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HomeMy WebLinkAboutUNDERGROUND STORAGE TANK 9/2/2008by February 6, 2007 City of Bakersfield Fire Department Prevention Services 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 RE: SPILL BUCKET TEST RESULTS ARCO Facility No: 1960 Facility Address: .1701 Brundage Lane Bakersfield, CA Test Date: December 15, 2006 BP West Coast Products LLC 4 Centerpointe Drive La Palma. CA 90623-1066 Tracking #:626842130027135 This letter is to notify you that at the above facilities the Spill Bucket Test passed the systems test as noted in the attached results. ARCO is committed to the compliance of all environmental laws that govern the safe operations of our `facilities. Feel free to call me at (714) 670-5321. Sincerely, Scott Hartwell Environmental Compliance Specialist BP West Coast Products, LLC ~J ~~~ SH:sI Attachment ;- Spill Bucket Testing Report Form SWRCB, January 2006 This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests {if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. I. FACILITY INFORMATION Facility Name: ~' Date of Testing: Facility Address: (~//~/ A- ' ~ c7 3 3 Facility Contact: Phone: ' Date Local Agency Was Notified of Testing Name of Locai Agency Inspector (f present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: CHARLES E. THOMAS COMPANY Technician Conducting Test: G C ~ f: jQ,.IS v~Q l I Credentials: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other {Specify} License Number(s): 3. '~ SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrostatic Vacuum Other (Sped} lS Test Equipment Used: Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product, etc.) I FILL VAPOR ~ 2 FILL VAPOR ~~ •s ~i 3 FILL VAPOR 4 FILL VAPOR Bucket Installation Type: Direct Bury Contained in Sum Direct Bury Contained in Sum Direct Bury Contained in Sum Direct Bury Contained in Sum Bucket Diameter: 'L ) 2 Bucket Depth: ~U Wait time between applying vacuum/water and start of test: (n/r ~ Test Start Time (Tt): ~ : L.~ ; L(Fj Initial Reading (Rs): Test End Time (TF): 2 ~ ~ 7~ p~ 2 ', I.f Cj Final Reading (RF): Test Duration (TF - T~): ~ ~( ~ (/~/ Change in Reading (RF - R~): Pass/Fail Threshold or Criteria: Test Result: QPass iJFail L7Pass ^Fail ^Pass OFaii QPass ^Fai! ^Pass ^Fail ^Pass ^Fail ^Pass ^Fail ^Pass OFail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests} CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the ' _ ntation conta~iyn~e~d~in this report is true, accurate, and ui fulf complinnce with legal regtirements. Technician's Signature: ~ ~~ r "Ti Date / ~ State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. ~ 09/22/2006 13:58 ,w:! 4~ 3103234433 CET PAGE 03!05 !lNDEitGROUNa STbRAGE TANKS EA~~iRSF'IE~1y FIRE DEP'~. . I~reveu~in~ Vices . ...... ... .. ..:l:... . frri ~~rr~r goo ~ ave., ste• a>.o ~~~l~iA-T~Q~ Ba~Ceraf e1d, CA 9331)1 TO FER>=dRnll ELD ! LINE TESTING TeL; {Sb l) 325-3979 156988 S~ONDARY CONTAiNAtEIdT'TESTING ~+'ax: (66IJ $5a-2171 /TJSs1K Tt(3HTNirSS TEST ANII TO PERFDRnr FUEL (d0)iliDRING CERTIFICATtaN page t aFt ,,,~ r ENHAitCED LF111C DON LINE Ti:S~NG ~ ~ Q S8-aea SECONNIRY CON'CAWNENTTE5TfIUG l .! 1 I TASK YL'!YTiJCCC YAST . rn aeecnGU GI ILr RA/111R'fP101A1R f'CO'YrFMhTlnA( 1 Yt N FACILITY h ~ r- ~ D !j NAME a PHOK6 NetMBER OF CONTACT PF~$aN N ADgRESS ~ OwN$RS NAME O 8 flAMP , PERMIT TU ORBLgTE ~Ip. ItlU SR D TAP/ TO BETESTID S ~ ,* ' TANK TFSTINC~tCSaiIPAHY . OF TtcSTMG CO~pPANY NAN! 8 PHONE NIIl1~ER Of CDN7 CT O 1 I:E ~ ~~laP „" NAOlfl a PHONE NWaBER OF T6$7TaR OR SPECIAL INSPECTaR " CSRIIFICATION >3: TE 3 TII~ 'ZEST TO 8 Cflp ICC #: PEST NIETi10D SIflNJ1TpRE D APP DATE At~f+RQVED s'f DATf: FO 2095 {Rev. 09/05j -- •- vv.T,trRYv UNDERGROUND STORAGE TANK PERMIT APPLICATION >3 ~ ~ a P I D TOCONSTRUCT-INSTALL NEW TANK (NEW FACILITI~ / r~~R6 NEW TANK INSTALLATION (EXISTING FACILITY) /~ ~ MODIFICATION / 8~ MINOR MODIFICATION -FACILITY PERMIT NO. N1/~ ~W1 ~ ~ (~6 BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 TYPE OF APPLICAT{ON: ^ NEW TANK INSTALL /NEW FACILITY q~ NEW TANK INSTALLATION /EXISTING FACILITY /r~1.n.+L i.ne :.em nnl..\ n Mf1nICICeT1(l1U f1C ~et'll ITV d MINf1R M(1111FICATIf1N [1F FOCII ITY TARTING DATE ll .~S .~pbt~ Zr4-S o~ 11~~ ROPOSED COMP~ION DATE t `/a- AGILITY NAME ~a J~db _ ISTING FACILITY PERMIT NO a ~-vz~-~~a¢~~ AGILITY ADDRESS ~~~ (3/~v-~'a -~ Cane- ITY 6~~rs -~'r~~~ ~C~ . IP CODE 930¢ PE OF BUSINESS Ga ~- ~ PN # ~~? -~qD-l S ~3 ANKOWNER / ~ lc~e sE ~is-t' Pi aduG~s ~ G ~C ~ HONE NO 8'~s 3Z4 ~ ~ S-~9 DDRESS 4 ~N~t-~ ~oin~ (~i' - ITY ~ ~~ ~~ ~ Cu. IP CODE y'O~Z 3 ONTRACTOR C E T~o~a j '~ . A LICENSE NO. 3020/ !CC NO d8a~9¢/- UT DDRESS _ - 37~/ S_ /~/~v~ /~~a fP! ~lr/~H~i~ ~ . IP CODE - OZ~~ HONE NQQ AKERSFIELD CITY BUSINESS LICENSE NO (Zt 3) Z~(o-S5-3 - D6- p4ZU ORKMANS COMPNO (,,t) ,~,~. 91431 ~ ~ ~0/ 5- INSURER (,t~cvk,~c/ ~de~r BRIEFLY DESCRIBE THE WORK TO BE DONE t2enla~ ~- +a~lk ~- 1 ~` ~ ~l~t l -T~e ~~A ~/o„ ,~'1/ /~~~ ~~s. ,~/sv r~~~ ,~ ¢¢ '~~5 0'h t_°at:G. A ~'a /l9.Sfg/ ~~ ~/tNf S. WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL ^ YES ^ NO SPILL bREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE b YES ^ NO T-diC SFCTAN IC FAR MATAR FI IFI TANK N0. OLUME NLEADED EGULAR REMIUM IESEL VIATION ~ i o t< ~ 2 tort ~7 ,/ 3 o rc - g7 ,/ o K q ,/ THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK N0. OLUME NLEADED EGULAR REMIUM IESEL VIATION APPLICATION QATE I FACILITY NO.' I N0. OF TANKS I FEES $ The applicant received, stands, and will comply with the attached conditiolt~ of the permit and arty other state, local and federal regulations. orm ee ompleted under perutlty of perjury, and to the best bf my knowledge, is true and correct. ~~, Co~~ez ~~~~ ~e~S , APPROVED BY: APPLICANT NAME (FIRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FD 2086 (Rev, asro5) f ~y ~ ~ ~ ~ 7/oMad Co. Sales • Service • Installation Jim Cortez _ Service Department 13701 South Alma Avenue Gardena, California 90249 (310) 323-6730 Ext. 259 CSL#302015 Fax: (310)715-8626 j~l Brundage Lane Scope of work: During a recent monitor certification it was discovered that the tank # 1 & 2 10k 87 fill buckets were bad and need to be replaced. It was also discovered that the 4" floats for each ATG probe need to be removed and replaced with 2"floats. Parts list: (2) P85000 -Phil-Tite 5 gallon fill containment buckets. (4) 0330427-001 Veeder Root 2" product floats. (4) 0330426-002 Veeder Root 2" water floats. ***NOTES'`** All work will be performed by ICC and manufacture certified technicians. All other equipment will remain in place and untouched. Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [ CT - 1634 ] 11 /08/06 :]I.72V ~ Li111~V11113 (A~~COHTRACTORS 6TATE LICEWSE HAARl1 `:~mC", ACTIVE LICEP~E ';~~ , ,.~.,.~..302Q15 .: CoRP .,,r...,,,,.. CFlFiRLES E THOMAS Cdtv1PANY IMG ., ,,,...~•.~,, c,~cci~Qao rlaE n e ~ ATG probes are in the fill sumps LJ-7 lJ ace these two b Cashier \\~ Store area Existing Veeder Root TLS-350 monitor ~~ ~°- y~ ,,t ~_ 1~~ 1~L Vents y~ 9 10 ~` 11~ „g2 cn 91dtu VI Calilauia [~ ~. CONfRACTARB STATE Y.~.ENSE BAARD c~ ~~c ACTIVE UCEWSE i~ ....„_w 3(1215 , coRP ~.,,.,,,~_ CHARLES E THOMAS COMPANY INC .w.~..~„ c,o cc1lDao n,vz A a rv..~-~•'• 1 1 /3 012007 Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [CT-1634] 11 /08/06 Scope of work: Replace the fill bucket on the 87 # 1-2 tanks. Part list: (2) Model 85000 Phil-Tite fill buckets Enlarged 31ate tJl (:dlil~iiiic~ ~~~C~NTRACTOFS S4ATE LICENSE HffARt] ~~~~~ ACTIYE LICENSE ~~ ~..w:,,.:.~, 302015 .. corzP ~.,,,<:,.,,,: CHARLES E THOMAS CC?PJIPANY IIMC a~.•r~.•:~:; Ci4GG1!D40 FI+4Z A 8 • -,~.W. Existing probe cap Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93306 (805) 324 - 7599 [ CT -1634 11/08/06 Existing probe cable ---~--~ Existing black steel riser minimum of 18" Existing probe rings Existing Veeder Root Mag1 Probe New probe product float New probe water float Installation is ical for all tanks. ••~ ,• ***Note -all other material is to remain in it's original position.*** ;,, r~ Brundage Lane Scope of work: During a recent monitor certification it was discovered that the tank # 1 & 2 10k 87 fill buckets were bad and need to be replaced. It was also discovered that the 4" floats for each ATG probe need to be removed and replaced with 2"floats. Parts list: (2) P85000 -Phil-Tite 5 gallon fill containment buckets. (4) 0330427-001 Veeder Root 2" product floats. (4) 0330426-002 Veeder Root 2" water floats. ***NOTES*'`* All work will be performed by ICC and manufacture certified technicians. All other equipment will remain in place and untouched. Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [ .CT -1634 ] 11 /08/06 s i. i c::d i ~~ll.~ . ; 2~Cat~TRrt.-rip S~di'PE €..6Gr_e:SF F.{.RFrC~• ~ - ...,. +-;i;,~~l°«GS E ti-Jf~A~:;; t:.C~f•A~`~'sP'v'Y' 1~+4~> .~ ~~ '=1utH +M C:KI~IUiiiin CQt;T"RACTiXr!~ STATE LICEIaSF Rfi3.FrA =~ -:,~ u ....,_...., 3Q2{}15 ctznP ......: c#inFLE.~,' E TH~~rvlit'; Ct7Fv1PANY !Nc .i... ..... i,:'.it C.i.t2W01L4~AE '~.~: Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [ CT - 1634 ] 11 /08/06 Scope of work: Replace the fill bucket on the 87 # 1-2 tanks. Part list: (2) Model 85000 Phil-Tite fill buckets Enlarged vievu +8 Cut away of Phil-Tite model 85000 (5) gallon spill .containment bucket 1~ - "^1:!'lia ': `~ ~ %A~'~~"'1111 ct •~~_ GCdt6TFtSt'Ts~F15 S'~r".TE LILEn"~E B{7tn~tR' '~~ ~ ^a. 9L;~ic; ~ ~y~~!! a ,., ....,,..,~~{}~5 . ~.~riP ......,., C~{.Ya~! Ey E TH~..1t~i~,S ~~CFP~Af?Ar~IY lip! ~:I.:._.... r"l3C:G1~CWU11~,~?kF ~ ~, ~~ tc~~~a Existing probe cap Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93306 (805) 324 - 7599 [CT-1634] 1 ~ /08/06 Existing probe cable -~~- ~,, Existing black steel riser' minimum of 18" Existing probe rings Existing Veeder Root Mag1 Probe New probe product float New probe water float Installation is ical for afb tanks. "' **~Note -all other material is to remain in it°s original position.~~~ ., ;~ ~t, Scope of work: During a recent monitor certification it was discovered that the tank # 1 & 2 10k 87 fill buckets were bad and need to be replaced. It was also discovered that the 4"floats for each ATG probe need to be removed and replaced with 2" floats. Parts list: (2) P85000 -Phil-Tite 5 gallon fill containment buckets. (4) 0330427-001 Veeder Root 2" product floats. (4) 0330426-002 Veeder Root 2" water floats. ***NOTES*** All work will be performed by ICC and manufacture certified technicians. All other equipment will remain in place and untouched. Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [CT-1634] 11 /08106 Brundage Lane 6 I. I +,-gel I and .". G{;76~TFSiciiT~a S'6dLTE L{Ce_W5E Ett ~firr '~~ ~~ ~ ,? - . r,. C%~? "~#~i~ES t~ -f i- •~iC~Akt~; ::Df~A€''FI4"7' l~4tv',; v, 'nS C4t8TfrACT~RS STATE LlCE~'SF RL7AR~A ~v ''~ ~ ~:,~ +~" .....,...., ~{}24~ 5 .... cc~nP .., , ~.. CHi~~i'LES E TH•7f+~lilz', Ct7Mf'AIUY IfdG .~....., ~::-.ifcC.i~Ctiu, ~~.~ a F ~.. ~; ; Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [CT-1634] 11 /08/06 Scope of work: Replace the fill bucket on the 87 # 1-2 tanks. Part list: (2) Model 85000 Phil-Tite fill buckets ~ ' Enlarged view ., Cut away of Phil-Tite model 85000 ~ . ~;' (5} gallon spill containment bucket •~ <yGGF~TRrt`?"t~S ST~TE~ILICEs~!Srr P:t7i.~tf7~ ,~'s•:=~, .. .' G~ it: L'.na 'a' ., ..,.,,..,~~~CT~S CtsRP ,,_..,,,,.: C~:w~LES E TN~.aPJ~a~,S ~"C}P~AP,~t~ll~` It~t~ i ~ ~~ Existing probe cap Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93306 (805) 324 - 7599 [CT-1634] 11 /08/06 Existing probe cable /~ Existing black steel riser minimum of 18" Existing probe rings Existing Veeder Root Mag1 Probe New probe product float New probe water float Installation 6s ical for aii tanks. *~f~ote -all other material is to remain in it°s original position.~~~ ~., a~' ta'~ ~' Brundage Lane Scope of work: During a recent monitor certification it was discovered that the tank # 1 & 2 10k 87 fill buckets were bad and need to be replaced. It was also discovered that the 4" floats for each ATG probe need to be removed and replaced with 2" floats. Parts list: (2) P85000 -Phil-Tite 5 gallon fill containment buckets. (4) 0330427-001 Veeder Root 2" product floats. (4) 0330426-002 Veeder Root 2"water floats. ***NOTES*** All work will be performed by ICC and manufacture certified technicians. All other equipment will remain in place and untouched. Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [CT- 1634] 11 /08/06 =6alN ~ `I ~: iLllnni3 .. f:C9P~€TRiat: ~7F75 ~a~r`1YE t_I~r_~5F E3{;AErrfh '~~' ,~, ~ic;~.l ~ .-, ..,~,~. C:'r'~~.t=tLES `~ i 1-(=>r~Afd:-; ,.l"tl'~.4~'r~hvl~Y 1~41e> ATG probes are in the fill sumps ~~ v f 7 "3~ Replace these two Cashier \~ Store area Existing Veeder Root TLS-350 monitor W- 1~~ =~- 1~~ .~ w,_ ,t ~y- ~~ 9 10 "` 1~~ >>~z m r.. _, ~,: . corrr~,~cn~ws sT~cT~ uc.E~sE e~~aRm may: r,,: CHn~LES E TH~MRS` COM~'Ai~IY INC ~F~r1 .... ~t,'3r~2t~0, ~w'~~ Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93304 (805) 324 - 7599 [CT-1634] 11 /08/06 Scope of work: Replace the fill bucket on the 87 # 1-2 tanks. Part list: (2) Model 85000 Phil-Tite fill buckets Enlarged vievu - ~. 8 /Cut away of Phil-Tite model 85000 ~~ (5) gallon spill containment bucket _r~ n a.c '^feie ~:'i ~ :nla~.~lnle 5; ti GGhET~t~.:T{1F5 5'~R.TE LIC[~IuE FO t~~r(~~,";'.p,.m~S =~ yet ur.~ 9Ck.ltt ~;•~ a ~. ...,~: C}-i;-sFILES E T1-i~...1P~e~S t~C}f~lf'fitf'~ti' Ifd ~~ ~ ,,. f~. Existing probe cap Arco 1960 1701 Brundage Lane Bakersfield, Ca. 93306 (805) 324 - 7599 [CT-1634] 1 ~/08/06 _ _ 9~ _ Existing probe cable --~- ~. ~' ~~ Existing black steel riser minimum of 18" Existing Veeder Roat Mag1 Probe New probe product float Existing probe rings New probe water float ~~. ,~ 1~ (• inst~na$~o~, ~s t• icai for all tanks. ~~~i~ote -ail other material is to remain in it`s original position.~~* onitoring S)'stem Certification UST Monitpring Site Plan Site Address: ~, ~ ~ ~~2~~~C~'~J-~' ~. ~ N .~J. \ O,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~~ / . . . ,c~-GI v ::::: ~ :::: ::: :::::::::~%f:f~~ ~ ~ ~ ..~: . ~y .......................................... o ..... . . . . . . . . . . . . . . . . °OV 1. ~~ . . . . . . . . . . ._~ ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V ' . .. 7~. v~ ........ ............:......W~-~: ~ ~. `. .'~~ ; .. . _ .~r . . . ~ `:~L . t~.~ ....... ................................ ........r ..................................................... Date map was drawn~~ ~~~~ Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring systetn control panels; sensors monitoruig tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page of osioo r• M a M P') m t0 m m M tD ..r M 0 Z x a .INTERNATIONAL CODE COUNCIL ROLANDn NUNEZ ~~a...~a~ .~iuauuKalEd~s~tou~,dze a~..,e~u~:red, ~ ar. 9~l~urlietur,C' ' odt= Yn~r..i..~.f dr~da~,Gi1~ Ga'~.elvi~ liPa/~uer~a~ua~rlleia, errm,,.rital~ l~aseu~,/o,2 c.~/fs a~ aG /~ ~ gr~°r,G, e..d~.~.~,~•..dr.~.d~. es~/q~,er/.avr, ~6.~ UST INSTALLATION/RETROFITTING gincn thu day of Febrrr~cry 3, 2005 .~~.G P. ~`' FratJe P. Nodes jr. PetxiAen~ iCC E3oacd of Dirtrr!oro //''// r ~ ~ VY~ jaous t. Vl'ia (CC Chid Fac~cutive OtBtet ~2~20:57-L' 1 Ccrtificn~c '~iumbcr ~~~~~Q~~'V- CODE COL~v'ClL~ .. n";.P y , sa . ~ 'I'A4,~ w91;w.x1 Ai'i5 ~=~'lu+r. -.~~ (ASItAt 1Cr0 ni7~ltia4 .:~ x~cw ern: u~ .to G P~~G 1~ /yuo MeP uoileudxo +yl ~Ap pyeA s{ pxq twpod tWl N09Btll Auv iUt ti~{D(NIYAUI q "pO1tOAN'pf{riMdiM UdaN (>1JBWip UMf1 +/Rs+d+H a41 u1 F~++~i~t e4 MW ~ ~algo'+xlswL tou AI +su+oq sAt( •;,~rP., y wpw, ~ psa5ry sip of µgiois~ as Isnw w~unussaR~ +zeuM'Kl to a0u¢4:, ruF1 ~~~ ~tSt7~'rtfF.%9n - d~~~ 5~1t91'. -~-~ ,• ~. ~ • ,,~,t, ''c`N.. ~,; ~ UtfV08 3SN3UIl 31V1S SliO1~Vtl1N07 January 25, 2006 Trfiidad MaR~nez TLM Petro Lobar Force I nc. 9165 Baysinger St Downey. CA 90241 Mr. Martinez, Per our conversation earGvr this week, please allow this letter to contirt» that the following listed individuals attended end cornpktad in good standing the OPW El/R Phase I Cert~icaition course provided by OPW at your location on 12113105. All of the thirteen fisted individuals are certified for OPW t,/R Phase 1 until 12113107. i) Frenasco Hernandez 2) Rolando Nunez 3) Oavid 8eanuides 4) Jose Aden Comedo 5j George Valdez ti) Jorge Juerta 7) Alejandro Cruz 8) Rcy Nunez 9) Jose Armando Guzman 10) Jesus Omelas 11') Roberto Torres 12) Frank Ramos 13) Andrus Saru~iez Best Regards, Thomas Spindle OPW GL09AL TECHNICAL SUPPORT 951-847.6176. c~~:d ,.d's~ :cl 5rir7~ S? ~~; 6Z~~-6£9-9j`-: 'QN X~~ ~N: ?~2i~~ 203ti~~ ~M..~d. W'll: .:Giya - _PHi~_•T,iTE• Eti rEra~q~Es .. ,, ..rr.,,...•,.,,•,r,,,,,,,,,,,,,,,,•:,.,. .., , Y. ,. l., ~ ~.. , ..r. ' ,~ D~-1tN IUD . /I~t,(/!I~ I ,~._ .. _...._... . . ., .. n,•..Lr _ _ Zitd i.:dtS:I~ 9f~0r? SZ '~2f 6?~~-5z9--QL~: '.~!~ xti~ ~1: 3~2i:~ J~li~ 0~13d 'v:~l: •.O i UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATIOti PERMITNO. ~ ~ `oZSs ^ ENHANCED LEAK DETECTION ~ LINE TESTING A-~~ / 9 ~ a ~- o ~ {.:___-~.. BAKERSFIELD FIRE DEPT. b E R 5 F i r prevention Services ,(EI,~~ wRTM f 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ~ TO PERFORM!. FUEL IIiGNITORING CERTIFICATION SITE INFORMATION AGILITY # ~ ~ ~Co NAME & PHONE NUMBER OF CONTACT PERSON ~Ua 7i - ~v- s3 z _ _ _ DDRESS - - __ _ -- -- - -/, ,, -- - - - -- ---- - -- -- - --- - _ - !~~ >``- WNERS NAME PERATORS NAME ~ PERMIT TO OPERATE NO. UMBER OF•TANKS TO BE TESTED IS PIPING GOING TO BE TESTED % ^ YES ^ NO TANK# VOLUME CONTENTS TANK TESTING COMPANY AME OF TESTING COMPANY ~tiJ j 5~rs NAME 8 PHONE NUMBER OF CONTACT PERSON ~ Or ~/ 7~ -56 -6 AILING ADDRESS - AME & PHONE NUMBER.OF TESTER OR SPECIAL INSPECTOR ( I CERTIFICATION #: - ATE/& T ME T ST TO BE CONDUCTED f< Z- I j ICC = EST METHOD IGNATURE OF APPLI~ANT ~ ATE ~~ ... ~/ - Q s ! T S APPLICATION BECOMES A PERMIT H N APPR©VED APPROVED BY ~' IRATE FD21fl6 '-c M~NIT~RllVG SYSTElVI CERTIFICATIQN For Use By A!I Jurisdictions Within the State of Cal~ornia Authority Cited: Chapter 6.7, Health and Safety Code; Chapter ! 6, Division 3, TYBe 23, California Code of Re~ulatiorls This form mustbe usedto document testing and servicing of monitoring equipment.. A separate certification or reportmustbeprepared for each monitoring svstem control.panel by the technician who performs the work A copy of this form must be providedto the tank system owner/operator. The ownerloperator must submit a copy of this form to the. local agency regulating UST systems within 30 days of test date. A. GeneralInforxnation ! Facility Name: ~ BP WEST COAST PRODUCTS. LLC I j SS#: 11960 Site Address:. 11701 BRUNDAGE LANE ;City. I BAICERSFIELD Zip: 93304 I F ecilitq C ontact P ers on: ; ~,~ ~,, F T ~,,,~~ ~ Contact Phone N o.: -7 c ~ 6 7 D 5" 3 Z( I i Make/Model of Morritoring~stem: . v" - c5T' -TL.S 35-p 'Date ofTestin ervice: `Z- o ~ B. Inventory of Equipment Tested/Certified Check the ~orvoriate boaoes to indicate specific equipment insoected/serviced: Tnn1sID: ' Tank ID:. '~ n-TankGau ' Probe: 'Model: ?3`3,0 - ! 07 r~TnakGa Probe: ModeL• _ g '~ O-- o nnularS ace or Vault Sensor: ~ Model: '~~ 3~0-~{0~ r~nularS ace or°Vault.Sensor. Modes: q SO`KO i" S renchSensor s : i ModeL• 7`) 380-Zo8 in Sum renchSensor s : ModeL•. ?~Z 8--zo8 ill Sum Sensors : ModeL• 0 ZP8 ills Sensor- s : Model: Y SD -zv8 echarncalline I:ealcI3etector. Model: -t,p echsnicslLine LealcDetector. Model: v(- ~~ zoo 0 ectronic Line.L.eakI)etector ~ Model: ectrorric Line LeakDatector ModeL•. Ov 'ModeL• g -oo / °Ov ModeL• ?Qoo 9(-00 er, S ec' a `e andmodel inSectiori E on P e t er`S ec.' e e andmodel.inSection E on P e t Tan1cID: ~ 8 Tank ID: n-TankGau ' Probe: :Model: j 13 7 O- /07 xHTankGa Probe: ModeL• ~8'{734b - to AnnularS ace or VaultSensox: Model: j gD - ~(o nnulerS ace or Vault Sensor I ModeL• g ' ~p -~jo in .Sum 1TrenchSensor s : ;Model: ( p '- g i ' S renchSensor s : ModeL• ~~( -Zp~' illSum Sensors : 1 Model: I ~ So -ZO8 il1S Sensors : ,ModeL b - echanical Iane Leak Detector. I Model: - L _ echarical Line Leak Detector. ModeL• (.; OD o ectrorric Line Leak Detector I Model: j ectrorric Line Leak Detector ModeL• Ove I ModeL OoQ(-oo! Ove ModeL• DO `+GiD( Other, S ec' a ui . t e and model in Section E.on Pa e 2 then, S ec' : e ui . t e and model in Section E on Pa a 2. enserID: ' (" ~ Di enser ID: is enserContairnnentSensors: j Model: 2p is enserContainmentSenso s : ModeL• Z°~ Shear Valves . 'Shear Valves is enserContairunentFloa s andCh ~ s 's enserContairunentFloa s andCh ' s D's~enser ID: - 6 Dis enser ID: j --~ Dis enser Containment Sensors : ;Model: ? Zp ~ - ~ DispenserContainmertSenso s : j Model: j 20 ~ ~~ Shear Vsl~e s . ', _ ~_ Shear V slue(s). ~.r._..___. is enser ContainmentFloa s andCh ' s 3 is enser ContainmentFlos s andCh ' s D's enser ID: -(O D' enser ID: ~ - ( Z Dis enserContainmentSensors: j Model: I 2dg is enser ContainmentSenso s : I Model: ~ Ze ear V slue s. j i _ ear V aloe s. 's enser C ontainment Flos s and Ch ' s + is enser Containment Flo s end Ch ' s *If the facility contains more tanks ordispensers, copy.this form. Include information for every tank and dispenser at this facility. ~. Certafic ation - I certify that the equipment identified in this documentwas inspected/seniiced inaccordancewith the manufacdmea' guideline:. Attached to this Certification is information (e.g. manufmctui+ers' checkliats).n~ece::ary to verify Shat this information is correct and a Plot Plan hawing the layout of monitoring equipment. For any equipment capable. of generating such reports, I liaealso attached a copy of the report; (cF+.eck aII tJ:at atiply): stem sct up ~-i3AUrm history r+euort _ TechrricianName (Print): ~~ ~ Sigziature: ~ ~ ~ i CertificationNo.: ~ ob6 os~~z-- LiceriseNo.: j ~ga~ e I T tsnse; T4 ~CompanyName: ; TAITENVIRONIUIENTALSYSTEMS j PhoneNo.: (7 1 41 560-8222 Page 1 of 3 03101 Monitoring System Certification f SSA: X1960: 1701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 Date of T.estingJ'Servicing: 11/2/2005 D. Results of Testing/Servicing S oftwere. V ersion Installe d: 17 I, a o Comn]ete the follnwine checklist: Yes ~, No* Is the audible alarm o erational? Yes No* Is the visual alarm o erational? Yes Na* Were all sensors visuall ins acted, functional) tested, and confirmed o erational? Yes No.* Were all sensors installed atlowestpoint of secondary containment andpositioned so that other equipmentwill not interfere with their- ro er o eration? ' Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g_ modem) IA. operational? No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary contairunent NIA monitoring system detects a lean fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Checka!lthatapply -renchSensors;ispenserContainmentSetisors. Did you confirmpositive shutdown due to leaks: nod sensorfeilureTdiscoaae a? es; ~~No. es No* For: tank systems, thati utilize .the monitoring system as the -primary .tank overfill wanting :device .(~:e: no NIA mechanicaloverf`ill prevention vali-e is installed), is the overfill:-warning elarrn'visible and.such"ble at the tank s fill ' oin s and o era ' .roe If s o, at what arc ant: of tank c a acit ; doe s the . dean tri ei'?".:...: ayo es* No Was any monitoring equipmentsaplaced? If yes; identify specific sensors;probes,. or other equipmexitreplaced and"list the manufacturer name end modal for all re lacement arts in Section $ below. Yes* No Was liquid found inside anq secondary contair~mentsystems designed as.dry systems? (Check a!lth~c~(yj Product; Water. If es, describe causes'inSectionE,below. Yes No* Was monito ' s steal set- reviewed to ensure arse s? - No* Is all monitorin a ui ment o erational er manufacturer's s ecifications? * In Section E below, descr~e how and-when these deficiencies were or will be corrected. E. Commentsc ~ Page 2 of 3 ~ 03A1 SS#: ~ 1960: 1701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 !Date of TestinglServicing: ;11/2/2005 -;,-. - F. In-Tank Gauging /SIR Equipment: heckthis boxiftank gauging~is used onlyforinventory~ontrol. Check this box if no tank gauging or SIR equipment is inst milled. This section must be completed if in-tank gaugxr~g equipment is used to perForm leak detection monitoring. * In the Section H, below, describe how and when these deficiencies were or will be correc:De d. Complete the following checklist: Yes . No* Has all inputwiringbeeninspectedforproper-entry and termination, including testing for ground faults? es No* Were all tank gauging probes.visually inspected for damage and residue buildup? - :Yes ~. No* Was accuracy of system product level readingstested? Yes No* Was accuracy of system water level readings tested? -Yes ~ No* Were all probes reinstalledproperly? Yes No* Were all items on the equipmentrnanufacturer's maintenance checklist completed? * In the Section H, below, descr~e how and when these.deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box ifLLDsarenotinstalled. Co late the follow' checklist: ~~ No* For equipment start-up. or arrimual equipment certification, was a leak simulated to verify LL.D performance? N/A (Check aiI that aPP1Y~ -Sunulatedleek:rate: g.phl; . 0.1 g.p.h.~; 02 g.ph.~ Notes: 1. Requiredforaquipment-start-up certifcation and annual certification. 2. Unless mandatedbylocal agency, certif'icationrequired onlyfor electronic LLD start-up. es ' No* Were all~LLDs confirmed operational and accurate within regulatory:requirements? es No* Was the testing apparatus properly calibrated? Yes No* For mechanicalLLDs,does.theLLDrestrictproductflowifitdetectsaleek? N1A Yes o"` ,For elactronic L,LDs,.does the turbine automatically shut off.if.the LLD detects sleek?; N!A Yes o* .For electronic LLDs, does the turbine automatically shut off if eny.portion of the monitoring system is disabled N!A or disconnected? Yes . o* For. electronic;LLDs, does she turbine automatically shut off if any portion of the monitoring system malfunctions N!A or,fails start? Yes No* :For electronic LLDs, have all accessible wiring connections beenvisuallyirxspected? N!A No* Were all items on the equipment manufacturer's maintenance checklist completed? Page 3 of 3 O3A1 S #: X1960: 1701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 Date of Testing/Servicing: 11/21200 5 Monitoring System Certification UST Monitoring Site Plan ~. ~. .. ... y~ 1 0 o ~, v ~~a `~~ ~ a+`~/ p, w-. ~ ~ ArttJl~*R,SPriso~5 '~~tll~st91sa~2.5. /A-~, ~a , • ~~R . .. . . .. .1~'to'r~.S~NSoczS:: .~;A!Ba~Fi1.1.l~IR:QrYI . ~. .Li:c. tJT5 :. .O Instructions If you akeady have a diagram that shows all- required information you may include it; rather than this page,, with your Monitoring System Certification. On -your site plan, show the general layout of tanks and piping.. Clearly: identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic-line .leak detectors; and in-tank liquid level probes (if used for leak detection). In the space .provided, note the date this Site Plan was prepared. Page _~ of _~ 05A0 ~• BP West Coast Products, LLC Mechanical Leak Detector Test Data Sheet Station #: 1960 Date: t 1/2/2005 Time: ~~~'~M Address: 1701 BRUNDAGE LANE BAKERSFIELD Test Information 1 2 3 4 5 Product 4 Manufacturer Model L Q ~ Q(~ (7 Full Operating Pressure (psi) . Z4 Z 3 Line Bleed Back (ml) Z f p c ~ d Z o Trip Time (sec) - ~5e~ ZSP~ ~~~ Z-SdC~ Metering Pressure (psi) ~ -L i-L i Z< F/E Holding Pressure (psi) Z, 8 Zg Zip Test Leak Rate (mUmin) (gp6) ~,,,~ l ~~ ~,,~,( ~,,,, ~ ~ oxl PASS or FAIL c~.5 5 5 S ~.5 5 45 5 Comments: This letter certifies that the annual leak detector tests were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed aze to my knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By: Contractor: TAIT ENVIRONMENTAL SYSTEMS Technician ~.,1~eiv~,~~~.t~s~ Lic# ~- SWRC B; J anuary 2002 Page _ j_ of 3` Secondary Containment Testing Report Form TF~is form is intended for use by coniraciors performingperiodictesting of USTsecondary containment systems. Use the appropriate pages of thi s form to report results for a!I components tested TF~e completed, for»; written testproced~ves, and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal ~ the loco! regulatory agency. 1. FACILITY INFORMATION SS#: 1960 F acility N ame : BP West Coast Products, LLC Date of T e sting: (l ~ Z --~ ~ Facility Address: 1701 BRUNDAGELANE City: BAKERSFIELD Zip: 93304 Facility Contact: „],~.e,.~~ ~ ~,.~s~~~ Phone: -Z ~ 6 'fie $ 3 Z,1 Date LocalAgencyVVas Notified ofTesting: ~j ~-}~Z.S .Name of LocalAgencyInspector (ifpresentduringtestingJ: p,.3 ~ A 2. TESTING CONTRACTOR INFORMATION Com anyName: TAIT ENVIRONMENTAL SYSTEMS T e clinician C onducting T e st: c;~ Credentials: ~SLB Licensed Contractor ^ SWRCB Licensed Tank Tester License Type: A ASB HAZB C10 License Number. 588098 Manufact~inr Training _ Atlanufacturer Com on s ~ Date Tra' E Tres 3. SUrVIl17ARY OF TEST RESiTLTS Component Pas: Fail .I.N~d ~~ Component Pas: Fail .rN td ~~ ~ F:~t ^' ^ ^ ^ ^ ^ ^ ^ ~~t1 ~ 0 ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ a ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ If hydrostatic testing was performed, describe what was done with the water after completion of tests: 1~~ Tk~P-~~ ~~ ~-~ 1 io ~ ~~l ~ ~ CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To tlka best of ~y kxowledge, tke factsstated ix tkss doca~ext ar+e acc~emte aua ix fall co~phaxce wit7k legal rieq~ir+sanesxts Technician's Signature: Date: 1 ~ ~-_ p ~ SWRCB, January 2002 Page Z of Z 4. SPILLlOVERFILL CONTAINMENT BOXES SS#: 1960 Date: 11/2JZ005 Facility is Not Equipped Vilith SpilUOverfill Containment Boxes ^ S ilUOverfill Containment Boxes ere Present, butwere NotTested ^ Test Method Developed By: ^SpillBucketManufacturer dustryStandard ^ProfessionalEngineer ^ Other (Speci,~y) Test Method Used: ^ Pressure ~^ Vacuum ~ ~iydrostatic ^ Other (Speci,~y) Test Equipment Used: i 5 J~ L. Equipment Resolution: ' ''' "" Spill Box#~'7 Spill Box#~j Spill Box#~ Spill Box # (~ Bucket Diameter: ~ t l .(~ 1 l l 1 11 (~ (( ((. Bucket Depth: ~( (l (( (i 1 ( ( i 1 ~ / Waittime between applying pressureJvacuum/water and sterttn test: Cj - M ~ ~ StM "~ Sv-~ Zvi ~ ~hn w- ~jHn ~+n - gliH • n J °1^~ ~ _ ~I'w~ dt Test Start Time: . ~j(~ 30 : 3'U ~ jd ~j': j0 = j0 : j0 .' jrJ Initial Reading (R~: {~ - O 6 •O ( • O 6 •O ~ • U 6 - O 6 ` 0 ~ - CJ Test End Time: (O: 30 O•'3 Oj 3 0~3v ~ e~ (os 3v 0: jU O,'3d Final Reading (RF) : (o , O , v • O ~j ` O ~ - O 6 - ~ 6. O 6. 0 Test Duration: ~} (~ Change in Reading(Rp-R~: O ~ C9 ~ ~ ~ en O PassJFailThresholdor Criteria: ~ks~7 ~5 ~c,Srj ~~ts5 ~~c.,ss S5 ~ 4S5 g (~S S ... ,. , .: Test`Result:.. ,. Y .. ... ass .. _..; _. ass .., ?I . ' .,. "_Pus, ; ', Passe: ' Comments - (include information on repairs made prior to tesh'n~ an recommended follow-tga for failed tests) r'-~ by November 22, 2006 Designated Operator Program Bakersfield Fire Dept. Office of Prevention Services 900 Truxton Avenue, Suite 210 Bakersfield, CA 93301 SUBJECT: Change of Designated UST Operator Notification Arco Facility 01960 1701 BRUNDAGE LANE BAKERSFIELD, CA 93304 Dear Sir/Madam: BP West Coast Products LLC 4 Centerpointe Dr. La Palma, CA 90623 USA VIA FEDEX ~,~~~ '~ ^~~ . In accordance with the California Code of Regulations, Title 23, Chapter 16, Section 2715, Subsection (a) where: "The owner shall inform the local agency of any change of designated UST operator(s) no later than 30 days after the change", BP West Coast Products, LLC (BP) is submitting the attached document as notification of a change in the Designated Operator (DO) for the identified facility. The attached notification of change supersedes any similar document previously submitted by BP. It is the intent of BP to minimize the number of changes in DO assignments in the future to ensure consistency in the site-specific inspections and training. BP appreciates the opportunity to make adjustments to this evolving program as we strive to meet the spirit of the regulations and local CUPA requests. Please contact Scott Hartwell with BP West Coast Products, LLC at 714-670-5248, if you have any questions concerning the specific change notification submitted -with this cover letter. Sincerely, ~~~ Chris Moul Compliance Manager BP West Coast Products, LLC Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of Compliance with UST Requirements Facility Name: ARCO - 01960 Facility ID #: Facility Address: 1701 BRUNDAGE LANE BAKERSFIELD, CA 93304 ~ Reason for Submitting this Form (Check One) ^ Change of Designated Operator Facility Phone #:661-322-7213 ^ Update Certificate Expiration Date PRIMARY Designated Operator's Name: Andres Rubio Relation to UST Facility (Check One) Business Name (If different from above): Belshire Environmental Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: (949) 460-5200 ^ Service Technician ^ Third-Party International Code Council Certification #: 5256795-UC Expiration Date: 3/2/2007 ALTERNATE 1 (Optional) Designated Operator's Name: refer to backup document Relation to UST Facility (Check One) Business Name (If different from above): ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: refer to backup document ^ Service Technician ^ Third-Party International Code Council Certification #: refer to backup document Expiration Date: refer to backup document ALTERNATE 2 (Optional) Designated Operator's Name: refer to backup document Relation to UST Facility (Check One) Business Name (If different from above): refer to backup document ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: refer to backup document ^ Service Technician ^ Third-Party International Code Council Certification #: refer to backup document Expiration Date: refer to backup document Designated UST Operator(s) for this Facility I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (f). Name of tank Owner (print): Signature of Tank Owner: Date: 11/22/06 Owner's Phone # (714) 690-2349 In December 2004, BP West Coast Products, LLC submitted a separate letter to the local agencies documenting compliance with UST regulations. A copy of this letter can be made available upon request. ALTERNATEI Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council certification #: pending (see attached) Expiration Date: lO/16/2008 ALTERNATE2 Designated ' Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #:5247974-UC Expiration Date: 12/10/2006 ALTERNATE3 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #:5234433-UC Expiration Date: 07/26/2008 ALTERNATE4 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #:5295245-UC Expiration Date: 09/19/2008 ALTERNATES Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #:5289249-UC Expiration Date: 07/26/08 ALTERNATE6 Designated Relation to UST Facility (Check One) Business Name Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #: 5244506-UC Expiration Date: O9/29/2OOH ALTERNATE 7 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code council certification #: pending (see attached) Expiration Date: lO/12/2OO8 ALTERNATES Designated ' Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #:5252945-UC Expiration Date: 01/28/07 ALTERNATE 9 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #:5256795-UC Expiration Date: 03/02/07 ALTERNATE 10 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #:5257843-UC Expiration Date: 04/22/07 ALTERNATE 11 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code ' Council Certification #: 5282038-UC Expiration Date: 04/11/08 ALTERNATE 12 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #: 527$957-UC Expiration Date: O1/2O/O8 ALTERNATE 13 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Expiration Date: l1/17/08 Council Certification #: 5246896-UC ALTERNATE 14 Designated ' Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Expiration Date: l l/03/08 Council Certification #: pending (see attached) . ALTERNATE 15 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Expiration Date:10/17/08 Council certification #: pending (see attached) ALTERNATE 16 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #: 5296378-UC Expiration Date: 10/04/08 ALTERNATE 17 Designated Relation to UST Facility (Check One) Business Name ^ Owner ^ Operator ^ Employee Designated ^ Service Technician ® Third-Party International Code Council Certification #: pending (see attached) Expiration Date: lO/10/O8 ALTERNATE 18 Designated Relation to UST Facility (Check One) Operator's Name: Business Name ^ Owner ^ Operator ^ Employee (If different from above): Designated ^ Service Technician ® Third-Party Operator's Phone #: International Code Expiration Date: Council Certification #: t•~~r~~ LCl1~F1?R1T~R 9"~STfN@ Computer Test Reporf International Code Council Computer r^:xam Report IIATE: 20/16)2646 EXAM TITLE: CA [Inderground Storage Tank System Opezator •- i3C (COO) NAME: YEOMAN, REID i,OC.A.TOR: YEKC)OG35 EXAMI1~lATION RESULT: PA95 Congzatulations! You have passed the CA Underground Storage Tank System Operator - UC (COO) Your IC,C certificate and wallet. card will be mailed .t.o you withi:n.six.weeks after the end of the month in which you passed the exam„ Your name as it apppeazs above on this notice wi.l.l be printed an your certificate and wali.et card. It i.s very impoat.ant that you ;:::tiff LaserGzade and ICC of any changes in your name and/or address.. ICC requires a: change of address in writing.. Flease fax your change of address to ICC at (562) 692•-2895 cr mail .it to: ICC Certification. Services 5360 Workman Mill Road DO NO~`'~~~~ 1~~II~~iIE~C?8RT Sincerely, LaserGrade I;aserGrade Computer Testing P O Rox 87.24:5 vancouvei, WA ..98687-•7245 804-217==2754 or .354~~596'-9211 www.TaSezgrade..com Applicant Locator: X..!•;KQp035 Testing gravid°d by: LAS92143 San Diego Flight Traa..ning '879'5 Aero Drive, Suite 103 San Diegcs, CA 92123 858-569-1.822 iB~yi~ .,;~~ ~~ ~~" ~~e crMou7~A'd xr~srfn>ca Computer `Test Report International Code Council Computer_ Exam Report Dp.TE: 10/17/2006 EXAM TITLE: CA tJndexgzound Storage Tank System Operator - UC (COO) NAME; NGY7YEN, BOBBY LOCATOR; NGK02069 EXAMINATION RE5ULT: PASS Congratulations! You have passed the CA Underground Storage Tank System Operator - UC (C110) Your ICC certificate and wallet card wil], be mailed to you within six weeks after the end of the month in which you passed the exam. Your name as it appears above on this notice will be printed on your certificate and wallet card. It is very important that you notify La3erGrade and ICC of any changes in your name and/or address. ICC requires a change of addz•ess in wri.ta.ng. Please fax yotar change of address to ICC at (562) 692-2845 or mail it to: ICC Certification Services 5360 Workman Mill Road oa No~~c~~P~ ~~~~ 6~'~~~oeRr SincereI.y, LaserGradc Applicant Locator NGK02069 LaserGr.ade Computer Testing Testing provided by: LA595803 P O Bpx 87245 Sky Wa k, Inc. Vancouvez~, WA 98687••77.45 6151 Freeport Blvd. Suite 158 800-211-2%54 or 360-896-911.1 Sacramento, CA 95822 www.lasergrade.com 916-.391-1957 ,.J ~ a.. r~w....n Jnn.n.. .... w.... ( y v ~ y ~ Wd 9090 £ 900Z/4 LJL L a;gp ~ :aged ~ ~ggZ~g Lg :wog j ;~i . ~.~~~' Ct.~JL/i~LlT~I~ TL'3TfJ1rC3 Computer Test Report International Code Council Computer Exam Report DATE: 10/10/2006 EXAM TITLE: CA Underground Storage Tank System Operator - UC (CUO) NAME: CARNE, DANYEL LOCATOR: CAK02422 EXAMINATION RESULT: PASS Congratulations! You have passed the CA Underground Storage Tank System Operator - UC (CUO) Your ICC certificate and wallet card will be mailed to you within six weeks after the end of the month in which you passed the exam.. Your name as it appears above on this notice will be printed on your certificate and wallet card., It is very important that you notify LaserGrade and ICC of any changes in your name and/or address.. ICC requires a change of address in writing.. Please fax your change of address to ICC at (562} 692-2845 or mail it to: ICC Certification Services 5360 Workman Mill Road DO NOThLt~~~ 1~~I1S 6F~EI~~BRT Sincerely, LaserGrade i~~~ 21 Applicant Locator: CAK02422 LaserGrade Computer Testing Testing provided by: LAS90801 P O Box 87245 Long Beach Flying Club Vancouver, WA 98687-7245 2631 E. Spring St. 800-211-2754 or .360-896-9111 Long Beach, CA 90806-2218 www..lasergrade.com 562-290-0321 LaserCra~e COANMITER TEST/NO Computer Test Report International Code Council. Computer Exam Report DATE: 10/12/2006 EXAM TITLE: CA Underground Storage Tank System Operator - UC (CUO) NAME: WOLF, JAMES THOMAS LOCATOR: WOK00869 EXAMINATION RESULT: PASS Congratulations! You have passed the CA Underground Storage Tank System Operator - UC (CUO) .Your ICC certificate and wallet card will be mailed to you within six weeks after the end of the month in which you passed the exam„ Your name as it appears above on this notice will be printed on your certificate and wallet card., It is very important that you notify Lasei-Grade and ICC of any changes in your name and/or address. ICC requites a change of address in writing. Please fax your change of address to ICC at (562) 692-2845 or mail it to: ICC Certification Services 5360 Workman Mill Road DO NO~~t(~~~ 1~~1~6~t1E~~8RT Sincerely, LaserGrade Applicant Locator: WUK00869 LaserGrade Computer Testing Testing provided by: LA594602 P 0 Box 87245 Sequoia Institute-Sierra Campus Vancouver, WA 98687-7245 8291 Earhart Road Hangar 6 D~ 800-211-2754 or 360-896-9111 Oakland, CA 94621 i~'3(o www.lasergrade.com 510-638-1973 ~.