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UNDERGROUND TANK #1-C-07/09/97
~ndco , :¥ SITE "~ Chevron S.S #9615 ' .... ,' r'-: Bakersfield, California ;'- SITE LOCATION MAP BAKERSFIELD Figure 1 Old ~ .// 'Tank ~']~ .W~ , , 'X x,...,~ / · ,\, \~\ ', ~ / House / ~ ~ Fill Lines ' Oil ~ ¢) New Existing . Sump '- 'Tanks / / .- sample borehole location / 0 10 Figure 2 ' ~e~'f~t Site Plan gap Chevron - Bakersfield permitsg)o~t ~Sr ~z~ Inspector Fac t 11 ~ d F~ ~-~o' ~ ~ Date . '~ ~ ~: · ~ I , Plot Dlagr~ Plot plan notes Yes No 1. All new end existing tanks located on plot plan? ,l~/]'/ I~l 2. Does tank product correspond to product labels on J_-~ I~l plot plan? 3. Was there no modifications Identified which were not depicted on the plot plans? If "No" described 4. Are monitoring wells secure and free of water and {-_~' 1~t product in sump? · 5. Is Piping system pressure, suction or gravity? ~'~'J~ S',I TE/FAC T LX TY DATE:'~./>~FACILITY N~E:' ~Zf ~ UNIT ('CHECK ONE) SiTE DIAGRAM ~ FACILITY DIAGR.~ I!(Inspector's Comments): -OFFICIAL USE'ONLY- . .... S[TE DIAGRAM (Requlr tens) ; ' ~"4'-~ ,' 1. Address: Identify ~he '9. Lock 3x · principle buildings by the Street numbers. 10. NSDS Storage Box 2..Street(s). Alleys. .11. Railroad Tracks ,Driveways. and Parking Areas adjacent to the 12. Fence or Barrier 'property~ include the a. Wire street names. · . · b. Masonry 3. Storm Draih~'.. Culverts, Yard Drains c. Wood 4. Drainage.Canals. Ditches. d. Gates' Creeks, 13. Poweriines 5. Buildings a. ,Frame construction 14. Guard Station. b. Masonry construction ' l~. Storage Tanks: Identify the c. Metal construction capacity in gal. a. Above ground .d. Access Door b. Underground 6. Utility Controls a. Gas 16. Diking or Berm c. Mater 18. Evacuation Area: Identify the . 7. Fire Suppression Systems: location where. a. Fire Hydrants employees will meet. b. Fire Sprinkler 19.'Outside Hazardous Connections Masts Storage c. Fire Standpipe 20. Outside Hazardous '~ ., Connections #at,rial Storage d. Water Control Valves 21. Outside Hazardous for pro~ectton systems Nat,rial Uae/Handling e. Fire Pump ~2. Type of Hazardous Waterlal/Waete Stored 8. Fire. Department Access or Used (See ~elow} ~YPE OF HAZ~RDOUS M. ATERIA~ F - Flammable g - Explosive L - Liquid R - Radlologlcsl C - Corrosive 0 - Oxidizer O - Gas P - Poison 'M - Wa:er Reactive T - Toxic S - Solid H - Cryogenic D ~<Mast~ .~ B -. Etiological gxaapls: Flanaable '~lq~!d - P~ ............. FACILITY DIAGRAM (Required items in addition to the above) 1. Risers for Sprinklers 8. Firs Escapes 2, Partitions 9. Air Conditioning Unite 3. Stairways: Indicate the lO. Windows levels served from highest to lowest. . ~ !1. Inside Hazardous Waste : Storage 4. Escalator: Indicate the levels served from 13. Inside Hazardous highest to lowest. Msteriall Storage 5. Elevator 13. laslde Hazardous : Materiels Use/Handling , 6. Attic Access 14. Sewer Drain Inlets ?. Skylights BAKERSFIELD FIRE DEPARTMENT July 9, 1997 FIRE CHIEF MICHAEL R, KELLY M r..lerD' Ilogaczyk ADMIN~TIVESERVICES Chevron Products Co. 2101 'H" Street Bakersfield, CA 93301 J).(). BOX (805) 326-3941 La Habra,' Ca 9063 2-283 3 FAX (805) 395-1349 SUm~SS~ONSE~V~CU CLOSURE OF 4 UNDERGROLiND HAZARDOUS SUBSTANCE STORAGE 2101 'H" Street TANKS i.,OCATED AT 3624 CALIFORNIA AVENUE PERMIT B.R-01 76. Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 Dear Mr. BogaczYk: PRD/ENTION $EWICES 1715 Chester Ave. Tliis is to inlbnn you that this department has reviewed the results fbr the' Bakersfield, CA 93301 - (805)326-3951 preliminary assessment associated with the closure or'the tanks located at the above FAX (805) 326-0576 stated address. ENVIRONMENTAL SERVICES 1715 Cheste~ Ave. Based upon laboratory., data submitted, this office is satistied with the Bakersfield, CA 93301 ' (805)326-3979 assesslnent pertbrmed and requires no further action at this time. Accordingly, no FAX (805)32643576 unauthorized 'release reporting is necessary tbr this closure. TEAINING DIVISION 5642 Victor Street if you have any questions regarding this matter, please contact me at (805) Bakersfield, CA 93308 3 2 O- 3 0 7(). (80,5) 399-4697 FAX (805) 399-5763 Sincerely, Hoxvard H. Wines, 111 Hazardous Materials Technician HHW/dhn cc: Y.Pan, RWQ(.'.B ,. FL~OR D~NE~:L GTI JUN g 5 7997 Steve UnderwOod . Bakersfield 'City Fire Department ~y.__~_____ Office of Environmental Services 1715 Chester Avenue. .Bakersfield, California 93301 RE: Transmittal, Tank Removal Report, CheVron Facility No. 9-9615, 3624 California Avenue, Bakersfield, California Dear Mr. Underwood: Enclosed is a tank removal report for your review. On May 12, 1997, four fiberglass USTs (three 10,000-gallon gaSoline USTs and one 1,000-gallon used-oil UST) were removed from the above referenced Chevron site. Soil samples were collected beneath the gasoline and used oil USTs at Bakersfield City Fire Department Environmental Services' direction and analyzed for BTEX & TPHG and TRPH & organic lead, respectively. TRPH was detected beneath the used-oil UST at a conce.ntration of 16 mg/kg (8-foot depth) and 19 mg/kg (10-foot depth). As such, there is no threat to the environment or underlying unconfined aquifer. Chevron respectfully requests confirmation .. from BCFDES that no further acl~on is necessary with respect to the UST removal at this facility. Please send all correspondence regarding this site to the following Chevron project manager: Mr.'Jerry Bogaczyk Chevron Products Company · Post Office Box 2833 La Habra, California 90632-2833 (310) 694-7921 Please call .me at (805) 328-3083 should yOu haVe any questions. Sincerely, Fluor Daniel GTI, Inc. · Kevin L. Hamilton, REA - Lead Geologist enclosure: Tank Removal Report Cc: Mr. Jerry Bogaczyk (Chevron) ~ · 5080 California Avenue / Suite 300/Ba'kersfie't'd, CA 93309 USA (805) 328-3083 FAX (805) 328-3081 I TANK REMOVAL REPORT CHEVRON FACILITY 9-9615 I 3624 CALIFORNIA AVENUE BAKERSFIELD, CALIFORNIA I '1 June 2, 1997 I Prepared for: ' Mr. Jerry Bogaczyk I Chevron Products Company Post Office Box 2833 ~ La Habra, Califorr{ia 90632-2833 B .~ (310) 694-7921 · 1 ·I Fluor Daniel GTI Fluor Daniel GTI Written/Submitted By: Reviewed/Approved By' · , I ~~-~m~ ~ Lead Geologist '1 5080.California A~;enue / Suite 300 / Bakersfield, CA 93309 USA (805) 328-3083 I:AX (805) 328-3081 J ~· TABLE OF CONTENTS* Page I ' 1.0 INTRODUCTION *. .................... ..... ...... I 2.0 BACKGROUND ......... · ...... 1 3.0 GEOLOGY/HYDROGEOLOGY 1 I 4.0 EXCAVATION AND TANK REMOVAL ACTIVITIES ......................................... 1 5 0 SOIL SAMPLE ANALYTICAL RESULTS ......... , ........................................ 2 I · 6.0 WASTE M~NAGEMENT ......................... 3 7.0 REFERENCES ' 4 iI - TABLES .. I Table 1. Tank information summary. Table 2. Analytical results (in mg/kg) of soil samples from beneath diSpensers and tanks. I ' FIGURES I Figure 1. Site Location Map Figure 2. UST and Dispenser Sample Locations I APPENDICES I APPENDIX A. DISPOSAL DOCUMENTATION APPENDIX B. LABORATORY REPORTS ! I FLUOR DANIEL GTI Tank RemoVal Report -' · Page 1 Chevron Facilit~ No. 9-9615 June 2, 1997 1.0 INTRODUCTION Fluor Daniel G'I'I, Inc. (Fluor Daniel GII). was contracted by CheYron Produ~ Company to witness the removal of four fiberglass underground storage tanks (U$Is) at their fa¢il~ No. 9-96'15. The facility is located at 3624 California ^¥enue in Bakersfield, California (Fi[lures I and 2). DST Builders was the general contractor for the Project. Mr. SteYe Underwood represented Bakersfield C~ Fire Department Environmental Services (BCFDES) during the UST, dispenser, and product piping .removal and soil sampling. Soil samples were collected following tank removal activities to determine if hydrocarbons were Present in soil beneath the tanks, dispensers, and product piping. This report presents site background, assessment procedures, sampling protocol, and .findings of the assessment. 2.0 BACKGROUND During September 1985 four steel USTs (two 10,000-, one 5,000-, and one 550-gallon) were removed. Hydrocarbons were detected beneath the product piping and a 5,000-gallon UST. During November 1985, Groundwater Technology, Inc. further assessed the site with the advancement of three soil borings. Low concentrations of hydrocarbons were detected. The Kern County Environmental Health Services Department (KCEHSD) issued a letter (dated March 6, 1986) to Chevron stating thatsince the contamination.was minimal, well contained, and nora threat to groundwater, it Could be left in place. Four double-wall fiberglass USTs (three 10,000-, and one 1,000-gallon), were installed during September 1985 following the removal of the steel USTs. The used-oil UST (1,000-gallon) was reinstalled into the existing used-oil UST excavation located on the west side of the facility building. The three fiberglass gasoline USTs were installed-east of the building and south of the product dispenser islands (Table 1 and Figure 2). 3.0 GEOLOGY/HyDROGEOLOGY The facility is located in the north/central. portion of Bakersfield. The approximate elevation of the facility is 390 feet above sea level and topography in the region is essentially fiat (Figure 1). The unlined Stine Canal runs beneath the southeast corner of the property and the Kern River is located approximately %-mile to the north. The facility is located in a commercial area. The facility is located on the alluvial plain Of the Kern River. Sediments underlying the region consist of fluvial deposits including silt, Sand and gravel (CDMG, 1964). Sediments encountered dudng the excavation consist primarily of pea gravel mixed with sandy silt. An unconfined aquifer is present below the site at a depth, of approximately 155 feet. The gradient is toward the soUtheast~(KCWA, 1996). · , FLUOR DANIEL GTI Tank Removal Repo~t Page 2 I. Chevron Facility No. 9-9615 ' , June 2~ 1997 I 4.0 EXCAVATION AND *TANK REMOVAL ACTIVITIES On May 12, 1997, DST Builders finished excavating soil from atop the foUr USTs and prepared them for removal. The USTs were rinsed and degaSSed by Erickson of Fontana, California. Tank rinsate was I transported, accompanied by a state Uniform Hazardous Waste Manifest, to Chemical Waste Management located in Azusa, California, for recycling. A copy of the dnsate manifests are provided in Appendix A. After dry ice was placed in the tanks readings of the lower explosive limit (LEL) and oxygen (O~) were taken from I each tank periodically. When LEL and O2 readings sufficiently decreased to BCFDES requirements (LEL <4% and O2 <10%), Mr. Underwood of BCFDES approved removal of the tanks. Table 1 summarizes tank information details. Upon removal, the USTs were visually inspected to determine their external condition and structural integrity. The USTs were intact and no holes or fraying were observed. The USTs were removed and I loaded onto flatbed trailers for to Ericksons located in Fontana, California, for disposal. UST transportation disposal documentation is included in Appendix A. I' Following tank removal, a back-hoe was used to retrieve soil samples from a depth of 2 and 6 feet beneath the former USTs and dispenser islands (Figure 2). Due to the close proximity of the piping to the I excavation, BCFDES waived the required sampling beneath the product piping. After overlying soil was removedto the target depth, the back-hoe bucket was used to retrieve a relatively undisturbed soil sample. Soil samples were then collected by driving a stainless-steel sample tube into the soil near the digging teeth of the bucket. The sample tube was filled such that no significant headspace was left at either end of the tube: Each sample tube was sealed *at each end with a teflon sheet, a plastic cap, and tape to secure the plastic cap. The samples were labeled to indicate date and time of sample collection, sample location and I depth of the sample, project location, and tl~e sampler's name. They were then placed on ice in an ice chest' pending delivery to an analytical laboratory. The sample locations were approved by Mr. underwood of BCFDES. i 5.0 SOIL SAMPLE ANALYTICAL RESULTS The samples were shipped via overnight courier to Del Mar Analytical (ELAP Certification No. 1197) in I Irvine, California. The samples collected beneath the product USTs were analyzed for benzene, toluene, ethylbenzene, and total xylenes (BTEX), and total petroleum hydrocarbons as gasoline (TPHG), using EPA method 8020, 8015-modified, respectively (Table 2). Soil samples collected beneath the used oil UST were analyzed for organiclead and total recoverable hydrocarbons (TRPH) using CA DHS Method and EPA Method 418.1, respectively. BTEX, TPHG, and organic lead were not detected. TRPH was detected in the 2- and 6-foot samples cOllected beneath the used-oil UST (T4) at concentrations of 16 mg/kg and 19 I mg/kg, respectively (Figure 2). Complete laboratory reports chain-of-custody are and documents presented in Appendix B. .:. . .~ ** ~ .. FLUOR DANIEL GTI I Tank Removal Report Page 3 I Chevron Facilit7 No. 9-9615 ' June 2~ 1997 I 6.0' WASTE MANAGEMENT I No samples were cOllected from the soil stock-piles because the soil excavated from atop and around the USTs was mainly pea gravel. None of the excavated soil Will be hauled offsite, but instead this matedal Will be used as backfill. I FLUOR DANIEL GTI .. ~ 'ank Removal Report Page 4 Chewon Facilit7 No. 9-9615 June 2r 1997 7.0 REFERENCES .CDMG (California DivisiOn of Mines and Geology), 1964, Geologic Map of California, Bakersfield Sheet. KCWA (Kern County water Agency), 1996, 1995 Report on Water Conditions-Improvement District No. 4, BakerSfield, California. USGS (United States Geological Survey)~ 1954; Rev. 1968 and 1973, Gosford Quadrangle, 7.5 minute series. I I FLUOR DANIEL GTI ~ '1 Table 1'. Tank information summary. Tank Capacity product Stored CompositiOn Condition Date i. Number (~lallons) Installed T1 10,000 Unleaded Double-wall Intact; No September Fiberglass holes 1985 T2 10,000 Unleaded Double-wall ~lntact; No September Fiberglass holes 1985 I T3 '10,000 Unleaded Double-wall Intact; No September Fiberglass holes 1985 T4 1,000 Used-oil Double-wall Intact; No September I holes 1985 Fiberglass I I FLUOR DANIEL GTI ~ Table 2. Analytical results (in mg/kg) of soil samples from beneath dispensers and tanks. I See Figure 2 for sample locations. sample Sample Benzene Toluene Ethyl- Xylenes TPHG TRPH organic I · No. Depth benzene Lead T1W-2 14' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA I TIW-6 16' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA T1E-2 14' <0.005 '<0.005 <0.005 <0.015 <1.0 NA NA I T13-6 16' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA T2W-2 14' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA I T2W-6 16' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA T2E~2 14' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA I T2E-6 16' <0.005 <0.005 · <0.005 <0.015 <1.0 . NA NA T3W-2 14' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA I T3W-6 16' <0.005 <0.005 <0.005 <0.015 <1.0. NA NA T3E-2 14' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA I T3E-6 16' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA T4M-2 8' NA NA ' NA NA NA 16 '<1.0 i T4M-6 10" 'NA NA NA NA · NA 19 <1.0 DW-2 2' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA DW-6 6' <0.005 <0.005 <0.005 <0.015 < 1.0 NA NA I DM-2 2' <0.005 <0.005 <0.005 <0.015 <1.0 NA NA DM-6 6, <0.005 <0.005 <0.005 <0.015 <1.0 NA NA DE-2 ~ 2' <0.005 <0.005 <0.005 <0.015 <1.0 ~NA NA I')F..R R' <N NN.~ <N NNR <N NN.~ <N N'I.A <1 0 NA NA FLUOR DANIEL GTI ~ U.S.G.S. 7.5 MINUTE TOPOGRAPHIC QUADRANGLE' GOSFORD QUADRANGLE--1954; REV. 1968 AND 1973 QUADRANGLE ION SCALE 1:24,000 0 2,000 4,000 SCALE FEET ~ SITE LOCATION MAP FLUOR DANI£L GTI CHEVRON PRODUCTS COMPANY c:~chev~9615~loc I 022500086 I FACILITY 9-9615 IR£V. LOCATION: · ~624 CALIFORNIA AVENUE [DES. IDET. IDATE: BAKERSFIELD, CALIFORNIA KLH KLH 6/97 ? J ? Former Dispenser Islands ~ Former Diesel UST h ~'-~5 t~~- j,~'Excavation lira : Former Gasoline USTs ~ C,~O~N~ ~w. (~/~ ~o') (~)~*~Y) CkI[NT: 0 FEET 40 CHEVRON USA PRODUCTS COMPANY .... ' FACILI~ NO. 9615 SIrE MAP FLUOR DAHIEL 8TI SCALE LOCATION: =ILE: PROJECT NO.: CALIFORNIA A REAL BAKERSFIELD, CA PM: PE/RG: FIGURE: SM (1:40) 02250-0086 ~EV.: DES.: ~DET.: ~DATE: 2 o~I o~I ~/97 I I((.~ERICKSON, Inc.~ ~ 13738 Slover Avenue / · :..Fontana, California 92337 / (909) 355-5601 / Fax,(909) 355-5912 I NO. TANK DISPOSAL FORM ! CHEVRON STATION #9-9615 3624 CALIFORNIA AVENUE BAKERSFIELD, CA 93303 Date: 6/9/97 I Job #: 35479 P'.O. #: I Contractor: 'ERICKSON, INC. I Address: "13733 'Slover Avenue Job Site: Erickson TSDF Facility Address: 13738 Slover Avenue, Fontana, Ca. 92337 I Destination: DATE TIME [ PROJECTED TANKS ORDERED BY LIC. # I I I~STRUCTIONS: TIME IN: SPECIAL TIME OUT: I SERVICES RENDERED ' COST QUANTITY GALLONS TYPE NET TOTAL F S TONS' I __Disposal Fee 200.00 280 F S .14 Extensive Loading Time 1S0.00 500 550 F S .24 Disposal Fee w/Pemit 300.00 ~ ]00o (63(123 F S .44/.61 Fiberglass Tank Disposal Fee 400.00 150o F s .87 I Fiberglass Tank Delivered 200.00 2000 F s .97 BObtail Disposal Fee 250.00 2500 F S ].14 .. 3000 F S 1.32 I " Cancellation Fee,'. 250.00 4ooo F S ' 1.64 :: 5000 F S 2.42 All fees incurred are per load unless specified. 75oo v s 3.26 8o0o _ F S 3.44 ,' I Terns are net 30'days from date of'invoice. "b0o6 F -s '3.82 Contractor's signature represents acceptance --3-'-- 10000 F S 4.33 12000 F s 4.93 of terms for payment and confirms that tank a_~o~. Piping F S removal complies with state laws. [ I Total: Total F: , NET TONS Total S: CONTRACTOR'S SIGNATURE I F: Fiberglass S: Steel CERTIFICATE OF TANK DISPOSAL/DESTRUCTION i THIS IS TO CERTIFY THE RECEIFT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. "ALL MA~CI~~EEN COMPLETELY DESTROYED FOR SCT/uRPosEs 'ONLY.' ~- 9- "" " I AUTHORIZE~ REPRESENTATIVE DATE CONTRACTOR COPY ! ECEP.oNEOR N,GUT ~ C E R TI F 'I C A T E~AmN NO. (9o9)355-56o CERTIFIED SERVICES CO y . ' 137~8 SILver Avenue · Fontana, California 92337 ~ JOB NO.- · . . ~547~ s~9 .STATION ~9-9615 FoR:ERI CKSON, INC. TANK NO. ~ ~-~ LOCATIoN:FONTANA' CA DATE?/27/97 TiM~:50AM METHOD VISUAL GASTECH/1~14 SMPN LAST PRODUCTGASOLINE I liThis'is to certify that I have personally determined that this tank is in accordance with the American Petroleum Institute 'and have found the condition to be in accordance with its assigned-designation. This certificate is based.on..con, dtons existing at the time the inspection herein set forth was completed and is issued subject to compliance with all qualifications and instructions. F"~TANK SIZE 10 ~ 00C) FIBERGLASS CONDITION SAFE FOR FIRE IREMARK$OXYGEN LOWER EXPLOSIVE LIMIT LESS~THAN 0.1Y~ ERICKSON INC. 20 9Y~ HEREBY CERTIFIES THAT THE ABOVE NUMBERED TANK HAS BEEN CU]' OPEN, I PROCESSED, AND THEREFORE DESTROYED AT OUR PERMITTED HAZARDOUS WASTE I FACILITY. ERICKSON INC. HAS THE APPROPRIATE PERMITS FOR~ AND HAS ACCEPTED THE TAN}::] SHIPPED TO US FOR PROCESSING. In the event of any physical or atmospheric changes affecting the gas-free conditions of 'the above tanks, or if in any doubt,· immediately stop all h6t work and contact the undersigned. This permit is valid for 24"hours if no physical or atmospheric i changes occur. - ................... STANDARD SAFETY DESIGNATION. '. SAFE FOR MEN: Means'that in the compartment or space:so designated (a) The oxygen content of the atmosphere is at least I19.5 percent by volume;~and that (b) Toxic materials in the atmosphere are within permiSsable concentrations; and (c) In the judgment of the Inspector, the residues are not capable of producing toxic materials :under existing atmospheric conditions while maintained as directed on the Inspector's certificate. "' ISAFE FOR FIRE: Means that in the compartment so designated (a) The concentration of flammable materials in the atmosphere is below 10 percent of the lower explosive limit; and that (b) In the judgment of the Inspector, the residues are not capable of producing a higher concentration that permitted under existing atmospheric conditions in the presence of fire and while maintained as directed on the Inspector's certificate, and further, (c) All adjacent'spaces have either been cleaned Isufficiently to 'prevent the spread of fire, are satisfactorily inerted, or in the case'of fuel tanks, have been treated as deemed necessary by the Inspector. IThe undersigned representative acknowledges receipt of this certificate and understands the conditions and limitations under which it was iss/v~ed. ?. 5% {5.L I TITLE INSPECTOR REPRESENTATIVE P, PF~9c: I AY OR NIGHT' C E R T I'F I C A T E N O. TELEPHONE (9o9)35 - 6Ol CERTIFIED SERVICES COMPANY OUSTOMER 13738 Slover Avenue · Fontanal California 92337 ih e v r'o n. I .. JOB NO. " ~5479 ;,': FoR:ERI'CKSON, INC. TANK NO'. 56'43 STATION .'~.9615 LOCATioN:FONTANA, CA DATE.'-/_7 ISTMETHOD VISUAL GASTECH/1314 SMPN LAST PRODUCT GASOLINE ¢This is to certify that I have personally determined that this tank is in accordance with the American etroleum Institute and have found the' condition to be in accordance with its assigned designation. his certificate is based.on .conditions. existing at the time the inspection herein set forth was ompleted and is issued subject to compliance with all qualifications and instructions. ~I'TANKSIZE 1('.),('_)(;)(-') FIBERGLASS CONDITION SAFE FOR FIRE I REMARKs: OXYGEN 2(').9Y, LOWER EXPLOSIVE LIMIT LESS THAN O.1Y, ERICI<SON INC. HEREBY CERTIFIES THAT THE ABOVE NUMBERED TANK HAS BEEN CUT OPEN, I PROCESSED, .AND THEREFORE DESTROYED AT OUR PERMITTED HAZARDOUS WASTE IFACILITY. ERICKSON INC. HAS THE APPROPRIATE PERMITS FOR: AND HAS ACCEPTED THE TANK'SHIPPED TO US FOR PROCESSING. In the event'of any physical or atmosphorie changes affecting the gas-free conditions Of the above tanks, or if in any doubt, immediately stop all hot work and contact the undersigned. This permit'is valid for 24 hOUrS if no physical or atmospheric Ichanges occur. STANDARD SAFETY DESIGNATION .... iSAFE FOR MEN: Means that in the compartment or space so designated (a) The oxygen content of the atmosphere is at least 19.5 percent by volume; and that (b) Toxic materials in the atmosphere are within permissable concentrations; and (c) In the judgment=of the Inspector, the residues are not capable of producing toxic materials under existing atmospheric conditions while maintained as directed on the Inspector's certificate. ~ ....... ISAFE FOR FIRE: Means that in the compartment so designated (a) The concentration of flammable materials in the atmosphere is below 10 percent of the lower explosive limit; and that (b) In the judgment of the Inspector, the residues are not capable of producing a higher concentration that permitted under existing atmospheric conditions in the presence of fire iand while maintained as directed on the Inspector's certificate, and further, (c) All adjacent spaces have either been cleaned sufficiently to prevent the spread of fire, are satisfactorily inerted, or in the case of fuel tanks, have been treated as deemed necessary by the Inspector. iThe undersigned representative acknowledges receipt of this certificate and understands the conditions and limitations under which it was issued. I R EPRESENTATIVE TITLE INSPECTOR ~,pRqa: A¥On ,G,T CERTIFICATE ' NO. ' ITELEPHONE (9o9)355-58o CERTIFIED SERVICES COMPANY cus*oME. ]hevz-0'h ' 13738 Slover Avenue · Fontana, California 92337 JOB NO. "~ ..... FOR:'ERICKSON,.INC' TANK NO':'' 5644 STAT I.ON f~9-9615 I . LOCATION?ONTANA, CA '' DATE?/27/97 TIM~.': 15AM TMETHODVISUAL GASTECH/1314 SMPN LAST PRODUCT GASOLINE iThis is to certify that I have personallY determined that this tank is in accordance with the American Petroleum Institute and have found the condition to be in accordance with its assigned designation. This certificate is based, on conditions existing at the time the inspection herein set forth was completed and is issued subject to compliance with all qualifications and instructions. TANK SIZE 10,(:)(-~0 FIBERGLASS CONDITION SAFE FOR FIRE I REMARKs: OXYGEN 20.9Y. LOWER EXP'LOSIVE LIMIT LESS THAN O.lY, ERICKSON INC. HEREBY CERTIFIES THAT THE ABOVE NUMBERED TANK HAS .BEEN CUT OPEN, I PROCESSED, AND THEREFORE DESTROYED AT OUR PERMITTED HAZARDOUS WASTE FACILITY. ERICKSON INC. HAS THE APPROPRIATE PERMITS FOR~ AND HAS ACCEPTED THE TANK SHIPPED' TO US FOR PROCESSING. ~ln tMe event of any physical or atmospheric changes affecting the gas-free Conditions of the above' tanks, or if inany doubt, immediately stop all hot work and contact the undersigned. This permit is valid for 24 hours if no physical or.atmospheric I changes occur. STANDARD SAFETY DESIGNATION . ISAFE FOR MEN: Means that in the compartment or space so designated (a) The oxygen content of the atmosphere is at least 19.5 percent by volume; and that (b) Toxic materials in the atmosphere are within permissable concentrations; and (c) In the judgment of the Inspector, the residues are not: capable of producing toxic materials under existing atmospheric conditions while maintained as directed on the Inspector's certificate. ~ .... I SAFE FOR FIRE: Means that in the The concentration of flammable materials in the compartment SO designated (a) atmosphere is below 10 percent of the lower explosive limit; and that (b) In the judgment of the Inspector the residues are not capable of producing a higher concentration that permitted under existing atmospheric conditions in the presence of fire I and while maintained as directed on the Inspector's certificate, and further, (c) All adjacent spaces have either been cleaned sufficiently to prevent the spread of fire, are satisfactorily inerted or in the case of fuel tanks, have been treated as deemed necessary by the Inspector. ' iThe undersigned repreSentative acknowledges receipt of this certificate and understands the conditions and limitations under which it was issuedi_ REPRESENTATIVE '/'~/ TITLE ! IN ' e CERTIFICATE NO. TELEPHONE (909) 355-5601- CERTIFIED SERVICES COMPANY I°us,°MER , IChevron 15758 Slover Avenue · Fontana, california ~37 i Jo~ ~o. FoR:ERICKSON~INC. TANKNO. 5645 STATION ~9-9615 LOCATioN:FONTANA ~ CA DATE:6/6/~7 TI~ 10PM STMETHOD VISUAL GASTECH/l~14 SMPN WASTE OIL LAST PRODUCT This is to certify ~hat I have personally de~ermined ~ha~ this tank is in accordance with the American Petroleum Institute and have'found ~h~.condifion ~o be in accordance with i~s a~signed designation. This certificate is based--on -condifions'~existing a~ the fime.~he inspection herein se~ fo~h was completed and is issued subjec~ ~o compliance wi~h ali qualifications and instructions. FTANKSIZE FIBERGLASS SAFE FOR FIRE 1,000 GAL CONDITION ~ REMARKs: OXYGEN 20.9% LOWER EXPLOSIVE LIMIT LESS THAN 0.1% ERICKSON ][NC. HEREBY CEERTIF'IES THAT THE ABOVE NUMBERED TANK HAS BEEN CUT OPEN~ I PROCESSED, AND THEREFORE DESTROYED AT OUR PERMITTED HAZARDOUS WASTE I FACILITY. ERICKSON INC. HAS THE APPROPRIATE PERMITS FOR.. AND HAS ACCEPTED THE I TANK~SHIPPED TO US FOR PROCESSING" ' ~ · In the event of' any physical or atmospheric changes affecting the gas-fre, e conditions of the above.tanks, or if in any doubt, immediately stop all hot work and contact the undersigned. This permit is valid for 24 hOurs if no physical or atmospheric I changes occur ............ '~?'"' ........... STANDARD SAFETY DESIGNATION ISAFE FOR MEN: Means that in the compartment or space so designated (a) The oxygen content of the atmosphere is at least 19.5 percent by volume; and that (b) Toxic materials in the atmosphere are within permissable concentrations; and (c) In the judgment of the Inspector, the residues are not capable of producing toxic materials under existing atmospheric conditions while maintained as directed on the Inspector's certificate. I SAFE FOR FIRE: Means that in the compartment so designated (a) The concentration of flammable materials in the atmosphere is below 10 Percent of the lower explosive limit; and that (b) In the judgment of the Inspector, the residues are not capable of producing a higher concentration that permitted under existing atmospheric conditions in the presence of fire Iand while maintained as directed on the Inspector's certificate, and further, (c) All adjacent spaces have either been cleaned sufficiently to prevent the spread of fire, are satisfactorily inerted, or in the case of fuel tanks, have been treated as deemed necessary by the Inspector. IThe Undersigned representative acknoWledges receipt Of this certificate and understands the conditions and limitations under which it was issued. REPRESENTATIVE TITLE INSPECTOR State of Callfomlo-,-F. nvironmentol Protection Agency Form Approved OMB.No. 2050-0039 (Expires 9-30-96) Se_ Instructions on back of page 6. ~pe~m~t' of Tox~ S,b't"~*, Co, t,ol ~ r for use on elite Sacramento, california UNIFORM HAZARDOUS us EPA ID No. 2. Page 1 Information in ~he shaded areas is not required bY Federal law. WASTE MANIFEST '- of 3. Generator's Name and Mailing Address ClJEV'~O'N PgODUCT8 C~II~ P.O. Box6Oo4 SAN RA~ON,CA,94,583-0904, G~nerator's Phone (~XC) 84,2--S'93! ATTN. KATItY N~RR][S ,5. Transparler 1 Company Name 6. US EPA ID Number IERICKSON ]2NC 7. Transporter 2 Company Name 8. US EPA ID Number Address____ 10. US EPA ID Number 1 I. US DoT Description (including Proper S~ipping Name, Hazard Class, and Ia'Number) 12. Containers 13. Total Quantity a. RQ I~ASTE I~LANNABL]~ LI~UID~N.OoSe .'(CONTAINS GASOLZNR)3~UN1993tII( I$. Special Handfing Instructions and Additional Information WEAR' APPROPRIATE P.P, ,.24HR ~-I~IEROECY PI'l#800-23t-0'623 3624 CALIFORNIA AVE, '.'~ked; ~a&~, an~ la~, ond ore in oil r.~ in propr [~d~ for ~an{~ by hJghw~ ~cordi~ b applkoble inte~l a~ n~onal go~m~ ~uJ~i. It. ! am o large .~ g~rmr, I ce~ 1 Ac~Igema of Ree~pt of M~r~ls A~ge~t of R~pI of ~dals , ..' ....... : C~fic~ of r~eipt of hazard,s m~e~als co,red ~is manifest except as noted in ~em 19. Approved OMB No. 2050-0039 (Expires 9-30-96) See' Instructions on back of 6. ' Department of Toxic Substances Control ~ or type. Form designed for use on elite Sacramento, California US EPA ID No. Manifest DoG 2. Page 1 information in the shaded areas UNIFORM HAZARDOUS is not required by Federal law. WASTE MANIFEST of 3. Generator's Name and Moil~n~ Add .... CHEVRON PRODUCTs CO, P.O.BOX 6004 SAN RAMON.CA,94583-O904 ,4. C-e~rator'sphone(510 842-5931 ATTN KATHY .NORRIS $. Transporter 1 Company Name 6. US EPA ID Number HAZ-MAT TRANS 7. Transporter 2 Company Name 8. US EP 9. ~d~ated Facil~ Name and Si~ Address' ' 10. US EPA ID Number ERICKSON INC. 13738 SLOVER AVE, FONTANA,CA.92337 1 I. US mT ~script~n (iacluding Proper Shipping Name, Hazard Class, and ID Number) 12, Comainem 13. Total a'NON RCRA HAZARDOUS WASTE SOLID WASr~E EMPT.~ STORAGE TANK (S) b. 15. ,Special Handling Instructions and Additional Information S I T E A D R R R S S WEAR APPROPRIATE P.P.E. 3624 CALIFORNIA AVE, 24HR EMERGENCY PH#8OO-231-O623 BAKERSFIELD CA.93303 ~6. C~:NI=RAI'OR'$ I hereby declare that the contenls of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in oil respects in prope~ 60ndition for transport by highway according to applicable infernatlonal and national government regulatlans. If I am a large quantity generator, I certify that I hove ~ program in place to reduce the volume and toxldty of waste generated to the degree I have determined to bo eco~omlcofly practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human health and the environmenb OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select Ihe best waste mana~lement method that is available to me a~hd that I Can afford. Printed/Typed Name : Signature , ~ ~ /'~ ~ · ' Month Day Year I Rece of Materials [ ~ --/.~' ~11'/.~.,.-- /,~ ~.~.~- of .ece~p, of/~aterio~s ~ - - / -- Printed/Typed Name ~nature / Month Day Year 19. Discrepancy Indication Space Ce~fication of receipt of hazardous materials covered I~ this manifest exce,pt,9~ noted in Item 19. ;: ,o NO, m:ow !'~ ~2A (I/95) White: TSDF SENDS THIS.COPY TO D~SC WITHIN 30 DAYS. :'~A 8~22 To: P.O. Bo~ 3000, Sacra.me.nto, CA 95812 I ?~:?~'~ ' ' ~ "", ' ''~ ' ' -'- ~ . ' ~ ' .: ' 10145 Coop ~D~l~'iieA CoKon CA92324 (909) 570-4667 FAX[909) 370-1046 ~.~-,.,?. -Del., Mar Analytl · ' cai . ." . 16525 . Sherman Way . Suite C-11 . . Van N~ys . CA 914~6 88 ' 779-~844 F~ [ - ' ' ~' ' 2465 W. 12th St., Suite 1,Tempe, AZ 85~81 (602) 968-8272 F~ 1602) 968-1~8 Bakersfield GA 93309 Analy~is:Meth0d: EPA 6030ZGA DHS Mod. 8015/8020 Extracted: May 15-21, 1997 ?~:;~A~ention:'3on Parker First Sample~: GE01752 .Analyzed: May 15-21, 1997 ' RepoSed: May 28,. 1997 ,. VOLATILE EUEL HYDROCARBONSIBTEX DISTINCTION (CA DHS Mod. EPA 801518020) Laborat0~ Sample ,Volatile Fuel ., Ethyl Total Number Description. ,HYdrocarbons Benzene Toluene BenZene Xylenes ' _Soil' ,mg/Kg rog/Kg - mg/Kg mg/Kg mg/Kg ' . - (ppm) (ppm) (ppm) .(ppm) (ppm) -GE01752~. ., . T1W-2 N.D. N.D. N.D.: .N'D'" N.D. GE01753 T1W-6 N.D. N.D. N.D. ,. N.D. N.D. "GE01754 TIE~2 N.D. N.D. N.D. N.D. N.D. GE0i755 TIE-6 N.D. .N.D. N.D. · N.D.' N.D. GE01756 T2W-2 N.D. N.D. N.D. N.D. N.D. GE01757 T2W-6 N.D. N.D. N.D. N.D. .N.D. 0501758 T25-2 - N'.D. N.B. U.D. "N.D. N.D. GE01,759 T25-6 .N.'D, N.D. N.D. N.D. N.D.' .'GE01760 T3W-2 N.D. N.D. N.D. N.D. N.D. GE0i,761 T3W-6 N.B. N.D. N.D. N.D. , N.B. RepoSing Limit: '~' 1.0 0.0050 0.0050 Lo050 0.015 Volatile Fuel Hydroca~ons are quantitated against a gasoline standard. Hydrocarbons deiected by this method range from C6 to C12. Analytes reposed as N.D. were not'p~esent at or above the reposing limit. DEL MAR ANA~ICAL (ELAP ~119~) -' .,. Proje~ Manager-- ~ ~ ' ..~ ' . · -'..'. Resutts pe~ain only to samples tested in'{he la~rato~. ~is re~ shall not be :" ' ' ' .. reprodu~d, ex.pt in full, without written pe~ission f~m Del Mar ~al~l. 0501752. FOG < 1 of 7> State'of Colifomlo~mdr°emental Protection Agency See Instructions on back of page 6. ~pa~,e.t of toxk S~bst~'~ Cont, o~ (Expires 9-3~96) US EPA ID ~. Manifest 2. Page 1 Info~ in ~e ~ad~ a~s UNIFORM HA~RDOUS : is ~t required by Federal WASTE MANIFEST 3. ~r~r's Name ~d Mailing Address . ~ J{ ~ V ~ 0 g P R 0 D U ~ P,0,~OX 6004 SAN RAHON,CA 9~583-090~ 4.~r~,~o. (51e 8~2--5931 ATTN KATHY 5. Trans~r I Com~ Na~ 6. US EPA ID Numar 7. Traos~r 2 Com~ny Name 8. US EPA ID Numar 9. Designated Facility Name and Site Address 10. US EPA ID Number ERICKSOg IgC, 13738 SLAVER AVE, FONTANA, CA. 92337 1:2. Containers 13. Total 11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) Quantity NON RGRA HAZARDOUS WASTR SOLIDt ~;ASTE K~4PT¥ STORAGE TANK(8) ' 15. Special Handling Instructions and Additional Information 5 ~XTE ADDRE ~'S ~I~AR APPRORRIATE P.P.E. 362~ CALIFORNIA AVE, 2AHR EHERGENCY PH~ 8~)~)-231-0§23..,~.~,~ BAKERSFEILD CA~93303 16. GENERATOR'S CERTIFICATION: J hereby declare that the content3 of this consignment are fully and accurately described above by proper shipping nome and are classified, packed, marked, and labeJed, and are in all respects in proper (/anti'an for transport by highway according to applicable international' and national government regu|ations. If I ama Jarge quantity generator, I certify that I hove a program in place to reduce the volume and toxicity of waste 9enerated to the degree I have determined to be ' ec0nomkoJJy PractkabJe and that I hove selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and fvtvre threat to human hoatth and the envJroflmeflt~ OR, if ! am a small quantity generator, J have made'o 9ood fo~th effort to minimize my waste generation and select the best waste mafla~emeet method that is available to me and that ! ca~ afford. ' Printed/Typed Namo. / Month Day . . Year Materials t? ' ...' of receip! o! hazardo~ m~rials co. red b~ this manlfes~ exce~ as noted in Item -" Signat~.e , ~ ' . Month Day Year .- ....... . .... . . Greem TR~NSPO~'R RETAI'NS Protection Agency " OMB No. 2050-0039 (E~plre, 9-30-96) See Instructions on back of page 6. Department o~ ro~U ~t~ Cont,o~ Fo~ des~ f~ u~ ~ el~ (12~i~h~writer. ~ram~to, Coliform ~r~or's US EPA ID No. Manifest 2. Page 1 Info~i~ in ~e ~aded a~s UNIFORM HAZARDOUS 'j~ ~ ~ ~,j,~ is ~t requlred by Federal law. 3. ~rmor's Name and Mailing Address 0!iEV~ON ~OD O ~,O,BOX 600~ S~N ~&~ION,CA~9~83-0~0~ ,. 4. ~r~or'sPho~ (SX~ ~2--59~' AT~ KATHY NORR~ 5. Tr~s~r 1 Compa~ Na~ 6. US EPA ID Numar 7. Trans~r 2 Com~ny Name 8. US EPA ID Numar 9. Designated Facility Name and Site Address 10. ,US EPA ID Number ~RIGKSON Ii1~ 13738 SLO'/ER 'AVE~ FONTANA GA;92337 12. Containers 13. Total 1 I. US DOT DeseHpfion (including Proper Shipping Name, Hazard Class, and ID Number) Quantity 'a'NON RCRA HAZARDOUS SOLID ~fABTE EHPTY gTORAOE TANK(S) b. SITE ADDRESS ~TIH~TION: I hereby d~re ~ ~ con~n~ of ~is comlgnment are ful~ and ~r~e~ de.rind o~ by pm~r ~ipping ~ ~am cla~fid, ~ked, mark~. ~d la~led, and are in all 'res~ in pratT cond~ for trans~ by highw~ ~cordi~ fo appl~able inte~o~l and n~al go'remit ~ul~s. If I am a large quaMi~ g~r~or, I ce~i~ ~ I ha~ a pr~ram in place ~ reduce ~e volume and toxici~ of waste gener~d to ~e degr~ I ho~ d~rm~ed to ~ . ~o~mical~ pr~cable ~d ~ I ha~ ~l~d ~e pfa~cable m~ of ~ent, storage, or dis~l current~ a~ilable to me which minimizes ~e pm~nt and f~re · r~ ~ human h~ ~d ~e ~ronme~; OR, ff I am a small qu~ ge~r~or, I h~ made a g~d fa~ effo~ ~ minimi~ my waste ge~r~ and ~1~ ~e ~ w~ ma~ge~ ~ ~ is a~ilable to me and ~ I can afford. R~eipt of M~erials ~ '; r~eipt o~ hozord~s mme~ols co.red b~ ~is moni~est excep/~d in I~m 19 I. i::?:i 5080' California Ave., Ste.'300 '. . Bakersfield, CA ' Received: May 14, 1997 'l'-~?~Bakersfield, CA93309 . Analysis~Method:'EPA 5030/CA DHS Mod. 8015/8020 .Extracted: May 15-16, 1997i!}}i. '!}i}Attention: Jon Parker First Sample #: GE01762 .-.m;.~ ~? Analyzed: May 15-16, 1997 iiii ' ~ · '~' ' .... ;~-~.~. ' Reported: May 28, 1997 I ,:' VOLATILE FUEL HYDROCARBONSIBTEX DISTINCTION (C~. DHS MOd. EPA 801518020) Laborat0~ Sample -VolatileFuel .. ~' ' ~Ethyl Total Number Description HYdrocarbOns Benzene Toluene Benzene Xylenes I ~.. '.~ Soil mg/Kg 'mg/Kg mg/Kg' mg/Kg mg/Kg (ppm) (ppm) (ppm)~ (ppm) (ppm) I ; ~. GE01762 T3E-2 N.D. N.D. N.D. N.D.. N.D. GE01763 T3E-6 N.D,' N.D. N.D. ,.: N.D. N.D. GE01766 DW-2 N:D. . . N.D. N.D. N.D. 'N.D. I ' GE01767 DW-6 N.D. N~D. 'N.D.. N.D. N.D. I GE01768 DM-2 N.D." N.D. N.D. N.D. N.D. I ' · -GE01769 'DM-6 N.D. N.D. ""'N:D. N.D. .N.D. I GE01770 DE-2 N.D. .N.D. N.D. N.D. N.D. I GE0i771 DE-6 N.D. N.D. N.D. N.D. ~N.D. ! I Roporting Limit: 1.0 0.0050 0.0050 0.0050 0.015 Volatile Fuel Hydrocarbons are quantitated a~ainst a gasofine sta d . y ns d~tecte I -- i~ -- n ar--~H drocarbo d by this method range from C6 to C12. Analytes rep(~rted as N.D. were not present at or ab6ve the reporting limit. ~ · .."-Proiec'f raana~,er ~ ' - " , ~ Results pertain enid, to Samples tested in the laboratory. This report shall not be · I .. , . .: ' ' reproduced, except in full, without written permission from Del Mar Analytical. ' .. GE01752.FDG <2 of 7> . , '. ~:.:i~ .. ~ '.. --:' . . ' ' %.,~ :' ' · . . ' : . '~ 014 E. Cooley :e A, Colt~n, CA 92324 (909) 370-4667 'FAX (90~) 370-! 046 Del Mar. Analytical ...--'165255he~manway,$uite£-ll,VanNuy$,CA'1406'. (8,8) 7'/9-,844 FAX(SI8) 7?9-1843 ~'"" ' , . ' ~ ~ . ~ 246~'~.l~thSt. Suitel,Tempe, AZS5281-(60~)968-8~2 F~{602) 968-~8z . 5080 Caiibrnia AVe;, Ste. 300 ' .. Bakersfield, CA:' : Received: May 14, -1997 ;:?:?: Bakersfield CA93309 . Analysis MethOd: EPA418.1 (I.R. wit~ Clean-up) Extracted: May 21', 1.997~ ~Attention: Jon parker' · First Sample~: GE01764 .Analyzed: May 21, 1997~?~ TOTAL RECOVERABLE pETROLEUM HYDROCARBONS (EPA 418.1) Laborato~ Sample Petroleum ' 'Number Description HydrocarbOns Soil mg/Kg ' (ppm) ~ GE01764 T4M-2 16~ n I s r od .D. were not present at or above the reposing limit. Results pe~ain only to samples tested in the laborato~. ~is roped shall not ~ ~' ' repro~u~d ex~p~ in fu~l, without written pe~ission from Del Mar ~at~l. GE01752,FDG <3 of~> I'~1~'~' -'' ' ~ i"'. ' . . , ~ , . 1014 E. Cooley ie A, Colton, CA 92524 {909) 370-4667 FAX (909) 570-1046 ' . 2r, r'. l · 16525 Sherman Way. Suite C-11.Van Nuys, CA 91406 (818) 779-'1844 FAx [818)779-1845. "- I'~ ' : ~ . . ' . - 2465 W. 12th'St., Suite 1,Tempe, AZ 85281 [602) 968-8272 FAX (602) 968-1558 ?:iii 5080 California Ave., Ste. 300 Bakersfield. C^ Received: May 14~ 1997 i~iil '" I !iiiiBakersfield, CA 93309 . Sample'Desc~'ipt: 'Soil-'- Extracted: . May 16, 1997 i!i::iAttention:'Jon Parker First Sample#: GE01764 . . Analyzed: May 16, 1997 ::?::::: : ' '' . Reported: May 28, 19977~i Laboratory - - Sample Sample' · Number 'Description Result I . mg/Kg ' ~ ... . · ' ' (ppm) ~'l GE01764_ .-. . T4M-2 N.D.' : · GE01765 . T4M-6. N.D. Anayte; re~0rted as N D. . . were n0, present at or above the reporting limit. I DEL MARANAL'~riCAL(ELAP #1~69) ..... ' Results pedain only to samples.tested in the laboratory. This repo?t shall not be Ii '. '.' ' ' ~.' ' reproduced, except in full, without written permis~i0n from Del Mar Analytical. GE01752.FDG <4 of 7> I ~'~' - 2465 W. 12th St., Suite 1, Tempe, AZ 85281 (602) 968-8272 F~ {602] 968-I 558 Fluor Daniel/GTI, Inc. Extracted: May '15-21, 1997 vOLATILE FUEL HYDROCARBONSIBTEX DISTINCTION (CA DHS Mod. EPA 80~518020) . Laborato~ ' Volatile Fuel ' Ethyl Total ~ Description 'Hydrocarbons Benzene Toluene Benzene Xylenes ' mg/Kg mg/Kg mg/Kg · mg/Kg mg/Kg ' , · (Ppm) (ppm) ' (ppm)' (ppm) (ppm) Method Blank N.D. N.D. ND. N.D. N.D. Volatile Fuel Hydrocarbons are quantitated against a gasoline standard. Hydroca~ons dete~ed by this method range from C6 to C12. , ~ Rr~;~u~ai;xO~;~ i~l?~;;~;t:drii~;~;;~i~rs~to~;o~;;~;~ ~;11~ GE01752.FDG <5 of 7> 2852~])Ave.; I~ine, C,~ 92606 (714) 261-1022 FAX (714) 261-1228 ) Del Mar Anal~ical ,,~ j~le~m~t~vCj~Fsuite c-D~"~itl,~ ¥~t~tu;~', ~2 ~o2 ((~)} ~;~]~ [C ((~})~;~ Method Blank ND. ' 2852~Ave., I~ine, CA 92606 (714) 261-1022 FAX (7141 261-1228 Del MarAnalvtical ' . 4 . 2465 W. 12th St. Suite 1,Tempe, AZ 85281 1602) 968-8272 F~ (602} 968-1~8 .~ ..................... 5080 Cafiforn a Ave ,'Ste 300 :::::::::::::::::::::::::: ~~~~~ Analyzed: May 6, Bakersfie d CA 93309 ~}~ ~ ~M~;BI~E~??~?????~??~;~;~???~?~ Repoded: May 28, 1997 ORGANIc LEAD (CA DHS METHOD) " : Method Blank ' ' N.D. ' Anai~es reposed as N.D. were not present at or abov. the reposing limit. '~ I,, ~rolec~Mana~er I .'~- ' j~ 285:~ irvine, CA92606 {714) 261-1022 FAX(714}261-1228 Del MarAnaly cal1014 E. Cooley D A. Colton, CA 92324 (909} 570-4667 FAX (909) 570-1046 f ..!~!'.~? 16525 Sherman Way. Suite C-il,Van Nuys, CA 91406 {818} 779-1844 FAX (818) 779-1843 m.~l . 2465 w. 12th st.. Suite 1, Tempe, AZ 85281 (602) 968-8272 FAX (602) 968-1358 ~ EPA Method 801518020 . - . ' " · ' . Matrix: Soil I 'Date. 0S/lS/ f ISample #: GE01769 ~ I Batch #: GE15192S ' I Analyte R1 SR , MS MSD PR1 PR2. ~RPD Mean P.._R Acceptance Limits ppm ppm ppm ppm % % % '% RPD Mean PR ITPH " 00090 1 1 0 95 097 86 87 1,7 87 <30 85- 121 Benzene 0" 010 i0097 0.098 'i 97 98 '1.7 98 <_25 85-117 I Toluene 0 00048 0 10 0 094 0.096 93' 95 ,2.3 94 <_25 77 - 117 · ,Ethylbenzene 0 0 10 0 095 0 098 ,95 '98 2.8 97 <_25 82- 120 i iXylenes ' 0 00042 0 30 0.29 0.30 95 98 3.5 97 <_25 , 81 - 121 ~ I Definition of Terms . . · IR1 .................... Result of Sample Analysis Sp ........ ; ........... Spike Concentration added to sample I MS .................... Matrix spike Result ,' MSD ................... Matrix Spike DUplicate Result I PR1 ................... Percent Recovery of MS; ((MS-R1)/SP) X 100 · PR2 ................ ... Percent Recovery of MSD; ((MSD-R1)/SP)'X 100 . _, RPD ............ '... .... Relative Percent Difference; ((MS-MSD)/(MS+MSD)/2) X 100 ' Mean PR ............... Mean Percent Recovery ~_~,~,;..~-~e~ Acceptance Limits ...... Determined by in-house Control.Charts '~~-~'~'~ ~ '~ i I:Del Mar Analytical Del MarAnalydcal CHEVRON USA PRODUCTS COMPANY CHEVRON CONSULTANT: ~10(~ ~ ~ ~ ~ ~ CHEVRON FACILITY NO. ~ ~DORE~S: ~0 ~1 ~/~ ~ ~ '~00 CHEVRONSITELOCATION ~~~ ~ CONSULTANT PROJECT NO: O '~,~-~ O O ~ b SHIPMENT METHOD: ~ ANALYSIS Z ~ - 0 ~ m 0 0 ~ ~ z ~ ~ ~ ,~ ~ < ~ ~ ............ ~ ~ ~ · Tq M - Z ....) 15; 55 .............. ............ .......................... 5 DAYS RELINQUISHED BY: DATEHIME: RECEIVED BY: DATEHIME: 10 DAYS ............ ~ ................................................................................................. DATEHI~E-~'-; SAMPLE INTEGRITY: RELINQUISHED BY: DATE/TIME: RECEIVED BY: iNTACT _. DeI.MarAnal ical CHEVRON USA PRODUCTS COMPANY NOTE: SAMPLES WILL BE DISPOSED OF AFTER 30 DAYS · CHEVRON CONSULT*NT: C.,,,.,O ~.~ , ~. ~T~ CHEVRONFRC~UTV NO. ~-- qG I ~ .............................................................................. : ............... ; .............................................. CHEVRON SITE LOCATION ANAkYSIS REMARKS: _ ~ o ~ , ~ ~ O O ~ ~ z ~ ~ ~ ~O ~. -- -- ~ ~ O ~ ' ~ o o ~o ~ d ~ ~ ~ ~ o= ~ ......................................................................................... · ................. : ................................................. = REQUIREMENTS: 24HR 5 DAYS RELINQUISHED BY: DATE~IME: :RECEIVED BY: DATE~IME: 10 DAYS ......... INTACT ~p~A~r:' 30, 1997 . ' :' San Ramon. Ca ~4583-0~04 Pe~it Desk B&ersfield 'Fire Dep~tment Phone ,o. s~842-~002 UST Division 1715 Chester Ave. 'B~ersfield, CA 93301 -- ~: ~C~ ~SPONS~ITY FOR ~ERGRO~ T~ Dear Sirs: Please find enclosed the following documents: 1) Proof of Financial Responsibility 2) "Certificate of Financial Responsibility" These documents meet the financial responsibilitY requirements' ~for all USTs owned by Chevron and have previously been submitted directly to the State. If you have any questions feel free to contact me. Chevron is responsible for the following facilities in your jurisdiction: CHEVRON SS// STREET ADDRESS CITY 90705 9700 Rosedale Hwy. Bakersfield 91536 2700 Oswell Street Bakersfield .91554 10 Union Avenue Bakersfield 93978 3100 Niles St. Bakersfield 94025 800 34th St. Bakersfield 94416 3699 Wilson Road Bakersfield 95325 2525 White Lane Bakersfield 98109 1131 Oak Street Bakersfield- 99615 c:3622[:C/tlif6rhi~i AV~:~ Bakersfield 99702 5201 Olive Dr. Bakersfield 201238 8100 E. Brundage Lane Bakersfield 201527 6601 Ming Avenue Bakersfield 201921 6601 Ming Avenue Bakersfield 203576 1125 Coffee Road Bakersfield Since~rely; ~anfi~ Marketing Assistant Environmental Compliance Enclosure ~vron Chevron . ..., Chewon Corporation -' 575 Market Street '.. San Francisco, CA 94105,2856 Martin R. Klitten Vice President, Finance April 28,· 1997 UST FINANCIAL ASSURANCE : To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 575 Market Street, San Francisco, 'CA. This letter'is in support of the use· of the financial test of self-insurance and guarantee to demonstrate financial respbnsibility for taking corrective action and compensating third parties for bodily injury and· property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at' least $1,000,000.00 per occUrrence and $2,000,000.00 annual aggregate arising from operating Underground storage, tanks. : underground stOrage tanks' at the following facilities are assured by this financial test or a financial test under an authorized State program by'this .guarantor -- all underground, storage tanks, owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the folloWing amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143)" $ 182.211',758.00 · Post-Closure Care (§§264.145 and 265A45) $ 52.567.819.00 Liability Coverage (§§264'. 147 and 265.147) $ I~.'000.000.00 Corrective Action ({}264.101(b)) $ -0- Plugging and Abandonment ({}144.63) $ 2.430.000.00 Golifornia State Program. Closure $ 196.731.00 Post-Closure Care · $ '694.620.00 Liability Coverage $ 66.000.000.00 Corrective Action $ 4)- Plugging and Abandonment $ --Q- Louisiana State Pro.am . Closure' ' $ 4.504.037.00 Post-Closure Care $ 774.158.00 Liability CoVerage $ 1.000.000.00 Corrective Action $ '-O- Plugging and Abandonment $ Total "· $ 318.379.123.00 This guarantor has not received an adverse, opinion, a disclaimer 'of opinion, or a "going conCern'' qualification from an independent auditor on his financial statements for the latest Completed fiscal year. Page 2 of 4 ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured ~ $ 2~000.000.00 bY a.test and guarantee " '2. Amount of corrective action, closure and'post-closure care $ 318.379.123.00 costs, liability coverage, and plugging and abandonment · costs covered by a financial test and guarantee · 3. Sum of Iines 1 and 2 $ 320.379.123 J00 " 4. Total tangible assets $ .34.785.000.000.00 · 5~ Total liabilities $ 191231.000.000.00 6. Tangible net worth - $ 15.554.000.000.00 7. Total assets in the U.S. $ 18.855.000.000.00 Yes No 8'. Is line 6 at least $10 million? X 9. Is line 6 at least 6 times line 3?' X 10. Are -least 90% of assets located in the ~U.S.? X .(If "No", comPlete line 11.) 11. Is line 7 at least 6 times line 3? X 12. Current assets $ N/A · 13. Current liabilities $ N/A 14. Net working capital (subtract line 1'3 from line 12). $ N/A 15. Is line 14 at least 6 times line 3? $ N/A' 16. Current bond rating of most recent bond issue AA 17. Name of rating service : Standard & Poors 18. Date of maturity of bond August 15. 2004 - Page 3 of 4 Yes No 19. HaVe financial ~statements for the latest fiscal year been X filed with the sEc,. the Energy . 'Information Administration; or the Rural Electrification · - Administration? 'I hereby certify that the wording .of this letter is idemical to the wording specified in 40 CFR part · 280.95(d) as' such regulations were constituted on the date shown immediately below, except that information c°nceming California and Louisiana were added to make disclosure more complete. M. R. Klitten Vice President,· Finance April28, 1997 ...· " Page 4 of 4 Guarantee made this April 28, 1997, by CHEVRON. CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, t° EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and'to any and all third parties; and obligees, on behalf of CHEVI~ON U.S.A. INC. CCUSA"), of 575 Market street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95Co) or (c) and (d) find agrees, to comply with the requirements for guarantors as specified in '40 CFR 280.96(b). 2. CUSA owns Or operates the following underground storage tanks covered by this guarantee -- underground storage tanks at. various facilities in the states of: Alaska' Mississippi Arizona · 'Nevada California 'New Mexico Florida Oregon Georgia Texas Hawaii. ' Utah Idaho Virginia Louisiana Washingt9n This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third Parties for bodily injury ..and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental, releases arising from operating the. above-identified· underground storage tanks in the amount of $1,000,0tXfi.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing age~ncies and to any and all third parties that: In the event that CuSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of. the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the. Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.-108, in an .amount not to exceed the coverage limits specified above. · In thc event that thc Director determines that cUsA has failed to perform corrective action. .. for releases arising out of the operation of the above-identified tanks in accordance~ with 40 cFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgemeni'or award based on a determination of liability for . bodily injury or property damage..to third parties caused by sudden and/or nonsudden · accidental releases arising from the operation of the aboVe-identified tanks, or' fails t° pay .: an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor', upon written instructions from the Director, shall fund a standby trust in accordance With the provisions of 40 cFR 280.108 to satisfy such judgement(s)? award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, 'at the end of any fiscal year before cancellation of this guarantee, . the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of'receipt of the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees t° notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after cOmmencement of the proceeding. · 6: Guarantor agrees to remain bound under this ~guarantee notwithstanding any modification or ~ alteration of any obligation of CUSA pursuant to 40 CFR part 280. 7. Guarantor agrees to remain bound under this.guarantee for so long.as CUSA must comply · with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by ·sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; · (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownerShip, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; Page 2 of 3 (d) Property damage, to any property Owned, rented, :loaned to, in the care, custody,.or cOntrol of, or occupied by CUSA that. is noi the direct result of a release from a petroleum underground storage 'tank; (e) Bodily .damage or property damage for which CUSA is. obligated to pay'damages by reason of the assumption of liability in a contract °r agreement other than a contract or agreement entered, into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by. the implementing agency, by any or all third parties, or' by CUSA. ~' ' I hereby certify that the wording of this guarantee is identical to the wording sPeCified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1997 CHEVRON CORPORATION M. R. Klitten Vice President, Finance Assistant Secretary · ' Page 3 of 3 ~ CERTIFIcATIoN OF FINANCIAL RESPONSIBHJTY CHEVRON U.S.A. INC. hereby certifies ~that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism used to demons~ate financial respo.nsibility under subpart H of 40 CFR part. 280 is as'follows: Corporate guarantee of ChevrOn Corporation. 'in the amoum of $1 million per occurrence, · $2 million annual aggregate, for the period commencing April 22, 1997, and which .is anticipated to be renewed annually, with the next renewal scheduled to occUr during the' first 120 days of 1998~ Said guarantee covers taking correCtive action and compensating third parties for bodily injury'and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 28; 1997 CHEVRON U.S.A. INC. jUdith L. Martin Legal Analyst CUSA UST FINANCIAL ASSURANCE APril 28; 1997 bce: D.V. Barksdale L: T. Brown, C. R. Canfield J. P. Casey , , E. V. Cottrell H. p. Davis Jr. ,. w. H. Ford A. G. Fredeluces, E. Gonzalez M. Leong P.T. Liang D. E. Ludlam R. W. McCranie S. E. Merritt 'R. B. Miller, Honolulu A. R. Mora D. A. Newell I. O. Ng K. L. Norris B. C. Randle - D. T. Sherman .. R. J. Shewchuk S. C; Stoner S. W. Strader G. L.. Sweinhart E. A. Thompson C'. P. Woodland 72413 ENVIRONNENTALSERVICES. 1715 Chester Ave., Bakersfield, CA 93301 -- . (805) 3 - 979 TANK REMOVAL INSPECTION FORM FACILITY C{~e do~ ADDRESS OWNER d~,j~a PERMIT TO OPE~TE~ CO~CTOR ~V ~s CO~ACT'PERSON ~O~TORY ~ ~ ~OF S~LES TEST ~ODOLOGY ~ ' PRELI~Y ASSESS~ CO. ~/o~r ~.,~ CO.ACT PERSON CO~ ~CIEPT ~,~ t~ ~ l&~- LEL% PLOT P~ CONDITION OF TANKS CONDITION OF PIPING CONDITION OF SOIL HO ~TE /~~,~/~ · :L, DERGROUND STORAGE TANK .~oGRAM ,/ ' ..: ,. PERM~Pp~CA~ON~:FO/~REMOVAE-O?~N~UND~GRO~~~G~NK / SITE INFORMA~ON '' SITE ~.,~%~~ * ADDRESS~~ ~&~~CODE APE ' FACILI~ NAME ~~~ CROSS STREET ~O ~ '/ TANK OWNER/OPERATOR PHONE ~O. *~10- / MAILING ADDRESS ~O. ~% ~ ~ ~ CI~ ~ ZIP CODE CON.ACTOR INFORMATION ~%~ ~~~ PHONE No. ~[4'~ ~q~~ENSE No. COMPANY ADDRESS ~t,t~. ~~ ~. Cl~ ~ ZIP CODE INSURANCE CARRIER ~ ~ ~ ~~ ~~WORKMENS COMP No. ~ ~'~~ PEELIMANAEY ASSEMENT INFORMATION COMPANY PHONE No. LICENSE No. ADDRESS CIW ZIP CODE INSURANCE CARRIER WORKMENS COMP No. TANK CLEANING INFORMATION COMPANY ~~O~ PHONENo. ADDRESS I~-~ ~U~ AU~ CI~ ~~ ZIPCODE WASTE TRANSPORTER IDENTIFICATION NUMBER ~ ~ ~O~~ ~ NAME OF RINSTATE DISPOSAL FACILI~ ~ ~ ~ ~ ADDRESS CIW ZIP CODE FACILIW INDENTIFICATION NUMBER TANK ~ANSPO~TEE INFORMATION COMPANY ~ ~.~% PHONE No.~O~-~ -~ICENSE No. ADDRESS ~5~ ~)~ CI~ ~ ZIP CODE TANK DESTINATION TANK INFO~MATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED I i Z lO, mo 0~¢~ ~ ~ / ~ / o,0~ ~ ' THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE A1'rACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. APPLICANT NAME (PRINT) APpL'iCA~NT-SI'GNATU-RE- THIS AppLICATION BECOMES~A PERMIT.WHEN ApP__ROVED ~ THIS CERTIR~TE IS I~UED ~ A ~R OF INFO~TION ~LY ~ ~GHTS UPON THE CERTIR~TE HOLDE~ THIS CEleSTE ~ES NOT ~END E~END OR ~TER THE ~ERAGE AFF~DED aY THE ~UCIES Complete Insurance, lnc , ...... DBA t Complete Energy & Marine In COMPANIES AFFORDING COVE~GE 1500 Quail Street, suite 410 Ne~ort Beach, CA 92660 ~M.~A (714) 263-0606 ~. ..~~ EAGLE INSU~CE Schubert. Inc.. D~t DST ~ C Builders .6411 Maple Street ~P~ 0 Westminster CA 92683 THIS IS TO C~TI~ ~T THE ~DClE~ OF IN~U~CE U8T~D aEL~ ~VE ~E~ I~UED TO THE INSU~D N~ED ~ ~R THE PO~CY PE~OD INDI~t~, ~TH~DING ~ ~IREME~, T~ OR ~ND~ION OF ~ ~Nt~CT OR OTH~ D~UMENT ~TH ~CT TO ~ICR THIS ~IFI~TE ~Y ~ I~S~E~ OR ~Y PE~NN, THE IN~Ci NOR~EO ~ THE ~IES DE~RIBED HEREIN IS SU~ECT TO ~L THE TERMS, ~LUSlON~ ~D ~NDmo~ OF ~UCH ~LICE~, LI~IT8 ~H~ ~Y NA~ SEEN REDUCED BY PND C~Mg, ~ ~o CC~427425 08/06/96 08/06/9? ~ ........ .~,000,000 ~ m' t~Lm ~C-424842-00 02/01/97 02/01/98 ~-~ ....... s~,000~000 ~I~T~N ~TE THEREOF. THE I~UlNG COMP~ ~ ~D~R TO ,~',~:: MNL 3 0 DAYS ~EN NOTICE TO THE CE~IR~TE H~R ~ TO THE :;~;::;: ~, B~ FAILU~ TO MAiL ~UCH NOTICE S~ IM~ NO ~LI~TION OR ~E~FIELD F I~ DEPART~NT ~E? ~ma~ oF A~ ~ND U~N THE COMPS. ITS AGE.S OR R~RESE~AT~ 2101 H ST~ET J~___._. Siate of California Comum~ CONTRACTORS STATE LICENSE BOARD · ~,ff~J~ ACTIVE LICENSE SHUBERT I NC DBA O S BU I LDERS 1715 C~ESTER AVE., BAKERSFIELD, ~ 9330q ' (805) 326-3979 .~PLI~TION ~ P~O~ A TIG~SS ' ~ER 0F T~S TO BE TEST~ IS PIPING '~ING TO BE ~s~n ~ T~ VOL~ " : DAT~ r ~ ~ ' ~Chevron April 30, 1996 ~ Chevron Products Company 6001 Bolling~r Canyon Road ~-,_;, :.,:_ ~ Building L · ~' ~ '~ San Ramon, CA 94583 R0. Box 5004 Bakersfield Fire Department *~h'( ': ,.:~ - · z 7? <~ San Ramon, CA ~4583-0804 UST Division Marketing - Norlhwest Region 1715 Chester Ave. ~.~Z, ~"'~, i, ~': ~-, ':" ' Phone 510 842 9500 Bakersfield, CA 93301 Dear Sirs, RE: Financial Responsibility For Underground Tanks Chevron SS// STREET CITY 90705 ~ 9700 Rosedale Hwy. Bakersfield 91536 .2700 Oswell St. Bakersfield 91554 ' 10 Union Ave. Bakersfield 92718 · 5101 Stockdale Hwy. Bakersfield 93978 3100 Niles St. Bakersfield 94025 · 800 34th St. Bakersfield 94416 -3699 Wilson Rd. Bakersfield 95325 ,2525 White Lane Bakersfield 98109 - 113 l Oak St. Bakersfield 99615 ~~i~h2~ Bakersfield 99702 5201 Olive Dr. Bakersfield 60201238 8100 E. Brundage Lane Bakersfield 60201527 -6601 Ming Ave. Bakersfield 60205673 SWC Rosedale Hwy. & Bakersfield 1) Proof of financial Responsibility 2) "Certificate of Financial Responsibility" These documents meet the financial responsibility requirements for all USTs owned by Chevron. These documents have previously been submitted directly to the State. If you have any questions feel free to contact Cheryle R. Canfield at (510) 842-9002. Sincerely, Chevron Chevron Corporation 575 Market Street San Francisco, CA 94105-2856 Martin R. Klitten- Vice President. Finance April 30,. 1996 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation,' 575 Market Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate f'mancial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor -- all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of f'mancial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS 'AMOUNT Closure (§§264:143 and 265.143) $ 151.180.720.00 Post-Closure Care (§§264.145 and 265.145) $ 46.894.203.00 Liability Coverage ({}§264.147 and 265.147) $ 8.000.000.00 Corrective Action ({}264.101(b)) $ -0- Plugging and Abandonment ({}144.63) $ 3.379,327,00 California State Program'. Closure $ 194.808.00 Post-Closure Care $ 686.933.00 Liability Coverage $ 56.000.000.00 Corrective Action $ 4)- Plugging and Abandonment $ 4)- Louisiana State Program Closure $ 4.455.472.00 Post-Closure Care $ 765.810.00 Liability Coverage $ 1.000.000.00 Corrective Action .$ 4)- Plugging and Abandonment $ 4)- Total $ 272.557.273.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. Page 2 of 4 ALTERNATIVE 1. Amount of annual UST aggregate, coverage being assured $ 2.000.000.00 by a test and guarantee 2. Amount Of corrective action, closure and post-closure care $ 272.557.273.00 costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee 3. Sum of lines 1 and 2 $ 274.557.273.00 4. Total tangible assets $ 34.253.000.000.00 5. Total liabilities $ 19.975.000.000.00 6. Tangible net Worth $ 14.278.000.000.QQ 7. Total assets in the U.S. $ 19.183.000.000.00 Yes No 8. Is line 6 at least $10 million? X 9. Is line 6 at least 6 times line 3? X 10. Are least 90% of assets located in the U.S.? X (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? X 12. Current assets $ 13. Current liabilities $ N/A 14. Net working capital (subtract line 13 from line 12). $ N/A 15. Is line 14 at least 6'times line 37 $ N/A 16. Current bond rating of most recent bond issue ' AA 17. Name of rating service Standard & Poor$ 18. Date of maturity of bond August 15. 2004 Page 3 of 4 Yes No. 19. Have financial statements for the latest fiscal year been X filed 'with the SEC, the Energy Information Administration, or the Rural Electrification Administration? I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regUlations were constituted on the date shown immediately below, except that information concerning California and Louisiana were added to make disclosure more complete. M. R. Klitten Vice President, Finance April 30, 1996 Page 4 of 4 Guarantee made this April 30~ 1996, 'by CHEVRON CORPORATION, a business entity organized under /.he laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575' Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the finanCial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(h). 2. CUSA owns or operates the following underground' storage tanks covered by this guarantee m underground storage tanks at various facilities in the states of: Alabama Mississippi Alaska Nevada Arizona New Mexico California Ohio Florida Oregon Georgia Tennessee Hawaii Texas Idaho Utah Kentucky Virginia Louisiana Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for . taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in Page 1 of 3 . accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fired a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as' evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after . commencement of the proceeding. 6. Guarantor agrees to remain 'bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligatiOn of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; Page 2 of 3 (c) Bodily injury or property damage arising, from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground Storage tank; (e) BodilY damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 30, 1996 CHEVRON CORPORATION M. R. Klinen Vice President, Finance Assistant Secretary Page 3 of 3 CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism USed to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 30, 1996, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the fu'st 120 days of 1997. Said guarantee covers taking corrective action and compensating third parties for 'bodily injury and property damage caUSed by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. B \_ April 30, 1996 By Jfldith L. Martin April 30, 1996 05~/10/g5 [5:45 'J~805 32~.9578 .-.. (~002 BFI) BAZ ~AT DIV /~~ ~ ~e~el~ ~e De~t. ~ ~" "~- - ~R~QU~.MA~IA~ DIVISION' PERMIT APPMCA~ON TO CQN~U~Q~[~ UNDERGRQUND ~Q~GETANK ~ NEW FAC;L[~ ~QDtF~ON OF rACIL[~ Q N~N TANK [NSTAL~ON AT EXIS~NG FAC[U~ STARING DATE PRQPQSED.COMPL~ON DA~ FACtL[~ NAME ~n ~~ S~t&on ~STING FACtUW PERMIT No. ~PE OF BUSINESS -~is~ s~ S~on ' APN ~ TANK OWNER ~e~n U~A ~u~s C~y ' ' ~FHONE No. 1300 S. ~ach Bi~; 'CJW ~ ZIP COOE ~ CONTRACTOR: '" ~ .det~~ C~ nP COOE ADDRESS.. m m PHONE No. _ ~AKERSRELD C~ ~USiNESS LICENSE No. co"A...o,m -- BRE;FLY DESCRIBE ~EW~RK fO ~E bONE n~ c~-~eve~ ~toFs~ s~t~, l~l~ WATER TO FACrU~ P~OVtOED ~Y- OEPTH TO GROUND WATER SOIL ~PE ~PECTEO AT SITE No. O~ TANKS TO BE [NSTALLED ~ ARE ~ FOR MOTgR F~EL · ~YES Q NO SE~ON FOE MOTOg FUEL. TANK No. VOLUME UNLEADED REGU~R PREMIUM DIESEL AValON 1 10,000 ~ 2 lQ,000 ~ 3 10,000 ~ SECTION FOl~ NON MOTOg FUELSTOgAG. E TANKS TANK No. VCLUME C',.~EMICAL STOREO CAS No. CHEMICAL PREVIOUSLY (no 0¢¢n~ nome) (lf known) STORED 1 I ,000 Waste Oil tank THE APRLlCA NT HAS RE~N~. UN~ER~ANOS. ANO WILL C~ MRLY W~ THE A~ACHED C~NOITI~NS CF~I$ R~NMIT ANO ANY C~MPL~EO UNO~ PENAL~'~F ~E~URY. ANO TO ~E ~EST CF MY KNO~EDG~ S$ IEUE AND - " "APPUCAN Chevron Chevron Chevron U.S.A. Products Company r~ay 24, 19 95 Marketing Department 1300 South Beach Boulevard Building 4516 La Habra, California · · P.O. Box 2833 La Habra, CA 90632-2833 Bakersfield Fire Department Phone 3106947300 UST Division 1715 Chester Avenue / ~/~ Bakersfield, CA 93301 .~/// Attention: Ralph Hwey Re: Underground storage Tank Financial Responsibility * ~/~/ Dear Ralph Hwey: The enclosed letter is provided to comply with the requirement to demonstrate financial responsibility for underground storage tanks owned by Chevron U.S.A. Products Company. Financial responsibility applies to the enclosed list of service stations located in the City of Bakersfield. If you have any questions, please contact Jean Chavira-Flores at 310-694-7452. Very truly yours, K. F. Wiseman Manager-Environmental, Safety and Health Enclosure % 057. j ac PAGE CHEVRON U.S.A. PRODUCTS CO. - SOUTHWEST REGION SW REGION STATION LIST -' APSI & 3 PTY OUTLETS 05/22/95 TgSWPGR -SW_OULET FACILITY STREET CITY COUNTY ST/ZN ZIP CROSS ST DEALER NAME/PHONE 91835 1011 IMPERIAL STREET CALEXICO IMPERIAL CA 92231 4TH STREET ARTURO U ANTUNEZ 8E 619-357-2336 90130 905 N MAIN ST BISHOP INYO CA 93514 MAINE RICK CASSEL, II DBA 61 619-873-4430 90086 460 s MAIN ST LONE PINE INYO CA 93545 DARRELL C CATHERMAN v~o 61 619-876-5971 705 9700 ROSEDALE HWY BAKERSF ELD KERN CA 93308 CALLOWAY RAY SUTTON INC 6~ 805-589-9011 v/91536 2700 OSWELL STREET BAKERSF ELD KERN CA 93306 AUBURN STEVE R THORNE, INC. 61 805-871-1200 V/91554 10 UNION AVENUE BAKERSF ELD KERN CA 93307 NOLAN W BERST DBA '~92 61 805-322-2445 718 5101STOCKDALE HWY BAKERSF ELD KERN CA 93309 VILLAGE LANE PHILIP A WELCH DBA 61 805-832-1818 ~[~-~ 93978 3100 NILES ST BAKERSF ELD KERN CA 93306 OSWELL KENNETH MC COY 61 805-871-1865 94025 800 34TH ST BAKERSF ELD KERN CA 93301Q ST HOHAMED MANSOUR 61 805-323-9694 94416 3699 W~LSON ROAD BAKERSF ELD KERN CA 93309 REAL RD SONNY SWAFFAR 61 805-831-6075 95325 2525 WHITE LANE BAKERSF ELD KERN CA 93304 EL PORTERO BOB HALEY SERVICE, NC 61 805-832-9781 98109 1131 OAK STREET BAKERSF ELD KERN CA 93304 CALIF ST PHILIP A WELCH DBA 61 805-324-7621 ,~/99615 3624 CALIFORNIA AVE ~ BAKERSF ELD KERN CA 93309 REAL RD CHARLES SUTTON INC ~ 61 805-325-1642 99702 5201 OLIVE DR BAKERSF ELD KERN CA 933O8 HWY 99 KEESTER INC 61 805-399-9056 c/ 201238 8100 E. BRUNDAGE LANE BAKERSF ELD KERN CA 93307 WEEDPATCH HWY THOMAS W SCOTT 61 805-366-5542 201527 6601 MING AVENUE BAKERSF ELD KERN CA 93307 A.P.S.I. # 1830 61 805-831-1270 ../ 93249 KERN CA 93206 PERRY C SCOTT DBA 26056 TRACY AVENUE BUTTONH LLOW 61 805-764-5419 Chevron Corporation 225 Bush Street, San Francisco, Californ'ia 94104-4289 M. R. Kliuen vice President, Finance April 28, 1~5 '.' UST .FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 225 Bush Street, San Francisco, CA. This letter is in support of thc use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) $ 158,409,500.00 Post-Closure Care (§§264.145 and 265.145) $ 59.726.500.00 Liability Coverage (§§264.147 and 265.147) $ 8,000,000.00 Corrective Action (§264.101(b)) $ -0- Plugging and Abandonment (§144.63) $ 3,096,000.00 ALTERNATIVE II 1. 'Amount of annual UST aggregate coverage being assured $ 2.000.000.00 by a test, and/or guarantee 2. Amount of corrective action, closure and post-closure care $ 292.320.000,00 costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee 3. Sum of lines 1 and 2 $ 294.320.000.00 4. Total tangible assets $ 34.315.000.000,00 5. Total liabilities $19.811.000.000.00 6. Tangible net worth $14.504.000.000.00 7. Total assets in the U.S. in excess of $ 20,175,000,000.00 Yes No 8. Is line 6 at least $10 million? X 9. Is line 6 at least 6 times line 3? X 10. Are least 90% of assets located in the U.S.? (If "No", X complete line 11.) 11. Is line 7 at least 6 times line 3? X 12. Current assets $. N/A 13. Current liabilities $ N/A 14. Net working capital. (subtract line 13 from line 12). $. N/A 15. Is line 14 at least 6 times line 3? $ N/A 16. Current bond rating of most recent bond issues. AA 17. Name of rating service standard & Poors 18. Dates of maturity of bond August 15. 2004 Page 3 of 4 GUARANTEE Guarantee made this April 28, 1995, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(h) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(h). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee -- underground storage tanks at various facilities in the states of: Alabama Mississippi Alaska Nevada Arizona New Mexico California Ohio Florida Oregon G~rgia Tennessee Hawaii Texas Idaho Utah Kentucky Virginia Louisiana Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency Page 1 of 3 (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, .or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of' acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1995 CHEVRON cORPORATION M. R. Klitten Vice President, Finance Assistant Secretary ,- " .... P 30f3 CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The f'mancial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 28, 1995, and ~which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1996. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. J. :J~ffrey~'Mojcher, S~nior Counsel ENV8114 er te Underground Hazardous Materials Storage Facility CONDITION~:. ,::p ! ~ i~ ~EVERSE SIDE Issued. By: HAZARDOUS MATERIALS DIVISION ~k"aN<5 ~v~o~ ~avko~N ~ 1715 Chester Ave., 3rd Floor -- Bakersfield, CA' 93301 ~-q c~., ~u~ (805) 326-3979 ~ ~ .q 3~ ~ ApProved by: Ralph E. Huey, Hazardous Materials Coordinator Valid from: ~'~ (, ~- to: -~'~ NO CE '" ' '~:' ' '"BAKERSFiELD::'EI'RE D ' Sub Div.-~'~i 'O~i ~R-i yOu are hereby required to make the [oilowing'cor~etions ' at the above location: Cot. . Completion Da~.e for Correetion~-- Date .' . Inspector- ' '"'~' 326 3979' ' . , ~ :..~; ,. ~ ,~.?:~!.~::~ : CORRECTION NOTICE ~"' BAKERSFIELD FIRE DEPARTMENT N° ' 0435 .. ..... .' :, .?"'" ': You are hereby required to make the following cor~ctions ...... '~f~::;';:~:};::'?f':'~" at the above l~ation: :.',~., -;.: '., ~ ..: .. , ~ ~ ' -/ t ' ' ' Comp~tion Date for Correction~ '." ' ..... Date % · ~...-:-~,~ ' '~' · [nspec~o~ 326'3979 ~UNDERGROUND STORAGE~NK INSPECTION' i * Bakersfield Fire Dept. '"'~'~'~' Hazardous Materials Division Bakersfield, CA 93301 FACILITY NAME 0J/,~(~.l~ ,~---,~'~v,, ~'~^~_~tt~,.~ BUSINESS I.D. No. 215-000 FACILITY ADDRESS 3G~. CL~t.~'~op4,~,q ~,~o.~ CITY ~M.~,,~(~_c.~[4~ ZIPCODE INSPECTION DATE 1/9,~/~_c;- ii.~r~ TIME IN II * o~ TIME OUT ,~,~ J i~ ~te I~ ~ In~ ~te - INSPECTION ~PE: ~ ~ 7~ I~/,.~/~ ROUTINE FO~OW-UP I ~e - REQUIREMENT8 la. F~A& B Su~ lb. F~ C Su~ lc. O~;i~ F~ Pa~ Id. S~te Sur~rge Pa~ le. Sate~m~ of Final R~i~l~ 1 f. W,,t~e~ C~ E~s ~n ~ & O~m to O~mte U ST ~. ~1~ O~aling Pe~ ~. Ap~ov~ W~en R~i~ M~ng Pr~ure 2c. Una~h~ Rel~ R~n~ P~n ~. Tank Int~ Test in ~ 12 M~ths ~. Pr~u~ Pi~ Int~r~ T~t in [a~t 12 ~ths ~. S~ti~ Pipln~ ~h{n~s T~ in La~ 3 Y~m _ -. ~. Gmv~ F~ Piping T~ht~ T~ in ~ 2 Y~m ~. T~ R~uEs Subm~ W~hin ~ Da~ 3f. Dai~ ~1 ~EoHng of S~ Pr~L~ Pi~ ~. ~nual Invent~ R~il~ Ea~ ~th ~. 'Annual Invent~ R~iliati~ State~t Su~ ~. ~e~s Calibmt~ Annually 5. W~y Manual Tank Gauging R~ds f~ S~II Tan~ 6. Monthly Statist~l Invento~ R~ciliation R~ 7. M~h~ A~atic Tank ~uging R~u~s 8. Gr~ Water ~ng 9. ~ Morfi[~ing 10. ~tinuo~ IntemtAial M~ng f~ D ..... -,Val~ Tan~ 11. M~ni~l U~ L~k Det~ 12. E~r~ic Li~ Leak Det~;o~s 13. C~in~us Pi~ M~ in Sum~ 14. A~T~{~ Pump Shrift Ca~b{i~ 15. Annual Maintena~Calibmtion of Leek ~ Equi~ 16. L~k ~t~tion Equipment and T~t ~t~s I ~ in L~113 ~ 17. W~e~ R~rds Maintai~ ~ S~e ' 18. Re~ C~ in U~g~C~d~s to O~mti~~ Pr~ur~ of UST S~tem WAhin ~ Da~ 19. Re~ U~~ Relea~ W~in 24 H~m ~. Ap~ov~ UST S~tem Re~im a~ U~m~ 21. R~ds S~ Cat~ Pr~ I~s~ ~. ~r~ ~ Wel~ " ~. Dr~ Tu~ ~E-INsPECTION DATE ~/~ RECEI~D BY: ;?' ,.' ~. Number of Employees: ..;.: .~ :'- Ve~ aon. . of. em upp e & proCedures ":--.-. ;:- :. ., . ... .~,,.. >.., . : ~. '.:.,. '.~ -' .. . '-.-' Commen~: ......... :'"' ', ' - -- -- ........ . . Emergenw Procedures Posted ....... ..... ~'?-'~:' · '~" ~ ...... :::'-?- · Containem Prope~ Labeled Commen~: Ve~ca~on of Facil~ Dia'Fam Special Hazards Associated ~ ~ Facile: ~.; , .,, . ' .. .. . . . . .... ~ .,. ,. : ? :.,~ ?; ,:~ : : , ...:. _ .,.~:: ....... . ,~ . ~,. . ~;:'~: .... ::-.~'"~.:.'~,: '?:.~. .. . .... · .~ . ',.~ . ,. · · ;,..: Viola~ons: - - ~;' .~- , . ....... . .. .,: .. CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING NDE ENVIRONMENTAL CORPORATION TiP FiLE 8906 WALL STREET, SUITE 306 AUSTIN, TEXAS 78754 (512) 719-4633 S.S. ~ ' _ FAX (512) 719-4986 COUrq'Tv TEST RESULT SITE SUMMARY REPORT TEST TYPE: TESTDATE: December 19, 1994' WORK ORDER NUMBER: 914,194, INVO!CE DATE: INVOICE NUMBER: CLIENT: CHEVRON U.S.A. sITE: CHEVRON 9-9615 ATTN: JUANITA M. CHAMS 3624 CALIFORNIA AVENUE P. O. BOX 2833 BAKERSFIELD, CA 93309 LA HABRA, CA 90631-2833 ATTN: JUANITA CHAMS The following tests were conducted at the site above in accordance with all applicable portions of Federal, NFP A and local regulations. Line and Leak Detector Tests 10K PLUS 0. 007 P YES PASS 10K SUPER 0. 005 P YES PASS 10K UNLEADED 0. 015 P YES PASS NDE appreciates the opportunity to serve you, and looks forward tb working with you in the future. Please call any time, day or night, when you need us. NDE Customer Service Representative: Test conducted by: ~ M~LLER DAN ZEMAN Reviewed: ~ _c,.,,_._ 1535 Tecl~niC~an Cer~er: INDIVIDU~TANK/LINE/LEAK DETECTOR ~ REPORT JI~DE NDE ENVIRONMENTAL CORPORATION E TESTDATE: Dec~her 19, 1994 WORK ORDER NUMBER: 914194 CLIENT: CHEVRON U.S.A. SITE: CHEVRON 9-9615 .. Tank ID: 10K Bottom to top fill in inches: Pr~uct: m~os Bottom to grade fill in inches: Capaci~ in gallons: 10,000 Fill pipe'length in inches: Diameter in inches: ~2. oo Fill pipe diameter in inches: 4.0 Length in inches: 352 Stage I vapor recoveq: ~ ~ Fz~e Stage II vapor recover: ~CE Material: Tank: NO Manffol~d Vent: ~o V~: ~s Test method: New/passed Failed/replaced Psi at tank bottom: detector detector Fluid level in inches: Test method: F~A UFT/OFT: Make: a~D JACKZ'~ Fluid volume in gallons: Model: x.L.P. Water level in inches: S/N: 10592-1387 Test time: Open time in sec: 3. oo Number of thermisters: Holding psi: 20 Specific gravity: Resiliency cc: 385 Water table depth in inches: Test leak rate ml/min: 189.0 Determined by (method): Metering psi: 20 Leak rate in gph: Calib. leak in gph: 3.00 RESULT: RESULT.' PASS Test method: Material: Test time: Diameter (in): 2 o 0 Ullage volume: Length (ft): '/5.0 Ullage pressure: Test psi: 50 RESULT: Bleedback cc: 120 DATA FOR UTS-4T ONLY: Test time (rain): 30 Time of test 1: Test 1: start time: 31 =43 finish psi: 46 Temperature: vol change cc: 3.3. Flow rate (cfh): Test 2: start time: :~1,52 finish psi: Time of test 2: vol change cc: Temperature: Test 3: start time: 32 = 02 Flow rate (cfh): finish psi: $ o · Time of test 3: vol change cc: 0 Temperature: Final gph: 0.0 0'7 Flow rate (cfh): RESULT: PASS Test type: 8906 WALL STREET SUITE 30S, ~USTIN~ TEXAS 78754 {5121 719-4633 INDIVIDUJ NE/LEAK DETECTOR REPORT ·NDE ENVIRONMENTAL CORPORATION TESTDATE: Dec~ber 19, 1994 WORK ORDER NUMBER: 914194 CLIENT: CHEVRON U.S.A. 'SITE: C~RON 9-9615 Tank ID: ' 10K Bottom to top fill in inches: Product: SOPER Bottom to grade fill in inches: Capacity in gallons: 10,000 Fill pipe length in inches: Diameter in inches: 92. oo Fill pipe diameter in inches: Length in incheS: 382 Stage I vapor recovery: DOAL DW FZBEaO Stage II vapor recovery: BALANCE Material: Tank: NO Manifolded Vent: NO V/R: I Test method: New/passed Failed/replaced Psi at tank bottom: detector detector Fluid level in inches: Test method: UFT/OF'E Make: aED JACKE~ ~ED JACKET Fluid volume in gallons: Model: x. L. P. D. L. D. Water level in inches: S/N: 30694,-0354 20785-6688 Test time: Open time in sec: 2.5o Number of thermisters: Holding psi: 2o Specific gravity: Resiliency cc: 345 Water table depth in inches: Test leak rate ml/min: 189.0 Determined by (method): Metering psi: 2o Leak, rate in gph: Calib. leak in gph: 3 o oo 3.00 RESULT: RESULT: PASS FAIL 1 Test method: Material: FIBEa(:Z,,~SS Test time: Diameter (in): 2.0 Ullage volume: Length (ft): '/s. 0 Ullage pressure: Test psi: RESULT: Bleedback cc: 3.10 DATA FOR UTS-4T ONLY: Test time (min): 30 Time of test 1: Test 1: start time: finish psi: 16 Temperature: vol change cc: ? Flow rate (dh): Test 2: start time: 31,85 finish psi: ~,9 Time of test 2: vol change cc: Temperature: Test 3: start time: 23 =05 Flow rate (cfh): finish psi: 8o Time of test 3: vol change cc: o Temperature: Final gph: 0.005 Flow rate (cfh): RESUL'~ PASS Test type: Pump type: PaESSm~E Pump make: ~ED JACKET 8906 WALL STREET SUITE 306~ AUSTIN~ TEXAS 78754 {512) 719-4633 INDIVIDt TANK/LINE/LEAK DETECTOR REPORT NDE NDE ·ENVIRONMENTAL CORPORATION TESTDATE: December 19, 199~ WORK ORDER NUMBER: 91~19~ CLIENT: CHEVRON U.S.&. SITE: CHEVRON 9-9615 Tank ID: Z0K Bottom to top fill in inches: · Product: ~D - Bottom to grade fill in inches: Capacity in gallons: 10,000 Fill pipe length in inches: Diameter in inches: 92.00 Fill pipe diameter in inches: ~,. 0 Length in inches: 352 Stage I vapor recovery: Dw FZI~,G Stage II vapor recovery: BALAnce- Material: Tank: Fo Manifolded Vent: No V/R: Yss Test method: New/passed Failed/replaced Psi at tank bottom: detector detector · Fluid level in inches: Test method: UFT/OF'E Make: RED JACKET RED JACKET Fluid volume in gallons: Model: X.L.P. D.L.D. Water level in inches: Test time: S/N: 30694,-6353 20785-5094 Number of thermisters: 'Open time in sec: 2.5o Specific gravity: Holding psi: 20 Resiliency cc: 405 Water table depth in inches: Determined by (method): Test leak rate m{/min: 189. o Metering psi: 18 Leak rate in gph: Calib. leak in gph: 3.00 3 ooo RESULT.' RESULT: PASS PAIL I Test method: Material: Test time: Diameter (in): 2.0 Ullage volume: Ullage pressure: Length (ft): 75 o 0 Test psi: sO RESULT: Bleedback cc: 90 DATA FOR UTS-4T ONLY: Test time (min): 30 Time of test 1: Test 1: start time: 31 = 51 finish psi: Temperature: vol change cc: 3.? Flow rate (cfh): Test 2: start time: 32 = o3. Time of test 2: finish psi: ' vol change cc: 9 Temperature: Test 3: start time: 22 = 13. Flow rate (cfh): finish psi: 49. Time of test 3: vol change cc: Temperature: Final gph: 0. 015 Flow rate (dh): RESULT: PASS Test type: P'~K-88 ' Pump type: Pa.Cssoa.~ Pump make: RED JAC~,~T ~ !; i~ ~:.:~ i~ii :: i il ::.~:i: ?:i :.i il ;~ ?i!? C O M M ENTS iii: ? :.:i :; ~!;i ::;: 8906 WALL STREET SUITE 306 AUSTIN. TEXAS 78754 15121719-4633' NDE ENVIRONMENTAL CORPORATION '8906 WALL STREET, SUITE 306 . ~ AUSTIN, TEXAS 78754 WDE FAX (512) 719-4986 TESTDATE: December 19, 1994 WORK ORDER NUMRER: 914194 CLIENT: CHEVRON U.S.A. SITE: CHEVRON 9-9615 COMMENTS PARTS REPLACED 2 Extended life piston leak detector HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) SITE DIAGRAM NDE ENVIRONMENTAL CORPORATION NI~E ~o~ wA,, s~, su,~ ~o~ ~ ~ FAX (512) 719-4986 TESTDATE: Decembe]~ :tg, :[994 WORK ORDER NUMBER: 9:[4:[94 CLIENT: C~[~--'"v~,O[q [7. $ .A. SITE: ¢~[~-~v'RO~T 9-9615 HWY.-99 N CHEVRON#9-9615 3624 CALIFORNIA BAKERSFIELD, CA. 93309 DISPENSERS PAY BOOTH TANKS SERVICE I VENTS Electric lac. TANK MONITORING EQUIPMENT CEI/TIFICATION Z, '~s'rlNG FOg: .... FIREOFF_~ ~: MOHTHELY MA~~'_~NNUAL CERTIFICATION NAM~ AND MODEL OF MONITOR SYSTEM: ~ ~- ~'~[~ D. Ar6 ~ I~ ligh~ and au~ble a~rn~ ~io~ng pro~? ~ES' . NO ~. is th~c a t~ ~i~r on thc ~ci't y~ .~O ( if ~ ~1 onc on ) it. Is lhe nmnilor ~ up f~ ~siti~ shut do~? ~S i. ~ Ibc mmdtor diul'do~ ~hc ~cling if ~l~y di~'n~t~, nmffun~on, ~ ala~? I. Whtch alarms ~ cl~lronic ~i~i~ shut do~? 2 E~tcnml T~ts ' A. Tcsl~ all tal~, in ~pr~ur~ and sump ~rs ( ~m~atc alarm a~ v~ t~ tim ~o~ ~on pro.fly ) ~' ,.NO ( if~rs are bad rc~la~ them a~d.rc~ ) .. . B.W~c ~aso~ ~17 , ,~S ~O ( Ify~ ~11 n~mt. to rcm~y tlzc ~t~l~ C.Is ii.re liquid or ~ro~g vast in thc sum~ or ~ul~ ~? - ,YES ~., NO ( If yes test, tcpla~ if aot ~n~o~ng ~m~iy ) · (NOTE SENSOR ~ND ~OBK LOCATIONS ON TIlE SECOND PAGE MAP.) B. Is the a~imm~an~ ~8 up to ~7 ~NO ~' D~ tim d~lcrksmw who to ~ma~ ia ~ ofalamt? ~' "'~_~ D, Is this moaiwdn8 system o~fatin~ ~ ~r aanufacture's ~ificaliot~? ~ STATE OR CITY PERMIT N~BER: ~ )'rIFlED AGENCY OF ~ . YES NO CERTIFIED INSPE~OR: Electric Inc. LAY OUT TANKS ACCORDING TO STATIO'N TANK LAYOUT, "X" OUT TANKS THAT DO NOT APPLY. USE THE LEGEND TO MARK SENSOR AND PROBE TYPES TESTED PER ANNUl_ARS, SUMPS, AND WELLS. LABEL TANKS BY PRODUCT USING CORRECT PRODUCT NAMES. .. '.~ '~ · .. ~"';:~-~'~ ~;',.~ ~ .._~ ......... ........ : ................ ' 3 .......... FLOAT SENSOR { ~ 5 .......... DISCRIMINA~NO SENSOR ~ 6 .......... ~ECil. LEAK ~ETE~O~ ~, ..... lie te Underground Hazardous Materials Storage Facility CONDITIONS i~!:~ ~!!~!i~ ~" ,P: EVERSE SIDE Tank Hazardous G.~Ji~i~?iiiii?:?:!?;-:~:?i;: ..... Y.e.::~iii;~i?: .... ::: (~Tank '~i;::;i~:~i iii?':!ii!}!i::?~:. Piping Piping Piping Number Substance C ~i~:~ ~.!~:%';:;:::;:::' In'~"{~:ii~i~?.. il :i?:T y p e a o h:i{~i~:~ ~;~:'::::':!':!i!~i!:, Type Method Monitoring ..... :..;:.; ..... ..:~:;( '..:. '-:...? Issued By: ' * .... ~;:~;:;;~;~;~::'.:':':~;:::' ;~;~;;;~;;;;:.~?:.::~ ~?'"::~:*:'::]~:' ];;; ~..:~ ¢~}::' ...]?.?:"~"~ .?:::issued To: HAZARDOUS MATERIALS DIVISION qW~'N~5 1715 Chester Ave., '3rd Floor Bakersfield, CA- 93301 ~GTq (805) 326-3979 ~k~ ~ ApProved by: Ralph E. Huey, Hazardous Materials Coordinator Valid from: ~ . , SFIELD" . ...~ BAKER. F'IR~E :DEPARTMENT i'~ . .Ok% ~, .. You ~re hereby require~ ~o make the ~olloWing eor~etions ~t the ~bove l~ation: ., .:~ ~,'~,~,~,~,-, q ( . . . i / ' ~/ .... "' ' '. ': ' Completion Date for Corrections)~ ... ~ /~ ~' ~'~/'~ '~ ' ' "; ' '.:. ,., ,.-? · Date % ' .' t..._ ~ ~'~: .:.:?:. .. .Inspector: . 326.3979" ' ikersfield' FiXed-'Dept. '' HAZARD~OU$ MATL~ALS: iNSPECTiON .... Hazardous Materials Division .+ .... -.. .Date Completed I,/~-~/ BUsinesS Name: ';0i,~.~. ~' .~* "" ~C,.-I-{n~. '~'~..,,r~,.:t ? o ~' - Business IdentificatiOn No. 215-000 /qt;~ -" ' (Top of'.Business Plan) StationNo: ~4'~ /~q~'~ ~:' ..Shift ~-~' /~,allime: 1l'~9 ' ..... ~ DeParturelime: -l.>:.~gr..) Inspe~onlime: Adequate Inadequate .Verification of Inventory. Materials~'~ I'1- · verification, of;Quantities ' I~ ~" Verification of Location '[~ ~ ProperSegregation o~ Material I~ Comments: ' Verification °~ MSDS AVailability [~ Number o~ £mPloyees:.. .. ~ Verificati°n'of Ha~ Mat lraining · ~ :.~¢:: Comments: "~'~ ...... Verification of:Abatement Supplies &'Procedures [:~ Comments: - . Emergency. Procedures Posted [~ i' - ..... ..Containers prOperlY Labeled I~ I"! Comments: .- "- Verification of Facility Diagram '~/ 1"1 .. ' '.' Special HaZards AssOciated with this Facility: Busin~ ~rNanager- PRINT ~ME: ." ' ~A~URE ~ Correction Needed U ~ ~ uN :Ba-ke~$field Fire Dept. FACILI~ NAME TIME IN I~' o~ TIME OUT l i~mte INSPECTION ~PE: ~ T~ ~ ~/~' ~OUTINE FOLLOW-UP REQUIREMENT8 ~ a. F~s A & B su~ ld~ 8~e Surc~rge Paid lf. W~en Contm~ E~sts ~n ~er & O~ to O~mte UST 2b. Approv~ W~en Ro~ine M~itodng Pr~ure 2c. ' U~ho~ Relea~ Res~n~ Plan ~. Tank Int~ T~t in Last 12 Months · ~/ 3b. Pr~ur~ Pipi~ Int~ri~ Test in Last 12 Months ~. Suction Piping ~ghtn~s Test in Last 3 Yearn ~. GmV~ F ~ Piping ~ghtn~ T~t in ~st 2 yearn ~. T~t R~uEs Subm~ W th ~ ~'Da~. .??* , 3f. Dai~ ~sual MonEoHng of Su~ Pr~Pl~i~~' ~. Manual Invento~ R~cil~tion Each ~nth ~. Annual Invento~ R~iliati~ Statem~t Su~ ~. .Mete~ Calibmt~ Annually 5. W~kly Manual Tank Gauging R~rds f~ Small Tan~ 6. Monih~ Statistical Invento~ R~ciliation R~u~ 7. Mo~h~ A~Mic Tank Gauging R~u~ 8. Gr~nd Water MonR~ng 9.~ ~r MonRodng 10. Co~inuous IntemtRial MonR~ng f~ D~bl~Wall~ Tan~ 11. M~hani~l Li~ Leak Det~om 12. El~tronic Line Leak Dakota 13. Continuous Piping ~nRo~ng In Sum~ "' ) ,14. A~atic Pump Shrift Ca~bil~ 15. Annual Maintenan~Calibration of Leak Det~t~ Equl~ ~ 16. Leak Det~tion Equipment and T~ Meth~s List~ in LG-113 Se~ 17: Wr~en R~ord~ Maintain~ ~ SEe 18. Re~ Ch~*nges in U~ggC~ditions to O~rati~R~ Pr~ur~ of UST S~tem WRhin ~ Da~ ' 19. Re~ Una~hor~ Relea~ WRhin 24 Houm ~. Ap~ov~ UST S~tem Re.irs and U~ 21. R~rds Sh~ng Cat~ Prot~t~ Ins~ ~. S~ur~ M0nRodng Wells ~. Drop Tu~ RE-INSPECTION DATE ~~/~ RECEIVED BY: INSPECTOR: ~~ ~~ _~ · OFFICE TELEPHONE ,tU~I~ !Y~ ':~:~-. ~'''' ~ L,/,/i'- ........................ Chevron U.S.A. Products Company .. Marketing Department 1300 South Beach Boulevard ~une 1~ ]-99~ Building4516 La Habra, California RO. Box 2833 La Habra, CA 90632-2833 Phone 310 694 7300 Underground Storage Tank Financial Responsibility Bakersfield Fire Department 2101 H Street Bakersfield, CA 93301 To Whom It May Concern: The attached letter is being provided in order to comply with the requirement to demonstrate financial responsibility for under- ground storage tanks 'owned by Chevron U.S.A. Products Company. Financial responsibility applies to the attached list of service stations located in the city of Bakersfield. If you have any questions, please contact Suzanne Sissung at (310) 694-7452. Very truly yours, K. F. Wiseman Environmental, Safety, Fire & Health Manager SMS Enclosure PAGE 2 REPORT: DLRCITY SOUTHWEST DIVISION STATION LIST (DELIVERY CITY ORDER) 06/08/9q DELIVERY ADDRESS CROSS STREET CITY ACCT PRE ZONE (GULF - 1ST DEL, ADDRESS) (GULF - 2ND DEL, ADDRESS) DEALER NAME TELEPHONE ALTADENA 93267 C19 1002223 907 E ALTADENA DR LAKE AVE ANWAR E FAKHOURI 818-797-9221 ANAHEIM 92069 B19 1002239 10972 KATELLA AVE KAMRAN NAEIM DBA 714-638-0664 93558 B34 1002239 2175 W LA PALMA ST BROOKHURST ST EDWARD O'SON 714-956-3209 94927 C33 5183816 1221 AUTO CENTER DRIVE QUALITY LINCOLN MERCURY 95321 B19 1002239 1801S HARBOR BLVD KATELLA MICHAEL M, FLYNN DBA 714-533-8741 96477 C33 5183816 953 SOUTH ANAHEIM BLVD STEFFY BUICK CO INC 714-776-7360 97779 B19 1002239 2501E LINCOLN JRANS PETROSIAN 714-533-7181 98449 C33 4241754 1200 S ANAHEIM BLVD MCPEEK CHRY-PLY, INC 99545 B19 1002239 590 N MAGNOLIA PHONG CHIEU TANG 714-827-2220 99795 B21 1002239 3490 W LINCOLN KNOTT AVE ZAFAR AHMED DBA 714-527-~391 99950 A94 5583556 1801S HARBOR BLVD CHEVRON USA INC METHONAL 714-533-8741 201029 A35 1002239 8000 E, SANTA ANA CANYON A,P,S,I, # 1494 714-998-2637 202326 C15 1002239 1200 SOUTH HARBOR O & M OIL 714-999-9075 202586 C19 1002239 1198 S, STATE COLLEGE BALL VASKIN KOSNKERIAN 714-535-6500 202756 C17 1002239 9225 BROOKHURST AT BROADWAY G AND M OIL #31 714-535-9364 ANAHEIM HILLS 95264 C33 5183816 5395 E.[A PALMA CALIBER MOTORS 714-777-1900 APACHE JUNCTION 99943 B42 1002216 lh0 OLD WESTHIGHWAY IDAHO HARBERT D JORDAN 602-982-8106 APPLE VALLEY 90575 B19 1002251 17937 HWY 18 APPLE VALLEY RD LOYE W WILLHITE 619-242-4114 201~67 A35 1002251 19180 BEAR VALLEY RD, REATA A,P,S,I, # 1488 619-247-2937 ARCADIA 91293 B19 1002223 102 E HUNTINGTON DR 1 ST MOHAMMAD SATERI 818-446-7423 92407 B19 1002223 500 N SANTA ANITA COLORADO BLVD FAISAL SALEH SHARI DBA 818-4~5-0261 93583 B19 1002223 11 'E LIVE OAK AVE SANTA ANITA FAWAZ ELMASRI DBA 818-q46-5659 98913 B14 1001483 1421SO-2ND AVE RALPH W HAUPT ARROYO GRANDE 91156 B19 1002219 251 GRAND AVE US 101 ROBERT BEWLEY DBA 805-489-50~8 ARTESIA 90207 C16 1002235 17509 PIONEER BLVB, RONALD R, WORKMAN DBA 310-860-5616 95619 B26 1002234 16725 PIONEER BLVD 168TH ROBERT W STINSON 310-860-5718 ATASCADERO 93181 B26 1002219 6280 MORRO RD U S 101 MICHAEL W HEILMAN 805-~66-1853 AZUSA 92190 C19 1002238'1195 WEST FOOTHILL YASSER KABAB 818-334-2477 92313 C19 1002238 901E GLADSTONE CITRUS SHAMSADDIN KARIMI DBA 818-915-6485 98633 B19 1002238 101N AZUSA FIRST ST MILAD FARAH DBA 818-334-8515 BAKER 99879 B19 1002251 I 15 AT KELBAKER RD 1-15 CLARK A BRYNER 619-733-4334 BAKERSFIELD ~ 90705 B3q 1002188 9700 ROSEDALE HWY CALLOWAY RAY SUTTON INC 805-589-9011 91152 C16 1002188 920 34TH STREET 0 STREET CHARLES FENLEY 805-323-9071 91536 B34 1002188 2700 OSWELL STREET AUBURN STEVE R THORNE, INC, 805-871-1200 ~5c,9155~ B19 1002188 10 UNION AVENUE BRUNDAGE GLENN HOOVER 805-322-2445 92718 B16 1002188 5101STOCKDALE HWY VILLAGE LANE PHILIP A WELCH DBA 805-832-1818 ~r~93978 B19 1002188 3100 NILES ST OSWELL KENNETH MC COY 805-871-1865 94025 B19 1002188 800 3hTH ST Q ST MOHAMED MANSOUR 805-323-9694 REPORT: DLRClTY SOUTHWEST DIVISION STATION L!ST ~ (DELIVERY CITY ORDER) 06/08/9~ DELIVERY ADDRESS CROSS STREET -, CITY ACCT PRE'ZONE (GULF - IST DEL. ADDRESS) .(GULF - 2ND DEL, ADDRESS) DEALER NAME TELEPHONE BAKERSFIELD 94416 B19 1002188 3699 WILSON ROAD REAL RD SONNY SWAFFAR 805-831-6075 95325 B34 1002188 2525 WHITE LANE EL PORTERO BOB HALEY SERVICE, INC 805-832-9781 '. 98109 B21 1002188 1131 OAK STREET .CALIF ST PHILIP A WELCH DBA 805-324-7621 99615 B19 1002188 3624 CALIFORNIA AVE REAL RD CHARLES SUTTON INC 805-325-1642 ~X-'99702 B34 1002188 5201 OLIVE DR HWY 99 KEESTER INC 805-399-9056 · ~c201238 B34 1002188 8100 E. BRUNBAGE, LANE WEEDPATCH HWY 'THOMAS W SCOTT 805-366-5542 201527 A34 1002188 6601 MING AVENUE A.P.S.I. # 1830 805-831-1270 201921 B50-1002224 660~MING AVENUE LUBE MANAGEMENT CORP BALDWIN PARK 91196 B35 1002236 14477 MERCED AVE PUENTE AVE DAVID KOHANTEB DBA 818-960-9927 91846 B21 1002236 13905 FRANCISQUITO AVE DALEWOOD NELSON W. QUAN #2 818-337-1255 BANNING 90255 B19 1002250 3251 WEST RAMSEY ST. SUNSET AVE .TUAN KHONG 909-849-1456 94886 B34 1002250 290 S. HIGHLAND SPRINGS FIFTH JAMES J. PFEIL DBA 909-769-1866 BARSTOW 92325 B17 1002251 913 BARSTOW RD HWY 15 RONALD D. BARRETT DBA 619-256-9679 93933 A15 1002251 1451 EAST MAIN STREET A.P.S,I, # 1415 619-256-7415 99752 A17 1002251.2890 LENWOOD RD 1-15 A.P.S.I. # 1490 619-253-h076 BEATTY 95854 B19 1002253 HWY 95 AND MCDONALD U S 95 DONALD F DAWSON DBA 702-553-2436 BELL 91686 B34 1002234 5001 E FLORENCE AVE AZAR DOKHT RITA 213-773-8043 BELL GARDENS 202423 C15 1002234 5703 E. GAGE AVE GARY WEBB & SON, INC. 213-773-2673 BELLFLOWER 94031 B26.1002234 10340 E ROSECRANS MCNAB ZABIHULLAH ABDULLAH 310-920-1419 201934 C15 1002234 17106 BELLFLOWER BLVD. O AND M OIL CO. 714-373-0833 BERNALILLO. 75777 B19 1290512 HWY q4 AND US HWY 85 US HWY 85 ROBERT F ATLER DBA 505-867-6260 BEVERLY HILLS 93532 B19 1002225 9378 WILSHIRE BLVD CANON HAROLD W BUTLER DBA 310-275-1153 202286 C15 1002225 391 SOUTH ROBERTSON OLYMPIC BLVD WORLD OIL MARKETING COMP 310-855-9588 BIG BEAR CITY 95464 C15 1002250 101 W BIG BEAR BLVD. HWY 18 MICHAEL GIESLER DBA 909-585-8848 BIG BEAR LAKE 93111 B19 1002250 41895 BIG BEAR BL SUMMIT BLVD JAMES RYAN GESSNER 909-866-3246 BISHOP 90130 B19 1002229 905 N MAIN ST MAINE RICK CASSEL, I1 DBA 619-873-q430 BLOOMINGTON 98646 B19 1002238 18745 VALLEY BLVD CHURCH CHARLES W. O'NEAL, JR DBA 909-877-3492 BLYTHE 91045 B34 1002250 321 S LOVEKIN LOVEKIN WAYNE C CUSICK DBA 619-922-7710 202361 C19 1002250 761 EAST HOBSONWAY W. C. CUSlCK CORP DBA 619-922-2366 BORREGO SPRINGS 90153 C15 1236353 590 PALM CANYON DR BRITISH MOTOR CAR DIST. 619-767-5513 BOULDER CITY 94912 C17 1002253 1004 NEVADA HWY HWY 93/BUCHANAN jOHN SAMUEL SLEDGE 702-293-0819 BRAWLEY 97790 C33 2328876 811 BRAWLEY AVE P 0 BOX 79 DEL NORTE CHEVROLET CO ~-. Chevron Corporation 225 Bush Street San Francisco, CA 94104-4289 · M.R. Klitten April 29, 1994 Vice President. Finance *UST FINANCIAL ASSURANCE To Whom It May Concern: - _ I am the chief financial officer of Chevron Corporation, 225 Bush Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. *A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA RE(~[ILATIONI AMQUNT Closure (§§264.143 and 265.143) $ 1~5.744.232.00 Post-Closure Care (§§264.145 and 265.145) $ 58.800.406.00 Liability Coverage (§§264.147 and 265.147) $ 8.000.000.00 Corrective Action (§264.101(b)) $ -0- Plugging and Abandonment (§144.63) $ 3.097.310.00 California State Program Closure $ 819.000.00 Post-Closure Care $ 1.196.915.00 Liability Coverage $ 56,000;000.00 Corrective Action $ -13- Plugging and AbandOnment $ -0- Page 1 of 4 Louisiana State Program Closure $ 1.250.096.00 Post-Closure Care $ 604.521.Q0 Liability Coverage $ 1.000.000.00 Corrective Action $ -0- Plugging and Abandonment $ 4)- Total $ 286.512.480.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a ~going concernN qualification from an independent auditor on his financial statements for the latest completed fiscal year. Page 2 of 4. ALTERNATIVE li 1. Amount of annual UST aggregate coverage being assured $ 2.000.000.00 by a test, and/or guarantee 2. Amount of corrective action, closure and post-closure care $ 286.512.480.00 costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee 3. Sum of lines 1 and 2 $ 288.512.480.00 4. Total tangible assets $ 34.636.000.000.00 5. Total liabilities : $ 20.739.000.000.00 6. Tangible net worth $13.897.000.'000.00 7. Total assets in the U.S. in excess of $ 20.816.000.000.00 Y¢~ NO 8. Is line 6 at least $10 million? X 9. Is line 6 at least 6 times line 3? X 10. Are least 90% of assets located in the U.S.? If *No*, 'X complete line 11. 11. Is line 7 at least 6 times line 3? X 12. Current assets $. N/A 13. Current liabilities $ N/A 14. Net working capital (subtract line 13 from line 12). $ N/A 15. Is line 14 at least 6 times line 3? $ N/A 16. Current bond rating of most recent bond issues. AA 17. Name of rating service Standard & Poors 18. Dates of maturity of bond April 1, '1998 Page 3 of 4 NO '19. Have financial statements for the htest fiscal year been X filed with the SEC, the Energy Information Administration, or the Rural Electrification AdminisWation? .. ~ I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below. April 29, 1994 M. R. Klitten Vice President, F-inance Page 4 of 4 Ouarantee made this April 29, 1994, by CttEVRON CORPORATION, a business enlity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the 'implementing agencies"), and to any and all third parties, and obligeeS, onbehalf of CHEVRON U.S.A. INC. ('CUSA'), of 575 Market Street, San Francisco, CA. 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified_in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee -- underground storage tanks at various facilities in the states of: Alabama Nevada Alaska New Jersey Arizona New Mexico California Ohio Florida Oregon Georgia Pennsylvania Hawaii South Carolina Idaho Tennessee Kentucky Texas Louisiana Utah Maryland Virginia Mississippi Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency Page 1 of 3 has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage, limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damager the guarantor, upon written instructions from the Director,-shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CIJSA. The guarantee will terminate 120 days from the date of receipt of the notice by CIJSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CIJSA pursuant to 40 CFR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to ClJSA,.such cancellation' to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; Co) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; Page 2 of 3 (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by ~y or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 29, 1994 CHEVRON CORPORATION M. R. Klitten Vice President, Finance By Assistant Secretary Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of' ~c~ ! ;4~ov' "~"'~ County of .5'~, F~-~-.'~ ~ On ~p~;l ~ ~ tqg~ befomme, ~,~ ~-~D~/J, ~y ~l~ . ~E, ~ ~ ~R - E.G., 'J~E ~ ~T~Y pemonally appeared ~~ ~. ~ o~ ck~ , ~E(S) OF SIGNER(S), ~ pemonally known to me - OR - ~ proved to me on the basis of satisfacto~ evidence to be the person(~ whose name(~ is~ subscribed to the within instrument and ac- knowledged to me that he--executed the same in his~ authorized capacity(~, and that by his~r signatum~) on the instrument th~ pemon~, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. .. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT [] INDIVIDUAL .. [] CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT Tm.E(S) [] PARTNER(S) [] LIMITED [] GENERAL [] A~-TORNEY-IN-FACT NUMBER OF PAGES [] TRUSTEE(S) [] GUARDIAN/CONSERVATOR [] OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(lES) SIGNER(S) OTHER THAN NAMED ABOVE ©1993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184 CERTWICATION OF FINANCIAL I~F~. PQN$1BILrrY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the rc. quirements of subpart H of 40 CFR part 280. The financial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $I million per occurrence, $2 million annual aggregate, for the period commencing April 29, 1994, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1995. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases and nonsudden accidental releases or accidental releases. - CHEVRON U.S.A. INC. J. Je !e ' [' ~},SemorC0 nsel . ENV~17g. HAZARDOUS MATERI..ALS DIvISlO'N 2130 G Street, Bakersfield, CA 93301 / (805) 326-3970 :[\" UNDERGROUND TAN J~Qt;IE~iq'iON NAIR F RECEIVED "I. FACILI~/SITE "NO. OF TANKS ~ ~~ ' ~s'd ............ D ~R FACILI~ NAME NAME ~ OP~TOR ~INDIVIDUAL ~ PA~ERSHIP ~ LOCAL AGENCY DIS~ICB ~COUNW AGENCY ~STATE AGENCY ~FEDE~L AGENCY ' '' l WPE OF BUSINE~ ~S $TA~ON ~ 2 DISTRIBUTOR ' KERN COUNW PERM T I I ' EMEEGENCY CONTACT PEESON (PEIMAE~ ' ' DAYS: NAM~ (~ST, FI~ PHONE ~. WffH AE~ CODE EMEE~ENCY cONTACT PEESON (SECONDAR~ optlonQI ~ DAYS: NAME (~ST, FI~ PHONE ~. WITH AR~ CODE ~ NIGHTS: NAM~ST, FIR~ ' ~ PHONE ~. WI~ AR~ CODE ~ NIGHTS: NAME (~ST, FI~ PHONE No. WITH AR~CODE '111. TANKOWNER INFORMATION (MUST BE COMPLETED) MAILING OR 'TEE. ~E~.~ ~ '~ '' ,O INDICATE ' 'O~ ~ INDIVIDUA' ~ LOCAL AGENCY ~ STATE AGENCY ZIP CODE [ PHONE No. WITH AREA CODE OWNER'S DA~E VOLUME PRODUCT IN TANK No. INSTALLED STOKED ~EEVICE YIN YIN ~ ,-= Fill one segmen ut for each tank, unless tanks and piping are constructed of the same materials, Style a] type, then only fill one segment out. please identify tanks by .owner ID #. I. TANK DESCRIPTION COMPLETE ALL ITEMS .- SPECIFY IF UNKNOWN c. OAT INSTALLED<MO,DAY, EAR, -/5--=-,V7--' ' 't D. TANK C ACI IN G LONS: III. TANK CONSTRUg·TION MARK ONE ITEM ONLY IN BOXES A, 8, ANDC, ANDALLTHATAPPL:IESINBOXD [~ ' A. TYPE OF ~ DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL ' [] 4 SECONDARY CONTAINMENT (VAUL'[;ED TANK) [] 99, OTHER B. TANK [] 1 BARESTEEL [] 2 STAINLESS STEEL ~ FIBERGLASSI [] 4 STEELCLAD W/ FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVlNYL CHLORIDE [] 7 ALUMINUM . [] 8 100% M~THANOL CQMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] gg OTHER [] , RUBBER LINED [] 2 AL~D LINING [] 3 EPO~ UN,NO [] C, INTERIOR ~ · · LINING [] 5 GLASS LINING [] '6 UNLINED NKNOWN ' [] 9g oTHER _ IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO~ g. CORRosiO.. []:.' .OLYETHYLENE WRA. [] 2 COAT,NG .:: i~i. E~'~L. WR~ .,~.r--14 ~,BERG~S RE,NFO.CED'~T,C ' PROTECTION [],.,s CATHODIC PROTECTION [] 91 NONE :.,~ [] 95 UNKNOWN ,:: [] 9g OTHER IV. PIPING INFORMATION C.RCLE A IFABOVEa~OUNDOR U IF UNDERGROUND, BOTH IFAPPLICABLE A. SYSTEM TYPE , A .U 1 SUCTION [~,lJ 2 PRESSURE . A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL ~ 2 DOUBLE WALL A IJ 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARESTEEL . A IJ 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A IBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE J~ U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED sTEEL A U 10 CATHODIC PROTECTION A [J 95 UNKNOWN A U .99 OTHER D. 'LEAK DETECTION [~"AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 iNTERSTITIAL MONITORING [] 9g OTHER · V. TANK LEAK DETECTION ~ 6 TANK TESTING . [] 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY'IF UNKNOWN o. DATE INSTALLED MO,DA .EAR, ' D. TANK C C,TY ,N . II1. TANK CONSTRUC~ UARKONEITEUONLYINaOXES&S, ANDC.~DALLTHATAPPLIESlNaOXD A. ~PE OF ~ DOUBLE WALL ~ 3 SINGLE WALL Wl~ E~ERIOR LINER ~ 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL- ' ~ 4 SECONDARY CONTAINMENT (VAUL~DTAN~ ~ 99 O~ER a. m~K ~ 1 BARESTEEL ~ 2 STAINLESS STEEL ~FIBERG~S ~ 4 STEEL C~D W/ FIBERG~ REINFORCED PLASTIC MATERIAL ~ 5 CONCRE~ ~ 6 POLWlNYL CHLORIDE ~ 7 ~UMINUM ~ S 1~ ME~ANOL ~MPATIBLEW~RP (PrimaryTank) ~ 9 BRONX' ~ 10 ~LVANI~D STEEL ~ 95 UNKNOWN ~ 99 O~ER % c. INTERIOR LINING ~ 5 G~SS LINING ~ S UNLINED ~ aS UNKNOWN ~ ~ O~ER IS LINING MATERIAL COMPATIBLE WITH 1~. ME~ANOL ? YES ~0 ' D. CORROSION ~ 1 pOLYETHYLENE WRAP ~ 2 COATING ~ VINYL WR~ ~ 4 FIBERGLAS REINFORCED P~STIC PROTECTION ~ 5 CATHO01C PROTECTION ~ 91 NONE ~ 95 UNKNOWN ~ ~ O~ER IV. PIPING INFORMATION CmCLE A ~FABOVEGBOUNDOR U IFUNDERGROUNO. BO~ IF APPLICABLE 1 SUCTION ~ 2 PRESSURE A U 3 GRAVI~ A U 99 OTHER A. SYSTEM TYPE U 8. CONSTRUCTION A U 1 SINGLE WALL ~A~ 2 ~UBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U m O~ER C. MATERIAL AND .A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYViNYL CHLORIDE (PVC)A ~BERG~S PIPE CORROSION A U 5 ~UMINUM A U 6 CONCRE~ A U .7 STEEL Wl COATING A U ,8 IO~A ME~ANOL COMPATIBLEW/FRP' PROTECTION A U g GALVANt~D STEEL· A U 10 CATHODIC PROTECTION A U g5-UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ AUTOMATIC. LINE LEAK DETECTOR ~ 2 LINE T~HTNESS TESTING ~ 3 ~N~ORINGINTERSTtTIAL ~ 99 O~ER V. TANK, LEAK DETECTION /'" -/' ~AL CHECK ~ 'NVENTORY RECONCILIATION ~ 3 VAPOR MONITORiNG ~4 AUTOMATIc TANK GAUGING ~ 5 GROUNDWATERMoNITORiNG [ '~ ~ANK TESTING ~ 7 'NTERSTITIALMONITORING ~ 9' NO~E ~ g5 UNKNOWN ' I. TANK DESCRIPTION COMPL L ITEMS- SPECIFY IF UNKNOWN I c. °ATE INSTALLED,Mo,DAY,YEAR, ,,,' 5"7- ' 0. TAN, C AC, ,N G LONS: III. TANK CONSTRUCT,,!~)N MARKONEITEM ONLY IN B0xEs A, S. ANO C, AND ALL THAT APPLIEs iN ROx O A. TYPE OF DOUBLE wALL ' [] 3 sINGLE WALL WITH EXTERIOR LI.NER : . r-~. 95 UNKNOWN ' · SYSTEM [] 2 SINGLE WALL ~m-~ 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER' [~FIBERGLASS 4 W/FIBERGLASS REINFORCED PLASTI~ [] .1 i~tARE STEEL [] 2 STAI~LESS STEEL [] STEELCLAD -,B. :TANK' "" MATERIAL [] 5 .CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLEW/FRP (PrimaryTank) '~"-~ 9 BRONT'~ [] 10 GAi. VANIZED STEEL [] 95 UNKNOWN [] 99 OTHER c. .TER OR Fl' 5. L,N'NG ',, 'U.L,NED I T'95 U.KNow" [] OTHER IS LINING MATERIAL. COMPATIBLE 'WITH 100% METHANOL ? YES __lNG__ D. CORROSl0N ?"[-~' .i P~3LYEI'HYLENE WRAP [] 2' COATING "''! -' '. VINYL WRAP [] 4 FIBERGLASS REINFORCED_ PLASTIC PROTECTION, ~' 5~CATHODIC PROTECTION [] 91,' NONE .... '~ ~" '-z~F--~ 95 UNKNOWN [] g9 OTHER ....... - --' IV. PIPING INFORMATION CIRC": A IFABOVE~.UNDOR U IF,UNDERGROUND. BOTH IF APPLICABLE ';"~ ~-' ~?:*~.,fZ - A. SYSTEMTYPE A ,,U._,I. SUCTION (~ 2 P, RESSURE =' .A U 3 GRAVITY A Ii' 99 OTHER ' B. CONSTRUCTION A U I SINGLE WALL ~",/1~ 2, DOUBLE WALL A IJ 3 LINED TRENCH A IJ ~b~WN ,~ IJ 99 OTHER ' C. MATERIAL AND :A .U~ ! BARE STEEL . :~::~A U' 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(P~FIBERGLASS PiPE CORROSION ' 'A U 5 ALUMINUM ' "~'A; IJ 6- CONCRETE ' .~?~: ',.:,~ IJ '7. STEEL WI COATING . A Il 8 100% METHANOL COMPATIBLE W/FRP ,PROTECTION ' A IJ ~,ALVANIZED'STEEL '.A; IJ' lO CATHODIC PROTECTION "'A U 95 UNKNOWN '' 'A' U 99 OTHER 0. LEAK OETECTION [~ AUTOMATIC LINE LEAK DETECTOR ~ 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONEORING [] 99 OTHER V.' TANK LEAK DETECTION ~' TANK TESTING .. [] 7 INTERSTITIAL MONITORING [] 91 NONE . [] 95 UNKNOWN [] 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OVVNE,'STANKI. D.# II1. TANK C0NSTRUCTI~N UAaKON~UONLY~NaOXSSka, ANOC.~DALLTHATAPPU~S~NaOX~ A. ~PEOF . ~DOUBLE WALL ~ 3 SINGLE WA~ WI~ E~ERIOR LINER ~ 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY CONTAINMENT (VAUL~DTAN~ ~ g90~ER B. TANK ~ 1 BARE STEEL ~ 2 STAINLESS STEEL ~aERG~S ~ 4 STEELC~D W/FIBERG~ REINFORCEDP~TIC MATERIAL ~ 5 CONCREm ' ~ 6 POLWiNYL CHLOmDE ~ 7 ~UM~NUa ~ a ~ uE~ANOL ~MPAT~aLEW/FRP (PrimaryTank) ~ 9 BRO.~ ~ 10 ~LVANIZED STEEL ~ 95 UNKNOWN ~ ~ O~ER C. INTERIOR ~ 5 G~SS LINING ~ S UNLINED ~UN~OWN ~ ~ O~ER LINING IS LINING MATERIAL COMPATIBLE WITH 1~ ME~ANOL ? YES~ NOs O. CORROSION ~ 1 ~LYE~YLENE WRAP ~ 2 COATING ~INYL WR~ ~ 4 FIBERGLAS REINFORCED PLASTIC PROTECTION ~ 5 CATHODIC PROTECTION ~ 91 NONE IV. PIPING INFORMA~ C~Rp~ A IFAaOVEGROUNDOR U IF UNOERGROUNO. BO~ mFAPPLICABLE A. SYSTEM TYPE ~ ~1 SUCTION A U 2 PRESSURE A U 3 GRAVI~ A U ~ O~ER B. CONSTRUCTION A U 1 SINGLE WALL ~2 DOUBLE WALL A U 3 LINED TRENCH A ~ 95~,UNK~WN- A U ~ O~ER C. MATERIAL AND A U I 8ARE STEEL A U 2 STAINLESS STEEL A U 3 POLWINYL CHLORIDE (PVC)~IBERG~S P[PE ' ' CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING ~ 10m/~ ME~ANOL COMPATIBLEW/FRP PROTE~ION A U 9 GALVANIZED'STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A ~ 99 OTHER D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR ~LINET~HTNESSTESTING ~ 3 tNTERSTITIAL~N~ORiNG ~ 9g O~ER V, TANK LEAK DETECTION ~ 1 VISUAL CHECK ~ INVENTORY RECONCILIATION ~ 3 VAPOR MONITORING ~ 4 AUTOMATIC TANK GAUGING ~ 5 GROUND WA~R MONITORING ~TANK TESTING ~ 7 'NTERSTITmA'LMONITORING ~ 91 NONE ~ 95 UNKNOWN ~ ~ O~ER HAZARDOUS MATERIALS DIVISION · 2130 G Street, BakerSfield, CA 93301 (805) 326 3970 UNDERGROUND TANK QUESTIONNAIRE I. FACILITY/SITE No. OF TANKS .~L~ JUL 110 EMERGENCY CONTACT PERSON (PRIMAR~ EMERGENCY CONTACT PERSON (SECONDAR~ optionol DAYS: NAME (~ST. Fl~ PHONE ~. WI~H AR~ COOK DAYS: NAME (~ST. FI~ PHONE No, WI~H AR~ CODE ~GH~: NAME (~S~ ~S~ PHONE ~. W~TN AR~ CODE ~ N~GmS: NAM~ (~. F~ ~ONE No. Wire AR~ CODE II. P~OPE~ OWNE~ INFORMATION (MUST BE COMPLETED) MAILING OE STEE~ ADDRESS ~ 8~ ~ INDIWDUAL ~ LOCAl AGENCY ~ STA~E AGENCY CI~ NAME ~ ~ ~--- ' STATE ~ ZiP CODE ~ PHONE ~. WI~H AR~ CODE ill. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE ~F ADDRE~ INFORMATION ~ CI~ NAM~ S~ATE ~ ZIP CODE ~ ~HON~ No, WI~H A~EA COD~ OWNER'S DATE VOLUME PRODUCT IN TANK~No. INSTALLED STORED SERVICE YiN YiN DOYOU HAVE FINANCIAL RESPONSIBILITY? Y(~ TYPE 'Fill one s ut, for. each tank, unless tanks and piping are · constructed of the~Same materialS, style ~type, then only' fill one segment out. please identify tanks by ~owner ID #. I~ TANK DESCRIPTION~ COMPLETE ALL ITEMS -- SPECIFY IF UNKNOwN I A. OWNER'S TANK I.D.# · B. MANUFACTURED BY: ' C. DATE INSTALLED (MO/DAY/YEAR) : D. TANK CAPACITY.IN GALLONS: II1. TANK cONSTRUCTION MARK ONE ITEM oNLy ~N BOXES ~ a.'^NO C. ANO ALL TH^T APPLIES IN BOX 0 A. TYPE OF [] 1' DOUBLE WALL [] 3 SINGL~ WALL WITH EXTERIOR LINER []. 95 UNKNOWN . SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAIt~MENT' (VAULTEDTANIO [] 99 OTHER ,. B. 'TANK [] 1 BARESTEEL [] 2 STAINLESS STEEL. ' [] 3 FIBERGLASS [] 4 STEELCLAD. W/ FIBERGLASS REINFORCED pLASTIC · MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMpATIBLEWlFRP (Primary Tank) [] 9 BRONZE' [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER ' "~ [] ~ RUBBER L,NED'[] 2 AL~O UN,NG [] 3 EPOX~ L,N,NG [] 4 PHENOL": L,N,NG ~ C. ~NTE'R~OR LINING [] s GLASS LINING [] S UNI~INED [] ~S UNKNOWN .[] 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES' NO__ O. CORROSION []:1 I~)LYETHYLENE WRAP [] 2 COATING ,.' "~:'ii ?-1 3 VINYL WRAP :;?,E~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION E~]: 5 CATHODIC .PROTECTION-[] 91 NONE, ,~ ':¢,,,, [] 95 uNKNoWN .:: [] 99 OTHER IV. PIPING INFORMATION C, RCLE A IF ABOVE GROUND OR 'U IF UNDERGROUND. BOTH IF APPLICABLE "~· A. SYSTEM TYPE A u I SUCTION _ A U 2 PRESSURE . . ,A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U I SINGLE WALL A tJ 2 DOUBLE WALL A U 3 LINED'TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL 'A II 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A IJ 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A ~1 7 STEEL Wl COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION, A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN' A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TtGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] 1 .VISUAL cHEcK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] 6 TA~JK TEST]NG [] 7 'NTERSTITIALMONITORING [] 91 NONE [] 95 UNKNOWN [] ,g OTHER · . I. TANK DESCRIPTION COMP{_ETE ALL ITEMS -- SPEClF¥~F UNKNOWN A. OWNER'S TANK L D. # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) / D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, ANDc, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] 1 DOUBLE WALL , [] 3.SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B, TANK [] "f BARE STEEL [] '2 sTAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD 'W/ FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVIN;YL CHLORIDE. [] 7 ALUMINUM [] 8 100% METHANOL' COMPATIBLE WIFRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER - 'F71 . RUBBER L,NED [] 2 AL~D L,N,NG [] 3 EPOX~ L,N~NG [] 4 PHE.OL~ L,.,NG C. INTERIOR LINING .[] 5 GLASS LINING [] 6 UNLINED 'E~ 95 UNKNOWN [] 99 OTHEn IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ D. CORROSION' [] 1 POLYETHYLENE WRAP [] '2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASs REINFORCED PLASTIC PROTECTION [] 5 cATHoDIC PROTECTION [] 91 NONE [] 95 UNKNOWN [] 99 OTHER IV. PIPING NFORMATION CIRCLE A ~FABOVEGROUNDOR U ~FUNDERGROUNO. BOTH~F^PPUCABLE A. SYSTEMTYPE A U 1 SUCTION A U 2.PRESSURE- A U 3 GRAVITY A U 99 OTHER B.~ CONSTRUCTION A U 1 SINGLE WALL * A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER' C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION · A IJ' 9 GALVANIZED STEEL A IJ 10 CATHODIC PROTECTION A U 95 UNKNOWN 'A U 99 OTHER D. 'LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIALMoNiTORING [] 99 OTHER V. TANK LEAK DETECTION !~-~_~ 1 VISUAL CHECK [] 2 NVEI~TORY RECONCILATION [~ 3 VAPOR MONITORING [] .4. AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORIf~G "i"..]] 6 TANK TESTING []' 7 ,NTERSTITIALMONITORING [] 91 NONE , [] 95 ~JNKNOWN '. '1. ~ANK DESCRIPTION (~OMPL L ITEM; -- SPECIFY IF UNKNOWN A. OWNER'S .TANK'I.'D.# . B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACI'P~ IN GALLONS: ' III.' TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A, TYPE OF [] 1 DOUBLE WALL [] 3. SINGLE WALL WITH EXTERIOR LINER ' [] 95' UNKNOWN ·: SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER .~S~ TANK [---I .1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS -' [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5' CONCRETE ' ~'---~' 6 POLYVINYL CHLORIDE [] 7 ALUMINUM ~ [] 8 100% METHANOL COMPATIBLE W/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] '99 OTHER " ' ' ['---~'.';I' R~BB~R LINED i'"'"'~'E~ '2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING - ": C. INTERIOR [~]5, GLASS LINING [] e UNLINED [] ~, UNKNOWN [] 99 OTHER UNING _ -:.~. *. IS LINING MATERIAL COMPATIBLE WITH, 100% METHANOL ? YES ~ NO__ D. CORROSION "~-' [] 1 POLYETHYLENE WRAP [] 2 COATING ,~ [] 3 VINYL WRAP [] 4 FIBERGLASS, RE!NFORCED. PLASTIC PROTECTION [] 5,,CATHODIC PROTECTION [], 91~,NONE .+~;~ ~:~; ;;~.[-'~ 95 UNKNOWN [] 99 OTHER · IV. PIPING INFORMATION C~RCLE ~, IF ABOVE GROUNO OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A::,U I SUCTION A 'U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION . A. U 1 SINGLE WALL. .:~ A IJ 2 DOUBLE WALL .A U 3 LINED TRENCH A U 95 UNKNOWN .. A U 99 OTHER" ~ ': C. MATERIAL AND A,:U i BARE STEEL -...."',~;;'A.. U 2 'STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE '" CORROSION "A U. 5 ALUMINUM ' ;'~,A. U, 6', CONCRETE .~-,~ "A U' 7: STEEL WI COATING · A U 8 100% METHANOL COMPATIBLEW/FRP ~ PROTECTION A U 9 GALVANIZED'STEEL A U- 10 GATHODICPROTECTION ~':A U 95 UNKNOWN" '"A U 99 .OTHER ':~. ~ ';~ ' ~' D. LEAK DETECTION E~ 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] 1 VISUAL CHECK ' [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING' [] 6 TANK TESTING ,[] , INTERSTITIAL MONITORING [] '1 NONE ',... [] 95 UNKNOWN [] 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN I A, OWNER'S TANK I, D.# B; MANUFACTURED BY: C. DATE iNSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANO ALL THAT APPLIES IN BOX D A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] I BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINML CHLORIDE [] 7 ALUMINUM . [] 8 100"/o METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE· [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER C. INTERIOR [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING UNING [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER IS LINING MATERIAL CoMpATIBLE WITH 100% METHANOL? YES__ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE' [] 95 UNKNOWN [] 99 OTHER IV, PIPING INFORMATION C~RCL~ A IFABOVEGROUNDoR U IF UNDERGROUND, BOTH IFAPPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U i BARE STEEL ALI 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A tJ 4 FIBERGLASS PIPE COR,ROSlON A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING. A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [~ I AUTOMATIC LINE LEAK DETECTOR r~ 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL · MONITORING [~ 99 OTHER V. TANK LEAK DETECTION · [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING F-~ ~ TANK-TESTING [] ~ INTERSTITIAL MON,TORING [] ~, NONE [] ~ UNKNOWN [] 0~ OTHER ~,~ KE COUNTY AIR POLLUTION CON DISTRICT · . 2700 "M" Street, Suite 275 · ' Bakersfield,'CA. 93301 · i (805) 861-3682 i ' PHASE II VAPOR RECOVERY INSPECTION FORM i Station Location ~?~'~.,~.~.~;~r.~,-' ,_'~'~_-~,.~--~ ~/~/~ ~~ P/O ~ ~~--~ ...... Company Addre~.~_. ~~~ City Zip · ~ntact ~x 1~ ~~. Phone '~,,~ ~~ System Type: ~ ~ HI ~ GH HA . . Ins~ctoT~~-- -- ~ Date ~--~' "Notice R~c'd By ~~' . . NO~LETYPE ~g~ F~ ~ ~ ~ ~,~ ~ ~ ~_ .. N O 3. FACE S~L --- Z 4., RING, RIVET 7. FLOW LIMITER (EW) 1. HOSE CONDITION V A 2. ~NGTH P .. ~ O 3.. CONFIGURATION R 4. SWIVEL H O 5. OVERHEAD RETRACTOR S E 6. POWER/PILOT ON 7. SIGNS POSTED Key to system types: ¢ Key to deficiencies: NC= not certified, B= broken BA=Balance HE =Healey M= missing, ' TO= torn, F= flat, TN= tangled RJ =Red Jacket GH=Gulf Hasselmann AD= needs adjustment, L= long, LO= loose, HI =Hirt. MA =Hasstech S= short MA= misaligned, ~= kinked, FR= frayed. .. ** INSPECTION RESULTS ** Key to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged out-of-order until repaired) U= Taggable violation but left in use. COMMENTS: VIOLATIONS: SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1; THE CALIFORNIA HEALTH &.SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION. NOTE: CALIFORNIA HEA~;~3-1 & SAFETY CODE SECTION 41960.2, REQUIRES THAT .THE ABOVE LISTED 7-DAY.DEFICIENCIES BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION · ~;'- KERN COUNTY AIR POLLUTION CONTROL DISTRICT .... .. " 2700"M" Street, Suite 275 ~ . Bakersfield, CA. 93301 ,- (805) 861-3682 '- .................. PHASE I VAPOR RECOVERY INSPECTION FORM ':. TANK #1 TANJ~ #2 TANI~-#3 TANK #4 1. PRODUCT (UL, PUL, 'P, or R). --~" 2. TANK LOCATION REFERENCE -'~" ,~ ~ ...: 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. FILL CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT PROPERLY SEATED 8. GASKET MISSING FROM FILL CAP ~ ~" 9. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING / IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15. COAXIAL FILL'TUBE SPRING MECHANISM DEFECTIVE 17. TUBE LENGTH MEASUREMENT ,/~7~,?/'/ .//_.¢' ~ ~" 18. DIFFERENCE (SHOULD BE 6" OR LESS) //// /' // ::~// 19.. OTHER 20. COMMENTS: WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209,.412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,0OO.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- ~ TION OF THE VIOLATION(S) -~:-- . ~NV'IRONMENTAL HEALTH .SERVICES DEPARTMENT ~ 2~00 "M~' STREET, SUITE 300. BAKERSFIELD. CA.93301 '~ ~ " (805)861-3636 ':-,, ....... UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY ~ INSPECTION REPORT PERRI~,~800~3~- TIME IN /2~.:_....~ ..... TI~E,. OUT ...............:-'i"~SPECTION" NUMBER OF TANKS: 4 TYPE OF INSPECTION: '-'"~65'f'iNE.._~]']__~]]~]'~INSPECTiON .................. COMPLAIN~.....] FACILITY NAME:SUTTON'S CHEVRON '. ' - FACIL!T'¢ ADDRSSS:3624 CALIFORNIA AVENUE ........................................................... OWNERS NAME:CHEVRON U.S.A.~ INC. ' ' ' OPERATORS NAME:CHARLE~ L. GUT.ON COMMENTS: ,,, i TEM V I O LA'T~ ONS/OBSERVAT IONS PRIMARY CONTAINMENT MONITORING: a. Intercepting an-directing system ~ Standard t~ventory Control In-t~nk Level Sensing Device e. Groundwater Monitoring f. Vadose Zone Monit~ring · ~ ~ECONDARY CONTAINMENT qONiTORING: .inen ~ Doubie-Nai!ed tank' c. ~ Vault ~. Suction c. Gravity ~EN CONST~UCT!ON/~ODIFICATIONS~ _.- CLOSURE/ASANDCNMENT ~. " .UNAUTHORIZED REL=ASE ~' ~rur:~'~O= GENERAL SAFETY, AND 0PERATiNG CONDIT~0N 0F FACILITY cOMMENT~./RECOMMEN OAT i ONS ........................................................................................ ~i .................................................................................................................. .1~OO Flower Street KrfRN COUNTY HEALTH DEPARTMEN'~ ............. ' . ". DIRE~R OF EN~RONMENTAL H~L~ ~. :.,, ;..~:.~:~ u~~OUNO z Nc~s' NOTE: ALG :INTER~ REqUIREmENTS ESTABLISHED BY THE PE~TTING ..' AUTHORITY MUST BE MET DURING THE TE~ OF THIS PE~IT .?.:~t:¥Ji<,'~:.!:-":...." NON__TRANSFERABLE * ' ' pOST ON PREMISES DATE PERMIT MAIL~: DATE PEPdlIT CHECK LIST RETURNED: PERMIT CHECKLIST ./ " Faclll~y · .,; J ~.~ , , ., Permit # ' ~ ~ - ( /' . , .{ " This checklist is .provided to ensure that all necessary' packet enclosures were received and that the Permtttee has obtained all necessary equipment to implement the first phase of .... monitoring requirements. Please complete this' form and return to KCHD in the self-addressed envelope provided within 80 days.of receipt.' Check: Ye..~.~q A. The packet I received contained: 1).Cover Letter, Permit Checklist, Interim Permit, Phase' I Interim Permit Monitoring Requirements, Information. sheet (Agreement Between Owner and · t Operator), Chapter 15 ~(KCOC #0-3941); Explanation of' Substance Codes, : ,' EquiPment Lists and Return Envelope.· ~ 2) Standard Inventory Control Monitoring Handbook #UT-IO~ with the following forms: a) "Inventory Recording Sheet" ' ~b) "Inventory Reconciliation Sheet with smmary on reverse" c) "Trend Analysis Morksheet" ' 3) Modified Inventory 'Control Monitoring Handbook #UT-15, with form: "Quarterly Modified Inventory Control Sheet" with "Quarterly / Summary on reverse" ..__/ 4) ~n Action Chart for each ·inventory method (to post at facility) / · B. I have examined the information on my Interim Permit, Phase I Monitoring Requirements, and Information Sheet (Agreement between Owner and Operator), and find owner's name and address, facility na~e 'and address,.operator's name and address, substance codes, and number of tanks· to be accurately listed (If "no" Is checked, note appropriate corrections on the back side of this sheet). C. I have the following required equipment (as,described in Handbooks under "Before Starting") · "t/// 1) Acceptable gauging Instrument 2) "Striker plate(s)" In tank(s) : 3) Water-finding paste D. I .have read the information on the enclosed "Information Sheet" pertaining to Agreements between Owner and Operator and hereby state that the owner of this facility is the operator (if "no" is checked, attach a copy of agreement between " owner and operator). E. I have enClosed a copy of Calibration Charts for all tanks at this facility (if tanks are Identical. one ch~rt will suffice; label chart(s) with corresponding tank numbers listed on permit). F. As required on page 6 of Handbook #UT-lO, all meters at thls facility have had calibration,checks within the last 30 days and were calibrated by a registered device repairman l~f out of. tolerance (all meter calibrations must be recorded on ../ "Meter Calibration check Form" found In the Appendix of Handbook). ' .' G. Standard Inventory Control Monitoring (Handbook 'tUT-lO) and Modified Inventory / Control Monitoring (Handbook #UT-15) were started at this facility in accordance with requlrement's described. On interim permtt'~ondtttsns. /? ·Date Started ~~ $1Enature of Person Complettng~hec~..ll~t:~~ Title: Date: PHASE I --. 'INTERIM PERMIT MONITORING REQUIREMENTS PERMIT #1800130 FACILITY: .. FACILITY NAME: SUTTON'S CHEVRON · FACILITY ADDRESS: 3624 CALIFORNIA AVENUE OWNER: CHEVRON U.S.A.~ INC. ~ OPERATOR: CHARLES L. SUTTON THE FOLLOWING ONGOING UNDERGROUND TANK MONITORING AND REPORTING REQUIRE- MENTs APPLY TO THE FACILITY DESCRIBED ABOVE. THE FIRST THREE ITEMS MUST BE IMPLEMENTED WITHIN 30 DAYS. PERMIT REQUIREMENTS: 1) SUBMIT COMPLETED PERMIT cHECK-LIST TO PERMITTING AUTHORITY. 2) POST INTERIM PERMIT IN A CONSPICUOUS PLACE AT THE FACILITY. 3) PERFORM STANDARD-INVENTORY CONTROL MONITORING As'DESCRIBED IN KERN COUNTY HEALTH DEPARTMENT HANDBOOK #UT-10 ON TANK(S).# /~,3 PERFO~4 MODIFIED, INVENTORY CONTROL MONITORING AS DESCRIBED IN KERN COUNTY HEALTH DEPARTMENT HANDBOOK %UT-15 ON TANK(S)'# ~ 4) MAINTAIN ALL MONITORING RECORDS AT THE FACILITY FoR A MINIMUM OF 3 YEARS. 5) THIS FACILITY SHALL NOT 'BE MODIFIED, CLOSED, OR ABANDONED WITHOUT FIRST OBTAINING AN AMENDED PERMIT FROM THE PERMITTING AUTHORITY. 6) ALL UNAUTHORIZED RELEASES oR REPORTABLE VARIATIONS SHALL BE REPORTED 'IN ACCORDANCE WITH REQUIREMENTS DESCRIBED ON PAGE 16 OF HANDBOOK ~.~#UT-10, AND PAGE 10 OF HANDBOOK #UT-15.' 7) COMPLETE AN ANNUAL REPORT ON THE FORM PROVIDED BY THE REPORTING AUTHORITY. 8) THE TERM OF THE INTERIM PERMIT IS AS NOTED. PERMIT FEES WILL BE'PAID ON AN ANNUAL BASIS. 9) THE INTERIM PERMIT TO OPERATE IS NOT TRANSFERABLEi ANY CHANGE IN OWNEF OR.OPERATORMUST BE REPORTED TO THE PERMITTING AUTHORITY WITHIN 30 DAYS 10) THESE PERMIT REQUIREMENTS ARE TO BE IN EFFECT UNTIL SUPERSEDED OR AUGMENTED BY PHASE II MONITORING REQUIREMENTS. Normally, permits are sen't to facility Owners but since many 'Owners live outside Kern County, they may choose to have the permits sent to the Operators of the facility-where they are to be posted. Please fill in Permit S and check one of the following 'before returning this form with payment: Yor PERMXT # ' l~ O~ {~ ~ 1. Send all ~o Owner at ~he address InformatiOn listed on invoice (i~ Owner is di~erent ~han Operator, i~ will be Owner's responsibility to provide Operator with pertinent information). 2. Send all information to Owner ~at the following corrected address: 3. Send all information to Operator: Name: Address: (Operator can make copy of permit for 'Owner). Bakersfi<id. CA . Applicatlun For Permit Tu Operate Underground Apphcation Date. ' (~5} 8~1-~636 ' .. H~ard~ Mater,al, Stor~e F~ili~ Ty~e o~ Auphcdilul~ (check): New Facility Construction .......... ~.Modification of Ex~m~ Facility .. Exi~tin9 Facility ........ ~ransfer of Ownership__ ' A Emergency 24-HoUr Contact & Telephone Numar.' · ~.~ ~.. _C~ ~_. .~3 ............. ......... . .... ~.~.~ ~ ~.~ .... .. ... Tel ephone e. Water to Facility Provided.By }~?~'~:: ?- :.L:? :"'-: ':-' '" - ': Depth to Groundwater.__ ~il CNarac~eristic~ at Facility B~is for ~ii Ty~ and Groundwater Depth De'terminations._ "-..:'. Proposed Starting Date ' ~ ...... ~2 Proposed Completio~ate.~Z: '~. Briefly De.ribe Modifications .roposed_/~~~.~ .~:_~ ~ ;~7 ._,~.._._z~._f_/~~ ~_~ E. 1) Prima~ Containment: Tank Date Capacity MFR/ : Type Coatings Mat'l Prev. Ma~'l . No. Installed Thickness. (Gals) Model (FRP, Eec) Int/Ext Stored Stored 2), Secondary Containment :, Tank . Cap~ity No. Material Thickness (Gals) Construction Details 3) Cathodic Protectfon Y N Describe ........... 4) Piping: Pressure~ -- Gravity ..... Mat'l Secondary Containment Y N Describe 5) Overfill Warning Device Y N Describe..,~'f..~ ' , 6) L_e.~k Intercep~t,ng and Dir~tin.~Syste.m Deta,I, (mo,or vehicle fuel, only) ...7~-.-../4~.?_._/~__~ - ~. ~ ~ ............ --'- . ............ -. 7) Desc~,t)c Leak Detection and Mollitoring For: T,.~ (~) ' TYPE OF INSTALLATION ( ) 1. In-Tank Level Sensor (~ 2. Leak Detector ( ) 3. Fi11 Box CONTACT PERSON 1. IN TANK LEVEL SENSORS Number of Tanks_- List By Tank ID Name of System, Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS Number of Tanks ~ List By Tank ID ~. ~W~ ~'~ ~ .'~-~ ' Name of System Manufacturer Contractor~Installer 3. FILL BOXES N~ber of Tanks Lis~ By Tank ID Name of System Manufacturer & Model Number Contractor/Installer OWNER/OPERATOR ~ - -- I - DATE FACILIT' AME: .............................................................................. PERMIT ~ .......................................... :. ................................ NUMB£R O'F TANKS AT THE SITE: ............................. ~NV. $~N$1TZVI~¥ ........ EMERGENCY CONTACT PERSON(PRIMARY): NAME: PHONE NUMBER: EMERGENCY CONTACT PERSON(SECONDARY): · PHONE NUMBER: TANK OHNER INFORMATION: · 'NAME: ADDRESS: PHONE NO.: TANK CONTENTS: I TANK ~ MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS --- L ---- I TANK CONSTRUCTION: [ TANK ~ 'TYPE(dw, sw, sec.con=.) MATERIAL INT. LINING CORROSION DROT. LEAK DETECTION: TANKS: VISUAL GROUNDWATER MONITORING WELLS VADOSE ZONE MON'~TOR-------ING WELL'S"-- U-TUBES WITH LINERS U-TUBES WITHOUT LINERS VAPOR DETECTOR LIQUID SENSORS CONDUCTIVITY SENSORS 'PRESSURE SENSORS I---~' ANNULAR SPACE LIouID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING'WELLS, OR ANNULAR NONE UNKNOWN OTHER FORMATION PIPING IN : · SYST EDt~E I CONSTRUCTION I MATERIAL TAN K ~ ~ Di~ (SUC~ · (SN, DH, LINE . -.--..--..-- I LEAK DETECTION: PIP .......... . ..... FLOH RESTRICTING LEAK 'DETECTORS FOR PRESSURIZE PIPING MONITORING SUMP WITH RACEWAY .. S~',~'~'~'~'"-~'~iI~C'RETE RACEWAY ...................... HALFCU'T COMPATIBLE PIPE RACEWAY -L~_~---:¢, , '~,,]F~ o~:,-J~y NONE IJNKI"~O',4N Chevron ' Chevron U.S:A. Inc. ' 2410 Camino Ramon, San Ramon, California · phone (415) 842..9500 Mail Address: P.O. 8ox 5004, San Ramon, ~ 94583-0804 September 8, Marketing Operations. D. Moiler Manager, Operations ~ea Manager, Operatioo~ .~~ /KernC~nty~ ' ~ ~ Dept. of p~blic He~ RZ Installation of,Annular Space Monitors .~~~. . Chevron Stations: ~98109 - 1131 Oak Street, Bakersfield ~ ~99615 3624 California St., BakersfielS_f~'O/~ ~98616 Hwy. 1-5 ahd Grapevine turn o~G Dear Mr. Harrison: Chevron U.S.A. Inc. is retrofitting all sites with previously installed double wall tank~ and secondarily contained piping trenches (where installed) with continuous interstitial monitors to replace monthly visual monitoring. Chevron proposes to use API/Ronan monitors. The control panel will be mounted in the station building and is equipped with an audible and visual alarm. Enclosed is a brochure for your reference. If you would like to discuss the system in more detail, please contact the API/Ronan Representative, Bill Bunch at (408) 244-6739. In the event of an alarm, 'our dealer will notify Chevron Central Maintenance Dispatch in San Ramon, California, for immediate investigation and corrective action. If this proposal does not meet you requirements, please contact us promptly. Otherwise, we will proceed with installation. If you have any questions or comments, please contact Cynthia Lambing-Ortega (415) 842-8667 or John Randall at (415) 842-9625. Very truly yours, C. G. Trimbach CLO/j t:Z! -216 Enclosures Chevron I~ Chevron U.S.A. Inc. 2410:gaming Ramon, San Ramon, California · Phone (415) 842:9500 Mail Address: P.O. Box 5004, San Ramon, CA 94583-0804 September 8, 1989 / Marketing Ope[ations O. Moiler Manager, Operations ~'e~'MaPana~eerrS' %npera'i°nsC-. ~:-~.imbaChManager,~K.,~$ilT~F_ / Mr. Forre~t~.affison ~ · ( Kern County'~. ' X, Dept.. of p, ttblic He~k.,_ Rd Installation of Annular Space Monitors Chevron Stations: ' #98109 - 1131 Oak Street, Bakersfield /~'~)Z~/~---. - *~99615 3624 California St., Bakersfield~O/~_j · #98616 - Hwy. I-5 and Grapevine turn off, Lebec ~aO ~)O J~ff__~, Dear Mr. Harrison: Chevron U.S.A. Inc. is retrofitting all sites with previously installed double wall tanks and secondarily contained piping trenches (where installed) with continuous interstitial monitors to replace monthly visual monitoring. Chevron proposes to use API/Ronan monitors. The control panel will be'mounted in the station building and is e~tuippe'd wi'th an audible and visual alarm. Enclosed is a brochure for your reference. If you would like to discuss the system in more detail, please contact the API/Ronan Representative, Bill Bunch at (408) 244-6739.. In the event of an alarm, our dealer will notify Chevron Central Maintenance Dispatch in San Ramon, California, for immediate investigation and corrective action. tf this proposal does not meet you requirements, please contact us promptly. Otherwise. we will proceed ~vith installation. If you have any questions or comments, please contact Cynthia Lambing-Ortega (415) 842~8667 or John Randall at (415) 842-9625. Very truly yours. C. G. Trimbach ' Joh~Randall, Engineer CLO/j t:Z 1-216 Enclosures · . Chevron ~ Chevron U.S.A. lrlc. //~.~ ~ · 2 Annabel Lane, Suite 200, San Ramon, CA 94583 · Phone (415) 838-5000 Marketing OperaTions ]~ate . 3 - ~//~ ~'~ D. Moiler Oivision Manager, Operations S. L. Patterson Area Manager, Operations C. G. Trimbach Manager, Engineering Re: Annual Precision Tank and Line Test Results ! Enclosed are the required annual precL1ion t~nk and line test results [or the following Chevron owned service stations with~ your The above list may not be a complete list of ChevrOn owned sites within your city/county. Results' for those not listed will be forthcoming. If you have any questions~ please call Butt Paulson at (#15) g3g-~281, Very truly yours~ CHEVRON U.$,A, INC. B.R. Paulson BRP/mlc:XKS-129 Enclosure March 26, 1987 Chevron U.S.A. 2 Annabel lane, Suite 200 San Ramon, CA 94583 Attn: Bob Stoltz RE: Petro-Tite Tank Test Dear Bob: On February 19, 1987, we performed a Petro-Tite Tank Test at SS# 9615 - 3624 California, .Bakersfield,. California. The test w&s performed by Don Troxell,, E.P.E. Technician. The NFPA cOde 329.02 criteria for a tight tank system is a tolerance of .050 gallons per hour. Because of the almost infinite variables involved, this is not intended to be a mathematical tolerance and is not the permission of actual leakage. PRECISION TANK TEST Tank 4 Size - 1,000 gallons Product - Waste Oil The test showed a positive .014 gallons per, hour. Based on t'he above criteria', we find the t'nk system tested mathematically tight. This concludes our test and fin.dings on February 19, 1987.. If you have any questions regarding the results, please contact me. An extra copy has been included for you to notify your local County Health Department, Environmental Health. If you have any questions on What your next step should be, pleas~e contact your local Health Department immediately. Sincerely., / Don Troxell Certified Tank Testing Technici, I DT/bm N Encl. C OPERATOR ' '' 2. RE~SON FOR Regulations governing under ground :sto~age of TES~ substances~ subchaptet 16 of chapte~ (l.~.,.~u,~l Ca]Jforn[a Administration code. 4. WHO REOUESTED Ma~k Ne]son Fno'Jneer Chevron U.g.A. I~/2fl/AA ' T'EST AND WHEN "~*'Annabel Lane,Suite ~0 San Ramon, 5. WHO IS PAYING Chevron U.S'.A-. Mark Nelson Engineer, FOR THIS TEST? ~A'n~'A%%']~"["~ne SuJte , 5~h Ramon '""', '0""" B o b S t o 1 t z cm 6. YANK(S)INVOLVED -~ ....... , ,/~[ C /' .'~'-'Q= ~' , 7. INSTALLATION ~'~ ~' ~ ..... f< ~'~ ~z DATA ~ .... : _. ~';' ~ i ) ~ 8: UNDERGROUND Tan~ ~ ~ ~l~d' hr. Date ~a~d by 9. FILL-UP ~.~ ~Ec~NI~. 11. OTHER ~":~ '~ INFOnMATION O~ REMARKS during ~lt etC. 12. TEST RESULTS i. ~J~ ~ ~ ~,t ~ ~. ~u,... ~8 ~, ,.:~ ~,: ?4 ~ , (_2 ;c_.~, //- Z ~-r,~..", ,..,'~ '"~ ........... " }4. _,~....., ~ 15. TANK TO TEST 16. CAPAQTY 17. FILL-UP FOg TE~T ~" ~P.L ~ 0 ~ ~-- -~ ~P.L 18. SPE~ CONDITIONS ~O PRO~DU~ TO TEST THIS T~K V~R ~RY SYSTEM 21. TEMPE~TUREIVOLU~ F~0R (al T0 TE~T THI~ T~K 19. TANK M~SUREMENTS FOR mT~r3 ~?IJ~*F ~mT~'F e~4'*L ~ ................ ~ t3__,, 22. ~~m~. ': - 26. ~ NY~TA~ 31. i 35. ~ 7~ T~' 27. 28. 29. ~ 32. I'"" i i,.,s~ .,.. ,:,-....... .... . ..,.....~t , _ , , 1~ ~ ',' r' - ~- ~ .... I ':-~/~-'. T~ { ~ (FILL ~T SEP~TE ~ FO~ ~ T~K) ' ~R ~ SE~I~i ~ECK ~{-{- SPROPRIATE ~XES H. 1. Tank is: ~Vault~ ~Vault~ ~uble-Wall ~Sigl~all 2. ~ ~terial Car~n Stol ~S~inless Steel ~l~inyl ~oride ~Fi~rglass~l~ S~I Fi~rglass-Reinforc~ PlaStic ~ Co.fete ~ ~in~ O~e~ (de~ri~) . 3. Priory Contai~nt ~te Ins~ll~ ~ic~ess (Inches) ~city (~11o~) ~ufacturer 4. ~ank Secondary Conta, i~n~ ~l~all ~~etic Liner ~Li~ Vault ~ne ~o~ ~ Other (de~ri~): ~ufact~er ~terial ~ic~ess (Inc~s) ~city (~ls.) 5. Tank Interior Lini~ ~~r ~Mk~ ~Xy ~me~lic ~Glass ~Clay ~li~ ~o~ ~t (de~ri~); 6. Tank Corrosion Protection ~Galvani~ ~a~-Cl~ ~l~yle~ ~ap ~Vinyl ~Tar or ~lt ~~ ~~ ~~ (de~ri~) ea~ic Proration: ~ ~es~ ~rent ~ :~criflcial ~ri~ S~t~ ~ ~ui~: 7. Leak ~t~tion, ~nitori~, a~ Interce~tion a. Ta~: ~Vis~l (vault~~ o~y) ~Gro~ter ~nitori~' ~11(~) ~V~ose Z~e ~itori~ ~ll(s) ~~ Wi~ut ~ner U-~ wi~ C~tible Liar Dlr~ti~ Flow ~ ~nitori~ ~ll(s)~ VaSt ~t~tor~ ~ ~id ~el ~r~ ~ C~tivit~ ~ Pre.ute ~r in ~ular S~ of ~uble ~11 Ta~ Liquid ~tri~al & Ins~ction Fr~ U-T~,~nitori~ ~11 or ~ily ~i~ & I~entory Re~nciliation ~ ~ri~ic Tigh~e~ T~ti~ None ~ ~~ ~ b. Pipit: Fl~Restricti~ ~ak ~t~tor(s) for Pre~uri~ ~nitori~ ~p ~ ~ce~y ~al~ ~rete ~lf~t Cm~tible Pi~ ~y ~~tic Li~ *~ri~ ~ ~ ~el: 8. ~en Tigh~ss ~st~? ~Yes ~ ~esul~f Test ~e ~sti~ ~ny 9. Tank ~ · ~~ir~? ~Yes ~ ~o~ ~(s) of ~ir(s) ~ri~ Re. irs 10. ~erfill Pro~ction ~rator FillS, C~trols, & Vis~lly ~nitors ~vel ~Ta~ F~t ~e ~Fl~t Vent Valv~ .~ Auto Shut- Off Controls ci~e ~r ~al~ Fill ~x ~ ~o~ O~r: , List ~ & ~el F~ ~e ~ic~ a. Underground Pipin~: ~ ~Yes ONo OUnknown ~terial ,~_/__ Thickness (inches) Diameter Manufacturer [-]Pressure .~Suctzon-~'~--~Gravity ApprOximate Ler~th of Pipe ~ b. Under, round Pipirg Corrosion Protection : J~Galvanized. ~]Fiber~lass-Clad ~Impressed Current ~SacrificialAsphaAn°delt [:]Polyethylene Wrap [~Electrica! Isolation ~]Vin¥1 Wrap [-]Tar or [']Unknown ~TNone ~Other (describe): c. Underground Pipirg, Secondary Contai~nent.-' ~]Double-Wall r~S~nthetic Liner System [~None ~]Unknown [~Other (describe): Kern cOUnty Health PeparU~e~.._ '~emi~. 1700'Flo~r Street, BakerSfield, ~ 93305 ~ of A~lication (ch~k): ~ of 8~iness (c~ck)~ ~line S~tion ~er (de~rl~) Is T~k(s) ~cat~ on ~ ~ricultUral Fa~? ~Y~ Is ~nk(s) Us~ ~rily for ~ricultural ~r~ses? ~Yes ~rker's Cm~tim C~~ E. ~(s) S~re (~eck all ~C a~ly): ~ offerer NA · Pr~t~ ~er N~ i~rglass-Reinforc~ Plastic' ~er (de~ri~)' 3. Pri~r~ Contai~nt. ~te Ins~ll~ ~ic~ess (Inches) ~city (~11o~) ~nufacturer 4..Tank Secondar~ ~o~tai~nt ~Other (de~ri~): ~ufact~er: ~terial ~ic~ess (lnc~s) ~city (~ls.) 5. Tank Interior Lini~ 6. Ta~ Corrosion Protection 7. Leak ~tection, ~nitori~, a~ Interception a, Ta~: ~Vis~l (vault~ ~ o~y) ~Gro~ter ~nitori~' ~ll(s) ~V~ose Z~e ~itori~ ~ll(s) ~Pre,ute ~r In ~ular S~ of ~ble ~11 None ~o~ ~er Tigh~ss ~st~7 ~Yes ~te of ~ Tigh~e~ Test ~esul~ of Test ~e ~sti~ g. Tank ~e~ir ~(s) of ~ir(s) 10. ~erfill Pro~ction ~ator Fills, C~trols, & Vis~lly ~nitors ~Ta~ F~t ~e ~Fl~t Vent Valv~ ~Auto Shut- Off Controls Thic~ (i~hes) Dieter ~nufactuter ~essure O~tion OGravity' ~roxi~te ~ of ~ ~ · b. U~ergro~ Pipi~ Corrosi~ Prot~ti~ : lye~yle~ Wrap OElectrical I~lati~ OVinyl Wr~ OTar or ~lt U~o~ O~ne O~her (de~ri~) c. U~ergro~ Pipit, Seco~ary Contai~nt: OOther (de~ri~): /~' T~K ~ ~ ' (FILL ~T S~P~TE ~ ~- ~ T~K) ~R ~ SE~I~, ~ECK ~ ~PROPRIATE ~XE~ H. 1. Tank is: ~Vault~ ~Vault~ ~uble~all ~Si~l~all 2. ~ ~terial ~C~ Stol ~ S~inless Steel ~l~inyl ~oride ~Fi~rglass~l~ Steel ~Fi~rglass-~einforc~ Plastic ~ Co. fete ~.~in~ ~O~er (de~ri~) 3. Pri~r~ Contai~nt ~te Ins~ll~ ~ic~ess (Inches) ~city (~11o~) ~nufacturer 4. Tank Secondar~ Contai~nt ~l~all ~~etic Liner ~Li~ Vault ~ne ~Other (de~ri~): ~ufact~er: ~terial ~i~ess (fnc~s) ~ity (~ls.) 5. Tank Interior Lini~ 6. Ta~ Corrosion ~. ~ak ~t~ction, ~nitori~, a~ ~nterce~lon ~V~ose Z~ ~itori~ ~ll(s) ~~ Wi~ut ~U-~ wi~ C~tible Liar Pir~ti~ Flow ~ Pre.ute ~r tn ~ular. ~ of ~ble ~11 Li~id ~tri~al & ~n~ction ~ U-T~,~nitori~ ~1l ~ily ~i~ ~ I~entory Re~nciliation ~ri~ic Tl~h~e~ T~ti~ ~None ~~ ~ ~n~to=~ ~p ~ ~ce~y ~al~ ~=e~ ~ ~o~ ~ ~e= 8. ~ank ~h~ess ~s ~ts ~ ~en ~gh~ss ~st~? ~es ~ ~te o~ ~ ~gh~e~ ~est Resul~ 9. ~ank ~ ~(s) o~ ~=(s) 10. ~e=~ll P=o~ct~on ~ato= ~l~s, C~t=ols, ~ V~s~lly ~n~tors ~vel ~a~ ff~t ~e ~El~t Vent Valves ' ~Auto Shut- 0~ Cont=ols c~e '~= ~al~, ~ll ~x ~ne ~o~ a. ~de=g=o~d P~p~= ~es ~ ~o~ ~te=~a~ ~~ . ~h~ck~ (~hes) D~te= ~nu~actu=e= ~es~=e ~t~on ~G=avity ~rox~te b. u~e~g=o~ P~p~ Co=ros~ P=ot~t~ = ~lvan~ ~E~=glass~l~ ~ess~ ~=ent ~c~c~al ~e ~Polye~yle~ N=ap ~Elect=~cal I~lat~ ~V~nyl N=~. ~a= or ~ltr ~U~o~ ~None ~he= (~=~) = C. U~e=g=o~ P~p~, Seco~a~y Conta~nt= ~l~all ~~et~c ~ne= ~st~ ~ne ~kno~ ~/~-- TANK # C>__ (FILL OUT SEPARATE FORM FOR_ACH TANK) , FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: nvaulted ~Non-Vaulted []~ouble-Wall ~Single-Wall 2. ~ Material Carbon Steel [~Stainless Steel []Polyvinyl Chloride I~Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Alumin~ [] Bronze [][,~kn~Wn. Other. (describe) · 3. Primary Containment Pate Installed Thickness (Inches) .Capacity (Gallons) Manufacturer 4. Tank Secondary Contair~ent I~Double-Wall []Synthetic Liner []Lined Vault BNone ~]Other (describe): Manufacturer: [~Material Thickness (Inches) Capacity (Gals.) 5. Tank InteriOr ~inin~ --~Rubber []Alkyd ~TEpox¥ Ulmenoli¢ []Glass DCla¥ ~t~li~ [-1Other (describe): 6. Tank Corrosion Protection -~Galvanized -]~'F~ass-Clad []Pol~th¥1e~e Wrap ['1Vinyl Wra~in~ .. ]Tar or Aslmalt []unk _l None [3Other (describe) · Cathodic Protection: ~None [qlm[xessed Current System :~lSacrifi¢ial ~de. System Describe System & Equi[~ent: 7. ~eak Detection, Monitoring, and Interce~>tion a. Tank: ~]Visual (vaulted tanks only] [~Grou~d~ater Monitori~' ['lVadose, Zone Honitori~ Well(s). ~lU-Tube Without Liner U-Tube with C~patible Liner Directing Flow to Monitoring We.ll(s)~ Vapor Detector* ~lLiquid Level Sensor* ['1Co~uctivit~ Sen~r' ['~ Pressure Sensor in Annular Space of Double Wall Tank- Liquid Betrie~al & Inspection Fr~ U-Tube,_Monitoring Well' or ~nnular S~ace Daily Gau~in~3 & Imventory Reconciliation I-]Periodic Tightness ['1 None [] IJ~kno~ ['~ O~er b. Piping: [~Flov-i~estricting ~eak Detector(s) [or Pressurized [-IMonLtorLn~ SL~p with l~¢ebB¥ []Sealed Concrete []~alf-Cut Compatible Pipe Race~ay [~Synthetic Liner ~ace~my []~k~e Unkno Other · Describe Make & ~kx~el: ~ S. ~en ~cjhtness Tested? I-lyes ~[]No Date of Last ?icjhtness ?est Results o~ ~est Test Name Testing C~peny 9. Tank ~ pate(s) of ~epair(s) Describe Repairs 10. Overfill Protection ~Operator Fills, Controls, & Visually Monitors level .[~Tape F~oat Gau~e []Float Vent Valves ~Auto Shut- Off Controls Ot~er: . List Make & M~del F~ A~ove De~ices 11. PiPing a. Under, round Pipin~: ~Yes []No [-1Unknown Material Thickness (inches) Diameter' Manufacturer ~Pressure []Suction ~]Gravity Approximate length of Pipe ~ b. Underground Piping Corrosion Protection : ~Galvanized []Fiberglass-Clad []Im[xessed Current ~TSacrificial~ Anode [.']Polyethylene Wrap ~Electrical Isolation [2]Vinyl Wrap []Tar or Asphalt , ~Unknown []None [-1Other (describe): c. Underground Piping, Secondary Containment:, []Double-Wall ~Synthetic Liner System [~None []Unknown []Other (describe): Series X76S Leak Detector System FeatUres . [] Up to 4 Input Modules with .. LED Indicators : : [] Audible and Visual Alarms [] Intrinsically Safe Interface 71 to Sensor ).:.f! ::..~,.; ,:.ii:,:~ ':....:;~ ..-.' · ' .?:..:, " [] Field-Proven Circuit Design ;-i~;!::!: "~ [] NEMA Type 1 Enclosure ~" [] Rugged MechaniCal Design · . : [] Liquid Level Sensors ' · High Reliability · UL Listed ~: ~. :?, ...,., · Compatible with Hydrocarbons :'!~i' · Maintenance Free - ' '; .... : ':' ::,:':3 7" '::.!!, ~,:"-71' [] Alarm Contact Output per Sensor . for Remote Indication or ! i~: -:':'': Telemetering . .(12~. ......'.-':":: [] Hydrostatic Leak Detector for '* ;~i~ ' · · ~¢1( '"2: .... ;,:. ''~: ' Double-wall Tanks ' ,~:)~i!i'- [] Positive Pressure Sensor for Pressurized Double-wall Tanks Approved Listed 48RO he Model X76S Leak Detector System continuously monitoring of both the outer or inner shell of a double- 2~ monitors underground storage tank installations [or wall tank. leakage of gasoline, diesel oil, waste oil and other The sensor's.our'puts are continuously supervised by hydrocarbons.' individual alarm modules via FM approved intrinsically Two types of Liquid Level Sensors are horizontally or safe bafflers. This allows installation of the sensors in vertically positioned in the normally dry annular space of Class I, Division 1, Groups C, or D areas as defined in douNe-walled tanks. Upon accumulation of product due the National Electrical Code, without using costly to a leak, the sensor will provide an audible and visual conduits, conduit seals and explosion proofiunction ~ilarm. boxes. Hydrostatic and air pressure sensors can provide The X76S provides up to [our sensor alarms. 'i 'i Series Leak Detector System · ). ~,: . . .'i~ i;~' Inu'insically Safe i Powe S.po y Viewing · .; Window Sensor Alarm .. Modules . :': ~i Intrinsically '..~i !!i Safe Barriers :. Field Wiring I': ' 3 Compartment ,. ~.. :i: Power' Input -: i ~ Terminals .~: ~ : The Sensors ode s[s-3 .O.&LS-30 ~ Hydrostatic LeakDetectors ModelLS-3 N.C. The Models LS-3 N.O. '~"~ ' ' and LS-30 Leak Detectors . Tank Level Sensor ~omro~ any U.L. rated ~.~~ · The Model LS-3. N. ¢. is most suitable hydrostatic double-wall [or steel, double-wall tanks. The unit is fiberglass tank reservoir. ~i;I'')?~I~ . ': positioned vertically on the bottom of the Due to the possibility of ' ' tank annulus or at maximum fuel level of a groundwater seeping into a · :-:.; tank to prevent overflow. The all-polysul- reservoir, the I_S-30 is'de- forte level switch features a single-pole, signed to detect liquid level single-throw contact, actuated by the float gains as well as losses. of the unit. The contact stares is annun- I_S-10 and I_,5-20 ciated on the X705 monitor. Reservoir Assemblies are tlli*:? i ~-1o O supplied when a permanent · Listed ~$RO reservoir is ngt part of the .:. tank package. · ' Model LS-7 Tank Level Sensor (fi~ Listed 4SRO The Model LS-7 Level Switch is designed for horizontal applications where access is difficult, such as a dual-wall fiberglass tank's annulus. The unit is engi- Model JT-2 Tank Leak Sensor neered to provide high-reliability point-level sensing. The Model JT-2 assembly consists of a The plastic construction is compatible with all hydrocar-, pressure switch, fill valve and safety release bon liquids, providing long, trouble-free performance. ~j valve. The Model JT-2P Positive Pressure Leak ~'~ ~ Sensor is designed to provide monitoring of the O Listed ~ annular'cavity of double-wall tanks via air 48RO i~!! ~ pressure. Any breach of the containment will ~ cause a pressure loss and will be ~.~. sensed by the pressure switch trans- ~ figuring its contact should pressure fall ~Sgl ~e~ow .s ?$I~. ' ~' :~._~~' ' The Model, JT-2V vacuum Leak ' Sensor monitors for loss of vacuum and will be sensed by the vacuum switch trans- O ferring its contact should vacuum fall to .5 inchez ~ Listed 48RO of mercury. rypi~ msta~on Inteffadn§ .......................... Turbine Shutdown ' < ' ' Relay Relay ~ ~:~ '~ 765P ........... ~ , , :~. ....... ~° !,i "--"- (CircuitBreaker) ', ', ', ', l ', ', ', " ....... ~ --- :::::::,. ............................. :::::::::::::::::::::::::::::::::: .............................. : ;--: [ !Z Z_- Z Z_-_'_T.V -- ' ' : ;'Z= =' ''.~ ' 1'~' :'~ ','~ · ' _71! ; .HVA ,H;vdrocarbon LS-30 ' i ' f, ~ Liquid :~nsor L5-3 Hgh ,,] \, Il For Steel Tanks Use Level Alarm N, ....... _5__ ~.::,_._c:_~?~,2r_ ...................... For Fiberglass Tanks Use LS-7 Liquid Sensor For Steel Tanks Use LS-3 N.C. Liquid Sensor Wiring Information F ~1 ~2 ~ ~4 L_ ,,, ~ ~__p ~_p ~_~ ~---~ Find ~n~ ~ ~ch~ D~e~io~ ~, Ho} (19.05 Nmep~ (1~.68 ~) I.S. A~i~ AC Field ~rpu~ Pow~ Inpu~ ~ U~ ~put Specifications Switches: Model '1~-3 N.O. and I.~-30 Type: LS-3 N.O.. single pole, single throw: LS-30, DPDT System, Model X76S' Rating: 10 VA Power: 115 VAC, 60 HZ Float matedal.. Buna-N Power Consumption: 100 VA Pressure: 50 PSIG maxi~m~ Opera.ting Temperature: 32 o to 165°F (0 o to 75°C) Leads: 20 AWG Dimensions: 9×9.5×4.2 in. (22.86×24.13×10.67 cm) Listed 48RO Mounting: General purpose area; wall mount ~ Listed 48RO Tank Leak Sensor, Model JT-2 Approved, Housing: Stainless steel, explosion proof, hermetically Alarm Module sealed, NEMA Types 7 and 9 Field Sensor: DB' contact Classification: Field Sensor Voltage: 115 Vac (supplied by X76S) Class 1: Groups A, B, C and D Number oflnputs: One per module Class 2: Groups E, F and G (~) Switch: ~ Approved, Listed 48RO Type: Single pole, double throw N.O. (shelf condition) Intrinsically Safe Rating: 10 VA Bander Module X53 Electrical Connection: ½ in.-14 NPT with PVC-insulated 18 AWG leads Number of Inputs: Two per module Sensors Voltage: 24 Vdc, current limited Pressure: Setpoinc: JT-2 Positive Pressure Leak Sensor, .5 PSIG, Sensors: Dry contact JT-2V Vacuum Leak Sensor, .5 inches of mercury. Output Interface to Alarm Module: Relay contact; Connection: ~ in.-18 NPT normally open/normally closed selectable Adjustment: '~ ha. Allen wrench through port Power Consumption: 750 mW per input Temperature Range: -40° to 180°F (-40° to 82 °C) ~Supply Voltage: 24 VDC from I.S. power supply 48RO ' <~ Approved, (~ Listed ~ Listed 48RO CSA Approve, d 34146 Power Supply I.S. (Intrinsically Safe) Power Input: 115 Vac Ordering Information Output Voltage: 24 Vdc () 'The Ronan Model X76S Leak Detector Monitor System <~ Approved, Listed 48RO can be configured to meet the different local and state Tank Leak Sensor, Model LS-3 N.C. codes for underground Storage by proper selection of Housing: 304 stainless steel sensors and monitor modul, es. For examp~, a particu~a.r Switch: local Code and/or type of faciliLy may require leak detection Type: Single pole, single throw N.C. of a tank annulus. The monitor system would consist of Rating.. 10 VA the following items: Float material: Buna-N Model X76S-( )- ( ) Pressure: 50 PSIG maximum ~ Sensor Type Leads: 20 AWG IS-3(*) Vertical Liquid Level () Listed 48RO " · LS-7 Horizontal Liquid Level :, .. ..... -' IS-lO Hvdros~afic Reservoir Tank Leak Sensor, Model LS-7 with Lg-3 · LS-20 Hydrostatic Reservoir For steel and fiberglass double-wall tanks, with LS-3 Housing Material: PVC (Geon 87241) LS-30 Dual Liquid Level Liquid SpG: .70 minimum rr-2P Posidve Pressure Leak Switch: rr-2v vacuum Leak · N.O.-Normally Open Type: Single pole, single throw N.C. . N.C.-Normally Closed Note: Use additional lisiting ff more Rating: 10 VA than one ~'pe of sensor is used. Leads: 20 AWG . e.g. 2LS-3)-(1LS-IO) Listed Sensor Quantity 48RO No. of Alarm Inputs Hydrostatic Tank Leak Detectors, 0 thru 4) max 4 Models LS-IO or LS-20 Warranty: Ronan warrants equipment of its own manufacture to be Reservoir: ,free from defects in material and workmanship under normal conditions Volume: of use and service, and will repair or replace any component found to be defective, on its return, transportation charges prepaid, within one year LS-IO, two gallons (7.47 liters) of its odginal purchase. This warranty, car-des no liability, either LS-20, four gallons (15.14 liters) expressed or implied, beyond our obligation to replace the unit which Material: Polyethylene plastic cardes the warranty. P.O. Box 1275 1 Tilley Road 32 Bermondsey Road Unit 10. 8 Lei~ton Place 21200 Oxnard Street Crowther District 3 Toronto. Ontario. Homsbv. N.S.W. 2077 Woodland Hills, Washinglon. Tyne and Wear Canada M4BIZ5 Australia California 91367 U.S.A. United Kingdom. NE38-OEA (416) 752-0310 ® Telex 63662 (02) 477-7344 ® Telex 73467 (818) 883-5211 · Telex 698-490 (091) 416-1689 · Telex 537-746 F,%X (416) 752-8072 FAX (02) 477-6151 FAX (818) 992-6435 FAX (091) 416-5856 X76S / 789 Printed in U.S.A. Environmental ~,~ Inspection Time I UNDERGROUND HAZARDOUS SUBSTANCE: STORAGE FACILITY ·' * INSPECTION REPORT * No. of Tanks ~ Is Informat~0n on PermiUApplication Corre~? Y. ~o ~' Permit P~? Y~ ~/No~ Type of Ins~ion: · Routine Complaint Rei~ion ITE~ VIOLATIO~ ~OTED .. · . Inierc~ptin~ and Dir~in~ System ~roundw~ier Monitorin~ f. V~do~ Zon~ ~onitoHnl ~. Pipin~ ~o,itoring: a. Pr~riz~ b. ~ion c. Gravity ~v~4' ,,~effill Prote~ion ~ ../ . ~_./' ~/ ,,~ / 5. Tightness Testing 6. New Construction/Modification 7. Closure/Abandonment 8, Unauthorized Release 9. Maintenance, General Safety, and Operating Condition of Facility Comments/Recommendations: Reinspection scheduled? __ Yes _~ ';~' REPORT RECEIVED ay:~-~.;- ~"_.: .--'.- .~ :!~'-,' -;~;;~.?~;;'~ /." Health 580 4113 170 (7-87) Environmental ~nsitivit¥ ~ ', ] ~ ~ . UNDERGROUND HAZARDOUS SUBSTANCETSTQRAGE FACILI~ * IN~ECTION REPORT * No. of Tanks - .~ Is Information on Permi~Appli~tion Corr~? Y~ No ;~ ~rmit Po~? Y~ t./ No Ty~ of Ink.ion: Routine ]/ Complaint Rein~ion ITEM VIOLATIONS NOTED · b. Standard Invento~ Control Monitoring '~ ~ . ,' - . Modifi~ Inventow Control Monitoring - ~ ' · 3. Piping Monitoring:' b. Suction _ c. Gravity '4. ~efiill Prote~ion 5. Tightne~ Teeing 6. 'N~ Con.ruction/Modification, - ' . 9. Maintenance, General ~fety. and Operating Condition of Facility ¢~0~ Reinspection scheduled? /-Yes __ No Approximate Reinspe~ion Date W ~ t ~ ,,:, ,:~ " : z REPORT RECEIVED BY' 17OO Flower Street KERN*COUNTY HEALTH DEPARTME,, £ HEALTH OFFICER Bakersfield, California 93305 Leon M Hebertson, M.D. Telephone (805) 861-3636 . - ENVIRONMENTAL HEALTH DIVISION · DIRECTOR OF ENVIRONMENTAL HEALTH , ' Vernon S. Reichard March 6, 1986 James W. Sampson Chevron USA, Inc. 2 Annabe! Lane, Suite.200 San Ramon, CA 94583 Dear. Mr. Supson: This is to advise yOu that this department has reviewed the report 'by GroUndwater Technolo~ pertaining to the rue! seepage investigation conducted at the Chevron Service Station, 3624 California Avenue, · Bakersfield, California. Recommendations in the report are based on data obtained on amount of total hydrocarbons present and soil conditions at the site as well as depth to groundwater. Based .on these data it is the opinion of Groundwater Technolo~ that the contamination is minimal, well contained, and not a threat to groundwater and, therefore,' can be left in place. This department concurs with this mitigation option given the data provided. Thank you for your cooperation in this matter. Sincerely, Environmental Hpalth Specialist III Hazardous Substances Management Progr~ AB: aa DISTRICT OFFICES Oelano I_amnnt Lake snb~lln Moiave Ridaecrest , · Shafter , Taft Chevron Chevron U.S.A. Inc. 2 Annabel Lanel Suite 200, San Ramon, CA 94583 · Phone {415) 838-5000 Marketing Operations December 13, 1985 D. Moiler Oivision Manager, Operations. J. O. Rowers Area Manager, Operations W. R. Lawrence Manager, Operations Staff Manager, Engineering .,~ Mr. Joe Canas, Kern County Department oJ[ Health Division of Environmental ~ealth' 1700 Flower Street Bakersfield, CA 93301 Dear Sir: We have received the drilling report and analysis of soil samples by our consultant, Groundwater Technology~ a copy of which is enclosed for your review. In view of the conclusion by Groundwater Technology, the Iow level of contamination does not appear to be significant and does not appear to be migrating off our property. It would also appear that additonal investigatioh would not provide any more conclusive data than what has already been collected. Based on these findings I would propose to let remediation of the low levels of petroleum product discovered take place by natural degradation process.. If you have any comments or requests, please let me know. Very truly yours, D. MOLLER 3W S:ksb/ZK 2- i 0 Enclosure ) " - TECHNOLOGY 1914 S. Pacific Coast Highway. Suite 102. Redondo Beach. CA 90277 '1213)543-5445 December 6, 1985 Mr. Jim. Sampson Chevron U.S.A. t' Two Annabel Lane, Suite 200 San Ramon, CA 94583 Dear Jim: As per your request, enclosed is the subsurface soil data 'for-the Chevron U.S.A. Station' ~9615 located at 3624 Californ. ia Avenue, Bakersfield, California. Included are well logs for each sample' borehole drilled describ- .'lng ~the local geology, site map showing locations of boreholes, analytical soil data, a brief report of procedures and a summary of th~ data.. If there are any questions, please call me at (213) 543-5445. Geologist KWPT:jms Other ofl;ces: Norwood. MA; Greenville. NH; Chadds Ford, PA: Tampa. FL; Concord. CA: Nevi. MI: Minneapolis. MN: Mandeville. LA: Montreal. Quebec. Canada TABLE OF CONTENTS SUBJECT PAGE Introduction 1 Drilling Procedures 1 Geologic Setting 2 Soil Sample Analysis 2 Groundwater 3 Conclusions 3 LIST OF FIGURES Figure 1 -~Site Location Map Figure 2 - Site Plan Map APPENDICES Appendix A - Soil Analysis· APpendix B - Weil'Logs and Cross Sections INTRODUCTION ~AND BACKGROUND On October 29, 1985, Groundwater Technology's Redondo Beach office was contacted by Jim Sampson~ of Chevron U.S.A. to. perform a subsurface investigation at Chevron Service Station ~9615 lcoated at 3624 ~California Avenue~ Bakersfield, California. A site location map is presented in Figure 1. This investigation was initiated by the Kern County Health Department when ~he removal of old underground gasoline tanks indicated that hydrocarbon contamination of the surrounding soil was suspected. The scope of this investigation was to deter'mine whether contamination had occurred; if so, to determine its lateral and vertical extent. DRILLING PROCEDURES Three sample boreholes were drilled 'at the site. Boreholes ~1~, ~2 and ~93> were drilled to total depths· of 20, 30 and 62 feet below grade, respectively. During dri.lrling soil samples were collected every five feet. These were then sent to an EPA certified laboratory and analyzed for' total hydrocarbons, benzene, toluene, xylenes, ethyl benzene and EDB. In addition, a geologic' profile was made from the samples to evaluate the subsurface condition. A site plan showing location of boreholes is included in Figure 2.~ Boreholes #1 and #2 were backfilled and compacted with original soil to the surface and an asphalt patch was added to complete repair. Borehole ~3 encountered a thin, competent bed of clay at a depth of approximately 49 feet. 'To ~prevent ~any hydrocarbon contamination below this bed, clean sand was added to the borehOle to a depth of 51 feet, then bentonite was added to form a seal to a depth of 47 feet. The rest of the borehole was filled .and compacted with original material and completed like the others. 1 GEOLOGIC SETTINGS -. The Chevron - BakerSfield site is located in the southern half section of ~the San Joaquin Valley. It is bordered on the west by the Temblor Range and on the east Sierra Nevada. The valley is overlaid by valley alluvium consisting generally of sands and cobbles of various sizes. Groundwater exists in the valley~ at depths greater than 80 feet. --' ~ ' . . Locally the geology beneath the Chevron - Bakersfield site consists predominantly of light brown, well sorted, clean sands. These. range in size from fine grain to coarse grain to well developed cobbles. Occurring at. irregular intervals are cream colored, coarse grain, micacious sands. - - ~ .... · · ~ '"~ This clay is malleable and interspersed with fine t° medium sands. Permea- bilitY values for the sands range from moderate in the upper sections to very good lower.in the borehole.. Permeabilities for the clay are estimated to be poor. Estimated transmissivity valUes and field observations suggest that if a gasoline spill were to occur, the gasoline would move directly down into the soil, with little lateral spread, and eventually tied up in the clay layer. Well logs are presented in Appendix A. SOIL SAMPLE ANALYSIS Soil samples were collected at five-foot intervals .in each borehole, sealed~ chilled and sent to Truesdail Laboratories in Tustin, California for analysis. Specific samples were analyzed for total hydrocarbons, BTX and EDB. Results showed t'hat Well #1 contained minute amounts of hydrocarbons of less than 1 part per million (ppm) in two samples .and no greater than 3 ppm in the top ~five-foot sample. Borehole 92 also contained hydrocarbon levels in two samples of less than 1 ppm. However, 'sample ~W2-5 contained a slightly elevated hYdrocarbon concentration of 27 ppm. Generally, all samples'in Borehole i~3~ contained very low to nondetectabie levels of hydrocarbons; however, sample'~W3-10 contained an elevated hydrocarbon'concentration of~2~4~pm. Samples -W3-35 and W3-40 were analyzed for .BTX and EDB due to Strong hydrocarb6n odors detected at those depths. The resultant data indicates that ,these concentrations are very low and relate very accurately to the total hydrocarbon levels. The elevated ~xylene level for W3-40 may indicate that ~the gasoline was. spiked to raise octane level. Sample data is presented in Appendix B. GROUNDWATER Groundwater in the area has been reported to exist at a depth greater than 50 feet. The deepest boring, W3, did not encounter groundwater' at the 62-foot depth. Drilling was not continued deeper because field observations suggested that the presence of hydrocarbons had ceased and soil moisture content was.such as to suggest groundwater was still.considerablY deeper yet. CONCLUSIONS Field data and'well logs indicate a definite presence of gasoline hydrocarbons in the soil around the old tank pit at 'depths : ranging from 10 feet to appr0xlmately 50 feet. However, labora- tory data from soil samples show the hydrocarbon presence to be very low at these greater depths. This phe'nomena has been explained by Tfuesdail Laboratories, Chief Chemist, Richard D. Reid, as due to the migration of the heavier-than-air fraction of gasoline odors. Mr. Reid has sent letters to the Orange County Health Department explaining this phenomena regarding a site in Orange County. .A similar letter is included with the soil analysis data in Appendix B. Due to'the soil condition at this site, i.e., the presence of well sorted, medium to coarse grain sands, a clay barrier at 49 feet, and a deep water table; if a gasoline spill were to occur it would probably migrate directly down the soil column with little lateral spreading. Depending on the amount of spillage, the gasoline would probably dissipate into the void spaces of the sands and any left would be tied up on the claY barrier. Considering the amount of total hydrocarbons pre~ent in the soil from the laboratory data and the soil conditions mentioned, Groundwater Technology feels that the soil contamination at the chevron site is minimal and well contained. APPENDIX. A REPORT ' TRUESDAIL LABORATORIES, INC. ~ ~ 14201 FRANKLIN AVENUE CHEMISTS - MICROBIOLOGISTS - ENGINEERS TUSTIN, CALIFORNIA ~2680 !. AREA CODE 714 · 730-6239 ~" RESEARCH -- DEVELOPMENT -- TESTING AREA CODE 213 · 225-15,'[4 ~ C A B L E': T R U E L A B S CLIENT Groundwater Technology: DA/~ Nov. 22, 1985 1914 S. Pacific Coast Hwy, #102 Redondo Beach, Ca. 90277 RECF. IVED Nov. 13,~ 1985 ~"-' SA/~p~U. Attention: Ken Thomas LABORATORY N'O. 07459 Soil from 'Chevron/Bakersfi.eld INVESTIGATION Petroleum Contamination RESULTS Milligrams per Kilogram TOtal Pet. Ethyl Sample Hydrocarbons Benzene Toluene Xylene benzene EDB W1-5 ' 3 . o 10' 20' ~1. W2-5' 27. 10' < 1. 30' d 1. W3-10 124. 25 Fl. 35 0,54 0.48 ~ 0.05 ~0.02 0.0012 40 0.43 0.33 1.'2 ~ 0.02 40.001 50 ~1. 55 ~1. Respect'fully submitted, TRUESDA/~LABORATORIES, INC. Chief Water Chemist This report applies only to the sample, Or samples, investigated and is not necessarily indicative Of the quality or condition of apparently identical or similar products. As a mutual protection to clients, the public and these Laboratories, this report is submitted and aCCepted for the exclusive use of the client to whom it is addressed and upon the condition that it is not to be ~ed,' in whole or in part, in any advertising or publicity matter without prior written authorization from these Laboratories. ' ' 'TECHNOLOGY'.'· '" ' ' .. "' .... Division '~t O. neco,e~ System~. ~n~- B 0 r e h o 'l e # D rilling Log Projec~ .Chevron' .Owner Sketch Map ,. Location B a k e r s f i e 1 d ' Project Number - 21 - 3279 Date Drilled 1 1 - 1 8- 8 5 Total Depth of Hole' '2 0 ~ Diameter Surface Elevation . Water Level, Initial 24-hrs. Screen: Dia. Length. _ Slot Size Casing: Dia. Length ~__ Type Drilling Company L a n e - W e s t e r n Drilling Method 8" a u C1 e r Notes Driller'. Hike Nullens Logby Ken Thomas , ~ O O o Description/Soil Classification m,~ P '~ ~ (Color, Texture, Structures) _0 .... Brown, fine-gra~ined sands (fill material) permeablility-good, no odors detected. _ 5_ grab W5 - _ Light brown, medium to coarse-grained .... sands with a fine-grained matrix. Color .... Change at 9' to cream col:ored .coarse-graine arkosic sands. .Well sorted, permeability - - - - very, good, no odors detected. _10/ . grab WlO - - - 4 - - .Orange-brown fine-grained silty sands with interfingering lbnses of very coarse ~ - - grai'ned arkosic sands. Well sorted, - - permeabil.ity very good, no odors. _15_ grab W15 - - Light yellowish-brown fine to coarse-. ' - - grained sands, well sorted, permeability _ _ very. good, no odors. : -20- g'r ab' W20 - - ' Ligh~ yellowish-brown, fine to coarse-.' .... grained sands, well sorted, permeability very good, no odors. .... TD = 20 FEET. 02100144 'Pn~ c~f Division Of 011 Recovery Systems, !nc~ B o r e h o i e # ·" D ri i ling Log Project. C h.e v r o n. Owner Sketch Map Location Bakersfi.eld Project Number * '21-3279 Date Drilled 'l I - 1 8- 8 5 Tolal Depth o! Hole 30 ' Diameter surfac~ Elevation Water Level, Initial 24-hrs. Screen: Dia. Length Slot Size f .... Casing:. Dia. 'Length ~_ Type [ Drilling Company L a n e- W e s t e r n Drilling Method 8" a u g e r_ Notes Driller ~ Mike· Logby Ken Thomas , -- ~ ~ u Description/Soil Classification u. i~ ~ '~ (Color, Texture, Structures) _5_ ~.rab W5 _ _ Brown fine-grained, silty sand (fill material), permeability moderate, sample .... lost 'but cuttings had no hydrocarbon odors ..... detected. _10_ grab WIO _ _ Light yellowish-brown, fine-grained sands, very loose, permeability good, no odors .... detected. _11~ - - Color change - light cream colored, medium .... to coarse-grained, almost pebbly sands. Well sorted( macaciou~, loose, permeability .... very'good,, no hydrocarbon odors. Light cream, going to light brown, medium .... to coarse-grained sands, very loose, perm- .... eabi~ity very good, no hydrocarbon odors. _20- grab W20 - , Ligh.~ cream, going to light, bro.~n, medium to coarse-grained sands, very loose, perm- eability very good, no hydrocarbon odors. -2~- grab W25 - - Light cream, going to light brown, medium .... to Coarse-grained sands, very loose, perm- eability very good, no hydrocarbon odors. ' 30- grab W30 - - Light cream, going to light brown, medium tO coarse-grained sands, very loose, perm- eabilit.y very good, no hydrocarbon odors. TD = 30 FEET 02100144 P~c~ of DIvislon'of 011 Recovery Systems, Inc: B 0 r e h 0 :~ e .#' Project 'C. h e v r o FI Owner Sketch Map .. LOCation 'B a k e r s ~ i e 1 d Project Number · 2 1 - 3 2 '7 9 Date Drilled '~ '1 _ 1 8- 8.5 Total Depth of Hole ~ 0 tDiameter Su~ace Elevation Water Leve~ Initial ~ 24-hr& Scree~ DI~ Length Slot Size Casln~ Di~ Length ~ Type Drilling Company ~ ~ ~ ~ - ~ ~ S ~ ~ ~ ~ Drilling Method ~ ' ~ U ~ ~ ~ Notes Driller ' H~ Logby ~ ~n T~O~ ~ E ' ~ ~ o Descriptio~Soil Classifi~tion ~ -- ~ ~ (Color, Texture, St~ctures) {f~l m~te~l}, pe~me~b~l~t7 moderate, - - - - hTd~ocs~bon odors. -l~ g~sb ~lO - _ L~ght b~o~n, f~ne-g~8~ned, s~lt7 s~nds .... s~ht hTd~oc~bon odo~ detected ~n .' .... ~t 9' ~nd gets st~onge~ ~n s~mp~e good ~Td~c~bo~ odors detected. ssnds, ve~7 ~oose, pe~e~b~t7 ve~7 ~ood, good hTd~oca~bOn odors. _ _ _ s~nds, ve~7 ~oose, pe~e~b~l~t7 ve~7 good, - hTd~oc~bon odors getting stronger. .... ~oose, pe~me~b~k~t7 good, ve~7 good cs~bo~ odors detected. sands becoming pebbly downward, very loose, permeability very good, very good hydro- ' - - .carbon odors detected. 02100144 APPENDIX B GROi[ ? WATER '.'... ..... I Division o! Oil necove~, Systems. Inc: B 0 r e h o 1 e' # . .. ' }' .. ' ~l~l:[;b~z~ 3 cont' d · Drilling Log C'R e v r o n Owner Sketch Map , .. Proje~ · .Location B a k e r s f i e 1 d Project Number · , 2 1- 3 2 :] 9 Date Drilled 1 1 - 1 8- 8.5 Total Depth of Hole ~;0 ~ Diameter : surface Elevation Water Level, Initial 24-hr& . . . Screen: Dia. Length . Slot Size r- Casing: Dia. Length Type } 8" a u g e r Notes i Drilling Company L a n e - W e s t e r n Drilling Method _ .. Driller .Mike Log by Ken Thomas , ~ 0 0 ; ,- ;3 e u Description/Soil Classification -- o " (Color, Texture, Structures) · m mz _SO_ grab. ~J40 _ _ Eight cream,, medium, to coarse-grained ~ands with {" to 1" diameter pebbles,, very .... Loose, permeability very good, very good .... ~ydfocarbon odors. _45_ grab l W4~ - - Light cream, medium to coarse-grained .... ~ands, very loose, permeab-ility' very. good, ~ood'hydrocarbon odors. _50_~ .gr. ab WSO ~ _ Light brown, medium to coarse grained sands ~ Loose, permeability good, good hydrocarbon 3dors, clay bed at 49'.(approximately), _ _ ._ _thick, odors appear to drop off below clay _55_ grab W55 _ _ Light brown fine-grained sands. Permeabili good, no hydrocarbon odors. _60~ grab w6o - - Ligh. t brown, medium to c°arseLg.rained sands loose, permeability very good, macacious, .... no odors. Sample becomes clayey at appr'ox. - - 62 ' no odors '. TD = 62" - borehole was filled to 51' .... mith clean sand and topped with bentonite to 47' tO seal borehole. 02100144 ~ ~f J TD .30 ' Odoriferous TD 6;2 ' Cross-Section of Chevron - Bakersfield 0 10 2O scale in feet UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT (11 NAME ~ L~T (~NS) O~lq-I~l~ ol ~ TANK~ST ~ TANK REMOVAL ~ O~R ~URCE O~ DI~HARGE T~ ONLY~I~ MA~RI~ ~E~ ~PROPRIA~ ~TDN(S) (~E B~K FOR ~AI~) ~ ~NTAINMENTB~RIER(~) ~ ~VA~&T~AT(E~ " ~ ~MP&TR~TGR~A~R(G~ ~. ~TAT~P~ ~ NO~ONREQUI~D(NA) ". ~ O~ER(O~ Chevron, Chevron U.S.A. Inc.. 2 Annabel Lane, Suite 200, San Ramon, CA 94583 · Phone {415) 838-5000 ~ ,October' 7, 1985 Marketing Operations D. M011er Division Manager, Operations J. 0. Powers ............ ^r,a Mana,er, Operat~o.s W. R. Lawrence Manager, Operations Staff C. G. Trimbach Manager, Engineering ..- Mr, 3De Canas', R.S. Kern County Dept. of Health Division o~ Environmental Health .... 1700 Flower Street ' Bakersfield, CA 93301 Dear Sir: Please see the.enclosed test reports ~rom Station 119615, Cal. Ave. & Real Road (Bakersfield, California). The old tanks and lines all appeared tight with no leaks. The test r~sults show only very low levels of hydrocarbons @ the 3rd Island east o~ the station; the tank hole, none at all. Very truly yours, C. G. TRIMBACH By ~..,,-.~- d'.~-. ,,...../'~.1, W, Sampson 3WS:ksb/ZK2-7 Enclosures RATOR! ,,,,,::. ~'7'~J~l~l~ J.J. EGLIN, REG. CHEM. ENGI. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELDb CA. 03308 PHONE 327-4011 PURGEABLE ~OMATICS ANALYSIS (SOIL) · .Chevron USA, Inc. · DATE OF 2 Annabel Lane, Suite 200 .. REPORT: 23 September 1985 San Ramon, CA 94583 LAB No.: 15815 SAMPLE DESCRIPTION: Chevron Station, California Ave. & Real Road, Bakersfield. West Tank South End 6ft. DATE/TIME ¢ DATE/TIME SAMPLE . DATE ANALYSIS SA~LE COLLECTED: RECEIVED @ LAB: COMPLETED: 11 September 1985 23 September 1985 TEST METHODS: Purgeable Aromatics & EDB in Soil '' 'MIN~ED~ REPORTING ANALYSES REPORTING CONSTITUENT UNITS RESULTS LEVEL Benzene ug/E none detected 0.1 Toluene u~/E none detected 0.1 Ethylbenzene uE/E none detected 0.1 Isopropylbenzene uE/E none detected 0.1 p-Xylene' uE/E none detected 0.1 o-Xylene uE/E none detected 0.1 m-Xylene ug/g none detected 0.1 EDB ug/g none detected 0.5 ~' ~. E~n CIIE~IIICA! AIL4LY~JI$ INC , PETROLEUM J' J' EGLIN, REG. CHEM. ENG4t MAIN OI:FICE: 4100 PIERCE ROAD, BAKERSFIELD, CA. g3308 PHONE 327..4911 PURGEABLE AROMATICS ANALYSIS (SOIL) '' Chevron USA, Inc. DATE O~ ~ 2 Annabel Lane, Suite 200 REPORT: 23 September 1985 San Ramon, CA 94583 LAB No.: 15814 SAMPLE DESCRIPTION: ~hevron station, california Ave. areal Road, Bakersfield West Tank North End 2ft. · DATE/TIME DATE/TIME SAMPLE ,DATE ANALYSIS . SA~LE COLLECTED:' RECEIVED @LAB: COMPLETED: 11 September 1985 23 September 1985 TEST METHODS: PurEeable Aromatics & EDB in Soil. REPORTING ANALYSES REPORTING CONSTITUEA~ UNITS RESULTS .. LEVF% Benzene u~/~ none detected 0,1 Toluene u~/~ none detected 0.1 .' Ethylbenzene u~/~ none detected 0,1 Isop~opylbenzene U~/~ none de~ected '0,1 p-Xylene u~/~ none detected 0,1 o-Xylene u~/£ none detected '0.1 m-Xylene u~/~ none detected 0.1 EDB u~/~ none detected 0,5 LABORATORIES J. J. EGI. IN, I~G. CHEM. ENGll. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSI:IELD, CA. B3308 PHONE,3I'7-4S! 1 PURGEABLE AROMATICS ANALYSIS (SOIL) Chevron USA, Inc. DATE OF 2 Annabel Lane,. Suite 200 REPORT: 23 September 1985 San Ramon. CA 94583 LAB No.: 15813 SAMPLE DESCRIPTION: CheVron Station, California Ave. a. Real Road, Bakersfield West Line 2ft. DATE/TIME DATE/TIME SA~LE DATE ANALYSIS SAMPLE COLLECTED: RECEIVED @LAB: COMPLETED: 11 September 1985 .23 September 1985 TEST 5~THODS: Purzeable Aromatics & EDB in Soil MINIMUm: REPORTING ANALYSES REPORTING CONSTITUENT UNITS RESULTS LEVEL Benzene 'ug/g 0.15 0.1 Toluene ug/g 0.13 0.1 Ethylbenzene ug/g ' 0.17 0.1 Isopropylbenzene u~/g none detected 0.1 p-Xylene ug/g 0.22 0.1 o-Xylene ug/g 0.17 0.1 m-Xylene uE/g 0.22 0.1 EDB u~/E none detected 0.5 J. J. $GLIN, BEG. CHEM. ENGI. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSIrlELD, CA. 0330~ PHONE 327-4911 PUR~EABLE AROMATICS ANALYSIS · (SOIL) Chevron USA, Inc. DATE OF 2 Annabel Lane, Suite 200 REPORT: 23 September 1955 San Ramon, CA 94583 LAB No.: 15812 SAMPLE DESCRIPTION: Chevron Station, California'Ave. & RealRoad, Bakersfieid~ West Tank North End 6ft. DATE/TIME DATE/TIME SA)~LE DATE ANALYSIS SAMPLE COLLECTED: RECEIVED @LAB: COMPLETED: I1 September 1985 23 September 1985 TEST 5~THODS: Purgeable Aromatics & EDB in Soil MINI~,%~,4.' .. REPORTING ANALYSES REPORTIN~ C0NSTITU~r ~ITS RESULTS LEVEL Benzene ug/g none detected' 0.1 " Toluene ug/~ none detected 0.1 Ethylbenzene u~/~ none detected 0.1 .- IsopPopylbenzene ug/E ~none detected 0.1 p-Xylene ug/£ .none detected. 0.1 o-Xylene ug/g none detected 0.1 m-Xylene ug/g none detected 0.1 EDB ug/E . none detected 0.5 LABORATORIES J, J. EM. IN, lEG. CHEM. EN(341. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, C~. 03308 PHONE 327-401 PURGEABLE AROMATICS ANALYSIS ' (SOIL) Chevron USA, Inc. DATE OF 2 Annabel Lane, Suite 200 REPORT: 23 September 1985 san Ramon, CA 94583 LAB No.: 15811 SAMPLE DESCRIPTION: 'CheVron Station, californsa Ave. & Real Road, Bakersfield West Tank South End 2ft. . ' DATE/TIME .DATE/TIME 'SAMPLE DATE. ANALYSIS SAMPLE COLLECTED:, RECEIVED @.LAB: COMPLETED: 11 Septembsr 1985 23 September 1985 TEST METHODS: 'PurEeable Aromatics & EDB in Soil REPORTING ANALYSES REPORTING CONSTITUENT UNITS . RESULTS LEVEL Benzene ug/E "none detected 0.1 Toluene uE/E '~ none detected 0.1 ' Ethylbenzene ug/g none detected 0.1 '' Isopropylbenzene u~/g none detected 0.1 p-Xylene ug/g none detected 0.1 , o-Xylene "u~/g none detected 0.1 m-Xylene uE/E none detected 0.1 EDB ug/E none detected 0.5 LABORATORIES ,.,:'. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, CA. 93308 PHONE 327-4911 PURGEABLE AROMATICS ANALYSIS '. (s0iL) Chevrqn USA, Inc. DATE OF 2 Annabel Lane, Suite 200 REPORT: 28 September 1985. San Ramon, CA 94583 LAB No.: 15810 .. SAMPLE DESCRIPTION: ChevronlStation, California Ave, & Real Road, Bakersfield East Under Lines 2ft. DATE/TIME DATE/TIME SA~LE DATE ANALYSIS SAMPLE COLLECTED: RECEIVED @ LAB: C05~LETED: 11 September 1985 23 September 1985 TEST METHODS: Purgeable Aromatics ~ EDB in Soil REPORTING ANALYSES REPORTING CONS TI TUENT UNI TS RESULTS LEVEL Benzene '.ug/g 51~63 0.1 Toluene u~/g 91,09% 0.1 '' Ethylbenzene u~/8 186.00 0..1 Isopropylbenzene u~/g 38.03 0.1 p-Xylene u8/8 491.92 0.1 o-Xylene u~/g 693.14 0.1 m-Xylene u2/g 491.92 / 0.1 EDB u2/~ ~. 2127.20 // 0.5 ES INC. .~..~. ,ouN. BE(~. CH,M. ,Nee. MAIN OFFICE 4100 PIERCE ROAD, BAKERSFIELD, CA. 03305PNONE :12t,,.4011 PURGEABLE AROMATICS ANALYSIS (SOIL) Chevron USA, Inc. DATE OF 2 Annabel Lane, Suite 200 REPORT: 23 September 1985 San Ramon, CA 94583 LAB No.: 15809 'SAMPLE DESCRIPTION: Chevron station, California Ave. & Real Road~ Bakersfield Waste Oil Tank 2ft. -...,. DATE/T~ME DATE/TIME SAMPLE 'DAT~ ANALYSIS SA~LE COLLECTED: RECEIVED @ LAB: COMPLETED: ~'.' 11 September 1985 23 September 1985 TEST METHODS: Purseable Aromatics ~ EDB in Soil MINI~jM REPORTING ANALYSES REPORTINC cONSTITUENT UNITS RESULTS LEVEL Benzene u£/E none detected 0.1 Toluene uE/E none detected 0.1 Ethylbenzene ug/g none detected 0.i Isopropylbenzene ,ug/g none detected 0.1 p-Xylene ug/g none detected 0.1 o-Xylene ug/g none detected 0.1 m-Xylene ug/g none detected 0.1 EDB ug/g none detected 0.5 LABORATORIES ,,,,,:. MAiN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, CA. e3~06 PHONE 327-4ell PURGEABLE AROMATICS ANALYSIS · (s0!L) Chevron USA, Inc. DATE OF 2 'Annabel Lane, Suite 200 REPORT: 23 September 1985 San Ramon, CA 94583 LAB No..: 15808 SAMPLE DESCRIPTION: Chevron Station CaliforniaAVe. & Real ROad, Bakersfield. 5000 Gallon Tank 6£t. DATE/TIME DATE/TIME SAF~LE DATE ANALYSIS SAS~LE COLLECTED: ~ RECEIVED @ LAB: COMPLETED: 11 September 1985 23 September 1985 TEST METHODS: PurEeable Aromatics ~ EDB in Soil , MINI~ER,[ REPORTING' ANALYSES REPORTING CONSTITUENT ' UNITS RESULTS LEVEL Benzene Toluene u8/8 2.65 '0.1 Ethylbenzene uE/E '3.29 0.1' Isopropylbenzene u~/E 1.87 0.1 P-Xylene uE/E 3.~6 0.1 o-Xylene uE/E ~.63 0.1 m-Xylene uE/£ 3.46 0.1 EDB uE/£ ~ 19.~' 0.5 · ,",--',.,-,,,,,, LABORATOR! ,,,,,:. fl'7'~lT/LgJ¥ J' J' EGUN, NO. CroAt. ,N(~. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, CA. S3308 PHONE 327-4gll PURGEABLE AROMATICS-ANALYSIS . (SOIL) Chevron USA, Inc. DATE OF 2 Annabel Lane, Suite 200 REPORT: 23 SeptembeP 1985 'San Ramon, CA 94583 LAB No.: 15807 SAMPLE DESCRIPTION: Chevron Station, CaliforniaAVe. & Real ~oad,"Bakersfield 5000 Gallon Tank 2£t. DATE/TIME DATE/TIME SAMPLE DATE ANALYSIS SA~J~LE COLLECTED: RECEIVED @LAB: ' C05~LETED: 11 September. 1985 23 September 1985 TEST'5~THODS: Purgeable Aromatics ~ EDB in Soil MINIMUT4 'REPORTINg' ANALYSES REPORTING CONSTITUENT UNITS RESULTS LEVr_L Benzene uE/g none detected 0.1 Toluene uE/g nOne detected 0.1 Ethylbenzene uE/g .none detected 0.1 Isopropylbenzene u~/g none'detected 0.1 p-Xylene uE/E none detected 0.1 o-Xylene uE/g none detected 0.1 m-Xylene uE/E none detected 0.1 EDB uE/E none detected 0.,5 INC. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, CA.'g3308 PHONE 327,-4911 , PURGEABLE AROMATICS ANALYS~S : ' :-' "" (SOIL) Chevron USA, Inc. DATE OF . ..' ,'i...' 2 'Annabel Lane, Suite 200 'REPORT: 23 September. 1985' .' San Ramon, CA 94583 LAB No.: 15808 . : ,., · · ..:..~ SAMPLE DESCRIPTION: Chevron Station~ California Ave. a Real Road~' Middle Tank South End 2ft. .. . ..... DATE/TIME DATE/TIME SA~LE DATE ANALYSIS . i, .' ,.: SAMp. LE COLLECTED: RECEIVED @ LAB: COMPLETED:. "" ""'.'i: ~'-"~'.' l! September 1985 23 SePtember 1985 " TEST 5~THODS: Purgeable Aromatics & EDB .in Soil " MINIMIE,: ....... REPORTING ANALYSES REPORTINg ' ' · CONSTITUENT UNITS RESULTS LEVEL Benzene ug/g none detected 0.1 Toluene ug/g none detected 0.'1 ' ''~ Ethylbenzene ug/g none detected 0.1 Isopropylbenzene ug/g none detected 0.1 p-Xylene ug/g none detected 0.1 -., · o-Xylene ug/g none detected 0.1 m-Xylene ug/£ none detected 0.1 EDB uE/E none detected 0.5 LABORATORIES J. J. EM. IN, I~O. CNEM. E~. MAIN OFFIC~ 41~'PIERCE ROAD, BAKERSFIELD, CA. 93~8 PHONE 327~911 PURGEABLE AROMATICS ANALYSIS (SOIL) chevron USA, Inc. DATE OF 2 Annabel Lane, Suite 200 REPORT: 23 September 1985 San Ramon, CA 94583 LAB No.: 15805 SAMPLE ~ESCRIPTION~ Chevron Station, California Ave2 & Real Road, BakerSfield .Middle Tank South End 6ft. DATE/TIME DATE/TIME S~¢PLE DATE ANALYSIS SAMPLE COLLECTED: RECEIVED @ LAB: C05~LETED: 11 September 1985 23 September 1985 TEST METHODS: PurEeabie Aromatics~ EDB in Soil 'MINIS~J~ REPORTING ANALYSES REPORTING CONSTITUENT UNITS RESULTS LEVEL Benzene uE/E none .detected 0.1 Toluenes. uE/E none detected 0.1 ., '" Ethylbenzene ug/g none detected. 0.1 Isopropylbenzene u~/E none detected 0.1 p-Xylene ug/E none detected 0.1 o-Xylene ' ~/~ none detected 0.1 m-Xylene uE/E none detected 0.1 EDB uE/E none detected 0.5 LABORATORIES ,.c. J. J. EM. IN, REG..CHEM.. ENGI. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, CA. S3308 PHONE 327-4S11 'PURGEABLE AROMATICS ANALYSIS '' ' (SOmL) Chevron USA, Inc. DATE OF 2 Annabel Lane, Suite 200 " REPORT: 23 September i985 San Ramon, CA 94583 LAB No.: 15804 · SAMPLE DESCRIPTION: Chevron Station, California Ave.'& Real Road, BakerSfield Middle Tank North End Sft .... DATE/TI~ DATE/TIME SAMPLE DATE ANALYSIS SAMPLE COLLECTED: ~ RECEIVED @ LAB: 'C05~LETED: 11 September 1985 23 September 1985 TEST METHODS: PurEeable Aromatics & EDB in Soil ANALYSES REPOa Zm CONSTITUENT UNITS ~ RESULTS .. LEVEL Benzene uE/E none detected 0.1 Toluene u~/s . none detected ........ 0.1 .... :.. ....... ............. Etl~ylb~nZene'.'.'.""' uE/~ '~' '"' · ~none detected' '0.1 .Isopropylbenzene u~/E none detected P-Xylene' uE/~ none detected 0.1 o-X~lene u~/~ none detected O.1 m-7~vlene u~/E none detected EDB ~ u~/E none dotected 0.5 INC. J. J. IEGLIN. REG. CHEM. MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, CA. 93308 PHONE 327-4911 PURGEABLE AROS~TICS ANALYSIS (SOIL) " Chevron USA, Inc. DATE OF 2'Annabel Lane, Suite 200 REPORT: 25 September 1985 San Ramon, CA 94583. LAB No.: 15803 SAMPLE DESCRIPTION: CheVron Station, California Ave. & Real Road, Bakersfield Middle Line Sample 2ft.' -.. DATE/TIS~ DATE/TIME SAMPLE DATE ANALYSIS SAMPLE COLLECTED: RECEIVED @LAB: CO~LETED: 11 September 1985 .23.September 19B5 TEST ~THODS: PurEeable Aromatics & EDB in' Soil · 'MINI~ul~,i " REPORTING ANALYSES REPORTING CONSTITUENT UNITS RESULTS LEVEL Benzene 'ug/g none detected 0.1 . Toluene uE/s none detected 0.1 Ethylbenzene uE/£ none detected ~0.!~ Isopropylbenzene u~/E none detected 0.1 p-Xylene uE/E none detected 0.i o-Xylene u£/E none detected 0.1 m-Xylene uE/E none.detected 0.1 EDB uE/E none detected 0.5 LABORATORIES ': I'ETIIOLL~-N J' J' ,Gl, IN, BEG~ CHSM. ENGI. MAIN OFI:ICE: 4100 PIERC~E ROAD, BAKERSFIELD, CA. S3308 PHONE 327..4B1'1 PURGEABLE ARONL~TICS AN;~Y$IS (s0iL) Chevron USA,'In¢. .. DATE OF 2 Annabel Lan~, Suite 200 REPORT: 23 September 19S5 San Ramon, CA 94583 .LAB No.: 15S02 S~PLE DE3CRIPTI~g: Chevron Station, California Ave. & Real Road, Bakersfield Middle Tank North End 2ft. DATE/TIME DATE~TIME S~LE DATE A~LYSI$ SAMPLE COLLECTED: RECEIVED ~ LAB. CO.,~LnTED. 11 Septemker 19~5 23 September 1985 TEST ~ETHOD~: Pur~eable Aromatics ~ EDB in Soil MINI!,Td!~: REPORTING A3~ALYSES REPORTING C~.~$TITUF2~ U~JITS RESULTS LEVEL Benzene u~/~ none detected 0.1 Toluene· uE/E none detected 0.1. Ethylbenzen~ uE/E none detected 0.1 Isopropylbenz~ne~ u~/E none detected 0.1 p-Xylene u~/g none detected 0.1 o-Xylene u£/E none detected 0.1 m-Xylene uE/g none detected 0.1 EDE u2/£' none detected 0.5 Office Memorandum · ~"" 'cou.z't 2ROM,~ ' Telephone . .... Kern County H.e~alth Department i ' Permi~t~iNumber A072 · Bakersfie'~d~"'CA~?--:~3305 "';.~ .~ :.:.., ~..,,:'~'~-. ( 805 861 ~3636 ~ ..... (. '~ ".~:'} ,~ '~, .;.CLOS~RE/ABANDONNENT OF UNDERGROUND ~ SUBSTANCE3 'STORACE/'~ACILITT it -Name-~tand :~Address er :.:iName t~and :Add.tess le:vl~on ~. Conditions as Follows: -'..~' - . ' " 1. Permittee mus~ obtain permit from Fire Department prior to initiating abandonment action. · 2. Abandonment must be per approved methods as described in permit· application and Fire Department Handout. ' 3' All procedures used must be in accordance with requirements of Standards and Guidelines developed for .~.?... ~'. : implementation of Eern .County Ordinance Code ~3941. ,A ..:~.. copy of these requirements are enclosed with this ~ermit. ..' 4. A minimum of four samples f~r each !0,000 ..gall.'~n ~ank at depths o~ 2' and 6' and' one-~nird.from the. end of each .. tank are to be retrieved,.. Two samples at 2 and '·6' ..,.L/:... depths directly under the center of the 4,0.OO gallon tank shall be sufficieht. Piping trench samples m. ust -be retrieved every 35 linear feet ~ pipe run. A~._. gasoline 'soil samples must be analyzed for benzene, toluene, 'xylene and EDB. " 5. A minimum of .two samples dire.ctely below the center' of ; the waste oil tank at depths of .apprOximately 2' and .6' mus.t be retrieved and sampled for oil,' grease extraction, · and lead. .--. 6. Advise this office of time and' date o~ .proposed sampling ,"~:'~..~:/.. .~: .. with 24 hours advance notice. . . .~./1~......,~...... . Accepted By . ~ ' Date Divisi0n~ of Environmental Health 'Application Da~ 1700 'Flower Street, Bakersfield, CA 93305 No. of T&~nks to be Abandoned APPLICATION FOR PERMIT FOR TEMPORARY OR PERMANENT HAZARDOUS SUBSTANCES STORAGE FACILIT~ A. Project Contact (name, area code, phone): Days ~,/~--F-F~j-.~2~ Nights Facility Name /'-/~'6~.i ~'~.~C ~_6~,/~-' Facility Address ~ 3 ¢-~ fY ~ ~-.~g. P--~o /3/y/f~.~.z~ Nearest Cross St. .~i4,~- T ,' R SEC' (Ru-~al LOcations Only)~,,~/~ Owner ~/~'~ ~)-f'~. ~,'-~ ' ' Telephone : 3 ~--~ ~-~7)~ 5~r~50~J Address ~f /~.~z~z~ ~-~-J~'-~ ~ ~.~,~/7-~'~'~'-~ Zip ~..~O~ Operator ~/.~.~c~.~.~ ~F~-~../, Telephone ~j' 3~o--/~¢ Address _~ ~"~./" ~-~ ~- -f>~-- /3~'~ ~'z-~ · Zip _~_? B. Water to Facility Provided by _r~,~F3~- "~" /~>~ ~ ~' '/-~ Depth to Ground~ter ~z<2~' Soil Characteristics at Facility ' ~f~.~.~.~?~,, . Basis for Soil Type and Gr6undwater Depth beterminations ~o.~-~,~:o-~.- ~.~z~<. C. Ta~Qk Remov~al ContractorJS 'zAg -- . 'c~ License No. 7/~F mmoreps /~J~-~M'F' - f'/~--c~Zip ¢~,~-Ox~-' Telephone ~ .P. ro,po~,e~_ S_tarting' ~ate ~/.~./~-. Propose~ Ccm~pl~etion Date - ~f ~ ~orKer s compensation Cer~ti~ication ~ Insurer ?/'~'/ · Environmental Assessm~or~ CA License No. Address ~._f Zip ' Telephone Propesed Starting Date ~/2~'//8~ ~roposed Completion Date Worker's Compensation cert'ifi~ion' '~ Insurer D. Chemical Composition of Materials Stored Tank ~ Chemical Stored. (non-commercial name) Dates Stored Chemical Previously Stored. , (if different) -- ~ "' to ' 3 ,., to ~.~ ..,,,'~..,,~ .E. Describe Method for Retrieving Samples .x~ji. S~amp~es Will be Analyzed for ~. /~/3.> ~-~.~ __-,-- ~ ...,..-.,..~ / -' ' ' ./iT/I~.f-~kz~z3 ' Telephone F. This application for: ~rem'oval or ~ * PLEASE PROVIDE INFORMATION REQUESTED ON REVERSE b~DE OF THIS SHEET BEFORE SUBMiTI~iNG .~PPLICAT£ON FOR REVIEW. This form has been completed under penalty of perjury and to the best of my knowledge i:~ true and correct.. ' Provide Description of ~'., .f~ical Layout of Facility Usir~[ ~pace Provided Below; Include All the Following Infomation: · _/L_ Location of.Tank(s), Piping & Dispenser(s) - ~ Proposed Sampling Locations Indicating Approximate Depth ~ of Samples - , ~ Nearest Street or Intersection . ~ Any Water Wells or Surface Waters Within 100 Radius of ~x~Facil ity . . . Approved By -c~e K' .N COUNTY HEALTH DEPARTMER PERMIT TO CONSTRUCT ~ER~iT #~80013B " UNDERGROUND STORAGE ~ACILIT! · FACILITY NAME AND ADDRESS': OWNER(S) NAME ~AND MAILING ADDRESS: Chevron Service Etation Chevron 'U.S.A..,' Inc. 3624 California Avenue 2 Annabel Lane, Ste. 200 Bakersfield, CA 93309 San Ramon, CA 94583 IXX'~ NEW BUSINESS I PERMIT EXPIRES :September 13~ 1986 I 't CHANGE OWNERS~. ', 1-~ RENEWAL · , , APPROVAL DATE September 13,_ 1985 [ ' ~ . '~t/ ~ OTHE8 ~ APPROVED BY ~ Ann Boyee POST THIS PERMIT ON PREMISES CONDITIONS AS FOLLOWS 1. All pertinent equipment and materials used in this construction are subject to identification and approv·al by the Permitting Authority prior to construction.· T~.is permit is issued contingent upon 'guaranteed compliance with the'guidelines as determined by the Permitting Authority. 2. ~ll construction to be as per facility plans approved :~y this department and ~.erified by inspection by Permitting ~u.~hority. ' 3. Permittee must contact Permitting Authority for on-site inspect: 3n(s) with 48 hours advance notice - a. A?_l ur,,derground metal ~r ~duct piping, fittings and connections ,~us% be ~rapped to. a mi~'~im.,~ 20-mi! thickness with corrosion-preventive, g~:~ol'ine-res~stan~' ta~0e or otherwise protected from corrosion. 5. .Ccns't~uction inspection record is included with permit given to Permi~ttee. This card must. be posted at jobsite prior to initial inspection. Permittee must ccn~ct ~ermitting Authority and arrange for each group of r~quired .inspections numbered as pe~ instrUctions on card. Generally, i ~spections will be made of: a. £anks and backfill b. Piping system with secondary containment c. ,.Overfill. protectCon and leak detection/mbnitoring d. Any other inspection deemed necessary by Permitting Authority 6. The followin~ equipment and materials must be i~entifie4y by manufacturer and model prior to their installation: a. Secondary containment of uhderground product piping wi%h Dlans 7. A-Il equipment and m'aterials in this construction must be installed in a~'cordance with all manufacturers' specifications. 8 No product shall be ~ ~ ~ . t .... ~_.~,d in tank(s) un%il aD.~roval is gran ed by Permitting Authority. 9. Contractor must be. c~r?..i-'~ed by tank manufactur:~r for installation cf f~Oerglass tanks o~' ~ '.~..:i~'~facturers' represen.tat~.ve ~ust be present at site during· instal.~a~c.-' :%0. '.~onitoring requireme~,,[~ ~'~-r' this facility witl be descr:bed on final "Permit .to Operate" · Division ot Environmental H~[~-i ADPlicatio]~ ~ 1700 Flower Street, Bakersfielo, CA 93305 · 'APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type o__f Application (check): ~New Facility ~]Modification of Facility I-]Existing Facility ~Transfer of Ownership A. · Emergency 24-Hour Contact (name, area code, phone): Days ~',~/~z';3 J-~ ~-~--/ ~F~3--32J-- · No. of Tanks ~F Type of BusineSs (check): ~Gasoline Station ~Other (describe) .. Is Tank(s) Located on an Agricultural Farm? ~Yes ~No Is Tank(s) Used Primarily for Agricultural Purposes? ~Yes [~ NO Facility Address _~ ¥ C~-~ ~- ,,f7~. ' Nearest Cross St. /~d ~'' T ~ R SEC (Rural Locations ~nly) Address jW.~ F ~-~ z. j~? z3,v',~'z~ Zip ~' ? 3~ 7' TelephOne . B.. Water to FacilitY Provided by ~-~&- ~--~-~' J-"~. Depth to'Groundwater Soil C~aractertstics' at Facility j-,~.~/ ' Basis for Soil Type and Groundwater D~pth Determinations '. /,~;~-~z~ C. Contractor .J~/~-~' ~'o,~/ CA Contractor's License NO. =/~ Proposed-Starting .Date F//~/F-/--~. Proposed Caupletion/~e Worker' s C~m~pensation Cert~ific~ation~ Insur~ / D. If This Permit Is For Modification Of An Exis~ting Facility, Briefly Describe Modifications ~.. Tank(s) Store (check all t~bat apply): Tank ! Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste F. Chemical Canpos.ition of Materials Stored (not necessary for ~otor vehicle fi]els) Tank [ Chemical Stored (non-co~mercial name) CAS ! (if known) Chemical Previously Stored (if different) G. Transfer of Ownership Date of ~-ansfer F/~//~. Previous, Owner~ Previous Facility Name I, accept fully all obligations of Permit No. issued to . I understand that the Permitting Authority may review and modify or terminate the transfer of the Permit to Operate this ~dergroteld storage facility upon receiving this completed form. This form has been c~mpleted under penalty of perjury and to'the best of my knowledge, is TANK .~' / (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: [-]Vaulted [-]Non-Vaulted uble'Wall. Dk~ingle-Wall 2. ~ Material ' [2]Carbon Steel [] Stainless Steel [-]Polyvinyl Chloride {-]Fiberglass-Clad Steel ~.'iberglass-Reinforced Plastic [] Concrete [-] Alt~ninum [] Bronze. [-]_Unknown [2]Other (describe) 3. Primary Containment ,~" Dat.~,IDst.al_.led Thic~in~s (Inches) Capacity (Gallons) ? Manufacturer 4. .T~ Secondary Contafr~n~nt ---~'~le-Watl [] Synthetic Liner ,=r'lLtned Vault [2]Other (describe): [2]Material 5. Tank Interior Lining ~r_l~r (describe}: 6. Tank Corrosion Protect [[]Tar or Asphalt' Cathodic Protection': ~Ione - Cur rent System /~r"~ Syst~n 7,. Leak Detection, Monitoring,, and Intercept. ion a. Tank: [2]Visual (vaulted tanks only) ~]Groundwater Monitorirg' well(s) [']Vadose Zone Monitoring Well(s) ~U-Tube Without Liner [[]U-Tube with Ccmpatible Liner Directing F10w to Monitoring Well(s)* [] vapor Detector*. [] L~iquid Level Sensora '[-] Conductivit~ Sensor* ~ Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrie-Tai & Inspection Fr~n. U-Tube, Monitoring Well or Annular Space [] ~aily Gauging & I_~entory Reconci,liattop [] P.~.riodic~. ~_ightness Testing b. Piping: ~.low-Restricting Le~k Detector(s) for Pressurized Pipi~x]' ~:4onitoring S~np with Race~ay [-]Sealed Concrete Race~y ~_]H~lf-Cut Cc~apatible Pipe Race~a¥ [-]Synt.hetic Liner Race~y ~'73nknown [] Other ~ · T~nx Repaired? [-~ Yes [-~ ~ln~,~ Describe Repairs " ' !0. Overfill Protection C]Op~rator Fills, Controls, & Visually Monitors ~vel o Tape Float Gauge ~loat Vent Valves [] Auto Shut- Off Controls Capacitance Sensor ~Sealed Fill Box ~None '~t~kno~n ther: . List Mak~ & Model For Above Devices a. Underground Pipirg: _~'~es [2114o ~Unknown' M~terial Tht~ckness (inches). ,~. ----~'Diamete'r ' j2/'- Manufacturer . [~Pressure l~.~udCion ~]Gravity 'ApprOximate Length of-'Pi~e ~ .ff~-,' ,~.~-- b. Underground Pipi{g. Corrosion Protection : [-]Galvanized []Fiberglass-Clad []Lmp~essed Current []Sacrificial Anode ~-]Polyethyle_n~Wrap []Electrical. Isolation [-].Vinyl Wrap []Tar or Asphalt c. Underground. P.iping, Secondary Contairraent: [-]Do~"~ble~-Wall ~S¥~n~hetic Liner System ~one l~Unk.no~¢. Facility Name . ~/'/~-~ --.' , .... ..- ( Permit No. ' TANK ,~" ~--- (FILL OUT SEPARATE FORM FOR EAc~ sE o., c .cK pRoP AT . BOX -S H. 1. Tank is: []Vaulted []Non-Vaulted ~Double-wall [2)~ingle-Wall 2.~ ~ Material [~carbon Ste~el []Stainless Steel F]Polyvinyl Chloride []Fiberglass-Clad Steel ~L-'ib~rglaso-Reinforc~ Plastic E] concrete [-~ Aluminum [] B~onze. [~Unknown 'FI Other (describe) .. 3. Primary Containment . Date ~nstalled Thic_kngss (Inches) Capacity (Gallons) 'i Manufacturer 4. Ta~k Secondary Conta~n~,ent .... ' O.t ~le-Wall [].Synthetic Linnet . [] Lined Vaul,t ...:.~_~..;~~ ...... .~'~='.,~,..,:~l~:::< ~:~:.,: .. 0 the r (d e sc r i be ): ..... ;-:..-,.:: ':J:~ ~f?-~'.:,;~i~; ~:~~-~.,,~,'~.~,'.~.:~:~'~!~t!::-. Ca~ic Protection~ ~ne ~pres~ rent ~ri~ Syst~ & Equi~ent: 7. Leak Detection, ~nitori~, and Interception a. Tank: ~Vis~l (vault~ t~ only) ~Gro~ter ~nitori~ ~(s)' ~Vadose Zone ~nitori~ ~ll(s) ~U-T~ Wi~out ~ner ~U-~ wi~ C~tible Liner Dir~ti~ Flow ~ Monitori~ ~l(s)* ~ Va~r ~t~tor* ~Liquid ~vel ~n~r' ~Cond~tivit~ ~ Pressure $e~3r in ~ular S~ce of ~uble Wail Tank ~Liquid ~ri~al & Ins~ction Fr~ U-T~, Monitori~ ~fl ~ily Ga~i~ & I~entory Reconciliation ~_Reri~i~ Tigh~e~ T~ti~ b. P!,ptrg: ~l~-P. estrictz~ ~ak ~tector(s) for Pressuriz~ Pipm~ · - ~'~nitori~ S~p with ~ce~y ~a!~ C~crete ~ce~y ~,~lf-Cut C~n~ible Pi~ ~ce.y SS~~c Li~-- 8. Tank ~'iahtne~s . ."',,....~(., L:. : --~";",'~.,,'.:~.' ....... '~;.--,~,~,',":"~'t~,~ ~:~.~, ,. , ~ri~ Re~irs 10. ~erfill Protection ~rator Fills, Controls, & Vi~lly ~nitors ~vel ~a~ Fl~t ~e ~Fl~t Vent Valv~ ~ Auto Shut- Off Controls ~citaP~e ~r ~al~ Fill ~x ~r~ne '~o~ ' ~Ot~er: ~f~.~/~/ 'c9~ ~-~ L~st ~ & ~el F~ ~e ~ices a. ~dergro~d Pipit: .~'~es ~ ~o~ ~terial ~/~~.~ ,. Thickne~ ( i~hes~ ~/~ Di~ete'r '2 ~< ~nufacturer / ~ressure ~.~ti%n ~Gravity ~r~i~te ~. b. Undergro~d Pfpi~ Corroston. Prot~tfon : ~lvanized ~Fi~rgl~ss~l~ .~e~s~ ~rent ~c~ifffcfa1 ~e ~Polye~yle~ Wrap ~Electrical I~lati~ ~Vinyl Wrap ~Tar or ~I~ c. U~ergro~ Pipit, '~eco~ary O~!~all OS~,thetic' Liner ~st~ ~ne TANK-~ ,3 (FILL OUT SEPARATE FORM FOR EACH TANK) H. 1. Tank is: [-]Vaulted [-]Non-Vaulted ~Double'Wall '~){ingle-Wall 2. ~ M~ter ial ~]carbon Steel [ri Stainless Steel [-]Poly~inyl Chloride i-]Fiberglass-Clad Steel r'ibergla'ss-Reinforced Plastic [']Concrete [-~Altmlinum [-]Bronze. ~U~nknown Other (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer ~other (aescribe). ~//~-z' ~ ........ - ....... --~rGalvantzed ~ass-Clad _~Pol~thylene Wrap ~Tar or Asphalt {~,~l~nown ~.~ ~ther (describe): Cathodic Protection': ~one r']Impressed Current System l'~Sa'cr"i'fictal ;%node System Descrike System & .Equilm~ent: 7. Leak Detection, Monitorincj, and Interce?tion '"' ~.. 'T~n~. ~--~isual (vaulted"t~nks only) ~]Groundwater Monitoring' Well(s) : ~]Vadose Zone Monitoring Well(s) ~U-Tube Without Liner. ~]U-Tube with Ccmpatible Liner. Directi~g Flow to Monitoring Well(s)* [] Vapor Detector* [] Liquid Level Sensor~ [] Conductivi.t~ Sensor' [] Pres.~ure Sensor in .Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Moni~orirg Well or Annular .Space ]~lnaily Gauging & Inventory Reconciliation [] Periodic Tightness Testing ~. ~qone -~Inknown ~ Other .~7/~-.~,~ L ~-~.~~-6~ _ b. Piping: J~rFlow-Restrtctirg Leak Detector(s) for Pressurized Pipirg'- ~Nonitarlr~j. St-up with Race,ray []Sealed Concrete Race%~ay [2]Flalf-Cut Compatible Pipe Rada~ay ~-qSynthetic Liner Race~ay ': ~'Unknowrt [] Other g. Tank Re~air De (s) of pa r(s) ,, ,, Describe Repa~ rs 10. Overfill Protection ...... ~Operator Fills, Controls, & Visually Monitors Level j~Tape Float Gauge ,~]Float Vent Valves [] Auto Shut- Off Controls ~Capaci~anCe Sensor ~ealed Fill ~x [~None '[2[Unknown UOther: ' L.t'st Make & M~del ?er Above Devices a. Underground Piping: ~ies [JNo [.[Unknown . MateiTal Thickness (lnchesX ~Diameter '2 '.f' Manufacturer [qPressure l~.o~ction ~]Gravity 'ApProximate LengLh of Pipe b. Underground Pipi,g Corrosion Protection : []Galvanized '[]Fiberglass-Clad []ImpreSsed Current [-]Sacrificial Anode. []Polyethylene Wrap []Electrical isolation [-]vi_.n~! wrap []Tar or Asphalt []Unknown [~4~ne [-]Other .(describe.): ' //~ ~ :' c. Undergrotw,'~ Piping, Secondary Conta{r~ent: .~Ooub!~-~-Wall [-]Sj/mthetic Liner System ~]~one TANK ~ __.~/.' (FILL OUT HEpARATE FORM FOR EACH TANK) 'FOR EACM SECTION, CHECK ~-~- APPROPRIATE BOXES H. '1. Tank is: [-]Vaulted [TqNon-Vaulted ~Double-Wall D~ingle-Wa!l 2. ~ Material [2] Jarbon Steel [] Stainless Steel D Pol~-~inyl Chloride. [] Fiberglass-Clad Steel ~-'iberglassiReinforced Plastic [~Concrete [-]Aluminum [-]Bronze._ ~unkn°wn []]Other (describe) 3. Primary Containment Date ;Installed Thicknes~s (Inches) Capacity (Gallons) Manufacturer 4. Ta~k~ Secondar¥ Conta if~n~-nt -' ~ - ~.~ootUble-Wall r-]synthetic Liner [-]Lined Vault ~None. her (describe): /~/,36',~ 6~/,/~-3 Manufacturer: ~[~"~4~,Fz~_.~ r'IMaterial Thickness (Inches) ~-~- .'Capacity (Gals,) .---~'~ubber [2]Alkyd. []Epoxy [2]Phenolic ,~C~!fss '~i'![]ClaY ...... 6. Tank Corrosion Protection '--~G~lvantzed -~fIL~ass-Clad DPolyethylene Wrap ~¥inyl Wrappi~ ~Tar or Asphalt .~J~._~?.~own ~one [2]Other (describe): Cathodic Protection'.- ~[~one ~Impressed Current Syste~ ~lSacrifi¢i~l Anode Syst~ Describ~ System & Equi~raent: 7. Leak Detection, Monitoring, and Interception '" a. Tank: []Visual (vaulted tanks only) [-~Grour~lw~ter Monitoring' W~ll(~) ~. F]Vadose Zone Monitoring ~ll(s) []U-Tube Without Liner [qU-Tube with Compatible Liner Directing Flow to ~onitoring l~ll(s)* [] Vapor Detector* [] Liquid Level Sensor~ [2] Conductivit~ Sensor* [] Pressure Sensor in ;~%nular Space of Double Wall Tank · [] Liquid ~triev~l & Inspection Fr~m [;-Tube, Monitoring Well or Annular SPace ~t'naily Gauging & Inventory Reconciliation [/Periodic Tightnes~ Testing b. ~f'p~~~_r~%r_~f?-~ Mat Detector(s) for Pressurized ~ntforing Sump with Race~y ~Sealed Concrete Race~y []Half<ut C~mpattble Pipe Race~ay [q Synthetic Liner Race~y ': ~dnknown [] Other *Describe Make & Model: 8. ~en ' Tightness Tested? [-~.Yes [2]No .~nknown ~/-~/,~. Date of. Last Tightness Test Results of Test Test Name ~esting Ccmpany 9. Tank ~ Tank Repaired? r-]Yes [-]No C~n kno ~n lQ. Ouerf|] ] Protection ..... [~0P~'aE-6'~-'~t/"~ Controls, & Visually Monitors Level []Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls B Capacitance Sensor ~Sealed Fill Box ~None [~Unknown - Other: . List Make & Model Far Above Devices a. Underground Pipit:j: [.]'tes l.Inkno~a ~teriat Thickness (Inches). te' ' Manufacturer [']Pressure l~..~uct'i~n D']Gravity Approximate Length of Pipe ~ b. Unde.rground Piping Corrosion Protection : [-]Galvanized I-]Fiberglass-Clad ['~Imp~e~sed Current []Sacrificial Anode polyethyle_ne~.Wrap [-]Electrical Isolation .Dvinyl wrap r~Tar or Asphalt nknown [~one ~ []Other (describe): c. Underground Piping, Secondary Contair~ent: ~ .. DDouble-Wall []Synthetic Liner b~'stem .~one ~,T~Unknown Yes No 6. Are Jacket subpumps and all line 'leak detector Red' accessible? Type of line leak detector if any ?. .Overfill containment box as specified on application? If "No", what type and model number: a) Is fill box'ttghtly'seale~ around fill tube? ~ b) Is access over water tight? c) Is product present in fill box? 8. Identify .type of monitoring: _~/p ~ 0K ~.c~ a) Are manual monitoring' instruments, product and water finding paste on premises? b) Is the fluid level in Owens-Corning liquid level monitoring reservoir and alarm panel in proper .,operating condition? c) Does the annular space or secondary containment liner leak detection system have self dia~nostic .capabilities? If "Yes", is it functional If "No", how is it tested for proper operating. condition? 9. Notes on any abnormal conditions: · Standard Comp~ignce Check Facility: ,, ~,- ~.~3 WO la,~ CT /~_~ Equipment to be installed: ".~ Tank(s) , ft. of ~suction ~pressurtzed piping Approved ~ .~.~ Primary Containment ~Fiberglass (FRP) Make & Model ~Fiberglass~clad steel Make & Model ~Unc. oated steel Make & Model ~Other: Make & Model " Comment: Addit ional: , "~'~-~ Secondary Containment of Tank(s) · . []Double-walled tank(s) Make & Model [-]SYnthetic 1.inet Make & Model ~]Lined concrete vault(s) Sealer used DOthe'r Type . Make & Model Comment. I ~~_ Additional: ' Secondary containment volume at least 100% of primary tank vol uae (s) Comment: · Additional: Secon'dary containment volume for more than one tank contains 150% of volume of largest primary containemnt o 1O% of aggregate primary volume, whichever is greater Comment: Additional: Secondary containment open to rainfall must accomodate 24 hour rainfall' Total Volume Comment: Additional: Secondary containment is product-compatible Pr oduct r)ocumenta t ion Comment: Additional: .Annular space liquid is comP.atible with product ' Pro~uc't A~lar liquid~ .......... Comment: Additional: Primary Containment of Piping [-]Coated steel piping Size & Make - ~Uncoated steel piping Size ~Other Comment: Additional: Secondary Containment of Piping ' ~Double-wall~d pipe Size & Make ~Synthetic .liner in trench Size & Make ' Additional :1 t ~ Corrosion Protection . . ~Piping i fi~ttnd~ ~,-~.., - ~Electrical,isolation Comment: · Additional: ' Manufacturar-Apploved Backfill for Tanks & Piping Type F~ ~~! Commen~: Additional: Tank(s) Located No Closer Than !0 Feet to Building(s) Comments: Additional: COmplete Monitoring System Monitoring device within secondary containment: ~Liquid level indicator,s) ~Liquid used ~Thermal conductivity sensor(s) ~Pressure sensor (s) ~ ~Vac.uum gauge ~Sump (s) ~Gas or vapor detector(s) ~Manual inspection & sampling ~Visual inspection · ~Other .~ ~7~ Comments: & Additional: Other Monitoring Periodic tightness testing Method -Pressure-reducing line leak detector(s)~~&~ Other Comment: Additional: Overfill Protection [']Tape float gauge(s) []Float vent valve(s) [-]Capacitance sensor (s) DHigh level alarm(s) ~]Automatic 'shut-off control(s) []Fill box(es) with 1 ft.3 volume []Operator controls with visual level monitoring Other Comment: Additional: M6nttoring Requirements Additi6'nal Comments Permit Application Checklist Facility Name ~3~t Facility Address Application Category: ~Standard Design ~otou Vehicle Fuel Exemption Design (Secondary 'Conta inment) (Non-Secondary Containment) Approved ~ Permit Application Form Properly Completed Deficiencies: 3 Copies of Plot'Plan Depicting: Property lines Area encompassed by minimum,100 foOt radius around tank(s) and piping ~-~ All tank(s) identified by a number and product to be stored ~---~ 'Adequate scale (minimum 1"=16'0" in detail,) /~ ~ --Z'~_ North arrow ~ ~.~ Ail structures within 50 foot radius of tank(s) and piping ~-~_~ ~ocat.ton and labeling of all product piping and dispenser islands Environmental s.ensitivity data including: *Depth to first groundwater at site *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping. *All utility lines within 25 feet.of tank(s) and piping (telephone, electrical, wa~er, sewage, gas, leach lines, seepage pits,.drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemption from Secondary containment Comments: ~pproved ' 3 C6pies of Construct. ion Drawings Depicting: .___~_~__ Side View o3 ~-~ 7~-~ai'lation wi'~h Backfill,-Raceway(s) , Secondary Containment and/or Leak Monitoring System in Place Top View of Tank Install'ation with Raceway(s), Secondary Containment and/or Leak Monitoring System in Place A Materials List ('i~d__ic.a,,t~ng 'those.used in the construction): Backfill Tank(s) ~'e-~" ~e-~ I(~. Product Piping -~" ~',~.I~-~-,LL~3,~ Raceway(s) Sealer(s) -~_.. ~ SecondarY_Containment ~-0 ~eak Detector (s) . ~_a~ ~-~-.~i~- ~.;~/_.,-- ~;;7 - _~-~_. Overfill Protection /J~ (;'as or Vapor Det'ector(s) Monit'oring Well(s) · ;~dditi'onal: Documentation of Product Performance Additional Comments Reviewed By Date SITE INSPECTION: Approved Disapproved Comments: Inspect'or Date 7117 ATS<3US,_~o ~,,~,.~:~.~r~'~"~ S~T!CN .;/~3' i~U~IONS: Pleam call for ~n ins~tor o~y Cn~ each ~roup of i~ti'oe~ ',. ~' n~r.' ~e r~y. .~y will ~ :n con~utive'order b~iD~4~, ~. _ ¢ ~%h n~ ~ ',?~ '~v~-' ..... "~-k~, .f~ ~ny n~r~ gro~ '~ti! ~! it.s in ~%-~.,= ~ gro~ are si~. off ~z.. ~=_ ::'=~ .... ~.~" 2'~%/i"'a~ ~refore~ent as~~t of ~d~.tlonal f~. .. ...... - . · _,~P~Iu,~ ~,A,.~ · ."q:.' i -!S~,--s_st ~rtl~cat.~ '. ',;- "a*'-'?".'~ .' :,.~;..'. ". .... '-¥" ,-- CT ~ KEkN COUNTY HEALTH DEPARTMI:NT - -'HEALTH PERMIT 3624 California Avenue Bakersfield: CA 93309 PAY BY JULY 31 TO AVOID PENALTY TYPE OF BUSINESS FEE BASIS FEE I~NALP~'HFANY) PAY THIS AN%OUNT UNDERGROUND STORAGE PRODUCT PIPING ., - O W N E R / S NEW BUSINESS CHANGE OWNERSHIP CHEVRON USA RENEWAL. ': ~ MAILING ADDRESS BLIND ' -. : CHARITY/TAX SuppORTED ~/2 Annabel Lane, Suit'e 200 ,~X Modification of an San Ramon, CA'. 94583 Existing Facility C0~T~T0~A~ - . PERMIT EXPIRES ~~3, December 1'3, 198,5'" [ NON-TRANSFERABLE PO'ST'ON PREMISES'-.'.[.''''~/-' DATE FEE PAID DATE APPROVED HEALTH OFFICER LEON Nt HEBERTSON. M.D~ ' -. . APPLICATION INSPECTION -' '~-' [] CONDITIONAL APPROVAL DATE 12/13/84 DBA Chevron Service ~ation t19-9615 r-]APPROVED · DATE. ' ADDRESS 3624 Califo] Avenue CONDITIONS AS FOLLOWS :~ ' 1. All construction to be as per facil: this and verified 'by. inspection by Permittin 2, Permittee must contact Permittin ins with 48 hours adVance notice' 3. Backfill material for ~tions. 4. On-site inspections AuthorJ a. Pip~_ng. pipi_ng racewa' b. Any o~her inspection Permi necessary; NOTE: This conditional onl' of an existing facilit' the of and it ,nitoring sump -with new rac . RECEIVED BY COUNTY HEALTH OFFICER BY ,~ECTIOr'.J 3R03 FIIINC, OF AP'PLJCATtO'N FOP PURLIC HEALTH PEPMIT nc("TI~,] '~q7 ~!~-;":c ~: -:-., Fee -~.c'J,'e."J b,! this Division FILE CONTENTS SUMMARY PERMIT ~: /~0/,~ ENV. SENSITIVITY: Activity Date · Of Tanks Comments