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Home My WebLink AboutUNDERGROUND TANK FILE #1 ~ Hazardous MaterialS~a~dO.u~~Vaste~Unified Permit., CONDITIONs OF'p i~:i'~ ~ REVERSE SIDE ' ,~. ~ ~ ;~ ~ = %~~ ' · : [] Underground Storage of H=--rdOus Materials TANK. ' HAZARDOU ~P~(::E <~ := ~-. DISPENS:~ 015-000-001905-0001 GASOLINE 1715 Chester Ave., 3rd Floor ~~: Bakersfield, CA 93301 Opera te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE .SIDE PERMIT ID # 015-021-001905 Issu~ by: ' Bakersfidd Fke Depa~ment Approved by: ~~~' O~CE OF E~ ON~AL S~ ~CES 1715 Chewer Ave., 3rd Floor Voice. (805) ~2~979 FAX (80S)~26~ST~ Expiration Date: dun~ ~0~ ~000 Cert.' No.00803 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the tbllowing information in the tbrmat of your choice: name of owner: name of operator; name of facility: street address, city, and zip code of facility; t'acility identification number ffrom Form A); name of issuing agency; and date of issue. Other identifying intbrmation may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: DEL TACO MOBIL Permit #015-021-001905 3622 CalifOrnia Ave Bakersfield, California 93304 OA'~, .~TRE~7': -- SYSTEM ST~TIJS REPORT ALL FUNCTIONS I',]C:,BM~L N~ENTOBY REPORT T 1 :UNLEADED VOLUME = 5269 GALS ULLAGE = 4459 90% ULLAGE= 3486 TC VOLUME = 5265 HEIGHT = 48.89 INCHES ~,JATER VOL = 8 GP, LS .- ...-~--I,,~R .... ~EI .--7-6 --I-N(~ H E~S- - TEMP =69.9 DEC F' T 2 :SUPER VOLUME = 5123 ULL&GE 90~.r~ ULLAr~E~ 4605 ._ o .- .- o .-,AL,_, i ,_, b., :34 r-.., TC VOLUME = 5II? GALS 'HEIGHT = 4?.85 INCHES MATER VOL = 0 GALS t4ATER = 0.00 INCHES TEMP = 75.5 DEG F T 3 :DIESEL VOLUME = 2132 GALS ULL~,GE - 7596 90~.;; ULLAGE_~ 6623 ,:;ALS TC VOLUME = 2!30 HEIGHT = 25.64 INCHES ~dATER VOL = 0 (:;ALS bJ~TER = 0. O0 INCHES TEMP ' = 81.5 DEG F ~ '~ ~ ~ -'.*.': END ~ ~ ~ C_OFII: ECTION N ICE O5O8O BAKERSFIELD FIRE DEPARTMENT Location Name '-~-~1 "'~'~.~-~ You are hereby required to make the following correc~bns at the above location: Completion Date for Correction Date ' FD ~9so 326-3cJ51' Enironmental Services 1715 Chester Ave SECTION 1. Business Plan and Inventory Program Bakersfield, CA 9330l Tel.' {66l)326-3979 0... PHONE No. No. of Employees FACILITYCONTACT % Business ID Number 15-021 - !~ !B~;Sin~ss Plan.~nd.l'nV~'fit~rY. Progmm .~ ,"... · : : ·, .:. ? ~:.?~:h~!:~::i:?,~:~;;>~.';::~~,' ::::~':~! :',. ;~ ?:.:h:~h:;'~'~ '.:' .'::. , .~; .' ,. ~. ~ : .' ,. . , · [] Routine XCombined [] Joint Agency [] Mu'itl-Agency [] Complaint F'I Re-inspection C V~.[C=C°mplianCe)V=Violation OPERATION COMMENTS [] APPROPRIATE PERMIT ON HAND ~i~ [] BusINESS PLAN CONTACT INFORMATION ACCURATE ,~ [] VISIBLE ADDRESS ~ [] CORRECT OCCUPANCY '~[] VERIFICATION OF INVENTORY MATERIALS ~.. ~ VERIFICATION OF QUANTITIES ,~ [] VERIFICATION OF LOCATION ~ [] PROPER SEGREGATION OF MATEI~IAL ,~ [] VERIFICATION OF MsDs AVAILABILITYE ~ [] VERIFICATION OF H,~;MAT TRAINING [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ [] EMERGENCY PROCEDURES ADEQUATE [] ~ FIRE PROTECTION R~,'~>ID.~--~r-, ~_.,~-,(IC/.~I (~::)~(~[~._,1~v~'~' .... ....................................... ,J~[] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~.YES [] No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ No. s )nsible Party White - Environmental Services Yellow - Station Copy Pink - Business Copy hEL TACO MOBIL .3624 CALIFORNIA AV BAKERSF I ELD,,~CA. 9:3:3139 661 -:325-4,7?0 N~A'. 1'_~. 2004 ' 9:43 AM SYSTEM ;STATUS REPORT ALL FUNOTIONB NORMAL I'NVEIqTORy REPORT. T 1 :DIE~EL VOLUME = 2545 OLLAGE 14 .... 90f,~ ULLAGE~. 1';55 TC' VOLUME = - 2544 HEIOHT R8 - I T 2: P~Ef"l I UM VOLUP1E = 3529 8LL~GE - ~471 90~;; ULLAGE~ 3~571 G~LS TO VOLUNE = 3527 HEIGHT : 43.55 INCHE~ ~,,JATER VOL = 13 GALS I,JATER . = 0.94 INCHES TEMP = 64,9 DEG F T 3~ UNLEADED .. VOLUME = ~84 ULLAGE ~ ~ ~216 GaLS .' 90~g ULLAGE= 3016 G~LS TC VOLUME = 7779 GAL8 HEIGHT = 59,32 INCHES': WATER VOL = 0 GALS WATER = 0,00 I TEMP = 67,9 DEG F ~ ~ ~ ~ ~ END ~ ~ ' CITY OF BAKERSFIELD FIRE DEPARTMENT ~,~ ~ ~o~ OFFICE OF ENVIRONMENTAL SER.VICES ~a ~!t.- '%~,~ UNIFIED INSPECTI~ ., ~ ~.-~,[~ PROGRAM CHECKLIST N~~~_¢ ~ ~ 1715 Chester Ave., 3,a FloOr, Bakerstield, CA 93301 FACILITY NAME ~ ~ ~'~ I ' INSPECTION DATE Section 2: Underground Storage 'ranks Program ~ Routine ~Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection Type of Tank ~ ~ Number of Tanks Type of Monitoring Q;~ ~ Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibili!y 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 Inspector: Q~ ~ ' e ~ onsible Party -- ~ k_.,,,/ While - Env. Svcs. Pink - Business Copy · Complete items 1,2 and 3. Also complete A. S, ignature - ~ ' ~ ~ I'-I Agent item 4 if Restricted Delivery is desired. · Print your name and address on the reverse X ~-~-~-~"-~'[] Addressee. so that we can return the card to you. B. Received by (Printed Name) [ C. I~te .,o~ivery · Attach tbis card to the back of the mailpiece, or on the front if space permits. ~,~'kC~./~,,.~ .~/ . I D. Is delivery address different from item 17 [~ ~'~s 1. Article Addressed to: If YES, enter delivery address below: [] No DEL TACO MOBIL 3624 CALIFORNIA AVENUE BAKERSFIELD CA 93309 J 3. Service Type ~i~,,Certified Mail [] Mail Express _ ~, [] Registered [] Return Receipt for Memhandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number ~ 7002 3150 0004 9985 4636 ffransferfrom service label) PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-154~ , UNITED STA'~F__S POSTAL SERVICE First-Class Mail 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 1i'15 Chester Avenue, Suite 300 Bakersfield, CA 93301 I~' ~', Postage $ Certified Fee Postmark I~ Retum I~eCiept Fee Here (Endorsement Required) r'~ Restricted Delivery Fe? U-i (Endorsement Require~ ITl Total Poste~ "~ ~ DEL TACO MOBIL ~-~'~ 3624 CALIFORNIA AVENUE or PO Box l~ :._ September 26, 2003 CERTIFIED MAIL Del Taco Mobil 3624 California Avenue Bakersfield, CA 93309 F!RE CHIEF RON ,--RAZE ADMINISTRATIVE SERVICES NOTICE OF VIOLATION 2101 "H' Street Bakersfield, CA 93301 I~ SCHEDULE FORCOMPLIANCE VOICE (661) 326-3941 FAX (661) 395-1349 Dear Sir or Madam: SUPPRESSION SERVICES 2101 "H' Street Bakersfield. CA 93301 i Our records indicate that your annual maintenance certification on your leak VOICE (661)326-3941 , detection system was past due 09-19-03. FAX (6~,) 395-1349 PREVEN'~ION. ISERVICEs You are currently in violation of Section 2641(J) of the California Code of FaRE SAFETY SERVICES * ENVIRONMENTAL SERWCES ~ Regulations. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661~/326-3979 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 PUBLIC1715 ChesterEDUCATIONAve. instructions, including routine maintenance and service checks at least once per Bakersfield, CA 93301 calendar year for operability and running condition." VOICE (661) 326-3696 FAX (661) 326-0576 You are hereby notified that you have thirty (30) days, September 8, 2003, to FIRE INVESTIGATION either perform or submit your annual certification to this office. Failure to 1715 Chester Ave. Bakers, eld, CA 93301 comply will result in revocation of your permit to operate your underground VOICE (661) 326-3951 FAX (661) 326-0576 storage system. TRAINING DiViSIOn Should you have any questions, please feel free to contact me at 661-326-3190. 5642 Victor Ave. . Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Sincerely yours, Ralph E. Huey Director of Prevention Services Steve Underwood - Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db ~;~' ; .6630.Rosedale Hwy., # B, Bakersfield, CA 93308 Phone (661~'58~ Fax 588-2786 MONITORING SYSTEM CERTIFICATION This form must be ~ased tb document testing and servicing of mohitoring equipment. A separate certification or report must b~. p~epa%d for each ~0nitoring. system control panel by the technician who performs the'work. 'A copy of this form must be provided to the .tank' ~ystem 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 . .......... contact Phone No.: Facility Contact Person:' }q Ix,.) (~.. [ ~_ .-i~.~:~O¥ Make/Model. of Monitoring ~ystem:..~_, [7~1 ~ / B. Inventory ' " ' ' · . of EquiPment Tested/Certified Check the appropriate boxes.to indicate sPecific equio~ent b~-~ e~-te--~ls ~ .... Io~- ~-,ce' or Vault Sensor . Model! ....... . [ I~Annular Space or vault ~ensor. Model: -' 121 ~Pi-- ~;i"n~'~u~t~; / Trench Sensor(s). Model: :' ' '--'' ~0 Piping Sump/Trench Sensor(s). "' Model: I~'llli$ SUmp senso/(s). ~ ~ '~ Model: · ~ Sump Sensor(0~ ~ Model: 121 Mechanical Line Leak Detector... Model: : . · .121 Mechanical Line Leak Detector. ' Model: El Electronic LineLeak Dote, ClOT. · Model: ~ El Electronic Line L~ak Detector. ' M0dd~ El Tank Overfill / High-LeVel Sensor. Model: [2'Tank Overfill/High~Level SensOr.. Model: O Other (specify equipment type and model in section'E on ·Page 2)i ' 12.0ihef.(spe¢ify,equipment tYPo',md, model in section B on Page 2). .l~*Sh-Tank Gauging i~robe. - l~odel: _t~u{~qO" ~O~t . O In-Tank Gauging Probe. MOdel: I~Knnular Space or Vault Sensor. Model: 121 Annular Space or Vault Sensor. Model: O ~Piping Sump / Trench Sensor(s). Model: :,: 121 Piping Sump / Trench Sensor(s). Modch. I~I~1~ Sump Sensor(s). ~-{'D MOdel: 121 Fill Sump Sensor(s). Model: D Mechanical Line Leak Detecto~. Model: · El Mechanical Line Leak Detector. Model: FI Electronic Line Leak Detector. Model: 121 Electronic Line Leak Detector. Model: O Tank Overfill / High-Level Sensor. Model: ':' 121 Tank Overfill / High-Level Sensor.· Model: ~1 Other (specify equipment type and model·in Section E on Page 2). 121 Other (specify. . equioment, type and.. model in Section, B on .Page. 2). 'Dispenser ID: [ , ~ . .... .:; Dispenser ID: O Dispenser Conta}n~n~nt Sensor(s). Model: ,El:iDiSpenser Contain~et~t Sensor(s). Model: O Shear Valve(s). x, ' O; Shear Valve(s). D Dispenser, Containment Float(s) ~d Chain,s).. IZI Dispenser Containment. Float{s) and Chain(s}. Dispenser ID: q , h ~. ' DisPenser ID: ~ Dispenser Contai~'m~nYSensor(s). Model: [21 Dispenser Containm~t Sensor(s). Model: I21 Shear Valve(s). .:} 13 Dispenser containment Float(s) and Chain(s}. O Dispenser Containment Float(s) and Chain(s). Dispenser ID: C~ ! ~'] (~)' Dispenser ID: El Dispenser Containment Sensor(s). Model: 121 Dispenser Containment Sensor(s). Model: 0 Shear Valve(s). :~ O Shear Valve(s). 21Dispenser Containment Float(s) and Chai.nls). 121 Dispenser Containment Float(s) and Cha!n(s). · If the facility contains more tanks or dispensers, .~'py this fOrm. Include information for every tank and dispenser at the facility. C. 'Certification - I e~rt~ mat me equipment identified in this document was inspectedlserviced in accordanc~ with the manufacturers' guidelines. AttaChed to this Certffication is information (e.g. manufacturers' checklists} neCessary to vexify that this information is correct and a Plot Plan Sho~ing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attaehed~ a copy of the r~port; (¢he2k alt that apply,: 0 Ss~m setup0 ~.._~ldr~t~°rt Technician Name (print): ~. [ ["3E L Ct~ ~'~ ~_ [_~ Signature: ~a~'~_{_)q{l A ' Certification No.: [_ O ~ 5 q'. License. No.: · ~'3-'~ ~ C~) ~- Page ! of 3 03/01 Monitoring System Certification b~{~ftware'Version Installed: "[ k l 0 Complete the followin§ checklist/ ....., audible alarm operational? []f~Yeg I a No* '"!" Is th~ vima'.l aia, ,rn!. o.nerafiOnal9 'iii/Yes El: No* wer~ all Sensors Visually inspecte~t, functionally tes..ted~ and COnfirmed operational? .' [i~ Yes Q No* Were all sensors installed af lowest point of secondary containment and positioned so that other equipment will ~'~61~<' ::E~-'NO*': :'ii~: ai~ ~e relayed to.a remote monit°rin~"S~aion, is ail c0~i~ations equipment .(e.g. modem) ~ Z} N/A .operatiOnal? .[il/Yes. i~!No,. For pressurized Piping systems, does the turbine autOmatically shut down if the piping secondary containment · El N/A' monitbring system detectsa leak, fails to operate, or is electrically diScOnnected? :If yes: which sensors initiate . .' - : Positive ~ihat:dOwn? :"(Cheok all that'aPPlY). ~2~Si!mpmenCh SensorS;; Cl Di~peuser Containment Sensors. {~/~es ' Did you .confm positive shut-down clue to.leaks and sensor failureJdisconnection? OFYes; 121 No. ~ No* For tank. systems that utilize the rrionitoring system as. the''primary,i'tank' overfill ~waming device (i.e. no El N/A ' 'inechanlcal'0verfill .pl*¢ven-tion valve is-instailed),.'is:the oi/erfill~waming: alarm visible and audible at the tank : !.' ~.. fill point(S)~ind Op~raiing~ikoperly? 'If so,:'a,t what perqent of tank capacity do,es the.a!arm trigger? 6{~D % 121 Yes* ~ No Was :any monitoring equipment'replaced?;: If yes;;' identifY.~tcifi~.sensors;probes, or Other: equip~ment ~eplacexl and list the manufacturer name and modei'}for till replacement parts in section E, below/ ~ -..' 121 Yes.* I~ No._ was-liquid found ide: y secondary containm~nt.systemsdesigned asdry systems? (Check all'that' apply) · . El'product;. [J Wat~. Ifyes,!describe muses in Section E~ below · ~ Yes El No* was 'monitoring system Set;Up r~vi~wed to ensure proper setth!.'