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Home My WebLink AboutUNDERGROUND TANK Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ' · "';,* [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials E! Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-001808 LA BARATA MEAT '" .... ~ LOCATION 430 E 93307 TANK 015-000-001808-0001 PREMIU 10,000 015-000-001808-0002 >' ~:,:, 10,000 015-000-001808-0003 4!:'~!... "-'.' Issued by: B a1715 kc rs field Fire De Chester pa 3rd rtm ent 'Floor :...i;;:i- VICES: i'. Ave., . ~. RalplfHuey, ~ j Issue Date Bakersfield, CA 93301 on~ceorE,,~,,~,,~rs~,,,i~ -' Voice (661) 326-3979 FAX(661)326-0576 ExpimtionDate: ' ' 'June 30... 2003 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 SAIID 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 Mr. Iqbal Singh La Barata Meat Market 430 E, California Avenue Bakersfield, CA 93304 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Mr. Singh: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators. These are as follows: I) 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/Operator 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, vj(~ Steve Underwood Fire Prevention Officer SU:db IfO~nl';)~r¡ Ihe Ýf;~)/mHUMttl1/ 07Jí(l.~ º ¡loR) c'f11w.)I Of/I ~/}I.tiM¿¡ II JOB CARD Prevention Services ~ 900 Truxtun Ave #201 POST CARD AT JOB SITE Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME , OWNER.,,q I INSTRUCTIONS: PLEASE CALL FOR AN INSPECTOR ONLY WHEN EACR GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN CONSECUTIVE ORDER BEGINNING WITH NUMBER ONE. OD NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP ARE SIGNED OFF BY THE PERMI~ING AUTHORITY. FOLLOWING THESE iNSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED INSPECT/ON V/StTS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES. INSPECTION I DATE [~ INSPECTOR TANKS AND BACKFILL BACKFILL OF TANK(S) ~ r~t ~ Z~ CATHODIC PROTECTION OF taNk(S) ~t ~ 10. ~ ~ PIPING SYSTEM PRIMARY PIPING SECONDARY PIPING TYPE OF PIPING ~ FLEX ~ FIBERGLASS CATHODIC PROTECTION SYSTEM-pIPING DISPENSER PAN SECONDARY CONTAINMENT, oVERFILL'pROTECTION, LEAK OETECTION CONTINUOus VAP0d' MONITORING ~..A.C.~O ~Ak O~t~CtO. t~St LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES FILL TIGHT FILL BOX(ES) PRODUCT LINE LEAK DETECTOR(S) LEAK DETECTOR(S) FOR ANNUAL SPACE-D.W. TANK(S) MONITORING WELL(S)/SUMP(S) - H20 TEST SPILL PREVENTION BOXES FIlL uoN,~o.l.~ w~.[s. CApS ~ ~OCkS '" FILL BOX LOCK MONITORING REQUIREMENTS TYPE ............. AUTHORI~TION FOR FUEL DROP CONTRACTOR__ &:~_m .... de~m~4~e~t .................................... fd~743 09/12/02 15:54 ~661 326 (.'576 BFI) HAZ blAT DI¥ [~002 CITY OF O~CE O~ ~O~~T~ 1715 Ch~mr Ave., Bakemfield, CA (661) 32~3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UN-DEROROUNI} STORAG~ TANK .T~P~ o~ APPL~CATZO~ ~AC~LITY ,~MODIFICATION OF FACILITY '~EWTAIX~ INSTALLATION A'r F..XlSTINO FACILITY [ TANK NO. VOL~E ~~ ~R P~ D~EL AValON ~R ~C~ U~E O~Y A~L~,'a~N DA~ FAC~ N0 ..... NO. 0FT~ ~ F~ ~ 8R~ ~MPL~D ~ER P~ OF P~Y, AND TO ~ BE~ OF MY ~O~L~E, STRAIGHT BILL OF LADING - SHOFIT FORM - OFTIJG~NA~.----NOT-NEGOTIABLE RECEIVED, subject to the classifications and le~vfully filed tariffs in effect on the date of the issue of this Original Bill of Lading, the property described below in apparent good order except as noted contents and condition of contents of packages unknown marked consignedz and destined as indicated below which said carrier (the word carrier being understood throughout this contract as mesnin~ any person or corporal on in possession of the property under the contract) agrees to carry to ~ts usual place of delivery at said destination if on its route otherwise to deliver to another carrier on the route to sa d dest nat on t s mutually agreed, as to each carrier of all or any of said property over all or any portion of said route to destination, and as to eachparty at any time nterested n a or any of sa d property, that every aery ce to be performed hereunder she be subj.ect to a the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Official, Southern, Western and no s Fre ght C asa f cat OhS n effect on the date hereof, if this is a rail or a rail-water sh pment or (2} n the app cab e motor carrier classification or tariff if this is a motor carrier shipment. Sh pper hereby certifies that he is fam ar with a the terms and conditions of the said bill of lading including those on the back thereof, set forth in the classification or tariff which governs the transportation of this shipment, and the said terms and conditions are hereby agreed to by the shipper and accepted for h mse f and his ass gns. From MODERN WELDING COMPANY OF CALIFORNIA, INC. DESIGNATEWITH AN (X) Date 6 - 3 0 - 0 4 4141 N. BRAWLEYAVENUE r'-I , r-I 06909 At FRESNO, CA93722 .._. BY TRUCKI I FREIGHTL__I Shipper's No. _ _ . . Carrier W S Emerian_ T~ucking Co~-~;. (SCAC) Carrier's No. NorthwestP~'~ & E~uiPt % La Barata Market Consigned to On Collect on Delivery shipments, the letters 'COD' must appear before consignee's name or as otherwise provided in item 430.Sec. 1. (Mail or street address of consignee -for purpose d notgicotion only.) Destination Baker.s field State Ca County 430 East California Ave. Route . Delivem/Address "· (~To be filled In only when shipper desires and governing tariffs provide for d~llvery thereat.) Delivering Carrier Vehicle or Car Initial No. No, of Shipping Units H~!~ Description of Articles, Special Marks and Exceptions ~ (Subject*Weightto Corr.) of SubjectapplicabletO sectionbill of 7lading,Of condltionsif this shipment is to be delivered to the 1 , 20,000 gallon Double Wall Jacketed 7 , 500~ the .... consignor,ig .... ithootthe consignor .......... shall sign the following statement: IGlasteel II Secondary Contained Th ..... ier shall not make delivery of this shipment without payment of freight and all other J Underground tank. ,aw~u, charges. 'JUL// P92035 Vac at shop.~7 Vac at site: Per (S~g f Consignor.) I JGlasteel fleld klt If charges are to be prepaid, write / or stamp here, "To be Prepaid." Pieces I t "This is to certify that the ~bove named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation, according to the (The signature here acknowledges .j applicable regulations of the Department of Transportation." only the amount Dreoaid.) ~ If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight." Charges Advanced: t Shipper's imprints in lieu of stamp not a part of Bill of Lading approved by the Department of Transportation. NOTE- Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or dec ared va ue of the property. $ The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding C.O.D. SHIPMENT REl¥11¥ C.O.D. TO: C.O.D. Amt. THIS SHIPMENT IS CORRECTLY DESCRIBED . ' t The fibre boxes used for this shipment conform to the specifications set ~ ~ rt ~I.I&R~I: f SHIPPER [] Collection Fee forth in the box maker's certificate thereon, and all other requirements of -'~ .......... ~ CORRECT WEIGHT IS LBS.Item 222, of the National Motor Freight Classification. J TO BE PAID BY [ CONSIGNEE Total Charges Shipper *'~ ~'~,~ ,~~gent MODERN WELDING COMPANY OF CALIFORNIA, INC. Per ~ /~ ,,)~ Per Permanent post office address of shipper * MARK WITH "X" TO DESIGNATE HAZARDOUS MATERIAL AS DEFINED IN TITLE 49 OF THE CODE OF FEDERAL REGULATIONS. ~ Th:,~ lYlarnnr~nti~m is an acknowledgment thara Bill of Lading has been issbe~l and is ~0~the original Bill of Lading, . ..,~ ·. ~. ~ .v,~..~ ~. nor a copy or a duplicate, covering the prope~ named herein, and is intended solely for filing or record. RECEIVED, subject to the classifications and la~ully filed'tariffs in effect on the date of the receipt by the carrier of the prope~ described in the Original Bill of Lading the prope~y described below, in apparent good ord?, except as noted (conte~ts a.nd conditign'of contents of packages unknown), marked, consigned, and destined as indicated below, which said carrier (the word carrier being understood throughout this contract as ~eanmg any per~9n or corporation ~n possesmon of t~e prope~y under the.contraS) agrees to carw to its Hsual plaqe of delive~ at ~aid destination, if on its route, othe~ise to deliver to another carrier,on the route to said destlnOtlon. It is m~tuaUy agreed, as to each carn? of all or any of said prope~ over aH or any po~on oTsald route to destination, and as to eachpa~y at any time interested in aU or any of said prope~y that evew serwce to be pen9rmed?ereqnder shall be sub ect to all the terms and conditions of the Uni~or~ Domestic Straight Bill of Lading set fo~h (1 in Official, Southern, Western and no s Freight Classifications in effect on the date hereof if this is a rail or a rail-water shipment or 2 in the applicable motor carrier classification or tariff it this is a motor carrier shipment Shipper hereby ce~ifies that he is familiar with all the terms and conditions of the said bill of lading, includin9 those on the back thereof, set fo~h in the classification or tariff which governs the transpo~ation of this shipment, and t~e said terms and conditions are hereby agreed to by the shipper and accepted for himself and h~s assigns. At ~,0,~ BY TRUCK~ FREIGHT~ Shipper's No. Carrier ~'~ S ~m~i~ '~rucki~q (SCAC) Carrier's No Northwest Pump ~ ~quipt ~ La ~ara~a ~)'~ Coms~med to On Colle~ on Delivew shipments, the la,ers "COD' must appear b~ore consignee's name or as othe~ise provided in ~em ~0.Sec. 1. (Mail or s~e~ addre~ ~ consignee- for pu~ose of notffi~tion onlyJ Destination ~;;~S~i~[~ State ...... County '~0 ,'~t ~li~o~n~.a ~ve Bou~e .. Deliver~ Address *. "f~ ,, ~ ,~ ~ ;' ~ ~.%~,~' ~ ~ *T~befi~di~n~ywhenship~erd6~ire~an~g~verningtariff~pr~videf~rde~ive~thereat~) Delivering Carrier Vehicle or Car Initial> -:~ , No, of · ' '~Weight Subje~ to se~ion 7 of ~nditions Shippi.g U.~s ~[~ Description of A~icles, Special Marks and Exceptions. Subje~ to Corr. ' of applicable bill of lading, if this ~ ~ consignee without fecours~ on I I0~900 gallon Double ~:~all ,,las.~e ~be 0omsigmo~, The co~s~mor shall sign the following statement: ~aokmte~ G!~steel ~ ~oon~ary Th .....ier shall not make payment of freight and ail other Cont~ine.~ Under~roun~ -~9.nk. t,~u,c,.r~.s. CL.~ ~92005~ Vac at shoo=22 Vac a~ 3ire Per I Glasteet field kit ~s~.,,,.... fCo,s;gnor.) If charges are to be prepa;d, write or stamp here, "To be Pr~pa}d." Received $ of the described T0t~ Agent or Cashier Pieces P~r ~ "This is to ce~i~ that the above named materials are properly classified, described, packaged, marked a~d labeled, a~d are in proper condition for transpo~atio~, according to the The signature here acknowledges ~ If th~ shipment moves between two po~s by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's ~eight." $ Shipper's impriats in lieu of stamp; not a pa~ of Bill of Lading approved by the Depa~me~[ of lranspo~ation. Charges Adva~ced: NOTE - Where the rate is dependent off value, shippers are required to state specifically ~n writing the agreed or declared value of the prope~y. $ The agreed or declared value of the prope~y is hereby specifically stated by the shipper to be not exceeding C.O.O. SHIPMENT RE~IT C.O.D. TO: C.O.D. Amt THIS SHIPMENT IS CORRECTLY DESC~IBED.t The fibre boxes used for this shipment conform to the specifications set ~ C.O.D. ~ SHIPPER ~ Collection Fee CHARGE fo~h in the box maker's ce~ificate thereon, and all other requirements of COflflECTWEIGHTIS LBS I'tom222,°ftheNati°nalM°t°rFreightclassificati .... I TO BE PA D~' :: ' [ CONSIGNEE~ ¢!°talCharges Permanent post office address of shipper :-' · MARK WITH "X" TO DESIGNATE H~RDOUS MATERIAL AS DEFINED IN TITLE 49 OF THE CODE OF FEDERAL R~'0~I'ONs. Enviro Construction 2700 Stagecoach Street Bakersfield, Ca. 93314 (661) 588-0108 Bakersfield City Fire Dept. Office of Environmental Services 1715 Chester Ave. Bakersfield, Ca. 93301 Attn. Steve Underwood June 8, 2004 Project: La Barata Mini Mart 430 East California Ave. Bakersfield, Ca. Mr. Underwood We have been contracted to upgrade this site. We have ordered one 20,000 gal and one 10,000 gal double wall underground fuel storage tanks. The planed delivery date for the tanks is June 28, 2004. We are acquiring permits for this project on June 8, 2004. If you have any questions or would like to discuss this matter please give me a call (661) 472-1858. Thanks, Terry Cannady Enviro Construction ENVIRO CONSTRUCTION 2 0 @ 5 2700 STAGECOACH ST BAKERSFIELD, CA 93314 (661) 588-0108 DATE '~-~'~- ~_~ 4f 90-7162-3222 Washin~on Mutual -- _, Bakersfield Fire Dept. PERMIT APPLICATION FOR REMOVAL OF AN ~ Environmental Servtces UNDERGROUND STORAGE TANK~ 1715 Chester Ave Bakersfield,. CA 93301 Page 1 of 1 Tel: (661)326-3979 PermitNO ~.-- 0 ~C~_~ ~- ~-- ~ 'O~ ~~ SITE ' ~ · ~ ~ ADDRESS . ~ ~ ' ZIP MAILINGADDRESS /~.i~ ~ /.~ ' ~ . C~ - ' ZIPCOD~ COMPANY ~ ~ ~ , . ~EN~E NO.~'~ INSU~NCEC~RIER k ~ ORKMENS COMP No. ~ ~ ,~,~w~ ~ ...... ~, ' ........ ,- ' ~,' ~ "~ ." '- ~;'~ "" ·~~~~~4~~j~..~.,,~~~-~ ~' '"" ~":"~ ..... ~ ~, ~ ~ ~ ~"'~ .... ci~'~:~¢'~j. ~;~""~" ~,~' COMPANY ~2.~ PHONE NO. UCENSE NO. ADDRESS C~ ZIP CODE ,NSU~NCE CARRIER WORKMENS COMP NO. W~TE T~NS~RTER I~IFI~TION NUMAR FAClLI~ iDENTIFICATION NUMBER ~E OF RI~ATE DIS~L FAClU~ ADDRESS IC~ I ZIPCODE ADDRESS C~ ZIP CODE TANK DESTI~TION CHEmiCAL DATES CHEMICAL TANK No. A6E VOLUME STORED STORED PREVIOUSLY STORED For ~lclal Use On~ ~E APPLICANT HAS RECEIVED. UNDERSTANDS. AND ~ COMPLY ~TH THE A~ACHED CONDITIONS OF ~IS PERMIT AND ANY OTHER STATE. LOCAL AND FEDE~L REGU~TIONS. ~IS FORM HAS BEEN COMP~D UNDER PENAL~ OF PERJURY. AND TO ~E BEST OF MY ~O~EDGE IS TRUE AND CORREC[ ~PLIC~T NAME (PRINT~ / ~~SIGNATURE? ~ APR V D Y ~ THIS APPL(CATION WILL / BJOMEA PCT WHEN APPROVED La Barata Mini Mart Equipment List Apt 1 1/2" Product Pipe Glasteel II Modem Welding Company Tanks (1) 20,000 Gallon and (1) 10,000 Gallon Total Containment Fiberglass dispenser sumps Gilrarco single hose three product blender Dispensers (4 total) Veeder Root TLS- 350 Monitor Phil-tite Phase 1 vapor recovery AO Smith fiberglass pipe for the vapor and vent system, 2", 3", 4". GLASTEEL II ~ EXTERIflRt F,R~, CflMPflSITE INTERIOR' CLEAN DF DE)RIS, UNPAINTED nT~ ~L a~ T~ ~. t7~ U~NG ~RK ~ aTA~ ~ HA~ ~ Y~ ~a V~Y, G I a I 4"IFNPTII F I ~ I 4' IFNPTI m MDERN VELD~G DF~LIF~NIA, t~, PI 1 14'IFNPTI m mis r~ n""]V~ M ~ J~ITE ~E" V~UM C I ~ I 4' IFNPTI I N[]RTHWEST PUMP & EQUIPMENT ~ ~S ~T ~IaE ~THER [~E~ITY T~S, ~ J 1 J 4' mFNPTJ m ~1 ~EL D ~ ~D~D TANKI '~ DFFSET CCIN,~TRUCT I DN RI_ CIRC~FE~NTIAL SEANS [LASTEEL I ITM ~ ~ U~D~D T~ F~ ~ MDDERN WELDING DF ~LIFDRNIA, INC, NDRTH~EST PUMP & EQUIPMENT ~ ~IS T~ ~R[~S AT ~ ~I~ ~ i IF ~I~ AIR P~ T~ RE~IR~, ~E A~,~T$ ~]DAY TEST AT THE FAC~, SCHEDULE OF BPENINGS ,~"1 ,..1~ I"'~ ~ ~ I EN¥1RO CONSTRUCTION *.'.. ;' '-'- " 2700 STAGECOACH ST '-..Z .-- BAKERSFIELD, CA 93314 .,~ ~ Washi~pn M utlal BAKER~YlELD FIRE DEPARTMENT B&ke~s~teld, ~ 93301 805) 326-3979 CONDITION OF TANKS OATE I~"'tOllJ ~ 8IGNAI'UI~ A. Signature mm C°mplete items 1' 2' and 3' Als° c°mplete item 4 if Restricted Delivery is desired. X [] · Print your name and address on the reverse [] Addressee so that we can return the card ,o you. ~amo) · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ~eddress different from Item If YES, enter delivePj address below:. ,/~NO / ta Meat Market I 430 East California Avenue [ 3. ~rvieeTypo rsfield, CA 93304 I [] R~t~ [] Return ~t fo, Mm~ndlee ' [] In~ured Mail [] C.O.D. 2. ArflcleNumber(Transferfromservicetabet) t 7003 2260 0004 7652 312~6 ~ PS Form 3811, August 2001 Domestic Return Receipt 1025e~O2-M~lS40 Permit No. G-10 ~ · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 D February 12, 2004 Mr. Randeep Dhillon Mr. Amarjit Kaur La Barata Meat Market 430 E. California Avenue Bakersfield, CA 93301 ' Re: Failure To Comply With Code Requirements For Under-Dispenser Containment At FiRE CHIEF La Barata Meat Market; 43OE:California Avenue, Bakersfield; CA R C,,," ~ FRAZE - ADMINISTRATIVE SERVICES FINAL NOTICE 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Mssrs. Dhillon & Kaur: FAX (661) 395-1349 You are in violation of Section 2636(1)(C) of the California Code of Regulations. SUPPRESSION SERVICES 2101 "H" Street "Owners or operators of a UST system shall have the system fitted with Bakersfield, CA 93301 VOICE (661) 326-3941 under-dispenser containment by December 31, 2003" FAX (661) 395-1349 On December 24, 2003 Enviro Construction pulled the Modification permit and indicated in PREVENTION SERVICES writing that thc job would be completed by 2-27-04. It was agreed we would allow you to FIRE SAFE'Cf SERVICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. stay open as long as the retro-fit was completed by March I, 2004. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 In speaking with Mr. Cannady, I was informed that there is a delay due to escrow problems. Unfortunately, we cannot grant an extension to this grace period. If the repairs are not PUBLIC EDUCATION started by 3-1-04 we will have no choice but to revoke your permit to operate. This office 1715 ChesterAve. has extended you every courtesy with regard to timely completion of this necessary retro-fit. Bakersfield, CA 93301 VOICE {661) 326-3696 FAX (661) 326-0576 The deadline for your grace period ends on Monday, March i, 2004. At that time your permit will be revoked and your pumps "Red Tagged." FIRE INVESTIGATION 1715 Chester Ave. Should you have additional questions, please feel free to call this office at 661-326-3190. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Sincerely yours, TRAINING DIVISION Ralph E. Huey, Director 5642 Victor Avo. Prevention~ervices Bakersfield, CA 93308 FAX (661) 399-5763 By: Steve Underwood, Fire Inspector/Petroleum REH/SU/db ENVIRO CONSTRUCTION 2700 Stagecoach Street Phone (661) 588-0108 Bakersfield, Ca. 93314 Fax (661) 588-0108 Dec. 24, 2003 Bakersfield Fire Dept. Environmental Service 1715 Chester Ave. Bakersfield, Ca. 93301 Tel: (661) 326-3979 Mr. Steve Underwood We have been contracted to install dispenser containment sumps, double wall product piping and turbine tank sumps at La Barata Mini Mart,430 E. California Ave., Bakersfield, Ca. We have applied for the permit on this project today. The plan is to have the project completed by 2/27/04. We would like to request an extension to operate at this location. If you have any questions or there are any problems please give me a call at (661) 472-1858. Thanks, Terry Cannady Enviro Construction CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME .~_ _~t',:Jt~,._ ~t.~- 'NSPECTIONDATE Section 2: Underground Storage Tanks Program ~1 Routine [~ Combined [21 Joint Agency [2[ Multi-Agency [21 Complaint [~} Re-inspection Type of Tank _(tt}l::::c B Number of Tanks Type of Monitoring ,&T'~ Type of Piping .~',' OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current r~ Certification of Financial Responsibility t/ Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS sPcc available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance {)V=V/olat/on Y=Yes N=NO Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy ~ Bakersfield l~ire Dept. UNIFIED PROGRAMI]~;PECTION CHECKLIST Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS · FACILI~CONTACT Business ID Numar 15-021 - **' SeCtion 1. Business Plan and inventory Program [] Routine {;~l;Combined El Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V (C=Co.,p~ian~% OPERATION COMMENTS ~. V=Violation ~ APPROPRIATE PERMIT ON HAND ~'~- BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ VISIBLE ADDRESS [~[] CORRECT OCCUPANCY '""[] ' VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF QUANTITIES ~'"/[] PROPER SEGREGATION OF MATERIAL ~'"'[] VERIFICATION OF MSDS AVAILABILITYE ~ [] VERIFICATION OF HAT MAT TRAINING '~' [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .[] [] EMERGENCY PROCEDURES ADEQUATE i'~" [] CONTAINERS PROPERLY LABELED [~2 [] HOUSEKEEPING [] [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES [] No EXPLAIN: QUESTIONS ~.,ARDING T~ I~OECTION? PLEASE CALL US AT (661) 326-3979 Business Site Responsible Party (Please Print) White - Environmental Services Yellow - S~ation Copy Pink - Business Copy C1 C,e~ifled ~'~ '~ Po~ ~ Return Re~lept Fee Hem (Endomement Requi~ Re~ DeJNe~ Fee (E~o~ment Requl~) ~ T~ Po~;~ ~ I~,~ro LA BARATA MEAT MARKET ~ [n~t'~:~i 430 E CALIFORNIA AVENUE ,..~ [orpo'~x~ BAKERSFIELD CA 933~ Certified Mail Provides: · A mailing receipt (es~a~te~) ~00~ euni" '001~ uae.4 ~d · A unique identifier for your mailpiece · A record of delivery kept by the Postal Service for two years Important Reminders: · C~rtified M-g,l,may ONLY be combined with First-Class Mail® or Priority Mall~. · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with ~'ertified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receigtmay be requested Go provide proof of delivery. To obtain Return Receipt service, please complete ~;ne attach a Return Receipt (PS Form 3811) to the article and add applicable pSstage {0 cover the fee.. E..ndorse maJlpiece "Return Receipt Requ.ested". To r_ecei.v.e .a f.ee.waiver for a ~3uplic.ate return receipt, a USPSe postmarK on your uertifle,3 Mail receipt is requlrea. la 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". · If.a postmark on t.h.e Ce. rtified Mail .recelpt is desired, @lease pre_sent.the, arti- Cle at the post o~ice for postmarking. If a postmark on the ~;ertifieo Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. · Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. [ ~__,..~ [] Agent · Print your name and address on the reverse X_¢~.~../ . _~7~..'-~ rl Addressee so that we can return the card to B. Received by ( Printed Name) I C. Date. of ~ejiVe~ ,. Attach this card to the back of the mailpiece, or on the front if space permits. D. I~ address diff~nt from item 17 1. Article Addressed to: If YES, enter delivery address below: '1~o MR 1QBAL SINGH : LA BARATA MEAT MARKET , 430 E CALIFORNIA AVENUE 3. Service Ty~e BAKERSFIELD CA 93304 "[~'Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise ~ [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number 7002 3150 0004 9985 5282 (Transfer from sen/ice label) PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 ' ~¢~.~_,~' Post ~, ~-.e aid Sender: Please pnnt yo0~ress, and Z~4 ~ ~,~x~S{' ~ ~ Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 December 4, 2003 CERTIFIED MAIL Mr. Iqbal Singh La Barata Meat Market 430 E. California Avenue Bakersfield, CA 93304 FINAL REMINDER NOTICE Re: Deadline for Dispenser Pan Upgrade - December 31, 2003 FIRE CHIEF RON FRAZE Dear Underground Storage Tank Owner/Operator: ADMINISTRATIVE SERVICES One month from today, this office will be forced to revoke your Permit to Operate your 2101 "H' Street Bakersfield. CA 93301 Underground Storage Tank System, effectively shutting down your fueling operation. VOICE (661) 326-3941 FAX (661) 395-1349 Section 2636(H)(I) California Code of Regulations Title 23, Div. 3 Chapter 16 reads as follows: SUPPRESSION SERVICES "Owners or operators of an UST System shall have thc system fitted with under-dispenser 21~31 "H" Street Bakersfield, CA 93301 containment by December 31, 2003." VOIC~(661) 326-3941 FAX (661) 395-1349 It is noted in your file that you have been receiving "Reminder Notices" since May of 2002. PREVENTION SERVICES s~Ew S~.WCES.~.W~OS~.~n.S[~C~S As of this writing, no permit has been pulled nor have you conveyed your plans for compliance to 1715 Chester Ave. this office. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 If we find it necessary to revoke your permit for non-compliance, you will have limited options as stated in the following: PUBLIC EDUCATION 1715 ChesterAv~. After 90 days of closure, your tanks will be considered illegally abandoned and we will Bakersfield, CA 93301 VOICE (661) 326-3696 take action to properly close these tanks. If you do not comply with our tank closure FAX (661) 326-0576 requirements, we will find it necessary to take legal action, including but not limited to citation and/or injunctive relief. FIRE INVESTIGATION 1715 Chester Ave. Prior to the 90 days inactive, you hire a contractor and complete the upgrade per code. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 This office has extended you every courtesy with regard to timely reminders and support over the last 18 months. If we can be of further assistance, please feel free to contact me at 661-326-3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sincerely yours, VOICE (661) 399-4697 ~ ~'~ FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db ...-r*~'~ Certified Fee Postmark [:~ Return Reclept Fee (Endorsement Required) Here r-t Restricted Delivery Fee u'} (Endorsement Required) m Tot~ Po~ IQBAL SINGH ~ [~'~'~ LA BARATA MEAT MARKET '] ~. [ .............. ~30 E CALIFORNIA AVENUE ..J ~r~,'~!~5~ ' ' ' [~}~ BAKERSFIELD, CA 93304 7.i] Certified Mail Provides: · A mailing receipt 'r' ~ (es~eAe~t) ~00~ eunr '00~: tmoa Sd · A unique idantifie~for your m~ilpiece · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Clase Mail~ or Priority Mail~ · Certified Mail is not available for any class of international rrl~. · NO INSURANCE COVERAGE IS PROVIDED with Certifle~d'~Mail. For valuables, plesse consider Insured or Registered Mail. %. · For an additional fee, a Return Receipt may be requested to pr .o. vid. e pr..oo.f of delivery. To obtain Return Receipt service, please complete uno aEacn a He[urn Receipt (PS Form 3811) to the article and add applicable postage to cover the fee,. Endorse mailpiece "Retu, r.n~R_e..ceipt R. equ.ested". To r_e~.,i.v.e .a.f.ee.waive. r .for a aupiic,ate return receipt, a u=F~ postmark( on your uemfieo Mais receipt ss requlreo. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized a~3ent. Advise the clerk or mark the mailpiece with the endorsement "Restricted'Delivery". · If.a postmark on t.h.e Ce. rtified Mall ,receipt is desired,please pre_sent.the artl- c e at the post o~ice mr postmandng. If a postmam on the uertiried Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an Inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. · Complete items 1,2, and 3. Also complete A. Si~, item 4 if Restricted Delivery is desired. ~,,[~ 4~ Agent · Print your name and address on the reverse X ~'1 IT"" Addressee SO that we can return the card to you. B. Receiv~p,,~ by (Printed Name) /©. D,ate/of Del}very · Attach this card to the back of the mailpiece, ~ 3 ~, iI1~--I~ or on the front if space permits. ~{~-~ ~'- ~'~1mu D. Is delivery address different fro~ item 1'~//~ ~e~ 1, Article Addressed to: If YES, enter delivery address below: ~, IQBAL SINGH ' LA BARATA MEAl' MARKET , 430 E. CALIFORNIA AVENUE ~.~ ~iII 3.. Service 'type ' BAKERSFIELD, CA 93304 '~Certified Mail [] Express Mail ~ [] Registered [] Return Receipt for Memhandise ,-~ __~ . [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number (Transfer from service label) 7002 3150 0004 9985 4902 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SEF~VICE I] UsPsP°stageFirst-Class Mail I& Fees Paid Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 November 5, 2003 CERTIFIED MAIL Iqbal Singh ~ La Barata Meat Market i 430 E. California Avenue FrEE CHIEF ao~4 Fa~Z~ ) Bakersfield, CA 93304 ADMINISTRATIVE SERVICES 2101'.' Stree, i REMINDER NOTICE Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 i", Re: Deadline for Dispenser Pan Requirements December 31, 2003 SUPPRESSION SERVICES 2101 "H' Street Bakersfield. CA 93301 : ' Dear Underground Storage Tank Owner/Operator: VOICE (661) 326-3941 FAX (661) 395-1349 '~ A review of our files, indicate that you have not completed the retrofit of PREVENTION SERVICES . your underground storage tank system. Current code requires that you install FIRE SAFETY SE I11~1~ · ENVIRONMENTAL SERVICES .,4715 ChesterAve. under dispenser containment pans prior to December 3 l, 2003. ~':3akersfield, CA 93301 ' VOICE (661) 326-3979 FAX (661)326-0576 Further file review, indicates that you have been receiving Reminder Notices since April of 2002. With time growing short (2 months) this office is very PUBLIC EDUCATION 1715 ChesterAv~. concerned that insufficient time is left for you to hire a licensed contractor Bakersfield, CA 93301 and complete the necessary retrofit. VOICE (661) 320-3696 FAX (661) 32643576 , Currently, contractors are scheduling 8-10 weeks out. I strongly urge you to FIRE INVESTIGATION 1715 ChestetAve. complete the repairs as soon as possible. Failure to comply with the state Bakersfield, CA 93,301 requirement could result in revocation of your permit to operate your VOICE (661) 326-3951 lAX (661) 320-0570 underground storage tank system. TRAINING DIVISION If I can be of any further assistance, please feel free to contact me at 5642 Victor Ave. Bakersfield, CA 93308 661-326-3190. VOICE (661) 3904697 FAX (661) 399-5763 Sincere~ yours, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ix& [~atA,k. I~,krt'. INSPECTION DATE /0 Section 2: Underground Storage Tanks Program ~ Routine []~Combined [] Joint Agency [] Multi-Agency,.., [] Complaint [] Re-inspection Type of Tank ,qO0ff<-6 ... Number of Tanks ].5 Type of Monitoring ~T~ Type of Piping -_qtoff-- 0 -T'o~ c. OPERATION C V COMMENTS Proper tank data on file k_.,/' Proper owner/operator data on file ~ Permit tees current e.,'" / Certification of Financial Responsibility / Monitoring record adequate and current / Maintenance records adequate and current t/' 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 overtill/overspill protection? C=Compliance /V=Violati? /?Y=Yes N=NO Office of Environmental Services (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy ~'~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmenta] Services , ,, ,,, ,,,,,, ,,,, ,,,,,,,,, ,, ,,, ,,,,,,,,,, ,,, --~ 1715 ChesterAve SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 ~ FACILITY NAME , o t INSPECTION DATE I INSPECTION TIME i~*~'~-I~SS ............................................... I PHONE No. ENo. of Employees Section 1: Business Plan and Inventory Program {~ Routine {~'Combined {~ Joint Agency {~ Multi-Agency I"l Complaint i"l Re-inspection C V /' c=compliance '~ OPERATION COMMENTS %, v=violation APPROPRIATE PERMIT ON HAND ~'~/{~ CORRECT OCCUPANCY -~' V E R I--F ,--C-~;, O--N- O--;--i;~-~ N-~; RY--M-A;~ R--IAL--i .............................................................................................................................................. ~[~ VERIFICATION OF QUANTITIES ................................................................................................................................................ PROPER SE RE AT,ON MATER,AL ~ VERIFICATION OF MSD$ AVAILABILITYE ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ' "OUSE EEP,N . i FIRE PROIECTION J .............. : ........................................................................ ~ Cl S~TE D~A~RAM ADEQUATE & ON HAND ANY H~ARDOUS WASTE ON S~TE?: ~ YES ~No EXPLAIN: QUEST,ONS/~GARD,N~/mlS/N, SPECTION .~_ ,,':' // PLEAS~/,_ CALL US AT (661) 326-3979 ~,~_~_·~/~--'-'~ Inspector Badge No., Business Sit6 Responsible Pa~ White - Envi~nmental Se~i~s Yell~ - ~t~n ~py Pink - Business Copy ~' ~':" ' (66i) : " 6630 Rosedale Hwy., Bakers eld, CA 93308 Phone 58 7'7 'Fax (661) 588-2786 MONITORING SYSTEM: CERTIFICATION' This form must b'e ~used tb document testing and servicing of monitoring' equipment.. "_A. separate certification or .report must pr.up'red for each ifionitorina s.~stem control panelby the technician who performs the work.. A copy 0fthis form must be provided to the tank' system owner/operator. The-Owner/operatormust'submit a copy of this form to the loCal, agency'regUlating UST systems within 30 days of test date. ' . '! A,...General InformatiOn ".' ' ' Fa~iiitY~Name: ['"fl"'. ~ ~ ~-[' iq ,. Bldg. No.: )F~iii¢::'~ontact Per'on: ~ ':(~.,~,[~,~ ~ ~ . - ' contact PhOne No.: ( 6 ~ I ) :: "' ' ' Sys~m:~lq.O../,,O.' I/'"' x . ~'7~'Tu';'t ~. I~/~$~x,~-. . ' . Date' ofTestingPServicing:'"" -' ' ' .LO_/~/~" ~' ¢ Make/ModeF'0f Monitoring ' B, Invent0i'y of Equipment Tested/Ceded .: i.Cheek the appr°pr!atebox~ in.indiCate s~eciiie equipment ~'~'.-~e_'te~/serVlced:.. . .., ' ,' . ' . .... .: , . . ' ]!:.~ Annular Spac~'0r Vault Sensor · Model': .... ' ' ' i ~ Annular Space or vault sensor:' ' ~ooel: '. i.i[].~ipingSump/Trench SenSOr(S). i 'Model:~':.l. IZIj?iping Sump/ Trench Sensor(s). Model:~ .. i;Cl":~ili?Suli~i/Sens~0'r(s). ' ' Model: ~' ] .ffi~Fill Sump Sensor(s). '. Model:" .. il21 MechaniCal Line Leak Detector. Model: -~' ! ~ Mechanical Line Leak Detector.. Model: .. :' . .. ~ ~'l~lectronic ~irie Leak Detector. ' Model:~ .~. liil~lectronic.Line Leak Detector. Mo~:l: 1[~1.,O I_l_ ¢ . . . ~.'El Tank Overfill / High-Level Sensor. Model: - - '.- - ~ . [. El Tank'Overfill/High-Level Sensor. Mo e: .- [''[lUther {specify equipment type and model in~ - I El Other (speCify equipment type and model i,n'Section .1~;.on Page 2). [[Tank'm: .... Pl"tJ 5 . · i ...... ' ' "'." . ..... ' ..... I Tank m:.~ - ~ ":" ': '- [~ I~ff~'-TankG~u~ingPrgbe~- Model:'~t~O ~l~i~ [ [] Ih-Tank Gauging Probe. Mo e: . 121 Annular Space or Vault Sensor. Model: El Annular Space Or Vault Sensor. Model: ~ Piping Sump / Trench Sensor(s): Mod~: ~ Piping Sump / Trench Sensor(s). Model:. CI Fill Sump Sensor(s). Model: .... ~ Fill Sump Sensor(s).: Model: .. [] Mechanical Line Leak Detector. Model: 'El Mechanical Line Leak Detector. Model: ; [iP~ctronic Line Leak Detector. Model:i~. _1~ []~ · ~ Electronic Line Leak Detector. Model: El Tank Overfill / High-Level Sensor. Model: El Tank Overfill / High-Level Sensor. Model: ,,,El Other (specify equipment., t~e,, ~ and model in Section E on Page, 2).., .... El Other. (specify~ ~uipme~nt type_ and, model., in, .Section.,. . ~. on Pag~ 2). Olspe. ser m: . . biSpe. V ID:,,'- ,(.ol [3 Dispenser Contain~eni S~n~&r(s)] Model: El Dispenser Containment ~6sor(s), "Model: .al%'~ear Valve(s). v (~i}~hear Valve(s). ;~[] Dispenser Cont,ainment Float(s) and Chain(s): ........ [] Disp. ensc~ Cont~i.~ment Float(s). and ,Chain(s}. , Dispenser ID: Dispenser ID: Q Dispenser Containment Sensor(s). Model: El Dispenser Containment Sensor(s). Model: Q Shear Valve(s). El Shear Valve(s). '~:': E! Dispenser C0nt-!?men,t Float.(s} and Chain(s}. , ..... El Dispenser Containment F!oat(s) and Chain(s}..., .... Dispenser ID: Dispenser ID: ~ Dispenser Containment Sensor(s). Model: El Dispenser Containment Sensor(s). Model: .. Q Shear Valve(s). El Shear Valve(s). QDispcnscr Containment Float(s) and Chai,n(s). El Dispen,scr Containm,en,t FlOrat(s) ~nd Cha!~(s). ., · if. the facility contains more ~ks or dispehs~'rs, ropy this form. in;Jude information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviead in aeeardanea with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessa~ to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. Per any equipment capable of generating such reports, I have also attached a copy of the report; (¢heelt ell that a~vt~ly): CI C3~Alarm histgr:g report Certification No.i .. _{t~H I IO License. No.: ~'-'~2 ~_ · Testing Company Name: i::~ c<~ ~ I/~d C · ' Phone No.:(_~2) 5~)' ~1-~' Site^ddress: 66.5_o os[_b qt_E Page 1 of 3 03101 Monitoring System Certification O~ R~ults of Testing/Servicing ' Software Version Installed: · Complete the followin cheekJist: ~Ye'~ ~ ~ No*" Is'~e'visual ala~ operational?. ..... "'~ Yes ~'" No* 'Were all' sensors ~isuatly inspected, ~fiqn~!ly tested, ~nd c'°~d o~rafio~al? ~ Yes ~ No* Were all semo~ immlled a~ lowest po~t ofsecond~ conm~ent and positioned so ~at o~er equiPment will . not ~terfere wi~ ~eff pr~ operation? .. ..... · ~ Y~ ~ No* ff ~'~ ~e ~lay~ to ~ remot~ monit~g station, is afl co~cafions eqnipmen~ (e.~" modem) ~Yes ~ No, For pried pip~g syst~, d~ ~e ~b~e' automa~cally shut down if ~e'pip~g se~onda~ ~onmi~ent .~. N/A me,tong system'd~ a le~ f~ls ~ operate, or ~ elec~cally ~sco~ted? Ify~: which Sensors ~ifiate : ~ posifive"~fi6t:d0~? (~k all ~at apply) "~ S~pffmneh semen; ~ D~pemer Conm~ent Sensors. Did you eo~ positive shut-do~ ~e ~!ea~ ~d senso~ fail~d~go~eefi0n? ,O.Yes~ ~ N0. ~Yes ~ No* For ~ syst~ ~at ufi~ ~e ~o~to~g system as ~e P~ ~ overfill w~g device (i.e. no ~ N/A mec~cal ove~ll preven6on valve is ~s~lled), is ~e ove~ll w~g.M~ vi~le ~d audible at fill po~t(S)~d oP~a~:prbperly? If so~ at what percent of ~ capaci~ does ,~e a~ ~gger? q ~ % ' ~ Yes* '~" No W~ ~y mo~g .~i~nt'~ced? if yes, idenfi~:sp~ific Seiners, probes, or o~er equipment replaced ~d Bst ~e manu~c~er n~e,?nd model for ~3~ r~lacemen~ pa~s ~ Section E, belgw: ~ Y~S* ~ No W~ H~d fo~d ~ide ~y s~on~ con--eat syste~ d~i~ed ~ ~ syste~? (Check all 'that app') ~ ~gduc~ ~ Wa~.. ffy~ d~e ~ Section E~ below. . . ~y~ ' U No*. Was me, tong system set-~p r~iewed't6'enS~ pwper~se~gs?:,~ch set uPrepo~, if aP~iicable .... · In SeCtion E below d~ibe h0w and when ~e d~den~ were or ~ be corrected. E.'Commen~:..~~( ,~~TO~ ~~~ Page 2 of 3 03101 E. In-Tav. k Gauging / SIR E ment: Cl Check this box if gauging is used only for inventory control. .' .~' ~ Check this box if no tank gauging or SIR equipment is installed. This section mu~t' be completed if in-tank gauging equipment:is used to perform leak detection monitoring. Corn dete the follOWing ~he?klist: ' .. 12~Y~s ~ 'No*'..'i.~as all input'wiring"been inspected fOr proper entry and. termination, inciuding ~sting i'~r groUnd faults?. ~'~Yes 121 No* Were all tank gauging probes visually .inspected for damage and residue buildup? ":' [~t~Yes' ~ No* Was ~.ccuracy of:sys.[empro'duct level readings tested? ' "" (lt~Yes. ~ No* Was accuracy ofgystem.water level readings tested? ......... [~'~Yes cl 'No* Were all probes reinstalled.prop~rly? "' · I~"Yes Cl':No,. Were' aIl items on the equipment manufae~er's"maintenanee, checklist templet;a? ....... * In/he Section B below,'describe how and When these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): cl Check this box ifLLDs are not installed. Corn ~lete the following checklist: 12~yeS [" [j" 'No,.' t~{~r eCi~fipment start-~p ~r annual '~qnipm~tt c~eation, was a leak ~knula~l to v~rify LLD' p~rf°rmance? ~l N/A (Check all that apply} Simulated leak rate: ~ g.p.h.; ~ 0.1 g.p.h; Cl 0.2 g.p.h. ~rT~Yos' ~ No* Were ail LLDS c~nfii-med operational and a~u~t~ within regulatory requirements? "' [~*'Yes- cl No* Was the testing apparatus properly cah'brated? .... [21 Yes ~ .No* ,For mechanical LLDs, does the LLD restridt product flow if it detects a leak? ' , I~ N/A {i~Yes ~ No* "For eie~'tronic LLDs, does the turbine automatically 'shUt off if the LLD detects a ~eak? I~ N/A · !' ~Ye.~ El No* For ele~Ironic LLDs, 'd°es the turbine automatically shut off if any portion of the monitoring system is disabled [J N/A or disconnected? [ilrYes ~ No* "For electronic 'LLDs, does the turbine automatically shut off if any portion of the monitoring system cl N/A malfunctions or fails a test? i~i~es IZ! No* For electronic LLDs, have all accessible wiring connection~ been visually inspected? " El N/A ~es [2 No* Were all items.on the equipment manufacturer's maintenance 'checklist C°mplosod? .... * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 o3~o~ ~onitoring System Certification UST Monitoring Site Ran · ~e ......... ~z ....... f¢~ ......................... . . . · ..© ......... 0 ....... © ............................ .,,_,__~//~-..,,. ........... .......................... i/i .................. ' ...... ~,x~..-.-.-.----. . ..................... ...... .:. ~ ...... Date map was drawn: .~/ 1 5/_~. 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 seaonda~_~ containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used'for leak detection). In the spaoe provided,.note the date this Site Plan was prepared. . · Page Postage $ r-*l Certified Fee r-'l Postmark r~ Retum Reclept Fee (Endorsement Required) Here Restflcted Dellvmy Fee (Endorsement Required) m Total Postage & Fees or PO Box No. Certified Mail Provides: · A mailing receipt (as~eAeU) ;~00~ eunr '00e~ ,,,,04 Sd · A unique identifier for your mailplece · A record of delivery kept by the Postal Service for two years Impprtant Reminders: ~ · Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. · Certified Mall is not available for any class of International mail. .,~ · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail.F~r' valuables, please consider Insured or Registered Mail. · F.o.r. an ad'ditipnal~ee~ a Return Receiptmay be requested to provide proof of oe~ivery. To obtain Return Heceipt service, p~ease complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee.. E..ndorse mailpiece."Return Receipt Requ.ested". To receive a fee waiver for rae~l~[~a, te return race,pt, a USPSe postmark on your (Jertified Mail receipt ie · For an additional fee, delivery may be restricted to the addressee or addressee's authorized a.qent. Advise the clerk or mark the mailplece with the endorsement "Restricted-Delivery". · If.a postmark on the Certified Mail receipt Is desired, please present the arti.; cie at the post office for postmarking. If a postmark on the Certified Mai~ receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs end FPOs. · Complete items 1,2, and 3. Aisc complete A. Signature %~,~ ~ I-I Agent item 4 if Restricted Delivery is desired. X [] Addressee · Print your name and address on the reverse so that we can return the card to you. B Received by (Printed Name) C. Date · Attach this card to the back of the mailpiece, ~ I /~.//~)//'~ Z) or on the front if space permits. .['I~//~.- ~//~ "~. Is delivery address different from item 17 r~ Ye[~ 1. Article Addressed to: '~ ~ ~ If YES, enter delivery address below: o f- IQBAL SINGH LA BARATA MEAT MARKET , 430 E. CALIFORNIA AVENUE 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 2. Article Number ' 7002 3150 0004 9985 5398 (Transfer from service label) PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department ' '~ Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 October 15, 2003 CERTIFIED MAIL Mr. Iqbal Singh La Barata Meat Market 430 E. California Avenue F~RE CHIEF Bakersfield, CA 93304 RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street . REMINDER NOTICE VOICE (661) 326-39~1 'r' FAX (661) 395-1349 ~ Re: Deadline for Dispenser Pan Requirements December 31,2003 SUPPRESSION SERVICES 2101 "H' Street ~ake,s,e~d. CA 933O1 Dear Underground Storage Tank Owner/Operator: VOICE {661) 326-3941 - FAX {661) 395-1349 A review of our files, indicate that you have n. ot completed the retrofit of your PREVENTION SERVICES underground storage tank system. Current code requires that you install under FIRE SM:ETY SEFNICES * ENVIP. ONMENTN. SEIWICE$ '1715 Chester Ave. dispenser containment pans prior to December 3 I, 2003. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 Further file review, indicates that you have been receiving Reminder Notices PUBLIC EDUCATION since April of 2002. With time growing short (2.5 months) this office is very 1715 ChesterAvi~. concerned that insufficient time is left for you to hire a licensed contractor and Bakersfield, CA 93301 VOICE (661) 326-3696 complete the necessary retrofit. FAX (601) 326-0576 FIRE INVESTIGATION Currently, contractors are scheduling 8-10 weeks out. I strongly urge you to 1715 ChesterAve. complete the repairs as soon as possible. Failure to comply with the state Bakersfield, CA 93301 VOICE (661) 326-3951 requirement could result in revocation of your permit to operate your FAX (661) 326-0576 underground storage tank system. TRAINING DIVISION 5642 V]ctorave. If I can be of any further assistance, please feel free to contact me at Bakersfield, CA 93308 661-326-3190. VOICE (661) 3994697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db Postage! $ ¢?e~fled Fee ' Postmmk Return Reclept Fee Here (Endorsement Required) Restltcted Delivery Fee (Endorsement Required) To~.o~e t~' IQBAL SINGH [$entro LA BARATA MEAT MARKET [m'~;'~'~m:F 430 E CALIFORNIA AVENUE ~-%~-~--~?-'--- 4 Certified Mail Provides: · A mailing receipt (e~eAel=l) ~00~ eunr 'ooe¢ u~o_-i Sd · A unique Identifier for your mailpiece a,. A record.~f 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 notavallable for any class of international m~il. · 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 reque.sted to provide pr..oof of delivery. To obtain Return Receipt service, p~ease complete ano attach a Neturn Receipt (PS Form 3811 ) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requ.ested". To r_ecei.v.e a fee.waiver for a duplic.ate return receipt, a USPSe postmark on your uertided Mail receipt is requlrea. · For an additional fee delivery may be restricted to the addressee or addressee's authorized a.g._en.t.. Advise the clerk or mark the mailpiece with the endorsement 'Restricteouelivery". · 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 not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. · Complete items 1, 2, and 3. Also complete ~ 15 oc? ~! item 4 if Restricted Delivery is desired. ~% j ['9 Agent · Print your name and address on the reverse -~'---"*;-- [] Address~-I so that we can return the card to you..~ ~- B. Received by ( Printed Name) l C. Date~of~_C. ivery · Attach this card tothe back ofthe mailpiece, .~ ~L~I~)._ / /~//'~, ~. or on the front if space permits. ~ //~ ~ ,,' D. Is delivery address different from item 17 ~EI~YCs 1. Article Addressed to: If YES, enter delivery address below: ~__~No IQBAL SINGH LA BARATA MEAT MARKET 430 E CALIFORNIA AVENUE 13. Service Type BAKERSFIELD CA 93304 /~ Certified Mail [] Express Mail ~_ .... bi'Registered [] Return Receipt for Merchandise ~--~' I-I Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number 7002 3150 0004 9985 4766 (Transfer from service label) PS Form 3811, August 2001 Domestic Return Receipt 102595-02.M-1540. Ii I Permit No. G-10 ~ · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services '1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 October 14, 2003 CERTIFIED MAIL Mr. Iqbal Singh La Barata Meat Market 430 E. California Avenue Bakersfield, CA 93304 Re: Clarification of Code Requirements for Your Underground F~RE C,~E~ Storage Tank System RON FRAZE ADMINISTRATIVE SERVICES Dear Mr. Singh: 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 The purpose of this letter is to outline Title 23 California Code of FAX (661)395-1349 Regulations requirements for your Underground Storage Tank SUPPRESSION SERVICES system. 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Our records indicate you have a u-tube underground storage tank FAX (661)395-1349 system. These were common between 1985 through1987. However, the state deemed them ineffective to control release. PREVENTION SERVICES sa~r~ stmncEs · r~nRo~m~, s~mncts 1715 Chester Ave. Bakersfield, CA 93301 Your underground storage tank system is made up of the VOICE (661) 326-3979 following: FAX (661) 326-0576 PUBLIC EDUCAllON You have a single-wall fiberglass tank, single-wall fiberglass line, 1715 Chester Avb. Bakersfield, CA 93301 and a P.U.C. 4" secondary. VOICE (661) 326-3696 FAX (661) 326-0576 Unfortunately, this P.V.C. secondary is not recognized as an FIRE INVESTIGATION approved piping system. Furthermore, this system cannot be 1715 Chester Ave. tested. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661)326-0576 Per Section 2637.C.C.R. 23 you must comply with the following: TRAINING DIVISION 5642 VictorAv,. "A secondary containment system that cannot be tested Bakersfield, CA 93308 VOICE (661) 399-4697 shall be replaced with a system that can be tested. As an FAX (661) 399-5763 alternative, the owner or operator may perform enhanced leak detection by 12-31-03 and replace the secondary containment system with a system that can be tested by ~ July 1, 2003." " to Mr. IQbal Singh "~ @ La Barate Meat Market October 14, 2003 Page 2 To summarize Mr. Singh, you have two options: 1) Either install dispenser pans this year and perform the enhanced tracer testing by 12-31-03 or; 2) Replace turbine sumps, product lines and dispenser pans prior to 12-31-03. It is also recommended that you upgrade your fuel monitor devices that can satisfy AB 2481 and C.A.R.B. requirements. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db .OCT-- 1~--0~ WE~ :29 FROM ~. $. $. R I N~. P. 0 I " C~Y O~ ' ~=~'~'" OFFICE OF E~~O~NT~, SER~CES ~715 Chester Ave. Bake~fleM, CA (~) 3~-3979 APPLICA~ON TO o~s ~._ ................... , ~ . · ,~.:. .','~ '?'.~ : ~ ".~,: _ __ --.-!~~ __... u !~__----~.. ....... ~~..-,.,..~ -:.'::~~ ................ ,.. .~ ~~...~. .............. ' 5~~ ..... ~ / -" ~RO~ BY DATS 8IONA~ OF -~' C, er~fled Fee r--~ Postmark ~1~ Return Reclept Fee (Endorsement Required) Hem E~ Restricted Delivery Fee (Endorsement Required) rn Tom Potage? - ~_ F~i~..~..i LA BARATA MEAT MARKET [o,.r. PO?.x, No., 430 E CALIFORNIA STREET BAKERSFIELD CA 93304 Certified Mail Provides: (~s~W) ~00~. eunl' 'OOS~ tu~o.~ $=1 · A mai!~[ng receipt · 'A unique identifier for your mallplece · A record of delivery kept by the Postal Service for two years Important Reminders: r~ · Certified Mail may ONLY be combined with First-Class Mail® o~" Priority Mail~. · Certified Mail is not available for any class of international mail.,~ · NO iNSURANCE COVERAGE IS PROVIDED with Certifie~d Mail. For valuables, please consider Insured or Registered Mail ~ · For an additional fee, a Re_turn Receipt may be requested to provide proof of deliver/, To obtain Return Heeeipt eerv~co, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee, Endorse mallpJeco."Return Receipt Requested". To r_eceive a fee waiver for a duplic.ate return receipt, a USPSe postmark on your Certified Mail receipt is requlreo. · For an additional fee, delivery may be restricted to the addressee or edd, ressee's author!ze.d a.g..~n~. Advise the clerk or mark the mailpiece with the enoorsement "Restric~eouelivery". · If a postmark on the Certified Mail receipt is desired, please pre_sent.the, arti- cle at the post office for postmarking. If a postmark on the L;ertirieo Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. ,= Complete items 1, 2, and 3. Also complete A. Signature_ . item 4 if Restricted De,ivery is desired. ~- {~ · Print. your name and address on the reverse X ~ '"'///~ [] Addressee B_,Received b~ (Printed Name) I C. Date.gl peliv.~ry so that we can return the card to you. or on the front if space permits. · D. IS d~il~enJ-a~ddress differer;t from item 17 .~__.~es 1. Article Addressed to: ,, YES, enter deli~/ery address below: /~N~ ,. IQBAL SINGH LA BARATA MEAT MARKET 430 E CALIFORNIA STREET 3. Service Type BAKERSFIELD CA 93304 'l~Ce~tified Mai~ [] E×press Mai~ ~_ ___ _ _~ [] Registered [] Return Receipt for Memhandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra fee) [] Yes 2. Article Number 7002 3150 0004 9985 4537 (Transfer from service label) PS Form 3811, August 2001 Domestic Return Rece{pt 102595-02-M-1540 Postage & Fees Paid USPS Permit No. G-lO · Sender: Please print your name, address, and ZIP+4 in this box ° Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 !~l~,~ R ~'Jl~ll~' September 26, 2003 CERTIFIED MAIL Iqbal Singh La Barata Meat Market 430 E. California Street Bakersfield, CA 93304 FIRE CHIEF ~o~1 ,:~.~zE NOTICE OF VIOLATION ADMINIST"ATIVE SE.VICES ~ SCHEDULE FOR COMPLIANCE 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Mr. Singh: FAX (661) 395-1349 SUPPRESSION SERVICES Our records indicate that your annual maintenance certification on your leak 21Ol "H" Street detection system was past due 08-29-03. Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 You are currently in violation of Section 2641(J) of the California Code of PREVENTION SERVICES Regulations. FIRE SAFELY' SERV1CES · ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 "Equipment and devices used to monitor underground storage tanks shall be VOICE (661) 326-3979 FAX (661)326-0576 installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per PUBLIOI EDUCATION calendar year for operability and running condition." 