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HomeMy WebLinkAboutUSTs CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 0/llt')~ ~lto[ l~y.Ot'~ INSPECTION DATE lO[ 3/OJ Section 2: Underground Storage Tanks Program [] Routine ~] Combined {~[,Joint Agency [21 Multi-Agency [] Complaint [2[ Re-inspection Type of Tank ,~0J~ (.~rt) Number of Tanks --~ Type of Monitoring ~'-F~ Type of Piping .~Co...q C<. ?"/ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current ~/ Failure to correct prior UST violations ~ Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS sPcc available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Complian5 ~. V:Violation ¥:Yes N=NO ~.~f~ Inspector: _k~,4_, ;~~D /'~'~C~- Office of Environmental Services (805) 326-3979 ~Bu~ine~s Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ()/l,*v, //141vt~ t,~R~_~t ~SPECTION DATE ADDRESS [~3[ ~tc PHONENO. FACILITY CONTACT BUSINESS IDNO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program I~1 Routine [~Combined I~ Joint Agency ~ Multi-Agency ~ Complaint {~ Re-inspection OPERATION C V COMMENTS / Appropriate permit on hand Business plan contact information accurate k.,, /' Visible address Correct occupancy ~ / Verification of inventory materials Verification of quantities ~ /i Verification of location C~ /' Proper segregation of material L, / /l Verification of MSDS availability L,' Verification of Haz Mat training L,,' / / Verification of abatement supplies and procedures L/ Emergency procedures adequate / Containers properly labeled / Housekeeping Fire Protection Site Diagram Adequate & On Hand L, / C=Compliance V=Violation Any hazardous waste on site?: [~1 Yes ~No Questions regarding this inspection? Please call us at (661) 326-3979 Business ~sp:?~arty White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:. BAKERSFIELD FIRE DEPARTMENT May 31, 1998 Talhun Aleme Union Avenue Mini Market FIRE CHIEF MICHAEL R. KELLY 631 Baker Street Bakersfield, CA 93305 ADMINIS~.ATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 UNDERGROUND STORAGE TANK UPDATE SUPPI~ION SERVICES 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 Dear Underground Storage Tank Owner: ~EVENTION SERVICES 1715Chester Ave. The City of Bakersfield wishes to congratulate those tank owners who Bakersfield, CA 93301 (80,5) 326-3951 have upgraded, removed or replaced their tanks in the first quarter of 1998. This FAX (805)326-0576 office is expecting an even bigger second quarter result. This commitment, has ENVII['ONMEN~AL SERVICES helped this office achieve a 75% compliance average for the underground storage 1715 Chester Ave. tanks within the City. This is a very "good start". Bakersfield, CA 93301 (805) 326-3979 FAX (806)326-0576 For the benefit of those who have not yet upgraded, the City of Bakersfield and Kern County Environmental Health, will conduct a Underground I~.AINING DIVISION 5642 Victor Street Storage Tank Workshop scheduled for Friday, July 17, 1998, from 8:00 a.m. - 12 Bakersfield, CA 93308 noon. Look for our June letter for more details. (805) 399-4697 ' FAX (805) 399-5763 Should you have any questions, please feel free to. contact .me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector SBU/dm cc: Ralph Huey, Director CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME q)rl,~o, ~m', l/har~- INSPECTION DATE Section 2: Underground Storage Tanks Program ~,/Routine [] Combined [] Joint Agency [~[ Multi-Agency [] Complaint [] Re-inspection Type of Tank ._qtl_5 Number of Tanks $ Type of Monitoring /h t ~ ~ Type of Piping &t.~/5 OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current V Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No t40 Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CH ECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME O~lo~ ~,~, {q, lat'Y INSPECTION DATE ADDRESS (0f:l{ _0m {,er PHONE NO. 631 ' 7103 FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1.: Business Plan and Inventory Program [~/l~outine [] Combined [] Joint Agency [] Multi-Agency [~l Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact intbrmation 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 [~ No Questions regarding this inspection? Please call us at (805) 326-3979 Business Site ~esponsible Party While- Env. Svcs. Yell,,,,,- Station Col,>, Pink- Business Copy Inspector: ~_~t~a6 ~ BAKERSFIELD FIRE DEPARTMENT February 24, 1998 Talhun Aleme Union Avenue Mini Market 631 Baker Street FI~ CH~ Bakersfield, CA 93305 MICHAEL R. KELLY a n sm sE acu UNDERGROUND STORAGE TANK UPDATE 2101 'H" Street Bake~fleld, CA 93801 (805) 326-3941 FAX (805)39~1349 Dear Underground Storage Tank Owner: SUPPI~SIO" SEEVICES The City of Bakersfield has some exciting news regarding loan monies, which has just 2101 'H' Stroet become available through the Small Business Loan Association (SBA). Bakersfield, CA 93301 (805) 326-3941 FAX (805)395-1349 Pollution Control loans, thru the SBA, are intended to provide loan quarantees to eligible small businesses for the financing of planning, design, or installation of pollution prevention PREVENTION SERVICES controls, which includes underground storage tank facilities. 1715 Chester Ave. · Bakersfield. CA 93,301 (805) 326-3951 The vast majority of businesses are eligible for financial assistance from the SBA. The FAX (805) 326-0576 SBA defines an eligible small business as one that is independently owned and operated and' not I:NVIllONMENTAL SERVICES dominant in its field of operation. For those applicants that meet the SBA's credit eligibility 1715 Chester Ave. standards, the agency can quaranty up to eighty percent (80%) of loans of $100,000. Seventy five Bakersfield. CA 93801 (805) 326-3979 percent (75%) of loans above $100,000. Lynn Knutson, Chief of Finance for the SBA says, "If FAX (805) 326-0576 customers apply immediately, and meet the requirements, funding is available". m~Ne DnnsloN The City of Bakersfield hopes all of our underground storage tank owners take advantage 5642 Victor Street Bakersfield, CA 93308 of this opportunity. For more information on SBA, Pollution Control Loans, please call or write to: (805) 399-4697 FAX (805) 399-5763 Lynn Knutson, Chief Financial Officer Small Business Loan Association 2719 North Air Fresno Drive, Suite 200 Fresno, CA 93727 Phone # (209) 487-5785, Ext 130 Don't delay, start today!!! Sincerely, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services cc: Ralph Huey BAKERSFIELD FIRE DEPARTMENT February 13, 1998 RE[ CHIF. J: MICHAELR. KELLY Union Mini Mart' 631 Baker Street ~,m~VESaW~.S Bakersfield, CA 93305 2101 'H' Street Bc~e~'fleld, OA 93301 (805) 326-3941 FAX (805) 395-1349 SI.II~S~flON s~Evicr~ RE: "Hold Open Devices" on Fuel Dispensers 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 Dear Underground Storage Tank Owner: FAX (805) 395-1349 m:w,noN.~v~a The Bakersfield City Fire Department will commence with our annual l?lfi Cheste,^ve. Underground Storage Tank Inspection Program within the next 2 weeks. Bakersfield, CA 93301 (805) 326-3951 FAX C805)326-0576 The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire ENVIRONMEFn'AL SERVICE~ 1715 Chester Ave. Department now requires that "hold open devices" be installed on all fuel Bakessfleld. CA93301 dispensers. The new ordinance conforms to the State of California guidelines. (805) 326-3979 FAX (8~5) 3260576 The Bakersfield Fire Department apologies for any inconvenience this TRAINING DIVISION 5642 Victor Street may cause you. Boker~, CA 93308 (805) 399-4697 Fax (~)a~576~ Should you have any questions, please feel free to contact me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey BAKERSFIELD FIRE DEPARTMENT January 27, 1998 Talhun Aleme n~ c,m; Union Avenue Mini Market MICHAEL R. KELLY 631 Baker Street Bakersfield, CA 93305 ADMINISTilA11VE SEIWICE$ 2101 'H" Stroet Bakersfield, CA 93301 (805) 326-39~1 UNDERGROUND STORAGE TANK UPDATE FAX (805) 395-1349 SUPPRESSION SEi~VICES Dear Mr. Aleme: 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 The City of Bakersfield wishes to congratulate those tank owners who FAX (80fi) 395-1349 have upgraded, removed or replaced their tanks in the month of January. During the month of January, our office had six sites (14 tanks) which are now in PREVENTION SERVICES 1715 Ch~sterAvo. compliance. This is a very big "first step". Bakersfield. CA 93301 (805) 326-3951 FAX (805) 326-0576 For those who have not yet upgraded, I would like to share some thoughts on why it is so important to act right away: ENVIRONMENTAL SERVlCE~ 1715 Chester Ave. Bakersfield0 CA 93301 1. Licensed contractors are booking up fast, in some cases, up (80,5} 326-3979 FAX (805)326-0576 to three months in advance. 2. Supplies (pumps, dispensers, leak detection equipment) IRAINING DIVISION may be scarce. 5642 Victor Street Bakersfield, CA93308 3. . The cost for upgrading or removing could go up as demand (805) 399-4697 increases. FAX (805) 399-5763 4. Assembly Bill 1491 will ban fuel deliveries after January 1999 to non-upgraded owners. The good news, is there is still time!!! If there is anything this office can do to assist you in your planning, do not hesitate to call. Sincerely, Ralph E. Huey Hazardous Materials Coordinator Office of Environmental Services cc: Kirk Blair, Assistant Chief BAKERSFIELD FIRE DEPARTMENT December 22, 1997 Union Mini Market 631 Baker St FIRE CHIEF MICHAEL R. KELLY Bakersfield, CA 93305 ,~M~nlS~nVE SE;V~C;S Dear: Talhun Aleme 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805)39~1349 Last summer, you answered a survey, concerning your underground storage tank(s) stating that you would be (reinoving,yeplacing; U. gp. gr. adi~) your tank(s). sumvas,o, SE~CeS However, you did not give us a target date! In November, we invited you to a free 2101 'H" Street Bakorsfloldo ca 93,301 underground storage tank workshop, where State representatives discussed both the (805) 326-3941 FAX cs)sgS-laa9 'regulations and alternatives that you as a tank owner will have. - ..... You did not attend! ...... We are concerned! PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 YOU will be receiving this letter on our about December 22, 1997. One year (805) 326-3951 from today, December 22, 1998, your current underground storage tank(s) will FAX (805) 326-0576 become illegal to operate. Current laws and code requirements would require that ENVIRONMENTALSERVlC~ if your tanks are not (i~e~9,ged;!~l,aCled;~) by that date, your permit to 1715 Chester Ave. Bakersfield, CA 93301 operate would be revoked, - - it will be illegal for anY fuel distributer to deliver (805) 326-3979 fuel to your tank(s)¥ - - and your tank(s) would then be considered illegally FAX (805) 3264]576 abandoned and require that action be taken within ninety (90) days to remove the TRAINING DIVISION tank(s), 5642 Victor Street Bakersf~e~, CA 9,3308 (~) 399-,~97 Of course, we have no interest in pursuing this route. We would like to FAX (805) 399-5763 have your tanks properly handled prior to this December 22,1998 deadline. Please review your situation and reply within two weeks as to the current (realistic) plans for your existing tank(~)'! As we get closer to the December 22, 1998 deadline, I would expect construction costs, as well as lead times to increase considerably. If there is anything this office can do to assist you in your planning, do not hesitate to call. Sincerely, Ralph E. Huey Hazardous Materials Coordinator REH/dm INVOICE #YE000005 TEST DATE: 04/03/97 YARBROUGH ENYERPRISES. 1840 E. OLIVE ST. PORTERVILLE,CA.93257 (209)778-0581 TANK STATUS EVALUATION REPORT ***** CUSTOMER DATA ***** ***** SITE DATA ***** UNION MARKET UNION MARKET 631 BAKER STREET 631 BAKER STREET BAKERSFIELD, CA. BAKERSFIELD, CA. 93305 93305 CONTACT: GIRMACHEW CONTACT: GIRMACHEW PHONE #: 805-631-1775 PHONE #: 805-631-1775 ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK #1: REG UNLEADED TYPE: STEEL RATE: .021372 G.P.H. GAIN TD/XTK IS TIGHT. TA/qK #2: PLUS UNLEADED TYPE: STEEL RATE: .045603 G.P.H. LOSS TANK IS TIGHT. TANK #3: SUPER UNLEADED TYPE: STEEL RATE: .039005 G.P.H. LOSS TANK IS TIGHT. OPERATOR: GEORGE YARE]ROUGH SIGNATURE: ,.2i~O~,A~~] DATE :mr ~3 "e 7 .... OTTL-~F 90:1-2-37 ....... ~'~' --" ' ......... ******* T A N K .D A T A ******** TANK NO. TANK NO. TANK NO. TANK NO. I 2 3 4 .TANK DIAMETER (IN) 96 96 96 LENGTH (FT) 26.59 26.59 26.59 VOLUME (GAL) 10000 10000 10000 TYPE ST ST ST FUEL LEVEL (IN) 80 79 78 FUEL TYPE REG UNLD PLS UNLD SUP UNLD dVOL/dy (GAL/IN) 98.85 101.25 103.53 CALIBRATION ROD DISTANCE 1 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 ******* C U S T 0 M E R D A T A ******** JOB NUMBER : 000005 CUSTOMER'(COMPANY NAME) : UNION MARKET CUSTOMER CONTACT(LAST, FIRST): GIRMACHEW ADDRESS - LINE 1 : 631 BAKER STREET ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93305 PHONE NI~ER (XXX)XXX-XXXX : 805-631-1775 ******* C 0 M M E N T L I N E S ******* ******* S I T E D A T A ******** SITE NAME (COMPANY NAME) : UNION MARKET SITE CONTACT(LAST, FIRST) : GIRMACHEW ADDRESS - LINE 1 : 631 BAKER STREET ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93305 PHONE NUMBER (XXX)XXX'XXXX :~805-631-1775 GROUND WATER LEVEL (FT) :' 0 NUMBER OF TANKS : 3 LENGTH OF PRE-TEST (MIN) : 30 LENGTH OF TEST (MIN) : 240 -TAM]( I ST;iRT TINE:ZB:Bg:EIB:SB CURRENT TII'IE:21:Og:BO:SB- 10 ~ _ -- ~ 0 ~ - C1: .BOZl~ - ~ -10 T.E~ R~TE: .02137 GPH 0 15 5d &5 60 YEBflEflBS. Tgl ,2 TIME (MINUTES~ -~eH~ 2 STARY TmE:ee:36:oB:ee CURREH! TmE:e~:3G:Be:eB - m -5 ~9:' ,99964 ~ - C$: -. 98459 - ~ -10 - T,EAX RATE: .94559 GPH LOSS - : PT~, UERSIOH 1.29 0 15 30 ~5 YE989995. TS ~, 4 T I~ E ( ~ IN UTES~ B4/9~/97 -~AX]( 3 STtIR! Tltii;:O~:36:~B:itlt CUBRI;XT ~1111~:~1:9G:118:8~ - ~ - ~ - ~ o ~1 z - 61: -.88377 - - ,- I.~R R~f~:.03981 GPH LOSS ~-10 ~ _ -~5 ' ' { ' ' { ' ' { ' ' - 0 15 50 ~5 60 VB986695. f~f,4 TIME (MINUTES~ 94/63/97 INVOICE #YE000005 TEST DATE: 04/03/97 YARBROUGH ENYERPRISES. 1840 E. OLIVE ST. PORTERVILLE,CA.93257 (209)778-0581 TANK STATUS REPORT -- ULLAGE TEST ***** CUSTOMER DATA ***** ***** SITE DATA ***** UNION MARKET UNION MARKET 631 BAKER STREET 631 BAKER STREET BAKERSFIELD, CA. BAKERSFIELD, CA. 93305 93305 CONTACT: GIRMACHEW CONTACT: GIRMACHEW PHONE #: 805-631-1775 PHONE #: 805-631-1775 ***** COMMENT LINES ***** CURRENT EPA ST~/qDARDS DICTATE' THAT FOR UNDERGROUND FUEL TANKS, THE MAXIM UMALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK #1: REG UNLEADED TYPE: STEEL SN: .08 TANK IS TIGHT. TANK #2: PLUS UNLEADED TYPE: STEEL SN: .01 TANK IS TIGHT. TANK #3: SUPER UNLEADED TYPE: STEEL SN: 04 TANK IS TIGHT. OPERATOR: GEORGE YARBROUGH SIGNATURE: ~_~_ DATE: UT'fL# §~£~1 ........... --- ~------~ ******* T A N K D A T A ******** TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (IN) 96 96 96 LENGTH (FT) 26.59 26.59 26.59 VOLUME (GAL) 10000 10000 10000 TYPE ST ST ST FUEL LEVEL (IN) 80 79 78 FUEL TYPE REGUNLD PLS UNLD SUP UNLD dv0L/dy (GAL/IN) 98.85 101.25 103.53 CALIBRATION ROD DISTANCE 1 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 ******* C U S T 0 M E R D A T A ******** JOB NUMBER : 000005 CUSTOMER (COMPANY NAME) : UNION MARKET CUSTOMER CONTACT (LAST, FIRST): GIRMACHEW ADDRESS - LINE 1 : 631 BAKER STREET ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93305 PHONE NUMBER (XXX)XXX-XXXX : ~805-631-1775 ******* C 0 M M E N T L I N E S ******* ******* S I T E D A T A ******** SITE NAME (COMPANY NAME) : UNION MARKET SITE CONTACT(LAST, FIRST) : GIRMACHEW ADDRESS - LINE 1 : 631 BAKER STREET ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93305 PHONE ~ER (XXX)XXX-XXXX : 805-631-1775 GROUND WATER LEVEL (FT) : 0 NUMBER OF TANKS : 3 LENGTH OF PRE-TEST (MIN) : 30 LENGTH OF TEST (MIN) : 240 ~ _ - ~ 2,0 -J ~ .?' ~ Pgaff S~: 7,26 50 500 5000 50~C VE888885 .SON ~E~UENOY (HZ5 84/89/97 3.0 - TAMI( 3 TIME -- 82:39:55 - 2,0 -- - -- -- 50 500 5000 50~C V~8~5.~ ~EQUENCY ~HZ~ 84/83197 YARBROUGH ENTERPRISES 1840 E. OLIVE PORTERVILLE, CA, 93257 , (209)788-0581 PIPING TIGHTNESS DETERMINATION; PL400 FORMAT TEST LOCATION: UNION MARKET 631 BAKER STREET BAKERSFIELD, CA. 93305 TEST OPERATOR: ,,~.~£ ~ GEORGE YA'~'-RO~GH O'I-I'L LIC: 90-1237 DATE: 04-02-1997 TEST INITIAL FINAL VOLUME LEAK RATE LEAK RATE PASS FAIL DURATION PRESSURE PRESSURE DISPLACED SUP UNLD 30 MINS. 50 P.S.I. 38 P.S.I. 07 .0118 -.0118 YES PLS UNLD 30 MINS. 50 P.S.I. 40 P.S.I. 06 .0143 -.0143 YES REG UNLD 30 MINS. 50 15.S.I. 42 P.S.I. 05 .0167 -.0167 YES DIESEL 2 30 MINS. COMMENTS: LEAK DETECTOR/S FUNCTIONING PROPERLY ,/,, 'T' (" j q ~ .'< i i I ' I · . t I --~ o-~ ~-~,, ' -o -~ .__~ P,L ~ _ __k TAN K SIZE PRODUCT LEGEND l<~.e~. LJ/WLg/), ~F .FILL.-~ REMOTE. . FILL :." 1 '/_--r'J- ,~/" OVERSPILL CONTAINER ON FILL ~vw~,s.r-- /O;ooc.~ .5'up,..'~' oa//.ff7 ~ mX.T~ACTO~ VAt. YE.'_ ".i~. .MO,~TOR. I '~.. .T:~RBI~E'...WI. TH LEA[ DETECTOR ~4 ,,, g5 - ' MANIFOLD' SYSTEM PERMIT STATEMENT Bakersfiel~lire Dept. I 715 Cheer Ave. · - ~~ Bakersfield, CA 93301 AMOUNT AMOUNT UST/AST PERMIT 82 TENTS, LPG 84 STATE SURCHARGE 86 FIREWORKS, POWDER, 84 OTHER PERMITS COPIES/REPORTS 89 FD1595 TOTAL CilECI( $1G5,~ .-.. DATE :~..~;~AT~JR/: OF APPLIC~I' TOTAL P.01 EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this momtoring program are conditions of the operating permit. The permit holder must notify the Office of Environmen~ll Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by. Sect/OhS 2632(d) and 2641(h) CCR. Facility Name (}/ntv~ {h{~; I%tr~' Facility Address t~3 1 P~t{Cec' -~T 1. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up fi-om the secondary, comment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. Acc~rc[td~ ~ -t6e ~t~o~c ~- tt~_~ ~-t- ~_ ; ~?,l/ teal 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. ~ t~ /,,~i- ts ta~dttt;t, ?o loc_ t~a,,/' 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: ! 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: d~c~ttc/t~o ahtcot~/ ~,~,~r WRITTEN MONITORING PROCEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM This momtoring program must bc kept at thc UST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify the Office of EnvimmneaRai Services within 30 days of any changes to the monitoring procedures, unless required to o~nin approval befor~ making the change. Required by Sections 2632(d) and 264101) CC1L Facility Name t]~to'~ I/t,t,'al ti/tar{ Facility Address ~3! A. Describe the frequency of performing the monitoring: ! I B. What methods and equipmem, idemified by name and model, will be used for perfoming the monitoring: Tank tt[~4 Piping C. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment: E. Reporting Format for monitoring: Tank Piping F. Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenance schedule but not less than every 12 months. G. Describe the training necessary for the operation of UST system, including piping and the monitoring equipment: rt[dl C~RRECTION NOT~J[, E BAKERSFIELD FIRE DEPARTMENT N° 5 7 9 Location ~]~l~Ok itli~i Sub giv, ~3 J t~c 5T , Blk. . Lot. You are hereby required to make the following corrections at the above l~ation: Completion Date for Inspector HAZARDOUS MATERIALS INsPE ~(~N ~][e,st~eld l~e Dept. OFFIC-'~~ OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed Business Namei. da~o',~ Ilu~; Business Identification No. 215-000 ? 1'7 (Top of Business Plan) Station No. Shift Inspector Arrival Time: Departure Time: Inspection Time: Adel~. e Inadequate Adequate Inad~,~ate Address Visable I'1 Emergency Procedures Posted r"l Correct Occupancy , ~ D Containers Propedy Labled I~/ [] Verification of Inventory Materials I:~1'. I"1 Comments: Verification of Quantities l:~ El Verification of Location El Verification of Facility Diagram r'l Proper Segregation of Matedal ¢ El Housekeeping Fire Protection Comments: Electrical Comments: Verification of MSDS Availablity G~' El Number of Employees: UST Monitoring Program ~ [] Comments: Verification of Haz Mat Training IZ]'/ Permits Comments: Spill Control El Hold Open Device Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures I-I Proper Waste Disposal I~ r"l Comments: Secondary Containment [:~ [] Security Special Hazards Associated with this Facility: Violations: No uJr, l~. Q~,~k~L ~.,l~r,.'~ 10r~,.../u.~_ ~d'~u~f-L~u~,~r ~(~c ~.~c ¢~, ~, Y~ ~ C [ o~ C~ ~/o / ~~/~ All Items O.K B~si~e~s'O~er/Ma~ager PRINT NAME -- sIGNATURE Correction Needed ~I~-H~ ~t ~i~. Y~llo~O~on Cop~ ~ink-Bu,ino,~ Copy UNDERGROUND STORAGE TANK PECTION Bakersfield Fire Dept. Bakersfield, CA 9BB01 FACILITY NAME {,/~,~o~ i~l~; ~b~,~' BUSINESS I.D. No. 21S-000 cfr7 FACILITY ADDRESS · ~$ I ~c 5~ Cl~ ~, ZIP CODE FACILIW PHONE No. ~ I - WO ~ ~ ~ I 3 INSPECTION DATE 3 / 2/~'7 ~ p~ TIME IN, TIME OUT dN c~ INSPECTION ~PE: ~ ~ ~ /~1~ S~e S~e ROUTINE ~ FOLLOW-UP /~e I~l~oo REQUIREMENTS ~ no Wa y~ ~ ~a yes no wa ta. F~s A & B Su~ lb. F~ C Su~ lc. O~mting F~ Pa~ Id. S~te Surcharge Pa~ le. Statement of Fi~l R~si~l~ Su~ lf. Wr~en Contm~ E~sts ~n ~r & O~ to O~mte UST ~. ~lid O~mting Pe~E 2b. Ap~ov~ Wr~en Ro~ine Monitoring Pr~ure 2c. Una~ho~ Relea~ Res~n~ Plan ~. Tank lnt~r~ Test in Last12 Months ~ ?] 3b. Pre~ur~ Piping Int~riW Test in Last 12 M~ths ~ ~. Suction Piping ~ghtn~s T~t in Last 3 Yearn ~ ~. Gmv~ FI~ Piping ~ghtne~ T~t in La~ 2 Y~m ~. T~t R~uRs Subm~ Within ~ Da~ ~ 3f. Dai~ ~sual MonRoring of Su~i~ Pr~ Pl~ ~ ~ ~. Manual Invento~ R~ncil~ti~ Each Month ~ ~. Annual Invento~ R~nciliati~ Statement Su~ ~ ~1 ~. Metem Calibmt~ Annually 5. W~kly Manual Tank Gauging R~rds for Small Tan~ 6. ~nth~ Statist~l Invent~ R~iliati~ R~u~s 7. Mo~h~ A~atic Tank Gauging R~uRs 8. Ground Water ~nitodng 9. ~ Mon~oring 10. Continuous IntemtRial Mon~oring f~ Doubl~Wal~ Tan~ 11. M~hani~l Line Leak Det~t~ 12. El~ronic Line Leak Det~tom 13. Continuous Piping MonRodng in Sum~ 14. A~omatic Pump Shrift Ca~bil~ 15. Annual Maintenan~Calibmtion of Leak Det~t~ Equi~ 16. Leak Det~tion Equipment and T~t Metes L~t~ in L~113 ~ ~ 17. Wr~en R~rds Maintain~ on SEe 18. Re~ Chang~ in U~g~Cond~ions to O~mti~R~ Pr~ur~ o~ UST S~tem Within ~ Da~ 19. Re~ Una~ho~ Relea~ W~hin 24 Houm ~. Approv~ UST S~tem Re,irs and U~md~ 21. R~ds Sh~ng Cath~ Pr~t~ Ins~ ~. S~ur~ Mon~ng Wells ~. Dr~ Tu~ RE-INSPECTION DATE RECEIVED BY: INSPECTOR: .5~b~ ~P~c( OFFICE TELEPHONE No. ~C* ~? ?i FD 1~9 BAKERSFIELD FIRE DEPARTMENT December 4, 1996 F~E c.~E~ Telahun Aleme MICHAEL R. KELLY Union Mini Mart 631 Baker Street ADMINISTRATIVE SERVICES 210] 'H' Street Bakersfield, CA 93305 Bakersfield, CA 93301 [805) 326-3941 FAX (805)395-]3~9 RE: Undcr~'ound Storage Tanks located at.63 ] Baker Street. SUPPRESSION SERVICES 2101 'H' Street Deal' ~tr. AJeme~ Bakersfield, CA 93301 (805) 326-3941 ~' FAX (~) 39~-]~9 As ! am sure you are aware, ~ existing sin~e we. lied steel t~ks that do not meet the current code requirements must be removed, replaced or up~'aded to PREVENTION SERVICES ~7~5 Chester Ave. meet the code by December 22, ! 998. Your tanks do not currently meet the new ~kers,e~, CA 9330~ code requirements and therct'ore t'aJJ into the remove, replace or upffi'ade category. (805) 326-3951 FAX (805~ ~26~76 Your current operating permit expires on or before that date and or' course will not be renewed until appropriate upgrade of'your tank system is accomplished. ENVIRONMENTAL $1~RVICES t 715 Chester Ave. Bakers,e~d, C^ 9330~ [n order to assist you and this o~ce in meeting this t'ast approaching (805] 326-3979 ~AX ~ ~26-0~ deadline, ! have attached a brief questionnaire addressing your plans to up~'ade these ta~(s. Please complete this questionnaire and return it to this o~ce by TRAINING DIVISION Thursday, December ! 9, ] 996. 5642 Victor Street Bakersfield, CA 93308 ~805~ ~9-~9; Ir'you have an), questions concerning your tanks or it'we can be ot' any · FAX (805) 399-5763 assistance, please do not hesitate to contact this of Sce. Sincerely, Ralph E. Huey Hazardous Materials Coordinator Office of Environmental Services REH/dlm attachment ~ORRECTION NC~! C E BAKERSFIELD FIRE DEPARTMENT ,",]~ 0229 Location [.,.)~.1,'~1 f/~)~-/- Sub ~iv. ~/ ,~'q,~,~ ,.S/- . Blk. Lot. You are hereby required to make the following corrections '~ at the above location: Cor. No ,. Completion Date fro' Corrections ~ //¢/~ Date /~7./~ --7~~~~2~~~ ,; . Inspector UNDERGROUND STORAG, .... JNS~PECTION. ~ ~ ~ ~ Bakersfield Fire Dept. ii . Bakersfield, CA 93301 INSPECTION DATE i "~,//"fi' Product Product x . .;' ' "~ Product I~st Dare~ ' Inst Date~ Insl I~ate ROUTINE ~ FOLLOW-UP ~ize ~ize 'Size REQUIREMENTS yes no n/a yes no n/a yes no rVa J la. Forms A & B Submitted lb. Form C Submitted , 1 c. Operating Fees Paid ~, ld. State Surcharge Paid. 1 e. Statement of Financial Responsibility Submitted lf. Written Contract Exists between Owner & Operator to Operate UST 2a. Valid Operating Permit 2b. Approved Written Routine Mor~itoring Procedure 2c. Unauthorized Release Response Plan : ' :i~~' ' ' 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 3e. Test Results Submitted Within 30 Days 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 5. Weekly Manual Tank Gauging Records for Small Tanks ~,~ 6. Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring 9. Vapor Monitoring ~'~ 1 o. Continuous Interstitial Monitoring for Double-Walled Tanks o~ t,/ ~,~ 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors 13. Continuous Piping Monitoring in Sumps 14. Automatic Pump Shut-off Capability 15. Annual Maintenance/Calibration of Leak Detection Equipment 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 1/"' 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 I 20. Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection Inspection ,2,2. Secured Monitoring Wells 23. Drop Tube ~,' , FD 1669 (rev. 9/95) CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERi3ROUND STORAGE TANKS CONTAINING PETROLEUM or AND or [~! minion dollars per occwTence ~ 2 miffion doflars annual a~r~pte . , E~. '~ E ~ H ~J tV ~ L, ~ ~ here~y cerises ~h;~ ~ ~ in corr, p#ance w~/~ the requ;~err~er= o~ Section 2~0~, Article 3, Chapter 18, Division 3, 7-[tle 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: _._Note: If.vou are using the State Fund as anll _l~3rt qf ypur demonstration of ~financ_ial re~sponsibility, ~_ ur execution and submission of this cerSfication als~-certifles that you are in compliance with all conditions for participation 'in ,the FUnel; ..... TNSTRUCTTONS .: ' -.. ' ·C~I~'ZFZC]LTION OF FIN~/CL]I~ RESPONSZBZLZ2'2' FOI~I4 PLease type or prtnt cLeeriy eli ~f°raation on Certification of FtnanctaL.RM~xi~libiLitY for~..: ALI UST fsciLitle~ end/or site.-mined or operated my be Listed on one fora; therefore · separate certificate is not required for each site. DOCtJXENT INF(3~IMTZO. A. ~ ~'equired - Check the appropriate boxes.- B. Il---- of Tan~ O,ner - FuLL name of either the tank o~ner or the operator. or Operator C. Wis. Type - Indicate ~hich State approved mechanism(s) are being used to show financial responsibility either as contained in the federal regulations, 40 CFR, Pert 280, Subpart H, Sections 280.90 through 280.103 (See Financial Rponsibittty Guide, for Inore inforaation), or Section 2802.1, Chapter 18, Division 3, TitLe Z3, Cell. llechaniem liumbec--. List identi~nb nLm.bar for each mechanism used. ExampLe: insurance poLicy -- - or fiLe number as indicated on bond or document. (if using State CLeanup (State F~nd) Leave blank.) Coverage ~lmmt - Indicate amount of coverage for each type of mechanism(s). If more than one mechanism is indicated, total must equal 100~ of financial responsibility for each f ace L i ry. Coverage Period - indicate the effective date(s) of aLL financiaL mechanism(s). (State F~YI coverage would be continuous as Long as you maintain compliance and remain eLigibLe to continue participation in the Fund.) Corrective Action - Indicate yes or no. Does the specified financial mechanism provide coverage for corrective action/ (If using State Fund, indicate "yes".) Third Party - Indicate yes or no. Does the specified financial mechanism provide coverage for Cempenlation third party compensation? (If using State Fund, indicate "yes".) O. FaciLity - Provide aLL facility and/or site names and addresses. Infermatim E. Signature BLed: - Provide signature and date signed by tank owner or operator; printed or typed name and title of tank o~r~r or operator; signature of witness or notary-and date signed; and printed or typed name of witness or notary (if notary signs as witness, please place notary sea[ next to notary~s signature). I~ere to Iisi[ I'~.-rtification.' please Send orfginaL-'tO yoiJr'-~[~L-~-~ehc-~-'(~[~c~-kh~-~'s~'~'Your' dST'l~'~ifTi)~£~--eP a' copy ~f-th-~ .certification at each facility or site Listed on the form. lauestione: If you have questions on financial responsibility requirements or on the Certification of Financial Eespor~ibi.[ity Form, please contact the State UST CLeanup Fu~d at (~15) Note: Permitiee for Failure to ~_-m~,.i¥ with Financial Resp.-~ibiLityRequirements: FaiLure to c~piy may result in: (1) jeopardizing claimant eligibility for the State UST CLeanup Fund, and (2) LiabiLity for civil penalties of up to $10,000 doLLars par day, per underground storage tank, for each day of violation as stated in ArticLe 7, Section 25299.76(a) of the CaLifornia HeaLth and Safety Code. UNION MARKET BALANCE SHEET 9/30/95 ASSETS CASH ON HAND $6,000.00 CASH IN BAlqK 17,278.48 TOTAL CURRENT ASSETS $23,278.48 INVENTORY 65,000.00 FIXTURES & EQUIPMENT 72,000.00 VEHICLES 26,000.00 TOTAL FIXED ASSETS $163,000.00 ACCUM.DEPR.-OTHER PROP. (3,916.00) NET FIXED ASSETS $159,084.00 TOTAL ASSETS $182,362.48 LIAB.& CAPITAL TOTAL CURRENT LIAB. $0.00 TOTAL LIABILITIES $0.00 RETAINED EARNINGS 167,084.00 CURRENT EARNINGS 15,278.48 TOTAL CAPITAL $182,362.48 TOTAL LIAB.& CAPITAL $182,362.48 COMPILATION REPORT A Compilation Report is Financial Statement made in Accordance with the accepted standards of Accounting,on Information Furnished by Management of UNINON MARKET,631 BAKER ST.,BAKERSFIELD,Ca. Without an Audit,By: JEAN'S ACCOUNTING SERVICE, 2306 South'-Chester Avenue, Bakersfield,Ca 93304 805 831-7897 ACCOUNTANT Page 1 (End of Report)  FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA · 93301 SEP 2 8 R,E. HUEY R.B. TOBIAS, HAZ-MAT COORDINATOR FINAL NOTICE!!! (805) 326-3C~51 REVOCATION OF UNDERGROUND STORAGE TANK PERMIT WILL FOLLOW IN 30-DAYS IF VIOLATION PERSISTS Please be aware that failure to provide the financial responsibility document to thia office within 30 days, will result in your Pem~it to Operate being revoked (25285.1(b) Califemia Health & Safety Code). Dear LJncterground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Our records also indicate that you have been issued at least one warning letter prior to this notice. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification for Financial Responsibility form and return it to this office within 30 days. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility recluired (check boxes from section A of form) are as follows: If you don't sell product from your tanks, and you pump !ess than 10,000 gallons per month, check "$500,000 per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All other need only check the "1 million dollars annual aggregate'. If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 320-3979. Sincerely, ~ue~ Hazardous Materials Coordinator REH/dlm attachments Irrofa lCe sriez "WE CARE" January 30, 1995 FIRE OEm~E~ 1715 CHEER AVENUE M. R. KE~Y BAKERSFIE~, 9~1 FIRE CHIEF WARNING! CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED 215-000-000917 UNION MINI MART 631 BAKER SI' BAKERSFIELD, CA 93305 GIRMACHEW CHEKOLE Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification of Financial Responsibility form. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from you tanks, and you pump less than 10,000 gallons per month, check "$500,000 per occurrence". Else, or if you are in the business of selling from your tanks, check "1 million dollars per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All others need only check the "1 million dollars annual aggregate' box. Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in · your Permit to Operate being revoked. (25285.1 (b) California Health & Safety Code). ' If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-3979. Sincerely, Hazardous Materials Coordinator REH/dlm rmit Underground Hazardous Materials Storage Facility State I.D. No. 038864 ...... ,,:::::??,?,?;~; i :~?~!?,.?.,,%Permit No. 917 ..::i::'::': : i' :'.-i::.'::':'"' '"i:i:i'""i:i:i: ::i::'~:i:i. :i:i:i..-::i:?"" ::::.:.i.i'i':'-:i:k.:-"'...-""'.,.::::-::.... CONDITIONS ~ P~!~i~ ~ aEVERSE SIDE Tank Hazardous G~i~i~:i:?:?~:%:::::? ..... Ye:.~i~iiiiiii::i.::::.. :~:: :~'.:~ank ':::~::;::.;i~:ii~i~ :~.ii:~ili'::i:.i::!i!~:~i::~: Piping Piping Piping N u m b e r S u b s t a n c e C ~:p'a~6it:~:~::~::::.:::-;::::: In's t ~ll¢;a:~:.':~....7.. ~ :~.?T y p e M o 'hi f~::?i~:::~?~:':~]:.~?:: T y p e M e t h o d M o nit o ri n g ?.;'.~??~::?~:.::~:.~::::;:' . .~. :......::~::~:: -.:~::~.-..:.:.:.::::~:~:.:.:, .~.........::~: 01 PREMIUM .~:~D~::~:~?::'?' :::::.:;:;~: :~:~' .~?]~;~?: S~ :~':::::??:~.~:.:: M I R/~::~? '~: ?~ SWS SUCTION LTT 02 UNLEADED ::~:;i'~ 00'0 ~::? 03 UNLEADED ~:~:::l~'O~O.O.0 ~::~; ~:~::.:PR~;~].~.~.~?~:;~?:~]~:s~$~:?.~:~:.~:.~:~;::.~.~?~M~R~T .~.':~::::;~SWS SUCTION LTT '~::;;:~::;:::::: ~.;:~:~:~:. ::~'?:;;:;:::::: ..... Issued By: ....... ~;;;;~ :.5:-: 7::.~:';; :.;:.; ;~::~:' ?~:::' "; ....... :~: ~; ~:~::~ ':::~(~:.%..]~.?:7:::?'"~ ?%sued To: Bakersfield Fire Dept.  HAZARDOUS MATERIALS DIVISION TE~HUN ALEME 1715 Chester Ave., 3rd Floor UNION MINI MART Bakersfield, CA 93301 631 BAKER STREET (805) 326-3979 BAKERSFIELD, CA 93305 ~ ,~/// Approved by: ~~oordinator Valid from: 07-01-94 to: 07-01-99 FIRE SAFETY CONTROL & HAZARDOUS MATERIALS DIVISIONS 1715 CHESTER AVE. · 'BAKERSFIELD, CA ° 99301 I~.E. HUEY I~,B. TOBIAS, HAZ-MAT COORDINATOR FIRE MARSHAL (805) 326-3979 March 22, 1995 (805)326-3951 Talhun Aleme Union Mini Mart 631 Baker Street Bakersfield, CA 93305 RE: Monitoring requirements for underground storage tanks. Dear Mr. Aleme: Our records reveal that no precision tank testing has been performed on 3 underground storage tanks located at 631 Baker Street. Section 2643 2(A) of.Article 4; Title 23, Div. 3, Chapter 16, CCR., requires that all underground tanks that do not utilize automated leak detection shall have a precision tank test annually. Additionally, pressurized piping shall be tested annually and non- pressurized piping shall be tested every three years. Pipeline leak detectors and automated leak detection systems also have to be certified to be in working order on an annual basis. Please make arrangements to bring the tanks into compliance with state law. If you have any questions, please call me at (805) 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician HHW/dlm ?RO~ ?. 002 1Z/iO/e~' 09:55 "g~o~ 3~ o~?0 D~ BAZ ~L~T DIV ~0o2 ~ ~Z~0US ~T~I~ D~ISION '~-~ ' ' 2130 G Street, BakerSfield, ~ 93301 (805) 32~-3979 A~PLICATION TO PERFOPAH A TIGHTNESS TE~T PERMIT TO OPERAT~ % . . NU~ER OF TANF~ TO $~ .TE~TED_~_ 12 PI~I~G GOING TO'BE T-E~TgD /' T~S VOL~ CGN~E~5 -- y ~PR~D BY~~ DATE CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. O. JOHNSON December 21, 1993 . BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Talhun Aleme 631 Baker Street Bakersfield, CA 93305 RE: MonitOring requirements for underground storage tanks. Dear Mr. Aleme: Our records reveal that no precision tank testing has been performed on the underground storage tanks located at 631 Baker .Street. Section 2643 2(A) of Article 4; Title 23, Div. 3, Chapter 16, CCR., requires that all underground 'tanks that do not utilize automated leak detection shall have a precisiOn tank.test annually. Additionally,, pressurized piping shall be tested .annually and non- pressurized piping shall be te~ted every three years. Pipeline leak detectors and automated leak detection systems also have to be certified to be in working order on an annual basis. Please make arrangements to bring the tanks into compliance with state law. If you have any questions, please call me at (805) 326-3979. Sincerely~, _~_ · Haz;~ M~~o'-rdinator ~h E. Huey ' Underground Tank Program" REH/ed C 0 C T I 0 0 BAKERSFIELD FIRE DEPARTMENT N°. ' ' 1949 t'~::,,..':':' Location ~.~',~:~. ~tS',,^, l"'O.e-.q' ~'~.1 t'~k~. SA, '~-."~'" Sub Dry.. Blk. Lot ~i';- You are hereby required to make the following corrections ~.:r at the above location: ,~!;:: Cot. No .,.:! '~:: .' '~ o g~::~ Completion Date fro' Corrections / ~ ,¢c:'. ' ' }?'~' 326-3051 ' ,.;e;. - ':. ~' '. .', ~ r~ ~CORR~ECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N.~ ~ 949 :' Sub Div. Blk. . ~t '~'.~ ~): You are hereby required to make the following cor~ctions ' :~ ;.~.. at the above location: ( '~,~ I ? :'. ,. 3{' : ~.,,. ~ ~ ' .[.~ 6~'-' Completion Dale for Corre~tions I%/~/ ~ .~ ,326-3951 .. ~ .... ~ ' ... '. I:::~' ?, ,: BAKERSFIELD FIRE DEPT HAZARDOUS MATERIALS DIVISION Operating Permit: I ~ ,H~'" 77c10~! Date Completed /\.~ Business Name: /..)~,'~ /]4:~? '~~~ (~.~ ~ Location: ~ t ~~ Business Identification No, 215-000 ~? ~op of Business Plan) Number of Tanks: ~ Type: ~/ (~// ~. Containment: Unes: Contact Information' Owner: ~/~.~ ~/~. ', ~ ~ ~ Emergency Contacts: Adequate Inadequate · Monitoring Program Records Maintenance .. Testing. Invento~ Reconciliation Response .Plan Emergency Plan ~ _ '" ~ ' ' ' ~J All Items OK Correction Needed Business Owner BAKER MINI MART ID Number: 215-000-000917 ESTER 03/01/93 Location:631 BAKER ST Map: 103 Hazard: Low ~ 0.0 Community: BAKERSFIELD STATION 02 Grid: 29C F/U: 1 AOV: Contact Name Title Business Phone 24-Hour Phone- TALHUN ALEME IOWNER 1(805) 831~7103 x I(805) 831-7103( ) - x ( ) Summary :~' I° <A> Hazmat <B> Area plan <C> Fac. Units <D> Notif/EVac <E> Mitigation <F> Site Facts <G> Training · <H> RMPP Data <I> Not Used <J> Not Used <K> Held Aside <L> Incidents <M> Inspection <N> Admn <P> Print <Esc> Exit + + RETURN PAYMENTS TO: PLEASE MAKE CHECKS PAYABLE TO: CITY OF BAKERSFIELD HAZARDOUS MATERIALS DIVISION P.O. BOX 2057 CITY OF BAKERSFIELD BAKERSFIELD, CA 93303~2057 ACCOUNT NO. UT 779801 UNDERGROUND STORAGE TANK PERMIT TO OPERATE SITE ADDRESS: 631 BAKER STREET SERVICE FOR Z/l/g2 THRU 6/30/93 PAYHENTS ~DE A~ER ~2/3J/92 ARE NOT40N;THZ~ B~LL' PE~IT TO OPE~TE FEE TOTAL CURRENT .00. CURRENT C~RGES JSOCO0 BXLLING DATE 1/1/93 "~':::~: ~(~'~::/ TOTAL BA~NCE DUE 150.00 ANNU~ PE~T TO OPE~TE THIS BILL IS UPON RECEIPT. 2 MONTHS FR~ THE BILLING DATE A 10% A~ INZST~TIVE SERVICE CHARGE AND FIANCE C~RGE OF 1% PER MONTH WILL BE ASSESSED. ~NOU~R~ES CONCERNiNg TH~S B~LL, PLEASE PHONE: (805) 326-3979 BAKER STATION MINI ~RT 631 BAKER STREET BAKERSFIELD, CA. 93305 Cl~ COPY + + STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. I MARK ONLY [~] I NEW PERM'T [~ 3 RENEWAL PERMIT ~ 5 CHANGE OF INFORMATION ~-~ 7 PERMANENTLY CLOSED ONSITE ONE ITEM ~ 2 INTERIM PERMIT ~ 4 AMENDED PERMIT 6 TEMPORARY TANK CLOSURE ~ 8 TANK REMOVED I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. ~ B. MANUFACTURED BY: II. TANK CONTE~S. ~FA-1 ISMARKED, COMPLETEITEM C. a. ~ 1 MOTOR VEHICLE FUEL ~ 4 OIL B. C. ~ la REGULAR ~ 3 DIESEL ~ 6 AV[ATION GAS UNLEADED ~ 4 GASAHOL ~ 7 METHANOL ~ 2 PETROLEUM ~ 80 EMPW ~ 1 PRODUCT ~ lb PREMIUM U~ .EADED ~ 5 JET FUEL D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. ~: II1. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXDANDE A. ~PEOF ~ 1 DOUBLE WALL ~ 3 SINGLE WALL WiTH EXTERIOR LINER ~ 95 UNKNOWN SYSTEM ~2 SINGLE WALL -- ~ 4 SECONDARY CONTAINMENT (VAULTED TANK) ~ 99 OTHER a. TANK ~ BARE STEEL ~ 2 STAINLESS STEEL ~ 3 FIBERGLASS ~ 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL ~ 5 CONCRETE ~ 6 POLYViNYL CHLORIDE ~ 7 ALUMINUM ~ 8 10~/~ METHANOL COMPATIBLEW/FRP (PrimaryTank) ~ 9 BRONZE ~ 10 GALVANIZED STEEL ~ 95 UNKNOWN ~ 99 OTHER C. INTERIOR ~ 5 GLASS LINING ~ 6 UNLINED ~ 95 UNKNOWN ~ 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES ~ NO~ D. CORROSION ~ 1 POLYETHYLENE WRAP ~OATING ~ 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION ~ 5 CATHODIC PROTECTION ~ 91 NONE ~ 95 UNKNOWN ~ 99 OTHER E, SPILL AND OVERFILL S~ILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) IV. PIPING INFORMATION` C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A~ 1 SUCTION A U 2 PRESSURE A U 3 GRAVI~ A U, 99 OTHER B. CONSTRUCTION ~1 ,SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A~U3~ BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHL~RIDE(PVC)A U 4 c. MATERI~L AND ~JBERGLASS PiPE CORROSION A~U 5 ALUMINUM A U 6 CONCRETE ~ STEEL W/ COATING A ~10~ METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION ~ 1 AUTOMATIC LINELEAK DETECTOR ~ 2 LINE TIGHTNESS TESTING ~ 3 INTERSTITIAL MON~OR~NG ~ 99 OTH~ V. TANK LEAK DETECTION ~ 1 VISUAL CHECK ~NVENTORY RECONCILIATION ~ 3 VADOZE MONITORING ~ 4 AUTOMATIC TANK GAUGING ~ 5 GROUND WATER MONITORING ~TANK T~ST~NG ~ 7 ~NTE.STmALMON~TOR~NG ~ ~ .ON~ ~ 9S UNKNOWN ~ 9~ OTHER VI. TANK CLOSURE INFORMATION I 1. ESTIMATED DATE LAST USED (MO/DAY. R) 2. ESTIMATED QUANT,~ OF 3. WAS TANK FILLED WITH YES ~ NO~ ~ ~ A ~ ~ ~ '~ SUBSTANCE REMAINING GALLONS INERT MATERIAL ? LOCAL AGENCY USE ONLY THE STATE I.~. NUMaER IS COMPOSED OFTHE FOUR NUMB{RS BELOW  COUNTY ~ JURISDICTION ~ FACILITY ~ TANK ~ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION BATE FORM B (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERM~ APPLICATION. FORM A, UNLESS A CURRENT FORM A HAS BEEN FILEB, FORO~8-R5 STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT [~,'~CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ON SITE ONE ITEM [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [] 8 TANK REMOVED -. DBAOR FAClLITY NAME WHERE TANK IS INSTALLED= "~ Lo..hu~/ ~ L~ e O~ -~/0~ I. TANK DESCRIPTION COMPLET~ ALL ITEMS -- SPECIFY IF UNKNO~ A. OWNER'S TANK I. D. ~ B. MANUFAC~RED BY: C. DATE INSTALLED(MOIDAYNEAR) ~--? -- /~ ~' D. TANK CAPAC,~ ,, GALLONS: iO~' II. TANKCONTE~S ~F~-~ IS MARKED, COMPLETE ITEM C. A. ~ 1 MOTOR VEHICLE FUEL ~ 4 OIL B. C. ~ la REGULAR ~ 3 DIESEL ~ 6 AVIATION GAS ~ 2 .PETROLEUM ~ 80 EMP~ ~ 1 PRODUCT ~ lb PREMIUMuNLEADED ~ 5 JET FUEL ~ 7 METH~OL ~ 3 CHEMICAL PRODUCT ~ 95 UNKNOWN ~ 2 WASTE ~ 2 LEADED ~ 99 O~ER (DESCRIBE IN I~M D. BELOW D. IF (A.1)IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. ~: II1. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF ~ 1 DOUBLE WALL ~ 3 SINGLE WALL WITH EXTERIOR LINER ~ 95 UNKNOWN SYSTEM ~GLE WALL ~ 4 SECONDARY CONTAINMENT (VAULTED TAN~ ~ 99 OTHER B, TANK ~BARE STEEL ~ 2 STAINLESS STEEL ~ 3 FIBERG~SS ~ 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL ~ 5 CONCRETE ~ 6 POLWINYL CHLORIDE ~ 7 ALUMINUM ~ 8 lOm/~ METHANOL COMPATIBLEW/FRP (PrimaryTank) ~ 9 BRONZE ~ 10 GALVANIZED STEEL ~ 95 UNKNOWN ~ 99 OTHER C. INTERIOR ~ 5 GLASS LINING ~ 6 UNLINED ~ 95 UNKNOWN ~ 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 10~= ME~ANOL ? YES__ D. CORROSION ~ ~ POLYETHYLENE WRAP ~2 COATING ~ 3 VINYL WR~ ~ 4 FIBERGLAS REINFORCED PLASTIC PROTECTION ~ 5 CATHODIC PROTECTION ~ 91 NONE ~ 95 UNKNOWN ~ 99 O~ER IV. PIPING INFORMATION C~.C~E A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEMTYPE A~ 1 SUCTION A U 2 PRESSURE A U 3 GRAVt~ A U 99 OTHER B. CONSTRUCTION A~ SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIALAND A~, BARESTEEL A U 2 STAINLESSSTEEL ~; POL~INYLCHLORIDE(PVC)A U 4 FIBERGLASSPiPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE STEEL W/ COATING A U 8 10¢/~ ME~ANOL.COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODtC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR ~ 2 LINE TIGHTNESS TESTING ~ 3 INTERSTITIALMoNffORiNG ~ 99 OTHER V, TANK LEAK BETECTION ~ 1 VISUAL CHECK ~2 INVENTORY RECONCILIATION ~ 3 VAPORMONITORtNG~ 4 AUTOMATIC TANK GAUGING ~ 5 GROUND WATER MONITORING ~ TANK TESTING ~ 7 INTE"STITIALYONITO"ING ~ 91 NONE ~ 95 UNKNOWN ~ gg OT'ER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY. R) 2. ESTIMATED QUANTI~ OF 3. WAS TANK FILLED WITH YES ~ q ~ ~ ~ SUBSTANCE REMAINING GALLONS INERT MATERIAL ? TH/S FORM HAS BEEN COMPLETED UNDER PENAL~ OF PER--ND TO THE BE~ OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME ' DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D, NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY ~ JURISDICTION ~ FACILITY ~ TANK ~ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE AO~MP~IED BY A PERM~ ~PLIOATION - FORM A, UNLES~ A OURRENT FORM A HA~ PEEN FILED. . . FORO~ STATE OF CALIFORNIA ~ STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. / MARKONLY [~ 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ONSITE ONEITEM [] 2 INTERIM PERMIT [~ 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [] 8 TANK REMOVED DBAOR FAClLITYNAMEWHERETANKISINSTALLED: "r~,L A i~ Lik,/ ALE,'/tfI:," DlZh i,/IV'iolv' /Ui~ I. TANK DESCRIPTION COMPLETE ALL ITEMS *- SPECIFY iF UNKNOWN C. DATE,NSTALLED(MO,DAY EAR D. TANK CAPAC,TY ,N GALLONS: I1. TANK~CONTENTS IF A-i IS MARKED. COMPLETE ~TEM C. ,.REGULAR [] , D,ESEL [] 6AV,AT,ONGAS A. 1 MOTOt:] VEHICLE FUEL [] 4 OIL a. C. . UNLEADED [] 4 GASAHOL [] 2 PETROLEUM [] 60 EMP~ [] ~ PRODUCTG~ 1. PREM,UM [] ~ METHANOL UNLEADED [] 5 JET FUEL [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW D. IF IA.l) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S. #: II1. TANK CONSTRUCTION MARKONEITEMONLYINBOXESA. B, ANDC, ANDALLTHATAPPLIESlNBOXD/ A. TYPEOF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER ~ 95 UNKNOWN SYSTEM [~ 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER a. TANK ~ 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVlNYL CHLORIDE [] 7 ALUMINUM [] 8 10(~/o METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER ~)'~,,~"j~'~/~) [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP ~2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [~] s CATHODIC PROTECTION [] 91 NONE [] ~S UNKNOWN [] 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A(.U-~ 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER m A. SYSTEM TYPE B. CONSTRUCTION AUdi SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND ~A1 BARE STEEL A U 2 STAINLESS STEEL A~.U..%U(~ 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE CORROSION ~ 5 ALUMINUM A U 6 CONCRETE A 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] 1 VISUAL CHECK ['~ 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING ~ 6 TANK TEST,NG [] 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/D.AY/yI~ 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH YES [] NO [~ C ~1 ~.\1.~.~ ~/~¢/ SUBSTANCE REMAINING GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY,~.N,B"~TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPL,CAN 'SNAME --. ' C · ////, DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK Ct PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED, ~ FORO~34B.R4 'l STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIs FORM FOR EACH FAClUTY/SrrE ONE ITEM [~ 2 INTERIM PERMIT [~ 4 AMENDED PERMIT [] ~ TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS- (MUST BE COMPLETED) DBA OR FACILITY NAME ¢ NAME OF OPERATOR j ADDRESS N~A~EST OflOSS ST~T PARCEL ~ (O~IONAL) Cl~ NA~E ~ ~ STATE ZiP CODE TO INDICATE ~ COR~RATION VlDUAL ~ PARTNERSHIP ~ L~AL.AGENCY ~ COU~Y.AGE~Y ~ STATE.AGENCY ~ FEDE~L.AGE~Y ~PE OF BUSINESS GAS STATION ~ 2 DISTRIBUTOR ~ ~ IF INDIAN ~ OF T S AT SITE E.P.A. I.D.~ (~ti~aO RESERVATION ~ 3 FARM ~ 4 PR~ESSOR ~ 5 OTHER OR TRUST L~DS EMERGENCY CONTA~ PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) - optional DAYS: NAME (LAST, FIRS~ PHONE ~ WiTH AREA CODE DAYS: NAME (LAST, FIRS~ PHONE e WiTH AREA CODE NIGHTS: '~AME (L~T, FIRS~ PHONE ~ WITH AREA CODE NIGHTS: NAME (L~T, FIRS~ PHONE ~ WITH AREA CODE II. PROPERTY OWNER INFORMATIOn. (MUST BE COMPLETED) I NAME ,~L ~// /.) j... t v/ j C^RE OF ADDRESS ,NFORMAT,ON MAI STREET ADDRE~S , ~ box t3Jr~dicate J--;~,rj'NDtViDUAL J~ LOCt~L-AGEflCY J~ STATE-AGENCY ~ 3 [' L ~ j'~(ff V-t ~j J~ ~ OORPORATION [~ PARTNERSHIP [~ OOUNTY-AGENCY [~ FEDERAL-AGENCY CITY NAME J STATE [ ZIP CODE f PHONE # WI~ AREA CODE Ill. TANK OWNER INFORMATION- (MUST BE COMPLETED} NAME OF OWNER r CARE OF ADDRESS INFORMATION /1~ ~ ~ gL ~"J'~ ~ k~,, V box ~ indicate [~ INDI¥1OU~,L I'--I LOCAL-AGENCY ~ STATE-AGENCY MA' ING 2RSTREET DRESS / COR RAT,O. TNE.S.,P EOERA -*GENCY CI~N Ea l ~ nDE gl e S ZIP~DE PHONE . WITH AREA CODE IV, BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER- Call (916) 739-2582 if questions arise. v, LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. JCHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNQWLEDGE, IS TRUE ANO CORRECT LOC,L USE COUN~ LOCATION CODE - OPTIONAL lCENSUS TRACT · - OPTIONAL SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR ~RE PERMIT APPLICATION - FORM B, UNLESS THIS IS A CHANGE OF SEE INFORMATION ONLY. FORM A (9-~) FORO~3A-R2 City of Bakersfield 'For Your:~ . ~n [] Signature [] Action formation~ ~ File Please:~ [] Return [] See Me · [] Follow Up [] PrePare Answer Copy to: ....... ' ............................................................ : ........................... .-. ....... Memo: ......................................................................................................... BULK'TRANSFER SITE LOCATION OLD O~ER N~E N~" O~ER N~E NEW O~ER ADD. ACCOST N~ERS ~,,~ox. ,~ 9~sr~R //-~ ~- ?z . THIS INFORMATION SS TAKEN FROM THE DAILY REPORT AND SHOULD BE VERIFIED PRIOR TO ANY CHANGES. !_,-, ~ 'TANK 'TE_GRfT? ~'ESTE~ TM HiEhD TEST OAYA AIN ~ v NAME AOO~E~ ' ~HONE IOENTIF1CATtON ~ ~APACITY~GALS. ~ M~NUFACTURER STEELIF!BRGLS. AGE~YP.%. WATER TABLE TANK WILL BE FiLLED~'tR~',' (TIM~ ON }% /~ ..... E:~RA 5 GALS PROOUCT AVAI~SLE FROM ~JLL-UP FiLL U~ TO SE ARRANGED BY MR. PHONE C~N t~l STORAG'E TERMINAL ~S MR. ' .... NAME AC, ORES,5 RHONE OUTSIDE NTRACTQ RS NAME AUTHORITY PHONE CONTACTED NOTES OR HA,c. MAT. ...... U t lON~ ALL TESTS WEFT :--_RFORM~.0 IN ~C~,J.--.O,~NCc WITH PROCEDURES 0ESCEISED IN SOILTE5 iNSTRUCTiON 3QQK. CRITERIA FOR .TIGHTNESS, iS ESTABLISHED BY NATIONAL FiFE PROTE'CT:C A~ .... ON gULL_--TiN. N.?.P.A. TANK IS TANK IS / LEAK RATE TEST OATS ....I "'b i TANK 10TNT TIGHT NOT TIGHT I G. .=. 'H. RESULTS I O~'~ '- '" [ iV,--? % 9 THIS CE.Z. TiFIES THAT THE TANKS OESCRiBED WERE TESTED SY THE UNDERSIGNED AND THAT THE STAT' I RESULTS RE~RESENT THE TRUE STATE OF THE TANKS ON THIS'DATE TO THE BEST OF MY ',-~NOWLED'G~ \ i CERT"FiCATI© N ,~.... ~)/~",.} '%_ .; 'c--%.,...-.~, ISSUE 0ATE SIGNED _ ~ N-~-p. 0 NI, ,rR. N T AL CO. '~1 ?ARMERSViLLE. CA 93223~9205 · 7. i STATE TiP SAN-WAN ENVIRONMENTAL CO. 886 N. FARMERSVILLE BLVD. P.O. BOX 205 FARMERSVILLE, CA 93223-0205 (209) 747-3210 .. TESTER LOG PPP[NG TIGHTNESS DETERMANATION PL400 FORMAT TEST LOCATION: -_ -- 'z - = = =__5 ~ - z -z .-.- ! Diesel ' ~ I User Instmc~ons 17A 1SD O~ON O~ON O~ON or 18B 18D 0R 17 18F 18F 18F (rev. D) Step ~ ~SA For tar ~[~lattcn: /' For L x ~ ( 18F 60 188 tSF 60 Test (~qde) Leak Detector ~nctioning properly~ AIN LAY,TANT, K TiGHTN ESS TESTT. No.t%/ TANK DIAMETER INS FiLL PIPE LENGTH '~(~ INS WATER IN (al STARTWATER IN TANK ~ INS (c) ENO WA~R IN TANK ~ INS TANK (b~ START WA~R IN TANK ~ GALS (d~ ENO WA~R IN TANK ~ GALS 12 (~) NOMINAL CAPAC~ [~'~ GALS .(~ OEOUCT WATER IN TANK ~ GALS' PROOUCT (bi ACTUAL CAPAC,I~ ~% .GALS (d) TOTAL PROOUOT VOL VOLUME' (F~O~ TANK CHA~ - ' ~ (e} PIPING. ,~ GALS 13 (a) HEIGHT OF WATER TABLE ABOVE TANK BO~OM = (h) INS ' (bl QENS[~ OF TANK PRODUCT = (w) LSICU. IN. (PROM TASLES~ FiLL 0E~S]~ OF ~ERNAL WATER = 0.035 LSICU. iN. -- P~PE (c) ADOITIONAL HEAD REQUIRED = fbi ~ 0.0~5 = ~ 0.035 = INS E~ENS1ON NOT~ TO AVO[O POSSIBLE TA~K DAMAGE THE ADDED PRESSURE FROM A F'L~ P~PE ~TENSION 'MUST NEVER ~CEE0 5 P.S.L PRELIM (b) A.P.t. GRAVI~ %~' ~ AT TEST 0ATA (c) COEFR OF EXPANSION. (a) STARTTESTO~ ,&M/PM: ENO TEST ~ AM/PM: TEST TIME ~ MINS: TEST (b) TEMPERATURE CHANGE DURING i c~ = (c) VOL. CHANGE 0UE 7Q 7EMP = PROOUC~ VOL, TEMP. CHANGE * COEFF. EXP. (d) TOTAL LIQUIO VOL AOOE~D/SUSTRACTEO AT E~lO OF TEST ................... = e / -~ ~ GALS. (el VOL. CHANGE NOTOUETOTEMP [(el +(d)l ......... = ~:*/- 0~ ~GALS. (~ L~K RATE.= f~), ~o = , ..... TiME OF TEST (MINS) ~ ~0 THIS L~K RATE DOES/DOES NOT ~CEED THE STANOARD GF 0.050 G.P.H. OESCRIBED IN NATIONAL FiRE PROTECTION ASSOC., BULLm~IN N.RP, A. 329. -HETANK IS TIG~ / (At (~) (Al TiME .AVERAGE' TIME AVERAGE (MINUTES) . TEMP ~:TATU R E (MINUTES'i TEMPERATURE Al TANK TIGHTNESS ' 1.0 INCLUOE ENOUGM INFO. TO ACCURATELY IDENTIFY TANK. (NUMB-~.,~/CONTENTS/~OSITiON, ETC.) TANK I.D. TANK OlAM~ INS iNS WATER ~N (a) STARTWATER IN TANK ~ INS (c~ ENO WATER IN TANK ~ INS TANK (bi START WATER IN TANK ~ , GALS (d) END WATER IN TANK ~ GALS 12 (al NOMINAL CAPAC;~ ~ O~O ~ GALS ~) DEDUCT WATER IN TANK ~ - - GALS PRODUCT (b) ACTUAL CAPAC.J~ t ~'~. GALS (d) TOTAL PRODUCT VOL N~ ~ GALS VOLUME (FROM TANK CHA~ (e) PiPiNG. ~ GALS · (f) TOTAL k~~ GALS i3' (a) HEIGHT OFWATER TABLE ABOVE TANK BOSOM = ~ (h) iNS (b) OENSI~ OFTANK PRODUCT : - ~' (w) LB/CU. IN. (FROM TABLES) F~LL DENSI~ OF ~ERNAL WATER = 0.036 LB/CU, IN. -- PiP~ (c) ADDITIONAL HEAD REQUIRED = (h~ x 0.035 = = 0,~5 ~ iNS E~ENSION NOT~: TO AVOID POSSIBLE TANK DAMAGE THE ADDED PRESSURE FROM A FILL PiPE EXTENSION MUST NEVER PRELIM ~ =~ ~ (b~ TEMPEP. ATURE CHANGE OURING TEST = (SLOPE OF "BEST F~%' LINE) ~ (TEST T~ME) (C) VOL. CHANGE DUE 70 TE~P = PRODUCT VOL ~ TEMP. CHANGE ~ COEFF. EXP. (d) TOTAL L(OUIO VOL. ADDED/SUBTRACTED AT ENO OF TEST ................... = - / - ~ - GALS. (a) VeL. CHANGE NOT DUE TO TEMP ((c) + (d)] ......... = Oq~ +~kt ' = ' "- ~%_ %ALS. TiME OF T~ST (MINS) THIS L%~K RATE DOES/DOES NOT sxcsse THE STANDARD OF 0.050 G.RH. eSSCR~aSD IN NATIONAL FiRE PROTECTION ASSOC., BULL~IN N.F.P.A. 329. THE TANK TiME AVERAGE' TIME AVER, AGE (MINUTES} TEMPERATURE (MINUTES1 TEMPERATURE TEST ~: TANK01MENSiONS TEST-. TANK 01MzN~QNS . AINLAY TANK 'TEGRIT¥ TESTERTM FIELD TEST DATA NAME AOORESS PHONE OPERATOR "~ 10ENTIFICATION. j CAPACITY~GALS. MSNUFACTURER J STEEL/FtSRGLS. AGE--YRS. TAN KS' TO ~ '"" I .I B E TESTED I -. I I WATER TABLE TANK WILL 8~ FiLL~D~.~' (TIM~ ON I ~ /~ ~ &~ TAN K E;¢RA 5 GALS P~OOUCT ~V~I~L_. RD,, PILL-UP FiLL U~ TO SE ARRANGED BY MR. PHONE ( CONTACT AT STORAGE TERMINAL ~S MR. .=HONE ( OUTSIDE ~ NAME AUTHORITY PHONE OFF'C,AL3 i ~ ' \ SPECIAL NOTES ,OR PRECAUTIONS ~-=~I~-='~ IN SOILTEST- ALL TESTS WERE 9E.RFORMED IN ACCOROANCc WITH PROCEDURES ~c.~ iNSTRUCTiON BOOK. ~ ...... FOR TIGHTNESS iS ESTABLISHED BY NATIONAL FiRE ASSOCIATION SULL~IN. N.F.RA. 3~. T~S~ [ TANKIOEN+ ~ TANK,S 7A~KIS ~ L~KRATE TESTOAT~  GHT NOT TIGHT G. P. H. 9 THIS CERTIFIES THAT THE TANKS 0ESCRiBED WERE TESTED SY THE UNOERSiGNED ANO THAT THE RESULTS REPRESENT THE TRUE STATE OF THE TANKS ON THIS'DATE TO THE BEST OF MY ',ENOWLEDGE CERTIFICATION SIGNED - ISSUE 0ATE ~ °.O. aOX 205 ~ FARMERSVILLE. CA 93223~205 ! STATE I lO INCLUDE ENOUGH O ACOURAT=__Ly IOENT1FY TANK. (NUMBER/IITF--.N]TStROSITION, ETC.) TANK I.D: · S FiLL PIPE LENGTH '~ ~ INS TANK BtAM ~-f'ER INS 11 - WAT~* IN ('~ISTARTWATERIN;t~~ ,NS' (¢) Ei'qD WAT'~R IN TANK ~ INS TANK (bi START WATER IN ' GALS Id) END WATER IN TANK ~ GALS (2.) NOMINAL CAPACITY ( Ol~l,,,'~ GALS .(i:;) OF_.,DUCT WATF_R IN TANK C,~ GALS 12 PRODUCT (bi ACTUAL CAPAC.ITY '~'-.~ ~bi;~) GALS (d) TOTAL PROOUCT~ VOL. (l;~)9'~i~ GALS YOLUME' (FROM TANK CHAR""q ' (e} PIPING- ~) ~ GALS :' (f) TOTAL I 9 l;~"~j~---~ GALS ]3' (a) HE!GHT OF WATER TABLE ABOVE TANK BOTTOM = '--(~)~-~---O % (h) INS (bi OENSITY OF TANK PRODUCT = 0 (wt LB/CU. IN. (F=OM TABLES) FiLL DENSITY OF =~'-FERNAL WATER = 0.038 LS/CU. IN. -- PIPE (c) ADDITIONAL HEAD REQUIRED = Iai '~ O.Om8 = ~: 0.035 = '-~ INS (w) ·iEX'TENSION NOTE.: TO AVOID POSSIBLE TANK DAMAGE THE ADDED PRESSURE FROM A FILL PIPE ~.'(TENSION /','lUST NEVER EXCEED 5 ]4 (a) A.P.I. GRAVIT-Y (~ ( ,(0 AT PRELIM (b) A.P,L GRAVITY ~ ~, k.~ .. AT TEST DATA (c) COEFF. OF EXPANSION 15 ' TEST (b) TEMPEFATURE CHANGE OURING TEST = ' (c) VOL CHANGE 'DUE TO TEMP: PRODUCT VOL * TEMP. CHANGE ~ COEFF EXP. (d) TOTAL LIQUID VOL AODED/SUSTRACTED AT ENO OF = ,CAE-. vol + (d)l ......... TiME OF TEST (MINS) ( THIS L~K RATE ODES/DOES NOT ~CEED THE STANDARD OF 0.050 G.P.H. OESC~IBED IN NATIONAL HRE PROTECTION ASSOC., SULL~IN N.F. RA. 329. THE TANK IST~/-~ TIME AVEFAGE. AIN ,Y TANK TIGHTNESS TES iNo. 10 INCLLiOE E,NOLIGH 3 ACCURATELY IDENTIFN' TAMK. (NUMBER~NTENTStP. OSIT1ON, TANK I.D. TANK DIAMETER INS FILL PIPE LENGTH INS 11 WATER IN (a) STARTWATER IN TANK INS (c) END WATER IN TANK INS TANK (bi START WATE,~ IN TANK GALS (d) ENO WATER IN TANK GALS 1 2 (a) NOMINAL CAPACITY GALS ,(~) DEDUCT WATE,R IN TANK GALS PROOUCT (bi ACTUAL CAPACITY GALS (d) TOTAL PROOUCT VOL. GALS VOLUME (FROM TANK CHAFFf') (e) PiPiNG. GALS :. (f) TOTAL GALS , 13 (a) HEIGHT OF WATER TABLE ABOVE TANK BOTTOM = (hi INS (bi DENSITY OF TANK PRODUCT = (wi La/CU. IN. (FROM TABLES) FiLL DENSITY OF F_Xq'ERNAL WATER = 0.035 PiPE (c) ADDITIONAL HEAD REQUIRF_D = (hi × 0.036 = x 0.g35 = INS EXq-ENSIO N NOT~ '.' TO AVOID POSSIBLE TANK DAMAGE T'~E ADDED PRESSURE FROM A FILL PiPE -~.XTENSION MUST NEVER EXCEED 5 P.s.L ? (a) A.P. !. GRAVITY AT , ,,z PRELIM (bi A.P.!. GRAvI ~'TY AT 60°F TEST DATA (c) COEFF. OF EXPANSION (a) START TEST AM/PM: ENO i c.'-, ~ AM/PM: TEST TIME MINS'. TEST (bi TEMPERATURE CHANGE OUR1NG TEST = (SLOPE OF "SEST FIT'' LINE) × (TEST TIME) 0ATA .... / - (c) VOL. CHANGE ,DUE TO TEMP = P,~,ODUCT VOL × TEMP. CHANGE × COEFF. EXP. (d) TOTAL LIQUID VOL. AOE)ED/SUSTRACTE'D AT ENO OF TEST ................... = ~ / - GALS. - + / - . GALS. (el VOL. CHANGE ,.NOT DUE TO TEMP ((c) + (d)) = (fi L-~AK RATE: fe~ - ~.0 = , aD = G.P.H. TiME OF TEST (MINS) T'H~S L%a,K RATE DOES/DOES NOT EXCEED T~E S.TANOARD OF 0.050 G.?.H. OF__.SCR~BEO IN NATIONAL F!RE ?RQTECTIQN ASSOC., SULLY'TIN N.F.P.A. SaS. t, ,,_.TANK tS TIGHT ~ / THE TANK IS NQT TIGHT T E AVE. AC=_' TIME [._ (~INUTES' TEMPERATURE ~C~URA~=_L, IOENT1FY TANK. (NUMBER/ ITENTSIPOSITION, ETC.) 10 INCLUDE ENOUGH INFO * ," -- v TANK i.D. ' , S FILL PIPE 3 ~ INS TANK DtAMETER INS LENGTH . WATANKTED IN (bi START WATER GALS (d) ENO WATER tN TANK ~ GALS 12 (al NOMINAL CAPACITY ( (~)~)~"~ GALS .(~) DEDUCT WATER IN TANK ~ GALS PRODUCT (bi ACTUALCAPACI~ ~ O ~b~ GALS (d) TOTAL PRODUCT VOL (~bgO GALS VOLUME (FROM TANK CHA~ ~ (e) PIPING. J () GALS i3' (al HEIGHT OF WATER TABLE ABOVE TANK SO%OM = O (h) 1NS (b) OENSI~ OF TA~K PRODUCT = , O ~ {w) L~fCU. IN. (FROM TA~LESi FiLL OENSt~ OF ~ERNAL WATER = 0.035 LB/CU. IN. -- PIPE (el ADDITIONAL HEAD REQUIRED = (h~ ~ 6.036 = ~ 0.0:5 = ~ INS E~ENSION TO AVOID POSSIBLE TANK DAMAGE THE ADDED PRESSURE FROM A FILL PIPE ~TENSiON MUST NEVE~ ~4 (a) A.P.I. GRAVI~ t ,~ . . AT ~ ~ ~F PREL M (b) A.P.L G~AVI~ ~ ~ , ~ ' AT ~ TEST OATA (c) COEFF. OF EXPANSION ,~ TEST (~) TEMPEFATURE CHANGE OURING TEST = ]~ / (c) VOL CHANGE 0UE TO TEMP = PRCOUCT VOL ~ TEMP. CHANGE x COEFF EXP. (d) TOTAL LIQUIO VOL ADDED/SUBTRACTED AT ENO OF TEST ................... = ~ / - ~ GALS. TiME OF TEST (bllNS) ' ( T'~IS L~K RATE eo~s/ooss NOT SXCS~D THE STANDARD OF O.0S0 G.P.H. DESCRIBED tN NATIONAL l (Al (Si (A) (a) TIME AVERAGE' TIME AVERAGE. AIN L~,,^v TANK 'TEGRITY ~ESTERTM FIELD TEST DATA " NAME AOORESS PHONE' IOEHTIFICATION CAPACITY--GALS. J MANUFACTURER STEELI FIBRGLS. j AGE--YRS. TANKS TO I ' I '. I WATER_~i ~oL~- OISTANCE FROM ·GRADE TO WATER ~ INS. TANK WILL ~E FILLED~ - ~IMTi ON ~ /~ / R~ TAN ~ EXTRA 5 GALS ~RODUCT AVAI~SLE FROM ~ FILL-UP FiLL UP TO SE ARRANGED BY MR. PHONE ( CCNTACT AT STORAGE TERMINAL !S MR. PHONE f NAME AOORESS PHONE OUTSiOE CONTRACTORS ~ x~ NAME AUTHORITY PHONE OFFiCiALS TO '~ E CONTACTED O.~, C,~. p_. , 7 S?ECiAL NOTES 08 PRECAUTIONS ALL TESTS WERE ?ERFORMED IN ,..,~mO~NCE WITH PROCEDURES OESCRfSED IN SCtLTEST' iNSTRUCTiON SOCK. CRITERIA FOR TIGHTNESS iS ASSOCIATION BULLETIN. N.?.P.A. 329. TANK IDENT TIGHT I NOT TIGHT G. ?. H. , ~ .-~- ~ DATE e ',THIS CERTIFIES THAT THE TANKS OESCRISED WERE TESTED EY THE UNOERSIGNED ANO THAT THE STATE RESULTS REPRESENT THE TRUE STATE OF THE TANKS ON THIS DATE TO THE BEST OF MY KNOWLEDGE ,~/'~ . CERTiFiCATE NO. CERTiFiCATiON SiG~4ED ~/-"%,~., - · 'ISSUE'lATE' FOR (TEST COMPANY~ AaORESS P.O. BOX 205 ?ARM ERSVILLE, CA 93223-0205 ~ ] STATE ~ . I [~CLUO. E E,N. OUG~F INF',.3.. TO ACCURATELY IOF-NTiF¥ TANY~ [MUM-=-=-?,/C3~T=-.~.TS,;POSiTION.. ETC-I ~,-,xx i.n.. · ........... '.,,WAT%.R IN iai START WATER tN TANK . INS (c) ENO WAT'=_:, IN TANK . INS .. : ,.-,, N K (bi START WATER IN TANK ~0 GALS id) ENO (al NOMINAL CA?ACFFT ~t.~ 0 GALS (cl DEDUCT' V',tA'FEF IN TANK ' ~ GALS PRODUCT -(bl ,Z, CTUAL FACi~--Y ~k,,¢ b GALS (d}TOTAL?RoOUCT¥OL '~,,¢Q . GALS (,=) HE, iGHT = .... --- TASL= ASQ"/E TANK BOTTOM' = (b) DENSiT( OF TANK F?,OIDUCT F 0. 0'"~ I {w} LS=IC'J. iN. (FROM TABLES) F1LL .DE.NSi'Ff OF :.¢.,~%.--.NAL WATE.~ ' = TO AVOID ~Cm'~i'=I = TANK OAMAGE THE AOOED :=F.E=-SURE FR©M A ............. =...~ =NS ,..,N MUST NEVE?. E3(CEE:3 =- P.S... AT THE WATER 2.0 ?' (~} STAFTTEsT \'~%% AM/PM,: ENO TEST \~.'~0 AM/P,M,: TESTTi,ME 'k"L',.~ MhqS. L750 " . (b! TOTALTBMP. C:-4ANGE (AVC= =_NO "F=~-~P. -- A'¥G STAR'TTEMP.) = ', ~'~ ~ _ , = 4- - ¢-~., VOL C:'-iANGE OUE TQ '~-Z~:*aP = PRODUCT, 'VOL x (m') TOTAL MOUIO VOL ADDED f SUSTP,.ACT=-D AT END OF ~ ~, .......................... 4- i - ~ ~' ~" ~ GALS. TIME OF TEST (MINS~ 1%0 ~-~IS -I_~AK .-%A~ DOES/ODES NOT ~CEED-'~FE STANDARD OF 0.050 G.P.:-'.. DESCRIBED IN NATIONAL TH: ~ ~.Nm iS TiC .... ~ / THE TANK !S NOT TtGF",T ',~ ~ --,d'-~ = "= - 'I(P) + (-,u dI,~. .... '£),"'E '_-'..EEC...O × E~N'C,'r-iD 'EP~± × '"' ' ,.-',~.m ,.. ' ,DA -.~,~,.,O== = dP:'EZ Oi ER~ E~NVHD -'IDA --;-¢ -- · !. J . '"EEAE9 EEJLYM Z-;-d.i Z¥ TB'E ? EE_-E.C~=_- .' :EZON ~.. ~NI '. ~.SO'O x ~O~O ~ iq) = C-zE~IDC..-iL-' 0 ,';"'EH 9¥NOLLlO.7¥ (~) .-z .. , SNI (tO = P4OJ_LOE NN¥± EAO~V E9S¥± ~=_£¥M £0 ZHU.,~'.q ,.N,_ YOEz') E ~"'I N q 0 A : '' '?L SNI N/~¥ZNi,-~-~¥;AONE (2} SNI NN,_NI-: ........ S(-/ NI ...... ' -. . . .. .. . . } ' xjt..l~-I - .. ' --' ' ..... '~'I .,~, ,_ ON ZSEZ SEENZHOtZ XNYI iN!v -EST SiTE LAYOUT " I i I tq-t /L'&~ba {--~'t., 't. ~ ~,.~ i i . ~ ~ ' ', ' . , _. " cNS~QNa TEST · TANKOIMENSIONS i. i E;<TENSiC, N EXT E,."~ SiC t.i i 'siPS I ~ ' G.=,A 0S T i T I T \ WATE~ TA~L-= / ~ '.^¢'AT~.~ TABLE ,/ TANK IDE~IT. TANK !D~NT. · ~-.~ ~ B~akersfield Fire Dept. ' R'AZARDOUS MATERIALS DIV~ION 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 ~,-~"~ UNDERGROUND TANK QUESTIONNAIRE RECEIVED 5/I. FACILITY/SITE No. OF TANKS ,;:~ llns'd ............ DBA OR FACILITY NAME NAME OI:.OPERATOR AOD~ N~REST C~ STRE~ ' PARCEL No,(OPTIONAL) Cl~ NAME STATE ZIP COOT ~BOXTOINOICAT~ ~CORPO~ON ~INDtVIDUAL ~PAR~ERSHIP ~LOCALAGENCYO~IC~ ~COUN~AGENCY ~$TATEAGENCY ~FEDE~LAGENCY ~PE OF 8USINE~ ~ 1 GAS STATION ~ 2 DISTRIBUTOR KERN COUN~ PERM~ ~ 3 FARM ~ 4 P~CE~OR ~ 5 OTHER TO OPE~ ~. EMERGENCY CONTACT PERSON iPRIMARY) ,, EMERGENCY CONTACT PERSON (SECONDARY) oDtlonal DAYS: NAME (LAST. FIRST~ PHONE No. WITH AREA CODE DAYS: NAME (LAST. FIRST} PHONE No. WITH AREA CODE ~-/~iVI:tEHP~'h/ ~-14~.'oL~- ~ro.~'3~-7-~'?~'(~ ~l~/~Z6~ /~l<'Otv/~'l~/ ~05~ ~.~'-3.7./-~ NIGHTS: NAME (~ST, FIRS~ PHONE ~. WITH AR~ CODE NIGHTS: NAME (~ST. FI~ PHONE ~. Wl~ AR~ CODE lt. PROPER~ OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRE~ INFORMATION MAILING OR ST~E~ ADDRESS ~ BOX ~iNDIVIDUAL ~ LOCAL AGENCY ~ STATE AGENCY CIW NAME STATE ].ZIP CODE PHONE ~o. WITH AREA CODE III, TANKOWNER INFORMATION (MUST BE COMPLETED) NAME ¢ CARE OF ADDRE~ INFORMATION MAILING OR STREET ADDRESS ~ BOX ~DIVIDUAL ~ LOCAL AGENCY ~ STATE AGENCY Cl~ NAME $TAT~ { ZIP CODE PHONE No. WITH AR~ CODE OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED $TO~ED SERVICE Y/N YIN Y/N . t' . C~- DOYOUHAVEFINANCIALEESPONSlBILIW? Y/N ~PE L ~ ~81~t FY % ~ ~I: T~,~( DESCRIPTION COMPLETE US - SPECIFY ~F UNKNOWN A. OWNER'S TANK L D.# I B. MANUFACTURED III. TANK CONSTRUCTION UA,KONE~ONLY~NaOX~S~a. ANOC.~OALLTRA~AP~ES~NaOXO SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY ~NTAINMENT (VAUL~DTAN~ ~ m O~ER .B. TANK ~ 1 BARE STEEL ~ 2 STAINLESS S~EL . ~ 3 FIBERG~S ~ 4 STEEL C~O Wl FIBERG~ REINFORCED PL~C MATERIAL ~ 5 CONCRETE ~ 6 ~LWlNYL CHLORIDE ~ 7 ~UMINUa ~ 8 1~-ME~ANOL ~MPATIBLEW/FRP . (PrrmaryTank) ' ~ 9 BRON~ ~ 10 ~LVANI~O S~ ~ ~ UN~OWN ~ ~ O~ER C. INTERIOR UNING ~ 5 G~ LINING ~ 6 UNLINED ~ ~ UN~OWN ~ ~ O~ER IS LINING MATERIAL ~MPATIBLE Wl~ 1~ M~ANOL ? YES__ D. CORROSION' ~ 1 ~LYE~YLENE WRAP ~ 2 ~A~NG ~ 3 VI~L ~ ~ 4 FIBERG~S REINFORCED P~S~C PROTECTION, ~ S CATHODIC PROTECTION ~ 9~ ~NE ~ gS UN~OWN ~ ~ O~ER IV. PIPING INFORMATIO,~ cmc~ A IFABOVEGROUNDOR U IF UNDERGROUND. BO~IF~LICA~E A, SYSTEMTYPE A~I SUCTION A U 2 PRESSURE ~ U 3 G~VIW A U ~ O~ER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 ~UBLE WALL A U 3 LINED TR~CH A~35 UN~OWN A U ~ O~ER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS S~EL A U 3 ~LWI~L CHLORIOE {PVC)A U 4 FIBERG~S PIPE CORROSION A ~ 5 ~UMINUM A U 6 CONCRE~ A U 7 ST~LWI~A~ A U 8 1~ MEdrOL ~MPA~BLEW/FRP PROTE~ION A U 9 ~LVANI~D S~EL A U 10 CA~ODICPROTECTION A~)95 UN~O~ A U ~ O~ER O. LEAK DETECTION ~ ~ AUTOaATICLtNEL~AKOE~CTOR ~ 2 LINE T~.~ESS TESTING V. TANK LEAK DETECTION/ '~ 6 TANK TESTING ~ 7 ,N~RSTITIALMONITORING ~ 91 NONE ~ 95 UN~OWN ~ ~ O~ER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN I A. OWNER'S TANK I. D. # ~..~ I B' MANUFACTURED BY: 0 ,~lt~' /~ ~J'~ '/.,J ~/~V c. DATE INSTALLED (MO/DAY, EAR) ~ ~' ~ ~' ~ ~) ~/ D. TANK C~ACIW IN G~LONS: III. TANK CONSTRUCTION MARKONEI~MONLYINBOXES~B. ANOC.~DALLTHATAPPLIESINBOXD A. TYPE OF ~ ~ DOUBLE WALL ~ 3 SINGLE WA~ WI~ E~ERIOR LINER ~ 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY CONT~NMENT (VAULTEDTAN~ ~ 99 O~ER B. TANK ~ ~ BARE STEEL ~ 2 STAINLESS STEEL ~ 3 FIBERG~S ~ 4 STE~LC~O W/FIBERG~SS REINFORCED PLASTIC MATERIAL ~ 5 CONCRETE ~ 6 pOL~INYL CHLORIDE ~ .7 ALUMINUM ~ 8 1~. ME~ANOL COMPATIBLEW/FRP (PrimaryTank) ~ 9 BRONZE ~ 10 ~LVANI~D STEEL ~g5 UNKNOWN ~ 99 O~ER C. INTERIOR LINING ~ S G~SS LmNmNG ~ 8 UNLINED iS LINING UATERIAL COUPATIBLE WITH I~. UE~ANOL ? YES_ NO__ D. CORROSION ~ 1 POLYE~YLENE WRAP ~ 2 COATING ~ ~ 3 Vl~t WR~ ~ 4 FIBERGLAS REINFORCED PLASTIC 'PROTECTION ~ s CATHODIC PROTECTION ~ 91 NONE ~ 95 UNKNOWN ~ 9g O~ER IV. PIPING INFORMATION c~.c~ A )FABOVE GROUND OR U IF UNDERGROUND, aO~ IF APPLICABLE A. SYSTEM TYPE A ~1 SUCTION A U 2 PRESSURE A U 3 GRAVI~ A U 99 O~ER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 ~UBLE WALL A U 3 LINED TRENCH A~ 95 UNKNOWN A U 99 O~E~ C. MATERIAL AND ' A U 1 BARE STEEL A U 2 STAINLESS S~EEL CORROSION A U 5 ~UMINUM A U 6 CONCRE~ A U 7 STEEL WI COATING A U 8 1~/. ME~ANOL COMPATIBLEW/FRP PROTECTION A U g GALVANI~D S~EL A U 10 CATHODIC PROTECTtON A~95 UNKNOWN A U 99 O~ER V. TANK LEAK DETECTION/ .,~t: -TAI%K DESCRIPTION COMPLETE SPECIFY IF UNKNOWN C. DATE INSTALLED (MO/DAY/YEAR) . {.~ ~' ~'. IV' ~' I~t J~/ D. TANK C~ACI~ IN G~LONS: III. TANK CONSTRUCTION MARKONEI~MONLYINBOXES~B. ANDC.~DALLTHATAP~IESINBOXD A. ~PEOF ~ 1 ~UBLE WALL ~ 3 SINGLE W~ WI~ E~ERIOR L~ER ~ 95 UN~OWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY ~NTAINMENT (VAULTEDTAN~ ~ ~ O~ER B.. TANK ~ 1 ~RE STEEL ~ 2 STAINLESS S~EL · ~ 3 FIBERG~S ~ 4 STEEL C~D Wl FIBERG~ REINFORCED P~S~C MATERIAL ~ 5 CONCRETE ~ 6 ~LWlNYL CHLORIDE ~ 7 ~Ua~NUa ~ 8 1~, ME~ANOL ~MPATIBLEW~RP (PrimaryTank) ~ 9 BRON~ ~ 10 ~LVANI~D S~~ ~ UN~OWN ~ ~ OmER C. INTERIOR UNING ~ s ~ LINING ~ , UNLINED Is UN~NG MATER~AL ~MPAT~aLE W~m ~ UE~ANOL ? YES_ NO__ D. CORROSION ~ I ~LYE~LENE WRAP ~ 2 ~A~NG ~ 3 VI~L ~ ~ 4 FIBERG~S REINFORCED ~S~C PROTECTION, ~ 5 CA~ODIC PROTECTION ~ 91 ~NE ~ g5 UN~OWN ~ ~ O~ER IV. PIPING INFORMATION cmc~ A ~FAaov~ ~ROUN~ O, U A. SYSTEM TYPE A ~1 SUCTION A U 2 PRESSURE A U 3 G~VI~ A U ~ O~ER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 ~UBLE WA~ A U 3 LINED TRENCH A ~95 UNKNOWN A U ~ O~ER C. MATERIAL AND A U 1 ~RE STEEL A U 2 STAINLESS-S~EL A U 3 ~LWINYL ~LORIOE (PVC)A U 4 FIBERG~S PIPE CORROSION A U 5 ~UMINUM A U 6 CONCRE~ A U 7 STEEL WI ~A~NG A U 8 1~. ME~ANOL ~MPATIB~W~RP PROTE~ION A U 9 ~LVANI~D S~ A U 10 CATHODIC PROTECTION A 95 UN~O~ A U ~ O~ER O. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DE~CTOR/ ~ 2 LINE T~H~ESS TESTING V. TANK ~EAK DETECTION/ I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. ~ B. MANUFACTURED BY: C. DATE INSTALLED {MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: II1. TANK CONSTRUCTION MARK ONE ~TEM ONLY IN BOXES ~. a. AN0C, A~OALLTUATAPPUES~NBOXO A. TYPEOF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK} [] 9g OTHER' B. TANK [] 1 BARESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STE~L CLAO W/ FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATISLEW/FRP (PrimaryTank) [] g BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ~ [] 99 OTHER [] , RUBBER L,.ED [] 2 AL~o L,.,.G[] , EPOX~ L,N,NG [] , P.ENOL~ L,.,NG C. INTERIOR LINING [] 5 GLASS LINING [] S UNLINED [] ,S UNKNOWN [] 9, OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES ~ NO__ D. CORROSION [] I POLYETHYLENE WRAP [] 2 COATING ~ [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] ~)5 UNKNOWN [] gg OTHER IV. PiPiNG INFORMATION CmCLE A IFASOVEGROUNOOR U IFUNOERGROUNO, BOTH IF APPLICASLE A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U gg OTHER C. MATERIAL AND · A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASs PIPE CORROSION A U 5 ALUMINUM A U 8 CONCRETE A U 7 STEELWlCOATING A g 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A tJ 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING .[] 3 INiERSTIT1ALMoNiTORiNG [] g9 OTHER V. TANK LEAK. DETECTION ~ , v,suAL CHECK [] 2 ,.VENTORY RECO.C,L,AT'O" r-13 vAPOR MO.,TO.,.G []. AUTOMAT,D TA.K GAUG,NG [] ~ GROUND WA~.~ [] 6 TANK TEST,NG [] ? ,NTE.ST,T,ALMON,TOR,NG [] .. NONE [] . U.KNOW. []. O~ER CITY of BAKERSFIELD. "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON November 13, 1992 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Dear Business Owner: This notice is meant to act as a reminder that the California Health and Safety Code; Chapter 6.7 Section 25284 (C), requires that any person assuming ownership of an underground storage tank used for the storage of hazardous substances for which a valid operating permit has been issued shall have 30 days after the date of assumption of ownership to apply for any operating permit pursuant to Section 25286. This means that as a new owner you must submit an UndergrOund Storage Tank application form, Forms A. B and C completed for each tank at this facility (forms included) and a state surcharge of $56:00 for each tank. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 2130 "G" Street, 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 COUNTY OF KERN ENVIRONMENTAL HEALTH SERVICES BILLING DATE 2700 "M" STREET, SUITE 300 0 5/" 0 2 / 9 0 BAKERSFIELD, CALIFORNIA 9330] (805) 861-3636 · AMOUNT DUE 140.00 PERMIT/INVOICE #150033C-90 AMOUNT ENCLOSED CHARGES PAST DUE ARE SUBJECT ._TO ·PENALTY MURPHY ~ 'GLOR I'A ............ ' .............. BEACON 'STATION #497 2700 PIERCE STREET DUEDATE SAN FRANCISCO, CA 94123 06/'01/90 DETACH HERE '----I PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION / DETACH HE PLEASE MAKE CHECK PAYABLE TO THE COUNTY OF KERN :-.~:-. '.. . --. ......... : -~_ ._zz- ~: . ~-. .................... :' --' ..... - ~' .: ,;--L_=.Z. ~,-.'~'~ ,.'i~ ~ 'Z._i'~ ............. .--' ~. i.:.'k';.'.Y...~...i' ~. i.-~'~ '~_..." '~... SEND PAYMENT WITHIN 30 DAYS TO AVOID 50~ PENALTY SERVICE/POSTINGDATE , 'DESCRIPTION . '.(~}_,4 Jj AMOUNT ANNUAL FEE FOR PERMIT TO OPERATE UNDERGROUND _S~FACILITY I L ~l W.ITH 3 TANK(S) LOCATED AT: 631 BAKER STREET BAKERSFIELD, CA ENVIRONMENTAL HEALTH SERVICES KERN COUNTY ORDINANCE CODE 8.04.190 PENALTIES, I~ 2700 "M" STREET, SUITE 300 ~ ~"~R'~"~X~~K~'X~X TOTAL AMOUNT DUE t 4 o o~ COMMERCIAL REAL ESTATE June 14, 1989 Ron Nagy Beacon Oil Co. 525 West Third Street Hanford, CA 93230 Dear Mr. Nagy; ............ Gloria Murphy, previous owner of 631 Baker Street in Bakersfield, has forwarded the enclosed letter and bill to me from the Kern County Health Department. Since Beacon was responsible for all governmental permits during operation of the station this bill should have been paid by Beacon. Please see to it that this matter is taken care of as soon as possible. Regards, JM:gs Enclosure cc: w/ encl. Nancy Shubin, AMAX Capitol Gloria Murphy Jane Warren, Kern C. Health Dept. 1000 Fourth Street, Suite 420, San Rafael, California 94901 . (415)454-2030 tN COUNTY HEALTH DEPARTMEll 2700 I~." Street V HEALTH OFFICER Ba;~ersfield, California ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D. Mailing Address: DIRECTOR OF ENVIRONMENTAL HEALTH 14"15 Truxtun Avenue Vernon S. Reichard Bakersfield, California 93301 (805) 861-3636 May :20, 1989 Gloria Murphy 2700 Pierce Street San Francisco, Ca.lif3r~a 94123' Dear Ms. Murphy: This letter is an official notice of your non-compliance with state and county laws relating to underground tanks. Upon review of our records, it was discovered that the 1988 Permit to Operate fees for Beacon Station #497, 631 Baker Street, Bakersfield, California were not paid. Enclosed is a copy of 1988 's invoice plus the 507~ late penal ty required by county ordinance. The second invoice is for this year's Permit to Operate fees. These inwpJ, ces must be paid within 30 days to avoid further penalties and/or legal action. Be advised that these fees must be paid even if the tanks are no lone'er in use. If the tanks are not in use, a permit for permanent closure must be obt~.ined, from this office. Permanent closure requires either removal or closure in place of .your tanks and assessment by s[~il sampling to determine whether there has been environmental damage as a hazardous substances from yo~r tank site. The specific requirements for these activities are in Handbook ~UT-30, available with your appJi(.:ation. ~,;o closure activity can begin prior, to the issuance of a permit from this office. If you have any questions or feel this assessment is in error, or if you wou. ld like an application and our handbook on permanent closure please ca3.1 me e't: (805)861--.;~636. Y~J'~r p~ompt attention to this very important matter is appreciated. Sincerely, Hazar~ou.s Materials Inspector Hazar[~ous Materials Management Program i~')ISTRICT OFFICES Delano · Lamont · Lak. %ella · Mojave · Ridgecrest · Shafter · Taft IKERN COUNTY HEALTH DEPARTMI 27C0 M Street HEALTH OFFICER Bakersfield, California ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D. Mailing Address: .. 1415 Truxtun Avenue . DIRECTOR OF ENVIRONMENTAL HEALTH Bakersfield, California 93301 Vernon S. Reichard (805) 861-3636 May 20, 1989 .... "--"1i 2700 Pierce Street ..... ~u~"'~'~Er~rFAr HE, ALT~.-I .................. ....... sa..n' ~anci_sco,_~ California 94123 Dear Ms. Murphy: This letter is an official notice of your non-compliance with state and county laws relating to underground tanks. Upon review of our records, it was discovered that the 1988 Permit to Operate fees for Beacon Station #497, 631 Baker Street, Bakersfield, California were not paid. Enclosed is a copy of 1988's. invoice plus the 50~ late penalty required by county ordinance. The second invoice is for this year's Permit to Operate fees. These invoices must be paid within 30 days to avoid further penalties and/or legal action. Be advised that these fees must be paid even if the tanks are no longer in use. If the tanks are not in use, a permit for permanent closure must be obtained from this office. Permanent closure requires either removal or closure in place of'your tanks and assessment by soil'sampling to determine whether there has been environmental damage as a result of unauthorized releases of hazardous substances from your ~ank site. The .specific requirement~ for these activities are in Handbook #UT-30, available with your application. No closure activity can be~in prior to the issuance of a permit fro~ this office. If you have any questions or feel this assessment is in error, or if you would like an application and our handbook on permanent closure please call me at (805)861-3636. Your prompt attention to this very important matter is appreciated. Sincerely, arren Hazardous Materials Inspector Hazardous Materials Management Program DISTRICT OFFICES Delano · Lamont · Lake Isabella · Mojave · Ridgecrest · Shafter · KERN COUNTY HEALTH DEPARTMENT Mailing Address: 1415 Truxtun Avenue BILLING DATE BakerSfield, CA 93301 0 5 / 2 0 / 8 9 ..... (805) 861-3636 Office Address: ..;:., ~700 M Street, Bakersfield _ .. AMOUNT DUE 210.00 PERMIT/INVOICE #150033C-88 o . J AMOUNT ENCLOSED I MURPHY, GLORIA CHARGES PAST DUE ARE SUBJECT TO PENALTY ............... BEACON STATION-.#497 ............................ -. . 2700 PIERCE STREET ~ J.~- '"DUEDATE SAN FRANCISCO, CA 94123 J 06/19/89 DETACH HERE __ PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION DETACH H. SEND PAYMENT WITHIN 30 DAYS TO AVOID ADDITIONAL 50~ PENALTY · s~-,v,c~; ms'r,~ · ' " .. ' ?AMOUN- i ~ ". ~':'' "~"~ ":' .'.'=. '.'.~-:". -:::-."DESCRIPTION .'~ .--:. :'" -.:';' ':...-':'.' ........' ...... :?' -'' 05/20 89 PERMIT/INVOICE # 150033C-88 FISCAL YEAR 87/88 FEE FOR PERMIT TO OPERATE UNDERGROUND STOR~SE' FACILI. WITH 3 TANK(S) LOCATED AT: 631 BAKER STREET BAKERSFIELD, CA 140.00 50% PENALTY FOR LATE PAYMENT OF ORIGINAL INVOICE ?0.00 KERN COUNTY HEALTH DEPARTMENT ~c,,o. ~o, ~,~,LT,~S. ,, o,,,, f ...... ,,d b,, .... d ....... ~. .... ~ .....~ ~3';'. L~,.V.,~X:~;~'~..T2,'~',,T~X:~".~,,~X'~~ X'EDTAL AMOUNT DUE. BAKERSFIELD, CALll NIA 93305 ........ ~,~,~ ............ ,~. KERN COUNTY HEALTH DEPARTMENT Mailing Address: 1415 Truxtun Avenue BILLING DATE Bakersfield, CA 93301 0 5 / 2 0 / 8 9 .... (805) 861-3636 Office Address: ~ 2700 M Street, Bakersfield AMOUNT DUE 140.00 PERMIT/INVOICE #150033C-89 AMOUNT ENCLOSED. MURPHY, GLORIA CHARGES PAST DUE ARE SUBJECT TO PENALTY ~-'. -BEACON STATION #4.97 ............ 2700 PIERCE STREET SAN FRANCISCO, CA 94123J 06/19/89 DETACH HERE ,, PLEASE RETURN THIS PORT ON, TO INSURE CORRECT PAYMENT IDENTIFICATION DETACH H SEND PAYMENT WITHIN 30 DAYS TO AVOID 50~ PENALTY _ SERVIC~ / PO,STING · ; o,,,~ ..... ".~'.. ?~.,:~" ':-~'::'.!'::'??i't~,~:'.:.DESCRIPTION : 05/20 8g PERMIT/INVOICE # 150033C-89 ANNUAL FEE FOR PERMIT TO OPERATE UNDERGROUND STORAGE FACILITY WITH 3 TANK(S) LOCATED AT: 631 BAKER STREET BAKERSFIELD, CA 140. KERN COUNTY HEALTH DEPARTMENT ~-c~ ~o~ ,.~,~...,,., ......"b. ,~,, d ............ . .. ........ ~3'~'. t',~,X',~'T,,.~',~.~',~,,~:~'7~,~'~"~ X'I:OTAL AMOUNT DUE ! 4'0. c 93305 ........... ,,h.~ ......... ,,,, ,- 17OO Flower Street RN COUNTY HEALTH HEALTH OFFICER Bakersfield, California 93305 Leon M Hebertson, M,D, Telephone (805)861-3636 . ENVIRONMENTAL HEALTH DIVISION · ' DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S, Reichard INTERIM· PERMIT', , 'PERMIT~I 5OO33C TO OPERATE: TSSUED: J~UARY 1, 1987 EXPT RES: JANU~Y 1, 199f UNDERGROUND HAZARDOUS SUBSTANCES ......... 'STORAGE FACILITY ................ NUMBER -OF .TANKS=~.3 FACILITY: I OWNER: BEACON STATION #49? ~ MURPHY, GLORIA 631. BAKER STREET I 2?00 PIERCE STREET BAKERSFIELD, CA I SAN FRANCISCO, CA 94123 TANK # AGE( IN YRS) SUBSTANCE CODE PRESSURIZED PIPING? 497/2,3,4 26 MVF 3 YES NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--TRANSFERABLE' ~ = ~ POST ON PREMISSS "':: DATE PERMIT ~AILED: JAN · ':..:.' '.. DATE PERMIT CHECK LIST MAILED:, Kern County Health DepartmentA Division ox Enviro~entaL Hea~ Application 1700 Flower Street, Bakersfield, CA 933¢)5 ~PLIC~TION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTP~NCES STORT~E FACILITY Type of Application (check): ONe~ Facility OModification of Facility ~]~xisting Facility ~-]Transfer of Ownermhip A. ~mergency 24-Hour Contact (name, area code, phone): Days Jim McCutchen 209/582-0241 Nights Shift Supervisor 209~582-'0246 Facility Name BEACON STATION #497 No. of Tanks 3 ~ Type of Business (check): [~Gasoline' Station' [~Other (describe) Is Tank(s) Located on an Agricultural Farm? OYes ~]No Is Tank(s) Used Primarily for Agricultural Purposes? OYes ~]No Facility Address 631 Baker Street~ Bakersfield Nearest Cross St. 19th Street T R , . SEC (RUral Locations (~ly) Owner Gloria Murphy Contact Person Jim McCutchen Address 2700 Pierce Street, San Franci~coZ'ip 94123 Telephone 209/582-0241 ....... Operator BEACON 0IL COMPANY . .Contact Person Gil Davis ........ ~ ...... Address 525 West Third Street, Hanford Zip 93230 Telephone 209/58~20241 B. Water to Facility Provided by Depth to Groundwater Soil Characteristics at Facility Basis for Soil Type and Groundwater Depth Determinatfons C. Contractor CA Contractor' s License No. Address Zip Telephone Proposed Starting Date Proposed Completion Dste Worker's Compensation Certification ~ Insurer D. If This Pemit Is For Modification Of An Existing Facility, Briefly Describe Modifications Proposed ' E. Tank(s) Store (check all that apply): Tank ! Waste Product Motor Vehicle Unleaded Regular Premi~ Diesel Waste ~'uel ' ' ~ 497-3 [] [] [] ~. Ch~ical Composition of Materials' Stored (not necessary for motor vehicle fu~ls) Tank ~ Chemical Stored (non-co~ercial name) CAS ~ (if known) Chemical Previously Stored (if different) G. Transfer of Ownership Date of ~--~nsfer ~ Previous Owner Previous Facility Name I, accept fully all obl'igations of Permit' No. issued to · I understand that the Permitting Authority may review and m~dify or terminate the transfer of the Permit to Operate this ~dergro~d storage ........ fac_il!ty upon receiving this c~mpleted form. . ......... . ..... This form has been completed under penalty of perjury and to the best of my knowledge is. true and correct. /' . Signature . "~ ~,- ,' ., ,~: ...... '--- -/' TitleMgr., Mktng. 0per. Date 3/26/85 ~1~2130 RAZARDOUS GBakersfield Street,(805) MATERIALS Baker~ield,326.3970 F~e Dept ._~.CA DIVISION. 93301 UNDERGROUND TANK QUESTIONNAIRE I. FACILITY/SITE No.'OF TANKS DBA OR FACILITY NAME . NAME Ot:~OPERATOR ADDRESS NEAREST CROSS STREET PARCEL No.(OPTIONAL) CITY NAME STATE ZIP CODE d' SOX TO INDICATE ~J CORPORA~ON '~INDlVlD~A[ [~J PARTNERSHIP ~J LOCAL AGENCY Db'TI~ICTS [~ COUNTY AGENCY [~J STATE AGENCY [~J FEDERAL AGENCY · TYPE OF BUSINESS J~ 1 GAS STATION J~ 2 DISTRIBUTOR KERN COUN1Y PERMIT J~ 3FARM [~14 PROCESSOR J~,~ OTHER TO OPERAI~ No. EMERGENCY CONTACT PERSON iPRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST, FIRST) PHONE No, WITH AREA CODE J DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. FIRST) . PHONE No. WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME Z. r CARE OF ADDRESS INFORMATION j~ g P u L- bO. J-") J- 'L : .- MAltING OR STREET ADDRESS ' ' ~/BOX - J~NDIVIDUAL J~ LOCAL AGENCY J~ STATE AGENCY 1~3/ Ll~.~vl~'l.J All TO,,O,CATE OPART, ERS,,P OCOUN~AGENCY aFEDE~LAGENCY CITY NAME STATE ZIPCODE I PHONE No. WITH AREA CODE III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME .~ CARE OF ADDRESS INFORMATION MAILING OR STREET ADOItES$ ~/BOX J~OIVIDUAL J~J LOCAL AGENCY J~ STATE AGENCY Ay"' TO,NO,CATE OPAR'"E"S"'P OCOU"TYAGENCY O,E~,ERALAGENCY CIIY NAME STATE ZIPCOOE I PHONE No. WITH AREA CODE OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE N 3 .... u iV/i(lu'OOM "....~ ¥ / N Y/N Y/N DO YOU HAVE FINANCIAL RESPONSIBILITY? 'Y/N TYPE L TANK O ESCRIPTION COMPLETE A1 -~--MS - SPECIFY IF UNKNOWN C. DATE INSTALLED (MO/DAY/YEAR) . U ~ ~,' tV' i~ LO ~// D. TANK C~ACIW IN G~LONS: / fl j ~ ~ O "~ III. TANK CONSTRUCTION MARK ONE I~M ONLY IN BOXES ~ B, ANDC,~DALLTHATAP~IESINBOXO A. ~PE OF ~ I ~UBLE WA~ ~ 3 SINGLE W~ Wl~ E~ERIoR LINER ~ 95 UNKNOWN SYSTEM .~ 2 SINGLE WALL ~ 4 SECONDARY ~NTAINMENT (VAUL~DTAN~ ~ ~ O~ER B.. TANK ~ 1 ~RE STEEL ~ 2 STAINLESS S~EL · ~ 3 FlaERG~S ~ 4 STEELC~D WIFIBER~ REINFORCEDP~C MATERI~ .~ 5 CONCRE~ ~ 6 ~LWINYL CHLORIDE ~ 7 ~UMINUM ~ 8 1~* ME~ANOL ~MPATIBLEW/FRP {Prim~yTa~k) ~ 9 BRON~ ~ 10 ~VANI~D S~ '~ ~ UN~OWN ~ .~ O~ER ~ ~ RUBBER LINED ~ 2 ~O L~aG ~* 3 ~O~ LINING ~ 4 PHENOL~ LINING C. INTERIOR ~ 5 ~ LINING ~ 8 UNLIN~ ~ ~ UN~OWN ~ ~ O~ER UNING IS uNING MATER~L ~MPATI~E D. CORROSION ~ 1 ~LY~LE~E W~ ~ 2 ~A~ ~ 3 ~L ~ ~ 4 FIBERG~S REINFORCED ~C PROTE~ON. ~ 5 CA~ODIC PROTECTION ~ 91 ~NE ~ ~ UN~OWN ~ ~ O~ER IV, PIPING INFORMA~ON c~,cm A IFABOVEGROUNDOR U IFUNDERGROUND. BO~IF~LICA~ A. SYSTEM ~PE A ~ 1 SUCTION A U 2 PRESSURE A U 3 G~VI~ A U ~ O~ER B. CONSTRU~ION A U 1 SINGLE WALL A U 2 ~UBLE WA~ A U 3 LINED TR~CH A~95 UNKNOWN A U ~ O~ER C. MATERIAL AND A u 1 ~RE STEEL A U 2 STNNLESS S~ A U 3 ~LWINYL CHLORIDE (PVC)A U 4 FIBERG~S PIPE CORROSION A U 5 ~UMINUM ' A U 6 ~NCRE~ A U 7 ST~LW/~A~ A U 8 1~ ME~NOL ~MPA~B~W/FRP PROTE~ION A U 9 ~LV~I~D S~ A U 10 CA~ODICPROTECTION A ~95 UN~O~ A U' ~ O~ER D. LEAK D~ECTION ~ 1 AUTOMATICLINE~AKDE~CTOR V. TANK LEAK D~ECTIO~ ' I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN ._ IA. OWNER'S TAN ,. O., d lZ-MS O 'lb/ / MANUPAC RED d C. DATE INSTALLED (MO/DAY/YEAR) ~,/(~' ~l~ ~ ~ /~ D. TANK C~ACI~ IN G~LONS: ~ O 2 g'-~ III. TANK CONSTRUCTION UA.~O.~UOUL~.eOX~S~a.A.0C,~OA~gmATXP.uESm. BOXO A. ~PE OF ~ . I DOUBLE WALL ~ 3 SINGLE WA~ WI~ E~ERIOR LINER ~ 95 UNKNOWN ~/ - SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY CONTAINMENT (VAULTEDTAN~ ~ gg O~ER' B. TANK ~ 1 ~RESTEEL ~ 2 STAINLESS S~ ~ 3 FIBERG~S ~ 4 STEELC~D WI FIBERG~ REINFORCED PLASTiC MATERIAL ~ 5 CONCRETE ~ 6 POLWlNYL CHLQRIOE ~ 7 ~UMINUM ~ 8 1~, ME~ANOL COMPATIBLEW/FRP (PrimaryTank) ~ 9 BRON~ ~ I0 ~LVANI~D STEEL ~ 95 UNKNOWN ' ~ 99 O~ER U /~ ~ , RUBBER LINED ~ 2 ~O LINING ~ 3 EPO~ LINING ~ 4 PHENOL~ LINING C. INTERIOR ~ 5 G~ LIN,Ne ~ S UNLINED ~ 9S UN~OWN ~ ~ O~ER E EKING IS LINING MATERIAL COMPATIBLE WITM 1~. ME~ANOL ? YES~ NO~ D. CORROSION ~ 1 ~LYE~YLENE WRAP ~ 2 COATING ~ 3 VI~L WR~ ~ 4 FIBERGLAS REINFOaCED P~ST[C PROTECTION ~.5 CATHODIC PROTECTION ~ 91 NONE ~ 95 UNKNOWN ~ 99 O~ER . F~. IV, PIPING INFORMATION c~Rc~ ~ iF A~OV~ GROUND OR U IF UNOERGROUND, BOm IF APPLICA~L~ A. SYSTEM~PE A U 1 SUCTION A U 2 PRESSURE ~ ~ U 3 GRAVI~ A U 99 O~ER B. CONSTRUCTION . A U ~ SINGLE WALL A U 2 ~USLE WALL A U 3 LINED TRENCH A 95 UNKNOWN A U 99 O~ER C. MATERIAL AND ' A U 1 BARE STEEL A U 2 STAINLESS S~EL A U 3 ~L~INYL CHLORIDE (PVC)A U 4 FIBERG~S PIPE 'PATIBL~F CORROSION A U 5 ~UMINUM A U 6 ~NCRE~ A U 7 STEEL Wl COATING A U 8 10~. ME~ANOL COM RP / D. LEAK D~ECTION ~ 1 AUTOMATICLtNELEAKDE~CTOR ~ 2 LINE T~HTNESS TESTING ~ 3 INTERS~TtAL V. TANK LEAK D~ECTION~ T~K ~ ~-i (FILL OUT SEP~TE FO~ ~CH T~K) FOR EA~ SE~ION, ~ECK Ar.n ~PROPRIATE BOXES H. 1. Tank is: ~ Vaul ted ~n-Vaul t~ ~uble-Wal 1 ~Si~le~al 1 2. ~ ~terial ~Car~n Steel ~Stainless Steel ~l~inyl C~oride ~Fi~rglass~l~ Steel ~ Fi~rglass-Reinforc~ Plastic ~ Concrete ~ ~in~ ~ Bronze ~Unk~ ~Other (de~ri~) 3. Priory Contai~nt ~te Install~ ~ic~ess (Inches) Ca.city (~llons) ~nufacturer ca 1 959-1 964 .025 1 0M 4. Tank Secondary Contai~ent ~ Other (descr i~): ~nufacturer: ~ ~ ter ial Thic~ess (Inches) Ca. city (Gals.) 5. Tank Interior Lini~ ~Other (de~ri~): ............ 6 ..... Tank-Corrosion Protection ~Tar or ~p~lt ~k~ ~No~ ~Other (de~ri~): Cath~ic Prot~tion: ~ne ~pres~ ~rent S~t~ ~crificial ~ri~ Syst~ & Egui~ent: 7. Leak Detection, ~nitori~, and Interception a. Tank: ~Vis~l (vault~ t~ks only) ~Gro~ter ~nitori~' ~ll(s) ~Vadose Zone ~nitori~ ~ll(s) ~U~ Wi~ut ~ner ~U-~ wi~ C~tible Liner Dir~ti~ Flow ~ Monitori~ ~l(s)* ~ Va~r ~t~tor* ~ Li~id ~vel ~n~r' ~ Pressure Sen~r in ~ular S~ce of ~uble Wall Tank~ ~ Liquid ~tri~al & Ins~ction Fr~ U-T~, Monitori~ ~11 or ~ar ~ ~ily Ga~i~ & I~entory Reconciliation ~ ~ri~ic Tigh~e~ Testi~ b. Pipit: Fl~Restricti~ ~ak ~t~tor(s) for Pressuriz~ Pipit' ~nitori~ S~p ~th ~ce~y ~al~ C~crete ~ce~y ~ Unkno~ ~ ~er 8. · ank ~iahtn~ ~en Tigh~ess ~st~? ~Yes ~ ,~kno~ ~te of ~st Tightne~ Test Results of Test Test ~e ~sti~ C~ny ~te(s) of ~ir(s) 10. ~erfill Protection ~rator Fills, Controls, & Visually Monitors ~vel ~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~Auto Shut- Off Controls ~citance ~r ~al~ Fill ~x ~ne ~o~ ~Other: List ~ & ~el For ~e ~ices a. ~dergro~d Pipi~: ~Yes ~ ~o~ ~terial Thickne~ (inches) Di~eter Manufacturer ~essure ~S~{ion ~Gravity ~proxi~te ........ b. Undergro~Pipi~ Corrosion. Prot~tion : ~lvanized ~Fi~rglass~l~ ~ess~ ~rrent ~crificial Polye~yle~ Wrap ~Electrical Isolati~ ~Vinyl Wrap ~Tar or ~lt Unkno~ ~None ~her (de~ri~): c. Undergro~ Pipit, Seco~ary Contai~nt: ~Other (descri~): TANK ~~ i' (FILL OUT SEPARATE FORM F__~.k zH TANK) 'F6R--~-C~---~E~, ~E~ ~ ~R~~E~ H. 1. Tank is: ~ Vaul ted ~n-Vaul t~ ~uble-Wal 1 ~Si~le~al 1 2. T~ Material ~Car~n Steel ~Stainless Steel ~l~inyl C~oride ~Fi~rglass~l~ Steel ~ Fi~rglass-Reinforc~ Plastic ~ Concrete ~ ~in~ ~ Bronze ~~' ~Other (de~ri~) 3. Priory Contai~nt ~te Install~ ~ic~ess (Inches) Ca.city (~llons) ~nufacturer ca 1 959-1 964 ..025 I0M 4. Tank Secondary Contai~ent ~l~Wall ~ ~thetic Liner ~Lin~ vault ~ne ~o~ ~Other (descri~): ~ufacturer: ~terial Thic~ess (Inches) Ca.city (Gals.) 5. Tank Interior Lini~ ~~r ~kyd ~xy ~enolic ~Glass ~Clay ~lin~ ~o~ ~Other (de~ri~): 6. Tank Corrosion Protection ....... ~Gal'vaniz~ ~ass-Cl~' ~ ~l~yiene-~aP ~Tar or ~p~lt ~k~ ~No~ ~Other (de~ri~): Cath~ic Protection: ~ne ~pres~ ~rrent S~t~ ~crlflcial ~e ~t~ ~ri~ Syst~ & Equi~ent: 7. Leak Detection, ~nitori~, and Interception a. Tank: ~Vis~l (vault~ t~ks only) ~Gro~ter ~nitori~' ~ll(s) ~Vadose Zone ~nitori~ ~ll(s) ~U~ Wi~ut ~ner  U-~ wi~ C~tible Liner Dir~ti~ Flow Va~r ~t~tor* ~ Li~id ~vel ~n~r ~ Cond~tivit~ ~ Pressure Sen~r in ~ular S~ce of ~uble 'Wall Ta~- ~ Liquid ~tri~al & Ins~ction Fr~ U-T~, Monitori~ ~11 ~ ~ily Ga~i~ & I~entory Re~nciliation ~ri~ic Ttgh~e~ Testi~ ~None ~o~ ~er b. Pipit: Fl~Restricti~ ~ak ~tector(s) for Pressuriz~ Pipit' ~nitori~ S~p wi~ ~ce~y ~al~ Concrete ~ce~y ~lf~t C~tible Pi~ ~ce~y ~S~t~tic Li~ ~y ~None ~ U~no~ ~ ~er *~ri~ ~ke & M~el: 8. Tank Tightness ~is ~ ~en Tigh~ess ~st~? '~Yes ~ ~o~ ~te of ~st Tightne~ Test Results of Te~ Test ~e ~sti~ C~ny 9. Tank ~ ~ Re~ir~? ~Yes ~ ~kno~ ~te(s) of ~ir(s) ~ri~ Re. irs 10. ~erfill Protection ~rator Fills, Controls, & Vis~lly Monitors ~vel ~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~ Auto Shut- Off Controls  citance ~r ~al~ Fill ~x ~ne ~o~ Other: List ~ & ~el For ~e ~ices '11. Pipi~ a. ~dergro~d Pipit: ~Yes, ~ ~o~ ~terial Thickne~ (inches) Di~eter Manufacturer ~essure ~S~t'ion ~Gravity ~proxi~te b. pndergro~_Pipi~ Corrosion Prot~tion : ~lvaniz~ ~Fi~rglass~l~ ~ess~ ~r rent ~Polye~yle~ Wrap ~ElectriCal Isolati~ ~Vinyl Wrap ~Tar or ~lt ~Unkno~ ~None ~her (de~ri~): c. Undergro~ Pipit, Seco~ary Contai~nt: ~l~all ~thetic Liner ~st~ ~ne ~kno~ ~Other (de~ri~): Facii.iay Nam~ BEACON STATION //497 T~NK ~ (FILL OUT .%EPARATE FORM TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: Fq.Vaulted []Non-Vaulted FqDouble-Wall []Single-Wall .2. ~ Material ~Carbd~n Steel [] Stainless Steel FqPolyvinyl Chloride [q Fiberglass-Clad Steel [] Fiberglass-Reinforced Plastic [] Concrete F'] A1Li~int~n [] Bronze []Unknown []Other (describe) 3. Pr. ima ry Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer ca 1959-1964 .025 1 OM 4. Tank Secondary Containment []Double-Wall ~Synthetic Liner []Lined Vault ~lNone F1Unknown [2]Other (describe): Manufacturer: · . , []Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining. ~Rubber FqAlkyd []Epoxy []Phenolic F]Glass Ii]Clay ~lined []U~kno~ [~Other (describe): - ~ 6. Tank Corrosion. Protection .................. --]~Galvani'zed "~-~!~-~fass-Clad F~Polyethylene Wrap r~Vinyl Wrappiilg ~Tar or Asphalt []unknown []None []Other (describe): Cathodic Protection: ~None []Impressed Current System ~Sacrificial 9/~de System ~--~ribe System & Equil~nent: 7. Leak Detection, Monit.0ring, and Intercept. ion a. Tank: []Visual (vaulted tanks only) FlGroundwater Monitoring' Wall(s) []Vadose Zone Monitorirg Well(s) FlU-Tube Without Liner ~r~U-Tube with Compatible Liner Directing Flow to Monitoring Wall(s)* Vapor Detector* [] Liquid Level Sensor* [] Conductivity' Sensor* [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ~r~DailyNone ~luging &Unknown Inventory[] Other Reconciliation •Periodic Tightness Testing b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitoring Stl~p with Race~ay []Sealed Concrete Race~y []Half-Cut Compatible Pipe Raceway []Synthetic Liner Race~y ~None [] Unknown [] Other · Describe Make & Model: 8. ~en Tightness Tested? []Yes ~No []Unknown Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Repair Tank Repaired? []Yes ~No []unknown Date(s) of Bspair(s) Describe Repairs 10. Overfill Protection [~Operator Fills, Controls, & Visually Monitors [~vel []Tape Float Gange []Float Vent Valves []Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box []None []Unknown [-]Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~Yes FlNo [2]Unknown Material Thickness (inches) Diameter Manufacturer ~Pressure [~Suction [.']Gravity Approximate Length of Pipe ...... b. Underground Piping Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Current [~Sacrificial Anode []Polyethylene Wrap FlElectrical Isolation []Vinyl Wrap []Tar or Asphalt ~Unknown ~_~None []Other (describe): c. Underground Pipirg, Secondary Containment: [~Double-Wall []Synthetic Liner System ~None [-]Unknown [-]Other (describe): PE~IT CHECXLiST Facil~it¥ Service Station #497' Permit # 150033C This checklist is provided to ensure that all necessary packet enclosures were received and that the Permittee has obtained all necessary equipment to implement the first phase of monitoring requirements. Please complete this form and return to KCHD in the self-addressed envelope provided withi~ 3--0 days of receipt. Check: Yes No A. The packet I received contained: 1) Cover Letter. Permit Checklist, Interim Permit', Phase I Interim Per'it ..... Monitoring Requirements, Information Sheet (Agreement Between Owner ..... and- Operator), Chapter 15 (KCOC ~G-3941), Explanation of Substance Codes, Equipment Lists and Return Envelope. 2) Standard Inventory Control Monitoring Handbook ~UT-10. 3) The Following Forms: a) Inventory Recording Sheet b) Inventory Reconciliation Sheet with summary on reverse c) Trend Analysis Worksheet 4) An Action Chart (to post at facility) B. I have examined the information on my Interim Permit,~ Phase I Monitoring Requirements, and Information Sheet (Agreement'between Owner and Operator), and find owner's name and address, facility name and address, operator's name and address, substance codes, and number of tanks to be accurately listed (if "no" is checked, note appropriate corrections on the back side of this sheet). C. I have the following required equipment (as described on page 6 of Handbook): 1) Acceptable g~uging instrument 2) "Striker plate(s)" in tank(s) 3) Wa'ter-finding paste ~ D. I have read the information on the enclosed "Information Sheet" pertaining to Agreements between Owner and Operator and hereby state that the owner of this facility is the operator (if '~no" is checked, attach a ~ ~ E. I have enclosed a copy of Calibrati'on Charts for afl tanks at this facility (if tanks are identical, one chart will su[fice; label chart(s) with- corresponding tank numbers listed on permit). ~.~ ~-~a~xX~. '~ F. As required on page 6 of Handbook ~UT-IO, all meters at this facility have had calibration checks within the last 30 days and were calibrated' by a registered device repairman if out of tolerance (all meter calibrations must be recorded on "Meter Calibration Check Form" found in the Appendix of Handbook). ~ G. Standard Inventory Control Monitoring was started at this facility in accordance in Ha bo k with procedures described . .... Date Started/ ~.~t~ ( ~ Sfgna£ur~ of Person Complerfn~ Chec~lfs~: ¥ Title: Environmental Coordinator Date: July 1, 1987 I I~---t .t - t -~1 I II II I I I ~1 I 525 WEST THIRD STREET, HANFORD, CALI[ORNIA 93230 BE'CKER INDUSTRIES., INC.':' " Date: 11/18/87' .To: Beacon 0il Company Re: SS ~ 497 .631 Baker St. ' -' · Bakersfield, CA Attention: /'-~ This letter is to summ --'~ ~ test regults at the referenced'service sta Current Test Results Tank No. Capacit} Product Tank Prod. Line Date Tiqh~ East 10,000 Regular,~ +. 024 gph ,' ,' 11/3/87 yes ~ I I ' +. 015 cDh ' Center 10f000 Ra~. U/L ~ , I 11/3/87 yes · · West 10,000 Prem. U/L I +- 023 gph ] ' , , 11/3/87 yes I I I I I I I These test results are as of .the day tested. If you have any question, Please call David Becker. at (707) 255-9580. Sincerely, BECKER INDUSTRIES, INC. Vice-President 2501 Oak SIreel · N~.p~.. CA 9~559 . 707/255-958,3- Data art for Tank System ess Test ....... ' ......... , petro -rite : ............. PLEASE PRINT TANK TESTE~ 1. OWNER P,ope,¥ ~-j. I 4- WHO REQUESTED ' TEST AND WHEN ~""' Ti,,. C .........,, ........ o,,. 5. WHO IS PAYING FOR THIS TEST? co,..,-,. ^o ...... ,.*,.i*~,, ~ ............. Identily by Direction Capacity Brand/Supplier m ~/J O~ade ' ' J ApD¢Ox. Age J Steel/Fi~rglass "'"' "~:' "T*~'i~'¥'.. ~NV'OL~0 "' ~'~'~W ~ ........ ~omm ...... ~]~~~ ~____ "' ' ....... ":": '~ ~" ~z"" ' : Locit~fl Cover · J Siohofles Pumps :. 7. DATAINSTAL~TION. ; ~.~ ~~~ ~ :. ? [ ~// ~ / . ' ~~ . :' ~r~.: , . :. · ..= ....... . ..... ; , : Nolth i~l df~lwiy, COAClIII, Black TO~ J Sill, Titllill mlkl. 8. UNDERGROUND' · ;. ; .~/// · ~ '.. lsme.,:~,~,kr-: : . /~ WATER Depth Io the Water table ' . . .-~.-:- ...... -..- ...... . ..-.~..:. ..... .....--m..'';..'~..'..='.-- '=' ':'m:'?'' '." .=. .... --'.'. "' ~' ' ' ..... '': .......: ........ :' ........ ':: ....... '''7 ' ' ' . f · : " Tanks to ~ Jailed hc ' Date Ananged 9.' FILL-UP ' . . · . . ARRANGEMENTS ~., ~od.c~ ~o -t&p o,' ..d ~.. T'S~. Ho~..d who ~o ~,o~. ~ Co.~, NO L..d. ...:: · -:' '. "-': ' - ":'-" : : . -: --- · .... " ~ nolice Or in~ui~ 10. CONTRACTOR. MECHANICS. involved 11. OTHER INFORMATION OR REMARKS Tests were ma~e on t~e above lank syslems in accordance ~ith test proc~ures prescri~ for ~fro T~e 12. TEST RESULTS as ~etail~ on a~ac~ test c~ams wilh results aS ~ollows: ~is is 1o ceni~ thai these tank systems were test~ on the Oaths) s~own. Those indicat~ as "~ght" m~t t~ ~t~ia establish~ by 13. CERTIFICATION m, National Fire ProlKlion Al~illion eamphlel 329. o.,. . , . ~ ':...._..¢;.4~.. ..... .... : .... ... -'.>.:' ... _,. . : ~' ' ~'4-.;:- . -:;;.~'~...>-~:~.:.<L :...~: ......... 17:-'FILL.UP FOR TEST ................ : ...... *'-' :Stick FIll up. STICK B[FOR[ AND~F~[R'EACH COMPARTM[NT'DROP' EAC~-~ETER[O'OELIVER' 18. SPECIAL CONOITION~'AND' PROCEDURES'TO~TEST': ' · '~ -" : .' · '.& .'-:TEUPERATURE/VOLUME; FACTOR (a) TO'~IEST' 20. E~ENSION HOSE SE~ING ' vol~ed prodL ~ . - ,,: ,' ':?' ' ' ' . ~i'C. "~ ', ", I~*t~ ~'l~l~l'lt*2~¥~"" ,:.'...:' . .... [2'...; .. . . . ~,. )'... ':~ '~., ..C."' ''''~' ' ~:~ *~' :'~i ~'~',~'*~: '. · ': '. '- -- "',"~:' 'm,' ,,m. oISu~,~l.,.Own,,o,O.,~., :. .', Add,,,, N~.~d~l~t(~)%:.~;.~:~!`~!¥).~r.j~M~:./'~j.~`~%'1~;~r~;.:.~i~¥4W~i?~.~:.~.~h:?:~`.`h.. Sm. ' ~.. ~ IL. TANK TO TEST ~ .'. 18. ' CAPACI~ ." ~'-.:~ .:'~ ,':~:"'.=,~, ,.L:~'~.?'~:~'~'~.=~ ~ '~'~' ,. ~t~,~ p~,: ,~ ..... . · . .. ~..~ ,..- i ............ . .... ,...;~..,', .~e~m~st'~cc~me .'~' · .':~.- ;~ ~, ~ ,.. , ~ . ,d ..~ 0 ~,.-,.~o,,~o. ~ · . ~ ... o,,o., i .',. :,.-'..,::.' :~'-~'..,'..'.';....,.?:..,:. :...~.'~. - , , G/,o.,. ~ ' I' J Co~p,.,[.0~,,,~"~'~ 1~ .... ' ':': '.; :';'" "' :' ~' ' i' ~ , ' Ch,,,, ,.pp,;,d wl,h I.*n4 .nd C,.d. ~ See Section "DETERMINING TANK' CAPACI~".~: : : . .' .... .(,.:.. 'h.... ,.....~':;".,.. · · , ~ . 17 FLL-UP'FOR TEST ' .... ' ' ' " ' "~' :'"'~'""~'"'J~'~""z ..... G'I':": ~ ' - ~,-~-..~-~. ' · ' ', · " · . '.. :,'~': '~:'.{', ;'~'; "', .~:;,c,..'.~ [ lo ~ In : Gm oni ." ':" '~ em Slick Wlle~ 8o~ ~ · " ' .' Z/"= ". ...... ' ................ I. ,',~-','.'* s'4s~' 3')~:~/~ ~-'-.<v~..f .............. ~ ........ "' { '~'..'. ' ' ~, ~'~",~t .... ,, ...,....~ ,,...~,... ,. ?.: H.~ ....,...' ~fo,, ~ ~-up ~ - ~ ~ ..... :.'" :, :'. - '.. : - ~ ....... ' ........ '-.; · '-'.:.:'t".~. "~:1:~ '~ , ... -- ~ t~ '(..':,..?~'~'..'r V..:'~;.,':~.:.'.'.'. nvento~ ' , · ' , ' ; "', "~'. '.~</~ to ~ *n. · G,.on, .... . .......... :....?.:,',-.,-,.;:,.,:i~.~.~;~;=:?'~?.:~,'~ ".'~ .~ , .. : ' ; ..:~. ,:'; ~::~;~;:~;~?';~:;:.~. ' ' ~ "~>P~w .... '".t' ~";.: Fill up. SIIC~ BEFORE AHD AFI[~ EACll COMPARTMENT D~OP OR [ACtl METER[0 DEL VERY'OUANTITY"t')~'.".'~ .... · ..... ~ "~ · , .... .. :: ../. ::.' ,..~,,'...,c'~L~;~.~.2..~ ...] · . ~ /~ ~ ...... ,.., ..,;>:~;,~::~ " ~ ~/ ' ' " I .......... ~ ~""~"" "' "" ' ' ' "' '' ~ ~ : ' . ~ ;'Pf~ucl n lul I~nk (up Io I ppe) ~ '~. ~,~/ ~ ~ T~nk D .meier · · '" ;' ' ""'" ~ ...... '"'""" · ~ ..... - ' ' J ", 0o' . , . . ,.. . ~;... :,. . . . ~ . , , . .. o o is. SPECIAL CONDiTiOnS A~O PROCEDURES TO TEST TH S 'TANK... Ob"erved.XP~t~VHY ".~" '~' ~' -.. ........ ~,,~ ~, n> s .......'--¢,~o,,,~p"c,~..Ch*~,o~,,d,,co,Up,oc.d~,,tn,o~(2e).. . , :~" ' AdJu;ete~'~PI :flr~'~itY':at 'eOF · ~.~ i . ~ s,,g,, · ., .... , ;..... -. ..~.,.. ~ ~ - ~.,0, ,. ,.., ~,,,~,~.,.,,.~,.,.~,....,,o.. ~,.~,>.,.~,.~.~,,,.W~,..,: ~::-- . ~,,~.,, .. .... .f:.....' · '.. ~ .. . ~. ..~.......~.:..~. ?:,..,'..: .,.. .. .. . .. . . .:' .. · ;~ 21. TEMPERATURE/VOLUME FACTOR (a) T0 TEsT THIS TANK ~ ' .... , . .......:~:.[~:~ ~... 19. TANK MEASUREMENTS FOR - } ................... · ..... t-... ..... · . .- - . . : ~ ., ..... _ ~sn ~SSE~BLY ./~ ~ ' ? ~ :.. '" -',t,.'"';.' "' ' , - ' .................... .... ..... .... ...... ~..,, · . : ,... ..,.... . ~ .. :..fi-.?~.~ ¢<, I~ Add 30' lor 4" L '" ............. " ' . '~':'~'.".'" ("'-"'.'.?~.".:"'-~.~.".'~'::::,"" ' j' · ' ' la,~,~i '' '" ' ' ' ........ ~ _. ,, : ~-. '~" ~.:.:.-'~ '.:'.?::.'L;Gt-:~::?.~..,..'[ .- . : ~'/ , · ~ '" .... ..... '"'""~.~f Add 24" lot 3"L or .Ir H.I ....... - . ~.~a.. Olgll, pe,.'E In r,ngl ol expecl~ ch,nge" '~ .': . . ~ . .' .'. :,'::~:.~:.;~j~ ;:~,~. ,, .~ ,~., , ..:.., ..~...~.-.,~.,,~.. ~ . .. . ~,,.,,. ,.] ......... ~.... , ,~,,,,~,,o ..... ~,, *,,,o.~m,,, ..... :.. .~' . ~....: ...~: .... ;.::.. ;:;L~:.?:~t;~:.L..:.~ ~~ . .....~. '~ ';'- '~ .... "~"~:~' Z0. E~E~Sl0~I HOSE SE~ING ~/--'- ... [24.' .'- ':" "/~/~g"?"~':: ~ ": " ~' " -'.. . volume change I~ Ihl~ lank" ". . ...... . ~*~ lop lo g~,d.'.... ' ' .. ; ........ ; Iolil quant Iy In - =~ 'L~. ;'W' "~ ~' ' c~Hlcl'Jnl Gl ~ xpJnslon lot .......................... i '.' ~m~ unk (~6 o, JT)'. }'::'.~:~.~ ~' ... ~,,o~,.u p,oduc~ . i ' p,, 'F .... ' · ..... , ~, ..... ~,o~ ...................................... ~25.'":" . "~' ". ~ ' ' m · ~ . Thls'l~' : '  .~ ; ' ":' :volume ch.~ge per *F (24~ ;.'G~''. Olglls *F ' ' 'llFillplpe e=lends*~ve g**de, uselopo~lilL ' " ' · "' '"' .: . ' .' · '.:'~:.a. "':.~"~'.. ~; R.ngePer(23) In te~l ~ ~ .V°lUmeCompuleCh"ngelo 4 declm~lPer dlgll.'pliceL' le~lfecl~ (s)"~ ' .~.. ' . .. ' " ' ~ ' .":' · ': :.' .'l ~-. ~ " .... . .. :~ ....:~. f: .... ~..,~.,,~s:'.: ...:, ~ . ~ ~. ~ ~....:.. .... ~' .'.~ ....... ~.....::.~,..; ............ ~....?~:,...,~;~?~ .,..:,.~ .. ~..:..,:...~. --~ .... .. .... . ....~ --. ]: '..;~-.. ,: ... .... · ,:~ .:..t :::..,: ::~,.~.~. '.:~..:,~q~::J~'~:(;~]~.)~, ;~.:~.~? :: ... : . .... ....... ~ ;,,,t, ~.~ · ' . ," -.: ....~:,.:¢:-. ,,..~.:.'~':~'.~'~:.';~T~r~¢~:~ ,~.~;.?.,.--] .... · '~ - . .. ........ .;4~,~;~ ..... · .... ;:.'..., . · ...... : ........... :.. ~,~..,;~..~.~.;;.....'.:;.~.::~.p~,:.~[.~= ~:.j~j ' . ,. ....... .,,.~. ~"~ ':: .... ::' '" ;'~ ........ ~:' ~"'~ ....' .... · ~ .......... * ~ :'"~'*" ~ '."~,~:~'.]~';:R~'. ' · ........ ' " ..... '" ' ' ~ 'T' '~'; ~ '~ ~ ~' '' ' ~ ~,.L..- . ;.~' ~ ....... , '.'.,' .'.,,.~ , ~:.. ~ . . ... ........ . ...... ~...~.~..~ ~ ~.~.,;~t.~, ~s,~/; ,;'- .:,.-'.-:'-,~- I :~ ..... :.'- - .;'~'t ,=:;.' ("4;?;~t;~i*?,,:~-~' ....' ..,. .~ ....... ~ .... : ,..,- ~ .... ::' . ... ..,. ~, -' :. .... . .,..' 'ti .~.~ .:?~;,..-:..~: ~,~'~=~:~ ~(-~',~k,' ~ ~ ........ ....... ~:,,; .. ......... ~ .... _ ' -.'~. ,. , '.. ..';:~.. :'.,' -;."i;~.::..;;:?;?~:;(~;~p~J '~;~":.:; "'. .... · '.: · ' ......,, ...... ;' · :'. " ~',~,~;7.~ .' "' ~'~'~:" .' ' ' I ". .... .7' ... ·: .':~.~,,~}~ ~ ¢~:~ ~' '. - ' "' .'?' '. ' ' ' ,'.":':'"~':<~'~,~'~?:'~ff~:l~ ' ' ~ ' ' ," . '.' -, · ' .' ',~.,','.f: ~.'..-~.,~.:~: · " ' · · ":'~:". ~'""~:! s~";':?'r2"!;~J;'!',''~'''':'';~ :'"' ""' '* ' ' ' '" ..... ....... . '- .-'-': ~;..~'~: :-~'?,.~:~' ."4,~., .~..~'~.,:..~: ~'.". ', : . };~:~... :. ~.,~.f~ · .." ' · ."'.' .: '"-'.'., ~':.',:~' ~,~:tm?.~.~,:.l.'m~-~,?~.,h~.~' ~.' ....... .' .' . . ' · ?,'i:~! .r:.g:~..?,,,. . :.q;. '7~f.,'.' 'r:.' ". - ' . . ..: ::..,..,~,,:.~.,.~: .,.~::~ .... :.:~:, .. }, / //~'~ ,~,...~. 14. 15. TANK T0 TEST ~ 18J,.CAPACI~. '-'. :'~'"', ' ' ~,o ' --- ,..~,_.~: ,-,.., ~.,-,,, /~, ~. .:,' ;: ,,_,,,~,~,,,. ..... ."...: r,~,.~,,,. ~.~ Idenlll~ bv polllion ~: ' ~lllonl ' . .: ~. / G OhS Co p y [ngJnee 'ng D. * '~, ;~ :~; - . ' ~ ,' .~ . . . e,,~d G,,a. See Seclion "OETEflMINING TANK CAPACITY" . 17. FILL-UP FOR TEST '. ' Slick Readings tol. I .............. :..,.,: . . ,o Slick W~ler Bottom ''·" "','" "' ' . ."'...':.' , ;n.'-',:.,",,r T.n, Ol*meler ~ , Pr~ucl In lull I.nk (up to fill pipe) Ob,erved APl orsvl'ty' ~ ~ 18. SPECIAL C0N01TIONS AN0 Pfl0CEOUflES T0 TEST TIllS TANK VAPOfl ~ECOVEflY SYSTEM Observed Temp'eYature' ~ o See menu*l secl~ons *ppl~c*ble. Chec~ ~low Ind ~eco~d procedure in log (25). - ~ . AdJuated APl Or.vlly .t eOF _ ~ 21. TEMPEflATUflEIVOLUME FACTOfl Ia} TO TEST TIllS TANK I~.- TANK MEASUflEMENTS FOil TS~ ASSEMBLY Is Io~1~ W~rmer? I J Colder? I I --' f PIo~ucl in link .... ' f fdl.u~ P~o~ucl on llu~t . _.' f E~pecteO Cnlng~ [ · or , ] ...................... - ,. .. ~ollom ol I~n~ In Or~e *' ' ' . Therm,l-Seneor re,ding ,Her clrcul,llon /U 7 " '; Add 30" Ior 4" L ................. ' ' /Nelrlll ' ' ' :: ';' '; . Add 24" for 3" L or iIr seal ....... ,, 23. Dlgll~ per 'F In range of expecl~ chlnge ,_ .............. lAXlY ,~.,,,:,.., ~, .,...,,o. ,o, t..t Io~ ~o ;..~.'. ...................~O " lull I..k (16 or 1Il IBvolv~d p;oducl ~ ...... ,,, ...................................... .. ~. _5~7~~. +.3~ = ,o/~/7/~? ,,,,,, '11 Fill ¢;p. ~l.nd; i~v~ g~d~. ul~ lop ol lill. ' volume chJn~e per 'F (24) Dlglll per *F In Itll Volum~ ch~ge pet dl~ll. ' I~11 Range (23) Compute lo 4 declmli plAcel, I.cl~ J.) ' i ' ': :?:'. "; · .,- '.':rS:,. :: . . ' ' ,. ~... '.'..,:.q:~ ...... :': . .- -.r,:,.a~,,.,l.,. ,, . - . ....... ; .... . '~':~...;t.' :,"~:.: . .,~' , .. , · ,'".' i't~': ,; ;:, ,. ~' ;'~',"' z ,, ~t ~,:, - , '. ..'" ..' ' : · , : ::,... '~,:'..:i. ~,: .,- · ,.' '~ ' ;4'~.L,': ". ~ : :.. ..... : ..-~ ..'..::.. :. ·. ' .:, .~ '.'t'b'/'~ :.: ' ' ' ' "' .¥, "~.",>.. ' · · '.~"...,. '. ' ' .... . " ' :: ' ~'~:/""~b'? ! 100 TOSCA DRIVE ~orm $6~ P.O. BOX CS.200 tiPN 5255 STOUGHTON, MA 02072.1591 TN :;I ONME! ".4~a,I ..... TH SERV~C::. ~,..~ ,..E: .O, RTM '~'~00 ' M' STRE~', SUITE 300 3AKERSFIELD 9330'l UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY ;~ INSPECTION REPORT ~ TYPE O~ INSPECTZON: ROUTINE ............~ ........REINSPECT~ON ...................... COMPLAINT .............................. ~AKERSF~ELD, CA ONNERS NAME:ASOU_ :~.~.~ ..................................................... OPERATORS N'AM¢:BEACON ul~ Cw~qP..~N ................................................................ COMMENTS: .................................... ITEM ' a. Intercepting an directing ~s~m' Standard Inven::ry Cont¢ol c. ~odifi-ed inven~cr,t Control d. In-tank Level Sensing Oevice e. Groundwater Monitoring f. Vadose Zone Monitoring 2. SECONDARY CONTAINMENT MONITORING: ' a. ~iner I b. Double-Walled ~ank t c. Vault ~.. ~. OVERFILL PROTECTION: / 5. TIGHTNESS TESiNG 8. NEW CONSTRUCTION/MOOIFICATIONS 7. CLOSURE/ABANDONMENT 8. UNAUTHORIZED RELEASE 9. MAINTENANCE. GENERAL SAFETY, AND OPE2AT]NG ~ONO,,.uN OF FAC~uI. :.:~?~.......(~.....~.:...~~..-~.~ ~....~.--~--~-.~ ,..~? ~ .-.~ ................ ;.;.;.~ ......... ~¢..._......,...:,=:=z.,~,¥;,.;,:;.:,:.:_,.;~.;.:, ;.~..~,~-;.;,~..;<.~r.,,.~,x,,~,~.v ................. ..................... ;~'~i'~'5'F'F'?'TS'~i-"~'~',:~'~'~TiT"~'~':5 : . ,, KERI~OUNTY. AIR POLLUTION CONTR~DISTRICT "~'"'~ 2700 "M" Street, Suite 275 i " Bakersfield, CA.. 93301 · . ,;: (805) 861-3682 Station ~-"~ -'-~ ,d~ c0",~.ocadon , .. ·Company Mailing Address .... ' ...... City _ . ~.- Date / -- -- 7 / . Phone ~? '~,- ~ '~ ~" ~,:'~?'/( System Type: Sep. Riser Inspector ~'~_ ~ ? ~ '~ Q'~.. ~ ~_ t~ ~,~. Notice Rec'd By .... TANK #1 TANK #2 TANK #3. TANK #4 1. PRODUCT (UL PUL P, or.R) ........ . .......... _ 2. TANK LOCATION REFERENCE ~__~ 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. FILL CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT PROPERLY SEATED 8. GASKET MISSING FROM FILL CAP 9. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT f'\./ ~ ~i~_~.~ 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING / IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15. COAXIAL FILL TUBE SPRING ~? ,,~? MECHANISM DEFECTIVE ? . ; '~ ~ ~' ~d -' · . ..... ~.,' ,.. ,, ~ ,:~'¢' I-~ ~' . .... 16. TANK DEPTH MEASUREMENT ,/ 17. TUBE LENGTH MEASUREMENT ' 18. DIFFERENCE (SHOULD BE 6" OR LESS) ~ /."" :- '"/'" .--~' ' 19. OTHER 20. COMMENTS: WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209, 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- ~ TIONOF.THEVIOLATION(S) ~r~rCr~r~~rcr~r~r¢~~~.~~~~ 9149-10~0 APCD FILE KERN CO'UN'~Y AIR POLLUTION CONTROL DISTRICT · : 2700 "M" Street, Suite 275 Bakersfield, CA. 9330'1 -- (805) 861-3682 PHASE II VAPOR RECOVERY INSPECTION FORM " " ~ /~ .~.r~, ~ ! ....... ~.~. Contact ~,e ]~ ~ ~F,~C~BC~ B~ RJ~ , ;~¢"~/'¢~ ~ ~ :~ '~ 7,~ System Type: GH HA Inspector ~ ' ~ .'¢~ ~ .~ ~,~.~ Date t ~ / ~- -- ~ / Notice Rec'd By ~¢~,,.~-,-, ~.~-,~ · . / ~ NO~LETYPE ~ ~' ~ ~J ~ ~ ~":~* :' ~' 1. CER% NO~ · . 2. CHECK VALVE '.O 3. FACE S~L Z Z 4. RING, RIVET . L E 5. BELLOWS 6. SWIVEL(S) 7. FLOW UMITER (EW) 1. HOSE CONDITION V A 2. ~NGTH P O 3. CONFIGURATION R 4. SWIVEL /' H 0 5. OVERHEAD RETRACTOR s ,~ ~ ~ ~~' E 6. POWER/PILOT ON ~. '~ ' -~ 7. SIG~S POSTED Key to system types: Key to deficiencies: NC= not certified, B= broken BA=Balance HE =Healey M= missing, TO= torn, F= flat, TN= tangled . RJ =Red Jacket GH=Gulf Has~elmann AD= needs adjustment, L= long, LOTM Ioo~e, HI =Hirt HA =Hasstech ........ S= short MA= misaligned, K= kinked, FR= frayed. ** INSPECTION RESULTS ** Key to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged out-of-order until repaired) U= Taggable violation but left in use. COMMENTS: '~//~ }/''~ ' VIOL~ONS: SYSTEMS ~RKEB WI~ A "T OR U" CODE IN INSPECTION RESULt, ARE I~ VlObATION O~ KER~ 6OU~T~ ~IR POLLUTIO~ CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. TME CALIFORNIA MEAbTM & S~ET~ CODE SPECIFIES PENAE~ES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805~ 861-3682 60NOERNI~6 FINAL RESOLUTION OF THE VIOLATION. OALIFOR~I~ HEAL~ & SAFET~ CODE SECTION 41960.2, REQUIRES TMAT THE ABOVE LIS~B 7-BAY DEFICIENCIES BE CORRECTED WlTHI~ 7 DA~S. FAILURE TO COMPLY MAY RESULT IN LECAL AOTIO~ ,Station Name ~'T~/----[e:~t--~l C::-.~,' ,. ' . ~o~ c~ s~ , l 7 ~ ' : .- . ............. Urn-of ~is':d~m ~ ~ted ~ mm ~w. and un- autho~d remo~ of ~ mg or ~ of th~ equipment . ~ll ~n~mte a ~o~fion of ~e ~ pun~hable ~ a m~m~ ~1 fine of SL~ ~r day or a ~mum ~minal fine of ~ ~ day and/or ~ monks in iai. '. I dec~m und~ ~nal~ of~u~ that ~e d~ce ta~ed ~s not ~d, nor~ ~e mg removed, un~l the required m~im ~re effeaed ~d ~e d~ no~fied. " ~fle , , Re~ired ~ (PI~ p~nt) Si~amre , Date ,.~me , . Tom~ R~ng at ~me of R~r R~im ~de BEFORE USING THIS DEVI~. ~iepho~ ~3/.~ ~cal air pollution control district at '~ -~, _3~ ~,,~ .' If repairs were made to the nozzle body you mast notity the County Department of Weights and Measures. '~r. 082091' ~OURCE MANAGEMENT~GENCY RANDALL L ABBOTT ~ t~-, m~,~ ~ o~.,~~ STEVE McC~ ! ~:"y, REHS, DIRECTOR DIRECTOR ~ ~ eoaa~ DA~qD PRICE m Wa. UA~ ,L eOOO¥. AeCO ..... ENVIRONMENTAL 'HEALTH SERVICES DEPARTMENT UNDERGROUND STORAGE TANK PERMIT UPDATE QUESTIONNAIRE THIS QUESTIONNAIRE .MUST BE COMPLETED AHD RETURNED WITHIN 7 DAYS PERNZT ~ /' ~,~ O "~ ~ NUHBE, OF TANKS ~. ADDRESS CHYISTATE '-"~.,;;,,m. ~ f". q ~ ,. ~ .-'-',', , ~ ,,L:.- ADDRESS '~ ~ ~ ~Z, :4' k ~ ,~ ;~,.,.~ ._~ . ~ ~_~0-~. CIT~ISTATE ~C"~ ~r'Z~Z~''.~ ?' Z~P ,' ,.." OPERATOR i , ,' ~'~"~' .':' ~' ~' ' '~" .... ~, '" .-~ ;:' -"~ PMONE Il '? ~' 7- '~ ~ ~-~ ADORESS ,-,-""? ,' '--' CITY/STAT[ , - IF A TRANSFER OF OWNERSHIP HAS TAKEN PLACE WITHIN THE LAST YEAR, PLEASE DATE OF TRANSFER: ;,'MONTH ,,~-'~/- DAY 'YEAR/c~":~ ~ ....,....., ,._ PREVIOUS FAC/LITY NAHE (IF CHANGED): ~- ~-'.. ,--..-~ .., ,,.,-~ - ~ ,u,,tr_~ '~ ;',~ "; ""~ ,'"" '"" "_ .- "'??'~- ~ ~ ' r ' ""' TI. lIS FORM ]'lAS BEEN COMPLETED UNDER PENALTY OF PERJURY AND TO TIIE BEST OF' MY KNOWLED6E IS TRUE AND CORRECT. ..-'-:'dSTGNATURE '/ .,/.'/ '- ,/~./,~._ ,---,,, ,..~.,. ,,'/.~.T-TTLE :.~OATE /~// IF YOU I:IAYE ANY QUESTIONS PI, EASE CALL SAh'~ WARREN ,AT (~05) 161-$656 EXT. $54. ch 2700 "M"' STREET, SUITE 300 BAKERSFt~ n, CALIFORNIA 93301 (80,$) 861-3636 FAX: (80,.5) 861-34~ .. 1 ~oo~ss 1~19 Te~ Street i~EC,/'E ~,,,~.~ ,.v) CITY .... . - . , - s~*T~ ~e~LeZd,C~ 9330? · ' ..... U J ~ (SPACE ABOVE THIS LINE FOR REOO~ff'~ USE[' ' ' ..... POWER OF ATTORNEY ._ SPECI L ~, .,. KNOW AEL MEN BY THESE PRESENTS: That I, ~T~ , the undersigned (jointly and severally if more than one, hereina~er collectively "principal"), hereby make, constitute'and appoint ~T,T '~ n~,~ ~ m~ principal's true and lawful attorney to act for principal and in principal's name, place and stead and for principal's use and benefit: (a);' To Ask,Demand,Sue For,recover,Collectand recieveeach and every sum of money,debt,actor legacy,interset,dividend,annuity,and demand, (which now is or hereafter shall become due, owing or payable),belonging to or claimed by me,and to use and take any lawful means for the recovery thereof by legal process or otherwise,and to excute and deliver A satisfaction or release therefor. Together with the right to comprosise any claim or demand. Principal hereby grants to said attorney in fact full power and authority to do and perform each and every act and thing which may be necessary, or convenient, in connectiOn with any of the foregoing, as fully, to all intents and purposes, as principal might or could do if personally present, hereby ratifying and confirming all that our said attorney in fact shall lawfully do or cause to be done by authority hereof. Wherever the context .so requires, the singular numbe~ includes the plural. ....... :. "('-'/' '" ' // /," "' r' ' STATE OF CALIFORNIA "~ss. Principal hereby grants to said attorney in fact full .power and authority to do and perform each and every act and thing which may be necessary, or convenient, in connection with any of the foregoing, as fully, to all intents and purposes, as principal might or could do if personally present, hereby ratifying and confirming all that our said attorney in fact shall lawfully do or cause tO be done by authority hereof. Wherever the context so requires, the.singular numbei' ihcludes the plural. -' WITNESS my hand this /~/~-~ day of ~:/' ~- '~"' ......... STATE OF.CALIFOflNI.A ............. "~ ·-'~ / COUNTY OF ' '~ ," '\ .,/-/6 .>~ .-, ~,~ .... ;,,..., On this ....'- day. bt ~.. , ..... ~- in the year 19 ."~"4., before me, the undersigned, a Notary Public in and for said State, personally appeared , 'ff'/,'b,?~',; /', ~¥ , ,/?'/---/' personally known to me (or proved to me on the Oasis of satisfactory evidence) to be the person_ whose name / ~ subscribed to the within instrument, and acknow~l_e~ged to me that _l~e~ executed it. ," WITNESS my hand and official 'sea~. 93 Notary PuBlic in and for said State, 1! N,,~%..~¢,.~ M,¥ Commission ~.x~.u¢~z. POWER OF AI'rORNEY-SPECIAL This stanclard form ~s imend~ for tl~e typical siluations encountered in Ina field indicated. However. I)efore you sign. read WOLCOT'rS FORM 1406--Rev, 9-82 (price class 3) il, fill in all blanl(s, anti ma~e whatever changes are aooroor.,ato an~i necessary to your OamcuLar transaction. Consult a @ 1982 WOLCOTTS. JNC. lawyer ~t you ¢ouO! Ihe form's fitness for your I)ur~ose ano use. .,lit # Date Environmental Sensitivity t~l spection Time ~ UN'GROUND HAZARDOUS' SUBSTANCE SToRAGE~FACiLiTYW' * INSPECTION REPORT * ...... Address Facility Nc" te . ? ~,,, __ No. of Tanks '~-. Is Information on Permit/Application Correct? Yes __ No - Permit Posted? ' Yes Type of Inspection: Routine '""-. Complaint Reinspection Comments: -' .~, · -- ' * ..... . - , -' "* .... '". _. ITEM -:-: " VIOLATIONS NOTED 1. Primary Containment Monitoring: ;, <~-C~ .... '~:""'-*- %"'* ~ 'J~, ~'~.~'-'-'"-~:~"~iL,: * -" ' '. "..?-' ' ' a,~lntercepting and Directing System -- , "- .... ',. r '1 ~ .... b.* ,,Standard~ Inventory Control Monitoring ., '._~7(~_'~-,~_'~., .... ~ "' ~'" '--~,.-,~ ~:"~' '~ (~.~&~i.. : ..... ,~ ,:~ '..'~ ,,._,~:~"* C-' ..~,._ t ,,---, c. Modified Inventory Control Monitoring '"'~ - ':" ' d. In-Tank Level Sensing Device " e~-Groundwater Monitoring .................. ~ .'~- ~."_¢.~.~_'LL:_.:-;"::*- _ f. Vadose Zone Monitoring · _~ 2. Secondary Containment Monitoring: a. Liner b. Double-Walled Tank ORIGI NAL c. Vault . 3. Pij~ing Monitoring: ' ' " ' ~-,-~*'/a. Pressurized -.~*~--'~'-=-:~-~-i'. '~., ; ..~:::., b. Suction \ c. Gravity "-"-~ {~-~\ ~-_2~ t,~ ~ 4, Ovedill Protection :' :' ~'. ?" ' -~'"L_-.~ ~ ;..-. .. - _ ._-.,, ~ :". ,,.., ~ :.. .,-:,.~%-::.'... ~, _.. . , , .', -,. ' *~ -t.':,'*, - - ' - ............ :* - ' ...... "- 5. Tightne~ Teeing ~ '" ":'"- '" --~- " ' "., ~t .~'%-~ . , : ~_...._. ,'':_', . ......... . . -. ") ....... ~, ~..~. 6. New Construction/Modification ~' 7. Closure/Abandonment '-., 8. Unauthorized Release 9. Maintenance, General SafetY, and .... · ,:~. ;, , , .. ,. ~ '*..~.~ .:.._', ,. Operating Condition of Facilit'/ ' ..... · -. ~- ~- '" · ' ' ..... *'_~ .~7.,;* ',. ' Comments/Recommendations: ' ' "-': .... '" ' ' .... ~,._ ., , ', ,., , .... ,, ..... 'j :? ,/' /,.. ,.., ,. ,.;, .,~, ..,, ..~. : ._ ' . '~ '-'"' "*'~'**-"-'- '-' ~ ,,,~ . ' -~" ';* " ,-: '_~i'"""'"' , ~" '~ t --~"" , ,. . .'i?'.. _,'* . ;?--'--- '~*'..:. ','~:~,..'.:,..:,,,,,.,..---*~-~.~"* ':.~ ,~ ~ ......~ y--'. t _,,.:;.._,:.L:."......_:~' :¥-, '.... . 'Reir~s~ec~i0n scheduled? ........ Yes *- No ....... Approximate Reinspection Date · INSPECTOR: -,.- ...... ~. REPORT RECEIVED BY: . ;'~ . ,..,,..~- Health 580 4113 170 (7-87) T'¢ AIR r. OL,_u, .ON CONTROL ©~ICT 2700 "M" ~t .... et:, SL~fite 275 (805) 361--3682 PHASE I VAPOR RECOVERY INSPECTION FORM -~ ' '"' ' " -(:~'?~" ~ (I"~ , ' _ , , ," -'/ , '"' '-'" ec~or ' ~ i ~ ~ ,q' ~ ~at~ , ~ 1. PRODUCT (UL, ~L, p, or R) - ~ FiLL .CAPS NOT PROPERLY 3EATED .......... ? VAPOR CAPS NOT P~PERLY SEATED 3 GASKET ~ZNG F~ F~LL CAP 9 GASKET ~SSZNG FRO~ VA~R CAP ... I0 FILL ADAPTOR NOT T~GHT " 12 GASKET BETWEEN ADAPTOR & F~LL · ~BE ~I~ZNG / IMP~PERLY SEATED !3. DRY BREAK GASK~S DE: cR,ORA,,_D ~.,~m=~¢~ ¢ERT~x~ PLAY ' COAXIAL FILL TUBE !5. COAX!AL-Y FILL ~BE "SUMP" ,~JRNED IN ~E W~NG OIRECTION ' ~6. ,..~.AXL. L F~LL TUBE .:PR.NG MECHAhI!EF'! DE, m',., ~',/,_ 17. TANK DEPTH ~EASUREM~T 1 8. T!JBE LENGTH MEASUR~4ENT . 19. O!FFERENCE (SHOULD BE g" OR LES~) 20. OTHER 'NOTE': 'A ~ECK ABVE 'INDIcATEs A VIOLATION 'OF-KCA~D ~LE 209. REC~T OF ~OLINE PRIOR TO ~RRECTION ~Y ~R~ER ~NSTI~TE A VIO~T~ OF KCA~D ~L~ 209 ,~- KE NT',/ AIR :--,-~LLUTICN ~r'~"NTI"'~DL "~ '7 ,~0 "M" x' (805) 8B 1'-~68 ; ~.E I~ VA~DR RE'VERY IN~PECT!~ FO~ i '%, ~ ~ ', , 1 CERT. NOZZLE & RACK 2 CHECK VALVE N O 3 FACE S~L ' $ ~ RING, RIVET, SPRING INTACT ~ 5 9ELL~ ?. FLOW L!MITER ' I. HO~E CCNDITION V A 2. L~.IGTH I C~N F, GU RAT, ON R ~. SNIVEL H O 5. OVERHEAD RETRACTOR ~ 5. PCWERNP!LOT 7. O~ER ~ t Kev ~o ~ys~.~m,'cy~: :~ Key Co def~cfi~ncfi~: NC= hoc c~r~fied, ~ broke' BA~Ba~an6e · HE~ealev ~ ~ :'nfissffnq, TO= torn, F= fqa~, TN= tangled ' H!=H~r% H.a=Hass~ch '~ 3= ~hcr~, '~A= mfsaligned, ~(= kfinked. FR= frayed. ' , .. · ',~e~>~ :nS~ec'~c.m r~ts: Chec]-$= ,0K. ?= Remair with- ' in-,sev~ days T= Taoqed (nozzle tagged ou~:of-order ................................... NOT~:~_,~.~.,,¢~1 ~=n~a,.~ HB&L~ & SAF~ ~DE SECTIU~ -~1960.. ~. REDU.RES¢ T ~AT ~E A~VE LISTED 7-DAY D.r.C,~C,cS ZE ~RRECTED NI~IN 7 DAYS. ~AZL;JRE TO '~PLY ~Y R~LT ZN LEaL ACTI~ Station Name \~.CC~I/~i -~.~. Station Hame Opemtor'sName ~C~, ~,.~t~E~.L ~ '~mtor'sHame ~~ ~~ ~mtor'sName ~~ ~. StationAddr~ ~ -~~,~ StaUonMdre~ to~[ ~~ ~ StafionMdr~t ~. Major Cro~ Stre~ ~~ %~ Major Cm~ S~e~ ~~ Major Cro~ ~reet.. Totalizer Reading ~en Ta~d~ WUJ ~, 9 Totalizer Reading ~en Ta~d~ q ~%~9.m To,alizer Reading ~e. Ta~ed ~' WARNING W~ING W~ING Use of this de~ce is prohibited ~'state law and un- Use of this de~ce is prohibited ~ Use of this de~ce is prohibited ~ ~ale law and un- authorized remo~l of th~s tag or use of this equipment authorized remo~l of this tag or use autho~zed remo~l of this tag or use of this equipment ~11 constitute a ~olation of the law punishable bva ~11 constitute ~ ~olation of the law ~11 constitute a ~olation of the law punishable bva ma~mum d~l fine of $1,~ per da~ or a ma~mum ma~mum d~l fine of $1,~ ~r ma~mum ci~l fine of $1,~0 per da~ or a ma~mum cdminal fine of $S~ ~r da~ and/or six' months in jail. cdminal ~ne of $5~ per dav and/or si- criminal fine of $500 per da~ and/or six months in jail. I declare under ~naltv of pe0u~ that the de~ce lagged I d~clare under ~nalt~ of pe~u~ that I declare under ~nalt~ of pe~u~ that the de~ce tagged ~s not used, nor ~s the lag removed, until the required ~s not used, nor ~s the tag removed, was not used, nor ~s the tag removed, until the required repaim were effeded and the dist~d notified, re~i~ ~re effeded and the dist~ct repairs were effeded and the dist~d notified. ~tle Re~ired ~. Re~ired ~ (Please p~nl) ~tle, Re~ired ~ (Please print) (Please p~nt) Si~ature,. Signatore Si~ature Date ~m~ Date .~me Date ~me Totalizer Reading at ~me of Re.ir Tolalizer Reading' at ~me of Re.ir Tolalizer Reading at ~me of Re~ir-- Re~im made, Re~im made Re~im made BEFORE USING ~IS D~E Telemhone~l air BEFORE USING ~IS D~ fvlep~e ~ool air BEFORE USING ~IS D~CE Teleph~ ~llution conlrol distfi~ at_~- ~O~ ' - ~llution control dist~ct at ~ ~ pollulion control distdd at ~ --~ ~ . If re.irs ~re made to the nb~le ~d~u ~ust noti~ If re.irs ~re made to the no~le' ~dy ~u must noti~ If re~i~ ~re made to the no~le the County De~ment of Weights and Measures. the Coun~ Department of Weights an[t the Coun~ Detriment of Weight~ and Measures. ' Tag Number':~ '~Q,, Dare--Time,:7_] ~ . ~ Tag Nurnber~:~ (-j, L,._ D~t e ~]) ..~..~c~. Station Name ~~ · TagNum~r~Date~~ ~m~:~ ~ ~ ' ~rator's Name ~~ ~-~U Station Name ~ ~ Sta~on ~ame Major Cross Street,. ~ Station Addre~ ~ ~ Telephon~ ~ %~ -~~ Major Cro~ Street ~q~ . ' Major Cra Tolalizer Reading ~en Ta~ed ?~'Z~ ~ ~ To;alizer Reading ~en ~e~q~- ~ Totalizer Reading ~en WARNING Use of this de~ce is prohibited by siate law and un- WARNING W~NING ' Use of this de~ce is prohibited ~ state law and un- authorized remo~l of this tag or use of this equipment Use of this de~ce is prohibited by state law and un-' authorized temaki of this tag or u~ of this equipment ~11 constitute a ~olation of the law punishable by a authorized removal of this tag or use of this equipment ~11 constitute a ~olation of the law punishable ma~mum cml fine of $1,~ ~r day or a ma~mum ~11 constitute a ~olation of the law punishable by a ma~mum d~l fine of $1,~ ~r day or a ma~mum c~minal fine 0f $5~ per day and/or six months in jail. ma~mum cml fine of $1,~ ~r day or a ma~mum criminal fine of $5~ ~r day and/or six months in jail. ' cdminal fine of $5~ per day and/or six months in jail. I declare under ~nal~ of pe~u~ that the de~ce la~ged I declare under ~nal~ of ~u~ that the de~ce ta~ed ~s not used, nor ~s the tag removed, until the required I declare under ~nal~ of ~du~ that the de~ce ta98ed ~s not u~d, nor ~s the tag removed, until the required repairs were effe~ed and the distd~ notified. ~s not used, nor ~s the tag removed, until the required re~i~ ~re effeded and the dis~ notified. Repaired by ~lle. re.irs were effected and the distdd notified. (Please p~nt) Repaired ~ (Please pdnt) ~tle. Repaired ~ (Please .pdnt) ~tle~ Signature Signature Si~ature Date_.,. ~me Date Date Totalizer Reading at ~me of Re.ir ' ~me Repai~ made Totalizer Reading at ~me of Repair Totalizer Reading at ~me of Re.ir Re~i~ made Re~i~ made ,. ~llution control distd~ at t- ~'/, . BEFORE USING ~IS D~E Te~ph~e.~l air ~llution con~ol distfid at ~ - . If repairs ~re made to the nomle ~dy ~u must noti~ pollution control distfi~ al ~o ~ --~ . if re~i~ ~re made to the nomle ~dy ~u must noti~ the Coun~ Depa~ment of Wei~h~ and Measures. If re.irs ~re made to the n~ml~ ~dy ~u must noti~ the Coun~ Detriment of Weights and Measures. ~r.~ 6 5 7 3 5 the Coun~ Department of Weights and Measures. p e~it to Operat. t "/~~ Date Constructl'on Pe[mlt t Date ~Permit to abandonl* No. &[ Tanks Date ~ended Permit Conditions ~Permit Application Form, ~ ' 'Tank She'etS,' ~Appt ica~Cion to Abandon tanks(s) Date " ~Annual' Report Forms ~Copy o~ Mritten Contract Between Owneg' & Operatog .... ~inapection Reports ~CorreaPondence - Received : Date ......... ~Correa~ndence - Nailed ' ~ Da  Unauthoglzed Releaae Reports .......... Abandonment/Cloaure Repottl ......... OSanpl~n~/Lab Re~rt~ .... OaV~ C~pliance Check (He'w'Con~c~ucti0'n Checklist) ~STD~C~pl~afl=e Check (Ne~ Construction Checklist) ~HVF Plan Check (Ney Construction) ~TD Plan Check (Ne~ Construction) ~HVE Plan Check (Exi~tlnq, Facility) ~STD. Plan Cheok (Bxistinq Facility) ~ = Incomplete Application" ~Permlt Application Checklist ~Pe;mlt Instructions ~Discarded ~?ightnesa Test Results ..... Date ' ' Da ta ~Hon[~og~ Nell Conscructl'on Da~a/Pegm[Cs ' ~Enviro~ental Sen=lt[uity Data=  G¢oundvate¢ D¢[lling, Bo¢lng Logs Location o[ Hate¢ Wells OStmtement o~ Unde¢g¢ound Conduits ~Plot P~an ~eatuting All Env~tonmentalty Sensitive Data ~Photoa ~Conatruct Ion D[a~ng s Location: OHal~ sheet sho~ng ~ate teceived and tal~y o[' ~nspect[on t[m~;' '~c ~l scel laneous BAKER STATION MKT 631 BAKER ST BAKERSFIELD CA 90005 661-631-1775 OCT 3, 2001 3:06 PM ! SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T I:UNLEADED VO~I]~E = 2532 GALS UL,~I~E = 7632 GALS 90% ULLAGE= 6615 GALS TO VOLUME = 2472 GALS ~.=4 INCHES HEIGHT = '?- .WATE~O..L 0 GALS WATER = TEMP = 9318 DEG F ~ 2277 GALS LUS ULLAGE = 7887 GALS 90~ ULLAGE= 6870 GALS TO VOLUME = 2271 GALS HEIGHT = 26.17 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 94.6 DEG F T 3:~REMIUM VOLUME = 1171 GALS ULLAGE = 8993 GALS 90% ULLAGE= 7976 GALS TC VOLUME = 1142 GALS HEIGHT = 16,40 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 95.4 DEG F