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HomeMy WebLinkAboutUNDERGROUND TANK 12/1983 Hazardous MaterialsfHaZard°us Waste unified Permit' CONDITIONS'OF.:PERMIT ON 'REVERSE SIDE -", .. This _=ermit is Issued for the followin_~: [] Hmn~rdous Materials Plan (3 Underground Storage of Hazardous Materials Permit ID #:: 015-000-000087 [3 Risk Management Program B S & E CO INC r'l Hazardous Waste On-Site Treatment LOCATION: 1220 BRUNDAGE LN " OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: "~.-Ralp~'Huey'~i Issue Date Bakersfield, CA 93301 omceof£,i, ona,.,taTs~ic~ Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: June 30.. 2003 BAKERSFIELD FIRE DEPART/~ikNT BUREAU OF FIRE PREYEN~I!I~N ~'" APPLICATION ' ~li~ti~ No. In conformity with provisions of pertinent ordinances, codes and/or regulations;.:.oppliCation is made Name of Company Address, to display, store, install, use, operate, sell or handle materials or processes involving:,' Or creating con- ditions deemed hazardous to life or properh,' as follows:' __ ~'"') 5,000 .sat tanh~ = '~-5 .~a.=o!~-,-, ~,,~, '~5. diesel to be located at ,  Authoriz~ Repm~ntative issued ..... ~,~ ................ ' ........... By A.~: ~~~C ~ ' Permit denied ............................................................................... C~) Fim ~l BAKERSFIELD FIRE DEPARTMent4' BUREAU OF FIRE PREVENTION Date APPLICATION Application No. In conformi~ with provisions of ~rtinent ordinances, c~es and/or regulations, application is made by: Name of Company Addre~ ta display, store, install, u~, o~rate, sell or handle materials or pr~esses involving or creating con- ditions deemed hazardous to life or pro~r~ as follows: Location: / ~ ~0 ~~.J.~s ~= /r~ ID# Business Name: ,~ ~ F Contact Name: ~--.~', ( ~ ~C ~.~ ~ 7 Business Phone: ~7-~R F~: .. Insp~or's N~e: .~. ~~ ~me of C~I: Date: (/~/~ Time: ~:3~ · Min: ~ Type of C~I: Incoming [ ] Outgoing [ ] Return~ [ ] Content of Cal: ~~/~ 4~ ~ ~A~ ~ ~ ~/'~ ~ / Actions Required: · Time Required to Complete Activity # Min: Bakersfi, ;Id ~ ~. 7-:. Kern County Fire Department MIKE KELLY THOMAS P. McCARTHY FIRECHIEF FIRECHIEF 2101 H STREET 5642VICTOR STREET BAKERSFIELD, CA 93301 BAKERSFIELD, CA 93308 (805) 326-3941 (805) 861-2577 TO: City & County Fire Department Personnel Date: December 21, 1994 Captain Terry Persinger has been placed in the position of Communications Center Manager. The appointment was a joint decision and will be in place until further notice. Captain Persinger has been given the responsibility and authority for the day-to-day management of ECC. Captain Persinger is an energetic and dedicated individual. Terry is easy to talk to and is willing to discuss any issues you may have. If you have any concerns about the Emergency Communications Center or its operation, please feel free to contact Captain Persinger at 861-2585. Mike Kelly, Fire Chief[ Dan Clark, Chief Deputy Bakersfield Fire Departfnent Kern County Fire Department 'if CITY of BAKERSFIELD "WE CARE" June 8, 1994 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R, KELLY BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Bob Phares B.S. &E. 6319 District Blvd. Bakersfield, CA 93313 RE: Underground Storage Tank Removal at 1220 Brundage Ln., Bakersfield, CA Dear Mr. Phares: This is to inform you that this department has reviewed the results of the underground tank removal report dated February 15, 1994. Based upon the information provided, this department has determined that appropriate response actions have been completed, that acceptable remediation practices were implemented, and that, at this time, no further investigation, remedial or removal action or monitoring is required at the above stated address. Nothing in this determination shall constitute or be construed as a satisfaction or release from liability for any conditions or claims arising as a result of past, current, or future operations at this location. Nothing in this determination is intended or shall be construed to limit the rights of any parties with respect to claims arising out of or relating to deposit or disposal at any other location of substances removed from the site. Nothing in this determination is intended or shall be construed to limit or preclude the Regional Water Quality Control Board or any other agency from taking any further enforcement actions. This letter does not relieve the tank ower of any responsibilities mandated under the California Health and Safety Code and California Water .Code if existing, additional, or previously unidentified contamination at the site causes or threatens to cause pollution or nuisance or is found to pose a threat to public health or water quality. Changes in land use may require further assessment and mitigation. If you have any questions regarding this matter, please contact me at (805)-326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician cc: Pat Mullhofer, Capli CALPI Date Reported: 02/27/94 Page ~1 P 0 BOX 6278 Date Received: 02/22/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01878-1 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK ~4 MIDDLE 17 ft. (SOIL) 02-22-94 FROM 9:00AMTO ll:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES,'INC. CHEMICAL ANALYSIS '' Method Constituents SamDle Results Units P.Q.L. Metho~ TOX None Detected mg/kg 20. SW-9020 P.Q.L. = .Practical Quantitation Limit (refers to the least amount of anal!roe detectable based on sample size used an~ytic~l~,~ce~ique ~o~ed) . ~;~ ~i:~.~!:~:: REFERENCES: '~ ~ ' ~ '~' ':~?~??~ EPA-SW-846, Septe~er, 1986. Supe~iso~ All resul~ lis~d in ~s m~ am for ~e exdu~ve u~ of ~e ~i~ng ~. ~ ~m~e~ In~ ~m~ no ~n~li~ for m~ ~m~on, ~n, de~ment or ~i~ ~ in~mm~on. CALpI Date Reported: 03/02/94 Page 1 P 0 BOX 6278 Date Received: 02/22/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01878-1 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK ~4 MIDDLE 17 ft. (SOIL) 02~22-94 FROM 9:00AM TO ll:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES, INC. TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) .~ ..... Regulatory Criteria Method STLC. TTLC Constituents SamDle Results Units P.Q.L. Method : mq/L mg/kq Lead 3.8 mg/kg 2.5 SW-6010 5.0 1000.- Comment: All above constituentS-are reported on an as received (wet) sample basis. Results reported represent totals (TTL~_~gs~. samplD~,s~iected_to~apgropriate~ techniques to determine total levels.~~ P.Q.L. = Practical Quantitation Limit (refers least amour of ana detectable.' based on sample s~ze used and analytical technique empr~yed) . STLC = Soluble Threshold Limit concentration TTLC = Total Threshold Limit Concentration SW = "Test Methods for Evaluating ~$d Wa sica al MethO~s~5 · Depar~nt. Supervisoz~ AIl resulm listed In this report are for the exclusive use of ~e submil~ng party. BC Labom~nries, Inc. assumes no responsibility for report aJteratlon, se~8on, de~men~ or ~ird ~ inm~mm~on. 41 O0 A~tes OC. · Baker~Seld, ~--~ ~ · L~0~) 3~::~7-4~1 1 · F~< ~ :2~-~7-191 8 Total Petroleum Hydrocarbons CALPI Date of P 0 B°X 6278 Report: 02/27/94 BAKERSFIELD, CA 93386 Lab ~: 94-01878-1 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK ~4 MIDDLE 17 ft. (SOIL) 02-22-94 FROM 9:00AM TO 11:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES, INC. Sample Matrix: Soil .~..._._ Method Constituents Sample Results Units P.Q.L. Method Total Petroleum Hydrocarbons 55. mg/kg 20. EPA-418.1 California' D.O.H.S Cert. ~1186 Department Supervisor All resu~ lismd in ~is m~ am ~ ~e exclude u~ of ~e ~i~ng ~. ~ ~m~e% In~ ~mes ~ res~li~ ~r m~ ~on, ~8on, de~ment or ~ird ~ inm~rem~on. CALPI Date Reported: 02/27/94 Page 1 P 0 BOX 6278 Date Received: 02/22/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01878-2 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK ~4 MIDDLE 22 ft. (SOIL) 02-22-94 FROM 9:00AMTO 11:00AMSAM~LED BY JERRY MASON OF BC LABORATORIES, INC. CHEMICAL~YSIS -.~. Method Constituents Sable Results Units P.O.L. Method TOX None Detected mg/kg 20. SW-9020 .. , P.Q.L.. = Practical Quantitation Limit (refers to the least ~.mou.nt of ~al~e detect~le based on s~le size used ~FE~NCES: . "~ SW = "Test Methods for Evaluaging EPA-SW-846, Sep~e~er, 1986. Depa~ene supe~isor '~ ' AIl resulmlismd tn ~is m~e ~r ~e exdu~ve u~ of ~e su~i~ng ~. ~ ~mmde~ In~ ~sumes no re~n~li~ ~r m~ ~mflon, ~flon, de~hment or ~ird ~ inmcmm~on. CALPI Date Reported: 03/02/94 Page 1 P 0 BOX 6278 Date Received: 02/22/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01878-2 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK %4 MIDDLE 22 ft'. (SOIL) 02-22-94 FROM 9:00AM TO ll:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES, 'INC. TOTAL CONCENTRATIONS (California Code of Regulations', Title 22, Section 66261) Regulatory Criteria Method . STLC TTLC Constituents S.amDle Results Units P.Q.L. Method mq/L mq/kq Lead 2.7 mg/kg 2.5 SW-6010 5.0 1000. Comment: All above constituents are reported o~._as rece~xed~wet) ~~sis Results reported represent totals (TT~ sampl~gcted .tec~l~es to dete~ne total le els. P.Q.L. = Practical Qu~titation Limit (refers to the~ least ~o~t of ~alyt%~ detect~le'" based on S~le size used ~d ~al~ical tec~i~e e~loyed). S~C = Sol~le Threshold Limit Concentration SW = "Test ~thods for Evaluating S~d Wastes P~slcal/Che~al Metho6~ EPA-SW-846, Septe~er, 1986. All re~l~ Iis~ in ~is m~ am ~ ~e exdu~ve u~ of ~e ~i~ng ~. ~ ~de~ In~ ~mes no res~n~li~ for ~ ~tem~on, ~on, de.merit or ~1~ ~ inm~rem~on. 41 ~A~as ~. - ~ake~eld, ~ ~ · ~ ~11 · Total Petroleum Hydrocarbons CALPI Date of P O BOX 6278 Report: 02/27/94 BAKERSFIELD, CA 93386 Lab ~:. 94-01878-2 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK ~4 MIDDLE 22 ft. (SOIL) 02-22-94 FROM 9:00AM TO ll:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES, INC. Sample Matrix: Soil Method Constituents SamDle Results Units P.Q.L. Method Total Petroleum Hydrocarbons 42. mg/kg 20.' EPA-418.1 California D.O.H.S. Cert. ~1186 Departnnent Supervisor All results lis~ed In this report ~ ~r ~e exclu~ve u~ of me su~i~ng ~. ~ ~mm~e% Inc. ~m~ no res~li~ ~r m~ ~tem~on, ~on, de~ment or ~i~ ~ inm~mm~on. 41 ~A~as ~. · Bake~eld, Report To: ~ Analysis Requested Name: D Project:/"~ i'~- ~. Address: 0 86X ~ Project~:~ ~ . v City: ~ Sampler Name~ ~,m~ = Stale: ~ Zip:~ Olher: ~ I1~ ~ro Phone: , La~ Sample Description Date & Time Sampled Commen,:, . Billing Into: R~,quishede~by:J~aturo).j, ]~~ ~:~g~o, ~ '.~ ~ Time: ~'n ~ o~ Name: ~G~ ~ ~ R~,quishe~y: (Signature) Receiv~ by~ignalure) ~~~ q -. Date: Time: ~ t~ Address ~~ City State Rolinquished by: (Signaturo) Recoivod by: (Signature) Dato: Time: ~ t ~r'T~ attontion: ~olinquishod ~ ~oph o~ ~. Miles: ,, ~olinqui,hod b~: {Signature) B~coiwd by: {Si~naturo) ~ato: Time: ~p~b~~ P.O.¢ 0~.--'30:q q ~ 9 ' Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ B¢Dis~sal ~ 5.~ ea. ' ~. Re~urn to client February 15, 1994 JUN S199 Bakersfield City Fire Department i~-- 1715 Chester Avenue Bakersfield, CA 93301 ATTENTION: Mr. Huey Dear Mr. Huey, SUBJECT: PERMIT #BR-0085 On February 3, 1994, CALPI, Inc. removed two (2) - 5,000 gallon gas, one (1) - 5,000 gallon diesel and one (1) - 550 gallon waste oil underground tanks from B. S. & E. at 1220 Brundage Lane, Bakersfield, Ca. The tanks, were'decontaminated on site using a high pressure steam cleaner and inerted with dry ice. Rinsate was disposed of at Gibson Environmental in Bakersfield, California under hazardous waste manifest ~ 91482699. The tanks were removed to Golden. State Metals. Soil was'sampled under the direction of the Bakersfield City Fire Department. The samples were analyzed at B. C. Laboratories of-Bakersfield for'TPH gas and diesel, BTX & E, lead, TOX and TPH. A complete chemical analysis is enclosed. In addition to the lab results, copies of the manifest, chain of custody and the tank disposition tracking record are enclosed. Please contact our main office at (805) 589-5648 if you have any questions or require further information. Sincerely, Pat Mullhofe~ ............ Supervisor PM/ph Santa 1~4aria, California 93454 (805) 925-2231 " Bakersfield, California FAX (805) $89-5312 GOLDEN STATE METALS, INC. : DISPOSAL FOR P. O. Box 70158 · 2OO0 E. Brundage Lane Date ~ ,10 Q ~,._~ Bakersfield, California 93387 Phone (805) 327-3559 · Fax (805) 327-5749 Contractor's Scrap Metals, Processing & Recycling License No. Contractor's Phone No. JOB SITE: DESTINA~ON: G.S.M. · 2000 E. BRUNDAGE LANE · K R ~ / QTY GALLONS SERIAL NET TONS EHSD PERMIT NO: ~" NO. 250 .14  550 .24 ~NSPECTION 2000 .97 ~CLEAN & DRY (ACCEPT), OR ~ RESIDUALS PRESENT (REJECT) 3ooo 1.32 / ~ OXYGEN CONTENT 7500 3.2e DISPOSAL FEE ...................................................................................................................... ~ g000 3.82 12000 4.g3 TOTAL All fees incurred are per load unless spec,fled. Terms are net 30 days from receipt of tank. Contractor's signature represents acceptance of terms for payment, and confirms CERTIFICATE OF TANK DISPOSAL / DESTRUCTION 'THI~TO CERTIFY THE RECEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WiLL B~COMPLETELY G A 16. GEHE~TOR~ ~FICA~OH: I ~reby ~ t~ t~ ~nten~ of t~ c~nt are fu~ ~ ~cu~e~ ~n~ a~e ~ proof shippi~ ~ a~ ~ c~. T E A C I L DO NOT WREE BELOWTHIS ~NE. FROM 02.14.1994 08:51 Purgeable Aromatics and Total Petroleum Hydrocarbons CALPI Date of P O BOX 6278 Report: 02/i2/94 BAifERSFIELD, CA 93386 Lab ~: 94-0i266-3 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK %1 WEST END 2FT. SAMPLED ON 2-3-94 AT 10:00~ THRU 12:00PM BY JERRY MASON TEST ~THOD: TPH by D.O.M.S. / L.U.F.T. Manual Method - Modified EPA 80i5 Individual constituents by EPA Method 50'30/8020. Sample Matrix: Soil Sample Date Sample Date Anaiysls Date Collected: · Received @ Lab: Completed: 02/03/94 02/03/94 02/08/94 Minimum Analysis Reporting RePorting Constituents Results Units... Benzene None Detected mg/kg '0. ~,0_0 5 Toluene None Detected mg/kg Ethyl Benzene None Detected mg/kg 0.005 Total Xylenes None Detected mg/kg 0.01 Total Petrole~ Hydrocarbons (gas) None Detected rog/kg ':~:?~:3.'%~¥~ California D.O.H.S. Cert. ~i186 ':~?~ .~ .... :~?~ Al[resu][slis~d~n this ~e~ are fo~e exclusive use of the su~m~ng ~. ~ ~ra~rles, Inc. assumes no responsibili~ for m~te~ion, sepa~tlon, deta~ment or ~d pa~lnterpre~on. 41 ~ Atlas ~... BakensfielO, CA 9~ · [~) 327~911 · F~ (~ 327-1 918 02. 14. 1994 05:52 NO. I P. 5 FRO.~ PurgeableAromatics and Total Petroleum Hydrocarbons CALPI Date of P 0 BOX 6278 Report: 02/12/9% BAKERSFIELD, CA 93386 Lab ~: 9%-01266-% Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK ~1 W~ST END 5FT. SAMPLED ON 2-3-9% AT 10:00AMTHRU 12:00PM BY JERRY MASON T~ST METHOD: TPH by'D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: 02/03/9A 02/03/94 02/08/94 Minimum Analysis Reporting Reporting Constituents Results. . Units Benzene None Detected mcj/k~ '%~.~!~ 5 Toluene None Detected mg/kg 0 E~hyl Benzene None Detected m~/kg 0.005 Total Xylenes None Detected· mg/kg 0.01 Total Petroleum Hydrocarbons (gas) None Detected mg/kg ..... ~ .............. ~ ~ '~ ~:~;: California D.O.H.S. Cert. Demar~ent supervisor All results ~sted i~ ~s re~ are for ~he excluslve use of ~e su~i~ng ~. FROH 02.14.1994 08:49 NO. I P. 2 Purgeable Aromatics and Total Petroleum Hydrocarbons CALPI Date of P 0 BOX 6278 Report: 02/12/94 BAKERSFIELD, CA 93386 · Lab #: 94-01266-1 Attn.: J.P. MULLHOFOR B89-5648 Sample Description: TANK ~1 EAST END 2FT. SAMPLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: 'Soil Collected: Received ® Lab: Completed: 02/03/94 02/03/94 02/08/94 Minimum Analysis Reporting ~eporting C0nsti~uent~ Results Units Benzene Toluene None Detected mg/kg Ethyl Benzene None Detected mg/kg 0.005 Total Xylenes None Detected mg/kg 0.01 Total Petroleum Hydrocarbons (gas) None Detected rog/kg "~:?~:~L~,.:.:.z:~,~ ..... ':~': ~.'":~ '~' . .% ,...~.~. ~.~ NI re. Its ~sted in mis re~ are f~ ~e exdu~ve u~ of ~e ~i~ng ~. ~ ~m~es, In~ as~mes no resp~ sl~li~ for re~ ~tem~on, ~pam~on, detach merit or ~trd pa~ in~remt~on. FROn 02.14.1994 08:§0 NO. 1 ff. ~ PurgeableAromatics and Total Petroleum Hydrocarbons CALPI Date of P 0 BOX 6278 Report: 02/12/94 BAKERSFIELD, CA 93386 Lab ~: 94-01266-2 Attn.: J.P. MULL~OFOR 589-5648 Sample Description: TANK %1 EAST END 5FT. SAMPLED ON 2-3-94 AT 10:00AM Th~RU 12:00PH BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received · Lab: Completed: 02/03/94 02/03/94 02/08/94 Minimum Analys is Report ins Report in~ C~onstitue. nts Results Units "-~ ~'.'.Level Benzene None Detected. mcj/kg Toluene None Detected mS/ks Ethyl Benzene None Detected ms/kg 0.005 Total Xylenes None Detected ms/kg 0.01 To=al Petroleum Hydrocarbons (~as) None Detected ms/kg California D O.H,S. Cert. %1186 All resul~ II!~ In ~ls re~ are for ~e exdu~ve use of ~e ~i~ng ~. ~ La~m~e % In¢. ~sumes ~ re~MnCbJli~ for re~ Cte~on, ~p~a~, de~chmen[ or ~ird p~ in~rpmmdon. 41SACes ~. · ~ke~eld. ~ ~ · ~) 327~91 I - P~ (~ 327-191 8 02.14.1994 05:5~ ~0. 1 P. 6 ~OB Purgeable Aromatics and Total Petroleum Hydrocarbons CALPI Date of P 0 BOX 6278 RePort: 02/12/94 BAKERSFIELD, CA 93386' Lab #: 94-0i266-5 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK ~2 WEST END 2FT. SA~PLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ® Lab: Completed: 02/03/94 02/03/94 02/08/94 Minimum Analysl s Report lng Report . . , .~...:~.: Benzene None Detected mg/k~ '~0~r 01~5 Toluene None Detected m~/k~ 0 ~'~'~5 Ethyl Benzene None Detected mg/kg 0.0%5 ~Total Xylenes None Detected mg/kg 0.01 Total Petroleum Hydrocarbons (gas) None Detected mg / kg '~'~i?~' ;i~: :~{~}~;~'"i'" ~i ¥.:~:~.: '"'~ ~, "~:~!/: :.~!i'i~?~- ?~.% :~ :':':..:...~ Department Supervisor All r~ults Iis~4 ;n this ro~ are f~ ~e exclu ~ve uso ot ~e m~i~ng ~. ~ ~ramrie% I~. assure ~ no re~n~i~[i~ f~ re~ ~te~t~n, ~pam~on, de~m ent or ~ird pa~ in ~rpre~tbn, 41 ~ A~as ~. · BakersSeld, CA 93~ · (~1 ~7~91 I · F~ (~ ~7-1 S1 8 0~.14.1994 88:54 NO. 1 P. ~ FROM Purgeable Aromatics and Total ~etroleum Hydrocarbons CALPI Date of P 0 BOX 6278 Report: 02/i2/94 BAKERSFIELD, CA 93386 Lab ~: 94-0i266-6 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: T~NK ~2 WEST END 5FT. SAMPLED ON 2~3-94 AT 10:00~kNI THRU 12:00PM BY JERRY MASON TEST METHOD: TPH by D.O.M.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ® Lab: Completed: '%~.'. ?,~ 0~/0~/94 0~/03/9~ 0~./08/9~ Minimum Analysis Reportin~ Reporting C, onstituen~s Results Units Benzene None Detected m~/k~ Toluene None Detected m~/k~ 0 ~" Ethyl Benzene None Detected m~/k~ 0.005 Total Xylenes None Detected m~/k~ 0.0~ Total Petrole~ "~i~!i J,~' ~:~!,i~. ..~, ~? ~,:.!~..~,?,,~ California D.O.H.S. Cert. ~1186 "~ Department Supervisor ::%:.' ~:.~."~ '~;{~?~'~ results listed in ~[s m~ff are for the exclusive u~ of t~ subml~ng ~. ~ ~m~des, Inc. essumes no respan~l{~ for re~ ~[e~on, FRO~I 02. 14. 1994 0~.'~5 NO. ! P. ~ Purgeable Aromatics. and Total Petroleum Hydrocarbons CALPI Date of P O BOX 6278 Report:. 02/14/94 BAKERSFIELD, CA 93386 Lab %: 94-01266-7 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK ~3 EAST END 2FT. SAMPLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ® Lab: Completed: 02/03/94 02/03/94 02/12/94 Minim~ ~alysis Reportin~ Reporting ~onstituents Results Units Level Benzene None Detected rog/kg Toluene None Detected m~/k~ ~thyl Benzene None Detected m~/k~ 0~'~'~5 Total Xylenes None Detected m~/k~ 0.6~ Total Petrole~ Hydrocarbons (diesel) None Detected m~/k~ ~0. Califo~ia D.O.H.S. Cert. ~1186 · .~...::~ Department Supe~isor ~,~,:::::a:.:~ ~::;'~':~::~:'~':~:" ~::~?~'~?~::~::~ '~:',.~,::..~':':.~m~',',~-..' ......... .~.', .-:." .': .'.'.."~ results ~s~d In this re~re for the exclu~ve use of ~e submi~ng ~, ~ ~m~rles. Inc. a~mes no resp~sibi[i~ fo~ re~ a~tem~on. ~p~tion, dem~ment or ~ird p~ Interpmmt~. FRO~ 02,14o19~4 08:5~ NO. 1 P. 9 Purgeable Aromatics and Total Petroleum Hydrocarbons CALPI Date of. P 0 BOX 6278 Report: 02/14/94 BAKERSFIELD, CA 93386 Lab #: 94-01266-8 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK #3 WEST END 2FT. S/LMPLED ON 2-3-94 AT 10:00AM THRU 12.:00PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: o2/03/94 0~./03/94 02/~2/~ 4 Minim~ ~alysls Reporting Reportin~ Const. ltupnt ~ Results 'Units ~:~:t?Leve ! · ~<: ;~:...: ..: :~f~.:~'.~,.: .:. : .~ Benzene None Detected rog/kg {t~%~:'~ 5 "%~< 't:'~{ Toluene None Detected mg/kg ~'~'~ 5 .... ~%"~'~ ~thyl Benzene None Detected mg/kg 0.6%5 Total Xylenes None Detected mg/kg 0.01 Total Petrole~ Hydrocarbons (diesel) None Detected mg/kg ,e~.~:~:~ ..... ' ............................... N~ resut~s li~d ;n this re~ ~re for t~ exclu~ve u~ of ~e su~i~ng ~. ~ ~rles, I~. as~mes no re~p~nsibi~i~ for re~ aite~tion, sep~t~, detachment or ~ird p~ interpremti~. Total Petroleum Hydrocarbons CALPI Date of P O BOX 6278 ReDort: 02/14/94 BAF~RSFIELD, CA 93386 Lab ~: 9%-01266-9 Attn.: J.P. MUI/~0FOR 589-5648 Sample Description: TANK ~4 MIDDLE 2FT. SAMPLED ON 2-3-94 AT 10:00AMTHRU 12:00PM BY JERRY MASON Sample Matrix: Method Constlt~9~ts Sample_Results._. Pn£ts P.Q.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Total Petroleum Hydrocarbons CALPI Date of ' P 0 BOX 6278 Report: 02/14/94 BAKERSFIELD, CA 93386 Lab ~: 94-01266-10 Attn.: J.P. MULLHOFOR 589-56&8 Sample Description: TANK ~4 MIDDLE 6FT. SAMPLED ON 2-3-9% AT 10:00AM THRU I~:00PM BY JERRY MASON Sam~!e Matrix: Soil Method' Constituents SamPle Results Units, ~ .Method Total Petroleum Hydrocarbons 110. mg/kg 20. · 02-15-1994 10:21AM FROM BC LABORATORIES, INC,. TO 5895312 P,OJ CALPI Date Reported: 02/15/94 Page 1 P 0 BOX 6278 Date Received: 02/03/94 ~ekKER~FIELD, CJ% 93386 Laboratory No.: 94-01266-9 Attn.: J.~. MLTL1/~OFOR 589-5648 SamDle Description: T~NK ~4 MIDDLE 2FT. SAMPLED ON 2u3-94 AT 10:00AMTHRU 12:00PM BY' JERRY MASON TOT~ CONCENTPd%TIONS (California Code of Regulations, Title 22, Section 66261) Regulatory Criteria Method STLC TTLC Cons.ti~ents .~amDle Results ~ D.Q.L. Method mq/L .mq/kq Lead None Detected mg/kg 2.5 SW-6010 5.0 1000. Comment: All above constituents are reporte~ on an as received (wet) sample basis. Results reported reDresent totals (TTLC) as sample subjected to ~ppropria~t? ~.Q.h.. ~ractlcal Qu~t~=ataon Ll~ (refers to ~least based on s~le size used ~d ~alygical t~i~e e~ed) . STLC = Sol.lo ~reshold Limiz Concenzration TTLC = Total Threshol~ Limi¢ Concentration SW = "Test Me=hods for ~valuatin~d Wast EPA-SW-846, Septe~er, 198~. ~ De~artmen~ · 02-15-1994 10:21AM FROM BC LABORATORIES, INC.. TO 5895312 P.02 CALPI Da~e Reported: 02/15/94 Page P 0 BOX 6278 Date Received: 02/03/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01266-10 Attn.: J.P. MUI,T~OFOR 589-5648 Sample Descrip=ion: TANK ~4 MIDDLE 6FT. S;~HPLED ON 2-3-94 AT 10:00AMTHRU 12:00PM BY JERRY MASON TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) Regulatory Criteria Method STLC TTLC Con~tltuent~ SamDle Re~gl~ ~ ~..Q._L, Metho~ mq/L m~/kq Lead 11. m~/kg 2.5 SW-6010 ~.0 1000. Commenn: All above co~%stinuents are reported onan as recg.iJ_9~_l,we=) sample basis Results reported represent totals (TT~~'sampl~cted techniques to determine total levels. P.Q.L. = Practxcal ~ntztatlon Lxmxt (refers =o =h~ieast ~o~ of ~al~de:ec=able based on s~le size used ~d ~al~ical tec~i~e ~pl~ed) . STLC ~ Sol~le T~eshold Limit Concentration ~C = Total ~reshold Limit COheSion ~ .~ ~~ ...... ' SW = Test ~tho~ for Evaluatmng S~d wastes ~s~cal/Che~al Meth EmA-SW-846, Septe~er, ~986. ':' '~ ' "" ',,~ .02-15-1994 10:22AM FROM BC LABORATORIES, INC.. TO 5895312 P.04 CALPI Date Reported: 02/15/94 Page 1 P 0 BOX 62?8 Date Received: 02/03/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01266-9 Attn.: J.P. MIILLHOFOR 589-5648 Sample Description: TA~TK ~4 MIDDLE 2FT. S~L~D ON 2-3-94 AT 10:00~ TTIRU 12:00PM BY JERRY MASON CHEMICD~LD/~uLYSIS Method ~Qnstituents S_arfple Results .b~i_%s P.Q.L. ~/9=hod T0X 25. mg/kg 20. Sw-9020 P.Q.L. = Practical Quantitation Limit (re~ers to the leas= amount of analy=e detectable based on sample size used a~%~ytica .-~,~ique ~FE~CES: Sw = "Tes= ~thods for =valeting Sol~wast~s Ph~cal/Cheml~ EPA-SW-846, Septe~er, 1986. "~' A~ r~ ll~d In ~iS ~we for ~e exctu ~ u~ of ~a submi~ng ~. ~ ~, ~n~ a~umes CALBI Date ReDor~ed: 02/lS/94 Page P O BOX 6278 Date Received: 02/03/94 ~AK~RSF!ELD, CA 93386 Labora~oryNo.: 94-01266-~0 Attn.: J.P. I~2TLI2qOFOR S89-5648 Sample Description: TANK $4 ~IDDLE 6FT. S~D ON 2-3-94 AT 10:00AM THRU 12:00P~ J~RRY M3~SON Method ConsUit~ S.ample Resu!~_~_ Un'ts B.0.L_~ Method ~X 27. m~/k~ 20. SW-90~0 p.Q.L. = Practical Quan:£:,a~ion Limit (re£ers ~o the least amount of EPA-SW-8~6, Septe~er, 1986. '~ ~ Department Supervisor~ '~ ' ~". ' r~;~ llsmd in ~s re~ a~ fO~ ~e exdu~ve u~ of ~e su~l~9 ~, ~ ~mmr~% la= ~umes ~ re~ ~liN ~ ~e~ ~e~o~, ~D~don, de~h ment or ~ird Repo~'_ o:.." ................ ~. ' ......................................... 'I.,~ Analysis Requested Nah3e:; I Project: Address: ¢¢, Proj~t ~: City: ~~[ Sampler Name:~ State: ~. ~her: Sample Descriptbn-- Date & Time Sampled Re,~quished by: (Signature) i .P, pceive~_ by: (Signature). ~)ate: Time: Comment: _ : Billing Info..__~: t_ ~Jr.~h.rL~ ,~,'~,vry%] (./~LJ,- ~ ~'-~ ~ 0 ~ ~ ~ ;Name: ~ ~ ~~ Re~uishe~y: (Sbnature) by: (Sbnature) Date: Time: ~ ~ ~~ C,y 'Stat; ~Relinq~ishedby:(S~nalure) Rece~by:(S~nature) Date: Time: ~0 ~, ~ ~--~ ___ __ ~l,~uished by: (S~nat'ure) I Receiv~ by: (Signature) Date: Time: ''.~ ~~' Miles: . ,, Reii~Uis~'d ~,: (Sig.atUm)I Re[eiv~ by: ,Signature) .Date:Time: ~"-,I Sample Dis~sal ~ ~7 ;~ l: q~ RelinquiShed by: (~gnatUre) ~ ReceN¢ by: (Signature) Date: Time; ~ . JD BCDis~sal~5.~. ,,, . D Return tocl~nt HAZARDOUS MATERIAL DIVISIO~ 2130 G Street, Bakersfield, CA 93301 (805), 326-3979 TANK REMOVAL INSPECTION FORM FACILITY ~.~,+ E. ADDRESS ;'~hO ~RUn,~,~ /~ C~[p' CONTACT PERSON'~.~ /N.~[X~ . CONT~CTOR ~BO~TORY~'[~o~;+o~f~<-- ~ OF S~PLES ~ ~ ' TEST METHODOLOGY ~7Y ~ ~ ~~ ' ~ T~ ~.I PRELI~NARY ASSESSMENT CO~- CONTACT PERSON CO2 RECIEPT ~ ~ %.~ LEL% .~ 0:% PLOT PLAN-' CONDITION OF TANKS CONDITION OF PIPING CONDITION OF SOIL c: COMMENTS }go ~[,,~o~ DA~ INSPEC~ N~ SIGNA~ PIoI' P'~n must show the followlng:l Roads and alleys buildings N 3. location of tanks, piping, and dispensers 4. utilities 5~ ~ 6. water wells (if on site) 7. any ofher relevent Information L~BO~ATO~IE~ CALPI Date Reported: 02/15/94 Page 1 P 0 BOX 6278 Date Received: 02/03/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01266-9 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TA~K ~4 MIDDLE 2FT. SAMPLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON CHEMICAL ANALYSIS Method Constituents Sample ReSults Units P..Q.L. Method T0X 25. mg/kg 20. SW-9020 EPA-SW-846, September, 1986. AII results lis~d in this report are for ~he excJu~ve use of t~e submJll~ng party. Bc Lab~m~ries~ ~nc~ assumes n~ resp~n~i~y f~r rep~rt ajtem~i~n~ separatj~n~ dem~hmen~ ~r ~ird pa~ inm~rem~i~n~ 4100 Atlas ~c. · Bakersfield, CA 93~0~ · [BOb--) 327-491 I , FA)((lEI05) 327-1918 L.~BO~ATOF~IES CALPI Date Reported: 02/i5/94 Page i P 0 BOX 6278 Date Received: 02/03/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01266-9 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK ~4 MIDDLE 2FT% SAMPLED ON 213-94 AT 10:00AM THRU 12:00PM BY JERRY MASON TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) Regulatory Criteria Method STLC TTLC Constituents Sample Results Units P.Q.L. Method mq/L mq/kq Lead None Detected mg/kg 2.5 SW-6010 5.0 1000. Comment: Ail above constituents are reported on an as received (wet) sample basis. P.Q.L. = STLC = Soluble Threshold Limit Concentration TTLC = Total Threshold Limit Concentration SW = "Test Methods for Evaluating'~:S6~;~d Wastes::.?~i~slcal/Ch~al ....... ~'~'~ Departmen~ All results lismd in this re~ are for ~e exclu~ve use of ~e su~i~ng ~. ~ ~m~es, Inc. ~sumes no res~nsi~li~ for re~ ~tem~on, sep~on, detachment or ~ird pa~ Jnm~remtion. L~O~TID~IES Total Petroleum Hydrocarbons CALPI Date of P 0 BOX 6278 Report: 02/14/94 BAKERSFIELD, CA 93386 Lab %: 94-01266-9 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK ~4 MIDDLE 2FT. SAMPLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON Sample Matrix: Soil Method . Constituents SamDle Results Units P.Q.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 California D O .H.S. Cert. ~1186 '~i~,~?~, ~?] ~!3i~ ~?~'~ ~ All results lismd in this re~ are for ~e exclu~ve u~ of ~e su~i~ng ~. ~ ~mmdes, Inc. assumes no res~nsi~li~ for m~ ~mm~on, section, detachment or ~ird pa~ Jnm~remtion. 41 ~A~as ~. · ~ake~eld, CA 8~ · ~ 327~911 · F~ [~ ~7-191 8 CALPI Date Reported: 02/15/94 Page P 0 BOX 6278 Date Received: 02/03/94 Bl%KERSFIELD, CA 93386 Laboratory No.: 94-01266-10 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TAi~K ~4 MIDDLE 6FT. sA~/PLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON CHEMICAL ANALYSIS Method Constituents SamDle Results Units P.Q.L. Method TOX 27. mg/kg 20. SW-9020 P.Q.L. = Practical Quantitation ·Limit (refers to the least amount of analyte detectable based on sample size used and~anatytica.l~Ce~ique e~t0~gd) . ~?~39~.~ REFERENCES: <~i:~ , ' ~;!~ ':~ "~?'~' SW = 'Test Methods for Evaluating Soli'~i~Wastes' Phys~cal/Chem~c~4 Methods ~] EPA-SW-846, September, 1986. ~"~ ~ ~ ~ CALPI Date Reported: 02/15/94 Page 1 ' P.O BOX 6278 Date Received: 02/03/94 BAY~ERSFIELD, CA 93386 Laborator%~ No.: 94-01266-10 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK %4 MIDDLE 6FT. SAMPLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) Regulatory Criteria Method STLC TTLC Constituents Sample Result~ Units P.Q..L. Method mq/L mq/kq Lead 11. mg/kg 2.5 SW-6010 5.0 1000. Comment:. All above constituents are reported on as received basis Results reported represent totals ~, .,. techniques to determine total levels. ??i P.Q.L. = Practical Quantitation Limit (refers to least of analyt, detectable': based on sample size used and analytical technique employed). STLC = Soluble Threshold Limit Concentration TTLC = Total Threshold Limit Concent~a, tion ~~ ~~ ~,~?:~,~,~ ~ '%~"~ ~i'-'i"?'~i~ i EPA-SW-846, Septe~er, 1986. " Department Supe~isor ~ %~:t,~© All ~esu]ts I[s~d i~ ~is ~e~ a~e fo~ ~e exclu~ve use of ~e su~i~o~ ~. ~ ~es, I.~. assumes ~ res~nsi~li~ fo~ re~ ~te~o., ~o., detachment or ~ir~ ~a~ incineration. 41 ~A~as ~. · Bake~eld, ~ 9~ · ~ 327~91 I · F~ ~ ~-1 ~18 Total Petroleum Hydrocarbons CALPI Date of P 0 BOX 6278 Report: 02/14/94 BAKERSFIELD, CA 93386 Lab ~: 94-01266-10 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: TANK %4 MIDDLE 6FT. SAMPLED ON 2-3-94 AT 10:00AM THRU 12:00PM BY JERRY MASON Sample Matrix: Soil Method Constituents Sample Results Units P.Q.L. Method Total Petroleum Hydrocarbons 110. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. g1186 ~ Department Supe~isor ~:~ AIIresui~lismdin ~is red,are for~eexclu~ve use of~e su~i~ng ~. ~ ~m~es, lnc. assumes no res~nsi~li~ for m~te~on. ~pam~on, de~chmentor ~ird~in~remtion. LABORkTOR[~S CALPI Date Reported: 02/27/94 Page 1 P 0 BOX 6278 Date Received: 02/22/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01878-1 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK ~4 MIDDLE 17 ft. (SOIL) 02-22-94 FROM 9:00AM TO ll:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES, INC. CHEMICAL ANALYSIS Method Constituents SamDle Results Units P.Q.L. Method TOX None Detected mg/kg 20. SW-9020 P.Q.L. = .Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used i ~e~p~o~ed) . REFERENCES: '~:~:~!~:,~ ' SW = "Test Methods fOr Evaluating' Soli Wastes cal/Chemi~i~ Methods'" EPA-SW-846, September, 1986. Department Supervisor All results listed in this report are for the exclusive use of the submitting party. BC LaboraDries, Inc. assumes no responsibility for report alteration, separation, detachment or Ihird party interpretetion. 4100Atlas Or. · I~@keesfield, CA ~)33(2)~ · (15)C)~) 327~491 I · FAX [B05) 327-191 8 LABORATORIES CALPI Date Reported: 03/02/94 Page P 0 BOX 6278 Date Received: 02/22/94 B~LKERSFIELD, CA 93386 Laboratory No.: 94-01878-1 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK #4 MIDDLE 17 ft. (SOIL) 02-22-94 FROM 9:00AMTO ll:00AM SD_W/PLED BY JERRY MASON OF BC LABORATORIES, INC. TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) Regulatory Criteria Method STLC TTLC Constituents Sample Results Units P.Q.L. Method mq/L . mq/kq Lead 3.8 mg/kg 2.5 SW-6010 5.0 1000. Comment: Ail above constituents are reported on an as received (wet) sample basis. Results reported represent totals techniques to determine total levels P.Q.L. = Practical Quantitation Limit (refers to detectabl~e.i based on sample size used and' analytical '"'~ STLC = Soluble Threshold Limit Concentration TTLC = Total Threshold Limit Concentration REFERENCES: SW = "Test Methods for Evaluating .d ~al EPA-SW-846, September, 1986. Depart~nt -Su~ervi sop ~?'