENT You are hereby required to make the folloWing corrections at the above location: Cot, 1~o Completion Dale for Corrections , ~/~ ' Inspector . 326-3979 MONITORING PLAN FOR NEW UST'S INSTALLED JAN. 1984 TO PRESENT REQUIRED BY SECTION 2634(B)(2),TITLE 23 CALIFORNIA CODE OF REGULATIONS FACILITY ADDRESS: circle K Store s6ee Auburn Street Bakersfield Kern County Phone: 805-871-7979 MAILING ADDRESS : Circle K Corporation Gasoline Compliance P. O. Box 52084 Phoenix, Arizona 85072 In use at this site is a LEAK SENSOR II continuous electronic monitoring system with 6 LIQUID probes located in the SUMP AND ANNULAR AREAS Tanks are double-wall fiberglass, installed in MAR. 1988 and have overflll devlce and sp111 containment. Lines are double-wall fiberglass and tested annually as well as the leak detectors. The Store Manager is responsible for performing a daily system check at the monitor panel located in the storage room and recording the findings a nearby log. Any malfunctions or alarm conditions are to be addressed immediately and reported to our Service Department. Training is provided by a qualified Circle K Instructor in class and on the job by a Store Manager. Awareness of equipment performance problems and familiarity with emergency shut-off switch is stressed to all employees. Also stressed is the critical point of accurately recording daily inventory levels to the nearest eighth of an inch and immediate investigation of any inventory variance that is not within the State allowable limits. The monitoring system is inspected annually by Triangle Environmental and certified to be performing according to manufacturer's instructions. If any performance deficiencies are noticed, the system is repaired, retested and then certified. Results are maintained at store site in the HMMP binder and in Corporate Office gasoline compliance files. RESPONSE PLAN FOR REMOVAL OF UNAUTHORIZED RELEASE FROM SECONDARY CONTAINMENT As required by 23 CCRo Div. 3, Chapter 16, Article 3, 2632(e)(2) 1. Upon recognition of a suspected unauthorized release from the primary containment to the interstitial space of either a double-contained tank or product line, or a suspected breach in the secondary containment, store personnel will notify the Gasoline Compliance Manager at (602)530-5089 or Pager No. (800)946-4646 Pin No. 229-6801. 2. The Gasoline Compliance Manager will arrange for a qualified contractor to verify the suspected breach of primary or secondary containment and/or verify proper operation of the monitoring system. 3. Upon confirmation of loss of tank system integrity, the tank system will be taken out of service and product will be removed from the primary container. 4. The Gasoline Compliance Manager will authorize all work necessary under this plan. Representatives of the tank manufacturer will conduct an inspection of the leaking tank to determine repairability and coverage under the manufacturers warranty. 5. All repairs to the failed tank will be completed pursuant to the requirements of 23 CCR, Section 2661~ and by or under the direct super- vision of the tank manufacturer. 6. Upon completion of repairs, the tank will be precision tested in order to insure tank integrity. 7. Unauthorized releases to the interstitial space between primary and secondary containment will be removed under the supervision of, and in accordance with, the specifications and tank design of the manufacturer. The equipment required to accomplish this task will be specified and obtained per the manufacturer recommendations. Contaminating materials will be properly transported and disposed of under manifest. 8.Reactivate monitoring system prior to bringing the UST system back into service. Questions regarding this response plan should be directed to Myron Smith, Gasoline Compliance Manager, at (602) 530-5089. PRINT NAME: MYRON W. SMITH TITLE: ENVIRONMENTAL/GASOLINE COMPLIANCE MGR. SIGNATURE: DATE: JUNE 29, 1994 Tri~gle~ Enviroomental. Inc_ ~. ,._ UST Lee]~ MonitOr Inspec't'ion Client: Circle K Corporation · P.O Box 52084 Phoenix, Arizona- 85072 ''Site'~ Circle K ~8605 .... ' 5600 Auburn St. Bakersfield, CA. Monitor Description: The Emco Wheaton'Leak Sensor II monitor .serial ~1100776-C06 is'monitoring.three (3) tanks using six (6)liquid type probes .... ~i~-th~Probe's?iocated.'in the outer tank wall and three'in'the turbinesumP.~area~.Each Probe wa§~'"remd~d!.from the. well, 'inspected for defects, activated.and.calibrated. All of the · ~sensorS were'fOund to be operational. The above listed system is .hereby certified to be fully.. operational and-~calibrated a~cording-to~'.-~~~~'s · pr°Cedures and ~Pecificati°ns-, - . ' · · . . '.'~~ ' ...~. . . ' .. '.' Rich Phillips-'.-"r Z -//'- ~Date . j State Lic.'~ 1071 " ' . '' . - EnvirOnmental, Inc. . · Monitor Cex-tification This lette, eertifiez that thc monitor is in pl~ee, thc probe~ ~re in thc eom P°sitio.n ~t~d thc operation of the system. . . . FAcmrrY . # ~>g/2ff . . DATE :TrVE ~ MOD~ OV. Mom'roR77a~/~ 7~-//OW~ ~~ . -SYSTEM FUNTION . ... ..... ..? ........ T~qr~ .~ss C/ V~rL N/^ USED OIL · PASS FAIL ' N/A - 'IN 'LINE PASS ' FAIL pRoDucr ~ms " WHEN MONITOR IS TURNI~ OFF OR'IN ALAILM DOES ~ TURBINE SHUT DOWlq~ NO ~ .IS TH£ODN$OLE LAB~ CORRECTLY2 YES't..~ · NO ...- COMMENTS: '' ~'"' f ..... · -. ~ cOmv~eroR..~/4~. ~o, ~'~: :. " · . 172 ~.ST.V£RDUGO AQS., BURBANK,.CAglSO2.2132::'TEL:.(818) 840-:7020 ..FAX: (.818) 840'..4929' ... Triangle .Environmental, Inc. 172 West Verdugo Ave., Burbank, CA 91502 T.E. I LT-3 Hydrostatic Product Line Test Result Sheet SITE: ~//fe/~ /C ~gO~.~ DATE: /-/~-~ , ~6o0 /~,~ ~z~f~ w/o ~ START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE RATE RESULT PASS/ '" 00:00/hL 00:00/ML (psi) (GPH} FAIL I certify that the above line tesZs were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. Signature :.~~ OTTL~ q~-/~Ol NOTE: The te~t data ~oliection time period mumt be ~ifteen minutem. The temt Damm/~mil is determined uming $ thremhold of 19G ml ~er hour (~. ~ GPM). rmte mt l~Z working ~re~mure or ~ ~mi which ever .iS lemm. The GPM rate is ~al~ulmted am:.ml/ ~.~1~6. Copyright (c) .Triangle Environmen.tal, Inc. , March, 1992. MRL : ~ ~r ] ~ ~:x~x~ox~n~r~t ~ ]_ _ ~l/r~c _ 172 .West Verdugo Ave. , Burbank, CA 91502 FTA T,RAX DE'TEaR TEST DATA Product Serial Number Drain Trip Test Funct. Tripping Pass Type Detector Style Back Time Rate Ele. .Pressure or · ml sec ml/min psi psi Fail q0'7 90- RI I~ D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R X I ce~tlfy %he above %est~ were conduc%ed on this egul~ent manufactu~e~*e p~ocedu~ee ~d liml%atlone and ~he ~esul%~ as lle%ed. ape ~o my ~owledge t~ue ~d condec%. The mechanical 'Leak Detector'Test pass/fail'is determined using a low flow threshold trip rate of 284 ml per minute or less at l0 psi as saD' by Red Jacket. pumps Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. MRL FACILI~ ClRCLg K ~8605 ~D~SS 5600 Auburn St~ Bakersfield, OPE~~ N~ C'IRCLB K CORP. O~ N~ CIRCLB K CORP., . ~ER OF T~S ~ BE ~S~ 0 IS PIPING ~ING ~'BE ~S~D Y~S TANK# VOLUME CONTENTS 1 10000 TT~T.~a~F,D ,, ~ 10000, PREMIUM UNLEADED TRIANGLE TANKTESTINGCOMPANY ENVIR..ONMENTAL, INC.ADDRESS 172 W. Verdugo,.Ave. Burbank, CA '91502 TEST METHOD TEI-LT-3 NAME OF TESTER James Rich. . CERTIFICATION # _1.072 , , STATE REGISTRATION # N/A DATE & TIME TEST IS TO BE CONDUCTED Januar~ 23, 1995 ..~ 0:0.0 a.,~ __ TRIANGt,E ENVIRONMENTAL, INC. ~, '7 ~ 0 BURBANK, GA 91502,, ,~J~ I ~ 19 F ~ 2131 .. PAY TO TIlE · .COO, Wil.