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Home My WebLink About529 DELORES ST_VULCAN MATERILA SHOP UNDERGROUND TANK (2) March 1.4, 2003 Mr. Steve Michael Vulcan Materials Company' P O Box 22800 Bakersfield, CA 93390 CLOSURE Of 3 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT 529 FIRE CHIEF DOLORES STREET IN BAKERSFIELD. PERMIT # BR-0295. RON FRAZE - ADMINISTRATIVE SERVICES Dear M r. Michael: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (631)3.5-13~9 This is to inform you that this department has reviewed the' results for the preliminary assessment associated with the SUPPRESSION SERvICEs closure of the tanks located at the above stated address. 2101 "H' Street Bakersfield, CA 93301 VOlCE(661)326-3~1 Based upon laboratory data submitted, this office is , FAX (661) 395-1349 satisfied with the assessment performed and, requires no PREVENTION SERVICES further action at this time. AccOrdingly, no unauthorized FIRE SAFETY SERVICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. release reporting is necessary for this closure: Bakersfield, CA 93301 VOICE (661)3=6-3.?. FAX (661)326-0576 If yOU have any questions regarding this matter, please contact me at (661) 326-3979. PUBLIC EDUCATION 1715 Chester AVe. Bakersfield, CA 93301 "" ,y~"ncerel", vOICE (661) 326-3696 FAX (661) 3260576 FIRE INVESTIGATION Ralph E. Huey 1715 ChesterAve. Director of Prevention Services Bakersfield, CA 9.3.301 VOICE (661) 326-3951 FAX (661) 326-0576 by: TRAINING DIVISION 5642 Vlctor Ave. ,~~~~~. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services REH/dc cc: J. Whiting S. Spraetz, Kroeker, Inc. MAR-il-2003 ~9:32 ~KROEKER, 'INC. '" 1 559 268 3366 P.01x02 KROEKER, Inc CA License #621'866 A C12 C21 C57 HAZ/~$8 HIC &AZ License #131453 ww~.KROEI(ERINC.com · F.ax To: L.~o,.~t~O' L.~),~a.~ : From:. ~'~r-t,~ ~-~ Fax: R~ CC: ~ U~ent ~er Review ~ Please Gamment ~ please Rep~ ~Ple~s~ Re~le 4627 S. Chestnut Ave. · Fresno, CA 93725-9370 Tel (5S9) 237-3764 (FI~OG~ - Fax 1559) 268-3366'[DEMOI Toll Free (800] J KROEKER (557-6353] MAR-il-2003 09:52 '"KROEKER, INC. 1 559 268 5566 P.O2x02 ~OEKER, INC. ~ 1 7 0 ~ ~ FR~NO, CA. 93725~370 ' ' D~R ~GHED AT - ~RI~ 0 PD ~ CHG Q LC U D.C THIS IS TO CERTIFY btm the following dol~bed.o0mmIxlity I weiOlted. I~, or ownted by a weighnweter, whoae ~tOnll~lm I~ q~l thb oodiflr, ipte. who i~ a/gt;ogrda~J mubtoMy of ac~racy, as preaacfll~d by GhapWr 7 (commencing with 3cd'on 12700) Of Clivi~o~ O Of tho CaiomJa Butane. aa ~.nd Pmfes,s~ons Codo, Jdnlt~MerMJ :by the Olvl~o~ M Moaoummant ,~tandard$ ol the ~all~le I:)~paMnmnl Of Food and .=)~,~.._~,_,.a.~, _ 16742 KROEKER, lNG. 4627 S, CHESTNUT AVE. FRESNO, CA. 93725-9370 (SS9) 237-3764 R 'nME DATE WEIGHT IN ~ ~OVE UNE} u~ 'r~RE ' mAN ~,Y ~ GRoss TAJ~ · ~HlCkE klC, NO~,, TR~L,ER UC. TRAIkER klG, GOMMODITY 'T1PPINO FI~E ~ o PD o ~G a LC TOTAL P.02 & ASSOCIATES INC GEOTECHNICAL ENGINEERING · ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING & INSPECTION March 13, 2003 Projec.t No. 026-02520 Mr. Shawn Spraetz Kroeker Incorporated 4627 South Chestnut Avenue Fresno, CA 93725 RE: Addendum To Limited Soil Assessment (dated January 28, 2003) Vulcan Materials Delores St. & Tulare St. Bakersfield, California Mr. Spraetz: Attached, please find the results .of additional soil samples obtained from the above referenced project location. The additional soils samples were obtained at a depth of 4' beneath the bottom of the underground storage tanks at the locations stated in our original limited soils assessment dated January 28, 2003. Based on the trace concentrations of diesel fuel constituents and gasoline fuel oxygenates (MTBE) indicated by the laboratory analytical results coupled with the absence of soil discoloration and odor identified during the field activities, it is Krazan's opinion that an environmental impairment to the subject site as a result of the operation of the three USTs does not appear to currently exist as of the date of this report. Consequently, it is Krazan's opinion that further assessment of the UST locations at the subject site is not warranted at this time. If you have any quesilons or if we may be-of further assistance, please do not hesitate to contact our office at (661) 633-2200. R~ es'pectful]y stl~bmitted'~~~s, INC. ~~L ~' Greg{D.