~ All results listed in this red,are for the exclu~ve use of the su~i~ing ~. ~ b~m~ries, Inc. assumes no responsi~li~ for re~ alte~on, sepa~fion, de~chment or ~ird pa~ inmrpremtion. LABORATORIES Total Petroleum Hydrocarbons CALPI Date of P O B°X 6278 Report: 02/27/94 BAKERSFIELD, CA 93386 Lab ~: 94-01878-1 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK ~4 MIDDLE 17 ft. (SOIL) 02-22-94 FROM 9:00AM TO ll:00AM SAMPLED BY jERRY MASON OF BC LABORATORIES, INC. Sample Matrix: Soil Method Constituents Sample Results units P.Q.L. Method Total Petroleum Hydrocarbons 55. mg/kg 20. EPA-418.1 California' D O.H.S. Cert. g1186 Department Supervisor All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100Atlas Cc. · Bakersfield, CA 93308 · (805) 327-4911 · FAX [805) 327-1 918 LAE~O~ATORIES CALPI Date Reported: 02/27/94 Page 1 P 0 BOX 6278 Date Received: 02/22/94 BA/<ERSFIELD, CA 93386 Laboratory No.: 94-01878-2 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TAlgK ~4 MIDDLE 22 ft. (SOIL) 02-22-94 FROM 9:00AM TO ll:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES, INC. CHEMICAL D_NALYSIS Method Constituents SamDle Results Units P.Q.L. Method TOX None Detected mg/kg 20. SW-9020 P.Q.L.. = Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used ,ique REFERENCES: SW = "Test Methods for Evaluating Sol~ Wastes .cal/Chemid~ Methods" EPA-SW-846, September, 1986. Department Supervisor All results listed in this report are for the exclusive use of the s~bmitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or ~hird party interpretation. 4100Atlas CC. · Bakeesfield, CA 93308 · (805) 327~4911 · FAX (BOb--) 327-1 91 8 LABORATORIES CALPI Date Reported: 03/02/94 Page 1 P 0 BOX 6278 Date Received: 02/22/94 BAKERSFIELD, CA 93386 Laboratory No.: 94-01878-2 Attn.: J.P. MI/LLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: T/%NK ~4 MIDDLE 22 ft'. (SOIL) 02-22-94 FROM 9:00AM TO ll:00AM SA14PLED BY JERRY MASON OF BC LABORATORIES,'INC. TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) Regulatory Criteria Method STLC TTLC Constituents SamDle Results Units P.Q.L. Method mq/L mq/kq Lead 2.7 mg/kg 2.5 SW-6010 5.0 1000. Comment: Ail above constituents are reported Q~.~.~.~.S receJ Results reported represent totals (T~ ~ ::,' i techniques to determine total levels. '~%',~!~ P.Q.L. = Practical Quantitation Limit (refers to th~$:~ least of analyt~ detectable~'~ based on Sample size used and analytical technique employed). STLC = Soluble Threshold Limit Concentration :al Method EPA-SW-846, September, 1986. Department All results listed in this report ara for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachrnent or lhird party interpretation. 4100 Atlas CC, · Bakersfield, CA 93308 · (805) 327-4911 · FAX [B05) 327-191 E) LABORATORIES Total Petroleum Hydrocarbons CALPI Date of P 0 BOX 6278 Report: 02/27/94 BAKERSFIELD, CA 93386 Lab %: 94-01878-2 Attn.: J.P. MULLHOFOR 589-5648 Sample Description: BS & E, BRUNDAGE LANE: TANK %4 MIDDLE 22 ft. (SOIL) 02-22-94 FROM 9:00AM TO ll:00AM SAMPLED BY JERRY MASON OF BC LABORATORIES, INC. Sample Matrix: Soil Method Constituents gample Results units P.Q.L. Method Total Petroleum Hydrocarbons 42. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. ~1186 ~.~ Department Supervisor All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alterationl separation, detachment or third party interpretation. 4100Atlas CC. · Bakeesfield, (~A 9330~ · (80~) 327-491 I · F~X (B0~) 327-1 ~)18 ., Analysis Requested Report To' Name: ~'~I.LD~. Project: /~[.~_._. Address: pO. e~X ~y Project ~: ~~ ~ City: ~~~ Sampler Name~r~m~o~ = Stat~: ~ Zip:~~ Other: ~ }l~ ~ Phone: La~ Sample Description Date & Time Sampled Comment: Billing ,nfo: R~,quishoO,~by:~ature).], )~~ ~:~g~e) ~-~~t~ '~ ~ Time: ~n ~ o~ Name: S~ ~ ~~ R~,quishe~y: (Signature) Received by~ignature) Date: Time: ~~ City State Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ [ ~F'T~ A~ention: Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ ~p o~ ~ Miles: ~olinquishod by: (Si~naturo) ~ocoivod by: (Si~naturo) Dato: limo: ~p~p~ P.O.~ O3 -- ~ O q ~ -- ~ q Relinquished by: (Signature) Received by: (Signature) Date: time: ~ BCDisposal ~ 5.00 ea. ~ Return to client UNDERGROUND STORAGE TANK PROGRAM PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION SITE B S & E BRUNDAGE ADDRESS 1220 BRUNDAGE LN.zIp CODE 93313 APN -- FACILITY NAME B S & E CROSS STREET "L" STREET TANK OWNER/OPERATOR BOB PHARES. PHONE NO. 834-2700 MAILING ADDRESS 6319 DISTRICI' BLVD. CITY BAKERSFII~,D ZIP CODE 93313 CONTRACTOR INFORMATION COMPANY CALPI, INC. PHONE NO. 589-5648 LICENSE NO. "A" 506025 ADDRESS P O BOX 6278 CITY BAKERSF1-RTD ZiP CODE 93386 INSURANCE CARRIER STATE FUND WORKMENS COMP No. 1011809 PRELIMANARY ASSEMENT INFORMATION COMPANY CALPI, INC. PHONE NO. 589-5648 LICENSE No."A" 506025 ADDRESS P O BOX 6278 CITY BAKERSFI~D ZIP CODE 93386 INSURANCE CARRIER STATE FUND WORKMENS COMP No. 1011809 TANK CLEANING INFORMATION COMPANY CALPI, INC. PHONE No. 589-5648 ADDRESS P O BOX 6278 CITY BAKERSF/RT.n ZIP CODE 93386 WASTE TRANSPORTER IDENTIFICATION NUMBER 405240 NAME OF RINSTATE DISPOSAL FACILITY GIBSO~ ADDRESS ~ OF C~CZAL DRIVE CITY~~ ZIP CODE 93308 FACILITYINDENflFICAflON NUMBER CAD 980883177 TANK TRANSPORTER INFORMATION COMPANY CALPIr INC. PHONE NO. 589-5648 LICENSE NO."A" 506025 ADDRESS P O BOX 6278 CITY~,P, ZIP CODE 93386 TANK DESTINATION GOTL,DEN STATE F[EFI'A_LS TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL - STORED STORED PREVIOUSLY STORED 1 20 YRS 5000 GAS 73 & 93 2 20 "z'RS 5000 GAS " " 3 20 YRS 5000 DIESIk'T, " " 4 20 YRS 550 WASTE OIL " " THE APPLICANT HAS RECEIVED. UNDERSTANDS. A ND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS, .~ THIS FORM HAS BEEN C~MPLETED UNDER PENALTY OF PERJURY, AND fO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT. C/,~PP~,OVED ~ APPLICANT NAME (PR/,,NT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED pLO[ PLAN Ploi Plan must show the following:~ tl. r~oads, and alleys 2. buildings ~J' 3. location of tanks, piping, and dispensers 4. utilities 5. ,SCALE 6. water wells (If on site) 7. any other relevent information DEC-- I 5--9~ WEI) I 7 : i 6 ~B S:~ E CO . P . 0 1 i!~ B.S. & E. Co., Inc. "Yes We Have It" Equipment Rentals & Construction Supplies ~ 'Five Convenlont Locations .,~ B~kersfleld Bakersfield Bakersfield Tulam Visalia ~' DiStrict 417 ~eq~ucky 26260 N. Mooney 1924 E. Main '~',: 80g-327'-2288 805' 834'~00 805 322'7035 209-686-1566 209'732-5'621 = FAX TRANSMI AL , , :~ . ~, ' , .C~: Co: B, S. l E, Co, Inc. . F~X ~:': ' ~ Z ~ - ~ ~ 7 ~ FAX ~: 805-834-0678 .,~~ ............ ~ . ... ~: : ~q~ ~/pages:. Phone: 805.834-2700 ~,.,~;,~.~.~ .... ~ ~'", ......... =~ ........ . ,, ,,,,. ~?: .... ~ ......... ~,,,.,~,, ,, .... DEC-- I 5--9~ WED I ? .' 16 BS&E CO . P . 02 ~ ~' ~ ~ ' ' "'.,~': ,,' ,' iL,,,~ . ,... ...... .,.' :..,:,:, ,, ~,~ ~ ...... , :: ..... , ,, ,,..~ , . ~': Do You ~~ or ~ Prop*rty(ieO lh~ hav,~ .... 'rom, ,.:.,,''.- .... : . ,. ,?:,. : , . , .:..,? ... ~,:, -,,.:.'.' ,',~, ?::~: , .',:~ .... :,.:'.~ ~,' ,,, .~j, ~ ~ ,,:~ , ,,~ :/, -',.. , , . UNDERGROUND STOOGE TANKS- 'Urnar~ ..,- :. , .,.:. ., ....... .; . ..., . .'. :..:'.~:.'~.. ~:':.:~'.'~ ' "', D~em~r 31, 1993, pr~f of compliance mu~t be fil~. w~thm .~o~nlia~ ~: ? ...... ~... : ,:~:?... ~.:...c ?, :~;:,~:'~.. ::".!: ""..' ":':: aS"aays of the complian~ date 'with ~, 1~ ~nC~'0} .... .'"' "::: :[..~ :' .: '.[~?~"'.,: regu~a~o~ agenc7 who issue yaur ~ST ~rmit~, :~': , .. ,?~,'~ ,,.'..j~ ,~.~ S~ copy of C~rfiftca~'of Fina~ciat.R~on~b[l~ at~ch~. ,, ~Ount R~v~. - $I,~0,~ ~r ~u~ence / owners or ' ';who ":~." '.? .";.' ./...:..:.:' i "' ,., ',]~, '. - ~1,.~,~ ~nu~ ag,[ega~ t O~r{~.Withi2:.....:....' : ..~ OWn'~r~ . , ~ ~ . :.'.. *, r ., ~: ' . ' * ~ .; . ,; . ~oy Com~b "" "~': .... '""" '~'''''' .... :..; ;TO :/Self Insuran~ /Guarantee ........ .~, '~"."., "'.~: ::".i:'?.'..'~,?; ';. ~ I~urance d Bond' :': ?"'~" : , ., ,., .,:, }.' . ...,:~ /~er of Credit ~Trust Fund '" :' ~.~dby Trust ~nd ~ Californ'l~"~te ~nd, I~EC-- I 5--95 WEI] I ? : 1 ? BS&E ,CO . P . Remove, RepOt, Re~ofit or Insallation of Undcrgrbund . , .'~ ': '~ ...:, ;"' Tak owners" ~, insensible for the first $10,f eligible If COU~fivC action.is n~, after ~e cou~ c wi~ ~e C~ifomia H m ~d S~fctY Code. 5;' ::' "'"' FOR FAILU~ TO COMPLY .:=" . leopardiz~ ~li~ibility for use of ~e S~tc Cleanup,. Fund :,, ? . : ontact ccount Ex~utive or cc M na~ ];I E C-- 1 5--9;~ WED I ? : I 8 I~S&E CO . .P . 04 '?CERTIFICATION' "' OF,FiNANCIAL RESPONSIBILIiY '~ er ******* C U T O M E R D A T A ******** JOB NUMBER : 000019 CUSTOMER (COMPANY NAME) : BS&E EQUIPTMENT RENTAL CUSTOMER CONTACT(LAST, FIRST): BOB ADDRESS - LINE 1 : 1220 BRUNDAGE LN. ~ECE~¥ED ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ~P 2 2 1993 ZIP CODE (XXXXX-XXXX) : 93302 PHONE NUMBER (XXX)XXX-XXXX : HA~ ~,~AT. ~tV. ******* C O M M E N T L I N E S ******* WASTE OIL ******* S I T E D A T A ******** SITE NAME (COMPANY NAME) : BS&E EQUIPTMENT RENTAL SITE CONTACT(LAST, FIRST) : BOB ADDRESS - LINE 1 : 1220 BRUNDAGE LN. ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93302 PHONE NUMBER (XXX)XXX-XXXX : GROUND WATER LEVEL (FT) : 0 NUMBER OF TANKS : 1 LENGTH OF PRE-TEST (MIN) : 30 LENGTH OF TEST (MIN) : 180 " ~ ****~ T A N K D A T A ****** TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (IN) 47.5 LENGTH (FT) 5.97 VOLUME (GAL) 550 TYPE ST FUEL LEVEL (IN) 39 FUEL TYPE FUEL OIL dVOL/dy (GAL/IN) 11.30 CALIBRATION ROD DISTANCE I 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 INVOICE #RW000019 TEST DATE: 09/04/93 T.E.S.T., INC. 2727 KALIST SALOOM, SUITE 200 LAFAYETTE, LA 70503 TANK STATUS EVALUATION REPORT ***** CUSTOMER DATA ***** ***** SITE DATA ***** BS&E EQUIPTMENT RENTAL BS&E EQUIPTMENT RENTAL 1220 BRUNDAGE LN. 1220 BRUNDAGE LN. BAKERSFIELD, CA. BAKERSFIELD, CA. 93302 93302 CONTACT: BOB CONTACT: BOB PHONE #: PHONE #: ***** COMMENT LINES ***** WASTE OIL CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS. TANK #1: FUEL OIL TYPE: STEEL RATE: .043462 G.P.H. GAIN TANK IS TIGHT. ******* C U S T O M E R D A T A JOB NUMBER : 000019 CUSTOMER (COMPANY NAME) : BS&E EQUIPTMENT RENTAL CUSTOMER CONTACT(LAST, FIRST): BOB ADDRESS - LINE 1 : 1220 BRUNDAGE LN. ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93302 PHONE NUMBER (XXX)XXX-XXXX : ******* C O M M E N T L I N E S ******* WASTE OIL ******* S I T E D A T A ******** SITE NAME (COMPANY NAME) : BS&E EQUIPTMENT RENTAL SITE CONTACT(LAST, FIRST) : BOB ADDRESS - LINE 1 : 1220 BRUNDAGE LN. ADDRESS - LINE 2 : CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93302 PHONE NUMBER (XXX)XXX-XXXX : GROUND WATER LEVEL (FT) : 0 NUMBER OF TANKS : 1 LENGTH OF PRE-TEST (MIN) : 30 LENGTH OF TEST (MIN) : 180 ~ ' ' *** * T A N K D A T A ******** TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (IN) 47.5 LENGTH (FT) 5.97 VOLUME (OAL) 550 TYPE ST FUEL LEVEL (IN) 39 FUEL TYPE FUEL OIL dVOL/dy (GAL/IN) 11.30 CALIBRATION ROD DISTANCE I 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 INVOICE #RW000019 TEST DATE: 09/04/93 T.E.S.T., INC. 2727 KALIST SALOOM, SUITE 200 LAFAYETTE, LA 70503 TANK STATUS REPORT -- ULLAGE TEST ***** CUSTOMER DATA ***** ***** SITE DATA ***** BS&E EQUIPTMENT RENTAL BS&E EQUIPTMENT RENTAL 1220 BRUNDAGE LN. 1220 BRUNDAGE LN. BAKERSFIELD, CA. BAKERSFIELD, CA. 93302 93302 CONTACT: BOB CONTACT: BOB PHONE #2 PHONE #: ***** COMMENT LINES ***** WASTE OIL CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS. TANK #1: FUEL OIL TYPE: STEEL SN: -.05 TANK IS TIGHT. JOB NUMBER : 000010 RECEIVED CUSTOMER ( COMPANY NAME ) : B.S. & E. CUSTOMER CONTACT(LAST, FIRST): SIP 2 2 1993 ADDRESS - LINE 1 : 1220 BRUNDAGE LN. ADDRESS - LINE 2 : HAZ.~AT. OIV. CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93301 PHONE NUMBER (XXX)XXX-XXXX ******* C O M M E N T L I N E S ******* ******* S I T E D A T A ******** SITE NAME (COMPANY NAME) : B.S.& E. SITE CONTACT(LAST, FIRST) : ADDRESS - LINE 1 : ADDRESS - LINE 2 : CITY, STATE ZIP CODE (XXXXX-XXXX) : PHONE NUMBER (XXX)XXX-XXXX : GROUND WATER LEVEL (FT) : 20 NUMBER OF TANKS : 2 LENGTH OF PRE-TEST (MIN) : 30 LENGTH OF TEST (MIN) : 240 ****0* T A N K D A T A ******** TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (IN) 94.5 95 LENGTH (FT) 13.72 13.58 VOLUME (GAL) 5000 5000 TYPE ST ST FUEL LEVEL (IN) 67 67 FUEL TYPE DIESEL 1 REG UNLD dVOL/dy (GAL/IN) 61.19 61.10 CALIBRATION ROD DISTANCE 1 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 INVOICE #rw000010 TEST DATE: 07/30/93 T.E.S.T., INC. 2727 KALIST SALOOM, SUITE 200 LAFAYETTE, LA 70503 TANK STATUS EVALUATION REPORT ***** CUSTOMER DATA ***** ***** SITE DATA ***** B.S.& E. B.S.& E. 1220 BRUNDAGE LN. BAKERSFIELD, CA. 93301 CONTACT: CONTACT: PHONE #: PHONE #: ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERCROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/CAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 CALLONS. TANK #1: DIESEL FUEL 1 TYPE: STEEL RATE: .042759 G.P.H. CAIN TANK IS TIGHT. INV(~ICE #rw000010 TEST DATE: 07/30/93 T.E.S.T., INC. 2727 KALIST SALOOM, SUITE 200 LAFAYETTE, LA 70503 TANK STATUS EVALUATION REPORT ***** cusTOMER DATA ***** ***** SITE DATA ***** B.S.& E. B.S.& E. 1220 BRUNDAGE LN. BAKERSFIELD, CA. 93301 CONTACT: CONTACT: PHONE #: PHONE #: ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS. TANK #2: REG UNLEADED TYPE: STEEL RATE: .007410 G.P.H. LOSS TANK IS TIGHT. ******* C U S T O M E R D A T A ******** JOB NUMBER : 000014 CUSTOMER (COMPANY NAME) : B.S.& E. CUSTOMER CONTACT(LAST, FIRST): ADDRESS - LINE 1 : ADDRESS - LINE 2 : CITY, STATE : ZIP CODE (XXXXX-XXXX) : PHONE NUMBER (XXX)XXX-XXXX : ******* C O M M E N T L I N E S ******* ULLAGE TESTS FOR RWOOOO10. TANNK #1-5 K DSL. #2-5 K UNLD ******* S I T E D A T A ******** SITE NAME (COMPA/~Y NAME) : B.S.& E. SITE CONTACT(LAST, FIRST) : ADDRESS - LINE 1 : ADDRESS - LINE 2 : CITY, STATE : ZIP CODE (XY~-XXXX) : PHONE NUMBER (XXX)XXX-XXXX : GROUND WATER LEVEL (FT) : 20 NUMBER OF TANKS : 2 LENGTH OF PRE-TEST (MIN) : 30 LENGTH OF TEST (MIN) : 240 ' ** T A N K D A T A ******** TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (IN) 94.5 95 LENGTH (FT) 13.72 13.58 VOLUME (GAL) 5000 5000 TYPE ST ST FUEL LEVEL (IN) 66.87 67.8 FUEL TYPE DIESEL 1 REG UNLD dVOL/dy (GAL/IN) 61.28 60.58 CALIBRATION ROD DISTANCE 1 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 INVOICE '#RW000014 TEST DATE: 08/02/93 T.E.S.T., INC. 2727 KALIST SALOOM, SUITE 200 LAFAYETTE, LA 70503 TANK STATUS REPORT -- ULLAGE TEST ***** CUSTOMER DATA ***** ***** SITE DATA ***** B.S.& E. B.S.& E. CONTACT: CONTACT: PHONE #: PHONE #: ***** COMMENT LINES ***** ULLAGE TESTS FOR RWOOOO10. TANNK #1-5 K DSL. #2-5 K UNLD CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS. TANK #1: DIESEL FUEL 1 TYPE: STEEL SN: .03 TANK IS TIGHT. TANK #2: REG UNLEADED TYPE: STEEL SN: -.07 TANK IS TIGHT. ******* C U S T O M E R D A T A ******** JOB NUMBER : 000010 CUSTOMER ( COMPANY NAME ) : B. S. & E. CUSTOMER CONTACT(LAST, FIRST): RECE~/SD ADDRESS - LINE I : 1220 BRUNDAGE LN. ADDRESS - LINE 2 : S~P 2? 1993 CITY, STATE : BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) : 93301 HAZ. t~.AT' DiV. PHONE NUMBER (XXX) XXX-XXXX : ******* C O M M E N T L I N E $ ******* ******* S I T E D A T A ******** SITE NAME (COMPANY NAME) : B · S. & E. SITE CONTACT(LAST, FIRST) : \ ADDRESS - LINE i : ADDRESS - LINE 2 : CITY, STATE .' ZIP CODE (XXXXX-XXXX) : PHONE NUMBER (XXX)XXX-XXXX : GROUND WATER LEVEL (FT) : 20 NUMBER OF TANKS : 2 LENGTH OF PRE-TEST (MIN) .' 30 LENGTH OF TEST (MIN) : 240 ~ ~ ****~· T A N K D A T A **** TANK NO. TANK NO. TANK NO. TANK NO. I 2 3 4 TANK DIAMETER (IN) 94.5 95 LENGTH (FT) 13.72 13.58 VOLUME (GAL) 5000 5000 TYPE ST ST FUEL LEVEL (IN) 66.87 67.8 FUEL TYPE DIESEL I REG UNLD dVOL/dy (GAL/IN) 61.28 60.58 CALIBRATION ROD DISTANCE I 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 ~ INVOICE' #rw000010 TEST DATE: 0?/30/93 T.E.S.T., INC. 2727 KALIST SALOOM, SUITE 200 LAFAYETTE, LA ? 0 § 03 TANK STATUS EVALUATION REPORT ***** cusTOMER DATA ***** ***** SITE DATA ***** B.S.& E. B.S.& E. 1220 BRUNDAGE LN. BAKERSFIELD, CA. 93301 CONTACT= CONTACT= PHONE #= PHONE ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS. TANK #1: DIESEL FUEL I TYPE: STEEL RATE: .042759 G.P.H. GAIN TANK IS TIGHT. INVOIC~ #rw000010 TEST DATE: 07/30/93 T.E.S.T., INC. 2?27 KALIST SALOOM, SUITE 200 LAFAYETTE, LA 70503 TANK STATUS EVALUATION REPORT ***** CUSTOMER DATA ***** ***** SITE DATA ***** B.S.& E. B.S.& E. 1220 BRUNDAGE LN. BAKERSFIELD, CA. 93301 CONTACT: CONTACT: PHONE #~ PHONE #~ ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .10 GALLONS. TANK #2: PEG UNLEADED TYPE: STEEL RATE: .007410 ~.P.H. LOSS TANK IS TIGHT. JOB NUMBER : 000014 CUSTOMER (COMPANY NAME) : B.S.& E. CUSTOMER CONTACT(LAST, FIRST): ADDRESS - LINE 1 : ADDRESS - LINE 2 : CITY, STATE : ZIP CODE (XXXXX-~) PHONE NUMBER (XXX) XXX-XXXX : ******* C O M M E N T L I N E S ******* ULLAGE TESTS FOR RWOOOO10. TANNK #1-5 K DSL. #2-5 K UNLD ******* $ I T E D A T A ******** SITE NAME (COMPANY NAME) : B.S.& E. SITE CONTACT(LAST, FIRST) : ADDRESS - LINE 1 : ADDRESS - LINE 2 : CITY, STATE : ZIP CODE (XXXXX-XXXX) : PHONE NUMBER (XXX)XXX-XXXX : GROUND WATER LEVEL (FT) : 20 NUMBER OF TANKS : 2 LENGTH OF PRE-TEST (MIN) : 30 LENGTH OF TEST (MIN) : 240 · *** '* T A N K D A T A ******** TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (iN) 94.5 95 LENGTH (FT) 13.72 13.58 VOLUME (GAL) 5000 5000 TYPE ST ST FUEL LEVEL (IN) 67 67 FUEL TYPE DIESEL 1 REG UNLD dVOL/dy (GAL/IN) 61.19 61.10 CALIBRATION ROD DISTANCE 1 10.65625 2 26.95313 3 41.93750 4 56.93750 5 74.93750 INVOICE #RW000014 TEST DATE: 08/02/93 T.E.S.T., INC. 2727 KALIST SALOOM, SUITE 200 LAFAYETTE, LA 70503 TAi~K STATUS REPORT -- ULLAGE TEST ***** CUSTOMER DATA ***** ***** SITE DATA ***** B.S.& E. B.S.& E. CONTACT: CONTACT: PHONE #: PHONE #: ***** COMMENT LINES ***** ULLAGE TESTS FOR RWOOOO10. TANNK #1-5 K DSL. #2-5 K UNLD CUR~RENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR~IS .10 GALLONS. TANK #1: DIESEL FUEL 1 TYPE: STEEL SN: .03 TANK IS TIGHT. TANK #2: REG UNLEADED TYPE: STEEL SN: -.07 TANK IS TIGHT. BAKERSFIELD FIRE DEPARTMENT ~ HAZARDOUS MATERIAL DIVISION 2130 G'Street, Bakersfield, CA 93301 (805) 326-3979 RECEIVED ~SEP 2 2 ~9~ APPLICATION TO PERFORM A TIGHTNESS TEST HA?. M~T. DIV. FACILITY ~ ~ f ~'- ADDRESS / PERMIT TO OPERATE # ~O~ / C ~BER OF T~S TO BE TESTED ~ IS PIPING ~ING TO'BE TESTED TANK# VOLUME CONTENTS 1 '-2-'--,,, TANK TESTING COMPANY TEST N~E OF TESTER CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 210'~ H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 ' July 19, 1993 J.C. Whitney B.S.&.E. 1220 Brundage Lane Bakersfield, CA 93304 Dear Mr. Whitney, Enclosed, please find a copy of the approved tank integrity testers in California.. If I can be of any further assistance, please do not hesitate to call. Sincerely, Encl. REH/dlm CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON July 2, 1993 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 B S & E CO. 1220 BRUNDAGE LANE' BAKERSFIELD, CA 93304 RE: Monitoring requirements for underground storage tanks. Dear Business Owner: Our records reveal that no precision tank testing has been performed on the four underground storage tanks located at 1220 Brundage Lane. 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. Hazardous Materials Coordinator Underground Tank Program Facility ~f~/~m~_ Permit tr-~O. O0/G.: Month/Yr. Z. MAr 1.I have nOt done any major modifications ~o this facility during the laat t2 mon~hs. Signature 'NOte: Ali major modification~requi~e a ~e~lt ~b C~tr~C~ f~om the Pe~mitling Authority. 2, I have done major modifications for Which I obtain~ Permi~(s) ~ Construct from Permitting Authority Si~uatuue .Permit to Construct ~ Da~e .. 3. Repair and Maintenance Sua~ary Attach a sugary of all: --Routine and required maintenance done to this 'facility's tank-, piping, and monitorin~ equipment. --Repair of. submerged pumps or suction pumps. --Replacement of flow-restricting leak detectors with 8ame~ --Repair/replacement of dispensers, meteus, or nozzl&s. --Repair of electronic leak detection compdnentg~ or replacement with same. --Installation of bali float vaiVes~ --Ins~allation or repair of vapor recovery/vent lines. Include .the date Of each repair or maintenance activity. NOTE: All repairs or replacements in response to a leak require a Permit to Construct from the Permitting Authority as do all othe~ modifications to ta~s, piping or monitoring equipment not listed here. 4. Fuel Changes - Allowed for Motor Vehicle Fuel tanks oniy. List ail fuel stouage chan~es in ~anka, noting: Date(s), tank number(s), new fudl(s) stored. 5. InventOry control, monitOrin~ Is required for ~his facility on the Per~it to Operate, and I have not exceeded any reportable limits as listed in th~ appropriate ~inven~ory con, roi monitoring h~ndbook during the last twelve months (if ~~e, disregaud). Please attach current, completed Meter Calibration ~he~k POrm / / A.N, NLI~A:,L ,T. RE.,ND ANALYSIS SLIlVIlVlARY .......... '' ~.': : ':3~ '.. . 'l ......... ' TIME ,ERIOD: /. "to PERIOD 1: total Mtnuses'T'hlS'~e';~Od........, iLtne 3) Action Number for.this Period (Line 4) 'PERIOD 2: Total Minuses This Period (Line 3) / ' Action Number for ~h!s' PeriOd (Line '4) PERIOD 3: Total Minuses This Period (Line 3) ~-J' AC~!0n Number for lh!s Period (Line '4)' .~E,!~D 4: To~al Ninuses'~:hlJPer't°a (Line ...... a) ..... · ... , ~ ' '.~ '-.'. · · '" . ' ' 'i:'/' Action Number for this Period (Line 4) &"~ ...... · .."'['.'i' ' .. ' ' '' ' , PERIOD 5: Total Minuses This Period (Line 3) 3 Action Number for this period (Line 4) PERIOD 6: To~al Minuses This Period (Line 3) Action Number for this Period (Line 4)' ~ERIOD ?: Total Minusqs Thls'p~ri0d (Line 31 AcZi0n Number for this period (Line 4) PERIODS: Total'M~nuses This Period (Line 3) ' Action Number for this Period (Line 4")" ~ERIOD 9; Total Minuses This Period (Line 3) ~- . ./,;~ · ,*., .' - .,- ;. ,. -: . . . . .. , ,,, Action Number for this Period (Line 4) PERIOD 10: To}al Minuses This Period (Line 3) Action ~u~be~ foe this Peetod /&5 P~!~D !!: To~al Ninuses This ~ertod (Line 3) Action Number fOr ghts Period (Line 4) PgRIOD lg: !~1Ni~uses This' ~ertod (Line 3) I hereby.., ee~tf~ ' tru~ a~d accurate ~,port. iq: s~,~ %~ '/'/ ...... / ANNUAL TREND ANALYS I S SUI~NIARY Action Number for ,this Period (Line 4) PERIOD 2: Total Minuses This Period (Line 3) Action Number for this' PeriOd (Line 4) 3 PB~IO~ ~: Total ~inuses Thi~ Period (Line ~) ~ ' .. Action ~u~ber for this ~eriod (~ine 4) .PERIOD 4' TOtal ~n~ses T~s .:1:- ' Action ~umber for this Period (Line 4) Action ~umber for this Period (Line 4) PERIOD 6: Total Minuses This Pert°d (Line 3) '" Action ~umber for this Period (Line 4) "/~/,,,,, ,, PERIOD ~: Total ~lnuses This Period (hine.~) " ' PERIOD 8: Total ~inuses This Period (Line.2) " · Action Number for this Period (Line 4) PERIOD 9: Total Hinuses This Period (Line 3) -' Action Number for this Period (Line 4) QUOTER 4 TI~E PERIOD: ' ' to ~l' ~ /~ Action Nunber for this .eriod (Line ~lIOO 11: Total ~inuses This ~eriod (Line 3) Action Nunber for this ~eriod (Line ~BRIOD 12: Total ~inuses This' ~er~od (L~ne ~) ' Action ~u~ber for this ~eriod (~lne T "E iOD ,in.ses Yhi P ioa (Line ActiOn Number for this Period (Line 4) PERIOD 3: Total ~i~uSes This ~eri°d (Line 3) ~ - ~X.~ f,..:., ,. .-, .?. - .,.. . . , .PERIOD 4: T°~'AI "tnuse~' ~i~ F~ri~d (Line 3) ~Ridb ~: ~al ~i~U~es ~h~s P~iOd (Line 3) Action NUmber for ~his Period (Line 4) PERIOD 6: To~l ~i~dS~s ~hi~ Period (Line 3) ActlOn NUmber for this Period (Line 4) /~'-/ ~RioD ~: TO~I ,tfiu~es This Period (Line ~) ~'~ PERIOO 9: Total .f~ule~ T~i~ ~e~tOd (Line 3) Action N6abe~ for this Period (gine ~EA[O~'iO: ~ai ,,,u~. Thi~ p~riod (Line 3) - ZC.' '~ :. ,'3,.~ Action ~A~~ ~ ~i; ~to. (Line PERi0D 11: Total MinUses This ~eriod (Line 3) Acti~h ~u~be~ ~or ~i~ hesiod (Line 4) A~ttoh NUmbe~ for this Period (Line 4) -' / I ,ere,Y ~~ t~ff~ a~curate report. si~at~r, ...~-~ Daie ~TER C ALIBRAfrION CHECK FORM Note: l. All meters must have calibration checks a minimum of twice a year, which may include ~hecks done by the Department of Weights and Measures. .......................... 2 ..... Bef. one__star~ing____calibna~.ion__runs .... w. et_the,_~_alibna!ipR__cBD_~g!~__prod~_t__~q~ ................. return pFoduct to storage. 3. Run 5 gallons with nozzle wide open into ~the can. Note gallons and .cubic Inches d~awn, and return product to storage. 4. Run 5 gallons with the nozzle one-half open 'into t~ can. Note gallons and - cubic inches drawn, and return product to storage. 5. After all product for one calibration check is returned to storage, remember to record the volume returned to storage in column 9 of the Inventory Recording Sheet. 6. If the volume measured in a 5-gallon calibration can is more than 6.~'cubic inches above or below the 5-gallon mark, the meter requires calibration by a registered device repairman. Date/Time Hose ~Tank #/ Fast Flow Slow Flow Volume Returned[Calibration Device Repairman Date of Pump ~IProductl 5-Gallon Draft 5-Gallon Draft to Storage [ Required? Used for Calibration 'Ga!s Cu. Inches G~! Cu. In'ches~ Gallons -I Yes Calibration / - z 4-t ° l owner or O?erator Signature_ · Calibrator s Signature. ~~--- __~/ / '~eglstration · ~-(~k~ [ ] Northern Reg£onal Off£ce [ ] Central Regional Office .[~] Southern. Regional Office 4230 Kiernan Ave, Ste. 130 1999 Tuol~e S~. 2700 'N" S~., Su~e 275 Nodes~o~ ~ 95322 Fresno, ~ 93721 Bakersfield, ~ 93722 (209) 545-7000 (209) 497-1000 , (805) 861-3682 P~SE II V~POR RECOVERY INSPECTION FO~ CO.ACT ~ PHO~ = SYSTE~ TYPE~ [AliCE [ ]~D JAC~T [ ]~RT [ ]~E~Y [ ]~F ~SS~ [ ]~SSTECH NOZZLE NUMBER PRODUCT TYPE NOZZLE YPE CERTIFIED NOZZ~ CHECK V~ FACE P~TE/ SE~ RING, RI~T BELOWS SWI~L (S) ~OW LIMITER HOSE CONDITION HOSE LENGTH CONFIGURAT!ON SWIVEL OVERHEAD RETRACTOR POWER/ PI OT ON SINGS POSTED KEY FOR DEFICIENCIES: AD= Adjustment B = Broken F = Flat FR= Frayed K=Kinked L = Long LO= Loose M = ~ MA= Misallgned NC=Not Certified S = Short TN= Tangled TO= Torn KEY FOR INSPECTION RESULTS BLANK= In compliance T= Tagged out of order until repaired U= Taggable violation but left in use 7 = Repair within seven days * ¥1OLATIONS: Items coded with a "T" or "U" in the inspection l~sults, are in violation of San Joaqnin Valle)' Unified Air Pollution CofltrbJ District rule(s). The California Health and Safety Code (C.H.S.C.) spccifies penalties up to $I,000 per day for each da/of violation. * NOTE: C.H.S.C Section 41960.2 requires that the above 1½st*d '/-day deficiencies be repair wilhin 7 days, failure to do so may result }n legal action. VAPORZ.9~ .~ t~'°~; BAN JOAQUZN VALLEY UNIFTED AIR POLLUTION ROL D~TR~CT [ ]~ Northe~ Regional Office [ ] Central Regional Office [~] Southe~ Regional Office 4230 Kiernan Ave, Ste. 130 1999 ~olumne St. 2700 "M" St, Ste. 275 - Modesto, ~ 95356 Fresno, ~ 93721 Bakersfleld, ~ 93301 (209) ~45-7000 (209) 497-1000 (80B) 861-3682 P~SE I V~POR RECOVERY INSPECTION FO~ ~P- ~- ~o · CO, ACT: PHO~ SYSTEM ~E: [ ISEP. RISER [~]COAXI~ [ ]OTHER 1. TANK NUMBER 3. PRODUCT T~E 4. BROWN OR MISSIN6 V~OR 5. BROWN OR MISSIN~ FI~ 6. BROWN 7. V~OR ~S NOT PROPE~Y SEATED 8. FI~ C~S NOT PROPE~Y SEATED 9. GAS~T MISSING FROM V~OR 10. GAS~T MISSING FROM FI~ 11. V~OR ~TOR NOT TIGHT 12. FI~ ~TOR NOT TIGHT 13. DRY B~ GAS~TS DETERIO~TED 14. GAS~T BE~EN ~TOR ~E MISSING OR I~ROPE~Y SEATED 15. EXCESSI~ ~RTI~ P~Y IN COAXI~ FI~ 16. COAXI~ FI~ ~E SPRING ~C~ISM DEFECT~ ~7. ~ REP~a ~s~~ 18. FI~ ~E LENGTH ~AS~~ 19. DIFFE~NCE (SHO~ BE 6" OR LESS) 20. OTHER: CO~S INSPECTOR: DATE: ~'~%'~ RECEIVED BY: WARNING: Items checked above are in violation of San Joaquin Valley Unified A P i t C t ir o iu ion on roi Distrlc rule(s). The Cai ia Health and Safety Code specifies penalties of up to $1,000 per day for each violation. VAPOR 1.92 ;~ ~ Bakersfield Fire Del~ ,~i?.:.,ii!~. HAZARDOUS MATERIALS' DIVISION  .. 2130 G Street, Bakersfield, CA 93301 ~ .(805) 32~'. - '~/~ UNDERGROUND TANK QUES~ONNAIRE B.S. & E. CO., INC. ADORE~ PARCEL No.(OI~tONAL) 1220 BRUNDAGE LANDE CITY NAME BAKERSFIELD, ~' BOX TO INDICATE ~ CORPORATION [~1 INDIVIDUAL [~ PAI~INERSHIP C~LOCAL AGENCY DiST'~C,T~, ~ COtJh'IY AGENCY [~ STATE AGENC%' ~ FEDERAL AGENCY r-Ils FARM [~4 PROCESSOR ~5 DINER TO OPERATE No. EMERGENCY CONTACT PERSON (PRIMARY~ EMERGENCY CONTACT PERSON (SECONDAR~ optional DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE DAYS: NAME (LAST, FIRST} PHONE No. WITH AREA CODE WALKER, PHIL .. (805) 327-2288 NIGHTS: NAME (LASt FIRSI~ PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. FIR~ PHONE No. WITH AREA CODE WALKER, PHIL (805) 833-6035 II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION PHARES BORTHERS MAILING OR STREET ADDRESS ~' BOX 6319 DISTRICT BLVD. TOINDICATE . [~pARTNr_R~ta,O [~COUNTY AGENCY ["~FEDERAL AGENCY CiTY NAME STATE I ZIPCODE PHONE No. WITH AREA CODE BAKERSFIELD iCA It 93313 (805) 834-2700 III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRF.5~ INFORMATION B,~, & E. CO.~ INC. MAILING OR STREET ADDRESS ~' SOX [~ INDIVIDUAL [~ LOCAL AGENCY [~ STATE AGENCY 6319 DISTRICT BLVD TO INDICATE C~PARTHERSHIP ['ICOUNTY AGENCY ~FEDERAL AGENCY Y cnRPORATIO~ CITY NAME STATE ZiP CODE I PHONE No. WITH AREA CODE BAKERSFIELD CA 93313 I (805) 834-2700 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE * W~$T~ ~TL 1979-19~1 500 GAL WASTE OIL ~~/N ..~ .... ; * UNLEADED 1984 5,000 GAL UNLEADED FUEL f~ / i ,.~. 7'N ./' * REGULAR 1984 5. 000 GAL REGULAR ~v"'l N~~ * ~ 1984 . . _,~5 000 GAL ~/N Y/N Y/N *- WE IDENTIFY OUR TANKS BY PRODUCT INSTEAD OF TANK NUMBERS DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE ? .. ~ Fill one segment~&[ut for each .tank, unless· ~ tanks and piping are constructed of~ same materials, 'style arc. type, thenonly fill .... % one segment out. please identify tanks by owner ID ~. !. TANK DESCRIPTION cou~-m ALL ~S- SP~,~ ~ U~ C. OA~ INSTAL~D(M~AY~R) 1979--1981 m T~K C~AC~ IN ~ONS: 500 GAT,. IlL TANK CONSTRUC~ON MARKONEI~MONLYINGOXES~B. ANOC,~DA~ATAP~IESINGQXO A. ~PE OF ~ 1 ~UELE WALL ~ 3 SINGLE W~ Wl~ ~ERIOR L~ER ~ 95 UN~OWN SYSTEM ~ 2 SINGLE WALL ~ 4 ~CO~D~Y CONTAtNME~ ~AUL~DTAN~ ~ ~ DINER B. T~K ~ 1 ~RE STEEL ~ 2 STNNLESS S~ ~ 3 tuBEROUS ~ 4 STOL C~ W/FIBERG~ REINmRCED MATEm~ ~ 5 ~NCR~ ~ 6 ~LWI~L ~LORIOE ~ 7 ~MINUa ~ a ~. ~OL .... believe ~be~e ls C. I~ERIOR ~ 5 ~ LINING ~ 6 UNLIN~ ~ ~ UN~O~ ~ ~ O~ER UNING 18 ~ING MATERIAL ~MPATI~ ~ 1~ M~OL? ~S ~ ~ O. C0RROS~ON ~ 1 ~L~NE W~ ~ 2 ~ _ -~ ~ 3 ~L ~ ..... ~ 4 ?~E~G~8 REINFOR~B IV. PIPING INFORMA~0N m,cm · ~aaov~,ouNoo, u ~rUNO~,GROUNO. DO~Fa~Um~ A. SYS~M ~PE A U I ~C~ON A U 2 PR~SU~ A U 3 ~VI~ A U ~ O~ER B. CONSTRU~ION A U I S~G~ WA~ k O 2 ~a~ W~ k U $ ~ TR~ k U ~ UN~OWN C. MA~IALAND A U ! ~RES~EL A U 2 ~SS S~ A U 3 ~LW~YL ~RIOE(PV~A U 4 FIBERG~S PIPE CORROS[O~ A U 5 ~UMINUM A U 6 ~NCR~ & U 7 ST~LWICOA~G ~ U 8 1~ M~OL ~MPA~B~W~RP PROTE~ION A U 9 ~LVANI~D S~ A U 10 CA~ODIC PRO~CTION A U ~ UN~OWN & U ~ O~ER D. L~K D~E~ION ~ I ~TOMATICLINELE~O~CTOR ~ 2 LINET~ESS~5~ ~ 3 ~T~S~L ~NffORING ~ ~ V. T~K LEAK O~E~ON ' I ~ 1VISUAL CHECK ~ 2 'N~NTORY RE~[~TION ~ 3VAPORMONITORING~ 4 ~TOMATICTANK~UGING~ 5 GROUNOWA~RMONffORING} I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A' OwNER's rANK '' O''UNLEADED' REGULAR AND DIESEL 8' MANuFAcTTJRED eY: ITNIz~OWN ! C. DATE INSTALLED (MO/DAY/YEAR) ] Cl~/, D. TANK CAPACITY IN GALLONS: GAS-5,000 DIESEL 2,000EA. III. TANK ~O~TRUCTION blARKONEITEbtONLYINBOXESAB. ANDC, ANOALLTHATAPPLIE$1NSOXO A, ~J~PE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM ~j 2 SINGLE WALL ~ 4 SECON-~AR¥ CONT-AINM~NT (~ULTEoTANK)-- ~.~'~ OTHER B, TANK [] I 8ARE STEEL [] 2 STAINLESS STEEL [] :3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATFJ~IAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIGLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [:~ 95 UNIG~IOWN [] g9 OTHER [] , .US.ER L,.ED [] = L..G [] 3 [] ' ""ENO = LINING C. INTERIOR [] 5 GLASS LINING [] S UNUNED [~ 95 UNKNOWN [] 95 OTHER UNING IS LINING MATERIAL COMPATIBLE WITH 100'/. METHANOL ? YE,R__ NO__ 'O. CORROSION [] ~ mLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 mltERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [] ~ NONE [] aS UNI~qOWN [] ~ OTHER IV. PIPING INFORMATION cIRcLE a IFABOVEGROUNOOR U IFUNOERGROUNO. BOTH~FAP~.ICAaLE A. SYSTEM TYPE A(~) t SUCTION A U 2 PRESSURE ~ U 3 GRAVII'Y A U gg OTHER B. CONSTRUCTION ' A U 1 SINGLE WALL , A U 2 DOUBLE WALL A U 3 LINED TRENCH AQU.~?95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U ! BARE STEEL A IJ 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A IJ 4 FlllERGLASS PiPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL Wl COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A u 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION AQ'~?95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK OETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAl. MONITORING [] g9 OTHER V. TANK LEAK DETECTION '--W ' VISUAL CHECK [] 2 INVENTORY RECONCILIATION ~ 3 VAPO, MONITORING [----14 AUTOMATIC TANK GAUGING ~ 5 GROUND WATER MONITORING FILE CONTENTS INVEN?ORY ~]Permit to ~0~p~rate '~... ~2~~ ' Date []]Construction Permit ~ Date []Permit to abandon~ No. of Tanks Date [~Amended Permit Conditions ~Permit Application Form, ,9~ _ Tank sheets ~o+~Pi~: Application to Abandon tanks(s) Date ?~Annual Report Forms [']Copy of Written Contract Between Owner & Operator r~ Inspection Reports ~Correspondence- Received . ~ 'Da t e .... ,, Da te Date []Correspondence - Mailed Da te Date " ' Date []Unauthorized Release Reports []Abandonment/Closure Reports ~] Sampl lng/Lab Reports [MVF Compliance Check (New Construction CheCkliSt) []]STD Compliance Check (New Construction Checklist) [-]MVF Plan Check (New Construction) [STD Plan Check (New Construction) [MVF Plan Check (Existing Facility) []STD Plan Check (Existing Facility) []"Incomplete Application" Form []']Permit Application Checklist [-~ Permit Instructions F]Discarded []Tightness Test Results Date Da te Da te [qMonitoring Well Constru~i-6n Data/Permits [[]Environmental Sensitivity Data: [][]Groundwater Drilling, Boring Logs []]Location of Water Wells []Statement of Underground Conduits ~Plot Plan Featuring All Environmentally Sensitive Data ['l Photos Constructio~ D~awings Location []Half sheet showing date received and tally of inspection tim~. e~..~ [ Mi scel laneous T~%I~K FACILITY ;%[~NUAL REPORT 1. I have not done ann major modifications to this facility during the last 12 months. Note: All major modifications--re.lie a Permit to Construct irom the Permitting Authority. 2.' I have done major modifications for which I obtained Permit(s) ~ConstrUct from Permitting Authority Sl~ature .Permit to Construct $ Date 3.Repair and Maintenance 9~ary At~ach a s~ary of all: -- Routine ~d required maintenance done to this facility's tank, piping, and monitorin~ equipment. -- Repair of submer~ed pumps or suction pumps. -- Replacement of flow-restricting leak detectors with s~e. -- Repair/replacement of dispensers, meters, or nozzles. -- Repair of electronic leak detection components, or replacement with s~e. -- Installation of ball float valves. -- Installation or repair of vapor recovery/vent llnes. Include .the date of each repair or maintenance activity. NOTE: All repairs or replacements tn response to a leak require a ~ermlt to Construct from the ~ermitttng Authority as do all other modifications to ta~s, ptpin~ or monitoring equipment not listed here. 4. Fuel Chan~es - Allowed for Motor Vehicle Fuel tanks 0nly. List all fuel storage chan~es in tanks, notln~: Date(s), tank number(s), new fuel(s) stored. 5. Inventory control monitoring is required for this facility on the Permit to Operate, and I have not exceeded any reportable limits as listed in the appropriate inventory control monitorin~ handbook during the last twelve months (if not applicable, disregard). St~nature~ . ~-. 6. Trend AnaJ";~'~ ~ummary Please at~ .... inual Trend Analy~"- S~ary for the last 12 periods. 7. Meter Calibration Check Form Please attach current, completed Meter Calibration Check Form ANNUAL TREND ANALYSIS SUl~llw_3%RY / TANK ~ TIME PERIOD: to QUARTER I TIME PERIOD: '22 ' to ;~:.-5~- .... ~ · ~ ......: - ,.. PERIOD 1: Total ~lnuses This Period (Line 3) -' '',' f 7 ~,' ''. ' "" ,, - Action Nuaber for this Period (Mne 4) PERIOD Z: Total ~inuses This Period (Line 3) ~ . k .... .'7 ~ '"~'~ ' -'" "'' -'' A¢tlon ~u=ker for thta Perloa (~lne 4) P2aIOD S: Tota! ~inuses This Period.~LSne 3) ACtion N~be~ fo~ this Period (Line 4) PERIOD 4: Total Minuses This Period (Line 3) A~tion' Number for ~hts Period (Line 4) PERIOD 5: Total Minuses This Period (Line 3) .-.'" ,.~ ' :,~ ~ -... - - .:~. action Number for this Period (Line 4) PERIOD 6: Total ~inuses This Period (Line 3) '2f Action Number for this Period (Line 4) /~/ qUARTER ~ TIM~ PERIOD: ? ' to PERIOD 7: Total ~inuses This Period (Line 8) ~'~ action Nunker for this Period (Line 4) p':'~r. 'q:: .q ',,q.: , .,.- -. : ~ ' .: _ ~ · - P~a~oo s: Total Sinuses This Period (Line al Action ~uaker for this Period (Line 4) / PERIOD ~: Total Minuses This Period (Line 3) ., Action ~unber for this Period (Line 4) QU~TE~ 4 TINE PERIOD:' to ':'-:'."i' -?. '~ .....-'-' - -..' PERIOD 10: Total Minuses This Period (Line 3) Action Suaber for this Period (Line 4) [~ ~:'~ '.'Y'" t ~ '(' '-: ' '¢' ] '.' ' ' ' ' ' .': ~ -: ' PERIOD 11: Total ~inuse, Thl, PeriOd (Line 3) ~ctlon Number for this Period ~Llne 4} /~' PERIOD 12: Total Minuses This Period (Line 3) lction Number for ~his Period (Line 4) I hereby certify this is a true and accurate report. Signature .,._-_'~ ..'i:>'.~l~,,_';' x~,-~-< "L_ ..... Date ANNUAL TI~END ANALYSIS S.U.N[lV[~RY · ....,~'~tA . .., .;,.~ ~:.".~ ': . .? .......... J PERIOD 1: Total Minuses This Period {Line a) Aqtton Number for this Period (Line 4) eERiOD ~: Total ~!nuses This Period (Line a) IV Action Number for this Period (Line 4i PERIOD 3: Total Mlnuses. This ~erlod (Llne 3) Act!on Number for this Period (Line 4) ~-~ ..... ; , ~,. .PERIOD 4: To~al Minuses This Period (Line 31 Action Number for this Period (Line 4) PERIOD $: Total ~inu~o~ Thi~ Period (Line g} Action Number for this Period (Line 41 PERIOD 6: Total Minuses This Period (Line 3) ,~ Action N~ber for this Period (Line.~}' ' ~ERIOD 7: Total ~lnuses This'PeriOd (Line 3) Action Number for this Period' (Line 4)' //~ ~ERIOD 8: Total ~lnuses This ~eriod (Line 3) Action Number for this Period (Line 4) /~ PERIOD 9:. Totai Minuses This Period (Line 3) Action Number for this Period (Line 4) { "QUOTER 4 ~I~E PERIOD: lf~/~f to PERIOD 10: Total ~lnuses This Period (Line 3) Aq~on Number for ~his Period (Line 4) ~I~ 11: Total Minuses This Period (Line 3) .. '~ '[ '.~-''- ,~. .... c - , ~ ' ,.. ' .: ..~ ' '._ Action Number for ~hts Period (Line ~.,,'" ) ,~ .. ..~ .. Action Number for this Period (Line 4) I hereby certify this is a true and accurate report. ANNUAL TREND ANALYSIS SU~RY PERIOD ~: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD ~ Total ~inuses This Period (Line 3) Action Numbe~ fo~ this Period (Line 4) PgRIO~ 3~ Total ~inuse$ Thl$ Period (Line ~) Action Number for this Period (Line 4) PERIOD 4: Total ~lnuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD ~: Total ~inuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 8: Total ~inuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 7: Total ~lnuses This~ ~Period (Line 3) Action Number for this Period (Line 4) // PERIOD 8: Total ~lnuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 9: Total ~lnuses This Period (Line 3) Action Number for this Period (Line 4) /,~ . PERIOD 10: Total ~inuses This Period (Line ~) , Action Number for this Period (Line 4) [~.~, PERIOD 11: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) ,/~ PERIOD lY ..... ~1 Minuses This Period (Line 3) ..~-,Ac~ton Number for this Period (Line 4) I hereby certify this is a true and accurate report. Signature ~ ,~ ...... ,,,, ........ ~_. Date --~ i/ ' .;500 cilmore,4 . - a, k rsl;eid, C, di/: 9550#Record of Computer TOKHEIM DISTRIBUTORS (805) 327-9341 or Meter Change Make and Model Serial Number TaggeO I ReadinGs Start (money) Stert"'(gallons) Adjusted ~ ~t Slow Product ' Return toStorage (gallons) Totalizer Seaie~ · Mater Seal~ Make and Me,el Serial Number Tagged Tag Pump ~Red ~Green ~Blue Finish (money) Finish (gallons) ~libration: ~ Fast Slow Totalizer Checked Re~i~s ' Start (money~ Start (gallons) Adjusted Fast Slow To Product Re~urn to Sterne (gallons) Totalizer Sealed ~ Meter Sealed Make and Model Serial Number Tag~ Pump ~Red Totalizer Checked To Product Return to Storage (gallons) Totalizer Sealed Meter Seale~ - Maks and Model Serial Number Tag~d Tag Pump ~ffied ~Green ~81ue Finish (money) Finilh (gallons) ~libration: Fast Slow Totalizer Checke~ R~i~ Start (money) Start (gallons) AdjustedTo ~ast Slow Prod~t Re~urn Make an~ Model Serial Num~e~ Tagged Tag Pum~ ~Red ~Gree. ~Blue Totalizer Checked R~i~s Start (mone~) Start (gallons) Adjusted Fast Slow To Product Return to Storage (gallons) Totalizer Sealed ' Meter Sealed Make and Model Serial Number Tagged Tag Pum~ ~Red ~Green ~B ue Finish (money) Finish (gallons) Calibration: Fast ~Slow Totalizer · Checked Re~i~s Start (money) Start (gallons) Adiusted Fast Slow To Product Return to Stora~ (gallons) '~otaHzer Sealed ~ Me;er Sealed Distribution: Original (white) Invoice Copy DuDlicate (canary) File Copy Triplicate (pink) Dealer Copy C L- ALLEY EQ UIPME T C'OMPANY ~._IOKHE. I,M' ~ ,]500 Gilmore Ave. - Bakersfield, Cafif 93308 Record of Computer TOKHEIM DISTRIBUTORS (80~) 327-9341 or Meter Change Locat~o~ ~ I Stat,on number Oate I Job Numar ' ~"' 'g'~ ~ Computer Change Y .~,J*:~' , Make and Mo~el Serial Number TaggeO I Tag ~ Pump I Finish (monevJ Finish (gallons} Calibration: Fast ~ Slow Ra~ings Start (money) Start (gallons) Adjusted Slow Product ~ Return to Storage (gallons) Totalizer Sealed Merit Sealed Make and Model Serial Number Tagged Tag ~ · R~i~l Sta~'t (money) Start (gallons) Adjusted Fait Slow Product Return to Storage (gallons) Totalizer Sealed I Meter Make and Mo~el Serial NumDer Tag~ ~ Ta9 l R~i~ Start (money) " ' Start (gallons) Adjusted Fast Slow ' "*; ~ · ' · To Product Return to Storage (gallonl) Totehzer Sealed J Meter Sealed · I Make an~ Model Serial Number Ta~d I Tag l ~um~ ~Red ~Green ~Bl'ue Finish (money) Flnilh (gallons) Calibration:IiFats Slow I Totaliz~ Checked R~i~ Start (money) Start (gallons) Adjulted Fast Slow To Pro~t Return to Storage (gallons) Totalizer Sealed Meter Sealed 0 Y*, O No 0 v., 0 No Make and Model Serial Number Tagged Tag ~ Pum~ ~Red ~Green ~Blue Finis~ (money) Finish (gallons) Calibration: I Fast Slow Totalizer Checked R~i~s Start (mone%J Start (gallons) Adjusted J Fast Slow To Product Return to Storage (gallons) Totalizer Sealed Meter Sealed nv., ONo OY,, Make and Model Serial Number Tagged Tag ~ Totalizer Finish (money) Finis~ (gallonsi CalibratiOn:checked I Fast Slow Re~i~s Start [money) Start (gallons} Adjusted I Fast Slow To Product Return to Storage (gallons) Tot~12~Seeled J M~er Sealed Dealer's Sign~ur~ ,~. .., '. Maintenance ~an's ~ignature Distribution: Original (white) Invoice Copy Duplicate (canary) File Copy Triplicate (pink) Dealer Copy Permlt t - Date £nvJronmental Sensitivity .... .. Inspection Time UNDERGROUND HAZ.~RDOUS SUBST~-'~TCE STORAGE F~CILIT~?' * INSPECTION REPORT Facility Name --- '~ ' / --" Address / .... No. of Tanks ~-' Is Information on Permit/Application Correct? Yes __ No ~ Permit Posted? Yes ~ No Type of Inepectton: Routine - ~' Complaint Reinspection Comments: , ~ ~,' ' · - 'Y'? _ ": °~ '' ~ :,i -'- ~ ~ .. ..! ~'. ITE~ VIOLATIONS NOTED ~L, Primary Containment ~onltorlng: a. Intercepting and Directing System - d. In-Tank Level Sea~iag Device e. G~ouad~a~e~ ~onlto2ing f. V~dose Zone Hoatto~lng 2. Secondary Coataln~eat ~oaltoplng: b. Double-Walled Ta~k c. V~ult 3.Piping ~onltorlng a. Pressurized L~. Suction c. Gravity 4.. Overfill Protection ; 5. Tightness Testing 6. Ne~ Construction/~odlflcatlon 7. Closure/Abandonment 8. Unauthorized Release 9. ~ainteaance, General Safety and Operating Condition of Facility Comments/Recommendations: "~ Retnspectlon,scheduled? '" Yes/ ~No Approximate Relnspectlon Date ~: INSPECTOR: REPORT RECEIVED BY: (Form #HMMP-170) TANK FACI LI TY ;%i~NUAL REPORT Facility 2~P~)~/~-~/~ Permit # ~O00~c_. Month/Yr. ,b~ /~ ~ I have not done an~ majo~ mod~flcat~ons to this facility du~ln~ the last 1~ months. Note: All major modifications requir~ a Permit to Construct from the Permitting Authority. 2. I have done major modifications for which I obtained Permit(s) to Construct from Permitting Authorit~ Signature .Permit to Construct ~ Date 3. Repair and ~aintenance S~mary { Attach a summary of all: ~ -- Routine and required maintenance done to this facility's tank, piping, and monitoring equipment. -- Repair of submerged pumps or suction pumps. -- Replacement of flow-~estrictinK leak detectors with same. -- Repair/replacement of dispensers, meters, or nozzles. ~ -- Repair of electronic leak detection components, or replacement with s~e. -- Installation of ball float valves. -~ Installation or repair of vapor recovery/vent ll~es. Include .the date of each repair or maintenance activity. NOTE: Ail repairs or replacements in response to a leak require a Permit ~o Construct from the Permittin~ Authority as do all other modifications to ta~s, pipini or monitoring equipment not ~lsted here. 4. Fuel Changes - Allowed for Motor Vehicle Fuel tanks Only. List all fuel storage changes in tanks, noting: Date(s), tank number(s), new fuel{s) stored. 5. Inventory control monitoring is required for this facility on the Permit to Operate, and I have npt exceeded any reportable limits as listed in the appropriate inventory control monitoring handbook during the last twelve months (if not applicable, disregard). Stgnature'~~j~-~, ~ / (6. Trend Analysis Summary  Please attach Annual Trend Analysis Summary for the last 12 periods. · Meter Calibration Check Form Please attach current, completed Meter Calibration Check ~ ~ !~ ~ 0 ~? ~ ~ ~£R!'~ COUNT';' ~EAL'F!~ DE?T  ~ ~OKHEIM DISTRIBUTOR ~ DA~ ~ CITY~ _ _ O - R T ~ -- OFFICE -- ~ NOTIFY W&M. DATE ,~LKED lO ~AKE ~ ' MODEL S~RIAL NUMBER O~ PART NUMBER AND DESCRIPTION . f PRIMARY CAUSEICORREC31ONS MADE . /~¢ ~~ ~Z~ 2) Sales Tax ' ' ' 3) Freight It is understood and agreed that in event this bill becomes overdue and the seller commences legal 4) ~bor Total action for the collection of same, the buyer~ill pay all costs of collection including a~orney's fees. The title to the properly described herein shall remain the properly of the seller, and title shall not pass 5) Mileage Total lo purchaser until paid. A se~ice charge of 2%, equal to 24% per ~ar, charged on past due accounts. ~ERVICE WORK AccEPTED CAL VAL~ REPRESENTATIVE ' 6) Equipment Rental ~ 7) Outside Repairs IZDBY, . : ~ ". ~ '' ~U~~RDE~N~BE~: -'~:~ ::~ ' ? '::~:: ~E'PAI~~U~E~ ' ' : ~ ' ~ .... "~ I [~]elted ~ l~tlll tttike~ plate in w~t6i] {~;-".~chd eJlibrltJ~ ~ three un[~ a~ needed ...... ~ '.' ~:~ Mei~t,.{ ~a,u~l"..:i~talied ~hree f°ut i~h ~ti~ plate,. ~liva~ed one ~ ~'- ..... . .... ~-q . '-'1 ~ ~ ~ ~ · : . ~ ~ · ...... ~' . .- ~., :~: ~'~- -~ ~J I~: '.-: ,.'; , "~'~' + ~: 't.. 'Z~ t4 . .H- ~ :' ~: ~ ~,' ~ ~' ~ . ~' ~ .~,. .; ~ ... .~ ~,, ~* , .i -~'~'~ : ', , ~ : ; ~ ' ' ....... . .... ~ ....... :~.l -~, ~-, ~ ~ ~ ~ ~-~ ~,r..~, - ..~ ~.~ ~ ...~ i - TOTAL'' ,' ~ a~ ~ ~. ~ ~n~ ~, ~uaml ~m~ ~ m may ~ ~u~ ey c~ / I OI AID ~. .<. ~ , . . - ~:. ' PLEASE PAY ~ROM THIS INVOICE - ~ UNLE~ REQUESTED, , ~ --~ ~ ---~ I ~ ...... ~ ~ ........ ~.r~. .... -:"~ ~' '~ ;='~ ~'-- ~:~ -~ ~'~'- ....... ~:~T:'.-~I~-- '-- ' Phone: (805) 327-9341 ~ DATE ~ _ o ' TO  MODEL SERIAL NUMBER O~ PART NUMBER AND DESCRIPTION ~EPO~IED P~OBLEM PRIMARY CAUSE/CORRECTIONS MADE ~ 1) Pa~s 2) Sales Tax 3) Freight It is understood and agreed that in event this bill becomes overdue and the seller commences legal 4) ~bor Total action for the collection of same, the burr will pay a~l costs of collection including attorney's fees. ~e title to the prope~y desc~bed herein shall remain the prope~y of the seller, and title shall not pass 5) Mileage Total to purchaser until paid. A se~ice charge of 2%, equal to 24% per ~ar, charged on past due accounts. SERVICE WOR~CCEPTED CAL VALLEY REPRESENT~IVE 6) Equipment Rental ~vX , ~. ~'~. 7) Outside ~epairs TITLE DATE ~/~1 TOTAL AMOUNT DEPARTMENT OF WEIGHTS AND MEASURES COUNTY OF KERN STATE OF CALIFORNIA 1116 East California Avenue Bakersfieldo93307 Telephone (805) 861-2418 Certificate o/Inspection d :!5870 weights and meosures, so~d ~o be the proper~y o(, or used by OWNER FORMER NAME I NO DESCRIPTION Al,lB RE~ARKS ~- /- ~. ~ d: ,""'~ d', ,,"~ ~ 7-' ~ ': -?'~ ,.. I.)' !, I! ! ,4 , ,<_ ~ ....,-~..~ ~/z , ~:. TIME ou~ ~ ~e, Director TOTAL /~. CAL-VALLEY EQUIPMENT COMPANY $$00 Gilmore Auc. -. iJlak~rsficld, Calif 93308 Record of Computer rOKHEIM DISTRIBUTORS (805) 327-9341 or Meter Change ~ Make and Moclel Serial Number Tagged I F ~nist~ (money} R~ldlnj$ Star! {money} SIBfl {g~llon$} Adjusted Fa ~_~ Return to $-t~ra~ge {gallons) Totahze~ aaa~eO I Me,er Sealed Make and MaBel Serial Number Tagged J Tag Pump [~Red I--IG~aen l--]B~ue ~ ' / I=inish ~gallOns)' Calibration: Fast Slow ~:[~il~ Stat't {money} ~ Start {gallons} A~lusted Fas1 -- [ Slow Pro~gl R~luin lo ~torage {gallant) Totahler Sea{ed Meter Sealed ~ / ~Yes DNa ~Ye, I Ftn*sh~Monev~ / Finish (gatloni) ~hbratlon: Fast Slow R~i~s Start {money) Stert {gallant} Fast Slow MaBel T~ggea Ma~e ~O ~eriel Number Tag Pump ~Red ~Green ~Blue Finish (money) Fin{ih {gallons) Calibration:j[Fast }Slow TotmlizM Checked RJi~l Start (money) Start (gallons) Adjulted J Fast Slow To Prod~l Return to Stot~e (gallons) Totalizer Sealed ~ Meter Sealed Make and Model Set,al Numar TaRed Tag Pump · ORed ~Green ~Blue Finis~ (money) Finish ~glllonl) ~iiibrllion: Fast Slow R~i~l ~tart (mone~) Start (gallons) Adjusled Fasl Slow To ProGuct Return to Storage (gallons) Totalizer Sealed ~ Meter Sealed D v,, O Make eno MaBel Serial Number Tagged J Tag Pump ~ Re~ DGreen ~Blue F in{ih (money) F,nith {gallant) Calibration: J F asr j Slow Totalizer Checked Re~i~s Start (money} Start {gallons} Adiusted ] Fast Slow To Prod~Cl Return to Stora~ (gallons) Totei~zer Sealed M~ter Sealed Dealer's ~i~alure ,. /, - J Matnte~nce Man's S)gnature ' Bupli~le {~n~ry) File COpy ANNUAL TREND ANALYSIS SUMMARy PERIOD 1: Total Minuses This Period (Line $) /'~- Action Number for this Period (Line 4) PERIOD 2:- Total Minuses This Period (Line 3) Action Number for this Period (,Line 4) PERIOD 3: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 4: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD, 5: Total Minuses This Period {Line S) ~-~- Action Number for this Period (Line 4). PERIOD 6: Total Minuses This Period (Line 3) ~3 Action Number for this Period (Line 4) PERIOD ?: Total Minuses This Period (Line S) Action Number for this Period (Line 4) //7 PERIOD 8: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) /~,~ PERIOD 9: 'Total Minuses This Period (Line 3) Action Number for this Period (Line 4) /~? PERIOD 10: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) ,/~ ,~, ' PERIOD 11: Total Minuses This Period (Line 3) , Action Number for this Period (Line 4) · PERIOD 12: Total Minuses This Period (Line 3) /~ Action Number for this Period (Line 4) I hereby certify this is a true and accurate report. KER.N COUNTY HEALTH DEPARTMENT TREND ANALYSI S ImlORKSHEET NK # / CAPACITY 5-"-~'C~ PRODUCT ~.~ YEAR/PERIOD I NS T RUCTI ON~ : RT A : OVERAOE/SHORTAOE Fill in all information at top of form.. In the space for year/ I '16 period indicate the year and the DAY DATE (+/-) consecutive period of analysis AY I ~!~-~ ~?--- being conducted (from I throug~ AY 2 ''~ ~-~---- 12 only). Transfer the date and AY 3 .~' c~ the sign from columns 1 and 16 of AY 4 ~ ~'? Reconcilia~ion Sheet to columns AY 5 )~ ~! at left. Use the table below AY 6 ~/ ~ determine ~he action number for AY ~ ~i,// ~ the period being analyzed. AY 8 k AY 9 ~. ~.,~~, ACTI ON NUMBER AY 10 ~ ~ TABLE AY 12 l:' ~ 30-DAY { ACTION AY 13 ~ C~ PERIOD NUMBER{ NUMBER AY 14 ~ ~ I = 20 AY 15 ~ ~. 2 = 3~ AY 16 {~ ~ 3 = 54 AY 17 ~t ~ 4 = 69 AY 18 !k. ~ 5 = 85 AY 19 {6 - AY : v - { AY 21 ~ ~) { 8 = 133 AY 22 ~Q: 9 = 149 AY 23 I> ~ 10 = 165 AY 24 ~z' 11 = 180 :AY 25 ~ 12 = 196 .AY 26 :AY 27 ~ Circle appropriate period and :AY 28 ~ } action number. A full cycle ,AY 29 z>~ made up of periods 1-12, after AY 30 ~ which a new cycle begins. Use ~0TAL MINUSES ~ information to complete Part B. ART B: ACTION NUMBER CALCULATION ,ine 1. Total minuses this period-Part A ............ ~ine 2. Cumulative minuses from previous periods in this cycle. {~ ~ine 3. To~al ~lnuses (add lines ~ · 2) ............. [~ ~ine 4. Action number for this period (fro~ table above) .... ~ine 5. Is line 3 ~reater than line 47 ~Yes ~No If Yes, you 'have ~ reportable loss and ~ust be~in notification and investi~a~ion procedures as described in Kern County Health Department HANDBOOK ~UT-IO "STANDARD INVENTORY CONTROL ~ONITORIN6". gn~. ~lt~ 580 d113 1016 (6/86) ANNUAL TREND ANALYS I S SUlVIMARY PERIOD 1: TotM Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD ~:: Total Minuses This Period (Line ~) Action NUmber for this Period (Line 4) PERIOD g: Total ~inuses This Period (Line 8) Action Number for this Period (Llne 4) , PERIOD 4: Total Minuses This Period (Line 8) Action Number for this Period (Line 4) ~,, PERIOD 5: Total Minuses This Period (Line S) ActloB Number for this Period (Line 4) PERIOD B: Total Minuses This Period (Line ~) ~/ Action Number for this Period (Line 4) /'~/ PERIOD 10: Total ~lnuses This Period (Line 3) Action Number for this Period (Line 4) /g~ PERIOD 11: To~l Minuses This Period (Line 3) Action Number for this Period (Line 4) /~ PERIOD 12: To~al Minuses This Period (Line 3) Action Number for this Period (Line 4) h~reby certify this 1~ a true and accurate report. ~K · ~ CAPACITY ~-"~,¢~ PRODUCT J ~ Y~AR/PERIOD I NSTRUCTI ON$ : ~ : OVERAGE/SHORTAGE Fill tn all lnforaatton at top of for~. In the space for year/ 1 16 period indicate the year and the DAY DATE (+/-) consecutive .period of analysi~ ~Y I /~ ~ being conducted (froa 1 through ~Y 2 ~ c.' 12 0nly). Transfer the date and AY 3 "~ ~ the sign fro~ columns 1 and 16 of AY 4 ~ ~:;, Reconciliation Sheet to columns AY 5 - at left. Use the table below to AY 6 ~ determine the action number for AY 7 ~ ,./ the period being analyzed. AY 9 ~, ACTI ON NUMBER AY10 ~ ~ TABLE AY 11 ~' AY 12 9 ~ 30-DAY [ ACTION AY 13 ~- ~ PERIOD NUMBER] NUNBER aY 14 o' ~ 1 = ~Y 15 ~(~ ~ 2 = 37 ~Y 16~ ~ ~ 3 = 54 AY 1~ /~ ~ 4 .= 69 ~Y 18~ ~5 ~ 5 = 85 ~Y 19~ ~l~ '~ ' 6 ~ 101 ~Y 20 /~ ~ ~ - 11~ AY 21~ t~ ~ 8 = 133 ~Y 22 ~) ~ 9 ~ ~49 ~Y 23 /~- ~ lo = 165 AY ~ ~,~ ~ ~2 = ~9~ AY 26~ ~/ AY 27 )~ - - Circle appropriate period and AY 28 z~ ~ action number. A full AY 29 ~'~ ~ aade up of periods 1-12~ after ~Y 30 ~ ~ which a new cycle begins. Use OTAL ~INUSES information to complete Part B. ART B: ACTION NUMBER CALCULATION ine 1. Total ~lnuses this period-Part A ............ ine 2. Cu~ulative atnuses froa previous periods in this cycle. ~'~ ine 3. Total ~inuses (add lines 1 & 2) ............. ine 4. Action number for this period (fro~ table above) .... ine 5. Is line 3 greater than line 47 ~Yes ~No If Yes, you have a reportable loss and aust begin notification and investigation procedures as described in Kern County Health Department HANDBOOK ~UT-10 "STANDARD INVENTORY CONTROL ~ONITORING" nv. ~lth 560 4113 ~01~ ANNUAL TREND ANALYSIS SUltRY :~ QUARTER ~ TIME PERIOD: q? to ~ PERIOD 1: Total Minuses This Period (Line $) Action Number for this Period (Line 4) PERIOD 2:' Total Minuses This Period (Line 3) Action Number for this Period (Line 4) , PERIOD 3: Total ~inuses This Period (Line 3) _~ Actlon N~ber for this Period (Line 4} PERIOD 4: Total ~inuses This Period (Line 3) A~:lon Number fo~ thi~ Pe~lod (Line 4) '~ . PERIOD 5: Total Minuses This Period (Llne 3) Action Number for this Period (Line 4) PERIOD 6: Total ~inuses This Period (Line 3) _~ Action Number for this Period (Line 4) /~/ QUOTER ~ TIME PERIOD: i, tO . ~/' PERIOD 7: Total Minuses This Period (Line 3) Ac:leu Number for this Period (Line 4) // PERIOD 8: Total Minuses This Period (Line 3) Acllon Number for this Period (Line 4) /~ PERIOD 9: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) /~ ? QUOTER 4 TI~ PERIOD: ' ~ to ~ ~ ,, PERIOD 10: To~al Minuses This Period (Line 3) Action Number for this Period (Line 4) /,~ PERIOD 11: To~al Minuses This Period (Line 3) Aclion Number for this Period (Line 4) /~ PERIOD 12: Total Minuses This Period (Line 3) Action Number for this Period {Line 4) hereby certify this is a true and accurate report. INSTRUCTIONS: -.RT b : QVERA~E/SHORTAGE Fill tn all information at top'of for~. In the space for year/ I 16 period indicate the ~ear and the DAY DATE (+/-) consecutive period of analysis i)AY 1 .~% ~ being conducted (fro~ I through ~AY 2 ~m ~ 12 only). Transfer the date and .~AY 3 ~ ~ the sl~n fro~ columns I and 16 of ~AY 4 ~ ~ Reconciliation Sheet to coluans DAY 5 ~ ~ at left. Use the table belo~ to }AY 6 j~( ~ determine the action number for '3AY ~ ~i~ ~ the period being analyzed. )AY 8 ~ ~AY 9 ~ d.c.~ ACT~ ON NUMBER ~lY 10 ~ x TABLE ~AY 12 ~ ~ 30-DAY [ ACTION ~AY 13 9 ~. PERIOD NUNBER[ NUNBER ~AY 16 (~ ~ 3 = 54 .1AY 1 ~ (i ~ 4 = 69 )AY 18 tZ ~ 5 = 85 )AY 20 /~ 7 = 117 )AY 21 (~ 8 - 133 ~AY 22 (.~ ~ 9 - 149 ~V 23 /) ~ ~0 = ~65 3AY 25 ~ ~ 12 - 196 DAY 2~ ~ Circle appropriate period and .DAY 28 ~a ~ action number. A full cycle DAY 29 ~ ~ ~ade up of periods 1-12, after ~)AY 30 ~ ~ which a new cycle begins. Use ~OTAL ~INUSE~ I'~ tnfor~ation to complete Part B. ~ART B: ACTION NUNBER CALCULATION ~tne 1. Total ~tnuses this period-Part A ...... . ...... Line 2. Cumulative ~tnuses fro~ previous periods in this cycle. Line 3. Total ~tnuses (add lines 1 & 2) ............. Line 4. Action number for this period (fro~ table above) .... ~ine 5. Is line 3 greater than line 47 ~Yes If Yes, ~ou have ~ reportable loss and ~ust begin notification and investigation procedures as described in Kern County Health Department HANDBOOK ~UT-10 "STANDARD I~VENTORY CONTROL ~0NITORING". ~nv. ~lth 580 4113 1016 (6/86) T;%~K FAC! LI TY ~NUAL REPORT ~actllt¥ ~,_~__~z~ Permit # 9c~/c-- Month/Yr. / 1. I have not done any major modifications to this facility during the last 12 months. ~~ ~-~ Note:All major modifications requi~ a Permit to Construct from the permit~ing Authorit~. . 2. I have done major aodifications for which I obtained Permit(s) Construct from Permitting Authority St~ature .Permit to Construct $ Date 3. Repair and Maintenance S~ary Attach a smary of all: --Routine and required maintenance done to this facility's t~k, piping, and monitoring equipment. --Repair of submer~ed pumps or suction pumps. --Replacement of flow-restricting leak detectors with same. --Repair/replacement of dispensers, meters, or nozzles. --Repair of electronic leak detection components, or replacement with --.Installation of ball float valves. -- Installation or repair of vapor rec~very/vent lines. InclUde .the date of each repair or maintenance activity. NOTE: Ail repairs or replacements in response to a leak require a P~rmit to Construct from the Pernittin~ Authority as do all other modifica~ions ~o ta~s, pipin~ or monitoring equipment not listed here. 4. Fuel Changes - Allowed for Motor Vehicle Fuel tanks Only. List all fuel storage chan~es in tanks, noting: Date(s), tank number(s), new fuel(s) stored.. 5. Inventory control monitoring is required for this facility on the Permit to Operate, and I have not exceeded any reportable limits as listed in the appropriate inventory control monitoring handbook during the last twelve months (if not applicable, disregard). ~ Signature 6. Trend Analysis Summary Please attach Annual Trend Analysis Summary .for the last 12 periods, 7. Meter Calibration Check Form Please attach current, completed Meter Calibration Check Form ~,i>,'~' A/~NUAL TREND ~N~LY$ I $ ~.~,..,... . T~ ~. · TI~ PERIOD: - .- t0 ' '"'*~" ' ~U~TER 1 TI~ PERIOD: to %~:o~-."" ' PERIOD 1: Total Minuses This Period (Line 3) ~??~' Actlon N~ber for .this Period (Line 4) ~o , O~r:;..,,..,' PERIOD 2: Total Minuses This Period (Line 3) Z~I~', ":' . ~ ' · :'-:;~:~:i.::,'..:-.' Action N~ber for this Period (Line 4) g7 ' ' · ',.G%4.'., . -..,.~.,,..~. PERIOD 3: Total Minuses This Period (Line 3) .~:~':~ ..... Action N~ber for'this Period (Line 4) .;~[~,~:.c?,. QUOTER ~ TIME PERIOD: ~,~/~": .P~XOD 4: Total Minuses This Period (Line 3) ~-.,~.~.:~.~:" Action N~ber for this Period (Line ,4) ....... ""~ ' PERIOD 5: Total Minuses This Period (Line 3) '~'~':~"~;' Action N~ber fo~ th~s Period (Line 4) · ~"'~;"'"" PERIOD 6: Tota1 Minuses This Period (Line 3) · ~ ............ Action N~ber for this Period (LXne 4) /~/ '.:%?'?" PERIOD 7: Total Minuses This Period (LIne 3) -.v. Action Number for this Per~od (Line 4) // /' ....... ,"..".' Action N~ber for this Period (Line 4) /_~ '~"'~.:~,'f':? PERIOD 9: Total Mlnuses This Period (Line 3) ~:'.~/,i~?.:' ~tlon N~ber for this Period (Line 4) · .?'"":" ~U~TER 4 YI~ PERIOD: ~ to , :,...,,," .~. ..... '. PERIOD 10: Total Minuses This Period (Line 3) ,'?::.7;':~-'-.. Action Number for this Period (Line 4) "~:~.~L-:e. P~XOD 11: Total Minuses This Period (Line 3) · .~4~,-:',~:~,.-, Action N~ber for this Period (Line 4) /~ .:','.i,..::... P~IOD 1~: Total Minuses This Period (Line 3) · ,.;,~..,..~-:~ .' Iction N~ber for this Period (Line 4) · ~'"'~':¢:"~:' ' I hereby certify this ts a true and accurate report. , ;%~NUAL TREND ANALYSIS SU~[~5%RY TANK ~ TI~E PERIOD: to PERIOD 1: ~o~1 ~inu~es ~hl~ Period (Lln~ ~) Action N~mber ~or,~his P~riod (Line ~) PERIOD ~: Total ~lnuses This Period (Line ~) ActionN~ber for this Period (Line 4) ,~ . PERIOD 3: Total ~lnus~s This Pmriod (Line ~) Acliou N~ber for ~his Period (Lin~ 4) , PERIOD 4: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 5: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 6: Total Minuses This Period (Line ~) Action N~ber for this Peuiod (5ine 4) PERIOD 7: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) // PERIOD 8: Total ~inuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 9: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) /~ PgRIOD 10: To~al ~tnuse~ Thia P~,lod {htn~ a) PERIOD 11: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 12: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) I hereby certify this is a true and accurate report. ,, .~ ~NUAr- TREND ANA/.¥S I $ SUI~I~¥ ~;~,~::-- e~RIOD 1: To,al minuses This ~ertod (Line $) ~.~;??-:' , Action N~ber for this Period (Line 4) ~ .... .*;}~:,';.~,~." PgRIOD 2: Total Minuses This Period (Llne 3) :'~ ..... P~RIOD 3: Total Minuses This Period (Line 3) , ~'...': ':-' Action N~ber for Chis Period (Line 4) '~;~?~":'- .P~IOD 4: To,al Minuses This Period (Line 3) , .~'~,~"'- Action Number for this Period (Line 41 ';J:;'<':'"' PERIOD 5: To,al Minuses This Period (Line 31 _44 .,~-~.~,. Action H~ber for this Period (Line ';;";""'.... ......PERIOD 6: Total Kinuses' This Period (Line 3) :~:+'""" ' Ac~lon N~ber for this Period (Line 4) '~'~'~'"' P~IOD 7: Total Minuses This Period (Line 3) '. ':.,.... Ac~lon Nuaber for this Period (Line 4) //~. "~<'~':::" P~RIOD a: To,al ~lnuses This Period (Line 3) .......... · -.' &c~lon N~ber for t~ls Period (Line 4) :':::[:~://(~:" P~IOD 9: Total Minuses This Period (Line 3) ~ · ' ' .U~TER 4 TI~ PBRIOD: :~"'*'~'~" ' PERIOD 10: Total Minuses This Period (Line 3) .:;::,r:~.:~,.. Action Nuaber for Chis Period (Llae 4) [~ ':::..-h P~IOO 11: Total Minuses This Period (Line 3) ::<':?a?a~.....' Action N~ber for this Period (Line 4) , "~'~' PERIOD 12: Total Minuses This Period (Line 31 :'~:'~':~::, Action 'N~ber for this Period (Line ....... :, ~. - hereb~ certif~ this is ~ true and accurate re~or~ / bIETER CALI BRA'r!ON CItECK FORM Note: 1. All meters must have calibration checks a minimum of twice a year, which may Include checks done by the Department ~f Weights and Measures. 2. Before starting calibration runs, wet the calibration can with product and return product to storage. 3. Run 5 gallons with nozzle wide open into the can. Note gallons and cubic Inches drawn, and return product to storage. 4. Run 5 gallons with the nozzle one-half open into the can. Note gallons and cubic inches drawn, and return product to storage. 5. After all product for One calibration check Is returned to storage, .remember to record the volume returned to storage in column 9 of the Inventory Recording Sheet. 6. If the volume measured in a 5-gallon calibration can is more than 6 cubic inches above or below the 5-gallon mark, the meter requires calibration by a registered device repairman. Date/Time Hose or Tank #/ Fast Flow Slow Flow Volume Returned Calibration] Device Repairman Date of ~ Pump # Product 5-Gallon Draft '5-Oallon Draft to Storage Required? ] Used for Calibration Owner or Operator Slgn'ature :-'...--~___ ~ ~" Calibrator's Signature , ):¢~-~.~0_./. ~'~'~[/~'~Of~ - SUBMIT A COPY OF Tills FORM WIT~ ANNIIAL REPORT. I, .' LLE Y UIPMEI ('-}MPANY '$500 Gilmore Ave. - J~ke"rsfield, Cali~· 93308 ' Record etComputer TOKHEIM DISTRIBUTORS (805) 327-934'1 or Meter Change Make and Model Serial Number ~ ' / Tagged Tag ~ Finish (money) 'Finish (gallons) Calibration: Fast } [ Slow Readings Start (money) Start (gallons) Adjusted Fast ' ] SI . / Produc~ , Return to (gallons) Total(zee Seated ~ Meter S~ . Make and Me,el ,. Serial Number Tagged . J rag.~ .~ .C.~, Finish (gallons) ;: Calibration: ~ Fast } SIo~ .: Make and ~o~1 Serial ~um~er Taggea Ja~ ~ Finish (money) Finish (gallons) ~libration: Fast Slow . , totalizer Checked ' Readings Start (money) Start ~gallonsj Adjusted Fast Slow Product Return to Storage (gallons) Totalizer Sealed Meter Sealed '-~' ~ake and Model Serial Number Tagged Tag ~ Pump ~Red ~Green ~Blue Finish (money) Finish (gallons) Calibration: Fast Slow Totalizer Checked Re~i~s Start (money) Start (gallons) Adjusted Fast Slow To Prod~t Return to Storage {gallons) Totafizer Sealed Meter Sealed OYes ~No DYes Make and Model Serial Number Tagged Tag ~  Pum~ ~Red ~Green ~Blue Finish (money) Finish (gallons) Calibration: Fast ~ Slow ~otalizer Checked Start (mone~) Start (gallons) Adjusted Fast Slow ~HCI Return to Storage (gallons) Totalizer Sealed [ Meter Sealed ~~ ~Ye~ ~.o ~V., D.o  Make and Model Serial Number Tagged Tag ~ ~Red ~Green ~Blue  Finish (money) F{nish (gallons) Calibration: Fast ~Slow 1 er Checked  Start Imoney} Start (gallons) Adjusted Fast Slow To ~ Return to Storage (gallons) Totalizer Sealed Meter Sealed ~ture t ~' , ~ Maintenance Man's Signature ~Original (white)Invoic6'~o~y-- ~' '. / ,--"" ' ~uplicate (canary) File Copy  riplicate (pink) Oealer Copy :?"* J--': ' ' DEPARTMENT OF~'1 a AND MEASURES iii' COUNTY OF KERN . '~ STATEOF CAUFORNIA · ~'i J-- 1116 East California Avenue Bakersfield-9330/ , . ~a~~ ~ ~ of ~u~: .r : .... OWNER .>~. ~RMER' mi ,.]DESCRIP'TION AND 7 '~ x;f' , : ' / 7~ / f" ' ' ' '' /'/ t , ~ ., · . .,',~.,~,. . .......... ./~ .-, ,,. ~ tOWNE~'OR AGENT OF OWNER OF ~T " ~nty H. ~pp~, Pir~ , : ~.~:- ~': ,.~:,.. ,_ :_ ...... .. B.. & E. ~,!I ~anstru:t/an -- ACCOUNTING AND P.O. BOX 3217 BAKERSFIELD, CA 93385 ~aip~e~t ~mta/~ MAIN BAKERSFIELD BRANCH BAKERSFIELD BRANCH VISALIA BRANCH 417 KENTUCKY ST. (P.O. BOX 3217) BRUNDAGE & L STREETS 1924 E. MAIN BAKERSFIELD, CA 93385 BAKERSFIELD, CA 93304 VISALIA, CA 93277 TELEPHONE: (805) 322-7035 TELEPHONE: (805) 327-2288 TELEPHONE: (209) 732-5621 ff~y 3, 1987 Kern County Health Department Underground Tank Section _~ 1700 Flower St. Bakersfield CA. 93305 Sir, Attached data sheets are forwarded per your inspection report of ,5/20/87. Note variances continue to be out of allow'able standard thru-put t0I~/fa-ffces;.~Low thru-put accounting has been requested but not authorized. Loss reporting has not been initiated because we have no reason to believe any loss is occuring. !{ather the statistical and measuring methods prescribed are faul~y'i~ Similar data was provided on 6/1/87 for prior month and no response was recieved from your dePartment. l{e s pe c tively, Phillip v~r~lke r Manager I~NTORY RECORDXNG 9HEET IOPENING OPENING C~SING CLOSING METER DAILY ~TER ~TAL ~ING GAUGING GAUGING DELIVERED DATE ~UGING IM~ORY I~E~oItY RE~ING ' ~iNG o ~TERED ~JUSTME~ BEFORE AFTER i~ENTORY GAUGING SALES DEVILRY DELIVER~ D~Y/HOUR ~INCHES ~ppOS~ 'GALLONS 6~L~N~ ~L~ON~ GAmiNS , _ GALLONS. INCHES GALS' INCHES GALS OALLO~S' , ~. , . HEREBY CERTIFY TNAT T. IS 15 A ~UE AHD ACCU~TE REPORT. SIGNATURE ~~ ~~ DATE ' / XERN COUNTY HEALTH DEPARTJ4ENT I~RNll' e ~~/~ " EQUATION 2 .... EQuAT~o'N ~ ..... ~UAT~QN 4 ~PENING DELIVERED CLOSING IWENTORy ~TAL"N~TER~D" RE. lNG ~AL ~ETE~D ~L NETERED IWE~ORY ~OU~' DATE . I~EN~RY + I~ORY - I~E~R? ' ~DU~TION SALES ' ,..., ~J~S~E~ ' ~HR0~GHPUT ~HROUGHP~ - ~EDUCTION ' ~R ~ SHORT, ~,&/~o~R ~ALCO~S OA~CO~S OACLOSS OA~O~S OAL~OSS OALLO~S ~ALCO~S SALLOWS OA~SS *OAL~ -SA~S. ',-~,~ ~ ~ '~ .... ~ ~ ~ .............. ~ ~' , .... , ////////[//////// ,///////////')/// ~' ////////////////,///////////// - /~ /~ 3 [/~) /: z. ,, " I, z {~) l~, ~ ~/ ~;/~') I~2 . (~ ~,~ ........ ~,~ (~1 ~,~ .. ~ I ~ (~? } ////11///i/////)/, MIll~l~1~1~1~~~ ~ ~. ~. ' '" I IIIIIII!11111111,'11111111i1111 ~ ,~ ~tr S ~ ~ IIIIilll/llllllll,'l/1/1/H/1///// %0 ,~ I/llllll/l/lllll 'l/I1/1/1/IH/ - J,~ · ~ I&~ 16~ ~ (,2_ ~.~ ~ ~,~ ~[K 4 T~ALS, ~ i111111111111i111,'111111111111111 ~, ~'. iltlli1Iiiiiii11 ~11'11i1~111)11 , ,_ ~'.~ " --/ ~BLY ~S ~.~ ( 1/I/11111111111111111111111111111 . IIIIIIIIIIIIIlllllllllllllllllJ ~ ~-- A. Percent ~rJutJon: ,ount ~er/Short (~l. ,8, ~ bi.. ~ Tot,] bto~ ~r~put (~]. ,6) ~ .. blt. I IN- */ trifler'n B. Re~rt ShE: ~em the ~ount ~r or A. Percent Vmtfmtfon: bount ~.r/Short (Col. B. ee~rtinf: 1. ~eo the ~unt ~r or l~rt ms,ed ~.SO OaloT ~ - ~tlm mtiM mJt~l~ ~S - Inert uJthin ti burs of dis~ve~. A. Percent ~tJutJon: B. Re~ort luj: 1. ~s the ~ount ~r or Ibtt ~ leo ~le~ ~ - berlin ~tlM ~nltorlel ~ - Inert elthln ti burs et dls~e~. A. Percent V/rJotlon: !. ~em tb ~unt ~r or I~rt msceed I~ ~]e7 ~ - bntln~ routJM ~nftorlq . . ~ - b~rt within 84 ~ura or dl~ A. Perce~t Varlet n: KERN COUNTY HE/d.,TH DEP,A.RTIqI~NT' P~¢,iil'l' · I I%I~¢~NTORY RECORDI NO 6HEET · OPENING OPENING C~SING' CLOSING METER _ DALLY ~TER . ~TAL ~ING GAUGING GAUGING DELIVERED MATER ~TE ~UGING I~RY I~ENTORV RE. lNG RE.lNG ~TERED ~JUSTNE~ BEFORE AFTER I~ENTORY GAUGING SALES DELI~RY DEL] VERY DAY/ROUR INCHES GALLONS pALLOrS GAL~NS ~LLONS GALLONS -GALLONS I~CHES GALS INCHES GALS ~LLONS I N%~NTORY RECONCI LIATI ON 8HEET it '" E~UATION ~ ,, E~pATI~N ~ ' .,'; E~UATION DATF --~ OPENING. + DELIVERED - CLOSING . I~ENTORY TOTAL METERED _ RE.lNG . ~AL METERED ~AL METERED . I~E~ORY . ~OU~ ]~EHTORY ~Q~Y ]~ENTORY REDUCTlpN, SALES .... ~JUS~E~ THROUGHPpT THROUGHP~, REDUCTION ~R OR SHORT V'/IIOU~ GALLONS GALLONS GALLON~ pALLONS ,' ~LLONS ~ALLONS GALLONS ........ GALLONS ...... GALLONS *GAL~, -GALS~ . . ~ ~{~ ~',i "' t~,/ ~ ~ ' /~, , ~ ~ " ~7 ~ ' ~ .T .... _ ~,~ ~ ~,~' ~ ~ ~ I~ ~ III!1111111111111,')11111111111~1i !~,~ ~111111111111111111~11111111111 ~ ]z,~ ~ .~m/~' ~/, ~ ........ ~1,~-- , ~d ' ~.~ ~o ~i] l ~ ~/ ~ ~ ~ ?, ~ ,, , ~, z ~ ~I.~ ~ ~ ~ ~ ~ IIIIIIIIIlillll)l,'llllltlllllllll I~ ~. I lilt/lilt/l/Ill/tllllllllllllr , ~ ~3~' 1~ t~ /~ art s ~ l~& Itlll///lllillili,'/iitt/ti~t;llll ~ Z, ~ II;l;lilllllllll ,1;I;I/I/;;;;; ~. ~ _ -- ~2~ ~ ~ ~ ~.~ ~ 47.7 ,~7 .... ' ~'~ ~ ~ ~ ~ ~" , ..... ". ..,~.~ . . ~ " ~X ! ~T~S ~ Illlllll[l!lll!!ltll/llllllllllll~ I~,~ IIIIllllllltllllt/1/1/1/Ill/// 6.3.q . ~, ~ 2~ ~ ~7,4 47,4 ~StV ~S ~ /l//ll/I/llllllllll/ll//I/I///I/I '~-/. t/1/1/I1///H///////////////// Z ~l~rORY. I~ECONC I L X ATI 0~.... A. Percent ~nrlation: ,..o..t O,,.r/,,,or, ~. ~.) 13. ~ ~.. A. Kercen~ ~irlJtlon: ~/. B. ~e~rtln~: 1. ~em the ~unt ~r er 8~rt ex.ed ~50 Gale7 · A. PercenJ 1. ~s the ~ount ~r or ~rt ~ 150 A. Percent Variation: I. ~ea t~ ~unt ~r or 8hart ezceed j 50 hie7 ~ '- hntlnu rntlu Mnltorl~ ~' - h~rt within 14 ~ure- of disc A. Percent WnrJntlon: · .o.., ...,,~..t ,~,. ,,,-_ ~-7' .,.. + ~,., .,.~ ~., ,~,. ,,, ~f. ~ .,... ,.. ~ ,...,.,,. KKRN COUNTY iIKA. Z, TH DEPJLRTIVII~NT PERMIT e ,,~.~(~JC,,. I Iq~lr~;NTORY RECORDING BHEET~ · .... ,~OOAT~ 0~' m . OPENING OPENING C~SINO CLOSING METER DALLY WETER ~TAL ~lNO "' GAUGING GAUGING DELIVERED' MATER DATE ~UGING I~RY I~E~ORY ~E~iNG ~ING ~TERED ~JUSTME~ BEFORE AFTER I~ENTORY GAUGING 8A LES DE~ ] ~RY DEL' VERY OAY"/HOUR INCHES GALLONS GALLONS '~LLONS "GA'~Lq~ GALLONS -. ~LLONS lpCH~ GALS ]~CHES '~AC'S IN%'*vt"'*NTORY RECONCILIATXON 8HEET- D~T~ -- O"~NIN~ D~IV~R~D C~OSING I~ORY TOTAL "~T~Re" "~THG *~AL H~T~ReO ~AL "~TeRED I~EHTORY ~OUm I~EN~RY.* l~qRY ' I~ENTORY ' ~EDUCTION SALES .. - ~JUS~E~ ' THROUGHPUT ~ THRO~HP~ ' REDUCTION '. ~" OR SHORT ...... GALLONS GAL~NS fGALS'. -GALS. ,~/'It0UR GALLONS GALLONS GAL~0NS 0ALLONS GALLONS GALLONS GALLONS , ~ I ~ ~ lll!111111i111111 ')Jlllllllllllll ~, ~ II11111111111111,'!1111111111il ~[~ ~ ,~ALS ~ ~111111111i111'11') ~11111111111~111 l~,~ I1/1/1/Ill//IH/,'//////////)// I~ / . . ~LV ~S ~ Jllllllllllllllllllllllllllllllll I~'~ IIIIIIIIIIIIIIIIIIIIIII!111111 ~' J A. Percent VarJttJon: dmount ~er/Short 4~!. lO) ~'~ biB. ~ Total bte~ ~r~t (~l. 18) ~'~' bio. I J~ - ~ t Variati~ I. te~r ting: !. ~e. t~ ~unt ~r or O~rt exc~ ~ klo~ ~ - ~tim~ routJ~ ~ltorl~ O~ - b~rt ultkin 14 bra or dio~e~. 1. ~eu t~ ~unt ~r or ~rt ex--ed ~S0 hlo~ ~ - ~tim ~tlM Mnft~i~ ~S - le~rt uitbfn t4 ~urs or dJo~e~. ~Sl A. Percent· ~mTlatJon: I. ~es the ~ount ~r or B~rt ~ 180 him? ~K - ~ntJmH ~tJ~ ~nJtorJnf ~' - Be~rt within t4 burl of i. Percent B. ~e~rtlnf: · 1. ~tl t~ ~unt ~er or 8~rt exceed f ~ hist ~ - bntlmM touti~ ~nltorlM ~ - le~rt within 84 bra of A. Percent V~rimtion: ~.) ~ ? J. le~rt lei: KERN cOUNTY H~;~t~..TH I I~'V'~NTORY RECORDING O~ENIXO OPENING' C~SINO C~SING NETER ~iLY N~TER TOTAL ~INO -~TE ~ING I~RY I~E~Y RE. lNG R~ING ~TERED ~JUS~E~ I ~ 8ALES DI ~-~ HOUR INCHES GALLONS GALLONS GAL~NS ~LLONS GALLONS - GALLONS INCH] ,~. ~.~ ,~. .,~ ~~ ~,~,~ ~ ~~. ~ .o I~ ~. I ~ c~) ., .. _ ~ ,, ~i ,, I N~N'fOI~Y RI~CONCI L! AT! ON OHI~ET r/~/ ' ..£ . ..... O~ENINO DELIVERED CLOSIN~ I~E~ORY TOTAL MEtErED REA~IHG ~TAL METERED '~AL METERED I~ENTORY ~OUNT DATE I~EH~Y I~.~ORT I~E~ORT REDUCTIO~ SALES .... ~JUS~E~. THROUGHPUT THRO~HP~ REDUCTION ~R OR SHORT DAV/UOU~ GALLONS * GALLONS ,GALLONS GALLOH5 GALLONS GALLONS GALLONS GALLONS ~LLO~S +GALS. -~ALS. ~ '~ ~K S ~ ~%~ IIIIIIIIii11111i1 ?1111111]11111ii Z~, 1 IIIIIIIIIIIIIIII IIIIIIIIIIIII Ii/~ ~ _L ' . j -C~S~2 .... ' ,, . ~,, [ .... ~? ~[K 4 ~ALS I/~/lJl~lllllllll,'llllllllllJll)lJ ' ' 11t111/I)1~11111 tlllllllllllll ~" ,, A, ~rcent VIFJBtJoR: I. ~eu the ~ount ~r ~ I~rt II~ f~ ~]l? ~- ~tlm r~tl~ lnltorlq D~ - b~rt within J( ~ro or dlo~e~. A. rercent yurJution: te~rtJnf: 1. ~eu the ~unt ~r or B~rt ex,ed ~SO ~lo? ~ - ~tf~ ~tfM ~ft~f~ ~S - Be~rt within t4 ~uro or dls,ve~. A. Percen~ bount ~er/Short ICo]. lO) . Ill~ ' bio. ~ ~tll btered ~ro~put I~]. lB) ~-~ ~ klm. t I~ - ~ l D. ~eportlnf: 1. ~es the Mount ~r or I~rt ~ I~0 blat ~ - ~utimN ~tJ~ ~nltorlnf ~ - ~e~rt within t4 burs of dfs~. ...... -:.~ ?.,' .... ~ .... ~ ......................... ~ ................... ... :...:~ :- ~ . - ~: . A. Pe,~cen~ Ytrlitlon: B. ~e~rtln[: : 1. ~eu t~ ~unt ~r or 9~rt ~ceed I 50 hie? ~ - bntlmM ~tJ~ MnltorlM ~ - ee~rt within B4 burl of diet,wry. ~. ~ercent Virfutfofl: Au~un~ ~er/Short (bi. 10) · bio. ~ ~to] bteM ~~t (~1. IS) kit. I J~- , t VirJltJU I. te~rtlnl: I I~R£BY CERTIFY T~AT TII9 19 A TRUE AND ACCURATE RBPOI~T. II(]NATUtt BATE , KERN COUNTY HE/I~t, TH DEp./LI~TlqI~NT 1' I~NTORY RECORDI NO :OP~NIHOt OP~NING C~SING C~SING METE~ DAILY METER ' TOTAL ~ING GAUGING GAUGING DELIv~R~ UAT[R- ~TE ~UG! NG I~Y I~E~Y RE. lNG ' R~ING ' ~T~RED ~JUSTNE~ BEPORE AFTER I~ENTORY GAUG ! ~G SALES DELI~RY DEL VERY ~UR INCHES ~ALLONS .GALLON~ ~L~NS ~LLONS GALLONS - GALLONS INCHES GALS INCHES] GAL~ GALLONS IHChLS ,, ~ ., .. ~ , HERESY CERTIFY THAT THIS IS A ~UE AND ACCU~TE RE.RT. ~IGNATURE DATE X N~NTORY .W~'-CO.C X L I ATT O. OP~NIffG DELIVeReD CLOS IN. I'~"TORY TOTAL METERED I~EN~RY I~O~Y I~ENTORY ,REDUCTIO~ ~ALES ~3US~ THROUGHPUT TflROUGNP~ REDUCTION, ~R OR SHORT ~ tlPPR .~ALLONS GALLONS GALLONS , (IALLON, S, GALLONS GALLONS GALLONS -- OALLON.S GALLONS *GALS. -GALS. ~ .~, . ,. ~-~ - c~j .... ,. ., ,, ,~ , , ' ~, 4 ,~Ta~S ///////I///////I/,'i//i///////11// 1/11//~'//I/////, ~///////~///// ~ . , , ''. .... ' X ILq~d~StqTORY R~CONCX I.! ~TX OM A. Percent VlrJetJon: O. ~e~r t lnE: 1. ~es the ~ount ~r ~ B~rt Ix~ f~ Omlo7 ~ - ~tJ~ f~tJM ~itorl~ O~ - b~rt within ti ~re of dio~e~. ...... ~_ . . ~ ~ ~ ....... . ....... A. Percent Variation: 1. ~ee the ~unt ~r er ~rt ex.ed ~SO Otis? ~M - ~tfm ~tfM ~ftorl~ O~S - ~e~rt within t4 ~rs of die~ve~. A. Percen~ ~rietion: bount ~er/Short (Col. IS) ~ff'~ hie. + ~t.l bter~ nro~hput (bi. lB) ~' ~ bls. I l~ - / ~ t Vitiation B. Reportiu~: 1. ~es the ~oUnt ~r or 8~rt ~ ~80 hlo~ ~ - butiuN ~tl~ ~nltorJnl ~ - le~rt within Ii burl of dil~. i. Percent Variation: bount ~er/~ort (Col. 18) bio..~ Torsi bterg ~,ufhpt (bi. lB) biB. I 1~ - t VtrJttln B. Re~rt lnz: I. ~eu t~ ~unt ~r or Short exceed f ~ hlo~ ON - bntim t~tJ~ Mnftorl~ ~ - Be~rt witbfe t4 ~uro of dJoc~er) A. Percent Verieilon~ ABobnt ~er/Ohort (bi. JO) blt. ~ ~tul bteM ~~t (~l. lB) biB. I IM - t VlrJitJn B. ~e~rt Jnl: ' ! HEREBY cf~rllFY TRAT.Tlll9 19 A TR~ AND ACCURATE report, llO~ATURP. DATE E S T 0 ~,:! Z L D I N G & T A N K '" O ]; S I N C 7. 172 3g. '2C)05 71.- 4158 8. 20~ ~ 0'. 2073 72 c,.' Z4C- a. 1. 2142 73, 4277 10. 290 a~. 11 7~', 4337 11, 334 .~Z, lZ. · 379 44. 15; 515 qTt ..... 18; 683 5~ 27~7 -87, 4760 1~, 730 51. ~8o7 ~ 4G07 21, 849 53. 2~75 85. 4CD6 .ZZ. 909 5%.:,. 5.04,t GO. 4957 '23~ 968 55, 511~ 87, 4977 24~ 1028 56. 3181 Sa, 5014 25~_ ' 1089 57~2~9 89 , 504~ 26; 1151 58, 3317 90, 5032 27, 1213 59- ~385 91, 5111 28. 1 76 a4SZ 92. 5133 .., 30, 1404 62; 3586 94; 5177 " 32. 1535 64, 3717 .~'-- )~P:RN COUNTY HEALTH DKPARTM]gNT IN~NTORY~ RECONCILIATION EQUATION 2 E~ATION 3 E~UATION 4 OPRfllNG · D~LIV~R~D CLOSING I~E~TORY ~TAL H~TERED R~ADI~G TOTAL H~T~RE~ ~AL H~T~R~O I~TORY . ~U~T DAT~ I~E~RY I~ORY - I~NTOR~ ~ R~DUCTION SALES - ~JUS~ ' THROUGHPUT THROUG~P~ - REDUCTION ' ~R OR ~HORT ~A¥/~IO,R GALLONS GALLONS GALLONS .. GALLONS . .. GALLONS GALLONS GALLONS GALLONS GAL~NS ~GALS. -GALS. - ~ ~ ~~ ///////////////// ~/////////////// i ~. ~ /////////////'///,7//////////// ~. ~ ~. / to ~41 ~ / ~ ~, I ~,1 ~ t ~,~', ~ ' ~ ~ ~ IIIIIIIIIIIIIII!1,,111111111111111 ~ ~)~ ¢~2 ~' Io.~ ~EK S ~ - IIIIIIIIiilllllil, rI/1/1/1/Ill//// ~[, ~ ...... 7~!1 ~tK 4 ~t~LS IIIIIIilI)IIIlIII,'HIIIIIIIIIIIH IIII/I//IIIIIIIL'IIIIIIIII~II ,. ~ ~ !1/111111111111111111111111111111 !IIHIHIIIIIHIIIIIIIIIIIIIlII] l(:l~ltN COUNTY H£ALTH DEPARTMI~--NT lq~101lT ~ ~ I.~NTORY RECONCILIATION .HEET GALLONS~/~ GALLONS' GALLONS~/~ O~LONS t GALLONS~ GALLONS,,, GALLONS~ GALLONS~ ' GALLONS~ " ~ I ~ I~ ' 'IIIIIIIIIIIIIIIII, M/1/1)///////// ~ ~,. ~ Iillllllllllilll,'llllllillllll i~. ~ , .......... ~HLY ~S lllllllllllllllllllllllllllllllllJ //1/1/1/il/////////////////ill KP__.RN COUNTY llEALTI! DEPARTMENT PEI~IlT · 3[ N%l~NTORY RECONCZ LIATION SHEET / · --~ OPF, NIffO DELIV£R£1~ CLOSIffG TOTAL HETERE;O READ1HG TOTAl- IR£TERED 'I'~'AL H£T£R£D II~V£NTORY " ' % [II~ENTORY + II'~VEHTORY ~ JNV£NTORY " R£DUCTIONI SALES ADSUST~£1~TT " THROUGHPUT TNROUGHPtrI' ' REDUCTION "' ~R OR SHOR1 ~A.~,"llOt~ GALLONS GA[~LONS GALLONS GALLONS , i GALLONS GALLONS GALLONS GALLONS GALLONS' +GALS -GALS. · t~K' 1 ,.TOTRI.~ 2'b~ .~'~ lllllJJllllllllll ~111111111111111 2-~. ~ ~11111111111111i1,~!111111111111 · , ~ ~ ~ , IIIIIIIIIIIJlilll 'lilllllill~jil~ .~i,o illlllllli)llll) '1111111111111 ~,'11 ~ ~ _ . ..... : ...... ,, ,,' ~[, 1 ~.,,,, IIIIIIIIIIIIIIIII ~111111111111111 IIIIIIIIIIIIIIII ¢111111111111/, ~BLY ~8 .,, ///////////////////////M/I/I/1/il ///////////////////////M/J/J/ .. KKR. Iq COUNTY HK;~I.,TH DI~PARTI~I~NT PF.,~IIT OPENING ~ENIHO C~SING C~S'~NG METER . DAILY K~TER . TOTAL ~l~o GAUGinG ~UGING DELIVERED ~TE ~UGING l~V I~E~Y RE~ING R~ING ~TERED ~JUS~E~ BEFORE A~ER SALES DELI~RY DELIVERY ~' ~ ~,,~ ~.~ q~f/~, ~' ~ ~ ..... .~.- ~ ,. HEREBY CERTIFY T~T THIS IS A ~UE ~ ACCU~TE RE.RT. SIGNATURE DATE ~' , PERMIT C~CKLIST This checklist is provided to ensure that all necessary packet enclosures were received and that the Permtttee 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 within 30 days of receipt. Check: Yes No A. The packet I received contained: ')~ l) Cover Letter, Permit Checklist, Interim Permit, Phase I Interim permit 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-lC. with the following forms: a) "Inventory Recordin~ Sheet" b) "Inventory Reconciliation Sheet with summary on reverse" c) "Trend Analysis Worksheet" .~ 3) Modified Inventory Control Monitoring Handbook #UT-15 with form: "quarterly Modified Inventory Control Sheet" with "Quarterly Summary on reverse" : ~ 4) An Action Chart for each inventory method (to post at.facility) B. ! 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 o~ this sheet). C. I have the following required equipment (as described in Handbooks under "Before Starting") 1) Acceptable gauging inst~ument 2) "Striker plate(s)" in tank(s) 8) Water-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 copy o£ agreement between owner and operator). E. ! have enclosed a copy of-Calibration Charts ~or a~J tanks at this facility tanks are identical, one chart will suffice; label chart(s) with corresponding tank numbers listed on permit). F. As required on page ~ of Handbook.#~T-lO, all meters at this facility have had calibration checks within the last 80 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 (Handbook #UT-10) and Modlr'ted Inventory Control Monitoring (Handbqqk #UT-15) were started at this facility In accordance with requirements described on tptertm permit conditions. ate Started 7 $~nature o£ Person Co~ple~Jn~ Checklist: .... ~.;---~? ~__ rn County Health Department vision o£ Environmental Health Application Date 00 Flower Street, Bakersfield, CA 93305 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type of Application (check): nNe-~ Facility r~Modification of Facility~Existing Facility ~']Transfer of Ownership Emergency 24-Hour Contact (name, area code, phone): Days NightS Type of Business (check): ,U1Gasoline Station ~Other (describe) '~DUi Is Tank(s) Located on an Agricultural Farm? OYes [~q~ Is Tank(s) Used Primarily for~'Agricultural Purposes? OYes ~q~ Facility Address I~-O ']~'-~0;~0~ Nearest Cross St. T R SEC (Rural Locations 0nly) o~er '--~ t+~r~.-3~ ~ aoC~. · contact ~r~on ~"3"~ Operator I~ ~ ~-'~ ~- '" Contact l~rson -4L~,~' ;~]dress ~1 7 ~--~-----NTU~-q G'~- Zip c_;-~O,,~ Telephone ~ter ~ Facility Provided. by ~--~ tt~.~,~--~ ~p~ ~' ~ro~.a~r Soil Cl~aracteristics at Facility U Basis for Soil Type and ~roundwater Depth Determinations { ']l~ ~3(.~c~ Contractor C~ Contractor' s License No. Address Zip TelePho~ Proposed Startlng Date Proposed C~pletion Date ~orker's Compensation Certifi6ation [ Insurmr If This ~ermit Is For Modification Of An Existing Facility, Briefly Dascribe Modifications Proposed Tank(s) Store (check all that apply): Tank ! ~aste Product Motor Vehicle Unleaded Regular Pr~mi~ Diesel ~aste -- ---Tuel -SqT- Chemical Composition of Materials Stored (not n~cessary for m~tor vehicle fuels) Tank # Chemical Stored lnon-co~ercial name) CAS $ (if kno~) Chemical Previously Stored (if different) Transfer of Ownership Date of ~-~nsfer Previous' Owner Previous Facility Name I, accept fully all obl'i"gations' of Pe'rmit No. issued to I understand that the Pemittin~ Authority may review and modify or terminate the t~ansfer of the Permit to Operate this ~dergro~d storage facility upon receiving this c~mpleted form. This form has been completed under p~nalty of perjury and to the best of my knowledge is true and correct.~ Sig~-~Ur~.~. ,, '"'~_.-_.~:~_ '.~---~-~ . _.= ..... ~_ '~i~.e ~.,~,,~.~,,/ ~te KERN COUNTY HE,Al. TH DEP~I:~Tlql~NT I N~NTORY RECORDING , ~OUAT~ ON ~ ,, OPENING ~ENINO C~SINO C~SING NETER DAILY ~TER TOTAL' ~ING GAUGING' ~UGING DELIVERED ~ATER DATE ~ING I~ORY I~E~Y RE, lNG ~ING ~TERED ~JUSTNE~ BEFORE A~ER I~[HTORY GA~GI HG SALES DELI~RY DELIVERY )UR iNCHES GALLONS ~LLONS ~L~N$ ~LLONS GALLONS - GALLONS INCHES GALS I~CHES . GALS, GALLONS. INCHES HEREBY CERTIFY ~AT THIS IS A TRUE AND ACCU~TE RE~RT. 81GNATURE DATE KERN COUNTY HEALTH DEPARTMENI' PERRll' · ~ /C_~ INVENTORY RECONCI LI ATI ON SHEE'F ~"~""-/2~ EQUATI.4~)N 2 EQuATIoN '3 ..... E(~UATlON 4' ~&TI'. -~PENING + DELIVERED CLOSING ,. INVENToRy TOTAL I~IETERED - READING., ~OTAL I~£TEREO TOTAL "ETE~ED . INVENTORY ., 'A~OUNT I[~ENTORY INVENTORY INVEHTORY REDUC,TI.OH ~ALES ,, ADJUSI'~IENT TNROUGIIP. UT, TNROUGflPI~ REDUCTION O~R OR SNORT E~;, POUR GALLONS GALLONS GALl. OHS OALLONS, DALLONS GALLONS GALLONS GALLONS GALLONS +GALS. I -GALS. ~ 4~ ,,, ~ . .~ ,.. /7,/ .... , . 3/,~ .... ~ 7t,~ ~ ~ /~, ~ ~ .1. ~ ~ ~ IIIIIIIIIIIIIIII1,'111111111111111 ~, ~ !1111111111111111~111111111111, ' I~.~ ~ , ~.'1 ' u ~1 a~ 'iii , I~,~ lC), ~ u/ -3,~ . ~ .... ~ ~t, ~/ ~,~ ,. ~e,s ~/, , ~,,1~ ~6~ 11111111111111111 'l/l/l/Il////j// ~ ~ l/l/l/l/l////)//,///////////// -' ~ '~ ~ ..9~' ~,~ .. ' ~,q '" ~2. . ~o,~ · ~ ~ S ~ ~ IIIIIIIIIIIii1111 tllllllllll~ll~l I~'/,'~ " [)lllllllllllllll,'lllllllllllll I ~i, ? ~'~ ............... r _. ~ ......... ~ ..... .~ I .~ALs , .. III!111111)1)1111 ~/I))~)111)1i111 I1[111111)111111~'~1111111i1111 '"~ ... ~ ....... , , ~.HLY ~gS .. J]IIIllllllllllllllllllllllllllllll ' tlllll/lllllllllllllllllllllll ~ount ~er/Short (~l. iS)' ,r,~ bio. ~ Totel bte~ ~rou~put (~!. 16) ~'~ bio. I 1M --- t Virlitlu B. ~e~rt lnl: l. ~eu the ~,nt ~r ~ B~rt ex~ I~ Omle~ ~ - ~tln~ f~tl~ ~attorl~ ~ - Be~rt uJtbln Il ~ro of dl.~. ~e~rtlnl: . !. ~e. the ~unt ~r or 8~rt ex,ed ~S0 0eiB7 - ~tlm ~tlM ~ltwlM O~ - le~rt wltbln ti ~url of die--cry. .......................' - ~ ~ ....- '--- ---''~ ---"--'-- ~ff. - '-~- ..... "" ..... - --"- ~'*~'' " ~ .... ' B. Reporting: ]. ~ th~ ~ount ~r or ~rt ~ I~0 ~]o? O~ - ~DtJiN ~tJ~ ~nJtorJ~f O~ - Be~rt ultbfn t4 ~ure or A. ~ercent Vorlutlon: ~ovnt ~er/~ort (Col. J6) ~lo. ~ Torsi ~ter~ ~uEh~t (~l. 16) ., ~]l. I !~ - ~ VirJitJ~ I. te~rtinf: I. ~et tb Munt ~r or 9~rt uceed I S00slo? ~ ' bntJuM ~utJ~ ~nltoriN ~ - le~rt uJthlu 84 bouro or dloc~ery. A. Percent V~rlutlon~ AuoUnt ~er/S~rt (bi. lO) bio. ~ ~tll ~toM ~~t (~l. IS) ~ll. t J~ - t VmrJetl~ B. ~e~rt lnf: Kern Coun[~ Health Deparbment Division o£ Enviro~ental Heal~ A~lication Date 1700 Flo~r Street, Bakersfield, ~ 93305 ~PLI~TION ~R PE~IT ~ OPE~TE ~E~R~ ~~S SUBST~CES S~E FACILI~ ~ of Application (ch~k): ~ Facility ~ification of Facility '~isti~ Facility ~ansfer of ~ership A. ~ergen~ 24-~ur Contact (~e, area c~e ~ of Business (check): ~line S~tiOn' ~er (de~ri~) Is Tank(s) ~cat~ on ~ ~ricultural Fa~? ~Y~ Is Tank(s) Us~ ~i~rily for ~ricultural ~r~ses? ~Yes Facility ~dre~ ~O ~O;~O1~" Nearest Cro~ St. '> L T R SEC (R~al ~at'io~ ~ly) C. Contractor ~ ~ntractor's Mce~e ~. Pro~s~ 'S~rci~ ~te ~rker*s C~~tt~ Certification ~ Insurer D. If ~ls ~mit Is For ~iftcation Of ~ ~isti~ ~ctlity, Briefly ~ri~ ~tfi~ti~ E. Tank(s) Store (~eCk all ~t a~ly): Ta~ I ~s~ Pr~uct ~tor Vehicle Unlead~ R~ular Pr~i~ Die~l ~ste O O D F. Ch~i~l ~siti~ of ~terials Stor~ (~t ~ces~ry for ~tor v~icle f~ls) Tank. % Ch~i~l Stor~ (n~c~rcial ~e) (if different) G* Transfer of Ownership Dste of ~-~nsfer Previous Owner Previous Facility Name I, accept fully all obligations of permit No. __ issued to · I understand that the Permitting AUthority may review and modi'fy or terminate the transfer of the Permit to Operate this undergro~d storage facility 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.~-~~__ .... Facility Name Permit No. TANK ~ ! (FILL OUT SEPARATE. FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: [-1Vaul ted [~Non-Vaul ted []Double-Wall ~'ng le-Wal 1 2. ~ Material [-1 Carbon Steel [] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic [] Concrete [] Alunin~ [] Bronze [-]Unknown [-] Other (describe) ~ ~-U-~-~%_ . 3. P~r_ima ry Containment ~ate Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. Tank Secondary Contair~ent []Double-Wall '[] Synthetic Liner []Lined Vault ~None []Other (describe): Manufacturer: .:. I-IMaterial Thickness (Inches) Capacity (Gals.) 5. Tank Interior Linin~ ~Rubber flAlkyd []Epoxy [i]t~enoli¢ E]Class [i]Clay []unlined E]Other (describe): 6. Tank Corrosion Protection ~Galvanized --r~Ff~e-~-g~fass-Clad [~]Polyethylene Wrap E]vinyl wrai~ing []Tar or Asphalt []]~ []None []Other (describe): Cathodic Protection: E]None ~Impressod Current System ~]Sacriftc~al AnoSe System Describe System & Eguii~ent: 7. Leak Detection, Monitorin9, and Interception a. Tank: r'ivisual (vaulted tanks only) [i]Grouncl~ter Monitorirg' ~ll(s) []Vadose Zone Monitori~ Well(s) rTLt-Tube Without Liner ]ti-Tube with C~mpatible Liner Directin~ Flow to Monitoring ~l~.ll(s)* Vapor D~tector* []Liquid Level Sensor [-lConduetivit~ Sensor' [] Pressure Sensor in Annular Space of Double Wall Tank? [] Liguid Retrieval & Inspection From U-Tube, Monitoring Well or Annular S~ce ~]-Daily Gauging & Inventory Reconciliation E]Periodic Tightness ?esting b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitoring Sump with Race~ay ~Sealed Concrete Race~ay fTHalf-Cut Compatible Pipe Raceway E] Synthetic Liner Race~ay ~None ~kno~ []Other *Describe Make & I~el: 8. ~en Tightness Tested? []Yes []No ~}t~known Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Re,air Tank Repaired? []Yes ~ []unknown Da te (s). of Repai r (s) Describe Repairs 10. Overfill Protection ~erator Fills, Controls, & Visually Monitors Level [~]Tape Float Gauge []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: ~ees DNo [-]Unknown Material Thickness (inches)O~;~Xu/j, Diametero&>6-~O6c~Manufactur- Ok~icQ{L,,~, DPressure Dsuc~'ion []Gravity ApprOximate Length of Pipe Run b. Underground Piping Corrosion Protection : DGalvanized []Fiberglass-Clad []Im[xessed Curren= [-]Sacrificial Anode O_nPOlyethylene Wrap DElectrical Isolation ~]Vinyl Wrap ~]Tar or Asphalt known []None [']Other (describe): c. Underground Pipirg, Secondary Contair~ent: ~]Double-Wa]l [~Synthetic Liner System C]No'ne [~nno~ Facility Name Permit No. TANK ~ ~ (FILL OUT SEPARATE F~RM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: ~-]Vaulted ~-~Non-Vaulted []Double-Wall S~l~le-Wall 2. ~ Material [] Carbon Steel [] Stainless Steel [-] Polyvinyl Chloride [] Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic [] Concrete [] Altm~inum [] Bronze [~Unkmown [] Other (describe) ~---~:~-7~._ 3. Primary Containment D~te Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. ,Tank Secondary Containment []Double-Wall '[]Synthetic Liner []Lined Vault []None [~own,_i ~]Other (describe): Manufacturer: [] Ma ter ial Thickness (Inches) Capacity (Gals.) 5. Tank Interior Linin~ ---~Rubber []Alkyd []Epoxy~ []Phenolic []Glass []Clay []t~lined []Other (describe): 6. Tank Corrosion Protection --]~Galvanized ~ass-Clad []~l~thylene Wrap []Vinyl []Tar or Asphalt ~ [-~None [~Other (describe): Cathodic Protection: []None []Impressed Current System ['~Sacrtficial Am~x~e System ~--~rib~ System & Eguil:ment: (~'~3~ibOtt~ ~ 7. Leak Detection, Monitorir~, and Intercept. ion a. Tank: []Visual (vaulted tanks only) []Groundwater Monitoring Wail(s) [-]Vadose Zone Monitoring Well(s) [~U-Tube Without Liner []U-Tube with Compatible Liner Directin~ Flow to Monitoring Wall(s)* [] Vapor Dmtector* [] Liquid Level Sensor' [] Conductivit~ Sensor" [] Pressure Sensor in Annular Space of Double Wall Tank Liquid Betrieval & Inspection From U-Tube, Monitoring Well or Annular Space ilyC~luging & Inventory Reconciliation []Periodic Tigh~tness Testing b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitoring S~ap with Race~ay [2]Sealed Concrete Race~ay nkRalf-Cut Compatible Pipe Raceway []Synthetic Liner Race~ay []None nown [] Other *Describe Make & Model: 8. ~en Tightness Tested? [']Yes []No ~known Date of _Last Tightness Test Results of Test Test Name Testing Cx~pany 9. Tank ~ ~ Repaired? []Yes ~/[]Unknown Date(s) of Repair(s) Describe Repairs 10. Over fill 1 Protection ~perator Fills, Controls, & Visually Monitors Level []Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box []None [2]Unknown []Other: List Make & Model For Above Devices .a.Underground Piping: ~'ees []NO []Unknown Material Thickness (inches) 0"~3~-L'O(;3~Diameter~,UfA~&¥-Manufacturer [-]Pressure [~Suction [~]Gravity ~-----p~imate~ Length of Pipe R~ b. Underground Piping Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Currena []Sacrificial Anode BPn~knoknYethylene Wrap ~]Electrical Isolation []Vinyl Wrap ~Tar or Asphalt own []None []Other (describe): c. Underground Piping, Secondary Containment: ~Double-Wall [~9ynthetic .Liner System [~None [~-~n~own Facility Name ~ Permi[ No. TANK ~_ ~ (FILL OUT SEPARATE FO~M FOR ~CH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE ~OXES H. 1. Tank is: r]vaulted []Non-Vaulted r~Double-Wall ~"~e-Wall 2. Tank Material ~-]Carbon Steel [] Stainless Steel ri Polyvinyl Chloride [] Fiberglass-Clad Steel [] Fiberglass-Reinforced Plastic [] Concrete [] Al~in~11 [] Bronze r]Unkl~own [] Other (describe) ~-'D'T-~~ 3. Primary Containment  Date Installed Thickness (Inches) Capacity .(Gallons) Manufacturer 4. Ta'nk "~econdar_y Containment ' []Double-Wall '~Synthetic Liner []Lined Vault [-]None []Other (describe): Manufacturer: []Material T'hi'Ckness (Inches) Capacity (Gals.) 5. Tank'Interior Lining ----[~Rubber rJAlkyd []Epoxy []Phenolic []Glass []Clay []L~lined [~o~ []Other (describe): 6. Tank Corrosion Protection ---~Galvanized ~s-Clad rTPol~thylene Wrap []Vinyl Wrap~ll~] []Tar or [~{knOwn . Asphalt []None []Other (describe)- Cathodic Protection: []None ['1Impressed Current System ~aCrtfJCial Anode System Describe System & Equipment:' 7. Leak Detection, MOnitoring, and Interception ~. ;F~-~ ~--~is~l (VaUlted ~an~ only) []Groundwater ~)nitoring' Well(s) []Vadose Zone MOnitoring Well(s) rqu-Tube Without Liner []U-Tube with Ccmpatible Liner Directin~ Flow to Monitorirg We,Il(s)* Sensor' []Conductivity/ Sel~SOr ~]Vapor Detector* ~lLiqutd Le~e~ce Double Wall Tank- Pressure Sensor in Annular of [] L_iquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ~'~ily Gauging & Inventory Reconciliation r~Peric~]ic Tightness Testing b. Piping: Flow-Restricting Leak Detector(s) for Pres:~Lirized Piping~ []MOnitoring S~p with Raceway []'Sealed Concrete Race~y ~Half-Cut Campatible Pipe Raceway [] Synthetic Lin,~ Race~ay []None ~nown ~ Other *Describe Make & Model: 8. Tank Tightness ~is 'Tank Been Tightness Tested? []Yes •No ~'~nown Date of Last Tightness Test Results of Test Test Name Testing Ccmpany 9. Tank Repaxr Tank Repaired? •Yes ~N~' •Unknown Date(s) of Repair(s) Describe Repairs 10. ~ trotection [~Operator Fills, Controls, & Visually Monitors Level r~Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box rqNone rqUnknown [~Other: List Make & Model For Above Devices a. Underground Piping: ~ rqNo []Unknown Material Thickness ( inches)(~"~.~L] Diameter(3.~f.~.e~,~Manufacturer ~.1 , []Pressure ~Suction [-]Gravity Approximate Length of Pipe l~ b. 'Underground Piping Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Current []Sacrificial Anode Jnk POlyethylene Wrap J-JF. lectrical Isolation []Vinyl Wrap []Tar or Asphalt nown []None []Other (describe): c. Underground Piping, Secondary Contairlneqt: []Double-Wall []Synthetic Liner System []None ~eJ~nown []Other (describe): Facility Name Permit No..~9.~;~;~Dt~_~ TANK ~ (FILL OUT SEPARATE FORM _ ~CH TANK) 'FUR-'---'-EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: [-]Vaulted [-]Non-Vaulted []Double-Wall ~'~ngle-Wall 2. Tank Material [2] Carbon Steel [] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel ~] Fiberglass-Reinforced Plastic [] Concrete [] Alumina. [] Bronze [~wn [] Other (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. Tank seCondary Containment ' I-]Double-Wall []Synthetic Liner []Lined Vault []None ['~Other (describe): Manufacturer: []Material Thickness (Inches) Capacity (Gals.)· 5. Tank .Interior Lining ---~Rubber []Alkyd []Epoxy []Phenolic [']Glass []Clay []Other (describe): 6. Tank Corrosion Protection -~Gal'vanized -~-~e-~_ass-Clad []Pol~thylene Wrap [~Vinyl Wrapl~in~ Tar or Asphalt ~T~nown []None []Other (describe): ' Cathodic Protection: []None []Impressed Current System ~lSacrifi'cial Anode System Describe System & Equipment: 7. Leak Detection, Monitoring, and Intercept_ion a. Tank: [-]Visual (vaulted tanks only) [~Groundwater Monitoring' Well(s) []Vadose Zone Monitoring Well(s) nU-THbe Without Liner ~[~U-Tube with Compatible Liner Directing Flow to Monitoring Well(s)* Vapor Detector* [~Liquid Level Sensor*. []Conductivit~ Sensor*.. [] Pressure Sensor in Annular Space of Double Wall Tank- [] Liquid l%etrieval & Inspection Frc~ U-Tube, Monitoring Well or Annular Space [] Daily Gauging & Inventory R~conciliation []Periodic Tightness Testirg []None nunknown [']Other (J~,2iO0~ ~/~)uP~c. b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitoring Sump with Racemy []Sealed Concrete Race~y [-]~lf-Cut C~mpatible Pipe Raceway [] Synthetic Liner Raceway ~None ~Jnknown []Other *Describe Make & Model: 8. ~Tank Tightness en Tightness Tested? ~Yes []No Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Repair Tank Repaired? []Yes ~ []Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection ~Operator Fills, Controls, & Visually Monitors Level []Tape Float Gauge []Float Vent Valv.es [] Auto Shut- Off'Controls []Capacitance Sensor []Sealed Fill Box []None~ .~]Unknown []Other: _(~PeS ~--T~ O (~- ~tt3~h~ ~_ ~,~ c~i'st Make'& Model For Above Devices 11. Piping ..~<-~'r- ~--~{ ~_ ~P~ m~ a. Underground Piping: ~s ~'lNO [qunknown Material Thickness (inches) Diameter Manufacturer []Pressure [~Suct'i'on []Gravity Approximate Length of Pipe ~ {~ ~i~CtL~ b. Underground Piping Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Current []Sacrificial Anode ~[]~J~knPolyethylene Wrap ~Electrical Isolation [qVinyl Wrap []Tar or Asphalt own []None []Other (describe): .c. Underground Piping, Secondary Contai~nent: [']Double-Wall []Synthetic Liner S~;stem [-]None [~T~nnown [-]Other (describe): UNOERGROUNO HAZARDOUS SUBSTANCE STORAGE FAC~L!TY ~,. '~NTY AIR POLLUTION ccNT'ROL~TRICT .- Bakersfield, CA. 93301 (805) 861-3682 ,. D _ PHASE II VAPOR RECOVERY ]:NSPECTZON FOI~ 4- rE_.A ~ p/o ,, 8~cg"'1001-00 2. mEc~ v~v~ A¢i I O 3. FACE SEAL Z 4. RING. RIVET , , i ' V 0 5. OVERH~'~O RETRACTOR 3A~alance HE~ea]ey ~ :'~ missing, TO= Uorn. F= f]a~, ~1= ~angl~ RJ=R~ Jacke~ GH=Sulf Hasse]manm ~ AD= ne~s ad.justm~t: L= long LO: loose. H~=Hffr% HA~ass~.~m · :3= :chore MA= misalffgr,~. ;~G kffnked, FR= frayed. Key C'o ~'nspec~icn r.,esu!~s: C~!~= OK, 7= Reoaffr with- ~n ~v~ d~ys, T= Taaaed (nozzle tagg~ author-order un,Ii re~]ps commie,S.) ' NOTE~ CALIFO~IA H~L~ & SAF~ ~DE SECTI~ 41960.2, RE~IR~ ~AT ~E ~OVE LISTED 7-DAY OEFZCI~CI~ BE ~RRECTEC NI%4IN 7 DAYS. FAILURE TO '~PLY ~Y R~LT iN LEaL ACTI~ .- ~HASE I VA~R Rc~Vc~.Y [NSPECTICN .... ~..~, (UL. PUL, 'ii 3. 8RO:<~ OR M!SSZNG VA~DR CAP 5 :~ROKEN CAN LCCX .... r, '. ..... c-"c, ',GT -;~%H' .... t~- /--~ I ,~ ~,, · . ~ . ,.kerb"., .~.-'',,~ ~ ~/ ,~ t, /,, ;.] i ,='.=~5;E~';~]::5 OperatoYs Name /_.~u sta.o,~ .,~dre~ Major Cro~ S~e~ Telephone No W~ING U~ oE this d~ce is p~hi~ted ~ ~ate law and un- autho~zed remo~l of this tag or u~ of this equipment ~11 con~mte a ~ola~on o~ ~he ~w pun~hable ~ a ma~mum ~1 fine of $~,~ ~r day or a m~mum ~minal fine o~ $5~ ~r day and/or six months in jail. I declare under ~nal~ of ~u~ that the d~ce ta~d ~s not u~d. nor ~s the tag removed, un~l the required re~i~ ~re effe~ed and the di~ no~fied. Re~ired ~ ~tle (PI~ p~nt) Si~a~r, , Dat~ ~Ttm~ , To~l~er Readin~ at ~m~ of Re~im ~d~ B~ORE USING ~IS D~C~Iel~ph~ ~llution consol di~fi~ at If re~i~ ~re made to the no~e ~dy ~u must no~ the Coun~ De~ment of Weigh~ and Measures. 66346