*,ofl - G~:r~ale B~'af~..h ,e~131 / I // _/ I / ~03 North G~e Avenue // / ~ ~/ / / ; ~: L ~ ~OOO~ Itl k ? 30"' ~ L 3 Lt'"O ~ $8~"' Business Name: ~) Business Phone: ~/'~ ?~ R~ F~: Insp~or's N~e: ~ Y ~me of C~I: Date:~ Time: Type of C~I: Incoming [~ Outgoing [ ] Return~ [ ] Actions Required: Time Required to Complete Activity # Min: 7 RECORD OF TELEPHONE CONVERSATION Location: ~-foO0 -~O S~ ID# , Business Name: ~___, r, c.(~ Contact Name: ~vc ~~s~m Busin~ Phone: ~ ~ f ~ g~ - %~ ~ ~ F~: Insp~or's N~e: TimeofC~l: D~a': fZfKlf~ Time: T~e of C~I: Incoming ~] Omgoing [ ] R~umed [ ] Time .Required to Complete Activity # Min: / ~' BAKERSFIELD CItY FIRE DEPARTMENT MARK TURK INSPECTOR - HAZ MAT MARK TURK )NSPECTOR - HAZ MAT HAZARDOUS MATERIAL DIV. (805) 326-3979 17'15 CHESTER AVE. HAZARDOUS MATERIAL DIV. FAX (805) 326-0576 BAKERSFIELD, CA 93301 (805) 326-3979 1715 CHESTER AVE. FAX (805) 326-0576 BAKERSFIELD, CA 93301 CORRECT, O N NOTICE BAKERSFIELD FIRE DEPARTMENT. '?- ~. You are hereby required to make the following corrections at the above location: Cot, No Completion Date for Corrections /~/~.~' r~ Inspector 326-3979 ' uNDERGROUND'ST RAGE NK INSPECTION ii,, .... Bakersfield Fire Dept. FACILIW NAME ~,;~,. ~ BUSINESS I.D. No. 215-000 FACILIW ADDRESS .~/pO~ ~o ~ 5~ CIW ~~ ZIP CODE FAClLI~ PHONE No. ~7( - 7~ 7 ~ ~ ~ INSPECTION DATE I 7)/~/5'~ ..:. - ~ ~ua TIME IN TIME OUT . -?' Ina ~te na ~te InEt ~te INSPECTION ~PE: -' ;~ ~//~g~ ~//~ ~//?~ S~e S~e ~OUTINE ~ FOLLO~-UP REQUIREMENTS la. F~s A & B Su~ lb. F~ C Su~a~ lc. O~mting F~ Pa~ Id. $~te Surcharge Paid le. "~t~ment of Fina~ial Res~sibil~ Su~ lf. W~en Cont~ ~ists ~ ~ & O~mt~ to O~te UST 2a. ~lid O~mting Pete 2b. Approv~ Wr~en Ro~ine M~it~ng Pr~ure ~ ~. 2c. Una~ho~ Relea~ Res~n~ Plan ~. Tank Int~ T~t in Last 12 Months 3b. Pr~ur~ Piping Int~r~ Test in Last 12 Months ~. Sucti~ Piping ~ghtness Test in Last 3 Yearn ~. Gmv~ F~ Piping ~htn~ T~ in Last 2 Yearn ~. T~t R~uEs Subm~ Within ~ Da~ 3f. Dai~ ~sual MonEodng of Su~i~ Pr~ Piping ". ~. Manual Invento~ R~ncil~ti~ Each ~nth ~. Annual Invento~ R~iliat~n Statement Submit' ~. Metem Calibmt~ Annually ". ' 5. W~y Manual Tank Gauging R~rds f= Small Tan~ 6. Month~ Statisti~l Invento~ R~nciliati~ R~uEs 7. M~th~ A~atic Tank Gauging ResuEs 8. Ground Water ~E~ing 9. ~ Mon~o~ng 10. Continuous Intemtitial Monitoring f~ ~ubl~Wall~ Tan~ 11. M~hani~l Line L~k Det~tom ......... 12. El~tron~ Line Leak Da~tbm 13. Continuous Piping MonEddng In Sum~ 14. . A~omatic Pump ShUtoff Ca~bil~ 1~. Annual Maintenan~Calibmtion of Leak Det~t~ Equi~t 16. Leak Det~tion Equipment and T~ Metes List~ in L~113 Se~ 17. Wr~enR~dsMaintain~S~e ~ ~, ~.~,,~ 18. Re~ Changes in U~g~Cond~i~s to O~ratin~od~ Pr~ures of UST S~tem WEhin ~ Da~ / 19. Re~ U~h~ Relea~ W~hin 24 Houm / ~. Approv~ UST S~tem Re,irs a~ U~rad~ ' 21. R~rds S~ng Cath~ic Prot~i~ Ins~ti~ · RE, INSPECTION DATE'- . ................................... RECEIVED BY: INSPECTOR: ~~q ~ OFFICETELEPHONE NO. FD 1~9 ._- CERYIFICAYIO OF FI A CIA[ R SPO SI ILi ~R UNDERGROUND STOOGE TANKS CONTAINING P~OLEUM A.' 1 am rcqu~ed to demons~a~ Rnanc~l Res~nsib~i~ in ~c required amoun~ as s~ed in ~on ~07. Chap~r l~ D~. 3. ~tle 23, CC~ ~ 5~,~ dollars ~r ~en~ ~ t mi~on dollars aunua[ a~egate or ~ or ~ I miHion dollars ~r ~eu~ ~ 2 minion dollars annul a~egate ~. THE C~EC~ K CO~O~T~ON ~D hereby ce~s t~t ~ ~ in compl~e w~h t~ r~uire~n~ of ~t~n 2807,, ~e m~n~ ~ to de~tmte fi~l ~es~ibil~ as r~uir~ by ~t~n 2807 are as follo~: C. M~m : ~ Na~ a~ Addre~ofl~uer-'. · :..(.~ /,~. M~n~m ..... ':'~ ..,Covem~-- Coverage Corr~t~e ~ird PaAy' · TRUST BANK ONE, ARIZONA NA 2,000,0~/0 YES' YES FUND. 201 N. CENTRAL AVENU~ '.ONTiNUO['S PHOENIX, AZ Note:ff yOu are using the State Fund as any part of your demonstration of financial responsibility, ~our execcrtion and submismon of this certification also certifies that you are in compliance with all conditions for participation in the Fund. 0.~,~. ~~3232 Stine Rd Circle K Store #1242 Bakersfield ~""'~' ~'5634 Stine Rd. Circle K Store #1270 Bakersfield ~-~'~ ~"~5600 Auburn St Circle K Store #8605 Bakersfield ~,,(,~ F~",... }~'~'~'u'"~030 Oak St Circle K Store #8606 I Bakersfield I · 2222 "F# St ~.I Circle K Store ~8825 I Bakersfield !- ~ ////~A/--~"-~ // / JUNE 30, 1994 Don Esperson, ~e~-hnical Cnm,~liance ,[ '-'--'~/-,_o~,,~~-~_.~_~ '" JUNE 30, 1994, Myron W. Smith "WE CARE" July 15, 1994 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF · 326-3911 The Circle K Corporation Ruth Bulmer P. O. Box 52084 Phoenix, AZ 85072-2084 RE: Underground Storage Tank compliance within the City of Bakersfield Dear Ms. Bulmer: I am in receipt of your letter of July 2, 1994 to the Kern County Environmental Health Department, dealing with Underground Gasoline Storage Tank Compliance Documents. This letter covers facilities located at: 2222 F Street 1030 Oak Street 5600 Auburn St 5634 Stine Rd 3232 Stine Rd These facilities are located within the incorporated boundaries of the City of Bakersfield. The Local Implementing Agency for Underground Storage Tanks within the City of Bakersfield is: Bakersfield Fire Department Hazardous Materials Division 1715 Chester Ave., Suite 300 Bakersfield, CA 93301 · Please correct your records and forward all compliance information to this office. If you have any questions regarding this please feel free to call me at (805) 326-3979. Sincerely yours, Hazardous Materials Coordinator Environmental, Inc. '" ~ R. BtJkM~ Monitor Certification -- This letter ~rtifies that the monitor is in pla~, thc probes m'~ ia tho correct position mad the operation of the system. TYPE AND MODEL OF. MON1TOR~/a 7A,-//d/d/~ :.~Ac.~.../.7 ' · SYSTEM FUNTION TANK~ · PASS L...--" FAIL__ N/A USED OIL PASS FAIL__ N/A. IN LINE PASS FAIL~ N/A ~sugii~'M_OmT. Oa>~,ASS C.-'" F~a:~ WA PRODUCT LINES WHEN 'MONITOR IS TURNED OFF OR'IN ~. DOES THE TURBINE SHOT DOWNT. . . .IS THE'CONSOLE LABELED CORR~GI~ YES .~--" · NO COMMENTS: . ..... INSPECTED BY: sIoNATURE.,~-~~ · '.. 172 WEST.VERDUGO AVE., BURBANK;CA 91502.2132 ,'.TEL~-('818) 840r7020 · FAX: (818) 840~929 ... ~'~" '~ :~' '~ RECEIVED Triangle Environmental, 172 West Verdugo Ave., Burbank, CA 91502 . ~. :~ _. .~ .. I T.E. I LT-3 Hydrostatic Product Line Teat Result Sheet / --: START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE RATE RESULT PASS/ '" 00: 00/~L 00: 00/ML ( psi ) ( GPH ) FAIL I certify that the above line te~ts~ were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. Signature: 5~ OTTL# Tech.: Mfr ' s Cert. #, ~o~0/~° .. NOTE: The test data collection time period must be fifteen minutes. The test pass/fail is determined using $ threshold of 190 ml per hour (0.05 GPH). rate at 150% working pressure or 50 psi which ever is less. The GPH rate is calculated as:-ml/ 0.00106. Copyright (c) Triangle Environmen.tal, Inc., March, 1992. MRL : 172 ~West Verdugo Ave. , Burbank, CA 91502 FTA L~K DETECTOR TEST DATA SHRifT Product Serial Number Drain Trip Test Funct. Tripping Pass Type Detector Style Back Time Rate Els. Pressure or · ml sec ml/min psi psi Fail ~079o- RII~ q07'S0 - D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R I certify the above tests were conducted on this date according to the equipment manufacturer's procedures and limitations and ~the results as listed are to my knowledge true and correct. Technician: ---~o~ '2~,/~,~/~ OTTL~ ' $-~-/,T~2/ ' The mechanical Leak Detector'Test pass/fail'is determined using a low flow threshold, trip rate of 284 mi per minute or less at l0 psi as se~' by Red Jacket Pumps Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. M1RL ~: 'HAZARDOUS MATERIALS DIVTSIO" - t~(.'