.gs? Attach set up report.s, if applicable Ill/Yes 121 No* Is all.mouitoring'eqtiiPmont 0P~atiOnal Per manufacturer's specifications? . .. · ;. '- · In Section Ig'bel'ow describe h~V~'and when theSe'deflCiencies::were or is. Comments:' i, Page 2 of 3 ...... 03/01 F... In.Tank Gauging / SIR Eq ent: /2 Check thi.q' box if auging is used only for inventory control. .~ ~ ~ C! Check this box if no tank gauging or SIR equipment is installed. · This section must be completed ifin£tank gauging equigment is'used to perform leak detection monitoring. Corn ~lete the following checklist: ' -: · ~. [~ Y~.' Cl No* .Has all ~mputwiring been inspected fOr Proper'entry and terminations including testing for ground faults? {~'~yeS '12.iNo* Were all tank. gauging probes visually inspected for damage and residue buildup? '[ii'es 12 No* Was accuracy of system product level readings tested? '" II~'Yes. 12. No*' WaS accuracy of system water level readings tested? [i2'~Yes '12 'No* Were all probes .reinstalled properIy? I~it~Yes 12 No'* Were all items on the equipment manufacturer's maintenance cheCklist completed? ' * In the Section It,. below, describe how and when these deficiencies were or will be corrected. 'G. Line Leak DetectOrs (LLD): I~heck this box ifLLDs are not installed. Complete the following checklist: ' CI Yes. 12 'No* For equil~ment 'start-up or annual equipment certification, Was a' leak simulated to verify LLD performance? [2 N/A (¢heck all that apply) Shnulated leak rate: 12 3 g;p.h.; 12 0.1 g.p.h; 12 0.2 g.p.h. 12 Yes 12 No* Were all LLDs' confirmed opelatiomd and accurate wfltdn regul~t°fy requirements? ' ' r-1 Yes' 12 No* Was the testing apparatus pioperly eah'brated? 12 Yes El No* For mechanical LLDs, does'the LLD restrict product flow if it detects a leak? FI N/A . FI' Yes 12 No* For electronic LLDs, does ~e turbine automatically shut off if. the LLD detects a leak? 12 Yes 12 No* For electronic LIDs, does the turb/n'c automatically shut off if any portion of the monitoring system is disabled 12 N/A or disconnected? I21 Yes 121 No* For electronic LLDs, 'does the turbine ~utomat/cally shut off if any portion of the monitoring system 12 'N/A malfunctions or fails a test?.; O Yes tn No* For electronic LLDs, have' ali access~le wiring connections been visually inspected? 12 N/A ? ....... FI Yes FI No* Were ali items.on the equipment manufacturer's maintenance ch0Cklisi completed? * In the Section H below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 03~ ~i_tor~iag System Certification . -.~ UST MonitOring Site Plan. ...... ; · ~ ..... ~ . .. ....... : . , . · ; ~.. · · r , ..:.. · .. · · ~ ~ ~.~9-- ~ ~'--o .~..~. ~ ......... * ~ ~-.. Ins~cfions If you already ~w a dia~ ~t. shows all .requ~ed info~ation, you may include it, rather th~ ~his page, with MoniWring System Ce~cation. ~ yo~ Si~ pl~, show the general layout of m~ ~d pip~g. Clc~ly identi~ locaaons of thc follow~g cq~Pm~t, if installed: monit~ng system consol panels;sensors monitoring tank a~ular ~aCes, s~ps, disposer P~S, ~ill ~n~ers, or o~ s~n~ con~ent ~eas; metrical or clec~onic linc leak detectors; ~d ~2~ liquid level prob~ (if used ~or 1~ dctccfi~). ~ ~e spaoe 'prodded, note the date ~is Site Plan was prepped. ~. . Page of__ JUN-- I 6--05 M ON I ~ 2 F I~ 0 M B = S = $ . R = C . P = 0 2 ','., · SECONDARY SYSTEM CERTIIqCA. TION FORI~I ,: UST A~ $p~e, · $~ T~e ~n~ ~e ~ .....:. , . ~ ~ . . JU, N-- I 6--05 MON ~ F ROM - ~ . $ . S . R . ¢ . P . 0~ · OFFICE .OF ENVLRONM ENTAL 'SERVICES ' 1715 C. hes~er A~e,, Bak~rs~e~d, CA (6~1) ~2~-397~ ' 'T~KNO, ~ ~L~D ~OUL~' P~EMI~ ~gBL AV~TION T~K NO,' YOL~E CHS~C~ ~TO~O CAS NO. C~~ ' ' ~O~ 0~ ~ ONLY ' · , ....... ' .... ~' , ~'.u',t ..... ' .'."' ,'- -'" ,, ' ....... ~g APPLi~ HA~ ~C~V~ ~DEI~T~D~, AND W~ ~ ~E~T ~D A~Y OTHBR 8TATS, ~CAL AND FEDB~L JU,N-- 16--05 MON I $~ ~ROM B . $ . $ . R . C . P . 04 , ,J~.bssr . ... , Frp'.m *. "l[zbssr" ¢{izbssr~bak. rr.com> .T.,.~;. "Steve Underwood" <sunde~wo@oi.bakersfield.ca.us> . .~.~::: i "Brett A. Tqckett" <brettbssr@bak.rr.com>; "dwlghtbssr" <dwightbssr(~bak,rr.cort~.;'"kellybssr" · ' ', <kellybssr(~bak.rr.¢om> .Se~'t, ~ Thursday, June 12, 2003 $:25 PM · · ::~[~joc t:'.!'.~'~' 7'~'1't'~'~. 4647 WilsOn Rd and 170 t Paoheco Rd, ~:.t.~d below are (2} two 7-~ ~'s which have contracted with B$SR, lnc. for upcoming SB969 repairs and ' ~l~i~.~quent te~ting. · .t~'~a.c_h.e...c_o_~afil is scheduled for Wednesday June 18th, 2003 gAM ...~!;i{~i~':to i~O-~ude $TP Sumj~,s and Spill Buckets. · . .~,.,' .':.." L.. ' ' ' ' =[i;~?.~jll~.oa will'be scheduled f~rlJ'ui~"~4tJi',' Mo.nday a,t 9 ,.AM. ?'~:Ei~air~'to i~¢lude STP Sumps Fill Boxes and Disper{~e'r Pans. '..~:~..v..e Underwood needs Permits pulled by Monday June 16th, 2003 ' '.~b;~/~ce Manager 6~t.-55~-2777 6/]2/03 JUN-- 16--0~ MON 1 $4 FROM B. $ = S = R = C . P . 05 :liz;bssr . .~;~-~ "'lizbssr" <lizbssr~bak.rr.com> ... , . .. "Steve Unde~o~" <sunde~o~o~.baKers'nel~.Ca,US> "8re~ A. Tacke~ <breff~sr~bak,rr.co~; "~ight~sr" ~dwigh~ssr~bak,rr.co~; "kelly~sr'~ <kelly~sr~bak. rr.com> Thursday, June 12, 2003 3:25 PM ;S~j~ct: ;.['.7-.~"{?- 4~7 ~bon Rd a~ 1701 Pacheco Rd, below are (2) ~o 7-11's which have contra~ed wi~ BSSR, Inc. for upcoming SB989 repaim and '.=~L~.~quent ~sting, .P~b~9 .~ {a scheduled for Wednesday ~une.1 ~th, 2003 9AM. ?~iF~'to'i'~de S?> sumps ~nd Spill Bucke~. : ........ ~&~ils~ will be scheduled for July 14th, Mo~ay at 9~. :::.'~;;~il'~ST~:i'~clude STP $um~,: Fill Boxes and Dispenser Pans. . Unde~ood needs Permits pulled by Monday June 16th, 2003 L~'Aivarez Manager · 6~. ,1 ~,88-2777 6/t?./03 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3rd Floor, Bakerstield, CA 93301 FACILITY NAME 6¢..~"~'"O,¢.O [ ~/~.O~l INSPEC~I'ION DATE q'- 310-O ~ Section 2: Underground Storage Tanks Program [] Routine [~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ~(13 {:¢ f~ Number of Tanks ~ Type of Monitoring ~t, 14~ Type of Piping ' t0OJI-~ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current 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? Inspector:C=C°mpliance.~-/gV=Vi°lati°n "[//~~Y=Yes N=NO ~-~' .._,,.~,~~~ 'X) Office of Environmental Services (661) 326-3979 BusinessS~te' ~Respons~ble~ lga~y While - Env. Svcs. Pink - Business Copy Bakersfield Fire Dept. UNIFlED PROGRAM INSPECTION CH~ Enironment~"Servlces ~'E~'T~ON'i Bu'siness Pi;;"and InVentory ProgramI 1715 Chester Ave Bakersfield, CA 93301 Tel' {661)326-3979 Section 1' Business Plan and InYento~ Pro, mm ~ Routine '~Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V {C=Com~,,~o~ OPERATION CO~ENTS \ V--Violation APPROPRIATE PERMIT ON HAND ~USINESS PI-~N CONTACT INFORMATION ACCUR~T~ CORRECT. OCCUPANCY. VERIFICATION OF INVENTORY MATERIALS L-~r ~ V ~IHf. JAI/ON OF QUANTITIES ~ [] PROPER SEGREGATION OF MATERIAL [] ~ VERIFICATION OF MSDS AVAILABILITYE [] ~ VERIFICATION OF HAT MAT TRAINING [] [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES [] [] EMERGENCY PROCEDURES ADEQUATE ~'"[~ CONTAINERS PROPERLY LABELED ~""'~[] HOUSEKEEPING ~,~[] FIRE PROTECTION ~"/~[] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~'1 YES EXPLAIN: QUEST,O~EGARD,NG/~?H,~iSPECT,ON?/ . / PLEASE CALL US AT (661)326-397~.; White - Environmental Services Yellow - Slation Copy Pink - BusineSs Copy · 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 [] Addressee SO that we can return the card to you. Receivedb. y.(~r~.~.ted Name} · Attach this card to the back of the mailpiece, or on the front if sPace permits. 1.1. D. Is delivery address different from item 1 ? [] Yes Article Addressed to: if YES, enter delivery address below: [] No CO MOB/L, L[FORNIA AVE 933 [].Cehified Mail [] Express Mail •Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. ' ~ '~DD[:3 =1'1,~ ~]rlr]~, ~Jl:::Jl~l.l~"=l],[::l5 Re~rictedDelivery?'(ExtraFee) [] Yes PS' FOrm --~ ~-:: .......... : ~ ;50'11 ,-August 200! Domestic Return Receipt 2ACPRI-03-Z-0985 ~ UNtTED STATES POSTAL SERVICE I Postage & Fees Paid I usPs ·Sender. Pleasd~'print y. eur name, address, and ZIP+4 inthis box · Baker,sfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, GA 93301 Ce~qJfled Fee [ Return Reclept Fee / Postmalk (Endorsement Required) / Hem ~ ._ae.~ed Deanery Fee / u') ~,-naome~ m ~'ot~Pl DEL TACO MOBIL ~ 3624 CALIFORNIA AVE .~;~ ~^I~~o ~^ 93309 ..... ~....: ................ . ! ....... April 11, 2003 Del Taco Mobil 3624 California Ave Bakersfield CA 93309 FIRE CHIEF CERTIFIED MAIL RON FRAZE RE: Recent SB 989 Secondary Containment Testing ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 vo,cE (661) 326-3941 FOURTH REMINDER NOTICE FAX (661) 395-1349 SUPPRESSION SERVICES Dear Owner/Operator: 2101 "H" Street ' Bakersfield, CA 93301 VOICE (66!) 326-3941 Our records indicate that you completed your secondary containment FAX (661) 395-1349 testing on October 17, 2002. Our records further shoW a failed test. PREVE~ON SERVICES ' TherefOre you arc required to have your system repaired and re-tested 1715 Chester Ave, Bakersfield, CA 93301 as soon as ~,oss,ule. VOICE (661) 326-3951 FAX (661) 326-0576 This office requests an update with regard to repairs of your system, ENVIRONMENTAL SERVICES Please be advised that repairs involving the replacing of components 1715 ChesterAve. must be under permit from this office. The repairs of your system are Bakersfield, CA 93301 VOICE (661) 326-3979 a condition of your permit to operate. Failure to repair and re-test will FAX (661) 326-0576 result in the revocation of your permit to operate. TRAINING DIVISION 5642 Victorave. Should you have any questions, please feel free to contact me at 661- Bakersfield, CA 93308 VOICE (661) 399-4697 326-3190. FAX (661) 399-5763 Sincere/l% Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc · Complete items 1; 2, and 3. Also complete item 4 if Restricted Delivery is desired. - [] Agent II ~Print your name and address on the reverse [] Addressee so that we can return the cardto you. B. Received by ( Printed Name) · 'Attach this card to the back of the mai!piece, - or on the front if space ~tmits. ~ D. s de ivery address different from item 17 [] Yes 1. Article Addressed to: if YES, enter delivery address below: [] No DEL TACO MOBIL 3624 CALIFORNIA AVE 3. service Type BAKERSFIELD CA 93309 [] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise lili' 0 -~ ..~ ~--[.]-[] ~] ~- ~ ~-~-2~ Insured Mail [] C'O'D' . 4. Restricted Delivery? (Extra Fee) [] Yes · Form ' . _ 3811, August'2001 Domestic Retur~ Receipt 2ACPR -03-z-0985 ' Sender: Plea~ pdntw~ur~e, adding, a~ ZIP+4 i~this box · B~RSFIELD FIRE DEPAR~NT OF~iCE'OF ENVIRONk.~ENTAL SERVICES 1715 Ch~.s~er Avenue, S~ ..T r'~ Ce~fled Fee / Retum Reclept Fee ! ~ Postmark (Endorsement Required) I Here r-~ Restricted ~ LO (Endomemer/' -. ~ To~-,Po~J Ol~L TACO MOBIl, mru._o I B3624 CALiFORNIa'. AVE. , ~~ : .... March 5, 2003 Del Taco Mobil. ' 3624 California Ave -.. 'Bakersfield CA 93309 Frae CmEF CERTIFIED MAIL RON FRAZE RE: Recent SB 989 Secondary Containment Testing ADMINISTRATIVE SERVICES -.... 2101 "H" Street Bakersfield, CA 93301 vo,oE 561)326-3 1 THIRD REMINDER NOTICE FAX (661) 395-1349 SUPPRESSION SERVICES Dear Owner/Operator: 2101 "H' Street Bakersfield, CA 93301 VOICE (661)326-3941 Our records indicate that you completed your secondary containment FAX (661) 395-1349 testing on October, 17, 2002, Our records further show a failed test. PREVENTION SERVICES Therefore you are required to have your system repaired and re-tested FIRE SAFETY SERVICES, ENVIRONMENT~. SERVICES as soon as possible. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components PUBLIC EDUCATION' 1715 ChesterAv~. must be under Permit from this office. The repairs of your system are Bakersfield, CA 93301 a condition of your permit to operate. Failure to repair and re-test will VOICE (661) 326-3696 FAX (661) 326-0576 result in the revocation of your permit to operate. FIRE INVESTIGATION 1715 CheslorAve. Should you have any ·questions, please feel free to contact me at 661- Bakersfield, CA 93301 326-3 190. VOICE (661) 326-3951 FAX (661) 326-0576 Sincerely,,,] TRAINING DIVISION 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 I · 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. · Attach this card to the back of the mai!piece, ~'% or on the front if space permits. 1'. Article Addressed to: if YES,'enter delivery address below: [] No DEL TACO MOBIL ~ 3624 CALIFORNIA AVE' 3. Service Type ~ BAKERSFIELD CA 93309 't [] Certified Mail [] Express Mail ~11~ [] Registered [] Return Receipt for Merchandise Restricted Delivery? (Extra Fee) [] Yes 2.~ 7002 2410 0002 1974 9206 ~. PSForm 3811, August 2001· Domestic Ret~urr~ Receipt 2ACPRI-03-Z-0985 UNITED STATES POSTAL SERVICE' First-Class Mail Postage & Fees Paid| usPs / Permit No. G-10 · Sender: Please pdnt your ~me; address, and ZIP+4 in this box ® BAKERSFIELD FiRE DEPARTMENT OFFICE OF ENVtRONI~ENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfield, CA 9 ~3,301 Ihh,,,Ih,,thlh,,,,;l!:,hh,,ht,,,lllh,,,,,ihhl;lh,,! Postage $ Cedifled Fee Postma~ Return Reclept Fee Here (Endorsement Required) Restricted Delivery Fee (E~orsement Required) ~ DEL TACO MOBIL [7i 3624 CALIFORNIA AVE .............. February 13, 2003 Del Taco Mobil 3624 California Ave Bakersfield CA 93309 FIRE CHIEF R©N FRAZE Certified Mail ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661)326-3941 RE; Recent SB 989 Secondary Containment Testing FAX (661) 395-1349 su.P. ss,o. SERVICES SE C OND REMINDER N OTI CE 2101 "H' Street Bakersfield, CA 93301 VOIC,E (661) 326-3941 Dear FAX (661) 395-1349 ~/wner/uperator: PREVENTION SERVICES Our records indicate that you completed your secondary containment FIRE SAFETY SERVICES. EHV~I4EHTAL SERVICES 1715 ChesterAve. testing on October 17, 2002. Our records further show a failed test. Bakersfield, CA 93301 vOiCE (661)326-3979 Therefore you are required to have your system repaired and re-tested FAX (661) 326-0576 as soon as possible. PUBLIC EDUCATION 1715 ChesterAv~e. ~' This office requests an update with regard to repairs of your system. Bakersfield, CA 9.3.301 vOtCE (661)326-3~ Please be advised that repairs involving the replacing of components FAX (661) 3264)576 must be under permit from this office. The repairs of your system are FIRE INVESTIGATION a condition of your permit to operate. Failure to repair and re-test will 1715 ChesterAve. result in the revocation of your permit to operate. Bakersfield, CA 93301 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 Sincerel, VOICE (661) 399-4697 ~ ~ FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc ·"" . :Tanuar,, 22, 2003 Del Taco/Mobil FIRE CHIEF . . RON FRAZE ~ 3622 California Ave Bakersfield CA 93309 ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 RE: 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 fill tag on your fill. 'PREVENTION SERVICES FIRE SAFETY SERV1CES · ENVIRONMENTAL SERVICES 1715 Chester Ave. 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 (C:~1)326-0576 delivery for missing tags or certificates. PUBLIC EDUCATION 1715ChesterAve; Should you have any questions, Please feel free to Call me at 661- Bakersfield, CA 93301 326-3 I90. ' VOICE (661) 326-3696 FAX (661) 326-0576 · . 1715ChesterAve. Bakersfield, CA 93301 VOICE (661) 326-3951 . FAX (661) 326-0576 TRAINING DIVISION Steve Underwood 5642 Victor Ave. Bakersfield, CA 93306 Fire Inspector/EnVironmental Code Enforcement Officer VOICE (661) 399-4697 FAX (661) 399-5763 ..Office of Environmental Services SBU/dc · Complete items 1, 2, and 3. Also complete inature item 4 if Restricted Delivery is desired. · Print your name and address on the reverse Addressee SO that we can return the card to you. I · Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 17 1. Article Addressed to: If YES, enter delivery address below: [] No EL TACO MOBIL [3624 CALIFORNIA AVE i. Service Type I BAKERSFIELD CA 93309 _ I [] Certified Mail [] Express Mail J [] Registered [] Return Receipt for Merchandise k. *~ [] Insured Mail [] ~.O.D. t 4. Restricted Delivery? (Extra Fee) [] Yes 2.i ~ 7002.'086'0, 00'0'0 1641 5790 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835 Postage & Fees Paid USPS Permit No. G-lO · Sendbr: Please print {j(~ur'~ame, address, and ZIP+4 in this box · BAKERSFIELD FIRE DEPARTMENT OFF)CE OF ENV~RONMF--NTAL SERVICES 1715 Chester Avenue, Suite 300 ~ksrsr.~, CA 9S301 ..... , C3 Postage $ Certified Fee ~-~ R~urn R~elpt F~ Hem ~ ~do~ment R~uim~ To~ I m~ DEL TACO MOBIL . .~ ~ .......... m[~*;i;} 3624 CAL~ORNIA ~;~'~ ~A~RSF~LD CA 93'3uu ~ .......... ~ii--~i~v' , ~ ....... . : January 13, 2003 'Del Taco Mobil ' 3624 California Ave ,. Bakersfield CA 93309 · F. IRE CHIEF RON FRAZE Certified Mail ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 vOiCE (661)326-3941 '~ RE: Recent SB 989 SecondarY Containment Testing FAX (661) 395-1349 suPP.ESS,O, sE.v,CES.. REMINDER N O TI CE '" 2101 "H' Street . · Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 Dear Owner/Operator: PREVENTION SERVICES .F~.,~,,s.~s.~.o..~.,,~,.=. Our records indiCate that you completed your secondary containment 1715 Chester Ave. testing on October 17, 2002. Our records further show a failed test. Bakersfield. CA 93301 VOICE (661)326-3979 Therefore you arc required to have your system repaired and re-tested FAX (661) 326-0576 as soon as posslole. PUBLIC EDUCATION · 1715 ChesterAvb. This office requests an update with regard to repairs of YOUr system. Bakersfield, CA 93301 . VOICE (661) 326-3696 Please be advised that repairs involving the replacing of components FAX (661)326-0576 mustbe under permit from this office. The repairs of your system are V, RE,NVESTIGA'nON a condition of your permit to operate. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3951 Should you have any questions, please feel free to contact me at 661, FAX (661) 326-0576 326-3190. TRAINING DIVISION 5042 V~or^ve. Si~ 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 i~-'.OC T--2Z;--02 WEI) 6 .' ~0 ~ROM ]~ . S . S . R . I NC = P . 81 ~. ',.: 6630.Roseda!¢ H .WY,, # B ....'~ Bak.' ersfieldg.CA 93308 ," .., Phone ~ 661-588-2777' '" ~ .ax.# 661-588-2786 0CT--25--02 WEI) 6 : ~0 [:'ROM l~. $. $. R. C. P. 02 , ,. ' SECONDARY SYSTEM CERTIFIC.ATION FOR:I,! UST An~ular Space Tank 1 Tank 2 Tank 3 T~k 4 Line 1 L~ 2. ~e 3 Line 4 End Ti~ /rio ~-, OC T-- 2 ~:--O 2 I~i EI) (~. : $ 1 F ROPl Itl . S . $ . R . I NC . p . , SECOIqDARY SYSTEM CERTIFICATION FORM T~i~ sumps ~7 ............. ~ .( ..... ~.s:_~_ ~ ........ ' :, .S~ 1 Sump Z Sump 3 S~p 4 Ii HeiSt , ~~ ?: ~ ~.~ ~ ..... ~,~'~....... . ............. ..... ' ~n~'. : ~~ ~..,"-:~'~' '-': - ........ ~'-' lnl~ Hel8~ or'Wa~r 7- ~ n 7 g -g t 7 ~' '~ 5 . W~ ~t 7, ~/~ ? ~, g / ~ g. ~ f._3 ........... ' . 0CT--2~--02 WEI~ 6 : ~2 ~ROPl I~ . S . S . R . I NC . P . 84 · $~NDARY SYSTF2d CERTIFICATION FORM Tur~ ' '~, S~ 1 Su~ ~ Sump ~ Sump 4 .': of W~r ~ . . ...... Ws~ H~ht .' '~' ~.-~ Inl~ Hel~ t ,, ~~t~u ~-~" "' ~~ "' P~go 2 of_ (~CT--25--02 WE]3 6 : $~ ~ROM I~. $. $. R. I NC. P. 86 ." . ..~ ~,'~ . ~' :' :,'~ ' .:::"",'!:; 1B/I~/2B~ $:~ p~ ~UttP LE~ 'rEST ~PO~l' ~L~P L~BK TE~T REPORT ~., ~UP~ ~K TEST R~ORT ur STP ..~. · 87 '~P { TEST ST.'rED 10/17/2~ TE~ ~a~T[o ~o/tT~em" ' END TZ~ ~:4~ P~ T~T ~1'~ tO/L~/~ FiND OhTE ~/~ Z~25~2 ~ TIHE ~IN Cg~ 6,6751 IN ,,.:,~ END LEAL. 6.9699 IN END LEU~ 7.~ IN'.." ~ TIMId, '~29 PM' i.~:~K THRESHOLO e. OO~ :~ · " TEST RESULT E~. L¢UEL 6,678~ 'XN . :. . ~...,, .. ~T ~SULT IFI~S~ 1, 9~ ,:'~t. ~1 STP TEST GT~T~D ~:2b :~ ~:OlH ~L 6.6199 IN ~OIN LEVEL. $,~16 'IN ;' '; TEST ~flRT~ 3{1~ PH END TIH~' 2=4e P~ ~NO TI~K TK~ ~T~RTED 1~17/2~2 END D~E 10/17~662 END D~T[ 19/17~2. ,?" ~OIN LEVEL 7.4776 IN E~ ~EL 6.6191 IN END LF. uEL 6,0752 IN i' ~ND LEaL 7,4776 IN TECT ~$ULT ~hlLKB~.. .:"',".:, ~K T~ESHOL.D 8,~02 IH T~ST RESULT PRSSKD ~L FIL '~:" ~ .... ~L STP : BEGIN LEVEL 6.$6~/ IN B[GiH LEU~ END T~HE 2:~ P~ ~ND DATE 1~/~7/2~02 ~ TI~ 4~5 P~/:'. .................................. E~ LEVEL 6,$651 IN ENO LEVEL , 6,6879-Y~J: LK~K THRE~qOLD ~.0~2 IN ,.,'. I.E~ THRE~OL.O TEST R¢~LT PRSS~D'. ~'~ TEST RESULT ' ' ,, ~,.~ pns~ :: ' ~:h' ',..~. i,.: . .: .;~..::.. }: ..:.."' · , ~ ...... '.'~ ~ .... ~ ..... ~ '. .., , ~.,...v;.' ' '=.' ~O~TL .. ;, .~..., t .... , · . '"~,~' ~K. T~H~D ~.~2 IN EE~IN LEVEL !e~/~ee26.4742 IN ' ~AK THinfOLD 8,~2 IN T~ST ~TRRT~:D 6: t?, PM ~ST ~I, II.T PA~D ~D LEVEL 7, l~l ZH TEST STRRTED ~'ST RESULT ~SED ~ND rI~E 5:52 ~T ~TARTED 6= 17 PH Tt~T RESUL~ BEACH LEUEL · S.~ ZN ~;ND L,~UEL 5.924i IN T~ST ~SULT ! - P. 04 OC ~~-~02 MON Y : 05 FROM ~: . S . S . R . ~ / BSSR, Inc. /~ ..6630 Rosed~e H~,, ~ B ~ ~. "B~ersfield;.CA 93308 '. ', ".Phone. ~ 661-588-2777 F~ ~ 661,588-2786 . .. ~ SECONDARY SYSTEM CERTIFICATION FORM / ~ . T~e S~ps ".~ Sump I S~p 2 Sump 3 Sump 4 Wa~ n~t ~, ~i ~ / ................................ 'T~e ~ :"; ~ f~ ....... . , ~ 1 Ov~ll 2 ~H 3 ~ 4 T~ ~'"' .. Wn~ H~t , ~, ~~on . ~ (s~m=). . ........... ~ge 2 ~_ 0CT--28--02 HON T :06 FROM ~. S. $. R. I~C. P. 06 OCT--28--O2 MON ? : 0? ~ROM ~. S. S.R. INC. P. O? ~624 Ort 1-2 PAN T~T ~T~RT~ ~ P~ TE~ ST~ 1~24~e~2 ~ DRTE 1~24~2 B~ I'ESTE~ L~ T~H~O ~.~2 IN BRK~FIF~O CR ' ' / TEST EE~ULT FflILEO ~/~/Tee2 ~:~e ~N 7-~ P~ S~P LERK TE~T ~T P~O~H ~EL 7,89~ IN TEST S~AR'I'EI> 1:~ Pti E~ D~TE 1~4/2e~ BEGIN ~VEL 7, e~ IN ~D ~UEL. 7.89~ IN ENO ', ~ lt39 P~ L~ TH~D '~,~2 ~N ~ND DflTE 1~5~2 LEflK T~$H~ e,~2 zN T~T STRRTED ' 3:23 PM BEGIN LEU~ 6.~ IN ~ TI~E 3=~ PN ~D ~TE TEST. ~T P~$~ · 0--82 F R I '1 0 : $ 2 FROM D . $ . $ . F I NC . P'. 0 1 ..'ii" BSSR, Inc. 6630 Koscdal~ Hwy., # ~ B~kersfield, GA 9330g Phone (661) 5~ 8.2777 Fax (661) 5~8-2786 SYSTEM C' RT l~s~:~orm m(t~t ~c u~ed to documcnt tc~ing ~d ~icing of monitoring ~quip~ ~nt. A s~w~ate ce~?c_~ or ~,ia~ g'e! for each moni~otin~ svs~w contToJ.~ by the technician who : :'i~ l~..~'~i ~,'~l~m ow~r/0petat°{~' ~e 6Wher/oP~ator must sub~ a oopy of ~is ~ to ~ local agency rogulatag ..,., .., 4~..'. ':~... ,!:,..'....'., ' ,:, :i~:',:~i :,'/ · , . .. . ~nnular S or Vault Sensor. Mod~i~ · .':';~ Line Le~ ~ctor. ~odei: . .. - ..... Q ~echanicsl : D~[c~tOr .... I H'i' S~sor. ~Od~: ' '..' 0 T~R Over~ll t High-Level ~cnsot. Mod~l: =; L~k Det~tor. Model: 0 Mc~aical Detector. Mod~l= ........ . .......... ..... Q E Leak Detector. Mod~h , ,' ,, ',:i~ in Section = nnd model ~ Section ~ Containment Sensor(s). M~ch _.', ;: , r Valvc(s). ~d ' ~set Co~lainmcnt ~ and : ~Inmcnt ~ ' : -.'.~ ' - I ~y ~at thc ~ulpment [dcl~t[fled ~ tb~ d~ent was iaspected/s~[ced ": g~d~,. A~hed to this C~lflcation b in~rmatton ie.g nufacta~rs~ ch~kl~) nec~a~ ~at this "'~: Is correct ind a Plot Plan ~owlng ~e layout of monltogng For any equipm~nt ~a~a~.le '" : ; i flare ~ n~s~ed a copy of tho mpo~; (cA~k a~ r~at a~pl~): ~ ~ Page 1 or 3 .~?!(orlng System Certification ~S E P-- 20-- 02 F R I I 0 : ~ ~ FROM ]B . $ . $ . R . I NC . P . 02 /, la-Taak Gauging / SIR Equipment:. 0 Check d,,a box it'ta,~ gauging i~ used only for invontory ~ ~ Check thi~ boa if no ta~ gaug~g or $~R ~quipmcn~ ia ins~allcd. This :~eP~On must b~ compl~ted if in-m~ gauging eq~pment i~ us~ to pertbt~ 1o~ detection mo~toring. ;Co~ fleta the foliow~ 'hecklist: ~~ F~, ~o!_ ~;r~ all ~ gaUg~ pro~ visualy tn~actcd f~r dao~gc and raslduc 'bUildu~i ' -- .... G.. Line Leak D~tectors ~LD): ~k ~is box ff ~Ds ~e eot ~s~lled. ' Ye~ '}", ~ ~o* For el~o~c LLDs, do~ ~ ~binc automa~lly ~hut o~ if any po~ Of ~ momto~g I', H, ~]ow~ d~lbe how and whe~ ~e d~clencfcs were or will be corrected. ~ $ E P--"~'O-- 0'';' F R I 1 0 ' :];4 F R Ol~l ~. $. $. R. "I NC. P. r~, ~e.~ults of'Testing/Servicing · e followin chee~lst: ~i?:'..' F'~ * ' : '"'": ......... " ......... "~. ~ ~* W~ ~ll se~s0~ Vlsu~l~y'inspc~t~d' ~nct~ally t~s'tcd, and c~nfi~ed.~pera~9~ .... ' ...... ~--~* Wer~ ali so.ors ins~lled at lowest po~t of ~ooonda~- conlaiament and positto~e~ not ~erfere with the~r prop~ opo~tion~ ~.: · : ,, ... , ...,... ........ ... i~), ~ N/A ~??~g .~y~em?~? ~ l~?.i~ ~0~' or b eloc~lly ~co~c~d?. ~y~: which s~b~ ~i~a~ ;.~: , .'? . ~uvc saul-ao~ (~ a~l ~a; opp~) ~um~n~ S~o~s; ~ D~pej~T Con~i~ont Did you ;o~ posiiyo ~ut-down d~e ~ leaks a~ ~n~r ~l~!~8;~eO~eeii~n9 ~.,, n i~: -0 N0* For ~ sys~ ~at u~ ~c ~nitor~g sys~m as ~c pr~ ~0~ez'fili w~g dc~ice (i.c~ ~ N/A mcch~ca~ 0v~fi!l ~ven~}on Valve lS ~smIi~d), ~ g~e ov~fill wa~g ah~.vislble ,~.:.... f~l ~ht(s) ~d 0~rat~' Vi0p~Iy~. If so, .~t .w~ ~rc~{ of ~ e~P~iW does '.V" ~nd ~s~ ~c manufa~ nme ~d ~1 for ~ r~hc~m~t paflj ~.So0tion ~ b~low. ~ ~/~0'. was U~d t ' '""" .... ' ' '- · - · ~ ~z& ~y s~on~ c~~t syste~ designed ~ ~ s~,~? (Ch~ck a""~har, appi~)'~ t'.:~i:. ::~ TN0* Was mouito~g sys~m.s~t-uP'r~vi~d to e~r~'o~p~r, ~g~ ~ach set up r~P0~, .i~a~lic~ble'. '. ~::~7~' · · · - . .... . , ., , . . · . ,, ,. .' . ,' ~.5 ~:: ~ ~: * .... ~ '.( '~ '~ ......... '~'-~i~"'C .......... - -=- ............. ~- ........ -~ a~rme now aaa ~en m~e aa~c~mef~ w~e or wm be corrected, E~, Cvmmeu~: ~ ~E P-- 20-- 02 ~ R I I ~o: ~ ~ ~ R OM I~ . $ . $ . R . I ~ C . P . 84 M,o~itortng Systom Certification' UST Monitoring Site Plan ...' ...... **; ~ ..~r... N~~. . . ~~, ._'"-' d :::::::000:.: :: :':' I.~" :.:~15 ....~'. ....... ============================= · .'" :' 't ..... '~ ..... .' , .V~. · ~ ............... ' ........ ~,~ ..... .:...:, ~. ::..~, , , · . .~ ...................... . .................... '2'~ ........ :'- ...... '~ ............................. ~'' . , ~ ~ ~, , , · I .... . · , * · · ~ · ~:1::::1:':.: .... ~.'~- ........................................... !nstr[cflons ~A'i~ia~iii~ ~wtcm ~cation. ~ Yo~ site plan, snow ;{(~i'~J~l'~:'~'t~'~ ~2i"52~g"~oa~ihmefit 'i~ in~miled' moni~ring ~stcm tonal p~ls;' s,~ monitor~g t~k annular ' :~:a~'~):~r':"~JaPs,'-~'~ll":T,~'." dispdn~ ~, ~ill ~n~nc~, or oth~ scconda~ conminm~t ~; m~chanical or ~lc~omo line l~ ~'~}~[J':~d ini~.liquid icvol pro~ (ifus~ for le~ ~cflon). ~ fl~ ~c, provided, not~ ~c date ~is Site Plan Page ~ of~ ~User: RightFAXUser Host: FAX Class Fax Job: !Q_HAZ1 Phone (661) 588-2777 Fax (661) 588-2786 MoNITO ANG SYSTEM CERTIFICATION This form must be used to dgcument testin and servicing of monitoring equipment. A separate certification or report m-.~t be. t~ret~ared for each monitorin~ system control t: ariel by the technician who performs the work. A copy o~'this form must be provided to ~he-tank system owner/oper~t0~. The oWner;/ ~erator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. ! A. General Information ~ Facility Name: bEL.. -{"~C(~ F~lOi:~,~ Bl~g. No.: SiteAdclres~: ~q_ d~Lt[Ol~,'O t~q RXJ. city:~l(El~.%Vt~'L.~ zip: MakMVlodelofMonitoringSysiem: I:::IXA(5 ? o2. fi 201000(3 0 DateofTe~ting/Servicing: _.~/ ~ B. Inventory of Equipment Tested/£ erfified Cheek the appropriate boxes to lndle~ specific ~ie.,,~t i~eeted/seJ-vleed: , TankID: ~ ~ i~'.~.I : TankID: ~. 12}~n-T~mk Gauging Probe. Modeli ¢~g~ ~ .~q &O ~OO [WI'n-Tank Gauging Probe. Model: ~a~O2& raoOl la O i O O I~mnular Spae~ or Vault Sen~or. Model: i~O: ~ql[qqOl]O fii~nnular Sp~w~e or Vault Sensor. Model: ~OffiO ~iq I Iq [] ~ping Sump / Trench Sensor(s). Model:~ - []fiping Sump / Trench Sen~or(s). Model: - ~ Sump Sensor(s). $°'Cp Model:.{}~O1 § °1'2l.'1~OO [ O ~rl~ Sump Sensor(s). ~;'1' p Model:i~l:~_'j_~iqlMxlC'/D i O ~ Mechanical Line Leak Detector. ~ Model:i' ' I ~ Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector. ! Modek t ~ Electronic Line Leak Detector. Model: r-I Tank Overfill / High-Level Senso~. Model:: t ~ Tank Overfill / High-Level Sensor. Model: 121 Other (specify equipment type end model inl Sectibn B on Page 2). FI Other (specify equipment type and model in'Section E on Page 2). Tank ID: ~ ~ Ut,,,I,L~:~I'~E~ i I Tank ID: I~l~-Tank Gauging Probe. / Model: ?~a.0?h 5Gq to O i O~ [] In-Tank Gauging Probe. Model: ~nnular Space or Vault Sensor.! Model: [~t~-~q [Iq cIO~6 [] Annular Space or Vault Sensor. Model: ~ Piping Sump ! Trench Sensor(s). Model: :, i [] Piping Sump / Trench Sensor(s). Model: ~ Sump Sensor(s). ~'gP Model: {)iqO'~2 ~q ~.0OOO IE) [] Fill Sump Sensor(s). Model: D Mechanical Line Leak Detector. Model: I ~ Mechanical Line Leak Detector. Model: D Electronic Line Leak Detector. t Model:: i [] Electronic Line Leak Detector. Model: Fl Tank Overfill / High-Level Sensor~: Model: ! [ ~ Tank Overfill / High-Level Sensor. Model: ~ Other (specify equipment type andl model in section E on Pa~$e 2). n Other (specify equipment type and model in Section B on Pa~e 2). DtspenserID: t I~- ] /N/ bqoi)q/~21(.O d Dispenser ID: 5;q 1/xlSqO~q ,[t'~2 Fl Dispenser Containm~ntglnsor(s). Modeff I [] Disl~nser Containment ~efi~or(s). Me'fei: Gl~3hcar Valve(s). ! Ii,Shear Valve(s). 121 Dispenser Containment Float{s} an :1 Chain{s~. I [] Dispenser Containment Float(s} and Chain(s}. Dispenser ID: ~ & 'l/~i:}qobq / I~tr'~O nlspenserID: '} t~ I /X) '~qfL~q ~ Dispenser Containment Sensor(s). Model: - ' [] ?ispenser c0ntainm~nt Sens&($). Model: ~. ' ~hear Valve(s). t i [ [ill. hear Valve(s). Fl Dispenser Containment Float(s) and Chain,s}:~ [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: (~, tO [/~Jz'~CtSL~q'/~).~O Dispenser ID: 121 Dispenser Containment Sensm:(s). I M°del: ' ! Q Dispenser Containment Sensor(s). Model: I:~ghear Valve(s). i [] Shear Valve(s). 121Dispenser Containment Float(s) and Cha!n(s). ~ i r Fl Dispenser Containment Float(s} and chain(s). *If the facility contains more tanks or ¢ isocnsers,!ooov ~his form. Include informationifor every rank ~d dispenser at the facility. document C. Certffieafion- It emily ~hat me ~qu ~t iavatifl~ 1- thl~ w~ ~s~,ect~t~eme~t m accor~n~ manufaetnrer~' guid~iln,~. Att ichval to ii~s C~ _.~e~tton b inform~tlon (*.g. nmnufaemr~r~ ehecldl~ta) nece&q~ry to verl~ that information is correct and a PI. it Plan sinewing the layout of mo~ltoring equipment, per may ~llulpment capable of generating reports, I have also attached a e, ~py of the!repo4tl (eh,~ aE that apply): FI SJ~tem s.et-~}p ~ Alarm hbtory report TeclmicianName (print): "~I i'5~ b C~q ~i t_LO Signature: '~--~ Certification No.: I OC) ~ c4 I :. License. No.: Testing Company Name: [~'~. I~!C- Phone No.:( ~6 [ .) ~ -~-:[ ~ Sit'Address: 6(~-~O ~"[~lqL..l~ ~ldOx{ ~ l~} DateofTesting/Servicing: 8 /6 /O~. i , Page I of 3 Ionitorlng System Certification D~ Results of Testing/Se?iciug Version Install~ I[~ · C~,U~ I checl~lst: 0 No* h the No* Is the vishnl :onfirmed operational? 12 No* Were all {2 No* Were all point of secondary containment and positioned so that other equipment will not Yes 12 No* If to a remote monitoring station, is all communications equipment (e.g. modem) ~ N/A containment 12 No* the ruth/ne automatically shut down if the pip/n/secondary O N/A a leslq fails to opera~,~ or ~elec.tri~cally disc positive :all that apply) {~,~3umpfl'~¢l~_~..enso~! ~a ~'~..--~-,7,2g~L r~ ,,A ' : f due to leaks~r tatlure~msconnecuon-r r-I No* For tank Ithat the monitofin~ system as the primary tank overfill warning device (i.e. no r-I N/A valve is installed), is the overfill warning alarm vis~le and auch'ble at the tank If yes, identify specific sensors, pwbes, or 0 Yes* 1~ No Was any 'name and model for all ~_.~.~_~..q!~at'ts in Section E_~.below. 12 yes* ~ No Was seconda~ con/~ir~ent systems designed as chy systems? (Check all that apply) 12 describe causes in Section E~ below. 12 No* Was reviewed to ensu~~? Attach set~licable No* ; manufacturer',' · In Section E below, describe ~ these deficiencies were or will be corrected. E. Comments: 03/'01 P~ge 2 of 3 - ank Gauging / SIR Equi nt: Ca Check this box if tanl~gi~ is used only for inventory control. : "',~ ~ ~ Ca Check this box if no t]~gauging or SIR equipment is installed. . i This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following ehe,eldist: . i~ ~s Q No* Has all 'inPut wirin~ l~eei~ inspected for prop~i entry and termination, inclu~ling testing for ground faults?" ~ Yes Ca No* Were all ,fimk gauging i~.obes visually inspected for dama. ge and residue buildup? · lit/Yes Ca No* Was acc ,u~acy ofs~stem!product lcvel readings tested? . ~ Yes Ca No* Was accusa' cy of s~stemiwater lev.el readings tested? . [~'Yes Ca No* Were all p~robes rei~uflall~ prop6rly? Cia/Yes El No* Wereal!i~msont~eeq~nentmanuflsommr'smaintenancechecl~li-~tcompleted? * In the Section H, below, 'describe h ~ and when these deficiencies were or will be corrected. G. Line Leak Detectors ~LLD): [ ~il/'Check th!., box ifLLDs are not installed. complete tile lOllOWln~ cheel~ist: Ca Yes Ca No* For equipment slar~-up 'o~ .*,,,,ual equipment cel~ficatien, was a leak shnulated to verify LLD performance? Ca N/A (CheckaI~thatapp,'F) $imulatedl~rato: Ca3g.p.h.; /20.1g.p.h; ~0.2g.p.h. Ca Yes Ca No* Wore all L~s cont lrmed operational and accumte within regulatory requfl'emen~s? Ca Yes.Ca No* was the ~ting app ~a~ properly caha,ra~? Ca Yes Ca No* FormechahicalLLl)s, d0es the LLD restrict product flow if it detects a leak? Ca N/A ~ Ca Yes ~ N~* For electr6nic LLD~',, does the ~rbine automatically shut off if the LLD detects a leak? Ca N/A ~ yes cl No* For elecU9nic LLD~, does the turbine automatically ,shut off if any portion of the monitoring system is disabled Ca Yes Ca No* 'For electr,bnic _~LL~_ s, does the turbine automatically shut off if any portion of the monitoring system ~ N/A ms!filncrti611~: or f~a te~t? 121 Yes ~1 No* For electrd~ic L , l~v~ all a¢ees,~le wiring ¢onnectiom b~ Ca N/A Ca Yes Ca No* Were all items.on ~e eq~'pment manufacturer's rnaintol~allBe checklist completed? * In the Section H, below, des?dbe. ~ howand iWhen these deficiencies were or will be corrected. 1:I. Comments: ~ Page 3 of 3 oz/o~ UST Monitoring Site Plan ......... ~'~-~ i ....... ~ ..... ; .... ~ ...... ~' ,, ~.- ......... ~: , ....... . . ..~ .... . . . ~- '~ ', .......... · ~,. · ~ ............. ., .,~..- ~ ..... . .~. ~-..~... · , .... ~, ....... . ~ · ,~, . , ~ , , ........ : .[.'~'..~ · ~' · ': ...... ~. · '~ · ·: .~ ,,. :~o' ~ o. · ........ ~ . ~'. ~ ~ · ~ · · . . · · .~' · · . '~ · . · 'g' A ~ ,g ~..~ .~ ~z_~"~ .... '.''' ~::..~' '~' '~' '~ ~ :[g,:~' '[z~')' ' ' 0 ::. ~ ' '~:: ::: .... · ''i~ 11 i 111'.i:11 i~11 ...................... ~. '...; .' ~ . ....... ~~ .......' ~ ~ .~,~ ...... '. ~ ~ ~:::: ..: !::: ~,:~ ::::::::::::::::::::::::::-~ ........ · '' ~ _ ~ i~1~ {~-;'ofi.~ Sysmm Ce~fica, on. O: . · led' mom~n~ Y _: ~s' mech~ical locations o[ the wu~- ~ ~. · .... :-~s or omcr se~ . . .,_ aces, s~ps, di~s~ p~s, ~ill c n-,,,--, . · ,- ~-,--,ion). m m~ ~v--- v . ~tectors; ~d inlmnk liqmd levd p~ ~ 0f used tot l~ u,- .... o~oo was prepped, ~sge ~ of ~ CITY OF BAKERSFIELD · ~OFFICE ~OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield,' CA (661) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYpE OF APPLICA'[IO~N. '(CHECK). [ ]NEW FACILITY [,,,~VIODIFICATION OF FACILITY [ ]NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE ~:~--~ -O'i'~ PROPOSED COMPLETION DATE (O- ~-- FACILITY NAME ~).~{ -~ co ]Y{CC~/-e~ EXISTIN~_~.ACILITY PERMIT NO. FACILITY ADDRESS ~'~ C~C?~'a~t~t'~ ~ CITY '~{~¢7-~.~eL~ , zip COVE TYPE OF BUSINESS, ~-'~-~{ ~'~'-~ APN # .... · ~ PHONE NO ~¥~ CONTRACTOR "~:5/L --~-,~e_., . cA LICENSE NO. ,~'.< ADDRESS (~'~. ~t~ ~w4 CITY '~{c,3~'L-,O ZIP CODE P ONE NO., _ so. - WO~MAN COMP NO. ~Ol~/ ~Qq ~ ~SU~R ~~ ~{~ff~ , WATERTO FACILITY PKOWDED BY ~ O~THTOa~O~DWATE~ ~l~ SO~LT~a~VATS~T~ ~ ~O. OF T~S TO S~ ~STALL~V ~ ~ T~Y ~O~ MOTO~ ~L ~ X~S . ~O S~[~L ~V~O~ COnTrOL AN~ CO~Ta~ M~ASU~S ~AN O~ ~LE ~ Y~S ~O S~[OS FO~ M Or0~ Tk~ ~O.' VOC~ ~LEA~nO ~ULA~ ~M~ OIaS~L, AViATiON SECTION FOR NON MOTOR lqJEL STORAGZ TANKS TANK NO. VOLUME CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED ('NO BRAND NAME) (IF KNOWN) FOR OFFICIAL USE ONLY 'APPLICATION DATE. ''' :~ACK.flY NO.':' ":. '":i '::.'i:'' NO. OFTANKS '"' FEF-.~$ ' '" ' ': [ I THE'APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULAT IONS. THIS FOR~VI HAS BEEN COMP LETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS 2 ,- c~ APPROVED BY: APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED CITY OF BAKERSFIELD "'-f~ ~~ , OFFICE OF ENVIRONMENTAL SERVIC. ES 1715 Chester Ave., Bakersfield, CA (661) 326 3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ "~ SECONDARY CONTAINMENT TESTING PERM1T TO opERATE # , OPERATORS NAME, ' ,~,~, ~/~ ~C ~ d~ NUMBER OF TANKS TO BE TESTED ~ IS PIPING GOING TO BE TES~.,~3 TANK # VOLUME CONTENTS / /~I< ,, ,~/ · August 30, 2002 Del Taco / Mobil 3622 California Avenue Bakersfield, CA 93309 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (si located at the above stated address. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator, ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 If yOU are receiving this letter, you have not yet completed the necessary secondary VOICE (661) 326-3941 FAX (661)395-1349 containment testing required for all secondary containment components for your underground storage tank (si. SUPPRESSION SERVICES 2101 UH' Street Bakersfield. CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284. l (California Health VOICE (661) 326-3941 FAX (661)395-1349 & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are PREVENTION SERVICES capable of containing releases from the primary containment until they are detected 1715 Chester Ave. Bakersfield, CA 93301 and removed. VOICE (661) 326-3951 FAX (661) 326-0576 Of great concern is the current failure rate of these systems that have been tested to ENVIRONMENTAL SERVICES date. Currently the average failure rate is 84%. These have been due to the 1715 Chester Ave. Bakersfield, CA 93301 penetration boots leaking in the turbine sump area. VOICE (661) 326-3979 FAX (661) 326-0576 For the last four months, this office has continued to send you monthly reminders of TRAINING DIVISION this necessary testing. This is a very specialized'test and very few contractors are 5642 Victor Ave. Bakersfield, CA 93308 licensed to perform this test. Contractors conducting this test are scheduling VOICE (661) 399-4697 FAX (661) 399-5763 approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take sUch action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sinc~. ~. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services July 30, 2002 Del Taco/Mobil 3622 Califomia Ave Bakersfield CA 93309 REMINDER NOTICE [:IRE CHIE[: RE: Necessary Secondary Containment Testing Requirements by December RON FRAZE 31, 2002 of Underground Storage Tank (s) Located at ADMINISTRATIVE SERVICES the Above Stated Address. 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Tank Owner / Operator: FAX (661) 395-1349 SUPPRESSION SERVICES If you are receiving this letter, you have not yet completed the necessary 21Ol "H' Street secondary containment testing required for all secondary containment Bakersfield, CA 93301 ' VOICE (661) 326-3~41 components for your underground storage tank (s). FAX (661) 395-1349 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California PREYENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary FIRE SAFETY SERVICES · ENVIRONMENTAL SERVICES 1715 ChesterAve. containment components upon installation and periodically thereafter, to insure Bakers,e~d. CA 933O1 that thc systems are capable of containing releases from thc primary VOICE (661) 326-3979 FAX (661) 326-0576 containment until they are detected and removed. PUBLIC EDUCATION Of great concern is the current failure rate of these systems that have been 1715 Chester Av'e. Bakersfield, CA 93301 tested to date. Currently the average failure rate is 84%. These have been due vOiCE IS~l) 326-36~ to the penetration boots leaking in the turbine sump area. FAX (661) 326-0576 FIRE INVESTIGATION For the last four months, this office has continued to send you monthly 1715 ChesterAve. reminders of this necessary testing. This is a very specialized test and very few Bakersfield, CA 9630~ VOICE (661) 326-3951 contractors are licensed to perform this test. Contractors conducting this test FAX (661) 326-0576 are scheduling approximately 6-7 weeks out. TRAINING5642 VlctorDIVlSlONAve. The purpose of this letter is to advise you that under code, failure to perform' Bakersfield, CA 93308 this test, by the necessary deadline, December 31,'2002, will result in the VOICE (661) 399-469Z revocation of your permit to operate. FAX (661) 399-5763 This office docs not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sincere , Steve Underwood Fire Inspector Environmental Code Enforcement Officer JUL--30--02 TUE $ -' 2 I FROM I~ . 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 o~o~~' ~~-~ ..... , .... . TANK # VOLUM~ CONTE~S APPROVED BY - DATE SIONATURE OF APPLICAYTJC CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILITY NAME 0c.{ TAro ,~O{~tic. 1NSPECTIONOATE ADDRESS .36, 5/. 2, ~t,4oc~a,o._ .._/~-- PHONE NO. ~ _90,q-" q'~70 FACILITY CONTACT BUSINESS ID NO. 15-210- TIME NUMBER OF EMPLOYEES INSPECTION Section 1: Business Plan and Inventory Program [~ Routine ' [~ombined I~ Joint Agency [~ Multi-Agency ~ Complaint [~] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate L Visible address Correct occupancy Verification of inventory materials .-, Verification of quantities /' Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures // Emergency procedures adequate Containers properly labeled Housekeeping /" Fire Protection f /,/ Site Diagram Adequate & On Hand C=Compliance V=Violation Explain:Any hazardous waste on site?: [~Yes ~'No Questions regarding this inspection? Please call us at (661 ) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ,.spector: DEL TACO MOBIL :3624 CAL1FO]4~I"IIA AV BAKERSF ! ELD CA. 9',3309 661-325-4770 JdL 25. 2002 10:21 ah1 S"fSTEI't STA'fUS REP,3RT ALL FU['4CTI':}NS NORMAL I N'v'ENT':}R'? REF',:}RT , T I :DIESEL ULI~ = [ ~'-" 90~I_AGE= 1136 GaLS TC %)LUME = 2461 GALS HEIGHT = 56.80 INCHES ..,laTER 'dOL = 0 GALS TEIdP = 85.9 DEG F T ~EI'tI UM V()L]~. = 3495 ,:3ALS ULLAC.;E = 4595 ,:]ALS 90% ULLAGE= 3795 c'" o TC VOLUME = 3:398 GALS HEIGHT = 42.3B INCHES WATER VOL = 0 GaLS WATER = 0.00 INCHES TEI"IP = 85.8 Dg'S F T 3: UNLEADEI} ; VOLUME = 73:35 GALS ULLAGE = 4665 (]aLS 90% ULLAGE= 3465 (]ALS TC ',JOLUME = 7:31 ? GALS HEIGHT = 56.43 II':ICHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 94.0 DEG F 'CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTA.L-SDRVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME _~¢,( ?dr_CO .[~O~t_ [e_, INSPECTIONDATE Section 2: Underground Storage Tanks Program Routine [~/~ombined ~ Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ~1_~ I.~C.-~ Number of Tanks Type of Monitoring d./-- flh Type of Piping ~LO OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current L,,/ 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 Inspector: _ _ _ e _ ,/ Office of Environmental Services (805) 326-3979 Business Site Responfiiv~e Party White - Env. Svcs. Pink - Business Copy D June 30, '2002 Del Taco / Mobil 3622 California Avenue Bakersfield, CA 93309 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 3622 California Avenue. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in VOICE (661) 326-3941 FAX (661) 395-1349 California Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284. l (California VOICE (661) 326-3941 FAX (661) 395-1349 Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure PREVENTION SERVICES that the systems are capable of containing releases from the primary 1715 Chester Ave. Bakersfield, CA 93301 containment until they are detected and removed. VOICE (661) 326-3951 FAX (661) 326*0576 Secondary containment systems installed on or after January 1, 2001 will be tested ENVIRONMENTAL SERVICES upon installation, six months after installation, and every 36 months thereafter. 1715 Chester Ave. Bakersfield, CA 93301 Seconda~ containment systems installed prior to January 1,2001 will be tested by VOICE (661) 326-3979 FAX (661) 326-0576 January 1, 2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank sy:~s{em must be tested. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office and VOICE (661) 3994697 FAX (661)399-5763 shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you. have any questions, please feel free to contact me at (661)326-3190. St~v~ Underwood Fire Inspector/Environmental Code Enforcement Officer Environmental Services SU/kr D May 29, 2002 Del Taco/Mobil 3624 California Avenue Bakersfield, CA,93309 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 3624 California Avenue FIRE CHIEF REMINDER NOTICE RON FRAZE Dear Tank Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in California VOICE (661) 326-3941 FAX (661) 395-1349 Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002. section 25284.1 (California VOICE (661) 326-3941 Health & Safety Code) of the new law mandates testing of secondary containment FAX (661) 395-1349 components upon installation and periodically thereafter, to ensure that the systems PREVENTION SERVICES arc capable of containing releases from the primary containment until they arc 1715 Chester Ave. detected and removed. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months 'thereafter. ENVIRONMENTAL SERVICES Secondary containment systems installed prior tO January 1,2001 shall be tested by 1715 Chester Ave. Bakersfield, CA 93301 January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component VOICE (661) 326-3979 FAX (661) 326-0576 that is "double-wall" in your tank system must be tested. TRAINING DIVISION Secondary containment testing shall require a permit issued thru this office, and 5642 Victor Ave. Bakersfield, CA 93308 shall be performed by either a licensed tank tester or licensed tank installer. VOICE (661) 399-4697 FAX (661) 399-5763 Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures April 17, 2002 Del Taco/Mobil 3622 California Ave FIRE CHIEF Bakersfield CA 93309.. RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street RE: Necessary Secondary Containment Testing Required by December 31, 2002 Bakersfield, CA 93301 VOICE (661)326-3941 [:AX (661) 395-1349 REMINDER NOTICE SUPPRESSION SERVICES Dear Tank Owner/Operator: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 The purpose of this letter is to inform you about the new provisions in California law FAX (661) 395-1349 requiring periodic testing of the secondary containment of underground storage tank systems. PREVENTION SERvIcEs 1715 Chester Ave. Bakersfield, CA 93301 Senate Bill 989 became effective January l, 2002. Section 25284.1 (California Health & VOICE (661) 326-3951 Safety COde) of the new law mandates testing of secondary containraent components FAX (661) 326-0576' upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Secondary containment systems installed on or after January 1,2001 shall be tested upon VOICE (661) 326-3979 installation, six months after installation, and every 36 months thereafter. Secondary FAX (661) 326-0576 containment systems installed' prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Secondary cOntainment testing shall require a permit issued thru this office, and shall be VOICE (661) 399-4697 FAX (661) 399-5763 performed by either a licensed tank tester or licensed tank installer. ' Please be advised that there are only a few contractors who specialize ~ind have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a Copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures SYF_iTEM ~;TWI~[_b?. F:Ei:'ORI' ~ I',r,..,' ~ ~.,r r ,:::, ~ ',~,' ~"':'~t~(~ T 1: ri 1E'F4E,~, ',,,,'OL IJPIE 2'1:32' LILI_~E = I :~tL:,S C;,qLS T,:: ~UI'.'IE = 2 i 2'9 HED:[;HT 50.49 I b,JaTEF: ',,.iOL = 0 TEl%' : E',?'.:] [,EG F ~/EI"i I IJM ULL.&G~ = 4894 90'.~.::: UL[.~,;~E= 4094 C;~LS TC 'v'OLI_II'tE = 31 Cfi) HEiC;HT = 39.5'.2 II'4CHE~ t4&TE~ VC,'L = 0 M~TER ; 0,00 INCHES TEMP = SE,. I DEG F T :3 VOLIJHE = S556 ,'3AI_.FJ ULLAGE = 3444 (;ALS 90:::.;; Ld_.LF~GE= 22,:1q GALS T(; VOLUME = 95:3? ,.;RI..S ~EI GHT = 'd, 4.39 t4~qTER ",./OL = Iii ,i;~LS I,.J~TEF: = Cl. O0 1 T£PIt::' = '90.5 DEC; F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [] Routine [] Combined [] Joint Agency I~l Multi-Agency [] Complaint [] Re-inspection Type of Tank .[]O3~'; ~; Number of Tanks ~ Type of Monitoring r5 d.~x Type of Piping A~,/~- OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file V Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records a.dequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No ~ ,,/ Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS sPcc available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~ ~ ,,- ~ Office of Environmental Services (805) 326-3979 Bu ~s~ness Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~)e~ Taco iq~ INSPECTIONOATE ADDRESS .'3{o ~ ~¢l[,.~_~,tu' ~ PHONE NO. FACILITY CONTACT BUSINESS IDNO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program '~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] ge-inspect~on Routine OPERATION C V COMMENTS Appropriate permit on hand L ,/' Business plan contact information accurate Visible address Correct occupancy t.,,/ / Verification of inventory materials L/ verification of quantities L, / Verification of location ( ,-" Proper segregation of material ~ / Verification of MSDS availability ~, ,/ Verification of Haz Mat training /.~ / Verification of abatement supplies and procedures ~ ~ /' Emergency procedures adequate L,, / Containers properly labeled Housekeeping L,, / 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 (66 I) 326-3979 B~n~-~s Site ~esponsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: JU4,~--26--02 F R I 1 0 : $2 FROM 1~ = S = S . R = I NC = P . 0 1 BSSR, Inc, . 6630 Roscda e }{wy., n. 8, 9A 93308 onc (661) 5g8.2777 (660 588-2786 MONITO G SYSTEM CERTIFICATION, form m~t be used to d~cat tos~ng and s~gmg o~mommrmg zqu~pmen~, ~~ cortlfica~on or re09rt ~red for each monitor~ system cona-ol v~el by ~e t~hnlc~n who perfor~ ~ work, A ~opy of ~ form must be ~'sy~em '0~/o~r, '~ ~a~opemtor must sub~t a copy of ~s form m ~o local agency regulating U$T Gener~ informa6on ~.~:.. ~c{ CB~..t~R~,~ ~- Ci~:~tE~ELb Zip: ~. ~10fMpnit0r~gSys~m:'.E~C /P~0~620tOQO~ DatcofTcst~,g/S~ici~: ~ (~ /gl': ,meat TesteWCe~ed ~ ~sot, M~Ii~~ [1_~ ~ ~ ~nula~ Spac~ or Vault S~osor. M~eJ: ~ M~i: .... i~l Line Le~ D~ector. M~el: O Mechanical Line Leak Detector. M~cJ: .... = ; :'. Line Leak ~te~o~, M~del: 0 Elcc~oni~ Line Le~k Detector. Mod~: ; ';. Ovc~I] / Modcl~ O T~k Overfill / High-Lev~] Sensor. Model: '. '. in O Other t model in Tank ID: '* '" Qa,ging probe. Model: O In-Tank Gauging Pro~, Model: S~sor, M~OI: O Annular Sp~cc or Vault Sensor. Model: ~'/Trench Se~s), M~del: ~ Piping Sump I Trench Scnsoffs). Model: , '. SXP ~p M~cl: ~~ ~ Fill Sump Sensor(s). ~odel: mt~l Linc ~ ~c~r. M0dcl: g Mechanical Line Le~ Detector. Model: ne Lc~ Det~tor. Modvl: ' · ~ ~ El~gtronic Line Leak Detector. Model: /High. L~vel Sensor.Model: ~ ~ Tank Ov~lt / High-Level Sensor. Model: in Q Other and model In ' Co~inmcnt Sensor(s). Model: ~ ~ispc~scr Containment Sensor(s). Model: ~hc~ %lye(s). Con ~ Dispenser ID: O Dispc~cr (s), "' ~ 0 Dlspens~ ID: ~r'.V=lv~s). 0 She= Valve, s). >cnscr Containment ' .fi:~C~k~' facility con.ins ~rc t~s'or dis~nsot~,'~bpy this ~nn. Include Information for ev~ ~k and dis~ns~r at ~e faeiliW. ~ [,. '~e ........... ~rfiGeatlnn I ~ that the ~uloment Identified In thb document was Inspected/seiwlced In accordance with .:.~5'Ufactu~r$' guld~n~'. A~ch~d to this c~m~tfou Is ?formation (e.g~ man~u~rs ehec?ls~).ncccss~ T ~:~fi'f~ation ~'eorr~ and a Plot Platt, showing ~e hyout ol monitoring cqulpm~t~ eot any zqmpment ~pamc ol g~e~tlng su~ ,:;,:~lhaven~oa~c~dacopyoftherepo~,(~ke~kagthatapply): ~y~m sc~-upn ~ ~arm h~to~ rePort ' ':',' ~..,:-"~..j?,,.,:....:: ...: . , . . ... ' ....... , ~ Page ' ofy~ .~1o~torlng System Certification J U ~-- 2 6-- 0 2 F R I I El .' ~ ~ FROM B = $ = $ = R . I N C = P = 0 2 :. ~:.. "fl No* Wm ~1 se!son ~ually in~ec~d, fim, fionall~ ~sted, ~d co~rmcd operational? '~?"?.]. '~ '"?~ ~ '" ~0' Wer~ aH se~o~'~tallld, at low~sl p'o~t of ~conday conlai~ent ~d positioned so ~at other equipment wi~ .. not ~t~ wi~ ~k proper op~atlon? ,~ '~:..' ~ No* ~ a~ a~ ~layed lo s ~emoie moaltor~g aaflo~ is ali co~icatlo~ cqutpm~n~ ~ No* ~or V~~ piping syst~ does ~e ~b~ aut0m~tic~'fiy shut down ff ~e p~p~g scconda~ coati--ut G ~/A moni~ s~t~ ~ a le~ fails to opc~at~ or ~ elec~lca~y dl~c~tcd? If yes. ~hx h ~6ve 9hut-do~? (C~k all tAar app~) ~u~nch Sc~o~; G Dap~s,~ Conta~nt Sensors. ., , . Did you co~ p~?igv~ ~hu~do~ due to leaks ~ ~eas~ fa~ur~di~c0~cgon? Q Yes; 0. '?? .~ ~o* Poi ~ syste~ ~t ufil~ ~c ~o~itogng SYSCoTM as the pr~a~ ta~k ovcl;fill warning deViCe (i.e, '..' :' ' i: G N/A m~nical overfill p~vention valve ~ ~s~lt~d)~ is ~c overfill wamivg alamx visible and audible at ~; ....: ....... ~i ~s) and op~t!~S, propcrly? ~so, at w~t ~ccnt ofta~ capaci~ d~S ~e ~ ~fgger.? ~ ~ % ~ ? ~ No W~ ~y ~i~ equip~t ~laccd? Ifyes,'identi~y specific scoots, probes, or o~Cr c~ip~nt ropla~e~ ' ~ ~d ~st ~e ~-u~aC~!..~e and m~l for all zeplac~cnt pa~s ~ S~Ct~0~ ~, ~elow, ~:~ '~ NO Wa~ '~quid found ~tde ~ se~n~ coniai~t syst~ dcs~cd a~ ~ ~yste~? {Ci~ck .... o ~ s~m s%~ review~ to ensure ~op~r setgn~ Set Up r~o~s, if appI!~b!.~ :~'!i' ~!{t~51 below, d~cribe how ~nd Wh~ these defi6encf~ were 0r wlfl be ~rrected. JU,L. --26--02 FR I 1 0 .' 34 FROM Ia-Tank Gauging t SiR Equipment:. O Check this box it ugin8 is used only for inventory control. ' , ' ' El Check this box if no rank gauging or SIR equipment is installed. Th.i~t s~tion must be completed if in-tank gauging equipment is used to perform leak detection monitoring. ~lete th~ following_checklist: ' -~=~= ~s'. [ C] No Has all hiput wrong been respected for proper entr~ and termination, including t,s~ing for ground faulr~? ~:..10 No* Were}Il ~ gauging pr0be? v!!uall? !asp¢cte~ t0r d?.m~g¢ and [~idu~ budd..??.~____.____~' .~... 1. ~ No Were ag ~te .rns on the.e~ltupm~nt manufacturer s maintenance checkhst completed? .~ Section H, below, describe h~w and when these deficiencies were or will be corrected. iI!~!:!ne Leak Detectors (LLD): ~ Check this box ifLLDs are not installed. '?[2 No* For cquipme, n~ start-up or "_,~ual equipment cea~dfication, was a leak simulated to verify LLD pCfformanc¢7 :.. _...[2 ..N°*... Wine all LLDs c0nl'irm~d.. ..... °p~rational and %¢tu-at~ within regulatory requ~t~rem¢~lts?. :.El No* Was the testing appar~tu~ ~..~!.Y cah'brat~d? .... -{~ NO--For mechanical LLDs, dOeS the LLD rc~trlct product fiew if it dct~¢~s a'l~'k? ......... -' -~NO* F°r'el¢ct~onic LLDs, do~ the ~urbine autornati~aliy 'slx~i ';~' i~ ~; LLD detects a le~ 0 N/A , .'~ /2 No* For ~Icctronlc LLDs, does ~he turbine automat/callY Shu~'~ff if ar~y portion of the monitoring system is disabled ' {2 1~0' For eleclxol~'~'"Ll.~D~, does' '~he' turf'in;' ~utomaticallY' shut '"~ff if any portion of te monitor, s system [2 N~A malfunctions or falls a test? ~]'"" No* For ,lectronlc LLDs,-have all access~I~ Wiring connectiOns been ~isuaiiy"~n~ected? .......... 121 N/A ..... ~'El. No* Were ail items.on the. equipm~mt manufacturer's maintenance ~e,klist tempi,ted? $~tion H, below, describe bow and when these deficiencies were or will be corrected. JUL--25--02 FR I I iii : $5 FROM liJ . S . S . R . I NC . P . 04 ~O~i~'~'~Mg System Certification ~ UST Monitoring Site Plan . .... . . . . . .~&~~ 2 ' ~ ~. ~~~._ . ~. ........................................... . . . . . . .............................. ~~. ...... . . . . . ~nstrucflOnS ~J;~i~.: ~,~ Ceffifi,ation. On vo~ ~i~ 91an, ~how ~e general layout of ~n~ and p~pmg. Clearly ?'~'~ -~ ......... " ' - · on'tori~ s stem tonal anels; sensors monitoring tank annular ~ ~ond ~ontammmt areas, meeh~cal ' aha in:~nk liq~a l~wl ~0b~ (if u~ for leak aete*tion). ~ th~ ~pa** provided, note ~e date ~i~ Si~ Plan dEB-- ,?--0 i F R I 8 : 1 0 FROM B . S . S . R . I NC . P . 02 ~ :~" 6630 Rosedalo HwT., ~ B, B~r~fieid, ~A 93308 Phone (661) 5~ F~ (661) $88-2786 ... MONITO G SYSTEM CERTIFICATION' ',~. e~ ~ust be mod m do~cnt ~s~ ~d sc~ici~ of mohi~ring ~q~pmcut. ~ .s~_corti~afion or :, A,: ~ener~ Iufomaflon · - r of Equipment T~ted/Cer~ed S~c or Vault Sensor, M~l:~m H~~ ~nnular S~e or Vault Sensor. "s / ~ $eas~s). M~ol: , O ~iping Sump / Tr~ch Senso~s). ModoI: "~ '": '~~~ D~tor, Mod*l: ...... - .... ~ M;chant,al Line Leak Detector. '~:'e~clti~alc Line L~ Det~tor. Mod=l:. 0 Elecuonic Line Leak Detector. Modd: S~o[ M~d:PsOl$~ I I ~q ~ O Annular Space or Vault g,nsor. Mod~l: m/.~,nch S~or(s). Mo&l:' ~ ..... ~ Piping Sump / Trench Sen~off,). Model: ~e. ~ Mod*l: ~ Fill Sump Sensor(s). 3a~r. MOdel: O MechanlcM Line Leak Detector. Modal: Lin~ Leak D~e,tor. ~od,l: ~ Electronic Linc Leak Detector. Model: ~fi!l / Hlgh-L~*I Sensor. Mod~l: ~ Tank Owrfil{ / Hlgh-Le~l Sensor. Model: ' model 0 Other{ and model in E on Sensor(s), Model: Q Dispen~crContuinmentScnsor(~), ~ode[: "' .... ' ~d ~0 D~penser ~: r valves). ~car Va~e(s). ~d Obpcnser , , ContWn~nt $enso~s). : ......... . ~ Dispenser Containment Sen,o~s). Mud~l: ?alva(s). 0 Shear Valve(s). Cont~ md Chaln~ C2~.".Cer~caflon . I ~ ,hs~ tae ~ulpmcnt ld~flfl~ in thh d?um~t ~ t,s~c~/,e~l~ed ':'./i~lUhcmm, gulddh~. A~ch~ to ~b CmmuUon ~ ~format[on (e.~ mfln~ra~nrers ~ec?lsu) :.'.l~fb~tbn ~ ce~ and a Plot Plan sbo~ ~e hyout of monitoring equ~pm~tc ~r an~ ~ulpm~t ~pame ':M{}aRorlng S~t~m Cerflflgatlon sad conf'umed, Were all sensors 'installed at lowest point of secondary containmen! a~td positioned so thai other If alarms a~ ~ a remote monitoring station, is all commU~icatlcms equipment (e.8. modem) ptPln8 systm~ does the turbine a~°matically shut down if tl~ ........... , , r'l No*. . n detecls a loak~ fails lo opemto~ or t~ electrically discon? ,e~d? : which sensors ~ittat~ KJ N/a, (¢t~k all t~t appI.~) ~emp/T~nch Se~som; Ki Dtspeuser Containment Sensors, leaks : lank . .. utilize the ntonitortng system ns the pdmat~, tank ov~rh'll WaminiI device (i,e, '.no .{2. N/A a-~ch~al Ov.~riilI l~X~ventton valve is in.~ll~l), is the overfill wamin/ahnn vis,lo ~d audible at the taak .'.i If Zes~ i~nti~ speciflc sensor~, p~bi~i, or other ~qaiprn*nt l/I. No any model for all I~ No Wa~ liquid foUUd ir~id~ h~ seCo~lary systems designed as d~y systems? (C~ect a~l. tAat apI~l~) - ' · ' cloaca'be ~ .......... ~ No~ . to I2 No* Il bei0W~ dmerlbe hOW and when these deficiencies were or will be corrected, .i,, ;C'emme-ts:, ?--0 i F R I 8 : 1 2 FROM B.S.S.R. I NC. P. 0 1 ~ c~ck ~i~ box ifao~ la-~auk Gaug~g / SIR Equ ent:. T~s':S~gOn m~t be ~mpla~ if in-~ g~ ~uipment is us~ to porfo~ le~ mofftto6ug. :,L~e Le~ Deteaors ~LD): ~ ~ a~ box ~LLDs ~e not ~sanea. e~nic ~s, do= m~ mrbac au~maacally tut off ifad ~ N/A ' au~gcally shut off if ~ po~on of ~e '~~ syst~ ~ ~sabl~ o No' cl~o~c L~s, do~ ~e ~b~e nuto~dcal~ ~,ut off F~ elec~oMc ~Ds, have all access~le wi~ c~ec~ons been visually ~ape~d?. "':~' des~lbe h'ow and wh~ thee defl~nd~ wer~ or wIH be corrected.: ' '"~. ? ',]:.:]:'"' SEP-- 7--81 ~R I 8 : 1~ ~ROM B.S.S. R- INC. P. 02 ' ~[~$~itlng ~ystem Cerflfl~tfou , UST Monitoring Site Plan ...... ¢ ~-. ~-..~ .... ~. ~ .~ ............... ..... o~o..~' ~:~ .' ......... ~ ~ .............. . ...... ~ ..................... ~'~¢ ~ ' . . ~', ............. ~ ~ ............. :~~ ........... ..... ~~~ , .......... ~~~~ ::: ............... :~:~:~:. . .......... ............ ,,; ....... ~ ............ ..,~ ............................ I~yS~'alrcady ~vc a dh~ ~at shows all ~qu~ info~a~on, you may include it, rather ~ ~ia p~c, .with yO~.. , ~": ' ~ 'o~ ~ o~ si~ plan, show ~e general layout of ta~ and p~p~g. ~rly. id~ti~' ~fi'i~ng System C~ afl. · . .~ .... ,--, ----:*~;n- s-stem consol o~cls; s~ors m~itodng tank ~nular ~i~'~rg'.and ini~k liquid level ~bes (if u~ for le~ detcc~). ~ ~e ~pace p~ded, no~ ~e date ~is Site ~as~ ~tepared, ' ' z,ge ~of~__ o~oo cERTi~cATi' ~CON MONITORING DEVICE ON TEST DATE: O ( © © F^aLIW # FACILI~ ~ME ~EC ~CO ~0~~ ~ COmACT PERSON ~PE OF CONTINUOUS MONITOR SYSTEM ~PPLD / SENSORS) OF ~NITORING SYS~M ~ TANK ~ 1 TANK ~ 2 TANK ~ 3 TANK ~ 4 TANK ~ 5 TANK CON~NTS OF T~K (S) C~AC~W OF T~K (S) PRESSURE) ~NU~ SPACE SENSOR 'SUMP SENSOR OISPENSOR CONTAINMENT SENSOR ELECTRONIC O~RFI~ / L~L E~CTRONIC IN-LINE D~ECTOR MEC~ICAL LINE L~K D~ECTOR IN TANK GUAGING D~ICE ~ES THE MONITORING S~EM ~ AUDIBLE ~ES THE TURBINE A~O~TI~Y SH~ ~WN IF SYSTEM DETECTS A L~, FAILS TO OPE~TE OR IS ELECTRONIC~LY DISCONNECTED? IS THE MONITORING SYSTEM INST~ED TO PRINT U~UTHORIZED T~PERING? IS ~E MONITORIN~ ~ST~M O~E_~-As PER ~E ~UFACTURER'S SPECIFICATIONS *~ - I- ~ .... Y~ WHICH CONTINUOUS MONITORING D~ICES INITIA~ POSTITI~ SHUTDOWN OF THE TURBINE? DATE OF ~ST TANK CERTIFICATION CERTIFIED TESTERS I~ ] O O 5 ~ DA~ [ O -- ( ~ ~ ~ O TIME ON SITE PRINTED ~ME OF ~CHNICI~ ~ ~ ~ ~ ~ ~ ~ ~ ~ L ~ O TESTING COMP~'S ~ME & TELEPHONE BSSR, INC. 661-588-2777 COMMENTS: CONTRACTOR SERVICE STATION ADDRESS STATION NO. PAGE REPORTED PROBLEM ~~ ~ ~~ ,~ T~ WAS JOB COMPLETED ', ~Y~s ~ NO ,SERVICES/REPAIRS PERFORMED LABOR CHARGES MATERIAL CHARGES ' MATERIAL DESCRIPTION SHOW MFG. NAMES & SERIAL NOS. IF:PUMP TOTALIZER IS CHANGED, SHOW BEFORE & AFTER TOTALIZER READINGS. TIME RATE AMOUNT QTY, PRICE AMOUNT' -:'~, ~ ~ ~ ~) ~ ~ ,, , ,, ', ,, -. : .... ~' ~ ..... .~. ~: , , TOTAL ~ CORE CREDIT ' .'~' ; LABOR CHARGE ; '. TOTALIZER REkDINGS TRAVEL TIME NO. OF ', , ', MILEAGE TO SITE SUBTOTAL PERSONS ~ ~ ~ ~ , AND TIME AT SITE MATERIAL , VEHICLE MARK , . ~ .' .. VENDOR,S EQUIPMENT Ii ', ', NUMBER UP % SUB- MARK AMOUNT ENDING ODOMETER READING TOTAL ITEM TIME RATE TOT*L UP ~ M*TER,~L ', "~0~ ~~0 ~ ~0 EQUIPMENT ; · ; ', ; SALES TAX ON ~* ~ RENTAL ~ , ~ ~ BEGINNING ODOMETER READING TOTAL MATERIAL . SUB- , , , , TOTAL , , ~ CONTRACTOR '~ '[ ti ; TOTAL MILEAGE TO SITE LABOR CHARGE ', TOTAL REMARKS CONTRACTOR CONFIRMED SERVICE CALL TRAVEL TIME ', TiME ' ARRIVAL TIME AT SITE OA~ AM ~.: ~ ~o~c , :- TOTAL ', PERSON CONTACTED AT SITE DEPARTURE TIME FROM.SITE ~ VENDOR'S EOUIP. ," ~ ' ~' 5~ EQUIP. TOTAL RENTAL ;' I~ERSON WHO PLACED CALL TOTAL TIME AT SITE TOTAL ' ~ ~ ~ ~. HRS. MIN. SUBCONTRACTOR ', SERVICE PERSON (PRINT NAME) SERVICE PERSON (PRINT NAME) BEFORE SIGNING FORM. ~ORIZED PERS~PRIN[ NAME) ~ ~ C~[t~ VERIFY ARRIVAL TIME, /~1~ ~~ TOTAL~ ,, FO~3-SBll (REV 1-94) PRINTED IN U.S.A C~RRECTI O.N NrOTIJ~. E BAKEFISFIELD FIFtE DEPAFITMENT N° cj 8 3 Location Sub Div. 3 (o ~ q Blk. ~t You are hereby required to make the following corrections at the above l~ation: ~or. No J I Completion Date for Correctio ~r~ Inspector 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 13e~( "~a. co ~OIO~'~ INSPECTION DATE ADDRESS 3~oaa c ldo tL JkR.~ PHONE NO. ~o~' FACILITY CONTACT . BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [] Routine [~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C Vl 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 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 [~o ~~ Explain: Questions regarding this inspection? Please call us at (661) 326-3979 - B~ss ~e/i~esponsible Party //Z CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~d 'T~¢_O iq~iO~t~_, INSPECTION DATE g-t'q'O0 Section 2: Underground Storage Tanks Program [] Routine [~ombined [] Joint Agency I~l Multi-Agency [21 Complaint [] Re-inspection Type of Tank ,I~_t).IEr, L.~ Number of Tanks ~ Type of Monitoring d:./--/Vx. Type of Piping O00 ~ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file L// / Permit tees current L/' Certification of Financial Responsibility L/ Monitoring record adequate and current Maintenance records adequate and current ' Failure to correct prior UST violations L,,'/ Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: _ Office of Environmental Services (805) 326-3979 "i~u~iness ~iie l~esponsible Party White - Env. Svcs. Pink - Business Copy / " O~._~ICE OF ENVIRONMENTAL~RVICES · '1715 Chester Ave., Bakersfield, CA 93301:(661) 326-3979 . ~ UNDERGROUND sToRAGE TANKS - UST FACILITY ~ OF ACTION ~ 1. NEW SITE PERMIT RENEWAL PERMIT ~ 5. C~NGE OF INFOR~TION (~ec~ cha~ - D 7. ~R~NE~LY CLOSED SITE (Ch~k one imm on~) ~ 4. AMENDED PERMIT ~cal use only), ~ 8. TANK RE~VED ~. ~,~ s,~ c~osu,E I. FAClLI~ I S~ INFORMATION N~REST CROSS STREET ~1. FACIL~ O~ER ~ ~ 4. LO~L AG~NCY~ISTRIC~ ~/~/~ ~ ~. COEMPTION ~ 5. ~U~AG~CY* ~ 2. INDIVIDUAL ~ 6. STATE AGENCY' ~ BUSINESS ~1. ~S STATION ~ 3. F~M ~ 5. ~MMERC~ ~ 3. P~TNERSHIP ~ 7. FEDE~LAGENCY' ~2. ~PE ~ 2. DISTRIBUTOR ~ 4. PROCES~R ~ 6. O~ER RE~INING AT S~E ~? ~, ~ ~ ~ ~i~ ~ ~e U~. (~is m ~e ~ ~ f~ ~e ~k ~. ' ' :'' : ,. ~' ~l. PROP~ o~ER INFO~N ' ' ~ILING OR ST~ ~DRESS CI~ 410. ~ ~TA~ 411. ZIP~DE ' 412. ~O~R~ O~ER~ W ~ 2. IND~IDU~ ~ 4. L~AGE~rrlDI~I~ O 6. STATE AGEN~ 413. ~1. ~R~TION ~ 3. P~SHIP D 5. ~U~AG~Y ~ 7. F~E~ AG~Y .-III.:T~K ~ER INFOR~ Cl~ 417. ~TA~ 418. ZIP ~OE 419. 1. ~TION ~ ~. P~ER~IP ~ 5. ~U~AGEN~Y ~ 7. FEDE~AGENCY '~ .' W. BO~ OF EQUATION ~T STOOGE FEE ACCOU~ NUMBER '" INOI~TE M~O~S) ~ 1. SE~-INSURED ~ 4. SUR~ND ~7. STA~NO ~ ~ 10. LO~MEC~ISM ~ 2. GU~EE ~ 5. ~EROFCREDff ~ 8. STATE.FUND&~OL~I ~ ~ ~. OTHER: ~ 4~. ~ 3. INSU~CE ~ 6. ~E~ION ~ 9.,STATE FUND ~CD VI. LEaL NO~FICA~ON AND MAILING ADDRESS ~ ~ ~ to in~te ~i~ ~ ~ld ~ u~ f~ I~ n~ ~d m~ling. ~ 1. FAClLI~ ~ 2. ~O~ O~ER TANK O~ER 4~. VII, ~PLICA~ 81GNA~RE STATE UST FACILI~ NU~R (~r ~l uM only) 428. 1 ~ U~DE CERTtFI~TE NU~ (For ~al use o~) 4~. UPCF (7/~) S:~CUPAFORMS~a. Wpd O~PIC~ O~ ENVIRONMENTAL ~ICES. / . .: , , ' ' ' ' 17t~ Cheltlr AVl., ~ke~ld, cA ~(~1) 0 ~.~~ 0 ~.~~ .. ~0 ~. ~~~(~ .0 ~ ~v~~ / IO. ~~~~~~~~~~ lO. ~s~~~~~~~~(~ ~ ~s. ~~(0.~ ~) ~ ~e. ~~~(o.~ ~) .:" 0 17. ~LY~E~ -!"~ . '~ , 0 17. ~:. ~ . ..:.:,,. ................... - .............. . , -. UPCF {7,~) S:~CUPAFOR~~.~ :~1t CITY OF BAKERSFIELD ~. OFFI'~""E OF ENVIRONMENTAL ~E~I~ICES "~ 1715 Chester Ave., Bakemfleid, ~A 93301 · (66'1) 326-3979 UNDERGROUND STORAGE TANKS-INSTALLATION ·. ' CERTIFICATE OF COMPLIANCE ' One form per tank' - I. FACILITY IDENTIFICATION 8U$1NE,~ NAME (Same Il FACILITY NA~ ot O~A - ~ ~ Al) ...................................... II. INSTALLATION " C~eck sfl Umt a~o~/y * [] The Installer has been certified by the tank and piping manufacturers. 13 The installation has been inspec~l and certified by a registered professional engineer. I~ The installation has been Inspected and approved by the City of Bakersfield Office of Environmental Services. [] All work listed On the manufacturer's Installation checklist has been COmpleted. [];'/ The installation contractor has been certified or licensed by the Contractors State License Board. [3 Another method was used aS allowed by the City of Bakersfield Office of Environmental Services. Identify method: III. TANK OWNER/AGENT SIGNATURE ~ CITY OF BAKERSFIELD ._ " - _.~.~. OFFI~'IE oF ~ENVIRONMENTAL SEll. ICES ~ 1715 Chester AVe.,' Bakersfield, CA 93301 · , (661) 326-3979 UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFICATE OF COMPUANGE One form per tank - I. FACILITY IDENTIFICATION BU$1NES~ NAME (Same II FACILITY NAME m' ~ - Ooir~ ~ Aa) ............................ ~ .......... II. INSTALLATION · Check afl b~et app/y · E3. The Installer has been certified by the tank and piping manufacturers. E! The installation has been inspec~d and certified by a registered professional engineer. I~ The installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. El All work listed on the manufacturer's installation checklist has been completed. I~ The Installation contractor has been certified or licensed by the Contractors State License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: II1' TANK OWNER/AGENT SIGNATURE i sS~,~'~k'~*/,~-~'~'~~-- O~T~~-- /~ __ ,~ ........................... -~,, ~-~-~~7~~~- ~.- / ~ ~ ~,~ ~,~ ............ ~ - CITY OF BAKERSFIy,,,[ D FFICE OF ENVIRONMENT, SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 UST Tank - 1 Page __ of - TYPE OF ACTION 1 NEW SITE PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION (Slate type of c~ange) [--1 7 PERMANENTLY CLOSED ON SITE Check one item only [] 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE [] 8 TANK REMOVED 429 BUSINESS,~ ~"t~r ~-O / ~t~¢~.~NAME (Same as FACILIT~ N~ME ~ OBA- Doing Busin~.~) $ I FAClLfI~ID # J I ~ I JJ [ 1 LOCATION ( Ootional) I. TANK DESCRIPTION TANK ID # 430 TANK MANUFACTURER 431 COMPARTMENTALIZED TANK [] Yes ~ No 432 DATE INSTALLED (YEAR/MO) 433 TANK CAPACITY IN GALLONS 434 NUMBER OF COMPARTMENTS 435 ADDITIONAL DESCRIPTION (For local use only) 436 II. TANK CONTENTS TANK USE 437 VEHICLE FUEL TYPE 438 1 MOTOR VEHICLE FUEL J~la REGULAR UNLEADED [] 2 LEADED [] 5 JET FUEL (If marked, complete Vehicle Fuel Ty~e) [] 1{o PREMIUM UNLEADED [] 3 DIESEL [] 6 AVIATION FUEL [] 2 USED OIL [] lc MIDGRAOE UNLEADED [] 99 OTHER [] 3 CHEMICAL PRODUCT [] 4 GASOHOL [] 4 HAZARDOUS WASTE COMMON NAME (from Hazardous Materials Inventory page) 439 CAS # (from Hazardous Materiels Invento,"y page) 440 1 [] ~s UN~OWN III. TANK CONSTRUCTION ' TYPE OF TANK [] I SINGLE.WALL [] 3 SINGLE WALL WITH [] 5 INTERNAL BLADDER SYSTEM 441 Check one ilem only ~' 2 DOUBLE WALL EXTERIOR MEMBRANE UNER [] 95 UNKNOWN J'-'] 4 SINGLE WALL IN A VAULT [] 99 OTHER TANK MATERIAL (pdmary tank) ' ~' 1 BARE STEEL [] 4 STEEL CLAD W/FRP [] 5 CONCRETE r'-J 95 UNKNOWN 442 Check one item only [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 8 FRP COMPATIBLE WI100% METHANOL [] 99 OTHER TANK MATERIAL (secondary tank) [] 1 BARE STEEL [] 4 STEEL CLAD W/FRP [] 8 FRP COMPATIBLE WI100% METHANOL [] 95 UNKNOWN 443 Check one item only [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 9 FRP NON-CORRODIBLE JACKET [] 99 OTHER [] 5 CONCRETE [] 10 COATED STEEL INTERIOR LINING OR COATING [] 1 RUBBER LINED [-'] 3 EPOXY LINING [] 5 GLASS LINING [] 95 UNKNOWN 444 Check one item only [] 2 ALKYD LINING [] 4 PHENOLIC LINING ~ UNLINED [] 99 OTHER OTHER CORROSION [] 1 MANUFACTURED CP ~"3 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN 445 PROTECTION IF APPLICABLE Check one item only [] 2 SACRIFICIAL ANODE [] 4 IMPRESSED CURRENT [] 99 OTHER SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR)/~//*','~-'It'/,c~, ~ · ? / OVE"F'LLPROTECT,O. EOU,PME.T ,.STALLED (YEAR, Chec~ all trial apply DROP TUBE .~Yes [] NO ' 448 [] 1 ALARM STRIKER PLATE J~ Yes [] No 449 [] 2 BALL FLOAT ,~]~ FILL TUBE SHUT OFF VALVE ~:: '~ :~,::~:::i ,:i: i: ~:,'.?il' :i:::. i'!:? :: i:. :.i:~:' ~ '~:;!:~;!i :~:!il i~i~ !ill :'::: ~ ::~lV; !:i~TANK LEAK DETECTIO~i ?: !i:~:.~:' ?:i :~: i! i~ ':, ::i;i~: ~:.: ~::' ~i' ~:: i!~i~:i!7 ::;!:: .' '..:7 · ./.~'i ~:: IF SINGLE WALL TANK (Cheer all tl~at apply):~~~,~ ] IF DOUBLE WALL TANK (Check one item onlY):9 CONTINUOUS INTERSTITIAL MONITORING450 [] I VISUAL (EXPOSED PORTION ONLY) G) [] 8 VISUAL (SINGLE WALL IN VAULT ONLY) ['-] 2 AUTOMATIC TANK GAUGING (ATG) /-''~'-~- [] fi VADOSE ZONE [] 3 CONTINUOUSATG ~ [] 7 GROUNDWATER [] 4 STATISTICAL IN~VJENTORY RECONCILIATION (SIR) + [] 99 OTHER BIENNIAL T~N~'TESTING V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YFUMO/DAY) 451 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 452 GAS TANK FILLED WITH INERT MATERIAL? 453 qal [] Yes [] No ": July 1. 1998 Formerly SWRCB Form B P:\USTTNK-B.CM3.w0d 1~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES Chester Ave., Bakersfield, CA 93301 (805) 326-3~J?~ UST -TANK PAGE Page ~ Of VI. PIPING CONSTRuCTIoN (Check all that aDolv) ; i ABOVEGROUND PIPING INFORMATION UNDERGROUND PIPING INFORMATION ISYSTEM TYPE I [] ! SUCTION ' [] 2 PRESSURE [-] 3 GRAVITY 454 [] 1 SUCTION ~ [] 1 SINGLE WALL [] 95 UNKNOWN [] 1 SINGLE WALL [] 3 LINED TRENCH [] 99 OTHER IONSTRUCTION [] 2 DOUBLE WALL [] 99 OTHER 450 ~ 2 DOUBLE WALL [] 95 UNKNOWN 454 MATERIALS AND [] 1 BARE STEEL [] 6 FRP COMPATIBLE WI 100% METHANOL [] 1 BARE STEEL [] 6 FRP COMPATIBLE WI 100% METHANOL CORROSION PROTECTION I~ 2 STAINLESS STEEL [] 7 GALVANIZED STEEL [] 2 STAINLESS STEEL [] 7 GALVANIZED STEEL [] 3 PVC COMPATIBLE WITH CONTENTS [] 95 UNKNOWN [] 3 PVC COMPATIBLE WITH CONTENTS [] 95 UNKNOWN [] 4 FIBERGLASS [] 8 FLEXIBLE [] 99 OTHER [] 4 FIBERGLASS ~ 8 FLEXIBLE [] 99 OTHER [] 5 STEEL WI COATING [] 9 CATHODIC PROTECTION 455 [] 5 STEEL WI COATING [] 9 CATHODIC PROTECTION 456 · "' i G LEAK D~E(~T 0 iChe ' -..VIL P PIN ' I N ck all that apPly) ABOVEGROUND PIPING INFORMATION UNDERGROUND PIPING INFORMATION SINGLE WALL PIPING 457 SINGLE WALL PIPING 456 PRESSURIZED PIPING (Chec~ all that apply): PRESSURIZED PIPING (Chec~ all that apply): [] 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH LEAK. r~ 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VI FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS [] 2 MONTHLY 0.2 GPH TEST [] 2 MONTHLY 0.2 GPH TEST [] 3 ANNUAL INTEGRITY TEST (0.1 Gl=fl) [] 3 ANNUAL INTEGRITY TEST (0.1 GPH) [] 4 DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Chec~ all that apply): [] 4 DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY [] 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM TEST (0.1 GPH) [] 6 TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS: SAFE SUCTION SYSTEMS: [] 7 SELF MONITORING [] 5 SELF MONITORING GRAVITY FLOW (Chec~ all that apply): GRAVITY FLOW: [] 8 DAILY VISUAL MONITORING [] 6 BIENNIAL INTEGRITY TEST (0.1 GPH) [] 9 BIENNIAL INTEGRITY TEST (O.1 SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Chec~ all that i PRESSURIZED PIPING (Chec~ all that apply): [] 10 CONTINUOUS TURBINE SUI (cflec~ one) ~' 7 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Chec~ one) [] a <~' a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b AUTO PUMP SYSTEM FAILURE AND SYSTEM DISCONNECTION [] b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] c DISCONNECTION [] 11 AUTOMATIC [] c NO AUTO PUMP SHUT OFF [] 12 GPH) [] 8 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) SYSTEM: [] 9 ANNUAL INTEGRITY TEST (0.1 GPH) [] 13 EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Chec~ all that apply) ;ENSOR WITHOUT AUTO PUMP SHUT OFF -'- AUDIBLE AND [:~ 10 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND ALARMS VISUAL ALARMS MATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 11 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 6 ANNUAL INTEGRITY TEST (0.1GPH) [] 12 ANNUAL INTEGRITY TEST (0.1 GPH) 17 DAILY VISUAL CHECK [] 13 DAILY VISUAL CHECK DISPENSER [] I FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER CONTAINMENT ;~Yes ~ CONTINUOUS ELECTRONIC SENSOR + AUDIBLE AND VISUAL ALARMS + AUDIBLE AND VISUAL ALARMS NO [] 4 DALLY VISUAL CHECK IX. OWNER/OPERATOR SIGNATURE I ceflilry thai the info,'marion provided herein is true & accurate to the be~l d my knowledge. SIGNATURE OF OWNER/OPERATOR DATE 462 NAME OF OWNER/OPERATOR (pdnI) 463 TITLE OF OWNER/OPERATOR 464 I Permit Numb~ (For local use only) t Permit Approved Permit Expiratio~ Data July I. 1998 FormeHy SVVRCB Form B p:\uSTTNK-B.CM3.wpd CITY OF BAKERSFi ii D ' . . FFICE OF ENVIRONMENT SERVICES 1715 Chester Ave., BakerSfield, CA 93301 (805) 326-3979 UST Tank-1 Page __ of TYPE OF ACTION ~1 NEW SITE PERMIT ~ 3 RENEWAL PERMIT ~ 5 CHANGE OF INFOR~TION (State type o~ ~ange) ~ 7'PER~NENTLY CLOSED ON SITE Ch~k ~e d~ ~ly - ~ 4 AMENDED PERMIT ~ 6 TEM~RY SITE CLOSURE ~ 8 TANK RE~VED 429 BUS,NESS~ME(~measFACILI~NAME.OSA-D~ngSusin--~) 3 ! FACILI~ID' ~ ] I [ I ] 1 LOCATION ( O~t~naO I. TANK DESCRIPTION TANK ID ~ 430 TANK ~NUFACTURER 431 ~ COMPARTMENTALIZED TANK ~ Y~ ~ No 432 DATE INSTALLED (Y~) 433 TANK ~PACI~ IN ~LONS 4~ NUMBER OF COMP~TMENT$ 435 AODITIO~L DESCRI~ION (F~ I~ use ~ly) · 436 IL TANK CONTEN~ TANK USE 437 VEHICLE FUEL ~PE 438 ~1 ~TOR VEHICLE FUEL ~ la REGU~ UNLADED ~ 2 L~DED ~ 5 JET FUEL {If mama, ~plete V~iOe Fu~ T~e) ~UNL~DED ~ 6 AvmTIoN FUEL D 2 USED OIL D lc MI~DE UNLADED ' D ~ OmER ~ 3 CHEMICAL PRODU~ ~ 4 ~ 4 H~R~US WASTE , COM~N ~E (fr~ H~rd~s ~l~als Inv~t~ page) 439 ~ ~S ~ (fr~ H~rd~s ~t~s Inv~t~ page) I ~ 95 UNKNO~ II1. TANK CONsTRucTiON ::'::'?.' .: ." "" ~PE OF TANK ~ I SINGLE.WALL ~ 3 SINGLE WALL WffH ~ 5 I~E~ 8~DER SYSTEM ~ Ch~ ~e R~ ~ly ~2 ~UBLE W~ ~RIOR MEMBER LINER ~ 95 UN~O~ D 4 SINGLE WALL IN A VAULT ~ ~ OTHER TANK ~TER~L (pdm~/~k) ~ 1 ~E STEEL ~ 4 STEEL C~D W/FRP ~ 5 ~NCR~E ~ 95 UNKNO~ ~2 Ch~k ~e it~ ~ly ~ 2 STAINLESS STEEL ~ 3 FIBERG~SS ~ 8 FRP ~MPATIBLE W/1~% METHANOL ~ ~ O~ER TANK ~TERIAL (s~da~ tank) ~ 1 BARE STEEL ~ 4 STEEL C~D W/FRP ~ 8 F~ COMPATIBLE W/1~% METH~OL ~ 95 UN~O~ · Ch~ ~e item ~ly ~ 2 STAINLESS STEEL ~3 FIBERG~SS ~ 9 FRP NON~ORRODIBLE JACKET ~ ~ OTHER ~ 5 ~NCR~E ~ 10 ~ATED S~EL INTERIOR LINING OR COATING ~ 1 RUBBER LINED ~ 3 EPO~ LINING ~ 5 G~SS LINING D 95 UN~ Ch~ ~e it~ ~ly ~ 2 AL~D LINING ~ 4 PHENOLIC LINING ~6 UNLINED ~ ~ O~ER OTHER CORROSION ~ 1 ~NUFAC~RED CP ~ 3 FIBERG~SS REINFORCED P~STIC ~ 95 UN~O~ PROTECTION IF Ch~ ~e it~ ~ly ~ 2 SACRIFIC~L ~OOE ~ 4 IMPRESSED CURRE~ ~ ~ O~ER SPILL AND OVERF,LL SPILL ~AIN~ INSTALLED (Y~R)/,/~/~' OVERFILL PROTECTION EQUIPMENT INSTALLED ~R)/~/~/~ . -- -- ~6 447 Ch~ all t~al apply DROP TUBE ~Y~ ~ No 448 ~ I A~RM STRIKER P~TE ' ~, Y~ ~ No ~9 ~ 2 BALL FLOAT ~3 FILL TUBE SHUT OFF VALVE IF SINGLE WALL TANK (~ ~1 that agDly): ~ J IF ~UBLE WALL TANK (~ one it~ ~ly): 450 ~ 1 VISUAL (~SEO ~RTION ONLY) ~TANK~~UGING (~G) ] ~ 8 VISUAL (SINGLE WALL IN VAULT ONLY) ~ 2 AUTO~TIC T~K ~UGING (ATG) ~ ~ 6 VALSE ZONE ~ 9 CO~INUOUS I~ERSTITIAL ~NITORING ~ 4 STATISTI~L I~ENTO~ONCILIATION (SIR) + ~ ~ OTHER 81ENNIAL TANK TE~RG / V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN P~CE ESTI~TED DATE ~ST USED (Y~/DAY) 451 ESTI~TEO QUANTI~ OF SUBSTANCE RE~INING 452 ~S TANK FILLED WITH INERT ~TERIAL? 453 qal ~ Y~ ~ No July I. I~8 F~y S~C8 F~m 8 . P:~US~NK-8.CM3.wpd ~..~./~' 1,~!'5 Chester Ave., Bakersfield, CA 93301 (805) 326-3~J"~ -*, Page __ Of 'VI, pIPIN(~ cQNSTRUC~I'ION (CheCk all U~al'apDly) ABOVEGROUND PIPING, G.~II'~qI~TION : UNDERGROUND PIPING INFORMATION SYSTEM ~['YPE r-] 1 SUCTION 1'-] 2 PRESS, Id~ / [-I 3 GRAVITY 454 [] I SUCTION ~' 2 PRESSURE [] 3 GRAVITY 455 [] I SINGLE WALL I""1 9~KNOWN [] 1 SINGLE WALL F'~ 3 LINED TRENCH [] 99 OTHER CONSTRUCTION [] 2 DOUBLE WALL ~] 99 OTHER '450 [~ 2 DOUBLE WALL [] 95 UNKNOWN ' 454 MATERIALS AND [] 1 BARE STEEL ~ 6 FRP COMPAq'ISLE W~ 100% METHANOL [] 1 BARE STEEL [] 6 FRP COMPATIBLE WI 100% METHANOL CORROSION PROTECTION E] 2 STAINLESS STEEL / [] 7 GALVANIZED STEEL [] 2 STAINLESS STEEL [] 7 GALVANIZED STEEL [] 3 PVc COMPATIB,/~NITH CONTENTS [] 95.UNKNOWN [] 3 PVC COMPATIBLE WITH CONTENTS · r-J 95 UNKNOWN [] 4 FIBERGLAS~ [] a FLEXIBLE [] 99 OTHER [] 4 FIBERGLASS ,~ 8 FLEXIBLE [] 99 OTHER [] 5 STEEL/COATING [] 9 CATHODIC PROTECTION 455 [] 5 STEEI~.. W/COATING [] 9 CATHODIC PROTECTION 456 ~ ' ' ' :'? VII, PIPING LEAK DETECTION '.(Check all mat aPPly) ~" ABOVEGROUND PIPING INFORMATION UNDERGROUND PIPING INFORMATION SINGLE WALL PIPING 457 SINGLE WALL PIPING ' 456 PRESSURIZED PIPING (Check all that apply): . J PRESSURIZED PIPING (Check ail thal apply): [] 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST wrrH AUTO PUMP sHuT,~=F FOR LEAK. [] 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUA~J.ARMS FOR'LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND [] 2 MONTHLY 0.2 GPH TEST ' ~ VISUAL ALARMS [] 3 ANNU,~L INTEGRITY TEST (0.1 GPH) · ~ [] 2 MONTHLY 0.2 GPH TEST ~~ 4 DALLY VISUAL CHECK ' ~ [] 3 ANNUAL INTEGRITY TEST (0.1 GPH) CONVE~rlONAL SUCTION SYSTEMS (Check all Ihat apply): ~ CONVENTIONAL SUCTION SYSTEMS: [] 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM ~ [] 4TEsTDAILY(0.1VISUAL MONITORINGGPH) OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY · [] 6 TRIENNIAL INTEGRITY.TEST (0.1 GPH) / . SAFE SUCTION SYSTEMS: ~ SAFE SUCTION SYSTEMS: t [] 7 SELF MONITORING . / . [] 5 SELF MONITORING GRAVITY FLOW (Chec~ all that apply): ~ GRAVITY FLOW: [] 8 DAILY VISUAL MONITORING ~ [] 6 BIENNIAL INTEGRITY TEST (0.1 GPH) [] 9 BIENNIAL INTEGRITY TEST (O.1 GPH) / ~ . SECONDARILy'CONTAINED PIPING ' SECONDARILY CONTAJNED PIPING PRESSURIZED PIPING (Check ail thai apply): / PRESSURIZED PIPING (Ched~ all that apply): [] 10 CONTINUOUS TURBINE SUMP SEN~R ~ AUDIBLE AND VISUAL ALARMS AND (check one) '~ 7 CONTINUOUS TURBINE. SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND [] a AUTO PUMP SHUT OFF WH/ErN A LEAK OCCURS (Chec~ one) [] b AUTO PUMP SHUT OFF F~ FAILURE AND SYSTEM DISCONNECTION ~a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] c NO AUTO PUMP SHUT O~F . . [] b AUTODisCONNECTIoNPUMP SHUT OFF FOR LEAKS, sYSTEM FAILURE AND SYSTEM [] 11 AUTOMATIC LEAK DETECT~ .' [] c NO AUTO PUMP SHUT OFF [] 12 ANNUAL INTEGRITY TES~0.1 GPH) · .- [] 8 AUTOMATIC LINE LEAK DETEcToR (3.0 GPH TEST) SUCTION/GRAVITY SYSTEM: / [] 9 ANNUAL INTEGRIT~ TEST (0.1 GPH) [] 13 CONTINUOUS SUMP~I~NSOR + AUDIBLE AND VISUAL ALARMS ,., EME~TOR~ ONLY (Che¢~ ail that apply) EMERGENCY GENERATORS ONLY (Chec~ all thal apply) [] 14 CONTINUOUS S~UMP SHUT OFF + AUDIBLE AND [] 10 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS/ ' VISUAL ALARMS [] 15 AUTOMATIC LI~E LEAK DETECTOR (3.0GPH TEST) [] 11 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 16 ANNUAL INTEGRITY TEST (0.1 GPH) . [] 12 ANNUAL INTEGRITY TEST (0.1 GPH) [] 17 DALLY vIS~AAL CHECK . [] 13 DAILY VISUAL CHECK DISPENSER [] I FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER CONTAINMENT ~ Yes [] No [] 2 CONTINUOUS ELECTRONIC SENSOR + AUDIBLE AND VISUAL ALARMs + AUDIBLE AND VISUAL ALARMS [] 4 DAILY VISUAL CHECK IX. OWNER/OPERATOR SIGNATURE t certify that tho infm'mation provided he,"ein ia true & accurate to the best of my know~e~®. SIGNATURE OF OWNERIOPERATOR DATE 462 NAME OF OWNERJOPERATOR (pdnl) 463 ·TITLE OF OWNERJOPERATOR 464 July I. 1998 Formerly SWRCB Fo~m B . . p:~uSTTNK.8.CM3.wpd April 4, 2000 .. Stewarts Petroleum ~,RE CHIEF Mr. Don D0zah RON FRAME · 11 East 4th Street ~lnlamA'rn~ ~c~' Bakersfield, CA 93307 2101 'H' Street Bakersfield. CA 93301 voice (~os) axe-a941 ~AX (~o$) aS~.l~ Dear Mr. Dozah: - SUPPRE$$1ON $ERVICE8 2~o~ -.' st,~t You have been identified as the compliance coordinator for the Bako,~ld, CA ~aol facility/facilities referenced in the attachment. VOICE (805) 320-3941 FAX (SOS) The permits to operate this facility/facilities will expire on June 30, 2000. PREVENTION SERVICES ms c~= ^~. ~owcvcr, in order for this office to renew yom* permit,' updated forms Bakersfield, CA 93301 VOICE (805) 326-3951 .B, & C must be filled out and returned prior to the issuance of a new FAX CS0s) az,~-o~?a Permit. EN~IRON~ENT&L SERVlCE$ ms c,~t~ ^~. Please make sure that you are sending the updated forms which are Bakersfield, CA 93301 VOICE (80~) 326-3979 indicated by the date 7/99 in thc lower left hand comer. Please complete FAX (805)32tt-0571t, and remm to this office by May 15, 2000. Failure to comply, will result in T.~N,.O OW~S.~N a delay of issuance of your new permit to operate. 5642 Victor Ave. Bakersfield, CA 93308 vO,CE (~os) ~4~9~ Should you have any questions, please fccl ~'cc to call mc at FAX (aOS) 661r326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facility Name Address BP Oil 2 Oak Street, Bakersfield, Ca 93304 Del Taco/Mobil 3622 California Ave, Bakersfield, Ca 93309 Fastbreak 4800 White Lane, Bakersfield, Ca 93309 Stuart's Mobil 101 190' Street, Bakersfield, Ca 93301 Jim's Mobil 3200 "F" Street, Bakersfield, Ca 93301 Smarts Mobil 800 34* Street, Bakersfield, Ca 93301' February 9, 1999 F}RE C.~EF 'Del Taco Mobile RON FRAZE 3624 California Ave AnMI,~S~TWE.SE~VICES Bakersfield~ CA 93309 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 RE: compliance Inspection SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 'H' Street Bakersfield, CA' 93301 VOICE (805) 325-3941 The city will start complian~:e inspections on all fueling stations FAX (805)395-1349 within the city limits. This inspection will inclUde business plans, PREVENTION SERVICES underground storage tanks and monitoring systems, and hazardous 1715 Chester Ave, materials Bakors~e~d. C^ 93304 lnspecuon. VOICE (805) 326-3951 FAX (805) 326-0576 To assist you in preparing for this inspection, this office is EIWIRONlaENI'AL SERVICES enclosing a checklist for your convenience. Please take time to read this 1715 Chester Ave. - Bakersfield, CA 93301 · . list, and verify that your facility has met all the necessary requirements to VOICE (805) 326-3979 be FAX (805)326-0576 comF-ancc. ~'mU.~NO Dn~SION Should you have any questions, please feel free to contact me at 5642 Victor Ave. Bakersfield, CA 93300 _A_ __- ----~Ub.32b.39/9. 'VOICE (805) 399-4697 FAX (805) 399-5763 Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure FEB- 5-99 FRI 3:57 PM STUART$, PETROLEUM FAX NO. 805 325 8481 P. 2 02/05/99 10:59 326 0576 BFD HAZ ~IAT DIV '---' 6ERTIFIOATION OF FIN6~ClAL RESPONSIBILI I~ Note: If you am uslog the ~ Fuml as any pm't o[ your demonstm~n of 5nanc~.l resp~.2~ility, your ezea,~,,q and of this tertian also certifies that you a~e in compliance with all corrfif~ot~ for pe~ {o gle Food. 04130/97 06:58 .__ 326 0576 BFD IIAZ MAT DIV ~002 EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at thc UST location.at all times. The infOrmation on this monitoring program are conditions of thc operating Permit. The permit holder must notify the Office of Environmental . Services within 30 days of any changes to the monitoring procedures, unlesg required ~o obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. Facility Name . ~'/___' 7',-~a~ - Facility Address .~,4;.~g. ~?..a,~/~:,~,/.~ 1. If an unauthorized release occurs, how will the hazardous substance be cleaned uP? Note: If released hazardous substances reach the 'environment, increase the fire or explosion bagard, 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. ,~,qv ~A~. ~'~--~e,,~,z, ,a ~-- --~'t__ ~v~.~ 2. Describe the proposed methods and equipment to be used for removing and' properly disposing of any hazardous substance./x/~_z~- 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: 04/30/97 06:5.q 88.05 326 0576 ''BFD HAZ MAT DIV ~' [~1003 WRITTEN MONITORING PROCEDURES. UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST localion at all tim~s. The information on this monitoring program are conditions of the operating l~rmit. The l~'rmit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, Unless required to obtain approval b~for~ making the Change. Required by Sections 2632(d) and 2641{h) CCR. Facility Name Facility Address ,~, Al · Describe the frequency of performing the monitoring: Piping B. What methods and equipment, identified by name and model, will be Used for perfoming the monitoring: C. Describe the location(s) where the monitoring will be performed (facility plot pian should be attached): D. List the name(s) and title(s) °fthe People responsible for performing the monitoring and/or maintaining the equipment: E. Keporting 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 maintenance schedule G. Describe the training necessary for the operation of UST system, including piping, and the · DEL TACO MOBIL 3624 CALIFORNIA AV ::BAKERSFIELD CA. :Lj3LI. 805-325-4770 NOV ~'z4,, 1998 12:'22 PM SYSTEM STATUS REPORT ALL FUNCTIONS IibRMAL ..... SENSOR ALARM ..... F JEL NOV 24. 1998 i :44 PM ..... SENSOR ALARM ..... L 3:PREMIUM-SUMP STP' SUMP FUEL ALARM NOV 24. 1998 1:48 PM ..... SENSOR ALARM ...... L 2:OIESEL-SUMP "STP SUMP FUEL ALARM NOV 24, 1998 '1:49 PM DEL TACO MOBIL 3624 (:.'.ALIFORNIA AV BAKERSFIELD CA.93309 805-325-4770 NOV 24.. 1998 1:54 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T 1 :DIESEL VOLUME = 3746 GALS ULLAGE = 254 (.-;ALS 90% ULLAGE= 0 GALS TC VOLUME = 3743 GALS HEIGHT = 84.99 INCHES WATER VOL = 0 GALS .WATER = O, O0 INCHES TEMP'- ---~=. 70.3 DE(] F T 2:PREMIUM VOLUME = 4754 GALS ULLAGE = 3246 GALS 90% ULLAGE= 2446 GALS TC VOLUME = 4?50 GALS HEIGHT = 55.13 INCHES WATER VOL = 0 (]ALS / WATER = 0.00 INCHES TEMP = 69.9..DEC F T 3: UNLEADED. ~ VOLUME = 8547 GALS ULLAGE = 3453 (.]ALS 90% ULLAGE= 2253 GALS TC VOLUME = 8540 GALS HEIGHT = 64,32 INCHES WATER VOL = 0 GALS WATER = O. O0 INCHES TEMP = 69.6 DEC F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ F~ Bakersfield Fire Dept ~' O E OF ENVIRONMENTAL SE",-IVICES .. UNDERGROUND STORAGE TANK PROGRAM PERMIT APPLICATION TO CONSTRUCT/M_ODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) ,~NEW FACILITY [~ MODIFI'C'ATION OF FACILITY Q NEW TANK INSTALLATION AT EXISTING FACILITY .... STARTING DATE PROPOSED COMPLETION DATE ~2~_--~' ~'~/'j /~;~.~'~ FACILITY NAME EXISTING FACILITY PERMIT NO. FACILITY ADDRESS Zll~ CODE _ TYPE OF BUSINESS APN TANK OWNER PHONE No.' --ADDRESS ~ CITY ~~IP CODE y~',~,~ / CONTRACTOR CA LICENSE No. ~',5/~__,2'~',..'~ - . ADDRESS CITY~'~IP CODE PHONE No. BAKERSFIELD CITY BUSINESS LICENSE _No. ~,~-,~ ~Z WORKMAN COMP: No. INSURER ~'~',~-,7"'~_~ ,~-z~',~,-~/ ' ' BREtFLY DESCRIBE THE WORK TO ~E DONE ~]/~ ~ ,.~ ~ ~ ~ ~- ~~ WATER TO FACILI~ PROVIDED BY- g~/, '/~ ~/--~ DEPTH TO GROUND WATER ~~'~~ SOIL ~PE EXPECTED~TSITE No. OF TANK~ T.O BE.INS~A'LLEDm~ ARE THEY FOR MOTOR FUEL -~YES Q NO SECTION FOR MOTOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION / /2.~ ~ ~ z / SECTION FO~ NON MOTOR FUELSTO~AGE TANKS TANK No. VOLUME CHEMICAL STORED CAS No. ~CHEMICAL PREVIOUSLY (no DrQnQ n~me) (if-known) STORED THE APPLICANT HAS,RECEIVED, UNDERSTANDS, AND WILL CO MPLY WITH THE Al"[ACHED CONDITIONS OF THIS FERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FO'PM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. ANO 1'O THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. VE~/ APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED 'BAK." FIELD CITY FIRE DEPAIr 'NT HAZ RDOUS' MATERIALS DIVlSI O N INSPECTION RECORD Post CARD AT JOBSITE FACILITY ~ ~ T'~,(.0 /~0/'~I C. * OWNER ~ ~~ ADDRESS ~ ~ 4 ~L,CO~,~ ~J ADDRESS ~(~.~ c~, zip ?~o~ c~, ziP ~~ff,~ ~ INS~UCTIONS: Please ~11 for an ins~r on~ when each group of ins~ons w~ ~e same numar are rea~. They will run in ~nsecu~e order ~ginning w~ numar 1. ~ NOT cover work for any num~md group until all ~ems in ~at group am signed off by ~e Perm~ng Au~or~. Following ~ese ins~u~ons will reduce ~e numar of required inspection vis~ and ~erefore prevent ~sessment of add~onal fees. ,~ ~ ~o~ ~," TANKS AND BACKFILL . INSPECTION I DA~ [ INSPECTOR S~rk Test Ce~m~on or Manufac~res Me~od Ca~odic Pro~on of Tank(s) PIPING SYSTEM I . ~ Piping & Raceway w/Colle~on [ { Ele~i~l Isolation of Piping From Tank(s) . ~ Ca~odic Prote~on Sys~m-Piping SECONDARY CONTAINMENT, OVERFILL PROTE~ION, L~K DETE~ION· Uner Ins~l~fion - Tank(s) ' Uner Ins~llafion - Piping VauE W~ Produ~ Com~fible Sealer ~vel'Gauges or Sensors, Roar Vent Valves ~[C~O Produ~ Com~fible RII B~X(es) Produ~ Une Leak ~te~or(s) ~ ~ Leak ~te~r(s) for Annular S~ce~D.W. Tank(s) Monitoring Well(s)/Sump(s) - H~O Test Leak Dete~on Device(s) fOr Vadose/Groun~ater - ..... . ~EN~<::,~ ALARH ..... L 5:GASOLINE ANNULRR - - FUEL AL~RH ' [ ~ NOV 24, 1998 2:11 pr,1 l! I Mon"oring Wells, Caps & ~cks " ,' ~ RII ~x Lock '~ Mon~oring Requiremen~ ST~TtS ~' ~ ~' ~ CONTRACTOR ~ ~ ~' / ~O~ O~ O~O LICENSE ·