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UNDERGROUND TANK FILE #2
Hazardous Materials/Hazardous Waste Unified Permit ~'" CONDITIONS OF .PERMIT ON~.REVERSE SIDE This imrmit is issued for the followinq: [] Hn~rdous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-000414 [] Risk Management Program FASTRIP FOOD STORE #6 [] ,--,rdo,, W, to o,'s,~. Troat,,.t LOCATION: 1640 S CHESTER AVE . - ,-- . TANK HAZARDOUS"SOB~A.I)I(E' ~, CA?~.~,,~,~ ~.¢~'~- DISPEN$~A~.~tVIONITORING ?'." 015-000-000414-0001 UNLEADED GASQEINE'~=~¢.? "'~'~'~~ ~,~.ECH. SHU'P~ .SHEAR VAL. UNLEADED PLUS~A~OLINE ,~, ...... :~ ~.~09 7~LOA~T ME'~-,~.,SHUTS ~' SH..~.~R VAL. ' : 015-000-000414-0002 ' 015-000-000414-0003 PREMIUM'UNLE~DE? · ~j :~ ::.~.[~ ~LOAT.MECF!!~HUT~C~F SH'~E~RVAL.. . .. 015-000-000414-0004 DIESEL ~':" ~ ,;~ ~; ,~' :::~-'~ ~2Q~:~~SttI, UT~ OFF SHEAR VAL. OFFICE OF ENVIR ONME. NTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: ·· Bakersfield, CA 93301 OmceofEvirommn~Serviees Voice (661) 326-3979 FAX (661) 326-0576 ExpiradonDate: ~[,In~ ~O; ~OO~ Permit: 1:o Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ~,,=.~?~.~?.~,.,~.~,~,~,,,,,,,:~,,, .......... This permit is issued for the following: Materials Plan FASTRIP FOOD STORE #6 /?~/'~?: Waste 0001 UNLEADED GASOLINE 12,00Og0~GAL '?'. ...... ~: '0~?:. FCS CLM?' ATG~ DW ~F PRESSURE CLM 0002 UNLEADED PLUS GASOLINE 12,000:~'~0:: :GAL '"~;~:;~:;:',. ':'==~W'~" ECS GE~' :,,~t'~TG DW F PRESSURE CEe 0003 PREMIUM UNLEADED 12 000.0~ ::'G~L ~;;?~?~?::;::;:~ DW F t ~~ B~crs"eld ~c DePa"mcnt Approv~ by: ~~~~' 1715 Chewer Ave., 3rd Floor B~ersfiel~ CA 93301 g Voice (805) 32&3979 F~ (805)326-0576 Expiration Date: ~Un~ ~O~ ~OOO City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter thc following information in the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: FASTRIP FOOD STORE #6 Permit #015-021-000414 1640 S Chester Ave Bakersfield, California 93304 CITY KERSFIELD FIRE DEPA T FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA · 93301 R.E. HUEY RB. TOBIAS, HAZ-MAT COORDINATOR FIRE MARSHAL (805) 326-3979 (805) 326-3951 December 11, 1995 Dear Underground Storage Tank Owner: Enclosed is your updated Permit to Operate for the underground storage tank(s) located at the referenced place of business. Please take a moment to review the information printed on the permit to make sure everything is correct. If any corrections need to be .made, please call the discrepancies to our attention immediately. Your Permit to Operate is a legal document and its accuracy determines whether you are in compliance with the law, If you are the tank owner and not necessarily the tank operator at the site, please make a copy of this permit for your own files. Forward the original permit to the tank location so that it may be conspicuously posted on site. If you have any questions regarding the Permit to Operate or your responsibilities as an underground storage tank owner, please call the Office of Environmental Services at (805) 326-3979, or write to us at the' letterhead address. Sincerely, ~alph E. Huey Hazardous Materials Coordinator Enclosure erm t to erate Underground Hazardous Materials Storage Facility C 0 N D I TI 0 NS~,O F !',~, PE RMi T.'~]!..0NiR:E V E R S E S ID E Tank Hazardous G~ii6~?:!::?:?:i?:ilii? .... Ye:~ii~i;;i!ii::::::.::::. :i~i?~::Tank ':::i::ilTa~i~i~ii:.iii':iiiili~:!!~;~: Piping Piping Piping N0mber Substance caP:a:~i~%.:'i:::~ In'~'i"~ii:~i~i:~::::'::::.. i:il.;~Type Moiiit~firig:;~':'::?~ Type Method Monitoring 01 UNLEADED :!!i~:'2ii~i ::~?' ':~; ~:::;:::.:~::g~t;:~:~ ~ ~ t~~ ~CS .... :::::::::::::::?: :::: :::~:. DWF PRESSURE ALD 02 UNLADED PLUS ~12',000~::~ ....... ::;:::::'-.::::'i:~?~:~::~::~:?:FCS::~:~':~:':~::::~:::~:.:~ ..... C~:?:~::: :~::::~?~DWF PRESSURE ALD 03 UL PREMIUM ~?~:i.2;O~.0 ?:~: :?::':'::.'i'995':~"?.?:.:~??GS~t::?.~;::::;~::~:~:..:.:...::':~:'~::: C~ ~: ::~:::::~DWF PRESSURE ALD 04 DIESEL :~1:2~;O00 :~':~: C~M;~.... ::::::::::::::::::::::: PRESSURE ALD ~C-:..'.:~:.:~....... ,::~: 7:.:::...:: .. :.:.:.??:~;~:.:.:.?:...:.:.:...:.:.:.:.:.:.:.:..:.:~:~;::~?::~:~ ........... ;~:~.:::::::?~:'..,.. :.?::?:' :~:": )~.:.. ?.:..-:::~:~. '..:.;;::.: :~...:::.:...: ?:. .. .... :.:. .? '... ?? · .~...-:'.::::. ===================== ............. -:. ~: . ' ..... .. ..... . ..:.'~ ... ~::Condit~ons~:.subl:ect to change'm:regulat~ons?' Issued By: ........ ~;.:.:::.. ============================ ,:?::' ~t~?: ~?~ ?:?~::~::;...:?::~:: ..:::-::-:?;':~ ~ ~?:: Issued To: '":::::~.;'..," ..' ''-::¥.,....: ':::~::::.::::: :~:~. ":::::': :'.'.t......,:.:'::' :': ) ~ ?..~:::::::" ~aAc~sfi~]d ~i~e Dept. '"'::":~:%:.:~;:~:;~:::]: ,:~::~ :::. :?::~.:;::..:~:?~::~ ...........FASTRIP FOOD STORE HAZARDOUS MATERIALS DIVISION ............ 1640 SOUTH CHESTER AVENUI 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 BAKERSFIELD, CA 93304 (805) 326-3979 Approved by: ~ 07-06-95 07-06-01 (R~lp ~'~~~ Materials Coordinator Valid Ir om: to: f EMERGENCY CONTACT LIST POS T NEAR TELEPHONE FACILITY: ~ . ~"(:,'~. FACILITY ADDRESS: FACILITY PHONE: ~'0'~ - EMERGENCY SERVICES FIRE DEPARTMENT-POLICE-MEDICAL SERVICES DIAL 911 LOCATION OF NEAREST HOSPITAL GASOLINE OPERATIONS 24 HOUR EMERGENCY PHONE (805) 393-7000 Location or Emerqency Response Equip~nent: FIRST AID KIT: ,'% CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] FACILITY NAME NA~ OF BUS,SS SIC CODE OWNER/OPERATOR ['{O~,,,. '-'~O'~,,. PHONE ..~'O~'- ~c17- fi'l~O~ MAILING ADDRESS I(~t'"[O. %,. Ckte~-~¥- CITY ~3~, ~--tws~ ~ e/~ STATE C~.. Z~ q'xo~ ~ EMERGENCY CONTACTS Pag~ t of' CltEM_ICAL DESCRIPTION 1 ) INVENTORY STATUS: New [ ] Addition [~J Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret~"] Trade Secret [ ] Chemi~S~e: AH~[ I CAS#. 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [~ Reactive [ ] Sudden Releaise of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [~l 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid[ I Liquid[~ Gas[ ] Pure~l lVlixture[ ] Waste[ ] Radioactive[ ] 7) AMOUNT AND T1ME AT FACII.ITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount ~ Lbs [ l Gal [~ fl3 [ ] a) Containm O I Average Daily Amount 6(~ Curies [ ] b) Pressure: Annual Amount t~_ 'l.~"Oc~ c) Temperature Largest Size Container ! Days 01~ Site Circle Which Months: ~I, F, M, A, M, I, I, A, S, O, lq, D 9) MIXTURE: List COMPONENT CAS// % WI' AI-IM the three most hazardous 1) [ ] chemical components or 2) [ ] any AHM components 3) [ ] 10)LOCATI_ON .. 1) tNVENTORY STATUS: New [ ] Addition [~Revision [ ] Deletion [ ] Check ii'chemical is a NON Trade Secret'l~r] Trade Secret [ ] Chemical Name: AI-IM [ ] CAS # ~ 4) Physical & Health PHYSICAL ~TH Hazard Categories Fire [~q Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [~] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid ~)~] Gas [ ] Pure [~ Mixture [ ] Waste [ ] Radioactive [ 7) AMOUNT AND TIME AT FACII. rI'Y UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount -/'~)1~ Lbs [ ] Gal ~ ft3 [ ] a) Container: O I Average Daily Amount DoOC)O Curies [ ] b) Pressure: Annual Amount ci'~O, 0CO c) Temperature Largest Size Container # Days on Site ~(~c~ Circle Whch Months: ~I(~~ J, F, M, A, M, J, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WT AI-tlvl the three most hazardous 1) [ ] chemical components or 2) ' [ ] any AHM components 3) [ ] 10)LOCATION t ~ ,'y under penalty of law, that I have personally examined and am familiar with~l~ae information on tiffs and all attached documents. I believe the submitted information is true, accurate and complete. PRINT Name & Title of Authorized Company Repres~mtative Signature Date Business Name F~¥'~tg% ~'~q_ Address ~KO ~ C~e~e~ Page ' C~EMIC~ DESC~ON I)~ORYSTA~S:New[ ]Ad~tion~Re~sion[ ]~lefion[ ] Checkifche~isaNONTradeS~et~T~S~t[ 4) Physi~l & H~ P~SIC~ H~d Categories Fke ~ R~cfive [ ] Sudd~ Rel~ of~e~e [ ] ~e~ate H~ (Acute) [ ] ~lay~ H~ 5) WAS~ C~SSWICA~ON (3~t c~e ~om DHS Fo~ 8022) USE CODE 6) P~SIC~STA~ Solid[ ] Liquid~ G~[ ] ~e[ ] ~e[ ] W~e[ ] ~cfive 7) ~O~ ~ ~ AT FAC~ ~S OF ~~ 8) STOOGE CODES M~xim~ D~ly~o~t ~ Lbs [ ] ~1 ~] ~3 [ ] a) Con~: Av~ge D~ly~o~t ~ C~ [ ] b) ~es~e: ~1 ~o~t ~ c) T~a~e ~gest S~e Con~ Days on Site ~ C~le ~ch Monks: ~, F, ~ & M, ~, J, & S, O, N, D 9) ~~: List CO~~ C~ ~e ~ee most h~do~ 1) ch~ical compacts or 2) ~y ~ com~n~ 3) 10)L~A~ON 1) ~ORY STA~S: New [ ] Ad~on [ ] Re,sion [ ] ~lefion [ ] Check ifch~ is a NON Trade S~ct [. ] Tm~ Chem~lN~e: ~ [ ] CAS $ 4) Physi~l & H~I~ P~SIC~ H~d Categories Fire [~ R~cfive [ } Suddm Rel~ ofPressme [ ] ~ediate H~I~ (Acute) [ ] ~lay~ H~ (CNoNc) 5) WAS~ C~SS~CA~ON (34i~t ~e from D~ Fora 8022) USE CODE ' 6) P~SIC~ STA~ Solid [ ] Liq~d~ G~ [ ] ~e[ 1 ~e [ ] W~te[ ] ~&mcfive 7) ~O~ ~ ~ AT FAC~ ~S OF ~S~ 8) STONGE CODES M~m Daily ~o~t ~g~ Lbs [ l G~ ~ fl3 [ ] a) Con~: ~ I Av~age Daily ~o~t ~O Crees [ ] b) ~essme: ~1 Amour ~O c) Tem~ra~e L~gest Size Con~in~ Days on Site ~ ~ Ckcle ~ch Monks: ~ J, F, M, A, M, J, J, A, S, O, N, D 9) ~~: List CO~O~ CAS~ ~e ~ee most ~dous 1) chemi~l com~n~ or 2) ~y ~ com~nmB 3) . . IO)L~A~ON . ~ .... t~ ~de~Ity of I~ ~t [ have ~mnall3 e~ ~d m f~li~ ~m me ~o~hon on ~s ~d ~lieve ~e submitted ~omafion is ~e, acc~ate ~d complete. PRINT Nmme & Title of Authorized Company Representative Signature Date FASTRIP 562 I SITE MAP [] ENTRANCE STORE GAS ISLAND ~:': MING ENTRANCE " / r ENTRANCE PARKING LOT UNDER GROUND STORAGE TANKS ENTRANCE ENTRANCE APPROX. 100FT NORTH OF THIS POINT CHESTER AVE E SHUT OFF: N ~ S ", r...L-r---%~ I r~l%.~ ' ~'.. ~..~.~'~: .... · '. '-, .' ~' .'~ ..~.....~-.~.,.-.~.~:*-. ' W 5- UNDER'GROUND STORAGE TANK MONITOR WRYI~;N MONITORING PROC(I~'UR~$ ,. UNDERGROUND STORAGE TANK MONITORING PROGRAM "' This monlwriag program must b(: kept at tl~ UST location at all tiaza. 'I~ ixtfiarm~?_'on on thl. ~ pro,ram a~ conditions of the operating pcrmit Th~ permit holdex must tit;,&'.,,, th~ 0~ of Em'il~lmmltal Scrvic~ within 30 day~ of axly changt~ tO th~ monitoring procegMre~ tmlesa requited to obtain approval befia~ making tho change. Required by Sccfioms 2632(d) and 2641(h) CCR. Facility Address . ~(~c~0 \ ~ Ck-es{-¢~- ~o,k~'r%-~le[l_ (/~ c)3-30t~ A. Describe the frequency of performing the monitoring: I Piping ~'3~,, \ ~ What m~Jaods and equipment, identified by name and modal, will be us~ for p(a-fomm$: the monitoring: C. Describe the location(s) where the monitoring will be performed (facility plot plma should be attached): , D. List the name(s) and title(s) of the people responsible for performing the monitoriag and/or maintaining the equipment: E. Reportin~ Format for monitoring: F. Describe the prevemive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance ~vith the tnannfactur~r's m,a~ntenm~ee sehedui, but not less than every 12 months. .lff~,a<\ G. Describe the training necessary for the op, eration of UST system, including piping, and the . monitoring equipment: [ERGENCY RESPONSE t ... UNDERGROUND STORAGE TANK MONITORING PROGR~t~t~, " This monitori.ag program must be k~pt at the UST location at all times. The in. formation on this moaitoriii§ ~ .... ~.' program are corditior~ of de operating permit. The permit holder must notify the Office of Em~mnm~nt~51 Service~ within 30 days of any chang~ to the monitoring procedures, tmless reqttlred to ol3~aln alaprm, ai making the change. Required Dy. Sections 2632(d) and 264 l(h) CCR. Facility Name ..~'c~-¥}2tc~ ~{~2. ~:" 'i Facility Address 16~O_%. C~h~-t.-{~' ~,.kcrs~t,-[A. .c'A ~} ~o~ :. 1. If an unauthorized release occurs, how will the haTardous substance be clegned, · . :: If released hazardous substances reach the environment, increase the fire or explos~,on '.. · : hazard, are not cleaned up from the secondary containment within 8 hours, or detenora{~8' the seconda~ containment, then the Office of Environmental Services must be hotified ~,., .... within 24 hours· %¢,t o.~.¢l,.rg[hq ~. ~, ~ "" - .i. ~ . .I: 2. Describe the proposed methods and equipment to be used for removing and properly ii.~ disposing of any hazardous substance. %e~ ,x~T~k, ~[ ~, t ~'~ ' i:.¢ : !. 3 Describe the location and availabil/ty of' the required-cleanup equipment in item 2 ~:/?: *.I', : · ; :'"".'.t 4. Describe the maintenance schedule for the cleanup equipment: /~0/~. . 5 ,t.':,3: :: c'.'i ' h' ??.', ' 5 List ~e name(s) and title(s) of the person(s)responsible for authorizing any work necessary under the response plan: ~v~, k.~.ql',/ [ I_~ec.se Ooo'a. ln,- '. i~. .;. -,' :. · ;: ' ' .'['t.?tr..~.D'["i:~,~q:.,5 ': b'.:'. ',~ . '."."" '~ 7' .... ,'I~' .... :.'." .' ~ . .:: ..~ · . .....-o -' .... , ..... ~--..-,--~ FASTR[ FOOD STORE #~T 215-000 ']624 ~g~i!: <E> Mitigation/Prevent/Abatemt ~Release Prevention i . ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT DOWN CONTROLS . GASOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY ~ i" 2.ISLAND ARE AS FOLLOWS. . 'I.,~ A):IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL SPILL -i~OS~ :.' B)":~F A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FiLL TANK, RESULTI~i ..,JSUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL FiRE ''"-iCALL DISTRICT MGR, CLEAR THE GAS ISLAND. .~i:l· 'c) IF VEHICLE D GE TO ONE PU P RESULTS IN a LEAK - DO N '.':PUMP ONLY HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. '~ D} IF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN THE ENTIRE GAS igL~D ' 2>'.Release Containment · UNDERGROUND STORAGE TANKS 3>~ ean Up 'i~L~'~'EMPLOYEES SHOULD BE AWARE OF THE LOCATION OF EMERGENCY AND SHUT · :CONTROLS FOR GASOLINE EQUIPMENT. : IF'A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A SMALL sPILL ' ABSORBANT MATERIAL TO SOAK UP SPILL AND STORE IN AN APPROVED CONTAI~ BEiPICKED UP BY A HAZARDOUS WASTE DISPOSER. :...?, IF."~ CUSTOMER DRIVES OFF WITH A GAS NOZZLE IN THE CAR FILL TANK, iN k SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN THE ENTIRE SYSTEM, cALLIi' MAnaGER AND CLEAR THE GAS ISLAND OF ANY VEHICLES OR PEOPLE. ' ~: IF.VEHiCLE D32qAGE TO ONE PUMP RESULTS IN A LEAK '- SHUT DOWN POWER TO PUMP ONLY, FOLLOW SAME CLEAN UP PROCEDURES AS FOR SPILL AND CALL YoUR iiIP:'kN ADJACENT BUSINESS/BUILDING IS ON FIRE, SHUT DOWN THE ENTIRE GAS ~,EMERGENCY, CONTROL SHUT-OFF; FIRE DEPARTMENT WILL ADVISE WHEN TO RESL~E E~CH STORE SHOULD HAVE A LISTING OF EMERGENCY CONTACT TELEPHONE NUMBERS ~ EXXON REGULAR CARB PHASE II E~ON COMPANY. USA. .v,s,o. or ~xxo. CO~'O.aT,O. DATE ISSUED: O1/24/97 SUPERSEDES DATE: O9/11/95 MATERIAL SAFETY DATA SHEET EXXON COMPANY. U.S.A. P.O. BOX 2180 HOUSTON. TX 77252-2180 A. IDENTIFICATION AND EMERGENCY INFORMATION PRODUCT NAME PRODUCT CODE EXXON REGULAR CARB PHASE II 000019 - 62300 This Material Safety Data Sheet is valid for all EXXON UNLEADED REGULAR and UNLEADED REGULAR Reformulated Gasolines and CARB Phase I[ Gasolines. PRODUCT CATEGORY Reformulated Motor Gasoline - Certified under Simple Model Standards Contains minimum 1.5 wetght % oxygen PRODUCT APPEARANCE AND ODOR Clear colored lioutd (typically orange) Gasoline hydrocarbon odor MEOICAL EMERGENCY TELEPHONE NUMBER (713) 656-3424 COMPONENTS AND HAZARD INFORMATION CAS NO. OF APPROXIMATE IMPONENTS COMPONENTS CONCENTRATION Product is a variable comolex mixture of components, principally hydrocarbons, blended to performance, rather than cnemlcal specifications and typically contains the following: Naphtha (petroleum). light catalytic 64741-55-5 cracked Naphtha (oetroleum), heavy catalytic 64741-54-4 cracked Naphtha (oetroleum). full-range 68919-37-9 reformed NaPhtha (Petroleum). full-range 64741-64-6 . , alkylate NaPmtna (petroleum). sweetened 64741-87-3 Butane 106-97-8 Proprietary aOdittves Proprietary ' It may include varying amounts of the following identifiable components: Benzene 71-43-2 O-1.3% Cumene 98-82-8 0-1% Cyclohexane 110-82-7 0-1% Etnylbenzene 100-41-4 0-3% Naonthalene 91-20-3 · O-1% n-Hexane 110-54-3 0-3% Toluene 108-88-3 0-20% Xylene 1330-20-7 0-10% It may also include varying amounts of oxygenates Such as the Following: Oi-isoorooyl ether 108-20-3 O-18% Ethanol 64-17-5 0-10% Etnyl-tert~acy-butyl ether 637-92-3 O-18.5% Methyl-reft iary-Dutyl ether 163~-04-4 0-16% Tertiary-amyl-metnyl-etner 994-05-8 0-18.5% Tn~s product, as manufactured by Exxon. OPes not contain polycnlortnateO EXXON REGULAR CARB PHASE II D. FIRE AND EXPLOSION HAZARD INFORMATION UNUSUAL FIRE AND EXPLOSION HAZARD EXTREMELY FLAMMABLE VAPORS CAN TRAVEL AND EXPLOOE FLASH POINT (MINIMUM) AUTOIGN[TION TEMPERATURE FLAMMABLE - Per DOT 49 CFR 173.120 Approximately -38'C (-36°F) Approximately 456'C (853'F) National Fire Protection Association's Guide on Hazardous Materials NATIONAL FIRE PROTECT[ON ASSOCIATION (NFPA) - HAZARD IDENT[F[CATION Health Flammability Reactivity BASIS 1 3 O Recommended by the National Fire Protection Association HANDLING PRECAUTIONS This liquid is volattle and gives off lnvlstble vapors. Either the 11qutd Or vapor may settle tn low areas or travel some distance along the ground or surface to tgnltton sources where they may tgnlte or explode. Keep product away from ignition sources, such as heat, sparks, pilot lightS, static electricity, and open flames. FLAMMABLE OR EXPLOSIVE LIMITS (APPROXIMATE PERCENT BY VOLUME IN AIR) Estimated values: Lower Flammable Limit 1.4% UPper Flammable Limit 7.6% EXTINGUISHING MEDIA AND FIRE FIGHTING PROCEDURES Foam. water spray (Fog), dry chemical, carbon dioxide and vaporizing liquid type extinguishing agents may all be suitable for extinguishing fires involving this type of product, depending on size or potential size of fire anq circumstances related to the situation. Plan Fire protection and response strategy through consultation with local fire protection authorities or appropriate specialists. The Following procedures for this type of product are based on the recommendations in the National Fire Protection ASSOCiation's "Fire Protection Guiqe on Hazardous Materials", Tenth Edition (lPg1): Use dry chemical, foam or carbon dioxide to extinguish the Fire. "Water may be ineffective", but water ShOuld De used to keep fire-exposed containers cool. If a leak or spill has ignited, use water spray to disperse the vapors and to protect persons attempting to stop a leak. Water spray may be used to Flush spills away from exposures. Minimize breathing of gases, vapor, fumes or Oecompositton products. Use supplied-air breathing equipment for enclosed or confined spaces or as otherwise needed. NOTE: The inclusion of the phrase "water may be ineffective" is'to indicate that although water can be used to cool and protect exposed material, water may not extinguish the Fire unless used under Favorable conditions by experienced Fire Fighters trained in Fighting all types of Flammable liquid Fires. DECOMPOSIT[0N PRODUCTS UNOER FIRE CONDITIONS Fumes. smoke, Carbon monoxide, sulfur oxides, aldehydes and other decomposition products, in the case of incomplete comPustion. "EMPTY" CONTAINER WARNING "Empty" containers retain residue (liquid and/or vapor) and can be dangerous. D0 NOT PRESSURIZE. CUT, WELD, BRAZE. SOLDER, DRILL, GRIND OR EXPOSE SUCH CONTAINERS TO HEAT. FLAME, SPARKS. STATIC ELECTRICITY, OR OTHER SOURCES OF [GNIT[0N; THEY MAY EXPLODE AND CAUSE INJURY OR DEATH. DO not attempt to clean since residue is difficult to remove. "Empty" drums snould be completely drained, properly bunged and Promptly returned to a drum reconditioner. All other contai.ne~s ShOUld be disposed of in an environmentally safe manner and in accordance with governmental regulations. For work on tanks refer to Occupational Safety and Health AOministration regulations, ANSI Z49.1, and Other governmental and industrial references pertaining to cleaning, rebairing, welding, or other contemplated operations. );~.~::-:¥~.::: DATE ISSUE0: O1/24/97 PAGE: 3 SUPERSEDES 0ATE: 09/11/95 EXXON REGULAR CA HAsE II body weight, eno an acute dermal LDSO (raDDtt) greater than 3.16 g/Kg of body weight. Inhalation of components of exhaust from burning, such as Carbon monoxide, may cause death at high concentrations. Exposure to the exhaust of this fuel ShOUld be minimized. PRE-EXISTING MEDICAL CONDITIONS WHICH MAY BE AGGRAVATED BY EXPOSURE Benzene - Individuals wit~,.liver disease may be more susceptible to toxic effects. Hexane -IndiviOuals with neurological disease should avoid exposure. Petroleum Solvents/Petroleum Hydrocarbons - Skin contact may aggravate an existing dermatitis. F. PHYSICAL DATA The following data are approximate or tyolcal values and should not be used for precise destgn purposes. BOILING RANGE VAPOR PRESSURE Approximately 21'C (70'F) IBP Varies seasonally from to 225'C (437'F) FBP approximately 5 to 15 Reid Vapor Pressure SPECIFIC GRAVITY (15.6'C/15.6'C) VAPOR DENSITY (AIR = 1) Approximately 0.74 Approximately 5 MOLECULAR WEIGHT PERCENT VOLATILE BY VOLUME Complex mixture, components vary 100 from approximately 45 to 185 EVAPORATION RATE e 1 ATM. AND 25'C (77'F) (n-BUTYL ACETATE = 1) Essentially neutral Approximately 10-11 SOLUBILITY IN WATER ~ 1 ATM. POUR, CONGEALING OR MELTING POINT AND 25'C (77'F) Less than -38'C (-36'F) Negligible; less than O.-1% POUr Point by ASTM O 97 VISCOSITY Approximately 0.5 cst ~ 25'C G. REACTIVITY This product ts stable and will not react violently with water. Hazardous o polymerization will not OCCUr. Avoid contact with strong oxidants such as liquid chlorine, concentrated oxygen, sodium hyPochlorite, calcium hyoochlorite, etc.. as this presents a serious explosion hazard. H. ENVIRONMENTAL INFORMATION CLEAN WATER ACT / OIL POLLUTION ACT This product may De classified as an oil under Section 311 of the Clean Water Act. and under the 0il Pollution Act. Discharges or spills into or leading to surface waters that cause a sheen must be reported to the National Response Center (1-8OO-424-8802). STEPS TO 8E TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Snut off ano eliminate all ignition sources. Keep people away. Recover free prOOuCt. Add sano. earth or other suitable absorbent to spill area. Minimize breathing vapors. MinimiZe skin contact. Ventilate confined spaces. 0Den all windows and doors. Keep product out of sewers and watercourses by diking or tmPounOing. AOvise authorities if product has entereO or may enter sewers. ~-;s .~:':'~w-c::' DATE ISSUED: O1/24/97 PAGE: 5 SUPERSEDES DATE: O9/11/95 EXXON REGULAR CARB PHASE For use as a motor Fuel only. Do not use as a cleaning solvent, or thinner, or for other non-motor Fuel uses. Do not siphon by mouth. Minute amounts of 11quid gasoline aspirated into the lungs may cause potentially Fatal chemical pneumonltls. In order to Prevent fire or explosion hazards, use aoorooriate equipment. Information on electrlca~ equi0ment a0oroorlate for use with this product may De Found in the latest edition of the National Electrical Code (NFPA-70). This document is available from the National Fire Protection Association, Batterymarch Park, Quincy, Massachusetts 02269. PERSONAL HYGIENE Minimize breathing vapor or mist. Avoid prolonged or repeated contact with skin. Remove contaminated clothing; launder or dry-clean before re-use. Remove contaminated shoes and thoroughly clean and dry before re-use. Cleanse skin thoroughly after contact, before breaks and meals, and at end of work perlod. Product is readily removed From skin by waterless hand cleaners Followed DY washing thoroughly wtth soap and water. J. TRANSPORTATION AND OSHA RELATED LABEL INFORMATION TRANSPORTATION INCIDENT INFORMATION For Further information relative to spills resulting from transportation incidents, refer to latest Department of Transportation Emergency Response Guidebook For Hazardous Materials Incidents. U-S. DOT HAZARDOUS MATERIALS SHIPPING DESCRIPTION Gasoline. 3. UN 1203, II )SMA REQUIRED LABEL INFORMATION In compliance with hazard and right-to-know requirements, where aPolicable OSHA Hazard Warnings may be Founq on the label, bill of lading or invoice accompanying this shipment. DANGER! EXTREMELY FLAMMABLE LONG-TERM, REPEATE0 EXPOSURE MAY CAUSE CANCER, BLOOD AND NERVOUS SYSTEM DAMAGE CONTAINS: BENZENE Note: Product label may contain non-OSHA related information also. The information and recommendations contained herein are, to the best of Exxon's knowledge and belief, accurate and reliable as of the date issued. Exxon does not warrant or guarantee their accuracy or reliability, and Exxon shall not be liable For any loss or damage arising out of the use thereof. The information and recorrmendattons are offered for the user's consideration and examination, and it is the user's resoonsibility to satisfy itself that they are suitable and complete For its Particular use. IF buyer repackages this oroduct, legal counse] should be consulted to insure prober health, safetY other necessary information is included on the container. The Environrnenta] Information included under Section H hereof as well as the Hazardous Materials Identification System (HMIS) and National Fire Protection Association (NFPA) ratings have been included by Exxon Company. U.S,A. in order to provide additional health and hazard Classification information. The ratings reccxm~nded are based upon the criteria Supplied by the developers of these t~t:)~??¢a'#-0~:: DATE ISSUED: O1/24/97 PAGE: 7 SUPERSEDES DATE: O9/11/95 EXXON CARB VEHICULAR NO. 2 DI'ESEL E~ON COMPANY. U S.A O[VI$10N Ol~ EXXON CORPORATION DATE ISSUEO: 01/24/97 SUPERSEDES DATE: 02/15/96 MATERIAL SAFETY DATA SHEET EXXON COMPANY. U.S,A., P.O. BOX 2180 HOUSTON. TX 77252-2180 A. IDENTIFICATION AND EMERGENCY INFORMATION PRODUCT NAME PRODUCT CODE EXXON CARB VEHICULAR NO. 2 DIESEL 072714 - 00785 PRODUCT CATEGORY Petroleum Distillate Fuel PRODUCT APPEARANCE AND ODOR Clear liquid, yellow color Faint Petroleum hydrocarbon odor MEDICAL EMEERGENCY TELEPHONE NUMBER (713) 656-3424 B. COMPONENTS AND HAZARD INFORMATION CAS NO. OF APPROXIMATE COMPONENTS COMPONENTS CONCENTRATION Fuels. diesel, No. 2 68476-34-6 100% This product, as manufactured by Exxon, ~oes not contain Dolychlortnated bip~enyls (PCB's). All components of this prOdUCt are listed on the U.S. TSCA Inventory. See Section E for Health and Hazard Information. See Section H for additional Environmental Information. HAZARDOUS MATERIALS IDENTIFICATION SYSTEM (HMIS) Health Flarr~nabiltty Reactivity BASIS 1 2 0 Recommended by Exxon EXPOSURE LIMIT FOR TOTAL PRODUCT BASIS 100 ppm (900 mg/m3) for an 8-hour Recommended by Exxon workday C. PRIMARY ROUTES OF ENTRY AND EMERGENCY AND FIRST AID PROCEDURES EYE CONTACT If splashed into the eyes. flush with clear water For 15 minutes or until irritation suDsiOes. If irritation persists, call a physician. SKIN In case of skin contact, remove any contaminated clothing and wash skin with soa~ and watec. Launder or dry-clean clothing Defore reuse. If product injected into or under the skin. or into any part of the body, regardless of the ao~earance of the wound or its size. the individual should De evaluated immediately Dy a physician as a surgical emergency. Even though initial symptoms from high pressure injection may oe minimal or absent, early surgical treatment within the First Few hours may significantly reduce the ultimate extent of injury. EXXON CARB VEHICULAR NO. 2 DIESEL other containers should De disposed of in an environmentally safe manner eno in accordance with governmental regulations. For work on tanks refer to 0ccuPatlonal Safety and Health Administration regulations, ANSI Z4g.1, other governmental and lndustrlal references Pertaining to cleaning, repalring, welding, or other contemplated operations. E. HEALTH AND HAZARD INFORMATION VARIABILITY AMONG INDIVIDUALS Health studies have Shown that many petroleum hydrocarbons and synthetic luOricants pose potential human health rlsks which may vary from person to person. AS a precaution, exposure to liquids, vapors, mlsts or Fumes should be minimized. EFFECTS OF OVEREXPOSURE (Signs and symptoms of exposure) Prolonged or repeated liquid contact with the skin will dry and defat the skin, leading to possible irritation and dermatitis. High vapor concentrations (greater than approximately 1OOO ppm, attainable at temperatures well above ambient) are irritating to the eyes and t~e respiratory tract, and may cause headaches, dizziness, anesthesia, drowsiness, unconsciousness, and other central nervous system effects, including death. NATURE OF HAZARD AND TOXICITY INFORMATION Prolonged or repeated skin contact wit~ t~ts product tends to remove skin oils, possibly leading to irritation and dermatitis; however, based on human experience and available toxicological data, this product is Judged_to be neither a "COrrosive" nor an "irritant" by OSHA criteria. Product contacting the eyes may cause eye irritation. Lifetime skin painting studies conoucted by the American Petroleum Institute, Exxon and others nave Shown that similar products boiling between 175-370°C (350-7OO'F) usually produce skin tumors and/or skin cancer in laboratory mice. T~e ~egree of carcinogenic response was weak to moderate with a relatively long latent DeriDe. The implications of these results for humans have not been ~etermined. Limtte~ studies on oils that are very active carcinogens nave shown tnat washing the animals' skin with soap and water between applications greatly reduces tumor formation. These studies ~emonstrate tme effectiveness of cleansing the skin after contact. Potential riSkS tO humans can De minimized Dy observing good work practices and personal hygiene procedures generally recommended for petroleum products. See Section I for recommended protection and precautions. Contains light hydrocarbon components. LtFetlme studies by t~e American Petroleum Institute nave shown that kidney damage and kt~ney cancer can occur in male rats after Prolonge~ inhalation exposures at elevated concentrations of total gasoline. Kidneys of mice and female rats were unaffected. The U.S. EPA Risk Assessment Forum nas concluded that the male rat kidney tumor result~ are not relevant For humans. Total gasoline exposure also produced liver tumors in Female mice only. The implication of these data for humans nas not Dean determined. Certain components, such as normal nexane, may also affect the nervous system at nigh concentrations (e.g. , 1OOO-15OO ppm). ProOuct nas a low or,er of acute oral anQ ~erm&l toxicity, but minute amounts aspirated into the lungs Outing ingestion or vomiting may cause mild tO severe pulmonary injury eno OossiDly ~eatn. This DroOuct is judged to nave an acute oral LDSO (rat) greater than 5 g/kg of boOy weight, an~ an acute dermal L050 (rabbit) greater than 3.16 g/kg of body weight. Innalation of components of exhaust From burning, such as carbon monoxide, may cause Death a~ nigh concentrations. Long-term repeated exposure of laboratory animals to whole diesel exhaust has resulted in an increaseo incidence of lung cancer. Exposure to exhaust From ~urning an~ diesel exhaust Should De min~mizeO. DATE ISSUE0: O1/24/97 PAGE: 3 SUPERSEDES 0ATE: O2/15/96 EXXON CARB VEHICULAR NO. 2 DIESEL HAZARDOUS CHEMICAL REPORTING, EPA REGULATION 40 CFR 370 (SARA Secttons 311-312) EPA HAZARD Acute Chronic Fire Pressure Reactive Not CLASSIFICATION CODE: Hazard Hazard Hazard Hazard Hazard Applicable XXX XXX TOXIC SUBSTANCE CONTROL ACT This product may contain the fOllowing TSCA 12b reportable chemical suDstance(s): ' '. 2-Ethylhexano1 CAS # 104-76-7 I. PROTECTION AND PRECAUTIONS VENTILATION Use on1¥ wtth ventilation sufficient to prevent exceeding recormnended exposure limit or buildup of explosive concentrations of vapor in air. RESPIRATORY PROTECTION Use supplied-air respiratory protection tn COnfined or enclosed spaces, needed. PROTECTIVE GLOVES Use chemical-resistant gloves, if needed, to avoid prolonged or repeated skin contact. EYE PROTECTION Use splash goggles or Face s~ield when eye contact' may occur. OTHER PROTECTIVE EOUIPMENT Use chemical-reslstant a~ron or ot~er impervious clothing, if needed, to avotd contaminating regular clothing, wnlch could result in prolonged or repeated skin contact. ~RK PRACTICES / ENGINEERING CONTROLS To minimize Fire or explosion risk From stattc charge accumulation and ~ischarge, effectively ground product transfer system In accordance with the National Fire Protection Association standard for petroleum products. Keep containers closed when no~ in use. Do not store near.heat, sparks, flame or strong oxidants. In or,er to prevent Fire or explosion ~azards, use appropriate equipment. Information on electrical equipment appropriate For use with this product may ~e Found In the latest e~ition of the Natlona~ Electrical Code (NFPA-70). This Qocument is avallaOle From the National Fire Protection Association, Batterymarcn Park, Oulncy. Massachusetts O226g. PERSONAL HYGIENE Minimize Oreathlng vapor, mist or Fumes. Avoid prolonged or repeated contact, wit~ Skin. Remove contaminated ClOt~tng; launder or dry-clean DeFore re-use. Remove contaminated shoes and thorOughly clean before re-use; discard if oil-$oake~. Cleanse skin t~oroug~ly after contact. DeFore breaks and meals, eno at en~ of work period. Product is readily remove~ From skin Dy waterless nanO cleaners Follo~e0 Dy ~ashing thoroughly with soap and water. J. TRANSPORTATION AND OSHA RELATED LABEL INFORMATION TRANSPORTATION INCIDENT INFORMATION For Further information relative to sp~11s resulting From transportation ~nc~ent$. refer to latest 0epartment of TransPortation Emergency ResPonse Gu~eDook For HazarOous Materials InciQents. U.S. DOT HAZARDOUS MATERIALS SHIPPING DESCRIPTION Transported ~¥ ~ign~ay or rail: Bu~k Packagings (capacity greater than ltg gallons). Fuel 011, Com~ustiOle LiQuiO. NA ~993. III PAGE: 5 SUPERSEDES OATE: Environmental, Safety and Health Employment Training Log Employee Name Dates of training Initials Completed _ or Retraining Description ~).~ [2] /~ -- >,ii; -- c/c~ Water & Gas Shut Off ~ ~ _/O ~ ~--S __c~ ~ Proper Procedures for Gauging Underground Storage Tanks /~.-.//~- [~[ {e!~ -- ~ S '-- ~ ~ Use of Absorbent Materials /~- 2~- [~ ./O -- ~2- $ -- c} ~ Proper Waste Handling Procedures · Storage/Containers · Labeling · Hazardous Waste · GASOLINE OPERATIONS TRArNrNG OUTLINE ALL EMPLOYEES SHOULD BE FAMn.IA1X WITH THE FOLLOWING: I. The location and operation of the EMERGENCY PU1V[P SHI~:QFF.. SWITCH 2. The location and operation of FIRE EXTINGUISH;ER. 3. Tho location of the EMERGENCY CONTACT LIST 4. The location of FIRST AID KIT 5. The location of the EMER(~ENCY RESPONSE PLA~.. and the procedures to follow in case of an incident 6. The location of MATERIAL SAFETY DATA SHEETS THE STORE OWNER SHALL: 1. Insure employees have received the required training outlined above 2. Complete and maintain EMPLOYEE TRAINING LOGS for each employee 3. Provide annual refresher training for employees and document 4. Maintain the EMERGENCY RESPONSE PLAN by updating information as required. ...~_ 5. 'Insure that EMERGENCY EOUIPMENT is maintained as necessary 6. Be familiar with the reporting procedures contained in Response Plan REOUIRED TRAININO SUMMARY All employee training must be documented and kept on file at the store. Store employees are required by state law in the following areas: Hazard Communication Standard (HAZCOM) Lock Out/Tag Out Rule Emergency Response Procedures Emergency Contact List Assistance in meeting these requirement should be requested through the Gasoline Operations Manager, Mr. John Kerley at (805) 393-7000. Federal law requires that certain training documentation be kept on file for a minimum of' three years past the employee's date of last employment. Therefore it is critical to document all training and maintain the records with the Environmental'Files at the store. · training, rev 1-3~4 FASTRIP 562 SITE MAP [] ENTRANCE STORE GAS ISLAND i!i?!!-i'i'~i" MING ENTRANCE /~ ENTRANCE PARKING LOT UNDER GROUND STORAGE TANKS ENTRANCE ENTRANCE APPROX. 100FT NORTH OF TI-IlS POINT CHESTER AVE E SHUT OFF: N S :2-. ELECTRIC .. .' :. :;:;'::'.;:i~ ~ : ....... W 5- UNDERGROUND STORAGE TANK MONITOR FA', FOOD STORE #.'562. 215-000 0624 ': ~:: <E> Mtttgatton/Prevent/Abatem[ e Prevention . A~ EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY sHUT DowN' cONT G~OLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY .'.'~):~IF A CUSTOMER OVERFILLS A ffEHICLE TANK RESULTING IN A S~LL SpILh ~),. ~F A CUSTO~E~ ~VZS OSF ~rTH a~S ~OZZLE ~N CA~ F~LL TANk, ~ESULe~Z ,:;,~S0SSTA~AL FLOW OF GASOLINE - SHUT DOWN ENTrRE SYSTE~, CALL ~ ~.[ :,.~0ALL DISTRICT MGR, CLEAR THE GAS ISLAND. ' :'c),'.'iF VEHICLE ~GE TO ONE P~P ~ESULTS I~ A LEAK - S~UT Down POWEN 2>':kelease Con[a~nmen~ .UNDERGROUND STORAGE ThNKS ~ 3>:., Ciean up :tC0~ROLS FOR GASOLINE EQUIPMENT., ~SOkSA~T ~TEH~An TO SOAK U~ SP~nn AND STO~E ~N A~ ~PPHOVZ~ CoNTAIffkff 'IF?A CUSTOMER'DRIVES OFF WITH A GAS NOZZLE IN THE CAR FILL TANk,' ~S ~iN, k SOBsTANT~L FLOW OF C~SOL~NE - S~{UT DOWN THE ENTIRE SYSTEM,' P~P ONLY, FOLLOW SAME CLEAN UP PROCEDURES AS FOR SPILL AND CALL .'IF' kN ADJACENT BUSINESS/BUILDING IS ON FIRE SHUT DowN THE ENTIRE {.,~E~ERGENCY, CONTROL SHUT-OFF; FIRE DEPARTMENT WILL ADVISE WHEN TO RESU~ "'ffkdH STORE SHOULD HAvE A LISTING OF EMERGENCY CONTACT TELEPHONE Environmental, Safety and Health Employment Training Log Dates of training Initials Completed or Retraining Description ~ ~ /O~ ~ ~ ~] ? Proper Procedures for Gauging Underground Storage Tanks Materials Proper Waste Handling ' - ' ' Procedures · Storage/Containers · Labeling · Hazardous Waste (~""', GASOLINE_ OPERATIONS TRAINING OUTLINE ALL EMPLOYEES SHOULD BE FAMII,IAR WITH THE FOLLOWING: 1. The location and operation of the EMERGENCY' P. UM~ S. ,H~T~OFF SWITCH 2. The location and operation of FI-KE EXTINGUISHER 3. The location of the EMEROENCY CONTACT LIST 4. The location of FIRST AID KIT 5. The location of the EM~RO. ENCY,,R. ESPONSE PLAN and the procedures to follow in case of an incident 6. The location of MATERIAL SAFETY DATA SHEETS '. THE STORE OWNER SHALL: I. Insure employees have received the required training outlined above 2, Complete and maintain EMPLQYEE TRAINING LOGS for each employee 3, Provide annual refresher training for employees and document 4. Maintain the .E .MERt)ENCY RESpQNSE PLAN by updating information as required. · .... 5. · Insure that EMERGENCY EOIJ[PW[ENT is maintained as necessary 6. Be familiar with the reporting procedures contained in Response Plan REOUIK~D ~O SUMMARY All employee training must be documented and kept on file at the store. Store employees are required by state law in the following areas: Hazard Communication Standard (HAZCOM) Lock Out]Tag Out Rule Emergency Response Procedures Emergency Contact List Assistance in meeting these requirement should be requested through the Gasoline Operations Manager, Mr. John Kerley at (805) 393-7000. Federal law requires that certain training documentation be kept on file for a minimum of three years past the employee's date of last employment. Therefore it is critical to document all training and maintain the records with the Environmental Files at the store. ' LrMnlng. mv 1-3/94 FASTR!P 562 SITE MAP [] ENTRANCE STORE GAS ISLAND i::'?'": MING ENTRANCE ENTRANCE PARKING LOT UNDER GROUND STORAGE TANKS ENTRANCE ENT~NCE A~8OX. ~00FI ~O~TH OF THIS SHUT OFF: N S '2- ELECTRIC ' ;.; ...... - '-: ..... W 5-UNDER:GROUND STORAGE'TANK MONITOR FOOD STORE #.~ 215-00 0624 00 - Ove~ali' Site ~ · ~~!i' <E> Mitigation/Prevent/Aba[em[ ~iease Prevention A~ EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY sHUT DowN. G~OLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN EMERGENCY i~.ISLiND ARE AS FOLLOWS: ?;~DOWN THIS AREA WITH WATER. ~).'~ A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FiLL TANK, RESU~I~ ". ~,~ SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL B~ iF ~N ~DG~CENT BUSINSSS/BBDG IS ON FIR~, SHUT DO~N T~S '2>"~elease Containment UNDERGROUND STOOGE TANKS 3>:', Ciean Up '. A~.. EMPLOYEES SHOULD BE AWARE OF TIlE LOCATION oF EMERGENCY AND ~,...CO~TROLS FOR GASOLINE EQUIPMENT. ~;A CUSTO~E~ OVErFiLLS a VE~CLE TANK RESULT~ ~N ~ S~Lfi sP~tb ' ~BSOkBANT ~TERIAL TO SOAK UP SPILL AND STORE IN AN ~PPROVED CoNTAi~k~ BE, PICKED uP BY A HAZARDOUS WASTE DISPOSER, 'IF~'A COsToMER'DRIVES OFF WITH A GAS NOZZLE IN TIlE CAR FILL TANK,; 'iN. k S~BsTANTIAL FLOW OF GASOLINE - SHUT DOWN TIlE ENTIRE SYSTEM,' ~GER AND CLEAR THE GAS ISLAND OF ANY VEI{ICLES OR PEOPLE. ~:~"~[~'~VEH%CLE D~GE TO ONE PUMP RESULTS IN A LEAK '- sHUT DOWN poWE~ P~P ONLY, FOLLOW SAME CLEAN UP PROCEDURES AS FOR SPILL AND cALL ~ .'.; '~ :.. ~:. , : ~ ~G~Ct. CONTROL S~UT-OFF; F~n~ D~PAnTM~NT W~Ln ADV~SZ wH~ TO '~~ GASOLINE OPERATIONS. ~A~H STORE SHOULD HAVE A LISTING OF EMERGENCY CONTACT TELEPHONE '" Environmental, Safety and Health Employment Training Log - Dates of training Initials Completed ... qr Retraining Description ~Z ~ ./~9-~O,_~- ? ,9' Water & Gas Shut Off Gauging Underground Storage Tanks ·_d/7 [2~ /~9- ~<~,~. ~ 7 Use of Absorbent Materials '~ ~f~t~7. [~ _ /~ --,~ - ? ~' Proper Waste Handling '. Procedures · Storage/Containers · Labeling * Hazardous Waste O O , O O O ," ..... GASOLINE OPERATION~ TRArNI-NG OUTLINE ALL EM[PLOYEES SHOULD BE FAMTI.IA.R WITH ~ FOLLOWING: I. The location and operation of the EMERGENCY PUMP SHUT-OFF SWITCH 2. The location and operation of FI'RE EXTINGUISHER 3. Tha location of' the EM]~RGENCY CONTACT LIST 4. The location of FIRST AID KIT 5. The locadon of the EMERGENCY RESPONSE PLAN and the procedures to follow in case of an incident 6.The location of MATERIAL SAFETY DATA SHEETS THE STORE OWNER SHALL: 1. Insure employees have received the required training outlined above 2. · Complete and maintain EMPLOYEE TRAINING LOGS for each employee 3. Provide annual refresher training for employees and document 4. Maintain the EMERt~EN(?Y RESPONSE PLAN by updating information as required. 5. · Insure that EMERGENCY EOUTI?M~I',IT is maintained as necessary 6. Be familiar with the reporting procedures contained in Response Plan KEOUI2%ED TKAININ~ SUMMARY All employee training must be documented and kept on file at the store. Store employees are required by state law in the following areas: Hazard Communication Standard (H. COM) Lock Out/Tag Out Rule Emergency Response Procedures Emergency Contact List Assistance in meeting these requirement should be requested through the Gasoline Operations Manager, Mr. John Kerley at (805) 393-7000. Federal law requires that certain training documentation be kept on file for a minimum of three years past the employee's date of last employment. Therefore it is critical to document all training and maintain the records with the Environmental Files atthe store. · training.r~v 1-3/94 FASTRIP 562 SITE MAP 'i ....................... " ENTRANCE GAS ISLAND !:I'':-'~ MING ENTRANCE ~:"'" '-: i :~.~ :': :~,,~i::". 5 1' ENTRANCE PARKING LOT UNDER GROUND STORAGE TANKS ENTRANCE ENTRANCE APPROX. ~00FT NORTH OF THIS POINT CHESIER AVE SHUT OFF: N S '2- ELECTRIC . : .... :.?~ ::' :.' .... :" W 5- UNDER GROUND STORAGE TANK MONITOR FA FOOD STORE # 2 S-000 0S24 ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY SHUT Down cONTR~LS'.'i ?'.:~ ~',: ' G~OLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THB EVENT OF AN EMEaGENCY;'~ ~):jIF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A S~LL SPILh g)"['Ir A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FiLL TANk, RESULTi~ ::.~;~S~BSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL ~ "~r'[0ALL DISTRICT MGR, CLEAR THE GAS ISLAND. .'";'?~, '[~"(?'". C);,,,IF VEHICLE DA~GE TO ONE P~P RESULTS IN A LEAK - SnOT Down PowE~ ',, :,[~P ONLY. HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. .D),.iF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN T~E ENTIRE 'GA~ .... ' : 2~',~elease Containment UNDERGROUND STOOGE TANKS ;'" :~'['~LLI:,g~PLoYEES SHOULD BE AWARE OF THE LOCATION 0F EMERGENCY AND ::cO~RoLs,,r..,:,.' FOR GASOLINE EQUIPMENT. '~ "~ IF;A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IS ~ S~L~ spiLfi ' ~BSO~BANT ~TERIAL TO SOAK UP SPILL AND STORE IN AN ~PPROVED CoNTAI~k~ ..B.~ICKED uP BY A H~g~RDOUS ~STE DISPOSER. I?,~ C~S~O~ER DRIVEs OFF ~ITH ~ G~S NOZZBE IN THE C~R FIBB T~NK, ~. ~ S~BSTANTIAL FLOW OF GASOLINE - SIIUT DOWN THE ENTIRE SYSTEM, CAL~: ~GER AND CLEAR THE GAS ISLAND OF ANY VEItICLES OR PEOPLE. ':~:' I~'?EHICBE D~GE TO ONE PUHP RESULTS IN ~ LE~K '- SHUT DO~N PO~ER ~P ONLY, FOLBO~ S~HE CLE~N UP PROCEDURE~ ~S FOR SPI~B ~ND ChLL. '['tIF;kN ADJACENT BUSINESS/BUILDING IS ON FIRE, SHUT DOWN THE ENTIRE "'~;EhERGENCY. CONTROL SHUT-OFF; FIRE DEPARTMENT WILL ADVISE WHEN TO ,t.[r~~ GASOLINE OPE~TIONS. ' '. '"' ' ~AOH STORE SHOULD HAVE A LISTING OF EMERGENCY CONTACT TELEPHONE N~BE Environmental, Safety and Health Employment Training Log Dates of training Initials Completed or Retraining Description ~'4 ~ /d~~-'~ Water& Gas Shut Off Gauging Underground , Use of Absorbent ~ Materials Procedures · Storage/Containers · Labeling · Hazardous Waste GASOLFNE. OPERAT[.ON$ TRAINING OUTLINE ALL E~MPLOYEES SHOULD BE FAMXJ_,IAR WITH THE FOLLOWING: I, The location and operation of the EM]ERGENC.Y' .PUM/:' SHUT-OFF. sWITCH 2. The location and operation of FIRE EXTINGUISHER 3. : Th~ location of the .E~.MERGENCY CONTACT LIST 4. The location of FIRST AID KIT 5. The location of the EMERGENCY RESPONSE PLAN and the procedures to follow in case of an incident 6. The location of MATERIAL SAFETY DATA SHEET~ THE STORE OWNER SHALL: 1. Insure employees have received the required training outlined above 2. Complete and maintain EMPLOYEE TRAINING LOGS for each employee 3. Provide annual refresher training for employees and document 4. Maintain tl~e EMERGENCY RESPQNSE PLAN by updating information as required. 5. ' Insure that EMERGENCY EO.UTPMIENT is maintained as necessary 6. Be familiar with the reporting procedures contained in Response Plan REOUIRED TRAINING SUMMARY Ail employee training must be documented and kept on file at the store. Store employees are required by state law in the following areas: Hazard Communication Standard (HAZCOM) Lock Out/Tag Out Rule Emergency Response Procedures Emergency Contact List Assistance in meeting these requirement should be requested through the Gasoline Operations Manager, Mr. John Kerley at (805) 393-7000. Federal law requires that certain training documentation be kept on file for a minimum of' three years past the employee's date of last employment. Therefore it is critical to document all training and maintain the records with the Environmental Files at the store. - training.r~v 1-3~4 FASTRIP 562 SITE MAP i [] ...................... ENTRANCE STORE :: !?; ! .' GAS ISLAND ¢~;;~' ~' MING ENTRANCE ~' '::' ENTRANCE PARKING LOT UNDER GROUND STORAGE TANKS ENTRANCE ENTRANCE APPROX. 100FT NORTH OF THIS POINT CHESTER AVE E SHUT OFF: N ~:~_,~=: . I', II ,. ___~.___._~. I I S -2- ELECTRIC .... '" -' 5- UNDER'GROUND STORAGE TANK MONITOR ,,~ t ~'. ~ ' " ~Release Prevention ':' : . ALL EMPLOYEES SHOULD BE AWARE OF LOCATION OF EMERGENCY sHUT DOWN cONTR~.~S". /:"' G~SOLINE EQUIPMENT. PROCEDURES TO FOLLOW IN THE EVENT OF AN ISLAND ARE AS FOLLOWS: '];[:"" '..'~) 'IF A CUSTOMER OVERFILLS A VEHICLE TANK RESULTING IN A S~LL SPILL -'~'~0S~ .' ;;~DOWN THIS AREA WITH WATER '~:',B)['~'~[ A CUSTOMER DRIVES OFF WITH GAS NOZZLE IN CAR FILL TANk, RESULTI~ ~' ' "~,~SUBSTANTIAL FLOW OF GASOLINE - SHUT DOWN ENTIRE SYSTEM, CALL ~iR~ D~PT .,.';hALL DISTRICT MGR, CLEAR THE GAS ISLAND. ' '"~ "~'C~:'iF VEHICLE D~GE TO ONE P~P RESULTS IN A LEAK - S~0T DOWN POWE~ .'. '.";:~P~P ONLY. HOSE DOWN AREA AND CALL YOUR DISTRICT MGR. GA~,~ ';:'":~'r' 'f''' b),..ZF AN ADJACENT BUSINESS/BLDG IS ON FIRE, SHUT DOWN T]~E ENTIRE 2>' ~elease Containment .UNDERGROUND STOOGE TANKS [[ ' ~'; . :~j>:., Clean Up sHOULD AWA E OF TIFF. LocATION OF EMERGENcy AND . ALSo'BANT MATERIAL TO SOAK UP SPILL AND STORE IN AN ~PPROVED " PICKED uP BY A HAZARDOUS WASTE DISPOSER. . i~. k SgBSTANTIAL FLOW OF GASOLINE - SHUT DOWN THE ENTIRE SYSTEM,' EALb' ~GER AND CLEAR THE GAS ISLAND OF ANY VEHICLES OR PEOPLE. '. '" ~[i?EHICLE DAMAGE TO ONE PUMP RESULTS IN A LEAK '- sHUT DOWN POWE~ TO ~.. P~P ONLY, FOLLOW SAME CLEAN UP PROCEDURES AS FOR SPILL AND CALL YO~' ~["~:'kN ADJACENT BUSINESS/BUILDING IS ON FIRE, SHUT DOWN THE ENTIRE sAsOL N O TIO s. Bakersfield Fire Dept. UN~FIED PROGRAM INSPECTION CHECKLIST Enironmente] Services ........ --','~ ........ ""," ' '" ......... 1715 Chester Ave SFCT~ON 1 Business Plan and Inventory Program [ Bakersfield, CA 93301 ! Tel: {661)326-3979 F^CILITYCONTACl .......... [ Busine--~-ID N'--u m-~r l / ls-o21- Section 1: Business Plan and Invento~j Program [] Routine XC0mbined ~ Joint Agency I~ Multi-Agency ~3 Complaint Re-inspection V (' C=Compliance ) OPERATION COMMENTS ~. v=violation ~:~ APPROPRIATE PERMIT ON HAND ~:~ BUSINESS PLAN CONTACT INFORMATION ACCURATE ....... .......... [] CORRECT OCCUPANCY ~ VERIFICATION OF INVENTORY MATERIALS {~ VERiFICATiON OF QUANTITIES ~ VERIFICATION OF LOCATION ~ PROPER SEGREGATION OF MATERIAL ~ VERIFICATION OF MSDS AVAILABILITYE [] VERIFICATION OF HA~AT TRAINING ~:~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES [~ EMERGENCY PROCEDURES ADEQUATE [] CONTAINERS PROPERLY LABELED [] HOUSEKEEPING SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ~ YES ~ No EXPLAIN: QUESTIONj~ I~EJ33~RDIt~THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ White - Environmenlal Services Yellow - Station Copy Pink . Business Copy FASTRIP MING-CHESTER BAKERSFIELD CA.93J04 805-J97-8606 JUL 14, 2004 10:03 AM SYSTEM STATUS REPORT Lll:SENSOR NORMAL INVENTORY REPORT T I:PREMIUM VOLUME = 3464 GALS ULLAGE = 8598 GALS 90~ ULLAGE= 7391 GALS TO VOLUME = 3355 GALS HEIGHT = 36.74 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 105.0 DEG F T 2:PLUS VOLUME = 2960 GALS ULLAGE = 9102 GALS 90% ULLAGE= 7895 GALS TC VOLUME = 2856 GALS HEIGHT = 32.78 INCHES WATER VOL = ll GALS WATER = 0.76 INCHES TEMP = 109.6 DEG F T 3:UNLEADED VOLUME = 4791 GALS ULLAGE = 7271 GALS 90% ULLAGE= 6064 GALS TC VOLUME = 4687 GALS HEIGHT = 46.71 INCHES WATER VOL = 0 GALS WATER = 0.08 INCHES TEMP = 90.6 DEG F T 4:DIESEL VOLUME = 2?62 GALS ULLAGE = 9300 GALS 905 ULLAGE= 8093 GALS TO VOLUME = 2718 GALS HEIGHT = 31.20 INCHES WATER VOL = 14 GALS WATER = 0.88 INCHES TEMP = 94,3 DEG F ~.~1 OFFICE OF ENVIRONMENTAL SERVICES ~..-~x ,,. .~:~...-.' ~.~ UNIFIED PROGRAM INSPECTION CllECKLIST ~ c~ 1715 Chester Ave., Y" Floor, Bakerstield, CA 93301 Section 2: Underground Storage Tanks Program ~ Routine ~ Combined ~t Agency ~ Multi-Agency ~. Complaint ~ Re-inspection Type of Tank ~ ~ F C~ Number of Tanks Type of Monitoring ('~1~ Type of Piping OPER. ATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S)_ AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violati~ Y=Yes N=NO Inspector: 0 0]~~(/ /~ ~t~ '4~~ Office ofEn¥ir~n}al-Servi'~es (6"61~ 326-3~9 J Bu~ineg~ite Responsible Party Postage $ t'-I Certified Fee I~ Postmark Return Reciept Fee (Endorsement Required) Here r-1 Restricted Delivery Fee ,.~ (Endorsement R.R~eeq~ired)~ Total Postal \[~-~-~-t:-~ 1640 South Chester Avenue r. PO Box Nc ~:.~;~ Bakersfield, CA 93307 'o A m~ling m~i~ (~e~) ~ A unique Ide~fler ~r ~ur mai~l~ ~ A m~ of del~e~ kept by the Po~ Se~ ~r ~o ~=s Implant ~mlndem: ~ ' a Ce~ifi~ Mail may ONLY ~ ~mbin~ w~ ~1~ Maile or Pdofl~ M~ a ~Aifi~ M~I Is notav~le ~r ~y cl~ ~ in~m~ionM m~L ~ NO INSU~NCE COVERAGE IS PROVIDED ~ ~fi~ Mall, For valu~les, ple~ ~nsider Insu~ or Regi~er~ M~I, = For an add~ionM fee, a Return R~igtmay be reque~ deliver, To o~n Ream R~pt ~w~, p~e~ ~mpl~e and a~ch a ~eNm Receipt (PS Form 3811) to ~e aAi~le ~d add appli~le ~stage to ~ver the f~. Entree m~lp~."R~m R~i~ R~t~', To r~ive a dupll~te re~rn red,pt, a USP~ postma~ on your ~lfled Mail re~lpt is require. ~ For an add~ional fee, del~e~ may be ms~d ~ ~he addm~e or addre~ee's authorized a~ent. A~ the clerk or m~ the m~lpi~ with the endor~ment "Rest~cted~elive~. ~ ff.a ~stmark on t~e Cq~ffied Mail ~ceip~.is desired,please pr~ent ~e cie at the post o~ice tot postmarKing, . a postma~ on the ~eAifled Mai~ re~ipt is not needed, de.ch and affix label with postage and mail. BPORTANT: Save ibis receipt and pres~nl il when making an inqui~. nlernel ac=ess lo deliver~ information ~s not available on mall addressed to APOs and FPOs. · Complete items 1, 2, and 3. Aisc complete ~ I '~ Signature ~ item 4 if Restricted Delivery is desired. ~ [] Agent I Pdnt your name and address on t_b,e revers~ ~-{{ ~' ~' ~,--~-~' [] Add~ so that we can return the card to ~;ou. II B. j~celved'b~y (Printed Jl~e) lC. Date of Delivel,j · Attach this card to the back of the mailpiece, or on the front if space permits. ! ~ l~9~t ~ \~ I ~ ~ ?~ : . D. Is delive~ address~1~r~ from Item ~'U[] Ye~:~ 1. Article Addressed to: If YES, enter delivery ad~lJess below: [] No I Fastrip 1640 South Chester Avenue ~` B_ akersfield, CA 93307 llLc~r~ Mall [] Express Mall ~ _ ~ R~I~ ~ R~m R~ ~r Me~d~ ......... ~ Insu~ M~I ~ C.O.D. r~ 4. R~d~ed Delive~ ~m F~) ~ y~ /2.~icleNumber ~ 7003 2260 0004 7652 2990 ~ PS Fo~ 3811, August 200~ ~m~lc Be~m R~lpt 1~s9~1~ ~ DEC c '~. 2005..." · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 D December 12, 2003 CERTIFIED MAIL Fastrip 1640 South Chester Avenue Bakersfield, CA 93307 RE: Propane Exchange Program FIRE CHIEF RON FROZE Dear Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H"Street The purpose of this letter is to advise you of current code requirements for Bakersfield. CA 93301 propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not VOICE (661)326.3941 FAX (661)395-1349 apply to large propane tanks, only propane exchange systems. SUPPRESSION SERVICES Over the past two years this office has noted a dramatic increase in the propane 2101 "H" Street Bakersfield. CA 93301 exchange system in the city of Bakersfield. It has also been noted, with great VOICE (661)326-3~11 FAX(661)395-1349 concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. PREVENTION SERVICES FIRE SAFETX SE R'I/ICE S · ENVIRONMENTAL SERVICES 1715 ChesterAve. Accordingly, procedures for storage of propane cylinders awaiting use, resale or Bakersfield, CA 93301 VOICE (661)326-3979 exchange, have been adopted through BMC (Bakersfield Municipal Code) and FAX (661)326-0576 adoption of the 2001 UFC. The procedures are as follows: PUBLIC EDUCATION 1715 ChesterAve. Storage outside of building for propane cylinders (1,000 pounds Bakersfield, CA 93301 VOICE (661) 326-3696 or less) awaiting use, re-sale, or part of a cylinder exchange point FAX (661) 326.0576 shall be located at least 10 feet from any doorways or openings in FIRE INVESTIGATION a building frequented by the public, or property line that can be 1715 Chester Ave. built upon, and 20 feet from any automotive service station fuel Bakersfield, CA 93301 VOICE (661)326-3951 dispenser. (Note distance from doorways increases when FAX (661)326-0576 cylinders arc over 1,000 pounds cumulatively.) TRAINING DIVISION sro2 Wctor^ve. Cylinders in storage shall be located in a manner which Bakersfield, CA 93308 VOICE (661)399-4697 minimizes exposure to excessive temperature risc, physical FAX (661) 399-5763 damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete filled. 2) Spaced not more than 4 feet between posts, on center. Letter Owner/Operators of Propane Exchange S~ns Re: Propane Exchange Program Dated: December 12.2003 Page 2 of 2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. 4) Set with the top of the posts not less than 3 feet aboveground. 5) Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, Steve Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer I~S Bakersfield Fire Dept. UNIFIED PROGRAM PECTION CHECKLIST Entronmental Services ................... - -~ 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME IINSPECTION DATE INSPECTION TIME ......... ....................................................................... i ..................... ............................. ADDRESS PHONE No. No, of Employees FACILITYCONTACT Business ID Number 15-021 - Section i: Business Plan and Inventory Program [] Routine ~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V [ C=Compliance '~ OPERATION COMMENTS ~. v=violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE CORRECT OCCUPANCY VERIFICATION OF QUANTITIES ~ VERIFICATION OF ABATEMENT SUPPLIES AND PR~EDURES ~ ~ CONTAINERS PROPERLY ~BELED ~ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES [] NO EXPLAIN: QUESTIO~J~ REGARD/t'NG/~HIS INSPECTION? PLEASE CALL US AT (661) 326-3979 .- nspectff.., / -'~--- ~ ................................ Badge No,. ~ ...... White - Environmental Services Yellow - Station Copy Pink - Business Copy FASTR I P M I NG-(: HESTER BAF, ERSF I ELD CA. 93304 80~-897-8606 DEC. 16, 2003 11:35 AM SYSTEM STATUS REPORT L1 1 :SENSOR NORMAL ! N'.' ..... ~TORY REPORT T I:PREPIlUM VOLUME = 3861 GALS ULLAGE = 8201 GALS 90% ULLAGE= 6994 GALS TO VOLUME = 3810 GALS HEIGHT = 39,77 INCHE~ WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 78.7 DEG F T 2 :PLU~ VOLUME = 6748 GALS ULLAGE = 5:314 GALS 90~ ULLAGE= 4107 GAL8 TC VOLUME = 6679 GALS HEIGHT = 60,96 INCHES WATER VOL = 0 GALS WATER = 0, O0 INCHES TEMP = 74.5 DEG F ~: UNLEADED , ~E = 8642 GALS UL~ = :3420 GAL~ 9~:?,~ ULLAGE= 221:3 GAL~ TC VOLUME = 86:39 GALS HEIGHT = 75.11 INCHEB WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 60,5 DEG F T 4 :DIESEL VOLUME = 4701 GALS ULLAGE = 7061 G~LS 90~'; ULLAGE= 6154 GALS TO VOLUME = 4664 G~L9 HEIGHT = 46,04 INCHES W~TER VOL = 14 G~LS WATER = O. B7 INCHES TEMP = 76.9 BEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [] Routine ~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank 0tB~ 5 Number of Tanks ~ Type of Monitoring ~/..t,~, Type of Piping .//)t,O~- OPERATION C V COMMENTS Proper tank data on file ~ Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current ,,, Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS sPcc available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C Compliance /~ V=Violation Y=Yes N=NO Omce of Environmental Services (805) 326-3979 u'~smes~ S}ite Responsible Party · White - Env. Svcs. Pink - Business Copy , ~}~, OI C OF ENVIRONMENTAL S~.RVICES t,~,~.~'r 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STOOGE TANKS - UST FACILITY OF ACTION ~ NEW SITE PERMIT ~ ]. RENTAL PERMIT ~A~E OF ~NFOR~TION (~ ~e - ~ Z PER~NENTLY CLQSEO SITE , Check one 4em 0~) ~ 4. AMENDED ~RMIT local use on/y). ~ 8. rANK RE~VED ~ 6. TEM~RY SiTE CLOSURE I. FAClLI~ I SITE INFORMATION · ' ' ~ 2. INONIDUAL ~ 5. STATE AGENC~ aUSINES~ ~S STATEN ~ 3. F~M ~ S. CO~RC~L ~P~TNERSHIP ~ 7. FED~AGEN~ 402. ~PE ~ 2. DISTRI~TOR ~ 4. ~OCES~R ~ 8. O~ER TOTAL NUMBER OF T~KS ~ ~ f~b~ ~ In~ ~ ~ II. PR~ O~ER INFO~A~ON III. T~K O~ER INFO~ON W, BO~ OF EQU~ON UST STOOGE FEE ACC~ NUMBER TY (TK) HQ 4 , - / ~ ~11 (916) 322-~9 if qu~s adse 421. V. P~O~UM UST FINANC~L ~SPONSlBI~ '": ' INDI~TE M~S) ~-INSURED ~ 4. SUR~ ~ ~ 7. STATE FUND ~ 10. LOlL ~ ~C~ISM ~ 2. ~EE ~ 5. L~ER OF ~ED~ ~ 8. STATE FUND & ~O ~ER ~ ~. OTHER: ~ 3. INSU~NCE ~ 6. ~E~ION ~ 9. STATE FUND & ~ 422. VI. LEGAL NOTIFICATION AND MAILING ADDRE~ VII. ~PLICANT SIGNATURE ArE uST FAClLI~ NU~ER (F~ ~ uae 0~) 428. 1~ U~DE CERTIFI~TE ~R (For ~ca/u,e ~1 4~. ~ (7/99) S:[CUPAFORMS~c~a.wpd _~ oFF~ OF ENVIRONMENTAL S~VICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNOERGROUNO STORAGE TANKS.. TANK PAGE 1 "_~.~ OFF~ OF E~NVIRON~ENTAL S~VICE$ 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND S?OR~Gn TANKS- TANK PAG~ ~ iz/Qc.-'o, crT'Y of ~AKER3FIEL0 .~-',~ '~ ~ ~ ~1 ~ INVIRONMENTAL ~ERVICE3 ~ CORROS~N (~ ~) RE~TR~T~ ~C~ i7/~) S:XCUP~OR~C~8'~C '~ _~.~ OFFICE OF £NVIRONMENTAL S~VICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 OTHER CO~O9~N ~2. ~ ~~(o.~ 13. ~~~~*~~~ ~. ~T~ L~ L~ ~R ~.0 ~ ~ ~~~ ~ ~g. ~NU~ · : .... ~0 0~~ ~ 0-~ · 471 tT/~) S:~CUP~O ..... ' T 3:UNLEADED - PRODUCT CODE 3 T I:PREMIUM, THERBiAL COEFF .000700 " PRODUC;T (;ODE 1 TAN}( DIAMETER 11 I. 50 ~ THERMAL COEFF .000700 TANK PROFILE 1 PT TANK DIAMETER 111.50 FULL VOL 12062 :' TANK PROFILE 1 PT FULL VOL 12062 FLOAT SIZE: 4.0 INCHES o_. I ' WATER WARNING : 2.0 SYSTEI'4 ,..,ETd: FLOAT SIZE-"--. 4.0 INCHES ............. HIGH WATER LIMIT: 3.0 RUt:-: 12. 200:3, 12:52 PBI 2.0 WATER WARNING ' : i HIGH WATER LIBIlT: 3.0 MAX OR LABEL VOL 12082 ¢ OVERFILL LIMIT 909; BLAB: OR LABEL VOL: 12062 10855 SYSTEM UNITS OVERFILL LIMIT 90~'; HIGH PRODUCT 95% U.S. 11459 : 10855 SYSTEI'.I LANC-;UAGE H I GH PRODUCT 95~ DEL I VERY L I M I T 1 ENGLISH 11459 1206 FASTRIP DELIVERY LIMIT 10~ LOt,,J PRODUCT : 750 MI NG-CHESTER 1206 LEAK ALARM LIMIT: 25 BAKERSFIELD C~,93:304 LOW PRODUCT : 750 SUDDEN LOSS LIMIT; 25 805-397-8606 LEAK ALARM LIMIT; 25 TANK TILT 4.30 SHIFT TIB1E 1 DISABLED ~UDDEN LOSS LIMIT; 25 I'IANIFOLDED TANKS TANK TILT : 4.50 SHIFT TIME '2 DISABLED T;I:I; NONE ', SHIFT TIME '3 DISABLED MANIFOLDE'r) TANKS SHIFT TIB1E 4 [:,ISRBLED T~: NONE LEAK I'-IIN ANNUAL : 0 PER IOD IC TEST I.,,.IRRN I NGS PER I OD I tl; TEST TYPE PER I OD I C TEST TYPE D I SRBLED GU I CK ANNUAL TEST W~4RN I NGS GUICK DISABLED PERIODIC. TEST FAIL ANNUAL TEST FAIL ALARM D I SABLED ALARM D I SABLED PRINT TC VOLUMES GROSS TEST FAIL PERIODIC; TEST FAIL ENABLED ALARM DISABLED ALARM D I SABLE.r) TEMP COMt:'ENS~T IC, N PER TEST AVERAG ING: OFF GROSS TEST FAIL VALUE ti)El:,; F ): 60.0 ALARBI DISABLED TANK TEST NOTIFY: OFF ANN TEST AVERAGING: OFF TNK TST SIPHON BREAK:OFF PER TEST AVERAGING: OFF DELIVERY DELAY : 15 MIN TAN};.', TEST NOTIFY: OFF T '2:PLUS TN[ TST SIPHON BREAK:OFF PRODUCT CODE 2 THERMAL COEFF .000700 r)ELIVERY DELAY : 15 IdlN TANK DIAMETER 111 ,50 TANK PROFILE I PT T 4:DIESEL FULL VOL 12062 PROI)UCT CODE 4 COMMUNICATIONS SETUP THERMAL COEFF .000450 ..... TANK D I AMETER 1 I 1.50 FLOAT SIZE: 4.0 INCHES TANK PROFILE 1 PT FULL VOL 12062 PORT SETTINGS: WATER WARNING : '2.0 HIGH WATER LIMIT: 3.0 NONE FOUN,r) FLOAT SIZE: 4.0 INC;HES B1AX OR LABEL VOL: 12062 RS-232 SECURITY OVERFILL LIBIlT 90% WATER WARNING : 2.0 CODE : ~ 10855 HIGH 14ATER LIMIT: 3.0 95% HIGH PRODUCT 11459 MAX OR LABEL VOL 12062 DELIVERY LIMIT 10% OVERFILL LIMIT 1206 10855 HIGH PRODUCT . ~:,.6, : 750 11459 RS-232 END OF fie .... R_,E LOW PROf)UCT D I SABLED LEAl( ALARId L I M I T: 25 DEL I VERY L I M I T SUDf)EN LOSS LIMIT; 25 603 TANK TILT : 2,50 LOW PRODUCT : 50 IN-TANK SETUP ~IANIFOLDED TANKS LEAK ALARM LIMIT: 25 - - T¢: NONE SUDDEN LOSS LINIT: 100 ' TANK TILT : 4.44 PERIODIC TEST TYPE OUICK MANIFOLDED TANKS T~: NONE PER I OD I tl; 'TEST FA I L ALARM DISABLED PERIOI3IC TEST TYPE OUI CK (-.;ROSS TEST F('-~ I L ---' - ALARI'I D I GABLED PER I OD I C TEST FA I L PER TEST AVERAGING~ OFF ALARM DISABLED , GROSS TEST FAIL TANK TEST NOTIFY: OFF ALARM DISABLED T~K TST SIPHC)N BREAK:OFF PER TEST AVERAGING: OFF DELIVERY DELAY : 15 1'lIN TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN LEAl<: TEST METHOD TEST ON DATE : ALL TANK START TIME : 2:03 AM TEST RATE : 0.90 GAL/HR DURATION : 2 HOURS LI~3UID SENSOR SETUP L 1 :PREMI;UM SUMP TR I -STATE (S I NC;LE FLOAT CATEGORY : STP SUMP L '2 :PREMIUM ANNULAR TR l -STATE (S I NC;LE FLOAT CATEGORY : ANNULAR SP~CE L 3:PLUS SUMP TR I -STATE (S INGLE FLOAT) CATEGORY ; STP SUMP L 4:PLUS ANNULAR TR I -STATE < S INGLE FLOAT > CATEGORY : ANNULAR SPACE R 3 :UNLEADED L 5:UNLEADED SUMP TYPE: TR I -STATE ( S INGLE FLOAT) STANDARD CATEGORY : STP SUMP NORMALLY CLOSED L 6:UNLEADED ANNULAR LIQUID SENSOR aLMS TRI-STATE (SINGLE FLO~T) L 5:FUEL aLaRM CATEGORY : aNNULaR SPACE L 6:FUEL aLaRM L ?:DIESEL SUMP TRI-STATE (SINGLE FLOAT) R 4:DIESEL CATEGORY : STP SUMP TYPE: STANDARD -- NORMALLY CLOSED L 8:DIESEL ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE LIQUID SENSOR ALMS L 7:FUEL ALARM L 8:FUEL ALARM OUTPUT RELAY SETUP R I:PREMIUM TYPE: STANDARD NORMALLY;CLOSED LIQUID SENSOR aLMS L I:FUEL ALARM L 2:FUEL ALARM R 2:PLUS TYPE: STANDARD NORMALLY CLOSED LIOUID SENSOR ALMS L 3:FUEL ALARM L 4:FUEL ALARM ..... SENSOR ALARM L 6:UNLEADED ANNULAR ANNULAR SPACE FUEL ALARM AUG 12. 200~3 1~:~9 PM ..... SENSOR ALARM L 4:PLUS ANNULAR ANNULAR SPACE FUEL ALARM AUG 12, 2003 12:40 PM ..... SENSOR ALARM ..... L '3:PLUS SUMP STP SUMP FUEL ALARM AUG !2,. 2003 !2:47 PM ..... SENSOR ALARM ..... L 2 :PREMIUM ANNULAR ANNULAR SPACE FUEL ALARM AUG 12. 2003 12:41 PM ..... SENSOR ALARM L 1 :PREMIUM SUMP STP SUMP FUEL ALARM AUG 12, 200~ 12:50 PM ...... SENSOR ALARM ....... L 8:DIESEL ANNULAR ANNULAR SPAC~E FUEL ALARM AUG !2, 2003 12:4i PM ..... SENSOR ALARM ..... L 7:DIESEL SUMP STP SUMP FUEL ALARM RUG 12, 200~ 12:50 PM ..... SENSOR ALARM ..... L 5:UNLEADED BUMP STP SUMP FUEL ALARM AUG 12, 2003 12:48 PM -----F-ASTR I P MING-C. HESTER ALARM HISTORY REPORT ' ~ _ BAKERSF I ELI) CA. 9~04 ! ...... - 805-$97-8606 !< .... IN-TANK ALARM ..... ALARM HIBTORY REPORT AUG 12.. 200J 12:J5 PPi ~ T 2:PLUS .... IN-TANK ALARM LEAK ALARM T 4 :DIESEL APR 1, 2001 4:00 AM SYSTEM STATUS REPORT ~ETUP DATA WARNING ......... LOW PRODUCT ALARM AUG 10, 1998 9:47 AM ALL FUNCTIONS NORP1AL : JUL 28, 2003 12:15 PP1 JUN 16, 200J 7:53 PM OVERFILL ALARM -- JUN 10, 200~ IO:30'AM PlAY 1~, 2003 11 SUDDEN LOSS ALARM INVALID FUEL LEVEL APR 1, 2O01 ~:29 AM PIAR 5, 200~ 4:49 PM APR 11.. 2002 6:JO PM INVALID FUEL LEVEL ~EP 7~ 2001 9:44 AM JUL 28, 2008 9 06 pp, JUN 17, 200~ 1 2j pM PROBE OUT A~ARM HISTORY REPORT JAN lJ, 200J 12 09 PM MAR 5.. 2003 4:49 PM ~EP 7, 200i 9: 44 AM - .... SYSTEM ALARM ..... PAPER OUT DELIVERY NEEDED MAY 6, 2003 1:51 AM AUG 1, 200J 8:10 AM DELIVERy NEEDED PRINTER ERROR JUL 27.. 200J 2:S0 AM MAR S, 200J 4:48 PM M~Y 6, 200J 1:51 AM JUL 21.. 200j 12:a2 PM MAR 5, 200j 4:43 PM BATTERY IS OFF BEP 7, 2001 9:43 AM JAN 1, 1994 8:00 AM ~VS SECURITY' WARNING SEP 10, 2002 12:11 PM ALARM HI~TORY REPORT ~ ALARM HISTORY REPORT I N-TANK ALARM ALARM HISTORY REPORT i ..... SENBOR ALARM ..... T 3:UNLEADED L i:PREMIUM SUMP .... IN-TANK ALARM STP SUMP LEAK ALARM FUEL ALARM T I:PREMIUM ~ MAY 4, 20~3 4 ~0 AM AUG 6, 2~02 2:49 PM APR 6, 2~03 4 ~ AM SETUP DATA WARNING ~ MAR 2, 2~03 3 JO AP1 FUEL ALARM MAY 13, 2001 4 33 PM SEP 7.. 2001 9:~8 AM FE~ 17, 1613 5 13 ~M HIOH ~ATER ~LARM JUL ~2, 10~5 ? 28 ~P1 .~ M~R 6, 2003 ~;40 PM FUEL ~LARM SEP 25, 2000 LE~K ~LARP1 OVERFILL ~L~RP1 DEC 9, 1111 5;37 PM JUN 17.. 2003 2;1~ PM ~PR 4.. 2003 6;50 ~M HIGH ~TER ~L~RM JUL ?, 11 ? 4;05 AM LOW PRODUCT ALARM JUN 29, 2003 ?;34 PP1 LOW PRODUC;T ALARM ~PR 15, 2003 4;12 PM ~EP 17, 2002 3;46 PM M~R ~, 2003 ~;40 PP1 JUL I, 2002 ll;2?.,AP1 M~Y 16, 2002 I; 19~ ~P1 SUDDEN LO~S ~LARP1 AL~RI"I HISTORY REPORT JUN 1, 2~03 2;57 AM 'INVALID FUEL LEVEL MAY 4, 2003 2;44 ~M ..... SEN~OR ~L~RP1 M~R 6.. 2003 ~;48 PP1 ~PR 6, 2003 2;43 ~M L 2;PREPIIUM ~NNUL~R ~EP 17, 2002 3;47 PM ~NNUL~R ~P~C;E JUL 1, 2002 12;43 PP1 INVALID FUEL LEVEL FUEL JUN 29, 2003 ?;45 PM ~UO 6, 2002 2;~ PM PRO~E OUT ~PR 15, 2003 4;34 PP1 M~R 6, 2003 8;~3 PM MAR 6.. 2003 ~;39 PM FUEL ~L~RM ~U~ 6, 2002 2;~3 PP1 ,. , PRO~E OUT DELIVER~ NEEDED MAR 19, 2003 2:47 PM FUEL ALARM AUG. '2, 2003 2 52 PM MAR 6, 2003 8:35 PM v SEP 7.. 2001 10;01 AP1 APR 26, 2003 11 15 PM FEB 3, 2003 1 07 PM HIGH WATER WARNING MAR 6, 2003 ~:40 PM DELIVERY NEEDED JUN 29, 2003 12;58 PPI MAY 12, 2003 8:44 PM APR 15, 2003 10:10 AM ALARM HISTORY REPORT ALARM H ISTOPA.' REPORT ~ ..... SENSOR ALARM ..... ~ L 7:DIESEL SUMP ..... SENSOR ALARM ..... STP SUMP L S:PLUS SUMP FUEL ~L~RM STP SUMP ~UG 6.. 2002 2:40 PM FUEL. ~L~RM- DEC 8 .;~; ~2'0~02'~ 11:09 ~M FUEL RLARM FUEL ALARM SEP 7, 2001 9:98 AM AUG 15, 2002 10:40 AM FUEL ALARM SEP 25, 2000 7:52 AM FUEL ALARM AUG 15.. 2002 10:38 AM ALARM HISTORY REPORT ALARM HISTORY REPORT ..... SENSOR ALARM ..... L 8:DIESEL ANNULAR ..... SENSOR ALARM ANNULAR SPACE L 4:PLUS ANNULAR FUEL ALARM ANNULAR SPACE AUG 6, 2002 2:42 PM FUEL ALARM AUG 6, 2002 2:51 PM FUEL ALARM SEP 7, 2001 10:02 AM FUEL ALARM AUG 6, 2002 2:50 PM FUEL ALARM SEP 25, 2000 7:53 AM FUEL ALARM SEP 7, 2001 10:00 AM ALARM HISTOR~ REPORT ALARM HISTORY REPORT ..... SENSOR ALARM SENSOR ALARM ..... OTHER SENSORS L 5:UNLEADED SUMP STP SUMP ALARM HISTORY REPORT FUEL ALARM ..... SENSOR ALARM ..... AUG 6, ~00'~ : 2:53 PM ~ '2: FUEL ALARM OTHER SENSORS SEP 7, 2001 9:06 AM FUEL ALARM SEP 25, 2000 8:2~ AM ALARM HISTORY REPORT SENSOR ALARM ..... OTHER SENSORS ALARM HISTORY REPORT ..... SENSOR ALARM L 6:UNLEADED ANNULAR ANNULAR SPACE FUEL ALARM AUG 6. 2002 2:56 PM SENSOR OUT ALARM SEP 25.. 2000 8::30 AM ALARM HISTORY REPORT SENSOR ALARM ..... SENSOR OUT ALARM ~ 4: MAR 16, 1999 2:53 PM OTHER SENSORS ~IS-I~I SETUP T '2: P~-Uc~--~ pROI~UCT CODE 2 THERMAL COEFF .000700 AUG 1'2, 200312::30 PM T~NK DIAMETER 111.50 ,, T~NK PROFILE I PT FULL VOL 12062 SYSTEM UNITS U.S. ' T 4:DIE~EL SYSTEM LANGUAGE FLOAT SI~E: 4.0 INCHES ~ PRODUOT CODE 4 ENGLISH WATER, WARNING : 2.0 THERIqAL COEFF .000450 FASTRIP HIGH WATER LIMIT: S.O TANK TANK PRoFDIAMETERILE 111.501 PT MING-CHESTER MAX OR LABEL VOL: 12062 FULL VOL 12062 BAKERSFIELD CA.SSS04 OVERFILL LIMIT 805-S97-8606 10855 HIGH PRODUOT 95~ FLOAT SIZE: 4.0 INCHES SHIFT TIME 1 DISABLED 11459 SHIFT TINE 2 DISABLED DELIVERY LIMIT 10~ WATER WARNING : 2.0 SHIFT TIME S DISABLED 1206 HIGH WATER LIMIT: SHIFT TIME 4 DISABLED LOW PRODUCT : 750 MAX OR LABEL VOL: 12062 PERIODIC: TEST WARNINGS LEAK ALARM LIMIT: 25 OVERFILL LIMIT : 90~ DISABLED SUDDEN LOSS LIMIT: 25 : 10855 ANNUAL TEST WARNINGS TANK TILT : 2.50 HIGH PRODUCT : DISABLED : 11459 _~MANIFOLDED TANKS DELIVERY LIMIT : 5~ T~: NONE ~ : 603 PRINT TC VOLUMES ENABLED PERI ODIC TEST TYPE LOW PRODUCT : 50 TEMP COMPENSgT I ON OU I OK LEAK ALARM L IMI T: 25 SUDDEN LOSS LIMIT: 100 k/gLUE (DEG F ): 60.0 PERIODIC: TEST F~IL TriNE TILT : 4.44 COMMON 1 CAT IONS SETUP } ALARM D I SABLED MAN I FOLDED TANKS GROSS TEST FAIL T¢: ALARM DISABLED PORT SETT I NGS: PER I OD I O TEST TYPE PER TEST AVERAGING: OFF OUICK NONE FOUND TgNK TEST NOTIFY: OFF PERIODIC TEST FglL Re '~,~9 gLgRM DISgBLED ,~-=o~ SECURITY COlE : ~ TNK TBT SIPHON BREgK:OFF ~S~2~2 END OF MESSAGE GROSS TEST FaIL DISABLED _ r)~.~ DELgY : 15 ~"1I N gL~R~ DISgBLED I N-TANK SETUP ~ T 3 :UNLEgDED ...... PRODUCT CODE 3 PER TEST gVERgGING: OFF THERMgL COEFF .000700 T 1 :PREMIUM TgNK DIANETER 111 .50 TgNK TEST NOTIFY: OFF PRODUCT CODE 1 TgNK PROFILE I PT THERMAL COEFF .000700 FULL VOL 12082 TNK TST SIPHON BREAK:OFF TaNK DIAMETER 111.50 TANK PROFILE 1 PT DELIVERY DELgY : 15 MIN FULL VOL 12062 FLO~T SIZE: 4.0 INCHES ~gTER ~gRNI NG : 2.0 FLOAT SIZE: 4.0 INCHES HIGH ~gTER LIMIT: 3.0 ~gTER ~ARNING : '2.0 NgX OR LgBEL VOL 12062 HIGH WATER LIMIT: 3.0 OVERFILL LIMIT 90~; 10855 NgX OR LABEL VOL: 12062 HIGH PRODUCT 95~ OVERFILL LINIT 90~ 11459 10B55 DELIVERY LIMIT 1 HIGH PRODUCT 95g 1206 11459 LE~K TEST METHOD DELIVERY LINIT 10~; LOW PRODUCT : 750 1206 LEAK ~LgRM LIMIT: 25 - TEST ON DATE : ALL TANK SUDDEN LOSS LIMIT: 25 JUN 28, 2005 LOW PRODUCT : 750 TANK TILT : 4.30 START TIME 2:03 gM LEAK ~LgRM LIMIT: 25 TEST RATE 0.20 GAL/HR SUDDEN LOSS LIMIT; 25 NgNIFOLDED TANKS DURATION 2 HOURS TANK TILT : 4.50 T~: NONE MANIFOLDED T~NKS LE~K MIN ~NNUAL ; 0 T~: NONE PERIODIC TEST TYPE PERIODIC TEST TYPE OUICK 0 U I C K ANNUAL TEST FAIL PER I OD I C TEST FA I L ALARM D I S~BLED ~LgRM DISABLED PERIODIC TE~T FAIL GROSS TEST FAIL ~LgRM DISABLED ALARM DISABLED GROSS TE~T F~IL PER TEST gVER~GI NG: OFF ~LARM DISABLED T~NK TEST NOTIFY; OFF ANN TEST AVERAGING: OFF r~rE TEST ~VERgGI NG: OFF TNK TST SIPHON BREaK:OFF T~iqK TE~T NOTIFY: OFF DELIVERY DEL~Y : 15 MIN TNK TST SIPHON BREAK;OFF '-~ DELIVERY DELAY : 15 ~IN LIOUID SENSOR SETUP L 1 :PREMIUM SUMP TR I -STATE (S INGLE FLOAT) CATEGORY : STP SUMP OUTPUT RELAY SETUP L 2:PREMIUM ANNULAR TR I -STATE (S INGLE FLOAT) CATEGORY : ANNULAR SPACE R 1 :PREMIUM TYPE: STgNDHRD L 8:PLUS SUMP NORMgLLY CLOSED TR I -STgTE (S INGLE FLOgT) C~TEGORY : STP SUMP : LIOUID SENSOR gLMS L 1 :FUEL- gtgRM L 2:FUEL gLgRM L 4:PLUS ~NNUL~R - TR I -STgTE ( S INGLE FLO~T) CgTEGORY : gNNULgR SPgCE R 2 :PLUS TYPE: L 5 :UNLEgDED SUMP STgNDgRD TRI -STgTE (S INGLE FLO~T) NORMgLLY CLOSED CgTEGORY : STP SUMP LIOUID SENSOR gLMS L 6:UNLEgDED gNNULgR L 3:FUEL gLgRM TRI-STgTE (SINGLE FLOgT) L 4:FUEL gLgRM CgTEGORY : gNNULgR SPgCE L 7:DIESEL SUMP R 3:UNLEADED TRI-STATE (SINGLE FLOAT) TYPE: CATEGORY : STP BUMP STANDARD NORMALLY CLOSED L 8:DIESEL ANNULAR TRI-STATE (SINGLE FLOAT) LIOUID SENSOR ALMS CATEGORY : ANNULAR SPACE L §:FUEL ALARM L 6:FUEL ALARM R 4:DIESEL TYPE: STANDARD NORMALLY CLOSED LIOUID SENSOR ALMS L 7:FUEL ALARM L S:FUEL ALARM " 09')28/01:' i ,'~'07; 45 "~66 0576' BFD H.4Z 31AT DIV ' ~1002 MONITORING SYSTEM CERTIFICATION "' "' · ~'or U~'e By All Jurisdicnon~' W~t/u'n the State o£ California Aathoritv cite~l.. Chapter 6. 7. Heal[h and Safety Cbde: C/topic r 16. DivisiOn ) Title 23, Cal~brnia Code of Regtdaliotts This r°rm must be used to document ~csting and s¢~i~ing of monitoring equipment. A seoara[e ccrti[]g~fion or repo~ ~ust be prepared for eac~gnitoring system control p~j~ by the technician who performs thc work, A copy of this tbrm must be provided to the tank system ownc~/0Perator. Thc owner/operator must submit a copy ut' this Ib~ to the local agency regulating UST systems within 30 days of A.. General Information Facility Comact Person: ~ ~ ~ ~ ~ .... Contact Phon: ~o.: ( ~ ~ ~ Mak~odel otMonitoring System: ~O~ ~ ~ Date ot'Testing/Se~icing: B. Inventory of Equipment Teste~Certified Check the appropriate boxes 1o indicate specific eq~pment ~ In-Tank Ga%lng Probe. Model;~ } ] ~n-Tank Gauging Probe. ' Model: ~.~mul~ Space or Vault Sensor. Model: ~- ~ ] ~Annul~ Space or Vault Scnsor. Model: ~'* fO~ ~PipingSump/TrenchSensoffs). Model: V~'lrl~3'}~O ~ipingSump/TrenchSensoffs). Model: ~'- Q Fill Sump Sensor(s). bi~el: ] ~ Fill Sump Sensor(s). Modch ~ M~chanJca} Line Le~ Detector. Model: ~ Mech~ical Line L~ak Detector. Model:' '~ Elec~onic Line Leak Detector. Model: ~ Elec~onic Line ~ Detector. Modeh ~ Tank Oveffill / High-Level SenSor. Modeh ~ Trak Oveffilt / High-Level Sensor. Model: ~ 0!get (specify equipment t~e ~d model in Section E on page 2). ~ Other (s~cify equipment t~e ~d model in Section E on Page 2). ~n-'Fank Gauging Probe. Modeh ~ [ ~In-Tm~k Gauging ~be. Model: ~' ~mul~ Space or Vault Se'nsor. Modeh ~- ~_ ~Annul~gpacoorVaul~Sonsor. Modeh ~PipingSump/Tr~nchSensoffs]. Model: ~- ~q:~ ~ipingSump/TrenchSensor(s). Model:~~~ ~ Fill Sump Sensor(s). M~el: ~ Fill Sump Sensor(s). Modeh ~ Mechanical Line Le~ Detector. Model: D Mechanica Line Le~ ~rector. M~eh ~ ElecTonic Line Le~ Detector, Model: ~ ~ Elecwonic Line ~ Detector. Model: ~ Taok Ore. Il / High-Level Sensor. Model: D Tank Ove~ll / High-Level Sensor. Model; ~ Other (s~cifv. equipment type and model.,in Seed? E on Page 2). D Other_ :_.~.(speci~- equipment~ . ,, type., and ..... model in Secdon E on Pa~e 2). ~DispenserConthnmentSensor(s). Modeh ~/~ ~spensecContainmentSensor(s). Modeh ~he~ V~vets). ~hear V~ve(s). ~ Dispens?~ontainmem ~oat(s) and Chain(s). , ~ Dispenser Cont~nment Float(s) ~d Chain(s). Dis~nser ID: ~" ~ "Dispenser ID: t~ ~.DispenserContainmeat Sensor(s). Modeh ~/~ ~ Dispenser Containment Sensor(s). Model: ~Shear Valve's}. I ~hear Valve(s). ~ Dispenser Contaimnem ~oat(s) and Chain(s). ~ ~ Dispenser Containment Float[t) and Chain(s). Dispenser ID: ~'7 ~ [ Dispenser ID:' ~ispenserContainmen~Sensor(s). Model:_~ ~ ~ Dispenser Containment Sensor(s). Modch ~ Shear Valve(s). ; ~ Shear Valve(s). ..2Dispenser Containment Floatts) and Chain(s). Q Dispenser Cent~nment ffloat{,s~ and Chain(~). .-If thc facili~ contains more tanks or dispensers, copy this fo~. Include infommtion for ever)' t~k and dispenser at the hcility. C. Certification · I ce~ that the ~uipment lden6~ in t~s document w~ lmpect~se~leed in accordance with the m~ufac~em' g~gdelin~. Attached to this Ce~fication is Iffomfion (e.g. mnufacmre~' chec~ls~) necessa~ to veH~ that t~s t~ommtlon is correct and a Plot Plan showing the layout of moffito~ng eqffipment. For any eq~pment ~pable of generating such report, I have also attached a copy of the repo~; {check a~l that appO): ~ System set.up ~ Alarm history report ' Technician N~ne (print): ~ ~ ' Signature:_ Certification No,: ~ License. No.: ~ Testing Company Name: ~~ ~T ~n~Ol~ ....... Phone No.:(~_) Site Address: ~~~?O'~ ~~ Date of'resting/Servicing: ~/~/ Page I of 3 03/01 Monitoring System Certification 09/28/01; 07:46 e~66106 0576 BFD HAZ ~tAT DIV ' I~0o$ D. Results of Testing/Servicing Software Version Installed: ('~ . O"Z. Corn fiete the followin checklist' I t~'~.s'"'"'"Q"No* ! Is the audible alarm operational?' . ..... Ci~,"Yes v~ No-~ i Is the visual alarm operat!o..nal? .... ~'"'Yes O No* Were .all .sen.sors...visually inspec!.e.d, functionally tested, and confirmed ope_rational? '~[)'"~'es [] No* Were ail sensors installed at lowest point of secondary containment and positioned so"that or'her equipment wil~- . not interfere with their pro. per opera&m?. .. Q Yes ~,,~.'qo" If alazms are relayed to a remote monitoring station, is all communications equipment (e g modem) ~'- N/A operational.'? "/;2' Yes Q No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment O N/A ] monitoring system detects a leak, fails to op~a~, or is elecTzically disconnected'?. Il'yes: which sensors initiate positive shut-down? (Check all that apply) ~'~S,amptTrench Sensors; ~ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks ~ sensor failure/disconnection? [~'Yes; ~ No. ~ Yes [] .No* I For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ~B"~N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly'? ~f so, at what _~. trent of tank capacity does the alarm trigger? . '~0 % ~ Yes~' ~'~No Was any moni"~oring equipment replaced? Ifyes, identify specific sensors, probes, or other equipment replaced . , and list the manufacturer name and m~el for all replacement pans in Section E. below. ~ Yes* ~/No Was liquid found inside any secondas? containment'systems designed as dry systems? (C'heck all that apply) [] Product; Q Water. If ye_s, describe causes i9 Section E, below. 'l~'Yes [] No.* was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable ~V.Yes .... .~.. N?~_..t Is al! mo..nito, dng .equ_!p_r~nt operational pe...r, manufacturev's specifications? ... * In Section E below, describe how and when these deficiencies were or will be corrected, Comments: Page 2 of 3 o3/01 0~/28/01. 07:47 966 6 0576 BFD HAZ MAT DIV ' ' ~004 F. In-Tank Gauging / SIR Equipment: C.1 Check this box it' tank gauging is used only tbr inventory control. 12 Check this box if no tank gauging or SIR equipment is installed. ' This section must be completed if in-tank gauging equipment is used to perform leal< detection monitoring. Corn flete the following checklist: , ,~"Y~s ~ No* 'l Ha~ ~ii input wiring been inspected tbr proper entry and termination, including testing for ground faults.." ~t'"¥eS 12 ,No* Were all ta~'k gauging probes visually inspected for damage and 'residue buildup? ii~t~'Y~s ~ No* Was a'ccuracy of system product level readings tested'? I:~'es IZl No* Was accuracy of system water level readings"-~ested? (~'~Yes C.I No* Were all probes reinstalled properly'? !2l,~es ! ~ No* Were all items on the equipment manufacturer's maintenance checklist completed.9 * In the Section H, below, describe how'and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): [il/Check this box it' LLDs are not installed. Corn ~lete the following checklist: '~ Yes El No* For equipment start-up or annual equipment certification, was a leak simulated to verify L~ performance? .2 N/A (Check all that apply) Simulated teak rate: ~3g.p.h.: i.30.1g.p.h; ~0.2g.p.h. . ~1 Yes D No* Were all LLDs confirmed operational and ac'-cu~ate within re~latory requirements? UI Yes ~ No* Was the testing apparatus properly calibrated? I:1 Y~'s .2 No* For' mechanical LLDs, does the LLD restrict product flow if it detects a leak? ,'3 N/A ~ Yes ~ No* For electronic LLDs, does the turbine automatic~'lly shut of/-if the LLD detects a leak? D N/A 12 Yes 121 No* For electronic LLDs, does the turbine automatically shut off if any porti'~>n of the monitoring system is disabled ~ N/A or disconnected'? 'ZI Yes 12 No* For electronic LL~s, does'the turbine autom,~tically shut off if any portion of the monitoring system malfunctions El N/A or fails a test? ,~ Yes ~1 No* F'or electror~i~ LLDs, have all accessible wiring connections been visually inspected.9 ~ Yes .2 No* Were all items on the equipment manut'acturer's maintenance checklist completed.'? * In the Section H, below, describe how and when. these detlclencles were or.will be corrected. H. Comments: Page 3 of 3 03/0~ Monitoring Sys. tem CertificatiOn UST Monitoring Site Plan : Site· Address: /~ 'afro ~~'o~-~''F~ ~gt l:g~,, ~ ............ '- .............. ...... · . .'.. .... ' . . i 2 .' . . '~'.: 2 : .~ . . .". . ..'. '. .' .". . ::. '; .,'. Y~:';'":. '.'. .'.'.~:." .... · : ' "' .... '~.2' .'{ )'.".'?..'i.~ ..... ' .. · . · .. '...'. y..' :.' .... · ..~ · .. .. ~.' .' .' · y :. ~ ~ ':'; .... :,'..~.; . . ........................... . , , ,'.' ......... . . ...'?'::.~. .. ' ..... ................ 'ig ~,~ . ~/4 ~ 8W~.t'& ........ ......... : ..... Dat~ map ~,as drawn: /__/__ Instruction~ · If you already have a diagram that shows all re~tuired information,.y°u m~.y'ii~clude':it, raih~r"than~.,.~.~s ~ag'e, with your Monitoring Systemcertificatiofl?~' On your ~ite '~lan',' show the 'general .lgyout bf .tanks i andfp~p~ng, i.:..Clearly .~dent~fy spaces, sump;, dispefis'er' pans, SPill containers, or:'6ther ~¢onda!~/6~ht~i~i~ ~-eas}"~cha~hi'~al ~i!'%le~h-~iC line leak detectors; and in-tank liquid level probes (if used for leak detection), in ~ '~pace pr~videdl note the date this site Plan p p t~-re-are'~. ' ..... ' :' '~ ' ..... '~'"""' '': ' ~' :"' ....': ~ ? ' was · : :.'.' ': .-'/. . .';~"ii','c::' ' ',-"? ..... '? ".:'." '"-':% ~;~,~"~fi-'."~"Z~ .'."+~'";~:~'--':' ' .' :': ~ -:'. ':,"' ' ' January 22, 2003 Fastrip F~RE CHIEF 1640 South Chester Ave RON FRAZE Bakersfield CA 93304 ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 R.E: Upgrade Certificate & Fill Tags VOICE (661) 326-3941 FAX (661) 395-1349 Dear Owner/Operator: SUPPRESSION SERVICES 2101 'H' Street Bakersfiola, C^ 93301 Effective January 1, 2003 Assembly Bill 2481 went into effect. This VOICE (661) 326-3941 Bill deletes the requirement for an upgrade certificate of compliance FAX (661) 395-1349 (the blue sticker in your window) and the blue fill tag on your fill, PREVENTION SERVICES FIRE SAFETY SERVlCES· ENVIRONMENTN. SERVICES 1715 Chester Ave. You may, if you wish, have them posted or remove them. Fuel Bakersfield, ca 93301 vendors have been notified of this change and will not deny fuel VOICE (661) 326-3979 FAX (661) 326-0576 delivery for missing tags or certificates. PUBLIC EDUCATION 1715 ChosterAve. Should you have any questions, please feel free to call me at 661- Bakersfield, CA 93301 326-3190. VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION Sincerelw~ Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION Steve Underwood 5042 Victor Ave. Bakersfield, ca 93308 Fire Inspector/Environmental Code Enforcement Officer VOICE (061) 399-4697 FAX (661) 399-5763 Office of Environmental Services SBU/dc CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAIH IINSPECTION CHECKLIST 1715 Chester Ave., 3~ Floor, Bakersfield, CA 93301 FACILITY NAME {r~ .q'-~'t,b_ INSPECTION OAV~ It-t ff'0~ ADDRESS lb qO ' ~' ~k 4kt AOL PHONE NO. 3 7' k FACILITY CONTACT BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section l: Business Plan and llnven~tory Program [~ Routine [~ Combined [~ Joint Agency [~ Multi-Agency ~.] Complaint [~ Re-inspection OPERATION C V COMMENTS App[opriate permit on hand L. Business plan contact information accurate ¢... 'Visible address L //' Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Explain: Questions regarding this inspection? Ple.e call us at (661) 326-3979 Business ~spo~?~7~ White - Env. Svcs. Yellow - Station Copy Pink- Business Copy Inspector: I"11 NG'-C: HESTER BAI(ERSF I ELD ggS-:397-g6CJ6 ,:LU~ 12: PM NOV 15.. '-'-I- '~' 20 SYSTEM STATUS REP©RT T :3:SUDDEN LOSS ALARM I NVEI',IT©R¥' REPORT T 1 :PREI4I iJM VOLUME = 3054 GALS ULLAGE = 9008 GALS 90% ULLAGE= 7601 GALS; TC ~C~LUI'.'IE = 3001 GALS HE, T = 33.52 INCHES Wa'--,4 VOL = 0 GALS WATER = 0.00 I fiCHES TEMP = 84.8 DEG F T 2 :PLUS VOLIjME = ',3;345 GALS UL~ 'E = 8717 GALS 90~LLAGE= 7510 (:aLS TO '~OLU[~IE = :3~74 GaLS HEIGHT = 35.02 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 90.4 [.,EG F T '3: UNLEADED VOLUME = 8211 GaLS ULLAGE = 6SS1 GAL~ 90% ULLAGE~ 4644 GaLS TO VOLUME = 6123 gaLS HEIGHT = 67,05 INCHES WATER VOL = 0 GaLS WATER = 0,00 INCHES TEMP = SO.O DEO F T 4 :DIESEL VOLUME ~ 0109 GaLS ULLAGE = 8953 (;ALS 90% ULLAGE= 7746 GALS TC 'qOLUME = 30?4 GALS HEI'~HT = :33.97 INCHES t,,JA~ O. 82 INCHES TEMP = 8~1.9 DEG F i_tg ~ -~/~ UNIFIED PROG~M INSPECTION CHECKLIST chester Ave., F oor, akersnda, CA 93301 FACILITY NAME ~6;r,'0 INSPECTION DATE Section 2: Underground Storage Tanks Program ~ Routine ~Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection Type of Tank ~ 5 Number of Tanks Type of Monitoring dC~ Type of Piping OPERATION C V COMMENTS Proper tank data on file ~,, Proper owner/operator data on file ~ Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? Inspector: _~C=C°mpliance %~2, V=Violation/~' .;' ' ~~ Y=Yes N=NO ~' ///J'- · /,~..,,.- ~,....,X-~ - ?.~/7~ ~/,, Office of Environmental Services ('805) 326-3979 BUsinesSes 5"oniib'le Pi~irty White - Env. Svcs. Pink - Business Copy August 30, 2002 Fas~p 1640 S. Chester Avenue B~ersfield, CA 93304 ~MINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. FIRE CHIEF RON FR/~ZE Dear Tank Owner / Operator, ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 If you are receiving this letter, you have a. ot yet completed the necessary secondary VOICE (661)326-3941 containment testing required for all secondary containment components for your FAX (661) 395-1349 underground storage tank (s). SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health VOICE (661)326-3941 & Safety Code) of the new law mandates testing of secondary containment FAX (661) 395-1349 components upon installation and periodically thereafter, t° insure that the systems are PREVENTION BERVICE~ capable of containing releases fi.om the primary containment until they are detected 1715 Chester Ave. Bakersfield, CA 93301 and removed, vOICE (661) 326-3951 FAX (661) 326-0576 Of great concern is the current failure rate of these systems that have been tested to ENVIRONMENTAL SERVICES date. Currently the average failure rate is 84%. These have been due to the 1715 Chester Ave. Bakersfield, CA 93301 penetration boots leaking in the turbine sump area. VOICE (661)326-3979 FAX (661) 326-0576 For the last four months, this office has continued to send you monthly reminders of TRAINING DIVISION this necessary testing. This is a very specialized test and very few contractors are 5642 Victor Ave. Bakersfield, CA 93308 licensed to perform this test. Contractors conducting this test are scheduling VOICE (661) 399-4697 FAX (661) 399-5763 approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel fi'ce to call me at (661) 326-3190. Sin~ ~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services 3812 Panorama Drive Bakersfield, CA Phone: 661-322-0660 Fax: 661-871-1788 CA..License # 589517 Secondary Testing Certification Facility ~=x~- o,,~ Address I ~3 .~'~ Operators Name Owners Name Secondary Test Passed 1,," Failed Notes:_ Name of Tester l<i~ Tester License# ~?n Name of C°ntact Person ~c~,.~ Phone # of Contact Person ~e ~- q-'lq -.. 61% Date & Time Test was Conducted Date: 5g -.I 6'-.ow-- Time: IZ Signature of Tester ~-~-~-~ ~ 3812 Panorama Drive Bakersfield, CA 93306 Phone: 661-322-0660 Fax: 661-871-1788 SECONDARY SYSTEM CERTIFICATION FORM DATE FACILITY ID FACILITY NAME & ADDRESS TURBINE SUMPS SUMP-1 SUMPs2 SUMP-3 SUMP-4 Start Time .............................. Stop Time .................. i Il q q- t~ i i ' '4q '~"~ I I "q-q ~ '~" I ~ ' 4-0- ~'"~ Final Height of Water Results .................. Pn~k ~t~s~ pg ~.,:< ~ g~; . Certification (Signature)... OVERFILL BUCKETS OVERFILL-1 OVERFILL--2 OVERFILL-3 OVERFILL-4 Start Time ............... Initial Height of Water Stop Time ................... Final Height of Water ........... 5. ?~ N'L" q. ~ '7~" ~~ 3, tit ~'" Results ................................ Ce~ification (Si~amre) .... UST ANNULAR SPACE Tank-1 Tank-2 Tank-3 Tank-4 Initial Vacuum Pressure ....... Stop Time ............................. Final Vacuum Pressure Results ................................. Certification (Signature) SECONDARY P2ING ~.DtsP~to~,~.. tD~,t~.~ LINE-I LINE-2 ~ L~E-4 St~ Time ................. q .. ?~ , ta ~: 2~ ~' '~ Initial Height of Water ....... 7..~ ¢4 ' B-'~ ~ ~ ~ Stop Time ................. 9; ~t ~."* ~; qt '~'~ Final Height of Water ........ w. ~q~ ~" ~. 773g" Results ................ ~ ~ ~q Cegification (Si~at~e) ... ~ ~ "'- :"- TEST REPORT i-G61-322-'~660 TEST ST~RTE[:, 08,"~5..'2082 'rF3~:T ST~RTEI} ',3:~2 ENr:, ~T ~,IF r ..... .... ~.4¢. ~t'~ ~EG~','4 LCUEL 4.4757 IN MoobD ....... .............. T[~ST ST~PTE[, 9:2e]. At"; 8Euzk LEUEL '3.774~i ZN TEST ST&RTED 88/15/2882 ~:L,~dc' 2 END F;,~T~" 88./15,'~2862 ': Ei~O TIME ,/ -, ,3:37 ~M TE~T F:T~RTE[) uE~' %'.. T, HRE....FtO~.,.c. ' ~ R.882 IN ~"~ LEUEL ~ 4.6851 IN ~ERTN TF~;T ...... %%SULT P~SSED LE~K ~HREoHOLC¢ 8.882 IN :':t}. ~'~: T~ST ,,.~..::,IJL, P~SSED END rt,¢¢rE ENn, TI~E TEST PmC'H' -r PASSED ~mn, TEST ¢~'"~"~'~D '-' ..... ' 07/'31/02 08:50 ~661 826 '1576 BFD HAZ ~{AT I)IV ~001 ~ CITY OF BAKE~F~LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (6613 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY C'ONTAINMENT TESTING FACILrrY Fastrip #562 ADDR~-$$ 1640 South Chester Avenue PEKM~TTO OPEKATE# 4f4 OPERATORS N.aAV~E .,. Jaco 0i£ Compan.~ OWNERS NAME Jaco-Hi££ N~EROFTANKSTO BE TES~. 4 IS P~>INGGOING TO BE TES~YES' TANK# · VOLUM~ CONTENTS I 12000 MVF 2 12000 MVF 3 12000 MVF 4 12000 MVF TANK TES1XNG COMPANY. SUNSET MECHANICAL MAIlJNGADDRESS 3812 Panorama Drive 93306 NAME & PHON~ ~F~. OF CONTACT PERSON Mark Bga ckburn 322- 0660 TESTMETHOD H. gdro-static & Vacuum N.ad~E OF ~~ OR SPECIAL INSPECTOR Ken Brus / Ron Rogers DATE&TI2vliETF_..~TISTOBECONDUCTED 7burs 08/15//Af~ 8~OOAM-5:OOP~ APPROVE~D BY DATE SIONATURE OF APPLICANT 09.(28/01 07:45 r~66! 0576 BFD HAZ 3IAT DIV /~002 MONITORING SYSTEM CERTIFICATION ["or Use By All Jurixdict~ons Withi,,t Ibc ~'tate of California A uthuritv Cited: Chap:er 6.7. Health aqd S~/?O' Code: Chttflter 16. Division 3. Title 23, Cul~brma Code of Regtdations This form must be used to document [estin~ and se~'icing of moni~onng equipment. A ~¢parate certification or repoa~ must be prepared for each monitorin.~ system control ptj~e~ by the technician who performs the work. A copy of this form must be provided [o the tank system owner/operator. The owner/operator must submit a copy of this tbm~ to the local agency regulating UST systems within 30 days of test date A. General Information- Facility Name: ~~fl Bldg, No.:. Make.%del of Monitoring System: '~'~ Date ofTesting/Se~icing: ~ / ~ /~ B. Inventory of Equipment Teste~Cerfified Check tSe ~pprop.date.. boxes, to indicate s~eei~e e~pment...~speete~se~iced:, ...= ~ ~ . , ~ , .... n-Tank G~uging Probe. Mod~l: _~~ ~-Tnnk Gauging Probe. Model: Model: ~,nul= Space or Vault Sensor. Model: ~O~ '~ Annulo= Space or Vault Sensor, . ~Or~'-~_ ~ Piping Sump I Trench Sensoffs~. Model: ~~ ~ ~Pipin= Sump / Trench Senso~3. Model: ~ gill Sump Sensor(s). M~el: ~ Fill Sump Sensor(s). Model: ~ Mechanical Line Le~ Detector. Model: Q Mech~cal Line Leak Detector. Model:' ~ Elect;onic Line Leak Detector. Model: Q Elec=onic Line ~ Detector. Model: Q Tank Overfill / High-Level Sensor. Model: Q Tank Ove~ill / High-Level Sensor. Model: ~ Other (spec(fy equipment t~e ~d model in Section E on :~ ,~ Ot~er (s~c,iCv equipment.t~e ~d model in Section E on Page 2). ~-Tank Gauging Probe. Model: ~/ _ ~[n-T=,k Gauging ~obe. Model: ~/ . ~ Piping Sump ,' Trench Sensor(s). Model: ~ gc~ W ~ '- =~7.{ ~piph,g Sump / Trench Sensor(s), Model: 5~ ~ Fill Sump Sensor(s). M~el: ~ ~ Fill Sump Sensor(s). Modek Q Mechanical Line Le~ Detector. Model: ..... ~-c,. D Mechanical Line Le~ Detector. M~el: O.Elecgonic Line Le~ Detector. Model: "~ Q Elee=onic Line ~ Detector. Model: ~ Ta~k Ore, Il / High-Level Sensor, Model: D Tank Ore,l] / H~gh-Leve! Sensor, Model: ~ Ot~er (s~cify equipment type and model in Section E on Pa~e 2). . U Other (specify equipment type and model in Secdon E on Page 2). Dispe~er ID: //2 Dis~nser ID: ~_ O Dispenser Cont~nment Sensor(s). Modeh ~ Dispenser Con/aimnent Sensor(s). Model: ~he~ v~v=(s). ~ear ~ Dispenser Containment Hoar(s)and Chain(s). Q Dispenser Containment Float(s) ~d Chain(s). ~ispenser Containment Sensor(s). Model: ~ispenser Containment Sensor(s). ModeJ: ~ Shear Valve's). ' ~ Sheaf Va ve(s). ~ Dispenser Cont?{nent ~oat(s) and Chain(s). ~ Disoenser Containment Hoar(s) and Chain(s). Dispenser ID: _ ~ ~ispenser Contui~m Sensor(s). Model: ~ Dispenser Coma~nment S~nsor(sL Modeh ~Shear Valve(s). ~ Shear Valve(s). ~Dispenser Co,~tn~:Qmeo~ Floa~/s) and Ct)nih(s). ~ Disp?sgr ~?~Nnmem F]oaffs) and Chain(s), 'qf the facili~ contains more tanks or dispensers, copy this ~o~. Include in~ommnon for every t~k and dispenser at the facility. C. Certification · I cemfy that the ~uipment iden~fi~ in tNs document w~ impect~s~ieed in accordance with the m~ufac~ers' g,~delin~. Attached to this Ce~ficafion is iMomfion (e.g. ~nufacmre~' chec~is~) necessmT to veH~ that tNs igommtion is correct and a Plot Plan showing the layout or monito~ng eq~pment. For any eq~p~ent ~pable of generating such report, I ~ave also attached a copy of the rep~ (caeck all that apply): ~stem set-up ~arm ~tory report Techmcmn N~e (pnnt): ~,~~ ~ Testing Company Name: ~,5')S:~ ~ Phone No.:(~'~/_)~ Site AOdress: y~:~T- ~,.~,~e ~. DateofT~sting/Servicing:~'/~__/~.~ Page I of 3 03/01 Monitoring System Certification 09/28/01 07:46 8661 6 0576 BFD HAZ blAT DI~ [~003 D. Results of'FestingJServieing Sot'tware Ver,~ion Installed: Co dete the following checklist; es ~ ~ N~* ~ Is the audible ala~ ope~ational'?~ ~ .Yes ~ No'~ Is the visual aIa~ operat~onai'? ..... ~: ~ No* Were all sensors visually insp}cted, thnctionally tested, and c0nfi~ed operational? ~ No* Were ail sensors ]'nstalled at lowest point of secondly 'containment and positioned so that other equipment" will not interfere ~vith their' ~ro. per operam~n? ~ Yes ~o* If al~s ~e relayed to a remote monitoring station, is all communications equipment (e.g. modem) ~ N/A [.~perational? ~es Q No* ! For pressurized piping systems, does the turbine automatically shut down if the piping seconda~ dontainment Q N/A monitoring system detects a leak, fails to oper~ or is electzically disconnected? It' yes: which sensors initiate positive shut-down? (Check all that apply) ~Sump/Trench Sensors; Q Dispenser Containment Sensors. Did you confi~ positive shut-down due to ieaks ~ sensor failure/disconnection? ~s; ~ No. ~ Yes Q to* ~ For tan~ systems that utilize' the monitoNng system as the prim=y rank ove~ll w~ing device (i.e. no ~ N/A mechanical overfill prevention valve is installed), is ~e overfill w~ing al~ visible ~d audible~e tank fill point(s) a~d operating properly'? If so, at wha~ ~rcent of ~ank capacity.does .!~3e al~ ~igger? ~ % Q Yes* ~o Was any monitoring equipment replaced'?. If yes, identify specific sensors, probes, or other equipment replaced and list the manutgctucer name and mMel lot all replacement pros in Section E, b~.Iow. ~ Yes* '~;' W'as l.iquid found inside any second~ cont~nment systems designeb as d~ systems? (checkall that apply) Q , . ~ Product; '~.Watcr. If),!s, de!?ibe cguses in ~.ection E .below. . ; Q No* { Was monitoring system set-up ~ev~ewed t~ e~sgre proper settings? Attach Set up reports, if applicable ~ No* .~. Is all monitoring equipment operational per manufact~ev's specifications'? ' * In Section E below, descNbe how and when thee deficiencies were or ~411 be corrected. E. Cormnents: Page 2 of 3 03/01 · 09,/28/01 07:47 8661 0576 BFD HAZ ~IAT DIV /~004 F. In-Tank Gauging / SIR Equipment: i~"~heck this box it' tank gauging is t~sed ohly tbr inventory control. 71 Check this box ii" no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equi?ment is used to perform leak detection monitoring. ~o.mplele..the f.ollowin~...c, heckl!s[! ................ ' . . .... ii Z" Yes [ ~ No* I Has all input w~ring been respected tbr proper entD' and terrmnation, including testing for ground taults? .... }I Ii!I/YeS } IZi No* Were all ta~k ~auging ~'r~l~~~~p.~~~' -- If i;~Yes I r,.2 No* I W'as accuracy of system product level readings tested'? J[~es lO No I Was accuracy o~ syste.m ,~ater level readings tested? ........ II [] ~Yes I 7_.i No* [ Were all probes reinstalled properly? ' I{ l~Yes I 71' No; / Were all items on the .equipment manufactur.er's mair~'t'~'nance c?ckli?t complet~ed? .... * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): st:~'~heck this box ii" LLDs are not installed. Corn >lete the following checklist: .. '121 Y~s [3 No* For equipment start-up or annual equipment ce~ification, was a leak simulated to verifYLI-'D performance? 71 N/A (Ch¢ckallthatapp!y) Simulated leak rate: ~3g.p.h.: 710.1g.p.h; [3 0.2 g.p.h. .. r"l Yes 71 No* Wer~ all LLDs confim~ed operational m~d accurat~-withJ'n regulatory requirements? IZl Yes 71 No* : Was the test!ng apparatus properly calibrated? ~1 Yes ~ No*; I For mechanical LLDs, does the LLD restrict product flow if it detects a leak? 2 N/A ~ Yes 71 No* For electronii: LLDs, does the turbine automatically shut off if the LLD d~tects a leak? ' 71 N/A 71 Yes 71 NS* For electronic LLDs,'does the turbine autom~al'ly Shut off if any portion of the monitoring system i's disabled '~ N/A or d'iscormected? 'ZI Y'es {~ No* ' For ele~'tronic L~'bs"Tdoes the turbine automatic'ali3 shut off if any potion of the monitc~t~ing system malfunctions ~ N/A or fails a test'? 71 Yes [~ No* For electronic LLDs, have all access hie.wiring connections been visually inspected? ZI N/A '~ Yes .El No* Were all items on the equipment manufacturer's maintenance checklist completed'? * In the Section H, below, descrtbe how and when. these deticiencies were or will be corrected. H. Comments: Page 3 of 3 03/01 WORK ORDER' LOCATION 0E JOB NAME CITY DESCRIPTION OF WORK TO BE PERFORMED ' MATERIALS USED: VENDOR: MATERIALS USED: VENDOR: MATERIALS USED: VENDOR: MATERIALS USED: VENDOR: 2002 August 07.max ~ ~- ~ r~a~ ~n i ur' SYSTEM SETUP 6.. 2002 3:28 H"I T '2:PLUS T 1 :PREMIUM PRODUC. T CODE .: 2 PRODUCT CODE 1 THERMAL COEFF :. 000700 THERMAL COEFF ,000700 TANK DIAMETER ; 111 .50 TANK DIAMETER 111 .50 ~YSTEM UNITS TANK PROFILE : 1 PT TANK PROFILE I PT U.S. FULL VOL ; 12062 FULL VOL 12062 SYSTEM LANGUAGE ENGLISH FLOA~X~iZE; 4.0 INCHES FLOAT SIZE: 4,0 INCHES FASTRIP P11 NG-CHESTER 1N~ : 2 0 BRI(ER~F I ELD WATER WARNING : 2.0 WATER WARN P . '~ -'-~- HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 805-397-8606 ~IA~K OR LABEL VOL 120G2 MAX OR LABEL VOL 12062 SHIFT TIME 1 DISABLED OVERFILL LIMIT 90% OVERFILL LIMIT 90% SHIFT TIME 2 DISABLED 10855 10855 SHIFT TIME 3 DISABLED HIGH PRODUCT 95% HIGH PRODUOT 95% SHIFT TIME 4 DISABLED 11459 1,1459 DELIVERY LIMIT 10% DELIVERY LIMIT 10% PERIODIC TEST WARNINGS 1206 1206 D I ~ABLED ANNUAL TEST WARNINGS LOW pRODUCT ; ?50 LOW PRODUCT : 750 DISABLED LEAK ALARM LIMIT: 2S LEAK ALARM LIMIT: 25 SUDDEN LOSS LIMIT: 25 SUDDEN LOSS LIMIT: 25 TANK TILT : 2.50 TANK TILT : 4,50 PRINT TC VOLUP1ES ENABLED MAN I FOLDED TANKS M~N I FOLDED TANKS T~: NONE T~: NONE TEPlP COMPENSATION VALUE (DEG F : 60.0 PER I OD I (; TEST TYPE PERIODIC TEST TYPE GUICK OUICK PERIODIC TEST FAIL PERIODICi TEST FAIL ALARM D I SABLE[) ALARR D I SABLE[) GROSS -' FAIL (;ROSS TEST FAIL TESTALARM D I sABLED ' ALARM D I SABLED PER TEST AVERAG I NG: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREaK:OFF TNK TST SIPHON B~EgK:OFF ......... .DELIVERY DELAY : 15 MIN DELIVERY DELAY : 15 MIN PORT SETTINGS NONE FOUND ~S-232 SECURITY CODE : RS-232 END OF MESSAGE D I SABLED ..LIQUID SENSOR SETUP 'I~U NLEADED L I:PREMIUN BUMP F 4:DIESEL P~UCT CODE TRI-STATE (SINGLE FLOAT) PRODUCT .CODE 4 THERMAL COEFF ~ .000700 C~TEOORy ; STP ~UNP THERN~L C;OEFF .000450 T~NK DIamETER 111.50 T~NK DIAMETER I 11 .50 T~NK PROFILE 1 PT T~NK P~OFILE I PT FULL VOL 12062 L 2;P~ENIUN ~NNUL~ FULL VOL 12062 TR I -STATE (S I NOKE FLO~T ) C~TEGORy ; ANNUL~ SP~CE FLO~T SIZE; 4.0 INCHES FLO~T -' '- · ~I~E. 4.0 I NCHE~ WATE~ W~RN I NG : 2.0 W~TER WARNING ; 2.0 HIGH WRTER LIMIT; 3.0 L S:PLUS SUMP HIOR WATE~ LINIT: 3.0 TRI-STRTE ('SI~'~GLE FLORT) M~X OR LRBEL VOL: 12062 CATEGORy ; STP BUNP NAX OR LABEL VOL: 1o -o ~Ob~ OVERFILL LIMIT : OUE~FILL LINIT : 90~: : 10855 L 4:PLUS ANNULA~ ~I.,a P~ODOCT ; 95~ : II~59 p ; 10~55 ~IO~ PRODUCT : TRI-STATE (SINGLE FLOAT) ; 11459 DELIVERY LIMIT CaTE<]ORy : ~NNOLAR 8:~_;E DELIVERy LINIT ; 5~' ; 1206 ; 603 LOW PRODUCT : 750 LO~ PRODUCT : L 5;UNLEADED SDNP' ~E~K ~L~N LINIT; 50 LEAK ALAR~ LIMIT; 25 25 ~UDDEN LO~ LIMIT: 25 TRI-STATE (~INGLE FLO~T) ~ODDEN LO~ LINIT: 100 T~NK TILT : 4.20 C~TEGORY ; STP SUMP T~NK TILT ; 2.45 ~NIFOLDED T~NK~ NaI'~IFOLDED T~N~(S T~; NONE L 8;UNLEADED ~NNgLAR T~; NONE ]'~I-BT~TE (SINGLE FLOAT) LEAK NIN ANNUAL : 0 CATEGORy : aNNULA~ BP~CE PERIODIC TE~T TYPE GUICK PERIODIC TEST TYPE PERIODIC TE~T F~IL GUICK L 7:DIESEL B~MP ALARN DISABLED aNNUAL TE~T FaIL TR I -STATE (~ INGLE FLOAT) ALARN DI BABLED CATEGORY : STP BUMP GRO~B TEST FAIL ALARN D I ~aBLED PER I OD I C; TEST FA I L ALARM DISaBLED L 8:DIESEL ANNULA~ PER TE~T aVERAGING: OFF TRI-STATE (SINGLE FLOAT) GROSS TE~T FAIL CATEGORy : aNNULAR ~PACE TANK TE~T NOTIFi/; OFF ALARM DISABLED TNK TBT ~IPHON BREaK:OFF ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF DELIVERY DELAY : 15 MIN TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : LEAl( TEST NETHOD BTRRT TINE : 2:00 AN TEBT RATE :0.20 GAL/HR DURATION : 2 NOUR~ 1 N-'I'ANK 121 ! AGNOST I C ........... }~ IN-TANK DIAC;NOSTIC OUTPUT REL,~Y SETUP P~OBE D I ~C;NO~T I O~ ............... T 4: PROBE TYPE M~G2 PROBE DIAGNOSTICS SERIRL NUMBER 086195 T 1: PROBE TYPE MRG2 ID OHRN = OxCOOl SERIRL NUMBER 086197 R I:PREMIUM GRADIENT = 351.6400 ID CH~N = OxCO01 TYPE: NUM SAMPLES = 20 GRADIENT = 351 .8300 STANDARD NUM SAMPLES = 20 NORMALLY CLOSED COO 1402.0 GO] 7057.0 C02 7056.8 003 7057.0 COO 1~68.~ CO1 8442.5 C04 7056.4 C05 7056.g C02 8442 0 OOJ 8442 ~ LIQUID SENSOR ALMS 006 7056 6 C07 - ' · · L I:FUEL ALARM . 7056.6 C04 8442.5 005 8442,7 L 2:FUEL ALARM 008 7056.8 009 7057.0 006 8442.6 C07 8442.'2 CIG 7057.0 C'.11 42862,2 008 8442.3 C09 8442.5 CI2 5210.2 C]J 57~7.2 CIG 8442.7 CIi 42684.~{ C14 5929 2 015 6025.9 019 u4~8.1 C;13 ~123,J 016 5274.4 C17 7800.0 C14 3074.3 015 3088.9 R 2:PLUS C18 42861.3 C16 2911.1 C17 3204.9 TYPE: SAMPLES READ =112499539 C18 42685.3 STANDARD SAMPLES USED =112498330 SAMPLES READ =117807382 NORMALLY OLOSED SAMPLES USED =117805663 I N-TANK D I ROI,lOST I C L I QU I D SENSOR ALMS L J:FUEI, ALARM ~RgB~ DIAGNOSTICS L 4:PUEL ALARM T 2: PROBE TYPE MAG2 SERIAL NUMBER 086188 ID ORAN = OxCO01 GRADIENT = 351 .6900 R 8:UNLEADED ALARM HISTORY REPORT NUM SAPlPI. E8 = 20 TYPE: STANDARD ..... IN-TANK ALARM ...... CO0 1~69.0 CO1 9558,6 NORMALLY CLOSED 002 9558.1 OOJ 9558,7 T i:PREMIOM C04 ~558,5 005 ~558,~ LIi~UID SENSOR ALMS C06 9558.2 007 9558.0 LOW PROD[JOT ~LARM C08 9558.3 C09 9558.3 L 5:FUEL ~L~RM J~L 1, 200P I :~7 ~f'.'l C10 9558.0 Cll 44846.3 L 6:FUEL M~Y 16, 2002 9.4~ P'M 'C12 5016.1 C13 4788.1 DEO 23.. ~001 4:48 PM C14 4815.7 C15 4897.1 C16 4999.0 C17 5983.6 INVALID FOEL LEVEL C18 44844.9 JUL 1.. 2002 12:43 PM .. ~ 4:DIESEL M~V 16, ~002 9:55 PM 8~MPLES RE~D =116688943 TYPE: STaNDaRD DEO 23, 2001 4:49 PM S~MPI,E8 U~ED =116682053 NORMALLY OLOSED [)EL I VERY NEEDED I N-TANK D I AGNOST I C. L I QU I D SENSOR ALMS dUN 28, '2002 I 56 PM ............. L 7:FUEL ALARM ,JUN 18, 2002 9 52 PM PROBE DIAGNOSTICS L 8:FUEL ALARM MAY 29,. '2002 5 47 PM T S: PROBE TYPE MAC;1 SERIAL NUMBER 162637 ID (3MAN = OxCO00 GRADIENT = 352. 0300 NUM SAMPLES = 20 ¢00 1341.0 COl 17075.1 C02 17074.4 C03 17074.8 004 17075.1 005 17074.9 G06 17076,0 C0? 17075.8 008 17075.7 009 17075.S ClO 17075.S Cll 45293.1 012 7264.5 013 7171.8 C14 7438.2 015 7985:9 C16 8588.5 CI? 8840.8 0t8 45292.7 SAMPLES READ =114539543 SAMPLES USED =114535587 SOFTWARE REVISION LEVEL VERSION 8.02 SOFTWARE~ 349500-008-C CREATED - 95.04.06.09.34 NO SOFTWARE MODULE SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS . ALARM H1STOR'~" REPORT ALaPJ"I al,.~lu~x ~.~r ........ SENSOR aLArM L 3:PLUS SUMP - .... IN.--T~NK ~L~R~ ........ .a~M HISTORY REPORT STP SUMP FUEL ~L~M T 4: D I E~EL ...... I N-T~NK ~L~f"l ...... aU~ 6, 2002 3:Ol PM SETUP DaTa ~aRNING T '2:PLUS FUEL aLaRM ~IAG 10, 199B 9;47 AI"l LEAK ALARM SEP 7.. 2001 9:37 atri INVALID FUEl. LEVEL aPE 1, 2001 '4:00 afl SEP 7, 2001 9 44 AM LOkl P~ODUCT ALARM NOV 14, 2000 i :20 Pkl OCT 24, 1999 5 20 Prri JUN 5, 2002 12:3a PM DEC 20. 2001 11:45 PROBE OUT friAR 31, 2001 6:06 PM ~ SEP ?, 3001 9:44 AM SUDDEN LOSS aLaR/ri aP~ I.. 2001 3:~9 DELIVERY NEEDED SEP ?, 2001 9:48 aI"l INVALID FUEL LE?EL OCT 14, 2000 4:14 PM JUN 5 ~oO~ 6:32 PM OCT 24. 1999 4:02 PM OCT 14. 2000 5;43 PM aLaRM HISTO~'y' ~EPO~T ....... SENSO~ ALibi"1 ....... DELIVERY NEEDED _ ~UIJ~ 6: 08 PM L 4;PLUS ANNULAR JUN ~0, ':--'-' ANNULAR SPACE JUN- 4, 2002 6:30 AM FUEL ALARM MAY 28, 2002 4;58 PM AUG 6.. 2002 2:51 PM FUEL ALARM AUG 6, 2002 2;50 PM ' FUEL aLARM ALARM HISTORY REPORT , SEP 7.. 2001 10;00 aM ....... SENSOR ALARM L 1 :PREMIUM SUMP STP SUMP FUEL aUG 6, 2002 2:49 PM aLaRM HISTORY REPORT FUEL ~LaRM ..... I N-TaI~R~M ..... SEP 7, 2001 9:38 FUEL ALARM T :3:UNLEADED RLRRP1 HI~TORY REPORT ~EP 25, 2000 8;03 AM LERK RLRRM ' JUN 2, 2002 4 O0 AM ..... SENSOR ALARN ..... MAR 9, 2002 3 00 AM L 5 :UNI. EADED SUt"IP FEB 3, 200~ 3 30 AM STP SUMP FUEL aLaRM OVERFILL aLaRM DEC 4.. 2000 10;22 AUG 6, 2002 2:53 Pf"l SEP a. 1998 2:25 AM FUEL hL~M SEP 7, 2001 9:36 AM LOI.~ PRODUCT aLaRM AUG 5, 2002 5:22 PM FUEL aLa~t"l ALARM HISTORY REPORT NOV 18. 2001 5;39 PM SEP '2~, 2000 8:23 AM ...... SENSOR aLaRM ...... RU~ 26, 2001 6;02 PM L 2 :PREMIUM aNNULAR SUDDEN LOSS .ALARM ANNULAR SPACE JLJL 7, 2002 3:38 FUEL ALARM JUN 2, 2002 3:17 AUG 6, 2002 2:48 PM APR 7, 2002 3:58 FUEL ALARM INVALID FUEL LEVEL AUG 6, 2002 2:43 PM AUG 5, 2002 5:44 PM NOV 1S, 2001 5:45 PM FUEL RLARM AUG 26, 2001 6: I I SEP ?, 2001 I0:Ol Afd DELIVERY NEEDED AUG 5.. 2002 12 03 PM '% MAY 20, 2002 9 48 PM ..... APR 1, 2002 8 23 PM aLARM HISTORY REPORT SENSOR aLaRM ...... L 6: UNLEADED ANNULAR ANNULAR SPACE FUEL AUG 6, 2002 2:56 SENSOR OUT RLARPI ~EP 25, 2000 ~EN~OR OUT ~LARM M~R 16, 1~ ~;5~ PM gLARM HISTORY REPORT ..... SENSOR ALARM ......... L 7:DIESEL SUMP STP SUMP FUEL ALARM AUG 6, 2002 2:40 PM FUEL ALARM SEP ?, 2001 9:3~ gPl FUEL ALARM SEP 25, 2000 7:52 AM ALARM HISTORY REPORT ..... SE NBOR-. ALARM.' ...... L 8:DIESEi. aNNULAR ANNULAR SPACE FUEl. ALARM AUG 6, 2002 2:42 PM F[JEL ALARM SEP 7, 2001 10:02 gM FUEL gL~M SEP 25, 2000 7:53 AM CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FAC~FFY Fastrip #562 (Site ID #414) ADDRESS [640 South Chester Avenue OPERATORS NAME Jaco Oil Company oWNERS NAME Ja c o -Hill NAME OF MONITOR MANUFACTURER V e e d e r - R o o t DOES FAC~FFY HAVE DISPENSER PANS? YES X NO TANK # VOLUME CONTENTS I 12000 MVF 2 12000 MVF 3 [2000 MVF 4 12000 MVF NAIVlE OF TESTENG COMPANY SUNSE7 MECHANICAL CONTRACTORS LICENSE # CA589517 NAlVlE & PHONE N-LYMBER OF CONTACT PERSON Mark Blackburn 322-0660 DATE & TIME TEST IS TO BE CONDUCTED 08/06/02 I: [SPM-2:45PM . _ _ ~ [~)L_ "t:" ' t ' APprOvED ~¥ DATE SIgNATuRE oF APPt,~cANT L D July 31, 2002 David Palmer Jaco Oil Co. P.O. Box 1807 CERTIFIED MAIL FIRE CHIEF nON FR~.E Bakersfield, CA 93380 ADMINISTRATIVE SERVICES RE: Annual Maintenance on Leak Monitoring Systems 2101 "H' Street Bakerstleld, CA 93301 vo,cE (661)326- 941 R E M I N D E R FAX (661) 395-1349 Dear Mr, Palmer: SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 This letter is to advise you that the following Jaco Oil sites are coming due for annual VOICE (661) 326-3941 FAX (661) 395-1349 maintenance on their leak monitoring systems. They are as follows: PREVENTION SERVICES Howards Mini Mart 3300 Pianz Road Due 08-17-00 S,~Er,~,~CES.~ umcEs Mt. Vernon Fastrip 3501 Mt. Vernon Due 09-04-00 17 lS Chester Ave. Fastrip #622 4013 S. "H" St Duc 09-06-02 Bakersfield, CA 93301 VOICE (661) 326-3979 Fastrip #641 1200 Coffee Rd Due 09-07-00 FAX (661) 326-0576 Chris' Liquors 2732 Brundage Ln Due 09-07-02 Fastrip #6 1640..S, Chester Due 09-07-02 PUBUC EDUCATION Ming & Real Fastrip 3701 Ming Ave Due 09-07-02 1715 Chester Ave. Bakersfield, CA 93301 Fastrip # 19 4901 S. Union Duc -0-07-02 VOICE (661) 326-3696 Fastrip #640 8001 White Lane Due 09-19-00 FAX (661) 326-0576 Wholesale Fuels 2200 E. Brundage Duc 09-27-00 FIRE INVESTIGATION Fastrip #621 805 34t~ Street Duc 10-01-00 1715 ChesterAve. Fastrip 926 2698 Oswell Duc 10-01-02 Bakersfield, CA 93301 Harris Market 1701 Union Ave Due 10-01-02 VOICE (661) 326-3951 Howards #6 4201 Belle Terrace Due 10-15-02 FAX (661) 326-0576 Farrells Fastrip 6401 White Ln #112 Duc 10-15-00 Howard's #4 3200 Panama Ln Due 10-15-02 TRAININQ DIVISION 5642 Victor Ave. Fastrip #633 6401 S. H Street Due 11-01-02 Bakersfield, CA 93308 VOICE (661)399-4697 As a courtesy, this reminder has been sent to you. No further reminders will be sent, and FAX (661) 399-5763 formal "Notices of Violation" will be sent 10 days after the due date, unless documentation of testing has been received. Should you have any questions, please feel free to call me at 661-326-3190. Since~y, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc July 30, 2002 Fastrip 1640 So Chester Ave Bakersfield CA 93304 REMINDER NOTICE FIRE CHIEF RE: Necessary Secondary Containment Testing Requirements by December ~ON FIR,~ZE 3 I, 2002 of Underground Storage Tank (s) Located at ADMINISTRATIVE SERVICES the Above Stated Address. 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Tank Owner / Operator: FAX (661) 395-1349 SUPPRESSION SERVICES If you are receiving this letter, you have not yet completed the necessary 2101 "H' Street secondary containment testing required for all secondary containment Bakersfield, CA 93301 components for your underground storage tank (s). VOICE (661) 326-3941 FAX (661) 395-1349 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California PREVENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary FIRE SAFETY SERVICES , ENVIRONMEHTAL SERVICES 1715 ChesterAve. containment components upon installation and periodically thereafter, to insure Bakersfield, CA 93301 that the systems are capable of containing releases from the primary VOICE (661) 326-3979 FAX (661) 326-0576 containment until they are detected and removed. PUBLIC EDUCATION Of great concern is the current failure rate of these systems that have been 1715 Chester Ave. Bakersfield, CA 93301 tested to date. Currently the average failure rate is 84%. These have been due VOICE (661) 326-3696 to the penetration boots leaking in the turbine sump area. FAX (661) 326-0570 FIRE INVESTIGATION For the last four months, this office has continued to send you monthly 1715 ChesterAve. reminders of this necessary testing. This is a very specialized test and very few Bakersfield, CA 93301 VOICE (661) 326-3951 contractors are licensed to perform this test. Contractors conducting this test FAX (661) 326-0576 are scheduling approximately 6-7 weeks out. TRAINING DIVISION The purpose of this letter is to advise you that under code, failure to perform 5642 Victor Ave. Bakersfield, CA 93308 this test, by the necessary deadline, December 31, 2002, will result in the VOICE (661) 399-4697 revocation of your permit to operate. FAX (661) 399-5763 This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Fire Inspector Environmental Code Enforcement Officer B D May 29, 2002 Fastrip 1640 So. Chester Avenue Bakersfield, CA,93304 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 1640 So. Chester Avenue F~E CH~E~ REMINDER NOTICE RON FRAZE Dear Tank Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in California VOICE (661) 326-3941 FAX (661) 395-1349 Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002. section 25284.1 (California VOICE (661) 326-3941 Health & Safety Code) of the new law mandates testing of secondary containment FAX (661) 395-1349 components upon installation and periodically thereafter, to ensure that the systems PREVENTION SERVICES are capable of containing releases from the primary containment until they are 1715 Chester Ave. detected and removed. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. ENVIRONMENTAL SERVICES Secondary containment systems installed prior to January 1, 2001 shall be tested by 1715 Chester Ave. Bakersfield, CA 93301 January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component vOiCE (661) 326-3979 FAX (661) 326-0576 that is "double-wall" in your tank system must be tested. TRAINING DIVISION Secondary containment testing shall require a permit issued thru this office, and 5642 Victor Ave. shall be performed by either a licensed tank tester or licensed tank installer. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures D April 17, 2002 Fastrip 1640 S Chester FIRE CHIEF Bakersfield CA 93304 RON FRAZE ADMINISTRATIVE SERVICES RE: Necessary Secondary Containment Testing Required by December 3 I, 2002 2101 "H" Street Bakersfield, CA 93301 VOICE (661)326-3941 REMINDER NOTICE FAX (661 ) 395-1349 SUPPRESSION SERVICES Dear Tank Owner/Operator: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 The purpose of this letter is to inform you about the new provisions in California law FAX (661) 395-1349 requiring periodic testing of the secondary containment of underground storage tank systems. PREVENTION SERVICES 1715 ChesterAve. Senate Bill 989 became effective January l, 2002. Section 25284.1 (California Health & Bakersfietd, CA 93301 VOICE (661) 326-3951 Safety Code) of the new law mandates testing of secondary containment components FAX (661) 326-0576 upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 Secondary containment systems installed on or after January 1, 2001 shall be tested upon VOICE (661) 326-3979 installation, six months after installation, and every 36 months thereafter. Secondary FAX (661) 326-0576 containment systems installed prior to January I, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office, and shall be VOICE (661) 399-4697 performed by either a licensed tank tester or licensed tank installer. FAX (681) 399-5763 Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerer.9, Steve Underwoo Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures D January22,2001 FIRE CHIEF RON FRAZE Fastrip 1640 S Chester Ave ADMINISTRATIVE SERVICES Bakersfield Ca 93304 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update SUPPRESSION SERVICES 2101 'H" Street ' Bakersfield, CA 93301 Dear Underground Storage Tank Owner: VOICE (661) 326-3941 FAX (661) 395-1349 You will be receiving updates from this office now, and in the future with PREVENTION SERVICES regard to the Senate Bill 989, which went into effect January 1, 2000. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)326-0576 This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will ENVIRONMENTAL SERVICES be forced to revoke your permit to operate, effectively shutting down your 1715 Chester Ave. Bakersfield, CA 93301 fueling operation. VOICE (661) 326-3979 FAX (661)326-0576 It is thc hope of this office, that we do not have to pursue such action, TRAINING DIVISION which is why this office plans to update you. I urge you. to 'start planning 5642 Victor Ave. Bakersfield, CA 93308 now to retro~fit your facilities. VOICE (661)399-4697 FAX (661)399-5763 If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector Office of Environmental Services SBU/dm FASTR I P M 1 NG--CHESTER BAKERSFIELD CA,93304 80~-397-8606 DEC; 13. 2001 11:14 AM T S:LEAK ALARM T 3:StlDDElq LOSS ALARM INVENTORY REPORT T 1;PREMIUP1 VOLUME = 3061 GALS ULLAGE = 90FI1 (_-;ALS 90% ULLAGE= 77'94 GaLS TC VOLUME = ;3015 GALS HEIGHT = 33.59 INC:HES WATER VOL = 0 (]ALS WATER = 0.00 INCHES TEMP = 81.4 DEG F T '2; PL LIB VOLUME = 1988 _ -'"",~L~_,o ULI -*E = 10082 t" '"'¢m L ._,o 90, LLA(]E= 88?5 GaLS TC~'~,'C~LUME = 1941 (]ALS HEIGHT = 24.64 INCHES WATER ',,/OL = 0 GALS WATER = 0.00 INCHES TEMP := 88.5 DEG F T :3:UNLEADED ' - VOLUME = 229:3 (]ALS ULLAGE = 9?69 GALS · 90% ULL~¥:]E= 8562 GaLS TC 'v'OLUI"IE = 2269 GALS HEIGHT = '27.32 INCHES [.d~m~ VOL = 8 G~LS ~'~ = 0.00 INCHES = 74.4 DEG F T 4 :DIESEL VOLUME = 3733 G~LS ULLAGE :, 83'29 GALS 90% ULLAGE= ?t=~°o GALS TC VOLUME = 3?00 GALS HEIGHT = 38.80 INCHES WATER VOL = 12 GALS WATER = O. 82 I NC:HES TEMP ~,- o FanTA I P M I NG-CHESTER BAKERE;F I ELD (;a. 93304 805-397-8606 DEC 13, 2001 11:14 aP1 SYSTEM ST~U_IS REPORT T 3: LEA}::: ALARM T :3:SUDDEN LcoSS aLARM CITY OF BAKERSFIELD FIRE DEPARTMENT--~-..~-~ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME t~l&\i/l INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine [] Combined [~ Joint Agency [] Multi-Agency~ [] Complaint [21 Re-inspection Type of Tank ]0t~/f'-X'.S Number of Tanks c( Type of Monitoring ~L- ¢,M Type of Piping 0C0 r OPERATION C V COMMENTS / Proper tank data on file Proper owner/operator data on file Permit lees current Certification of Financial Responsibility Monitoring record adequate and current L,, /' Maintenance records adequate and current k,," Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance /~=Violation Y=Yes N=NO II/ Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy I CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., ya Floor, Bakersfield, CA 93301 FACILITY NAME ~l,3~,.fl ~= (.o INSPECTION DATE ADD.SS (~q~ ~.'~ d~tc~r PHONENO. ~fT' FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine [~Combined [~] Joint Agency ~ Multi-Agency [.] Complaint [~] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand [/ /- Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping {,~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~1 Yes "~o Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site~esponsil~te ~arty w~,~- E... s.~,. W,,ow- S~,o. Cory MONITORING SYSTEM CERTIFICATION. For Use By .4ll Jurisdictions Wi:/:in the State of Cal~o~ia ~ti~ Cited: Chapter 6. 7. Health and Safe~ Code: Cha~ter 1~. Division 3, Title 23. Cal~ornia Code of Re~daffons Th~s fo~ must be used to docment testing and se~'icing of monitoring ~quipment. A sevarate certification or repo~ must be vrepared for each monitoring system conwol van¢l by th~ tec~ician who perfo~a the work. A copy of this fo~ must be provided to system o~¢r/operator. The o~¢r,'operator must sub~t a copy of this fo~ to ~ local agency regulating UST syst¢~ ~in 30 days of test date. A. General Information Facili~ Name: '~%' TI~ ID Bldg. No.: Facili~ Contact Person: ~eOiNI ContactPhoneNo.:(~6l ) BCt - Make&lodelofMonito~gSystem: TC5-'350 /0~;<1~O~O -O1~ DateofTes~Se~icNg: B. Invento~ of Equipment Teste~Certified Check the appropriate boxes to indicate specific tquipment inspecte~se~iced: ~n-Tank Gauging Probe. M~cl: ~0Z~ ~ 60 200 ~n-Tank Gauging Probe. M~el:~HO2~ ~ular Space or Vault Sensor. Model: P~2 Gq 1 i ~q GaO ~nular Space or Vault Sensor. M~el: PRO].$qllq q ~ Piping Sump I Trench Sensor(s). M~el: ~ Piping Sump / Trench SeBsor(s). M~cI: ~ Mechanical Line Leak Detector. Model: ~ Mechanical Line Le~ Detector. M~el: ~ Electronic Line Leak Detector. Model: ~ Elec~onic Line Lc~ Detector. Model: ~ Tank Overfill / High-Level Sensor. Model: ~ Tank Ove~ll / High-'Level Sensor. M~el: ~ Other (sFecify equipment ~e and model,in Section E on Pa~e 2). ~ Other (specify equipment ~e and m~el in Section E on Pa? 2). Tank ID: ~ ~ '~,~E~b~D TanklD: ~ ~n-Tank Gauging Probe. Model: Pi~Z~ %oq~o2 GO ~n-Tank Gauging Probe. Model~ Pt~O2~ ~nular Space or Vault Sensor. blodel: P~h'91~ q i Iq qOO ~ ~nular Space or Vault Sensor. M~el: ~Q Gq~ iq q~ ~ ~ P~ping Sump / Trench Sensor(s). Model: ~ Piping Sump / Trench Sensor(s). M~el: ~ Sensor(s). %TP Model: P,~Sq~O~Oi~ ~ Sensor(s). 5~t M~eI: pDa~_,sq2G~e ~ Mechanical Line Leak Detector. Model: ~ Mechanical Line Leak Detector. M~el: ~ Electronic Line Leak Detector. M~cI: ~ Electronic Line Leak Detector. Model: ~ Tank Overfill / High-Level Sensor. Model: ~ Tank Overfill / High-Level Sensor. Model: ~ O~her (specify equipment t~e and model in Section E on Page 2~. ~ Other fspeci~v equipment t~e and model in Section E on Page 2}. DispenserlD: j*& ~ M26 ~R ]K'S~ '-I~ DispenserlD: ~--q ~t4 H~ ~ Dispenser Containment Sensor(s). Model: ' ~ Dispenser Containment Sensor(s). Mode[: - ' ~hear Vahe(s). ~hear Valve(s). ~ Dispenser Containment Float(s) and Chain(s). ~ Dispenser Containment Float(s) and Chain(s). ~ Dispenser Containment Sensor(s). Mo~cl: ~ Dispenser Containment Sensor(s). M~el: ~hear Valve(s). ~car Valve(s). ~ Dispenser Containment Float(s) ~d Chain(s). ~ Dispenser Containment Float(s) and Chain(s). DispenserlD: ~ - 1~ ~14 el26 ~R/KSFB-Iq DispenserlD: ~ Dispenser Containment Sensor(s). Model: ~ Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). ~ She~ Valve(s). ~Dispenser Containment Float(s) ~d Chain(s). ~ Dispenser Containment Float(s) and Chain(s). . · If the flcility contains more tanks or dispensers, copy this fo~. Include infomtion for evc~ l~k and dispenser at the facili~. C. Certification - I ce~ify that the equipment identified in this document was inspecte~se~iced in accordance with the ~nufacturem' guidelines. A~ached to this Ce~ificatiou is Information (e.g. ~nufacturem' theorists) n~a~ to ve~fy that this info~tion is correct and a Plot Plan showing the layout of monitoring ¢quipmenL For any equipment capable of generating such repo~ I have attached a copy of the repo~; (check all tAat apply,: ~stem set-up ~ ~~s~ report Tec~ician N~e (p~t): ~ ID~L (O~CkO Signa~e: ' " Testing Company Name: ~S~)~ I ~(' * ' Phone No.:( ~ ~ .) 5~ ~- Page 1 of 3 03~1 D. Results of Testing/Servicing Softx~are Version Installed: ~ .. ~),L2_ Complete the follov,'ing checklist: ~"~Y~s El No* Is the audible alarm operational? -~'" '" ~' ~t'es. El No* Is the visual alarm operational? ~t'es. El No* Were all sensors visually inspected, functionally tested, and cord-m-ned operational? [D/Yes El No* Were all sensors installed at loxvest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? (~r'es (21 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) El N/A operational? ~'~Yes El No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment FI N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all tha(apply) 12iPSumpFrrench Sensors; El Dispenser Containment Sensors. Did you confirm posi.t!ve shut-down due to leaks and sensor failure/disconnection? El Yes;. E! No. Ci~es [21 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no FI N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank j fill point(s) and operatin~ properly? If so, at what percent of tank capacity' does the alarm trigger? C-i ~ % 12~t'~Yes* ~ No Was any monitoring equipment replaced? Ifyes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [~Yes* El No Was liquid found inside any secondary containment systems designed as dry systdfris? (Check all that apply) ~! Product; 5t'J~Vater. If yes, describe causes in Section E, below. gl/Yes El No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable li~ Yes El No* Is all monitoring equipment operational per manufacturer's specifications? · In Section E below, describe how and when these deficiencies were or will be corrected. c3r,3 "T N' iz._ l o. at 't T¢) Page 2 of 3 03/01 . F. In-Tank Gauging / SIR Eqmp~ent: 121 Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak dete6tion monitoring. Complete the following checklist: [~l/Y~s [] No* Has all input wiring been inspected for proper entry and termination, including testing for grg'und faults? [~Yes [] No* Were all tank gaugin~ probes visually inspected for damage and residue buildup? t~/Yes'' [] No* Was accuracy of system product levelreadings tested? [~i/Yes [] No* Was accuracy of system water level readings tested? Iii/Yes [] No* Were all probes reinstalled properly? [~gYes [] No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when thege deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ~heck this box ifLLDs are not installed. Complete the following checklist: [] Yes [] No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? [] N/A (Check all that apply) Simulated leak rate: []3g.p.h.; []0.1g.p.h; [] 0.2 g.p.h. tZl Yes [] No* Were all LLDs confirmed operational and accurate within regulatory requirements? [] Yes [] No* Was the testing apparatus properly calibrated? I~ Yes [] No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] N/A [] Yes' [] No* For electronic LLDs, does the turbine automatically shut offifthe LLD detects a leak? · ' [] N/A D Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled [] N/A or disconnected? FI Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions [] N/A or fails a test? [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected? [] N/A [] Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 o3/ol Monitoring System Certification UST Monitoring Site Plan " Site Address: I 0~1 ~ ,<'OC) - C t4'~ "~,_- '-~ 17__. .... e=:il - ' ' F~ ' ' ' Ir~ ...... 0"' ..... 0 .... :0:"'::: .0.': :::: i~::: t--uO::: ~-lt::::: :&"~::::: b:~:~::: · o'~:~''- b.~''''' :- .... Il 'Il .... ff ' I/ ' ' ' Il ' I1 ......... .; .... '~' ' .:~ .... ' ' .'i.. ...... ~ ' .... ~ · · . ~.L-:~. · · · L!-.-U ...... ~,~..~'-~ ...... · ,~,/~: - - -~,,.,i,~~'. · · · ~,,. ;~7.". · .... ) '.(~ .... ? ':~..,. . .q '?-' ....... k..1).'/" ...... (,,.).~ ~ .....L9 .' ..... /,_2 ~.... .... t.- 9..._ .......... '~-.~ - :.::: i i:: i.i ~ .... : '. :M.--.~ rate map was &aw~: c[ / -ir / CS t. Instructions If you.already have a diagram ~a.t shows all required information, you. may include it, rather than this page, with your Monitoring System Certification. On your site 'Plan, show the genera! layoU, i' of tanks .and'PiPi'~] i 'Clearly identify locations of the following equipment, if installed: monitoring sYstem control panels;"sens6rs monitoring'~nk annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page __ of__ os~oo tn '.P~stage $ .34 IT" Cerlifled Fee ]. o 90 Postmark Return Receipt Fee 1..~0 Here (Endorsement Required) r-i Restricted Delivery Fee I-3 (Endorsement Required) r'~ Total Postage & Fees $ 3.74 L~ I ReciPlent's Name .leaee Print Clearly) (To bi~ cOmpleted,by'm.ller~ ~, o ~ox ~8o7 ~03 - . Certified Mail Provides: r~ A mailing receipt r~ A unique identifier for your mailpiece [3 A signature upon delivery [3 A record of delivery kept by the Postal Service for two years Important Reminders: [3 Certified Mail may ONLY be combined with First-Class Mail or Priority Mail, 13 Certified Mail is not available for any class of international mail. 13 NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. El For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is requir~d. El For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ri If a postmark on tile Certified Mail receipt ~s desired, ~lease present the art~- cie at the post office for postmarking. If e~postmark~on the Certified Mail receipt is not need, ed, detach and~ label'with postage and mail. IMPORTANT: Save this receipt al~llese~it it when making an inquiry. PS Form 3800, February 2000 (Reverse) 102595~00-M-1489 Sender: Please print your name, address, and ZIP+4 in this box ° BAKERSFIELD FiRE DEPARTMENT ~ OFF~CE OF ENVIRONMENTAL SER¥1CES 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 or on the front if space permits. Addressee .o, D. Is delivery address differ~nt~from it(~ 3? [] Yes 1. Article Addressed to: ~, If YES, enter delivery address belov [] No JACO. OIL ~CO 4, P 0 BOX 1807 BAK'EI~SFIE~ CA 93303 3. Service Type ~] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise KE: 1640 $ CRF.$TER AVF, [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number (Copy from service label) 0520 0021 9625 4739 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 r September 10, 2001 John Kerley Jaco Oil Company CERTIFIED MAIL P.O. Box 1807 Bakersfield, Ca 93380 F~a~ CHieF NOTICE OF EXPIRATION RON ~R~ZE ON MONITORING CERTIFICATION ADMINISTRATIVE SERVICES 2101 "H" Street Dear Mr. Kerley: Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Thc following Jaco sites are currently due/past due on annual monitoring certification. These sites are as follows: SUPPRESSION SERVICES 2101 "H" Street Site Address Due Date Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 1. Fa~ells Fast, p, 6401 White Lane 9-04-01 2. Chris Liquors, 2732 Brundage Lane 9-05-01 PREVENTION SERVICES 3. Fastrip #640, 8001 White Lane 9-05-01 1715 Chester Ave. Bakersfield, CA 93301 4. Wholesale Fuels, 2200, Bmndage 9-12-0 ] VOICE (661)326-3951 5. Fast_rip #19, 4901 S. Union 9-12-01 FAX (661) 326-0576 6. Fastrip #621,805 34th 9-20-01 7. Fastrip #6, 1640 S. Chester 9-22-01 ENVIRONMENTAL SERVICES 1715 ChesterAve. 8; Fastrip, #26, 2698 Oswell Street 9-22-01 Bakersfield. CA 93301 9. Howards g4, 3200 Panama Lane 9-23-01 VOICE (661) 326-3979 FAX (661) 326-0576 lO. Fastrip #622, 4013 "H" Street 9-27-01 11. Ming & Real Fastrip, 3701 Ming Ave 9-27-01 TRAININa reVISION 12. Fastrip #641, 1200 Coffee Road 9-28-01 5~42 VictorAve. · 13. Howard's #6, 4201 Belle Terrace 9-28-01 Bakersfield. CA 93308 ' VOICE (661) 399-4697 14. Howard's, 3300 Planz Road 9-28-01 FAX (661) 399-67ea 15. Harris Market, 1701 Union Ave 9-30-01 16. Mt. Vernon Fastrip, 3501 Mt. Vernon 10-2-01 Failure to perform or submit monitoring certification within 30 days of due date will result in revocation of your Permit to Operate. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Office Office of Environmental Services SBU/dm B D August 3, 2001 Fastrip WRE C.~EF 1640 Chester Ave RON ~R~ZE Bakersfield CA 93304 ADMINISTRATIVE SERVICES 2101 "H" Street RE: Deadline for Dispenser Pan Requirement December 31, 2003 Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 REMINDER NOTICE SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 DcarUnderground Storage Tank Owner: VOICE (661) 326-3941 FAX (661) 395-1 349 You will be receiving updates from this office with regard to Senate Bill PREVENTION SERVICES 989 which went into effect January 1 2000. 1715 Chester Ave. ' Bakersfield, CA 93301 VOICE (661)a26-3951 This bill requires dispenser pans under fuel pump dispensers. On FAX (661) 326-0576 December 31, 2003, which is thc deadline for compliance, this office will ENVIRONMENTAL SERWCES bc forced to revoke your Permit to Operate, for failure to comply with thc 1715 Chester Ave. Bakersfield, CA 93301 regulations. VOICE (661)326-3979 FAX (661) 326-0576 It is the hope of this office, that we do not have to pursue such action, TRAINING DIVISION which is why this office plans to update you. I urge you to start planning 5642 Victor Ave. Bakersfield, CA 93308 to rctro-fit your facilities. vOiCE (661)399-4697 FAX (661) 399-5763 If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm D March 2001 FIRE CHIEF £~, RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Omero GarGle FAX (661) 395-1349 Jaco Oil Comr)anv SUPPRESSION SERVICES P.O. Box 1807 2101 "H" Street Bakersfield, Ca 93303 Bakersfield, CA 93301 VOICE (661)326-3941 FAX (661) 395-1349 RE: Return to Compliance: Fastrip 1640 S. Chester Ave, Bakersfield PREVENTION SERVICES. 1715 Chester Ave. Dear Mr. Garcia: Bakersfield, CA 93301 VOICE (661)326-3951 FAX (661) 326-0576 This letter is to inform you that the corrective action associated with the ENVIRONMENTAL SERVICES "Notice of Violation" has been met. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 NO further action is necessary. FAX (661 ) 326-0576 TRAINING DIVISION Sincerely, 5642 Victor Ave. ~ ~ Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Steve Underwood, Inspector Office of Environmental Services SBU/dm Omero Garcia From: Omero Gamia Sent: Thursday, March 15, 2001 2:28 PM To: Charlie McCan; Scoff Glaser Cc: John Kerley Subject: NOTICE OF VIOLATION AT #562 Charlie you may already know that 562 had a gas spill on March 12 on dispenser ~4 1 checked all may call log and did not get any calls for this location I did not receive any at all just FYI JACO technician repaired #4 nozzle today 03/15/2001 but that should be the store responsibility also tech. asked the manager if they knew about the bad nozzle and the spill they had no idea of what had happened till they read the notice of violatiom-Note tech was going there to help the store manager reset the buffer on there printer. Thank you. Omero Garcia Service Order Cost Report for o$/15/2o Service Order: 17739 Call Date: 03/15/200 0pened By: OMEROG Location: 562 Fastrip #6 Bakersfield Problem: PRINTER BUFFER FULL CANT RUN REPORT Solution: SET CONSOLE TO SLEEP CLEAR SPACE FOR PRINTER BUFFER Assigned To: Start Turner Assigned On: 03/15/2001 Date Completed: 03/15/2001 Date Closed: 03/15/2001 Mileage Expense: Start Arrive Return Total Cost 5 15 0 10 $4.00 Travel Cost: 9:00 AM 9:30 AM 0:30 $17.50 £abor Cost: 9:30 AM 10:30 AM 1:00 $35.00 Total Cost: $56.50 Part Number: Qty: Desc: Part Number: Qty: Desc: Part Number: Qty: Desc: Part Number: Qty: Desc: Thursday, March 15, 2001 Page $ of 21 JACO OIL COMPANY P.O. Box 1807 Bakerdield, California Service Order: 17739 Date: 2001-03-15 ~ 08:29 am Location: 562 Phone: 805-397-8606 Address: Fastrip g6 Bakersfield Summary of Problem PRINTER BUFFER FULL CANT RUN REPORT MILEAGE START: ,~ DEPART TIME: 1MIl.AGE RETURN: RETURN TIME: DEscmmoN oF woRK P RVOR D PARTS USED: Quantity PART # DESCRIPTION PUM]:' TEST TESTI TEST2 TEST3'- TEST4 PRODUCT: PIVJCE: GALLONS: DOLLARS: COMPUTER CHANGE OLD GALLONS NE~V GALLONS PRODUCT - PUMPg PRODUCT - PUMP~ PRODUCT - PUMP~ ***tLS. ND WRITTEN AND CONSOLE PRINTED DISPENSER READINGS MUST BE ATTACHED TO THIS INVOICE*'** March 13,200 l FIRE CHIEF John Kerley RGN F R t"~Z E Jaco Oil Company ADMINISTRATIVE SERVICES P.O. Box 1807 2101 "H" Street Bakersfield, CA 93301 Bakersfield, Ca 93303 CERTIFIED MAIL VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES RE: Failure to Report a Fuel Spill at Fastrip #6 1640 South Chester 2101 "H" Street Bakersfield, CA 93301 Avenue in Bakersfield VOICE (661) 326-3941 FAX (661) 395-1349 ..EVENTIO. SERV,C~ NOTICE OF VIOLATION 1715 Chester Ave. Bakersfield, CA 93301 SCHEDULE FOR COMPLIANCE VOICE (661)326-3951 FAX (661)326-0576 Dear Mr. Kerley: ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3979 This office received a call from Mrs. Sally Neighbert, who reported that FaX (661)326-0576 she was fueling her vehicle at approximately 1:20 p.m. on Monday, March TRAINING DIVISION 12, 2001 at 'Fastrip #6, located at 1640 South Chester Ave.: She further 5642 Victor Ave. reports that the latch open malfunctioned, the nozzle came out of her Bakersfield, CA 93308 VOICE (661) 399-4697 vehicle, soaked her clothing and spilled approximately 3.5 gallons onto the FAX (661)399-5763 fuel island. This was substantiated by the attendant on site at the store when I interviewed him at 2:20 p.m. on Monday, March 12, 2001. I informed him that under Chapter 6.95 of the California Health & Safety Code and your own "Owner Operator Agreement" that all releases or threatened releases must be reported to this office. Accordingly, you are in violation of Section 25507(b) Chapter 6.95 of the California Health & Safety Code. "Handler or any employee, authorized representative, agent, or designee of a handler shall, upon discovery, immediately report any release or threatened release of a hazardous material to the administering agency." You are required to fill out and return to this office within (5) days March 17, 2001 a URL report. In addition, you are required to make the necessary repairs to nozzle #4 at the Fastrip #6. This office will require written documentation of the repairs made to the nozzle. Failure to comply by March 17, 2001 will result in a formal office hearing. Should you have any questions, please feel free to call me at 661-326- 3979. Sincerely, Ralph E. Huey, Director Office of Environmental Services by: " Steve Underwood, Inspector Office of Environmental Services SBU/dm enclosure cc: Ghaleb Jouda UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT RGENCY HAS STATE OFFICE OF EMERGENCY SERVICES RE~.T BEEN F,LED ? [] YES [] .o U] ~ ~ q ? S~N~ ;~:.:.[~ ~[::i:: :: :?: ::::::::::::::::::::::::::::::::::::::::::::: i~ ~ ~:: ::. :~ ~[:[~?:~; ~ [[ :~;~?:~::~ + r?:?:~::~ :ii ~ ~ F: :: ~ ~::~::i::[ ~ :::? DAT E;~ :: ~::~:~ :~ :.;::: ;:~ :::: REPRESENTING ~ OWNE~OPERATOR ~ REGION~BOARD I COMPANY OR AGENCY NAME ADDRESS ADDRESS ADDRESS CROSS STREET L~AL AGENCY AGENCY N~E ~NTACT PERSON PHONE ( ) REGION~ BOARD PHONE ( ) (1) NAME QUANTI~ LOST (~LLONS) UNKNOWN DATE DIS~VERED HOWDIS~VERED ~ INVENTORY ~NTROL ~ SU~URFACE MONITORING ~ NUIS~CE CONDITIONS DA~ DI~HARGE BE~N M~HOD USED TO STOP DISCHARGE (CHECK ~L ~AT APPLY) .I ~.1 bol '~dO'.l [, *1 ~ UNKNOWN ~REMOVECON~Nm'~CLOSETANK&REMO~ ~ REPAIR PIPING HAS DISCHARGE BEEN STOPPED ? ~ REPAIR TANK ~ CLOSE TANK & FILL IN P~CE ~ CHANGE PR~EDURE SOURCE OF DI~HARGE CAUSE(S) ~ PIPINGL~K ~OTHER ~ ~RROSION CHECK ONE ONLY ~ UNDE~RMINED ~ SOIL ONLY ~ GROUNDWATER ~ DRINKING WATER - (CHECK ONLY IF WATER WELLS HA~ AC~ALLY BEEN AFFEC~D) ~ NO ACTION TAKEN ~ PRELIMINARYSI~ ASSESSMENT~RKP~N SUBMI~ED ~ POLLUTION CHARACTERI~TION ~ LE~ BEING ~NFIRMED ~ PRELIMINARY SI~ ASSESSMENT UNDERWAY ~ POST CLE~UP MONITORING iN PROGRE~ ~ REMEDIATION P~N ,~ CASE CLOSED(CLE~UP ~MPLE~DOR UNNECE~AR~ ~ CLE~UP UNDERWAY CHECK APPROPRIATE ACTION(S) ~ EXCAVATE & DISUSE (ED) ~ REMOVE FREE PRODUCT (FP) ~ ENH~CED BIO DEGRADATION (1~ ~ CAPSI~(CD) ~ EXCAVATE&TREAT(E~ ~ PUMP&TREATGROUNDWATER(G~ REP~CE SUPPLY (RS) ~ CONTAINMENT BARRIER (CB) ~ NO ACTION REQUIRED (NA) ~ TREA~ENTATH~P(HU) ~ VENT~IL~S) ~ VACUUM EXTRACT(VE) ~ OTHER(O~ HSC ~ (~0) [!-~E'st~RNCY ezt!-'i!P ?-_fg.~ C-.x~.f~rmed · Leak suspected at si. be. bu-t~ h~s not been ~:onlirmed. at crv ~'.im~ }[7 '~:~ , Rr:.,,:~ · [?.n> {i.:?t~z-ie]_ i~e~r~=~ Retort should be filed -~.'u::"{e''~r~ of/submitted by rssponsibl, s ~artv bo determine whether ground '..qt.h the [,R~at,~ kC.Il},...,f i::m:.r <h:: :hqtvices fOES} at }600 ~eado~'~i. ew Road, wa'bar h.~s been~ or wJ]]. be, impacted as a result of the rele~ss. Sac~: amen{.e.. :-.A '-}!q~32 (:: i~: :.:f t,!~ OES report form may be obzained at ?r._.ij!}:,~.~:.!!~.~r.2 Si.L'e Ass,:,s'~'nent Unde~wa~2 -- implementation of workpian, your lanai um'.'~..-.n' : :~i st.r~r:.:,.' :.:,~k: [ermittin~ agency, indieats whether PGi~:tN:m Chnracf?rizatxm responsible pa~t,y fa Jn the process cf fully To avoid cio ~.i: :.' ~:.~t:i:! ~'r.t Yn '~.,..:.rsuenb /,o Health and ~afe~y soda Section remediation option,s. Proposal and impL~msnbabior: schedule fo~ appropriate 2[~iSg. S; -: ~.,~ ';h:'~ :u: ~,n}: e.;,~. :d~c~,~16. sign and date ~he fo~m in this bionk, reme~:at,:en options also submitted. A s tsnaLur~ ~:.~ b-:~ :: [ ,: :t:~ h~:;~t, the leak has been determined to pose a Ciear~ut~ Uudsrwav - imp].ementation of .... ~'~'~" siga'Afieant ':~:ei' l'~ i ~:{1.{} or safety, only that ~otificatioe ~.~.[[..~n~ Hen~Lori~,~n Pro~,ress - peri. odin ground w~ter or ob]]er of remedial act~vi, ties. N~:iPOll NJ} }5'~ Caae..[~..~j}!ed resional board and local, atency in concurrence that no iMPORTANT TEE iNFO~6TiON BROVIDED ON THIS FOi~-~ iS iNTENDED FOR GENE~L Rntec name, t,~ ~:? : ~ e , ,n'!3e , ,}.~nt.,-~c:t person, and ~d~ess of the party OFFICIAL POSITION OP ANY GOVEKN~EP~T~ AGENCY e~-ne r, ~E~ ~DIn~ ACTION indicate which aeti, on hags been used to cleanup or remediats the S'[Tlfl i,OCATiiON Descriptions of options fellow: pro'vide tbs 'facility ns::e a~d {,.~i! add.ross, ~diP3e - install horizontal impermeable 7~ayer ho reduce rainfall in filtration. Ent',er na::w~, of th{ .}.,,~r:~.~ ~:?,~:~:y <n:~d ReS~ouai Water Quality Control Board cautamf, nant, i~-/o~ved, Excavate aItd D~.s~ose remove con~ah~lnau~d SO~ t and dispose in a~Droved qNRq"aN,'q;<~ ~:v~,;-, Excavate and Treat - remove contaminated soil and treat (i~cludes spzeadin~ Entcr the n,~e c~d cl~r~i ,y [o~,t of the hazardous substance involved. Room or !~nd farmLmg). is p.~ovided for inf~c~ ~,~,c4t {~ t,wo substa~lces if appropriate, If more than Remove Free Product '-- ~emove floating product from water table. t. wo substances leaked~ [i~{ the two of most conceal for cleanup. ~,J:~l~ and Tre~t Groundwater - generally employed to remove dissolved DIfBCO~ERY/ABAT[{HENIi . Enhanced Biode~radatiot~ - use of ~ny available technolog~y to promote Provide infe:L'm%i lez ~eS~? n the discovery and abatement of %he leak. bacteri~a/ decomposition of cont~inants. RaDiate .eSppzf. - provide alternative wrier supply to affected parties. ~-k:OnT~n~/r~M[SF~:.~, ,,~ ,~,. = Treatment eh Hooku~ - install water treatmer~t devices et each ~we~mmng-:' Indicate sou:z ~.(s) c,{ l& 1,:. Checl bo~fes} indicating cause 6f ie~. other pi. ace of use. Vacu~ Extract -,use p:~ups or blowers to draw air through soil CAS~i TYPE Vent Soil - bore boles in soil. to allow volatHl~zation of contaminants. indicate the case td-;je ca~w:~lory ~'o~ tN~s lee~, Check one box only. Case No Act, ion Required - incident is minor, re%~iring no remedial action. tyl~e is base~ ~4'~ the axf,~ ~x:nsi%iv~ resource affected. 'For ex~nple, if beth se~i and gr::~und water ~hn~e beau~ affected, case type will be "Ground COP~{ENTS - Use this spa~e to elaborate on any aspects of the incident. W~ter', indinate ')r~kin{~ N~a[~e?:" only if one or ~rs m~nicipal or domes{~ic water e~eils 'Nave a;tual3y been affected, A "Ground ~ater" SIGNAT[~E - Sign the form in the space provided. desi~oati, on does ~w3~ ir },]y b]a~ the affected water cannot be, or is not. , ~sed for drinking wah%%r [ ~,t only %hat water wells have ne~ yet been DISTRIBUTION affected. !t is uu~]erstcod tN4t case type may charge upon further if the form is completed by the tar~ o~e~ or his agent, retain the last copy investigation, and forward the re:naini~g copies intact to your l. oc{~k ta~ permittin for d~ stributien CURRENT STATUS i~ Ori~}'[nai - i,oc~l Tat? [.?ermit;~:4. n~ Asency indicate the category wN!ch bash describes the current status of the case ~ ~egional Water Qualib~ Control ~eard Check one box only, The t:espar~,e sheui, d be relative to the case type. For 3. Local Health Officer and County Board of Supervisors or their designee example, ~f case type is "Ground Water::, then "Curlen% Status'~ should refer rec.,ire Propos~tien 65 r]otffications. to the sro'bus of the g.round w:~her investigation or cleanup, as opposed to 4~ Owner/responsible party. that of soil.. Desc:ripbi. o~la ~f options follow: No Action Taken *' NO Y!c~)Joll has' been taken by.~espousible party beyond init:iai rope.ri ~;f 1 COj RECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N°_ 1 0 1 2 Location sub ~i~. You are hereby required to make the following eor~etions at the above location: Cot. No Completion Date for ¢orreotio.s.&tt[2?~Q Date 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME "~"0.6~'0 ~(,0 INSPECTION DATE ADDRESS !{oqO ~.~ ~/xe~'~g' ~/t_, PHONENO. ,.~17' FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine [~ombined [~ Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand b/ Business plan contact information accurate Id/ Visible address b/ Correct occupancy b/ Verification of inventory materials U/ Verification of quantities V Verification of location U/ Proper segregation of material ~/ Verification of MSDS availability ~/ Verification of Haz Mat training V Verification of abatement supplies and procedures ta~ Emergency procedures adequate V Containers properly labeled t/ Housekeeping ~/ Site Diagram Adequate & On Hand C--Compliance V:Violation Any hazardous waste on site?: ~l Yes [] No ~..~_..~ ~ Explain: Questions regarding this inspection? Please call us at (661) 326-3979 BuSiness S~pons~bl~arty White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector:_ .~_~_~ .. F&F_TI'R l 1::' OCT 2'5. ;i"0i3(-I 1:24 PPi TC ".."';)L PIE = 2971 G~L,S HE1GHT = :3:3.29 INCHEfi; t,,J~TER = F . /I 3 I NCHE~; LI.g~GE ;- 525 ] 90% LILLAG[-:: ,4044 ,];AL~: TEI"IP ; = 8;3.9 DE,'; F 'v'OL LII"IE ; = ;3524 TC 'v'OLI_J[flE = S2:92 HEIGHT = 74.19 '1" 4 :bi ',,,,'OL LiI-IE :; 2756 LILI_~(];E = '):3Od, 90:?':; IJI..L(NQE = TC 'v'OI_UHE = 2-~719 HEIGHT = :31.15 I,,,J~"FE};: ",..;';;:'L = 0 TEHP = 81~. 8 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~6'~"tO ~:(o INSPECTION DATE 101¢06~/00 Section 2: Underground Storage Tanks Program [] Routine [~ombined ' [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank l'tt} ff--t',_% Number of Tanks /'// Type of Monitoring ~L~'~ Type of Piping .g~0(= OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current ~,/ Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No [,,,/ Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Off'ice of Environmental Services (805) 326-3979 /Bustness S~te Responstble Party White - Env. Svcs. Pink - Business Copy ConStruction & MECHANICAL (661) 871-1788 Continuous Monitorin¢ Device Ce~ification TEST DATE C~ ~ ~.~ ~-- _ O O FACILITY NUMBER FAC~UTYN^ME ~5 Jcr';vO ~'~'"~ CONTACT PERSON ADDRESS /(~ W(,3 3, rN~'~~'~'¢' TELEPHONE ~('-'.l'" CITY ~ A t<'.~rS ~','e{ c~ ("~, Zip CODE O( ~"~'~ MAKE AND MODEL OF MONITORING SYSTEM t/,/' ~ ~/-- 5 ~ <', O TANK I TANK 2 TANK 3 TANK Contents of Tank ¢,'~ Capacity of Tank i ,-).,,o Type of Product Line (Gravity, Suction, Pressure) ~r~,~. '----' iNDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR NO IN THE APPLICABLE BOX: Annular Space Sensor ,d ~,~; "~-~-~ ~~ Sump Sensor ¥~,<~ Dispenser Containment Sensor ~ O "'---"-"----- '-~ Electronic Overfill/Level q O ~'~ ¥~, Electronic In-Line Leak Detector ~ o ---'----'--'----~ Mechanical Line Leak Detector ~ ~ ,,./.~- ---.-- In-Tank Gauging Device v ~'~," ~"~'--~-- {NDICATE THE FOLLOWING BY PLACING A YES OR NO IN APPLICABLE BOX: Does the Monitoring System have audible and visual alarms? '~ ~ 5 "'"'-- ='"'"-"'"~- ~ Does the turbine automatically shut down if the system detects a leak, fails to operate or is electronically disconnected? ~ ~.~- ~ ~ --------"~ Is the monitoring system installed to prevent unauthorized tampering? ,~/~, Is the monitoring system operable as per the manufacturer's specifications? ,,./~ Which continuous monitoring devices Initiate positive shut down of the turbine? CERTIFIED TESTER'S ID# ~' ,~ ~ ~-t '~ d' ~, SIGNATURE OF CERTIFIED TECHNICIAN ~X~ ,~_ ~--'~'--~..~ ', r~_z-. PRINTED NAME OF CERTIFIED TECHNICIAN ~ ~ -,, ~- '; ~' ~' ,~. ¢ 1~ ~, ,' "~", TESTING COMPANY NAME & TELEPHONE CERTIFICATION DATA ''-'O CITY OF BAKERSFIELD · /' ~ (~FICE OF ENVIRONMENTA~ERVICES ~"- r . 1715 Chester Ave., Bakersfield, CA 9331)1 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION [] I. NEW SITE PERMIT D 3. RENEWAL PERMIT [] $. CHANGE OF INFORMATION (S~oeca¥ c//ange - [] 7. PERMANENTLY CLOSED SITE (Checl~ one tram only) [~4. AMENDED PERMIT local use only). [] 8. TANK REMOVED [] 6. TEMPORARY SITE CLOSURE I. FACILITY / SITE INFORMATION NEAREST (~ROSS STREET t~ 401. FACILITY OWNER TYPE [] 4. LOCAL AGENCY/DISTRICT' BUSINESS ~ 1. GAS STATION [] 3. FARM [] 5. COMMERCL~L. ~ 2. INDrVIDUAL [] 6. STATE AGENCY' TYPE [] 3. PARTNERSHIP [] 7. FEOERALAC.~NCY* 402. [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER 403. : REMAINING AT SITE ttust~ands? dtvisk~, sec~ or o¢flce wflic~ o~ales [he UST. (This is [he contac~ petso~ fo~ [he ta~k reco'da.) II. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME 407. PHONE 406. MA~LING OR STREET ADORES~ 409. CITY 410. I STATE 411. J ZIPCODE 412. PROPERTY OWNER TYPE I'--J 2. ~qOMOUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 413· ~{~ 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] ?. FEDERAL AGENCY' III. TANK OWNER INFORMATION TANK OWNER NAME 414. I PHONE 415. vv~ I 661- To. co .H,t Co ....... MAILING OR STREET ~M)ORESS 41{}. CITY 417. J STATE 418. ZIPCOOE 419. TANK OWNER TYPE [] 2. INOIVIOUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 420. ~ 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER TYCTK) HQ 41..41., . V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(S) SELF-INSURED [] 4. SURETY BONO [] ?. STATE FUND [] 10. LOCAL GOV'T MECHANISM [] 2. GUARANTEE [] 5. LETTER OF CREDIT [] 8. STATE FUND &' CFO LEI-TER [] 99. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [-'] 9. STATE FUND & CD 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS C.~ecX one box to itek:ale whic~ a<tdre~a sYtould ~e usegl f~ legal no~flca~n~ and mailing. [] 1. FACILITY ~ 2. Pf~OPERTY OWNER [] 3. TANK OWNER 423. /eGai no~flcaflons and meding~ v~l be ~t to [he lank owns' unlesa ~ 1 or 2 is VII. APPLICANT SIGNATURE Cm'Uflcaflon: I cen,~ [hal [he information provfided.~eln~.~ -- m.m and aco, mle Io [he besl °ATE % t'5-co ,=,.[P.ONE UPCF (7/99) S:\CU PAFORMS~swrcb-a.wpd .~. __ CITY OF BAKERSFIELD 1715 Chester Ave., Bakersfield, CA 9330 i-(661) 326-3979 UNDERGROUND 8TO.GE TANK~ - TANK PAGE 1 L T~K · CF (7~) S:~CUP~ORM~~'~ GrrY oF OFFCl OF ENVIRONMENTAL, ~T15 Glli~ter AYe., ~4Rerlflllcl. CA $3301 (~1) :SYSTEM I'YI:~ .~. I:~E~URE [--J 2. SUCTION I'~ 3. (~,AvrI'Y 4~ [] f. I=iRES,,~jRE r-I 2. SUCT1ON [~ ]. ~V['l'~ CONSTRiJCT~C~N/,r--~ l. $1NGCEWAI. L ~ 3. LINEOTRF. NCH rl~. OTH~ 4~0 ~ f. $iNGCEWALL J"Jg~. UNK~ '~4ANI'JFACTURERI(~"2. (X~u~.E W, AU,. I'~ g~. UI',,IKNOW~ I'~ 2. 0OUSCEWAU. r~99. OTHE~ I ~FAC~R~R ~1 ~FAC~R ~ECT~ :~ 3. ~~A~~ ~. U~ ~ 3. ~~T~~S ~ [ ~(~) ~. O~ ~ P~ ~ D~ (~ M ~ ~) ~_"" E~R~0 ~ (~ M Mt ~ ~R~D ~ (~ I. ELE~~~3.0~~O~~ ~ 1. ~~~3.0~~~0~~ TEST(0.1 C~) O 6. TR]EMqIAL, INTEG~TY~(O,1 SAFE SL~'T~ON SY~'rI~ (NO VALV~.~ ~N B~U:TW O~OUM3 Pl~e~"~ SAF~ S~'"IX)N SYST-cMS (NO VALVES ~ B~LO~V GROUNO P~t4G]c [] 7. SE~C UONrrOa~aG [] 7. ~ r_,,RA Vn'Y ~OW: GR~ Vn'Y FLOW (~ M ~,~o,yJ: I--I 9. S~U~.~T-r~r(o.s ~ I'1 & O~LYV~U~.~O~n~3 ~ _ CITY OF BAKERSFIELD · OFfiCE OF ENVIRONMENTAL ~RVICES ,~' . 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 rv~,~ or ,u~rx~~ C] ~. ~ ~T~ ~ ~ 4. ~0 ~ ~ S. ~ ~ ~O~n) ~ ~. ~v ~ ~0~ E T~K 2. : (7~) ~:~CUP~ORM~~'~O ~RROS~N ;~ S. ~EL~A~ ~ 9. ~~N ~ ~ ~. ~ELW/~ATI~ ~. U~ ESSUR~O ~ (~ ~ ~t ~ ~UR~D 1. ELE~~~3.0~~O~~ ~ t. ~~~3.0~~~0~~ ~ ~ z ~YO~ ~ ~YO~ ~ ~ 3. ~~~(~1~ ~ 4. ~Y~~ : ..... TEST(0.1~) ~ a. ~~~(0.1 7. SE~ ~ ~ 7. ~ ~0~ ~ 9. ~~~(o.~ ~R~O ~ (~ ~ ~t ~ ~~n ~ ~ ~ ~t ~ : (~) 10. ~~ ~~~~~~~(~ ~2. ~~(0.~ ~ ~ IZ ~l~~(O.~ 13. 13. ~~~~*~~~ ~S. A~O~~~.0~~~~O~ ~ ~S. ~O~U~L~OR~.0~ · ' ~3TR~T~ lT. OAILY'~CHE~ ~ 17, O~LYVI~E~ ~'7~ ~' ' -- ~ 3. ~8~P~~O~OFFFOR01~R ~ OF 0~ 471 TITLE OF O~E~TOR 4/2 UPCF (7/~) S:XCUPAFORMS~8'~C CITY __OF BAKERSFIELD OF~CE OF ENVIRONMENTALiIJ~RVICES UNDERGROUND STORAGE TANKS - TANK PAGE (~~'~~1 ~~'~~7 L T~K CITY OF BAKERSFIELD ~~ OFFICE OF ENVIRONMENTAL ~ERVI 1715 Che~tlr AYe.. Bakerlfleld. CA 93301 ~-3979 '" UNOER<:IROuNO toP, NO ASOVEGR<3UNO P~P~NO CONSTRUCT~,~ ~ 3i~EWALL ~ 3. LINED7~ ~. O~ER ~ ~ I. SIDEWALL ~. U~ ~ ~FACTUR~ ~1 ~FAC~RER D RE3TR~T~ ~ 17. OAILY ~ CHECK 470 UPCF (7~) S:~CUPAFORMS~~'~c ., _ CITY OF BAKEI~FI£LD O~E OF ENVIRONMENTAL~RVICES . 1715 Chester Ave., Baker~flel~ CA 9~301 (661) ~26-3979 UNDERGROUND STOOGE TANKS- TANK PAGE 1 ~ ~ ~ . ~.~ .:. ,.- L T~K ~-~-q~ ~o~ .I ~.~~ ~L~O~ ~~D ~ ~(~~) ~1 ~~NEQUI~:~L~ ; ~2 ~.~....~..~,=i~..:?~.:..~;: ...,~,;; ..... ;.-~,., .~;.,~:.,., ...... ~.~..;. ~.-~,....:~.....,.: ....... ~ (7,~) ' I ~ ~ 171{t Cheltlr A~., i CONSTRUCT~,~ t. SI~WALL ~ 3. LIN~DT~ ~. O~ER ~ ~ 1. ~I~WALL ~. U~ : I ~FACTURE~ : ;~ 5. ~EL~ ~ ~. ~~N ~ ~ 5. ~EL~ATI~ ~. U~ 4. ~ : ~Y0~ ' ~ 3, ~~~(~ ~ 3. ~~~(~ TEST(0.1G,c~) r-I ~. TR~INTEGRJTYTES'T(0.1 [] 7. SELF ~D~TC, P,~G [] 7. ~ ~oNrro~NG c,;~ ~ ~LO~. C.,~VTI'Y FLOW (c/~.~ [:3 ~. mE~e~u~,n-~-c. RrrYTE~r(o.~ OPH) {--I a. DA~.YV~SU~.~>aTORm~3 . UPCF (7/Cm~g) ,~ :\C U pAF ORM:SL.qWI~CS-~.V~P C: '~' __ CITY OF BAKERSFIELD . OIF~E OF ENVIRONMENTAL ~VICE$ 1715 Chester Ave., Bakersfield, CA 93301 · (661) 326-3979 UNDERGROUND STORAGE TA.K$- INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILITY IDENTIFICATION BU$INES~ NAME (Same al FACII. JT~ NAM~ ~' ~ - Ctolr~ ~ A~) ................................... FAC~i.n'~O~ ] : mm '.- I I I ; I I I '~ ?~ll .................. ~-~- ! ! ~_il · IIIIII I ~1 E~,~w,,~'.,~_.__ II. INSTALLATION Check all Itlat apply ~ I~ The Installer has been certified by ~e tank and piping manufacturers. [] The installation has been inspec~l and certified by a registered professional engineer. I~ The installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. I~, All work listed on the manufacturer's installation checklist has been completed. .a~, The installation contractor has been certified or licensed by the Contractors State Ucense Board. [] Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify_ method: III. TANK OWNER/AGENT SIGNATURE ; ........ ~(~l -* ~ ~ ~E ~ ~ ~xo~ ................. ~ -,- CITY OF BAKERSFIELD ~. OF'E OF ENVIRONMENTAL S.VICES ~ 1715 Chester Ave., Bakersfield, CA 93301 . (661) 326-3979 UNDERGROUND STORAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILITY IDENTIFICATION BUSINESS NAME (Same ~ ~ACItJT'Y ,NAME ~ I:~A. C~n~ 8u~ne~ ~) ................................ FAC/U'rY ID ~ T~ IO ~ ~ ~ ~~0~ ...... II. INSTALLATION Check a//~et app/y ~ I~ The installer has been certified by the tank and piping manufacturers. E] The installation has been insped~l and certified by a registered professional engineer. Bt The installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. I~ All work listed on the manufacturer's installation checklist has been completed. I~' The installation contractor has been certified or licensed by the Contractors State License Board. [] Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: III. TANK OWNER/AGENT SIGNATURE " ~,o,~.~.~_o~_~ .~~'-~-~'~°~ ~ o,,~,~,,~ ~....~..~..~ ---i '~ ~ ct- }~ - ~c4'~ ....................... ~ ................ -. ~. ~"'/.... ........ -~- F~ C ,~ CITY OF BAKERSFIELD . OF~[I~E OF ENVIRONMENTAL S~VlCES 1715 Chester Ave., Bakersfield, CA 93301 · (661) 326-3979 U.OE,G,OUNr) STO~AGE T^.KS- I.ST^'LA~O. CERTIFICATE OF COMPLIANCE One fo~ ~r ~nk I. FAClLI~ IDENTIFICATION ................................. % ~ .... T~ ~ J .............. I II. INSTALLATION " Check all b~at apply * "~ The Installer has been certified by the tank and piping manufacturers. r~ The installation has been inspec~l and certified by a registered professional engineer. ~ The Installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. '~, All work listed on the manufacturer's installation checklist has been completed. I~' The installation contractor has been certified or licensed by the Contractors State License Board. I:::] Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: IlL TANK OWNER/AGENT SIGNATURE llm'm C '. CITY OF BAKERSFIELD ~. OF~E OF ENVIRONMENTAL :~RVICES ~_ 1715 Chester Ave., Bakersfield, CA 93301 .r (661) 326 3979 UNDERGROUND STORAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILITY IDENTIFICATION IIUSINEM NAME (~a~'l'~ Il FACILITY NAJv~ o~' O~A - ~ ~ A~) ....................................... II. INSTALLATION Check aa ~hat app/y · ~. The Installer has been certified by the tank and piping manufacturers. [] The installation has been inspeded and certified by a registered professional engineer. .G~ The installaUon has been inspected and approved by the City of Bakersfietd Office of Environmental Services. ~ Ail work listed on the manufacturer's installation checklist has been completed. ~ The installation conlractor has been certified or licensed by the Contractors State License Board. [] Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: IlL TANK OWNER/AGENT SIGNATURE ,_=~_ ~_, ~. ' _.~-~ .~ ._..~,2~_~.~__~ ,.~?.,.,. ,o ~._~_o, ~,,~,,~. .................. D April 4, 2000 Jaco Oil FIRE ¢.1~ Mr. Jo~ Kerley RON FRAZE P O Box 1807 ~M~nms~ ~ Bake~field CA 93303 1807 2101 'H" Street Bakemfleld, CA 93301 VOICE (805) 326-3041 F~X (~) a~-la~ Dear 1~. Kerley: SUPPRESSION SERVICE~ 2~o~ 'H' St~t You have been identified as the compliance coordinator for the ~k,~,~. CA ~a.aOl facility/facilities referenced in the attachment. VOICE (805) 326-3941 The permits to operate this facility/facilities will expire on June 30, 2000. PREVENTION SER~ICF..~ ms Ch~t~ ^~. However, in order for this office to renew your permit, updated forms A, ~k~fmeld, ~ 93~01 vo~c~ (~os) aa~-a~l B, & C must be filled out and returned prior to the issuance of a new ~Ax (mo~) a2~?~ permit. EmnaONUENTAL SERVICES ms c~.,. ^ye. Please make sure that you are sending thc updated forms which are Bakersfield, CA 93301 VOICE (805) 326-3979 indicated by the date 7/99 in the lower left hand comer. Please complete FAX (~05) 326-0576 and return to this office by May 15, 2000. Failure to comply, will result in ~Nm.~ D~N a delay of issuance of your new permit to operate. 5642 Victor Ave. 8akemfleld, CA 93308 vOiCE (~os) 3a~.~? Should you have any questions, please feel fi'ce to call me at FAX (805) 399-5763 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facility Address Fan'ells Fastrip 6401 White Lane, Bakersfield, Ca 93309 Fastrip 8001 White Lane, Bakersfield, Ca 93309 Fastrip 1200 Coffee Road, Bakersfield, Ca 93308 Fastrip 4901 S. Union Ave., Bakersfield, Ca 93307 Fastrip 2698 Oswell S~eet, Bakersfield, Ca 93306 Fastrip ~9_~~~ Bakersfield, Ca 93304 Fastrip 805 34* Street, Bakersfield, Ca 93301 Fastrip 12851 Rosedale Hwy, Bakersfield, Ca 93312 Fastrip 4013 S. "H" Street, Bakersfield, Ca 93304 Fastrip 6401 S. "II" Street, Bakersfield, Ca 93304 Wholesale Fuels 2200 E. Brundage Ln., Bakersfield, Ca 93307 Chris Liquors 2732 Brundage Ln., Bakersfield, Ca 93304 Howards 3200 Panama Lane, Bakersfield, Ca 93312 Howards 4201 Belle Terrace, Bakersfield, Ca 93309 Howards 3300 Planz Rd., Bakersfield, Ca 93309 J )RRECTION NO CE BAKERSFIELD FIRE DEPARTMENT N_° 675 You are hereby required to make the following corrections at the above location: Cor. No [ I ' ' ' ' - i I ' Completion Date for Corrections~ Inspector F~STR ] M 1 NO-CHESTE~ Ba}:';EIRSF i ELD C;~. 9:3;304 ~05-39'?-Ei60E. ,'.}CT 21. 199i~ 9;48 SYSTEM ST~TI.IS 1 NVENTOF:'f Rt:]PC:,RT V©LUI'iE := 258:3 G~aLS ULLA,]E = 9479 90'Z I_ILLA(;E~ '3272 C;~LS TEIflF' = 87,6 [,EG F ULLAGE = ',?,5':)8 GALS WATER = 0. F:iCI I NCHE;3 TEHP = 85,5 f.q~:C4 F VOLUHE 46:2,'7 ULI_AC-:E - %1:25 r]fqL S TO 'v',;)LtJI"IE = 4544 HEIGHT = 45,5'7 ULLAGE = 1 CF74;3 GALS TC 'v'O[JJrlE ~ 129~ HEIGHT = t 8.51 [ I..IC'HEF:; WATER ',J,:}L = CI F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICE_.S UNIFIED PROGRAM INSPECTION CHEf~KLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ]:~5~,t't~ "1~'~9 INSPECTION DATE ADDRESS I(, qo .S. dJxr,~t': PHONE NO. ~q'? ~ ~ Of.f> FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section I: Business Plan and Inventory Program ~Routine I~l Combined ~ Joint Agency [21 Multi-Agency [21 Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact intbrmation accurate Visible address Correct occupancy V/ Verification of inventory materials L// Verification of quantities Verification of location Idr Proper segregation of material Verification of MSDS availability 1/~ ~0 Verification of Haz Mat training V ht0f,{ · Verification of abatement supplies and procedures %/ p40p{ ¢ ~ Emergency procedures adequate V' Hfl~r~ ~-~0 ~t'~/a itl Containers properly labeled ~" Housekeeping ~ ~0'{¢.~ t)65~Rlc~t'~¢ ~{e~:~t~ec ( &he.( Fire Protection V t~lr~ C~4'/tet,~{6~t[- ACt'~o~,,,/f ~e t~_~/C~ ' Site Diagram Adequate & On Hand W' /'fmc 3~001~. C=Compliance V=Violation Any hazardous waste on s~te?: ~ Yes []~'No Explain: ,~.,d~,,~ ~._e~ Questions regarding this inspection? Please call us at (805) 326-3979 Business Site Responsible Party While- Enx. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CiTY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL _SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~,4~',,,h INSPECTION DATE Section 2: Underground Storage Tanks Program [~outine [] Combined [] Joint Agency [] Multi-Agency [~ Complaint [] Re-inspection Type of Tank b/l) tc&-q Number of Tanks Type of Monitoring d,/--/IA Type of Piping OWt-7- OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility V,'/ Monitoring record adequate and current ~,/ Maintenance records adequate and current Failure to correct prior UST violations ,V Has there been an unauthorized release? Yes No t,/" Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy SUNSET MECHANICAL 3812 PANORAMA DR. BAKERSFIELD CA. ', Continuous Monitoring Devic6 Certification Contents of Tank ~ Capaci~ Of Tank ~~ Type of Product Line: (GraviS, Suction, PreSsure). iNDICATE LOCATION OF TH~ MONITORING SENSORS TESTED aY P~CINO A YES OR NO IN APPLICABLE BOX: Annular space Sensor Sump Sensor_ ~ Dispanser Containment Sensor ~ Electronic Ove~ll I Level_ '~~ Electronic In-Line L~k Detector Mechanical Line Leak Dotactor ~ In Tank Gauging Device , ~ iNDICATE THE FOLL~ING BY P~CING A YES OR NO iN APPLICABLE BOX: poes the monitoring sys~e~ have audible and visual alarms? ~ Does the [urbine automatic,lly shut-down if the system detects a leak, fails to operate or i~ electronically dis~nnected? ~s ~e monitoring systam Installed to prevent unauthorizod lampering? ~ Is the mort?ring syste~.~perable as per the manuracturees specifications? ~ich continuous monitoring devices lnitiat~ positive shut-down of the turbine? ~~/~ _ D February 9, 1999 FIRE CHIEF Fastrip Food Store #6 ~CN FRAZE 1640 S Chester Ave ADMINiSTR.~13VE SERVICES Bakersfield, CA 93304 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 RE: Compliance Inspection SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, PREVENTION SERVICES underground storage tanks and monitoring systems, and hazardous 1715 Chester Ave. Bakersfield, CA 93301 materials inspection. VOICE (805) 326-3951 FAX (8O5) 326-0576 To assist you in preparing for this inspection, this office is ENVIRONMENTAl. SERVICES enclosing a checklist for your convenience. Please take time to read this 1715 Chester Ave. Bakersfield, CA 93301 list, and verify that your facility has met all the necessary requirements to VOICE (805) 326-.3979 FAX (805) 326-0576 be in compliance. *..~.~Na DnnS~O. Should you have any questions, please feel free to contact me at 5642 Victor Ave. Bakersfield, CA 93308 805-326-3979. VOICE (805) 399-4697 FAX (805) 399-5763 Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT EMERGENCY HAS STATE oFF CE OF EMERGENCY SERV CES ADDRESS NAM~ ~ I ~NT~T PERSON ~ PHONE ~ >C~TREET , ~ ~.~Y~ ~TACT PERSON PHONE ~ / NAME QUANTI~ LOgT (~LLONS) ~ ~ UNKNOWN ~ DA~ DI~VERED ~v~ HOW DIS~VER~ ~ INV~TORY ~NTR~ ~ SU~URFACE MONITORING ~ NUIS~CE ~NDITIONS ~ M~HOD USED TO STOP DIsc~RGE {CHECK ~k ~AT APPLY) DA~ DI~HARGE BE~N ~ MI ~ '1 YJ YI UNK~WN ~ REMOVE ~N~NTS~CLOSE TANK & REMO~ ~ REPAIR PIPING HAS DISC~RGE BEEN STOPP~, ~ REPAIR TANK '~LOSE TANK & FILL IN P~CE ~ CHANGE PR~EDURE ~ YES ~ NO IFYES, DA~ 0"1 ,,F~ '~0{ 0 ~ 9 v~ , ~ REP~CETANK ~ OTHER SOURCE OF DIVERGE CAUSE(S) ~ ~ : TANK~AK ~NKNOWN : OVERFILL ~ RUP'R~AILURE : SPILL 8 ~ ~ "IPINGt~K ~ OmE" m m: CHECK ONE ONLY =~'i UNDERMINED O ~1 ~ SOIL ONLY ~ G~U~WATER ~ DRINKI~ WATER - (CHECK ONLY IF WATER WELLS HA~ AC~ALLY BEEN AFFEC~D) CHECK ONE ONLY ~ NO ACTION T~N ~ PR~IMINARY S~ A~E~MENT~RKP~N SUBM~ED POLLUTION CHARAC~ RI~TION ~ REMEDIATION P~N ~ CASE CLUED (~E~UP ~MPLE~D OR UNNECE~AR~ ~ CLE~UP UNDERWAY CHECKAPPROPR~TEACTION(S)~~ / ~ ~XCAVA~&DIS~SE(ED) ~ REMOVE FREE PRODUCT (FP) ~ EN~CEDBIODEG~DATION(I~ ~ ~ ~ C~ SI~ (CD) /~ EXCAVATE & TREAT (E~ ~ PUMP & TREAT GROUNDWA~R (G~ ~ REP~CE SUPPLY (RS) ~ o ~ ~NTAINMENT BARRIER (CB) ~ ~ ACT~N REQUIRED (NA) ~ V~UUM EXT~CT ~ ~ OTHER (O~ 8 iNS~UCTiONS Eb~RGENCY ~eak Beins Confirmed - Leak suapected at site, but has not been confirmed. Indicate whether emergency response perso~nei and equipmen~ were involved Preliminary Site Assessment Workpian Submitted - workplan/proposal at any time. If so, a Hazardous Material Incident Report should be filed requested of/submitted by responsible party to determine whether ground with the State Office of Emergency Services (ORS) at 2800 Meado~iew Road, water has be~n, or will be, impacted as a result of the release. Sacramento, CA 95832. Copies of the OE$ report form may be obtained et Preliminary Site Assessmen~ Underwa~ - implementation of workplan. your local underground storage ta~ pe~.itting agency. Indicate whether Pollution Characterization - responsible party is in the process of fully the OES report has been filed as of the date of this report, defining the extent of contamination in soil and ground water and assessing impacts on surface and/or ground water~ LOCAL AGENCY ONLY Remediation Plan - remediation plan submitted evaluating long term To avoid duplicate notification pursuant to ~eal~h and Safety code Section remediation options. Proposal and implementation schedule for appropriate %51B0.5, a goverr~nent employee should sign and date the form in this block, remediation options also submitted. A signature here does not mean that the leak has been determined to pose a Cleanun Underway - imp!ementa%ion of remediation plan. significant threat to human health or safety, only ~hat notification Post Cleanup Monitorin~ in Pro,ross - periodic ground water or other procedures have been followed if re~aired. ~onitoring at site, as necessary, to verify and/or evaluate effectiveness of remedial activities. REPORTED BY Case Closed - regional board~ and local agency in concurrence that no ! Enter your n~e, telephone number, and adclress. Indicate w~ich party you further work is necessary at the site. represent and provide company or agency name. ~ IMPORTANT: THE INFORMATION PROVIDED ON THIS FORM IS INTENDED FOR GENE~ RESPONSIBLE PkRTY STATISTICAL 'Pb2IPOSES ONLY AND IS NOT TO BE CONSTRUED AS REPF~ESENTING THE Enter name, telephone number, contact person, and address of the party · OFFICIAL POSITION OF AN-f GOVB/AN~IENTAL AGENCY responsible for the leak. The responsible party would normally be the ta~2~ owner. REMEDI~ ACTION indicate which action have been used to cleanup or remediate 5he leak. SITE LOCATION Descriptions of options follow: Enter information regardin~ the tank facility. At a minimize, you must provide the facility name and full address. Cap Site - install horizontal impermeable iayer to reduce rainfall infiltration. IMPLF~NTING AGENCIES' Contaipmaent Barrier - install vertical dike to block horizontal movement of Enter names of the local agency and Regional Water Quality Control Board contaminant.. involved. Excavate and Dispose - remove contaminated soil and dispose in approved site. SUBSTANCES INVOLVED Excavate and Trea~ - remove contaminated soil and treat (inq!udes spreading Enter the name and ~aantigy losg of the hazardous substance involved. Room or land farming). is provided for information on two substances if appropriate, if more than Remove Free Product - remove floating product from water table. two substances leaked, List the two of most concern for cleanup. Pump and Treat Groundwater - generally employed to remove dissolved contaminants. DISCOVERY/ABATEMENT Enhanced Biode~radation - use of any available technology to promote Provide information regarding the discovery and abatement of the le~(. bacterial decomposition of contaminants. Replace Sup~iI - provide alternative water supply to affected parties. SOURCE/CAUSE Treatment at Hookup - install water treatment devices at each dwelling or Indicate e~urce(~) of leak. Check bo~(es)'kndi~ating cause of leak. other place of uae. ' Vacuum Extract - use puraps or blowers to draw air through soil. CASE TYPE Vent Soil - bore holes in soil to allow volatilization of contaminants. Indicate the case type category for this leak. Check one box only. Case No Action Required - incident is minor, requiring no remedial action. type is based on the most sensitive resource affected. For example, if both soil and ground water have been affected, case type will be "Ground COati'LENTS - Use this space to elaborate on any aspects of the incident. Water". Indicate "Drinking Wa%er" only if one or more ~ioipal or domestic water wells have actually been affected. A "Ground Water" SIGNATURE - Sign the form in the space provided. designation does not imply that the affected water cannot be, or is not, used for drinking water, but only that water wells have not yet been DISTRIBUTION affected. It is understood that case type may change upon further if the form is completed by the tank o~ner or his agent, retain the last copy investigation, and forward the remaining copies intact to your local ta~ permitting agency for distribution. CURRENT STATUS 1. Original - Local Tank Permitting A~ency Indicate the category which best describes the current status of the case. 2. State Water Resources Control Board, Division of Clean Water Programs, Check one box only. ~ne response should be relative to the case type. For Underground Storage Tank Program, P.O. Box 944212, Sacramento, CA 94244- example, if case type is "Ground Water", then "Current Status" should refer 2120 to the status of the ground water investigation or cleanup, as opposed to 3. Regional Water Quality Control Board that of soil. Descriptions of options follow: 4. Local Health Officer and County Board of Supervisors or their designee to receive Proposition 65 notifications. No Action Taken - No action has been t~<en by responsible party beyond 5. Or, er/responsible party. initial report of leak. CITY OF BAKERSFIELD FIRE DEPARTMENT 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 BAKERSFIELD FIRE DEPARTMENT February 13, 1998 RIlE CHIEF Food M~¢~EL R. m~¥ l~astrlp Store 1640 South Chester Avenue ~41N~manv~s~mc~s Bakersfield, CA 93304 2101 'H" Street BaRe.field, CA 93301 (805) 32.6-394 I FAX (8O6) 39~- l&19 sumra,~ON s~mcra RE: "Hold Open Devices" on Fuel Dispensers 2101 'H' Street Ba~er~e~, CA 93301 C805) 3264941 Dear Underground Storage Tank Owner: FAX (80~) 39~I~49 n~v~mKn~s~-,.s The Bakersfield City Fire Department will commence with our annual 1715 Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks. Bakersfield, CA 93301 (805) 326-3951 FAX (80~)326-0576 The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire ENVIRONMENTAL ~ 171~Ghe~t~rAve. Department now requires that "hold open devices" be installed on all fuel Bakersfield, CA93301 dispensers. The new ordinance conforms to the State of California guidelines. (805) 326-3979 FAX (8O5) 326-0576 The Bakersfield Fire Department apologies for any inconvenience this IRAINING DIVISION 5642 VletorSfleet may cause you. Bakersfield, CA 93308 (805) 399-4697 FAX (805)399-5763 Should you have any questions, please feel free to contact me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey Sent by: JACO OIL COMPANY.. 800 399 6096; 11/18/97 5:11PIVl;,,/~ #931;Page 1/1 ~. ' , Co~ltlnuoUs Monitoring Device Certll:lcation A~,au~al Spac~ Se[~s,~r ~~ STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A _~_ COMPLETE THIS FORM FOR EACH FACIUTY/SITE MARK ONLY ~ 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANG~ OF INFORMATION [] 7 PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT ~ 4 AMENDED PERMIT ~ 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR,.EA, CILITY ~NAME NAME OF OPERATOR ADDRESS NEAREST CROSS STREET PARCEL ~ (OPTIONAL) CITy_NAME . STATE ZIP CODE SITE PHONE · WITH AREA CODE TO INDICATE ~ CORPORATION ~ INDIVIDUAL ~ PARTNERSHIP [~] LOCAL.AGENCY [--] COUNTY4~GENCY [---] STATE-AGENCY [--~ FEDERAL~.NCY DISTRICTS TYPEOF BUSINESS ~S:] I GAS STATION[__1 3 FARM I"--1 2 DISTRISUTOR[--"] 4 PROCESSOR ~ 5 OTHER I~-10RRESERVATIONTRUST'/' IF INDIAN I# OF TAN~'~ AT SITEILANDS E.P.A. L D.· ('~_--) EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) - optional I DAYS: NAME (LAST, FIRST) ,, PHONE · WITH AREA CODE DAYS_.' NAME (LAST. FIRST) PHONE · WITH AREA CODE NIGH/.S: NAME (LAST, FIRST) -- ,~ PHONE · WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE · WITH AREA CODE I1. PROPERTY OWNER INFORMATION-(MUST BE COMPLETED) CARE OF ADDRESS INFORMATION kCo \1 MNLII~/G OR STREET ADDRESS [---I INDIVIDUAL F""] LO~-AGEIdCY r'-I STATE.&G~ '~0 ~__)'"'~ I ~07 .[:;I~.CORPORATION r--] PNTTNERSHIP ~ COUNTY.AGENCY [---1 FEDERN.~Y __ i CITY.~[AME t S~[ ZIP CODE t PHONE # WITH AREA CODE III. TANK OWNER INFORMATION - (MUST BE COMPLETED) [ NAM_~.QF_.QWNER__ ,_~ (~C (~ O' [ C0%/'~'~ q CARE OF ADDRESS INFORMATION I MAILINC.~..OR STREET ADDRESS v" Ixal~cam r--~ INDIVIDUAL [~ LOCN,.-AC.~,ICY [~ STATE.AGENCY /--~ ~''~ ~0"~ ~- ~'C~ 7 STA~COF POTATION ~'-1 PA,RTNERSHIP I--1COUI~rY.&G~Ib'Y [--] FED6RAL--Y CITY N,~ · ~/.~~..AZIP CODE PHONE ·WlTH AREA CODE I¥. i:~OARD OF EQUALIZATION UST ~TORAGI= FEE ACCOUNT NUMBER - Gall (~16) 739-258l if quest]ohs arise. V. LEGAL NOTIFICATION AND BILUNG ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. [ CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: ' I. IL III. PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICAN'I'S TITLE AGENCY USE ONLY COUh ,";'Y # JURISDICTION # FAClLFrY # LOCATION CODE - OPTIONAL CENSUS TRACT · - OPTIONAL SUPVISOR - DISTRICT CODE - OPT/ONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION · FORM B, UNLESS THIS IS A CHANGE OF Srl'E INFORMATION ONLY. FORM A (9-90) FORO~3A-R2 STATE WATER RESOURCES CONTROL BO,~kRD UNDERGROUND STORAGE TANK PERMIT APPMCAllON - FORM B COMPLETE A SEPARATE FORM FOR EACH TAM( SYSTEM. MARK ONLY [] 1 NEW PERMIT ~ 3 RENEWAL PERMIT [] $ CHANGE OF INFORMATION [] 7 I~y CU3~ ONE [TEM [] 2 INTERIM PERMIT E~ 4 AMENDED PERMIT [] 6 TEMPORARY TANK C[.O~URE J-'-'1 8 TANK REMOVED DBA OR FAClUTY NAME WHERE TANK IS ~lSl'A~tFrJ: I. TANK DESCRIPTION COUPLE're AU. IT.S - SPECifY ~F UNKNOVm II. TANK CONTENTS ~A-I iS MARKED. COMPLETE ITEM C. A. i.',~ 1 MOTOR VEHICLE FUEL [] · OIL 8. C. [] 1. REGULAR ~ 3 DIESEL UNLEADED L_J 4 GASaHOC ~-~ 2 PETROLEUM [] ~O EMPTY [] , PROC~JCT [] ,bP"EM~ LJ 7 u~',-~. L_._~ , UNt. EADED ~] S JET FUEL ~'~ 3 CHEMICAI. PROOCK;T ~ 95 UNKNOWN I [--"], 2 WASTE [] 2 LEADED ~ I D, IF (A.I) IS NOT MARKED. ENTER NAME OF ~UUTANC~ STORED C.A. ~, ·: IlL TANK CONSTRUCTION M~KONEITEMONLYIN~OX~SA.B. ANOC. ANDALLTH^74P~.~SINeOXD A. ~YPE OF ~ 10CXJBL~ W~L [] 3 SINGLE WAU. WITH EXTER~R LINER [] ~5 UNKNOWN SYSTEM ~ 2 SU~GLE WAL~ [] ~ SECONDARY CONTAINMENT (VAULTED TANK) [] 99 O~R El. TANK ~ , I~ARE STEEL [] 2 STAINLESS STEEL ~ 3 FIBERGLASS [] 4. ST~=1 (3.AD W/FIBERGI. A~ REINR3RC~"O Pf..A~TIC MATERIAL ~ S CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% ME'I"HANOL COMPATI~II=W~:Rp ',P~imaxyTa~} ~~ 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER ~ ~ RUeBER UNED [] 2 ALKYD UN,NO ~ 3 EPOXY UNING [] 4 P~IENOUC UNING C. INTERIOR /~;' .5 ~ LINING ~. 6 UNLINED [] 95 UNKNOWN [] gg OTHER lINING IS LINING MATERIAL COMPATIBLE WITH 100% ME'T~IANOL ? YES__ NO~ ~ ~ POLYE'PHYLENE WRaP ~ 2 COATING ~-'-'~ 3 VINYL WRAP "~ · FIBERGLAS~ REINFORCED I:~A~TIC D. CORROSION -- ~ ----. PROTECTION '-~ 5 CATHODIC PROTECTION I'~ 91 NONE ~ 95 UNK]'~OWN [] 9~ OTHER IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUNO. BOTH IF AI:~LICAI:U.E A. SYSTEM TYPE A U ~ SUCTION A ~ 2 PRESSURE A U 3 GRAVITY A U 9~ OTHER B. CONSTRUCTION A U 1 SINGLE WALL A~'~ 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U OTHER A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PV~A (~4 FIBERGLASS PIPE C. MATERIAL AND CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COAT]NG A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U lo CATHODIC PROTECTION A U 9,5 UNKNOWN A U 9~ OTHER D. LEAK DETECTION ~:'l AUTOMATIC LINE LEAK DETECTOR ?~ 2 LINE TIGHTNESS TESTING ..~ 3 INTF..R~iiiiA[MO~i~.ORii, iG [] 99 OTHER V. TANK LEAK DETECTION _ _ _ ~ VISUAL CHECK 2 :NVENTORY RECONCILIATION = 3 VAPOR MONITORING 4 AUTOMATIC TANK GAUGING 5 GROUND WATER MONITORING .--- ~ rANK TESTING ~ 7 rNTERSTITIALMONITORING ~ ~ gl NONE ~ 95 UNKNOWN [] gg OTHER VI. TANK CLOSURE INFORMATION '. ESTIMATED DATE LAST USED t MO,DAY/YR) i 2. ESTIMATEDsUBSTANcEQUANTITYREMAiNiN,GOI: GALLONS 3. WASiNERTTANKMATERIALFILLED WITH? YES [] NO [] t 7'HIS FORM HAS BEEN COMPLETED UNDER PEN. AL~F P/~RJURY. AND TO THE BEST OF MY KNOWLEDGE./S TRUE AND CORRECT LOCAL AGENCY USExefi'Ly/ THE STATE i.D. NUMBER IS COMP~E'6~ THE FOUR NUMBERS BELOW [ ~/ COUNTY # JURISDICTION # FACILITY # TANK ~ STATEI.D.'~ ] ' I I ,[ I I '1 J ~ PERMIT NUMBER ! PERMIT APPROVED BY/OATE t PERMIT EXPIRATION DATE ~o~u a 19-9or THIS FORM MUST BE ACCOI/PANIED BY A PERMIT APPUCATION · FORM A. UNLESS A CURRENT FORM A HAS BEEN RLED. STAT~ WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COUPLE'rE A SEPARATE FORM FOR EACH TA,~ SYSTEM. MARK ONLY [] 1 NEW PERMIT [~ 3 RENEWAL PERMIT [] $ ~ OF INFORMATION [] 7 I~y ONE ITEM [] 2 INTERIM PERMIT [:~ 4 AMENDED PERMIT [] 6 TEMPORARY TANK CI..O~URE [] 8 TANK RFJ4OV~D DBA OR FACILITY NAIV~ WHERE TANK IS ~-/'AI I. TANK DESCRIPTION CO~.ETE AU. rrE~s - SPECIFY ~F UNKNOWN I A. OWNERS TANK ,. O., © F X (- 0. 0,: C. [:)ATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACI'fY IN GALLONS: II. TANK CONTENTS ~F: A.~ ~S MARK~D. CO~PLET~ITEM C. ' : UNLEADED [] $ JET FUEL ~_~ 3 CHEM~=ALPRODUCT ~,.__ 95 UNKNOWN j [] 2 WASTE [] 2 LF.A~D L~ 990T~n _<~'_~_~CR~ ~ rr~'a o. a~.ow~l D. IF: IA. 1) IS NOT MARKED. ENTER NAME OF SU~TANCE STORED C.A. ~ ·: IlL TANK CONSTRUCTION ~ARK ONE ~TE~ ONLY IN SOXES ~. 0. AND C. AND ALL THAT A~.~S ,~ SOX D A. TYPE OF ~ 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL [] ,~ SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER e. TA~K :,---] ~ aARESTEEL [] 2 STAINLESS STEEL [] 3 ~0ERC, L,~SS [] · STn:' CLAD W/~=m]LASaR~a~r-ORC~'OPLASm MATERIAL ~ $ CONCRETE [] e POLYVINYL C~LORIO~ [] 7 ~U~aiNUM [] a m0~ taETHANOL COMPA'naLEW,I:RP :PrimuyTank) ~ ~ 9 0RONZE [] l0 GALVANtzED STEEL F~ 95 UNKNOWN [] 99 OTHER C. INTERIOR ~ .5 C~ LININg3 ~ 6 UNLINED ~ 95 UNI~ [] 99 OTHER UNING ~S LINING MATERbld. COMPATIBLE WITH 100'~ METI..IANOI. ? YE0_ NO~ O. CORROSION ~ ~ I:~DLYETHYLENE WRAP ~ 2 COATING 1--?~ 3 VINYL W~AP '~ 4 FIBERGLASS REINFORCED PU~'I~C PROTECT/ON __~ 5 CATHODIC PROTECTION ~-'~ gl NONE ~ 95 UNKNOWN ~_~ 99 OTHER IV. PIPING INFORMATION C~RCL~ A [F: AOOVE GROUND OR U IF: UNDERGROUND. 0OTHIF:AI:~t. ICABLE A, SYSTEM TYPE A U I SUCTION A ~ 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U I SINGLE WALL A ~'~")200UOLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN u OTHER A U ~ BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PV~A (~4 FIOEROJ..ASS PIPE c. MATERIAL AN0 CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEELW/COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U to CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~_~,'l AUTOMATIC LINE LEAK DETECTOR ~ 2 LINE TIGHTNESS TESTING ~ 3 Ihq'ER~'TrFLM. ~ uo~oR,ee [] 99 OTHER V. TANK LEAK DETECTION :'~ 'VISUAL CHECK Z 2 :NVENTORY ;:IECONCIUATIO. ,-- 3 VAPORMONITORING[~'4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONrrOR,~ "-- 6 TANK TESTING ,.~ 7 INTERSTITIAL MONITORING ~ gt NONE ~ 95 UNKNOWN [] gg OTHER VI. TANK CLOSURE INFORMATION ~.ESTJMATEOOATELASTUSEDiMO/OAWYR) i 2. ESTIMATED QUANTITYOFsuOSTANCE REMAINING GALLONS 3. WAS TANK FILLED WITHiNERT MATERIAL ? YE8 [] NO[] THIS FORM HAS BEEN COMPLETED UNDER PENALT~F PERJURY. AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT ~ APPLICANT'S NAME // -- ~ d /7 I DATE FACILITY ti TANK · STATE I.D.#' ] ' i' It I 1t L Ill t111 ¢ER~T NUMOER ! PERmiT APPROVED OY~OATE t CERMIT EXPiRATiON I~TE F:OR~ a I~-~o~ THIS FORM MUST lie ACCOMPANIEO BY A PERMIT APPUCATION - FORM A, BLESS A CURRENT FORM A HA~ BEEN FILED, STATE WATER RESOURCES CONTROl.. BOARD UNDERGROUND STORAGE TANK PERUIT APPLICATION - FORM B COMPLETE A SEPAR&TE FORM FOR EACH TAil. SYSTEM. MARK ONLY [] ! NEW PERMIT ~ 3 RENE'~AL PERMIT i'~ $ C~ OI= INFORMATION ~-I 7 I~'Rl~y C~) (3N SITE ONE ITEM [] 2 iNTERIM PERMIT (~ 4 AMENOED P~RMIT [] $ TEMPORARY TANK CLO~URE ~ 8 TANK REMOVED DBA OR FACIMTY NAME WHERE TANK IS EIST.~I I. TANK DESCRIPTION commgaTE ALL ITEMS - SPECIFY IF UNKNO~t%I JA. OWNER'S TANK I. 0. II. TANK CO~E~S ~ ~., ISMAR~O,~PL~ITEMC. ~ 3 CHEM~ALPR~T D. IF (A.I) IS ~T MARKED, EN~R N~E ~T~ S~R~ C.~I: II1. TANK C0NSTRUC~ON UAR, ONE~MONLYIN~S~a.~OC.~OALL~T~S~XD SYSTEM ~ 2 SIDLE WALL ~ 4 ~N~Y ~NTNNME~ ~A~T~ ~ ~ O~R B. TANK ~ ! BARE. STEEL [] 2 STAINLESS STEEL [] 3 FIBERCd. AS~ [] 4 STEELC~ W/FI~EJ~RE~RC~PL4,~TIC MATERIAL i---~ 5 CONCRETE [] 6 POLYVINYL CHLORII~ [] 7 ALUMINUM [] 8 100'4, METHANOL COMPATI~LEW~=Rp :PrimltyTan~} ~~ 9 8RON'ZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER ,r~ ' RUBBt~R LINED [] 2 ALKYD LINING [] :3 ID~OXY LINING [] 4 PHENOLIC LINING C. INTERIOR ,~ .5 C_~ LINING ~ e UNLINED [] 95 UNKNOVt~I [] 9g o'r~R UNING ~ IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NG__ D. CORROSION ~__ I POLYETHYLENE WRAP ~__ 2 COATING ~ 3 VINYL WRAP '~ 4 FIRERGL.~S REINFOi:IC~:D I~T3C PROTECTION '~ 5 CATHODIC PROTECTION ~ 91 NONE Z 95 UNKNOWN [] gg OTHER IV. PIPING INFORMATION C~RCL~ A iF ABOVE GROUND OR U IFUNDERGROUNO. BOTH IF APPLIC~ A. SYSTEM TYPE A U 1 SUCTION A ~U~ 2 PRESSURE A U 3 GRAVITY A U 9g OTHER B. CONSTRUCTION A U 1 SINGLE WALL AG") 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U OTHER C. MATERIAL AND A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A (~4 FIBER~ PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% ~ COMPATIBLEW/FRP PROTECTION A U g GALVANIZED STEEL A U 1o CATHODIC PROTECTION 4 U gS UNKNOWN A U gg OTHER 0. LEAK 0ETECTION [~'1 AUTOMATIC LINE LEAK DETECTOR,__..;"'~ 2 LINE TIGHTNESS TESTING [---'] 3 MONffOfla~IGINTER~H[~ ~--1 gg OTHER V. TANK LEAK DETEOTION _-~__ ? VISUAL CHECK --- 2 ',NVENTORY RECONCILIATION '-- 3 VAPOR MONITORING ~'4 AUTOMATIC TANK GAUGING [] § GROUNDWATER MONITORING .__~ 6 TANK TESTING ,.___ 7 INTERSTITIAL MONITORING -- 91 NONE ~ g5 UNKNOWN [] 9g OTHER VI. TANK CLOSURE INFORMATION 7'HIS FORM HAS BEEN COMPLETED UNDER PENAL ~F PERJURY, AND TO THE BEST OF MY KNOWLEDGE,/S TRUE AND CORRECT I APPLICANT'S NAME /~ / ~ ~ I DATE. -- -- 1 I I 71 LOCAL AGENCY USE 0 HE STATE I.D. NUMBER IS CO D OF THE FOUR NUMBERS BELOW ' / COUNTY # JUF,~DICTJON # FACILITY # TANK # STATE I D # ' I PERMIT NUMBER ! PERMIT APPROVED BY/DATE t PERMIT EXPIRATION DATE ~oR~ a (~-~o~ THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPMCAT]0N · FORM A, UNLESS A CURRENT FORM A HAS BEE~ FILED. ~TATE OF ~JFO~COiCTROL BOARD STATE WATE~ RESOURCES UNDERGROUND STORAGE TANK PERMIT APPLICATION . FORM B. COUI~.ETE A SEPARATE FORM FOR EACtl T4J~K SYSTEM. MARK ONLY [---] 1 NEW PERMIT ~ 3 RF"NEWAL PERMIT [] 5 ~ OF INFORMATION [] 7 ONE ITEM [] 2 INTERIM PERMIT E~ ~ AMENDED P~RMIT [] e TEMFORA~f TANK CLOSURE [] 8 TANK REMOVED DBA OR FACILITY NAlt~ WHERE TANK IS ~ISTAU.ED: I. TANK DESCRIPTION cc~.cETE ~u. rr~s - sPec~ ~r I1. TANK CONTENTS IF^4 ~SMAn~D. COUPCL:~ ITE~ C. A' '%<~ ' MOTOR VEHICLE FUF"L ['--i~ 4' OIL !~' C' [--'-~ laREGULAR ~:~3 oI~sELUNLEADED a, GASAHOI. ['~ 6 AVIATK~4GAS J ~ 3 CHEMICAL PRODUCT ~ 95 UNKNOWN C 2 WASTE [] ;2 I..EAOED 0. IF (A.;) IS NOT MARKED. F.NTER NAME OF SUS.gTANCE STORED C.A. $. · ;il, TANK CONSTRUCTION UARKONF.~TEUONLYINBOXES*.~,ANOC, A~OALLT~ATAP~.~F.SINeOXD A. TYPE OF '~ ~ DOM;CE WAU. [] ~ SINglE WAU. WITH EX'TER~R C,,F.R [] ~5 UNKNOWN SYSTEM ~ 2 StNGLE WALL ~ 4 SECONOARY CONTAINMENT (VAULTED TANI~ [] ~ OTHER B. TANK ~ t ~ARESTEEL [] 2 STAINLESS STEEL ~ 3 I:IeERC.~-ASS [] * STEELCt. N}W~FllIERGU,...~REINFORCEOI~m MATERIAL ~ 5 CONCRETE [] e FOLYVINYL CHI-ORIOE [] 7 ~UMINUa [] ~ ~00% ~,~H,~IOL COMPATISLEW~RP :PrimatyTa~) ~_._. ~ ~RON-Z~ [] 10 GALVANIZED STE]=I [] 95 UNI<]~K31/~ [] 99 Ol'~n ~ 1 RUBBER LINED [] 2 ALKYD LIN~G [] 3 EPOXY LINIdG [] 4 PHENOLIC LINING C. INTERIOR ,~ $ C~ LININ(~ ~ 6 UNLINF"D [] 95 UNI<]~IO~ [] ~ OTHER LINING ---" IS LINING MATERIAL ~PATIBLF. WITH 100% MF.THAN(~. ? YES_ NO~ 0. CORROSION~' I POLYETHYLF.NF. WRAP ~ 2 COATING ----i , 3 VINYL WRAP 4 ~IGERGLA.S8 RF.INFORCED PLASTIC PqOTECT]0N __ § CATHODIC PROTECTION I~_.~_. gl NONE Z g$ UNKNOWN I~ 99 OTHER IV. PIPING INFORMATION CzRC~ A IF ABOVE GROUND OR U IF UNDF"RGROUNO. BOTH II= AI:~*~.~ A. SYSTEM TYPE A U 1 SUCTION A ~ 2 PRESSURE A U 3 GRAVITY A U 99 OTHF.R g. CONSTRUCTION A U 1 SINGLE WALL A~} 2 DOUBLE WALL A U 3 LINED TRENCH A U g5 UNKNOWN A U g9 OTHER C. MATERIAL AND A U 1 I~kRF.ST~F.L A U 2 STAINLESS STEF.{. A U 3 POLYVINYt. CHLORIO~(PVC],~ (~4 CORROSION A U 5 ALUMINUM A U 8 CONCRETE A U ? STEELWlCOATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U g GALVANIZED STEEl. A U ~0 CATNOD~PROTECTION A U g5 UNKNOWN A U 99 OTHER O. LEAK 0ETECTION [~ AUTOMATICLINELF.AKOETECTOR~ 2 LINE TIGHTNESS TESTING ~ 3 IN~iiIN.MONITORiNG [] 99 OTHER V, TANK LEAK DETECTION --- 6 TANK TESTING ,~ 7 INTERSTITIAL MONITORING ~ 91 NONE ~ 95 UNKNOWN [] 9~ OTHER VI. TANK CLOSURE INFORMATION THIS FORM HAS BEEN COMPLETED UNDER PENAL TY O~SERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT L0. CAL AGENCY USE 0~'~/THE STATE I.D. NUMBER IS COMP~-~THE FOUR NUMBERS 8EL0W, / COUNTY # JURiDIC/ION # FACILITY # TANK · STATE I.D.A. I~ Ii, ',1 1II III1 ll ll PERMIT NUMBER ! PF.RMIT APPROVED BY/CATE f PERMIT F.XPIRATION CATE ~o~u ii (g-go~ THIS FORM MUST BE ACCOIV~ANIED BY A PERMIT APPUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. UNDERGROUND STORAGE TANK MONITORING PROGRAM This momtormg program must i:e kept at the UST location at all times. Th~ information on thi_~ ~ program a~ condilion~ of the operating permit. The permit holder mira nolffy the Office af E~ Se, rvi~ within 30 days ofal~ chnn~,~ tO the mommnng procedures, unless required to oil. in approval before making the chnnSe. Required by Sections 2632(d) and 2641(h) CCR.' Facility Address ~ 0 tO % Ck _ cw A. Deso'ibe the frequea~ of p,~'f'orming the monitoring: ! Piping ~'~, \ ~1 B. What methods and equipment, identified by name and model, will be used for perfoming the monitoring: C. Describe the location(s) where the monitoring will be performed (facility plot plan ghould be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the _equipment: ! E. Reporting Fqrmat f~or monitoring: Piping ~e~,\c3 '~vt~O~-O.a~5- F. Descfib~ the preventive ~te~ce sch~d~e for ~ mo~o~g ~pm~. Maintenance must be in acco~ance ~ith the ~ufa~s m~~ ~~e but not l~s than eve~ 12 months. ~ ~ G. Describe the training necessary for the operation of UST system, including piping and the monitoring equipment: ~%cuqc. %~-W-~ \~,~Crelk~ ~tc,[C/'< oO, o~) CI ECTION NO BAKERSFIELD FIRE DEPARTMENT N_~ 6 2 8 Location Sub Div. ~/7 ~)~o Blk. . Lot You are hereby required to make the follo~na cor~ction~ / at the above l~ation: Completion Date for Correctio InspectOr '.-]?.r'STEI"I STATUS t;~EP,:)F:T F:'F",PER ,5 UT 1 I',I'~,,'ENT(:,I?'~'~ F:Et::",'/;h'T "~' T 1: I:~RE['.'II UPI 'v'OLLif"IE = i '~..~fl ,gALS ULLAC;E = 1 CH I',.'.' GaLS 90:~'.i: I_ILLaC;E= :~:u,_,hGaLS TC V©LIJIqE = l'.:~dt, GALS HEIOHT = 24,',,'2 iNCHES I....laTER V'2, L = L-~ GaLS : :..~I.,JF-~TER = O. I)FI l NCHES ,~-~.~TEI'"ll:~ = 9':'. 13 I-:~EG F 9 · lb[ i icl ~, 'v':-~LUI"'IE = '.:29;-:['5 GF~LS ~ LILL:at';E = 91 22[ q -i:?':; I1[ I e41:'t::- ?"~ 1 6 c-;aLS exTC ',,.oL. UI'.IE = '2',~I74 (';aLS --ME[Gl-IT = ;32,~'~2 INOHES ! [,.,laTEI,? '.,.,'OL = 13 GaLS -?EI"IP = 90.9 DEG F ii''''''( 'd,?.,}] _I"IE = [ 41-18 ~. I_ILLaC;E = 10654 ~ 9_-I..,-:; ULLa::;E= 9447 ~ll~e:": ',,,,'CiLIjHE = 13'?? ','GF4LS ~,HEIGHT = 19.42 INCHES ~I.,.IFt]'ER U,:]'L = L-I "--;ALS td~TER 0. L-,3 '1 NC:HEF:_; ~fEi"IP = 91 .8 DEG F "I' 4: D I ESEL VC:'L UI"IE = 1461 GALS ULLAGE = 10601' GaLS 90::.i, IJLLaC;E= 9:394 GaLS TC VOLUI"IE = 1439 GALS HEIGHT = 19.9:3 INCHES I..,,IATEF: VOL = 0 GALS I,.,laTER = O. O0 I NOHES TEP1P = 9:3.0 DEG F ~ ~: ~,i ~ ~ END ~ ~ ~ ~ ~. UNDERGROUND STORAGE PECTION Bakersfield Fire Dept. ~':':':':':'~ Office of Environmental Services Bakersfield, CA 93301 FACILITY NAME /~3~r;n BUSINESS I.D. No. 215-000 ~'/~ FACILITYADDRESS [(~0 ~0, d[~.~r CITY FACILITY PHONE No. 7' GOC. ,[~ ID# ID~ INSPECTION DATE q, Orr. Product Pr~luct Product, Inst Date Inst Date Insl Dale INSPECTION TYPE: Size Size Size ROUTINE V/' FOLLOW-UP REQUIREMENTS yes no n/a yes no n/a yes no n/a la. Forms A & B Submitted lb. Form C Submitted lc. Operating Fees Paid ld. State Surcharge Paid 1 e. Statement of Financial Responsibility Submitted V/ lf. Written Contract Exists between Owner & Operator to Operate UST 2a. Valid Operating Permit : v"' 2b. Approved Written Routine Monitoring Procedure 2c. Unauthorized Release Response Plan 3a. Tank Integrity Test in Last 12 Months ',,/ ""- 3b. Pressurized Piping Integrity Test in Last 12 Months V/ '"' 3c. Suction Piping Tightness Test in Last 3 Years 3d. Gravity Flow Piping Tightness Test in Last 2 Years ~/' 3e. Test Results Submitted Within 30 Days v/' 3f. Daily Visual Monitoring of Suction Product Piping ,j.~ 4a. Manual Inventory Reconciliation Each Month 4b. Annual Inventory Reconciliation Statement Submitted 4c. Meters Calibrated Annually ~/' 5. Weekly Manual Tank Gauging Records for Small Tanks V~ 6. Monthly Statistical Inventory Reconciliation Results V' 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring 9. Vapor Monitoring v/ 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. Mechanical Line Leak Detectors v' 12. Electronic Line Leak Detectors V' 13. Continuous Piping Monitoring in Sumps 14. Automatic Pump Shut-off Capability V/ / 15. Annual Maintenance/Calibration of Leak Detection Equipment 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 17. Written Records Maintained on Site ~'"~/~2 V/' 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days V/' 19. Reported Unauthorized Release Within 24 Hours 20. Approved UST System Repairs and Upgrades V' 21. Records Showing Cathodic Protection Inspection 22. Secured Monitoring Wells v/' 23. Drop Tube V/ INSPECTOR: ~/~_~, ~-/_~//~_ OFFICE TELEPHONE NO. ~'o2~ '~'2/' FD 1669 (rev. 9/95) HAZARDOUS MATERIALS INSPi~DN ~pkersfield l~i~e Dept. O~ OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed Business Namei /'-¢r~ t, p Location: i(~ qo ~5~ . Business Identification No. 215-000 . q!~/ (Top of Business Plan) Station No. Shift__ Inspector ,5~uc Arrival Time: Departure Time: Inspection Time: Adequate Inad~ate Adel~ate Inadequate Address Visable 13 Emergency Procedures Posted r'l Correct Occupancy E~' I'1 Containers Propedy Labled I;3' ri Verification of Inventory Materials ~ 13 Comments: Verification of Quantities 13 13 Verification of Location I"1 I"1 Verification of Facility Diagram Proper Segregation of Material El El Housekeeping Fire Protection [] Comments: Electrical Comments: Verification of MSDS Availablity [] [] Number of Employees: (o UST Monitoring Program [] [] Comments: Verification of Haz Mat Training [] [] Permits Comments: Spill Control I~ 13 Hold Open Device ~ [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures E! Proper Waste Disposal [$r [] comments: Secondary Containment I~ [] Secudty ~ [] Special Hazards Associated with this Facility: Violations: 5cc ~,~,t)- Business OwnedManager PRINT NAME SIGNATURE Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy