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HomeMy WebLinkAboutUNDERGROUND TANK RPORATION INTERNATIONAL 5225 Holhster, Houston. Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Service Order#: ~462~8 Test Date: 05/02/95 Underground storage tank system(s) tested and found tight for: Tank Owner: 0Ace OIL COHPA~Y TestTest Sitesite Address:N°': 7 9o JACO OIL COMPANY HOWARD'S MARKET BAKERSFIELD, CA 93305 Tank(s) only, 4 Line(s) only, 4 Leak Detector(s) only. Tank sizes & products tested: Lines Tested: lA PLU, 2A PUN, 3A REO, 4A REG 31093-1026 XLD 51192-1750 ~5; 50991-i663 XLD Valid only with Corporate Seal UnitMgr. Certificate Number & Name 083 STEVEN E. HAWKINS 06/96 95-1525 STEVEN E. HAWKINS 04/95 U.S. Patent #4z~62249, Canadian Patent #1185693, European Patent AppL #169283 TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Report for tank identification & site location drawing. ,] VacuTectTM TEST REPORT Date 05/02 95 Owner 3ACO OIL COMPANY Site# 790 Phone <800> 253-8054 [nvoice Name/Address USTMAN INDUSTRIES, INC. 12265 W. BAYAND AVE. #il0 LAKEWOOD, CO 80228 Attn: BRUCE McDUFFY '3iteName/Address JACO OIL COMPANY HOWARD'S MARKET 1330 BERNARD STREET BAKERSFIELD, CA 93305 TANKS LINES Leak Dot , TANKSJand LINES Tested to CFR-40 Parts Ullage See Tank Dipped Dipped Probe Water Bubble Air Line Final Exist 280'28~ & NFPA 329 Spec's. t'hag. Dia. & Water Product Water Ingress Ingress Ingress TANK Line Delivery LINE' LINE Leak LINE LD(s) NEW ;('( Material Level Level Level Detected Detecled Delected · Material Syst. Type TEST TEST Rate · Pass/ LD(s) Loc.l~ ST/ · · · · · · Tight m · · [] · Tight Fail/ Tested Other: ia,' ' Lank,~,, Tank FRP/ START START START or ST/ START END or or & Lined END END END Yes/No Yes/No Yes/No Fail Line # FRP PS/SS/CS TIME TIME GPH Fail NONE PASS ~' P~oduct Capacity .... I ..... ""[ P[~'US Diameter ' .... lA sr~ ..... PS 7: 20 7: 50 0.0'b0 T p - ,,,,, LO S%,~'DL,'~O~ UNREADABLE DLD J,] Il L NewJ2ad ,LD SNJi',,1DL/MFG: Percent el Fill ~1 Pump ' .i Material Slart Time: Time of Test: MI~.: L NE TESt; PSI 5 0 o 0 0 Tank I Pr66e inclinometer Dispenser Shear Valves End Time: T~jI PS1: J Entry: D~ree~: ..... ' ' D~arnet~r "~ ---- -- ,..-- 2 PUN J J 2A ST PS /:2,b '/':bb 0.000 T P - E~islLDSN/r'~DL/MFG: 31093-1026 XLD Percent of Fill at Pump Material;tart Time: Time of Test: Mfc).: LINE ]ES~ PSI 5 0 · 0 0 ........ End,, Time:,, Tesl PSi: J Enlr~: ., Oe~rees: , , .... Oj3e,ate I"esi.o, Y .. . ST '~S 8:10 8:40 6.000 T p - E,is, LOSN~'~DL,~E~: 51192--1750 XLD U [~i L N.~/~.q,.D SN/MDL/IViFO: Percenl of Fill at Pump Materiai' Start Time: Time of Test: Mf~.: LINE TEST PSI 5 0 · 0 0 J En',d'Tim~:," Tank J Probe Inclinometer O~spense~ Shear Va yes ",1 R'G[, N L .... Diameter, _ - J .. J J 4A S'T PS 8:15 8:45 0000T P. - E,'~'LO'N,'r~DL~'~'G: 50991 -- 1663 XLDN.,,/~,U,~ LD SIN/MDL/.FG: I Percenl o! Fill at Pump LINE TE~¥ PS, 5 0 0 0 IvJaterial Slad Time: Time of Test: Mfg.: ,, End Tim?: T~I p~l: J Entry: Oe. gree~: .... Of~e,ale ~,es/no~ ..... '~, Percent of Fill al Pump MaterialStarl Time: Time of Test: Mf~l,: LINE TEST PSt: ....... Tank J P~'obe Inclino~neter [),~pe,,s~ Shear Valves .......... °l Percent of Fill al Pump "Material Start Time: Time ct Tesl: Mlg.: LINE lESt PSi; Tank ' J Probe J Inclinomeier P,s,,~en.~,6;' 5hea~ valves _"nd Time: l~t PSI: J Enlry:J D(~qr~:~: el)elate ~es/noI Tanknolo~y Corporation International I'ANKNOLOGY Region: WESTERN REGION Unit # 023 State Lic. # 95-1525 State: CA 5225 Hbllister St., Houston, TX 77040 NC)I'E: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. (800) 888-8563 · FAX (713) 690-2255 MONITOR WELLS -- ' ..... Well Number I 2 .....3 4" ' 5 6 7 8 9 10 1 1 12 Well Depth Depth to Water Pr~u~ Det~d AMOUNT in inches Standard Symbols for diagram below: ' ~Fill ~ vapor Recove~ ~ V.R. w/Ball Float ~ Monitor Well ~ Obse~ation Well (Outside ~ank Bed Area) (Inside Tank Bed Area) ~ Ball Float ~ Tank Gauge O Vent ~ Manway ~ Iron Cross ~ Turbine Location Di'ag amTInclude the. Vapo~ R~coyery Syst?m: Vapor Recove~ System & Vents were tested with which tank? Pads'and Labor used .., When OWNER or local regulations require immediate reports of system failure-Complete the following: REPORTED ,AuE' DATE TO: Phone~ OWNER or R~ulsto~ ~en~ FI~ NUMBER .... Ce~ Tes~rs Sig~m Ds~ Tes~flg Comple~ Jaco Oil Company 3 I01 State Road Bakersfield, California 93308 m p O. Box 1807 Bakersfi~eli:l,' California 93303-1807 ' · Phone: 805 393-7000 · Fa~ 805 393-87:~8 August 1, 1~04 LETTER FROM CHIEF FINANCIAL OFFICER I am the chief financial officer for Jamieson Hill Co.. This letter is in support of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount of at least $10,000 per occurrence, and .$10,000 annual aggregate coverage. Underground storage tanks at the following facilities are assured by this letter. 'G~'"/~Howard's, 1330 Bernard St., Bakersfield, CA 93305 1. Amount of annual aggregate coverage being assured by this letter: $10,000 2. Total tangible assets: $7,042,'119 3. Total liabilities: $3,268,429 4. Tangible net worth $3,773,690 I hereby certify that the wording of this letter is identical to the wording specified by subsection 2801.1(d)(1), Chapter 18, Division 3, Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at . Bakersfield, California on Date AU~ 0 ~. Name: Brian Busacca Title: Chief Financial Officer BB:jlc '~2/12/91 ARD MINI MART 015-010-00 )6~ F) ~-~Page 1 ~ Overall Site with 1 ~ · General Information Location: 1330 BERNARD ST Map: 103 Hazard: Unrated Community: "BFD" RESPONSE AREA" Grid: 21C : 1 AOV: 0.0 --- Contact Name ---I Title I-- Business Phone --I 24-Hour Phone ROY SAUNDERS I I (805) 393-?000 x 1(805) 393-?000 JOHN KERLEY IOPERATIONS MANAGER 1(805) 393-7000 x 1(805) 393-7000 Administrative Data Mail Addrs: 1330 8ERNARB ST D&B Number: City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 015-901 "BFD" RESPONSE AREA" SIC Code: 5541 Owner: JACO OIL Phone: (805) 326-1745 Address: 3101 STATE RD State: CA City: BAKERSFIELD Zip: 93308- Summary MINI MART NITH GAS SALES ON THE CRNR OF HALEY AND BERNARD STREETS. FOUR 12,000 GALLON UNDERGROUND GASOLINE TANKS LOCATED AT SE CRNR OF PROPERTY. GAS PUMPS ON E SIDE OF 8LDG. C02 CYLINDERS IN SEATRAIN N AND ADJACENT TO STORE. ~12/12/91 ARD MINI MART 015-010-00~6 Page 2 Hazmat tory List in Reference N~l~ber Order 02 - Fixed Containers at Site Pln-Ref Name/Hazards Form Quantity MCP 02-005 GASOLINE Liquid 12,000 Moderate > Fire, De]ay H]th GAL 02-006 GASOLINE Liquid 12,000 Moderate > Fire, Delay Hlth GAL 02-00? GASOLINE Liquffd 12,000 Moderate > Fire, Delay H]th GAL 02-008 GASOLINE Liquid 12,000 Moderate > Fire, Delay H]th GAL ;12/12/91 lARD MINI MART 015-010-0~96 Page 3 - Fixed Containers at Si~I~f Hazmat Inventory Detail in Reference Number Order 02-005 Lffquid 12000 Moderate > Fire, Delay Hlth GAL CAS ~: 8006619 Trade Secret: No Form: Liquffd Type: Pure Days: 365 Use: FUEL Daily Max GAL .... I-- Daily Average GAL I Annual Amount GAL -- 12,000 I 5,000.00 I 60,000.00 Storage I Press I Temp -I Location UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND -Conc -I Components I- Mcr --IList 100.0% IGasoline IModeratel 02-006 INE Liquid 12000 Moderate > Fire, Delay Hlth GAL CAS ~: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL .... I-- Daily Average GAL '--I-- Annual Amount GAL -- 12,000 I ?,000.00 I 84,000.00 Storage I Press I Temp -I Location UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND -Conc -I Components I- MOP --IList 100.0% IGaso]ine IModeratel / 02-007 ~ G~7, SOLINE Liquffd 12000 Moderate > Fire, Delay Hlth GAL CAS ~: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL .... I-- Daily Average GAL I Annual Amount GAL -- 12,000 I 3,000.00 I 36,000.00 Storage I Press I Temp -I Location UNDER GROUND TANK IAmbientlAmbientlUNDERGROUND TANK -Conc -I Components I- Mcr --IList 100.0~ IGasoline IModeratel -12/12/91 ARD MINI MART 015-010-00 ;6 Page 4 - Fixed Containens at S __~__.. Hazmat Inventory Detail fin Reference Number Order 02-00~ASOLINE Liquid 12000 Moderate > Fire, Delay Hlth GAL CAS ~: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL .... I-- Daily Average GAL I Annual Amount GAL.-- 12,000 I 3,000.00 I 36,000.00 Storage I Press I Temp -I Location UNBER GROUND TANK IAmbientlAmbffentlUNDERGROUND TANK -Conc -I -- Components I- MCP --IList 100.0% IGaso~ffne IModeratel '12/12/91 ARD MINI MART 015-010-00 6 Page 5 00 - Overall Site <D> NoCif./Evacuation/Medical <1> Agency Notification <2> Employee Notif./Evacuation EMPLOYEES ARE TO EVACUATE THE PREMISES AND MEET IN THE CRNR OF THE LOT IF IT IS SAFE TO DO SO. <3> Public Notif./Evacuation <4> Emergecny Medical Plan MEMORIAL HOSPITAL KERN MEDICAL CENTER 430 34TH ST 1830 FLOWER ST BAKERSFIELD, CA BAKERSFIELD, CA (805) 327-1792 (805) 326-266? '12/12/91 F~i~ARD MINI MART 015-010-00 6 Page 6 O0 - Overall Site <E> Prev./Minimization/C']eanup <1> Re]ease Prevention ALL EQUIPMENT IS MAINTAINED AND KEPT IN GOOD WORKING ORDER. GAS PUMPS HAVE EMERGENCY SHUT OFF BUTTONS, ABSORBENT MATERIALS IS STORED NEAR GAS ISLANDS. <2> Re]ease Containment <3> Clean Up SMALL SPILLS - USE AN APPROVED ABSORBENT MATERIAL SPREAD OVER THE SPILL, SWEEP AND PUT IN APPROVED CONTAINER. LARGE SPILLS - SHUT DOWN ENTIRE SYSTEM CALL 911 <4> Other Resounce Activation '12/12/91 MINI MART 015-010-00 ~6 Page ? O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS/PROPANE - NE CRNR OF STORE 8) ELECTRICAL - BACK OF STORE NW CRNR OF STORE C) WATER - E SIDE OF GAS PUMPS D) SPECIAL - E) LOCK BOX - <3> F~re Protec./Avail. Water FIRE EXTINGUISHERS ARE ON ALL GASOLINE ISLANDS AND THROUGHOUT THE STORE. FIRE HYDRANT ON CRNR OF BERNARD AND HAILEY. <4> Held for Future use '12/12/91 MINI MART 015-010-00 16 Page 8 O0 .- Overall Site <G> Tnaining <1> Page 1 ALL EMPLOYEES ARE TRAINED AND AWARE THAT IN THE EVENT OF AN EMERGENCY THEY ARE TO: 1. SHUT OFF THE MAIN PO~ER BREAKER 2. EVACUATE THE PREMISES 3. DIAL 911 4. NOTIFY EMERGENCY RESPONSE TEAM TRAINING RECORDS ARE KEPT IN OFFICE AT 1330 BERNARD ST. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use '12/12/91 ARD MINI MART 015-010-00 6 Page 9 O0 - Overall Site <M> Events Ledger "M" 10/04/88 ANNUAL/OK "12/12/91 ARD MINI MART 015-010-00 6 Page 10 00 - Overall Site <M> Inspections List. 10/04/88 ANNUAL/OK