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Home My WebLink AboutUST-TESTING REPORT 4/12/2004t' Hazardous Materials/Hazardous Waste Unified Permit · ~ CONDITIONS OF Pl::l::lMIT ON F:I£¥1=R$£ [] Hazardous Materials Plan 'il Underground Storage of Hazardous Materials Permit ID #:: 015-000-000993 n Risk Management Program CIRCLE K STORES INC #8821 E] Hazardous Waste On-Site Treatment LOCATION: 2222 F ST ~:~. -./~ :IELD ~. ' .-~ '~, .%2 ~' · ,~ ~ .¥ .~/~%~ -C :,' ..~.... ~',? .~ "~'. TANK .AZAROOU~ S~A~,{ ........ '"'~,~:,,: .CAP~,¢ ~; ~,~;~,.,, , DISPENSaE~P~S~ .MONITORING 015-000-000993-0002015'000-000993-0001 MIDGRADEuNLEADED U NLEADEDk~:'~'~7 "/"::':i~01 iEE~)~[,MECH. SHUTS U~:~, ~H~R VAL. GASOLINE .... ,~'? "'~ :'~;:;~0 FLOAT BEEN. SHUTS QEF' SHEAR VAL 015-000-000993-0003 PREMIUM UNLEADED GASOLINE ...-,/:.-'~'~'00~ ~LOAT MEcH:?'SHUTS~0P'F SH~R VAL~ OFFICE OF EN~RONMENTAL SER ~CES 1715 Chester Ave., 3rd Floor Approv~by: Bakersfield, CA 93301 OfficeofEv~m~ic~: Issue Voice (661) 326-3979 F~(661) 326-0576 Expi~tionDate: ~n~ ~O~ Hazardous.Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ~,,~,~,~ .... This permit is Issued for the following: ....... . .... ..= ,. ................................................ .~. ~.Hazardous Materials Plan ' .:~,~?*~}~?' ! ~!:~ii?!7% iiil}!i: ~j~ ~i;?~ii~UfiSe[ground Storage of H~rdous Mateflals ~:~?'~ ~°'~?~' '~:::~[~'~%?~ :~'~' "~"~"~:::~ .............. ~.agement Program PE~IT ID ~ 015-021-000993 CIRCLE K STO~S LOCA~ON 2222 ~= '..._ "~ t..] ' ~ i' . .... ~,... '.%~ TANK HAZA~OUSSUBSTANCE CApACiTY :~,GAL ~}:~7:;~7~YANK ~" /]~;~;.~:~ PIPING PIPING PIPING '~;:':'""~::'5'~;_' "-..'~. ..... ,:~=, ~t~': ...... TYPE ~ATER~?L ~ITOR TYPE METHOD MONITOR 0001 Unleaded Plus G~oline }0002 Unleaded G~oline ~E~¢;~.~ ~: ~ ~TG DWF P~SSU~ ALD '~-'"~ ......~>~. ~¢?~:' ~ k?~ ATG ~WF P~SSU~ ALD lsm~ by: O~CE OF E~O~L 1715 Chewer Ave., ~rd Floor B~e~el~ CA 93301 Voice {805) 32~3979 F~ (805) 32~576 Exp~tion Dine: City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-39?9 IInstructions to the issuing agency: Use the space below to enter the following information in'the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2na day of November, 1998 to: CIRCLE K STORES INC #8825 Permit #015-021-000993 2222 F St Bakersfield, California 93301 DEC 11 200:~ 15:54 BKSFLD FIRE PREVEI'iTIOI'I (661)852-2172 C~Y OF BAK~F~LD O~CE OF E~O~NTAL SERVICES 171~ Ch~r Ave., B~e~field, CA (661) 326'3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING~CER TESTING PERMIT TO OPERATE # NUMS~ O~' TANKS TO BE TY. ST~n CONTINUED" (See 2n° File) Triangle Environmental Inc 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 (818) 840-6929 UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: Tosco Marketing C0. Tosco Facility # 08825 1500 North Priest Drive Tempe, AZ 85281 Test Date: 12/27/00 (~; 2th)Y7~stri,~:~;~:n~d : . ~ty: 2708825'X,---~ ~x~ Work#: 750940 Tosco Facility # 08825. ~ ~ ~ County: KERN ' 2222 FST. . ' \ Cross Street: 23RD . . ~Pr°duct ~,/ Type Rate/Results UIlage Result Rate/Result L/D Result Certified By: Technician: Angel Casillas State Lic. tls: '.' .~o~~ Mfgr's #: Comments: · Compliance L/D & monitor certification Stage II A/L pre-test This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems'. 1 Triangle Environmental Inc us r MONitOR CER r!F~C/~ r~ON S UMMAR Y SHEET Client: Tosco Marketing Co. 1500 North Priest Drive Tosco Facility # 08825 Tempe, AZ 85281 Test Date: 12/27/00 Facility: Tosco Facility # 08825 Work#: 750940 County: KERN 2222 F ST .Cross Street: 23RD BAKERSFIELD, CA 93304 MonitOr model: VEEDER-ROOT TLS-350 Serial #: 80649024205003 Certification Result:. PASS Sensor Type: . Quantity: Result: Tank Annular: 3 PASS Annular Type: DRY Waste Oil Annular: 0 N/A Audible Alarm? Yes Waste Oil Sump: 0 N/A Visual Alarm? Yes Vadose Wells: 0 N/A Fail Safe? Yes Line Pressure: 3 PASS Positive Shut-off? Yes Turbine Sump: 3 PASS Gauge Only Result: PASS Line Trench: 0 N/A ATG Monthly? No Fill Sump: 0 N/A ATG CSLD? No Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: ~~ Angel Casillas Triangle Environmental Inc UST FA CILITY INSPECTION/A UDIT SHEET Facility: Test Date: 12/27/00 Tosco Facility # 08825 2222 F ST BAKERSFIELD, CA 93304 County: KERN Cross Street: 23RD Work#i 750940 -- Status -- Type 'Number of N= Not Present or Observed C= Coaxial __ ~P= Pressure F- ra~ Oisp. Hoses $= Satisfactory 1~ Dual A= Angle Check M= Mctalic U= Uasaflsfactory N= No Stagg I V= Venial Check Regular: 2 4 Fill Cover: S Plus: 2 4 Fill Cap: S Fill Type: D Premium: 2 4 Fill' Cap Seal: S Product Line Type: P Diesel: 0 0 Drop Tube: S Tank Swing Joint Type: F Kerosene: 0 0 Strike Plate: G Dispenser Swing Joint Type: F Total # of Gas Nozzles: 4 V/R Cover: S __ Status N-- Not Present VfR Cap: S S=$atisfactory ~ Stage H U= Unsatisfactory B= Balance V/R Seal: S Impact Valve: S A=Asist V/R Dry Break: $ Vertical Check Valve: N System Type: A Sub Pump: $ Fill Spill Containment: S Assist Mfgr: Gilbarco Sub Pump Cover: S Fill Spill Mfgr: CNI Overfill: S Dispenser Containment: S Overfill Mfgr: OPW Sub Pump Containment: $ Comments: Compliance Detail: (List items that need immediate attention.) ~, .......... -~ .... ~:.WORK ACKNOWI. ED~MENT Environmental, Inc. 2525 W. BURBANK BL VD. TE BURBA~ CA 91505-2302 FAX: (818) 840-6929 COUNW " SER~CE ~Q~~D (~~) TANK TIGH~ESS ~ST PARTS Quantity Description Quantity Description :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: iiiii!i!iiiii i: ?i !i iiiii!!iiiii!! i :i b:i:!:5:i:i:!:!:i:!:!:!:i:!:i:i .............. i !!i :!:i:i?i ::: :i:::::i:!:i:i::i ?i:i:?:i?i:ii!:i:i:!iii! i! !~!~:ii5:~!:~i:~i::iii::5i5:~:~!~(!?:~:~::i~:!~:i::i::i~i::i~:i~!?:~:~i~i!!i!?:f::~?~!?:i::i::i~i?~i:~i:~ .................................................. CUSTOMER PRINT NAME k~_ . //'"~1 , CUSTOMER SIONATUR~ DA'rE: / 2- ~'P -- ~ ~. ALARM DISABLED PIPE TYPE: FIBERGLASS ' LINE LENGTH: 7~ F~ : ~'GROSS TEST FAIL -. "':"., SHUTDOWN RATE: 3.~-~PH '" SENSOR: HIGH PRESSURE Al1~ TEST AVERAGING: OFF PER TEST AVERAGING: OFF " TANK TEST NOTIFy: OFF TNK TST SIPHON BREAK:OFF '?'::?' ~ Q 8:UNLEADED ': PIPE TYPE: FIBERGLASS ·:., ~ LI NE LENGTH: 7§ FEET : D SHUTDOWN RATE: 8.0 GPH G~ ~LOAT) i TANK: NONE E M .. ~ SENSOR: HIGH PRESSURE LEAK TEST NETHOD i ii l" " · i NORNAL i ~ LOCKOUT SCHEDULE : Q I:PLUS' ~ DAILY f START TINE: DISABLED LIQUID SENSOR ALMS : STOP TINE : DISABLED L 2:FUEL ALARN I i !!.''.i L 5;FUEL ALARN LIOUID SENSOR ALNS ' L 4:FUEL ALARM i PRESSURE LINE LEAK SETUP i ' J Q 3:UNLEADED ::.i Q I:PLUS i LIQUID SENSOR RLNS tl .: L .3:FUEL ALARM L:NE LENGTH: FEET i ........ ' .... SHUTDOWN RATE: 3.0 GPH L I:SUPER TANK: NONE TRI-STATE (SINGLE FLOAT) !' SENSOR: HIGH PRESSURE i, CATEGORY : ANNULAR SPACE L 2:PLUS : TRI-STATE (SINGLE FLOAT) ' . . . CATEGORY : STP SUMP t ' ' :. t . :. i . - :.., =============================.~:,., .: ... .: ' D ..... ' ' ' ' '" :' ' :::'<:::'::': ~?':":: ' '"' :%''' ' ' :'" ' Q 2.SUP]D ' ' . .. :::'~ ..... ' ............ ' .'. . '. · ~': .! :.::.':':. :. . . i . : . .: ·" . .- - .. ' :':'' -: :'iii'i:-:: :1: ;"; ::':: ""'"t.. '?:'-: - - CODE : 000000 GROSS TEST FAIL . ALARM DISABLED ~ i ANN TEST AVERAGING: OFF I ! PER TEST AVERAGING: OFF I , · t SYSTEM SETUP RS-232 END OF MESSAGE TANK TEST NOTIFY:· OFF t ..... D I SABLED DEC 27, 2000 9:08 AM , TNK TST SIPHON BREAK:OFF ~ DELIVERY DELAY : 15 MIN SYSTEM UNITS .~:~i..: '?.' SYSTEM LANGUAGE i'?'!i ENGLISH .!:...~?... SYSTEM DATE/TIME FORMAT · . .:::.. · MON DD YYYY HH:MM:SS xM t ' CIRCLE K IN-TANK SETUP 2222 F STREET t .: BAKERSF I ELD CA , 93301 , ~ 805-324-1758 T 2:PLUS T 3:UNLEADED i::.:!!:'..:: PRODUCT CODE : 2 ~ PRODUCT CODE : 3 THERMAL COEFF' :. 000700 SHIFT TIME I : 6:00 AM ::: ~ THErMaL COEFF :.000700 SHIFT TIME 2.: DISABLED ~ .:,.-.? T~NK DIAMETER : 89.00 T~NK DIAMETER : 89.00 SHIFT TIME B : DISABLED ,: .::: TANK PROFILE : 4 PTS' 'TANK PROFILE : 4 PTS SHIFT TIME 4 : DISABLED FULL VOL 9684 . FULL VOL : 9684 66.8 INCH VOL 7861 ·66.8 INCH VOL :' 7861 44.5 INCH ~OL : 4904 TANK PERIODIC WARNINGS ·44.5 INOH VOL : 4904' 22.~ INOH VOL : 1898 DISABLED '::::'.': 22.~ INCH VOL : 1898 TANK ANNUAL WARNINGS· ": D I SABLED ' .:.~:':... LINE PERIODIC ~RNINGS FLOAT SIZE: 4.0 IN. 8496 FLO~T SIZE: 4.0 IN. 8496 '*~:: ' ~ DISABLED ' ~" : LINE ANNUAL WARNINGS WATER WARNING :- 2.0 WATER WARNING : 2.0 DISABLED HIGH WATER LIMIT: 3.0 HIGH WATER LIMIT: 3.0 PRINT TC VOLUMES MAX OR LABEL VOL: 9684 }. ~ MAX OR LABEL VOL: 9684 : ENABLED : ~ OVERFILL LIMIT : 90Z ~ OVERFILL LIMIT : 90~ ~ TEMP COMPENSATION HIGH PRODUCT : 95~ HIGH PRODUCT : 95~ ""'~ VALUE (DEG F ): 60.0 ~-. ~ : 9199 : 9199 .. : STICK HEIGHT OFFSET DELIVERY LIMIT : 10% DELIVERY LIMIT : 10~ ~ DISABLED : 968 : 968 PRECISION TEST DURATION :. ~ : HOURS: 12 : LOW PRODUCT : 500 ~ ~ LOW PRODUCT : 500 ~ DAYLIGHT SAVING TIME LEAK ALARM LIMIT: 99 ~ " LEAK ALARM LIMIT: 99 . , [ DISABLED SUDDEN LOSS LIMIT: 50 SUDDEN LOSS LIMIT: 50 · :::~: .:: :?,::~,,~p;i;.:t~:,:.?::~: CODE : 000000 ~" MANIFOLDED TANKS ~ T~; NONE · T~; NONE LE~E MI~ PERIODIC; O~ ~ LEAE MIN PERIODIC; O~ ; 0 ; 0 LEAK MIN ANNUAL : 0% LEAK MIN ANNUAL : 0~ : 0 : 0 · ~ PER IODIC TEST TYPE PERIOD!C TEST TYPE COMMUN I CAT I ONE SETUP STANDARD STANDARD _ - - ^ · T~-~T /xTT' ANNUAL TEST FAIL ~.,N~.UAL T_S..F .... ~ . ,::.. · . ' ALA~ DISABLED ' · ALAR~ DISABLED ·I· ':~..~..(:...:. .: ', .. .: PERIODIC TEST Fail .... ::':'"'.: :."" ...... ,: ,, "'..'.':' :':::'"' :- :'-':.',..,:::, r, -4~'.?-','~,''., '-' ' :'-:. .... .~ ...:%~ ',~0 -; · · · ..... '-',-.' .-:-,'.- .*-' '>" ..... ;':'.'~'~ ~',~' ,',~'-5': -:- '~'~'~ ........ ~.:, .,,..~ r~ ~- .'*~ ...... t; ''- ::":': :':'" ' ' '"'::'": :" ....' ' '::':"" "' ' ' ':: !' .: . ' ::: ::::?C: SERIAL NUMBER 239779 :'"'"' ID CHAN OxCO00 GRADIENT = 351 .4200 :.: ...... NUM SAMPLES '= 20 " PRE~SURE LINE LEAK ALARM " ' '::' COO 1362.9 CO1 13781.0 '.: Q 2:SUPER -":.": ':": C02 13781.2 C03 13781.3 PLLD SHUTDOWN ALARM ' 004 13781.0 005 13781.9 ':": DEO 27, 2000 10:08 AH ................ , ":' ' 006 13781.0 007 13781 3 ': ;'":::'"' cos .' CIO 13781.6 Cll 42955.8 C12 22511.3 C13 20449.6 C14 20462.3 C15 20718.3 SOFTWARE REVISION LEVEL C16 21674.4 C17 21745.4 .:::..:::;:?:~.~.: ::: VERSION 16.02 C18 42956.1 ::.':,.:::';...:: ' ~OFT~ARE~ ~46016-100-C ' ' ~' CREATED - 98 05.14.13.04 SAMPLES READ =68510705 "' :':':' ": CIRCLE. K ' SAMPLES USED =68509265 : 2222 F ~TREET NO SOFT~aRE MODULE BAKERSFIELD 0A.93301 ~ ~ SYSTEM FEATURES: ~ 805-324-1758 : : PER I OD I C I N-TANK TESTS ' ":: .... '. DEC 27, 2000 10:11 AM i ~ ANNUAL I N-TANK TESTS ::'.:...{ ?:, :,..:: i Q 3:GROSS LINE FAIL ~:':: IN-TANK DIAGNOSTIC '::" PROBE DIAGNOSTICS ~ 3:PLLD SHUTDOWN ~L~RM -: ~ :::' T 3~ P~O~E TYPE . IN-T~NK DIAGNOSTIC ~ERI~L NUMBER 245792 :'::.::~:~,::':': : ID CHAN = OxCO00 : PROBE DIAGNOSTICS GRADIENT = 351 . 1700 T 1: PROBE TYPE MAG1 SERIAL NUMBER 240190 NUN SAMPLES = 20 ~ i ID CHAN = OxCOOO ~ COO 1361 1 CO1 21228.0 : .i GRADIENT = 251.0300 ..j . J .... ":-"'" ": i~ 002 21227.8 003 21228.0 C04 14613.0 C05 14613.0 C12 21714.7 C13 20044.9 C06 14613.0 ;.007 14613.0 : i 014 20155.2 C15 20208.~ C08 14613.0 =C09 14613.0 j 016 20218.7 C17 20264.1 C10 14613.0 Cll 42950.8 ~ 018 43005.6 '.:~i:~:,;k;~;< ~:n,..:,,~:,,,~,:,,::.':i<::,.-,:., ,-.. C 16 '19867.9 C 17 19927 3 SAMPLES USED =67663552 : SAMPLES USED =~480010 DEC 27, 2000 9:$2 AM : L 2: UNLERDED :~ RNNUL~R ~PROE OI~OLE K ' P~E88URE LINE LEAK ALARM 2222 F STREET G 8:UNLEADED 805-324-1758 jj DEC 2?,' 2000 g:58 A~ "": :~:'::' ~" : " DEC 27, 2000 9:3~ ~ ..... SENSOR ALARM ..... ":~::::::~ L 2 :PLUS SYSTEM STATUS REPORT " STP SUmP .: ::.' FUEL ALARM ALL FUNCTIONS NORMAL ~:... ..... ~EN~OR ALAR~ ..... " L G: UNLEADED ANNULAR SPACE FUEL ~LR~ FUEL RL~RM DEO 27, 2000 9:~G ~ DEC 27, 2000 9:21 ~ C I ROLE K SENSOR aLaRM ..... 2222 F STREET L 2:PLUS B~KERSFIELD. C~.98201 ,, .... : ......... PRESSURE LINE LERK ~L~RM ,:,{~$, ~::::,>~>~:~DEC 27, 2000 9: 26 R~ DEC 27, 2000 9: $9 ~M , ': :.': GROSS LINE FAIL . DEC 27, 2000 10: ..: SYSTE~ STATUS REPORT : : ..... SENSOR ALAR~ ..... : -i L 4 :SUPER. ', STR SUMP FUEL RLRRM DEC.27, 2000 9:28 RM ~ .': - .;,:..... :: . ... ::. CIRCLE K 2222 F STREET BAKERSF I ELD CF'~. '9:33L31 805-324-1758 NOV 2?, 2000 i:29 PM SYSTEM STAT02'; F:EPOR'[' ALL FL/NCT 1 FOR'7 R Ett"U'I;Yl' T 1 :SUPER VOLUME = '-2-'925 GAL:g ULLAGE = 6?'59 GFd_,S 90~,'..; ULLAGE= 5',:"30 G~I_,$ TO VOLUME = 2ff~38 GALS HEIGHT = 30.32 IP.K:HES VIATER ',,/GL = O GhLS t,JATER = I), 00 [["~(2H~S TEMP = 7'7.8 DEE; F T 2: PLUL-7; VOLUPIE = 2'?'z_,:-q ULLAGE = 6921 G~ALS 90~;.~: ULLAGE= 5962 GALa; TC VOLIJ[',IE = 2717 HEIGHT = 29.0:) INCHES k.IATEF: VOL = 0 GAL,S = 0.00 iNCHES = 78.4 DEG F T :3': UM..EADED VOLUME = '7590 (;ALS ULLAGE = 2 I.-.t'34 GAl.a: 90;',; 0LL. AC;E= l125, GALS TC k.,/©LIJ["IE = 7520 HEIGHT = 6,1.52 IN(.:HES WATER VOL = i3 GALS: t,dATER = 0. O0 1 NC:HIES: TEPIP =- '7:3. I BEG CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~tl'c[e~ I~ b3~Ol'~ INSPECTION DATE H{2,"t/O0 ADDRESS g.~a. "Ir" ,fi"V PHONENO. (~(ol - .~,~(/-I~.K~ FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program 121 Routine [~[Combined [2i Joint Agency [221 Multi-Agency [21 Complaint [21 Re-inspection OPERATION C V COMMENTS / Appropriate permit on hand Business plan contact information accurate b/ 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?: [21 Yes [~N~o Explain: Questions regarding this inspection? Please call us at (661)326-3979 B/~tine~s Site~espc~nsfi~bl~ Party White - Ear. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME d\~'~C, ~ INSPECTION DATE It ~ Section 2: Underground Storage Tanks Program [] Routine '~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ~ _,l)tD[=' Number of Tanks .3 Type of Monitoring ~:L.~ Type of Piping ~9CO ?=' OPERATION C V COMMENTS Proper tank data on file / Proper owner/operator data on file /, Permit fees current / Certification of Financial Responsibility Monitoring record adequate and current / Maintenance records adequate and current ~./ Failure to correct prior UST violations Has there been an unauthorized release? Yes No k..~__ 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: ~/~]] ~J/~o ) ..... C/~ j~t~l~ Office of Environmental Services (805) 326-3979 t:}lus~ness Stte Responsible Party White - Env. Svcs. Pink - Business Copy Tosco Corporation 72 Cummings Point Road Stamford, Connecticut 06902 Telephone: 203 977-1075 Facsimile: 203 326-3190 TO S C 0 Craig R. Deaey Vice President Treasurer CERTIFICATION OF FINANCIAL RESPONSIBILITY Tosco Corporation hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism: Section 280.95 - Financial Test of Self Insurance Amount of Coverage: $2,000,000 in the aggregate Effective Period of Coverage: From January 1, 2000 until April 30, 2001, unless earlier revoked or replaced by written notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Corrective action and third-party compensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising from the operation of underground storage tanks. By: Craig R(. Deasy Its: Vice President and Treasurer Date: March 29, 2000 UNOED PROGRAM CONSOLIDATED F TANKS UNDERGROUND STORAGE TANKS - FACILITY (one page per site) ~ Page __ of __ TYPE OF ACTION [] 1. NEW SITE PERMIT []3. RENEVVAL PERMIT []5. CHANGE OF INFORMATION (Specify change - []7. PERMANENTLY CLOSED SITE (Check one item only) [~4. AMENDED PERMIT local use only). El8. TANK REMOVED 400 [~6. TEMPORARY SITE CLOSURE CircleBUSINESS NAME (SK Stores ..... Inc.FACIUTY NAME or DBA - Doing Business As) 3 NEAREST CROSS STREET 401 FACILITY OWNER TYPE [] 4. LOCALAGENCYIDISTRICT* NWC 23RD /"F" ST I I~ 21._ CORPORATION [] 5. COUNTY AGENCY' INDIVIDUAL [] 6. STATE AGENCY* BUSINESS TYPE [] 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL [] 3. PARTNERSHIP I [] 7. FEDERAL AGENCY* 402 [--]2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER 4O3 TOTAL NUMBER OF TANKS Is facility on Indian Reservation or *If owner of UST is a public agency: name of supervisor of REMAINING AT SITE trustlands? division, section or office which operates the UST. (This is the contact person for the tank records.) 3 404 [] Yes ~;~ No 405 406 PROPERTY OWNER NAME 407 I PHONE 408 I CATALINA - BARBER CORPORATION MAILING OR STREET ADDRESS 409 P. O. BOX 45001 CiTY 410 I STATE 411 ~ ZIPCODE 412 BAKERSFIELD I CA I 93384-5001 PROPERTY OWNER TYPE [] 2. INDIVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 413 [] 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY TANK OWNER NAME 414 ~ PHONE 415 Circle K Stores Inc. I (925) 277-2319 MAILING OR STREET ADDRESS 416 P.O. Box 52085 CITY 417 [~.TE 418 IZIPCODE 419 Phoenix 85072 TANK OWNERTYPE [] 2. INDIVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 420 [] 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY [] 2. GUARANTEE [] 5. LETTER Of CREDIT [] 8, STATE FUND & CfO LETTER [] 99. OTHER: __ [] 3. 'NSU~ANCE ~ 6m EXEMPTION [] 9, STATE FUND & CD 422 Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked. Certification: I certify that the information provided herein is true and accurate to the best of my knowledge. ~~/~~ (925) 277-2319 NAM t) TIT{~E OF APPLICANT 426 Merliza Z. A'fc'ala for Tosco Regional Compliance Specialist STATE UST FACILITY NUMBER (For local use only) 427 ] 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 428 UPCF (1/99 revised) 5 Formerly SWRCB Form A FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of I. FACILITY IDENTIFICATION FACILITY ID # ] ] }!iiiiiii [ I t ii!! I I t 1 EPA ID # (Hazard~U;L~V;(~t0~ 3001~1~) BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 Circle K Stores Inc.//2708825 / / 08825 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Oper~ator Identification page (OES Form 2730). Does your facility... If Yes, please complete these pages of the UPCF .... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 - CHEMICAL DESCRIPTION (OES 2731) quantity for an extremely hazardous substance specified in 40 CFR Part (This is repoerted with the HMMP.) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly SWRCB Form A) 1. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (closure portion --one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or [] YES [] NO 8 NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? [] YES [] NO 9 EPA ID NUMBER - provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? [] YES [] NO 10 perrecycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE [] YES [] NO 11 TREATMENT - FACILITY (Forrrer~y DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page ~er unit) (Formerly DTSC Forms 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for [] YES [] NO 12 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS 15 (You may also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) 5 I~FIED PROGRAM CONSOLIDATED FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page __ of __ I. IDENTIFICATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 BUSINESS PHONE 10~ Circle K Stores Inc. #2708825 / / 08825 6613241758 BUSINESS SITE ADDRESS 1o3 2222 F ST CITY lO4 CA ZIP CODE BAKERSFIELD 93301 DUN & BRADSTREET 106 SIC CODE (4 digit #) · 107 04-8564975 5541 COUNTY 108 KERN BUSINESS OPERATOR NAME lo9 I BUSINESS OPERATOR PHONE IlO Company Operated I 6613241758 II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE Circle K Stores Inc. - DC-40 (925) 277-2319 OWNER MAILING ADDRESS Il3 P.O. Box 52085 CITY 114 ]STATE 115 ]ZIP CODE 116 Phoenix AZ 85072-2085 III. ENVIRONMENTAL CONTACT CONTACT NAME il7 CONTACT PHONE Merliza Alcala - (TOSCO) (925) 277-2319 CONTACT MAILING ADDRESS 119 2000 Crow Canyor~ PI,, #400 CITY 120 I STATE 121 I ZIP CODE 122 San Ramon I CA I94583 -PRIMARY- iv. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 Company Operated Tosco Maintenance Call Center TITLE 124 TITLE 129 Operator BUSINESS PHONE ~25 BUSINESS PHONE 13o 6613241758 1-800-726-2312 24-HOUR PHONE 126 24-HOUR PHONE 1-800-726-2312 PAGER # 127 PAGER # 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: CertificatiOn: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIG~~/~A~IGNATEDREPRESENTATIVE DA.~/ /~34 I NAME OF DOCUMENT PREPARERKathy Strickland NA'WI~E OF SIG~71~ (print) - 136 TI;fLE OF S'IGNER 137 Merliza Z. 7~lcala for Tosco Regional Compliance Specialist UPCF ( 1/99 revised) OES FORM 2730 (1/99) U~IED PROGRAM CONSOLIDATED FOR~ TANKS UNDERGROUND STORAGE TANKS- TANK PAGE 1 (two pages per tank) P~ge __ of__ TYPE OF ACTION {~ 1. NEW SITE PERMIT [] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE ~Check one item only) [] 7. PERMANEN'I~Y CLOSED ON SITE [] 3. RENEWAL PERMIT (Specify change -for local use only} (specifyrea.~on -forlocalu~e on/y) [] 8. TANK REMOVED 430 Circle K Stores Inc # 2708825/08825 LOCATION WITHIN SITE (Optional) 431 I. T~I{ DESCRIPTION ~1 ,caled plot plan with the location of the UST ~.ystem including buildings and lundmar~ shall be ~ubmitted to the local agency..) TANK ID # 432 TANK MANUFAC'PJRER 433 COMPARTMENTALIZED TAN K [] Yes ~No 434 DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 Iq 7 ooo \ ADDitIONAL DESCRIPTION (Pot local use only) 438 H, TAN~ TANK USE 439 PETROLEUM TYPE 440 fl. MOTOR VEHICLE FUEL la. REGULAR UNLEADED 2. LEADED 5. JET FUEL [] marked, completePetroleum Type) [] lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL 2. NON-FUEL PETROLEUM ~lc. MIDGR. ADEUNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT COMMON NAME O~'om Ha~ardous Material~ Inventory page.) 441 CAS # O~om Hazardous Materia!~ Inventory page} 442 [] 4, HAZARDOUS WASTE ('Includes Used Oil) III. TANK CONSTRUCTION TYPE OF TANK [] 1, SINGLE WALL [] 3. SINGLE WALL WITH I-] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only.) ~f 2. DOUBLE WALL EXTERIOR MEMBRANE LINER [] 95. UNKNO~/N [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TANK MATERIAL pdmal~ tank 1. BARE STEEL ~ 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 (Check one item only.) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP/ TANK MATERIAL - se¢ondaly Lank 1. BAKE STEEL ~3. FIBERGLASS/PLASTIC [] 8. FRPCOMPATIBLEW/100% METHANOL [] 95. UNKNOWN 445 (Check one item only} [] 2. STAINLESS STEEL [] zl. STEEL CLAD W/FIBERGLASS [] 9. FRPNON-CORRODIBLEIACKET [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. LrNKNOWN446 DATE INSTALLED 447 OK COATING (Check one it .... I~) (For local ..... l~) OTHER CORROSION I. ~ANU~ACVURED ~ 3. mERGLASS REINVORCED PLASTIC [] ~5. U~KNOWN nas DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC [] 4. IMPRESSED CURRENT [] 99. OTHER (Check one item only) PROTECTION (For local u~e only) X3. S RERFLATE iqq>7 IV. TANK LEAK DETECTION (A description of the monitor~ng prograrn shall be .rubm~tted to the local agency..) IF SINGLE WALL IANK (Check all that apply): 453 IF DOUBLE WALL TANK GR TANK WlTH BLADDER (~heek one ~te~ only): 454 [] 1. VISUAL (EXPOSED PORTION ONL30 [] 5. MANUAL TANKGAUGING(MTG) [] 1. VISUAL(SINGLEWALLINVAULTONLY) 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE '~ 2. CONTINUOUS INTERSTITIAL MONITORING [] 3. CONTINUOUS ATG [] 7. GRODNDWATER [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + [] 8. TANK TESTING BIENNIAL TANK TESTING [] 99. OTHER V. T.a2q'K CLOSURE INFORMATION ! PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR./MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 UNIFIED PROGRAM CONSOLIDATED FORM SITE#2708825/08825 TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check all that apply) Page __ of __ UNDERGROUND PIPING ABOVEGROUND pIPING SYSTEM TYPE ~,~. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION/ ~~,,,~--1' SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER ~ DOUBLE WALL [] 95. ~OWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTURER 463 [] 1. BAKE STEEL [] 6. YRP COMPATIBLE w/1oo% METHANOL [] 1. BARE STEEL [] 6. YRP COMPATIBLE W/100% METHANOL MATERIALS AND [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL CORROSION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOVTN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER PROTECTION ~4. FIBERGLASS 8. FLEXIBLE (HDPE) 99. OTH~R 4. FIBERGLASS 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 VII, PIPING LEAK DETECTION (Check all that apply) (,4 description of the monitoring program shall be submitted to the local agency) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZ~ED PIPING (Check all that apply): X l. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR. LEAK, LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND V1SUAL ALARMS ALARMS [] 2. MONTHLY 0.2 GPH TEST ~2. [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0.1 GPH) [] 6. TRIENNIAL INTEGR1TYTEST(0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING [] 7. SELF MONITORING GRAVITY FLOW: GRAVITY FLOW (Check all that apply): [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) [] 8. DALLY VISUAL MONITORING [] 9. BIENNIAL INTEGRITYTEST(O.I GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] ~. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) [] 12. ANNUALINTEGRITYTEST(0.1 GPH) i SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Cheek all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR ~fITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.[ GPH) [] 16. ANNUAL INTEGRITY TEST (0.l GPF0 [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT Xl. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DALLY VISUAL CHECK DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING lq% [] ,.CO NUOUSDISPENSERPAN SENSOR AUTO SHUT OFF FOR DISPENSER -,- AUDIBLE AND VlSUAL AL S [] 6. NONE IX. OWNERIOPERATOR SIGNATURE l cer~fy that the information provided herein is hue and accurate to the best of my knowledge. NAME OF OWNER/OPE~OR (print) 471 TITLE OF OWNER/OPERATOR 472 MERLIZA Z. A~'~CALA FOR TOSCO REGIONAL COMPLIANCE SPECIALIST Pemfit Number (For local use only) 473 Pennit Approved (For local use only) 474 [ Pemfit Expirafion Dat~ (For local u#e only) 475 I UNTIED PROGRAM CONSOLIDATED FOR~' TANKS UNDERGROUND STORAGE TANKS- TANK PAGE I (two pages per tank) Page of TYPE OF ACTION [] 1. NEW SITE PERMrr [] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE (Check one item only) [] 7. PERMANENTLY CLOSED ON SITE [] 3. RENEWAL PERMIT (Specify change -for local use only.) (Specify reason -for local use only) [] 8. TANK REMOVED 430 Circle K Stores Inc # 2708825/08825 LOCATION WITHIN SITE (Optional} 431 I. TANK DESCRIPTION ~-4sca~edpl~tp~anwiththe~cati~n~ftheU$Tsysteminc~udingbui~dingsand~andmark~sha~besubmittedt~the~ca~agency.~ TANK ID # 432 TANK MANUFACTURER~ 433 COMPARTMENTALIZED TAN K [] Yes ~'~ No 434 ~ ~ ~ ~0 ~ll~ ]t'[3¥e,D .... plet~ on~ p~g~ for ¢~h ¢omp~tmenL DATE INSTALLED (YEARIMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 Iq ,7 Io,ooo ADDITIONAL DESCRIPTION (For local use only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ~' i. MOTOR VEHICLE ~EL ~(la. REGULAR L"~LEa~ED [] z LEADED [] s. SET reEL (1~marked, complete Petroleum Type) [] lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2. NON-FUELPETROLEUM [] lc. MIDGRADEUNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT COMMON NAME O~om Hazardous Materials Inventory page) 441 CAS/40~om Hazardous Materials Inventory page) 442 [] 4. HAZARDOUS WASTE (Includes Used OiO [] 95. UNKNow~ III. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 'Checkone item only) ~ 2. DOUBLE WALL EXTERIOR MEMBRJkNE LINER [] 95. UNKNOWN [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TAN K MATERIAL - pl4anary tank [] 1. BARESTEEL ~'3. FIBERGLASS/PLASTIC [] 5. CONCRETE [] 95, UNKNOWN 444 (Checkoneitemonly) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL [-] 99. OTHER REINFORCED PLASTIC TANK MATERIAL - seconda~tank [] 1. BARESTEEL ~3. FIBERGLASS/PLASTIC [] 8. FRPCOMPATIBLEW/100%METHANOL [] 95. UNKNOWN 445 (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FRPNON-CORRODIBLE JACKET [] 99. OTHER REINFORCED FLASTIC (FRP) [] 10. COATED STEEL [] S. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EFOXYLINING [] S. GLASSLININO [] 95. UN~OWN~ DATE INSTALLED 447 OR COATING [] 2 ALKYD LINING ~ 4. PHENOLIC LINING ~ 6. UNLINED ~ 99. OTHER -- (Check one it .... I~V~) (For local .... OTHER CORROSION 1 MANUFACTURED ~ 3. FIBERGLASS REINFORCED PLASTIC [] 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC [] 4. IMPRESSED CURRENT [] 99. OTHER (Check one item only) PROTECTION (For local use only) [] 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (For localuse only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR IN STALLED 452 ~ 3. STRIKER PLATE ~ ¢7 iv. TANK LEAK DETECTION (A description of the monitoring program shall be submitted to the local agency,) IF SINGLE WALL TANK (Check alI that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 [] l, VISUAL (EXPOSED PORTION ONLY) [] 5. MANUAL TANK GAUGING (MTG) [] 1. VISUAL (SINGLE WALL IN VAULT ONLY') [] 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE ~2. CONTINUOUS INTERSTITIAL MONITORING [] 3, CONTINUOUS ATG [] 7. GROUNDWATER. [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + [] 8. TANK TESTING BIENNIAL TANK TESTING [] 99. OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ] ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 I sallons [] Yes [] No UNIFII~D PROGRAM CONSOLIDATED FORM SITE # 2708828/08825 TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check all that apply) Page UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ~1. PRESSURE [] 2. SUCTION [] 3. ORAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTP, UCTION/ ~,1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [~ 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTUEER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLE wi 10o~ METHANOL [] 1. BAKE STEEL [] 6,. FPP COMPATIBLE W/100% METHANOL MATERIALS AND [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL CORROSION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [~ 99. OTHER PROTECTION ~ 4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL w/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL w/COATING [] 95, UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) (.4 description of the monitoring program .~hall be ~ubmitted to the local agency.) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check ail that apply): PRESSURIZED PIPING (Check aH that apply): ~ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALAR3vIS [] 2. MONTHLY 0.2 GPH TEST X2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGKITYTEST (0.1 GPH) [] 3. ANNUALINTEGRITYTEST(0.1GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 5. DALLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST(0.1 GPH) ~ [] 6. TRIENNIAL INTEGK1TY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING [] 7. SELF MONITORING GRAVITY FLOW: GRAVITY FLOW (Check all that apply}: [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (O.1 GPH) SECONDARH,Y CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR W1TH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR KESTKICTION [] 12. ANNUAL INTEGKITY TEST (0.1 GPH) [-] 12. ANNUALINTEGKITYTEST(0.1 GPH) SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALAKMS [] 13, CONTINUOUS SUMP SENSOK + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (B.0 GPH TEST) WITHOUT FLOW SHUT OFF OR [] 15. AUTOMATIC LINE LEAK DETECTOR (B.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITYTEST(0.1 GPH) [] 16. ANNUAL INTEGRITYTEST(0.1 GPH) [] l?, DAILY VISUAL CHECK [] 17. DAILY V1SUAL CHECK VIIL DISPENSER CONTAINMENT DISPENSER CONTAINMENT ~'1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY V1SUAL CHECK DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING I~q [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 6. NONE IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein is trna and accurate to the best of my knowledge. NAME OF OWNE~JOPE iht)' 471 TITLE OF OWNER/OrPERATOR 472 MERLIZA Z. ALC.4~A FOR TOSCO REGIONAL COMPLIANCE SPECIALIST I Pe~'~fitNumber(Forlocalu.~eonly) 473 PcnnitApproved(Forlocalu.~eanly) 474 PemdtExpimtionDate(Forlocaluseonly) 475 PROGRAM CONSOLIDATED TANKS UNDERGROUND STORAGE TANKS- TANK PAGE 1 (two page# per tank) Page __ of__ TYPE OF ACTION [] 1. NEW SITE PERMIT[] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE 'Check one item only) [] 7. PERMANENTLY CLOSED ON SITE [] 3. RENEWAL PERMIT (~pecify change .for local use only) (Specify reason -for localuse only} [] 8. TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID # Circle K Stores Inc # 2708825/08825 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including building~ and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes ~' No 434 DATE INSTALLED (YEARJMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 letO7 IO, ooo l ADDITIONAL DESCRIPTION (For local u~e only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ..~. 1. MOTOR VEHICLE FUEL [] la. REGULAR UNLEADED [] 2. LEADED [] 5. JET FUEL (If marked, complete Petroleum Type) ~ lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2. NON-FUELPETROLEUM [] lc. MIDGKADEUNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT [] 4. HAZARDOUS WASTE (Includes COMMON NAME ~f~om Hazardous Material~ Invemory page) 441 I CAS # (from Hazardous Materials lnvemory page) 442 Used Oi0 [] 95. UNKNOWN Eft. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 EXTERIOR MEMBRANE LINER [] (Check one item only) 2, DOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 95.99. UNKNOWNoTHER TANK MATERIAL - pr£maxy tank [] L BARESTEEL ~3. FIBERGLASS/PLASTIC [] 5, CONCRETE [] 95. UNKNOWN 444 Cheek one item only) [] 2 STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) TANKMATEKIAL-seeondaxytank [] 1. BARE STEEL ~3. FIBERGLASS/PLASTIC [] 8. FRPCOMPATIBLEW/100%METHANOL [] 95. UNKNOWN 445 Uheckoneitemonly) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBEKGLASS [] 9. FRPNON-CORRODIBLE.~ACKET [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCR~r~ TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN446 DATE INSTALLED 447 OK COATING 2.ALKYD LINING [~ 4. PHENOLIC LINING .~6. UNLINED []99.' OTHER -- 'Check one item onl~ fl~or local u~e only) OTHER CORROSION 1.MANUFACTURED ~ 3. FIBERGLASS REINFORCED PLASTIC []95. UNKNOWN 448 DATE INSTALLED PROTECTION IF APPLICABLE -- CATHODIC []4.IMPRESSED CURRENT []99. OTHER 'Check one item only) PROTECTION (For Iocal use oaly) SPILL AND OVERFILL YEARINST/LLLED 450 TYPE(Forlocal ..... ly) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED ~qq~2 2. DROP E Iqql5 [] 2. BALL FLOAT __ [] 4. IV. TANK LEAK DETECTION (~,1 de.~cription of th* mon~toring program .~hall be submitted to the local agency.) IF SINGLE WALL I32~K (Check all that apply): 453 I~ DOIJBLE WALL TANK OR TANK WIIlt BLADDER (Check ou~ item only): [] l, VISUAL (EXPOSED POR~ON ON['O [] ~. MANUAL TAN~:GAUGING(~G) [] I. VISUAL (SINGLE WALL IN VAULT ONL'O [] 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE I~ 2. CONTINUOUS INTERSTITIAL MONITORING [ [] 3. CONTINUOUS ATG [] 7. GROUNDWATER I [] 3, MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (SIK) + [] 8. TANKTESTING BIENNIAL TANK TESTING [] 99. OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED CYR/MO/DAY) 455 I ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons [] Yes [] No UNIFIED PROGRAM CONSOLIDATED FORM SITE#2708825/08825 TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 .-~ VI, PIPING CONSTRUCTION (Check all that apply) Page UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ~'rl. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION/ ~ 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFAC~R 461 MAFUOFACTURER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLEw/~oo~METHANOL [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL MATERIALS AND [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL CORROSION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER PROTECTION ~4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 99. OTHER. [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. ST~I, W/COATING [] 9. CATHODIC PROTECTION 464 [] 5, STEEL W/COATING [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) (A description of the monitoring program shah be submitted to the local agency,) UNDERGROUND PIPING ABOVEGROUND pIPING SINGLE WALL PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): ~RESSURIZED PIPING (Check all that apply): ~1. ELECTRONIC LINE LEAK DETECTDK 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS [] 2. MONTHLY 0.2 GPH TEST ~2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) [] 6, TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING [] 7. SELF MONITORING GILAVITY FLOW: GRAVITY PLOW (Check ail that apply): [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) [] 8. DAILY VISUAL MONITORING [] 9. BIENN[ALINTEGRITYTEST(O.I GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION ' [] ¢. NO AUTO PUMP SHUT OFF [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR RESTRICTION [] 12. ANNUALINTEGRITYTEST(0.1 GPH) [] 12. ANNUALINTEGRITYTEST(0.1 SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK VIH. DISPENSER CONTAINMENT ~1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK DISPENSER CONTAINMENT DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING I qq ~) [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+ AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 IX. OV(NER/OPERATOR SIGNATURE I certify that the information provided herein is t~ue and accurate to the best of my knowledge. NAME OF OWNER/~I~TOR (~rint) 471 TITLE OF oWNER/OPERATOR 472 MERLIZA Z. ~I~CALA FOR TOSCO REGIONAL COMPLIANCE SPECIALIST Pemdt Numbcr (For local use only) 473 Pem~t Approved (For local use only) 474 Permit Expirafion Datc (For loeal use only) 475 March 27, 2000 To: Implementing UST Program Agency Re: UST System Test Results Please find attached the tank/line/leak detector test 'results and/or monitor certification(s) for Tosco marketing Company facility(ies) in your jurisdiction. If you have any questions regarding the attached please ca11(818) 840-7020. Triangle Environmental, Inc. For Tosco Marketing Company Attachments Cc: Tosco Dealer-Please file the attached test results in your Tosco Compliance binder. Thank you for your cooperation. 2525 W. BURBANK BLVD., BURBANK, CA 91505-2302 · TEL:(818) 840-7020 · FAX:(818) 840-6929 Triangle Environmental Inc 2525 West Burbank Blvd., Burbank, CA 91505-2302 ..- (818) 840-7020 (818) 840-6929 US T TESTING SYSTEMS S UMMAR Y SHEE T Precision Underground Storage Tank System Leak Test Client: Tosco Marketing Co. Tosco Facility # 08825 1500 North Priest Drive Tempe, AZ 85281 Test Date: 3/20/2000 Kathy StrickLand aci Work #: 880260 Tosco Facility # 08825 ) County: KERN 2222 F ST / Cross Street: 23RD BAKERSFIELD, CA 93304 / ~Tank _ ~_ Test System Tank Line '~ Product r.~lipacity Type Rate/Results Ullage Result Rate/Result L/D Result Certified By: Technician: Randy Jaquez State Lic. #s: ~'~)- ~i .~,~.~. Mfgr's #: Comments: Monitor certification This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. 1 Environmental, Inc. - ' ADDREm: BVRBAN~ CA VlSOS-gS02 FAX:(*I*) 840-a92V COUNTY SERVICE REQUESTED (CHECK) TANK TIGHTNESS TEST V~ MONITOR CERTIFICATION ~ ENVIRONMENTAL REPAIRS PRODUCT LINE TEST [] FACILITY INSPECTION ~] OTHER LEAK DETECTOR TEST r-'] VAPOR RECOVERY TEST [--] SERVICES PERFORMED PARTS Quantity Description Quantity Description CUSTOMER PRINT NAME ~5'r~e/9~ ~{ 0, I/1; ~ ('..,~ ~a_ ~ Triangle Environmental Inc UST MONITOR CERTIFICATION SUMMAR Y SHEET Client: Tosco Marketing Co. 1500 North Priest Drive Tosco Facility # 08825 Tempe, AZ 85281 Test Date: 3/20/2000 Facility: Tosco Facility # 08825 Work #: 880260 County: KERN 2222 F ST Cross Street: 23RD BAKERSFIELD, CA 93304 Monitor model: VEEDER-ROOT TLS-3$0 Serial #: 80649024305003 Certification Result: PASS Sensor Type: Quantity: Result: Tank Annular: 3 PASS Annular Type: DRY Waste Oil Annular: 0 N/A Audible Alarm? Yes Waste Oil Sump: 0 N/A Visual Alarm? Yes Vadose Wells: 0 N/A Fail Safe? Yes Line Pressure: 3 PASS Positive Shut-off? Yes Turbine Sump: 3 PASS Gauge Only Result: PASS Line Trench: 0 N/A ATG Monthly? No Fill Sump: 0 N/A ATG CSLD? No Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer s specification. Inspected By: Randy Jaquez Triangle Environmental, Inc.. 2525 West Burbank Blvd., Burbank, CA 91505-2302 ..... (818) 840-7020 Fax: (818) 840-6929 T. E.I. US T MONITOR CER TIFICA TION $ UMMAR Y SHEE Client: ~ //Error Test Date: °9 ~ ~ ~ ~' Cross Street: ~ Monitor mood: ~L~ ~ Serial ~: ~06 ~ qo 2~ 3'~ 50o ~ Sensor Type: Quanti~: Result: Tank ~nular: ~ Annular Type: W~te Off ~nular: ~ . ~ nudible-'~arm? W~te Oil Sump: ~ ~' Visual ~arm? V adose Wells: ~ .~' Fail Safe? LinePr~sure: ~ ~ Positive Shut-o~ Turbine Sump: ~ ~ Gauge OnlY Result: Line Trench: ~ ~ ATG Monthly Test? FillSump: ~ ~ ATG CSLD? .Comments: This ce~fi~ that the monitor and sensor, as list~ above, are operational and calibrat~ per manufacturer's specification. ~ ~ . InsPected By: ~. For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate Certification or report must be prepared for each monitoring system control panel by the technician who Perf6rms the Work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. Instructions are printed on the back of this page. A. General Information Facility Name: ~.~) ~ ~ ~ 2 ~ Bldg. No:: Site Address: 2 ~ 9._ 2 t~' -~"~- · City: ~5)8/'~-e eS:itt ~' {. 0/ Zip:' FacilitY Contact Person: ~/~//~-C Oe,. ~ctz~Jx~,~ .(/q~D,0~'ContactPhoneNo.:(~&/ ) .~-/ 7,.5"~' Make/Model of Monitoring System: 7~_ ~ - ~ O Date ofTesting/Servicing: ~7 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific'equipment inspected/serviced: Tank ID: X 7 : Tank ID: ~r ~ ~(In-Tank Ga~ging Probe. Model: I~I'n-Tank Ganging Probe. Model: f~Annular Space or Vault Sensor. Model: ~tg~ li~AnnularSpaceorVanltSensor.' Model: [] .Piping Sump ! Trench Sensor(s). Model: ' [] Piping Sump / Trench Sensor(s),. :: Model~.. [] Fill Sump Sensor(s). Model: [] Fill Sump Sensor(s). Model: Cl Mechanical Line Leak Detector. Model: .... [] Mechanical Line. Leak Detector... Model: f~Eiectronic Line Leak Detector.. 'Model: P/- t. {~ I~Elecironic Line Leak Detector. Model:' I° l~ {~I'ank Overfill / High-Level Sensor. Model: [] Tank Overfill / High-Level Sensor. Model: [] Dispenser Containment Sensor(s). Model: [] Dispenser Containment Sensor(s)..Model: I~Shear Valve(s). I~'Shear Valve(s). ~Dispenser Containment Float(s) and Chain(s). [~Dispenser Containment Float(s) and Chain(s). .. [] Other (specify equi'pment type and model in Section E On Page 2). [] Other (specify equipment type and model in Section E on Page 2). Tank ID: q~ ~ Tank ID: G~In-Tank Gauging Probe. Model: [] In-Tank Gauging Probe. Model: ~nnular Space or Vault Sensor. Model: ~O ct ~ Annular Space or Vault Sensor. Model: 121 Piping Sump / Trench Sensor(s). Model: [] Piping Sump / Trench Sensor(s). Model: [] Fill Sump Sensor(s). Model: I-I Fill Sump Sensor(s). Model: I~ Mechanical Line Leak Detector. Model: [21 Mechanical Line Leak Detector. · Model: [~'Electronic Line Leak Detector. Model: 'iO~£ ~ [] Electronic Line Leak Detector. Model: 121 Tank Overfill / High-Level Sensor. Model: [] Tank Overfill / High-Level Sensor. Model: [] Dispenser Containment Sensor(s). Model: [] Dispenser Containment Sensor(s). Model: l~l~hear Valve(s). [] Shear Valve(s). []~Dispenser Containment Float(s) and Chain(s). [] Dispenser Containment Float(s) and Chain(s). [] Other (specify equipment type and model in Section E on Page 2). [] Other (specify equipment type and model in Section E on Page 2). C.' Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certifieation'is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Site Plan showing the layout of monitoring equipment. For any equipment. capable of generating such reports,! have also attached a copy of the (check all that apply): ~System set-up report; /~b~.~/D ___.._. . (/~history report. Technician Name (print): ~/ ~ A~,c_2c-~ Cert./Lic. No.: Signature: ~-~: ' . Testing Company Name: _ /'--"7-. fi-'. ~. ehoneNo.:(o~/7 ) ~ 5/ ~ '- 7 67 .2 CALM-01 Page 1 of 3 11/15/99 Instruct for Equipment Testing and cation General Instructions 1. Equipment that monitors underground storage tank systems containing hazardous materials must be tested/se~iced annually, or on a schedule specified by the manufacturer, whichever is more frequent~ 2. This certification form must be used to document the.following activities: 1.) Periodic testing as described above; 2.) Testing of new monitoring systems upon installation; 3.)' Testing of replacement sensors, probes, or other system components; and 4.) Testing of repaired sensors, probes, or other system components. 3. As noted on Page 1, a separate certification form must be completed for each individual monitoring system control panel.. For example: If one control panel monitors in-tank gauging probes and another panel monitors electronic line leak detectors, two certification forms are required. 4. Except in the case of emergency repairs, many local agencies require that a permit be obtained prior to installing new monitoring systems or components (i.e. installation of new or different equipment, rather than using parts identical to those replaced). Check with your local agency for their requirements before starting work. Section B 1. In the Tank ID sections, describe which tanks you worked on (e.g. Diesel Tank, North Tank, Middle Tank). 2. For comparmaented ~anks, list each compartment as a separate tank. 3. Where "Model" is asked for, the name of the manufacturer and the manufacturer's specific model name or number, as referenced in the "List of Leak Detection Equipment and Methods for Underground Storage Tanks" (i.e. LG-113) must be specified. 4. Hands-on functional testing of individual leak detection components to confLrm operabil!ty to manufacturer's specifications'and state regulations is required. This includes verifying any' mechanical Or electronic automatic .shUt-Off features (e.g. dispenser floats and chains). In the case of sensors that can not be non-destructively tested, contact your local agency that regulates UST systems to see if they will approve alternate testing methods (e.g. testing of representative samples). Section C 1. Certification must be made by a licensed and certified technician as per 23 CCR §. 2. All work associated with testing/servicing of equipment must be performed by or under the direct supervision of the certifying technician. Section D 1. When testing operability of positive turbine shut-down, you must: 1.) verify shut-down by simulating a leak; and 2.) verify shut- down by disconnecting the sensor. . . Attachments 1. Site Plan - You must attach a drawing showing the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps; disPenser pans, spill containers, and other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). Note the date the Site Plan was prepared. 2. System Set-Up Report - If the monitoring system or diagnostic equipment used in testing is capable of generating a hard-copy report describing system set-up, you must include a copy of the report with this Certification. 3. Alarm History Report - If the monitoring system is capable of generating a hard-copy alarm history, report, you must inc!ude a copy of the report with this Certification. Relevant alarms that should appear in this report include overfill, high water, and leak detection equipment-related alarms. This report should be printed before you test any sensors. CALM-01 11/15/99 Monitoring System Certification Site Address: Date of Testing/Servicing: .__/ / ~ D. Results of Testing/Servicing Software Version Installed: i (fi' 0 ~-- - Complete the following checklist: ~' Yes vi No* Is the audible alarm operational? [~Yes [] No* Is the visual alarm, operational? ~Yes I~ No* Were all sensors visually inspected, functionally tested, and confu-med operational? I~Yes [] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? I~Yes [] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ,/ ~ N/A operational? ... l~ Yes I-I No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary Containment l-I N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) {~Sump/Trench Sensors; l-! Dispenser~Containment Sensors. Did you confn~n positive shut-down due to leaks and sensor failure/disconnection? ~ Yes; [] No. ' ~'Yes [] No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no [] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank ill! point(s) and operating properly? If so; at what percent of tank capacity does the'alarm trigger? c] ~) .% cq Yes* [~/No Was any monitoring equipment replaced? If yes, identify specific sensors; probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, ,below. . · [] 'Yes* ~ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ,/. [] Product; [] Water. !fyes, describe causes in Section E, below. ... 121' Yes [] No* Was monitoring system set-up reviewed to ensure proper settings? : 12~es [] No* Is all monitoring equipment operational per manufacturer's specifications? · In Section E below describe how and when these deficiencies were or will be corrected. E. Comments: CALM-01 Page 2 of 3 11/15/99 Monitoring. Sys~en~ Certification Site Address: Date of Testing/Servicing: /. F. In-Tank Gauging / SIR Equipment: ~Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Fl Yes' 121 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? In Yes FI No* Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes 121 No* Was accuracy of system product level readings tested? [] Yes F! No* Was accuracy of system water level readings tested? FI Yes FI No* Were all probes reinstalled properly? Fl Yes r-I No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): [] Checkthis box ifLLDs are not installed. Complete the following checklist: I~';Yes '[] No* For equipment start-Up or annual equipment ce~-tification, was a leak simulated to verify LLD performance? [] N/A (Check all that apply) Simulated leak rate: 1~3 g.p.h.~; [] 0.1 g.p.h.2; I--I 0.2 g.p.h.2 ' Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. I~Yes [] No* Were all LLDs confmned operational and accurate within regulatory requirements? ~Yes Fl No* Was the testing apparatus properly calibrated? [] Yes 121 No* For mechanical LLDs, does the LLD restrictproduct flow if it detects a leak? Fl N/A {;l~2es [] No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] N/A 4~l/Yes [] No* For electronic LLDs, does ~he turbine automatically shut off if any portion of the monitoring system is disabled ,/ [] N/A or disconnected? [3~Yes Fl No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring System Fl N/A malfunctions or fails a test? {~ Yes Fl No* For electronic LLDs, have all accessible wiring connections been visually inspected? [] N/A ~Yes [] No* Were all items on the equipment manufacturer's maintenance Checklist completed? * In the Section H, .below, describe how and when these deficiencies were or will be eorreeted. H. Comments: CALM-01 Page 3 of 3 ! 1/15/99 ~ .~ · , Inst ions for Testing Line Leak De ors Section G 1. Line leak detectors should be tested in-place, not removed. 2. The functional elements of the mechanical LLD are the piston and the diaphragm. To ensure that these elements are functioning properly, the submersible pump can be started and the time that the piston or diaphragm takes to move into a position to enable full flow of the product noted. The range of allowable opening times is specified by the manufacturer and is available in the equipment manual. 3. The presence of air pockets in the system will result in longer opening times since air is much more compressible than product. 4. Thermal expansion and compression may be a problem in areas where there are large temperature variances between day and night. The difference between product temperature and air temperature 'may be significant enough to create an expansion or contraction as the product is pushed up the line into the LLD. 5. The purpose of the relief valve is to ensure that the LLD can function properly and is not damaged by an excessive build-up of pressure behind the piston or diaphragm. If the pressure is excessive, the relief valve will vent into a copper tube that leads back to the tank. The connections to this tubing should be checked for leaks. CALM-01 11/15D9 D FII E April 4, 2000 Tosco Marketing m~ c~,~ Merliza Alcala RON ~RAZE 2000 Crow Canyon Rd #400 ADMINISTRATIVE SERVICE8 Sail Ramon CA 94583 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (~05) 3~5-1349 Dear Compliance Coordinator: SUPPRESSION SERVICE8 2101 'H" Street You have been identified as the compliance coordinator for the Bak.~r,,ld, CA ~Ol facility/facilities referenced in the attachment. VOICE (805) 326-3941 FAX (~05) 395.1349 The permits to operate this facility/facilities will expire on June 30, 2000. PREVENTION SERVICE8 1715 Chester Ave. However, in order for this office to renew your permit, updated forms A, Bakersfield, CA 93301 VOICE (805) 32~3951 B, & C must be filled out and returned prior to the issuance of a new FAX (805) 326-0576 permit. ENVIRONMENTAL SERVICE8 1715 Ch~ter Ave. Please make sure that you are sending the updated forms which are Bakersfield. CA 93301 VOICE (~o5) s~-3979 indicated by the date 7/99 in the lower left hand comer. Please complete FAX (805) 326-0576 and remm to this office by May 15, 2000. Failure to comply, will result in Ti~dNING DIVISION a delay of issuance of your new permit to operate. 5642 Vlct~ Ave. Bakersfield, CA 93308 VOICE (805) 3994697 Should you have any questions, please feel free to call me at FAX (805) 399-5763 66t-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facility Address Circle K 5634 Stine Road, Bakersfield, Ca 93313 Circle K 5600 Auburn, Bakersfield, Ca 93306 Circle K 1030 Oak Street, Bakersfield, Ca 93304 Circle K 2222 "F" Street, Bakersfield, Ca 93301 Stockdale 76 5401 Stockdale Hwy, Bakersfield, Ca 93309 Counlxy Club Union 2524 Oswell, Bakersfield, Ca 93306 gle Environmental, Inc. March 26, 1999 To: Implementing UST Program Agency Re: UST System Test Results Please find attached the tank/line/leak detector test results and/or monitor certifications for Tosco Marketing Company facility(ies) in your jurisdiction. Should you have any questions regarding the enclosed please call (818) 840- 7020. ~ , Attachments 2525 W. BURBANK BLVD., BURBANK, CA 91505.2302 · TEL:(818) 840-7020 ,' FAX:(818) 840.6929 ~ ~ '~ ~1 BAKERSFIELD FIRE DEPARTMENT ~..-~,~ ..~ HAZARDOUS MATERIAL DIVISION ~,~._'_~~ ~_%~ 213~ G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY ~O.~ ~f25 ADDRESS ~2~ ' P ' .~/E~7- PERMIT TO OPERATE % OPERATORS N~ ~5~0 O~RS N~E ~6~ dP, ~ER OF T~S TO BE TESTED N/~. IS PIPING ~ING TO'BE TESTED TANK% VOLUME CONTENTS · e, · ~ ! O~z-- TANK TESTING COMPANY TEST METHOD 7"~./- NAME OF TESTEa ro~,~ STATE REGISTRATION DATE & TIME TEST IS TO BE CONDUCTED /-/~'-~-./ · Triangle EnvirOnmental, Inc. 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 (818) 840-6929 UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: Tosco Marketing Co. Tosco Facility # 08825 1500 North Priest Drive Tempe, AZ 85281 Test Date: 1/18/99 Kathy StrickLand (602) 728-7149 FacilitY: Work #: 341020 Tosco Facility # 08825 CountY: 'KERN 2222 F ST Cross Street: 23RD BAKERSFIELD, CA 93304 Tank Test System Tank. Line # Product Capacity Type Rate/Results Ullage Result Rate/Result L/D Result 1 Unleaded Plus 9816· ~ lq/A N/A -0.011 PASS . - 2 Unleaded Regular . 9816 N/A N/A -0.011 PASS lq/A 3 Unleaded PremiuTM 98i6 lq/A ' N/A -0.021 PASS N/A Certified By: Technician: Tony Kiani State Lie. #s: CA-I049 ~ ~ Mfgr's#: TEI-047 Comments: Compliance test Lines and Monitor certification This precision tank testing system exceeds the criteria required by Local, State a~d Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. 1 Triangle Environmental, Inc. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility:. Tosco Facility # 08825 Tank #: 1 Test Date: 1/18/99 Product: Unleaded Plus Work//: 341020 Test Method: Test Method: l~.J. FTA Capacity: 9816 Manufacturer: Diameter (in): L/D Model: Product Level (in): L/D Serial #: Liquid Volume (Gals): Line Drain Back (mi): Liquid Percent (%): L/D Trip Time (sec): Specific Gravity: Holding Pressure (psi): Coef. of Expansion: Metering Pressure (psi): Water On Tank (in): L/D Test Rate (gph): Water In Tank (in): L/D Result: Product Temp. (F): ~ New leak detecto~ No Head Pressure (psi): ~...-- -~--_ Test 'Start Time: Test End Time: Test Method:, TEl LT-3 Test Rate (§ph): Pump Brand: FE Petro Test Result: N/A System Type: Pressure Line Pressure (psi): 50 Line Start Time: 9:50:00 PM Test Method: ULLAGE Line End Time: i0:05:00 PM UllageVolume (gals.): Line Start Level: 140 Ullage Test Time: Line End I~evel: 130 Ullage Vacuum (psi): Line Test Rate (gph): -0.011 Ullage Result: N/A Lin~ Test Result: PASS NO MECH. LD. 2 Triangle Environmental, Inc. ~ SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Tosco Facility # 08825 Tank#: 2 Test Date: 1/18/99 Product: Unleaded Regular Work#: 341020 Test Method: Test Method: R.J. FTA Capacity: 9816 Manufacturer: Diameter (in): .L/D Model: Product Level (in): LfD Serial #: Liquid Volume (Gals): Line Drain Back (mi): Liquid Percent (%): L/D Trip Time (sec): Specific Gravity: Holding Pressure (psi): Coef. of Expansion: Metering Pressure (psi): Water On Tank (in): L/D Test Rate (gph): Water In Tank (in): L/D Result: N/A Product Temp. (F): ~ ~ New leak detector? No Head Pressure (psi): ~ _ - · - - Test Start Time: Test End Time: Test Method: TEI LT-3 Test Rate (gph): Pump Brand: FE Petro Test Result: N/A System Type: Pressure Line Pressure (psi): 50 Line Start Time: 9:55:00 PM Test Method: ULLAGE Line End Time: 10:10:00 PM UllageVolume (gals.): Line Start Level: 180 Ullage Test Time: Line End Level: 170 Ullage Vacuum (psi): Line Test Rate (gph): -0.011 Ullage Result: N/A Line Test Result: PASS NO MECH. LD. Triangle Environmental, Inc. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Tosco Facility # 08825 Tank#: 3 Test Date: 1/18/99 Product: Unleaded Premium work#.. 341020 Test Method: Capacity: 9816 Manufacturer: Diameter (in): L/D Model: Product Level (in): L/D Serial #: Liquid Volume (Gals): Line Drain Back (mi): Liquid Percent (%): L/I) Trip Time (sec): Specific Gravity: Holding Pressure (psi): Cocf. of Expansion: Metering Pressure (psi): Water On Tank (in): L/D Test Rate (gph): Water In Tank (in): L/D Result: N/A Product Temp.. (F): ~ New leak detector?. ' No Head Pressure (psi): Test Start Time: Test End Time: Test Method: TEI LT-3 Test Rate (gph): Pump Brand: FE Petro Test Result: N/A System Type: Pressure Line Pressure (psi):~ 50 Line Start Time: 10:lS:00 PM Test Method: ULLAGE Line End Time: 10:30:00 PM UllageVolume (gals.): Line Start Level: 250 Ullage Test Time: Line End Level: 230 Ullage Vacuum (psi): Line Test Rate (gph): -0.021 Ullage Result: N/A Line Test Result: PASS NO MECH. LD. 4 Triangle Environmental, Inc. vsr omro cee r mcA sv 4nn r sneer Client: Tosco Marketing Co. 3500 North Priest Drive Tosco Facility # 08825 Tempe, AZ 85281 Test Date: 1/18/99 Facility: Tosco Facility # 08825 Work#: 341020 County: KERN 2222 F ST Cross Street: 23RD BAKERSFIELD, CA 93304 Monitor model: VEEDER-ROOT TLS-350 Serial #: Certification Result: Pass Sensor Type: Quantity: Result: Tank Annular: 3 PASS Annular Type: DRY Waste Oil Annular ~ ~ 0 N/A Audible Alarm? Yes Waste Oil Sump: 0 N/A Visual Alarm? Yes Vadose Wells: 0 N/A Fail Safe? Yes Line Pressure: 3 PASS Positive Shut-off? Yes Turbine Sump: 3 PASS ATG Result: PASS Line Trench: 0 N/A ATG Monthly? Yes Fill Sump: 0 N/A ATG CSLD? No Comments: SYSTEM PERFORMS INVENTORY GAUGING. This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: Tony Kiani ,0 L D February 9, 1999 nRE CH~E~ Circle K Stores RON 2222 "F" Street ADMINISTRATIVE SERVICES Bakersfield, CA 93301 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 F~ (~OS) 39s-1:.9 RE: Compliance Inspection SUPPRESSion s£mncE$ Dear Underground Storage Tank Owner: 2101 'H' Strut B~korsfield. CA 93~01 vOiCE (~05) 32~941 F~x (805) 39~-13~9 The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, ,,~mo, SER~CES underground storage tanks and monitoring systems, and hazardous 1715 Chester Ave. materials Bakersfield, CA 93301 ~nspecuon. VOICE (805) 326-3951 FAX (805) 326-0576 To assist you in preparing for this inspection, this office is ENVIRONMENTAL SERVICES enclosing a checklist for your convenience. Please take time to read this 1715 Chester Ave. Bakorsfleid, CA 93301 list, and verify that your facility has met all the necessary requirements to VOICE (805) 326-3979 be in FAX (805) 326-0576 coml.,-ancc. TRAINING DM$10. Should you have any questions, please feel free to contact me at 5642 Victor Ave. Bakersfield, CA 93308 805-326-3979. VOICE (805) 3994697 FAX (805) 399-5763 Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY ~D~P.~ ~fZS ADDRESS ~~ ' PERMIT TO OPERATE % OPERATORS NAME 7~5d0 OWNERS NAME NUMBER OF TANKS TO BE TESTED A//~. IS PIPING GOING TO'BE TESTED TANK$ VOLUME CONTENTS TEST METHOD 7-~I NAME OF TESTER 7D~/F /<//~,~! CERTIFICATION # STATE REGISTRATION ~ DATE & TIME TEST IS TO BE CONDUCTED /-/~'-gg ..~ ?:6)6) /~/~ APPROVEI BY: SIGNATURE APPLICAN Tosco Corporation 72 Cummings Point Road Stamford, Connecticut 06902 Telephone: 203 977-1000 Facsimile: 203 964-3187 TOSCO CERTIFICATION OF FINANCIAL RESPONSIBILITY Tosco Corporation hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under.Subpart H of 40 CFR Part 280 is as follows: Mechanism: Section 280.95 ' Financial Test of Self Insurance Amount of Coverage: $2,000,000 in the aggregate ~.. Effective Period ,' of Coverage: From January 1, 1998 until revoked or replaced by notice to the Implementing Agencies listed on the attached Exhibit A. !1 Coverage: Corrective action and third-party compensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising from the operation of underground storage tanks. By: Craig R./Deasy Its: Vice President and Treasurer Date: April 27, 1998 State of Arizona ) )§ County of Maricopa ) The foregoing instrument was acknowledged before me this 27th day of April 1998 by Craig~ R...,_Deasy, personally known to me as Vice President and Treasurer of Tosco Corporation on behalf of the corporation. BARBARA A. HUNTER N~P/Public - State of A,,izona ~,~CO~A COUNt' ~Notary Public ~ My Comm. Expires Aug. 11, 2001 M7 Commission E~pkes: ~../!~- ~ / BAKERSFIELD FIRE DEPARTMENT ENVIRONMENTAL SERVICES 1715 Chester Ave. · Bakersfield, CA 93301 Business Phone (805) 326-3979 · FAX (805) 326-0576 FAX Transmittal COMMENTS: K~F-7171 C CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° '~ ~ 011 6 Sub Div.. Blk. Lot ,. :...: You are hereby required to make the following corrections at the above location: Col'. Completi. on Date for Corrections 7/~/~/ 07/06/98 09:06 8805 326 0576 BFD HAZ MAT DIV ~001 *** ACTIVITY REPORT TRANSMISSION OK TX/RX NO. 7528 CONNECTION TEL 12096872243 CONNECTION ID START TIME 07/06 09:04 USAGE TIME 01'31 PAGES 2 RESULT OK CORR'ECTION NOTICE -~ - BAKERSFIELD FIRE DEPARTMENT N~- '~ 0124 Sub Div. . Blk. . ~t ..... .~ -..,~- ;,. You a~ hereby requir~ to make the follo~ng cor~fions · .. - · - ... at~eabovel~afion: Cor, No i , .,:../,,. ".....)~'2:.,~gd'.~ ,',':.4 ~'.~'" "~ ~ [',:" .: ', .::.'-~..:':.?~." .' ~u~ ~ ~,~,~ sw,c ~ ~L4C~. Completion Date for Corrections ~--AT- A~ Inspector 326-3979 CORRECTION .NOTICE BAKERSFIELD FIRE DEPARTMENT N° ~ Sub Div. Blk. Lot. You are hereby required to make the following corrections at the above location: Cor. No Inspector CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT Location Sub Div. Blk. Lot. You are hereby required to make the following corrections at the above location: Cor. I~o Completion Date for Corrections Date. :' Inspector 326-3979 CITY OF BAKERS~ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 IN$1~CTION R~COI~ POST CAR~ AT SOB T~ ~ ~~ ~S~ON ~R DA~ C~ ~ orThO PIPING ~EM EI~ ~ of~ i~ T~s) /,,, , SECONDLY CO~MN~E~. O~L PROT~ON. h~ DE'I'E~-I/ON ~ ~li~ - T~m) ~1~ - Ping Vault Wi~ ~ C~blm ~ ~vd O~ ~ ~ ~ V~ V~ ~a C~b{~ Fill ~ ~s) f~ ~ S~D.W. T~s) Spill ~i~ ~ FIN~ . FH! ~x ~k : ..lun-19-g8 09:58A a&s engtneeY-tng 818 842-3760 .,-~.-~,'. \ p. 04 ,~' ~'.,~-'~/ OF'FICi~bF ENVIRONMENTAL SER~ES' ~ UNDERGROUND STORAGE TANK PR(3'GRAM ~ ~ PERMIT.APPLJCATION TO CONSTRUCT/M_ODIFY UNDERGROUND STORAGE TANK TYP.~ OF APPLICATION (~CHECIC) C3 NEW FACILITY cl;~ODIFrC'A:TION OF FACILITY Q NEW TANK INSTALLATION AT EXISTING FACILITY. STARTING OATE. ~- [ - ~ ~'. PROPOSED COMPLETION DATE ~, -{-~ ~ FACILITY NAME ~- {/~ C g.~ 1~ ~ ~.87..~ EXISTING FACILITY PERMIT No. ~AC~UTYAODRESS ~-~-~2- F. S~- ,,,'1-i SS ~Z>. Z~P CODE TYPE OF BUSINESS ~, A-$ ST A"r i'D/~/ APN TANKOWNER 'T'oSco ,'VtAAIC-cTIN6 ~'o/~,~PAN~' PHONE No.~..J,~ ~-2. g · . ADDRESS ~ A--,/T'o~J J~L.. CITy~_OST'A ,q, leSA ZIP CODE CONTRACTOR J~ ~l~-T' .~lc6 s'rAT~ohl com~'P, Ac~'or-<, CA LICENSE No. ADDRESS (l~t EL- c~A,~tNO' P,C=AL- ' ' CITY,A/~,o¥O Gf, A~sb6 ZiP CODE PHONE N:O.~oG A-$ I '7..~'2..- BAKERSFIELD CITY BUSINESS LICENSE NO. ~$ '3'/ BREIFLY DESCRIBE THE WORK TO BE DONE [NS.TA~ /,,/E.v?/ . ~ I WATER TO FACILITY PROVIOED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED,~SITE NO. OF TANKS TO BE INSTALLED 0 ARE )'HEY FOR MOTOR FUEL ~r"YES Q NO SECTION FOR MOrO~ TANK No. VOLUME UNLEADED REGULAR PREMIUM DIEt,EL ..~ AVIATION SECTION FOR NON MOTOR FUELSTORAGE TANKS TANK NO. VOLUME CHEMICAL STORED CA5 NO. CHEMICAL PREVIOUSLY (no brand nome) (if known) STORED ~'H~ API~LICAN! HAS RECEIVED, UNOEgSTANO$, ANO WII. L COMPLY WITH THE ATTACHED CONOITIONS OF THIS PEi3MII' AND ANY Ot'HER STARE. LOCAL AND F~OERAL REGULATIONS. I'Nl$ I:c~rlM HAS BEEN COMPLETE{:) UNOER PENALTY OF PERJURY. ANO ~'O t'HE 8EST O~: MY KNOWLEDGe'. IS ~'RUE AND COIII1ECT. A~:~:Lg,~ED B(~ APPLICANI NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED CjpRRECTION N OjlJ C E BAKERSFIELD FIRE DEPARTMENT N°_ 650 Sub Div. ;~ ~ ~ ~ Blk ~t You are hereby required to make the following cor~ctions at the above l~ation: Cot. No Completion/D>/ Date fo,' Correc~ 3/~ Date ~qt~z/ ~ v Inspector CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3"~ Floor, Bakersfield, CA 93301 FACILITY NAME 0_~tcl~. E. 0a ~ INSPECTION DATE d)/~)J~g ADDRESS 0~ ~ ~V ' PHONE NO. ~aa- 1 ~d ~ FACILITY CONTACT BUSINESS IDNO. 15-210- INSPECTION TIME 'NUMBEROF EMPLOYEES Section 1: Business Plan and Inventory Program [~Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact intbrmation accurate if' Visible address V/ Correct occupancy Vr 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 V/ Containers properly labeled V/ Housekeeping ~ @~c Fire Protection V' Site Diagram Adequate & On Hand V C=Compliance v---Violation Any hazardous waste on site?: [~ Yes [~ No Explain:. Questions regarding this inspection? Please call us at (805) 326-3979 Business Site .~esponsible Party White- Env. Sues. Yellow - Stafon Copy Pink - Business Copy Inspector: _~' I CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~¢¢[~-. lC taO~'p' INSPECTION DATE Section 2: Underground Storage Tanks Program [~ Routine [] Combined [] Joint Agency [] Multi-Agency [21 Complaint [] Re-inspection Type of Tank .fl_ ~ ~' Number of Tanks _~ Type of Monitoring d.t-l*~ Type of Piping l)tOI= OPERATION C V COMMENTS Proper tank data on file ~. Proper owner/operator data on file cl.- Permit tees current ~ Certification of Financial Responsibility ~ Monitoring record adequate and current ~ ,~ ~~ Maintenance records :adequate and current C Failure to correct prior UST violations ~ Has there been an unauthorized release? Yes No ,wt~ 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=CompliancldV=Violation Y=Yes N=NO Inspector: ;~/.7~/~ ~~~"~ ~ ~ Office of Environmental Services (805) 326-3979 l~usin~ss Site Responsible Party White - Env. Svcs. Pink - Business Copy ,,~/ SERVICE .,~ATION.AD/DRESS . / ...... ..: ., STATION t~O. /PAGE "'"~"'°".Zpz~t~.'~' ~' ~' "~ / (. &'tr~. ,~ ~ ~ h.~,.,.....~ ..... .,,~:.,..,~,~:,~.,.~:.~,. o~ ~~t~ ' ''" ' ~ YES U NO ~R~CES / REPAIRS PERFORMED .... ,' '~.:,~t.~-,:"~ :~: MATERIAL.DESCRIPTION ~ MFG. NAMES & ~RIAL NOS. IF PUMP TOTALI~R ~ C~GED SH~ BEFORE & A~R, TOTAL ~R. RE~ N~ ' ~'~¥':>~" ' ~ME.:;.~........ ~ ~TE ~MOU~ ' ,,A: ;.: :::'. . -,. QTY, PRICE AM~' ~/ ~ /~,--~'~ ~ , , ~ ~.~~~ ~~ ~/~* ~ I1' III III "I III , . /~ , , , , , ~~ .r' . : ,, ', ', ', , , , , ' [ ' , (,) T~AL ~ ~E" ' CORECREDE ' MILEAGE TO S~ ~ ' NO. OF ~ , , , , TOTALI~R READINGS ~AVEL ~ME . PERSONS ~[ ,, ,, . [ AND ~ME AT S~ MA~AL , . , .... VEHICLE MARK ~SPENSER VENDOR'S EQUIPMENT " " '~ ~UUSE~ UP ~ SUB- MARK~,,. ENDING ODOMETER READING TOTAL ", . ~ME ' RA~' TOTAL UP % d,~Off~. MA~RIAL ~M BEFORE EQuipME~ , , ; .. ~ ' ~ ", ' SA~S T~ ~. ~, .v RE~ -' ,, ,, ,, ,, BEGINNING ODOMETER READING ~T~ MA~" ..... ,' A~R SUB- , . ~....' , , TOT~ . : ,, ~ COCA.OR:' ~ ~ ~ ~ TOTAL MILEAGE TO S~ ~R ~RGE ~dEMARK ~ >...COCA.OR ' . CONFIRMED SER~. CA~:, ~". ~-' _.mA~L ~ME , AM ARRIVE AT S~ ~ ~TAL '- "- z?~~'~.~ - /. ~ ~a~ ' ' ~A~ ', ~ ~ PERSON CO.ACTED AT S~ DEPARtuRE ~ME FROM ~E ~M EGUIP. , / ~ ~ · PM TOTAL , PERSON WHO PLACED CALL TOTAL ~M~T S~ EQUIP. RE~ s~so. (,,,m s~,v,c~.~.so. (p,,..~) . BEFORE SIGNING FORM,~"'z~""~"so" (P,,~ .~.~) TOTAL ' /~ VERIFY ARRIVAL TIME, ', ~ SIGN~ SERVICE PERSON'S SIGNA, RE DEPARTUREsERViCES PERFORMED.TIME' AND ~$:~AUT'RI~D PERSON'S% .S~ATURE7,":./.~.'7' '~' DATE Zt/~ F~M 3-8Bll (R~. 12-94)PRI~D" U.S.A. / ~ ' 2 - ~ ' PAYABLE ,~ . :'. WORK A CKNO WLEDGMI~NT Environmental, Inc. ADDRE~: 0 ~ ~fi ~ 2525 W. BURBANKBLVD. TEL: (818) 840-7020 C~/STA~: /~ ~.~,;,- r~. ~, ~, BURBAN< CA 91505-23= FAX:(810 840-6=9 COUN~ ~2d/v/ 'I'd.cH: .SERmCE ~O~~D (C~CK) '. TANK TIGH~ESS TEST ~ ': MOP.OR CERTII ~CA~ON ~ ENVIRON~NTAL REP~RS ' PRODU~ LINE TEST ~ .FAciL~ I-NSPE~ION ~ OTHER LEAK DE~OR TEST ~' VAPOR RECOVERY ~ST easts Quantity Description Qu anfity Description '~':%'P:':':':':'":':':':':':' :':" ':':':':' ' ' ':':'?:'??:'?i '; ~~6~:~:.~ :~:?::::::::::~:;:::::~:::::?::?.:.::?:::::: ~::::~E:~;~::::mi~::~i:~t:~:~:.::' ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: CUSTOMER PRINT NAm ,.. CUSTOMER SIGNATURE :.....-- ' ff~f DATE: - BAKERSFIELD FIRE DEPARTMENT February 13, 1998 RI~ CHIEF MICHAELR. KELLY Circle K Stores Inc.//8825 2222 "F" Street ~M~N~rm~ sramc~ Bakersfield, CA 93301 2101 'H' Street Bakes~fleld. CA 93301 (805) 3263941 FAX (805) 395-1349 sum~,~ SaWCES RE: "Hold Open Devices" on Fuel Dispensers 2101 'H" Slreet Bakersfield. CA 93.301 (805) 326-3941 Dear Underground Storage Tank Owner: FAX (805) 395-1349 The Bakersfield City Fire Department will commence with our annual 1715Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks. Bakersfield. CA 9.3.301 (805) 326-3951 FAX (806)326-0576 The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire ENVIIIONMENTAL SElivlCES 1715 Chester Ave. Department now requires that "hold open devices" be installed on all fuel Bakersfield. CA93301 dispensers. The new ordinance conforms to the State of California guidelines. (805) 326-3979 FAX (805) 326-0576 The Bakersfield Fire Department apologies for any inconvenience this TilAINING DiViSiON may cause you. 5642 Victor Street Bakersfield. CA 9,3,308 (805) 399-4697 FAX (805)399-5763 Should you have any questions, please feel fi.ce to contact me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey BAKERSFIELD FIRE DEPARTMENT January 30, 1998 MICHAEL R. Y~LL¥ Heather Smith Gasoline Environmental Compliance ~Mm~m,~ 601 Union Avenue, Suite 2500 2101 'H" Street Bako~'flold. GA 9a,~OI Seattle, Washington 9810 l (805) 3264941 FAX (805) 395-1349 RE: Verification of Annual Maintenance on Leak Detection Equipment ~ m~ncra Located at Circle K, 2222 "F" Street in Bakersfield 2101 'H' Street Bake~fleld, CA 93301 (805) 326-,3941 Dear Ms. Smith: FAX (805) 395-1349 Our records indicate that no verification of annual maintenance on leak 1715 Chestef Ave. detection system has been submitted to this office since March 1, 1995. Bakersfle~o CA 93,1101 (805) 326-3951 FAX (805] 326-0576 Article 4, Title 23, Division 3, Chapter 16, CCR, requires that maintenance on leak detection systems be performed annually to certify that ENVIRONMENTAL SERVICES 1715Che~e~Ave. equipment is in good working order. Bakersfield, CA 93301 (80~) 326-3979 FAX(806) 326-0676 This office requests that you provide the annual certification within the next 30 days (March 1, 1998). Failure to comply will result in further ~.~M~ ~,~ enforcement action. 5642 Victor Street (~) ~,z~697 If you have any questions, please call me at (805) 326-3979. FAX (805) 399-5763 Sincerely, Ralph E. Huey Director Office of Environmental Services by: Steve Underwood Underground Storage Tank Inspector SBU/dm CQJJlRECTION N OTI CIJ: BAKERSFIELD FIRE DEPARTMENT N-°038~ Location Sub Div. °~c~- ~ D~', . Blk. ~t You are hereby required to make the following cor~ctions at the above location: Cot. ~o J gomp]etion Date fo,' Corrections/), -~/J)- ~/~ Inspector 326-3979 ~~"=' ~" ~kersfleld Fire Dept. MATERIALS INSPE~___,_=,,~.,,,~ OFF~IIr OF ~rZVV/~O/W,~.~Vr,~L S~.~ V~C~S ~:,-~ 1715 Chester Ave. ~ Bakersfield, CA 93301 Date Completed Business Name: ~_t~rc(c. ~ Location: ~a..l.m ~ Business Identification No. 215-000 ~/q 3 (Top of Business Plan) Station No. Shift Inspector Arrival Time: q,. s"'.z ,¥,,, Departure Time: Inspection Time: Adel~e Inadequate Adel~te Inadequate Address Visable [] Emergency Procedures Posted El Correct Occupancy [3/' [] Containers Propedy Labled ~ [] Verification of Inventory Materials [] Br/ comments: verification of Quantities [] Verification of Location I~ [] Verification of Facility Diagram I~ [] Proper Segregation of Matedal 133// [] Housekeeping ~ ri Fire Protection 131/ r-I Comments: ~_~.~¢~h-l-¢~? ~ ~vof ,¢.,~ ,~,~tc ~.~{,,f Electrical ~ [] Comments: Verification of MSDS Availablity 1~ [] UST Monitoring Program [] Number of Employees: ~ Comments: .~ .~.~,,~ ll~,~u~d/~l~, Verification of Haz Mat Training I:~ [] Permits ~ [] Comments: Spill Control I~. [] Hold Open Device ~ [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures ~ [] Proper Waste Disposal Comments: Secondary Containment I:~/ [] Secudty Special Hazards Associated with this Facility: ~O(t ~"O_. ~hCDNO / _.,, All Items O,K [],. ~ Business Owner/Manager PRINT NAME ~;IGNA~'UR"'~E Correction Needed 1:31/' ~ White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy " EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitonn8 program must be. kept at the UST location at all tunes. Thc information on this monitoring program are conditions of the ope,rating permit. The permit holder mtt~ nonf7 the Office of Environmental ,~l::e~ within 30 days of al~y ¢ ~]~ll~q~ to the momtonng procedures, unless required to O~tnin appl~ b~ofe making th~ ~_h~nge. Required by. Set, ohs 2632(d) and 26~1(h) CCR. Facility Name Facility Address 1. If an unauthorized rell ase occurs, how will the hazardous substance be cleahed up? Note: If released hazardous ~ ,ubstances reach the environment, increase the fire or explosion clean~ up from the secondarv containment within 8 hours, or deteriorate no~ the secondary containment,' then the Office o~'Environmental Services must be notified witi~n 24 hours. 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. 3. Describe the location ahd availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work n~s~ay under the resl~onse plan: WRI EN MONITORING PROC URES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitorm$ program must be k~-pt at the UST location at all titm~ Tim infmmation on this monilmix~ program am condi~ons of the operating pcrm/c ~ permit holder must no,fy the Office of Envimmnmml S~ce~ within 30 day~ of ally c. ha~ to th~ monitonng procedures, units required to o~nin ~ ~ making the change, Required by Se~o~ 2632(d) and 2641('n) CCR. Facility Name Facility Address A. Describe the fi-equency of performing the monitoring: Tank Pipin~ B. What methods and equipment, identified by name and model, will be used for perfoming the monitoring: Tank Piping C. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment: E. Reporting Format for monitoring: Tank Piping F. Describe the prevemive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenance schedule but not less than every 12 months. G. Describe the training necessary for the operation of UST system, including pipins, and the monitoring equipment: UNDERGROUND STORAGE Bakersfield Fire Dept. FACILITY NAME (~l~clc_ ~*. BUSINESS I.D. No. 215-000 ~-~ FACILITY ADDRESS c3~ ~ ~_ F ~F. CIW .~¢rs~/~ ZIP CODE FACILI~ PHONE No. .~3~~ / 7~ INSPECTION DATE ~/,~4/f 7 ~ P~U~ TIME IN TIME OUT In~ ~te In~ ~te INSPECTION ~PE: ROUTINE ,~ FOLLOW-UP REQUIREMENTS ~b. F~ c Suma~ lc. O~mting F~ Pa~ ld. State Sumharge Paid le. State,hr of Fina~ial R~ibili~ Su~ lf. Wr~en Contm~ E~sts ~n ~er & O~mt~ to O~mte UST 2a. ~lid O~mting Pe~ ~. Approv~ Wr~en Ro~ine Monitoring Pr~ure 2c. Una~ho~ Rel~ Res~n~ P~n ~. Tank Int~ri~ Test in Last 12 Months ~. Pm~ur~ Piping Int~ri~ Test in Last 12 Months ~. Suction Piping ~ghtn~s Test in Last 3 Yearn ~. Gmv~ F~ Piping T~htn~ T~t in ~ 2 Y~m ~. T~t R~uRs Subm~ Within ~ Da~ 3f. Dal~ ~sual MonRoflng of Su~ Pr~ Piping ~. Manual Invento~ R~ncil~tion Each ~nth ~. Annual Invento~ R~ciliati~ Stateme~ Su~ ~. Metem Calibmt~ Annually 5. W~k~ Manual Tank Gauging R~rds f~ Small Tan~ 6. Monthly Statisti~l Invento~ R~nciliation R~uRs 7. M~h~ A~atic Tank Gauging R~uRs 8. Ground Water MonRoHng 9. ~ Uon~o~ng 10. Continuous Intemt~ial Mon~oHng f~ Doubl~Wall~ Tan~ 11. M~hanical Line Leak D~tom 12. El~tmnic LI~ Leak Det~ 13. Continuous Piping MonRodng in Sum~ 14. A~omatic Pump Shrift Ca~bil~ 15. Annual Maintenan~Calibmtion of Leak Det~i~ Equi~ 16. Leak Det~tion Equipment and T~t Meth~s LIst~ in LG-113 17. Wr~en R~rds Maintain~ ~ S~e 18. Re~ Changes in U~g~Cond~s to O~mti~~ Pr~ur~ of UST S~tem WRhin ~ Da~ ~. Appmv~ UST S~tem Re,irs a~ U~md~ 21. R~ds Sh~ng Cath~ic Prot~ion Ins~ ~. S~r~ ~n~ng Wells ~. Dr~ Tu~ .E- NS.ECT,ON TE / 7 .ECE VED NSPECTO : OFF CE TELEPHONE No. ._,- THE CIRCLE K CORPORATION ~ CONVENIENCE FOOD STORES I~: i I,::2" .- ? ~ . '"'- · .... II/ October 18, 1996 ' I!,.. .: ..~, Bakersfield Fire Department Hazardous Materials Division UST Section ~-.-~..:~ .... 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: N~liance Co_ntact Dear Agency: .&reas of responsibility within the Circle K company have been reassigned since it's purchase by Tosco Corporation. Please note that yoo_r new contacts for California regardiitg gasoline compliance issues are Ms. Heathm' Smith and Mr. Chris Syberg at the following address: Circle K Stores inc. Gasoline Environmental Compliance -- 601 Union Sb'eet, Suite 2500 Seattle, Washington 98101 Phone: (206)442-7378 or 442-7078 Change becomes effective upon your receipt of this notice. Respectfully, Regional Compliance Coordinator cc: Heather Smith Chris Syberg P.O. BOX 52084 · PHOENIX, AZ 85072-2084 · (602)437-0600 CERTIFICATION OF FINANCIAL RESPONSIBILITY Circle K Stores Inc. (including its affiliates and subsidiaries) hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism: {}280.96 - Guarantee of The Circle K Corporation Amoum of Coverage: $2,000,000 in the aggregate. Effective Period of Coverage: May 1, 1996 until revoked or replaced by notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Corrective action and th/rd-party compensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising fi.om the operation of underground storage tanks. CIRCLE K STORES INC. and its affiliates and subsidiaries Its: Executive Vice President - Finance Date: April 22, 1996 WITNESS Name: Cortlan~ J. Silver Its: Assistant Secretary Date: April 22, 1996 TOND\~CJS\4828CS 1 CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 (602) 437-0600 · Fax (602) 530-5147 {~ Pn'nted on Recycled Paper with Soy Ink ~IRCLE-,K STORES INC. SCHEDULE B 4/22/96 STORE STREET CITY ZIP COUNTY STATE 00750 2715 CENTER ST ROSAMOND 9356 KERN CA 00770 49594 29 PALMS HWY MORONGO 9225 SAN CA 00777 1005 MISSION RD FALLBROOK 9202 SAN DIEGO CA 00801 18965 VAN BUREN BLVD WOODCREST 9250 RIVERSIDE CA 00837 17671 GRAND AVE LAKE ELSINORE 9233 RIVERSIDE CA 00838 35472 DATE PALM DR iCATHEDRAL CITY! 9223 RIVERSIDE CA 00858 18465 HWY 18 APPLE VALLEY 9230 SAN CA 00872 13261 PERRIS BLVD MORENO VALLEY 9238 RIVERSIDE CA 00902 6940 OLD WOMAN SPRG YUCCA VALLEY 9228 SAN CA 00903 68-258 RAMON RD CATHEDRAL CITY 9226 RIVERSIDE CA 00951 5809 MANZANITA AVE CARMICHAEL 9560 SACRAMENTO CA 00956 6825 GREENBACK LN CITRUS HEIGHTS 9562 SACRAMENTO CA 00977 i739 ARDEN WAY SACRAMENTO 9581 SACRAMENTO CA 00989 12854 FOOTHILL ETIWANDA 9173 SAN CA 01023 80-100 HWY 111 INDIO 9220 RIVERSIDE CA 01028 1665 W HANFORD- HANFORD 9323 KINGS CA 01034 15853 MAIN ST HESPERIA 9234 SAN CA 01045 11408 VENTURA AVE OJAI 9302 VENTURA CA 01057 5555 HEMLOCK SACRAMENTO 9584 ~SACRAMENTO CA 01070 795 E PERKINS UKIAH 9548 MENDOCINO CA 01096 500 RIMROCK RD 3ARSTOW ~9231 SAN CA ,01102 ;4833 SHASTA DAM BLVD PROJECT CITY 9607 SHASTA CA 01106 1693 CENTRAL AVE MCKINLEYVILLE 9552 HUMBOLDT CA 01118 1200 N CREST DR CRESCENT CITY 9553 DEL NORTE CA 01156 1263 FRANKLIN AVE YUBA CITY 9559 SUTTER CA 01161 1395 PALM WASCO 9328 KERN CA 01173 11370 BARDSLEY TULARE 9327 TULARE CA 01178 1428 SKYLINE AVENAL 9320 KINGS CA 01197 6930 MORRO RD ATASCADERO 9342 SAN LUIS CA 01205 16470 CAMBRIDGE LATHROP 9533 SAN JOAQUIN CA 01212 600 RIO TIERRA AVE SACRAMENTO 9583 SACRAMENTO CA 01215 1421 OCEAN LOMPOC 9343 SANTA CA 01232 4381 EL CAMINO REAL ATASCADERO 9342 SAN LUIS CA 01242 3232 STII~E ROAD . BAKERSFIELD 9330 KERN CA 01244 9408 KIEFER BLVD SACRAMENTO 9582 SACRAMENTO CA 01270 5634 STINE RD BAKERSFIELD 9331 KERN CA 01271 697 STATE ST SAN JACINTO 9238 RIVERSIDE CA 01274 44046 N JACKSON ST INDIO 9220 RIVERSIDE CA 01315 2585 JENSEN AVE SANGER 9365 FRESNO CA 01326 8101 LANDER AVE HILMAR 9532 MERCED CA 01327 1860 MAIN ST MORRO BAY 9344 SAN LUIS CA 01329 11 MARKET ST COLUSA 9593 COLUSA CA 01330 671 G ST LINCOLN 9564 PLACER CA 01332 215 HARDING BLVD ROSEVILLE 9567 PLACER CA 01337 19615 PEACEFUL OAK RD SONORA 9537 TUOLUMNE CA 01340 1506 SACRAMENTO AVE BRYTE 9560 YOLO CA 01355 111 EAVEK LANCASTER 9353 LOS ANGELES CA 01361 10785 COLOMA RD RANCHO 9567 SACRAMENTO CA. Locations Covered by 40 CFR Section 280.96 Page 12 of 40 K STORES INC. SCHEDULE B 4/22/96 STORE STREET CITY ZIP COUNTY STATE 05217 12512 KNOTT AVE GARDEN GROVE 9264 ORANGE CA 05221 8609 GARVEY AVE ROSEMEAD 9177 LOS ANGELES CA 05224 1880 E 4 ST ONTARIO 9176 SAN CA 05230 16408 ORANGE PARAMOUNT 9072 LOS ANGELES CA 05232 16760 CARNELIAN ALTA LOMA 19170 SAN CA 05233 16880 SLOVER FONTANA !9233 SAN CA 05234 12105 PIONEER BLVD NORWALK '9065 ~LOS ANGELES CA 05236 1695 ROYAL AVE SIMI VALLEY 9306 VENTURA CA 05237 510 E LOS ANGELES AVE SIMI VALLEY 9306 VENTURA CA 05238 765 W HARVARD BLVD SANTA PAULA 9306 VENTURA CA 05239 2734 DEL ROSA SAN 9240 SAN CA 05240 3008 N E ST SAN !9240 SAN CA 05242 3405 E HIGHLAND SAN 19240 SAN. CA 05244 16125 BASELINE FONTANA 9233 SAN CA 05245 6105 CLAY PEDLEY 9250 RIVERSIDE CA 05246 3350 COLLEGE BLVD OCEANSIDE ~9205 SAN DIEGO CA 05247 5804 MISSION BLVD RUBIDOUX 9250 RIVERSIDE CA 05248 3950 PIERCE ST RIVERSIDE 9250 RIVERSIDE CA 05249 105 S PEPPER SAN 9241 SAN CA 05250 190 W SAN MARCOS BLVD SAN MARCOS 9206 SAN DIEGO CA 05251 1801 E ORANGETHORPE PLACENTIA 9267 ORANGE CA 05252 518 W FOOTHILL RIALTO 3237 SAN CA 05253 920 W BLOOMINGTON RIALTO 3237 SAN CA 07953 481 SWEETWATER RD SPRING VALLEY 9207 ~SAN DIEGO CA 08545 1161 E VALLEY PKWY ESCONDIDO 9202 SAN DIEGO CA - 08563 1419 CROWELL LIVINGSTON 3533 MERCED CA 08581 1666 ALPINE BLVD ALPINE 9200 SAN DIEGO CA 08605 5600 AUBURN ST BAKERSFIELD 9330 KERN 'CA 08606 1030 OAK ST BAKERSFIELD 9330 iKERN CA 08607 1564 N BLACKSTONE FRESNO 9370 FRESNO CA 08636 4125 PHELAN RD PHELAN 9237 SAN CA 08640 20920 BEAR VALLEY RD APPLE VALLEY 9230 SAN CA 08641 - 295 N WATERMAN AVE SAN 9240 SAN CA 08644 11718 AIRBASE RD ADELANTO 9230 SAN CA 08671 8606 THORNTON RD STOCKTON 9520 SAN JOAQUIN CA 08675 8899 LA MESA BLVD LA MESA 9204 SAN DIEGO CA 08680 80980 HWY 111 INDIO 9220 RIVERSIDE CA 08686 2220 WESTWOOD REDDING 9600 SHASTA CA 08688 10520 CAMINO RUIZ SAN DIEGO 9212 SAN DIEGO CA 08734 247 E OLIVE AVE FRESNO 9372 FRESNO CA 08735 2097 MENTONE BLVD MENTONE 9235 SAN CA 08755 2790 WHITSON RD SELMA 9366 FRESNO CA 08767 2850 CAMERON PARK DR CAMERON PARK 9568 EL DORADO CA 08825 2222 F ST BAKERSFIELD 9330 KERN CA 08843 1640 CARPENTER RD MODESTO 9535 STANISLAUS CA 00254 799 6 ST DURANGO 8130 LA PLATA CO 00888 300 E PAGOSA PAGOSA 8114 ARCHULETA CO 01609 105 S 2 ST LA SALLE 8064 WELD CO Locations Covered by 40 CFR Section 280.96 Page 14 of 40 ENCLOSED PLEASE FIND: 1. CIRCLE K STORES INC. MOST CURRENT FINANCIAL RESPONSIBILITY CERTIFICATION 2. LIST OFGASOLINE ~A TTTT~_~C · .~C.,~,, ~o LOCATED WITHIN YOUR JURISDICTION IT IC A hTTTF'TT) A T~'I-~ TT_T A T X/f-~TTD A F-"IC'~T/-%/IATTT l KEEP A COPY IN EACH STORE FILE. A COPY WILL BE RESIDENT AT EACH FACILITY. DT U .*. c,U /",r'XXT,T, ~t ~-',,-r, a ~r'rT. TT7 ~//'"%T T TT A '1 T'i'7. A QUESTIONS AT (602)530-5113 RUTH BULMER SR. COMPLIANCE COORD. Bakersfield FD St~t~ of Cal~mia St~ Wau:r Reaourc~s Control Bo~ CERTIFICATION OF FINANCIAL RESPONSIBILI FOR UNDERGROUND STO~ TANKS C~NING P~O~UM required to demonsua~ ~mancial Re~nsibai~ in the required nmounu as s~e~ ~ ~ ~?, Chap~r 18, D~. 3, ~fle 23, ~: w ~D or ~ I million dollirs ~r ~u~en~ ~ 2 miBion dollars annul a~elate B.CIRCLE K STORES INC. ~ /LPFILIATES hereby certif'~es that it S i~ compliance with the requirements of Section 2807, Arlic~ 3. Chapter 18, Division 3, 7?tie 23, California Code of Regulations. 7'ne mechanisms used to demonstrate financial responsibility, as required by Sect~n 2807are as follows: C. Mechamsm NarneandAddressoflssuer. Mechanism I Coverage. Coverage {CorrectlveIThirdParty ,.~/-?e "" ,ur'aber , Amount Period , Action IComP, .H- c. RCL- co o ..o. 28o.9 I.ooo.ooo co..z.uo.s , .18TH FLOOR PHOENIX, ARIZONA 85012 Note: If y~u are using the State Fund as any part of your demonstraSon of rhea;cml responsibility, your execution and submission of thb cerlificat/on also cert/fies that you are in compliance with all conditJo~-~ for participation in the Fund. Circle K Store ~8825 [2222 "F" St., Bakersfield~ F~.? .~ z=,c F~:~it3, Circle g Stor~ #1270 5634 StOne.' Rd., Bakersfield Circle g Store ~8605 5600 Auburn St., Bakersfield F~.~N~e F~iliry ~/t~s · Circle K Store '#8606 1030 Oak St., Bakersfield Circle K S~ore #1242 3232 Stine Road, Bakersf±eld -~ ~ ' MYRON W. SbiTTH.. MANAGP. R '--~'-~: ~ LA_J. ~.. Y~¥ 1~ 1996 ENVTRONMENT~J~/C-~SOL-rNR COM. PLI/~C~ ~y 1, 1996 SR. GASOLINE CO~L[~CE CO0~INA~R CERTIFICATION OF FIN.~qCL4~L RESPONSIBILITY Circle K Stores Inc. (including its ~ffiliates and subsidiaries) hereby cenities that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism us,.~ to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism' {}280.96 - Guarant~ of The Ckcle K Corporation Az'nount of Coverage: $2,000,000 in ~e a_.....~egate. Effective Period of Coverage: May 1, 1995 until revoked or replaced by notice to the Implementing Agencies gaed on the ar, ached E~nJSit A. Coverage: Corrective a,.~ion mhd t~rd-p~,'-D.' compensation for bodLIv injuu' and proper-ry., damage caused bv sudden and nonsudden accidental releases arising from the operation ofundergound storage tanks. CIRCLE K STORES ~'C. and its affiliates a~':d subsidiaries Its: Executive Vice President - Finance Date: Aai-il 22, 1996 x,X'ETN_ E S S Name: Conlan/~i J. Silver Irs: .~sistant Secretary Date: April 22, 1996 TOND'xvCJS\4828CS 1 CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 April 26, 1996 Agencies listed on the Attached Exhibit A Re: Financial Responsibility under 40 CFR part 280 To Whom it Ma5, Concern: I am enclosing information relating to Circle K's requirement to provide financial responsibility for the ownership and operation of underground storage t~nks pursuant to 40 CFR pa~ 280. Contrary to the information sent you in my letter of Januars.' 16, 1996, Circle K will be utilizing a guarantee under 40 CFR 280.96 rather than the financial test of self-insurance under 40 CFR 280.95. 'As such, the standby trust agreement with Bank One Arizona, A.Z. wilt continue to e~st. This change does not affect the amount of coverage required or provided by the company in complying with the regulations. The packet includes a Certification of Financial Responsibility, the Guarantee of The Circle K Corporation and the Letter from our Chief Financial Officer. You Will note that the packet includes an updated tank list for each of your states. Please forward this notice to the appropriate person in your agency. You may direct any questions to me at (602)530-5138. Very truly yours, Co~land J.,"~ilxW ,er, Jr. i ,~sistant Gener~ Ceunse! CJS/tm 4849C$ l.DO3 CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · RO. Box 52084 · Phoenix, AZ 85072-2084 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST ...... -PEPSIT TO~OPE~TE ~ OPE~TORS N~E ~ ~ ¢~o~J~ O~ERS N~E ~ ~BER OF T~S TO BE TESTED O IS PIPING ~ING TO'BE TESTED T~ VOL~E CONTRAS TANK TESTING COMPANY -q~,~ ~u,~m~DDRESS j TEST METHOD ~ F~ ~, L~- ~ N~E OF TESTER ~~ ~ CERTIFICATION ~ ' ' ~APPROVE~BY:~ 'DATE SIGNATURE OF APPLIC~T Envkonmenta[, Inc. Honito~ Cer~ificat ion Inspection MANUFACTURER & MODEL SERIAL ~: ~ ~~ STA~S: '~_. ANNULAR SENSORS PASS ~C, N/A~ __~ROSTATIC PASS.__ N/~__ __VALSE SENSORS PAS~__ N/A ~ ~ LINE PRESSURE PASS~. N/A __SUMP SENSORS PASS N/A ~, (DM PRODUCT LINES) ~EN MONITOR IS TURNED OR OR IN A~ ~ES ~E TURBINE ~UT DO~? YES ~ . NO SUCTION__ INSPECTED BY' TEC NIC ^ t 72 \VEST VERI)(/GO AVE., BURBANK, CA 91502.2132 - TEl.: (818) 840.7020 - FAX: ($15) 840[6929 ~RRECTION' N 0 T~C E BAKERSFIELD FIRE DEPARTMENT "~ '? Location 0__', ~Zt~¢)~ )~, Sub Div. ~?,_h,9,., "F 5'+ . BIlbo Lot You are hereby required to make the following corrections at the above location: got. ~.-- . , // -~ ~ompletion Date for'Corrections Date ?/P,-Z// '~ ,/~"~-- ,..: 326-3979 ..i UNDERGROUND STORAGE INSPECTION ,, ..... Bakersfield Fire Dept. !i Bakersfield, CA 93301 FACILITY NAME (~?; eO..(_~ ~.. BUSINESS I.D. NO. 215-000 ~-)~ FACILITY ADDRESS ~-'2,~'~,, ~ ~ Cl~~~~( ZIPCODE .~/ FAClLI~ PHONE No. INSPECTION DATE I _ _ P~u~ Pr~u~ Pr~u~ TIME IN TIME OUT INSPECTION ~PE: ~o~ ~ ~ ' ~ Size Size S~e ROUTINE ~ ~FOL~OW-UP ~REQUIREMENTS yes no ~a yes no ~a y~ no ~a , ,P ,;; . la. Forms A & B Sub~i~ed, lb. Form C SubmiR~ ,- ": lc. O~rating F~s Paid' ld. State Surcharge Paid le. Statement of Financial Res~nsibili~ Submiffed lf. Wriffen Contract Exists ~een Owner & O~rator to Operate UST 2a. Valid O~mting Permit 2b. Approved Wdffen Routine Monitoring Pr~edure 2c. Unauthorized Release Res~nse Plan 3a. Tank Integrity Test in Last 12 Months ,~/~ /~_~ 3b. Pressurized Piping Integrity Test in Last 12 Months ~. Suction Piping Tight~ess Test in Last 3 Years ~. Gravi~ Flow :Piping Tightness Test in Last 2 Years ~. Test Results Submiffed Within 30 Days 3f. Daily ~sual Monitoring of Suction Pr~uct Piping ~. Manual Invento~ Reconciliation Each Month ~. Annual Invento~ R~onciliation Statement Submiff~ ,~~ ~. Meters Calibrated Annually 5. Weekly Manual Tank Gauging R~ords for Small Tanks 6. Monthly Statistical Invento~ Reconciliation '~esults , 7. Monthly Automatic Tank Gauging Results x~ 8. Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. M~hanical Line Leak Detectors 12. El~tronic Line Leak Det~tors 13. Continuous Piping Monitoring in Sumps 14. Automatic Pump Shut-off Capabili~ 15. / :~nnual Maintenance/Calibration of Leak Detection Equipment 16./ Leak Det~tion Equipment and Test Methods List~ in LG-113 Series 17~ Wri~en Records Maintained on Site 18. RepoSed Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within ~ Days 19. Repg~ed Unauthorized Release Within 24 Hours 20. Approved US~System Repaim and Upgrades 21. R~ords Showing Cathodic Protection Ins~tion 22~ Secured Monitoring Wells 23. Drop Tu~ RE-INSPECTION DAYE , ~ ~ RECEIVED BY: FD 1~9 (rev. 9/95) "WE CARE" FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF October 20, 1994 326-3911 ,, ,, CIRCLE K CORP #8825 SHARON CONLEY P O BOX 52084 PHOENIX, AZ 85072 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 ate Underground Hazardous Materials Storage FacilitY CONDITIONS ~::~ ,P~!~:~i~ ~!~ ~EVERSE SIDE Tank Hazardous G.~ii:~=~?iiiii~i~!i??;? .... Yea~iii!iiiiii?:~.:::~.. :i? i:~'.:~ank "~::':;::~i~i~iiii:.iiiii:.ii:!i!!!::::~.. Piping Piping Piping Number Substance apac.~ty~:~:'/:;::'' In~'{~i~:~;:::: ~.~'~::~Type Moh~t6.~idg~?.::..::~. Type Method Monitoring ,~[::::.,-....'.::::~ :::::::::::::::::::::: ~;?' .: I ~,~ UL ~/~ ~ ::::::~:...... .... .:.~:.:.::?.~..~ ....... :~?..'-.~ ....... :.-:~ .......................... Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION ............ 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 ~'~ , C ~ o I Approved by: ,rom.._~>~ ,.~,, ~..u.y..~zar,ou~ ~a~.r~.~ Coo,,.n.~or V~., Monitor Cert ificat~ion Inspection ~en signed by ~ authorized tOc~lcl~, this c~rtlfiss that th~ alarm p~l and th~ s~nsors are in th~ oo~r~ot ~sition, ~d the ~ystem is opera%ing props rly. ADDRESS ~ / ~ C g ~ ~ '~ ~~ DATE ~-- ] 199~ ~NUFACTURER & MODEL SERIAL ~- SYS~ STA~S:' ANNULAR SENSORS PASS ~ N/A__ __.~DROSTATIC PASS N/A ~ VADOSE SENSORS PASS.__ N/A '~ nINE P~SSURE PASS ~ N/A~ ~SUMP SENSORS PASS.__ N/A ~ (D/W PRODUCT LINES) WHEN MONITOR IS TURNED OFF OR IN ALARM DOES ThE TURBINE SHUT DOWN? YES ~ NO.__ SUCTION INSPECTED BY- TECHNICIAN SIGNATURE: 172 \VEST VERDUGO AXLE., BURBANK, CA 91502-2132 · TEL: (818) 840-7020 . FAX: (8t8) 840'L6929 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY ~zRu/~-~/~' ~5-'- ADDRESS JJm ~ /~ J>~ PE~IT TO OPE~TE % ,/~c 3~C - ~ OPE~TORS N~E ~:/2~ ~ ~o,~.?. O~ERS N~E ~3/~_/~ ~ C~.e/~. ~ER OF T~S TO BE TESTED 7 IS PIPING ~ING TO'BE TESTED TANK# VOLUME CONTENTS TANK TESTING COMPANY 7-2?,..~,v(~/~: ~:v.~H~/~-~i~.~/ADDRESS TEST METHOD ~-~ ~'o o ~ ~ ;~ -3 N~E OF TESTER ~,:~- i~ ~ CERTIFICATION APPROVED BY: W'D]%TE ~IGNATURE OF APPLICANT Trianule Envir onmental, Inc. 172 West Verdugo Ave., Burbank, California 915(D2 FTA LEAK DETECTOR TEST DATA SHEET Product Serial Number Drain Trip Test Funct. Tripping Pass Type Detector Style Back Time Rate Ele. Pressure~ or ml sec ml/min psi psi Fail DLD PLD, XLD XLP VPR DLD PLD XLD XLP VPR DLD PLD XLD XLP.WPR I certify the above tests were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical Leak Detector Test pass/fail is determined using a low flow threshold trip rate of 284 ml per minute or less at 10 psi as set by Red Jacket Pumps Field Test Apparatus ~esting procedure. Copyright (c) , Triangle Env%.ronmental, Inc., January 1991. NRL Tria'ngle Environmental, Inc. .. 172 West Yerdugo Ave., Burbank, CA 91502 T.E.I LT-3 Hydrostatic Product Line Test Result Sheet START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE RATE RESULT PASS/ 00:00/ML 00:00/ML (psi) (GPH) FAIL I certify that the above line tes'ts ~ere conducted on this date 8ccording to the equipment manufacturer's procedures and limit~tions and the results 8s listed ~re to my knowledge true and correct. NOTE: The test data collection time period must be fifteen minutes. The 'test pass/fail is determined using a threshold of 1~ per hour (~.~5 GPH) rate at 15~X working pressure or 5~ psi which ever is less. The GPH rate is calculated as: ml/ Copyright (c) TrXangte Env&ronmental, Inc., IJAZARDOUS MATERIALS DIVISIbN 2130 G Street, Bakersfield, CA93301 (sos) 326-3970 UNDERGROUND TANK QUESTIONNAIRE I. FACILITY/SITE No. OF TANKS 3 DBA OR FACILITY NAME NAME OF OPERATOR CIRCLE K STORE #8825 I CIRCLE K STORES INC ADDRESS [ NEAREST CROSS STREET PARCEL No.(OPTIONAL) 2222 "F" STREET CITY NAME I STATE ZIPCODE RAKRR.qFiRI.D {CA 93301 ,/ BOX TO INDICATE ~j~CORPORATION [~{NDIVIDUAL [-]PARTNERSHIP [-] LOCAL AGENCY DISTRICTS [-~ COUNTY AGENCY [~ STATE AGENCY [~FEDERALAGENCY TYPE OF BUSINESS ~ I GAS STATION ~ 2 DISTRIBUTOR KERN COUNTY PERMIT Q3FARM Q4 PROCESSOR ~5OTHER TO OPE"~TE NO. 16003'8C EMERGENCY CONTACT PERSON (PRIMARY'/ EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE I DAYS: NAME (LAST. FIRSl) PHONE No. WITH AREA CODE Pletcher. Dave (805)324-1758 NIGHTS: NAME (LAST. FIRS]) PHONE No. WITH AREA CODE I NIGHTS: NAME (LAST. FIRSl~ PHONE No. WITH AREA CODE NICHOLSON, TERI (805)335-6032 II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION CATALINa/BARBER CORP. MAILING OR STREET ADDRESS ,,' BOX [~ INDIVIDUAL [~ LOCAl: AGENCY [~ STATE AGENCY 500 OAK STREET TO,ND,CATboR]~J~i~EN {21COUNTY AGENCY Q~EDE,AL CITY NAME STATE ZIP CODE PHONE NO. WITH AREA CODE BAKERSF I W.T.D CA 93304 unk Ill. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION CIRCLE'K STORES INC. GASOLINE COMPLIANCE MAltING OR STREET AODRE:SS ,/BOX [~ INDIVIDUAL [~ LOCAL AGENCY [~ STATE AGENCY P O. BOX 52084 ,O,ND,CATboRi~J~)N OCOUNTYAG~NC¥ QFEDERALAGENCY ' CITY NAME STATE IZIP CODE PHONE No. WITH AREA CODE PHOENIX AZ I 85072 (602)437-0600 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE 1 MAR. 1987 10,000 unleaded regular ga_~o_, ~_ne N 2 MAR 198'7 10 000 unleaded-plus - · g=se_. -- ne N 3 MAR. 1987 10 000 - unleaded premium · g~o_, ~ n~ N Y/N Y/N Y/N DO YOU HAVE FiNANCIAL RESPONSiBiLiTY? G Type December 2, 1994 Mr. Mark Turk Bakersfield City Fire Department Hazardous Materials Division 1715 Chester Avenue Bakersfield, CA 93301 RE: UST Inspections/Corrections Circle K Stores 98605,8606,8825 Dear Mark: .Enclosed please find copies of Monitoring Plans, Response P~ans, 1994 line and leak detector test results, and 1994 monitor certifications for the subject sltes. The Monitoring plans and Response Plans were sent in July of this year to Kern County instead of your department for which I apologize. Repairs have not-been made to Tidel units which were previously used to record tank inventory levels only. Circle K requires each gasoline site to perform daily gasoline inventory reconciliation with manual sticking as daily standard operating procedure'regardless of what type of monitoring plan or monitoring equipment is in use. Ail 3 of the subject sites have a continuous monitoring type system'as evidenced by the attached copies.. The following information is in response to the comments for Store #8606, 1030 Oak St., : 1. Even though the store also utilizes manual inventory reconciliation, the primary monitoring type is the Leak Sensor II with 3 annular probes and 3 sump probes. There is a line leak detector on each product line and the leak detector will restrict product flow if a loss of pressure is sensed. You mention that there are no automatic line leak detectors at this site. Please let me know if you are referring to the leak detector or the probes? THE CIRCLE K CORPORATION 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 (602) 437-0600 {~ Printed on Recycled Paper with Soy Ink December 2, 1994 Mr. Mark Turk Bakersfield City Fire Department Page 2 2. Circle K performs monthly analyses on all gasoline facility inventory records. If any inventory variance is not within the State established limits for 2 consecutive months, the tank and associated piping is tested that is why you have 1994 test results for only' tanks #2 and 3. Tank ~1 was last tested on January 18, 1993 - results enclosed. This is a fiberglass double-~all tank system and Federal regulations require precision testing be performed once every 5 years. The State only requires testing at installation if a continuous monitoring system is used and at this site it is. Our Service department advised me that overfill container valves were repaired at Store #8605, 5600 Auburn Street, shortly after your inspection. Also, The Store Manager, Marcy, assured me that she will have the refrigerator that is blocking access to the tank monitor panel moved today. Circle K strives to remain in compliance with all regulatory agencies and anticipates that the information provided herein is as you requested. If you have questions, please contact me, Respectfully Ruth H. Bulmer Gasoline Compliance Coordinator California/Washington CC: Bob Staab. Myron Smith Versal Lindsay Larry Morris THE CIRCLE K CORPORATION 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 (602) 437-0600 PrintedonRecycledPaperwithSoylnk~ ~ ~0 R R E:C..T/O N NC~ICE BAKERSFIELD FIRE DEPARTMENT You are hereby required' to make the following corrections at the above location: Cot. No J ., /~,J ~~---.,~/~_,~_ ~-~.~ ~,,,-/,,.. ,~ ,~,~,,,.~- , -~ _ __ ., ' 326-3979 MONITORING PLAN FOR NEW UST'S INSTALLED 3AN. 1984 TO PRESENT REQUIRED BY SECTION 2634(B)(2),TITLE 23 CALIFORNIA CODE OF REGULATIONS FACILITY ADDRESS: Circle K Store ~8825 2222 F Street BakersfieId Kern County Phone: 805-324-1758 MAILING ADDRESS : Circle K Corporation Gasoline Compliance P. O. Box 52084 Phoenix, Arizona 85072 In use at this site is a RONAN X-76 continuous electronic monitoring system with 6 LIQUID probes located in the 3 ANNULAR AND 3 IN-LINE . Tanks are double-~all fiberglass, installed in MAR. 1987 and have overfill device and spill containment. Lines are double-wall fiberglass and tested annually as well as the leak detectors. The Store Manager is responsible for performing a daily system check at the monitor panel located in the storage room and recording the findings on a nearby log. Any malfunctions or alarm conditions are to be addressed immediately and reported to our Service Department. Training is provided by a qualified Circle K Instructor in class and on the job by a Store Manager. Awareness of equipment performance problems and familiarity with emergency shut-off switch is stressed to all employees. Also stressed is the critical point of accurately recording daily inventory levels to the nearest eighth of an inch and immediate investigation of any inventory variance that is not within the State allowable limits. The monitoring system is inspected annually by TriangIe EnvironmentaI and certified to be performing according to manufacturer's instructions. If any performance deficiencies are noticed° the system is repaired, retested and then certified. Results are maintained at store site in the HMMP binder and in Corporate Office gasoline compliance files. RESPONSE PLAN FOR RENOVAL OF UNAUTHORIZED RELEASE FRON SECONDARY CONTAINNENT As required by 23 CCR, Div. 3, Chapter 16, Article 3, 2632(e)(2) CIRCLE K STORE ~8825 1. Upon recognition of a suspected unauthorized release from the primary containment to the interstitial space of elther a double-contained tank or product line, or a suspected breach in the secondary containment, store personnel w111 notify the Gasoline Compliance Manager at (602)530-5089 or Pager No. (800)946-4646 Pln No. 229-6801. 2. The Gasollne Compliance Manager will arrange for a qualified contractor to verify the suspected breach of primary or secondary containment and/or verify proper operation of the monitoring system. 3. Upon confirmation of loss of tank system integrity, the tank system w111 be taken out of service and product w111 be removed from the primary container. 4. The Gasoline Compliance Manager w111 authorize all work necessary under this plan. Representatives of the tank manufacturer will conduct an inspection of the leaklng tank to determine repairability and coverage under the manufacturers warranty. 5. All repalrs to the failed tank w111 be completed pursuant to the requirements of 23 CCR, Sectlon 2661, and by or under the dlrect super- vlslon of the tank manufacturer. 6. Upon completion of repairs, the tank will be precision tested in order to insure tank integrity. 7. Unauthorized releases to the interstitial space between primary and secondary containment will be removed under the supervision of, and in accordance with, the specifications and tank design of the manufacturer. The equipment required to accomplish this task will be specified and obtalned per the manufacturer recommendations. Contaminating materials will be properly transported and dlsposed of under manifest. 8.Reactivate monitoring system prior to bringing the UST system back into service. Questions regarding this response plan should be directed to Myron Smith, Gasoline Compliance Manager, at (602) S30-$089. PRINT NAME: MYRON W. SMITH TITLE: ENVIRONMENTAL/GASOLINE COMPLIANCE MGR. SIGNATURE: DATE: JUNE 29, 1994 T _~lan~le F_~__nviro~~].. In¢. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-7020 [gE I SY_STE~ 400 0 SU~IbI~RY SjHEET Precision Underground Storage 'rank System Leak Test WO/$ - N!79! Client' CIRCLE K CORP. P.O. BOX 52084 PHOENIX, AZ. 85072 Date' 3-14-94 County: KERN CO Site' CIRCLE K ~8~25 2222 F ST. BAKERSFIELD, CA. Tank Product Tank Tank/Lines Product Line Leak ~ Description Capacity Rate/Result Rate/Result Detector 1 UNLEADED 10000 +0.025 PASS -0.005 PASS PASS 2 UNL-PLUS 10000 +0.025 PASS -0.010 PASS PASS 3 PREMIUM 10000 +0.005 PASS -0.007 PASS PASS 4 5 6 Technician Name' J. RICH Date' .~-- / ~-~ Co~nents' ALL THREE TANKS HAVE OVER FILL PROTECTION AND WERE TESTED ABOVE 90%. This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA ~329 and EPA UST Technical'Standards Part 280 for precision testing systems. ............................................................................................................................... ," ..................... "'l I"" Brai*t:J..ng Temp,, (F) : '71,6'72 Level Ra. te (GI::'H) = (),028 F.i. na]. Rate (BF'H) := O, 005 Triangle Environmental: Inc _ 517 East Wilson Ave., Glendale, Cali£ornia ~91206 FTA LEAK DETECTOR TEST DATA SHEET Product Serial Number Drain -Trip Test Funot. Tripping] Pass Type Detector Style Back Time Rate Els. Pressure or. mi sec ml/min psi psi Fail D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R D~ P~ X~ X~ ~ I certify the~above tests were conducted on this date acoordinE to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical Leak Detector Test pass/fail is determined using a low flow threshold trip rate of 284 ml per minute or less at 10 psi as set by Red Jacket Pumps Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. MRL' Triangle Environmental, Inc. 517 East Wilson Ave., Glendale, CA 91206 T.E.I LT-3 Hydrostatic Product. Line Test Result Sheet START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE RATE RESULT ( ML/H ) PASS/ 00:00/ML 00:00/ML (psi) (rate*4) FAIL I certify that the above line .tests were ~conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. Tech.: Mfr's Cert.# NOTE: The test data collection time period must be fifteen minutes. The test pass/fail is determined using a threshold of 190 ml per hour (0.05 GPH) rate at 150% working pressure or 50 psi which ever is less. Copyright (c) Triangle Environmental, Inc., March, 1992. MRL · BAKERSFIELD FIRE DEPARTHENT / HAZARDOUS ~TER~AL DI~SION / 2130 ~ Street, Bakersfield, CA 93301~ (SOS) 326-3979 APPLICATION TO ~ERFOR~{ A TIGHTNESS TEST FACILITY Circle ~ ~8815 ADDRESS 2~22 F. St. Bakersfield: CA ........ ' 93304 PEK~IT TO OPERATE % 160038C , OPERATORS NAME ~lrci~_K ~or~. O%~NAN~ Circle K Cot,p, NU~ER OF TA1TKS TO BE TESTED_ 3 . IS PIPING GOING TO'BE TESTED_ TANK% VOLUT~ COI~:NTS 100,00 ..... Unleaded ~ I --1 ~000- I _premi u~Unl e~ded _ T~ TKS~G C~~_~nv~O~mg~-~ .T.~ ~D~SS 172 W. verd=go Ave~ · ' - ~ur~ank, CA 91502 ~ST ~0D TEI 4000 , .~ N~ OF TES~R Ja~es J. Rich CERTIFI~TION % 1072 ., STATE ~GIS~TION %. N/A DATK & TI~ TEST IS ~ BE CO~C~D .03/14/94. at 7:00 a.,m. , _ Environmental, Inc, Monitor certification Inspection This letter certifies that the monitor is in pl~ce, the prob~ ~re in.the correc~ position m~d ~he Ol~mfion of the system. TYPE AND MODEL OF. MONITOR'~f~IST,~-/)//Z~,~,o ×~g~H-xo~ -... .SY~M.~ON T~' PASS USED O~ P~S ~ ~ PASS C PRg~~ " ~EN MON~OR ~S.~O O~ OR ~ ~, ~0~ ~ ~~ S~ ~ ' ~ ~ NO is.~E.coNso~ ~E~D CO~~ ' ~' NO cOMME~; INSPECTED BY: · 172 W'EST. VERDUGO AVE., BURBANK, CA 91'502-2132 -'TEL:. (818) 840-7020 *.FAX: (818) 840:6929 ,,, CO R R ECTiJjO N NOTICE ' BAKERSFIELD FIRE DEPARTMENT '": ., Location ~ ,, Sub Div. r%.,.~,~ Blk. . Lot You are hereby required to make the following corrections at the above location: Cot. glo I Completion Date for Corrections i:~.,,'~.:;/?~ I~spector 326-3979 UNDERGROUND'S,TORAGE IK INSPECTI0 I Bakersfield Fire Dept. Bakersfield, CA 9330 FACILITY NAME 0;ec-~- ~" BUSINESS I.D. No. 215-000 FACILI~ADDRESS ~~ ~ 5~ , , CI~ ~~ ZIP CODE FACILI~ PHONE No. ~T - 0~ '~ TIME IN TIME OUT DL ~[~ '(j~ + P~~. INSPECTION ~PE: ~~ S~e SEe SEe ROUTINE FOLLOW-UP /0.,~ REQUIREMENTS ~ no lc. O~mtlng F~ Pa~ ~ ld. State Surchar~ Pa~ ~ le. Statement of Fi~ial Res~si~l~ Su~ ~ lf. W~en Contmd Exists ~n ~er & O~mt~ to O~te UST 2c. Una~ho~ Relea~ R~n~ Plan ~ ~. Tank Int~ T~t in Last 12 Months ~ 3b. Pr~ur~ Piping Int~ri~ Test in La~ 12 Months ~. Su¢t~n Piping ~ghtn~s Test in Last 3 Years ~. Gm~F~ Piping ~ghtne~ T~t in Last 2 Y~m ~. T~t R~s Subm~ Within ~ Da~ 3f. Dal~ ~suaI,Mon~odng of Suct~n Pr~u~ Pi~ ~ ~. Manual Inve~io~ R~cil~tion Each M~th .... ~. Annual Inve~ R~nciliation Staeme~ Su~ 5. W~kly Man~al Tank Gauging R~ds f~ Small Tan~ 6. Month~ Statistical Invento~ R~ciliati~ R~uRs 7. MonthN A~atic Tank Gauging R~uRs 8. Ground Water ~n~ing 9. ~r Mon~oring 10. Continuous ,ntemtRial Monitoring fm Doubl~Wall~ Tan~ ~ ~ 13. Continuous Piping Mon~odng in Sum~ ~ ~ ~ t~ ~ ~,~ ~ ..... 15. ~nnual Maintenan~Calibmtion of Leak ,Det~t~ Equi~ 't ~ 16. Leak Det~tion Equipment and,T~ Meth~s List~ in LG-113 ~ ~ 18. Re~ Chang~ in U~g~Cond~ions to O~mti~~ Pr~ur~ of UST S~tem WEhin ~ Da~ 19. Re~ Una~h~ Relea~ W~hin 24 Houm ~. Approv~ UST S~tem Re.irs a~ U~m~ .... 21. R~rds Sh~ Cat.lc Prot~ti~ Ins~ MONITORING PLAN FOR NEW UST'S INSTALLED JAN. 1984 TO PRESENT REQUIRED BY SECTION 2634(B)(2),TITLE 23 CALIFORNIA CODE OF REGULATIONS FACILITY ADDRESS: Circle K Store $8825 2222 F Street Bakersfield Kern County Phone: 805-324-1758 MAILING ADDRESS : Circle K Corporation Gasoline Compliance P. O. Box 52084 Phoenix, Arizona 85072 In use at this site is a RONAN X-76 continuous electronic monitoring system with 6 LIQUID probes located in the 3 ANNULAR AND 3 IN-LINE Tanks are double-wall fiberglass, installed in MAR. 1987 and have overfill device and spill containment. Lines are double-wall fiberglass and tested annually as well as the leak detectors. The Store Manager is responsible for performing a daily system check at the monitor panel located in the storage room and recording the findings on a nearby log. Any malfunctions or alarm conditions are to be addressed immediately and reported to our Service Department. Training is provided by a qualified Circle K Instructor in class and on the job by a Store Manager. Awareness of equipment performance problems and familiarity with emergency shut-off switch is stressed to all employees. Also stressed is the critical point of accurately recording daily inventory levels to the nearest eighth of an inch and immediate investigation of any inventory variance that is not within the State allowable limits. The monitoring system is inspected annually byTriangle Environmental and certified to be performing according to manufacturer's instructions. If any performance deficiencies are noticed, the system is repaired, retested and then certified. Results are maintained at store site in the HMMP binder and in Corporate Office gasoline compliance files. RESPONSE PLAN ~OR REHOVAL O~' UNAUTHORIZED ._ l~rr.~.~SE FROH SECONDARY CONTAINMENT As required by 23 CCR, Div. 3, Chapter 16, Article 3, 2632(e)(2) Upon recognition of a suspected unauthorized release from the primary containment to the interstitial space of either a double-contained tank or product line, or a suspected breach in the secondary containment, store personnel will notify the Gasoline Compliance Manager at (602)530-5089. 2. The Gasoline Compliance Manager will arrange for a qualified contractor to verify the suspected breach of primary or secondary containment and/or verify proper operation of the monitoring system. 3. Upon confirmation of loss of tank system integrity, the tank system will be taken out of service and product will be removed from the primary container. 4. The Gasoline Compliance Manager will authorize all work necessary under this plan. Representatives of the tank manufacturer will conduct an inspection of the leaking tank to determine repairability and coverage under the manufacturers warranty. 5. Ail repairs to the failed tank will be completed pursuant to the requirements of 23 CCR, Section 2661, and by or under the direct super- vision of the tank manufacturer. 6. Upon completion of repairs, the tank will be precision tested in order to insure tank integrity. 7. Unauthorized releases to the interstitial space between primary and secondary containment will be removed under the supervision of, and in accordance with, the specifications and tank design of the manufacturer. The equipment required to accomplish this task will be specified and obtained per the manufacturer recommendations. Contaminating materials will be properly transported and disposed of under manifest. 8. Reactivate monitoring system prior to bringing the UST system back into service. Questions regarding this response plan should be directed to Myron Smith, Gasoline Compliance Manager, at (602) 530-5089. BakMl~ekL Cal#omla 9~10S v ENVIRONMENTAL HEALTH DIVISION Lm M Hebed~n. M.D. TM~ (~)~1~6~ .." DIRE~OR OF ENVIRONME~AL H~LTH ' HA~RDOUS MATERIALS MANAGEMENT PROGRAM Date ~ Z~ -~'~ Underground Tank F~ility ~ ,/~O~ ~ Address ~2~ ~'~' ~ Assessors Parcel ~ NOTICE OF VIOLATION AND ORDER TO COMPLY The following conditions or practices observed this date are violations of one or more sections of the California Healt. h and Safety Code, Div. 20, or the California Administrative Code, Title 22, Div. 4, Chap. 30, relating to the "storage, handling, transportation, and disposal of hazardous waste" or Ordinance Code of Kern County, Div. 8, "Underground Storage of Hazardous Substances." Conditions or practiceS must be corrected within the times ordered below: Your signature acknowledges rece~p of a copy of this report and collection of any samples described above, and is not an admission of guilt. Failure to fully comply with this "Notice and Order" may result in further legal action by County or State officials. ..'/ Owner or Authorized Representative Agent of the Kern County Health Officer White ~ Original Canary -- Facility file / ' ' Pink -- Spec~ahst EnVironmental Healm 580 4! i3 120 (7/871 . ~ OEHTIFICATION OF FINANOIAL HESPONSID FOR UNDERGROUND STOOGE TANKS CONTAINING P~OLEUM · ~.' 1 ~m requ~ed to dcmons~z~ Hna~l Res~asibai~ ia ~e required amounU as s~cified in ~oa ~. Chnp~r l~ D~. 3, ~tle ~3. CC~ ' ~ 5~,~ dollnrs ~r ~en~ I I l mi~on dollnrs nunuai or ~D or ~ t mi~ioo dollafl ~r ~u~eo~ ~X~ 2 miBion dollars annul a~efate 5. THB CIRCLE E CO~O~TION ~D herebyce~st~t~incompl~ew~ht~r~uire~n~of~t~n2~07, Aff~le 3, C~pter 18, D~bn 3, r~le 23, Ca/fforn~ Code of Regulat~. ~e m~n~ ~ to de~tmte fi~l res~ibil~ as r~uir~ by ~t~n 2807 are as follo~: E~D 20[ 'N. C~N~ AV~NU~ :ON~[NUOC'S PHOENIX, AZ OECE/v - Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of th~s cer~cation also certifies that you are in compliance with all conditions for participation in the Fund. IO'n~"w'=" F~""~'3232 Stine Rd Circle K Store %1242 Bakersfield F~,W~. :F'~""~'5634 Stine Rd. Circle K Store ~1270 Bakersfield F,,~i,7~,~. F~"~'5600 Auburn St Circle K Store #8605 Bakersfield Circle K Store #8606 I' Bakersfield IF~m"~030 Oak St I · 2222 "F" St Circle K Store %8825 I Bakersfield : ~. ~, ~T~ ~ ~ om-~ /~ ) ~.~, -~ ~, ~T~ o~ = o~.~ Executive · Director Compliance ' JUNE 30, 1994~ W. Smith Myron CITY of BAKERSFIELD "WE CARE" July 15, 1994 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF 326-3911 The Circle K Corporation ' Ruth Bulmer P. O. Box 52084 phOenix, AZ 85072-2084 . RE: Underground Storage Tank compliance within the City of Bakersfield Dear Ms. Bulmer: I am in receipt of your letter of July 2, 1994 to the Kern County Environmental Health Department, dealing with Underground Gasoline Storage Tank Compliance Documents. This. letter covers facilities located at: 2222 F Street · 1030 Oak Street 5600 Auburn St 5634 Stine Rd 3232 Stine Rd These facilities are located within the incorporated boundaries of the City of Bakersfield. The Local Implementing Agency for Underground Storage Tanks within the City of Bakersfield is: Bakersfield Fire Department Hazardous Materials Division 1715 Chester Ave., Suite 300 Bakersfield, CA 93301 Please correct your records and forward all compliance information to this office. If you have any questions regarding this please feel free to call me at (805) 326-3979. Sincerely yours, Hazardous Materials Coordinator Triangle Environmental, Inc. 172 West Yerdugo Ave., Burbank, cA 91502 'T.E.I LT-3 Hydrostatic Product Line Test Result Sheet START TIME END TIME. TEST VOLUME PRODUCT /READING '/READING· PRESSURE RATE i. RESULT PASS/' 00:00/ML 00:00/ML (.psi) (GPH) FAIL I certify that the above ~ine tests were conducted on this date according 'to the equipment manufacturer's procedures and limitations and the results as.~isted are.to my knowledge true and correct. NOTE: The temt data collection time period must ~e ~i~teen minutes. Th~ test. pasm/~ail im determined using $ .threshold per hour (~.~5 GPM) rate at. 15~Z working pre~Sure or 5~.psi which Copyright to) Trimngle Environmental, Inc., Harch, 1992. MRL TY-~'--Yn~r]e T~nviror~meYntal _ · Ins_ 172 West Verdugo Ave. , Burbank, CA 91502 FTA r.~K DETECTOR TEST DATA Product Serial Number Drain Trip. Test Funet. TriPping Passl Type Detector Style Back Time Rate Els. Pressure or - ml sec ml/min psi psi Fail D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R I certify the above tests were conducted on this date according to the equipment manufacturer's procedures and limitations and ~%he results as listed are to my .knowledge true and correct. Technician: ._~-¢~//~,zx/~,{,~/' OTTL# ~,..,.~-/20/ ' The' mechanical Leak Detector Test pass/fail Xs determined using a low flow threshold trip rate of 284 ml per minute or less at l0 psi as se~ ~y Red Jacket Pumps Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. MRL Environmental, Inc, Monitor Certification Inspection This letter certifies that the monitor is in place, the probe~ are in the correct position and the operation of the system. FAcmrrv # oog:,c~.~ (~ DATE /'-/' TYPE AND MODEL OF. MONITOR 7'/e.~/~gT'/t-!//fZ~.~J't.o -SYSTEM, FUNTION TANKS PASS C~ FAIL_ N/A /S~MPS~---Mo~rro~ · Pass ~ Fan. ~^ WHEN ~ONITOR IS' TURFED OFF OR IF[ ALARM DOES TIlE TURBII~ SHUT DOWHT. ~ THE CO~$O~ LA~E~D ¢ORR~C~ COMMENTS: INSPECTED BY: 172 WEST. VERDUGO AVE., BURBANK, CA 91'502-2132 .'TEL:. (818) 840-7020 . FAX: (818) 840:45929 _T~i~an_~__le E_nvironmenta.! ~ _ Inc._ 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-.70,20~:, , ~ "~".~- TEI SYSTEM 4000 S~RY SHEE! Precision Underground Storage Tank System Leak Test " Client: CIRCLE K CORP. P.O. BOX 52084 PHOENIX, AZ. 85072 Date: 3-14-94 County: KERN CO Site: CIRCLE K ~8825 2222 F ST. BAKERSFIELD, CA. Tank Product Tank Tank/Lines Product Line Leak ~ Description Capacity Rate/Resul~ Rate/Result Detector 1 UNLEADED 10000 +0.025 PASS~ -0.005 PASS PASS 2 UNL-PLUS 10000 +0.025 PASS -0.010 PASS~ PASS 3 PREMIUM 10000 +0.005 PASS -0.007 PASS PASS 4 5 6 Technician Name' J. RICH Date: Comments: ALL THREE TANKS HAVE OVER FILL PROTECTION AND WERE TESTED ABOVE 90%. This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA ~329 and EPA UST Technical Standards Part 280 for precision testing systems. IRI~N~~ EN¥I~ONMEN?~, INC, ' UENTS CIRCLZ }( $IORE 0882,5 Site La~out, Fo~: CIRCLE X~i882~ 2222 F Sl~ B{)XERSFIELD, CA~ TANK INFORMATION: Product : UNI...EADED Date: 03/14/94 Capacity : 10000 Time: 08:36:13 FI~ODU[.[ INFORMATION: Diameter (in.) : 91 Product I_eve]. (in.) : 89" above tanl,:, bottom. % ='99.5 7 o .) Specific Gravity : 0.' =~" Coef. of Expansion : 0.0006609 Water on Tank (in.) : 0" above tank bottom. Startincl Temp. (F) : 71.728 R e s o 1 u t i o n ( G a I 1 o n s ): c~.. 001 ..:. =' 131 Head Pressure (PSI) : 2.4 at tank bottom Delta Temp. (lC/Hr.) : -0.0024 COMFUIER ANALYSIS RESULTS: I_evel Rate (GPH) = 0.010 'l"emp. Rate (GPH) = -0,015 Final Rate (GPH) = 0.025 TANK INFORMATION: P r o d u c t : U N L- PI_ L S D a t e: 03 / 14 / 94. Capacity : 10000 Time: 08:36:13 PRO DUC T I l/IF 0 R M AT I ON: Diameter (in.) : 91 F'roduct Level (in.) : 90" above tank bottom. % = 99.8 Specific Gravity : 0.'750 Coef. of Expansion : 0.0006604 Water on Tank (in.) : 0" above tank bottom. Starting Temp,, (F) : 72.832 Resolution (Gallons): 0.0009319 Head F'ressure (PSI) : 2.4 at tank bottom Delta Temp. (F/Hr ) -0.'~'" COMPUTER ANAI_YSIS RESULTS: I_evel Rate (GF'H) = -0.107 Temp. Rate (GPH) = -0.132 I=inal Rate (GPH) = 0.(")05 TANK INFORMATION: P r c) d LL C t : F" R .E M I U M D a t e: 0 3 / 14. / 9 4 Capacity : 100,('~0 Time: ('~8:36: 1:'~ PRODUCT I NFORMAT I(")N: Diame. ter (in.) : 91 F::'roduct Level (in.) : 88" above tank bottom. % = 99.C) Specific Gravi. ty .: 0.750 LC o e f. o f E ;.,' p an s i o n : O. O006609 Wat. er on Tank (in.) : 0" above tank bottom. Starting Temp. (F) : 71.6'72 R e s o 1 u t i on ( Ga I 1 on s ): O. 001 [4951 Head Pressure (PSI) : 2.4 at tank bottom Delta Temp. (F/Hr-.) : 0. 0036 COMPLJTER ANALYSIS RESIJLTS: Lew~l Rate (GF'H) = .0.028 ]"emp. Rate (GF'H) = 0.023 Final Rate (GF'H) = 517 East Wilson Ave.. Glendale. California 91206 FTA LKAK DETECTOR TEST DATA Product Serial Number Drain -Trip Test Funct.. Tripping Pass TMpe Detector Style Beck Time Rate Els. Pressure or ,' mi. sec ml/min psi psi Fail D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R ! Certify the.above tests were conducted on this date according to the equipment manufacturer's procedures.and limitations and the results as listed are to my knowledge true a~d correct. The mechanical Leak Detector Test pass/fail is determined using a low flow threshold trip rate of 284 ml per minute or less at 10 psi as set by Red Jacket Pumps Field Test Apparatus.testing procedure. Copy~ight (-c) , Triangle Environmental, Inc,, January 1991. MRS" Triangle Environmental, Inc. 517 East Wilson Ave., Glendale, CA 91206 T.E.I LT-3 Hydrostatic Product Line Test Result Sheet START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE . RATE' RESULT (ML/H ) PASS/ O0:O0/ML 00:00/ML . (pSi) (rate*4) .FAIL Io; lo', -. I certify that .the abov,e line .tests were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and. correct. Tech.: Mfr's Cert.# NOTE: The test data collection time period must be fifteen minutes. The test pass/fail is determined using a threshold of 190 ml per hOur (0.05 GPH) rate at 150% working pressure or 50 psi which ever is less. Copyright (c) Triangle Environmental, Inc., March, 1992. MRL · BAKERSFIELD FIRE DEPARTHENT / HAZARDOUS H~TERIAL DIVISION 2130 G Street, Bakersfield, CA 93101: (8051 326".3919 APPLICATION TO ~EKFO~A TIGHTNE$~ TEST Circle E $8825, ADDRESS .2222 F. St. Bak~rsfiel~;, CA PE~=~ To oPE~g ~oo~sc ' 0~~ ~ C'ircle K ~orp. O~ N~ Circle K Cor,p_c ~~ OF T~ ~ BE ~S~__3 : IS PI~ING ~ING ~'~E ~S~ Y~.~ TANK% VOLUH~ CONT~I~TS Tria. ngle _ TANK T~STII~G COMPANY Env~=o-m~-~' - .T~ _ADDRESS 172 W. verd%%go Ave., N~ OF TES~R James J, R~ch C~RTIFI~TZON % 1072 . ,, STATE ~GIS~TION ~ N/A ., , DA~ a ~ TEST ~S ~ BE CO~C~ .03/t4/94 at 7~00 a.m. · HAZARDOUS ~ATERZAL DIVISION / 2130 G Stree=, Bakersfield, CA 933011 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY Circle ~ ~8825 ADDRESS 2222 F. St. Bak~rsfield~ CA __ " - '"' 93304 PEWIT TO OPEHAT~ ~ 160038C , .. OPERATORS NAt~ Circle K Corp. OWN~R.~NAMZ ,Circle K Corp. . NUMBER OF TANKS TO BE TESTED 3 , IS PIPING GOING TO'BE TESTED Y~ TANK# VOLUME CONTENTS 1 10000 Unleaded .. ~ -- 10000 ' ' 'Un.leaded Pl.~s '3 ~ lQ,000 ~_Premium Unleaded Triangle TANK TESTING COMPA~=Envi=o~e~' - -?~ ADDP, ESS 172 W. Verdu.go Ave. , --- -Burbank, CA 91502 TEST METHOD T~I 4000 NAM~ OF TESTER James J. Rich CERTIFICATION % 1072 STATE REGISTRATION DATE & TIME TEST IS TO BE CONDUCTED .03/14/94. at 7:00 atm. /~ CItY Of BAKERSFIELD ~ ~ 400/! ~ Il. CALIFORNIA t/~A-- ~ U .L ~ O ~ /Il (RECEIVED BY ~ ..... ] ~ ~.~ ~/~,. ...... TOTAL ' . . [ _ ~ FORM 640470 Finance Director Triangle Environmental , Ino .- ...... :,-- 517 East Wlleon Ave., Glendale, CA. 9~206 PLT-IOOR HYDROSTATIC PRODUCT LINE RESULT SHEET START TI~ END TI~ TEST PRO.CT /~DING /R~ADING P~S~A~ VOU~ ~SULT ~TE PASS/ O0:O0/ML O0:O0/ML (pei) (GPH) FAIL ' ! I certify the above tests were conducted on this date according to the equipment manufacturer°s procedures and limitations and.the results as listed are to mM knowledge true end correct. Technician: ~ OTTL# /~ NOTE: The Hydrostatic Product Line Test pass/fail is determined using a threshold of 0.08 gallons per hour rate at 150~ working pressure or 50 psi which ever is more. -.~ ...... Copyright (c)Triangle Environmental, Inc., March, 1991. HRL 517 East Wilson Ave., Glendale, California 91206 ~TA LEAK DETE~R TEST DATA SHEET Product Serial Number Drain Trip Test Funct. Trippinl Paee TFpe Detector Style Back Time Rate Els. Pressure or ml eec ml/min ~ ~ X~ X~ ~ ~ ~ X~ X~ ~ ~ ~ X~ X~ ~ I certify the above tests were conducted on this date accordin~ to the equipment manufacturer~"s proCedures and limitations and the 'results as listed are to my knowledge true and correct. Technician: '~"~..-'~'~,~ ~~~ ~L. /~ ~ ~e mechanical ~ ~tector Tes~ pass/fail is deter~ined usl~ ~ low flow threshold trip rate of 284 ml ~r minute or lees at 10 psi as set BM Red Jacket ~pa ~ield Teat Apparatua testin~ procedure. ~pyright (c) , Tri~gle Enviro~ental, Inc., d~uarM 1991. ~ SPILL/OVERFILL DETAIL SE (to be completed if one or both are present) ADDRESS F $7- OV~SPI~ M~ufacturer if known : ~at size contai~ent ~nhole~ 5 gal. ~ Larger Is drain mechanism working properly? Yes ~e contai~ent manholes present on all fills? Yes J No __ Please note any ~robl~ areas: OVERFILL Manufacturer if known : Check type as follows :. Fill tube/leVer device Fill tube/float device Ball/float device Is overfill present on all products ? Yes / No Please note any problem areas: Technician's Signature ~/;~. ~_~ ' Precision Underground Storage Tank SMstem Leak :e~. Client- CIRCLE K CORP. tou~.ty KERN s~t~. c~czs z ~ss2541t111 ~ ,~,~,' REOEIVED 0'~)~ ~ ~ "tl~ ~g - III III BAKERSFIELD, G~ FIB 1 5 1992 NA~. MAT. DIV. Tamk Product Tank Tank/Lines Product Line Leak ~ Description Capacity Rate/Result Rate/Result Detector 1 S/UL 1~00 *.039 PASS -.005 PASS N/T 2 UNL 10~6 +.0~2 PASS -.000 PASS N/T 3 UNL+ 1000~ -.055 PASS -.005 PASS N/T 4 5 Sigr, azure'~_~_~~ State License ~' 91-'07i Technician Name' · .:,.,re C. omme nts - This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA ~329 and EPA UST Technical Standards Part S8~ for precision testing systems. TR][A~I~SLE E~V][RONHENT AL , ]]NC, VENTS F ,, L_ ,, j,~ I, - T t ,,.,, a ',-,",-,'1 0 ~ 0,' U~L ................... ,.. ,., ,., S/~L '"'- 23 R~ ST Si t, e L~gou~ Fo~,' ", 2222 F ST, , ~AKERSFZEL~, CA, TANK INFORMAI"ION: F'ro~uct : S/UL Date: 01/i4/9'2 Capacity : .1.0~00 'T'ime' ...... ~9: F~;O[LJCI iNFORMA"r'ION: Diameter (in.) : 98 F'roc. uct. Lsve]. (in.) : 115" above tank. b(:ttom. Specific Gravity : D.74~ Coef. of Expansion : D.~D~6765 Water on Tank (in.) : ~" above tank bottom. Starting Temp. (F) : 66.943 Reso i u't. ion Head F'~....:~sur(.,~. (PSI) : 5 I at tank bottom Del ta .... ~ . le. mp (F'/Hr.) : COMPUTER ANALYSIS RESULTS L:evel Rate (GPH) = D,,4~;9 Temc. Rate (GF:'H) = Fina. i Rate (GF::'H) = ~.~9 TAixlK INFORMiAT!ON: Product: : UNL Date: 01114192 Capacity : 10000 Time: 09:._,~.._~1 PRODUCT INFORMATION: Diameter (in.) : 98 I:'.:'roduc~ Level (in.) : 117" above tank bottom. Speci~ ic Gravity : ~. '75~ Coef. of Expansion : ~.~6657 Water on Tank (in.) : ~" above tank bottom. Starting Temp. (F) : 62.37¢ l~6.._.ol..,~tion (Gallons): ~..0~D6~5 Head F'";r'eesure (PSI) : 3,,2 e,t tank bottom Del(a Temp. (F/Hr.) : RE:.~.~ .;~.. I ,:~: CC)MPL;]'ER A%~ALYS ]]S .... c ..... ~', I_eve! Rate (GPH = ¢.55~ 'T'emp. Rate (GPH .... 0. F'ina. 1 Rate (GF'H .... TA'4K INF'ORI'IATION: Product : UNL_+ Date: ~]./' L-'/92 Capacity : .1.~O0 Time: ~]9:7~]~:]~.1, PRODUC]' INFORMATION: Diameter (in.) : 98 Product Level (in.) : 116" above tank bottom. Specific Gravity : D. 751~ Coef. of Expansion : ~.~6577 Water on ]"ank (in,,) : ~" above 'tank bottom. Starting Temp,, (F') : 75.754 I::iesolution (Gallons): ~.~D~16 Head F:ressure (PSI) : 3.2 at tank bottom Delta ]emp. (F/Hr.) : D.~-8 C]MF'U]'tEI:i AN'AI....YS t S RESLII....TS: L..eve ] Rate GF::'H) = ~. 282 Temp. Rate GF::'H) = ~.317 Final Rate GF::'H) = -~.~35 PLT-IOOR HYDROSTATIC PRODUCT LINE RESULT SHEET Work Order tJ ./3 /~ START END PRODUCT TIME/ TIME/ TEST VOLUME RESULT READING READING PRESSURE RATE PASS/ 00: O0/ml O0:O0/ml (psi ) (GPH) FAIL The test pass/fail is determined using a threshold of 190 milliliters per hour (0.0§ GPH) rate at 150% working pressure or 50 psi which ever is greater. The test is conducted with the leak detector removed and replaced with an isolating test plug and with the impact valves closed. The minimum data collection time must be 30 minutes. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY Circle. K ~ Lb ADDRESS 2222 F St. PERMIT TO OPERATE # 8087066-068 OPERATORS NAME Mike Spinuzzi OWNERS NAME Circle K CorD. NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO BE TESTEDYes TA1TK~ VOLUME CONTENTS 1 10000 Unleaded 2 10000 Unleaded + 3 10000 Premium TANK TESTINGCOMPA/TyTriangle Env. Inc. ADDRESS 517 E. Wilson ~101 Glendale, CA. 91206 TEST METHOD TEI System 4000 NAME OF TESTER Rich Phillips CERTIFICATION # 1071 STATE REGISTRATION # N/A DATE & TIME TEST IS TO BE CONDUCTED Jan. 14, '92 ~ 7:00am 1/3/92 ~ APPROVED BY: DATE SIGNATURE OF APPLIC~AN~ Triangle Enviror~rnental , Inc - 517 East Wilson Ave. ,101 Glendale, Ca!ifcrnia 91206 DETECTOR TEST DATA S~EET I Prcluc: Tes~ Serial Type Drain Trip Test Func:. Metering Pass ~'pe No. No. Back Time Rate Ele. Pressure cr ml sec ml/min psi psi Fail 4 DLD DLD 6 PLD DLD Include 'the 'date code with the serial n~ber'. The Date code is coded . as follow~: 5019i".'.=.~,.Sth wee~ 01 month, 91'year. . . '- . .,: ,: ': '.'j~:;..:, . ...: : , · The mechanical Leak Detector TeSt.pasS/fail is determined using a low' flow threshold,trip ra=e of 3.0 GPH +- 1.5 GPH a~ 10. psi pressure 'C: .. " · ':'. as set by the Field Test Apparatus testing procedure. :.-~., .. .:. :-' '~ ~:~' .~"? ._ ;.'- .:'~:L: .. ~ :"..'. -: '. ".. ~ :-~: · '" ..... )'-: ' " · -. :..~ .. .....:.. -.~ ... :: ~ ::.. -,:-...,---?...:: . .:: . . ,+~. .. ..... . - . ?. PLT-IOOR HYDROSTATIC PRODUCT LIHE RESULT SHEET START END PRODUCT TIME/ TIME/ TEST VOLUME RESULT READING READING PRESSURE RATE PASS/ O0 :OO/ml O0 :O0/ml (psi ) (GPH) FAIL ~r~,~; u m ~ ~ · · The test pass/fail is determined using a threshold of 190 milliliters per hour (0.05 GPH} rate at 150% working pressure or 50 psi which ever is greater. The test is conducted with the leak detector removed and replaced with an isolating test plug and with the impact valves closed. The minimum data collection time must be 30 minutes. Trianc~le Enviror~n~ental · Inc. 517 East Wilson Ave. #101 Glendale, California 91206 T,F. AK DETECTOR TEST DATA / WORKORDER: ~ Product Test Serial !Type Drain Trip Test Funct. Metering 'Pass Type No. No. Back Time Rate Ele. Pressure or ml sec ml/min psi psi !Fail 4 PLD DLD 5 PLD DLD 6 PLD DLD ~Instructions: Include the date code with the serial number. The Date code is coded as follows: 50191 = 5th week, 01 month, 91 year. The mechanical Leak Detector Test pass/fail is determined using a ' low flow threshold trip rate of 3.0 GPH +- 1.5 GPH at 10 psi pressure as set by the Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. MRL T.E.Io HYDROSTAT]~C PRODUCT. LINE RESULT ,SHEET Work Order START END PRODUCT TINE/ TINE/ TEST VOLUNE RESULT READING READING PRESSURE RATE PASS/ O0:O0/ml 00:O0/ml (psi ) (GPH) FAIL The test pass/fail is determined using a threshold of 190 milliliters per hour (0.05 GPH) rate at 150% working pressure or 50 psi which ever is greater, The test is conducted with the leak detector removed and replaced with an isolating test plug and with the impact valves closed, The minimum data collection time must be 30 minutes, ,' '~ , 2130 G Street, Bakersfield, CA 93301 (805) 326 3970 UNDERGROUND TANK QUESTIONNAIRE I.' FACILITY/SITE No, OF TANKS 3 D~A OR FACILITY NAME INAME O~ CIRCE K STO~ 18825 ~IRCLE K CORPO~TION A~R[~ 2222 "~" / B~SFIELD l ~ 3 EA RM EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FIRST') PHONE No. WITH AREA CODE DAYS: NAME (LAST. Fli~T) PHONE No. WITH AREA CCX~ BARBARA SNYDER (805)324- 1758 NIGHTS: HAME (LAST. FIRST) PHONE NO. WITH AREA CODE NIGHTS: NAME (LAST. FIRSD PHONE NO. WITH AREA CO0~ C. ALLEN MOORE (209)276-8350 II. PROPERTY OWNER INFORMATION (MUST BE COMPLEIED) NAME CARE O~ ADDRESS II'~-ORMATION CATAL I-NA/BARBER CORP. MAltING, OR STREET ADDRESS .~ ~OX O INDIVIDUAl C~ LOCAl. AGENCY [~ STATE AGENCY 500 OAK STREET TOIND~All OPARTNERSHIP [~COUNTY AGENCY OFEDERAL AGENCY CORPOP_~TIO~ ' CBY NAME STAll piP CODE 1 PHONE NO. Wire AREA BAKERSFIELD CA 193304 [unk III. IANKOWNEE INFORMATION (MUST BE COMPtEIED) NAME CARE O~ ADDRESS INFORMATION CIRCLE 'K CORPORATION ENVIRONMENTAL MAILING OR STREET A DDRE~ ~' BOX ~ INDIVIDUAL (~ LOCAL AGENCY Q ~All AGENCY 6101 N. STF.~ AVI~.. ,O*H~C^ll QPARTNERSH,P QCOUNTY^GENCY QFEDE~t^GENCY CO~PO_~ATION FON'I~A~A 92336 ~ ( '/14 ) 823-0691 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED ,.RAnl~O~FI~.C. ULAR SERVICE 1 ~7 10,000 2 t4AR, igR? 10·000 3 NAR. 1987 ]0~000 Y/N YIN Y/N YIN DO YOU HAVE FINANCIALRESPONSIBILIIY? Y/N TYPE '~!--. - Mill one ~ out for e~ch tank, unless all tanks and piping are .- · ;'~~~=ldentify tanks by ~r ID J." ' I. TANK DESCRIPTION ~~s- ~c~~ B. T~K ~ ! ~STEEL ~ 2 ST~ESS 8~ ~ 3 FIGERG~ ~ 4 ~EEL~WIFIBE~RE~D~ UN~ IV. PIPING INFORMATION cmc~ a ~ASOV~O,~NOO. U A. SYS~MTYPE A U i ~ A~2 PRESSURE A U 3 G~VIW A U ~ B. CONSTRUCT~N A U I SINGLE W~L A~2 ~BLE W~ A U 3 LINED TRE~ A U ~ U~ A U ~ O~R C. MA~IAL AND a U 1 ~RE S3E~ A U 2 STN~ESS S~ A U 3 ~LW~ ~OR~A~4 F~ERG~S P~E CCRROSION A U 5 ~UMI~ A U 6 C~RE~ A U 7 STEEL WI ~A~ A U ~ 1~ ME~NOL ~UPATIS~W~RP PROTECTION A U 9 ~LVAN~D S~ A U 10 ~T~P~CT~N A U ~ UN~O~ A U ~ O~ER D. LE~ DETECT~N ~ t ~TOMAT~LINELEAK~CTOR ~ 2 L~ET~H~ESSTESTING ~ 3 V. T~K LEAK D~ECTION I. TANK DESCRIPTION COaP~ET~ ALL ITEMS - SPECIFY I~ UNKNOWN i A. OW~EF~S,~ L O. I B. ~UFAC~RED BY: C. DA~ INSTALL~AY~E~) O, T~K C~ACI~ ~ ~ONS: I III. T~K CONSTRUCT~ "' S'~S'~EM ~ 2 S~LE WALL ~~ 4 ~NO~ ~T~ENT ~AUL~D T~ ~ ~ O~R~ . ~ , ~$T~L ~ 2 STN~ESS STE~ ~ ' FIBERG~S ~ 4 S'EEL~ WI FIBER~ RE~R~DP~T~ B ~K ~ · ' ~I~IAL ~ 5 ~RE~ ~ ~~ ~ORI~ ~ ; ~UMINUM ~" 1~ ME~L'~MPA~BLEW~ (Pd~T~k} ~ g BRON~ ~ 10 ~D S~ ~ ~ UN~O~ ~ ~ O~R~. C. ~T~DR ~ 5 ~ LIN'~ ~ e ~L~ ~ ~ ~ UN~ 0 ~ DINER ~ UNING MATER~ ~E JO. ........... COHHU~IUN ~ 1 ~LENE W~ ~ 2 ~A~ ~~L~L ~WR~ ~ 4 FIBERG~S REINFORCED ~S~ PROTECTION ~ s cA~ P~T~T~ ~ ~1 ~ ~ ~ U~ ~ ~ O~ER~ IV. PIPING INFORMATION c~ A. SYSTEMTYPE A U 1 S~T~ ~ U 2 PRESSU~ A U 3 ~IW ~ U ~ O~R B. ~NSTRUCT~N A U I SINGLE W~ A U 2 ~B~ W~ A U 3 LI~D ~EN~ ~ UN~ A U ~ O~R ~C ~RIAL AND A U I ~RE STEEL ~ U 2 ST~NLESS STE~ A U 3 ~LW~L ~LOR~ ~ .4 FIBERG~S PiPE ' ~RROSlON A U 5 ~UMI~M A U 6 ~CRE~ ~ U 7 STEELWI~A~ A ~ 1~ M~OL ~MPA~LEWE~ PROTE~IO. AU g ~LV~t~D S~ A U 10 ~T~PROTECT~ A U ~ UN~ ...... ~,U ~R ~O LE~ OETECTDN ~t ~T~AT~LINELEA~ECTOR ~ L~ET~ESST~STI~ ~ 3~ ~~a. V. T~K LEAK O~ECTION · I ~ , VISUAL CHE~.. ~ 2 IN~NTORY RE~IL~T~ ~ 3 V~ORMON'TORING~ 4 ~TOMAT~TANK~i~ ~ 50RO~RMONITOR'~1 , 6 TANK -~S;:NG ~ 7 iNTeRSTITIAL ~ONITORI~ ~ 91 ~ ~ 95 UNK~'~ ~ ~ O~R ECEIVED December 19 1 DEC 6 1991 Mr. Joe A. Dunwoody ,~liS'l~ ............ City of Bakersfield Hazardous. Material Division 2130 "G" Street Bakersfield, CA 93301 RE: Underground Tank Questionnaire Dear Mr. Dunwoody: On July 10, 1991, I received the original packet of Underground Tank Questionnaires. They were completed and returned to the City of Bakersfield on July 12, 1991. Copies are attached for your convenience. Circle K Corporation currently operates five (5) stores in the city of ~_Bakersfield - #8606 (1030 Oak Street), #8605 (5600 Auburn Street),#1242 (3232 Stine Road),#1270 (5634 Stine Road) and #8825 (2222 "F" Street). All others are closed sites and any question concerning the operation of the underground tanks should be directed to the property owners. If you have any questions or need more information, please call me at (714)823-0691. SiNcerely, Ruth H. Bulmer Environmental Coordinator enc. THE CIRCLE K CORPORATION 6101 NORTH SIERRA AVENUE · FONTANA, CA 92335. 714)823-0691 2130 G Street, Bakersfield, CA'93301 /.~ (805) 326-3970 ,'9''~ UNDERGROU:D.~TIONNAIRE=JUl'RECEIVED'"6 1991. I. FACILITY/SITE No. OF TANKS HAZ. MAT. DIV. DBA DE FACILITY NAME NAME O¢ OPERATOR CIRCLE K STORE #8825 :[RCLE K CORPORATION ADDRESS NEAREST CROSS STREET . . PARCEl. No.(OPTIONAl-) 2222 "F" STREET CITY NAME STATE ZIP CODE BAKERSFIELD CA 93301 F" BOX TO INDICATE ~CORPORATION QINDIVIDUAL QPARTNERSHIP C~LOCALAGENCYDISTRICT~ ~COUNTYAGENCY C~ STATE AGENCY ~FEDERALAGENCY TYPE OF BUSINESS [] 1 GAS STATION ~ 2 DISTRIBUTOR ._ I KERN COUNTY PERMIT ~ ~ ' [~3FAR~,~ - Q4PRC)CESSOI~ ''Q~b-'I~'iER I Tooi'ERAiE~.' .....Z~----91 ....................... EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FIR"ST) PHONE No. WITH AREA CODE DAYS: NAME (LAST. FIRS1) PHONE No. WITH AREA CODE BARBARA SNYDER (805)324- 1758 NIGHTS*. NAME (LAST. FIRS1) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. f:IR'ST) PHONE No. WITH AREA CODE C. ALLEN MOORE (209)276-8350 II. PROP, ERTY.OWNER.INFORMAIIO.N~(MUSI,BECOMPLETED) NAME CATALINA/BARBER CORP. MAILING OR STREET ADDRESS ,/' BOX ~ INDIVIDUAl. ~ LOCAL AGENCY [~ STATE AGENCY 500 OAK STREET TO INDICATE (~PARTNERSHIP ~COUNTY AGENCY C']FEDERAL AGENCY ~ORPO_~__A__q'I O_lq CITY NAME STATE I'~IPCODE ] PHONE No. WITH AREA CODE BAKERSFTELD CA ~33o4 ~ unk III. TANKOWNER INFORMATION (MUST BE COMPLETED)' NAME CARE OF ADDRESS INFORMATION CIRCLE 'K CORPORATION ENVIRONMENTAL MAILING OR STREET ADDRESS ,/BOX ~ INDIVIDUAL ~ LOCAL AGENCY C~ STATE AGENCY 6101 N. SIERRA AVE. TOINDICATE ~PARTNERSHIP ~COUNTY AGENCY ~FEDERAL AGENCY CO_-_PORAT!nN CITY NAME STATE ZIP CODE [ PHONE No. WITH AREA CODE CA / FONTANA 92336 ~ ( 714 ) 823-0691 OWNER'S DATE ' VOLUME PRODUCT IN ,o. 1 ~7 10~000 2 ~AR: ]qR7 10,000 ~~O.~D Y / N 3 ~R. ~987 ~0~000 Y/N Y/N Y/N Y/N DO YOU HAVE FINANCIAL RESPONSlBILIW? Y/N ~PE .' .... Fill one s.e~gm~nt out for each tank, ~ unleSs all tanks and PiPing are L.~_~ j.c~nstruct~d ~6~~sam~'-~-~r~al~S ~ ~style'-' anODe-,'-', then only fil1-'. - - -- I, TANK DESCRIPTION COMPLE~ ALL I~MS - SPECI~ IF UNKNO~ III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN ~XES ~ B, ANDC,~DALLT~TAPPLIESIN~OXO A. WPE OF ~ ~ ~USLE WALL ~ 3 SIDLE WA~ Wl~ E~ERIOR LINER ~ 95 UNK~WN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDLY CONTAINMENT ~AUL~DTAN~ ~ ~ O~ER a, T~K ~ 1 ~RESTEEL ~ 2 STAINLESS S~EL ~ 3 FIBERG~S ~ 4 STEELED W/FIEERG~REINFORCEDP~STIC MATERI~ ~ 5 CONCRE~ ~ 6 ~LWI~L CHLORIDE ~ 7. ~UMINUM ~ 8 1~ ME~ANOL ~MPATIB~W~RP (Prima~TMk) ~ 9 8RON~ ~ 10 ~LVANI~D STE~ ~ ~ UN~OWN ~ ~ O~E, ~ 1 RUB~R LINED ~ 2 ~O L""G ~ 3 ~0~ LINING ~ 4 ~ENOLC LINING C. INTER~R ~ 5 ~ LINI~ ~ 8 UNLINED ~ ~ UN~OWN ~ ~ O~ER UN~G ~8 LINING MATERIAL ~MPATI~E ~ 1~ ME~L? YES ~ ~ D. CORROSION ~ 1 ~L~YLENE W~ ~ 2 ~A~ ~ ) m~L WR~ ~ 4 FIBERG~8 REINFORCED ~T~ PROTEC~ON ~ s CATHODIC PROTECT~ ~ gl NONE ~ ~ UNGOWN ~ ~ IV. PIPING INFORMATION c~.c~ A ~ABOVEGROUNDOR U IF UNDERGROUND, BO~IFApPL~ABLE A. SYS~UTYPE A u 1 SUCTION ~2 PRESSURE A U 3 GRAVI~ ~ U ~ O~ER B. CONSTRUCTION A U 1 SINGLE WALL A~2 ~UBLE WALL A U 3 LINED TRENCH A U 95 UN~OWN A U ~ O~ER C. MATERIAL AND A U ~ ~RE STEEL A U 2 STAINLESS S~EL A U 3 ~LWI~L CHLORIDE (PVC)A~4 FIBERG~S PIPE CORROSION A IJ 5 ~UMINUM A U 6 CONCRE~ A U 7 STEEL WI COATING A U 8 1~ ME~ANOL COMPATIBLEW~RP PROTECTION A U 9 ~LVANI~D S~EL A U 10 CATHODIC PROTECTION A U ~ UNKNOWN A U ~ O~ER D. LEAK DETECTION ~ 1 AUTOUAT)C UNE LEAK DE~CTOR ~ 2 LmNE T~HTNESS TESTING ~ 3 aiERSm~L ~.~OR~.~ ~ ~ O~R V. TANK LEAK D~ECTION VISUAL CHECK [N~NTORY RE~NClLIATION ~ 3 VAPOR MONITORING · ' .. : ~ANK'TES~ING ~. · IN~RSImALMONITORING ~ 91 ~E ~..95 UN~O~ .~..~ I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S, TANK I. Om ~ Bi MANUFACTURED BY: I m C. DATE INS~DAY/YEAR) D. TANK CAPACITY IN GALLONS: III, TANK CoN'STRUCTI~ MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX O A. TYPE OF [] 1 OOUBLE W~ [] 3 SINGLE WALL WITH EXTERIOR LINER ' ~m~ g5 UNKNOWN SYSTEM ~ 2 SINGLE WALL '~ 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] 1 BARE STEEL {~ STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] ~YVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL,~COMPATIBLEW/FRP ~p,im~T~,k) [] g BRONZ~ [] ,0 c~v~,z~o sTEM. [] ~s UNKNOWN [] ~ OTHER [] , RUBBER LINED [] ~ ALKYO L~ [] ~ EPOXY LINING [] 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED~[] 95 UNKNOWN [] 99 OTHER u.,.o ,s L,N,NG MATER,AL COMPAT,BLE '"TH ,00. METH'~"?L? '~..~__ "O__ ~ CO"ROS'O" [] , ~OLYETHYLENE W~P F-I~ cOA..~ ~'...~L WRAP [] ~ F,BERG~S RE,NFORCE. PLASTIC 'PROTECTION [] 5 CATHODIC PROTECTION [] gl NONE[] ~5 UN'I~N [] 99 OTHER IV. PIPING INFORMATION C~RCLE A ~FAaOVEGROUNDOR U ~p UNDERGROUND, BOTH ~F APPLmC~LE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY ~ U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3. LINED TRENCH A'~95 UNKNOWN A U 99 OTHER 1 BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC~,,~ .4 FIBERGLASS PiPE C. MATERIAL AND A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A '~ 100% METHANOL COMPATIBLEW/FRP P.OTECT,o.C0RROS'O" AA U.. ~LVANI":O STEEL * U ~0 CATHOO,CPROTECT,O. . ~ .. UNKNOWn. ........ ~. U ~t.THER . ~ .~s.T~L oTHER D. LEAK DETECTION [~1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [-~3 ~)~tFFb(~NU~(~ [] 9~ V. TANK LEAK DETECTION '~ ..... . v,SUAL O.ECK [] ~ INVENTORY RECONC,LIATIO" [] ~ VAPOR MON,TORING []~ AUTOMATIC TAN.~UGING [] . GRO MONITOR,ND "6 TA.K T~TING ~ 7 ,NTERSTmALMONITOmNG ~r~ ~3 NONE ~ ~5 UNKNOWN [] 99 OTHER FILE CONTE:~TS SUMMARY PERMIT #:~ /~,O ~7 ENV~ SENSITIVITY:. Activity Date # Of Tanks Comments PERMIT ~ ...................... , ...... FACILITY N : ........ NUMBER OF TANKS AT THE SITE: ............................................... ENV. SENSZ?ZVZT¥- ........ EMERGENCY C~NTACT PERSON(PRIMARY): NAME: ' ' " _. PHONE NUMBER: ..................................................................................................................................................................... EMERGENCY CONTACT PERSON(SECONDARY): NAME:...: ............................................................................................................................................................................................... PHONE NUMBER: ..................................................................................................................................................................... TANK OWNER' INFORMATION: NAME: ADDRESS: ......................................................................................................................................................................................... PHONE NO.: TANK CONTENTS: TANK ~ MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS TANK CONSTRUCTION: .TANK I~ TYPE(dw, sw, sec.con~.)IMATERIAL INT. LINING CORROSION P'ROT. LEAK DETECTION: TANKS: VISUAL ......... ,.GROUNDWATER MONITORING WELLS VADOSE ZONE MON'~":I:-~'~'~NG WELLS U-TUBES WITH .LINERS ...................... U-TUBES WITHOUT LINERS ........ ~'~'~'~'-'~'~-~ECTOR ............ LIQUID SENSORS ....................... CONDUCTIVITY SENSORS ......................... PRESSURE SENSORS IN ANNULAR SPACE ...................... LIQUID RETRIEVAL SYST'~'-'~"~'--I~-TUBES, MONITORING WELLS, OR ANNULAR NONE UNKNOWN OTHER ........................................................................................ PIPING INFORMATION: TANK ~ SYSTEM TYPE I CONSTRUCTION I MATERIAL (SUC,PRES. ,GRAV. )1 (SW,DW,LINED TR~ LEAK DETECTION: PIPING: ...... ~....... FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED PIPING MONITORING SUMP WITH RACEWAY 5EALE"D CONCRETE RACE:NAY HALFCUT COMPATIBLE PIPE RACEWAY PERMIT .UMBER C TYPE OF INSTALLATION / ( ) 1. In-Tank Level Sensor~2. Leak Detector ( ) 3. Fill Box FACILITY ADDRESS '~ '~ ~ "8~'~'! ~-~)~, ~e~(~ CONTACT PERSON ~~ ,~~ IN TANK LEVEL SENSORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor / Instal let 2. LEAK DETECTORS Number of Tanks ~ List By Tank Name of System ' Manufacturer & Model Number~t~%~ Contractor/Installer 3. FILL BOXES Number of Tanks List By Tank Name of System Manufacturer a Model Number Contractor/Installer OWNER/OPERATOR DATE (SO5) ~61-3682 ,ellA:SE I VAPOR RECOVERY INSPECTION FO~ I .. ~,~N~< L~ATION ~EFERENCE 3. 8ROK~ OR ~I~ING VA~R CAP B~K~ OR MISSING FILL CAP ~K~ CA~ LOCK ~ VA~ 7. VA~R CAPS NOT F~PE~LY S~.TED S. C~KET M~S~NG F~M FILL CAP ?4ECHAN [:3M L,C, ':~: ~ YE ~:.-~ C~TROL OiSTRICT ~L~(S) 209. Store No, Shift Day Dale 19 __ Total Gallon Sales REGULAR UNLEADED PREMIUM UNLEADED DIESEL PUMP PUMP PUMP PUMP GALLONS MONEY GALLONS MONEY GALLONS MONEY GALLONS MONEY 1 2 3 4 5 6 7 8 ' ' ',~'I~':'~:~ ,::;'-~:~7!'~;,::~; .' ' ~" "':" ~ 9 TOTAL CLOSE ..... " ' ~ ,: ':~-i.~ ~.~ . .,~'.,~,,~,,'.. : . ,, .'.,: ., .... 10 OPEN "'f" ~11 SALES 141123 SALES PRIc~ENET LESS PUMP TEST (SALES: '~'~ ~-~ i '~:-'~:~' i::)~:~:::!~':', :.~' '..'. ~/,/., ;~:;~ ~:'" ':!~ "'~'[ ~2 i:";'~'* ~ :':" ~ ) (~" '~'?-': ~ '~ ~'~~': ;'" ":' .... .... ' '"' ' ~' .... &~ (~'' ' ' ~':'=": /~';' ~' ~ ~ (' ' .... '"" :" ~':'''' :'" ' ? l z' :' ":" "' ':' ) 1..~_5 AMOUNT RETAIL CLOSING TANK INVENTORY ' GASOLINE INVENTORY CONTROL - GALLONS Premium Prem'ium Unleaded Unleaded Diesel Regular Unleaded Unleaded Diesel 21 Closing Shck Reading From Last Reporl <.~_~ ,l,n. 26of prev,ou, r,port, 23 BIIIof Lading II. !,;.. :... .., .... :.. ~ .. : .., . . _ . '"u: :.' . 25i 9ill of Lading # .'~.,t.:':~,;. ;,... --.,:. :., . . ~:..,~?;. !.;. , ....... -,~// ' . . ., ,~,.,!,~ WATER INVENTORY 27 E(luals Stick Reading Sales 28 ! Meter Sales (Line 13) Price Changes: Over (+) Short (-) (Daily) 31 Plus Yesterday's MTD Over/Short 32 Notes On the first day of EACH month Line 31 will be zero. If line 28 is greater than line 29. line 30 is over (+). if line 28 is less than line 29. Ihen line 30 is shorl (-). Competitor Prices: Shck Readings Ely' (1) REG UNL PNL __ DSL OTHER Meter Readings Manager'S Signalure: (2) REG UNL PNL __ DSL OTHER (3) REG UNL PNL_ DSL OTHER (4) REG UNL PNL_ DSL OTHER CK291 (Rev 3/88) To ~aom It }fay Concern: For all matters involving environmental compliance (be it violations, gasoline tank permits, testing, etc.) of the Circle K Corporation Stores in the State of California, please send your correspondence to our California Environ- mental Director, Michael D. Karvelot, at the following address: Circle K District Office 6101N. Sierra Avenue Fontana, California 92335 Cordially, Ruth H.Buimer Environmental Coordinator THE CIRC"..= K CORPORATION 6101 N, SIERRA AVENUE · F O N TAN A, CA 9233{] · (714 823.069 I ~ · : ~! :: ~. .; ..7 ~:~'~ . .... · · ~ GARY J. WICKS 2700 M Street, Suite 300 Agency Director Bekerlfleld, CA 93301 (805) 861-3502 ,; ~?..,.../:~r,r~?.rr::_,.....~ Telephone (805) 881-3~3~ Telecol~er (805) 851-342g STEVE MCCALLEY Director R E S O U R C E i-:.E N'T A G E N C Y DEPART!' .:.~ M E',NTAL PERMIT TO CONSTRUCT UNDERGROUND' PERMIT NUMBER' 160038 M STORAGE FACILITY FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Circle K Circle K Banks and Company 2222 'F' Street P.O. Box 52084 2403 E. Blemont Bakersfield, CA 93301 Phoenix, AZ Fresno, CA 93701 NEW BUSINESS PE~IT EXPIRES June 7t 1990 CHANGE OWNERSHIP RENEWAL APPROVAL DATE ' ~r~ X MODIFICATION . OTHER APPROVED BY _ Dan Sfarkey / Environmental He~th Specialist ......... : ........................................................................ POST ON PREMISES ......................................... ............................ CONDITIONS AS FOLLOW: Standard Instructions 1. This permit applies only to the modification of an existing facility involving the testing and repairing of the Regular Product 'Line possible removal of pea gravel and steam cleaning of secondary containment liner. 2. All construction to be as per facility plans approved by this Department and verified by inspection by Permitting Authority. 3. All equipment and materials in this construction must be installed in accordance with all manufacturers" specifications. 4. Permittee must contact Permitting Authority for on-site inspection(s) with 24 hour advance notice. 5. Backfill material for piping and tanks to be as per manufacturers' specifications. 6. Construction inspection record card is included with permit given to Permittee. This card must be. posted at jobsite prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Piping system with secondary containment leak interception/raceway ' b. Any other inspection deemed necessary by permitting Authority. Standard Instructions Permit No. '160038 M 7. Primary and secondary containment of underground piping must not be subject to physical or chemic deterioration due to the substance(s) in them. If contami'nation is found in secondary containment, pet gravel must be removed and liner steam cleaned. Hazardous waste must be hauled under manifest wit~~ copy being sent to this Department within 14 days. DS:cas \160038m.mod INSTROCI~ONS: Please call. fog ~n inspector only ~ each group of inspections with the nunber are g~y. They will nm in consecutive o~de~ beginning with.numb et 1. DO NOT cove:' wo=k fc~ any .umbe=ed gro~ mtil al/ i tms in that g=oup are siqned off by t~ Pemitti~,. ~uthogity. Following these instructions will =edUCe the numbe= of required inspection vlsi= and thezefore p=eve~c as-~m~ent o£ additional ~ees. - TAN~S & B~FI~L - INSP~C~ri0N DATE Backfill '6f Tank (s) S~k Test Certification ~odic P~o~cion of Tank(s) ' - PIPING SYSTgH,- Piping & Raceway w/Collection 'Su~ ~c0~) '- Corrosion Protection o~ Piping, Joints, Fill Pi~e Electrical Isolation of P1pin~ Pr~- Tank(s) Catho~ic Protection slmte~ipin~ L~neg Insta~la2ion - Tank (s) Liner Installation - Pi~3ir~ Vault With Product C~tible Sealer Level Gau~es or Sensors, Floa~ Vent Valves Product C~ttble Fill Product Line Leak Detector(s) Leak Detector(s) for Annular S~ace-O.W. Tank(s) Mon~torin~ Well (s)/Su~(.s) 1Leak Detection Device(s) For Vadose/Groundwater - FINAL - Mon~torin~ Wells, Caps & Locks Fill Box Lock ~onitorir~, l~-~uir~n~ts CONTRACTOR L~C~SE t ~8 3 ~5o _. ENVIRONMENTAL ( ~LTit DE MENT armtt No. - 2700 "M"' STREE'~ , STE. Ap: :atiou Date 3,/~/~ _ BAKERSFIELD, CA 93301 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Application (check): . Type[~NewOf Facility.~Modification Of Facility ~]Existing Facility~Transfer Of Ownership A. Emergency 24-Hour Contact (name. area code, phone): Days Nights Facility Name .~/~ '~". No. Of Tanks Type Of Business (check): ~Gasoltne Station ~Other (describe) . Is Tank(s) Located On An Agricultural Farm? ~Yes ~o Is Tank(s) Used Primarily For Agricultural Purposes? ~Yes' ~o Facility Address , ~ ~ ~~ Nearest Cross St. T R SEC (Rural Locations Only) , Tank Owner d<~/~ ~ Contact Person ~ ~,~ Operator C,,~d/~ ~ Contact Person , Address ~ ~k~ ~ ~~ ZIp Telephone B. Water To Facility Provided By ~/ Depth to Groundwater Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth Determinations C. Contractor ~~ ~ CA Contractor's License No. ~~ Address C~ ~ ~/~~ ZIp .f~/ Telephone ~ Proposed Starting Date J/7/C~ Proposed Completion Date Worker's Compensation Certification No. ~ ~~ Insurer D. If This Permit Is For Modification Of An Existing F~ctltty, Briefly Describe Modifications Proposed ~/r ~o/~r ~0 ~.~ , ~ ~ E. Tank(s) Store (check all %hat apply): ~ank ~ Waste Product Motor Vehicle Unleaded ~ Premium Diesel' Waste Fuel 0il 0 0 O. 0 0 0 F. Chemical .Composition Of ~aterials 5to,ed (not necessa~ rom ~otor v~hicle fuels) Tank ~ Chemical 5to~ed (non-com~erolal na~e) CAS ~ (if known) Ohemtcal P~eviousl~ O. Transfer Of Ownership Date Of Transfer Previous Owner Previous Facility Name I. accept fully al/ obligations of Permit No. issued t~ [ understand that the Permitting Authority may review modify or terminate the transfer of the Permit to Operate this underground stora~ facility upon receiving this completed form. This form has been completed under penalty of perjury and to the best of my knowledge Is true and correct. Facility Name K'//c-'~//~' ~ __ Permit No. ! ~ -- {TILL OUT SEPARA ~ , TANIQ EA-~-~ SECTION, CHECK ALL APPROPPdA"I~ BOXES H. 1. Tank is: ( ) Vaulted ( ) Non-Vaulted ( ) Double-Wall ( ) Single-Wall_ 2. Tank Materia~ ( ) Carbon Steel ( ) Stainless Steel ( ) Polyvinyl Chloride ( ) Fiberglass-Clad Steel f~i--Fiberglass-Reinforced Plastic ( ) Concrete ( ) Aluminum ( ) Bronze ( ) Unknown () Other. (describe) 3. primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. Tank Secondary Containment ( ) Double-Wall ..(.-y'~Syntheti¢ Liner ( ) Lined Vault ( ) None ( ) Unknown () Other (describe): Manufactur&r: ( ) Material Thickness (Inches) Capacity (Gallons) S. Tanl~ Interior Lining ( ) Rubber ( ) Alkyd trOY'Epoxy ( ) Phenolic ( ) Glass ( ) Clay ( ) Unlined ( ) Unknown ( ) Other (describe): 6. Tank Corrosion Protection ( ) Galvanized ( ) Fiberglass-Clad ( ) Polyethylene Wrap ( ) Vinyl Wrapping ( ) Tar or Asphalt ( ) Unknown ( ) None %(--'y' Other (describe): Cathodic Protection: ~ None ( ) Impressed Current System ( ) Sacrificial An'~de System Describe System and Equipment: 7. Leak Defection, Monitoring, and Interception a. Tank: ( ) Visual (vaulted tanks only) ( ) Groundwater Monitoring Well(s) ( ) Vadose Zone Monitoring Well(s) ( ) U-Tube WithOut Liner ( ) U-Tube with Compatible Liner Directing Flow to Monitoring Well(s)* ~ Vapor Detector* .~)-I;iquid Level Sensor* ( ) Conductivity Sensor* '( ) Pressure Sensor in Annular Space of Double Wall Tank* ( ) Liqui~l Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space xc~ Daily Gauging & Inventory Reconciliation (.) Periodic Tightness Testing () None () Unknown () Other b. Piping: J. ox"'Flow-Restricting Leak Detector(s) for Pressurized Piping* ( ) Monitoring Sump with Raceway () Sealed Concrete Raceway ( ) Half-Cut Compatible Pipe Raceway ~)~'Synthetic Liner Raceway ( ) None ( ) Unknown ( ) Other *Describe Make & Model: 8. Tank Tightness, Has This Tank Been 'Tightness Tested? ( ) Yes ( ) No ( ) Unknown Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Repair Tank Repaired? ( ) Yes ( ) No ( ) Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection '. ( ) Operator Filli, Controls, & Visually Monitors Level ~.(--y-~ape Float Gauge .~)'~Float Vent Valves ( ) Auto Shut-Off Controls ( ) Capacitance Sensor ( ) Sealed Fill Box ( ) None ( ) unknown ( ) Other: List Make & Model for Above Devices 11. Piping a. Underground Piping: ~'~s ( ) No ( ) Unknown Material Thickness (inches) __ Diameter Manufacturer ..~ Pressure ( ) Suction ( ) Gravity Approximate Length of Pipe Run b. Underground Piping Corrosion Protection: ( ) Galvanized ..{~-'l~iberglass-Clad ( ) Impressed Current ( ) Sacrificial Anode - ( ) Polyethylene Wrap ( ) Electrical Isolation ( ) Vinyl Wrap ( ) Tar or Asphalt ( ) Unknown ( ) None ( ) Other (describe): c. Underground Piping, Secondary Containment: ( ) Double-Wall .~"~ynthetic Liner System ( ) None ( ) Unknown ( ) Other (describe): R E C E I P T PAGE 03/06/90 ............ ....... :" ' Invoice Nbr. 1 30~38 2:~0 pm . KERN COUNTY PLANNING & DEVELOPMENT 2700 'N' Street Bakersfield, CA 93301 Type of Order (805) 861-2615 .... CASH REGISTER BANKS & CO I L.JO 03/06/90 03/06/90 I '1 NT I . ......... [ " ine DeScr~p~0n Quantity Price Unit D~sc Total ~ T~.N~ ~!..~N ,3HECX I 100,00 E 100 O0 Order To~a] 100 Amount Due 100 OO ; Pm.yment ~mde B~,' Checi< !00 TH AN~: Y,~U Enu~r0nmental Sensit!vity I~_,,ection Time '~' uNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY .. * INSPECTION REPORT * Facility Name ~.~.' ,~.~ ~,~'"~t Addre~ /... ~ ~ /., ~ ;.. ,,~ ..~ ~: Is Information on PermiUApplication Corre~? Yes No~ Permit Po~-~ Yes No No. of Tanks Typeof Insp~tion: Routine " ~ "' Complaint · ~ .Rein~ion Comments: ~ '¢~ ~ ~,_~*~ ~.~*~ ~/'. ~,:::t ~ '~/~ ~ . :.~:. _ ITEM VIOLATIONS NOTED 1. Primary. Containment Monitoring: F~O*, Xh~*~-~ * %V'~ ~'" a.'* Intercepting and Dir~ting System ~ " b. Standard Invent9w Contro~ Monitoring ~~ .~ -Tank Level ~nsing Device . , '" e. Groundwater Monitoring . ~ - ' ~v~~~ ' 2. ~ondaw Containment Monitor~g: -- - [ ' ~ ' ' 1' ~ ~ ~ ~ ! a, Liner ~ . :' e. ~ult 3. Piping Monitoring: '~ ' · . ~ . ,-, ~ /' '[ .. ~, .~. ',3 ~ -- ~ ..... 5. Tightness Testing '~'~ 6. New Construction/Modification ' 7. Closure/Abandonment 8. Unauthorized Release 9. Maintenance. General Safety, and Operating Condition of Facility! ~'~ ~ .. Reinspection scheduled? Yes ,.~ No Approximate Reinspection Date .. ",;: ,~:'~:". ;~, REPORT RECEIVED INSPECTOR:~'~ ; ~ ~_.. ~:.~,. ,. - .. , .... .~" .'. ' ' . Health 580 4113 170 (7-87) '"~ " : ~ :~I~NTY AIR F~DLLUTION , .C'~N. ,TROL ~ICT " ~ 2?00 "M" Street, 'Suite 2?,5 . ~akers~e] d CA. g330~ _ II II 1. CERT. NOZZLE. ~ ... 2. ~ECK VALVE , i / ~' .-,.-" '~' ' . N ' ~ .,,.' ~ O 3. FACE S~L ..... Z 4. RING, ' E 5. 8ELLO~ ~. FLON L~N~TER (B~ 1 HCSE COND~T~ ,' A 2 L~NGTH ' P 0 3 C~FIC~RATION 4 SNIVEL .. E, 6 PO~ER~Pr'L, OT ON ~ ~ B= bnok~ ~ ~ missing, TO= torn, F= fiat, ~= tangt~ ~" AD= n~ adjustment, L= ]onq, LO= RJ=Red Jacket GH=Gu~ Rasse]~nn H[=Hfirt HA=Hasstech ! S= 'short ~A= mfisaqfigned, K= kfink¢, rR= frayed. 'r ---~--~ ......... ~' ~ · · . I I.(1 fin seven days, T= Tagqed (nozzi~ ~ · until r~aihs completea.) . NOTE: OAL!FO~IA H~L~ & SAF~"'~DE SECTI~ 41960.2, RE~IR~ ~AT ~E A~VE LISTED. ?-DAY ' DEFiCI~CIES BE ~RRECTED NI~IN ? DAYS. FAILURE TO ~PLY ~Y RE~LT IN LEaL ACTI~ ,' .. '},., 2700 . ' M Street; 'S~fi~e 2 ,' .r ~ ' ' ~ 8akersfie'qd CA 93301 ' t · m~ ~E I VA~R RE'VERY INSPECTi~ FO~ T~K ~1 TANK ~2 T~K ~3 T~K ~4 . . ,<uu, 2. T~K L~ATI~ REFER~CE ' -z .... ~~ ' 3.~ OR MISSING VA~R CAP -, ~' 4. B~K~ OR ~I~ING FILL C ~P ..... j= ~ 8. G~KET MI~ING FROM F!LU CAP :~., ~'-., 9. ~K~ MI~ING, ~R~ VA~R CAP '-' ~,~ . 10 FILL ADAPTOR NOT TI~T 1!. VAPOR AO~.PTOR NOT TIGHT .... 12. GASK~ 8ETNE~ ADAPTOR & FZLL ~BE ~Z~ZNG / [~P~PER~Y S~TED / !3. DRY 8R~K GASKETS D~ER]O~TED !4. ~C~[VE VERTICAL P~Y ZN COAXIAL FILL TUBE ~5 COAXZAL-Y FZLL TUBE "~P" ' ~RNED ~ ~E WRONG DIRECTION . - · . .... ~ !6. COAXIAE FILL ~BE SPRING ~ECHANI~ DEFECTIVE. '?. TANK DEPTH MEaSUREmENT ~ ~ ~/ ~ /I ., C8. ~JBE L~G~ MEASUR~T 19. DIFFER~CE (SHOULD BE 6 OR LESS) 20. O~ER 21. COIV~IENTS: .;" NOTE: A CHECK ABOVE INDICATES A VIOLATICN OF KCAPCD RULE 209. RECEPT OF F'..~,SOLINE PRIOR TO CORRECTIC~I ~¥ FIJR'D-tER (X~STI'~TE A VIO~TICIq OF KCAI:~D ~tlLF_.~ 209 & 412. Major Cro~ S~eet~ ~ -~lc' . '.:'. L-':"" . - Major Cr~ S~eet ~ r& ~ ' Station Addre~ %~ ~ %M~ . . ., ' Major Cross ~eet Totalize, Reading ~,n .~ed ?S~9~ TotalizerReaalng~enTa~~ Totalizer Reading ~en Ta~d ~q~q O ~ I ' W~ING W~ING " Use of this de~ce Is prohibited ~ ~ate law and un- Use of this de~ ts prohibited ~ ~ate law and un- W~NING .' authorized remo~l of this tag or u~ of this equipment ; authorized mmo~l of this ta~ or use of this equipment . Use of this de~ce Is prohibited ~ ~ate law and un- ~11 constitute a Golatlon of the law punishable ~ a authorized remo~l of this tag or pse of this equipment ~' constitute a ~olatlon of the law punishable ~ a h' ma~mum d~l fine of $1,~ ~r day or a ma~mum ~11 constitute a ~olation ~f theglaw punishable ~ a mum d~l fine of $1.~ ~r day or a ma~mum criminal ~ne of $~ ~r day and/or six months In Jail. ma~mum d~l fine of $~,~ ~ day or a ma~mum ~l fine of $5~ ~r day and/or ~onths In jail. = .... cdminal fine of $5~ ~r day and]or six months in jail.~ 1 declare under ~nal~ of ~du~ that the de~ce ta~ed I declare under ~nal~ of ~du~ that the deGce ta~d ~s not used, nor ~s the tag removed, until the required . ~s not used, nor ~s the tag removed, until the required I declare under ~nal~ of ~du~ that the deGce ta~ed repairs were effeded and the distfid notified, re~im ~re effeded and the diem notified. ~s not used, nor ~s the tag removed, until the required re~i~ were effeded and the distdd notified. Repaired ~ ,, {Please print} ~tle. ~ Re.ired ~ (PI~ pdnt) Re~ired by .... (Please print) Signature ~ature Si~ature Date ~me ,, Date Date ~me ,, Total~er Reading at ~me of Re.ir , To~l~er Reading at ~me of Re. Ir Total~er Reading at ~me of B~ORE USING ~IS D~ ~eD~Be ~r~l air B~ORE USING ~IS D~Telep~ ~r ~ air ~llution control distdd at ~ ~'/ ~ ~ ~ , ~llufion consol dlstdd a{ ~~ . BEFORE USING ~IS D~E Tele~ ~1 air If re.irs ~re made to the no~l~ ~dy~ must nofi~ · If re~im ~re made to the no~le ~dy ~u mu~ noti~ ~llution control distfi~:a~~ ~ ~ . the Coun~ De~ment of Weighb and ~ures. the Coun~ De~ment of Weigh~ and Measure. I[ re~i~ ~re made to~he no~le the Coun~ De~men~of Weighb and Measures. ..~Date~.~,-2'x..~ .'~-\ '~me"T.x,-2',, Tag Nulnbcr~' - P'- Date~, ~ t~ne .... Tag Nulnber. ' ' Date~' '-, ~ llme..~._.~- -me OW. .... Name.., -' ' ' eet__ ~X ~ "Major Cro~ Stre& ~ Major Cro~ S~eet~T ~(' . ~ . g ~en Ta~ed~ Totalizer R~ding ~en Ta~x~ 0g Totalmr R~ding ~en Ta~d~ W~ING W~G ~ce ~ prohibited ~ ~te ~w and un- U~ of this d~ is p~hibited ~ ~te Nw and un- U~ of th~ d~ ~ ~hiNt~ ~ ~te ~w and un- ,~1 of th~ tag or u~ of this equipment authored remo~l of th~ tag or u~ of this equipment authored ~mo~l of th~ ~g or ~ of this equipment · ~ola~on of the law punishab!~ ~ a ~11 con~tute a ~olafion of the law punishable ~ a ~11 ~n~tute a ~ola~on of ~e law punishable ~ a 'ine of $1,~ ~r day or a m~mum ma~mum ~l fine of $1,~ ~r day or a m~mum ~m~ ~1. ~ne of $1,~ ~ day or a m~mum ~ ~ day and/or ~x months in jail. ~minal fine of ~ ~r day and/or six mont~ in.jaiL ~mmal fine ~t ~ ~r day ~nd/or ~ months In jail. ~na~ of ~u~ that the d~ce ta~d I d~lare under ~nalN of ~u~ that the d~..m~' ~'"~ I d~m under ~na~ of ~u~ ~at the d~ce ta~d r ~s the ~g remo~d, un~l the required ~s not ~d, nor ~ the tag remo~d, un~l ~e'~q~r~ -.:.' ~ n~ ~d, nor ~ ~e ~g m~d, until the required :~ed and ~e dis~ notified, m~im ~re effe~ed and the di~ notified." ' - ~im ~e effe~ and ~e d~ ~tle. Re~ired ~ ~tle. R~ired ~ ~tle (PI~ p~nt) (Plea~ p~nt) (PI~ p~nt) / Si~a~re .. Si~a~ , .~me Date ' .~me ' Dae ' .~me g at ~me of Re.ir Total~er Reading at ~me of Re.ir ' Total~ R~ding at ~me of R~ir Re~im ~de R~ ~de i ~IS D~el~ ~1 air B~ORE US~G ~IS D~~qne~ I~1 ~r B~RE US~G ~IS D~C~TeI~e ~ 1~1 air d~ at ~ ~ t ~ ~' w . ~ilufion consol di~ at ~ ~ ~ ~ ~ . ~llufion ~n~l di~ at ~ok '~{ ~' ~ . ~ade to the no~e ~y ~u mu~ no~ [f re~im ~re made to the no~e ~u mu~ no~ I If r~i~ ~re ~de to ~e n~e ~y ~u mu~.no~ tnment of Weigh~ and Measure. the Coun~ De~ment of Weigh~ and Measurm. } the CounN ~ent of W~gh~ and Measure. ;130 66195 66~39 · ~2 ~ ~=tor's NameO~C~e ~ ~tor's Name ,G~ ]~en Ta~dqr0 ~Y Totali~r Reading ~en Ta~dS l~~ WARNING WARNING ce is prohibited by state law and tm. use of this device is prohibited by state law and un- Use of this device is pmNbited by state law and un- .al of this tag or use of this equipment authorized removal of this tag or use of this equipment authorized removal of this tag or use of this equipment violation ot the law punishable by a will constitute a violation of the law punishable by a will constitute a violation of the law punishable by a .ne of $1,000 per day or a maximum maximum civil fine of $1,000 per day or a maximum maximum civil fine of $1,000 per day or a maximum ,500 per day and/or six months in jail. criminal fine of $500 per day and/or six months in jail criminal fine of $500 per day and/or six months in jail. )entity of perjury that the device tagged [ declare under penalty of perjury that the device tagged I declare under penalty of perjury that the device tagged r was the tag removed, until the required was not used, nor was the tag removed, until the required was not used, nor was the tag removed, qntil the required Xed and the district notified, " repairs were effected and the district notified, repairs were effected and the district notified. Title, Repaired by __Title Repaired by Title,__ (Please printJ (Please print) (Please print) Signature Signature Time Date Time Date Time .~ at Time of Repair Totalizer Reading at Time of Repair Totalizer Reading at Time of Repair "-'~" Repairs made . Repairs made ~ ..... N CO' 17oo ~o..r sir.et UNTY HEALTH D r HEALTH OFFICER ' "*' Bakersfield, California 93305 ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D. . ." Telephone (805) 861-3636 . · ' ' . .. - - ' DIRECTOR. OF ENVIRONMENTAL HEALTH · .'. '" , . *,Vernon $. Relchard .... '* .' ! :.:7 "' ' , : ,.' · .': .... ~' ::.i..?:.-~' :' ~-.'~ ..~..-"2 · '*." J:: ' · . !.-:..: .:-.:..:..'.:W..{'~:.::: *:,::..*;'*!' "::u .:~ ~":~x~:'.i ' "*' ......z . .. "' '": * :Y,: -":: - ' q' ': ?!%.? '*-:~ "* '*;:': '" · .... ,,..;, -.~':, ,. . . '"'}"~:'.: .':;-:?..~:*-.~--.,.4,.'.?: :-?,.~:"HAZARDOUS MATERIALS MANAGEMENT .PROGRAM: : Date .Underground Tank EPA I.D. # e' Parcel # Person InterViewed :NOTICE OF VIOLATION AND ORDER '~O 'COMPLY , '~' ~:~...~. ~,:..~' .. ~.-~ ~.m~-~,?.~%~: '4:'~ *-~?~*:~;- .~ .-?~ ~"~'. "T~e'f0-ilowing ~onditions ~r practices obse~ed this date are violations of one o'~ mor~ s~tions of the California Health-?:~f: _,..and Safety Code, Div. 20, or the California Administrative Code, Title 22, Div..4, Chap 30, relating'to the "storage, ,.~. .. , . ,, , -. _. . . .~. handhng, transpo~atmn, and d~sposal of hazardous waste or Ordinance Code of Kern County, Dw. 8,. Underground .~._Storage of Hazardous Substances......<.~-~; ;,~::: :~e~x ~q.~ ...-' ,~:e,. :~;~: ~.~,~ ~:..:~.x~ ':' k~z:~ ~ ~:,~ ;~ ~-~,. ~ ~ ?'~'I~ ~.. Conditions or practices must be corrected within the times ordered below: <'? . ', - - ~ z / . - /- ,, ' - -:,. .--, . -,,- , .. ._ . '-. / .... / - ..., . '. --..~ .~--,":'~..: ' ' . I... . ', .' "· - :' '~ .-- ' -..il 7v.Your signature acKnow~eages receipt o~ a copy of this repo~ and collection of any samples described above, and is :;;:;-:hOt an admission of guilt. ~.- ~.~, ' . . .. .... , ., . .... ,, . , ':,.~;' ~ .... ?. -; .:.,:. ~.[~ e:'-'?~.~ . ~ ~ .. . .,. - ..... ~.. '-. , .:, .,....~:.~ Failure to fully comply with this "Notice and Order" may result in fu~her legal action by County or State officials. __ /p? Ownor or ~ut~ori~ floprosontatNo ~ont of tho Korn Gounty Hoalth White ~ Original Cana~ -- FaciliW file Pink ~ Specialist Environmental Healt~ 5~ 41~3 1~ (7/87) -,_ . 1700 Flower Street AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.D. Bakerslield, California 93305-4i 98 ~ Director o! Public Health Telephone (805) 861-3621 ~~'?~"-'-'" Air Pollution Control Officer March 10, 1988 Circle K Corporation 2588 Newport Blvd. Costa ,Mesa, CA 92627 Re: Permit ~ Dear Sir/Madam: Enclosed you will find a copy of the original invoice, plus a computation of the 50% penalty on the annual fee for t'he perlaittin your underground storage tanks. This department's records show that this invoice, due February 27, 1988, has not been paid. Please submit payment within ten (]0) days to avoid legal action. If you have any q'~'t~-~'i.j,-,~::~ regarding t]~is JnvoJ. ce, please corttact lite at (805) 861-363a. Ai~o, [~iease refer 't{~ your' permit number when contact.ing our office. S J. ncerely, Brenda Knight Environmental Health .... ' ' Hazardous Materials Management .Program BK:d~ Enclosure KERN COUNTY HEALTH DEPARTMENT 1700 FLOWER STREET j' BILLING DATE BAKERSFIELD, CALIFORNIA 93305 V// j 1-~~'-./ ~,,;:, (8Q~),-861-' 3-63-6- .... PE~ IT/[~%~O[CE ~1~003~B AMOUNT DUE AMOUNT ENCLOSE[ C i.rcle K Co~-'~)rat..~-on CHARGES PAST DUE ARE SUBJECT TO PENALTY 2588 Newport Blvd. Costa Me~a., CA 9=o.-.; DUE DATE 2-27-~4~ DETACH HERE ,, PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION DETACH ~ SE~,ID PA~.%E~,~ WI~,~IN 30 DAYS FO AVOID 5'0% P52-DtLTY '"'~"¥~' ~s"'~ .... "~"" ~ ..... ' ' DESCRIPTION .... AMOUN' l-27- 88 PE~4IT/It~/OICE ~ 160(J 3 fl~ ,kNNUKL FEE FOR PEEMi? i?~':' C:?!::i,V:'[~E ~.ID?LRG.~,"J:'.iD STORA¢.",E FACILI~ WITH 3 ,p~,~fc ~A~D "~' $ 140.00 222 F. Stu-eeh STATE SURCHD_%GE OF $5~.00 per tank $ 168.00 BAKERSFIELD, CALIFORNIA 93305 " ANNUAL'~FEE FOR PERMIT TO OPERATE $ 140.00 "' 50% PENALTY 70.00 STATE SURCHARGE 168.00 .. TOTAL AMOUNT' DUE 378 ~00 THE cIRCLE K CORPORATION July 21, 1988 Joe Canas Kern County Health Dept. . 1700 Flower Street Bakersfield, CA 93305 RE: Address Change : Dear Mr. Canas : Please be advised that as of August 5, 1988, we will be relocating to our new offices. For your information and records, our address will be_ as follows: CIRCLE K CORPORATION 3437 MYRTLE AVENUE SUITE 440 NORTH HIGHLANDS CA 95660 Also note a change of phone numbers: (916) 331-2540. Sincerely, Pat Wright Environmental Director PW: ls 070001 ,e oo,-~ J,/35 c_~ g3 ©31 0005 C, VIv/4zl. oOlO44°°t~r ~?oo~,,.rst~..t N COUNTY HEALTH DEPART T HEALTH OFFICER Bakemfield, California 93305 ENVIRONMENTAL HEALTH DIVISION Leon M Hebert,on, M.D. Telephone (805)861-3636 .' DIRECTOR OF ENVIRONMENTAL HEALTH .-' Vernon S. Relcha~ ' HAZARDOUS MATERIALS MANAGEMENT PROGRAM Date __~ Z¢-~'~ Underground Tank Fscility ~ /~OO ~C · Address ~~ "~" ~,~ ~; ~ l/ ~/ Type Facility /~/f~O~~ ~. Person Interviewed NOTICE OF VIOLATION AND ORDER TO COMPLY The following conditions or practices obse~ed this date are violations of one or more sections of the California Health and Safety Code, Div. 20, or the California Administrative Code, Title 22, Div. 4, Chap. 30, relating to the "storage, handling, transpo~ation, and disposal of hazardous waste" or Ordinance Code of Kern County, Div. 8, "Underground Storage of Hazardous Substances." Conditions or practices must be corrected within the times ordered below: - ' - 4 ~ .- / -- ' t . . -. . ...... t . . - :- -. ./ - . four signature acKnow~eeges receipt of a copy of this report and collection of any samples described above, and is not an admission of guilt. Failure to fully comply with this "Notice and Order" may result in further legal action by County or State officials. .~/ Owner or Authorized Representative Agent of the Kern County ~ealth Officer ~ana~ -- Facility file Pink ~ Specialist ,. ~ Environmental Health 580 4113 120 (7/87) _ n trumenta ion, Co. 12410 BENEDICT ® DOWNEY, CALIFORNIA 90242 (213) 803-1497 April 16, 1987 Kern County Environmental Health Division 1700 Flower Street Bakersfield, Ca. 93305 Attn: Mr. Bill Scheide Regards: R & S Piping Dear Sir, A.P.I./Ronan has instructed R & S Piping on the installation and service of the TRS76 & X76S Leak Detector Systems. They are authorized and qualified, to correctly install and perform all necessary tests to demonstrate and service the system. A.P.I./Ronan has been successfully working with R & S Piping for nearly two years. We are satisfied with this company and are currently in good standing. If you have any questions, please contact me at (213) 803--1497. Sincerely, Mike Thornton General Manager - A.P.I. MCT/st cc: Michelle D-TECT, Santa Ana PINAL INSPHCTIO[i CI~CKI, IST " O. . Plot Diagram Plot plan notes Yes No 1. All new and existing tanks located on plot plan? {~ {5{ 2. Does tank product correspond to product labels on I_! plot plan? 3. Was there no modifications identified which were 1_! t_i not depicted on the plot plans? If "No" described 4. Are monitoring wells secure and free of water and ~i I~! product in sump? 5. Is piping system pressure, suction or gravity? ~¢5~U~ Yes No 6. Are Red Jacket subpumps and all line leak detector {~ }-i accessible? Type of line leak detector if any~.'s--~A~t,.~.~*~.-~-~.~ -"~"/~..~../~ Overfill containment box as specified on application? If "No", what type and model number: C/~// ° a) Is fill box tightly sealed around fill tube? {~ }~{ b) 'Is access over'water, tight? }~. {~1 'c) Is product present in fill box? Z{ }-~ 8. Identify type of monitoring: a) Are manual monitoring instruments, product and water finding paste on premises? b) Is the fluid level in Owens-Corning liquid level monitoring reservoir and alarm panel in proper operating conditi.on? c) Does the annular space or secondary containment liner leak detection system have self diagnostic capabilities? If "No", how is it tested for proper operating condition? ~qVIRO~I~I~%L HEALTH DI~ W.~;- ~ BAKERSFIELD, CA 93305 ~ic Prot~tion of Ta~(s) ' ,~ Corrosion Prot~tion of Pipin9, Join~, Fill Pi~ El~ical Isolation of Pipi~ ~ T~k(s) ,,, ~ic Proration S~st~Pipi~ Liar Ins~lation- Tank(s) VaSt Wi~ ~uct C~tible Sealer ~= ' ~ ....... '__a, Float Vent Valves _~' Pr~uct Line ~ak Det~tor(s) - ~k De~tor(s) for ~nular S~D.W. T~(s) ~nitori~ ~11 (s)/Stop(s) .... ~k ~t~tion Devil(s) For V~o~/Gr~ter Moni,toring Wells, Ca~s 8, Locks z~-/~-~g ~.~'6~ Fill Box Lock Monitor in~ Requ! rs~en ,,ts ~ ',,~'.'" KERN COUNTY HEALTH DEPARTMENT ' · 1700'Flower Street ....... ~'~. x ,.?'..... "i'i ~ ' ~i i ....: . ~,.§. ~ ~. :.. ~x. ..~ : ~kersfield, California - 93~05 :.~ ... :~ " .... .~ ~ _._~ :~% ~' · ~ . , '., , ~ ....... ~'. ~ ..'~ ~~ ~ _ .... ~,. ~ ~ , .~'~,~ ~ ,. '....., ,. ,. - '"' " - "' ' '~ ~S' ' . .~ ._ _'_~ ,, ... ~ .,' ~ ~'~" ~ ...~ ~' - ~ , ' ~ ,, ~ .' ~ ' ~D,~ ~ ~ ~ - -" ~ ~ KERN COUNTY HEALTH DEPARTMENT 1700 Flower Slreel .- AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.D. Director of Public Health Baker s fl eld, Ca I i lorn la 9330.5-4198 ~~-~.~_~-- Air Pollution Conl roi Off lc er Telephone (805) 861-2231 '~ Date /' This department has reviewed the application and plans submitted, for . the underground storage facility located at Based on this review, your aPolication has been ~~~ for -- the reasons listed on the attached Permit ~ppl ication We are .~t-%rnicG the o~iglnal permit application~.'an& ~~ After making required corrections and/or modifications, the application may be resubmitted for review. If you have~95y _questions regarding our requirements please call at (805) 861-3636. Permit Application Checklist Facility Name ~/'~/~/~ ,'~ C~3~o~ Facility Address ~2Zl "/~~-. Application Category: _~Standard Design __ Motor Vehicle Fuel Exemption Design (Secondary Containment) (Non-Secondary Containment) Approved Permit Application Form Properly Completed Deficiencies: Copies of Plot Plan Depicting: Property llnes Area encompassed bY 'minimUm 100 foot radius around tank(s) and piping All tank(s) identified by a number a~'d product to be stored - Adequate scale (minimum 1"=16'0'' in detail) North arrow All structures within 50 foot .rad~.u~ of tank(~ and piping .. _Z'Z~Z,~- ~,?~,¢~. o~ -J-~ .~ ~Z~ ~c~,..- ~11~ ... Location and labeling of all product piping and dispenser islands' Environmental sensitivity data including: *Depth to first groundwater at site *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemption '~rom secondary containment Comments: A__pproved ~- ~3 Copies of Construction Drawings Depict'lng: Side.View of Tank Installation with Backfill, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top View of Tank Installation With Raceway(s), Secondary - Con.tainment ang]/or Leak Monitoring System in ~lace Materials List (indicating those used in the construction): Backfill Ta. nk (s) .Product Piping Raceway(s) Sealer(s) Secondary Containment ' . ''/'--' ." ' - .. " / ,: ,~ . ~t,/~.~/,.;~,;' ' Leak Detector(s) b/~;~17/ 7~,z~..~ Overfill Protection Gas or Vapor Detector(s) ~ /~e.~6~ --~,'7]~ 12~;y0~' ~- ~l'~g,'~ ~'~, " ., .....,, ., ..... , . Sump(s) ~ Docum}ntatign of Product Perfo.rmanqe, / -- ; · ' -' . ' ~ / , z', .' / ~. , ., Ct "~ . Reviewed By /Z Z~k~.~ ,~ Date SITE INSPECTION: Approved Disapproved Comments: Inspector Date Standard Compliance Check Equipment to be installed: ~ Tank(s) , ft. of ~]sucti. on ~pressurized piping Req,~ Approved -~-~-- Pr i_.mp'r y Containment [_~Fiberglass (FRP) Make & Model I-]Fiberglass-clad steel Make & Model [-]Uncoated steel Make & Model ~]Other: Make & Model Comment: Additional: Inspection: Seco~ary Containment of Tank(s) [~'Double-watled tank(s) Make & Model []Synthetic liner Make & Model []Lined concrete vault(s) Sealer used []Other Type Make & Model Comment: Additional: Inspection: Secondary containment volume at least 100% of primary tank vol ume (s) Comment: Additional: Inspection: Secondary containment volume for more than one tank contains 150% of volume of largest primary containemnt or 10% of aggregate primary volume, whichever is greate~L~ Comment: Additional: Inspection: Secondary containment open to rainfall must accomodate 24 hour rainfall Total Volume Comment: Req'd Approved Additional: Inspection: ~ Secondary containment is product-compatible Product ~~_~ Documentation C6mment: Additional: Inspection: Annular space liquid is compatible with product Product Annular liquid Comment: Add itional: Inspection: ~ ~$~ P rimar~ontainment of Piping ~/~.~/ - iberglass piping Size & Make ~]Coated steel piping Size & Make [~Uncoated steel piping Size ~]Other Comment: Additional: Inspection: Secondary Containment of Piping y Uble-walled pipe Size & Make nthetic liner in trench Size & Make ~]Other 'Comment: ~~,~/~ C Additional: Inspection: Certes'ion Protection .~Tank (s) n~.~ ~_~piping & fit~ng~ I-]Elect r ica ~- isolatio- Comment: Additional: Inspection: / ~. Manufactur Backfill for Tanks & ~iping Type e~~ Comment: Req"d Approved ~--- Additional: Inspection: ~/'/ ~, Tank(s) Located No Closer Than 10 Feet to Bui~lding(s) Comments: Additional: Inspection: ~.~. Comple-te Monitoring System ~ ~--'~'~ Monitoring device within secondary containment: [-]Liquid level indicator(s) p Liquid used hermal conductivity s. ensor(s) ////~3-~ [-]Vacuum gauge -' ~ / t/-~ G ump(s) as or vapor detector(s) E]Manual inspection & sampling ~]Vi sual inspection ~]Other Comments: O Additional: ,Inspection: ~/ ~ Other Moni.tor ing E]Periodic tightness testing Method essure-raducing line 'leak detector(s) E]Other Comment: Inspection: v// Overfill Protection [-]Tape float gauge(s) [qFloat vent valve(s) ~]Capacitance sensor (s) [-]High level alarm(s) [~utomatic shut-off con'trol(s) ill box(es) with 1 ft.-q volume /~P~J ~]Operator controls with visual~ level monitoring Other ...... / ~ . 3 Req'__d Approved Additional: Inspection: Monitoring Requirements Additional Comments Inspection: Inspector ::~ Date Extra Inspections/Reinspections/Consultations Date: Purpose: Comment:. Time Utilized Date: Purpose: Comment: Time Utilized Date: Purpose: Comment: Time Utilized Date: Purpose: Comment: ' Time Utilized Invoice Date: Total Time: Inspector Date: 17~ Flower Street KERN COUNTY HEALTH DEPART ~ HEAL~ OFFICER Bakersfield, California 93305 Leon M Hebe~son, M,D, · ' ENVIRONMENTAL HEAL~ DIVISION ~lephone (805) 861-3636 DIRECTOR OF ENVIRONMENTAL HEAL~ . i ~rnon & Relchard April 13, 1987 Circle K Corp. Attn: Pete Vroder 5811Manzanita Avenue Carmichael, CalifOrnia 95608 RE: Circle K Store Construction 2222 F Street Bakersfield, California Dear Mr. Vroder: This is to inform you this department h~s not received the new drawing requested for the Circle K facility,i Permit # 160038B. If an as-built plot plan is not submi[ted to this department prior to the final construction inspection,; this facility will not pass that inspection and will not be allowe~ to operate. The submittal must include the following items and/or changes: 1. The new piping trench layout ~$th monitoring ~e~l(s), and 2. The location of the ala.rm panel in Please take care of this matter before causing a costly delay. If you have any questions, please call me at (805) 861- 3636. Sincerely, Bill Schelde Environmental H~alth Specialist Hazardous Materials Management Program BS:sw cc: R & S Piping DISTRICT OFFICES Delann tamnnf wke Isbb~lla . Moiave . Ridgecrest Shafter Taft 1700 Flower Street KERN COUNTY~ HEALTH DEPARTME HEALTH OFFICER Bakersfield, California 93305 Leon M Hebertson, M,D, Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT TO CONSTRUCT PER[lIT #1600388 UNDERGROUND STORAGE FACILITY FACILITY NAME/ADDRESS~ OWNER(S) NAME/ADDRESS: Circle "K" Corp. Circle "K" Corp. 2222 "F" Street 2588 Newport Blvd. Bakersfield, CA 93301 Costa Mesa, CA 9262? IXXI NEW BUSINES~ [ PERMIT EXPIRES FebrUary 17, 1988 [ J CHANGE OWNERSHIP I [ [ RENEWAL [ APPROVAL DATE. February 17, 1987 [. OTIIER Tank Replacement[ APPROVED BY Bill Scheide ................. POST ON PREMISES ................ CONDITIONS AS FOLLOWS: 1. All construction to be as per facility plans -approved by this department and verified by inspection by Permitting Authority. 2. All equipment and materials in this construcition must be installed in accordance with all manufacturers' specifications' 3. Permittee must contact Permitt'ing Authority for; on-site inspection(s) with 48 hour advance notice. ~ 4. Float vent valves are required on vent/vapor lines of underground tanks to prevent overftllings. ~ 5. Construction Inspect.ion record card is inclUded with permit given to Permlttee. This card must be posted at :jobsite prior to initial inspection. Permittee must contact Permitting: Authority and arrange for each group of requlred inspections numbered as per Instructions on card. Generally, inspections will be made of: a. Tanks and backfill b. Piping system with secondary containmentI leak interception/raceway c. Overfill protection and leak detection/moinltoring d. Any other inspection deemed necessary by Fermitting A'uthority 6. All underEround metal connections (e.g. pipingI, fittings, fill pipes) to tank(s) mn'st 'be electrically' isolated, and wrlapped to a minimum 20 mil thickness with corrosion-preven'tive, gasoline-resistant tape or otherwise protected from corrosion. 7. The followin~ equipment and materials must be identified by manufacturer and model prior to their installation: a. Tank level sensor 8. No produc% shall be stored in tank(s) until approval is granted by tile PermttttnE Authority. DISTRICT OFFICES 1~,l,3nn.. LRmonf Lake Isabella . Moiave . Ridqecrest Shafter . Taft · 9. Liner shall be iustall'ed by a trained experienced liner contractor' aud installation at site approved by the Permitting Authority. 10. ~Ionitoring requirements for this facility will be described on final "Permit tn Operate" Kern County Health D'epartmer" Division of EnvironmentalO th oation Date 1700 Flower Street, Bakers~i~eld, CA 98305 (80~) 8S~-~6~ APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): []New Facility,]Modification Of Factlity[~Existing FacilityC~Transfer Of Ownership A. Emergency 24-liour Contact (name, area code, phone): Days Nights Facility Name CIRCLE "K" CORPORATION No. Of Tanks 3 Type Of Business (check): ~-~Gasoline Station [~Other (describe) Is Tank(s) Located On An Agricultural Farm? [-]Yes Is Tank(s) Used Primarily For Agricultural Purposes? ~Yns Facility' Addre~s 222 F ST (23RD & F STS) Nearest Cross St. ~ ~ T R SEC (Rural Locations Only) Owner CIRCLE K CORPORATION Contact Peruon Address 2588 NE~ORT BLVD., COSTA ~SA, ~p 92627 Telephone (714) 642-7702 Operator.CIRCLE K CORPORATION Contact Person Address 222 F STREET, BAKERSFIELD, CA Zip Telephone B. Water To Facility Provided By KERN COUNTY WATER AGENCY Depth to Groundwater 175 FT Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth Determinations PRELIMINARY SOILS INVESTIGATOr< PREPARED BY: SOILS ENGINEERING, INC., BAKERSFIELD, CA 9/lJ/86 C. Contractor R & S PIPING,'INC. CA Contractor's License No. 408337 Address 3108 ANTONINO AVE., BAKERSFIELD Zip 93308 Telephone 324-7994 Proposed Starting Date Proposed Completion Date Worker's Compensation Certification No. 327858 Insurer ~TAT~ CD~ TMR D. If This Permit Is ~or Modification Of An Existing . Facility. Briefly Desci.il: Modifications Proposed NEW INSTA~ATION. E. Tank(s) Store (check all that apply): Regular Unleaded Tank { Waste Product Motor Vehicle Unleaded ~ular Premium Diesel Waste Fuel Oil 0 0 0 0 0 0 0 0 F. Chemioal Composition Of Materials St°r~d {not necessacy for motor vehicle Tank ~ Chemical Stored {non-commerotal name} CAS ~ {if kno~n~ Chemical Pcevious~ · (if different} G. Transfer Of Ownership Date Of Transfer Previous Ow~ler Previous Facility Name I, accept fully all obligations of Permit No. I understand that the Permitting Auttlority may review modify or terminate the transfer of the Permit to Operate this underground facility upon receiving this completed form. Thla form ha~ been completed under penalty of' perjury and to tl~e best SECRETARY 9i gnat~t-~ . . ........................... T.i tie ....... {)are .. fl. 1. ~ I~ Tank ~s: [3Vaulted ~Non-~aulted ]~Double-Wall ~Single-~ll ~Carbon Steel oStainless Steel o~olyvinyl (~ori~e OFiberglass-Clad Steel ~[Fiberglass-Reinforced Plastic oConcrete O Al,~inu~ OBronze OLd, known Q Other (describe) Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 10,000 XERES CORPORATION ~Double-Wall ~]Syntheti¢ Liner o~in~ Vault QN~e ' ~nkno~ oOther (describe): OMaterial Thickness (Inches) Capacity (Gals.) QOther [describe) = ~Galvanized [~Fiberglass-Cled DPul~thylene Wrap ~Vinyl '~Tar ~r Asphalt [3Unknow~ [3None ~Other (describe): .FIBERGLASS Ca~= pz~ _~: DNone o~m[~esse~ Current Syste~ OS~rificial An~e System Describ~ System & Equif~ent: ?. ~ D~te~, M~i~f~, ~m~ ~m~~ RED JACKET LEAEDETECTOR S'YSTF~M a. Tank: .oVisual (vaulte~ tanks only) oGrourdwater Monitori~ W~ll(s) POLY ALERT O~adose Zone Monitorin~ Well(s) ~U-Tube Without Liner SYSTEM IN OD-Tube with Cu~patible Liner Directirg Flow ts Monitorin~ Well(s) SECONDARY ~]Vapor Detector ~]Liqui~ ~-vel Sensor [~Cun~uctivity Sensor ~Pressure Sensor in Annular Space of Double Wall Tank [3Liqui~ Retrieval &- InsPeCtion Pr~ U-Tube, Monitoring Well or ~nular S~ace ~Daily Gauging & Inventory Reconciliatio~ ~]Peri~ic Tightnes~ Testfn~ ~]No~e [3t~kno~ ~Other b. Piping: ~Plow-Restrictin~ Leak Detector(s) for Pre~s~ize~ Pi~i~... ~Monitoring S~np with Race~y ~Seale~ Concrete Raceway ~Half-Cut C~patible Pipe Raceway £]Synthetic r.i~er ~aoeway ONone Describe Monitorirg M~thod for Above: Has This Tank Been Tightness Tested? [~Yes ~N~ [3Dnknow~ NEW TANKS/FACTORY TESTED Date of ~ast Tightness Test Results ~f Test Test N~e Testing (kmpany Tank Repaired? OYes ~ OUnkno~n Date(s) of Repair(s) Describe Repairs ' [3Operator Fills, Co~trola~ & Visually Monitors I~vel [3Tap~ Float Gau~ [3Float ~ent ial~es [~luto Shut- Oft (~mtrols · [3Other: Describe ¢~po~nts o~ Syateml a o Underground Piping: ~Yes ~lNo o~kno~ Material RED THREAD FIBERGLASS Thickness (inches) Dianeter Manufacturer OPressure ~3Suction OGravity Approximate Leogth 6f Pipe lam b. Underground Pipir~ Corrosicm Protectio~ -- oGalvanized [3Fiberglass-tied olmlxessed CUrrent GSacrificial Anode ~ ~Polyethylene Wrap OElectrical Isolatim [3Vinyl Wrap OTa~ or Asphalt · clOnkno~ ONone OO~her (describe): C. Underground Pipirg, Secordary Contairment: ' [3Double-Wall ]/~Synthetic Liner System ON, ne oUnkno~ tlOther (describe):. !!. 1. ~ ~ Tank is: OVaulted oNon-Vaulted ~ouble-Wall OSin~le-Wall ~Fi~lass-~tnfo~c~ Plastic O~e~ O~in~ OB~ ~ I~11~ ~ic~ss (I~s) ~cit~ (~11~) ~ufact~e~ 10,000 IB~ES C0~PO~ATION OOt~ (de~i~) ~ a. T~: oVis~l (vault~ t~ o~) O~O~~ ~i~i~ ~ll(s) POLY ~E~T O~O~ ~ ~ito~i~ ~ll(s) OU~ ~i~ut ~~ ~to~ O~id ~vel ~i~ ~i~i~ ~t~ fo~ ~s ~is ~ ~ .~9h~ ~t~? OYes O~ ~~ NEW TAN[S/FACT0~y TESTED ~ of ~ Tigh~ ~st ~sults of ~st Test ~e ~sti~ T~k ~i~? OYes ~ O~o~ ~i~ ~i~s 10. ~flll OTa~ Fl~t ~ OFl~t V~t Valv~ O~u~ ~t- OrE ~ols O~ci~ ~ ~1~ ~11 GOe~ (~i~): (~L OUT SE~R~T~ ~. 1. ~ ~ ~nk is~' o~ul~ O~-Vaul~ ~1~11 oSi~l~all 2. ~ ~i~ ~r~n Stol o~inless S~l o~l~iny1 ~or~e ~i~rglass-~inforc~ Plastic G~re~ G~min~ ~Br~ ~r (d~ri~) ~ I~Ull~ ~ic~ss (I~s) ~city (~llu) ~ufact~er 10,000 · XERES CORPORATION 4. ~ ~~ ~ ~l~Wall O~tic ~r O~ Vault G~ G~o~ GOt~ (~ri~) ~ G~rial ~ic~ {I~s) ~city (~ls.) ~lv~i~ D~i~rolass~ G~I~yI~ ~ap ~ny1 ~a~i~ ~T~ ~ ~lt ~k~ ~ ~Ot~r {de~ri~): FIBERGLASS ~. ~ ~~m, ~~i~, ~ ~~m RE~ JACKET L~DETECTOR SYST~ a. T~: ~Vis~l {vault~ t~ o~y) GGro~~ ~i~ri~ ~ll(s) POLY ALERT G~o~ ~ ~itori~ ~ll(s) GU~ Wi~ut ~r SYST~ IN GU-~ ~ CreatiVe Li~ Dir~ti~ ~1~ ~ ~i~ri~ ~ll(s) SECONDARY ~ess~e ~n~ln ~ul~ S~ of ~le ~11 ~Li~id ~i~ & Ins~tion ~ily ~i~ & I~ento~ R~iliatim G~i~ic Ti9h~ ~sti~ GN~ G~o~ G~r b. Pipi~ ~l~-~s~icti~ ~ ~tor(s) for ~s~i~ Pipit... G~itori~ ~p ~ ~e~y ~1~ ~r~ G~lf~ C~tible Pi~ R~ G~t~tic Li~ ~ri~ ~i~ri~ ~t~ for ~: ~ ~is ~k ~ ~9h~ ~t~? GYes ~ ~~ NEW TANKS/FACTORY TESTED ~ of ~ Tigh~ ~st ~sul~ of Test ~e ~sti~ 9. ~ ~i~ T~ ~ir~? OYes ~ ~o~ OTa~ ~l~t ~ ~l~t V~t Valv~ ~Au~ ~t- Of~ ~ols · GOt~' 11. ~pl~ b. U~e~ro~ Pipi~ ~rrosi~ ~ot~ti~ ~0~ (~i~): R S Piping, Inc. Fuel Tank and Pipeline Contractors February 5, 1987 Kern County Health Department Environmental'Health Services '1700 Flower Street Bakersfield, California 93305 A~tn: Mr. Joe Canas, EHS I RE: CIRCLE K 2222 "F" STREET BAKERSFIELD, CALIFORNIA Mr. Canas: In compliance with your request for the following information regarding the above captioned underground storage facility, please be informed that: 1. Depth of first groundwater at site is 175 feet as shown in the groundwater maps prepared by Kern COunty Water Agency dated May, 1984. 2. There are not any domestic or agricultural water wells within 100 feet of tanks or piping. 3. There is not any surface water in unlined conveyance within 100 feet of tanks or piping. 4. Ail utility lines exceed 25 feet of tanks and piping. 5. There are not any structures within a 50 foot radius of tanks- and piping. 6. The proposed leak detection system to be installed at the site is the API Leak Detection System with an automatic shut down, or if this system does not meet with Kern County.approval, a leak detection system will be installed which meets with Kern County requirements and specifications. Southern California Office Central/Northem California Office 2033 S. Lgon St., Santa Ana, CA 92705 3108 Antonino Ave., Bakersfield, CA 93308 (714) 545-1161 (714) 545-1162 (805) 324-7994 Page Two Kern County HealthDepartment Environmental Health Services Mr. Joe Canas, EHS I 7. Enclosed is documentation of product performance of Model TRS-76 Leak Detector System for your review. Should need further information of if we can be of further assistance please contact us. Regards, Richard C. Rodney R & S Piping, Inc. RCR:pm enclosure cc: Circle K Corporation Mr. Pete Vroder R ~ S Piping, Inc. Fuel Tank and Pipeline Contractors SOILS ENGINEERING, INC. PRELIMINARY SOILS INVESTIGATION FOR PROPOSED CIRCLE K CONVENIENCE STORE ' ~:S.E.'CORNER OF .~23RD. & F STREETS 'BAKERSFIELD, CALIFORNIA CIRCLE K CORPORATION 5811 MANZANITA CARMICHAEL, CA. 95608 · SEPTEMBER 17, 1986 2901 H STREET · BAKERSFIELD, CALIFORNIA 9330! · PHONE (805) 327-7065 SOILS ENGINEERING, INC. September 17, 1986 File 86-4914 Circle K Corporation 5811 Manzanita Carmichael, CA. 95608 Attention: Larry larkington Subject: Preli~,inary Soils Investigation for Proposed Circle.K Convenience Store 23rd and F Streets Bakersfield, CA. Gentlemen: In accord'ance with your request, we have performed a Preliminary Soils Investigation at the subject site. Recommendations for site preparation and grading; criteria for foundation design are pro- -*- vided in the attached report. Appendix A cont.ains Guide Specifications for Earthwork and is pro- vided as a supplement to Section I, "Earthwork," in the .recommen- dations of the report. Appendix B, "Field Investigation," contains Logs of Test Borings, .... Plates I through 4, and a Sire'Plan, Figure 1, showing the approx- imate test boring locations. Appendix C, "Soil lest Data," contains tabulations of laboratory test data and Consolidation lest Diagram B-1. _ We hope this provides the information you require. If you have any questions regarding the contents of our report, or if we can, be of further assistance, please contact us. Respectfully submitted, SOILS ENG1-NEERING, INC. LT lhomas ayne ~/' R'.C.E. 26106 exp. 3/31./90 ..... LlB:hk · cc: 1-addressee 4-Dennis DeWalt, Inc. 2t)01 H STREET · BAKERSFIELD, CALIFORNIA 93301 · PHONE {805) 327-7065 SOILS ENGINEERING, INC. Prellmlnar. y Soils Invest~gation File 86-4914 Proposed Circle K Convenience September 17, 1986 23rd & F St., Bakersfield, CA. TABLE OF CONTENTS SECl.ION PAGE SCOPE ..................................................... 1 Earthwork .............................................. 1 Foundations ........ , ................................... 1 Soil-Borne Salts ......................... ~ .............. 2 SITE LOCAIION AND CONDITIONS ...... : ....................... 2 SUBSURFACE CONDIIIONS ................................... ·.. 2 GROUNDWATER CONDII ION ...................................... 3 RECOMMENDAI IONS ........................................... 4-12 Earthwork .............................................. 4-8 Compaction .......................................... 4 Optimum Moisture .................................... 4 Stripping ........................................... 4 Ground Surface Preparation .......................... 4 Pavement Areas ................................... 5 Utility lines ............ . .... · .................... 5-7 Engineered Fill ..................................... 7 Imported Fill ....................................... 7 Drainage ............................................ 8 Foundations ............................................ 8-9 labl'e A - Foundation Design Criteria ................ 8 Settlement ........................ ' .................. 9 Lateral Earth P'ressures ................................ 9-10 Table B - Lateral Earth Pressures ................... 10 Active Case.., ...................................... 10 .. soILs ENGINEERING, INC. Preliminary.Soils Investi§ation File 86-4914 Proposed Circle K Convenience September 17, I986 23rd & F SE., Bakersfield, CA. SECl ION PAGE Passive Case ........................................ 10 ~-- At-Rest Case ........................................ 10 Frictional Resistance ............................... 10 S1 ab s-On-Grade ......................................... 10-1.1 Soil-Borne Salts ....................................... 11 LimiLaLions, Observations and Testing .................. 11-12 -' APPENDIX A - GUIDE SPECIFICAIIONS FOR EARIHWORIC APPENDIX B - FIELD INVESIIGAIIONS -, Test Borings (4) Site Plan (Figure 1) ._, APPENDIX C - SOIL 1ESl DAIA Sieve Analysis In-Situ Moisture Relationships Consolidation Test Direct Shear Test Soil-Borne Salts SOILS ENGINEERING, INC. PRELIM[NARY SOILS INVESI[GAIION PROPOSED CIRCLE K CONVENIENCE SIORE Al lHE S.E. CORNER OF 23RD. AND F SIREEIS BAKERSFIELD, CALIFORNIA September 17, 1986 ~ SCOPE lhis report was prepared to provide recommendar-ions for site pre- paration, grading, and criteria for selection and design of foun- dations for Circle K Convenience Store. The following recommen- dations are addressed herein: Earthwork, Site preparation and grading in areas to receive structures and pavements. Quality control of engineered fill. Foundations Foundation types most adequate for the proposed s truc tures. Anticipated total and differential settlements. Lateral earth pressures for designing retaining walls and for evaluating the passive and frictional resistance of foundations. 2901 H STREET · BAKERSFIELD, CALIFORNIA 93301 · PHONE (805) 327-7065 SOILS ENGINEERING. INC. Prellmlna~'y Soils Investigation File 86-4914 Proposed Circle K Convenience Store September. 11, 1986 23rd & F Strs., Bakersfield, CA. Page 2 Soil-Borne Salts Potential corrosion of concrete and buried ferrous . metal conduit. SITE LOCATION AND CONDITIONS The proposed site occupies approximate one-half acre at the south- east corner of 23rd. and F Streets in the City of Bakersfield, CA. and comprising Lots 11 through 15, inclusive, Block 162 in the '' City of Bakersfield. At the time of our field investigation, the site was essentially flat and level, and ground surface elevations generally coincided with adjacent pavement grades. A thin veneer of soil sand sur- facing covered the property, lhe project was occupied at one time by a Union Oil Company Service Station. It is not known at the time of the writing of this report, whether existing gasoline storage tanks were removed, and excavations created during that removal were backfilled and compacted properly. Accordingly, we strongly recommend that the former location of the gasoline storage tank be determined and this area be subjec:ed to additional investigation at the time of construction. No surface vegetation, trees or other site features were noted that might present unusual grading or drainage problems. SUBSURFACE CONDITIONS lhe site is underlain by a considerable depth of alluvlum derived in essentially granitoid formations of the Sierra Nevada Mountains to the east of the site and deposited by the Kern River and tri- butary streams. The predominant soils encountered in our test borings generally consisted of in~-erbe~ded strata comPrising dark brown, moist sandy-silt with fine sand fraction; dark brown slightly moist, silty fine sand; and yellowish brown, slightly moist, fine to medium, well graded, clean sand, described as ML, SM, and SW, respectively, in the Unified Soils Classification Sys- tem. Soils within the zone of influence of shallow foundations.are loose to medium dense, exhibit low to moderate compression poten- tial and low to moderate tendency to consolidate when loaded and :ben subjected to increase moisture conditions. A~ccordingly, SOILS ENGINEERING, INC. Preliminary Soils Investigation File 86-4914 Proposed Circle K Convenience Store September' 17, 1986 23rd & F Strs., Bakersfield, CA. Page. 3 these materials should' provide'adequate support for shallow spread foundations. Under]ying clean sand are loose to medium dense, likewise stable, and should present no unusual foundation pro- bl ems. More detailed descriptions of the various earth, materials encoun-' tered are provided on our lest.~ Borings Logs., Plates I through 4. GROUNDWAIER CONDIIIONS Free groundwater was not encountered in any of our test borings to the maximum depths penetrated, eleven and one-half (11.5) feet. Moreover, groundwater maps prepared by the Kern County Wa. ter Agency and. dated May, 1984, show the free groundwater surface to be at 175 feet below present ground surface elevation.. At this depth,.groundwater is of no concern to foundation stability. Preliminary So'ils Investigation Proposed Circle K Convenience September 17, 1986 23rd & F St., Bakersfield, CA. APPEND I X B FIELD INVESlIGAl ION Four (4) test borings were drilled at the subject site ~nd ter- minated drilling at a maximum depth of eleven and one-half (11.5) feet below the existing ground surface. Borings were advanced using a six (6.0) Inch~ solid stem auger, lest data and descrip- tions from these holes form the basis of the conclusions and re- commendations contained in this report. Undisturbed samples and disturbed bulk samples were 'obtained. Undisturbed samples were taken with a 2-3/8" (inside diameter) sPlit-barrel sampler. Penetration resistance of undisturbed soils was obtained by driving the above described sampler using a one- hundred-forty pound hammer falling a distance of thirty (30.0) inches and recording blow counts for each six (6.0) inch increment of drive on Test Boring Logs. In addition, bulk soil samples, se- ..lected as most representative of near surface soils encountered', were taken for laboratory testing. As drilling progressed, earth materials encountered were logged and classified in accordance with the Unified Soils Classification System and presented graphically on Logs of lest Borings, Plates 1 through 4. Approximate. locations of test borings are shown on the Site Plan, Figure 1. T£~T ~0£1~1~ LO5 LE.~£N9 ~LOW d.~UNT FDA ~ ' DRIV£ -~.z2W5 WITH ,~" O#T.5/D£ ,O/,4h~£,~R, /- .~/,m' //,,,..c/z)£ D/,4,M£7'£,R, LA£6£ BULK ~DIL$ £N61N££MIV&, IIV£. UNIFIED SOIL, CLASSIFICATION SYSTEM SOIL CLASSIFICATION CHART I~/~TUR£$. · ° * ' * ' W£LL'6~OEO ~1L7'¥ .~,AAtD ¥ ~'Z A Y.¢, .SH. TF ,,j,jjjlj, jlj,j ~AN/f ..,=/Z7'$ AND - ~,~r~.t,v,~,/'~ £LAv~AND ~Zl~Ul~ ~/m/rr#,~l,,~ C J4 PZASTI£1TY,I~JOR~LNI£ ~_Z,~YSFAT OF£~4y$.XI6# z,. OREANI£ ~IZTS. P T w/r# #16ll 6~,U/Z' NOTE: DUAL 8YMBOL8 ARE USED TO INDICATE BORDERLINE EOIL CLA881FICATION --- SOILS ENGINEERING, INC. '.DATE DRILLED: 8/29/86 O' 'EST BORING LOG ~I DATE REPORTED: 9/17/86 No.]. " .SOILS ENGINEERING INC. PLATE..1 P.n~j.1 O! 4 o~.t. ~ so, u % ~,t~ ~/o~,~,~,~1 GRO~ SOIL DESCRIPTION mol~. ~F ~ZO0) ANG.LE '~ ,,, 2" ~ a~ ~face ..... -- 3~ ~ g~e s~. _ 5 ~ 8.0 95.4 33° 7 -- 68~ ~ s11gh~y ~&s~; ~e s~. 5.2 96.7 25 8~-11~': ~: Ye[~ ~; s[&~y _-- L ~". / .I '" LOCATION ~ ~ ~ plnn VATIO .: EQUIPMENT: 6" ~[~d S~ A~e~,, LOGGED BY: D.m. DATE DRILLED: 8/~/8~ ~ TEST BORING LOG Job No. 8~-4~1~ DATE REPORTED: 9/17/8~ NO.2 · SOILS ENGINEERING INC. P",A'T'F, ~ " Pmwe2 Of ~EP~, s~ SO~L SOIL DESCRIPTION % ~NSITY GRO~ MOI~. PCF ~ZOO) ANGLE 0 2" AC at s~face b~k 0,_3,: S~-S~: D~k b~; mist; -- ~ fine ~ ~ s~d; pr~~t ~Y 3'-5': ~Y-S~T: D~K ~; ~ ~ f~e s~ fra~on. _ ~ 5'-7'; SIL~-~: ~rk ~; mist; f~e to ~ s~; pr~ - [, ~tly f~e. , - ~ 7'-9'; ~Y-SILT: ~k bra; ~ist; ~ s~ ~ract~on ....... 10 ~ 9'-10': S~-~: D~k ~; ~ist; - ~el~ f~e. ,, - Tmt~ ~11~ at 10'~ m free - L0~rlO~ See S~te Plan: ~*T, o,~,,.L,o*.' ~/29/8~ _. TEST BORING LOG .~ob N0.8~,~914 OATE REPORTED: 9/17 NO. 3 .SOILS ENGINEERING INC. Prego 3 Of 4 DEPTH SANIPLI~ SOl/ °/o [)EN$1TY %FINESFRICTION G~oue SOIL OE$CRIPTION MOIST. PCF t-,~ZOO) ANGLE: 0 AC at surface ~ ~ulk 0,-8½,: SANDY-SILT: Dark brown; very _ ,_ m~ist; fine sand; hydrocarbon i ~ °d°r fr°n 0'-2'' - - considerable clay 26-8 85.4 87 - thin lenses of fine non-cohesiv( I · --~ 3 ~ sil~y-sand. 17.7 81.9 -- 21.0 98.4 - 1~ 4 SW 8½'-11½': SAND: Yellowish brown; slightly moist; fine to medium grained; -- - ,~ w°ll graded; clean. 3.2 94.0 _ Terminated drilling at 11½'; no free grounO,~tor ~ncx:mntored. LOCATION: See Site PlaB E'LE~ATION: EQUIPMENT:. 6" Solid Stem Auqer LOGGED BY; r).q'. - 8OIL8 ENQINEERINO .A''OR"LEO: /29/86 TEST BOR|NG LOG , ob No. DATE REPORTED: 9/17/ NO, 4 SOILS ENGINEERING INC. PLATE 4' Pinkie 40! 4 oEp'r, s~m~ SO, L % ~Sn'¥ GROUP SOIL DESCRIPTION MOIST. PCF ~ZO0) :ANGLE 0 0'.~2'-. SILTY-SAND: Bark Brcx~n~ moist;- fine to medium sand; predcm- · ti f' -- b~ 2'-4': SANDY-SILT: Bark brown; mist; - 5 .' ~.., fine sand fraction.'. 4'-7': S'rr,TY-SAND: Dark ~; -- slightly mist; fine sand. - ._ - 7'-10': SAND: Yellowish brown; slightly _ _ SW mist; fine to n~=dium grained; _ 10 well gradod; clean; ..... ~ fine to coarse grained at 9½'./ ' -~erminated drilling at 10'; no free _groundwater oncounterod. _ .9 LOCATION: See Si. te 'Plan ..ELEVATION: ,. EQUIPMENT~ 6" Solid Stem Auqer LOGGED BY: SOIL8 ENGINEERING FIGURE 1 CIRCLE K CORPORATION FiLE 86-4914 ; · ...... SEPT. 17, 1986 Z ~ F F · 400.90' ' ......... ~ ~ * ~' ~ ,' . :. ~'.~. ~ : ~ '..~ · . ~ ............ ~ ....... .~ ~..~ ~ ~ ~ ~.. ......... ~ ............ ; ................. ~ ....... ~ .... r .... ~ r;:~ ': - ' ~,, A~ROXlMATE TEST BORING LOCATION .................. ' .- -' PROPOSED CIRCLE K SITE- ' LOTS 11,12,13,14 & 15- ~ 162 ~. -[ 23RD STR[ET (HWY.~781 IN CITY OF BAKERSFIELD ~; ~G,~ p1010060.jpg (1280x960x24b jpeg) JACO OIL & B~~L B~~FIELD, CA. SOIL CO~~TION S~PL~G ~PORT I I PROJECT # 200152 JUNE, 2004 I ENVIRONMENTAl. ENGINEERING I ~ SERVICES, INC. 2103 20th Street · Bakersfield, CA 93301 (661) 324-6152 * FAX (661) 324-6172 I I I Coffee Road & Brimhall Project 200152 June, 2004 I TABLE OF CONTENTS I 1.0 INTRODUCTION .................................................................................................. 2 :· 2.0 SOIL SAMPLING .................................................................................................. 2 2.1 Pre-Field Investigation .................................................................................... 2 I 2.2 Confirming Soil Sampling .............................................................................. 2 2.3 Laboratory Analysis .............................................................................................. 3 i '3.0 FINDINGS ' 3 ~ 3.1 Site Characteristics .......................................................................................... 3 3.2 Analytical Results ............................................................................................ 3 I 4.0 DISCUSSION OF RESULTS ................................................................................ 4 I 5.0 CONCLUSIONS AND RECOMMENDATIONS ................................................. 5 6.0 LIMITATIONS ....................................................................................................... 6 I 7.0 REFERENCES ....................................................................................................... 7 i, I 8.0 SIGNATURE PAGE .............................................................................................. 8 FIGURES Figure 1 Area Map Figure 2 Site Map APPENDICES Appendix A Laboratory Results Appendix B Sampling Plan I ! i 2000 04 152 Coffee Road & Brimhall Coffee Road & Brimhall Project #200152 June, 2004 1.0 INTRODUCTION On March 22, 2004, RAM conducted confirmation sampling at the Fastrip located at Coffee Road & Brimhall, Bakersfield, California. Prior to work at the site, a Job Site Safety Plan and a Site Sampling Plan were prepared. The sampling plan was reviewed in the field with Mr. Howard Wines of the Bakersfield Fire Department's Environmental Unit prior to that start of sampling. The sampling was conducted as part of the removal and replacement the existing piping and dispensers at the station. This report describes the field procedures, observations, and findings, including laboratory results, of the soil samples collected at the Site. The current use of the site is as a privately owned and operated Fastrip convenience market and self-serve gas station. JACO Oil owns the dispensers and piping that was removed and replaced. Gas sales will continue to be conducted at this site. Immediately adjacent to the site is a vacant lot (west) restaurants, a self storage business (north), a Dance Studio (east) and a Nursery (south). The site is bordered on the south by Brimhall Road and on the west by Coffee Road. The excavation area was located on the southern side of the site. The scope of work for this investigation was developed in compliance with applicable Bakersfield City standards, and US-EPA S.W. 846, 3rd Ed. 2.0 SOIL SAMPLING 2.1 Pre-Field Investigation specific sampling plan for this work was developed using RAM's standard The procedures for soil sampling and is attached. A site visit was made prior to the sampling to review site conditions, sampling locations, and site safety. Proposed sampling sites were selected and numbered based in the configuration of the facility. 2.2 Confirming Soil Sampling Sampling was conducted on Monday March 22, 2004 using the site-specific sampling plan. Samples were typically collected at depths of 2~feet and 6-feet bgs at designated points (4) along the piping and at the dispenser islands, except as noted below. There was never any diesel at the site, either in the past or as part of the current operations. All samples were excavated to depth using the backhoe at the site. Samples were collected into 2-inch by 6-inch brass sleeves by pushing them into the soil collected in the backhoe bucket at the proper depth. Samples were then sealed with Teflon and plastic caps. All samples were double-bagged and placed on ice. A PID model photo vac 2020, 10.6 eV UV lamp was used to sample the void left when the brass sleeve was removed from the backhoe. These results were logged in field notes. 2000 04 152 Coffee Road & Brimhall 2 I Coffee Road & Brimhall Project #200152 June, 2004 I 2.3 Laboratory Analysis All the samples collected were labeled, placed in an ice chest, cooled to 4°C, and I transported to the laboratory under a completed chain-of-custody form. Selected samples were analyzed for the following constituents using EPA approved methods: · Total petroleum hydrocarbons as gasoline (TPH-g, carbon range C4-C12) using EPA Method 8015M; I · Benzene, toluene, ethylbenzene, xylenes (BTEX) and fuel oxygenate methyl tert-butyl ether (MTBE) using .EPA Method 8021. I Analyses were performed by BC Laboratories, a state certified laboratory for the . above analysis. The tentative results of the sampling were forwarded to the I Bakersfield Fire Department's Steve Underwood for their review. City i 3.0 FINDINGS 3.1 Site Characteristics i During sampling the PID meter was used to test the soils for the presence of volatiles and the results recorded in the field notes. This included general testing in and around the site as well as testing the soils removed for sampling. Sample I site P4 registered readings of 5.7 at 2-feet bgs and 12.8 at 6-feet bgs. An additional soil sample was collected at a depth of 12-feet bgs and the PID reading registered at 0.00 at that depth; no further sampling was conducted based upon I this reading. 3.2 Analytical Results I The analytical results are summarized below and the laboratory reports are included as Appendix B. I I I I I I 2000 04 152 Coffee Road & Brimhall · 3 Coffee Road & Brimhall Project #200152 June, 2004 Summary of Laboratory Results SoilBorin~ Depth B~nzene I Ethylbenzene I Toluene I Xylenes I MTBE I TPH-g ] TPH-d No. (fl) (mg/kg) I-4 Disp #1 4.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 1-10 Disp #1 10.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 2-2 Disp #2 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 2-6 Disp #2 6.0 ft. <PQL <PQL <PQL ~PQL <PQL <PQL N/A 3-2 Disp #3 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 3-6 Disp #3 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 4-2 Disp//4 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 4-6 Disp #4 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 1-2 Piping # 1 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 1-6 Piping # 1 6.0 ft. <PQL <PQL <PQL <PQL <P,QL <PQL N/A Piping <PQL <PQL <PQL <PQL <PQL <PQL 3-2 3 2.0 ft. N/A 3-6 Piping # 3 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 4-2 Piping # 4 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 4-6 Piping # 4 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A 4-12 Piping 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL N/A #4 Notes: 1. All results shown are below standards set by the state for contamination to water (Water Quality Goals for the Central Valley Region [California Environmental Protection Agency, Regional Water Quality Control Board, Central Valley Region, August 2003]) 2. All results are reported in mg/kg 4.0 DISCUSSION OF RESULTS The levels recorded for all constituents are below the standards described in the Water Quality Goals for the Central Valley Region (California Environmental Protection Agency, Regional Water Quality Control Board, Central Valley Region, August 2003). Groundwater at this location is estimated to be approximately 100 feet below ground surface (bgs). These levels are determined by the analytical method used, the degree of interference in the lab test, and is based on the QA/QC used by the lab for certification. Regulatory Threshold (R.T.) is an amount, which varies by chemical that is typically The used to determine if further investigation is need or provide an initial cleanup level. None of the concentrations found exceeded the standards described by the California EPA, or Bakersfield Fire Department, Environmental Unit. Further investigation or active remediation for these specific constituents at this site is not warranted. ,! I 2000 04 152 Coffee Road & Brimhall 4 Coffee Road & Brimhall Project #200152 June, 2004 5.0 CONCLUSIONS AND RECOMMENDATIONS Based on the findings, RAM concludes that levels of BTEX, MTBE, and gasoline constituents are not present above the regulatory levels in the soil at levels where they would pose a potential threat to groundwater beneath the location. In addition, · The contaminate source U.T. and past improper management practices (possible over filling) have been eliminated, · There is an impervious layer of asphalt/concrete over the area, There is no source of water that would provide hydraulic gradient to drive remaining hydrocarbons lower, and · NatUral Bio-remediation/attenuation will reduce Petroleum Hydrocarbons to non- detect in the sub-surface' over time. RAM does not recommend any further action at this site. This report is submitted to the client for their use and submittal to the Bakersfield Fire Department's Environmental Unit for their review and approval. I I ! ! I I ! I 2000 04 152 Coffee Road & Brimhall 5 Coffee Road & Brimhall Project #200152 June, 2004 6.0 LIMITATIONS RAM Environmental Engineering Services, Inc. has prepared this Report, for the exclusive use of Mr. Roy Saunders of JACO Oil as it pertains to the property located at Coffee Road and Brimhall in Bakersfield, California. Our professional services have been performed using the degree of car and skill ordinarily exercised under similar circumstances by other professionals practicing in this field. No other warranty, expressed or implied, is made as to the professional advice in the Report. Any use of or reliance on this Report by a third party shall be at such party's sole risk. RAM assumes no responsibility for site conditions or activities that were outside the scope of the inquiry requested by Mr. Roy Saunders. It is recognized that regulatory requirements may change, including the revision of accepted action levels, which could necessitate a review of the discussion, findings, recommendations or opinions of the Report. 2000 04 152 Coffee Road & Brimhall 6 Coffee Road & Brimhall Project//200152 June, 2004 7.0 REFERENCES Department of Water Resources (DWR), 1975, California's Ground Water, DWR Bulletin No. 118 Kern County Water Agency, Water Supply Report, 1999, May 2003. RAM Environmental Engineering Services, Inc., Soil Sampling Workplan, September 2003. Kern County Environmental Health Services Department. U.T. 35. US-EPA S.W. 846 3rd. Ed. 2000 04 152 Coffee Road & Brimhall 7 I Coffee Road & Brimhall Project//200152 June, 2004 I 8.0 SIGNATURE PAGE I This Soil Characterization Report for Mr. Roy Saunders, dated June 6, 2004 was prepared by RAM Environmental Engineering Services, Inc. under the responsible charge of the I ~following professionals: ~~ I Kevin Malamma, REA ~~~~~~ Project Manager · n HS 1~_~O ~. G~4~.~.~~ I President ~.~9~*' aat~ '~¢i ,_ I I I I I I I I I 2000 04 152 Coffee Road & Brirnhall 8 FIGURES ~ JACO OIL FIGU~ l ~M EN~O~ENNTAL ~E 2004 ~A ~P ENG~EE~G SERVICES, SO~ COllATION FASTRW AT COFFEE ~. 2103 2~ ST~ET S~LING REPORT & B~LL B~~LD, CA. 93301 ! '1 ' ~ .. ' .j ii ~.~ ~ I I I ' , I JACO OIL FIGU~ 2 ~M E~ONMENTAL ~NE 2004 SITE M~ ENG~EER~G SER~CES, ~C. SO~ CONFECTION FASTR~ AT COFFEE ~. 2103 20TM ST~ET i SA~L~G REPORT & B~LL BA~FIELD, CA. 93301 I APPENDIX A LABORATORY REPORTS Certified Analytical Report Cover - page 1 of 1 Laboratories, Inc. Cover Report RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. Project Number: BAKERSFIELD, CA 93301 COC Number: Attn: KEVIN MALAMMA BCL Number: 04-02912 Dear Mr. Malamma: This report contains the analytical results for the samples received under chain of custody by BC Laboratories, Inc. The samples were logged into the La'boratory Information Management System (LIMS) and BC Lab numbers were assigned to each sample. The result of the temperature check, condition of the samples and any other discrepancies were recorded on the cooler receipt form. All applicable quality control procedures met method-specific acceptance criteria, except as noted on the following analytical quality reports. and control. I This report shall not be reproduced except in full, without written approval of the laboratory'. ! I I California DOHS Certification #1 186 Authorized Signature ! All re.-.-'uh listed ia this report are fur the exclusive use of the submitting party, BC Laboratories, Inc. assumes no responsibility for report alteration, deta~r~ep~t,qht~b~d party nterpretation. Printed 0~,jf~0i/,~l(!ItO4ZOCP-ersfield, CA 93308 * (66i)327-4911 * Fax(661)327-1918 * www.bclahg entry ~ Laboratories, Inc. Chain of Custody Form l PLEASE COMPEETE: 19494 ~Jn~ ~n Pro~ect Name:p~ ~ Com~gt~ ' ~~ ~ ~ProjectCode: · ' ' Sample Matrix Email Address:~{~ Iq .~:;~;;:~;~,, ~ ~ ~ ~ or equalto~~iTmes less ~lliiigi iill ill gg l! ~l/~ll ~ _~~ ._~ ~ ~, ~ * Standard Turnaround = ~ 5 work days Notes ~ '~ ~ Other Waters on State Fo=? D Re~rn to Client D~sposa: by lab ~ ~chive: Months ......... ~ OC ~ WIP ~ Raw Data 1. ~is~~ / Date-- Time i. ~ived~ Date Time 21ient: ~ Yes ~ No . _~_~ 2ity: ~ State ~ Zip CA?Seaa Copy to State of ~ ~. Relinquished ~y Date~ x Time ' k ~d B~ ~Date ~ Time 'O~:ttt~: ~Yes ~No 3. Relinquished By Date [Time 3. Rece~vedBy Date Time BC Laboratories, Inc. - 4100 At&s Ct. - Bakersfield, CA 93308 - 661.327.4911 - F~: 661.327.1918 - www.bc~bs.com [ ·PLEASE· COMPLETE: Laboratories, Inc. Chain of Custody Form , .... Comments: ;treetAddress: ~t~ ~ [Pr~ect Code: __ ,hone:~[~ Fax: ~[3~ ~ ~ ~1~ ~ ~ [::~.~.~,,.:~ Sample Matrix . Are there any tests ~th holding times less than ~ ~ ~~]~~;ub~ittal~: ~ II C~ g.~iTM ~ ¢% *StandardTurnaround= 15workdays ., ~ Report Drin~ng Sample Disposal ~ Same as above Waterson~teF0m? ~ Re~rn to Client Disposalbylab ~ ~chive: Months___~ .... ~ ~C ~ WIP ~ 8aw Data ~lient: ~Yes ~No, 1. Reli~~~¢ ~~~~ ' 2i~:kddress: ~ State ~ Zip cAzSend Copy to State of ~linqu~he(By c · [ Date ] Time~ Date ~ Time ~tt~: ~Yes ~No ~. ~,i~¢~ iD~t~ {Time 3. Received By ~Date [Time BC Laboratories, hzc. - 4100 At~s O. - Bakersfield, CA 93308 - d - BC LABORATORIE.S INC. ... SAMPLE RECEIPT FORM Rev. No. lo ou2wo4 Page subm;s~ion #:(,~t-(%},,~(~I 1 /:~)/- Project Code' ~.TB Batch ~ SHIPPING INFORMATION · SHIPPING CONTAINER Federal Express O UPS ~ Hand Delivery~ Ice Ches~ None ~ BC Lab Field Service ~ Other ~ (Specify) .( ~ Bo/ ~ Other ~(Specify) Be[ri~erant: Ice~ Blue Ice ~ ~ ~one ~ Other ~ Comments: Custody Seals:lceChest~ ~1 ~Containers~ ~ None Comments: ~ ntact? Yes ~ Ne Intact? Yes B No received? Yes~' Nod All samples containers intact? Ye~ Nod Description(s) match COC7 Yes~ No x~COC Received ~ce Chest tD~ ~/'~) Emissivity ~'~ ~ Date/Time ~'~ Tem~erature:~"C ..... Conta~er ,, ~YES ~ NO ~h~rmometer ID:~¢~ W~ ~(~ Analyst Init ~ QT GENERAL MINERAL/ GENERAL PHYSICAL PT P6 UNI'RESERVED ~T INOI~GA~IC CIIEMICAi, METALS PT INORGAHIC CHEMICAl. METALS PT CYANIDE PT NITROGEN FORMS I'T TOTAL S ULFIIH~ 2oz. NITILAT~ / NITRITE 100mi TOTAL ORGANIC CARBON QT TOX PT CtIEM ICAL OXYGEN I) EMANI) PtA PHENOLICS 40mi VOA VIAL TRAVEL BLANK RABIOLOGICAL BAC'FER~OLOG~CA L 40 nfl VOA VIAL-,5~ QT EPA 51)8/60818(}811 QT EPA S25 Q]' EPA 525 TRAVEL /00mi EPA ~47 100mi EPA 531.1 QT EPA 548 ., QT EPA 549 OT gPA 632 QT EPA 8015M 9'r QA/QC ~T AMBER ~ OZ. JAR 3~ OZ. JAR ~.VEllltOUS II{ON ENCORE Submission fi: Project Code: I TB Batch # Federal Express [] UPS [] Hand Delivery~ Ice Ches~._. None [] BC LaD Field Service [] Other [] (Specifyl Boff [] Other [] (Specify) Refrigerant: Ice Blue Ice [] None [] Other [] Comments: Custody Seals:lee ChestED I [ContainersI3 rnl Non~ Comments: L ntact? Yes [3 No [3 Intact? Yes C] No · samples received? Yes~ No [3 All samples containers intact? Yes~ No[] Description(s) match COC? Yes 13 No [] ~ SAMPLE NUMBERS SAMPLE CONTAINERS 6 9 GENERAL MINERAL/ GENERAL PHYSICAL UN PRESEP, VED INORGANI£ CHEMICAL METALS PT INORGANIC Ctl EMICAL METALS PT CYANIDE NITROGEN FORMS I'T TOTAL SULFIDE 2oz. NITIL~.TE / NITRITE 100mi TOTAL ORGANIC CARBON PT CHEMICAL OXYGEN DEMAND PlA PHENOLICS 40mi VOA VIAL TRAVEL BLANK 40mi VOA VIAL 418.1 ODOR RADIOLOGICAL BACTERIOLOGICAl. 140 mi VO,4. VIAL- 504 EPA 508/608/8080 515,1/8150 ',PA 5Z5 TRAVEL BLANK I00ml EPA 547 100mi EPA 531.1 548 PA 632 EPA 8015fyi AMBER JAR 32 OZ. JAil SOIL SI,EEVE PCll VIAD' : I1AG F'E R IlO I)SI R ON ENCORE Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number I--- Receive Date/Time 03/22/2004 @ 15:30_ Project Number 200152 ;Sampling Date/Time 03/22/2004 @ 11:18 Sampling Location COFFEE RD. Sample Depth --- Sampling Point D1-4 DISPENSER #1-4' Sample Matrix Soil Sampled By K. Malamma/K. E dredge BCL Sample ID 04-02912-1 Benzene < POI_ I rog/kg 0.005 0.0003~ 8021B 03/23/04 03123/04 1~:42 HKS GC-V8 I 302-100446 I ND .! s09 [thylbonzene ..... < POk m~/k~ 0.005 0.00~8 802~B 03/23/04 03/23/04 ~6:42 HKS GG-V8 ~ 302-~00446 ND ] 809 Methylt-butylether <POL ! rog/k9 I 0.02 0.00056 802~B 03123/04 03/23/04 ~6:42 ~al Xylenes < POL m~/k~ ] 0.0~ 0.0098 802~B 03/23/04 03/23/04 ~6:42 HKS GC-V8 Gasoline Range Organics (C4- I I I C12) <PQL mg/kg I 1 0.046 8015M 03/23/04 03/23/04 16:42 HKS GC-V8 I 1 302-100446 a,a,a-Trifluorotoluene.I 50 ~ % 70-130 ! 8021B , 03/23/04 t03/23/04 116:42 HKS GO-V8 a,a,a-Trifluorotoluene (8015,i ~i ~ 16'42 i ' Surrogate) ~ 67 % 70-130 8015M 103/23/04 , 03/23/04 . HKS GC-V8 ~ I 302-100446 I ~ S09 Flag_ tExplanations S09 tThe surrogate recovery on the sample for this compound was not within the control limits. " California DOHS,~e,~¢id:ii~,9~t~i~lJ 86 . cporr are for the exclusive use of'thc submitting part),. BC Labora~:ories, !nc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 ~ www.bclabs.com Printed 03/26/'2004 08:59:35 04-02912-1 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons CdC Number i--- IReceive Date/Time 03/22/2004 @ 15:_3_0- Project Number !200152 Sampling Date/Time 03/22/2004 @ 11:35 S__ampling Location COFFEE RD, Sample Depth --- Sampling Point D1-10 DISPENSER #1-10' Sample Matrix Soil Sampled By tK. Malamma/K. Eldredge BCL Sample ID i04-02912-2 Benzene ~ <PQL me/kg 0.005 0.00036 8021B 03/24/04 03/24/04 11:33' ~ES' }"~CEV; t I 30;-1004~;'~ ' "N~ '~; ..... ' < PQL me/kg i 0.005 0.0040 ( 8021B 03/24/04 03/24/04 {11:33 HKS GC-V8 Ethylbenze,e ---- < PaL ~ me/kg { 0.005 0.0018 8021B 03/24/04; 03/24/04 11:33 HKS GC-V8 Methyl t-butyl ether < PQL ~ me/kg ~ 0.02 0.00056 8021B 03/24/04 03/24/04 11:33 HKS GC-V8 I 302-100446 ND Total Xylenes < PQLI mg/kg } 0.01 0.0098 8021B 03/24/04 03/24/04 11:33 HKS GC-V8 1 302-100446 ND Gasoline Range Organics (C4- I ~ I C12) < PQL me/kg I 0.046 i 8015M 03/24/04 i 03/24/04 11:33 HKS GC-V8 I 302-100446 ND a,~,a-Trifluorotoluene. ~ 89 % 70-130 8021B I 03/24/04 03/24/04 11:33 HKS GC-V8 a,a,a-Trifluorotoluene (8015 ' ~ ~ Surrogate) ] 114~ % 70-130 ~ 8015M~ 03/24/04 03/24/04 11:33 HKS GC-V8 } 1 ~302-100446 California DOHS ~?e,rt~i~ation #1186 . , usted-in this report are for the ex. clusive use of' the submitting parD,. BC Laboratories, 1116. assun~es n6 responsibility for report alteration separation, detachment or third party illterprg~tiol]. 4100 Atlas Court * F3akersfield, CA 93308 * (661) 327~4911 "FAX (661) 327-1918 ~ www.bclabs.com Printed 03/26/2004 08:59:45 04-02912-2 · Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons IcOc Number i--- IReceive Date/Time 03/22/2004 @ '15:3__0 ............... Project Number 200152 Sampling Date/Time 03/22/2004 @ 10:53 Sampling Location COFFEE RD. Sample Depth --- Sampling Point ]D2-2 DISPENSER #2-2' Sample Matrix Soil Sampled By tK. Malamma/K. Eldredge BCL Sample ID 04-02912-~ ._B_e._n_z_e_n._e ................... ~ < PQL I rog/kg I 0.005 I 0.00036 8021B [03/24/04 03/24/04 12 04i HKS I GC-V8 I I i 302-1004 6 , ND f .............. _To~l_u_e?_e~_ .......... { < PQL i mg/kg I 0.005 t 0.0040 8021B i03/24/04 03/24/04 112:04 i HKS i GC-V8 Ethylbenzene F <PQL i rog/kg ! 0.005 t 0.0018, 8021B ,103/24/04 03/24/04 12:04 HKS I GO-V8 1 302-100446 ~_i ........... ND -L! .............. ............... Methyl t-butyl ether t < PQL I rog/kg ! . 0.02 0.00056 i 8021B 103/24/04 03/24/04 12:04 HKS i GO-V8 Total Xylenes < PQL t mg/kg I 0.01 0.0098 8021BI 03/24/04 03/24/04 12:04 I HKS i GC-V8 1 easohne Range Organ,cs (C4- I J I I I I I I C12) , ! < PQL I mg/kg i 1 i 0.046 8015M i 03/24/04 j 03/24/04 12:04 J HKS [ GC-V8 I 1 I 302-100446 I ND i i!i a,a,a-Trifluorotoluene ) 86 I % 70-130 8021B 03/24/04 03/24/04 12:04 HKS GC-V8 j I 302-100446 I Surrogate) 109 % 70-130 , 8015M 03/24/04 03/24/04 12:04j HKS GC-V8 California DOHS Certification #1 186 All results listed in this report are for the exclusive use of thc submitting part3,. BC Laboratories, Inc. assumes no responsibility, for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 '" (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/26/2004 08:59:54 04-02912-3 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/22/2004 @ 15:30 Project Number 200152 Sampling Date/Time ;03/22/2004 @ 10:55 _S_a_m?ling Location COFFEE RD. ISample Depth ,--- __ ................................ Sampling Point ID2-6 DISPENSER #2-6' Sample Matrix Sampled By fK. Malamma/K. Eldredge BCL Sample ID IO4-O~1-~-4 Benzene ~ ' ....... I <PQL ! mg/kg 0.005 I 0.00036 80218 03/24/04 03/24/04 12:34I HKS t GC-V8 I 1 1302-100446 I ND , ' i ~_302-100446 ~----'N-~- ........ ! .......... Toluen~e ................ ~-<PQL mg/kg 0.005 0.0040 80218 i03/24/04 03/24/04 12:341 HKS t GC-V8 I 1 Ethylbenzene <PQL rog/kg 0.005 0.0018 80218 03/24/04 03/24/04 12:341 HKS I GC-V8 I I ~3-~-~-~-4~-"'i ...... ~-D' .... i ............. 03/24/04! Methyl t-butyl ether < PQL mg/kg 0.02 I 0.00056 i 80218 03/24/04 12:34 HKS GC-V8 ! 1 _i 302-100446 i .~._D_ _ -i ................ TotaIXylenes i <PQL t rog/kg 0.01 I 0.0098 80218 03/24/04 03/24/04 12:34I HKS { GC-V8' I 1 ]302-100446 i ND _. i ............. Gasoline Range Organics (04- t t i i C12) <PQL t mg/kg I 0.046 8015M 03/24/04 03/24/04 12:34 HKS I GO-V8 03/24/04 a,a,a-Trifluorotoluenea'a'a-Triflu°r°t°luene (8015 Il 94 l[ % J 70-130 iJ 8021B 03~24/04 12:34 HKS ~'GQ'V8 I , I California DOHS Certification #1 186 All results listed in this report are for the exclusive use of' the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteratio;~t, separation, detaclu'aent or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 ~ (661) 327-4911 * FAX (661) 327-1918 ~ ~'.~'w.bclabs.com Printed 03/26/2004 09:00:03 04-02912-4 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number I--- Receive Date/Time I03/22/2004 @ 15:30 Project Number 200152 Sampling Date/Time 103/22/2004 @ 10:45 !Sampling Location COFFEE RE). Sample Depth ~--- SO 'Sampling Point D3-2 DISPENSER #3-2' Sample Matrix il Sampled By K. Malamma/K. Eldredge IBCL Sample ID 104-02912-5 Benzene i < PQL I mg/kg 0.005 0.00036 8021B 03/24/04 03/24/04 13:04 HKS GC-V8 1 302-100446 Toluene i <PQL I mg/kg 0.005 0.0040 8021B 03/24/04 03/24/04 13:04 HKS GC-V8 i I 302-100446 ND ____ I 302-100446 ~ ! 03~24~04 ', 03/24~04 13:04 HKS GC-V8 1 i Ethylbenzene j._ < PQL I rog/kg 0.005 0.0018 80218 i . Methyl t-butyl ether L < PQL i mg/kg 0.02 0.00056 t 8021B I 03/24/04 03/24/04 113:04 HKS GC-V8 1 i 302-100446 ~_ ND Total Xylenes,t < PaL i mg/kg 0.01 0.0098 8021B I03/24/04 03/24/04 113:04 HKS I GC-V8 i 1 J 302-100446 Gasoline Range Organics (C4 - t I I 1 i ! C12), < PQL t mg/kg 1 0.046 8015M , 03/24/04 i 03/24/04 3:04I HKS I GO-V8 1 I 302-100446 ..... :~::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ................ : ........ I:.:::::~ .............. ~ ........................... t .................................. iii;::~iiii!i!i!!ii!::iiiiiiiiiiiiiiiiii!i::::iiiiii!iii ::~i!ii!ili:: Il. ti~;¢;ii;~:i~ .......... ~i~::~::~i~i~i!i~ii~i~::~ii::i~;i~Iiiiii~::~i~ii~i!i?:~:.~i~i~i~i~i~?:~;i::i::ii~::~i~i~{~!~i:;i~!i::::I~;i:::.i::;:::?:~::~i:?::::::: ::::::::::::::::::::::::::::: i???;??:;i~i~ a,a,a-Trifluorotoluene (8015 t i I I i .......... IS..urrogate) . 98 t % 70-130 8015M 103/24/04 03/24/04 13:04 HKS 6C-V8 I 1 302-100446 i California DOHS (~rtific.ation #1 186 results hsted in this report are for the exclusive use of the subn'dtting party. BO Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-;918 ' www.bc]abs.com Printed 03/26/2004 09:00:13 04-02912-5 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN.MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/22/2004 @ ~ 5:30 Project_N_umber 200~ 52 Sampling Date/Time 03/22/2004 @ 10:48 Sampling Location COFFEE RD. Sample Depth I--- __.__-~-~__.._--~_-i_-'--~ Sampling Point D3-6 DISPENSER #3-6' Sample Matrix Soil ......... Sampled By K. Malamma/K. Eldredge BCL Sample ID 04-02912-6 Benzene I < PQL I mg/kg 0.005 0.00036 8021B 03/24/04 03~24~04 13:34 HK$ GC-V8 I 1 302-100446 ND Toluene < PQL ma/kg 0.005 0.0040 8021B 03~24~04 I 03~24~04 13:34 HKS Gal-v8 1 302-100446 ND Ethylbenzene < PQL ma/kg 0.005 0.0018 8021B 03/24/04 03/24~04 13:34 HK$ GC-V8 1 302-100446 Methyl t-butyl ether I < PQL mg/kg 0.02 I 0.00056 8021B 03/24/04 03/24/04 13:34 HKS GC-V8 1 302-100446 i"~-I~----] ........... Total Xylenes i < PQL ma/kg t 0.01 0.0098 8021B 103/24/04 03/24/04 113:34 HKS GC-V8 i 1 i 302-100446 Gasoline Range Organics (C4 - i i I I 1 i i --! C12) I <PQL I ma/kg I 1 I 0.046 t 8015M 103/24/04 03/24/04 13:341 HKSIGC-V8 I 1 '302-100446 ] ND a,a,a-Trifluorotoluene I 99 :, % I 70-130 I 8021B i03/24/04 I03/24/04 13:34 HAS GC-V8 I 1 1302-100446 I , a,a,a-Trifluorotoluene (8015 i t I I i ~ I i ...... i ............. i ........... Surrogate) 122 I . I 70-430 I 8015M !03/24/04 03/24/04 113:34 HKS I GO-V8 I 1 1302-100446 I i California DOHS Certification #1 186 All results listed in this report are for the exclusive use of the submitting part5,. BC Laboratories, h'tc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/26/2004 09:00:22 04-02912-6 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number ' Receive Date/Time 03/22/2004 @ 15:--30_ .................. Project Number ~0152 Sampling Date/Time 03/22/2004 @ Sampling Location tCOFFEE RD. Sample Depth --- Sampling Point D4-2 DISPENSER #4-2' - Sample Matrix Soil ' - Sampled By K. Malamma/K. Eldredge BCL Sample ID 04-02912-7 ........... ~ ..................... Benzene < PQL rog/kg 0.005 0.00036 8021B 03/24/04 03/24/04 14:04 HKS GC-V8 I 302-100446 ND Toluene < PQL rog/kg I 0.005 0.0040 8021B 03/24/04 03/24/04 14:04 HKS GC-V8 I 302 100446 ND J ~-~- Ethylbenzene < PQL mg/kgI 0.005 0.0018 8021B 03/24/04 03/24/04 14:04 HKS GC-V8 I 302-100446 ND Methyl t-butyl ether < PQL rog/kg ! 0.02 0.00056 8021B 03/24/04 03/24/04 14:04 HKS GC-V8 1 302-100446 ND SO9 ..... Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/24/04 03/24/04 14:04 HKS GC-V8 I 302-100446 ND Gasoline Range Organics (C4 - i C12) < PQL t mg/kg 1 0.046 i 8015M 03/24/04 t 03/24/04 14:04 I HKS GC-V8 1 302-100446 ND i soo ::~ ~:; ;~: ~:~: ~: ~:~ ~:~ :; ~:~: ~:~ :~: ::~: ~: ~::::~ :: ~:~ ? ~:~: ~: ::~: ~:~: ~:~:~ :~: ~:~: ~: ~:~: ~:~: ~: ~:: ~: ~::~:[ ::l [:: ::1 ;~;~;~!;~;~?:I~:~:;:':~:~::'.':':;~:~:~:~:~?~:~:~:~ ~ iii ii::iiii::~i::iiii~iiiii?:ili!~iiiii~:. ~iiiii!ii!:Ji!ilili::;iiiii:;iiiil ::;iii:: ::;::il i:: i::i :::::: i::;i;iiiii::!Ii!::::iii::::iiiii?:?: ::i:: i li?:!iii~iiii?: ?:!i ?:i::i:.i!il i!i: ::i! i:::: ::i' ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: a,a,a-Trifluorotoluene I 54 [ % I 70-130 I 8021B 03/24/04 03/24/04 14:04 HKS GC-V8 [ 1 t302-100446_ i SOO a,a,a-Trifluorotoluene (8015 i ~ I Surrogate) I 68 ! % I 70-130 8015M i03/24/04 03/24/04 14:04 HKS GC-V8 i I 302-100446, I SOO Flag_ Explanations S09 Tl~e surrogate recovery on the sample for this compound was not within the control limits. California DOHS ~,rtification #1 186 A results listed in this report are for the exclusive use of'die subn'fitfing par~. BC Laboratories, Inc. assumes no responsibility for report altera6on, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 "FAX (661) 327-1918 ' www.bclabs.com Printed 03/2~/2004 09:00:31 04-02912-7 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number i--- Receive Date/Time 03/22/2004 @ 15:30 Project Number i200152 Sampling Date/Time ._S.a_~?l~i?_g_g__L_o_ca~ ti_o_n ...... COFFEE RD. Sample Depth -~---%- ................................. I .._S__a_m. pli__n_g__P_o!n_t- ............... iD4-6 DISPENSER #4-6' ISample Matrix !Soil Sampled By iK. Malamma/K. Eldredge IBoL SamCe iD I04---0-0-02 ....................................... Benzene __ <PQL rog/kg 0.005 I 0.00036 8021B 03/24/04 '03/24/04 14:34 HKS GC-V8 I 1 302-100446l ND Toluene ___ t < PQL rog/kg 0.005 0.0040 8021B 03/24/04 . 03/24/04 14:34 HKS GC-V8 I 1 302-100446 I ND Ethylbenzene I <PQL mg/kg I 0.005 0.0018 8021B 03/24/04 03/24/04 14:34 HKS GC-V8 I 1 302-1004461 ND___ J Methyl t-butyl ether _ I <PQL' rog/kg ! 0.02 0.00056 8021B i 03/24/04 03/24/04 14:34 HKS GC-V8 1 302-100446I ND Total Xylenes < PQL I rog/kg 0.01 0.0098 8021B 03/24/04 03/24/04 14:34 HKS GC-V8 , 1 302-100446 ND I Gasoline Range Organics (C4 - I C12) < PQL mg/kg 1 0.046 8015M 103/24/04 03/24/04 14:34 HKS GC-V8 I 302-100446 I ND a_.,_a_,a-_Triflu, orotolu_ene ~ 98 i % 70-130 8021B 03/24/04 !03/24/04 14:34t HKS ! GC-V8 ! I 302-100446, a,a,a-Trlfluorotoluene (8015 i i ti Surrogate) I 124 I % 70-1:]0 i 8015M 03/24/04 103/24/04 1~4:341 HKS I GC-V8 I 1 I302-100446 ( California DOHS Certification #1 186 ' All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alterations, separation, detachment or third party iuterpretatio~. 4100 Atlas Cour~ ~ Bakersfield, CA 93308 ~ (661) 327-~9! 1 * FAX (661) 327-1918 ~ w~,v.bciabs.com Printed 03/26/2004 09:00:40 04-02912-8 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number i-'- Receive Date/Time 03/22/2004 @ 15:30 Project Number 200152 Sampling Date/Time 03/22/2004 @ 10:28 ................... Sampling Location ICOFFEE RD. Sample Depth --- Sampling Point___ P1-2 PIPING #1-2' Sample Matrix Soil Sampled By K. Malamma/K. Eldredge BCL Sample ID 104-02912-~- ................................... Benzene._______ I <PQL I mg/kg i 0.005 0.00036 8021B 03/24/04 03/24/04 15:04i HKS GC-V8 I 1 i302-100446 ND ._Toluene_ .............. L <PQL J mg/kg j 0.005 I 0.0040 8021B 03/24/04 03/24/04 15:04 HKS GC-V8 I 1 302-100446 J N~-'~TM ............... _E~thylbenzene ~-'-~ J mg/kg I 0.005 0.0018 ! 8021B 03/24/04 J03/24/04' 15'04 j HKS Ge-v8 i 1 J302-100446 I ---~-----i ................. Methyl t-butyl ether J < PQL I rog/kg j 0.02 0.00056 J 8021B 03/24/04 I 03/24/04 15:04 HKS GO-V8 I I 302-100446 ND _-'[_oral Xyle_nes i < PQL I rog/kg t 0.01 j 0.0098 8021B 03/24/04 03/24/04 15:04 HKS Ge-v8 ! 1 302-100446 ND Gasoline Rang--~ ~)rg~anics (C4- ] ' C12) I < PQL I rog/kg I 1 I 0.046 8015M i03/24/04 i03/24/04 115:04 HKS GO-V8 I 1 302-100446 a,a,a-Trifluorotoluene I' '90 I %" I "70-1~0 80'~iB 103/24/04 0'3}24/04 'i5:04 ...... HKS GC"V8 , 1 302-100446 i a a a-Trifluorotoluene (8015 ! I J ! t ! t i t i ......... ! ........... Surrogate> I 112 I % I 70-130 t 8015M 103'24'04 I03'24,04 115:04 HKS I GC-V8 I 1 302-100446 t California DOHS Certification #1186 All results listed in this report are for the e:,.clusive use of the submitting party. BC Laboratories. Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 ~' (661) 327-4911 * FAX (661) 327-1918 ~ www.bclabs.com Printed 03/26/2004 09:00:50 04-02912-9 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIEL'D, CA 93301 Attn: KEVlN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number ]--- IReceive Date/Time 103/22/2004 @ 15:30 Project Number 1200152 --- Sampling Date/Time Sampling Location ICOFFEE RD. Samp e Depth !--- Sampling Point P1-6 PIPINC~#1-6' Sample Matrix Soil Sampled By K. Ma amma/K. Eldredge BCL Samp e ID 04-02912-10 Benzene <PQL mg/kg 0.005 0.00036 80218 03/24/04 03/24/04 15:34f HKS t GC-V8 1 302-100446 I ND I s09 Toluene <PQL mg/kg 0.005 0.0040 80218 03/24/04 03/24/04 15:34 HKS I ec-v8 1 t302-100446I ND [ s09 Ethylbenzene < PQL mg/kg 0.005 0.0018 80218 t03/24/04 03/24/04 15:34 HKS GC-V8 I I 302-100446 i- ND -'I ..... Methyl t-butyl ether < PQL I mg/kg i 0.02 0.00056 i 80218 03/24/04 03/24/04 15:34 HKS GC-V8 I i 302'1004'~C_F-'-'-~ .... !' TotalXylenesI < PQL ! mCkg i 0.01 0.0098 802~B O3/24/04 O3/24/04 115:34 I HKS I GO-V8 i ~ i302-100446!ND! S09 612)Gas°line Range Organics (04- i, <PQL mg/kg 1 0.046 I 8015M 03/24/04 I 03/24/04 15:34 HKS i GO-V8I 1 I 302-100446 ! ND ,! S09 a,a,a-Trifluorotoluene 37 % t 70-130 80218 103/24/04 03/24/04 15:34 HKS t GC-V8 1 302-100446 [ s09 a,a,a-Trifluorotoluene (8015 I I I i t Surrogate) I 46 % I 70-430 i 8015M 103/24/04 03/24/04 15:34 HKS 6C-V8 1 302-100446 i S09 Flag ............... Explanations S09 !The surrogate recovery on the sample for this compound was not within the control limits. California DOHS ,'~ ~tei(~Oil,~lt~slr~l~r(~are for the exclusive u_se of' the submitting path,. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or thb-d party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-.4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/2~/2004 09:01:00 04-02912-10 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA , Purgeable Aromatics and Total Petroleum Hydrocarbons CdC Number i___ Receive Date/Time 03/22/2004 @ 15:30 Project Number 200152 Sampling Date/Time 03/22/2004 @ 11:48 Sampling Location COFFEE RD. Sample Depth i---ilSO Sampling Point P3-2 PIPING #3-2' Sample Matrix Sampled By K. Malamma/K. Eldredge IBCL Sample ID 104-02912-11 Benzene < PQL mg/kg 0.005 0.00036 80218 03/24/04 03/24/04 16:04 HKS GC-V8 1 302-100446_1 Toluene I < PQL mg/kg 0.005 0.0040 80218 103/24/04 03/24/04 16:04 HKS GC-V8 i 1 { 302-100{~6~ ..... ~D Ethylbenzene i < PQL mg/kg 0.005 0.0018 ~ 80218 ~03/24/04 03/24/04 16:04 HKS GC-V8 ~ 1 1302-100446 } ND Methyl t-butyl ether ~ < PQL i mg/kg o.02 o.ooo56 i 80218 103/24/04 03/24/04 116:o4 HKS , GO-V8 i 1 i 302-100446 Total Xylenes .........I < PQL i mg/kg~ 0.01 ~ 0.0098 80218 103/24/04 103/24/04 16:04~ HKS I GO-V8 i 1 ~ 302-10044~-'-'~ ......... Gasoline Range Organics (C4 - ~ ~ i ~ C12) ~ < PQL I mg/kg I 0.046 8015M ~ 03/24/04 03/24/04 16:04 HKS ~ GC-V8 i 1 ~ 302-100446 ND a,a,a-Trifluorotoluene ~ 98 I % I 70-130 I 80218 03/24/04 103/24/04 16:.04 HKS I GC-V8 l 1 ~302-100446 ~ a,a,a-Trifluorotoluene (8015 ~ 03/24/04 ~ ~ Surrogate) 122 ~ % 70-130 ~ 8015M 03/24/04 16:04 ~ HKS GC-V8 ~ 1 302-100446 California DOHS C]e, rtf cat on #1186 ~,~ results hstedm this report are for the exclusive use of'the submitting pariy. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party ~nterpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 ~ xvww.bclabs.com Printed 03/2~/2004 09:01:09 04-02912-11 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number I--- Receive Date/Time 03/22/2004 @ ~ 5:30 Project Number 200~ 52 Sampling Date/Time 03/22/2004 @ ~ 1:50 Sampling Location . COFFEE RD. Sample Depth --- Sampling Point P3-6 PIPING #3-6' Sample Matrix Soil Sampled By K. Malamma/K. Eldredge BCL Sample ID 04-02912-12 ~:.~fi~ii~i~:~i~:::::::~::::::~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ~i~;;;~;R~l'i!~i~]~}~ {~]::..~ ~i:i~}~i~}}~?:~O~]}~]~M~[~ ~'.~B~ ::~::~]~][~i'~~ii~i~}?; ;~}~'~i}~i.A~:~:~ ~m]~;ti;~:~::.~ %~;~;it~!~ :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Benzen~ ......... < PQL mg/kg 0.005 0.00036 8021B 03/24/04 03/24/04 18:34 HKS GO-V8 1 302-100446 ND ~ S09 Toluene <PQL ~ rog/kg 0.005 0.0040 8021B 03/24/04 03/24/04 18:34 HKS GO-V8 1 ~302-10o446I ..... ~_ ..... _L.._~. ........ Ethylbenzene <PQL ~ rog/kg 0.005 0.00181 8021B 03/24/04 03/24/04 18:34 HKS GO-V8I 1 302-100446{ ND ! S09 ............................ _~:~2~ej~[ ........ i < PQL i rog/kg 0.02 0.00056 8021B ,03/24/04 03/24/04 18:34 HKS GC-V8 ~ 1 302-100446_~ ...... ! ...... Tota~ Xy~e~es GasolineRange Organics (04- 012) i < PQL ~ rog/kg I 1 I 0.046 I 8015M !03/24/04 03/24/04 ~8:34 i HmS i G~-V8 i 1 I 3o2-~oo~ i ~a i ~o~ '~;a:a:T,'i~,uogt0,"~n'~ ................. ! ............... ;'; .............................. l'"'"'"'"'";~; ................ ' ......................... ~;:;;;'"" ....................... "-;';';;F'"";;~h;;"i;';i;;);F'~';;;;'"'"'""~'~s"'"'" '"';g~;'""'" ...... ; ........... ";;;:~';;~;e] i ~;'~ ..... Surrogate) I 24 I % 70-130 8015M I 03/24/04 t 03/24/04 18;34 HKS I GC-V8 I 1 302-100446 ~ I s09 Flag ~Explanations . S09 iThe surrogate recovery on the sample for this compound was not within the control limits. California DOHS ~e..g~[~i~)~,~,l~ ~,e to, ~ e×ot~s,,,, .~e or~ ,,t,,m,.~ ~,. ~C Lal:)oralories, !nc. assumes ne responsibilil;y ,Ur report a]t¢~tion, separation, de~a,"hmen, or ,~ird party interpretado,. 4100 Atlas Court * Bakersfield, CA 93.308 * (661) 327-4911 * FAX (661) 327-1918" www.bclabs.com Printed 03/26/2004 09:01:17 04-02912-12 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number I___IReceive Date/Time i03/22/2004 @ 15:30 Project Number 120015~2. , ISampling Date/Time 03/22/2004 ~...!.~_:_2_0. Sampling Location COFFEE RD. Sample Depth --- Sampling Point P4-2 PIPING #4-2' Sample Matrix Soil Sampled By IK. Malamma/K. Eldredge BCL Sample ID 04-02912-13 Benzene I < PQL I mg/kg 0.005 0.00036 8021B 03/24/04 03/24/04 19:04 HKS GC-V8 1 302-100446 ND Toluene < PQL t mg/kg 0.005 0.0040 8021B 03/24/04 03/24/04 19:04 HKS GC-V8 1 302-100446 _ ND Ethylbenzene t < PQL I mg/kg 0.005 0.0018 8021B I 03/24/04 03/24/04 19:04 HKS GC-V8 ! 1 302-100446 ND _Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B ]03/24/04 03/24/04 19:04 HKS GC-V8 i I i 302-100446 03/24/04 Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/24/04 19:04 HKS GC-V8 I 1 302-100446 Gasoline Range-~rganics (C4 - 03/24/04 I C12) <PQL mg/kg I 0.046 8015M 03/24/04 19:04 I HKS GC-V8 1 302-100446 I ND ................................................................................................................................ :::::::::::::::::::::::::::::::::::::::::::::::::::::~:J:.ii~!i i ::ii: ~ :: il i! i iii~ili[~::::::::~¥:~: ::~: :~::: ;:::: :;~::f::~ ~;;:~.-.-.-_.~:::;;::;: ::::::::::::::::::::::::::: ::~:: ::::~:::::: ~,~::f;::;;;:~::::::::~::~:;;:~:.-::~:::;:: :::;:~: ~;~iiii!iiii ~!ii~iii~ii!!i!i!i!~ii?~{~i§~iiI!~i~ii~!i!!¢!~i?~!i!~i!i!!!~!~I~i!~i~iii!;!I ~ ::;~::~::~:::::::: ::~;~ :::: :: :::: ~;~ ::~;~ ::;:: ~;~:: ~ a,a,a-Trifluorotoluene ~ 77 [ % [ 70-130 ~ 8021B 03/24/04 03/24/04 119:04 HKS I SC-V8 ~ 1 302-100446 a,a,a-Trifluorotoluene (8015 I ! t i ~ t ~ ' Surrogate) I 97 ~ % I 70-130 , 8015M ~03/24/04 03/24/04 19:04 HKS ~ GC-V8 1 302-100446 California DOHS ~ification #1186 suits listed in this report are for the e×clusivc use of the submitting pariy. BC Laboratories, Inc. assumes no responsibility for report alteration, sepazation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 ~ www.bclabs.com Printed 03/26/2004 09:01:27 ' 04-02912-13 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number !--- Receive Date/Time 03/22/2004 @ 15:30 Project Number 1200152 Sampling Date/Time 03/22/2004 @ 10:25 Sampling Location COFFEE RD. Sample Depth --- Sampling Point P4-6 PIPING #4-6' Sample Matrix ISoil ................................... Sampled By IK. Malamma/K. Eldredge BCL Sample ID 104-02912-14 Benzene <PQL mg/ke o.o05 o.oo03e 802~B lo3/24/o4 03/24/04 ~9:34 I~s , ec-v I ' 302-100446 I__N~D ....... i ............... Toluene I <PQL rog/kg 0.005 0.0040 8021B 03/24/04 03/24/04 19:34 HKS I GC-V8 I I 302-100446 Etl~ylbenzene < PQL I mg/kg 0.005 0.0018 8021B 03/24/04 I 03/24/04 19:34 HKS I GC-V8 1 I 302-100446i ND ..... i ............... Methyl t-butyl ether < PQL J mg/kg 0.02 0.00056 8021B 03/24/04t 03/24/04 !19:34 HKS GC-V8 1 t 302-100446 ND Total Xylenes < PQLt mg/kg 0.01 0.0098 8021B 03/24/04 03/24/04 19:34 HKS GC-V8 1 302-100446 !Gasoline Range Organics (C4 - r C12) < PQL mg/kg I 0.046 8015M : 03/24/04 03/24/04 19:34 HKS GC-V8 1 i 302-100446 ND a,a,a-Trifluorotoluene t 76 % I 70-130 ~ 8021B 03/24/04 03/24/04 19:34 HKS GC-V8 1 302-100446 I a,a,a-Trifluorotoluene (8015 j Surrogate) 92 % 70-130 8015M j03/24/04 03/24/04 19:34 HKS GC-V8 1 302-100446 j California DOHS Certification #1 186 Ali resul~s.lis~ed in this repor~ are for the e×clusive ~se of the submitti]~g par~,. BC Laboratories, Inc. assumes no responsibilit3, for report alteration, separation, detachment or third party i]]terpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 ~' FAX (661) 327-1918 ~' www.bclabs.com Printed 03/26/2004 09:01:35 04-02912-14 ~~Jl~, ~ ~ ~ ~ ~ ~ t..,~a ,~llcal ~r~ ~ ~ ~ ~ I ~ ~ge ~ Laboratories, Inc ' RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum HydrocarbOns COC Number --- Receive Date/Time 03/22~2004 @ 15:30_ ....................... Project Number j200152 Sampling Date/Time 03/22/2004 @ 10:40 Sampling Location jCOFFEE RD. Sample Bepth --- Sampling Point P4-12 PIPING #-4-12' Sample Matrix JSoil ......................... Sampled By IK. Malamma/K. EIdredge BCL Sample ID 104-02912-15 _B_e. gz~e_n.e~ ................. <PQL I mg/kg j 0.005 0.00036 J 80218 !03/24/04 03/24/04 20:04j HKS I GC-V8 J l___j 302-100446 ! ND i S09 -T-°-Lu-eo_e- ............. i <PQL,J rog/kg J O.OO5 0.0040 j 80218 ,03/24/04 03/24/04 2O:O4 HKS GO-V8 i 1 -I302-100446 ! ND 'i ...... ~';~2- .... -' Ethylbenzene i , ~ ----~ .............................. L-- < PQL mg/kg 0.005 0.0018 80218 03/24/04 03/24/04 20:04 HKS . 6C-V8 I 1 I 302-100446 i . ND_ ..... ~_._._s_0_._9_ ......... Methyl t-butylether ! <PQL I mg/kg 0.02 j 0.00056 80218 03/24/04 03/24/04 20:04 HKS j GO-V8 1 i302-100446 i ND i .... S09 ...... Total Xylenes t < PQL mg/kg 0.01 0.0098 80218 03/24/04' 03/24/04 20:04 HKS GC-V8 1 i 302-100446 ND I S09 G-~soline Range Organics (C4 - J 20:04 - C12) < PQL rog/kg 1 0.046 8015M 03/24/04 03/24/04 HKS GC-V8 j 1 302-100446 J ND S09 03/24/04 l a,a,a-Trifluorotoluene 32 J % 70-130 8021B 03/24/04 20:04 HKS GC-V8 1 302-100446 ..... j S09 ;a,a,a-Trifluorotoluene (8015 I 03/24/04 i ' ! Surrogate) J 39 t % 70-130 8015M ~ 03/24/04 20:04 HKS GC-V8 1 302-100446 i S0g l Flag ............... J Er_~_xplanations ...... S09 !The surrogate recovery on the sample for this compound was not within the control limits. California DOHS ~-r~(jc.-~ti~g, ~i! 186 report are for the exclusive u~e of the submitting party. BC Laboratories, Inc. assumes no responsibility for report a!teradon, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 3274911 * FAX (661) 327-1918 '~ www.bclabs.com Printed 03/26/2004 09:01:44 04-02912-15 I I I I I I I APPENDIX B ! SAMPLING PLAN ! ! ! ! ! ! ! ! ! ! I JACO Oil - Coffee Road and Brimhall - Summary Sampling Plan RAM Project #200152, Task 1 - Confirmation Soil Sampling I TASK OBJECTIVE1 Sample soils at 2-feet and 6-feet below bottom grade of USTs, piping, and dispensers, as necessary, for analysis of TPH-g, TPH-d, MTBE, and BTEX on a rush basis. SOIL SAMPLE ANALYSES I Laboratory analysis will be conducted by an environmental testing laboratory certified by the State of California for the tests to be performed. Test methods and criteria are as follows: I · TPHg and TPHd by Modified EPA Method 8015 · BTEX and fuel oxygenates by EPA Method 8260 I · Analytical Laboratory - BC Laboratories, Bakersfield CA · Rush sample turnaround time - 24 hr results. · Report results to Kevin Malamma, RAM Environmental Engineering I SOIL SAMPLING PROTOCOL Soil sampling will be conducted in accordance with RAM Environmental Engineering Services Standard Soil and Groundwater Sampling Protocols (RAM, 2003) and will incorporate the following project specific criteria. I Sampling Locations Sample locations will be as follows: 12,000 gallon UST- 3 sample locations 10,000 gallon UST - sample 2 locations Connecting Pipes - sample locations at Tees and 90s as verified in the field i Dispensers - 1 sample location per unit Soil Confirmation Information '. · Sample at 2-feet and 6-feet below bottom of hole for USTs, Dispensers, and Connecting I Piping - · Id[se backhoe or excavator bucket for excavation of samples I · Push brass sleeve into excavated soil to completely fill sleeve · Use Teflon seal and plastic caps to seal sleeve · Indicate direction of sample collection on sleeve (arrow) I · Monitor soils and void space with hand held PID or equivalent Equipment: I · Brass Sleeves · Teflon seals and Plastic caps · Disposable gloves, baggies, permanent marking pens, sample labels, COC forms, I Field Log forms, residuals (DR) labels · PID, HNU or OVM meter for monitoring work space for volatiles I I 2000 04 152_SummarySamplingPlan · Personal Protective Gear per Standard Health and Safety Protocols for fuel impacted groundwater. · Three (3) 5-gallon steel buckets with secure lids for disposal of rinse and purge water. · Pre-chilled non-water cooling material for sample storage/shipping container. Sampling Procedure Once the equipment is removed, the first soil removed should be sampled using the handheld meter and the meter reading recorded. Soil should be returned to the excavation. The backhoe can excavate a bucket's width to 2-feet bgs, bringing the soil to a safe ground level away from the pit. A brass sleeve, properly capped on one end, will be hand pushed into the soil in the backhoe bucket (at the point closest to the teeth of the bucket). The sleeve will be properly sealed and a directional arrow drawn to indicate the sample direction. The soil (and the void space) in the bucket will be monitored with the handheld meter and the results recorded. Sample Identification and Labeling Complete sample label information and sample chain of custody information prior to collection of each sample, leaving sampling time for notation just after collection. Label, bag, and place in foam holders in sample shipping container. Fill other containers supplied by laboratory, and label and store in the same manner. Check/complete chain-of-custody sample logs, secure sample the form and and the storage/shipping container until delivered to the laboratory. Sample container should be kept cool with pre-chilled non-water icing material. I ! ! I I I 2000 04 152 SummarySamplingPlan August 5, 2004 Mr. Roy Saunders JACO Oil Company P.O. Box 82515 · F,.E C.,EF Bakersfield. CA 93380-2515 ^OM~,~STRAT~VESE,VlCES CLOSURE OF 4 UNDERGROUND HAZARDOUS SUBSTANCE 2101 "."Street STORAGE TANK(S) LOCATED AT 4201 BELLE TERRACE AVE. Bakersfield, CA 93301 vo~cE 166~1326.3941 PERMIT # BR-031 5 FAX (661)852-2170 SUPPRESSION SERVICES Dear Mr. Saunders: 2101 "H" Street Bakersfield, CA 93301 VOICE (6611 326--3941 FAX(661)852-2170 This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of PREVENTION SERVICES the tanks located at the above stated address. ~lllE SArI:IY SJltVlC~ * ENVUIONMENrAL SEIIVICF~ 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Based upon laboratory data submitted, this office is satisfied with VOICE (661) 326-3979 F^x 16611 ~2-2171 the assessment performed and requires no further action at this time. Accordingly, no unauthorized release reporting is necessary for this FIRE INVESTIGATION ciasare. 1715 Chester Ave. Bakersfield, CA 93301 vO~CE (66~)32~-395~ If yOU have any questions regarding this matter, please contact "FAX (661) 852-2172 me at (661) 326-3979. TRA~.~NG DIViSiON S642 V~C~Or ^ye. Sincerely, Bakersfield, CA 93308 VOICE (661) 399-4697 Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dlc cc:J. Whiting, RWQCB K. Malamma, RAM BELLE TE~CE & STI~ ~C' , ' ~ :~ _~ ,~ ....... -.,, :' ~-';; '-s:- · HOW~'S~TSITE ~'- ' - ~ "'~:: ' ; - .." ' B~~FIELO, CA. ~.~ . ' . ~X..~ :~ ~: ' 5"'~ ~'"~ ',.-'-".. PRO. CT ~ 200150 ~Y, 2004 2103 20~ S~eet · B~ersfield, CA 93301 (661) 324-6152 · F~ (661) 324-6172 I Belle Terrace Project 200150 May, 2004 I TABLE OF CONTENTS I 1.0 INTRODUCTION .................................................................................................. 2.0 SOIL SAMPLING .................................................................................................. 1 I 2.1 Pre-Field Investigation .................................................................................... 1 · 2.2 Confirming Soil Sampling .............................................................................. 1 2.3 Laboratory Analysis ........................................................................................ 2 I 3.0 FINDINGS .............................................................................................................. 2 3.1 Site Characteristics ............................... ' ........................................................... 2 I 3.2 Analytical Results ........................................................................................... 2 4.0 DISCUSSION OF RESULTS ................................................................................ 4 I 5.0 CONCLUSIONS AND RECOMMENDATIONS ................................................. 4 I 6.0 LIMITATIONS 5 7.0 REFERENCES ....................................................................................................... 6 I 8.0 SIGNATURE PAGE .............................................................................................. 7 I FIGURES · Figure 1 Area Map I Figure 2 Site Map Figure 3 Site Plan Map I APPENDICES Appendix A Laboratory Results I Appendix B Sampling Plan I I I I I I 2000 04 150 Belle Terrace Belle Terrace Project #200150 May 2004 1.0 INTRODUCTION On March 17, 2004, RAM conducted confirmation sampling at the Howard's Market located at Belle Terrace and Stine, Bakersfield, California. Prior to work at the site, a Job Site Safety Plan and a Site Sampling Plan were prepared. The sampling plan was reviewed in the field with Mr. Steve Underwood of the Bakersfield Fire Department's Environmental Unit prior to that start of sampling. The sampling was conducted as part of the removal of the existing underground tanks, piping and dispensers at the station. This report describes the field procedures, observations, and findings, including laboratory results, of the soil samples collected at the Site. The current use of the site is a convenience market and self-serve gas station. JACO Oil owned the UST's, dispensers, and piping that was removed. Gas sales will no longer be conducted at this site by Jaco Oil. Immediately south and adjacent to the site is a commercial location. The site is bordered on the east by Stine Road and on the north by Belle Terrace. The area directly west consists of private residences. The excavation area was located on the northeast side of the site. The scope of work for this investigation was developed in compliance with applicable Bakersfield City standards, and US-EPA S.W. 846, 3ra Ed. 2.0 SOIL SAMPLING 2.1 Pre-Field Investigation The specific sampling plan for this work was developed using RAM's standard procedures for soil sampling and is attached. A site visit was made prior to the sampling to review site conditions, sampling locations, and site safety. Proposed sampling sites were selected and numbered using the attached plot plan. 2.2 Confirming Soil Sampling Sampling was conducted on Wednesday March 17, 2004 using the site-specific sampling plan. Samples were collected at depths of 2-feet and 6-feet bgs at each end and in the center of each tank location (four tanks total). Samples were also collected at each of the four dispenser sites. Samples were collected at depths of 2-feet and 6-feet bgs. All samples were excavated to depth.using the backhoe at the site. Samples were collected into 2-inch by 6oinch brass sleeves by pushing them into the soil collected in the backhoe bucket at the proper depth. Samples were then sealed with Teflon and plastic caps. All samples were double-bagged and placed on ice. A PID model photo vac 2020, 10.6 eV UV lamp was used to sample the void left when the brass sleeve was removed from the backhoe. These results were logged in field notes. 2000 04 150 Belle Terrace 1 I Belle Terrace Project #200150 May 2004 ! i 2.3 Laboratory Analysis All the samples collected were labeled, placed in an ice chest, cooled to 4°C, and transported to the laboratory under a completed chain-of-custody form. Selected samples were analyzed for the following constituents using EPA approved I methods: 8 * Total petroleum hydrocarbons as gasoline (TPH-g, carbon range C4-C12) using EPA Method 8015M; I · Total petroleum hydrocarbons as diesel (TPH-d, carbon range C~2- C24) · Benzene, toluene, ethylbenzene, xylenes (BTEX) and fuel oxygenate I methyl tert-butyl ether (MTBE) using EPA Method 8021. Analyses were performed by BC Laboratories, a state certified laboratory for the I above analysis. The tentative results of the sampling were forwarded to the Bakersfield City Fire Department's Steve Underwood for their review. I 3.0 FINDINGS 3.1 Site Characteristics I During sampling the PID meter was used to test the soils for the presence of volatiles and the results recorded in the field notes. This included general testing i in and around the site as well as testing the soils removed for sampling. Samples taken using the PID meter registered at 0.00; no further sampling was conducted beyond what is in section 2.2 based upon these readings. I 3.2 Analytical Results The analytical results are summarized below and the laboratory reports are · included as Appendix B. · I I I 1 i 2000 04 150 Belle Terrace 2 I Belle Terrace Project #200150 May 2004 I Summary of Laboratory Results I SoilBoring Depth Benzene [Ethylbenzene I Toluene I Xylenes [MTBE I TPH-g I TPH-d No. (ft) (mg/kg) 9-6 (Tank 3) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL m .9-2 (Tank 3) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL · 6-6 (Tank 2) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 6-2 (Tank 2) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 3-6 (Tank 1) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL I 3-2 (Tank 1) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 1-6 (Tank 1) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 1-2 (Tank 1) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL I 2-6 (Tank 1) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 2-2 (Tank 1) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 5-6 (Tank 2) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 5-2 (Tank 2) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL I 4-6 (Tank 2) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 4-2 (Tank 2) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 8-6 (Tank 3) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL I 8-2 (Tank 3) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 7-6 (Tank 3) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 7-2 (Tank 3) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL i 12-6 (Tank 4) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 12-2 (Tank 4) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL . <PQL 11-6 (Tank 4) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 11-2 (Tank 4) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL I 10-6 (Tank 4) 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL 10-2 (Tank 4) 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL D2-6 Disp 2 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL I D2-2 Disp 2 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL D5-6 Disp 5 6.0 ft <PQL <PQL <PQL <PQL <PQL <PQL <PQL D5-2 Disp 5 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL 19 i D3-6 Disp 3 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL D3-2 Disp 3 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL D4-6 Disp 4 6.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL D4-2 Disp 4 2.0 ft. <PQL <PQL <PQL <PQL <PQL <PQL <PQL I Notes: 1. All results shown are below standards set by the state for contanfination to water (Water Quality Goals for the Central Valley Region [California Environmental Protection Agency, Regional Water Quality Control Board, Central Valley Region, August 2003]) I 2. All results are reported in mg/kg I I I 2000 04 150 Belle Terrace 3 I Belle Terrace Project #200150 May 2004 I 4.0 DISCUSSION OF RESULTS I The level recorded for all constituents is below the standards described in the Water Quality Goals for the Central Valley Region (California Environmental Protection Agency, Regional Water Quality Control Board, Central Valley Region, August 2003). I Groundwater at this location is estimated to be greater than 150 feet below ground surface (bgs). These levels are determined by the analytical method used, the degree of interference in the lab test, and is based on the QA/QC used by the lab for certification. I The Regulatory Threshold (R.T.) is an amount, which varies by chemical that is typically used to determine if further investigation is need or provide an initial cleanup level. None of the concentrations found exceeded the standards described by the California EPA, or I Bakersfield Fire Department, Environmental Unit. Further investigation or active remediation for these specific constituents at this site is not warranted. I 5.0 CONCLUSIONS AND RECOMMENDATIONS Based on the findings, RAM concludes that levels of BTEX, MTBE, gasoline, and diesel I constituents are not present above the stated regulatory levels in the soil or at levels where they would pose a potential threat to groundwater beneath the location. In addition, I · source U.T. and past improper management practices (possible The contaminate . overfilling) have been eliminated, i · There is an impervious layer of asphalt/concrete over the area, , · There is no source of water that would provide hydraulic gradient to drive remaining hydrocarbons lower, and i · Natural Bio-remediation/attenuation will reduce Petroleum Hydrocarbons to non- detect in the sub-surface time. I The soils sampled at this site, should be used for either backfill at this site or be allowed to be removed for beneficial use at another location, or disposed of as inert soils. I RAM does not recommend any further action at this site. This report is submitted to the client for their use and submittal to the Bakersfield Fire Department's Environmental Unit for their review and approval. 'l I I I ! I 2000 04 150 Belle Terrace 4 Belle Terrace Project #200150 May 2004 6.0 LIMITATIONS RAM Environmental Engineering Services, Inc. has prepared this Report, for the exclusive use of Mr. Roy Saunders of JACO Oil as it pertains to the property located at Belle Terrace & Stine Road in Bakersfield, California. Our professional services have been performed using the degree of care and skill ordinarily exercised under similar circumstances by other professionals practicing in this field. No other warranty, expressed or implied, is made as to the professional advice in the Report. Any use of or reliance on this Report by a third party shall be at such party's sole risk. RAM assumes no responsibility for site conditions or activities that were outside the scope of the inquiry requested by Mr. Roy Saunders. It is recognized that regulatory requirements may change, including the revision of accepted action levels, which could necessitate a review of the discussion, findings, recommendations or opinions of the Report. I I I I 1 1 ! I ! ! I 2000 04 150 Belle Terrace 5 I Belle Terrace Project #200150 May 2004 I 7.0 REFERENCES I Department of Water Resources (DWR), 1975, Califomia's Ground Water, DWR Bulletin No. 118 I Kern County Water Agency, Water Supply Report, 1999, May 2003. RAM Environmental Engineering Services, Inc., Soil Sampling Workplan, September I 2003. Kern County Environmental Health Services Department. U.T. 35. US-EPA S.W. 846 I 3rd. Ed. I I I I I I I I I 1 I I I 2000 04 150 Belle Terrace 6 I Belle Terrace P~J;~02400150 i 8.0 SIGNATURE PAGE I This Soil Characterization Report for Mr. Roy Saunders, dated May 24, 2004 was prepared by RAM Environmental Engineering Services, Inc. under the responsible charge of the following professionals: I I ' Kevin Malamma, REA Project Manager I President I I I 1 I I I I I 2000 04 150 Belle Terrace 7 '1 I I I I I FIGURES I ! 1 1 I ! I ! I ! ! ~ XMa~4.~ ~ ~ ~ L~- ~?"~'~'- PI L L~,'"~.~'~~; :~ _~~' ~::~ .~- _ ~. . - . - ¢~., ..,~ ~ ,~ _ : ~.~ J&CO OIL EI~ MAY 2004 AREA M~ ENG~EE~G SERVICES, INC. SOIL CONF~TION HOWA~'S ~T 2103 20TM ST~ET SA~L~G REPORT BELLE TE~CE & STYE BA~RSFIELD, CA.93301 2000 ~ 1~0 FIG~I~A~ ~ XMat~l~ 4'~ , ~ ~ ~J ~ ~~: ~ ~-~ ~ ¢.~ ;~ ': V' .<' ........... Dam use subje~ m license. ~20~DeLo~e.~a~4.5. 0 180 360 ~0 720 900 MN ( 13.9' E) O~ Zoom 1 5-O JACO O~ FIGU~ 2 ~ EN~ON~ENTAL MAY 2004 SITE M~ ENG~EE~NG SERVICES, INC. SO~ CONF~ATION HOWe'S M~T 210~ 29TM ST~ET SA~L~G ~PORT BELLE TE~ACE & STINE BA~FIELD, CA. 9~01 2000 150 FIG~ 2 TERRACE / ,' / ! / ! I , , / ....................... u ¢ , / ~ ~ ~ spoil / ~ ~ ~ ~" '~ Pile ~ / x, 4 ~ 5 12,OOO GAL. ~TO~GE TAN~ / ~_ / %, / "6 ~ 9 ~', 10 / ,' ,~/ FUEL PUMP 15~NDS 3 ~ / / II II II II II II I / A.C. PAVING / 3 II II II / I / ~ II II II / / / ~ II ~ / / / / Il ~ Ii ~ i / / SPOIL PILE '2 & Ill ~ Ii / / I / / I I / /, ' / / / / / / / / / / / / / / / 1 / / / / / / / / , ~ / / I I / / / TANK 1 TANK 2 TANK 3 TANK 4 DISPENSERS SPOIL PILES ss' 4Z t / I TI-2. T4-2 T7-2 T 10-2 D2-2 SP 1 PARKI / ~2-6 SP2 $ SPACES T1-6 T4-6 T7-6 T10-6 D3-2 N/A I HANDICAP 14'x20' D3-d T2-2 T5-2 T8-2 T1 1-2 D4-2 N/A A.P.N.:0i-005405-025-0 T2-6 T5-6 T8-6 T11-6 D5-2 N/A SCALE: T3-2 T6-2 T9-2 T12-2 T3-6 T6-6 T9-6 I T]2-6 N/A N/A ~ I J m~4-02-0~ CONVENIENCE STORE FOR: NO. APPENDIX A LABORATORY REPORTS Certified Analytical Report cover - Page I of 1 Cover Report RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. Project Number: BAKERSFIELD, CA 93301 COC Number: Attn: KEVIN MALAMMA BCL Number:' 04-02683 This report contains the analytical results for the samples received under chain of custody by BC Laboratories, Inc. The samPles were logged into the Laboratory Information Management System (LIMS) and BC Lab numbers were assigned to each sample. The result of the temperature check, condition of the samples and any other discrepancies were recorded on the cOoler receipt form. All applicable quality control procedures met method-specific acceptance criteria, except as. noted on the following analytical and quality control reports. This report shall not be reproduced except in full, without written approval of the laboratory. I I California DOHS Certification #1186 Authorized Signature ! ·1 Ail re::,xit listed i.n_ lbi'., report are fo'r the exclusive use of the submitting parD', BC Laboratories, Inc. assumes no responsibility for report alteration detagtuneamorzl-~i, rd party inte,'~retation Printed 0J/l~-'~)/L;~jO~C'Nl.rrl tS~ersfield, CA 93308 * (661)327-4911 * Fax(661)327-1918 * www.bclab~.com04-cr'/r615:'5 '~ ' ' BCL QUOT~ ID: :' · Laboratories, Inc.Chain of Custody Form · ReP°"tT°:o~ llff'~'~--~o Project ~~I/ / Page~ Client: ~l~ ~. ~: ~[~ 0 ' I ~ Comments: Attn: ~{~ ~~ Project Name~~~ ~ ~ ,./ ~~ Street Address: 2[0~ ~ ~ Project Code: City, State, Zip:~~ ~~l Sampler(s): ~~~ ~~~o~o~..~,~~:~/ ~~ ~ ~~ [ ~/~'~ ~ ~(~'~'~ ~ ~f~ ~}~ (~[~{'/~{ ~ / Are ~any te~~n~mes less than Phone~gq ~5 ~ Fax~ [[~ ~ ~ ~- ~g~:~ ~(}. Sa~pl~ Matrix ~ ~ ' ' ' Email Address: ~ m ~ or equal to . m E g * Standard Turnaround = 15 work days ~ ~ ~ g V ~ Other ~ Notes I I I I I I I I I I I I ' QHK BY DIS+RIBUTION I I ~[, I 1. ,.~;I ..... I I I I aw Data Wate~te~NoFOm? ~ Re~rn to Client Disposal by lab ~ ~chive: Months_~__:___ __~ O~ D WIP~Dat¢ Time ' Client: =Yes Date Ci~:Address: ~ State ~ Zip cA?Send ..... Co,to%State of~ 2. ~li~uished By Time Date Time Attn: ~ Yes ~o 3. Relinquished By Date . Time 3. Received By Date Time po~: BC Laborato~es, Inc. - 4100 At~s Ct. -Bakersfield, CA 93308 - 661.327.4911 -F~: 661.327.1918 - www.bc~bs.com / / BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 10 01121104 Page ' Of t Submission #:(~-Gc-~jg~ [ Project Code: I TB Batch # SHIPPING INFORMATION Federal Express [] UPS [] Hand Delivery'')~ Ice Chest~HIPPING CONTAINER None ~ BC Lab Field Service ~ Other ~(Specify)__~" Box~Q Other ~ (Specify) Ice~ Blue Ice ~ None ~ Other ~ Comments: Refrigerant: ntact? Yes ~No Intact? Yes ~ N~ .COC Received Ice Chest ID' ~ Emissivity ~' ~ Oate/Time~"[~ ~ ~ YES ~ NOI Thermometer ID ~ ~ '~ _ ,'' ~ ~- Analyst Init ... QTGENERAL MINERAL/GENERAL PHYSICAL PT PE UNPRESERVEI) QT INORGANIC CIIEMICAL METALS PT INORGANIC CHEMICAL METALS PT CYANIDE PT NITROGEN FORMS PT TOTAL SULFIDE 2oz. NITI[ATE / NITRITE 100mi TOTAL ORGANIC CARBON 9T TOX ~T C~nCAE oxYc~ PtA ~HEHOLICS 40mi VOA VIAL TRAVEL BLANK QT EPA 413.1~ 413.l~ 418.1 TI ODOR ~DIOLOGICAL BACTERIOLOGICAL 40 mi VOA VIAL- 51}4 Q'I' EPA 508/608/8080 QT EPA 515,1/8150 QT EPA 525 QT EPA 515 TRAVEL BLANK 100mi EPA 547 1,00ml EPA 531.1 QT EPA 548 QT EPA 549 QT EPA 632 ~T EPA 8015M OT OA/OC )T AMnE~ , 32 OZ. JAR SOIL SI,E EVI~ PCB VIAlr PLAS']'IC BAG FEIIROUS IRON ENCORE ornments:. , Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number Receive Date/Time 103/16/2004 @ 11:38 Project Number ;~0150 Sampling Date/Time 03/16/2004 @ 10:30 Sampling Location IBELLE TERRACE Sample Depth --- Sampling Point ISP 1 SOIL PILE-TANKS Sample Matrix Sampled By iK. Malamma BCL Sample ID 104-02683-1 Benzene ~ < PQL I mg/kg I 0:005 0.00036 ~ 8021B 03/17/04 I 03/17/04 03:03 HKS 302-100442 ND SO<) Toluene i < PQL [ mg/kg I 0.005 0.0040 8021B 03/17/04 ' I 302-100442 [ ND ...... $09 I 302-100442 [ ND S09 Ethylbenzene .......... i <PQL mg/kg i 0.005 I 0.0018i 8021B i03/17/04 03/17/04 : I1 302-100442 ~ ND S09 Methyl t-butyl ether Total Xylenes i < PQL I mg/kg I 0.01 =, [ GC-V8 ! 1 302-100442 i ND s09 ..................... ~---- ,__ _~ ..... 0_:._0_0_9_8_ 8021B 03/17/04 03/17/04 03:03 HKS I Gasoline Range Organics (C4 - 612) <PQL i rog/kg I I i O.O46 i 8015M i03/17/04 103/17/04 i03:03 HKS i GO-V8 i I 3O2-1OO442 ND S09 a,a,a-Trifluorotoluene I 34 I % 70-130 I 8021B 03/17/04 03:031 RES GC-V8 1 302-100442 ~ ........ s09 a,a,a-Trifluorotoluene (8015 Surrogate) 49 I % 70-130 I 8015M i03/17/04 103/17/04 O3:O3 HKS GO-V8 I 302-100442 I S09 I Flag Explanations S09 The surrogate recovery on the sample for this compound was not within the control limits. California DOHS C¢/;tification #1 186 .~.~ resultshsted m this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separatiou, de~chment or third par~' interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/22/2004 08:42:03 04-02683-1 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 103/16/2004 @ 11:38 Project Number 200150 Sampling Date/Time 103/16/2004 @ 10:45 _Sampling Location BELLE TERRACE Sample Depth --- Sampling Point SP 2 SOIL PILE-DISPENSERS _ Sample Matrix :Soil Sampled By K. Malamma BCL Sample ID 04-02683-2 _Benzene ........ I <PQL mo/kg 0.005 0.00036 8021B ~03/17/04 03/17/04 10:08 HKS GO-V8 ! 1 302-100442 ................To uene ~ ~ < PQL mg/kg 0 .... 005 0 0040 8021B 03/17/04 03/17/04 10'08 I HKS GC-V8 1 302-100442 ND Ethylbenzene i <PQL I mg/kg ! 0.005 0.0018 8021B 03/17/04 03/17/04 10:081 HKS I GC-V8 1 302-100442 [ ND 'M-;~h~-i'}:b-;i~;;il~-e-;' ........... ~---~-PQL i mglkg 0.02 I 0.00056 8021B i03117104 103117104 10:08 I HKS ! G~-V8 1 302-100442 I --~D----~-i ~)~-a~-~yie-n-e~- ..................... ~ ..... 0.010 ! mglkg I 0.01 0.0098 I 8021B !03117104 !03117104 10:08 HKS GC-V8 1 302-100442--[ .... Gasohne Range Organics (C4 - ! I ! t ' I I C12) ! 1.7 I mg/kg [ 1 i 0.046 I 80~5M 03/~7/04 t03/~7/04 ~0:081 HKS IGC-V8 [ ~ 1302-1004421 ND .....~-..~-.:.--: ~;:,~:~':;i~::~:~,i~ :,i?:~, ;:, :;,;,~:...~,:.~. :?:~it~-:- :,::'~!~i;!i:,ii~::: ::, ~,~,,, ,,::?~, ? ,,:,:::,~,,, ,?i!iiiii~i~-~i~..__..__ iiii!i~?:~!i~ji?~!~?:~!ii~'~ ~i!~ii,~!!!~ii~...,_ ~!il::,,,~,~,,~:,,?:~ ,:,,,,,, ,~:~, ~f,,~:: :::: ::,::,:,~:::,?-: .:.,,,,~,,,::,,,f~,~:':.', :. :,::~,: ,:. :::::::::::::::::::::::::::::::::::::: ~,?.?.~:,?:,:~:.~?.::::,,~?.,:;,?:?;:;:.~::,~,::~:~, a,a,a-Trifluorotoluene ,~_ 88 j % J 70-130 , I t 8021B ,03/17/04 03/17/04 10:081 HKS I GC-V8 i 1 i302-100442 a,a,a-Trifluorotoluene (8015 I i I Surrogate) I 114 % 70-130 ~ 8015M ,03/17/04 03/17/04 10:08 HKS GC-V8 1 302-100442 California DOHS Certification #1186 All results listed in this repo~ are for the exclusix, e use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separatmn, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/22/2004 08:42:09 04-02683-2 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/16/2004 @ 11:38 Project Number 200150 Sampling Date/Time 03/16/2004 (~ 10:30 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point SP 1 SOIL PILE-TANKS Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02683-1 Benzene < PQL I mg/kg I 0.005 0.00036 8021B 03/17/04 j 03/17/04 03:03 HKS GC-V8 1 302-100442 ND s09 l_Toluene ! < PQL [ mg/kg 0.005 0.0040 8021B 03/17/04 03/17/04 03:03 HKS GC-V8 1 302-100442 ND S09 Ethylbenzene I < PQL mg/kg 0.005 0.0018 8021B 03/17/04 03/17/04 03:03 HKS GC-V8 1 302-100442 ND s09 iMethyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/17/04 03/17/04 03:03 HKS GC-V8 1 302-100442 ND S09 r'otal Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/17/04 03/17/04 03:03 HKS GC-V8 1 302-100442 ND S09 Gasoline Range Organics (C4 - C12) < PQL rng/kg 1 0.046 8015M 03/17/04 03/17/04 03:03 HKS GC-V8 1 302-100442 ND S09 a,a,a-Trifluorotoluene 34 % 70-130 8021B 103/17/04 03/17/04 03:03 HKS GC-V8 1 302-100442 s09 __ a,a,a-Trifiuorotoluene (8015 .Surrogate) 49 % 70-130 8015M 03/17/04 03/17/04 03:03 HKS GC-V8 I 302-100442 s09 tlag Explanations 09 The surrogate recovery on the sample for this compound was not within the control limits. All results li~sted tt,~is, ~l;kort are for the exclusive use of the submitting part3,. BC Laboratories, Inc. assumes no responsibili .ty for report alteration, separation, detachment or third party interpretation. California DOHS Cert f cation ~l 1 uu 4~00 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/18/2004 14:24:33 04-02683-1 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/16/2004 @ 11:38 Project Number 200150 Sampling Date/Time 03/16/2004 @ 10:45 Sampling Location BELLE TERRACE Sample Del~th --- Sampling Point SP 2 SOIL PILE-DISPENSERS Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02683-2 Benzene I < PQL mg/kg I 0.005 0.00036 8021B 03/17/04 03/17/04 10:08 HKS GC-V8 1 302-100442 ND Toluene < PQL mg/kg 0.005 0.0040 8021B 03/17/04 03/17/04 10:08 HKS GC-V8 I 302-100442 ND Ethylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/17/04 03/17/04 10:08 HKS GC-V8 I 302-100442 ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/17/04 03/17/04 10:08 HKS GC-V8 1 302-100442 ND __ Total Xylenes 0.010 mg/kg 0.01 0.0098 I 8021B 03/17/04 03/17/04 10:08 HKS GC-V8 1 302-100442 ND I Gasoline Range Organics (C4 - C12) 1.7 mg/kg 1 0.046 I 8015M 03/17/04 03/17/04 10:08 HKS GC-V8 1 302-100442 ND a,a,a-Trifluorotoluene 88 % 70-130 8021B 03/17/04 03/17/04 10:08 HKS GC-V8 I 302-100442 a,a,a-Trifluorotoluene (8015 Surrogate) 114 % 70-130 8015M 03/17/04 03/17/04 10:08 HKS GC-V8 1 302-100442 California DOHS C~¢t'tffi~atimq ~ 88,,t arc for the exclusive usc of the submitting party. BC Laboratories, Inc. assumes no responsibili~ for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court" Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * x;~vw.bclabs.com Printed 03/18/2004 14:24:43 . 04-02683-2 Certified Analytical Report Cover - Page 1 of '1 Laboratories, Inc. Cover Report RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. Project Number: BAKERSFIELD, CA 93301 COC Number: Attn: KEVIN MALAMMA BCL Number: 04-02683 Dear Mr. Malamma: This report contains the analytical results for the samples received under chain of custody by BC Laboratories, Inc. The samples were logged into the Laboratory Information Management System (LIMS) and BC Lab numbers were assigned to each sample. The result of the temperature check, condition of the samples and any other discrepancies were recorded on the cooler receipt form. All applicable quality control procedures met method-specific acceptance criteria, except as noted on the following analytical and quality control reports. This report shall not be reprodUced except in full, without written approval of the laboratory. I I California DOHS Certification #1186 Authorized Signature ! IAll re~:u t listed i.n. tbi:i report are for the exctus ve use of the submitting party, BC Laboratories, Inc. assumes no responsibility for report alteration, detachment or third party interpretation. ersfield, CA * * * Printed 0~/~/~3,C'~.rt3~.~atJ: ' 93308 (66i)327-4911 Fax(661)327-1918 www.bclabs.coO~4-02683 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary 'EPA Method 80'15M) COC Number I--- =.eceive Date/Time 03/16/2004 @ 11:38 Project Number 200150 Sampling Date/Time 03/16/2004 @ 10:30 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point SP 1 SOIL PILE-TANKS Sample Matrix ISoil Sampled By !K. Malamma BCL Sample ID 104-02683-1 Diesel Range Organics (C12- C24 < PQL mg/kg 10. 3. 8015M 03/17/04 03/18/04 13:01 MAA GC-12A 1 S:fii~i~6~q ate!!~c:o.m ~8h'd:~'i ;ii iiiiiiiii iii: iii i ii; ~!:t;!!!i' .............................. : ........................ ;iii~ il ............................................. i ::~p ~!i:;;!;;!~i ;i~;¢~p!~i!~..m':i~ii:i!!;i:i;i,"'":~"~":~'~"':':~""?~':";~ ..................... ~:,,,,-:iil ¢!~,_.:i:;;;~::?':~':'"':':~:::~:8*:~' i;!i~;i:.;;;;~,;i;i~;i:i:":~"~:'~':~ *'¥'~::::::~¢¢*~:~ ~ii~i!! ~$i~ii::::::::::::::::::::: iiA:~,~{;!;:. .................................................................................................................................... ~{!iiii~::iiii: ~i:i~i!~!::;!. !!!?::!!!!!~i'8~i~i~'iiii::~:i;i;:?- il;i;:i:i:;;:?~'i~:~;;:.!?.::;:):!!:: Tetracosane 97 I % 46-137 8015M 03/17/04 03/18/04 13:01 MAA GC-12A I California DOHS Certification #1 186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * w'ww.bclabs.com Printed 03/25/2004 10:03:45 04-02683-1 II l abmoraol ries,l nt c~ ~ O~[~d A~/~cal ~rt ~ ~ ~ ~ ~ ~ ~ge 1~ RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification /Quantitation Summary (EPA Method 8015M) cOC Number__ I--- Receive Date/Time 03/16/2004 @ 11:38 ........... Project Number 200150 Sampling Date/Time 03/16/2004 @ 10:45 Sampling Location BELLE TERRACE '-- Sample Depth Sampling Point SP 2 SOIL PILE-DISPENSERS Sample Matrix Soil Sampled By IK. Malamma BCL Sample ID 04-02683-2 ................................. :E.E:E?E:;:!:i?i:!:?ii~:E: ........................................................................... Diesel Range Organics (C12- C24; 15 I mg/kg 10. 3. 8015M i 03/17/04 03/18/04 13:26 MAA GC-12A 1 A52 ~iii~i~ii!i~!::i:::: ::::::::::::::::::::::::::::::::::::::::::::::::::~:~.R~:~:~ ................. ~.:~ii~i~iii~i!~:ii~:;:[~ ............ Tetracosane 106 % 46-137 8015M 03/17/04 03/18/04 13:26 MAA I GC-12A I Flag. ~Explanations [A52 I Chromatogram not typical, of diesel. California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation, 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/25/2004 10:03:49 04-02683-2 ~ Laboratortes, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification ! Ouantitation Summary (EPA Method 801'5M) COC Number -- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time I03/17/2004 @ 09:50 Sampling Location BELLE TERRACE Sample Dep.th --- Sampling Point T9-6 TK 3-9-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-32 Diesel Range Organics (C12- C24 < PQL I mg/kg 10. I 3. 8015M 103/18/04 03/19/04 22:09 MAA I GC,12A I 1. , Tetracosane ! 79 ! % I 46-137 t 8015M 103,18/04 t03/19/04 122:09 MAA I GC-12A 1. ! California DOHS Certification #1186 Al! results listed io this report are for the exclusive use of the submitting party. BC Laborato~es, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 1 6:47:45 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (66l) 327-1918 * www.bclabs.com 04-02749-32 __~.~ Laboratortes, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVlN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number ~200150 Sampling Date/Time 03/17/2004 @ 09:45 ........ Sampling Loca__tion BELLE TERRACE Sample Depth --- -- Sampling Point T9-2 TK 3-9-2' Sample Matrix Soil, - ...................... Sampled By K. Malamma BCL Sample ID 04-02749-31 Diesel Range Organics (C12- 024 < PQL mg/kg 10. 3. 8015M 03/18/04 03/19/04 20:31 I MAA GC-12A I 1. I I Tetraoosane I 4°° % 46-437 60~M t03'~8'04 t0~'~9'04 20:~ t MAA t GC-~2^ California DOHS Certification #1186 Al! results listed in this report are for tl]e exclusive use o£the submitting party. DC Laborato~es, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:47:37 4]oo Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-31 I III I I I I I I l""l"'~'l" I I I I I I l~'l _~_~ Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIEED, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Dat~/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:44 !Sampling Location BELLE TERRACE Sample Depth --- ~Sampling Point T6-6 TK 2-6-6' Sample Matrix Soil Sampled By IK. Malamma BCL Sample ID 04-02749-30 D?ff ~??~nics(C12-C24 <POL I rog/kg ! 10. 3. I 8015M ~03/18/~4 03/19/04 20:06I MAA GC-12A 1. I Tetracosane 95 I % I 46-137 [ 80a5M 103/a8/04 103/19/04 [20:06 I MAA ] GC-a2A 4. I California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. DC Laboratories, Inc. assumes ~',o respons~ility for report alteration, separation, detachment or third party inteq~retation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 397-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/23/2004 16:47:29 - 04-02749-30 ~L ~or tories~ II~a a RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVlN MALAMMA Fuel Identification / Quantitation Summary 'EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:42 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T6-2 TK 2-6-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-29 Diesel Range Organics (C12- C241 < PQL ] mg/kg ~ 10. [ 3. ~ 8015M ' 03/18/04 03/19/04 ~19:41 MAA GC-12A 1. ] ::! ! :.::i iiii:: !!::?:::i!i:.:::: i~:::.:: iiii::i~i::iii::!?:::!~!::?:::i!i!i?:::i?:;!?;!i::!~:.?-i!i!?:::i::ii!i!: !i!i!i!~:-!i:i!!!::!!!:.i:-::i!?:;:- ~!::i!i::::!!!ii!::ii~::i::!!i::!:::iii:.:::-!:.!ii!!:::i::~;!Si!:: !!!~?:::!i::::!i!i~!ii!ii!i!~:!!iii!~i!!!i;!i!;!~!?:!!!::~iiii!iiiii:ii!i:.!!!!::!!i~i;i!~:~.!!!!!!!iiii~iii!!!ii!ii!!iii~!i:)~ ii:::~ii!i?;i!!!ii!;!i!;:!!!ili::i!!ii!i!i::i:.:!!!!ii::!!ii~i:: ii!i!ii~?::: ~::ilili?.!i::iiii::i i::iiiiilililili~i?:ii~i?:ii~i~i~i::i~?i~:;ii~iiiiiiiiiii:. ...................... ~:~:~?~:;;;:~?~:?; :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ti;';!;~::i~??:~':~i~??;?i? Tetracosane 101 I % 46-137 i 8015M 103/18/04 103/19/04 19:41 MAA l ec-a2A , '. I I California DOHS Certification #1186 A1 . . , I, results hs ed m fins report are for the exclusive use of the submitting party. BC Laboratoffes, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:47:20 41oo Atlas Court * Bakersfield, CA 93308 * (661) 32%4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-29 ~L bor tories, Ina a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Ouantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number- 200150 Sampling Date/Time 03/17/2004 @ 09:40 .............. Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T3-6 TK 1-3-6' ISample Matrix Soil Sampled By K. Malamma IBCL Sample ID 04-02749-28 Diesel Range Organics (C12- C24J < PQL mg/kg 10. [ 3. 8015M t 03/18/04 03/19/04 19:16 MAA GC-12A 1. Tetracosane 98 I ~ I ~-~ I ~0~ o~,~,o~ .o~o~ ,:~ ~ ~o-,~A ~. I California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laboratoffes, inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (66]) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/23/2004 16:47:11 04-02749-28 ~L bol' tol'iess lFla a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Da. te/Time 03/17/2004 @ 09:37 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point__ T3-2 TK 1-3-2' Sample Matrix Soil Sampled By K. Malamma - BCL Sample ID 04-02749-27 Diesel Range Organics (C12- C24 < PQL mg/kg I 10. 3. I a015M 03/18/04 i 03/19/04 118:52 I MAA I GC-12A I 1. Tetracosane i 102 I % t 46-137 I 8015M 103/18/04 ]03/19/04 18:52 I MAA GC-12A I 1. California DOHS Certification #1186 Al! results listed ia this report are for the exclusive use of the submitting party. BC Laboratoffes, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:47:02 4~ oo Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-27 a at°ries~In c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA. Method 8015M) COC Number_ --- !Receive Date/Time 103/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time t03/17/2004 @ 09:33~ Sampling Location BELLE TERRACE Sample Depth --- Sampling Point -6 TK 1-1-6' Sample Matrix. Soil ................................ Sampled By ' . Malamma BCL Sample ID 04-02749-26 Diesel Range Organics (C12- C24t < PQL I mg/kg 10. 3. I 8015M 03/18/04 I 03/19/04 18:27 I MAA GC-12A 1. Tetraoosa,e I 99 % t 46-437 t 8o~M 1o3'18'o4 1o~9'0~ ~:2,~A~ ~O-12^1. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC LaboratoEes, Inc. assumes no responsibility for report alt~mtion, separation, detachment or third party interpretation. Printed 03/23/2004 1 6:46:53 41oo Atlas Court * Bakersfield, CA 93308 * (661) 32%4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-2~ RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. ~AKERSFIELD, CA 95301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:30 Sampling Location BELLE TERRACE Sample Depth --- 'Sampling Point ,T1-2 TK 1-1-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-25 Diesel Range Organics (C12- C24 < PQL mg/kg 10. t 3. 8015M 03/18/04 03/19/04 ]18:o21M~ IGC-12A 1. Tetracosane t 9~ %I46-137 8015M t03/18/04 03/19/04 18:02 MAA I GC-12Ai 1. California DOHS Certification #1 186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laborato~es, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:46:45 4~oo Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-25 al)oratorie$~ II~ c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary_ (EPA. Method 8015M) COC Number I--- IReceive Date/Time 03/17/200~4_~_11~.'_4_0- Project Number 200150 Sampling Date/Time 03/17/2004 (~__09~.'_2_5_ Sampling Location !BELLE TERRACE Sample Depth --- Sampling Point T2-6 TK 1-2-6' Sample Matt. ix Soil Sampled By K. Malamma BCL Sample ID 04-02749-24 Diesel Range Organi~ (C12- C24} < PQL mg/kg 10. 3. 8015M 03/18/04 03/19/04 1~7:37 M~ I GC-12A 1. ' I Tetracosane t 99 i % 46-137 I 8615M I03/~8/04 I03/19/04 t17:37 a~ GO-12A I 1. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laboratoffes, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 1 6:46:36 41oo Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com , 04-02749-24 ~L bop toFies~ II~a a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAI<ERSFIELD, CA 93301 Attn: KEVlN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number I--- IReceive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T2-2 TI< 1-2-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-23 Diesel Range Organics (C12- 024 < PQL mg/kg 10. 3. 8015M 03/18/04 03/19/04 17:13 MAA GC-12A 1. :!............_..................:,..... ................................... ~;.~iii;! :::::::::::::::::::::::::::::::::::::::::::::::: ~tr~'oos~,n~ I lOl California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:46:27 4~oo Atlas Court * Bakersfield, CA 93308 * (66]) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-23 tt t/ C RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Ouantitation Summary 'EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 1 ~ :40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:20 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T5-6 TK 2-5-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-22 :.":':' ......... "'"'""'":;',',v,:',--i--:':':':'::':~i::;:':':':':':':~;i:':':7:;:':~':':q':~':':':':':cc::'i::;:':':+:~+:':':':':':':':{' :':':'::':~;:':':;:{~- .----..-'-----'-------:--q:::~':::{::-:-:::{-:{':: ~q{~{'-----'-'-----'--:------5':{':+:':: ::-:¢:{{-:,_:{-:-~__i__z~ee~e+:- 5:.:.:-:{{-J.::__._:+__:.:-:~-:e~e-:-:- -:-:__:_::..,____.{__,:e+:, {c-:q-:{~ ............... ~':':':':':~':e "~ --":~ ........ : '~q ............... ;:w w-, ............. .?i~.~.!.R~.1~?.~[~.~¢.~!.~;~4t <PQL mg/kg 10. 3. I 8015M 03/18/04 03/19/04 16:48 MAA GC-12A 1.' ............. Tetracosane 96 I % I 46-137 j 8015M 03/18/04 03/19/04 16:48 MAA I GO-12AJ ~. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laborato~es, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/23/2004 16:46:19 04-02749-22 ~.~~L boF to~i~s~ Ilta ~ C RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:17 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T5-2 TK 2-5-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-21 Diesel Range Organics (C12- C24 < PQL mg/kg 10. 3. 8015M 03/18/04 03/19/04 10:57 M~ GC-12A 1, Tetracosane ~ 100 J % 46-137 ~ 8015M ~03/18/04 03/19/04 10:57 M~ GC-12A 1. i California DOHS Certification #1 186 All results listed in'this report are for the exclusive use of the submitting party. BO Laboratoffes, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:46:10 4]00 Atlas Court* Bakersfield, CA 93308* (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-21 a a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVlN MALAMMA Fuel Identification / Ouantitation Summary 'EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:1 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T4-6 TK 2-4-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-20 Diesel Range Organics (C12- C24j < PQL mg/kg 10. I 3. 8015M 03/18/04 03/20/04 10:55 MAA GC-12A 1. Tetracosane I 90 I % t 46-137 , 8015M 03/18/04 03/20/04 10:55 MAA GC-12A I 1. California DOHS Certification #1 186 All results listed in fids report ate for the exclusive use of the submitting party. BC Labomto~es, Inc. assumes no responsibility for repot! alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:46:02 4~0o Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-20 ~L bo~ toFi¢sS [ila a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary EPA Method 80-15M) COC Number , ~'~ Receive Date/Time 03/17/2004 @ 11:40 Project Number 0150 Sampling Date/Time 03/17/2004 @ 09:10 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T4-2TK 2-4-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-19 Diesel Range Organics (C12- C24 < PQL mg/kg 10. I 3. 8015M 03/18/04 03/20/04 10:30 MAA GC-12A 1. Tetracosane I 97 I % I 46-137 8015M 103/18/04 103/20/04 10:30 I MAA GC-12A 1. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use &the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 1 6:45:53 41o0 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-1 9 ' Lab°ratories, Inc RAM ENVIRONMENTAL ENGINEERING 2:103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVlN MALAMMA Fuel Identification / Quantitation Summary 'EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:05 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T8-6 TK 3-8-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-18 Diesel Range Organics (C12 ~ C24t < PQL mg/kg 10. 3, 8015M 03/18/04 03/20/04 10:06 MAA GC-12A 1. Tetracosane I 96 % t 46-137 I 8015M 103/18/04 103120104 110:06 I MAA California DOHS Certification #1186 Ali results listed in d]is report are £or the exclusive use o£d~¢ submitting party. BE: Laboratodes, []zc. assumes no responsibility £or report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:45:44 4~0o ^tias Co~ * B,,~e,~¢I~L CA 9;;e~ * (~) ;2~-491~ * ~z.'< (~) ~27-~ ~ S * ,,,,,~,.b¢~at, s.:om 04-02749-18 ~L bo~ to~i~s~ Ii1~ a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Ouantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:02 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T8-2 TK 3-8-2' Sample Matrix Soil Sampled By K. Malamma tBCL Sample ID 04-02749-17 'Diesel Range Organics (C12 ~ C24t < PQL mg/kg 10. 3. 8015M 03/18/04 03/20/04 !09:41 MAA GC~12A 1. Tetracosane I 103 % 46-137 t 8015M 03/18/04 03/20/04 09:41 M~ I GC-~2A ~- I California DOHS Certification #1186 All results listed in dlis report ate [or ~e exclusive use o£ t..h¢ subn~ tt~g pauly. BC Laboratoffes, Luc. assumes no responsJbJlity for report alteration, separation, detachment or th~.rd party iu~erpretadon. Printed 03/23/2004 16:45:35 4~oo A*~as Co~ * ~e,~¢]~, CA ~;~0~ * (¢~) 327-4~11 * ~AX (~) ~2~-~¢~ S * ,,,v,-,.b¢~ab~.oo,~ 04-02749-1 7 ~ Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) CCC Number_ I--- Receive Date/Time 03/17/2004 @ 11:40 Project Numbe_r 200150 Sampling Date/Time 03/17/2004 @ _08~.'5~ Sampling Location BELLE TERRACE Sample Depth --- Sampling Point___ T7-6 TK 3-7-6' Sample Matrix Soil Sampled By IK. Malamma - iBCL Sample ID 04-02749-16 ................ Diesel Range Organics (O12- 024 < PQL mg/kg 10. 3. 8015M 03/18/04 03/20/04 09:16 MAA GC-12A I 1. Tetracosane 99 I % I 46-137 t 8015M 103/18/04 03/20/04 09:16 MAA GC-12A 1. I California DOHS Certification #1186 All results listed in dlis report arc for t]3¢ ¢×clusivc usc o£d~¢ submJtth~g party. BC Laboratoffes, [~c. assumes no responsibility £or report alteration separation, detachment or third part), intcrprct~don. Printed 03/23/2004 1 6:45:27 41o0 Atlas Court * Bakcrsfie]& CA 93308 * (661) 327-4911 * FAX (66l) 327-19] $ * www.bc]abs.com 04-02749~1 6 RAM ENVIRONMFNTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary ;EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 08~-~ Sampling Location BELLE TERRACE Sample Depth --- -- Sampling Point T7-2 TK 3-7-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-15 .......................... t itd:~:fi Diesel Range Organics (C12- C24 < PQL [ mg/kg 10. 3. 8015M 03/18/04 03/20/04 07:37 MAA GC-12A 1. T~tr~oo~ lO,~ I % ,~e-~3~ ~o1~ l 1 03/20/o40?:3? I MAA eC:~2A '~' I California DOHS Certification #1186 Al! results listed in this report are for the exclusive use oft. he submi.tting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/23/2004 16:45:18 04-02749-15 aboF toricss II1~ C RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. ' BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / QuantitatiOn Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 ~-~.'.~-~ .................... Sampling Location BELLE TERRACE Sample Depth --- -- Sampling Poin_t. T12-6 TK 4-12-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-14 .............................................. ~ii ~!~:i~:~:~::-~::. .......... ii~iZiiii:iii~i!i!i~Rah~:i~ ~;::::;~::;::'~:::~:;::::;;;:~:; i:i~:im-~j i:;i:!:!:i:i:!:!'!:!:!:!a~:~:!:i:i:!:i:i:i:::: i:~¢: Diesel Range Organics (C12- C24 < PQL rog/kg 10. 3. 8015M 03/18/04 03/20/04 07:13 MAA GC-12A 1. ' .............. Tetracosane 82 % 46-137 8015M 03/18/04 1 03/20/04 07:13 MAA GC-12A 1. I California DOHS Certification #1186 Ail res~ilts listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third puny interpretation. Printed 03/23/2004 16:45:10 4~0o Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-1 4 ~L bo~' tori~s~ Ii1a a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD. CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 08:40 Sampling Location BELLE TERRACE Sample Dep{h --- Sampling Point T12-2 TK 4-12-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-13 Diesel Range Organics (C12- C24' < PQL I rog/kg I d0. I 3. 8015M 03/18/04 03/20/04 06:48 I M~ GC-12A 1. Tetracosane I 101 % i 46-137 8015M 103/18/04 103/20/04 106:48 M~ GC-12A 1. California DOHS Certification #1186 Al! results listed in this report are £or the exclusive use o£the submitting part),. BC Laboratod¢s, ~.c. assumes ~o respons~bili~, for report a)teradon, separation, detachrneut or th~.rd party interpretation. Printed 03/23/2004 16:45:01 41oo ^~ Co~ · ~e~¢~ c^ ,~o~ · (~]) ~2~-,,~ * ~^x (~) s2~-~ ~ · ,~,~,~.~n~s.~o,~ 04-02749-13 abor tories~II~a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Numbe~ 200150 Sampling Date/Time 03/17/2004 @ 08:30 _Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T11-6 TK 4-11-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-12 Diesel Range Organics (C12- C24 < PQL mg/kg 10. 3. 8015M 03/18/04 03/20/04 106:23 MAA GC-12A 1. Tetracosane I 100 % 46-137 J 8015M 03/18/04 t03/20/04 06:23 MAA GC-12A 1. j California DOHS Certification #1 186 Al! results listed in this report am for the exclusive use of the submitting party. BC Labomto~es, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:44:53 41o0 Atlas Court * Bakersfield, CA 93308 * (661) 3274911 * FAX (661) 32%1918 * www.bclabs.com 04-02749-1 2 ~ Laboratortes, Inc RAM ENVIRONMENTAl_ ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 08:25 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T11-2 TK 4-11-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-1 Diesel Range Organics (C12- C24 < PQL mg/kg I 10. 3. t 8015M 03/18/04 03/20/04 05:59 t MAA GC-12A 1. , Tetracosane I 91 I % I 46-137 I 8015M J03/18/04 03/20/04 05:59 MAA GC-12A 1. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laborato~es, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:44:44 41oo Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-1 1 Laboratortes, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Ouantitation Summary iEPA Method 8015M) COC Number__ .__ Receive Date/Time 03/17/2004 @ 11:40 Project Numbe_~r 1200150 Sampling Date/Time 03/17/2004 @ 08:20 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T10-6 TK 4-10-6' Sample Matrix Soil .................... Sampled By K. Malamma BCL Sample'lD 04-02749-10 Diesel Range Organics (C12- C241 < PQL t mg/kg 10. 3. I 8015M I 03/18/04 103/20/04 05:34 i MAA !i!}i}ii i i iii:iii!iii;!;.;! i!iii!i!i}i!ii ii}!iii!ii!ii:{i!!:!iiiii !ii¥i !iiii!i!ii:i!i! i iiiiiiiii!i%;i¥:ii~;i;i;!i:::ii!i:i:i?E:E:E:ii:i:;?i;?::::: :::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::: ........... ..~,. ................................................... . Tetracosane I 99 % ~ 46-137 I 8015M 03/18/04 03/20/04 05:34 M~ GC-12A California DOHS Certification #1 186 Al! results listed in this report are for the exclusive use of the submitting party. BC Labomtoffes, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 1 6:44:36 41oo Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-1 0 ~~ boF togi~ss IIla a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 06:15 Sampling Location BELLE TERRACE Sample 'Depth .-- Sampling Point T10-2 TK 4-10-2' Sample Matrix Soil Sampled By IK. Malamma BCL Sample ID 04-02749--9- ..................... Diesel Range Organics (C12- C24' < PQL mg/kg 10. 3. 8015M 03/18/04 03/19/04 23:48 M~ GC-12A 1. Tetracosane 95 J % 46-137 8015M 03/18/04 !o3/~9/o4 23:48 M~ GC-12A ~ 1. California DOHS Certification #1186 Al! results listed in [ids report are £or the e;~c]usive usc o£~h¢ submitt~g party. BC Laboratodes, ~c. assumes ~o respo'nsibJlity tot' TepOrt alteration, separation, detachment or third party Jutcrpmtafio~. Printed 03/23/2004 1 6:44:27 4~oo Atlas Court * BaJ(ers~¢M, CA 93308 * (6di) 327-491 ! * FAX (66]) 327-1918 * www.bclabs,com 04-02749-9 a atories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Ouantitation Summary (EPA Method 8015M) ~COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:50 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point D2-6 DISPENSER #2-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID [04-02749-8 Diesel Range Organics (C12- C24t < PQL mg/kg 10. 3. I 8015M 03/18/04 03/20/04 05:09 MAA GC-12A 1. I Tetracosane 75 % 46-137 8015M 03/18/04 03/20/04 05:09 MAA GC-12A 1. I California DOHS Certification #1186 Al! results listed in this report arc for t~e c×clusiv¢ use o£ r. he submitt-~g party. BC Laboratories, [ac. assumes no responsibility £or report alteration, separation, detachment or t~ird party Jntcrpmt~don. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 3'>7-1918 * www.bclabs.com Printed 03/23/2004 16:44:18 ~ 04~02749-8 aboratories, lnc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number ___ Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:45 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point D2-2 DISPENSER #2-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-7 Diesel Range Organics (C12 - C24 < PQL mg/kg 10. 3. 8015M 03/18/04 I 03/20/04 04:45 MAA GC-12A 1. I Tetracosane I 93 I % 46-137 I 8015M 03/18/04 Io3/2o/04 04:451 MAA GC-12A 1. California DOHS Certification #1186 Al! results listed in this repo~ are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-7 Printed 03/23/2004 16:44:09 a a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- I Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:40 Sampling Location BELLE TERRACE ISample Depth --- Sampling Point D5-6 DISPENSER #5-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-6 Diesel Range Organics (C12- C24 < PQL mg/kg 10. 3. 8015M 03/18/04 03/20/04 04:20 M~ GC-~2A ~. ?:~;??.; ~??:?:?:;:::::: ::;~ :: ::::::~; :::: :. :;~::::~::;:?::::.::::?:~::?:?::¢~::;¢:.~::~::::~:::;:.:::.~?~;::~?.::~:~;::~?:~::;~;~:~::~?:::~::::~::~::~;~::~;~::~;;:.;~::.~;?~;:::;~;~:~;::~::;::~:;~:~¢~::;¢~::¢*;¢~??:~:~;;;;¢:.:;;?.~?.~?:~:: ::~¢~::~;~::~¢~:~¢¢,:;:~,¢:;:~::.~¢;:;:.~:.;~?:~ ¢~¢~;~:.~;*~:~¢~::~::~::~¢~::~¢~?:~:~¢~;~;~;?~¢::~;¢~::~¢~:.~:~ ~:¢~;¢~¢;~::::~;;¢;~;;:.~;~ ~:;¢¢~:;¢~ ~*~;~;~; ;~;;;~:~;~::?.~¢::~;;;~;~;:¢~::~ ~:~;~:.: ~;~::~;~;~¢~;¢~¢::::;~i~;~::;~:::[~::~?:¢;::::::¢¢~::¢¢:::;?:;?::?::~::~::¢: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Tetracosane I 68 I % 46-137 8015M 03/18/04 03/20/04 04:20 M~ (GC-~2At 1. California DOHS Certification #1186 Al! results list~ i~ this report are for the exclusive use o£d~e subn"J.q-~n~ parfy. BC Laboratoffes, ~c. assumes no responsibility for report alteration, separation, detachment or Si. rd ~arty iuterpretad, o~. Printed 03/23/2004 1 6:44:01 41oo Atlas Court * Bakersfield, CA 93308 * (66]) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-6 .~~.L tbo~ togi~ss ll~a a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) Receive Date/Time 03/17/2004 @ 11:40 CCC Number --- Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:39 Sampling Location iBELLE TERRACE Sample Depth --- Sampling Point D5-2 DISPENSER #5-2' Sample Matrix ISoil Sampled By K. Malamma 3CL Sample ID 04-02749-5 Diesel Range Organics (012- 024 19 mg/kg 10. I 3. 8015M 103/18/04 03/20/04 03:55 MAA GC-12A I 1. [ A52 .............................. ................................................... Tetracosane 80 % I 46-137 8015M I03/~e/04 03/20/0403:S5MAA IGC-~2AI Flag ~_Explanations A52 !Chromatogram not typical of diesel. California DOHS Certification #1186 Al! results listed in this report ate for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, sepamtaon, detachment or third party interpretation. 4100 Atlas Court * Bakemfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-5 Printed 03/23/2004 16:43:52 ~L bo~ toPies~ Ii~Ct ct C RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVlN MALAMMA Fuel Identification / Quantitation Summary iEPA Method 8015M) COC Number ;; Receive Date/Time 03/17/2004 @ 11:40 Project Numbe_r 0150 Sampling Date/Time 03/17/2004 @ 07:30 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point D3-6 DISPENSER #3-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-4 Diesel Range Organics (C12- C24~ < PQL mg/kg 10. ~ 3. 8015M 03/18/04 03/20/04 ~02:16 M~ GC-12A 1. [ i~::~ ~:.~~ ~::~:.~::~?~ ~:~: ~:::~:~:~ ~: ::~:~:~:~:::~:~:~:~ :~: ~:~:~ :~:~:~ :~'~ :~:~:::: :??~ ::'::: ~: ~: :::::::::::::::::::::::::::: ::::':::::::: ~::~::~:~:~ :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ~~ ::~~~ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Tetracosane I 85 I % 46-137 I 8015M 03/18/04 !03120/04 02:16~ M~ GC-12A 1. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the subn'fitting party. BC Laborato~es, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:43:44 41oo Atlas Court * Bakemfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-4 a RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Ouantitation Summary (EPA Method 8015M) COC Number .._ Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:27 ............. Sampling Location BELLE TERRACE Sample Depth --- Sampling Point D3-2 DISPENSER #3-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-3 Diesel Range Organics (C12- C24 < PQL I mg/kg t 10. 3. 8015M 03/18/04 03120/04 101:52 MAA GC-12A 1. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:43:35 4100 Atlas Court * Bakersfiield, C^ 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-3 ~~=~L ~or tor~es~_~l~cl ct C RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary 'EPA Method 8015M) COC Number ]--- Receive Date/Time 03/17/200~_~_1_1 :__4__0. .............. Project Number 20015'0 Sampling Date/Time 03/17/2004 @ 07:25 Sampl?g Location !BELLE TERRACE Sample Depth --- Sampling Poin_t__ D4-6 DISPENSER #4-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-2 D!~.~.!...~r~?.O.!gar~.!C~..(.~.!.~...:..~ < PQL mg/kg 10. } 3. } 8015M 03/18/04 03/20/04 01:27 M~ GC-12A 1. Tetracosane ~ 74 % 46-137 80,5M 103/~8/04 03/20/04 01227 M~ GC-I~ 1. California DOHS Certification #1186 Al! results listed in this report are for the e×clusive use of the submitting parry. BC Laboratodes, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/23/2004 16:43:27 4:00 ^t~a~ Corn * Bake~ne:~, C^ 9330S * (~:) 3.~:-49] ] * ~X (~]) 32~-]~S ' ,~w,~.~¢]a~.~om 04-02749-2 ~ ~ it I I 1. I I i ,-,m,~,~..l~ I i ~ i i I l~'~'l ..~~ Laboratortes, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:20 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point D4-2 DISPENSER ~4-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04~02749-1 Diesel Range Organics (C12 - c24j < PQL mg/kg 10. 3. 8015M 03/18/04 03/20/04 01:02 MAA I GC-12A 1.0 Tetracosane 90 % 46-137 8015M 03/18/04 03/20/04 01:02 MAA GC-;~2A 1.0 California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/23/2004 1~:43:23 04-02749-1 a~o~ t°~i~$s~lla c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons !COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:1 Sampling Location BELLE TERRACE SamPle Depth --- Sampling Point-- T4-6 TK 2-4-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-20 Benzene I < PQL mg/kg 0.005 0.00036 8021B 03/18/04 03/18/04 21:17 HKS GC-V8 1 302-100443 L- ND ...... Toluene < PQL mg/kg 0.005 0.0040 8021B 03/18/04 ,03/18/04 21:17 HKS GC-M8 1 I 302-100443 I ~' Ethylbenzene __ < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 21:17 HKS GC-V8 I 302-100443 ND Methyl t-butyl ether < PQL rog/kg 0.02 0.00056 8021B 103/18/04 03/18/04 21:17 HKs GO-V8 1 302-100443 Total Xylenes < PQL mg/kg 0.01 0.0098 8021B__[ 03/18/04 03/18/04 21:17 HKS GC-V8 1 302-100443 _1 ....... _ND. Gasoline Range Organics (C4 - I I 302 100443 ND C12) I < PQL I mg/kg 1 0.046 8015M 103/18/04 03/18/04 21:17 t HKS SC-V8 1 - a,a,a-Trifluorotoluene 92 ! % 70-130 8021B 03/18/04 03/18/04 21:17 HKS GC-V8 1 302-100443 a,a,a-Trifluorotoluene (8015 Surrogate) 114 % 70-130 8015M 03/18/04 03/18/04 21:17 HKS I GC-V8 1 302-100443 I California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Prin.[ed 03/24/2004 16:00:37 4~oo Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 04-02749-20 I~ ~ ~ ~l I I. III I ll~ ~ .... ~l~ I ~-I I ~ / I I ~"l~ ~ II Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number Receive Date/Time 03/17/2004 @ 11:40 Project Number ;;0150 Sampling Date/Time 03/17/2004 @ 09:10 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point ;~la'['aK??;2 Sample Matrix Soil Sampled By BCL Sample ID 04-02749-19 Benzene I < PQL I mg/kg 0.005 0.00036 8021B 03/18/04 03/18/04 20:47 HKS GC-V8 1 302-100443 ND 7T~ ! <PQL i mg/kg -0.005 0.0040 8021B 03/18/04 03/18/04 20:47 HKS GC-V8 1 302-100443 I ND E~thylbenzene ' < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 20:47 HKS GC-V8 1 302-100443 Methyl t-butyl ether < PQL mg/kg 0.02 I 0.00056 8021B 03/18/04 03/18/04 20:47 HKS GC-V8 I i 302-100443 'l N~D ' ..... Total Xylenes < PQL rog/kg 0.01 0.0098 8021B 03/18/04 03/18/04 20:47 HKS GO-V8 I I 302-100443~ ~ ---i .......... Gasoline Range Organics (C4 - t C12) < PQL mg/kg 1 0.046 8015M 03/18/04 03/18/04 20:47 HKS GC-V8 1 302-100443 ND :!:E:!:!?!:E:!:!:!:E:!:!:!:!:!:!:!:! :-:~+:-:-:-:?:.:~+~E-:-:-:~<~-:-:~.:-:-:~.:.:::~s:-:-:-::~::.;:.~ a,a,a-Trifluorotoluene 92 % 70-130 8021B 03/18/04 03/18/04 20:47 HKS GC-V8 I 302-100443 I a,a,a-Trifluorotoluene (8015 Surrogate) 116 % 70-130 8015M 03/18/04 03/18/04 20:47 HKS GC-V8 I 302-100443 California DOHS Certification #1 186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alter'at/on, separat/on, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 16:00:26 04-02749-19 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number__ ._. Receive Date/Time 03/17/2004 @ 11:40 Project Nurnber~ 200150 Sampling Date/Time 03/17/2004 @ 09:05 ................ Sampling Location IBELLE TER ~1~, CE Sampling Poi--~t T8-6 TK 3-8-6 ___ Sample Depth Il-- _ Sample Matrix Soil Sampled By I K. Malamma BCL Sample ID 04-02749-18 Benzene < PQL ~ mg/kg 0.005 0.00036 8021B 03/18/04 ~ 03/18/04 18:17 HKS GC-V8 1 302-100443 ND ~ S0g Toluene < PQL~ mg/kg 0.005 0.0040 , 8021B 03/18/04 03/18/04 18:17 HKS GC-V8 ~ 1 302-100443 I ND ~ S09 Ethylbenzene < PQL ~ mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 18:~7 HKS GC-V8 ~ 1 302-100443_~ ND~ s0g ~ethyl t-butyl ether ~ < PQL mg/kg 0.02 0.00056 8021B 03118104 03/18/04 18:17 HKS GC-VS' 1 302-100443-- ND S0g Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/18/04 ~ 03/18/04 18:17 HKS GC-V8 1 302-100443 ND ~ S0g Gasoline Range Organics (C4 - C12) < PQL rog/kg 1 0.046 8015M 03/18/04 03/18/04 18:17 HKS GC-V8 I 302-100443 ND · S0g a,a,a.Tdfluorotoluenea'a'a-Triflu°r°t°luene(8015 42 % 70-130 8021B 03/18/04 03/18/04 18:17 HKS GC-V8 I 302-100443 Surrogate) 53 % ~ 70-130 8015M 03/18/04 03/18/04 18:17 HKS GC-V8 1 302-100443 s09 t Flag - tExplanati°ns S09 iThe surrogate recovery on the sample for this compound was not within the control limits. California DOHS Certification #1186 ' . AIl results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separat/on, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (/~61) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03~24~2004 16:00:16 04-02749-18 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/17/20~04~_1~_.'4_0 ...................... Project Number 200150 Sampling Date/Time 03/17/2004 @ _09~:0__2 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T8-2 TK 3-8-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-17 Benzene < PQL mg/kg 0.005 0.00036 8021B 03/18/04 03/18/04 17:47 HKS GC-V8 1 302-100443 ND Toluene < PQL mg/kg 0.005 I 0.0040 8021B 03/18/04 03/18/04 17:47 HKS GC-V8 1 302-100443 ND _ Ethylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 17:47 HKS GC-V8 I 302-100443 ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/18/04 03/18/04 17:47 HKS GC-V8 1 302-100443 ND Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/18/04 03/18/04 17:47 HKS GC-V8 1 302-100443 ND Gasoline Range Organics (C4 - C12) < PQL mg/kg 1 0.046 8015M 03/18/04 03/18/04 17:47 HKS GC-V8 I 302-100443 ND a,a,a-Trifluorotoluene 95 I % i 70-130 802_1B I03/18/04 03/18/04 17:47 HKS I GC-V8 1 302-1004431 a,a,a-Trifluorotoluene (8015 Surrogate) 121 % 70-130 8015M 03/18/04 , 03/18/04 17:47 HKS GC-V8 I 1 302-100443 California DOHS ¢~¢~ifJcatier) #1 186 SUlt~ listed la tiffs report are for the exclusive use of' the submitting party. BC Laboratories, Inc. assumes no responsibility for ;report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 16:00:0S 04-02749-17 I I I i i i i /,..,~/ /,,1 i / i i i 1,~,.1, .... Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number ?-- Receive Date/Time 03/17/2004_@~1 _1_:~4_0. ....................... Project Numbe__[r 1200150 Sampling Date/Time 03/17/2004 @ 08:58 Sampling Location tBELLE TERRACE Sample Depth --- Sampling Point T7-6 TK 3-7-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-16 _B__e~ene ~ F:QL rng/k~ 0.00§ 0.00036 8023 B 03/18/04- 03/'18/0,4 17:17 HK$ GC-V8 1 302-'100443 ~D Toluene < PQL rng/kg 0.00§ 0.0040 8021B 03/'18/04 03/38/04 37:37 IlKS GC-V8 1 302-'100443 Ethylbenzene < PQL rog/kg 0.005 0.00'18 8021B 03/38/04 03/18/04 17:17 HKS GC-V8 I 302-100443 ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/18/04 03/18/04 17:17 HKS GC~V8 1 302-100443 ND Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/18/04 03/18/04 17:17 HKS GC-V8 1 302-100443 ND Gasoline Range Organics (C4 - C12) < PQL mg/kg 1 0.046 8015M i 03/18/04 03/18/04 17:17 I HKS GC-V8 1 302-100443 ND a,a,a-Trifluorotoluene 89 % t 70-130 I 8021B 03/18/04 03/18/04 17:17 I HKS GC-V8 I 1 302-100443 I a,a,a-Trifluorotoluene (8015 Surrogate) 110 % 70-130 8015M 03/18/04 03/18/04 17:17 HKS GC-V8 1 302-100443 California DOHS Certification #1186 All results listed in this report are for the exclusive use of' the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 3274911 * FAX (661) 327~1918 "www.bclabs.com Printed 03/24/2004 15:59:56 04-02749-16 Labo ator es, lnr i c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301' Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 iSampling Date/Time 03/17/2004 @ 08:55 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T7-2 TK 3-7-2'Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-15 Benzene < PQL mg/kg 0.00§ 0.00036 8021B 03/18/04 03/'18/04 16:47 HKS GC-V8 I 302-100443 ND Toluene < PQL mg/kg 0.005 0,0040 8021B 03/18/04 03/18/04 16:47 HKS GO-V8 I 302-100443 ND Ethylbenzene I < PQL ! rog/kg 0.005 0.0018 8021B 03/18/04 03/18/04 16:47 HKS GC-V8 1 302-100443 ND Methyl t-butyl ether < PQL t rog/kg 0.02 0.00056 8021B 03/18/04 i 03/18/04 16:47 HKS GC-V8 1 302-100443 ND Total Xylenes I._ < PQL i mg/kg 0.01 0.0098 8021B 03/18/04 03/18/04 16:47 HKS GC-V8 1 302-100443 ND Gasoline Range Organics (04 - I i . ~ O12) I <PQL I rog/kg 1 0.046 8015M 03/18/04 03/18/04 16:47i HKS GC-V8 1 302-100443 ND L L a,a,a-Trifluorotoluene I 90 $ I 70-130 I 8021B 03/18/04 103/~a/04 16:47 HKS I GC-V8 1 302-100443 a,a,a-Trifluorotoluene (8015 I ~ Surrogate) 112 % 70-130 I 8015M 03/18/04 , 03/18/04 16:47 HKS GC-V8 1 302-100443 California DOHS Certification #1186 All results listed in this report are for the exclusive use oft. he submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:59:46 04-02749-15 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons eec Number I'" Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 08:45 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T12-6 TK 4-12-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-14 Benzene < PQL rog/kg 0.005 0.00036 8021B 03/18/04 03/18/04 16:17 HKS GC-V8 I 302-100443 ND Toluene I < PQL mg/kg 0,005 0.0040 8021B 03/18/04 03/18/04 16:17 HKS GC-V8 1 302-100443 ND Ethylbenzene Methyl t~butyl ether < PQL Total Xylenes < PQL Gasoline Range Organics (C4 - C12) a,a,a-Trifluorotoluene _ 80 % I 70-130 I 8021B [ 03/18/04 03/18/04 16:17 HKS GC-V8 1 302-100443 a,a,a-Trifluorotoluene (8015 ' Surrogate) 98 % 70-130 8015M 103/18/04 03/18/04 16:17 HKS GC-V8 1 302-100443 California DOHS CertifJcatiqo #1186 ,-tt~ results t~ste~ m this report are for the exclusive use of the submittiz~g party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661 ) 327~ 1918 * www.bclabs.com Printed 03/24/2004 15:59.'36 04-02749-14 m--... - mmmmmmm{ ~,{mmm~m~{m m m.m m m m.~m .... m~.-m m m m m m m-~m, ~ Laboratortes, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number I--- Receive Date/Time 03/17/2004 @ 1 1:40 'Project Number 200150 Sampling Date/Time 03/17/2004 @ 08:40 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point IT12-2 TK 4-12-2' Sample Matrix Soil Sampled By IK. Malamma BCL Sample ID 04-02749-13 Benzene i < PQL mg/kg 0.005 0.00036 8021B' 03/18/04 03/18/04 15:47 HKS I GC-V8 1 302-100443 ND Toluene i < PQL mg/kg 0.005 0.0040 S021B 103,18,04 103,18/04 15:47 HKS GC-V8 1 302-100443~j_~N__D____~ Ethylbenzene I < PQL mg/kg 0.005 0.0018 I 8021B 103/18/04 03/18/04 15:47 HKS GC-V8 1 302-100443 Methyl t-butyl ether i < PQL mg/kg 0.02 0.00056 8021B ]03/18/04 03/18/04 15:47 HKS GC-V8 1 302-100443 Total Xylenes[ < PQL mg/kg I 0.01 0.0098 8021B 03/18/04 03/18/04 15:47 HKS GC-V8 1 302-100443 Gasoline Range Organics (C4 - } i C12) I 0.046 i 8015M 03/18/04 03/18/04 15:47 HKS GC-V8 I 1302-100443 < PQL ~ mg/kg a,a,a-Trifluorotoluene 100 % 70-130 8021B 03/18/04 03/18/04 15:47 HKS GC-V8 I 302-100443 a,a,a-Trifluorotoluene (8015 Surrogate) 126 % 70-130 8015M 03/18/04 03/18/04 15:47 HKS GC-V8 1 302-100443 California DOHS Certification #1 186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 ~' (661) 327-4911 * FAX (661) 327-I 918 * wv,'w.bclabs.com Printed 03/24/2004 15:59:26 04-02749-13 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number I--- ! Receive Date/Time 03/17/2004 @ 11:40 Project Number ~_2_00150 Sampling Date/Time 103/17/2004 @ 08:30 Sampling Location ~-B-ELLE TERRACE Sample Depth -'- __ ......... ~_.~_._~i~-~ii.iii_~_i~-_ ~ Sampling Point ltl 1-6 TK 4-11-6' ISample Matrix Soil Sampled By /K. Malamma BCL Sample ID t04-02749-12 Benzene _. ! < PQL I mg/kg 0.005 0.00036 J 8021B 03/18/04 03/18/04 15:17 HKS GC-V8 1 302-100443 ND Toluene ! < PQL I mg/kg 0.005 0.0040I 8021B 03/18/0__4_ 03/18/04 15:17 HKS GC-V8 I 302-100443 . ND .E_thylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 15:17 HKS GC-V8 1 302-100443 ND < PQL mg/kg 0.02 0.00056 8021B 03/18/04 15:17 HKS 1 Methyl t-butyl ether 03/18/04 GO-V8 i 302-100443 ~ ND Gasoline Range Organics (C4 - ~j . C12) I < PQL mg/kg I 0.046 8015M 03/18/04 03/18/04 15:17 HKS GC-V8 1 302-100443 ND a,a,a-Trifluorotoluene I 101 % 70-130 8021B 03/18/04 03/18/04 15:17 HKS GC-V8 1 302-100443 a,a,a-Trifluorotoluene (8015 Surrogate) 129 % 70-130 8015M 03/18/04 03/18/04 15:17 HKS GC-V8 1 302-100443 California DOHS Certification #1186 All results listed in ~his report are for the exclusive use of the submitting part),. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (66]) 327-1918 * www.bclabs.com Printed 03~24~2004 15:59:16 04-02749-12 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number I--- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Samplin'g Date/Time 03/17/~_ ~ ~i_~ Sampling Location IBELLE TERRACE ISample Depth --- Sampling Point T11-2 TK 4-11-2' Sample Matrix _ ISoil Sampled By K. Ma amma BCL Sample ID 104-02749-11 Benzene __ < PQL mg/kg 0.005 0.00036 8021B 03/19/04 03/19/04 06:17 HKS GC-V8 1 302~100443 ] ND T__oluene < PQL mg/kg 0.005 0.0040' 8021B 03/19/04 03/19/04 06:17 HKS GC-V8 I 302-100443 _E_thylbenzene < PQL mg/kg t 0.005 0.0018 8021B 03/19/04 03/19/04 06:17 HKS SC-V8 1 302-100443_-k ND _Methyl t-butyl ether < PQL mg/kg . I 0.02 0.00056 8021B 03/19/04 03/19/04 06:17 HKS GC-V8 I 302-100443 ND TotaIXylenes < PQL rog/kg 0.01 0.0098 8021B 03/19/,04. ! 03/19/04 06:17 HKS GC-V8 1 302~100443 ND Gasoline Range Organics (C4 - Ct2) < PQL rog/kg 1 0.046 8015M 03/19/04 03/19/04 06:17 HKS ~ GC-V8 1 302-100443 ND IIIII.II.'I.~III.II'"."....'I.'I.'III. ii~i!~i~ ~:Rai~:i:i:i:i: ................................. :ii:i:ti'i~Ii~:~::i~:i~:i:l~-:.::;:~:~:.:;;::::~::::s:i:i:i:i:ii::i~:: ~G'%iiiii%iiiii:. i:i:i:iii!iiiiiiiii:iMB:i:::::iiiii:i:i:i:i:i:! ::::::::::::::::::::::::::::::::::::::::::: a,a,a-Trifluorotoluene 94 % 70-130 8021B 03/19/04 03/19/04 06:17 HKS GC-V8 I 302-100443 a,a,a-Trifluorotoluene (8015 Surrogate) 116 % 70-130 8015M 03/19/04 ~03/19/04 106:17 HKS GC-V8 1 302-100443 California DOHS ¢xertification #1186 · .results?sted in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * w~'w.bclabs.com Printed 03/24/2004 15:59:07 04-02749-11 Laboratortes, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number i , . --- iRece~ve Date/Time 03/17/2004 @ 11:40 Project Number 200150 !Sampling Date/Time 03/17/2004 @ 08:20 Sampling Location BELLE TERRACE :Sample Depth --- Sampling Point T10-6 TK 4-10-6' Sample Matrix Soil Sampled By I K. Malamma BCL Sample ID 04-02749-10 Benzene < PQL mg/kg' 0.005 0.00036 8021B 03/18/04 03/18/04 14:17 HKS GC-V8 I 302-100443 ND S09 Toluene < PQL mg/kg 0.005 0.0040 8021B 03/18/04 03/18/04 14:17 HKS GC-V8 1 302-100443 ND S09 Ethylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 14:17 HKS GC-V8 1 302-100443 ND $09 .... Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/18/04 03/18/04 14:17 HKS GC-V8 1 302-100443 ND S09 Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/18/04 03/18/04 14:17 HKS GC-V8 1 302-100443 ND ! S09 Gasoline Range Organics (C4 - C12) < PQL mg/kg 1 0.046 8015M 03/18/04 03/18/04 14:17 HKS GC-V8 1 302-100443 ND! s09 a,a,a-Trifluorotoluene ~ 38 ~ % 70-130 8021B 03/18/04 03/18/04 14:17 HKS GC-V8 1 302-100443 ___[___ s0~ ....... a,a,a-Trifluorotoluene (8015 . i Surrogate) 5~ % j 70-130 8015M ~ 03/18/04 ~03/18/04 14:17 HKS GC-V8 1 302-100443 ~[ 809 IFla_q IExplanations ' _ S09 ~ surrogat------~ recovery on the sample for this compound was not within the control limits. California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:58:57 04-02749-10 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC N umber --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 08:~5 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T10-2 TK 4-10-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-9 Benzene < PQL mg/kg 0.005 0.00036 8021B 103/18/04 03/18/04 13:47 HKS GC-V8 I 302-100443 ND J Toluene __ < PQL mg/kg 0.005 0'.0040 8021B 03/18/04 ' 03/18/04 13:47 HKS GC-V8 1 302-100443 ND Ethylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 13:47 HKS GC~V8 1 302-100443 ND Methyl t-butyl ether < PQL ! mg/kg 0.02 0.00056 ' 8021B 03/18/04 03/18/04 13:47 HKS GC-V8 1 302-100443 ND Total Xylenes < PQL I mg/kg 0.01 0.0098 8021B 03/18/04 03/18/04 13:47 HKS GC-V8 1 I 302-100443 ND Gasoline Range Organics (C4 - 13:47 C12) < PQL mg/kg 1 0.046 8015M 03/18/04 03/18/04 HKS GC~V8 I 302-100443 a,a,a-Trifluorotoluenea'a'a-Triflu°r°t°luene (8015 __94 I % 70-130 t 8021Bi 03/18/04 03/18/04 13:47 I HKS GO-V8 1 307100_443 i' Surrogate) 120 ! % 70-130 i 8015M 103/18/04 103/18/04 13:47t HKS GC-V8 1 302-100443 California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitth~g party. BC Laboratories, Inc. assumes no re~onsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03124/2004 15:58:46 04-02749-9 m Laboratortes, RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons . COC Number --- ~eceive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:50 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point D2-6 DISPENSER #2-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-8 Benzene < PQL mg/kg 0.005 0.00036 8021B 03/19/04 03/19/04 17:54 HKS GC-V8 1 302-100443 Toluene Ethylbenzene I < PQL mg/kg I 0.005 0.0018 8021B 03/19/04 03/19/04 17:54 HKS GC-V8 1 302-100443I ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/19/04 03/19/04 17:54 HKS GC-V8 1 302-100443 ND Total Xylenes . < PQL mg/kg 0.01 0.0098 8021B 03/19/04 03/19/04 17:54 HKS GC-V8 1 302-100443 ND Gasoline Range Organics (C4 - I I ...... C12) a,a,a-Trifluorotoluene 106 a,a,a-Trifluorotoluene (8015 I Surrogate) ' California DOHS Certification #1186 All results listed in this report'are for the exclusive use of the subntitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:58:37 04-02749-8 ~L bot. toriess [nil a c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number ___ Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:45 Sampling Location BELLE TERRACE _ Sample Depth --- iSampling Point D2-2 DISPENSER #2-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-7 Benzene i <PQL t mg/kg 0.005 I 0.00036 8021B 03/18/04 03/18/04 09:46 HKS , GC-V8 I 302-100443 , ND Toluene - < PQL I m /kg ' 0 005 ' 0 0040 8021B 03/18/04~ 03/18/04 09'46 HKS G~S-V8 1 Ethy~ne <PQL mgg/kg 0.005 0.0018 8021B 03/18/04_,_03/18/04 09:46 HKS [ GC-V8 1 Methyl t-butylether <PQL mg/kg 0.0~ 0.000~ !03/18/04 03/18/04 09:46 HKS GC-V8 TotaIXylenes t < PQL mg/kg 0.01 0.0098 I 8021B 03/18/04 03/18/04 09:46 HKS GC-V8 1 302-1004~ l Gasoline Range Organics (C4 - C12) I < PQL I mg/kg I 0 046 I 8015M 03/18/04 ; 03/18/04 09:46 HKS GC-V8 1 302-100443 a,a,a~Trifluorotoluene 72 % 70-130 8021B 03/18/04 03/18/04 09:46 HKS GC-V8 1 302-100443 a,a,a~Trifluorotoluene (8015 Surrogate) 92 I % 70-130 8015M 03/18/04 03/18/04 09:46 HKS GC-V8 1 302-100443 I California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:58:27 04-02749-7 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and .., Total Petroleum Hydrocarbons COC Number _._ Receive Date/Time 03/17/2004 @ 11:40 Project Number __ 1200150 Sampling Date/Time 03/17/2004~@~0_7.i_4~0 Sampling Location 1BELLE TERRACE ,Sample Depth .... Sampling Point ID5-6 DISPENSER #5-6' Sample Matrix ___tSoil Sampled By IK. Malamma BCL Sample ID 104-02749-6 Benzene ! <PQL I mg/kg 0.005 I 0,00036 8021B 03/18/04 03/18/04 09:16 HKS GC-V8 1 302-100443 Toluene ~ II ' I < PQL mg/kg 0.005 0.0040 8021B 03/18/04 03/18/04 09:16 HKS i GC-V8 I 1 302-100443 Ethylbenzene < PQL ~ rog/kg 0.005 ~ 0.00181 8021B 03/18/04 03/18/04 09:16 HKS ~ GC-V8 ! 1 . 302-100443 Methyl t-butyl ether < PQL rog/kg 0.02 0.00056 I 8021B i 03/18/04 03/18/04 09:16 HKS GC-V8 I 1 302-100443 Total Xylenes < PQL rog/kg 0.01 0.0098 8021B 03/18/04 1 03/18/04 09:16 HKS GC-V8,I I 302-100443 ND Gasoline Range Organics (C4 - C12) ' < PQL rog/kg 1 0.046 8015M 03/18/04 03/18/04 09:16 HKS GC-V8 1 302-100443 ND a,a,a-Trifluorotoluene 80 % I 70-130 8021B 03/18/04 03/18/04 09:16 HKS GC-V8 1 302-100443 a,a,a-Trifluorotoluene (8015 I Surrogate) I 102 % 70-130 8015M 03/18/04 03/18/04 09:16 HKS GC-V8 1 302-100443 California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, hac. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.b¢labs.com Printed 03/24/2004 15:58:18 04-02749-6 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Proje_ct N~umbe~r 200150 Sampling ~)ate/Time 03/17/2004 @ 07:39 Sampling Location BELLE TERRACE Sample Depth--- Sampling Point D5-2 DISPENSER #5-2' Sample Matrix S°il Sampled By tK. Malamma BCL Sample ID04-02749_5 Benzene < PaL mg/kg 0.005 0.00036 8021B 03/18/04 03/18/04 01:13 :",KS'""'"'i GC_V8 1 302-100443 ND Toluene < PQL mg/kg 0.005 0.0040 8021B 03/18/04 03/18/04 01:13 HKS GC-V8 1 Ethylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 01:13 HKS GC-V8 1 302-100443 Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/18/04 03/18/04 01:13 HKS GC-V8 1 Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/18/04 03/18/04 01:13 HKS GC-V8 1 302-100443 ND Gasoline Range Organics (C4 - C12) < PQL rog/kg 1 0.046 8015M 03/18/04 03/18/04 01:13 HKS GC-V8 I 302-100443 ND a,a,a-Trifluorotoluene 96 % 70-130 8021B 03/18/04 03/18/04 01:13 HKS GC-V8 1 302-100443 a,a,a-Trifluorotoluene (8015 Surrogate) 121 % 70-130 8015M 03/18/04 03/18/04 01:131 HKS GC-V8 1 302-100443 California DOHS Certification #1 186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:58:07 04-02749-5 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COc Number i___ Receive Date/Time 03/17/2004 @ 11:40 Project Number 1200150 Sampling Date/Time 03/17/2004 @ 07:30 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point D3-6 DISPENSER #3-6' Sample Matrix Soil ............... Sampled By K. Malamma BCL Sample ID 04-02749-4 Benzene < PQL mg/kg 0.005 0.00036 8021B 03/18/04 03/18/04 08:46 HKS GC-V8 1 302-100443 ND Toluene < PQL mg/kg 0.005 0.0040 8021B 03/18/04 03/18/04 08:46 HKS GC-V8 1 302-100443 ND Ethylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 08:46 HKS GC-V8 1 302-100443 ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/18/04 03/18/04 08:46 HKS G,C-V8 1 302-100443 ND Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/18/04 03/18/04 08:46 HKS GC-V8 1 302-100443 ND Gasoline Range Organics (C4 - ND C12) < PQL mg/kg 1 0.046 8015M 03/18/04 03/18/04 08:46 HKS GC-V8 1 302-100443 ..... ,-,--,--;,~', '"---,',",',',-,-,77,, ' ................................... .-.-v:::- ...................................................... : .................... T'"",',','," ""~ ............. ,' ,', .................... ,",-,',', ....... ,'"",7,',,,,'; '"r'"", ..................... · ..................... a,a,a-Trifluorotoluene 78 % 70-130 8021B 03/18/04 03/18/04 08:46 HKS GC-V8 1 ~!302'100443 a,a,a-Trifluorotoluene (8015 Surrogate) 98 % 70-130 8015M 03/18/04 03/18/04 08:46 HKS GC-V8 1 302-100443 California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, sepamtlon, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:57:58 04-02749-4 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 07:27 Sampling Location BELLE TERRACE __ Sample Depth --- Sampling Point D3-2 DISPENSER #3-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-3 · !~!i!:~:iiiiiiii~i;ii::.i:~ii:i:i:!;!i!~!ij!iii~iii¥~!ii:!i!iii!~iiiiiii~!i~:~ !:!!SBi:E:i:i:iE:i:!:!~!!!?i:~{Si:i: i ::'"-:E~ .......................... ~ ~:~ ............................. ~{?:l~'~tm*:;~::~ Q~ .............................. , ...................... Benzene < PQL mg/kg 0.005 0.00036 8021B 03/18/04 03/18/04 00:13 HKS GC-V8 I 302-100443 ND ~u~n~ne < PQL rog/kg 0.005 0.0040 8021B 03/18/04 03/18/04 Io0:13 HKS GC-V8 1 302-100443 ND Ethylbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 00:13 HKS GC-V8 1 302-100443 ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/18/04 03/18/04 00:13 HKS Ge-v8 1 302-100443 ND Total Xylenes I < PQL rog/kg 0.01 0.0098 8021B 03/18/04 03/18/04 ~00:13 HKS GC-V8 1 302-10044_3 ___ N___D___L Gasoline Range Organics (C4 - C12) < PQL rog/kg 1 0.046 8015M 103/18/04 03/18/04 '00:13 HKS GC-V8 1 302-100443 ND ::;~:~:;:i~:; ~,~,~.~x:~:~:~:':::::%%~:~::;; :::::::::::::::::::::::::~:;;~:~ :::~::~:~:~:::':~i:~:~:~:%::%i'i~.:;~: :i~:~:%:'ii%~::'.!-;%~.~:::~;%~¥-; .............................................................................................................................. i::iii~!~¥~ ~i~!~:.!~¥;;~i~i~!!ii~i~i~ ~!:~!~i! i:.ili~ii~:i~ i::iiiiii::;:ii::ii!if:5~if)?:!ii::?:~::i:: ::i::!i!iiiiii!::iiii!!~'~::i::!i~i::!i::?;~::i::::i!!ii:: a,a,aoTrifluorotoluenea'a'a-Triflu°r°t°luene (8015 93 % 70-130 8021B 03/18/04 03/18/04 00:13 HKS GC-V8 1 302-100443 Surrogate) 117 % 70-130 8015M i03/18/04 03/18/04 00:13 HKS GC-V8 1 302-100443 California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:57:48 04-02749-3 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COc Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 103/17/2004 @07:25 Sampling Location BELLE TERRACESample Depth --- Sampling Point ;D4-6 DISPENSER ¢f4-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-2 .................................. t i~!i~p ~!~!~;;~!!~!i;~!~i~;~ i~,!~!!~! ~ ~ ~:~¥~ ~!i~ii~ii~i~i~!~i1 ...................................... ~.~. ~;;~!iiiiii~iii~i~5~i~i~ii~i Benzene < PQL mg/kg 0.005 0.00036 8021B 03/17/04 03/17/04 23:43 HKS GC-V8 1 302-100443 ND Toluene < PQL mg/kg 0.005 0.0040 8021B 03/17/04 03/17/04 23:43 HKS GC-V8 1 302-100443 N_D_ Ethylbenzene i < PQL mg/kg 0.005 0.0018 8021B 03/17/04 03/17/04 23:43 HKS GC-V8 1 302-100443 ND Methyl t-butyl ether < PQL mg/kg I 0.02 0.00056 8021B 03/17/04 03/17/04 ;23:43 HKS GC-V8 1 302-100443 ND Total Xylenes i < PQL i mg/kg I 0.01 0.0098 8021B 03/17/04 I03/17/04 23:43 HKS GC-V8 1 302-100443~ ..... _N_D Gasoline Range-~r~ganics (C4 - I ! I C12) I <PQL rog/kg I 0.046 8015M 03/17/04 03/17/04 !23:43 HKS GC-V8 ] 1 302-100443 a,a,a-Trifluorotoluene I 101 % 70-130 8021B 03/17/04 03/17/04 23:43 HKS GC-V8 I 1 302-100443 ..... a,a,a-Trifluorotoluene (8015 Surrogate) 129 % 70-130 8015M 03/17/04 03/17/04 23:43 HKS GC-V8 I 302-100443 California DOHS Certification #1186 All results listed in Otis repor~ are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for repor~ alteration, separation, detachment or third party interpretation. 4100 Atlas Coth-t * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:57:37 04-02749-2 ~L bo~ to~iess lna a c .RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number ___ Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 ~ _0_7:~2_0_ Sampling Location BELLE TERRACE __ Sample Depth --- _ Sampling Poin~t D4-2 DISPENSER fl4-2' Sample Matrix Soil Sampled By K. Ma amma BCL Sample ID 04-02749-1 · Benzene '~'~'~L' .... n~g'/kg .... 0':~0'~' 0.00036 8021B 03/17/04 03/17/04 23:13 HKS GC-V8 1 302-100443 __~ ...... ~ ................ ~;~ ................... < PQL i mg/kg 0.005 0.0040 I 8021B I03/17/04 03/17/04 23:13 I HKS GC-V8 1 _ 302-100443 ~.__~_~_ iEthylbenzene I < PQL ~ mg/kg 0.005 0.0018 8021B ~03/17/04 03/17/04 23:13 I HKS GC-V8 1 302-100443 ,~;;~ether ~ <PQL ~ mg/kg 0.02 0.00056 8021B ~03/17/04 03/17/04 23:13[ HKS GC-V8 1 302-i~ ND Total Xylenes < PQL ~ mg/kg 0.01 0.0098 ~ 8021B 03/17/04 03/17/04 23:13 HKS GO-V8 1 ~ 302-100443 ND Gasoline Range Organics (C4 - ~ 23:13 C12) < PQL mg/kg 1 0.046 8015M 03/17/04 03/17/04 HKS GC-V8 1 302-100443 ND . ===================================================== ::::::::::::::::::::::::::::::::: ~:::-:-:.: a,~,~-T~if~uoroto~.~ I so % ............. ~0-~ ' ~02~ ~)~7/0~ 03/~7/04 23:~3 HKS ~C-Wl ~ '302-~00~43 a,a,a-Trifluorotoluene (~015 ~ 70-130 8015M 03/17/04 03/17/04 23:13 HKS GC-V8 1 302-100443 Surrogate) I 101 I % California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 15:57:32 04-02749-1 Certified Analytical Report Cover - Page 1 of 1 MAR 29 2004 m RAU ENV)RONUENTAL ENG)NEER~NG 2i03 20TH ST. PFo]ect NumbeF: ' ,m m BAKERSF)ELD, CA 93301 COC NumbeF: Attn: KEVNN UALAU~A BCL NumbeF: 0~-02749 m DeSF MF. Msmsmms: m Th)s Fepo~ contabs the ~na)~)c~m Fesumts fOF the samples Fece)ved undeF ch~)n of custod~ by BC Lsbomtodes, reno. The samples weFe logged bto the Labomto~ m )nfoFmsUon Msnsgement S~stem (UMS) and BC Lab numbeFs weFe ass)gned to each sample. The Fesumt of the tempemtuFe check, cond~Uon of the s~mp~es and 8n~ otheF d)scFep~nc)es weFe FecoFded on the coo)eF Fece)pt foFm. m A)m ~ppm)cabme quality contFom pFoceduFes met method-specific acceptsnce cdteda, m except as noted on the fommow)ng ~n~m~)o~) and qua)ltv contFo~ Fepo~s. This report shall not be reproduced except in full, without written approval of the m laboratory. m m m m California DOHS Certification #1186 I Authorized Signature m m All result listed i,.n_ this report are Ibr the exclusive use of the submitting party, BC Laboratories, Inc. assumes no responsibility for repod alteration, detac..-hrgel~t...o/..t~igd party interpretation, m Printed 0:~)~g/~l[~4~0~.~l .~8ersfield, CA 93308 * (661)327-4911 * Fax(661)327-1918 * www.bclabs.con[]4-UZ t'4u ' Laboratories, Inc:Chain of Custody Form 0 0 3 8 ~o,.,r,,.. O,'~t Client: ~. ~. Street Address: 2 1 b~ ~ Prq~ect Code: ' Phone: 3~ ~ {~ Email Address: ~~i r'~ ~:~e s:<~ Sa~ple~ Matrix % or equal to'~s? talg: ~~ ~(~ Submit - [~ X ~ ~ ~ * ~ Other ~ Notes Oq-~ Ol~e'~ ~4 ~' -~ b~ln ~ 01%5 '~ ~ ," 3 - Report Drin~ng Sample Disposal Special Reporting ~ Same as above Waters~mte Form? ~ Remrn to Client ~ Disposalbylab ~ ~chive: Months .......... ~OC ~WIP ~ ~aw Data · ~~ ~Datel ~ ~Time ~iveCB~.l ~ ~ate Time Client: ~Yes ~No Address: ~ ~ .... ~ ' ' Send Copy to State of 2. Re~nq~ished By Date Time ~d By t~ Date Time City: ~ State ~ Zip CAt 3. Relinquished By Date Time 3. Received By Date · Time' Attn: ~ Yes o POg: BC Laboratories, Inc. - 4100 At~s Ct. - Bakersfield, CA 93308 - 661.327.4911 - F~: 661.327.1918 - www.bc~bs.com " [ PLEASE COMPLETE: Laboratories,Inc.Chain of Custody Form ~0039 Client:~'~lvk ~bG~. attn: ~V[~ ~K~~ Project Name: ~~~ ~0 Comments: Street Address: ~3 ZO~ Pr~,ect Code: . s~ '<~ ~ City, State, Zip:~F0 ~ q~S~l Sampler(s): }C~¢~-- EmailPh°ne:3Address: Z~ ~ IX Z Fax3 ~ ¢ [ kZ~r ~ '~, ?~t~d, . 1~ (} ,~ sa~pl~ Matrix m .~ Are th ..... 6V. orteStSequalWith~holding tit .... less th mittal g: ~ ~~q' I -- ~-g =~ ~ yes Sub a ~ ~ ~ ~ *StandarOTurnaround ,Sworkdays I I I II I --~- )~ ~ ~ ~ ~ ~ Notes ~:~ Other TS-L Z 5 I , Special Reporting Report Drin~ng ~ Same as above Waters ~Fom? ~ Return to Client ~ Disposal by lab ~ ~chive: Months .......... ~OC ~WIP ~ Raw Data Client: ~ Yes ~No Date -- Time~l ~0 ~l~Date Timell Address: Send Cop~o State of q. Reli~h~ By Time ~ived By Date Time City: ~ State ~ Zip CA? ~ Attn: ~ Yes ~ No 3. Relinquished By Date Time 3. Received By Date Time POg: BC ~boratories, Inc. - 4100 At~s Ct. - Bakersfield, CA 93308 - 661.327.4911 - F~: 661.327.1918 - www.bc~bs.com ,, PLEASE COMPleTE: : . Laboratories, Inc. Chain of Custody Form 10489 Client: .Ir~. t/Vi ~"~, ~ Project~: ~?~D ~ttn: ~l~ ~ ~~ Project Name~/~FC~d~ Comments: Street Address: ~[~ ~ ~q~ ~ Project Code: ~,~: CiW, State, ZiP: ~ ~O & ~3~0[ Sampler(s):~/~ ~ Phone:~q&/~* Fax: ~q~{7~ ' Are the~ any tests wielding times ~ ' ~~ ~ Sample Matrix * or equ~l m 4~ 1~ th~, Email Address: ~ ~ ~ :~.~e ~d~ ~ ~ ~ ~ ~ =~ ~ Yes ~No Submittal ~: O~ ~~&q ¢ :~ ~ ¢ ~ *Standard Turnaround: 15 work days iili ;;~ ', other- Notes / I I I I I I I I Repo~ DrinMng Sample Disposal ~ - Special Reporting ~ Same as above Waters ~ Fora? ~ Return to Client~ Disposal by lab ~ ~chive: Months .......... ~ OC ~ WIP D Raw Data Client: - ~ Yes ~ No Date Time . · Date Send Copy to State of t 2. fieiin~uish~ By} Time ~ed By Date Time Uity: ~ State Zip cA~ N Time ~ ' &ttn: ~ Yes 0 3. Relinquished By Date 3. Received By Date Time ~O¢: BC Laboratories, Inc. - 4100 ~s O. - Bakersfield, CA 93308 - 661.327.4911 - F~; 661.327.1918 - www.bc~bs.com BC LABORATORIES INC. SAMPLE 'RECEIPT FORM Rev. ~lo. lO 01/21/04 pag . Of ,Submission /l:03 -(~/~4q I Pr°JectC°de: I TB Batch// SHIPPING INFORMATIONt .~ SHIPPING CONTAINER Federal Express 0 UPS ~ Hand Delivery~ Ice Chest~ None ~BC Lab Field Service O Other Q (Specify)-- Box~ D Other ~ (Specify) Refrigerant: Ice~ Blue Ice ~ None ~ Other ~ Comments: Ilntact?yes DNo I tntact~ Yes ~ No 11 samples received? Ye No Q All samples containers intact? Yes No ~ Descriptio~(s) match COC~ Ye No COC Received ice Chest ID ~ Emissivity ~fl. Date/Time Temperature: [~ · ~ YES ~ "O Thermome,er ID~ ~¢tr~~ Analyst Inlt SA~PL~ ND~BERS QT GENERAL MINERAL/GENERAL PHYSICAL ~ [~O~CA~m CH~Mm*~ M~TA~S )TCYANIDE ?T NITROGEN FORMS PT TOTAL SULFIDE ~ oz. NIT~TE/NITRITE OOmlTOTAL ORGANIC CARBON QT 'T CHEMICAL OXYGEN DEMAND ~tA PHENOLICS 40mi VOA VIAL T~VEL BLANK I 0mIVOA VIAL I I I ~ t I } { I I bTEPA 413.1,413. l; 418.1 PT ODOR ~DIOLOGICAL ~ACTERIOLOCICAL 40 mi VOA VIAL- 504 . ~T EPA 508/608/8080 T EPA 515.1/8150 I 'T EPA 525 )T EPA 525 TRAVEL BLANK 00mi EPA 547, 00mi EPA 531.1 IT EPA 548 T EPA 549 ~T EPA 632 , , O~ E~ 80~sM ~T QA/QC ~T AMBER OZ. JAR ~2 OZ. JAR PCB VIA ly ENCORE .... · · . ' ~ ~ , ..... ' a,:t" .~---~,c~,-..: ~::%:Z~;7.7~2~.?:~ , w;!' ,c~: .2 .... : _ BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 10 01/21}04 Page Submission #:~}- O a~:~I I Project Code: I TB Batch# SHIPPING INFORMATION SHIPPING CONTAINER BC Lab Field Service ~ Other [] (Specify)-- B°x /[3 Other [] (Specify), Refrigerant: IceX~ Blue Ice ~ None ~ Other ~ Comments: [Intact?Yes ~No.~ Intact? Yes ~. No. All samples received? YesV I C O C Re~eived~ Ice Chest ID ~ff~z~ Emissivity ~b Date/Tim% ~-i~Y Temperature: ~YES I SAMPLE NIIM~[RS ~T PE UN,RESERVED QT INORGANIC CIIE}IICAL METALS ~T l[O[OA~IC Cll[Ml~L M[T~LS PT CYANIDE NITROGEN FORMS PT ~T TOTAL SULFIDE ]oz. ~llT~4TE I lJomi IO~ O~O~!C C~O~: ~ xOX IT CHEMICAl. OXYO[N [[MAND PtA P~E~OLICS 10ml VOA VIAL T~VEL BLA~K ~0n~l VOA VIAL I ~T EPA 41Zl, 4~.1~ 4~8.I PT ODOR ~DIOLOGICAL BACTER~OLOGIC~L 40 mi VOA VIAL- 504 QT EPA 508/608/8080 OT EPA 515.1/815~ QT EPA QT EP~ 5~5 TRAVEL BLANK I 100mi EPA 547 :1~1 E~ [31.1 ~QT EPA 548 I OT EPA 549 I OT EPA 632 m OT OA/OC ~ OT AMBER 8 OZ. JAR ~ 32 OZ. JAR PCB VIAD ~ 'PLASTIC BAG I FERROUS IRON I ENCORE iBC LABORATORIES INC. SAMPLE RECEIPT FORM Rev. No. 10 01121104' Page ~ Of._~ Submission #:~-~F '~~ I Proje.ct Code: I TB Batch # Federal Express ~ UPS ~ Hand Delivery Ice Chest None BC Lab Field Service ~ Other ~ (Specify) Box ~ Other ~ (Specify) ~ Refrigerant: ice~ Blue Ice D None D Other ~ Comments:. I Custody Seals: '::c~:;t- ~No ~1 [C,:,:;:;:::s~o QI None~ Comments:. All samples received? Yes No~ All samples containers intact? Yes No~ Description(s) match COC? Ye No I .COC Received Ice Chest ID ~o Emissivity ~ Oate/Tim~ YES ~ NO Thermometer ID: ~~ I ~ ~ ~ ~,al~,t Init.~.. I SgMPL[ NUMBERS QT GENERAL MINERAL/ GENERAL PHYSICAL PT PE UNPRESERVED S OT INORC~NI~ CIIE~IICAE METALS PT INORGANIC CHEMICAL METALS PT CYAN! DE ~ PT NITROOEN FORMS PT TOTAb SULFIDE' 2oz. NI'~E~'I'E / NITRITE ~ 100mi TOT~LORCAHIC I OT TOX I [PlA PHENOLICS ~ ~0ml VOA VIAL I~VE[ BLA~K ~0ml VOA VIAL ~ ~ ~ ~ ~ ~ ~ ~ OT EPA 413.1~ 41~.~ 418.1 ~ PT ODOR ~DIOLOG ICAL ~ BACTERIOLOGICAL ~ 40 mi VOA VIAL- 504 QI E~A 508/608/8080 ~ OT E~ 515.1/8150 ~ QT E~A 525 QT EPA 515 TRAVEL BL.4~K I ffi 100mi EPA 547 ~ [00mi EPA 531.1 QT EPA 548 ~ OT EPA 549 I bT EPA 632 QT EPA 8015M a OT OA/OC ~ OT AMBER g OZ. JAR a 32 OZ. JAR PCB V~AI~ ~LASTIC BAG ?EI/ROUS II{ON I ENCORE I ~mments: BC LABORATORIES INC. SAMPLE RECEIPT FORM Rev, No. 10 01/21/04 Page Of, Submission #: (~4-~)~)-,-'~"d'b~ I Projoct Code: [ TB Batch # SHIPPING INFORMATION,~( . kr~HIPPING CONTAINER Federal Express [] UPS D Hand Delivery ~ Ice Chest~ None [] BC Lab Field Service ~ Other r-l(Specify). Box [] Other [] (Specify) Refrigerant: lc Blue Ice [] None [] Other [] Comments: ntact?Yes []No Intact? Yes [] No received? Yesv No[] All samples containers intact? Yes~ No O Description(s) match COC? YesF No O samples .COC Received ~ce Chest ID ~ Emissivity ~ Date/Time ~ Temperature: lq),'7 °C ..T~ Contliner YES [] NO Thermometer ID: ~~ ' I ~D, '~ I '~ r Analyst Init ~ SAMPLE NUMBERS SAMPLE CONTA,.ERS ~ I~ !3 '1" ~5 16 ~7 QT GENERAL MINERAL/ GENERAL PHYSICAL PT PF, UNPRESERVED QT INORGANIC CIIEMICAL METALS PT INORGANIC CHEMICAL METALS PT CYANIDE PT NITROGEN FORMS PT TOTAL SULFIDE' 2oz. NITRATE / NITRI'I'E I 100mITOTAL ORGANIC CARBON OT TOX PT CHEMICAL QXVGEN DEMAND I PtA PHENOLICS 4OmI, VOA VIAL TRAVEL BLANK I QT EPA 413.1, 413.2~ 418.1 PT ODOR RADIOLOGICAL BACTERIOLOGIC.4. L 40 mi VOA VIAL- 504 QT EPA 508/608/8080 i QT EPA 515.1/81~0 QT EPA 525 QT EPA 525 TRAVEL I~LANK ,m iOOml EPA 547 I 100mi EPA 531.1 :QT EPA 548 ~ eT EPA 549 lOT EPA 632 [~T EpA 8015M i eT QA/QC j [OTAMBER J 80Z,. JAR _ ]2 OZ. JAR I SOIL SI.F. EVI5 J I / [ I / [ ~ [PCB VIAl: PLASTIC IJAG j ]?ERI~,O[IS II-~,ON I ENCORE j omments:_. Laboratortes, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number ~--- Receive Da{e/Time 103/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @_09:__5_(~ Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T9-6 TK 3-9-6' Sample Matrix Soil Sampled By [K. Malamma BCL Sample ID [04-02749-32 Benzene < PQL t mg/kg 0.005 0.00036 8021B 03/19/04 03/19/04 05:17 HKS GC-V8 1 302-100442 ND IToluene <PQL t mg/kg 0.005 0.0040 8021B 03/19/04 03/19/04 !05:17 HKS GC-V8 I 302-100442 ND ' ~zene < PQL rog/kg 0.005 0.0018 8021B 03/19/04 03/19/04 '05:17 HKS GC-V8 1 302-100442 ND I Methyl t-butyl ether < PQL rog/kg 0.02 0.00056 8021B 03/19/04 03/19/04 05:17 HKS GC-V8 , 1 302~100442 Total Xylenes < PQL rog/kg 0.01 0.0098 8021B 03/19/04 03/19/04 05:17 HKS GC-V8 1 302~100442 Gasoline Range Organics (C4 - C12) < PQL mg/kg 1 0.046 8015M 03/19/04 03/19/04 05:17 'HKS GC-V8 1 302-100442 a,__a,a-Trifluorotoluene 91 % 70-130 8021B 03/19/04 03/1g/04 05:17 HKS GC-V8 1 302-100442 a,a,a-Trifluorotoluene (8015 .,~u. rrogate) .. 113 % 70-130 8015M 03/19/04 03/19/04 05:17 HKS GC-V8 1 302-100442 California DOHS Certification #1186 At! results listed in this report are for the exclusive use of the submitting party. BC Labomlor/es, Inc. assumes no responsibility for reporl alteration, sepamt/on, detachment or third party interpretation]. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 16:02:36 04-02749-32 a t c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total PetroleUm Hydrocarbons COC Number I-'- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:45 Sampling Location BELLE TERRACE Sample Depth I--- __ ................................... Sampling Point T9-2 TK 3-9-2' Sample Matrix ISoil Sampled By IK. Malamma BCL Sample ID 04-02749-31 Benzene < PQL rog/kg 0.03 0.0018 8021B 03/19/04 03/19/04 19:24 HKS GC-V8 5 302-100442 ND Toluene < PQL mg/kg 0.03 0.020 8021B 03/19/04 03/19/04 19:24 HKS GC-V8 5 302-100442 'ND Ethylbenzene < PQL rog/kg 0.03 0.0086 8021B 03/19/04 03/19/04 19:24 HKS GC-V8 5 302-100442 ND M~ethyl t-butyl ether < PQL mg/kg 0.1 0.0028 8021B 03/19/04 03/19/04 19:24 HKS GC-V8 5 302-100442 ND Total Xylenes < PQL mg/kg 0.05 0.049 8021B 03/19/04 03/19/04 19:24 HKS GC-V8 5 Gasoline Range Organics (C4 - C12) < PQLI mg/kg 5 0.23 8015M 03/19/04 I 03/19/04 19:24 HKS GC-V8 5 302-100442 ND a,a,a-Trifluorotoluene 104 % 70-130 8021B 03/19/04 03/19/04 19:24 HKS GC-V8 5 302-100442__ a,a,a-TrJfluorotoJuene (8015 Surrogate) 130 % 70-130 8015M 03/19/04 03/19/04 '19:24 I HKS GC-V8 5 pC~,?ents a~lDL's are raised due to sample dilution. California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party inlerpretation. 4100 Atlas Court" Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 16:02:26 04-02749-31 Laboratories, Inc RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST, BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number 1--- IReceive Date/Time _03/17/2004 @ 11:40 Project Number 200150 ISampling Date/Time 03/17/2004 @ 09:44 iSampling Location BELLE TERRACE ISa-~ple ~e~ --- - ............................. '~;~p--Iing Point j~-6 TK 2-6-6' Sample Matrix Soil Sampled By IK. Malamma BCL Sample ID j04-02749-30 Benzene <PQL mg/kg I 0.005'0.00036 80218 03/19/04 03/19/04 04:17 HKS GC-V8 1 302-100442 ND Toluene < PQL mg/kg 0.005 0.0040 8021B 03/19/04 03/19/04 04:17 HKS GC-V8 I 302-100442 ND Ethylbenzene __. < PQL mg/kg 0.005 0.0018 8021B 03/19/04 03/19/04 04:17 HKS GC-V8 1 302-100442 ND Methyl t-butyl ether < PQL rog/kg 0.02 0.00056 8021B 03/19/04 03/19/04 04:17 HKS GC-V8 I 302-100442 ND TotaIXylenes < PQL i mg/kg 0.01 0.0098 8021B 03/19/04 I 03/19/04 04:17 HKS GC-V8 1__ 302-100442 ND Gasoline Range Organics (C4 - C12) ~ < PQL rog/kg 1 0.046 8015M 03/19/04 03/19/04 04:17 HKS GC-V8 1 302-100442 ND a,a,a-Trifluorotoluene ___~102 I % 70-130 I 8021B 03/19/04 03/19/04 04;17 HKS/ GC-V8~ 1 ~302-100442 ! a,a,a-Trifluorotoluene (8015 i I I " Surrogate) I 126 % 70-130 8015M ! 03/19/04 03/19/04 04:17 HKSt GC-V8 1 302-100442 California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327.4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 16:02:16 04-02749-30 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- IReceive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:42 Sampling Location BELLE TERRACE Sample Del~th --- Sampling Point T6-2 TK 2-6-2' Sample Matrix Soil Sampled By tK. Malamma BCL Sample ID 04-02749-29 Benzene < PQL rog/kg 0.005 0.00036 80218 03/19/04 03/19/04 03:47 HKS GC-V8 1 302-100442 ND Toluene < PQL rog/kg 0.005 0.0040 8021B 03/19/04 03/19/04 03:47 HKS GC-V8 1 302-100442 ND Ethylbenzene < PQL rog/kg 0.005 0.0018 8021B 03/19/04 03/19/04 03:47 HKS GC-V8 1 302-100442 ND Methylt-butyl ether < PQL rog/kg 0.02 0.00056 8021B 03/19/04 03/19/04 03:47 HKS GC-V8 1 302-100442 ND _Total Xylenes < PQL mg/kg 0.01 0.0098 8021B ,03/19/04 03/19/04 03:47 HKS GC-V8 I ' 302-100442 ND Gasoline Range Organics (C4 - C12) < PQL mg/kg 1 I 0.046 I 8015M 103/19/04 103/19/04 !03:47 HKS I GO-We i 1 302-100442 ND a,a,a-Trifl uorotoluenea'a'a-Triflu°r°t°luene (8015 99 % i' 70-130 ' 8021B I 03/19/04 03/19/04 03:47 ' .KS GC-V8 I 302-100442 , I Surrogate) .... 123 I % 70-130 8015M 03/19/04 03/19/04 03:47 HKS , GC-V8 , 1 302-100442 California DOHS Certification #1 186 Al! results listed in this report are for the exclusive use of the submitting party. DC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 '~ (661) 327-49I I * FAX (66I) 327-1918 * www.bclabs.com Printed 03/2412004 16:02:06 ' 04-02749-29 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD. CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number ___ Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:40 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T3-6 TK 1-3-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-28 .... Toluene < PQL [m/kg I 0 005 0 0040 8021B 03/19/04 03/19/04 01:17 HKS I GO-V8 1 302-100442 ND Ethylbenzene <PQL I mg/kg t 0.005 O.O0188021BO311910403119/O401:17HKSGC-V811 302-100442~ ND i Methyl t-bury, ether ' <PQL ' mg/kg 0.02 0.00056 8021B,O3/19/O4103/19/O401:17HKS GC-V8 I 302-100442 - ND I? Total Xylenes ___ < PQL mg/kg 0.01 0.0098 8021B t 03/19/04103/19/04 01:17 HKS GC-V8 Gasoline Range Organics (C4 - I , I I C12) I <PQL mg/kg I 0.046 ! 8015M 03/19/04 03/19/04 01:171 HKS GC-V8 a,a,a-Trifluorotoluene t 90 i % I 70-130 I 8021B 103/19/04 03/19/04 01:17 I HKS GO-V8 1 a,a,a-Trifluorotoluene (801 5 Surrogate) I 108 ! % I 70-130 I 8015M t03/19/04 103/19/04 0~:17 HKS GO-V8 i 1 I 302-100442 California DOHS Certification #1186 All results listed in this report are for the exclusive use of the submitting pall'yl BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 32%1918 * www.bclabs.com 04-02749-28 Printed 03/24/2004 16:01:56 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- IReceive Date/Time 03/17/2004 @ 1 1:40 Project Number 200150 : Sampling Date/Time 03/17/2004 @ 09:37 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T3-2 TK 1-3-2' Sample Matrix Soil Sampled By IK. Malamma BCL Sample ID 04-02749-27 Benzene <PQL Toluene <PQL mg/kg I 0.005 0.0040 I 80219 03,19,04 03,19,04 00:47 ,KS GC-V8 I 1 !302-10044~---~)- .... Ethylbenzene <PQL rog/kg Methyl t-butyl ether < PQL rog/kg 0 02 0 00056 80219 03/19/04 03/19/04 00'47 HKS GC-V8 1 302-100442~ ND Total Xylenes < PQL I rog/kg 0.01 0.0098 80219 Gasoline Range Organics (C4- C12) a.a,a-Trifluor'ot'~laene 0'5" j" %. 70:i30 80219'' 03/i0/04 09;10/04' 00':47 ...... HK~'" GC-VS"] 1 302:'100'~42 I ........ a a,a-Trifluorotoluene (8015 Surrogate) 118 I % 70-130 8015M i03/19/04 03/19/04 00:47 HKS GC-V8 ~ 1 302-100442 California DOHS Certification #1 186 All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 10:0~ :47 04-02749-27 a t c RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number Receive Date/Time 03/17/2004 @ 11:40 P__roject Number ;~0150 Sampling Date/Time 03/17/2004 @ 09:33 Sampling Location iBELLE TERRACE Sample Depth Sampling Point T1-6 TK 1-1-6' Sample Matrix 'Soil Sampled By K. Malamma BCL Sample ID 04-02749-26 Benzene < PQL ! mg/kg I 0.005 0.00036 I 80216 I o3/~9/o4 03/19/04 18:24 HKS GC-V8 1 302-100442 ND Toluene < PQL ' mg/kg 0.005 0.0040 80216 t 03/19/04 03/19/04 18:24 HKS GC-V8 Ethylben~z?ne < PQL I mg/kg 0.005 0.0018 80216 03/19/04 03/19/04 18:24 HKS GC-V8 Methyl t-butyl ether i <'PQL I mg/kg 0.02 0.00056 80216 03/19/04 03/19/04 i1&24 HKS GC-V8 1 302-100442 i ND Total Xylenes < PQL mg/kg 0.01 0.0098 80216~9_/0_4 03/19/04 18:24 HKS GC-V8 Gasoline Range Organics (C4 - ' i) i C12) < PQL I mg/kg 1 0.046 8015M 103/19/04 103/19/04 18:24 HKS GC-V8 1 a,~a,a-Trifluorotoluene 103 I % I 70-130 8021B 03/19i04 103/19/04 18:24 HKS GO-V8 1 302-100442 I a,a,a-Trifluorotoluene (8015 Surrogate) 129 % 70-130 I 8015M 03/19/04 03/19/04 18:24 HKS GC-V8 1 302-100442 California DOHS Certification #1186 Al! results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/24/2004 16:01:37 4~oo Adas Court * Ba$:ersSeld, CA 93308 * (661) 327-49~1 * FAX (661) 327-1918 * www.bclabs.com 04-02749-26 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number i Receive Date/Time 03/17/2004 @ 11:40 Project Number t200150 Sampling Date/Time 03/17/2004 @ 09:30 Sampling Location BELLE TERRACE Sample Depth --- __ Sampling Point T1-2 TK 1-1-2 Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-25 Benzene_ <PQL ! mglkg 0.005 0.00036 / 8021B '03118/04 ~3118104 23:47 'HKS / GC:~8 ........ 1 ....... ~:10(~ ~'""N~ Toluene <PQL mg/k9 0.005 0:0040I 8021B 03118104 i03118104 23:47I HKS ~ GC-V8 I 1 ~ I --1~5 Ethylbenzene < PQL I mg/kg 0.005 0.0018_ 8021B 03/18/04 03/18/04 23:47 HKS GC-V8 1 302-100442 I ND Methyl t-butyl ether I < PQL i mg/kg 0.02 0.00056 j 8021B _ 03/18/04 03/18/04 23:47 HKS Ge-v8 I 302-100442 Total Xylenes < PQL rog/kg 0.01 0.0098 8021B I 03/18/04 03/18/04 23:47 HKS GC-V8 I 1 I 302-100442 -! ND Gasoline Range Organics (C4 - - ' -~ ....................... C12) < PQL , mg/kg 1 0.046 i 8015M 03/18/04 I 03/18/04 23:47 HKS GO-V8 1 302-100442 ND !:!'!~!~:~::;~:,~: ~::~' ~`~:~!?!~!:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ~::::~:i!~::~:~::~:!~:!:!:~::i:~.~, ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::: ....................... ~ii !ii~iiiiiiiiiiiiii~(~;ii~if!!i:.i'ii::iiii~iiii¢i~iiiiiii::iliiii iiiiiiii::;ii::::~:iii::::iiiiiliiiiiiii::::::i::::i?:.il a,a,a-Trifluorotoluene 95 % 70-130 8021B 03118104 i 03/18/04 23:47 HKS Ge-v8 1 302-100442 a,a,a-Trifluorotoluene (8015 Surrogate) 115 % 70-130 8015M 03/18/04J 03/18/04 23:47 HKS GC-V8 1 302-100442 California DOHS Certification #1186 All results listed in fids report are for the exclusive use of the submitting party. DC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. Printed 03/24/2004 16:01:27 41oo Atlas Court * Bakersfield, CA 93308 * (661) 327-491.I * FAX (661) 327-1918 * www.bclabs.com 04-02749-25 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number 1--- Receive Date/Time ~3/17/2004 @ 11:40 Project Number 200150 ~g Date/Ti~-~e 03/17/2004 @ 09:25 Sampling Location BELLE TERRACE lSample Depth !---_ Sampling Point T2-6 TK 1-2-6' Sample Matrix iSoil Sampled By K. Ma amma BCL Sample ID 104-02749-24 Benzene <PQ'~_ '" I"mg/kg 0.005 0.00036 8021, 03/18/04 103/18/04 23:17 HK$ ..... ~C-V8 ( 1 i302-100442 ND "i Toluene I <POL mg/kg t 0.005 0.0040 8021B 03/18/04 03/18/04 23:17 HKS Ge-v8 I X I~~ ~ Ethylbenzene < PQL I mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 23:17 HKS GC-V8 1 ! 302-1_00442 ND Methyl t-butyl ether < PQL i mg/kg 0.02 0.00056 I 8021B 03/18/04 !03/18/04 23:17 HKS GC-V8 1 I 302-100442 / ND Total Xylenes' < PQL mg/kg I 0.01 I 0.0098 I 8021B I 03/18/04 03/18/04 23:17 HKs GC-V8 1 302-I00442 ND- Gasoline Range Organics (C4 - C12) t < PQL mg/kg 1 0.046 8015M 03/18/04 03/18/04 23:17 HKS GC-V8 1 302-100442 ND a,a,a-Trifluorotoluene 75 % 70-130 / 8021B 03/18/04 03/18/04 23:17 HKS GC-V8 I 302-100442 a,a,a-Trifluorotoluene (8015 I Surrogate) 90 % 70-130 8015M 03/18/04 03/18/04 23:17 HKS GC-V8 1 302-100442 California DOHS Certification #1186 Al! results listed in fl]is repo~ are for the exclusive use of the submitth]g parly. BC Laboratories, Inc. assumes no responsibility for reporl alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/24/2004 16:01:17 04-02749-24 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number t--~ Receive Date/Time 03/17/2004 @ 11:40 Project Number 20~0~ 50 !Sampling Date/Time 03/17/2004 @ 09:22 Sampling Location ~BELLE TERRACE !Sample Depth Sampling Point T2-2 TK 1-2-2' ISample Matrix Soil Sampled By K. Malamma ~BCL Sample ID 04-02749-23 Benzene < PQL rog/kg 0.005 0.00036 8021B 03/18/04 I 03/18/04 22:47 HKS GC-V8 1 302-100442 ND Toluene < PQL mg/kg 0.005 0.0040 8021B 03/18/04 03/18/04 22:47 HKS GC-V8 1 302-100442 ND EthYlbenzene < PQL mg/kg 0.005 0.0018 8021B 03/18/04 03/18/04 22:47 HKS GC-V8 1 302-100442 ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8021B 03/18/04 03/18/04 22:47 HKS GC-V8 1 302-100442 1- N~D Total Xylenes __ < PQL mg/kg 0.01 0.0098 8021.__B 03/18/04 03/18/04 22:47 HKS GC-V8 1 302-100442i ND Gasoline Range Organics (C4 - C12) < PQL mg/kg 1 0.046 8015M 03/18/04 03/18/04 22:47 HKS GC-V8 1 302-100442 ND a,a,a-Trifluorotoluene 74 I % t 70-130 8021B 03/18/04 03/18/04 22:47 HKS GC-V8 1 302;100442 ,a-Trifluorotoluene (8015 I -- I Surrogate) 92 I % 70-130 . 8015M 03/18/04. 03/18/04 22:47 1 HKS GC-V8 . 1 302-100442 California DOHS Certification #1186 Ai.~ results listed in rids report are for the e×clusJvc use ofd~e submitdng party. BC Laboratories, Inc. assumes ]~o responsibility for report alteration, separation, detachment or third party inteq3retadon. Printed 03/24/2004 16:01:07 41oo Atlas Court * Bakersfield, CA 93308 * (661) 327-491 ! * FAX (661) 327-1918 * www.bclabs.com 04-02749-23 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:20 Sampling Location BELLE TERRACE Sample Depth --- Sampling Point T5-6 TK 2-5-6' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID ~04-02749-22. Benzene < PQL mg/kg 0.005 0.00036 8021B I 03/18/04 03/18/04 22:17 HKS GC-V8 I 302-100442 ND Toluene Ethylbenzene Methylt-butyl ether < PQL rog/kg 0.02 0.00056 8021B i 03/18/04 03/18/04 22:17 HKS GC-V8 1 302-100442 ND Total Xylenes -- < PQL rog/kg 0.01 0.0098 8021B 03/18/04 03/18/04 22:17 I HKS GC-V8 I 302-100442 ND Gasoline Range Organics (C4 - i I I ~ ..................... C12) I < PQL I mg/kg I 0.046 8015M 03/18/04 103/18/04 22:17 HKS GC-V8 I 302-100442 ND a,a,a-Trifluorotoluene a,a,a~Trifluorotoluene (8015 Surrogate) California DOHS Certification #1186 Al! results listed in tiffs report are for the exclusive use of the submitting party. BC Laboratories, lnc. assumes no responsibility for report alteration, separation, detachmem or th/rd party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 "FAX (66l) 327-1918 * www.bclabs.com Printed 03/24/2004 ~ 6:00:57 04-02749-22 RAM ENVIRONMENTAL ENGINEERING 2103 20TH ST. BAKERSFIELD, CA 93301 Attn: KEVIN MALAMMA Purgeable Aromatics and Total Petroleum Hydrocarbons ' COC Number --- I Receive Date/Time 03/17/2004 @ 11:40 Project Number 200150 Sampling Date/Time 03/17/2004 @ 09:17 Sampling Location BELLE TERRACE Sample Depth --~ Sampling Point T5-2 TK 2-5-2' Sample Matrix Soil Sampled By K. Malamma BCL Sample ID 04-02749-21 Benzene < PQL mg/kg 0.005 I 0.00036 8021B 03/19/04 03/19/04 12:18 HKS GC-V8 1 302-100442 ND Toluene < PQL mg/kg 0.005I 0.0040 8021B 03/19/04 03/19/04 12:18 HKS GC-V8 1 302-100442 Ethylbenzene < PQL rog/kg 0.005 0.0018 8021B I 03/19/04 03/19/04 12:18 HKS GC-V8 1 302-100442 ND Methylt-butyl ether-- < PQL rog/kg 0.02 0.00056 8021B ~ 03/19/04 03/19/04 12:18 HKS GC-V8 1 302-100442 ND Total Xylenes < PQL mg/kg 0.01 0.0098 8021B 03/19/04 03/19/04 12:18 HKS GC-V8 1 302-100442 ND C12)Gasoline Range Organics (C4- i < PQL ~I mg/kg 1 0.046 8015M I 03/19/04 r 03/19/04 12:18 HKS GC-V8 1 302-100442 I ND a,a,a-Trifluorotoluene 95 , % 70-130 i 802~1B 03/19/~04 1103/19/04 12:18 HKS GC-V8 ! I 302-100442_1 a,a,a-Trifluorotoluene (8015 03/19/04 12:18 Surrogate) 120 % 70-130 8015M 03/19/04 , HKS GC-V8 1 302-100442 California DOHS Certification #1186 Al! results listed in dds report are for the exclusive use ofd~e submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com Printed 03/2472004 16:00:47 04-02749-2q I I APPENDIX B SAMPLING PLAN I JACO Oil - Belle Terrace and Stine - Summary Sampling Plan RAM Project #200150, Task 1 - Confirmation Soil Sampling I TASK OBJECTIVE: Sample soils at 2-feet and 6-feet below bottom grade of USTs, piping, and dispensers, as necessary, for analysis ofTPH-g, TPH-d, MTBE, and BTEX I on a rush basis. SOIL SAMPLE ANALYSES I Laboratory analysis will be conducted by an environmental testing laboratory certified by the State of California for the tests to be performed. Test methods and criteria are as follows: I · TPHg and TPHd by Modified EPA Method 8015 · BTEX and fuel oxygenates by EPA Method 8260 I · Analytical Laboratory - BC Laboratories, Bakersfield CA · Rush sample turnaround time - 24 hr results. · Report results to Kevin Malamma, RAM Environmental Engineering I SOIL SAMPLING PROTOCOL Soil sampling will be conducted in accordance with RAM Environmental Engineering I : I Services Standard Soil and Groundwater Sampling Protocols (RAM, 2003) and will I incorporate the following project specific criteria. I Sampling Locations Sample locations will be as follows: i 12,000 gallon UST - 3 sample locations 10,000 gallon UST - 2 sample locations Connecting Pipes - sample locations at Tees and 90s as verified in the field i Dispensers - 1 sample location per unit Soil Confirmation Information I Sample at 2-feet and 6-feet below bottom of hole for USTs, Dispensers, and Connecting Piping - · Use backhoe or excavator bucket for excavation of samples I · Push brass sleeve into excavated soil to completely fill sleeve · Use Teflon seal and plastic caps to seal sleeve · Indicate direction of sample collection on sleeve (arrow) I · Monitor soils and void space with hand held PID or equivalent Equipment: I · Brass Sleeves · ']:etlon seals and Plastic caps · Disposable gloves, baggies, permanent marking pens, sample labels, COC forms, I Field Log forms, residuals (DR) labels · PD, HNU or OVM meter for monitoring work space for volatiles 1 i · 2000 04 150_SummarySamplingPlan 1 · Personal Protective Gear per Standard Health and Safety Protocols for fuel impacted groundwater. · Three (3) 5-gallon steel buckets with secure lids for disposal of rinse and purge water. · Pre-chilled non-water cooling material for sample storage/shipping container. Sampling Procedure Once the equipment is removed, the first soil removed should be sampled using the handheld meter and the meter reading recorded. Soil should be returned to the excavation. The backhoe can excavate a bucket's width to 2-feet bgs, bringing the soil to a safe ground level away from the pit. A brass sleeve, properly capped on one end, will be hand pushed into the soil in the backhoe bucket (at the point closest to the teeth of the bucket). The sleeve will be properly sealed and a directional arrow drawn to indicate the sample direction. The soil (and the void space) in the bucket will be monitored with the handheld meter and the results recorded. Sample Identification and Labeling sample label information and sample chain of custody information prior to Complete collection of each sample, leaving sampling time for notation just after collection. and in foam holders in shipping container. Fill other containers Label, bag, place sample supplied by laboratory, and label and store in the same manner. Check/complete the chain-of-custody form and sample logs, and secure the sample storage/shipping container until delivered to the laboratory. Sample container should be kept cool with pre-chilled non-water icing material. I I I 2000 04 150 SummarySamplingPlan August 4, 2004 Mr. Brandon Neal, Director of Plant Operations HealthSouth Bakersfield Rehabilitation Hospital 5001 Commerce Drive ~,,ECHIE~ Bakersfield, CA 93309 ?0~ .:R ~,ZE ^DMINISTRATIVESERVlCES CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE 2101 "H"Street STORAGE TANK LOCATED AT 5001 COMMERCE DRIVE Bakersfield, CA 93301 voice (6611326-3941 PERMIT # BR-0282 VAX 16611 ~2-2170 SUPPRESSION SERVICES Dear Mr. Neal: 2101 "H" Street Bakersfield, CA 93301 VOICE 1661)326-3941 FAX (661) 852-2170 This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of PREVENTION SERVICES the tanks located at the above stated address. FIgE SAEETY SEIIVICr~ * ENVIIIONMENTAL SEIIVICF~ 900 Truxtun Ave.. Suite 210 Bakersfield, CA 93.101 Based upon laboratory data submitted, this office is satisfied with VOICE (661) 326-3979 FAX (661)852-2171 the assessment performed and requires no further action at this time. Accordingly, no unauthorized release reporting is necessary for this FIRE INVESTIGATION cJosure. 171,5 Chester Ave. Bakersfield, CA 93301 vOiCEI661) 326-~9Sl If yOU have any questions regarding this matter, please contact FAX (661J 852-2172 me at (661) 326-3979. TRAINING DIVISION 5642 Victor Ave. '-" u,-qincerek', Bakersfield, CA 93308 VOICE (661} 399-4697 Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dlc cc: J. Whiting, RWQCB Bakersfield Rehabilitation Hospital (03-089) TO: Howard Wines FROM: Brandon Neal Area Director of Plant Operations DATE: 6/7/04 Howard, Please accept the attached Closure Report for issuance of Final Clean Closure of the Underground Fuel Storage Tank located at or facility. Please contact me if you have any questions. Brandon Neal Bakersfield Office (661) 323-5500 EXT 4077 Direct (661) 633-3780 Fax (661) 633-5253 5001 Commerce Drive, Bakersfield CA 93309 UST CLOSURE REPORT HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL BAKERSFIELD, CALIFORNIA Prepared For: HealthSouth Corporation One HealthSouth Parkway Birmingham, Alabama 35243 Janua~ 2004 Bhate Project No.: 9030082 Prepared By: BHATE ENVIRONMENTAL ASSOCIATES, INC. 1608 13TH AVENUE SOUTH, SUITE 300 BIRMINGHAM, ALABAMA 35205 Fort Walton Beach, FL · Jacksonville, FL · Tampa, FL Alamogordo, NM · Nashville, TN · Norfolk, VA 1-800-806-4001 www.bhate.com HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL UST CLOSURE REPORT HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL UST CLOSURE REPORT BAKERSFIELD, CALIFORNIA Prepared For HealthSouth Corporation One HealthSouth Parkway Birmingham, Alabama 35243 Bhate Environmental Associates, hac. 1608 13th Avenue South, Suite 300 Birmingham, Alabama 35205 Bhate Project No. 9030082 Revision Date: January 2004 Revision No. 00 ~ .HEALTItSOUTIt ~.4JtERSFIELD REIIABILITATgON HOSPITAL U'ST CLOSURE REPORT This page intentionally blank. Revision Date: January 2004 Revision No. 00 ,H~ALttlSOVTH .B,~RSgmLO 'UST CLOSURE HEALTHSOUT" BAKERSFIELD REHABILITATION HOSPITAL UST CLOSURE" REPORT REVIEW SHEET Please sign and date ' Ii This report has been reviewed and approved by: 6~cott Doffvfn, P.G. Signature ~ Date Senior ~ Signature Senior Project Manager Louis M. Momgomc~, P.E. (' "~ Signature Date Regulatory Compliance Director I I I Revision Date: January 2004 Revision No. 00 l R~m~mr, m~,,~x~IoN HOSPrrAL UST CLOS~ R~O~ ~s page intention~ly bl~. Re, sion Date: J~ 2004 R~sion No. ~ ~ HEAL?HSO~Ia BAmmS~'m~a~ REHABILITATION HOSPITAL 'UST CLOSURE REl~RT DISTRIBUTION LIST HealthSouth Corporation Attn: Jim Moxley One HealthSouth Parkway 3 Birmingham, Alabama 35243 (205) 970 - 5951 HealthSouth Bakersfield Attn: Brandon Neal Bakersfield Rehabilitation Facility 2 5001 Commerce Drive Bakersfield, California 93309 (661) 323- 5500 Revision Date: January 2004 Revision No. 00 ,~ALTHSOUTH i[~AKERSFIELD REHABILITATION HOSPITAL UST CLOSUI~ REPORT This page intentionally blank. Revision Date: January 2004 Revision No. 00 HEALTHSOUTH REHABILITATION HOSPITAL UST CLOSURE REPORT HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL uST C OSUR REPORT BAKERSFIELD, CALIFORNIA TABLE OF CONTENTS 1 Introduction ..................................................................................... 1-1 2 Project Background ........................................................................ 2-1 3 Closure Assessment and Field Observations ................................. 3-1 3.1 AST Installation ....................................................................................... 3-1 S ×oava.on ...................................................................................... 3.3 Tank Inspection ....................................................................................... 3-2 3.4 Sampling ................................................................................................. 3-3 4 Disposal .......................................................................................... 4-1 4.1 Tank ........................................................................................................ 4-1 4.2 Soil 4-1 4.3 Rinsate .................................................................................................... 4-1 5 Closing Remarks ............................................................................ 5-1 Figure 1 Site Location Map Figure 2 Site Map List of Appendices A Franzen-Hill Corporation UST Integrity Test (October 28, 2002) B BSSR Monitoring System Test (December 23, 2002) C BSK Associates Concrete Cylinders Test - AST Pad (November 26, 2003) D Site Photographs - UST Excavation and Removal E Receipt for Dry Ice F City of Bakersfield, UST Atmosphere Test (September 8, 2003) G Tulare Iron and Metal Works, UST Recycling Receipt (September 11, 2003) H Vulcan Materials Company, Aggregate Quality Certification (December 3, 2003) I Liquid Waste and Rinsate Disposal Manifest Revision Date: January 2004 Revision No. 00 i I RI~H~.BmrrAT~ON HOSI~ITAL UST CLOSURE Rm~OI~T This page intentionally blank. 1 I l! i Revision Date: January 2004 Revision No. 00 ii RrnAlm.m~TION HOSPITAL UST CLOSURE REPORT ACRONYMS AST Aboveground storage tank Bhate Bhate Environmental Associates, Inc. BSK BSK Associates BSSR Bakersfield Service Station Repair, Inc. LEL Lower Explosive Limit PVC Polyvinyl chloride USGS U.S. Geological Survey UST Underground storage tank Revision Date: January 2004 Revision No. 00 iii HEALTHSOUTH ~AKERSFIELD REHABILF, FATION I~OS. P1TAL UST CLOSURE REPORT I ~ This page intentionally blank. Revision Date: January 2004 Revision No. 00 iv H~mSomm Bng.~es~n;ta~ ~H~ATION aOm~An 'UST Cnos ~s doc~ent core.ns the Under~ound Storage T~ (UST) Clos~e R~o~ at the He~thSouth B~ersfield Rehabilitation Facili~ ~d w~ prepared by Bhate En~omental Associates, Inc. (Bhate) for HealthSouth Co~oration, Bi.in.m, Alabma. Tbs UST Closure R~oa docments the UST clos~e peffo~ed in ac~rd~ce with the State of Califo~a Code of Re~lations, Title 24, P~ 9; ~e California HeM~ ~d Safety Code; the of CiW of B~gsfield Office of Enviromental Se~ices requirements; and ~e Bhate proposal dated M~ch 5, 2003. Re. sion Date: J~ 2004 Rehsion No. ~ 1-1 ! REHABILITATION 'HOSPITAL 'UST CLOSURE i~EPORT This page intentionally blank, i i I I Revision Date: January 2004 Revision No. 00 1-2 ,HEALTtISOUTtl ~BAKERSFIELD REIL~II~ATION HOSHTAL UST CLOSURE REPORT 2 PROJECT BACKGROUND The UST closure site is located at the HealthSouth Rehabilitation Facility at 5001 Commerce Drive, Bakersfield, California (Figure 1). The site is on property managed by the HealthSouth Corporation and utilized by the HealthSouth Rehabilitation Facility. The closure site is geographically located in the northeast corner of Section 34, Township 29 South, Range 27 East, on the U.S. Geological Survey (USGS) 7.5 minute Gosford Quadrangle. The 1,000 gallon UST removed has solely been utilized for storage of diesel fuel that supports the back-up generator to the facility. The secondary tank's annular space integrity was last tested by Franzen-Hill Corporation, Tulare, California, on October 28, 2002 (Appendix A). The 30- minute pressure test indicated that the tank's annular space was not compromised (i.e., no viable means for pressure loss due to holes or cracks). At the time of the test, there was product within the sump area around the fill pipe. Most likely this accumulated during filling of the tank. On December 23, 2002, the tank's leak monitoring system was tested by Bakersfield Service Station Repair, Inc. (BSSR), Bakersfield, California (Appendix B). During the testing and inspection, approximately 17 inches of a product was present within the annular space of the tank's secondary containment, approximately 150 gallons. The leak detection system for the primary tank and lines had not indicated a leak. Revision Date: January 2004 ReviSion No. 00 2-1 .HEALTHSOUTH B~KEP~FIELD REHABILITATION 'HOSPITAL 'UST CLOSURE REPORT This page intentionally blank. Revision Date: January 2004 Revision No. 00 2-2 i? .[~ALTHSOUTH B.~ERSFIELO I ' REHABILITATION HOSPITAL UST CLOSURE 'REPORT Ii' 3 CLOSURE ASSESSMENT AND FIELD OBSERVATIONS i' 3.1 AST Installation i , Initial site activities included the preparation of the site for the new aboveground storage tank (AST), pouring of the AST concrete spill containment pad, and installation of the AST within the back-up generator area (Figure 2). The AST concrete pad was poured on August 29, 2003. Testing cylinders were poured concurrent to the AST pad for subsequent testing. Seven and 28- day testing were completed by BSK Associates. The 28 day compressive test meets the 2,500 psi requirements per the project design specifications. The testing data are attached as Appendix C. Photographs of the installed AST are provided in Appendix D, Photographs 1 and 2. 3.2 UST Excavation Bhate mobilized to the site on Sunday, September 7, 2003. Activities began on September 8, 2003, by Franzen-Hill Corporation, a contractor to HealthSouth, to remove the one 1,000-gallon I diesel fuel UST. The following personnel were also present during the UST removal: · Steven Underwood, Fire Inspector, City of Bakersfield, Office of Environmental Services 'l"' · Brandon Neal, Regional Director of Plant Operations, HealthSouth Bakersfield Rehabilitation Hospital Il · Scott Dolvin, Project Geologist/Field Manager, Bhate Environmental Associates Initially, the tank contained approximately 200 gallons of residual fuel in the primary tank and I ~ about 175 gallons of a liquid in the annulus. The fuel inside of the tank was removed with a pneumatic pump and transferred directly to the newly installed AST. The residual fuel in the annular space was removed and placed in 55-gallon drams for disposal (Appendix D, Photograph ,_ 3). The piping from the generator to the UST was thoroughly rinsed with water and d~ergent, Biosolve®, flushing the rinse water into the UST for subsequent removal. (Biosolve~, is an emulsifier that solubilizes, emulsifies, and separates the hydrocarbons into exceptionally small micro-emulsions while surrounding them into the water based solution.) The tank and annulus were also triple rinsed with clean water and detergent. The piping and tank rinsate were then removed and placed in 55-gallon drums for later transportation and disposal. Approximately 15 pounds of dry ice was placed into the empty clean tank for evacuating the tank to inert status. The dry ice displaced the oxygen and potentially explosive vapors from the tank. The receipt for the purchase of the dry ice is included as Appendix E. Atmospheric levels for oxygen and lower explosive limit (LEL) were monitored by Bhate and were measured and verified by the City of Bakersfield Office of Environmental Services Inspector. These readings ~ Revision Date: January 2004 Revision No. 00 3-1 I HE~J~,TH$OUTH REHABILITATION HOSPITAL 'UST CLOSURE REPORT are recorded on the UST Closure Certification from the City of Bakersfield Office of Environmental Services found as Appendix F. The UST system piping was plugged and capped. The overlying concrete pad was broken-up with a hydraulic jack hammer affixed to a small skid steer (Bobcat) (Appendix D, Photographs 4-6). The debris was removed from the site for disposal by Franzen-Hill. The surface pad was approximately 10 feet wide, 18 feet long, and 6 to 8 inches in thickness. During excavation, extensive caving of the sidewalls repeatedly occurred (shown in Appendix D, Photographs 7 - 10). At no time were more than 1/3 of the sidewalls of the tank exposed during the removal of the overburden because of the side wall failure. Likewise, approximately 24 inches of a 4-inch polyvinyl chloride (PVC) sewer line became partially exposed due to the excessive caving-in of the side walls (Appendix D, Photograph 9). Due to these complications, the side straps holding the dead-man pad were cut (Appendix D, Photographs 11 and 12) allowing the pad to remain. (The dead-man pad is a concrete pad slightly larger than the tank's footprint and is attached to the tank via straps, or bands underneath the tank. The purpose is to of the tank and prevent hydrostatic uplift.) After extensive excavation of provide stability overburden and sidewall soils, shown in Photograph 13, the tank was extracted by the backhoe (Appendix D, Photographs 14 and 15). No fractures, stains, discoloration, or wetness were found upon visual inspection of the outer tank (Appendix D, Photographs 18- 20). The tank was transported to the approved subcontractor for scrap metal recycling by Franzen-Hill. The upper 12 to 24 inches of soil in the excavation consisted of clayey sand to sand with some gravel. Below this, the soils were comprised almost entirely of gravel (2 - 15 mm) with a small amount of sand. These soils appeared not to be native, but of a material common to backfill. Slope failure of side soils continued and it was agreed by Mr. Underwood and Bhate, that excavation should be discontinued. The final dimensions of the tank pit measured approximately 20 feet by 30 feet and approximately 8 feet deep. Removed overburden was placed into the hole along with additional backfill material of similar composition (Appendix D, Photographs 16- 17). In the lower reaches of the excavation, the replaced soils were periodically compressed using the bucket of the backhoe as it was backfilled. Final compaction of the site was achieved by driving the backhoe across the filled excavation several times in multiple directions. A replacement asphalt cap was applied and smoothed to be at grade with the existing surface. 3.3 Tank Inspection The UST removed was a double-walled steel 1,000-gallon tank with a mid-centered fill station. The fill station had a steel wall providing a catchment basin for drip collection and overfill. Bhate observed the removal of the tank from the pit in order to determine the condition of the tank and to ensure no damage was inflicted on the tank during the removal. No visible sign of holes or deterioration, cracks, stains, or discoloration of the outer tank due to corrosion, metal Revision Date: January 2004 Revision No. 00 3-2 HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL U'S~I' CLOSURE 'I~EPORT loss, or product leakage were observed by Mr. Underwood or Bhate (Appendix D, Photographs 18 - 20). The interior tank was not able to be inspected. Typical soil sampling required by the State of California for the closure of a UST is one soil sample from each end of the tank, 2 feet below the tank. There is no requirement for side wall or groundwater samples. Due to failed attempts to expose and remove the dead-man pad, and concern for site safety, soil samples were not collected as directed by Mr. Underwood. No discoloration or staining of the soils was visually observed by Mr. Underwood or Bhate. The tank contents (diesel fuel) were removed for re-use in the new AST. Annulus waste liquids and residual rinse from the tank and ancillary piping were removed and placed in drums on-site for disposal. Because all liquids removed were verified at the site or were classified as petroleum contact, analysis was not necessary to determine the contents for either the tank contents or the rinsate. Revision Date: January 2004 Revision No. 00 3-3 ~B~ITAT. ION HOSPIT~ UST CLOS~ ~PORT ~ ~s page ~tentionflly bl~. i~ I 1 I~' I.~ 1 1 Re.sion Date: J~u~ 2004 Re.sion No. 00 34 ~HEALTHSOUTH .BAKERSFIELD REHABILITATION HOSPITAL 'UST CLOSURE REPORT 4 DISPOSAL 4.1 Tank After excavation, Franzen-Hill Corporation transported the tank to Tulare Iron and Metal Works in Tulare, California, for recycling. The receiving manifest associated with the tank is located in Appendix G. 4.2 Soil All soil was backfilled into the original excavation. No soil was removed from the site. As needed, additional soil from Vulcan Materials Company, Westem Division, Bakersfield, California, used for This material meets the requirements of the California was backfilling. Standard Specifications for aggregate, Section 90-2.02 (Appendix H). 4.3 Rinsate Rinse water from the tank and piping was considered to be petroleum-contact water and was containerized in 55-gallon drams for later disposal by the contractor. The disposal manifest associated with the rinsate is located in Appendix I. I ! Revision Date: January 2004 Revision NO. 00 4-1 t ! HEALTHSOUTH ]~AKERSFIELD REHABILITATION HOSI~ITAL 'UST CLOSURE 'REPORT i' This page intentionally blank. i i i ii i! Revision Date: January 2004 Revision No. 00 4-2 HEALTHSOUTH .BAKERSFIELD ! REHABILITATION HOS~rrAL UST CLOSURE REPORT 5 CLOSING REMARKS This report has been prepared for HealthSouth Corporation for specific application to the subject l? site. Information provided in this report is based on information obtained during the field activities performed by Bhate and subsequent communications with involved project personnel and contractors. Future environmental conditions at the subject site can change due to future changes in operations and land usage. The opinions and findings of this report represent those conditions .apparent at the times and dates the work was performed. New regulations, changes in surrounding land use, altered geologic conditions, and other factors may also result in different future Conditions. The work described in this report has been prepared in accordance with current State of California, Kern County, City of Bakersfield UST regulations, and industry practice. No other warranty is implied or expressed. l: I[ Revision Date: January 2004 Revision No. 00 5-1 This page intentionally blank. I'i ! Revision Date: January 2004 Revision No. O0 5-2 I I I I I I I I I I I I ~ I ~ I I I I I I I FIGURES Revision Date: January 2004 Revision No. 00 Oregon ), I , Pacific ~ Bakersfield ~ C ~, .... 1~ ;~'i,,,~;,O;Miles ~"",'~'"~'-' ,,4' ,.,x, ? ~:~_. .l~ _.~,~,-~ T,'7-~i~x~~._m~,' Figure 1 q Rehabilitation Hospital PROJECTNO,: SCALE DATE. DRAWNBY: SSD Bakersfield, CA FILE: ~lzv~rolzmg~l~l~lig~liggr¢ ~g$C~lll~¢l¢ 9030082 SHOWN 12/15/03 I ..... ~030082-01 01 -01 ///////////_////////// MAIN FACILITY CONCRETE W ? , ABOVEGROUND i / /' ~ STORAGE TANK / × ~- AST PAD / / CONCRETE SURFACE / / STORAGE / \ SHED i x BACK-UP / GENERATOR .z" X --X ~X --X --X X --X NOTE: Thlo Information la dapl~ad fo provide vlJual aid wlfhln the ~;ontext o! ~hll rapal"J and ahould not be uaed aa a aole referenae In any aublul'Ja~;® exploration. I ~ ; ..I LEGEND CONCRETE UST PAD ASPHALT DRIVE AND PARKING ~ FAClLrP( WALL -- "-- FENCE SITE MAP HEALTHSOUTH REHABILITATION HOSPITAL ,.~ ~)e ~ ,~\= ~r,,m~ UST LOCATION AND AST AREA SITE LAYOUT 9050082 NTS 12/16/05 J 9050082-01.01-02 FIGURE 2 I I I I I I I .I I Revision Date: January 2004 Revision No. 00 Appendix A I .. CU~'~,MER #: 35306 1!00 NORTH J STREET INVOICE fl: 82467 TULARE, CA 93274-1939 INVOICE DATE: 0/29/02 (559) 688-29'/7 Fax (559) 688-1467 DUE DATE: 11/28/02 I BILL TO: LOCATION: HEALTHSOUTH BAKERSFIELD HEALTHSOUTH BAKERSFIELD ii REHABILITATION HOSPITAL 5001 COMMERCE DRIVE · 5001 ·COMMERCE DRIVE BAKERSFIELD, CA ..~ BAKERSFIELD, CA 93309 $B-980 Testing. 690. O0 N '1 101~ QUOTE: 690. O0 · ' ?OTAI.: t590. O0 I ANNULAR SPACE 1 FILL SUMP i CITY E)F BAKERSFIELD FIRE PERMIT i UOTED PRICE t;690.00 ' ~i~£$OLUIION: Did SB-989 'l'est~n~: Annular passed. Secondary not tested-no test boots, metal sump. ~etal coupTer. Sump not tested-free sl:and~n~ product-no secondary boots. Metal sump needs to be replaced per Steve inderwoo~' City of Bakersfield F~re Dept. rested 10/28/02 RECOMM£ND^IIO~: Metal sump needs to ~ replaced, needs boots. llll ~rite up ~ork plan and quote for cus~r. i. Dec 05 02 09:3'7a Fr~,-;::.~n Hill 55P~:,!.:~,8146'7 i ,~ Page: 1 of:. 7 Franzen-Hill I Construction. Maintenance & Testing for Fueling Facilities & Lubricating Systems Secondary Containment Testing Report Form I 1. FACILITY INF, ORMATION l~acility Name: HealthSouth IDate of Testing: ' 10/28/0.~ IIFacllitY Address: 621 Golden State Bakersfield 2:00PM i IIFacility Contact: ~661-323-5500 IIDate Local Agency Was Notified of Testing: WO~ 11076C ~N~ame of Local Agency Inspector Present: . I 2. TESTING CONTRACTOR INFORMATION 3ompany Name: Frenzen;,Hill Corp. Tulare, Ca. - ~ Technician Conducting Test: I Oredentlals: v' CSLB Licensed Contractor nSWRCB Licensed Tank Tester License Type and #: A,B, C-61/D40 HAZ Lic# 304147 . i ................ ' .......... ~7', ..... , ....... ,,"; ......... ~"" ' ,',- ..... = '~ .... :'":: ';F-7'~' '-= .... : ...... =::'::=:::::: '~ ~ Training by Manufacturer I Manufacturer Component's) Date Training Expires · , Environ, APT Piping and Testing ~ D/D I ~mith Fiberglass, EBW Piping and Testing ~ Total Containment, VeederRoot Piping and Testing ~. - Econ, Oilbarco EMC, Monitor System Piping and Testing ' I 3. SUMMARY OF TEST RESULTS · Num~-er of Tanks Tested:' I ...... NumberofPiping Ru~sTested: Number of Submersible PumP Sumps T .ested: / Number of UDC Boxes Tested: ~ · Number of Fill Sur~'ps Tested: ~ Number of Overfill Boxes Tested: · Component Pass Fall A,,..I,,.'. 1~. D [] [] 0 [] I [] [] ' [] 0 [] [] I o n '1, Customer Signature: ~'~. I20~ South Union Ave, B~ker~§~d, C~. 93,~)74'154 PH. 661-1~1-'1100 F~v~ · www.franzen-hill.com Dec. OS 02 09:3'7a Fra~?.en Hill SSg~,B14G7 p.3 Page: 2 of: 7 4. TANK ANNULAR TESTING ]:est Method Developed B~ I'~ Tank ManufaCtUrer ~l~dustry Stan~rd I-I F~-.russlonal Engineer I-I Other (Specify) ,,. Test Method' 'Uses: CI Pressure ~acuum n Hydro~[a[;c I-I Other (Specify) .. M~~ led f(;~ Testing: rank Capaci~: Tank Material: ...... Tank Manufacturer: ..... product Stored: Wait time applying pressure/ vacuum/water and starting test Test Start Time: ~J~.* ~ o ~niUal Rea~'i'-ng (Ri): .... Test find Time: ! Final Reading (Rf): I~ ,, Test Duration: 30 ...,*~ Change in Reading (Rf-Ri): O Was sensor removed fo, r testing? Was sensor properly replaced after testing? ~r .Comme ..n~include information on repairs made prior to testing) SWRCB I Page: 3 of:. 7 5. SECONDARY PIPE TESTING -Test Method Developed By: O Tank Manufacturer I-1 InduStry Standard ' [] F~'essional Engineer [] Other (Specify) T~st Method Uses: [] Pressure [] VacUum [] Hydro~[a[ic [] Other (Specify) ....... :Measuring EquiP. Used for Testing.~ _. ~Ping Material:: ,., Piping Manufacturer: Piping Diameter: ............ Length of Piping Run: ~roduct Stored: "' ,. Method and location of piping-r~Jn isolation: Wait time applying pressure/ vacuum/water a. nd starting test Test Start Time: Initial Reading (Ri): ......... ~'est End Time: ,. J~inal Reading (Rf): .... Test Duration: ,~hange in Reading (Rf-Ri): Pass/Fail Threshold . 'Co~-menl~J(incFude information on repairs made prior to testing) I SWRCB ,Dec-05 02 09:38a Fr'am~.?en Hill 5,5S6R8146'7 Page: 4 of: 7 ~. SU_RM_Fm_~!_RLE PUMP CONTAINMENT SUMP TESTING Test Method Developed By: [] Ta~'l~ Manufacturer Cl'lndust~j Standard'" [] Professional Englr~eer [] Other (Specify) .... Test Method Uses: I"l Pressure I"1 Vacuum [] Hyd'ro~ta~c [] Other (Specie) Measuring Equip. Used for Testing: Sump Diameter:. Sump DePth: - S~mp Material: .tf~C-~ ~f ........ Height from Tank Top to Highest Piping Penetration: Height from Tank .Top to Highest Electrical Penetration: Condition of sump prior to testing: -~ortion of Sump Tested (¶) Does turbine shut down when sump sensor detec[s either )roduct or water? TUrbine shutdown response ti'me(2) Is system programmed for fail-safe shutdown? Was fail-safe verified to be operational? Wait time applying pressure/ ~um/water and starting test: Te,sL~tart~est: ~/ ......... Initial Reading (Ri):,~ // Test End Time:/ ........ Final Reading (Rt'): Test ~ratio~: /' . !Change in Reading (Rf-Ri): .,, ,/ ,. Pass/Fail mhres.h?ld .~ ,, / ~ ;=~.: - ~.~F~;:~'- , "~ ' 7.-~'~ '-:'.' ~.."~T- ' ' ·; '! Was sensor removed for testing? Il ? iNa,.s sensor replaced after testing? ~'I ..-.... I Comments-(include information on repairs made prior to testing) , . . , ~rv~l~Z~..r ,.'&..~... :..,. ~ ~- · ~ ;'. ' ~, "'"' p "~'1 .... , ~ ' . ~, ~- ~ ~. ,--'_, ,I - . I J '11f(~te'~'e~?nling methodDdo~, the entire depth of "e sump. specify how much of the sumpwas testad- Meth°ds n°t testing the entire sump should only be used if the monitoring system provides faa-save turbine shutdown. 2 With the submersible pump running, place the sensor In product (discriminating sensom should also be placed In water). The time between placing the sensor in pmducl and the turbine shuffing down Is the resp(mso time. This should be done If the secondary containment testing method used does not test the entire volume of the sump SWRCB I ,Dec, OS 02 09:38a Fr.a,r..:.~,en Hill 559688146'7 p.6 o ... '.' '.i. :! ., '. ~..' I Page: 5 of:. 7 ' 1 . 7' UNDER-DISPENSER CONTAINMENT (UDC) TESTING I Test Method Developed By: [] Tank Manufacturer [3 Indust~' Standard [] P~;'essional Er~'ginaer [] Other (Spec~) Test Method Uses: [] Pressure [] Vacuum [] Hydrostatic i [3 Other (Spac~) -~leasuring Equip. Used for Testing: --_------- LJDC Manufacturer: ....... LIDO Materia'i _ . . ..... UDC Depth: _ i Height from UDC Bottom to Highest Pipin..g Penetration: ..... Height from UDC Bottom to '1~ Lowest Electrical. Penetration: ........ Condition of UDC prior to testing: Portion of UDC Tested (t) ~ ~ Does turbine shut down when 1 UDC sensor detects either ~roduct or water? · ~ Turbine shutdown response time(2)' ........... I iS system programmed for fail-safe shutdown? Was fail-safe verified to be I operational? · Wait time applying pressure/ vacaum/water and starting test - I Test Start Test: ........ Initial Rea'ding (Ri):= , ........ Test End Time: ' · Final Reading (Rf): I !Test Duration~ - Change in Reading (Rf-Ri): .......... · .: Pass/Fail Threshold I .............................. · .... ~* ............ ~* ,~'-B~ ..-~ ~ ,,~l~:,~..?.:.~'~',.:~,,~,-'.~- ~~~ ~'~.~i~l~.".~'..'..'i .......... ~ .............. ~ ...... ,,~,,,,, ,,,,, .,~ ~ .......... . ,.'". ......... !~. ~d{?;? ;~ -;?.~. ~*~;'~,.:~J,.:.;iF;: ;, ...:;.:: .-.m:'~'--: .:,;.;,: . , .... ! I ~as sen~or replaced after testing?, ~ ...... · 1 Commenl=-(indude information on repairs made prior to testing) -I I '1 If the testing method does not test the entire depth of the UDC, specify how much ~ the UDC was tested. Methods not testing the entire UDC should only be used if the monitoring system provides fall-rave turbine shutdown. 2 With Ihe submersible pump running, place the sensor In product (discriminating sensors should also be placed In water). I The lime between placing the sensor in preduct and the turbine shutting down is the reslx)nse time. This should be done if the secondary containment testing method used does not test the entire volUme of the UDC. I SWRCB Page: 6 of: 7 8. ~LL R~ER ~NNME~ SUMP Test'Meth~ Developed By: ~ Tank Man~aC~mr ' ~ Indust~ Standa~ .... ~ Pro~Ssional Engineer D ~er (Specie) ,, , Test Meth~ Us~: 0 Pressure 0 Vacuum ~ Hydm~;c ~ ~er (Spec~) ~Sudng Equip. Used ~r Testing: ' . ..... Sump Diameter:: ~l~ .. - Sump Depth: ' ~J~ " .. Height from Tank Top to Highest ~ Piping Penetration: ~ . , ~ondition of sump prior-to testing~ ' ' ' . PoSen of Sump Test~ - ' ~ .... . sump Material:' ' ~ " - ' ._ . wa~t time applying pressure/ ~ ' vacuum~ter pnd sta~ng ~ ~ I .. Test S~ Test: I! Initial Reading (Ri): ~ . Test End Time: ~ , . _ ..... ~inai Reading, ~: ~ : Test Duration: ~] _ Change i~ Rea~ing (Rf-Ri): Il · , Pas~F~il Threshold ~{ .... ~ ................... Ist~re a'sensor ~ the sump D~s the sensor alarm when either pr~uct or water is II dectected¢ . W~s sensor re~oved for te'~fing? [~ Was sensor re~l~ed ~ testing? ' ~ ............. ~m~a~(indude in~rmafion on repairs ~de prior to testing) .... ,I SWRCB Io -]3aC' 05 02 09:3Sa Fra:.:]~:-i.ii~::~_n Hill I Page: 7 of: 7 i 9. SpILUOVERFILL CONTAINMENT BOXES ;r-est Method Developed By: i-I Tank Manul*acturer O Industry St~'ndard [] ProfessiOnal Engineer i [] Other (Specify) Test Method' Uses: "' 0 Pressure ID Vacuu~n [] Hydrostatic [] Other (Specify) .......... i Measuring_Equip. Used for Testing: · Wl ~-i I Spill Bo.xes,. Spill Boxes, Spill i E~ucket Diameter: " ~_ ...... Bucket Depth: ~/~ait time applying pressure/ i ~acuum/water and sta,rting test T-est Start Test: .... . ..... Initial Reading (Ri): · ~ Tesl~' End Time: . I Final Readin,g, (Rf): ,. Test Duration: ' Change in Read,i,n,g (Rf-Ri): ............. , i Pass/Fail Thresho, Id I ........... ..... 'i Comments-(include information on repairs made prior to testing) .. ~ ~ , . ~.~r,. . .... ~ .. I: . - . .&-- , - ..-=._ ! .I .I I I I I I I I I I I I I I I I I I I I ~ I ~~m~ATION HosPff~ UST ~OS~ RE.aT I APPENDIX B (DECEMBER 23, 2002) I Re. sion Date: J~ 20~ Re,sion No. ~ Appen~ B I '~ 6630 Rosedale FIw;:./':'~'!'~ 13, Bakersfield, CA 9330S ?hone (661)~.'~,'~-2777 Fax (661) 5~g-27~6 MONITORING SYSTEM CERTIFICATION Th~ tom must be used to document testing' and s~vicing of mohitoring equipment A s~arat~ certification or reoolt tm}st p.'~pa~red for each monitoring Syitem control.oan~i by !he t~ctmician who l~rforms the work. A copy of this form must be provided the tank system owncr/.operat~r. The owner/opera, or must submit a copy' of this form I~ ti~ local agency regulali~ .-1 .within'30 days of tea date. · :1 . A. General Information M~odel ofMo~tor~._ff $~ TLS- ~ 50 /O~q :~oqo- o31, va~ offish/se.wing: Cb~k t~e 8ppFoprhts,bow 10 j~d~eo.~. ~ eq~lJpJnent ~' t~t ~Ice~ * ' 'it t t . 12 .Annula~ $pa~ or Vault Sensor. Model: "-' 12 AnnularSpa~o~Va~lt,~mor, Model: c~ '-:~'.~,?,t.: 12 Trak Overfin t HiSh-~ el S~s~. Modek - 12 Tank 0,~ill/ai~ Sensor. Modal: ' '.-~" -' 12 l~-Tank Ga~ing Probe. Model: 12 I~Tank 0auging Probe. · Model: -. · '- '" -' ';"--. 12 Annular Spa~ or Vault ,%msor. Modal: '. 12/mnulargpa~orVa.~ilt,~ZOr.'. Model~ : · '- 12 Piping Sump/Tr~. ch Semor(s). Mod~ · 12 PiptngSumpl'Dm~s). '"Model: -' 12' Fill Sump Semor(s). Model: O Fill Sump ,?~msor(s). "'-" '::Model: . 12 bie~hanical Line L~ak Det~or. M~lel: O Mech~cal Line Li~D~oztor.' ' 'Model: ...... .--'. ' .'-~' 12 Electmnii: Line LeakD~t~:~or. Modeh. 12 Et~ronl¢ Line I.~ak~, Model: - .',c~ O Shear Valve(s). .12 Sitar Valve(s). ,CI Shear Val. ve(s). " O. l~h~ar ~ Dispense} ,Co,,ntainment Float,s) and C~in(s~. ,, , 12',~ Containn~nt .Float(s} and .Cha.!n(s). ' ' . Dispenser ID: .. Dispenser ID: 12 Dispenser Containment Sensor(s). Model: 12 Dispenser Containmeht Sensor(s). Model: O'Shear Valve(s). . 12 $hcar Valve(s). OOis~ns~ Containment Fioaqs) and Chai,ntCa). · 12 Dispenser ,~,utairan~t m ,o~, s) and Cha!n(s). , '' ,, , *Jr Ifie facility ~ontains mote tanks or dispens~ copy Ibis form. la, lode information for e.~ lank and dispense~ at ~he facilily. C. Certification - I ~ tht the a~immt Ideaafl~l h ~ doean~at was ~ervl~,d in se~ordan~ ~ the. manufacturers' g~lddh~. Alta~l ~o ~ C~llne~on Is i~formalion (~g, manfl~l~r~s' ~tdisU) nm~ry · , Information is corr~ and · Plot Pbm showing fire layout of monitoring equipment. For any equipment capable of gmerating such - - ' Page I of 3 03/01 .. ~ ~ Monitoring System CertificatiOn j ,~ checklist: ~ ~e n.rl~le alnrm operational? ste v~al al~ ope~onal? . . ,., ~e~ all se~o~ ~mlled at lowea po~t ofs~on~ con~entand positioned so ~at o~er equi~ ~ot ~ffe~ wi~ ~e~ pr~. ~on7 - '- :" - -- - ' ~.~. :' , 1 Page 2 of 3 1~.., iq-Tank Gauging / SIR Equi~:!:~:~:~nt: C2 Check this box if.tanl::::::!:'i!:!aging is used only for inventory control. El Check this box if no tanx gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Coml)lete the following checklist: . ' ,, · ' "~es El No* Ha~ all input wiring been inspected for proper entry and termination, including testing for ground faults?" - ~¥es ~ No* Were all tank gauging probes visually inspected for damage and residue buildup? . {~/Yes El No* Was accuracy of system product level readings te~ted? {~/Y'es El No* Was accui'acy of'system watmr level readings tested? ~es El No* Woro ~ll probes reinstallec~prop~rly? - 8~es El No* Were all items on the equipment manufacturer's maintc, nance checklist completed? ,. - . In the Sb_etlon ~. h~low_ d~_~erih~ how and when th~ defleienele~ were or will he e~rreeted. - the fonowing checklist: El N/A (Chec~ ail that a~Rly) Shnulated leak rate:' El 3 g.p_h'_;. E! 0.1 g.ph; El Yes 'El No* WereallLLDsc~zf'umedoperaii~.,!andaccuratewi~inregulateryr~quirzments? ~i Yes- El No* Was the testing apparatus propurly cah2rraIed? El Yes El No* For mechsn!¢al LEDs, does the LLD restrict product flow. if it detects a leak? El N/A ~]. Yes El No* For electronic LLDs, doestheturbineautomaficallyshutofl[iftheLLDdetectsalesk? El Yes El No* For el~l~oni~ LLDs, doe, tl~ turbid, automafi¢~lly ~hut off if rely portion of " ,El N/A or di-~¢ounected? · El Yes [~ No* Fol' ~lec-l~o~li¢ LLD~, doe~ the turbine ~utomafic. ally ~ off' if any portion of tl~ monim~ sy~te.m ----~ N/A umlfimctiom or ~ ~ te~t? : El Y~ 'gl No* For electronic' LLD~, have ~ll,¢¢e~m~l~ wiring ¢onn~'~iou* bern vimi~y, in~p~l? 'El Y~ El No* W~ ~11 item,.on the ~uipmmJ m~au~cmu~r', m~in~ ch~k!i~t ¢ompletexl? lu the $~tlon ~ below, d~crf~ how ~nd wh~ thee defl~ueies ~ ~r will be IL Commen~s: ~ Page 3 of 3 0a~0~ Monitoring System Certification UST Mo~toring Site Plan · ::::::::: : .......... . · ~ you akead~ ~ve a ~gram ~t shows ~1 required ~f°rmafion, You My ~olude i~ m~er ~ ds page, Mn yom Moniw~g System Ceriifi~fion. '~ ~ ~ pl~, ~ow ~o g~eral 1~o~ of tanks ~d pip~. O~ly id~fi~ lbc. afio~ of ne ~llowing eqffipm~ if ~ed: m~toring ~m ~n~l p~eh; sensom m~g tank armul~ ~ac~, smp~ ~s~ pans, ~flll~nt~ll~, ~ oth~ si~colldlixy containm~t ~; m~hanic~ ~ clcctron/c l~c le~' I de~m~; ~d ~tank li~d le~l prob~ (ff ~ ~r leak de~). h ~e ~ace p~de{.no~ ~e ~te Page of o~/oo I I I I I I I I I I I I ~ I ~ I I I I I I APPENDIX C BSK ASSOCIATES CONCRETE CYLINDERS TEST- AST PAD (NOVEMBER ~, ~00~) Dine: J~u~ 2004 Re.sion No. 00 Appen~x C [leo 11 03 08~40~ BRAWl]OM MERL G615335~53 117 "V" Street Bakers~eld, CA 93304 Contact: Mr. Brandon N~I Sch~l Dis~ict; Healm Sou~ Rehabili=~on OSHPD ~: ss031341-~5 Address: 50o ~ ~mme~ Drive Rep~ Date: 1 I/2~003 Bak~sfield, C~[fomia 93~9 BSK Project No.: ~3498~B SUBJECT: Con.to Cylinders S~ No. CB203286 P~j~[: Health ~h Rehabilitation Hospital Structure: Fuel Date of Pour: A~t ~ea of Pour: ~ter ~b 3 ~6/03 28 3,~ 2.ppO ~ 6 ~a ~7 ~.a~ ~mp{~ by: ~ Wall Cem~t Cont~ ~r Date DelNer~: 0~/03 $~ppli~ Vul~n ~n~ete T~p: Materials were: ~_ Sampled and ~est~ Not sampl~ a~ ~t~d Resul~ OF Lime ~st~ were; Name: Jo m, J ~4218 SignOre: ~ ~f / Date: 1t/26/2003 Pmj~t Insp~n Don ~,e~em REItABILITAT.ION HOSPWAL U~ST CLOSURE REPORT APPENDIX D ~ ~ SITE PHOTOG~PHS - UST ~CAVATION AND REMOVAL ~c~sio~ Date: ~u~ 2004 Ec~s[o~ No. 00 ~pc~d~ D I Photograph 2. Side view of new~y installed AST with generator ! Revision Date.' January 2004 Revision No. 00 ! I I Photograph 3. Removal of residual fuel ,! Photograph 4. Initial breaMng of concrete pad Revision Date: January 2004 Revision No. 00 ! Photograph 5. Breaking up and size reduction of concrete pad Photograph 6. Stockpiling of concrete pad for disposal Revision Date: January 2004 Revision No. 00 Photograph 7. South sidewall of lUST excavation I I Photograph 8. North and east sidewalls ot' lUST excavation Revision Date: January 2004 Revision No. 00 ~EHAB~L~TAT~ON ~]OSP~TAL ~EPORT .' ~:~ . ...., .- / , ,, Photograph 9. Side excavation showing caving and exposure of sewer ~ine ~,.~: . : ~:Xy~~ '~ ......... . :-~. ~ . ~ ~ ~. ~-~ , ~,... . ~ ,, ., .~ -.. ~ . ' ~-T Pho¢ograph ~. Side excavation showing I Revision Date: January 2004 Revision No. 00 I Photograph 11. Side view of UST with strap cut Photograph 12. Side view of UST with straps cut I Revision Date: January 2004 Revision No. 00 Photograph 13. Excavation of side wail overburden Photograph 14. UST removed from overburden Revision Date: January 2004 Revision No. 00 ~EHABILITATION ~]OSPI'FAL ~EPORT Photograph 15. UST removed from excavation / Photograph 16. Overburden stockpiled Revision Date: January 2004 Revision No. 00 I I Photograph 17. Overburden s~ockpi[ed i..... .~ ~'.-~: -, .. . .:~: ., . .... '-. '4 -- :; .._- ..,.. .' . , ,_, . _,.~ :'. ........ .,-¥,' ,' ,: ,,: :.~_.. · , ', ,:.~ Photograph 18. UST sidewall visua~ ~nspection Revision Date: January 2004 Revision No. 00 -~_~ .... ~ ~ ~ ~ Photograph 19. UST s~dewall visual ~nspection "' Photograph 20. UST sidewall v~sua[ inspection Revision Date: January 2004 Revision No. 00 ! ,I I I I I I I I I I I I I ,-n ];~EItABIL.ITATION HOSPITAL U'ST CLOSURE- REPORT I · ~ APPENDIX E I :i RECEIPT FOR DRY ICE i :i I I .I 1 .I ,I ,i I I I · I Revision Date: January 2004 Revision No. 00 Appendix E I FRA.NZEN-HILL CORPORATION [ PURCHASE ORDER ) Ii00 NORTH J STREET P.O. #: 1223945 TULARE, CA 93274-1939 P.O. DATE: 09/10/03 (559) 688-2977 Fax (559) 688-1467 VENDOR#: 0678 JOB #: 030111 . PHONE: (209) 264-7615 FAX: (209) 264-0868 VENDOR: SHIP TO: i JACK FROST ICE SERVICE INC. HEALTH SOUTH A-FTN: TRACY ATTN: HEALTH SOUTH P.O. BOX 843 5001 COMMERCE DRIVE i MODESTO, CA 95353 BAKERSFIELD, CA 93309 · . : DATE REQUIRED: PURCHASER: I i~lHp~p iON~G~iHNSO. 09/10/03 KEN IMOTO STRUCTIONS: F.O.B. POINT: PAYMENT TERMS:" ~[, WILL CALL Tulare, California COD INE ITEM # DESCRIPTION QUAN UNIT PRICE/UNIT AMOUN 1. GRDDRYICE DRY ICE 30,00 LB 0.950/LB 28.50 09/11/03 (KEN IMOTO) - MARK FOR 020111 HEALTH SOUTH TOTAL: 28.50 I I ~-d L9~I8896~ II~H uezuea~ eG~:OI ~0 9! ueF ~AC~K FR~$-~ NAME ~~ ~ ~/~ C~ ADDRESS, 20~ BAGS 4~ ~GS 101~ 2 ' ~) x c~rg~ on a~ balances not paid by the 251h of Ihe month, Minimum ~inance ~arge .5~. CU~OMER COPY I I I I ~-ci /,9t, I88965f II!H uezueJ-t ~at,:OI t,O 9I I I '1 I I I I I i I I I ! I I I I HOSPITAL UST CLOSUEE [~E;PORT APPENDIX F UST ATMOSPHERE TEST (SEPTEMBER 8,2003) I'lov 06 03 Ol:50p Franzen Hill 559688146? p.3 :~,~, ._., CITY OF BAKERSFIELD-. ~.-~~'~ OFi ..~E OF ENVIRONMENTAL SL .?ICES t~,~nnr~?~rr 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HND~RGROH~D 8TO.GE TANK8 CLOSHRfi CE~II~IGATIO~ I. FACILI~ IDENTIFICATION TANK O~ER NAME ' ' T~K OWNER ADDRESS T~K O~E~ Cl~ 74~ · STATE 7~ ZIP CODE Ta~ ID g ~n~n~on of F~mmable Va~r ~ncen~on of Oxygen ~,_~) Top [ Cen~r { ~ , Top ~nter ~aom 7~ 7~a ~ 7~ ~47a 747b 747c TANK 1 2 I i 3 ; I I t , I ; ~ examlnaaon ~ ~e ~nk. I ~ ~e ~nk Is ~ally ~ ~ p~u~ atudge, ~le (~ ~ ~d~l ~ ~k ~nten~), ~n~ate and d~ I ~er ~ ~at ~ info~a~en prodded h~n ~ ~e and ac~te ~ ~e best of my kn~edge. SIGNATU~~ C~R~I~~ ~ . STATUS OR ~ILIATION OF CERTIFYING PERSON 1715 C~er Ave. ~ O b. ~ Safe~Pm~a~(~e) CI~ ~ ~ C~$~ ~dne Christ (CMC) Bak~field, CA 93301 ~ ~ d. R~ls~ Envimnmen~l Heal~ ~c~li~ (REHS) PHONE D ~. Pm~al E~H~r (PE) (661) 326-3979 z~ ~ f. ~ II Reglste~ Environmen~l As~or DATE z~ J CERTIR~TION ~ME D g. ~n~ctom' S~te U~n~ B~ffi ~ mn~actor (~ ~- ~ - n~ I /~ ~/~ ha~subs~n~mmoval~d~flon) T~K PREVIOUSLY HELD F~M~BLE OR COMBUSTIBLE ~RIALS n ~Y~ ~ No 763 ~R~FI~ S T~K ~NAGEME~ INS~U~IONS FOR SC~P D~LER, DIS~., .',CIL~, ET~ ~pleS ~11 ~e subbed ~ ~o L~ a~ auto.ed ag~ o~er I o~m~ ol ~ ~nk s~t~; ~I ~n~ and ~e m~d~ I d~l faulty. - 11/08/~003 ~ 15:53 [1I/~ NO 77841 I I I I I I I I I I I I I I I I ! I I ' t ]R~HABILITA~O~ HOSHTAL UST CLOSURE REPORT ~ APPENDIX G I ~, TULARE IRON AND METAL WORKS ~ UST RECYCLING RECEIPT ' ~ (SEPTEMBER 11, 2003) I I I I I 1 I ,I ! Revision Date: January 2004 Revision No. 00 Appendix O I 06 03 Ol:SOp Franzen Hill 559688146? Fr n-Hill Fueling Facilities System Design, Consrucli~ & Maintenance California Licensed Contractor No. 304147 Septem~r 10, 2003 Tu~e Iron ~d Me~ Works 3615 south "K" Street .. T~e, CA 93274 The foHo~ g~ol~e ~s ~ve b~n ~en to T~e Iron ~d Metfl for recyc~ ~d ~posal: JobNo. 03-1111 H~hSouth (1) 1,000 Gallon Ta~ 5001 Co--rice Drive B~e~eld, CA 93309 Tu~e Iron ~d MetM ~ve accept~ the a~ve li~ed t~ ~om F~n-Hffi Co~omtiom '~em~ ~~ion 1100 Nortta d S~eet. Tulare, Californ~ ~274 / 559488-~ / ~5-~36 / 559-688-1467 FAX ~-~.ffanhilk~m / fr~hill~lightspo~.net 11/08/2003 ~ 15:55 [TX/~ N0 7764] I I I I I I I I I I I I I I I RERABILITATION I~OSI~ITAL UST CLOSURE ~EPORT APPENDIX H VULCAN MATERIALS COMPANY AGGREGATE QUALITY CERTIFICATION (DECEMBER 3, 2003) ' I Revision Date: January 2004 Revision No. 00 Appendix H ~ Dec 04 03 '11:42a Franzen Hill 5596881467 ! From: unl~,o, wn_ _Pa__g_e.L.,22?Date: 1223/2003 3:30:33 PM I Materials Company · ~ Western Division Contractor: Franzen Hill Co. ' t Project: Health South Truxtun Ext. ' '1 Date of Project: September 8, 2003 '1 Date: December 3, 2003 ' ~1 To Whom It May Conoem: This letter is to certify that we supplied material to the above-mentioned project that conforms to the specifications as set out in section 90-2.02 of the California I Standard Specifications. This section states that aggregate must be free of deleterious · coatings, clay balls, root;s, bark, sticks, rags and other extraneous material. . , If you have any questions, or if I can be of additional assistance, please do not . hesitate to call. -, Respectfully submitted, Don Thomason Quality Control Representative 661 835.4800 ext. 2254 P.O. BOX 22B{30 · BAKERSFIELD, CALIFORNIA 93390 - TELEPHONE. 66'~ 835-4~,00 ' I This fax was received Dy GFI FAX. maker fax servec For more information, visit: http://www, gfi.com 12/04/2003 THU 13:45 [TX/RX NO 8184l I I I I I I I I I I I I I I I I APPENDIX I LIQUID WASTE AND RINSATE DISPOSAL MANIFEST I I Revision Date: January 2004 Revision No. 00 Appendix I I Ma~l 27 04 O?:~2a BRANDON NERL 6616335253 p.~ IFR~ ;COLE'S SERUICES l~ F~ NO, :661-322-8883 ~y. ~ 2~4 ~:SSPM ~ ~,*/~'~'~/' ~ ~"~'~ C ~ t ~ ~ i~ ~ ~" ':':~':':'~;:?'Y"'~"::~' "'""':'"'"'"~": ~ ........ I [ '~ ,.:'"' ~)t~' I:'('~l I/(.,,'z,~,~.';' ~,~ ~1~ ~. ,~. ~ ~ ~'~ ~-~':' --- ' I '"'~'~':" ~":"::'": ''~ ~l .---~ ....... . .,~; ~ .; ;,.~ , ,l . .... ," ' {" ' i~' '~"~'%A~ ~s~ 4 -,'~: :.~'~'.'.~ :: ;'.:'..'.'. ' "~.~' ,.~ . 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