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Home My WebLink AboutBUSINESS PLAN 9/13/1994 er erate Underground Hazardous Materials Storage Facility CONDITIONS ~)i?P~!!~i~iiii~I REVERSE SIDE Issued By: aAZARDODS MATaRIALS DIVISION MEL STANSBURY 1715 Chester Ave., 3rd Floor Bakersfield, CA 9330~ SIR kUBE CORP OF AMERICA (805) 326-3979 3621 CALIFORNIA AVE. BAKERSFIELD, CA 93309 Approved by: Coordinator Valid from: 12-22-93 to: 12-22-98 UNDERGROUND STORAGE INSPECTION ,' Bakersfield Fire Dept. .. "- ,, ;,~=! Bakersfield, CA 93301 FACILITY NAME -._.~;/3 1_,,.~,o., BUSINESS I.D. No. 215-000 FAC UTY ADDRESS ,re&/ Oe /q m CtTY CODE INSPECTION DATE Product Product Product TIME IN TIME OUT I~, ~,~'~ Inst Date Inst Date Inst Date INSPECTION TYPE: /k/~.~ O~.~/a~ ~p~. Size Size Size ROUTINE ~.~- FOLLOW-UP REQUIREMENTS yes/~ n/a yes no n/a yes no n/a la. Forms A & B Submitted ~r/' i lb. Form C Submitted ~ I~ lc. Operating Fees Paid ld. State Surcharge Paid / I 1 e. Statement of Financial Responsibility Submitted -~_ i ~ '" ' lf. Written Contract Exists between Owner & Operator to Operate UST ,~ 2a. Valid Operating Permit ~ t 2b. Approved Written Routine Monitoring Procedure ;~; i 2c. Unauthorized Release Response Plan ,~.~ I ~ 3a. Tank Integrity Test in Last 12 Months ~!~ { ~ 3b. Pressurized Piping Integrity Test in Last 12 Months I 3c. Suction Piping Tightness Test in Last 3 Years I ' 3d. Gravity Flow Piping Tightness Test in Last 2 Years 3e. Test Results Submitted Within 30 Days 3f. Daily Visual Monitoring of Suction Product Piping 4a. Manual Inventory Reconciliation Each Month 4b. Annual Inventory Reconciliation Statement Submitted 4c. Meters Calibrated Annually !1 5. Weekly Manual Tank Gauging Records for Small Tanks ,, / 6. Monthly Statistical Inventory Reconciliation Results ~-./' 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors 13. Continuous Piping Monitoring in Sumps 14. Automatic Pump Shut. off Capability 15. Annual Maintenance/Calibration of Leak Detection Equipment 16. Leak Detection Equipment and Test Methods Listed in LC-113 Series 17. Written Records Maintained on Site 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20. Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection inspection ,/" 22. Secured Monitoring Wells 23. Drop Tube / , P/ RE-INSPECTION DATE RECEIVED BY: / FD 1669 (rev. 9/95 UT761501 Account Number C ~UNTSRECEIVABLEADJUSTMENT May 18, 1995 Date Hew Account New Address Esther Duran Close Account From Service Change Other Adjustments X Fire Department- Hazardous Materials Division Department/Division SiR LUBE CORP OF AMERICA Billing Name Billing Add~ess Site Address Pamel # (if Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change <8.09> 05-01-95 Appro~ Remarks: WE ARE ADJUSTING OFF ALL OUTSTANDING FINANCE CHARGES BEFORE TRANSFER TO THE NEW SYSTEM. CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY September 13, 1994 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Mel Stansbury Sir Lube Corporation of America 3621 California Ave. Bakersfield, CA 93309 RE: Monitoring requirements for underground storage tanks. Dear Mr. Stansbury: Our records reveal that no precision tank testing has been performed on the waste oil underground storage tank located at 3621 California Ave. Section 2643 2(A) of Article 4; Title 23, Div. 3, Chapter 16, CCR., requires that all underground tanks that do not utilize automated leak detection shall have a precision tank test annually. Additionally, pressurized piping shall be tested annually and non- pressurized piping shall be tested every three years. Pipeline leak detectors and automated leak detection systems also have to be certified to be in working order on an annual basis. Please make .arrangements to bring the tanks into compliance with state law. If you have any questions, please call me at (805) 326-3979. Sincerely, 'Howard H. Wines, III Hazardous Materials Technician HHW/ed SERVICE STATION CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 30O7 NO. HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX SUBJECT: ANNUAL ELECTRONIC/MECHANICAL MONITORING SYSTEM INSPECTION AND METER CALIBRATION DATE: 9/13/94 LOCATION: S/S 61058000988 3621 CALIFORNIA BAKERSFI~D, CA 93309 Dear Sir, This is to certify that the annual inspection of the existing Monitoring System was performed at the above referenced facility. The method used to test t~e electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Sons, Inc. has been contracted by TEXACO R & M Inc. to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, Vice President RJM:MLS CONT. LIC. #330631 (B-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 SERVICE STATION' CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NO. HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX TEXACO R & M INC. 10 Universal city Plaza Universal City, Ca 91608 Attn: Fred Long STATION LOCATION: S/S 61058000988 3621 CALIFORNIA, BAKERSFIELD, CA93309 RE: LEAK DETECTION SYSTEM CERTIFICATION For your information and records, the leak detection system at the above referenced site was certified on 9/13/94 by R. J. Myers & Sons, Inc. as indicated below. PRODUCT LINE TANK~,~TLS~350 WASTE OIL TANK TYPE TLS-350 T~PE NO TAN~TF_ST TYPE N/A PROGRAMMED MONITOR MONITOR MONITOR __Non Existing __Non Existing Non Existing X Operational X Operational ~Operational Non Operational Non Operational Non Operational Please feel free to contract our office for any questions you may have regarding your leak detection equipment. Sincerely, R. J. MYERS & SONS, INC. Vice President ~ RJM:MLS NOTE: TLS-350 PROGRAMMED FOR GAUGING ONLY CONT. LIC. #330631 (B-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 SERVICE STATION CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NO. HOLLYWOOD, CA'. 91609 213-875-0830 / 818-768-2126' 818-768-2127 / 818-768-2128 FAX DATE OF SERVICE 9/13/94 SS#6105ROOOQRR WO# 111/,718-~QD TECHNICIAN: ERICH WEINER SERVICE REQUESTED BY: FRF. D PROBE I.D. #: IN-TANK LINE LEAK 3 UNLEAD. BILL TO: TEXACO R & M ? PLUS '/ PLUS i0 UNIVERSAL CITY PLAZA R UNIVERSAL CITY, CA & DIE.gEl, / DTF.q~. SERVICE REQUESTED: ANNUAL C~RTIFICATION DESCRIPTION OF WORK: TEST ALL LINE LEAK DETECTORS AND TN-TANJf 'PROPER OPERATION. ALL SYSTMMS Op~ATTNG PROPk-~TY AT TTM~. OF INSPECTION. MODEL# TLS-350 SERIAL# 21017750505001 SYSTEM CERTIFIED SYSTEM PSD SYSTEM RUNNING WASTE OIL SYSTEM SEABED RECEIVED AI.~Ri',I CALL AT: LEFT FOR GOB SITE: g_R.RIVED AT GOB SITE: LEFT GOB SITE: RETURN'ED TO BASE: CONT. LIC. #330631 (B-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 LLJ I ~UU Lt'-~l~ ~ i ~, i u~ ~,i-i,-~r~,o CONTRACTOR O.- R~J. MYERS & SONS) INC. TEXACO 6105800~88 PRODUCT LOCATION ,_ DATE 9/13/94 DIESEL 3621 CALIFORNIA TECHNICIAN ERICH WEIN]~, ' BAKERSFIELD, CA [ SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG, INDICATE MODEL NO, IF KNOWN RECORD SERIAL # RED WAYNE A.O. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNEI-r DRESSER DOWSER SOUTH OTHER [[ LEAK DETECTOR IDENTIFICATION CHECK TYPE SN 6087 REDJACKET I rREDJACKET I I REDJACKET I 'TOKHEIM I IOTHER MODEL 116-030 MODEL 116-017 MODEL 116-011AI J MODEL 585PM V.R. X PLD-2SEC DLD2SEC DLD 5SEC ~ , ~ DLD 2SEC SQUARE LLD HEX HEAD HEX HEAD ROUND HEAD I HEAD PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE GALLONS OTHER COMMENTS TEST PROCEDURE 'LEAK DETECTOR INSTALLED LEAK DETECTOR ISOLATED TEST AT DISPENSER FROM PRODUCT LINE - TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS H]~ GENERAL LINE AND PUMP INFORMATION HI GENERAL PUMP INFORMATION RECORD OPERATING PUMP PRESSURE __ psig. FLUSH LDT TESTOR AIR-VAPOR TEST WITH PUMP OFF MEASURE RECORD OPERATING PUMP PRESSURE __ psig. AND RECORD ML IV PRESSURE STEP TEST ]rV PRESSURE STEP TEST, SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP POSITION ROTATE ISOLATOR FULLY (CCA/V) RECORD TIME IN SECONDS GUAGE RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN A) MEASURE AND RECORD VOLUME IN · CALIBRATED BEAKER FOR 60 SECOND TEST ML CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM B) PLACE BOTTOM SELECTOR IN DISPENSER SELECTOR IN DISPENSER NOZZLE POSITION. NOZZLE POSITION. FLOW RATE OF APPROX. 1 '/2-3GAL PER MINUTE FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. DOES FLOW RATE INCREASE TO APPROX. I'/2-3GAL PER MINUTE YES NO 1'/2-3GAL PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE'OR PLACE BOTTOM C) PLACE BOTTOM SELECTOR IN SELECTOR IN 3GPH TEST POSITION: 3GPH TEST POSITION: GUAGE RETURN TO COLORED GUAGE RETURN TO COLORED ZONE YES NO ZONE YES NO GUAGE DOES NOT RETURN TO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO COLORED ZONE YES NO GAUGE GOES TO OPERATING GAUGE GOES TO OPERATING PRESSURE YES NO PRESSURE YES NO LEAK DETECTOR TEST PASS ~_FAiL PASS ~_~FAiLI LEAl< DETECTOR TEST , LDT BS0 -J_P, AK L)I:I i:L; I UPi CONTRACTOR I CUSTOMER R.'J.. MYERS & SONS, INC.I TEXACO 61058000988 z I ' PRO%UL~]~' LOCATION -- DATE 9/14/94 3621 CALIFORNIA TECHNICIAN ERICH WEINER · BAKERSFIELD, CA 93309 [ SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. INDICATE MODEL NO. IF KNOVVN RECORD S~RIAL # RED ' VVAYNE A.O. SMIIH KEENE VVESI JACKEI IOKHEIM GILBARco BENNEIT DRESSER BOVVSER SOUIH OIHER LEAK DETECTOR IDENTIFICATION CHECK TYPE SN 6085 RED JACKET RED JACKET REO JACKET I J TOKHEIM OTHER MODEL 116-030 MODEL 116-017 MODEL 116-011A~ I MODEL 585PM PLD-2SEC DLD 2SEC DLD 5SEC I J OLD 2SEC V.R. X SQUARE HEX HEAD HEX HEAD I ROUND HEAD I HEAD LLD PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE GALLONS OTHER COMMENTS TEST PROCEDURE LEAK DETECTOR INSTALLED LEAK DETECTOR ISOLATED TEST AT DISPENSER FROM PRODUCT LINE - TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS ~TT GENERAL LINE AND PUMP INFORMATION TT][GENERAL PUMP INFORMATION RECORD OPERATING PUMP PRESSURE __ psig. FLUSH LDT TESTOR AIR-VAPOR TEST WITH PUMP OFF MEASURE RECORD OPERATING PUMP PRESSURE __ psig, AND RECORD ML IV PRESSURE STEPTEST TV PRESSURE STEP TEST.SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP POSITION ROTATE ISOLATOR FULLY (CC/W) RECORD TIME tN SECONDS GUAGE RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM B) PLACE BOTTOM SELECTOR IN DISPENSER SELECTOR IN DISPENSER NOZZLE POSITION. NOZZLE POSITION. ~,~ FLOW RATE OF APPROX. 