- /'~ ~ase~r~d~ GO/YlP1JTER TEST/NC3 Computer Test Report Int.ernat.ional Code Council Computer Exam Report DATE: 11/03/2006 EXAM TITLE: CA Underground Storage Tank System Operator - UC (CUO) NAME: MACIAS, JOSHUA LOCATOR: MAK03669 EXAMINATION RESULT: PASS Congratulations! You have passed the CA Underground Storage Tank System Operator - UC (CUO) Your ICC certificate and wallet card will be mailed to you within six weeks after the end of the month in which you passed the exam. Your name as it appears above on this notice will be printed on your certificate and wallet card. It is very important that you notify LaserGrade and ICC of any changes in your name and/or address. ICC requires a change of address in writing.. Please fax your change of address to ICC at (562) 692-2845 or mail it to: ICC Certification Services 5360 Workman Mill Road DO NO~~t(~~~ ~~II~~~F~~BRT Sincerely, LaserGrade Applicant Locator: MAK03669 LaserGrade Computer Testing Testing provided by: LAS92601 P O Box 87245 Helistream, Inc Vancouver, WA 98687-7245 3000 Airway Ave, Suite 350 800-211-2754 or 360-896-9111 Costa Mesa, CA 92626 ~g3(oD $ www.lasergrade.com 714-662-3163 MONITORING SYSTEM CERTIFICATION This form must be used to document testing and servicing of monitoring equipment. A separate certification or regort must be pregared for each monitoring system control .panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this forn~ to the local agency regulating UST systems within 30 days of test date. ~7 ~~~ ~ 7 A. General Information Facility Name: ~~ ~ C ~ ~ ~ - Bldg. No.: SiteAddress~,~~/ ,~~^ciUN ~~- L /J City- ~j1lt~~,rF•~`~ Zip:~''l ~ _ Facility Contact Person: ~ ~ Contact Phone No.: ( b ~ t > ,~ Make/Model of Monitoring System: ~2 L S" 3.~ v /!/ U ~ ~~ 1~0' a %~Date of Testing/Servicing~ L) /~/ D B. Inventory of Equipment Tested/Certified ~N A/ ~6 y/ ®3c~_SVO ~ Check the annronriate boxes to indicate specific equipment inspected/serviced: TanklD: ~/ (~/J t.. NIl•,'Y Tank ID: ~~ ~//~ ~ `i9/t. ~- t"'L'!Z~t~1 ^ In-Tank Gauging Probe. Model: /y 7 ^ In-Tank Gauging Probe. Model: %07 ^ Annular Space or Vault Sensor. Model: ~' ^ Annular Space or Vault Sensor. Model: . u l~f~iirg Sump /Trench Sensor(s). Model: oQ ~Pfpiyg Sump /Trench Sensor(s). Model: .~'~ 1 Sump Sensor(s). Model: ~ X11 Sump Sensor(s). Model ~D __ Mechanical Line Leak Detector. Model: r 7"Ld) ,~ o pZS Cd'19l~echanical Line Leak Detector. Model: r''~~[_,1) ~t~ A ^ Electronic Line Leak Detector. Model: ~ ©Electronic Line Leak Detector. Model: /~1 ^ Tank Overfill /High-Level Sensor. Model: /" ~Aq i ~ k Overfill /High-Level Sensor. Model: j ^ Other (sped a ui merit type and model in Section E on Pa e 2). ^ Other (s ecify e ui merit a and model in Section E on Pa e 2 . Tanlc ID: ~ i/~~ L- .~lhi:~-~ G' td~ ~ Tank ID: Tom/ `~/ (~'Z fl~~.' L!~.i1 ^ In-Tank Gauging Probe. Model: /%~~ ~ ^ In-Tank Gauging Probe. Model: _ r ~' 7 © Annular S ace or Vault Sensor. Model: ~ U ~ ^ An r S ace or Vault Sensor. Model: ®'1"- °Sump /Trench Sensor(s). ' , Model: ~c7~" d l _~ Sump /Trench Sensor(s). ~ ]S Model: • !~ Fi11:Sump Sensors}. e : Mo ~f ump Sensor(s). ModeL !~ O'l~lechanical Line Leak Detector. ModeL• µ •9L,~ ~eehanical Line Leak Detector. Model: i> ~ ~ t ~ au pi` ^Electronic Line Leak Detector. ModeL• N- P+ ^ ~etronic Line Leak Detector. Model: ~ wank Overfill /High-level Sensor. Model: Mn.a, t Tank Overfill /High-Level Sensor. Model: N11i-g d ^ Other (specify e uipment type and model in Seet n E on Pa e 2). ^ Other (s eci e ui merit ty e and model in Section E on Pa e 2). Dis r ID: / : ~-- riser Con ~unment Sensors}. Model: o~~ Dis ser ID: ~penser Containment Sensor(s). Model: ct ~~ Shear Valve(s). L7 Shear Valve(s). ^ Dispenser Containment Float(s) and Chain{s). _ ~ ^Dis enser Containment Float(s) and Chain(s). ti- A Dispenser ID: Dispenser ID: ~ ~ r C~ ~ ^ Dispenser Containment Sensor(s). Model: ~Penser Containment Sensor(s). Model: Cab ^ Shear Valve{s). iD Shear Valve(s). ^ Dis enser Containment Float(s) and Chain(s).t'V ~ ,~- ^Dis enser Containment Float(s) and Chains . Dish ID: Ga ~ Dts er ID: / - enser Containment Sensor(s). Model: C~? user Containment Sensor(s). ModeL C~ Shear Valve(s). Q Shear Valve(s). ODis enser Containment Floats} and Chain s). N ~ ^Dis enser Containment Float s) and Chain(s}. ~If the facility contains more tanks or dispensers, copy this form. include information for every tank and dispenser at the facility. C. Ct;CtlfiCatiOn -. I certify.that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary verify that this information is correct and a Plot Plan showing the layout of monitoring equ ent. For any equip `nt capable o en rating such reports, I have also attached a copy of the re o t; (check ad ppdy): ~ aJ System set-up larm history e t Technician Name (print):,~~~'E.~~~i'~, !~' fir! Signature: Certification No.: , ~ ~ /,~ ~ License. No.~~~f~~~ Testing Company Name: ~~~C~''1~-~ ~ Phone No.:~~%C) }~~3 G 73 y Site Address: ~~0~ ~~-G~F~( t~i,. L ~ Date of TestinglServicing:` ~ /~ 7 /0.~. Page.1 of 2 D. Results of Testing/Serviciing Software Version hlstalled: ~l -~ JJ Co lete the followin checklist: Y ~' ^ No* [s the audible alarm o erational? Y ^ No* Is the visual alarm o rational? Y ^ No* Were all sensors visual] ins ected, functionally tested, and confirmed o rational? es ^ No* Were all sensors installed at lowest point of secondary contaimnent and positioned so that other.equipment will not interfere with their ro er o eration? ^ Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment ;e.g. modem) N/A operational? -'Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary contaimnent ^ N/A monitoring system detects a leak, fails to ope ratf~~ is electrically disc o'~ed? If yes: which sensors initiate ~ ~ positive shut-down? (Check all that apply) JdSump/Trench Sensors; Dispenser Conti' anent Sensors. Did you confirm ositive shut-down due to leaks and sensor failure/disconnection? O'Yes; ^ No. Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ^ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill Dint(s) and o eratin ro erl ? If so, at what ercent of tank ca acity does the alarm tri er? 9 d ^ Yes* ~ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. es* ^ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply} 0 Product; f$~'~fater, If es, describe causes in Section E, below. es ^ No* Was monitorin system set-u reviewed to ensure ro er settin s? Attach set u re orts, if a licable C~e~s ^ No* Is all monitorin a ui ment o erational er manufacturer's s ecifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: ~~?~zv~le el ~ oz v~ ~,.~-.r.~, ~1--~~t Tt _,~~ s'rf s+•,.;P r~ c~ G~ ~ ~.~~-l-U, Fes- ~,~~, s~~, ~ ~-, ~~, vr.r rte. ~ ~~:~.~ ~r ~s ~ ~„~.~~ Page 2 of 2 F. , In-Tank Gauging /SIR Equipment: Check this box if tank auvintr is used onl for invento control. g ~ b y ry ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. C:omolete the following checklist: 0 Yes ^ No* Has all input wiring been inspected for proper entry and temlination, including testing for ground faults? ^ Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buildup? ^ Yes ^ No* Was accuracy of system product level readings tested? ^ Yes ^ No* Was accuracy of system water level readings tested? ^ Yes ^ No* Were all probes reinstalled properly? ^ Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): C'omnlete the following Checklist: ^ Check this box if LLDs are not installed. Yes ^ No* For equipment start-up or annual equipment ce~rtif~~anon, was a leak simulated to verify LLD performance? ^ N/A (Check all that apply) Simulated leak rate: Ld~g.p.h.; ^ 0.1 g.p.h ; ^ 0.2 g.p.h. Yes ~ ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? es ^ No* Was the testing apparatus properly calibrated? es ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? N/A ^ Yes o* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled N/A or disconnected? ^ Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions N/A or fails a test? ^ Yes No* For electronic LLDs, have all accessible wiring connections been visually inspected? N/A es ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 ~~~ ~ .~7 SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containme»t structures. The completed form and printouts from tests (rjapplicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: lL-Gt~ / L v Date of Testing: / (~ / "7 . c~ L ; Facility Address: ~ ~ ~ Q/ a ~ ~`~ Facility Contact: Phone: Date Local Agency Was Notified of Testing Name of Local Agency Inspector (tfpresent during testing: ,S ~t VIJtJeti~~o~ t3- ~: D. ~. TESTING CONTRACTOR INFORMATION Company Name: o M. to _S' Technician Conducting Test: /~/) ~/e :. Credentials: ^ CSLB Contractor G Service Tech. ^ SWRCB Tank Tester ^ Uther (Specify) License Number(s): v / 3. SPILL BUCKET TESTING INFORMATION Test Method Used: ^ H drostatic ^ Vacuum er YD'S -~ L Test Equipment Used: Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product, etc. I ~+i ~~°'` $7-S~ti 2 F '~' $ 7 SL /d "'~ 3 yrt r rA.~~ ~ .uo 4 r,~+ . ~2 g 1 Bucket Ration T e: t -~ ^ Direct B ~ntained in Sum ^ Direct B i~E'ontaine in Sum Q Direct B aataine in Sum ^ Direct B .8'Containe in Sum Bucket Diameter: Z Z L 2._ Z, ~ L ~ ~. ' / L Bucket Depth: Q 4 t' U (' ~ D ~ l ~ / ~ Wait time between applying vacuum/water and start aftest: / M"~ / i-1~ ~ y-~rL_ / l r 1 ~ l ~ ( ~ 1 Test Start Time (T,): :9+v- ,yy,.~ ,~ Initial Reading (R~: d ~_ `~ ~Q u • `~ Test End Time (T'F): Q ~ Q Final Reading (Rr): 3 t z S U ~y ~~ f t /Q i Test Duration (TF - T~: Change in Reading (Rp - R~: ~ 4 f ~. © 3 " ~ (~ PasslFail Threshold or Criteria: ~ Y ~Il F "~ ~ 1~ , S SS ~"s s ~ ASs Teffit Result: Q Fass p Fail. ^ Fuss t7T. )E•all ^ Prix Gl Fafl ^ Ps~ss 0 Fall. Comments - (include information on repairs made prior to testing, and recommended follow-u~ for failed tests) - _., G !. %~io~ri,4J .c~J~,o~c~ io Gle,P~~2~ CERTIFICATION OF TECHMCIAN RESFONSI$LE FOR CONDUCTING THIS TESTIlVG I hereby certify that al! the information contained in this report !s true, accurate, and in full compliance with legal iequirements Technician's 5ignatur~ ~~ Date:/ ~~~/ ~%-~ ~ State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements m~~~ ho. mnrn etri»rtAnt Lll:y7 S[iUTH TRI-STATE iSIM~~_ _~ C;HTECaC>R'`;' STP SUI°lr L 12:87 CENTER AtVNLILAR TRI-STATE {SIhJGLE FLUAT) CATEGURY ANtVULAR SFAi=:E L13:87 C;EhJTER FILL :SUI°1F' TR1-STATE t:SINGLE FLUAT) CATEGUR;' PIPING SUP1F L14:87 C?EPITEk STP SUN1F' TRI-STATE (SItVGLE FLUAT) GHTEGGRY 5TP SUMP L15:87 NURTH ANNULAR TRI-STATE (SINGLE FLUAT) CATEGURY AMt~JULAR SPAG'E Li6:87 NURTH FILL SUMP TRI-STATE (SINGLE FLUAT) t CATEGUR'. F I P I tVG S Uh1P Ll7:IiISP y.10 TRI-STATE tSINGLE FLUAT) CATEGURY DISPENSER FAN L18:DISP 11.12 TRI-STATE iSItVGLE FLUAT) CHTEGURY UISPEfVSER PAN UUTPUT RELAY SETUP R 1:UNLEAUEU tiHUTDUWhJ TYPE: STAtVUARU MGRWIALL`,' CLUSED L I [:JU I U SE PJSUk ALt°JS ALL:FUEL ALARM ALL:SENSUR UUT ALARM ALL : SHURT ALHki'1 R 2 : F'REJ'~1I Ut°J SH~'~Dt)WPJ TYPE: STArJ ... rJURr°1AL:. ' ~~ ~~ ~NSuR HLh9S L ALARI"1 ALARI°1 H I STCrR`! F'EPti_~;, i' ISVR UUT HLhW~I ~~. RT ALARr1 ---- I rd-Ti-f'JhriLnR{..1 ----- k 3 : UVERF I LL ALARM T 1 : UfJL I"lA I PJ SU~UTH T4'PE STANUAkri UVERF I LL HLARf°1 ` tVURMALLY UF'EIV SEP 6. 2006 11 :51 F'P1 SEF 6. '2006 11:43 PM SEP 6. '2006 11:35 PM I N-TAIV}•: ALAkf°i.~ ALL:UVERFILL ALARM , LUW FRUDUCT ALARM ALL:HIGH FRUDUCT ALARM DEC 20, X005'10:00 PNI ALL:NIAX F'RUUUC:T ALARM UEC 12. 2005 5:48 FM UCT 21. 2005 7:32 PNl HIGH FRUDUCT ALARPI UCT 17. 2U06 12:37 PM JAN '22. 2006 8:11 PM NUV 2, 2005 10:25 61M INVALID FUEL LEVEL DEC 20r 2005 6:35 PM DEC 12. 20175 3:34 PM UCT 21, 2005 6:05 PM RECUNCILIHTIUN SETUP --- -- ------ PRUI3EUUT vCT !7. 2006 12:38 PM UCT 17, 2006 1'2:36 PM AUTUI~tAT I C UA I L1' CLUS I IVG AF'R 19 , 2006 8:35 AM TIME: x':00 AM FERIUUIC REGUNCILIHTIUPJ DELIVERY NEEDED MUUE: MUIVTHLY DEC 20, 2005 4:02 PM DEC 12. '2005 11:38 HM TEMP CUMPENSHTIUN Ut;T 21. 2005 3:25 FM STANDARD . t°1A~ PRUI>UCT HLARP1 'SLUT FUEL 1°tETER TANK NUV 2, 2005 10:'25 At°1 -~ ~MFTti - - LUW TEMP WARNIrJG UCT 17, 2006 12:34 PM i NUV 2. 2005 10:26 AM EtVD # * ~ ~ ALARt'9 H I STC~k`:' R?" RT ---- IN-Z i --- T 2 : UfVL iVTER UttERF I LL UCT 17. F'M JArJ '24, ~ F~hl .JAM 1 ~' ~. Pt°1 h~ LO6J FRC>DUi _ -. ---- UEL I ~_ :D HLr~RI°I ~ :F'C;Ir'T '~. DEC. "G, •-,::. Pt"1 DEC '. 3:5? PP1 ~, DE~_ 1'2. ~? Phl DEC ~ 1:15 AM ----- _ rL~1=.1°1 - -- -- C',GT ''1 , '?l70`=~ 6:3:3 F>ht Ui='T u5 3:0~ F'P'1 L 1 :87 rJC~1cIH STF' SUP'tP ~i ` ~ STF :3UP1F' HI~_H F'RGDUt_T ~=,L~Rf°i FUEL NLFRM tVCiV ''. '~UUS 10:21 HI°} LOhI TEMP WARNING ' GC:T 1?, '='006 y:u0 Ah - - -___- ,JUIV ''6. 2005 11 :00 F'h9 APk 19, 't 2UOe 10:52 AI -- - fVGV ~3. '2004 9:54 AI"1 NG1) ~. '2005 10:18 ANl S~EN;.i t>R OUT r+L~kh9 F tVOV '~.='005 10 : U:? AN1 INVALID FUEL LEVEL DEC `?0. 2005 b : 3? F'i'9 FUEL tiLr;kh'I DE+~ } '. '005 3:'='S F'Nl tV':~L+ 2005 10:0'2 Ai°J GCT 21. 2005 5.43 PN1 FRJBE JUT JGT 17. 2'006 1'2:34 PM GCT l7, '2006 1'2:32 PNI ' AFR t9. 2006 9:45 AM ~ ~ ;~ x ENU ~ ~ * ~ ALARI"1 HI :TGR', REPORT DEL I VER''`l hJEEDED DEC 20. ''005 3:59 PM ----- SENSJk HLARh9 ----- DEC; 12. 2005 1 1 : 08 Ht"1 ~ * *. '~ '"~ EPJD ~ ~ ~: _. L 4:92 TURF I hdE SUMP 4CT '21. 2t~Ci5 2:_41 PM \ STP SUMP FUEL ALARM GCT 17. '20G6 4:00 AM LJW TEi^hP 4JAkNI NG \ OGT 17:. 2000 1'2:35 F'M SENSOR GUT ALARM i AFR 19. 2006 10:01 AN1 NGV 2, 2005 10:03 AM ALARI°I H I STOR'': REPORT FUEL ALARM N41! 2. 2005 4:44 Ahl ---- IId-TAtVh ALr•';RM -- T 4 : F'REM ] UM ALAkf"1 H 1 STC'rR;` kEF'ORT OVERFILL ALARM ----- SEIVSGR HLARM -°- F1PR 18. 2006 10:27 Ah' L 2:92 AFJNULAR JUN 26. 2005 10:46 PIS AtVPJULAR SPACE x EJVD ~ ~ ~ x JUIV 26. 2005 6:54 AN FUEL ALARM t~GT 17. 2006 12:03 PM HIGH PRJDUC'T ALAkN1 GC'T 17. 20U6 4:25 AI" FUEL ALARM * ~ ~ ~ ~ EtVD IVG'J 2. 2005 10:1:3 AI` GCT 17. 200E 9:02 AM JUN 26. '005 10:47 Ph SENSOR JUT ALARI°1 I IVVAL I D FUEL LEVEL IVGL+ 2. 2005 10:03 AM NGV 2-. 20105 10:11 Ah' DEC: 20. 2004 5:48 AN GCT 20. 200:1 6:31 Ph ALAk{'1 HISTOk'Y REPORT PkO)3E GUT JGT 17..006 9:25 Ah ---- I N-TAIV}; ALARM --- OC;T 17. 2006- 4:19 Ah APR 19. 20Gb 1 1:40 Ah ALr=tRJ°i H I STciRY REPO>RT T 3 : UtVL LAVE 2 PJt?RTH , - -- - SENSOR ALARM ----- JVERFILL ALARNI DELIVERY NEEDED ~ ~ ri ~ ~ EhJD n ~ x L S:DISP 1.2 GCT 17. 2006 12:2'9 F'h•1 GCT 17. 2006 9:1'3 AC` DISFENSEk FAN SEP 7. 2006 1.':11 F~J"1 tVJV 2. 2605 l0: 11 Ah FUEL ALARM SEP 6. 2006 11:59 PM MAR '23. 2005 ?:07 Ph GCT 17. 2006 9:03 At°{ MA'r: PRGDUCT AL.r-;RM LOW PRJDUCT ALARM SENSOk OUT r~LARt"I DEC '?G. '2005 8:05 FM GGT 17. 2UU6 9:25 AN PdGV '~, '2005 10:63 F;th DEC ! 2. 2005 4:37 F'f'1 IVJV 2 • 2005 10:13 Af° Jr_,T 22.. 2605 1'2: uCi Ahl JUN 26. 2005 10:48 Pt'~ FUEL ALARP'1 ' NGV '2. 2005 4:36 AM HIC;H PRGDUCT ALARI°t GCT 17. 2006 12:29 F'Nl LOW TEI"1P WARfJIIVia FEb 11. 2006 10:'26 AM Oc:T 17. 2006 4:'25 AP ALARI°1 HI:=~T';1F''y~ kEPC~RT JAN '~''. 2006 8:14 F'M APR 19. 2006 l 1:53 Ah , - ----- ~EhJSUR ALARP'1 -- INVALID FUEL LEVEL L 3:92 FILL SUI°1P DEC 20. '?005 6:3? F'N1 OTHER °_,EIVSt~Rn PEG 12, 2005 3:'27 Pht FUEL ALARr1 GCT 21. 2005 5:47 PM GCT 1?. ':'OUG 9:01 AP'1 PF.OHE OUT SENSOR GUT r;LAkf°i x EI'dL! ~ ~ .~ ~ x GGT 17 : 2y PI"t NJV ~', '%'i i05 ? ~ 3 . APR 1 ~ : 40 At°t FUEL. AL ALHkf"1 H I : ~kT L 6:L}I F . LEI ~FEIVaEk FAfJ FUEL ~LARI~I _ __. ~ii~:T 17--.~UUS `~:LI:~ iill ~, SEPJSOk t_~UT ~LHRN1 NOV ~. '005 i U : U4 At°1 FUEL ALARI°I NUV 2. 2005 9:37 AJ`9 x ~ ~ ; x EPJD ~ x ALHRNi HISTORY' REPURT ----- SENSOk ALARM --- L 7:DISP 5.6 D I SPENSEF. PAhJ FUEL ALARM UCT 17. 2tJLl6 9:04 AM SEIVSUR UUT ALARJ`1 t+JUV 2, 20u5 10:04 AM FUEL ALARM NUV 2. 2005 9:36 AM ~ ~ 3i 3e END ;e ~ ~ x ALARI°1 H I STUk'. REPURT ALARNI ~EF'~;kT --- ---- ---- auk F;LARNi L11 :e7 SOUTH .STP ~;: STP sur°JP - - FUEL ALARM -. .___ 3 Oi:T 17. '?006 8:50 .~ENSUR t>UT AL Akf°1 NUV '?, 2005 1 0: tJ4 AP1 FUEL ALARNI IVUV ?, 2005 G:54 At°1 ALARP9 HISTORY kEPORT ----- SENSOR ALARh'1 --- L 9:87 SOUTH Af+JNULAR ANNULAR SFA[:E FUEL ALARNI OCT 17. 20D6 11 :49 At°1 FUEL ALARM OCT 17. 2006 6:54 AM FUEL ALARM OCT 17. 20D6 8:40 AM x ~ n END x ;~ * x ALARM HISTORY REPURT ALAkf°l H i STUR`i REPURT ----- SENSOR ALARNI ----- L14:87 CENTER STP SUMP ~TF SUI°IP FUEL ALARh1 UCT 17. 'i006 8:56 At°I FUEL ALARM .l UL 5. 2006 3:~1 Pf°1 SEJVSOR UUT ALHkJ°1 hJOV 2. 2D05 10:04 AM ----- SEIVSUR r~LARNI ---- L 1~' : 67 t:ENTER AfUPJULAR AhJNULAk SPACE FUEL ALARM END ~ ~ ;~ * OCT 17, '2006 11:55 ANf FUEL ALARM OCT 17. 200b 8:5'7 ANf FUEL HLARJ^1 ,,UCT 17. '?Oub 6:41 AM ALARI°1 H I STUkY REPURT ----- SEIVSUR ALARNI --~ L 10:67 SOUTH FILL SUNIi P I P I IVG SUMP FUEL ALARNI OCT 17. 2006 8:55 ANl SEVSUR OUT HLARM iVUV 2. 2005 10:04 ANI FUEL ALARNI NUV 2. 2005 9:53 AM ----- SEhJSUR ALARh'1 --- L 6:DISP 7.B DISPENSEF? F'Ar'J FUEL ALARNI OCT 17. '2006 9:05 AIH x x SENSUF. OUT AL'r'~'1"1 IVQV '?, 20l~F :04 iyh'1 FUEL F NO'J ~ :36 AN1 * x ~ ~ EIVD :~ ~ x x ~ ALARI'1 HISTORY REPURT' ----- SENSOR ALARM ----- L15:67 NORTH APJNULAR AfVNULAR SPACE ~' ~ ~ n n EhJLi ~ ~ fi ~ * FUEL ALARM UCT !7, 2006 8:58 AM FUEL ALARNI Ui;T 17. 20116 6:43 AM SEIVSOk OUT ALARI°i rVUV ~. 2005 1 D : D;i AM ALARNI H I STUk'c' kEF'i~kT ----- SENSOR ALARNI ----- L 13:87 i,EIVTER FILL SUJ°1P F I R I PJC, SUh1P FUEL ALARM OCT 17, 2006 8:57 AM ' -~ SENSUk UUT ALrikr°I rVOV 2 , •:'" ~ 1 0 : u4 AM Fl tVt 15 'y : 5U At°1 x ALARI°1 HI;_TOR`~` RE ----- ~EPJSOR ALARP'i - L16:t~7 NORTH FILL SUP'IP PIPING SUMP FUEL ALARP9 SENSOR 1SUT ALARM NGV 2, 2005 10: U3 AP9 FUEL ALARPI IVGV '?. 2D05 9:46 AM ~. ~ * * ~ END ALARP9 HISTORY REPORT ----- SENSOR ALARM - L17:DISP 9.10 DISPEhdSER PAN FUEL ALARM GCT 17,. 2006 9:06 A!°1 SENSOR OUT ALARM NGV 2. 2D05 10:03 AM FUEL ALARM NGV '?. 2005 9:39 AM x k END 5OFTI,JARJ i LEI/EL tIERS I ~ ;t'J SOFThJAR_- • _ . ~ 1- f 0U-A i='kEFiTED - Ull.l1 :15.13.2'3 PJO SOFTWARE h10DULE '~ S'''STEh1 FEATURES -. PERIODIC IN-TANK TEST _ ~ _ -- ANNUAL I N-TAhJk: TESTS ALARM H I STGRY REF't?RT SEIVSGR ALARM L18:LiISP 1 t . 12 Ci I SPENSER PAN FUEL ALARM GC:T 17, 2006 9:06 AM SENSOR GUT ALARM NGV 2, 2005 10:03 AM FUEL ALARM NGV 2. 2005 9:39 AM END ~ ~ * ~ ~ 246722 Ah9.PNi 1960 1701 13RUNDAGE LANE BAKERSFIELIi,CA 93304 PLUS A1270410305001 GCT 17. 20GG 1:13 Phl SYSTEI°I STATUS REPORT ALL FUNCTIONS PJGRMAL I PJ'dE1VTORY REPORT T I:UNL MAIN SGUTH VOLUME = 4353 GALS ULLAGE = 5333 GALS 90°o ULLAGE= 4364 GALS HEIGHT = 40.95 INCHES WATER VGL = 17 GALS WATER = 0.84 INCHES TEMP = 73.8 DEG F T 2: UNL SLAV>r 1 CENTER VOLUME = 412E GALS ULLAGE = 5556 GALS 90i ULLAGE= 4587 GALS HEIGHT = 39.32 INCHES WATER VUL = 15 GALS WATER = .0.78 INCHES TEh1P = 73 . D GEG F T 3:UNL SLAVE 2 NORTH VOLUME _ X1294 GALS ULLAi;E _ :5390 GALS 90% ULLA%;E= 4421 GALS HEIGHT = 40.53 1NCHE~ WATER t1OL = 14 GALS WATER = 0.76 INCHES TEMP = 74.6 DEG F T 4:PREMIUM VOLUME = 3539 GALS ULLAC;E = 4560 GALS 90% ULLAi;;E= 3752 GALS HEIGHT = 34.86 IPJCHES WATEk ~~OL = 0 GALS WATER = U.00 INCHES TEMP = 77.4 DEc, F 1°IAN I FOLDED TANKS IIVVENTGR~' TOTALS T 3 : UNI '°tA 1 N ~'" TH T 3: UN'. PJORTH VGLUNIF 35 GALS ;x ~ ~ ~ ~ x x ~-~~~~ ~','':JTEf°1 ETUP 0[_:T 17. '006 1 :14 F't~l :~YSTEt°i UP! I Tti U.S. S'YSTEIh LANGUAGE ENGLISH S`iSTEM IiATEi T I t°lE FORMAT MO rv DD ~, ~'~~~; HH : r°lhl : SS r:ht 246722 AM.PM 196U 1701 BRUPJDAGE LANE BAKERSFIELD.GA 93304 PLUS A128D41D'3050p1 SHIFT T I f°1E 1 D I SASLED SHIFT TIME 2 DISABLEDi SHIFT T I IhE 3 D I SHBLED SHIFT TIME 4 DISABLED TANK PER T5T NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE kE-FINABLE I"1ETHOD PASS LINE TEST LIN£ FER TST NEEDED WRIV DISABLED LINE ANN TST tVEEDED WRN DISABLED PRINT TC VOLUMES DISABLED TEMP i~:Oh1F'ENSATION VALUE (DEG F is 60.0 STICK HEIGHT OFFSET DISABLEDi H-PROTOCOL I,ATA FORMAT HEIGHT DA','L I GHT SAVING TIME ENABLED START UATE APR WEEK 1 SUIV START TIME 2 : DO Aht END UATE OCT WEEK 6 SUN ENU TIME 2: DO AM RE-DIRECT LOCAL PRIPJTOUT DI°ABLED EURO PF.OTO~',rL PREFIX S SYS'l FN, - T1~ C'ODf ~'~P•J SETI_IF• PORT .SETT 1 hlGS COt°ir~1 BOAF.L! 3 f ~;-SHT i BAUD RHTE 960D PARITY 1'VONE STOP BIT 1 STOP DATA LEIV+aTH : 8 DATA RS-232 SECURITY GODS DISABLED DTR rJ[iRMAL STATE : HIGH REi.;E I VER SETUP NONE AUTO DIAL T I I~IE SETUP NONE RS-232 END OF h1ES;~HGE DISABLED AUTO DIAL ALARM aETUP ~, ;. - _ ___.,, THERI°lAL COEFF :. i ii iu7uD TAtV}: D I At°IETER y'' . u0 TAIVK. PROFILE 2D PTS FULL vUL : ~~,134 87.4 INCH VC+L : y624 B2.8 I PlCH '~JOL 93J30 78.2 INCH 'v+C}L 9020 73.6 I PJGH V~ iL 8580 69.0 INCH VOL 8075 64.4 1 IVCH" Ut?L 7529 59.8 INCH VCiL 6957 55.`2 INCH VOL 6342 50,6 IMCH VOL 5707 46.Q INCH VOL : 5061 41.4 INCH vOL 4413 36,B INCH VOL 3787 32.2 .I NCH b+OL 3157 27.6 I NGH tlOL 2550 23.0 INCH VOL 1373 18,4 INCH VOL 1437,; . ) 3.,8 INCH -VOL .: '96B': =~a 9.2 INCH VOL 54k3 4.6 INCH VOL 217 FLOAT SIZE: 4.0 ItV. WATER WARNING 2.0 HIGH WATER LIt°1IT: 3.0 MAX OR LABEL VOL: 9684 OVERFILL L I r1 I T 90~ 8715 HCGH PRODUCT 950 . 9199 DELIVERY LIMIT 10% 968 LOW PRODUCT 500 LEAK ALARM LIMIT: 2D SUDDEN LOSS LIMIT: 50 TANK TILT 1.00 MArVIFOLDED TAr'JKS T#: 03 LEAK MIN PERIODIC: 30%~ 2905 LEAK r°t I N ANNUAL 0%s . 0 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAiL ALARhI DISABLED PERIODIC TEST FAIL ALARr°i U I StiBLED GRO~3S TEST FAIL r`=SLARM DISABLED ANIV TEST i ' :AG I fVi; : OFF PER '""- 2F~3I fVG : OFF TAN t I F`! : OFF TIVM. JN BREAK :OFF DEL A'1` 3 r°1 I N T -R ~ Pk ~' THEkMAL CCIEFF :. U00700 TArJK DIAr9ETER 9'2.Oo TAN}; PROFILE '~0 PTS FULL +,7CiL 9684 87.a INCH 'JOL 9624 82.8 IIVCH VOL : 9380 7B .':: INCH tlOL 9020 73.6 TNCH L+OL 8580 69.U INCH 'JOL 8079 64.4 I fVi: H t10L 752'3 59.8 INCH Vt~L : 6957 55 .'~: I rii:H t1GL "634`? 50.E TNCH VOL 5707 46.0' INCH VOL ; 5061 41.4 INCH VOL 4413 36.8 IIVCH VOL 378? 3y.2 INCH VOL : 3157 27.6 INCH VGL 2550 '?3.0 INCH VOL 1373 18.4 INCH VGL 1437 13.8 INCH VOL '366 3.2 INCH VOL 548 4.6 INCH VOL 217 FLGAT SIZE: 4.0 IN. WATEk WARNING 2.0 HIGH UdATEk LIMIT: 3.0 t°IAX JR LI~SEL VUL : 9684 OVERFILL LIMIT 90a 8715 HIGH PRODUCT 95i 9199 DELIVERY LIMIT 10% 968 LOW PRODUCT 500 LEAK ALARM LIMIT: 20 SUDDEN LOSS L]MIT: 50 TANK TILT 0.50 MANIFOLDED TANKS T#: NONE LEAK Mlhb PERIODIC: 30°0 2905 LEAK MIN AIVNUHL : 30% 2905 PERIODIC TEST TYPE STANDARD ANPJUAL TEST FA i L ALARM DISABLED PERIODIC TEST FAIL ALARhI DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST N'vERAGING: OFF PEk TEST AVERAi-; I rJi; : OFF TAN}. TES'' OFF TNk: TST CAF; :OFF 'I '' H Pk 3 THI~. _ . ._ ._ ~. ; ...,,x'00 TAN}' D I AI°IETEk 9'~' . 00 TANK; PROFILE 20 PTS FULL VGL 9684 87.4 IIVi'H VC1L 9624 82.8 INCH VOL 9380 78.2 INCH VOL 9020 73.6 INCH VGL 8580 69.0 INCH VGL 8079 64.4 INCH VOL 7529 59.8 INCH VGL 6957 55.2 INr_.H VOL 6342 50.6 I tVCH VOL 5707 46.0 INCH VGL 5061 41.4 INCH VOL : 4413 36.a INC}f VGL 3787 32.2 INCH VOL 3157 27.6 INCH VGL 2550 23.0 INCH VOL t373 B.4 I IVCH VGL 1437 13.8 INCH VOL 966 9.2 TNCH VOL 548 4.6 V NG H Vt3t. 217 FLOAT SIZE:. 4.0 IN. WATER WARNING '?.G HIGH WATER LIhIIT: 3.0 MA;'{ OR LABEL VGL : 9684 OVERFILL LIMIT 900 • 8715 HIGH PRODUCT 95°r, 9199 DELIVERY LIhIIT 10% • 968 LOW PRODUCT 500 LEAK ALARM LIr1iT: 20 SUDDEN LOSS LIMIT: 50 TANK TILT 1.10. i MANIFOLDED TANKS T#: 01 LEAK MIN PERIODIC: 30.°fd . 2905 LEAK MIN ANNUAL 30i . 2905 F'Ek I OD I C. TEST T`A'PE STANDARD ANNUAL TEST PHIL ALARI°1 Li I SABLED PERIODIC TEST FAIL HLARI°i DISABLED GROSS TENT FAIL ALARhI DISABLED AIVPJ TEST AVERAGING : OFF PER TEST AVERAGIWi': OFF TANk TES7 OFF TNk: TST . :Ak::OFF T .. THERMHL COEFF TANK D I AP'IETER . TAN}; PROFILE FULL VGL : 87.4 INCH VOL 82.8 IIVCH VOL 7a.2 INCH VOL 73.6 INCH VOL 69.0 INCH VOL 64.4 INCH VOL : 59.8 INCH VOL 55 ,'~ I NCH VOL : 50.6 INCH VGL 46.0 1 NCH Vf.7L : 41.4 INCH VGL 36.8 INCH VCiL 32.2 INCH VOL 27.6 INCH VC>L 23.0 IIVCH VOL : 113.4 INCH VGL 13.8 INCH VGL : 9.2 INCH VOL 4.6 INCH VOL FLOAT SIZE: ~.IATER WARNIIVu HIGH WATER LIh1IT: h1AX GR LABEL VOL OVERFILL L I h1 I T HIGH PRODUCT DELIVER',' LIMIT a 000700 9'? . 0 0 '~0 PTS 964 9624 9380 90'20 8580 8079 7529 6957 6342 5707 5061 4413 37x7 3157 2550 1973 1437 966 548 217 4.0 IN. 2.0 3.0 8079 90~ 7271 950 7675 10°r; 968 LOW PRODUCT • LEAK ALARM LINIIT:. SUDDEN LOSS LIMIT: TANK TILT MFINIFOLDED TAPtKS T#: NONE 500 20 50 3.00 LEAK M I N PER I OIi I C: 30:b 2905 LEAK MItV ANNUAL 30%s • 2905 PER I OD I C TEST T4'F'E STANDARD ANNUAL TE ~T FA 1 L ALARM LISABLED PERIODIr_. TEST FAIL HLARNI DISABLED i~RGSS TEST FA I L ALARPI D [ SABLELi AIVN T AVERAG [ N~~ : OFF AVERAG I IVG : OFF PLOT 1 F'Y' : OFF '~? UEL I VER:' I PHOPI HREAK, :UFF DEL I V'Ek' 3 P9 I N 3 M I N )ELr`iY' 3 t°lII'J ~r LEA}; TE a~T _ _ • - TEST GN D HLL TAIVfi: JHN 1. 155r, START T1ME DISABLED TEST RATE :0.'?0 GHL,~'Hk ___ -- ----- , DURHT I OIV 2 HGURS --__ _ _ . L. `UIHF - --- - - - --- TST EARLi` STiiF' : D I .:]ABLER Tk i -~ i r-i i c +.~ i'rvua,i. :'LGAT ) CATEGGRY STP SUh4F LEHI; TEST REPGRT FGRr`iHT AJC>kr'lAL L12:87 i-EJVTEk HNhJULAR GUTF'UT RELHY SETUP TRI-STATE iSIPJGLE FLGAT) - - _ - - - - CHTEGGRS` HNNULHR .SPHC'E k 1 : UPJLEADED SHUTUt>WiV T`fPE STAJDARD LI3:87 CENTER FILL SUNIF' rJGRr'IALL`~' [~L.G~~EL~ TRJ-STHTE iSIPJGLE FLGAT) CHTEi3GR ~` P I P I IVG -SUMP LIQUID SENSOR HLMS HLL :FUEL ALARr'I LICiUID SENSOR SETUP L14:87 CENTER STP SUMP ALL:SENSGR GUT ALARM _ _ _ _ _ _ _ _ _ _ _ TRI-STATE fSINGLE FLGAT) ALL :SHORT HLARII CATEGGF.Y STF SUMF R 2:FREMIUr°I SHUTDGWN L 1:87 NGRTH STF SUh1F' TYPE: TRI-STHTE iSINGLE FLGHT) L15:87 NGRTH ANNULAR STANDARD GHTEGGRY STF' SUMP TRI-STATE (SINGLE FLGHT) hJGRMALLY CLGSED ,. - CATEGGR'~l :'ANNULAR SPACE L 2:92 ANNULHR L I [~U I D SENSOR ALMS TRI-hTATE (SINGLE FLGAT} CATEC~GRY HNNULAR SPACE ALL :FUEL ALARM L16:87 NGRTH FILL SUMP ALL:SENSGR GUT ALARM TRI-STHTE tSINGLE FLGAT) ALL:SHGRT ALARM CATEGGR"y P I P I rJG SUN1F R 3: GIIERF I LL HLHF.M L 8:92 FILL SUMP' TYPE: TRI-STATE (SINGLE FLGAT) L17:UISP 9.10 STANDARD CHTEC,t}RY GTHER SEJVSGRS TRI -STATE C S I NCaLE FLGAT) NGRI~iHLLY OFEIV CATEi;GRS~ D 1 SPEIVSER PA N IN-TANK ALARMS L 4:92 TURBINE SUI^~P ALL : GVERF I LL ALHRhi TRI-STHTE (SINGLE FLGAT) L18:DISP 11.12 CHTEGGRY STP SUMF ALL:HIGH FRGDUCT ALARM TRf-STATE (SINGLE FLGATi ALL:f"lA'rC FRGDUCT ALARM CATEGGRY DISPENSER FHN L 5:DISF 1.2 TRI-STATE (SINGLE FLGHT) CATEGGRY DISPENSER PAN L 6:DISF U.4 TRI -STATE (:~ I NGLE FLciAT ) CATEGGRY DISPENSER FAN RECGIVCILIATIGIV SETUP L 7:DISF 5.6 TRI -STATE CATEGGR*i C ~ I NGLE FLGAT) U I SPErJSER PAN AUTGf°1AT I i. DA I L',' CLOSING T I r°lE : 2 : Ll0 Hr1 FEkIGDIC R$COIVCILIHTION L B:DISP 7.8 J'1GDE: PiGNTHLY TRI -STATE <. ;J I {NGLE FLGAT } TEMP i:Gh'1F'ENSATIarv CATE~3GRY BISFE4VSER FAN STHNDARI'~ BUS SLGT FUE?. P'1ETER THNK L 9:87 SO UTH HNNULHR - - TANK t°tAP Er°P TR I -STHTE (SINGLE FLGf=1T }- CATEGORY APJIVULAR SPACE .. LJ 0:87 SG~1T~ r 3UJ'9P TR1-STHTE FLGAT) CATEi:,GRY SUMP UNIFIED PROGRAM INSPECTION CHECKLIST ` r,~~ ~.. ~RtM .SECTION 1: Business Plan and Inventory Program y BAKERSFIEILD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY A~ D ~ n ~ (~ NSPEC ON ®E INSPECTION TIME O I ADDRESS ~ ~ HONE NO. 3 O OF~LOYEES I ~ ~ r~t~. ~ 1~.I FACILITY CONTACT USINESS ID NUMBER 15-021- Section 1: Business Plan and Inventory Program ~~ -- -- - - ~ - ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^. COMPLAINT ^ RE-INSPECTION C V (C=Compliance` OPERATION V=Violation / COMMENTS ~V ^ APPROPRIATE PERMIT ON HAND ~^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ry~ . ^ VERIFICATION OF INVENTORY MATERIALS 4 2®os ^ VERIFICATION OF QUANTITIES ' ^ VERIFICATION OF LOCATION O~ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~, --- { ` ^ VERIFICATION OF HAZ MAT TRAINING • 1 `h/ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROC DUKES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES L~'NO EXPLAIN: - _ _ REGAR THIS INSPECTION? PLEASE CALL US AT (681) 926-3979 3 Print) Fire Prevention / 1'~ In /Shift of SRe/Station q - Sit a Responsible Party ( Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02/05) .~ I~g~~~~L FI'P "`~ ~~w~' ~ ~\ CITY dDF I3AKERSFIELD F IRE DEPARTMENT $~ ~ ~ ~; OFFICE CDF ENVIRCiNMENTAL SERVICES ~~ yi' UNIFIED PR(~CYRAM INSPECTICDN CHECKLIST \`'~.w ~g~,0'~' 1715 Chester Ave., 3"' Floor,l3akersfield, CA 93301 -~ ~.~i FACILITY NAME ~~LL" d J~U~ Pttil _ INSPEC"LION DATE ~ ® ~ f3 fro Section 2: Underground Storage 'tanks Program ^ Routine ~ombined ^ Joint Agency ^Mu1ti-Agency C ~ mplaint ^ Re-inspection Type of Tank -i~~~ Number of Tanks Type of Monttortng ~~/itti Type of Piping OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on tife Permit tees current Certification ot• Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes NO ~~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) _ Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? if yes, Does tank have overfilUoverspill protection'? C=Compliance V=Violation Y=Yes N-NO Inspector: Office of Environmencal Services (661) 326-3979 ~. r Business ite Responsible Party white - Finv. Svcs. Pink -Business Cory 10/09/2006 10:09 3103234433 C1TlREF{C~ROI.Jft117 STORAIac TANKS AP~LI~ATI~N ro PERM ~w k uN~ T~srwo J 56988 9•~NDAdY CONTAkNME#iT TESTING fFANICTT6F{T'HE55 PEST AND TQ PERFORM FLiEL M4MITORIN I CtaRT1FICA'FIO'N PSlMIThO. ~T F~~ 1J \.J I © ENHANCED LEA QE(EGTION ~ L1akE TESTING Q TANKTI6FITN TEST70PEf~FdRM "~„'~ b ~ ~r6o ~oalaESS owN>vRRS NA1ulE I 3 MANL OF T58TING CONAPANY APPROVEn BY oR sPECIAL CET PAGE 03!05 Bi~'SFIJ~LD 1»~RE F~EPT, ~ a -~ Ps~veat.~ora Se~ices TaMr 9Q0 TruRttin Ave_, Ste. 210 B»isersfield, CA 93301 Tim . (661) 326-39%9 ~'ax: (661) 852-2].71 Pepe 7 tlf 1 ^ SB-~ ^sC-CONaARYCONTAMIMEMTES131VG RING CERTTF;CA7SON NAilI1E 6 prIQNE ItuAA9ER OF CONTACT PERSON PERMIT TQ OPERATE N0. ~7prnfvs ~ ?NtSHE NUMBER OF CQI4T GT ~ _ CERTIFICATIDN Ak I CC A'~ ~ ~ 1i ~~ ~~~ TEST A~TWGD DATE ~YS 1C~ p~A'All[T_ 41Fw~t~ e~RC'1!-~D -- - DATE / ELI 4 I 0 FQ Z498 (Elev. 09lQS} x~ a aLTB'~~ ~~_ ~~ JOB CARD POST CARD AT JOB SITE INSPECTION RECORD-USTs 8 H R 9 P I D aF/R! ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Pale I of I FACILITY NAME OWNER c ADDRESS i~ o t d L ~H ADDRES ~ CITY STATE ZIP Q 3 CITY pp ~ STATE P BAKERSFIELD CA 0 !~0. t'A. W,~ CA 2.3 PHONE N0. .. ~ ~ ^ + ~ ~ PERMIT N0~ ~ ~ ®~, t I INSTRUCTIONS: PLEASE CALL FOR AN INSPECTOR ONLY~WHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN CONSECUTIVE ORDER BEGINNING WITH NUMBER 1. DO NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP ARE SIGNED OFF BY THE PERMITTING AUTHORITY. FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED INSPECTION VISITS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES. INSPECTION DATE INSPECTOR TANKS AND BACKFILL BACKFILL OF TANK(S) SPARK TEST CERTIFICATION OR MANUFACTURES METHOD CATHODIC PROTECTION OF TANK(S) PIPING SYSTEM PIPING & RACEWAY W/COLLECTION SUMP CORROSION PROTECTION OF PIPING, JOINTS, FILL PIPE ELECTRICAL ISOLATION OF PIPING FROM TANK(S) CATHODIC PROTECTION SYSTEM-PIPING DISPENSER PAN SECONDARY CONTAINMENT, OVERFILL PROTECT ION, LEAK DETECTION LINER INSTALLATION -TANK(S) LINER INSTALLATION -PIPING VAUITWITH PRODUCT COMPATIBLE SEALER LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES PRODUCT COMPATIBLE FILL BOX(ES) PRODUCT LINE LEAK DETECTOR(S) LEAK DETECTOR(S) FOR ANNUAL SPACE-D.W. TANK(S) MONITORING WELL(S)/SUMP(S) - H2O TEST LEAK DETECTION DEVICE(S) FOR VADOSE/GROUNDWATER SPILL PREVENTION BOXES ~ c~ A(P FINAL MONITORING WELLS, CAPS & LOCKS FILL BOX LOCK MONITORING REQUIREMENTS TYPE AUTHORIZATION FOR FUEL DROP CONTRACTOR CONTACT :~ LICENSE N0. / 6 (, SS"~ PHONE NO. ~j, L® ~ ~ ~ e 21Z Z~ FD 2097 (Rev. 09/05) RightFax 12/27/2005 9:18 PAGE 002/006 Fax Server UNDERGROUND STORAGE TANK ?: ;;, ~" I~1D ~~j~ DIM ~ ( .at~~ ~. '~ at3on 8ctv~ces PERMIT APPt.iCAT10N TO t~tiSTRLICTaNSTALL NEW TANI( (NEW FACILITY) / NEW TANK INSTALLATION (EX{S7{!Ks FAGLRY- / MODIFICATION r a tNINOR WlODIFICAT~N - Facum ~~. PERMIT Na ~~ TYPE OF APP!_ICATiON: C7 NEW TANK INSTALL. /NEW FACILITY O NEW TANK INSTALLATION / FJ(ISTINC3 FACILITY Check one Itam on D MODIFICATION OF FAGLtTY O MINOR MODIFICATION OF FACILITY ARTaiD W1TE COMpI.EfO110ATE " ^ - ACILRY HARE FACLITY RE71MT N0. ` r ~ ~.~ ~ 1~ ~O ~ ~ N N ~ - ACLRY 38 PCODE `'-7 ~ l ~~ N. ~ GCE ~ . '°{ ~1~ 3'~© OF BU- 'SAS- R A1AC QYMiER - O ' ~ ~ 2--C~ 3 i 3 ~ ( O ~ ) -'F n IP CODE IiCEM9E'NO. GO NO. _ cooE N0. OnY LICENSE ND. CO\iP NO. NsuReR _ ~ ~ Z" ~Z' .. ~ l c~ ~ ~ SQ ~ : Z.~..-V ~ ~ - -ice LY OE~RIBE TIE YYORX TO 8E OONE O P - .sy.-t°S . `Z~c- ~-r WATER TO FACIhh.RY~~~PROVIDEO BY ~"RIL~ TO SOIL TYPE EXPECTED AT SRF ae^ v IJ' ` ~C v N NO.OF TANKS T4 BE INSTALLED ARE THEY FORliOTQA FUEL D SPp.t PRENFtiTgN CONTROL AMD COUNTER AtEISURES ALAN ON F/LE D 3' r YES ONO Ia F s T1A8 BECTiWi IS FOR MOTOR FUEL 7ANM N0. BtMR M TKki ` ~ {o X Z " D ooc~ 3 I 0 OOU X' . t--~- )O (app ~( sECTwa IS FOR naw MOTOR FuE<. sTORACE rAN{cs TANKNa. VV+TKki FOR OFFIC{AL USE ONLY "" T The gpnlltxwllr~ seaen+ed wa~rarmetrv aicd will canq~ly wuh dre anac7ied c~aaro oJdr permu and any o8er state. local andferLerr~l >a~ 7lrisJoo*tn been co»g~tslad -ut~kiPenalO' olPwl~ mid w th best of R4' ~blowledge, v alp mtd romcx NN~{{,' APPRt3VEO aY: AP~LK:AH~ NAME (JPt~l1t'~~ $1 NA C~~APPLtCA~ECOMES A PETtMR WHEN APPROVED FD2088 Illw erwl{ 900 Tiw~tun Ave., Ste. 210 i~% Bakcrsficld, CA 93301 Tel.: (661) 326-3979 Fax: (6fil) 852-2171 Pagetoft FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield; CA 93301 VOICE (661 326-3941 FAX (661) 852-2170 PREVENTION SERVICES fiRE SAfETY SERVICES. ENVIRONMENTAL SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave.. 3rd Floor Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661 399-5763 December 10, 2004 Store Manager AM/PM 1701 Brundage Lane Bakersfield, CA 93304 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Valued Customer: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators, These are as follows: 1) January 1,2005 deadline for submitting declaration statement designating: (a) Owner/Operator understands and is in compliance with all applicable UST requirements, and (b) Owner identifies the designated UST Operator for each facility owned. (c) Owner/OperatOl: passes and submits proof of International Code Council Test. 2) EVR upgrade requirements on spill buckets are due April 1, 2005, 3) Secondary Containment Testing on all secondary systems. Code requires re-testing 36 months from date of last test which was in 2002. Should you have questions regarding these compliance deadlines, please feel free to call me at 661 - 326-3190. Sincerely, JLrfJw¡;) Steve Underwood Fire Prevention Officer SU:db "rJj;;MJ¿)~7 the Y;:;I/)JI'IIW-Htl;¡ ci0o-:p-') l/o'Fe eJ//Utw' Q9Ý Yii~'JU:it/;V;t )J bp U. S. Convenience Retail 4 Centerpointe Drive La Palma, California 90623 USA November 19,2004 Designated UST Operator Program City of Bakersfield Fire Department Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Re: ARCO Facility Number 01960 1701 Brundage Lane Bakersfield, CA 93304 On behalf of BP West Coast Products LLC (BP), the owner of the underground storage tanks (USTs) at the subject facility, I hereby make the following representations. BP understands the underground storage tank (UST) requirements applicable to the subject facility. I have personally reviewed the results of the following: · Monitor Certification conducted November 3, 2004 · Compliance Survey conducted November 3, 2004 · Closure of issues identified by the Compliance Survey on November 3, 2004 Based on that review I believe that BP was in compliance with the applicable UST requirements on November 3, 2004. Furthermore, I am unaware of any information that would cause me to believe that such statement is no longer appropriate. BP will supplement this statement by January 1, 2005 with the name of the designated UST operator for this facility. 'ncerely, ik WI son Environmental Compliance Specialist BP West Coast Products LLC Compliance & Assurance 10-13-04 10:50am From-TAIT ENVIROMENTAL p 25 ~002 10:52 B~S~LD fIRE PREVENTION 714-580-8237 T-823 P.01/01 F-507 (661)852-2172 p.2 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield. CA (661) 326-3979 APPLICATION TO PERFORM FUEL MO~rr.OmNG CERTIFICATION , ...,.. I ...'" .. . 1'10,;. 1 . . ~ . .. . \ , . ..... . . .. . FA.CD.lTY ~ #- ~6D . ADDRESS 7t? I ,: r'¿I.~ da j.t¿ fa ,,~:~_ / H 5/, OPERATORS NAME Iß fJ OWN.ER.S NAMB· 13 P ...,~,.- ,'\ . ': ," '. '. .:', ' , ............ '... " ',' ._.. .. .__...... , ..... ,. _ø . NA!-ŒOFMONITORMANUFA~/~ ¡Zoç;., r DOES FACJLlTY HA Vß DISPENSER. PANS? .'YES-2Š:.:.: .... NO___ . ~ v.', .I(k . .... , .:.: ..,..... ", '-' ~. , Þt ::. lOt. . " ...... {.l)k. CONTBNTS ~~J, fLu; ¡2.~ r --.- TANK # --L- 'L 3 Y ..... ,...-....-.... . '. . .... .. .................. NAME OF TESTING COMPANY ·:,·rlil r CONTRACI'ORS UCENSB It ·S-Ð. @"'7¿?' q cQ NAME & PHONE NUMBER OF CONTACT PERSONA-t.-1tN n rðc,k-f¥ltJrfoAJ 71t..! ,5'67;0& i./ / t:> DATE & TIME TEST IS TO BE C01'1DUC'IED // - '3 -0 tf (?", 1';thtv} _~/iJtW APPROVED BY " ..... ",.. .... . ' . ... . .. ~..-.- .., 4'~.~LÝ~k6-- SIGNATURE OF APPUCANT '... =.~'. /tJ11;;~f ,...... I () õlO "Ð ({ .... .,.. "_..~...___. pA1'B ,...-.-...--..-.. ., r 12-07-04 01:36am From-TAIT ENVIROMENTAL 714-560-8237 T-828 P.08/12 F-508 ., ~... ¿,....~I ,_ -......./ "'--/ - ~~OR OIIGINé\f MO ORING SYSTEM CERTIFICATION '- Fo, U.se B,p AU JW'ism'ctlom WìØd., tfts Sløf8 qfCl/I1Uòm1ø Authoritp Cfted: Ch,*fer 6.7, H4talth ÐId S(Jfet:y Coåt&; ChoptQ 16, Di\l1.1tC»'l 3, 7ltle J3, Cøl(Jbmiø C'0.d8 qf 1Wpµløti~ testing and servicing afmomtodJ1g equipmW. A Sep8Rt8 cettšfte..tioll. orre;portmust.bø JI1'lpared anel by the t8cbnician 'who pmfcrms the wade. A copy ofUüs fozs must be provided to the t.å opnat.o: mutt. .",'omit. , copy of this fonn to the tocal 'Seney regu1din; UST syst.ems 'I.Nit.hm 30 C~~¡;~~cSdrels: .r1701 BRUNDAG2 ~.~!cTª-i9~ÒÏ1t.aèt. PersOll.: : !MakelM"óciëlofMam . --:'._.J ~h~mc-e S1i.ti~ N!?: 11960 --~---¡ ""T·ë~. i BAt<.SRSFiËLD . ! Zip:)93304 ..~: '·-··Tëontact.Ph~~Nc.: i ..,/i.lY f../o S"3Z.1-"-·-'''--·-~-ï 1 Date õtt.ï= emce: i i 1-:3 -.ø·V--¡ 2 " 12-07-04 01 :37am From-TAIT ENVIROMENTAL 714-560-8237 T-628 P,09/12 F-506 ~ POOR ORIGINAL '-r' . Mon1iD1'Ü1g Sy.rie. c.z.tifica1jq I Site AddÌtss: !196O: 1701 BRUND GB ÂKERSFIELD. CA 93304 ~ Date ofT 61'tå:L.R!~ I fI- "3- DV ., I D. Results of TestlnglS I Software V enioa. InwtIs11e : \'Z. .øi) \r.'" ed piping systemll, doSI the tu:bine aut.omaticeDy øhut down if the pip~ ucocdaty coataimnem detects Ii leak, tdls to op~ or i!...61eCt:rice31y d.i'c~cte4i' lfyes: wbich seDSors ~ c1owd? (Check all thi2tøpp(y~renchSmÆcn;'1IL.Dispens=Co~Smaon. pocrif,ive sh\å.down due to teaks §m\ .meo:1'8i1ureldillcannection? 81; IINo. I ~r-~-" : E. CPJmnehtS: i _w_ ._.~-----, I Pap 2 of3 Ø3.t11 12-07-04 01:37am From-TI\IT ENVIROt.£NTftOOR ORIGIN£i. 714-580-8237 T-828 P,10/12 F-508 ". iSiie Ä"JdttiliiT960: 17ÕI BRUNDÄ oBI:. " BAKERSFlBLD. CA 933Õ4' --... IDU, ,Tes i rr- 3-øý 'I '--- -- - F. :in-Tank GauaingJ sm. E ¡uipment: 'lfheckt.bi~bDXifbnkga\l~i 1Øc4cmlyforimem.œy com:01. . ~ Check U3iI box If no taPk gaugiD& œSIRe'luipmemis ins\atted. This section must be completed ~ in-tB gauging equipment is used to perform leak detection monitoring. Cø mvJ.e. t1le tlDøl riDe. eJœekJi$t: Yes . No'" Has aU input. v ~ been intpe cteå fer prop 81' em.y end tetminat.ioD.lAe1uding testing for ground faults? Ye ;; , No'" Were aD. tank o.uging probe. vi&uo11y in$pec'ed for demage 1lA4 ruidu. buildup? Yes . No'" Was accuraq of system poduc:t lwel reading ¡ test.ed? Yes No'" W II.S acc:utU1¡ of system W8f.er 1e'n1 rea4û1gs te8ted? Yes No· Were aJ1pob , rcWt.G1le4 propa1y? Yes ! No'" Wef~ aU itesN on the eqW¡:mamt menufuNrer's m~8ftO. gheçt;lU;t complet.ec!? ... Ih.. ScçØøn H, bel.", how uu1 wheJa t1œse ðe&:ùmt:Ìf;;!; \1mnI or will be cunc:lcd. G. Liu Leak Detectars (1.] ~): I Check this box ö'UDs ere not insteJled. ~te tJus f.-- c:lu:ckUstl Yes I No· Por equipm. ~ ,taf1;.up or a=ue1 equipll1ent.. certificat.i0E3 wu a teak simulated to verifY UD ped'ozm.mce? . NIA (Check drl th ~app,y) Simu1ûedleakrate:~ g.p.hh .0.1 g.p.h.2, 110.2 g.p.h.2 Notal: I. 11 cquiredfor equtpmem stvt.-up cadåfic ationg IIfUl\ae1 cllÛftCliion. 2. U mess mandawcS by local agençy. oeati&et.ioruequÏted cm1yfor ,1Ictromc UD ~up. II Y.. { No'" Were aU UP confinMd operationa18r1d ILCNtate withiø fe~ requir'.ems? ~'I No· Was the testi :tog IIpplltatus properly ceJibntecS? II VII í-N 0'" :For me UD.. doc. tbeUD restÅOLprociuct.ftowifšLdttlct.l aleak? N/A II Y.I ' No· For e1ectrom LLD_. does the turbine automw.ca11y shut aifif'the UD detects deata N/A .Ye. No· For e1ecttoni UDIo dolS U10 tutbine _omWcl11y sbU\. off if any pDZlion of the monitoring system ill dinbled N/A or disccnnec: 'A~ iiiYes No· For c1ecuo= UDs. does the twbine mtomaücelly shut. olfif any portion of the monitoDng IYstem mGlfunctUma ~/A or fds a. test Il Yes .¡,.No· Ilor elee&.roe UDs, hG.ve all totC euiblc wiMg conneøti0G8 '00 en visu.t1y inspe ct. d? 'NIA "Yes No'" Wen an iteø I on the equipment. menu1'acturer'lI maÏ:nt.ena11ce checklist c:omple'e4? · m u., S.c'do1\ B, below I cl8scr. ~c how ana 'It_ theso ðøfírieN:W '\\'en '1' wiD lie eorrec1lnl. I - I ---- ----.- i ! H. Comments: i I ! I ql :3 . c) tj'D "'- i ~t> PA ~ -sel~ +~r 87 L~"'$ p;;ø.¡ , e;,,,> . All ~E' -I-v~6 ,Îvø-S ! , I ~r i~_ ."'- ..., i (.(>' s. lJ.Jí 1/ #.)Þ-I- \ , ~E; : I , . 'SEe:: 3' . t> 9Þ "- - : . I ! I ; , ; I ! ¡ . . \ r.e 3 of'3 03.01 12-07-04 01:38am From-TAIT ENVIROMENTAL 714-560-8237 T-628 P.11/12 F-506 fSite ·~4..a;éñ'096Ô:í 701 BRl1N"DA E ~BAKERsFfËtë.~ 93304 MOJIitom.; S)'Stnn C.nitkailo. ; D~Tu1:iøg1S.!rog ~ f( - '5 -~Î("-: UST Monitoring Site Plan .'I~. :~: . . . " . · " - . . " " " . . " . . " " " · " . " " " - '$"t':>~ . .;¿¿.... · . . .~,. . : d:s*"¡¡ : : : " - . . . í*L.¡. :I~~": ; ~-.z...J~ . L,Q..~ Dúe map wu drawn: ~..:àJ 0'1 . Instrncti~ 1£ you aJready have a diagr that shows aU required information. you may include it, rathcr tha1:1 tbis page, with yaUf Monitoring System CM1:i5ca' n. On yow site plan. show the general laYDut of tanks and piping. Cleady identify locations of the foDowmg c . eD1¡. if instaJlcd: mo~g system control pall.eb~ scnsors monitoring taDk annular spaces, sumps. dispenser p spiU comainers. or other secondary contaimnent areas~ mechanical or electrOnic me leak detecton~ and ÍD.-tå liquid 1 probes (tf used for leak detection). In the space provided, note the date this Site Plan was prepared. Pap ~ot....L OHII ~OOR ORIGINÆà&. . .' .¡, 12-01-04 01:38am Frcm-TAIT ENVIROMENTAL 114-560-8231 T-628 P.12/12 F-50S ~ '"--"'. ~@OR ORIGIM&lb .'-'" . ....... . -' ':'. '.. ., .', ~". Aree Prod Jets Company Mechanical Leak Detector Test Data Sheet Station #; 960 Date: 11I3l2OO4 TIme: 09:00 AM Address: 1701 BRUNDAGE LANE BAKERSFIELD . Test Information 1 2 3 4 S Product q( Manufacturer '-IL Model Full Operating P res!!Iure (psi) '~I Una Bleed Back mI} "ZOD TrIp Time (see) G.~ Mderlng pressw e (PSI) I'Z- FIE Boldine Prœ .ur. (psn 3D Test Leak Rate ( nl/m1D) (gph) I CS1 oM, I PASS Or FAIL \>~ Commenw; This letter Cer1 ities that the annual leak detector tests were perfonned at the above referenced fac lity according to the equipment manufacturers procedures and limitations an the results as listed are to my knowledge true and conect. The mechanical Ie ~ detector test pass/fail is detenuined using a low flow threshold trip rate of 3 gph t1 0 PSI. Inspected By: Contractor: TAIT ENVIRONMENTAL SYSTEMS Technician ~\~~ ~.c.r..:t?...t2'.p.._ Lic# Signature: ,.~ '--.. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES filE SAfETY SERVICES' .ENVIIONMENTAl SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 3, 2004 ~-- ~- '--~ Mr. Surjit Bisla ARCO #01960 1701 Brundage Lane Bakersfield, CA 93309 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Submit/Perform Annual Maintenance on Leak Detection System Dear Underground Storage Tank Owner: Our records indicate that your annual maintenance certification on your leak detection system was past due on December 3,2004. You are currently in violation of Section 2641 (J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, January 3, 2005, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326- 3684. Sincerely, MR. RALPH HUEY DIRECTOR OF PREVENTION SERVICES By: JrlU? / M Raymond 0 ~ re Inspector/~ronmental Code Enforcement Officer Office of Environmental Services cc: Robert Sherfy., Assistant City Attorney REH/RRJdb " _CP CL/- j / G77 /1 C2:9 II 0(YN1ilw (he Tj)()//J'I'lIUI/jU't11 Q'f/t().j( Q'/·lo.JCe d:J/uut QÇ.'¡ [{JP/jtÚI·ltlt (/ - (I. c1 ,- ~ " ~~, ...... - Tait Environmental Systems UST Construction' Design' Maintenance' Compliance November 16, 2004 Arco SS #1960 1701 Brundage Lane Bakersfield, CA 93304 Re: Monitor Certification To Whom It May Concern: Enclosed please find the periodic test results that were peñormed at your facility. Please place the test results in the Retail Facility Records Manual "Orange Binder" under the tab marked "Periodic Inspections" (blue tab in orange binder). This is pursuant to Bp Environmental Health & Safety Guidelines. If you have any questions please call Mike Wilson at 714-670-5321. Very Truly Yours, TAIT ENVIRONMENTAL SYSTEMS ~~ ALAN THROCKMORTON Compliance.Manager AT:clb :~ds\arco\2004\letters\managers Enclosures CA Lie #588098 . AZ Lie #095984 . NV Lie #0049666 1863 North Neville Street· Orange, California 92865 . 714.560.8222 . 714.685.0006 Fax 11280 Trade Center Drive. Rancho Cordova, California 95742 . 916.858.1090 . 916.858.1011 Fax www.SB989.com / .. ~ ~ MONITORING SYSTEM CERTIFICATION For Use ~ All Jurisdictions ~thin the State qfCal~fornia Authoriry Cited: Chapter 6.7, Health and Sqfery Code; Chapter .16, Division 3, Title 23, Cahfornia Code qf JœRUlations This fonn must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who perfonns the work. A copy of this fonn must be provided to the tank system owner/operator. The owner/operator must submit a copy of this fònn to the local agency regulating UST systems within 30 days ofte st date. A. General Information :-F~~íï1tY-!'T~-m~.: ! ARCO PRODUCfSëôMPANy---- I Service Stationßo.: i 1960 --------¡ r-sIte Address: -11701 BRUNDAGE LANE ----lg~!y-=--.I BAKERSFIELD ! ZiE.:___!9~-----i ;-Fã-cilii~ë ontact P ers on: r ____""_~_.,_J.____._.__. 1'-..'HLé VIJ '¡ \ S,,~ TContact Phone No.: ')---------------..-----. I fIt; 6/0532-; I ---_.--~.__. I MakelModelofMonitoring]'Yïi¡em:--¡---n:s-3S:::ZS----------· B. Inventory of E qui pment T estedlCertified Check the riate boxes to bulicate ecific e . ment' lID: i 37 ( .... ~!l:Iankºau~gPro~~___i Mo~el: ! ,;..-~!?fl~ar ~E.~~_~"p.!_Y~~!.~!ns~:_J Model: i i ~_g_~umprrrench Sens~Js)~ Model: J . !!!S~p Sensor~~): J~odel: . : echanical Line Leak Detector. : Model: ¡ _e_~~o~c ~e Le~petecto!__-L Model: J _~ ankQ:~ :.~~i~11t7elSe!:u:9f:~odeLl 00 ( mJ,Other, Sec' e ui.t e andm.odel in Section E on Pa e 2 TanldD: I '5 ~I;. i. _.n:I~.Ga~~g. £rob.!:..._____) Model:.! .:.. ii~nnu.:!~ SE.~~~or V ~~!~ensor:__ ¡Model: i " Jp~_g_S~p_rrre~~hS.~~~!J~l_J Model: ¡ _.:",F~~~p Se~!~~)~________l_Model:! I echanicalLine Leak Detector. j Model: I -iii -~~~~~-U;;e L~ak I:¡~~~t:~;---TModeC'i ~~º~~~~k~~l~~~~~i-]--M~de!:.l-----(2fU--------- mJ,Other, S ec' e ui . t e and model in Section E on Pa e 2 Dispenser ID: l - 2- ~Dis eñser Containment Sensors: I Model: I 20e . h.!ar V ~!~(S5. _.-:____I===-_=-~~=l___.____ , is enserContainmentFloa s andCh' s is enserContainmentFloa s andCh' s _£~E_eE!~r ID: i 5- b Dis.E~ns~r Iº~__ ¡ '7 - 6 ~_::y~~~~~~ent.~ens~:s: 'J~odel~____J_=~ __~.-, I~~~~:;~v~~~~~::_senso~s): _____ë=~~~.J~_~________ mJDis enser Containment Floa s and Ch' s . is enser Containment Floa s and Ch' s DisEenserID: -to Dis enserID: -( Z- J.-Špe~_~~~~~tainme~!Sensors~_1~odel: _______ 208 : i~E~nse;Cont~entSe~so~~LJ Model: i 20 S ~_ hear V al~i~:_'__"______--.l_________L_____.___ - ........ hear V alve(~. '.. ¡ _____L____.._____ I!iIDis enserContainmentFloa s andCh' s Dis enserContainmentFloa s andCh' s :IoIf the facility contains more tanks or disp ens ers, copy this fonn. Include infonnation for evety tank and disp ens er at this facility. C. C ertific ation - I certify that the eq1Ü¡lment identified in tJW docwnent was iDspectedlsenrked in auordante with the manuf:actuœD' guidelines. Attac:hed to this Certific:ation is infunnation (e.g. manufa.c:turers· checklists) necessary to verify that this infunnation is coned and a Plot Plan showing the layout of monitoring eq1Ü¡lment For any ~uipmentcapableof generating such reports, I hIM a1so ~_!ttac:Ju:d.a c~!ofthe. !9,)ort;r. ~~_~ that appJJlji___m'-!tem s~t. -~__~ ~~~~!k=~------_._- L.Tec~~!.~_N..ameœ_rmt)..:____: ~')e--.¡\" <óe~~ i...ê!~_~~~.:....____ "-I ~~ I U::ertification_~~__ ! éJC6oS"Ðcl./z- ¡ LicenseN!J.: I C;¡<&098 ¡ I_Iesti£l_g_CompanyNam~___.! TAIT ENVIRONMENTALSYSTEIvIS I Pho_ne No.: i (714) 560-8222 I --~-T Date of~stin~rvice:.. i 7T::-3=-¿:;¡¡---j Page lofJ 03101 ... 1; Monitoring System Certification [S1ïeAdlheš-š:lï960: 1701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 -------------~-----, LD ate ~fT e stingfS ervicing: If' - '3 -. 0 V I D. Results of Testing/Servicing ¡-Software V mion In~talled: I \7.-\ .où Com Jete the follow· checklist: ! Yes W No'" I s the audible alann 0 era.tional? ,i Yes 1ifB! No'" Is the visual alann 0 erational? "I Yes üB1 No'" Were all sensors visuall ins ected. functionall tested. and confumed 0 erational? i Yes IiI1 No'" Were all sensors installed at lowestpoint of secondary- containment and positioned so that other equipment will not interl'ere with their ro er 0 eration? If alanns are relayed to a remote monitoring station, is all communications equipment (e.g. modem) op erational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary- containment monitoring system detects a leak, fails to operate,.. oris electrically disc~~cted? If yes: which sensors initiate positive shut-down? (Check all that apply )~umprrrench Sensors;~pispenser Containment Sensors. Did you c onfum positive shut- down due to Ie aks and s ens or failurel dis c onne ction? II:t e s; II No. For tank systems that utilize the monitoring system as the primary- tank overfill warning device (i.e. no mechanical overfill prevention valve isinstallect), is the overfill warning alann visible and audible at the tank fill oin s and 0 eratin ro erl . If so, at what ercent oftank ca acit does the alann tri er?... % Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E. below. Was liquid found inside any secondary- containment systems designed as c1ry systems? (Check all that~y)m Product; 1'1 Water. If es, describe causes in Section E. below. i Yes ~1 No'" Was monitorin s stern set- u reviewe d to ensure ro er s ettin s? Yes ~1 No'" Is allmonitorin e ui ment 0 erational ermanufacturer's s ecifications? * In Section E below. describe how and when these deficiencies were or will be corrected. i!l1 Yes -,~ ~'1 No'" 4[N/A WJ1 No'" Ii N/A UðJ Yes'" r---------r-'·'--·,'------··---'----------·-----·---'--------------'- . I i E. Comments: J . . --'----'-"1 I Page 2 on 03.01 .... " ~ \Sit;;Addtess:T1960: 1701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 ! Date ofT estinglServicing: ! 7F3 - ò '/ F. In-Tank. Gauging I SIR Equipment: ':it Che ck this b ox if tank gauging is us e d only for inventory control. 1Ièhecklhis box if no tank gauging or SIR equipmenlis installed. This section must be completed ifin-tank. gauging equipment is used to perform leak. detection monitoring. oM'P1 te t 0 w~c c t: II Yes Ji1] No'" H as all input wiring been insp e cte d for prop er entry and tennination. including testing for ground faults? iiIJ Yes II! No'" Were all tank gauging probes visually inspected for damage and residue buildup? íI Yes II No'" Was accuracy of system pro ducllevelre adings tested? . II Yes íiI1 No'" Was ac curacy of system watedevelre adingste ste d? ïrI Yes iJj No'" Were all probes reinstalled properly? Ii Yes iIJ No'" Were all items on the equipment manufacturer's maintenance checklist completed? C Je he fi Do . he klis * In the Section H, below, describe how and when these deficieltCies were or will be cOlTected. G. Line Leak Detectors (LLD): I Checklhis boxifll.Ds are not installed. Com Jete the follow· checklist: I No'" For equipment start-up ~r annual equipmen~.certification. was a 1eak~irnulated to verify ll.D performance? II N/A (Check all that apply) Simulated leak rate: (Jj!3 g.p.h.1; !J1 0.1 g.p.h.2; (10.2 g.p.h.2 Notes: 1. Requiredfor equipment start-up certification and annual certification. 2. U nle s s mandate d by 10 c al agency, c ertific ation re quire d only for e1e ctronic ll.D start- up. Were allll.D s c onfume d op erational and ac curate within re gulatory re quirements? Was the testing apparatus properly ca1ibrated? F or me chanic alll.D s, do e s the ll.D re strict pro duct flow if it dete cts a 1e Ilk? ·,;:.,;No'" No'" No'" I N/A No'" N/A No'" ·¡'N/A I!ì! Yes Ii No'" ;tN/A No'" ..1 N/A Œ!! No'" W ere all items on the equipment manufacturer's maintenanc e che cktist complete d? * In the Section H, below, describe how and when these deficieltCies were or will be COlTecte d. IiIJ Yes )I Yes r-"--~_._- ¡ H. Comments: r ! For e1e ctronic ll.D s, do e s the turbine automatic ally shut off if the ll.D dete cts ale Ilk? For electronic ll.Ds, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? For e1e ctronic ll.D s, do e s the turbine automatic ally shut off if any portion of the monitoring system malfunctions or fails ate st? For electronic llDs, have all accessible wiring connections been visually inspected? 1 I I I I I I I I 1 I , 8( q ( L.þ PA S sec~ '3." 7 p "'- +6sf- LP'5 PAc Ie-,::> AII1-i-Ifl.ee- +v~6f^J(i;;;S ( Hf"NE:; ~c:..kVlI~A I Li:>' s. ÜJ/ II 1-)o"¡'" SEE "3. (> 9P " f 03.0 1 Page 3 of3 " I pate _ofTes~gêervic~g: Tu~¿T---l ~1te-Addiêss:lT%õ:-í 701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 ~ MonitoriJag System Certification UST Monitoring Site Plan ~'1~~ 'SìC'~' . ·ø····· . . . ~~f!-' . : ~~~t\.1 : : : . . . . . . . . . . . . . · . . . . . . . . . . . ,. "~N:;S' .~. . . . . · . . . . . . . . . . . ""éSO . . . . :t~1 ~1~..ci2;"S. · ( ,. .. . . . L "ß~v~"Ç>A.~ LA~ Date map was clrawn: _Jl./ _~..j O(}. Instructions If you already have a diagram that shows all required information, you may include it. rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment. if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided. note the date this Site Plan was prepared. Page ~of~ 05.00 arc /Q60-{)2 . f)o;e J IN-TANK SETUP ------ - T I:UNL MAIN SOUTH PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL 1 : .000700 92.00 4 PTS 9684 8079 6061 1973 -. .-...... ... ......- ... . ---. .---- ----- SYSTEM ALARM ----- PAPER OUT NOV 3. 2004 7:30 AM TANK PER TST NEEDED WRN . DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED l,.,JRN DISABLED PRINT TC VOLUMES DISABLED TEMP COMPENSATION VALUE <DEG F ): 60. 0 STÏCKHEIGHT OfFSET DISABLED L,DtiVï.,IqHTSflVING TIME ¡""ENABLED . . .. . i START DATE ~,APR".wEEK 1 SUN , STARTT I ME 2:00 AM i. END DATE OCT WEEK 6 SUN END Tl.ME 2:00 AM ----- SYSTEM ALARM ----- PRINTER ERROR NOV 3. 2004 7:30 AM FLOAT SIZE: 4.0 IN. WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 9684 OVERF I LL Ll M IT 90% 8715 HIGH PRODUCT 95% 9199 DELI VERY Ll M IT 10% 968 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS Tit: 03 600 20 60 1.00 COMMUNICATIONS SETUP LEAK MIN PERIODIC: 30% 2906 ------ - LEAK MIN ANNUAL . . 0% o PORT SETTINGS: NONE FOUND PERIODIC TEST TYPE STANDARD SYSTEM SECUR ITY CODE : 000000 RS~232 END OF MESSAGE DISABLED ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALAR!"! DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN T 2:UNL SLAVE PRODUCT CODE THERMAL COEFF TANK DIAr"lETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL FLOAT SIZE: WATER WARNING . HIGH WATER LIMIT: MAX OR·· LABEL VOL: OVERF I LL Ll M IT HIGH PRODUCT DELI VERY Ll r"11 T LOW PRODUCT . LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS Tit: NONE LEAK MIN PERIODIC: LEAK !"I I N ANNUAL CENTER 2 : .000700 : 92.00 4 PTS 9684 8079 5061 1973 4.0 IN. 2.0 3.0 9684 90% 8715 95% 9199 10% 968 500 20 50 0.50 30% 2905 30% 2905 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARt"1 DISABLED GROSS TEST FAIL ALAR!"I DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELI VERY DELAY 1 f"lI N orc /Q60-02 P{)gP 2· T 3:UNL SLAVE 2 PRODUCT CODE THERMAL COEFF TANK DIAr"!ETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL FLOAT SIZE: WATER WARNING . HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFI LL LI M IT HIGH PRODUCT DELI VERY Ll!"11 T LOW PRODUCT . LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS Tit: 01 LEAK MIN PERIODIC: LEAK MIN ANNUAL FLOAT SIZE: 4.0 IN. WATER WARNING : 2 0 HIGH WATER LIMIT: 3:0 MAX OR LABEL VOL: 8079 OVERFILL LIMIT: 90% 7271 HIGH PRODUCT 95% 7675 DELIVERY LIMIT 10% 968 NORTH T 4 : PREM I UM PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL 3 : .000700 : 92.00 4 PTS 9684 8079 5061 1973 4.0 IN. 2.0 3.0 9684 90% 8715 95% 9199 10% 968 500' 20 50 1 .10 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS Tit: NONE 30% 2905 LEAK MIN PERIODIC: 30"~ 2905 LEAK MIN ANNUAL 4 : . 000700 : 92.00 4 PTS 9684 8079 5061 1973 500 20 50 3.00 3mi 2905 30% 2905 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARr"! DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALAR!"! DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARt"! DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALAR!"! DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN orc/QGO-02 . oage3 L 7:DISP 5.6 TRI-STATE <81 NGLE FLOAT) CATEGORY : DISPENSER PAN LEAK TEST METHOD L 8:DISP 7.8 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN ------ - - - - OUTPUT RELAY SETUP TEST ON DATE : ALL TANK JAN 1. 1 996 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORMAL ------ L 9:87 SOUTH ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE R I:UNLEADED SHUTDOWN TYPE: STANDARD NORMALLY CLOSED LI0:87 SOUTH FILL SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L 2:92 ANNULAR TRI-STATE <SINGLE FLOAT) CATEGORY : ANNULAR SPACE L14:87 CENTER STP SUMP TRI-STATE <81 NGLE FLOAT) CATEGORY : STP SUMP LIQUID SENSOR ALMS L 1 :FUEL ALAR!1 L 5:FUEL ALARM L 6:FUEL ALARM L 7:FUEL ALARM L 8:FUEL ALARM L 9:FUEL ALARM Ll 0 : FUEL ALAR~1 Lll : FUEL ALARI"! Ll2 :FUEL ALARM Ll3 : FUEL ALARr"1 L14 :FUEL ALAR'''' Ll5 :FUEL ALARI"I Ll6 : FUEL ALARM LI7:FUEL ALARM Ll8 :FUEL ALARM R 2:PREMIUM SHUTDOWN TYPE: STANDARD NORMALLY CLOSED Lll:87 SOUTH STP SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L12:87 CENTER ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE LIQUID SENSOR SETUP - - - - - - - - - - L 1:87 NORTH STP SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L13:87 CENTER FILL SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L 5:DISP 1.2 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN Ll7:DISP 9.10 TRI-STATE <81 NGLE FLOAT) CATEGORY : DISPENSER PAN LIQUID SENSOR ALMS L 2:FUEL ALARM L 3:FUEL ALARM L 4:FUEL ALARM L 5:FUEL ALARM L 6: FUEL ALARI"I L 7:FUEL ALARM L 8:FUEL ALARM LI7:FUEL ALARM Ll 8 : FUEL ALARloJ R 3:0VERFILL ALARM TYPE: STANDARD NORI"1ALL Y OPEN L 3:92 FILL SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS L15:87 NORTH ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 4:92 TURBINE SUI"IP TRI-STATE (SINGLE FLOAT) CATEGORY :STP SUI"IP L16:87 NORTH FILL SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : PIP I NG SUr1P L 6:DISP 3.4 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN Ll 8 : D I SP 11. 1 2 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN IN-TANK ALARMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM orc /{j{f)-02 /JDge4 RECONCILIATION SETUP - - - - - - - - - - AUTOMATIC DAILY CLOSING TIME: 2:00 AM PERIODIC RECONCILIATION MODE: MONTHLY TEMP COMPENSATION STANDARD BUS SLOT FUEL METER TANK SOFTWARE REVISION LEVEL VERSION 121.00 SOFTWARE~ 346121-100-A CREATED - 00.11.15.13.23 NO SOFTWARE MODULE SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ALARM HISTORY REPORT ---- IN-TANK ALARM T l:UNL MAIN SOUTH OVERF I LL ALARt'l OCT 18. 20047: 40 Al"l OCT 16. 2004 9:21 PM OCT 15. 2004 6:25 AM LOW PRODUCT ALARM AUG 20. 2004 9:44 PM JUL 24. 2004 11:46 AM DEC 21. 2003 8:02 AM HIGH PRODUCT ALARM MAY 24. 2004 11 :00 AM MAY 17. 2004 10:10 AM MAY 11. 2004 2:04 PM INVALID FUEL LEVEL AUG 20. 2004 8:25 PM JUL 24. 2004 10:43 AM APR 25. 2004 1 :19 AM ALARM HISTORY REPORT ---- IN-TANK ALARM ----- T 2:UNL SLAVE 1 CENTER OVERF I LL ALAR/"! OCT 18. 2004 7:48 AM OCT 4. 2004 9:03 AM OCT 3. 2004 6:59 AM LOW PRODUCT ALARM AUG 20. 2004 8:56 PM JUL 24. 2004 11 :09 AM MAY 30. 2003 8:53 PM HIGH PRODUCT ALARM AUG 30. 2004 9:47 AM MAY 17. 2004 10:04 AM NOV 5. 2003 2:53 PM INVALID FUEL LEVEL AUG 20. 2004 8:26 PM JUL 24. 2004 10:14 AM MAY 30. 2003 8:28 PM - - - - - - - - - - - - TANK MAP EMPTY DELIVERY NEEDED SEP 14. 2004 7:47 PM AUG 20. 2004 6:00 PM AUG 4. 2004 12:54 PM DELIVERY NEEDED SEP 14. 2004 7:10 PM AUG 20. 2004 5:02 PM AUG 1 7. 2004 11: 09 PI"! ALARM HISTORY REPORT ----- SYSTEM ALARM ----- PAPER OUT NOV 3. 2004 7:30 AM PRINTER ERROR NOV 3. 2004 7:30 AM BATTERV IS OFF JAN 1. 1996 8:00 AM SVS SECURITY WARNING OCT 29. 2001 9:13 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ---- IN-TANK ALARM ----- T 3:UNL SLAVE 2 NORTH OVERFILL ALARM OCT 18. 2004 7:50 AM OCT 18. 2004 7:43 AM OCT 16. 2004 9:23 PM LOW PRODUCT ALARM AUG 20. 2004 9:32 PM JUL 24. 2004 11:24 AM MAY 30. 2003 9:14 PM HIGH PRODUCT ALARM AUG 30. 2004 9:52 AM MAY 24. 2004 11 :05 AM MAY 19. 2004 9:09 AM INVALID FUEL LEVEL AUG 20. 2004 8:11 PM JUL 24. 2004 10:17 AM MAY 30. 2003 8:19 PM -- DELI VERŸ NÉEDED SEP 14. 2004 7:52 PM AUG 20. 2004 5:25 PM AUG 4. 2004 12:52 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ...--- . ore F/60-02 page:; ALARM HISTORY REPORT ---- IN-TANK ALARM ----- T 4: PREt"II ur'1 OVERF I LL ALAR!1 OCT 13. 2004 10:49 AM OCT 11. 2004 9:09 AM MAY 21. 2004 8:17 AM HIGH PRODUCT ALARM OCT 13. 2004 10:50 AM OCT 11. 2004 9:10 AM MAY 11. 2004 2:02 PM INVALID FUEL LEVEL OCT 20. 2003 6:31 PM JUL 30. 2002 3:06 PM DEC 27. 2001 6:42 PM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 1:87 NORTH STP SUMP STP SUI1P FUEL ALARM OCT 2. 2002 8:42 AM FUEL ALARM JUL 27. 2001 11:00 AM FUEL ALARM JUL 26. 2001 1:13 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ DELIVERY NEEDED DEC 31. 2003 4:36 AM DEC 16. 2003 12:39 PM NOV 3. 2003 9:02 PM MAX PRODUCT ALARM OCT 13. 2004 10:51 AM OCT 11. 2004 9:11 AM MAY 11. 2004 2:03 PM ALARM HISTORY REPORT ----- SENSOR ALARM L 2:92 ANNULAR ANNULAR SPACE FUEL ALARM NOV 5. 2003 2:30 PM FUEL ALARM OCT 2. 2002 8:33 AM FUEL ALARM JUL 27. 2001 11 :02 AM ~ ~ ~ ~ ¡of END ~ ;,.¡ ¡of ~ '" '" '" '" ¡of ~ END ~ '" ~ ~ ~ orc /QGO-02 fJoqe G ALARM HISTORY REPORT ----- SENSOR ALARM L 3:92 FILL SUMP OTHER SENSORS FUEL ALARM FEB 26.2004 1:56 AM FUEL ALARM FEB 23. 2004 4:47 AM FUEL ALARr"! FEB 2. 2004 8:26 PM ALARM HISTORY REPORT FUEL ALARM JAN 31. 2002 4:28 PM FUEL ALARM JUL 27. 2001 10:41 AM ALARM HISTORY REPORT ----- SENSOR ALARM L 7:DISP 5.6 DISPENSER PAN FUEL ALARM NOV 5. 2003 2:08 PM FUEL ALARM OCT 2. 2002 8:52 AM ----- SENSOR ALARM L 5:DISP 1.2 DISPENSER PAN FUEL ALARr"! OCT 2. 2002 8:51 AM FUEL ALARM JUL 27. 2001 10:54 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM -~--- L 4:92 TURBINE SUMP STP SU!"1P FUEL ALARM NOV 5. 2003 2:33 PM FUEL ALARM OCT 2. 2002 8:36 AM FUEL ALARM JUL 27. 2001 11:01 AM ALARM HISTORY REPORT ----- SENSOR ALARM L 6:DISP 3.4 DISPENSER PAN FUEL ALAR!"1 NOV 5. 2003 2:06 PM FUEL ALARM OCT 2. 2002 8:50 AM ALARM HISTORY REPORT ----- SENSOR ALARM L 8:DISP 7.8 DISPENSER PAN FUEL ALAR~1 NOV 5. 2003 2:09 PM FUEL ALARM OCT 2. 2002 8:53 AM FUEL ALAR!"! JAN 31. 2002 4:24 PM FUEL ALARM JAN 31. 2002 4:31 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ Qrc ¡Q60--02 Doge 7 ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 9:87 SOUTH ANNULAR ANNULAR SPACE FUEL ALARM NOV 5. 2003 2:16 PM FUEL ALARM OCT 2. 2002 8:46 AM FUEL ALARM JUL 26. 2001 10:37 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- Lll:87 SOUTH STP SUMP STP SU!"IP FUEL ALARI'1 NOV 5. 2003 2:13 PM FUEL ALARI'1 OCT 2. 2002 8:49 AM FUEL ALARM JAN 31. 2002 3:50 PM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L13:87 CENTER FILL SUMP PIPING SUMP FUEL ALARM FEE 2. 2004 7:56 PM FUEL ALARM DEC 25. 2003 11 :47 AM FUEL ALARM DEC 25. 2003 11 :20 AM ~ ~ M M MEND M M M M M M M M M MEND M M M M M M M M M MEND M M M M M ALARM HISTORY REPORT ----- SENSOR ALARM ----- LI0:87 SOUTH FILL SUMP PIPING SUMP FUEL ALARM MAR 26. 2004 4:57 AM FUEL ALARM FEE 26. 2004 2:06 AM FUEL ALARr"! FEE 2. 2004 7:27 PM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L12:87 CENTER ANNULAR ANNULAR SPACE FUEL ALAR!"! NOV 5. 2003 2:20 PM FUEL ALARM NOV 5. 2003 2:18 PM FUEL ALARI'1 OCT 2. 2002 8:43 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L14:87 CENTERSTP SUMP STP SUMP FUEL ALARM OCT 26. 2004 9:38 PM FUEL ALARM OCT 26. 2004 8:06 PM FUEL ALARM NOV 5. 2003 2:23 PM M M M M MEND M M M M M M M M M MEND M M M M M M M M M MEND M M M M M ore Iq60~O~ page 0 FUEL ALARM NOV 5. 2003 2:27 PM ALARM HISTORY REPORT ----- SENSOR ALARM L1 7 : D I SP 9. 1 0 DISPENSER PAN FUEL ALARM NOV 5. 2003 2:10 PM F UEL ALAR~1 OCT 2. 2002 8:54 AM FUEL ALARt"1 JUL 27. 2001 10:55 AM ALARM HISTORY REPORT ----- SENSOR ALARM L19: OTHER SENSORS SETUP DATA WARNING JUL 24. 2001 11: 31 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L15:87 NORTH ANNULAR ANNULAR SPACE FUEL ALARM NOV 5. 2003 2:29 PM FUEL ALARM NOV 5. 2003 2:27 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ OUTPUT RELAY SETUP ------ R I:UNLEADED SHUTDOWN TYPE: STANDARD NORMALLY CLOSED FUEL ALARM DEC 25. 2003 11 :18 AM FUEL ALARM NOV 5. 2003 2:25 PM ALARM HISTORY REPORT ----- SENSOR ALARM L1 8 : D I SP 1 1 . 1 2 DISPENSER PAN FUEL ALARM NOV 5. 2003 2:10 PM FUEL ALARM OCT 2. 2002 8:54 AM LIQUID SENSOR ALMS ALL :FUEL ALAR!"1 ALL:SENSOR OUT ALARM ALL: SHORT ALARI'1 R 2 : PREI"I I UM SHUTDOWN TYPE: STANDARD NORMALLY CLOSED ALARM HISTORY REPORT ----- SENSOR ALARM ----- LI6:8? NORTH FILL SUMP PIPING SUMP FUEL ALARt"1 JAN 2. 2004 5:50 AM FUEL ALAR!"! JUL 27. 2001 10:56 AM LIQUID SENSOR ALMS ALL:FUEL ALARM ALL : SENSOR OUT ALARr"! ALL :SHORT ALARI"! R 3:0VERFILL ALARM TYPE: STANDARD NORMALLY OPEN ~ ~ M ~ ~ END ~ M M M ~ IN-TANK ALARMS ALL:OVERF1LL ALARM ALL:HIGH PRÓDUCT ALARM ALL:MAX PRODUCT ALARM ~ ~ ~ M ~ END ~ M ~ ~ ~ Qrc /Q60-ól jJofJ~ 1 ----- SENSOR ALARr"1 - L 5: D I SP 1. 2 DISPENSER PAN FUEL ALARM g_:?4 AM NOV 3. 2004 - ----- SENSOR ALARM L1 8 : D I SP 1 1 . 1 2 DISPENSER PAN FUEL ALARM r NOV 3..2004.9:·29HAM ----- SENSOR ALARM L 6:DISP 3.4 DISPENSER PAN FUEL ALAR!"1 NOV 3. 2004 9:25 AM ----- SENSOR ALARM L 9:87 SOUTH ANNULAR ANNULAR SPACE FUEL ALARM NOV 3. 2004 9:32 AM ARCO AM. PI4 1 960 1701 BRUNDAGE LANE BAKERSFIELD.CA 93304 ------ ----- SENSOR ALARf4 L 7:DISP 5.6 DISPENSER PAN FUEL ALAR!"! NOV 3. 2004 9:26 AM ----- SENSOR ALARM ----- L '3: 87 SOUTH ANNULAR ANNULAR SPACE FUEL ALARM NOV 3. 2004 9:32 AM NOV 3. 2004 7:34 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL ----- SENSOR ALARM L 8:DISP 7.8 DISPENSER PAN FUEL ALARt1 NOV 3. 2004 9:27 AM ----- SENSOR ALARM ----- L 9:87 SOUTH ANNULAR ANNULAR SPACE FUEL ALARM NOV 3. 2004 9:33 AM ----- SENSOR ALARM L1 7 : D I SP 9. 1 0 DISPENSER PAN FUEL ALARI4 NOV 3. 2004 9:28 AM ----~ SENSOR ALARM ----- Ll0:87 SOUTH FILL SUMP PIPING SUMP FUEL ALARM NOV 3. 2004 9:35 AM orc /q60~02 ;JO(j f /() ----- SENSOR ALARM ----- L11 : 87 SOUTH STP SUI'1P STP SUMP . FUEL ALARM NOV 3. 2004 9:36 AM ----- SENSOR ALARM ----- L15:87 NORTH ANNULAR ANNULAR SPACE FUEL ALARM NOV 3. 2004 9:42 AM ----- SENSOR ALARM L 3;92 FILL SUMP OTHER SENSORS FUEL ALARM NOV 3. 2004 9:48 AM ----- SENSOR ALARM ----- L12:87 CENTER ANNULAR ANNULAR SPÀCE FUEL ALARM r:pº~L;.,}::a~.~20049.: 37 At1 ----- SENSOR ALARM ----- L16:87 NORTH FILL SUMP PIPING SUMP FUEL ALARM NOV 3. 2004 9:43 AM ----- SENSOR ALARM ----- L 4:92 TURBINE SUMP STP SUMP FUEL ALARM NOV 3. 2004 9:49 AM ----- SENSOR ALARM ----- L12:87 CENTER ANNULAR ANNULAR SPACE FUEL ALARM NOV 3. 2004 9:37 AM ----- SENSOR ALARM ----- L 1:87 NORTH STP SUMP STP SUt"lP FUEL ALARM NOV 3. 2004 9:45 AM ----- SENSOR ALARM ----- L 4:92 TURBINE SUMP STP SUI"IP SENSOR OUT ALARM NOV 3. 2004 9:50 AM ----- SENSOR ALARM ----- L13:87 CENTER FILL SUMP PIPING SUMP FUEL ALARM NOV 3. 2004 9:39 AM ----- SENSOR ALARM L 2:92 ANNULAR ANNULAR SPACE FUEL ALARM NOV 3. 2004 9:46 AM ----- SENSOR ALARM L 5: D I SP 1. 2 DISPENSER PAN SENSOR OUT ALARM NOV 3. 2004 9:50 AM ----- SENSOR ALAR!"1 ----- L14: 87 CENTER STP SUI"lP STP sur1P FUEL ALARI1 NOV 3. 2004 9:40 AM ----- SENSOR ALARM L 2:92 ANNULAR ANNULAR SPACE FUEL ALARM NOV 3. 2004 9:47 AM ----- SENSOR ALARt"1 L 6: D I SP 3. 4 DISPENSER PAN SENSOR OUT ALARI1 NOV 3. 2004 9:50 AI1 arc /Jff1jlft ----- SENSOR ALARM L 7:DISP 5.6 DISPENSER PAN SENSOR OUT ALARt'1 NOV 3. 2004 9:50 AM ----- SENSOR ALARM ----- L12:87 CENTER ANNULAR ANNULAR SPACE SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM Ll 7 : D I SP 9. 1 0 DISPENSER PAN SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARr., L 8:DISP 7.8 DISPENSER PAN SENSOR OUT ALARM NOV 3. 2004 9:50 AM ----- SENSOR ALARM ----- L13:87 CENTER FILL SUMP PIPI NG Sur.,p SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM Ll8:DISP 11.12 DISPENSER PAN SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARr., ----- L 9:87 SOUTH ANNULAR ANNULAR SPACE SENSOR OUT ALARM NOV 3. 2004 9:50 AM ----- SENSOR ALARM ----- L14:87 CENTER STP SUMP STP Sur.,p SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM ----- L 1:87 NORTH STP SUMP STP SUMP SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM ----- LI0:87 SOUTH FILL SUMP PIPING SUMP SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM ----- L15:87 NORTH ANNULAR ANNULAR SPACE SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM L 2:92 ANNULAR ANNULAR SPACE SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALAR!"' ----- Ll1 :87 SOUTH STP SUMP STP Sur.,p SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM ----- L16:87 NORTH FILL SUMP PIPING SUMP SENSOR OUT ALARM NOV 3. 2004 9:51 AM ----- SENSOR ALARM L 3:92 FILL SUMP OTHER SENSORS SENSOR OUT ALARM NOV 3. 2004 9:51 AM ore /~g~i1 ---- IN-TANK ALARM ----- T 3:UNL SLAVE 2 NORTH HIGH PRODUCT ALARM NOV 3. 2004 9:54 AM ---- IN-TANK ALARM ----- T 4: PREr"¡ I Ut'1 HIGH PRODUCT ALARM NOV 3. 2004 9:54 AM ---- IN-TANK ALARM ----- T 1: UNL l'1AI N SOUTH HIGH PRODUCT ALARM NOV 3. 2004 9:54 AM ---- IN-TANK ALARM ----- T 2:UNL SLAVE 1 CENTER HIGH PRODUCT ALARM NOV 3. 2004 9:54 AM ARCO At'I. Pt'1 I 960 1701 BRUNDAGE LANE BAKERSFIELD.CA 93304 NOV 3. 2004 10:02 AM SYSTEM STATUS REPORT ------ ----- ALL FUNCTIONS NORMAL SWRCB, January 2002 Page i...: of ~ Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. FACILITYINFO~ATION o Facility Name: 70 S-3Z- ( Company Name: TA.-, <:. Technician Conducting Test: '''R.u \oe~ q eC6(2j:2A Credentials: )(CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: . Az...ß C-- ( 0 License Number: S- 680 98 Date Trainin Ex ires Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made Ig¡Q P't\\ / \f\l-. / f<, (i) fd\\ I \JíL / ~ì® Ç(l\ / \112- / 91 çì\\ / \J~ ./ . 3. SUMMARY OF TEST RESULTS Ifhydrostatic testing was performed, describe what was done with the water after completion of tests: \ePT3 $. GA{Io¡,.J~¡ts Wrt--~ +6s+- u.)(; e.l" CERTIFICATION OF TECHNICIAN RESPONSffiLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signatur~~ 'J - Date: ( 1- 3- c; f SWRCB, January 2002 :#/'1 p D 1f..-3 .-() t/ Page Z. of -z..-. 4. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes Spill/Overfill Containment Boxes are Present, but were Not Tested Test Method Developed By: Spill Bucket Manufacturer Other (Specify) Test Method Used: Pressure ndustry Standard . Professional Engineer Vacuum Equipment Resolution: Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R¡): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R¡): Pass/Fail Threshold or Criteria: test Result:· Spill Box # 2:>7 ([) I I! I~ I~ Spill Box #Ð7~ f/ I Spill Box # at G) It II IV (LI Spill Box # 9 ( " II If{ IV S- rn i (\ 'S" ~¡Y\'II\ 'S 9 !O()~¡p. 51V\ ; i\ Ç(nì(\ s- "'" ;" S"M-IÍ\ S- M' w'\ 9 .'IJO~.u Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) · ., ~1IIr.. ~,.. Area Products Company Mechanical Leak Detector Test Data Sheet Station #: 1960 Date: 11/3/2004 Time: 09:00 AM Address: 1701 BRUNDAGE LANE BAKERSFIELD Test Information Product Manufacturer Model Full Operating Pressure (psi) Line Bleed Back (ml) Trip Time (see) Metering Pressure (psi) FIE Holding Pressure (psi) Test Leak Rate (ml/min) (gph) PASS or FAIL 1 QI \H _ i""n /VY") '~I 'ZIJD '2. See... Iz... 30 I'rRMc 1 OA-5S 2 3 4 5 Comments: This letter certifies that the annual leak detector tests were perfonned at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical leak detector test pass/fail is detennined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By: Contractor: T AIT ENVIRONMENTAL SYSTEMS Technician ~,~~ ~~ Lic# Signature: ~ -:: . .~ ~ - COIIRECTION N ICE 0z~902 BAKERSFIELD FIRE DEPARTMENT - il co~ections at ~e above ]ocat/on: ?1 Cot. No. := Completion Date for Corroctions ~ ~-~ '."~'.~ 326-3951 -' FD 1~  Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 ADi:)RESS i ,..~ O ~ (~ L~--~~jk FACILITYCONTACT Business ID Number ~ Routine ~Combined ~ ,Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection 0 V (c=c°~¢ia"°e/ OPE~TIO~ COMMENTS ~ v=violation ~ APPROPRIATE PERMIT ON HAND ~ BUSINESS PLAN CONTACT INFORMATION ACCU~TE ~ VISIBLE ADDRESS ~ CORRECT OCCUPANCY ~ VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF QUANTITIES ~ VERIFICATION OF LOCATION ~ PROPER SEGREGATION OF MATERIAL ~ VERIFICATION OF MSDS AVAIEABIEI~E TRAINING ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEOURES ~ EMERGENCY PROCEDURES ADEQUATE ~ CONTAINERS PROPERLY SITE DIAGRAM ADEQUATE & ON HAND H~ARDOUS WASTE ON SITE?: ~ YES ~No ANY EXPLAIN: QUESTIONS I~EGARDIFI6 THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 · Inspector B~dge ~1o. '--- P Bus~ness S~te Respon White - Environmental Services Yellow - Station Copy Pink - Business Copy CITY OF BAKERSFIEI~D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program ¢ · [22i Routine ombined ,l~l~Joint Agency [21 Multi-Agency .1~1 Complaint [~ Re-inspection Type of T~nk .~Lk) ~ Number of Tanks ~ ' Type of Monitoring C_~c.-~'~ Type of Piping {~ ~'~- OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data cm file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current~ Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes ' No V Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES A'd~quate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Office of Env~ironmen~'"'~"t~. 'Services (661) ~26-3~79 Business §i{~: ResponSible Party While - Env. Svcs. Pink - Business Copy INSPECTION CHECK LIST 1) Are fill boxes clewed7 ~~)~ 2) Is there excessive spillage on isled? ~ - .... 3) ~e all "No Smoking"- "Turn OffEn~ne" signs in place? 4) Is the address number visible ~d 1" x 5" numbers? 5) Is the ESO (Emergency Shut-Of~ visible? 6) ~e there Prop~e T~ks or T~k(s) at hcility? 6a) Is it recorded on customer che~cfl inventor? 7) Is there a Fire Extinguisher on dispenser island? 7a) If not on Isled is there ~ Extinguisher nero ~ont door? ~~. 8) ~e Extinguishers mounted? ~ 0 9 ~-r ~ m~ ~ 9) Is Extinguisher 2A20BC rated? 10) Does UST Facility have a coohng hood? 11) Has it been serviced ~d free from grease build-up 12). ~e there ~y extension.cords being used for pement wiring? 13) Is there ~nimum of 30" in front of brewer p~els? 14) If illu~nated exits me ~1 the lmps wor~ng? 15) ~e co2 cylinders chined? 16) Are ~y exit doors being blocked? 17) Does the fuel monitor device indicate any problem? 18) Is there a sticker on'the fuel monitor showing se~ice date? 19) If UST site has cathodic protection is rectifier wor~ng? 19a) Has it been se~iced within (3) t~ee yems? 20) Does custo~r have MSD's sheets ~d Emergency Response Procedures? 21) Does customer have adequate ~aining.records? 22) Is there sufficient absorbent mtefial' (htty litter) on site? 23) If customer has waste oil is it labeled ~d have secure lid? G:~HAZ'XSHARED\CORRESPONDENCEk2003-10\iNSPECTION CHECK LIST sUnderwood.doe 2.5,122 Fr,~buco Ro;~d ~ 105 take Fbrest, C,~ 92630-2797 (949) 450- I010 Fax (949) 450~ 1 t77 Transmittal Date: December 15, 2003 TO: Steve Underwood City of Bakersfield Fire Department 715 Chester Avenue 3rd floor Bakersfield, CA 92805 FROM: Jim Brown Sent Via: UPS 2nd Day Ref# RE: Spill Bucket Testing ARCO FAC# 01960 1701 Brundage Lane Bakersfield, CA [--1AsRequested I--'1 Forreview E~] Sign&return E~ ForYourUse [~ For Your Files Quantity Description 1 Spill Bucket Test Results from Testing performed on 12/08/03 Comments: Please do not hesitate to call me at (949) 450-1010 if you have any questions or concerns regarding this work. Jim Brown P~r )ct Manager SWRCB, January 2002 Page of__ Secondary Containment Testing Report Form This f~rm is intended f~r use by c~ntract~rs perf~rming peri~dic testing ~f UST sec~ndary c~ntainment systems. Use the appropriate pages of this form to report results for all components tested The completed form, written test procedures, and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: ,'~,~'~ fi'/~/ / I Date Of/rTestin~: Facility Addr~ess: /?~/ ,~,~,,,~,/~ ~'f~t///,~ ' ,~/~/~a/,~.,~t,,/,"'~a~ ~ Facility Contact: Scott Hartwell I Phone: 714-670-5248 Date Local Agency Was Notified of Testing: 12/03/03 Name of Local Ageacy Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Belshire Environmental Services, Inc. Technician COnducting Test: Credentials: [] CSLB Licensed Contractor [] SWRCB Licensed Tank Tester License Type: A - General Enginee. . . ring Contractor . License Number: 808313 :~.. . Manufacturer Trainin~ Manufacturer Component(s) Date Training Expires See attachement. 3. SUMMARY OF TEST RESULTS Not Repairs Component Pass Fail Not Repairs Component Pass Fail Tested Made I Tested Made q/W' [] [] [] [] [][] . n ~7~ ~ o [] [] o o [] [] ~Tf , ,go [] [] [][] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] oo [] 'o o[] [] [] [] [] [] [] [] [] [] [] If hydrostatic testing was performed, describe what was done with the water aRer completion of tests: ' CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING .'--.' ' 'i {. To the best of my lotowledge.,4.he facts stated in this ~[ocument are accurate and in full compliance with legal requirements .... :"' '{~n'i~i~:~:Si~turei' . }':"'' '. :'. '"Date: I'~i'I \0 ':'--- .... 2--' ; '._-; ............................... :--': SWRCB, January 2002 Page __ of__ 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes [] Spill/Overfill Containment Boxes are Present, but were Not Tested [] Test Method Developed By: [] Spill Bucket Manu£acturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Incon Sump Tester ] Equipment Resolution: +/-0.002" Bucket Diameter: Bucket Depth: !0 tO [0 /0 Wait time between applying pressure/vacuun~water and starting test: Test Start Time: Initial Reading (RO: Test End Time: Final Reading (Rv): Test Duration: l hi2-. I he. { hQ..-. [ :h~-. Change in Reading (RF-Ri): Pass/Fail Threshold or Criteria: Comments - (include ~nformation on repairs made. prior to testing, and recommended fol(o,~w-up for failed tests) / I'1 v. ~' t' 'p~,~,t -~L3 h .(k"l 57. ~'/. t_ t~'l.c. _ c./z'6~. SWRCB, Sanuary 2002 Page __ of__ 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes [] Spill/Overfill Containment Boxes are Present, but were Not Tested [] . Test Method Developed By: [] Spill Bucket Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) Test Method Used: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Test Equipment Used: Incon Sump Tester I Equipment Resolution: +/-0.002" Il/~V SpillBox# ~/~V- SpillBox# lc/Iq SpiUBox# Iq/trSpinBox# Bucket Diameter: / Z Bucket Depth: [0 !0 Wait time between applying pressure/vacuum/water and JcJ/~ starting test: Test Start Time: / ,'cY0 t/.'0'0 /: GO /.'(fO Initial Reading (Ri): Test End Time: glO0 2:00 L'O0 Final Reading (RF): Test Duration: //~/g. [ /Tt~. Change in Reading (RF-Ri): Pass/Fail Threshold or Criteria: Test Result: ~Pass [3Fail /Pass [3Fail /Pass [3Fail /Pass [3Fail (include information on repairs made prior to testing, and recommended follow-up for failed tests) · Complete items 1, 2, and 3. Also comClete item 4 if Restricted Delivery is desired. [] Agent · Print your name and address on the reverse so that we can return the card to you. Name) D~te~of D~e~i~v~ry · Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 17 [] Yes 1, ArticleAddressed to: If YES, enter delivery address below: ~ ^M/PM ; 1701 Brundage Lane 3. _~rviceType 'l~Certified Mail [] Express Mail . Bakersfield,CA 93304 [] Registered [] Return Receipt for Merchandise ~_ ......................... -~ [] Insured Mail [] C,O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number __ 7003 2260 0004 7652 2693 (Transfer from service label) PS Form 3811, August 2001 Domestic Return Receipt 102595.02-M-15401 UNITED STATES POSTAL SERVICE ',/;,A:~_x~ I Fi~-Clas$4Vlail ' Sender: Please print y~%~e~address, and ZIP+4 in this box' Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 Postage l $ I _-l" Certified Fee / r--I ~. Postmark  Re[urn Reclept Fee | (Endorsement Required) ! Here t-'t Restricted Delivery Fee ! ._~ (Endorsement Reojdred}_|_ ~ FU Total Postage ~ [;;~-~-~t ~0I701 Bmndage Lane [~r.~' Bakersfield, CA 93304 --.--r, ...... ; ...... , Certified Mz~ovides: I~ A mailing receipt (es~e~) ,~.~1' '~ ~o~ m A unique Iden~fler for YOUr m~lpl~ m A m~ ~ d~lve~ by ~e P~ Se~ ~r ~ ye~ nt Remindem: CeRifi~ M~I m~ ONLY ~ ~mbin~ ~ FI~-CI~ Mai~ or P~o~ M~~ a Ced~ Mall is not.allele for ~y'~a~ of intemaflon~ mall. a NO INSUR~CE COVE~GE IS PRODDED wi~ ~ M~I. For wluebles, ple~e ~nsider In~ or R~i~e~ M~I. a ~o~ an a~dityn~l f~eta ~m Re~iptmay be mque~ ~ pm~de p~f of oe~we~. ~o ommn Helm H~I~ ~, p~e~ ~mple~ ano afla~ a Ream Receipt (PS Fo~ ~11) to ~e a~cle and add ~pli~ble ~stage to ~ver the fe~. ~dqme ~lpi~."Re~m Re~i~ R~u~". To ~e a fee w~v~r for a oup~ic~te tatum r~Jpt, a USP~ ~stmar~ on your ue~ed M~I red,pt requ~reo. a For an addlflon~ ~, del~ may be msEi~ to ~e addre~ee or add~essee's ~orized ~ent. A~ ~e clerk or m~ ~e m~lple~ with the enoorsement "Restdct~ Del~e~ a If.a p~a~ qn t~e Ce~ifi~ Mall ~ipt is desired, ple~e pr~ent the c~e at the post o~i~ mr ~stmarmng. if e postmark on the ~eRified M=il m~ipt Is not ne~, detach and afire label with ~stage ~d mail. IMPORTANT: Save IMs re=eip~ an~ present il.~he~.making an inqui~. lnlernet a¢=ess to delive~ in~ermatlon ~s net avm~able aa mall addresse~ to AP0s an~ FP0s. December 12, 2003 CERTIFIED MAIL AM/PM 1701 Brundage Lane Bakersfield, CA 93304 RE: Propane Exchange Program FIRE CHIEF RON ~E Dear Owner/Operator: ADMINISTRATIVE SERVICES 2101 ".*Street The purpose of this letter is to advise you of current code requirements for Bakersfield, CA 93301 propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not VOICE (661) 326-3941 FAX (661)395-1349 apply to large propane tanks, only propane exchange systems. SUPPRESSION SERVICES Over the past two years this office has noted a dramatic increase in the propane 2101 "H' Street Bakersfield. CA 93301 exchange system in the city of Bakersfield. It has also been noted, with great VOICE (661) 326-3941 FAX(661)395-1349 concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. PREVENTION SERVICES FIRE SAFE-IX SERVICES · ENV~ONMENTAL SERVICES 1715 Chester Ave. Accordingly, procedures for storage of propane cylinders awaiting use, resale or Bakersfield, CA 93301 vOiCE (6~1)326-3979 exchange, have been adopted through BMC (Bakersfield Municipal Code) and FAX (661)326-0576 adoption of the 2001 UFC. The procedures are as follows: PUBLIC EDUCATION 1715 Chester Ave. Storage outside of building for propane cylinders (1,000 pounds Bakersfield, CA 93301 VOICE (661) 326-3696 or less) awaiting use, re-sale, or part of a cylinder exchange point FAX (661) 326-0576 shall be located at least 10 feet from any doorways or openings in FIRE INVESTIGATION a building frequented by the public, or property line that can be 1715 ChesterAve. built upon, and 20 feet from any automotive service station fuel Bakersfield, CA 93301 VOICE (661) 326-3951 dispenser. (Note distance from doorways increases when FAX (661)326-0576 cylinders are over 1,000 pounds cumulatively.) TRAINING DIVISION 5642 VlctorAve. Cylinders in storage shall be located in a manner which Bakersfield, CA 93308 VOICE (661)399-4697 minimizes exposure to excessive temperature rise, physical FAX (661)399-5763 damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete filled. 2) Spaced not more than 4 feet between posts, on center. Lett{ To: Owner/Operators of Propane ExchangeOems ~... . Re: Propane Exchange Program Dated: December 12, 2003 Page 2 of 2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. 4) Set with the top of the posts not less than 3 feet aboveground. 5) Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (66 I) 326-3190. Sincerely, Steve Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer 7002 0860 000~0 1641 7466 I PS Form 3811, August ~001 Domestic Return Receipt '" ~,~ 102595-02-M-0835 Postage $ E::3 Certified Fee Postmark Return Receipt Fee Here ~ (Endorsement Required) i~3 Res~cted Delive~y Fee r'l (Endorsement Required) ILl Total I'~ [ r'"[~i~;;i.. 1701BRUNDAGE LANE t~5~'il .^~s~i~., ~^ 9.04 I Certified Mail Provides: · A mailing receipt · A unique identifier for your mailpiece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail'may ONLY be combined with First-Class Mail or Priority Mail. · Certified Mail is not available for any class of international mail. · NO iNSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · Fo~ an additional fee, a Return Receipt may be requested to provide proof of de(ivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ,e~ · If a postmark on the Certified Mail receipt is desi~'ed, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is net needed, detach and affix label with postage and mail. IMPORTANT: this receipt and present it when making an inquiry. PS Form 3800, April 2002 (Reverse) 102595-02-M-1132 December 1, 2002 AM/PM 1701 Brundage Lane Bakersfield CA 93304 FIRE CHIEF RON FRAZE CERTIFIED MAIL ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 F^x (661)395-1349 FINAL REMINDER NOTICE SUPPRESS,O. SERV,CES JANUARY 1, 2003 DEADLINE 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Tank Owner/Operator: PREVENTION SERVICES .~s~rr,~,~.,.,.~o.,~,,~.~.,~,,, You will be receiving this letter on or about December 1, 2002. One 1715 Chester Ave. Bakersfield, CA 93301 month from today, January 1, 2003, your current underground VOICE (601) 326-3979 FAX (661) 326-0576 storage tank(s) will become illegal to operate. Currant law would require that your permit be revoked for failure to perform the PUBLIC EDUCATION necessary Secondary Containment testing. 1715 Chester Avi~. Bakersfield, CA 93301 VOICE (661) 326-3696 In reviewing your file, I see that you have received "Reminder FAX (661) 326-0576 Notices" since April of this year. This is your last chance to comply FIRE INVESTIGATION with code requirements for Secondary Containment testing prior to 1715 Chester Ave. Bakersfield, CA 93301 January 1, 2003. VOICE (661) 326-3951 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at 661- TRAINING DIVISION 326-3190. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 3994697 Sincerel y, FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc !2/o4../_o..a__..~!u t2: 41 FAX 049 tt?7 ~.E.s.~. ~oo~ ATTN: steve Underwood Date: 121412003 Fax No.: ee~-a26-osT~ Total Pages: 1 Spill Bucket Testing Agency Notification Form Notification Date: 12/4/2003 Notification For: Test DatalTIme: 12/812003 10:00: AM In Itlal Test: X ~ Repairs: FacUlty Name, ARCO# 1960 Re-test: Address: 1701 Brunda~qe Lane City: Bakersfield~ CA ~gency Name: City of Bakersfield Fire Dept. Notification Method: Person Contacted: Steve Underwood Fax X E-mail: Verbal: Testina Comments Spill Bucket Testing Project CoJtact: Clarinda Olson Contact Phone: Project Coordinator ~ Le~ De~ { [o ~c ~e Lo~ Dc~ etor o ~1-10-03 OZ:46pm From-TAIT ENVIROMEN.~ 714-560-8237 T-298 P.03/05 F-675 ~~-~ ~.~.~ ,~,. ~-~ ................. ll-]O-03 OZ:47pm From-TAIT ENVIROME[9~ 7]4-560-8237 T-298 P.05/05 F-675 Mechanical Leak Del ector Test Data Sheet This letter certifies that Se annual leak dele et ~r :e~ts wm'e performed a~ the abow refercnc~ faci~y according to ~he equipm,:n: m~ufac~e~s procedare~ ~d limitations ~d ~e results ~s listed ~e lo m'f lmowle~ge ~e ~fl co~ec~. Thc mee~nical le~ detector test ~ass/f~l is de,e~mined using a low flow ~esholfl ~ip Inspected :By: Contractor: TAIT EN-VIRO],~ ~ENTAL SYSTEMS Tech~cian~ ~ ~C-lf~ Si~am~~ _~ ~ .......... 11-04-03 gS:58pm Fr;m-TAIT EN¥1ROre~s~L 714-560-8237 T-184 P.15/Z~ F-45T ., MO~O~G SYSTEM. C~FICA~ON A. 11-04-03r g5:5gpm From-T~lT E~¥1RO~j~t T14-560-$237 T-184 P.16/2Z F-457 li-04-03 06:00pm Fr~m-TAIT EN¥1P, O~ftT^L T14-560-~Z37 T-I~, P.171ZZ F-457 ~ sec~on m~ 'be c~le~ ~-~ ga~ ~q~men~ ~ used to ~edo~ le~ detec~ mo~, Yes UST ~o~o~ ~Re Plan .................. ~ ~ . .~~ .............. ~ ......... ................... ~~ ~/~ ....... ~ ....... , .... ~:~ ~:. ~,:. ,~~ :_~ ............ ~;~ ~ ~ '.'~ ~; ; .... y ~-~ ~,~ ....................... ::::::::::::::::::::::::::::::::::::::::::: ~s~ons you ~ea~ have a ~ ~et ~ws ~ re~e~ ~o~a~ M~g Sy~ C~c~o~ On y~ ~ pl~ show ~ ~e~ l~yo~ of t~s spaces, ~ps, ~ser p~% s~ con. rs, or o~ sec~ con~; ge~c~s; ~d k~-~ l~d lev~ probes f~ used ~ le~ ~lecfio~), I~ ~ spice pfo~de~ no~ ~ ~ ~ S~e P~ ~ pr~ed. NOV 5,,2003 11:26 AM WARNING : 2.0 l T I :UNL MAIN SOUTH HIGH WATER LIMIT: 3.0 PRODUCT CODE : THERMAL COEFF : .00o?oo ~ OR LABEL VOL: 9684 S~S~ UNITS TANK DI~ETER : 92.00 OV~FILL LIHIT U.8. TA~ PROFI~ : 4 P~ : 8715 ~Y~EM LANG~E FULL VOL : 9634 HIGH PRODUCT : 95~ ENGLISH 69.0 INCH VOL : B079 : 9199 SYST~ DATE/TIME FORMAT 4~,0 INCH VOL : 5061 DELIVERY LIMIT : 10% MON'DD YYYY H~:M~:~ xM 23,0 INCH VOL : 197~ ARCO RM.PM 1960 LOW PRODUCT : 500' 1701BRUNDAGE LANE FLOAT SIZE: 4.0 IN, LEAK ALARM LIMIT: 20 BAKERSFIELD.CA 93304 SUDDEN LOSS LIMIT: 50 WATER WARNING : 2.'0 TANK TILT : 0.50 HIGH WATER LIMIT: 3.0 SHIFT TIME i : DISABLED MANIFOLDED TANKS SHIFT TIME 2 : DISABLED. MAR OR LABEL VOL: 9684 Tn: NONE SHIFT TIHE 3 : DISABLED OVERFILL LIMIT : 90~ SHIl~ TIME 4 : DISABLED : 8715 HIGH PRODUCT : 95~ LEAK MIN PERIODIC: TANK PER TST NEEDED WAN. : 9199 : 2905 DISABLED DELIVERY LIMIT : lO~ TANK ANN TST NEEDED WAN : 968 LEAK MIN ANNUAL : DISABLED : 2905 LOW PRODUCT : 500 : LINE RE-ENABLE HETHOD LE~K ALARM LIMIT: 20. P~S LINE TEST SUDDEN LOSS LIMIT: 50 PERIODIC TF~T TYPE TANK T I LT : 1, O0 STANDARD LINE PER TST NEEDED WAN DISABLED MANIFOLDED TANK8 AN~t.~L TEST FAIL LINE ANN TST NEEDED WAN* T#: 03 ALARM DISABLED DISABLED PERIODIC TEST FAIL PRINT TC VOLUMES LEAK MIN PERIODIC: 30~ ALARM DI.~BLED DISABLED : 2905 GROSS TEST FAIL TEI~ COMPENSATION LEAK MIN ANNUAL : . Ok ALARM DISABLED VALUE (DEG F ); 60.0 ; 0 b-'TICK HEIGHT OFFSET ANN TE~T AVERAGING: OFF DI~FIBLED PER TE~T AVEJ~ROING: OFF DAYLIGHT SAVING TIHE PERIODIC TEST TYPE ENABLED STANDARD TANK TEST NOTIFY; OFF STRUT DATE APR WEEK I SUN ANNUAL TEST FAIL TNK TST SIPHON BREAK:OFF START TIME ALARH DISABLED 2:00 AM "* *' DELIVERY DEI-.~Y : 1MIN END DATE PERIODIC TEST FAIL OCT WEEK 6 SUN ALARM DISABLED END TIME '"' 2:00 AM GROSS TE~T FAIL ~LARM DISABLED *- .ANN TEST AVERAGING: OFF PER TEST AVEP, RGING; OFF SY~iTEMSECURITY CODE : OOOO00 TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK;OFF T 3=UNL St. RUE 2 NORTH PRODUCT CODE : 3 DELIVERY DELAY .: 1MIN THERMAL COEFF :.000700 TANK DIAMETER : 92.00 'TANK PROFILE : 4 PTS FULL VOL : 9684 _. ....... . .... 69,0 INCH VOL : 80?9 ~6,0 INCH VOL : 506[ 23,0 INCH VOL : 197~ COMMUNICATIONS SETUP FLOAT ftlZE: 4. O I N, WATER WARN 1NG : 2,0 ;,,-~ PORT SETTIN08:" T 2;UNL 8LAVE I CENTER HIGH WAFER LIMIT: 3,0 c~ PRODUCT CODE : 2 NONE FOUND THERMAL COEFF :.000700 MAX OR LABEL VOL: 9684.. TANK DIAMETER : 92.00 OVERFILL LIMIT : 90~ ' TANK PROFILE : 4 PI'~ : 8715 FULL VOL : 9684 HIGH PRODUCT : 95~ · 69.0 INCH VOL : 8079 : 9199 RB-232 END OF MESSAGE 46.0 INCH VOL : 5061 DELIVERY LIMIT : DIS~BLED 23.0 INCH VOL : 1973 : 968 MIN PERIODIC; 30~ ~BRI-STATE (SINGLE FLOAT) Low PRODUCT : 500 : 2905 CATEGORY : STP SUMP LEaK ALARM LIMIT: 20 SUDDEN LOSS LIMIT: 50 TANK TILT : 1.fO' LEAK MIN aNNUaL : 30~ : : 2905 h 5:DISP 1.2 TRI-STATE (SINGLE FLOAT) MANIFOLDED TANKS CatEGORY : DISPENSER PAN T#: Ot PERIODIC TEST TYPE , ! STANDARD · LE~K MIN pERIODIC: 30~ L'~:DISP 3 4 : : 2905 aNNUAL TEST FaIL . ALARM DISABLED .TRI-STATE (SINGLE FLOAT). : CATEGORY : DISPENSER PAN LEaK MIN ANNUAL : 30~ · 2905 PERIODIC TEST FAIL ' aLARM DISABLED PERIODIC TEST TYPE gROSS TEST FaIL ! L 7:DISP 5.6 ALARM DISABLED TRI-STATE (SINGLE FLOAT) STANDARD CATEGORY : DISPENSER PaN AN~ TEST aVEPu%gINg: OFF ANNUAL TEST FAIL aLARM DISABLED PER TEST AVERAGING: OFF PERIODIO TEST FAIL TaNK TEST NOTIF%': OFF L 8:DISP ?.@ TRI.-STRTE (SINGLE FLOAT) . aLARM DISABLED TNK TBT SIPHON BREAK:OFF CATEGORY : DISPEI~ER PAN gROss TEST FAIL ALARM DISABLED DELIVERY DELAY : ! L 9:87 SOUTH ANNULAR ANN TEST aVERaGING: OFF TRI-STATE (SINGLE FLOAT) PER TEST'AVERaGING: OFF CATEGORY : aNNULAR SPACE TANK TEST NOTIFY: OFF TNK TST SIPHON BREaK:OFF LIO:8? SOUSH FILL SUMP TRI-STATE (SINGLE FLOAT) DELIVERY DELAY : 1MIN CATEGORY : PIPINg SUMP LEaK TEST METHOD LII:8? SOUTH STP SUMP TRI-STATE (SINGLE FLOAT) TEST ON DATE : ALL TANK CATEGORY : STP SUMP JaN l, 1996 START TIME : DISABLED TEST RaTE :0.20 GAL'HR L12:87 CENTER ANNULAR DURATION : 2 HOURS TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE T ~:PREMIUM TST EARLY STOP:DISABLED PRODUCT CODE : THER~qL COEFF :.O00?O0 LEAK TEST REPORT FORMAT TANK DIAMETER · 92,00 NORMAL L13:87 CENTER FILL SUMP · TRI-STATE (SINGLE FLOAT) TANK PROFILE : 4 PTB CATEGORY : PIPING SUMP FULL VOL : 9684 69,0 INCH VOL : 8079 46,0 INCH VOL : 5061 L14:07 CENTER STP SUMP 23,0 INCH VOL : 1973 TRI-STATE (SINGLE FLOAT) CATEOORY: STP SUMP FLOAT SIZE: 4.0 IN, L15:87 NOEq'H ANNULAR WATER WARNING : 2.0 TRI-BTATE (SINGLE FLOAT) HIGH WATER LIMIT: 3.0 LIQUID SENSOR SETUP CATEGORY : ANNULAR SPACE MAX OR LABEL VOL: 8079 - - - ..O. VER.E..ILLLI~IT ._; ..... 3_0~_ _. : 7271 L t:87 NORTH STP SUMP HIgH PRODUCT : 95~ TRI-STATE (SINGLE FLOAT) Lt6:87 NORTH FILL SUMP : 7675 CATEGORY : STP SOMP ' TRI-STATE (SINGLE FLOAT) C~TEGORY : PIPING SUMP DELIVERY LIMIT : : 968 L 2:9~ ANNUI~R LO~ PRODUCT : 500 TE{-STATE (SINOLE FLOAT) LI?:DISP 9.10' LEP~ ALARM LIMIT: 20 CATEGORY : aNNULAR SPACE TRI-STaTE (SINGLE FLOAT) · CATEGORY : DISPENSER PAN SUDDEN LO~ LIMIT: 50 TANK TILT : 8,00 MANIFOLDED TANKS L 3:92 FILL SUMP T#: NONE TRI-STATE (SINGLE FLOAT) LI8;DISP Il.12 CaTEgORV: OTHER SEN~ORS TRI-STATE (SINGLE FLOAT) CATEOORV: DISPENSER PAN -- ~FTWARE'P-EvIBION LEVEL -- HIBTOR¥'-~-fPO~ ~ I:UNLEADED ~HUTDOMN CREATED - 00. ! 1. !5.13.23 T 2:UNL SLAVE 1 CENTER ~NNU~L IN-T~N~ TE~T8 ~ 20, 200B 4:4~ PM L 5:FUEL ~L~RM M~V 30, 2003 8:53 PM L 6:FUEL RLR~M DEC 6, 2001 10:11 &H L 7:FUEL ~M NOV 16, 2001 ~:21 ~ L 8:F~L ~LR~M L 9:F~L ~L~M - HIgH P~ODUCT LIO:FUEL ~LR~M RWO 20, 2003 4:4~ PN LII:FUEL RLR~M RW~ 20, 2003 4:37 PN LI2:FUEL R~M FEB ~0, 2003 6:32 RM LI3:FU~L RLR~ RL&~ HISTORY ~EPO~T LI4:FU~L ~ INVALID FUEL ~VEL ~Y 30, 2003 8:28 PM LI~:FWEL R~M P~PE~ OUT ~P~ Il, 2003 1:57 P~ LI?:FUEL RL&~M OOT 22, 2003 6:55 ~ DEC 6, 2001 9:24 AM' LIS:FUEL RLR~N P~INTE~ ~T 22, 2003 6:55 RM ~ 2:P~EMI~ SHUTDOWN BATTERY IB OFF DELIV~V NEEDED TYPE: J~N 1. 1996 8:00 ~ OOT 8, 2003 8:30 P~ ~RM~LLV CLOgED OCT 29, 2001 9:13 ~ JUL 30, 2003 5:42 PM LIQUID SEN~OR ALMS L 2:FUEL ALARM L 3:FUEL ALARM L 4:FUEL L 5:FUEL ALARM L 6:FUEL ALARM L ?:FUEL ALARH L B:FUEL ALARM LI?:FUEL RLRRH ~ ~ ~ ~ ~ END ~ ~ ~ ............. LIB:FUEL ALARH AL REPORT R 3:OVERFILL ALARM TYPE: .... IN-T~NK ALAPJ"I STANDARD NORHALL¥ OPEN T I:UNL MAIN BOOTH OVERFILL ALARM IN-TANK ALARMS AUG 20, 2003 4:43 PM ALL:OVERFILL AL~P~I AUG 13, 2003 B:ll ~9 'ALL:HIGH PRODUCT ALRRH JUN 24, 2003 10:31 AH RLL:HRX PRODUCT ALARH LOW PRODUCT ALARM RLR~9 HISTORY REPORT MAY 30, 2003 9:35 ?H APR ll, 2003 6:45 PM .... IN-TANK ALARH ..... RUG 15o 2001 8:37 PM T 3:UNL SLAVE 2 NORTH HIGH PRODUCT AUG 20, 2003 4:44 PH OVERFILL ALAR~ HRR 6o 2003 11:48 RM RU~ 24, 2003 1:28 AH FEB 21, 2003 8:It AM AUG 20, 2003 4:45 PH INVALID FUEL LEVEL RUG 20, 2003 4:29 PH RECONCILIATION SETUP I~V 30, 2003 8:21P~ LOW PRODUCT ALARH APR .t, 2003 5:52 PH HAY 30, 2003 9:14 PH NOV 16, 2001 4:42 RN AUTOHRTIC DRILY CLOSING DELI~IER¥ NEEDED RUG 15, 2001 8:04 PH TIHE: 2:00 RM OCT- 8, 2003 9:21PH ~ RUG 2, 2003 4:32 ~H HIGH PRODUCT ALARM PERIODIC RECONCILIATION JUL 30, 2003 6:25 P~ JUN 19, 2003 9:57 RH JAN 26, 2003 6:22 PH HODE: HONTHLV NOV Il, 2002 7:04 TEHP COHPENBAT[ON INVALID FUEL LEVEL b-'TANDRRD ~-~--~-~-~-~--E~D--~--~-'~-k--~-'~ MAY 30, 2003. NOV 15, 2001 1[:01PH BLE; BLOT FUEL HETER TANK AUG 16, 2001 7:05 TANK HAP F_~PTY SENSOR ,~L~ ..... ~ /-]. V" C. DELIVER'¥oC, T 8, 2003NEEDEDg:00 PM STP BLIMpNORTH STP SUMP GEM_ HISTORY" RE---P-~T .... .L~ 2..2003 4:2§ aM FUEL ~UoO~ ~ ..... SENSOR JUL 30, 2009 6:10 PM i OCT Z, 2002 8:42 aM L 4:92 TURBINE SUMP · STP SUMP '~ FUEL ALG:t~M FUEL aLaRM JUL 27, 2001 11:00 aM OCT 2, 2002 8:96 AM FUEL aLARM FUEL aLaRM JUL 26, 2001 1:1~) PM JUL 27, 2001 11:01 FUEL aLaRM JUL 26, 2001 1:12 PM RL6~RM HI STORY REPORT .... IN-TaNK aLaRM T 4: PREM I UM aLRRM HISTORY REPORT' OVERFILL RLRRM aU~ 20, 200~ 7:08 ~M ..... BENflOR ~L~RM ..... ~UG 18, ~003 8:38 PM L ~;9~ ~NNUL~R ~L~RM HISTORY REPORT JUN 19, ~003 9:45 ~M ~NN~R BPROE FUEL aLaRM ..... SENSOR ~L~RM HIGH PRODUCT R~RM OCT 2, 2002 8:39 RM L 5:DISP 1,2 RUG 20, 2003 ?:89 RM DIBPE~ER PaN a~ tS. 2003 8:40 PM FUEL ~RRM F~L FEB 6, 2003 12:~8 PM JUL 27, 20~1 ti:G2 RM OCT I NVRLID FUEL LEVEL FUEL RLRRM FUEL RLRRM O~ 20, 20D~ 6:~1 PM J~ 26, 2001 10:54 ~ JRN 81, 2002 4:28 JUL 30, 2~2 3:06 PM D~ 27, 20Gl 6:42 PH FUEL JUL 27, 2001 la:4t DEL IVERY NEEDED NOV 3, 200~ 9:02 PM OCT 20, 2~83 t2:58 PM OCT 6, 20~3 5:46 PM ~ PRODUCT RUG 20, 2GO~ ?:lO RM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ BEP 14, 2001 1~:11 ~ ~ ~ ~ ~ ~ END ~ * ~ ~ ~ aLRRM HI STORY REPORT ~ ~ ~ ~ ~ END ~ ~ ~ ~( ~ ..... SENSOR aL~4RM ..... L ~:g2 FILL SUMP aLRRM HISTORY' REPORT OTHER SENSORS FUEL ALUM SENSOR ALAR. NOV 9, 2002 11:12 ~ L 6:DISP 9.4 D 18PENSER PaN (,-) FUEL A~ FUEL NOV 9, 2002 11:08 ~ O~ 2, 2002 8:50 FUEL A~RM FUEL ~RM ~ NOV 9, 2~02 9:03 AM JAN 31, 2002 4:24  . ALARM FUEL ALARM 127, 2001 113:59 AM p a. UL 27. 2001 10:42 Riff !~ HISTORY REPORT 5' / L 9:87 ~O~H ANNU~R AflNU~R SPACE '~FUEL R~RH LO~ 2, 2002 8:46 RH · - - [" FUEL ALARM JUL 25, 2001 lO:37 R~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ FUEL RLRRH ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ JUL 24, 2aOi 3=5a P~ ALARM HISTORY REPORT ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ..... SENSOR ALARM ..... 'SENSOR ALARM L12:87 CENTER ANNULAR L 7:DISP 5.6 ANNULAR SP~.E DISPENSER PAN' FU~L ALARM F~EL RLR~ ~ 2, 2Ofl2 8:43 RH OCT 2, 2O02 6:52 RH ...... FUEL ALARM FUEL aLARM OCT 2, 2002 B:26 RH JUL 27, 2001 ~0:54 RM FUEL ALARM FUEL RL~M JOL 26, 200t 10:4l RM O~ 2?, 200~ 10:4~ ~ ~RRM HIMTORY REPORT ..... MENMOR ALARM ..... L[O:87 MOUTH FILL BUMP PIPING a~l~ F~L ALARM APE 15, 2003 2;00 RM FUEL ALARM FEM 12, 2003 l:~3 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ FUEL ALARM ~ ~ ~ ~ ~ END ~ ~ ~ ~ FEB ~2, 200~ 12:1~ PM ALARM HISTORY REPORT ~( ~ x ~ ~ END ~ ~( ~ ~ ~( ALARM HISTORY REPORT ..... BEN,OR ALARM ..... ..... ~ENSOR R~RM L13:87 CENTER FILL ~UMP L 8:DIBP 7.8 PIPING SUMP DIBPE~ER PAN FUEL ALARM FUEL ALARM OCT OCT 2, 2002 8:5~ AM F~L ALARM FUEL ALARM , OUL 26, 2DOt 1'19 PM ORN 31, 2002 4:~t PM ' FUEL ~LARM FUEL ALARM OUL 24, ~UL 27, 2001 10:53 MM RLRR~ HIMTORY R~PORT LII :87 BOUTH 8~ SUMP STP SUMP FU~L ~L~RM OCT 2, 200~ 8:49 ~ FUEL ALARM JAN ~1, 2002 9:50 ~ ~ ~ ~ * ~ END ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM ALA~-~IBTORY REPORT'---- 2. 2002 8:41 AM ..... B£NSOR AI..qFlq LI~{:B? CE~ER BTP B~P BTP ~UHP O~ 2, 2002 8:45 ~ FUEL ALARM JUL 27, 2001 1~:59 RM ~ ~ ~ ~ M END ~ ~ ~ ~ ~ F~L ALARM JUL 26. 2001 1:15 ~ ALARM HIBTOR¥ REPORT ..... 8ENBOR ALARM ..... ALARM HIBTORY REPORT L19: ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ OTHER SENBOR8 ..... BENSOR ALARM ..... SETUP DATA WARNING LI?:DIBP 9.10 JUL 24, 200t ll:B1 AM DIBPENBER PAN FUEL ALARM OCT 2, 2002 8:54 ~ FUEL ALARM JUL 27. 2001 10:55 P~I FUEL ALARM ALARM HIBTORY REPORT JUL 27. 2001 10:44 ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ..... ~ENSOR AL,qRM ..... '-~1'5:B? NORTH ANNULAR ANNULAR BPACE FUEL ALARM OCT 2, 2002 8:40 AM FUEL Ri. RRM OCT 2, 2002 B:B9 RM FUEL ALARM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ OCT 2, 2002 B:37 AM ARCO AM.PM 1960 1701BRUNDAGE LANE BAKERSFIELD.CA NOV 5, 200B Il:SO AM w ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT BYBTEM BTATUB REPORT ALL FUNCTION9 NORMAL ...... SENSOR ALARM ..... ' L1B:DIBP 11.12 DIBPENBER PAN FUEL ALARM OCT 2 FUEL JUL 27, 2001 10:66 FUEL ~L~ ALA~{ HIBTORY REPORT JUL 27, 2001 10:45 RM ~.,.~ ..... SENSOR ALARM LIS:B? ~RTH FILL BUMP PlPI~ ~ ~.~ FUEL ~L~RH NOV 9, 20~2 8:55 B~ F~EL NOU B, 2002 7:15 P~ ~~~ Tait Environmental Systems UST Construction · Design · Maintenance · Compliance Test Method Developed By: [] Spill Bucket Manufacturer ~[[~l'lndustry Standard '[] Professional Engineer [] Other (Specify) Test Method Uses: [] Pressure [] Vacuum ,~ydrostatic [] Other (Specify) Measuring Equipment Used for Testing: /I/~/g../~ //~i~'~-~t / Bucket Diameter: 't t '! [ t' ( I ~' '----'"~[" Bucket D~: (O ~ {0 ~ (0 '~ 10 q Wait time he.em appl~g ' press~vacuu~water ~d ' ~ ~ ~ ~ ~5 ~ ~ ~ ~ 5 ~ ~ ~ sta~g test:' Test S~T~e: L~ [~ ~ ( ~0~ l~fial Reading ~): ~. ~ 3- ~ ~. ~ ~' ~ Test End T~: Z~ ~ :oop~ ~ ;oof~ F~al Read~g (Rr): ~.~ ~. ~ ~-o 3 -~ Test ~afion: ~t~ ~ ~x~ ~~ ~ ~ Passffail ~eshold: ~ 5~ ~~ ~~ Comments - (include information on repairs made to facilitate a passing test and indicate whether a permit was obtained for the repairs) CA Lic #588098 · AZ Lic #095984 · NV Lic #0049666 1863 North Neville Street - Orange, California 92865 · 714.560.8222 · 714.685.0006 Fa~ 3283 Luyung Drive · Rancho Cordova, California 95742 · 916.858.1090 · 916.858;1011 Fax www.tait.com ., 1~-04-03 05:S3pm From-TAIT EN¥1R0~NTAL ?14-$60-a23T T-}84 P.01/22 Mechanical Leak Detector Test Data Sheet Station #: 1960 Date: ! 1/$/2003 Time: / .; ~::~:~t ._ Address: 1701 BRUNDAG~ LANE , BAICERSFIELD Test Information Ma~ufa~urer ~C Commen~: This letter c~rtifles that the annual leak detector tests were performed at the above referenced faciliq~ according to th~ equipmem manufacturers procedures and limitations and the results as listed are to my knowledge true and correc:. Thc mechan/cal leak detector test pass/fail is determined using a low flow threshold trip rate of 3 ~ph at 10 PSI, Inspected By: Conuactor: TAIT ENVIRONMI~NTAL SYSTEMS Technician ,"~'.'.'.'.'.'.'.'.~l~..~i ~4o~r~x_ Lic~. _ 11-03-03 04:04pm Frem-TklT EH TAL ?14-860-825T T-145 P.01/01 F-395 :P ~6 ~00p 10:5~ I~KSFLII F~RE PREVE~tTIOH (GB1)BS~-217~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FU~L ~O~TO~G ................. ~ .,..-,,,, T~ ~ YO~ co~ ........ ro'~ ........ JUN-- 16--05 MON 1 16 ~ROM B. $. $ . R' C. ',' .i · SECONDARY SYSTEM CERTIFiC.ATION FeRry! Ta~ 1 Ta~ 2 Tank 3 Tank E~ T~ . ~ ~ ~7 .... of_ JUN--I 6--05 MON ? FROM B. $. $. R. C:. P. 05 D~~ Dm~ER D~ENS~ D~~ ,-TUN--I 6--85 MON I i ? FROM B. $. $. R. C:. P. 84- 8Sg~ TES"IEf,' T~ST ~SULT '~SED TEST $'r~RTt~D END TIME END LEVEL ~ST RESULT January 22, 2003 AM/PM aRE C.~EF 1701 Brundage Lane RON FRAZE Bakersfield CA 93304 ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 ]:~E.' Upgrade Certificate & Fill Tags VOICE (661) 320-3941 FAX (661) 395-1349 Dear Owner/Operator: SUPPRESSION SERVICES 2101 "H" Street BakerSfield, CA 93301 Effective January 1, 2003 Assembly Bill 2481 went into effect. This VOICE (661) 326-3941 Bill deletes the requirement for an upgrade certificate of compliance FAX (661) 395-1349 (the blue sticker in your window) and the blue fill tag on your fill. PREVENTION SERVICES FIRE SAFETY SER1/ICES · ENV1RO~MF. NI'AL SEIWICE$ 1715 Chester Ave. You may, if you wish, have them posted or remove them. Fuel Elakersfleld, CA 93301 vendors have been notified of this change and will not deny fuel VOICE (661) 326-3979 FAX (661) 326-0576 delivery for missing tags or certificates. PUBLIC EDUCATION 1715 ChesterAvb. Should you have any questions, please feel free to call me at 661- Sakersflolcl, CA 9,.3301 326-3190. VOICE ISSl) 326-3ese FAX (661) 326-0576 FIRE INVESTIGATION Sincere~ 1715 Chester Ave. , VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION Steve Underwood 5642 VIctor Ave. Bakersfield, CA 93308 Fire Inspector/Environmental Code Enforcement Officer VOICE (661) 399-4697 FAX (661) 399-5763 Office of Environmental Services SBU/dc CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~Floor, Bakersfield, CA 93301 FACILITY NAME flttlndac. J-Jq ~l,t,k(~Hk INSPECTION DATE [-i75--O3 ADDRESS ~"/~ !' ./]_~ ~)~_,{.a,a._ /6/ ' PHONE NO. ~:Z:~- "7.~1 3 FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine I~ Combined [~ Joint Agency [~ Multi-Agency ~.~ Complaint {~ Re-inspection OPERATION C V COMMENTS Appr. opriate permit.on hand / Business plan contact information accurate L, Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material / Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedUres adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~Yes '~No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 -BuSiness ~'~,l~,esponsi~le Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: .~/; //'f/l~_.4~ ARCO AM,15M 1960 ! ~: ·BRUNDaGE LANE B~,_,,~SF I ELD. CA 9J304 JAN 15, 200J 10:lB AM SYSTEM STATUS REPORT PAPER ()UT PRINTER ERROR INVENTORY REPORT T I:UNL MAIN SOUTH VOLUME = 4421 GALS ULLAGE = 5263 GALS 90~LLAGE= 4~9~ GALS ~I G'HT H~ '~ = 41.53 INCHES t,d~h~ VOL = 19 GRL~ W~TER = 0.84 I NCHE~ TEMP = 58.1 DEG F T 2:UNL SLAVE 1 CENTER VOLUME = 4584 GALS ~ -UISLTAGE--'~-=~ 5100 90?4 ULLAGE= 4131 GALS HEIGHT = 42.67 INCHES WATER VOL = 16 GALS WATER = 0.76 INCHES i TEMP = 56.5 DEG F T \~-gqL SL~\/E '2 NORTH VOl: .IE = 4691 GALS ULLAGE = 499:3 L4~LS 9074 ULI,AGE= 4024 GALS HEIGHT = 4:3.42 INCHE~ MATER VOL -- 18 GALS WATER = 0.84 INC. HES TEMP = 57.7 EEt~ F T 4:PREMIUM VOLUME = 5631 ~ALS ULLAGE = 2448 GALS 90~.~ ULLAC;E= 1640 GALS HEIGHT = 50.11 INCHES WATER VOL = 0 GALS ........ WATER = 0.00 INCHES TEMP = 59.4 DEG F I?NJ FOLDED TANKS , ENTORy TOTALS lx"~:UNL MAIN SOUTH T B:UNL SLAVE '2 NORTH VOLUME = 9112 GALS CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST ~ 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME _~t¢. [t'l)t/~ INSPECTION DATE ? Section 2: Underground Storage Tanks Program [~l Routine ~l Combined [21 Joint Agency [21 Multi-Agency I~] Complaint I21 Re-inspection Type of Tank Ot.0~' Number of Tanks ~ Type of Monitoring d_ t.,~l,'l Type of Piping ~0J ~' OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current / Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? Inspector:C=C°mpliance'/~'=Vi°lati°n..,~' ~ · ~~]_/_/~,_,}t~" Y=Yes N=NO --- ~' ~~. ,,J , l~ ' Office of Environmental Services (805) 326-3979 Business Site R~esponsible Party White - Env. Svcs. Pink - Business Copy 10: FAX ~ ~ ' ~oo~ BESI/ ' ENVIRONMENTAL S~:RVICE~, INC. PMB 269 23422 Tra~u¢o P~ad #105 Transmi al F~ ~91 ~117~ Date: December 4, 2002 TO: Steve Underwood FROM: Clarinda Olson RE: Fac.# 01960 ProjectS: 01-ARE-01 Fax #: (661) 326-0576 Pages: 4 (including cover sheet) ~ASReque~ted [] ForRe~/* [] For Your A¢flon [] ForYourUse E~ForY~u~FJI~s Quantl~ ~cri~on ..... L 3 SB 989 Test Results dat~ 1~tl0~i~ cover sh~t Remarks: Mr. Unde~o~, Please call ~ you have any quesUons or Thank you, Cladnda O~on 12/04/02.~, WED 10:32 FAX 949 450 1177 __ B.E,$,I. ~002 .flCO ,,co E~,iro~mentai "th & Safety 4 Certterpointe, La Palm;~, California 90623-1066 Mailing Adch'ess; Box 6038 . Arteei6, California 90702-6038 February 22, 2002 VIA Certified Mail City o f Balter~fi eld Firq. Department 715 Chezter.4venue, 3'~ Floor Bakersfield, CA, 93301 ATTEN'HON: Steve Underwood R~'._. SECOND, AllY TESTING P~,S!JLT$ .-. SB989 COMPLIANCE ARCO Facility No.: 01960 Facility Address: 1701 BRUNDAGE LANE. BAKERSI~IELD, CA 93304 Per California Water Resouroes Control Board requirements, attached are results fl'orrl secondary containment testing performed at the subjec~ facility. Please note all secondary components ha~ passed testing requirements. 01/31/02 2 ARCO is corm-~tted to the compliance of all environmental laws that govern tl~ safe ol~atiom of ffz facilities. Should you have any questions or concerns regarding t~sting activities at this facility, please do not hesitate to call mc at (714) 670-5411. Sincerely, Rob Roge~ APC.71 00-96) Underground Storage Tgnk S~tem Tnllks, ~ping, & ~pU! Buckets *~-*'~' Seeondat"y Coatainmen! Certi~ication l~orm Page ~ of . P~du~ -- .~0~D ~~D ~ 91 D ~.89 9] D P~duct ~ 91 D ~$991 D ~g9 9~ O ~ ........... ,r Seco~I' ~,~ .... ' ~ ' O Product ~ 89~D ~8991 D "87 8991 D g7 89 9{ D Water L~d ~ .0 ~ X ~ ~ '~ Rev. I If01 ~te- Oriel Ycll~- ~co ~v~ C~p~ p~-~r Under,round Storage Tank System Turbine Sumps, ~tll Sumps and Under Dispenser Containment Seeomlary Containment C. ertfflcatio~ Form Page Facility Address: f'Tf)/ /~"~'"'~ E /~. Contrattor Address: _~-~{~ Y ~'. --- · · ' - ...... S~rtTime O~ '~7~ ~: ~O ~(~- ~ " ~d Tme(t~ Water ~d ~_~ ~ ~ ~ Wa~r ~1 ID (1~, ~, ~g.) . Ti~ (t~) ~:tq ~ ~]~ ~l 5{ Time(la) _Water L~ , OoO ~ 0 ~, ,~ ~ ~0~ ~W~er~t Water Le~i .~0 ~ J O~ ~ ~'000 Water ~v~ · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. [] Agent · Print your name'and address on the reverse [] Addressee SO that we can return the card to you. B. Received by ( C. Date of Delivery · Attach this card to the back of the mailpiece,. or on the front if space permits. D. Is delivery address different from item 17 [] Yes 1. Article Addressed to: [] No ,~ If YES, enter delivery address below: 1701 BRUIqDAGE ~ BAKERSFIELD CA 93304 3. Service Type [~] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 7002 0860 0000 1641 6568 PS Form 3811, August 2001 Domestic Return Receipt 102595~02-M-08351 Postage & Fees Paid USPS ; Permit No. G-10 · Sender: Please print your name, ~ddres. s,, and ZIP+4 in this box ° BAKERSFIELD FIRE DEPART~F_.~T OFF~CE OF ENV!RONMENTAL SERViCeS 1715 Cheerer Av~.~uc, S~ 300 8akersfi6-~d, CA ;;?'. ~-.~ r"t Postage $ r~ r-~ Certified Fee r-1Postmark (Endorsement Required) I~_ Return Receipt Fee Here Restricted Delivery Fee (Endorsement Required) Total Postage & Fees cn~ st~te, z~p. 4 BA_KE~SFT[1.,D CA 93304 Certified Mail Provides: · A mailing receipt · A unique identifier for your mailpiece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. · Certified Mail is not available for any class of international mail · NO INSURANCE COVERAGE iS PROVIDED with Certified Mail. For valuables, please consider insured or Registered Mail. · For an additional fee, a Return Receipt may be requested'to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Rece pt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee wa vet for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the ma Ipiece with the endorsement "Restricted Delivery". · If a postmark On the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is n~.eded, detach and affix~.el with~ostage and mail. IMPORTANCe this receipt and present it when making an inquiry. PS Form 3800, April 2092 (Reverse) 102595-02.M-1132 1701 Bmndage Lane Bakersfield CA 93304 CERTIFIED MAlL REMINDER NOTICE FIRE CHIEF RE: Necessary secondary containment testing requirements by December 31, RGN FR~E 2002 of underground storage tank (s) located at the above stated address. ADMINISTRATIVE SERVICES 2101 "H' Street Dear Tank Owner / Operator, Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment SUPPRESSION SERVICES 2101 "H' Street components for your underground storage tank (s). Bakersfield, CA 93301 VOICE (661) 326-3941 FaX (661) 395-1349 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary PREVENTION SERVICES containment components upon installation and periodically thereafter, to FIRE sAFETY SER~lCE$ · EI~IRONIIENT~L SERVICES 1715 C,oster Ave. insure that the systems are capable of containing releases from the primary Bakersfield, CA 93.301 containment until they are detected and removed. VOICE (661) 320-3979 FAX (661) 326-0576 Of great concern is the current failure rate of these systems that have been PUaUC EOUCATION tested to date. Currently the average failure rate is 84%. These have been 1715 Chester Av~. Bakersfield, CA 93301 due to the penetration boots leaking in the turbine sump area. VOICE (661) 326-3696 FAX (661) 326-0576 For the last six months, this office has continued to send you monthly FIRE INVESTIGATION reminders of this necessary testing. This is a very specialized test and very 1715 CheslerAve. few contractors are licensed to perform this test. Contractors conducting this Bakersfield, CA 93301 VOICE (661) 326-3951 test are scheduling approximately 6-7 weeks out. FAX (661) 326-0576 The purpose of this letter is to advise you that under code, failure to perform TRAINING DIVISION 56~2 mctorAve, this test~ by the necessa~ deadline~ December 31, 2002, will result in the Bakersfield, CA 93308 revocation of your permit to operate. VOICE (661) 399-4697 FAX (661) 399-5763 This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sincere , Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services X, ]/" MONITORING SYSTEM CERTIF TION For Use By ~Ill Jurisdictions Within the State of California /I uthority Cite& Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testin~~ and servicing of monitoring equipm,ent. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: ARCO PRODUCTS COMPANY Service Station No.: 1960 Site Address: 1701 BRUNDAGE LANE City: BAKERSFIELD Zip: 93304 Facility Contact Person: ~,~j'_~ .' .~/_,/~_Ef Contact Phone No.: ~)-- ~2 '~.~ Make'Model of Monitoring System: ~/Z-.5-. ~,~ Date of Testing/Service: B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID: l~t,~- Tank ID: ~5. Win-Tank Gauging Probe: Model: _~/~Zffqt9 -/oq ~'ln-Tank Gauging Probe: Model: fi°q~f'6g) ?~Annular Space or Vault Sensor: Model: 7~g/~Ttg~d67 ~Annular Space or Vault Sensor Model: ~Piping Sump/Trench Sensor (s): Model: ~/3>0 -~Zlg' ~fPiping Sump/Trench Sensor (s): Model: '7~/-/~tl -~O ~-~ 7]Fill Sump Sensor (s): Model: ;~t?4i~tSr-~ocz ~Fill Sump Sensor (s): Model: ~t:~/v/_~l?tg-.Y 21Mechanical Line Leak Detector. Model: -1//__- Z-/),2OOt9 ZlMechanical Line Leak Detector. Model: .~/L- (-. "lElectronic Line Leak Detector Model: -IEiectronic Line Leak Detector Model: ~)~oank OverfillS: Model: -~.~¢'t;7~'/~9/r ~2l'Tank Overfill/~igh-!e:,e! ~e-?,r: Model: .~qOtgq/-00[ ther, Specify equip, type and model in Section E on Page 2 'l-lOther, Specify equip, type and model in Section E on Page 2 Tank ID: ~: Tank ID: tg/'/r l~n-Tank Gauging Probe: Model: ~~'~/t(t~j7 ~n-Tank Ganging Probe: Model: /¢~9/r~ ~Annular Space or Vault Sensor: Model: ~_~;~/~27-9/g9~7 ZAnnular Space or Vault Sensor Model: 2]'Piping Sump/Trench Sensor (s): Model: 7,,~;5~(/~'~0~0t7~ 2~Piping Sump/Trench Sensor (s): Model: ~e?'/Cr.b~Av~7-,~O ZIFill Sump Sensor (s): Model: -.~;7/./~'~,~ O ~> ~Fill Sump Sensor (s): Model: ~4~.~O ~]'Mechanicai Line Leak Detector. Model: 'l/~ ;g-zg.~ aa 6 ~Mechanical Line Leak Detector. Model: [/r/_ [-]Electronic Line Leak Detector Model: -IElectronic Line Leak Detector Model: ~t~ank Overfill/~4~ Model: ;~ff'gY-~'l~ddT/ ~'Tank Oveffill~r: Model: 7qdt~q/-o~ [ [3Other, Specify equip, type and model in Section E on Page 2 ~[3Other, Specify equip, type and model in Section E on Page 2 Dispenser ID: / ,.~ Dispenser ID: 7~ J~Dispenser Containment Sensors: Model: :~'W///3~3¢6~O1 ~{Dispenser Containment Sensor(s): Model:~'~ l~43hear Valve(s). ' ~ Shear Valve(s): l-]Dispenser Containment Float(s) and Chain(s) I-IDispenser Containment Float(s) and Chain(s) Dispenser ID: ? ~ ~ Dispenser ID: ~3z {~ispenser Containment Sensors: Model: ~fi~g~'~O~; I~Dispenser Containment Sensor(s): Model~,Z'~q~,Fg/ {El'Shear Valve(s). I~ Shear Valve(s). l'-IDispenser Containment Float(s) and Chain(s) [3Dispenser Containment Float(s) and Chain(s) Dispenser ID: .~"~ ~, Dispenser ID: //- J~{~Dispenser Containment Sensors: Model: ff~4/55C-~-~ tvJ 'J~Dispenser Containment S6nsor(s): Model: 'y~j74/_v~0 ~ Shear Valve(s). J~Shear Valve(s). I-'lDispenser Containment Float(s) and Chain(s) i [3Dispenser Containment Float(s) and Chain(s) *If the facility contains more tanks or dispensers, copy this form. lnclude information for every tank and dispenser at this facility. C. Certification - i certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring eq~pment. For any equij)ment capable of generating such reports, 1 have also attached a copy of the report; (check all that apply): [] System set-up lid Alarm history report Technician Name (Print): r'~,~q._O~A~ ~:z). ~q.4,/-~_ Signature: Certification No.~ ~ ~ t '7 c~ License No.: ~""-- 588 0US ~ Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222 Page I of 3 03/01 Monitoring System Certification Site Address: SS # 1960, 1701 BRUNDAGE LANE, BAKERSFIELD Date of Testing/Servicing: D. Results of Testing/Servicing Software Version Installed: /~'~/] ~(~ Complete the following checklist: r~.Y~s [] No* the audible alarm operational? Yes [] No* Is the visual alarm operational? Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational? 1 Yes [] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ,~N/A operational? ~]~Yes [] No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) [] Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [] Yes; [] No. Yes [] No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no q. ff~,~O~ [] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? ????% [] Yes* ~No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes* ~ No Was liquid found' inside any secondary containment systems designed as dry systems? (Check all that apply) [] Product; [] Water. If yes, describe causes in Section E, below. ' ~f'Yes [] No* Was monitoring system set-up reviewed to ensure proper settings? ~[~1~ Yes [] No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03/01 . Site Address: SS #1960, 1701 BRUNDAGE LANE, BAKERSFIELD Date of Testing/Servicing: F. In-Tank Gauging / SIR Equipment: /~Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Comt;lete the following checklist: ,,[~'Yes [] No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? /~ Yes [] No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes [] No* Was accuracy of system product level readings tested? ,l~ 'Yes [] No* Was accuracy of system water level readings tested? I~ Yes [] No* Were all probes reinstalled properly? ~"Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): [] Check this box if LLDs are not installed. Complete the following checklist: ~]Yes [] No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? El N/A (Check all that apply) Simulated leak rate: 1-13g.p.h?; [-10.1 g.p.h.2; [] 0.2 g.p.h.2 Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. ,~ Yes [] No* Were all LLDs confirmed operational and accurate within regulatory requirements? rl~'Yes [] No* Was the testing apparatus properly calibrated? [] No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? J~ Yes [] N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? fl~N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled fl~N/A or disconnected? [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion &the monitoring system malfunctions ~N/A or fails a test? [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected? ~ N/A ~" Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the. Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 o3/ol Site Address: SS #1960, 1701 BRUNDAGE LANE, BAKERSFIELD Date of Testing/Servicing: Monitoring System Certification UST Monitoring Site Plan ... ..... [ .~,/~a~.al . . . > ' : ' r~': ', ....... ~ "'U~kx' ?~ .... ~"; ........ ~ '~ ' "~ ~" '~"~4 '~' ~*~ ..... ~'" .... .......... ~.. ............... ~. · · wX .... ............ ....,.'~ 5-~m~W ........... . ............' Date map 'was drawn: Instructions If you already have a diagram that shows ali required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annUlar spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; arid in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page /, of / OS/OO ARCO Products Company Mechanical Leak Detector Test Data Sheet Station# 1960 Date ./O/ff~2/ D.7. 20 Address 1701 BRUNDAGE LANE,BAKERSFIELD Test Information Product Manufacturer Full Operating Pressure (psi) Line Bleed Back (mi) Trip Time (sec) Metering Press~e (psi) F~ Holding Pressure (psi) Test Le~ Rate (ml/min) (gph) PASS or FAIL Comments~ff~~~ff This letter certifies that the annual leak detector tests were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By: Contractor__TAIT ENVIRONMENTAL SYSTEMS Technician ~O~ ~Ccc.< Lic# Signatm:~_ Revision 5/01 ARCO w.s, Coa., [ L3 Palma. California 90623-1066 Ma~ling Address: Box 6038 A~esia. California 90702-6038 July 10, 2002 Inspector Steve Unde~ood Bakersfield Fire Department 1715 Chester Aw. 3r~ Floor Bakersfield, CA 93301 Fax Subject New Environmental Specialist Dear Insp. Underwood: Per our phone conversation today, this letter is to advise you that I will be handling any Environmental issues relating to the ARCO stations in Kern County. I have attached a list of stations that fall under my responsibility. If you need further information do not hesitate to call on me. Please feel free to contact me with any questions or concerns. Sincerely, Michael D. Wilson Office (714) 670-5321 Cell (714) 815-2455 -t UNDERGROUND STORAGE TANK SB 989 COMPLIANCE REPORT 34th STREET CAR WASH 301 920 34TH ST. DWFS DWF 2 YES / 1998 i.... 3~TH STREET ARCO 481 1102 34TH ST. SWL (C P) SW 3 NONE 7 11 807 1701 PACHECO RD DWFCS DWF 3 YES / 1997 7 11 808 4647 WILSON RD DWFCS DWF 2 YES / 2001 7 11 1885 9600 BRIMHALL RD. DWFCS DW FLEX 3 YES / 1998 7 1 ~ 817 3601 STOCKDALE HWY. SWL (C P) DW FLEX 3 YES / 2001 7 11 1884 4101 CALLOWAY DWFCS DW FLEX 3 YES / 1998 7 11 806 525 W. COLUMBUS DWFCS DW FLEX 3 YES / 2001 AT&T 1274 1520 20TH ~1H~i DWFCS SWS (C P} 1 N/A A-1 FOOD STORES 2203 1200 'H' STREET DWFCS DW FLEX YES / 2001 AIRPORT BUS OF BKSFLD 145 1800 GOLDEN STATE HWY DWFCS DWF 1 YES / 1990 AM / PM 1220 ~_%~3 UNION AVE. DWF DWF 4 YES / 1998 7/10/2002 · ' -',; AM / PM 1880 2301 'F' ST. DWF DWF 3 YES / 1998 6/5/2002 6/12 AM / PM 564 4010 WlBLE RD. DWF DWF 4 YES / 1993 6/18/2002 6/26 AM/PM R~-q 6450 WHITE LN DWF DWF 3 YES / 1999 ~- I~- ~!O;j ~. 2/4~ AM / PM 1415 4800 FAIRFAX RD. DWF DWF 3 YES / 1995 YES 6/25 AM / PM 1416 900 MONTEREY DWF DWF 3 YES / 2001 AM / PM 563 4203 MING AVE DWF DWF 4 YES ! 1999 5/10 AM / PM 566 1129 UNION AVE. DWF DWF 4 YES / 1997 6/13/2002 6/24 AM / PM 1899 2800 PANAMA LN. DWF DWF 4 YES / 1999 5/28/2002 6/27 AM / PM 417 1701 BRUNDAGE IN. DWF DWF 4 YES / 2001 AM / PM 1898 3125 CALIFORNIA AVE. DWF DWF 3 YES / 1998 NO 2/21 AM / PM 265 2698 MT. VERNON AVE. SWFSC SWL 2 YES / 1990 NO 3/29 AM / PM 1903 7851 ROSEDALE HWY. DWFCS DWF 3 YES / 1998 AM / PM (VALLEY PLAZA ARCOI 1007 3~0 MING AVE. DWF DWF 4 YES / 1997 ? B.A.R.C. INDU$¥RIES 1402 2240 SO. UNION AVE. DWFCS DWF I YES / 1996 5/16/2002 5/28 BAKER STATION MOBIL 917 631 BAKER ST. SWF SW (C P) 3 YES 5/16/2002 BAKERSFIELD AUTO SPA 1843 5201 STOCKDALE HWY DWF DWF 3 YES/1996 BAKERSFIELD CiTY SCHOOLS 2~8 1501 FF! 17 ST. DWF DW FLEX 2 YES/2002 BAKF-RSFIELD HEART HOSPITAL 7987 3001 Sit I ;CT AVE DWFCS DW FLEX 2 N/A BAKERSFIELD MEMORIAL HOSP 1121 420 34TH ST. DWF DWF 2 N/A BAKERSFIELD POLICE DEPT 1050 1601 TRUXTUN AVE. DWF DWF I YES/2000 BAKERSFIELD P.O.P. 131 715 SUMNER ST. DWF DWF I ~/A BAKERSFIELD REGIONAL REHAB 1021 5001 COMMERCE CENTER DWF DWF I N/A BARB.ER HONDA 606 4500 WIRER RD. DWFCS DW FLEX I YES / 1998 BEACON LIQUORS 281 6495 S. UNION AVE. SW {C P) DWF 3 YES'/1998 BILL WRIGHT TOYOTA 1085 5100 GASOLINE ALLEY ~)~ ~; ¢- 5 ~)~ P I ~ f-~, ~ t~ BP 572 2 OAK ST. DWF OW FLEX 4 YES BROOKSIDE MARKET 1756 4700 COFFEE RD, DWFCS OWF 4 YES / 1996 5/29/2002 6/14 BROOKSIDE MARKET AT THE OAKS 2197 8803 CAMINO MEDIA 9WBSF OWE 3 YES / 2000 5/30/2002 6/5/ CAL MAT 579 529 DOLORES DWFCS FLEX {3 NONE INSPECTOR S. UNDERWOOD '~ . 7/2..4/2002 ' ."~OF'$. ~'~-. S:IUNDERGROUND STORAGE TANK REPORTS~UNDERGROUND STORAGE · September 30, 2002 AM/PM 1701 Brundage Lane Bakersfield CA 93304 REMINDER NOTICE FIRE CHIEF RON FRAZE RE: Necessary secondary containment testing requirements by December 3 l, 2002 of ADMINISTRATIVE SERVICES 2101 'H' Street underground storage tank (s) located at the above stated address. Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Tank Owner / Operator, SUPPRESSION SERVICES If you are receiving this letter, you have not yet completed the necessary secondary 2101 "H' Street containment testing required for all secondary containment components for your underground Bakersfield, CA 93301 VOICE (661)326-3941 storage tank (s). FAX (661) 395-1349 Senate Bill 989 became effective January l, 2002, section 25284.1 (California Health & Safety PREVENTION SERVICES m~ s~ms~,~c~s.~,~o.,~.s~,~c~ Code) of the new law mandates testing of secondary containment components upon installation 1715 Chester Ave. Bakersfield, CA 93301 and periodically thereafter, to insure that the systems are capable of containing releases from VOICE (661) 326-3979 the primary containment until they are detected and removed. FAX (661) 326-0576 PUBLIC EDUCATION Of great concern is the current failure rate of these systems that have been tested to date. 1715 ChestorAvb. [' Currently the average failure rate is 84%. These have been due to the penetration boots leaking Bakersfield, CA 93301 VOICE (661) 326-3696 in the turbine sump area. FAX (661) 326-0576 For the last five months, this office has continued to send you monthly reminders of this FlUE INVESTIGATION necessary testing. This is a very specialized test and very few contractors are licensed to 1715 Chester Ave. Bakersfield. CA 93301 perfol'r/l this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. VOICE (661) 326-3951 FAX (661) 326-0576 The purpose of this letter is to advise you that under code, failure to perform this test, by the TRAINING DIVISION necessary deadline, December 3 I, 2002, will result in the revocation of your permit to operate. 5642 Vlctor Ave. Bakersfield, CA 93308 VOICE (661)399-4697 This office do~s not want to be forced to take such action, which is why wc continue to send FAX (661) 399-5763 monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services August 30, 2002 AM / PM 1701 Brundage Lane Bakersfield, CA 93304 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator, ADMINISTRATIVE SERVICES 2101 ~H" Street Bakersfield, CA 93301 If you are receiving this letter, you have not yet completed the necessary secondary VOICE (661) 326-3941 containment testing required for all secondary containment components for your FAX (661)395-1349 underground storage tank (s). SUPPRESSION SERVICES 2101 'H" Street Bakersfield. CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health VOICE (661) 326-3941 ~ Safety Code) of the new law mandates testing of secondary containment FAX (661) 395-1349 components upon installation and periodically thereafter, to insure that the systems are PREVENTION SERVICES capable of containing releases from the primary containment until they are detected 1715 Chester Ave. Bakersfield, CA 93301 and removed. VOICE (661) 326-3951 FAX (661)326-0576 Of great concern is the current failure rate of these systems that have been tested to ENVIRONMENTAL SERVICES date. Currently the average failure rate is 84%. These have been due to the 1715 Chester Ave. Bakersfield. CA 93301 penetration boots leaking in the turbine sump area. VOICE (661)326-3979 FAX (661)326-0576 For the last four months, this office has continued to send you monthly reminders of TRAINING DIVISION this necessary testing. This is a very specialized test and very few contractors are 5642 Victor Ave. Bakersfield, CA 93308 licensed to perform this test. Contractors conducting this test are scheduling VOICE (661)399-4697 FAX (661) 399-5763 approximately 6-7 weeks out. Thc purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sinc~ ~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services ARCO '~' BP West Coast Products LLC "~' 4 Centerpointe Drive La Palma, California 90623-1066 A~esia, California 90702-6038 ~ t~~ July 10, 2002 Inspector Steve Unde~ood Bakersfield Fire Depa~ment 1715 Chester Ave. 3~d Floor Bakersfield, CA 93301 Fax Subject New Environmental Specialist Dear lnsp. Underwood: Per our phone conversation today, this letter is to advise you that I will be handling any Environmental issues relating to the ARCO stations in Kern County. I have attached a list of stations that fall under my responsibility. If you need further information do not hesitate to call on me. Please feel free to contact me with any questions or concerns. Sincerely, Michael D. Wilson Office (714) 670-5321 Cell (714) 815-2455 July 30, 2002 AM/PM 1701 Brundage Lane Bakersfield CA 93304 REMINDER NOTICE F~RE C,~EF RE: Necessary Secondary Containment Testing Requirements by December RON FRAZE 3 l, 2002 of Underground Storage Tank (s) Located at ADMINISTRATIVE SERVICES the Above Stated Address. 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Tank Owner / Operator: FAX (661) 395-1349 SUPPRESSION SERVICES If you are receiving this letter, you have not yet completed the necessary 21Ol 'H' Street secondary containment testing required for all secondary containment Bakersfield, CA 93301 components for your underground storage tank (s). VOICE (661) 326-3941 FAX (661) 395-1349 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California PREVENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary FIRE SN:ETY SER1/tCES . EH~OH~:HTAL SEI~ICE$ 1715 ChosterAve. containment components upon installation and periodically thereafter, to insure Bakersfield, CA 93301 that the systems are capable of containing releases from the primary VOICE (661) 326-3979 FAX (661)326-0576 containment until they are detected and removed. PUBLIC EDUCATION Of great concern is the current failure rate of these systems that have been 1715 Chester Ave Bakersfield, CA 93301 tested to date. Currently the average failure rate is 84%. These have been due VOICE (661) 326-3696 to the penetration boots leaking in the turbine sump area. FAX {661) 326-O576 FIRE INVESTIGATION For the last four months, this office has continued to send you monthly 17ts ChesterAve. reminders of this necessary testing. This is a very specialized test and very few Bakemfleld, CA 93301 VOICE (661) 326-3951 contractors are licensed to perform this test. Contractors conducting this test FAX (661)326-0576 are scheduling approximately 6-7 weeks out. TnNN~NG D~VlSlON The purpose of this letter is to advise you that under code, failure to perform 5642 Victor Ave. Bakersfield, CA 93308 this test, by the necessary deadline, December 3 l, 2002, will result in the vOiCE (661) 3*9-4697 revocation of your permit to operate. FAX (661) 399-5763 This office docs not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 3~6-3190. Sincerely;',_ Steve Underwood Fire Inspector Environmental Code Enforcement Officer D June 30,2002 AM / PM 1701 Brundage Lane Bakersfield, CA 93304 REMINDER NOTICE · RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 1701 Brundage Lane. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in VOICE (661) 326-3941 FAX (661) 395-1349 California Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California vOiCE (661) 326-3941 FAX (661) 395-1349 Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure PREVENTION SERVICES 1715 Chester Ave. that the systems are capable of containing releases from the primary Bakersfield. CA 93301 containment until they are detected and removed. VOICE (661) 326-3951 FAX (661) 326-o576 Secondary containment systems installed on or after January 1, 2001 will be tested ENVIRONMENTAL SERVICES 1715 Chester^va. upon installation, six months after installation, and every 36 months thereafter. Bakersfield, CA 93301 Secondary containment systems installed prior to January l, 2001 will be tested by VOICE (661)326-3979 FAX (661) 326-0576 January l, 2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank system must be tested. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office and VOICE (661) 399-4697 FAX (661) 399-5763 shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661)326-3190. Sincerel ~,.," · 9 Steve nderwood Fire Inspectod Environmental-Code Enforcement Officer .. -.~ ....... ~ .... Environmental Services D May 29, 2002 AM-PM 1701 Brundage Lane Bakersfield, CA,93304 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 1701 Brundage Lane F~RE C.IEF REMINDER NOTICE RON FRAZE Dear Tank Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 The purpose of this letter is to inform you about the new provisions in California VOICE (661) 326-3941 FAX (661) 395-1349 Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002. section 25284. l (California VOICE (661)326-3941 Health & Safety Code) of the new law mandates testing of secondary containment FAX (661) 395-1349 components upon installation and periodically thereafter, to ensure that the systems PREVENTION SERVICES are capable of containing releases from the primary containment until they are 1715 Chester Ave. detected and removed. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. ENVIRONMENTAL SERVICES Secondary containment systems installed prior to January 1 2001 shall be tested by 1715 Chester Ave. ' Bakersfield, CA 93301 January 1, 2003 and every 36 months thereafter. REMEMBER! ! Any component VOICE (661) 326-3979 FAX (661) 326-0576 that is "double-wall" in your tank system must be tested. TRAINING DIVISION Secondary containment testing shall require a permit issued thru this office, and 5642 Victor Ave. shall be performed by either a licensed tank tester or licensed tank installer. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures April 17, 2002 AM/PM 1701 Brundage Lane FIRE CHIEF Bakersfield CA 93304 RON FRAZE ADMINISTRATIVE SERVICES RE: Necessary Secondary Containment Testing Required by December 31, 2002 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 REMINDER NOTICE SUPPRESSION SERVICES Dear Tank Owner/Operator: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 The purpose of this letter is to inform you about the new provisions in California law FAX (661) 395-1349 requiring periodic testing of the secondary containment of underground storage tank systems. PREVENTION SERVICES 1715 Chester Ave. Senate Bill 989 became effective January 1, 2002. Section 25284. l (California Health & Bakersfield, CA 93301 VOICE (661) 326-3951 Safety Code) of the new law mandates testing of secondary containment components FAX (661) 326-0576 upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Secondary containment systems installed on or after January 1, 2001 shall be tested upon VOICE (661) 326-3979 installation, six months after installation, and every 36 months thereafter. Secondary FAX (661) 326-0576 containment systems installed prior to January l, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office, and shall be VOICE (661) 399-4697 FAX (661) 399-5763 performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures D April 22, 2002 Mr. Ray Vose Atlantic Richfield Co. P O Box 5077 Buena Vista CA 90622 5077 RE: Arco #1960 located at 1701 Brundage Lane in Bakersfield FIRE CHIEF RON FRAZE Dear Mr. Vose: ADMINISTRATIVE SERVICES This is to inform you that this department has reviewed the result of the Product Line and 2101 "H" Street Dispenser Replacement Report dated August 30, 2001 associated with the underground Bakersfield, CA 93301 VOICE (661) 326-3941 piping removal. FAX (661) 395-1349 Based upon the information provided, this department has determined that appropriate SUPPRESSION SERVICES response actions have been completed, that acceptable remediation practices were 2101 "H" Street Bakersfield, CA 93301 implemented, and that, at this time, no further investigation, remedial or removal action or VOICE (661) 326-3941 monitoring is required at the above stated address. FAX (661) 395-1349 PREVENTION SERVICES Nothing in this determination shall constitute or be construed as a satisfaction or release from 1715 ChesterAve. liability for any conditions or claims arising as a result of past, current, or future operations at Bakersfield, CA 03301 this location. Nothing in this determination is intended or shall be construed to limit thc VOICE (661) 320-3951 fights of any parties with respect to claims arising out of or relating to deposit or disposal at FAX (661) 326-0576 any other location of substances removed from the site. Nothing in this determination is ENVIRONMENTAL SERVICES intended or shall be construed to limit or preclude the Regional Water Quality Control Board 1715 ChesterAvo. or any other agency from taking any further enforcement actions. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 This letter does not relieve the tank owner of any responsibilities mandated under thc California Health and Safety Code and California Water Code if existing, additional, or TRAINING DIVISION previously unidentified contamination at the site causes or threatens to cause pollution or 5642 Victor Ave. nuisance or is found to pose a threat to public health or water quality. Changes in land usc Bakersfield, CA 93308 VOICE (661) 399-4697 may require further assessment and mitigation. FAX (661) 399-5763 If you have any questions regarding this matter, please contact mc at (6.61) 326-3979. Sincerely, Ralph E. Huey Director of Prevention Services by: Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services cc: J. Whiting, RWQCB J. Bollier, SECOR S:~USTFORM~UST. I..8 LANDOWNER NOTIFICATION FORM LETTER (2) March 4, 2002 City of Bakersfield Fire Department Office of Environmental Services c/o Howard H. Wines, III 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Certified List of Record fee title Owners for ARCO Station No. 1960, located at 1701 Bmndage Lane, in Bakersfield, California. 1. In accordance with section 25297.15(a) of Chapter 6.7 of the Health and Safety Code, I, //'- ~ -- ~4,~A,,'-o",c~ , certify that the following is a complete list of current record fee title owners and their mailing addresses for the above site. 2. In accordance with section 25297.15(a) of Chapter 6.7 of'the Health and Safety' Code, I, BP West Coast Products, LLC, certify that ! mm the sole landowner for the above site. Sincerely, Signature of Primary Responsible Party ~ BP West Coast Products, LLC Name of Primary Responsible Party BP West Coast Products, LLC Environmental Compliance Department 4 Centerpointe Drive La Palma, California 90623-1066 April 1, 2002 Via USPS RE: Certification for Financial Responsibility for ARCO Facilities Enclosed is a copy of the current Certification of Financial Responsibility, which covers all ARCO facilities in your area (see final page for a detailed list). This Financial Responsibility is active through January 1, 2003. If you have any questions regarding the enclosed document, please contact me at (714) 670-5336. Best Regards, Nora Koskenmaki Environmental Compliance Specialist BP West Coast Retail Business Unit Enclosure: Certification of Financial ResPonsibi!ity with,Attachments 8P Amoco CorDorat~or'~ HSE Group Resource 801 WarrenvHle Road D$1e. IL 60532-4323 February 4, 2002 U.S. E.P.A. Regional Offices/State Implementing Agencies Dear Sir or Madam: BP West Coast Products, LLC. - Financial Responsibility Documentation Petroleum Containing USTs - 40 CFR Part 280 The enclosed document comprises the financial assurance mechanism by which BP ~erica Inc. demonstrates financial responsibility pursuant to 40 CFR 280 Subpart H for taking corrective action and compensating third parties for bodily injury and property damage caused by accidental releases arising from the operation of petroleum underground storage tanks. This document is believed to be complete and accurate. However, considering the number and geographic dispersion of USTs covered by BP America Inc.'s financial responsibility, it is possible that errors of omission have occurred and the tank listings will not always be current as of the date of the review. In any case, it is the intent of BP America Inc. to provide the mandated financial responsibility requirements for all USTs subject to 40 CFR 280 Subpart H. (see attached list of facilities. All tanks maintained at each of these facilities are assured by this mechanism) If you have any questions regarding the information submitted, please contact Michelle Bien at (630) 434-6181. Sincerely, ]erome q'. ouren Jerome P. Houren Manager, HSE - Financial & Performance Improvement Enclosures M. F. Burke, San Diego, CA S. D. Comley, T2-129, Long Beach, CA R. H. Halsey, 4-463, La Palma, CA L. C. Hernandez, 4-469, La Palma, CA M. J. Lowe, 869, Midland, TX N. Norcross, Carson, CA D. Portello, Richmond, CA V. C. Slayman, 4-460, La Palma, CA -' J;"D. Starr, Cantera I, Warrenville, IL R. M. Walker, South Gate, CA. Nam~ & Address: ~ee Attachment 7 .A and 8.A for nameu and addre-aes of each covered U~T location. Policy N~mber: Contac= facility representative or Jeff Hall at MAR~H (~12-627-6000) for copies of all UST waste facili'.y liability en4orsement Dolicy numbers. Period o~ Coverage: Januaz-y 1, 2002 t~ough January 1, 2003 Name of In~urer: ~ Surplu~ Insurance Company Addrees of Lnsurer: 1601 Chesunu-- street Philaaelpb/a, PA 19101-1484 Name of Insured: BP America Inc. A~dresa of Insured: 200 E. 9~dolph Dr~ve, Chic--~o, IL 60601 1. INA S~r~lus I/lsur~/%ca Cxm=pany, the Insurer, as id~.nuified above, h~y certifies e~= i= h~ issued li~ili~y i~ur~ce c~eri~g ~e follo~g ~d~round e=orage tank(m): (sae Auuac~=s 7.A and 8.A) for =~g co~c~ivm action ~d co~ensat~g ~hird p~ies ~or ~ly inju~ ~ p~er~y ~ge ca~ed by accid~=al r~ses ar~ing from ~erating the ~ro~d storage t~(=) identified The li~%~ of liquify are $ 1,000,000 per occurr~ce a~d a~ual ag~egata $ 2,000,000, ~lusi~ of l~al cos~, which are ~Ject to a $ep~a~e li~ ~ the policy. ~ coverage i~ pro~c~ (policy nu~er). ~e effuc=ive ~=e of sa!a policy is Janua~ 1, 2002. 2. The ~~ f~ ca~ifie~ the follo~g with respect to ~e · a. B~=~ or insolv~ of =he ins~cd s~.l 1 not ~ ~ S~l~ Ins~ce co. any of i~ obligati~ b. ~e ~s~er is li~le for =he pa~= of amours deauct~la a~lic~l~ to ~.e policy =o =he provider ~rrec=ive act!on or a ~ed =hirdpa~y, with a rich= rei~emenU by hhe insured for any su~ pa~= ~de by -' the ~er- T~s provLsion aoes ~t apply wi~ reject t~t ~unt of ~y de~c=ible for which de~traced ~er another me~anism or co~ina~i~n ~i~ as specified in 40 CFR 280.9~280.102. c, Whoever re.es=ed ~ (a Direc=or of ~ i~lemenuing a~), t~ I~ar a~rees to f~i~h =0 (t~ Director) a si~e~ duplicate orig~al of :he policy ~d all Cancellation or any other ter~-tic='of =he Xnaurance by ~e ~n~er. ~c~ for n~~ of ~rm~ or ~pres~=ion by u~ ~in=~ ~ys aft~ a ~e~. C~cellati~ for n~pa~en= of p~m{~ or of 10 ~ ~cer a c~y of su~ ~itt~ ~tice is received e. ~e ~~ce coves claim~ o~h~ise c~e~a by =ha poli~ t~t ~e reposed effe~ive retroacni~ which ~isa aft~ ~a poli~ ~ac=i~ ~=e, if appli~le, ~ prior =o =uch policy r~ or ~a~na=io: ~te. Clai~ re~r~ed ~g ~h ~dad repor=~ p~io~ are ~jec~ :o ~e t~, co~tio~, li~ts, ~clud~g li~s of .. liability, a~d exclusio~ of =he ~li~. tr~ac: the ~ess of ~r~ce ~ one or more stat~. Authorized Representative of Insurer .'¢,t:llc o1' Water Resources Conlrol Board Division el'Clean Water Programs P.(). Ih)x 9,14212 Sacramento. CA 9424,1-2120 (Inslrt~clions on reverse CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in thc Required amot,nts ;ts spt,il]cd in Section 2807. Chapter la. I)iv. 3. Title 23. CCR: E~ 500.000 dollars per occurrence r---] , ,nillion dollars annt,al aggregate or AN D or [~]] I million dollars per occt, rrcncc ~J 2 million dollars amlual ;rgb, regal, B. BP Corporation North America Inc. hereby certifies that it is in compliance with the requirements of Section 2807. INarno o! Tank Owner or Operator) Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate §nan,iai responsibility as required by Section 2807 are as follows: C. Mechanism Mechanism Coverage Coverage Corrective I'hird Party Type Name and Address of Issuer Number Amount Period Action Comp INA Surplus Insurance N/A $1,000,000 per Certificate of Company occurrence 01/01/2002- Yes Yes Insurance 1601 Chestnut Street 01/01/2003 Philadelphia, PA 19101-1484 $2,000,000 annual aaareaate Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance with all conditions for participation in the Fund. D. Facility Name Facility Address SEE ATTACHED LIST OF SITES Facility Name Facility Address Facility Name Facility Address "- E. Signature of Tank_Owner or Operator Date Name and Title of Tank Owner or Operator ~. ..--/ ,/ ~/ Glen VanderVeen, Environmental Compliance Manager, West · ..~(~V-~,~~~'' ~--.--" y/,3'?/O ;L Coast Retail Business Unit Signature of Witness or Notary , Date Name of Witness or Notary ~ L~' ~ 31 ~ ~' { O 7..- Nora Koskenmaki, E0yironmental Compliance Specialist CFR (Revised 04/95) FII.E: Original - Local Ag, ney Copies - Facility/Sit,ts) DECLARATIONS [X] INA Surplus Insurance Company UNDERGROUND PETROLEUM STORAGE TANK POLLUTION LIABILITY POLICY An ACE Company (Scheduled Tanks) PRODUCERS NAME: Marsh USA Inc. ~ucv m~2mnc^x~o~ 500 West Monroe Street PLI G20308175 Chicago, IL 60661 THIS IS A CLAIMS - MADE POLICY - PLEASE READ IT CAREFULLY. THIS POLICY COVERS ONLY SCHEDULED TANKS. ITEM 1 NAMED INSURED BP Amoco PLC BP America Inc. ADDRESS Mail Code 2304 200 East Randolph Drive Chicago, IL 60601-7125 ' ITEM 2. Policy Period From . January 1, 2002 To January_ 1, 2003 12:01 A.M. standard time at the address of the NAMED INSURED shown above. ITEM 3. RETROACTIVE DATE This insurance applies only to "bodily injury," "property damage" or %nvironmentat.damage" caused by an "Underground Storage Tank Incident" when the "Underground Storage Tank Incident?commences on or after the Retroactive Date shown below. Retroactive Date: January 24,1989 (In the absence of an entry, the Retroactive Date will be the date this policy takes effect) DECLARATIONS voL,CV UNDERGROUND PETROLEUM STORAGE TANK PLI G20308175 POLLUTION LIABILITY POLICY (Scheduled Tanks) PAGE 2 ITEM 4: Limits of Insurance In return for the payment of premium indicated below, we agree with you to provide the following coverage(s) at the limits shown, subject to all of the terms and conditions of this policy. Coverage A -Bodily Injury and Property Each "Underground Storage Damage and Coverage B - Mandated 'Corrective $1,000,000 Tank Incident' Action' Combined Single Limit Coverage A - Bodily Injury and Property Aggregate Limit for all Damage and Coverage B - Mandated 'Corrective $ 2,000,000 "Underground Storage Action' Combined Single Limit Tank Incidents' combined. ITEM 5. Defense Expense Limit $ 500,000 Aggregate Limit for all 'defense expens, e.' ITEM 6. Deductible Amount Coverage A-Bodily Injury and Property $1,000,000 Each 'Underground Damage and Coverage B-Mandated Storage Tank Incident.' 'Corrective Action' Combined Deductible ITEM 7. Scheduled Ixa:ations(s) SITE # 1 See Underground Petroleum Storage Tank SITE//2 Pollution Liability Certificate Endorsement No. 4 thru 7 SITE #3 See Scheduled Tanks. ITEM 8.' Scheduled Petroleum Storage Tanks See Schedule of Tanks attached ITEM 9. Advance Premium $ 2,500 at inception. ( $2,500 ) Flat ( N/A ) Adjustable Minimum Premium $. 2,500 DECLARATIONS UNDERGROUND PETROLEUM STORAGE TANK PLI G20308175 POLLUTION LIABILITY POLICY (Scheduled Tanks) PAGE 3 ITEM 10. Audit Period: Annual unless otherwise stated' Not Applicable ITEM 11. Forms and Endorsements attached to policy at inception: Endorsement No. CG00420798 Underground Petroleum Storage Tank Pollution Liability Coverage Form CC 1 E15 Deductible Endorsement 1 CCIEI5 Nuclear Energy Liability Exclusion Endorsement (Broad Form) 2 CC 1E 15 Schedule of Tanks and Locations 3 Underground Tank Endorsement 4 Underground Tank Endorsement 5 Underground Tank Endorsement 6 Above Ground AndUnderground Tank Endorsement 7 Amendatory Endorsement 8 Underground Tank Endorsement 9 Underground Tank Endorsement 10 LD-5S23e Signature Endorsement 11 XS3496b Service of Suit Endorsement 12 XS 1U93d Surplus Lines Notification 13 This Declarations and the Coverage Form and Endorsement(s), if any, listed above complete the above numbered policy. Countersigned: AUTHORIZED REPRESENTATIVE DATE Endorsement Number 4 Name: Underground Tank Endorsement Address: Per list attached Policy Number: Claims Made PLIG 20308175 Period of Coverage: 1/1/2002 - 1/1/2003 Insurer: INA Surplus Insurance Company Address: 1601 Chestnut Street Philadelphiaz PA 19101-1484 Name of Insured: BP America Inc. Address of Insured: Mail Code 2304 200 East Randolph Drive Chica~;% Illinois 60601-7125 1. This endorsement certifies that the policy to which the endorsement is attached provides liability insurance coverage for the following underground storage tanks in: Per list attached for taking corrective action and/or compensating third parties for bodily iniury and property damage caused by either sudden accidental releases or non-sudden accidental releases or accidental releases. The limits of liability are $1~000~000 each OCcurrence $ 2~000~000 annual aggregate exclusive of legal defense costs This coverage is provided under policy number Claims Made PLIG 2030817S The effective date of said policy is January 1, 2002 2. The insurance afforded with respect to such OCcurrences is subject to all of the terms and conditions of the policy, provided however, that any provisions inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby amended to conform with subsections (a) through (e). a. Bankruptcy or insolvency of the insured shall not relieve INA Surplus Insurance Company of its obligations under the policy to which this Endorsement is attached. b. INA Surplus Insurance Company is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged third-party with a right of reimbursement by the insured for any such payment made by INA Surplus Insurance Company. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.9S-280-102. c. Whenever requested by a director of an implementing agency, INA Surplus Insurance Company agrees to furnish to the Director a signed duplicate original of the policy and all endorsements. d. Cancellation or any other termination of the insurance by INA Surplus Insurance Company will be effective only upon written notice and only after the expiration of 60 days after a copy of such written notice is received by the insured. e. The insurance covers'claims for any occurrence that commenced during the term of the policy that is discovered and reported to INA Surplus Insurance Company within six months of the effective date of the cancellation or termination of the policy. I hereby certify that the wording of this instrument is identical to the wording in 40CFR 280.97Co) (1) and that INA Surplus Insurance Company is licensed to transact the business of insurance or eligible to provide insurance as an excess or surplus lines insurer in one or more states. Rbbin IL Soss Assistant Vice President ACE Excess & Surplus Insurance Services, Inc. 1601 Chestnut Street Philadelphia, PA 19101-1484 : O bP Attachment 7 Financial Assurance for Corrective Action and Third Party Compensation for Underground and Aboveground Storage Tanks Owned, Operated or Guaranteed by BP Corporation North America Inc. or Subsidiaries Regulated by State Administered Programs Location: BP Amoco Chemical Company BP Amoco Chemical Company Chocolate Bayou Storehouse Alvin, TX Chocolate Bayou Storehouse 2,600 gallons Alvin, 'IX Capacity: FRP 4,000 gallons Construction Material: Diesel Fuel FRP Substance S{ored: 1982 Gasoline Installation Date: 1969 Location: BP Amoco Chemical Company BP Naperville Complex Chocolate Bayou Administration 150 West Wa~Tenville Road Alvin, TX Naperville. IL Capacity: 2,000 gallons (see tank listing at regional office) Construction Material: Steel Substance Stored: Emergency Diesel Fuel Installation Date: 1982 Location: 8P Amedca Production Company BP Products North Amedca Inc. 4502 E. 41st. St. Toledo Refiner~ Tulsa. OK Toledo, OH Capac~y: 40,609 gallons 10,000 gallons Construction Material: Fiberglass Substance Sto~ed: Diesel Fuel Installation Date: 1990 Location: BP Amedca Production Company BP America Production Company Tulsa, OK 4502 E. 41st. St. Tulsa, OK Capacity: 10,000 gallons 40,609 gallons ConstnJction Material: Substance Stored: Diesel Fuel Diesel Fuel Installation Date: 1991 Location: BP America Production Company BP America Production Company 7575 N. Lakewood 4502 E. 41st. S{. Tulsa, OK Tulsa, OK Capacity: 500 gallons Construction Material; 3,000 gallons . Substance Stored: Diesel Fuel Waste Oil and Oily Water Installation Date: Location: BP Amedca Production Company **Jeff Hall, MARSH, maintains copies of .- Earth Science Lab ALL UST facility liability endorsement 11611 West Little Yor~ policies. 312-627.6000'* Houston, TX Capacity: 4,000 gallons Construction Material: Fiberglass Substance Stored: Diesel Fuel Installation Date: 1984 Page 11 2002 Financial Assurance 2/4/2002 Attachment 7 (continued...) Location: BP West Coast Products, LLC. BP West Coast Products, LLC. US Logistics Terminals in CA, WA. OR, AZ ARCO Retail FacJlities in CA. WA, OR, AZ, (see tank listing at regional office: NV. UT 1306 Canal Blvd. Richmond. CA) (see tank listing at regional office: 4 Center~oint Drive. La Palina. CA) Location: BP Exploration (Alaska) Inc. BP Exploration (Alaska) Inc. Anchorage, Alaska Anchorage. Alaska Capacity: 15.000 gallons 4.000 gallons ConstJ'uction Material: Fiberglass Fiberglass Substance Stored: installation Date: 1984 1984 Location: BP Chemicals Amoco Pipeline Green Lake Facility Bryan. Texas Port Lavaca, TX (see tank listing at regional office) Capacity: 7,600 gallons ConstnJction Material: Fiberglass reinforced plastic Substance Stored: Unleaded Gasoline installation Date: 1981 Location: BP Amoco Chemical Company BP Chemicals Joliet TnJck Terminal Green Lake Facility Joliet, IL Port Lavaca, TX Capacity: 10,000 gallon 7,600 gallons ConslnJction Material: Fiberglass Fiberglass reinforced plastic Substance Stored: Diesel Fuel Diesel Fuel Installation Date: 1993 1981 Location: BP America Production Company, **Jeff Hall, MARSH, maintains copies of Westlake I 501 Westlake Park Blvd. ALL UST facility liability endorsement Houston. TX policies. 312.627.6000' Capacity: 10,000 gallons Construction Material: Fiberglass Substance Stored: Diesel Fuel Installation Date: 1982 Page 12 2002 Financial Assurance '" 2/4/2002 Sites in Kern County Covered Under the BP Corporation Certification of Financial Responsibility FAC FAC_ADDRESS CITY STATE ZIP COUNTY 00371 2698 MT VERNON BAKERSFIELD CA ~3306 KERN 00583 3220 MING AVE BAKERSFIELD CA )3304 KERN 01960 1701 BRUNDAGE LANE BAKERSFIELD CA )3304 KERN )3054 1129 UNION AVE BAKERSFIELD CA )3307 KERN 03090 . ;333 UNION AVE BAKERSFIELD CA 93305 KERN 05365 t010 WIBLE RD BAKERSFIELD CA 93309 KERN J5420 $450 WHITE LANE BAKERSFIELD CA )3309 KERN 05496 i800 FAIRFAX BAKERSFIELD CA )3306 KERN 05526 900 MONTEREY BAKERSFIELD CA 93305 KERN 05657 ;5300 7TH STANDARD RD BAKERSFIELD CA )3308 KERN 05751 2800 PANAMA LANE BAKERSFIELD CA 93313 KERN 06218 J203 MING AVE BAKERSFIELD CA 93309 KERN ~6353 .;125 CALIFORNIA AVENUE BAKERSFIELD CA )3302 KERN {}6356 2301 F STREET BAKERSFIELD CA )3301 KERN 06208 20650 S TRACY AVENUE BUTTON'WILLOW CA 93206 KERN ~5634 :2241 GIRARD ST DELANO CA 93215 KERN J5674 l!6300 SIERRA HWY MOJAVE CA )3501 KERN 06150 2101 ROSAMOND BLVD ROSAMOND CA )3560 KERN 2002 Financial Assurance Updated 1/1/02 ~~- ~' '~'~ Products C~a ' A CO .co - '~ Environmental.' ' ~,tl'l~L~"Safety 4 Centerpointe. ,~~ La Palma, California 90623-1066 Mailing Address: Box 6038 Artesia, California 90702-6038 February 22, 2002 VIA Certified Mail City of BakerSfield Fire Department 715 Chester Avenue, 3ra Floor. Bakersfield, CA, 93301 ATTENTION: Steve Unde~zwood-~2. 4~E: SECONDARY T.ESTING RESULTS.- SB989 COMPLIANCE · ARCO Facility No.: 01960  ty Address: 1701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 Per California Water Resources Control Board requirements, attached are results from secondary containment testing performed at the subject facility. Please note all secondary components have passed testing requirements. Test Date Pa~es 01/31/02 2 ARCO is committed to the compliance of all environmental laws that govern the safe operations of its facilities. Should you have any questions or concerns regarding testing activities at this facility, please do not hesitate to call me at (714) 670-5411. Sincerely, Ron Rogers APC-7116 ARCO Products Company is a Division o~ AtlardicRichfiek~Company (10-96) Underground Storage Tank System Turbine Sumps, Fill Sumps and Under Dispenser Containment Secondary Containment Certification Form Page Facility #: ~ City: ~)~ ~L4._~ 7~'Q~ Testing Contractor: /L~_{.._(.~ ~~ ~ ~ ~ Test Date: Facility Address: /~ ~f~~~/ ~ ~. Contractor Address: ~ ~ ~~ Tech. Name: ~ Turbine Sumps ~89 9~ D ~ 89 9~ D ~ 89 91 D 87 '89 ~ D Fill Sumps 87 89 ~ D ~ 89 91 D ~ 89 91 D ID(no~h, slave, etc.) ,Df~ ~G~ ~ ~C~t ~% ID(n°~h'slave'etc') ~.% ~(~ Manufacturer .... ~~ ~1~0 Manufacturer ~~CO Start Time (h) '~7~ ~: ~O ~ t% ~q StanTime (t0) I ?J~ 1~36 ] '. O.O Water Level ~OO ~O~ ~O ~3 Water Level C~OD ~ Water L~¢e'! . ~ ~ ~ , OG ~ ~D ~ ~ l) Water Level ,00~ (~ O~ b~ Time (t:) ~ ~ I ~ M & I &: ~ i -~ ;~ 3 Time (tn) ~ *,, ~ x ~ ~ ~ i ) G WaterLevel .~O 1 ,~O } ~O~ ~O WaterLevel 004 PO ~ Water Level ,~ ~ X ,(~ O ~ ~ % ~O Water Level ~ ~ O I Time (h) ~ o ~ ~ ;fi ~ t ~v~ ~:~ ( Time(tn) l~'~ ~ Water Level .f~ I ,(~ {D I ~ ~ ~ ~ Water Level ~ ~ 0 ~ ~ o , n ture ..ture Manufacturer '~p /~$~ ~ ~c, :~ 'anufaeturer Start Ti~e(to) ~'~ ~ '''~ ~ ~ ~ ~' ~"~ ~ Start Ti~e (~)~:~ ~ ~~ ~ Water Level .. ~ ~ o ~ · ~ O ~ O ~ Water Level -.~ ~ . ~ ~ ~ Time (t0 ~: O g ~; oq ~; ~ ' ~ ~ ~ Time (t0 ~ ~ CI Water Level ,m~ ~ OO ~ I-, ~ 0 ~ ~ ~ ~ Water Level , ~ ~ v , ~'~ Time(t:) ~l~ ~; I I ~:~ ~;)~ Time(h) ,~;0 I Water Level .~ ~ o 0 0 D - ' 0 ~ ~ ~ 0 ~ Water Level 0 ~ o ,0,~ 0 Time (t3) ~:~ ~;IM ~ ~ ~{ Time (tn) ~;0~ Water Level , ~00 ~ ~ _ .~ ~ ~ Water Level '~' Time (tn) ~; t q ~: I ~ ~ %{ ~ ~ L[ Time (t4) ~ ~ Water Level , ~ ~ ~ [ ~ ~ · '~'OO Water Level . ~ ~ ..~O~ Test Results ~ Fail ~ Fail ~ Fail ~ Fail Test Results ~ Fail ~ Fail Pros Fail Signature ~~ ~'~ Signature Rev. 11/01 ~ite - Oriainal Yellow- Arcn ~nvirnnm~ntal Cnmnllanao Pink --~nn~netnr Underground Storage Tank System Tanks, Piping, & Spill Buckets Secondary Containment Certification Form Facility#: __~[q~O City: ~:a~Liii~;ii~ ~'~/~. Testing Contractor: A/~.,L..~,.~~ Facility Address: [~0{ ~~d.6~o_ ~ Contractor Address: ~ L~, d / UST Annular Space Seconda~ Pipin~ ... Tank ~1 Tank ~2 Tank ~3 Tank ~4 Line gl Line g2 Line g3 Line ~4 Capacity [,~,~ ~, ~ Piping Type Prim~ ~nuf~ure~ X ~ ~ ~- ~nuf~tu~e~ InitialPressure' '~?~ ~~ ~ ~ ~ ~ ~ ~ Initial Pressure Test End Time ~ ~ ~ ~ ~ ~ t~ ~: ~ Test End Time Test Results Final Pressure [0 ~ [O~ Fa~ ~ [~ ~ F~ ~ ~ ~ Fail Final Pressure 3 9ill Buckets Overfill ~1 Overfill ~2 Overfill ~3 Overfill ~4 Seconda~ Piping Line 85 Line ~ Line g7 Line ~8 Product 87 89 ~ D ~89 91 D ~1 D C~8991 D ,9. , ~ ~ro~uCt Manufacturer ~ ~ ~~ ~-- Start Time (~) ~ ~ ~ ~'$ ~ ~'' b ~ ~ ~ X: Y~ 1 '~-O Piping"Type ~ Siphon ~ Siphon Pfim~ Siphon Prim~ L ., Water Level , (%~ tDt%O ~tQD ~ ~ Manufacturer Time(t,) ~'~ [~:~ X~ ¥~Ob Test Start Time %J ,~ ~N~ O Water Level ,0 ~D . t~ , ~'~ . f~ {90 Time (t:) ~ ~ J O ~ ~ '-~ ~ ~ ~ ~ C~ ~ 70 ~ Initial Pressure Water Level , {~ L~ -~ ~ O ~D ,~ ~ ~ Test End Time Time (t3) [ '~ ~ ~ ~ ~; ~ ~ k ~; ~ ~ ~G Final Pressure WaterLevel , ~(~ -~ t '[~9 '~ ~ ~ Time(tn) ~' O~ ~ ~t~ k~'-O~ ~'1~~ Test Results ~ il ~ Fail P~s Fail Pass Fail Water Leve~ - ~ ~ ~ .~Ct ~ ~ ~ ~ Signet.re Test Results ~ Fail ~ Fail ~ - Fail ~ Fail S. ture Rev. 11/01 ~ite - OrigMal Yellow - Arco Envkomental Compliance P~ - Con~ctor MONITORING SYSTEM CERTIFICATION · For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A se:~arate certification..or report must be prepared for each monitorin~ system control panel by the technician Who performs the work. A copy of' this form must be provided to the tank system owner/operator. Thc owner/operator must submit, a copy of this form to the local agency regulating UST systems within 30 gays of' test date. A. General Information /~ Facility Name:/, fie~'O / ~ ~' 0 . Bldg. No.: Site Address: /r 7£)'! /'~/go.,., O..O (.~:- ~ City: /r~ ."it t,:'O&l/~r6Z,.9 Zip: Facility Contact Person: Contact Phone No.: (.~). 'Make/Mode[ pt'Monitoring System: )//g- 7ZD 2~ Date of Testing/Servicing: B. Inventory of' Equipment Tested/Certified Check the a~t}ro~ariate boxes to indicate specific e~ui~ment inspected/s~rvic~d: ~:l'~-Tank Gauging Probe. Model: ~ 6- / ~._~I.n-Tank Gauging Probe. Modeh /~,4 6. t _r~nnular Space or Vault Sensor. Model: 7'0 0" ~,..&nnular Space or Vault Sensor.. Model: .. [J Piping Sump / Trench Sensor(s). Model: 2. O S'" _[].,~iping Sump / Trench Sensor(s). Model: _~l~,j.il Sump Sensor(s). Model: 2 doc" ~,,,Fill Sump Sensor(s). Model: t..d'Mechanical Line Leak Detector. Model: ~/~ 2¢e.O [] Mechanical Line Leak Detector. Model: d_.De, oO0 t'3 Electronic Line Leak Detector. Model: I"1 Electronic Line Leak Detector. Model: [~?ank Overfill / High-Level Sensor. Model: /~./-- t 12"~ank Overfill'/High-Level Sensor. Model: ~ Other (soecify, , ecmipment. . tv, pc and. model in Section E on Pa? 2). ' Cl Other (soecifv, . equipment type and model in Section E on Pace 2). ~-~Xank Gauging Probe. Model: ,r'D,4 6.- [ ~__,~Wank Gauoing Probe. Model: ~_~,,,Annular Space or VauLt Sensor. . Model: ~5.nnular Space or Vault Sensor. Model: ('/'0 ~" ?fliping Sump / Trench Sensor(s). Model: ~Jiiping Sump / Trench Sensor(s). Model:.. ~ o~' 12J Fill Sump Sensor(s). Model: ,..ea. O$" UI Fill Sump Sensor(s). Model: Eit"Mechanical Line Leak Detector. Model: ~.r.2~'O {~"~echanical Line Leak Detector. Model: '.d_.,O~.lp I"1 Electronic Line Leak Detector. Model: i-I.,~lectronic Line Leak Detector. Model: [i"Tank Overfill / High-Level Sensor. Model: ,/'/7,0 ~ I 121-Tank OvenSll / High-Level Sensor. Modeh t~'~-~"~ Ul ........ Other (specify equipment t~pe and model in Section E on Pa~e. 2). UI Other.(specifv. ., equipment .......... type and model in Section E on Pace pease( Containment Sensor(s). Model: ,Sfl.- 0 K ?~,ispenser Containment Sensor(s). Ivlodel: ar Valve(s). Cl Shear Valve(s). r'2 Dispenser Containment Float(si and Chain(si. ~ Dispenser Containment Float(s) and Chain(s). pen=er Containment Sensor(s). Model: r'"'~(..9~ ~lNspenser Containment Sensor(s). Model: ar Valve(s). [] Shear Valve(s). O Dispenser Containment Float(si and Chain(s). CI Dis0enser Containment Float(s) and Chain(s). D enser ID: _~_: _/0__ D_~nser ID: t"f' · ispenser Containment Sensor(s). Model: .-,q-O ~ ~je)ispenser Containment Sensor(s). b,'lodel: [~'~hear Valve(s). - [] Shear Valve(s). ~Dispenser Containment Floatrsl and Chain(s). [] Dispenser Containment Float(s) and Chain(s). 'qfthe facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification . I ,:~rtiry that the et!uipment identified in ti'ds document was inspectecUserviced in acco(dunce with the manufacturers' guide!inn:/. Attached to ntis Certilication i~ iui'ocruatio~l (e.g. rnanui'acturer.~' cn~ckli~) neces~a:y :u ',".'cir';.' a:w.' ~hi.~ co,'rect and a Plot Phm showing the layout of monitoring e..~qui_p~e.nt. For any equipment capabl...g,~e'nerating such reports, I have also attached a copy or the report; (check all that apply): t-l-~ystem set-up U] Alarm hi/ffor/y,,~eport Technician Name (print): John Schellenbach ' Signature: -'////-"'/// · Certification No.: License. No.: ".'i- . : .... .. ~ _ '. '_' ....... " '. D. Results of Testin~Servicing Software Version Installed: Complete the following checklist: E~I"/~'es [] No* Is the audible alarm operational? [2'5'es [] No* Is the visual alarm operational? [;ii~,Y. es [] No* Were all sensors visually inspected, functionally tested, and confirmed o~erational? dyes 12 No* Were all sensors .installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? El Yes El N~N..9* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) iiit~N/A operational? Er'Yes FI No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment El N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) [~'~umpfrrench Sensors; 12t"IJ~penser Containment Sensors. Did you confirm positive shut-down due to leaks an.~d sensor failure/disconnection? {2~es; El No. ll!~"~'es El No* For tank systems that utilize the monitoring system as .the primary tank overfill warning device (i.e." no [] N/A mechanical oveffill prevention valve is installed), is the overfill warning alarm visible and audiblr,~.t the tank ,... fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? "2'"0 % El Yes* Ii'No Was any monitoring equipment replaced'?. If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E. below. Cl Yes* iEI'"I~© Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) El Product; [] Water. If yes, describe causes in Section E, below. Zl"~"es El No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable · l~Yes [] No* Is all monitoring equipment operat, ional per .m.a. nufacturer's specificatio, ns? .... · In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: F. In-Tank Gauging / SIR Equipment: ~heck this box if tank gauging is used only for inventory control. UI Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the followine checklist: s H No=" ! Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ~ Yes ['-1 No* I Were all tank gauging probes visually inspected for damage and residue buildup? [ff'~es [] No=" Was accuracy of system product level readings tested? Cf Yes [] No=" Was accuracy of system water level readings tested7 ~1' Yes [] No*' I Were all probes reinstalled properly7 [;~Yes I ~ No=" Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): [] Check this box ifLLDs are not installed. Complete the followinu checklist: .lEI'Yes t-') No=" For equipment start-up or annu.dl equipment cer~cation, was a leak simulated to verify LLD performance7 I-I N/A (Check call theat apply) Simulated leak rate: I-l'3g.p.h.; []0.1g.p.h; [] 0.2 g.p.h. O"-Yes [] No"" Were all LLDs confirmed operational and accurate within regulatory requirements7 ar-y. es gl No* Was the testing apparatus properly calibrated? es [] No*' For mechanical LLDs, does the LLD restrict product flow if it detects a leak7 [] N/A [] Yes C] No*' For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Z"3A [] Yes [] No=" For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ~2'""~/A or disconnected? [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ~/A or fails a test7 [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected? ' 5~"Yes [] No"' Were all items on the equipment manufacturerts maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: · . ~~. Mechanical Leak Detector Test Data Sheet ~~'ARCO Products Company .' 5', Station # /O fit O Date / - ia' O '2. 20 '?'Address ~Po/ ~ t2,.~,,,-.O~ ~..- ~ .'4~'~/(:-72 Y, r76L.,¢ ,. ~, ~: Test Information · '.;:~t:;~ 1 2 Manufacturer . Model ' Full 0per,ating Pressure (psi) Line Bleed Back (ml) ...~k Trip Ti~i'e (sec) ~. O )' B M~i~ring Pressure (psi) / F~ Holding Pressure (psi) .TeSt Leak Rate (ml/min) (gph) / ~ d /~ ~ RePlaced All Failed Leak Detectors Yes No ~ If No, Replacement To Be Completed By (Date) [ / This letter certifies that the annual leak detector tests were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my ARCO Products Company Environmental Health & Safety 4 Centerpointe Drive La Palma, California 90623-1066 Mailing Address: Box 6038 Artesia, California 90702-6038 February 22, 2002 VIA CertifiedMail City of BakerSfield Fire Department 715 Chester Avenue, 3ra Floor Bakersfield, CA, 93301 ATTENTION: Steve Underwood RE: SECONDARY TESTING RESULTS - SB989 COMPLIANCE ARCO Facility No.: 01960 Facility Address: 1701 BRUNDAGE LANE, BAKERSFIELD, CA 93304 Per California Water Resources Control Board requirements, attached are results from secondary containment testing performed at the subject facility. Please note all secondary components have passed testing requirements. Test Date Pages 01/31/02 2 ARCO is committed to the compliance of all environmental laws that govern the safe operations of its facilities. Should you have any questions or concerns regarding testing activities at this facility, please do not hesitate to call me at (714) 670-5411. Sincerely, Ron Rogers APC-7116 ARCO Products Company is a Division of AtlanticRichfieldOompany (10-96) Underground Storage Tank System Tanks, Piping, & Spill Buckets %, Secondary Containment Certification Form Page~ of .~.~ Facility#: (~[q~O City: ~ ~.Aj~/~ Testing Contractor: A~-.(-~/,_~'-~ Q--~"~O(,_O_.o-~.~ TestDate: ~1~'/ ~ FacilityXddress: [~0[ ~~~0_'~ Contractornddress: ~~ L~. x~.O~,~ Tech. Name: .~~T~i~' UST Annular Space Secondary Piping, Tank #1 Tank #2 Tank #3 Tank #4 Line #1 Line #2 Line #3 Line #4 Product 87 89(~D (~8~ 91 D ~ 89 91 D ~__~ 89 91 D Product ~89 91 D ~89 91 D ~89 91 D ~89 91 D [~ Pr~~ Pri~~n~_ Capacity ~. O, ~ ~ r d Piping Type Prim~ ~ ~ ~ L ~ ~t ~ ~ .~ Manufacturer ~ ~ ~ ~ Manufacturer , Test Start Time ~:~ ~. ~' ~ ~ ~ ~ ~ ~ ~: ~ Test Start Time lnitialPressure '~ ~ ~ ~ ~ ~ ~¢~ ,~ ~ lnitialPressure ~'~ Test EnO Time ~ ?~ X ~ ~; ~ ~' ~ Test End Time Final Pressure [ ~ ~ O~'" k~ ~ ~ ~) FinalPressure Test Results ~a~ ~ ~ Fa~ ~ F~~ Fail Test Results ~ Fail ~ Fail ~ Fail ~ Fail a nature ~ -~~ ~ Signature ~ ~~,~ Spill Buckets Overfill ~1 Overfill ~2 Overfill ~3 Overfill ~4 Seconda~ Piping Product 87 89 ~ D ~2~91 D ~91 D C~ 8~ Line g5 Line ~6 Line ~7 Line g8 ' X~ [ ' 0 Product 87 89~D ~89 91 D S7 89 91 D S7 80 91 D 9 Start Time (to) ~ ~ ~ ~ ~ ~'' 5 ~ X X ', ~ I ~00 Piping'Type ~ Siphon ~ Siphon Pfim~ Siphon Prim~ Siphon Water Level , (~ tD,,O ~QD .~ Manufacturer Time(h) ~ ~L~ ~ ~: ~q k ~ 5 ~ ~ ~O b Test Start Time ~ ..~ %N% O Water Level ~O ~'~ , ~ , ~D . f~ ~O Time(h) ~ ~Z O~ [~~ k~O3 ~TOb Initial Pressure Water Level . C~ ~ -~ ~ 0 000 .~ ~ ~ Test End Time Time (t3) ~ '~; O~ ~' ~ ~ k~;~ ~ ~ Final Pressure WaterLevel , ~(~ -~ ~ -0~ .~ O ~ Time (tn) ~ ~' O~ X ~ ~[~ k~" O'~ ~ :1 ~~ Test Results ~ il ~ Fail P~s Fail Pass Fail W,t,~Leve~ ~ ~ .~Ot OV~ ~O ~ Sign,t,~ Test, sults ai' s,,nat re Rev. 11/01 ~ite - OrigMal Yellow -Mco Envkomental Compli~ce P~ - Con~ctor Underground Storage Tank System Turbine Sumps, Fill Sumps and Under Dispenser Containment Secondary Containment Certification Form Page__ of Facil!ty#:(_e)\C~oC~City: ~C~0.~_~['~ Testing Contractor: ~~~ ~~TestDate: Facility Address: /'~/ ~~~~ ~ ~. Contractor Address: ~ ~ ~~ Tech. / Turbine Sumps ~s9 9~ ~ ~ 89 91 D ~ 89 91 D S7 ~89 ~ D Fill Sumps a7 89 ~ D ~ 89 91 D ~ 89 91 D ~ 89 91 D ID(no~h, slave, etc.)~/ . ~C~ ~ ~ ~Cqv~ i ~~ ID(no~h, slave, etc.) Manufacturer ~~ ~1~ Manufacturer Start Time (t0) '37~ ~: ~O ~: t%- ~q Start Time (to) Water Level ~OO OD~ ~O ~(~(~ Water Level Time (h)~ .~. ~. V ~ ~ q f I ~; [ ~ ~ ~ 3 ~ Time (tO t WaterLevel . ~ 0 I , ~0 { ~O ~ ~[] WaterLevel Time (t2) ~ ~ i ~ ~ ~ I ~; ~ I ~ :.~ ~ Time (h) Water Level ,~ ~ [ .~ ~ I ~ ~ O Water Level Water Level ,~ ~ X ,(~ O ~ ~D % ~ O Water Level Time(tn) q * ~ ~ ;5~ t~V~n ~:~ ( Time(tn) Water Level ~ } '~ O ~ ~ ~ ~ ~ Water Level Test Results ~j. Fail ~ Fail ~ Fail ~ Fail Test Results ~ Fail ~ Fail ~ Fail ~ Fail Signature ~~ ~~ ~~~ Signature 1D (1/2, 3/4, etc.) ~ ~ff~ ID (1/2, 3/4, etc.) Manufacturer ~ / ~~ ~~c~' Manufacturer Start Time (to) ~o~ ~ :~ ~; ~ o ~"~ ~ Start Time (~) Water Level ~ ~ ~ OOb , ~ ~ 0 ~ o ~ Water Level Time (h) "~ ~ g ~: Oq ~; ~-- ~ ~ q Time (ti) Water Level ,~ ~ ~ -,~O I ~ o Water Level , ~e ~'~ Time(h) ~ i ~ ~ I I ~i~g ~;~ Time(h) Water Level -OO~ OOD ~ ,00~ ~0 Water Level Time (t3) ~' ~ ~ ~;I H ~ ~ ~ ~ ~ Time (B) Water Level , OOo ~ O ~ .~ ~ ~ Water Level Time (h) ~: 13 ~: ~ w ~5c{ ~ ~C[ Time (t4) Water Level .O~ O ~ t O~ ~ · ~ Water Level · Pa s P Rev. 11/01 ~ite - Original Yellow -Mco Envkomental Comvli~ce Pi~ - Con,actor ~ 01-ARE-003: Bakersfield Site List 12/27/01 ;)0371 2698 MT VERNON COLUMBUS/MT VERNON IBAKERSFIELD CA 93306 30583 3220 MING AVE WIBLE RD/MING AVENUE JBAKERSFIELD :CA 93304 31960 _[~I_7~I-B'I~UNDAGE LA~-~-~) "H" ST/BRUNDAGE~IBAKERSFIELD !CA 93304 33054 1129 UNION AVE CALIFORNIA/UNION AVE --'!BAKERSFIELD CA 93307 ::)3090 3333 UNION AVE 34TH/UNION BAKERSFIELD CA 93305 35365 4010 WlBLE RD WHITE LANE/WlBLE RD BAKERSFIELD CA 93309 35420 6450 WHITE LANE ASHE/WHITE LANE BAKERSFIELD CA 93309 35496 ~,800 FAIRFAX AUBURN/FAIRFAX BAKERSFIELD CA 93306 05526 1900 MON:FEREy BEALE/MONTEREY BAKERSFIELD CA 93305 05751 2800 PANAMA LANE DENNEN/PANAMA BAKERSFIELD CA 93313 36218 4203 MING AVE STINE/MING AVE BAKERSFIELD CA 93309 36353 3125 CALIFORNIA AVENU CALIFORNNOAK BAKERSFIELD CA 93302 06356 2301 F STREET 24TH/F BAKERSFIELD CA 93301 Page 1 · CERTIFICATE OF INSURANCE Name & Address: See Attachment 7.A and 80A for names and addresses of each covered UST location. Policy Number: Contact facility representative or Jeff Hall at MARSH (312-627-6000) for copies of all UST waste facility liability endorsement policy~ numbers. Period of Coverage: January 2002 through January 1, 2003 Name of Insurer: Insurance Company of North America Address of Insurer: 195 Broadway, New York, NY 10007 Name of Insured: BP America Inc. Address of Insured: 200 E. Randolph Drive, Chicago, IL 60601 Certification: 1. Insurance Company of North America, the Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tank(s): (see Attachments 7.A and 8.A) for taking corrective action and compensating third parties for bodily injury and property damage caused by accidental releases arising from operating the underground storage tank(s) identified above. The limits of liability are $ 1,000,000 per occurrence and annual aggregate $ 2,000,000, exclusive of legal costs, which are subject to a separate limit under the policy. This coverage is provided under (policy number). The effective date of said policy is January 1, 2002. 2. The Insurer further certifies the following with respect.to.the insurance described in Paragraph 1: a. Bankruptcy or insolvency of the insured shall not relieve the Insurance Company of North America of its obligations under the policy to which this certificate applies. b. The Insurer is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged thirdparty, with a right of reimbursement by the insured for any such payment made by the Insurer. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95280.102. c. Whenever requested by (a Director of an implementing agency), the Insurer agrees to furnish to (the Director) a signed duplicate original of the policy and all endorsements. d. Cancellation or any other termination of the insurance by the Insurer, except for nonpayment of premium or misrepresentation by the insured, will be effective only upon written notice and only after the expiration of 60 days after a copy of such written notice is received by the insured. Cancellation for nonpayment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of 10 days after a copy'of such written notice is received by the insured. ,~ · -_~. e. The insurance covers claims otherwise covered by the policy that are reported to the Insurer within six months of the. effective date of cancellation or nonrenewal of the policy except where the new or renewed policy has the same retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable, and prior to such policy renewal or termination date. Claims reported durin9 such extended reportin9 period are subject to the terms, conditions, limits, includin~ limits of liability, and exclusions of the policy. I hereby certify that the wording of this instrument is identical to the wordin9 in 40 CFR 280.97(b) (2) and that the Insurer is licensed to transact the business of insurance in one or more states. Authorized Representative of Insurer December 21, 2001 195 Broadway, New York, NY 10007 Address of Representative O bp Attachment 8.A Financial Assurance for Corrective Action and Third Party Compensation for Underground and Aboveground Storage Tanks Owned, Operated or Guaran~ed by BP Amoco Corporation or Subsidiaries Regulated by State Administered Programs Location: BP Amoco Chemical Company BP Amoco Chemical Company Chocolate Bayou Storehouse Alvin, Chocolate Bayou Storehouse TX Alvin, TX Capacity: 2,600 gallons 4,000 gallons Construction Material: FRP FRP Substance Stored: Diesel Fuel Gasoline Installation Date: 1982 1969 Location: BP Amoco Chemical Company Chocolate Bayou Administration Alvin, TX Capacity: 2,000 gallons Construction Material: Steel Substance Stored: Emergency. Diesel Fuel Installation Date: 1982 Location: BP Amoco Corporation BP Oil Company Naperville Site Toledo Refinery Naperville, IL Oregon, OM Capacity: (see tank listing at office) 10,000 gallons Construction Material: Fiberglass Substance Stored: Installation Date: 1990 Location: Amoco Production Company Amoco Production Company 4502 E. 41st. St. 4502 E. 41st. St. Tulsa, OK Tulsa, OK Capacity: 40,609 gallons 40,609 gallons Construction Material: Substance Stored: Diesel Fuel Diesel Fuel Installation Date: Location: Amoco Production Company ;~o Production Company Tulsa, OK 4502 E. 41st. St. Tulsa, OK Capacity: 10,000 gallons 500 gallons Construction Material: Substance Stored: Diesel Fuel Waste Oil and Oily Water Installation Date: 1991 Location: Amoco Production Company Amoco Production Company 7575 N. Lakewood Earth Science Lab Tulsa, OK 11611 West Little York Houston, T9( Capacity: 3,000 gallons 4,000 gallons Construction Material: Fiberglass Substance Stored: Diesel Fuel Diesel Fuel Installation Date: 1984 Location: Amoco Production Company, Westlake I 501 Westlake Park Blvd. Houston, TX **Shirley Tse, MARSH, maia~ains Capacity: 10,000 gallons copies of ALL UST facility Construction Material: Fiberglass liability endorsement policies. Substance Stored: Diesel Fuel 312-62T-6247'* Installation Date: 1982 Page 17 2001 Financial Assurance 12/28/01 Attachment 8.A (continued...) Financial Assurance fOr Corrective Action and Third Party Compensation for Underground and Aboveground Storage Tanks Owned, Operated or Guaranteed by BP Amoco Corporation or Subsidiaries Regulated by State Administered Programs Location: ARCO BP Exploration (Alaska) Inc. California, Nevada, Washington, Anchorage, Alaska Arizona, Utah and Oregon UST facilities Capacity: (see tank listing at regional 4,000 gallons Construction Material: office) Fiberglass Substance Stored: Installation Date: 1984 Location: BP Exploration (Alaska)~ Inc. Amoco Pipeline Anchorage, Alaska Bryan, Texas 15,000 gallons Capacity: Fiberglass Construction Material: (see regional office for tank Substance Stored: 1984 listing) Installation Date: Location: BP Chemicals BP Chemicals Green Lake Facility Green Lake Facility Port Lavaca, TX Port Lavaca, TX Capacity: 7,600 gallons 7,600 gallons Construction Material: Fiberglass reinforced plastic Fiberglass reinforced plastic Substance Stored: Unleaded Gasoline Diesel Fuel Installation Date: 1981 1981 Location: BP Amoco Chemical Co. any Joliet Truck Terminal Joliet, IL Capacity: 10,000 gallon **Shirley Tse, MARSH, maintains Construction Material: Fiberglass copies of ALL UST facility Substance Stored: Diesel Fuel liability endorsementpolicies. Installation Date: 1993 312-627-6247'* Page 18 2001 Financial Assurance 12/28/01 Endorsement Number 4 Name: Underground Tank Endorsement Address: Per list attached Policy Number: Claims Made PLIG 20308175 Period of Coverage: 1/1/2002 - 1/1/2003 Insurer: INA Surplus Insurance Company Address: 1601 Chestnut Street Philadelphia, PA 19101-1484 Name of Insured: BP America Inc. Address of Insured: Mail Code 2304 200 East Randolph Drive Chicago~ Illinois 60601-7125 1. This endorsement certifies that the policy to which the endorsement is attached provides liability insurance coverage for the following underground storage tanks in: Per list attached for taking corrective action and/or compensating third parties for bodily injury and property damage caused by either sudden accidental releases or non-sudden accidental releases or accidental releases. The limits of liability are $1,000,000 each occurrence $2,000,.000. annual aggregate exclusive of legal defense costs This coverage is provided under policy number Claims Made PLIG 20308175 The effective date of said policy is January 1, 2002 2. The insurance afforded with respect to such occurrences is subject to all of the terms and conditions of the policy, provided however, that any provisions inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby amended to conform with subsections (a) through (e). a. Bankruptcy or insolvency of the insured shall not relieve iNA Surplus Insurance Company of its obligations under the policy to which this Endorsement is attached. b. INA Surplus Insurance Company is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged.third-party with a right of reimbursement by the insured for any such payment made by INA Surplus Insurance Company. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another ~ mechanism or combination of mechanisms as specified in 40 CFR 280.95-280-102. c. Whenever requested by a director of an implementing agency, INA Surplus Insurance Company agrees to furnish to the Director a signed duplicate original of the policy and all endorsements. d. Cancellation or any other termination of the insurance by INA Surplus Insurance Company will be effective only upon written notice and only after the expiration of 60 days after a copy of such written notice is received by the insured. e. The insurance covers'claims for any occurrence that commenced during the term of the policy that is discovered and reported to INA Surplus Insurance Company within six months of the effective date of the cancellation or termination of the policy. I hereby certify that the wording of this instrument is identical to the wording in 40CFR 280.97Co) (1) and that INA Surplus Insurance Company is licensed to transact the business of insurance or eligible to provide insurance as an excess or surplus lines insurer in one or more states. 'Rbbin.R. Soss Assistant Vice President AGE Excess & Surplus Insurance Services, Inc. 1601 Ghestnut Street Philadelphia, PA 19101-1484 ARCO ^.co ProductOmpany  4 Centerpointe Drive La Palina, California 90623-1066 Mailing Address: Box 5077 :, -. Buena Park, California 90622-5077 ,~" ~ t. , ,~:~ / ?~i" ' ".Ii' October 12, 2001 CERTIFIED MAIL #: 7000 1530 0004 6959 0847 KERN COUNTY ENVIRONMENTAL HEALTH 2'700 'iM" S:I;., STE. 300 BAKERSFIELD, CA 93301 RE: TANK~LINE~LEAK DETECTOR AND MONITOR CERTIFICATION TEST RESULTS " ARCO Facility No.: 1960 Facility Address: 1701 Brundage Lane Bakersfield, CA This letter is to notify you that at the above facility the Tank/Line/Leak Detector and Monitor Certification Test passed the systems test as noted in the attached results. ARCO is committed to the compliance of all environmental laws that govern the safe operations of our facilities. Feel free to call me at (714)-670-5402. Sincerely, Carlos Rodriguez Environmental Compliance Specialist APC-7076 ARCO Products Company is a Division of AtlanticRichfieldCompany (9-97) 1 ~' O~--a~-~ q e Co un'l; y Tank Tes~: 225 No. Loara Street, Anaheim, CA 92801 (714) 776-0300 TEI SYSTEM 4000 SUMMARY SHEET Precision Underground Storage Tank System Leak Test WOrm Owner:ATLANTIC RICHFIELD CO. 4 CENTERPOINTE DR. LA PALMA CA. 90623-1066 Date: 7-26-01 Site: ARCO # 1960 1701BRUNDAGE LANE BAKERSFIELD CA. Tank Product Tank Tank/Lines Product Line Leak # Description Capacity Rate/Result Rate/Result Detector UNLEADED 10,000 -.047 GPH -.003 GPH PASS UNLEADED 10,000 +.016 GPH -.003 GPH PASS UNLEADED 10,000 -.035 GPH -.003 GPH PASS PREMIUM 10,000 -. 043 GPH -. 004 GPH PASS Signature: ..~~ State License #: 93-1095 Technician Name: SCHWARTZ Comments: TANKS AND PRODUCT LINES ARE DOUBLE WALL. UNLEADED TANKS HAVE MANIFOLDED PRODUCT LINES WITH INDIVIDUAL TURBINES AND SIPHION LINE. SIPHION WAS TESTED AS PART OF TANK SYSTEM WITH ULLAGE TEST. A TEI ULLAGE TEST WAS PERFORMED ON TANKS, VENT, VAPOR AND SIPHION LINES. THE TEI ULLAGE TEST PASSED AT 1 PSI VACUUM. This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. 0 e ~lk Mechanical Leak Detector Test Data Sheet ~~rARCO products Company Station # /9'fg] Date 7!!!da!! 19 Address Test Information 1 2 3 4 5 ProdUct Manufacturer //offt~,/,os j k'e/,~/t~oo . P% fi'~'r/e'0 V~,/ ................ Model Full Operating Pressure (psi) Line Bleed Back (ml) ~TZ 0 22o 2 ~eo 2~ 0 Trip Time (sec) Metering Pressure (psi) F/E Holding Pressure (psi) Test Leak Rate (ml/min) (gph) PASS or FAlL /~ Replaced All Failed Leak Detectors Yes No __ N/A If No, Replacement To Be Completed By (Date) ! ! This letter certifies that the annual leak detector tests were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge tree and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By: Contractor Signature APC-3325 (8/96) .... · :/'~' ARCO'Products Company - , ' . . .' " 'i!.'This letier ci~rtifies that the monitor(s) is/are .in place, the probes are in correct POS. ition and the syst.em is operating ~roperlY'.'·'" .' ?/~ /~ $iation # ';:~ '/~'~'~'~ ' Date ~ / ~ ' -19 Address' . /?Y/ //,a,,~q/¢,~ e' t/o, Type. Inspection: :. ..... /'f,~/~ e ~5~'~/.~ .... '" An'nual " permit :' : Recheck Leak Type & Model of Monitor /./er~'*'t~ll 7'/~ -J.co System Function Tanks Annular Space In Tank Pass Fail N/A Pass Fail N/A Regular '= X, --~ 7 ...... X'- ..... Supreme . rv 5'~' ' Waste Oil Other ,,C,~,~ x ~' .. Product Lines Turbine Sump In-Line Fill Sump " ' " pass Fail N/A Pass Fail N/A Pass Fail .. N/A Regular ~ "' )' . X ........ ~e/~,~ tv .... ~' ~' " Supreme ~' .. '* <* .... Waste Oil .. '" Other 'K~ X a '~ . When monitor is turned off or in alarm, is there positive shutdown of turbines? YesX No. ~._. If No, were precision product line tests performed? Yes No Monitor Panel Is the monitor panel mounted and labeled correctly? Does monitor alarm horn function properly? Is panel accessible and visible to station personnel? Replaced all failed probes? Yes No ~ N/A ~ If No, probes to be replaced/repaired by (Date) : . Inspected By: Contractor Technician ., Signature _ D October 31,2001 Mr. Carlos L. Rodriguez Atlantic Richfield Company P O Box 5077 ~,E C.~EF Buena Park, Ca 90622 5077 RON FRAZE ADMINISTRATIVE SERVICES RE: Intent to Make a Determination that No Further Action is Required 2101 "H" Street Bakersfield, CA 93301 or Issue a Closure Letter for Arco #1960 at 1701 Brundage Lane in VOICE (661) 325-3941 Bakersfield FAX (661) 395-1349 SUPPRESSION SERVICES Dear Mr. Rodriguez: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 This letter is to inform you that the City of Bakersfield Fire FAX (651) 395-1349 Department, Office of Environmental Services, intends to make a PREVENTION SERVICES determination that no further action is required at the above site or to issue 1715 Chester Ave. Bakersfield, CA 93301 a closure letter. Please notify this agency of any input and VOICE (661) 326-3951 recommendations you may have on these proposed actions within 30 days. FAX (661) 3264)576 ENVIRONMENTAL SERVICES In accordance with section 25297.15 of Chapter 6.7 of the Health 1715 Chester Ave. Bakersfield, CA 93301 8~ Safety Code, you must provide certification to the local agency that all VOICE (661) 326-3970 FAX (661)3264)576 current record fee title owners have been informed of the proposed action. Please provide this certification to the City of Bakersfield Fire ~R^ININ~ ~IVlSION Department, Office of Environmental Services within 30 days. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661)399-4697 If you have any questions about these proposed actions, please FAX (661) 399-5763 contact me at 661-326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services cc: J. Whiting, RWQCB S:'!USTFORMS\UST. L7 D October 31, 2001 FIRE CHIEF RON FRAZE Mr. Carlos L. Rodriguez Atlantic Richfield Company ADMINISTRATIVE SERVICES P O Box 5077 2101 "H" Street Bakersfield, CA 93301 Buena Park, Ca 90622 5077 VOICE (661) 320-3941 FAX (661) 395-1349 RE: New Landowner Notification and Participation Requirements SUPPRESSION SERVICES for Arco #1960 at 1701 Bmndage Lane in Bakersfield. 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Mr. FAX (661) 395-1349 l~OUrl~llez; PREVENTION SERVICES This letter is to inform you of new legislative requirements 1715 Chester Ave. Bakersfield, CA 93301 pertaining to cleanup and closure of sites where an unauthorized release of VOICE (601) 320-3951 FAX (6el)326-0576 hazardous substance, including petroleum, has occurred from an underground storage tank (UST). Section 25297.15(a) of Ch. 6.7 of the ENVIRONMENTAL SERVICES Health & Safety Code requires the primary or active responsible party to 1715 Chester Ave. Bakersfield, CA 93301 notify all current record owners of fee title to the site of: 1) a site cleanup VOICE (601) 326-3979 FAX (661) 326-0570 proposal 2) a site closure proposal 3) a local agency intention to make a determination that no further action is required, and 4) a local agency TRAINING DIVISION intention to issue a closure letter. Section 25297.15(b) requires the local 5842 Victor Ave. Bakersfield, CA 93308 agency to take all responsible steps to accommodate responsible votcE (6011399-4097 FAX (661)399-5763 landowners' participation in the cleanup or site closure process and to consider their input and recommendations. For purposes of implementing these sections, you have been identified as the primary or active responsible party. Please provide to this agency, within twenty (20) calendar days of receipt of this notice, a complete mailing list of all current record owners of fee title to the site. You may use the enclosed list of landowners form (sample letter 2) to comply with this requirement. If the list of current record owners of fee title to the site changes, you must notify the local agency of the change within twenty (20) calendar days from when you are notified of the change. Landowner Notifiaction Page 2 If you are the sole landowner, please indicate that on the landowner list form.- The following notice requirements do not apply to responsible parties who are the sole landowner for the site. In accordance with Section 25297.15(a) of Ch 6.7 of the Health & Safety Code, you must certify to the local agency that all current record owners of fee title to the site have been informed of the proposed action before the local agency may do any of the following: 1) consider a cleanup proposal (corrective action plan) 2) consider a site closure proposal 3) make a determination that no further action is required 4) issue a closure letter You may use the enclosed notice of proposed action form (sample letter 3) to comply with this requirement. Before approving a cleanup proposal or site closure proposal, determining that no further action is required, or issuing a closure letter, the local agency will take all reasonable steps necessary to accommodate responsible landowner participation in the cleanup and site closure process and will consider all input and recommendations from any responsible landowner. Sincerely, Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dm enclosures S:\USTFORMS\UST. L4 ~ample Letter (2): List of Landowners Form Date: City of Bakersfield Fire Department Office of Environmental Services c/o Howard H. Wines, III 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Certified List of Record Fee Title Owners for Site name Site address Fill out item 1 if there are multiple site landowners. If you are the sole site landowner, skip item 1 and fill out item 2. 1. In accordance with section 25297.15(a) of Chapter 6.7 of the Health & Safety Code, I, Name of primary responsible party certify that the following is a complete list of current record fee title owners and their mailing addresses for the above site: 2. In accordance with section 25297.15(a) of Ch. 6.7 of the Health & Safety Code, I, Name of primary responsible party certify that I am the sole landowner for the above site. Sincerely, Signature of primary responsible party Name of primary responsible party Sample Letter (3) Notice of Pro . Action Submitted to Local Agency Date: City of Bakersfield Fire Department Office of Environmental Services c/o Howard H. Wines, III 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Notice of Proposed Action Submitted to Local Agency for Site name Site address In accordance with section 25297.15(a) of Ch. 6.7 of the Health & Safety Code, I, , certify that I have notified all Name of primary responsible party responsible landowners of the enclosed proposed action. Check space for applicable action(s): cleanup proposal (correcti~ve action plan) site closure proposal local agency intention to make a determination that no further action is required. local agency intention to issue a closure letter. Sincerely, Signature of primary responsible party Name of primary responsible party · CC: (Names and addresses of all record fee title owners) CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME I~X't,/_^r~0uV~ /x.M. A~(o INSPECTION DATE ADDRESS PHONE NO. ,,~l ~ 7o~ I ~ FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine [~ Combined [~ Joint Agency [~ Multi-Agency ~.j Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand L/ J Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~ / Verification of quantities ~ / Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ~,~j l Containers properly labeled ~ Housekeeping {,// Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: I~ Yes ~..~o .---_ Questions regarding this inspection? Please call us at (661) 326-3979 '- Bu~mess~g~'t~ !~,. s~onsiblg Party ./// White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: _ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~_l'Ot~l.~. k~ ~r~t~ INSPECTION DATE Section 2: Underground Storage Tanks Program ~ Routine ~ Combined [] Joint Agency ~ Multi-Agency q[] Complaint [] Re-inspection Type of Tank {900 ~' Number of Tanks Type of Monitoring ¢/.../1~ Type of Piping .//](O.t~' OPERATION C V COMMENTS Proper tank data on file ~ Proper owner/operator data on file [.,,, / Permit fees current Certification of Financial Responsibility ~ Monitoring record adequate and current 1~ / Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~ (~ ~~'~ ~~_~. Office of Environmental Services (805) 326-3979 Bus~ness S~Responsible Party White - Env. Svcs. Pink - Business Copy ARCO AI"I.I::f"I 1960 1701 BR'UND~4,::;E LANE ' "" BAKERSF I ELD...~ OCT 17. 21301 10:41 AN S'¥'STEP1 ,~ ~T J,o REPORT ~LL FUNCTIONS NORP1AL INVENTORY REPORT T I:UNL PlaIN SOUTH VOLUPlE = 4871 GALS ULLAGE = 481:3 G&LS 90% ULLA~F~ 3844 G~LB' TC VOLIJP1E~;~,- 4784 GALS HEIGHT ~ 44.67-~ I ACHES b,tRTER VOL ~ 17 GRL~ b,laTER ~ 0 .-80 Il'{ TEPIP - 85.J D~ T 2:UNL SI. AVE I CENTER ',,/OL UHE = 4742 GALS ULLF~GE = 4942 GALS 90% ULLAGE= ',397',3 GALS TC VOLUHE = 4660 L-¥4LS HEIGHT = 4:3.77 INCHE~ MATER = 0.80 INCHES I TEPlP = 84.4 DEG F T 3:UNL SI. AVE 2 NORTH VOLUME = 5043 GALS ULLt4GE = 4641 GALS 90% ULLAGE= '3672 GALS TC VOLUP1E = 4967 HEIGHT = 45.B7 ~,J~TER VOL 16 bdaTER = 0.77 INCHES TEPIP = 81.2 DEG T 4: PREI,'I I UH \/OLUI"IE = ;3196 GALS ULLAGE = 4883 GALS 913~4 ULLAGE-- 4075 GALS TC VOLUI'IE = 3152 GALS HEIGHT = 32.72 INCHES i,dATER VOL = O G~LS t,,IATER = 0.00 INCHES TEP1P = 79.2 DEG F I't~NIFOLDED TANKS INVENTORY TOTALS T 1 :UNL PLAIN SOUTH T 3:UNL SLAVE 2 NORTH VOLUP1E = 9913 TC \,,'OLUI'IE = 9751 GA~ :,._...~ ~ ~ ~ ~ ,~ END ~ ~ CITY OF BAiO~RSFIELD --~cJ ~ o~}~ICE oF ]~NVmO~VmNTAL S~;itVICES IfNDERGROUND STORAGE TANK PROGRAM IU/I{S Chester Ave,, Bakersfield, CA (805) 326 $9?9 APPLICATION TO PERIYORM A TANK TIGRTNE$S TEST ~ClLI~¥ ~ /a~_~ ....... OPE~T~S N~ ~ '~ ............. T~ ~ VOL~ CON~S 'r~ms,mOco~~ ~~ ~" ~~ ~'~ 1 O~"a.n q e Count ¥ Tank Test inq 225 No. Loapa Street, Anaheim, CA 92801 (714) ?76-0300 TEI SYSTEM 4000 SUMMARY SHEET Precision Underground Storage Tank System Leak Test WOlf= ~:~418. Owner: ATLANTIC RICHFIELD CO. 4 CENTERPOINTE DR. LA PALMA CA. 90623-1066 , Date: 7-26-01 County: KERN Site: ARCO # 1960 1701BRUNDAGE LANE BAKERSFIELD CA. Tank Product Tank Tank/Lines Product Line Leak # Description Capacity Rate/Result Rate/Result Detector UNLEADED 10,000 -.047 GPH -.003 GPH PASS UNLEADED 10,000 +.016 GPH -.003 GPH PASS UNLEADED 10,000 -.035 GPH -.003 GPH PASS PREMIUM 10,000 -. 043 GPH -. 004 GPH PASS Signature: ~~ . State License #: 93-1095 Technician Name: SCHWARTZ Date: Comments: TANKS AND PRODUCT LINES ARE DOUBLE WALL. UNLEADED TANKS HAVE MANIFOLDED PRODUCT LINES WITH INDIVIDUAL TURBINES AND SIPHION LINE. SIPHION WAS TESTED AS PART OF TANK SYSTEM WITH ULLAGE TEST. A TEI ULLAGE TEST WAS PERFORMED ON TANKS, VENT, VAPOR AND SIPHION LINES. THE TEI ULLAGE TEST PASSED AT I PSI VACUUM. This precision tank testing system exceeds the'criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. TEI ~Y~TEM 4000 ANALY~I~ ~H~T TANK INFORMATION: P~oduct : / -~UNLEAD Date: 07/26/01 Capacity : 10000 Time: 04:34:21 PRODUCT I NFORMAT I ON: Diametep (in.) : 90 P~oduct Level (in.) : 73" above tank bottom. ~ = 86.9 Specific G~avity : 0.750 Coef. of Expansion : 0. 0006593 Wate~ on Tank (in.) : 0" above tank bottom. Starting Temp. (F) : 74.917 Resolution (Gallons): 0.0021138 Head PY'essupe (PSI) : 2. · at tank bottom Delta Temp. (F/Hp.) : -0. 0002 COMPUTER ANALYSIS RESULTS: Level Rate (GPH) = -0.048 Temp. Rate (OPH) = -0.001 Final Rate (GPH) = -0. 047 iL ........... I I I I I:.! L SYSTEM 4000 ANALYSIS SHEET TANK INFORMATION: P~oduct : % ~,,UNLEAD Date: 07/26/01 Capacity : 10000 Time: 04:34:21 PRODUCT I NFORMAT I ON: Diameter (in.) : 90 Product Level (in.) : 72" above tank bottom. % = 85.8 Specific G~avity : 0. 750 Coef. of Expansion : 0. 0006505 Water on Tank (in.) : 0" above tank bottom. Stapting Temp. (F) : 89. 148 _ ~ Resolution (Gallons): 0.00~6111 Head P~essupe (PSI) : ~.0 at tank bottom Delta Temp. (F/He.) : 0.001~ COMPUTER ANALYSIS RESULTS: Level Rate (GPH) = 0.0~ Temp. Rate ~ (GPH) = 0. 006 Final Rate (GPH) = 0.016 TEI SYSTEM 4000 ANALYSIS SHEET WO~ 24 1 TANK INFORMATION: P~oduct : ~ ~.UNLEAD Date: 07/26/01 Capacity : 10000 Time: 04:~4:21 PRODUCT I NFORMAT I ON: Diametee (in.) : 90 Ppoduct Level (in.) : ?~" above tank bottom. ~ = 85.8 Specific Gpavity : 0. Coef. of Expansion : 0.0006503 Watee on Tank (in.) : 0" above tank bottom. Sta~tinB Temp. (F) : 90. Resolution (Gallons): 0.0036111 Head P~essu~e (PSI) : ~.0 at tank bottom Delta Temp. (F/Hp.) : 0. 0004 COMPUTER ANALYSIS RESULTS: Level Rate (GPH) = Temp. Rate (GPH) = 0. Final Rate (GPH) = -0. 035 £ p L 0 30 ~A AA ~ on ~ ~n SYSTEM 4000 ANALYSIS SHEET TANK INFORMATION: Product : 'z/ i.~REMIUM Date: 07/~6/01 Capacity : 10000 Time: 04:34:~1 PRODUCT INFORMATION: Diameter (in.) : 90 Product Level (in.) : 58" above tank bottom. % = 68. 1 Specific Gravity : 0. 750 Coll, of Expansion : 0.0006497 Watep on Tank (in,) : 0" above tank bottom. Stapting Temp. (F) : 90. 468 Resolution (Gallons): 0.0043333 Head P~essu~e (PSI) : 1.6 at tank bottom Delta Temp. (F/H~.) : -0. 0003 COMPUTER ANALYSIS RESULTS: Level Rate (GPH) = -0. 044 Temp. Rate (GPH) = -0. 001 Final Rate (6PH) = -0. 043 [ ,~.L ....................... L ............................................ I iii ii i ii 0 30 60 90 120 150 Time-minute DATA CHART STATION NUMBER_ /~'O For Use W~h 2/~/~/ ~c~m~_r'.Oran~e~ '~o. Tank Testin~ Martin SchWartz E*C. LINE ~ 12 T~ME J 13 ~OG OF TEST mAOC~D~A~ ,,. , .... , , ..... TESTED i (MILITARY) ARCO Products Company Station # /~'ffd Date ?AgA/ 19 Address Test Information 1 2 3 4 5 Product Manufacturer Model Full Operating Pressure (psi) Line Bleed Back (ml) ye 0 2 ?o ? ,eO 2 tt 0 \. Trip Time (sec) Metering Pressure (psi) F/E Holding Pressure (psi) Test Leak Rate (ml/min) (gph) PASS or FAIL Replaced All Failed Leak DetecWrs Yes ~ No ~ N/A If No, Replacement To Be Completed By (Date) / / This letter certifies that the annual leak detector tests were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge tree and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By: Contractor ~r~ Technician Signature ~P~-~5 ~ B_AI~E~ RS FIELD CITY I=IRE DE P ~A~TM. ~T O~E OF ENVIRONMENTAL ~CES INSPECTION RECORD .... POST CARD AT JOBSITE T~S AND BACKFILL BicKm c~ Tm) PIPING SYSTEM ~ Prcmcion of ~=~ng. ~. ~tl p~ ~ Isoilon of ~ From ~ ~ - T~m) ~~ ~.~. ~v~v~ , FINAL I Monm3mg we~. Cam & Loc:~ 04/09:01 15:31 ~661 326 0576 BFD HAZ )IAT DIV Crl~ OF BAKERSFIELD OFFICE OF ENVLRONME~AL SERVICES 1715 Chester Ave., Bakersfield, CA ($05) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE QF AJ~LICATION (CHECK) [ ]l~W FACILITY ..[~:]MODIFICATION OF FACILITY [ JNEW TANK INST~L~ATION AT EXISTING FACILITY FACILrrYNAME '~7 ~, /~,-~"d~ f,5*c ~ EXISTING FACII/i%', P~ NO. FACILITYADDRF~ ---/i7o; ~vv,~i[c,~ ~, CITY ~;~(q'/~/q~/at ZIPCODE_~3Y~/ TYPE OF BUSINES8 t?c~i/ /v~o/,',~ f~/~r_ PHoNIi-API~ ~)NO.{'7 TANKOWNER 29-~_Co gz~ri,~ to - WOP, KMA~eOMP~O..' ,~,[~. _ ~ ~N~ ...... BRIEFLY DESCRIBE ~ WORK TO BE DONE o,'~?~rt~,~f ~m~_ br~t D~ TO ~O~ WA~ m~ ~ ~~ AT S~ NO. OF T~ TO ~ ~T~ ~ ~FOR MOtoR ~ s __ ~~O s~ eu~o~ COBOL ~ co~ ~~ ~ oS ~ ~ ~o ~ON~O~ ~OS~ T~ NO. VOL~ ~~ ~O~ P~ D~ A~ ~, . tote ~ _ ~ ~ iorZ ~ ~ ~C~ON ~R NON MOTOR~~O~Og T~ T~ ~O. VOL~ ~~ STO~ C~ NO. C~ ~OU~Y STO~ . ........ ~O m ~) ~ ~O~ FOR OFFICIAL USE ONLY THE APPLICANT HAS RECEIVED, UNDI~,.~TAND~, ,aND WILL COMPLY WITH ~ ATTACHED CONDITIONS OF ~ PERMIT AND~ANY OTH]~ STAT~ LOCAL AND FI/DI~AL REOULATION$. THIS FORM HAS BF~N COMPLEIED UNDI~ PJ~ALTY OF PEI~IUKY. AND TO THI/BF~T OF MY KlqOWLEEK;E. IS ~; " APPLICANT NAM~ (PRINT) APPLICANT SIGNATURE '"~ APPLICATION BECOMES A PEI~M][T WHEN APPROVED January22,2001 FIRE CHIEF RO~ ~RAZE AM/PM 1701 Brundage Lane ADMINISTRATIVE SERVICES Bakersfield Ca 93304 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update SUPPRESSION SERVICES 2101 "H" Street Bakers!ield, CA 93301 Deal' Underground Storage Tank Owner: VOICE (661) 326-3941 FAX (661) 395-1349 You will be receiving updates fi.om this 'office now, and in the future with PREVENTION SERVICES regard to the Senate Bill 989, which went into effect January 1, 2000. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (66?) 326-0576 This bill requires dispenser pans under fuel pump dispensers. On · December 31, 2003, which is the deadline for compliance, this office will ENVIRONMENTAL SERVICES be forced to revoke your permit to operate, effectively shutting down your 1715 Chester Ave. Bakersfield, CA 93301 fueling operation. VOICE (661) 326-3979 FAX (661) 326-0576 It is the hope of this office, that we do not have to pursue such action, TRA~N'NG OIVISION which is why this office plans to update you. I urge you.to Start planning 5642 Victor Ave. Bakersfield, CA 93308 now to retro-fit your facilities. VOICE (661) 399-4697 FAX (661) 399-5763 If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector Office of Environmental Services SBU/dm CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS I"t0 I FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~l Routine [~Combined [~l Joint Agency [~l Multi-Agency [~l Complaint [~l Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address to/ Correct occupancy Verification of inventory materials Verification of quantities Verification of location /' Proper segregation of material Verification of MSDS availability / Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection ~/ 5tra,,t_, f~,"~t~C, tH$~t t"' Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~ Yes [~ No Questions regarding this inspection? Please call us at (661) 326-3979 Business S~[e ~esponsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~.p0~da,ot. ~o.~t_, J~ {)l~x. INSPECTION DATE I0 [i,~]OQ Section 2: Underground Storage Tanks Program [] Routine [~ombined [21 Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank Ot0~' Number of Tanks ~ Type of Monitoring ~t..~ Type of Piping DOJ~ OPERATION C V COMMENTS Proper tank data on file -~/ Proper owner/operator data on file Permit tees current Certification of Financial Responsibility i,// Monitoring record adequate and current Maintenance records adequate and current / Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? lfyes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: .~d~ ~P'-'PO ~(~~'~~k.Q~ Omce of Environmental Services (805) 326-3979 ' Bus~ness'~t~ Responsible Party White - Env. Svcs. Pink - Business Copy 10{~,3/2000. ~ ~' ... 0~: 37 714~,7051~'· ,' HSE DEPT. .... P.~GE 02/03 ~, Mechanical Leak Detector Test Data Sheet ~~ARCO Prodm Is Company Test Information 1 2 3 4 5 Product Manufacturer Model 'Full Operating Pressure (psi) Line Bleed Back (ml) Trip Time (sec) Metering Pressure (psi) F/E Holding Pressure (psi) ~.~ Test Leak Rate (ml/min) cass r m. Replaced All Failed Leak Dete¢ tots Yes No N/A If No, Replacement To Be Con pleted By (Date) . / ! This letter certifies that the a mual leak detector tests were performed at the above referenced fac/.lity according to the equipment m [nufacmrers procedures and limitations and the results as listed are to my knowledge tree and correct. ~I ae mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at PSI. 1~3/2000,_..~ , 09:37 714670 ~0 .., HSE DEPT pAGF' 03/03 Monitor Certification Inspection ~' ARCO Produc s Company This letter certifies that the onitor(s) is/are in place, the probes are in correct Position and the system is operating pro~¢~ Station # Date .~'-,~/~5~ 19 Address .~-~:~_~fi~--~~. Type Inspection: Recheck Leak Type & Model of Monitor .... ~,,-t~ System Function Tanks .,~nnul~J; Space In Tank  I. N/A Pass Fail N/A Midgrade Supreme Waste 0/1 - Other ~f~:. ~//,~,F,.~ I ........ Product TEen_es Turbine ~.~.~ In-Line Fill Sump ,Pa~ N/A Pass Fail N/A Pass Fail N/A Midgrade ?,,~:2~. Supreme t/ ----~. Waste 9)1 ~- Other~.5-.~~----- ~ .. When ~onitor is turned off or alarm, is there positive shutdown of turbines. Yes If No, were precision product e tests performed? Yes__ NoT~" Monitor Panel Is the monitor panel mounted an labeled correctly? Does monitor alarm horn functie Properly? Is panel accessible and visible to itation personnel? Replaced all failed probes? 'es .. No .~ N/A ~ If No, probes to be replaced/rep~ rea by (Date) / / Inspected By: Con actor ~ ~.~ Tecl' fician Sign ~ure CITY OF BAKERSFIELD · 171'5 Chester Ave., Bakersfleld,~A 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank I. FACILITY IDENTIFICATION NAME (S~me .s FACIUTY NAME ot O~A - ~ ~ A~) ,~-co ~=,~c~ ~ ~ ................... II. INSTAL~ON " ~ ~l ~at ~ * ~e ins~ller has ~en ~ by ~e ~nk and piping man~um~. The ins~llaUon has been ins~ and ~ by a r~ister~ professional engineer. The ins~llaUon has ~en ins~ a~ appmv~ by ~e Ci~ of Bake~field ~ of Envimnmen~l Se~s. ~1 ~ list~ on ~e man~mCs ins~l~on chec~ist has ~en ~mp~t~. ~e ins~llaUon ~n~or has ~n ~ or Ii~ns~ by ~e ~n~om S~te Li~nse ~a~. ~o~er me~ ~s u~ as allow~ by ~e C~ of Bake~fleld ~ of Envimnmen~l Sewi~s. Iden~ meth~: III. TANK OWNER/AGENT SIGNATURE SIGNATURE OF TANI( OWNEI~AGENT DATE .'J64 !-~UT,~--OF--T')uT~k~~:~..I~AOF. NT (j~m) ~' 4eS Tm.E OF TANK OWNE/~A~.~r .................. CITY OF BAKERSFIELD OI/CE OF ENVIRONMENTAL ~I~RVICES Chester Ave., Bakersfleld,q~'A 93301 32 -3s79 UNDERGROUND STORAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILITY IDENTIFICATION BUSINE~ NAME (~ as FACI~ N~ ~' O~A - ~ ~ A~) II. INSTAL~ON ~e ins~ller has ~en ~ by ~e ~nk and piping man~umm. The ins~llaflon has been ins~ and ~fi~ by a r~ister~ professional engineer. The ins~llafion has ~en ins~ a~ appmv~ by ~e Ci~ of Bakemfield ~ of Envimnmen~l Sewi~s. NI ~ list~ on ~e man~m(s ins~llaflon chemist has ~en ~mp~t~. ~e Ins~llaflon ~n~or has ~n ~ or Ii~ns~ by ~e ~n~om S~te Li~nse ~a~. Ano~er me~ ~s u~ as allow~ by ~e C~ of Bakemfleld ~ of En~mnmen~l Sewices. Iden~ meth~: IlL TANK OWNERJAGENT SIGNATURE NAME OF TANK OWNER/AGENT (l;~nt) 46,t TTTLE OF TANK OWNER/AGENT "'~' .............. CITY OF BAKERSFIELD __.~~. OiICE OF ENVIRONMENTAL'RVICES ~ 71'5 Chester Ave., Bakersfleld,'~A 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILITY IDENTIFICATION 8U$1NE,~ NAME (~m~ as FAClI,~ NAME et I~ - Doing ~ A~) FACIUTY ID # # ~ II. INSTALLATION Check all that apply * n The Installer has been certified by the tank and Piping manufacturers. E] The installation has been inspec~,~l and certified by a registered professional engineer.  The installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. ~ All work listed on the manufacturer's installation checklist has been completed. - ~ The installation contractor has been certified or licensed by the Contractors State License Board. I~ Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify_ method: III. TANK OWNER/AGENT SIGNATURE ~-~ ~~-~.%~--'--.---"~--~-~'-'-' ... ~ ~--~ ~ ........................ ~ ~ ~ T~ ~AG~ ............. . -~-~'~'~ ~' [ ~//'~ ~_. ~~ ~~~ ............ CITY OF BAKERSFIELD ~.~~ O'CE OF ENVIRONMENTAL iRVICES ~ 17~5 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILITY IDENTIFICATION BUSINES~ NAME (~ at FAGII~ NAME ot I~A. ~ ~ Aa) D ~e ins~ller has been ~ by ~e ~nk and piping man~urem. The ins~llaflon has been ins~ and ~fi~ by a r~ister~ professional engineer. The ins~llaflon has ~en ins~ a~ appmv~ by ~e Ci~ of Bakemfield ~ of Envimnmen~l Sewi~s. NI ~ list~ on ~e man~m(s ins~l~flon chemist has ~en ~mplet~. ~e ins~lla~on ~n~or has ~n ~ or Ii~ns~ by ~e ~n~om S~te Li~e ~a~. Ano~er meffi~ was u~ as allow~ by ~e C~ of Bakemfleld ~ of Envimnmen~l Sewi~s. Iden~ meth~: III. TANK OWNER/AGENT SIGNATURE ~-~'~'; 'i)J~'~-~'.~-' T-GTE ........................ r-~Mdr= OFTANK~'~iA-(~~) 48.1 t ~. T~ --E~-- ~~ ............. __ .... 171 hester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY FYPE OF ACTION [] l, NEW SITE PERMIT r-1 3. RENEWAL PERMIT [] 5. CHANGE OF INFORMATION (~oec/f~ c/~ange. ~ 7. PER~NENTLY CLOSED SITE (Check one ,~m on/y) ~ 4. AMENDED PERMIT local use only) ~ 8. TANK RE~VED ~ 8. TEM~RY SITE CLOSURE I. FAClLI~ I SITE INFORMATION ~. FACILI~ O~ER ~ ~ 4. LOlL AGENCY/DISTRIC~ INDIVIDUAL ~ 6. STATE AGENCY' BUSINESS ~ 1. ~S STATION ~ 3. FARM ~ S. ~MMERC~L ~ 3, PARTNERSHIP ~ 7. FEDE~L AGENCY' ~2. ~PE ~ 2. DISTRIBUTOR ~ 4. PROCESSOR ~ 6. O~ER II. PROPER~ O~ER INFO~A~ON ~ONE ~ILtNG OR STRE~ ~0RE~ CI~ 4~0. STATE 41L ZIP ~OE 412. PROPER~ O~ER ~ ~ 2. INDNI~ ~ 4. L~ A~/OI~RI~ ~ 6. STA~ AGEN~ 413. ~1. ~ 3. P~SHIP ~ 5. ~U~AGE~ ~ 7. FEDE~AG~CY III. TANK O~ER INFOR~ TANK O~ ~ 414.I~ONE 415. CI~ 417. STA~ 418. ZIP ~DE 419. TANK O~ER ~ ~ O 2, INDM~ O 4. LO~LA~I OlS~l~ O 6. STATE AGENCY 4~. ~TION ~ ~. P~ER~IP ~ 5. ~U~A~NCY ~ 7. FEDE~LAGE~Y N. BO~D OF EQ~HON ~T 8TO.GE FEE ACCOU~ NUMBER ' V. P~OEEU~ U8T FiNANc~L RE~NSlBI~" ' INDI~TE M~$) ~E~-INSUREO ~ 4. ~UR~ ~ND ~ t. ~TA~ ~NO ~ 10, LO~ A~r~ 2. ~EE ~ 5. ~R OF CREDff ~ 8. ~A~ ~ND & ~O ~ ~ ~. O~ER: ~ 3. INSURE ~ 6. ~E~N ~ 9. STA~ ~NO & CD 4~. VI. LE~ NOTIFICA~ON AND MAILING ~DRESS VII. APPLICANT SlGNA~RE UPCF (7/~) S:%CUPAFORMS~c~a.wDd · O~iICE OF ENVIRONMENTA~I~ERVICES 17 l~ ClT~ster Ave., Bakersfield, CA 9331T1 (661) 326-3979 · UNDERGROUND ~TO~GE TANK~ - TANK PAGE 1 : L T~K IqqO/(o ooo IL TANK CI~IT~NTI UPCF (7~) S'ACUP~O~~~'~C iC~ OF ~KER~FIELD t C~IqCI OF ENVIRONMENTAL. $ I CONVEtnX~W~ ~CT~ON SYSTEM~ (:~WENTK~ ~C~tON ~ I-1 S. I:WLYV~U~.IAOMTOmNGOIrPU~e~iO~*TmBN~PI~NG~ I~ S, TEST(O,1GP14) I~ 6. ~~~(0.1 ~ *' [] ~. me~N~'EMmYTE,IT(0.~ (a~) ri e. Dd. YV~JALMmeTOmN~ 0 e. EENWL~TE,1T(O.S 10. CONTINUOU~TURB~NE SUMP~N~ORWTTHAU(XBLEANDVISU~.ALARM~ANO 10. ~~~~~W~~~(m~l (~ ~) ~ L ~~~A~-~ ~ L ~~WA~~ ~:~N ~ ~ ~z ~~~(o.~ ~) ~gTR~ ..... .... .......: ;.~ / ~ ~~T~ ~IG~RE ~ OF O~~R ~ 471 T~ OF ~d ~(~~)-- 47~ ~~~ ' 474 UPCF (7~) S:~cUPAFOR~~'~ LI'I'~( UI' I}AI(~.;I(~I.'II'-LI) .' ~ O~ICE OF ENVIRONMENTA~I~ERVICES -.~.~ 1715 ClUster Ave., Bakersfield, CA 93.3~'1 (661) 326-3979 · UNDERGROUND STORAGE TANKS TANK PAGE 1 ~ C~ o~ M ~1 I'] ~. PEAMAM~Y CLOMO ON ~ k TANK (~.?E ~NSTNJ. ED (YF,.ARAdO), 43S TAM( C,~oAC~T( tN GN. LON8 430 NUMBER OF CiTY OF BAKERSFIELD J O~lqC! OF II~'IRONilENTAL ~ERVICE~iI~' q~FlS Cheiter Av~.. kkerlflild. CA ~3301 (MI) ~i17~ I SYSTEM C]g. B~wL ~ TEST (~S OF,) C] ~ DA~YVW~L ~i~4TCX~ C] g. B~L ~T~T (O.S ~PH) : ~ (~ll~CZ om: E~VmO~4~T~ti~EaV[CES -~. 1715 ClUster Ave., Bakersflel~ CA 93~1 (661) 326-~979 UNDERGROUND ~TO~GE TANK~ - T~K PAGE 1 ~ o~ ~ 0 ~. ~ ~ ~ 0 4. ~o ~ 0 ~. ~ ~ ~~) 0 ~. ~Y ~ ~0~ 03. ~~ CITY OF BAKERSFIELD 1OFFICE OF ENVIRONMENTAL CheWer Ave.. Bakerlfleld, CA 93301 (e4t) ;~lgTg ~ilpcz o~' ~:~vmot~~'r^~:av~c~:s. 1715 ClUster Ave., Bakersnel~ CA 9a~l (661)a26 3979 UNDERGROUND ~TO~GE TANK~ - T~K PAGE 1 CITY OF BAKERSFIELD 1OFFICE OF ENVIRONMENTAL Chee~r Ave., ~kemfleld, CA 93301 (~1) D April 4, 2000 Arco Environmental Compliance FIRE CHIEF Best Shaman RON FRAZE P O Box 6038 ~j.~s~w~ samc~ Artemia CA 90?02 6038 2101 'H' Street Bakemfleld, CA 93301 VOICE (805) 326-3941 FAX (Sss) 3~-~34e Dear Compliance Coordinator: SUPPRESSION SERVICE8 2101 'H' Street YOU have been identified as the compliance coordinator for the S,k.~r,,~d, CA 9330'~ facility/facilities referenced in the attachment. VOICE (805) 326-3941 " FAX (805)395-1349 The permits to operate this facility/facilities will expire on June 30, 2000. 1715 Chester Ave. However, in order for this office to renew your permit, updated forms A, Bakersfield, CA 93301 vOiCE (sss) 3akaOS~ B, & C must be filled out and returned prior to the issuance of a new FAX (805) 328-05711 permit. EN~RONMENTAL SERVICE8 171s chest., ave. Please make sure that you arc sending the updated forms which are Bakersfield, CA 93301 VOICE (805) 32~-3979 indicated by the date 7/99 in the lower left hand comer. Please complete FAX (805) 326-0576 and remm to this office by May 15, 2000. Failure to comply, will result in TRAINING DIVISION a delay of issuance of your new permit to operate. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (SsS) 399-4897 Should you have any questions, please feel free to call me at FAX (8O5) 399-5763 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facility Address AM/PM 2301 "F" Street, Bakersfield, Ca 93301 AM/PM 1129 Union Ave, Bakersfield, Ca 93307 AM/PM 3333 Union Ave, Bakersfield, Ca 93305 AM/PM 2698 Mt. Vernon Ave, Bakersfield, Ca 93306 AM/PM 4010 Wible Road, Bakersfield, Ca 93309 AM/PM 6450 White Lane, Bakersfield, Ca 93309 AM/PM 4800 Fairfax Road, Bakersfield, Ca 93312 AM/PM 900 Monterey Street, Bakersfield, Ca 93305 AM/PM 4203 Ming Ave, Bakersfield, Ca 93309 AM/PM 2800 Panama Lane, Bakersfield, Ca 93313 AM/PM ~ - ~ . ~ _ -- -,~Bakersfield, Ca 93304 AM/PM 3125 California, Bakersfield Ca 93304 Arco Individual Contacts AM/PM 13001 Stockdale Hwy, Bakersfield, Ca 93312 AM/PM 4100 California Ave, Bakersfield, Ca 93309 AM/PM 2612 Buck Owens Blvd, Bakersfield, Ca 93308 AM/PM 7851 Rosedale Hwy, Bakersfield Ca 93308 State Water Resources Control Board · . Division of Clean Water Programs 2014 T Street · Sacramento, California 95814 · (916) 227-4411 Winston H. Hickox Mailing Address: P.O. Box 944212 · Sacramento, California · 94244-2120 Gray Davis Secretary for Environmenta! FAX (916) 227-4530 · lnternet Address: http://www.swrcb.ca.gov/,-cwphome/ustcf Governor Protection 8 02000 Chris Winsor Arco Products Company BY: P O. Box 5077 Buena Park, CA 90622-5077 UNDERGROUND STORAGE TANK CLEANUP FUND PROGRAM, NOTICE OF ELIGIBILITY DETERMINATION: CLAIM NUMBER 015325; FOR SITE'ADDRESS: 1701 BRUNDAGE LN, BAKERSFIELD. Your claim has been accepted for placement on the Priority List in Priority Class "D" with a deductible of $10,000. We have completed our initial review. The next step in the claim review process is to conduct a compliance review. -'' Compliance Review: .Staff reviews, verifies, and processes claims based on'the priori.ty and rank within a phbrity clag~. A~fter the Bo'ard adoptg the Priority LiSt, your c!aimwill remain on the PriOrity List until your Priority Class and rank are reached. At that time, staff will conduct an extensive Compliance Rex;iew'at the local regulator3, agency or Regional Water Quality Control Board. During this Compliance Revi6w, sthff may request additional in'formation needed to Verify eligibility. Ohce the Compliance Review is completed, staff will determine if the claim is valid or must be rejected. If the claim is valid, a Letter of Commitment will be issued obligating funds toward the cleanup. If staff determine that you' have not complied with regulations governing site cleanup, you have not supplied necessary, information or documentation, or your claim application contains a material error, the claim will be rejected. In such event, you will be issued a Notice of Intended Removal from the Priority List, informed of the basis for the proposed removal of your claim, and provided an opportunity to correct the condition that is the basis for the proposed removal. Your claim will be barred from further participation in the Fund, if the claim application contains a material error resulting from fraud or intentional or negligent misrepresentation. Record keeping: During your cleanup project you should keep complete and well organized records of ~11 '"" corrective action activity and payment transactions. If you are eventually issued a Letter of Commitment, .. you will be req[l!red to submit: (1) copies of detailed invoices for all corrective action activity performed (including subcontractor invoices), (2) copies of canceled checks Used to pay for work shown on the invoices, (3) copies of technical documents (bids, narrative work description, reports), and (4) evidence that the claimant paid for the work performed (not paid by another party). These documents are necessary for reimbursement and failure to submit them could impact the amount of reimbursement made by the Fund. It is not necessary to submit these docuntents at this time; however, they will definitely be requ~r'edprior to reimbursement. ' ' " . .... Compliance w. ith Corrective Action Requirements': In ·order to be reimbursed for your eligible costs of cleanulS'incurred after December 2, 1991, you'must have complied with corrective acti6n requirements of Article 11, Chapter 16, Division 3, Title 23, California Code of Regulations. Article 11 categorized the corrective action process into phases. In addition, Article 11 requires the responsible party to submit an California En vironmen tal Protection Agency · ~ RecycledPaper Arco Products Company -2- MAR 2 8 2000 investigative workplan/Corrective Action Platt (CAP) before performing any work. This phasing process and the workplan/CAP requirements were intended to: 1. help the responsible party undertake the necessary corrective action in a cost-effective, efficient and timely manner; 2.enable the re~Ulatoi-y.' agency to review and approve the proposed cost-effective corrective action alternative before any corrective action work was performed; and 3. ensure the Fund will only reimburse the most cost-effective corrective action alternative required by the regulatory agency to achieve the minimum cleanup necessary to protect human health, safety and the environment. In some limited situations interim cleanup will be necessary to mitigate a demonstrated immediate hazard to public health, or the environment. Program regulations alloW the responsible party to undertake interim remedial'action after: (1) notifying the regulatory agency of the proposed action, and; (2) complying with any requirements that the regulatory agency may set. Interim remedial action should 0nly be proposed when necessary to mitigate an immediate demonstrated hazard. Implententing interim remedial action does not elitninate the requirentent for a CAP and att evaluation of the most cost- effective corrective action alternative. Three bids and Cost Preapproval: Only corrective action costs required by the regulatory agency to protect human health, safety and the environment can be claimed for reimbursement. You must cOmply with all regulatory agency time schedules and requirements and ypu must obtain three bids for any required corrective action. Unless waived in writing, you are required to obtain preapproval of costs for all future corrective action work. If you do not obtain three bids and cost preapproval, reimbursement is not assured and costs may be rejected as ineligible. If you have any questions, please~ cOntact r~e at (916) 227-4411. Sincerely, · ,~;? Sandy Gill ..' Claims Review Unit · Underground 'Storage Tank Cleanup Fund cc: Mr. John Noonan Mr. Howard Wines RWQCB, Reg. 5 - Fresno City of Bakersfield Fire Dept. 3614 E. Ashlan Ave. 1715 Chester Ave., 3rd Floor Fresno, CA 93726 Bakersfield, CA 93301 California En vironmen tal Protection Agency ~b ~ Recycled Paper February 9, 1999 F~RE C.~EV Brundage Lane AM PM # 1960 RON FRAZE 1701 Brundage Lane ADMIHISTRATIVESERVICE$ Bakersfield, CA 93304 21Ol 'H' Stmmt Bakersfield, CA 93301 VOICE (8o5) 32m3~1 FAX (805) 39s-1~9 RE: Compliance Inspection SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (~o5) 398-1:~ The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, P.m~o. SE.~¢Es underground storage tanks and monitoring systems, and hazardous 1715 Chester Ave. Bakersfield, CA 93301 materials inspection. VOICE (805) 326-3951 FAX (805) 326-0576 To assist you in preparing for this inspection, this office is ENVI.O.MENTAL SERVICES enclosing a checklist for your convenience. Please take time to read this 1715 Chester Ave. Bakersfield, CA 93301 list, and verify that your facility has met all the necessary requirements to VOICE (005) 326-3979 be in FAX (805) 326-0576 compnancc. T.~u.~.G ~)~s~o. Should you have any questions, please feel fi-ce to contact me at 5642 Victor Ave, Bakersfield, CA 93308 805-326-3979. voice (s05) 399-489? FAX (805) 399-5763 Steve Underwood Underground Storage Tank Inspector Office of Environmental Services .,~ SBU/dm enclosure ARCO Products Compane ~ .~ ~ Environmental Health & Safety 4CenterpointeDrive La Palma, California 90623-1066 Mailing Address: Box 6038 Artesia, California 90702-6038 January 28, 1999 f:E' 3 0 999 B~ersfi¢ld Fire Dept. H~. Mat. 'DMsion ~. :: .5:".; .' .. -- ~, ,:::,~,~ 1715 Chester Ave, 3rd Flmr B~ersfield, Ca. 93301 Re: Owner/Operator Agreement for Operation of UG Tanks with Monitoring Procedure Used Gentlemen: Enclosed, for your records, is a current copy of the new subject Agreement which is currently in effect for the following facilities: Fac. Num. Address Arco Plan(s) 1960 1701 Brundage Lane, Bakersfield 93304 X Very truly yours, encl cc: Rep with Attach (For Dealer's Yellow Box) APC-7116 ARCO Products Company is a OMsion of AllanticR[chfieldCompany (10/96) ARCO~Products Company ,~, Facility Number: 1960 Division of Atlantic Richfield Company ~' Customer Account Number: 0751834 AMENDMENT TO LESSEE PMPA FRANCHISE AGREEMENT/DEALER/PREMISES LEASE OPERATION OF UNDERGROUND STORAGE TANKS CALIFORNIA This Amendment, dated -~"~'--'c~.~-'~ , "f'b , is affached to, inco~orated in and made a pa~ of the Lessee PMPA franchise AgreemenFDealer/Premises Lease ("PMPA Agreement"), in effect as of the date of this Amendment or, if applicable, to become effective concuffently with this Amendment, be~een Atlantic Richfield Company, a Delaware Co~oration, through its division ARCO Product Company, ("ARCO"), and Sudit Bisla ("Franchisee"), covering promises located at 1701 Bmndage Lane, Bakersfield, California 93304. In tatum for good and valuable consideration, each pa~'s receipt of which is hereby acknowledged, the pa~ies agree as follows: 1. The pa~ies have entered into this Amendment in accordance with legal requirements imposed on ARCO and Franchisee concerning operation of the underground storage tanks at the above-referenced location. 2.. ARCO has provided Franchisee a copy of: (a) California Health and Safe~ Code Section 25299 or an approved summa~ concerning civil and criminal penalties for violating te~s of any pe~it to operate these underground storage tanks and relevant statuto~ and mgulato~ requirements; (b) the following listed aocuments, a copy of which is a~ached and initiated by Franchisee: 3. Where ARCO has provided Franchisee with a copy of the permit to operate the underground storage tanks, Franchisee has read and understood its responsibilities as operator under the permit and agrees to comply with each of the provisions of the permit. Irrespective of whether Franchisee has received and reviewed a copy of the underground storage tank operating permit, Franchisee hereby expressly agrees to do the following: (a) monitor the underground tanks as required by law; (b) maintain all required records and make such records available to the federal, state, and local government agencies and to ARCO at all reasonable times; (c) follow all reporting procedures as required by law; (d) mail, when submitted to, ARCO, at the address specified in paragraph 1 of the PMPA Franchise Agreement/Dealer/Premises Lease, a copy of all reports submitted to ovemment agencies; (e) follow all operating procedures specified by ARCO; (f) immediately report to ARCO all suspected or confirmed releases from the tanks and connected piping system, unusual operating conditions, release detection signals and environmental conditions suggesting a release may have occurred, and any spills and overfills that are not contained and cleaned up; (g) properly close the underground tanks as required by law; and, (h) comply with all federal, state, and local legal requirements relevant to the operations of the underground tanks and all amendments to any permit to operate. 4. With respect to the operation of the underground storage tank system and monitoring equipment, Franchisee hereby acknowledges and agrees: that ARCO has provided Franchisee with training on each of the items described in the attached Monitoring and Response Plan, that Franchisee understood the content of the training, and asked any questions necessary to facilitate his understanding, that Franchisee indicated to ARCO at the time of training any subjects addressed by the training which Franchisee did not fully understand, and, that Franchisee received complete training and information necessary for Franchisee to fully understand the subject of operating underground storage tanks. 5. ARCO has provided Franchisee a copy of and Franchisee agrees to maintain on the Premises the Certificate of Financial Responsibility (as required by the United States Environmental Protection Agency in Subpart H, 40 CFR, Part 280 and California Health and Safety Code, Chapter 6.7, Section 25292.2). 6. Except to the extent that conflict with, or are less rigorous than the terms of this Amendment, all of the terms and conditions of the PMPA Agreement, as previously or hereafter amended or supplemented, remain in full force. IN WITNESS WHEREOF, ARCO and Franchisee have executed this Amendment. ARCO Products Company, Franchisee a division of AtlanticRichfieldCompany * Dat~ Surjit Bisla Date 'Wi-~ss - -- - /'./Date/- ~/' Witness Date MONITORING AND RESPONSE PLAN - X ARCO PRODUCTS COMPANY FACILITY WITH SECONDARY CONTAINMENT OF UNDERGROUND STORAGE TANKS & PRODUCT LINES W!TH SUBMERSIBLE PUMP SHUTDOWN ARCO Facility: \~D Address \~.~ This plan is designed to meet' the monitoring and response requirements of Section 2632, Article 3, Title 23, CCR. 1. MONITORING EQUIPMENT Secondarily contained storage tanks and lines at this facility are monitored by a continuous electronic leak detection system which consists of an alarm panel, sensors and associated electronics. Liquid sensors are installed in the annular space of each double wall tank and product line piping sump. Whenever a sensor detects the presence of a liquid there is both a visual and audible alarm at the control panel. In addition, the continuous monitor on the product piping system will shut down the pump and activate the alarm system when a release is detected or 'if the continuous product piping monitoring system fails or is disconnected, the pumping system will shut down. 'Automatic line leak detectors are installed on the secondarily contained pressurized product piping. The line leak detector will detect a loss of pressure in the product lines and restrict the flow of product. 2. MAINTENANCE SCHEDULE OF MONITORING EQUIPMENT The continuous electronic leak detection system including line leak detectors will be inspected according to the manufacturer's instructions by an outside contractor once during each calendar year. 3. ROUTINE MONITORING PROCEDURE On a daily basis the facility operator shall: A. Inspect the control panel for visual and audible alarm signals to confirm that the unit is operating. B. Inspect island and tank fill areas for signs of spillage or petroleum sheen. C. Record the inspection observations on the Daily Visual Monitoring Log (Form APPC- 765: attached.) 4. RESPONSE PLAN OPERATOR RESPONSIBILITIES A. LEAK RECORDING AND REPORTING PROCEDURE Whenever an alarm is activated, station personnel are to immediately: a. Contact ARCO Maintenance or its designated agent by using the telephone number previously provided. b. If any visible indications of petroleum products or vapors are noticed call 911. c. Make an entry in the Recordable Discharge Log (Form APPC-765-1: attached) indicating the action taken. d. Complete the Recordable Discharge Log when and as the source of the alarm is known. ARCO RESPONSIBILITIES B. METHOD OF REMOVING AN UNAUTHORIZED RELEASE FROM THE SECONDARY CONTAINMENT a. Any unauthorized release into the secondary containment system of a product tank wil! be removed by pumping. Uncontaminated product may be returned to the tank. Contaminated product may be returned to the refinery to be recycled or may be disposed of following procedures in accordance with California Health Safety Code requirements. In the event of an emergency, a pumping conractor or truck will be available immediately. In all other cases, equipment availability will be within 12 hours. b. ARCO Maintenance will be responsible for authorizing and selecting contractors for the work to be performed. 5. TRAINING In addition to the training covering subjects mentioned in Sections 3 and 4 above, training needed for the operation of the tank system and monitoring equipment includes: ~0~ tO~ - Take tank level measurements - Read dispenser meters - Inspect equipment - Recognize warning signs: dispenser hesitations, meter spins and odors - Manually close dispenser impact valve - Replace dispenser filters - Shut down the system with and location of: ARCOmatic switch, electrical panel breakers, and emergency shut off switch - Test the electronic monitor 6. RECORDS RETENTION Written records of all monitoring, testing, and maintenance performed shall be maintained on- site or off-site at a readily available location for a period of at least 5 years. These records must be made available, upon request within 36 hours, to the local agency or the Board. 7. PARTY RESPONSIBLE FOR PERFORMING THE MONITORING _Manager on Du~ Name Title 8. PARTY RESPONSIBLE FOR MAINTAINING EQUIPMENT ARCO Maintenance 1-800-ARCO-FIX (272-6349) Name Title 9. NAME AND MODEL OF THE MONITORING EQUIPMENT Tanks: ~u~ 3-x%S Lines: . t 10. LOCATION WHERE THE MONITORING WILL BE PERFORMED: Monitoring will be performed in the rear service area of the station; not accessible to customers. See attached Plot Plan. I. , '. ~-' ' I e. . II~, , -~.-- , ....... ~ '/ ~ '"' ~ ' "" '~' ' ' I/ I , ~ ~ . ~ ;~1~ . , ~ ~'~"~ X~ L)>~ h ~ ............ ~ ~ ..,'-, ~,,--~_~ . -, - ...... 'F,.I .... ~r,~ ..... ~.1' ....../f '~'~ e R U N O A G E L A N [ ( S T A T E H 'W Y 2 0 4 ) PLOT PLAN ' ~ '~'0"-~ 2482.59 'ARCO Products Compan~ ~'~ Daily Visual Underground o,.,.,o.o,A,,..,,c.,c.,.,~c~..,~ ~-..~.%,__Q.~- Storage Tank Monitoring Log ARCO facility no. Dealer/Franchisee p Montl~/Year System condition Inspector Comments Day Operational Alarm ° initials 1 2 5 6 7 8 9 10 12 14 15 16 17 18 19 20 21 22 23 24 25 26 27 NOTE: IF ALARM CONDITION EXISTS IMMEDIATELY NOTIFY ARco MAINTENANCE OR ITS AGENT DESIGNATED AND MAKE ENTRY ON ALARM ACTIVATION/DISCHARGE LOG APPC-765 (5-89) ARCO lucts Company '~' ~ RECORDABLE DISC ,':IGE LOG" ofAllanlicRichlieldCompan, '~" '~ ~ DOUBLE CONTAINMENT Uk 3ROUND ~ ~ STORAGE T~.,., SYSTEM ARCO Facility no. Dealer/Franchisee Date/Time el Discovery Reported to Date/Time Description of conditions Corrective action taken & pp~.7Rr~-I fr~-R~t CALIFORNIA HEALTH AND SAFETY CODE DIVISION 20, CHAPTER 6.7 SECTION 25299 (a) Any operator of an Underground tank system shall be liable for e civil penally of not less than five hundred dollars ($500) or more than five thousand dollars ($5,000) for each underground storage tank for each day of violation for any of lite following violations: ( 1 ) Operating an undergmunO tank system which has not I~een issued a permit, In violation of this cl~apter. ( 2 ) Violation of any of the al:~plicable requirements of the permit issued for the operation dis the underground tank system. (3) Failure to maintain ra~o~s, es required by this chapter. (4) Failure to report an unauthorized release, as required by Sections 25294 and 25295. ( 5 ) Failure to proper~ close ar[ underground tank system, as required by Section 25298. ( 8 ) Violation of any applicable requirement of this cfftapter or any requiremen! o! this chapter or any regulation adopted by the .boa~l pursuant to Section 2529g.3 (?) Failure to permit inspection or to perform any monitoring, testing, ~r reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, re;om, report, or offier document submitted or required to be maintained pursuant to this chapter. ( b ) Any owner of an underground tank system shall be liable for a civil penalty of not less than five hundred dollars ($500) or more then five thousand dollars ($5,000) per day for each underground storage tank, for each day of violation, for any of the following violations: ( 1 ) Failure to distain a permit as specified by this chapter. ( Z ) Failure to rel:~ir or ul~grade an underground tank system in ac:on:lance wtth this chapter. ( 3 ) Abandonment or improper closure of any underground tank system subject to this ch~ter. ( 4 ) Knowing failure to take reasonable and necessary steps to assure compliance wilh this chapter by the operator of an underground tank system, ( $ ) Violation Df any al~licable requirement of the permit luued for operation of the underground tank system. ( 6 ) Violation of any applicable r~uirement of this ~apter of any regulation adopled by the board pursuant to Section 25299.3. (7) Failure to permit Inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, mc:ord, report, or other document submitted or required to be maintained pursuant to this chapter, (c) ),ny person who intentionally tails to noilly the besrcl or 1he ior.~ agency when required to do so ~ this chepter or who =ul;mits false Information In e permit application, amenclment, o/ renewal, pursuant to Section 25286, Is liable for a civil penalty or not more than five thousand dollars ('$5,000) for each underground slorage tank for which notification is not given or false Informalion is submilled. (d) Any parson who falsifies any monitoring records required by this chapter, or knowingly fails to report an unauthorized release, shall, upon conviction, be punished by e fine of not less than five thousand dollars ($5,000) or more.than ten thousand dollars ($I0,0000, by imprisonment in the county Jail for ncr to exceed one year, or by both that fine and Imprlsonmenl. (e) In cletermining both the civil ancl .criminal penalties imposed pursuant to this section, the COUrt shall consider all relevant circumstances, InctucUng, but not limited to, the extent of harm or potential harm caus~ by the violation, the nature of the violation and the periocl o! time over which It occurred, the frequency of past violations, and me corrective action, if any, taken by the person who holds the pe~nit. (f) Each civil penalty or criminal fine Imposed pursuant to thiS section for any separate violation shall be separate, and in addition to, any other civil penalty or criminal tine imposed pursuant to this saCtl0n or any other provision 'of law, and shall be paid to the treasury of the local agency or state, whichever is represented by the office of the city attorney, district altomey, or Atlomey General brtngtng the action. ,a, II penallies or fines collected on behalf of the board or a regional board 13y the Attomey General shall be deposited in the State Water Pollution Cleanup and Abatement Ac~,~unt tn the State Water Quality Control Fund, and are available for expenditure by the board, upon appropriation, pursuant to Section 13441 of the Water Code. (g) This sec'lion shall become operative on Janum7 1, 1991. (Add~l by Stats. 1988, c. 296 Section 3. operative Jan. 1, 1991. Amended by Stats. 1989, c. 11397, Section 19, operative Jan. 1, 1991.) Successor-In-Interest Designation Form To: ARCO Products Company, a division of Atlantic Richfield Company ('Franchisor') Re: Facility No. 196..0 Sp r. jit Bisla ("Franchisee") (Franchisee's Name as it appears on Franchisee's Agreements with Franchisor) 1701 Brunda[:le Lane (Address) Bakersfield~ California 93304 (City, State, Zip Code) In accordance with the provisions relating to Successor-in-interest set forth in, as applicable, my current PMPA Franchise Agreement/Premises Lease/Dealer Lease/Contract Dealer Gasoline Agreement and/or am/pm Mini Market Agreement and/or MP&G Tune-Up Center Agreement [Agreement(s)], I, as Franchisee, designate the primary and, if indicated, alternate Successor-in- Interest named below. I understand that my spouse must execute this form in the space below. If someone other than my spouse is designated as my primary or alternate Successor-In-Interest. This designation shall supersede all prior designations made by Franchisee relating to Successor- In-Interest. Primary Successor-In-Interest Alternate Successor-In-Interest (Full Name) (Full Name) (Address) (Address) (City, State, Zip Code) (City, State, Zip Code) (Relationship to Franchisee: Spouse, Adult Child, Relationship to Franchisee: Spouse, Adult Child, Parent, Partner or Corporate Shareholder) Parent, Partner or Corporate Shareholder) .Sudit Bisla Franchisee's Name as it appears on the Agreement(s) (Title, if Corporate FranchiSee) I, the undersigned, am the spouse of the above-mentioned Franchisee and I hereby acknowledge that I understand and agree to.the primary and alternate Successor-in-Interest designations made by my spouse and I hereby waive any claim of interest in the franchise or franchise agreement for the ARCO facility named above. Signature: Print Name: Date: BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY ~fO~ /6~O ADDRESS 170! ~.3~Jb/~ PEm~IT TO OPERATE # OPERATORS NAME OWNERS NAME NUMBER OF TANKS TO BE TESTED ju/~. IS PIPING GOING TO'BE TESTED TANK~ VOLUME CONTENTS TANK TESTING COMPANY ~c-~,gi~o,,/~m.~-r'zlc, 1,4c. ADDRESS TEST METHOD 1'~ NAME OF TESTER 7Dd¥ ~,/~1 CERTIFICATION # STATE REGISTRATION DATE & TIME TEST IS TO BE C0~UCTED ~ ,-7~$ S~OF HAZARDOUS MATERIAL DMSION 2130 G Street, Bakersfield, CA 93301 ¢05) 326-3979 APPLICATION TO PERI~ORM A TIG~S TF_,ST PERMIT'TO OPERATE # NUMBER OF TANKS TO BE TESTED ,~/~ IS PIPINO c~n~G TO BE TESTED TANK # VOLUME CONTENTS ~'~.~P~'~OV~¥: DATE SIONATURE OF APPLICANT ,? "0'805 326 0576 BI:I) IIAZ MAT DIV l~00~. ? CITY OF BAKERSFIELD OFFICE OF E~~ONMENTAL SER~CES 1715 Chester Ave., Bakersfield, CA (805) 326~-3979' PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE., OF APPLICATION (CHECK) [ ]NEW FACILITY [ IMODIFICATION OF FACILITY [ INEW TANK INSTALLATION AT EXISTINO FACILITY . STARTINO DATE ~0~J. t~ ~. PROPOSED COMPLETION DATE ~t_ 5 FACILITY NAME -~ 17,~O EXISTINO FACILITY PERMIT NO. FACILITY ADDRESS t'to/ ' ~g0~J~ac,~- CITY <~ ,,-~,~:~ ZIP CODE TYPE OF BU$~qESS . ~O ..~rr~'~'~ O,0 APN # TANK OWNER .~9.~ o ~ o e ~ PHONE NO. ADDRESS ' 'k>.o,(~o't- ~o'~-I CITY -~ q~,ar~<._ [ O. ZIPCODE GON'Ill~CTOR ' 14. ~, ~ ~'/~ ~,-J ~..' CA LICENSE NO. ADDRESS~IS0 ¢0'"~e~,~a~- ,"~, crt,FCa ~o,O~ za, co~_~./~ PHONE NO~qo~O c, ~ - ~ &o 2_. BAKERSFIELD CITY BUSIlqESS LICENSE wO~COMPNO./4v4d ,/z&Szt- ~'~, INSURER.. ~.o,.~,o WATER TO FACILITY PROVIDED BY DEPTH TO OROUIgD WATER SOIl. TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL .YES NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES. .NO SECTION FOR MOTOR FUEL TANK NO. VOLUME UNLEADED REOULAR PREMIUM DIESEL AVIATION SECTION FOR NON MOTOR FUEL STORAGE TANKS_ TANK NO. VOLUlviE CI-IElVI1CAL STORED CAS NO. CI-[EMICAL PREVIOUSLY STORED (No BRAND NAIVe) ~ m, row~ FOR OFFICIAL USE ONLY ~ ~PLIC~ ~S ~CE~, ~E~T~S, ~ ~ CO~LY ~ ~ A~AC~D CO~ONS OF ~ FO~ ~S BEEN CO~D ~ P~ OF ~Y, ~ TO ~ B~T OF ~ ~O~E. IS T~S APPLICATION BECO~S A PE~IT W~N ~PRO~D ARCO Products Com 4 Centerpointe Drive La Palma, California 90623-1066 Telephone 714 670 5300 Mailing Address: Box 5077 Buena Park, California 90622-5077 March 28, 1996 Certified P 221 161 592 Bakersfield Fire Department Hazardous Materials 2130 G Street Bakersfield, CA 93301 Re: Annual Test Results ARCO FAC 1960 1701 Brundage Road Bakersfield, CA Dear Inspector: This letter is to notify you that this ARCO retail gasoline facility passed it's annual monitor and mechanical product line leak detector certifications. ARCO is committed to the compliance of all environmental laws that govern the safe operation of underground storage tanks. Feel free to call me at 714- 670-5423. Sincerely, ARCO Products Company a division of Atlantic Richfield Company Senior Engineer Environmental Compliance APC-7076-D ARCO Products Company is a Division of AtlanticRichfietdCompany (3-94) ·. ,'-',.'". .... ~. ,' Monitor Certification Inspection :. ...:;4,,.. :.T~s Aetter certifies:that .the-momtor(s~*~ffa're m nlace'?.the~nrobes' are ~n co~ect ~os~ti~ ,-~ ,h~ .' - . p~FaiI NVA ' Pass ' .Fail N/A . Co--ems: NI nit Certifi ti Insp ti (co'ht~ d) '.'.~- ~' .' ..... -- 0 Ca Oil ec on. e ~en momtor ~s tu~ea o~ or m.al~, ~s there pos~,~ve shutdo~ OI turomes? Yes ' IfNo,~Were~ ~ieciii0'n:p'?0d6~t:~ne,teit~:m:~~z~~pan~d~:,.Yes'.-. ~iN0~;%,¢';~::::?::'5:- ~-.'.:~-'" .- - -. " Senso~ '7. z~e'sump sensors suspendefi ~Sr~ one inch eisum, bottom? ' me"d0ubie'~'~ed ~ sensors inst.!ed properly in trak? .:.';'.3 [~ :- :- -' :,-.'?..' ,~ ....... a',;, .. ·" -'., -'~" '-.' - ' -; : ~ ' x"'-:','. :: -:.' ~. " ' .'5,,' :.Monit0rPhn'~i':??':,..,,' '. ,5: :;":('-.:~-;:'~..:5.5.'.,. ~?? :.~ :,- ,:5' ', : ',' · ' . ~.;..(.r. ... - ...... . . . · Is the mofitor p~el mounted and'labeled c0ge:=Iv? ....-: _,,~ -.,~.: ,~=,~,.:= ..... .:.... ,....= ...,.... DOes m'o~tor ~a~ hom ~ncfion'p?operly? is pane! accessible mud xSsibi= to s~auon p~rsep~i?.. ...~:,.. . ?.. : . . . -, .. .. - · - Cow~e~tsi,-'-- '" .':' · -" - ' "" '['-~"7'-'" ': "5"' ..: ........ Mechanical Leak Detector Test Data Sheet :?'::): Stati°fi# -:'A' .. -.; '" at ~';' ' ,~ .-:,: :?::,-?, ~:':":. ::..L-V.: :~??:: :-,;- ~-.~ ~:,;:',~; :: ..', .... _,. ..... ',,,.,AddresS',.:'...:;:l~Y~/::,4~,~~a~~~e;?'~:~~:'::~:~+:::.;::~~..'.;',,-. ~.: ': "- . ' ~ ===================== , ': "-"' '.'~: :':-:: '...,>--. ::.'-: ~ 3.,:.7: ..... ~ <. ':'- '.::.?': ,::: :::.~. ::'L: :::: :~2~- :.>/':.,">.:'-.: :':: .~ ."'::":<::-;~" '>-. :-:":'." .-' ':.'.:'::: '> ." ¥' ' ' -- Test Information .. . .... _.. ,. .... -. ,. . Full Operating Pressure (psi) . ~ :~- Psi-I psiI ':~. Psi Psi PSi. Line Bleed. Back; (~) ' "' .TdpTime(sec)' " ' } '"~ SEC ,{ : ..'$~C1 ' '"'Z' '~S[C: '.(z~. S[C.i SaC Metedn Pressure (psi) "'" 1/) ' " ,: .... - : '-' ' ' ~/J~SI 'I :'" PS.I PSI FmHoIdingPressure(psi) I ~ PSI ] PSI'I ~ PSI 'PSI PSI Test leak Rate (~n) (gph) ~/~7,~ ML/MI~ I~p, l ML/gI~cou~ 1~ ~L/~I~icou ~L/a!N~pH gL/~IN~pH Co~ents: Ti'tis letter certifies that the av:,uat leak de:cc.:er tes;s "',r,,~ e pe.qormed at the above referenzed .facility according to the equipment manufacturers procedures and. IL,~tations and the results as listez2 a-e to my k. noivledge tree and correct. The mechapjcal le-2< '~'"~- - a. ~ .... ,o, test pass/fait is determined using Iow- ilo,v threshold trip rate of 3 gph at 10 PSI. 3, Inspecxed By: Contractor SCOTT CO. !71.7. D,OOLITTLE DR. SAN LEANDRO. CA 94577 (5!0) 895-2333 Re,~qgon 12/95 - ~ ~rARCO Products Company Mechanical Leak Detector Test Data Sheet T~st InformaQon ~" _ ~ J _ ' ~ t Line Bleed Back (~) ~tefing Pressure (psi) Th. is letter certifies that the armual leak detector tests were pcdormed at the above referenced facility according to ~he equipment manufacturers procedures an~ Ii.rations and the results as lis~ed ~e to my ~owledge tme and co~ect. The mecha~cfl lc~ detector test pasCfait is de~e~n:d u:in~ a low flow t~eshotd trip rate of 3 gph at 10 PSI. ]nspe~edBy: Contractor, 5~~ STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORU FOR EACH FACILITY/SITE MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT [~ 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS- (MUST BE COMPLETED) DBA OR FACILITY NAME '=~ NAME OF OPERATOR ADDRESS NEAREST CROSS STREET PARCEL # (OPTIONAL) STATE I ZIP CODE SIT~ PHON~ il WITH AREA CODE CiTY NAME ./ BOX TO INDICATE J---'J CORPORATION J~ INDIVIDUAL J---J PARTNERSHIP E] LOCAL-AGENCY ~ COUNTY.AGENCY E~ STATE-AGENCY I---'l FEDERAL-AGENCY DISTRICTS E~ 3 FARM ~ 4 PROCESSOR E~ 5 OTHER ORTRUST LANDS I e I EMERGENCY CONTACr PERSON (PRIMARY) EMERGENCY CONT~T PERSON (SECONDARY) · optional DAYS: NAME (LAST, FIRST) PHONE il WITH AREA CODE DAYS: NAMI~ (LAST, FIRST) PHf'~NI:: l WITH AR[::A ~c~r~l:: NIGHTS:,,~NAME (LAST. FIRST) · PHONE # ~TH AREA CODE NIGHTS: NAME (LAST, FIRST) ~ ~, I1. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) MAILING OR STREET ADDRESS ~/ Ix)x t~ indicate [~ INDIVIDUAL E~ LOCAL-AGENCY [~] STATE.AGENCY ¥.L~. ~c4 ~o~% ~COR,ORAT,O, ~"ART,,,S,,, ~ COUNTY~E,C, ~ STA~ IZIPCODE I PHONE ' WITH AREA CODE -- I ,L TA.~ OWNER ~NFORMAT~ON-(MUST BE COMPLETED) CARE OF ADDRESS INFORMATION ' 'b ·)~(./"~ '~'30 ]~j~CORPORATION ~ PARTNERSHIP r-'l COUNTY-AGENCY r~l FEDERAL.AGENCY STATE I ZiP CODE I PHONE · WITH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 323-9555 if questions arise. TY(TK) HQ [-~-~-I OI ~1OI SI <~IL~I V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) - IDENTIFY THE METHOD(S) USED v" boxloindicate 1 SELF-INSURED J~ 2 GUARANTEE J-~ 3 INSURANCE E~ 4 SURETY BOND J--"] 5 LEI'rEROFCREDIT r--1 6 EXEMPTION r-"J 99 OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. Ic~E°.~NE"~xI~DI~AT~~Gw~IcH~~~vEADD~ESSS~~~L°S~~SE°~~~LEGAL~~T~F~c~~~~NSA~D~~LL~~G: "[] I THiS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S.NAME (PRINTED & SIGNATURE) ·It ~ ~ I APPLICANTS TITLE ,~J DATE MC[NTIS/DAY/YEAR LOCAL AGENCY USE ONLY I ~-dURISDICTION # COUNTY # FACILITY # LOCATION CODE - OPTIONAL CENSUS TRACT # - OPTIONAL SUPVISOR - DISTRICT CODE - OPTIONAl. THIS FORM MUST BE ACCOMPANIED BY.AT LEAST (1) OR M~RE PERMIT APPLICATION - FORM B~ UNLESS THIS IS A C'HANGE OF SITE INFORMATION ONLY. FORM A (5-91) FOR0033A-5 STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FAClLITY/srrE ~ I NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED SITE MARK ONLY ONE ITEM [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME NAME OF OPERATOR ADDRESS PARC£L # (O~IONAL) NEAREST CROSS STREET STATE I ZiP CODE SIT~ PHONF~ I WITH AREA CODE ./ 80X TO INDICATE I--'1 CORPORATION ~ INDIVIDUAL ~ PARTNERSHIP ~ LOCAL-AGENCY ~ COUNTY-AGENCY ~ STA~E-AGENCY ~ FEDERN.4~NCY DISTRICTS EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY COt,~rACT-PEI~SON (S~.CONDARy) · optional DAYS: NAME (LAST. F,RS . PHONE,W,T, AREACODE OA, S: NAM NIGHTS: NAME (LAST, FIRST) PHONE a V~H AREA CODE NIGHTS: NAME (LAST, FIRST) ~ ~. I1. PROPERTY OWNER INFORMATION- (MUST SE COMPLETED) NAME ~I'~,[ 0 ~ ~'~V ~' ~"~ ~ {~' I CARE OF ADDRESS~.,,~INFORMATION~ MAILING OR STREET ADDRESS ~/' be% tO indicate ~ INDIVIDUAL ['-"1 U3CAL-AGENCY ~ STA~-AC.~CY STATE ZIP CODE J PHONE e WITH AREA CODE IlL TANK OWNER INFORMATION -.(MUST BE COMPLETED) I CARE OF ADDRESS INFORMATION NAM OF OWNER ~1 b ~)- ' ~ ~,I;)C~'~ J~CORPORA'nON ~ PARTNERSHIP r--I COUNTY.AGENCY ~ FEDERAL-AGENCY STATE ZiP CODE PHONE ~ WITH AREA CODE IV. BOARD OF EQUALIZATION MST STORAGE FEE ACCOUNT NUMBER. Call (916) 323-9555 if questions arise, V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) - IDENTIFY THEMETHOD(S) USED · / box to i~cate ~1 SELF.INSURED r--I 2 GUARANTEE [:~ 3 INSURANCE ~ 4 SURETYBOND ~ 5 LETTER OF CREOIT ["-'-] 6 EXEMPTION ~ 99 OTHER VI. LEGAL NOTIFICATION AND BILLING AODRESS Legal notitication and billing will be sent to the tank owner unless box I or II is checked. I CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I.[] I1.[~ THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT AME (PRINTED & SIGNATURE) APPLICANT'S TITLE ~J DATE MC[NT¥/DAY/YEAR LOCAL AGENCY USE ONLY COUNTY # ~RISDICTION # FACILITY # LOCATION CODE . OPTIONAl CENSUS TRACT # - OPT/ONAL SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST eE ACCOMPANIED eY.AT LEAST (1) OR MORE PERMIT APPLICATION .* FORM B, UNLESS THIS IS A CHANGE OF SrrE INFORMATION ONLY, FORM A (5-91) FORO~A.5 ~TATE OF GALJFOI~IA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERUIT APPLICATION- FORM A COMPLETE THIS FORM FOR EACH FACILITY/SITE I MARKONLY [~ 1 NEVV PERMIT r-"] 3 RENEWAL PERMIT [~ 5 CHANGE OF INFORMATION ['--] 7 PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT [] a, AMENDED PERMIT [] 6 TEMI:~DRARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME NAME OF OPERATOR ADDRESS NEAREST CROSS STREET PARCEL II (OFTIDNAL) CITY NAME STATE t ZiP CODE SIT~ PHON~# WITH AREA CODE ~' BOX TO INDICATE ~ CORPORATION ~ INDIVIDUAL ~ PARTNERSHIP ~ LOCAL-AGENCY [--1 COUNTY4[GENCY F'-) STATE-AGENCY [--'1 FEDERAL~GEHCY DISTRICTS -E~;i,~RGENCY CO[~ACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDAi~Y). optional DAYS: .AME (~ST. F,RS~ PHC,E. WIT, AREA CODE oars: ,AM~ ~ST.,,,S, (.~ 0 0'~ NIGHTS: NAME (LAST, FIRST) PHONE t W.~H AREA CODE NIGHTS: NAME (LAST, FIRST) ~i ¢ ,. ,RO,£RTY OW,ER ,FORMAT O,-(MUST CO,,L rm NAME IcA"E°"A°°RESS'N °"MAT'°" a MAILING OR STREET ADDRESS ~' box I~tndicate E~ INDIVIDUAL ~ LOCAL-AGENCY E~ STATE-AGENCY STATE ZiP CODE [ PHONE t WITH AREA CODE III. TANK OWNER INFORMATION-(MUST BE COMPLETED) CARE OF ADDRESS INFORMATION MAILI,GO, STR~TADORE~ -' bo'"~ m IN.~ID~ m ~OCA~-A~ENC, ~ STATE I ZiP CODE I PHONE · WITH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 323-9555 if questions arise. V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) - IDENTIFY THE METHOD(S) USED ~ 5 LEI'rER OF CREDIT [--1 6 EXEMPTION ~ 99 OTHER VI. LEG AL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT =RINTED & SIGNATURE) APPLICANT'S TITLE ~./ DATE MC[Nmi[I/DAY/YEAR LOCAL AGENCY USE ONLY COUNTY # RISDICTION # FACILrrY # LOCATION CODE - OPTIONAL CENSUS TRACT a~ - OPTIONAL SUPVISOR - DISTRICT CODE - OPTIONA!. THIS FORM MUST BE ACCOMPANIED BYAT LEAST (1) OR MORE PERMIT APPLICATION - FORM B~ UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (5-g~) FOROOZIA-5 STATE OF CAUFOFI/4A STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FACILITY/SEE MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT ~ 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME 3~1 NAME OF OPERATOR ADDRESS NEAREST CROSS STREET PARCEL I (OPTIONAL) C,TYNAME STAz,PCODES, PHO. .W,'.AREACODE ~' TO INDiCATE ['--I CORPORATION ~] INDIVIDUAL ~ PARTNERSHIP ~ LOCAL-AGENCY ~ COUNT'Y4kGENCY ~ STATE-AGENCY [-'-] FED~RAL-&GENCY DISTRICTS - - EMERGENCY-CONTACT PERSON (PRIMARY) EMERGENCYCO;~ACT PEF~sON (SECONDARY)., optional DAYS: NAME(LAST. FIRST) PHONEtl WITH AREACODE DAYS: NAMI~ (LAST. FIRST) NIGHTS: NAME (LAST, FIRST) PHONE # V~H AREA CODE NIGHTS: NAME (LAST. FIRST) PHONE # WITH AREA CODE I1. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) I DARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS ~/ bo~ I~ indicate r'-} INDIVIDUAL [--] LOCAL-AGENCY r"-[ STATE-AGENCY CITY NAME STATE ZIP CODE PHONE · WITH AREA CODE .L TA.. OW. ER .FORMAT,O.- (MUST .E COMPLETED) ]DAREO ADDRESS,NF RMATIO. ~'/ b ~)° ' ~ ~)(~% J~ CORPORATION r'*-I PARTNERSHIP [--'] COUNTY4~GEk~CY ~ FEDERAL-AGENCY CITY NAME STATE ZIP CODE I PHONE ~_WITH AREA CODE IV. BOARD OF EQUALIZATION MST STORAGE FEE ACCOUNT NUMBER - Call (916) 323*9555 it questions arise. V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) - IDENTIFY THE METHOD(S) USED ,/ box eindicate ~I SELF-INSURED I'---] 2 GUARANTEE r-"-I 5 LE'n'EROFCREOIT ~ S EXE~FI~Oa [--"i ~ OTNER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notitication and billing will be sent to the tank owner unless box I or II is checked. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT (PRINTED,SIGNATURE) APPLICANTS TITLE~['~J' * LOCAL AGENCY USE ONLY COUNTY # ilCTION # FACILITY # LOCATION CODE - OPTIONAL CENSUS TRACT · - OPTIONAL l SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY.AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B~ UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (5-91) FOR0033A-5 ~'TATE OF GAUFORNIA STATE WATER RESOURCES GOI~I'ROL UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FACILITY/SITE I MARK ONLY n--1 , NEW PERMIT n~ 3 RENE~WAL PERMIT [~ 5 CHANGE'OF INFORMATION [] 7 PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME ~ NAME OF OPERATOR ADDRESS NEAREST CROSS STREET PARCEL It (OFTIONAL) STATE I ZiP CODE SlTE~ PHONF~ # WITH AREA CODE CITY NAME ~ BOX TO INDICATE ~ CORPORATION ~ INDIVIDUAL [~ PARTNERSHIP ~ LOCAL-AGENCY 'n=] COUNTY~GENCY ~ STATE-AGENCY r--1 I:EDERAL~GENCY DBTRICTS ....... EMERGENCY-CONTACT PERSON (PRIMARY} - EMERGENCYCONTACT-FER$ON (sECONDARY). NIGHTS: NAME (LAST. FIRST) t, PHONE # V~H AREA CODE NIGHTS: NAME (LAST. FIRST) ~S ~ ~;~,c,~, o~ ~ [%o~i ~l~-n~ ~ " . PHONE ! WITH AREA CODE II. PROPERTY OWNER INFORMATION- (MUST BE COMPLETED) I CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS ~" hex ~ b~ate ~ INDN~UAL F~ LOCAL-AGENCY [~ STATE.AGENCY CITY NAME STATE I ZIP CODE I PHONE ! WITH AREA CODE III. TANK OWNER INFORMATION - (MUST BE COMPLETED) I CARE OF ADDRESS INFORMATION NAME OF OWNER tO, I S ) STATE ZIP CODE I PHONE N WITH AREA CODE IV. BOARD OF EQUALIZATION MST STORAGE FEE ACCOUNT NUMBER - Call (916) 323-9555 if questions arise. ~ $ LETTEROFCREDfT r--J 6 EXEMPTION ~ 99 OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. I CHECK ONE BOX iNDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I. II. iii. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT LOCAL AGENCY USE ONLY COUNTY # RISDICTION # FACILITY # LOCATION CODE - OPTIONAL CENSUS TRACT # - OPTIONAL SUPVISOR - DISTRICT CODE - OPTIONAL THIS FOR~ MUST BE ACCOMPANIED BY.AT LEAST (1) OR MORE PERMIT APPLICATION . FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (5-91) FOR0033A-5 ~AKERSFIELD FIRE DEFARTMENT 4/27/~ BUREAU' OF, FIRE PREYEHTION ~i Dom APPLICATION i~:conformity with prcwist~'.' of~:rpertinent ordinances; codes Cal-VaI'~ey ~Jtpmeut Co., 3500 ~it, mo~e Av~,, tc~ display, store, install, use, operate, sell or handle materials or ditions deemed hazardous to life or property as follows: . I Dote /'l / 1\ Fire Marsha~ . ~RCO ProdUcts Company ~. Facsimile Ttahsmission Division of AtlanticRichfieldCompany t'L\'q"~c[ ~ I Time ~55~ Number of pages (including cover) Outgoing ~ From Location Gommonts Sent by ~ I Telephone number APPC-793 (10-90) Monitor Certification Inspection This letter certifies that the monitor is in place, the probes are in the correct position and the operation of the system. DEALER TYPE AND MODEL OF MON~OR ~ ~a~ SYSTEM FUSION '" T~KS PASS ~ F~ N/A USED OIL PASS F~L N/A ~ IN LINE PASS F~L N/A ~ SUMPS MON~OR PASS ~ F~L N/A~ PRODU~ LINES '; FILL SUMPS PASS ~ F~L N/A WHEN MONITOR IS ~ED OFF OR IN ~ DOES ~ ~INE SHUT DO~? YES ~ NO ~ IS THE CONSOLE ~ELED CO~~Y? · YES ~ NO COMMENTS: INSPECTED BY:' ORRECTION NC .ICE BAKERSFIELD FIRE DEPARTMENT Location J~ ./'~7 Sub Div. 1 ;) F) / i~ ?_,~ ~lk. . ~t You are hereby required ~o make the following corrections at the above l~ation: Completion Date for Corrections .~,/'1 '2. /~(~ . Inspector 326-3979 UNDERGROUND,STORAGET~,. ,INSPECTION ............ Q- ........... ',Bakersfleld Fire Dept. ~ .iiii Bakersfield, CA 93301 F^C,UW,^ E .us .Ess 2 5-000 FACILITY ADDRESS I?O[ ~>~or~cJm~,.~_...J_m CITY ~-~,~' FACILITY PHONE No. ,.~,~- ' 7~1~ ~o~_. ~o~ Io~ NSPECT ON DATE 19-/ Produot Produot Produ~! TIME IN TIME OUT ~ Inst Da~e'> inst Da're~ - Inst Date INSPECTION TYPE: ~m )~'7~5 Size Size Size ROUTINE v''/' FOLLOW-UP REQUiREMENT~? yes no n/a yes no n/a yes no n/a la. Forms A & B Submitted lb. Form C Submitted lc. Operating Fees Paid ld. State Surcharge Paid le .... Statement of Financial Responsibility Submitted 1,f.~ ~/ritten Contract Exists between Owner & Operator to Operate UST 2a.~'' Valid Operating Permit ,/ 2b. Approved Written Routine Monitoring Procedure 2c. Unauthorized Release Response Plan ,~ 3a. Tank Integrity Test in Last 12 Months ~" ~" / "' 3b..' Pressurized Piping Integrity Test in Last 12 Months 3c. Suction Piping Tightness Test in Last 3 Years ~'~'~1 · Gravity Flow Piping Tightness Test in Last 2 Years 3e. Test Results Submitted Within 30 Days 3f. Daily Visual Monitoring of Suction Product Piping 4a. Manual Ihventory Reconciliation Each Month */ 4b. Anhual Inventory Reconciliation Statement Submitted 4c. Meters Calibrated Annually 5. Weeldy Manual Tank Gauging Records for Small Tanks 6. *Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring ~/' 9. w~ Monitorieg / ~" 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors t~ / ~'~ 13. Continuous Piping Monitoring In Sumps 14. Automatic Pump Shut-off Capability ..~ 15. Annual Maintenance/Calibration of Leak Detection Equipment .~ 16. Leak Detection Equipment and Test Methods Usted in LG-113 Series 17. Written Records Maintained on Site 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedure? of UST System Within 30 Days 19. Reported ;Unauthorized Release Within 24 Hours /,' ,/' ~,-- 20. Approve~,!UST System Repairs and Upgrades 21. RecordsiShowing Cathodic Pmtecticn Inspection ,/ 22. Secured"Monito~ing Wells v,/ ~ ~,.-* 23. Drop Tube ~,,~ .~ ./ RE-INSPECTION DATE , RECEIVED BY: INSPECTOR: ~"~,~,~ ~t~~ ,~"~.~_ ~ OFFICE TELEi~HoNEN'~.- FO 1669 te Underground Hazardous Materials Storage Facility CONDITION ;P: EVERSE SIDE HAZARDOUS MATERIALS DIVISION 1715 Chester Ave., 3rd Floor (805) 326-3979 ApProved by: Ralph E. Huey, Hazardous Materials Coordinator Valid from: UNDERGROUND , ,~ STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED ?-- ~ YES ~ NO::~~.~.,.'~:~v~'~,.:~.:~,.~-:~::,..~v~::::::::::::::::':: REPORTDA~ Y CASE ~ NAME OF INDIVIOU~ FILING R~RT k ~ m PHONE · ~ R S ~ AME STRE~ ~~ Cl~ STA~ FACILI~ N~E (IF APPLICABL~, OPERATOR PHONE ~ ADDRESS ~ ~RE~ ~U~ ZIP ' ~ CROSS STREET ' ' ~ L~AL AGENCY AGENCY N~E ~T~T PERSON PHONE REGION~ BOARD PHONE ~ ~ UNKNOWN DA~ DI~HARGE BE~N M~HOD USED TO STOP DISC~RGE (CHECK ~L ~AT APPLY) SOURCE OF DI~HARGE CAUSE(S) i ~ ~ CHECKONE ONLY 6~ ~ UNDERMINED~ SOILONLY ~ GROUNDWATER ~ DRINKING WATER - (CHECK ONLY IF WATER WELLS HA~ AC~ALLY BEEN AFFEC~D) C.~CK ON60NL~ ~ m ~ NO ACTION TArN ~ PRELIMINARY S~ ASSESSMENT ~RKP~N SUBMI~ED ~ POLLUTION CHARAOTERI~TION ~ ~ ~ LE~ BEING ~NFIRMED ~ PREUMINARY Sl~ ASSE~MENT UNDERWAY ~ POST CLE~UP MONITORING IN PROGRE~ ~ REMEDIATION P~N ~ CASE CLOSED (CLE~UP~ ~MPLE~D, OR. UNNECESSAR~ ~. CLE~UP UNDERWAY CHECK APPROPRIATE ACTION(S) ~ EXCAVATE & DISPOSE (ED) ~ REMOVE FREE PRODUCT (FP) ~ ENH~CED BIO DEGRADATION (1~  ~ CAPSI~(CD) ~ EXCAVATE&TREAT(E~ ~ PUMP&TREATGROUNDWA~R(G~ REP~CE SUPPLY (RS) ~ ~ CONTAINMENT BARRIER (CB) ~ NO ACTION REQUIRED (NA) x ~ TREA~ENT~TH~P(HU), ~ VENT~IL~S) UNDERGROUND STORAGE, .I IKINSpECTION, . ............................................................................................................................................................................................. FACILI~ ADDRESS 170! ~~ / ~ Cl~ ~ZIP CODE FACILI~ PHONE No. ~- 7~%% TIME IN _~?,~ TIME OUT ~,. %~ f ~ In~ ~te In~ ~te INSPECTION'~PE: ~ " S~ -' SEe ROUTINE ;~ FOLLOW-UP . ~, /~,~ /O,~o ~, ~ REQUIREMENTS ~ no ~a ~ ~ /~a la. F~s A & B Subm~ ~ lb. F~ C Su~ ':" lc. · O~mting F~ Pa~ ?' ld. Stat~ Sum~r~ Pa~ ~ le. State~n~ of Fly,iai ~sibil~ Su~ lf. Wr~en C0ntm~ Exists ~n ~er & O~mt~ to O~mte MST 2a. ~1~ O~mting P~ ~'{~ 2b. Ap~°v~[W~en Ro~ine M~n~ng Pr~ure 2c. Un~ho~ Relea~ Res~ P~n ~. Tan~ Integr~ Test in Last 12 Months '"'3b. Pr~u~ Piping Int~ri~ Test in Last 12 M~ths /' ~. 'Sucti~ P~ping T~ht~s Test in Last 3 Yearn ~. Gmv~ FI~ Piping T~htn~ T~ in Last 2 Yearn ~. T~t R~u~s Subm~ Within ~ Da~ 3f. Dai~ ~sual Monitoring of Su~l~ Pr~ Piping ~. Manual Invent~ R~cil~ti~ Each M~th ~. Annul Invent~ R~liat~ State~ Su~ ~. Metem Calibmt~ Annually 5. W~kly Manual Tank Gauging R~rds f~ Small Tan~ 6. Month~ Statisti~l Invento~ R~iliation R~u~s 7. Mo~h~ A~atic Tank Gauging R~u~s 6. Grou~ Water ~n~ng 9. ~ Mon~oring ' 10. Contin~us Intemt~ial Mon~odng f~ D~bl~Wall~ Tan~ 11. M~hani~l Line L~k Detecto 12. El~ron~ Line Leak Det~tom 13. Continuous Piping Mon~ofl~ in Sum~ 14. A~omatic Pump Shrift Ca~bil~ 15. A~nual Maintenan~Calibration of Leak Det~ Equi~t, 16. Leak Det~tion Equipment and T~t Metes List~ in L~113 Se~ ,~ 17. Wr~en R~ords Maintain~ on S~e · 18~ Re~ Chang~ in U~g~Cond~ions to O~mtin~oflng ,, Pr~ur~ of UST S~tem W~hin ~ Da~ 19. Re~fl~ Una~h~ Relea~ W~hin 24 Houm ~. Appwv~ UST S~tem Re,irs a~ U~md~ ....... 21. R~rds S~ng Cath~ Pr~ Ins~t~ ~ ~ ~ ~. S~ur~ Mon~oflng Wells ~. Dr~ Tu~ BRUNDAGE LANE AM PM Fac. Unit: Fixed Containers on Site Hazmat Inventory -- Inventory Details ESTER 10/21/93 ~ Name i [ Secret ] V CAS/Waste Code ~ ARCO CLEAN UNLEADED GASOLINE No 8006-61-9 Underground Storage Tank / 1st Screen I Contents: MOTOR VEHICLE FUEL PRODUCT REGULAR UNLEADED I Construction Corrosion Protection Type : DOUBLE WALL FIBERGLASS REINFORCED PLA Prime Material : FIBERGLASS Interior Lining : GLASS LINING MeOH Compatible : Yes <S>~SPTL <C> Components <N> Notes <U> UST-1 <V> UST-2 <I> Inventory List <P> Print <Fl> Help <Esc> Exit d~kkersfield Fire Dept. Ha~l'dous Materials Division '?~ Date Completed //~ ~/~_>""- ! Business Name: .~c~> /-~/'3'~ i~ Location: ['7~ / ~,~,~,~,5~ ._ /_.,~ Business Identification No. 215-000 ~ I .7 (Top of Business Plan) Station No. #,~.-773,~'T Shift L~ Inspector Arrival Time: Departure Time: Inspection Time: Adequate Inadequate Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Comments: Verification of MSDS Availability Number of Employees: Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: Business Owner/Manager PRINT NAME SIGNA~/ / Correction Needed White-Haz Mat Div Yellow-Station Copy Pink-Business Copy STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A cOMPLETE THIS FORM FOR EACH FACILITY/SITE MARt(ONLY [~ 1 NEW PERMIT [] 3 RENEWAL PERMIT ~ 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT [-'-] 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETEO) NAME OF OPERATOR ADDRESS NEAREST CROSS STREET PARCEL # (OPTIONAL) /7.0/ z~ ,~u~ ,~ ,fr.(~ ,z.4-~' "h' /~, - STATE I ZIP CODE SIT~ PHONE# WITH AREA CODE O,~NAME b~~/~"'-O CA, ~~ (b-¢-)~,~- ?~ v" BOX TO INDICATE~z-, ~ORPORA'TION ~] INDIVIDUAL ~ PARTNERSHIP ~ LO~AL-AGENCY ~ COUNTY-AGENCY ~ STATE-AG£NCY ~ FEDERAL-AGENCY DISTRICTS EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY). optional I DAV~__.?~E (LAST. F,RST) ~HONE #.WITH AREA CODE I DAYS: F,RST) .-.-~HONE # W~TH AREA CODE YW~, ..~-,¢,U~ (;~'"-~-7'..-W~ I NAME,LAST. NIGHTS; NAME (LAST, FIRST) PHONE # WITH AREA~CODE NIGHTS: NAME (LAST, FIRST) - PlaNE # WITH AREA CO6E II. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) NAME . CARE OF ADDRESS INFORMATION MAILIN~ OR STREET ADDRESS ' I '/ ~z ~olndicate E~ INDIVlgUAL f ~-~ LOCAL-AGENCY !E~ STAT£-A~C¥ CITY NAME STATEJl ZIP CODE PHONE( ~ ~"~)# WITH~7~AREA CODE~o III. TANK OWNER INFORMATION - (MUST BE COMPLETED) MAILI~JG OR STREET ADDRESS ,/ box Io Indicate I~ INDIVIDUAL ' . ~, ~ ~ ~ ~co.~.A.O. ~..,.~.s.,. ~COU~-A~ ~,~O~L-A~,.C~ CITY NAME ST~j[, ZIP CODE I¥. BOARD OF EOUALITATION UST ~roRAGE FEE ACCOUNT NUMBER - Call {01 ~) 73~-2§82 i~ questions ariso. TY(TK) HQ I~-I~-IOlOI olo'Tol V. LEOAL NOTIFICATION AND BILLINO ADDRESS Legal notifi~lion ~nd billing will be senl Io lhe l~nk owner unle~ box I or II is checked. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT ,~--- .~.,. J-~-'?~~.~"~,~', .'. (~'1 *~ ' LOCAL AGENCY USE ONLY ' ,~ ~ COUNTY # JURISDICTION # FACILITY # ~-~ · IOl~l I. I~.1~1~1~ 2~---- LOCATION CODE - OPTIONAL CENSUS TRACT # - OPTIONAL I SUPVlSOR - OISTRICT CODE - OPTIONAL I THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B~ UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (9-90) FOR0033A-R2 ~.~" STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION FACILITY #1960 STREET 1701 BRUNDAGE LANE A,?~/f~M BAKERSFIELD KERN CITY COUNTY II. INSTALLATION (mark all that apply): [] The installer has been certified by the tank and piping manufacturers. [] The installation has been inspected and certified by a registered professional engineer. [] The installation has been inspected and approved by the implementing agency. [] All work listed on the manufacturer's installation checklist has been completed. [] The installation Contractor has been certified or licensed by the Contractors State License Board. [] Another method was used as allowed by the implementing agency. (Please specify.) II1. OATH I certify that the informatiFlp provided is true tq the best of my belief and knowledge. / / Owner/Agent ARCO (~ ¢ ~ ~ .~_/~~ ~~-'~/~ Tank ~_ _ Date Print Name CYNTHIA KEPHART Phone ( 310 ) 407-2606 Address 17315 STUDEBAKER RD,, CERRITOS~ CA 90701~-1488 LOCAL AGENCY USE ONLY COUNTY # JURISDICTION # FACILITY # TANK # STATE REGULAR I FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION FACILITY #1960 STREET 1701 BRUNDAGE LANE CITY BAKERSFIELD.- COUNTY KERN I1. INSTALLATION (mark all that apply): [] The installer has been certified by the tank and piping manufacturers. The installation has been inspected and certified by a registered professional engineer. [] The installation has been inspected and approved by the implementing agency. All work listed on the manufacturer's installation checklist has been completed. [] The installation Contractor has been certified or licensed by the Contractors State License Board. [] Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the inforrr~tion provided is true to the best of my belief and knowledge. / ,.__, / Tank Owner/Agent ARCO [ Date Print Name CYNTItlA KEI~ItART Phone { 310 ) 407-2606 17315 STUDEBAKER RD., CERRITOS, CA 90701-1488 Address LOCAL AGENCY USE ONLY COUNTY # JURISDICTION # FACILITY # TANK # STATE TANK,.D.# IoIzl/t [ IP4 I I Izt t I I I I 121UNLEADED REGULAR FORM C (7/9~) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FORO035C7 STATE OF CALIFORNIA - STATE WATER RESOURCES CONTROL BOAR CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION FACILITY #1960 STREET 1701 BRUNDAGE LA.NE BAKERSFIELD KERN CITY COUNTY II. INSTALLATION (mark all that apply): [] The installer has been certified by the tank and piping manufacturers. [] The installation has been inspected and certified by a registered professional engineer. [] The installation has been inspected and approved by the implementing agency. [] All work listed on the manufacturer's installation checklist has been completed. The installation Contractor has been certified or licensed by the Contractors State License Board. [] Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the inform,afl,ion provided is true to the best of my belief and knowledge. / /- TankOwner/Agent ARCO/!~,~~'" /~~' Date (~/"~/~Z Print Name CYNTI-tIA KEPHART Phone ( 310 ) 407-2606 Address 17315 STUDEBAKER RD., CERRITOS, CA 90701-,1488 LOCALAGENCY USE ONLY STATE COUNTY # JURISDICTION # FACILITY # TANK # TANKI.D.# [~ I Zi I ¢' 31'Zk---I t I I" SUPER UNLEADEI FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR003SC7 ~'~ ~-'~ ~¥:.~. ~Bakersfield Fire Dept~ :':" .... ':" ~%ZARDOUS MATERI,.ALS DIV~iON . 2130 G Street, Bakersfield, CA 93301 ~-.,~/ .~,~'°~D (805) 326 3970 ADDff~ N~ C~ S~ PARCEL No.(OP~ONA~)  S~A~ ZIP COD~ ~ aOX TO INDICATE ~OR~ON ~INDIVlDUA[ ~ PA~ERSHIP ~ L~A[AG~Y OIS~IC~ ~COUNW AGENCY ~ STA~ AGENCY ~ FEDEX[ AGENCY Q3FARM ~4 PR~R QSO~ER TO OPE~ ~. EMERGENCY CONTACT PERSON (?RIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (L~ST. FIRS'I) PHONE No. WITH AREA CODE DAYS: NAME (lAST, FIRS1) PHONE No. WII~ AREA CODE NIGHTS: NAME (I. AST, FIRS'0 PHONE No. WIIN AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE I1. PROPERLY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE O~ ADDRESS INFORMATION MAILING OR STREET ADDRESS ~' BOX ~-~"'~. _ ~ INDIVIDUAL ~ LOCAL AGENCY [~ STATE AGENCY ~.J I-/,315' ~~/O~Y--~'- ff.~o.~ TO ~NDIC^~ ~'ARTNE.SHIP ~COUNTY AGENCY QFEDE~,L ^GENCY CITY NAME STATE ZiP CODE PHONE No. WITH AREA CODE C.e.-w~+~ C.,~ qo-~o I ~.:zt3) z~o ~-,5'300 III. IANKOWNER INFORMAIION (MUSI BE COMPLEIED) NAME CARE OF ADDRESS INFORMATION MAILING OR S'ffi~E[ ADDRI:$$ ~=~ _~ocp. · ~' BOX ~-.J~,, _ _ I-/,~.,~._ . ,,,_~..~..L,~,~,.bt3,.ke~r- ,,.~ TOINDICAIE QPARTNERSHI, QCOUNIYAGENCY QFEDERALAGENCY CIIY NAME STATE I ZIP CODE PHONE No. WITH AREA CODE TANK SIZE ~WNER'$ DA?E - -V4~'1t4~- PRODUCT IN ]rANK No. , INSTALLED S?ORED SERVICE "~ 21.. ~o/,q/qo IO,ooo fl~4 ~A~l-~'e_~e.,J ~'o~._ (~)/N .2. lo/Iq/q'o ~o ,ooo ~:: ~e~eg f-.%f~l~-- ~1 N 0 lO/lq/qO [0~ ooo 3,4 P,,e~u[o.v' ~,_~l~-- (~/N Y/N YIN DO YOU HAVE FINANCIAL RESPONSIBILITY? (~/N TYPE ~e_,[-~ Fill one segment out for each tank, unless all tanks and piping are ,~-~ ~ ~ constructed of t same materials, style an~ype, then only fill one segment out ilease identify tanks by o~er ID I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN [' A'OWNER'sTANKI'D'# 'TO'v'~k'% -'~''/ '~'/ ~' ZI'' C. DA~ INSTALLED (M~AY~EAR) JO / 1~ / ~ O III, TANK CONSTRUCTION MARKONEI~MONLYIN~XES~B. ANDC.~DALL~ATAP~IESINBOXD A. WPE OF ~ 1 DOUBLE WA~ ~ 3 SINGLE WA~ Wl~ E~ERIOR LINER ~ 95 UN~OWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY ~TAINMENT (VAUL~DTAN~ ~ ~ O~ER B. T~K ~ 1 ~RE STEEL ~ 2 STNNLESS S~ ~ 3 FIBERG~S ~ 4 STEEL C~D WI FIBERG~ REINmRCED P~S~C UATERI~ ~ 5 ~NCRE~ ~ 6 ~LWI~L CHLORI~ ~ 7 ~UMINUM ~ 8 1~, ME~ANOL ~MPA~B~W~RP ~ 1 RUBBER LIN~ ~ 2 ~D L~G ~ 3 ~ LINING ~ 4 PHENOL~ LINING C. INTERIOR ~ 5 ~ LINI~ ~ 6 UNLINED ~ ~ U~ ~ ~ O~ER UNING IS ~ING MATERI~ ~MPATIBLE WITH 1~ M~ANOL ? YES ~. CORROSION ~ 1 ~L~LENE W~P ~ 2 ~A~ PROTEC~ON ~ 5 CATHODIC P~TECTION ~ 91 ~NE ~ ~ ~WN ~ ~ O~ER IV. PIPING INFORMATION C~RC~ A ~FAaOV;GROUNOOR U ~FUNOE~ROUNO, BO~tFA~UCAaLE A. SYS~M~PE A U 1 SUC~ON A~ 2 PRESSURE B. CONSTRUCTION ~ U 1 SINGLE WALL A ~ 2 ~UBLE W~ ~ U 3 ~ED TR~CH A U g5 UN~OWN ~ U ~ O~ER C. MATERIAL AND A ~ i ~RE STOL A ~ 2 STAINLESS S~ A ~ 3 ~LWINYL CHLORIDE (PVC)A~ 4 FIBERG~S PiPE CORROSION A U 5 ~UMINUM A ~ 6 ~NCRE~ A ~ 7 S~LWI~A~NG A ~ 8 l~e M~ANOL ~MPATIB~W~RP PROTE~ION A ~ 9 ~LVANI~D S~EL A U 10 CATHOOICPRO~CT~ON A ~ ~ UN~OWN A G ~ O~ER D. LEAK D~ECTION ~ 1 ~TOMA~LINELEAKDE~CTOR ~ 2 LINET~H~ESS~S~NG ~NEORING ~ ~ O~ER V. TANK LEAK D~ECTION I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN C. DATE' INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY I, GALLONS: III. TANK coNSTRUCTION MARK ONE ITEM ONLY IN BOXES A. S. ANDC. AND ALL THAT APPt-IES IN BOX D A. ~fPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTklNMENT {VAULTEDTANtO [] 99 OTHER B. TANK ~ 1 BARESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 'ALUMINUM, [] 8 100"/. METHANOL COMPATIBLEW/FRP (Pdmary?ank) [] g SRONZE [] 10 GALVANIZED STEEL [] g5 UNKNOWN [] gg OTHER 1 RUSBE" LmNED [] 2 AL o LIN,.G [] 3 LIN,. [] . P.E.OL LIN,NO C. INTERIOR ~ [] ~ OTHER LINING ~ 5 GLASS LINING [] 0 UNLINED [] 95 UNKNOWN ~S UN~NG MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ ~ [] 4 FIBERGLASS REINFORCED PLASTIC D. CORROSION ~ 1 POLYETHYLENE WRAP [] ~ COATING [] 3 VINYL WRAP PROTECTION [] $ CATHODIC PROTECTION [] 91 NONE [] 95 UNK~K)WN [] 99 OTHER IV. PIPING INFORMATION CIRC,~ A IFABOVEGROUNOOR U IF UNDERGROUND. SOTHIPA~LICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U g9 OTHER B. CONSTRUCTION A U I SINGLE WALL ALI 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2.STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL DOMPATISLEW/FRP PROTECTION A U 9 GALVANIZED STEEL - A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~---] ~ AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTiNG [] 3 INTERSTITIAL []?g OTHER MONITORING , V. TANK LEAK DETECTION ' 6 TANK. TEST'NO Lr'~ 7 iNTERSTIT,ALMONITORING [_-~ 91 NONE ~ 95 UNKNOWN ~ gg OTHER The ALlantic Richfield Company (ARCO) hereby c~rtifles that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mecha~sm used t,o demonstrate flnanai~l responsibility under Subpart H of 40 CFR Part 280 is as follows: ¢ovsrag~: Eut~ae R. Mancini ARCO 616 & Flower Strmt Lo~ AniSes, CA 900Tt (2t3) 46~7290 ARC0-8204 UNDERGROUND STORAGE TANK UNAUTHORi~ZED,. RELEASE (LEAK)/CONTAMINATION SITE REPORT:', '" HAS STATE OFF CE OF EMERGENCY SERVICES i A ' : ::: :"::::':::: ' :~::~ ::::::::::::::: ~:::::::: :5: :::5:::: ::::::::::::::::::::::::::: ?~:~:i:::::J:: :-::::::::::::: :::: :::::::::: ? :::::::::: :-:i:i:::::::: :i:]: ::::::::::::: NAME OF INDIVIDU~ FILING REPORT~ . PH~ ] 81GNA~RE REPRESENTING .~ OWNE~OPERA~OR ~ REGION~ BOARD COMPANY OR AGENCY ~AME . "' ' ~ ADDRESS . . NAME ~ ~~ ~ CONTACT PERSON '~ · L~AL AGENCY AGENCY N~E i ~ ~NTACT PERSON PHONE REGION~ BOARD , O PHONE : ~ UNKNOWNS'. ~.T~ ~S~WRE~ [ .OWD~S~W.m ~ ~.V~NTOR~NTROL ~ SU~SUR~AC~ ~ON~mR~.G ' ~ NU~S~C~ '~A~ DI~HARGE BE~N M~HOD USED TO STOP DISCHARGE (CHECK ~ ~AT APPLY) ...... · HAS DISCHARGE SEEN STOPPED ? ~ REPAIR TANK ~ CLOSE TANK & FILL IN P~CE ~ CHANGE PROCEDUBE ~ REP~CE TANK ~ OTHE~ 7g'~4 ~ &, ., *,U ~ V~ . : SOURCE OF DISCHARGE CAUSE(S) I '::~ ~;~ . ,'~9'~ 'UNKNOW~ ~ /OTHER' ~O ~ PIPINGL~K '~ OTHER~f*~C C~ 4C~ ~RROSION , · ~, ~ UNDE~RMINED ~ SOILONLY ~ GROUNDWATer ~ DRINKING WATER - (CHECK ONLY IF WATER WELLS HA~ AC~ALLY BEE~:~F~C~D CHECK ONE ONLY ;[ :: ,~ ~ NO AOTION TAKEN ~ PRELIMINARYSI~ASSES~MENT~RKP~NSUBMI~ED ~ POLLUTIONCHARACTERI~TIO'N ~ ue~ aciNG cOnF~RMED ~ PREum~NaRY s~ assEssmENT Ur~erwav ~ POsTcLe~uP MONITORING IN ProGress . ,,,}'~ ~ ~ REmemaT~ON PLaN .~ casE cLOseD(cLE~UP ~mPLe~D OR uNNEcessaR~ ~ cLeaNuP uNDeRwaY ,,:.,,;~ ;,ss cHECK APPROPRIATE AcTiON(S) ~ ExcAVATE & DISPOSE (ED) ~ REMOVE FREE PRODUCT (FP) ~ ENH~CED BIO DEGRaDAtION ~ ~ cAPsI~(cD) ~ ExcavaTE. atReat~E~ ~ PuMPam~aTeROuNDwaTER(G~ REP~cEsu"~LY(Rs~'.'~ '~/ Agreement Number 000141§ AR~CO Products Compaf..w-, .~. greement Sequence 000 ~,."uivls~on of Atlantic Richfield Company '~' Facility Number 01960 ' .~B ,~?~{~,~. Customer Number 0646752 ~'!~ * AR Number 0646752 [~.~/ ,/~/~'~ Agreement Type PMAMPM AMENDMENT TO LESSEE PMPA FRANCHISE AGREEMENTIDEALERIPREMISES LEASE OPERATION OF UNDERGROUND STORAGE TANKS CALIFORNIA This Amendment, datedff .X~~ ~ ,19~attached tO, incorporated in and madea part of the Lessee PMPA Franch~j~ Agreement/Dealer/Premises Lease {"PMPA Agreement"), in effect as of the date of this Amendment or, if ~'pplicable~ to bec° ~- rrently with this Amendment, between Atlantic Richfield Company, a Del~ion, throug~ARCO Product Company, ("ARCO"), and DONALD Q LYNES ,,,--~" ("Franchisee"), covering premises Ioca~d at 1701 BRUNDAGE LANE ' ~ . BAKERSFIELD ~.~ .' CALIFORNIA ..93304///' In return for good and valuable consideratio~party's'~ receipt of Which i~by ' acknowledged, the parties agree as follows: 1. The parties have entered into this Amendment in accordance With legal requirements imposed on ARCO and Franchisee concerning operation of the underground storage tanks at the above-referenced location. 2. ARCO has provided Franchisee a copy of: (a) California Health and Safety Code Section 25299 or an approved summary concerning civil and criminal penalties for violating terms of any permit to operate these underground storage tanks and relevant statutory and regulatory requirements; (b) the following listed documents,· a copy of which is attached and initialed by Franchisee: Monitor & Response Plan - I w/Attachments 3. Where ARCO has provided Franchisee with a copy of the permit to operate the underground storage tanks, Franchisee has read and understood its responsibilities as operator under the permit and agrees to comply with each of the provisions of the permit. Irrespective of whether Franchisee has received and reviewed a-copy of the underground storage tank operating permit, Franchisee hereby expressly agrees to do the following: (a) monitor the underground tanks as required by law; (b) maintain all required records and make such records available to the federal, state and local government agencies and to ARCO at all reasonable times; (c) follow all reporting procedures as required by law; (d) mail, when submitted, to ARCO, at the address specified in paragraph 1 of the PMPA Franchise Agreement/Dealer/P~emises Lease, a copy of all reports submitted to government agencies; CA 1 of 2 (1/92) PARSSV (e) follow all operating procedures specified by ARCO; (fi immediately report to ARCO all suspectedor confirmed releases from the tanks and connected piping system, unusual operating conditions, release detection signals and environmental conditions suggesting a release may have occurred, and any spills and overfills that are not contained and cleaned up; (g) properly Close the Underground tanks as required by law; and, (hi comply with all federal, state and local legal requirements relevant to the operations of the underground tanks and all amendments to any permit to operate. 4. With respect to the operation of the underground storage tank system and monitoring equipment, Franchisee hereby acknowledges and agrees:,. . ~ .~.. - that ARCO has provided Franchisee Witl~ training on each of th~ items de.~cribed in the attached Monitoring and Response Plan, - that Franchisee understood the content of tl~e training,' and asked any questions necessary to i facilitate his understanding,. · ~" .. ~ :'", ':-. '~-:'.:'-'T ................ ' .... " - that Franchisee indicated to ARCO at the timeof training any subje~:ts addressed by the training which Franchsee did not fully understand, and - that Franchisee received complete training and information necessary for Franchisee to fully understand the subject of operating underground storage tanks. 5:' ARCO has' provided Franchisee a copy of and Franchisee agrees tO maintain on the Premises the Certificate of Financial Responsibility {as required'bY the United States Environmental Protection 'Agency in Subpart H, 40 CFR, Part 280 and California Health and safety Code, Chap.ter 6.7, Section 25292.2). 6. Except to the extent they conflict with, or are less rigorOus than the terms of this Amendment, all of the terms and conditions of the PMPA Agreement, as previously or.hereal~er amended or supplemented, remain in full force. IN WITNESS WHEREOF, ARCO and Franchisee have executed this Amendment. · ARCO Products Company · ' ~'. a division of Atlantic Richfield Company ARCO WITNESS: . i , By: -~.~ . .~. ~,,~' .~:.. ~.'~ .~, · ,~i~ -' .', , · ' ,~.~?'";: ,-" .~ ' ~'"~ ','--'~'~'~ WITNESS Franchisee's Name ,. -. D~NALD Q LYNES DATE: "~ cA 2 of 2 MONITORING AND RESPONSE PLAN - I ..... ARCO PRODUCTS COMPANY FACILITY WITH SECONDARY CONTAINMENT OF UNDERGROUND STORAGE TANKS & PRODUCT LINES This plan is designed to meet the monitoring and response requirements of Section 2634, Article 3, Title 23, CCR. 1. MONITORING EQUIPMENT Secondarily contained storage tanks and lines at this facility are monitored by a continuous electronic leak detection system which consists of an alarm panel, sensors and associated electronics. Uquid sensors are installed in the annular space of each double wall tank and product line piping sump. Whenever a sensor detects the presence of a liquid there is both a visual and audible alarm at the control panel. Automatic line leak detectors are installed on the secondarily contained pressurized product piping. The line leak detector will detect a loss of pressure in the product lines and restrict the flow of product. An annual tightness test will be performed on the product lines. 2. MAINTENANCE SCHEDULE OF MONITORING EQUIPMENT The continuous electronic leak detection system including line leak detectors will be inspected according to the manufacturer's instructions by an outside contractor once during each calendar year. 3. ROUTINE MONITORING PROCEDURE On a daily basis the facility operator shall: A. Inspect the control panel for visual and audible alarm signals to confirm that the unit is operating. B. Inspect island and tank fill areas for signs of spillage or petroleum sheen. C. Record the inspection observations on the Daily Visual Monitoring Log (Form APPC- 765: attached.) 4. RESPONSE PLAN OPERATOR RESPONSIBILITIES A. LEAK RECORD;riG AND REPORTING PROCEDURE Whenever an alarm is activated, station personnel are to immediately: a. Contact ARCO Maintenance or its designated agent by using the telephone number previously provided. b. If any-visible indications of petroleum products or vapors are noticed call 911. c. Make an entry in the Recordable Discharge Log (Form APPC-765-1: attached) indicating the action taken. d. Complete the Recordable Discharge log when and as the source of the alarm is known. ARCO RESPONSIBILITIES B. METHOD OF REMOVING AN UNAUTHO~IT~=n F~ ;~SE ~ THE SECONDARY ~AINMENT a. Any unauthorized release into the secondary containment system of a product tank will be removed by pumping. Uncontaminated product may be returned to the tank. Contaminated product may be returned to the refinery to be recycled or may be disposed of following procedures in accordance with California Health and Safety Code requirements. In the event of an emergency, a pumping contractor or truck will be available immediately. In all other cases, equipment availability will be within 12 hours. ARCO Maintenance~ll~ will be responsible for authorizing and selecting contractors for the work to be performed. 5. TRAINING In addition to the training covering subjects mentioned in Sections 3 and 4 above, training needed for the operation of the tank system and monitoring equipment includes: How to: Take tank level measurements Read dispenser meters Inspect equipment Recognize warning signs: dispenser hesitations, meter spins and odors Manually close dispenser impact valve Replace dispenser filters T~,~INING CONTINUED - Shut down the system with and location of: ARCOmatic switch, electrical panel breakers, and emergency shut off switch ' - Test the electronic monitor 6. RECORDS RETENTION Written records of all monitoring, testing, and maintenance performed shall be maintained on-site or off-site at a readily available location for a period of at least 3 years. These records must be made available, .upon .request within 36 hours, to the local agency or the Board. 7. PARTY RESPONSIBLE FOR PERFORMING THE MONITORING Name Title 8. PARTY RESPONSIBLE FOR MAINTAINING EOUIPME~rT'~ Title ARCO Products ComP~l) ~. Dally Visual Underground ~" ~"~""~~ Storage Tank Monitoring Log ARCO facility no. Dealer/Franchisee Month/Year . System condition Inspector Comments Day Operational Alarm' Initials 2 3 4 5 6 7 8 g 10 12 13 14 15 16 17 18 19 20 21 23 24 25 27 28 NOTE: IF ALARM CONDITION EXISTS IMMEDIATELY NOTIFY ARCO MAINTENANCE OR ITS AGENT DESIGNATED AND MAKE ENTRY ON ALARM ACTIVATION/DISCHARGE LOG APPC,.765 (589) ARCO P'"ducts Company~ g) RECORDABLE DISCHARGE'LOG o ~^...,,cR,c.,,.,~Comp.ny: DOUBLE CONTAINMENT UNr GROUND STORAGE TAN K SYSTEM* ARCO Facility no. Dealer/Franchisee Date/Time Reported to Cate/Time Oescrlptlon of conditions Corrective action taken of Discovery CALIFORNIA HEALTH AND SAFETY CODE DIVISION 20, CHAPTER 6.7 SECTION 25299 (a) Any operator of an underground tank system shall be liable for a civil penalty of not less than f'we hundred dollars ($500) or more than five thousand dollars ($5,000) for each underground storage tank for each day of violation for any of the following violations: ( 1 ) Operating an underground tank system which has not been issued a permit, in violation of this chapter. .. ( 2 ) Violation of any of the applicable requirements of the permit issued for the operation of the underground tank system. ( 3 ) Failure to maintain records, as required by this chapter. ( 4 ) Failure to report an unauthorized release, as required by Sections 25294 and 25295. ( 5 ) Failure to property close an underground tank system, as required by Section 25298. ( 6 ) Violation of any applicable requirement of this chapter or any requirement of this chapter or any regulation adopted by the board pursuant to Section 25299.3 (7)Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, record, report, or other document submitted or required to be maintained pursuant to this chapter. ( b ) Any owner of an underground tank system shall be liable for a civil penalty of not less than f'we hundred dollars ($500) or more than f'we thousand dollars ($5,000) per day for each underground storage tank, for each day of violation, for any of the following violations: ( 1 ) Failure to obtain a permit as specified by this chapter. ( 2 ) Failure to repair or upgrade an underground tank system in accordance with this chapter. ( 3 ) Abandonment or improper closure of any underground tank system subject to this chapter. ( 4 ) Knowing failure to take reasonable and necessary steps to assure compliance with this chapter by the operator of an underground tank system. ( 5 ) Violation of any applicable requirement of the permit issued for operation of the · underground tank system. ( 6 ) Violation of any applicable requirement of this chapter of any regulation adopted by the board pursuant to Section 25299.3. (7)Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, record. .report, or other document submitted or required to be maintained pursuant to this chapter. (c) Any person who intentionally fails to noti~ the board or the local agency when required to do so by this chapter or who submits false information in a permit application, amendment, or renewal, pursuant to Section 25286, is liable for a civil penalty or not more than five thousand dollars ($5,000) for each. underground storage tank for which notification is not given or false information is submitted. (d) Any person who falsifies any monitoring records required by this chapter, or knowingly fails to report an unauthorized release, shall, upon conviction, be punished by a fine of not less than five thousand dollars ($5,000) or more. than ten thousand dollars ($10,0000, by imprisonment in the county jail for not to exceed one year, or by both that fine and imprisonment. (e) In determining both the civil and criminal penalties imposed pursuant to this section, the court shall consider all relevant circumstances, including, but not limited to, the extent of harm or potential harm caused by the violation, the nature of the violation and the period of ' time over which it occurred, the frequency of past violations, and the corrective action, if any, taken by the person who holds the permit. (f) Each civil penalty or criminal fine imposed pursuant to this section for any separate violation shall be separate, and in addition to, any other civil penalty or criminal fine imposed pursuant to this section or any other provision of law, and shall be paid to the treasury of the local agency or state, whichever is represented by the office of the city attorney, district attorney, or Attorney General bringing the action. All penalties or fines collected on behalf of the board or a regional board by the Attorney General shall be deposited in the State Water Pollution Cleanup and Abatement Account in the State Water Quality Control Fund, and are available for expenditure by the board, upon appropriation, pursuant to Section 13441 of the Water Code. ; (g) This section shall become operative on January 1, 1991. (Added by Stats. 1988, c. 296 Section 3, operative Jan. 1, 1991. Amended by Stats. 1989, c. 11397, Section 19, operative Jan. 1, 1991.) i.