1715 Chester Avi~. Bak.~Lz~ield, CA 93301 VOiC~,~. 661) 326-3696 FAX (~61) 326-0576 YOU are hereby notified that you have thirty (30) days, September 8, 2003, to either perform or submit your annual certification to this office. Failure to FIRE INVESTIGATION comply will result in revocation of your permit to operate your underground 1715 Chester Ave. Bakersfield, CA 93301 storage system. VOICE (661) 326-3951 FAX (661)326-0576 Should you have any questions, please feel free to contact me at 661-326-3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sincerely yours, VOICE (661) 399-4697 FAX (661) 399-5763 Ralph E. Huey Director of Prevention Services Steve Underwood Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db · Complete items 1, 2, and 3. Also complete A. Signature [] Agent item 4 if Restricted Delivery is desired. X [] Addressee · Print~our name and address on the reverse so that..we can return the card to you, B. Received by (Pdnted Name) 7,. Date of Dellvery · Attach this card to the back of the mailpiece, or on the front if space permits. ~ ~ D. Is delivery address different from item 17 I"1 Yes 1. Article Addressed to: If YES, enter delivery address below: [] No LA BARATA MEAT MARKET 430. E CALIFORNIA AVE [ 3. Service Type BA~RSFIELD CA 93304 I ~l~ Certified Mall [] Express Mall ,.;- r3 Registered [] Return Receipt for Merchandise ._____~ [] Insured Mall [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number (Transfer from service label) 7002 3150 0004 9985 4391 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-154~ · Sender: Please print your name, address, and ZIP+4 in this box ° ~ Bakersfield Fifo Department Prevention Services 1715 Chester ^venue, Suite 300 Bakersfield, CA 93301 ~-, p~stege $ Postmark Return Reclept Fee Here (Endorsement Required) r'~ Restricted Dellven/Fee 'i u3 (EndomementRequlred) Total Post~ge & Fee~ ~ ~- [~:'.l~*:i' LA BARATA MEAT MARKET [.o[...~...~..~...~?:... 430 E CALIFORNIA BAKERSFIELD CA 93304 Certified Mail Provides: · A mailing receipt (esJeAe~t) ~00~ eun~' '008~ u. uo.-I Sd · A unique identifier for your mailpiece · A record of delivery kept by the Postal Service for two years Irn _l~ortant Reminders: · Certified Mall may ONLY be combined with First-Class ~aile or Priority Mail®. · Certified Mail Is not available for any class of intemation"~ mail. · NO INSURANCE COVERAGE IS PROVIDED with .Certified Mail, For valuables, please consider Insured or Registered Mail, 'f~ · For an additional fee a Return Receipt may be requesteid tq provide proof of aelivery. To obtain Retum Receipt service, p~ease complete and attach a Retum Receipt (PS Form 3611) to the article and add applicable postage to cover the fee.. E,.ndorse mailpiece."Retum Receipt Requ.ested". To r.[.ecei.v.e a fee,waiver for a aupdc.ate return receipt, a USPSe postmark on your ~;ertified Mail receipt is requlrea. · For an additional fee, delivery may be restricted to the addressee or add. ressee's author!ze.d a.g~n.t.. Advise the clerk or mark the mailpiece with the enaorsement "Restricreauefivery". · If a postmark on t.h.e Ce. trifled Mail receipt is desired please pre_sent the arti- cle at the post onice for postmarking. If a postmarK on the [.;ert fled Ma receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery inlormation is not available on mall addressed to APOs and FPOs. September 8, 2003 CERTIFIED MAIL La Barata Meat Market 430 E. California Avenue Bakersfield, CA 93304 ~iRE CHIEF RON ~R.a2E ADMINISTRATIVE SERVICES 101'.'S,ree, REMINDER NOTICE Bakersfletd, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Re: Deadline for Dispenser Pan Requirements December 31, 2003 SUPPRESSION SERVICES 2101 "H' Street Dear Underground Storage Tank Owner/Operator: Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 A review of our files indicate that you have been receiving quarterly reminders from April of 2002 to December 2002. Our files further show that since January PREVENTION SERVICES s,~E,',s~cEs. E.,~.o."~.,~.s~,,~S of this year you have been receiving monthly reminders. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 The purpose of this letter is to remind you of the necessary retrofit of your FAX (661) 326.-0576 fueling system. Current code requires that you install under dispenser PUBLIC EDUCATION containment pans prior to December 31, 2003. You will not be allowed to pump 1715 Chest.el' Av~. Bakersfield, GA 93301 fuel after December 31, 2003 unless you have completed the upgrade VOICE (661) ~6-3696 FAX (661)~32~-'0576 requirements. FIRE INVESTIGATION Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit 1715 ChestorAvo. your facility as soon as possible. Bakersfield, CA 93.301 VOICE (661)326-3951 FAX (661)3264)576 Should you have any questions, please feel free to contact me at 661-326-3190. TRAINING DIVISION 5642 Victor Ave. SincerelvrVours. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . , ' ,: ,," : Steve Underwood Fire Inspector/Environmental Code'Enforcement Officer Office of Environmental Services SBU/db .~u! ~3 03 09:'~5a ~riT IriC COMMERCIAL LEASE. [GENERAL FORMI 'I T~s Lease is made and entered into {~s ~ day of ~; , ~ ~ by and between "~ ~ ' ~ ~ ~ ~ (hereina~er referred to as "~ndlord") and _~,~[~ P ~',~C~ ~ ~M~ ~'~ ~ ~ .. _ (hereina~er referred to as"Tenant'). 2. PREMISES. Landlord hereby leases to Tenant and Tenant hereby leases~ from Landlord, on the terms and conditions ~ereJna~er set leah that ca~ain real property and ,he building and other improvements located ,~,reon situated in ~e City of .; described (said real property is hereinafter called the "Premises"l. 3. TERM. The term of this Lease shall be for [, ~ , , commencing on 0.*'~ [ ~ C~-_~ ':~ and ending on ~ ~ ~CCH . unless sooner terrain.ted as heroinaher provided. 4. RENT. ~ Tenant shall pay LandJord as rent for t~ Premises the following sums per month, in advance ~n~e first day of each month during the term el {E.G. Sm) :~ '' :: (* ~ ~ ~ m ) dollars per mnth. During the year through the year of the term o~ t~)s Lease, the sum of ($ ) dollars per month. During the year through the year of the term of t~is Lease, the sum of :; (~ ) dollars per mon~. Tenant sAall pay to Landlord upon the execution of this Lease th~ sum of ~ ($ ~: ~0 I dollars as rent for ~C~x Rent for an~ ~eriod during the term of this Leese which is for l~ss-- ~than one (I) me.th, shall be a pro reta portion of the monthly instatlment. Rent shall be peyabte without notice o~ demand and wi[hour en~ deduction, off-set, or abatement in law~l mone~ of the United States to the Landlord at the add~ess stated herein fer notices or to such o~er persons or such ether ~laces as the Landlord mav designate to Tenant writing. '=, 5. SECURITY DEPOSIT. ,.~ Tenant shall deposit with Landlo'd upon the execution of 'his ~ease the sum o' ' '~' ~. ~ ~. ) dollars as a securRy deposit f~r the Tenant's faithful performance of the provisions of this Lease. If Tenan~ fails to pay rent or other charges due ~reunder. or otherwise defaults ~ith respect to any provision of this Lease, Landlord may use the security depoeit, Or any portion of it, t0 cure the default or compensale Landlord fo~ all damages sustained by Landlord resulting from Tenant's default. Tenant shall immediately on demand pay to Landlord the sum equal to that po~ion of the security deposi~ expended or applied by Landlord which was provided for in this paragraph so as to maintain the security deposit in the,sum initially deposited with Landlord. Landlord shell not be required to keep the security deposit ~parate from Rs general account nor sharl Landlord be required to pay Tenant any interest on ~he securiW deposi[. If Tenant performs ell of Tenant's obligations under [his Lease, the securl~ ~eposit or that portion thereof which has not previously been applied by the Landlord, shall be returned to Tenant within fourteen [14) days ~fter the expiration of the term of ~his Leeee, og after Tenan~ has vac~t~ the Premises, whichever is let~. .;~ Be~ ~u u~ ~s ~, ~11 in all bla~ks, and make whatever ~en~ am WOLGO~ FORM 973 - (p~ cl~ ~) If y~ ~u~t ~e ~'s ~e~ ~ your pu~ COMMEACIAL L~{Gen~al)-rev. 7-~ mpmsen~lion '.~r wa~an~, exp~ or im~ied, G 1999 WeLterS FOR~. INC. ~er~antabili~ ~r fitness ~ this Io~ ~r en ;~ Page 1 ~8 Y Jul 23 03 09:~5a ])] El'IT THC 6G1:835-0;~79 p.3 e. USE. i and for no other purpose without the Landlord's prior written consent. Tenant shall not do, bring or keep anything in or about the Piemises that will cause a cancellation of any insurance cuvering tJ3e Premises or the building in which the Premises are ocated, f the rate of any insurance carried by the Landlord is increased as a resu t of Tenant's use Tenant shall Day to Landlord within ten (10) days after written demand fr~m Landlord, the amount of any such increase. Tenant shall comply wilh all laws concerning the Premises or Tenant's use of the Premises. inclEding without limitation, the obligation at Tenant's cost to alter, maintain, or restore the Premises in compliance and conformity with all laws relatir~ to the condition, use, or occupancy of the Premises by Tenant during the term o! this Lease. Tenant shall not use or permit the use of the Premises in any manner that will tonal to create waste or a nuisance or, if there shall be more than one tenant of the building containing the Premises, ;~hich shall unreasonably disturb any other tenant. Tenant hereb~ accepts t~ Premises in their ~ondition exis[ilt~ as of the date that Tenant possesses ~he Premises, subject ~o all applicable zoning. municipal, county and slate laws, ordinances, regulations governing or regulating the use of the Premises and accepts ~his Lease subject thereto and [o all matters disclosed (hereby. Tenant hereby acknowledges tha~ neither the Landgord nor the Landlord's agen~ has made any re~esen~a~ion or warranty to Tenant as to the suitability of the Premises for ~e conduct ot Tenant's business. 7. TAXES. (a) Real Property Taxes. ~/ ~ shall pay all rea{ property ~Axes and general Assessments levied and assessed against the Premises dt,rino the ~erm of ~nls Lease. If ir shall be Tenant's obligation to pay such real property t~xes and assessments hereunder. Landlord shal~ use its best e~forls to cause the Premises to be separately assessed from o~her real proper~y o~ mad by the Landlord. If Landlord is unabte to obtain such a separate assessment, the assessor's evaluation baaed on the building and other imprc ~ements that are a part of the Premises shall ~e used to determine the real pro,fly taxes. If this evaluation is not available, the parties shall equit~ bly allocate the property taxes between {he building and other improvements are a part of the Premises and all buildings end other improve~'~ents included in the tax bill. In making the allocation. ~he parties shall reasonably evaluate the factors to determine the amount of the real propRrt~ taxes so ~hat the allocation of the building and other improven~an[~ that are a part of the Premises will not be less than the ratio of the total nu~ bar of square feet of the building and other improvements that are a part of ~he Premises bears to the total numbe~ of square fe~l in al{ building: and othe~ improvements included in the tax bill. Real ~operty taxes attributable to land in the ~em[ses shall determined by the ratio that the total number o{ square feet in t~ Premises ~ars ~o ~he ~otal number of square feet of land included in the tax bi~, (b) Perso~l Prop~ty Taxes. Tenant shell pay prior to the delinquency all taxes assessed a~ainst and levied upon the ~ade fixtures, furnishings, e~ui0ment and ot~r personal properey o~ Tenant contained in the Premises. Tena~t =hall endeavor ~o cause such trade fixtures, furnishings and equipment and all other ~e(sonal property to be assessed and billed separately from the p~operty;~of the Landlord. I~ any of Tenant's said personal property shall he assessed with Landlord's p~opert~, Tenant shall pay to Landlord the {axes attributable: to Tenanl within ten (10} days after the receipt of a written statement from Landlord setting forth the taxes a~plicable to Tenant's property,'i Tenant sA=ii make all arrangements end pay for all water, ga~, ~at, light, power, telephone o~d othe~ utility services s~pplied ~o the Premises together with anv taxes thereon and for all connection ~arges~[ I~ anv such services a~e not separately metered to Tenant. the Tenant shall pay a reasonable proportion, to be determined by Landlord, of all ch~rges jointly metered with other premises. 9. MAINTENANCE AND REPAIRS. (al Landlord's Obligations. Except es provided ~n Article 12, and except for damage caosed by any neglige~ or intentional act o~ omission of Tenant, Tenant's agents, employees, or invitees, Landlord at its sole cost and expense s~e I keep in good condition and repair the foundations, exterior wails, end exterior roof of the P~emises. Landlord shall also maintain the unexposed electrical, plumbing and sewage systems including, without limJt8tion, those portions of the systems Jvl~o outside the Premssea w~ndow frames, gutters end down spouts an the build.ne, all s~dawalks landscaping and other impro,~ements that ere a Dart of the Premises or of which the Pr~mises are a part. The Landlord shell also maintain the ~ating, ventilati~ and ail- conditioning systems servicing the Premises. Lan~lo[~ shall resurface and ~estripe the parking area on ~ adjacent to the Premises when necessary. Land,ed shall have thi~y (3Gl days after notice from Tenant to ~mmence to ~rform its obligations unde~ this Article 9. except that Landlord perform its obligations immediately if the nature of the problem[ presents a hazard or emergency situation. If the Landlord does not peHorm its obligatio~ within the time limit set forth in this paragraph, Tenant can gerform said obligeoons end shall have the right to be reimbursed for the amount that Tenant actually expends in the performance of Landlord's obligations. If Landlord does not reimburse Tenant within thirty {30} days after demand fxom Tenant, Tenant's sold remedy shall be to institute suit against the Landlord, and Tenant shall not have the right to wilhold from future rent ~e sums Tenant has expended. lb) Tenant's Obligations. Subject to the provisions of Sub-paragraph (al a~ve and A~ic~ 12, Tenant at Tenant's sole cost and expense shall keep in good order, condition end ~epair the Premises and every part [hereof including, withou~[iimitat{on all Tenant's personal p~ogerty, fixtures, signs, store tronts, oldie glass. show windows, doo~s, interior walls, i~terior ceiling, a~]d lightin~ If Tenant fails to perform Tenant's obligation as stated herein~Landlord may at its option Ibut shall not be required to ). enter the Premises. after ten (10) days ~rior written notice to Tenant, put the same in goo~ order, condition and repair, and the costs thereof together with interest thereon at the rate of ten (10%) percent per annum shall become due'and payable a~ additional rental Io Landlord togelher with Tenant's ~ext rental installment. Page 2 of 8 ~~~~~~X~=~,, ~ ~'.~-- ,.~..~.,. ,.~, ,~.- ~ ~ ..~ ~ ,. ~ ~ ~. ~ , ~. ..,,.~ ?. ., ~ ~ ~' ~ ~. , ~.~ . ..~, ~ .~ ~ ... ~.f~.~i~. ~'.~_~..._.~..~.~y/~. · .... ~,.~, ·., .... .. ~......,..._,, ~.. , , , ,... · · , -..,- .,-.~..:, ~ . ......,. . .,~. . ...~: ~. ~IT~ATION~ ANO AOOlTION~. (a) Te~nt shall not, without the Landlord's prior written c~nsent, make any a tara{ions, improvements or addffio~ in or about the Premis~ except for ~n-structural work which does not exceed $1,000.~ m cost. As a condJt on to g ring any such consent, the Landlord may ~e~uire the Tenant to remove any such alterations, improvements, or additions at the expiration of t~ term. and to ~estore the ~emises to their prior condition by giving Tenant thirty {30) days written notice Drier to ~he expiration of the term that La.lord roquires Tenant to re;nova an~ such alterations, improvements, or additions that Tenet has mede to the Premi~s. I~ Landlord so elects, Tenant at tls sole cost shall restore the Premises to the condition designated by La.lord in its election before [he last ~ay of the term of the Lease. ~fote ~mmencing any work relating to the al;orations, additions or improvements affecting the Premi;es, Tenan; shall notify Landlord in writi~ of the expected date of the commencement of such wo~k so that ~andlord can po~ and record the appropriate notices of non-responsibility t0 prote~ Landlord ~om any mechanic's liens, materialman liens, o; any ot~r liens. In any event, Te~nt shell pay, when due, ell claims for la~ and mate[ials furnished to or for Tenant at o; fo; use in the Premises. Tenant ~all no; permi~ any mechanic's liens o~ mateHalman's liens ~o be levied ~ains~ Premises for any lab~ or malaria; f~nished to Tenant or cleimed~to have been furnished ;o Tenant or Tenant's agents or conwacto~s in connection with work of any character performed or claimed ;o have been ~erformed on the Premises by or at ;he direction of Tenenb Tenon( shall ~ve right tO assess the validity of any such lien if, immediately on d~mand by Landlord, Tenan; procures and records a lien release bond meeting the requirements of California Civil Code Secdon 3143 and shal[ provi.~e for the payment of any sum ~ha~ the claimant ma~ recover on the claim (together with the costs of suit, it it is recovered in t~ action). Unless tho L~dlord requires t~ir removal as set forth above;~a{I alterations, improvements ~ additions which are made on the Premises by the Tenan~ shall ~come the property of the Landlord and ;ema~ upon and be surrendered with the ~emises at the expiration et t~ term, Notwithstanding the provisions of this paragraph, Tenant'S trade ~Jxtu~es, furniture, equipment and el~r machinery, other than ~hat wh~h is affixed ;o the Premises so tho[ it cannot be removed without materiel o.~ structural damage to the Premises, shall ~emain t~ pro~erw of the Tenant removed by Tenant at (he expiration of the term of this Lease..) 11. {NSURANCE; INDEMNITY, coverage insurance to I~ extent of at least ninety (90%} perceR~ of full replacement value thereof. Said insurance policies s~ll ~ ~sued in the names of Landlord and Tenant. as their interests may appear. Tenant at its cost shall maintain during the term of this Leas~ on all its personal property, Tenant's improvements, and alterations in o~ about t~ Premises, e ~licy of standard fire and extended coverage insurance with Vandalism and malicious mischief endorsements, to the e~ent of their full replacement value. The proceeds from any such ~oticy shall;.~e used by Tenant for the replacement of personal prope~y or ~e restoration of Tenant's improvements or alterations. lb) Liability Insurance. Tenant at its sole cost and expense shall maintain during th~ term of this Lease public liability and p~o~ertv ~mage insur~ce with a combined liability limit of five ~ndred thousand ($500,0~.0~) dolla~s, and prop~ty damage limits of not less that one hu~red thousand [~ 100,000.00) dollars, insuring against all liability of Tenant and~ts authorized representatives ari=i~ out of a~ In connection with Tenant's use or occupancy of the Premises, Both public liability insurance anti'[property damage insurance shall insure performance by Tenant of the indem~ty provisions in Sub-paragraph {~) below, Out the limits of such insurance shall not, however, limit t~ liability of Tenant hereu~et. Both Landlord and Tenant shall be ~med as additional insureds, and the ~olicies shal~ contain cross-liabilitV and~sements, If T~nant shall fall to procure and maintain such insurance the Landlord may, but shall not ~ required to, procure and maintain same at the expense of Tenant and ~he cost thereof, togelher with interest thereon at the rate of ten (10%) percent per annu~, shell ~come due and payable as additional ~antel to La.lord legator with Tenant's next rental installment. lc) Waiver of Subrogation. Tenant and Landlord each waives any and ell rights of recovery~egainst the other, or against Ihs officers, employees, agents, and representatives of the other,' for loss of o~ damage to such waiving pa~ty or i~ p~perW or the prope~y of others unde~ its control, where such loss et damage insured against under any insurance policy in ~orce at the ti~8 0f{~uch loss or damage. E~ch parly shall cause each insurance policy obtained by it hereunder to provide that the insurance company WaiVes all ~ig~t of recovery by way of subrogation against either party in connection with any damage cove~ed by any such policy. {dl Hold Harmless. Tenant shall indemnify and hold Landl~d harmless from and a~ainst an~ a~ all claims a~ising from Tenanl's us~ or occu~anc? et the Premises or from the conduct of its business or fro~ an~ activity, wo~k o~ thins wh ch may be permitted or suffered by Tenan~ n or about the Premises including all damage, cosss, attorney's ~ees, expenses and liabilities incurred in the defense of any claim or actio~ or ~eceeding arising therefrom. Except fo~ Landlo~d*s willtul o~ grossly negligent conduct, Tenant ~ereby assumes all risk of damage to property or injury to person in or about the Premises from any cause, a~ Tenant hereby waives all claims in[~respect thereof ago net Landlord lo) Exempl~on of Land.rd trom L~ab~hty. Except for Landlord's willful or grossly negligent co~uct. Tenan~ hereb~ agrees that Landlord shell not be liable fo~ any ~njury to Tenant's business or loss of income t~ze~rom or for damage to the goods, wares, merchandise, or other D~operty of Tenant, Tenant's employees, invitees, oz any other person in or about the Premises; nor shall Landlord be I~le tel injury to ~he person of Tenant. Tenant's employees, agents, contractors, u~ invitees, w~e~her such acreage or injury is caused by ar resul[~ f~om f ~e steam, e ectric ty, gas water or ran or from the breakage, leakage. obstruchon or ot~r defects o~ p~pes, sprinklers, w~res, aDphances.~plumblng, air-conditioning, or light~g ~ixCures, or from any o~her cause, whether such damage results from conditions arising uDon the Premises or '~pon othe~ portions of th~ building in which the P~emises ere a ~art, or from any other sources or places. Landlord shell not ~ liable tO Tenant fort{any damages arising from any act or neglect of any other tenant, if any, of the building in which l~ Premises are located. [~Page 3 of 8 3u! ~3 03 09:46a DI El'IT IHC G6!-835-02'79 12. DAMAGE OR DESTRUCTION. {al Damage - Insured. If, during the term of this Lease. the Premises and/or the buildil ~g and ether improvement~ in which the Premises are located a~e totally Ot partially destroyed rendering the Premises totally or partially ina~cessibh., or unusable, and Such damage or deslruction was caused by a casualty covered under an insurance policy required to be maintained hereunder, andlord shall restore the Premises and/or the building and other improvements in which the Promises ate located into substamialJy the same condition as they were in immediately before such damage or destruction, provided that the restoration ceo be made under the existing laws and can be~icompleted within one hundred twenty (f 201 working days after the date of such destruction o~ damage. Such destruction or damage shall not tqiminate this Lease. If the restoration cannot be made in said 120 day period, thb:n within fifteen I15) days after the parries hereto determine that the restoration cannot be made in.tho time stated in *.his paragraph, Tenant ma~ terminate this Lease immediately by giving notice to Landlord and the Lease will be deemed cancelled as of the date of such damage or destruction. If Tenant fails to terminate this Lease and the restoration is permitted under the existing laws, Landlord, at its option, may terminate this Le~e or restore the Premises and/or any other improvements in which the Premises ate )orated within a reasonable time and this Lease shall continue in full force and effect. If the existing laws do not permit the restoration, either perry can terminate this Lease immediat'ely by giving notice to tl~e other party. Notwithstanding the above, if the Tenant is the insuring party ~nd if the insurance proceeds received by Landlord are not sufficient to effecl such repair. Landlord shall give notice to Tenant of the amount reQu~ed in addition to the insurance proceeds to effect such repair. Tenant may, at Tenant's option, contribute the reqtS~ed amount, but upon failure ~o do so within thirty [30) days following =u~;h notice, Landlord's sole remefl¥ shall be, at Landlord's option and with no liability to Tenant, to cancel ~td terminate 1his Lease. If Tenant shall contribute such amount to Landlord within said thirty 130} day period, Landlord shall make such repairs as '.b~oon as reasonably possible and this Lease shall continue in full force and elfect. Tenant shall in no event have any right to reimbursement for an~ amount so contributed. {bi Damage - Uninsured. In the event that the Premises are damaged or destroyed by a ~asualty which is not covered by the fire and extended coverage insurance which is required to be carried by the party designated in Article 11{~) above, then Landlord shall restore the same; provided that if the damage or destruction is to an extent greater than ten (10%) percent of the t~en replacement cost of the improvements on the Premises (exclusive gl trade fixtures and equipment end exclusive of foundations and foo~ings), then Landlord may elect not to restore and to terminate this Lease. Landlord must give to Tenant written notice of its intention not to rest0~e wiihin thirty |30) days from the date of such damage or destruction and. if nnt [liven, Landlord shall be deemed to have elected to restore and in such !