~.)!~) 2130 G Street, Bakersfield, CA 93301 ~ (805) 326-3970 UNDERGROUND TANK QUESTIONNAIRE. I. FACILITY/SITE No. OF TANKS CIRCT,R K STO~ i8605 ICIRCLE K CO~O~TION 5600 AUBU~ ST~ET C~ ~ ~ ~ C~ ~RS~D ~ 93306 ~XIO~DICA~ ~COR~N ~IHD~IDUAL ~PAR~E~HIP ~[~A~Y~ ~C~AG~ OSTA~AG~ ~FEDE~LAG~ - Q~EA,u "- Q~~ Q~o~[~ ~o~ 090034C-91 ..... :' :'-- EM ERGENCY CONTACT PERSON (PRIMARY) , EMERGENCY CONTACT PERSON (SECONDARY) op/lonot OAY$: NAME (LkST. FIRST) PHONE No. Wll~ AREA CODE OAY~ NAME (LAST. FII~T) PHONE No. ~ AREA COD~ JUDY SANCHEZ ( 805.)4~7-1-7979 J "'OH'S:"~,U'(~ST."RST)C. ALLEN MOOl~E(209)276--8350P"ONENo'w""^"EACOD' ,~C.~:,*UE(LA~.,,RST) p,o,ENo, wrr~^,EA¢OO~ ..E -,,PROPER~ OWNER.INFORMATION (MUST BE COMPLETED) PACXFIC ~ 'CO~. ~S ~lU~ ~ STREU AODRE~ ~ ~X ~ IND~I~AL ~ L~AL AGE~ ~ SlAIE AGE~ B~ERSFIELD, ~ ~ [93301 unk CIR~g K CO.OPTION ~ILI~ ~ STREET ADDRE~ '/~ ~ {NOminAL ~ L~AL AGE~ 6zox N. szs~ Av~. ,o~~6~ o~o~,o,~ C~{ $IA{ IZlPCO~ I PHON{~.W~AR~C~ FO~T~A~ ~ i 92336 i(7~4)923-069~ OWNER'S DATE · VOLUME PRODUCT :""": IN TANK No. INSTALLED STORED SERVICE . 2 lO,ODD ~L~ED P~I~ ~ 3 ~. ~988 ~0~000 ~ ~N YIN YIN YIN DOYOU HAVE FINANCIAL RESPONSIBILITY? YIN TYPE . · '~-e=seg~ent out. please identiff tanks I. TANK DE~RIPTION c~ ALL ITEMS - c. ~ ~(~A~l ~. ~988 ~ ~ c~ a ~o~ ~0 ~000 I , IV. PiPiNG INFORMATION cmc~ A ~OVEGR~NOOR U ~~.~~ ~ SYS~M~ A U ~ S~ ~ 2PR~U~ A ~ 3 G~V~ A g ~ O~R B, ~NSTRUC~N A U 1 SI~LE WALL A~ 2 ~ W~ A U 3 LINED T~ A U ~ U~ A U ~ O~R C. ~RIAL ~O A U 1 ~RE STEEL A U 2 ST~E~ S~ CORROSION A U 5 ~UMINUM A U ~ ~RE~ A U 7 STEEL~A~ A U ~ 1~ ME~L ~MPA~B~W.f~ PROIE~ION A U 9 ~VANI~D S~ A U 10 CA~P~TECT~ A U ~ UN~ A U ~ O~ER O. L~K D~ECT~N ~ AUTOMAT~ LINE LEAK ~CTOR L~ T~H~ TESTI~ V. T~K LEAK D~ECTION I. TANK DESCRIPTION COU~.E~ ALL ITEMS - SPECIFY IF UNKNO%~I C. DATE ~STALLED (U(~AR) O. TANK CAPACITY IN GALLO~IS: III TANK CONST RUCTION~K ONE ~TEa ONlY ~N eOX~S A. a. AND C./aD AU. nat APPLES ,~ BOX O SYSTEM ~ 2 SINGLE WALL 4 S~CONOA~Y CC~T~JN~EN~ (VAULTED TAN~ [] . O~ a. TANK [] I BARE STEEL :SS STEEL [] 3 FIBERGLASS [] · STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ~TF.R[.~. [] $ CONCRETE [] 6 CHLORIO~ [] 7 ALUMINUM [] I 100"/. METHANOL'COMPATISLEW/FRP UNING ~s UN,NO MATERUU. CO~PATImm WTH ~00~ Uk-mANO~ ? YES ~O~ O. CORROSION [] ! POLYETHYLENE WRAP [] Z COATIN~ [] 3 [] 4 FIBERGLAS3 REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [] gl NONE [] 95 [] ~ OTHER IV. PIPING INFORMATION CmCtE A IF ABOVE GnOOND OR U FUNO~3nOL,q, alBOTHIFAPPUCAat. E A. SYSTEMTYPE A U I SUCTK:)N A U 2 PRESSURE A I~ ~ GRAVITY ~OTHER 8. CONSTRUCTION A U 1 SINGLE WALL k U 200UaLE WALL A U 3, LINED TRENCH A U gS'~)W'N ~. U 9g OTHER C. MATERIAL AND A U CORROSION A U 5 ALUMINUM A U 6 C~RETE A U 7 STEEL W/ COATiN(~ A IJ'8 10~/.~ETHANOLCOMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL o. LEAK OETECTIO. V. TANK LEAK DETECTION TRI SYST~ 4000 $~~ S~]~-~T System Leak Test Precision Underground Storage Tank ~ WO$~: 1462 Client:6101CIRCLE KN. SIERRAINC AVE RECEIVED . ~ -~o,,~ '~% FONTANA, CA 92336 .F~§ 2 4 1W5 Date: 1/14/93 HAZ. ~T. mY. Co~ty: KE~ Site: BA~RSFIE~, CA - ' Tank Product Tank Tank/Lines Product Line Leak # Description Capacity Rate/Result Rate/Result Detector 1 UNL 10000 -.036 PASS -.005 PASS PASS 2 UNL+ 10000 -.003 PASS -.000 PASS PASS 3 S/UL 10000 -.012 PASS -.005 PASS PASS 4 5 Signature: - / State License #: 91-1071 Technician Name: PHILLIPS Date: Comments: O/F PROTECTION DROP TUBES ON ALL PRODUCTS " This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA $329 and EPA UST Technical Standards Part 280 for precision testing systems. TEI SYSTEM 4000 ANALYSIS 'SHEET TANK INFORMATION: Product : UNL Date: 01114/95 Capacit~ : 10000 Time: 09:22:00 PRODUCT INFORMATION: Diameter (in.) : 98 Product Level (in.)-: 116" above tank bottom. Specific Gravity : 0.750 Coef. of Expansion : 0.0006695 Water on Tank (in.) : 0" above tank bottom. Starting Temp. (F) : 58.049 Resolution (Gallons): 0.00001 Head Pressure (PSI) : 5.2 at tank bottom Delta Temp, (F/Hr.) : 0.067 COMPUTER ANALYSIS RESULTS: Level ·Rate (GPH) = 0.411 Temp. Rate (GPH) = 0.447 Final. Rate (GPH) = -0.056 .. I I ,,I .. I · 0 30 ¢0 90 120 150 TEI SYSTEM 4000 ANALYSIS SHEET TANK INFORMATION: Product : UNL+ Date: 01/14/95 Capacity : 10000 Time: 09:22:00 PRODUCT INFORMATION~ Diameter (in.) : 98 Product Level (in.) : 118" above tank bottom. Specific Gravity : 0.750 Coef. of Expansion : 0.0006652 Water on Tank (in.) : 0" above tank bottom. Starting Temp. (F) : 65.665 Resolution (Gallons): 0.00002 Head Pressure (PSI) .: 5.2 at tank bottom- Delta Temp. (F/Hr.) : 0.027 COMPUTER ANALYSIS REsuLTS: Level Rate (GPH) = 0.175 Temp. Rate (GPH) = 0.178 Final Rate (GPH) = -0.005 " TEI ~Y~TEM 4000 ;~N;~LYB I ~ ~;HEET TANK INFORMATION: 'Product : S/UL Date: 01/14/95 Capacity : 10000 Time: 09t22:00 PRODUCT INFORMATION: Diameter (in.) : 98 Product Level (in.) t 118" above tank bottom. Specific Gravity : 0.740 Coef. of Expansion : 0.0006775 Water on Tank (in.) : 0" above tank bottom. Starting Temp. (F) : 66.501 Resolution (Gallons): 0.00002 Head Pre~sure (PSI) ~ 5.2 at tank bottom Delta Temp. (F/Hr.) : 0.010 COMPUTER ANALYSIS RESULTS: Level Rate (GPH) = 0,055 Temp. Rate (GPH) = 0.067 Final Rate (,GPH) = ,0.012 £ 30 60 90 ~ 20 Timo-minuto~ Trisnele l~nvirommental; ]~no _ 517 East Wilson Ave., Glendale, ~alifornia 91206 FTA LEAX DmCTOR ~ DATA ~KET Product ~erial Number Drain Trip Test Trippingl Pass TMpe Detector ttMle Back Time Rate Els. Pressure or ml sec ml/min psi psi P~ P~ X~ X~ ~R I eer~if~'~he above '~e8~8 were eondue~8d on ~hl8 equi~ent manufacturer's procedures ~d limitations ~d the results as listed ~re to -M ~owl~~.~rrect. 2/-209/ The mechanical Leak Detector Test pass/fail is determined using a low flo~ threshold trip rate of 284 mi per minute or ieee at 10 psi aa set bM Red Jacket Pumps Field Test Apparatus testing procedure. .......... :,...e Env~.~onmental, Inc., J~nuar¥ 1991. HRL Triangle Environmental, Inc. 517 gast ~tlson Ave. ~ Glendale~ CA 91206 T,E.I LT-3 Rydrostatic. Product Lipe Test Result Sheet START TIME END T~HE TEST VOLUME PRODUCT /READING /READING PRESSURE RATE RESULT ( ML/ ) PASS/ 00:00/NL 00:00/ML (psi) (rateS4) FAIL I certify that the above line tests were conducted on this date according to the equipment manufacturer's, procedures and limitations and the results as listed are to my knowledge true and correct, -signature: OTTL# 1071 Tech.:.Richie Phillps Nfr's Cert.# 91003 NOTE:- The test data collection time period must be fifteen minutes. The test pass/fail is determined using a threshold of 190 mi per hour (0.05 GPH) rate at 150~ working pressure or 50 psi which ever is less. Copyright {c) Triangle Environmental, Inc., March, 1992. MRL BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY 6/Rc/~/6 "~o~-- ADDRESS a-Woo F/~,z~.w PERMIT TO OPERATE % ~/ OPERATORS NAME ~,z-/~- ,(-. c.,~f, OWNERS NAME NUMBER OF TANKS TO BE TESTED ir IS PIPING GOING TO' BE TESTED/~-S TANK% VOLUME CONTENTS N~E OF TESTER ~w~&., ~F./4~ CERTIFICATION % STATE ~GIST~TION ~ DATE & TI~ TEST IS TO BE.CO~UCTED ~ /~ /Y/3 ~PROVED BY: DATE ~GNA~RE OF ~PLI~ ~-::.t'-~--~- ........... ':~ ...... ---" (:HAZARDOUS MATERIALS DIVISION ~~~ 2130G Street, Bekersfield, CA93301 ~-, (805) 326-3970 ~ O~-ST]O]q~ RECEIVED ~-, UNDERGROUND TANK IRE I. FACILITY/SITE No. OF TANKS 3 HA ....... A.T, [')IV. DBA OR FACILITY NAME N ~ME C~'"i~E OR ' . CIRCLE K STORE #8605 · CIRCLE K CORPORATION ' ADDRESS I NEAR~ST CROSS STREET PARCEl. No,(oPTIoNAL) ~~ 5600 AUBURN STREET CITY NAME ~ STATE ZIPCODE BAKERSFIELD Ica 93306 ~' BOX TO INDICATE ~J~CORPORATION C~INDIVIDUAL [~PARTNERSHIP [~ LOCAL AGENCY DISTRICTS [-ICOUNTYAGENCY [~STATEAGENCY [~FEDERALAGENCY WPE OF BUSINESS ~ 1 GAS STATION I~ 2 DISTRIBUTOR KERN COUNTY PERMI~ ......... Q3FARM Q 4 PROCESSOR ~15 OTHER TO OPERATE No. 91 qoo EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE JUDY SANCHEZ ( 805.)~-~1-7979 NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE C. ALLEN MOORE( 209)276-8350 · . ...... II ..... P, RORERTY,,~O~NER.JNFORMAIION.(MUST.BECOMPLEIED) NAME CARE OF ADDRESS INFORMATION ..PACIFIC MGMT, CORP. AS TRUSTEE MAILING OR STREET ADDRESS ~ BOX [~ INDIVIDUAL [~ LOCAL AGENCY [~ STATE AGENCY 1929 20th STREET TOINDICATE [~PARTNERSHIP ['-I COUNTY AGENCY ~ FEDERAL AGENCY CITY NAME STATE ( ZIP CODE PHONE No, WITH AREA CODE BAKERSFIELD, CA CA 193301 unk III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION CIRCLE 'K .;( C~RPORATION ENVIRONMENTAL MAILING OR STREET ADDRESS ~' BOX ~ INDIVIDUAL (~ LOCAL AGENCY C~ STATE AGENCY 6ioi N. SIERRA AVE. ,OINO,~RPO~~ OCOU~AGENCY O~EDE,ALAGENCY CITY NAME STATE ZIP CODE PHONE No. WITH AREA CODE FONTANA, CA 92336 ( 714 ) 923-0691 OWNER'S DATE VOLUME PRODUCT IN TANK NO. INSTALLED STORED SERVICE 1' MAR. 1988 10,000 ~SE~N~EGULARREGULAR ~i N 2 1988 lo,ooo ~L~ED P~IUM N 3 ~R. 1988 1.0,000 GASOLINE ~ N YIN Y/N YIN DOYOU HAVE FINANCIALRESPONSIBILI~? YIN ~PE ~. - Fill.one segment~'t for each' tank, unless'al,~a~tanks and piping are } yp e ~- -t h e n :-~o h l:~72rf:t:tal- --%~j;~{-~ted of-:{~ same materials, style an~ ' -'<6~e-segment out. "-Please identify tanks by owner.ID I. TANK DESCRIPTION COMPLE~ ALL ITEMS - SPECt~ IF UNKNO~ A. O~E~S TANK l, O., UNK ~ a. ~UFACmRED aY: XE~ES c. cam aSTALL~O(a~DAY~AR) ~R. 1988 O. ~K C~.~N ~LONS: 10,000 IlL TANK CONSTRUCTION aAR~ON~,T~,ONLV~N~X~SkS.~OC.~DALL~AP~,~S,~DOXO A. ~P~0F ~ 1 ~UBLE WALL ~ 3 SINGLE W~ Wire E~ERIOR L~N5R ~ ~5 UN~OWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDLY ~NTAINMENT WAUL~DT~ ~ ~ O~ER B. T~K ~ ~ ~RESTEEL ~ 2 STAINLESS S~ ~ 3 FIBERG~ ~ 4 STEEL C~D W/FlaERG~ ~T~I~ ~ 5 ~NGRE~ ~ 6 ~LWI~L CHLORIDE ~ 7. ~UMINUM ~ 8 1~ ME~ANOL ~MPATIBLE.W~RP (PHOTO) ~ g BRON~ ~ 10 ~LV~I~D S~ ~ ~ UN~O~ ~ ~ O~ER ~ 1 RUBBER LINED ~. 2 ~O L""G ~ 3 ~O~ LINING ~ 4 ~E~LC LINING C. I~DR ~ 5 ~SS LINING ~ 8 UNLINED ~ ~ UN~O~ ~ ~ O~ER ~S LINING MATERIAL ~MPA~IBLE WI~ 1~ ~E~ ~ ~ES_ ~__ D. CORR~ION ~ I ~LYE~YLEN~ W~ ~ 2 ~A~ -. ~ 3 ~L ~ ~ 4 FIBERG~S REINFORCED PROT~ON ~ 5 CATHODIC PROTECTI~ ~ gl ~E ~ ~ UN~ ~ ~ O~ER IV. PIPING INFORMATION C~RC~ A IFABOVEGR~NDOR U [FUN~RGROUND, BO~IF~L~A~ A. SYS~M ~PE ~ ~ i SUCTION ~ 2 PRESSURE ~ ~ 3 G~V~ ~ ~ ~ O~ER B. CONSTRUCTION A U 1 SINGLE WALL A~ 2 ~U~LE WA~ A U 3 LINED TR~ A U 95 UN~OWN ~ ~ ~ O~ER C. MA~RIAL AND A U 1 ~RE STEEL A ~ 2 ST~NLESS S~EL ~ ~ 3 ~L~L C~LORIDE(PVC)A~4 FIBERG~S PIPE CORROSION A ~ 5 ~UMINUM A ~ 6 CONCRE~ ~ ~ ~ S~EELW/COA~NG A ~ 8 1~ ME~ANOL ~MPATIBLEW~RP PROTE~ION A U g ~LVANI~D S~EL ~ U 10 CATHODIC PROTECTION A U ~ UN~OWN ~ U ~ O~ER D, LEAK D~ECTION ~ AUTOMATIC LINE LEAK DE~CTOR LINE T~N~ESS TESTING ~ ~N~ORING ~ ~ O~ER V. T~K LEAK D~ECTION ~ ~ VISUAL GNECK ~ 2 IN~NTORY RE~NCILIATION ~ 3 V~OR MONITORING~ 4 ~TOMATIC TANK ~UGING ~ 5 GROUNO WA~R MONITORI~ I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOW~I C. DATE INSTALLED (MO,~,~AR) D. TANK CAPACITY IN GALLONS: III, TAN K C0N'STRUCTION '""l~K ONE ~TEM ONLY IN BOXES A. 8, AND C, AND ALL THAT APPLIES IN ROX D A TYPE OF [] 1 DOUBLE WALL~ [] 3 SINGLE WALL WITH EXTERIOR LINER . [] 95 UNKNOWN ' -- SYSTE.__._~ ,~ 2 SINGLEWALL ' ~.~.4 SECONDAR. Y. CONTAINMENT (VAULTEDTANk') [] 99 OTHER__ _ ~ 1 BARE STEEL [] ~.TAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC B' MATTAE~ERKiAL [] 5 CONCRETE ~ 6 ~L CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL~MPATIBLEW/FRP D CORROSION ~ 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL~AP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION ~ 91 NONE ~95 UNKNOWN'~ [] 9g OTHER IV, PIPING INFORMATION C~RCLE A IF ABOVE GROUND OR U IF UNDERGROUNO, BOTH IF APPLICABLE '"~ A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A"~ ~THER " B. CONSTRUCTION ,~ IJ 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95~OWN A U 99 OTHER C MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A ~J ~.'",~ERGLASS PIPE ' CORROSION A I) 5 ALUMINUM A U 6 CONCRETE A lJ 7 STEEL W/ COATING A t~ 8 10~METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A IJ 95 UNKNOWN A U 99 OTHE]%,,% D. LEAK DETECTION [] I AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITtALMoNiTORiNG [] 99 V. TANK LEAK DETECTION / , viSUAL HEOK C] INVENTORY RECONCILIATION VAPOR MON,TOR,NG [], ^ TOMAT,C TANK GAUG,NG [] RO NDWATER MONITORING ' -' 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING ~ 91 NONE ~ 95 UNKNOWN [] 99 OTHER To W~om It May Concern: Fol.-all matters-involving .en~ironmental..compliance.(be~.i.t violations, gasoli.ne tank permits, testing, etc.) of the Circle K Corporation Stores in the State of California, please send your correspondence to our California Environ- mental Director, Michael D. Karvelot, at the following address: Circle K District Office 6101N. Sierra Avenue Fontana, California 92335 Cordially, I Ruth H.Bulmer Environmental Coordinator THE CIRCL. M }( CORPGRATION 610 I N. SIERRA AV E N U E · FO N TAN A, CA 92336 · (714) 823-069.1 ~: ; ..... :. , . . ~ o.' FILE CONTENTS £NVENTORY ~Permit to Operate { Date ~P~rmiC to abandon{ No. of Tanks D~te ~' ~ended Permit Conditions ......~<[.~..~ :.'.':.[.{~Application to Abandon 'tanks(s) Date '" ~ o y of Written Contract Between Owne~ & Operator . ..... · '~Coccespondence - Mailed Da :e Date ~Unauthortze~ Release Reports ~ AbandonmenC/Closur e RepocCs ~Sampl~n~/Eab RepocCs ~MVF'Compliance Check (New ConStruction Checklist) ~STD Compliance Check (New Construction Checklist) ~MVF.Plan Check (New Construction) ~S~ Plan Check (New Construction) ~MVF Plan Check (Existing Facility) ~S~ Plan Check (Existing Facility) ~"I~complete Application" Form ~Pe~mit Application Checklist ~e~mit Instructions ~Disca~ded ' ~Tlghtness T~st Results Date . Da te . ~ Date .'. ~ ~Monito~ing Well Construc6f0n 'Da~a/permits .... ~'~ ."." ~Environmental Sensitivity Data: '- .... .' ~. ~Groundwater Drilling, 'Boring ~ogs '" -. ~Location of Water .Wells " ~Statement 'of Underground Conduits "' ~Plot Plan Featuring Ail Environmentally Sensitive Data ".~.~' .. ~,Photos Construct{0n Drawings ' .t0catJ0.n .... ~Half sheet Showing.date fete[veal and tally of inspection t{me, '< .: ~ Miscellaneous _ - - 1700 Flower SI:reel, Bnkerst'iet~'~, C.A 93305 ( 805 ) 8(;.1 --3(136 'rype~f Applicatiou (check).: ~Ne. Facility ~51odiflcaLlon 'Of Facility ~ExistJ~g 1?aci.l:ity l~'l'ransfer' Of Owncrsl~ip h. Emergency 24-11out' Contact (name; area code, phone): Days ~E~ff $~ Type Of Business (check): ~Gasolille Stnti(m ~Other (describe) Is 'l.'ank{s) Located On An Agricultural Farm'? ~Ves ~No ;Is T~nk(s) Used Prlmnrily For Agriculturn.1 Purpcmes? ~Yez~ . ~No B. ~atet* 't'o Facility Pt'ovi.(led By ~. ~%~5¢~¢~_~ I)ept:h 'Proposetl Starting Date M~Y/~¢] }9¢~ l'roposed CompJet. ion llai:(~ ~orker's Compensation Certification No.~~qmsul~ct. D. If This Permit Is FOr Modification Of An lixJ sting FncJ lily, Briefly Describe. Modifications Proposed F.. Tank(s) Store {check n.l.l thaL apl'~ly}: . 0 0 0 0 0 ~ 0 0 F. Chem.ica]. Composition Of ~l;itel" ;lis St, urr~(I (uc)t. ll(:c(~ss;ilry For nlr~lor O. Transfer Of Ownership Date Of Transfer N/~., Previous rJwm;r Previous Facility Name 1, accepl, fully a.ll oblitp, t]ons of Permit No. issued [ ,,u,.h.~t'sta,u.1 that the l)ermil:l:j, llg Authority may review fac i 1 i ty up,m rece i vi ng th i s comp I.e I:ecl This form has been completed under l)eu;,Ity ol.' l'mr~j~ry and t:o the alld corl?ec:t. . KERN COUNTY HEALTH DEPARTMENT 1700 Flower Slieef AIR POLLUTION CONTROL OISTRICT LEON M HEBERTSON, M.D. Bakersfield, California 93305~4198'" . Director of Public Health . Telephone (805) 861-362'i~ Air Pollution Control Officer '~':: ....... ~PER2/IT'--TO-CONSTRUCT.~._:_.~._ ........... ~ ........ PERMIT NUMBER #090034B UNDERGROUND STORAGE FACILITY fACILITY NAME/ADDRESS: OWNER(SI NAME/ADDRESS: CONTRACTOR: Circle K .................................................. North-R'£dge-?iaza ...................... -.--E..S~..~...[ ........ "' - 5600 Auburn Street Shopping Center 4100 Easton Dr. Suite 1 .._ Bakersfield, CA St. Rt. 4, Box 801 Bakersfield, CA 93309 ,.-. .... Bakersfield, CA .93306 License #429277 NEW BUSINESS PERMIT EXPIRES May 1!,.1~89 CHANGE OWNERSHIP RENEWAL APPROVAL DATE February I1,.~988 MODIFICATION OTHER , APPROVED BY Janis Lehman .POST ON PREMISES ..................... CONDITIONS AS FOLLOWS: I All construction to be as per facility plans approved by this depar[ment and verified by inspection by Permitting AuthoriEy. ~ 2 All equipment and materials in this construction must be installed in accordance with ail manufacturers' specifications. 3 Permittee must contact Permitting Authority for 'on-site inspection(s) with 48 hour advance notice. 4 Backfill material for piping and tanks to be as per manufacturers' specifications. 5 Float vent valves are required on vent/vapor lines of undez'grpund tanks to prevent overfi!iings. -6 Construction inspection record card is included wi. th permit given to :. Permittee. This card must be posted at job site prior to initlai inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections ~ill be made of: a. Tanks and backfii! b. Piping system with second~ry containment c. Overfill protection and leak detection/monitoriug .................... d"~-A n-y-'-oz-h e-r---i ns p e c ~ Lon_, dee m e.d _ne c e.s s a r_y_=~y_, j:. ~6m i~y~n._~~]2~ ............ ~ ......... PERMIT TO CONSTRUCT UNDERGROUND ' PERMIT NUMBER 090034B STORAGE FACILITY ADDENDUM tank(s) must be electrically isolated, and wrapped to a m~nimum 20 mil thickness With corrosion-preventive, gasoline-resistant tape, or otherwise protected from corrosion. 8. No product shall be stored in tank(s) until'approval is granted by the Permittihg Authority. 9. Contractor must be certified by tank manufacturer for installation of ......... fi.b,e.rglass tank(s), or tank manufacturer's representative must be present at site during installation. 10. Monitoring requirements for this facility will be descr, bed on final "Permit to Operate." .~' ACCEPTED BY DATE ~ . Permit Application Checklist Facility Name ~ Facility Address Standard Design __ Motor Vehicle Fdel Exemption Design -- (Secondary Containment) (Non-Secondary Containment) Approved ~ Permit Applic. ation Form Properl~ Complete__d Deficiencies: Copies of Plot Plan Depictiqg,: Property lines Area encompassed by minimum 100 foot radius. arouKd tank(s) and piping ~i tank(s) i~entified by a number an'd' Prod'~ct to be sto~ed . Adequate scale (minimum 1"=16'0" in detail.) .~=~o' North arrow All structures within 50 foot radius'o~ tank(s) and piping Location and labeling o~ all product piping and dispenser islands.. Environmental sensi~iv'~ty data including: *Depth to first groundwater at site *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) ~ *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemptioH from secondary containment Comments: Approved 3 C~pies of Construction Drawings Depicting- . -- S~de View ~f Tahk In~a~lation with"Backf~ll, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top view of Tank Installation with Raceway(s), Secondary Containment .and~or._Lea~k_~Monito.~ing~__S~stem in Place Materials List (indicating those used in the construction): Back~ill Tank(s) Product Pi~ing ......................................... Raceway(s) S~aler('s) Secondary Containment Leak Detector(s) Overfill Protection Gas or Vapor Detector(s) Sump(s) Monitor'ing Well(s) ~d'ditional: Documentation of Product Performance Additional Comments Reviewed By Date SITE INSPECTION: Approved Disapproved. - Comments: Inspector Date ~17~FIowerStreet ~ KERN COUNTY HEALTH DEPARTMENT HEAL. OFFICER Bakersfle~, California 93305 L~n M Hebe~on, M.D. ~lephone (~5)861-3636 .' ENVlRONMEN~L HEAL~ DIVISION .. DIRE~OR OF ENVIRONMEN~L HEAL~ ~rnon S. Reichard PERMIT TO CONSTRUCT UNDERGROUND PERNIT~~ STORAGE FACILITY FACILITY NA~E/ADDRESS: OWNER(S) NA~E/ADDRBSS: CONTRACTOr: 1~{ RENEWAL { APPROVAL DATE // ~ ' I I .,I ...... , ............... POST 0N PREMISES .... ' ........ ~ ........ CONDITIONS AS FOLLOWS: Standard Instructions Th2s permit applies only to the modification of an existing facility InvOlving (Blank ~ill list the construction specified in section D of Application for Permit). All construction to be as per facility plans approved by this department and verified by Inspection by Permitting Authority.. All equipment and materials tn this construction must be l:nstalled accordance .ith all manufacturers' specifications. Permittee must contact Permitting Authority for on-site inspection(s) with 48 hour advance notice. Backfill material for piping and tanks to be as per manufacturers'- specifications. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfillings. Construction inspection record card is included with permit given to Permittee. This card must be posted at jobsite prior 'to initial inspection. Permittee must contact Permitting Authority and 'arrange for each group of required inspections numbered as'per instructions on card. Generally, inspections .ill be made of: Tank and backfill Piping system .tth secondary containment Overfill prOtection and leak detection/monitoring ' All underground metal connections (e.g. piping, fittings, fill pipes) tank(s) ~ust be electrically isolated, and wrapped to a ~ini~u~ 20 ~il thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected fro~ corrosion. D~S~CT OFFICES Delano . Lamont Lake Isabella , Mojave . Ridgecrest Sha[ter . ~ft Special Instructions Primary and .secondary containment of both tank(s) and underground pi. ping must not-be subject to physical or chemical deterioration due to the substance(s) stored In them. Documentation from tank, piping, and seal manufacturers of compatibility with' these substance(s) must be submitted to Permitting Authority prior to-'construction. Spark' testing (35,000 volts) required at site prior to installation of tank(S). Test(s) must be certified by the manufacturer, and ~ copy of The vacuum gauge for each tank must have a secured access point for periodic leak monitoring and for vacuum system'maintenance. The following equipment and materials must be identified by manufacturer and model prior to their installation: Tank liquid level gauge(s) ,' Tank secondary containment automatic monitoring system(s) Sealer used to secure fill box(es) ' ~ No product shall be stored in tank(s) until approval is'granted by the Permitting Authority. ' ~ Contractor must be certified 'by tank manufacturer for instal/at/on fiber~lass tank(s), or 'tank manufacturer's representative must be present at site during installation· Liner shall be installed by a trained experience liner contractor and ~ installation at site approved by the Permitting Authority. ~_~ ~onitoring requirements for this facility will be described on final "Permit to 0perate".~ -' ' ROBERT H. LEE & ASSOI '~IC~ 900 Larkspur Landing Circ._' [LF-~= %. - . RE: . , . WE ARE SENDING YOU ~ A~ach~ ~ U~r s~par~t~ cov~r via ~ Shop d~wings ~ Prints ~ Plans ~ Samples ~ Sp~ifi~ti'~ ~ ........ ..~. ~ Copy of leffer ~ Change order ~. COPIES DATE NO. DESCRIPTION ~., · THESE ARE TRANSMI~ED as check~ below: ~For approval D Approv~ as submi~ D Resubmit copies for approval ~ For your use D Approved as not~ ~ Submit copies for dist~ution ~As request~ D. Return~ for corrections D Return.~corre~ Q For review and comment KERN COUNTY HEALTH DEPARTM 1700 FLOWER STREET ENVIRONMENTAL HEALTH DIVISION BAKERSFIELD, CA 93305 HAZARDOUS SUBSTANCES SECTION PHONE (805) 861-3636 .. INSPECTION RECOP~ POST CARD AT JOBSITE "FACILITY PERMIT # OqOC~/ ADDRESS I ADDRESS I CITY I CITY PHONE NO ' ~ I PHONE NO. INSTRUCTIONS: Please call for an inspector only ,when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. D__O NOT cover work for any numbered group until all items in that group are signed off. by the Permitting Authority. ,'"Following these instructions will reduce the number of required inspection visits and therefore prevent assessment .of additional fees. - TANKS & BACKFILL - INSPECTION DATE INSPECTOR I t IBackfill of Tank(s) ~ I ISpark Test Certification ~ ~ ICathodic Protection of Tank(s) ~ ! , ' ' - PIPING SYSTEM - l~Pipin~ & Raceway w/Collection Sump ~{Corrosion Protection of Piping, Joints~ Fill Pipe ~ ~.]Electrical Isolation of Pip!ns From Tank(s) ,~/~ ~' ~Cathodic Protection System-Pipin~ It/~ - SECONDARY CONTAINMENT, OVERFILL PROTECTION~ LEAK DETECTION - ' ~Liner Installation - Tank(s) ~ ' IL!net Installation - Pipin~ ~ I IVault With Product Compatible Sealer I ~_~Level Gau~es or Sensors~ Float Vent Valves ~ I'~ IProduct ,Compatible Fill Box(es) I ]~ {Product Line Leak Detector(s) ~- ~ ~.~_~- '{~ {Leak.Detector(s) for Annular Space-D.W. Tank(s) ~~ ['~ IMonitorin~ Well(s)/Sump(s) - {~-~ , ,Leak Detection Device(s) For Vadose/Groundwater , , " ' {PVC Sleeve Pip!ns { ' ' {Leak Detector(s) ' ' . - FINAL - ~ IMonitorin$ Wells, Caps & Locks ' ' [Fill Box Lock ~ ~ iMonitorin~ Requirements ~ CONTRACTOR LICENSE # 'CONTACT PH # KERN COUNTY HEALTH DEPARTMENT 1700 Flower Street AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.D. Bakersfield, ~alitornia 93305-4t 98' Director o! Public Health Telephone (805) 861-36'21 Air Pollution Control Officer ..... ~---PERNIT~TO CONSTRUCT-. - ..... - ',': .......... :-= ...... . ~ _._-PERM!T_NUNBER_ #090034 B ...... · ~:~_:~---:~-~..._ u.U..ROROU. STO O FACILITY FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: 5600 Auburn Street Shopping Center , 4100 Easton Dr. Suite 1 Bakersfield, CA St. Rt. 4, Box 801 Bakersfield, CA 93309 Bakersfield, CA 93306 License ~429277 ]XX[ NEW BUSINESS PERMIT EXPIRES May 11, 1989 [__! CHANGE OWNERSHIP I__[ RENEWAL APPROVAL DATE February 11, 1988 { i OTHER APPROVED BY Janis Lehman ................... POST ON PREMISES ...................... CONDITIONS AS FOLLOWS: 1 All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. 2 All equipment and materials, in this construction must be installed in accordance witi] ail manufacturers' specifications. 3 Permittee mus~ contact Per.mitt lng Authority for on-site inspection(s) with 48 hour advance notice. 4 Backfill material for ' piping and tanks to be as per manufacturers specifications. 5 Float ven~ valves are required on ven'c./vapor lines of under'grohnd tanks r.o preven~ overfiiiings. 6 Construction inspection record card is included with permit given to Permitr. ee. This card must be posted at job site prior to initial inspection· Permittee must contact Permitting Authority and arrange for each group of required inspections nr~mbered as per instructions on card. Generally, inspections wil J b,; .made of: a. Tanks and backfi]] ~). Piping system with secondary containment c Overfill protection and leal< detection/,noni~oring · d ~ -Any o-~her in-spect-ion~'~d'eemed~-'n'e'ce, s~s.~ry PERMIT TO CONSTRUCT UNDERGROUND PERMIT NUMBER 090034B STORAGE FACILITY ADDENDUM 7. All underground metal connections (e.g. piPing, fittings, fill pipes) to tank(s) must be electrically isolated, and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-~esistant tape or otherwise protected from corrosion; 8. No product shall be stored in tank(s) until approval is granted by the Permitti~ng Authority. 9. ContraCtor must be certified by tank manufacturer: for Installation of at site during installation. 10. Monitoring requirements 'for this facility will be described on final "Permit to Operate." ACCEPTED BY DATE -v ~_~L ' ~c_ Slore NO. Shill' Daf Date 19 Total Gallon GASOLINE METER READINGS REGULAR UNLEADED PREMIUM UNLEADED DIESEL PUMP P~MP PUMP PUMP ' GALLONS MONEY GALLONS MONEY GALLONS MONEY ,. GALLONS MONEY 2 ~ ; 3 i 5 6 7 ~ 10 O.EN < . ........ .~ ~. ~ ~- .,~. CLOSING TANK INVENTOR~ GASOLINE INVENTORY CONTROL - GALLON5 . Premium Premium ;. Udleaded Unleaded Diesel Regular Unleaded Unleaded Diese~ 21 Closing Sl~ck Rea~mg From Last Report 22 ~ ~i~ ,~ , ,: ~// 25 m,~?~'???.. :.,,:. ,~ ..~.:.,:.,.,.~, ,, ...... .~ ~:::,~.~ ,.,, .,,,., ,,~. .. :...: ...,.-.~... , ,~,,, WATER INVENTORY 27 Equals Slick Reading Sales I'l Inches: ~c,~s: I ,riches: Inches: · 28 Meter Sales (Line 13) 29 Less Stick Reading Sales (Line 27) Pr'ice Changes: 30 Over (+) Shod (-) (Daily) 31 Plus Yesterday's MTD Over/Short · ~ 32 ~D~t~(~.81) ' ' ~:: ..... - Notes: : ~' ' ' On the first day of EACH month Line 31 will be zero. If line 28 is greater than line 29. line 30 is over (+), if line 28 is less than line 29. then'line 30 is sho~ (-). -~ : Competitor Prices: St~ck Readings By: (1) REG UNL ~ PNL DSL OTHER. Meter Readings By. " ; Manager's Signature: (2) REG UNL ~ PNL DSL OTHER ' ~ (3) REG UNL~ PNL DSL.~ OTHER ~ (4) REG UNL~ PNL DSL OTHER CK291 {Rev 3/88) i MONITORING PLAN FOR NEW UST'S INSTALLED JAN. 1984 TO PRESENT REQUIRED BY SECTION 2634(B)(2),TITLE 23 CALIFORNIA CODE OF REGULATIONS FACILITY ADDRESS: Circle K Store #8605 5600 Auburn Street Bakersfield Kern County Phone: 805-871-7979 MAILING ADDRESS : Circle K Corporation Gasoline Compliance P. O. Box 52084 Phoenix, Arizona 85072 In use at this site is a LEAK SENSOR II continuous electronic monitoring system with 6 LIQUID probes located in the SUMP AND ANNULAR AREAS . Tanks are double-wall fiberglass, installed in MAR. 1988 and have overfill device and spill containment. Lines are double-wall fiberglass and tested annually as well as the leak detectors. The Store Manager is responsible for performing a daily system check at the monitor panel located in the storage room and recording the findings on a nearby log. Any malfunctions or alarm conditions are to be addressed immediately and reported to our Service Department. Training is provided by a qualified Circle K Instructor in class and on the job by a Store Manager. Awareness of equipment performance problems and familiarity with emergency shut-off switch is stressed to all employees. Also stressed is the critical point of accurately recording daily inventory levels to the nearest eighth of an inch and immediate investigation of any inventory variance that is not within the State allowable limits. The monitoring system is inspected annually by Triangle Environmental and certified to be performing according to manufacturer's instructions. If any performance deficiencies are noticed, the system is repaired, retested and then certified. Results are maintained at store site in the HMMP binder and in Corporate Office gasoline compliance files. RESPONSE PLAN ~OR RE~OYAL OF ~AUTHORIZED ~.F.~SE FRO~ SECONDARY CONT~ As required by 23 CCR, Div. 3, Chapter 16, Article 3, 2632(e)(2) 1.' Upon recognition of a suspected unauthorized release from the primary containment to the interstitial space of either a double-contained tank or product line, or a suspected breach in the secondary containment, store personnel will notify the Gasoline Compliance Manager at (602)530-5089. 2. The Gasoline Compliance Manager will arrange for a qualified contractor to verify the suspected breach of primary or secondary containment and/or verify proper operation of the monitoring system. 3. Upon confirmation of loss of tank system integrity, the tank system will be taken out of service and product will be removed from the primary container. 4. The Gasoline Compliance Manager will authorize all work necessary under this plan. Representatives of the tank manufacturer will conduct an inspection of the leaking tank to determine repairability and coverage under the manufacturers warranty. 5. Ail repairs to the failed tank will be completed pursuant to the requirements of 23 CCR, Section 2661, and by or under the direct super- vision of the tank manufacturer. 6. Upon completion of repairs, the tank will be precision tested in order to insure tank integrity. 7. Unauthorized releases to the interstitial space between primary and secondary containment will be removed under the supervision of, and in accordance with, the specifications and tank design of the manufacturer. The equipment required to accomplish this task will be specified and obtained per the manufacturer recommendations. Contaminating materials will be properly transported and disposed of under manifest. 8. Reactivate monitoring system prior to bringing the UST system back into service. Questions regarding this response plan should be directed to Myron Smith, Gasoline Compliance Manager, at (602) 530-5089. ibc}: 7. I,uuk Ilel. ecL'.l(m. Ntmil. orJn.~', ami a. .'l';.l~lk: [~] Visual (va~lte(I lanks only) [~] (;:rt)u)uh~a~i:r ~h)niLt)ril~g I~ellis) :. [.~] I"rt~ssure Sollsof IIi Aiumlar: Sl~a(:e Iii' D~)ul)le Wall Tank * L'.] I~i(Ittid. [{t~kt' ieval a lssslmx:l;Ion. Frt)m II--'l'~tl)e, ~lotti Lot' ittl~ Iqe] t Of Atmular [[.J Daily t;augi.l¢ & lnvenLor.y Itt~Cot~cil l;~l:Jt)n ~ Periodic Tightness Testing . [].] None ~ IJllknol~n ~ tither b. i, il~inff': ~ Flot,-I~eskrlcl:ing beak Dettmt. or(s) For Pressurized Piping* I'J blonitorinl{ :;uml~ ;~'ikh I~acet~ay ['~]. St:i~led Ctmcreke 12 Ilalf-Guk Gomp;~l;,jble I'ipe racet, ay ~1 N~nLht~Lit: I, iner Race~ay '~ None lilts This Tank ISeeJi TightJieSS Tested? ~J Y~:s ~ N() ~ IJllkllo~ll. Tank IIt~l)airetl? '{~] Yes L~ No [~ I)a.~e(sJ (Jr Roi)air(s) l(I. (~ve~'fi] I I'rol ~cLJou ~ ()~l~er: I.i.:;I. ;,h.slie a Model For Abovo ti. I' .i. p I llll 'l'hit:l<n(:ss (in(:ht:s) I~J I). Undel'l:l'O;ilt(I I) iplill['. Clll'l't).'4jt)ll I)l't)l:it(:l it}ii: EJ I'ulyeLhylt."ne 'l',/l'al~ ~.f I':le,:lri~:,~l, l.,-:.l;~Li~i~ I'-] Vi,w! W'c;~p EJ'l'at' or ^sphal I~] IlllkllO~ll E} NOIIO [] t)th.r (,I,::;cr ihe): UIItI~L'EI'OlIII¢] Pi ping. .c:;ITCOIItl;tl'?/ C()flk;! iii.ti:lit:: ' f'-I f.)t:hel' ((l(,.~cz'j. bc): I. ! . 'l'__;~_l.!!_~ ..J]~.: L] v;lU.l.li:'l [] Nun Vnui t,:,l I~..] Ih,ul,le-W;ll I ~] [] t;;~-I~ ~41'.l~el fi Hl'ainl,?x~ ~let, I L] Ih~lyvi~yl (;h.lovide ~ l~iberEIass-Clad Stee] , DaLe l il:; t.n .i .i ed 'l'lii :klle:~s (lill:ll~:~;) C;ll~;l~:[t.y ((;alJolls] ..... , 1~ I)ouLile--WaJJ ~ Syllt. het.[(: I,ilHTI' 1~ I, iil~:~l V[IIII[ I~ t~()ll(~ [] IJllJ~llOWII ,(~ (.)t:h~r (desorJl:m) L ;,Innu['~tllver: ........ ~.~p ~ . [.1 Tar ~,r AsphnlL ~ Ihd(no~vn ~ None Gl titller (describel: ~;~LI:.[~E¢[h .l'&'.?~d~.~::i~U: [~] None [j Imln'ess,~,l u~lri'elll: Sysl:,:m [~ sn~:rJflc.i;ll Anode I¢1 Ih:sci'ibc ", ' o~sl. em& EqUilmmut.: ~. ¢p.g.P.~A~fi~. a, 'l';.lllk: [] V[~ll~ll (vaull. ml tanks ollly) [] (~r'lJlllldWHt(~l' Mtlll~t:tll'Jll~ [] Va~hm~ Zone Mm~il.~rinl~ wei.lls) [.]] IJ--'l'ulm Wji. houl. hJner I';I II.-Tuhe ~ i I h ~;llllilHI t i I) I I? 1, i iil?l' [J i I'l~l:'t..i lll~ i? I my '1'o Mou i Lor Jill[ We t ] ( s ) * I~J' Vapor Ih-~l.~:i. or *[~ I,i~luid l.eveJ :h~s~r * [~ C~mlu~:i. iviLy.Sensor (~_]. I-'l't~SStlt'e Sf~llstIl' 111 AIIIitl.[}ll' Sl)iH;if IJf [il~tllilt~ Wall 'l'ilnl~ * L] I. iquid lletrievaJ & lnspecttoll Fi'mn U--'l'ul~e. Munitorilll~ Well'Ur Aimulav Space [.} Unt.[~ t;'augilll{ & Inventory Return:i lint:loll ~ Periodic Tightness 'l'estlng [.] None ~ tlnkno.n ~ tlthe,' b. Pillilll{: ~ Flm~-Rest['lcl:illg Leak IJet~cLoi'{s} For Pressurized Piping* L] Monit:ot'Jlll{ Stunl~ WiLh'R;li:eway [] Seilled Cml~:r(tLe Ii;leeway I_] ilall'-gul: gonllmtible I'ipe llaget~ny ~] SynLheLit: I, ill~!r Rnce~'ay ~ Nolle · lh~sl:l'lbe Make & Motlel~ ~o~~ ~w~og u~lT-~olo~, ~-~1o ~. IIns Th i s 'l'anl( Ilel~n 'riRh tll~lss 'l'es ted? ~J Yl:S ~ Nil ~ IJllkllO~ll Tnnk lletmired? [] Yes Lq No I~¢J Ilate{s'l Uf I~epnir~s} ~]~. Ih~;r ibc l~elHi J rn II I;al~;l(:il:ance [j Sea.led Pill ll~x [] Non~ [] Unknown ~ Ill:her: I. isl: Make 8 Model For Above Device: Il. ~' i, p 1 I~l~ ~] pressure I] Su~:t.i~u [] I;r~vily Al,l~ruxim;ll~ I.eH'l.h Ilf pipe Ilull~ ~j I'ulyeLhy~ene Wrap ~J Ele~:lri~:~l I~oln(i~n I~ ViuyJ Wrap ~ Tar or Asphai [] Iillkllot~ll [} NOlle ~ tit:her (,h:sct"ilm): Ul~tler[{round Piping, Set:oHdary (;ouli;~ilsmellE: [~ I)oullle-Wa.II ~ Synt:heti~: Liner SysEem II None {~ ~l. iltlmr {describe): 2. Tnuk Ma I.l:t'j il ] I. ['-] I)(mble--Wa!] I:J S~]nt:heLic I.im:t' i' {'-] I.)l~hep (descrllm) L . . - ....... ---~.r~.P ' [.'.'.]'i'av ~' ^splmlL I'-] IJnkno~,m [] Nou,~ ~..I l)t'.hev (descr'i. be): a. Tank: I~_-] Vlsunl (vaulL~,d I.aul<s truly) I:] (;vuundwul. uv Munil:,u~'iuff. Well(s). I~ Dally Unugiul: & luveul-ovy I~ecom;iliat. Ju~*~ ~ Pevi()dJc 'l'i~ht!~ess Test.lng ~...] None [] Ilnl<nown [] UI;he~- -. b. PipinK: I--].Fll)w-I~esl:vlcl:inl,~ Leak DelecLov(s) Fur Pressuv.ized piping* ['~ MollJ tel ink ,qump Wi Lh Raceway [.-] ,Sei~led C,)ncveLl: I~aceway i I_] Ilall'-Gul: Compatible Pipe Rnce~vay [-] ,'.;yuLheLic I, iner Race~a¥ EJ'None Ilas This 'l'anl< ileen 'l,:il¢~t:ness Tested? ['-J Y,.'s ~ Nn I'~ IJnkno~n Ilnl:e(s) (Jf'l~el)nil'{s) J4. Jk. ~ (.Il;her': I.i:.;l: MuI<*: & blodnl l;of ^bore DevIce [-'J' l'olyethylene IVt'al) ["] Ele,:lvi~:;~l. Is~)laLi~u I"] \'it,y! Wi-up ~J Tat- ut' Asl}haJ : ~] Ij,tl(.no~n E] N(me [] ()t'h(~r (,h:s(:x'il)(:): ; r-'l ()t:hev (describe : Standard Compliance Check Equipment to be installed: .. , ~ Tank(s), ~O' Ft. of []Suction ~Pressurized []Oravity, Piping Req'.d Approved Type of License ~ ~t Proof of Contractor's Worker,s Compensation Insurance t,/~ Z~ Primary Containment -- ~Flberglass '(FRP) Make ~ Model Fiberglass-clad steel Make ~ Model ~ ~U'ncoated steel .Make ~ Model ~Other: Make ~ Model Additional: " Inspe~ction: Secondary Containment of Tank(s) ~Double-walled tank(s) Make & Model ~fd~)/~ ['~Synthetlc liner Make & Model ~Lined con~rete vault(s) Sealer used ~Other Type Make & Model Comment: Additional: Inspection:. Secondary Containment Volume at Least 100~ of Primary Tank Volume(s) Comment: Additional: -- " Inspection: Secondary Containment .Volume for More Than One Tank Contains 150~ of Volume of Largest Primary Containment or 10~ of Aggregate Primary Volume, Whichever is Greater Comment: Additional Inspection: - I - Req ' d Approved ~. Secondary Containment Open to Rainfall Must Accommodate ,24 "" Hour Rainfall Total Volume Comment: · : Additional: .Inspection: ~ .............. ~-._:-..=:-S:eco:ndar-¥.-.Co. ntalnmen.l.l:s__Pro.duct-C.ompa~tble_ .... ~=~=-==.~=~::---~.~== Product ]v~ ~ Documentation Comment: Additional: Inspection:' ~/A Annular Space Liquid Is Compatible ~lth Product .................................... Product ............ Ann.ul.a~.,-31quid ..... ? ..................... - ............. Comment: ,. A'ddltional: Inspection: Primary Containment of Plpin~ ~lberglass ptpln~ Size & Make a" ~. -~~ [-]Coated steel piping Size & Make ~']Uncoated steel piping Size C]Other Comment: Additional: Inspection: ~ Secondary Containment of Piping ~J~Double-Walled pipe Size & Make' ~]Synthetlc liner in trench Size & Make ~Other Co~ent: · . Additional: J 7~--~' Inspection: Corrosion Protection , ~Electrtcal isolation. C'omment: · Additional: Inspection: Type ~¢~_~-~ Comment: Reg'd Approved Additional: Inspection: · L J'- ~ Tank(s) Located no Closer than 10 Feet to Butldini(s) Comment: Additional: Inspection: Complete Monitoring System No~itoring device wi. thin secondary containment: ~,Ltquid level indicator(s) ......... _~Liquid used .... ' [~Pressure sensor(s) [~Vacuum gauge I-}Sump(s) [~Gas or vapor detector(s) [~Manual inspection & sampling B Vlsual inspection Other Comment: Additional: Inspection: .~ Other ~onltoring ~]Periodlc tightness testing Nethod · ~Pressure-reducing line leak detector(s) [~'Other Comment:- Additional: Inspection: *' ~/ -~ Overfill Protection -- ~Tape float gauge(s) ,:.. L~Float vent valve(s) ,,- [~Capacltance sensor(s) ~]Hlgh level alarm(s) ~Automatlc shut-off control(s) [-~Ftll box(es) with 1 ft. 3 volume " ~Operator controls with visual level monitoring Other ......................... ~ .............. : ........................ ~ ........ Comment,: ................ · ................. - 3 - ( In-Tank Level Sensor (v~ 2 Leak Detector ( ) 3. Fill Box FACILITY NAME CY~'[..~~.~.~-~:}U,~. ~ACXLXTY ADDRESS ~ ~~ Ct, CONTACT PERSON ~~ .................. 1'":''~''IN':'T~NK LEVEL '~'ENSORS ', Number"'of Tanks J List By Tank ID Name of System Manufacturer .a Model N~ber .... - Contrac tot / Ins tal 1er n AK O T CTO S N~ber of Tanks ~ List By Tank ID Manufacturer ~ Model Number Contractor/Ins tal let 3. FILL BOXES N~ber of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer OWNER/OPERATOR DATE . Req' d Approved ~ Additional: Inspection: Monitoring Requirements Additional Comments Inspection: Inspector Date Extra Inspections/Reinspections/Consul.tations Date: Comment: ~ Time Utilized ~.~..Date: ............................. ~ .................................... ................................... ~ Purpose: Comment: Time Ut'llized Date: Purpose: Comment: Time Utilized Purpose: Comment: Time Utilized Invoice Date: To~al Time: Inspector Date: :' ' "'~ong d sfance 'ca II ~.~;~ ~ ~: ~ .~etu~ nea your'ca Il .., ., , :. '. :, ' , , '. , . . · .... · . ~. ~ ..., .. · ~ , -,. . · :, , · . ."..,.., -~'. ....,~: '' : "., .~.... , , ;. ' V,..:....~... ~.... ,~'~...,.~.~ '-.~. ':.~,'~ . ~ , . . ,... ~ . ., ~'..~ . '~. ...'~ ,. '~ .. ~ · ,~,.', .~,~, ,.?.'. ':: ,:.~'~' ~:' ~ :~ · .,:,.... .... '. , ' .... ' '" ""'" ' ~._...~ .............. i,~ ..................... ~i ........... --~,~.~ ..... ..:: ................................. . ............ ~-~,~-~ .......... ,? ~ Yes No '..:: 6. Are Red Jacket ~ubpumps and all line leak'detector .~i accessible? Type of line leak detector if any ?.Overfill containment box as specified on application? ~_1 [51 If "No", what type and model number: ~ a) is fill box tightly sealed around fill tube? , '~- i~ ,~ b) Is access over water tight? .,: .. . · ./ . . · . ~../ .'i..!' .. "~ ./"~ii c) Is pr°du¢~'Present in fill box? -'-.- =[fi~ _l. '': ..... · '.~';~ '~ '~ ~n~.i~~ ~~ o~ ¢,~m9. '" '? ~'.-'.~.. ' :..".: · ' ':~'~-:'" ~,:; . .. a) Are manual monitorin~ instruments, product and . .-{ water finding paste o~ premises7 b) Is the fluid level In O~ens-Corntng liquid level' :~_1 ~/~ · . monitoring reservoir and alarm panel tn proper ,-...:'..~':~,',.., operattn~ condttton¢ C) Does the annular space or secondary containment liner leak detection ~yste~ have self diagnostic .... capabtl~t~es~ _ If "Yes"~ is it functional If "No", how is it tested for proper operating condition7 ~~. · :<! Yes No ~.q 6 Are Red Jacket subpumps and all line leak detector -r: accessible? '?' Type of line leak detector if any ..~ 7. Overfill containment box as specified on application? ',.'i~ If "No", what type and model number: [?;: ' ' ~ a) Is fill box tightly Sealed around fill tube? I~1 151 i'}i ~ b) IS access over water tight? ": c) Is product present in fill box? ~ }51 .(:,: 8. Identify type of monitoring: t~j~C.~k~C~;~L ": a) Are manual monitoring instruments product and :!:ii , water finding paste on premiSes? ?':i b) Is the fluid level in Owens-Corning liquid level· '} monitoring reservoir and alarm panel in proper :~i operating condition? ..; c) Does the annular space or secondary containment :.:.? liner leak detection system have self diagnostic ..: . capabilities? :; If "Yes"; is it functional IX 151 :~.! If "No", how is it tested for proper operating ~ condition? 9. Notes on any abnormal conditions: ~i~ ~9~/~ , O .r tlect a.. Hell,fora , 'ho ' -~ - ' ' ,- ' j ROBERT H. LEE & ASSOCIAI~,,' INC. 900 Larkspur Landing Circle, Suite 125 LARKSPUR, CALIFORNIA 94939 ATTENTION ', (4~5) 46~890 WE ARE SENDING' YOU [] Attached r-I Under separate cover via .the following items: ~-~': ' - ..~ , - . ' . '" · · *;;';;~ 'I [] Shop drawings [] Prints .,,)~/.;:~ ' [] Plans .5 [] Samples Copy of letter Change order COPIES DATE NO. DESCRIPTION THESE ARE TRANSMI~ED as check~ below: .- ~ For approval ~ Appmv~ as submiff~ ~ Resubmit copies for approval ~ For your use ~ ApProv~ as not~ ~ Submit copies for distribution ~ As request~ ~ Return~ for corre~ions ~ Return corm~ prints ~ For review and comment ~ ~ FOR BIDS DUE. 19 D PRINTS RETURNED A~ER LOAN TO US REMARKS ~&~ ~H~ V~tz.-( Tg,uC'(' COPY TO. r~oooc~4o.~ ~lnc., G~, M~ o~;t If enclosures ere not as noted, kindly notify us at once. J~*~Y~C) ~ L.,. ~,~,~.,~, ~ PERMIT ;s ....................................................................... FACILITY NUMBER OF TANKS AT T. ttE SITE: ~.NV. $~.NSI?IVI17¥ .......... EMERGENCY CONTACT PERSON(PRIMARY): NAME: PHONE NUMBER: EMERGENCY CONTACT PERSON(SECONDARY): ........ NAME: ~ ........... '-:'-:,- ' ...... ........................... 22,".:..:,:~:-..;:.,:.'"...~2:.:2.:2.....; ........... PHONE NUMBER: TANK OWNER INFORMATION NAME: ADORESS: PHONE NO.: TANK CONTENTS: TANK ;~1, MANUPACIURER YEAR INSTALLED CAPACITY ICONTENTS TANK CONSTRUCTION: TANK ~ TYPE(dw, sw, sec°conT.) MATERIAL INT. LININGI CORROSION PROT. I t LEAK DETECTION: TANKS: VISUAL GROUNDWATER MONITORING WELLS ................. VADOSE ZONE MONITORING WELLS ............................... U-TUBES WITH LINERS ................. U-TUBES WITHOUT LINERS ................ VAPOR DETECTOR ..... LIQUID SENSORS CONOUCTIVITY SENSORS PRESSURE SENSORS IN ANNULAR SPACE LIOUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING WELLS, OR ANNULAR ................ NONE .......... _UNKNOWN ................ OTHER : PIPING INFORMATION: TANK tt SYSTEM TYPE CONSTRUCTION I MATERIAL (SUC.PRES. ,GRAV. ) (SW,0W,LINED TR) I ; LEAK DETECTION: P~PZNG: ...... ~. FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED PIPING . MONITORING SUMP WITH RACEWAY ~EALED CONCRETE RACEWAY HALFCUT COMPATIBLE PIPE RACEWAY .: ,',~w~,r',_, =' .'NE;' RACially. NONE UNKNOWN