HomeMy WebLinkAbout529 DELORES ST_VULCAN METERILA SHOP UNDERGROUND TANK Hazardous M: .... ...... ~ ~'""~' ' '~'~' " ermit
CONDITI ,.r ~E-, SI:DE
'" ": " ' ~'~,::~.,-~'-..~:'. ~is ~it is.issu~ for te
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.... H~Ous
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Permit ID ~:: 015-000-000579 ..":-- .~ RiskManage~tP~mm~'
DIVISIONVULCAN ~ H""~OUS WasteOn~..~.-
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LOCATION: 529 DOLORES ST '.' ~. ....... · ' ,' ...... ~, .;,.-~,--;- <',. '
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OFFICE OF EN~RONMENTAL'SER ~CES". "'".~:':'-:..::~'~'~ -. "~. - ~~~': ~
1715 Chester Ave, 3rd Flo0r''~'::'''':'''~:: - "~;"Appmv~by:' ;'~~~/~~
Bakersfield, CA 93301 · . ' '. : om~¢orE,~~ic=TM·
Voice (661) 326-3979 '
F~ (661) 326-0576 ExpmtionDate: '~~ .~O~'
Uul(on
Materials Company
CalMat Division
C 0 V E R ' -
FAX
$ H E E T
Fax ~:
Pages:
[ ] ORIGINAL TO FOLLOW [ ] FOR YOUR FILES
[~-]~1=~i~ YOUR REQUEST [ ] PLEASE PHONE
[ ] FOR YOUR REVIEW [ ] REPLY REQUESTED
[ ] PLEASE SIGN AND RETURN
COMMENTS:
SHOULD YOU HAVE ANY QUESTIONS, PLEASE CALL_
AT (661)835-4800, FAX# (661)833-9134
THANK YOU.
APRi'-lS'99(THU) 10:10 GALMAT OF NTRAL GA TEL:661 83 34 P, 002
To: TUCK C-~L MAT , From: R WOLFE 805-834-4215 4114199 9:59:54 Page 1 of 1
i N T E R -
MEMO
0 F F I C E
· III II I .. II
To; TUCK / CAL MAT
F~'om: RoNALD L. WOLFE
SttbJect: DOLORES STREET LOCATION
Date'. April 14, 1999
SIR,
R L W HAS INSPECTED YOUR VEEDER ROOT TLS 250 TANK MONITOR SYSTEM, UPON
INSPECTION IT SHOULD BE NOTED THAT TIlE SYSTEM WAS IN ALARM, WITH A
SUMP SENSOR ALARM, THE TURBINE SUMP HAD WATER IN IT CAUSING THE ALARM.
AFTER REMOVING THE WATER THE SENSOR WAS CHECKED AND FOUND TO BE
DEFECTIVE DUE TO CORROSION FROM THE WATER. THE SENSOR WAS REPLACED
AND THE SYSTEM RESET.
DLrRING THE LAST FEW WEEKS RAIN WATER HAS FOUND ITS WAY BACK INTO THE
'I-t.IRJ$1NE PIT CAUSING AN ALARM CONDITION AGAIN. WATER HAS BEEN REMOVED
AND REPAIRS TO THE TURBINE MAN HOLE COVER IS BEING ATTEMPTED TO MAKE
IT MOI'LE WATER TIGHT. DUE TO THE AGE AND CONDITON OF THE TURBINE SUMP
WE CAN NOT BE 100% SURE THIS WILL BE SUCCESSFUL, HOWEVER THIS SHOULD
ELIMINATE MOST WATER IN THE FUTURE.
AS OF THIS DATE YOUR TANK MONITOR SYSTEM IS IN COMPLIANCE AND ALL
FUNCTIONS ARE WORKING PROPERLY.
THANK YOU
R L W ENTERPRISES
CA/. //739571
A ENG HAZ CERT.
?
APR~'-l$'99(THU) 10:10 GALMAT OF GA TEL:661 83', 134 P. 003
~ ~"~'~;~* '~ I CA, Cert. No." 0 0 7 5 2
City of Bakersfield
Office of Environmental Services
1715 Che;ter Ave., Suite 300
Bakersfield, California 93301
(805) 326-3979
An upgrade compliance Certificate
has been Issued In connection with
the operating permit for the
facility Indicated below. The
certificate number on this facsimile
matches the number on the
certificate displayed at the
Instructions to The issuing agency: Use the space below to enter the following information iffthe 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 ^); name of is.~uing 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:
CALMAT CO
Permit #015-021-000579
529 Dolores St
Bakersfield, California 9330~
CjpRRECTION NO CE
su~ ~iv. ~' ~olo~ . s,~~-I
You are hereby required to make the following cor~ctions
at the above l~ation:
...... I I I '
Completion. Date for Corrections ~ $/~ ~
Inspector
326-3979
EMERGENCY RESPONSE pLAN
UNDERGROUND STORAGE TANK MONITORING PROGRAM
ThLs monitoring program must be kept at the UST location at all times. The information on this monitoring
program are conditions of the operating pernu,t. The permit holder must north/the Office'of Envuo~
S~'vtcc~ within 30 days of ally ch~nge~ tO the momtonng procedures, unle~s rcquU~_ to obtain approval before
making the'change. RequJxed by. Secuons 2632(d) and 264 l(h) CCR.
Facility-Add. ss ~"Z9 Z)ELL~.,ff.~ .S2-
· 1. Ifa~ unauthorized release occurs, how will the hazardous substance be Cleaned up? Note:
If released hazardous substances reach the environment, increase the fire or explosion
b*-ard, are not cleaned up from the Secondary, containment within 8 hours, or deteriorate
the secondary containment, then the OffiCe of EnVironmental Services must be notified
2.. Describe the proposed methods and equipment to be used for removing and properly
disposing of any hazardous substance.
31 Describe the location and availability of the required cleanup equipment in item 2 above.
4. Describe the maintenance schedule for the cleanup equipmenti
5. List the name(s) and title(s) of the' person(s) responsible for authorizing any work·
neCessary under the response plan:
UNDERGROUND STORAGE TANK MoNIToRING PROGRAM
This momtorin$ pm~'am mus~ be ~ at thc UST location at all timc~ Ttm infl~mation on thi~ ~
program ar~ conditiom of the ~g i~'mir~ The permit holder must notify tl~ Offic~ ~Em, i.-o~mnl
Setvi~ within 30 day~ ofan~ ~ to the momtonng pmcedun~ unless r~mred to ot~i- approval befo
making the change. Required by Section~ 2632(d) and 2641(h) CCR.
A. Describe the fi'equcncy of p~'forming the monitoring:
B. What methods and equipment, identified bY name and model, will be ~ for perfomi~
the monitoring:
Piping
C. Describe ~he location(s) where the monitoring will be performed (facility plot plan should
be at~ached):
D. List the name(s) and title(s) of the people responsible for performing the monitoring
and/or maintaining the equipmem:
fo/~/L
E. Reporting Format for monitoring:
Tank f' ~A/ 77/~/w ~_G L t~.~ ,q
Piping
F. Describe the preventive maintenance schedule for the monkoring equipment. Note:
Maintenanc· must be in accordance with the manufacturer's maintemmm ~hedule
'" but not less than every 12 months. ,~NA/Z, IRL
G. Describe the training necessary for the operation of UST system, including piping, and the
CalMat Co
'P.O. BOX 2950, LOS ANGELES, CALIFORNIA 90051 (213) 258-2777 ~~k%%
3200 SAN FERNANDO ROAD, LOS ANGELES, CALIFORNIA 90065 ' ~CalMat
LETTER FROM CHIEF FINANCIAL OFFICER
I am the chief financial officer for CalMat Co., 3100 San Femando Road, Los Angeles, Califomia 90065. This'
letter is in support of the use of the Underground Storage Tank Clean-up Fund to demonstrate financial
responsibility, for taking corrective action and/or compensating third parties for bodily injury and property
damage, caused by an unauthorized release of petroleum in the amount of at least $1,000,000 per occurrence and
$1,000,000 annual aggregate coverage:
Underground storage tanks at the following facilities are assured by this letter: see Attachment "A".
1. Amount of annualaggregate coverage being assured by this letter $ 1,000,000
2. Total tangible assets $589,048,000
3. Total liabilities (If any of the amount on line 2 is included
in total liabilities, you may deduct that amount from this line
and add that amount to line 4.) $296,853,000
4. Tangible net worth (Subtract line 3 from line 2. Line 4 must
be at least 10 times line 1.). $292,195,000
I hereby certify that the wording of this letter is identical to the wording specified in subsection 2808.1 (d)(1),
Chapter 18, Division 3, Title 23 of the California Code of Regulations.
I declare under penalty of perjury that the foregoing is true and correct to the best 0fmy knowledge and belief.'
Executed at Los Angeles, California, on January 28, 1998.
H. James Gallagher
. Executive Vice President and
Chief Financial Officer ' ,
A'I~ACHM~-NT
~EI~--1@--98 12:47 P~4 CALl, AT. I/A 8~428~6 P. 19
CERTIFICATION OF F ~NANCIAL RESPONSIBILI~
tvota: If you am ming ~e ~ate Funa as any part of your demo strat~n of fimr~l r~pons~y, YOU~ ~
....... _o..f ~t~ ¢e~fiP.,at~on alao certes tl~at you are In ~omplia~ t wifb ail ¢ondltion~ for pari~clpation in ~e Fund.
· F~/,N~a~ Fad2ity,A/mm
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~alma~- ~O~ INSPECTION DATE ~-
Section 2: Underground Storage Tanks Program
[] Routine [] Combined ~/foint Agency [] Multi-Agency [] Complaint [] Re-inspection
Type of Tank F'~..5 Number of Tanks 3
Type of Monitoring .~T'¢,~ Type of Piping DO,/I=
OPERATION C V COMMENTS
Proper tank data on file [,,/
Proper owner/operator data on file
Permit fees current
Certification of Financial Responsibility '~/
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tanks Program
TANK SIZE(S). AGGREGATE CAPACITY
Type of Tank Number of Tanks
OPERATION Y N COMMENTS
sPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
Inspector:C=C°mpliance V=Vi°lati°n ' Y=Yes N=NO' ~ . [~.~,t~ __
Office of Environmental Services (805) 326-3979 1 R 5po
White - Env. Svcs. Pink - Business Copy
D
February 9, 1999
Co
RON FRAZE
529 Dolores
~M,.,S~nVe SCONCES Bakersfield, CA 93305
2101 'H' S~t
~ke~ld, CA 9~1
vOiCE (~s)
F~ (~5) 39~1~9 RE: Compliance Inspection
SUPPRESSION SER~C~ Dear Under~ound Storage Ta~ O~er:
2101 'H' S~t
Bakemfie~, ~ 9~1
vOiCE (~s)
~ (~s) 3~ The city will sta~ compliance inspections on all ~eling stations
within the ci~ limits. This inspection will include business plans, .
~o~ ~ under~ound storage ta~s and monitoring systems, and hazardous
materials
mko~. ca ~ao~ inspection.
VOICE (~5) 32~395~
F~ (~5) 32~57e
E~RONM~ S~CES enclosing a checklist for your convenience. Please take time to read this
1715 Ch~ter Ave.
u~k~n~a, c~ osao~ list, and veri~ that your facili~ has met all the necessa~ requirements to
vOiCE (~S)
be
in
r~ (~s) a2~sze comp,ante.
· ~N~Na O~mON Should you have any questions, please feel free to contact me at
5~2 ~or Ave.
s~k~r~, c~ ~o~ 805-326-3979.
F~ (~5) 3~5763
Sincerely,
Steve Unde~ood
Underground Storage Tank Inspector
Office of Environmental Services
SBU/dm
enclosure
EMERGENCY RESPONSE PLAN'
UNDERGROUND STORAGE TANK MONITORING PROGRAM
This monitoring program must be kept at the UST location at all times. The information on ttUS monitoring
program are coaditions of the opera.s permit. The permit holder must notify thc Office of Eavtroamemal
Ser~ w~thin 30 days of ally Challge~ to the monitoring procedures, unless required to Obc~in approval I~fore
making ~ change. R~ by. Se~ions 2632(d) and 2641(h) CCR.
Facility Address ~/~ / ' ' ' '~'-~'"' ~ '~
1. [fan unauthorized releaze occurs, how will the hazardous substancebe cleaned up? Note:
[f rele..azed hazardous substances reach the environment, increase the fire or explosion'
b~7~rd, are not cleaned up ~'om the secondary, containment within 8 hours, or d~eriorate
the secondary containment, then the Office of Environmental Services must be notified
2. Describe the proposed methods and equipment to be used for.removing and properly
disposing of any hazardous substance.
3. Describe the location and availability of the required cleanup equipment in item 2 above.
4. Describe the maintenance schedule for the cleanup equipment:
5. List the name(s) and title(s) of the person(s) responsible for authorizing any work
necessary under the response plan:
UNDERGROUND STORAGE TANK MONITORING PROGRAM
This monitoring program must be kept at the UST location at all times. The information on thi~ ~
program am conditions of thc operating l:~'mic Thc permit holctcr must not~ the Office of Environmm~l
Services within 30 days of any changes to the monitoring procedures, unless rcqnitcd to obtain approval before
making the c~nge. Required by Sections 2632(d) and 2641(h) CCR.
A. Describe the frequency of performing the monitoring:
Piping ~/~/L'-/ --
B. What methods and equipment, identified by name and model, will be-used for perfomin8
the monitoring:
Tank
C. Describe the location(s) where the monitOring will be performed (facih'ty 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 /"DA/7"'//~//_./_.££ L
Piping
F. Describe the preventive 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. /~/V/V~L lp/_~/o~P__7'/,o/L/,~,c. 7'"/c ~.~"~ ) u~/.r-
O. Describe the training necessary for the operation of UST system, including piping, and the
monitoring equipment:
CalMat Co
P.O. BOX 2950, LOS ANGELES, CALIFORNIAg0051 (213) 258-2777
3200 SAN FERNANDO ROAD, I'OS ANGELES CALIFORNIA 90065 ~CalMat
' ' LETTERFROM CHIEF FINANCIAL OFFICER
I am the chief financial officer for CalMat Co., 3100 San Femando Road, Los Angeles, Califomia 90065. This
letter is in support of the use of the Underground Storage Tank Clean-up Fund to demonstrate financial
responsibility, for taking corrective action and/or compensating third parties for bodily injury and property
damage, caused by an unauthorized release of petroleum in the amount of at least $1,000,000 per occurrence and
$1,000,000 annual aggregate coverage. . . "
Underground storage.tanks at the following facilities are assured by this letter: see Attachment "A".
1. Amount of annual aggregate coverage being assured by this letter $ 1,000,000
2.... Total tangible assets .. $589,048,000
3. TOtal liabilities (If any of the amount on line 2 is included
in total liabilities, you may deduct that amount from this line
and add that amount to line 4.) $296,853,000
4. Tangible net worth (Subtract line 3 from line 2. Line 4 must
be at least 10 times line 1.) $292,195,000
I hereby certify that the wordingofthis letter is identical to the~ wording specified in subsection 2808.1 (d)(1),
Chapter 18, Division 3, Title 23 of the California Code of Regulations.
I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.
Executed at Los Angeles, California, on January 28, 1998.
H. James Gallagher
Executive Vice President and
Chief Financial Officer
A'F~ACH~I~NT
.... : CERTIFICATION OF FINANCIAL RESPONSIBILIIY
FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM
A,. I am reqaixed ~ demea~ra~ FmaJei. I B~J~.=mibai~y ia dm mq.ired mmmu -- ~d ia ,Se=~iea 2,~rZ, Cbl~' 18, Div. 3, 'Title 23, ~=-.
r'-J s00,0110 dobrs per o~eurrenm J~J ! m~nioa doihrs annul
or AN D or
~-="] 1 minion dollars per occurrence ~'-'~ 2 million dollars annul a[freEate
Note: If you are using the ~ate Fund as any part of your demonstration of financial responsibility, ~our execution and submission
of this cerS~.~_tion also Certifies that you are in compliance with all conditions for participation in the Fund.
sip~mr, ofwi'''" remain? I~ J Nm. of~---~ ~.'-- ~'
I
CFR(04~2) ~ Ofi~n-, - ~ A~ucy C~m- F~"q~Sim(,)
....... TNSTRUCT~ONS ,~
PL~e t~ or ~tnt cLeir~y ell ~fO~t~ ~ Cert~f~cati~ of Fi~t~L R~ib~L~ fo~.' ALL ~T
faciLitt~ ~or sit~W or ~rat~ my ~ List~ ~ ~ fora; therefore
r~i~ for ea~ site.
D~ENT
A.. ~ R~i~ - ~K~ the a~ropriaCe ~xes.'
B. ~ ~ T~ W - FuLL ~ of either ~he tank o~er or the o~racor. , ,
~ ~cor
C. Wil Tp - l~icate ~ich State a~rov~ =hani~(s) are ~i~ ~a to ~ow fi~iaL
r.wibiiity either as contai~ in the f~ra{ r~uiati~s, ~0 CFR, Parc ~80,
~arc H, SKCi~ 280.90 through 280.103 (S. FiM~iaL R~ibility 6uide, for
rare info~ion), or S~cion 2802.1, Chapter 18, Oivisim
~ ~ I~ - List ail ~ ~ ~resses of canies a~/or i~ivi~Ls issuing coverage.
~i. N~ - List id~Ci~n~ n~r for each ~chanism us~. Exsie: insuraKe ~iicy ~r
or file ~r as i~icaC~ on ~ or doc~C. (If using State Clea~
(State F~) leave blank.)
W ~t - I~ica~e ~C of coverage for each c~ of =hani~(s). If ~re than one
~ani~ is i~ica~, total mst ~a( 100% of fi~Kia{ res~ibiLity for each
faci ~ i
'~ Peri~ - I~icate the effective dace(s) of all finaKiai =hani~(s). (State F~ coverage
w~{d ~ c~ci~s as long as you MinCain cslia~e
c~ti~ ~rcici~tion in the F~.)
~i~ ~i~ - I~ica~e y. or no. Does the s~ifi~ fi~iai =hani. provide coverage for
corrKtive acti~? (If using State F~, i~icate "y.".)
ai~ Par~ - I~icate y. 0r no. Does the s~cifi~ fi~Kiai =hani~ provide coverage for
~;i~ third ~r;y c~ation? (If ~i~ State F~, i~icate "y,".)
D. F~iii~ - :~' Provi~ all facility a~/or site ~s a~ ~r~ses.
E. Si~="Bi~ - Provi~ sig~Cure a~ date sign~ by tank o~r or ~rator; print~ or
?:' ~ title of tank onr or o~rator; sig~ture of wit~ss or ~Cary e~ ~Ce
sig~; a~ prin;~ or c~ na~ of wiCness or ~Cary (if notary sig~ as witn~s~
::'~ please place ~cary seal next to ~Cary~s sig~ture).
Ibere to IMf I Certification:
PLease send original to your Local agency (agency who issues your UST pemits). Keep · cop/ of the ",-
certification at each facility or site Listed on the for~.
Questions: '~
if you have questions on financial responsibility requirene~ts or on the Certification of Financial "-" '
ResponsibiLity Form, please contact the State UST Cleanup F~d at (916) 7'59-2475.
Note: PenaLties for FaiLure to ~,,-.,.t¥ with Financial Res~,-~ibilityRequirements:
FaiLure to compLy may result in: (1) jeopardizing claimnt eligibility for the State UST CLeanup F~Yt, end
(2) LiabiLity for civil penalties of up to $10,000 dollars per day, per undergro~md storage tank, for each
day of violation as stated in Article 7, Section 25299.76(a) of the CaLifornia HeaLth and Safety Code.
BAKERSFIELD
FIRE DEPARTMENT
March 4, 1998
RI~ CHIEF
MICHAEL R. KEM.Y
CalMat Co.
ADMINIS11L~MlVE SERVICES P.O. Box 22800
2101 'H" Street
Bako~eld. C^ 90001 Bakersfield, CA 93 390
(805) 326-3941
FAX (805) 395-1349
sue~ras~o, smacks RE: "Hold Open Devices" on Fuel Dispensers
2101 'H' Street
Bakersfield, CA 93301
c~) 326-a941 Dear Underground Storage Tank Owner:
FAX (80~) 395-1349
.~'WN~ON SErvices The Bakersfield City Fire Department will commence with our annual
1715 Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks.
Bakersfield, CA 93301
(805) 326-3951
FAX C805) 3264]576 The Bakersfield City Fire Department recently changed its' City Ordinance
concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire
Fd~IVIRONMENIAL ~lln/It~T~
1715 Chester Ave. Department now requires that "hold open devices" be installed on all fuel
Bakersfield. CA9330! dispensers. The new ordinance conforms to the State of California guidelines.
(805) 326-3979
FAX (805) 326-0576
The Bakersfield Fire Department apologies for any inconvenience this
IIbMNING DIVISION may cause you.
5642 Victor Street
Bakersfield, CA 93308
(805) 399-4697
lAX (805)399-5763 Should you have any questions, please feel free to contact me at 326-3979.
Sincerely,
Steve Underwood
Underground Storage Tank Inspector
cc: Ralph Huey
BAKERSFIELD
FIRE DEPARTMENT
February 13, 1998
FIRE CHIEF
M~C~ELR. KELLY Kern Rock Company
529 Dolores Street
ADMINISTRATIVE SERVICE$ Bakersfield, CA 93305
2101 'H" Street
Bakersfield, CA 93301
(805) 326-3941 ·.
· FAX (805) 395-1349 --
sumrm~oN sEmc~s RE: "Hold Open Devices" on Fuel Dispensers
2101 'H" Street
Bakersfield, CA 93301
(805) 326-3941 Dear Underground Storage Tank Owner:
FAX (805) 395-1349
PREVENTION SERVICES The Bakersfield City Fire Department will commence with our annual
1715 Chester Ave. Underground Storage Tank Inspection Program within the next 2 weeks.
Bakersfield, CA 93301
(805) 326-3951
FAX (806)326-0576 The Bakersfield City Fire Department recently changed its City Ordinance
concerning "hold open devices" on fuel dispensers. The Bakersfield'City Fire
ENVIRONMENTAL SEli~/ICES
1715 Chester Ave. Department now requires that "hold open devices" be installed on all fuel
Bakersfield,
CA
93301
dispensers. The new ordinance conforms to the State of California guidelines.
(8(]5) 326-3979
FAX (805) 3260576
The Bakersfield Fire Department apologies for any inconvenience this
IRAINING
DIVBION
may cause yOu.
5642 Victor Street
Bakersfield, CA 93308
(805)'399-4697
FAX (80s)399-5763 Should you have any questions, please feel free to contact me at 326-3979.
Sincerely,
Steve Underwood
Underground Storage Tank Inspector
RalPh Huey ' '
CC:
BAKERSFIELD
FIRE DEPARTMENT
February 13, 1998
RRE CHIEF
Kcm
Rock
529 Dolores Street
sD~,n~'mmasmncra Bakersfield, CA 93305
2101 'H" Sffeet
Bakersfield, CA 93301
(805) 326-3941
FAX (805) 395-1349
sum~mK~N s~mcxa RE: "Hold Open Devices" on Fuel Dispensers
2101 'H' Street
Bake~'fletcl, CA 93301
(805) 3264941 Dear Underground Storage Tank Owner:
FAX (805) 395-1349
~EvENTiONsEi~VK~U The Bakersfield City Fire Department will commence with our annual
1715 Cheder Ave. Underground Storage Tank Inspection Program within the next 2 weeks.
Bakersfield, CA 93301
(805) 326-3951
FAX(805) 326-0576 The Bakersfield City Fire Department recently changed its City Ordinance
concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire
F. NVIIION~ SERVICES
1715ChestefAve. Department now requires that "hold open devices" be installed on all fuel
~kor~e~. ca 9~m dispensers. The new ordinance conforms to the State of California guidelines.
(805) 326-3979
FAX (805) 326-(]576
The Bakersfield Fire Department apologies for any inconvenience this
T~N,.G DrV~SK~N may cause you.
5642 Victor Street
Bakersfield, CA 93,308
(805) 399-4697
FAX C805)399-5763 Should you have any questions, please feel free to contact me at 326-3979.
Sincerely,
Steve Underwood
Underground Storage Tank Inspector
cc: Ralph Huey
B A'K E R S F I E L D
FIRE DEPARTMENT
January22,1998
FIRE CHIEF
MICHAEL R. KELLY
, ~UINtmAnV~ SaV,:ES Mr. Don Malony
2101 'H' Street
Bakersfield, CA 93301 CalMat Co.
(805) 326-3941
FAX (805) 395-1.349 P.O. Box 22800
~- Bakersfield, CA 93311
$UPflRF.~ION SEEVICES
2101 "H' Street '
Bakers,eld, CA93301 NOTICE OF VIOLATION AND SCHEDULE OF COMPLIANCE
(805) 326-3941
FAX (805) 395-1349
Dear Mr. Malony:
~EVENIION SERVICES
171,5 Chester Ave.
Bakersfield, CA 93301 You have failed to notify this office of a change in ownership and change of
(805)326-3951 business name within 30 days. Therefore, you are in violation of Section 25505(a)(b)
FAX (805) 326-0576
and Section 25510(4)(5) of the Health and Safety Code.
ENVIRONMENTAL SERVICES
lm ch~or ^vo. Section 25505(a)(b) and Sections 25 510(4)(5), 1997 Edition: -
Bakersfield, CA 93301
(805) 326-3979
FAX (805)326-0576 "Whenever a substantial change in handlers operation
occurs which requires modification (change in buSiness."
TRAINING DIVISION
5642 ¥1¢torStreet name, change in ownership) of its businesses plan, ..
BakersflelcI, CA93308 handler shall submit a copy of the plan revisions to the
(8(],5) 3994697
FAX (006) a99-$700 ' administering agency within 30 days of oPerational
change."
This is the third contact by this office requesting compliance. This office
requested business plan information on June 29, 1997 and December 17, 1997. (see
enclosures).
You were also requested in our correspondence of December 17, 1997, to
provide copies, to our Office, the following documents, per Title 23 CCR:
1. Written Routine Monitoring Procedure
2. Spill Response Plan
3. Statement of Financial Responsibility
4. 'Annual Maintenance on Leak Detection Equipment
You must also show proOf of employee training (Hazard Communication
Program) per Section 6.95 of the Health and Safety Code.
'To avoid further enforcement action, the above mentioned corrections must be
made within thirty (30) days (February 22, 1998).
Should you have any questions regarding this letter, please feel free to contact
me at (805) 326-3979.
Sincerely,
Ralph E. Huey
Hazardous Materials Coordinator
by:
Steve Underwood
Underground Storage Tank Inspector
SBU/dm'
enclosures
B A K E.R S F I E L D
FIRE DEPARTMENT
December 17, 1997
FIRE CHIEF
MICHAELR. KELLY Mr. Don Malony
CalMat Co
ADMINI~n~A'nVE SERVICES 8517 Panama Lane
2101 'H' Street
Bake~eid, CA 93,301 Bakersfield, CA 93311
(805) 326-3941
FAX (80~) 395-1349
RE: CalMat Facility Located at 529 Dolores Street, Bakersfield
SUPPRESSION SERVICES
2101 'H' Street
. Bakersfield, CA93301 Dear Mr. Malony:
(805) 326-3941
FAX (805) 395-1349
A joint inspection was performed at 529 Dolores Street on December 17,
n~VaNnON StancEs 1997. During our inspection, it was determined that CalMat is the new owner of
1715 Chester Ave. the facility. Further investigation by this office reveals that you were sent a
Bakersfield, CA 93301
(805) 326-3951 business plan packet on June 29, 1997.
FAX (805) 3260576
You have failed to notify this office of a change in ownership and change
ENVIRONMENTAL SERVICES
1715 Chostor^vo. of business name within 30 days, and are in violation of section 25505(a)(b) and
Bakersfield, CA 93301
C805) 326-3979 section 25 510(4)(5) of the Health and Safety Code.
FAX (805) 326-0576
Section 25505(a)(b) and sections 25510(4)(5) (1997 Edition)
~INING DIVISION
5642 Victor Street
Bakersfield, CA 93308 "Whenever a substantial change in handlers
(805) 399-4697
FAX (805)399-5763 operation occurs which requires modification
(change in business name, change in ownership) of
its business plan, handler shall submit a copy of the
Plan revisions to the administering agency within 30
days of operational change."
You must also update and submit copies to our office the following
documents per Title 23 CCR:
1. Written Routine Monitoring Procedure.
2. Spill Response Plan
· 3. Statement of Financial Responsibility.
4. Annual Maintenance on Leak Detection Equipment.
You must also show proof of employee training(Hazard Communication
Program) per section 6.95 of the Health and Safety Code.
To avoid revocation of your permit to operate, the above mentioned
corrections must be made within thirty (30) days (January 17, 1998). ! am
enclosing the necessary paperwork for your convenience.
Should you have any questions regarding this letter, please call me at 326-
3979.
Ralph E. Huey
Hazardous Materials Coordinator
by:
Steve Underwood
Underground Storage Tank Inspector
SBU/dm
enclosures
= .-'l ~-' i
F; A L / H ...'=-.:
H 't ..---.. T E :--; T
i F'A'-' ,.~ ,
· ' .'.- H l:: L--' r-' .TI
3 ,- ....... -.
.--- ~ .:, S E -D
'::,' E E L-iE R-- F-.: 0 ": T
T L ::-; L ;:-:.,.=l..,..-.,
TANK LEVEL :--;EN:--;OF.:
REGULAF.: *iNLEAOET;
~ ,_,~ L
~L~ :'" l~R£.'.-5 ~: : .'..,-.r-
-:' L L H i~ r
30.9 -...' [ NCHE _--; Fi
~: ['i [ i..' ¢'-i ii-- ii-". ? r- r:
7:3. ;-' ,_ r_ :~ ~.. r_ E,.;;
TAN:','..' 3
:' IJ~ £ .L ,"-.~,I- '-'i ..
3 i 47 GAL'
L
-" LLHi_~F
== OR iNCHES; ~ ....
.... r I I..'- I
0.0 [NCHE--; [,JATER
78.8 )-~E,qF.:E--S F
UNDERGROUND STORAGE TA SECTION Bakersfield Fire· Dept.
............. Office of Environmental Services
Bakersfield, CA 93301
FACILITY NAME ~'r~ ~,,ac~ ~_O BUSINESS I.D. No. 215-000 5-7?
FACILITY ADDRESS. 5'~ ~' ~)/~ la ~'~_5 CITY I~t~ccc~ ~le[a{ ZIP CODE
INSPECTION DATE ~ /2/I 7]q ~ ~ i O~ ~'~
Product Product Product
Inst
Inst Date Ins,_D,le Date
INSPECTION TYPE: X]~¢~t~- I~c~'f q'LS'2EO r _ Iq ? ~I~1~ %
Size Size Size
ROUTINE FOLLOW-UP ~O0~oOo ,5~ ~ /I 0cO
"REQUIREMENTS yes no n/a yes no n/a /es no n/a
la. Forms A & B Submitted V/
lb. Form C Submi.tted
lc. Operating Fees Paid
ld. State Surcharge Paid
le. Statement of Financial Responsibility Submitted ~
lf. Written Contract Exists between Owner & Operator to Operate UST
2a. Valid Operating Permit ~;
2b. Approved Written Routine Monitoring Procedure
2c. Unauthorized Release Response Plan
3a. Tank Integrity Test in Last 12 Months V~ .""
3b. Pressurized Piping Integrity Test in Last 12 Months ~/'
3c. Suction Piping Tightness Test in Last 3 Years I/" '~
3d. Gravity Flow Piping Tightness Test in Last 2 Years V' ~
3e. Test Results Submitted Within 30 Days [/
3f. Daily Visual Monitoring of Suction Product Piping V'
4a. Manual Inventory Reconciliation Each Month ,,/'
4b. Annual Inventory Reconciliation Statement Submitted V'
4c. Meters Calibrated Annually V
5. Weekly Manual Tank Gauging Records for Small Tanks
6. Monthly Statistical Inventory Reconciliation Results ' V"
7. Monthly Automatic Tank Gauging Results V/
8. Ground Water Monitoring ~/'
9. Vapor Monitoring V'
10. Continuous Interstitial Monitoring for Double-Walled Tanks
11. Mechanical Line Leak Detectors
12. Electronic Line Leak Detectors V'
13. Continuous Piping Monitoring in Sumps
14. Automatic Pump Shut-off Capability
15. Annual Maintenance/Calibration of Leak Detection Equipment ") ~1'
16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 1,/
17. Written Records Maintained on Site ~/'
18. Reported Changes in Usage/Conditions to Operating/Monitoring
Procedures.of UST System Within 30 Days
19. Reported Unauthorized Release Within 24 Hours ,,/
20. Approved UST System Repairs and Upgrades
21. Records Showing Cathodic Protection Inspection ~,~
22. Secured Monitoring Wells 'v/
INSPECTOR:~ ~/,~'z<. .... OFFICE TE HONE No.. J~t~ - ~Sz??'
· - FD 1669 (rev. 9~95)
* * QUARTERLY MODIFIED INVENTORY CONTROL SHEET ~,~ * *~ .. ·
TANK~ _~Z~ CAPACITY ,~~ SUBSTANCE STORED ~/~7~ ~t~.~ QuARtER/YEAR ~_
TEST ] ~,WEEKLY. ~ WATER ~ 2ND lST INCH 2ND XST ' VOLUME+s~BTOTAL: CUMULATIVE
WEE'K ~SHUT-DOWN ~ LEVEL'~GAUGE -GAUGE : CHANGE VOLUME'-VOLUME =CHANGE CHANGE
· ~ 'TX~E PE~ IOD ~ INCHES ~ INCHES XNCHES ] XNCHES GALLONS ~ GALLONS ] GALLONS ~ GALLONS ~ GALLONS
6 I TO t~ ~
I
QUARTERLY SUlVIRRY
FILL OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TANK'MONITORED IS A WASTE-OIL OR NON-MOTOR VEHICLE FUEL TANK TANK MONITORED IS A MOTOR VEHICLE~FUE TANK
REPORT TO THE PERMITTING AUTHORITY WITHIN 24 HOURS IF: ~PORT TO THE pERMITTING AUTHORITy. WITHIN 24 HOURS IF:
A. VOLUME CHANGE (COL. 9) IS +/- 10 GALLONS OR MORE A. TANK OF 1000' GALLONS OR LESS CAPACITY HAS'A VOLUME CHANGE (COL. 9)
OF +/- 25 GALLONSOR MORE
B. CUMULATIVE VOLUME CHANGE (COL. 11) IS +/- 100 GALLONS OR MORE B. TANK OF 1001 TO 5000 GALLONS CA~ACiTY HAS A'VOLUME CHANGE (COL. 9)~ ·~
OF +/- 35 GALLONS OR MORE ~ ~:~.-.
C. ·TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COk.~.~,9) OF
+/- so GALLONS OR MOR
D. ANY TANK HAS d CUMULATIVE VOLUM~ CHANGE (COL. 11) OF +/- 25~i. GALLONS
OR'MORE OVER THE, QUARTER TIME F~E REPRESENTED ON
SUMMARY SUMMARY
MONITORING BETWEEN·DATES OF /c,~-r,fg--~--~ AND ~g---~ . MON'ITORINd. BETWEEN bATES OF AND
(INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSEl RESULTED IN:.
1. A M~XIMUM WEEKLY VOLUME CHANGE (COL. 9) OF '~ GALS. ! 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF GALS.
2 A CUMULATIVE VOLUME CHANGE (COL. 11 BOTTOM LINE) OF i 2. A CUMTJLATIVE VOLUME CHANGE COL. 11, BOTTOM LINE) OF
~,~ GALLONS ,~ GALLONS
/
I HEREBY CERTIFY THAT THE ABovE-NoTED RESULTs REPRESENT A TRUE AND t I HEREBY CERTIFY THAT THE ABOVE-NOTE£ RESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS 'i ACdURATE REPORT AND THAT THEY DO NOT gXCEE~'THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE DESCRIBED IN "A" THROUGH "D" ABOVE.
SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT
~ .... ~ RETAIN THESE RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF i~HREE YEARS
~ HEET * *.QUARTERLY. MODIFIED INVENTORY CONTROL S
,
TAN~ .... ~ CAPACITY ~~ SUBSTANCE STORED ~~X ~X~ QuARTER/YEAR
COL. 1 COL . 2 ilCOL . 3 [[COL . 4 ICOL[ . 5 Il COL . 6 coL . 7 IlCOL . 8 IIcoL ' 9 ~1 '~COL~ . 1 0 Il COL . '1 1
' VOLUME ~ - CUMULAT I VE
TEST WEEKLY [ WATER [ 2ND iST INCH 2ND IST =CHANGE+SUBTOTAL=
WEEK SHUT-DOWN [ LEVEL [GAUGE -GAUGE ~ CHANGE VOLUME-VOLUME CHANGE
~ T~S esR~OO, I INCeES I ~NC~ES ~NC~S I ~NC~SS 6~nnONS ~AnLONS ~ SALLONS ~ 6ALnONS I GALLONS
. X nATS/~ ~-~-~;~ I I I I 0 I ,
2 DATE/HR/P-~ -~'~ ~ ] ' [ { ]
I
6 { DATE/~ tI.~ ~:~ ' I I I
TO I I ~.
" nAT~/~//~.~¢/M { {
~ - TO . ~ /
I I I I I
QUARTERLY SUMlVlARY ':
FIL~i OUT THE FOLLOWING REPORTinG SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TANK MONITORED IS A WASTE-OIL OR N~N-MOTOR VEHICLE FUEL TANK TANK-MONITORED IS A MOTOR VEHICLE FUEL TANK
REPORT TO THE PERMITTING AUTHORITYiMITHIN 24 HOURS IF: REPORT TO THE PERMITTING AUTHORITY WITHIN 24 HOURSIF:
't
A. VOLUME CHANOE (COL. 9) IS +/~ lO GALLONS OR MORE A. TANK OF 1000 GALLONS OR LESS'CAPACITY HAS A VOLUME CHANGE (COL. 9)
OF +/- 25 GALLONS OR MORE
B. CUMULATIVE VOLUME CHANGE (CO 11) IS +/- 100 GALLONS OR MORE B. TANK OF 1001 TO 5000 OALLONS CAPACITY HAS A VOLUME cHANGE (COL. 9)
OF +/- 35 GALLONS OR MORE
C. TANK OF OVER 5000 GALLONS CAPACITY' HAS-A VOLUME CHANGE (COl,. 9).0~, ~
+/- 50 GALLONS OR MORE
D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +/- 250 GALL
OR MORE OVER THE QUARTER TIME FRAME REPRESENTED' ON REVE~SE.
~ SL~MMARY SUMMARY
TANK # ~ PERMI~ # /,~"~)~_~- TANK # PERMIT #
MONITORING BETWEEN DATES OF .~..~--~;.~'~ AND /~-~,f~ ~)~-'" MONITORING BETWEEN DATES OF AND
(INCLUDE YEAR) NOTED ON REVERS~ RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE.~ESULTED IN:
1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF ~- GALS. 1 A MAXIMUM ~EEKLY VOLUME CHANGE (COL 9) OF GALS
2. A CUMULATIVE VOLUME CHAN~E (COL. ~], BOTTOM LINE) OF 2. A CUMULATIVE VOLUME CHANGE"(COL. ~], BOTTOM LINE) OF
~ GALLONS ~ GALLONS
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE REPORT- AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. DESCRIBED IN "A" THROUGH "D" ABOVE.
' '" . DATE "
SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT ·
RETAIN THESE RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
* * QUARTERLY ~{ODIFIED INVENTORY CONTROL SHEET
TANKS ~Z~ CAPACITY' f.~* SUBSTANCE. STORED /~i ~/~
I ,~oL ~Ic°L ~]coL ~, col ~,~oL 9, ~co~
COL 1 COL 2 ~ COL 3 COL 4~
. . ~ ..... { - ~ - ~ -
TEST WEEKLY ~ WATER ~ 2ND 1ST INCH ~ 2ND 1ST ' VOLUME ~ ~ CUMULATIVE
.... CHANGE +S, UBT oTan
WEEK SHUT-DOWN ~ LEVEL ~GAUGE GAUGE CHANGE~VOLUME VOLUME C~ANGE
~ TI~E PERIOD ~ INCHES ~ INCHES INCHES ~' INCHES ~ GALLONS GALLONS GALLONS GALLONS
DATE/~
2 T0 ,
,~~ 3~I
~ ! ' I
,o . , I ~~[ ~~] ~ , /z~ / 7~ ~
~g/~ 7~4 W~ I I I
4 ~o .I I
~AT~/~ 9' ~-~ I I I
~ TO , I
~0 , ' ~ /z~ /Z~l ~
~g/~ ~-~-~Z~l I' I ~
-
'f, ,, QUARTERLY SUlVllVlARY
FIL~ OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY) ,'
TANK MONITORED IS A WASTE-OIL OR NON-MOTOR VEHICLE.FUEL TANK TANK MONITORED IS A MOTOR VEHICLE FUEL. TANK '
REPORT TO THE PERMITTING AUTHORITYI,WITHIN '24 HOURS IF: "REPORT. TO THE PERMITTING AUTHORITY WITHIN 24 HOURS IF:
A. VOLUME CHANGE (COL. 9) IS +/~ 10 GALLONS OR MORE A. TANK OF 1000 GALLONS OR LESS CAPACITY HAS A.VO~UME CHANGE (COL. 9)
OF +/- 25 GALLONS OR MORE
B. CUMULATIVE VOLUME CHANGE (CO~ 11) IS +/-,100 GALLONS OR' MORE B. TANK~'OF 1001 TO 5000 GALLONS CAPACITY ,HAS A VOLUME CHANGE (COL. 9)
OF +/- 35'GALLONS OR MORE
C. TANK OF OVER 5000 OALLONS CAPACI'TY HAS, A VOLUME CHANGE (COL. 9) OF
+/- 50 OALLONS OR MORE
D. ANY TANK,HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +/- 250 GA
" ~ '" OR MORE OVER THE QUARTER TIME FRAME REPRESENTED ON REVERSE.
SUMMARY SUMMARY
TANK # ~ ' PERMI~ #' /_.~C)_~/~ TANK # PERMIT #
MONITORING BETWEEN DATES OF '!'~.~0--~.~'~ AND ~-~,~"~- ~'~ MONITORING BETWEEN ~ATES OF AND
(INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:
1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF ~k GALS. 1. A MAXIMUM'WEEKLY VOLUME CHANGE (COL. 9) OF GALS.
2. A cUMULATIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF 2. A CUMULATIVE VOLUME CHANGE (COL. Il, BOTTOM LINE) OF
~ GALLONS ~ GALLONS
I H£REBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTEDRESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE RE~ORT~ AND THAT.THEY DO NO~EXCEED THE REPORTABLE LIMITS
DESCRIBED IN. "A" AND "B" ABOVE. DESCRIBED IN "A'" THROUGH ~"D" ABOVE.
SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT'
RETAIN THESE RECORDS AT THE P~RMITTED FACILITY FOR A MINIMUM OF THREE YEARS
~'' ~ :t: QUARTERLY MODIFIED INVENTORY CONTROL SHEET~
TANKS ~ CAPACITY ,~fi~' SUBSTANCE STORED ~.~7~1 ~/'~/~.- qUARTER/YEAR/~,u~
[COL 5] COL 6 COL 7 COL e~COL. 9
~ COL. 2 I COL S COL 4I [ . .
COL. ~[ [ .... ,, ~ .
TEST [ WEEKLY [ WATER 2ND 1ST. INCH 2ND 1ST VOLUME ~ CUMULATIVE
WEEK [SHUT-DOWN [ LEVEL GAUGE-GAUGE : CHANGE VOLUMe-VOLUME :CHANGE+SUBTOTAL: CHANGE
~ [' TI~E PERIOD [ INCHES INCHES INCHES [ INC.ES GALLONS [GALLONS [GALLONS [ GALLONS ~ 6MJ. ONS
· , ,o ~,~_~:~W ~f4 ~~ ' ' '
'DATE/HR ~ '
TO · { ~~~
,o · ' ~l' ,/l 22~{~~ ~, v~ ,
~ DAT~/~ ~:~1 I I I I ~1 I
9 ~/~-~;~1 I I I ' I ~1 I
UAT~/~-~r,~I I I I ~ ~1 I
~ O ' TO ' ', [
I
DATE/HR~ ] .... - I . I
t QU~aiRT,ERL~R~ SUMMARY
FILL OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TANK MONITORED IS A WASTE-OIL OR NON-MOTOR VEHICLE FUEL TANK .[ TANK MONITORED IS A MOTOR VEHICLE FUEL TANK
RE, OR~ T._~O TH__.E. PERM____~ITTIN___.~G AUTHORITY~H~ 24 ~OUR~ ~: 1,: REPORT TO THE PE~ITTINO AWHORI~ MITHIN 24 HO~S IF:
A. VOLU~E CHANGE (COL. 9) IS +/~~~ 10 GALLONS 0R MORE A., TANK OF 1000 GALLONS 0R LESS CAPACITY HAS A V0LU~E CHANGE (COL. 9)
' /~ OF +/- 25 GALLONS OR MORE ·
B. CUMULATIVE VOLUME CHANGE (60~."11) IS.+/- ]00 GALLONS OR MORE B. TANK OF 1001 TO 5000 6ALLONS CAPACITY HAS. A. VOLUME C~NOE (COL. 9)
4., , OF +/- 35 GALLONS OR MORE
" -~ C. TANK OF OVER 5000 6ALLONS'CAPACiTY HAS A VOLUME CHANGE (COL. 9) OF
; +/- 50 GALLONS OR MORE
· D. ANY TANK HAS A CUMULATIVE VOLUME CHANOE (COL. 11) OF +/- 250
-:~ OR MORE ,OVER THE QUARTER TIME FR~E REPRESENTED ON REVERSE.
S~MARY = SUGARY
' (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED'ON REVERSE RESULTED IN:
2. A 'CUMU~TIVB VOLUHB CHAN~E (COL. 1~, BOTTOM LINE) OF ~. 2. ~ CUMULATIV~ VOLU~E C~NGE (COL. 11, BOTTO~ LIN~) OF
· ~ GALLONS~ GALLONS
I HEREBY cERTIFY THAT THE ABOVE-NOTED RESULTS ~EP~ESENT A TRUE AND I-HEREBY CERTIFY T~T THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE R~PORT AND THAT THeY BO NOT EXCEED TH~ REPORTABLE LIMITS ACCURAT~ REPORT AND THAT THeY DO NOT ~XCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND ".B" ABOVE. DESCRIBED IN "A" THROUGH -D, ABOVE. ''
SUBMIT A cOPY OF Tff[S SUMMARY WITH FACILITY ANNUAL REPORT
RETAIN THESE RECORDS AT THE~P~ITTED FACILITY FOR A MINIMUM OF THREE YEARS
~ ~ ~ot'e: All 'majOr modifications r~q~a Permit to Const~'uct- from
the Permi ~lng .Authorlt?. . '
Construct from Permitting Authorit~ .--
,S 1 gnat ute
3. Repai~ and Halntenance-S~ma~y -. ....
~i _ . Attach'a sugary o~ all.: ..... · ........... _
=1 --Routlne and ~equl~ed maintenance done to this facility's ta~,'
' - -- 'Repal~/replacement' o~ "dl~penser~-,- meters; ~r---~ozzles-.
............... Repai~-- o~, electronic--leak detection components, - or- rep'lacemen~ .....
-- Instailation o~ ~epa~r-'-'of. vapor recove~y/vent~-~-: ..... :
Include the date o[ each._~epal~-o~ maintenance., ac.~1vl~y_ ............................
NOTE: All repalrs o~ ~eplacements In response to a le~ ~equlre a
..... Permit to_ .Construct [rom the Permitting .Authority a~ do all
othe~ modificatlon~ tD' t~ks, piping o~ monitorlng ~quipment
no~ listed here:"
List all ~uel storage Ch~ge3 la tanks, no~ing:
Date(s), tank number(s), ne~_~uel(s) sto~ed'.
_.Permit to Operlte, and I have pot exceeded-any reportable limits as .... I
listed In the appropriate Inventory control ' monitoring handbook
Please attach: Annual T~end Analysl~ Summary ~or the last
............ petiole, fo~ all ta~s...regulr~d...~o .do..S~andard Inventory. _Con~o1
--' Moni'toring (,OT~lO); Quarterly S~arie's fop-past year for tank's. ..
required to do Modl~led Inventory-Contro~ Monitoring (~UT-15). '
Please attach current, completed Meter Calihra~ton Check Form
required tn permit conditions.
,.. '.~' Action Number for this Period (Line
j:_::.._~ ............. PERIOD 2: To~al ~inuses-This Period (Line 2)-'
:,:.~:,:i ' . . Action Number for this Period (Line 4)
:'~" PERIOD ~: Total MinuSes This Period (Line ~)
'~: . L
:--=v:,, ..... Action N~ber for this Period (Line
PERIOD 4: Total Minuses This Period (Line ~) '~
........ PERIOD--5:---Tofal--Minuses This Peri'Od (Line ~) ....... '"-~ -'~'~
· .' PERIOD 6: Total Minuses This Period (Line ~)
.... : ................ ~ ...... -- . ....
- -- . .... PERIOD 7: .Total-.Minuses.-This..Pe~iod (Line ~) . ~ ......
Action Number for this Period (Line. 4) ·
........... ~E~_~_: _%p~.l'_ M_i_n~_e~ _ T_h ~_~...P.e~_~ od- (_L i ne 3 )
-PERIOD 9: Total Minuses This-Period (Line 3) /~- -
' '
................................... -~c%~- ~-~----~s ~r~d ~Li~--4~ ............ '.~: ..............................
.... PERIOD 10: To~al Minuses This Period (Line S)
.................................... Action__Numbe~. fo~..thiS_:~eriod_.(Line ~) ....
PERIOD 11: Total Minuses This Period (Line S)
5~ .... ' -. ...... Action Numbe~ for this Period (Line '4-) ...... ~-~ ...................
~ PERIOD 12: Total Minuses This Period (Line 3) /~ '
A~tion ~be~_.fo~_ this_Period (Line. 4) /~
I hereb~ certif~ this is a true and accurate report.
,. -: ...... : ,.. :, --:- .,:: :.--.-'--::..:.-: : .-- :: · .,, / ............................
PERIOD--l: Total ~inuses This Period (Line 3) '-~
Action Number for this Period (Line 4)
.-"Action Number for 'this Period (Line 4)
PERIOD ~: Total ~inuses This Period (Line 3)
_'~ .....~- ~ ................ ~tion N~ber fo'r this Period (Line 4)
PERIOD 4: 'Total Minuses This Period (Line 3)
_ : .... :.,~. ...... ::-P~oD ~'- To~al ~inu~s'Thii-'P~P-i~ '(L'ine ~) ..... ~'
.. - - - PERIOD 6: Total ~inuses This Period (Line 3) ·
~U~TER 3 TIME PERIOD: ~. ~..~ ~o ~
PERIOD 7: Total ~inuse~ This Period.~Line .3) _ '._-
Action Number for this Period-(Line 4)
............... p~X~.D_~k~o~l ~inuses This Pe'~od (~fn~ 3) ~ - -
Action Number fo~ this Period (Line
PERIOD 9: Total ~inuses This Period (Line 3)
PERIOD 10:' Total Minuses This Period (Line 3) -
' Action_,_Numben_fon. this_.Pe~fod. _(_Line_.4_) .... /~ .....................................
PERIOD 11: Total Minuses This Period.(Line 3)
'Action 'Number for-:'this'-Period (Line 4
- PERIOD 12:. Total Minuses This Period (Line 3) '/~/
.......... _-. .... . ......... ......
I hereby certify this is a true and accurate report.
RLlXr=
[-'] COMPUTER C.ANGE [~C~U~AT~ON Record of Computer Change, Meter Change, or Calibration
r'-] METER CHANGE [--~ W/M N'OTIFIED
RU~-MAKE~ND MOOEL I S~R,AL NUMBER CALIBRATION
~,m ~. / Y~ '/
MONEY GALLONS F~ I SLOW FAST J SLOW
/ FINISH
TOTA~,ZER J/~ 7/7, U "'~.
READINGS MONEY GALLONS TOrAL,ZER SEALED METER SEALED
START3/~ 7~"Z ~ ~ ~NO ~ K!NO
PRODUCT ~uMm~ · TOTAL GALLONS RETURNED TO STORAGE
PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION
~/~-,//~' i)/~1. -- ta '~/~ Y2 7fF ~ CHECKED ADJUSTED TO
TOTALIZER ~/,~ ~'
READINGS MONEY GALLONS TOTALIZER S~ALED METER SEALED
START
~1,~ 777, ?--~ES []No ~ ONO
PR DUCT PUMP m TOTAL GALLONS RETURNED TO STORAGE
i~,/~ ~ //11 - I~'tF .,C?FO~O CHECKED ADJUSTEO TO
FINISH MONEY SLOW
TOTAUZER O~/~¢, ~ ¢~/ '
' READINGS START MONEY GALLONS TOTALIZER SEALED METER SEALED
~X; y~ ~/'/¢ [] YEs [] No [] YES .o .o
PRODUCT PUMP # TOTAL ~i~A~VLJDNS R~TURNED TO STORAGE
PUMP'MAKE ANC MODEL SERIAL NUMBER CALIBRATION
CHECKED ADJUSTED TO
TOTALIZER
READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED
START [] YES [] NO [] YES [] NO
PRODUCT PUMP · TOTAL GALLONS RETURNED TO STORAGE
PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION
CHECKED ADJUSTED TO
TOTALiZER FINISH MONEY GALLONS FAST JSLOW FAST ISLOW
READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED
START [] YES [] NO E] YES E] NO
PRODUCT PUMP · TOTAL GALLONS RETURNED TO STORAGE
PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION
CHECKED ADJUSTED TO
FINISH MONEY GALLONS FAST I SLOW FAST I SLOW
TOTALIZER
READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED
START [] YES [] NO []'YES [] NO
PRODUCT PUMP · TOTAL GALLONS RETURNED TO STORAGE
' OEALER'S SIGNATURE MAINTENANCE MAN'S SIGNAU/RE
EQUIPMENT i-NSTAL~TION -'MAINTENANCE-. ' CALIF. coNtRACTORS LIC. N0. 294074" ..... ~ ": '1 INVOICE N°'
INvoIcE ' T -
I '
TO ' " 0
-" HOURS '.:' ~' ' '
MILEAGE
SubContraCt -
~entals
s ~TV. PART NO. .-. DES6~[PT~0N
Hazardous'Waste
:~Disposal Fee
~Supplies
Date Completed /.~' /'- ~ ~ T~chnician(s); :~~ ~ x
Received' & AccePted ~-- f..~ nV~ TOTAL
-. PLEASE;PAY FROM THIS INVOIO~:~RMs: Net Cde'upon Receipt PLEASE RLW EQUIPMENT
' . Fin'ance~ge of 1 ~/~% per Month P.O..BoX 6~O
_C(~'RECTION NOT JI~E
BAKEFISFIELD FII~E DEPAI::ITMENT N°_ 0 3 8 ~i
Sub Div. ~-~.c~ ~~ . Blk. Lot
You are hereby required to make the following corrections
at the above location:
Cot. No
,/~ -~ - . ~ - ,
~ . · , ~...'.1' '
~'-I ' . ,?,~ · ~ ~
~¢omplet~on ~a~e for ~ctions
Inspector'
RAGE. Bakersfield Fire Dept.
' UNDERGROUND STC INSPECTION
Bakersfield, CA 93301
FACILITY PHONE No. .~&t -~'~ tL[ ,D~ ,D~ ,O~
: ,. , Size Size Size
REQUIREMENTS yes no n/a yes no n/a yes no n/a
1 a. Forms A & B Submitted
lc. Operating Fees Paid
ld. State Surcharge Paid
le. Statement of Financial Responsibility Submitted
lf. Written Contract Exists between Owner & Operator to Operate UST
2a. Valid Operating Permit
2b. Approved Written Routine Monitoring Procedure .-~ I,,'" ~"~'
2c. Unauthorized Release Response Plan ,~ ~ .,~' ,.,'"
3a. Tank Integrity Test in Last 12 MOnths
3b. Pressurized Piping Integrity Test in Last 12 Months
3c. Suction Piping Tightness Test in Last 3 Years
3d. Gravity Flow Piping Tightness Test in Last 2 Years
3e.: .. Test Results Submitted Within 30 Days ~ ~,~' ,"~'
3f. Daily Visual Monitoring of Suction Product Piping
4a. .Manual Inve6toryReconciliation Each Month
4b. Annual Inventory Reconciliation Statement Submitted v
4c. Meters Calibrated Annually
5. Weekly Manual Tank Gauging Records for Small Tanks
6. Monthly Statistical Inventory Reconciliation Results / ~'~--
7. Monthly Automatic Tank Gauging Results ,/'
8. Ground Water Mohitoring
9. Vapor Monitoring ,'/
A~' .'10. Continuous Interstitial Monitori0g for Double-Walled Tanks
'~·'~' 11. Mechanical Line Leak Detectors
12. Electronic Line Leak Detectors
13. Continuous Piping Monitoring in Sumps ~"
14. Automatic Pump Shut-off Capability
15. Annual Maintenance/Calibration of Leak Detection Equipment I~ v~ v~ ,~.
16. Leak Detection Equipment and Test Methods Listed in LG-113 Series
17. Written Records Maintained on Site "v
18. Reported Changes in Usage/Conditions to Operating/Monitoring
Procedures of UST System Within 30 Days
19. Reported Unauthorized Release Within 24 Hours J
20. Approved UST System Repairs and Upgrades '
21. Records Showing Cathodic Protection Inspection
22. Secured Monitoring Wells
23. Drop Tube
RE-INSPECTION DATE RECEIVED
FD 1669 (rev. 9/95)
BE:kZER E~-kS"F, kNC., ~36 SEVENTH AVENUE, PFIWSBURC-H, Z~. [5;i9 USA
TEL: 4t2 227-;430 FAX: 412 227-!042
LAW DE?.A. RTA, IENT
· Jilt M. Blundon ~une 28, 1994
General Counse{
Tiaomas Burgunder
Mary Oombrowski Wright Robert' M. Brier, Treasurer
Billie S. F~ahcr~ Beazer West, Inc.
Mary C. Fairtey 2515 McKinney Avenue
Te."ranc," Gileo Faye Dallas, Texas 75201
Robe= M. Lucas
Re: UST financial assurance
ViA OXFERNIGFFf DELIVERY
Dear Robert: ...... :.
Enclosed please find the original letter of credit, a copy of
the standby trust agreement, and an original updated c~rtificate
of financial responsibility arranged on behalf of Beazer West,
_mc., ("BW!"), which documents together demonstrate that BWI is
utilizing a g~arantae mechanism to provide financial assurance
for the less than 100 total underg~round storage tanks ("USTs")
its subsidiaries have at their respective facilities.
Please maintain the original letter of credit and certificate
of financial responsibility, and copy of the tl-ust agreement,
at BW!'s Dallas office. ·Please also confirm with each of your
s'~bsidiaries that they have copies of all t_haree documents
each faci!itv at which an UST ~_s located, and have sent a copy
of all three documents to any state agency that may require
filing of proof of financial assurance for USTs.
By 'copy of this letter and enclosures, I am providinq Karin
Accomando of Southwest Const~--uction Materials and Sea-vices; and
Clyde Ding of Gifford-Hi!l with their copies, which they in turn.
can copy and provide to each of ta%eir respective facilities
and/or state agencies that require filing, (I previously sent
Karin and Clyde a memo dated May 23, 1994 outlining the
particular requirements of each state they reported to me
contained a BW! subsidiary that had a UST). I am aware of no
other BW! facilities that have USTs other than t_kose Karin and
Clyde have told me about in response to an inquiry ! sent to
Bruce Reiser, Jim Craft, Clyde Ding and Brett Braden dated April
13, 1994, so Z believe that by providing them wit~% these copies
BWI should be covered.. Please let me know if I am incorrect.
· Should you have any questions about t~%is mailing, please feel
free to give me a call. In any event, T wi!! likely, be in touch
with you before the end of the year witah information regarding'
BWI's long term options for providing UST financial assurance.
Yours very truly,
Robert M. Lucas
cc: Clyde Ding
'~'n~¢r's Di~ec~b~ccomando
CF{EDIT
New Yore Branch
.... CredLt Lyoanai~ Buil.din~ ...
1.30! Avenue~ of tke ~eri'cas "
Ne~ York', Ne~ York 1O0T9 ' '
. . ' '· ' ' ' .' ". ' ' " -' '"'~. ' ~"T '" ' '.'f ' "? .
Director~ Stat~ Imp/eme'. ti~ ~ " ....'" :.' ".
........ '""'~ ........ ' .... ~"'"'=" '~ "'
· .:. · .~ ; ...' . . . · . :.' .. ~ . . .
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V' "~__ ?7 ' · ' ' '"' '?' ~ ': !. :~-":: ' :' .77"~ ' -' .['r"~ ~-
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'el: (212) 251-7000 Cable Credionais, New York 62%10/82723
,wilt Address, CRLYUS33
C EDiT LYONNAIS
property damage caused by eLtker sudden accidental releases~
no~~sudden accidental releases or accidental releases arising' from
operating the Underground storage, tank(s) identified in scked~Eb
A in the-Amount of one million ~.S. Dollars CSk,000,.000) per
occurence and One ~il!i~ U-.S. dollars (Sl,.000,.000..00)' annual ·
.. The iette~ of credit' ma~ ~0~ be'.d~a~ o~ to cov'e~ any' of' the .,. L '~ ....
· . _~ under ~:~.~onke~.' s. compensation,, disability .benefLts,_.o~. - '' -
~em~o~e~t. compe~satio~ law' or' other s~milar !aw~ ..
~ ~ ..... ~ .....~.:~ , · ~ . · .. . .-'.~. ~. · .. , - - .. . . .: ..... .... .. · ~ -'~. . .. · ,~.
(b)... Bodily. fnj~ to-an em~Ioye.e pr' the o~e~', or ooer~tio~. ~See ....
. . maiu, ten~c~ ..use,, :.o=" emtzustme~t., t.~' o.the=~., o~.,an.v., aircrai t ~ mu.tom: ........ ' . ·
vehkc!e, or' watercraft;-..:
re.!.eas'e from = petro!e ~dercround'sto ce tan ., .t . ~ -... -:.
(e~ '' ju ' o ~'d · for_which' the owner or
..oper~'o~ ('~ee 'Scked~i~"A~ 'f~ obtiqa%~'~' tO.~palr d'amag'es"'by-reasom~ ...... '-'
o~.the.._ass~Dtion, of....tLabLkLt~ i~.a. co~tract, or -= ~ ~ ~ '
: . .than a- co~tract o~ agreement entered' i~t.o't.o, meet the ..... :' · '. .....
: ....daYs-.-he~Or~(the..c~u~na."exDiration' date ~ we' mutiny Beazen~ Wes.=~-..' ...... [ ':
~eazer Nest 'inc...fn accordance wft~ your instructions'.. .'- "
!: [212) 26!-7000 Cable:Credionais, New York 62~10/82723
wi=t Address, CRLYUS33 :
I CF EDIT L¥ONNAJS
we certify t.kat tke wordinq Of tkis letter of credit~ is identical
to tk~'wordinq .sPecified:. in ~_0.. CFR gm 80. 99' Cb'): aS: SUC~ regulations z:-- -
..were'_constituted ...°~ tke, date skown .i~ed'.ia~IY~='. .above ·
:~.'. ~. W~ herebr. ep. qaqe- w~ d~Wers-..~nd/or, bon~ fi. de--koide'~:.tka.r_'e:-.:'.--~....
:drafts and~ doc~ents dra~ an~'"neqotiate~ i~ accordance w~tk2 the
· . ' t.e~s.'' 6~-' ' % 'k~m ~ 'cre~i~' wL'.I.i be 'd~iy[. hOnore~ "0~: pre~'Jn~'aFt [0n~ t o'~-"US:-_
· Cred:it f~ S'uh fi t.o UCP fo~ Documenta.r~-Credits'
;~'. '0' :":':[!' 9.93~' R.e.~f's:f0~ 7.':7!~e~&~f. on~Z:' '~ka~e~. o f comerc~ ?ubr ica~f'~'m '~0..}~'.:;~,:L-" .
?-.f.i.., · ..j , ~..:Cr ................
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vf ~'.~'.~ '~ *--., ~ I. '"":'""~"" ' ,"~ :;,~ '':~ .... t'* ~':"7' t' "-' ".~ (.' '.": .... : ..... :"',.. ""~'~ ......... ~ ~.''~5:~-": :.-'~' ·
.~i:.(212) 261-7000 Cabte:Credionais, New York 62~I0/82723
~ift Address, CRLYUS33 :
BE~&ZER el/EST, "INC.
,~. ,~ ' ANNUAl/. FACILITY'S
:; . . PETROLEUM:. . AVERAGE
· :' :'" · NUMBER:::OF .... .: : . . ... :. THRU;'-PU~:I :::: .. MONTHLY
· TANKS',4JVD ":": '' PREVIQUS': " pETRQIJ-.EUM
NUMBER· OF TANKS 'SIZE" ..... CONTENTS: CALEND;4R:"YEAR THRU~PUT
Arkansas
Little River
P~ant #902 ' '" '
P. O. Rox 9
Ashtown, AR 71822-0009 1 2,000 Gasoline 11,000 917
Eagle Mills
Plant #28 (Millville)
Route 2, Box 94
Bearden, AR 71720 1 2,000 Gasoline Not in Use
Louisiana
Heflin Plant #904.
(Sibley Plant)
P. O. Box 178
Heflin, LA 71039 1 2,000 Gasoline '10,505 875
Heflin Plant
4 Miles South of Heflin
Heflin, LA 71039 1 500 Empty
Texas
Plant #1 1 10,000 Unleaded 32,055
240 Singleton Blvd. 1 10,000 Gasoline 14,727
Dallas, Texas 1 10,000 Diesel 95,590
1 600 Waste Oil 4.,233 12,217
1000 N. Meyers
Grand Prairie 1 11,000 Diesel 197,493
TX 75050 ~ 11,000 Gasoline 29,703 18,933
407 Cherokee
Longview, TX 75607 1 10,575 Diesel 29,44)2 27,50
California:
Chino RMC 1 12,000 Diesel 96,800 8,067
5 ~ 50 Schaefer
Chino, CA 91708
~- :Kern Roc-~'-- ' ~ .1 20,000 Diesel 108,058
· ~ 529 Dolores Street I 1,000 Gasoline 10,124
~ _ 8ak~rsfield,-Ca.93305' 1 5,000 Motor Oil 2,819
Wheeler Ridge Plant 1 10,000 Diesel 134,263 11,189_
4 Miles South of Hwy 166
on Sabodan Road
James Rcad 1 1,000 Gasoline To be removed 5/94
NW Corner James Fid. & Oilfield Rd. 1 4,000 Diesel To be removed 5/94
Oildale, CA 93308
Sim Harris Company 1 10,000 Diesel 459,795
9229 Harris Plant Rd. 1 10,000 Gasoline 140,718 50,043
San Diego, CA 92103-0021
South Coast Materials. 3 10,000 Diesel
3710 Haymar 0rive 2 12,000 Oiesel 435,351
Carlbad, CA 92008 1 500 Waste Oil 2,000
2 10,000 Gasoline 43,350 40,312
I rvine~Lake Plant 1 10,000 Diesel 188,874 15,740
5305 Sandago Canyon Rd.
Orange, CA 92666
Long Beach HMA 1 10,000 Diesel 961 80 I
1636 E. 32rid St.
Long Beach, CA 90801
Orange HMA 1 10,200 Diesel 0
6145 Sandago Canyon Rd. 1 13,280 Diesel 0
Orange, CA 92666 1 20,000 Oiesel 0
1 22,000 Diesel 101,882
1 10,000 Gasoline 79,920
1 10,000 Gasoline 0
1 1,000 Waste Oil 2,400
1 20,000 Gasoline 0 15,350
Irvine L~ke Plant 1 10,000 Diesel 188,874 15,740
5305 SanlJago Canyon Rd.
Orange, CA 92666
Long Beach HMA 1 10,000 Diesel 961 80
1636 E. 32nd St.
Long Beach, CA 90801
Orange HMA 1 10,200 Diesel 0
6145 Sandago Canyon Rd. 1 13,280 0iesel 0
Orange, CA 92666 1 20,000 Diesel 0 "
1 22,000 Diesel 101,882
1 10,000 Gasoline 79,920
1 10,000 Gasoline 0
1 1,000 Waste Oil 2,400
1 20,000 Gasoline 0 15,350
San Juan Capistrano HMA 1 21,000 Diesel 5,341 445
26772 Avery Parkway
Mission Viejo, CA 92675
South Gate HMA 1 21,000 Diesel 2,8'74 240
5625 Southern Ave.
South Gate, CA 90280
Upland Plant . 1 10,000 Diesel .0
1499 Bensan Avenue 1 10,000 Diesel 0
Upland, CA 91786 1 10,000 Diesel 210,939
1 550 Motor Oil 1,995
1 8,000 Gasoline 11,407 18,695
lrwindale Main Office 1 10,000 Unleaded Gasoline 8,700 725
16080 E. Arrow Highway
Irwindale, CA 91706
lrwindale Plant 1 20,000 0iesel 565,000
13550 Live Oak Ave. 1 10,000 Unleaded Gasoline 3,700
Irwindale, CA 91706 1 8,000 Motor Oil. 9,600
I 2,000 Hydrauliic Oil 2,500
1 1,000 Waste Oil 3,000
~ 1 700 Waste Oil 2,200
Garfield Plant 1 10,000 Diesel 63,600 5,300
6956 Cherry Ave
Long E~each, CA 90805
Santa Monico Plant 1 10,000 110,400 9,200
1620 19th Street
Santa Monico, CA 90404
Sun Valley Plant 1 10,000 Diesel 133,200
1172_0 W~cks Street 1 7,500 Engine Oil 5,000
Sun Valley, CA 91352 1 1,400 Waste Oil 2,400 11,717
Vernon Plant 1 10,000 Diesel 95,280
2822 Soto Street 1 550 Waste Oil 1,000 8,023
Vernon, CA 90058
A.V. Ready Mix 1 12,000 Diesel' 72,000 6,000
42201 N. Division Street
Lancaster, CA 93534
~UL~ B
TRUST AGREF_aM2F~NT
Trust agreement, the 'Agreement,' entered into as of June ~,_~__, 1994 by and between
Beazer West, Inc. a DelaWare Corporation, the 'Grantor,' and Mellon Bank, N.A. a National
Banking Association, the 'Trustee.
Whereas, the United States Environmental Protection Agency, 'EPA,' an agency of the
United States' Government, has established certain regulations applicable to the Grantor;
requiring that an owner or operator of an underground storage tank shall provide assurance that
funds will be available when needed for corrective action and third-party compensation for
bodily injury and property damage caused by sudden and nonsudden accidental releases arising
from the operation of the underground storage tank. The attached Schedule A Lists the number
of tanks at each facility and the name(s) and address(es)of the facLLity(ies) where the tanks are
located that are covered by the standby trust agreement.
Whereas, the Grantor has elected to establish a letter of credit to provide all or part of
such fina.nc~l assurance for the underground storage tanks identified herein and is required to
establish a standby trust fund able to accept payments from the instrument;
Whereas, the Grantor, acting through its duly authorized officers, has selected the Trustee to be
the trustee under this Agreement, and the TrUstee is willing to act at trustee;
Now, therefore, the Grantor and the Trustee agree as follows:
Section 1. Definitions
As used in this Agreement:
(a) The term ' Grantor' means the owner or operator who enters into this Agreement and
any successors or assignees of the Grantor.
0a) The term 'Trustee' means the TrUstee who enters into this Agreement and any
successor TrUstee.
Section 2. Identification of the Financial
Assurance Mechanism
This Agreement pertains to the letter of credit No. ^ , from which the standby trust
fund is established to receive payments.
Section 3. Establishment of Fund
The Grantor and the Trustee hereby estabLish 'a trust fund, the 'Fund,' for the benefit
of implementing agency (See Schedule B). The Grantor and the Trustee intend that no third
party have access to the Fund except as herein provided. The Fund is established initinlly as
a standby to receive payments .and shall not consist of any property. Payments made by the
provider 'of financial assurance pursuant to the Director of the implementing agency's (See
Schedule B) instruction are transferred to the Trustee and are referred to as the Fund, together.
with all earnings and profits thereon, less any payments or distributions made by the Trustee
pursuant to this Agreement. The Fund shall be held by the Trustee, tN TRUST, as hereinafter
provided. The Trustee shall 'not be responsible nor shall it undertake any responsibility for the
amount or adequacy of, nor any duty to collect from the Grantor as provider of financ/ai
assurance, any payments neces~ to discharge any liability of the Grantor established by the
state implementing agency (See Schedule B)
'seCtion 4. Payment for Corrective Action
and/or Third-Party Liability Claims
The Trustee shall make payments from the Fund as the Director of the implementing
agency (See Schedule B) shall direct, in writing, to provide for the payment of the costs of
tatting corrective-action and/or compensating third parties for Ixxtily injury and property damage
mused by either sudden acc/dental releases or nonsudden acc/dental releases arising from
operating the tanks covered by the financ/al assurance mechanism identified in this Agreement.
The Fund may not be drawn upon to cover any of the following:
(a) Any obligation of the owner or operator (See Schedule A) under a workers'
compensation, disability benefits, or unemployment compensation law or other similar law;
(b) Bodily injury to an employee of the owner or operator (See Schedule A) arising
from, and in the course of employment by the owner or operator (See Schedule A);
(c) Bodily injury or property damage arising from the ownership, maintenance, use,
or ennmstment to others of any aircraft, motor veh/cte, or watercraft;
(d) Property damage to any property owned, rented, loaned to; in the care, custody,
or control of, or occupied by the owner or operator (See Schedule A) that is not the direct result
of a release from petroleum underground storage tank;
(e) Bodily injury or property damage for which the owner or operator (S~ Schedule.
A) is obligated to pay damages by reason of the assumption of liability ina contract or
agreement other than a contract or agreement entered into to meet the requirements of 40 CFR
280.93.
The Trustee shall reimburse the Grantor, or other persons as specified by the Director
(See Schedule B), from the Fund for corrective action expenditures and/or third-party liability
claims in such amounts as the Director (See Schedule B) shall direct in writing. In addition,
the Trustee shall refund to the Grantor such amounts as the Director (See Schedule B) specifies
in writing. Upon refund, such funds shall no longer constitute part of the Fund as defined
here/n.
Section 5. Payments Comprising the Fund
Payments made to the Trustee for the Fund shall consist of cash and securities acceptal~le to the
Trustee. ·
Section 6. Trustee Management'~
The Trustee shall invest and reinvest the principal and income of the Fund and keep the
Fund invested as a single fund, without distinction between principal and income, in accordance
with genera/investment policies and guidelines which the Grantor may communicate in writing
to the Trustee from time to time, subject, however, to the provisions of this Section. In
investing, reinvesting, exchanging,', selling, and managing the Fund, the Trustee shall discharge
his duties with respect to the trust fund solely in the interest of the beneficiaries and with the
care, skill, prudence, and diligence under the circumstances then prevailing which persons of
prudence, acting in a like capacity and familiar with such matters, would use in the conduct of
an enterprise of a Like character and with Like aims; except that:
(i) Securities or other obligations of the Grantor, or any other owner or operator of
the tank3, or any of their affili.ntes as defined in the Investment Company Act of 1940, as
amended, 15 U.S.C. 80a-2(a), shall not be acquired or held, unless they are securities or other
obligations of the federal or a state government.
(ii) The Trustee is authorized to invest the Fund in time or demand deposits of the
Trustee, to the extent insured by an agency of the federal or state government; and
(iii) The Trustee is authorized to hold cash awaiting' investment or distribution
uninvested for a reasonable t/me and without liability for the payment of interest thereon.
Section 7. Commingling and Investment
The Trustee is expressly authorized in its discretion:
(a) To transfer from time to time any or all of the assets of the Fund to any common,
commingled, or collective trust fund created by 'the Trustee in which the Fund is eli~ble to
partic/pam, subject to all of the provisions thereof, to be commingled with the assets of other
trusts partic/pating there/n; and
(b) To purchase shares in any investment company registered under the Investment
Company act of 1940, 15 U.S.C. 80a-1 et seq., including one which may be created, managed,
underwritten, or to which investment advice is rendered or the shares of which are sold by the
Trustee. The Trustee may vote such shares in its discretion.
Section 8. Express Powers of Trustee
Without in any way limiting the powers and discretion conferred upon the Trustee by the
other provisions of this Agreement or by law, the Trustee is expressly authorized and
empowered:
(a) To sell, exchange, convey, transfer, or otherwise dispose of any property held by
it, by public or private sale. No person dealing with the Trustee shall be bound to see to the
application of the purchase money or to inquire into the validity or expediency of any such sale
or other disposition;
Co) To make, execute, acknowledge, and deliver any and all documents of transfer
and conveyance and any and al/other instruments that may be n~.essary or appropriate to carry
out the powers herein ga'anted;
(c) To register any securities held in the Fund in its own name or in the name of a
nominee and to hold any security in bearer form or in book entry, or to combine certificates
representing such SeCurities with certificates of the same issue held by the Trustee in other
fiduc/ary capadties, or to deposit or arrange for the deposit of such securities in a qualified
central depository even though, when so deposited, such securities my be merged and held in
bulk in the name of the nominee of such depository with other securities deposited therein by
another person, or to deposit or arrange for the deposit of any securities issued by the United
States Government, or any agency or instrumentality thereof, with a Feder-~l Reserve bank, but
the books and records of the Trustee shall at all ames show that all such securities are part of
the Fund;
(d) To deposit any cash in'the Fund in interest-bearing accounts maintained or savings
certificates issued by the Trustee, in its separate corporate capacity, or in any other banldng
institution affiliated w/th the Trustee, to the extent insured by an agency of the federal or state
government; and
(e) To compromise or otherwise adjust all claims in favor of or against the Fund.
Section 9. Taxes and Expenses
ct
Al/taxes of any k/nd that may be assessed or levied against or in respect of the Fund and
all brokerage commissions incurred by the Fund shall be paid from the Fund. All other
expenses incurred by the Trustee in connection with the administration of th/s Trust, including
· fees for legal services rendered to the Trustee, the compensation of the Trustee to the extent not
paid directly by the Grantor, and all other proper charges and disbursements of the Trustee shall
be paid from the Fund.
Section 10. Advice of Counsel
The Trustee may from time to time consult with counsel, who may be counsel to the
Grantor, with respect to any questions arising as to the construction of this Agreement or any
action to, be tnken hereunder. The Trustee shall be fully protected, to the extent permitted by
law, in acting upon the advice of counsel.
Section 11. Trustee Compensation
The Trustee shall be entitled to reasonable compensation for its services as agreed upon
in writing from time to time with the Grantor.
SeCtion 12. Successor Trustee
The Trustee may resign or the Grantor may replace the Trustee, but such resignation or
replacement shall not be effeCtive until the Grantor has appointed a successor trustee and this
successor accepts the appointment. The successor trustee shall have the same powers and duties
as those conferred upon the Trustee hereunder. Upon the successor trustee's acceptance of the
aPPOintment, the Trustee 'shall assign; transfer, and pay over to the successor trustee the funds
and properties then constituting the Fund. If for any rmson the Grantor cannot or does not act
in the event of the resignation of the Trustee, the Trustee may apply to a court of competent
jurisdiction for the aFpoinUnent of a successor trustee or for instructions. The successor trustee
shall specify the date on which it assumes administration of the trust in writing sent to the
Grantor and the present Trustee by certified mail 10 days before such change becomes effeCtive.
Any expenses incurred by the Trustee as a result of any of the acts contemplated by this Section
shall be paid as provided in Section 9.
Section 13. Instructions to the Trustee
All orders, requests and instructions by the Grantor to the Trustee shall be in writing,
signed by such persons as are designated in the attached Schedule C or such other design~.s as
the Grantor may designate by amendment to Schedule C. The Trustee shall be fully protected
in acting without inquiry in accordance with the Grantor's orders, requests, and instructions.
All orders, requests, and instructions by the DireCtor of the implementing agency (See Schedule
B) to the Trustee shall be in writing, signed by the DireCtor (See Schedule B), and the Trustee
shall act mad shall be fully protected in acting in accordance with such orders, requests, and
instructions. The Trustee shall have the right to assume, in the absence of written notice to the
contrary, that no event constituting a change or a termination of the authority of any person to
act on behalf of the Grantor or the Director (See Schedule B) hereunder has occurred. The
Trustee shall have no duty to act in the absence of such orders, requests, and instructions from
the Grantor and/or the Director (See Schedule B), except as provided for herein.
Section 14. Amendment of Agreement
This Agreement may be amended by an instrument in writing executed by thc Grantor
and the Trustee, or by the Trustee and the Director of the implementing agency (See Schedule
B) ff the Grantor cra-sea to ex/st.
Section 15. Irrevocability and Termination
SubjeCt to the fight of the parties to amend this Agreement as provided in Section 14, this
Trust shall be irrevocable and shall continue until terminated at the written direction of the
Grantor and the Trustee, or by the Trustee and the Director of the implementing agency (See
Schedule B), if the Grantor ceases to ex/st. Upon term/nation of the Trust, all remaining trust
property, less final trust administration expenses, shall be delivered to the Grantor.
Sec~on 16. Immunity and Indemnification
The Trustee shai/not incur personal liability of any nature in connection with any act or
omission, made in gc~ faith, in the administration of this Trust, or in carrying out any
directions by the Grantor or the Director of the implementing agency (See Schedule B)is.sued
in accordance with this Agreement. The Trustee shall be indemnified and saved harmless by the
Grantor, from and against any Personal liability to which the Trustee may be subjected by reason
of any act or conduct in its of-tidal capacity, including all exPenses reasonably incurred in its
defense in the event the Grantor fails, to provide such defense.
Section 17. Choice of Law
This Agreement shall be administered, construed, and enforced according to the laws of
the sate of Pennsylvarfia or the Comptroller of the Currency in the case of National Assoc/ation
bank&
Section 18. Interpretation
As used in this Agreement, words in the singular include the plural and words in the
plural include the singular. The descriptive headings for each section of this Agreement shall
not affect the interpretation or the legal efficacy of this Agreement.
In Wimess whereof the parties, have mused this Agreement to be executed by the/r
respective officers fully author/zed and their corporate seals (if applicable) to be hereunto affixed
and attested as of the date fi_rat aboVe written. The parties below certify that the wording of this
Agreement is identical to the wording spec/fled in 40 CFR 280.103¢)(1) as such regulations
were constituted on the date written above.
Beazer West, Inc. Mellon Bank, N/~.
General Counsel
State of Pennsylvania
County
On this ~une aY, 1994 before me personally came Iill M. Blundon to me known, who, being
by me duly sworn, did depose and say that she is Vice President - Chief L~gal Officer of Beazer
West, Inc. the corporation ' described in and' wkich~exeCuted the above instrument; that flae knows
the seal of said corporation; that the seal affixed to such instrument is such corporate seal; that
it was so affixed by order of the Board of Directors of said corporation; and that she signed her
name thereto by like order.
SCHEDULE C ~
Jill Blundon Senior Vice President
General Counsel
George H. Hempstead, III Vice President
George H. MacLean '- Vice President &
Assistant Treasurer
Robert M. Brier Treasurer
Christine Wubbolding Assistant Treasurer
~-~ 'e ~' CERTI~CATION OF FIN~NC~ R¥SPONSZBrIJTY
Beazer West, Lac. as gmranror for its' subsidiaries hereby cerri_~es t~t it is in complian~ with
the requiremenm of Subparr H of 40 CFR Parr 280.
The financial assurance mecham.~ms used to demonswam financial ~nsibility trader Subparr
H of 40 CFR Parr 280 are as follows: ' "' '
(1) Gam-ante~ as set forth in 40 CIz'R Parr 280.96.
(2) Standby letter of credit in the amount of $1 million per occurrence and $1 mi/llon
annual aggregate coverage. Such letter of credit is subject to renewal annually.
(3) A Trust Agreement naming Mellon Bank, N.A. as the 'Trustee~. The Trust
Agreement will remmin in eff~t as long as the standby letter of credit is in
These mechanisms will be wed for compensating third p~ for b~y ~j~ ~d pro~
~e ~u~ by ~ sudden md non-sudden ~iden~ m!~.
~ W~t, ~c.
fM. Bl~do~
Prudent
Wimess
Iune.,°~', 1994
'Y'FF .,_qER -ROOT
, LO '-'~- "-"
--C.._,~1 ' ,'I ~.;r-r-~ ~- , ~, _ .. --
T~Nk..' ' ~,, TI S_--,=' '~ '.'" r--IF..F..'-F..LI;.~ i .
L~. :, EL. ,-.r"~ .... ,
· :,~,'~.:,Uh: TANK L'-' "'~ ,-.,--~.,-.,- , TLS-;:~F~
~,'~-L ._-,.~:.,.t.:,,,~ ,FINr-.. LE,,E., SENL--;OF..'
· JUN P ,.'-',
iE" ~ PH iNVEN'=-'-''''' '
' ,JK, R EF'L'.,'R T
· JUN P.....-': :['9'9.6 CALF'N.T.~AR CLOL-:K~
S£NSI]R .STATLiF; i,--'-'8~ F'M .JLiI'-i ;--'7., i'996
-SEN.SOR iA ~.'-,~.~,.,
· ,tUR?~HL ,
· SENL:;OR !..-,?'iORHAL TANK l~ LEI:/tI'( TIFT~--;-"?
'-'
- '-"- .... ~-' F'?i
SENE:OR ;--'A NORHAL
SENSOR ;:,?, NOF,'-HA'L F, 1 6'~ ""-',' , ,-
- L~HLL~I~'~'-' r,~ , . --
.. -' _i'-;._-, fuEL LEAK ~' T -.~-
.... =~E~EL. ~ L--;'FF~F'
'SENSOR '-'-'.
._-,I-t i'.i-'~,~'
....... M:._, ...-'~LAGE 4: m~.-~ AH
LI F..', ,~L -
'SENE;OR '-"-' ~"F ,', ..... -,:' 68 ,--,',-,' ....
· -' ?' ~'~ JF..'t'II-tL ""~'. i N FUEL
L. H r_ .:)
. ..E~.E~ iNCHES N~TEF..: AUTO PRINT 'i
EX-TERNAL i.?.~P. STAT'"-' R'i 8 DEGREE'S' F '
d.-, - ' '
OPEN - 7: E~E~ AH
· · ~' TAI'-!I..':.' 2 AUTO F'F.: i HT : 2
~.~ ::~'.;,:. ~', -- - .. .[I,i SABLET~
: :..,.... r:..EuUL~R UNL EA:i)E~.S
374 .GAL' '-"-.
LUr'~.'_-, FUEL AIITFi F'RiNT .:,
"':""'" ~ 643 F' ' ' ,--
, .~....-, i i '- -. - - "' '-'
-.,L-FI,~E
"'x "-'= - - [~iSABLED
- ,---,.~4 ~NCHES FUEL
·
..T~NK '-. F.:EL~.~' C~qHF [ F' ',':-'
-:, - ~ Lt,'-=. H T fL-IN:
TUF.:BiNE OiL RLY .."_' RL', .... '
'-'-'"-' ~'~ '=: -/ LEAK ALH NO '-
;--'~55 '.:~LLtlr~.-; F, iE. NO
F:i:_::i ....... - ..... '- ; Hi NATEF.:
b~L.'_-; ULLAGE / NO 'NO
= - t O',,,'EF.:F i LL NO YE':'
· _,E~. ,'_-:5 i NCHES ,F, UEL,_ L-O L i H i T NO NO
E~.E~ iNCHES ~,~ATE~:: THEFT ALH "?ES NO
,--,,-.7 Z~EGREES F ~ iNPIiT NO NO
..EXT. _
! .':-'EN NATER NO NO .....
SEN FIUT ,',-
- ~'~'J N 0 i
]'~iSA~',LEZ~ "i¢,R75 6rqLEg};:.~'"':FHEL L]iE:_--;EL 2
S E N'.--' ~-~ F.: ¢: 0 N F i '-" ~" '~
:--;ENSOF.: 2A 4:00 Afl
.... r._ r_L LOH LiMiT
:_--; E N'.--; 0 F.: ::: .?-: 0 G A L L 0 H S F U E L
0 I]ALLF~H:--; FUEL 1`lAY 29.~ i'996
0 6ALL-""-' FU 05
_ ,_~-~.: FUEL
-fl i E :--; E.L ,_':'. I-~_ C T i i .~ ..... t q '~ '-'-,
"4 HEJ. 6Hi F:APAF:
Hi. 6H WATEF.: Lii'iiT: i 3920 I]ALL¢~?4S FUEL DEC: i.~ i992
0 ~]ALLRH:--; FUEL!
O',/EF. FiLL L]Mi'rl 0 6RLLOH:--; FUEL THEFT
......... _ _.. r,_,.--L 0 GALLOH:--; FUEL .
THEFT LZl'li?: ii:04 PM
~ i00 ' ~]Ai._L,_-~i'~--; FUEL TANK TiLT Af~JEF.::
-2 '-' '
LEAK Li1`]iT: i0:50 PM
N 0 N E
THED. MAL F:C£F?:
ALAR1`] Hi'.::TORY REF'~E~F.'.T
5 MINUTES ..... SEN:--;OR CHANNEL i "
TANK CAF'AF:TTY:
.......... -, _ _ , SEN]OF.: iA
0 t]ALLOK..'S FUEL i ...... FUEL ~JEii:.L:i
0 ~]ALLO.~-..'_-- FUEL i0:-25 A1`]
R_ ~]ALL~-i~.,..'.'_--; F'_' ~,~E
:--; E N :3 0 R i -::: :3 E N.':-; 0 R '-' ~''
FIjEL - "'""- -'"'
H,- i i:L., FUEL DETEF:T ?----'
AUG ;--'8, i995 L-ICT ;:'El, i99;--' '.--;ENF;OR 5
i8:i9 AM l:Fl~: F'M :--;EN'._:;F~: COMM ~-'-"-'
- - - i.,. i~.. ~.
I-ICT ;--El.~ i99;:'
'._:;ENF;CIR i B
FUEL ~_IET L- -' T -
OCT ;--'L--l, i99.;--' F;ENF;I]R C"HA~..iNEL 4 '.--;ENSOR 5A
i: El? PH I]F'EN :-'ENL--;I]R
0 F: T
- ._,, i 99 ;--'
'._:;ENF;OR 4 ;--':5:3 PM
'.--;EN'.--;O~: C:OMM '-'-'"' I
. ."' F--. ~.
'.--;EN?-;OR CHAi'--ii'.iEL ;--' ,--'T
,J~., ;:'8, i ':'.q,: F;EN.'_:;OR 5 '"
.................... i i :ES: AM OPEN SEN>';OR
~' OCT i, i9'92
SE N'.31IIR ;:'B
FUEL [IETi--F:T ; OPEN :3 E I'-~ ::; '- '-'
L! ,":,.
nF:T ;--'8.~ i99;--' !i OCT 5., i99.;--' ·
i;--':5:--~ PM ,l ;--':58 PM
SENL:;OR ;:'H
FUEL 'DETECT
, H ,'-..' I-: E
IDCT ;--'Fl, i':,.q':,
.... - OI_-:T i, igg;:' ~ I-IF '.--;AHF'L::---.'_--; = Bi'-'-'-'
- ' " - ~'1 ~-!
i ;-'" 5F, PH " ' ' - --
. ' - ~'~
T~ i E:--;EL ':'
_SE~j_'.--'_,qtF.'._ ;--'~ F.'~-~;:'?? F1F, 4F,',:~ 5':'
F~F'EN ~-":'-'"'-' - - - - "- - "'- '
_ .:, r_ F~ .:, FI R F:;--' i ,'-"'d.~ Fl':,. i .-"5'-''~ ,_
.F~L-.'T 5, i992 i ~;ENSC, R '_]:HA?~NE~_5 C4 iFli6 28 i,.:~2F:.26
· F.'A 1
Z: 5::: F'M
L. o i 1 e_,. ~'2 1 ':.' 90. ::: 0:'.
SENSOR CHANNEL 3
FUEL .-'] E T'- F: T '.
AUG 8::].~ i995
i0:08 AM
S E N S 0 R '-' "'
FUEL -"]ETEC T
AUG 28, i995
:g' 5': AM
MONITORING
UND -RGROUND STORAGE TANK MON ORING PROGRAM'
This monitoring program must be kept at the UST lo~tion at all tbnel. Th~ information on this monitoring program.are.
'- : . conditions of the opet~g permit. T'ne permit holde~ must notif~ Cthe lo,al a~enev) wlthln 30 days of
any ehangea to the monitoring pro, educes, unless ~quired to obtain approval before making the.e~ang~.-
Requital by Sections 2632(d) and 2MI(h) CCR'.
Facility Name ~.~-'~ ~'~e ~
· ./ - · ·
A. Describe the frequency of performing the monitoring· ,
Piping ~a~],.. - m_~,,e_~ -~e-~.-~ ~-.t~-~ , ~,~,. 2.-/ ~ k~ ·
B. What methods and equipment, identified by name and model,
will be used for performing the.monitoring:
Tank ' -~ V~_~ - ~ ~F~ - 9~
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
.. oerforming ~he monitoring ~nd/or maintaining the equipment
E. Reporting Format for monitoring:
Tank ~-~,,~ ke~k ~;~~
Piping ,. '~
F. Describe the preventive maintenance schedule for the
monitoring equipment. Note: Maintenan=e must be in
ao~ordanoe with the manufacturers' maintenan~e s~hodule
not less than eve~12 months.
G. Describe the training necessary for the operation of UST
system, including piping, and the monitoring equipment:
UNDERGROUND STORAGE TANK MONITORING PROGRAM".
~ monitoring pmg~am must be kept at the UST location at all times. The information On this monito~ng pm&~am are
conditions of the ope~g permit. Thc permit holder must notify (~ local a~enov) · within,-~0 days of
any changes to the monitoring pmeedu.~. ~ ~qui~d to obtain approvaibefore making,the
Requi~d by .S~e~ons 2632(d) and 2641(h) CCR.
1. :If an Unauthorized release occurs, how will the .hazardous
substance be cleaned up? Note.' Xf released hazardous
substances reach the environnent, ~ncrease the ~4re or
explosion hazard, are not cleaned up from the secondaz~
containment vith~n 8 hours, or deteriorate the secondaX~.
containment, then (the local aqenc¥) must be
2. Describe the proposed methods and equipment to be used for
remov%ng and properly disposing of any hazardous substances.
3. Describe the location and availability of the required
/ ~ ~ /
4.. Describe the maintenance schedule for the cleanup equipment.
f ~ ' , ~/' ! /
5. List the name(s) and title(s) of the person(s) responsible
for authorizing any work necessary' under the response plan:
, -- ! ._, , :/ // , '_ ,., . . ,
~:::: : 2080 SO.~NIONAVE ' -" - - nfl
~~"'.- BAKERSFIEL:D, CA 93307 ~- rr i--
. .'~ t'¢'~' m au,,,~' m-= ~..,~ I- r~ V i I-
":: : (805) 834~1100 ~,. ~.~,.~,,,,,,,.<,- U II%IVUIU t-
.......... 0329
543 WEST' BETTERAVI'A .STE. F' · · ,,Lt
' SANTA MARIA, CA 93455 "
?- AUTOMOTIVE - INDUSTRIAL PETROLEUM ' (805) 928-1135
INSTALLATION
MAINTENANCE
CONTRACTORS
CALIF.
EQUIPMENT. . uc. NO. ~94074 ...... ~NVOICE NO.
: MA"_ I~_~ oc .. A, -
INVOICE T
TO. ' I
OFFICE
ONLY
' Rentals
/',.oo: .
~" MAKE~ : MODEL No. SERIAL N'o.
I.
~ ' . ~ Hazardous Waste
¢- : ~is¢osal FOo
Suppli
~:'> ~'~ ~" ~,~'/~/ ' sales Tax
L)ate Gompleted . ¢ ~ .¢ Technician(s); ~/ -. .
Received&Accepted BY ¢/ ~~ TOTAL
PLEASE PAY FROM THIS INVOIOE:~R~Ne{/. ,, ' due upon, Receipt PLEASE. RLW 'EQUIPMENT'
Fm'ance Charge of I Y~%per Month-... m~, IT T~ P:~.
: . after 30 days. :.-.:=: .t, BAKER~FIELD,,CA 933¢2
..... ::.:
--' CERTIFICATION OF FINANCIAL RESPONSIBILITY
FOR' UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM
A. I am r~qulmd to ~mo~rate t~..,,,~,l Req~ondbiity ia ,ke required amouu a~ ~'ia Se,~ioa 2~r/. ~ l& Div. 3. Title/.~ ccl~-
~l $00,~00 doflirs mr o~cur~nco l~:~t-llliiae-doflars annul allrelme
· ~. or . ' . AND /~; ~00 or
~dollar~ per o~-'u~rence ,.. r'~ 2 minion dolla~ annual
' '
hereby certifies that it is in compliance with the requirements of Section 2807,
Article 3, Chapter 18, Division 3, 77tie 23, California Code of Regulations.
The mechanisms used to demonstrate financial responsibility as required by Sect/on 2807 are as fo/lows:
;' Note: if you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this ceriification also certifies that you are in compliance with all conditions for participation in the Fund.
D. F~Namo
FaciLity Namo Fl~ili ~y Addre~
Fac/ii ty Name Fac/Ii ty ,N:kirm
.. CJC~,RrE'C.T I 0 ~ . N,OT I ~?:
-. · :.. . ~ .. : .' , ~:.~ .
-. BAKERSFiELD'FIRE 'DEPARTMENT. I~,L~
.:omo.
su~ ~i~. ~ '%g~ .-. ~.
You are hereby required to make the following cor~ctions
atthe above location: :'~:
I
.
]~spector
326 3979
UNDERGROUNDSTO ~P~ GE INSPECTION ,., Bakersfield Fire Dept.
· Bakersfield, CA 93301
INSPECTION DATE
P, rod~uct .~ Product , Product
In'~'Dale In's{ Date Insl Date.
ROUTINE ~ FOLLOW-UP ~Size size S~e
REQUIREMENTS yes no n/a yes no n/a yes. no n/a
la. Forms A & B Submitted
lb. Form C Submitted *~'.,
lc. Operating Fees Paid ~,~
ld. State Surcharge Paid
le. Statement of Financial Responsibility Submitted
lf. Written Contract Exists between Owner & Operator to Operate MST
2a. Valid Operating Permit
2b. Approved Written Routine Monitoring Procedure
2c. Unauthorized Release Response Plan
3a. Tank Integrity Test in Last 12 Months '-.--; ........
3b. Pressurized Piping Integrity Test in Last 12 Months-"
3c. Suction Piping Tightness Test in Last 3 Years .......
3d. Gravity Flow Piping Tightness Test in Last 2 Years
3e. Test Results Submitted Within 30 Days
3f. Daily Visual Monitoring of suCtion Product Piping :
4a. Manual Inventory Reconciliation Each Month ~'
4b. Annual Inventory Reconciliation Statement Submitted ~1-6')
4c. Meters Calibrated Annually a ~-~,y~u~
5. Weekly Manual Tank Gauging Records for Small Tanks
6. Monthly Statistical Inventory Reconciliation Results
7. Monthly Automatic Tank Gauging Results
8. Ground W_ater Monitoring .
9. Vapor Monitoring
10. Continuous Interstitial Monitoring for Double-Walled Tanks ~//"
11. Mechanical Line ~eak Detectors
t 2. Electronic Line Leak Detectors
13. Continuous Piping Monitoring in Sumps
14. Automatic Pump Shut-off Capability
15. Annual Maintenance/Calibration of Leak Detection Equipment
16. Leak Detection Equipment and Test Methods Listed in LG-113~'§eries
17. Written Records Maintained on Site ,./ v/
18. Reported Changes in Usage/Conditions to Operating/Monitoring
Procedures of UST System Within 30 Days ,"/ ~'~
19. Reported Unauthorized Release Within 24 Hours
20. APproved UST System Repairs and Upgrades ,
21. Records Showing Cathodic Protection Inspection
22. Secured Monitoring Wells
RE-INSPECTION DATE RECEIVED BY:
FD 1669 (rev, 9/95)
2'15-000-000579'~ 7~ ' '/' . ~
KERN ROCK-COMPANY ' '/ -~-~-~" 'I~c~i~'~ ~
300~0 E. SOUTH~STREET ..~ - ' -,?~. '-".
LONG BEACH,'~'CA''' g0805 '. -' ' . ." ' . ~'.-.~,, ':': ::'~ ..:::.,:".:~'~?~?,.~'?"''~ " .
BRET BRADEN. '.,~' .-. " ~.~
D~r Und~und St~ge Tank O~
Our ~s indi~te ~t your bu~n~ d~ n~ have a Ge~i~on ~ Rnanc~l R~n~bil~ on file ~ ~is ~i~.
Our ~s al~ indi~te ~at you have ~n i~ at I~ one ~ming I~ pdor to ~is no~.
PI~ fo~rd e~er a ~py ~ your ~ing S~te app~v~ m~hanism to sh~. finan~al ~n~bil~ ~or el~-
compile the a~oh~ ~i~on for Finan~l ~nsibil~ fo~ and ~tum ~ to ~is offi~.~hin ~ days~, -
~ a~ I~er f~m the ~Ie Water R~r~ Control B~ li~ the app~ fi~ncial ~n~bil~ m~anisms
r~uir~ to ~y for ~e a~ons ~ing ~ I~king underground fuel
Remember, m~ ~nk o~e~ on~ ~ve to show financial r~ponsibil~ for at I~ $10,~ ~ ~n up liabil~. The
Underg~und Storage Tank Gl~n Up Fund (UBTO~ ~y be u~ as the m~anism to ~er ~e m~ining a~d~i
The t~l amoun~ ~ financial r~ponsibil~ r~uir~' (ch~ box~ from ~ion A ~ fo~) a~ as.foll~:
If you don't sell pr~u~ from your ~nKs, and you pump le~ ~an 10,~ gallo~s per
ch~ '~,~ per ~u~en~'.
For o~e~ ~ 101 or more p~l~m underground ~o~ge ~n~ ch~ the "~ million
annual aggr~ate" b~ All ~her n~ only ch~ the '1 million dol~m annual
If you ~ve any qu~ons, or ~ld like h~p in ~mpl~ng the ~e~i~on ~ Financ~l ~ibil~, pl~
Ho~ ~n~, H-~.~ous ~atedals T~hnician, at
Sincerer,
u~ '
REH/dlm '. .. ' ,.; ';:'.' ?: ..~... ·
a~chm~
/"~ M E M B E R BRANCH OFFICE
.~ SANTA MARIA, CA 93455
·~ (805) 928-1135
'~£UM EQUIPMENT INS"'
AUTOMOTIVE - INDUSTRIAL 2080'SOUTH UNION MAILINg ADDRESS
PETROLEUM
EQUIPMENT BAKERSFIELD, CA 93307 o PHONE 834-11'00 P.O. BOX 640
INSTALLATION ' MAINTENANCE CALIF· CONTRACTORS LIC. # 294074 BAKERSFIELD, CA 93302
J--KERN ROCK COMPANy 1765 '--] S7604 ..
P. O. BOX 3329
CA 93385- ~ OELORES ST
BAKERSFIELD
"40RK PERF,0RME'D-PERFORMEO SITE INSPECTION ON MONITOR EQUIPMENT
ALL WORKING GO00' AT THIS TIME
MATERIAL:
NONE
L~g'0R: 2,50 ~00.t.
TOTAL: ~05
PLEASE PAY FROM THIS INVOICE TE~S: NET DUE UPON RECEIPT.
· ¢ $HORTAGES ~U~ 8E ~DE I~ED~LY U~N REEEI~
ORIGINAL
Hazardous Waste
Disposal Fee
j Supplies
Date Completed "~' =';~' , .,, ....
BAKERSFIELD, CA 93307
(805) 834-1100 " ~ SERV'ICE INVOICE
543 WEST BETTERS, VIA, STE. F
S,,NTA M^.,~. CA 9345~.-o.~.c. ......... S 7 6 0 4
AUTOMOTIVE-INDUSTRIAL PETROLEUM · (805).928-113~ .,. ,-
' EQUIPMENT INSTAL~TION - MAINTENANCE. : ~ .. " C~Lm. CON~*CtO~S UC. NO. Z~.O~. -.~.~- ....... ZNVOICE NO.
CHARGE CASH
MAll_ C
INVOICE A
T
TO I
0
L J " N
WORK TO BE PERFORMED: ~
FOR
~ ' OFFICE
USE
WORK ~ER~ORMED: ~ !~,,C ~ ~;, g= ~.~ ~ ........ & ~ o-~. ~ '~ ~; ~g,, ONLY
HOURS
' MILEAGE
Sub G0ntract
~ ,;'
S QTY. PART NO. DESCRIPTION
Hazardous Waste
Disposal Fee
Supplies ..
D~te completed z~:-,~ .~ .... :. Technician(s);. :~ ~,:~' Sales Tax
..: .'.~ . ;~/ ._~- ~. ? ~/-'~'
~eceived & Accepted By ~..'' .~:,;t:=, ..~ .... ~_ ~?~~-~ TOTAL
re. EASE PAY FROM THi'S INVOICE:%RMs:Net due upon Recei6~ PLEASE RLW EQUIPMENT '~ ,
Finance Charge of 1V~%per Month REMIT TO P.O. ~OX 640~ ';
after 30 days. ~A~E~ELD CA g3S02
:/ ' ' ID:
CONDITION OF SYSTEM AT INsPEcTION:..
,O~.D~.[~¢t') C'F S..o.,EM AT INSPECTION:
,:~- ...... --'~ * * QuAR:TERLY ~{ODI FI ED INVENTORY CONTROI~ SHEET
ICOL ?l COL 8[C9L. 9 COL. ~0
~ COL ~ COL. 4~ ' [ - - - COL
cOL. · COL. ~ [ .. ~COL ~ COL ~[ [ , [ [ .
TEST WEEKLY [ WAT.ER 2ND 1ST INCH ~ 2ND 1ST V~LUME
'WEEK. SHUT-DOWN [ LEVEL GAUGE -GAUGE : CHANGE[VOLUME-VOLUME :ChANGE+SUBTOTAL: CUMULATIVE
C HANG E
~ TI~E PERIOD [ INCHES INCHES { INCHES { INCHES [ GALLONS GALLONS O~LLONS GALLONS [ GALLONS
~ DATE / HR ~-t-~/~ { { { {
~,~,~'° ~_~..~ ~ 7~~l7~ ~l~ ,' ~/~ ~/~ ~ o , ~"
~ DATE/~~ ~f~l ' ' I Ii
TO
-
~ ~o ' ' '{ {, {
~o . , '1 I { I I
TO
~,~,,~'° ~.~_~:~{. ~ ,' ~7~', ~ ~d ~ ~zg . ~ 7~ ', ~', ~~ ~ ,'
DATE/HR I I I ' ' i
QUARTERLY S UIVllVlARY
FILL OUT THE FO ;LOWING REPORTING SUI~h~RY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TANK MONITORED IS A WASTE-OIL OR NON-MOTOR VEHICLE FUEL TANK TANK MONITORED IS A MOTOR VEHICLE FUEL TANK
U $ IF: REPORT TO THE PERMiTTINO AUTHORI'I~ #ITHIN 24 HOURS
REPORT TO THE PERMITTING AUTHORITY WITHIN 24
g.' VOLUME CHANGE {COL. O) IS +/- 10 GALLONS OR MORE A. 'TANK OF 1~00 GALLONS OR LESS CAPACITY HAS A VOLUME CHANGE (COL. 0
~ OF +/- 25 GALLONS'OR MORE
B. CUMULATIVE VOLUME' CHANGE (COL. ll) IS +/i 100 GALLONS OR MORE B. TANK OF 1001 TO 5000 OALLONS cAPACITY HAS A VOLUME CHANGE (COL. 9)
OF +/- 35 GALLONS OR MORE
~: C. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL. 9)
{, +/- 50 GALLONS OR MORE
D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. ]1) OF +/- 250 GALLONS
OR MORE OVER THE QUARTER TIME FRAME REPRESENTED ON REVERSE.
SUMMARY SUGARY
TANK # ~ PERMIT # /J--~i3O~-~ TANK # PERMIT #
MONITORING BETWEEN DATES OF /~/--~ AND ~.~..~,~~C- MONITORING BETWEEN DATES OF AND
(INCLUDE YEAR) NOTED ON REVERSE RESU~TEb IN: ~' (INCLUDE YEAR).NOTED ON REVERSE RESULTED IN:
1. A biAXIMUM WEEKLY VOLUME CHANGE (COL 9) OF ~ GALS. 1. A biAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF GALS.
2. A CUMULATIVE VOLUME CHANGE (COL. l~ BOTTOM LINE) OF 2. A CUMULATIVE VOLUME CHANGE (COL. 21, BOTTOM LINE) OF
.~' GALLONS GALLONS
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS tEPRESENT A TRUE. AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. DESCRIBED IN "A" THROUGH "D" ABOVE.
. . SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT
RET~ IN THESE RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
* * QUARTERLY MODIFIED INVENTORY CONTROL SHEET * *
TANK* ~ CAPACITY f6}~ SUBSTANCE STORED ,'~'Z)7~ ~'~ Q UAR T E R / YE AR ~l?~f~ -/~ ~
COL 1 COL 2 I COL 3[COL. 4 CO.L. 5
' ' I ' ~
TEST WEEKLY ~ WATER ~ 2ND 1ST INCH ~ 2ND 1ST VOLUME CUMULATIVE
= : ~ .+SUBTOTAL=
WEEK SHUT-DOWN ~ LEVEL ~GAUGE -GAUGE CHANGE~VOLUME-VOLUME' CHANGE CHANGE
~ TIME PER IOD [ INCHES ~ INCHES ~ INCHES ~ INCHES [ GALLONS GALLONS ~ GALLONS ~ GALLONS ~ GALLONS
DATE/HR 7--~--~1 I I I
',
I DATE/HR
I~/~ 7~~ I I I I
s 1~/~ 7~ ~:~o~ I I I I ~ ~1 I
I TO '
· IDATE/~ ~-~*~ I I I I
~ I' ,o ~ I 1
I DATE/~ ~-/~;~1 I ! I I {. ~l . I
~ ~ I DATE/~-~ I { I I I ~ WI, I i
. I {
SHV3A .qMHH£ ~IO Mf]NINI~I V HO& AJ, I~IIOV~I (13~£INM.qd 2H£ .l.V S(]HOO~]H ~{S~H.I. NIV£.qH
* * J, HOdMM ~IVf~NNV A,I.I'IIOV~I H£IM AMVNNflS SIHJ, .40 AdO0 V J, INSfl$
; -~ *' * * QUARTERLY MODIFIED INVENTORY CONTROL SHEET * *
" FACILITY ~/ ~ ~Z)..--,?~0/~/~'0,~ g.,~, PERMIT ~ /f~~
TANK~ ~ CAPACITY ~~ SUBSTANCE STORED
' I COL 8~C9L 9 COL
~ COL 2 ~ COL ~ COL 4~COL 5] COL 6 COL 7~
COL. ~ . ~ . . ~ . ~ ......
TEST [ WEEKLY ~ WATER 2ND 1ST INCH 2ND lST VOLUME
:C~ANGE+SUBTOTAL: CUMULATIVE
WEEK ~SHUT-DOWN ~ L.EVEL GAUGE ~GAUGE : CHANGE VOLUME-VOLUME CHANGE
~ ~ Tm~ P~.Xo~ ; "XNC.~S XNC.~S ] INC.~S ~ XNC.~S SALnONS -~ ~AnLONS S~nnONS ~AnLONS [ ~An~ONS
I DATE/~1~' ;~H I --
DATE/HR/D
TO
TO
{
~ TO '
,o , ,
~ ~A~/~/~-~1 I I I ' I ~ I
~3 TO _ ' ' I ~ I
, I
i, QUARTERLY SUMMARY
FILL OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TANK ~ONITORED IS A WASTE-OIL OR NON-MOTOR VEHIICLE FUEL TANK TANK MONITORED IS A MOTOR VEHICLE FUE~ TANK
REPORT TO THE PERMITTING AUTHORITY WITHIN 24 ~bURS IF: REPORT TO THE PERMITTIN6 AUTHORITY WITHIN 24 HOURS
A. VOLUME CHANGE (COL. 9) IS +/- 10 GALLONS OR MORE A. TANK OF 1000 GALLONS OR LESS CAPACITY HAS A VOLUME CHANGE (COL. 9)
,. OF +/- 25 GALLONS OR MORE
B. CUMULATIVE VOLUME CHANGE (COL. 11) IS +, 100 GALLONS OR MORE B. TANK OF 1001 TO 5000 GALLONS CAPACITY HAS A VOLUME CHANOE (COL. 9)
OF +/- 35 GALLONS OR MORE
C. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL. 9) 0
+/- 50 GALLONS OR MORE
D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 1i) OF +/- 250 GALLONS
I OR MORE OVER THE QUARTER TIME FRAME REPRESENTED ON REVERSE.
S_.__~AR~ ~ SUMMARY
MONITORING BETWEEN DATES OF ~/P/'~.~-:~P--!~ AND ..~)~.-,;~,, ~ MONITORING BETWEEN DATES OF AND
(INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:
1. A MAXIMUM WEEKLY VOLUME CHANGE (COL~ 9) OF ~ GALS. 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF GALS.
2. A CU~IVE VOLUME CHANGE (COL. 11.~ BOTTOM LINE) OF 2. A CUMULATIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF
.~ GALLONS l' GALLONS
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS!REPREfSENT A TRUE AND I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE. ~,! DESCRIBED IN "A" THROUGH "D" ABOVE.
DATE ~'~. ~, / ~ DATE
:~: :~: SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT
RE~AIN THESE RECORDS A~ THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
. ~' * * QUARTERLY MODIFIED INVENTORY CoNTRoLt SHEET * *
FACILITY .~._~.~/ P~g~.~.- ¢~l~{ ~ :, '; PERMIT ~ /~~~
TANK~ "~ CAPACITY f~ SUBSTANCE STORED ~~ ~'~ QUARTER/YEAR
[ COL 2 [ COL 3 COL. 4 COL. 5~ . [ [ , . [ ~ .
COL. 1 [ - [ - ~ COL' 6 COL 7[ COL. 8[COL 9~ COL. 10 [ COL
TEST [ WEEKLY [ WATER 2ND IST INCH [' 2ND 1ST VO~LUME CUMULATI
WEEK ~SHUT-DOWN [ LEVEL GAUGE -GAUGE: CHANGE[VOLUME-VOLUME :CH~ANGE+SUBTOTAL: CHANGE
~ [ TIME PERIOD [ INCHES INCHES INCHES [ INCHES [ -GALLONS [ GALLONS [ G~LLONS ~ GALLONS [ GALLONS
[DATE/HR/~ - ~ ] ] '~ ~ ] { -~ '
] TO ~ '
4
{ TO ~ { ~~~ ~
,,o i ,
I DATS/"~--~
IDATE/~~ ~ ' { ' { { I
8 I DATE/~d7 ~l I I I ~
I To I
I DATE/~~~t~ I I ~ ~ .
IDATE/HR~ - · , i~f7/ ~. ~
IDATE/HR~F'~ I ~
, .............. ,
~. QUARTERLY. SUNINIARY
FILL OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ·ONLY)
TANK MONI't'ORED IS A WASTE-OIL OR NON-MOTOR VEHICLE FUEL TANK " TANK MONITORED IS A MOTOR VEHICLE FUEL TANK
REPORT TO.THE PERMITTING'AUTHORITY WITHIN 24 ~OURS IF: REPORT TO THE PERMITTING AUTHORITY wITHIN 24 HOURS IF:
A. VOLUME CHANGE (COL. 9) IS +/- 10 GALLONS OR MORE · A.. TANK OF 1000 GALLONS OR LESS CAPACITY HAS A VOLUME CHANGE (COL. 9)
· ti' · :! OF +/- 25 GALLONS OR MORE
B. CUMULATIVE VOLUME CHANGE (COL. ]1) IS ~- 100 GALLONS OR MORE .~ B. TANK OF ]00l TO 5000 GALLONS CAPACITY HAS A VOLUME CHANGE '(COL. 9)
OF +/- 85 GALLONS OR MORE
'}t ~'~, C. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL 9)
+/- 50 GALLONS OR MORE
D. ANY TANK HAS A CUMULATIVE VOLUME CHANGE (COL. 11) OF +/- 250 GALLONS
OR MORE OVER THE QUARTER TIME FRAME REPRESENTED ON REVERSE.
S~RX SUMMARY
TANK # .~ PERMIT # >~-~ TANK # PERMIT #
MONITORING BETWEEN DATES OF ~%7~-~,~_~f AND .~-/~7--/~''~ MONITORING BETWEEN DATES OF AND
: , (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN: (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:
1. A MAXIMUM WEEKLY VOLUME CHANOE (COL. 9) OF ~ OALS. 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL. 9) OF. GALS.
· 2. A ~IVE VOLUME CHANGE (COL. 1~, BOTTOM LINE) OF 2. A CUMULATIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF
~ GALLONS t GALLONS ''
I HEREBY CERTIFY THAT THE ABOVE-NOTED RESULT~ REPRESENT A TRUE AND I HEREBY CERTIFY THAT THE.ABOVE-NOTED RESULTS REPRESENTA TRUE AND
ACCURATE REPORT AND·THAT THEY DO NOT EXCEED {~HE REPORTABLE LIMITS ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE-LIMITS
DESCRIBED IN "A" A~D "B" ABOVE. j DESCRIBED IN "A" THROUGH "D" ABOVE.
DATE DATE ·
SUBMIT A COPY OF THIS SUMMARY WITH FACILITY ANNUAL REPORT
RETAIN THESE RECORDS AT TIlE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
i'
"WE CARE"
January 30, 1995
FIRE DEPARTMENT 1715 CHESTER AVENUE
M.FIRE R. KELLY CHIEF WARNING! S, ERS,E . 9330,
'CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED
2 i 5-000-000579
KERN ROCK COMPANY
529 DOLORES ST
BAKERSFIELD, CA 93305
BEAZER WES'[ iNC
Dear Underground Storage Tank Owner:
Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office,
Please forward either a copy of your existing State approved mechanism to show financial responsibility or else
complete the attached Certification of Financial Responsibility form.
An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms
required to pay for corrective actions resulting from leaking underground fuel tanks.
Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The
Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release
liability.
The total amounts of financial responsibility required (check boxes from section A of form) are as follows:
If you don't sell product from you tanks, and you pump less than 10,000 gallons per month,
check "$500,000 per occurrence". Else, or if you are in the business of selling from your
tanks, check "1 million dollars per occurrence".
For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar
annual aggregate" box. All others need only check the "1 million dollars annual aggregate"
box~
Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in
your Permit to Operate being revoked. (25285.1 (b) California Health & Safety Code). '
If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact
Howard Wines, Hazardous Materials Technician, at 326-3979.
Sincerely,
Hazardous Materials Coordinator
REH/dlm
NIE,'vl l] E R
_., ~ . 1450 W. McCOY SUITE A
~ SANTA MARIA, CA 93455
AUTOMOTIV[ - INDUSTRIAL
P~RO~UM 208O SOUTH UNION 'MAILING ADDRESS
' EQUIPMENT BAKERSFIELD, CA 93307 · PHONE 834-1100 P.O. BOX 640
INACTION - ~INTENANC[ CAUF. CONTRACTORS LIC. ~ 294074 BAKERSFIELD, CA 93302
'
PAGE 1 04/05/94
~ KERN ROCK COMPANY 1765 ~ ~ S33~5
~ O. 80X 3329 PO 500~
8AKCRSF~ELD CA 93385- ~ DELORES
~ A L
W',]c}E CERF'CIRFiEO-INSTALLEO NEW OPW COAX DROP TUBE 0N U/L TANK
°SR S,~'~'~ ,]OAOUiN AiR POLLUTION CONTPOL D[STRICT
MA'TS R ! AL:
0T.Y PART '~ DESCRIPTION PRICE
~*"'P,,.,0cR9 ~TCP. _ 3800CO&XIRL TUBE 4" X ]9o~.89
032956 H599SM GASKET 3.o¢
.i~ ~-~ · ,,~ ,.~
. :=..... . .... ;.; ..... :, ,,,: ......-~': -.,. -:; .. ,. ,,.~:::~,~ :.. ~.:..;.~.: ,...':;:r{,- :,... ....:.::..' .,
. :... ..... . ...,.. .....,..
.,. ~ , ', . '._:, ~'..: . : : _ ~. .~ ..... · .t . . .....· ,. .... ~.
,,.'-.. ' / .... ..¢ .... ~
. , ,'..;';.:? ....
MILEAGE: 10 5 O0
MATERIAL: 234 5~
SUPPLIES: 4 0
SALES TAX: 17 2
TOTAL: 310 3
PLEASE PAY FRO~ THIS INVOICE TE~S: N~ 30 DAYS
~ ~ ~ TO ~OVE~ ~ A~'S fEES. ~ ~R~ ~5 ~E PRO~ OF ~W ~ U~ P~D FOR IN fU~ A RE~G C~GE
ORIGINAL
' -'z-' 'z. ~ _.'%'_ z-:: ;~'. ~: ~- %~:; ."~:~ ~.;~:..~.~:.~- .. 7' ~'~'~'? ?-. :- '<¢' Z-¢}:..'.~-.;'"~ %:._~*. -;,: ~:~" *"'h' ~: . ' .'..':~-: q-]~ >z-/c, .... ?'~?~".,- -,CLx ':--: z::':":---;..C~..:.[A~-4L-: ' ~3r.-: ,; ':.' ,' ~: · , V'J ;.: ' - '. · :~'; ' -:"
....... . ........ -,, '. ;:..'"~ .;:':'. ....... ""..,..'v;..-';,':--'.'-..'; ............ , ...... .......
. ,: ...-,. ..... : .......... ...... .... . ..... ..,.,.... · ._, ..... ._.~...~ ....... · . ..;.........'.'. :..-;.....;.
/ -
. ./ ............. . .......
.% '.:, .: . .... .,. .....
' i' ...L-.-:'L' '. :. .': . =. ....:-.'..... · .. --.. . ... :: - . ::' : - . :....'..:'~'.. ..;.:;;.:~.. :. ' :.':: .. '.
' '[': A'',~, -;.';;-.';:'/':" '"-..' :.;: .~.'::;..'.",'. .... '.~,.'d':'/::::'... ;" .. ' ..... ' ' -' ';, '..'['..' ' . ..: .. :.. '. : :' ' .-'-.. :.: :.:~.. .. -.
BAKERSFIELD, CA 93307PEin- SERVICE INVOICE
(805) 834-1100
1450 W. McCOY, SUITE A .......
...... ~ ........~ 'v C~ ,-)
AUTOMOTIVE - INDUSTRIAL PETROLEUM SANTA MARIA, CA 93455 ~,.o~, ..............
U
· (805) 928-1135 .,o
EQUIPMENT INSTAL~TION - MAINTENANCE CAUl-. CONTRACTORS LIC. NO. 294074 ......... INVOICE NO.
DATE J '
REQUESTED BY PHONE NO. ' ORDER NO. . BY
CHARGE CASH
'~ ~ o~ ~ to~
c
MAIL
INVOICE -~OX '5~ AT
TO
WORK TO BE PERFORMED: ~] ~ I ~ ~M ~ - ,.,~ O~ ~l L ~'~-~
"' ~ Pc. ~ FO R
~, OFFICE
' USE
woRK P[RFORMED: ~ TA//E ~ ¢~ V~' / V~ ~ ~[L K~~ ONLY
MILEAGE
~. Su~ Contract
Remals
MAKE . ' . MODEL NO. .SERIAL NO
S ~Y. PART NO. DESCRIPTION
Hazardou's Waste
Disposal Fee
Supplies
}at4~Comploted %- %--9 g ' ToChniciants): J¢ Sales Tax ·
PL~SE PAY FROM THIS INVOICE. TE~ et due upon Receipl PLEASE RLW EQUIPMENT
' Fi~ce Charge el 2% per Month REMIT TO ' ~o. aox 640~ /, '
atler 30 days. BAKERSFIELD, ~A
/
MEMBER
14`50 W. McCOy SUITE A
· SANTA /v'~ARIA, CA 934,55
~'£1J~,l £1~UI?~,IENI IN~~' (805) 928-1 135
AUTOMOTIVE - INDUSTRIAL
PETROLEUM 2o8o SOUTH UNION MAILING ADDRESS
EQUIPMENT BAKERSFIELD, CA 93307 · PHONE 834-1100 P.O. BOX 640
INSTALLATION - MAINTENANCE CALIF. CONTRACTORS LIC. # 294074 BAKERSFIELD, CA 933'02
PAGE 1 OR/12/qA
[-- KERN ROCK COMPANY 1765 '--I S4700
P. 0. BOX 3329
L__ BAKERSFIELD CA 93385- __] 'DELORES 'ST
~ DENN'T S
WORK PERFORMED-CALIBRATED FUEL PUMPS
MATERIAL: NONE
~.'-'i'.'~ .!/::!.~.~-]~:,T5' '.-:': .:~ ~.~!:~::"t':.,~:,'t::~ }~::;:~ ~:.~x..:. ,,~ ,:~.,.., ~-~, a:.;-~ ~l ::" q h ~ ~ ,ul, ~ ~ , .:i ~ , .'.. '.~
LABOR~ 1.50 ." .., 49.'5
MILEAGE: ~0 ' "~:- · 5.0
'
PLEASE PAY FROM THIS INVOICE TERMS: NET 30 DAYS
E~ C~GE O~ I.~ PE~ ~ W~H ~ 18~ PER ~U~
~T ~ ~ I~ WI~ ~E ~E O~ ~ ~ ~NED EO~ C~
ORIGINAL
I
~k~::.~' :::{!,~b~x{'~,id:;', ' .'-~ ...'[ '. ~,'~:.. r.~ ~ ~'~;.:.~ ~C~:'.i~Z:, :~i:~ [:-;.~:~.[g~.~[.'.~i ::.:..:~,.
1450 W, McCOY. SUITE A .....
AUTOMOTIVE'--' INDUSTRIAL PETROLEUM' ' .... SANTA MARIA. CA 93455
EQUIPMENT INSTALLATION - MAINTENANCE (8O5) 928-1135
· · CALIF'. CONTRACTOR5 LIC. NO, 2,94074 ~v~o;c[~ INVOICE NO.
L 0 ..
FO~
' OFFICE
ONLY
.... . .... j, · /.. - , ., ' HOURS
' · Sub Contract
'' , b~/" ..
., . .... . Rentals
MA~ MOD~ NO. ', .S~RiAL NO. '".
s QTY. ' ~ART~'0.~, .. ". D~SCR~ON~ .... '"' · ' 6~:' '.,
.... . ..... ."...... ..:.:...: '. ..... . .' .,:. . . ."... ' ........:.... · ..
Hazardous Waste
Dispo~l Fee
PL~SE PAY FROM THIS INVOICE. TERMS: ~et ~ue upon Receipt PLEASE RLW EQUIPMENT
" Finance Charge of 2% per Month REMIT TO ~.o. aox ~o
after 3o aays. ~AKERSFIELD. ~A 93302
"' ['"] COUPu*[.C.^NaE [] C^Ua2^.,ON Record of Computer Change, 'Meter Change, or Calibration
'" ' ' I ST~'?N-~°' DATE <%__>Z ' ' --' I DISPA~5" Nq.
' ~ -~ ~ CHECKED ADJUSTED TO
' MONEY GALLONS FAST ISLOW / FAST ISLOW
TOTALIZER FINISH. ~'~ 77.~;,. ~ -- /
READINGS ~O~EV
GAL~NS /~ ~ ~ TOTALIZER SEALED METER SEALED
START /L' ) -~;/~'../,. ~ , I ~,ES ~NO ~Y~S :NO
PROOUCT PUMP ~ TOTAL ' ' '
Pu~P-M~E AND MODEL ~ SERIAL NUMBER _.. '
..
~ONEY '~ ..~ CHECKED ADJUSTED TO
FINISH / SLOW_O FAST SLOW
TOTALIZER
READINGS ~O~E~
UCT PUM~ TOTAL ~ GALLONS RETURNED TO STORAGE
~ ~,'~.:.I~ c..m '1/), ~
- , ,'./ / '/--~' ,).:~ CHECKED . ADJUSTED TO
/ FINISH ~O~EY
TOTALIZER .j ~[~~
READINGS START MONEY GALLO~S~//~_///~,--, ~ TOTALIZEfl S~LED METER SEALED;
, / * .- ~- . GALLONS RETURNED TO STORAGE ,
PUMP-MAKE aND MODEL S~RIAL NUMa~ CALIBRATION
: CHECKED ADJUSTED TO
TOTALIZER FINISH MONEY ~ ~fl~fl~l ~flGALLONS FAST J slow. FAST
READINGS START MONEY u ~u~ ~U~B~UU~ ~ONS TOTALIZER SEALED METER SEALED
~ YES ~ NO ~ YES ~ NO
PRODUCT PUMp ~ TOTAL GALLONS RETURNED TO STORAGE .,
PUMP'MAKE AND MODEL SERIAL NUMBER CALIBRATION
,,, CHECKED ADJUSTED TO
FINISH MONEY GALLONS FAST ~ SLOW FAST ~ SLOW
TOTALIZER r
I
I
READINGS START MONEY GALLONS TOTALIZER SEALED . METER SEALED
~ YES ~ NO ~ YES ~ NO
PROD'UCT PUMP · TOTAL GALLONS RETURNED TO STORAGE .' -..~.;.:~ '.
PuMP.MAKE AND MODEL SERIAL NUMBER ·
CALIBRATION
CHECKED ADJUSTED TO ..
FINISH MONEY GALLONS FAST. ~ SLOW FA5~ ~ SLOW
TOTALIZER ',J
I
READINGS START MONEY GALLONS TOTALIZER S~ALEO METER SEALED
~ YES ~ NO ~ YES ~ NO
PRODUCT PUMP · TOTAL GALLONS RETURNED TO STORAGE
'::-]- i~[ETER. C ALI BR/:~T][ Ob? CHECK ~'ORM ......
~ Note: . ..
t. .All. ~eters ~ust have call'ration checks a minimum off t~ic~ a year, ~hJch may
Include checks done by the Department off ~elahts and Measures.
2.Before startlna calibration runs, ~'et [he, calibration can with product and
'return product to Storaae.
3..Run 5 ~allons 'with nozzle ~ide open into the can. Note ~allons and'-cubic
inches drawn, and return product' to storaae.
4..Run 5 aallons ~tth the nozzle one-half open into tK~ can. Note aallons and
cubic.Inches dra~n, and return product, to storage.
5. Afte: all product for one calibration check ls' returned to.storafe, remember
to record the volume returned to storafe tn column .9 of' the .Inventory
Recordtn~ Sheet.
6. If the volume ~ea.sured in a 5-~allon calibration can is :ore than 6 'cubic
Inches above or belo~ the 5-aallon mark, the meter requires calibration by a
registered device repair~an.
Date/Time. Pump Z Productl 5'-Gallon Drafi 5-6allon Draft to Storaae Required? Used for Calibration
.. ~ ~1 Cu. Inches Cu. Inches 6allons Yes I No[ Calibration
Owner or Operator Signature_
GUBMIT A COPY OF THIS Foam WI't'lt ANNUAL REPORT.
E~ COmPuTER C.ANGE [--'] CAL,SRAT,ON Record of Computer Change. Meter Change. or Calibration
~M~ · . STATIONNO.
~~ ~~ ~C~ ~ CHECKED CALIBRATIONADJUSTED TO
READINGS uo,Ev G~L~ONS '
START ~ ~ ~ YES ~ NO ~ YES ~ NO
PRODUCT PUMP a TOTAL ~
GALLONS RETURNED ~ORAGE .
PUMP'MAKE AND MODEL SERIAL NUMBER
" /~/~ ~ CALIBRATION
~ ~ ~ CHECKED ADJUSTED TO
FINISH MONEY
? GALLONS FAST
TOTALIZER ~
~EADINGS START ~O~Ev GA~ONS
TOTALtZER SEALED METER SEALED
PRODUCT PUMP · TOTAL ~ YES ~ NO ~ YES ~ NO
GALLONS RETURNED TO S~AGE , ,
CALIBRATION
MONEY ~ CHECKED ADJUSTED TO
TOT UZ R
READINGS START MONEY GALLONS '
PRODUCT PUMP · TOTAL ~ YES D NO '~'~ YES ~ NO
. - - GALLONS RETURNED TO~ '
' I' '" · TO
TOTALIZER ~ . ' . ' ..... .... ,.. FAST
READINGS START ' MONEY GALLONS TOTALIZER ~EAEED METER S~LED
~ ~ YES ~ NO ~ YES ~ NO,
PRODUCT PUMP · , TOTAL GALLONS RETURNED TO STOOGE
'PUMP-MAKE AND MODEL SERIAL NUMBER
'= CALIBRATION
~~ CHECKED ~ ADJUSTED TO
FiNiSH MONEY GALLONS FAST ~ SLOW FAST
TOTALIZER . SLOw
READINGS START MONEY GALLONS TO~ALiZER SEALED ME~ER SEALED
PRODUCT PUMP a TOTAL GALLONS RETURN'ED TO STO~ ~ YES ~ NO ~ YES ' : ~ NO
PUMP-MAKE AND MODEL SERIAL NUMBER
CALIBRATION
CHECKED ADJUSTED TO
TOTALIZER slow
READINGS START MONEY GALLONS ~OTALIZER SEALED METER
PRODUCT
~ ~ YES ~ NO ~ YES ~ NO
PUMP · TOTAL GALLONS RETURNED TO STOOGE
.~, MAINTENANCE MAN'S SIGNAUTRE
C~RECTION NOTRE
, ·
,/ : · BAKERSFiELD FiREDEPARTMENT
sub Div._~'~_ ,
You are hereby required to make the following
at the above l~ation:
~or, ~o
Completion Date for corre~uons
Date {/~~
326-3979
· . ,' , ,:~ ,%~-"~"..T~K .... FAcI L'I.,T¥~, ~I~IN.UAr- REPORT
'~' .. '~'l¥'?.-I.~.have-~n°t~d0ne'.:~ or~odlfl~atlons-~o this facilltF during,the
~'"~'~t'i-. Note,i All? major,, mOdifiCations;,:requl~a Permit to construct fr'oa
2;'!'>'i~ haw do'ne ~aj°.r:?;.a~d'if'ications "-ior '~hlch I ..Obtained Permir('s)
Date
Routine,' and -required/maintenance done to this facility's tank
Repatr-:'of'submerg~d:/;~u~Ps i°r ·suction pu~ps.,
ReplaCement. Of/flO~reStrictln~4eak detectors with same.
Repair'/rePlacemen{~!iliOl;';!'dl'spenSers; meters,' or nozzles.
Repair ~,of;i;electronlc ton .components, or replacement
installatlon. Of,,bai'i: fioatVvalves. :. -: ~_ :~; '..
Installatlon-~'or: repat~,;'.Uf: vapor,.recovery/vent lines.
Include[ the,;d~t~':; °'ri~:~aah-.,[repa/v, -or,?' maintenance actlvl
,',,.·",NOTE: All re [acem~nts'ln response to a leak requlre a
"Permlt< , /'from: the Permitting Authority as do all ,
.. ,other ~odlf!ca!to~s?~,to. tas. piping'or'monitoring equipmen~
Fuel<Changes..;.~:Allow~./fa:~olOi'~vehlcle.. F~el Tanks Only.
List all fuel,:,stovage'~':~hanges tn<tanks, noting:
'~'. ': ~" 'Date (s) :. ': tank~hUmb'er'~(~") ~?: ~h~. ~fuei (~) st'or,d.
InventorF ~ontrol:'":'~O~i'tO'~lng" is '<requl~ed for · this faclllW on the
Per. It · to Ope~ate~ ',,'and;':~i~: have: nat;.' exceeded anF' reportable limits as
'-?~;'~listed'~' in -the';~"appr°P~iaie ;/lnVentorF '"control ~onlto~lng handbook :.~':-.duvlng"the 'la~C'~' t'~e;l~e/~°nths :(ir:nor applicable, disregard)
Trend'-. ~a 1 ~'1 ~ ,~:~ ~'~.[~ind'~0~ Q~a~ ~ 1Y~a~y .~ ...
;:~:,Please,<:atta~h::>'~.::Annd'~i[Ji~):.Trend.:, lnalystS Summary ' for the last 12
"::?.?'.periods[ .'fo~' ai'i':;~'~ta~i-.'<~eq'ulr~d ;',to": d0 Standard': Inventory Control
"-'"::~.;'Monltoring'""(~UT=i'0)'~'~;~':?~Q~ar~erly"S~a~tes' for 'Past year for tanks
?-~'requlred' to' do',~odl'fled:: Inventory. ControI ~onltorlng (~UT-15}.
~et'er: Callbratlo~.-CheCR:.Form';:'.'::',?,~.,:::/?' ' .... :'
-,:' ':.~',',:: :: Please:- attach:": cu~rent¥(':'~co~pleted.; ~eter, Cml tb~atlon
Check
Fo~m
If
:~,~,~-~,.,~ '.?,,.6,_~t.~.~,~, :,,':~.~,,~.:...:.ki;~,<~.:~/-,'.~./:,. ., .... ~ ~,.,- ~. .........~;::., ~:.~::., .: .-. .
:'- .,:: '.', .:- :,.:~ ,,,.~;-,-./.,:: '...;, ' - lid' - ' .
ANNUAL TREND ANALYSIS SU~I~IARY
PERIOD 1: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4)
PERIO0 2: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4)
PERIOD 3: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4)
PERIOD 4: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4)
PERIOD 5: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4)
PERIOD 6: Total. Minuses This Period (Line 3)
Action Number for this Period (Line 4) /
PERIOD 7: Total Minuses Th~s ! ' '
Period (Line a)
Action Number for this Period (Line 4) '//~
PERIOD 8: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4)
PERIOD 9: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4) /~
QUARTER 4 TIME PERIOD: ~ ~/ /~, to
PERIOD 10: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4) /
PERIOD 11: Total Minuses This Period (Line 3)
Action Number for this Period (Line 4)
PERIOD 12: T~tal Minuses This Period (Line 3)
Action Number for this Period (Line 4)
I hereby certify this i's a true and accurate report.
) ;'U i'i)'!~i:,;v ~.: ,T~u~IK?~'i~FA¢~I L'I':TY .'iiAI~INUAV-. REPORT
~. ~,j . , : ,- 'q?~.,., ,L,.~EC.~~' ~.~ L ' , ', ~ ~ ~ , ' '-
i?'-?I-('have'-'n0~'~d';a~-pahy.~,~j~i~;~':¢.odlfl6a~toas- ~0': thlS-'.faclllty during the
".~:''L~ · '~' ~' :~f-* '.' ,~'~r~[~¥1:/~; .-~ '~; ;' ",) -~ -,L' '. ' ' - · ·
". ,-' last- 12 months.'. ,', :% 5:::.c,~?~'¥,.,:'~,: ,--. '~:,~ ". .... ~-:." - .- . -
:;::?:~':[JNote~::'li'if major':Fm~:di~l~a[lons-- '" "~'-re~ul~a. Perait to Construct Crom
~:" I'have' dene ~aJe~'.~edt[icatlea~-fa~ ~hlch I ebt'alaed Per. It(s)
... 'Con~t~Uct [ea~ Pe~iitfag'(Autha~lt~'-~'.: ....
3 .-:},' "Re~air' J~nd Malat~n~d~..'?s-~i~.: J '. ~J'~-., . : "',j "
",'J"':":;T R°utl,ne,''::':and':J'Eequ~!]r~d~;~':;ma'ihtenante ' ;done'(',. to this facllity' s tank.
,?, ,,,., ,,. piping,,~ aRd.;monl'to'~ln~';'eqatp~ea't.'.'¥..,. ,-' ,:' .., .. ,. ,..
.'.:t"2- Repair °r..j~Ub, erk~'d~¢~¢~s'"or.~U~tion pumps'; . ;'" '
, j::.2, Replacement. °f":flO~SC~l'Ctln~"le~. detectors with sa~e.
"'.:," -7" Repalr/replacement,'~Or :alspensers.';.' ~eters', or nozzles.- ,
': ''-Repair or;[':electr~i~'~}:leak,'~deteCtlon '.cOmponents..°r replacement
Installationj~ff.bal.i~:[fl~at'':valves; .--
-'~ Installation or re~at~ '-.vapor'recover~/vent lines.
~ Include the date-of~-~ epale on~aln~enance
' ' :~ ... i :;(::-,"'. :' ' ,,-'~,~: '~ }, '~'?.:. ' . . ~.-: ,
NOTE: Ali' repairs °r?re¢ia'~ents~.,~ln' response to a le~ require a
. .Per, It_. to'~Cons~trUCt'"ero= the Per~lttlnE Authority as do all
· ';' ' 'other' m°difica~:fbns;/t°"~t~ks:: - -- - ' piping'or monitoring equip~en~
~':C~ ;.~.~? :,,,',-',. ,';.," · '. -. ' . '
' . '_ Fuel Changes'~ &!lo~ed?[orJ~oto~ Vehicle Fuel Tanks Only.
'; :;"..List all' fuel" st°r'ag~.~g~s In'tanks,: noting:' ,:
'.':'-?['hate(S)', "tank';nd~b'er(~:l~?;:~[~'~'.~uel(s)stOred':.. * '.:/-:-' '
:" ' ', ...... " .-' /':,:;:,,;:¢L. .,,.:; .,. :': .; ' ~ ..' ' '.
'" ' :'-.'": ' ~'~".:..[-~b,~'-iq..'.',') i.:. .l [.... '."" ~:,," "' '
5. k'Inventory 'Contr°i":"'m~hit°itfig:::ls '~equt~ed'..for this facility on the
' '. ' ':"' Permit"to "Operate',:;' .addl~'I~- have ' not. exceeded ' any reportable 1 lmits as
' "';,";","listed':-: 1n: :,;-the" a~r'b~l~te(, Inventory:Control 'monitoring handbook '"
'- .:";?'J'"' during the/laSt.':tweiVe;'m,~n:ths~. (lf:."not applicable. disregard). '.~,
'. 6...?.(Tread .~al~s!~[:.S~a~F~:~a~,dlor?Quar~er~ S~arY .';' '-- ' . .
:" ".['?'~?.~Please'(.attach:;.j':: ~9~!~};~tT.rehd.:. AnaIysls..:.S~ary. for .the last 12
. .. :. l:-:~,'.)', periods '. foP.?al.l':l.:ta~i..?:~freOulred.~ to. do "Standard '-inventory. Control
· '' '::" ' '-~ '~'"~:-'~' "- -.'":i);;~'?-Monttorins"-'(~UT'lO)-l:~;'.lf. Quarterly:''~¢'''~ - -S~arles '-.for. past year for tanks
' ,'-',:,. required to '.do' Modl'fied Inventory' Control' MOnitoring (~UT-15).
_ ";,'.."]:'~ - ' , '-.,.: :;:._";,::~,' ..:' ~- 'ti: ~[~j)L'-;"~,:"?~¢:: ~ 'lid".--. ' ..-*'~'-:. ' ' ... "' . '
. . ',-': : ...... -' .'¥~ ' '' -: .-'-er',.:,. ,~. :,.~ ,¢ -,.::-t:;~¢t.,?~..' . · '. .. .: . .-, , .
PERIOD 1: Totals-Minuses-T-his. Period (Line 2) -:-'
Action Number fo~ this Period (Line 4)
~ Action. Number for this Period (Line 4).
_ PE~IOD_3: Tots!_ ~inuses This Period (Line 3) .~
PERIOD 4: Total MinUses This Period (Line ~) ~
.................. ' ......... Action. Number--for-this Pe.~ibd--(Line 4) ..'
.. PERIOD 6: Total 'Minuses This Period (Line 3)
Action Number for this Period (Line 4) //7
~. Action Number for this Period (Line 4) '/~
PERIOD 9: Torsi Minuses This Period (Line 3)
inu, , ni,.P =iod -nin
' _.Action Numbe~_fo~ ..this Period _(Line 4)~ /~:..._~:~_.~_._
PERIOD 11: Total Minuses This Period (Line 3) /~
..... ~ ' ............. ACti'on~-Nambe~ for-this-Period (Line-'4') -- -/~ ..............
PERIOD 12:. Total Minuses This Period'(Line 3)
.... Acti. o.n_N~be~ fol..this.period .(Lin~_. 4) /~
I hereby certify this is a true and accurate report.
· Operat
underground Hazardous 'Materials Storage FacilitY
ONDITIO.,S ~;~::p:~~i~ ~ ~EVERSE SIDE
Tank Hazardous G.~ii::~?~:%<?.? ..... yea?~?~.:~. :~: <~Tank ...... ::::::::::::::::::::::::::::::::::::::::::::: Piping Piping Piping
Number Substance C ~:~:~:~%.::;:?' I n'~'i~J[~;~:,~]:::...~ ~:? y p e U o h'~.6;~i~.~::~;:.::::':~::~:~. Type Method Monitoring
:::::::'". >..'{h:::::'""::::::.~:.~'.~::;::' .............. :~.. ::::{::[~'~. ':. ". :::::::::::::::::::::::::::: :~:':~=':::~::~:~:~ ............ :e':' :'
Issued By: ::: ; :: ~:"~ ~} ~::?.'
