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UNDERGROUND TANK FILE #1
Hazardous. Materials/Hazardous Waste Unified Permit ~, .~ CONDITIONS OF .PERMIT ON REVERSE SIDE P This permit is issued for the followin_.: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-001756 [] Risk Manageme~t Program BROOKSIDE MARKET & DEL -a Hazardous Waste On-Site Treatment LOCATION: 4700 COFFEE RD .,. TANK HAZARDOUS"S~S~N(F_. ~, ~CAP~{~,~ DISPENSt~I~Cl~ANS~ONITORING 015-000-001756-0003 GASOLINE ~ OFFICE OF ENVIRONMENTAL SER VICES ' 1715 Chester Ave., 3rd Floor Approved by: - : -(,...RalpYHucy, P~ ~ Issue Dale Bakersfield, CA 93301 : . :', Voice (661), 326-3979 FAX (661) 326-0576 ' Expiration Date: 'June 30, 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ...... ,~,,,,~,¢¢??;~;~7,?;~??~,,;~,, ........ This permit is issued for the following: ...... ~¢??'?"//,Z~,!:',~;:~;~:::Z~i~::2;;;:;~2::;i:::?;:;;:.~:!~Hazardous Materials Plan .:~,~?,¢?*="i:., :j,~?::~¢%i ii!?,~,. ~}iii!!!i;![ii,~ iiiiii~ ii;;'(iiii~}i~i~i~erground Storage of Ha~rdous Materials ~?-.... "--:;~ '~:~i~i~':' .~"-'! ""i'~,.;r,,....:,......'"'=:~;;;=~'.~i¢;'~=~[;[~"~ii' i ~ ~ ~ '~[~,~,,, .... ~: ':, ~;~'~'"~ ['...'"*':,[~ LOCATION 4700 COFFEE.::'i~ ii?,.. "....*~ i, ,~ ... ':.::::::.."-..,7 F..";r". '.";i~k'i~Er ,' ~ ,' , ,' · .~ ":' / ~ '; i%,, ~ ~ ii ..",:..;~ ]~.,*Z"'*"*~ ~..]~ ~,~m, ..... . "~;~iili;iBi~4~ .... ~41~¥~¢ ?.ir .];~;¢,;, .~"...'",,,.~i' TANK .H~ARDOUS SUBSTANCE CAPACITY '~,¢~ WAR .... ~,~NK TANK .4'/ T~,'~{' PIPING P1P~G PIPING PIPING h~::=::"7:~,. I~IALL TY~E?.:::~*ER[AL MONITOff' MO~'[*gR TYPE TYPE METHOD MONITOR GASOLINE 10000 O~......-'~fl ~20~%?~4;.-"'.~.~ ....FCS ...... :-,~ ¥&~/' ?6L~' DW PFP PRESSURE ALD GASOLINE 10000 GA ~,.-.:':::":~:1 ~J"'""~}~.~"'::~':~ ~{~;? ~CS~ '~i~ '~:::"~:~:~.=~,~ ..... ?~ ",~ DW PFP PRESSU~ ALD '%;-:;.."% '"'?~', ';~i~ ,,i~i'~' % ;Z::!::.,,-.=.,,,::, '~ .~. *:~..;;,-,,~:%1;::%:-~'.',;~''':, -"i;~,,~,, ~ii'; ,. 'i .'..= GASOLINE 10000 GAL .... 1012~, .,,~ D~.: .......... ; .~6S ....... ~ ...... ~ ~T~,~,, , ¢, ~ ..... ELM DW PFP P~SSU~ ALD DIESEL g2 10000 GAL "~:I;O~0~6:.:%,=~B~L,;'%¢'B6S!~¢~;~ ~ili%',~. ~G'*~;,~'''~', , ' ~? CLM DW PFP PRESSU~ ALD B~crsficld F~e Depa~ment Approv~ by: 0~ OFE~RO~AL S~ ~CES 1715 Chewer Ave., 3rd Floor B~e~fiel~ CA 93~01 Voice (805) ~26-3979 F~ (80S)~26~S76 ExpkationDate: ~n~ ~0~ ~OO0 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the 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 2na day of November, 1998 to: BROOKSIDE MARKET & DELI Permit #015-021-001756 4700 Coffee Rd Bakersfield, California 93308 · under nd storage tank between wsual ectlons. The evaluation of the length of time the hazardous substance remains observable shall consider the volatility of the hazardous substance and the porosity and slope of the surface immediately beneath the tank. (C) The liquid level in the tank shall be recorded at the time' of each inspection. (D) If any liquid is observed around or beneath the primary containment system, the owner or operator shall, if necessary, have the liquid analyzed in the field using a method approved by the local agency or in a laboratory to determine if an unauthorized release has occurred. The owner or operator shall have a tank integrity, test conducted, if necessary, to determine whether the primary, containment system is leaking. If a leak is confirmed, the owner or operator shall comply with the applicable provisions of Article 5, Article 6, and Article 7. ~- (2) A monitoring program which relies on the mechanical or electronic detection of the hazardous substance in the interstitial space shall include one or more of the methods in Table 3.2. The following requirements shall apply when appropriate: (A) The interstitial space of the tank shall be monitored'using a continuous monitoring system which meets the requirements of section 2643(0. The continuous monitoring system shall be connected to an audible and visual alarm system approved by the local agency.. (C~ For methods of monitoring where the presence of the hazardous substance is not determined directly, for example, where liquid level measurements in the interstitial space are used as the basis for determination, the monitoring program shall specify, the proposed method(s) for determining the presence or absence of ~e hazardous substance in the interstitial space if the indirect methods indicate a possible unauthorized release. (d) ,-gllTm omtor-in.g-p vo gr ams~_13-all-inciude-th-effoLl'owin_-gT (1) A~xit t e n_pr_o ce d u re.fo r_m o nit~F~ri~n--g~_wh'i-ch-es tablishes :T g¢i~)~T h~~p--p~-ff, bT_ ~i~ gTth _-e-m-o-n-i t or in-~; 'C~_~Th eLTm e.~ih~ds~~q.u tp.m e n t. _i d entitle d-by~n 3-6 CCR, T~TL£ 23, D~aS~OS 3, CHAI~E~ 16, UNDERGROUND STORAGE T~NK REGU~ONS. a~-s~£d- fo~f_q~spe rfor~r~ag-the-mo n i to ~E; ~~l~on.~s)~,-~Ad~ifi~d~on-~plot~p'~~~~nitorin~ ~ll-be-peffo~e~; ~D_)~~{ ~)~-fifl~(_~_)~f~m~;( ~)~e s ~o~fil~f~ p~fio~ingT~e-mon-itoring~or-m~~g;~e-e~u~~ (,~-~e p~ n~ m-~ten~ce~sched~fo~e -moni~fl~g2 ~ip~e~t~ ~ e~ ~nte n'~h~d~l~h-~ ~i.n-~~ ~'ezm~ufi~-rerZs-ins~ons ;-~d2 ~)~A~i~~~aini'ng~n~aa~fOr-~e-operafion-of-bo~7 ~~~tem. __ _~d_the_monito~ng-e~ipmen (2) ( A responsepl~ ~i~ demons~ms,'to ~e sa~fic~on of me 1~_~ agent, ~at ~y' unau~omed rele~e ~ be .removed .~om ~e: Seconda~ conmnmen~ S~tem ~in ~e ~me_co~a~stent ~ ~e abili~ of ~e second~ con~nment sYstem'tocontain ~e h~ardous · substance( but-not more than 30 calend~ da~;:or-a~longer period'.of 'time =~approVed by me loch agen~. 'T~e ~es~on~e-pl~;(s~ _.j~clqde,-but is not limited to, ~e_~fo~Pg: :~ : (A) A descfiPtio~ of ~e prOposed me~odSand equipment to be used '~ .. for. remo~ng ~ prOperlY disposing~5of~any-h=~dous substances, ~ inclUding ~e locauon- and a~il~i:liw-of ~erequir;d equipment if "not permanently on-site, and an equipment maintenanCe schedule for the equipment located on'site. (B) .The name.(s)and title(s) of the persoh(s) r~spons-ible for- authorizing any work necessa~ under the reffPOnse~pl:~7~ (e) XX~en implementation of a monitoring program or any other condition indicates that an unau~or=ed rele~e may have occurred, ~e o~er or operator sh~l comply ~ ~e rele~e reposing requirements of ~icle 5. If the rele~e came from ~e rank system. ~e o~er or operator shah replace, repair, or close the tank in accordance with ~icles 3, 6, or 7, respectively. Authorirv: Health and Sa_few Code 25299.3, 25299.7 Reference: Health and Sa_few Code 25281, 25291, ,~0 CFR 280.20 2633. Alternate Construction Requirements for New Underground Storage Tax,ks Containing Motor Vehicle Fuel This section sets forth alternate construction requirements for new underground storage tanks which contain motor vehicle fuels. Owners of new underground storage tanks which contain ordv motor vehicle fuels may comply 3-7 rrr Mo rro a , ocn s UNDERGROUND STORAGE MON O G P OG M ~ ~g p~ m~ ~ k~.~ ~ U~ ~n ~ ~ ~. ~ ~~n on ~ m~ ~ a~ . ' '.'~k~ of ~ ~g ~ ~ ~'~ m~ ~ f~e ~! a~) ~ ~ ~ys of ~y ~ m ~ ~g ~u~, ~ ~u~ m ~ a~ ~ ~g ~.~. .R~ by ~o~ ~d) ~ ~]~) CCR~. Faci11~ Address A. DesCribe ~he ~re~enc~ o~ per~o~in9 ~he Ta~ Piping. B. What methods and equipment, identified by name and model, will be used for performing the monitoring: Tank Piping C. Describe'the location(s) where the monitoring will be performed (facility plot plan should be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment E. Reporting Format for monitoring: Tank Piping. , F. Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturers' maintenance schedule but not less than every 12 months. G. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: EMF ENCY RESPONSE' PLA [[iI UNDERGROUND STORAGE TANK MONITORIN PROGRAM This mon~oring prognm must be kept ~ the UST location ~t ~11 times. The information on thh monitoring program are condifiom of fl~ olx~bg l~rn~. The ~ hoklcr mu~ notify Ctho lo~! a~¢¥1 ' ~ 30 d~y~ of · ny changm to the monitoring proc~urm, unlm~ r~luimi to ~ approval befor~ maidng the change. R~quimt by S~xiom 2tfl2(d) ~nd 2641(h) CCR. Facility Hame' Facility Address 1. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released substances reach the environment, incre&se the fire or explosion hazard, are not cleaned up from the secondary containment within S hours, or deteriorate the secondary containment, then (the local agency) must be notified within 24 hours. 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substances. 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment. 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: and for construction - ' ,,; .~;,-c.. ' 53,4-47 SQ.FT. UNITS OF CONCRETE PARKING ~ ' ",, /..-U~ITS OF CONCI~ ow:¢' \\ X ~1 yLAS0SC~E SWALE ,,q L x ~/~ 8.33~ --' +, " L i ,' P.V.C, /:, , ~.) ' ,:" rPL'E ,,~ --- .-- · -~. ~ ~ -'- -- 5 '~ PC~c V~,Lr 6" ,~,' TP;ffIC LI(,H¢:-:>= / _.. ..... ~ ' ' ' - -~ " F , q """'~' .~:~5~ _ .29QJ9' _ _ _ 1071596 LENGTH - 499 LF ENVIROFLEX SECONDARY = 499 LF , , 0 LF . 51,21,15 LF 1, iDUE TO VARIATIONS IN TOPOGRAPHY, PLACEMENT :OF STRUCTUAL COMPONENTS AND OTHER VARIABLES ESTIMATES OF OUANTITY OF ENVIROFLEX COMPONENTS REOUIRED FOR YOUR PROJECT ARE NOT WARRANTED OR GUARANTEED TO BE ACCURATE. THEY ARE OUR BEST ESTIMATE BASED UPON PRIOR EXPERIENCE. TCI IS NOT RESPONSIBLE FOR ADOITIONAL COSTS INCURRED DUE TO VARIATIONS BETWEEN ESTIMATES SCALE: 1"=20'-0' AND ACTUAL COSTS. o. mi c~o. 'm^T ,r ,s .o~ us~o ^s ^ Description Illv~gration Number , ALL RIGHTS RESERVD PAT NT PENDING BAKERSFIELD, CA 93312 JGR - - 8199~ I' "1 ouNF~_[x ,- I I (cP~O~) ;: C-s 4ooo '. ' /- TE 1500 I - / 'r~.s-r 'TUB~:~ ' / i~FC~501 ~/2" ~ ~ = / KIT (.1151~, ~ /FFLUID COUPLING BOOT [ ~L~ ~CURVED BULKHEAD X (FB20}O) (CB2030) ~NYLON FLOW TUBE KIT ~ ~EL1500 / F~NGE ~FC1501 (~ ~1) ~ ~ C~OI~ ~AT IT IS NOT USED AS A De~C O~ ~[~$t~ ~ ~ BA~S F~ ~UFA~RING ~ SA~ ~O ~AT IT CONTAINMgNT ..~'~"°':~'". ~.,.~ ~ ~=o.o. ~..o~,~,.,~ ~ ~,.....~. COAXIAL DOUBLE WALL LI0 q 24B , , ALLRI~H~S~ESER~ PAT~PEN~I~ PIPINO SYSTEM .BROOKSIDE MARKET 4700 COFFE RD BAKERSFIELD CA.93308 661-588-1938 JUL 7, 2004 4:00 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T i:DIESEL VOLUME = 3919 GALS ULLAGE = 6233 GALS 90% ULLAGE= 5217 GALS TO VOLUME = 3912 GALS HEIGHT = 39.25 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 93.? DEG F T 2:UNLEADED SOUTH VOLUME = 6067 GALS ULLAGE = 4085 GALS 90% ULLAGE= 3069 GALS TC VOLUME = 6054 GALS HEIGHT = 55.25 INCHES WATER VOL = 12 GALS WATER = 0,77 INCHES TEMP = 91.4 DEG F T 3:UNLEADED NORTH VOLUME = 6060 GALS ULLAGE = 4092 GALS 90% ULLAGE= 30?6 GALS TC VOLUME = 604? GALS HEIGHT = 55.19 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 89.8 DEG F T 4:SUPREME VOLUME = 6063 GALS ULLAGE = 4089 GALS 90~ ULLAGE= 30?3 GALS TC VOLUME = 6048 GALS HEIGHT = 55,22 INCHES WATER VOL =' 0 GALS WATER = 0.00 INCHES TEMP = 94.0 DEG F CITY OF BAKERSFIEI~D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION C ltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [~ Routine [~ Combined ~ Joint Agency 1~1 Multi-Agency .~ Complaint ~ Re-inspection Type of Tank ~ ~ GO_.. ~ Number of Tanks Type of Monitoring OM...W1 Type of Piping 3~>l&) F' OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility K~/ Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of vF~~ntal ~'~rv;~c (e~l) ~79 Business Site Responsible Party While - Env. 5;vcs. Pink - Business Copy IFIED PR GRA : I Enironmental Services ~ 1715 Chester Ave SECTION 1 Business Plan and Inventory I"rogr~am~' ~ Bakersfield, CA 93301 · Tel: (661)326-3979 FACILITY NAME~ /~ , / \ ~. i ' INSPE~;TION. DATE INSPECTION TIME ..... PHONE No. --- '~o. of Employees FACILi~CONTACT Business ID Numar 15-021 - ' ~ se~ion i: Business Plan and Invento~ Program ~ Routine '~'Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection C V (C=Comp,~,ce~ OPE~TION COMMENTS ~ V=Violation ~ APPROPRIATE PERMIT ON HAN~ ~ ~ ' VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF QUANTITIES ~- VERIFICATION OF LOCATION ~ g VER,F~CAT~ON OF MSDS AVAILABILI~E ~ VERIFICATION OF HAT MAT TRAINING ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ EMERGENCY PROCEOURES ADEQUATE ~ OONTAINERS PROPERLY ~BELED [ ~ F~RE PROTECTION [ 0 S~TE D~AGRAMADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES [] No EXPLAIN: (~ns~pe~~QuEsTIoNs R/3EGAR~G THIS iNSPECTION? PLEASE CALL US AT (661) 326-3979 ~(~~.. ........... ~i~.~ -~ee n~ i o~ ~-S-t~r~/~h i ~ ~) ~ i~-~ ......... y (~lease Print) White - Environmental Se~i~s Yellow - ~ation Copy Pink - Business ~py " UST Annular Tank 1 · Tank $ 'r~mk 3 Tank 4 ...... Start T~-~ · F~! ~r~ .............. · :.! (S~.'~) ' , ~ ~U~'27--0~ WE~ It 46 FROM ~. $. $. R. ¢. ,, BAKg1~,FIELD c~. ' , ,,.~ ~,....¢,Dg~,,.'..i. ! ' ~;i .. · .,; . . ~, ~ , ~:~,~ ~e~.~ ~'~3~ '~ ..... ." ~o~', i~:~.:'z~''' ; ,..-. .~ .;.~..~, · .... ' ~¢3 . t~. ,... ~, ~,' ' ..... e;ee~ ~ ....... , ' L~K THRE~O~ .~ee~ ' ,'~ '"". ' :_; .... ':. *; "~;.,:,..~ BSSR ~RTEP :' :' BflKER~IELD ~, . .... ','X~ .~v~ ", S~P LE~ ~8T R~PORT ~E~E~ ..... :~...~ .. T~;T '?,~K)~ ~t~/2~ ...... '.: ,. BEOIN LEUE~ 6.8~ IN ' '-" . ...~ ,,, ~/,~ ~,~,.., <~h ~.;,V~k ~,~675 ?N " " '"" ' .. · ' '' e' ~,~..~ :~. .,,.., ~,.?,.,~. ~; :: ..... ~lrggl~ .. ,*.'.&~,". r ~'~ ~.~ TN ..... '.." . : END TIME 8=48 A~ .....,:= TE~ RESULT p~ , ~ ?,AlJ~--21'--O$ WE]O I ; 48 FROM I~ . $ . ~ ~ SECO~A~Y 8~SIEM CERTI~CATION FO~ ,, " Dm~NSER~ DmP~SER 2 DmPENSER' 3 ..DmP~SER. , .__ 4 REIGHT OF TIME WATER WATER START T~ ~TIAL HEIO~ OF Wl~R : TiME ~ ...... W~R ~ . .' C~Fi~TiON MONITOR SYSTEM CERTIFICATION For Use By All Judsdlctlons Wl~in the State of California Autttorlty Cited: Chapter 6, 7, Health and Safely Co~Je; Chapter 16, Divtelon 3, Title 23, California Code of RegulaUo~ , This form must be used to dOCUme~t testing and servicing of mo~ito~ng equipment. A separate c. erttflcatlo~ ~ report must be prepared for each morttt ,¢~ng system contrpl p.anel by the technician wflo pedorm$ the wo~, A cocy ol this fo~'m must be provided 10 the tank system owner/obarator, Ti~ o,~m~rlepemto~'h~ust Sub'mit ~'co~y'of this fo~n to the local egancy regulating UST systems within 30 dws of test d~te. A. General information ' ~ ~ Facility Name: Brookelde Ivla~et & Dell , ' Bldg, I~o," ' ' Site Addrees: 4700 Coffee Road City: Wa~,,o , Zip: 93280 Facility Cotltac~ Pe~on: Para McGuire Contact P'none No. ( 681 ) 758-3072 ex~. 27 Make/Model of Monitoring System: Gllbarco SAC 611 ~1 Date of Te~tlng/Sar~4cing: 1 / 5' / 04 B. Inventory of Equlpmeflt Teeted/C~tlfled Check the ,,ppmprlate boxee to Indicate e¢:lulpment ~,~ank ID: T-1 Diesel [Tank ID: 'r-2 Unleaded Sou~ ~:~ In-Tank Gauging Pro~e. Moclel: Gi!berco Ma~ ~:: In-Tank Gauging Pro~e. Model: Gilberco Ma~ ~:~ A.'lnularSpaceorVeultSer~sor. Model; TdSla~e ~: AnnulerSpeceorVaultSenso~. Model: TriState ~ Piping Sumpfrranch Sense'(s). Model; Td State ~= Piping Sump/Tranch Sensor(s). Model: Td State ~:~ Fill Sump Sensor(s). Model: Tri State ~: Fill Sump Sensor(s). Model: Tri S~at~ ~:~ Mechanical Une Lea~ Detecter. Modal: ~_ Mechanical Line Leak Detector. Model: i1 E!ecS'onic Line. L~.~k De*ec~'.. Model: === Ele~ro~tc Une Leak D~,~e~tor. Modei: x~ Tank Overfill I High-Level S~sor. Model: OPW x Tank Overfill ! High-Level Sansor. Model: OPW x--] Dtspan~ Can~nment Sensor(s). Model: Trl StYe ~ Dispenser Cantainmant Sensor(s). Model: Td Stale -~ Sheaf YNve{s). = Shear Valve(s). [] Dispenser Co~talnmant Float(s) and Chain(s). ~ Dispanser Cor~tninmet~t Float(s) and Chain(s). ~} Other ~spec~ ec~uipmem t~e taxi model in Sec~a~ E o~ Parle 2). _ Other/spea~/ecpipment t~e ~ model in Sectioo Tank ID: T-3 Unleaded NoCd~ Tank ID: T-4 Super In*Tank G~uglng Probe. Model: Gilbarco Me~ x~ In-Tank Gauging Prc~e. Model: Gilberco Annular Space or Vault Sanser. Model: Td S~a~e x~ Annula~ Space or Vault Sensor. Model: Tri State Piping Sump/Tranc~ Seneor(s). Model: Trt State x~ Piping Sump/Tranc~ S~n~or(s). Model: Tri State Fill Sump S~lsor(s). Medel: x~ Fill Sump S~nsor(s). Model: Td State Mechanic4a Une Le~ Detecter. Model: _..J ~ical Line Leel¢ De~ector. Model: i Electronic Une Leak Detector. Model: ~ Eleclronic Line Leek De~ecior. Model: Tank Overfill I High-Level Sansor'. IVk~el: OPW ~ Tank Overfill I High-Lev~ Sensor. Model: OPW Dlspansef Cantelnman/Sensor(-,). Model: Td State x~ Dlspanse~' Co¢~talnmant Sansor(s). Modal: Tri State Shear Valve(s). ~ Shear Valve(s). Dispaneef Cantalnmant Float(s) end Chain(s). E'~ Dispansar Co~tainme~t Float(s) and Chain(s). Other Ispecify e~uipmant t-~e and model in Se~icx~ E o~ Parle 2I, ~ Ortner Ispech~ ecluipmant ~e and model in Sectic~ E o~ Parle 2/, C. Cettlfl~,atlon *- I certify thM. ~e eqtiil)mant idec,~:l in ~$ doc~n~t wan i~st~e~tedl~ced'in a~x~a~ with ~ manufecturer's guidelines. Altaofled to I~i~'CartJficaflon is infon~atton (e.g. m'~nu~::~urers' checklists) necessary.to Yedfy ~t bhis idot'matJm is con'ecl and a Pto~ Ran Showing the layout of monitoring equlpmem. For any equipmem cap~le of ganerming ~ (~a,l~, I ~ al~o ettach~ a coCy o~ the (c/~,k a/I ghat ~=l~Y): E} Sl~mm ee~-up Tecflnictart Name (print): Michael Moore Cert./IJc. No. 5~206(~99 Sig natal'S1 Testlng Company Name: Repwine?.esUngSe~cee, lnc. P'noneNo.: {800) 582-63~ P~gel Monitor Syetem C~tlflcatlon Site .N:ldre~s: 4700 Cofl'ee Road, Bakaralteld~ CA .. Date of Testthg/Se~icthg: 1 151 04 D. Reeultl of Teetlng/'~efvlclng So~wareVereloalnlt~: Gtlbarco #6114~1 Corn ~ll~e the followll~ :hlckll~t: 'xl ,~es I_J No~ !Is the ~udible alan~ Ixl Yes ~ No* ;Is the vtauat alerm ope~o~'~? x~ Yes L-J No' I Were al senses vtsual¥ inspected; functionally testedt and cenfirmed operational? Ixl Yes r.J No* Were all SerlS~$ instatied at lowest point of secondary containment and positioned so that other eduipmanl will not interfere with their prop~ operation? Ixl yes LJ No' If alarms are relayed to a ranlo~ rrmnitodng station, is all communications equipment (e.g. modem) operational? [] N/A Ixl Ym L.J No* F~¢preesudzodpip~ngsystem$~d~estheturbineaut~m~tical~yshutd~wnIfthepipingsec~ndarycontainmen~ [] N/A monitoring system detects e leak, fails to operate, ~ is e~ly disconnected? Ifyes: whicfl sensor$ initiate ~3altive N~ut-down? (Cl'~k all that a,op/y) [] Sump/Trench Sensors; [:Dispense~' ConteJnmant Senso~'s. Did you co. tm positive shut-down due to lea~s and senso~ feilure/di~connection? ~:::¥es; [] No. x~j Yes [._J No* F~ tank systems that utilize the monifo~ng system es the pflmery tank ovef~ll warning device (I.e. no mechanical [] N/A overfill prevention valve is Installed), is the ovedtll wending alarm visible and audible at the lank fill point(s) and operating property? If so, at what percent of tank capacity does the alarm trigger? 99 %. L] Yes x~ No. Was any monit(xlng equipment replaced? If yes, identify specific sensors, probes, o~ other equipment replaced and list the manufacturer' name and modet f~ ati replacement pax'ts l,n Section E~ below. ~J yes x~j N~* Wes liquid found i~lsicle eny secondary containment systems designed es dry systems? (Checkal/~atappty) L---'] I?roduc~: L-~water. If.ves~desc~'ibeceusesinS~e_<._ctionE. beiow. x_J yes L~' No* Wes menito¢ing system sel-up reviewed lo ensure proper settings? Attach set up ,repo~ts~ If applicable. xl Yes U No* Is all menitodn~ e<:lUij)ment op~atJonal per manufacturer's spedfications? · In ,~ectlon E below, des~be how lind when the~e deflclenclel were or will be corrected. E. Commont$; /dl sesors are se{ up es single floats. Categoq, Regular South L. 1 Annular Space L-2 Piping Sump L-3 STP Sump Regular No41h L-4 Annular Space Lo5 Piping S~mp L-8 STP Sump Super L-7 Annular Space L.8 Piping Sump L-9 STP Sump Diesel L-10 Annular. Space L. 11 Piping Sump , L-12 STP Sump j J . , L-13 Dis~ 1-2 Pan L-14 Dt~oan~ 3-4 Pan L-15 Oispe~.~ 5-6 Pen L-16 Dispenser 7-8 Pan Monitoring System Certification Site Address: 4700 Coffee Roed, BaXersfleld, CA Date of Teeting/Servicing I / 5 / 04 F. In-Tank Gauging I ~JR Equipment: [] Check this box if tank 0au~ing is used only for inve~tory control. [] Check U~is box if no tank gauging or SIR equipment is installed. This section muat be cornplef~l If in-tank gauging equipment is used to pedom~ leal( detection monitoring. Con~ le the followlr checIdlet: ixr '~es LI No" Hesal~inPutwidngbee~insPectedf~rPr~erant~and~e~`mina~onrinc~udingtestingf~gr~undfau~ts?-Wherevisible x~ Yes II No* Were all tank gauging probes visually inspec~eq for damage and residue buildup? Ixl Yes L] No* Wes accuracy of system product level reading s tested? ~ Yes L~ No* Was accuracy of system watel' level readings tested? xL~ Yes U No' Were ell probes reinstalled pro~e~l~ Ix] Yes LI No* Were all items on the e¢luil)mont manufacturer's melntanance chec~klist completed? * In the Section H, below, deecrlbe how and whet1 ~ deflcieltclee were or will be corrected. G. Line Leak Dete¢~lm (U.D): [] Check ~'tts box if LIDS am n~ Installed, Co111 LJ 'Yes ' U No! For equipi7,~; start-up ~ annual equi~m,~i ~;;~i~on, wes a leat~ slmuleteq to verify LLD [] N/A 'Check all t~et apply) Simulated leak rate: [~)3 g.p.h.; [] g.p.h.; [~ g.p.h L] Yes U No* Were all LLDs confirmed operatJonel am:l accurate within reguletow requirements? LJ Yes U No* Was the testing apparatus prof)efly calibrated? U Yes U No* For mechanical LLDs, does Ihe LLD restrict pn:xJuat flow if fl detects a leak? [] I._J Yes El No* F~ electronic U.Ds, does the tu~lne aut~ne~,~,;ly.s,~ut off If the LLD detects a leak? [] N/^ II Yes U No'. For eleclmnk: LLDs, dees Ule tor'olne automa~ly N~ut oil If any portion of the monitoring system is disabled ~--} N/A or disconnected? L..J Yes U No* F~ electronic LLDs, dee$ the turbine automoficafly sf~ut off if any i)o~on of the monitoring system malfunctions [] N/A or fails a test? [-J Yes U No' For alu~.;~Hc LLDs, have all accessible wtdng connections been visually inspected? II yes L.J No* Were all ile~Is on the e~uipme~t manufacture~"s maintenance checklist completed? on H, below, deecribe how and when these deflclenclee were or will be corrected, H. Comment~: Page 3 of 3 ~ l'~lonitoring System Certification UST Monitoring Site Plan Site Address: ...... , .~. . ~. ...~x.~ ...... ~.~. .,~_~.._~ ~,~~ ....... ~,./. . :.,..~ .... ~.. . . .'~ ...... ~ . .~ ......... ~ ..... ~ ..... ¥). · .~. ~ ~.~ · ~ ~ · ~..~ ............ ~ ........ ~ . . .. .......... ~...~.. ~. .:~, ... ~ ............... ~...., ....................... ..... .~..x. .... ~ ..... ~.~ ...... ~~~ ............. : : : : : : .. . . . .. ............ .,,~ .... ~, ........... .. ................. .. ..... ...... ...... .... :::::::: .................. ...... .......... .~~ .... ,..~ ...................... ~mp~m: ~ / ~ /o~. !nstm~tion~ If you alr~dy h~v~ ~ di~m that shows ali r~uir~ infomation, you may include it, rather th~ t~, p~e, mt'h your Monitofin8, System Certification. On your site plan, show the general layout of tanks and piping Cl~rly identi~ Iomtions of the follo~ng equipment, if installed: monitohng system ~ntrol panels; sensors monitohn~ tank annular spaces, sumps, dispenser pans, spill containers, or other seconda~ contaiment areas; mechamcal or electro~c ~ne l~k detector~; ~d in-tank liquid level probes (if used for leak detection). In the space provide, hole ~he dale ~ Sit, Pi~ was prepared. 12/18/2003 15:87 8~183~3 REDWINE TESTING SVCS PAGE 02 CITY OF BAKERSFIELD .... OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 ,. APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION OPERATORS NA~ DOm FAC~Y ~ DISPENSER PANS? YES~ NO TANK # VOLUMJE CONTENTS I._[1 i Postage $ (661) 387-90 g Certified Fee Return ' ~/[ ,~ostmark . Here I,=o 3301 PEGASUS ~RIVE '..a 9~30E~ r~ Total Postage & Fee,~ ~ [~3 Sent T~~ ,r . , [ '>t-o~.~ ~)/~ Mr. Lowell Dow ~ ~ f~t'~TK~- ~-o~~/' ............... Brookside Market & Deli ""1 [}r.....P~....~o~..._.~o..._. .................... 4700 Coffee Road ,...l Certified Mail Provides: · A mailing receipt (8~Ja,~e~) ZO0~ eunr 'ooeB uJJo_-i Sd · A unique identifier for your mailpiece ~, · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be,r~ombined with First-ClaSS Mail® or Priority Mail®. · Certified Mail is no.t available for any c~ass of internat~ional mail · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured er Registered Mail. · For an additional fee a Return Receipt mav be requested toprovide 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 duplic.ate return receipt, a USPS® postmark on your Certified Mail receipt is requlrea. · For an additional fee, delivery may be restricted to the addressee or add. ressee's a_ut_horized a.g..en.t.. Advise the clerk or mark the mailpiece with the enuorsement "lffestricteo ue/ivery". · If a postmark on the Certified Mail receipt is desired, please pre_sent the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. · Complete items 1, 2, and 3. Aisc complete /A-Si a i /'~, item 4 if Restricted Delivery is desired. Iv / v/J J//i (------. ~ ~/' ~-~ [] Agent · Prin..'~your name and address on the reverse ~'"/? J/ ~ ~- t [] Addressee so that we can return the card to you. E~~me) ~ C. Date of Delivery · Attach this card t~.:the back of the mailpiece, or?n the front if space permits. 1. Article Addressed t¢~ D-Is d-elive~ldress different t~mr~ten~.~ Y~"s~ ~ If YES, enter de very addresS'be ow 1'3. No Mr. Lowell Dow Brookside Market & Deli , 4700 Coffee Road 3. Service Typo Bakersfield, CA 93308 J3[ Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise · [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. ArticleNurnber' ~ 7003 1680 0007 4658 9206 (Transfer from service label) PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 .~ :>,1 Postagf~,~& F. ee~ Paid · ~';-''';- 18 C, ' -', ,I Sender: Please pdnt youm~a~-~e~, and ZIR~ Bakersfield Fire Prevention Se~i~s 1715 Chester Avenue, Suite 300 Bakersfield, CA ~301 December 15, 2003 CERTIFIED MAIL Mr. Lowell Dow Brookside Market & Deli 4700 Coffee Road Bakersfield, CA 93308 F~RE CHIEF ,~c~ ~,~z~ NOTICE OF VIOLATION ADMINISTRATIVE SERVICES ~ SCHEDULE FOR COMPLIANCE 2101 "H" Street Bakerslield, CA 93301 VOICE (661)326-3941 Dear Sir or Madam, FAX (661) 395-1349 SUPPRESSION SERVICES Our records indicate that your annual maintenance certification on your leak 2101 "H" Street detection system was past due 11-20-03. Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 You are currently in violation of Section 2641(J) of the California Code of PREVENTION SERVICES Regulations. FiRE SAFE~'~' SERVICES. ENVIRONMENTAL SERVICES 1715 Chester Ave. : Bakersfield, CA~3301 "Equipment and devices used to monitor underground storage tanks shall be VOICE (661) 326-3979 ~' FAX.(661)32C:~-0576 installed, calibrated, operated and maintained in accordance with manufacturer's ~i instructions, including routine maintenance and service checks at least once per PUBLIC EDUCATION calendar year for operability and running condition." 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3696 You are hereby notified that you have fifteen (15) days, November 19, 2003, to FAX (661) 326.0576 either perform or submit your annual certification to this office. Failure to FIRE INVESTIGATION comply will result in revocation of your permit to operate your underground 1715 Chester Ave. Bakersfield, CA 93301 storage system. VOICE (661) 326-3951 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at 661-326-3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Sincerely yours, VOICE (661) 399-4697 FAX (661) 399-5763 Ralph E. Huey Director of Prevention Services By: ~ ~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 Certified Mai'r~'rovides: I A mailing receipt (es~e,~eel) ~OOg eunl' '00Ce ""od Sd I A unique identifier for your mallplece i'~ ~. I A record of delivery kept by the Postal Service for two years lfllp_ortant Reminders: · Certified Mail may ONLY be combined with First-Class Marie or Priority Maile. · Certified Mail Is notavallable for any class of international mail. · NO INSURanCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional f_eet a Return Recelptrnay be reque..stud to provid, e p_mof of delivery, To obtain Heturn Receipt sewlce,.p~ease complete an~ att,.ch a Hetum Receipt (PS Form 3811) to the article ano add applicable postage to cover the fee.. Endorse mallpiece "Retu..m.R_e_ceipt R. equ.ested", To r_~.!.v.e .a.f.e~,.waiver .fo, r a ouplic.ate return receipt, a U=~'=se postmark on your Certmeo Ma~l receipt is requlreu. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized a.qent. Advise the clerk or mark the mailplese with the endorsement =Restn'cted-Delivery~. · If.a postmark on t.h.e Ce. rtified Mail..r~ceipt is desired,please pre_sent the arti- cle at the post office tor postmarmng, If a postmark on the uertifled Mall receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present il when making an inquiry, lnternet access to delivery information is not available on mail addressed to APOs and FPOs. · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. [] Agent · Print your name and addreSS on the reverse Addressee so that we can return the card to you. C. Date of Delivery · Attach this card to the backof th~ mailpiece, or on the front if space permits. -1yes 1. Article Addressed to: If YES, ~ address below: IB 1 5 2003 rookside Market at the Oaks /'~,, . IP.O. Box 640 ServloeType x_... /US[:::)~/ Wasco, CA 93280 lRc~nme~ Mall IZ! ~res~-Mail [] Registered [] Return Receipt for Merch~mdles [] Insured Mail [] C.O.D. 4. Restricted Delivery~ fExtra Fee) [] Yes :2. Article Number (Tmn.~rtromsotvlc~labol) 7003 2260 0'004 7652 2761 PS Form 3811. ~ Poata§e $ 2'~':, ~. _-I- C~rffiled Poe Postman~ Rotum Ro¢lopt Foo (Endor~ment Roqulrod) Hore I~ Restricted Delivery Fee ._lJ (Endorsement Required) I'M Total Postage ~m=Iu~:'~'½',:~~°r~°~°x~°I I*°"'~°~er~-~'~;:n~:~w P-Br°°ksideOasco,130 CA× 640Market93280 at the Oaks December 12, 2003 CERTIFIED MAIL Brookside Market at the Oaks P.O. Box 640 Wasco, CA 93280 RE: Propane Exchange Program FIRE CHIEF ROr~ FRAZE Dear Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H"Stree! 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) 326-3341 FAX (661)395-1349 apply to large propane tanks, only propane exchange systems. SUPPRESSION SERVICES 2101 "H"Street Over the past two years this office has noted a dramatic increase in the propane Bakersfield, CA 93301 exchange system in the city of Bakersfield. It has also been noted, with great VOICE (661) 326-3341 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 SAFE'T~ SERVICES · EH'tq~OHl~kel'AL SERYtCE$ 1715 ClnesterAve. 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 ChesterAv/~. Storage outside of building for propane cylinders (l,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 are over 1,000 pounds cumulatively.) TRAINING DIVISION 5642 Victoravo. Cylinders in storage shall be located in a manner which Bakersfield, CA 93308 VO~,CE (661)3994697 minimizes exposure to excessive temperature rise, 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. t L~tO To: Own~r/Oper~ors of ?ropan¢ Exchang~¢rn~ ~ '~ R~: Prop~n~ Exch~ng~ Program Dat~: D~m~r 12, 2~3 Pago 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 pri'or 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';"OFJ COFFE RE, P_-,at:.: Ek:?:;F 1 ELD ab i - :-,,~,o - 1 OCT 'i::"3 ,. 3L~ICI3 1 ai.L FUNCTI©I',I?; 1 I,iV t:i N'['C, R"~" ',,.,',:) [, I. IP'IE = 3514hi~l UI,LaGE = E,E,:38 OA[..f~; 90% UI_L¢:~GE= 5622 CaI.S TC ',./OI..HI"IE = 3F_,09 C-:AL, S HEIGHT = 3~,.1S INCHES I,dATF:F! V(IL = 0 C-;Al,E; ·. . I,dRTE};: = 0. OO I 1'4CHES TEI'IP = 87.3 DEE; F T 2:UNLEADED VOL LII"IE= E, 639 90% I_.iI., L h,:];!-~ =249? TC VOI,LIPIE = 6630 GALS HEIGHT = 59. ~,¢:'~', 4¢YrER ',,,,',:)t. 1 2 IJRTEi9 = O. 78 I TEPII::' = 77.2 DEC-; F' 1' 3 :LINLEF~DEI) NOR'TH \,,'OL UP1E = fi~61 ~, UI,LAOE = 36:36 k~ 90% UI,L~qGE= 2620 GaLS TO VOLUP1E = 6507 G~,LS HEIGHT = 58.63 II,IC:'HES MATER VOL = El (:;ALS I,..I~TER = CJ. O0 1NCHES 'l'[-:l"lP = '76.q I)EG T 4: SUIz:'REI',~E 'v'OLLIP1E = 72715 ULLROE = 2917 GaLS 90% I..I.LLR¢:;E= 1901 TL; ",,"C'LIJP1E = 7225 OaI.S tqEl(;I-rI' = 64. L9 LI'4CI4EFs I,da'l'Et;~ V,:)L = L-I G~I..S b,I/-Q'ER = O. O0 1NCHES TI£P1P = '79.8 BEG F CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CitECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~9_k~¢~tc ~4~ INSPECTION DATE HO'Oq'O Section 2: Underground Storage Tanks Program [] Routine [~ Combined [] Joint Agency ~ Multi-Agency [] Complaint [] Re-inspection Type of Tank f16tlC-(25 Number of Tanks Type of Monitoring dr_.~ Type of Piping OPERATION C V COMMENTS Proper tank data on file ~, Proper owner/operator data on file Permit fees current L Certification of Financial Responsibility Monitoring record adequate and current k/ Maintenance records adequate and current k.., r 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=C°mpliance/ffl~V=ViOlatiOn Y=Yes N=NO Inspector: ,_ Office of Environmental Services (661) 326-3979 f Bu ~j~'ess Sit& ffsponsible Party While - Env. Svcs. Pink - Business Copy ~, Bakersfield Fire Dept. UNIFIED PROGRAM IN-~SPECTION CHECKLIST '- Enironmental Services ,, ,' ' ' ~ ' 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 9330l Tel: (661)326-3979 FACILITY NAME ,~ ~ INSPECTION DATE I INSPECTION TIME FAC ILITYCONTACT l 5-021- Section 1: Business Plan and Inventory Program Routine ~1 Combined ~ Joint Agency ~] Multi-Agency ~ Complaint C] Re-inspection C V / C=Compliance ) OPERATION COMMENTS ~, V=Violation APPROPRIATE PERMIT ON HAND . BUSINESS PLAN CONTACT INFORMATION ACCU.~TE CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ...............................................................~ EMERGENCY PROCEDURES ADEQUATE ~ SITE DIAGRAM ADEQUATE & ON HAND ANY H~ARDOUS WASTE ON SITE?: ~ YES ~No EXPLAIN: QUESTION¢/I~EGARDING ~HIS)~ISPECTiON?~.~-- -, -,'~~- ~- PLEASE~ CALL US AT (661) 326-3979, _~/'~ ~~ Inspector Badge No., Business Copy White. Environmental Services Yellow - S~ation Copy ~ Pink. · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse · Attach this card to the back of the mailpiece, or on the front if space permits. D 1. Article Addressed to: ~ Registered ~ Return R~eipt for Memhandise ~ Insur~ Mail ~ C.O.D. 4. Restricted Deliver? (~tm F~) ~ Yes 2. A~icleNumber .7002 3150 0004 9985 4216 ~nsfer f~m se~ice label) PS Form ~1 1, August Domestic Return ~o~e~-oe-~-~ P~ Ream R~le~ Fee (Endowment Require) Hem ~ Re~d Delive~ Fee ~ (Endo~nt Requi~) .... ............................. UNITED STATES POSTAL SERVICE .. ~ ..... ~-l'~Pi~stage,& Fees Pai ....... ;'. I permit No. G-10 ' Sender: Please print you¢,~¢ ~d~ss, and ~p~4.m-.this box ~. .... BAKERSFIELD FIRE DEPT PREVENTION SERVICES 1715 CHESTER AVE 3a~ FL BAKERSFIELD CA 93301 Certified Mail Provides: · A mailing receipt (~s~eAet:t) ~00~ eunl' '009~ tu~o=l Sd · A unique identifier for your mailpleco · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class M. ail® or Priority Mails. · Certified Mail is not available for any class of intemation~J-mail. NO INSURANCE COVERAGE IS PROVIDED with (~ertified Mail. For valuablces plea;sT~consider Insured or Registered Mail. N,- ! For an additional fee; a Re_turn. R. eceipt may be reque.sted'{3 pm..wd.e pr..oo.f of oellvery. IO obtain He[urn HeCelpT se, rvlce, please complete an(3 a~acn a Hetum Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. E..ndorse mailplece "Return Receipt Requ.ested". To r_ec~!.v.e .a.fee.waiver for a duplic.ate return receipt, a USPS® postmark on your uertirieo Mai~ receipt is requlreo. · For an additional fee, delivery may be restricted to the addressee or add. ressee's authorized a.g~n.t.. Advise the clerk or mark the mailpiece with the en(~orsement "Restricteouelivery". · If.a postmark on t.h.e Ce. rUffed Mail .receipt is desired please pre~sent..the arti- cle at the post ordce for postmarking. If a postmark on' the L;ertified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. August 26, 2003 CERTIFIED MAIL Mr. Don Jeffries Brookside Market P.O. Box 640 Wasco, CA 93280 Re: Failure to Complete SB989 (Secondary Containment) Repairs and Re-test Brookside Market, 4700 Coffee Road, Bakersfield, CA FIRE CHIEF RCN F~AZE ^DM,.,STR^T,VE SERVICES NOTICE OF VIOLATION 21Ol 'H' Street AND SCHEDULE FOR COMPLIANCE Bakersfield, CA 93301 VOICE (661) 326-3941 I F^x (~1) 395-1349 : Dear Mr. Jeffries: SUPPRESSION SERVICES 2101 "H" Street ! Our records indicate that you have not completed the repairs and re-test of Bakersfield, CA 93301 VOICE (661) 326-3941 your secondary containment system. FAX (661) 395-1949 ; PREVENTION SERVICES OUr records further show that you had received "Reminder Notices" sent F,~,,~E~,,E~E,.Em0"~"',,.,,,"":,, Certified Mail on January 13, 2003, March 5, 2003, April 11, 2003 and a 1715 Chester ^ye. ,, · · ,, th · . Bakersfield. CA93301 Final Not]ce on May 8 , 2003. If repmrs and re-testing have been vOiCE (661> 326-3979 completed, this office has not received documentation to support it. FAX (661) 326-0576 PUBLIC7 ED'O"'~ATION Your secondary containment system is part of your overall fuel monitoring 1 15 Ch'os~.~er Avi~. Bakersfield,~A 93301 program and is a condition of your Permit to Operate. Therefore, prior to vOiCE (661>326-36~ September 26, 2003 you will have made the necessary repairs and re-tested FAX (661) 326-0576 the components that failed. Failure to comply will result in revocation of FIRE INVESTIGATION your Permit to Operate. 171.5 Chester Ave. Bakersfield, CA 93301 VOICE (661) ~-3951 This office has extended you every courtesy with regard to timely FAX (661)326-0576 completion of these repairs. TRAINING DIVISION ~2 ~ctor^ve. Should you have any questions, please feel free to contact me at Bakersfield, CA 93308 VOICE (661) 399-4697 661- 3 26-3190. FAX (661) 399-5763 ~. Sincerely yours, Ralph E. Huey Director of Prevention Services ? Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services -- --- a~t.wL.e can ,re. tu.r,n t,he card. !,o you.... ~ Received by (Printe~/_N~-/~e) I c. Date of De very = /~[[acn m,s caro [o ~ne OaCK o,~ne ma,,p,ece, / ~/'~,~"J~----~J~II or on the front if space permits .... ~ _ ... ~ '~. Is delive~ different 1..Art,cie Addressed to: if ySs,/~l~7'delivery address b~,~o Don Jeffries I HAy 1M 2003 Brookside ~fkt ~ P.O. BOX 640 3. Service'r'"~ /~-- Wasco CA 93280 I~ CertifiedM~sMail-"~--~- ~j~.~.~c~. [] Registered [] Return Receipt for Merchandise [] insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes z 7002 3150 0004 9985 4056 PS Form 3811, 13' Postage $ -~' Ce~taed Fee r--i Peelma~k Retum Reclept Fee Here (Endorsement Required) r--t Restricted Delivery Fee u') (Endomement Required) 13-1 Total Postage & Feee ~ ~r~ ISentTO Don UeffCies r~ ~'~Y~;: ..................................................................... ' .................................. 7 . . . . . o .... . Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 lhl,,,,ll,,,ll,ll,,,,,,li,hh,,l,h,,tllh,,,,,Ihl,hlh,,l Certified .ro.,,.es:'~, · ;~' . · A mailing receipt · ~,~ ,~.~: Ce.~ e~') ~00~ eunl' '00~ ~o-~ sa · Aunique identifier for yodr~r~ilpi~.e · A record of'delivery kept b~; ~l~e=.~;~Stal Sewice for two years Important Reminders: · Certified Mail may ONLY be co~ne~w~,_', h First-Class Mail® or Priority Mail®. · Certified Mail is not available fd~ny class of international mail. · NO INSURANCE COVERAGE 'IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery, To obtain Return Receipt sswlce, p~eass complete aha attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee.. E..ndorse mailpiece "Return Receipt Requ,ested". To r..ecei.v.e a fee.waiver for a oupdc.ate return receipt, a USPSe postmark on your uertified Mail receipt is requtrea. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mallpiece with the endorsement "Restricted-De#very". · If.a postmark on t.h.e Ce. rtified Mail ,receipt is desired, please present the arti- cle at the post office tor postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and m~iL IMPORTANT: Save this receipt and present it when making an inquiry. Intemet access to delivery information is not available on mail addressed to APOs and FPOs. May 8, 2003 Don Jeffries Brookside Mkt P.O. Box 640 Wasco, CA 93280 CERTIFIED MAIL RE: Failure to Complete SB 989 Secondary Containment F~.~E C}~EF Repairs & Retest at 4700 Coffee Road in Bakersfield RON FRAZE AO,,,,..ST.ATIVE SERV,CES FINAL REMINDER NOTICE 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Underground Storage Tank Owner & Operator: FAX (661) 395-1349 · SUPPRESSION SERVICES Since January 1, 2003, this office has sent you monthly reminders 2101 "H' Street advising you of a failed SB 989 test. In that letter, this office also Bakersfield, CA 93301 VOICE (661) 326-3941 requested an update with regard to repairs of your system. FAX (661) 395-1349 PREVENTION SERVICES This office further explained that repairs of your system are a s~,,~.~.,~o,.~.,~, condition of your permit to operate. Please be advised that you must 1715 Chester Ave. Bakersfield. CA 93301 have your system repaired and retcsted by June 15, 2003. Failure to VOICE (661) 326-3979 FAX (661) 326-0576 comply may result in further enforcement action up to, and including revocation of your permit to operate. PUBLIC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 This office has extended every courtesy with regard to sending VOICE (661) 326-3696 FAX (661} 326-0576 contractor information as well as one on one visit's FIRE INVESTIGATION Should you have any questions, please feel free to call me at 661-326- 1715 Chester Ave. Bakersfield, CA 93301 I 3190. VOICE (661) 326-395'1 FAX (661) 326-0576 Sincerely, TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Ralph E. Huey VOICE (661) 399-4697 Director of Prevention Services FAX (661) 399-5763 by: . Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc · Complete items 1; 2, and 3. Also complete item 4 if Restricted Delivery is desired. E] Agent · .Print your name and address on the reverse 0 Addressee so that we can return the card to you. C. Date of Delivery · Attach this card to the back of the mailpiece, or on the front if space permits. i. Article Addressed to: D. Is delivery address different fro~n3~itere 17 [] Yes if YES. enter delive ry,~]bv~ ~,~ BEVERLY EILERS ] APR BROOKS]DE MARKET 3. Service Type %Exp P O BOX 640 [] Certified Mail ress Mail [] Registered []~tu~ t for r~ WASCO CA93280 __~ [] Insured Mail 4. Restricted Delivery? (Extra Fee) [] Yes 7002 3150 0004 9985 3141 -PS_Form 3811, August; Domestic Return :~1-03-Z-0985 D~ Postage $ _-I- Certified Fee ~ Return Reciept Fee (Endorsement Required) Here r--I Restricted Delivery Fee trl (Endorsement Required) m Total Pc ~ BEVERLY EILERS ~ [Z'~' BROOKS]DE MARKET P 0 BO [~;.~5.~..;X 640 Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 Ihh,,,Ih,,Ihlh,,,,,lhhh,,hh,,lllh,,,,,lh hhll,,,! Certified Mail Provides: ~ · A mailing receipt (es~e,~e~) ~00~ eWs¢ '"'od Sd · A unique identifier for your mailplece · A record of delivery kept by the Postal Service for two years Important Reminders: ~' ' ~'~ ...... · Certified Mail may ONLY be combined with First-Class Mai~ or r'riority Mai;®. · Certified Mall is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider insured or Registered Mail. · For an additional fee. a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, p~sese complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. E..ndorss mailpiece "Return Receipt Requested". To receive a fee waiver for a dup~ica., te return receipt, a USPSe postmark on your Certified Mail receipt is requlreo. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized a.qent. Advise the clerk or mark the mailpiece with the endorsement "Restricted'Delivery". · If a postmark on the Ce. rtified Mail receipt is desired, please present the arti- cle at the post office ror postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. April 11, 2003 Beverly Eilers Brookside Market P 0 Box 640 WaBco CA 93280 FIRE CHIEF CERTIFIED MALL' RON FRAZE RE: Recent SB 989 Secondary Containment Testing ADMINISTRATIVE SERVICES 2101 'lq' Street Brookside Market, 4700 Coffee Road, Bakersfield, CA Bakersfield, CA 93301 VOICE (661) 326-3941 ' (661)395.1 9 FOURTH REMINDER NOTICE SUPPRESSION SERVICES 2101 'H' Street Dear Bakersfield, CA 93301 ~JwnemJperator: VOICE (661) 326-3941 FAX (66~) 3964 ag9 Our records indicate that you completed your secondary containment PREVENTION SERVICES testing on June 14, 2002. Our records further show a failed test. 1715 Chester Ave. Therefore you are required to have your system repaired and re-tested Bakersfield, CA 93301 VOICE (661) 326-3951 as soon aspossible. FAX (661) 326-0576 ENVIRONMENTAL SERVICES This office requests an update with regard to repairs of your system. 1715 ChosterAve. Please be advised that repairs involving the replacing.of components Bakersfield, CA 93301 VOICE (661) 326-3979 must be under permit from this office. The repairs of your system are FAX (661) 326-0576 a condition of your permit to operate. Failure to repair and re-test will TRAINING DIVISION result in the revocation of your permit to operate. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 Should you have any questions, please feel free to contact me at 661- FAX (661) 399-5763 326-3190. . Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 1. Article Addressed to: if YES, entld~very address belov ~:)~ BROOKSIDE MARKET . .~ P O BOX 640 '3. Service type'~ ~8~ PS_.../ ~ WASCO CA 93280 [] Certified Mail -~Uail [] Registered [] Return Receipt for Merchandise .......... J [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 7002 2410 0002 1974 9169 PS Form 3811, August Postage $ Certified Fee ~ Postmark Return Roclept Foe I-1 (Endorsement Required) Here I--I Restricted Delivery Fee r--3 (Endorsement Required) ~ ru Total Po,. oo :sr ee o [~,-~-t- BOX 640 , I [~i~)' WASCO CA 93280 ..... 1{ ] city. state,, __ ~ .... I I Permit No. G-!0 Sender: Please pnn~ ~ am~ ~adress, and ZIP+4 in ~is box · BA~(ERSFIELD FIRE DEPART~ENT OFFICE OF ENVIRONE~,~TAL SERVICES 1715 Chaser Ay®hue, Su~e 300 B~srs~% CA 93301 Certified Mail Provides: · A mailing receipt (e.~U) ~001'o08¢ u~o..-i Sd · A unique identifier for your mailpiece,, · A record of delivery kept by the Postal Service for two years Important Reminders: ' . · Certified Mail may ONLY be combined with First-Class Mail® or Priority Mail~ · Certified Mall is not available for any class of International mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, p~ease complete uno attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requ.ested". To receive a fee waiver for a duplic.ate return receipt, a USPS® postmark on your Certified Mall receipt is requ~rea. · For an additional fee, deUvery may be restricted to the addressee or add. ressse's authorized a.g~nt. Advise the clerk or mark the mailpiece with the enoorsement "Restrict®gu®livery". · If a postmark on the Certified Mail receipt is desired, please present the arti: cle at the post office for postmarking. If a postmark on the Certified receipt is not needed, detach and affix label with postage and mail, IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. February 13, 2003 Brookside Market P O Box 640 Wasco CA 93280 FIRE CHIEF RON FRAZ£ Certified Mail ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE {661} 326-3941 RE: Recent SB 989 Secondary Containment Testing FAX (661) 395-1349 SUP.RESS,O. SERVICES SE C OND REMIND E R N OTI CE 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear FAX (661) 395-1349 uwner/tJperator: .REVEmION SERVICES Our records indicate that you completed your secondary containment FIRE SAFETY SERVICES · ENVIRONMENTAL SERVICES 1715 ChesterAvo. testing on June 14, 2002. Our records further show a failed test. Bakersfield, CA 93301 VOICE (661) 326-3979 Therefore you are required to have your system repaired and m-tested FAX (661) 326-0576 as soon as possible. PUBLIC EDUCATION 1715 Chestergv~. This office requests an update with regard to repairs of your system. Bakersfield, CA 93301 VOICE (661) 326-3696 Please be advised that repairs involving the replacing of components FAX (661)326-0576 must be under permit from this office. The repairs of your system are a condition of your permit to operate. Failure to repair and re-test will FIRE INVESTIGATION 1715 ChosterAve. result in the revocation of your permit to operate. Bakersfield, CA 93301 VOICE (66~) 326-306~ FAX (661)326-0576 Should you have any questions, please feel free to contact me at 661- 326-3190. TRAINING DIVISION 5642 Victor Ave. VOICE (661) 3994697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc · Complete items 1, 2, and 3. Also complete item 4 if Restricted De!ivery is desired. .~gent · Print your name and address on the reverse [] Addressee So that we can return the card to you. · B. Received by ( ~. Date of Delivery · Attach this card to the back of the mailpiece, . * . or on the front if space permits. ~D~ 1. Article Addressed to: if YES, enter c ' address below:' MAR 0 ? 200 , BROOKSILDE MARKET / O BOX 640 P WASCO CA 93280 ~a. Serviee Tyre [] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise ~ ................. J [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. A''~''~ . ' ....... (7 7002 3150 0004 9985 2953 ~r~ Return Reclept Fee Postmark (Endorsement Required) Here r--t Restricted Delivery Fee I-ri (Endorsement Required~) r't3 'total i~ BROOK$IDE MARKET ~ ~'a'~-' p O BOX 640 I Certified Mail Provides: · A mailing receipt (ee~e,~e~) gO 008S tzuo::l Sd · A unique Identifier for your mailpiece · A record of delivery kept by, the Pos~l, Servica for two years Important Reminders: · Certified Mai! may ONLY be combined with First-Class Mail~ or Priority Mail®. · Certified Mail Is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Metum Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee Endorse mai p ece "Return Receipt Requ.ested". To r..ece!.v.e a fee waiver for a duplic.ate return receipt, a USPSe postmarK on your uertified Maim receipt is requlreo. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized a~lent. Advise the clerk or mark the mailpiece with the endorsement "Restricted'Delivery". · If.a postmark o.n t.h.e Ce. rtifled Mail .receipt is desired, please pre~sen, t..the arti;; c~e at the post OTTice /or postmarKing. If a postmark on the uenbied Mai~ receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making aa inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. March 5, 2003 Brookside Market P O Box 640 Wasco CA 93280 CERTIFIED MAH. FIRE CHIEF RON FRAZE RE: Recent SB 989 Secondary Containment Testing ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 vo,cE (o61)326-a941 THIRD REMINDER NOTICE FAX {661) 395.1349 SUPPRESSION SERVICES Dear Owner/Operator: 2101 "H' Street Bakersfield, CA 93301 VOICE (661)320-3941 Our records indicate that you completed your secondary containment FAX (661) 395-1349 testing on June 14, 2002. Our records further show a failed test. PREVENTION SERVICES Therefore you are required to have your system repaired and re-tested FIRE SAFETY SER~ICES · Ek'~IRONBENTN. SERVtCE$ as soon as possible. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components PUBLIC EDUCATION 1715 ChesterAv~. must be under permit from this office. The repairs of your system are Bakersfield, CA 93301 a condition of your permit to operate. Failure to repair and re-test will VOICE (661) 326-3696 FAX (661) 326-0576 result in the revocation of your permit to operate. FIRE INVESTIGATION Should you have any questions, please feel free to contact me at 661- 1715 Chester Ave. Bakersfield, CA 93301 326-3 190. vOiCE (661) 3~6-3951 FAX (661) 326*0576 ,inc;re TRAINING DIVISION ,: 5642 Victor Ave. ~.~- ' Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc January 22, 2003 Brookside Market mE C.~EF P O Box 640 RON FRAZE Wasco CA 93280 ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 P~; Upgrade Certificate & Fill Tags VOICE (661) 326-3941 FAX (661) 395-1349 Dear Owner/Operator: SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93,.301 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. PREVE~mO. SERVICES FIRE SM:ET'/SER1/ICES * ENVIRONMF. NI'N. SER1/ICES 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 ChesterAv~. Should you have any questions, please feel free to call me at 661- Bakersfield, CA 93301 326-3 190. VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION Sincerely, 1715 Chester Ave. VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION St 5642 Victor Ave. Bakersfield, CA 93308 Fire Inspector/Environmental Code Enforcement Officer vOiCE (661) 3~9~97 FAX (661) 399-5763 Office of Environmental Services SBU/dc · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. [] Agent · Print your name and address on the reverse so that we can return the card to you. R~-ceived by · Attach this card to the back of the mailpiece, or on the front if space permits. D. Is deINery address different from item 17 [] Yes 1. Article Addressed to: If YES, enter delivery address below: [] No i BROOKSIDE MARKET i P O BOX 640 : 3. Service Type [] Certified Mail [] Express Mail i WASCO CA 93280 [] Registered [] Return Receipt for Merchandise [ < .... _ ....... j [] Insured Mail [] C.O.D. I 4. Restricted Delivery? (Extra Fee) [] Yes 2,. ^~'- ,,z,.-~-.- I__ 7002 0860 0000 1641 5769 ! PS Form 3811, August OFF C AL 1::3 Postage $ r-t Certified Fee r-t Postmark Return Receipt Fee Here ~j (Endo~'~ment Requlr~O =13 Restricted'Delivery Fee i-1 (Endorsement Required) rI.J Total Post['~" ~ -- I~i~_~3'_a/,'i P O BOX 640 ...... I er PO Box W ic,~.s,~,o.['iZ'S':'"" ASCO CA 93280 ....... ,Il · '... ,V,~7-- ..- ........... .~../! Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · B~ ~gFIELD FiRE DEPARTMENT OFF~CE OF ENVIRON?v~ENTAL SERVICES 1715 Ch,~ster Avenue,, ~ 3~ Bak~mfml~ ~ ~ January 13, 2003 Brookside Market P O Box 640 Wasco CA 93280 FIRE CHIEF RON FRAZE Certified Mail ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 RE: Recent SB 989 Secondary Containment Testing FAX (661) 395-1349 SUPPRESSION SERVICES REMINDER NOTICE 2101 "H' street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Owner/Operator: PREVENTION SERVICES ,~,~.~.~o.~.,,~.~. Our records indicate that you completed your secondary containment 1715 ChesterAve. testing on June 14, 2002. Our records further show a failed test. Bakersfield, CA 93301 VOICE (661) 326-3979 Therefore you are required to have your system repaired and m-tested FAX (661) 326-0576 as soon as possible. PUBLIC EDUCATION 1715 ChesterAve. "' This office requests an update with regard to repairs of your system. Bakersfield, CA 93301 vOiCE (6~1) 326-~9~ Please be advised that repairs involving the replacing of components FAX (661) 326-0576 must be under permit from this office. The repairs of your system are FIRE INVESTIGATION a condition of your permit to operate. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3951 Should you have any questions, please feel free to contact me at 661- FAX (661) 326-0576 326-3190. TRAINING DIVISION 5642 Victor Ave. Sincerelv.~ Bakersfield, CA 93308 ~,/' VOICE (661) 399-4697 FAX (661) 399-5763 ~' Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc N0¥--2~--02 MON I 2 : 04 FROM l~ . $ . $ . R . I NC . P - 6630 Ro~odare ~;~., ~ ~, Bakersfiel~ CA 933~8 Phone (661) 588-2777 Fax (661) ~88-2786 MONITOR G S STEM CERTIFICATION :','.;c., itOr~g ~yst . _ Date of T~th~S~vlc~g: MMel: :: ~ Me~ani~l Line L~k Detector, 'ModeL: ':' S~s~. 0 T~k ~crflll t Hlgh-~vel $~sor. M~fi :: ~ on and ' .; ~'::. Sensor. MMpi: ~Annular ~ or Vault S~sor. MMeI:I : "':. '~. ~ ~mctor. ~odel: ~ Mechanical Line Leak ~tec~r. Modd~ _ ~, . ...... : Model: ~ispons~ Contain~nt ,. ~car Valve(s), ' ...... Dispen~r ~: M~eh ;' :"'~'fi~ r, . ~r~ct ~d a Plot Plan shag ~o layout of monitoring equlpm~t, For say equlp~t ~pab~. of Page i of 3 ~itoring System ~tiflcation : ," ~'. ~ ~h,ck this box if no tank gaugin8 or SIR ~utpment ~i~'~ction must b, ~ompl~t~d if in-~ gau~ng ~uipm,nt is us~ [o porfo~ 1~ d,~ofion ere the toRow~ ~ec~i~[~, ' ~'~::~Yl~"i~ !'~Oi ~ below, d~edbe'how ~d wh~ th~e d~ciencles were or wffi ~ ~rrec~d. ' ~?~'~,q L~ Detectors ~LD): ~ ~ ~is ~X ffLLDs are not ~iled. : chec~t~ . H, ~iow, d~cffbe ~OW and' were or ~11 ~ corr~Ud. ~-'~t": .... ., ':~"' '.i .... ..- Page 3 of 3 N0¥--25--02 HOH I 2 : 8]' FROt~ I~. $. $. R . I NC. P. t>~ Resul~ of Testin~Servicing · e follo~nR che~t: , ~'~ '~ No* W~re all s~ors i~ll~ at lowc,t poin~ of soconda~ cont,ium,nt and po,i~on~d so F~ ~ p~mg s~, ~ ~e ~bmc aut~m~cal~ shut do~ ~sitsv~ shut.om? '(~kallthar~ly)'~~h S~so~; ~penser Con~nt S{~ors. :' Did you corm posMvc shut-down ~e to lea~ p~ ~nsor fafl~d~cctfon? ~es; ~:, ,,,,. '~i: ~'~sn g below d~flh how and ~ s w~e or will be corrected. ' Page 2 of 3 ~ ~i01 '~- N0¥--25--02 MON I 2 : 08 ~ROM I~ . $ . S . R . I NC . P . 84 ~n.it~Jn,g System C~tlficatioa UST Monitoring Site .Plan · ' ~ "'.'._'~' . ~: ~ =._ ................................ ...,_ .......................................... ~ · ,~~ I."" .......... ~ ................................ ~.'..~. ~ · ...... · . . , . 1 · ............................................. · · · · . . · · ' .' .' .' .' ,' · · · ' ' .' - .' · ' ' ' .' .' · · · · .' · · ,' .' · ,' .' .' .' !.'..'.'.~.~ . ~.~ ....................................... .................. ~. ~. .~ ............. ............. ~ .... ~ . . .~ ......... ~ns~c6ons ~~:~"~¢~em C~eation. ~ yo~ si~ pl~, show ~ genial layout of U~ and piping. Clc~ly mllcd, monR~g ~cm tonal pmola, sen~rs mom~rm8 ~nk ~nu Page ~ of ~ 05~o NOV-- 18--02 MON 9 : 5 I FROM ~. S. $ . R. iNC. P . 02 OCT ~.5 ,~002 8:38 9KSFLD FI~E PREVENTION {661J85~-~172 p.1 "'~ C~ OF BA~F~LD ~OFFICE OF E~O~T~ 1715 C~r Ave,, ~mfleld~ CA (661) 326~979 APPLICA~ON TO PE~O~ FUEL MO~~G CERT~~TION t 4700 COFFE RD BAKERSF I ELD CA, 93308 661-588-t :3~8 NOV 15., 2002 2:48 PM SYSTEM STATUS REPORT PAPER OUT PR INTER ERROR '~,, 1 ~IWENTORY REPORT ?- T ~ :I)IE~EL VOLLIME = ~U~ GALS ULLAGE = 8129 90% ULLAGE= 71 l 3 TC VOLUME = 2021 HEIGHT = 24.2? INC'HE~ kilTER VOL = 0 I,d~TER = 0.00 INOHES TEMP = ~4.9 DEG T 2 :UNLE*4DED VOLLIME = 41 O1 GALS ULLAGE = 6051 GALS 907'; ULLAGE= 5035 OALB TC VOLUME = 4096 GALS HEIGHT = 40.63 INCHES t4ATER VOL = 0 GALS tdATER = 0.00 INCHES TEMP = 75.8 DEG F T :3:PLUS , , VOLUME = 4464 G~ ULLAGE = 5688 GALS 90% ULLAGE= 4672 GALS TC VOLUME = 4457 GALS HEIGHT = 4:3.33 INCHES WATER VOL = 0 GALS I,dATER = 0.00 INCHES TEIdP = 81.3 bEG F T 4:SUPREME VOLUME = 4657 GALS ULLAGE = 5495 GALS 90% ULLAGE= 44?9 GALS TC VOLUME = 4649 GALS HEIGHT = 44,77 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 84.1DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301 FACIL1TYNAME ~OO~C. Sta/~ /~ltJc¥ ~fle[~ INSPECTION DATE ADDRESS q)'t30 t~t0'~x(tt Ed-' PHONE NO. ~'gg" 133~ 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 Business plan contact information accurate Visible address , ~o, / 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?:Explain: [~] Yes [~No ~B~.g~S ~,L.Z~ Questions regarding this inspection? Please call us at (661) 326-3979 usin~gs Site/~esponsibl_c Party Ir'__,/// White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: J.~'~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ¢~O[.g~/'k. ~..'{- ~ [~)eJl' INSPECTION DATE fl ~£~" k0'~ Section 2: Underground Storage Tanks Program [] Routine [~ombined [] Joint Agency [] Multi-Agency. [] Complaint [] Re-inspection Type of Tank ~to ["--~ ~ Number of Tanks ~ Type of Monitoring ~/4'~ Type of Piping /it. or~ OPERATION C V COMMENTS Proper tank data on file ~ Proper owner/operator data on file V / 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 A/'=Violation Y=Yes N=NO , Inspector: Office of Environmental Services (805) 326-3979 Business~ite Responsible Party White - Env. Svcs. Pink - Business Copy ~ j I of: 7 Franzen-I-lill Systom Design, Construction & Maintenan¢o ~~17F~CIL~~~TION [Date Local Agenc~btified~&f Testing~ ' lName of Local Agency Inspector Present: ~eu ~ ~ ~ ~ e ~ 2,~S~NG CON~CTOR INFO~TION Company Name: Franzen-Hill Co~. Tulare, Ca. Credentials: ~ CSLB Licedsed Contractor DSWRCB Licensed Tank Tester Li~nse Type and ~: A,B, C-61/D40 H~ Lic~ 304147 Training by Manufacturer Manufacturer Component's) Date Training Expires Environ, APT Piping and Testing /~ ~ ~ ;miths Filter, EBW Piping and Testing I ~ / ~ Total Containment, VeederRoot Piping and Testing Econ, Gilbamo EMC, Monitor System Piping and Testing 3. SUM~RY OF TEST ~SULTS Number of Tanks Tested: ~ Number of Piping Runs Tested: Number of Submemible Pump Sumps Tested: ~ N~mber of UDC Boxes Tested: Number of Fill Sumps Tested: ~ Number of Ove~ll Boxes Tested: / /~~ 1100 No~N J Street, Tulare, California ~32741559-~88-29771800-~55-~361559-~88-14~7 F~ ~.Eanzen-hill.com / constmction~anzen-hill.com SWRCB " ~e: I of: 7 FranZen-Hill System Design, Construction & Maintenance Secondary Containment Testing Report Form 1. FACILITY INFORMATION [ FacilityName: ~"?.00/~4' [,4j~O, el-' I_)eli :Date of Testing: ~-,'y--C~_ 'Il IDate Local Agency Was Notified of Testing: ' ' ~Nam~ of Local AgencY Inspector Present: _~"-~-ec,'C ~ ~ ~ 4~~ ' 2,~S~NG CON~CTOR INFOR~ON Company Name: Franzen-Hill Co~. Tulare, Ca. Technician Conducting Test: ~ ~ ~ ,~ ~ ~ ~ I ~ ~ Credentials: / CSLB LicenSed ~o~tractor DSWRCB Licensed Tank Tester License Type and ~: A,B, C-61/040 H~ Lic~ 304147 . Training by Manufacturer Manufacturer Component's) Date Training Expires Environ, APT Piping and Testing . . .~ O~ Smiths Filter, EBW Piping and Testing l ~ 0~ Total Containment, VeederRoot Piping and Testing Econ, Gilbarco EMC, Monitor System Piping and Testing 3. SUMMARY OF TEST RESULTS Number of Tanks Tested: ~ humber of PiPing Run's Tested: ~ , I~uml~er of Submersible Pump Sumps Tested: ~ Number of UDC Boxes Tested: Number of Fill Sumps Tested: ~ Number of Overfill Boxes Tested: ~ ~mponent 'Pas,' Fall ...... Commenbl [] [] [] [] [] D [] D [] D [] [] [] [] [] [] Technician's Signature: , .~ Date: ~ 1100 North J Street, Tulare, California 932741559-688-29771800-655-34361559~688-1467 FAX www.franzen-hill.com / construction@franzen-hill.com SWRCB Page:~ of: 7 4. TANK ANNULAR TESTING IFest Method Developed By: ~,T~nk Manufacturer ,~,lndustry Standard [] Professional Engineer L [] Other (Specify) · rrest Method Uses: [] Pressure ,~Vacuum [] Hydrostatic J [] Other (Specify) Tank # Tank # Tank # Iwas sensor removed for testing?Il IWas sensor properly replaced II Commen~-(include information on repairs made prior to testing) SWRCB ~age: 4 of: 7 6. SUBMERSIBLE PUMP CONTAINMENT SUMP TESTING [] Tank Manufacturer ~'l'ndustry Standard [] Professional Engineer ' Test Method Developed By: [] Other (Specify) Test Method Uses: [] Pressure [] Vacuum [] Hydrostatic ~'Other (Specify) /~/-v~ -7 '~ ~ · -7 Sump # Height from Tank Top to Highest Height from Tank Top to Highest ' ~ortion of Sump Tested (1) /,3 , ~ /~ ~ ~ ' ~ / I / ~ ~ / Does turbine shut down when sump sensor detects either "'-/"~> \/~---~ ~ -~ ~ )roduct or water? IS~hutdown?System programmed for fail-safe V ~ ~ ~/~ Y ~ ~ Was fail-safe verified to be ~ ~ ~, Wait time applying pressure/ Initial Reading (Ri): ~ O *) , O ~ , O ) Final Reading (RO: ~ 0 ) , O/ , 0 ~ , 0 / Was sens°r rem°ved f°r testing? II Was sensor replaced after testing? ~,i ~ ~ ~/~ ~mmen~-(include information on repairs made prior to testing) /~ '~ ~ If th~ t~tino method doos not t~st th~ entko dopth of tho sump, s~ocl~ how mu~ of ~o sump was tostod. Mothod~ not t~n~ tho ontim sump should only bo used if tho monitodn~ systom pmvidos fail-saw tu~ino shutdo~. ~ ~ tho submorsi~o pump running, plato th~ sonsor in product {dlscflminatinfl ~nsom should also bo placod in ~tor). Th, tim~ bo~eon placin~ tho sonsor in product and tho turbine shu~in~ do~ is tho msponso fimo. lhis should b~ done · o 8omnda~ containmont t~tin~ mothod usod do~s not tost the onflm volumo oI tho sum~ SWRCB ..... Page: 6 of: 7 8. FILL RISER CONTAINMENT SUMPTESTING ~est Method Developed By: [] Tank Manufacturer ~lndustry Standard [] Professional Engineer I' [] Other (Specify) ~est Method Uses: [] Pressure [] Vacuum [] Hydrostatic Initial Reading (Ri): I ,? ) ' ,O'i' ~, 0 ) ,, , f 0 ) IIDoes the sensor alarm when comment, e-(include information on repairs made prior to testing) SWRCB -' ' gPa,~: 3 of: 7 5. SECONDARY PIPE TESTING Test Method Developed By: [] Tank Manufacturer ~l;Industry Standard I-1 Professional Engineer [] Other ~ (Specify) Test Method Uses: l~Pmssure [] Vacuum [] Hydrostatic [] Other (Specify) Measuring Equip. Used for Testing: /kJ ~ ~ q. OC.--~ kJ Pip ng Run # Piping Run # PiP'mD Material:: ~ Product Stored ' · ~ethodandlocationofpiping-runJJ~ , ~..._~_, ...,,~.~ - (~"t,'~r..yr.::.-~ --/'~/J J/Jv~)d~-~.'- -_. vacuum/water and starting test Test Start Test: I . ,me: I1' F~na~_.ead,ng (RO: II Test Duration: JJ Change in Reading (Rf-Ri): JJ Cemments-(include information on repairs made prior to testing) SWRCB ':~ ge: 5 of: 7 7. UNDER4)ISPEN$£R ~ONTAINMI~NT (UD~) T~$TING Test Method Developed By: [] Tank Manufacturer ,[~ndustry Standard [] Professional Engineer [] Other (Specify) Test Method Uses: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) ~L? ~ '7 ~ ~ '"' ~- UDC # UDC # Height from UDC Bottom to'7., ''~ ~> O ~ Highest Piping Penetration: Height from UDC Bottom to I~'YJ~ ,"~ ..)_.~ '~ Lowest Electrical Penetration: Condition of UDC prior to_testing: - I-) i ~ ~"I [~)' ~J~'~l Portion of UDC Tested (1) )oes turbine shut down when UDC sensor detects either ~/~' ~5 ¥, ,~ ..~ .. product or'water? Turbine shutdown response time(2) //d¢ T',~ ,~ 'T- /~ Is system programmed for fail-safe ~hutdown? "~ Z' -~ V Was fail-safe verified to be operational? 3,~'c'---<~ F~ Wait time applying pressure/ vacuum/water and starting test .~ ~) 7'*'~'~*~ ..~ 0 ,'~'~ Test Start Test: ~,,Oo {) ~t ~/ 0 0 ~ /~'~ ..: Initial Reading (Ri): Test End Time: Final Reading (Rf): Test Duration: Change in Reading (Rf-Ri): -c~/-c ~ '~! ~ ~ · Pass/Fail Threshold~ Was sensor removed for testing? J[ .~te.5 ~/llp~' J · Was sensor replaced after testing? ,,~,,/,~ $ //e' )' ,- C mmo.t=-(inc ude information o. repairs made prior to testing) ,<: ¥ '1 If the testing method does not tes~ the entire depth of the UDC, specify how much of the UDC was tested. Methods not testing the entire UDC should only be used if the monitoring system provides fail-save turbine shutdown. 2 With the submersible pump running, place the sensor in product (discriminating sensors should also be placed in water). The time between placing the sensor in product and the turbine shutting down is the response time. This should be done if the secondary containment testing method used does not test the entire Volume of the UDC. SWRCB Page:: 7 of: 7 9. SPILL/OVERFILL CONTAINMENT BOXES ITest Method Developed By: [] Tank Manufacturer [] Industry Standard [] Professional Engineer [] Other (Specify) ,Il'est Method Uses: · I-I Pressure []Vacuum []Hydrostatic I/ [] Other (Specify) IlMeasuring Equip. Used for Testing: Spill Boxes # Spill Boxes # Spill Boxes # BuCket Diameter: BUcket Depth: Wait time applying pressure/ vacuum/water and starting test Test Start Test: Initial Reading(Ri): Test End Time: ..... Final Reading (Rf): Test Duration: Change in Reading (Rf-Ri): Pass/Fail Threshold ... Comm®nt~(include information on repairs made prior to testing) Customer Signature: Date: SWRCB I:\MY FILES\FORMS D June 30,2002 Brookside Market P. O. Box 640 Wasco, CA 93280 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 4700 Cofee Road, Bakersfield. FIRE CHIEF RON FRAZE Dear Tank Owner / Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 The purpose of this letter is to inform you about the new provisions in VOICE (661) 326-3941 FAX (661) 395-1349 California Law requiring periodic testing of the secondary containment of underground storage tank systems. SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 Senate Bill 989 became effective January l, 2002, section 25284. l (California VOICE (661) 326-3941 FAX (661) 395-1349 Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure PREVENTION SERVICES that the systems are capable of containing releases from the primary 1715 Chester Ave. . Bakersfield, CA 93301 containment until they are detected and removed. VOICE (661) 326-3951 FAX (661) 326-0576 Secondary containment systems installed on or after January 1, 2001 will be tested ENVIRONMENTAL SERVICES upon installation, six months after installation, and every 36 months thereafter. 1715 Chester Ave. Bakersfield, CA 93301 Secondary containment systems installed prior to January l, 2001 will be tested by VOICE (661)320-3979 FAX (661) 326-0576 January 1, 2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank system must be tested. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office and VOICE (661) 399-4697 FAX (661) 399-5763 shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661)326-3190. Sincere ~.~ St~ve Underwood · . Fire Inspector/Environmental Code. Enforcement Officer ......... -~ ~ Environmental Services SU/kr May 29, 2002 Brookside Market P.O. Box 640 Wasco, CA,93280 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 4700 Coffee Road, Bakersfield FIRE CHIEF REMINDER NOTICE RON FR~E Dear Tank Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H" Sfreel 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 requiting 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 sy.s. tems 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. Bakersfield, CA 93308 shall be performed by either a licensed tank tester or licensed tank installer. VOICE (661) 399-4697 FAX (661) 399-5763 Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures BSSR, Inc. 6630 Rose. dale Hwy., # B, Bakersfield, CA 93308 Phone (661) 588-2777 Fax (661) 588-2786 , MONITORING SYSTEM CERTIFICATION.. This form must be used to document testing and s~rvicing of reentering equipment A s~parat~ ccrtificatk)n or r~r)ort ..m..~_~_~t 0r_~pared for each monitorim! system 9ontrol pan~! by tho toolmician who performs the work: A:q~py of this. form must be providedto the tank system owner/op~tor. The owner/operator nmst submit a copyof this form to tt~ lot:al agericy regulating UST systerm' wi~i, 30 day? oft est date. "'," ' ~ A.' General Information iacilitYName: ~ROOI<<5'I ).:~ ~' ~C~ B RK[T Bldg. No.: i,Fao,~tyContaotPgrson: ~Eb,) "" Coniactphono.No.:{_ ~61 ) 58B"- ~ake,/~.odel~f,.'Monitoringgystem: ~l/XfiC /~glO.~t~20 1OO0OO DateofTesf~g/Se/vioing: i..n- ank Oa g!ng Pm e. . MOdel:p OZt oo,' O m .n-Tank aauging robe. - odel: 0,OZ I~Annula~ Spa~¢ or Vault Senso~. Model: ~O'i~ .~cll iq qOC~ I~'..^nnul~$pace or YanR Sensor. Model: ~Ot~ .~q I iq ~40r~(3 ~pingSump/Tr~nchSensor(s). , Model:P~lO~2'~ rl~OooIO _~'P. EipingSump].TrenohSensor(s). li]~FillSumpS~msor(s)~' ~'t? ':' Model:~).aiO~_Sci~OoOoI ~ I~'eFillSumpSensor(s), ~-tp Model:~gl(~")-Sq?o(5OO n Mechanical Line Leak Det~tor. , ' Model: ~ Mechanical Line Leak Detector. ' Model: I-I Electronic Line Leak-Detector; :' Mod~l: ' " ~ Electronic Line Leak Detector. ',. · Mod(fl: ' 13 Tank OverfilldLHigh~.Level Sensorl Model: I~! Tank*Ov,~rfili'/High-Level S~-ns(~r. 'M0deli .' 13 Other (Specify ~uipm. ant type and m0d.el, in_S~..tion E on Pagi~ 2).. I~1,0th~r (an¢.o,i~ equiome~t type ~d mod~l in 'S~tion'E on:Page 2). (~n,Tank Gauging Probe.' .... Model: P~O ~_6~C~q6~i OtB I~l~f~-Tank OaUging Probe. Model: '~e,O?. (~,Annular Spac~ or Vault Sensor. Mod~l: P~6) ~ ~ll/q q O6<3 ~li;l~Annula~ Spao?,o,t Vault Sensor. Model: lP6~l~q I~)?~ing Sump I Trench Sensor(s), Model: P~tO'z bsq~Oot31 c~ I~l~iping Sump / Trer/eh Sensor(s). Mod~E P/4'O2 I~'Fill Sump'Sensor(s). s<V' Model: Pt~tY).Sct :2.OOOO'1 ~ I~Fill Sump Sensor(s), ~-ee Model:~t~O-2 5c~ 20000~O, 13 Mechanical Line Leak Detector. Model: I~! Mechanical Line Leak Detector. Model: 13 Electronic Line Leak Detector. Model: I~i Electronic Line Leak Detector. Model:. 13 Tank Overfill / High-Level Sensor. Model: 121 Tank Overfill / High-Level S~nsor. Model: i 130~..e.r, (gt~ii'y exlui~rt~nt ty~ ~d model in Seotign E on Page 2). Ci ,Other (si~ci~ muipment tyl~ and model in ffecti?n _ff on Page 2}. I~'D~Jspenser Containment Sensor(s). Model: Pt:lOg~ ~;CllitlqOOt~ I~D~j.ispenser C0nta'i~men't'ge~or(s). Model:P~lOg_ .~Clll ti t~She~i Valve(s). ' . ' I~hear Valve(s). ' el_ Dispenser Con. tainment Float(s) ~d Chain(s). · . I~ Disp. ens~r Containment Flo..at(s) and Chain(s). I~l~ens~r Contain~nent Sensor, s). Model: ~)~)O ~ ~ I iq q OG ~ Ii~_ispens~r Containn~nt Set~sor(s)' Model: P~lO~2 ,%ct II q ~/OO 0 13 Dispenser Containment Float(s) and Chain(s). . r-i l~isptms~r Con, tainment, FlOat(s) and iCh..ain(s). · 13 Dispenser Containment Sensor(s). ~ Model:.. I~i Dispenser Containment Sensor(S). Model: Cl Shear Valve(s). 13'Shear Valve(s). 13 Dis,.p ens~r ........... Containment ?loat(s ) and Chain. ~ s.) ' ] Dispenser Containment, Ploa~s) and, Chain(s). . , · If the facility conlains more tanks or disposers, copy this form, Ineloda informatlonfo~ every rank and dispensex at the facility. C. Cerl[J. fieation - I e~ih'y that the equipment identiflM ia 0als' doenm~nt Was iaspeeted/s~'vie, ed in accordane~ with the manufacturers' guideline. Attach~i to tiffs Cerllfleation is iaformatian (~,g. mannfactm'~rs' eh~ldlsts) necessary to vari~ that this information is ~o~ and a Plot Plan showing tine layout of monitoring e~iUlpment- Iff'or any equipment capable of generating ,_ reports,_lha_y~alsoattach_edaeopyoftheroport;(el~ex:kalltttatappl, v): I~lS~t~te:m s. et~p I~ Alarm ~story report Testing Company Name: [:~_~'~;~[~,. lt'4(', . Phon¢'No.:( 661 ),, : Page I of ~ 0al0! Monitoring System Certification O; Results of Testing/Servicing Sof~are V~rsion Installed: )lete the follow!ng ch, e, cklist: .... , , , (~Yes a~o* ' ..... ~ ' ' ' ....... - ,~Is th,e auch~ole aJ, ar~, operational? , Iia~yes 51 N°* Is the visual al,arm operational? ~y~s '51 No* Were all sensors visually inspected, fimctionallY tested~'anc~'confrmed operational?. ~Yes 12 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? :i~1~'~s Cl No* If o!~_nns are relayed to a remote monitoring station, is ail c0mm~mlcati'ons' equipment (e.g. modem) i~y~,~' 12 N/A operational?. . 12 No* For pressur/z~ piping systmm, d°es the turbine automatically shut down if the piping secondary'containment 51 N/A monitoring system detects a leak, fails to opera~ or is electrically disconne~.cted? 'If yes: which sensors/nit/ate positive shut-down? .(Check all that apply) 51~ump/Trench Sensors; li3~emer Containment Sensors. Did you .confirm positive shut-down due to leaks and, seusor..fail.urn, disc. ounec.tion? 5)~ff'~sl 12 No. IB~es el' N°* For tank systems that utilize the monitoring system as the primary tank overf'df Warning 'device (i.e.: no 51 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm vis,lo and audible at the tank f'dl point(s) and operating properlY? If so, at what percent of tank capacity does the a~arm trigger? ~ c~ % l~es* ' '51 No Was any monitoring equipment r~hcod? if yes, identify sp~ific sensors, probes, or other equipment replaced and list the manufacturer .name and model for all repi.acement parts in Section E, below. 51 Yes* ~ No .Was//quid found inside any secondary'containment systems designed as dry systems? (Check a}l that apply) 12. Product; 12 Water..fly.es, des.ch'be .causes in Section Et below. I~1~es 12 '~o* ..Was monitoring system set:up reviewed to e .nsure proper settings? .Attach'set u~".~eports, if apl~licab!e. C/l~r~" 'i2 No*' Is all'monitoring ~.uip.men. t operational.per man. ufacturer's.sp?c, ifi. c.atio~ * In Section E below, deseribe how and when these defieiendes were' or will be Corrected. Page 2 of~ 03/01 E. In-Tank Gauging / SIR Equipment: 0 Check ~sbox ~f tank §augl~ is used only for inventory control. ~ 0 Check this box if no ~ gauging or SIR equipment is installed. Th~ sect{on must be completed if in-tank gauging equipment is used to perform leak dcteztion monitoring, dete the following checklist: "~Y~".~ ~'~e ~.,' ~ "- ; ' . · · ~ · · mput.wmug been ms~..ecte, d for.proper entry and termination~ in¢ludlng.tes~E for gro~nd fault~'? [it"'~Y~., El 'No* W~re all tank gauging probes Visually inspected for dam~ge and residue' b~ildup7 [~ O' Noi Was ac,curacy ~fs.ys~mp, rod.u.c! l~vel ,readings tested? ' ' [~/'Yes ~ "N6,* Was accuracy of system wat~.r level readings tested? " [!P~es ' ~1' N6*' 'Were allprobes reinstalled. Pr°Pgrly? ....... ' ................. ~s a N°* Were'~..iimnson~~tm~.ufaotumr,smaintenancechecklistcomple~d? A'.':.. ..' ..;. :" ~'.~' . ..... · In'the Section H, below, deScribe how and when these defleiencie~ were or will be corrected. G. Line Leak Dete~tors (LLD): ~[~ck this box ffLLDs are not installed. Complete the following che. ckUst: ~ N/A (Check all t~hat apply) $imulatedle~krate: El3 g.p.l~; {30~1 g.p.h; ~0.2g.p.h. r~ yes ~ No* Wl~re all LLDs co~f;,~u~l OPerational and acetate withln"'r~gulatory requirements? ,~ Yes- ~ ~o* was ze te~g~p~t~ p~op~ly ~h~tea? ............... ~1 Yes ~ No* Form~chanicalLLDS, does the LLD restrict product iloW if it dcte~ts a l~? ...... CI N/A ~1 Yes ~ No* For electronic LLDs, does the ~urb'ine automatically s~ut off if the LLD detects ~ leak? ' ~ N/A [1 N/A or disconne'c~d? -~ yes O No* !'For electronic LLDs, does the 'turt~ine ;,utomatically 'shut off if an{;' portion of the monitm;ing "system ~ N/A malfuncti°n~ or fails a test? ~! Yes CI No* Fgr ele~tro~ LLDs, have al! acCCss~le whig ConneCtions been ViSually iz~pctrted.9 ..... Il N/A -1 yes a "N°*.. Were all it~.°n the equipment manufacturer's mainimmuce checklist completed? ' In the Section H, below, describe how and when these deficiencies were or wffi be corrected. ~I. Comments: Page 3 of..~: 0~/0~ ~ UST Monitoring Site Plan Site Address: q.'~O0 C~V~ R~., '' ~ .............. ~ ....... ~' ~*~' ~' '""" '"'' '~'" ';~" "' t''' ........ ~ ' ' ' ' ' · ........ · .......................... ' ' ~0~ ....... ...................... . ..................... ~;~ ;~ ...... .'.t-.~ ............ ~-~ ..... : .... :; .~:. :: ......... .~, ........ ............... · .................. ~0 ....... ~0. ....... ~ ......... :;;;%~ ~;;;;;;;:;:;;::::: :~. ;~ ....................... ;;:;:~ ::::::::::::::::::::::::::::::::::::::::::::::: " Ime~ons If you ~7 ~ve a ~a~ ~at shows all requk~ ~f~afio~ you may ~cludc ~Monim~g-Sy*~m-C~afion. ~ yo~ ~ pl~, ~how ~e general laYout'of ~ loeafion~ of the following oq~pm~ if ~11~: ~flg s~~~l-p~;-s~Or,-m~to~g-~-~uI~ ~es, s~.d~s~ ~, ~ill ~n~ers, ~ o~ ~n~ con~t ~eas; mech~io~ ~ ole~c l~e le~ de~to~; ~d ~-~k liq~d level pw~ (if ~ for lc~ de~ofi~). ~ ~e ~a~'~o~d~ note ~e ~ ~s Site PI~ was ~p~ed. '.' ~ BROOK~IDE MARKET 4?00 COFFE RD BAKERSFIELD Ch.93308 66,1-588-1338 DEC 6. 2001 9:18 Al"] ....... FEI I ,.-,q ~ 1 L ,_, REPORT ALL. FUNCTIONS NORMAL I I'.~\.,'F],IT 0 I;tY P. FPORT ]' I :DIESEL VOLUME = 1819 IJLLAGE = 8333 GALS 9~-]]l.'~; LILLAi.-;E= 7:317 QALS TC VOLUME = 1817 GALS HE l GHT = '2'::.J. 51 INCHES I,JATEI;: ',,,,'GL = 0 GALS WATER = 0.00 INCHES TEMP = 82. T 2 :IJI',!L.EADE[.~ VOLLiI'IE = :':12_?:.7l C'"' -" ULLAGE = 6879 GALS '907.:!, I_ILLAQE= 5863 GALS TL-: ',,/()LIJME = 32?0 GALS HEIGHT = :34.3:3 INCHES t4ATER VOL = 0 GALS WATER = 0.00 INCHES TEMI:' = 67.8 DEG F T :3: PL.I_IS VOLLIME = 3951 (],.. tILLAGE = 6201 GAL-'S 90!'.(: ULLAGE= 5185 GALS 'Fi:: VOLI_IME = 3946 GALS HEIGHT = 39.5CJ II'ICHES I'" ' VOL C'"' o I,.,mTER = 0 .,AL,_, WATER = 0.00 INCHES TEMP' = 74.7 DEG F ~ T 4:SUPREME VOLUME = 3002 GALS. ULLAGE = 7150 GALS 90% ULLAGE= 6194 GALS Ti]'. VOLUME = 2998 GALS HEIGHT = 32.23 INCHES [,dATER VOL = 12 GALS ~dATER = El. 76 INCHES TEMP = 77.0 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME R rtlt~e, ld ¢, '~lJt.'~- INSPECTION DATE i 2, {~ / Section 2: Underground Storage Tanks Program ~l Routine ~ Combined ~ Joint Agency [~ Multi-Agency, [~ Complaint [21 Re-inspection Type of Tank . ,~11 ~ ~ Number of Tanks Type of Monitoring dLflA. 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 L,' Has there been an unauthorized release? Yes No ~'/' Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C:Compliance /~ V=ViolationJ~ ~/g~/~ Y=Yes N--NO Inspector: ....... t ~ - - Office of Environmental Services (805) 326-3979 Business Site Responsible Party · White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., ya Floor, Bakersfield, CA 93301 FACILITY NAME ~i'6o{Lstdt. ~ INSPECTION DATE ADDRESS tdTO0 ~et~t_. 0. d. PHONE NO. _5"(~ FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~ Routine ~.Combined [~1 Joint Agency l~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand k. Business plan contact information accurate Visible address L. Correct occupancy Verification of inventory materials ~. ~,'/ Verification of quantities t.,, Verification of location ~.., Proper segregation of material Verification of MSDS availability L..,// Verification of Haz Mat training / Verification of abatement supplies and procedures 'L,,' Emergency procedures adequate L/ r / Containers properly labeled Housekeeping ,, , Fire Protection Site Diagram Adequate & On Hand ~.. C=Compliance V=Violation Explain:Any hazardous waste on site?: ~] Yes ~]No Questions regarding this inspection? Please call us at (661)326-3979 -Businesssite//~/Sl~~ nspect°r:V~, ~_6 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy I D February 6, 2001 Jeffries Brothers Petroleum Distributors ~RE C.iEF Hwy 46 & F RON /:RAZE Wasco Ca 93280 ADMINISTRATIVE SERVICES o 2101 "H' Street Bakersfield, CA 93301 RE: Rolling Power Outages VOICE (661) 326-3941 FAX (661) 395-1349 Dear Sirs: SUPPRESSION SERVICES 2101 ~H" Street Bakersfield, CA 93301 With the threat in California of continued rolling power outages now, and VOICE (661) 326-3941 in the immediate future, this office requests your assistance. FAX (661) 395-1349 PREVENTION SERVICES This office is requesting that if, "during a fuel drop," the power goes out 1715 Chester Ave. Bakersfield, CA 93301 due to rolling power outages, that you immediately stop dropping fuel VOICE (661) 326-3951 until power is restored. FAX (661) 326-0570 ENVIRONMENTAL SERVICES AS yOU are aware automated monitoring systems'will be off line during a 1715 Chester Ave. Bakersl~e~d, CA 93301 power outage, which could compromise safeguards. VOICE (661) 326-3979 FAX {661) 326-0576 To ensure the safety of both human health, and the environment, we TRAINING DIVISION request that you make this part of your policy. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661)399-4697 Should you have any questions, please feel free to call me at 661-326- FAX (661)399-5763 3190. Sincerely, Steve Underwood, Inspector Office of Environmental Services SBU/dm DEC-- i 5--00 WEI) 8e5~ FROM t) . S . S . R . I b4C . P - ~ 1 ) m ~ m ...i,'.~ ..~ .., . ...~ ?...~ ~.:~.. ','..~ ,~.. " . ~ .~'.' . ~ '~?.~...~... . :,. ,'.~.,'.. ~ .?-~>~...'.~.. ., ......'....'.:'~.~' ' ~' . ~.~.,: .' ..... ~'- .,. ~ .. ~ . . .., . j~ ~.'.~ .~..~?,......?. ...~?z~,....,. ~....~..~ ~. , %.....~'.~ . ,, ~ ..'.'.. ~.~ '., .~.~ ~ "~.'....~ ~.'. i? ....... - "" ~ ~ . , .~ .~." . ... q~ .~?~.".:? ~ ...~, "~? .~'.. . . ~..,~ .... .':~.?~..~.'..~?.~..,,.~:?.~.. ~, ..,.... ~ . ..,?~. '~" .~....'~.>~' ." '"'"' ' '" ~ 2'. ?~..'.?; ~'~'~'.'.~";~. 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AT 661-588-2777. ,..,.,....,: , ..~..?~....;: ;:,.',.r.? ..-;,' :~ ,'.:¥. ,~ ..: .,..;.....,. ;...:,.,....:, :.~=:. ;~. %/ ,.., ;, :':~."k..,:.; ,'. ~ '.,.,-.'~:.' ..'.: ':.,".;',..,, :,.~,',..'~'...;',~.~:;:,',. ', , ~: ,,'~ ,, .,,.~ ,.. ~.. . .,. ,,., ~, ,..,, ..... ~. ,., ,,, ,.. , ;:,'.'~:'"::~.~ ':,~', . ,,,: ',.',:,,.".;: ':'? .:" J,x' . ~ ~.'~,,]:.,~'. ~':'"<',.~" ',' .... ;:., ..,.,, .;. ,~, .;,.'~' ..,=.~,, . ~,. , ', .,,,:{ .p ,f:,,~'~','.-,'.,.:, .,, ~...: ,'. :. ~ ,: ',' ;,...,;,~,., =,: · ,, :: '. ;"..'~l . ',~",.;;'":'. ", , '2 .' ' .,,~ '::., , ~ ' . :. ..:~.;..,.~,..=~, .. ~[', ,,. ,.. ,:. .'; . · :?' .,~.., ',';::~..' : '? ; ;' .~::, ~.. :..':~. :;:" ,~,~ =~ ':,:::~ ,:~, =, , ,., ,', · , . , . .,,..' .,~. ,.: .:::: · , :. :,? :,,," ;' ,.;['~'~?, ;?,',. "~ ~ .~ ..... '~,, ,>,, ,:,,;',,',.% , .', .~ ~ ,,. ' :.',,,, .' '. ~ ,? ,,, '..... · t.;.= ?.,..", :': .. ;."~,... , ~.....;.' . ~..[., .~..:;.. 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'¢ - :,,,~ .,,...:~:~:~::::?~f:~.),:,,'~j:.,.':.'.":.:;./ .... :,,:.:,, ,: .::: :,:,f ,,'~j.,::,,? ,,:,;, ,,,,,' ....... ,,, ........... - .... . :. . ...:; -.:, ,,:,.,,.,.:,.,....::,., :'~:"~! :J.:'~h.~nUnuo'Us m'O~1~d~9'degiCe~ ~niUate pOsi,ve shut-down of '<.' '1 .k k ' ~"" ..... ~, ." ~ , ....... ' .... " , ....~ ;;'. ......... ' ........ "'; ~ · :" ' 't"~,' '"l ' ''~ ~'-'"~:;:'~:~F'~ + ':'":':"':' "'~ ":':' :; '~ ;~' ' L ,, . , , .'~' "... '.. ', ' . . .................. :: : : .... ~ ~ -' ". .'., . '.: - :.~'..' ':I'~CE~FiSO~E~'SJ~.;"':~..:'"'.:'f' :" :'' I .~,, · " I DAT~ :'?.?,".':.: ""~'"~'.1' ':'..' ~ j..,... ~:,.=,:.;.:..:,......-:.~..::., ~..::,;..,..: ...... ~......,::.?....,...,,,..,. ,...?..:. ,,~.7 .. . .ll-~-~ j .:... i'k' ......................... ~. ...................... ~ ......... . ............ , ........h.,, ,,~r~'":".J:~:~,~*~o~*.~'~~: ' :: ' I'~ ~,o,~./ i:::: ,J" "J ':?:1}'~2,~:',,~:.,.,. ~7X'..': ':, ':;; ,,,~,~ "~.' "~' .:;'.:.':'.;" :., .. ',. ,: .'...,,--': i : , . .......... ~ ........... ~",:',"' ~ .h.: ..,.. ~,..::~ h;,~:'~. I ;;~:' ~/"I?'~'"8~{~".~'O~.~r~F~Eo'T~CHNi'c~.'' ' I ~, ~U ~'~ ~.?i :J:....',e'~:':.....'...~'....~' ':.. ".'., :'. ~., ..'.. ':.,..:.'"'.'.':, .... ,:-." "' ...... :.~""-': ........ ' ............... . ' "' ..... '~"':' :' :;:.'"::,'.'..:..'::.:. i'?:" ,~...~.. ., ......... :: ..... ,. ~.. ~ , .. ...... .., . .... ............................................. ~ .~11 LII.L~-:~,:5;E = i::,'76 CI ...,r.d_,:, ':H-2; UL,LF~C;li!= ¢:,7,,.,.1.4 .-,r L TC: ~,,'OLL,"IF, .= ;-~:-=',f39 ,h')'- HF.:I,.--;HT ,_ ..~:.,._ .-,l:,:: Ilk. t: I,,!,~'rl=~:, v,::,l ':n ,'?,:~L.J I,,I,,-Y'i'L-.'t::t ii. ' I 1 TEHF:' - '/7.;=I fd:JC; F T 2 ;U ',.,,v,) L U!q L:; ~ :!85'7 i'_'..',¼1.. ~; t ULLi:¥:;E = G'2'35 t TC VOLL!ME = ,i~fi4 1.4~'['Et~ '9'()U = I-J GALS i..,if~TE~' = O. OD 1' FICHES 't'EPlP = iLa.5 DEG F T :J: :t'.'LUS V©Li. Ii"IE = '?4:]E !.IL[..A,-d~ = 2? 1 6 '30q:: Lii..I...~qGE= I 7DEl (:;FILS ' TC; L"(~I., UI'"!E = 7,17.'9 HE 1C:;HT = E, 5. '7'3 I IqC;HES b,,¥:d'£R VOl, : 0 I.,,IP(i'Et-] = O. O0 INCHES T£MP = 72.8 PEG F '1' ;1 :Si. IPI;}EHE ',Y,'J,i., UME = 65:34 ,7;ALS 131..I..F~C;E = 3610 GF~I.,S 90% ULLF~GE= 2602 GALS 'I'(; V,31..LIIqE = 6526 C;P~ '~ t4EIGHT = %~:.'Z? lk~S TEI"IF' = 76. E, DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~{'t3t3~t~ //~t~:(-¥ ~C../~ INSPECTION DATE ADDRESS t-('/O~ -~o,f.~-t,e..- /~,(' PHONENO. 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?: [] Yes [] No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 ~o/g,s~le Party White - Env. Svcs. ~-, Yellow - Station Copy Pink - Business Copy In tot: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME gitfllq~[_9/,. ~{~- ~- _~)~_.,{ [ INSPECTION DATE };~{.q'[ 0l'9 Section 2: Underground Storage Tanks Program [] Routine [~[.Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspect/on of Tank /'}tljla"¢.e~ Number of Tanks /./r Type Type of Monitoring ¢/,..0t,L Type of Piping ~c_l/t'~ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit f~es 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°mplia~c~~lbt_J"~.t.~ · ~/.~~_V=Vi°lati°n Y=Yes N--NO, ,. ~~~...~ Office of Environmental Services (805) 326-3979 B;~si/nes~ Sit~onsible Party White - Env. Svcs. Pink - Business Copy .... ~,~ ' O~cECITY OF BAKERSFIELD~RVi£ ~_~~_,~_D ,.._ OF ENVIRONMENTAL ?ES ~~~r neC~l~15 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 '~'~ '~ 0 ~ ~00 UNDERGROUND STOOGE TANKS- UST FACILITY Page (Chock imm only) D 4. AMENDED PERMIT local use only) ~ 8, TANK REMOVED 400. ~ 6. TEM~RY SITE CLOSURE I. FAClLI~ I SITE INFORMATION N~REST CROSS STREET 401. ~FACILI~ O~ER ~PE D 4. LOCAL AGENCY/DISTRICT' ~1. CORe,TICk ~ 5. ~UN~AGENCY' P~ ~ ~ ~ 0 D 2. INDIVIDUAL ~ 6. STATE AGENCY' BUSINESS ~ GAS STATION D 3. FARM O 5. COMMERCIAL O 3. PARTNERSHIP ~ 7. FEDE~LAGENCY* 402. ~PE D 2. OISTRIBUTOR ~ 4. PROCESSOR O 6. OTHER ~3. TOTAL NUMBER OF TANKS Is fadlity ~ Indian R~ati~ ~ *If ~et of UST a public ag~: name of supe~is~ of RE~INING~"AT~E 4~. tmstlandS?~v ~ _40~ diesis, ~ ~ offi~ ~i~ ~at~ the UST. (~is is the ~ta~ pe~ f~ the tank 4~. ' ' = ' PROPER~ O~ER INFORMA ~.~" ' '"~'. :~'.' II. TI PROPER~ O~ER ~ME ~7. PHONE 4~. ~ILING OR STRE~ ADDRESS ~9. PROPER~ O~ER ~PE ~ ~ 2. INDIVIDUAL ~ 4. LO~LAGENCY/~ISTEICT ~ 6. STATE AGENCY 413. ~.c O~ION ~ 3. PARTNERSHIP ~ 5. COU~AGENCY ~ 7. FEDE~LAGENCY . . ~ ...~ :.. p~.?'..~ ...,~.', .= 414. ~ PHONE 415. ~ILING OR STRE~ ADDRESS 416. CI~ 417. STATE 418. I ZIPGOOE 419. TANK O~ER ~PE ~ ~ 2. INDIVIDUAL D 4. LOCAL AGENCY/DISTRICT ~ 6. STATE AGENCY 420. ~1. c OR~TION ~ 3. PARTNERSHIP ~ 5. ~UN~AGENCY ~ 7. FEDE~LAGENCY I II ' I i: I' W. BOARD OF EQUALI~TION UST STOOGE FEE ACCOUNT NUMBER ~ (TK) HQ 4 4 ~ - Call (916) 322-9669 if questions adse 421. : ..' ?:'.';:: V DieU. u INDICATE METHODS) ~ 1. SELF-INSURED ~ 4. SUR~ BONO ~STATE FUND ~ 10. LOlL GO~T MECHANISM D 2. GUA~EE ~ 5. LE~ER OF CREDIT ~ 8. STALE FUND & CFC L~ER ~ 09, OTHEt: ~ 3. INSU~NCE D 6. BEM~ION ~ 0. STATE FUND t CD 422. VI. LEGAL NOTIFICATION AND MAIENG ADDRESS Ch~ one b~ to indi~te ~i~ add~ should bo us~ for I~al notifim~s and mailing. ~ 1. FACILI~ ~OPER~ O~ER 3. TANK O~ER 423. L~al notifimtions and mailings ~ll be s~l lo the tank ~ unl~ box 1 ~ 2 is ~. ' - . : ~) ~ ' VII. ~PPLICA~T SIGNA~RE I ~ align: ,~.,~th~rmati,~~tmeanda~mtetotheb~tdmykn~ge. N~FAPPLI~NT[pdn,) 426.-~LAP'~T .- 427. 8T~E UST FAOILI~ NUMSER (For local use only) 428. 1 ~8 UPG~DE CERTIFICTE NUMSER (For local use only) 429, UPCF (7~99) S:\CUPAFORMS~swrcb-a.wpd :~.~. CITY OF BAKERSFIELD_ '; OFF~IE OF ENVIRONMENTAL S{~.VICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDEROROUND STORAGE TANKS - TANK OAO6 ~ UPCF (7~) OFFICE OF ENVIRONMENTAL SERVIC 71'S, Cheerer Ave., ~kl~lfleld, CA 93301 (~1) gTg UNOER~U~ ~NG A~UNO SYSTEM ~ ~' i. ~ESSURE ~ ~. SUCTION ~ 3. ~VI~ 4~ ~ 1. ~ESSURE ~ 2. SUCTION ~ 3. ~ 4~ , CONSTRUCrlO~S~E WALL ~ ~. LINED T~ ~ ~. O~ER ~ ~ I. S~N~E WALL ~ ~. UN~ .4~ ~NUFACTUR~f~ 2, ~UGLE WALL ~ ~. UN~ ~ 2. ~UBLE W~ ~ ~. OT~ ]CORROSION ~_ . ~ 2. ST~N~ ~EEL O r. ~V~O ~EEL ~e) ~~N ~ 15. AUTO~UNE~D~OR(3.0~~~~FOR ~ 15. A~O~UNEL~D~OR(3.0~ RESTRIC~N ~ 17. DAILY ~ CHECK ~ 17. DNLY ~S~ ~E~ SI~TURE OF O~~TO~ DATE 470 ~ OF O~E~TOR (p~f) 471 TITLE OF O~E~TOR 4/ I I Perm~ Num~,r (For/oC~ u~ On/)') 475 I PA'mil APPrch'~cl (F~ loci/u~ on/'/) , 4741Pelm~OMe(ForlocIlu~o~y) 47~ UPCF (7/99) S:~CUPAFORMSL.qWRCB-~.WPD CITY OF BAKERSFIELD .~. OFF~ OF ~"W"O~M~"~^~. S-EIkC~S 1715 Chester Ave., Bakersfield, CA 93301 r (661) 326-3979 .... UNDERGROUND STORAGE TANKS-INSTALLATION ..... ' ' '- ........ CERTIFICATE*---ur ~UMFLIAN~I:: One f(~rm per tank - I. FACILITY IDENTIFICATION SU$1NE~ i,~ME (~ al FACILFrY N/kME ~ O~A o (3¢3~, B~ A!) - ~, ....... ........................................................... ?~..?ll Mil B lilJll I" ~- · / - /t ".,_'_i ............... II. INSTALI..~'r~ON h ~ Check a/I ~hat he Installer has been certified by the tank and piping manufa~tumm. e installation has been inspec~cl and certified by a registered professional engineer. ta nstallation has been inspected and approved by the City of Bakersfield Office of Environmental Services... listed on Ih, manufacturer's.!nstallation checldis, has been completed. · . Ilaflon conlra, ct0r,has been certified or licensed by the Contractom State License Board. [] Another method was used aS'allowed by the City of Bakersfield Office of Environmental Services. Ident~t method: III. TANK OWNER/AGENT SIGNATURE · ... ~ ~.. ,.:',.~;; :. ',: P~m ¢ April 4, 2000 Brookside Mkt FIRE CHIEF Mr. Perry Scott RON FRAZE 4700 Coffee Rd AD~'N,SYm',WV~ SERVICES Bakersfield CA 93306 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395.1349 Dear Mr. Scott: SUPPRESSION SERVICES 2101 'H' Street You have been identified as the compliance coordinator for the Snkemfie,d.CA 93301 facility/facilities referenced in the attachment. VOICE (805) 326-3941 FAX (805) 395-1349 The permits to operate this facility/facilities will expire on June 30, 2000. PREVENTION SERVICES 1715 Chester Ave. However, in order for this office to renew your permit, updated forms A, Bakersfield, CA 93301 vOiCE (805) 326-3951 B, & C must be filled out and returned prior to the issuance of a new FAX (805) 326-0576 permit. ENVIRONMENTAL SERVICES 1715 Chester Ave. Please make sure that you are sending the 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 (805) 326-0576 and return' to this office by May 15, 2000. Failure to comply, will result in TRAINING DIVISION a delay of issuance of your new permit to operate. 5642 Victor Ave. Bakemfield, CA 93308 VOICE (805) 3994697 Should you have any questions, please fee] free to call mc at FAX (805) 399-5763 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facili~ Address Bmokside Mkt. 4700 Coffee Road, Bakersfield, Ca 93306 BRC:,OK::~ i VOLUME = clS6',5 ,2AI.S 90~ ULLF~GE= 475! 6:ALS TO \/OLUME = 4382 HEIGHT = 42.?5 1NCHEE, WATER VOL = 0 WATER = 0.00 INC. HES TEM~, = 73.5 [:,E,:S BRO,:7:,}::S 1 the 4?00 ,.'2Ot'f'E F:I', T 2 :UNLEADE.:I;~ 805-586:"' 1'-":":' ULLAGE = 4914 CiAI.f5 HEIGHT = ,:19. CIi-~ ] NC:HE£: t4ATER VOL = 0 ~ WATER =' O. '}FI [ T 3 :PLUS INVEN'["OF?v' RI::Ii":_:'F':'T VOLLIME = 4:344 GhL.~3 ULLAt.~E = 58Fh9 9 Cl~'a LILLAGE= ,1792 TC b'OLLIPIE = 4:3:38 HEIGHT = 42.44 INCHES 1,4ATER VC, L = 0 CALS WATER = O. O0 I HCHEf-:; TEMP = ,90.6, BEG F T L..~LIPREME VOLUHE = 4722 ,3A LL-; LILL&GE 54:30 C'"" o 9EI~'(; IJLLAGE= 4414 HEIGHT = 45.25 iNCHEFS WATER '~ CL = F WATER = I-.00 l TEMP = o~ - ..... bJ [.,EOF CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r° Floor, Bakersfield, CA 93301 FACILITY NAME Q)f'OO~5:~[alr.. t4,~ INSPECTION DATE tt '~'t' 't7 Section 2: Underground Storage Tanks Program [~Routine ~1 Combined ~ Joint Agency ~l Multi-Agency ~l Complaint ~1 Re-inspection Type of Tank lqtO ~'C_.5 Number of Tanks q' Type of Monitoring d_~t4 Type of Piping L'k~olc OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current k~I Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current V Failure to correct prior UST violations Has there been an unauthorized release? Yes No r'tO 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 - F. nv. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~toa¥3tt/t.. MIL4- INSPECTION DATE I{-~ q' f ADDRESS /4700 d~4-(-ce~ '~ PHONE NO.~,6~I - 5'66' '1335f 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 [21 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 ~r Verification of abatement supplies and procedures L/ ,~- Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [] Yes ffNo Explain: ~f.,~. ~~ Questions regarding this inspection? Please call us at (805) 326-3979 B~usiness Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~ ~.~. .-.. ,~ . . ~ ~ . " 'q+' ' ..Confinuou.~: rvlorlttorlnU Doric{ 'Cort;lricafinn -'- ' T.~,,~,~ ~-~.~_...~_ ~,~,.,,~, ,,,. ...... ..'. :untants et Tank .. ' .... ~ = .}f~.. ~ MechaniCal t.~e Lea~ De~ector ~0 ~0 ~0 · : I InTank Oaugi, g Device ,. Does. the'.lurblne, aulomaaceil., y ,hut-~o,vn~ ,f. lhe..sYslen], d{l~;ll_ l~:';''''~'u''~ ~'~ c~'''':~° ~ c: :' ';'':'''''' [T..h:,3Cg.,-~."~r:'.':~':~,:~-,,:~'. ' ~%~ I,~ I[ ~. ~m~ . ~~ · .'~,]. ,' i':. , L D FII 3 February 9, 1999 VIP, F CHII::F Brookside Market & Deli RON ~RAZE 4700 Coffee Rd ADMINISTRATIVE SERVICES Bakersfield, CA 93308 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) 328-0576 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 be in FAX (805) 326-0576 compnance. TRAINING DM$1ON Should you have any questions, please feel free to contact me at 5642 Victor Ave. Bakersfield. CA 93308 805-326-3979. VOICE (805) 399-4897 FAX (805) 399-5763 Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure BAKERSFIELD FIRE DEPARTMENT February 13, 1998 M~HAELR. K~U.V Brookside Market & Deli 4700 Coffee Road ADMINISII~IWESEi~%q~.S Bakersfield, CA 93308 2101 'H' Street Bake~q~l, CA 93,301 (805) 326-3941 FAX (805) 395-1349 ~m~mo~ ~wa RE: "Hold Open Devices" on Fuel Dispensers 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 Dear Underground Storage Tank Owner: FAX (805) 395-1349 n~amo~ sn~.s The Bakersfield City Fire Department will commence with our annual 1715 Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks. Bakers~eld~ CA 93301 (805) 326-3951 FAX(805) 326.~76 The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire 1715 Cheste~ Ave. Department now requires that "hold open devices" be installed on all fuel Bakersfield. CA90301 dispensers. The new ordinance conforms to the State of California guidelines. (805) 326-3979 FAX (805) 326-0~76 The Bakersfield Fire Department apologies for any inconvenience this llLklNING DIVI.~ON 5642 Victor Street may cause you. Bakers~, CA 93,308 (BO6) 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 10-23-1996 09: 43AM FROM b~al l ace&Smi thContractors TO Wallac Smith ' GENERAL CO'NT;RACTO RS F~ COVER SHEET F~NUMBEE: , 5Z6-057¢ FROM: BAETW~,LLACE Number of Pages being: sent incluoing coversneet: we are faxing you: [~] A~ched [ ] 'Sketch [ I Sp~ifications [ ] Immction Bull~in [. I Ch~ge Order Request [ ] Ch~ge Order [ ] R.F.1. [ ] Pay Request [ ] .' For Review & Cogent [ ] Respo~e Required If you do not receive all the pages, or if you have any questions, please call (805) 327- 1436. : THANK YOU 3325 Landco Drive · Bakersfield, California 93308 - (805) 327-1436 Fax (805) 327~,8865 A California Corporation · Lic. No, 481999 10-23-1996 09:43AM FROM Wallace&SmithContractors TO 3260576 P.02 FAX Transmittal Sheet Controi District TO: : Southern I~egionO ffi~e V~c¢: (80i) 862-5200 Company: ~ ~: (SO5) S~-5~0] ' Total Pages (~du~n~ cover page): g ~rd Copy to ~ol[ow g Hard Copy Does Not Follo~ ' ~ Per Our Conversation ~ For Your Information Please Reply ASAP : Comments 10-23-1996 09:44RM FROM ~dat tace&SmithContractors TO 3260576 P.03 Joaquin Valley Unified Air Pollution Control District AUTHORITY TO CONSTRUCT PERMIT NO: S-3IlT. l.0 ISSUANCE DATE: LF.~AL OWNER OR OPERATOR: J~ t~R~s . M~u.~G ADDRESS: 35~s SOV,'M,~ COUaT LOCATION: 47oo COFFE~. ROAD, EQ~_.NT DESC~ON: THR~ W,000 GALLO~ UNDI~R(~ROUI~ e,~O~N~ STOR,~6~ TAZ~$ $~RVED ~Y PHASE ! VAPO~ P~ECOVE~¥ ~¥~ (~-?0~?) .A~D t OASOLANE DISPEN$INO ~qOZZi.~$ SERVED BY 6~cO VA~RVAC ~ II V~ ~CO~Y CO ITIONS 2. ~e ~i~ ~1 ~o~ ~d ~ss a~Dyn~ic ~ck P~ssu~ T~t ~g BAAQ~ Me~ $T-27 wi~ ~ys ~ mifi~ s~-up ~d at l~st o~ce ~e~ five y~ ~er~. 3. ~ ~it~ s~l p~m ~d ~ss a !Vapor ~ T~t using BAA~ Mc~ ST-30 within ~ days ~r . 4. ~ Di~ sh~ be no~ by ~e ~it~ 1~ days prior to ~h .~t. The ~ ~ul~ sh~l suomit~ tO ~e Dis~ no h~ th~ 30 days ~ ~c~ ~t. 5. ~e v~r r~v~_systcm ~d its com~ncnm ~fll be ins~l~, ~mt~, ~d m~n~ in ~ance wi~ ~e Sm~ c~~ofl r~U~cments. TI~ is NOT a PERMIT TO OP~,RATE. Approval or denial of a PERMIT TO OPKIkATR w/il b~ m~l~ after ~m insp~fioa to ve~fy that the equipment has be~n ~mv~. ~d h a~ordance with fac approved plans, specifi~ons and ~mditioas of this Authority to Construct, and to d~tsrmi~ if thc equipment ~ I~ oporat_e~ in ~omplianc~ with all Rules and Regulations of the Sau Jo~iu/n Valley Unifi~i A/r Polh6on Control Dim-/~t. YOU MUST NOTIFY,TI~ DISTRICT COMPIAA~ DIVISION 'AT (8/).5) 862-5200 WHEN CONb'TRU~ON OF THI~ ]~QUIPbi]/NT IS COMPLI/TF~D.' Unle~ ~t m Rule 20~. ~ Aut~dty to ~ct sh~ ~pJte ~ ~pli~tion ~11 ~ ~ ~ y~ ~m ~e &~ of DAV~ L. CROW, EXEC~VE DI~O~O ~ ~ ~. ..... ..~ ~ . ...~ ~em ~ Offi~ ~7~ M S~t, Sui~ 27~ *~eld, ~li~m~ 93301 ~ UNDERGROUND STORAGE TANK-INSPECTION Bakersfield Fire Dept. !!i Bakersfield, CA 93301 FACILITY NAME Rt-oo~_.,~Jo !1~r~4 ~- ncJ[ BUSINESS I.D. No. 215-000 I '/.,,cf,, k FAClLITY ADDRESS z/~7~O ~e-(~.~_ ,~. CITY FACILITY PHONE No. ~D~ ~D~ ~D~ INSPECTION DATE . . '~ Product Product Product TIME IN TIME OUT 17~e~,,{ ~.~r~ Or.. 't'- 1~,~ EL. Inst Date Insl Date Ins{' Dale INSPECTION TYPE: I~/ 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 V~' I b. Form C Submitted V~ lc. Operating Fees Paid V 1 d. State Surcharge Paid V' la. Statement of Financial Responsibility Submitted 1 f. Written Contract Exists between Owner & Operator to Operate UST V 2a. Valid Operating Permit 2b. Approved Written Routine Monitoring Procedure ,V 2c. Unauthorized Release Response Plan V~' 3a. Tank Integrity Test in Last 12 Months ~C~ ~ lt~f~';~, V 3b. Pressurized Piping Integrity Test in Last 12 Months V 3c. Suction Piping Tightness Test in Last 3 Years 'V 3d. Gravity Flow Piping Tightness Test in Last 2 Years V 3e. Test Results Submitted Within 30 Days ~/' 3f. Daily Visual Monitoring of Suction Product Piping V 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 6. Monthly Statistical Inventory Reconciliation Results V' 7. Monthly Automatic Tank Gauging Results V 8. Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. Mechanical Line Leak Detectors V~ 12. Electronic Line Leak Detectors 13. Continuous Piping Monitoring in Sumps 14. Automatic Pump Shut-off Capability 15. Annual Maintenance/Calibration of Leak Detection Equipment ~o,J~x,n¢~, V~' 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series V/ 17. Written Records Maintained on Site 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 Repairsand Upgrades V~ 21. Records Showing Cathodic Protection Inspection 22, Secured Monitoring Wells Drop Tube 23. RE-INSPECTION DA~'~E ,~ RECEIVED BY: INSPECTOR:"'~ /~~ OFFICE TELEPHONE No. FD 1669 (rev. 9/95) HAZARDOU~ MATERIALS ' kersfield Fize Dept. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed Business Namei ~t~olC~t~ /t~vf~- ~' Location: qZO0 /,~c- /2~. Business Identification No. 215-000 i"/5-(~(Top of Business Plan) Station No. Shift Inspector Zr{gC-r._. r.J~-rm,,~~ Arrival Time: Departure Time: Inspection Time: Adequa. te Inadequate Adequate Inadequate Address Visable ~ r'l Emergency Procedures Posted 133f [] Correct Occupancy ~ E! Containers Propedy Labled 63/. [] Verification of Inventory Materials ~ r-I Comments: Verification of Quantities DI/' [] Verification of Location (3/, ¢1 Verification of Facility Diagram 131/ 13 Proper Segregation of Matedal 13' r'l Housekeeping ~ [] Fire Protection ~ D Comments: Electrical B3/ El Comments: Verification of MSDS Availablity ~ [] Number of Employees: {5~' UST Monitoring Program Oi]/ [] Comments: Verification of Haz Mat Training Ig/ r"l Permits 03/ El Comments: Spill Control 131/ [] Hold Open Device ~ [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures 13`/ El Proper Waste Disposal ~ El Comments: Secondary Containment i3f"",, [] Security B3'/ [] Special Hazards Associated with this Facility: Violations: IJ'_.. ~ d I ~',,'°r /.y // ,/'K) ¢ Z' (' / All Items O.K Business Owner/Manager PRINT NAME ' ~'SI'-"G"'NA~UI~' ' Correction Needed [] White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy La_ B. hereby cert/fies that it is in compliance with the requirement~ of ~ection 2807, Article 3, Chapter 18, Division 3, 7'[tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: i Note: If you are using tl3e ~ate Fund as any part of your dernonst/ation of financial responsibility, ~ur execution and subrniss~on of this cerlfEcation also certifies that you are/n comDliance with all conditions for participation in the Fund. D. Pacfli~yNmno ~ Fm:flity Add~ess F~fli~Nme " Fm:ili~ Addrzm ty Name Fm:fli~y Address Pm:l~i~ Nm~o Fm~TyAddren INSTRUCTIONS C~L'ZFZ~3L2ZON OF FINANCIAL RESPONSZBZLZ2Y FORM PLease type or print cLearly aLL ~'nf°rmtion on Certification of Financial ResIxx~ibiLtty f0m.- ALL UST facilities mlCI/or aites,mr~d or operated may be Listed on one form; therefore · separate certificate is not required for each site. DOC~4ENT INFORld~T iON · .. ~ Required - Check the appropriate boxes.. Il. liaae of Tank O~,~er - Full name of either the tank o~ner or the operator. or Operator C. Nedainisa~ l'~q~e - Indicate ~hich State approved mechanism(s) are being used to show financial responsibility either as contained in the federal regulations, 40 CFE, Pert 280, Sui~art H, Sections 280.90 through 280.103 (See Financial Rponsibility Guide, for ·ore infor~aation), or Section 2802.1, Chapter 18, Division 3, Title 25, CCI~. Ila.e of Issuer - List all na~e~ end addresses of companies and/or individuals issuing coverage. Nechanis~ Ii~ber - List idenl:i~n~ nunber for each mechanism used. Example: insurance policy nunber or file nunber as indicated on bond or doctxnent. .(If using State Cleanup Fund (State Fund) leave blank.) Coverage Am~t - Indicate amount of coverage for each type cf mechanism(s). If more than one mechanism is indicated, total must equal lOOg of '~financial responsibility for each faci[ity. ~ Period - indicate the effective date(s) of aLL financial mechanism(s). (State F~td coverage would be continuous as tong as you maintain compliance and remain eligible to continue participation in the Fund.) Corrective Action - indicate yes or no. Does the specified financial mechanism provide covepage for corrective action? (~f using State Fu~d, indicate -yes".) Third Part~ - indicate yes or no. Does the specified financial mechanism provide coverage for Comm,,mi:ion third party compensation? (If using State Fund, indicate "yes".) D. Faci[itT' - Provide all facility and/or site names and addresses. lnfor~tion E. Signature Block - Provide signature and date signed by tank o~ner or operator; printed or typed na~e and title of tank o~ner or operator; signature of witness or notary and date signed; and printed or typed name of ~itness or notary (if notary signs as witness, please place notary seal next to notary~s signature). ~ to ail Certification: PLease send original to your LocaL agency (agoncy who issues your UST permits). Keep s copy of the certification at each facility or site Listed on the form. If you have questions on finanCia{ ~esponsibiLity requiremonts or on the CertifiCation'of-Financi'a'[''' ~ .'. ResponsibiLity Form, please contact the State UST CLeanup F~d at (916) 7'59-2475. Note: Pa[ties for FaiLure to C~q~[¥ with Financial lieslx~sibitit7 Requirements: FaiLure to comply ~ay result in: (1) jeopardizing claimant eLigibiLity for the State UST CLeanup F~d, and (2) [isbility for civil penalties of up to $10,000 doLLars per day, per underground storage tank, for each day of violation as stated in ArticLe 7, Section 252~9.76(a) of the California HeaLth and Safety Code. EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Sel'~'ices within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the Change. Required by Sections 2632(d) and 2641(h) CCR~ Facility Address ' t4700 (2Olf'~e~ ~d. 0'4~a[5~(.~f ~,a, 1. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion ba_?ard,' are not cleaned up from the secondary containment within 8 hours, or deteriorate the secondary contaimngnt, then the Office of EnCronmental Services must be notified _ within 24 hours. disposing of any hazardous substance.. ~.tz~_ . _ 3. De_scri,be llhe location, and av, ailability of the requ. ired. cle~up equipment in item 2 above. ?4 hoot' l~c4l ? . 4. Describe the maintenance schedule for the cleanup, equipment: ne.gr~le~t~ / ffr~o~a,I /~_~s '- 5. List the name(s) and title(s) of the person(s) resoonsible for authol:izing any work nece~ssal~undert~responseplan~: _f)D_H ,.~~/'4~' IJ-~, (AJ,8~/~ ,3.e40't~,~ P're9 P4t.,, l-'M ee r4- ~4r.t~ ' WRITTEN MONITORING PROCEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. Facility Address A. Desc~be the ~equency of peffomg the mo~to~g: T~ ~/Iv Pip~g g ily B. What methods and equipment, identified by name and model, will be used for perfoming the monitoring: Piping C. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintainin~ the equipment: E. Reporting Format for monitoring: Tank ~,~1 ~'~ Piping F. Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the .m?nufactUrer's maintenance schedule b~tpnot less than .e~yery 12 months. II . 30,,t &g :teda. &fu ts G. Describe the training ne.cessatiy for the operation ofU. ST.system, in.clufling piping, and the momtonng eampment: ..... SE NSOt~: ALARI'-'I L 1 :REGLILRR ANI'IULAR SPACE FUEL AL. ARI"I JAN 1, 1997 '2 ~- -,~ I,-~ 1) 1 E~: F:L 4700 COFFEE F:[:, ~N 1. l'~q7 '2:d':~ l:>l"l 805 588-- 1 L 6:UNi. ERDED PLU~ J~N 14. 199'Y 12:55 PPI ~TP ~LII~'lP FUEL JRN 1 19?7 2 ' ~YElq ~TRTUS REPoFfr ~LL FUNC:TION$ NORPI~L - ........SEI'.{[301:~ ~L~;I,'I L 12: D I ESEI.. STP' ~ PIP Fl_lEI.. J~l',i l. 1997 2:5l L 5 :I_INLE~DED P I P I NG SL.II"lP FUEL SENSOR aLaRl"l ........ JaN 1 1997 '~:56 PPI L ( :~ I ESEL JAN 14.. 199? 1: 55 PP] ...... SEI',JSOt~ FNL~RI'.'I ........... L 10: D I FLIEI.. J~N 1 . i 99? '2:5'2 F'I"I ....... L q:LINLE~DED PLUS ANNULAR -FIJE~ ..... SEI',t,:2(>~: F~I.~RI"{ ....... J~N 1. 1 ~97 2: 57 PPI JaN 14. 1997 1:5i~ F-'PI ....... SENSOR AI..aRP1 LI 1 :I)IESEL F'.I p l fig SLIPI[' Y ~ ALARP1 ~ 1.. 1997 '2:5B F.'H , '~-.- ,_,E~ .... R ~, cz-Ce ...... L 9:SLIPREP1E 92 STP SUPlP FUEL ALARP1 ...... SiF:I'.I;v;OK' Fi[..F~I::PI J~N 1 .. 1997 2 ~7 L e, :Li[qI_.E~I)ED F'L.I.J'.}; STP FUEL ~I~AI~'.'I JAN 14 · 199? 2:05 PPI ...... SENSOR ALARP1 ......... L ,.~: REGL LAR STP S UI'tF' FUEL ALARI"I JAN 1.. 1997 '2:54 PPI .......... ~ENSOR F~LaRI"I ........ L 8:SUPREPIE 92 ~ ~ PIPING S UI¥IP FUEL. ALARP1 c'-' ' °C' ~ _9,, 2:58 PPi ..... ,_,kli._,.,'k [::~L/:IF;I"I - - .Jfll'~ i. l ct L 9: SLIt::'REI'"IE 92 FUEL ALAI.:~t"I --~ ,~t.:NSOR · ]~N 14. 1997 2:10 1:'I'1 "' P 1F'l NC; ;3UPlP FUEL F~LaRP1 JAN 1, 1997 2:54 ["P1 ........ SENSOR ALAR'F'I L '7 :SUPE'E[qE 92 [~NNUL~R SF'ACE FUEL ALARP1 JAN 1 1997 '2: 58 PPI L1:3: DfSPEN:BER DISPENSER FUEL JAN 1 · t97¢7 2:45 t:'I'1 SENSOR ALARM ......... L1,4 :DISPENSER 3-4 D I SI::'ENS:ER PAI~I FUEl_ RLRI;tM JAN t., 1997 2: ,'16 F:'I"I _ RRECTION NO CE BAKERSFIELD FIRE DEPARTMENT ,~,J::02738 ;. Sub Div. Blk. . Lot You are hereby required to make the following corrections ~. at the above location: C~r. No J Completion Date fo,' Corrections "~S ~3CF4: 7~, ,~:,-~ L ' 326-3051 OFFI~_ OF ENVIRONMENTAL SE~tCES INSPECTION RECORD POST CARD ~,T JOBSITE INS~UCTIONS: Ple~e ~11 ~r an ins~r onN when ea~ group of ins~ons w~ ~e same numar are ma~. They will run in ~nsecu~e order ~ginning w~ numar 1, ~ NOT ~ver work ~r any num~md group until all ~ms in ~at group are signed off by ~e Perm~ng Aurora. Following ~ese ins~u~ons wile redu~ ~e numar of required ins~on vis~ and ~ere~m prevent ~sessment of add~onal ~es. TANKS AND BACKFILL ~11 of Tank(s) S~rk Test Ce~on or Manu~res Me.od Ca~odic ProlCon of Tank(s) PIPING SYSTEM Piping& Raceway w/Collection Sump Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cafhodic Protection System-Piping SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION Liner Installation - Tank(s) Liner Installation. Piping Vault With Product Compatible Sealer ~, Level Gauges or Sensors, Float Vent Valves /,.'k/'~ 7 · ~~ Product Compatible Fill Box(es) {'/'C/~ ? ~=F~~~ Leak Detector(s) / / ~ [~' 7 ~~ Product Une _1 Leak Detector(e) for Annular Space-D,W. Tank(s) //=/~ 7 ~.../~ Leak Detection Device(s) for Vadose/Groundwatar FINAL Monitoring Wells, Caps & Locks Fill Box Lock ~.~ Monitoring Requirements CONTRACTOR LICENSE CONTACT PHONE Richard DiMaggio President Bakersfield Fire Oe~ O~ICE OF E~IHONMENT~ UND~ROUND STOOGE T~K ~ N~ FAC~ ~ MOD.1F~A~ON OF FAC~ ~ N~ 7AN~ I~TAL~ON AT ~TING FAC~ ST~NG DA~ P~POSED COMPL~ON FACI~ NAME I ~ ~N~ FACEI~ PERMIT No. ; ~ACILI~ ADDRE~ ~PE OF a~INESS APN TANK OWN~ PHON~ N°. ~ODRE~ CON. ACTOR ADORES5 CI~ ~~ mD COO~ ~7 PHONE No. BACkfIELD C[~ BUS[N~ LICENS~ WORKMAN COMP: No, ~ INSUREg .~,. BREIFLY DESCRIBE THE WOrK TO B~ DONE WA~ER TO FACIL]~ P~OVID~D BY. ~~ ~~ DE~H TO ~ROUaO W~T~ ~ 'i'LT~~ '~O~L me~ No, OF TANKS TO BE INSTALLED _. ~ ARE THEY FOR MOTOR FUEL ,~YES ~ NO SEt, ON FOR MO~OR FU~ TANK No. VOLUME UNLEADED ~E~U~R PtEMiUM DIESEL AVIAT~N ~ /0 ~ ~m ,.. SECTION FO~ NON MOTOR FU~STO~AGE TANKS TANK No. VOLUME CHEMICAL STORED CAS No. CHEMICAL PREVIOUSLY (~ ~a name) (ir known} STO~ED :~..~.~ ~.:~,,: ~..,~. ,...~; .:~.:-:,~..~ .~ . .~ ,~;~. .... ~:~ .~..~:-.-~---~ .:~ ~ ~-. ~. ' , , ~.~ ,,. ,, ~=,~..~ ..... ~ .. ~.~,...~..~ ........ ~:,~ ~;''~'''~~ ~:~..,~.~..,. .... ~ ~,-;., ~ .... ~ ......... ~.,:.~ :.,. ,.~.~ ,..,., . ~:~ ...... THE A PPtlCAN[ HAS RECEIVe. UND~TANO[ AND WILL COMPLY W~ ~E A~ACHE~ CONOI~N~ OF ~15 P~RMIT AND ~NY STA~. LOCAL A ND;EDERA L REGULATIQNS. ~PP~OVED BY: APPLICANI NAME (PRIND ~PPUCANI SIGNATURE THIS APPLICATION BECOMES A PERMff WHEN APPROVED PERMI~ NO. ~akersfield Fire Dept OF ENVIRONMENTAL SERVIO~S RGROUND STORAGE TANK PROGRAM PERMIT-APPLICATION T~CONSTRUCT/M_ODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) ;.~NEW FACILI~ ~ MODIF[~A'TI'ON OFFACILi~ ~ NEW TANK INSTALLATION AT EXISTING FACILI~ STARTING DATE ~'-~--~ ~ PROPOSED COMPLETION DATE FACILI~ NAME .~~ ~5 EXISTING FACILI~ PERMIT No. FACILI~ ADDRESS ~ CO~' ~b ~Z5~i~/2 ~ c~ ZiP CODE ~PE OF BUSINESS ~)/'~c/lC~l~(~ ~~ APN TANK OWNER ~~ ~/~.5 PHONE No, CONTRACTOR ~o~0~.i~~ CA LICENSE No, '7~ PHONE No. ~G~G~ BAKERSFIELD CI~ BUSINESS LICENSE No, ~7~ ~'~//~ BREIFLY DESCRIBE THE WORK TO BE DONE /~~~ g~/~ ¢~g~4~ ~,~- WATER TO FACILI~ PROVIDED BY' C'~CiF.' ~)~ DEPTH TO GROUND WATER ~1~ /~~~ SOIL ~PE EXPECTED'~ff:'SITE ~/fl~/ No. OF TANKS TO BE INSTALLED ~ ARE THEY FOR MOTOR FUEL -'~ES Q NO SECTION FOR MOTOR FUEL TANK No. VOLUME UNLEADED ~~ PREMIUM DIESEL AVIATION SECT1ON FOR NON MOTOR FUELSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED CAS No. CHEMICAL PREVIOUSLY (no Drana name) (if Rnown) STORED THE APPLICANT HAS RECEIVED, UNDERSTANOS, AND WILL COMPLY WITH THE A~'ACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS. THIS FC~RM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT. APPROVED BY: APPLICANT NAME (PRINT) · THIS APPLICATION BECOMES A PERMIT WHEN APPROVED Underground Piping April I, 1996 Total Containment's Primary Piping Syste. m "Omniflex Retractable System Uncuffed Dispenser Sump Multlslded Tank Sump A proven alternative to rigid fiberglass piping, Omniflex IITM coaxial double wall piping may be used in a retractable or direct bury system. Its design incorporates continuous piping runs from the storage tank to product dispensers with all fittings visible and accessible from above ground. Enviroflex® secondary piping is sized to allow for removal of Omniflex II" primary pipe for inspection or replacement without excavation during the life of the system. When used with Total Containment's tank sumps, dispenser sumps, and fittings, Enviroflex® and Omniflex Ir' offer the most environmentally safe flexible piping system in our industry. [] Primary Branch Fittings ~iiiiii~ii!ii!ii!iii?~i!~!i!ii!~!ii!iiii~ii{!~i~iiiii!;i:~iii~i?~iii~iiiiiiiiiii!i!iiii~iiii[~i[ Fittings used in sumps. The female NPT opening on a "tee" iiiii~iiiii:~i}iii}~:. :!i!~::~ \ accepts a steel riser pipe which threads into the base of the n g ·~ Fitting used in termination dispenser sumps. The female NPT opening accepts a steel riser pipe which threads into Top View of Layout the base of the shear valve. ~ Secondary Seal for Cuffed Sumps-thOr shown) [] Omniflex Primary Pipe Seal used for secondary pipe penetration on cuffed tank Flexible pipe run in continuous lengths between sub- sump or dispenser sump. Includes air stem for testing, mersible pumps and dispensers, stainless steel clamps and pipe stiffeners. []Secondary Containment Pipe [] Secondary Bulkhead Fitting Corrugated flex pipe run in continuous lengths between Fitting used to seal Enviroflex secondary pipe penetration tank sumps and dispenser sumps to provide secondary, on uncuffed tank sump or dispenser sump. Includes air. containment of primary pipe. stem for testing, stainless steel clamps and pipe stiffeners. ~ Omniflex Primary Coupling ~ Test Donut Coupling installed on each end of the flexible primary pipe Donut used with bulkhead fittings and compression sea by certified contractor, allow p~ma~ and secondaw pipe ro be tested simultaneously. ~ Primary Coupling Washer Washer used with each primary coupling to seal Enviroflex primary pipe joints. ~ Primary Adaptor Adaptor used to transition Enviroflex Coupling to NPT opening on pump or ball valve. PS P4(X).02 (2 of 4) Underground Piping April I, 199~ Total Containment's Primary Piping System "Omniflex Direct Bury System Uncuffed Dispenser Sump Multtstded Tank Mounting Flange Sump Omnlflex I F' coaxial double wall piping is an excellent alternative to rigid single wall fiberglass pipe. Its design incorporates continuous piping runs from the storage tank to product dispensers with all fittings visible and accessible from above ground. Omniflex II utilizes the same primary fittings used with Enviroflex* thus proven effective at over S,O00 installations. When specified with Total Containment's tank sumps, dispenser sumps, and fittings, Omnifiex II offers the most effective and cost-efficient piping system in our industry. [] 90° Fitting Fitting used in termination dispenser sumps. The female :::: ~:i NPT opening accepts a 1-1/2" steel riser pipe which threads into the base of the shear valve. [] Bulkhead Fitting \ \ :::i:i :'::.:ii' Fitting used to seal Omniflex II pipe penetration on uncuffed tank sump or dispenser sump. Includes 300 series stain- ~"~ . less steel clamps. Top View of Layout [] Omniflex II Test Boot Boot used to seal and integrity test the interstitial space of [] Omnifl ex IF' Co axial Pipe Omniflex II pipe. Includes 300 series stainless steel clamps. Flexible pipe run in continuous lengths between sub- mersible pumps and dispensers. "II" designates second [] Nylon Test Tube Kit generation pipe with up to 100% alcohol compatibility. Kit used to air test the interstitial space of Omniflex II pipe in Can be used for suction applications, both tank sump and terminating sump. Includes 36" piece of 10mm tubing, 1/4" brass valve, nylon elbow and clamps. [] Omniflex II Coupling Coupling installed on each end of coaxial pipe by certified [] Nylon Flow Tube Kit contractor. Kit used between Omniflex II test boots in intermediate sump to interconnect interstitial space. Includes 13" piece [] Coupling Washer of lOmm tubing, 2 nylon elbows and clamps. Washer used with each coupling to seal Omniflex II pipe joints. [] Single Adaptor Adaptor used to transition Omniflex II Coupling to NPT opening on pump or ball valve. [] Branch Fittings Fittings used in sumps. The female NPT opening on the TEl500 accepts a 1-1/2" steel riser pipe which threads into the base of the shear valve. DA4000 has 2" male NPT threads that adapt to submersible pumps or 2" ball valve. PSP400.02 (3 of 4) Underground Piping April I, 1996 Total Containmen. t's Primary Piping System "Enwroflex®'' Retractable System Uncurled Dispenser Sump Multislded Tank Sump Enviroflex® is a proven alternative to rigid fiberglass piping. Its design incorporates continuous piping runs from the storage tank to product dispensers with all fittings visible and accessible from aboveground. Enviroflex secondary piping is sized to allow removal of the primary pipe for inspection or replacement without excavation during the life of the system. When used with Total Containment's tank sumps, dispenser sumps, and fittings, Enviroflex offers the most environmentally safe flexible piping system in our industry. [] Primary Branch Fittings Fittings used in sumps. The female NPT opening on a "tee" accepts a steel riser pipe which threads into the base of the [] Primary 90° Fitting ' Fitting used in termination dispenser sumps. The female NPT opening accepts a steel riser pipe which threads into Top View of Layout the base of the shear valve. [] Secondary Seal for Cuffed Sumps-(not shown) [] Enviroflex Primary Pipe Seal used for secondary pipe penetration on cuffed tank Flexible pipe run in continuous lengths between sub- sump or dispenser sump. Includes air stem for testing, mersible pumps and dispensers, stainless steel clamps and pipe stiffeners. [] Secondary Containment Pipe [] Secondary Bulkhead Fitting Corrugated flex pipe run in continuous lengths between Fitting used to seal Enviroflex secondary pipe penetration tank sumps and dispenser sumps to provide secondary on uncuffed tank sump or dispenser sump. Includes air containment of primary pipe. stem for testing, stainless steel clamps and pipe stiffeners. [] Enviroflex Primary Coupling [] Test Donut Coup ling installed on each end of the flexible primary pipe Donut used with bulkhead fittings and compression seal to by certified contractor, allowprimary and secondary pipe to be tested simultaneously. [] Primary Coupling Washer Washer used with each primary coupling to seal Enviroflex primary pipe joints. .~ ,';)~fi~?:'?'-',: ~:'';':''' '~ ' ;','~', '~", ~ Primary Adaptor i. Adaptor used to transition Enviroflex Coupling to NPT opening on pump or ball valve. PSP400.02 (1 of 4) Underground Piping April I, 1996 Total Containment's Primary Piping System "Omniflex Retractable System Uncuffed Dispenser Sump Multlslded Tank Sump A proven alternative to rigid fiberglass piping, Omniflex II" coaxial double wall piping may be used in a retractable or direct bury system. Its design incorporates continuous piping runs from the storage tank to product dispensers with all fittings visible and accessible from above ground. Enviroflex® secondary piping is sized to allow for removal of Omniflex II" primary pipe for inspection or replacement without excavation during the life of the system. When used with Total Containment's tank sumps, dispenser sumps, and fittings, Enviroflex® and Omniflex II" offer the most environmentally safe flexible piping system in our industry. [] Primary Branch Fittings !iii iiii ii iii!i iii` iiii? iii i iiiiii : iii ! ? !iiiii i i ? ii j Fittings used in sumps. The female NPT opening on a "tee" ~:!:~:~1 \!ili~!i':l~ accepts a steel riser pipe which threads into the base of the J~;}ii!ii}!}ii!}!i?ii}i}i}i}i~}i~iiii}i}~}~:}i}iiii?~!ii?~ili?~ shear valve. Ji!iiiiiiiiiiiiiiiii!}iiiii?~ii i iii!iii!i!iiiiiiii!iiiiiii!i~x~x, [] m rim a r y 9 0° F i t ti n g ·' ~ Fitting used in termination dispenser sumps. The female NPT opening accepts a steel riser pipe which threads into Top View of Layout the base of the shear valve. [] Secondary Seal for Cuffed Sumps-(not shown) [] Omniflex Primary Pipe Seal used for secondary pipe penetration on cuffed tank Flexible pipe run in continuous lengths between sub- sump or dispenser sump. Includes air stem for testing, mersible pumps and dispensers, stainless steel clamps and pipe stiffeners. []Secondary Containment Pipe [] Secondary Bulkhead Fitting Corrugated flex pipe run in continuous lengths between Fitting used to seal Enviroflex secondary pipe penetration tank sumps and dispenser sumps to provide secondary on uncurled tank sump or dispenser sump. Includes air. containment of primary pipe. stem for testing, stainless steel clamps and pipe stiffeners. [] Omniflex Primary Coupling [] Test Donut Coupling installed on each end of the flexible primary pipe Donut used with bulkhead fittings and compression se~ to by certified contractor, allow p~maw and secondaw pipe to be tested simultaneously. ~ Primary Coupling Washer Washer used with each primary coupling to seal Enviroflex primary pipe joints. ~ Primary Adaptor an i ion Couplin : TOTAI' opening on pump or ball valve. ~:~. ?sP4tx).02 (2 of 4) Underground Piping April I, 1996 The following lists are references for chemical compatibilities of Total Containment Inc. primary pipes as listed by Underwriters Laboratories Inc.® Petroleum Primaries (PP2500) ref. UL® test report MH16395 Appendix · Premium Unleaded Gasoline' · Regular Unleaded Gasoline · No. 2 Fuel Oil · ASTM Reference Fuel C · No. 6 Fuel Oil, conducted at maximum rated pipe temperature · Toluene · Distilled Water · Sulfuric Acid (pH-3) · Saturated Sodium Chloride · Hydrochloric Acid 1% · Nitric Acid 1% · Sodium Carbonate - Sodium Bicarbonate Solution (pH-10) · Sodium Hydroxide Solution (pH-12) · Air Oven Aging at 70° All fluids, except No. 6 Fuel Oil, are to be maintained at 38°C. Alcohol Primaries (PP1 501 & PP2501 ) ref. UL®test report MH16421 Appendix · Premium Unleaded Gasoline · Regular Unleaded Gasoline · No. 2 Fuel Oil · ASTM Reference Fuel C · No. 6 Fuel Oil, conducted at maximum rated pipe temperature · Toluene · Distilled Water · Sulfuric Acid (pH-3) · Saturated Sodium Chloride · Hydrochloric Acid 1% · Nitric Acid 1% · Sodium Carbonate - Sodium Bicarbonate Solution (pH-1 O) · Sodium Hydroxide Solution (pH-12) · Methanol 100% · Ethanol 100% · Methanol 50% + Reference Fuel C 50% · Ethanol 50% + Reference Fuel C 50% · Methanol 15% + Reference Fuel C 85% · Ethanol 15% + Reference Fuel C 85% · Ethanol 10% + Reference Fuel C 90% · Ethanol 30% + Reference Fuel C 70% · Heat only conditioning at 38°C .-~ .-. · Air Oven Aging at 70°C · '~.~' .CONTAIN MENT~¢~i~,. All fluids, except No. 6 Fuel Oil, are to be maintained at 38°C. PSP400.05 Underground Piping April I, 1996 ?:..'? ,'-' . TCI Summary Primary Features Products: · Enviroflex® Flexible Primary Piping .-:~.~r~_= _ ~¥b.[ /~' PP3,501, PP2501, PP2500 (Retractable) Total Containment offers the most flexible piping with proven UL/ULC industry listings MH16395 and CMH1385. 50 PSI MAX WP DE4 050395 INSTALL ACCORDING TO NFPA30 & TCl INSTRUCTIONS UNDERWRITERS LABORATORIES INC® LISTED MH16395 NO A-203 NONMETALLIC UNDERGROUND PIPING FOR PETRO- LEUM PRODUCTS ALCOHOL & ALCOHOL-GASOLINE MIXTURES USE WITH MODELS FC1500 DA4000 TEIE00 SA4000 EL1500 & WS1000 FITTINGS OmniflexTM Flexible Primary Piping CP1S01 (Direct-Bury) Total Containment offers CP1501 with proven UL/ULC industry listings, MH16395/CMH1385, for both the pri- mary pipe and secondary containment. QUNDERWRITERS LABORATORIES INC.e LISTED UN- DERGROUND CARRIER PIPING FOR PETROLEUM PRODUCTS ALCOHOLS & ALCOHOL GASOLINE MIX- TURES A-203 MH1639B 50 PSI MAX WP DE4 070795 FOLLOWTCI INSTALLATION INSTRUCTIONS USE WITH MODELS FC1500 DA4000 ELIB00 SA4000 FITTINGS Piping Couplings FC1500/FC2500 (Enviroflex®) Total Containment offers a corrosion resistant brass coupling with a swivel connection for easy connec- tion and disconnection from system components. No elastomeric seals are required. :; ?::::::~ ;~:; Total Containment offers a corrosion resistant brass :ii::i; coupling with a retractable swivel connection, this feature allows adjustments for cleaning, and easy connection/disconnection from other system com- ponents. No elastomeric seals are required. PSP400.~ (1 of E) CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 171,5 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 Official Business t ~. C~l Print your name, address and ZIP Code here ·CITY OF BAKERSFIELD FIRE DEPT. · OFFICE OF ENVIRONI~I~TAL SERVICES 1715 CHESTER AVENUE, SUITE 300 BAKERSFIELD, CA 93301 RENDER: . ~' I al~wish to receive the Complete items 1 ,~or 2 for additional services. ' Complete items 3t4a & b. follotservices (for an extra ~ · Print your name a--dress on the reverse of this form so that we can fee):-- return this card to you. · Attach this form to the front of the mailpiece, or on the back if space 1. ~ Addressee's Address does not permit. · Write "Return Receipt Requested' on the mailpiece below the a~icle number 2. ~ Restricted Delivery · The Return Receipt will show to whom the a~icle was delivered and the dar delivered. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number DON JEF~IES 4b. ~~--~ JEF~IES BRO~RS, [~C. ~ Registered ~ Insured 3535 BO~ CO~T ~Certified ~ COD ~[ ~RSFIE~ CA 93308 _~ Exnres~ Mail ~ Return Receipt f°r ~~ --- Merchandise 7~ Date of D~l~~er~ ~ 5. S~nature (Addressee) 8. AddreSSee's Address (~ly if requested ~ ~ and fee is paid) ~ 6. atur ( g~~ PSForm 3811, December 1991 ,u.s. GPO:1~2-714 DOMESTIC RETURN' RECEIPT BAKERSFIELD FIRE DEPARTMENT October 18, 1996 FIRE CHIEF MICHAEL R. KELLY Don Jeffries ADMINISTRA/ll/E SERVICES Jeffi'ies Brothers Inc. 2101 'H' Street 3535 Bowman Court CERTIII~D Bakersfield, CA 93301 (805) 326-3941 Bakersfield, CA 93308 FAX (80,5) 39,5-1349 Dear Ms. Jeffries: SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 It has come to our attention that underground storage tanks have been FAX (805)395-1349 installed, or are in the process of being installed at 4700 Coffe~ Road without a permit. You have not received a permit for this installation or submitted suitable PREVENTION SERVICES 1715 Chester Ave. drawings from which to complete the permit application process. This in dir~-t Bakersfield, CA 93301 violation of Chapter 6.6 of the California Health and Safety Code. (1305) 326-3951 FAX (805) 326-0576 You are hereby ordered to cease any further work on the installation of ENVIRONMENTAL SERVICES these tanks until a review of your drawings is complete and approved and a permit 1715 Chester Ave. Bakersfield, CA 93301 to install these tanks is issued by this office. (80,5) 326-3979 FAX (805) 326-0576 Sincerely, TRAINING DIVISION~.~.~~ 5642 Victor Street Bakersfield, CA 93308 (805) 399-4697 FAX (805) 399-5763 ph E. Huey Hazardous Materials Coordinator REH/dlm cc: Joel Mundorf, Wallace & Smith Wallace & Smith Field Supervisor ~ ~ FAX Tr~[Ihsmittal B~A K F R $ F I F L D Cover Sheet CALIFORNIA Bakersfield Fire Dept. Or'ce of Environmenta! Services 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (805) 326-0576 · Bus No. (805) 326-3979 Today's Date [q/~7,J¢~ Time 0_~:5'0 No. of Pages TO: FAX No: ~ ~L~L- 3.0-.~7 FROM: /'7) ~%LL --~,~ Bakersfield Fire Dept. · Office of Environmentai..Services COMMENTS: '-f~_-~9' '~J-eee ~,,~a_-~ ,~h)e_ ~ 1. Colicrete ~.,~.' i~ · - A. U.B.C. Standard'No: 27-13, Ready,miXed Cam~ 2. Connections 'A.-U.B.C~ Stmidard.N~ ' ': "" '"" "' '' "~:' '~':" '::' '"'~ '~: "' · 27-7, H~gh-strengthBolling ~, -,~. , - ,~ 3. Firep~'' ' .... ' ....... '"" '~ ' ....... :'~'"~" ~' A. U.B.C. Standard No. 43-8, Thickness and Densi~ Determination applied Firep frog " ., ~,~: .... -~ ., ',' ob n .a t. te application therefor in writing on a form furnish _e:d.by th~. C~..en~...m~..~t ..ag ~,Cy. for .that pu .,r!~ose: Every such application shall: , ' ~.' ..... · ..... ~ 1 ~ Identify and describe'the work to be co~ered by fl~e permit for which .applica- tion is made. 2. Describe the land on which the proposed'wod~ is ......... ' ~'~;~"~- to be done,by, legal descrip; tion, street address or similar description that will readily identify and de. fm!~ly locate the proposed building or work. 3. Indicate the use or occupancy for which the pm~l w°~k is' int~nded. 4. Be accompanied by plans, diagrams, computations and specifications and other data as required in Subsection (b) of this section. 5.' State the valuation of any new building Or stmcuue Or'.any ~tion; remodel- lng or alteration to an existing building.' 6. Be signed by the applicant, or the applicant's ~,,_-horized agent. 7. Give such other data and information as may be required by. the bu!lding 0ffi- cial. (b) Plans and Specifications. Plans, engineering calculations, diagr~am~ and other data shall bc submitted in one or more sets with each application for a permit. When such plans are not prepared by an architect or engineer, the building official imay require any applicant submitting such plans or od~er data to demonstrate that state law does not require that the plans be prepared bv a licensed architect or engi- neet. The building official may requi .~. plans, comp~ations and specifications t,o bc prepared and designed by an engineer or architec~ licensed by the state to prac~ tice as such if not required by state law. Submiuals shall include construction even inspection requirements as defined in Section 302 EXCEPTION: The building official may waive ~he submission of plans, calcula- tions, construction inspection requirements and other data if it is found that the nature of thc work applied for is such that reviewing of plans is not necessary to obtain com- pliance with this code. (c) Construction Inspection. The engineer or architect in responsible charge of the structural design work shall include in the consu'uction documents the follow- ing: 1. Special inspections required by Section 306. 2. Other structural inspections required by the engineer or architect in responsi- hie charge of the structural design work. 10 199.1 UNI~R~_L~ ~lNG. CODE _ ~ 302 (d) Information on Plans and $~cagons. Plans and s~ificatigps shall oe orawn to scale upon substanlaal paper or c~om ano snaa~ oz sumc~e~ c~anty to indicate the locaUon, nature and extent of thc wo~ ~an~ow m d~tatl that ~t wdl conform,to the prov~stons Of this code 'and~r~ele~aniflE~ii~sx; rules Plans for bmldmgs more' than.two stones m li~ighiof~ ~s/iiup,R~,'D~w~ sion3 ~/id6rbupM'Occupani~ieiili~ll ~i~h66/~ii'ed s~',,, .... -re- ~,,~ ~.t~, sistive integrity'will be mainutinedw/~n'ea P~netratio" wili b~mad~ f~electric~, --~ mechanical,, plumbing.and communication.conduits,:Pil~s~ ,an~L~S. imilat~systcms, · .(e) When plans and' specificatio~are revieWed,and'app~ed~b~?hS'~tatefire marshal, such plans and spe cifications'shal~'th~ siamp of ~[~i~ro vYd. of the'jtate fire. marshal and. shall be available 'ar thee,site of~o~ot~ ftirreview'b} the" en~ forcing agency.' 09 s aools. Pans and specification, for the addition to any building owned, leased or rented by any public school district shall be submittedtothe state firemarshal for ...... revtew~ ...................... and approval.'.:, ~ a) ·,.-.~,'." -~ ...~e>. EXCEPTIONS~: 1: l~lans a~iil, i[ie~ifi&~ni'~init~ed?~:fh~'~e~ Jf~ sta'te ~' Architectand which are reviewed by the stat¢fire rnfi~shal.;~'¥~'~'a'~<!' c?~E ':",~u'''~ , 2. Upon the annual submission ora written request by the:Chi~,f of anycity,'county, or city and county fire department or fire-proteotion district~tb.the,statefire, marshai, approvals required by this subsection shall b.e.ob~ined ~~ t ~h~..qppr.:.opriate chief or his or her autfiorized 'representati~e,.In such ~nstances..plans~..~,..?pec~cm!o~ "may be submitted to lhe state fire marshai for re!ay'ih ~the Or may be subm#ted directly to s{Wh locM auth~.r'ity~ : ' "' "'~ ' ~'>:~'~ :'"' ..... ':" '~ ' .' : ( g ) Movable Walls and Pariitiona'Pla~s b~, ~lia~rdms shhll~b~itb~nitt~l 'to the enforcing agency for approval before the installation of, or gedrrangement Of, any movable wall or partition in any occupancy. Approval shall be grantedOnO if there ...,~.,..: z-., F..;-V : . .: · .... ,. is no increase in the fire hazard. '.; (h) New Construction High.rise BUitdiags:, 1.~ Complete plans or specifica. tions, or both, shall be-prepared covering all, work requ£red-to;complf with new construction high-rise buildings. $uch plans and specifications shall be subtnitted to the enforcing agency having jurisdiction. :. 2. All plans and specifications shall be prepared under the responsible charge of an architect or a civil or structural engineer authorized by.law to develop con- struction plans and specifications, or by both.such architect and engineer. Plans and specifications shall be prepared by an engineer duly qualified in that branch of engineering necessary to perform such services. AdminiStration .of the work of construction shall be under the charge of the responsible a~c...hitect or engineer ex- cept that where plans and specifications involve alterations or repairs, such work of construction may be administered by an engineer duly qualified to perform such services and h°lding a valid certificate under Chapter 7 ( c°mmencing with.S..ecti°n 65 700 ) of Division 3 of the Business and Professions Code for performance of ser- vices in that branch of engineering in which said pans, specifications and esti- mates and work of construction are applicable. rhis section shall not be construed as pr enting the a si gn o/fire-eXtinguishing systems by persons holding a C-16 license issued pursuant to Division 3, Chapter 1994 UNIFORM FIRE CODE 105.2-105.8 105.2 Conditions of Permits. '-'~- ~ 105.2.1 General. A permit constitutes permission to maintain, store, use or handle materials, or to i conduct processes which produce conditions hazardous to life or property, or to install equipment' used in connection with such activities. Such permission shall not be construed as authority to vio- late, cancel or set aside any of the provisions of this code. Such permit shall not take the place of any license required by law. 105.2.2 Expiration. A permit shall continue until revoked or foi' such a period Of time as desig- nated therein at the time of issuance. Permits shall not be transferable and any change in use, occu- pancy, operation or ownership shall require a new permit. 105.2.3 Compliance. Permit applicants and the applicants' agents and employees shall carry out --" the proposed activity in compliance with this code and other laws or regulations applicable thereto, whether specified or not, and in complete accordance with approved plans and specifications. Per- .... mits which purport to sanction a violation of this code or any applicable law or regulation shall be void and approvals of plans and specifications in the issuance of such permits shall likewise be void. 105.3 Application for Permit. Applications for permits shall be made to the bureau of fire prevention in such form and detail as prescribed by the bureau. Applications for permits shall be accompanied by such plans as required by the bureau. 105.4 Inspection Required. Before a permit is issued, the chief shall inspect and approve the . _ receptacles, vehicles, buildings, devices, premises, storage spaces or areas to be used. In instances where laws or regulations are enforceable by departments other than the fire department, joint approval shall be obtained from all departments concerned. 105.5 Retention of Permits. Permits shall be kept on the premises designated therein at all times and shall be posted in a conspicuous location on the premises or shall be kept on the premises in a location designated by the chief. Permits shall be subject to inspection at all times by an officer of the fire or police department or other persons authorized by the chief. 105.6 Permits for the Same Location. When more than one permit is required for the same loca- tion. such permits max, be consolidated into a single permit. 105.7 Revocation of Permits. The chief is authorized to suspend or revoke a permit when it is determined after a hearing by the chief that: 1. The permit has been used by a person other than the person to whom the permit was issued, 2. The permit has been used for a location other than that/'or which it was issued, 3. Any of the conditions or limitations set forth in the permit have been violated, 4. The permittee failed, refused or neglected to comply with orders or notices duly served in ac- cordance with the provisions of this code within the time provided therein, or 5. There has been a false statement or misrepresentation as to a material fact in the application or plans on which the permit or application was based. 105.8 Permit Required. A permit shall be obtained from the bureau of fire prevention prior to engaging in the following activities, operations, practices or functions: a. 1. Aerosol products. To store or handle an a~re~' ~oo ~oate quantity of Level 2 or Level 3 aerosol products in excess of 500 pounds (226.8 kg) net weight. See Article 88. a.2. Aircraft refueling vehicles. To operate aircraft refueling vehicles. See Article 24. a.3. Aircraft repair hangar. To use any structure as an aircraft hangar for the purpose of servic- ing or repairing aircraft. See Article 24. a.4. Asbestos removal. To conduct asbestos-removal operations regulated by Article 87. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION - UNDERGROUND STORAGE TANK DIVISION GUIDELINES FOR PERMIT TO CONSTRUCT OR MODIFY AN UNDERGROUND STORAGE TANK In order to expedite permit processing, before submitting your permit application(s) for construction, check to see that all the following are addressed:. 1. Applications must be fully completed or they will be returned; no exceptions. The use of the answer "NA" (not applicable) is unacceptable.. 2. - State Underground Storage Tank Permit Application forms must be completely filled out. Form A for the Facility and One Form B per tank. 3. Permit fee(s) must be submitted with the application or it will be returned. A. Permits are valid for 1 year. 4. Contractors must have current copies of the following information on file with this program: A. 'Bakersfield City Business License. B. Current pocket copy with expiration date clearly noted on one of the following contractors' licenses:' General A, C-61, D-40, C-36, and General B, with restrictions. C. Current' copies of certificates of workers compensation and liability insurance. D. Site safety plans. 5. Provide two sets of a plot plan for the facility. This plan must include location of property lines, all buildings and openings to each building (such as windows, doors, vents, etc.), nearest road or intersection, all tanks, piping, any fixed source of ignition (i.e., water heaters, forced air AC units, etc.) all equipment to be installed, any source of water infiltration, scales, north arrow, and a minimum 100 foot radius around all equipment. The minimum acceptable scale is 1"- 16'. 6. Provide two sets of site specific detailed drawings of proposed construction. '-- These drawings must show side and top views of tanks, piping, secondary containment, leak detection and monitoring equipment, overfill protection and all other equipment required. All equipment must be clearly labeled. The minimum acceptable scale is 1" - 10'. 7. Certification by manufacture(s) of compatibility of tank(s), piping and secondary containment materials with proposed stored hazardous substances. 8. Information chemical comPosition of stored product(s) if other than motor vehicle fuels. 9. Building permits (if 'required) must be obtained at the Bakersfield City Building Department. Construction can not begin without their approved permit. 10. Complete an application for the Air Pollution Control District for any storage tanks which will contain gasoline or aviation grade gasoline. RECORD OF TELEPHONE CONVERSATION Location: z~'7~(~ ~~ ~ ID,~. Business Name: ~:~;L~E~ Contact Name: Business Phone: .~'_~_ - ;:3,.D,~ ~ FAX: Inspector's Name: /'~_~L ] ~-- Time of Call: Date: I~,//t,~,2~ Time: ~ :~ # Min: ?)~. Type of Call: Incoming [ ] Outgoing [~-" Returned [ Time Required to Complete ActivitY. # Min: ~ je RECORD~)F TELEPHONE CONVERSATION Location: ~ ~~_/'.(.-J.~,~ ID~' Business Name:~ Con~ N~e: ~~ Business Phone: ~ - ~~ F~: ~ Insp~or's N~e: ~~~ ~meofCal: Date:~ Time: ' ~ Min: _~ Type of C~I: Incoming [ ] Outgoing [~ Return~ [ ] Content of Call: ~" c:~t((,~ ;ime Required to Complete AmiviW / 09-19-1996 02: 49R~ FROH [d~ ! ! ~ce&Smi thContn~ctons TO 32605?6 P, 01 OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM PERMtT APPt.lCATION ,TO CON~TRUC"{'/M_ODtFY UNDERGROUND ~rORAGE TANK Q NEW FACILITY C3 MOD.IFi~"A~ION OF FACILITY I~ NEW .TANK iNSTALLaTION AT EXISTING FACI1JTY STARTING DAlE PROPOSED COMPLETION DATE /~._~/_~c/~, ~ACII.I1~f ADDRESS ZiP CODE I"YPg OF BL~INES$ APN TANK OWNER PHONE No, ~i~ CONTRACTOt'~ CA LICENSE No. "7~--~-~'~G ' PHONE No. BA~ER~IELO C[~ BUSINGS UCENS~ WORKMAN COMP; No. INSURER BREIFLY DESCRIBE THE WOSK T~ B~ DON~ ~ ~ ~,G,, DEPTH TO GROUN~ WATER ~ }~~ 5OIL ~PE ~pECTED~StT~ .~~ ~ No. OF TANKS TO BE INSTALLED ...... ~ AR~ THEY FOR MOTOR ~U~L ','~YES ~ NO SEC~ON, FOR MOTOR FU~ TANK No. VOLUME UNLEADED RE~U~R P~EMIUM DtE~EL AVIATI~ON SECTION FOR NON MOTOR,,, FUE~STORAGE TANKS TANK NO, VOLUME CHEMICAL SIOEED CAS No, CHEMICAL PREVIOUSLY (~ br~ nome] (if known} STO~ED ........... ,~ ,, . ......... PPtlCAN[ HAS RECEIVe. UND~TANO~, AND WILL COMPLY W~H ~E LOCAL A ND~DE~AL REGULATIONS. AFPffOVED flY: APPLICANT NAME (PRtN0 ~PPUCANI SIGNAIUR~ THiS APPLICATION BECOMES A PERMIT WHEN APPROVED 09-i9-i996 02:48AM FROM Wallace&SmithContrac~ons TO 32605?6 P.02 DOCUMENT JAM 09-19-1996 02: 4?RM FROM Wa] ]ace&SmithContractors TO :~260576 P.01 FAX COVER SHEET FAX NUMBER: '--~~' 0 ~.E,~ FROM: Joel Mund_or~ I Number of Pages being sent including coversileet: ' we are faxJng yOU: [., ] Attached [ ] Sketch [ ]Specifications [ ] Corrcspondcnc~ [ ]][nstruction Bulletin [ ] Change Order Request [. ] Ch~ge Order [ ] R.P.I. [ ] P~y Request [ ] For Review & Cogent [ ] ~csponse Requi~ed [ ] Original to Hollow Via Mail [~ ~~ If you do 'not receive all the pages, or if you i~ave any questions, please call (805} 327: 1456. THANK YOU 3325 L~-ndco Drive · E&kersfi~.Id, Ca!iforn!a 93303 (905) 327-1435 F~× !505) 327-$355 A C=_~'.fcrn!a Co~poraticn Lie. No, 45~9.c9 ~ ' 09/19/96 07:27 ~/~805 326 0576 BFD HAZ MAT DIV ~001 *** ACTIVITY REPORT TRANSMISSION OK TX/RX NO. 9552 CONNECTION TEL 3278865 CONNECTION ID START TIME 09/19 07:26 USAGE TIME 01'21 PAGES 2 RESULT OK FAX 'l~nsmittal B A K E R $ F I E L D Cover Sheet CALI~OIKNIA Bakersfield Fire Dept. Office of Environmental Services 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (805) 326-0576 · Bus No. (805) 326-3979 Today's Date 9//?/¢~ Time ~.'/~-~ No. of Pages 9,, Bakersfield Fire Dept. · OffiCe of Environmental., Services PERMIT NO. Bakersfield Fire Dept OFFI~ OF ENVIRONMENTAL SE~ICES .. UNDERGROUND STORAGE TANK PROGRAM' PERMIT APPLICATION TO CONSTRUCT/M_ODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICA._TION (CHECK) ~ NEW FACILITY I~ MODIFI'C'ATION OF FACILITY Q NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE PROPOSED COMPLETION DATE FACILITY NAME EXISTING FACILITY PERMIT No. FACILITY ADDRESS ZiP COOE TYPE OF BUSINESS APN TANK OWNER PHONE No. -- ADDRESS CITY ZIP CODE CONTRACTOR CA LICENSE No. ADDRESS CITY ZiP CODE PHONE No. BAKERSFIELD CITY BUSINESS LICENSE No, WORKMAN COMP~ No. INSURER BREIFLY DESCRIBE THE WORK TO BE DONE WATER TO FACILITY PROVIDED BY- DEPTH TO GROUND WATER SOIL TYPE EXPECTED';~-t'='SITE No. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL · C]YES C) NO SECTION FOR MOTOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION SECTION FOR NON MOTOR FUELSTORAGETANKS TANK No, VOLUME CHEMICAL STORED CAS No. CHEMICAL PREVIOUSLY (no brana name) (if known) STORED THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE A17ACHED CONDITIONS OF THIS P~MIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS. THIS FO'RM HAS SEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. APPROVED BY: APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED This Memorandum is a'n acknowledgment that a Bill of Lading has been issued and is not the Original Bill of Lading, . . nor a copy or a duplicate, covering the property named herein, and is intended solely for filing or record. " ~ RECEIVED, subject to classifications and lawfully filed tariffs~l~l~t on the date of the receipt by the carrier of the property described in the Original Bill of Lading interested in all or any of said property, that every service to .be p~.':[~.~.~d hereunder shall be subject~qo all the terms andconditions of I~l~'m Domestic S~raigh1~ Bill of Lading set forth (1) in Off)cml, Southern, Shipper hereby certines that he is familiar with all the terms and conditions of the said b/Il bf lading includin~ these on the back thereof set forth in the cfasaification or tariff w/dch governs the transportation.of this shipment, and the said terms and conditions am hereby agreed to by the shipper and accepted for himself and h~s assigns. ~ ' From ~!;O~F~J~ ~r~.~:~ ~.3~.~. q~F i~L~~ L~ ' = DESIGNATE WITH AN tX) Date 9 - l ? -9. 6 2379' At ~, C~J~"~ BY TRUCKJ J FREIGHTI I Shipper's No. ~ , Carrier Modern .Uelding Co of Ca inc (SCAC) ~ Carrier's No Consigned to American Containment 'ii'~'"-" .?..~, Destination Bakersfield _State C~ County Coffee & Hageman Route Delivery Address * . .~.. ,. .. '-;.// . .. / </, .,.-. :....- Delivering Carrier_ Vehicle or Car Initial ~' ",',: -? N6~ No. of 'Wai'§ht Class Check Subject to section 7 of condit'io~s Shipping Uni1,s Description of Articles, Special Marks and Exceptions (Subject to Corr.) I or Rots I Column of applicable billof lading, if th~ ship- I ;econdary Con ta ined Underground tan~s '_ -l.~ ' Th ..... ier shall not make delivery o '~$~ I ~ I freight and all other lawful charges. OLf.,t M2100, TCI Jacket~ 14478, Vac at sl~opo 14 - - (Signature of Co~i~nor.) If charges are to ~..~:~r~aid, write .... tamph .... '"r'o I~e R~..bpaid ." ' / ]/;.' Received ,_/x~'~ to apply in .repayment of the T0taIpieces ;5~000 volt holiday t~st witnessed b-y//~ I ' m I Per AgentorCashier 1' "This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation, according to the (The signature here acknowledges t Shipper's imprints in lieu of stamp; not a part of Bill of Lading approved by the Department of Transportation. · Th~'agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding C.O.D. SHIPMENT REMIT C.O.D. TO:~ ~. C.O.D. Alt THIS SHIPMENT IS coRRECTLY DESCRIREG. - I t Thefibreb ....... d for this shipment conform to the specificati ..... t I C.O.D CHARGE ( SHIPPER [] Collection Fee , . I - ~ ' * I TO RE PAID BY ( CORRECT WEIGHT IS LBS Item 222, of the National Motor Freight Classifica~ion. I CONSIGNEE [] Total Charges · '~ ' " J~-? ~ ~C Shipper ;..~ ??.~' ~/.~.~ Agent Permanent post office address of shipper ~ · MARK WITH "X" TO DESIGNATE HAZARDOUS MATERIAL AS DEFINED IN TITLE 49 OF THE CODE OF FEDERAL REGULATIONS. This Memorandum i ..... knowledgment that a B~II of Lading has been i .... d and is not the Original Bill of Lading, nor a copy or a duplicate, covering the property named herein, and is intended solely for filing or record. RECEIVED, subject to classifications and lawfully filed tariffs~{~ffect on the date of the receipt by the carrier of the property described in the Original Bill of Lading the property described below in apparent good order except a~LJ~ontents and condition of contents of pack~ges unknown) marked, co_ns~i~d, and destined as indicated below, which sa~d carrier (the word carrier being understood throughout this contract as meaning any pers~ration in possession of the prope~y under the contract) agrees t~s usual place of delivery at said destination, if on ~ts mute, otherwise to deliver to another carrier on the route to said destination. It~ agreed, as to each carrier of all or any ~aidproperty over ~ortion of said route to destination, and as to eachpa~y at any time interested in att or any of said prope~y that every se~ice to be p~ed hereunder shall be sub ecl to all the ter~ and conditions of~ Domestic Straight Sill of Lading set fo~h 1 in Official Southern Western and Illinois Freight Classifications in effect on the date here~ this is a rail or a rail-water shipment, or (2) in the applicable motor ~ classification or tariff if this is a motor carrier shipment. Shipper ~reby c~ifies ~at he is familiar with all the terms~(,~o~ditions of the said bill of lading, includin~ those on the back thereof, set fo~h in the classification or tariff which governs the transpo~ation of this shipment, and ~e ~Jd te~s and conditions are hereby agreed teEny,the shipper and accepted for himself and his assigns. From ~~ ~~ ~~ ~ C~~ ~ DESIGNATE WITH AN IX) Date ~ 9- 17-9 ~ At ~, ~ BY TRUCK ~ FREIGHT~ Shipper's No. Carrier ~o~ern ~el~g Co oE Ca I~c ~ (SCAC) Carrier's No. Consigned to . American Co~ta[~me~t Destination BakersField State Ca : County Route Delivery AddressW Co~e & ~a~e~a~ Delivering Carrier -Vehicle or Car Initial No. NO. of *Weight Class Clleek Subject to section 7 of conditions Shipping Units ' Description of Articles, Special Marks and Exceptions (Subject to Corr.) I or RateI Columnof applicable bill of lading, if thisship- ment is to be delivered to the con- 2 ~J[ 0 W 000 Cj'c~llO~-~ Wo~a]. Co~ ta i?~,~nt ~'76(~ 'd I I sig ithOutsignor, .... the consignor .......... shall thsign ..... the ~ following statement: Secondary Contained Undergrou d 'tanks Th .... ier shall not make delivery of this shipment withaut payment of UL~ M~20800 TCI Jacket~ 14482, vac at-s~gp=,13%'~.~ J _~ J freight and allotherlawful charges. M2095 o" " I = / Par . ,/ t ~,/~1/'}~ ~ (Sig ....... ,Consignor.) if charges are to be prepaid, write or stamp here, "To be Prepaid." ' ~r/~? ~/~/~ I Received tO apply in prepayment of the charges on the prudery described hereon. ~"'"~ 5,000 volt holiday test tqitnessed by:*, AgentorCashier Pie~s Per t "This is to ce~i~ that the above nam~ materials are properly classified, described, packaged, marked and labeled, and are in proper cbndition for transpo~ation, according to the (The signature here acknowl~ges applicable regulations of the Depa~ent of Transpo~ation." only the amount prepaid.) ' if the shipment moves betw~n ~o po~s by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight." Charges Advanced: t Shipper's imprints in lieu of stamp; not a pa~ of Bill of ~ding approved by the Department of Transportation. NOTE - Where the rate is dependent on value, shippers are required to state specifically'in writing the agreed or declared value of the prope~y. The agreed or declared value of the prope~y is hereby specifi~ily stated by the shipper to be not exceeding C.O.~. S~MENT REMIT C.O.P. TO: C.O.D. Amt TH~S S~ENT ~S CORRE~TL~ ~ES~R~BED. J t Thefibreboxesusedforthisshipmentconformtothespecificationsset C.O.O. CHARGE ( SHIP~R ~ Collection Fee fo~h in the box ~aker's ce~ificate thereom, and all other requirements of CORRECT WEIGHT IS, · LBS. Item 222, of the National Motor Freight Classification. ; TO BE PAID/~BY ' CONSIGNEE ~ Total Charges ,, Permanent post office address of shipper ~' '~ ' MARK WITH "X" TO DESIGNATE HAZARDOUS MATERIAL' AS,DEFINED IN TITLE 49 OF THE C~DE OF FEDERAL REGULATIONS. 6, Provide two sets of~site specific, detailed~drawings of~proposed c~onstruction, ,--. These '7drawings .mU~st ~how side and top views of tanks, piping, secohdary containment, leak detection and monitoring equipment, overfill prote~on and all other equipment required.~ All equipment must be clearly labeled. The minimum acceptable scale is 1" - 10'." ~ 7. Certification by manufacture(s) of compatibility of tank(s), piping and secondary containment materials with proposed stored hazardous substances, · 8, Information chemical 'comPosition of stored product(s) if other than motor vehicle fuels. _ '9. Building permits (if required) must be obtained at the Bakersfield City Building Department. Construction can not begin without their approved permit. 10. Complete an application for the Air Pollution Control District for any storage tanks which will contain gasoline or aviation grade gasoline.