1 '/2-3GAL PER MINUTE FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX, -- DOES FLOW RATE INCREASE TO APPROX, 1V2-3GAL PER MINUTE YES NO 1'/2-3GAL PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE~OR PLACE BOTTOM C) PLACE BOTTOM SELECTOR IN SELECTOR IN 3GPH TEST POSITION: 3GPH TEST POSITION: GUAGE RETURN TO COLORED GUAGE RETURN TO COLORED ZONE YES__NO ZONE YES NO GUAGE DOES NOT RETURN TO GUAGE DOES NOT RETURN TO COLORED ZONE YES__NO COLORED ZONE YES NO GAUGE GOES TO OPERATING GAUGE GOES TO OPERATING PRESSURE YES __ NO PRESSURE YES NO LEAK DETECTOR TEST PASS X~ LEAl< DETECTOR TEST PASS ~....__.~ FAILJ I FAILI J LDT 880 - LEAK Ul:. h_..t; IuH CONTRACTOR ~ ~ CUSTOMER R.J. MYERS & SONS,-INC.'~ · TEXACO 61058000~8 z°' DATE ~ PRODUCT . LOCATION ,9/13/94 ~ I 'UNI2AD~J)' 3621 CALIFO~IA TECHNICIAN~RICH WEINER BAKERSFIELD, CA 93309 SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. INDICATE MODEL NO. IF KNOWN RECORD SERIAL # UNK RED WAYNE A.O,. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNE'Fr DRESSER BOWSER SOUTH OTHER' H LEAK DETECTOR IDENTIFICATION CHECK TYPE SN 6086 RED JACKET RED JACKET RED JACKET I I TOKHEIM OTHER MODEL 116-030 MODEL 116-017 MODEL 116-011AI I MODEL 585PM PLD-2SEC OLD 2SEC OLD 5SEC I I DLD 2SEC V.R. X SQUARE HEAD HEX HEAD HEX HEAD ROUND HEAD I L].~L) PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE GALLONS OTHER COMMENTS TEST PROCEDURE ILEAK DETECTOR INSTALLED LEAK DETECTOR ISOLATED TEST AT DISPENSER FROM PRODUCT LINE -TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS HI GENERAL LINE AND PUMP INFORMATION T~T GENERAL PUMP INFORMATION RECORD OPERATING PUMP PRESSURE __ psig. FLUSH LDT TESTOR AIR-VAPOR TEST WITH PUMP OFF MEASURE RECORD OPERATING PUMP PRESSURE ' psig. AND RECORD ML IV PRESSURE STEP TEST ]V PRESSURE STEP TEST.SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST · POSITION TURN ON PUMP POSITION ROTATE ISOLATOR FULLY {CC/W) RECORD TIME IN SECONDS GUAGE RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST V 3 GALLON PER HOUR· LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM B) PLACE BOTTOM SELECTOR IN DISPENSER SELECTOR IN DISPENSER NOZZLE POSITION. NOZZLE POSITION. FLOW RATE OF APPROX. 1 '/2-3GAL PER MINUTE FLOW RATE OF APPROX, 11/2-3GAL PER MINUTE WILL BE OBSERVED. ~ WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. DOES FLOW RATE INCREASE TO APPROX. 1'/2-3GAL PER MINUTE YES NO 1V2-3GAL PER MINUTE YES NO 3) CLOSE DISPENSER NOZZLE ~3R P~ACE BOTTOM C) PLACE BOTTOM SELECTOR IN SELECTOR IN 3GPH TEST POSITION: 3GPH TEST POSITION: GUAGE RETURN TO COLORED GUAGE RETURN TO COLORED ZONE YES NO ZONE YES NO GUAGE DOES NOT RETURN TO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO COLORED ZONE YES NO GAUGE GOES TO OPERATING GAUGE GOES TO OPERATING PRESSURE YES NO PRESSURE YES NO LEAK DETECTOR TEST PASS H FAIL LEAl< DETECTOR TEST FAILI R.J. MYERS~& , INC.' TEXACO 610580~~88 TECHNICIAN ERICH WEINER -/ BAKERSFIELD, CA 93309 · Ir SUBMERSIBLE PUMPIDENTIF~CATION CHECK MFG. INDICATE MODEL NO. IF KNOWN RECORD SERIAL ti RED WAYNE A.O. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNETI' DRESSER BOWSER SOUTH OTHER LEAK DETECTOR IDENTIFICATION CHECK TYPE SN 6084 MODEL 116-030 MODEL 116-017 MODEL 116-011A MODEL 585PM L_-_J V.R. PLD-2SEC DLD 2SEC DLD 5SEC DLD 2SEC HEX HEAD HEX HEAD ROUND HEAD SQUARE HEAD / L~D PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE GALLONS OTHER COMMENTS " TEST PROCEDURE LEAK DETECTOR INSTALLED LEAK DETECTOR ISOLATED TEST AT DISPENSER FROM PRODUCT LINE - TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS ~][ GENERAL LINE AND PUMP INFORMATION []'[ GENERAL PUMP INFORMATION RECORD OPERATING PUMP PRESSURE __ psig. FLUSHLDTTESTOR AIR-VAPOR TEST WITH PUMP OFF MEASURE RECORD OPERATING PUMP PRESSURE __ psig. AND RECORD ML IV PRESSURE STEP TEST [V PRESSURE STEP TEST. SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP POSITION ROTATE ISOLATOR FULLY (CC/W) RECORD TIME IN SECONDS GUAGE RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. NEEDLE REMAINS IN COLORED ZONE SEC. ~ 3 GALLON PER HOUR LEAK SIMULATED TEST V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM B) PLACE BOTTOM SELECTOR IN DISPENSER SELECTOR IN DISPENSER NOZZLE POSITION, NOZZLE POSITION, FLOW RATE OF APPROX. 1 'h-3GAL PER MINUTE FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES__.NO END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. DOES FLOW RATE INCREASE TO APPROX. 1V2-3GAL PER MINUTE YES NO 1'/2-3GAL PER MINUTE YES NO ,3) CLOSE DISPENSER NOZZLE 'OR PLACE BOTTOM C) PLACE BOTTOM SELECTOR IN SELECTOR IN 3GPH TEST POSITION: 3GPH TEST POSITION: GUAGE RETURN TO COLORED GUAGE RETURN TO COLORED ZONE YES NO ZONE YES NO GUAGE DOES NOT RETURN TO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO COLORED ZONE YES NO GAUGE GOES TO OPERATING GAUGE GOES TO OPERATING PRESSURE YES NO PRESSURE YES NO LEAK DETECTOR TEST FAIL, , LEAK DETECTOR TEST FAIL,, CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTALSERVlCES 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 &RSFIELD FIRE DEPARTMEI (' ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM O~ER ~ ~~g PE~IT TO OPE~TE~ CO~CTOR ~6~,u~ CO.ACT PERSON ~o6 ~O~TORY ~U~ ~ ~ ~ ~.OF S~PLES, ~. TEST METHODOLOGY ~./ /c~ ~C/~ L~ PRELI~ARY ASSESS~E~ ~CO. 6~S. ~,~ .CO.ACT PERSON CO~ RECIEPT ~ LEL% O2% PLOT P~ CONDITION OF TANKS CONDITION OF PIPING CONDITION OF SOIL COMMENTS OATE INSPEGTOR~ NAME SIGNATURE OCT--~O--~8 O?'-~1 PM $~L£¢T'MEDIcAL.I~ILLiN~. 805@6'~0457 10/20/98 1] :4~ ~ 326 0~76 BFD H.,IZ ~L~T ])IV PcmJt CITY OF BA~RSFIELD OFFICE OF E~IRONMENTAL SERVICES 1715 Chester Ave., Bakc~field, CA (805) 326-3979 PERMIT APPLICATION FOR REMOVAl, OF AN UNDERGRO~D STOOGE TANK TANK OW~ERfOP~R^?OR ~~.~__.,{ PHON~ NO, ~.:o CONT~CTO ~ IN FO~IO~ . . ~oMPANY L.~ ~~~{'~ . PHONE NO, ~,:9 ~ ~' ~ ~ U C~E ADDreSS. ~,~,~~ ...... C]~~~ , c~. PRelIMiNARY ~[NT IN~RMATION ~ 7~{ ~OMpANY ~$O~iO~T>~~S~pHo~ NO~ ' ~ '~ ~f LICENS~ TA~K CLEjN1Nq, IN~RMATIO~ _ . c_ '. TANK DESTINATION .... ~,~~~ ~.~3 . C~MICAL DA~ ~?UC~TJ~ On~ . ~ ~:.,~:~:..,/;-~Cl~'~ ......... ,.'.~e ~T~.=:..: ,. ',,.~,~'.', .... '1'111~ API,I,ICANT HAS REC~D. [~DJ~RSTA~S. ~ ~J, CO~'I.Y W[TII TI,E Al'rAtifieD COBDt'[IONS O1,' Iqd~Ml'l' AND ANY OI1 IILR ~'I'A ITL 1,(~AI, ~D I:EDEA ./ Tills APPLICATION BECOME A PERMIT Wll:n APPRO~D EO_UlION Shell r, Texa¢~ Wo~l~i~ Together September 24, 1998 ~ City of Bakersfield, CUPA Fire Department Ralph E. Huey, Director 1715 Chester ,Ave, Third Floor Bakersfield, CA 93301 Re: Underground Storage Tank Permits for Texaco Locations Dear Sir: Equilon Enterprises LLC (Texaco Refining and Marketing Inc) is updating their database on Underground Tank Permits. Please send copies of the current permits you have on file for the following Texaco locations: See attached Send to Service Station Services, attn: Bob Watson, 3 Hutton Centre Drive, Suite 711, Santa Aha, CA 92707. If there is a charge for copying, please communicate directly with Bob Watson at 714/546-1227 ext. 229. Thank you. Feryal Sarrafian SH&E Compliance Coordinator Equiva Services LLC Attachment: STAT_NUM S_ADDNUM S_ADDRESS S_CITY TK P TK SCHDT TK_JLTR 61-058-0004S0 5321 STOCKDALE/NEW STINE BAKERSFIELD 280008C 07/01/94 CIBK 61-058-000700 3698 MING~REAL ROAD BAKERSFIELD 280009C 07/01/94 CIBK 61-058-000799 4050 GOSFORD RD/WHITE LN BAKERSFIELD 670 07/01/99 CIBK 58-000988 3621 CALIFORNIA AVE/REAL RD BAKERSFIELD 330 12/22/98 CIBK 2401 N OAK/TWEN~-FOURTH BAKERSFIELD 389 07/01/99 CIBK 61-058-001408 2601 WHITE LA/~/POTRERO BD/CERSFIELD 879 09/27/98 CIBK BAKERSFIELD FIRE DEPARTMENT June 16, 1998 FIRE CHIEF MICHAEL R. KELLY Mel Stansbury P.O.Box 5152 ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93388 Bakersfield, CA 93301 (805) 326-3941 FAX(805) 395-1~9 RE' 2000 Gallon Waste Oil Tank Located at 3621 California Avenue S~,.mION SE~CU NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE 2101 'H' Street Balcersfleld, GA 93301 (805) 326-3941 FAX (805) 395-1349 Dear Mr. Stansbury: PREVENTION SERVICES A review of your file indicates that your 1 year temporary closure status 1715 Chester Ave. Bakersfield, CA93301 on the above reference tank expired on January 10, 1998. (805) 326-3951 FAX (~05) 32643576 The tank has not been properly permitted and has been out of service, ENVIILK)NMENTAL SERVICES therefore you are in violation of the following sections of the Uniform Fire Code 1715 Chester Ave. Bakersfield, CA 93301 as adopted by the Bakersfield Municipal Code Chapter 15.64. (805) 326-3979 FAX C805) 326-0576 Section 7902.1.7.2.3 Uniform Fire Code (1994 Edition) TRAINING DIVISION ~2 W~or S~eet "Underground tanks which have been out of service Bakersfield, CA 93308 (805) 399-4697 for a period of (1) year shall be removed from the FAX (805)399-5763 ground in accordance with section 7902.1.7.4 and the site be restored in an approved manner." The specific remedial actions necessary to return the property to compliance has been provided to you in our correspOndence dated January 10, 1997. The purpose of this letter is to impress upon you the need to take immediate action. With that goal in mind, I urge you to return the property to compliance through cooperation with the Office of Environmental Services. I must inform you that failure to correct these violations before July 15, 1998, may necessitate legal action, including, but not limited to misdemeanor citation and/or injunctive relief. BAKERSFIELD FIRE DEPARTMENT January 10,1997 FIRE CHIEF Mel Stansbury MICHAEL R. KELLY P.O. Box 5152 Bakersfield, CA 93388 ADMINISTRATIVE SERVICES 2101 'H* Street Bakersfield, CA 93301 RE: 3621 California Avenue (805) 326-3941 FAX (80,5) 395-1349 Dear Mr. Stansbury: SUPPRESSION SERVICES 2101 'H' Street This is to confirm that the 2000 gallon waste oil underground storage tank has been granted Bakersfietci, CA9330i temporary closure by this agency for the 12 month pedod beginning January 10, 1997 and (8O5) 326-3941 FAX(805) 395-]349 ending on January 10, 1998. PREVENTION SERVICES Temporary closure is hereby granted under the following conditions contained in Title 23 of 1715 Chester Ave. the California Code of Regulations: Bakersfield, CA 93301 (805) 326-3951 FAX(805) 326-0576 2671. TEMPORARY CLOSURE REQUIREMENTS ENVIRONMENTAI. SEEVICES' (a) An Owner or operator shall comply with all of the following requirements to complete 1715 Chester Ave. and maintain temporary closure of an underground storage tank: Bakersfield, CA 93301 (805) 326-3979 FAX(805)326-0576 (1) All residual liquid, solids, or sludges shall be removed and handled in accordance with the applicable provisions of in accordance with Chapters 8.5 TEAINING DIVISION and 6.7 of Division 20 of the Health and Safety Code. 5642 Victor Street Bakersfield, CA 93308 (805) 39q-4697 (2) If the underground storage tank contained a hazardous substance that could FAX (805)399-5763 produce flammable vapors at standard temperature and pressure, it shall be inerted, as often as necessary, to levels that will preclude and explosion or to lower levels as required by the local agency. (3) The underground storage tank may be filled with a non corrosive liquid that is not a hazardous substance. This liquid shall be tested and the test results submitted to the local agency pdor to removal from the underground storage tank at the end of the tempora~ closure report. (4) Except for required venting, all fill and access locations and piping shall be sealed using locking caps or concrete plugs. (5) Power service shall be disconnected from all pumps associated with the use of the underground storage tank unless the power services some other equipment which is not being closed, such as the impressed-current cathodic protection system. (b) The monitoring required pursuant to the permit may be modified by the local agency during the temporary closure period. In making a decision to modify monitoring requirements, the local agency shall consider the need to maintain monitoring in order to detect unauthorized releases that may have occurred dudng the time the underground storage tank was used by that have not yet been detected. In all cases, corrosion protection shall continue to be operated. (c) The underground storage tank shall be inspected by the owner of operator at lease once every three months to vedfy that the temporary closure measures are still in place. The inspection shall include but is not limited to the following: (1) Visual inspection of all locked caps and concrete plugs. (2) If locking caps are used, at least on shall be removed to determine if any liquids or other substances have been added to the underground storage tank or if there has been a change in the quantity or type of liquid added pursuant to subsection (a) (3) of this section. (d) At the end of a temporary closure pedod over 12 months, including any extension granted by the local agency, the owner may reuse the underground storage tank only it the tank meets the requirements of Article 3 for new underground storage tanks or is upgraded to meet the requirements of Article 6. (e) All new and existing underground storage tank systems which have been temporarily closed must continue to comply with repair and record keeping requirements, release reporting and investigation requirements, and release response and corrective action requirements specified in this chapter and Chapter 6.7 of the Health and Safety Code. Failure to comply with the requirements will immediately terminate the temporary closure status. Upon termination of temporary closure, either through non-compliance or by expiration of the 12 month term, the tank must either be integrity tested and re-permitted for operation or else removed from the site under a valid permit for permanent closure. If you have any questions regarding this temporary closure authorization, please call the Office of the Environmental Services at 326-3979. Sincerely yours, r Office of Environmental Services REH/dlm .... RESPONSIBILITY FOR UNDERC~IOUND 8TOFIAGE TANKS CONTAINING PETROLEUM .4. ~ ! mi~iea debr~ per oeemzeaee B. iv1 ~ C_ ST~ ~.~ ~ hereby certifies that it is in compliance' with the requirements Of Section 2807, Article 3, Chapter 18, Division 3, 77tie 23, California COde of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: ,~u,,5 rP_ c!~ c~P -cO Note: if you are using the State Fund as any part of your demonstration of financial responsibility, ~ur execution and submission of this certification a/so certifies that you are in compliance w/th ail conditions for parEcipation in the Fund. Fro'lib/Nme , F aei~e~dd~e~ BAKERSFIELD FIRE DEPARTMENT December 11, 1996 n~ C,IEF Texaco Refining & Marketing MICHAEL R. KE[I.¥ 1 900 East Los Angeles Avenue, Suite 200 Simi Valley, CA 93065 '" 2101 'H' 8Qkemflolrt, CA 93301 (~) 326.3941 RE: Underground Storage Tank located at Sir Lube, 3621 California Avenue in Fax (~) 39s-1339 Bakersfield CA. SUPPI~ES$1ON SEIIVICE$ 21Ol-.-Stree* Dear Texaco Refining & Marketing: Boker~fiel0, CA 93301 (805) 326-3941 FAX (~)39s-m9 As I am sure you are aware, all existing single walled steel tanks that do not meet the current code requirements must be removed, replaced or upgraded to P~IB/ENllON SEIIVICE$ meet the code by December 22, 1998. Your tank does not currently me~t the new 171 $ Chester Ave. ~ke~e~o, CA 93~01 code requirements and therefore falls into the remove, replace or upgrade (805) 326-3951 FAX (~05) 326-0576 category. Your current operating permit expires on or before that date and of course will not be renewed until appropriate upgrade of your tank system is ENVI~ONMEm^L SE~WCES accomplished. 171..5 Chester Ave. Bokersfiel(~, CA 93301 (80s) 326-3979 In order to assist you and this office in meeting this fast approaching FAX (t31~5) 326-0S76 deadline, I have attached a brief questionnaire addressing your plans to upgrade m~N~NG D*WSION this tank. Please complete this questionnaire and return it to this office by 5642 Victor Street Bokerst*e~, CA 9330~ Friday, December 27, 1996. (805) 399-~697 lAX (~15) 399-5763 If you have any questions concerning your tank or if we can be of any assistance, please do not hesitate to contact this office. Sincerely, Ralph E. Huey Hazardous Materials Coordinator Office of Environmental Services REH/dlm attachment ? FIJ~ SAFETY SERI"ICES & OFFICE OF ENI'?£ONME~I'AL SERI'?C~$ 1715 CHESTER AVE. · BAKERSFIELD, CA · 93301 SEP 2 8 1995 R.E. HUEY ' ' "[~.B~ TOBIAS,' HAZ-MAT COORDINATOR : ,80 ,32 ,70 FINAL NOTICE!!! . . ,. RLWOGATION OF UNDEROROUND STOOGE :T~K PERMIT '-, ' WILL FOLLOW IN 30-DAYS IF VIOLATION PERSISTS Plelea be awlre that flllure to IN~Dvide the filmnoill reaponelblllty dooument to thii ~ within ~'dlp/~ Will r~lull In your Permit lo Operale beiflg revolmd (2S28S.l(b) California Health I S~fel,/Code). 5-000-000502 SIR LUBE CORP OF AMERICA 3621 CALIFORNIA AV BAKERSFIELD, CA 93309 .,. MEL STANSBURY " Dear Underground Storage Tank Owner.' Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Our records also indicate that you have been issued at least one warning letter prior to this notice. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification for Financial Responsibility form and return it to this office within 30'days. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for con~-tive actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) ara as follows: If you don't sell product from your tanks, and you pump less than 10,000 gallons per month, check "$500,000 per occurrence". For owners of 101 or more petroleum uncterground storage tanks, check the '2 million dollar annual aggregate' box. All other need only check the "1 million dollars annual aggregate'. If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-3979. Sincerely, H~TArdous Materials Coordinator REH/dlm attachments "WE CARE" January 30, 1995 FIRE DEPARTMENT 171S CHESTER AVENUE M. R. KELLY C.,E WA R N I N G ! CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED SiR i...DBE CORP OF: AMERICA 3821 CALIFORNIA AV BAKERSFIELD, CA 93309 Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification of Financial Responsibility form. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from you tanks, and you pump less than 10,000 gallons per month, check ".$500,000 per occurrence". Else, or if you are in the business of selling from your tanks, check "1 million dollars per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All others need only check the "1 million dollars annual aggregate' box. Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in your Permit to Operate being revoked. (25285.1 (b) California Health & Safety Code). If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-397g. Sincerely, Hazardous Materials Coordinator REH/dlm CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF October 20, 1994 326-3911 SIR LUBE CORP OF AMERICA ,3621 CALIFORNIA AV BAKERSFIELD, CA 93309 Dear Business Owner: This notice serves as a reminder that owners of underground storage tanks must be registered with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit an Underground Storage Tank renewal application form, Forms A. B and C completed for each tank at this facility (forms included) and a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH/ed CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° ~ 000:1 Location Sub Div. Blk. . You are hereby required to ~nake the following cor~ctions at the above location: Cot. No Completion Date for Corrections ~/,//~'/'~'~ .,~ 328-3975 Bakersfield Fire Dept. UNDERGROUND STORAGE TANK INSPECTION ,~ ~ Hazardous Materials Division Date Completed / Operating Permit: (~, ~Oe2.gh~ . ~hr'~ C~C__~ Business Name: ~ 1',~ 0~?, ~ ~~ Loca~on: ~1 ~_~['~~ ~u~ Business Identification No. 215-000 ,~ (Top of Business Plan) Number of Tanks. I T~e: ~.,e,~,~; ~ s~ Containment: ~' Lines: s,'~ ~ ~ ~. ~(~ k ~ CONTACT INFORMATION Owner: Emergency Contacts: Adequate Inad~ Monitoring Program D ' RECORDS Maintenance r'l Testing Inventory Reconciliation RESPONSE PLAN Violations: /7)_5/;LS F~z:2/,.~/,,,~~_. AIl Items O.K. ~1/ _ Business Owner/~' --' Correction Needed ~ ~, White - Haz Mat Div Pink - Business Copy ~ BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 RECEIVED APP~.ICATION TO P~.~FORM A TIGHTNESS TEST ~ 2 5 1993 HAZ. MAT. DIV. FACILITY Texaco #6~-058 0988 ADDRESS 3621 California/Real PERMIT TO OPERATE ~ OPERATORS NAME Texaco #61-058 0988 OWNERS NAME Texaco Refining NUMBER OF TANKS TO BE TESTED 4 IS PIPING GOING TO' BE TESTED Yes TANK# VOLUME CONTENTS 1 12 ~ 000 Regular 2 . 12 ~000 Unleaded 3 12,000 Premium 4 8,000 Diesel TANK TESTING COMPANY Horizon Engineering ADDRESS P. 0. Box 8490 Mesa, AZ 85214 TEST METHOD Tracer Tight NAME OF TESTER Mike Sahlin CERTIFICATION ~ 95-1518 STATE REGISTRATION ~ DATE & TIME TEST IS TO BE CONDUCTED March 29~ 1993 ~PP~OVED~J~f].~;<3'/ DATE SIGNATURE OF APPLICANT B FIELD FIRE DEPA MENT HAZARDOUS oIViSlO PERMIT TO OPERATE UNDERGROUND ILAZARDOUS STORAGE FACILITY Permit No.: 180006C State ID No.: 16674 Issued to: SIR LUBE CORP. OF AMERICA Location: 3621 CALIFORNIA AVE. BAKERSFIELD, CA 93309 Owner:. SIR LUBE CORP. OF AMERICA 3621 CALIFORNIA AVE. BAKERSFIELD, CA 93309 Operator:. SIR LUBE CORP. OF AMERICA 3621 CALIFORNIA AVE. BAKERSFIELD,. CA 93309 Facility Profile: Yen~ Is Piping Tank No. Substance Capaci~ Installed ~ 1 DIESEL 8,000 GAL UNKNOWN YES 2 GASOLINE 12,000 GAL UNKNOWN YES 3 GASOLINE 12,000 GAL UNKNOWN YES 4 GASOLINE 12,000 GAL UNKNOWN YES Thin permit is granted subject to the conditions listed on the attaehed summary of conditions and may be revoked for failure to adhere to the stated conditions and/or violations of any other State or Federal real--ns. Issued b~ Ralph E. Huey Issue Date: JULY 1, 1991 Title: Hazardous Mater/als Coordinator Expiration Date: JULY 1, 1994 POST ON PREMISES NONTRANSFERABLE KERNi: ,C o.u N,,i,T Y RESOURCE M~AGEMENT AG 'FN (. · HEALFH SERVICES, DEPARTIT ' " -'" 2705! M STREET, SUI'TE'300, BAKERSFIELD~CA.93301 " (805)861-3636 UNDERGROUND HAZARDOUS SUBSTANCE 'STORAGE FACILITY " ~ INSPECTION REPORT :~ 8AKERSFI ELD, CA OWNERS NAME:STANSBERRY~ ~EL ITEM PRIMA~Y CONTAINMENT MONITORING: a. Inte,ce,ting an directing systea Modified Inventory Control In-~ank Level Sensing Device e. G~oundwate, Monitoring ~S~CONDARY CONTAINMENT MONITORING: b. Double-Hailed ~ank PIPING ~4ONITORING: a. P~essuPized b. Suction Gravity TIGHTNESS TES[NG ~ NEN CONSTRUCT!ON/MO6I~!CATIONS CLOSUR~/ASANDONMENT ) UNAUTHORIZED R~LEA~ 9. MAINTENANCe. GENERAL 3AFETY~. AND OPERATING CONDITION OF FACILITY COMMENTS/RECOMMENDATIONS ........................................................................................................................................................................ GARY J. WICKS 2700 M Street, Suite 300 Agency Olrector Bakersfield, CA 93301 . ...-;-~?~'~¥'~-~ Telephone (805) 861-3636 (805) 861-3502 /j~~-'.._ Telecopier (805) 861-3429 STEVE McCALLEY O,r.c,o. R ESOU R C E ::M:ENT AG EN CY D E P AR TMEN~~NVI~_~NME NTAL HEAE~_SERVICES P~T ~ ~~ ~~ P~T ~ 180005M ~ FACI~ · .. ' .':.~ ':'~' Way S~~°n (~c°) .~ ...-... ~sfield, '" '- "' - '. "' - '-"~ .... ........ '" :- ' 93307 ~ - '"'. . ..' .:' . Ph. % (805) 326-4389 Ph: % (805) 834-1100 · ~c~e ~294074 .. ~ BUS--SS I P~T ~I~ ~c~r 5, 1989 ~,. ~D~F~ON ..... ~ I ~P~ B~ ] ~- S~key ~z~ous ~teri~s S~c~ist ................................ ~ ~ P~SES ........................... S~ Ins~c~ons 1. ~s ~t a~lies o~y ~ ~e m~fica~on of ~ ~s~g facili~ ~volv~g excava~on of v~t l~e on ~esel ~ to det~e probl~. 2. ~1 coercion to ~ as ~ facili~ plus a~oved by ~s de~ent ~ v~ifi~ ~ ~s~c~on ~ Pe~t~g Au~ori~. ~ 3. acco~ce'~ ~1 ~ac~ers' s~cifications. 4. Pe~ttee must con, ct Pe~t~g Au~ori~ for on-site ~s~c~on(s) 48-ho~ ad--ce no~ce. .. · 5. ~c~i~ ~t~i~ for pip~g to ~ as ~r ~ac~ers' s~cifica~0ns. 6. ~ns~c~on ~s~c~on reco~ is ~cl~ ~ ~s ~t. P~ttee m~t con, ct Pe~t~g Au~ori~ ~ ~ge for ~e r~Hr~ ~s~c~on as ~r ~c~on on c~. Ins~c~ons ~11 ~ ~de of: a. , Pip,g, ~s~ctor si~e b. ~y o~ ~s~c~on de~ necess~ ~ Pe~t~g Au~ori~ PERMIT TO CONSTRUCT PERMIT NUMBER 180006M UND~ STORAGE FACILITY ADDENDUM 7. If contamination is discovered a prel~ury site assessment will required, with soil samples. County Division of Environmental A.~l. catton Date X~ i-~O~Flower Street, Bakersfield, CA 93805 _ APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (cl~eck): ~]New Facility[]Modiftcatton Of Facility,]Existing FactlttyC]Transfer Of Ownership A. Emergency 24-Hour Contact (name, area code, phc.e): Days No. Of Tanks Type Of Business-(~he~): ~Oasoline Station ~ther (describe) ~./~; Is Tank(s) Located On An Agricultural Farm? ~Yes ~No Is Tank(s) Used Primarily For Airicultural Purposes? ~Yes ~No T ~ R SEC (Rural Locations Only) B. Water To Facility Provided By ~=~ ~-/~- Depth to Groundwater Basis For Soil Type and Groundwater Depth D~erminations .~~.~..~ - C. Contractor ~E~ ~. CA Contractor's License No. ~~ Proposed Starting Date ~_~. Proposed Completion Date ~...~ Worker's Coapensation Certification No. ~ ~',/~ Insurer ~ ~ D. If This Permit Is For Modification Of An Existing Facility, Briefly Descril E. T~nk(s) Store (che~k ull that apply): Tank ~ Waste Product Motor Vehicle Uuleuded Regular Premium Diesel Waste Fuel Oil, 0 o '0 0 0 0 0 0 0 0 0 0 F. Chemical Comgositton Of Natertals Sto~ed (not necessar~ for motor vehicle fuels) Tank ~ Chealcal Sto~ed (non-comaerclal n~e} CAS ~ {tf known} Chemical P~eviously 0. Transfer'Of Ownership Date Of Transfer Previous Owner Previous Facility Name I, accept fully all obligations of Permit No. issued ~ [ understand that the Permitting Authority may review a~ modify or terminate the transfer of the Permit to Operate this underground store: facility upon receiving this completed form. This form has been completed under penalty of perjury and to the best of my knowledge is tru, and correct. ,~ ../~ ~ : Cupy ul' HrllLuu ColllrncL UuLt,,~uull UWlu:r & Upur4ilur lJaLe " Ua L ~ DaLe UnLu 1) II L u UnauLhurJi, cd I{uJcn:~u Ih~purLs tlVF I~lnll Ch~ck (l~xisLJul: SLaLul~ellL u[ UHd~ri:r,~ul~d Cu,..iulL~ 'R E C E I P T PAGE I-~§~789 InvOice Nbr. 1. 22271 4:23 pm KERN COUNTY PLANNING & DEVELOPMENT ,. · 2700 'M' S~reet .... :'~ Bakersfield, CA 93301 TyPe of order '~ (805) 861-2615 CASH REGISTER R L N EQUIPMENT , ".; Customer P.O.~ { Nth By IOrder Date I Ship Date [ Via I Terms H083t89-8 i DLG I 08/31/89 I 08/3t/89 I I NT L~-~ription Quantity Price Unit Disc Total 1 TANK PLAN CHECK 1 100.00 E 100.00 170A Order Total 100.00 Amount Due 100.00 Payment Made By' Check 00.00 THAN K YOU ! GROUNDWATER TECHNOLOGY, INC. 4101Alke 4~ 589-8601 ~x: (805) 589-8605 September 13, i989 Turonda Crumpler Kern County Environmental Health Services Department 2700 "M" Street, Suite 300 Bakersfield, CA 93301 RE: Texaco station located at 3621 California Avenue, Bakersfield. Dear Ms. Crumpler: This correspondence will serve to inform Kern County Environmental Health Department (KCEHD) of actions taken to date and of Texaco Refining and Marketing, Inc.'s (TRMI) intended future course of action at the above referenced facility. On September 11, 1989, TRMI was advised of the presence of hydrocarbon impacted soils at the site. These impacted soils were observed near the surface in excavations used to repair tank vent lines. The hydrocarbon impaction seems to be restricted to the excavation near the west end of the regular tank. No laboratory analyses of soil samples are available at this time. Figure 1 shows general station layout and approximate excavation locations. Because the hydrocarbons are restricted to one excavation, TRMI proposes to excavate hydrocarbon impacted soils. At this time TRMI is anticipating the removal of approximately 28 yd3 of soil. The impacted soils will be stored on site pending treatment or disposal as determined after completion of the excavation. A total of four soil samples will be taken following completion of the excavation to document the removal of all impacted soils from the excavation. Three soil samples will be taken from the excavation walls and one from the floor of the excavation. In addition, the excavated soil pile will be sampled to determine the degree of impaction. All soil samples will be analyzed by GTEL Environmental Laboratories for BTEX and Total Petroleum Hydrocarbons. Results of these analyses will be made available to KCEHD within five days of analyses completion. Should impaction prove to be greater in extent than what is currently anticipated, TRMI will halt further excavation and contact KCEHD to discuss alternatives for assessment at the facility. Offices throughout the u.s.. Canada and Overseas Please review the above workplan and contact TRMI with authorization to proceed as outlined or with comments to the workplan. We appreciate your prompt response on this matter. Should you have questions regarding this project please contact TRMI representative Jon Baldwin at (818) 505-2468. Sincerely, GROUNDWATER TECHNOLOGY, INC. Michael Wood Territory Manager Hydrogeologist enclosures: Figure 1 cc: Jon Baldwin, TRMI Roger Johnson, TRMI GROUNDWATER TECHNOLOGY, INC. 2700 "M" STREET, STE. W A cation Date ~ ~"~i..iC~ BAKERSFIELD, CA 93301 \7 ~- APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): C]New FacilitYC]Modiftcation Of Facility C]Existtng Factlity~Transfer Of Ownership A. Emergency 24-Hour Contact (name, area code, phone): Days [ ~5~-) Facility Name ~,~/~ ~~ Nlghts('~OD~? ~f~¢ No. Of Tanks Type Of Business (check)': ~Gasoltne Station ~Othe~ (describe) Is Tank(s) Located On An Agricultural Farm? ~Yes ~No -- Is Tank(s) Used Primarily For Agricultural Purposes~ ~Yes ~No Facility Address ~/ d~{~o~ ~d~ Nearest Cross St. ~ ~ T R SEC (Rural Locations Only) ' .. ', _1 Address ~tl~ ~he~,f ~~ Zip ~,~,~p~ 'Telephone ~o.~-'~-~q~ Operator ~'t'~ k~b~ Contact Person Lo~'s ~i~ Address ~ ~~ ~ Zip ~3~0~ Telephone B. Water To Facility Provided By ~h' C~ {~ ~r~.~o,c~ Depth to Groundwater Soil Characteristics At Facility Basis For Soil Type and Oroundwater Depth Determinations C. Contractor CA Contractor's License No. Address Zip Telephone Proposed 8tarring Date Proposed Completion Date Worker's Compensation Certification No. Insurer D. If This Permit Is For Modification Of An Existing Facility, Briefly Describe Modifications Proposed E. Tank(s) Store (check all that apply): Tank ~ Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste Fuel 0tl 0 0 0 0 0 0 0 F. Chemical Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank ~ Chemical Stored (non-commercial n~e) CAS ~ (if known). Chemical P~evtousli Stored (if different) O. Transfec Of Ownership Date Of T~ansfer /',~-]~-'Y$ Previous Owner ~,'~,,~ Previous Facility Name '"~'~ .~C.~ [.0 ~._~ ..~'~ I', ~] .~+a_~L~ accept fully aH obligations of Permit No. issued to . ~i~ L~.~_ d'g>~ ~(~*.v,=~ i understand that the Permitting Authority may review and modify or termihate the transfer of the Permit to Operate' this underground storage facility upon receiving this completed form. This form has been completed under penalty of perjury and to the best of my knowledge ts true and correct. ~ ' ..,: ~...~,. Signature ~ ._~.~ ~ ~'~<1 Title COUNTY OF KERN " Environmental Health Services Department Bakersfield, CA 9~3301 . (805) 861-3636 (805) 86L-3429 Fax Number ~\,~ ( May 9, 1989 Texaco Refining Marketing ATTN: Doug S. Elston 10 Universal City Plaza Universal City, California 91608-1097 RE: 3621 California Avenue, Bakersfield, California Dear Mr. Elston: On December 13, 1988, tile Kern County Environmental Health Services Department received your transfer of ownership application for the underground storage tanks located at 3621 California Avenue, Bakersfield, California, and the permit fee. Inadvertently, the state surcharge was not included when the permit fee was assessed as required by the California Health and Safety Code Chapter 6.7 Section 25287(b). The Kern County Environmental Health Services Department must collect a surcharge of fifty-six dollars ($56.00) per tank on each pe~$0n who ~ubm~ an application for a new facility or transfer of ownership. This amount is reflected on the enclosed invoice. The permit number will be changed to reflect the change of ownership from 180006C to 180023C. Also, your anniversary date will be December each year, at which time the annual invoice will be sent to the address indicated on the application. If you have any questions please do not hesitate to contact me at (805) 861-3636. Sincerely, Turonda R. Grumpier, R.E.H.S. Environmental Health Specialist I Hazardous Materials Management Program TRC:cas \texaco.let 5-9-2 COUNTY O'F KE \ .' Environmental Health Services Department ~-7oo "M" Stree~ Suite 300 Bakersfield, CA 9330t (805) 861-3636 (805) 861-3429 Fax Number. ~. May 8, 1989 Jiffy Lube ATTN: Mr. Mel Stansberry 800 Oak Street Bakersfield, Galifornia 93304 RE: Permit Number~ Dear Mr. Stansberry: It has come to the attention of the Kern County Environmental Health Services Department that there has been a change of ownership concerning underground storage tanks located at 3621 California Avenue, Bakersfield, California 93304. According to our records, interim permits to operate were .issued to Jim Bailey for this facility. A permit to operate underground storage tanks is not transferrable as stated on the permit conditions and on the permit itself. You are therefore in violation of : 1. Division 8, Section 8.48.110(B) of Kern County Ordinance which states "any person assuming ownership of an underground storage tank used for the storage of hazardous substances for which a valid permit to operate has been issued shall have thirty (30) days after the date of assumption of ownership to apply for a permit to operate..." 2. DiviSion 20, Chapter 6,7, Section 25284(a) of the California Health and Safety Code which states "...no person shall own or operate an underground storage tank unless a permit for its operation has been issued by the local agency to the owner." Jiffy Lube May 8, 1989 Page 2 I have enclosed the application for permit to operate the facility. The completed forms must be returned to this office within two weeks of the date of this letter. Since date of ownership transfer was December 15~ 1988 , the permit invoice will be back dated to reflect your anniversary date and a 50% penalty charge will be added as required in the County fee ordinance. Annual fees are charged for the permit, thus your next billing date will be December 15,1989. The current fee invoice is enclosed. As per the California Health and Safety code Chapter 6.? Section 25287(b) which states "this fee shall include a surcharge...", the Kern County Environmental Health Services Department must assess a surcharge of fifty-six dollars ($56 00) per tank on each person who submits an application for a new facility or transfer of ownership. This amount is also reflected on the enclosed invoice. If you have any questions please do not hesitate to contact me at (805) 861-3636. Your cooperation is much appreciated. Very truly yours, ~uronda R. Crumpler, R~E.H.S. Environmental Health Specialist I Hazardous Materials Management.Program TRC:cas Enclosures \jiffylub.vio 5-8-3 COUNTY OF KERN ' Environmental Health Se~ices Depa~ment 2700 "M" Streek Suite 300 Bake~flel~ CA 93301 (80~ 86t-36~ (805) 86t.~29 F~N--.r ~/~ ATTN: ~r. Mel Stansberr¥ Bakersfield. Caiifornia 93304 RE: Permi~ Number 1800060 Dear Mr. S~ansberr~: I~ has come ~o ~he attention of ~he Kern 0ounty Environmental Health Services Depar~men~ ~ha~ ~here has been a change o~nership concerning underground storage ~an~s located at 3621 Oali~ornia Avenue, Bakersfield, 0ali~ornia 93304. According to our records, interim permi~s ~o operate were .is~ued to Jim Bailey for this facility. A permi~ to operate underground ~torage tanks is not transferrable a~ stated on ~he permi~ conditions and on the permit i~self. You are therefore in violation of : i. Division 8, Section 8.48.110(B) of Kern County Ordinance which states "any person assuming o~nership of an underground storage tank used for ~he storage of hazardous substances for which a valid permit to operate has been i~sued shall have thirty (30} day~ after the date of assumption of ownership to apply- for a permit ~o operate..." 2. Division 20, Chapter 6,7, Section 25284(a) of the California Health and Safely Code which person shall o~n or operate an underground s~orage tank unless a permit for it~ opera,ion ha~ been issued by ~he local agency to the o~ner." Jiffy Lube May 8, 1989 Page 2 I have enclosed the application for permit to operate the facility. The completed forms must be returned to this office' within two weeks of the date of this letter. Since date of ownership transfer was December 1§, 1988 , the permit invoice will be back dated to reflect your anniversary date and a 50~ penalty charge will' be added as required in the County fee ordinance. Annual fees are charged for the permit, thus your next billing date will be December 15z1989. The current fee invoice is enclosed. As per the California Health and Safety Code Chapter 6.7 Section 25287(b) which states "this fee shall include a surcharge...", the Kern County Environmental Health Services Department must assess a surcharge of fifty-six dollars per tank on each person who submits an application for a new facility or transfer of ownership. This amount is also reflected on the enclosed invoice. If you have any questions please do not hesitate to contact me at (805} 861-3636. Your cooperation is much appreciated. Very truly yours, Environmental Health Specialist I Hazardous Materials Management Program TRC:cas Enclosures \jiffylub.vio 5-8-3 INSTRUCTIONS FO~ APPLICATION ~0~ PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGH FACILITY TI{ESE INSTRUCTIONS APPLY TO EXISTING OPERATING AND NON-OPERATING TANKS/FACILITIES. PLEASE READ CAREFULLY BEFORE FILLING' OUT ENCLOSED APPLICATION FORMS. I. First page entitled "Application for Permit to Operate ~! Underground llazardous Substances Storage Facility" must be fllled out for each facility. A facility is defined as any one, or -' combination of underground storage tanks used by a single i : business entity at a single physical location or site. I. A) Complete section "A", "B" (if available), and "E". Also complete "F" if substance stored is not a motor vehicle fuel. Sign and date at bottom. .. B) For section "E", assign tank numbers to all of the tanks within the facility. Attach additional sheet(s) If facility has more than four tanks. Maintain the same numbering scheme throughout application process. II. Second ~ of application (the "tank sheet") must be filled out for each tank. A. Use the same tank numbers assigned on first page, part B. Carefully complete form. checking ail applicable boxes within each section describing tile tanks and its associated piping; whenever possible, attempt to find Information needed about the tank before checking "unknown" co/Hans. III. For each facility application submitted, lnclude a plot plan drawn to scale (minimum sheet size 8 1/2" x ll") depicting location of tank(s), piping, and dispensers In relation to property lines, buildings, nearest road or intersection, agricultural or domestic water wells, and; canals In the immediate vicinity of the facility (approximately 100' radius around tanks and piping). Also Include "as-built" drawings showing details of construction for tanks, piping and monitoring system of the facility, If available. IV. Return forms and attachments within 7 days: Kern County Health Department Division of Environmental Health 1700 Flower Street Bakersfield, CA 93305 Attn: I~uderground Storage Permits *Underground tanks not curren~ tW in use are subject to the permitting requirements of this ordinan,: un[ess they have been properly abandoned or closed unde? permit fr(~;~ ~he .local fire department (and tile Kern County Health [~.m~t::.~ent .iF ~n~lon~t has takeu []lace si~c.~ ,Jant~v7 1, 1984). ENVIRONMENTAL HEALTi! D '-~TMENT - Permit No. 2,700 "M" STREET , STE. ~cation Date BAKERSFIELD, CA 93301 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): ~]New Facility [~Modiftcatton Of Facility ~]Exts'ttng Facility OTransfer .Of Ownership A. Emergency 24-1lout Contact (name, area code, phone): Days Nights Facility Name No. Of Tanks Type Of Business (check): [-]Gasoline Station ~]Other (describe) ' Is Tank(s) Located On An Agricultural Farm? ~]Yes [-]No Is Tank(s) Used Primarily For Agricultural Purposes? i-lYes ~No Facility Address Nearest Cross St. , T ~ R SEC (Rural Locations Only) Owner Contact Person Address Zip Telepho,m Operator Contact Person Address Z t p Te 1 ephone B. Water To Facility Provided By Depth to Groundwater Soil Characteristics At Facility Basis For Soil Type and Groundwater {)epth Determinations C. Contractor CA Coutractor's License No. Address Z I p 're iephone Proposed Starting Date Proposed Completion Date Worker's Compensation Certification No. insurer D. If Tills Permit Is For Modification Of An Existing Facility. Briefly Descrtb,, Modifications Proposed E. Tank(s) Store (check all that apply): Tank ~ Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste Fuel 011 [] [] [] [] [] [] [] O' [] [] [] [] 0 [] ~ ~ [] [] [] [] 0 0 0 0 [] [] [] [] O' [] [] [] F. Chemical Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank # Chemical Stored (moo-commercial name) CAS # (If knownI Chemical Previously Stored (if different) O. Trausfer O__~f Ow,mrshlp Date Of Trausfer Previous Owner Previous, Facility Name I. accel)i: fully all obligations of Permit No. issued to I u.derstand that the Permitting Authority may review and modify or terminate the transfe,' of the Permit to Operate' this underground storage facility upon receiving tills compJ,ted form. This form bas been completed under pe~,:,l'y of perjury and to the best of my knowledge is true and correct. Signature Ti tie Date F.acllity Name.. O' ..... PermiL No. TANK # ([:ibG OUT :;EI'Ai~ATE FORM [:(;l{ EACli TANK) -'FUR EACll SI';U'I'IUN, UIIEUK ALL AIq'I{UI'I{iATE BOXES 11. 1. Tank is: ~ Vaulted ~ Non-Vaulted ~ Double-Wall ~ Single-Wail 2. Tank Material ~ Carbon Steel ~ Stainless Steel ~ l'ul~vlnyl Chloride ~ Fiberglass-Glad Steel ~ Fiberglass-Reinforced Plastic ~ Coucrete ~ Aluminum ~ Bronz'e ~ Unkuown ~ OLher (describe): 8. P~'lmar~ ,Date Installed Thickness (inches) Capacity (Gallons) Mauufaoturer 4. Tank Secondur~ Uontatnmellt ~ Double-Wall ~ SFnthetic Liller ~ Gilled Vault ~ Nolle 0 Unknown' ~, Uther (describe): Manufacture~: ,Material Thickuess (Inches) Capacity (Gals.) 5. 'Tank Interior Lining ~ Rubber ~ Alkyd ~ SpoxF ~ Phenolic ~ Glass ~ GlaF ~ Ullllned 0 Unknown 0 Othe~ (describe): 6. Tank Corrosion Protection ~ Galvanized ~ Fiberglass-Glad ~ l'olyethylel~e Wrap ~ Tar or Asphalt ~ Unknown ~ None 0 Uther (describe): Cathodic Prutectiou: ~ None ~ Impressed Curreat S~stem ~ Sa~rtftoial Anode System ~ Describe System & Equ'ip,te.t: 7. Leak Dekeck.[ou. MonikorlHl[. a~l(I Tauk: ~ Visual (vaulted tanks only) ~ {;[-oundwaker Mouitorll~g Well(s) ~ Vadose Zone Monitorin~ Well(s) ~ U-Tube Without Liner ~ U-Tube witlt Compatible Liuer Directing Flow To aonltovtng ~ell(s)* ~ Vapor Detector *~ Liquid Level Sensor* ~ Conduottvtty Sensol'* ~ Pressure Sensov In Annular Space Of Double Wall Tank ~ Liquid Retrieval a Inspection From U-Tube, Monitoring Well OF Annular Space ~ Dail~ ~au~inz & Inventory Reconciliation ~ Periodi~ Tightness Testing ~ None ~ Unknown ~ Other b. Piping: ~ Flow-Restricting Leak Detector(s) For Pressurized Piping* ~ Monitoriug Sump With Raceway ~ Sealed Concrete Raceway ~ Half-Cut Compatible Pipe Raceway ~ Synthetic Liner Raceway ~ None ~ Unknown 0 Other *Describe Make & Model:. ~. Tank Tightness Has This Tank Been 'rightness 'rested7 ~ Yes ~ No ~ Date Of Last Tightness 'rest Results Of Test Test Name Testing Coa, pany 9. Tank Repair Tank Repaired7 ~ Yes ~ No ~ Ullkllown Date(s) Of Repatt'(s) Describe Repairs 10. Overfill Protectiou ~ Operator Fills, Controls, & Visually Mouitors Level ~ Tape Floa~ Gauge ~ Float Vent Valves ~ Auto Shut-Off Controls ~ Capacitance Sensor ~ Sealed Fill Box ~ None ~ Unknown ~ Other: List Make & Model For Above Devloes 11. ,Piping a. Underground PtpilUI: .~ Yes ~ No ~ Unknown aaterial Thickness (iuches) Diameter Manufacturer ~ Pressure ~ Suction ~ Gravity Approximate Length Of Pipe Run b. Underllround Piping Corrosion Protection: ~ Ga/vauized ~ FJber~:::~ss-Clad ~ Impressed Current ~ Sacrificial Anode ~ Polyethylene Wrap ~ leckrical Isolation ~ Vinyl Wrap ~ Tar o~' Asphalt ~ Unkno~u ~ None ~ "~her (describe}: c. Underground Piping. Seco.d;,' v C~ml:aJHment: ~ Do. Lie-Wall ~ Synkh,' ':c Liner System ~ None ~ Unknown ~ Other (describe): __ -- Information Sheet'-- Agreement Between Owner and Operator Chapter 12 of Kern County Ordinance Code =G-3941 consists of the followin~ two sections: SecTion 3912.12.01. The operator of the u~der- groun~ storage facility shall monitor the facility ~Sing ~he ~=hod spec!fired on ~ ~e~: for ~e facility. Records s~ll be kept ~ s~ficien~ de=ail :o ~ble ~e Pe~=ing Authority ~o delete ~ ~ operator h~ ~der:ak~ all :~q~red by ~he Pe~= To 0pera~a. .'- Sec:ion 3912.12.02. If the opera:or ~hn°~ ~e:, ~e o~e: snail pro.de a ao~y of ~e ~Be~:/' To Operate, eh:er ~:o a ~i::en contract ~";che / operator ~ich req~res ~e opera,o= ~o ~ ~ se= for~ ~ =he pe~:, an~%~ro~de che opera- ~or ~=h a copy of ~ap~ar %~. ~e ~er shall no,if7 The operator listed in ou~ records for the permitted facility In this packet If the operator is different than the., owner listed on the permit, ~rovide a copy of the ~equired written a~re~en~o the Permittin~ Authority within SO days. An example cOntract is shown below.~, . ...... written Con~rac~: , owner of underground s:oraqe tanKS y~ ~ca=ed a= have entered into ~h~s .J~? w~ten con=tact with , t~e opera,er e~ ~m~, ~,.~' =o fulfill a requirement of m~ Permit to Operate, ! . '~/ have provided ~he opera~oc with e copy of the Permit ~o Operate / and Chapte~ 15'of the O~dtnance. located at have received from , owner of same, a copy of ~ermit to Operate ~ and Chapter 15 of. the O~dinance desc[ibln9 ~lnes and penalties ~o[ non-compliance. I have read and understand my responsibilities ~nder this Permit and agree to do the following: -- monitor the underground tanks as specified in the Permit to Operate. -- maintain app~opriate records as required by Permit ~o Operate. -- implement all ~epo~ln9 procedures as required by the Permit to Operate, -- pzopec~y close the ~n~er~round tanks as requ~ed by Permit to Operate. Signed owner operator dete date PC. 3 tEXCERPT FROM KERN COUNTY ORDINANCE CODE # G-3941] Div. Chap. 15 CHAPTER 15. FINES AND PENALTIES 3912.13.01 Sec:ion 3912.15.01. Any opera:or of an under- ground scorage cank shall be liable for a civil penal: of not less :hen five hundred dollars ($500) or more chan five thousand dollars ($5,000) per day for any of :he followin§: A. Operates an underground scorage Zank ~lich has no: been issued a 9ermit~ B. Fails Co monicor :he undersround scorage ca. rJ.k, as required by che per'A:Li:; C. Fails Co maincain records, as required by chis Division or :he. :erms of a perm.i:; D. Fails to repot: an unauchorized release, as required by Chapter 17; E. Fails :o properly close an underground s:ora~e :ank, as required by Chapter 5. 3912.15.02 SecTion 3912.15.02. Any owner of an underground s:orage cank shall be liable for a civil penalcy of no: less ~han five hundred dollars ($500) or -~re ~han five thousand dollars ($5,000) per ~ay for any of :he follow- A. Failure to obcain a permi: as specifie~ by this Division; B. Failure to repair an underground rank in accordance wi~h :he provisions of :his Division; C. Improper abandomenc or improper closure of an7 underground c~n~ subS ect co :he provisions of :his Division; D. Knowing failure ~o :ake reasonable and necessary sceps :o assure compliance wizh this Division by :he opera:or of an underground cank. 3912.15.03 SecTion 3912.15.03.. Any person who falsifies monicor~ng records required by chis Division, or know- ingly fails :o report an unau:horized release, shall, upon conviction, be punished by a fine of no: less :hen five :housand dollars ($5,000) or more :hen can chousand dollars ($10,000), or by imprisonmenc in the coun:y jail for no: to exceed one year, or by bor/% :ha: fine and impr is onmen:. 3912.15.04 Section 3912.15.04. In determining boch :he civil and criminal penaicies imposed pursuan: ~o :his Chap:er :he court shall consider all relevan: circ,,m-:ances, including, bu: not limi:ed co, :he exTen: of harm or potential harm caused by :he viola=ion, the ne:ute of the viola:ion and the period of' cime over which i: occurred, :he frequency of pas: viola:ions, and :he correc:ive ac:ion, if any, caken by :he person who holds :he permi:. Los Angeles Texaco USA 10 Universal City Plaza ,. Oiv,s,onMarket,rig Universal City CA 91608-1097 T-)"~ ~'~¢' ¢"~ December 12, 1988 ~ /~ O00b C, Amy Green "::' :' . Kern County Health Department Division of Environmental Health 2700 M Street, Suite 300 -;¥'~?...~:~.,,~.. Bakersfield, CA ................................ Dear Amy: As I discussed with you on the telephone today, enclosed you will find the application and application fee to transfer the Kern County Health Department permit for subject location from James G. Bailey to Texaco Refining and Marketing Inc. If you have any further questions, please do not hesitate to call me at (818) 505-2419. Yours very truly, T~CO REFINING AND MARKETING INC. D. C. EI',STON Real Estate Agent DCE: as 1211/1-10N Encl. Ke~ County llealth Departmer t' .Permit No. Division of Environmental Health Application Date 1700 Flower Street, Bakersfield, CA 93305 (805) 861-3636 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): ONew Facility OModification Of Facility []Existing Facilit¥~Transfer Of O~nership CTE~--- C,'ro,--,~ A. Emergency 24-Hour Contact (n~e, area code, phone): Days ~ ~/~--~O~-~ Nights · Facility Nane ~~CO ~,~.,~~b~ ~' No. Of Tanks Type Of Business (check): ~oline Stati~ ~Other (describe) Is Tank(s) Located On An Agricultural Farm? ~Yes Is Tank(s) Used Primarily For A~ricultural Purposes? DYes ~~t'~' Facility Address ~ } C~[,~,'o~ - Nearest Cross St. T R . SEC . .(Rural Locations Only) ' Owner ~.~ cO ~,~/~/~ ~g , Contact Person ~ ~- C~'~o~ Address /b Uo.~t~l G~aZ~, q~ .Zip q{OO~ Telephone $1~ Operator -~ %~ C~ ~,~ ~/~ ~- Contact Person' , /Zip Telephone Address ~~ / rou.d . r Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth DenOminations Co~ E~ ~ddress g~p Telephone Proposed 8tarring Date Proposed Co.pier,on Date ~orker's Compensation Certification ~o. In~urer D. If This Permit Is For Modification Of An Existin~ Facility, Briefly ,Descqibe E. Tank(s) Store (check all that apply): Tank ~ Waste Product Notor Vehicle 'Unleaded Regular Premium Diesel Waste Fuel Oil ~ O' ~ ~ 0 ~ 0 0 0 ~ 0 ~ ~ 0 0 0 ~ 0 F. Chemical Composition Of ~aterials Sto~ed (not necessary for motor vehicle fuels) Tank ~ Chemical Stored (non-commercia~ name) CAS ~ (if known) Chemica~ ~eviously Stored (if different) G. Transfer Of Ownership . ~ -__ Date Of Transfer' I~/,$/&g Previous Owner Previous Facility Name ,.~.,~ ~C~_~ ~ I, ~gO~,~,Y~~ept fully all obligations of Permit No.~~' issued ~ ~.~/ ' ' ~ ~ understand that the Permittt'ng Authority may revie~ modify .or it r~inate the transfer of the Permit to Operate this underground storag~ facility upon receiving this completed form. This form has been completed under penalty of perjury and to the best of mv knowledge La tr~e._ and correct. ~?oo F~,,er Street KERN COUNTY HEALTH DEPARTMENT .EALT. OFFICE, Bakersl'ield, Calil'ornla 93305 Leon M Hebertson, M.D. Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENvIRONMENTAL HEALTH Vernon S. Reichard "' I NTERI M PERMIT PERMI Ti180006C TO OPERATE : I S S g E D: APRIL 1, 1987 E XP ]2 RE S : APRIL 1, 1990 UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY NUMBER OF TANKS= 5 FACILITY: I OWNER: WAY STATION I JIMSON WAY STATION, INC.' 3621 CALIFORNIA AVENUE I P.O. BOX 9746 BAKERSFIELD, CA I BAKERSFIELD, CA 93389 TANK # ~IN YRS~ SUBSTANCE CODE PRESSURIZED PIPING? 1,2 UNK MVF 2 YES "'- 3,4 UNK MVF 2 UNK 5 UNK WO 2 UNK NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--TRANSFERABLE * * * POST ON PREMI SES COUNTY OF KERI.. .... ,' .., .,,~. , ',,~ '. BALANCE DUE S' '~ M.O , "?J'U BY . · .' . ". }' ,.' . ' .::} ..,. ...':':'. · .'. , ,. · Permi t ' Quea ti'on.nai re Normally. permits are sent to facility Owners but since many'" Owners live outside Kern County, they may choose to have the permits' ' sent to the Operators of the facility where' they are to be PoSted. ?lease fill in Permit # and check one of the following before · returning this fern with payment: 1. Send all information to Owner at the addeess listed on invoice lif O~ner is different than '- Operator, it will be Owner's responsibility .,. ¢~.. to provide Operator with pertinent .. information). 2. Send all information to Owner at the 3. Send all information to Operator: Name: Address: (Operator can make copy of permit for Owner). " PEARSON REALTY " A Tradition In Trust Since 1919 ~".December 8, 1988 ' .~. :... .... ... , : .. . ...:. . -., ..... ...,,'~.~',t~,~.,.~ ..... -"",~ ~:.'~" soon )e rece~v!ng '~an app ication or'perm~ . '"underground hazardous substance storage facility which :i's a'.t -' · .~ L'.'.of four tanks from J..G. Bailey to Texaco, 1nc. for an'i~xisti'ng '-"' .' '. :T::' ':.,':' S'ervi. ce 'stat i on at the"above '] oc at i on,-"'..The :tank numbe/J~i?s""j~l , ..', :-. ,. , ..~. . .:.,.~.~-,,-.....'. ,... ;, '.,-..,.~:r,.: ~:~,.. t. '.~t~-":'-~'<'P~'--~:'~.-~.,,' '-' ",";*'~"~:.," ',~"1-~/~.',:,:"':7'-.[',:'''r [.,' e~{~'-~r"~¢~:':~"~,~;~;~'.:~,~'l~ ": .... '"'" '"lAs 'I ' d ~ scus sed w1 t h "~0u on '"'t he '~'te l'ep hone ;~' We 'are on ]~ 't ra'hsferr3.'ng ¢our tanks ~ith this as this operating service station. There ~as, fn the previous application, a fifth tank ~hich is' used for the lube ..:r.. .center ~hfch is operated as ~iff~ Lube. ~fff~ Lube, ~e has obtained a per~ft for their o~n tan~. It is 'our further '... understanding that with this application as returned to ~ou from' Texaco, there fs an application flee off $]00 for the first tank and "., '. $20 for each additional tank. Thereffore, the fee flor th~s transffer will be fn the sum off $160. .. :"'., If there is an~ problem with this; please ]e~ us know at ~our earliest convenience as we plan on ha'ring this transaction completed -, wf~hfn the next few days. Thanks ¢or your cooperation. ::,..,. ... P r~s i C t ' ' ..... y.',~:..,,~-~,: ~ .:. .. LG/lv cc: Doug Elston, Texaco '::.. James G. Bailey ..: .~.-..~,< 2550 West Shaw Avenue · Fresno, California 93791 · .(209) 432-6200 · KE~N COUNI~ HF,ALTH DF-PT ~111~ ~,' ~1 An Ultramar Company ~2~ wEs~ ~H,~ s~- H*~O~, C* ~0-(~0~) ~.~-0~ December 7, 1987 RE: SS #571-1102 34th St.,Bakersfield SS #454-1331 Bernard St.,Bakersfield SS #497-631 Baker St.,Bakersfield SS #511-3818 Niles St., Bakersfield SS #578-6601 Ming Ave., Bakersfield Arco--Way Station-3621 California St., Bakersfield Dear Ms Boyce: Enclosed are the tank results for the above referenced Beacon Service Station(s). Please review the results and if you should have a_uy questions, please feel free to contact me. Very truly yours, BEACON OIL COMPANY Beverly J. Long Environmental Coordinator BJL/si Enclosures' 00331 BECKER INDUSTRIES, INC. To: Beacon Oil Company Attn: Steve Epperson Re: SS ~ Arco Way Station 3621 California St. Bakersfield, CA Attention: This letter is to summarize the tank/line test res'ults at the referenced service station: Current Test Results Tank No. Capacity Product Tank Prod. Line Date Tiqht North I 12,000 P~gular -15.0 gph 111/10/87 , no , I ~ I ! I 2nd fm N.I 12,000 Reg. U/L +.017 gph ,11/10/87 , yes , ! I I I ' 11/10/87 ' ' 2nd ~m S.1 12,000 Prem. U/L - 2.0 gph , , no South , 8,000 Diesel -.005 gph ,11/10/87 , yes , ' Regular -. 005 gph , Prem. U/L; -.006 qph ,11y10/87., yes , These test results are as of the day tested. If you have any question, please call David Becker at (707) 255-9580. Sincerely, BECKER I. NDUSTRZES. INC. Vice-Presiden ~ 250~ O,~k SI,ee!. r' .:,,'i. CA. n.,r. qo..... ...... 707..,255.nqF..Oo. . VENT FE/FO PUHP S/P FILL SIZE c( "TANK: SIZE 17_~0 LOCATION )~ '* REMARKS: o~ ~-=,'r~-.~- f¢:,~l',~, c.C~r ~,~r ...... y,.,w~ . '-.b~.~ ,~ ~ ~ ~,,~ ce c.~ ~(~ F~,( ~ e~o~¥~., ~ ~,:~. CALIBRATION TOP OF FP TO BTM OF TNK . X~fi , PRODUGT~ ~ ~, LINES ~'~ '~'z ~? TOP OF FP TO TOP OF TNK , ~ GRAVITY 5~ ~ %~ DEGREES F OF fro %~ c~ ~ 'TANK DIAHETER q~. GRAVITY ~,~ ~ 60 DEGREES F HOVEHENT 5) ~. z5 3~ ~ATER PRESENT PRETEST ~ COEFFICIENT EXPS. AVERAGED :~1 ~ATER PRESENT POSTEST a INCHES ATT TEST START , ~ . ~ ~ ., .... ~ X ..... ., QUANTITY LINES CONSTANT (A) COEFFICIENT TANK CAPACITY CONSTANT (B) ~:zo LEVEL LEVEL GAIN · TIHES ~ LEVEL TEHP. TEHP. ~AI~ TIHES ~ TEHP. FINAL TIHE START END LOSS - CONS A ~ RESULT START END LOSS - CONS B~RESULT RESULTS ~1:~% (13 ~'; ~'~ , ~%~ , ~o~n~ ~l.q~fl .~ . o~ ~.o~ · o~7 K . I I I I OWNER/OPERATOR ~ ~2~k~7 TEST REFLECTS A LOSS/GAIN PER HOUR OF: o~qqq _ SITE -~iV~ ---,~a.~%¢¥k (~3c~'-I %¥~x?c~c,~A RESULTS: AR~ WITHIN J_ARE NOT WITHIN THE NFPA 329 BANKS & CO. TELEPHONE (%o~ ~%~- ~-~ ~ 2403 E. Belmont Avenue Fresno, CA (209)' ~85-~56 ~oo mc = (~,-~o-~-~o~o-~) ( -~.~,,-~' o-~no-~ )=.( .o~~,~ ) x .05- VENT FE/FO PUMP S/P FILL SIZE ~_~. ,TANK: SIZE ~,~o, LOCATION CALIBRATION TOP OF FP TO BTM OF TNK', ~ , PRODUCT~c+~ o~ ~ LINES ~ e~ .~--~,~ Og TOP OF FP TO TOP OF TNK '~';('~ GRAVITY ~% 0 ~ DEGREES F OF ~ ~ ~.c ~'S,'~q 5~ TANK DIAMETER , .. q'~,, ORAVITY ~,~ 0 60 DEGREES F MOVEMENT~c~fi~ z~-~WATER PRESENT PRETEST o COEFFICIENT EXPS. · AVERAGED _~., WATER PRESENT POSTEST ~ INCHES ATT TEST START QUANTITY LINES CONSTANT (A) COEFFICIENT TANK CAPACITY CONSTANT (B) :~'z: LEVEL LEVEL GAIN + ?IMES ~ LEVEL TEMP. TEMP. GAIN +l TIMES ~ TEMP. FINAL TIME START END LOSS - :ONS A ~ RESULT START END LOSS - CONS ~RESULT RESULTS l / / I OWNER/OPERATOR ~i~ ~il~ TEST REFLECTS A LOSS/GAIN PER HOUR OF: SITE ~ ~,~5 ~l~o'/ ~o~,~ RESULTS: NR~ ~~ /-~R~ ~0~ ~f~f~ THE NFPA 32.9 GUIDELINES OF A HAXIMUM LOSS OF-.05.GALLONS PER HOUR ADDRESS ~%~ ~'~¢~'~ '~v¢ FOR A TIGHT TANK/.SYSTEM CITY~ ~~'(?~(k~ ~ ~-5~ DATE OF TEST C0UNT~ ~ ~ BANK~ & CO. TELEPHONE (~ ~ ~,-~ ~ 2403 E. Belmont Aveaue Fresno, CA (209) 485-~56 EZY-CHEK REPORT AND WORK SHEET 1. Testing Con!ractor 5. Sene Invoice an~ Results tc Banks & Co. 2~03 E. Belmont Fresno, CA 93701 ( 209 )~85-3456 ( ) 6. Send Results to 2. Operator Name 6A. Hornet Creative Products, Inc. ~13 Stat~ ~ark Prive Bay City, Michigan 4~70§-133~ 3. Owner of Site 4. Owner of Tanks (. ) ~"~ - ~c. . ( ) ( ) Page 2 7. Capacity 12. Color Code of ProduCt Regular No Lead Super Diesel Kerosene 2. Cl,_~ 2 .... ~'z-I°C)° 4. 3. 5. 4. 6. 6. 13. Type of System 8. Remarks Submerged Suction 1. 2. 9. Age of Tanks and Lines 3. 1. ~, y-c52. ~,"/~'~; 3. 4. 5. 6. 4. 10. Diameter and Make of Tank 11. Length 5. of Steel Fiberglass Fillpipe 6. 1. ~" 2. o~ 2. -~'Y~' 14. Water Level in Tank 3. .~ 3. 1. L.~ 4. 0 4. 4. 2. 5. 5._ 5. 3. 6. ""' ,~ ~' ~ Result ~- Result Tight 4. · 37. Line Tes~ Resalts '.. ,, .18. Remarks: o~rat~s Signature 1700 Flower Street .'AN COUNTY HEALTH DEPARTME~ HEALTH OFFICER Bakersfield, California 93305 Leon M Hebertson, M.D. Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION · '* DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard I NTERI M PERMI T' PERMI T:~:180019~. TO OPERATE ~- UNDERGROUNDSTORAGE HAZARDOUS FACILITY SUBSTANCES [~ / ~~_~~. FACILITY: ! OWNER: . SIR LUBE CORPORATION I SIR LU 3631 CALIFORNIA AVE. I 800 OA BAKERSFIELD, CA I BAKERS TANK # AGE(IN YRS) SUBSTANCE CODE P . 1 UNK WO 2 . ~'. 'NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TER,~ OF THIS PERMIT NON--TRANSFERABLE *** POST ON PREMI S'ES DATE PERMIT MAILED: DATE PE~.~IT CHECK LIST RETURNED: Divisioi.~ of Environmental HealtJ~ Applic.~Lion Date. 1700 Flc~r' Street, Bakersfi~' CA 93]05 ~' ~ . ~PLI~TION FOR PE~IT TO OPE~TE ~DE~R~D SUBST~CES S~E FACILI~ ~ of Application (check')~US '~New Facility ~dification of Facility ~isti~ Facility ~ansfer of ~ership A. ~ergen~ 24-~ur Contact (n~e, area c~e, ~one): ~Ys~/~w~tj-~ ~ of Business (Check): ~Iin&S~tion ~er (de~ri~) Is Tank(s) ~cat~ on ~ Agricultural Fa~? ~Y~ ~il ~aracteris~ics a~ Facility - ' ' Basis for Soil ~ a~ Gro~ter ~p~ ~te~inations C. Contractor ~ Contractor's Llce~e ~. ~dr e~ Zip Te le~o~ Pro~s~ ~rti~ ~te Pro~s~ C~pletion ~te - Worker's C~~ti~ certification ~ Insurer Pro~ E. Tank(s) Store (~eck all t~t a~ly): Tank ~ ~ste Pr~uct ~tor Vehicle Unleaded R~ular Pr~i~ Diesel ~ste F. Ch~i~l ~sition of ~terials Stor~ (~t ~ces~ry for ~tor vehicle f~ls') Tank ~'Chemi~l Stor~ (n~c~rcial ~e) ~ ~ (if kn~) ~lcal_ Pr~i~sly S~r~ G. Transfer of Ownership Date of Transfer Previous Owner Previous Facility Name I, accept fully all 6bligations of Permit No. issued to · I understand that the Pemitting Authority may review and modify or terminate the transfer of the Permit to Operate this tmdergrot~d storage facility upon receiving this ccmpleted form. This form has been completed under penalty of perjury and to the best of my knowledqe is true and correct. ~ '/I l Signature / ~,/. Title ~)' ~ Date TANK ~ ~' (FILL OUT S?]PARATE FORM ~ ~H TANK) FOR EA~ SECT--~, ~'E~ ~ ~PP--~RIA~o~ ~. 1. Tank is: ~Vaulted ' ~Vault~ ~uble-Wall ~Si~le~all ~ 2. ~ ~terial Car~n Stol ~S~inless Steel ~l~inyl C~oride ~Fi~rglass~l~ Steel Fi~rglass-Reinforc~ Plastic ~ Concrete ~ ~in~ ~ Bronze Other (de~ri~) 3. Priory .Contai~nt ~te Install~ ~ic~ess (Inches) Ca.city (~llons) ~nufacturer 4. Tank Sec~ndar~ Co~t'ai~ent ~l~Wall ~thetic Liner '~Lin~ Vault ~ne ~o~ ~Other (de~ri~): ~nufacturer: ~terial Thic~ess (Inc~s) Ca.city (Gals.) 5. Tank Interior ~ ~~r ~k~ ~xy ~enolic ~Glass ~Clay ~lin~ ~Other (de~ri~): 6. Ta~ Corrosion Protect~bn ' ' ' ~Galvanf~-~ass-Cl~ ~l~yle~ ~ap ~vinyl ~a~i~ ~Tar or ~p~lt ~k~ ~No~, ~Other (de~ri~): Ca~ic Protection:~ne ~pres~ ~rrent S~t~ ~crlf~c~al ~ ~t~ ~ri~ Syst~ & Equi~ent: , _ , 7, ' Leak Detection, ~nitori~, and InterceptiOn a. Ta~: DVis~i (vault~ tanks only) "DGro~ter ~nitori~' ~ll(s) ~Vadose Zone ~nitori~ ~ll(s) ~U~ Wi~ut ~ner U-~ wi~ C~tible Liner Directi~ Flow ~ Monitori~ ~l(s)* Va~r ~t~tor* ~ Li~id ~vel ~n~r" ~ Cond~tivit~ ~r= D Pressure sen~r in ~ular s~ce of ~ubxe Wall Tank. ~ Liquid ~tri~al & Ins~ction Fr~ U-T~, Monitori~ ~11 or ~ar ~ily ~i~ ~ I.entory ~econciliation ~eri~i~ Tigh~e. Testi~ None ~o~ ~ ~her b. Pipit: ~Fl~Restricti~ ~ak ~tecto~(s) fo~ Pressuriz~ ~nitori~ S~p with ~ce~y ~al~ C~crete ~ce~y ~lf~t C~tible Pi~ ~ce~y ~S~t~tic Liner ~y ~None ~U~no~ ~er t ~ri~ ~ ~ ~el: 8. Tank Tightness ~is ~ ~en Tigh~ess ~st~? ~Yes ~ ~kno~ ~te of ~st Tightne~ Test Results of Test Test ~e ~sti~ C~ny 9. Tank Re. ir Ta~ Re~ir~? ~Yes ~ ~kno~ ~te(s) of ~ir(s) ~ri~ Re. irs 10. ~erfill Protection ~O~rator Filis, Controls, & Visually Monitors ~vel ~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~Auto Shut- Off Controls citance ~r ~al~ Fill ~x ~ne ~Other: List ~ & ~el For ~ve ~ices 11. Pipi~ a. ~dergro~d Pipi~: ~Yes ~ ~o~ ~terial Thickne~ (inches) Di~eter Manufacturer ~essUre ~S~(iOn~ ~Gravity ~proxi~te ~ of Pi~ b. Undergro~ P~pi~ Corrosion Prot~ti~ : ~lvanized ~Fi~rglass~l~ ~ess~ ~rrent ~crificial ~e ~Polye~yle~ Wrap ~Electrical Isolati~ ~Vinyl Wrap ~Tar or ~lt ~nkno~ ~None ~her (de~ri~): c. Undergrou~ Pipit, Seco~ary Contat~ent: ~l~Wall ~S~thetic Liner ~s~m ~ne ~kno~ ~Other (descri~): TANK ~ (FILL OUT HEPARATE FORM F_~ ~.CH TANK) 1. Tank rs: []VaUlted [2]Non-Vaulted [2]Double-Wall '. ~Single-Wall 2. ~ Material- Carbon Steel [2] Stainless Steel []~olyvinyl Chloride []Fiberglass-Clad steel Fiberglass-Reinforced Plastic []Concrete [2] Al~inum [] Bronze []Unknown [] Other (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) ManUfacturer 4. Tank secondary Contair~en~ ' ~Double-Wall ~Syntheti¢ Liner ~Lin~d Vault ~None ~unknown " r~other (describe): Manufacturer: rlMaterial T~ickn'eSs lInches) Capacity (Gals.) 5. Tank Interior 5inin~ .-.. ----~[m~6ber []alkyd [2]Epoxy []~enolic []~lass [2]Clay [2]unli,~d [2]Other (descri~): 6.. Tank Corrosion Protect£on ' ' ---~rGalvaniz~ -]~-~--~ass-Clad []Polyethylene WraE r~vinyl Wrap~il~ ~Tar or Asphalt [2]Unknown EqNone ~Other (aescrlbe): Cathodic Protection: J~None []Impressed Current System ~l~acrifi~'l~l ;~ode ~-~-~ri~ System & Equi~ment: 7. Leak Detection, Monitorin~, and Interception a. Tank: [[]Visual (vault.d tanks only) UIGround~ter Monitorir~' W~ll(s) [] Vadose Zone Monitoring Well (s) [] [J-Tube Without Liner []~-TUbe with C~gpatible Liner Directing Flow to Monitorin~ ~m.ll(s)* "' [] Vapor D~tector" [] Liquid Level Sensor~ [] Condu~tivttx S~nsor" .. [] Pressure Sensor in Annular Space of Double Wall Tank" ' '" [] Liquid ~trieval & Insp. ction Fram U-?u~, Monitori~ Well or annular ~Daily Gauging & Inventory Reconciliation I'~Periodl¢ Ti~htness ~ None [] Unknown [] Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Pipin~l~ []Monitori~] S~p with Race~¥ ' EqSealed Concrete Race~ []Half-Cut Campatible Pipa Raceway [] Syntbetic Liner Ra~y ~No~e [] Unknow~ [] Other *Describe Make & lm~del: 8. Tank Tightness ~-%--Tnis Tan~ B~en Tightness T~sted? [-]Yes rqNo []unknown Date of Last Tightness Test d,,,-.~. ~3 Results of Test ,~..>',~-~'~ .. Test Name Tastin~ Campany f3 .. ~ k q 9. Tank ~ ~ Repaired? [2]Yes []No []unknown Date(s) of R~pair(s) Describe Repairs 10. Ouerfill Protection - [~Operator Fills, Controls, & Visually Monitors Level [2]Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls r~capacitance Sensor rqs~aled Fill Box j~None []unknown []Other: List ~mke & Model For Abo~e De~£ces Thi ckness (inches) ~ ~ k~& Z~,9'(piameter; ~ "> l" Manufacturer [2]Pressure [2]Su~'fon ~GraVit¥ 'A~proximate Length of Pi~e ~n J~ ./>~. b. Underground Piping Corrosion Protection : [~Galvanized []Fiberglass-Clad []Impressed Current [-]Sacrificial Anode [-]Polyethylene Wrap [-]Electrical Isolation []Vinyl Wrap [-]Tar or Asphalt ~Unknown [']None [~Other (describe): ~'i.~ ~i.l~F C-~' c. Underground PiPirg, Secondary Containment: [~Double-Wall ~Synthetic Liner System [~None []Unknown r]Other (describe): Facilit~ ~L ~L~Y~. ~/ ~Permit to Operate ~ ' Date ~nstruction Permit ~ /~O~AC ~c~ Date ~Permit to abandon~ No.' of Tanks Date ~Amended Permit Conditions ~Permit Application Form, Tank Sheets, ~ ~Application to Abandon tanks(s) Date ~Annual Report Forms ~]Cgpy of Written Contract Between Owner & Operator [~ Inspect ion Reports [~Correspondence - Received Da te Date Date [-]Correspondence - Mailed Date Date Date ~]Unauthorized Release Reports []Abandonment/Closure Reports []Sampling/Lab Reports []MVF Compliance Check (New Construction Checklist) ~]STD Compliance Check (New Construction Checklist) [~MVF Plan Check (New Construction) [-]STD Plan Check (New Construction) [-]MVF Plan Check (Existing Facility) [~STD Plan Check (Existing Facility) [-]'Incomplete Application" Form ~Permit Application Checklist ~-q Perm i t Instructions []Discarded ~]Tightness Test Results Date Date Date []Monitoring Well Construction Data/Permits ~-]Environmental Sensitivity Data: [~Groundwater Drilling, Boring Logs []Location of Water Wells [-].qtatement of .Underground Condui%s []Plot Plan Featuring All Environmentally Sensitive Data ~] Ph0tos [-]Construction Drawings Location: [~Half sheet showing date received and tally of inspection time, etc []-] Mi gcel laneous ~.~ PERMIT CHECKLIST ." / This Checklist is provided to ensure that all necessary packet enclosures were received and that the Permittee has obtained all necessary equipment to implement the first phase of monitoring requirements. Please complete this form and return to KCHD in the self-addressed envelope provided within 30 days of receipt. Check: Yes No A. The packet I received contained: ~ ' 1) Cover Letter, Permit Checklist, Interim .Permit, Phase I Interim Permit Monitoring Requirements, Information Sheet (Agreement Between Owner. and Operator), Chapter 15 (KCOC #G-3941), Explanation of Substance Codes, Equipment Lists and Return Envelope. ~ 2) Modified Inventory Control Monitoring Handbook #UT-15. with form: "Quarterly Modified Inventory Control Sheet" with "Quarterly Summary" on reverse. ~ 3) An Action Chart (to post at facility). B. I have examined the information on my Interim Permit, Phase I Monitoring Requirements, and Information Sheet (Agreement between Owner and Operator), and find owner's name and address, facility name and address, operator's name and address, substance codes, and number of tanks to be accurately listed (if "no" is checked, note appropriate corrections on the back side of this sheet). C. I have the following required equipment (as described on page 5 of Handbook ~UT-15). 1) Acceptable gauging instrument 2) "Striker plate(s)" in tank(s) 3) Water-finding paste D. I have read the information on the enclosed "Information Sheet" pertaining to Agreements between Owner and OpePator and hereby state that the owner of this facility is the operator (if "no" is checked, attach a copy of agreement between owner and operator). ~ E. I have enclosed a copy of Calibration Charts for ~11 tanks at this facility (if tanks are identical, one chart will suffice; label chart(s) with corresponding tank numbers listed on permit). F. Modified Inventory Control Monitoring was started ~t this facility in accordance with procedures described in Handbook #UT-15. Date Started Permit Questionnaire Normally, permits are sent to facility Owners but since many Owners live outside Kern County, they may choose to have the permits sent to the Operators of the facility where they are to be posted. Please fill in Permit # and check one of the. following' before returning this form with payment: For PER,tIT # ! .~ c~!-/~ 1. Send ali Information to Owner at the address listed on invoice (if Owner is different than Operator, it will be Owner's responsibility to . provide Operator with pertinent information). 2. Send all information to Owner at the following corrected address: 3. Send all information to Operator: Name: Address: (Operator can make copy of permit for Owner).