Bakersfield Fire Dept. '"%::<.:;~::~,~. =================?==:=?==?=============? ::??: .... ~~
HAZARDOUS MATERIALS DIVISION ~ ~oc/< ~o.
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301 S~,~ ~ol~.~ ~+-
(805) 326-3979 ~k<~ ~ Ca
Approved by:
Ralph E. Huey, Hazardous Materials Coordinator Valid from: ~.~,"."~
ate
Underground Hazardous Materials Storage Facility
CONDITIONS ~! ~:~p:~~i~ ~ aEVERSE SIDE
HAZARDOUS MATERIALS DIVISION
1715 Chester Ave., 3rd Floor
(805) 326:3979
Approved by:
Ralph E. Huey, Hazardous Materials Coordinator Valid from:
UNDERGROUND STORAGE ~,~K INSPECTION .~:~iii Bakersfield Fire Dept.
Hazardous Materials Division
Bakersfield, CA 93301
FACILITY NAME ~2-,r~,g-~ ~-,~'~, (~/I, BUSINESS I.D. No. 215-000
FACILITY ADDRESS ~A, ~n~_co~ CITY '~--~ze,~.~_~ ZIP CODE
FACILITY PHONE NO. ,~-L[- ~-/IN, ID* I~
INSPECTION DATE I/%0/~,~ ~ P~ Pr~
TIME IN TIME OUT '~ ~~ ~
INSPECTION ~PE: t ~ ~ ~
s~e S~e S~e
ROUTINE ~' FOLLOW-UP ~,~ ~ %~
REQUIREMENTS ~ no ~a y~ ~ ~a y~ ~ ~a
la. F~s A & B Subm~ ~ ~
1 b. F~ C Su~ / ~
lc. O~mting F~ Pa~ ~, ~
Stat.
la. Statement of Fina~ial R~ibil~ Su~ ~
lf. Wr~en Contm~ E~sts ~n ~r & O~mt~ to O~te UST ~ /
2a. ~lid O~mting Pe~a ~~ ~ ~
2b. Appmv~ Wr~en Ro~ine Monitoring Pr~um /~~
2c. Una~hor~ Relea~ Res~n~ Plan~
~. Tank Int~ Test in Last 12 Months ~ / ~
3b. Pre~u~ Piping Int~ri~ Test in Last 12 Months / /
~. Sucti~ Piping ~ghtness Test in Last 3 Years / ~
~. Gmvi~ F~ Piping ~ght~ T~ in ~st 2 Y~m ~ ~
~. T~t R~uRs Subm~ Within ~ Da~ / /
3f. Dai~ ~sual Mon~oflng of Sucti~ Pr~u~ Pi~ ~ ~
~. Manual Invento~ R~cil~tion Each Month ~ /
~. CAnnual Invento~ R~nciliati~ Statement Subm~ ~~ ~ / /
~. Metem Calibmt~ Annually / /
5. W~kN Manual Tank Gauging R~ds for Small Tanks ~ /
6. Month~ Statisti~l Invento~ R~nciliati~ R~uEs ~
7. MonthN A~atic Tank Gaugi~ R~uas / ~
8. Ground Water Mon~oHng / /
9. ~ Mon~oring ~ ~
10. Continuous Intemt~ial Monitoring f~ Doubl~Wall~ Tan~ ~ /
11. M~hani~l Line Leak Det~ ~ ~
12. El~tronic Li~ Leak Det~tom ~ ~
13. Continuous Piping Mon~ofing 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~ Metes List~ in L~113 ~ ~ ~ ~
17. Wr~en R~rds Maintain~ on S~e ~ ~'
18. Re~ Changes in U~g~Cond~ions to O~rati~~
Pr~ur~ of UST S~tem W~hin ~ Da~ ~ ' ~
19. Re~ Una~ho~ Relea~ W~hin 24 Houm ~ /
~. Approv~ UST S~tem Re~i~ a~ U~md~ ~ ~/
21. R~rds Sh~ng Cath~ic Prot~ Ins~t~ ~ ~ ~
~. ~r~ Mon~ng Wells ~ ~
~. Dr~ Tu~ / ~
RE-INSPECTION DATE ~ , ~ RECEIVED BY:~
FD 1~9
HAZARDOUS MATE~LS INSPECTION ~ken~field FiFe. .Dept.
Hazardous Materials Division
Date Completed
Business Name: ~ ~e_-~,~ ~-_~ c.~c-
Location: ~--~ ~;;::>~ ~
Business Identification No. 215-000 ~7'-7 ~ (Top of Business Plan)
Station No. ~?, ~.o~T~ Shift ~ Inspector
-/
Arrival Time: Depa~re Time: Inspection Time:
Adequate Inadequate
Verification of Inventory Materials
Verification of Quantifies ~ I"1
Verification of Location ~ ("1
Proper Segregation of Material
Comments:
Verification of MSDS Availability
Number of Employees:
Verification of Haz Mat Training
Comments:
Verification of Abatement Supplies & Procedures
Comments:
Emergency Procedures Posted
Containers Properly Labeled [~ ("1
Comments:
Verification of Facility Diagram
Special Hazards Associated with this Facility: /~ I('
Violations:
/'I"~::~,// /~fl/',,J~ ~,/~_ / ~ ~~ ~1 Items O.K
Bus}h~ ~n~ge~ PRINT ~ME SIENA Corre~on Needed
Wh~H~ Mat DN Yellow~on ~py Pink-Busings ~py
. ~~ ~~ * * QUARTERLY MODIFIED ~NVENTORY CONTROL SHEET
TANK~ ~ CAPACITY ~~ SUBST~CE STORED /~~ ~
~ ~COL 5~ COL 6]~COL 7~ COL 8~COL 9~ COL
COL · COL ~ ~ CO~ ~ CO~ 4~ ~ [ [ !
TEST ~EEKLY [ WATER. [ 2ND '- 'IST ' INCH :] 2ND ': IST 'VOLUHE --UBTOTAL~ CU~LATIVE
WEEK :SHUT-DOWN [ LEVEL [GAUGE -GAUGE ~ CHANGE[VOLU~E-VOLU~E ~CHANGE*~ CHANGE
~ TI~ P~IOD [ INCHES.~ [ I~C~S ] -INCHES - ~ - . ' INCHES [ GALLONS [ GALLONS- ~ · 6~LONS- ~ ~ GALLONS
: 1 DATE/~ ~~ [ -" ~ ~' [ [ [ 0 '
~o '- I I I : '-:' !
~/~ ~-t~4~1 ! ...... I ..... I I i I
~ ,o., , '~I ~ I~:/~I~~ ~' ~ '
~D~T~/~'/&~¢I ~ -!~ I. -
.~9~~ w~.~'
I I, I I I
I
~ATE/~R I ! I I I I
S}tV~A .~.~}tH£ .40 I~flgllblIPl V ~Off AIIqIOV~ G~1lI~d ~H~ IV SG~O3fl~ ~S~H~ NIV~
~ ~ ~Od~ ~VfiNNV A~I~IOV~ H~I~ A~flS SIH~ ~0 AdO0 V ~I~aS ~
I
'~AO~V ,,G. HOflO~H& .V,, NI ~I~3S~G ~'l '~AOflV ,,~,, ~NV ,,V,, NI
...... "" .-_..- "'. ............ '-~1 ................. '
" -" - ...... A~flS { ' : ~S -...
s~ouu~9 o~z u/+ ao-(}r-'~oo,) aO~VHa amuon anx&wn~na v s~ a~w x~v 'a 'l ,.' --
do (6 '~09) aSNVHS'a~nqOA V SVH IEISVdV3 SNOTqVO 000~ H~AO ~0 ~NVi '3 ~l .
16.-:'~oa) -ao~uo 'a~nqOA_y. sva..z~rovdva s~o~qvo ooo~ o~ root ao asw 'a -41 -- auo~-uo s~ouuvo oor .-/+..si. ([[ 'qoo) ao~vao a~a~oa aax&v~n~no
(o 'qoa).assvu0"a~n~oa v svu z~ravava ssaq uo s~oqwo ooor ao asv~ 'v ~ auo~ uo s~o~vo or -/, st (e '~oa) aos~a amqoa 'v
.:": ........ ~NV$ qafl~ gqaI~aa ~Oi0~ V SI OaaO$INO~ XNVl ' I ' '--'.- XNV$- q~fla aqOlHaa 80iOW-NON BO qlO-giSVI V SI 'Og~OJ, INON-XNVi
* * QUAI~TERLY ~IODIFIED ~NVENTORY CONTROL SHEET *
T~a~K# 7Z~ CAPACX.Ty. ~--~ SUBST~C~ ~.STO~D.. /~0~ ~'~ ~U~T~R/~~_~ ~.-/~
COL. 1I ....... I ' I '
TEST [ WEEKLY ['WATER*:[ 2ND-- iST ' INCH [ 2ND IST VOLURE--UBTO~AL~ CUMULATIVE [
WEEK ]SHUT-DO~ ] LEVEL ]GAUGE -GAUGE ~ CHANGE ]VOLUME-VOLUME =CHANGE+~ CHANGE
* ] TI~ P~IOD - -[ ..'*INCHES - ] -INC~S., -[ INCHES ]- - INCHES ] GALLONS ~ GALLONS -[ G~LONS [ GALLONS' ' ] "* G~LONS '-:
~ {DATE/~ I~-t-~3oP~{ ._., .~ . { {
~,~,~-~.~,'.'" ~ ', .... '~/~ I ~ 2~~', ~~'I ,' ~' ~.. '',
~T~'~'~'~:~,~' "'~ .," .~'i': ~2~'I · ~1 ~~ I ~~, ~ , ~~ ,
~ DA~/~/!-~m ~l I I I I I -1 ~l-
xUlUlL~~ l I "-I ..... I I I I ~1 - I
~o' I i
~ ~A~l~ll-I~:~6 I i I .. I I I I
~/~.~:~,, ~ 37.., , '~ I~~ /~~ ~ , v~
!o. ~/~ /~-~ ~:~/5'l -:.- I I I . I .- I gl I
_ . ,~ ~ '
.,o ' ' ~ ""- ~/~ ' ~X/~' ~ /~¢~ ~ /e~ ~ , ,
~ 1 · ~/~/2-~,~:~4 1" ! I I - I - ' i ~1 I
DATE/HRL)''!~'e:~vl I I I I V ~
~A~/~ ~4~-g~ r, I I I I -I I gl I
I Y 1
~/u ~.~-~:~/~1 I I I I I gl I
~ 3 ~o . I I
. ! ! !
QUARTERLY- SUlV~RY '- '
FILL OUT THE FOLLOWING REPORTING SUMMARY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK ONE ONLY)
TANK MONITORED IS A WASTE-OIL OR NON'MOTOR VEHICLE FUEL TANK': .- 1 T/~IK MONITORED IS A MOTOR VEHICLE FUEL TANK
REPORT T._.~O THE PER~ITTINO AUTI~ORIT¥:MITitlN 2....~ ltOUR8 IF: -"' : REPORT TO TME PERI~ITTING AUTItORIT¥ ~ITHIN ~-..~ HOUR___.~S' IF: ' -
A. VOLUME CHANGE (COL. 9) IS +/~ 10 GALLONS OR MORE A. TANK OF lO00, GALLONS OR LESS CAPACITY HAS'A VOLUME CHANGE (COL. 9)
:
· " OF +/- 25 GALLONS OR MORE
B. CUMULATIVE VOLUME CHANGE '(COL. ll)-tS +/-~lO0 GALLONS'OR'MORE' - -{ 'i- B.- TANK OF 1001. TO 5000 GALLONS CAPACITY 'HA~ A VOLUME CHANGE '(COL. ~9)
OF +/- 35 GALLONS OR MORE -
C. TANK OF OVER 5000 GALLONS CAPACITY HAS A VOLUME CHANGE (COL. 9) OF
.................... i' ' " ' ,+/- 50 OALLONS OR MORE .....................
D. ANY TANK HAS A CUMULATIVE VOLUME CHANOE (COL '11) OF '+'/-' 250 GALLONS
OR MORE OVER THE QUARTER'TIME FRAME REPRESENTED ON REVERSE.
sUM)~RY : ' - .... ' '" '""
" ', ' SUMMARY ........... -
.......... J ........ TANK' # .......... PERMIT '# '~ ....... "-
MONITORING BETWEEN DATES OF. /~-/- ,/?~ AND /~.-,~ '"--/~ Ii .MONITORING' BETWEEN DATES OF AND '..' '
(INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:. ! (INCLUDE YEAR) NOTED ON REVERSE RESULTED IN:. ., .
" A MAXIMUM WEEKLY VOLUME ~HANGE (COL. 9) OF .--~ GALS. t' 1. A MAXIMUM WEEKLY VOLUME CHANGE (COL.--9) OF.- ..... "'GALS.'-
A CUMULATIVE VOLUME CHANGE (COL. 11, BOTTOM LINE) OF ~ 2. A CUMULATIVE VOLUME CHANGE (COL. ll. BOTTOM LINE) OF
~t."~' GALLONS' -' ~ -: ................... t~ ................ . - c. anr.N~.q_.__~__ - ....
~',"
I HEREBY CERTIFY 'THAT THE ABOVE-NOTED RESULTS REPRESENT A TRUE AND -;~ ~'- IHEREBY CERTIFY THAT THE ABovE-NoTED RESULTS REPRESENT'.A TRUE'AND '-
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LIMITS ~ ACCURATE REPORT AND THAT THEY DO NOT EXCEED' THE-REPORTABLE LIMITS '
DESCRIBED IN "A" AND "B" ABOVE. I DESCRIBED IN "A" THROUGH "D" ABOVE.
· DATE ~,~-C, ~, /.~.~;~,:~3 :Z .... DATE
:
,,~ ~: SUBMIT A cOPY OF THIS SU ,M~%~ RY WITH FACILITY ANNUAL REPORT
RETAIN THESE RECORDS AT THE PERMITTED FACILITY FOR A MINIMUM OF THREE YEARS
· , * * QUARTERLY MODIFIED INVENTORY CONTROL SHEET * *
TANK# _~ CAPA.C. ITY .-,~ ~. SUBSTANCE ,STORED ~0~F ~/~ QUARTER/YEAR.
COL 1 COL 2 ~ COL S COL 4 COL ~ . ~ ~,
TEST WEEKLY [ WATER-~ ND IST INCH ~ 2ND' lET' VOLUME- :' ' CUMULATIVE
=C HANG E+s UBTOTAL =
WEEK SHUT-DOWN ~ LEVEL [GAUGE -GAUGE = CHANGE[VOLUME-VOLUME CHANGE
~ TI~ PERIOD [ INCHES ~ ~INCHES ,. ~ INCHES, } INCHES. [ 6~LONS GALLONS [ GALLONS ~ - 6~LONS . ~ -G~LONS
DATE/HR { { / ~ ~ / ~ ~ [ '~ [ ,~ ~
DATE/~/-I~.-~;~ ~ I I t - I I I I
~ nAT~/~/~-~l I *'.1 I' . !* ' ~' I
nAT~/n~/_~l_e;~eI ~ '1
6 DATE/~g-~- e/~ I I I I I I ~1V
..,o , '~I ~~ ' ~~ ' ' '~ ~' ~
DATE/HR D-t~:r~ I I ~ I I I
9 ~A~s/~;-~;~l I 'l { I I
· o ~o I ~. I I ~
· . ~o ;' ~ '7~/' 7~Y~ ~ ., , , ,
DATE/HR3~-e:r'~l ' I' I
~/~ 3~*~:~ ~ I I I I I I I
FILL OUT THE FOLLOOI'NG REPORTING S~RY APPLICABLE TO THE TANK NOTED ON REVERSE (CHECK pNE ONLY)
TANK MONITORED IS A ~ASTE-OIL OR NON-~OTOR'VEHICLE'FUEL TA~K TANK MONITORED IS A ~OTOR VEHICLE FUEL TANK .........
REPORT 'TO THE PE~ITTINO AUTHORI~'MITHI~-'~4 NOURS'IF:" '- ~RT TO THE PErilING A~HORI~ ~I~IN 24 HO~S ~IF: - "
A. VOLU~E C~NGE (COL. 9)"IS +/- lO GALLONS OR MORE ~ ,. A. TANK OF 1000 GALLONS OR LESS CAPACITY H~ A:'~OLu~E.C~NOE (coL. 9)
'B. ' CUMULATIVE VOLUME CHANGE'(COL~ ll) IS'~/- 100 GALLONS OR ~ORE ....... ~ .... B. 'TANK OF lO01 TO 5000 GALLONS CAPACITY, HAS A VOLUME C~NGE-(COL. 9)'
" ,~ ' OF +/- 35 GALLONS OR MORE :
........ ,_, ...................................... .... ~.. C. TANK OF OVER 5000 OALLONS CAPACITY HA~ A. VOLUME C~NOE.(COL. 9) OF
, ......... +/-'50 GALLONS OR ~ORE ........ :~: _~-. ....
~ (~ D. A~ TANK ~S A CUMULATIVE VOL~E C~NGE- (COL~"I'I)' OF +/- 250 G~LLONS
. "~ ~ OR ~ORE OVER THE QUOTER TIME F~E REPRESENTED ON REVERSE.
_
MONITORING BETWEEN DATES OF~-~-~ AND ~-~-~ MONITORING BETWEEN DATES OF AND
(INCLUDE YEAR) NOTED ON REVERSE.RESULTED IN: .... . ....... ~ . (INCLUDe_ YEAR)~'NOTED ON REVERSE RESULTED IN:
1. A ~XIMUM ~EEKLV VOLU~E CHANOE (COL. 9) OF ~ OALg. 1' A ~XI~U~ ~EEKLV UOLU~E CHANOE (cOL. 9) OF OALS.
2. A CUMULATIVE VOLUME CHANGE (CO~._.ll, BOTTOM.LINE) OF ' . ........ 2. '~'CUMULATIVE VOLUME C~NGE (COL. ll, BOTTOM.LINE .OF ..........
~ GALLONS GALLONS '_.
I HEREB~-CERTiF~ THAT THE ABOVE-NOTED R~uLTs'"~EPR~s'EN~-"~ ~RUE 'A-N~ .......... ~' I HEREBY CERTIFY T~T THE ABOVE-NOTED RESULTS, REPRESENT~A TRUE AND
ACCURATE REPORT AND THAT THEY DO NOT EXCEED THE REPORTABLE LI'ITS ~ ACCURATE REPORT AND THAT THEY DO NOT EXCEED' THE RE~pRTABLE LIMITS
DESCRIBED IN "A" AND "B" ABOVE ............ ' DESCRIBED-IN "A" THROUGH "D" ABOVE .......
.
~ ~ SUBMIT A COPY OF THIS SUMM~RV WITH FACILITY ANNUAL REPORT ~
RETAI~ THESE RECORDS AT TttE PERmITTeD FACILITV FOR A ~I~I~U~ OF THREE YEARS
:~ ~: QUARTERLY MODIFIED ~NVENTORY CONTROL SHEET
COL 1 [ COL 2 ~ C.OL S COL 4[COL 5[ COL ~ COL 7[ COL. 8[~COL ~[ COL
TEST ~ ~EEKLY [ ~AT~R 2ND ~S~ XNCH 2ND 1ST VOLU~E CUMULATI
- : :C HANG E +SUB
WEEK [SHUT-DO~N ~ LEVEL GAU~E GAU~E CHAN~E VOLUME-VOLUME CHANGE
· [ TI~E P~ ~OD ~ XNCMMS ~NCMMS ~ INCHES ~ INCHES GALLONS GALLONS GALLONS GALLONS
1 [DATE/~ ~ =~ ~ ~ 0
I TO ~ I I I
Z
DATE/HR ~/~f~'~,~ ~ ~ ~/~ ~ ~11 ~- ' /~ [1 . ~ ~f~' ~ ,- :. '
TO ~ . ~ I I ~ I
DATE/HR ~-/Cf' ~:,, :¥"~ { ' ' { I ..... '"--:-" V.-- ~
~ ~.,,:' I I I I ~1
(A'INO ~{NO ){O~{HO) ~S~I~IA~I}{ NO O~].I. ON MIqVJ. ~]H.I. OJ..q~lf]VDI'lddV AMVI~IflS ONIJ.}lOdS~l OlqlbtO'I'IO& ~HJ~ £flO TII&
~: :~ QUARTtgRL¥ I~OD]'F~ED ~NVENTORY CG~TROL SHEET *
COL 1 ~ COL ~ [ C~L SICOL ~ COL 51 COL ~ COL. 7) . [ . ) - ) -
TEST ~EEELY [ ~ATER [ 2ND ~ST XNCH 2ND IST VOLU~E
=CHANGE+SUBTOTAL= CUMULATIVE
WEEK SHUT-DO~N ) LEVEL [GAUGE -GAUGE = CHANGE VOLU~E-VOLUEE CHANGE
~ TIME PEREOD ~ ENCHES ) ~NCEES ) ~NCHES ) INCHES GALLONS ~ GALLONS GALLONS GALLONS [ GALLONS
~A~/~ IV-/~;~ I I I ~1 I
TO I {
mn/~ M-/3~a ?~I ' I I ~1 I
~ TO ~. I ' I : ~ ~:0 ~ I I
~AT~/~ ~1 I I ~1 I
~o I ~ ~ I / ~ ~ ,I ~ ~ ~ / ~ / I I I
DATE/~~I I
¢ ~: QUARTERLY ~[ODIFIED ~NVENTORY CONTROL SHEET
TANK* ~ CAFACXTY 3:-~- SUBSTANCE S?GRMD ~/~¢)~) ~:- QUARTER/YEAR4~~f~/~
IcoL ~,1 COno ~ COL. ?1 col $11con° ~1 coLo lo I
COL. ~ I { .... COL 1 1
TEST ~~L~ { ~~ ~D ~ ~C~ ~ ~ VOLU~E CU~UL~]V~
WEEK SHUT-DO~N { LEVEL ~AU~E -~AU~E = CHAN~E VOLU~-VOLUME =CHAN~E+SUBTOTAL= CHANGE
· TI~ P~ZOD { ZMCHES INCHES INCHES { IMCHES GALLONS { GA[,r. oMs G~LONS GALLONS { GALLONS
,o
TO I I I
9 ~/~~1 '1 ' I I
DATE/~ ~~ I I I
SMVMA ~MHH~ ~O N~NINI~ V MO& AilTI0V& ~Mi£INMMd MH£ ~V SGMO~IM8 MSMH~ NIV£MM
* * £H0d~N qV~NNV A£IqlOV~ H£IM AMVIa~S SIH~ &O AdOO V £I~S * *
~ ~: QUARTERLY i~I[ODIFIED ~NVENTORY CONTROL SHEET
TANK~ ff CAPACTf ?Y _~'-~- SUBSTANCE STORMD~~?~>~ ~'~' QUARTER/YEAR~-f~f/~
COL 1 COL 2 [ CGL 3 COL 4[COL 5[ COL ~ COL 7[ COL. 8Icon 9[ COL ~O [ COL 11
TEST ~EEKLY [ WAT~R 2ND - 1ST XNCH 2ND IST VOLU~E
:CHAN~E+SUBTOTAL: CUMULATIVE
WEEK SHUT-DO~N [ LEVEL ~U~E ~AU~E : CHAN~E VOLU~E-VOLU~E CHANGE
~ T~E PERfOD [ INCHES fNC~ES [ [NC~ES ~ INCHES GALLONS GALLONS [ GALLONS GALLONS [ 6~LONS
TO ~ [ .
4
TO
6
8
~ ~ ~80d~ ~V~NNV A£I~I3V~ H£I~ ASVI~S SIH~ &O Ad03 V LIMBOS ~ ~
~ T~I%IK .FACILITY ~I~NU~J~ REPORT
1.I have not done any major modifications to this facility during the
last 12 months. ·
Signature ~
Note: All major mod/f/cations requ~ive a Permit to Construct from
the Permitting Authority.
2.I have done major modifications for Which I obtained Permit(s) to
Construct from Permitting Authority
Signature
Permit to Construct # Date
3. Repair and Maintenance Summary
Attach a Summary of alit
-- Routine and required maintenance done to this facility's tank,~
piping, and monitoring equipment. .1~. '--~ .
Repair of submerged pumps or suction pumps.
Replacement of flow-~estricting leak detectors with same. /~_ ~ /~9~
.Repair/replacement of dispensers, meters, or nozzles ~.~.
Repair 'of. electronic leak detection components, or replacement .~/~
with same. -
-- Installation of ball float valves.
Installation or repair of vapor recovery/vent lines.
Incl~ude the date of each repair or maintenance activitF.
N6TE: All repairs or replacements in response to a leak require a
Permit to Construct from the Permitting Authority as do all
other modificationg to tanks, piping or monitoring equipment
not listed here.
~ Fuel Changes - AllOwed for Motor Vehicle Fuel Tanks 0nly.
%~ List'all fuel storage changes 'in tanks~ noting:
Date(s), tank number(s), new fuel(s) stored.
5. Inventory control monitoring is requi~ed for this facility on the
Permit to Operate?and I have not exceeded;any reportable limits as
listed in the appropriate inventory control monitoring handbook
during the last twelve months (if not applicable, disregard).
· Signature'
6. Trend Analysis Summary and/or Quart;rl'~Summary
Please attach: 'Annual Trend Analysis Summary for the last 12
periods for all tanks required to do Standard Inventory Control
Monitoring (#UT-10); Quarterly Summaries for past year for tanks
': required/to do Modified Inventory Control Monitoring (#UT-15)
7. Meter Calibration Check Form
Please attach current, completed Meter Calibration Check Form If
required In permit conditions.
ANNUAL TREND ANALYSIS SUlVIlVI~%RY
PERIOD 1: To~al Minuses This Period (Line. 3)
Action Number for ~his Period (Line 4)
PERIOD ~: Total Misuses This Period (Line 3)
Action NUmber for ~his Period (Line 4)
PERIOD B: Total Minuses This Period (Line ~)
Ac~lon N~ber for ~his Period (Line 4) ,.,~. '~.
PERIOD 4: To~al ~inuses This Period (Line 3) r~
ACtiO~ Nua~er fo~ this Period {Line 4)
PERIOD 5: Total ~inuses This Period (Line 3)
Action.Number for this Pe~ibd (Line 4)
· . PERIOD 6: Total'~inuses This Period (Line 3)
Actio~ N~be~ ~o~ this Period (Line 4)
PERIOD 7: Total ~inuses This Period (Line a)
Action Number for this Period (Line 4) //7
PERIOD 8: Total'Minuses This Period (~ine S) /~
Action Number for this Period (Line 4)
PERIOD 9: Total Minuses This Period (Line 3)
· . METER CALI BRATT ON cHECK FORI~I
Note:
1. Ail meters must have calibration checks a.minimum o~ t~ice a ~ear, ~hlch mag
Include checks done bg the Department of ~elghts and ~easures. ~ '
. 2. Before starting calibratlon r~n~, ~et the calibration can ~ith product and
return' product to storage. ,.~
3. Run 5 gallons with nozzle wide open.into the can. Note gallons and cubic'
Inches dra~n, and return product t'o storage.
4. Run ~ gallons ~th the nozzle one-half open into the can. Note ga/Ions and
cubic Inches dra~n, and return product to storage.
5. After ail product for one calibration check is returned to_storage, remember
to record the volu~e returned~ t'o. storage· tn column 9 of the Inventory
Recording Sheet..
O. If the volu~e ,easured tn a 5-gallon calibration can ls more than 0 cub!c
Inches above or belo~ the 5-gallon mark, the ~eter requires calibration bg a
registered device repairman.
Date/Time Hose or Tank ~/ Fast Flo~ Slow Flow Volume Returned Calibration Device Repairman Date of
Pump ~ Produc~ S-Gallon Draft 8zGallon Draft to stOrage Required? Used for Calibration
' Gals~Cu' Inches Gals Cu..Inches Gallons Yes No Cal'ibration
' erator
'< net or O~
T~K FACI LI TY ~Nuiir. REPORT
1. I have not done any major modifications to this facility during the
last 12 months. - -- - ~
Signature ~,
Note: All major modifications r Permit to Construct from
the Permitting Authority.
2. I have done major modifications for which I obtained Permit(s) to
Construct from Permitting Authority
Signature
Permit to Construct # Date
3.Repair and Maintenance Summary
Attach a summary of all:
-- Routine and required maintenance done to this facility's tank,
piping, and monitoring equipment.
--Repair of submerged pumps or suction pumps.
--Replacement of flow-restricting leak detectors with same.
--Repair/replacement of dispensers, meters, or nozzles.
-- Repair of electronic leak detection components, or replacement
with same.
--Installation of ball float valves.
--Installation or repair of vapor recovery/vent lines.
Include the date of each repair or maintenance activity.
NOTE: All repairs or replacements in response to a leak require a
Permlt to Construct from the Permitting Authority as do all
other modifications to tanks, piping or monitoring equipment
not listed here.
4. Fuel Changes - Allowed for Motor Vehicle Fuel Tanks 0nly. .~
List all fuel storage changes in tanks, noting:
Date(s), tank nUmber(s), new fuel(s) stored.
5. Inventory control monitoring is requl~ed for this facility on the
Permit to Operate, and I have not exceeded any reportable limits as
listed in the appropriate inventory control monitoring handbook
during the last twelve months (if not applicable, disregard).
· ' Signature ?
6. Trend Analysis Summary and/or quarter~r~Summary
Please attach: Annual Trend Analysis Summary for the last 12
periods for all tanks required to do Standard Inventory Control
Monitoring (#UT-1.0); quarterly Summaries for past year for tanks
required to do Modified InVentory Control Monitoring (#UT-15).
7. Meter Calibration Check Form
Please attach current, completed Meter Calibration Check Form if
required in permit conditions.
- lld -
ANNUAL A LYszs
PERIOD 1: Total ~inuses This Period (Line 3)
Action Number fo~ this Period (Line
PERIOD 2: Total ~inuses This Period (Line 3)
Action Number for ~his Period (Line 4)
PERIOD'3: Total ~inuses This Period (Line 3)
Ac~lon N~ber for ~his Period (Line 4)
PERIOB 4: ~otal ~inuses This Perlo~ (Line O)
Action Number for this Period (Line 4)
PERIOD 5: Total ~inuses This Period (Line 3)
Action.Number for this Peribd (Line 4)
.. PERIOD 6: Total'Minuses This Period (Line 3)
Action N~ber for this Period (Line 4)
PERIOD V: Total Minuses This Period (Line 3)
Action Number rot this Period (Line 4) //~
PERIOD 8: Total' Minuses This Period (Line 3)
Ac~lon Number for this Period (Line 4)
PERIOD 9: Total ~inuses This Period (Line 3)
Ac~lon Number for ~his Period (Line 4) /~
PERIOD 10: Total ~inuses This Period (Line al /~
Action Number' for this Period (Line'4) /~
PERIOD 11: Total ~inuses This Period (Line 3) /~/
Action N~ber for this Period (Line 4)
PERIOD 12:. Total Hinuses This Period.(Line 3)
Action N~ber for this Period (Line 4) /~
I hereby certify this is a true and accurate report.
INVOICE #BS000 TEST DATE: 02/06/9-
UNDERGROUND TANK TESTERS, INC.
917 WEST BELLEVIEW AVE.
(8oo) 244-1921
TANK STATUS EVALUATION REPORT 31994
***** CUSTOMER DATA ***** ***** SITE DATA *****
KERN ROCK CO. KERN ROCK CO.
P O BOX 3329 529 DOLORES
BAKERSFIELD, CA. BAKERSFIELD, CA.
93385 93305
CONTACT: MENDEZ, AL CONTACT: MENDEZ, AL
PHONE #: 805-322-6913 PHONE #: 805-322-6913
***** COMMENT LINES *****
CURRENT EPA S~ANDARDS DICTATE
THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN ~TE
OVER THE PERIOD OF oNE HOUR IS .05 GALLON'S.
* THESE TESTS ARE PERFORMED USING THE USTEST PROTOCOL
\/TANK
=!: DIESEL FUEL 2 TYPE: STEEL RATE: .034881 G.P.H. LOSS
TANK IS TIGHT.
/
'~TANK #2: REG UNLEADED T~PE: STEEL RATE: .015838 G.P[H. GAIN
TANK IS TIGHT.
'v/TANK #3: MOTOR OIL TYPE: STEEL RATE: .023194 G.P.H. LOSS
TANK IS TIGHT.
******* T A N K D A T A ~*******
TANK NO. TANK NO.. TANK NO. TANK NO
1 2 3 4
TANK DIAMETER (IN) 108 60 90
LENGTH (FT) 42.03 6.81 15.13
VOLUME (GAL) 20000 1000 5000
TYPE ST ST ST
FUEL LEVEL (IN) 93 42 80
FUEL TYPE DIESEL 2 REG UNLD MOTOR OIL
dVOL/dy (GAL/IN) 163.08 19.44 44.46
~ili~ CALIBRATION ROD DISTANCE
.... ii' 1 10.65625
'" 2 26.95313
3 41.93750
4 56.93750
5 74.93750
******* C U S T O M E R D A T A ********
JOB NUMBER : 000055
CUSTOMER (COMPANY NAME) : KERN Rock CO.
CUSTOMER CONTACT(LAST, FIRST): MENDEZ, AL
ADDRESS - LINE 1 : P 0 BOX 332'9
ADDRESS - LINE 2 :
CITY, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93385
PHONE NUMBER (XXX)XXX-XXXX : 805-322-6913
******* C 0 M M E N T .L I N E S *******
****~** S I T E D A T A
SiTE NAME (COMPANY NAME) : KERN ROCK CO.
SITE CONTACT(LAST, FIRST) : MENDEZ, AL
ADDRESS - LINE 1 : 529 DOLORES
ADDRESS - LINE 2 :
CITY, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93305
PHONE NUMBER (XXX)XXX-XXXX : 805-322-6913
GROUND WATER LEVEL (FT) : 0
NUMBER OF TANKS : 3
LENGTH OF PRE-TEST (MIN) : 30
LENGTH OF TEST (MIN) : 480
INVOICE #BS000055 TEST DATE: 02/06/9~.:
UNDERGROUND TANK TESTERS, INC.
917 WEST BELLEVIEW AVE.
PORTERVILLE, CA 93257
(800) 244-1921
TANK STATUS REPORT -- ULLAGE. TEST
***** CUSTOMER DATA ***** ***** SITE DATA
KERN RO~K CO. KERN-ROCK CO.
P O BOX 3329 529 DOLORES~
BAKERSFIELD, CA. BAKERSFIELD, CA.
93385 93305
CONTACT: MENDEZ, AL CONTACT: MENDEZ, AL
PHONE #: 805-322-6913 PHONE #: 805-322-6913
***** COMMENT LINES
CURRENT EPA STANDARDS DICTATE
THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RLT~ ~
OVER THE PERIOD OF ONE HOUR IS .05 GALLONS.
* THESE TESTS ARE pERFOR/~ED USING THE USTEST PROTOCOL *
TANK #1: DIESEL FUEL 2 TYPE: STEEL SN: -.19
TANK IS TIGHT.
TANK #2: REG UNLEADED TYPE: STEEL SN: .23
TANK IS TIGHT.
TANK #3: MOTOR OIL TYPE: STEEL SN: -.72
TANK IS TIGHT.
OPERATOR: D[N~[$ [. ~QQ~ ...' SIGNATURE: DATE:
UTTL#92-1000 '- ' --'
~*~**** T A N K D A T A ********
TANK NO. TANK NO. TANK NO. TANK NO
t 2 3 4
TANK DIAMETER (IN 108 60 90
LENGTH (FT) 42.03 6.81 15.13
VOLUME (GAL) 20000 1000 5000
TYPE ST ST ST
FUEL LEVEL (IN) 93 42 80
FUEL TYPE DIESEL 2 REG UNLD MOTOR OIL
dVOL/dy (GAL/IN) 163.08 19.44 44.46
CALIBRATION ROD DISTANCE
1 10 . 65625
2 26.95313
3 41.93750
4 56.93750
5 74.93750
******* C U S T O M E R D A T A
gOB NUMBER : 000055
CUSTOMER (COMPANY NAME) : KERN ROCK CO.
CUSTOMER CONTACT(LAST, FIRST): MENDEZ, AL
ADDRESS - LINE 1 : P O.BOX 3329
-ADDRESS - LINE 2 :
CITY, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93385
PHONE NUMBER (XXX)XXX-XXXX : 805-322-6913
******* C O M M E N T L I N E S *******
******* S I T E D A T A ********
SITE N~E (COMPANY NAME) : KERN ROCK CO.
SITE CONTACT(LAST, FIRST) : MENDEZ, AL
ADDRESS - LINE 1 : 529 DOLORES
ADDRESS - LINE 2 :
CITy, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93305
PHONE NUMBER (XXX)XXX-XXXX : 805-322-6913
GROUND WATER LEVEL (FT) : 0
NUMBER OF TANKS : 3
LENGTH OF PRE-TEST (MIN) : 30
LENGTH OF TEST (MIN) : 480
UNDgUGROUND .TANK Tg$Tg $, iNC-....
917'West Belleview, Porterville, CA 93257
1-800-244d921
TESTER LOG
PIPING TIGRESS DETERMANATION PL400 FO~T
DENNIS E. GOODAN "~TL. ~92-1000
~ .
Unld. Plus -.-.
S~ per Unld.
User Ins[m~ctions 17A lgD O~ION O~ION O~ION
or 18B 18D 0R 17 18F 18F 18F
(fey. D) Step ~ ~SA ~SE ..
For plus charge, use - Comments:
laF Calculaticn: /;../f.._ For nri_nu5 ch~ge, use +
L · x ; ( ~, ) .~2) --t x
Leak Rate = -i (.~2) , ' ± , ' 3/-'86 /
; 37'c6 .; t ;
lgF 60 1813 ISF 60
~, Test: (Divide) -Test (Dt~ide) lmak Detector ft~n.ctioning properly [~'
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
APPLICATION TO PERFORM A TIGHTNESS TEST
FACI~.ITY ~e~-,¢ ~o~/< ADDRESS 'SJ ~ D~o~-~
PE~IT TO OPE~TE ~
OPE~TORS N~E' ~ ~ ~ Du L OWNERS N~E
~BER OF TANKS TO BE .TESTED IS PIPING GOING TO'BE TESTED__
T~ VOL~E CONTENTS
~00o o
STATE REGIST~TION ~ ~ ~-~ O0
DATE & TIME TEST IS TO BE CONDUCTED'
INVOICE #BS000055 TEST DATE: 02/06/94
/- UNDERGROUND TANK TESTERS, INC.
!,917 WEST BELLEVIEW AVE.
PORTERVILLE, CA 93257
(800) 244'1921
TANK STATUS EVALUATION REPORT
***** CUSTOMER DATA ***** ***** SITE DATA *****
KERN ROCK CO. KERN ROCK CO.
P O BOX 3329 529 DOLORES
BAKERSFIELD, CA. BAKERSFIELD, CA.
93385 93305
CONTACT: MENDEZ, AL CONTACT: MENDEZ, AL /I~'C'~./~,~,~)
PHONE #: 805-322-6913 PHONE #: 805-322-6913
***** COGENT ~.INES ***** '~..~,,V,t~O/~
CURRENT EPA STANDARDS DICTATE
THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE
OVER THE PERIOD OF ONE HOUR IS .05 GALLONS.
* THESE TESTS ARE PERFORMED USING THE USTEST PROTOCOL *
TANK #1: DIESEL FUEL 2 TYPE: STEEL RATE: .034881 G.P.H. LOSS
TANK IS TIGHT.
TANK #2: REG UNLEADED TYPE: STEEL RATE: .015838 G.P.H. GAIN
TANK IS TIGHT.
TANK #3: MOTOR OIL TYPE: STEEL RATE: .023194 G.P.H. LOSS
TANK IS TIGHT.
OPERATOR: DENNIS E. G00DANSIGNATURE: /.~/..~ _~~_ DATE:
'~TTC-#92-~00 .......
******* T A N K D A T A ~*******
TANK NO. TANK NO. TANK NO. TANK NO.
1 2 3 4
TANK DIAMETER (IN) 108 60 90
LENGTH (FT) 42.03 6.81 15.13
VOLUME (GAL) 20000 1000 5000
TYPE ST ST ST
FUEL LEVEL (IN) 93 42 80
FUEL TYPE DIESEL 2 REG UNLD MOTOR OIL
dVOL/dy (GAL/IN) 163.08 19.44 44.46
CALIBRATION ROD DISTANCE
1 10.65625
2 26.95313
3 41.93750
4 56.93750
5 74.93750
******* C U S T O M E R D A T A ********
JOB NUMBER : 000055
CUSTOMER (COMPANY NAME) : KERN ROCK CO.
CUSTOMER CONTACT(LAST, FIRST): MENDEZ, AL
ADDRESS - LINE 1 : P O BOX 3329
ADDRESS - LINE 2 :
CITY, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93385
PHONE NUMBER (XXX)XXX-XXXX : 805-322-6913
******* C O M M E N T L I N E S *******
******* S I T E D A T A ********
SITE NAME (COMPANY NAME) : KERN ROCK CO.
SITE CONTACT(LAST, FIRST) : MENDEZ, AL
ADDRESS - LINE 1 : 529 DOLORES
ADDRESS - LINE 2 :
CITY, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93305
PHONE NUMBER (XXX)XXX-XXXX : 805-322-6913
GROUND WATER LEVEL (FT) : 0
NUMBER OF TANKS : 3
LENGTH OF PRE-TEST (MIN) : 30
LENGTH OF TEST (MIN) : 480
-T~XI( 1 START TIXE:03:50:38:00 CURRENT TIME:04:50:30:00 -
~ -~ ~0: -.BOBS1
~ - C1: - .00034 -
~ _
- PT~, UERSION 1.20 -
BS888855. TS T, 1 TIM E ( M IN UTES~ 82/86/94
CP
-TAN]{ 2 START TIXE:01:48:30:80 CURREHT TIXE:02:48:30:08 -
~ -~ ~8: -.88882
~ - C1: .88821 -
~ _~ cE~ R~E: .81584 GPH G~IX
- PT~, VERSION 1.28 -
0 1 5 30 ~5 60
B8888855.181,1 TIME (MINUTES~ 82/86/94
C1"'
-~HI( 3 S~RT ~IMlg:02:12:98:00 CUI~RI~H? ?IMIg:83:12:30:88 -
-
-
-
-
_
-
-
~ ~ ~ ~ ~ .,,,-
~ ~ ~ ~'~' ~v%~ ~-~ '~~ - ~ %~- -.~.v,,~
-
_
~0: -. 80839
- C1: - .8883~ _
_
-
-~'~ R~: .02319 ~PH LOSS ...-
PT~, VERSION 1.Z0 -
0 1 5 30 ~5 60
BS888855. fSI, 1 TIME (MINUTES} 8Z/86/~4
INVOICE #BS000055 TEST DATE: 02/07/94
UNDERGROUND TANK TESTERS, INC.
917 WEST BELLEVIEW AVE.
PORTERVILLE, CA 93257
(800) 244-1921
TANK STATUS REPORT -- ULLAGE TEST
***** CUSTOMER DATA ***** ***** SITE DATA *****
KERN ROCK CO. KERN ROCK CO.
P O BOX 3329 529 DOLORES
BAKERSFIELD, CA. BAKERSFIELD, CA.
93385 93305
CONTACT: MENDEZ, AL CONTACT: MENDEZ, AL
PHONE #: 805-322-6913 PHONE #: 805-322-6913
***** COMMENT LINES *****
CURRENT EPA STANDARDS DICTATE
THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE
OVER THE PERIOD OF ONE HOUR IS .05 GALLONS.
* THESE TESTS ARE PERFORMED USING THE USTEST PROTOCOL *
TANK #1: DIESEL FUEL 2 TYPE: STEEL SN: -.19
TANK IS TIGHT.
TANK #2: REG UNLEADED TYPE: STEEL SN: .23
TANK IS TIGHT.
TANK #3: MOTOR OIL TYPE: STEEL SN: -.72
TANK IS TIGHT.
OPERATOR: DENNIS E. G00DAN SIGNATURE:___~____'~_ ~______ DATE:
UTTL #92-1000
******* T A N K D A T A ********
TANK NO. TANK NO. TANK NO. TANK NO.
1 2 3 4
TANK DIAMETER (IN) 108 60 90
LENGTH (FT) 42.03 6.81 15.13
VOLUME (GAL) 20000 1000 5000
TYPE ST ST ST
FUEL LEVEL (IN) 93 42 80
FUEL TYPE DIESEL 2 REG UNLD MOTOR OIL
dVOL/dy (GAL/IN) 163.08 19.44 44.46
CALIBRATION ROD DISTANCE
1 10.65625
2 26.95313
3 41.93750
4 56.93750
5 74.93750'
******* C U S T O M E R D A T A ********
JOB NUMBER : 000055
CUSTOMER (COMPANY NAME) : KERN ROCK CO.
CUSTOMER CONTACT(LAST, FIRST): MENDEZ, AL
ADDRESS - LINE 1 : P O BOX 3329
ADDRESS - LINE 2 :
CITY, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93385
PHONE NUMBER (XXX)XXX-XXXX : 805-322-6913
******* C O M M E N T L I N E S *******
******* S I T E D A T A ********
SITE NAME (COMPANY NAME) : KERN ROCK CO.
SITE CONTACT(LAST, FIRST) : MENDEZ, AL
ADDRESS - LINE 1 : 529 DOLORES
ADDRESS - LINE 2 :
CITY, STATE : BAKERSFIELD, CA.
ZIP CODE (XXXXX-XXXX) : 93305
PHONE NUMBER (xxX)xxx-xxxx : 805-322-6913
GROUND WATER LEVEL (FT) : 0
NUMBER OF TANKS : 3
LENGTH OF PRE-TEST (MIN) : 30
LENGTH OF TEST (MIN) : 480
CP
3,0 I ~ ~
- TI~MI~ I ! IME -- 18:32:18 -
w 2,0 --
Z
'-~ 1,0 --
~- - SM: -. 19 -
-
50 500 5000 50000
BS8888~5. S0M FREBUENCY ( HZ ~ 82/87/94
C~
3,0
- T~NK Z TIME -- 18:32:30 -
-
_ -
2,0 --
1,0
- SN: .23
50 500 5000 50000
BS888055.SON FREOUENCY (HZ~ 82t07/94~
3,0 i ~
- T~M]( 3 TIME -- 18:3Z:41 -
--
_ -
2,0 -- --
-- -
- --
-- --
1,0 --
- 8M: -.7Z -
.0
50 500 5000 50000
B8888855. SON FREQUENCY ( HZ~ 82187/94
UNDERGROUND TANK TESTERS, INC.
917 West Belleview, Porterville, CA 93257 .
1-800-244-1921
TESTER LOG
PIPING TIGHTNESS DETERMANATION PL400 FORMAT
TEST LOCATION: K ~ ~ ~ 1'~% O (~/C C o ~ ~*
TEST OPE~TOR: ~, / ~...~t~ ..~_ -~'
~ENNIS E. GOOD~ "~L. ~2-1000
Date .~ ~ ~ ~ ~ ~ ~ ~
Unld. Plus
Super Unld.
User Instructions ~TA lSD O~ION O~ION O~ION
or 18B 18D 0R 17 18F 18F 18F ** ** **
(rev. D) Step g lSA 18E
For plus cha~e,use - Comments:
~ 18~ Calculaticn:~/~ -..'/'"/'"//' For minus chang~use +
'18F 60 18B iSF 60
~ of ~--of
Leak Detector functioni~ properly
PLOT PLAN
JOBSITE LOCATION
TANK SIZE PRODUCT LEGEND
~ ~ OLD O0
~ TURBINE WITH LEAK DETECTOR'
#3 ~000 ~Or3~ O, C ~ OVERSPILL CONTAINER ON FILL
~ ~ REMOTE FILL
~5 '~ ?EXTR~.qi~OR VALVE
~ MONITOR SYSTEM
~_~MANIFOLD SYSTEM
~7
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93'301
.(805) 326'-3979
APPLICATION TO PERFORM A TIGHTNESS TEST
PERMIT TO OPE~TE ~
OPE~TORS N~E ~ ~ ~ ~ D~ L OWNERS N~E
~BER OF TANKS TO BE TESTED__ IS PIPING GOING TO'BE TESTED
T~ VOL~E CONTE~S
TANK TESTING COMPANY~mDs~,&~ . ;'~,~4' ~',.~-~ ADDRESS
TEST METHOD ~. ~c~ / C~W~
N~E OF TESTER ~~gj ~-~ CERTIFICATION $
STATE REGIST~TION $ ~ ~-~ 0o~
DATE & TIME TEST IS TO BE CONDUCTED ~-~" 9'~
~ A~PRO~ BY: O DATE SIGNATURE OF APPLIC~T
CITY of BAKERSFIELD
"WE.CARE" ~k~ ~ ~..~,'f .~'~
Fire Department 1715 Chester Ave., Ste. #300
M.R. Kelly , ~
Acting Fire Chief July ].6 ].992 Bakersfield, CA 93301
' (805) 326-3979
Kern Rock
529 Delores
Bakersfield, CA 93305
Attn: A1 Mendez
CLOSURE OF 5UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 529 DELORES STREET, IN BAKERSFIELD, CALIFORNIA.
PERMIT #. BR0040
'DeaT Mr. Mendez,
This is to inform you that this department has reviewed the results
for the preliminary assessment assOciated with the 'closure of the
tanks located at the above stated address.
'Based upon laboratory data submitted, this office is satisfied with
the assessment performed and requires no.further action at this
time.
This letter does not relieve you of any 'liability for past,
present, or future operations. In addition, any future changes in
site use may require further~assessment or mitigation. It is the
property owners responsibility to notify this department of any
changes in site usage.
If you have any questions regarding this matter, please contact me
at (805)-326~3797.
Sincerely,
Joe A. Dunw°ody
Hazardous Material Specialist
Underground Tank' Program
& ASSOCIATES, INC.
ENGINEERS, GEOLOGISTS AND ENVIRONMENTAL SPECIALISTS r-iidiJk'l t, lggZ II/t
215 West Dakota Avenue, · Clovis, California 93612 · (209) 348-2200 · FAX (209) 348-2201
By__ '
June 29, 1992 Project No. E92-103
K.E. Curtis Construction Company
Attn: Mr. Darryl Williamson
P.O. Box 4977
Thousand Oaks, California 91359
RE: Dispenser Island Removal .Sampling
Kern Rock
529 Dolores Street
Bakersfield, California
Dear Mr. Williamson:
In accordance with your authorization, we have completed the sampling and subsequent chemical
analysis of the soil sample obtained following the removal of the dispenser island fi.om the above-
referenced project site.
Mr. Joseph Dunwoody of the Bakersfield City Fire Department, Hazardous Material Division;
and Mr. Mike Mauzy of Krazan & Associates were present at the time of the soil sampling. At the
request of Mr. Williamson, a soil sample was obtained fi.om the base of an excavation approximately 5
feet wide, 10 feet long, and 10 feet deep. At the time of the soil sampling, no obvious odors or signs
of petroleum contamination were observed.
Sampling and' analysis were conducted in an attempt to meet the requirements of the California
Administrative Code as well as the guidelines established by the Kern County Environmental Health
Department for underground fuel storage tank removal. The soil sample obtained was analyzed for
benzene, toluene, ethylbenzene, xylenes, total petroleum hydrocarbons as reference to gasoline, and total
petroleum hydrocarbons as referenced to diesel by EPA Method 8020 and 8015M. None of ~he
petroleum constituents for which the sample was analyzed were detected in the soil sample. For the exact
Sample location, please refer to the attached site map. For addition details concerning the results of the
chemical analysis, please refer to the attached coPies of the certified analytical report.
Project No. E92-103
Page No. 2
LIMITATIONS
The findings of this report were based upon the results of our field and laboratory investigations,
coupled with the interpolation of subsurface conditions associated with our soil borings. Also
incorporated was the interpretation of previous investigations in the vicinity. Therefore, the data are
accurate only to the degree implied by review of the data obtained and by professional interpretation.
The soil sample was located in the field by review of available maps and by pacing or tape
measurements from existing landmarks. Therefore, this location should be considered accurate only to
the degree implied by the methods used to locate it.
Chemical testing was done by a laboratory approved by the State of California Department of
Health Services. The results of the chemical testing are accurate only to the degree of care of ensuring
the testing accuracy and the representative nature of the soil samples obtained.
The findings presented herewith are based on professional interpretation using state of the art
methods and equipment and a degree of conservatism deemed proper as of this report date. It is not
warranted that such data cannot be superseded by future geotechnical, environmental, or technical
developments.
Our investigation and report were prepared for the exclusive use of our client who authorized this
work. Unauthorized use of or reliance on the information contained in this report without the expressed
written consent of Krazan & Associates, Inc. is strictly prohibited.
If there are any questions or if we can be of further assistance, please do not hesitate to contact
our office at (209) 348-2200 or (800) 800-0711.
::......:: - ~. Respectfully submitted,
KRAZAN & ASSOCIATES, INC.
Steve Nelson
Project Geologist
· Geotechnical Engineer
:' :"~: .... RGE//002051/RCE//34274
SN/DA/Ijk
KRAZAN & ASSOCIATES, INC.
Project No. Drawing No. Merced Fresno Visalia Bakersfield
SEQUOIA ANALYTICAL
680 Chesapeake Drive · Redwood City, CA 94063
(415) 364-9600 · FAX (415) 364-9233
Sampled: 992
11111215 West Dakota Avenue Matrix Descript: Soil Received: Jun 18, 1992~i
iiilCIovis, CA 93612 Analysis Method: EPA S030/8015/8020 Analyzed: Jun 19,
iiiiAttent on: Lorin Sutton First Sample Cf: 206-3512 Reported: Jun 23, 1992i!iiii!
TOTAL PETROLEUM FUEL HYDROCARBONS with BTEX DISTINCTION (EPA 8015/8020)
Sample Sample Low/Medium B.P. Ethyl
Number Description Hydrocarbons Benzene Toluene Benzene Xylenes
mg/kg mg/kg mg/kg mg/kg mg/kg
(ppm) (ppm) (ppm) (ppm) (ppm)
206-3512 DI #1 N.D. N.D. N.D. N.D. N.D.
Detection Limits: 1.0 0.0050 0.0050 0.0050 0.0050
Low to Medium Boiling Point Hydrocarbons are quantitated against a gasoline standard.
Analytes reported as N.D. were not present above the stated limit of detection.
Project Manager 2063512.KRA <2>
SEQUOIA ANALYTICAL
680 Chesapeake Drive · Redwood City, CA 94063
(415) 364-9600 · FAX (415) 364-9233
iiiilKrazan & Associates Client Project ID: E92-103 Sampled: Jun 17, 1992i!iiii
iiiii215 West Dakota Avenue Matrix Descript: Soil Received: Jun 18, 1992:~iiii
::::?:iCIovis, CA 93612 Analysis Method: EPA 3550/8015 Extracted: Jun 22, 1992iilili
~:i~iiAttention: Lorin Sutton First Sample #: 206-3512 Analyzed: Jun 22, 1992i!iiii
~.!!!i Reported: Jun 23, 1992i~!~?~
TOTAL PETROLEUM FUEL HYDROCARBONS (EPA 8015)
Sample Sample High B.P.
Number Description Hydrocarbons
mg/kg
(ppm)
206-3512 DI #1 N.D,
Detection
Limits: 1.0
High Boiling Point Hydrocarbons are quantitated against a diesel fuel standard.
Analytes reported as N.D. were not present above the stated limit of detection.
S/~.UOIA ANALYTICAl. /~
Project Manager 2063512.KRA < 1 >
SEQUOIA ANALYTICAL
'~~ 680 Chesapeake Drive · Redwood City, CA 94063
(415) 364-9600 · FAX (415) 364-9233
:~i?~215 West Dakota Avenue
i~ Clovis, CA 93612 · '
::?:!::Attention: Lorin Sutton QC Sample Group: 206-3512 Reported: Jun 23, 1992i::iii::
QUALITY CONTROL DATA REPORT
IANALYTE Ethyl- I
Diesel Benzene Toluene Benzene Xylenes
Method: EPA 801§ EPA 8020 EPA 8020 EPA 8020 EPA 8020
Analyst: R. Lee C. Donohue C. Donohue C. Donohue C. Donohue
Reporting Units: rog/kg mg/kg rog/kg rog/kg rog/kg '
Date Analyzed: Jun 22, 1992 Jun 19, 1992 Jun 19, 1992 Jun 19, 1992 Jun 19, 1992
OC Sample #: DBLK062292 GBLK061992 GBLK061992 GBLK061992 GBLK061992
Sample Conc.: N.D. N.D. N.D. N.D. N.D.
Spike Conc.
Added: 15 0.20 0.20 0.20 0.60
Conc. Matrix
Spike: 14 0.21 0.21 0.21 0.61
Matrix Spike
% Recovery: 93 105 105 105 102
Conc. Matrix
Spike Dup.: 13 0.21 0.20 0.20 0.62
Matrix Spike
Duplicate
% Recovery: 87 105 100 100 103
Relative '
% Difference: 7.4 0.0 4.9 4.9 1.6
% Recovery: Conc. of M.S. -Conc. of Sample x 100
. Spike Conc. Added
Relative % Difference: Conc. of M.S, - Conc. of M.S.D. x 100
Andrea Fulcher (Conc. of M.S. + Conc, of M.S.D.) / 2
Project Manager 2063512.KRA <3>
Chain of Custody ReCord ..
_.~t~o_,'~ DATEd-/7-?~AGE / OF~__ .....................
KR~AN & ASSOCIATES, INC. PARAMETERS
ATTN:
215 WEST DAKOTA AVENUE ~
-- Z
CLOVIS, CA 93612 ~ ~
{200) 348-2200 FAX: (209) 348-220i ~ g -
~ ~: ~ ~ ~ COMMENTS
SAMPLE NO DATE TIME DESCRIPTION/LOCATION
[~~~ DA~E RECEIVED BY -- DATE RELINQUISHED BY DATE RECEIVED BY DATE TOTAL NUMBER OF CONTAINERS
, Signature Signalure Signature METHOD OF SHIPMENI/DELIVERY
llM~ Prin~ed Name TIME Printed Name TIM~ Printed Name ' TIME
S T/HANDLING
Company __ Company Company Company
Signalure Signalure Signature S~ature
Printe~ Name TIME Printed Name TIME Primed Name TIME Printed Name TIME RESULTS DUE:
Company . _.. Company Company Company ~' ~ VERBAL
WRITTEN
Nhite . Lab Yellow - P~oiect File Pink - C.O.C. Binder
STATE OF CALIFORNIA .
: - ' ~ STATE WATER RESOURCES CONTROL BOARD '
r UNDERGROUND STORAGE TANK PERMIT APPLICATION" FORM B*' '
' ~ coMpLETE A SEPARATE FORM FOR EACH TANK SYSTEM.
'MARK~"LY":; E~'i1 iEw'~ERi~iT '~ ."'' [~ 3 RENEWAL pERM;TAMENDED ' E~ 5 ~HANGE OF INFORMATION *CLOSURE'
' ONE ITEM ' :[~ ~ INTERIM PERMIT '[~ 4 PEBMIT'. [~ 6 'E~PO"A"Y TANK y8 TA~K
DB'AOR FACILITY NAME WHERE TANK IS INSTALLED: ,~'(~,J'"',,/'~ ZC) ~.~-'"~ ' .'-
I. TANK DESCRIPTION jCOMPI~ETE'ALL IT_EMS -- SPECIFY IF UNKNOWN . .,
A~. oWI~ER'S ~-ANK I.D.#' /. B. MANUFACTURED BY: .~ '*
O. DATE INSTALLED (MO/DAY.EAR).. / 7-~" ?. · ' D.':TANK CAPACITY IN.GALLONS: /0/
II.TANKCONTENTS ~' ~ IFA-llSMARKED, COUPLETI~ITEMO.' "
'A. MOTOR VEHICLE FUEL [] 4 OIL B. C.' [] la REGULAR ,..~'"3 DIESEL AVIATI6NGAS
' '' '" Z UNLEADED E~ 4 GASAHOL.
[~ 2 PETROLEUM · [] 80 EMPTY PRODUCT [] lbPREMIUMuNLEADED . ~] 5 JET~UEL [] 7 METHANOL.
' *[] 3' CHEMICAL PRODUCT [] 95 UNKNOWN E~ 2 WASTE [] 2 LEADED [] '99 OTHER (DEscRIBE IN ITEM D. BELOW
D, IF (A.1)IS NOT MARKED ENTER NAME OF SUBSTANCE STORED *' ' C.A.S.#:
III. 'TAN K' CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX D
A. TYPE OF E~.~" DOUBLE WALL [] 3 SING~LE WALL WITH ~XTERIOR LINER [] 95 UNKNOWN
SYSTEM,,,.[~ '2 SINGLE WALL' . . []' 4 *SECONDARY CONTAINMENT (VAULTED TANK) r~ 99 OTHER
~ BARE STEEL [---"~" 2. STAINLESS STEEL [] 3 FiBERGL,~ss [] 4 STEELCLAD W/~IBERGLASS REINFORCED PLASTI~
B.
MATERIALTANK ~ 5 CONCRETE . [] 6 POLYVINyL CHLORIDE [] .7 ALUMINUM - '[] 8 100% METHANOL COMPATIBLI::W/FRP'
(PrimaryTaYlk) E~:. 9 BRONZE ', [] :10 GALVA*NIZED STEEL ' E~ 95 UNKI'~OWN []'99 ~)THER '
Cl iNTERIOR ' E~ 1 RUBBER I~I'I~ED [] 2 ALKYD LINING ;' [] 3 EPOXY LI~ING ~"-~.4 PHENOLIC LINING
LINING [] 5 GLASS LINING .,,.,[~6 UNLINED [] 95. UNKNOWN [] 99 OTHER
IS LINING MATERIAL COMPATIBLE WITH IO0%'METHANOL? YES__ NO__
D. CORROSION' [] ~ POLYETHYLENE WRAP [] 2 COATING: [] 3 VINYL WRAP [] 4*FIBERGLASS R~NFORC£D PLASTIC
PROTECTION . [] 5 CATHODIC PROTECTION,.J~91 NONE . [] 95 UNKNOWN [] 99 QTHER
IV, PIPING INFORMATION .' CIRCLE A IFABOVEGRoUNDOR U IF UNDERGROUND, BOTH IF APPL:iCABLE . *
A. SYSTEM TYPE 'A I.J 1 SUCTION AO2*PRESSURE . A U 3 GRAVITY A U' 99 OTHER
B, CONSTRUCTION A U~l SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER
'C. MATERIAL AND A(~I BAF~ESTEEL : A U, :~ STAINLESS STEEL .8. U 3 POLYVINYL CHLORIDE (PVC)A U 4 FiBeRGLASS PIPE
' CORROSION A U 5 A[~UMI*NUM A U 6 COI~CRETE .. A U 7 STEEL WI COATING A U 8 lOm/o METHANOL COMPATIBLEW/FRP
PROTECTION A U 9, GALVANIZED STEEL" A U 10 CATHODI(~PROTECTION A' U~ 95 ONKNOWN A U 99.OTHER
D. LEAK DETECTION ~ AUTOMATIC LiNE LEAK DETECTOR ~ LINE TIGHTNESS TESTiNG [] 3 iNTERSTITIAL
· MONITORING ~ 99 OTHER
V. TANK LEAK DETECTION
'1' [] 1 VISUAL CHECK ~2 INVENTORY RECONCILIATION. []' 3 VAPOR MONITORING ~ 4' AUTOMATIC TANK GAUGING [] 5 GROUND W~TER MONITORING
~""6 TANK TESTING [] 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER
VI.TANK CLOSURE INFORMATION
~'~'/7. ~' / L~' '~-~'''~ SUBSTANCE REMA,NING , INERT MATERIAL?
THIS FORM HAS'BEEN ~OMPLETED UNDER PENALTY"OF PERJURY A~/D TO THE BEST. OFMY KNOWLEDGE IS TRUE AND CORRECT
LOCAL AGENCY. USE ONLY THE STATE I.D. NUMBER'"~/~'~/1POSED OFTHE FOUR NUMBERS BELO~ '. -'
COUNTY # .~RISDICTION # FACILITY # TANK #
PERMIT NUMBER " ' _ , . . PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE
FORM B (9-90) . THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESSA'CURRENT FORM'A HAS BEEN FILED.
: . - · FORO034 ~-P,4
o Bakersfield Fire Dept. PER'MIT'N°Z~
HAZARD. OUS MATERIALS DIVISION
.~ UNDERGROUND STORAGE TANK PROGRAM
- '- ~,.~'f~-,~"~'¥:"!'~R~''~:':' .".Z '- ' ~' '
".,,":, . ."':" i ' : :::;,':,.,,'::.: ''~
PERMIT APPLICATION TO CONSTRUCT/M_QDIFY UNDERGROUND STORAGE TANK
TYPE OF APPLICATION (CHECK)
Q NEW FACILITY Q MODIFICATION OFFACILITY 0~NEW TANK INSTALLATION AT EXISTING FACILITY
PROPOSED COMPLETION DATE b ~ q ~J
STARTING DATE [o q ~
FACILITY NAME ~,,~l~t'/ ~o~-,, ~.- -. EXISTING FACILITY PERMIT No.
FACILITY ADDRESS .~, ,~ ~l J)G J...b~E=$ 5'Y'. ZIP CODE
TYPE OF BUSINESS C-C*qf..~.~-J'G C.op-I.~A-~ y APN
TANK OWNER ~,~t~,~ ~o¢---K' (_.o. PHONE No. ~
ADDRESS ~cl J)-~,'~oE.~$ .~,T". CITY J~A-K,~'Tc-~ p~'4./21p CODE
CONTRACTOR ~,E~ ~uK~¢~ ~~- ~- CA LICENSE No.
ADDRESS JHoq oho ~~O ~. ~ : Cl~ ~~L~~IPCODE ~[~
PHONE N°~ ~-~ BAKERSFIELD Cl~ BUSINES~ICENSE N~. ~ ~Oo A
WORKMAN CO~P~ No. W~-~I- ~l~ INSURER FR~, '
BREIFLY DESCRIBE THE WORK TO BE DONE Tfi~ ~ov~ A~
' WATER TO FACILI~ PROVIDED BY C~. ~ ~
DEPTH TO GROUND WATER ~ ~ SOIL ~PE EXPECTED AT SITE
.No. OF TANKS TO BE INSTALLED ~ ARE THEY FOR MOTOR FUEL ~YES QNO
SECTION FOR MOTOR FUEL
TANK No. VOLUME UNLEADED 'REGULAR PREMIUM DIESEL A~IATION''
SECTION FOR NON MOTOR .FUELSTORAGE TANKS
TANK N~. VOLUME CHEMICAL STORED. CAs. No. CHEMICAL PREVIOUSLY
(no brond nome)[ (if known) · STORED. ·
THE APPLICANT HAS RECEIVED. UNDERSTANDS, AND WILL COMPLY WITH THE All'ACHED CONDITIQNS OF THIS PERMIT AND ANY OTHER
SIAIE. LOCAL AND FEDERAL REGU[AIIONS. "'
THIS FOR~ HAS BEEN COMPtETED UNDER PENAL'J~f O~ PE[~JURY. ^ND TO THE [~E$' OF MY KN~'E' :UyE'T'
PP~C~V~I~ BY: j APPLICANT NAME (PRINT)' ,
m THIs APPLICATION BECOMES A PERMIT WHEN APPROVED
BAKERSFIELD FIRE DEPARTMENT
ZARDOUS TERIAL DIVISION
2130 G Street,~ Bakersfiel'd, CA 93301
(805) 326-3979
CERTIFICATION. STATEMENT OF TANK DECONTAMINATION
I, L~f~/. ~,///~$~ an authorized agent of
name
/~' L~'~' here by 'attest under penalty of
contracting-co.
perjUry that:'the tank(s) located at'/j~? /~0~_~ ~- and
address
being remoVed under permit~ ~_-6DO .~O has been
cleaned/decontaminated properly and a LEL (lower explosive limit)
reading of no greater than 5% was measured'immediately following
the cleaning/decontamination process.-
' ~ate nKme (print) / signature
'J~.lO ~ 15:0~ ~]N~CA FAX ~75 P. ~
ORANGE COAST ANALYTIOAL, INC.
3002 DOW, SUITE 532 TURIN, CA 986B0
(714) B32~064 FAX [714) a~2~067
Hekimian & Associates, Inc. Client Proje=t ID: K.~. Curtis/Kern Rook Co.
ATTN: Dr. Ken Hekimian Client Project $:. 1892S
16692 Gothard St.
Huntington Beach, CA 92647
Analysis Method: EPA 5030 / 8020
Sampled': 06-08-92
Sample Description: Soil Received: 06-09-92
Analysed:. 06-09-92
Laboratory Reference ~: MAI 1963 Reported= 06-10-92
AROMATIC VOLATILE..ORGANIC$.(~PA..8020)
LaboratOry Client Dichloro- Ethyl Total Surrogate
Sample Sample Benzenes Benzene Toluene Benzene Xylenes Recovery
Number Number ug/kg ug/kg ug/kg ug/kg ug/kg TFT*
(ppb) (ppb) (ppb) (ppb) (ppb) (%)
9206097 EBS-C-9' N.D. N.D. N.D. N.D. N.h. 95
9206098 EBS-c-13' N.D. N.D. N.D. N.D. N.h. 89
9206106 EB2-S-16' N.h. N.h. N.h. N.h. N.h. 91
9206107 EB2-S-12' N.D. N.h. N.D. N.h. N.D. 91
9206108 EB2-N-16' N.h. N.h. N.D. N.h. N.D. 95
9206109 EB2-N-12' N.h. N.h. N.h. N.h. N.h. 90
9206110 EBi-S-i§' N.D, N,D. N.h. N,h. N.h. 91
9206111 · EB1-S-12' N.h. N.D. N.D. N.D. N.D. 90
9206112 EB1-N-12' N.D. N.h. N.D. N.D. N.h. 91
9206113 EB1-N-16' N.D. N.D'. N.D. N.h. N.h. 89
Detection Limit: 15 5.0 5.0 5.0 5.0
Analytes reported as N.D. were not present above the stated limit of detection.
, alpha, alpha, alpha-triflourotoluene
ORANGE COAST ANALYTICAL
Mark Noorani --
Laboratory Director
Jun. lO ·'92 i5:0J CA FAX 2?5 ·
O ANGE COAST ANALYTIOAL, INC.
3DD8 DOW, BUI~ ~88 TU~TIN, GA 98880
[7 ~ 4] B88~DB4 FAX [7~4] 888~007
Hekimian & Associates, Inc. Client Project ID: K.E. Curtis/Kern Rock Co.
ATTN: Dr. Ken Hekimiau Client Project ~: 1892S
16692 Gothard St.
Huntington Beach, CA 92647.
Sampled : 06-0s-92
Sample Description= Soil Received= 06-09-92
Analymed= 06-09-92
Laboratory Reference ~: HAI 1963 Reported: 06-10-92
PETROLEUM FU~L._I~¥DROCARBONS (EPA 8015m.)._
Laboratory client Extractable
Sample Sample Hydrocarbons
Number Number (mg/kg)
9206101 PI-4' 510
9206106 EB2-S-16' N.D.
9206107 EB2-S-12I N,D.
9206108 EB2-N-16t N.D.
9206109 EB2-N-12~ N.D.
9206110 EB1-S-16' N.D. ·
9206111 ~BI-S-12' N.D.
9206112 EB1-N-12~ N.D.
9206113 EB1-N-16' N~D. ~" '
Detection Limit: 8.0
Extractable Hydrocarbons are quantitated against a diesel standard.
Hydrocarbons detected by this method range from C7 to c30. Analytes reported
as N.D. were not present above the stated limit of detection.
ORANGE COAST ANALYTICAL
Mark Noorani
Laboratory Director
P. 4
~Tun, ~0 '92 15:04 CR FI:IX ~75 .......
ORANGE cOAST ANALYTICAL, INC.
3002 DOW, SUITE 532 TUSTIN, CA 9E~6BO
(714) 8~)084 FAX [714) 8~0007
Hekimian & Associates, Inc. Client Project ID: K.E. Curti~/Kern Rock Co.
ATTN: Dr. Ken Hekimian Client Project $: 1892S
16692 Gothard St.
Huntington Beach, CA 92647
Analysis Method: 418.1 (I.R. with Clean-Up)
Sampled : 06-08-92
Sample Description: Soil Received: 06'09-92
Analyzed: 06-09-92
Laboratory Reference ~: HAI 1963 Reported: 06-10-92
TOTAL.RECOYERABLE_H~DROCARBONS
Laboratory Client Extractable
Sample Sample Hydrocarbons
Number Number mg/kg
(ppm)
9206097 EBS'C-9~ N.D~
9206098 EBS-C-13' N.D.
9206102 EB3'W-16~ N.D.
9206103 EB3-W-12' N.D.
9206104 EB3-E-12' N.D.
9206105 EB3-E-16" N.D.
Detection Limit: 8.0
Analytes reported as N.D. were not present above the Stated limit of detection.
ORANGE COAST ANALYTICAL
Laboratory Director
Jun. lO '92 15:04 ONICA FAX 2?5 P. 5
ORANGE COAST ANALYTICAL, INC.
300;) O0W, SUITE 53;) TUSTtN, CA 9~680
(7141 8S2-O064 FAX (714} 832-ODB7 . .
Hekimian & Associates, Inc. Client Project ID: K.E. Curtis/Kern Rock Co.
ATTN: Dr. Ken Hekimian Client Project #: 1892S
16692 Gothard St.
Huntington Beach, CA 92647
Analysis Method: EPA 5030 / 8015m / 8020
Sampled : 06-08-92
Sample Description: Soil Received: 06-09,92
Analyzed: 06-09-92
Laboratory Reference ~: HAI 1963 Reported: 06-10-92
~OLATILE FUEL HYDROCARBONS ~.~ BTEX DISTINCTION (EPA 8015m/8020) ..
Laboratory Client Volatile Fuel Ethyl Total Surrogate
Sample Sample Hydrocarbons Benzene Toluene Benzene Xylenes Recovery
Number Number ug/kg ug/kg ug/kg ug/kg ug/kg TFT*
(ppb) (ppb) (ppb) (ppb) (ppb) (%)
9206099 EB4-C-9' N.D. N.D. N.D. N.D. N.D. 93
9206100 EB4-C-13" N.D. N.D. N.D. N.D. N.D. 93
9206101 PI-4' N.D. N.D. N.D. N.D. N.D. 92
Detection Limit:' 5000 5.0 S.0 S.0 5.0
Volatil~ Fuel Hydrocarbons are quantltated against a gasoline standard.
Hydrocarbons detected by this method range from C6 to C15. Analytes reported as
N.D. were not present above the stated limit of detection.
* alpha, alpha, alpha-triflourotoluene
oRANGE COAST ANALYTICAL
Mars
Laboratory Director
Jun. 10 '92 15:05 :ONICA FAX 2?5 P. 6
ORANGE COAST ANALYTICAL, INC.
3002 DOW, SUITE ~32 TUSTIN, CA 92680
(714] 832-0064 FAX [714) 832~0~7
Hekimian & Associates, Inc. Client Project ID: K.E. Curtis/Kern Rock Co.
ATTN: Dr. Ken Hekimian Client Project ~: 1892S
16692 Gothard St.
Huntington Beach, CA 92647
Sampled : 06-08-92
Sample Description: S~il .-Received: 06-09-92
Analyzed: 06-10-92
Laboratory Reference ~: HAI 1963 Reported: 06-10-92
TOT~L_~LEAD (EPA 7420)
Laboratory Client Sample
Sample Sample Result
Number Number mg/kg
(ppm)
9206097 EB5-C-9' N.D.
9206098 EBS-C-13' N.D.
Detection Limit: 1.0
Analyte reported as N.b. was not present above the stated limit of detection.
ORANG~ COAST ANALYTICAL
Mark Noorani
Laboratory Director
:".~ Bakersfield Fire Dept. PERMIT No
,.
HAZARDOUS MATERIALS DIVISION
UNDERGROUND STORAGE TANK PROGRAM
PERMIT APPLICATION TO CONSTRUCT/M_ODIFY UNDERGROUND STORAGE TANK
TYPE OF APPLICATION (CHECK) ~ ·
CI NEW FACILITY C3 MODIFICATION OF FACILITY I~NEw TANK INSTALLATION AT EXISTING FACILITY.
PROPOSED COMPLETION D.A:rE >'
/
FACILITY NAME K~I~./'4'-- j?,oc.,14, ~ .- EXISTING FACILITY PERMIT No.
FACILITY ADDRESS .~, ~ ~1 J)G J..bK~ ~"i"'. ZIP CODE
TYPE OF BUSINESS C.c~l¢.~r,e-J-G C4~,'tp~4 y APN
TANK OWNER J(,~iR,~/ jKoc-K (~o. PHONE No, ~.~-/' '~.,~
ADDRESS ~ J)~crL. oE.~$ ~T'. CITY J~,o,-/6~-~ F:/~'~21PCODE ~/.~'~'5 .'
CONTRACTOR ~,IF.~ L.-uK~-15 (..e~,i.~T'o C~D. CA LICENSE No,
ADDRESS IHo~ obi> c.~,'~,T'o IKI). CITY~IC~41,~z.~J~A~..ZIPCODE
PHONE N°~_o5 TM) t-J"~c~-Off~-~ BAKERSFIELD CITY BUSINESS LICENSE NE. 3
WORKMAN. COIglPi No. W J>-~ti- $1~/~ INSURER [~lZ~te,4~' .----~,--~
BREIFLY DESCRIBE THE WORK TO BE DONE T/,-~,II~ I~/-'tovA, L..
WATER TO FACILITY PROVIDED BY (DA,..~/'~'7-(:::/Z,,
DEPTH TO GROUND WATER ""/o -'t'" SOIL TYPE EXPECTED AT SITE ~,/,,,.i,4~. .
No. OF TANKS. TO BE INSTALLED I.~ ARE THEY'FOR MOTOR FUEL I~YES C~ NO
'SECTION FOR MOTOR FUEl.
TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL A~'/IATION'
SECTION FOR NON MOTOR FUELSTORAGE TANKS
TANK No; VOLUME CHEMICAL STORED CAS No. cHEMICAL PREVIOUSLY
(no brand name) (if known) STORED
.- THE APPLICANT HA~ RECEIVED, UNDERSTANDS, AND WJLL COMPLY WITH THE AlffACHED CONDITIONS OF THIS PERMIT AND ANY OTHER
STATE, LOCAL AND FEDERAL REGULATIONS.
THIS FORM HAS BEEN COMPLETED UND.ER PENALI~ OF PERJURY, AND TO THE BEST OF MY KNOVifL'L~DGE, IS TRUE AND CORRECT. '
APPROVED. BY; APPLICANT NAME (PRIN~ APPLICANT SIGNATURE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
INSPECTION RECORD
! POST CARD AT JOBSITE
1~ ~-'-" ' ~ /'~
FACILITY,~/~/L/ /~(~c~-- PERMIT ~ OWNER
ADDRESS f~ ~e/O~' ADDRESS
INSTRUCTIONS: Please call for an inspector only when each group of inspections
with the same number are ready. They will run in consecutive order beginning
with number' 1. D0 NOT cover work for any numbered group until all'items in
that group are signed off by the Permitting Au~thority. Following these
instrutions will reduce the number of required inspection v, isits and therefore
prevent assessment of additional fees.
- TANKS & BACKFILL -
INSPECTION DATE INSPECTOR
~Backfill of Tank(s)
/ 8p&rk T~t Certification f~~ ~
/ Cathodic Protection of Tank(s)
- PIPING SYSTEM -
,~'Corrosion Protection of Piping~ Joints, Fill Pipe
,},Electrical Isolation of Piping From Tank(s)
~ Cathodic Protection System-Piping
- SECONDARY CONTAINNENT~ OVERFILL PROTECTION. LEAK DETECTION -
~ Level Gauges or Sensors, Float Vent Valves
'Product Compatible' Fill Box(es)
product Line Leak Detector(s)
~ Leak Detector(s) for Annular Space-DlW. Tank(s)
-Lc:k Detection Devic~-~ ~Va~s.~G-~oundwa-%e'r-
- FINAL -
Monitoring Wells~ Caps & Locks
Fill Box Lock
;Monitoring Requirements
/2~'~,~~ HAZARDOUS MATERIALS ~ISION . ....
UNDERGROUND STORAGE'TANK PROGRAM
PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND 'STORAGE TANK
SITE INFORMATION
SITE ~--I~.1,,1 ~0~ ADDRESS ~ ~~ ZIP CODE ~5~ APN"
FACILI~NAME ~ ~~ CROSS STREET ~0~
TANK OWNER/OPERATOR K ~ ~o~ PHONE No. ~- ~ ~
MAILING ADDRESS ~. D~~ $~. C1~~¢,~ ZIP CODE
INSURANCE CARRIER ~C~oH~ WORKMENS COMP No. ~P-fl
PREUMANARY ASSEMENT ,NFORMAT, ON
INSURANCE CARRIER ~0~ bF be~Do~- WORKMENSCQMPNo. ~'-¢G-~G~!
COMPANY ~.U. ~h~g ~~*~ ~ PHONE NO
WASTE TRANSPORTER IDENTIFICATION NUMBER ,D~ ~ ~
NAME OF RINSTATE DISPOSAL FACILI~ ~~
ADDRESS CI~ ~-~ ~c~ ZIP CODE
FACILI~ INDENTIFICATION NUMBER ~~ O O ~ '~ G ~
TANK TRANSPORTER INFORMATION
TANK INFORMATION
TANK No. · AGE VOLUME CHEMICAL DATES CHEMICAL
STORED . , STORED PREVIOUSLY STORED
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE A~ACHED CONDITIONS OF THIS PERMIT AND ANY OTHER
STATE, LOCAL AND FEDERAL REGULATIONS.
M HAS BEEN COMPLIED UNDER PENAL~ oF PERJURY, AND TO THE BEST 0F MY KNO~EDGE, IS TRU~AND CORRECT.
APpROVED BY: ~ APPLICANT NAME (PRINg APPLIOANT.~,SIGNATURE
.... .. THI~._.~pPLICATION BEOOME~.A._PER~IT~HE~.APPROVED ......
-' "-' -~'AKE CHECKS PAYABLE TO THE "O1~ OF BAKERSFIELD"
Delores St.
(2) I0.000 Gal. Office
.Dieselj
Haintenance (11 5.000
Waste Oilj~ $0' '~l X-Pap Island
· - ~ p Op ty Li '-
' r er 11o
· Chico St.
POST OFFICE BoX 3329, BAKERSFIELD, CA 93385 '
.... " ' TEL:' 805/324-9714, ~X: 805/324-5226
- ' .... ''1. January 30,-1992 ~§~ ............
Bakersfield Fire Department /~/-~
Hazardous Material Division
'2t30 "G" Street
Bakersfield, .CA
Attn:~ JOe'Dunwoody -
Monitoring Plans for Underground Tanks:.
Kern .Rock 'Company is at this time using the method of"Standard
Inventory Control 'Monitoring," handbook #UT-10 and "Modified
Invent.ory. Cont-rol Monitoring," handbook #UT-15. The tanks' are
inventoried on a daily basis by the use of a depth gaugestick and
. checked weekly for water contamination by a water paste. This
method has been done Since October, 1986. An annual report of the
"Inventory .Recording Sheet" and "Inventory Reconciliation Sheet"
was'turned in to Kern County Health Department. But now it will be
submitted to the Bakersfield City Fire Department. The person in
charge of the monitoring is A1Mendez, Shop Assistant at Kern Rock
COmpany; Dolores Street Plant; 529 Dolores St'reet; Bakersfield, CA.
Spill Response Plans for UndergroUnd Tanks:
Kern RoCk Company at Dolores Street Plant has at their disposal two
Skipl'oaders with .a Bucket capacity of two and three Yards. They
are on-site, at'all times'and are maintained regularly by our Shop
Mechanics and Service:men. Also, at our disposal are two truck and
trailer transfer rigs.'with a capacity of twenty2si'x, tons each.
These 'can be .used to haul off and dispose any hazardous waste'
contained at our Plant 'to a Regulated Hazardous Waste Disposal
.Site'.
At our plant tons of sand are stored in Bunkers which can be used
for containment of any unauthorized spill of Hazardous Substances.'
Robert E.. Jones/General' Manager, Dennis Ryman/EqUipment
SUperintendent and A1Mendez/Shop Assistant are persons responsible
for authorizing any work necessary under the response plan.
Enclosed are copies of. equipment maintenance 'schedfiles fOr .the
equipment to be used.'in case of'any unauthorized release.
Since.~
,:. A1Mendez
.. Shop'Assistant
Cl~ass~s make ~ Date purchased M~OI year " Chassis numDer
Engine make / Engine number Engine model Engine year
Tire Size Ply Name Pressure
Eqmpment own~ Or leasco from
Major Repair Record '~I~ c/o,~ -?~I~. ~
Date Type of Repair
P~"~e~tative MaintenancgControl System
Chassis make Date purchased Moclel year Cr~assis number
Engine make / . ' ~ Engine number Engine model Engine year
Tire Size Ply Name Pressure
~ D, ~ ~ ~b~
Major Repair Record
Date Type of Repair
' - / - ' I
.
'
~ .... ,..::. dp /,~ ,~- . . ,
' I' ' ~ ~- ,/. :' '. '~ -' ' ' '-
. / t ~
Repair Record .
Date . T,ype of Repair.
/
/ ~ '~C' "' '
'-' '' 2'5 ~, ',=..,.-.
c~,O.< . Z~.~ ,,.~r:..
Prever~ative Maintenanc~B~::':)ntrol System~'-~r--~_~
Cr, ass;s make Date purchased M~el year Chassis numar
Engine make Engine numbe~ Engine m~el Engine year
Transmi~ion make MOQel Auxiliary make MoQeL
Differential make
Model
Tire S~e Ply Name Pressure
Equipmenl own~ Or leased Irom
Major Repair Record'
Date Type of Repair
'. ~ .... , ~ '". , ~'"~" ~: ~'7-'~*' ~L/ ~.~ ~ ~;. : ;l,..:r,: ,,;.~ ~'.~)'~'~!'
I~ t, ~ :, ' ) - >, ~1~' .... ~- '" )'"'- ~' ........ -'~
:~ /:~t t ~' ' ' .' ' - ' ......" '
t, / ~. , .~' ~ .. :, ....
~/ ~ · , -- ' ' ' ~ " ~ " ~
~ _ ¢.q t / , ,__ __//' ., .. , . ,
~.!/ ' '.'' L'"', .....
~ / ~ i ., , ·
~ 1'' , -. , -,_ --.-....
.......... , ....... . .... , -_ ..... . ... _ .... :_~~.,__
reve_ma[~ve Maintenan ontrol SyStem~.
Dale purcl~ased Model year Chassis number
Chassis make
Engine make ~ Engine number ' Engine m~el Engine year
Tile Size Ply Name Pressure
Equipmenl own~ O[ leased Irom
.Date ~ · ~ Type of Repair ~ .
~'t~tative l~laintenanc~Control System~?p~, ~,,, ~.?
Cl~assis make Date purchased Mod~l year Chassis numar
Engine make ~gine numar Engine m~el Engine year
Transmi~ion make M~el Auxiliary make M~el
Dille[enhal make M~el
rite S~e Ply Name Pressure
Equipment owned Or leased lrom
Major Repair Record
M~-jb"r Repair Record
Date Type of Repair
1700Fl°wet_Street ' --KERN COUNTY HEALTH DEPARTMENT HEALTH OFFICER
-Le°n M Hebertson, M~D.
Bakersfield, California §3305 ~ I '
'~lephone (805) 861-.3.636 ~ ENVIRONMENTAL HEALTH DIVISION
· i ~=~=~ DIRECTOR OF ENVIRONMENTAL HEALTH
' ~i ' . Vernon S. Reichard
I NTER'I M pERMI T PER'MI Tel 5OO3OC
. TO O P,E RATE : ,
; D' "AZAEDoU CE~~~.~' E[ SxSp U ED :I RE S :' APRILAPRiL. 11;, 19901987
UNDERGRO N S'.~.SUBSTAN S
STORAGE FACILITY NUt4BER OF TANKS= 5
FACILITY: I 'OWNER:
KERN ROCK CO. TULARE ST' PLANT I KERN ROCK COMPANY
529 DOLORES STREET I P.O. BOX 3329
BAKERSFIELD, CA , { BAKERSFIELD, CA 93385
............... i'.-.~.~ANK~..# -~ ..... ~:AGE( I N YRS ~ .... ~ .....··SUBSTANCE- CODE ~..~ .-..L-~PRESS,UR I ZED .P I P ING.~
1 ... 22 MVP 3 UNK -
2,3 . .,. 22 )lYF 3 '. NO '.'
4 ~.10 , .)IVF 3 NO
5 ~22 ~ " .W0 3 NO
NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MUST BE iMET DURING TIiE TERM OF TItIS PERMIT
NON--TRANSFERABLE *-- ~ POST ON pREMI.SES
APPENDIX A
Soil Sampling Technique
11 Brass Sleeves:
Using a backhoe, a bucket full of soil will be excavated from the_sampling point. Samples.
are taken in stainless steel sleeves using a drive sampler.. The sampler is driven into
soil using a driver to the desired sample depth. To prevent cross ccmtnminatinn between
samples, the sampler is washed' using_ a two bucket wash systmn prior to eaCh use. The,
wash system involves:
1)Washing the sampler in a TSP or Liqui-NoxTM and water solution.
2)Rinsing sampler in tap water.
The sleeves for samples to be' submitted for laboratory analysis ar~ capped with aluminum
foil and T~flonTM
caps and sealed with non-VOC adhesive tape.. Samples are then
immediately chilled by placement in an ice chest. All samples are transported in a chilled ·
condition to a State certified laboratory within 24 hours of sampling under a chain-of-
custody docUmentation.
2. Glass Jar:
Using a backhoe, a bucket full of s0il will be excavated from the san~pling point. A pre-
cleaned glass jar will be inserted into the soil and be completely filled without headspace,
capped with a teflon-lined cap, sealed With non-VOC adhesive tape and n,aarked to identify
the sample, then placed in a chilled container (with blue ice) and taken to a state certified
testing laboratory (within 24 hours) for designated testing under a proper chain-of-custody
·form.
/sn£rev '
¥
~0~ ~[0 'ONI -'S'~.1_~I3OSS¥ .xg N¥ININ~H 8@~9' [t7@ tT~i @~:~1, C0 90-~GGI..'
KERN ROCK CO. ~ ' . VENDOR NUMBER CHECK NO.:
NOBLES TRUCKING CO. P.O. BOX 3329 BAKERSFIELDi CA 93385 VENDOR NAME
7/1/92 62210011335~.~ I ! $168.00 City of Bakersfield
PLEASE DETACH THIS PORTION BEFORE DEPOSITING. TOTAL DISCOUNT TOTAL AMOUNT PAID ·: · COPY NOT NEGOTIABLE,
1700 Flower Street ':~';..~RN COUNTY HEALTH DEPARTMEI~. HEALTH OFFICER
Bakersfield, California 23305 . . Leon M Hebertson, M.D.
*" ~ DIRECTOR OF ENVIRONMENTAl HEALTH
"' ."I NTERT 1VI pE'RMT T ' : ..... PERMT T='150030C
..... NON--TRANSFERABLE :*** POST :20~
,,WE CARE"
FIRE. DEPARTMENT 2101 H STREET
S. D. JOHNSON July16,1992 BAKERSFIELD, 93301
FIRE CHIEF 326-3911
Kern Rock
529 Delores
Bakersfield, CA 93305
Attn: A1 Mendez
CLOSURE OF 5 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 529 DELORES STREET, IN BAKERSFIELD, CALIFORNIA.
PERMIT ~ BR0040.
Dear Mr. Mendez,
This'is to inform you that this department has reviewed the results
for the preliminary assessment associated with the closure of the
tanks located at the above stated address.
Based upon laboratory data submitted, this office is satisfied with
the assessment performed and requires no further action at this
time.
This letter, does not relieve you of any liability for past,
present, or future operations. In addition, any future changes in
site use may require further assessment or mitigation. It is the
property ~owners responsibility to notify this department of any
changes in site usage. ;f
If you have any questions regarding this matter, plegse.contact me
at (805)-326-3797. '
Sincerely,/
/~oe.A. Dunwoo~
//Hazardous Material Specialist
Und~ TT-~erground Tank Program'
Date: jUne 12, 1992 RECEIVED
JUN 1 7 1992
To: Hazardous Material Div. HA~ i~.~T. CIV,
2130 "G" Str. eet
Bakersfield, Ca. 93301
Attention:. Mr. Joseph A. Dunwoody
Reference: Kern Rock
495 Dolores
Bakersfield, Ca.
Delivered On: June 12, 1992
'Underground Elutron Plasteel double wall
20,000 gallon U. L. ~ L-225123 5,000 gallon U. L. ff L-322107
1,000 gallon U. L. ~ L-322073
Gentlemen:
This letter is to certify that the subject tank was Holiday
Tested (.at the Factory) and (at time of delivery) at 12,500
volts showing no holidays.
Cordially,
ussell
Engineerzng Manager
CERT. PF
INDU_STRIAL AVENUE ESCONDIDO, CALIFORNIA 92029 TELEPHONE (6!9)_ 745-0971 FAX ('619) 746-9515 -
1
189
Bakersfield Fire Dept. ~PERMIT N
~ HAZARDOUS MATERIALS DIVISION
'~ UNDERGROUND-STORAGE TANK PROGRAM
" PERMIT APPLICATION TO CONSTRUCTiM_ODIFY UNDERGROUND STORAGE TANK
TYPE O~'.~PPLICATION (CHECK)
/
PROPOSED COMPLETION 'DATE (o /; ~1 /
STARTING DATE
FACILITY NAME 14,~1~,/,/ ~,o~,l/-., ~.- EXISTING FACILITY PERMIT No.
FACILITY ADDRESS _~cl J)GJ..bf~ .ST". ZIP CODE
TYPE OF BUSINESS C.c~K.e. ~G C.o ~.4 p~M y APN '
TANK OWNER ~t~,~,/ t~,oc.'K (_.o. PHONE No.
.- ADDRESS c~t ,p~boE.~$ ~,i". CITY J~/~-~ F~6'~--/21PCODE
CONTRACTOR ~,F~. C.ul~'i-I5 C..e~,I,'>T"- C..o. CA LICENSE No.
: ADDRESS IHo0 ol.,ID Co~'e.,,T'O I~,1). CITY~,vqI~,~-~AC..I(ZIPCODE
PHONE No.(~__?$.') ~-!~-O~'/~.~ BAKERSFIELD.CITY BUSINESS LICENSE Nb. ;;;1 ~t~7Oo
WORKMAN COMP: No. M] ~-~ 1- 51do/~,~ INSURER
BREIFLY DESCRIBE THE WORK TO BE DONE T,~,II/,, R.~ovA, L., At-iD'
WATER TO FACILITY PROVIDED BY C~,. ~,~'T'~ ~ .
DEPTH TO GROUND WATER ~/c2 ~ SOIL TYPE EXPECTED AT SITE
'No. OF TANKS TO BE INSTALLED ~ ARE THEY FOR MOTOR FUEL ~YES Q NO
SECTION FOR MOTOR FUEl.
TANK No. VOLUME UNLEADED 'REGULAR PREMIUM DIESEL A~IATION"'
""~ SECTION FO~ NON MOTO~ FUELSTO~AGE TANKS
: TANK No. VOLUME CHEMICAL ~TORED CAS No. CHEMICAL PREVIOUSLY
(no brand name) (if known) STORED
THE APPLICA ~T HAS RECEIVED, UNDERSTANDS, A~.D WILL COMPLY WITH THE A~ACHED CONDITIONS OF THIS PERMIT AND ANY OTHER
STATE, LOCAL AND FEDERAL REGULATIONS, '~
THIS FORM HAS BEEN COMPLETED UNDER PEN~L~ OF PENURY, AND TO THE BEST OF My KNO~GE, IS TRUE AND CORRECT,..-:'
/~P~VE~ BY:' / APPLICANT NAME (
V
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
..... INSPECTION RECORD
POST CARD AT JO.B:,SITE
~G~ 'PERMIT ~ OWNER
ADDRESS
INSTRUCTIONS: Please Call for an inspector only when each group of inspections
with the same number are ready. They will run in consecutive order beginning
with number i. DO NOT cover work for any nhmbered group until all items in
that g.roup are signed off by the Permitting Authority. Foil'owing these
instrUtions will reduce' the number of required inspection visits and therefore
prevent assessment of additional fees.
- TANKS & BACKFILL -
INSPECTION DATE INSPECTOR'
' 11 of Tank s ~
/ ~~ e~%i f i c at i on /) ~. ~ ~ ~/~2.~ -
p ~~~" - '~-%iection of Tank(s) ~,'//~ Z/~t ~~.-~ '"'...
- PIPING SYSTEM -
........ rr r r 1
,_~'~Oorrosion' ~rotection of ~ipin[, Joints', ~ili
,~ ElectriCal Isolation of PipinK From Tank(s) :22~/~/~:~/~~
: Cath6dic Protection System-Piping :~/¢/~'~-~'~~
~ - SECONDARY CONTAINMENT, OVERFILL' PRO .... ION. LEAK DETECTION -
-5&h e~!ms~Ufo~ : T-ank-(-s-)
.M-~. n s .~-l-l~-i-o n~ ~ ~i-~i n g-
-Va.u-~t'~P~ du c~--6o m p ~t-i-b-~e--Se a-l-e.~ ,/~ / '"
~ Product Compatible Fill Box(es)
~ Product Lin~,' Leak Detector(s)
-Lcm~ Detection Devica(s)~rVa~se-/-G.poundwa-%e~-}
~ ~-- , ~ ~' ~ ..... ~,, ~ ~"~i~, ~"I '~~
~ ~ /~.~ I'll ~J~.fI[:' .... ' ' '- '' ,
, /
~ o n i t o ~ i n ~ , ~/~
~Fill Box Lock ·
Monitoring Requirements ~/~
,
CONTACT/). ~~ PM · ~ W~ --~.~
, i~,.~: ~" PERNIT CItECKLIST ' -
Facility : KERN ROCK CO.__ _RE ST. PLANT . Permit # 150030C
This checklist iS' ~rovided to ensure that all necessary packet enclosures were received
and that the Permtttee has obtained all necessary equipment to Implement the first phase of
monitoring requirements.
Please complete this form and return to KCHD In the self-addremed envelope provided
within 30 days of receipt.
Check: :
Yes No ~ ' :.
· Ai. The packet I received contained:
x 1) Cover Letter, Permit Checklist, Interim Permit, Pt .se I Interim Permit
Monitoring Requirements, I. nformatlon Sheet (Agreement .Between Owner and
Operator) Chapter 15 (KC0C #G-3941), Explanation of Substance Codes,
Equipment Lists and Return Envelope. i.-~ ... -- ~
: 2)'=standard~:~InventO~y~=~bntP~I"~Mbhl-tb=~'£fi~-'H~hd~0~k-~UT-10?
with the following formst .....
a) "Inventory Recording Sheet" .. ·
b) "Inventory Reconclltailon Sheet with summary on reverse"
c) "Trend Analysis Worksheet ....
x 3) Modlfled Inventory. Control Monitoring Handbook'#UT-15
' with form: "Quarterly Modified Inventory Control Sheet". with "Quarterl~
Summary on reverse"
X · 4) An Action Chart for each Inventory method (to post atlf~clllty).
X B. I have examined the Information on my Interim Fermi , Phase I Monitoring
Requirements, and Information Sheet (Agreement between O~ner and Operator), and
find owner's name and address, facility name and address, operator's name and
address, substance codes, and number of tanks to be accurately listed (if "no"
Is checked, note appropriate corrections on the back side )f this sheet).
C. I have the following required equipment (as described In tandbooks under "Before
Starting")
X 1) Acceptable gauging Instrument '
X 2) "Striker plate(s)" In.tank(s)
X 3) Water-finding paste
X D. I have read the information on the enclosed "Informatlc Sheet." pertaining to
Agreements between Owner and Operator and hereby state that 'the owner of this
facility is the operator (if "no" Is checked, attach a copy. of agreement between
owner and operator).
E: I have enclosed a .copy of Calibration Charts for all tan,s 'at this facility
~ tanks are Identical, one chart will suffice; label chart(s) with-corresponding
.. .. tank numbers listed on permit), thls
X Fi As required on page 6 of Handbook #UT-10, all meters at facility have had
': · calibration checks within the last 30 days and were calibrated by a registered
device repairman If out of tolerance iall meter calibrations must be recorded on
"Meter Calibration-CheCk Form" found In the Appendix of Ha~ dbook).
. X 6. standard Inventory Control Monitoring (Handbook #UT-10) and Modified Inventory
Control Monitoring (Handbook #UT-15) were started at this facility. In accordance
---:~- ....................... ~l.th .requl rem~ents~.descr_lbed ~on~lntert~-per~_i.,t~.cond£t !sns.~ ...... _~ .....................................
Signature of Person Completing Checklist: ~SSISTANT GE~L MANAGER
" : Date: April 24, 1987
I. All ~cteus must have calibration checks a minimum of twic~e a ~, ~hic~ ~y
include checks done by the Department of Weights and ~a~uu~s..
2. Before s.taut'in~ cull buut ion rill19, ~et the~ calibration c~n .[th product's, and
~.eturn product to storage.. ...... i:.- '~
3. Run 5 ~allons .[th nozzle ~ide ouen'.into t~,J can. ~ot~: ~ail°nS ai~a'~6~,,
inches drawn, and return product to storage. ~
4. Rhn 5 Kallons ~ith the nozzle one-halt open into th'~ can~ .Hote gallons~ and
cubic inches drawn, and return product to storage.
. 5. After all 'product for one-calibration check Is returned ~o storage, remdmber
to record the volum~ returned to storage in column 9.,~ of the Inventory
Recording Sheet. . ~
6. If the volume measured In 'a 5-gallon caltbratlo~ can .t~: more than~6 cubic
. ~'ea callbcatlom :~by a
Inches above or below the 5-gallon mark the meter requt ~ .
registered device repairm~n. · ~
Oate/Ttmd [ l, red? Used for Caltbratlon
Pump ~ Product[ 5-Gallon Oral 5-Gallon Draft to Stora
' Inches Cu. Inches 6allonm Ye~ ~ Callbcatlom
:.~
.: :. . ..
, ~ · , >~. ~. '~ ,
It ' ' :' '; ~' '
~ .~ ............ ~ ..... -.,., , · , . ...~ -
.... .. ~, ~,, , .... ..,., ,... . .... ~
[~ CO~PurER C.^NGE .... ~;~C^L,~^TIO. Record of Computer-Change, Meter Change, or Calibration
METER CHANGE W/M NOTIFIED * '
~ 8rATION NO. DISPA[CH ~.
~NEV " I~LO~ ~OW . IFfY
~ND M~O~L S~I~ NUMaER CALIBRATION
~ . · ~ [ ~ - CHECKED :: ~JUSTE~ TO
READINGS u~[~ ~ GALLONS ) UETER SE~[O
Pu~ TOTAL G "' '"
~v ~ ~ .N~ tor~,z~ S&~ED ]MET~ SEA,.E0
~u,, u*.t *.l, ueu~ ~nl~ NUMa*. CALIBRATION
CHECKEu AOJUSI ED TO
[ALIZER
~P-MAKE ~NO M~EI
m~ N~eE~ CALIBRATION
~ CHECKED I * A~USTED TO
TOTALIZER FINISH , -- '
~*' ~*~( *Nh MUO(L CALIBRATION
CH~CKED ADJUSTED TO
F~NI~H ~N~Y ~LLO~ ~r ~ ~T IStt)W
TO~ALIZE~
READING5 ~NCY IOlN.IZ(H ~AL~U
~,~c, Pump ~ TOTAL
]
,- CAPACITY OF McCARTHY UNDERGROUND TANKS' .
'~--~epth~,~ , 5,000 " 6,000 10,.000 Depth . '5,000 6,000 10,000
~aches Gallon Gallon Gallon Inches Gallon Gallon Gallon
i 10 , 12 i9 49 2729 3304 5410
2 27 i 33 54 SO 2799 3389 5549
3 50 i 60 ' 98 51 .... ': ........ 28.70 .......... :__L,.3474 5689.
5 106 128 210 53 3009 3643 5966
6 139 168 275 54. 3081 3730
7 174 21~ 345 55 3149 3812 6242
8 212 257 420 56 3218 3896 . 6380
9 252 305 500' 57 3287 3929 6517
10 ~94 356 584 " 58 3356 '406~ 6653
~5 'S32 64.4 1054 63 3694 4472 7323
16 S84 70~ 1157 64 3760 4552 745'4
i7 &~7 771 1262 ~ 65 ~826' 46~1 7584
18 691 837 1371 66 3891 4710 7714
19 747' ' 904 1481 67 3955 ~4788 7841
20 804 973 -~ ~ 1594 68 '4019 4865 7968
21 862 1043 1708 69 4082 4942 8093
22 921 1114 1825 70 4145. 501~ 8216
~3 980 1187 1943 71 . 4206 5092 8338
24 1041 1260 2064 7~ 4267 5165 8459
25 1103 1335 2186 '73 , 4326 5237 8577
26 1165 1410 .2309 74 4385 5309 869q
27 1228 1486 2434' 75 '_4443 5379. 8809
2~ 1291 1564 2561 76 . - .45.00 5447 8921
29 1356 1642 2689 77 4556 5515 9032
30 1421 1720 2818 · 78 4610 5581
31 1487 1800 2948 79,- 4664 5645 '9245
32 1553 1880 3079 80 · 4715 5708 9348
3~ 1620 "'1961 ~.-3~~.~ .... ~ 4766 5770 '9449
34 ~6~ 2~2 3345 82 '"- ..... 4815 5829 9546
35 17.55 2124 3479 83 4863-..'~. 5886 . 9640
56 · 1823 2207 361'4 ~ 84 ....... 4909 '":::" 5942 9731
37- 1891 2289 ~: .. 3749 85 4953 ' 5995 9.8-t8. Z~
38 1960 2373'. ,3886 86 4995 60~6 ......... 9902
39 2029 2456' 4023 87 -~-~5035 '~ 6095 9982
40 2098 2540 4160 ~'88 5073 ' ~141 10057
41 21~6 2622 4294 89 '5108 "- 6184 ' ,10~27'
42 2238 2709 4436. 90 5141 6224 10192
43 2308 2793' 4575' 91 5171 6260 . 10252 ·
44 2378 2878- 4713 92 5198 6292 '.-10304
45 2448 2963 4853 93 5220 6319 10349
46 2518 3048 .~ 4992 94 5238 6340 10383
47 2588 3133 5131 95 5247 6352 104~2'.
48 2659 3218 5271
~ 5fcCART~ TA~ ~ STEEL CO.
BAKERSFI E~D t CALIFORNI~
Phone 324-6718
...'~::. . .. ., ......~ . .- , .. .,.' .'. . , · ~ .~ '"...
· ~9 :":':~.~...:- ~392 2088 2731 268~' 32~5 3830 "~213 5362 612~ '
~ .. ~25 '2~37 ~.2795 2750 333~ 3929 6321 ssOo · .'6286
--' 1489 2234 2921 . 2888 3507 412~ 4538 57~.~.~'.~ 6601 ·
57- ·. 1643 2464 .. "3223 3229' 3921 .4613 5075 ~4~9~ )38i
:,9 . '~' 'j.:~.~ 1704 2552 3337..;3364, 4085 .4806
.5391 6862, 7842
60 1719 i78 3372 3431 4166
61 1757 2635 3446 3497 4247 4996 5496 6995 7994
62 , . -1784 2676 3499 3563 '4328~ 509], 5600 7127 8],45
63 "~ 1810 2715 3550 3.629 4407. 5184 5703 '7258 8295 '
64 · 1835 2753 3600" 3694 4486 : .527~! .. '~805 7388 84~4
65 ·1860 2790 3648 3758 4564 5369,.'-5906 7517 8591 ,..
66 ' 18'83 ""'2825 3694 3822 4642' - 5461;. 6007 7645
67 1906 2859 3739 '3886., 4719 5551 6106 7772 .~82
68 1927 289~1 3781 3948 4.7.95 5641' 6205 ~ 7897 · 9025
69 ............ 1947 ~ 2922. 3821 4010 4870 5729 6302 8021 9167
71 1985"' 2977' 3894' 4132 5018 5903 ' 6493 8264 9445 .
72 .. ~ 2001 3001 3925 4192 5090 5988 ~ 6587 '~ 8384 ..':' 9581
'3 2015' 3023' 3953 · 4250 · 5~61 6~72 '6679 ' 850!' ' 9715 : ·
,4 :'~-- ," ~' 2027 "' 304~ 3977 4308 5232 6155 ~ :7660 8617 . ~ · 9848
3996 ,43'65 5300 . 6236- 6860 · 8730 · 9978 ~'. 2.~?".~-..',
75 .' 2037 3055 : ..-
· . · ~,~?: 40 6 4421 · ~ 5368 ~ .631~...~, 6947 .~.~34~,..~.-1~05.
78 .~. 45 6470 ,7117 9059
· 79 ; ~..,~ 458~ . 5563' '.~6545' 7200 9163 '~0472
80 ~ 4633 5625 '6~8 7280 9265 - ~0589 '~'
85' '' ' 4866 5908 "' 695~7646 '9732 ~22 % ·
' 87 4947 -' 6007 ,. 7067 ~, 7773 9893 -: ~130~ ·
88 ~" ' 4983 6052 7120 .;~ 7832 9968 ' l13~X ..
' 6094 7~70 7886 '~0037 ~4~7
89 ." 50~9 - . - ' ' '5
90 ' '5051" '..6~33 "7216 -7937 lOlO~ ~54 ' -'- ·
........ .... ii . ·
92 .~,:.:~.., ~ .... . ·..~."~:' 5L23 ' 6227. ' 7326. '8059- t~0257 1~722
.. --.93 "'" ...... '..' 5~45 6248. .735~ '" 8086 ~ ~0291, I~761
· ' 94 .... , X~783
' - · , 5L55 6260 · 7364 810~ ,XO3XO .
~' :v-- : .... '-" ' '- ' ' ...... ' '
..... ,... ..... .. . .- . . ..~?, -. -'-..':
· O COMPUTER CHANGE O CALII~RATION Record of Computer Change, Meter Change, or Calibralld~ '
{~M~*MAKE AND ~OO[L [~E~IAL ~U~OE~ CALIBRATION
! ¢~~ 4 ~ [ ~ t/'~ ' CHECKED ADJUSTED TO
'MONEY / · ~G~L~S ~ ' TOTALIZE~ SEALED METE~ ~ALED
-, ---~~ ~ .......
~ ..... , O~L ..... ]s~.,.~ .u.,,,:,, -- CALIBRATION
~*,~,-:~ ~ ' I~A~ . I~Ow . ' ~
" -' ' I ....... ......
~" TOTALIZE~
I~ READINGS "~['
~ sT~, ~"' "'~O~q~' ~ , ' I ~ O~.~''':' ~ '~
,ALLONS RE rU~NEO .I 0
'u~ .~ ~t,~)~ou~t ~a~n LNU~ t, CALI~RATION
'~o~ . wig .J 01~., '
~N~Y GA[ I ~;N~ TOT~IZER SEALED IM~TER SEALEO
~o.,,,:, fl =ump ~ TOT ,, ' {0, '.":. :' ' ·
START ' YES NO ~ YES ·
~,;,~w~ ~ump ~ TOTAL . ~".""' "~'~""'~'° :;,o..~ .
...~ · ,, ~.~~
m~...A~t *.u ~ootL 1~tm*L ,uuui. n CALIBRATION
'' ' ' ' .. CHECKED ~ ADJUSTED
I
TOTALIZER FINISH ' :L-' '~ ·
READINGS ~-~Y ~ttU~ ~o~,z~ S~LE~. ~ET[~
GALLONS RE[URNE0 TO STORAQE
-:: CHECKED AOJUSTED
TOTALIZER FINIgH , . ; · .' . · · . .
............ R~JN.GS __ ...... ~TA~Y ..~J.~.~: ~. ::- .......... " ..... ~t u.)~s .... ~ 1-,:0 ,~U~.~9_~..~_~U~. j~ ............. ~.?~. s.~,~ ..........................
I
~~,, ~ - ,. , ,,~ _ _
'' ,./~i.,- -': ~rFER CALIBRATION' CHECK F!ORM .... ~:':' ........ i~i ...... ":
'. . "
Facility: ~. Permit · ~
L sore:
l. All meters must have calibration ch~ck~ .a_ minimum o~ twice a ~, which~ma~
include checks done by the Department of ~eights and Measures.: , ~.;,.,
2 Before starting calibration runs. wet the. calibration can with product,~and
; return-product to storage. ~ ,
Inches drawn, and return product'to storage. .- i ', <J:
4 Run 5 gallons with the nozzle one'half open into t~e' can~'. Note gallonS~~ and
cubic inches dra~n, and return product to storage. ~ k? .
5. After all product 'for one calibration check Is returned to storage, rem~uer
to record the volume returned to storage In column ~ of the Inventory
_. Recording .Sheet ...... ~' .~.~
6. If the volu~e measured In a 5-gallon calibration can t~ more than ~ ~ubi~
re 1st red doric re a rmanincheseab°--°rebel°withe 5-gallon mark, the meter requi~es~ calibration~bY a
: Pump ~ Product[ 5-Gallon Draftl 5-Gallon Oraftl to Storage [ Requi~redT ] 'US&d for Calibration
[oaisicu. 'rncheslOa~slcu~ Inches[ Gallons" ~ Yes~'l No I ' .C~lfb~atl°n
~l ~,~ll~ ! ~1. I~ I ~ /-' ' ~ "-I '~'1~' I.' '-.',~ -" I
Owner or Operator Signa'ture_..'"~~~~~~~
.............. i-: .... ~ Calibrator,s Signature (~,t~' _~~ ........... ~egis~ation,. -,-,~-..OO~b .........
;! SO'MIT I COPY OP THIS FOR~ ~IT~ I~NOl~ REPORT
~ -,". ~ >' . . · : . .. ! '
' '- ~I,; 1'~""~:,~' 2080 SO. UNION AVE. "I¢~'~ ....,. , t~ ~ '
' ~ I I I ~ J' 'BAKERSFIELD, CA93307 ~{ }
~ j ~ ~ ~ (~o~)~.,~oo .'V': ~rEl~ SERVICE INVOIC
~ ~ ~ ~ ~' 1450 W. McCOY, SUITE A ' ~"'~"~,~' ' '
. l~ ~ ~ . ' SANTA MARIA, CA 93455
. . ~ I ~ ~ ~ (805) 928-1135 '
AUTOMOTIVE-IN O USTRIAL PETRO LEU~ ' · '
'.~' _EOUIPMENT INSTALLATION-MAINTENANCE ' · ' c.~,., co-...c.o..~,c..o: ~..0.. ~{~ ' J ,NVdtC~ NO. '
~.'.' ........ .;,~ ~s~. ~m " ...... T-'~.. ......... ~'-": :'"-: ~ ~ o~c~ '". .............
/
i SE~V~C~
· ' HOURS "
MILEAGE ~',
Sub ~ntract
Ren~ls ..
~o~'~ ~ ~o"'~
,,,,S J QT~.~ PART NO. ' DESCRIPTION
;:-"':? ~ '~," ',:?>-' t ~- ~-.i '~ ~ ~17 ~5~ ~ k {. _
~ I
/'~ ., . PLEASE PAY FROM THIS INVOICE. ~-.s~ N.,d...~. R.~.ip, PLEASE '
/ ' ' ' Finance Charge of 2% per Month '~ ..... ~ R LW EQUIPMENT _' ~
J ' af1~]r 30days. ~'JJI Ig P.O. BOX 640~'
IvIET E R C/kLI BRATI ON C_[_IIECK
' Permit ~ ~-.- i
~acl I lty_: - ' I
Not~: · '- _
I. All meter's must have calibration checks a minimum of 'tu~~b a ~, ~hIc~;
include checks done by the Department of ~eights and Measurers. -- ,. '
2. Before starting calibration runs. wet the, calibration c~n' with' produci{~ and
return product to storage. Notre gallons and '~ubic
3. Run 5 gallons with nozzle wide open into the can. ,! ,:~ '..
inches drawn, and .return product to storage. ~' Note gal lon~ and
4. Run 5 gallons with the nozzle one-half open into t~e can. .
. cubic inches drawn, and retUrn product to storage. ' ,
5. After all product for one calibration check Is returned }{to storage, rem}mber
to record the volume returned to storage in column ~9 of the inventory
Recording Sheet.
6. If the.volume measured in a 5-gallon calibration can iS .more than 6 ~cubic
inches above or below th'e 5-gallon mark the meter requ~re's' calibration~ by a - -
registered device repairman. ~; ·
Hose or[Tank l/[ Fast Flow [ Slow Flow Vo~me Returned Callb'catlon Device Repairman. Date of
PUmp ' ' Product[ 5-Vallon Draftl 5-Oallon Draft to St~~~1~ d~ Use~ for Calibration
· {;
;"~ ... ,; .
Owner or Operator SlEnaturez~ A_ ' ~~.~f~' ~, '~: '
Calibrator' ~ Signature ,
SUBMIT A COPY OF THIS FORM WITll ANNUAL REPORT. , ,',,..:]L'~J:.]'.':'
. · '~'w1 .-,.
.. " CAPACITY OF McCART~5' UNDERGROUND TANKS'
.:--~ep l:h 5,000 6,000 10,000 Depth - 5,000 6,000 10,000
)Inches Gallon Gallon Gallon Inches Gallon Gallon Gallon
1 10 12 19 49 2729 3304 S410
2 27 33 54 S0 2799 3'3.89 5549
.3 ................. 50 ........ : ......... 60: ........ .i ......... !8 ....... J ........... .__i=._:~ 1 2870 3i474 5689
.'4 .....' .......... -~6:=:'~]?== '9·2--' 1S1 52:'-=--~?¥''' 2939 " ...... '-'3558 ·'=".
5 . 106 128 210' 53 3009 3643 S966
6 139 168 275 54- 3081 3730 6108
7 174 211 345 55 3149. 3812 6242
8' ~- 212 257 420 56 3218 3896 6380
9 ~ 252 305 500 57 3287 3979 6517
10 294 356 584 "58. 3356 = 4062 ..6653
11 _* /410 '~671 ..~_ ...... 59. ' '' 34~4 ..i. 4145 ...:....)'6788
13 432 523 >856.' ' ' 61" ..... :;/~3560 ":~"~4:510
14 481 582 954 62 '- 3627 4391
15 ~32 64.4 1054 63 3694 4472 ."7323
16 584 706 1157 , 64 3760 4552 .. '-7454
'17 637 ·771 ~ 1262' 65 3826 4631 7584
1S 691 837 1371 66 3891 4710 7714
19 747" 904 1;181 67 3955 4788 7,841
20 804 973 1594 6 8 4019 4865 7968
21 862 1043 1'708 69 4082' 4942 , . 8095
22 921 1114 '1825 70 4145 .5017 8216
2.3 980 1187 1943 71 4206 5092 8358
24 1041 1260 2064 72 4267 5165 8459
25 1103 1335 2186 73 4326 5237 8577
26 1165 1410· .2309 74 . 4385 5309 869<I
27 1228 1486' 2434 75 4443 5379" 8809
28 129I 1564 2561' 76 - - 4500 5447 8921
2-3 1356 1642 2689' 77. 4556 5515 9032
30 1421 1720 . 2818 78 4610 5581
31 1487 1800 2948 . 79 4664 5645 '9245
.32 1553 1880 3079 80 4715 5708 9348
33 1620 . '1961_..,-----.--3212--'----C .... 8.1... 4766 ' 5770 9449
34 _1_~_7- -3.0'4-2 ...3345 82. "'- .... 4815 5829 9546
~b ' 17.55 2124 3479' 83 48'63 ....... 5886 9640
36 1823 ' 2207 "i 361'4 84 4909 5942 9731
37 1891' 2289:., 3749 85. 4953 59.95 98-18
38 1960 2373'.. '" .3886 86 4995 604-6 9902
39 2029 2456 4023 87 5035 " 6095 9982
40 " 2098 2540 '"' 4160 88 5073 :'"6-141 10057
41 21'~6 2622 ' 4294 89 '5108 " 6184 10127
'42 2238 2709 4436. 90 5141 6224 10192
43 2308 2793 4575- 91 5171 6260 10252
44 .. 2378 287·8 4715 92 5198 6292 10304
45 2448 296.3 4855 93 5220 6319 10349
46 2518 3048 4992 94 52'38 6340 10383
47 2588 3133 5131 95 5247 6352 ' 10402
-48 ................. = --2659 ............ -32-t 8 .......... 52.-7-~-t ...................... ~__, .................. .
-. ~cCARTHY TANK ~ STEEL CO.
._ P O. "BOX -,~ %: %
, BAKERSF-fELD ~ CAL1FORHI~
· Pkone 324-6718-
". E::] co, ~'UTER CHANGE '.-~.~usR^:no. Record of Comber Change, Meter Change, or Calibration
SERIAL NUM~E~ / ' CALIBRATION
~ ~l ~ IM°"Ev '. I CHECKED ADJUSTED TO
MONEY TOTALIZ~R SEALED METE~
TOTAL
~NO ~uot~ ' 5EBIA[ ~UMaER~ / CALIBRATION
, ~V CHECKED ~JUSTE~ TO
TOTALIZER ·
'. ............ C~E~KED J ' ADJUSTED 1'0 __
CHECKEU ADJUS] ED TO
1() I'ALIZER ............
~.u~E ~NO ~oo~L CALIBRATION
CHECKED · AOJUSTED TO
~ ~NEY GALLON~ FAST SLOW T, SLOW
TOTALIZER FINISH
. .' READINGS ~NEY GALLONS TOI AIZER ~LED METER
"" ' , J · , CHECKED I ADJUSTED TO
./
· PERMXT CHECKLIST /O--~O ,~0 ~
,' ~
Kern Rock Co~ ~i~$ St.-'P!~nt' Permit $ -230059C
Facility
This checklist is provided to ensure that all necessary packet enclosures were received
and that the Permittee has obtained all necessary equipment to implement the first phase of
monitoring requirements' .', ''
..... -~Please.-.~complete--'this ~form~-'and:-~return=-t°~KcHD--~in-~the Self-addressed envelope provided'
',within 30 days of receipt. °
Check:
Yes No
A. The packet I received contained: .
Operator) Chapter 15 (KC0C #G-3941) Explanation of -Substance~--Codes,
Equipment Lists and Return Envelope..
x 2) Standard Inventory Control Monitoring Handbook #UT-lC:
X "' 3) The ~ollowing Forms:
a) Inventory Recording Sheet
b) Inventory Reconciliation.Sheet with summary on reverse
c) Trend Analysis Worksheet
x 4) An Action Chart (to post at facility) ' ~...~: .
x B. I have. examined the information on my Interim Permit, Phase I Monitoring
Requirements, and Information Sheet (Agreement between 0whet and Operator), and
find owner's name and. address, facility name and address, operator'S n~ne and
address, substance' codes, and number of tanks to be accurately' listed (if ,'no"
' ' is checked, note appropriate corrections on the back side of this sheet).
C. I have the following required equipment (as' described on page 6 of Handbook):
X 1) Acceptable gauging instrument
.x 2) "Striker plate(s)" in tank(s)'
X 3) Water-finding paste
X D. I have read the information on the enclosed "Information Sheet pertaining to
Agreements between 0Whet and 0perator and hereby state that the owner of this
o~ - of agreement between
facility is the operator (if "no" is checked .... a.h a copy
owner and operator).
X E. I have enclosed a copy of Calibration Charts fo'r all tanks at this facility (if
tanks are identical, one chart will suffice;' label chart(s) with corresponding
tank numbers listed on permit).
x F. As required on page 6 of Handbook #UT-10, all meters at this facility have
.'~ calibrati°n checks within the last' 30 days and were calibrated by a registered
device repairman if out of tolerance (all meter ·calibrations must be recorde~ on
"Meter Calibration· Check Form" found in the Appendix of Handbook).
X G. Standard Inventory'Control Monitoring was started at this facility in accordance'
-- ~ ............. L_with_.procedures~.described-in.-Handbook_~_UT-.lO
Date Started 10/01/86 '
SiKnature of Person CompletinK Checklist: ... ~
~Title: Assistant General Manager //
. Date: 12/29/86 :
' .. TANK ~_ _- (FILL'OUT' ,~EpARATE FORM .ACH TANK)
-' FOR EAO{ SECTION, CHECK ~r.r. APPROPRIATE 'BOXES
H.- 1. Tank is: r~vauit~d ~lNon-Vaulted SDouble-Wall ~]Sing!e-Wall
2. ~ Material
Carbon Steel rq stainless steel [~polyvin¥1 Chloride. [-1Fiberglass-Clad Steel
Fiberglass-Reinforced PlaStic [] ConCrete [~ Al~uin~n ' [] Bronze r~Unknown
Other (describe).
3. Primary Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer _
19.65/ ......................... '- .......... i ......... ~ 10,000 McCarthy Tank & Steel
4, Tank ..Secondary Containment
UIDOuble-Wall []S~nthetic Liner []Lined Vault ~None []~nknown
[]Other (describe): Manufacturer:
?1Material : Thickness (Inches) Capacity (Gals.)
5. Tank Interior Lining
~Rubber []A~.kYd []Epoxy []Phenolic [qGlass' ?9Clay []L~lin~d ['lt~kno~ .. ·
rlother .(describe): -- '
' .--'- 6 ..... Tank._Corrosion~-Protection ....... - .................... -.-~ ............................ .-: ..........................
---~Galvanized ~ass-Cled 1'gPol~thylene Wrap []Vinyl Wrapping · -7-~ :..
.. ~ ~71Tar or Asphalt []Unkno%a~ []None [']Other (describe): :
.., Cathodic Frotection: ~INone []Imlxessed Current System. ['1Sacrificial 9aq~:le System
Desc~ribe System & Equi[~nent:
7. Leak Detection, Monitoring, and Interception
a. Tank: ~]Visual (vaulted tanks only) rqGround~ater Monitorirg' Wall(s)
[~Vadose Zone Monitoring Well(s) []U-Tube Without Liner
[] U-Tube' with C~.patible Liner Dlrectirg Flow to Monitorir~ Wail'(s)m .
['i Vapor Detector* ?9 Liquid Level Sensor" [] Coftductivit~ ~.n~or '
[~ Pressure Sensor in Annular Space of Double Wall Tank-
[] Liquid Retrieval & Inspection From U-Tube, Monitori~ Well or Ann~lar.~ce
[]Daily Gauqir~j & Inventory Reconciliation r'lPeriodi¢ Tightness Testirx].
None [] t~lkno%m [] Other
b..Piping: Flow-Restricting Leak Detector(s) for Fressurized
[]Monitoring SLap .with Race~y r'lSealed Concrete Race, my
[]Half-Cut C~npatible Pipe Race~ay [] Synthetic Liner Race~a¥ []Nce%e
~lUnkno~ ~1Other
· Describe Make & I~x~eI~
8. ~en
".: Tm~t Name Testing C~npan¥ -'
Tar~ .~pai~ed2 []Yes ~]Ma rTunkno~n ..
Date(s) of Repei~(s)
Describe Repairs'
-- 10. Overfill Protection .-
~-7Operator Fills, Controls, & Visually Monitors r~vel
· []Tape Float Gauge .[-1Float Vent Valves [] Auto Shot- Off Control~
Capacitance. Sensor. r'lS~aled Fill Sox []None rqonkno~
Other: List Make &. ~kx~el Fo~ Above .Devices
11. Piping
, &. 0~dergrc~r~l Ffping': ~Yes' []No ~Onkno~n Material '" '" t'{~ '~?''' ..... ">'-
· Thickness (inches) Diamete~ Manufacturer ,. ' '"
r'lPressure trisection rT~ravity Approximate. Length of Pipe
.. ~ -r~lvanized ' rTFibe~giasls~f-fa~ .... []~-~-~t"-c~fyent' E]'~'ffi~'f~f-~i
r'lPolyethylene Wrap []~.lectrical Isolation []vinyl Wra~ [7Tar o~ Asphalt
r'lunkno~,al []None [[]Other (describe):
c. Underground Pipirg, Secondary Contairment:
[]Double-Wall. []Synthetic Liner System ~]None ~Unkno~a~
" TANK ~ ~ (FILL'OUT' S'EPARATE FORM ...ACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES
H. 1. Tank is: ~]Vaulted [~Non-Vaulted [-]Double-~all k-]Single-Wall
2. ~ Material
. -~Carbon Steel [] Stainless Steel ['lPolyvinyl Chloride []Fiberglass-Clad Steel
Fiberglass-Reinforced Plasti. c [] Concrete [] Alan&hum [] Bronze [-]Unknown
Other (describe)
3. Primary. Containment
Date Installed Thickness (Inches) CapaCity (Gallons) Manufacturer
4. Tank Secondary Containment
[]Double-Wall ~]S~nthetic Liner [~Lined Vault ~J]None [-IUnkno~n
[] Other (descr &be): Manufacturer:
~ '~7Materiai ThiCkness (Inches) Capacity (Gals.)
5. Tank Interior"l~ining
--~Rubber [']Alkyd [-lEpoxy []Phenolic I-]Glass~ ~lClay ~-TUnlinad ~]t~kno~
['lOther (describe):
.......... 6 ..... Tank-.Corr~osionTM P rotectfo~ ........................ ............................................. - .............................. .-.
Ii]Tar or Asphalt nUnkno~ ~None ~Ot. her (descrii~). "
Cathy_ ic _P_rotect.ion-- I-INgne ~Imp~essed CUrrent System ~lSacriff¢l~l i~node System
~escribs System & Equil=nent.
7. Leak Detection, Monitoring, and Interception .
a. Tank: [-IVisual (vaulted tanks on1¥) []Groundwater Ptonltoring' Nell(s)
[]Vadosa Zone ~onitoring Nell(s) []U-Tube Without Liner
F_l~U-Tube with C=npatible Liner Directin~ Flow to Honttoring t~ell(a)*
Vapor Detector* []Liquid Level Sensor* Fl Conductivit~ Sensor*
[]~ Pressure Sensor in Annular Space of Double Wall Tank~__._~--_'.
Liquid Ratrieval &. Inspection Fr~n U-Tube,_Monitorin~ Nell or ~evullar Space
.. Dail¥ ~Gauging & I~nventory ReConciliation [-lperiodic Tightness
~one II t~kno~n [] Other
b. Piping: Plo~-Restricting Leak Detector(s) for Pressurized Piping'
· [-! Monitoring St~p wlt:h Rece~ay [] Sealed Concrete Race~ay
[]~lalf-Cut: Ccmpa:lble Pipe Rece~ay [] Synthetic Liner Race~a¥ []lions
[] Unknown C] Other . .
·Describe Make & Model,
~. Tank
Tank Repaired? []Yes [~]No [-[tlakno~n
.Date(s) of Repair(s)
Describe Repairs
10. Overfill Protection .-
~]Operator Fills, Controls, & .Visually Monitors Level
[]Tape Float Gauge FqFloat Vent Valves ~]Auto Shut- Off Controls
Capacitance Sensor FTSealed Fill Box ['lNone [~nknom
Other: List Make & Model for ~bove Devices
a. Underground Pipirg: W1Yes ~lNo :OUnkno~ Hater&al
Thickness (inches) Di~neter Manufacturer
[]Pressure ['~Suction []Gravity Approximate Ler~lth of Pipe ~
b; Undergro_uncLl~ipirg... Co=rosicn~ Protec=ion~ .................
~Galvanized []Fiberglass-Clad FTImprsssed Current FTSacrilicial Anode
fflpolyethylene wrap [-IElectrical Isolation [']Vin¥1 Wrap [-lTar or As~lt
r'lunkno~n ~None []Other (describe):
c. Underground Pipirg, Secondary Contairment:
I-]Double-Wall [-]Synthetic Liner SyStem.. [7None [-]ttakno~
TANK ~ .... (FILL'OUT' S'EPARATE FO TANK)
FOR 'EACH SECTION, CHECK ALL APPROPRIATE BOXES
H.' 1. Tank is: []vaUlted l-IN•n-Vaulted E]Double-Wall r~single-Wall
2. ~ Material
--~Carbon Steel - [] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel
Fiberglass-Reinforced Plastic [] Concrete [] Al~inum [] Bronze ' I-IUnknown
Other (describe)
3. Primar~ Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
4. Tank Secondary Contaire~nt
't-iDouble-Wall rlsynthetic Liner rqLined vault [~lNone r~unkno~
[] Other (descr i be): Manufacturer:
rlMaterial Thickness (Inches) Capacity' (Gals.)
5. Tank.Interior Lining
---~Rubber~ ['1Alkyd •Epoxy [2]~henolic E]Glass [-1Clay k-lUnlined l-lL~o~n
· BOther (describe).: :
"'i,. ---~Galvanized ~ass-Clad •Polyethylene Wrap •Vinyl Wrai~!ng ;. '-:.::,:':> :".
[TITar-or Asphalt ~Unkno~n ._[]None ~Other (describe): -'' '-::-.--:--.
Cathodic Protection: ~]None L~Imixessed Current System l'lsecriftCtal Anode
~--~ribe System & Equipment: · '-.
7. Leak Detection, Monitoring, and Interception
a. Tank: Elvisual. (vaulted tanks 'only) i-IGroundwater Monitoring' Well(s)
i-lvadose Zone Monitoring Well(s) l-lU-Tube Without Liner
~l~U-Tube with C~.~.patfble Liner Directing Flow to Monitoring well(s)*
Vapor Detector* ~Liquid Level Sensor* O Conductivit~' Sensor* '..-:, : .... .
.ri Pressure sensor in Annular Space .of Double Wall Tank. '" '
IlLiquid Retrieval & Inspection Fr~m U-Tube, Monitoring well or'Annular Space
~Daily __C___~,uging & Inventory Reconciliation Speriodi¢ ?kjhtn.ss
[]
None[] Unkno~ [] Other
~iping: Floc-Restricting Leak Detector(s) for pressurized Piping'
nM•nit•ring S~p with Racemy []Sealed. Concrete Race~¥
l'lHalf-Cut Compatible Pipe. Race~ay []Synthetic Liner Race~a¥
[] Unknown [] Other
· Describe Make & l~odeI~
e Tightness Tested? I']Yes I~"lNo []Unknown
Date of Last Tightness Test Results of Test
..~ Test Name Testing Company
" Date(s) of Repair(s)
Describe Repairs
10. Overfill Protection
~dOperator Fills, Controls, & Visually Monitors Level
i-]Tape Float Gauge []Float Vent Valves [] Auto Shut' Off Controls
Capacitance Sensor I-1Sealed Fill Box [~None C]Unknown -
Other: List Make & Model Fo~ Above Devices
a. L~derground Piping: ~]Yes ClNo ~Unknown Material :'"
Thickness (inches) Diameter ~ ' Manufacturer
[]Pressure ~-lSuction ~Gravity Approximate Length of Pi~e ~ 1~~:
b-. ...... Urx~er_g[ourx~_eiping_Corrosion _Protect ion...: ..........................................
~Galvanized I-1Fiberglass-Clad []Im[xessed Current '[]Sacrificial Anode '
[]Polyethylene Wrap [-1Electrical Isolation ~Vinyl Wra~ ~Tar o~ Asphalt
~Unknown C]None []Other (describe):
c. Underground Piping, Secondary Contairment:
'[]Double-Wall '~Synthetic Liner System ~]None OUnknown
Facili[y Name 27xiare St.: Kern Rock Co. Permit
T~K B (FILL'OU~ ~EP~TE ~ __,~ T~K)
~Car~n Stol ~ S~inless Steel ~ ~ ~l~inYl C~oride ~Fi~rglass~l~ Stol.
Fi~rglass-Reinforc~ Plastic ~ Co~rete ~'~in~ ~ Bronze ~k~
Other (de~ri~)
3. Priory Contai~nt
~te Ins~ll~ ~ic~ess (Inches) Ca~cit~ (~11o~). ~nufac~rer '
'4. Tank Seco~ary Co~ai~nt
. ~Other (de~ri~): ~ufacturer:
~terial ~ic~ess (Inc~s) Ca.city (~ls.)
5. Ta~ Interior ~
~Other (de~ri~):
Ca~ic Proration: ~ne ~es~ ~rent ~ ~crtf~a~al
7. Leak ~t~tion, ~nitori~, a~ Interception
a. T~: ~Vi~l (vault~ ~ks o~Y) ~Gro~ter ~ltor~' ~ll(s)
8
s ,sen
Tlgh~ss'~st~? ~Yes ~ ~o~
~ of ~ Tigh~ Test Re~ of ~
~(s) of ~ir(s)
10. ~erfi11 Pro~ction
~rator Fills, C~trOls, & Vis~lly ~nitors ~vel
'~Ta~ Fl~t ~e ~Fl~t Vent Valv~ ~Auto S~t- Off C~trols
c. U~ergro~, ,Pipi~, Seco~ary Contai~nt:
Divisio~n ct Environmental Hea~.(- Applicatioa
1700 ?!.ow~r .Street,. Bakersfield, CA' 93305
. ..-' A~PLICATION FOR PERMIT ~ OPE~TE
~ ' ~~US SUBST~CES S~E FACILI~
~ of A~plication (ch~'):~ ·
~ Facility ~ification of Facility ~isti~ Facility ~ansfer. of ~e~shtP
A. ~ergen~ 24-~ur Contact (n~e, area c~e, ~one): ~ys Bob
- ' ~oJorc5 . Nigh~ (805) ~6'6'-70bl
IS Tank(s)"~cat~ on ~ ~rtcultural Faro? ~Y~
Is Tank(s) Us~. ~im~ily fo~ ~ricultural ~r~ses? ~Yes ~
Facility ~dre~ 5~9 Do&o~e8 S~e~, Bake~sf~e&~ Nearest Cro~ St.
T ~- R SEC (R~al ~at[0~ ~ly)
~r · Ke~ Rock Co.any: 529 Dolores Street~ Con.ct ~r~ Robert E. Jo~s
~~ 'P. O. Box 3329,' ~ersfi~'~d~ CA ~ 93385 · ~~ (805) 324-9714
B. "~ ~ '~~ P~O~d~ by Calif. ~ater Se~ice ~
~dr e~ Zip
Pro~s~ 'S~'rti~ ~ .Pro~s~ C~pleti~
~rker's Cm~tl~ certlfi~a~[~ J Insur8~
D. If ~is ~mtt Is For ~lflcation Of ~ ~tstl~ ~c[lity, 'Briefly ~rl~ ~ifl~ti~
Pro~
E. T~k(s) Store (~.eck all ~t a~ly):
Ta~ J ~s~ Pr~uct ~tor Vehicle unlead~ R~ular Pr~l~ Die~l ~ste
F. ~h~i~l ~si%l f ~berials Stor~ (mt ~ces~ry for m~r ~icle
T~k J Ch~ic~l Stor~ (n~-c~rc.%al ~e) ~ J (if ~) ~ical Pr~ly S~r~d
s
5 . WaSte Motor oit
'G. Tra~s~r of ~ersh!2
~te ~a~fer ' 'Pr~io~ ~e'r
I, ~cept fully a!l o6'l'igat[o~ of
. I ~ersta~ that ~e. ~[ttt~
r~fy or termi~ta ~e tra~fer of ~e ~mit ~ ~rate ~[s ~ergr~ stor~e
facility u~n r~eivi~ ~is cmptet~ form.
,~is fora ~s ~en c~plet~ ~der ~Ity of ~rj~y a~ ~
tr~ a~ co~r~. ~ ~
Facility Name Tulare St. Plan_t,' Kern Rock Co.. ~ Permit No.
' i. TANK ~ (FILL'OUT' s'EpARATE FORM ,~C~ TANK)
,. " -----~R EACH 'SECTION, CHECK ALL APPROPRIATE BOXES
H. 1. Tank is: [-]Vaulted ~]Non-Vaul ted []Double-Wall ~']Single-Wal 1
2. ~ Material
., ---~Carbon Steel [] stainless Steel [2]Polyvinyl ChlOride []Fiberglass-C1ad Steel
· BFiberglass-Reinf°rced Plastic D Concrete [-] Al~in~ [] Bronze ['7Unknown
Other (describe)
3. Primary Containment
Date Installed ThiCkness (Inches) Capacity (Gallons) Manufacturer
4. Tank Secondary Containment "
.... ~Double-Wall ~Synthetic Liner ~Lined Vault ~]None ~Unknown
mother (describe): Manufacturer:
· - .['1Material ' Thickness (Inches) Capacity (Gals.)
5. Tank Interior Lining
'~--]~Rubber ~Alkyd []EpOxy []Phenolic [[]Glass []Clay ~]t~nlined []t~gU~o~n
' ' [[]Other (describe): · ·
P r otect i-0~~
· . --]~GalvanIzed -]~]~'~fass-Clad ~Pol~thylene Wrap []Vinyl Wrappin~ ..
'.. ~]Tar or Asphalt []unknown .~None ~Other (describe):
. Cathodic Protection: ~]None [~Imp~essed CUrrent System ~lSacr'ifi¢ial ~ System
~--~ribe System & Equilmuent:
7. Leak Detection, Monitorir~, and Intercep. t. ion
a. Tank: ~]Visual (vaulted tanks only) [[]Groundwater Monitorirg' W~ll(s)
[]Vadose Zone .Monitoring Well(s) [~U-Tube Without Liner
[1U-Tube with Ccm. patible Liner Directing Flow to Monet•ring We.ll(s)
[] Vapor Detector' [] Liquid Level Sensor' [] Conductivity Sensor'
~ Pressure Sensor in Annular Space of Double Wall Tank'
[] Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space
Daily Gauging & Inventory Reconciliation ~Periodic Tightness T~ting
None [] Unknown ~ Other
b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping'
· ~ Monitoring S~m~p with Race~y [] Sealed Concrete Race,my
[]Half-Cut Compatible Pipe Raceway []Synthetic Liner Race,my []None
E] unknown ~ [] other
· Describe Make & I~deI~
8. ~en'
Tightness Tested?. [[]YES ~No []Unknown
Date o[ Last: Tightness Test, Results of Tes~
Test Name ~ Testing Canpeny
Da te (s) of Repa I r (s)
Describe Repairs
-- 10. Overfill Protection
[~Operator Fills, Controls, & 'Visually Monitors Level
[[]Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls
~ ~Capacitance Sensor. []Sealed Fill Box ~]None []Unknown
Other: . List Make & Model For Above Devices
a. U~derground Piping: ~-qYes []No []Unknown Material
Thickness (inches) Diameter Manufacturer :-'
~Pressure []Suction []Gravity ApProximate Length of Pi[:e
[~]Galvanized ~Fiberglass-Clad ~Imfxessed CUrrent [1Sacrificial Anode
[]Polyethylene Wrap []Electrical Isolation ~Vinyl Wra~ []Tar or As~lt
~Unknown i [']None []Other (describe):
c. Underground Piping, Secondary Contai~nent.:
Ii]Double-Wall [~]Synthetic Liner System []None' []Unknown
"' FILE CONTENTS IN~,-~ITOR¥
Fac I I i ty .~ Date ' -
~Construetion Permit I ,Date
~ended Permt~ Conditions
~Permi~ Application Form, ~ Tank Sheets, F[o~ ~lo~s~ ~ ,
~Appllca~l'on to Abandon tanks(s) Date
~Copy ot ~l~en Contract 'Between Owne~ & Opera,or
~ lnspec~ Ion ReporCl
~Correl~ndence _ ReceiVed
, . · . .-~.... ,
: D4 ~e.
~Co~e.~ndence' - N~iled -'
~bandonmenK/CZomure Re~r~.
Samp~ Lng/Lab
~HV~ C~pZianoe Chsck (New Con.~uc~Z"on Che'ck'~LB~} ~ ' '
~5?D C~pZtanoe Chsck .(New Construction ChecKZ~B~)
~HVK P~'an Check (Ney ~onB~ruc~on)
~5~D Plan Check (Ney Con.~ruc~on}
~HV~ P~an 'Chsck (Bxi.~ing
~S~D' Plan Cheak (.~xl.~ing
~Pe~mi~ Application
Pa[mi~ Zn.~ruc~ton. ~Dt.carded
?i~h~nes~ ~e~t Re~ul~I .... Da~e
Da ~e
~Bnv~ro~en~aZ SensL~ivL~y Da~a~
Oroundvate~ Drilling, Boring Logs
Location of ~a~er Nells
~S~a~ement of Underground Conduits
~Plo~ ~lan ~eaCuring All ~nvl~onmen~ally Sensitive Da~a
~Pho~oa ~Cons~ruc~ion Dra~ings LoCation:
~al~ sheet sho~ln9 da~e received and ~411y of inspection
~Hl scel laneous