~vent shall repair any damage as soon as reasor~ably possible. In the event thai Landlord elects to give such notice of Landlord's intention to canc;~l and terminate this Lease. Tenant siqall have the right, within ten ( 101 days after receipt of such notice, to give Written notice to Landlord of Tenor's intention to repair such damage at Tenant's expense, without ceimburseme~t from Landlord. in which event the Lease shall continue in full forc~ and effect and Tenant shall proceed to make such repairs as soon as reasonably possible. If the Tenant does not give such notice within such ] 0 ~ay period, this Lees= shall be cancelleH m~d be deemed terminated as o! rl~e date of (he occurrence gl such damage or destruction. (cl Oamage Near the End of the Term. If the Premises are totally or partially destroyed or dsms0ed ~uring the last twelve 112) month5 of thc term of this Lease, Landlord may, at Landlord's option, cancel and terminate this Lease as of the dat~ of the cause of such damage by givi~g w~itten notice to Tenant gl La~dlord's election to do so within 30 days after the date of the occurrenc~ of such damage; provided, however, Inet, if the damage or destruction occurs within the last 12 months of the term and if within fifteen (15) dA, rs after the date of such damage or destruction Tenant exercises af~y option to extend the term provided herein, Landlord shall restore the Prem~..?es ~f obligated to do so as p~ovided in subparagraph la) or Ibl above. id) Abatement of Rent. If the Premises are part)oily or totally destroyed or damaged ar}d Landlord or Tenant repairs or restores tlsem pursuant to the p~ovi.~inns ot this Article 12, the rent payable hereunder for the period during which:[such damage, repair or restoration co.[inues sl~all be abated in p~oportiorl to Ihe .I degree to which Tenant's reasonable use of the Premises {s impaiiad. Except fm the abatemerrt of rent. il any, Tenant shall have no cJmm a(ja,~st Landlord ~or any damages suHered by reason of any such damage, destruction, repair or restoration. (el Trade Fixtures and Ecluipment. if Landlord is required or elects to restore the Premises as:iprovidod in this Article. Landlord shnll not be ~quired tO restore To,tent's improvements, trade fixtures, equipmenl or alterations made by T~nant, such excluded items being the,u~le responsibility of the Tenant to restore ! hereunder. .ii {fi Total Destruction-Multitenant Building. If the Premises are a part of a multitenant building and there is'jdestruction to the Premises and/or the building of which the Premises are a part that exceeds Fifty (50%l per,;erst ot the then replacement value of'.~[he Premises and/or the building in whicll the Premises are a part from any cause whether or not covered by the insurance described in Article 11 a~bove, Landlord may. at its option, elect tn ~erminate this Lease Iwherher or not the Premises a~e destroyed) so long as Landlord terminates the lea ;es of all other tenants .i the building of which the Premises are a part. eflec~ive as of the date o~' such damage or destruction, 13. CONDEMNATION, If the Premises or any portion thereof are taken by the power c~' eminent domain, or sold by Landlord [tnder the floreal of exercise gl s~id powe~ {all of which is herein referred to as "condemnation"), this Lease::~hall terminate as to the I)art so ta~,e~ as gl the date rise condemning attthorlt¥ takes title or possession, whichever occurs first. If more than twenty (20%) percent of the tiger area of any buildings on the Premises. or more than twenty 120%l percent of the land area of the Premises not rev?ed with buildings, is taken .by conde~mation, either Landlord or Tenant ina¥ terminate this Lease as of the date the condemning author)tV raka.~ pnRsession by notice ir~ writing of st~<:l~ election within twenty (20) days of let :i ~ Page 4 of B .)ul 2~3 03 09:~7a I] El'IT IriC G61~895-0279 Landlord shall have notified Tenant of such taking of. in the al~[sence of such notice, then within twenty (20) days after the condemning authority shaJl have taken possession. If this Lease is not ~erminated by either Landlord or Tenant ~s provided hereinal3ove, then it shall remain in full force and effect as to the portion nf the Premi~-os remaining, provided that the rentat shall be reC~uced in proportion to the floor area of the buildings taken within the Premises as it bears to the Inlet floor area of all buildings Ioca~ed on the P, emi~es. In the even[ this Lease is not so terminated, then Landlord agrees at Landlord's sole cost and expense. ~o as soon as reasonably possible restore the Premises to a compJete Unit of like quality and character es existed prio~ rD the condemnation. All awards for the taking o~ any part of th~ Premises ot anV ~ayment mede under the t~eat of the exercise of the power of eminent domain sh~ll be t~e pro~etty of the Landlord. whether made as compensatio~ for the diminution of the value of the leasehold ~ flor the taking of the fee or severance damages: provided, however. [hat Tenant shall be ~nti[led [o any award for loss of damage ~o Tenant's trade fixates and removable personal pro~rty. Each party hereby waives the provis~o~s of Code ot Civil Pr~ceduxe ~ 265.130 allowing either party to pe{it~o~ the Superior C~rt to term{~te this Lease in lhe even[ ota partial taking o~ the Premises. Rani shell he abated or reduced during the period from the da~e of taking until the completion of restoration by Landlord, but all othe~ obligations of Tenant m~der this Lease sl~all remain i~ full force and effect. ~The abatement or reduction of the rent shall be based on the extent to which ~e ~estotation imerfefes wi(l~ Tenant's use ef the Premises. 14. ASSIGNMENT AND SUBLETTING. Tenant shall a~ol vol~e~arily Or by operation of Inw assign, tran~[er, subJet, mortgage, or otherwise Iransfer or encumber all ~ any part of Tenant's Utlefes[ in this Lease or in the Premises without Landlord's prior ~rittm~ co~sent which consenl shall not ~e unreasonably withheld. Any attempted assignment, transfer, mortgage, encumb~a~ce, or subletting with'Out stroh consent shall Oe void and shall constitute a breach of this Lease. II Tenam ~s a ~rpotax~n. any dissolution, merger. Coosolidetton or other ::~eorgnnization gl Tenant. or the sale o~ giber tra~fer of a controlling percentage of the capital stock gl Tmtant. of the sale of at least fifty.one (~: 1%1 percent of the vak~e of tl~e assets of Tenant. ~all be deemed a volun~rv assignmenL The phrase "conlrollh)g percm~tn(le" means :l~e owi~ership of. and ~he righ[ to vote. stock possessing at least fifty-one (~ 1 ~J percent of U3e total colltl3ined vothl(i power of ail classes ~)l Tenant's capital s~ock iss~d, outstanding, a~ entitled ~o vote for the e~ection of direclots. Ti]is paragraph shall nD( apply to corporations the stock ot whicl~ is traded 'through an exchange or over the Regardless 01 Landlord's consent, ~o subletti~l or assignmen~shall release Tenant or Teoant's obligation to pay the rent and to preform ~1 obligations to I~ perfornled by Tenant heretlndor for the term uf~this Lease. [~ acceptm~ce of rent by Land,rd f~om any other ~rso~ shall not he deemed ;~ waiver by Lat3dlo[d of any provis{Olt hereof. Conset{~ to one assignment of sttblelting shall not be deemed consent [o any subsequent 15. DEFAULT. {a)'Evems of Default, The occut~e~tce ot m~v o~te or itlore of lhe following events s~all colts[i~ute a defatd[ and breach of Htis Lease by Tenant: ~ 1~ ~adll~e to pay rent when due. if the failure continues for[ five ~5) days after w~i~ten notice ~as been given to Tenant. (21 Al~f~iot~menl a~d vacal{o~3 Of lite Premises (failure ~[occupy the Premises fo~ fourleen 114) coneecutive days shall be doomed (3} F~ih~r~ to perform a~W o(her p~ovis~on o~ th~s Lease if ~l~e~aih.~e to perform ~s ~ot cu~=d within tl~rw (301 days a~er written no{~ce thereof h;l~ IJe~lt ~liw~ Io T~,)ant by C4tnrlloflJ. It the default calNlOt reas~llably be c~ed within ~aid thirty (301 da~ period. Tenant shall hal be in defauJt Utldur IJti5 L(Jasl~ if Tensest commences to ¢[trc tho default within the lhirlv {30) day per~od and diligmtilv prosecutes the same to compJelion. {4} Th~f tltaki~lg by Te~tant gl any ~eneral ~lssJfl~ln~nL or ge~eraJ arreno~ment tot the benefit of creditors; the filing by or against Tenant of a i)eli~mn t(t Itave Tettal~ adjt~dged a bat~krupt or i~ petition for reo~banization or arrangement under any law relating to bankruptcy unless the same ~s dismissed within sixty (60) days; the appoi~umcni or a trustee o~ receiver to take ~ssession of su~tantially all gl Tenant's assets located at t~ Plemises or gl Tenant's i~31e~est in the La;Isa. where possession i~ not reslo~ed Io Tenan~ within thirty (30) days; or the attachment, execution or t)ther i~dicia{ seizure of substantially ~{[ o( Tenanl's assets Iocate~ at d~e Premises or of Tenam's interest in the Lease, where such seizure is not (hscha~ued wlUm~ U~i~ty (301 days. Notices (I v( r~ o ~(ler th~s parauraph shall Slte(:ilv [l~e alleged default and the applicable lease o~ovisi~s, and shall ~mand that Tenant perform Ute ptuwsimt~ (~f lhis Lea~e or pay II)e toni thn~ ~s in arrears as t~e case may be, within tl~e a~licable period of time. No such notice shall be deem~ ~ Iorleiture or a tern~i~],3tion of tl~s Lease u~de~s Landlord;~o ulocts in the notice. {bi Lm~dlo~d's Remedies. TI~ Lm*dlord shall I~ve U~e loflowinU remedies il Tenant commit~ a default under this Lease. These remedies are not exclusive but are ~mulative and in addition to a~w remedies ~ow or hefeal~er ~dlowed bV Land,rd ca~] co~)tinue II,is Lease i~t full ~orce and eflect, and th~ Lease will continue in effect so long as Landlord ~es not lermina~e Tenant's ~iuhl Io possession, axrd Ihe La~tdlord shall have [h~ rigl~: to coIlec~?e~t when due. During the period [hat Tenan~ is in detault, Land~d can the Premises alKI re~l them. or a~y part ot them. [o third parties [~r Tenant's accnunt. Tenant shall be liable immediately Io the Landlord for ali co,ts the L~t~3d~rd incurs il3 reletlin9 die Premises. includible, withou~ limitation, brokers' con~miss{ons, expe~ses of remodeling the ~emises requited by the reletting, and like Costs. Relettmg ca~ be lot a period slitter ur longer than the remaining :e~m o~ this Lea~. Tenant shall ~v to the rent due under this Lease on the dates the rent is due. less thornton[ Landlord receives from any reletting. No act bV Landlord al~wed by this paragraph shall terminate tJtis Lease u~dess Landlord notifies Tenan~ that Landlord e~cts ~o terminate this Lease. After Tenan('s default and for so long as Landlord has ~mt terminated Tenant's right to pa~session ot.?~e Premises. if Tgr~a~)i oblates Landlord's consent. Tenant shall have the ;. to assume or sublet its interest in the Lease. but Tenant shall not:~e released fr~ liability. Landlord's consent to the ~oposed assignment subletti~ sitall t~ot ~ unreasonably whld~e~. 661 ~835-0279 Jul ~3 03 09:48a D] EMT If Landlord elects to relet the Premises as provided in this paragraph, anv rent that Landlord receives from such [clotting shall apply fi*st to the payment et any indebtedness from Tenant to Landlord other than the ren~ due from Tenant [o Landlord; secondly, to all costs, including maintenance. incurred by Landlord in such reletting; and third, to any rant:due and unpaid under this Lease. After deducti~ the paymenls referred [o m [his paragraph, any sum remaining from the rent Landlord receive: from such reletting shall be held ~V Landlord and applied ~n paymenl o~ future as rent becomes due under this Lease. In no event shall renan be entitled to any excess rent received bv Landlord. If. on the date rent is due under this Lea~e, the rent received from the reletting is less than the; rent due on that date. Tenant shall pay to Landlord. in addition to the remain~ rent due, alt costs, including maintenance, that Landlord shall hav~ incurred in ~eletting that remain after apptving the rent received from relettiitg as provided in this paragraph. Landlord can, at its oplion, lermi~ate Tenant's right to Oo~'session of the P~emlses et any lime. No ;icl by Landlord olher than giving wrilten ~otlce to Tenant shall termi~te this Lease. Acts of maintenance, efforts to relet the Premises. or the appointment of ~ ~eceive~ on Landlord's initiative to protect Landlord's interest in this Lease shall n~ constitute a termination of Tenant's Light to possession. In the event of such termination, Landlord has t~e right to recover from Tenant: (1) Thu worth, at the time of the award, of the unpaid ren'~ that had been earned at the time of the termination of this Lease: (2~ The worth, at the time of the award, of the amount by ~hich the unpaid rent that would have bee~t earned after the date of the termination el this Lease until the time 0f the award exceeds the amount ~i the loss et rent that Tenant proves cot~hl have been ~asonably avoided; {3) The worlh, at the Lime of the award, of the amount by ~hich the unpaid rent for 1he balance of the te~m af~e~ the time of the award exceeds the amount of the loss of rent that Tenant ~oves c~Id have b~en reasonably avoided; and (4] Any other amount, including court costs, necessarv to;~ompensa[e Landlord for all detriment prnximately caused by Tena~l's defat~l[. "The wortl~ at t~ time of tl~e award," as used in I1) and {~) of this paragraph is to be computed by ;~llowing interest at the maximt~m ~ate individual is permitted by law to charge. "The worth al the ~ime el the award," as referred tO ~n {3} of this paragraph is to be computed ~iecounting the amount al the discount rate of the Federal Reserve Bank of San Francisco at the time of tl~e award, plus one {1%) percent. If Tenant is in default under the terms el this Lease, Landlord shall have the addilional ~ight to have a receiver appointed !o collect re~tt and conduct Tenant's business. Neither the filing of a petition for tJ~e appointment el a receiver nor the appoi~ttment itself shall constitute an election by Land.rd to terminate this Lease. La.lord at any ti~ after Tenant commits e default, can cu~e the default at Tenant's cost and expense. If Landlord at any time, by reason el Tenant's default, pays any sum or does any act that requires t~e payment of any sum. tl~e sum paid I~y Lm3dlord shall be due immediately from Tenet (~ Landlord at the time the sum is paid. and if paid at a ~ter date shall bear interest at the maxim~m~ rate an individual is ~ermitted I)~ I~w to ~arge f~om the date the sum is paid by Landlord until Land~e~d is reimbursed by Te~ant. The sum. to~ethe~ witl~ interesl time,eon, sl~ll he considered additional rent. 1 6. SIGNS. Tenant shall not have the ~ight to ~Jace. construct or maintain any sig~. adver[iseme131, awning, baltl~e[, or other exterior decorafio~)s o~l Ihe building or othe~ improvements that afc a part of the Premises ~l[hout Landlord's prior, written conse~t, which consent shall not be ~.~reas<~-ahlv withheld. 17. EARLY POSSESSION. In the event that the Landlord shall permit Tenant to occup~ the Premises prior to the commencem{mt date el lhe term of lhis Le~m~. such ocCu~ancv shall be subject to al~ the proviaio~s et this Lease. Si,id early possession shall nOt advance the termination date el this Lease. 1 8. SUBORDINATION. This Lease. at Landlord's option, shall be subordinate to any g~ound lease, me.gage, deed el t~ust, eL ;.W other hypolhecalion tnr ~ec~*~v or hereafter placed uDon ~he real property of which the P~emise~ ere e part and to any and all advance~ made on ~hE security [hereol a~d to all ~enewal. modifications, and extensions thereof. Notwithstanding{anV such subordi~tion. Tenant's righ~ to quie[ ~ssess~on et U~e Premises shall not be disturbed if Tenant is not in default and so long as Tenant [~hatl pay the fenl and observe and i)ett~[m all the othe~ ptovi~ions et th~s unless this Lease is otherwise terminated pursuant to its terms. I~ any mortgagee, truslee, of ground lussor shal) elecl to have tills Lea~e }~r~or t0 the lien of its mortgage or deed of t~USt 0~ ground lease, and sha~ give written notice fl~ereof to Teno,~t. thi6 Lease shall bu deepened p~iOr to mortgage, deed of t~ust ~ ground lease, whether this Lease is da'~ed prio~ to et subsequmtt to the date ()1 s.ch mortgage, deed of [rust v~ lease. Or the date of ~eco~ding thereof. Tenant agrees to execute ~ny docume~ts requirit~[~ to elfect sucl~ sttbordination or ~o make this Lease to the lien of any mortgage, deed of trust, or ground lease, es the ~ase may be, and lailing to do so within le~ (1 0) days after written dema~.d Landlord does ~reby make, constitute and irrevocably appoinl L~kdlord as Tenant's attorney ~n facl and .t~ Tenanl's name. place at]d stead Io do 1 9. SURRENDER. On the last day el the term hereof, or on any sooner terminetio~ Tenant shall surrender the Pram}see 1(~ L;~%~dlord h~ good conditihn, broom clenn. ordinary wear and tear accepted. Tenant shaft repair any damage t~ the Premises occasioned by its use lh~uof, or by ~l~e removal of Tenant's ~ixtures. furnishings and equipment which repair shal~ include the p~tching a~ fi/ling of ~les and ~epei~ ~)l slr[~c~ural damage. Tenanl shall ~emove all of its pe[so~l property and fixtures on the Premises prior to tl~ ~xpiration of the term of ii,is Lease and ~f requi~ed by Landlord pursuant to Article lOia} above, any alterations, improvements or additions mede by ~enant !o the Premises. ii Tenant fails 1o su~ender the Premises to La~dlord on tho expiration el the Lease as required by this paragraph. Tenant ~hall hold Landlord harmless from all (la~ages resulting from Tenant's faik~re to vacate the P~emises, including, wilhout limitation, claims made by ~ny succeeding lenant resulting from Tenant's failure to surrende~ the Premises. 20. HOLDING OVER, If the Tenant. with t~ La4~dlo[d's consent, remains in possession of :he Premises after [he expiration) or termination of the term of (his Lease. such possession by Tenant shall be. deemed to be a tenancy from ~on[h-to-month at a ~e~t~ i~ t~ amoLnlt of the last month{y fontal plus all ethel charges payable hereunder. Upon all the provisions el this Lease a~plicable to month-to-month tenancy. .~age 6 of 8 .]u! ~3 03 09:~9a D EHT IHC ~ ~j.~Z~_~.~,~.~ .~.~..~,~ ..... ~ ~.'.~. .,. . .. ,. ~ 21. BINDING ON suCCESSORS AND ASSIGNS. ~e te~s, =ond~io~ and covenants of ~ia Lease shall be ~inding upon and shall inure to the ~ne~it of each of ~e pe~ies ~reto, their heirs, per~nal repre~ntatives, successors a~ assigns. 22. NOTICES. Whenever ~n~r this Lease a provision is made for anv d~mand, notice or declaration of any kind, Et s~lt ~ In ~l~ng and se~ either personally or sent b~ registered or ce~if~d United St~es mail~stage prepaid, addressed at the addresses set fo~h below: · -- TO LANDLORD AT: [~ ~,1 ~;d[~ ~ ~' TENANT AT: Such notices shall be deemed to be received within for~y-eight (48) hours from the time of mailing, if mailed as provided for in this paragraph. 23. LANDLORD'S RIGHT TO INSPECTION. Landlord and Land~rd's agent shall have the right to ente~ the ~emises at reasonable times for the purpose of inspecting same. showing the s~e to prospective pur~asers or lenders, and making suc~ alterations, repairs, improvements or additions to the Premises or ~o the building of which the ~emi=es are a pa~ as Landlord may deem necessary or d~irable. ~ndlord may al any time place on or about the Remises any ordinary "For Sale" signs and Landlord may at any time durin~ the last one hundred twenty (120) days of the term of th~ Lease place on or ~out the Premises any ordina~ "~r Sale or Lease" signs, ali without rebate of rent or liability to Tenant. 24. CHOICE OF LAW. This Lease shall be govern~ by the laws of the state w~ere the ~emises are located. 25. ATTORNEY'S ~ES. If eAher Landlord or Tenant becomes a party to any litigation or arbitration concerning this Lease, the Premises, or the bui~ing or othe~ improvements in which the Premises are located, by reason or,any act or omission of the other pe~y or its authorized representative, and not by reason of any act or omission of the pa~y that becomes a.~pa~y to that litigation or any ~t or omission of its authorized representalives, the pa~y that causes the other pa~y to become involved in t~e litigation shall be liable to that p~y for reasonable a~orney's fees and court costs incurred by it in the litigation. If either Pa~V comm~ces an action against the other pa~y arising out of or tn connexion with this le~e, the prevailing pa~y shall be entitl~ to have and recover from the losing pa~y reachable ~attomey's fees and ~sts of suit. 26. L~DLORD'S LIASUTY. The ~erm "~ndlord" as used in this Lease ahab mean only~the owner or owners at the time in question of the fee title or a Lessee'a interest in a g~ound lease of the Premises, ~d in the event of any transfer of such title or interest, Landlord herein named (and in casa of any subsequent transfers to the th~ su~ssor) shall be relieved from and a~ter the d~e of such tra~fer of all liability in respect to Landlord's obligations thereafter to be performed. The obligations ~ntained in th~ Le~se to be peflormed by Landlord shall be binding upon the L~dlord's succes~rs and ~signa. only during their r~pective periods of ownership. 27. WAIVERS. No w~ver by Land,rd of any provision hereof shall ~ d~emed a waiver of any other provision ho~eot Tenant of the same or any other provision. Landlord's consent to or approval of any ac~ shall no: be deemed to ren~er unnecessary the obtaining of Landlord's consent to or approval of any subseqdent act by Tenant. The accept~ce of rant hereunder by Landlord shall not be a waiver ol any preceding breach by Tenant of any provision':?ereof, other than the failure of T~ant to pay the particular rent so accepted, regardless of Land~rd's knowledge of such preceding breac~ at the time of its acceptance of such rent. 28, INCOR~RATION OF PRIOR AGREEMENTS. Th~ Lease contains all agreements of the parties with ~spect to any matter mentioned herein. No prior ~reement or understanding ~Aain~g to any such matter s~all be effective. Th~ Lease ~ay be modified only in writing, and signed by the patios in interest at the time of such ~dification. 29. TIME. Time is of the e~ence ct this Lease. .[ 30. SEVERABI~TY. The u~enforceabili[y, invalidity, or legality of any provisio~ of this Lease shall not render the other p~ovtsions hereof unenforceable, invalid or illegal. 31. ESTO~EL CERTIFICATES. Each pa~y. within ten {10) days a~er notice from the oth:&r pa~y shag execute and deliver to the other pa~y a ce~i~icate stating that this Le~e is unmodified and in full force and offer, or in full forc~ and effect as modified, and stating the modification. The ce~ific~e shale also state the amount of minimum monthly rent, the dates to which:~rent has been paid in advance, and the amount of any s~urity d~osit or prepaid '1 rent, if any, as well as acknowledging that there are not, ~o that party's knowl~ge, any uncured defaults on the pa~ of the other pa~y, or specifying such defaults, if any, which are claimed, Failu~ to deliver such a ce~ificate within the ~en (10) day period shall ~ conclusive ~ Page 7 of 8 .]ul 23 03 09:49a D EPtT IHC 661-835-0~79 p.9 upon the party failing to deliver the ce,fificate to t~ benefit of t~e par~ re~esting the ce~ificate that this Lease is in ~11 force and after, that there are no uncured de,suits ~reunder, =nd ha3 not been modifie~ ~xcept as may be re~esented by the party requesting the ce~ificate. 32. COVENANTS AND CONO(TIONS. Each ~ovision of this Lease p~rformable by Tenant shall b~ deemed both a covenant and a condition. 33. S~NGU~R AND PLURAL. ' ' When required by the ¢onte~ of this Lease, the singula~ sh~lJ indicate the plural. 34. JOINT AND SEVERAL OBLIGATIONS. "Pa~" shall mean Landlord and Tenant; and if more than o~e person or enfi~ is the Landlord or Tenant, the obligations imposed on that pa~y shalJ be joint and several. I 35. OPTION TO EXTEND. Pro,ed thatxTenan~ shall not then be in default hereunder, ~enant shall have the option to extend the term of ~hls Lease for additional ~ year periods upon the same terms and cbnditions herein contained, except for fixed minimum monthly rentals, upon delivery by Tenant [o Land~ord of written notice of its election to exercis~ such optionls) at lease nine~ (90~ days prior to the ,expiration of the original extended} term hereof. The parties h~eto sha~ have [hir~ (30) ~aVS a~er ~e ~ndl~rd receives the option notice in whicl~ to agree on ~ min~um monthly rental during the extended term~s). If the parties agree on the minimum monthly rent for the e~ended term(s) during the ~eriod. they shaB immediately execute an amendment to this Lease sJating the mihimum monthly rent. In the event t~t there is more than one option to e~end the term of this Lease, the par~ies hereto shall negotiate the minimum~mo~thly ~ent as s~ f~th herein for each extended term of this L~e. If ~e pa~Jes hereto ate unable to agree o~ the minimum monthly rent for ~e extended t~m(s) within said thirtv (3~} day period, the option notice shall be of no effect a~ t~s Le~e shall expire at the e~d o~ the term. Neithe~ pa~ to this Lea~ shall have the right [o ~ve a cou~ or othe~ third party set the minimum month~v rent. 36. ADOENOUM. Any ~de~um ~ttached hereto and either signal 0r initialled by the pa~es shall ~ deemed a part h~eof and s~ll sup~sede any ~nfli~ng "- , · ' '-7 ; -- -- . By: By: NOTICE: The California Department o! Justice. sheriffs departments, po/ice::'~departments serving lu~isdictions of 200.000 or more and ma~y othe~ local law enfarcemenl authorilfes maintain for public access a i:lata base of ~ lOCations of Oe~ons ferule'ed to re~ji~ter pu~uant to paragraph (1 } of sul~ti~ision (~) of Se~ion 290.4 of ~ Penal C~le. The ~ate Dese is update~ on a quarterly basis and ~s a sourCe of information ~Oout the presence of these individuals in any neighborhood, The Dap&'t~nent cf Justice also maintains a Sex Offender Iden~ifica*Jon Line through whtc~ inquines about india/duals may I~ made. This is a 'gOO'' telephone service. Callers must have specific Information about individuals they are checking htformaaon regarclmg neighl~etho<xls is nM available through the '9Ql7' telephone semiCe. ! Page 8 of 8 Us~r: RightFAXUser Host: FAX Class: Fax Job: !Q_HAZ1 · Complete items 1, 2, and 3. Also complete I I A. Signature ~ Print your name and address on the reverse . ~ Addresse so that we can return the card to you. ~ B. Received by (P~ted N~e) ~ C, Date 9f or on the front if space permits. Irb. Is deliv~addm~diffemnt from item 17 IUYes 1. A~icle Add~d to: If YES, enter delive~ address below: ~o LAB~TA~ATM~T , ~ BA~RSF~LD CA 93304 a. so~ ' ~e~ifi~ Mail ~ Express Mail ~ Registered ~ Return Receipt for Merchandise ~ .......... ~-~ ~ insured Mail ~ C.O.D. 4. Restrict~ Deliver? (~tm Fee) ~ Yes 2. AAicle Number ~nsferfromse~icelabel) r 7002 3150 0004 9985 3462 I02595-02-M-I~0 Permit No. G-10 I · Sender: Please print your name, address, and ZIP+4 in this box ° Bakersfield Fire Departme~ Prevention Services ~ 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 Returr~Reclept Fee (Endo~m~,nt Required) Hem I-1 Restrlcted"Delivery Fee u3 (Endomeme~t Required) Total Postage & Fees $ Certified Mail Provides: (e~e.e~) =oo~ eun~'oog~.-o, sd · A mailing receipt · A unique Identifier for your mailpiece · 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 inte ~mational mall. · NO INSURANCE COVERAGE IS PROVIDED ,'.with Certified Mail. For valuables, please consider Insured or Registered t~lail. ~ · For an additiona, fee, a Return Receipt ma), be requested to provid, e proof of del very. To obtmn Retum Receipt serwce, please complete ano-attacn a ~etum Race pt (PS Form 3811) to the article and add applicable post~ge to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive ~ fee waiver for a duplic~, te return recolpt, a USPSe postmark on your Certified'Mail receipt is requlreo. · For an a.,d. d tional fee. delivery may be restricted to the addressee or addressee s authorized a.g~n.t,. Advise the clerk or mark the mailpiece with the enoorssment "Restricteouelivery". · f a postmark on the Certified Ma race pt s desired please pre_sent.the..artl:;, c e at the post office for postmarking. If a postmarK on the uertiTieo Mail receipt is not needed,' detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. July 8, 2003 CERTIFIED MAIL FiRE CHIEF La Barata Meat Market ~.o~, :-~,,.~z~ 430 E. California Avenue ADMINISTRATIVE SERVICES Bakersfield, CA 93304 2101 "H" Street Bakersfield, CA 93301 vO,OE,66,, 3 6-3,4, REMINDER NOTICE FAX (661) 395-1349 SUPPRESSION SERVICES Re: Deadline for Dispenser Pan Requirements December 31 2003 2101 ~H" Street , Bakerslield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 Dear Underground Storage Tank Owner/Operator: PREVENTION SERVICES A review of our files indicate that you have been receiving quarterly reminders 1715 Chester Ave. Bakersfield, CA~ 93301 from April of 2002 to December 2002. Our files further show that since January VOICE (661) 326-3951 FAi~ (661) 32~-0576 of this year you have been receiving monthly reminders. ENVIR~JNMENTAL SERVICES The purpose of this letter is to remind you of the necessary retrofit of your fueling ~715 Chester Ave. Bakersfield, CA 93301 system. Current code requires that you install under dispenser containment pans VOICE (661) 326-3979 FAX (661) 326-0576 prior tO December 31, 2003. You will not be allowed to pump fuel after December 31, 2003 unless you have completed the upgrade requirements. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit VOICE (661) 399-4697 your facility as soon as possible. FAX (661) 399-5763 Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely, Ralph Huey Director of Prev/e'htion Services By: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU:db June 5, 2003 La B~ata Meat Market 430 East California Avenue Bakersfield CA 93304 REMINDER NOTICE F~RS C~EF RE: Deadline for Dispenser Pan Requirements December 31, 2003 RON FRAZE ADMINISTRATIVE SERVICES Dear 'Tank Owner: 2101 "H' Street unaergrouna :)[orage Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 A review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can SUPPRESSION SERVICES 2101 "H' Street expect them monthly. Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser PREVENTION SERVICES pans prior to December 31, 2003. You will not be allowed to remain FIRE SAFETY SERVICES · ENV3RONMENTAL SERYICES 1715 ChesterAvo., open after December 31 2003 unless you have completed the upgrade Bakersfield, CA 93301 ' vOiCE (661)326-3979 requirement. Contractors are already scheduling work 6-8 weeks out. FAX (661) 326-0576 I urge you to start planning to retrofit your facility as soon as possible. PUBLIC EDUCATION 1715 Chester Ave. --' -.,'qincerelv, Bakersfield, CA 93301 FAX (661) 326-0576 -- FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 Steve Underwood FAX (661)326-0576 Fire Inspector/Environmental Services TRAINING DIVISION Office of Environmental Services 5642 Victor Ave. Bakersfield, CA 93308 vOiCE (661) 399-4697 FAX (661) 399-5763 SB U/rs Policy Number: 95-60268-82-40 Date Entered: 5/15/2003 ACORD., CERTIFIC i E OF LIABILITY INSUR 'i CE I DATE," DD ,5/15/ .003 PRODUCER District 41 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Amer Mohamed Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4643 Planz Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Bakersfield, CA 93309 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (661) 836-3000 95-41 321 INSURERS AFFORDING COVERAGE NAIC # INSURED Kamalpreet Sidhu & Iqbal Singh iNSURERA:Farmers Insurance Exchange INSURER B: La Barata Mini Mart INSURER C: 430 E California Ave INSURERD: iBakersfield, CA 93305 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L I POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE[ POLICY NUMBER DATE (MM/OD.~'Yt DATE CMM/DD/YYt LIMITS GENERAL LIABILITY EACH OCCURRENCE I $ 1, 000,000 ~, . -~'C~--~-ClALGENERAL LIABiLiTY-~ 95 - 602-68--82-40 ' --5/15/2003 5/15/2002 - PREMIsEsDAMAGETO RENTED(Ea occurence)"-' $ I CLAIMS MADE L~J OCCUR MED EXP (Any one person) $ ' 5 0 0 0 PERSONAL&ADVINJURY $ 1, 000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000, 000 { POLICY ~ PRO' ~--~LOCJ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) SCHEDULED AUTOS ~.~ ~ ~ (~/~ (Per person) $ : NON-OWNED AUTOS (Per accident) $ GARAGE LIABILITY ANYAUTO OTHER THAN EAACC $ ..... AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE IOCCUR [] CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ EMPLOYERS' I;~ABI~ITY ................. ~ - -- -' --- i ANY PROPRIETOPJPARTNER/EXECUTIVE E.L EACH ACCIDENT $ i OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, descdbe under : SPEC AL PROV SlONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIMTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTA~VES. AUTHORIZED REPRESENTATIVE r,~onameu ACORD 25 (2001,08) © ACORDCORPORAtlON 1988 (0 ~ CITY OF BAKERSFIE~ '~'FFICE OF ENVIRONMENTA~SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY Page ~ of tYPE OF ACTION ['"] I. NEW SITE PERMIT [] $. RENEWAL PERMIT [] 5. CHANGE OF INFORMATION (Specrly cl)ange. [] '7. PERMANENTLY CLOSED SITE (ChecX one fram only) [] 4. AMENDED PERMIT local use only). [] 8. TANK REMOVED 400. [-~ 6. TEMPORARY SITE CLOSURE I. FACILITY / SITE INFORMATION NEAREST CROSS STREET 401. FACILITY OWNER TYPE [] 4. LOCAL AGENCY/DISTRICT' [] 1. CORPORATION [] 5. COUNTY AGENCY* [] 2. INDIVIDUAL [] 6. STATE AGENCY** BUSINESS [] 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL [] 3. PARTNERSHIP [] ?. FEDERAL AGENCY* 402. TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER 403. TOTAL NUMBER OF TANKS Is facility o~ tndi~ R. es~afi~ o~ 'ff ow'ne~' of UST a pu~(ic agency: name of supem~or of REMAINING AT SITE ttustlands? division, section ot' office whic~ opes'ares the UST. (This is the ¢ontac~ person fro' the tank records.) [] y~, [] ~ ,~. 4oe. II. PROPERTY OWNER INFORMATION ... ' ' '.. · PROPERTY OWNER NAME 407. PHONE 408. MAILING OR STREET ADDRESS 409. CITY 410. STATE 411. ZIP CODE 412. PROPERTY OWNER TYPE [] 2. INDIVIDUAL [] 4. LOCAL AGENCYIDISTRtCT [] 6. STATE AGENCY 413. [] 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY III. TANK OWNER INFORMATION TANK OWNER NAME 414. { PHONE 415. I MAILING OR STREET ADDRESS 416. CITY 417. J STATE 418. ZIPCODE 419. I TANK OWNER TYPE [] 2. INDIVIDUAL [] 4, LOCAL AGENCY/DISTRICT [] $. STATE AGENCY 420. [] 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAJ..AGENCY IV. BOARD OF EQUALIZATION U$I~TORAGE FEE ACCOUNT NUMBER -'"i' '" · · ' PEmoCEuM US, FI"^.ClAL.EsPo"si I n ?.!!'i:''.: . - INDICATE METHO0(S) [] 1. SELF-INSURED [] 4. SURETYBOND [] ?. STATEFUND [] 10. LOCALGOV*'r MECHANISM [] 2. GUARANTEE [] 5. LETTER OF CREDIT [] 8. STATE FUND & CFO LETrER [] 99. OTHER: J'"] 3. INSURANCE [] 0. EXEMPTION [] 9. STATE FUND & CD 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS C_,hec~ o~e box to ~ndicate whictt ad, cass sh~ul~l be used for legal notifications and mailing. [] 1. FACILITY [] 2. PROPERTY OWNER [] 3. TANK OWNER 423. Legal notifications and mailings will be sent to the tank owner unless box 1 o~ 2 is cttec~ed. VII. APPLICANT SIGNATURE Certification: I certify thai the informaUon provided hm'etn is true and accurate to the best of my knowledge. SIGNATURE OF APPLICANT- DATE 424. C~~_PHONE/) 425. NAME OF APPLICANT (pr/BO 426. TITLE OF APPLICANT 427. STATE UST FACILITY NUMBER (Forlocal use only) 428. 1998 UPGRADE CERTIFICATE NUMBER (Forlocal usa only) 429. UPCF (7/99) S:\CU PAFORMS~swrcb-a.wpd Crl~ OF BAKERSFIELD -- ,~ OFFI~B O~ ENVIRONMENTAl. SERVI~i~ ~NUFACTURER~ 2. ~U~EWAL~ ~. U~ ~ 2. ~U~EW~L ~. OTHER ~ ~FA~RER ~1 ~UFAC~RER CORRO~N : REgTR~T~ ~ OF O~TOR (p~t) 471 T~ OF O~E~TOR 472 J UPCF (7/99) S :\CU PAFORM~t~INRC.,~'B.VVPD . ~ CITY OF BAKERSFIELD ~ .~, ~ (~FICE O F E N V I RONMENT ,d~S E R V lC ES 1715 Cliester Ave., Bakersfield, CA 93J01 (661) 326-3979 UNDERGROUND STOOGE TANKS- TANK PAGE IL TAM(~ (~~~ ~) 0~ ~~ 0 ]. ~_ 0 · 0 2. ~~ O,e ~~ 0 ~. ~ 0~. o~ 0~. u~ 0 (. ~~v~T 0~. ~ (~M~ 0 · ~~ 0 4. ~~~ 0 · ~An~~ 0~. O~ ~s.~ Ch~k ~l ~f ~) 0 1. ~ ~~ 0 1. ~ __ 0 3. FI~ ~M ~ OFF V~ / Oz ~ OZ~OAT__ 04.~ V. T~.~ ~F~ I ..... OPCF (7~) S:~CUP~ORM~~'~0 OFIqCE Ol~ ENVIRONMENTAL SERVI ~ ' 1715 Cheelef Av~.. kker~fleld, CA ~1 (~j ~79 ~NUFACTURER~ 2. ~U~EWALL ~. U~ ~ 2. ~U~EWALL ~. OTHER ~ ~FA~flER ~1 ~UFAC~RER :~TER~S~ ~ 2. STA~ ~ ~ ?. ~V~~ ~ Z ~A~LE~STEEL ~ ?. ~V~ : CORROS~N ~E~UR~D ~ (~ M ~ ~ ~R~ ~ (~ M ~t ~ ~ ~ ~ ~YO2~ TEST(0.1C~H) r"1 & TRIENNIN. INTEGRITY lZST (0.1 ~ [] ?. SEU: ~ONn'Om~O ~ z. Sa.F MONm:)~Ne C..4~vITY R. OW: GRAVITY R. Ow (c~ M M N)My~' C] 9. mENNW.~cC,~TE.IT(0.1 (~=H) I-I & DAI. YVtSU~MONn*OI~K~ I--I ~ EENNW.~T'cST(O.1G4~) Z ,~~ CITY OF BAKER.SFIELD qJ'ICE OF ENViRONMENT,a~SERVICES '~' 1715 C'h"'ester Ave., Bakersfield, CA 9331) 1 (661) 326-3979 · UNOERGROUNO STORAGE TANKS- TANK CITY OF ~AKERSFIELD -- Ol~ ENVIRONMENTAL SERVICE3 STEEL ~ ~. ~V~ ~ ~A~ ~ ~s 0 ,. ~ (~) ~ ~. o~ PCF (7/99) S:~CUPAFORMS~RWRC~-B.WPO EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at ail times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before nmking the ¢lmnge, Required by Sections 2632(d) and 2641(h) CCR. Facility Address 1. /gan unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up fi.om the secondary eomainment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: ~EN MONITORING PI~EDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monimrmf ~ mu~ be Irep~ ag fl~ US'/' lacarioa az all rimes. Tho infbrnmion on ,hi= monimrinf program are conditions otrbe olaf,'-! permit. T~ ixm~t homer mu~ ~ t~ C~c~ c~ ~,~omzz~ B. What methoda and equipment, identified by name and model, will be used ~or ~ the monitoring: Tank Piping C. Describe the location(s) where the monitorh~ will be performed (facility plot plan should be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the.equipm ..ent: E. Reporting Format for monitoring: Tank Piping F. Describe the preventive maintenance schedule for the monkoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenance schedule but not less than every 12 months. Describe the training necessary for the operation of UST system, including pipins, and the monitoring equipment: May 7, 2003 La Barata Meat Market 430 East California Ave Bakersfield CA 93304 F!RE CHIEF REMINDER NOTICE ADMINISTRATIVE SERVICES 2101 "H' Street Bakerstield, CA 93301 VOICE (661) 326-3941 RE: Deadline for Dispenser Pan Requirements December 3 l, 2003 FAX (661) 395-1349 SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 A Review of our files indicate that you have been receiving quarterly FAX (661) 395-1349 reminder notices since April of 2002. Effective January 2003, you can PREVENTION SERVICES expect them monthly. 1715 Chester Ave. Bakersfield, CA 93301 The purpose of this letter is to remind you of the necessary retrofit of VOICE (061) 326-3979 FAX (661) 3260576 your fueling system. Current code requires that you install dispenser pans prior to December 31, 2003. You will not be allowed to remain PUBLIC EDUCATION 1715 Chester Ave. open after December 31, 2003 unless you have completed the upgrade Bakersfield, CA 93301 requirement. Contractors are already scheduling work 6-8 weeks out. VOICE (661) 326-3696 FAX (661) 326-0576 I urge you to start planning to retrofit your facility as soon as possible. FIRE INVESTIGATION Sincerely, 1715 Chester Ave. VOICE (661) 326-3951 FAX (661) 326-0576 / TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Steve Underwood VOICE (661) 399-4697 FAX (661)399-5703 Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc CORRECTION NOTICE 039~9 BAKERSFIELD FIRE DEPARTMENT Location N.me . f-,o... ~ 0..,-~.... ~+ You are hereby required to make the fo/Joying corrccEons at the above ]ocatJon: Completion Date for Corrections Date ~' "7' ~)~ Inspe~or ~ 326-3951 CORRECTION NOTICE 03~/~.9 BAKERSFIELD FIRE DEPARTMENT Location Name ~ You ~e hereby required to m~e co~ecdons at the above location: CDc No. Completion Date for Corrections ~-~' Date ~"' '7' Inspector FD 1950 Apfill0,2003 La Barata Meat Market 430 East California Ave Bakersfield CA 93304 FI.E C.,EF REMINDER NOTICE RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street 8akers,e~d, c^ 93301 RE: Deadline for Dispenser Pan Requirements December 31, 2003 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Underground Storage Tank Owner: SUPPRESSION SERVICES 2101 "H' Street Bakersfield. CA 93301 A Review of our files indicate that you have been receiving quarterly VOICE (661)326-3941 reminder notices since April of 2002. Effective January 2003, you can FAX (661) 395-1340 expect them monthly. PREVENTION SERVICES FIRE SAFETY SERYICES. ENIfiRONII~ITAL SER~CES 1715 ChosterAve. The purpose of this letter is to remind you of the necessary retrofit of Bakersfield, CA 93301 your fueling system. Current code requires that you install dispenser VOICE (661) 326-3979 FAX (661)320-0576 pans prior to December 31, 2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade PUBLIC EDUCATION 1715 ChesterAv~. ,. requirement. Contractors are already scheduling work 6-8 weeks out. Bakersfield, CA 93301 I urge you to start planning to retrofit your facility as soon as possible. VOICE (661) 326-3696 FAX (661) 326-O576 FIRE INVESTIGATION Sincerel~ 1715 Chester Ave. Bakersfield, CA 93301 ' · VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION Steve Underwood 5642 Victor Ave. Bakers.o~*, C^ 930O0 Fire Inspector/Environmental Code Enforcement Officer VOICE (661) 399-4697 FAX (661) 399-5763 Office of Environmental Services SBU/dc I' March 5, 2003 La Barata Meat Market 430 East California Ave Bakersfield CA 93304 FIRE CHIEF RON FRAZE REMINDER NOTICE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 RE: Deadline for Dispenser Pan Requirements December 31, 2003 SUPPRESSION SERVICES 2101 "H" Street Dear Underground Storage Tank Owner: Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 A Review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can PREVENTION SERVICES FIR£SAFETYSERWC£$.EN~RONMENT~LSER1/1C£. expect them monthly. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 The purpose of this letter is to remind you of the necessary retrofit of FAX (661) 326-0576 your fueling system. Current code requires that you install dispenser PUaUC EOUCATION pans prior to December 31, 2003. You will not be allowed to remain 1715ChestorAvb. open after December 31, 2003 unless you have completed the upgrade Bakersfield, CA 93301 VOICE (661)326-3696 requirement. Contractors are already scheduling work 6-8 weeks out. FAX (661) 326-0576 I urge you to start planning to retrofit your facility as soon as possible. FIRE INVESTIGATION 1715 Chester Ave. Sincerely, Bakorsflold, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ~ ~ TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 Steve Underwood FAX (661) 399-5763 Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc February 3, 2003 La Barata Meat Market 430 E California Ave F,.E C.,EF Bakersfield CA 93304 RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street ' Bakersfield, CA 93301 REMINDER N OTI CE VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES RE: Deadline for Dispenser Pan Requirements December 31, 2003 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Tank Owner: FAX (661)395-1349 unucrsrounu otora~e PREVENTION SERVICES A Review of our files indicate that you have been receiving quarterly FIRE SAFETY SERVICES, ENVtRONMEHT.,M. SERVICES 1715 ChesterAve. reminder notices since April of 2002. Effective January*2003, you can Bakersfield, CA 93301 VOICE (661) 326-3979 expect them monthly. FAX (661)326-0576 The purpose of this letter is to remind you of the necessary retrofit of PUBLIC EDUCATION 1715 ChesterAv& " your fueling system. Current code requires that you install dispenser Bakersfield. CA 93301 VOICE (661) 326-3696 pans prior to December 31, 2003. You will not be allowed to remain FAX (661) 326-0576 open after December 31, 2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I FIRE INVESTIGATION 1715 Chester Ave. urge you to start planning to retrofit your facility as soon as possible. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Sincerely, 5642 Victor Ave. ' / Bakersfield, CA 9.3.308 VOICE (661) 399-4697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc January 22, 2003 La' Barata Meat Market FIRE CHIEF aoN ~a~ZE 430 E. California Ave Bakersfield CA 93304 ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 [~; Upgrade Certificate & Fill Tags VOICE (661) 326-3941 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 ill] tag on your fill. PREVENTION SERVICES FI~E SAFET~ SERI,'ICES · EH~tlRON~EI~N. SER~ICES 1715 ChesterAve. You may, if you wish, have them posted or remove them. Fuel Bakersfield, 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 ChostorAv'o. Should you have any questions, please feel free to call me at 661- Bakersfield, CA 93301 326-3 1 90. VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION Steve Underwood 5642 Victor Ave. Bakorsflold, CA 93308 Fire Inspector/Environmental Code Enforcement Officer VOICE (661) 399-4697 FAX (661)399-5763 Office of Environmental Services SBU/dc D January 13, 2003 La Barata Meat Market 430 E California Ave Bakersfield CA 93304 FIRE CHIEF RON FRAZE RE: Deadline for Dispenser Pan Requirements December 31, 2003 ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 F^x REMINDER NOTICE SUPPRESSION SERVICES 2101 'H' Street Bakers,eld. CA ~01 Dear Underground Storage Tank Owner: VOICE (661) 326-3941 FAX (661) 395-1349 ^ review of our files indicates that you have been receiving quarterly PREVENTION SERVICES reminder notices since April of 2002. FIRE SAFESt SER~CES * ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 9~301 VOICE (661) 326-3979 The purpose of this letter is to remind you of the necessary retrofit of FAX (661) 326-0575 your fueling system. Current code requires that you install dispenser PUBLIC EDUCATION pans prior to December 31, 2003. I urge you to start planning to retrofit 1715 ChestorAvi~. your facility as soon as possible. Bakorsfleld, CA 93301 VOICE (661) 326-26,96 FAX (661)326-0576 Should you have any questions, please feel free to contact me at 661- 326-3190. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 -- -.,Rincerelv, VOICE (661) 326-3951 FAX (661) 326-0576 ~ ~ TRAINING DIVISION 5642 Vlctor Ave. Bakersfield, C^ 93308 Steve Underwood VOICE (661) 399-4697 FAX (661) 399-5763 Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~a. ~r,~{-a~ ~cc-'{- IR~ INSPECTION DATE [0~ 31' 0 "~ ADDRESS /d3tq ~--'-. ~a-(t'{'O.t'~4{d- PHONENO. ~"{'7~O FACILITY CONTACT BUSINESS IDNO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES ~ Section 1: Business Plan and Inventory Program [~ Routine [~fi Combined [~ Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand L J Business plan contact information accurate ~ J Visible address L / Correct occupancy I ~ Verification of inventory materials Verification of quantities ~ / Verification of location Proper segregation of material ~ ~i Verification of MSDS availability '-' / Verification of Haz Mat training "'~ Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping ~" 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 '~usi~ess Site I~. spo'-~si,ble Party White - Env. Svcs. Yellow - Station Copy Pi.k - n.sm~ Cory Inspector: c.~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME [x_a g_a_~L~ [~¢_a~- /[1~'qt' INSPECTION DATE /0' Section 2: Underground Storage Tanks Program [] Routine ~ Combined i~l Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ._q¢l) 1'-~-~--% Number of Tanks Type of Monitoring fie ~'FC-~ Type of Piping 2403 OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current --...- Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance )/=Violation Y=Yes N=NO Inspector: ~. _ . ,g. _ Office of Environmental Services (805) 326-3979 Bu~ness S~te Responsible Party White - Ear. Svcs. Pink - Business Copy September 30, 2002 La Barata Meat Market 430 East California Ave Bakersfield CA 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES REMINDER NOTICE 2101 "H' Street Bakemfield, CA 93301 VOICE (661) 326-3941 FAX {661) 395-1349 Dear Underground Storage Tank Owner: SUPPRESSION SERVICES 2101 'H' Street You will be receiving updates from this office with regard to Senate Bill Bakersfield, CA 93301 VOICE (661)326-3941 989 which went into effect January 1, 2002. F^X (661) 395-1349 PREVENTION SERVICES This bill requires dispenser pans under fuel pump dispensers. On ~s,~,~,~,.;~,~.~..~,~Es December 31, 2003 which is the deadline for compliance, this office will 1715 Chester Ave. Bakersfield, CA 93301 be forced to revoke your Permit to Operate, for failure to comply with the VOICE (661) 326-3979 FAX (661) 326-0576 re§maileRs. PUSUC EDUCA'I'ION It is the hope of this office that we do not have to pursue such action, 1715 Chester Avi~. Bakersfield, CA 9,3,301 which is why this office plans to update you. I urge you to start planning VOICE (661)326-3696 FAX (661) 326-0576 to retm-fit your facilities. FIRE INVES]IGA]ION If your facility has been upgraded already, please disregard this notice. 1715 Chester Ave. ~ers,e~, CA ~01 Should you have any questions, please feel free to contact mc at 661-326- VOICE (661) 326-3951 FAX (661) 326-0576 3 190. TRAINING DIVISION Sincerely, , 5642 Victor Ave, ~ ~ Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 6630 Rosedale Hwy., # ersfield, CA 93308 Phone (661) 588- Fax (661) 588-2786 MONITORING SYSTEM CERTIFICATION t This form must be used to document testing and servicing of monitoring equipment. A~ separate c.e. rtificatior~ or report mus, t be prepared for es, ch monitoring system qontroi 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 Contact Person: 30~ tot?_ ~ E~ re ~ .~. Contact Phone No.:( makedModel of Monitoring System: ~) ] ~'IL)'FC) ?o'I-~ Id |~ Date of Testing/Servicing: ._~_/~ct B. Inventory of Equipment Tested/Certified .. Check the ap~proprlate boxes to ind!cate specific equfpment insp~ted~/se~rvlced: ,,, , , , ,, I~n.Tank Gauging Probe. Model: '-:~. ! OO I~q'n-Tank Gauging Probe. Model: 13 Annular Space or Vault Sensor. Model: D Annular Space or Vault Sensor. Model: 13 Piping Sump / Trench Sensor(s). Model: ~ Piping Sump / Trench Sensor(s). Model: 13 Fill Sump Sensor(s). Model: / El Fill Sump Sensor(s). Model: 13 Mechanical Line Leak Detector. Model: [! Mechanical Line Leak Detector. Model: [i~Electronic Line Leak Detector. Model: [i}~ectronic Line Leak Detector. Model: 121 Tank Overfill / High-Level Sensor. Model: r'l Tank Overfill / High-Level Sensor. Model: D Other (specify equipment type_ and model in Seg.tion E on Palle 2).. D Other (specify equipment type and model in Sect!,on E on Page 2). Tank ID: . P~ ~ a t ~ghfk Tank ID: [~'q'n-Tank Gauging Probe. Model: ~ ~_()C) 121 In-Tank Gauging Probe. Model: 13 Annular Space or Vault Sensor. Model: ... IZi Annular Space or Vault Sensor. Model: ~ Piping Sump / Trench Sensor(s). Model: I-1 Piping Sump / Trench Sensor(s). Model: [J Fill Sump Sensor(s). Model: 121 Fill Sump Sensor(s). Model: D Mechanical Line Leak Detector. Model: CI Mechanical Line Leak Detector. Model: ~'l~lectronic Line Leak Detector. Model: 121 Electronic Line Leak Detector. Model: D Tank Overfill / High-Level Sensor. Model: 121 Tank Overfill / High-Level Sensor. Model: 121 Other (specify equipment type and model in Section E on Page 2). 13 Other (sp, ecify eq,uipmen_t typ, e and m_odei in'Section ,E on Pag_e.2). El Dispenser Containment Ser~sor(s). Model: 121 Dispenser Containment Sensor(s). Model: [il~rhear Valve(s). 12~S'hear Valve(s). 13 D..ispenser Containment Float(s) and Chain(s). , , [] Dispenser Containment Float(s) an.d Chai,n(s). Dispenser ID: Dispenser ID: 13 Dispenser Containment Sensor(s). Model: /'-' 121 Dispenser Containment Sensor(s). Model: 13 Shear Valve(s). ~ [l Shear Valve(s). El Dispenser Containment Float(s) and Chain(s). , ,. [] Dispenser Containment Float(s) and Chain(s~. Dispenser ID: Dispenser ID: 13 Dispenser Containment Sensor(s). Model: I-I Dispenser Containment Sensor(s). Model: Ci Shear Valve(s). D Shear Valve(s). DD/spenser Containment Float(s) and Chain(s)! 13 Dispenser 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. Certification - I e~rttty 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 equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): ~ Sys~p{~ El_Alarm history report Technician Name (print): . ~ }[~'~ [_ CJ fxi~l [. [..C) Signature:~' C~"'k~t_3,_~ k~_ __ certification No.: O ~ ~ I O License. No.: S"~ ,~.t~ Si,e^ddress: 66 B t-E B, DateofTest g/Set¥ic g: (:3 Page I of 3 03/01 Monitoring System Certification O; Results of Testing/Servicing Software Version Installed: Co, mp, lete the followi,ng checklist: ,, [il~?~'s [] No* 'Is the auch'ble hi'~rmoperational?'" .... C~"Yes El No* Is the visual alarm operational? /2 Yes El No* Were all sensors visually inspected, functionally tested, and c°~ff'wrned operational? ~ j/~ ~1 Yes ra No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? tqj (t /2 Yes · /2 No* If alarms are relayed to a remote monitoring station, is all eommuuicafions' equipment ie.g. mOdem) ~ N/A operational? Cites al 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) /2 Sumpfrreneh Sensors; /2 Dispenser Containment Sensors. Did you confmn positive shut-down due to leaks and sensor failureddiseomaeetion? glcY. es~ El No. 5F~es El No* For tank systems that utilize the monitoring system as the primary tank overfill warning d~viee (i.e. no El N/A mechanical overfill prevention valve is installed), is the overfill warning alarm vis,lc and audible at the tank fill point(s) and operating properly? Ifs..o., at what percent of tank .capacity does the a!arm trigger? q ~. % El Yes* I~1 No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment ~piaced and list the manufacturer nam? and model for all replacement parts in Seetig.n' E~ below. El Yes* iitl No Was liquid found inside any secondary containment systems designed as dry systems? (Check aII that apply) El Product; El Water. Ifyes~ desen'be causes in Section E~ below. Ye; El No* Was monitoring system set-up reviewed to ensure proper settings? Attach set Up reports, if applicable /2 No* Is a.ll .monitoring e.qm.'Pment.operational.per manufacturer's sp??ifieations? · In Section E below, descrlbe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03/01 F. la-Tank Gauging / SIR Equip~t: O Check this box if tank is used only for inven ~ O Check this box if no tank gauging or SIR equipment is This section must be'completed if in-tank gauging equipment is used to perform leak detection monitoring. dete the followi~ _ checklist: . ~ .,. . ... I~V~}S'' ~1 N~* Has all input'wiring been inspected for proper entry and termination, inCiuding testi~ for ground faults? " [i}/~es [2 No* Were all tank gauging probes visually inspected f~r d'amage and residue 'buildup? -- [~Yes 021 No* was accuracy of system product level readings tested? I~Yes ~ No* Was accuracY of system Water'level readi~'gs' tested?' [~l/~'es ~ No*' Were all probes reinstalled.properly? ' ' - ~l~yes ~2 No* Were all items on the equipment manUfacturer's mainte~ance"checl~iist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Cl Check this box if LLDs are not installed. Corn )lete the following eheeldist: "[~r-es' ~'l~ ~qo* F~"equipmen't ~art-up {~"a~nual equipment ee~ifie~fi°n'' was a leak simulaied to verify LLD performance? 0 N/A (Check all that apply) $irnulated leak rate: 5]'3g.p.h.; ~0.1g.p.h; O0.2g.p.h. Iii/Yes O No'* Were all LLDs confirmed operational and accurate within mgulat0ry requirements? {~e~s- ~ No* Was the testins'apparatus properly cah'brate'd? ..... ~1 Yes ~ No* For mechanical LLDs, does the LLD restrict product fieTM if'it detects a leak? ' .... I~l~?~s ~ No* For electronic LLDs, does the turbine 'automatically shut offffthe LLD detects a leak7 " [l~iTes [2 No* For elegtronic' nLDs,'dJes 'the turbine ~utomatically shut off if any portion of the monitoring systsm is disabled [2 N/A or disconnected? I~i'~i~es ~1 iqo* :"For elec~oni~ LLDs, does the turbine automatically shut off if any portion of the monitoring ~ystem ~! N/A malfimctions or faas a test? ~'Y'es ~ No* For electronic LLDs, have all access~le wiring connections been visually inspected? 5~es ~ No* Were all items.on the equipment manufacturer's maintenan'ce checkiist completed? .... ~ In the Section lq[, below, describe how and when ~hese deficiendes were ur will be eurree~ed. H. Comments: Page 3 of 3 03/0~ Monitoring System Certification UST Monitoring Site Plan ...... ............. . ...... o ...... ..... =============================~ Date map was drawn: ~_~ /.~i_/0~. 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 in2tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page __ of__ 0s/00 I AUG--~O--02 FR I 1 I ; 45 FROM B . S . S . R . I NC . P . 0 1 .. CITY OF BAKERSFIELD '{' ' OFFICE OF ENVIRONMENTAL SERVICES ,' 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION OPERATORS NAME.~._ .)~ f~ ((.'ff ow~s N^M~ ,_%_~:_.rsae~- ~,o~,:,~c~m,~wo~s~,,~s~ ?ASS? ~s~... ~'0__~_ TANK # VOLIYM]/ CONTENTS APPROVED BY - DATE SIGNATURE OF APPLICA1Kr DAugust 30, 2002 La Barata Meat Market 430 E. California Avenue Bakersfield, CA 93304 ~E: Deadline for Dispenser Pan Requirement December 31, 2003 ~i~E C.~EF REMINDER NOTICE RON FRAZE ADMINISTRATIVE SERVICES Dear Underground Storage Tank Owner: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 You will be receiving updates from this offices with regard to Senate FAX (661) 395-1349 Bill 989 which went into effect January 1, 2002. SUPPRESSION SERVICES 2101 "H" Street This bill requires dispenser pans under fuel pump dispensers. On Bakersfield, CA 93301 VOICE (661)326-3941 December 31, 2003 which is the deadline for compliance, this office FAX (661) 395-1349 will be forced to revoke your Permit to Operate, for failure to comply PREVENTION SERVICES with the regulations. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 It is the hope of this office that we do not have to pursue such action, FAX (661) 326-0576 which is why this office plans to update you. I urge you to start EnV, RONMENTAL SERVICES planning to retro-fit your facilities. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 If your facility has been upgraded already, please disregard this notice. FAX (661) 326-0576 Should you have any questions, please fee] free to contact me at (56 1- TRAINING DIVISION 326-3190. 5642 Victor Ave. Bakersfield, CA 93308 vO,CE (661) 399-4897 Since~ly,/~,_. F~.~~ FAX (661) 399-5763 Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr D July 31, 2002 La Barata Meat Market 430 E. California Ave Bakersfield CA 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES ,o1 '.'S,ree, REMINDER NOTICE Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 You will be receiving updates from this office with regard to Senate FAX (661) 395-1349 Bill 989 which went into effect January I, 2002. PREVENTION SERVICES F,.~s,~m's..v,cE..E...o.,~.~.s,'~E. This bill requires dispenser pans under fuel pump dispensers. On 1715 Cheater Ave. Bakerstleld, CA 93301 December 31, 2003, which is the deadline for compliance, this office VOICE (661)326-3979 FAX (661) 326-0576 will be forced to revoke your Permit to Operate, for failure to comply with the regulations. PUBLIC EDUCATION 1715 Chester Ave. Sakers~e~u, c^ ~33m It is the hope of this office that we do not have to purse such action, VOICE (661) 326-3696 FAX (661)326-0576 which is why this office plans to update you. ! urge you to start planning to retro-fit your facilities. FIRE INVESTIGATION 1715 Chester Ave, Bakersfield, CA 93301 If your facility has been upgraded already, please disregard this notice. VOICE (661) 326-3951 FAX (661) 326~O576 Should you have any questions, please feel free to contact me at 661- 326-3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sin~ ~ VOICE (661) 3994697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc D July 1, 2002 La Berate Meat Market 430 E. California Avenue Bakersfield, CA, 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 430 E. California Avenue, Bakersfield. FIRE CHIEF REMINDER NOTICE ADMINISTRATIVE SERVICES 2101 'H' Street Dear Underground Storage Tank Owner, Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 This bill requires dispenser pans under fuel pump dispensers. On December VOICE (661) 326-3941 fAX (661)395-1349 3 l, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 It is the hope of this office, that we do not have to pursue such action, which VOICE (661) 326-3951 FAX (661) 326-0576 is why this office plans to update you. I urge you to start planning to retro-fit your facilities. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3979 If your facility has been upgraded already, please disregard this notice. FAX (661)326-0576 Should you have any questions, please feel free to contact me at (661)326- 3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 ~C~re]" ~ ~ VOICE (661) 399-4697 Sin FAX (661) 399-5763 [ ~1~,.~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services B D May 30, 2002 La Barata Meat Market 430 E. California Avenue Bakersfield, CA 93304 RE: Deadline for Dispenser Pan Requirement DeCember 31, 2003 on Underground Storage Tank(s) located at 430 E. California Avenue, mE CHIEF Bakersfield. RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Dear Tank Owner: Bake~,e~a. C^ 933O1 unaergrouna ~[orage VOICE (661) 326-3941 FAX (661 ) 395-1349 You will be receiving updates from this office with regard to Senate Bill 989 SUPPRESSION SERVICES which went into effect January 1, 2000. 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 This bill requires dispenser pans under fuel pump dispensers. On December FAX (661) 395-1349 31, 2003, which is the deadline for compliance, this office wi]] be forced to PREVENTION SERVICES revoke your Permit to Operate, for failure to comply with the regulations. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 It is the hope of this office, that we do not have to pursue such action, which FAX (661)326-0576 is why this office plans to update you. I urge you to start planning to retro-fit ENVIRONMENTAL SERVICES your facilities. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 If your facility has been upgraded already, please disregard this notice. FAX (601) 320-0576 Should you have any questions, please feel free to contact me at (661)326- TRAINING DIVISION 3190. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 c~; ~ ~1,, FAX (661) 399-5763 ,,,n,~r~, , Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr B D April 12, 2002 LA BARATA MEAT MARKET 430 E. CALIFORNIA AVE. BAKERSFIELD, CA 93304 Re: Enhanced Leak Detection Requirements REMINDER NOTICE FIRE CHIEF RO~ FR~E Dear Owner/Operator, ADMINISTRATIVE SERVICES 2101 "lq" Street The purpose of this letter is to remind you about the new provision in California Bakersfield, CA 93301 law requiring periodic testing of the secondary containment of underground VOICE (661) 326-3941 FAX (661) 395-1349 storage tanks. SUPPRESSION SERVICES 2101 "H" Street Your £aci]ity has been identified as not having secondary containment on at least Bakemfield. CA 93301 one of your underground storage tank components and as such falls under section VOICE (661) 326-3941 FAX (661)395-1349 2637.(1) of the California Code of Regulations, Title 23, Division 3, Chapter 16; PREVENTION SERVICES 1715 Chester Ave. AS an alternative, the owner or operator may submit a proposal and Bakersfield, CA 93301 workplan for enhanced leak detection to the local agency, by July 1, 2002; VOICE (661) 326-3951 FAX (661)326-0576 complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be ENVIRONMENTAL SERVICES 1715 Chester Ave. tested in accordance with this section by July 1, 2005. The local agency Bakersfield, CA 93301 VOICE (661)326-3979 shall review the proposed program of enhanced leak detection within 45 FAX (661) 326-0576 days of submittal or re-submittal." TRAINING DIVISION 5642 Victor Ave. Please be advised that there are only a few qualified testers available to perform Bakersfield, CA 93308 VOICE (661) 399-4697 "Enhanced Leak Testing". All testing must be under-permit through this office. FAX (661) 399-5763 For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel fi'ee to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services Ste Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU/kr Enclosures MONITORING SYSTEM CERTIFICATION ~ -';" For~ By all Jurisdictions Within the State of Cat. Flu · \At~thority Cited.· Chapter 6. 7. HeaTt~and Safety Code; Chapter 16, Division 3, Tit~, Cal~o~wia Code of Regulations This fo~ must be used to document testing and se~icing of monitoring equipment. A separate ce~ification or report must be prepared lbr each monitoring system consol panel by the tec~ician who perfom the work. A copy of this fo~ must be provided to ~e ta~ system ox~er/operator. The o~q~er/operator nmst sub~t a copy of this fo~ to the Iocal agency regulating UST syste~ ~n 30 days of test date. A. General Information Facili~Name: ~ ~ C~ ~ ~k~ Bldg. No.: Facility Con;act Person: ~~ ~¢y ~ Coatact Phone No.: (b6 1 ) ~g~ /77~ Make,oriel of Monitoring System: ~ ~oTo ~ ~ Date of Testing/So,icing: ~ / 7 /~ B. Inventory of Equipment Tested/Certified Cheek the appropriate b~xes tp indicate specific equipment inspecte~serviccd: ~ In-Tank Gauging Probe. Model: ~ In-Tank Gauging Probe. Model: D Annular Space or Vault Sensor. Model: D Annular Space or Vault Sensor. Model: ~ Piping Sump / Trench Sensor(s). Model: ~ Piping Sump / Trench Sensor(s). Model: ~ Fill Sump Sensor(s).. Model: ~ Fill Sump Sensor(s). Model: D Mechanical Line Leak Detector. Model: ~ Mechanical Line Leak Detector. Model: D Electronic Line Leak Detector. Model: ~ Electronic Line Leak Detector. Model: D Tank Overfill/'High-Level Sensor. Model: ~ Tank OverfilI/ High-Level Sensor. Model: ~ Other (specify equipment t~e and model in Section E on Page 2). ~ Other (specify equipment t~e and model in Section E on Page 2). Tank ID: ~ ~ ~ ~ [~ ~/~ ~ Tank ID: D In-%nk Gauging Probe. Model: ~ In-Tank Gauging Probe. Model: ~ AnnUlar Space or Vault Sensor. Model: ~ Annular Space or Vault Sensor. Model: D Piping Sump / Trench Sensor(s). Model: D Piping Sump / Trench Sensor(s). Model: O. Fill Sump Sensor(s). Model: ~ Fill Sump Sensor(s).. Model: D Mechanical Line Leak Detector. Model: ~ Mechanical Line Leak Dete~or. Model: D Electronic Line Leak Detector. Model: D Electronic Line Leak Detector. Model: D Tank Overfill / High-Level Sensor. Model: ~ Tank Overfill / High-Level Sensor. Model: D Other (specify e~uipmen/t~e and model in S~[~on E on Page 2). ~ Other {specify equipment t~e and model in Section E on Pa$a 2). . ~ Dispenser Containment Sensor(s). Model: ~)~ ~ Dispenser Containment Sensor(s). Model: ~~ ~hear Valve(s). ~ ~a ~o~ ~Shear Valve(s). ~D ~ W~ t~ ~ ~ ~ Dis~pser Containment FIoat{s) and Chain(s~. · D Dispenser Containment Float{s) and Chain(~). Dispenser ID: Dispenser ID: ~ Dispenser Containment Sensor(s). Model: ~ Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). ~ Shear Valve(s). D Disp¢?er Containment Float,s) and Chain{s). ~ Dispenser Containmefit Float{s) and Chain{s~. Dispenser ID: Dispenser ID: ~ Dispenser Containment Sensor(s). Model: ~ Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). ~ Shear Valve(s). ~ Dispenser Containment' Floatqs~ a~d Chaln{s~. ~ Dispenser Containment Float{s} and Chain,s). · If thc facility contains more tanks or dispensers, copy this fo~. Include info~ation for eve~ tank and dispenser at the facility. C. Certification - I ee~ify that the equipment identified in this document was lnspectedlse~iced in accordance with the manufacturers' guidelines. Attached to this Codification ia information (e.g. manufacturers' checklists) neceaaa~ to verify that this information ia correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such repo~s, I have also Tec~ician Name (pr~O: D~ ~ t ~ ~, ~ r~~ Signature: __ Codification No.: O~ I ~ ~ License. No.: Testing Company Name: ~ ~ ~ ~ - ~r / / Phone No.:(.~) Site Address: 2OWO 5, O~tO~ _ ~~ts~e/~ ~0~7 DateofTesting/Se~icing: ~ ~ /~ Page 1 of 3 o3101 Monitoring System Certification 8'~ ~9~ 09~89 ~H u~zue~ ~g~:gO ~0 9~ ~eM D. Results of Testing/Servicing SoftwareNersion Installed: "~ 7 E Complete the foll0win= checklist:, ,,., , ........ , D Yes ~[. No* Is the audibl~ als.m!, operational? D Yes ~ No* Is thc visual ala~ 9perational? ,,, ~ Yes ~ No* Were alI sensors visually inspected, functionally t~sted, and confi~ed operational? ~ Yes ~ No* Were all s~nsors installed at lowest point of seconda~ containment and positioned so t~t o~er ~quipment ~11 not interfere with their proper operation? ~D Yes D No* If ala~ are relayed to a remote monitoring station," is all co~unications equipment (e.g'.' modem) ~.N/A operational? D Yes ~xNo* For pressurized piping syste~, does the turbine aulom'atically shut do~ if the piP~g seconda~ contaiment ~ N/A monitoring system detects a leak, fails to operate, or is elec~ically disco~ected? If yes: which sensors ~tiate positive shut-do~? (Check aH that apply) ~ Stop.tenth Sensors; ~ Dispemer C°ntaiment Sensors. Did you confi~ positive shut-do~ due to leaks and sensor failure/disco~ection? ~ Yes; ~ No. ~ Yes ~ No* For la~ syste~ that ulilize the monitoring system as the prima~ ~ overfill warning device (i.e. no ~N/A mecha~cal overfill prevention valve is installed), is ~e overfill ~ming ala~ visible and audible at ~e ta~ fib point(s).and operating properly? If so, at what percent of ta~ capaci~ 4ocs the ala~ ~igger? . ~ Yes* ~ No Was any monitoring equipment replaced? Ifyes, identify specific sensors, probes, or other equipment replaced and list ~e manufac~rer name and model for all replacement pa~ in Section E, below. ~ Yes* ~. No Was liquid found inside any second~ contai~ent syste~ designed as d~ syste~? (Ch~ck'all tlzat apply) Product; ~ Water. If yes, describe causes in Section E, below. ~ Yes ~. No* Was mo~torin~ system set-up reviewed to ensure proper se~ings? A'~ach set up repo~, if applicable ~ Yes ~ N~* Is all moMtoring equipment operatioml per ~nufacmrer's specifications? · In Section E below, describe how and when these deficiencies were or will be corrected. I Page 2 of 3 03/01 S'd L9~I 09~I~89 IIIH uazuea3 d~s:£O aO Sa sen ~.? In£'Tank Gauging / SIR Equil [] Check this box if tankllllging is used only for inventory control. ' ~ 'lt~.~Check this box if no talll~auging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the followin~ checklist: ....... ~ Yes ~1 N~'* Has all input wiring been 'i~spected for proper entry and tennination, i'ncluding testing for ground, fauRs? 'i~ Yes [] No* Were all tank gauging probes visually inspected for damage and residue buildup? 1~ Yes 0 No* Was accuracy of system product level readings tested? '" lj[[ Yes []. No* Was accuracy of system water level readings tested? t~ Yes F! No* Were all probes reinstalled properly? ... ~1 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): Cl Check this box if LLDs are not installed. Comdlete the following checklist: . , .... ]g~Yes Fl No* For equipment start-up or annual equipment certification, was a ieak simulated to verify LLD performance? [] N/A (Check all that apply) Simulated leak rate: '~3 g.p.h.; El0.1 g.p.h; Fl 0.2g.p.h. '[] Yes. ~'. No* Were all LLDs co.nfirmed"~perational and accurate within regulatory requirements? ,,.qf,,Yes [] No* Was the testing apparatus properly calibrated? . .. [] Yes O No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ,. Fl Yes RI,No* l~or electronic LLDs, does the turbine automaticaiiy shut off if the LLD detects a leak? O N/A ]l~ Yes ~No* For electronic LLDs, does the turbine a'~[omaticatly shut off if any portion of the monitoring system is disable~! n N/A or disconnected.9 0 Yes ~xNo* For electronic LLDs, does the turbine autoxr~atically shut off if any portion of the monitoring system malfunctions ~ N/A or fails a test? ~i~..Yes [] No* For electronic LLDs, have all accessible ~viring connections been visually inspected? [] N/A ... ~]'_Yes [] No* Were all items ;n"'the equipment manufacturer's maintenance checklist C°mplete..d? . * In the ;ection II, below, describe how and when these deficiencies were or will be corrected. Page 3 of 3 03/I}1 OI'd L9~I 09~I~89 II~H uezueJ~ d~:~O ~0 9~ ~eN Moni.toring System Certification UST Mongoring Site Plan :::: :: ::: :i~:::::: :~: :~:1~:,4~.~::: [: ':. i'": (:: :.:::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::: ............. t,',,/~'t .........-ol>t~ f ...... 2 ' · o~o~ ~ ............ ............... ......... © ....... ¢ ............. ........... F'.~ tt ...... ~ .I ........ .......... (~. ~,,o.~. · · o~i~d. · · ~,~ ~ ............. ::::.::i:r..::: :st'-J::':::: :,~'-rp::::: .... 4s~:::::::::: ......... .~.' "'":::::: :b4:':::::::::::-'' :?..~:o:t,:e:::: :. :::: ....... ~.ld ~ .................. ......... ~ r~1)ta fT~ f" .................................... Date map ,vas 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 yoi.tr 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 splices, 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 __ os/oo ~'a ~9~ 09~89 [[~H uezuea~ ag~:sO ~0 9~ ae~ · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse SO that we can return the card to you. xC' Signature ~, I~ Attach this card to the back of the mailpiec~, or on the front if space permits. [] Addressee D, Is~very address dlfferefl~rom Item 17 [] Yes 1. /~rticle Addressed to: If YES, enter delivery address below: [] No M, ARDANO 430 lg CALIFORNIA AVE ,. , 3. Service Type BAKERSFIELD CA 93307 I~Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4, Restricted Delivery? (Extra Fee) [] Yes 2. Article Number (Copy from service label) 7000 1530 0006 3456 3324 PS Form 3811, July 1999 Domestic Return Receipt 102595.99-M.1789 · Sender: Please pnnt youi,,~an~e,'~a~l~ss, and ZIP~~,~o~ ""'~] / BA~RsFIED FIRE DEPA~NT : OFFICE OF ENV~RoN~ENTAL 1715 Chester Avenue, Suite ~0 SERVIC~ Postage $ -~4 Certified Fee ~ · 10 Postm~ Return Receipt Fee 1. ~0 Hem (Endomement Required) Restd~ Delive~ Fee (Endomement Requim~ TO~I ~ge & Fees $ 3.94 Sent ~o I 'm ~};42~'~4~ $}'~ )~'~ ........................................................... / I ~3o ~ C~xFO~ AW ' B~SFI~ CA 93307 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 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 retum 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". · If a postmark on the Cerhfied Mai'~rece~pt ~deslred, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is no~lded, detach and affix label with postage and mail. IMPORTANT: 3~this receipt and present it when making an inquiry. P~ Farm 3800. May 2000 IRavsrsal t fl~QR.itn. M.~afl~t February 20, 2002 Mardano Regna La Barate Meat Mkt 430 E. California Ave Bakersfield, CA 93307 CERTIFIED MAlL FIRE CHIEF RON FRAZE NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE ADMINISTRATIVE SERVICES 2101 UH" Street RE: Failure to SubmiffPerform Annual Maintenance on Leak Detection Bakersfield, CA 93301 System at La Barate Meat Mkt., 430 E. California Ave VOICE (661) 326-3941 FAX (661) 395-1349 Dear Mr. Regna: SUPPRESSION SERVICES 2101 ~H" Street Bakersfield. CA 93301 Our records indicate that your annual maintenance certification on your leak vOICE (661) 326-3941 detection system is past due. January 22, 2002. FAX (661) 395-1349 PREVENTION SERVICES You are currently in violation of Section 2641 (J) of the California Code of 1715 Chester Ave. Reeulations. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's ENVIRONMENTAL SERVICES instructions, including routine maintenance and service checks at least once per 1715 Chester Ave. Bakersfield, CA 93301 calendar year for operability and running condition." VOICE (661) 326-3979 FAX (661) 326-0576 You are hereby notified that you have thirty (30) days, March 22, 2002, to either TRA~NINa DIVISION perform or submit your annual certification to this office. Failure to comply will 5642 Victor Ave. result in revocation of your permit to operate your underground storage system. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661)399-5763 Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney O~[CE OF ENVIRONMENTAI~RVICE 1715 Chester Ave., Bakersfield, CA 9:]301 (661) :]26 3979 - UNDERGROUND STORAGE TANKS - TANK PAGE 1 L TANK ) ~1~ O~'IelC~ O{e ENVIRONMENTAl. ~ ~ 171~ C~r A~., ~ke~fleld, CA 93301 SYSTEM ~ 1. ~ESSURE ~ 2. $~T~N ~ 3. ~ 4~ ~ f, ~ESSURE ~NUFACTURER ~ 2. ~U~E W~L ~ ~. U~ ~ 2. ~U~E WALL ~FA~URE~ ~1 ~UFAC~RER ~TER~S~ ~ 2. STN~E~EL ~ 7, ~V~O~ ~ 2, STAI~E~STEEL ~ r. ~V~DSTEEL COR~S~N (~ ~) RE~ICT~N ~ ~~E~T~ 81GNA~RE ~I~TURE O ~ ..... ' ~ ' OATE 470 UPCF (7/9~) 8:~,CUPAFORMS~qWRClt'B.WPD I EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Sentices within 30 days of any changes to the monitoring procedures, unless required to obtain approval before makiug the change. Required by Sections 2632(d) and 2641(h) CCIL Facility Name Facility Address 1. I. fan unauthorized release occurs, how will the hazardous sub, stance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up from the secondary containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. 2. DeScribe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: WI~EN MONITORING PR(~EDURES UNDERGROUND STORAGE TANK MONITO~G PROGRAM This monitoring program nmst tm ~ at th~ UST location at ail times. Thru intbrmafion on this monilmin~ S~ within 30 da~ of ally ~ to f~ monitoms p~ ~ ~ to o~i- ~ ~ making thc change. ,Required by Sections 2632(d) and 2641(h) CCR. Facih'ty Name Facility Address A. Describe the frequency of performing the monitoring: Tank Piping B. What methods and equipment, identified by name and model, will be use~ for ~ the monitoring: Tank Piping C. Describe the location(s) where the monitoring will be performed (fncilit3t plot plan should be at~ached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipmqnt: E. Reporting Format for monitoring: Tank. Piping F. Describe the preventive maintenance schedule for the monitOring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenanee schedule but not less than every IZ months. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: "CERYIFICXTION O'F'FINANCIAL RESPONSIBILI~ [ I~*I*RI?G'~ZON8 ......... r~f~ for e~ site. 8. ~ ~ T~ ~ - Full ~ of either ~he c~k Q~r or the ~ricor. C. ~im ~ * l~J~te ~(~ State ~ ~mi~s} are bi~ m~ to ~ Ii--fit rmJbJtJ~ ~rc ~, S~cf~ 280.~ th~ 280.103 (S~ Ff~fat R~fbftf~ ~l~, for rare Jnfo~ti~), M ~ [~ ' LIst att ~ ~ ~rflses of c~ifl ~or f~ivf~ts fssuJ~ ~r~e. ~Jm ~ * List J~tJ~ ~r for eo~ ~Jm ~. ~ie: f~e ~iJW ~r ~ K - l~fcato ~t of co. rage for ~mfm Jo J~Jcog~, ~ ~f~ - I~Jcice the effK~fve dageCs) of ~td ~ c~ci~ c~tf~ ~rttci~i~ in the f~.) ~f~ ~fm - l~(~te ~ or ~. Om the ~fff~ ff~fet ~fm ~f~ cM~ for ~l~ ~ - l~f~te ~ or ~. D~s ~he s~Jff~ fJ~fet ~mJm pr~f~ c~ege for ~CI~ thJ~ ~r~ ~arJ~? (if D. F~JtJ~- ProvJ~ att f~tJ~y ~/or si~e E. SI~ ll~ - Pr~J~ oi~e ~ cfcle of C~ please pike ~ta~ seat ~xt to ~tl~'s sJgMture). Ulure to hit Certification: PLease send original to your tocat 8geflcy (agency .ho Issues y~r ~1' pemit·). Keep · copy of the certification at each focliJL~ or ·ltl listed on the form. ou~tfons: If you have queotJon8 on financial resj~rdJbitity requireoeflts or on the Certification of Financial Resp~MJbf.tJty Form, please concoct the State UST Cieoflup F~d at (916) 739-247~. ~g~e: Pens&ties fo~ FefLure to Conair ulth FlflsnclsL lef~x~ilblll~Y R~t~.: FifLure to c~iy ~ r~utt Iff: C1) J~rdJzt~ ci~Jmnc eligibility for the State UST CLe~ F~, ~ ~y Of YIOIICI~ il I(IC~ Iff Article T, SKCI~ 2S2~.T6Ca) of the Citfforflll Helith ~ Sefe~ ~. ~i~FIC OF ENVIRONMENT ERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY Page __ of __ TYPE OF ACTION r-] i, NEW SITE PERMIT [~'~ RENEWAL PERMIT [] 5. CHANGE OF INFORMATION (Sl~ecify change. [] 7. PERMANENTLY CLOSED SITE (Check one item only) , ~--~' / local use only). [] 8. TANK REMOVED 400. "~,4. AMENDED PERMIT [] 6. TEMPORARY SITE CLOSURE I. FACILITY I SITE INFORMATION NEARE~ STREET 401. FACILITY OWNER'P~PE ' [] 4. LOCAL AGENCY/DISTRICT* INDiViDUAL [] 6. STATE AGENCY* GAS STATIONBUSiN [] 3. FARM [] 5. COMMERCIAL [] 31 PARTNERSHIP [] 7. FEDERAL AGENCY' 402. TYPE f [] 2. DISTRISUTOR [] 4, PROCESSOR [] 6, OTHER 403. TOTAL NUMBER OF TANKS I Is facility on Indian Reservatioa or *if owner Of UST a public agency: name Of supervisor Of REMAINING AT SITE I trustlands? division, section or office which operates the UST. /"') (This is the contact person for the tank records.) 404. [] YesL[~ 405. 406. :. ",-.., : , :,2" II. PROPERTY OWNER INFORMATION:i?".' :' MAILING OR STREET ADDRESS f- I ] 409. CITY 'l ~ -, - ' 410. 411. 412. PROPERTY OWNER TYPE ~2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE AGENCY 413. [] 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY ~ [] 7. FEDERAL AGENCY · '..i .i',.,,. III. TANK OWNER INFORMATION ;' ' "'''~ ' MAIL~NG OR STREET ADORESS (~ % 416. CITY t - 417. ) STATE ~ 418· ZIPCODE 419. TANK OWNER TYPE ' ~ /~-~DUAL [] 4. LOCAL AGENCY / DISTRICT r~ 6. STATE AGENCY 420, · 3. NERSHIP [] 5. COUNTY AGENCY [] 7. FEOERAL AGENCY : ' ,,: .~ '..'"~: '"!i,':.,. iv. ~°A,~ OF EaUALIZ~'IO"'us~''sTo.AG~ F~EAc(~O~J.+ TY (TK) HQ 4 4 ' ' ' V Call (916) 322-9669 if questions arise ~1. '' '":; ':..i ::-;:.:~v ;::,,'~,:: ,;,,·.i, .." .... PETROI:~UM~US¥ ¢iNXN~iAL REsPONSi'~ii:~j~;:,:~::'",' i" ·:'- '' ' '"" '·-'' .' :. : -! · INDICATE METHOD(S) [] I. SELF-INSURED . [] 4. SURETY BOND [] 7. STATE FUND [] 10. LOCAL GOV'T MECHANISM [] 2. GUARANTEE [] 5. LE~-TER OF CREDIT [] 8. STATE FUND & CFO LETTER [] g9. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CD 422. VI. LEGAL NOTIFICATION AND MAILING ADDRES~ ' ' '. - / Check one box to indicate which aadress should be used for legal notifications and mailing. I-1 ~ =a~,,.w ~ Le,,a, no,, ca,,or, san,,m.,,,n,,e..,,,,,, een,,o,h.,ank .......... .................. [] TAN OWNER 42 . ,. ,, ,. '. ,. ' v~l, A~PLICANT SIGNATURE ' NAMEOi~Xi~P~.ICAj~T.(Pn~t) /1/~// 426. TITLE OF APPEICANT ~27. UPCF (7~99) S:\CU PAFORMS\swrcb-a.wpd ._.~ .__ CITY OF BAKERSFIF. LD . ~FICE OF ENVIRONMENT~ SERVICES /~~~. 1715 Chester Ave., Bakersfield, CA 93301 (661)326 3979 --' ~ '~' UNO~RGROUND ~TO~GE TANK~ . TANK PAGE 1 I'"1 7. s~u= Mom C::] Z. ~ ~o~ro~ c,~AvrrY now:. o~.vmr now(o,~, d I-I 9. a~.NNw.~rrEo~YTS'rco.~(~=H) I-I 8. DA,.YV~J~MoNn'o~No .' I-I 9. mr=N~.wrEoRrrY~.,~(o.s UPCF (7/gg) 8:~CUPAFORM$~SWRC-,~B.WPD ,~ CITY OF BAKERSFI,~D · ' ~IFFICE OF ENVIRONMENT,q~ SERVICES '~ 1715 Chester Ave., Bakersfield, CA 933.01 (661)326-3979 --- ' UNOERGROUND ~TO~GE TANK~ TANK PAGE 1 L T~K ,UPCF (7/gg) 8:~CUPAFORM$~WRCB'B.WPO ,,,~ ~. .~ ,~· CITY OF BAKERSFIEt "'L,i~;.~~--° OFFICE OF ENVIRON[HENTAL SERVICES ~AMr~r,~~ 1715 Chester Ave., CA 93301 (661) 326-3979 "~ ~'~' H~RDOUS MATERIALS INVENTORY , :- ~ *-'~ CHEMICAL DESCRIPTION 5' ~ ' * 'q {one fo~ De~ mole~ O~ ~ud~t~g Or a~a ) ~ NEW ~ ADO 00EL~E ISE.~ 2~ P~e -- ~i.~ss'~'~s~~'~'~- ~'~-~ ~ ..................................................................... ............................................................................. ":??Sa-[-~?-~?'~ ........................... ~r'-~'~'~ ~E ' '. '~ p ~RE ~ MITRE ' ~ w WASTE 211 ; ~A~ ~Y~ ~No 2t2 PHYSI~L STATE,, ~ ,. ~ e ~MD ~1 LIQUID D g ~ 214' ~ST ~AINER 215 F~ ~ ~TE~ ~ FIRE ~CT~ ~RE AC~ H~ . HRONIC H~ 216 ~WAS~ 217 ~ ~M 7' 2~a i A~GE 219 STATEW~E~E ~,~U~ t ~LY~U~ ~ ~ ~LY~ I .~ UN.S* ~ ~ ~ . ;. ~ d ~ ~ ~ · L~_ . ~ m TONS . ~1 OAYS ON STOOGE ~NN~ ,~~O~D T~K ~ · ~~lC DRUM ~ I ~ DRUM ~ m G~S ~E (CheckaS~ata~) ~ U~U~T~K ~f ~ ~j ~G ~n ~STIC~E ~ C T~K I~IDE ~1~ ~ g ~Y ~ k ~X ~ o TOTE BIN ~ d ~EEL ~UM ~ h SILO ~ I C~DER D p T~K WA~N STOOGE ~SSU~ D ~ ~~ ~ ~ ~WMI~ ~4 STOOGE ~~ ~a ~1~ ~ ~ ~ ~1~ ~ ba ~OW ~IE~ ~ c ~Y~IC ........ ~_ ~ ~~: ....~g ........................ ~.~. 2 230'; ~ ~ , =,~_~ ' ~1 OY~ O~ 232 ~ ' ~3 .............. ~ .... ~ ....................... ~ .................................................................. ~. ..... ~ ................... ...: ................. . .......................................... ) ........................................................................... ~ ............ 4, 23a I ~ Ov.O.o 240 1 5 ~ ~;-~'~ 243 ~y. ~No 244 ~ 245 III. SIGNATURE IPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd "~'~:" ..... ~' "H~zi.'rdo. us Materials Inventory- Chemical Description Yd~'m~sl .;0mOle.)10 .I .;~,]p,lr,lte H.t-'3rdous Maler~als ~nvenl~/· Charnel Desk,plan p~e for each nazar0~s malarial (hazar~us SuDSlances and hazar~0ul weSle) ...... ~ n~ndl,~ ~l'.~qG//aOhly-.1 .s(lgreqa;e ,ludnllllel ~ual lo:~ ?eale Ihan~ 5~ ~undl. - 55 gallons. 200 cuOm ~eel el gal (ca~ulal~ al s;andara.~emperalure a~ ~m) '~- ~f file ~er.tl thres~l(I planmnq ,luanlfly for Extremely Haza~ous SuDslancea, wh~er il less. AI~ ~mplele a page for each radioacl~ve malenal nanal~ ~uanl~bes ~or ~n~c~ 4n emergency Dian ~s r~u~red ~o ~e .1~1~ pursuant Io l0 CF~ Pa~l 30, 40. et ~0. The ¢omplel~ ,nvanlo~ s~ould re~t all rep~a~ Of ~aZar~ous m,llonals ~1 your ~3cdfly, ~e~ned separallly for e~h Du*~ing or ~(sde adjacent area. w,Ih Ilplrlll pages ~or un~ue ~currences o~ p~ys~l femp~ature )nd ~lor3ge pressure, tNO(e: t~e num0er,nq of ~e ,nslruclions ~o1~ (he data elemenl num~ thai are on ~he uPCF pages. These data elemenl num~ ~e us~ for qleclromc suDm*ss*on an~ ~e ~e same as ~e num~nng use~ ~n 27 CCR, Appendix C, (~e Busine~ Seclmn of ~e Un,fled Pr~ram Data OiclJo~,) number 311 ~es of your su~m~ltal. Th~s ~lps your CUPA or ~ ~enli~ w~er~er ~ ~uDmillal ~s ~mplele an~ ~l any ~ges are sepal(ed. 1. FACILITY lO NUMBER · Th~s numar is as~n~ ~y me CUPA ~ ~.. Th~ ia ~ unMue numar wn,~ ~enlifies your fa~li~. 3. BUSINESS NAME - Enler ~he full I~al name of t~e 2~. AODIDELET~ REVISE - Indicia if ~e malapai is ~ ~ to (he invents, delet~ fr~ ~e invenl~, or if ~e info~at~n prev~us~ submi~ is ~ing ~. NOTE: You may ch~se ~o leave ~is ~lank ~f ~ re~lt ~ur enUre invent~ annual¥ 201, CHEMICAL L~ATION - Enter Ihe ~ui~ing or DUlling a~acenl ama ~ere the h~rd~s maler~l is ha~l~. A ~em~l ~a( is s~m~ at ~e same pressure a~ ~em~ra~ure. in ~ulUple ~ns ~lhin a ~ui~i~, ~n ~ re~ed on a sidle p~e. NOTE: This inflation is riel subject to puDlic disclosure pu~uanl Io HSC ~25506. * 202. CHEMICAL LOCATION CONFIDENTIAL - EPC~ * MI ~sine~es wh~h are subjec~ rD ~e Emerge~ Planning and Communi~'Righ( (o Know AC~ (EPC~) mus~ ~k 'Yes' ~o ~eep c~em~l ]~Uon Jnfo~at~ ~n~enl~l. If Ihe b~iness d~s n~ ~sh (o keep chemi~l ]~(~n information ~nfidential c~ecR 'No'. 203. M~ NUMBER. If a ~p is inc~d~, artier the numar of the map ~ ~h I~ ~(~n of ~e h~dous ~le~al is sho~. 2~. GRID NUMBER - If ghd c~ina~es are used. emer the grid ~dina~es of ~e map (~al ~rr.~ ~o the ~tion of lhe hazardous material. If appli~le, mu~pM g~ ~rdinates ~n be 205. CHEMICAL NAME - Enler the prier chem~al name a~at~ ~ ~e C~m~l A~act Sew~e (~S) numar of the ~za~ous malapai. This should Inlemal~l Union of Pure and ~p~ Chem~ (IUPAC) ~ found ~ ~e Mate~l Safe~ Oa~ Shee~ (~DS). NOTE: If ~he ~emi~l is a mixture, ~mplele ~is field; ~ple[e ~e 'COMMON ~E' ~ i~l~d. 2~. T~DE SECRET. Che~ ~es" E ~e ~f~at~ ~ ~ ~ is ~a~ a ~e ~eL ~ ~o' ~ i~ ~ ~L F~e~l r~ment: If ~s, ~d b~ms is ~u~ ~ ~ d~m bf ~e d~ T~ ~ inf~ ~ ~und by 40 CFR and Ihe musl su~il a 'Su~a~ ~ ~ ~ ~ T~e ~ f~ (40 CFR ~.2~ ~ USEP~ 207. COMMON ~E - Enter ~e ~ ~e or ~ ~ ~ ~e ~ miami m m~um ~ a ~ 2~. EHS - Ch~ ~' if ~e h~ mat~ ~ ~ ~ H~ Su~ (EHS), ~ ~ ~ 40 ~ Pa~ ~, ~ ~ If ~e mate~l Is a mM~ ~ining an EHS. leave ~ se~ b~nk a~ ~te ~e s~ on ~us ~n~ ~. 2~. ~ ~ - Enler the Chem~l ~s~ ~ (~) n~ f~ ~e ~ ~tedal. F~ m~mms. ~tm ~e CAS numar of ~e m~ure if i~ has ~n a~ a numar dist~ from i~ ~m~en~. If I~ mix~m ~ ~ ~S ~m~r, ~e ~Js ~umn b~nk ~d mp~ ~ ~S num~ of t~ ind~ual h~a~ ~m~en~ in ~he approp~le ~n be~. 210. FIRE CODE H~D C~ES - ~re ~ H~ard C~ ~e~ to fi~t ms~ers t~ ~ ~ level of h~a~o~ ma~e~ls whi~ a busine~ ~. info.alien shall on~ be ~o~d~'if (he I~1 ~m ~ief d~ms it ~a~ a~ requests ~e CUPA ~ ~ to ~U~t ~t. A llst of the haza~ classes a~ ins~ on h~ ~o determine whJ~ ~s$ a ~e~l fa~s u~ ~e i~l~ in ~e ap~ndi~s of ~e ~ of the UnEo~ Fire ~e. If a material ~s ~m ~n appl~ble h~a~ ~ass, i~ude all. ~n~ CUPA ~ ~ ~ 211.' H~DOUS ~TERI~ ~pE - ~ ~e ~e ~x ~ ~st ~ ~e ~ of h~us mate~l: pure, m~um ~r ~ste. If ~ste male~l, ~ o~ If ~xture ~ ~ste, ~p~te ~s ~ s~n. 212. ~DIOACTIVE - Ch~k "Yes' ~ ~e ~ ~1~ ~ ~_~e ~ 'No' ~ i~ is ~L 213. CURIES - If ~e h~ar~us male~l ~ ~e, ~ ~ ~ ~ re~ ~e a~ ~ ~es. Y~ ~ ~e up ~ nine ~ ~ a floating d~al ~int to 214. ~I~L STATE - C~ ~e ~e ~x ~t ~ d~ ~ s~te ~ ~ ~ ~s mate~l ~ ~1~: ~, ~u~ ~ gas. .'- 215. ~GES~ CO~NER - Enler ~ t~l ~ of ~ ~ ~r in ~ ~e mat~l ~ ~m~. . ... 21 ~ FEDE~ H~D ~TEGORIES - C~ aB ut~ ~ d~ ~e p~l a~ h~ ~s a~t~ ~ ~ ~s mater~aL Fire: F~mmable ~u~ and ~l~s. ~busU~ L~u~s, ~p~, O~em A~e Hea~ (~m~late): H~h~ To~. Teac I~n~. ~nsi~em, ~. ReacUve: Unstab~ React~e, O~an~ P~ox~, Water R~e, ~ o~r h~a~ ~ls ~ an ~e effe~ ~th s~ term ex~ure Pressure Release: Exp~s~es, ~pre~ed Gas~. B~st~ ~en~ . Chronic Health (Delay~): Ca~. o~er h~r~ ~ ~ an . adve~ efl~ ~ ~ ~ ex.sure 217. A~GE DALLY ~OUNT - Ca~ ~ ave~ da~ a~unt of ~ h~ar~ ~te~l or m~um ~ng a h~ar~ mate~, in ~ buildi~ ~ ~e ama. Ca~ulaU~s ~ll be ~ on ~e ~ ~s I~en~ ~ ~te~l re~ m ~ ~. To~l all dagy amoun~ and d~e by ~ numar of da~ ~e ~m~l ~11 ~ ~ site. If ~'~ a ~t~l ~t ~s ~ pr~s~ b~n present at ~is I~. ~e am~ shall ~ ~e average ~i~ a~unt p~ to be m ~nd du~ t~ mu~ ~ ~e ye~. ~b a~nt ~ ~ ~tent ~ ~e u~ m~ed in ~x 221 a~ s~u~ n~ ex~ ~at ofm~ ~i~ am~nL 218. ~IMUM DAILY ~OU~ - Enter ~e ~ a~ of e~ h~ ~dal ~ ~ ~ a ~s ~ter~l, wN~ · ~d in a bui~l~ adja~nU~e area at a~ ~e ~ ~r ~e ~ ~ ~ ye~. ~ a~nt mu~ ~m~ ~ a ~ ~ ~s in~to~ of ~e ~te~l re~ ~e. wi~ ~ re~ of ~, ~ ~ ~ ~ f~ ~ ~t ~r, ~ ~nt ~ ~ ~btent ~ ~e uni~ m~ in ~ ~1. 219. ~NUAL WASTE ~OUNT - If ~ ~ mat~l ~ i~ is a ~& ~e an es~ ~ ~e annul a~nt ha~l~. · ' 2~. STATE W~TE CODE - If t~ ha~s ~t~l ~ a ~ste. ~ter ~e a~te C~ifo~a ~it ~us waste ~e as flst~ ~ ~e ~ of ~e UnE~ H~ous Waste ManEest. 221. UNITS * Ch~k the un~ of measure ~t is ~st ap~te ~ t~ ~teHal ~i~ m~ on t~ ~e: gains, ~unds, ~b~ f~t or tons. NOTE: If ~e ~te~l b a f~erally deGn~ Ex~emely H~a~ous Subs~ (EHS). all a~un~ must ~.re~ in ~unds. If ~te~l is a m~ure ~ntaining an EHS, m~ ~ units the malapai is st~ in (gallons, ~unds. ~ ~L ~ ~2. DAYS ON SITE - List the total ~mb~ of ~ays du~ ~e ~ ~at ~e material ~ on site. 223. STOOGE CONT~NER - Char all ~xes t~t des~ ~e t~e of stooge ~ntainers in whi~ ~e haza~ous material is stored. NOTE: If appropriate. ~u may ~se more ~an one. 224. STOOGE PRESSURE - Check the one box that ~st desk.s t~ pressure at ~i~ the h~ar~us malapai is stored. 225. STOOGE TEMPE~TURE - Che~ ~e one ~x that ~ de~s ~ temperature at ~ich t~ haza~ous ~tedal is s~red. ~6. H~US COMPONE~S 1-5 (% BY WEIGH~ - Enter the ~n~e ~ht of ~e h~a~ou~ -nmponent in a m~ture. If a range of percentages ~ available, rein the h~hest percentage in ~at ~e. (Re~ f~ ~n~ 2 ~r~h 5 in 230, 2~,. ~. a~ 242.) 227. H~DOUS COMPONENTS 1-5 N~E - When re~ a h~ardous material ~at is a m~ture, list up to five ~emi~l ~mes of ha~rdous comp~ents in that mixture by parent weight (refer to MSDS or, in ~ ~se of Wade s~, re,er to manufac~rer). NI ~za~ous c~nen~ in the mixture present at greater than I% by ~ht if non~r~en~, m 0. t% by ~ht if ~r~en~, s~uld ~ re~. If ~re than Fwe h~ar~us ~mponen~ are present a~ve these pe~ntages, ~u may attach an addit~nal sheet ~ ~r to ~pture the r~uir~ informat~n. ~en re~ing waste mixtures, mineral and Chemical sh~ld De listed. (Repo~ f~ ~mponents 2 thr~gh 5 in 231,235, 239, a~ 243,) 228. H~RDOUS COMPONENTS 1.5 EHS · Check ~es' if the ~mponent of the mixture is consider~ an Extremely Hazar~us Substance as defined in 40 CFR, Pa~ 355, or 'No' JLit is not. (Repo~ for com~nents 2 through 5 in 232, 236. 240, and 244.) 229. H~RDOUS COMPONENTS 1-5 CAS · List ~he Chemical Abs~a~ Sewice (CAS) numbers as relat~ to the hazardous ~m~nents in the mixture. (Repeat for 2-5.) 246. LOCALLY COLLECTED INFORMATION - This space may ~ uS~ by the CUPA or ~ to coll~t any additional information necessa~ to moot the requirements o; their ;ndiwdual pr~rams. Contact the CUPA or ~ for guiana. UPCF (1/99) 7 OES Fom~ 2731 B D February 11, 2002 La Barata Meat Market FIRE CHIEF RoN FROZE 430 E Califomia Ave ........... Bakersfield CA 93304 ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 RE: Deadline for Dispenser Pan Requirement December 3 l, 2003 VOICE (661) 326-3941 FAX {661) 395-1349 " REMINDER NOTICE SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Dear Tank Owner: VOICE (661) 320-3941 unuergrounu storage FAX (661) 395-1349 You will be receiving updates from this office with regard to Senate Bill PREVENTION SERVICES 1715 ChesterAve. 989 which went into effect January 1, 2000. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 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 1715 ChesterAve. be forced to revoke your Permit to Operate, for failure to comply with the Bakersfield, CA 93301 VOICE (661) 326-3979 regmauons. FAX (661) 326-0576 It is the hope of this office, that we do not have to pursue such action, TRAINIna DIVISIOn 5042 VictorAvo. which is why this office plans to update you. I urge you to start planning Bakersfield, CA 93308 VOICE (661)399-4697 'to retro-fit your facilities. FAX (661)399-5763 . If your facility has been upgraded already, please disregard ~his notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm ORRECTION N( ICE BAKERSFIELD FIRE DEPARTMENT N°_ 1 0 5 6 You are hereby required to make the following corrections at the above location: Cot. No I Completion Date for Correction~Z~,~44~-~/[~ll, t~f.l~ ~,],,~:4,~'~J~ 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~t~ O,n~clc~_ ~tL{- ~ INSPECTION DATE II[Iq/OI ADDRESS q."~_ ~',--/?&f,-Jc'ort~ ?~a-e- PHONENO. ~O~l"l'l;l~'' FACILITY CONTACT BUSINESS IDNO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES ~-~--._ Section 1: Business Plan and Inventory Program ~ Routine [~ Combined I~ Joint Agency I~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand 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 L 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 ~"l~iness Site~pon;sil~le 16a~ty White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector:_ ~,, {/'~ZO~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME I',a. ~_r,~cltt_ [/~4tn-}- ~' INSPECTION DATE Section 2: Underground Storage Tanks Program [21 Routine '1~ Combined [~l Joint Agency ~2[ Multi-Agency [2~1 Complaint [~21 Re-inspection Type of Tank 5t~lF-c e, Number of Tanks Type of Monitoring ~T'6 Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file "~k~ t~. 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? C=Compliance V=Violation Y=Yes N=NO Office of Environmental Services (805) 326-3979 Bgtsiness Site R~spOi~sible Party White - Env. Svcs. Pink - Business Copy FD 1916 (Revised 8-15-B6) CITY OF BAKERSFIELD~ '52601 FIRE DEPARTMENT'~' DATE TO: TIT~~~ FIRM OR D.B.A. CORRECTvio~TioNsALL LOCATION OF VIO~TION Violation NO. REGUlREMENTS Combustible waste / Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.G.) dry vegetation Provide noncombustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) Combustible Storage Relocate combustible storage to provide at least 3 feet clearance around motor fuse bonfire door (N.E.C.) (U.F.C.) Extinguishers Relocate fire extinguishe~ s) so that they will be in a conspicious location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. ( N. F. P.A. ~ Provide and install approved .(type ~ size) potable fire extinguishm to be immediately accessible for use i, (area). (U.F.C.) Recharge all fire extinguishers. Fire extinguishers shall be so,iced at lease once each year, and/or aher each use, by a person having a valid license or ce~ificate. (U.F.C.) Signs Provide and maintain "EXIT" sign(s) with lepers 5 or more inches in height over each required exit (door/window) to fire escape. (U. EC.) Provide and maintain appropriate numbers on a contrasting background and ~isible from the street to indicate the correct address of the building. (B. MC.) (U. E C.) Fire doors/fireSe~amtions Repair all (crack, holes/openings) in plas~r in (location). Plastering shall tatum the sudace to ~s original fire resistive condition. (U.B.C.) (RemowRepair) (item a location). Self-closing doors shall be design~ to close by gra~, or by the action merchanical device~ or by an approved smoke and heat sens~ive device. Se~-closinq doors shall have ne aEachments capable of preventing the operation of the closing devic[ (U.F.C.) Remove all obstruction ~om hal~ays. Maintain all means of egress frae of any storage. (REC.) Provide a co~raaing colored and permane~ly installed ele~ric light ever or near required exit (Iocaion~ indica~ it as an ex[ (U.F.C.) Storage Remove all storage anEor other obstructions ~om (tim escape landings and stai~ays ~air shaEs). (Fire escape~stair shahs are to be maintained fr~ from obs~uctions at all times.) ( U. Electrical Appliances E~nsion co~s shall not be used in lieu of pe~anent approved widng. Install add~ional approved electrical o~lets where needed. (N.E.C.) (U.F.C.) Remove mulifiple a~achment co~s ~om specified electrical convenience outlet (one plu9 per outlet). (NEC.) (U.F.C.) Other REOUIREMENT ON / /19 AN INSPE~IO~ WiLL BE MADE IF NO COMPLgANC~ II ~ ~ - COU~ ACTION MAY BE INITIATED. · ~- . A~ER VIO~TIONS ARE CORRECTED, RETURN ~Y ORDER OF THE FIRE CHIEF ~ C~plmed: THIS NOTICE BY MAIL OR IN PERSON, TO: By~ '' ~ INSPECTOR . INSPECTOR ~F~ ~ ~m~ LEGEND: U.F.C. - Uniform Fire Code~ U.B.C. Uniform Building Code ~1 "N" Zt;~t B.M.C. Bakersfield Municipal Code ~~ C~ ~ N.F.P.A. N~ional Fire Protection Association ~ ~-~ N.E.C. National Electric Code B ^ K ~ g s v [ ~ c~ HazMatEmerg Spill Report Complaint Haz Mat Incident / Spill Report / Complaint Follow Up Date <~/I0/0( Time ~(~0 Reporting Party ~C.~C~ Environmental Services Contact Address Telephone No. L~/~JE-~ Location of the incident ~-~--~ ~. ~--&c.,~c~JtA Description of the incident ( Chemical name and Quantity ) Respond~g to hcident ~ N Observations ~Tc~ ~v~z~ ~'F- ~ ~~ ~~0~ ~,~ Special Conditions and / or health risks Haz Mat Team Dispatch~ Y ~ Van Cellular No. 332-7865 OES Number Requ~ed ~ N Number ~ ( - ~ ~ Poss Exposure Vic~s ~~ Medical Attention Requ~ed or Ob~ ~/~ Probable Hazardous Waste Clean Up ~ N Hnz Mat Incident / Spill Report / Complaint FollOw Up Date ~//0/0( Time Reporting Party ~.~C~ Environmental Services Contact Address Telephone No. Location of the incident Description of the incident ( Chemical name and Quantity ) Responding to Incident ~) N Observations ~TOt~ ~/~_~&~. ~ ~.~ f~r~ ~5~,v~r,~- C,~7~,~ c~. Sp~ial Co~ditiom and / or he,'mlth ri~l~ Haz Mat Team Dispatched Y ~) Van Cenular No. 332-7865 OES Number Required Poss Exposure Victims Medical Attention Required or Obtained ~//~. Probable Hazardous Waste Clean Up ~ N Discussion and Disposition ~%$C3~f'~ ~O-T~c~X~ o~' ~0~.~ ~ ~~ Refe~ ? .o ,:,T., OF .^,.,:.--:,..o 52601 FIRE DEPARTMENT to: J TITLE FIRM OR D. 8. A. CORRECT ALL LOCATION OF VIOLATION VIOLATIONS I CHECKED BELOW ~'~'~'~' D~ ~ P~"l~:~i~'~ Violation No, REQUIREMENTS Combustible waste / Remove and safely dispose of all hazardous refuse and dw vegetation on the above premises (U.F.C.) Provide noncombustible containers with right f'~ing lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) Comb,.stible Storlg. Relocate combustible storage to provide at least 3 f.et clearance arou,d motor fuse box/fi~ door (N.E.C.) (U.F.C.) Exti.guisber. Relocate fire extinguishe~ s) so that they will be in a conspicious location, hanging on brackets with the top to the extinguisher not mom than 5 feet above the floor. { N. F.P.A. # ! 0) Provide and install ap~'oved (t~pe 8 size) pmlable fire .xtinguish,~ to be immediately accessible for use in, , , (area). (U.F.C.) Recharge all fire extinguishers, lire e~nguishers shall be sewiced at lease once each year, ancVor after each use, by a person having a valid license or certificate. (U.F.C.) Signs Provide and maintain "EXIT' sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) Provide and maintain appropriate numbers on a con~'asting background and .visible from the street to indicate the cor~ct address of the building. (8, M.C.) (U.F.C.) Repair all (r, rddcs/hole~/o~ings) in ~ in (Ioca~on). ~asts~g eh;dj tatum I~, su~c8 to its o~gifld ~,~ ~ cond~. iR~ove-R~) {it, m 8 boa's). Stir-dosing doo~s sh~J be dKigned to dos, ~ grd~, or by tit. aLl]o, of a Sat-ct~'~! ~om shal ha~ ~ attendants cap.lo of p~ the opaai~ of ~ dosinfl ~ Exits Ra~ve all dmmction from haliwa~ Maintain all mea~ of ~jmss f~ of any st0ra~ (U.F.&) ..... Provide a contr~sli,g colored a~l pe~mme~y instal~l dect~c light mm or near requi~l exit (location) iMicat, it as an exit JU.F.C.) Stomge Remove all ;torage ~nd/or other ol~lmctions ~m (tim escape la,dings a,d stain~ay~ stair ~ha~). (Fire es;ape~/stai~ sha~ am ~o be maintairmd fa, front ob~m~ctJms at all tim~) ( EIKtric, I Appliancos Ex~nsion con~ ~ not be used in lieu of Ix~aan~t a~pmved wid~ I~tal] add,hal approved ,tect~al out~t~ wh,m ,md~ (N.E.C.) R,m,~ muli~¢e a~ co=Is from ~ified ~ co,~mm= ,,~t (one ~ ~ ou~. (N.E.C.) (U.F.C.) Other REOUIRI:MrNT o. , ,,, .,,., .w,..,,.,,,.,.,F,O,O.,,,,,,,,. I COURT ACTION ~,~IAY RE INITIATED. · .... . _ Signature AFTER VIOLATIONS ARE CORRECTED. RETURN THIS NOTICE BY MAIL OR IN PERSON, TO: 8y /"~.-~ INSPECTOR INSPECTOR Fire Safety Control LEGENI~. U.F.C. Uniform Fir U.B.C. Uniform Building Code 2101 "H" Street B.M.C. Bakersfield Municipal Code ~[~I~-0~.~2 Bakersfield, CA 93301 N.F.P.A. National Fire Protection Association ~.C~O~/,~ Phon~ 326-3951 N.E.C. National Electric Code ' 08/14/2001 08:08 6618737152 KERN VALLEY $ $ M P~6E 01 B D August 3,2001 La Barata Meat Market WRe CH~V 430 E. California Ave aoN Fa~ZE Bakersfield CA 93304 ADMINISTRATIVE SERVICES 2101 'H' Street RE: Deadline for Dispenser Pan Requirement December 31, 2003 Bakersfield, CA 93301 VOICE (661) 326-3941 FAX,61) 395.1349 R E M I N D E R N O T I C E SUPPRESSION SERVICES 2101 'H' Street Dear Owner: Bakersfield, CA 93301 unaergrounu ~[orage vOiCE (661) 326-3941 FAX (661) 395-1349 You will be receiving updates from this office with regard to Senate Bill PREVENTION SERVICES 989 which went into effect January 1, 2000. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 This bill requires dispenser pans under fuel pump dispensers. On FAX (661) 326-0676 December 31, 2003, which is the deadline for compliance, this office will ENVIRONMENTAL SERVICES be forced to revoke your Permit to Operate, for failure to comply with the 1715 Chester Ave. Bakersfield, CA 93301 regulauons. VOICE (661) 326-3979 FAX (661) 326-0576 It is thc hope of this office, that we do not have to pursue such action, TRAINING DIVISION which is why this office plans to update you. I urge you to start planning 5642 Victor Ave. Bakersfield, CA 93308 to retro-fit your facilities. VOICE (661) 399-4697 FAX (661) 399-5763 If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm FE))-01-200! 08 :4-6 A~I I)C--ENTIERPI~ISES 65'166570~2 P. ,. ?~o4 Elkhorn StJ'ee~ Bakersfield, GA 933'/3 " t. IG # 74~735.A / II '~ ~1 · m II II ~ I II I I II I ~ ~:/l~ ~ ~ ~/~ ,., ~ /~ , I [ ]11 III :~T~ ~ ~ ~ ~ E I _ ' ........ January 22, 2001 FIRE CHIEF RON FRAZE La Barata Meat Mkt. 430 E California Ave 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 Bakersfield, CA 93301 Dear Underground Storage Tank Owner: VOICE (661) 326-3041 FAX (661) 395-1349 You will bereceiving updates from 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 (661) 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 thc hope of this office, that we do not have to pursue such action, TRAINING DIVISION 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) 390-4607 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 BAKERSFIEL i O CE OF ENVIRONMENTAL SnERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 ' '"--' UNDERGROUND STORAGE TANKS - TANK PAGE 1 Page ~ of TYPE OF ACTION [~ 1. NEW SITE PERMIT ~ 4. AMENDED PERMIT ~ 5. C~NGE OF INFOR~TION) ~ 6, TEM~RY SITE CLOSURE Check one ~tem only) ~ 7, PER~NENTLY CLOSED ON SITE ~ 3. RENEWAL PERMIT (~ec~ ma~ - ~r~al use on~) (~ec~ chan~. ~rl~al use on~) ~ 8. T~K RE~VED 430 LO~T(O~-~THIN SI~ (~nal) ' ' ' ~ 431 I. TANK OE~RIP~ON TANK ID ~ 432 TANK ~NUFACTURER 433 ~ COMPARTME~ALIZED TANK ~ Y~ ~No 4~ DATE INSTALLED (Y~) 435 T~K ~ACI~ IN ~LLONS 436 NUMBER OF CO~TMENTS ~7 r ~DITIO~ DESCRI~ION (~r ~ Use 0~) ~ ~8 U. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 I~L'i. MOTOR VEHICLE FUEL ~la. REGUt.~RUNLEADED .' [] 2. LEADED [] 5. JETFUEL #fmarked, complete Pel~oleum Type) r-111). PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2. NON-FUEL'PETROLEUM [] lc. MIDGRADE UNLEADED []4, ~SOHOL [] 99. OTHER [] 3. CHEMICAL':I~ODUCT [] 4. HAZARDOUS WASTE (Include$ COMMON NAME (fmm Hazardous Mlatedat$1nventoq, pege) 441 I CAS # (from HezatOous Matedats lnventoql page) 442 Used 08) I " [] 9s. UNKNOWN m. TAnK COR.SmUCTION ' ..:'* :.' .... OF TANK ~ 1, SINGLE WALL [] 3. SINGLE WALL wrrH D 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 Check one item only) I--I 2. DOUBLE WALL EXTERIOR MEMBRANE LINER I-~ 95. UNKNOWN [] 4. SINC-:-:-:-:-:-:-:-:-:~E WALL IN A VAULT [] 99. OTHER TANK MATERIAL- I~'ima~/tank [] 1. BARE STEEL [] 3. FIBERGLASS/PLASTIC [] 5. CONCRETE [] 95, UNKNOWN 444 (Check one item only) [] 2. STAINLESS STEEL ~ 4. STEEL CLAD W]FIBERGLASS [] 8, FRPCOMPATIBLEWI100%METHANOL []99. OTHER REINFORCED Pt. ASTIC (FPP) TANK MATERIAL ' sec~nda~ tank r"] 1. BARE STEEL [] 3. FIBERGlASS/PLASTIC [] 8. FRPCOMPATIBLEWlI00% METHANOL r']95. UNKNOWN 445 'Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FPP NON-CORRODIBLE JACKET ' ' [] 99. OTHER REINFORCED PLASTIC (FPP) I--] 10, COATED STEEL [] 5. CO.cnErE TANK INTERIOR LINING r'l 1, RUBBER LINED [] 3. EPOXY UNING [] 5. GLASS LINING r'] 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING [] 2. ALKYD LINING [] 4. PHENOLIC UNING ["1 $, UNLINED r~ 99. OTHER 'Check orle item ocli) (For local use only) PROTECTIoNOTHER CORROSIONiF APPLICABLE r'] 1, MANUFACTURED CATHODIC ~3. FIBERGLASS REINFORCED PLASTIC [] 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION [] 4. IMPRESSED CURRENT [] 99. OTHER Check one item only) [] 2. SACR)FICIAL ANODE (For' local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451. OVERFILL PROTECTION EQUIPMENT: yEAR INSTALLED 452 Check ail ~at apply) ~1. SPILL CONTAINMENT 1 I~ ~. ALARM DROPTUBE ,q f LL LOAT ? O n. EXERT ~3. STRIKER PLATE ~ ~r IF SINGLE WALL TANK f'Check el~ ~t ap¢ly); 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Ct~eck ,one ~em ,only~; 454 [] 1, VISUAL (EXPOSED PORTION ONLY) [] .5, MANUAL TANK C~a~UGING (MrrG) [] 1, VISUAL (SINGLE WALL IN VAULT ONLY) ~:: AUTOMATIC TANK GAUGING (ATG) [] 6. VACOSEZONE [] 2. CONTINUOUS INTERSTITIAL MONITORING CONTINUOUS ATG [] 7, GROUNDWATER [] $. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (S~R) + [] 8. TANK TESTING SlENNIAL TANK TESTING [] 99. OTHER V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 UPCF (7/99) S:\CUPAFORMS\SWRCB-B.WPD CITY OF BAKERSFIELD l~i OFFICE OF ENVIRONMENTAL SERVICEI3979 ~1715 Cheater Ave., Bakersfield, CA 93301 (661) UST - ~ Page of VI PIPING CONSTRUCTION (c.~ck el ~t apply) ..... i UNDERGROUND PIPING ABOVEGROUND PIPING [SYSTEM TYPE 1. PRESSURE [] 2. SUCTION ~] $. GRAVITY 4,58 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 45 CONSTRUCTION~ ~i~ 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 46; MANUFACTUREI~ [] 2. OOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTURER 46:. ~E] I. BARE STEEL [] S. FRPCOMPATIBLEWlIOO%METHANOL [] 1. BARESTEEL [] 6. FRP COMPATIBLE W/100% METHANOL MATERIALS AND [] 2. STAINLESS STEEL [] 7. GALVANIZED sTEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL CORROSION PROTECTION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN ~--] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HOPE) [] 99. OTHER I ~ 4, FIBERGLASS [] 8. FLEXIBLE (HOPE) [] 99. OTHER [] 4. FIBERGLAss [] 9. CATHODIC PROTECTION 5. STEEL W/COATING E] 9, CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 UNDERGROUND PIPING ABOVEGROUNO PIPING ' SINGLE WALL PIPING 466 SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): ~ I. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, LEAK. SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS [] ALARMS [] 2. MONTHLY 0.2. GPH TEST 2. MONTHLY 0.2 GPfl TEST [] 3, ANNUAL INTEGRITY TEST (0,1 C.-d:~l) ! [] 3. ANNUAL INTEGRIT~ TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. ONLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTI~'GRITY [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (0.1 GPH) [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPt~) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING [] 7. SELF MONITORING GRAVITY FLOW: GRAVITY FLOW (Check all that apply): [] g. BIENNIAL INTEGRITY TEST (0,1 Gl=H) [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (O.1 SECONDARILY CONTAJNED PIPING SECONDARJLY CONTA/NED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR wFrH AUDIBLE AND VISUAL ALARMS AND (Chec~ one) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] D. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] c. NO AUTO PUMP SHUT OFF [-] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ,W~TH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR · - RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 'GPf'I) [] 12. ANNUAL.INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check e#/:hat apply) EMERGENCY GENERATORS ONLY (Check ell tlmt app/y) [] 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR V~THQyT. AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15, AUTOMATIC LINE LEAK OETECTOR (3,0 GPH TEST) WITHOUT FLOW SHUT OFF OR [] 15. AUTOMATIC LtNE LEAK DETECTOR (3,0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17, DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK DISPENSER CONTAINMENT [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DALLY VISUAL CHECK DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING ~ NL [] $. CONTINUOUS DISPENSER PAN SENSOR V~TH AUTO SHUT OFF FOR DISPENSER +AUOIBLE AND VISUAL ALARMS ~ 6. NONE 469 IX, OWNER/OPERATOR SIGNATURE I certify thai Ihe info,'metlon provide<l herein is Irue and eccurale'lo the best of my knowledge. I 470 SIGNATURF, OF OWNERIOPERATOR DATE~ ~AME*OF OWnER/OPERATOR (p#nO 471 TITLE OF UPCF (7199) S:\CUPAFORMS\SWRCB-B.WPD CITY OF BAKERSFIEL iI O CE OF ENVIRONMENTAL S RVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE I Pacje TYPE OF ACTION [~ 1. NEW SITE PERMIT ~4. AMENDED PERMIT ~ 5. CHANGE OF INFOR~TION) ~ 6. TEM~RY SITE CLOSURE Check one ~tem only) ~ 7. PER~NENTLY CLOSED ON SITE ~ 3. RENEWAL PERMIT (Sp~ ~a~n - ~r ~al use 0~) (Spec~ c~a~ - ~r local u~ on~) ~ 8. TANK RE~VED 430 BUSINESS ~ (Same ~ FACILI~ ~ME ~ O~ - ~ng ~n~ ~) 3 FACIL~ ID $ LO~TI~N ~TH~ SITE (O~al) 431 I. TANK DE$CRIP~ON TANK ID ~ 432 ~ TANK ~NUFACTURER 433 COMP~TMENTALIZED TANK ~ Y~ ~ 434 DATE INSTALLED (Y~) 435 ~ T~K ~ACI~ IN ~ONS 436 NU~ER OF COMPART~NTS 437 ADDITIO~L DESCRI~ION (~r ~1 u~e o~) t 438 II. TANK CONTENI~ T,~K USE 439 ~ROLEUM ~ 44O ~,1, MOTOR VEHICLE FUEL ia. REGULAR UNLEADED ... I"] 2. LEADED [] 5, JET FUEL [] (If marked, complete Petl~eum Type) r~ lb. PREMIUM UNLEADED [] 3. OIESEL E::] 6. AVIATION FUEL [] 2. NON-FUEL PETROLEUM ~1~1c. MIDGRADE UNLEADED [] 4. GASOHOL [~ g9. OTHER [] 3. CHEMICAL PRODUCT [] 4. HAZARDOUSWASTE(Indude$ COMMON NAME (f~om Hazaf~ous Matertels lnventoo/ page) 441 I CAS # (fmm Haza~ous Matedal$1nventoq, page) 442 Usea 0~) [] ~, UNKNOWN TYPE OF TANK ~ 1. SINGLE WALL [] 3. SING4.E WALL WITH F'I 5. SINGLE WALL WrTH INTERNAL BLADDER SYSTEM 443 (Check one/tern on/y) {--1 2. DOUBLE WALL EXTERIOR MEMBRANE LINER [] 95. UNKNOWN [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TANK MATERIAL pdmary tank 1, BARE STEEL '1~ 3. FIBERC-,-,-,-,-,-,-,-,-~ASS / PLASTIC [] 5. CONCRETE [] cJS. UNKNOWN 444 'Checkone/temon/y) r-] 2, STAINLESS STEEL [] 4, STEEL CLAD W/FIBERGLASS [] 8, FRPCOMPATIBLEW/100%METHANOL ~--]9g, OTHER. REINFORCED PLASTIC [FRP) TANK MATERIAL * SeCandary tank r-] 1. BARESTEEL [] 3. FIBERGLASS/PLASTIC [] 8. FRPCOMPATIBLEW/100% METHANOL []95. UNKNOWN 445 'Check one/tern On/y) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FRP NON-CORRODIBLE JACKET ' ' [] 9g. OTHER REINFORCED PI..A~TIC (FRP) [] 10. COATED STEEL []s. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 448 DATE INSTALLED 447 OR COATING [--I 2. ALKYD LINING [] 4. PHENOUC LINING [] $. UNLINED I-'1 99. OTHER Check one/fern on/y) (For k)cel use on/y) OTHERpRoTECTioNCORROSIONiF APPLICABLE [] 1. MANUFACTURED CATHODIC ~ 3. FIBERGLAS~ REINFORCED PLASTIC [] 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION [] 4. IM~ESSED CURRENT [] 9g. OTHER Check one/fern on/y) [] 2, SACRIFICIAL ANODE (For /ocal use On/y) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Fork)cai use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 [[]/2. DROP TUBE (~ ~/ ~ BALL FLOAT ~ ~ [] 4. EXEMPT (;}/3. STRIKER PLATE ~ 4~ IF SINGLE WALL TANK (Check a# ~et ap~y): 453 IF DOUBLE WALL TANK OR TANK V~TH BLADDER (Check one/tern on/y): 454 [] I. VISUAL (EXPOSED PORTION ONLY) [] 5. MANUAL TANK GAUGING (MI'G) [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) '~2. AUTOMATIC TANK GAUGING (ATG) l-"J 8. VADOSE ZONE [] 2. CONTINUOUS INTERSTITIAL MONITORING ~ 3. CONTINUOUS ATG [] 7. GROUNDWATER [] 3. MANUAL MoNITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) * [] 8, TANK TESTING BIENNIAL TANK TESTING [] 99, OTHER V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTrTY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 [] Yea [] NO UPCF (7/99) S:\CUPAFORMS\SWRCB-B.WPD CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVIC!~.3 1715 Cheeter Ave., Bakersfield, CA 93301 (661) 979 UST. TANK PAGE 2 · .? Page ~ of ?' Vi'PIPING CONSTRUCTION (Checkellll~atepply) ' ; UNDERGROUND PIPING ABOVEGROUND PIPING i SYSTEM TYPE ~ 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION/[~ I. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN [] 2. OOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTURER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL [] 1. 8ARESTEEL [] 6. FRP COMPATIBLE W/100% METHANOL MATERIALS AND [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZEO STEEL CORROSION PROTECTION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER 4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION ; S. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 UNDERGROUND PiPiNG ABOVEGROUND PIPING SINGLE WALL PIPING 46~ SINGLE WALL PIPING 467 PRESSURIZED PIPING (Cl~eck all that apply): PRESSURIZED PIPING (Check all that apply): 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST AUTO PUMP SHUT OFF FOR : [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST AUTO PUMP SHUT WITH OFF FOR LEAK. LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL AI.ARIV, S ALARMS [] 2. MONTHLY 0.2 GPH TEST [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST (0.1 GPH) [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPI-~) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PiPiNG): [] 7. SELF MONITORING [] 7*. SELF MONITORING GRAVITY FLOW:. GRAVITY FLOW fCheck all that apply): [] 9. 81ENNIAL INTEGRITY TEST (0.1 GPH) [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (O.1 OPt. I) SECONDARILY CONTAJNED PIPING SECONDARILY CONTAJNED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PiPiNG (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Chec~ one) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR · · RESTRiCTiON [] 12. ANNUAL INTEGRITY TEST (0.1 *GPH) [] 12. ANNUAL INTEGRITY TEST (0.1 Gl'H) SUCTiON/GRAVITY SYSTEM: SUCTION/GRAVI'i'Y SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORB ONLY (Check el/that ap/Ny) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF '.. AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST} WITHOUT FLOW SHUT OFF OR [] 15. AuTOMATtC LINE LEAK OETECTOR (3.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK DISPENSER CONTAINMENT [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK DATE INST,~LLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] S. TRENCH LINER I MONITORING _~-~f~.. [] 3. CONTINUOUS OISPENSER PAN SENSOR wlrTH AUTO SHUT OFF FOR OISPENSER + AUDIBLE AND VISUAL ALARMS [~. NONE 469 DC OWNER/OPERATOR SIGNATURE i certify that the information provided herein is true and accurate ID the best of my DATE 470 N~I~ ~WNEFf~/OPERATOR (p,nt) 471 TITLE OF O.~,~jlEF:~OPERATOR 472 UPCF (7199) S:\CU PAFORMS~SWRCI~-B.WPO C-ERTIFICATION OF FINANCIAL RESPONSIBILI]-Y FOR UNDERGROUND 8TORA~_IE TANKS CONTAINING PETROLEUM fl. hereby certifies that it is in compliance with the requirements of ,~ection 2807, Article $, Chapter 18, Division 3, T/tie 23, California Code of Regulations. The mechanisms r_~__~_ to demonstrate financial responsibility as required by Section 2807 are as follows: Note: If you are using tl~ ,..~are Fund as any part of your demonstration of flnanciai responsibility, your execu~n and submismon of this cer~_.ation also certifies that you are in compliance with all conditions for participation in the Fund. J CFR(04/9~ Ff:L~ Ofl~Jnal - L,,ocui A~ucy C..~ies - Fmliq~ibi(s) " * ~;NBTRUCTTONB ~'YJ'XC. IK~XON OF F~i~iCZ~ILT~ ItE~PONBXBXX, I~ Prim ~ or ~lnt ctNrty itt ~'~fomttm m Certtflcatt~ Of Fl~tat RmibitiW fo~.' Att ~T f~ititt~ ~ .tt~ ~ or OrltK ~Y ~ tistN ~ ~ fo~; therefore i igrlcl certtfl~te r~ir~ for ee~ site, D~ENT B. ~ ~ T~ ~ ' Fui{ ~ of e~cher the cank o~er or the o~raCor. ~ ~tor C. Wire T~ - Z~i~te ~ch State a~rov~ ~hani~Cs) are Mi~ ~ to ~o~ fi~iai r~wibit;cy either as contaJ~ in the f~rai r~iati~, ~0 CFR, Part 280, S~rt H, S~ 280.90 through 280.103 CS~ Fi~ia( K~ibiii~ Guide, for mre info~c~on), or S~cion 2802.1, Chapter 18, D~v;si~ ~, T;~te ~, CCR. m M EM - L~sc aLL ~ a~ ~resses of c~n~es a~/or i~ivi~is ~ssuing coverage. ~im N~ - List id~1~n~ n~r for each ~chanism ~. Ex~ie: ~nsura~e ~Licy ~r or file Wr as i~ica~ on ~ or d~c. (if using State Cie~ F~ CSta~e F~) teave biank.) ~ ~t - J~icate ~ of coverage for each ~ of ~hanimCs). if rare than ~e ~ani~ is ~cat~, total ~sc ~at 100~ of fi~a~ testability for each feci i i ry. W P~i~ - i~cate the effective date(s) of ali f~na~at ~hani~Cs). CState F~ coverage ~ld ~ c~ti~ as long as you ~nta~n c~a~e a~ r~in eligible ~i~ ~im - i~icate ~ or no. Does the s~ifi~ ff~iai ~hani~ provide coverage for '- corr~cive acti~? (if using State F~, i~icace ~ Par~ - · [~cate y~ or no. Does the s~ciff~ ffM~iai ~hani~ provide coverage for ~ti~ third ~rty c~ation? (Zf ~ing State F~, i~icate "y~".) D. FKiLi~ - Prov~ eLL ~ac~ty ~/or s~ce ~s a~ ~r~ses. IM~tim G. Si~ B~ - Provi~ sig~ture a~ dace sign~ by tank o~r or o~rato~; pr~nt~ Or ~ title of tank o~r o~ Q~BCOK; sigMture of ~it~ss or noca~ ~ ~te s~g~; a~ princ~ or C~ na~ o~ ~itness o~ ~ca~ C~f notary sig~ please place ~cary seal next co ~cary's sig~ture). ilere to ~lai~ Certificatim: Pteaae send origirmL to your Iota[ agency Cagoncy ~ho issues your US? permits). Keep a copy of the certification at each facility or site Listed on the form. Ouestions: If you have questions on financial responsibility requirements or on the Certification of Firmncia[ Reaponsibitity Form, p~ease contact the State UST Cteanup F~qd at (916) 739-2475. Nal:e,: Penalties for Failure to Cospt¥ .ith Financial Responsibitity Requirements: Faiture to compty may resutt in: (1) jeopardizing ctaimant etigibitity for the State UST C~eanup Fraud, and (2) [iabitity for civil permtties of up to $10,000 dottars per day, per underground storage tank, .for each day of viotation aa stated in Arttcte 7, Section 25299.76(a) of the Catifornia Hearth and Safety Code. OF BAKERSFIELD ENVIRONMENTA SERVICES 1715 Chester Ave., Bakersfield, CA 9J301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY P~e ~ of ~PE OF ACTION ~ 1. NEW S~E PERMIT ~ 3. RENEWAL PERMIT ~ 5. CHANGE OF [NFOR~TION (Spec~ change - ~ 7. PER~NENTLY CLOSED SITE (Check one i~m only) ~ 4. AMENDED ~RMIT ~cal use o~y). ~ 8. TANK RE~VED ~ 6. TEM~RY SITE CLOSURE I. FAClL~ I SITE INFORMATION N~REST CROSS STRE~ ~1. FAClL~ O~ER ~PE ~ 4. LOlL AGENCY/DISTRICT* ~--__~Oia~C ~ ~ ,. COR~TION D 5. COU~ AGENC~ ---- 2. INDIVIDUAL Q 6. STATE AGENCY' BUSINESS ~ t. ~S STATION ~ 3. FA~ ~ 5. ~MMERC~L ~ 3. PARTNERSHIP ~ 7. FEOE~LAGENCY* ~2. ~PE ~ 2. DISTRIBUTOR ~ 4. PROCES~R ~ 6. OTHER ~3. Cl~ 410. STATE 411. I ZIP~DE 412. ~OPER~ ~2. INDNIDU~ D 4. LO~AGE~IDI~I~ ~ 6. STATEA~NCY 413. D 1. ~TION ~ 3. P~ERSHIP ~ 5. ~U~AGENCY ~ 7. FEDE~AGENCY T~K O~ER~ 414. I ~NE 415. ~ILING OR SYRE~ ~DRE~ 416. CI~ 417. STA~ 418. ZIP ~DE 419. T~K O~ER ~ ~ 2. IND~DU~ ~ 4. LO~ AG~CY/DISTRICT ~ 6, STATE AGENCY 4~. ~ 1. ~TION ~ 3. PAR~ERSHIP ~ 5. COU~AGENCY '~ 7. FEDE~AGEN~ ~NO~TE ~O~S) ~ ~. SE~4NSURED ~ 4. SUR~ ~ND D 7. STATE FUND ~ 10. LOlL ~ MECHANISM ~ 2. GU~EE ~ 5. L~ER OF CREDIT D 8. STATE FUND&CFO L~ER ~ ~. OTHER: ~ 3. INSU~NCE ~ 6. ~E~ION ~ 9. STATE FUND & CD 4~. VI. LE~ NOTIFICATION AND MAILING ADDRESS ~ ~e ~ [o in~te ~i~ a~r~ ~ld be u~ f~ I~ n~fl~U~ ~ mailing. ~ 1. FAClLI~ ~' 2. PROPER~ O~ER ~ 3. TANK O~ER 4~. VII. APPLICANT SIGNATURE ~fl~fl~: I ~i~ ~at ~e Inf~ati~ p~d~ h~n is ~e ~d a~rate to ~e b~t ~ my ~ge. UPCF (7/99) S:~CUPAFORMS~s~cb-a.~ This monitoring program must be impt at the UST location at all ~ The infonaation o~ thi~ ~ proizam am conditions of the opcram~ permit. The permit ~lcler mu~ no,fy the Office of ~ S~dces within 30 days of any chan~ to th~ monitorm$ pzocedure~ ~ required to o~i. ~ ~ making the ¢~n~e. Required by Sections 2632(d) and 2641(h) CCR. Facility Address z/~0 · .~, t~a[~-~cttt.~ ~1~'~' A. Describe ~e ~u~ ofp~o~8 ~e mo~to~g: B. What methods and equipment, identified by name and model, will be used for perfo~ the monitoring: Piping .AO~-r~ .~-, ~- ~ C. Describe the location(s) where the monitoring will be performed (facility plot plan should be attach_ed): D. List the name(s) and title(s) of the people responsible for performing the monitoring ancVor, maintainins the eq Lment: E. Reporting Format for monitoring: Piping F. Describe the preventive maintenance schedule for the monitoring equipment. NoSe: Maintenance must be in accordance with the manufacmrePs mai~mee schedule but not less than every 12 months. G. Describe the training necessary for the operation of. UST system, ipc, luding piping, and the monitoring equipment: "~t/~tut,ff' }_~,c t~.~ {~,. ~,t~t,ff'~/l~i · J-: UNDERGROUND STORAGE TANKS - TANK PAGE 1 Page ~ of TYPE OF ACTION [] 1. NEW SITE PERMIT ~4. AMENDED PERMIT r-] 5, CHANGE OF INFORMATION) [] 6, TEMPORARY SITE CLOSURE (Check one ~tem only) [] ?, PERMANENTLY CLOSED ON SITE [] 3, RENEWAL PERMIT (Spec/fy mason, for local use only) (Spec/fy change, for local use only) J"] 8. TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID # 1 431 I. TANK OESCRIPTION TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] No 434 DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 '~O01TIONAL DESCRIPTION (For ~ use DoOr) ' 458 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ~j[1. MOTOR VEHICLE FUEL I"J la, REGULAR UNLEADED [] 2. LEADED [] 5. JET FUEL (If marked, complete Peb~oleum T)f~e) ~lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2. NON-FUEL PETROLEUM [] lc. MIDGRADE UNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT [] 4. HAZARDOUS WASTE (Inc/udes . COMMON NAME (from Haza~ous Materfals lnventery page) 441 I CAS # (fmm Hazardous Materfals lnvento~y page) 442 Used 0~) [] is, UNKNOWN : III. TANK CONSTRUCTION ' ::"'.: ' TYPE OF TANK ~ 1, SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 'Check one item only) [] 2. DOUBLE WALL EXTERIOR MEMBRANE LINER [] 95. UNKNOWN [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TANK MATERIAL - pdmary lank [] 1. BARE STEEL [~ 3. FIBERGLASS I ~IC [] 5. CONCRETE [] 95. UNKNOWN 444 'Check one item only) E] 2. STAINLESS STEEL E::] 4. STEEL CLAD W/FIBERGI,ASS [] 8, FRPCOMPATIBLEWI100%METHANOL E]99. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL ' sec°~dary tank E] 1. BARE STEEL [] 3, FlllERGLASS/PLASTIC [] 8. FRPCOMPATIBLEW/IOO%METHANOL E:] 95, UNKNOWN 445 Check one item only) [r-] 2. STAINLESS STEEL [] 4, STEEL CLAD W/FIBERGLASS [] 9. FRP NON-CORRODIBLE JACKET ' ' [] 99. OTHER, REINFORCED PLASTIC (FRP) E] 10. COATED STEEL TANK INTERIOR LINING [] 1. RUBBER UNED [] 3, EPOXY LINING [] 5. ~ LINING ~-195. UNKNOWN 448 DATE INSTALLEO 447 OR COATING r-I 2. ALKYD LINING D 4. PHENOLIC LINING ~-I S. UNLINED [] 99. OTHER Check one item only~ (For local use on/y) OTHER CORROSION [] 1. MANUFACTURED CATHODIC 1~ 3. FIBERGLASS REINFORCED PLASTIC E] 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPUCABLE PROTECTION C:] 4. IMPRESSED CURRENT [] 99. OTHER (Check one item only) [] 2. SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 SP,LLCONTA,,MENT ql . [] F,LLT ,ES. OF VALVE ~2. DROP TUllE ~ q [~i~. BALL FLOAT (~ ? [] 4. EXEMPT 1~3. b~I'RIKERPLATE ~ ~ IF SINGLE WALL TANK (Check e# t/Iai ep,o/y); 4~3 I IF OOUBLE WALL TANK OR TANK IMTH BLADOER (Chec/( one ~tem only); 454 [] '1, VISUAL (EXPOSED PORTION ONLY) [] 5. MANUAL TANK GAUGING (IVITG) I [] 1. VISUAL (SINGLE WALL.IN VAULT ONLY) ~j~2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE [] 2. CONTINUOUS INTERSTITIAL MONITORING [] 3. CONTINUOUS AT(] [] 7. GROUNDWATER [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + [] 8. TANK TESTING BIENNIAL TANK TESTING [] gg. OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/OAY) 455 ESTIMATED OUANTrTY OF SUBSTANCE REMAINING 4~e TANK FILLED WITH INERT MATERIAL? 4~7 UPCF (7~99) S:~CU PAFORMS\SWRCB-B.WPO CITY OF BAKERSFIELD ~715 OFFICE OF ENVIRONMENTAL SERVICEI~I~ Chetter Ave., Baker~fl®ld, CA 93301 (661) ~1~3979 UST. TANK PAGE 2 .~: Page ., of ---:~i' VI;'PIPI#O CGNaTRUCTiON (C~ck ~ m~t ~pp~yJ . UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ~ 1. PRESSURE [] 2. SUCTION [] 3, GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION/~ 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL , [] 99. OTHER MANUFACTURER 461 MANUFACTURER 463 [] I. BARE STEEL [] 6. FRP COMPATIBLE WI100% METHANOL [] 1. BARESTEEL [] 6. FRP COMPATIBLE WI100% METHANOL ~IATERIALS AND [] 2, STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] ?, GALVANIZED STEEL :ORROSION PROTECTION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HOPE) [] 99. OTHER ~ 4, FIBERGLASS [] 8. FLEXIBLE(HOPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/ COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/ COATING [] 95. UNKNOWN 465 . ...: .:- ,,.,.,.'.:.::? ::.:.:. ::. :' .: i::i'::~::! . :i:.:~:'~I.:.P:'.!p!NG LEAKDETECT1ON (checka# metapply): ' :' ...:' :!:..:'~i': - . ' · '~:iii:!~:~::i!i': UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 ~INGLE WALL PIPING 46/ PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS [] 2. MONTHLY 0.2 GPH TEST [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEC-d~TY TEST (0.1 Gl=H) [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DALLY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check all that apply): " [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST(0.1 GPH) r~ 6. TRIENNIAL INTEGRFI~' TEST (0.1 GPf~) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING [] 7. SELF MONITORING GRAVITY FLOW: GRAVITY FLOW (Check all that apply),: [] 9, BIENNIAL INTEGRITY TEST (0.1 GPH) [] S. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRFFYTEST(O.1 GPH) ~ECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all U~at apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (chad< one) (C.~.~c~ one) [] a. AUTO PU~P SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR - - RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) [] 12, ANNUAL INTEGRITY TEST (0.1 'GPfl) SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AU01BLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all t~at apply) ~ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR WFI*HOUT AUTO PUMP SHUT OFF +AUOIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR I [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK )ISPENSER CONTAINMENT [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK OATE INSTALLEO 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUOIBLE ANO VlSUAL ALARMS [] 5. TRENCHLINER/MONFTORING [] 3. CONTINUOUS DISPENSER PAN SENSOR W~TH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS ~ 6. NONE 469 DC OWNER/OPERATOR SIGNATURE I ce~i~y IhaI Ihe infon"nallon prodded hera~n is Irue and accurate ID I~e besl of my know~Jge. SIGNATURE OF OWNER/OPERaTOR DATE 470 N.~'M,~.~'~F O~WNER/OPERATOR (~r/nt) . · . 471 I TITLE OF OV~IER/OPERATOR 472 UPCF (7/99) S:\CU PAFORMS\SWRCB-B.WPD EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This momtoring program must be kept at the UST location at all times. The information on this momtoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Serviges within 30 days of any changes to the monitoring procedures, unless required to Obtain approval before n~k-lng the ¢lmnge. Required by. Sections 2632(d) and 2641(h) CCR. FaciiityName ~tL ~t~l'etlc; ~flctc{- ~[qc FaciLity Address q.~O _., Ga_It-/,-0 rata ~ 1. If an unauthorized release occurs, how will the hazardous substance be cleahed up? Note: If released hazardous substances reach the environment, increase the fire or explosion baTard, are not cleaned up fi-om the secondary, containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services.must be notified within ~4 hours. 2. Describe the proposed methods and equip, me.n.t to be u~d for removing and prqpefly _ disposing of thy. hazardous substance. ¢d4,f &,.~C t~ ..~ ,~,~ ~'J~_$or(o~mq- 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work neg, es, sary under the re§ponse plan: