HomeMy WebLinkAboutUNDERGROUND TANK FILE #1 (2) Hazardous MaterialS/Hazar'dousi,'wasteUnified Permit
CONDITIONS..OF':PERMIT' ON ~REVERSE SIDE ..
This ~ermit is issued for the followina:
[] H~rdous M~terial$ Plan
rq Underground Storage'of HazardOus Materials
Permit ID #:: 015-000-000017 n Risk Management PrOgmm
CALIFORNIA HIGHWAY
LOCATION: 4040 BUCK OVVENS BLVD IELD,. :~ . .. ,. ...,.: ·
I TANK . HAZARDOU~
015-000-000017-0001 MIDGRADE
'-
:. ;.~ · :~-
OFFICE OF ENVIRONMENTAL SER VICES' · '~' ·
1715 Chester Ave., 3rd Floor Approved by: . 'k. maplt.'.~ v,~ - Iss.¢Vate .
Bakersfield, CA 93301 ' .OfficeofEv~Serviees
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date: June 30; 2003
Permit to Operable
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
TANK HAZARDOUS SUBSTANCE CA~TY '~ :?AL .;,,g~g~"':7 TANK ~,~K :q~ ":']: *ANK PIPING PIPING PIPING
~'.-.:.:~:~ ~-:~ ~ ~~'::. TYPE ~ ~ATE~L ~. ~iTOR TYPE METHOD MONITOR
0001 Chevron Unleaded Gasoline IZOd0:00%,. ~t,. 4/~/7S.:' "'"' SW ' ~'~;:X~ DWFiex P~SSU~ ALD
Issu~ by:
~~~ B~ersfield F~e Dep~ment Approv~ by: _ ~~~'
1715 Che,er Ave., 3rd Floor F ~cc of ~.
1~~ Voice (805) 326-3979
F~ (805)326~57~ ExpkationDate: ~n~ ~0, ~000
City of Bakersfield
Office of Environmental Services
1715 Chester Ave., Suite 300
Bakersfield, California 93301
(805) 326-3979
An upgrade compliance certificate
has been issued in connection with
the operating permit for the
facility indicated below. The
certificate number on this facsimile
matches the number on the
certificate displayed at the facility.
Instructions to the issuing agency: Use the space below to enter the tbllowing infom~ation in the tbrmat of
your choice: name of owner: name of operator; name of facility: street address, city, and zip code of facility;
t~cility identification number (from Form A); name of issuing agency; and date of issue. Other identifying
information may be added as deemed necessary by the local agency.
This permit is issued on this 2nd day of November, 1998 to':
CALIFORNIA HIGHWAY PATROL
Permit #015-021-000017
4040 Buck Owens BIvd
Bakersfield, California 93308
RECORD OF TELEPHONE CONVERSATION
Location: ~o40 P~t"p_c~ Ro ID#__
Business Name:
Contact Name: ~'F. CL/x~ )~r~,~-F
Business Phone: FAX:
Inspector's Name:
Time of Call: Date: ~I6~4- Time: c~ 4,~ # Min:
Type of Call: Incoming ~] Outgoing [ ] Returned [ ]
Content of Call: ~.,~,.,..(_.~--,o "TO V~c.~_, ~ 'T~---s-r-~,,~ C,- '~--rz,-~ ~'r'
Actions Required:
Time Required to Complete Activity # Min: '7_.
O~'~ akersfield Fire Dept.
~NSPECTION CHECKLIST ]' -,~nironmental Services
1715 Chester Ave
SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301
Tel: (661)326-3979
FACILITYNAME/' ) t ('~'~ ~ I '[ ,..--,.. ~ ~' IINSPECTION CATE INSPECTION TIME
Secti~ 1: Business Plan and Inven~ P~mm
~ Routine ~ Combin~ ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
C V [C=Co~,a.c~ OPE~TION COMMENTS
~ V=Violation / '
~ VERIFICATION OF QUANTITIES ..j_
~ PROPER SEGREGATION OF MATERIAL
~ VERIFICATION OF MSDS AVAILABILI~E
~ VERIFICATION OF HAT MAT TRAINING
~ ,VERIFICATION OF ABATEMENT SUPPLIES AND PR~EDURES
~ EMERGENCY PROCEDURES ADEQUATE
~ ~ CONTAINERS PROPERLY ~BELED
~ ~ FIRE PROTECTION
~ S~TE DIAGRAM ADEQUATE & ON HAND
White - Environmental Services Yellow - Station Copy Pink - Business Copy
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CltECKLIST
1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301
Section 2: Underground Storage Tanks Program
[~l Routine [~Combined 121 Joint Agency l~l Multi-Agency [21 Complaint [~ Re-inspection
Type of Tank ~ {'2' Number of Tanks
Type of Monitoring .~ ~"tS~ Type of Piping '~IA..t
OPERATION C V COMMENTS
Proper tank data on flit.'
Proper oxvner/operator data on file ,,,
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tanks Program
TANK SIZE(S) AGGREGATE CAPACITY
Type of Tank Number.of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
A'd~quate 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
Office of E/nv"l~niint~l"S-eTvi~e~ (~1)r~G'~? / Business Site Responsible Party
Q~' ~ {~ ~'hile-Env. gvcs. Pink- Business Copy
BAKERSFIELD CHP
JUL 20, 2004 1 ! :28 AI"I
SYSTEM STATUS REPORT
- ~L[ ~ONCTIONS NOminAL
I NVE NTOR~--RI~PORT
T I:UNLEAD --
VOLUME = 4512 GALS
ULLAGE = 7315 GALS
90% ULLAGE= 6152 GALS
TC VOLUME = 4250 GALS
HEIGHT = 36.91 INCHES
STK HEIGHT= 36.91 INCHES
WATER VOL = 0 GALS
WATER = ~'J.O0 INCHES
TEMP = ~0.4 DEG F
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Corrpro
I Companies
Incorporated
October 21, 1999
State of California
Department of General Se~ices
Real Estate Se~ices Division
1102 "Q" Street, Suite 4400
Sacramento, CA 95814
Attention: Mr. A.K. Jain
Subject: UST Piping - Cathodic System Survey
Protection
Post-Installation
Work Order ~ CHP 9701.04
Contract ~: UT0757
CHP-Bakersfield
4040 Pierce Road
Bakersfield, CA 93308
Gentlemen:
The original contract work called for installation of a galvanic anode cathodic protection system
to provide co~osion protection for the metallic product piping. However, Co~ro companies
was info,ed by local enforcing agencies that no cathodic protection would be allowed. Instead,
the metallic product piping was to be removed and replaced with fiberglass product piping. This
fiberglass retrofit was accomplished under change order. The work was completed to comply
with the EPA 1998 requirements for UST co~osion control.
Per the County EPA requirements, Co~ro has completed the following additional work as a
change order to the original contract:
* Concrete pad retrofit to co~ect drainage problems.
. Leaky nozzle xvas replaced.
* Furnish and installation of specialized triple jacketed coaxial wire for leak detection system.
· Furnish and installation of Veeder-Root TLS 350 Tank level monitoring system, including
line leak detection software upgrades with new keypad LCD.
Thank you fl0r this opportunity to serve you. If you have any questions or if we may be of
additional assistance, please do not hesitate to call us at (510) 614-8800.
Very truly yours,
CORRPRO COMPANIES, INC.
Dwayne A. Bell
Engineering Division
Cc: Steve Underwood, Local Environmental Health Services Inspector
Ligaya Reyes-Ibanez, CHP Facilities Representative
Captain R. J. Breedveld, CHP- Bakersfield Facility Contact
John Urbano, CHP- Bakersfield Facility Auto-tech
Reggie Demery, Construction Supervisor, State of CA
Attachments: 1. As-Built Installation Drawing
2. Fiberglass Piping Installation Safety and Work Plans
3. City of Bakersfield Environmental Service Permit Application for Underground Storage
of Hazardous Materials
4. Copy of Transmittal Letter to Local Environmental Agency
5. Contractor's Certification of Completion
2
ATTACHMENT 1
AS-BUILT INSTALLATION DRAWING
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I I~ ~ ////////7/J , ~ ~~ ~
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~ PLOT PLAN ~ ~
~ ~o~ ~o ~
AB-BUILT
I 1
~ ~ CP-1B
~ 2 ~ ~3 ~
ATTACHMENT 2
FIBERGLASS PIPING
INSTALLATION SAFETY AND WORK PLANS
I
WORKPLAN
FOR
DOUBLE-WALL FIBERGLASS UST PIPING UPGRADE
The following is a workplan breakdown for fiberglass piping upgrades for the CI-IP sites. Each
ClIP facility has diff'erent requirements. Some, all, or none of the following may be required by
the .individual meet full compliance.
county'to
1. Installation of standard configuration tank overfill valves if needed (one of the following)
a. Dual point vapor recovery system
b. Coaxial vapor recovery system
2. Installation of standard configuration tank bottom protectors if needed
3. Upgrades to double wall pipe with bravo box (dispenser drip pan) and turbine sump
fiberglassed to the UST. (This item includes testing of double wall piping at pressure).
The following is a detailed work breakdown for item #3 shown above:
1) Sawcut concrete,'break up and dispose of large area due to pea gravel
2) Excavate pea gravel to below tank top
3) Disconnect existing piping and conduit
4) Fiberglass tank sump to fiberglass tank
5) Install sump, bring to surface
6) Prepare bravo box with large/small terminations
7) Prepare sump with terminations conduit with D/W piping
8) Run outer D/W flex
9) Pressure 'test secondary piping, sump, and bravo box
10) Run inner D/W flex
11) Pressure test of primary piping, inspector
12) Install all electrical shear and
conduits,
new
valves,
new
sump
sensor for alarm panel
13)Backfill
14) Concrete manway in place
a) dowel in place
b) tie in rebar
c) finish concrete work
* 15) Materials-
a) bravo box
b) sump
c) piping adaptor
d) flex piping
e) large boots
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f) small boots
g) miscellaneous
h) alarm for sump
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I DOUBLE-WALL FRP PIPING UPGRADE
I INSTALLATION
SAFETY PLAN
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I. Personal Protective Equipment
!
Throughout the installation, personal protective equipment will be used as required.
I Personal protective equipment for the work involved includes, but is not limited to:
*Orange traffic cones for sectioning off'the work area
*Eye protection
I *Hard hats
*Gloves
i *Fire extinguisher (minimum 5 lb size)
At all times, sound safety practices are to be adhered to. Specific hazard control
i precautions include, but are not limited to:
*Equipment lock-out
i *Use proper lifting techniques
*When opening manhole coverings, allow enough time to adequately vent to air
prior to breathing in close proximity.
I *Prior to excavation, all areas will be USA'd.
*During backhoe operation stand clear of the "kill-zone" radius.
*Ground any electrical equipment used in the vicinity of gasoline product piping.
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ATTACHMENT ~
I CITY OF BAKERSFIELD ENVIRONMENTAL SERVICE PERMIT
APPLICATION FOR UNDERGROUND STORAGE OF HAZARDOUS
I MATERIALS
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09/16/98 1:~:05 32~, 0576 Blq3 ]tAZ MAT DIV [~002
CITY OF BAKERSFIELD
OFFICE OF E~ON~~AL SER~C~
1715 Chester Ave., ~ake~field, CA (g~ 32~79
P~T ~PLI~ON TO CONSTRU~OD~ ~GRO~ STOOGE T~
~E OF
WA~. TO FAcn_~ PRO~Y ~
sEc~o~ FOR M~OR ~L
SEC~ON ~0~ NO~ MOTOR ~L ~O~ ~
T~ NO. VOL~ C~C~ STOOD C~ NO, ~~ ~OU~y STO~
FO~ OF~CI~ U~E ONlY
~S APPLICATIO~ ~ECOMES A PE~T ~N ~PRO~D
ATTACHMENT 4
COPY OF TRANSMITTAL LETTER TO
LOCAL ENVIRONMENTAL AGENCY
Corrpro Companies, Inc.
2799 Miller St.
San Leandro, CA 94577
Tel: (510) 614-8800
Fax: (510) 614-8811
October 20, 1999
City of Bakersfield Environmental Services
1715 Chester Ave.
Bakersfield, CA 93308
ATTN: Steve Underwood
Subject: Request of compliance letter for
State of Califor~nia, CHP - Bakersfield
Cathodic Protection Design & Installation
Refueling Station Underground Storage Tank Associated Product Piping
Work Order No. CHP 9701.04
Contract No. UT0757
Gentlemen:
Corrpro Companies, Inc. has completed the design, materials supply, and installation of
the fiberglass pipe at:
CHP-Bakersfield
4040 Pierce Road
Bakersfield, CA 93308
Your office sent an inspector to the site and issued a compliance sticker that was partially based
on the installation of the fiberglass piping. Please send a letter stating that the above facility is in
compliance to myself at the address on the top of this page and to the State of California project
engineer listed below.
Mr. A.K. Jain
State of California
Dept. of General Services
Real Estate Services Division
1102 "Q" St., Suite 4400
Sacramento, CA 95814
Thank you for your time and efforts in working with us to bring this site into compliance with
current regulations.
Sincerely,
CORRPRO COMPANIES, INC.
Dwayne A. Bell
Engineering Division
ATTACHMENT 5
CONTRACTOR'S CERTIFICATION OF COMPLETION
CONT~CTOR'S CERTIFiCATiON O~ COUPL~)ON
m R~O ~8 (~Ev. ~) PREP~E IN
TO: R~I Es~e S~ D~on. Cens~u~ ~ ~
m w.o. N~B~
m PR~CT
m (F~RM OR COR~TION)
~ WORK OF TH~ CONIRAC? ~[SCM~BE~ ABO~ H~ B([N P~RFO~D. ~0
m AN~ IN CONFORMI~ ?O. I~E CON~ ~~ ~N~ ~P~CIFI~ONS
T~E G~T~ACT WORK I~ N~ CCM~ ~N A~ PART~ AND R~QUIR~NTS
m AND K~OY FOR YOUR ~ IN6PEC~ON
S~LL e~TE AS ~ ~R TO A C~ A~INST ~C CO~CTOR. ~R~ANT
TO AR~CLE 4~OF TH~ GENERAL CONDI~S OF ~E CON--CT (GU~NTE~.
A~ CONST~SU~R~R
m
m ~oo/~od 6£t.ON 8G9£ tc~ ols e ~7 NOIIDF]~JISNOD ~S(~ £~:2I 66/TO/PO
· 82/18/2884 09.' 37 805,-76~608 BUTTONWILLOW PAGE 82
' For Usa By d~ d~o~ ~ ~ ~t~a oflCal~a
B. ~v~ of Eq~pment T~Cc~
Mo~k ~ ~ Sp~ or V~ S~. MQ~ '"
D~ ~ D~ ~:
~ ~: D~ ~: ~- ' ....
o ~ v~). o ~ v~a),
02/10/2004 09:37 005-7 608 BUTTONWILLOW PAGE 03
Corn ~?:~oU~ ~ ~
~" ~ ~. w~~~~,'~,~,~!~~,.~_~~ ....... _
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/ Did ~u ~6~ po~e
$ ~ow, d~ ~w sad w~
82/10/2064 09.' 37 805 BUTTONWILLOW PAGE 04
che~:
02/i0/2004 09:37 805 BUTTONWILLOW PAGE 05
s~t.i~: ' ~l~'t/~ ..t~u,~ UST Mo~to~g Site Plan
..... ~ ' ~.~. : ...........................................
· '." .'~' t ........... ~- ~t ...... . ................... ..
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
I?IS Chester Ave~, Bakersfield, CA (661) 32.6-3979
APPLICATION TO PERFORM
FUEL MONITORING CERTIFICATION
ow as
DOES FACIL2TY ~VE DISI~NSF.,R. PANS? YES ~ NO
_ ,,,. ~'~
I'8 90IO-LL2(G~) HHiSiS3A/HHiS~3H dLo:30 ~0 GO q;3
1 EL[) CHF'
'OCT 14, '.--'80:3 '9:25 AM
~YSTEM ,_,Tr~TU,_, REPORT
RLL ~FUNCT 1 C, NS
INVENTORY REPORT
T i :UNLEAD
VOLUME = 2567 GALS
ULLAGE = 9060 GALS
90s~ ULLAGE= 7897 GALS
TO VOLUME = 2529 GALS
HE,t~,~LT = 25,65 INCHES
ST~IGHT= 25,65 INCHES
bJRS~' = 0,00 INCHES
TEPlP = ~0.7 DEG F
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CltECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
FACILITY NAME (~tl~l. 40~,L ~lqk,,t~ ~tk'~[ INSPECTION DATE
Section 2: Undergro.nd Storage Tanks Program
[] Routine I~ Combined [] Joint Agency [] Multi-Agency [] Complaint [~ Re-inspection
TypeofTank .~ Number of Tanks I
Type of Monitoring. J[l"6, Type of Piping 0ID
OPERATION C V COMMENTS
Proper tank data on tile ~
Proper owner/operator data on file k.,, /'
/
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tanks Program
TANK SIZE(S) AGGREGATE CAPACITY
Type of Tank Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
C=Compliance V=Violat' )n Y=Yes N=NO
Office of Environmental Services (661) 326-3979 R~st~onsible [~arty
White - Env. Svcs. F'ink - Business Copy
Bakersfield Fire Dept.
UNIFIED PROGRAM INSPECTION C~ECKLIST Enizonmental Sezvtces
, , , ,,, .............. ,,,, , ,, ,,, ,,,,, , ,,,,,,,, ...... - 1715 ChesterAve
SECTION I Business Plan and Inventory Program Bakersfield, CA 93301
Tek (661)326-3979
I FACILITY NAME [~ I r INSPECTION DATE ! INSPECTION TIME
....... ~o~,:,;_ ...... _~..~ .......... ~ ............................... ' ........................ ~ ........................ I ........ ~ .................
ADDRESS / I PHONE No. / No. of Employees
qo~o ~
I FACILtTYCONTAC~ [Business ID Number
I / ~-02~-
Section 1: Business Plan and Inven~ Pr~mm
~ Routine '~ombin~ ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
C V ~C=Co~,i~.~e~ OPE~TION COMMENTS
~ V=Violation
- ~ APPROPRIATE PERMIT ON HAND ·
VISIBLE ADDRESS
CORRECT OCCUPANCY
~ ~ VERIFICATION OF QUANTITIES
~ PROPER SEGREGATION OF MATERIAL
'~ VERIFICATION OF HAT MAT TRAINING
~ EMERGENCY PROCEDURES ADEQUATE
~ ~ F~RE PROTECTION
ANY HAZARDOUS WASTE ON' S'ITE?.' {~ YES I=1 No
EXPLAIN:
QUESTIONS~GARDING/~IIS/~SPECTION. PLEASE CALL US AT (661) 326-3979
............ .............
Inspector Badge No.~
White. Environmental Services Yellow - Station Copy Pink - Business Copy
· 10-1~--2003 3: 191:>M FR CALVALLEY EOLII I:;' 1 ~ 1 ~.~2.~<g P. 2
· MONITORING SYSTEM CERTIFICATION
I:'or Uso lJy All Jm't~dictiom Within the bate of California
Authority Cited: Chapter 6. 7, Hzalth ~d ~fety C~e; C~t~ 16, DivOion 3, Tffl~ 23, Cal~nia C~e of R~gulati~s
~is f~ mast ~ u~ to. d~ument ~stin~ ~d s~rvicing of m~itoring equipm~t. A ~te c~ifi~tion
~red for ~ monRofin~ s~stem ~ntrol pan~ by ~ t~nic~n who ~rfo~s the work. A ~py of this f~ m~ bo providM to
th~ t~k syscom owner/o~mtor. The owner/o~r must submit a copy of ~is fo~ w ~o local ~e~y ~ulaling UST
wi~ 30 days of te~ date.
A. Gene~i Information
Facility Con~t Pc~on: Cont~t PhOne No.: ( . )
M~Model of Monitoring Sy~m: '~t/~e~..r ~Z~- 35'a . Da~ of T~tin~Se~iciflg:
~k mc ,p~ro~mle ~xu to ~catc specific ~mcn~ iq~p~/scr~l~: . , ,, ,
~ In-T~k Oa6gJ~ Pro~. M~: ~, __ 0 In-Tank Gauging, Probe,
~ Annular ~ or Vaull 8en~r. M~d: ~ Annul~ $p~ or Vault S~r, M~el:
~ FiU S~p S~so~s). M~d: ~ Fill Sump 8~). Model:
~ M~h~i~l Line ~ ~tot, M~el: ~ M~hant~l Line L~ Detector. Model:
O T~k Ove~ll / HJ&h~d 8east. Model: ~ Tank Overfill / High.Level ~t.
~ O~ (~cify ~ui~at ~y~ a~ mudel ia ~cfi~ E on ~$e 2)., ~ ~ (s~a~y equipment t~ ~d model in ~efion E on Pa~ ~.
Teak lm, TA~ ID:
~ Annul~ S~g or Vault ~nsor, Mo~l: O Annu~ gpa~ or Vault S~s~. M~el; ..
~ Piping Sump /Tgnch 8en~{s). Model; ~ Piping 8ump / T~ch ~e~s). Model: ..... ~ ........
O Fill Sump Senso~s). Model: ~ Fill Sump ~nso~s). , M~el:
O g~nic ~ino L~ ~tcctor, Modol: ~ ~lectronic Line ~nk ~e~r,
O__~er'f~e.~ ~ulpm~t w~._~.a mod~l ~ 8~ion E on P~g 2), O O~,er f~ci~ ~q~.~pm~t ~pe ~d model in Sootion B on Pog~ 2),
Dbp~ ID: ]-~ D~pens~ ID:
0 ~8p~r... Contaimnent iq~t. ~s) attd Clan(s). ..... 0 Dis~ns~ Cuniaim.ent l:~a~s) and ~l)~n(s). .' ,
D~S~ ID: ~penser
~ DIs~ Conlnitlm~ ~n~s). M~d: ~ Dis~ps~ ~tainment 8en~s),
~ Sh~Valv~s). ~ Shenr V~v~s).
Db~n~r ID: O~e~ ID:
~ Dis~zer ~t~nm~t Seasons). Model: ~ D;s~n~ ~nmlnment $m~z).
0 ~'Vnlv~s). 0 8h~ Valves),
~lf~& fa~lliy ~ntain8 mMe t~ ~ d~sers, ~ ~is form. ]~l~e iflfo~atlon for eveN ~nk ~d dJe~s~ Bt t~ f~ii~.
C. CertJfltatioa - ! ~rtify that the ~u~ment Ment~d in this dotum~t ~s Im~c~d/s~vi~d
manufaetu~rs' guideline. Attached to tbfa Certification is InformatiOn (tS. mnnufaetu~rl' clmckl~h)
inbmatlon i~ eerreet and n Plot Plea sho~ng the ~yout of eenilerln8 ~ulpment. For any ~nJpmant
~p~fn, I have olio attached a copy of the r~ort; (ch~A alitA~ r~y): O System ~(-up O Alarm hbiory report
PaRe I 0~3 .
Monfto~e8 8~stem Ce~ifl~tion
~ 1 ~'1~6-2003 3: 21~I~M FR CALVALLEY EQU I P 16613'252.~29 P. 3
D. 'Results of Testin~Servieing
Software Vcrslon Installed:
Corn
~ Yes ,C3 No' Is the audible elerm operational? ........ ·
I~ Ye~' '0 No~ Is the visual alarm operational?
I~ Yo~ ~ No· Were all';~nsor~ visually inspected, functionally {ested:'~l'~a~nfirrne, d operational?
~, Yea O No' Were all senso~ i.~il~d at lowest point of s%&ndarr containmant and positioned so that other ~q'~il~ment will
not intcr£cro with their proper operation?
C3 Yes, C3 No*'" If' elarma'ora relayed t~ a"'r~mote monitoring station, is all communicatio~.' ~luipment (e.g. modem)
lin N/A operational?
~ Ye~ I:3 No* For pressuri~cl piping systems, does tl~e turbine ,;t~tomatical[y shut down ii' lbo piping secondary oontain~e{',t
C3 N/A monitotil~g system detects a leak, fails to operate, or is electrically disconnected? lryes: v/hich sensors initiate
positive shut. down? (C'h¢¢A ~/1 zAat ~t~I;/Y) ill'Sump/Trench Sensors; ~itl'Dispenser Containment. Sensor~.
Did you confirm positive shut-down due to leaks and sensor failure/di-~conne~tion? [] Yes; CI'No.
~ Yes CI No'* Fei tan~' sYStems that utilize the m~nii~in8 sysiem as the primary tank overfill wamin
~ N/A mechanical overt'ill prevention valve is installed), is the overfill warning alum1 visible and audible at the tank
flu point(s) and operatln,g pro, ,p,.e.r, ly? lrso, a~ what percent ofta~k capa~,!!y..does the alarm trigger? ...
CI Y~' I~1 N~ .....Was any monitoring equipment replaced? If yes, identify specific sensor~, probes, or other equipment replaced
aid list the manut*acturcr name and model For ali replacement para in $¢otion E, below.
CI .Yea* I~ ~ Was liquid t'o~m~J'~side any secondary c°ntaimnant ~stem~ desired as dry systems?
Ci Product; C3 Water. If yes, de.scribe causes in .=;~ction E, below.
[~ Yes C~ No' Wa= monitoring ~yste. m set-up reviewed to ens',ur.e proper, s ,a. !,!.n,8,~,?' Attach set up report% ii'applicable
~ Yea O No* Is all ,m, onJlor,~g equipment operationa, I per,,m.a..n.u,.[act,.ur.¢,r,~ specifications?
· In Sactlo. E below, de,eribe bow and when thee defi¢ien¢les were or will be corrected.
E. Comments: '
P. se 2 of 3 03~1 *
10-06-2003 3: 2121:~4 F CALVAI_L~'Y EQU I P 1 I~B 132.~2.~2.9 p. z~
F. In-Tank Oauglng / SlI~ Equipment: [] Check this box if funk gauging is used only for inventory control.
I~l Chc~k this box if no teak F. auging or $1K equipment is installS.
This section must I:~ completed if in-tank gau§ing equipment is used to l~rfonn teak detection monitoring.
Complete the fotlowin, checklist'. ......
~' Y~. O. No* "'H'~'aII input wiring been inspected for proper entry and termination, including testing for ground faults? .
I~P y~ [] Nm*" Were all tank gauging Prol:~e~'visually inspec.~d' for dmnage and r~iclu¢ buildup7
I~;Ye~ O No* Was a~curacy of system product level ~eadings tested? '
[~ ¥e3 (~ No* Was accUracY-Of 9yst¢llYwater level readin§s t'~st~d?
~ Ye~ O "No* Were all probes rei~stailecl Properly? ..... , .... "'
~- Yes O No* Were all item's on the cquipme41t martufactur~;'"~maintenan¢0 checklist completed? '
* In the Section· H, bmlow,.descrJbe how and v~hetl these deficiencies wore or will be corrected.
G. Lln~ Leak Detectors (LLD)~ IZt Ch~k this box it' LLDs am not installed.
C~ompletc tbs following ehecklist:
0 ¥~ [] No* For equipmen~ ~'t-up or annu~i ~lUiPmel~t ~rtlrmetlen, wu · leak simul~ted to Veril~ I'LD' perro~m~?
:0 ~ ~ O No* Was tits testing a~;~retus properly calibrated? ,. ; .....
i-i Yes ~ No* For m~.Aianical LUll)s, does the I..L.O restrict product flow if' it detects a leak?
gl N/A
~'~'- '~-'N&i'- -i~0~: eieetmnic LLDs, doe~ tile turbioe automatically shut off if the LLD detect~ a leak?'
O N/A
O Yes O No* For electronic LLI)s, does the tm'bins automatically shut off il'any portion of' th~ monito[in~ system is disabled
O. I~A or di~onnectcd7
O Yes O No* /~or electronic LLDa, does the turbine autmnatically shut off if any portion of' tbo';~'oilitoring system
I-I N/A malfunctions or fails a test?
O Yes O .No* For elect~06iC~i~s, j~ave afl-accessible wirlnB conn~tiofts b~n visually insp~ted?
O N/^
· ~ Yes U] No* Wcrc all itc'~'s"~' ~hc ~qu'ipmcnt manuracturer's mail~lenatl¢e checklist completed?
* in the Section I!, below,describe how and wlteu these deficiencies were or will be corrected.
H. ~omments:
Page 3 of 3,
-~' 11;~)-~-21~03 3: 21 PM FR ALVALLEY EOU ! P 16613252.~29 P. E~
MonitorinK Syslem CKtffleation
· UST Monitoring Site Plan
SitcAddress: ~)~,..~/~/-'_~' Ol~_ i" ~/~ ~.'~c~)'e.l~ C~.
::':::::
....... :1 ~&:r;v~,'~i: :' ·
. . . .. .
.....................
lnstructiom
If ~u already have a diagram ~at shows all aqui~ info~ation, you may include it, rather 6t~ fllis page, with your
Monit~ing' System Ce~ificalion. ~ your site plan, ~ow the general layout of ~nks ~d piping. Clearly identl~
Iooations of.the following equipmenL if ins~lled: moni~ring system ~ontml panel~; ~emom monilori~8 ~nk annular
,~e~, ~ump~, di~n**r pan,, ~pill eonlain~r~, or other ~onda~ ~nt~inment ar~; meehaniml or ~l~mnio lin~ I~k
d,t~cto~;and in-tank liquid l~v,I probe, (if u**d for I~k d~t~ion). In th~ ~p~ provided, not, th, da~ thi~ Sit, Plan'
was.p}epa~.
Page
9-30-2~03 8:33AM FR~CALVALLEY Eg~JIP 16G132B2B29
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
APPLICATION TO PERFORM
FUEL MONITORING CERTIFICATION
ADDRESS t/#¥O ~K OI, gear l~li,,g.
OWNS-RS N~Z~m, $~ ~
NAME OF MONITOR MAN UPACI'URER_
DOF.~ FA¢II.J~TY I-I~VI~ DISPENSER PANS? YES, ~ NO
TANK # VOLUME CONTENTS
coMPANY : ~ ,, .
NAME OF TE.STING'
CONTRACTORS LICENSE #. 7~/7o ,~ .,,Hnz "~ "
DATE & T~
, ,:, :~:..." ,
· Complete items 1,2, and 3. Aisc complete A. Signature
item 4 if Restricted Delivery is desired. J ~'~~ [] Agent
· Print your name and address on the reverse X
so that we qaq.r_.eturn the card to you. B. Received by (Printed Name)~..~'ate ~ery
· Attachthiscardtothebackofthemailpiece. ¢ ~.-'' .~ , ~. -
or on the front if space permits.
1. Article Addressed to:
SCOTT NETZER
CALIFORNIA HWY PATROL
4040 BUCK OWNES BLVD
~_ ............................................ ~ [] Registered [] Return Receipt for Merchandise
[] Insured Mail [] C.O.D.
4. Restricted Delivery? (Extra Fee) [] Yes
2. Article Number i 7002 3150 0004 9985 4650
, fTransfer from service label) ..... ,
, PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVIC~-
I ~ .... --' I usP_S '-_~ ......... I-~1
· Sender: Please print ~U~address,
Bakersfield Fire Department
Prevention Services
1715 Chester Avenue, Suite 300
Bakersfield, CA 93301
C~rtifled Fee
(Endorsement Required) Hem
r-'t Restrl,:ted Delivery Fee
u3 (Endorsement Required)
m To~ PostageS'
~m SCOTT NETZER
[sent ro CALIFORNIA HWY PATROL
~ [~;~;~' 4040 BUCK OWNES BLVD
[e~'~;'~;:'~:~ BAKERSFIELD CA 93308
Certified Mail Provides:
· A mailing receipt (es~eAeld) ~00~ cunt' '008C u~o=j Sd
· A unique identifier for your mailplece
· A record of'delivery kept by the Postal Service for two years
Important Reminders:
· Certified Mall may ONLY be combTned with First-Class Mai[f~ 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.
· F.o,r. an additional fee a R_etum Receiptmay be reque,sted to provide proof of
aelivery, lo obtain Hetum Heceipt service, p~ease comptete ana attae~h a Hetum
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requ,ested". To r..eceive a fee waiver for
a duplicate return receipt, a USPSe postmarK on your ~Jertified Mail receipt is
required.
· For an additional fee, delivery may be restricted to the addressee or
addressee's authorized a.qen.t.. Advise the clerk or mark the mailpiece with the
endorsement "Restricted'Delivery".
· Il a postmark on t.h.e Ce. rtified Mail receip~ is desired, please pre_sent.the art?.
cie at the post chico ror postmarking. If a postmark on the uertiried Mai~
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.
September 26, 2003
CERTIFIED MAIL
Scott Netzer
California Hwy Patrol
4040 Buck Owens Blvd.
Bakersfield, CA 93308
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES NOTICE OF VIOLATION
2101 "H' Street ~g; SCHEDULE FOR COMPLIANCE
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661)395-1349
Dear Mr. Netzer:
SUPPRESSION SERVICES
2101 "H' Street Our records indicate that your annual maintenance certification on your leak
Bakersfield, CA 93301
VOICE (661)326-3941 detection system was past due 09-24-03.
FAX (661) 395-1349
PREV~.NTION SERVICES You are currently in violation of Section 2641 (J) of the California Code of
FIRE SAFETY SERVICES · ENVIRONMENTAl. SEF~/IC ES
l'/l~Chester Ave. Regulations.
Ba~(er~eld, CA 93301
V~ICE (661) 326-3979
FAX (661) 326-0576 "Equipment and devices used to monitor underground storage tanks shah be
installed, calibrated, Operated and maintained in accordance with manufacturer's
PUBLIC EDUCATION instructions, including routine maintenance and service checks at least once per
1715 Chester Ave.
Bakersfield, CA 93301 calendar year for operability and running condition."
VOICE (661) 326-3696
FAX (661) 326-0576
You are hereby notified that you have thirty (30) days, September 8, 2003, to
FIRE INVESTIGATION either perform or submit your annual certification to this office. Failure to
1715 Chester Ave.
Bakersfield, CA 93301 comply will result in revocation of your permit to operate your underground
VOICE (661) 326-3951
FAX (661) 326-0576 storage system.
TRAINING DIVISION Should you have any questions, please feel free to contact me at 661-326-3190.
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697 Sincerely yours,
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
January 22, 2003
California Highway Patrol
FIRE CHIEF
RON FRAZE 4040 Buck Owens Bird
Bakersfield CA 93308
ADMINISTRATIVE SERVICES
2101 ~H' Street
Bakersfield, CA 93301 RE: Upgrade Certificate & Fill Tags
VOICE (661) 326-3941
FAX (661) 395-1349
Dear Owner/Operator:
SUPPRESSION SERVICES
2101 "H' Street
Bakersfield, CA 93301 Effective January I, 2003 Assembly Bill 248 t went into effect. This
VOICE (661) 326-3941 Bill deletes the requirement for an upgrade certificate of compliance
FAX (661) 395-1349
(the blue sticker in your window) and the blue fill tag on your fill.
PREVENTION SERVICES
FIRE sAFET~ SERVICES ° ENVIRONMENTAL SERVICES
1715 ChesterAve. You may, if you wish, have them posted or remove them. Fuel
Bakersfield, Ca 03301 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 326-3190.
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION Si~
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951 .
FAX (661) 326-0576
TRAINING DIVISION Steve Underwood
5642 Victor Ave.
Bakersfield, CA 93308 Fire Inspector/Environmental Code Enforcement Officer
VOICE (661) 399~4697
FAX (661) 399-5763 Office
of
Environmental
Services
SBU/dc
) ';""" ." : 'For~se Byl;lll.lu,.isaictions 'within the State pi'Call'ia
~'~/ ' A~thority Cite& Chapter 6. 7, Health and Safety Code' Chapter 16, Division 3, Title 23, California Code of Regu t'ons
This form must'be fused to document tes~ting and servicing of monitoring equipment. A separate certification or repOrt must be
prepared for each.monitoring system control panel by the technician who performs the work. A copy of this form must be provided to
'.'the"tank' system owner/operator'. The owner/ope'rator must submit a copy of this form to the local agency regulating U~ST systems ..~!
"within'30daysoftestdate. ,. - i l
','iA;': General lnformatiop i '~: '{
::::..Faciliiy Name: '.~_ ~/tt ?Oteptt~a. /-~ohl,~, ~t~'K~/ Bldg. No.:
:"i. Site Address: t./'fft-/0'/~uc__.~ 'gg/~¢tq_r '~/'//~. City: ,~gEf, c?f/,aF, Zip:
· L)tr/o~ 0 Contact Phone No.: ( )
Facility Contact Person: ,'~/nt, ~ '
":,Make~Model of Monitoring SYstem: ~/-E C.t~e~-/~oo'/L · ~'Z~'-.~_C~) Date of Testing/Servicing:. ~ / !~ ~/~-
:,B. 'Inventory of Equipment Tested/Cea'tiffed --:
'" Check'then ' indicate specific eguipment inspected/serviced:
: Tank IDj' ~ · ', ' Tank ID:
']ltl lh,TankGaugi~ig probe. Model: '.)~.~. FI In-Tank Gauging Prob~. Model:
[J Annular Space or vault Sensor. Model: __ Fl Annular Space or Vault Sensor. Model:
,]i~ Pip!ag Sump / Trench Sensor(s). Model: ..~'6t/~~ Fl Piping Sump / Trench Sensor(s). Model:
Fl.. Fill Sump Sensor(s). Model:' Fl Fill Sump Sensor(s). Model:
r-I Mechanical Line Leak Detector. Model:' Fl Mechanical Line Leak Detector. Model:
Fl. Electronic Line Leak Detector. Model:: Fl .Electronic Line Leak Detector. Model:
~ Tank Overli I / High,Level Sensor. Model: i Fl Tank Overfill / High-Level Sensor. Model:
~.Other (specify equipment type and model inSectim} E on Page 2). Fl Other (specify equipment type and model in Section E on Page 2).
Tank ID: Tank ID:
'"~ !'n-irankGaugi'ng Probe. Model:' Fl In-Tank Gauging Probe. Model:
121 ,a/nnular Space or Vault Sensor.' Model:· 121 Annular Space or Vault Sensor. Model:
~ Piping Sump / Trench Sensor(s). Model:'. Fl Piping Sump / Trench Sensor(s). Model:
~l Fi!i SU~fi'P Sensor(s). Model: ; Fl Fill Smnp Sensor(s). Model:
D Mechanical Line Leak Detector. MorSel: ' Fl Mechanical I,ine I,eak Detector. Model:
~ Electronic I,inc Leak I.)ctector. Model: ; Fl I?.lcclronic I,inc I,cak I)ctcctor. Model:
[~ Tank Overlill / High-Level Sensor. Model: Fl Tank Overfill / High-Level Sensor. Model:
'.Fl Other(specify equipment type and model inSectioh E on Page 2). 121 Other (specify equipment type and model in Section E on Page 2).
DispenSer ID: ' 1"2 ' Dispenser ID:
~ Dispenser Containment Sensor(s). Model: ',.~<'0')~., -q'~-~oq'l~ ri Dispenser Containment Sensor(s). Model: ~r
.~' Shear Valve(s). : I FI Shear Valve(s).
:1~! Dispenser Containment Float(s) and Chain(~). [ Fl Dispenser Containment Float(s) and Chain(s).
~DisPehiel~ ID: · I Dispenser ID: j._.__
[! Dispenser Containment Sensor(s). 'Model:' 121 Dispenser Containment Sensor(s). Model:
Cl shear valve(s).' . , i Fl Shear Valve(s).
· Fl Dispenser Containment Float(s) and Chain(~). i 121 Dispenser Containment Float(s) and Chain(s). I
Dispenser ID: , ' i Dispenser ID:
[I Dispenser Containment Sensor(s). Model:! { {21 Dispenser Containment Sensor(s). Model:
Fl Shear Valve(s). i j Fl Shear Valve(s).
'~Dispenser Containment Float(s) and Chain(sI.j ~21 Dispenser Containment Float(s) and Chain(s). t '
facility contains
more tanks or dispense~s, copy 'this form. Include information for every tank and dispenser at the facility, i
ti
, C.'Certification I certify that equiffiment identified in this document was
· , - th' . insp,ected/serviced in accordam:e 'With the
' manufacturers guidelines. Attached this Gertification is information (e.g. manufacturers checklists) necessary to Verify that this
"' information is correct and a PI0t Plan ~howin; the layout of monitoring equipment. For any equipment capable of generating such'
· rep~rts~'l have also atti~ched a copy of t~e repo 't; (check aU'ti, tat apply): ' ~ System set-up ~1 Alarm history report ' i
Technician Name (print): ~f/r'g4,~¢ /-/-)~,, ' Signature: ~,~,-~ J
Certification No~: ..b'"~_?~'3-qtd_7~, t ' License. No.: 7o~//70 ~
TestingCompanyName: Ca~/-/~/k? E~:~,/'~/tt¢~7-" PhoneNo.:( ~'g/ )~92~-~'..~,~ .'
site Address: ~t~q0' ~fff'~" ~wcnC ~/~'~. _/~a._,/-' _~'~.te3'g/,,n~--,n. q.Y, gO ffDate ofTesting/Serviting:q / ~_~//aZ . '
' "' Page i of 3 o3/0i
Monitoring System Certification .
· Results'of. Testing/serVicing. i
~i'." -iS, o~war¢ Version installed:'-. /7. dZ'.: .~ ;
· : :', '/. :.; :!' "~; ' ' . :"'! : . .i- '~ .
!;;,~.': '.ComPlete the following checklist: ' ' i '
s th~' audible alarm, operational?
O1 ;No*.' al'.alarm'0Perati6nal? '
~.l~_,.,~¥es. . I~1, No~' = . .Were,., all sensors visually, igspected, functionally tested, and confirmed operational?
:i¥O".~ = .:.N6*~., .,' ~' 'Werenot interfereall' sensorS'within~talled, thelr,., proper~t~ IoweStoperatmn,pOint. 9 of seconda~ containment and positioned so that other equipment
~.;NQ~ If'ala~s ~are rela~ed.'to ~a remote, monitorin~ station, is all communications equipment (e.g. modem)
~ :No* ' For pressuri~d piping systems, does the turbine automatically shut down if the piping second~ {ontainment
=--./A · .' : ·
'momtormg system aetects a leak, fails to operate, or is electrically disconngcted? If yes: which sensors initiate
..~ ./'.-~:. '~' ' p°~ifi~eShut-down~" (Ch~k all th~/'~pply) ~Sump/Trench Sensors; ~ Dispenser Containment S~nsors.
,-. Did you confirm positive shut-down due to leaks an~ sensor failure/disconnection? ~Yes; ~ No.
.~'Ye~. ~, No* For tank systems ~hat uti, lize the monitoring system as the prima~ tank overfill warning der ce (i.e. no
?:..~ . ~ N/A. mech~ical overfill~preve~tion valve is installed), is the overfill warning alum visible and ' at the t~k
, '~ - fill point(s) and operating properly? If so, at what percent of tank capacity does the ala~ trigger?
~Yes* ~,.No Was. any. monitoring. ~ equip~ent~ replaced? If yes, identi~ specific sensors, probes, or other equi~m
:' and list ~e manufacturer n~ame and model for all replacement p~s in Section E, below. ; :
W~ liquid found it ]y seconda~ conta~ment systems designed ~ d~ systems? (Check, that apply~
.. ~ .. . ~ ProdUct; ~ describe causes in Section E, below. .~ ,. . ~.~ '
Q;N0* ;. monitoring ) reviewed to ensure Proper settings? Attach set up repoas, if applicab
· ~.~N0* Is all ~toperational per manufacturer's specifications? ~
In Section E below, describe how and vhen these deficiencies were or will be corrected. ' "'
;,~.. - , . , , .'.
"' O Ht~: ' ' I' '
)'~ ,.~' ; '~
,;;;''.~:.',,, ,': ,' ~,., :,
.. , ;~ . ~,
..:.~ ~'.': ..... - .
I'; "
, ? , Page 2 of 3 03/01
.~i":'~'~ i~,'I. .?
'i~ In,Tank Gauging / SIR Equ ent, E! Check this box ifian ging is used only for invent~ IT control.
~'?!'~' "ii:' '"~ !' ," ~: '? '~ '." ' '. ' ~ ~ , ~El Check this box if no tank gauging or SIR equipment i., installed.
.... : '~';This.section Must' b,e completed if in-tanl~ gauging equipment is used to Perform leak detection monito ing.
checklist: I
, I~i:?i¥~'~,: "~Nd*: Has all input w~rmg been m~spected for proper entry and termination, including testing for ground fau
i~.'.¥~s,~ t~ ~o~ wa~ accuracy of sy~t'~m pr°~duct ~evel readings tested? : '
:'.~ii~Y~"" '~,.,NO? '. W~ accuracy of system wa~er level readings tested?
~:~'.,~...YES".,, ~,.~.: ~ ~ No, :~ere all probes reinstalled properly? ,
~,~/~es'.' ~.'No).' Were all items on th6 equipment manufacturer's maintenance checklist completed?
?:':~..../;,.~,1n,, :: ,"the:. Section. H below, describe how and wbeni fllese deficiencies were or will be corrected. .1:~
?~.:. · . . ~;.
,(..: :,. G..Line Leak Deteetor~ (LLD): ~ Check this box if LLDs are not installed.
)"' Complete the bllowing checklist: " .'
':~.Ycs~ .~,No* For equipment sta~-up or annual equipment ceaification, was a leak s~mulatcd to verify' LLD pe~fo~ancc?
;''. ~ .N/A (C~ec~ all tfiat a~ly) Simulated leak rate: ~ 3 g.p.h.; ~ O. 1 g.p.h; ~ 0.2 g.p.h.
..~Yes~. ~ No* Were all LLDs confirmed operational and accurate within regulagoiT requirements?
'~. Y~s, ~ N0* Was the testing apparatus p~operly, calibrated?
~."~es. ~' ~o~ For mech~ical LLD~, does the LLD'restrict product flow if it detects a leak?
,~'.~es~' ~. N0*. For electronic LLDs,~does ~he turbine automatically shut offifthe LLD detects a leak?
':'~. Yes. ~. No* For electronio LLDs,.,does the turbine automatically shut off if any portion of th~ monitoring system; is disabled
/: , O.N/A ord~sconnected? , ~.
'~ Yes ~ No* Fo~ electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system
'" ~ N/A malfunctions or fails a test? ~
~ Yes. ~,No* For electronic LLDs,~have all accessible wiring connections been visually inspected?
':~ Yes ~ No* Were all items on th6 equipment manufacturer's maintenance checklist completed?
· ·.: in the Section H, below, describe how and when these deficiencies were or will be corrected.
· H. Comments:
¢
· ~ Page 3 of 3
· ,t~' ~ ;,. .
System Certification
.......... ~ ........ ~.. . .
. ~. .... . .: .... ....~ ........ ......
~ .~,~ '~ ' ..~ .
If'you already have a dmgram that shows fill reqmred Information, you may include ~t, rather than this ~ae~, Wl~ your
Monitoring System Ce~ification. Qn you~ site plan, show the .general layout of tanks and piping Clea~rlY identify
Iocat~on~ of the following eqmpment, ~f installed: momtormg system control panels; sensors momtormg rank ~nular
..... S ' ' ' ' ~ · ' · ·
paces,'/Smnps, d~spenser pans, spdl containers, or other seconda~ containment areas; mecham~al or elec~ont~ line leak
dete~tors; and'm-tank liquid level probes (i~ used for leak d~tection). In thespac~ provided, not~ the date t~is Site Plan
SECONDARY SYSTEM CERTIFICATION FORM
DATE~.-~-q'~OZ
FACILITY ID C~
FACILITY ADDRESS
UST Annular Space
' Tank 1
Start Time
Initial Pr~sure
Final pressure ~ '
Certification
Second~ry Piping
Initial Pr~sure
e cation
(Signature) ~ ~ ~ / I
..,~: ~ , ,. SECOnDArY FORM'
DATE~
: '~, FACILITY ID ·
FACILITY ADDRESS
,' ' -: Turbine Sumps
~ ,,.:.,.: ,. Sump 1~ Sump 2 Sump 3 Sump
,: ,,, S~rt Time
~.",'". :.. Initial Height ',
~. ~ · Time
W~ter ~elght ,
.~. Time '
~e~oh~
Water
....
"' : water Height ,~3~0,', '
, Certification :
(Signature) ~
OverfilI.Bucke~
,,,' '-: ..... Overfill
~/' ~ ":' :' ".~ s~'rt Time', ,,/Z: 0J '
'"':' '~ '~. I Initial Height
' ' ,7,1 s"
'
.. Time
Time
. ....:,',-' ~ Certification
:,. nature) .. I
,. - ,.'~ / :
'~ Page 2 of 2
.. - .... ~ .:
:'..~ ,. SECONI
FACILITY ID
~ '" "' UDCT~TING
.~'. ., DISPENSER 1~ DISPENSER 2 DISPENSER 3 DISPENSER
,. START TIME
~'. INITIAL
' ' 'HEIGHT OF
' 'WATER'
'" WATER.
. . DISPENSER 5 } DISPENSER 6 DISPENSER 7 DISPENSER
:" ' START TIME
WATER '
44B4.0 BUCK OWENS BLVD,
BAKERSFIELD CA ~8 '
09/24/2002 12;18P~':.. - ................
..... C,H,P
SUMP LEAK TEST REPORT 4840 BUCK OWENS BLUD.
BAKERSFIEL]) CA
FILL 8.
09/24/2082 11:8S AM
TEST STARTED 12:83 PM
TEST STARTED 89/24/2882 SUMP LEAK TEST REPORT
BEGIN LEVEL 5.1456 IN
END TIME 12:18 PM TURB.
END DATE 09/24/2002
END LEVEL 3.1448 IN 'TEST STARTED 18:48 AM
LEAK THRESHOLD 8.882 IN TEST STARTED 89/24/2002
TEST RESULT PASSED BEGIN LEVEL 4.3890 IN
END TIME 11:05 AM
' END DATE 09/24x2002
DISP, END LEVEL 4,5982 iN
LEAK THRESHOLD 8,882 IH
TEST STARTED 12:85 PM TEST RESULT P~SED
TEST STARTED 09/24/2~
BEGIN LEVEL 4,2623 IN
END TIME 12:18 PM
END D~TE 89/24/2802
END LEVEL 4.2614 IN
LF_~K THRESHOLD 8.882 IN
TEST RESULT
-I..W,l,,t~:."..I,,J SI..IO ! J.C,l'4Fkd
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
FACILITY NAME ~L{t-f'~tz~.. 'ff~ol~)a-q g41~( ~SPECTION DATE
ADD.SS q~q~ ~ldC ~5 'fll~ PHONE NO.
FACILITY CONTACT BUSINESS ID NO. 15-210-
~SPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
~ Routine [~Combined I~ 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 C
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 ~](eNo
Exptain: ~~~5~~~
Questions regarding this inspection? Please call us at (661) 326-3979 /~/Business~i~spT~arty///,. ~-.-
White-Env. Svcs. Vellow-StationCopy Pink-Business Copy Inspector: ~, _/'.~g/~g/~ ;
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME. d<'~O~'l,'te~. ~/q~COe. t,-[ ~)O-4F0 I INSPECTION DATE
Section 2: Underground Storage Tanks Program
[] Routine ~/~ombined [] Joint Agency [] Multi-Agencyt [] Complaint [] Re-inspection
Type of Tank /~]kD~J Number of Tanks [
Type of Monitoring ~L-F/,'k Type of Piping
OPERATION C V COMMENTS
Proper tank data on file ~ /
Proper owner/operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations t/ ~'
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tanks Program
TANK SIZE(S) ~6"0 ~,~,! AGGREGATE CAPACITY
Type of Tank ~k0 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?
lfyes, Does tank have overfill/overspill protection?
C=Compliance_~V=Violation' -~/d'~J]/~ Y=Yes N=NO ~a
Inspector: C _~/.,~..2
Office of Environmental Services (805) 326-3979 rty
White - Env. Svcs. Pink ~ Business Copy
i CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVIC. ES
1715 Chester Ave., Bakersfield, CA (661) 326 3979
1
APPLICATION TO pERFORM A TANK TIGHTNESS TEST/ ' SECON.' DARY CONTAINMENT TESTING
PERMIT TO OPERATE #0/,.,c-.~ ~- OOO0/7
NUMBER oF TANKs TO BE TESTED / IS piPiNG GOING TO BE TESTED ~/e.~.,~ ....
-i TANK # VOLUME CONTENTS
TANK TESTING COMPANY ~¢--/-Z/cL//e,¢-
· .. MAILING ADDRESS 25-00 G)'/matre Ave. tCa~er_r,C/'el.d C_~
NAME & PHONE NUMBER OF CONTACT PERSON ~'Ya.,Ce H/i,.B/e.~ G~I-.~2 7-¢.,eq/ .
TEST METHOV Z-~ £oh ~ [¢'-~5~5
NAME OF TESTER OR SPECIAL INSPECTOR ]~Ft.~ /-~/'~/~.~
CERTIFICATION # 0~05-2~,/~
^PPRO¥~D B ¥ DATE $IGNATUR~ OF A??L[CAbFr
August 30, 2002
California Highway Patrol
4040 Buck Owens Blvd.
Bakersfield, CA 93308
REMINDER NOTICE
RE: Necessary secondary containment testing requirements by December 31, 2002 of
underground storage tank (s) located at the above stated address.
FIRE CHIEF
RON FRAZE
Dear Tank Owner / Operator,
ADMINISTRATIVE SERVICES
2101 "H" Street
Sakersfield. CA 93301 If yOU are receiving this letter, you have not yet completed the necessary secondary
VOICE (661) 326-3941 containment testing required for all secondary containment components for your
FAX (661) 395-1349
underground storage tank (s).
SUPPRESSION SERVICES
2101 'H" Street
Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health
VOICE (661)326-3941 ~5 Safety Code) of the new law mandates testing of secondary containment
FAX (661) 395-1349
components upon installation and periodically thereafter, to insure that the systems are
PREVENTION SERVICES capable of containing releases from the primary containment until they are detected
1715 Chester Ave.
Bakersfield, CA 93301 and removed.
VOICE (661) 326-3951
FAX (661) 326-0576
Of great concern is the current failure rate of these systems that have been tested to
ENVIRONMENTAL SERVICES date. Currently the average failure rate is 84%. These have been due to the
1715 Chester Ave.
Bakersfield, CA 93301 penetration boots leaking in the turbine sump area.
VOICE (661) 326-3979
FAX (661) 326-0576
For the last four months, this office has continued to send you monthly reminders of
TRAINING DIVISION this necessary testing. This is a very specialized test and very few contractors are
5642 Victor Ave.
Bakersfield, CA 93308 licensed to perform this test. Contractors conducting this test are scheduling
VOICE (661) 399-4097 approximately 6-7 weeks out.
FAX (661) 399-5763
The purpose of this letter is to advise you that under code, failure to perform this test,
by the necessary deadline, December 31, 2002, will result in the revocation of your
permit to operate.
This office does not want to be forced to take such action, which is why we continue to
send monthly reminders.
Should you have any questions, please feel free to call me at (661) 326-3190.
Sincerely,/?~
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
L D
July 30, 2002
California Highway Patrol
4040 Buck Owens Blvd
Bakersfield CA 93308
REMINDER NOTICE
F~RE CHIEF RE: Necessary Secondary Containment Testing Requirements by December
RON FRAZE
31, 2002 of Underground Storage Tank (s) Located at
ADMINISTRATIVE SERVICES the Above Stated Address.
2101 "H' Street
Bakersfield, CA 93301
VOICE (661) 326-3941 Dear Tank Owner / Operator:
FAX (661) 395-1349
SUPPRESSION SERVICES If you are receiving this letter, you have not yet completed the necessary
2101 "H" Street secondary containment testing required for all secondary containment
Bakersfield. CA 93301 components for your underground storage tank (s).
VOICE (661) 326-3941
FAX (661) 395-1349
Senate Bill 989 became effective January I, 2002, section 25284. t (California
PREVENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary
FIRE SAFETY SERVICES · EHV1RONI~NTAL SERVICES
1715 ChesterAve. containment components upon installation and periodically thereafter, to insure
Bakersfield, CA 93301 that the systems are capable of containing releases from the primary
VOICE (661) 326-3979
FAX (661) 326-0576 containment until they are detected and removed.
PUBLIC EDUCATION Of great concern is the current failure rate of these systems that have been
1715 Chester Ave.
Bakersfield, CA 93301 tested to date. Currently the average failure rate is 84%. These have been due
VOICE (661) 326-3696 to the penetration boots leaking in the turbine sump area.
FAX (661) 326-0576
FIRE INVESTIGATION For the last four months, this office has continued to send you monthly
1715 ChesterAve. reminders of this necessary testing. This is a very specialized test and very few
Bakersfield, CA 93301
VOICE (661) 326-3951 contractors are licensed to perform this test. Contractors conducting this test
FAX (661)326-0576 are scheduling approximately 6-7 weeks out.
TRAINING DIVISION The purpose of this letter is to advise you that under code, failure to perform
5642 Victor Ave.
Bakersfield, CA 93308 this test, by the necessary deadline, December 31, 2002, will result in the
vOICE (661)399-4697 revocation of your permit to operate.
FAX (661) 399-5763
This office does not want to be forced to take such action, which is why we
continue to send monthly reminders.
Should you have any questions, please feel free to call me at (661) 326-3190.
Sincerel ' ,
Steve Underwood
Fire Inspector Environmental Code Enforcement Officer
D
June 30, 2002
California Highway Patrol
4040 Buck Owens Blvd
Bakersfield, CA 93308
REMINDER NOTICE
RE: Necessary Secondary Containment Testing Requirement by December 31,
2002 of Underground Storage Tank located at 4040 Buck Owens Blvd.
FIRE CHIEF
RON FRAZE
Dear Tank Owner / Operator:
ADMINISTRATIVE SERVICES
2101 ~H" Street
Bakersfield. CA 93301 The purpose of this letter is to inform you about the new provisions in
VOICE (661)326-3941
FAX (661) 395-1349 California Law requiring periodic testing of the secondary containment of
underground storage tank systems.
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002, section 25284.1 (California
VOICE (661) 320-3941
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 I, 2001 will be tested by
VOICE (661) 326-3979
FAX (661) 326-0576 January 1, 2003 and every 36 months thereafter. REMEMBER! Any component
that is "double-wall" in your tank 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}xf,~ /' ~
..... - Fire Inspector/Environmental Code Enforcement Officer
Environmental Services
SU/kr
D May 29, 2002
California Highway Patrol
4040 Buck Owens Blvd
Bakersfileld, CA,93308
RE: Necessary Secondary Containment Testing Requirement by December 31,
2002 of Underground Storage Tank located at 4040 Buck Owens Blvd
F)RE CHIEF REMINDER NOTICE
RON FRAZE
Dear Tank Owner/Operator:
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301 Thc purpose of this letter is to inform you about the new provisions in California
VOICE (661) 326-3941
FAX (661) 395-1349 Law requiring periodic testing of the secondary containment of underground storage
tank systems.
SUPPRESSION SERVICES
2101 'H" Street
Bakersfield, CA 93301 Senate Bill 989 became effective January 1, 2002. section 25284.1 (California
VOICE (661)326-3941 Health & Safety Code) of the new law mandates testing of secondary containment
FAX (661) 395-1349
components upon installation and periodically thereafter, to ensure that the systems
are capable of containing releases from the primary containment until they are
PREVENTION SERVICES
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 that is "double-wall" in your tank system must be tested.
FAX (661) 326-0576
TRAINING DIVISION Secondary containment testing shall require a permit issued thru this office, and
5642 Victor Ave. shall be performed by either a licensed tank tester or licensed tank installer.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763 Please be advised that there are only a few contractors who specialize and have the
proper certifications to perform this necessary testing.
For your convenience, I am enclosing a copy of the code for you to refer to. Once
again, all testing must be done under a permit issued by this office.
Should you have any questions, please feel free to contact me at (661) 326-3190.
Sincerely,
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
SBU/kr
enclosures
D
APril 17, 2002
California Highway Patrol
4040 Buck Owens Blvd
FIRE CHIEF Bakersfield CA 93308
RON FRAZE
ADMINISTRATIVE SERVICES RE; Necessary Secondary Containment Testing Required by December 31, 2002
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941 REMINDER NOTICE
FAX (661) 395-1349
SUPPRESSION SERVICES Dear Tank Owner/Operator:
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941 The purpose of this letter is to inform you about the new provisions in California law
lAX (661) 395-1349 requiring periodic testing of the secondary containment of underground storage tank
systems.
PREVENTION SERVICES
1715 ChesterAve. Senate Bill 989 became effective January 1, 2002. Section 25284.1 (California Health &
Bakersfield, CA 93301
VOICE (661) 326-3951 Safety Code) of the new law mandates testing of secondary containment components
FAX (661) 326-0576 upon installation and periodically thereafter, to ensure that the systems are capable of
containing releases from the primary containment until they are detected and removed.
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301 Secondary containment systems installed on or after January 1, 2001 shall be tested upon
VOICE (661) 326-3979 installation, six months after installation, and every 36 months thereafter. Secondary
FAX (661) 326-0578 containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003
and every 36 months thereafter.
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308 Secondary containment testing shall require a permit issued thru this office, and shall be
VOICE (661) 399-4697 performed by either a licensed tank tester or licensed tank installer.
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.
Si
.. r-
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
SBU/dm
enclosures
For l[Z~e Bt,/II1 ,],rLvdictions ffqthm the State
This form must be used to document te~ting m~d servicing oi' monitoring equipm~m. A separate ~e~ifi~a~ion ~r
pre~ared for each monitoring system control panel by fl~ technician who performs ~l~e work. A copy of this fo~ must be provided
~he ~ank syslem ownerloperamr. Thc owner/operator must submit a copy of this form to the local agency regul~tinff UST systems
within 30 day~ of ~est date.
A. General Information
Site Address: ~0~ .. BUC~ O~r ~ .... City:.~fferrg ~{~ Zip:
F:,,:ili,y Contact Person: ~To~ ~._.. Contact Phone No.:
Make/Model of Monitoring System ~t~{~-~ . ~ .... Date ofTestin~Servicing: /~
B. Invento~ of Equipment Tested/Certified
Chcck, Iht appropriate, ht~xcs lo Iiidtcatc ~peclflc equipment izlspecled/scrviced: ~ ~ .
~ In-'rm~k Clauei~ Probe, Model: ~. [ ...~ ~ In-Tank Gauging Probe. Model:
U Annular Space or Vault Sensor. Modcl: ~ Annular Space or Vault, Sensor. Model:
~ Piping Sump /Trench Sensor(S). Modcl~~n~ ~ Piping Sump /Trench ~enxor(s). Model:
~ Fill Sump S~n~nr(s). Model: __ ~ Fill Sump Sensor(s). Model:
O Mcchanic~d l.ine I.eak L)ctcclor. Model: ~ M~cbanical Linc Lcnk Detector. Model:
~ Elcclronic I.inc Leak Detector. Model: __ O Electronic Linc Leak Detector. Model:
O 'rank Overlill / I.ligh-I..evel Sensor.Model: __ ~ Tank Ovcrfill/ High-l.evcl Sensor. Model:
~ Ofl~r (specil~ equipment type ~nd model in Section E on Page 7) ~ Other (speciFy c~u~ment t~pe and model in Section E on Page ~).
Tank IDt
Tnnl~ ID: .__
~ In-Tank Gauging I'robc. Model: ~ In-Tank Gauging I'robc. Model: __
~ Annular Space or Vault Se.~or Mnrlel: ~ Annular Space or Vault Scnsor. Model:
~ P/ping Sump / Trench Scnsor(s). Modc~: ~ Piping Sump / Trench Sensors). Model:
O Fill Sump Sensor(s). Model: __ O Fill Sump Sensor(s). Model:
~ Mechanical I.inc Leak Detector. Model: ~ Meclmni,al l.inc Leak Dct~lor. Model:
~ EIc~lronic I.inc Leak Del,trot. Model: ~ Elcctroni, Line l.eak Dctcctor. Model:
~ Tank Overlill / l ligh. Lc~el Sensor. Model: ~ Tank Overfill / High-l.evel Sensor. Model:
~ Other (specify equip~cpt type and modcl i~,,Scc~ion E o~ Pagc 2)., ~ Otl~e[ (spccify ~quipment type and modcl i,~ ?ction E on Page 2).
Di,pcnscr ID: [7~ ~lspensor ID:
~ Dispe,~er Containmcnl Sensor(s). Model: ~~ ..... ~ Di~pcnscr Cont~inment Sensor(s). Model:
~ Shear Valve,s). ~ Shear Valve(s).
~ Dispenser Conlaimncm I:?al(sJ and Clmints). ~ Dispenser Cuntalnmc, t ~l~ut(s) m*d Chain(s). ..
Dispenser ID: __ Dispenser ID: __
~ Dbpcnser Comainmcnt Sensor(s). Model: O Dispenser Containment Sensor(s). Model:
~ ~hcar Valve(si. O Shear Valvc(~).
~ Dispenser Containmcnt Float(s) end Chain(s). ~ Dispenser Containmcnt F,Io[t(s) and.Chain(s). ,,
Dispenser ID: ..... Dispenser
~ Dispenser Cm,ainmcnt Sen~or(~), Modol: __ ~ Di~pcn~crConhdnm,nl S~enr(q) Model'.
~ Shear Vtdve(s). ~ Shear Valve(s).
~Dispcnscr Containment Float(s) and Chain(s), ~ Dispenser Containment [Im~l(s) and Chain(s).
· lrth~ ~arili~y enmaln~ marc tanks or dbpensers, cony tiffs Form, lnclude in[hrmation for cvc~ trunk and dispenser at risc facility.
C. Certification - I certify that the equipment identified in this document wa~ inspected/serviced in accordance wilh
mmmfacturers' ffuldellnt~. Attached ~o this Certification is i~fformatlon {e. ff. manuraeturers~ checklists) necessary to vcrlf? th~t this
I~or~lon I~ ~orreet an~ a Plu( PI...l,o.;ug th~ layout of monltorlng equipment. ~or n~y equipment enpnhl~ of ge~ernting ~u~h
reporls, I have al~o attached n copy of the report; (chec~ all ~hm apply): O System set-up ~ &latin history report
Technician Name (print): ~~... ~'~.~ Signature: ~_~~
Certification No.: I.iccnsc. No.: ~ Z~.,~70
P:~e I of 3 I)3/01
Mouitoring System Certification
£~'d ~I29-22£-I99-I Jo~eue~ Ie~auofl eO0:OI IO L2
D. Results of Testing]Servicing
Software Version In,tailed: ._
Com'plcte thc following checklist: ,
Yes I~ No* 13 thc audible afarm operational?
Yes 121 No* ls the visual alarm operational?
Yes L.] Nc~* Were all sensors visually inspected, functionally tested, and confirmed operational? ~
Yes O No' Were ull ~t,aot's installed at lo'est point of,cconda~, containment nnr{ pn~irioned so that othe~ equipment will
not inter[ere with their proper operation?
Yes ~ No' ir alarms are relayed to a rcmote m0nitori~g stalion, is all communications equipment (e.g. modem)
~ N/A opcrulitmal?
Y~s ~ No* For pressurized p~ping syslems, does (l~e turbin~ aut~atica}ly' shut down if th~ piping secondary conlainmcnt
~ N/A monitoring system detects u lea~, Ihils to operate, or is electrically disconnected? If yes: whicl~ sensors initiate
positive shut-down? (Check all that uppO~ ~ Sump/Trcnch Scn~orsl ~Dispenser Containment Sen~nr~.
Did you confirm positive shut-down due to leaks an~ sensor hilur~disconnection? Q Yes; ~ No.
Yes ~ No* For tank systems tllai"udlize the monitoring system as the p~ima~ tank owrli}l warning device ti.e, no
~ N/A mcchallical overfill prcvc~dun valve i5 in,tailed), ia the overfill warning alarm visible and a,di~te at the tank
fill point(s) and operating prt?erly? If so, at what percent of tank capacity does the alam~ trigger? ~ %
Yes* ~ No Was any monltori~g equipme~t replace~? [[yes, identify specific sensors, pr°~cs, or other equipment replaced
alld list tile manufacturer nam~ aud model for all rcplac¢mcnt par~s in Section E, below.
Yes* ~ No Was liquid fom~d inslde any secondary containment systems designed as d~ systems?' (Check all that apply)
~ Product; ~ Water, If yes, describe causes in Section E, below.
~es ~ No* was monitoring system set-up reviewed Io ensure prup~ ~ttln~s? Attach set up rcp0~s, if applicable
Yes ~ No* Is all monitoring equipment opcrafion'al per manuhcture.r's specifications? . . ,
In Section E below, describe how and when these deficiencies were or will be corrected.
E. Cotnments:
l'nge 2 ,~f3 03/111
~ El Check this box ifno tm,~lil~auging or SIR equipment is installed.
Tiffs scction must hc completed if in-tank gauging equipment is used to .perform leak detection monitoring,
Coral)Icrc tim following eheclcllsl: ,
-Q ~es ~' No* Ra~ all i'nput wiring'bec~ inspected for ~op~r en[ry and t¢rm~nation, including t¢sfing for ground faults? '
~ Yes ~ No* Wcrc all tank ~auging probes visually inspected for damag~ m~d rcsJdue buildup?
~ Yes ~ No* ~ts accuracy of system produc~ Icvcl readings tested?
~ Yes ~ No*' Was accuracy of system water level readings ~ested?
~ Yes ~ No* Were all probe~ reln~lnlled properly?
'-~ Ye~ ~ No* Were all items on the equ{pment manufacturer'~ maintenance checklist completed?
* Ill tile Secllon ~, below~ describe how and whe~l these defictelleies were or will be corrected.
G. Line Leak Detectors (LLD): ~ Cl~eck this box ir LLDs are not installed.
Complete the following checklist:
D Yes ~ No* For equipment start-up or annual equipment ce~ificalion, was a le;k simulated t0'verify L~D pertBrmanee?
~ N/A (~haekallthatapp&) Simulated leak rate: Q3g.p.h.; ~0.1 g.p.l~' ~0.2g.p.h.
Q Yes Q No* Were all LLDs confirmed operational an~ accurate ~ithin regulatory requirements?
~ Yea ~ No= Wa~ the testing aPparatug properly' calibrated?
~ Yes ~ NO* For mcchat)ical LLDs, does the LLD res{rict product Ilow if it delec[s a leak?
~ N/A
~' Yes ~ No' For electronic LLDs, does the tmbhm automatically shut offifflae LLD detect~ a leak?
Q N/A
O Yes ~ No* For electronic LLCs, does the turbine automatically shui off if any potion of the monitoring system is disable~
Q N/A or disconnected?
~ Yes ~ No* For electronic ¢[,Ds, does t.~e turbine automaticall9 shut off if any portioh of the mon'itoring ~ystem.
~ N/A malfunctions or fails a test?
~ Yes ~' No* For electronic L1.Ds, have all accessible wiring conhections been visually inspec[ed?
~ N/A
~ Ye~' ~ No* Wv. re all ifems on tile equipment manufacturer's'maintenance checklist completed?
* In the Section ~, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3 03/01
, UST Monitoring Site Plan
Site Address: ..... __, --
........
~uc./( ........ . ........
O~v-~[ ..............................................
~:/~. ...... 'o~:~ .... ::: :i~.::: i,,;:: :::::::::::::::::"
.......... ...:: ............
........... ::::::
............................. 50'/",/' ..................
~),.~ ,,~.~p ~,,~ d~.,,,,n:./O_/J / / O/.
Instructions
If you already have a diagram that shows all required intbrmation, you may include it, rather than this page, with your
Monitoring System Certification. On your site gk~n, ~how t.he generol laym~t of' tanks and piping. Clearly identif'y
locations of the fo]lowing equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser ptms, spill cantainers, or other secondary contahm~ent areas; mechanical or electronic line leak
deleetors; and in-tank liquid level probes (if' used for leak d~t~clion). In thc space provided, note the date thi~ ..Rite Plan
was prepared.
I 00'
0
S3H.gN 1,_ ,._,"-Ic`'.
S"I~O
S'"I~C.~ FiaFI ? .....
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
INSPECTION DATE
FACILITY NAME
ADDRESS c[OqO ~cJ~r. t%~,~_~ 'fit0'~ PHONE NO. ~gGl ' qqs'~
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES.
Section 1: Business Plan and Inventory Program
[~ Routine "~ Combined [~1 Joint Agency [~} Multi-Agency ~ Complaint I~ Re-inspection
OPERATION C VI 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 L /
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~Yes [~o
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979 Busin ss S~e.,Responsible Party
White- E,~. S~cs. W,,o~ - Statio. Copy Pink - n-si,~s~ Cow Inspector: _~
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~I~/t-~O,~,.~ ~14.~u~_~~ e&{t~[ INSPECTION DATE tl[t3[OI. .
Section 2: Underground Storage Tanks Program
~ Routine [~ Combined [~l Joint Agency [~l Multi-Agency ~ Complaint [~l Re-inspection
Type of Tank ~qttll~ Number of Tanks
Type of Monitoring /~T6 Type of Piping
OPERATION C V COMMENTS
Proper tank data on file
Proper owner/operator data on file
/
Permit fees current
Certification of Financial Responsibility [~,
/
Monitoring record adequate and current
/
Maintenance records adequate and current ti./'/,
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: .... ~ .... ~r/t/
Omce of Environmental Services (805) 326-3979 '~usi~ess ~ite Responsible Party
White - Env. Svcs. Pink - Business Copy
40037
', LpE! Cal-Valle~ment~
~ a~oo Gnmore Avenue, Bakersfield, CA.
I E~IImENT I1~ Cont. # 7s*~7o A HAZ Phone (as~)aeT-OZ,~ Fax
~ ~m ~0 qa ~ O~e~ r dl~ end Time:., A.M./P.M. Cmtomer PO~
X ~zo-oCC
~at Time: A.M./P.M. W/M Co~adon~
,~:~:~,~~ma: ~ ~(~-~a 2~Time: A.M./P.M.
~~~~ ~oble~,
~ Cause/Co~ections Made ~ah/'~ /~.9Pee~/o~. ~p/~ce~ ~oZZ/e~ ~ '~a~, G~"
I' "~-~ ~ ,~% ~ ....
~. P~ Nmb~r ~d D~ription Uffit Co~t To~
t' ' o~ PyTY~-G~ ~'c" hose.
It ~ un~$~ ~d a~ ~at in ~e ~t ~is bill ~mes overdue and ~e ~ller ~mmn~a legal action for ~e collation of same ~e buyer will ~y all
of~H~fiau ~l~ing atm~ey'a f~. The ~tle ~ ~e pro~r~ deacri~ herein ~h~i rem~n ~e pro~rty of the a~ler, ~d ti~e shall not ~aa to ~e purch~er until
~i& A ~mi~ ch~e of 2%, ~uai w 25% ~r ~ear, char$~ on ~t due a~oun~.
1~ W~~ _ ]~-V~ Eq~t Repr~tative
I~ ','~//~ ~~ ~~l~r~, ~1~
BAKERSFIELD CHP
7. 2000 10:53 APl
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
INVENTORY REPORT
T 1;UNLEAD
VOLUME = 6570 GALS
ULLAGE = 5057 GALS
90~ ULLAGE= 3894 CALS
TC VOLUME = 6517 GALS
HEIGHT = 50.55 INCHES
STK HEIGHT= 50.55 INCHES
ii ~ VOL = 0 GALS
= O.OD INCHES
= 71.3 DEG F
BAKERSFIELD FIRE DEPARTMENT N°_ 1 0 3 7
Sub Div. q~¥O .~/C (~ka~ Blk. .. Lot
You are hereby required to make the following corrections
at the above location:
Cot, ~o
InspectOr
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME
ADDRESS
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
[~l Routine I~] 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?: [~]l Yes [~l No u~..~:~~ ~
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979 Busi~'~s Site ~esponsible Party
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector:
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~O..~:(-OvO, t~ {4t~lk~',{ ~)O.'~r~'O[ INSPECTION DATE io~l'I[O0,
Section 2: Underground Storage Tanks Program
[] Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
Type of Tank ~qtO~ Number of Tanks I
Type of Monitoring .PT(,, Type of' Piping 0c0 1:7c,:
OPERATION C V COMMENTS
Proper tank data on file
Proper owner/operator data on file
Permit fees current ~/'
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current L//
Failure to correct prior UST violations L,/
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tanks Program
TANK SIZE(S). AGGREGATE CAPACITY
Type of Tank Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does 'tank have overfill/overspill protection?
C=Compliance V=Violation Y=Yes N=NO
Inspector: _ _
Office of Environmental Services (805) 326-3979 musine~s Site ~esponsible Party
White - Env. Svcs. Pink - Business Copy
~ *** C A L A L L E Y E Q U I P M N T ***
P.O. BOX 80067
BakerSfield, CA 93380
(661) 327-9341 Accts Receivable
(661) 327-9341 Service DeFt
Contractor's License #750103
INVOICE
To: CALIFORNIA HWY PATROL PIERCE Invoice NO.: INV37669
ATTN: CHUCK Invoice Date: October 04, 00
4040 BUCK OWENS BLVD Due Date: November 03, b0
BAKERSFIELD CA Terms: NET 30
93308
Account Number: CALl01
Purchase Order%:
CVE #: 37669
Qty Item # Description Price Amount
1 00 523LP-2203 VENT VALVE 2" THRD 3" WC 68.65 $68.65
1.00 7574BTN-78 HOSE 6.5' COAX DAY 61.64 $61.64
2.50 LABRB R BACHAR 43.00 $107.50
Subtotal: '$237.79
Sales tax: $9.45
TOTAL AMOUNT DUE $247.24
INVOICE DESCRIPTION
CALIBRATED FUEL PUMPS & CERTIFY TANK MONITOR PROGRAMMING
& POSITIVE SHUT DOWN
cw- 37669
Cai-Valley Equipment
3500 Gilmore Avenue, Bakersfield, CA 93308
Cont. # 750103. Phone (661) 327-9341. Fax (661) 325-2529
Authorized By: Date: //0 / ~/ /c~(-~ Order
Customer: t/~ _~/'Y/P Arrival
.... Time:/."4//~'"'A.M./P.M'
Job Location: ~/0 ,~/~ ~ f~(~(' h t/~~ ~ /~1~ Depariur~
Time: ~75tt. X-)A.M./P.M
City: Notification to W & M . Confirmation
Job:
Make~' R Model [ Serial #
Reported Problem ~e~r ~.a>-~x.. ~ ~[ T~.~ ~_ ~/~ 5~~ [
Primary Cause/Corrections Made ~eC ~ 1~~ ~O~. ICD~ ~r~an~_~'~6 , ~, 2
Q~. Pa~ number and Description Unit Cost Total Cost
/
ldditional Information Listed B~lo~:
1)
~) ~ales Ta~
4) Labor Total
6) Equip. Rental
?) Subcontract
Total Amount
It is understood and a~reed that in event this bill b~co~ ov~rd~ and th~ s~ll~r coi~enc~s I~lal actio~ for t~ collection of saab, t~ buyer will
of coll~ction incl~dini attorney's fees. The titl~ to t~ prop~rt~ described herein lhall r~ain t~ ~ro~rty o[ th~ seller, a~d fitl~ i~all no~ pals to
until paldl A semite charge o~ ?/o, equal to 24°/o per year, charled on ~ast due accounts.
[ Se~ice ~k Accepte~ . Cai-Valley Equipment Representative
Ti~' ~~ ~ ~ Date:
CAL.VALLEY EQUIPMENT
A divisio~ of Fleet Card FuelsR~CO
OF
COMPUTER.
P.[9. 'B'ox 81685 · Bakersfield, CA 93380 OR METER CHANGE
805-327-9341
Station Name Station Number Date [] Meter Change Job Number
ct( O~e. Otv~ ~0
~mp ~ M~e & Model 0 6a D ~[ Serial Nflmber ~ Tagged I Tag Number
~'or4~ ~/ ~ ~1 ;~'3 ~Y ~Red ~Green ~Blue
Comments: ~inish (gallons) Calibration: Fast+{ S~o~
Totalizer ~ ti t( / D 3. ff Checked
Readings Start (gallons) Adjusted Fast Slow
5 ~t ~l 16 3. 7 to
Product Remm to Storage (gal) Totalizer Sealed Meter Sealed
Prop ~ Make & Model ~ ~5 k = y Serial Number Tagged I Tag Number
~ ~t ~&' ~ Y) 3 q ~ ~Red ~Green D BlUe
Comments: Finish.(gallons) Calibration: Fast Slow
Totalizer
Readings Sta~ (gallons) ' Adjusted Fast Slow
~g~ ~ ~O. O to
Product Remm to Storage (gal) ToSser Sealed Meter Sealed
7 q /V ~.[ ~es nNo ~Yes',
~No
Pump ~ M~e & Model Serial Number Tagged [ Tag Number
~Red ~Green ~Blue
Comments: Finish (gallons) Calibration: Fast Slow
Totalizer Checked
Readings Start (gallons) Adjusted Fast Slow
to
~oduct Return to Storage (gal) Totalizer Sealed Meter Sealed
~Yes ~No DYes ~ No
Pump ~ M~e & Model Serial Number Tagged } Tag Number
~Red ~Green ~Blue
Comments: Finish (gallons) Calibration: Fast Slow
Totalizer Checked
Readings Start (gallons) Adjusted Fast Slow
to
Product Return to Storage (gal) Totalizer Sealed Meter Sealed
~Yes ~No ~Yes ~ No
Pump ~ Make & Model Serial Number Tagged [Tag Number
~Red ~Green ~Blue
Comments: Finish (gallons) Calibration: Fast Slow
Totalizer Checked
Readings Start (gallons) Adjusted Fast Slow
to
Product. Remm to Storage (gal) Totalizer Sealed Meter Sealed
~Yes ~No ~Yes ~ No
Dealer's Signature: ~ield Technician's Signature:
Distribution: Original (white) Invoice Copy
Duplicate (yellow) File Copy
~ird (pink) Dealer Copy
cSpm6~o~s~e~c~ge
LF'
~ ~3~5/~3-2/00 TLTE 14:31 FAX 6613270704 CHP BAKERSFIELD ~]004
OFFICE OF ENVIRONMg__,NTAL S~IVICES
1715 Chester Ave.!:Bakersfleld, C,[ 93301 (661) 326-3979 ,
UNDERGROUNI~'STORAGE TANK6 UST FACIUTY ,
[
i ,, : 41&
.
' I
"*.;~.~,'~*lJt~;,C.,,~ ,~' :' L~.'="*'~,'".' ' '': ~' '." "~ ' ' ' **': '" * ' ', ' , ' ' ,, ~ ' ' '=¥ ' ,'- ' ..,' ,. ',r ' ,., ' ,.
T~ 0¢ ~ ' '
i, * I : S:~CUP~O~.~
~ 05/02/00 TUE 14:31 FAX 6613270704 CHP BAKERSFIELD ~]003
c~ o~ s~s~u~
OFFICE OF E .ICflRONME#TAL $ERVqC. ES '
1715 'Cheerer Ave., 8akm'~fleld, CA 93301 (67t) 326-3979
I
.'......'~ ... :,....:,~.~.. :~?VL P'P.~Ne.C~ U".~?,;=~. ".~r~ .~." *..L?*'..*'
'- .... 'i: ...... I''
....... .~...i _u,~K,~.__~_,~,,,~ _
SYSTEMTYP~ '.~1, laRGS~3UR~ [] ?, SUCTION O '1. GRAVITY: 458 O 1.'IaRESSURe ! 'C~ 2. SUCTION
............ ~ -' i
~a~a..IFACTURF_.R ~'~. OC:)UBLEWAU. I-I$s. UNKNOWN ,i , C] ~. OOUm..EW~LL i ~ C:] 99.'OTHER
:' I
IMANUFA~rU R~-R Il MI MANUF~,CTURER 483
' I
t'1 ~.aA~.~C [] a. Fm'COUP-'na~w~?0e%hqS~: OL O ~. ~;sTEE., , : O .. FRecoMp.'necaw~ae~E'mMo~.
~v~TER~S ~ O ~. STAINLES~ $1~EL O 7. (~ALvA.,KI~O STG~L I: : ~ 7_ STAINLESS $1~EL [] ?. GAL.vAHS21EO STEEL
COI~qOSIO~ ~ LG,~ I ' '
PftOTECTION COfA)ATIR COIETENTS I'~ 95. UNKNOWN [] 3, PLASTIC COl,4PA'TTBLG WITH CONTENTS (~ 8, FI.E:XI~L.E (HOPE) ~ gg, OTHER
~ FteERGLA,SS VL~ & FLEXIGLE (HDPE) /'199, OTH~.R: (~, 4. FIBERGt.ASS ~ 9. CATHODIC PROTECTION
[] 5, ST~ELWJCOATING ~ · CA~IODICPROTEC'rlON ;;' M4 ~'l ~, STEEl. W/CD&TiNG [~c~. UNKNOWN 465
....................
.,.:.:.......~ ,.,~,' .. , -. ?.:..:... ':~.(:!::- ~. .................... .~.:;,.
; ~:,:'.~.rj,~.~..p! !"." :'". ~ .x.., ¥:..: ...,.:.:~--...~: ............ ;,.'-,
~NGLP. WJa..L PIPI/bO I. a~ ! . 8INGLE WALL PIPING
I~,~ SSURI~.E'O PIPING (C. Rm~ir aa fret ~dy~ : PRESSED FRPtNG ~Chec. k a;/~ a~lyJ:
C] ~, e.~C*mOa,CL~CE,~DETC-CTOe$.OC~$TWrm--JTOeUMF'$HuTOF~,ma C] 1.
. SYSTEM F~ULIJRE. ~ SYSTEM I~SCONNECTION *' AUDIBLE AND VISUAL,ALA.GIUd~
LEAK, ~I'SI'~M FAILUre_ AHD SYSTE]d D~SC, ONNECTION '** AUDIBLE AND VISUAJ- i I '
I--] :', MOm'HLTO20,~a,~Tr~T ,, * f--! 3. AIMUALW~.GI:UTY'I-e,ST(O-tG~)
I-1 3. ANNt, W. m'TEGRn~'mST(0.~ C.a~,4) :' '* C] · Q~dLYV~JALC~EC:X
ii ' C~DNV~NTIONAL'~UCTI~, N 9Y$~l~MS (CMr. k a[l lhal ap~/'j:
CONVENTIONAL ~d. ICT10~ SYSIE~,~,:
[] $. OAiLYVISUALidOI~OFPUI,4aINOSYSTEM.,,TRIENNI,M..PIPeGINTEGRITY* C~] $. GAILYVI.,qLIALMi3NITOR'INGOFPII:~HGA/qIDPUMPINGSYST~M
TEST(0.*~ G;'H] i : [] e. TI~IENNIALI/C'EGRrrYTESTffi.1GPH)
~)"FF' ~UGT1ON b'YST~ G'40 VALVES IN m;[ E)W ORC)U~D PIPING): i: ' &aFE SUCTION $¥$T~1~ (NO VALVES IN BELOW GI~C:)UND PL°ING):
ca~v~ F'LOW:. i
9EGONDA~JLY CONTAJNED PIPING i , 'GGCOND, ARIL¥ CONT4UNED PIPING
P~E$$URtZED PIING (Ghack,M d14t ~JM'/,); !* ,' pRE.~.RUR. IZGD P3PtNC3 (CMc. k ~1 ~t
· '
10. CI:~NT~qlUOUS TURBtNE SUk~ SENSOR VATH AU DrBLE AND VI~;UAL AJ. AI~aS ~ 10. CONTtNUOIJ$1URBINE SUMP SENSO)q ~ AUDIBLE AND V~),JAL A]~4U~MS AND (dledC (me)
(CJ~,d~ c~) . -' ,. ~ . ,
~_.)//~o ~M~ ~a/T OFF WEN,~ L~ OCCU~ Il' a. ~ F'UH" ~m' O;F'W~EN A LG~X OCCU~
C~ g. NO&UTO ~-R.ITOFF : ~ G. NOAuTO PLI/b'~SI'4UTOFF
[] 11. AUTOMATIC LINE LEAK OET~CTOR (~,0 GPH TEST1 WITH FLOW StiUT OFF O.q ~] 11, AUTOMATIC ~ DETECTOR *
RGSTPdClqON
I"] '12, ANNUaL, IMTEGI~'Prl'ESY*(O.1 Glad) ~ 12. 4,NNU~d,,.INTEC~ITYTEST(D.1 GI~I)
:,
I,~ 19. CONTINLK)U$ SUMP SF. NSO~., AUDIBLE ~ND VISUAL,MAJal,4~ ~] 1:3. CONTINUOUS ,~d. IMa ~,Ei,,Le, O~ * AUDIBLE AND Vt...e, UAL
EMEI~G P.,N~"¥ G F. NF...K&'I~R~ ONLY (C~llgk 4a Ih4t ,111:~1~) : EiIIIERGEN~Y GEN'ERATOR,~ ONLY (C.l~aCJr
~ 14, C, ONTINUOU~.J~da~iF-N~KWTT14OUTAUTOPUMP,tHUTOFF'AUC~-EAHD'' :' [] 14. C, ONTINUOUSSU'h~SF.N,SORW~T_~_AUTO PUh4:':~'UJTOFFeJLJDIBLEA, NDV~
[] 15. AUTOM&TI~LIH~I. EAKDETECTOR~3.0(3PHTEs'r)WI'T),IOUTFLDWSHUTOFFOIR "' [] 1S. AUTOM&TICLIN~ELEAKOETECTORi3.QGPHTE~,T)
[] 111. ANNIJALIIkrTEGt~TYTIF,,ST(0.1 GPH} ! : I
[;] 17. D~IL¥¥1~LCHEGK [;] 17. 13~ILYVISU~d.~HECg '
DtSPENSERCC)NTJ [:~ 1. FI.g~Th~CHA~$MTH~TSHU~O~F~I~dU~VALVI~ j l--I 4. I~IJLYVISUAJ. O, IECg
o,~,,,~,~0'" ~_7~'°~u~°'~"~"~""u°'~°¥'$~'~'~ l
i~C~ ~]"3. ci3HT~NU~US~8PE~.'F3ER~ANSE~S~RWWHaUT~sHUT~FFF~RD~SPENSER.~AU~'.E~ND~$UaLA~ [~ & NONE 449
; .' IX. OWNER/OPERATOR 81GN&TURE ' :
S[G.',L~ OF -" 'rOe t ~ ~ ! :
...... - ' 47tI TTI'kE OF OWNER~I~R&TQR 472
,,T£ / ./ -'' i~ '
'Pdq~.,l~m'd)f(/rc~'bg4/~M, am*/,t 4,73. I P¥4mll/~i)~k~tFeflaMluMo~Y) ,174
I
UPCF (7F39) $:~,CU PAFO RMS~SVVI~¢~..~.WP0
05/~2/00 TLTE 14:30 FAX 6613270704 CHP BAKERSFIELD ~002
omc
171S Chester Ave., Bakersfield, CA 93301 (661) 326-3979
UNDERGROUNd:STOOGE T~KS ~ T~K PAGE ~
; ~ 7. P~Y ~OSED ON SITE '
,'
~On ~ ~E t~
L T~K ~ON
,
: .. o ~o~ ~ 1 ~, ~o&' St le ~~
I
; ....... '.'.:',.:'::,-- ,, :r-.' .... ,-..:, IL'T~~, ' , '~ '. ".' ..... ' ,:"'~': ' ""
~ 3. ~L~CT ~~~~~~) : i ~1 [ ~B~~~~
I
. .~ .r,, .'. ,.~,~;:~.,~ 'S;/.~3. ~;~,', ~,.?:, :&~:;,~:~:..,:~ ,,:,.,j?,'r[, i~,~mm ,.':.,.~,;.::',~; :L.'~. ~.' .... ~.., ,~.~ =: ...... ~.,. .... , .',, ,,,: '.S='. '::(~:? "~'~'~'
................ .':'~,~c'
I
(~ ~ ~t ~) ~ ~A~ . :: ,' : ] _ I~ ~BE ~ OFF
~ '.'.,'- '~'v;'~ , ~, ~.~ ~ ,~ .r ,,.iI '"'" .... "~' ~z " :~ '"'~ ' ~':-~" ';"~ :' '-~v~' '
IF~NG~LT~K(~d~ ; 1' , ~ ~W~T~ORY~H~D~(~~):
0 · A~CT~K~U~) ~ 6. V~NE ~." ~ ~NUOU~i~~N~RING
~' * ~ 0 v. O No
L [:, .
~' ~ S:~CUPAFORMS~~-~D
UPCF ~9) [: :
CITY OF BAKERSFIELD
omc~ o~ z~vWRO~-M~~ SZl~VIC~S
1715 Chester Ave., Bakersflel~ CA 93301' (661) 326-3979
UNDERGROUND STOOGE TANKS- INSTAL~TION
CER~FI~ OF COMP~CE'
' *' I. FACIL~ IDE~FICA~ON,: ' ':" "~: . '"." ' * ,':
I J Ill l I I I I II :
.......... ' .... ' , ' · ' .... . ' -2 ..... ~" ~ ' ; ' ',' 9;.' ';' ' ::.:-" 3C' ' .... ' '~ '], ," ~ ,- - '-. ~'.. ' ........... , ..' ..... :: ' '
..... ".," ' ' . ',.' _ '.',,. ,.,... ~,~, ',, :-i'.'..'...:~z.','.,~ ,, ;5 '7~1.,-. :;: ' ,IJ ...... ~ .. ..... ,,:,:...., ,: ::,- ......... .,, ,g .., : .,., , ...~:.
:"::.' "::-. .-;:. ~'..' ~ ..... '.~'-',, .,, ...... '..;.c.-'~":-~.,'. ....... "-...:.., INI~~ON .:.....~.. ~:.; ~..:. ........... :.~',~',~..:..:. '........ .....
a ~e in~ h~ b~n ~ and ~ed b~ ~e ~nk and pipi~ man~tu~.
~e i~llaUon ~s b~n I~~ and M~ by a ~bt~ ~onal engtn~r having ~u~tion ~d
~e ins~afl~ ~s b~n Ins~ and applied by ~ ~ke~l ~d Rm De~ent - ~vlronmen~ Se~.
;,
D ~l ~ffi I~ ~ ~ ~n~m~s ins~l~n ~ist has b~n ~mplet~., ~.
I ·
~ ~e ins~ll~ ~ b~n ~ ~ I~ b~:~e ~~' S~ ~ U~nse B~; · ,, --
~e und~~ st~ ~n~ any pfl~ ~plng, and ~da~ ~nment ~s Ins~l~ a~lnfl
a~limb~ ~lun~ ~ensus s~daffis and ~ man~re~s ins~lla~on ~u~. D~pflon
~k being ~:
i.
' '
March 29, 2000
California Highway Patrol
4040 Buck Owens Blvd
Bakersfield, CA 93308
Dear Underground Tank Owner:
Your permit to operate the above mentioned fueling facility will expire on
June 30, 2000. However, in order for this office to renew your permit,
updated forms A, B & C must be filled out and returned prior to the
issuance of a new permit.
Please make arrangements to have the new forms A, B & C completed and
returned to this office by May 15, 2000. For your convenience, I am
enclosing all three forms which you may make copies of. Remember,
forms B & C need to be filled out for each tank at your facility.
Should you have any questions, please feel free to contact me at
(661) 326-3979.
Sincerely,
Steve Underwood, Inspector
Office of Environmental Services
SU/dlm
Enclosure
BAKERSFIELD CHP
· 1999 6:00 AM
INVENTORY REPORT
T I:UNLEAD
VOLUME = 2282 GALS
ULLAGE = 9745 GALS
,90~ ULLAGE= 8182 GALS
'TO VOLUME = 2266 GALS
HEIGHT = 23.65 INCHES
STK HEIGHT= 23.65 INCHES
WATER VOL = 0 GALS
WATER = 0.00 INCHES
TEMP = 69.3 DEG F
SENSOR ALARH
",:-'L~-2::~TP SUMP
STP SUMP
FUEL ALARM
JUL 24, 1999 7:18 AM
..... SENSOR ALARM .....
L I:DISPENSER PAN
DISPENSER PAN
FUEL ALARM
JUL 24, 1999 7:21 AP1
.BAKERSFIEL~ CHP
, ~BL 24, 1999 7:23
SYSTEM STATUS REPORT
T I:DELIVERY NEEDED
CITY OF BAKERS~'~ELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
INSPECT[ON RECORD
~r C,UtD AT JO~ srr~
q ~ q o
T~
~SPE~ON DA~
~ of T~s)
C~c ~ of T~s)
PIPINO
EI~ ~1~ of~ F~ T~)
Camac ~t~i~ S~~ ~[~
SECONDLY CO~NM~%~. O~L PR~iON. ~ D~F~CflON ,
~ ~1~ - T~s)
Vault Wi~ ~ Co~bl~
~ C~ble Fill ~)
~u~ ~ ~ ~ s)
~ ~s) for ~ S~D.W.
M~t~g Wcll(s~S~s) - H20 T~
~ ~ ~s) f~ V~'~
FIN~
Fill ~x ~k
~,~s.~.~
ON'TRACTOR
M~R-02-99 TUE 11:1~ ~M CORRPRO COMPANIES INCF~× NO, ~10 471 ~698 P, 01/07
Corrpro Companies, Inc.
2799 Miller St.
San Leandro, CA 94577
To{: (510) 614-7800
F~: (510) 614.-8811
Cover Sheet for Facsimile Transmission
TO: Steve Underwood Date March 2, 1999
COMPANY: City Fire Number ofPages: 7
'FAX bl UMBER: (661)326-0576 Document Reference:
FROM: ' Dwayne Bell
SUBJECT: FRP upgrade revised workplan and safety plan
Per the conversation we had this morning, here's thc revised workplan and safety plan for the
FRP upgrade being done at the CliP.Bakersfield site. I have also enclosed the ammended permit,
If you have any questions, please give me a call. Our subcontra~or will notify you ahead of time
to do the necessary inspections and pressure test witnessing.
Regards,..)
Dwayne ~
Et~gineering Division
H~AR-02-99 TUE 11:13 fil~ CORRPRO COI~PfiNIES INC F~AX NO, BIO 471 3698 P, 02/07
....................... ~ ...... ;~ ................... ~ ......................................
.'.....~ ......~ ...................................................
C~Y OF
O~F~CE O~ E~ONME~AL
~!ii!{{O Corrpro Companies Incorporated
Member New York Stock Exchange, Inc,
"~ ~' Corrosion Control Products & Services
Corrpro Companies lnc,
Owen E. Weyers, R.H.S.P., R.E.A.
Applications Engineer
Phone: 510-614-8800
2799 Miller Street Fax: 510-614-8811
San Leandro, CA 94577 Email: corrprosf@aol.com
MAR-02-99 TUE 11:14 AM OORRPRO COMPANIES INOFA× NO, 510 471 3698 P, 03/07
WORKPLAN
HflR-02-99 TUE 11:14 fiH OORRPRO OOHP~NIE$ INO Ffi× NO, 510 471 3698 P. 04/07
WORKPLAN
FOR
DOUBLE-WALL FIBERGLASS UST PIPING UPGRADE
" Th~ following is a workplan breakdown for fiberglass piping upgrades for the CI-IP sites. Each
Cl:i-P facility has different requirements. Some, all, or none of the following may be required by
the individual county to meet full compliance.
,'.
t, In, stallation of standard configuration tank overfill valves if needed (one of the following)
a. Dual point vapor recovery system
b. Coaxial vapor recovery system
2. Installation of standard configuration tank bottom protectors if needed
3. Upgrades to double wall pipe with bravo box (dispenser drip pan) and turbine sump
fiberglassed to tho UST. (This item includes testing of double wall piping at pressure).
The following is a detailed work breakdown for item #3 shown above:
1) Sawcut concrete, breakup and dispose oflarge area due to pea gravel
2) Excavate pea gravel to below tank top
3) Disconnect existing piping and conduit
4) F, ib~rglass tank sump to fiberglass tank
" 5) install sump, bring to surface
6), Prepare bravo box with large/small terminations
?) Prepare sump with terminations conduit with D/W piping
8) P. un outer D/W flex
9) Pressure test secondary piping, sump, and bravo box
10) Run inner DAV flex
11) Pr. essure test of primary piping, inspe,ctor
' ] 2) Install all electrical conduits, new shear valves, and new sump
sensor for alarm panel
13) Backfill
1.4) Concrete manway in place
a) dowel in place
b) tie in rebar
e) finish concrete work
* l 5) Mat(~rials-
a) bravo box
b) sump
c) piping adaptor
d) flex piping
e) la~ge boots
MSR-02-99 TUE 11:14 AM OORR~RO COMPANIES INO FAX NO, 610 471 3698 P, 05/07
f), sit, al! boots
~) miscellaneous
h) alarm £or sump
H~R-02-99 TUE 11:14 AH CORRPRO OOHP~NIE$ INOFA× NO, 510 471 3698 P, 06/07
SAFETY PLAN
HAR-02-99 TUE 11:14 AH OORRPRO OOHPANIES INC F~X NO, $10 471 3698 P, 07/07
iDOUBLE-WALL FRP PIPING UPGRADE
INSTALLATION
SAFETY PLAN
;, 'L Personal Proteqtive Eouiom_ent
Throughout the installation, personal prote~ive equipment will be used a.s required.
Personal protective equipment for the work involved includes, but is not limited to:
*Orange traffic cones for sectioning offthe work area
'*Eye protection
*Hard hats
" *Gloges
: : *.Fire extinguisher (minimum 5 lb size)
At all times, sound safety practices are to be adhered to. Specific hazard control
precautions include, but are not limited to:
*'Equipment lock-out
*'Use proper lifting techniques
*Wheh opening manhole coverings, allow enough time to adequately vent to air
prior to breathing in close proximity,
, *Prior to excavation, all areas will be USA'&
*During backhoe operation stand clear of the "kill-zone" radius.
*Ground any electrical equipment used in the vicinity of gasoline product piping.
L D
FII E
·
February 9, 1999
~,.E cH~E~ California Highway Patrol
RON ~RAZE
4040 Pierce Road
ADMINISTRATIVE SERVICES Bakersfield. CA 93308
2101 'H' Street
Bakersfield, CA 9,3,301
VOICE (805) 326-3941
FAX (805) 395-1349 RE: Compliance Inspection
SUPPRESStON SERVICES Dear Underground Storage Tank Owner:
2101 'H' Street
Bakersfield, CA 93301
VOICE (805) 325-3941
FAX (805) 395-1349 The city will start compliance inspections on all fueling stations
within the city limits. This inspection will include business plans,
Pa~E~O. SEa~¢ES underground storage tanks and monitoring systems, and hazardous
1715 Chester Ave.
Bakersfield, CA 9,3301 materialsinspection.
vOiCE (so5) 32s-39s1
FAX (805) 326-O576
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 9330.1 list, and verify that your facility has met all the necessary requirements to
VOICE (805) 326-3979
bc
in
FAX (805) 326-0576 compuance.
TRAINING DMSlON Should you have any questions, please feel free to contact me at
5642 Victor Ave.
Bakersfield, CA 93308 805-326-3979.
VOICE (805) 399-4697
FAX (805) 399-5763
Sincerely.
Steve Underwood
Underground Storage Tank Inspector
Office of Environmental Services
SBU/dm
enclosure
'09/16/98 15:05 8805 326 0576 BFD HAZ MAT DIV ~002
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
171~ Che~ter ~ve., B~ker~fieid, CI (80~
PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK
TYPE OF APpLICATIONJ~HECK)
[ ]NEW FACILITY [~DIFICATION OF FACILITY [ ]NEW TANK INSTALLATION AT EX~TING FACILITY
STARTING DATE I I '~! ~ ~ PROPOSED COMPLETION DATE ] Z ' Z'~-
FACILITY NAME .,~ ~ ~-~$f/~ F_XI~TING FACILITY PERM~ NO.
FACILITY ADDRESS /.,/0~o ,'~p..(..~ ~g~. CITY ~~"'/-'x:~ ZiP CODE ..~'~;~
ADDreSS -~?y ~.,~, __ _ cnv ~',~,~ zm CODE
~'HO~ NO. ,~'- q'~/~ ~ ~ ~ ~ ~ S?SA~mSFmLD crrS?usm~ss ucm,rs]~ No.
WOR,~v~ COMP NO. w~,:~l~o~O~,O~ ~INSURER _ ~
WATER TO FACILITY PROVIDED~j~Y ~
DEPTH TO GROUND WATF. R ~ ~'~ SOn- TYPE EXPE® AT SITE
~o. o~ ZAPS TO ~£ n~STALL~ ~ ARE T~¥ ~O~ UOTO~ FL~L ~ YES ~O
SPILL PR.~VENTION CONTROL AND Co~xrIER MEA~ PLAN ON FILE .,~, j~' YES NO
SECTION FOR MOTOR lq..lgL
TANK N~ VOLUME UNLEADED KEOULAR PREMIUM DIESEL AVIATION
SECTION FOR NON MOTQR FUEL STORAGR TANKS
TANK NO, VOLUME CHEMICAL STORED CAS NO. CHEMICAL PREVlOU,~LY STORED
(No BP. AND NAMe) C~ KNOWN)
FOR OFFICIAL USE ONLY
~ APPLICANT HAS RECEIVED, LrNDERSTANDS, AND WILL COMPLY wrrH TH~ ATTACI~D CONDmON$ OF
~ ~E~m' A~ A~Y OT~ S~'ATE, ~OCAL A~ ~DF_~AL RE~U~AT~Om.
CONTRACTORS STATE LICENSE BOARD
ACTIVE LICENSE
Busin,,, Na~CO~RO CO~IES
WORKPLAN
CATHODIC PROTECTION SYSTEM WORK PLAN
I. INTRODUCTION:
The structures considered for cathodic protection consists of underground gasoline fuel storage
tanks' associated metallic product piping. These structures are constructed of steel. The cathodic
protection system design is in accordance with the National Association of Corrosion Engineers
International (NACE) Recommended Practice RP-0285-95, "Control o£ External Corrosion on
Metallic Buried~ Partially Buried, or Submerged Liquid Storage Systems."
Il. CATHODIC PROTECTION SYSTEM DESCRIPTION:
The galvanic-anode type cathodic protection system will consist of 6ne or two anodes installed
underground in the vicinity of the underground storage tank product piping. A cathodic
protection test station will also be installed underground near the underground storage tank
product piping.
The anodes will be high potential magnesium type, enclosed in a semi-permeable cloth bag
containing a gypsum-bentonite backfill mixture. The anodes will be installed 2 -3 feet below
grade. Individual anode lead wires will be routed underground to the cathodic protection test
station.
The cathodic protection test station will consist of anode lead wires and wires connected to the
underground storage tank piping, all of which are routed to a test box. The lead wires are used
for periodic testing of the cathodic protection system.
IlL CATHODIC PROTECTION SYSTEM INSTALLATION
The following installation method will be utilized: 1) UST Equipment lock-out (pumps and turbines)
2) Product piping electrical isolation at tank end and dispenser end using dielectric
insulating unions
3) Product spill containment during electrical isolation of piping
4) Magnesium anode installation at 2-3 feet below grade. Some saw-cutting of
pavement may be necessary.
5) File coating off a 2-3 inch wide area around the external surface of the product
piping to allow electrical connection of a 5 inch x 5 inch micarta terminal board to
the product piping by means of a brass clamp.
6) Attach brass clamps of sufficient size to fit 2-inch diameter piping at exposed bare
steel on product piping.
7) Route appropriate size cable from anode(s) to terminal board and from product
piping brass clamps to terminal board.
8) Repair exposed bare metal after brass clamps and wire are attached with coal tar
mastic coating.'
9) Enclose terminal board inside an appropriate utility box. Utility box will most
likely be located over the anode location.
10) Backfill and compact excavation and repair concrete and/or asphalt as needed.
IV. TESTING AND COMPLIANCE CERTIFICATION:
After installation, the cathodic protection system will be tested to confirm compliance with the
aforementioned NACE Recommended Practice RP-0285-95. All testing will be performed by a
qualified cathodic protection technician under the direct supervision of a registered professional
corrosion engineer. Upon completion of the testing a written report complete with tabulation and
analysis of all field data and recommendations for future monitoring of the system will be
prepared and forwarded to the client.
2
CATHODIC PROTECTION SYSTEM
INSTALLATION
SAFETY PLAN
Personal Protective Equipment
Throughout the installation of the cathodic protection system personal protective
equipment will be used as required. Personal protective equipment for the work involved
includes, but is not limited to:
*Orange traffic cones for sectioning offthe work area
*Eye protection
*Hard hats
*Gloves
*Fire extinguisher (minimum 5 lb size)
At all times, sOUnd safety practices are to be adhered to. Specific hazard control
precautions include, but are not limited to:
*Use proper lifting techniques
*When opening manhole coverings, allow enough time to adequately vent to air
prior to breathing in close proximity.
*Prior to excavation, all areas will be USA'd. Trenching not to exceed 4 feet deep.
*During backhoe operation stand clear of the "kill-zone" radius.
*Ground any electrical equipment used in the vicinity &gasoline product piping.
TYPICAL DESIGN
SACRIFICIAL ANODE CATHODIC PROTECTION SYSTEM DESIGN SPREADSHEET.
Anode Designation I~# GALV I
Date: 9/'28/98
By: DAB
Client: State of California
Project: California Highway Patrol Refueling Sta/ton UST*s, Associated Piping Cathodic Protection Design, Various Sites
Desi/n Basis
To protect approximately 20 feet of 2" product pipelines associated with the refueling station UST(s).
Based upon the quantity o£buried piping associated with this location and the calculated current demand, it is proposed to use
a sacrificial anode cathodic protection system. This system will be sized to protect the buried metallic piping only.
The p/ping shall be electrically isolated from all other metallic structures using dielectric unions (and / or other means). As the tank
is of FRP construction it may not prove necessary to install isolation devices at the tank itself, but !solation will be required at the remote
end of each fuel product pipe at the fuel islands and possibly at the tank turbine uri/t. Also it may be necessa~T to isolate the pipes from possible
contact with steel reinforcing where they pass through concrete structures. In addition it is possible that the pipel~es maY be shorted below
ground by direct contact to other metallic structures, for example conduits. If tiffs proves to be the case then the shorts will either need to be
cleared or a higher capacity (impressed current) CP system will be required to accommodate current drainage to other structures.
Notes:
1). The site installation details drawings for **State of California, CHP, Various Sites" shows the fuel lines between the tanks
and the fuel islands schematically only.
2). The anode locations and cable routes shall be field located to suite prevailing site conditions.
SACRIFICIAL ANODE CATHODIC PROTECTION SYSTEM DESIGN SPREADSHEET.
Anode Designation 15# GALV I
Date: 9/28/98
By: DAB
Client: State of California
Project: California Highway Patrol Refueling Station UST's, Associated Piping Cathodic Protection Design, Various Sites
DATA INPUT
Total piping surface asea 10 scI
Coating efficiency (0 for bare, else xx% as a d~cimal ) 0.5
Bare steel cu~ent r~uir~nw~ (ma/sq.tt) 0.75 ma/sqR
Allowan~ for Unknowns/Safety Factor (% expressed as a c~c~nal) 0.25
Total curr~'~t D~and - (ma) -~ ma
Anode net weight (lbs.) $ lbs.
Anticipated number of anodes 1 anodes
Number of anod~ beds 1 bed (s)
Number of anodes per bed I anode
Spacing of anocl~s desffod (feet) 0
Ano~ l~gth (inch~s) 10 in
,Anode diametor (inch~s) 6.0 in
£1ectroiyt~ r~sistivity (A~smned from soil sample testing) g,000 ohm-cra
Anode-to-earth r~sistan~ (ohm) 81.02 ohm
Estimated struc~mre-to-cax~h resistance (ohm) 0.10 ohm
Total Circuit Resistance (ohm) 81.12 ohm
Driven§ potential to pfotc~ted sto¢l (at 0.g$ V) 0,90 volt
A~tual total ~urr~nt output (ma) 11 ma'
Requ/rod cun'ent output (ma) 5 ma
Magnesium anod~ consumption ra~, at 50% ¢~ficiency (lbs. / amp-yr.) 17.00 lbs./amp-yr.
Total anode weight (lbs.) 5 lbs.
Target cl~sign life (years) 20 years
Ano~ Utilization 85¥0
Calculated d~sign iife(basod on required curr~nt output) Greater than 20 years 50.94
Notes: Anocle resistance to eerth and current o~t~ut celc~l~tion ~ses form~lne by ~Dwioht' ~nd O~'s Lnw.
DESIGN DRAWING DETAILS
O' E'NG 1' ARCH
SC. ALE o~vl~ ACCORI:~Nv-"LY
/ CONCREIE TRe77C BOX ,4NO0~ TEST
STATION. L4BELEO 'CP-TEST' i/4" TI. fK, IIICARTA 0.01 OPN 5HUIfl' ,.,
OR PHENOUC
TO ~P~ ~ t$ m~N
I. ~t,i~TALI. AtlODE tIOREOtlTALLY AT OR EELOIV PiPE DEPTH a 2-F'EET FROM PE~ ·
NOT TO SCALEI~ NOT TO SCALE ~ NOT TO SCALE
N£C-4TIVE ~ TO
~ ~ox oR
, ~c (~ wi(J) ~
... :
CABLE TRENCH ~ NEro n~ CONNECnON TO SmUCTURE ~ DIE~CTRIC INSULA nON UNION
NOT TO ~
~ -' '"'"'"-' O' ENG 1" ARCH
SCALE DRAWING ACCORDINGLY
~.-(~) r~sr tto ~w~ (wm') ,~
IN TR~ TO ~ ~A~ON
~ D~L
GR~ND ~ D~N I~U~ON UNION.
TO Pl~ S~ D~L
NO~: ~
Z ~ P~S S~ ~Y ONL~ '
3. ~ ~C~ IS~ OF PI~ AT T~K
~0 ~ ~S.
PLAH STATE OF CALIFORNIA
NOT TO S~
WORKMAN'S COMPENSATION CERTIFICATE
: ............. :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .~:::.i :'::::: ~..:'-::..~:':.:i': ~ 0 8 / 2 :i. / 9
PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, E~END OR ALTER THE COVERAGE AFFORDED BY THE
~O~[~ O~ ~. ~. O~[O POLICIES BELOW.
L30~ ~ ~Z~ S~ COMPANIE~ AFFORDING COVERAG~
~LEVEL~ OH ~4114 CO~A~ A CO~ERCE & INDUSTRY
bOMPANY B LIBERTY MUTU~ INSU~CE CO.
LE~ER
IN'UHED . ~ ~ COMPANYc Ce ~~
Corrpro Companl~EC ~R ~7 1998
31909 Ha~an Stree -,r__ J
Hazard CA 94544 COMPANY D
L~ER
COMPANY S
LE~ER
CERTIFICXSEIND CATEO N O~ I~ ~ ~ ~6~X~F~YAi N'MA THE' INSURANCEowNAFFORDEDMAY HAvEBYBEENTHE REDUCEDPOLICIES DESCRIBEDBy PAID C~IMs.HEREIN IS SUBJ EOT TO ALL THE TERMS,
~CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH
'OUCY EFFECTIVE POLICY ~PI~TION
~O LIMITS
~PE OF INSURANCE POLICY NUMBER DATE (MM/OO~ DATE (MM/DD~
.TH
~ e~.~.ALL,*.,UW GL4177~32 02/15/98 02/15/99 S~.~LAaa~SaAT~ S 2,0-00.00L
X ~ERCIAL GENE~L LIAB~LI~f PRODUCTS-COMP/DP AGG. $ ~ ~ 000 t 00 C
:.;~:"::.:::~MSMADE ~CUR. PERSONAL & ADV. INJURY ~$ l.f 000100C
~ow.~.'s · CO~T~C%%'S .nOT. ~AC, OCCU..~C~ S 1, 000, 00 C
~ ~STOP GA~-$I , 000 FIRE DAMAGE (Any one fire) $ 50 ~ 000
MED.EXP. (Any one person)
% AU~O~O.,L~L,A.,UW CA7665251 02/i~/98 02/15/99
.,~,r s 1,000,000
~ ANY A~O
%LL OWNED AUTOS ~ODILY INJURY
SCHEDULED A~OD (Per person) $
H~RED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
GAUGE UABIU~ PROPER~ DAMAGE
~CESS LIABILI~ EACH OCCURRENCE
UMBREL FORM AGGREGATE
~C7~8~053853028 02/~/98 02/~/99 ~ STATUTORY LIMITS
B WORKER'S COMPENSATION EACH ACCIDENT $ ~ t 000 , 000
AND :DISUSE-POLICY LIMIT $ ~ t 000 , 00 C
E~PLOYERS' LIASlLIW DISUSE-EACH EMPLOYEE $ ~ ~ 000 , 00 C
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS~EHICLES/SPECIAL ITEMS
~EE ATTACHED ~DE~
~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
?::.:::: ~PI~TION DATE THEREOF, THE ISSUING COMPANY WILL END~VOR TO
CONSTRUCTION CONTACTS ~::~:::::;~ ~E~, ~UT FAI[U.E rD ~AIL SUOH NOTla~ S~ALL I.~OS~ NO O~U~A~iON O~
{:~:~: LIASILl~ OF ANY KIND UPON IHE O0~PANY, ITS AGENTS OH REPRESENTATIVES.
ATTN: N~INE T. O'B~ON
1300 I STREET, SUITE 800 ...... '
~:~]: AUTHORIZE~PRES ENTATIVE
· ~ ..~' ~_e~. ~ ~.~ _./.::::::::::::~:.:~:: ::::::::.:..:.::::::::::'::::::.~:~:::::.:::: :::::::.::::'.::::::::,:::: :~:::::: :.:.:::: :.: :.',::.:.'~::.:: ::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :.:f ;:?:;:.:.;.:.:f ;:;:~: ..:.:-:.;.:-:~'~:f ;:;:: :-.'; .':'.'.'. · -.':..'.'- - .'.'...:.:: '..:. ·: :.-.:.:.. '.'::';: :. 4?.. :.:.....,.....,;....:.~..... i';" ' ' ' ""';"" ' "' """ .....
Acordia of Northeast Ohio
DESCRIPTION OF OPERATIONS, EXTENSION ':"~."':":~'i~i'i!::~::?:!i?!i'~::-:I:':':%?' '/ 8/21/98
PRODUCER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Acadia of NE Ohio HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
The Galleda ~ Tower at Erlevlew. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1301 East Ninth Stree~
CleveUnd, OH 44 i 14-1824 COMPANIES AFFORD IN G COVERAGE
(216) 24 ! -4344 COMPANY
LETTER A CO~'[MERCE & INDUSTRY
COI,tPANY
INSURED L£TT~R B LIBERTY MUTUAL INSURANCE CO.
CORRPRO COMPANIES, INC. COMPANY
31909 HAYMAN STKEET L£TTf, I~ C
HAYWARD., CA. 94544 COMP^NY
L£~£~ D
cOMpANY
THIS DESCRIPTION OF OPERATIONS EXTENSION MAY BE RELIED UPON ONLY IF Tile
CERTIFICATE REFEP. P. ED TO HEREIN IS AI'i'ACHED HERETO.
Cer~Jfkace Holder: KEAL ESTATE SERVICES DIVISION CONSTRUCTION CONTRACTS
RE: CONTRACT #UT0762; JOB CHP9701-05
PROJECT: CP AT UNDERGROUND STEEL PIPING, SAN JUAN CAPISTRANO, TEMECULA, BARSTOW
VICTORVILLE, SAN BERNARDINO, BLYTHE, DEPARTMENT OF CA HIGHWAY PATROL
ORANGE, RIVERSIDE AND SAN BERNARDINO COUNTIES.
THE STATE OF CALI'FORNIA, ALL OFFICERS, EMPLOYEES AND SERVANTS OF THE STATE ARE INCLUDED
AS ADDITIONAL INSUREDS. THIS POLICY INSURES THE CONTRACTOR, THE STATE OF CALIFORNIA
AND ALL OFFICERS, EMPLOYEES AND SERVANTS OF THE STATE, WHILE ACTING WITHIN THE SCOPE
OF THEIR DUTIES, AGAINST ALL CLAIMS, SUITS OR OTHER ACTIONS OF ANY NATURE BROUGHT
FOR OR ON ACCOUNT OF ANY INJURY DAMAGE OR LOSS, INCLUDING ANY DEATH, ARISING OUT OF
OR CONNECTED WITH THE WORK. UNDER THIS CONTRACT'.
THE INSURER SHALL NOT CANCEL OR MODIFY THIS POLICY WITHOUT GIVING 30 DAYS PRIOR WRITTEN
NOTICE TO THE REAL ESTATE SERVICES DIVISION, CONSTRUCTION CONTRACTS.
THE STATE SHALL NOT BE RESPONSIBLE FOR ANY PREMIUMS OR ASSESSMENTS ON THE POLICY.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY.
BILL OF MATERIALS
STATE OF CALIFORNIA
CALIFORNIA HIGHWAY PATROL- VARIOUS SITES
UST ASSOCIATED PIPING
SACRIFICIAL ANODE CATHODIC PROTECTION
BILL OF MATERIALS
ITEM # QuANITY / DESCRIPTION
UNITS
1 1 Ea Prepackaged high potential magnesium alloy
anodes. Nominal anode weight = 9 pounds.
Supplied with special backfill in a water permeable
cloth bag and #10 AWG THHN insulated cable
2 1 Ea Christy G-5, surface box, marked "CP-Test"
3 100 feet Cable AWG #10, HMWPE insulated
4 1 ea Ground clamps to suit 2" diameter pipes
5 Lot ... Pipe coating patching materials
Note:
The above Bill of Materials comprises the major components of the sacrificial anode
cathodic protection system. All other sundry items to complete the system installation to
be supplied by Corrpro's local office. (i.e. cable terminals, cable ID markers, etc.)
October 16, 1998 Corrpro
Companies
City of Bakersfield Fire Dept. Incorporated
Environmental Services "A Commitment to Excellence"
1715 Chester Ave. 31909 Hayman Street · Hayward, CA 94544
Bakersfield, CA 93301 Tel 510/471-2233, Fax 510/471-3698
ATTN: Steve Underwood ~
Subject: State of California, CHP - Various Sites
Cathodic Protection
Refueling Station Underground Storage Tank Associated Product Piping
Work Order No. CHP 9701.04
Contract No. UT0757
Gentlemen:
Per our phone conversation, we are submitting the necessary documents to your office for pre-
construction approval for the above subject project. The specific CHP site(s) that we are
seeking approval for are as follows:
CHP-Bakersfield
4040 Pierce Dr.
Bakersfield, CA 93308
You will find the following items enclosed:
1) Work Plan
2) Safety Plan
3) Typical design details and calculations for a UST galvanic anode cathodic
protection system
4) Drawing detail for typical UST galvanic anode installation
5) Appropriate permit application and fees (if applicable)
6) Workman's Compensation Insurance Certificate
We look forward to working with you to help these sites meet the Dec. 22nd, 1998 Federal EPA
deadline. If you have any questions, please do not hesitate to call us at (510) 471-2233.
Very truly yours.
CORRPRO COMPANIES, INC.
Dwayne A. Bell
Engineering Division
Anchorage Broussard Cleveland Fridley New Orleans Philadelphia San Diego West Chester Middle East
Atlanta Charlotte College Park Houston New York Phoenix San Francisco . Asia United Kingdom
Billings Chicago Denver Los Angeles Ocean City Racine Seattle Canada Washington DC
PLOT PLAN VIEW
January 4, 1999 RECE][VED Companies
City of Bakersfield Fire Dept. ] J/~N ~ '/999 / ,orated
En~omemal Semites IBY: / "A Commitment to fxceffence"
1715 Chester Ave. ~-- I 2799 Miller Strut · San beandro, CA 94577
%1: (510) 614-8800 · Fax: (510) 614-8811
B~ersfield, CA 93301 ~-m~: eorrprosf~aol.eom
ATTN: Steve Underavood
Subject: State of California, CHP- Various Sites
FRP piping upgrade
Refueling Station Underground Storage Tank Associated Product Piping
Work Order No. CH? 9701.04
Contract No. UT0757
Gentlemen:
We are submitting the necessary documents to your office for pre-construction approval for the
above subject project. The specific ClIP site(s) that we are seeking approval for are as follows:
CliP-Bakersfield
4040 Pierce Rd.
.Bakersfield, CA 93308
You will find the following items enclosed:
1) Revised work Plan
2) Revised safety Plan
.We look forward to working with you to help these sites meet EPA compliance. If you have any
questions, please do not hesitate to call us at (510) 614-8800, X39.
Very truly yours.
CORI~2RO COMPANIES, INC.
Engineering Division
Abu Ohabi Boston Cleveland Hong Kong Lisbon Midland Ocean City San Francisco Stockton-on-Tees
Adelaide Brisbane Detroit Honolulu London Milwaukee Perth San Diego Sydney
Anchorage Calgary Dhahran Houston Los Angeles Minneapolis Philadelphia Seattle Toronto
Atlanta Charlotte Edmonton Jakarta' Malaysia New Orleans Phoenix Sharjah Tulsa
Billings Chicago Farrnington Liberal Melbourne New York Regina Singapore Washington, DC
WORKPLAN
WORKPLAN
FOR
DOUBLE-WALL FIBERGLASS UST PIPING UPGRADE
The following is a workplan breakdown for fiberglass piping upgrades for the CHP sites. Each
CI-IP facility has different requirements. Some, all, or none of the following may be required by
the individual county to meet full compliance.
1. Installation of standard configuration tank overfill valves if needed (one of the following)
a. Dual point vapor recovery system
b. Coaxial vapor recovery system
2. Installation of standard configuration tank bottom protectors if needed
3. Upgrades to double wall pipe with bravo box (dispenser drip pan) and turbine sump
fiberglassed to the UST. (This item includes testing of double wall piping at pressure).
The following is a detailed work breakdown for item #3 shown above:
1) Sawcut concrete, break up and dispose of large area due to pea gravel
2) Excavate pea gravel to below tank top
3) Disconnect existing piping and conduit
4) Fiberglass tank sump to fiberglass tank
5) Install sump, bring to surface
6) Prepare bravo box with large/small terminations
7) Prepare sump with terminations conduit with D/W piping
8) Run outer D/W flex
9) Pressure test secondary piping, sump, and bravo box
10) Run inner D/W flex
11) Pressure test of primary piping, inspector
12) Install all electrical conduits, new shear valves, and new sump
sensor for alarm panel
13) Backfill
14) Concrete manway in place
a) dowel in place
b) tie in rebar
c) finish concrete work
* 15) Materials-
a) bravo box
b) sump
c) piping adaptor
d) flex piping
e) large boots
ii small boots
g) miscellaneous
h) alarm for sump
SAFETY PLAN
DOUBLE-WALL FRP PIPING UPGRADE
INSTALLATION
SAFETY PLAN
I. Personal Protective Equipment
Throughout the installation, personal protective equipment will be used as required.
Personal protective equipment for the work involved includes, but is not limited to:
*Orange traffic cones for sectioning offthe work area
*Eye protection
*Hard hats
*Gloves
*Fire extinguisher (minimum 5 lb size)
At all times, sound safety practices are to be adhered to. Specific hazard control
precautions include, but are not limited to:
*Equipment lock-out
*Use proper lii~ing techniques
*When opening manhole coverings, allow enough time to adequately vent to air
prior to breathing in close proximity.
*Prior to excavation, all areas will be USA'd.
*During backhoe operation stand clear of the "kill-zone" radius.
*Ground any electrical equipment used in the vicinity of gasoline product piping.
BAKERSFIELD
FIRE DEPARTMENT
Febmary13,1998
REE CHIEF
M~C~t~t R. KE--¥ State of California Highway Patrol
4040 Pierce Road
· DMIN~nVEm~'~ Bakersfield, CA 93308
2101 'H' Street
Bake~fleld, CA 93301
(805) 326-3941
FAX (805) 395-1349
SUPI~IESSION SERVIC~ RE: "Hold Open Devices" on Fuel Dispensers
2101 'H' $tr~t
Bakersfield, CA 93,301
(80,5) 326-3941 Dear Underground Storage Tank Owner:
FAX (80S) 39[.-1349
.~'w~moN S~W~a The Bakersfield City Fire Department will commence with our annual
1715 Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks.
Bake~'fleld, CA 93,301
(805) 326-3951
FAX(805) 326-0576 The Bakersfield City Fire Department recently changed its City Ordinance
ENVIIK)NMENTALSEI~qCE$ concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire
1715 Chester Ave. Department now requires that "hold open devices" be installed on all fuel
Bakersfield, CA 93301
(805) 326-3979 dispensers. The new ordinance conforms to the State of California guidelines.
FAX (805) 326-0576
The Bakersfield Fire Department apologies for any inconvenience this
1RAINING DIVISION
5642 Victor Street may cause you.
Bakersfield, CA 93308
(805) 399-4697
FAX c~)~99-s76~ Should you have any questions, please feel free to contact me at 326-3979.
Sincerely,
Steve Underwood
Underground Storage Tank Inspector
cc: Ralph Huey
BAKERSFIELD
FIRE DEPARTMENT
October 24, 1997
FIRE CHIEF
MICHAEL R. KELLY California Highway Patrol
4040 Pierce Road
ADMINISIRA11VE SERVICES Bakersfield, CA 93308
2101 'H' Street
Bakersfield, CA 93,.101
(805) 326-3941
FAXCS0fi) 395-1349 RE: Notice of Violation, Failure to Respond
SU~PRmION SErViCeS Dear Mr. Thomas:
2101 'H' Street
Bakersfield, CA 93301
(805) 326-3941 A routine underground tank inspection was performed on September 1 7,
FAX (805) 395-1349
1997. This inspection, at 4040 Pierce Road, found your leak detection system has
~Ev~mON SErViCES not had its annual maintenance.
1715 Chester Ave.
Bakersfield, CA 93~01
(80S)326-3951 Section 2643 3 of Article 11; Title 23, Division 3, Chapter 16, CCR;
FAX (805)326-0576 requires that all underground tanks that utilize automated leak detection shall
have a maintenance test annually.
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93,~1
(80,5) 326-3979 To avoid revocation of your permit to operate, you must have the above
FAX (805)32643576 mentioned correction made within thirty (30) days. (November 24, 1997).
IRAINING DIVISION
5642 VlctorStreet Should you have any questions, please feel free to contact this office at
Bakersfield, CA 93308 3 26-3979.
(805) 399-4697
FAX (805) 399-5763
Sincerely,
Ralph Huey
Hazardous Materials Coordinator
by:
Steve Underwood
Underground Storage Tank Inspector
SBU/dm
C'gRRECTION N 0 T~.,. E
BAKERSFIELD FIRE DEPARTMENT N2 6 2 3
Location till'
Sub Div. -~'/' [0 ~, ? Blk Lot
You are hereby required to make the following corrections
at the above l~ation:
~o
Completion Date fo,' CorrectionS.
Date
4,,I.
326-3979
UNDERGROUND STORAGE TAN~I~I,~SPECTION Bakersfield Fire Dept.
..................................................... ~" ................................................... iiiiOffice of Environmental Services
iii Bakersfield, CA 93301
FACILITY NAME p,_, ~_~2 BUSINESS I.D. No. 215-000
FACILITY ADDRESS ff'0q0 IPIcorc_, .E,(, CITY
FACILITY PHONE No. ~7- /~)~ ~D~ ~D~ ~D~
INSPECTION DATE '~/1 7/¢7 [
· Product Product Product
TIME IN TIME OUT ~J~,
Inst Date Inst Date Insl Date
INSPECTION TYPE: I ~/7.5'-
Size Size Size
ROUTINE t/ FOLLOW-UP
REQUIREMENTS yes no n/a yes no n/a yes no n/a
la. Forms A & B Submitted
1 b. Form C Submitted V'
lc. Operating Fees Paid
ld. State Surcharge Paid V"
la. Statement of Financial Responsibility Submitted 4t Na-~ (e,~ /
lf. Written Contract Exists between Owner & Operator to Operate UST
2a. Valid Operating Permit ~/'
2b. Approved Wdtten Routine Monitoring Procedure
2c. Unauthorized Release Response Plan y~
3a. Tank Integrity Test in Last 12 Months ',X ~ j~,~,~.~ ~ ~e~
3b. Pressurized Piping Integrity Test in Last 12 Months '~ ~( ,,~¢~,{¢~ [.~.~L. ~,l, 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
4a. Manual Inventory Reconciliation Each Month
4b. Annual Inventory Reconciliation Statement Submitted V
4c. Meters Calibrated Annually V
5. Weekly Manual Tank Gauging Records for Small Tanks
6. Monthly Statistical Inventory Reconciliation Results
7. Monthly Automatic Tank Gauging Results
8. Ground Water Monitoring t,/
9. Vapor Monitoring
10. Continuous Interstitial Monitoring for Double-Walled Tanks
11. Mechanical Line Leak Detectors
12. Electronic Line Leak Detectors
13. Continuous Piping Monitoring in Sumps
14. Automatic Pump Shut-off Capability _.t
15. Annual Maintenance/Calibration of Leak Detection Equipment ~ct~ {e ~7
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
19. Reported Unauthorized Release Within 24 Hours
20. Approved US~-'System Repairs and Upgrades
21. Records Showing Cathodic Protection Inspection
22. Secured Monitoring Wells
23.
Drop
Tube
RE-INSPECTION_~TE .j /)
RECEIVED
BY:
INSPECTOR: .~ (~.~_/~'.H*/~ OFFICE -'PHONE No.
FD 1669 (rev. 9/95)
CHP
FA~I~W.E COVER
TO:
NUMB'EK OF PAGES TO FOLLOW: DATE:
.: California Highway Patrol
Facilitie, Section-078
2400 ~irst ~veaue, ~oom 270 ~ ~~/~ ~~.
' Sacramento, CA 95818
TELEPHO~: (916) 657-7439, C~T 437-7439
F~.: (9i6) 739-0838
BUELLTON AREA OFFICE
UNDERGROUND STORAGE TANK (UST)
MONITORING PLAN
RESPONSIBLE PERSONS:
Facility Managers:
-". Telephone Numbers:
Davy: '- Sergeant John Ploetz
,~ (805) 688-5551
After Hours San Luis obispo CHP Dispatch
(805) 549-3618 '.
· 1.0 INTRODUCTIONS:
i~~ ~int~nt of this m0nitodng is to outline visual and electronic
plan
itoring which must be performed to comply with the state and local
and regulations..
~ -,
The plan contains policies for monitoring frequency, equipment,
report/record keeping, testing, and leak response. This plan shall be kept
on file for viewing by regulatory agencies. Additionally, monitoring records
must be maintained for three years.
2,0 DESCRIPTION OF ITEM(S) BEING MONITORED:
Underground storag~ tank:
12,000 gallons - unleaded gasoline
3.0 MONITORING OF SINGLE-WALLED UST:
The single-walled UST is constructed of fiberglass and designed to
contain stored materials. The UST is equipped with the Giibarco UST
Monito~'ing System.
The Gilbarco UST MonitodngSystem consists of the following:
Overfill protection devices.
'/1,~-'!997 12:01PM FROM
~ . ~.
// '.
Buellton Area
Underground Storage Tank (UST)
Mol3itoring Plan , ·
Page 2
Pipeline leak detector capable Of automatically-shutting off product
delivery .to the'pump whenever a line leak exceeds 0.05 gallons.per
hour. :
-". . Flow restriction device capable of restricting the flow ~'o a rate of '1'.5-
gallOns per minute if a leak develops anywhere in the delivery
4 system.
Tank level monitoring device capable of:
· measuring the liquid level change
~ ~ ,. activating a high level'alarm
j ,, measuring the level' of water in the tank
~ adjusting the Calibration to Compensate tank geometry and
¢ , tilt
· recording ali pertinent information on a pdnted hard copy
ANNUAL SYSTEM INSPECTION:
The monitoring sYstem shall be inspected annually bY the manufacturer or
· a certified service representative.
3,2 REPORTING AND RECORD KEEPING:
Certification of the UST monitoring system shall be kept on site for at least
three years. The printed hard copies and records of leaks or. suspected
leaks and the required investigations shall also be kept on:site for. three
years.
3.3 LEAK RESPONSE PLAN:
The .following procedures shall be followed by all personnel in the event of
a leak or suspected leak.
Facility personnel shall notify the facility manager immediately-' if a
teak is suspected. ~
Bueliton Area
Underground Storage Tank (UST)
Monitoring Plan
Page 3
· . The facility manager shall determine whether a leak has occurred
or the monitoring device has malfunctioned.
· ': , If tl-ie .mOnitoring device has malfunctioned, the facility-manager
shall immediately notify ~e Departmental Underground Storage .
~ Tank..~oordinator.~ in the Facilities'Section at Headquarters.
· If a leak is suspected, the facility manager shall contact the .
Departmental Underground Storage Tank Coordinator ih the -
Facilities Section for further investigation and. corrective action.
Bueilton Area ,.
· ~i'![~pillRespon=e Plan
Page 2
A. Fire extingu!shers.
B. Gloves l~or personal protection.
.. C. Absorbent for blocking and'diking spills.
D. Pan and shovel' for removing absorbent,
E. Goggles for eye protection. ,
4.0 SPILL:,~C, ONTAiNMENT:
.... In the event of a release, control of the.released chemical or ha~.ardous
waste is necessary to prevent harm to Personnel and/or environment.
The following steps shall be taken to control the spill/release:
... A. The respondents shall first control the release by shutting the
I:~Umps down, closing valves, plugging hole~;, or u d hti
I~jakin9 container, if possible J---,-:-- ~ · . p g ng the
~ums shall be ,,la,-,~-, = .... · ~-'=~.'~-.~, oamageo, or corroded
~ ~. ~ ,,~ uver-pacK orums. ·
'. ~
B. Skilled or released material shall be prevented from entering'storm
drains by diking around the drain inlet with absorbent material or
soil. Incompatible material, shall be used for diking.
C. Personnel p.erforming the tasks discussed in A and B above shall
use personal protective equipment and ~emain upwind from the '
spill/release, as appropriate.
D. The released materials shall be contained by surrounding the
hazardous waste with diking booms or diking material (soil,
absorbent, bentonite). '
BAKERSFIELD
FIRE DEPARTMENT
December 11, 1996
California Highway Patrol
FIRE CHtEF 4040 Pierce Road
MICHAEL R. KELLY Bakersfield, CA 93308
Attn: Chuck F. Thomas "
ADMINISTRATIVE SERVICES
2101 'H' Street
Bal~rsfield, CA 93301 RE: Underground Storage Tank located at California Highway Patrol, 4040
(805) 326-3941
FAX (805) 395-1349 Pierce Road.
SUP~ESSION SERVICES
2101 "H" Street Dear Mr. Thomas:
Bakersfield, CA 93301
[805) 326-3941
lAX (805)395-1349 2~ I am sure you are aware, all existing single walled steel tanks that do
not meet the current code requirements must be removed, replaced or upgraded to
~EVENTION SERVICES meet the code by December 22, 1998. Your tank does not currently meet the new
1715 Chester Ave.
Bakersfield, CA 93301 code requirements and therefore falls into the remove, replace or upgrade
(805) 326-3951
FAX (806)326-0576 category. Your current operating permit expires on or before that date and of
course will not be renewed until appropriate upgrade of your tank system is
ENVIRONMENTAL SERVICES accomplished.
1715 Chester Ave.
Bakersfield, CA 93301
(805) 326-3979 In order to assist you and this office in meeting this fast approaching
FAX (80,5) 326-0576
deadline, I have attached a brief questionnaire addressing your plans to upgrade
I'I~ININO DIVISION this tank. Please complete this questionnaire and return it to this office by
5642 Victor Street Friday, December 27, 1996.
Bakersfield, CA 93308
(805) 399-4697
FAX (805) 399-5763
If you have any questions concerning your tank or if we can be of any
assistance, please do not hesitate to contact this office.
Sincerely,
Ralph E. Huey
Hazardous Materials Coordinator
Office of Environmental Services
REH/dlm
attachment
BAKERSFIELD FIRE DEPARTMENT ~ "~"~-"-,
· '3/Z9/75 BUREAU OF FIRE PREVENTION ' ~'~
Date APPLICATION Apptic~,tior! No.. '
In conformity with ~ provisions .of i~.~inent ordinances, codes .an~or regulations, application:is'made
Name Of Com~ " Addre.~
to display, store~ install, use, operate, ~11 or handle materials or pr~esses involving or-creating con-'
diti~s deemed hazardous to life or pro~ as follows:
".~ :~.:.:. .. ~.
.'. ~ '~ '..~ ·, ~'~:_
..... ............
i~u~d
-~ermit ~ ........................
/ ~t~
erate
Underground Hazardous Materials Storage Facility
CONDITION,:$ ~ ,P~!!~i~i ili~i~i !iaEVERSE SIDE
Tank Hazardous G~i~?~&~::!?:i;;i::i:: ..... Y.e.;:.~iiiiiii~iii~i.~:~::.. :? ~'.~ank "::(:':i?~;i;ii??;~: Piping Piping Piping
Number Substance C~P:~ff~%.::;:::? In"~'t"~ii~i~?.. ii:?'.?Type Mohifei~i~:~):';:'!i::!:!ii~: Type Method Monitoring
Bakersfield Fire Dept.
.^z^aaous u^;aa~^ks m¥~s~on .................................. $1^IE OF G^klFORNI^
1715 Chester Ave., 3rd Floor CALIFORNIA HIGHWAY PATROL
Bakersfield, CA 93301
(805) 326-3979 4040 PIERCE ROAD
BAKERSFIELD, CA 93308
Approved by:
E. Huey, Materials Coordinator Valid from: 12-22-93 to: 12-22-98
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT 1715 CHESTER AVENUE
M. R. KELLY BAKERSFIELD, 93301
FIRE CHIEF October 20, 1994 326-3911
CALIFORNIA HIGHWAY PATROL
4040 PIERCE RD
BAKERSFIELD, CA 93308
Dear Business Owner:
This notice serves as a reminder that owners of underground storage tanks must
be registered with the State of California Water Resources Control Board and renew that
registration every five years. Our records indicate five years have passed since your last
State registration pursuant to Section 25287 of the California Health and Safety Code.
This means that for state registration renewal you must submit an Underground
Storage Tank renewal application form, Forms A. B and C completed for each tank at
this facility (forms included) and a state surcharge of $56.00 for each tank. Please make
your check payable to the City of Bakersfield.
You have 30 days from the date of this letter to complete and return these forms
along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you
have any questions or if we can be of any further assistance please don't hesitate to call
326-3979.
Sincerely Yours,
Ralph E. Huey
Hazardous Materials Coordinator
REH/ed
c ,z,z c ro q ojjc
BAKERSFIELD FIRE DEPARTMENT
Sub Div. qOqD ~.~. ~ rk . Blk. Lot
You are hereby required to make the following corrections
at the above location:
Completion Date for Corrections ~k/~-'5/~
Inspector
326-3979
_S~ate of Californi~ ~- '~' ~-
(. ~artment of California Highway Patrol
I~l~ersfield Area
4040 Pierce Road
Bakersfield, CA 93308
Chuck F. Thomas (805) 327-1069
Automotive Technician ATSS 681-2745
UNDERGROUND STORAGE INSPECT ON iiii'. ..... Bakers~field Fire Dept.
Bakersfield, CA 93301
FACILITY NAME ('~\;~)~.v~ ~-\;a~.,.,c~t. ~d~n~, BUSINESS I.D. No. 215-000
FACILITY ADDRESS ~t0fl_n ~';¢e-Co_vl~_ CI~- ZIP CODE
FACILI~ PHONE No. %~- ~0~ ~ ~
INSPECTION DATE I/~/~F .~ .~aa
INSPECTION ~PE: z
SEe SEe SEe
"' ROUTINE FOLLOW-UP I~., ~
~o~,A,. ~e~o& REQUIREMENTS ~ no ~a y~ ~ ~a yes no
la. F~s A & B Subm~
lb. F~ C Su~
lc. O~mting F~ PaM
Id, S~te Surcharge Paid
le. Statement of Fina~ial R~si~l~ Su~
lf, Wr~en Contm~ ~ists ~n ~er & O~mt~ to O~mte UST
~, ~lid O~mting Pete
2c. Una~ho~ Relea~ R~n~ Plan~ ~
~. Tank Int~r~ Te~ in ~st 12 Months ~/~3/~
~. Pre~ur~Pipinglnt~ri~Testin~st12M~ths "{~ ~ 4,.~,~_ ~O ~- ~A~
~. Su~ion Piping ~ghtn~s T~t in ~st 3 Yearn
~. Gmv~ FI~ Piping ~ghtn~ T~ in ~st 2 Yearn
~. T~ R~u~s Subm~ Within ~ Da~
3f. DaiN ~sual MonEoHng of Su~i~ Pr~ Piping ~
~. ~n~l Invente~ R~ncil~t~ E~ ~th ~.
~. Annual Invento~ R~iliation S~tement Su~ /
~. Metem Calibmt~ Annually
5. W~kly Manual Tank Gauging R~rds for Small Tan~
6. Monthly Statisti~l Invento~ R~ciliation R~uEs
7. M~h~ A~atic Tank Gauging R~uEs
8. Gmu~ Water MonE~ing
9. ~r Mon~oring
10. Continuous Intemt~ial Mon~oHng f~ D~bl~Wall~ Tan~
11. M~hani~l Line Leak D~om ~
12. El~ronic Li~ Leak D~tom
13. Continuous Piping Mon~oHng In Sum~
14. A~omatic Pump Shrift Ca~bil~
15. Annual Maintenan~Calibmtion of Leak Det~ Equi~e~
16. Leak Det~tion Equipment and T~ Meth~s L~t~ in L~113 Se~ ~
17. Wr~en R~ords Mainain~ on SEe
18. Re~ Changes in U~g~Cond~i~s to O~mti~~
Pr~ur~ of UST S~tem W~hin ~ Da~ ~V
19. Re~ Una~ho~ Relea~ W~hin 24 Houm
~. Ap~ov~ UST S~tem Re~im and U~mdes
21. R~rds Sh~ng Cath~ Pr~t~ Ins~t~
~. S~ur~ Mon~odng Wells
~. DropTu~ ~
RE-INSPECTION DATE . RECEIVED BY: ~ ~W~
INSPECTOR: .... OFFICE TELEPHONE No. /
I~LS ,~ H~rclous Materials Division
HAZARDOUS MAT INSPECTI(~N' ~ di~kersfield ~'ire Dept.
I'
Date Completed
Business Name: ~',,~ ._~.v~ ~~,:~. ~'~\
Location: qo~,~ ~¢~,, ~
Business Identification No. 215-000 I, ? (Top of Business Plan)
Station No. r~f~ I~ Shift ~, Inspector
/
ArrivalTime: c~'.~t~" Departure Time: ~.C)'.~.~ Inspection Time:
Adequate Inadequate
Verification of Inventory Materials
Verification of Quakes
Verification of Location
Proper Segregation of Material
Comments:
Verification of MSDS Availability
Number of Employees:
?V~fication of Haz Mat Training~ I'1
Comments: ----.
Verification of Abatement Supplies 8, Procedure'S'
Comments:
Emergency Procedures Posted "~/ J'l
Containers Properly Labeled
Comments:
Verification of Facility Diagram
Special Hazards Associated with this Facility:
Violations:
Business Owner/Manager PRINT NAME - SIGNATU-RE Correction Needed
White-Haz Mat Div Yellow-Station Copy Pink-Business Copy
Underground Hazardous Materials Storage Facility.
CONDITION: ::: :EVERSE SIDE
1715 Chester Ave., 3rd Floor C.t:C Uc~ ~
Bakersfield, CA' 93301
(BO5) 326-3979 90~o ?~E~c~ ~
Approved by:
Ralph E. Huey, Hazardous Materials Coordinator Valid from: ~c. ~-~ G~ lo: ~ ~ ~'
IBEX precision Tank Test
BROCKWAY*S TANK TESTING Bakersfield, CA. USA (805) 834-1146
Performed for: Calif. Highway Patrol
Test Location: 4040 Pierce Rd.
Bakersfield, CA
Test Identification : CHPI-1
Test Date : 09-23-1994 I~,~
Start Data Collection : 16:28:22
Ending Test Period : 18:34:57
Time Filled for Test : + 36 Hrs.
---- Tank Data ---
TANK ID. :Single UST CONTENTS :Unleaded
Volume :11800 Diameter :92"
Depth Bury :60" Product level :107"
Groundwater :) 15 FT Pump Type :Turbine
Tank Type :1 Wall F.G. Water in Tank :0
Test Fluid :Unleaded Vapor Recovery :Phase II
** Test [~eport
Average Rate of Change is based on 240 Data Points
Standard Deviation .............. 0071 Gallons
- Volume change of Tank Contents -
Net Volume * ( 60 min/Test Time)
-.0587 Gal. * ( 60/ 61.32 min.) = -.0574 Gph.
- Volume change due to Temperature -
Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time)
-.0080 Deg. F $ 11800 Gal. * 0.00061 · 60/ 61.32 = -.0561Gph.
Net change = Level Volume - Temp~_catuce Volume
NET CHANGE . . . --.OO13 GPH.
Based on the Information provided and the Data Collected This Tank Test has ...... PASSED
Certified Tester : Robert Brockman # 92-125 .~~~.~-
This Test complies with U.S.EPA and NFPA requirements.
LlO,¢Hl~l--~-----Ie~l~, = -,6561
Pro~u~ ~nlea~e~
~est Date ~-23-1~
O ,,..~,,
Level Precision ,
* ~e~, P~ecision ,00143
,25 ~al, *
.25 Level: -,8574 ~ph, NET C~ANGE :' -,8813_~h.
8 *" ...... ~- , Test Level % ,_
,25 9al,~
,25 t C}ian~e Gal, ,,,
~a~ti~all' Soal~ I: ,~1 ~al,
~Tatae: Calif. Highway Patrol
'PLOT PLANCity:. Bakersfield, CA
Underground Storage Tank Location:
4040 Pierce Road
Work Order iNTo. CHP
No Scale
Tank Reference 0nly
IOve~sl~ Box [
R eco~efy ]
UNLEADED
way ~
Public Parking
Broelovay's
2014 S. Union Ave.
Drawn B~ Robert Brockman Date: s.23-~ Bakersfield, Ca.
CITY of BAKERSFIELD
"WE CARE"
October 3, 1994
FIRE DEPARTMENT 1715 CHESTER AVENUE
M. R. KELLY BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Lt. Ed Ederra
California Highway Patrol
4040 Pierce Road
Bakersfield, CA 93308
Re: Results for tank tightness tests performed at 4040 Pierce
Road; Permit # BT-218
Dear Lt. Ederra:
As to date no results for the gasoline tank tightness test
conducted on 8/19/94 at your facility have been received by this
office.
Section 2643(h) of Article 4; Chapter 16, Division 3, Title 23
CCR. states that tank owners must submit any tank tightness test
results to the regulatory agency within 30 calendar days of
completion.
Please submit the results within twenty (20) days from receipt
of this letter.
If you have any questions regarding this matter, please
contact me at (805)-326-3979.
Sincerely,
Howard H. Wines, III
Hazardous Materials Technician
HHW/ed
CITY of BAKERSFIELD
"WE CARE"
October 3, 1994
FIRE DEPARTMENT 1715 CHESTER AVENUE
M. R. KELLY BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Lt.'Ed Ederra
California Highway Patrol
4040 Pierce Road
Bakersfield, CA 93308
Re: Results for tank tightness tests performed at 4040 Pierce
Road; Permit # BT-218
Dear Lt. Ederra:
As to date no results for the gasoline tank tightness test
conducted on 8/19/94 at your facility have been received by this
office.
Section 2643(h) of Article'4; Chapter 16, Division 3, Title 23
CCR. states that tank owners must submit any tank tightness test
results to the regulatory agency within 30 calendar days of
completion.
Please submit the results within twenty (20) days from receipt
of this letter.
If you have any questions regarding this matter, please
contact me at (805)-326-3979.
Sincerely,
? '
Howard H. ~ines~ III
Hazardous Materials Technician
HHW/ed
SENDER:
~ Cp. mple~e items 1 and/or 2 for additional services. I also.~ wish to receive the
C~mplete items 3, and 4a & b. following services (for an extra
return' PrintthisYOUrcardnameto you.and address on the reverse of this form so that we can fee):
· ~j~ft, ttach this form to the front of the mailpiece, or on the back if space 1. [] Addressee's Address
debs not permit.
~ Write"ReturnReceiptRequested"onthemailpiecebelowthear~iclenumber 2. [] Restricted Delivery
The Return Receipt will show to whom the article was delivered and the date
,~ delivered. ~ ' I Consult postmaster for lee.
/
CT. F.D [DF, R~_ 4b. Service Type
[] Registered [] Insure~l
CALIFORNIA HIGHWAY PATROL [] Certified [] COD
[] Express Mail
[] Return Receipt for
4040 PIERCE ~D. / Merchandise
· Date of~ Deliver~
B,/~ERSFIELD, CA 93308 7...~//0/~' ~-"~
5. Signature· (Addressee) 8. Ad~es'see~ Addre~ss (Only if requested
and fee is/paid)
ia~'orm 38'11; December 1991 ~ U.S.G.P,O.: 1992-307-530 DOMESTIC RETURN RECEIPT
UNITED STATES POSTAL SERVICE
~'c-' C'~ I '----...
l~-; P,~' '~'~1
USE TO AVOID P~YMENT
~ ~ /~g&~~''~ OF POSTAGE, $3~
Print your name, address and ZIP Code here
City'of Bakersfield Fire Dept.
/
1715 Chester Ave., Ste. #300 '
Bakersfield, CA 93301
t
,,,,, I1,1,,,,11,, I/,ll,,,,,,IM,h:,d,l,.,,l]l,,i ..... I!,1,1~,,:1,1.1__
P 390 194 818
Receipt for ,~
Certified Mail ~,
No Insurance Coverage Provi/~ed
~.~ Do not use for International Mail
(See Reverse)
sent to
T,T. ED F.D~PT~A
Street and No.
C,A?,TI~FIRNTA ~TC~T,.:IW'A¥ PATRCJT,
P.O., State and ZIP Code
40,4n PTF.~P.~. Rh.
PoStage
I~A~*RI~.c:'I~TRT.T). C~A l~q~l-I~
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to Whom & Date Delivered
Return Receipt Showing to Whom,
Date. and Addressee's Address
TOTAL Postage
& Fees ~
Postmark or Date
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIEO MAiL FEE, AND CNARGES FOR ANY SELECTEO OPTIONAL SERVICES (see
I. If you want this receipt postmarked, stick the gummed stub to the right of the return address
leaving the receipt attached and present the article et a post office service window or hand it to
your rural carrier (fin extra charge).
2. if you do not want this receipt postmarked, stick the gummed stub to the right of the return
address of the article, date, detach and retain the receipt, and mail the article.
3. if you want a return receipt, write the certified mail number and your name 8fid address on 8
return receipt card, Form 3811, and attach it to the front of the article by means of the gummed
ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to afl authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front Of the article.
5. Enter fees for the services requested in the appropriate spaces off the front of this receipt. If
return receipt is requested, check the applicable blocks in item 1 of Form 385 I.
6. Save this receipt and present it if you make inquiry. 105603-92-B-0226
CITY of BAKERSFIELD
"WE CARE"
August 5, 1994
FIRE DEPARTMENT 1715 CHESTER AVENUE
M. R. KELLY BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Lt. Ed Ederra
California Highway Patrol
4040 Pierce Road
Bakersfield, CA 93308
Dear Lt. Ederra:
NOTICE OF VIOLATION - SCHEDULE FOR COMPLIANCE
WARNING!
THE PERMIT TO OPERATE YOUR UNDERGROUND STORAGE TANK(S)
HAS EXPIRED AND WILL NOT BE REISSUED UNTIL YOUR STORAGE
TANK(S) ARE BROUGHT INTO COMPLIANCE.
Our records indicate that you have not performed 'an annual underground tank system
tightness test in the last year. This annual tightness teSt was a condition of your
previous permit to operate which has now expired as of June 30, 1994.
Herein, you are granted a conditional authorization to continue to operate your
underground storage tank(s) for the next 30 days. During this interim, you must submit
proof to this office that you have arranged for the tank system tightness test. A valid
permit issued within the next 30 days by this office, to perform a tightness test at your
underground tank site will satisfy the interim condition.
If you do not respond to this notice within 30 days either by providing proof of an annual
tightness test performed within the last year, or obtaining a permit now to do so, you will
be required to cease underground tank operations until compliance is achieved.
If you have any questions regarding this notice, please call the Hazardous Materials
Division immediately at 326-3979.
Sincerely yours,
Ralph E. Huey
Hazardous Materials Coordinator
REH/ed
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL D'rvISTON
1715 CHESTER AVE., BAKERSFIELD, CA 93304
(805) 326-3979
APPLICATION TO PERFORM A TIGHTNESS TEST
PERMIT TO OPERATE
OPE~TORS NX~E ~ ~~
~BER OF T~S TO BE TESTED
T~$ VOL~E CONTENTS
TEST 'METHOD~A'~-~A'~AC' / ,'~.-~ - ~L-~-I~)0~-
NAME OF TESTER~3z7'~'-/~ CERTIFICATION
DATE & TIME TEST IS TO BE CONDUCTED 8-~q~
BY: U/~p~ DATE SIGNATURE OF APPLICANT
APPENDIX B - Page 2.1
;!
· c..-, c4--~5- 54-
TANK MONITORING PLAN
CALIFORNIA HIGHWAY PATROL
CHP - BAKERSFIELD
4040 PIERCE ROAD
BAKERSFIELD, CALIFORNIA 93308
CONTACT: JOHN URBANO
(805) 327-1069
W. O. CHP 85O 09
APPENDIX B - Page 2.2
REVISED TANK MONITORING PLAN
INTRODUCTION
The Division of the State Architect has developed the following Tank Monitoring Plan
(TMP) as required by Title 23 waters, Subchapter 16 Underground tank Regulations
from the California Code of Regulations. The TMP has been prepared to comply with
the Local Enforcement Agency guidelines for leak detection and monitoring
alternatives.
SITE DESCRIPTION
This site is operated by the California Highway Patrol for the State of California. This
site is located at:
CHP - Bakersfield
4040 Pierce Road
Bakersfield, California 93308
(805) 327-1069
One tank at this facility is proposed for the installation of a tank level monitor. A brief
overview of the tank information is presented below:
· DSA I.D. No. Capacity Material Installed Contents
P-BKF-01 12,000 gal. Fiberglass 1975 Unleaded
Plot Plate SK-2 shows plan view of the tank.
TANK MONITORING PLAN (TMP)
The TMP outlined below is based on the Local Enforcement Agency guidelines and
utilizes tank level monitoring. The Tank Level Monitoring (TLM) system will be
'installed at this facility. The TLM is an automatic system used for inventory
reconciliation within an underground storage tank. The TLM refers to probes,
monitoring consoles, alarms and other appurtenant devices. A measuring probe will be
located inside the underground storage tank to automatically measure the level of the
liquid, and hence, the volume stored in the tank. The probe will be connected to a
monitoring console, audible and visual alarms and recorder. The TLM will also have
the capabilities to perform a tank integrity test, activate a high level alarm,
automatically alert a remote monitor and measure the water level in the tank. Specific
details of the TMP are listed below:
1. Install TLM monitoring probe as per specifications in the underground
storage tank and connect it to a monitoring console with audio/visual
alarms and recorder as shown in the attached Plot Plate;
APPENDIX B - Page 2.3
2. Install overspill protection device at the tank;
3. Install overfill prevention valve at the tank and retrofit fill pipe and/or drop
tube as necessary;
4. Install a pipeline leak detector and retrofit pressure piping system with a flow
restriction device.
GROUNDWATER
This facility is located in the Tulare Lake Hydrologic Basin, South Valley Floor
Hydrologic Unit, Kern Delta Hydrologic Area of Kern County. The depth to first
groundwater is approximately 55 feet based upon information from the Kern County
Water Agency for a well approximately one-quarter mile from this facility.
' -. ' SEAL. TYPICAL
:~;.'.: .... ~ EXI~TIH~ U~ER6ROUNP
6 PANEL #A~ -[N~TALL I-~A/IP
CIRCUIT BREAKER [N EX[ST[N~ SPACE
ANP CONNECT TO ~N[TOEJN~ PANEL
PART I AL $I TE PLAN NORTH
.~ALE-' 1"-40'-0"
NOTE. SEE APPENDIX C, SHEET
E-~ FOR LIST OF SYIv~I,~LS & NOTE.~.
BAKEESF]ELP. CA fl~O~ AHA,B[R DHiLLON 5K'~
~rchi CONTACT. JOHN UI~ANO
EXISTIN~
EXPLOSIONPROOF GONDUIT SEAL
I,,~NITORING PANEL
EXISTII'~ ELECTRICAL PANEL
CONDUIT CONCELED IN t,~IALL OR IN CEILING SPACE-
I/2" MINIMUM RIGID STEEL CONDUIT HITH 2~IZ. UNLESS OTHERHISE NOTED-
EXPOSED CONDUIT
UNPEE~OU~ ~ONDUIT, PV~ COATED RIGID METAL COHPU1T, OR PV~ ~H.~O
EXISTING COH6RETE P~
SY OL L !ST
I. CONDUIT SIZE FOg MONITORIN6 CAI~LE SHALL BE
MINIMUM ~/,4" OR AS REC~H~ ~ ~NUF~TURER
2- ~N[T~I~ CA~E SHALL ~ ~ EEC~N~D BY M~UFACTUEEE
C~RD[HATE HITH AGE~ FOR EXACT LOCATION OF ~NITOR[N& PANEL
4- EXA~T SIZE, LO~ATIOH AN~ ORIEHTAT[OH OF
UN~R~OUNP FUEL TANK5 TO BE FIELD VERIFIED
5- EXIST- U~R~OUND CO. ITS AND PIP~ ARE ~T 5H~N-
~ONTRACT~ SHALL VERIFY ALL EXISTIH6 UNPE~OUHD
UTILITIES~ STRUCTURERS ET~- BEFORE START TRE~HIH6
ONLY PARTIAL FLOOR PL~ OF THE BUILDIN6/SITE IS SH~N OH THE ~IN6
7- REVISE (El ELECTRICAL ~AHEL~P DIRECTLY AS REOUIEEP
CONDUIT EXPL~ION~OOF SEALS ~ ARE MIN[~
FU~H]~ A~ [HSTALL A~ REGU[REP PER ~CE~T[TLE ~ FART 3
fl.T~PE AND A. [.~-RATIN6 OF N~ CIRCUIT BREAKERS SHALL MATCH
THE ~[ST- PROV[~ ~UNT]H6 H~RES [F REnU[RED
I0- PO ~T ~ALE ~]H~ ~TR~TOR ~ALL FIELD VER]F~ TO
~ACT ~A~E~NT~
LIST OF S' LS .OYES , RBIR D. IL'O. O' !
44~ P' ST., .S.~I, tTO, GA fl~4 ~ MAF~ 1fi'fl,4
CITY of BAKERSFIELD
"WE CARE"
FIRE DEPARTMENT 2t01 H STREET
S. D. JOHNSON July' 2, ].993 8AKERSFIEI~D, 93301
FIRE CHIEF 326-3911
CALIFORNIA HIGHWAY PATROL
4040 PIERCE ROAD
BAKERSFIELD, CA 93308
RE: Monitoring requirements for Underground storage tanks.
Dear -Business Owner:
Our records reveal that no precision tank testing has been
performed on the underground storage tank located at 4040 Pierce
Road.
Section 2643 2(A) of Article 4; Title 23, Div. 3, Chapter 16,
CCR., requires that all' underground tanks that do not utilize
automated leak detection shall have a precision tank test annually.
Additionally, pressurized piping shall be tested annually and non-
pressurized piping shall be tested every three years.
Pipeline leak detectors and automated leak dete~tion systems
..also have to be certified to be in working order on an annual
basis.
Please make arrangements. to bring the tanks into compliance
with state law.
If you have.any questions, please call me at (805) 326-3979'.
Si_ncerely, ~!
-Ralph E. Huey
Hazardous Materials Coordinator
Underground Tank Program.
~ HAZARDOUS MATERI.ALS DIVISION CEi~
.- 2130 G street, Bakersfield, CA 93301
(805) 326-3970
RE
· ~pO'~ UNDERGROUND
' TANK QpES'I~IONNAIRE
. . JUL 1.6 1991,..
HAZ. MAT. DIV.
I. FACILITY/SITE No. OF TANKS ! -
DBA OR FACILITY NAME NAME OF OPERATOR
California Highway Patrol California Highway Patrol
4040 Pierce Road Britton Road
CiTY NAME STATE ZIP CODE
BakerSfield.: CA ~3'30~~, CA 93308
~'BOXTOINDICATE ['1CORPORATION [~INDIVlDUAL [~'PARTNERSNIP [~ LOCAL AGENCY DISTRICTS ~ COUNTY AGENCY (~STATEAGENCY [~FEDERALAGENCY
TYPE OF BUSINESS , ~ I GAS STATION [~ 2 DISTRIBUTOR KERN COUNTY PERMIT
EtaF^RM Q,,,OC~O, Q,OmER TO OPERATE NO. 8292001
EMERGENCY CONTACT PERSON (PRIMA. RY) EMERGENCY CONTACT PERSON (SECONDARY) optional
DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE DAYS: HAME (LAST, FIRST) PHONE No. WITH AREA CODE .
California Highway Patrol (805): 3~7-1069 Thomas, Chuck (805) 327-1069'
NIGHTS: NAME (LAST. FIRST) · PHONE No. wire AREA CODE NIGHTS: NAME (LAST. FIRS'I) PHONE No. WITS AREA CODE
Thomas, Chuck (805) 366-2569 Thomas, Chuck. · (805) 366-2569
Il. PROPERTY OWNER INFORMATION (MusT BE COMPLETED)
NAME : , ,'.CARE OF ADDRESS INFORMATION
California Highway Patrol :'
MAILING OR STREET ADDRESS ~' BOX ~l INDIVIDUAl. Q LOCAL AGENCY [2~ STATE AGENCY
4040 Pierce road TO iNDICATE QPARTNERSHIP ~COUNTY AGENCY ~FEDERAL AGENCY
I
CITY NAME STATE ZIP CODE PHONE No. WITH AREA CODE
Bakersfield.~ ! CA 93308 (805) 327-1069
III. TANKOWNER INFORMATION (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
California tHghway Patrol
MAltING OR $?REET ADD~ESS V~ BOX - ~ INDIVIDUAl ~ lOCAl AGENCY ~ STATE A~ENCY
4040 Pierce Road TOINDICATE [~PARTNERSHIP [~lCOUNWAGENCY ~ FEDERAL AGENCY
CITY NAME PHONE No. WITH AREA CODE
STATE ZIP CODE .
Bakersfield CA 93308. (805) 327-1069
OWNER'S , DATE VOLUME PRODUCT IN
TANK No. iNSTALLED STORED SERVICE
Model G-5 ,Z1--~-75 12,000 Gallons Gasoline/unleaded
N
Y/N
Y/N
Y/N
Y/N
Y/N
YOU HAVE FINANCIAL RESPONSIBILITY? ~)N TYPE Self-insured State agency
DO
~ FAll one segment out for each tank, unless all tanks and piping are
? · ~.~ 'constructed of t same materials, style anlype, then only fill
~ one segment out. ~ lease identify tanks by owner' ID #.
I. TANK DESCRIPTION COMPLET~ ALL ITEMS - SPECIFY IF UNKNOWN
j' A. OWNER'S TANK I. O. # Utlk,~Tll B. MANUFAC~JRED BY: O~/en s / Co rt3iTtg
C. DATE INSTALLED (M~DAYMEAR) ~--5--7 5 D. TANK C~AC~ IN ~LONS: 12,000
III, TANK CONSTRUCTION MARK ONE I~M ONLY IN ~XES ~ B, ANDC,~DALL~AT~IESINBOXD
A. ~PE OF ~ 1 DOUBLE WALL ~ 3 SINGLE W~ WI~ E~ERIOR LINER ~ 95 UN~OWN
SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDA~ ~NTAINMENT (VAUL~DT~ ~ ~ O~ER
B. T~K ~ 1 ~RESTEEL ~ 2 STAINLESS S~ ~ 3 FIBERG~ ~ 4 STEEL C~D Wl FIBERG~ REIN~RCEDP~C
MATERI~ ~ S 'CONCRE~ ~ 6 ~LWI~L CHLORIDE ~ 7 ~UMINUM ~ S 1~ ME~OL ~MPATIB~W~RP
(PrimaryTank) ~ 9 BRON~ ~ 10 ~VANI~D S~ ~ ~ UN~O~ ~ ~ O~ER
C. INTERIOR ·
LINING ~ 5 ~ LINING ~ 6 UNLINED
IS LINING MATER~L ~MPATIBLE WITH I~ ME~OL? YES__
D. C0RROSION ~ ~ ~LYE~LENE W~ ~ 2 ~A~ ": ~ 3 ~L ~ ,~ ~ 4 FIBERG~S REINFORCED ~C
PROTE~ON ~ 5 CATHODIC PROTECT~N ~.91 ~NE - - ~ ~ ~ . ~ ~ O~ER
IV. PIPING INFORMATION C,RC~ A IFABOVEGROUNDOR U IFUN~RGROUND. BO~IF~L~
A. SYSTEM TYPE 'A U 1 SUCTION . A~ 2 PRESSURE A ~ 3 G~V~ A ~ ~ O~ER
B. CONSTRU~ION 'A U I SINGLE WALL A U 2 ~UB~ W~ A ~ 3 LIN~ ~H ~. U ~ UN~O~ A ~ ~ O~ER
· C. MATERIAL AND A U 1 ~RESTEEL A ~ 2 STNN~SS S~ A U 3 ~LWI~L ~LOR~OE(PVC)A~ 4 FIBERG~S PIPE
CORR0Sl0N A U 5 ~UMINUM A ~ 6 ~NCRE~ A ~ 7 STEEL~A~ A U 8' 1~ ME~ANOL ~MFA~B~W~RP
PROTE~ION A U 9 ~LVANI~D S~EL A' U 10 CA~DICPRO~CTION
D. LEAK D~ECTION ~ 1 ~TOMA~CLINELE~D~CTOR ~ 2 LINE T~H~ESS TESTING ~ 3 INItiaL ~ ~ O~ER
~NUORING .
V. TANK LEAK D~ECIION
~ ~ v,suAL c.~cK ~ 2 ,.~.TOR~ RECO.C,L,AT,O. ~ 3 WPO..O.,TORIN~ ~ ~ ~TO.AT,C TANK ~U~,.G ~ 5.GROU.6 WA~R "O.~ORING
" I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN
A. OWNER'S TANK I. D. # B. MANUFACTURED BY:
C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS:
III. TAN K CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. S. AND C, AND ALL THAT APPLIES IN BOX D
' A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL wITH EXTERIOR LINER [] 95 UNKNOWN
SYSTEM ' [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER
B. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTlC
MATERIAL [] 5 coNCRETE [] 6 PQLWlNYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHAN.OL COMPATIBLEW/FRP
(PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] g$ UNKNOWN [] 99 OTHER
[] I RUBBER LINED [] 2 ALIOfD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING
C. INTERIOR
LINING [] 5 GLASS LINING [] B 'uNLINED [] 95 UNKNOWN [] 99 OTHER
IS LINING MATERIAL COMPATIBLE WITH 1OO% METHANOL ? YES__ NO__
" D. CORROSION [~] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC
PROTECTION [] s CATHODIC PROTECTION [] 91 NONE [---I 9S UNKNOWN [] 99 OTHER
IV. PIPING INFORMATION - C~RCLEA IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF APPLICABLE
A. SYSTEM TYpe A U 1 SUCTION A U 2 PRESSURE A tJ 3 GRAVITY A %1 99 OTHER
' B. CONSTRUCTION A tJ I SINGLE WALL A U 2 DOUSER WALL A [J 3 LINED TRENCH A U 95 UNKNOWN A IJ 99 OTHER
C. MATERIAL AND A U' I BARE STEEL . A IJ 2 STAINLESS STEEL A IJ 3 POLYVINYL CHLORIDE (PVC)A ti 4 FIBERGLASS PIPE
CORROSION A. U 5 ALUMINUM A IJ 6 CONCRETE A U 7 STEEL Wl COATING A ti 8 .100% METHANOL COMPATIBLEW/FRP
PROTECTION A V 9 GALVANIZED STEEL A IJ 10 CATHODIC PROTECTION A [J 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 IN'fERSTITIAL
MONII'ORING [] 99 OTHER
V, T/~NK LEAK DETECTION
I-7~ , v,SUAL C~ECK [] ~ ,NYENTOR¥ RECONC,L,AT'ON [::::] ~ VAPOR MO.,TOR.NG []. AUTDMAT,C ~ANK GAUG,NG [] S GROUND WATE. MON,TOR.NG
"] 6 TANK TESTING . [] 7 INTERSTITIAL MONITORING [~ 91 NONE [] 95 UN~(~IOWN ' [] 99 OTHER
i ' ~Name: Calif. Highway Patrol
una~ouna ~torage t~
CH~ .... ququ Pierce Hoao
Work Order No.
~ T~k Refer~ce Only
I Fill ~ I
0re,spill Bpx
~, I Vapc~ Rec°ve' I
, _ \ I / _
UNLEADED
11.800 gal.
~ I%~OispenSer I
Enter Exit
Drive Drive
way way
Public Parking
Broclovay's
2014 S. Union Ave.
Drawn By. Robert Brockman Date: ~-23-~ Bakersfield, Ca.
BROCKWAY'S TANK TESTING Bakersfield, CA. USA (805) 834-1146
Performed for: Calif. Highway Patrol
Test Location: 4040 Pierce Rd.
Bakersfield, CA
Test Identification : CHPI-1
Test Date : 09-23-1994
Start Data Collection : 16:28:22
Ending Test Period : 18: 34:57
Time Filled for Test : + 36 Hrs.
---- Tank Data ---
TANK ID. :Single UST CONTENTS :Unleaded
Volume : 11800 Diameter : 92"
Depth Bury :60" Product level : 107"
Groundwater :> 15 FT Pump Type :Turbine
Tank Type :1 Wall F.G. Water in Tank :0
Test Fluid :Unleaded Vapor Recovery :Phase II
** Test Report **
Average Rate of Change is based on 240 Data Points
Standard Deviation .............. 0071 Gallons
- Volume change of Tank Contents -
Net Volume * ( 60 min/Test Time)
-.0587 Gal. * ( 60/ 61.S2 min.) : -.0574 Gph.
- Volume change due to Temperature -
Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time}
-.0080 Deg. F * 11800 Gal. * 0.00061 * 60/ 61.32 = -.0561 Gph.
Net change = Level Volume - Temperature Volume
NET CHANGE . - . --. OO13 GPH.
Based on the Information pro~ the D~ected
This Tank Test has ..... ~"J~~~ pA~D ~/-.
Certified Tester : Robert Brockman # 92-1251 ~ ~~-
This Test complies with U.S.EPA and NFPA requirements.
' ~ro~u~ Hnlea~e~
~es~ Da~e
Level P~ecision ,
Te~p, P~ecision ,~G14~
, 5 ~al,
,25~Level '= -,~574 ~h, NEI CHAN~E :' -,8~!!_~h,
,25~et Chan~e Gal ~ //'
/ D~a~e~e~ 92
~ Liqai~ Level 1~7 ~
& ./
Ue~tioal Scale I: ,~1 ~al 6 ,3 Min, ~'." ' --/
, ~ 5 ~al, ..... " ' ' "~--~~"
FILE .CONTENTS INVEN?ORY
~Permit to Operate ~ ~D/~,~ ' - ~ Date
~Construction Permit ~ . Date ,'. ,-
.............. '~ ~' P'~-~:i~ -'aba n'd o n ~ ~ 'N o. ~0 f ~Ta n ~ =~'~- .......... Da ~'~' :.' 2~ ~ ..
~ended Permit Conditions
'.,+~.. ,~': :~
~Permit Application Form, ~ ' Tank Sheets Pl.e~{~-m: ~,'1~
,, .
~APplieatton to Abandon '~anks(s) . Date
" ~Annual Report Forms - "" : ........ "
. %.: ' "'~?q~.~,~:-:~:~ % %'.. : :- < ',' .'. , . , ,: , · .':
:'-:?~v~:~C6py':6~f=w-rt~'~"~-'~ontr~ct Between Owner &. O~eratoF-..
~Inspection Reports - " .' ". :~ .~'.-,. '~'":
, . . · - · . Date - '
";~: ' .......... Da t e
...... .
. ~Correspondence - Mailed ' :":'" ""[
:' ...... -.-. ':. '. ? .':: 'i i':~-~--:::~' "' :""~ "~'" .Date ':
' ~ ............ Da te .
' , ~te .... '
~Unauthorized Release Reports
~Abandonment/Closure Reports
~Sampling/Lab Reports ..
~MVF Compliance Check (New Construct'io~ CheCklist)
~STD Compliance Check (New Construction Checklist)
~MVF Plan Check (New Construction) ..
· . ~S~ Plan' Check (New Construction) "
'~MVF Plan Check (Existing Facility) ,
" '" ~S~ Plan Check (Existing Facility) ":" .'~: "' '"' ~:~.
~"Incomp~te Application" Form
~Permit Application Checklist
~ Permit Instructions ~Discarded <
~Tightness Test Results Date
. Date _
' Da te
~.Monitoring Well Construction Da~a/pe~fmits
.~Environmental Sensitivity Data:
~Groundwater Drilling, Boring Logs ' ' .'
~Location of Water Wells"
~Statement of Underground' Conduits
~Plot Plan Featuring All Environmentally Sensitive Data
~ Photos Construction D~awings tocation
~Half sheet show~g da~_~e, cgiygd ~n~l~y of kn~pec.%~on t.i~.e.,_~_tc .... '
.. ~'. ."?~ .,,~,~', . .~ ~., ~.~, .. . . . .. ~ · · . . . .
'.': ~;:'~]? '-'~':' ~" 17~Flower'Street ..... .:'.~=~",'./: .. ,'-' ~"'~ ~',~
" c~, ........ ' ~" '~- .... . ,.,,RN COUNTY H~LTH DEPARTME
:~:" (~5) 861-3636 ~''' :;'' :~ '*";~-' :*:. :':' '; "?/:J" EN~RONMENTAL H~L~ DIVISION ~.: M Echelon,
. H~L~
O.~:~'
oo D':HnZn Doos-s
.SUBSTANCE
'-:REQUIREMENTS ':ESTAB!
~I~Y',~M~ST ~!BE !MET
DATE '~LNIT M~IT'~'3~: ,NOV
' ". ~-.'~;: ..... '~ ~,,:"?-.~..L. ' ......
DA~ P~T ~K LIST ~~: '.'~
.~,. ;- .. ' ,.. .- .... :: :: ;':'.'...:~:.:...'.~. :'.' ¥:.:, -,-..~* :.. ..... :.-:~ .... ::.::-,-. ~ :~, ....... :.~
. ,.=, ::.,. :,-, :... :,, '; ~::/:~',- .
,.. .. ~.., ... ..;.,~.~:
. : ':~:
.:' .
~,:,- ':~: :: :~ · ,,..
j;.. , ..:~, , '..:-.. : ,-~ ;.: · . ~.= ~ .....'.. ...... * ..?
.... , :,, , ~.,,..,. ,~-'.~:.. ".;~, ,~ . :,' , ,. .,. ~,. ~:".'.
......
~:: :'.. ,::'.': - ... .
· ,"~"',,:. .~ .'. :..':;. ' . . · ,, .. : .... ~ '-:'*',.,,;;.'., ::.,.:. ,~. '.::. , , , .,. , . . ...~,.*.: .. .... '::.; .... .
,' ' ~ ' ' ::..' ' ' .' * - . ': ': ' ~:* :. 'L*'. , ,"' ":', '~*, s ':" :'. ' ."' '.'-.." '.' ": .... . ." *' , J"-" =.', ~'-
, .. ':::, -..' , ,,.. .... ·
\
.-'> .. ~ ..." PERMIT CHECKLIST' '
..*'....:'"' This checklist is provided to ensure that all necessary packet enclosures ~ere receive
.... ~nd that the Permittee has obtained all"necessary equipment to i~ple~ent the first phase o
"'"' ~onitorin~ requirements .'
-.:..':; ' ~onitorin~ Requirements, In~n Sheet (~ent Between <':0w~er ':an~
operator), Cha~(KCOC eft-a941), Explanat~tance" Codes
,:< :.: ~ ~) Standard Inventory Control ~onitoring Hand~-lO. "': ':' '-" .....
~ 3) The Following
a) Inventory Recordtn~ Sheet~
..,<: b) Inventory Reconciliation Sheet ~ith summary on reverse~
~ c) Trend Analysis Worksheet ~
"~ 4) ~n Action Chart (to post at facility) ' ' '
B. I have examined the Information on my Interi~ Permit, Phase I ~onitorin
Requirements, and Information Sheet (~greement between O~ner ~nd Operator), ant
find owner's na~e and address, facility name and address, operator's name anl
address, substance codes, and number of tanks to be accurately listed (if ."no'~
is checked, note appropriate corrections on the back side of'this sheet).
~C. I have the following required equipment (as described on page 6 of ~andbook):
~~ ~) "Striker plate(s)" in tank(s) ~~~ .
?...:..._ ~ 8) Water-finding paste ..' -
f D. I'"~ave read the information on the enclosed "Information Sheet" pertaining
'..'. Agreements between Owner and Operator and hereby state that the owne~ of this
,. facilit~ is the operator (if "no" is checked, attach a copy of agreement between
owner and operator). .
~ - ~ E. I have enclosed a copy of Calibration Charts for all tanks at ~his facility (if
tanks are identical, one chart will suffice; label chart(s) with corresponding
tank numbers listed on permit).
~F. As required on page 6 of Handbook ~UT-10, all meters at this facility have
calibration checks ~ithin the last ~0 days and were calibrated by a registered
device repairman ~f out of tolerance (all ~eter calibrations must be recorded
"~eter Calibration Check Form" found in the ~ppendix of Handbook).
G. Standard Inventory Control Monitoring ~as started at this facility in accordanct
Date Started /~-/ff~- ~
Signature o~ Person Completin~ Checklist: '~ ~~
STATE OF C .ALIFORNIA--BUSINESS, TRANsPoRTATION AND HOUSING AGENCY
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
4.040 P£erce Road
Bakersfield, CA 93308
(~05) 327-1069
May 8, 1987
Eile No.? 420.7385.A4626
Environmental Health Specialist
Hazardous Materials Management Program
Kern County Health Department
1700 Flower Street
Bakersfield, CA 93305
Dear Ms. Green:
This is in r.esponse to your letter of January 8, 1987,
outlining three items necessary to complete our
application for our Facility permit.
The notation indicating the tank was equipped with a '
striker plate was inadvertently left off our first
application. The Model G-5 fuel storage tank is equipped
with a .striker plate by the manufacturer. Enclosed are
copies of the tank calibration charts and meter
calibration check.
~This should complete the requirements missing on the
original standard InVentory Control Permit packet.
If you have any further questions regarding our
application for 6he Facility permit, please contact
Lieutenant John Molitoris at 805-327-1069.
Very truly yours,
K. L. /~ILLER, Captain
Commander
Bakersfield Area
~_--~__ .... En_c!o~s_ur~e_~_
cc: Alta Glass
Facilities Section
:: OMPANY
· --3500 Gilmore Ave. - Bakersj~eld, Call{. 93308 " Record of Computer
.;27-9541 ... · or Meter Change
(805)
TOKHEIM DISTRIBUTORS
.,. "~'" ._."' ' '~"~?:'""~:,.,.~:;....t '~" "" ~ gl. D co~ou,.~ c,~,~. . -"::::?::. ::::' '~:.:
[ "' · j Make and Model S~rial Number Tagged [ Tag $ '? "-:F?%' '';~ ':~
i~:., . ~, Fin)th (money) Finish (gallon~) ~ ',, ,..-~] .
, , . . ,,..:. : ,.,.~t.-
:';:' ' To,,,,,, ' ~?';' :-' e:. z~ / .'C . ~,e:,., I -/:' ''/:'::" ~'1 F
· ~adi~ Sla~t (moneY) . .: -, . S~arl (gallonl) · -. ' ' ' I ......
Toga zer Sealed .. {Meter Sealed '
' Product .... .,. :~' . Return to Storage (gallons) · , · . ',;:~ '
:'; : . · . . Make and Model t .., . . . ;,: . Serial Number . . .. ' '" "" '" ' , ,r - - -. :.;,,=; .?,.:/ ,:; ~ .*. = ,~.-;:,-
~ . Finish (gallons) ,- ._ ~libration: ] Fast ... :. ,.~.....rI Slow
. -..:. ::'-?::::~,~...:. :.....: .-. .. - ~ ~ ~
' :--. ~'~ ~ ':,1 Fast .... ,- · :...:'.-;:'~ ~ Slow ·
;~ ?:'~:~R~i~s Start (money) , . . . ' ....,. - , ~.. Sta~(gallons) -... ..,. '' .'.'."; .~alusxea .I ' .' C> 5' : ,,7".~, ,. ~ ~ ~:~;>~:~T
' "I ~ '--~" ~ -,- . .... I ' ' ~-"" "': ...... ':1 = ......
~ '~' Tagged ITa9 t . ,. , .' ;.'
Make and Model . Serial Number .' , -.. : '~'- -:::.~ '~'&~ ~....
,.,, . ...... ......:. .:-::... ~,.,. ~,... 'a.,u.I
· Finish (money) Finilh (gallons) ~libration: . , . :. .....
· (money) Start (gallons) Fast . Slow .
R~i~s Start Adjusted
~ ' '. : : . To "I '" ...... '?' '::'~ ....
'- 'Dy., ONe "."1,",'>-by.' .~oag. :::::::::::::::::::::::::
I
Tag ~ ·
'. Pump ~Red ~Green ~81ue }
Finish (money) Finiah {gaHons} ~libration:ch.ckeO { ~ Fast [[ Slow : ' '
, ' ..-'>:. :.':'::':' '.::.,
Tot,lizer
. Rmi~s Start (money) Start (gallons) Adjusted Fast Slow .
· o I .' :: :: ;': ~' ';~:'' ':'~:::' ":"
~ .
': Prod~t Return to Stor~e (gallons) Totalizer Seale~ I Meter Seele~ , ..:.:' :~.:.~:.~:.¥.....',,
... ' . . D y,, ~ No" D Y~ ": ~ N~~'- ?: ~:":":"~
Make and Moael Serial Number Tagge~ Tag ~ .. :_ ' . '.. '. ':" :=.:~ 7-:
~" Pump._ ~Red ~Green ~Blue . .. ' ' · '.' :..--'--; .':
Finish,money) Finish(gallons) Calibration: ~Fast Slow-·
' '"' I ' ":'~'" L'z';': .% :: =~ ::::'"";"
.. : . '-. L ':~
:".. . Totalizer ' ' Checked ] ·
I
-- To
I
Product ~eturn ~o STorage (gallons) Totalizer Sealed . Meter Sealed · .:..', ' ' : :;.~'L~'~ ,:,'
[ Make and Model Serial Number 'Tagged . ~ Tag $, .:. , ,*. .:,: .: ~.,,.: ~::.; ,.:-.
Pump .... ~ Red ~Green ~Blue ~ ': ~ :'. -~ '~'~['"}:~;:~
Totalizer Checked
Re~i~s Start (money) . Start (gallons} Adjusted Fast I SI .' ,..
To '
Product Return to Storage (gallons) Totalizer Sealed . . ~Meter Sealed - . .... .....-.
Dealer's Signature.--"> I Maintenance Man's 5ig~a~u~ /' .
' ~ "I '"' ' '"'2":'
...., ../,~.,.~.~ : .~' .<:..:.-.~:: ..... . .......:.: ......
Distribution:' Ori9inal'{white) Invoice Copy ' '
Duplicate (canary) File Cdpy
Triplicate (pink) Dealer Copy
· ....- -* Fibe as* Tanks . .
" This chart for .Fuel Storage
..;.. ,.- ...... can bemused .
: .,': .. *. to gauge model Calir ra ,on
. · G.6 tanks. Model G-5 12,000 Gallon Tanks
Model .., - 12 000:Gallon:Ta nks) an k-Size nd Gapaeit lloas
Calibrations for Level lanks Actual Capacityll 27 GallOns"
.. 'Dipstick "Gallons'l Dipstick Gallons' Dipstick .Gallons" Dipstick Gallonk, Dipstick Gallons" Dipstick ~Gallo~$'! Dipstick "Gailon~'?i'i
' -Va" - 1..= · 6V~" 340. 12~/~'' 933~ 19V~" 1689.' 25¥a 2560.': 32" 3519 383/s'' 4541
.V~" 3~ 6¥o" 350 13~' 946 193/~'' '~,..'. 1705:25~/~" ~.~ 2578:1 32V~" 3538 .~ 38V~" 4561
' *: "~" .-,,-::'-5 6~/,'' 359 13~,~'' 959 .i 19v:," 1721 257/e'' 2596.. 32v," ~r 3558 38%" .4582 ~;.~:?~_~
~?.:-'*~.: .v~,, =~:..:..7..: 6~/,,, .369'.!, 131/,'' ;.:....973;.i19~/,,, ..17.38~:.' 26,, ~ 2615:.'. 32~,, i"'-:3,577.! 383/4,, ~1' . .. 4602 _.;:~.*:
. ~/e,, t0- -7,,.-- .=.379 13~s,, .986.= 19%,, '17~.,, 26~'' 2633;~ 32~'' I..3597:: 387~,, '4623-....
:..;*.-: ....... ~, 14 7Va" 389.' 131b'' 1000 19~" ..1770:'.t 26V4" .;2651..: 32%" f: '- 3617 . :: 39". ..... *~. ' .,4643
: -~'~, ~/. · ~:~*'17 71/,'' ~-a00 13%" 1014 ~. ~.~*'"~1786 ..: 26a/~ ~**:"2669:.' 323/,'' ?3636 39V," ::: ~*~.4664
· ::~' :'~. "21 ' '7~/." 410 ', 13~/, .... 1028 ~ 20V~" *..~803 :::i26V~" ',2687.~ 327/,'' ?' :~656 .~' 39V,?~ .*~4684 %
'~,' ' 1V~" .' 25 7V~' .- 420' '137/~'' ,1042 20V," :~ "18~ 9 :*" 26%" :" :2706 ;:* 33" ,'i*: 3676 39~"' *~ ~4705
~ V,~" 29 7%" 430 '~ 14" 1056 203/~'' 1835 26a/4'' 2724 *I ~" .~ ..
.. . 33/, ~ .3695" 39~'' '4726
1:~," 34 73/4" ' 441 ' 14'~'' 1070 201/2" 1852 :. 26z/e'' 2742' 33V4" '.3715 39¥." · 4746 .'.
I'~A,'' .38 77/e'' 452. 14V," .10847 20.%" .1868 27" 2761 '~ 333~'' /.:3735 39~4" .'." 4767 7:
1%" 43 8" .462 14~a" 1098': 20~" 1885 27Va" .2779 ,~ 33~'' ;.-* 37~' 39~'' 4788 - .,.
· 1~4" 48 *: 81/e'' .473 141~'' ' 11.12 207~,, L ~.1~2 ~' 27V," 2797 -,, 33s~'' :'*~3774' 40" ~;. ..~ 4808
l~/s'' 53 81/," - 484 14s/~" -1127':! 21" '-1918.' 27~" 2816 33~4" '37~ 401~'' 4829 ~' '
2" 59 8~/e' 495 14~," 1141 ;i 21~'' 1935 27V~" 28~'. 337~'' ~14 40V," 4850-: ."
2"/," 64 8V~'" 506 .i 14~/~''. 1155 '~ 21V," '1952- 275/e'' 2853 34" :3834 403/e,'' 4870. ·
2V," 70 8%" 517 15" .1170 21%" 1968 27:¥,," '.~ 2871' 341/8'' · 3854 401/~'' 4891 ~."
2~" 76 8~/,'' 528 15~'' 1184 ~ 21V~" 1985 277/"" 2890 ~V," I-i. ~73 40s~'' 4912.
%i. 21~" 82 87/~'' 539 15V," 1199 21s/~" 2002~i 28" 2909 34~" I. 3893 40~," 4933.
2Va" 88 9" 550 15~" 1213 21~," 2019 28V~" 2927 34V~" '3913 407~'' 4953
23/," 94 9V," 561 15V~" 1228 21 Va" 2036 28V~" 2~6. ~s/s,, 3933 41" 4974
2~/s'' 101 9V," 573 15s/~" 1243 22" 2053 28~/e" 2965 ~/," " 3953 41~" 4995'
3" 108 93/e'' 5~ 15~/," 1257 22~'' 2070 281/2'' 2983 ~z~,, 3973 41V," 5016 *
3Ve' 114 9V~" 596 15~/s'' 1272. 22V," .2087 28%" 3002 ..', 35" .3993 41-~'' 5036.
3r/,'' 121 9s/o'' 608 16" 1287 223/~'' ' 2104 28~/," 302.1:~ 35~'' 4013 41~" 5057 ';
· 3%" 128 9~/,'' 619 16Ve" 1302 :~ 22~'' 2121 287/e'' ~40 351/,'' '. 4033 41s~'' 5078.
31/:~'' 135 97/s'' 631 16V," 1317 ' 22%" 2138 29" 3059 35:¥e" 4053 413/,¢' 5099 *
3~/0'' 143 10" ~3 · 163/8'' 1332 223/4" 2155' 29ve" 3077 '. 351~'' ' '.4073 41~" 5120 ' .'
33/,'' 150 lOVe' 655 16V~" I'" 1~7 227/e'' .2172': 291/,'' 3096 35%" ". 40~ 42" 5141
. 3~/s'' 57 IOV,' 667 16%" 1362 23" '2190 29~/e'' 3115 353/4'' 4114 42Ve" 5162
4" 65 lO~/e' 679 16a/4" 1377 231/a'' 2207 291~'' 3134 357/e'' 4134 42V,~" !' 5182
-" 4Va" 73 10v2' ,. 691 167/a'' 1392 23V," 2224 =: 29~/,~" 3153 36" ' 4154 423/e'' 5203 '
4V," 81 10%" 703 17" 1407 23a/~" 2242 29~/~" -' 3172 36Vs". ;. 4174 42~b'' 5224
. 4:¥," ;89 10~/4'' 715 17V," 1423 23V:, .... 2259' 29~/e'' 3191 36V4" 4194 42%" 5245
4~" .. [97 lOZ/a'' 727 171/~'' .1438' 23%" '2276,~ 30" ...3210.'.. 363/e'' ':.'4215 42~" 5266 ~
4¥~" !05 11" 740:/ 17~" '!453 23~, .... 22~.:i'. 30Va" !/. 3229 :;i 36~'' ' 4235 42z/s'' 5287 -~" '.
43/~" .)13 11Vo" -' · 752' 17~" ' 1469 237/~'' ::'. 231~'?. 30V," ," .3249.~ 36%" 4255 43" .5~8
~ 4?/0" !22 11V," 765 17%" 14~ 24 .... 2329 30~/a" 3268 '.: 36~/," ' 4275 43Vo" 5329
5" .)~ 11~" 77.7 17~," · 1500'. 24Va" ,.' .2~7 3OVa" ':--3287.-~ 36~ .... 4296 43V," · 5350"'
5~" ~3~ 11V2' '790. 17~/e" 1515 24V," '.:23~ :.' 30¥0" ~. 3~6:: 37" ..:.'-4316 43~/0" 5371
5V~" .)47 11s/o" 803 18" 1.531' 24~" i" 2382 30"/," 3325 i.' 37~'' -~ 4336 43~" 5392 '
53/0" !56 11 ~/," 815' .~_!_8~_!a'_' ...... ~t546 ..... 2_~bJ'.-~ ~2400..' ~30.?/e'_',.~ ~.~ 33~_5 .". ~ 3~"~_~ ...:~4357__. ~_43¥~'~~54~13-~
5V~" !65 11 z/e"" ' 828 18V," 1562 24%" .2417.~ 31" 3364 37a/e'' '. 4377 43~/," 5434 ·
5%" !74 12" 841 183/s'' . 1578 243/.'' i. 2435: 31Va" 3383 37V~' ~- 4397 43z/e'' 5455
5~4" !83 121/e'' 854' 181/2" 1594 t 24~/~'' '2453 31V4" 3402' 37%" 4418 44" 5476
57~'' !92 12v," 867 18%" 1609 ] 25" 2471 313/-" 3422 37~4" "4438 44Va" 5497
~ 6" 102 123/~'' 880 183/," 1625 t 25Ve" 2489 31V2" 3441 ,'. 37~'' 4459 44V," 5518
6~'' ~11 12V~" 893 18~/s'' 1641 t 25V," 2506 31~/a" ~61 ~ 38" '4479. 44a/~'' 5539
6V,," 321 12%" 906 19" 1657 t 253/," 2524: 313/,," 3480 :;'I 38Ve" 4500 441/2" 5560
6~/~'' ~30 12~/.'' .919 19V~" ,:.,~16?3 .,]25V~" :. :2542:..!i 31 ~/," ~ ,.~3499 ;~ 381/4" :~520 ': 44¥s" - 5581 .
'.' Model G-5 12,000"Gallon Tanks/Tank Size and Capacity in Gallons
:?. Calibrations for Level Tanks Actual Capacity 11627 Gallons
Dipstick Gallons Dipstick Gallons Dipstick Gallons Dipslick Gallons Dipstick Gallons.,1 Dipstick Gallons Dipstick Gallor' ~
443/,'' 5602 51%" 6757 58V~" 7873 653/a'' 8922"- 721/,~'' 9874 .t 79v8" 10695 86" 11326 '
· 44?/8" 5623 51"/," 6778 58%" 7893 651/2'' 8940 72"/e" 9890 79V," 10708 86v,' 11335
· -- 1 4"
45" -5644 ___5__1~./e"_~ .~_6798 L_5.83~/'_~_._.7912_' 655/e'' 8958 72V2" 9906 79''/." 10721 ..... 8_6_/_, .... _1_1_344_..
"45Va" 5665 52" 6819 587/8'' 7932 653/," .8976 72%" · "9922., 791/~'' 10734 86"/~" 11353 '
451/,'' 5687 ' 52V8" 6840 59" 7952 657/8'' 8995 723/,'' 9938 .' 795/8'' 10747 86V2" 11362
45a/~'' 5708 52v,~' 6860 , 59V``" 7971 66" 9013.- 727/e'' 9954, 79~'/,¢' 10761 865/e'' 11371
451/~'' 5729 52¥8" 6881 :~ 591/,~'' 7991 ,"i 661/e'' 9031 73" 9970" 797/e'' 10773 86"/," 11380
' -455/``" 5750' 52v2" 6902 59''/8" 8011 ? 66V." '. 9049 73V8" 9986~ 80 ..... 10786 867/a'' 11389
~' .,...:. ;'..' 453/4"5771 52¥8" '6922 59V2" 8030 - 663/8'' 9067 ~' 73V4" 10002 ': 80V8" 10799 87" 11397. -
· ' '~:'-'457/~'' ..5792 523/,~'' 6943 59%" 8050 661/~'' 9085 73''/``" 10018 801/,~'' 10812 87Ve". 11406 '
· . .?~i:'. '46" ."?'- 5814 52¥," 6964 593/4'' 8069 665/8" 9103 731/~'' 10034 80~" 10825 871/~'' - 11414 ':~
:;r-46V~ ......... 5835- '53 ....... 6984 "597/~'' '"8089 663/,~ .... I -9121" -73% .... 10049- -80~b ..... .10837 87"/,," 1T422"-'~
:" - ' --:'.- 46V,~" '5856 ' 531A~'' 7005 60" 8108 667/,'' 9139. 73''/,F' 10065 805/a'' 10850 87112'' 1'1431 '
~.' .:;.:i'~i'.:746~/8 .... ".'. 5877 53V,¢' ..7025 60V." 8128". 67" ." -: ,'.9157.1'i 73~/.'' ., 10081' '::! 80~/,¢' ."10863 878/~''. 11439
'.~,'~46V~" ~ .5898 ' 53"/s" 7046 601/.~'' 78147, 671/s'' " ..'..9174 74" 10097" 807A".:. 10875 '873/,~"-.:.11447
i',K465/8'' 5920 531/2'' 7066 603/e .... 8167' 671/4'' ..9192 741/s'' 10112": '~81"-/'~' 10888 .-877/a" , -1'1454 .:';'~i;
:""! '- 46"/," ~ 5941, 535/8'' '7087· 60V~" 8186~ 673/8'' !':9210 74V,~" 10128-. 811/~'' 10900'~ 88" :' 11462
· :'.' 467/8" 5962 53~/,~'' 7107 605/a'' 8206 ~ 67V2" ~ '-9228: 74"/``" 10143 81V,~" 10912 881/e'' 11470 ,
47" 5983" 537/.'' 7128" 603/,¢' 8225 ~' 675/~'''' 9245,. 74V=" 10159 81~/e" '10924 88V,~" 11477 .
'':- 47V~" '6004~ 54" ..'. 7148'60~/e" '.. 8244::: 673/~'' ~-'.:9263'i~ 745/e'' -10174-- 811b 10937 883/e'' 11485'
,... :.'~' ,... 47V," .6025 54V8" ,7169 61" 826~ii 677/s'' ..9281 ,-"t743/,~'' : 10189 818/e'' 10949 88V~" 11492
" ...... ..,.'., 473/8"6046? 541/,~" 7189 611/8" 8283 68" .:9298'~ 747/e'' ."10205i 81~/,," 10961 88¥e" 11499'.:;
471/~'' 6067 543/8" 7210 61V," 8302' 681/." 9316 75" 10220 :, 817/~'' 10973 883/4'' 11506 '
475/e" 6088 54V=" 7230 61"/s" 8321 68V, F' 9333" 75V8" 10235 82". '- 10985 887/a'' 11513 '
47~A'' -6109 545/~" 7250 611/~'' 8340 68"/8" 9351"; 75V,¢' 10250~ 82Va" 10996 89" 1!520.I
I, 477/8. ' .6130.:' 543/,'' 7271· 615/8 .... .8360 68V~," ....9368' 753/8" 10265~! 82V4" 11008 89V8" 11526 ....!.
~':: 48" 6151 547/8'' .-'7291'~ 61''/4" -8379 685/8'' :..'9386':: 75V:~" 10280? 823/8" '.11020 891/,~'' 11533
48V8" 6172 55" 7311-' 617/8'' .8398 6~3/~ 9403 755/8" 10295 82V~" '11031 89''/8" 11539
48V,~" 6193 55V8" 7332 62" 8417.. 687/8" 9420. 75''/4" 10310 825/8" 11043 89v~" .11545 .
483/e'° i 6214 551/,," 7352 62V8" 8436 69" 9438 ] 757/8" 10325 823/4'' 11054 895/8" 11551
48V2" .' 6235 553/8" 737~ 621/." 8455 691/.'' 9455 ! 76" 10340 827/." 11066 89"/," 11557
".. 485/8'' 6256:~ 551/~'' 7392..= 62a/8'' 8474 69V," 9472:: 76V8 .... 10355:. 83" 11077 897/8" 11563:
· ~'" 48~/," : 6277 555/8'' 7413": 62V2" 8493 69"/e" 9489 ~! 761/,'' 10370.? 83Vs" 11088 90" - 11569
"' : 487/8" 6298 553/,~'' 743~ 62%" 8512 69V:~" 9507.. 763/s'' i'10385..'~ 83V," 11100.- 90V``" 1.1574'
49" ' 6319 '-'~557/8'' 7453 623/," ..: 8531 ". 695/8" ::~; 9524:, 76V~," 10399.'~ 833/8" 11111 9OVa" 11579
.49V8" 6340 56" 7473 627/8'' ·8550' 693/,'' :.'-9541 .,,i765/8" 10414 ' 83V2" i~: 11122. 903/8" 11584 .
491/~'' 6361 561/8" ' 7493. 63" 8569 697/8" ¥'"9558't 76"/,~" 10428 83¥8" I,. 1.1133' 9OVa" 11589'~
.': 493/8" 6382 56V," 7514 i~ 63V8" -8588 70 .... 9575 767/e'' '10443:.~ 833A'' -'11144 905/e" 11594
: . 49V:~" 6403 563/8" 7534' 63V,~" 8606 701/8'' ~.' 9592':. 77" 10457 ':'. 837/8" ..1116:4 903/4" ,11598
- -495/8" 6424 56V2" 7554 63''/8" · 8625 .70V," i'- "9609 77V8" 10472;: 84" 11165 907/8" 11602
49%" 6445 56%" 7574 631/~'' '8644 70''/8" ~' 9625',~1 77V,~" .... 10486' 84V8" 11176 91" 11606
497/``" 6466 56"/~" '..7594': 635/8" . .8663 70V2 .... .9642~? 77''/8°' ~:10501~.'~: 84V~" 11186 91Va" 11610 .
50" 6487 567/e'' 7614' 633/4'' 8681' 705/8" 9659 771/2" 10515 ': 84''/8" 11197 91v," 11614
5OVa" 6507.~', 57" ~' 7634..; 637/8" .. 8700 70%" '..:9676.~: 775/e" 10529'.' 84V, z" 11207.i 913/e'' 11617
· · 50v,~" 6528 57Va" 7654 64" 8719" 707/8'' .. ,.:9693~ 77"/,~" 10543 848/s" ,~ 11218 911/~" 11620
· 503/8.' 6549 571/,'' 7674 641/8'' 8737'. 71" 9709 'i 777A'' 10557~.."; 84~A'' 11228 915/8'' 11623
501k,'' 6570 57~/8" 7694 641/,~'' 8756 711/8" 9726' 78" 10572 84~/~'' 11238 91%" 11625 .
505/``" 6591 57v2" 7714 64'¥8" 8774 711/,¢' ', 9742 781/e'' 10586 85" 11248 917/e''' 11626
50~/,'' 6612 57"/8" 7734 ? 641M' .. 8793'i 713/8,' ·9759 78V,~" 10600.~i 851/e'' 11258 92" 11627
50z,,~'' 6632 573/," 7754 ' 645/e" 8811' 71v2" · 9775 78~'/8'' 1061.',,'.:85V,¢' 11268 .' -
~5T .... ~6653 57~/e'' "-' 7774 ..... 6;4-~/,-~''- ' 8830--,.--71sAi ....... 9792""1~-78v~''- - 10627 -85;~/a .... "1-1'278 ............ ·
51V8" 6674 58" 7794 647/,,'' . 8848 .., 71~'/,~''9808~' 78'Va" 1064; 85V~" 11288
511/,," 6695 58v``" 7813 65" 8867 .! 717/.- 9825 783/4" 10655 .'1 85¥8- 11297
51 "/~" 6716 581/,,'' 7833 65V8" 8885 72" 964' 787/8'' 106681 85"/4" 11307
511/~'' i:,-~i7.~6~..583/8" i~ 78_5;~ 651/," ~._~.,L8![1~.,3~ 72Va" ..,.?1~57~. 79" ;.. '.1..0_ 61~ .1.~: -', 857/a'' L:._1,13~.6'~i K..,~,-~.~..~,'.
.Kern ~C~untY' Health Departme~~- Permi '.' ·
.Division Ot Environmental H~-... i~h Application'~-~te ¢ ~''O/~3 ~
:: 1700 Flower Street, Bakersfield CA 93]05 ~m~~'-
, , ° APPLICATION FOR PERMIT TO OPERATE UNDERGROUND ,. <:. _- . ~;:>~::::.
"'. -. '!'
tcatton (check): ...
' l-iNe-~ ~actltty i~]Mo~ificati0n of Facility lr~Extsting ~a¢il.ity ~Trans£er of O~nershtp
.), ,. .... . . ' ;_ .,,:. ;.-..>'.;;i'-:')~-:~, ?-'~.'...
" ' ~. Emergency 24-Hour contact {name, area Code, phone)-- Oays C.~.~. 'office ~805~ 32~06~ .' ·
· ..... .... ~ ............. ..................................... , :--Nights~C?HTp,.~.of~f-i~Di~.pat~,h=-~805)--3'2?-
';''-~'. ":~f>.::~a¢ility ~a~e ~a:ifornia.~iRh~a¥ ?a.tr01_~akersfield Area NO. of.Tanks. O~e :, ;~'.' l_O~.
'" '.j .. Type of' Busine§s (c~eck)..-I'iGasoline Station ~Other (describe]0is~ens-~. gasoline State
'" ~!'~:,"--%s Tank(s) Located on an ~agricultural Farm? I']Yes [~]No .'"- "'- -.--.-'..'--~:~-' tYehicles
· · -~i .' .-'~ %s Tank,s) Used Primarily for Agricultural Purposes? I-lYes ~ No '... ?. '. ':":!' ':,! ~',.~ ;:i.':i?i!?.-.',,-/ '
~i' /: '.', 's.'.~acili~'~ddress 4040 ?ierce';~d., ~akersfield 9~0~ 'Nearest' cross st. ~ '~~'
u. '-'~?~."?,T Y "~..' ~ '.."::~-R ".~- - --' SEC . - (Rura'l Locations C~ly) -.-' .: "';:'"-"':-:<-'? <..<'>"<-·
::": <'~'~;:~-;:.ji.O~ner S~at~ '°f'caLifornia, 'C~L?. Fa.cilit±e~ ""'~';~' :~-'-'Contact eerson
:::- ~<!?.-~;/::~ ~address ---2816-Me'ado~vfe~--Ro ads- ~S ac ramen~oZ ip 9'5832- Telephone'-(916 >,-32
~ ';~ )/. >._",~_O~erator Calffornia. HiRhwa¥ Patrol-Bakersfield - · Contact Person Lt'. 'John J'.' Benoit ~-:
".'"":B..~r ~ Facilt~ .Prov~d~by California Water ServiEe ~p~ ~ Gro~~ .:~35
· ' .. <'~il ~aractertsttcs' at ~ctlt~ ~ - ' ' '~ ..... .'-
-' ~sis for Soil .~ ~ Gro~ter ~p~ ~teminatio~ California Water Service,
. · ~ .',. . . " ~ Supervisor Ed Wegamer . < ..,~<,~
'.' C. · contractor .... ' ' ' ''~ ~ ~ntra~or' s ~ce~e ~. '~ ''~ ~' .... ' - TM ~ -':~ << ~;'~ ~'. '~'
..,... ' ' "~; ~dr e~ ~' . .-Zip ~le~ . -- ....
Worker's C~~t~ Certtficati~ ~ 'I~urer
O. If ~is ~it Is For ~ifi~tion Of ~ ~isti~ ~cility, Briefly ~rt~
E..T~k(s) S~re (~eck all ~t a~ly): ..... .~.-('>':?:, f' "~.;J.
Ta~ 9 ~s~ Pr~uct ~tor Vehicle Unlead~ R~ular Pr~i~ Die~l ~ste
~el
· . 'B O O O O ...
... F. ~i~l ~sition of ~terials Stor~ (~t ~ces~ry for ~tor vehicle f~ls)
:~ .... :.. Tank ~ Ch~i~l Stor~ (no~c~rcial ~) ~ ~ (if ~) ~ical Pr~.i~slY S~r~
! ' (if different) .,..'
G. Transfer of ~er~iR '~ ".:-'.
~te of ~~ Pr~io~ ~er "
Pr~io~ Facili~ N~
I, a~ept fully all obligatio~ of ~it ~. iss~
· . I ~ers~ ~t ~e ~itti~ ~ority ~y f~i~ a~
~i fy-~_or__te~te-_~e/-~-~a~fer~--of~e~.~ it--~-~rate-~is · ~ergro~~ stor~e
'f~ci! ity u~n'/]~.eivi~,~__~is c.ple~ fora. ,
~is fora ~e~ c~l~ ~der ~lty of ~rj=y a~ ~ ~e ~st of my ~owl~ge is
Sig~ture /'/ - ~/"' .
FacilityTM .Ca] ~ f~rni'a Hi~h~-~,~ (~7' Permit No.
TANK .~ 1 (FILL OUT SEPARATE ~h3RM FOR ~ T~K)
-'~ ~R ~ SE~I~, ~ECK ~ ~PROPRIATE ~XES
H. 1. Tank is: ~Vault~ ~Vault~ ~uble-Wall ~Si~le~all
2. ~ ~terial '
Car~n Stol ~ S~inless Steel ~l~inyl C~oride ~Fi~rglass~l~ Steel
Fi~rglass-Reinforc~ Plastic ~ Concrete ~ ~in~ ~ Bronze
O~er (de~ri~)
~te I~s~ll~ ~ic~ess (Inches) Ca,city (~11o~) ~nufacturer'
"' 4-5-75 ' Unknown "" ~ 12,.O. qO '~'~ ~'. ~Unkno~
4. 'Tank ~~ Contai~ent ..~
~1~11 '~thetic ~ner ~Li~VaUlt /~ne ~o~· ~ ~.
. ','~O~her (de~ri~): ..... ' · ~ufacturer: .> ': ''~' ~" '
..... ~terial '- · , · · ~ic~'ess (Inc~s) : · '" Ca~cit~(~.) ~'" '
' '-¥. a ui ent: " -' "'
' '; ,:'",/::.'."~ ?::}<<?7'OOZ~ 'vi~ C~ttble Liar Oi~tI~ ~low ~ ent~o~iq ~l~(s~
· .. .' '. :.~ .... , Previa ~r ~ ~ular S~ of ~ie Wall Ta~.
·, ."~;.~. ~.. :~ ~i.ly ~~ & l~en~ Re~nciliati~ ~ ~ri~ic Tlgh~e~
.~.'~. .~r Pi~ed for vapor detector, refri~e.ration not installed
....".b. Pipi~ ~Fl~Restricti~ ~ak ~t~tor(s) for Pre~iz~ Pipit' · :>'.~,:~:-,
. . ..... " · ....
"~' --.~-'<*~ri~ ~ & ~el~ ... ........ . ........ ' '
'/.' .
8. Ta~~ '.' :'.: . ...
~te of ~ Tigh~e~ Test' 6-5-75 Resul~ of ~' Passed
' '. ~;Test ~e '5 PSI. air'for one hour .-.~sti~ ~n~ 'Rhoades Petroleum and state
~ir~? ~ ~~ · ' " : '~'"
~'~ .~(s) of ~ir(s) ~ ' .... .' "
~ri~ Re, irs "'
10. ~erfill Pro~ction .~... .
.~rator FillS, Controls, & Vi~lly ~nito~s ~vel
~Ta~ Fl~t ~e ~Fl~t Vent Valves ~ ~to S~t- Off Controls "
.-~..~...
· ' ~ci~e ~r ~al~ Fill ~x ~ ~o~ .~ : '~ '~-"
O~r~ 'List ~ & ~el F~ ~e ~ic~
: 11. Pipi~ ~ ~:;...
~. a. ~er~ro~d Pipit; ~Yes ~ ~o~ ~rial Fiberglass Epoxy
.... ~ .......' ...... Thlc~e~-- (i~hes) -Df~ter ............. ~nufa~er'-R'e-d--t'h~-e~a
~essure ~tion ~Gravity ~roxiMte ~ of Pi~ ~,..1~ fee~ .
.. b. U~ergro~ Pipi~ Corrosi~ Prot~ti~ :
. ~lvaniz~ ~Fi~rglass~l~ ~ess~ ~rent ~crificial
~Polye~yle~ Wrap ~Electri~l f~lati~ ~Vinyl Wrap ~Tar or ~lt
~Un~o~ ~None ~her (de~ri~): .
c. Undergro~ Pipit, Seco~ary Contal~nt: