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