~Walker ' Proje'et~Manager Principal Engineer RGE g002051/RCE #34274 GDW:cj cc: Howard Wines-Bakersfield Fire Deparunent With Ten Offices Serving The Western United States 4231 Foster Avenue · Bakersfield CA 93308 * (661) 633-2200 · (888) 633-2200 * Fax: (661) 633-3930 - (03-12-03)_Report Addendum_lE520.doc ~;f~lLllll~l /"MIC;IlyLIL~C~il rNI~IJ~JIL ~UV~I -r~ t ut ~ ~ 'LaboratorY, Inc. Cover Repo KRAZAN AND ASSOCIATES · 4231 FOSTER ROAD Project· Number: 2602520 BAKERSFIELD, CA 93308 COC Number: Attn: GREGWALKER BCL Number: 03-01789 Dear'Mr. Walker: This report contains the analytical results for the samples received under chain of custody by BC Laboratories, Inc. The samples were logged into the Laboratory Information Management System (LIMS) and BO Lab numbers were assigned' to each sample. The result of the temperature check, condition of the samples and any other discrepancies were recorded on the cooler receipt form. All applicable quality control procedures met methOd-specific acceptance criteria, except as noted on the following analytical and quality control reports. This report shall not be reproduced except in full, without writte, n approval of the laboratory. California DO'HS Certification #1 186 ' Authorized Sign~ature All result listed in this report are for the exclusive use of the submitting party, BC Laboratories, Inc. assumes no responsibility for report alteration, detachment or third party interpretatic 4100 Atlas Court * Bakersfield, CA 93308 * (661)327-4911 * Fax(661)327-1918 * www.bclabs.com Printed 03/06/2003 15:36:51 03-01789 Laboratories, Inc KRAZAN AND ASSOCIATES .. 4231 FOSTER ROAD BAKERSFIELD, CA 93308 Attn: GREG WALKER Total PetrOleUm Hydrocarbons COC Number ..... Receive Date/Time 02/24/2003 @ 13:45 Project Number 12602520 Sampling Date/Time 02/24/2003 @ 10:30 i~ ~ion ~ - Sample Depth 17.0' ~ I36923AOIL-NOR+H . Sample Matrix Soil S--~P~mpled By ' 1JUSTIN KNUDSEN . BCL Sample ID 03-01789-4 Total Petroleum Hydrocarbons J <PQL I' mg/kg 20. I 10. iEPA=1664 J02/27/03 {07./27/03 I I' JCC I J 1 J I California DOHS Certification #1186 All results listed in this report arc for file exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separatim), detachment or th!rd party interpretation. Printed 03~04~2003 13:38:48 4 00 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.com 03-01 789-4 -Laboratories, Inc KRAZAN AND ASSOCIATES 4231 FOSTER ROAD : BAKERSFIELD, CA 93308 Attn: GREG WALKER ., Total Petroleum Hydrocarbons coc"Number .._ Receive Date/Time 02/24/2003 @ 13:45 .,,F~r0ject Number' 2602520 Sampling Date/Time 02/2412003 @ 10:30 -.,,ampling LoCation .... · Sample Depth 17.0' Sampling Point 36924A OIL- South Sample Matrix ~ Soil Sampled By . JUSTIN KNUDSEN BCL Sample ID. 03~01.789-5 Total Petroleum Hydrocarbons < PQL mg/kg 20. 10. EPA-1664 02/27/03 '02/27/03 JCC 1 California DOHS Certification #1186 All results listed in this report are rot the e.,,clusivc use of thc submittiug pa~3'. BC Laborato~/es, Inc. assumes no responsibility for reporl alteration, separation, dctaclune~t or third party in&erprelation. Printed 03/04/2003 13:38:50 4mo Atlas Court * Bakersfield, CA 93308 * (661) 3274911 * FAX (661) 327-1918 * www.bclabs.com 03-01789-5 ~.~~ Laboratories, Inc KRAZAN AND ASSOCIATES 4231 FOSTER ROAD BAKERSFIELD, CA 93308 Attn: GREG WALKER Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number __. -~ Receive Date/Time 02/24/2003 @ 13:45 Project Number 2602520 Sampling Date/Time 02/24/2003 @ 10:30 _ Sampling Location .__ Sample Depth ]7.0' Sampling Point 36920A DIESEL-SOUTH Sample Matrix Soil Sampled By JUSTIN KNUDSEN BCL Sample ID 03-01789-1 < PQL 10. 3. 8015M 02/28/03 02/28103 18:58JST 1 Diesel Range Organics (C12 - C24' mg/kg Tetracosane 77 % 45-137 8015M 02/28/03 02/28/03 18:58 JST 1 California DOHS Certification #1186 ~ All results listed in this report arc for tile exclusive usc of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or fldrd party interpretation. Printod 0310512003 08:10:42. 4 oo Atlas Court'* Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs,com 03-01789-1 ~.d~ Laboratories, Inc , KRAZAN AND ASSOCIATES 4231 FOSTER ROAD BAKERSFIELD, CA 93308 Attn: GREG WALKER Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 02/24/2003 @ 13:45 Project Number 2602520 Sampling Date/Time 02/24/2003 @ 10:30 Sampling Location --- Sample Depfh 17.0 Sampling Point 36921A DIESEL-CENTER Sample Matrix Soil Sampled By JUSTIN KNUDSEN BCL Sample ID 03-01789-2 Diesel Range Organics (C12 - C24 < PQL rog/kg 10. 3. 8015M 02/28/03 02/28/03 20:38 JST 1 Tetmcosane 95 % 45-137 8015M 02/28/03 02/28/03 20:38 JST 1 California DOHS Certification #1186 All results list, cd in this repo. rt am for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no respm~s~ility for report alteration, separation, detachment or third party iriterprctatlon. Printed 03/05/2003 08:10:45 n~o Atlas Court * Bakersfield, CA 93308 * (661} 327-4911 * FAX (661) 327-1918 * www.bclabs.com 03-01789:2 ~_~ Laboratories, Inc " KRAZAN AND ASSOCIATES 4231 FOSTER ROAD BAKERSFIELD, CA 93308 Attn: GREG WALKER Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 02/24/2003 @ 13:45 Project'Number 2602520 Sampling Date/Time 02124/2003 @ 10:30 Sampling Location --- Sample Depth 17.0' Sampling Point 36922A DIESEL-NORTH ,, Sample Matrix Soil Sampled By JUSTIN KNUDSEN . BCL sample ID 03-01789-3 Diesel Range Organics (C12 - C24', < PQL .mg/kg 10. 3. 8015M 02/28103 02/28/03 21:03 JST 1 Tetracosane ~00 % 45-131 8015M 02/28/03 02/28/03 21:03 JST California DOHS Certification #1186 All results listed in this report arc for the e.,~clusivc use of the submitting party. BC Laboratories, Inc. assumes no respm~sibility for report alteration, separation, detachment or third party interprclation. Printed 03/05/2003 08:10:49 ,iqo Atlas Court * Bakersfield, CA 93308 * (661) 3274911 * FAX (661) 327-1918 * www.bclabs.com 03-01789-3 Laboratories, Inc KRAZAN AND ASSOCIATES 4231 FOSTER ROAD BAKERSFIELD, CA 93308 Attn.' GREG WALKER Purgeable Aromatics and .. Total Petroleum Hydrocarbons COC Number ---Receive Date/Time 02/24~2003 @ 13:45 Project Number 2602520 Sampling Date/Time 02/24/2003 @ 10:30 Sampling Location --- Sample Depth ,17.0' Sampling POint 36925A GAS-CENTER Sample Matrix Soil Sampled By JUSTIN KNUDSEN BCL Sample ID 03-01789-6 Benzene < PQL mg/kg 0.005 0.00036 8020 03/01/03 03/01/03 21:19 TLF GC-V8 1 302-100363 ND Toluene < PQL nag/kg 0.005 0.0040 8020 03/01/03 03/01/03 21:19 TLF GC-V8 I 302-100363 ND Ethylbenzene < PQL nag/kg 0.005 0.0018 8020 03/01/03 03/01/03 21:19 TLF GC-V8 I 302-100363 ND Methyl t-butyl ether ~ < PQL ' mg/kg 0.02 0.00056 8020 03/01/03 03/01/03 21:19 TLF GC-V8 I 302-100363 ND Total Xylenes < PQL mg/kg 0.01 0.0098 8020 03/01/03 03/01/03 21:19 TLF GC-V8 I 302-100363 ND Gasoline Range.Organics < PQL '. rog/kg . . I 0.046 8015M 03/0~1/03 03/01/03 2!:19 TLF GC-V8 1 302-100363 ND a,a,a-Trifluorot°luene 101 % 70-130 8020 03/01/03 03/01/03 21:19 TLF GC-V8 I 302-100363 O a,a,a-Trifluorotoluene (8015 Surrogate) 106 % 70-130 8015M 03/01/03 03/01/03 21:19 TLF GC~V8 I 302-100363 California DOHS Certification #1186 All results listed in fids report are for the excluaive use of the submitting party. BC Laboratories, Inc. assumes no respons~ility for report alteration, separation, detachment or flfird party interpretation. Printed 03~05~2003 10:50:13 4100 Atlas Corn1 * Bakersfield, CA'933011 * (66D 3274911 * FAX (661) 327-1918 * www.bclabs.com 03-01 789-6 .~ Laboratories, Inc KRAZAN AND ASSOCIATES 4231 FOSTER ROAD BAKERSFIELD, CA 93308 Attn: GREG WALKER Fuel Identification / Quantitation Summary (EPA Method 8015M) COc Number --- · Receive Date/Time - 02/24/2003 @ 13~45 Project Number 26__02520 Sampling Date/Time 02/24/2003 @ 10:30 Sampling Location --- Sample Depth 10.0' Sampling Point 36926A FUEL Sample Matrix Soil Sampled By JUSTIN KNUDSEN BCL Sample ID 03-01789-7 Diesel Range Organics (C12 - C24' 100 mgJkg 10. 3. 8015M 02/28/03 02/28/03 21:28 JST 1.0 A52 Tetracosane 94 %' 45-137 8015M 02/28/03 02/28/03 21:28 JST 1.0 I Fla¢l ExPlanations IA52 Chromatogram not typical of diesel. California DOHS Certification #1186 All results listed it] fills report a~',~ for the exclusive use of the submitting party. BC Laboratories, h~c. assumes no rcspousibility for report alteration, separation, detachment or third party interpretation. Printed 03/05/2003 08:10:52 ~00 Atlas Court Bak~rsfic.d CA 93308 * (661} 327-4911 * FAX (661)327-1918 www.bclabs.com , ' 03-01789-7 Laboratories, Inc' KRAZAN AND ASSOCIATES 4231 FOSTER ROAD BAKERSFIELD, CA 93308 Attn: GREG WALKER Purgeable Aromatics and Total Petroleum Hydrocarbons COC Number --- Receive Date/Time 02/24/2003 @ 13:45 Project Number. 2602520 Sampling Date/Time 02/24/2003 @ 10:30 Sampling Location --- Sam_pie Depth ]0.0' Sampling Point 36926A FUEL _. Sample Matrix Soil Sampled By JUSTIN KNUDSEN BCL Sample ID 03-01789-7 Benzene < PQL mg/kg 0.005 0.00036 8020 02/28/03 02/28/03 16:28 TLF GC-V8 1 302-100363 ND Toluene < PQL rog/kg 0.005 0.0040 8020 02/28/03 02/28/03 16:28 TLF GC-V8 I 302-100363 ND Ethylbenzene < PQL rog/kg 0.005 0.0018 8020 02/28/03 02/28/03 16:28 TLF GC-V8 1 302-100363 ND Methyl t-butyl ether < PQL mg/kg 0.02 0.00056 8020 02/28/03 02/28/03 16:28 TLF GC-V8 1 302-100363 ND Total Xylenes < PQL mg/kg 0.01 0.0098 8020 02/28/03 02/28/03 16:28 TLF GC-V8 1 302-100363 ND Gasoline Range Organics < PQL mg/kg I I 0.046 8015M 02/28/03 02/28/03 16:28 TLF GC-V8 . I 302-100363 ND a,a,a-Tdfluorotoluene 96 % 70-130 8020 02/28/03 02/28/03 16:28 TLF GC-V8 1 302-100363 O a,a,a-Tdfluorotoluene (8015 S,u, rrogate) 110 % 70-130 8015M 02/28/03 02/28/03 16:28 TLF GC-V8 1 302-100363 California DOHS Certification #1186 All results listed in tiffs report are for the exclusive use office submitting party. BC Laboratories, Inc, assumes no responsibility for report alteration, separation, detachment or third party interpretation. 03/05/2003 10:50:18 ~ oo .Atlas Court * Bakersfield, CA 93308 *_(661) 3274911 * FAX (661) 327-1918 * www.bclabs.com Printed 03-01789-7 ApR~'1~--99 11:0~ AM KERN OIL FILTER RECY. 18057218739 P. 01 FAX COVER SHEET KERN OIL FILTER RE; YCLING 2355 ROAD 192 DELANO, CA 9321~ PH, 661.324.0199 PH. 661-792-2472 FAX 66f-72t.8739 SEND TO Company name =IRE DEPARMENT MARY Attention Date ;TEVE UNDERWOOD ~-16-99 Office location Offic~ location BAKERSFIELD MCFARLAND Fax I~tllber Phone number 581-32e-0576 661-792-2472 Total peges, inCluding cowl 33 ~o~~~.s ....................... . ............................................................................. STEVE FAXlNG IN~ :3ICES AND MANIFESTS FOR ALL THE PICKUPS WE OlD FOR CAL- MAT ~'N~ ~i~ ~. ~iq "0~','"i', ',. ', i',....', i. i' i.ii ........... i.i .,i.i.....'. '..i/....L/21.1 i.','.....', i'.','.'.',",i ii'.'.'.,',",','i','ii i' 1'2'2'.',i'.2.,.i .Li..i.i'. ....... '.'..'.'... '.... '.. '.'.' i"'.','" ','i'~-/ /.'/ '/' . APR--15--99 1 1 :06 AM KeRN Oil FILTER REC¥. 15057215739 P. 02 ~ase ~r;~l ar ~pe. Form ~e~lgne~ ~ use on eli~ ~ { ~2,pi~c~;~. ~ back o~e 6. S0cramento, i UNIFORM HAZARDOU: 1. Genarator', US ~PA ID No, Ma~fesl Documen~ No, 2, Page i In~ormatfon In the shod.~ a~*as -- 3. ~,e~otor's Nome'an~ ~aling Add ~, S~ Monlfelt D~um~nl Num~ o ,.~974 .... FRONTAGE ~g. ~CFARLAND CA 93250 ........~~':~'--~: ~92-247Z .I I J I',I. I I. I I,,,,I, _ ..' '~61.792.2472 7. Tra~,~r~ir 2 C~,y Name 8. US E~A ID Nu~,~ E. Si~ T~p~rtlr', ID ~ ~0. us ~p~ I~ ~,~.~ o~'"'i~), ~m¥', i~ ~,-, ... ~ 1700 ~OUTH SOT ) S~. k r~c,~¥,~o.. ~: 1~. US~TDescdpHonilncludjngprope Sh;pP[n*~am~,HazotdClas,,a,dlDNgmbe¢l,, 12. Con~ainerl 13. Total 14, Unit . :'~ l[.i . ~ - a, N~. T~pe Quantity Wf/vel I,~, N~%~ ~ COHBUSTIBLE' ,IOUID N,O.S. N'A~ 1993 's~" , T , o : , ~. · .,. .-:~ , 'K, Handling Cgde, ~ Wa,t., Li,md~~ ,, ' 1 ~. Sp~ial Handling Io*frucfion~ and Ad~ 'iana[ Intor'mM~an ;"'" .......~ ' GLOVES & GOGGLES FOR ~MERG~NCY RESPONS~ PLEA8~ CONTAC~ : DAVID ALVAREZ SR. AT 805-792-2472 OR 324-0199 marked, and labeled, and are in ,pKts m p~o~r condman Eot Itansport~y highway according to app]kable inlernaliona] and nafi~algovernment regulation~, pac~e~ If I am a ~arg. quanli~ generator I ~ rtily ~at I~a~e a p~0gram in p ace Io reduce he volume and loxichy af wade generoled to t~e degree I ha~e detecto;ned ia be pratt;cable and thq~ Ihove selected t~ ; practicable method of treatmsnl, s~rage, ar dra~soi curre~dy a~ailable to me which minimizes the present and future threat to ave I~ble fo me and ~hat I can afford, ' ~ PHn~ed/Typed Nam~ DAVID ~ F Slgnature " ~ ,~ / ?5 i 17. Tran)portir I Acknow~d~eme~l o~ ReC ~ipI ~f Materials "', ...... ~' ~ ' A ~Hnt~d/Ty~d N~me ": ~ DAVID kL.VAREZ '["' ~o~h DO NOT WRaP'THIS fiNE, ~ ' Y~dL.,w, TSDF S~ND$ THIS COPY TO GENERATOR WITHIN 30 DAYS. EPA 8?00--22 produc~ comf)leted co~y of t~ eop~ and send t~ D7$C w;thi, 30 do~s.) RPR--15--99 11:07 RM KERH OIL FILTER RECY. 18057215759 P. 05 KERN OiL FILTER RECYCLING 2335 RD. 1 12 - DELANO, CA 93215 805-79; .2472 OR 805-324-01~ FA. ( 805-721-8739 ID # 77-037' )490:EPA # CAL000149101 Invoice No: N; . 18016 GENERATOR INFORM, ~ioN: MAIL TO: Name .....~~~G , . ....................... Nam,_. Address ' Address Area Code & Phone ~ ........... ~ ....... Area Code & Phone Contact~~ ....... ~ Contact DESIGNATED ~ Indusl ,iai Sewice Oil. Co ~:,:] Other ~ ] TAMCO P.O. BOX 325 FACILITY: ~ 700 ~outh ~oto Street ,, ~NCHO CUC~ONGA, Los A ~geles,' CA 90023 CAD ;99452708 (WASTE PETROLEUM IlL AND WATER)NA 1993 P.G. ,11 (22%) ' "' INDUSTRIAL O L ...... ~ ..................... % WATER .............. ~ .................. % i~]' ANTIFREEZE, NON-R~A H~AROOUS WASTE, LIQUID (134) ~ DRAINED, USED OIL F LTER~ (NON-HAZARDOUS WASTE) ~ OTHER ENVlRONMEN" 'AL NEEDS ........................................... GENERATOR CERTIFICA' 'ION: I; hereby ce~l~ to the best ef my knowl~ge that the oontent~ Ilst~ ~bove are accuratety described TRANB~R~R SlGNATUR~ ~ " A service fee of 1 t~% patten1 per moht~h~e charged o~ all past dul accounts. In th~event ?ia aeoou~t becom# delinquent a~d It APR--15--99 I 1 -'~? ;~M KERb~ OIL FILTER RECY. 18057218759 P. 04 Form ApWe~ed OMB No. 205~039 (E~p~re~ 9-.3B-9~ ~ ~acrame~lo, Cati~Dmia I, Ganaeafor's US EPA iD Ne. Mail,est D.cumenl No. 2. Page I In~orm~tlon I~ ad areas UNIFORM HAZARDOUS / i~ not requ~ad by Federal WAST~ MANIFEST 3. GenerafOr'l Name and ~iling Addre* A. 974 ~ANTAGE ~D. LAND ~, lrans~r~ee I Company Na~e 6. US EPA ID ~u~ber KERN OIL FILTER ~. Tra~t~r 2 C~mpony Na~e :~ 8. U~ EPA ID Number 9. De*ignored FaC~]~ Name end Site Ad. , 10, U5 EPA l0 Nu INDUSTRIAL SER~ IC~ ~O~L CO .... ,. ~700 SO~TH SOT~,~ST. O'CO~tBUSTBLE LI~}UID .O.S. NA~ 1993 PG 111 b, d. EPA/Other ~ 5..~pecinl H~n~Jing Indru~tlo~ and ~Jfia6a[ GLOVES & GOG~ b~S ~ FOR ~HE~GENCY R~SPONSE PL~AS~ CONTACT ~ DAVID ALVAE~Z gE. ~ 805-~92-24~2 OR ~ 324-0199 ' - ,[ - - ........... r~ fall~ and accurolel~ descr bed abow by proper shipping na~e 6 G NE~ATO~'S C[RT~ICA~ON: I nrebyde~ retnattna~o?em~Ot~msc~ns~nl~ z ........ ~..Lt.~.~ .... ~=o-a andnatonalaover~menteegumtio~i- I . ~r~ad =~d labeled, a~d are in a re,pacts i~ p~oper condd~on tar tronspo~l~ ~gnway accormng m ap~ ..................... . I · -' ..... e and ox c" of was · -enerafed ~e the degree I h~ve determined lo ~ ~omicolly - e or d t osal currently available la me w~ {h m~ni~izes the p~esent and ~u~ure threat to human heal~ ovailab¥ to me and that. I can a,o~. , ..... 19, Dilcrapan~y Indication DO NOT ~RITE BELOW'THIS LINE. %llow' TSDP 5ENDS THIS COPY TO GENERA]OR wITHIN 30 DAYS. [g~nerators wh~ ~ubm~t hozardou~ waste Jar lran~por~ QUj-O~'ll~le, ~T~ ~O~gA {~/97~ '*' produce camp}eld.id cop~' ~ At~;~ ~ ~d ~end to D~SC within 30 dayl.) ~PR--15--99 11 :~8 AM KERH OIL FILTER REC¥. 18057218759 P. 05 KERN FILTER RECYCLING 2335 RD. 15CA 93215 E OR 805-324-0199 ,721-8739 · ID # # CAL000149101 Invoice No: No. . 18021 GENERATC MAIL TO: Name Name .... Address Address - Area Code & Phone # Area Code & Phone # -. Contact _.~ .~./V' ' Contact ..... DESIGNATED .~ o~. Co !~ Other ~} TAMCO P.O. BOX 325 1700 ;oto Street ~ RANCHO CUCAMONGA, CA 91739433~! FACILITY: Los CA 90023 _ CAD . ........................... QUANTITY UNIT PRICE AMOUNT (WASTE PETROLEUM ID WATER) NA 1993 P.G. III (22%) INDUSTRIAL --% WATER .................... % [-3 ANTIFREEZE, )US WASTE, LIQUID (134) [3 DRAINED, USED OIL. I (NON-HAZARDOUS WASTE) [3 OTHER ENVII .'.DS ................................ GENERATOR CERTIFIC4'I'ION:II hereby certify to the best of my rl::ledge th::ihu::O"`~n~ste~ ab~ev~ ar~ descrIbed _~~/ ~PR--15--99 ! 1 -'08 A~l KERH OIL ~ILTER RECY. 18~5~218~9 P. / ', ~";;'"""""'"'""'"'"~'" . " ' ' '"' '.",-., "'-:',:,:'.96G'8~4t I ~ ~'a'~l~rter I Company Name e , -- I -- I J '- I "1 I I ~ I I ........ ~,_,_:._ , , .u,, '" . ,.~f ; ,, .';, .., I [ / ~. TranSpOrter 2 Company Na~e 8. U~ [PA ID Nu~er [, State Tra~.~.,,.r s (~ -: , ...... ..... , . I I I I I I I I I I ~ ~ "';" I ..... '*¢'1'~ ...... ' :'~ TM ' ~. 'Delignate~ Facility ~ame and Site Ad, res~ 10 US EPA ID Numbe ' ' -- " -'~"- r' , --. '- .... Ill ~oo ~ou~ ~o~o ~ " ~' ' ' ' , · ' 12 Co~tain~rs ~3 Teal 14. Unil l PPg ...... ,, , ...... ] [11, US DOT D.,crip,'on Cl*~udi.g *rop.r ,, ' I Sm~ ~_Z ' ~'': . ¢, ....., ~ ~ .'~f'. , . : ........ ::,,, :,:; '~ , t ~ -' , . .... , ...~.,.,....~ ' '"'": .... '"" '""'"' " '""' ..... '" "* .... T~n'"zos ~ne,2?C:m~ ncax) . .. -.. ,. ~ l, GLOVES L GOGQ[E~ FOR SNEROENCY RESPONS~ PLEASE CONTACT DAVID ALVAREZ 5R, AT 805-792-2472 O~ 324-0199 : I' ? ~. GENERATOR'S CERTIFICATION: I h reby decla e that t~e con en s of th ~ con* ~ment are Mly and occura ely described above by proper shipping no~e and are classiFi~, packed, 'esped~ In proper canditio~ ~r tronsporl~T ~g~woy acco~ing to appficable ~nternot,onaJ ~nd nohonafgovemmen~ reguJaho~, , ~ { ] Il I om a lo,ge quqnti~ generator, cert[~ Iha ., a . ~ ~ P J, I *,1 .... ;l~ble to ~e which mln~mlzei fha present and future {hteat ~e tactic Ible ~ethoa at Ireatme~f~ storage, or al~p¢le, curr...,~ ~ -,. ~ ~ I ~nd th. environment; OR, iF 1 am a /., i APR--15--99 1 1 :09 AM KERN OIL. FILTER RECY. 150§72157~9 P. 07 '- KE "FII.:TER RECYCLING 235~$ RD. DELAI~;~'A 93215 "805-7 OR 805-324-0199 (24 Hr. Pick-Up 805-721-8739) Pager 80~ ~43 · Fax 805-792-2400 Invoice No: 17961 ID # 77-0 t0 EPA # CAL000149101' DATE MANIFEST # GENERATOR MAIL TO: Name Name Address Address ,_ City City ........................ Zip Code ............................ Zip Code Area Code & Phone # Area Code & Phone # .............................. Contact Contact DESIGNATED Industrial Service Oil Co. 1700 South Soto Street Los Angeles, CA 90023 TAMCO P.O, Box 325 CAD 099452708 Rancho Cucamonga, CA 91739-0325 ---:riVAl- ......... 1DRIVEFI IDATr OF NExl" P/U p,o. i~. 0~/ ................ ION QUANTITY UNIT PRICE AMOUNT . . '.~ COMBUSTIBLE '$--: ........................... LUBRICATI" ..... /...~-- ......... INDUSTRIAL ---.% WATER --.- · ..... % I:] ANTIFREEZE, NON-I IAZARDOUS WASTE, LIQUID (134) [] DRAINED, USED OIL (NON-HAZARDOUS WASTE) [~_~ OTHER ENVIRONM! .................... GENERATOR CERTIFll I hereby certify to the best of my knowledge that the above described TRANSPORTEI~ SIGNATURE ............. PLEASE PAY FROM THIS INVOICE ~. In the event thl. account besom-- delinquent and It A service foe of 1 1/2% pore ~nth cheil be charged on ,11 past due aeoounts. ie no.-aery to Institute =dingo, puroha.r agrees to pay reasonable attorney, s fee and court oo~t. APR--Z5--99 1 ! =~9 Arq KERF~ OIL FILTER RECY. 15057215759 P. 08 Form.A~ro~ed O~B No. 205~0039 See Instructions on back of 6. Deparlment of Toxic Substances print or ~pe. Form de*igned Socramenlo, California . UNIFORM HAZARDOUS i. hal required by Federal WASTE MANIFEST ' A. Stall Montini ~ume~t.Numbw 3. Ge~erator'~ Nome and Mailing Addre~ K~RN OIL ~C~ I, NG 974 F~ONTAGE ~AR~AND, ~A. 93250 ~. 5. Tra,s~rter I Company Name 6. US EPA ID Number ~. . ' .' ]. TranspO~lei.~ C~mp~ny Nam~ ~. US ~A tO Number ~ '.: i'.,: ' 9. De,ignored Fecil~ Nome ~nd 10. US EPA ID Number "":" INDUSTRIAL SERVI I!l, CA, I~00 ~OUTN SO~O LOS ANGBL[S CA. t I. US DOT De~c~lpt~o~ tincluding Prope~ Gms, Hazard Class, and tD Numb*~l Ouanl;~ i. Wa~le CO~BUSTIB~ IOUI N.O.S. NA: 1993 ~/o~., ', ' cxx). . :..~ ..... ....., .".~.'..~..p :.'. 1 ~, Spatial Handling Indrucfions and A~ ,~malion GLOVES & GOGG~I;S FOR I~ER~NC~ R~SPON~ P~AS~ CONTACT DAVID ALVAR~Z SR. AT 805-792-~472 324-%199 " ~0rked, and la~ed, a~d ore in all condM~n for transpa~t~y h~ghway according to app[ka~le intern~llanal and nohona[go~nment i Printed/Typed Name i S~gnafure " 2 Acknowlec ~ Month ~? YDo? 19. D~*crepancy Ind~c~tio~ Space ~ I DO NOT ~RITE BELOW THiS ONE. ' DTSC B022A, I4/97) Y,:Jl, ... C,' ': ~..,'' ; ~" :"~'.' APR--15--99 ll :10 AM KERN OIL FILTER REC¥. 18057218739 P.09 KERN L FILTER RECYCLING 2355 RD.' DELANO, CA 93215 805-7~ OR 805-324-0199 (24 Hr. Emcy Pick-Up 805-721-8739) Pager 805 i743 · Fax 805-792-2400 ' ID # EPA # CAL000149101 Invoice No: N'° 17946 iR INFORM, MAIL TO: Name Name _ Address Address City ............... City,,, Zip Code ....................... Zip Code_ Area Code & Phone # Area Code & Phone # Contact -7'~/C ....... Contact DESIGNATED Industrial Service Oil Co, 1700 South Soto Street Los Angeles, CA 90023 T.AJ~CO CAD 099452708 P,O. Box 325 Rancho Cucamonga, CA 91739-0325 i ...... ]-"'"QUANTITY UNIT PRICE AMOUNT PTION .................. (WASTE PETROLEUM ID WATER) NA 1993 P.G. III (22%) LUBRICATING .,/~.~ % % WATER ......... i-] ANTIFREEZE, )OUS WASTE, LIQUID (134) ~ DRAINED, USED OIL (NON-HAZARDOUS WASTE) :'_'.~ OTHER !DS. GENERATOR hereby certify to the best of my knowledge that'the ~ont~ above ,,re accurately described "L.-.-t'~- q ~ (]ENER~TOR $IGNATUR£ .... l .... TRANSPORTER SIGNATURE [ ........... .............. 'LEASE PAY FROM THIS INVOICE A mervloe fee of I 1/2% perc®r nth ehall bm charged on all past due aeoount$. I~ the event iht, ii ~ecessary to Institute legal nge, purchaser agrees to pay reasonable at~ornay, s fee end oourt ~PR--15--99 1 ! : 18 AM KERN OIL FILTER REC¥. 18857218739 P. I ~ ~ ~ ~ ~o~ - 2 Page 1 ~nfor~ation in ), ~nar~tof'$ Name and Mailing ~ddrei~ ,, ,' ,' . m . m: , ¢ I~1 .... g94 Eron~age rd. ~c~a~Ind ca 93250 6. US EPA ID Nu~Oe 7. ?ra~porfer 2 Co~pany Name ~ ' ' "' ..... " ~,'::: ~/' . . . . ., 9. Deligna~ad Facili~ Name and 5tfa Ad~ tess 10, US E~A ID Number , . ,,.,, l?O0 ~OU~H ~0~0 ~ .... , 1 i, US DOT Description (including Pro~ SKlpping I~me, Hazard C1,;$, an~ ID Nu~r~ No. ~ ~ Wt/Vol I. W~um~', · , ~ L.':, , ' I I ~'~'" '~l"'I/~'~t'~' ~' u ~ ':., ~ wAzl~ xo~ IRc e27(Nox IcaA) ~ ', ' ~ ~.' ' ,ES ' FO~ E~ERG~NCY ~ESPONSK P~AS~ CON~'AC~' . DAVID A.bVAII~ SR. AT 605-792-2472 marled, ~nd labeJad,, end are i c ic o~ waste enera~ed lo the degree I have deke~mi~ed to be economically [ certify t~ ~1~ Novae program in place to reduce[~e vol~:~r~.[O~ai~ble fo me ~hich ~lnJ~iz. the present and futura threat to ~u~a: ~:h~ I ~ the e~e~t; OR, ff ~ a~ sma~ quc nti~ generator, I have ma~e a good ~a1~ effort lo ~lnlmlze my wasfe generolto,, ~,,- .e,..f Ihs be g ~ ~ DO NOT W~ITE HIS LINE. ~.,,,...,, ,,~ ...... ,'.T',.,R ' n~? gn~gA Ia/97~ RPR--15--99 11 : 11 AM KERN OIL FILTER RECY. 18057218759 P. ii KERN FILTER RECYCUNG 2355 RD. 1 ,LANO, CA 93215 805-79 '2 OR 805-324-0199 (24 Hr, Em{ Pick-Up 805-721-8739) Pager 805- ,743 · Fax 805-792-2400 No. 17908' ID # 77-03 EPA # CAL000149101 Invoice No: MANIFEST It ~ GENERATOR INFORM~ MAIL TO; Name ............. Name ,,, ·" Address Address City ......... City ........ Zip Code ...... _~__~_~ .- Zip Code _. Area Code & Phone if Are~ Code & Phone # ..... Contact ..... Contact ...........( DESIGNATED Industrial Service Oil Co. South Solo Street TAMCO Los Angeles, CA 90023 P.O. Box 325 CAD 099452708 Rancho Cucemonga, CA 91739-0325 --i~:0-:- .................... =.RVAL' ' ! DRIvE~ l DATE OF NEXT ........ ' ...... ' QUANTITY UNIT PRICE AMOUNT (WASTE l WATER) NA 1993 P,G. III (22%) /Oo % INDUSTRIAL % % WATER ....... [-j ANTIFREEZE, ARDOUS WASTE, LIQUID (134) , ~_ DRAINED, USED OIL IS (NON.HAZARDOUS WASTE) ' E.J OTHER ENVlRONME EEDS .,. GENERATOR C I hereby certify to the best of my knowledge that the con1 above ara accurately described GENERATOR SIGNATURE -- TRANSPORTER ~tGNATURE .... _ ........ -- ............ .... -- ............ PL PAY FROM THIS INVOICE A aer¥iGe fee of 1 1/2% parc ~onth a on alt past due a=count~. In the event thll account beeemes delinquent and It ·. :__,t~..~,, la,~ )ut, chaser agrees to pay reasonable attorney,~ fee and court APR--15--99 ii:ii AM KERN OIL FILTER RECY. 18~57218759 P.12 3. Gnnera~r's ~m. and MaH;ng Addr, ~* '~'. ~lo~e M~nlfed D~cU~e4t 7. Trans~rteF 2 Company Name 8. US EPA rD N~er ' E. 5~ta Tr,,~r~r'~ ID ' "" ~ ~''''':j" , ' ' ~700 50UTH ~0~O ~T, H'Fadli~~'Ph°~" ''' 12. Ce~ta~ner~. 13, Tolal 14. Unit . I 1. US ~t D,~criptlon (including Pr=pe~ S~[pping lame, Hazard class, and ID Number) Ne. Type Quontl~ Wf/Vol I. Wefll N~m5~ Po ;,j,..,,, ...... ,', ,'~ ...... ,,u ~-,, NATBi l~,,:, . .... ('lOll..,le'lA} ,. ...,.,. ........ . ,..':', a:'::'.~, . .,...,:.~.,. .,. 1 ~, Special Hon~ll~g I~strucHan~ an~ Ad~ 'lanai I~fo~ mat;on DAVID ALVARRZ SR, AT 805-792-2472 O~ 324-0199 -16, GENERATOR'S ~EE~FICATION: I her ~y declarl that Ihs coetenta of this Consignment are FU{ly O~d occurmely described a~ove by proper shipping n'a'~'and are classified, If I am ~ ]ar~e quantity generalQr, ] ( ~rtl~ that I ~av. a pregram [~ place to red'ucc the volume and foxicily oF wa;re generated to tho degree I ~aYe determined to ~e =conomkally pr~c~ca~ln and that I ha~e seJecf~ ~ . practical Je method o~ I~almen~, storage or disposal currenlTy available ~ me whic~ mln~mizes Ibm present and lucre threat to ~uman a~d the environment; OR, i~ I am a Il ali quQnlif generalot, I ha~ made a good ~ailh ~fforl fo ~i~imize my wasle generaliQ~ and ~e oct ~he best wa~le monog~m,nf methad available ta me a~d the) J cQn a~ord. DAVI ) I ~ 18. TranSporter 2 Ac~ngwledgemen/O~ 'R'e, "Apt Df M= ,flail i''s~;~°'~'' 'T'"~'~'h ; Frifliag/Typed Name -' 19. Discrepancy ~,dica*lo~ ~'poce F A ~0, FacFJll~ ~ner 0r Operalor C_q~t, ifica~ic ~ oF recold of ~ozordou* maferiol~ covered by Ihls mafiA[esl except as noted ;n Item 19. ]~$~ ~ [~/~2) 'z, .' .,. '.', ?.'. ..... ,'.... PA ~700--~2 APR--15--99 111 12 aM KERN OIL FILTER RECY. 15057218759 P. 15 KERN L FILTER RECYCLING 2:355 RD. , CA 93215 2 OR 805-324-0199 (24 Hr. Em~ Pick-Up 805-721-8739) Pager 8051 i743, Fax 805-792-2400 ID # EPA # CAL000149101 Invoice No: No. 11873 MANIFEST # DATE_. /_~... -...)._'3- . .............. GE INFORM, MAIL TO; Name Name .................... Address Address Zip Code .... ' "-~'.'. .... Zip Code I ~ ~ "~r ! Area Code & Phone # .............. Area Code & Phone # Contact Contact .'yL.~ DESIGNATED Inclustrial Service Oil Co, ~-~ 1700 South Soto Street TAMCO Los Angeles, CA 90023 CAD 099452708 P.O. Box 325 Rancho Cucamonga, CA 91739-0325 'ION QUANTITY UNIT PRICE &MOUNT (WASTE PETROLEUM O WATER) NA 1993 P.G. III (22%) LUBRICATING ' -//~ % INDUSTRIAL O ...... % W^T~ ..... . ....... % E~ ANTIFREEZE, :ARDOUS WASTE, LIQUID (134) ~ DRAINED, USED OIL (NON-HAZARDOUS WASTE) ~ OTHER ENVIRONMEN' F. DS .... GENERATOR hereby certify to the best of my knowledge that the cent above are accurately described .~....TO.~,..~'r..., ,,.,C',I~_ I ~. "t. 5- ~ t, TR&NSPOI~"ER SIGN .......... PAY FROM THIS INVOICE A service fee of I 1~% all be charge¢! on .11 past due accounts, tn the event this account {I necessary to Irlstltute legal gs, purchaser agrees to pay reasonable attorney, a lee and oourt oomt. r~ Appro~<~I~MB ~a. ~050-'00.~19 {~xp~retg,30 ~'9) .... See Instructions On back o · 6. , ~ · ~-~ '~ , , :,,: .~:,. 3, Generator'* Name and ~[ling Addr, , ' ~ · ' FILTE~ 974 F~ONTAGE RD HCi ARbAND CA. N3250 ' ~. ~tateGen%~tS~' ~~ , ' ;'": ' ~. Transpane~ 1 Company Name 6, US EPA ID Number '" C. S~ Tr~n~r~r'* ID... ,. ,' , , 7, Tran~poffer 2 Company Name 8. US EPA ID Number E. S~ T~n~rteF~ I~ , , ~,,' '. ' ' , ;":~ ,' ~, ',,.. 1790 SOUTH SOTO ST, .. ~,~a~',~, . 1 I. US ~OT Description {including Frap~r ~hipping ~ ama, Hazard Class. and ID Numb*r~ No. Type Ouanfif~ WI/Vol I. ~a~ ~v~lee, , a' COMBUSTIBLE ,IQU]D N,O.S. MA* 1993 , ' ' ' S~ b, SIQ~ ' T c. WATBR 10S RI OO29('NONRCRA) ,. GLOVES & GOGG~] S FOR ~NE~G~NC~ RESPONSE ~ASK CONTACT DAVID ALVAR~Z SR. AT 805-792-2472 :~ 324-0199 mar~ed, and la.led, and are in afl ~pe~s~ in r~per eandTflon For ~ran~por~y highway according ~o appflcabJ* international and n~fi~na~government regulations. ~ I~ I ~m a large quantity gene~ato~, I ~rfi~ ~hat have a program in p~aCe fa reduce t~e va]vine and toxicity of waste gtneraled fo Ihe degree I ha~e delermJned fo be economically ~ prac/itable and thai I ~ave selected . ~racflcal~ · method ~[ treatmenl, ~rage o~ dbponal currenH~ available Io me which mlnFmlz*i the presofi~ and future threat ~o human health and Ihe .nvir~mn~l; OR, I~ I am a ~all quanli y g~n~rator, I have made a good Failh effort lo m~nlmiz.~ waste gan.ration and select f~e b.sf waue management marked that il available tv me and I~aJ 1 Can afford, ............... -'~ .... ~ ' } Monlh ~y Year P~in~ed~Typ~d Name ~ig.a~ure " ~ Month D.y Year ~ 19. DiscrepanCy I~dicatlan ~ F ~ A ~ 20, /a¢iIi~ Owner or Oporalor Certificgli n Qf receJ ¢~ h~;~rdou* mor~rial~ covered b~ this mani~.st except os not~.~.~ liem 19. . EPA 87~--22 APR--15--99 11:13 AM KERN OIL FILTER REC¥. 18057218739 P. 15 KER L FILTER RECYCLING 2355 RD.DELANO, CA 93215 805-71OR 805-324-0199 (24 Hr. icy Pick-Up 805-721-8739) Pager 805 ~743 · Fax 805-792-2400 ID # 77-( :) EPA # CAL000149101 Invoice No: N.o 17841 GE INFORM, MAIL TO: Name Name Address Add ross City City Zip Code .............. Zip Code ......... Area Code & Phone # ..... Area Code & Phone # Contact Contact DESIGNATED IndUstrial Service Oil Co. ~ 1700 South Soto Street i Los Angeles. CA 90023 TAMCO CAD 099452708 P.O. Box 325 Rancho Cucamonga, CA 91739-0325 QUANTITY UNIT PRICE AMOUNT I,J~COM~USTIBLE LIQUID ~ O~.~ , '~,.,.r~ /,,~O ~ (WASTE PETROLEUM ) NA 1993 P.G. III (22%) LUBRICATING .... /,.0, O .....% INDUSTRIAL O ....... % WATER ....... % ~ ANTIFREEZE, NON-RCI ~ WASTE, LIQUID (134) F_] DRAINED, USED OIL FI NON.HAZARDOUS WASTE) ~ OTHER ENVI"{ DS .... GENERATOR ¢ e best of my ~ -/0~'O ~ knowledge that the ly described ?RANEPORTER 81GNATURE PLEASE PAY FROM THIS INVOICE .srvice fee of ¶ 1~% :h ahall be charged on all past due accounts. In the event thla aoeo0nt be¢omea delinquent end It necessary to Institute legal p~ agrees to pay reasonable a~erney, s fee and cou~ scat. APR--15--99 11:13 AH KERN OIL FILTER RECY. 18057218739 P. 16 KE L FILTER RECYCLING 2355 RD. DELANO, CA 93215 805-7~ OR 805-324-0199 (24 Hr. E~ Pick-Up 805-721-8739) Pager . Fax 805-792-2400 ID # 77-0: ~0 EPA # CAL000149101 invoice No: No. 17840 DATE .... . ..................... MANIFEST # GENERATOR INFORM MAIL TO: Name Name Address Address City _ City Zip Code .... Zip Code Area Code & Phone # .... Area Code & Phone # Contact Contact DESIGNATED FA~ Ol~ co, South Soto Street Los Angeles. CA 90023 TAMCO CAD 099452708 P.O. Box 325 Rancho Cucamonga, CA 91739-0325 P,O,~H ..~_~_~ '------. ~. ..... DRIVER"~ ......................... J DAYE OF NEX'I' PIU .............. TION ' -- QuANTiTy UNIT PFII{3E AMOUNT [~,~OMBUSTIBLE LIOUlD (22%) (WASTE PETROLEUM WATER) NA 1993 P.G. Iii LUBRICATING .~.C~ ..... % INDUSTRIAL (3 .................. % WATER ................... % FJ ANTIFREEZE, NON-RCl ARDOUS WASTE, LIQUID (134) ~l DRAINED, USED OIL FI NON.HAZARDOUS WASTE) [::l OTHER E DS ..... GENERATOR CE ~ereby certify to the best of my knowledge that the contents ~re accurately described ~".,~O GENERATOR SIGNATURE _~RANSPORTER 81GNATURE PAY FROM THIS INVOICE I A service fee of 1 1/2% percent shall be charged on all pas! due Ils. necessary to Institute legal I=1 pu,ch.a..s..e.r agrees ,o pay reasonable ,ttorney.. fee and court .eat APR--15--99 1 1 : 14 AM KERN OIL FILTER RECY. !8057~>18759 P. ................. ~o. ~0~0~003~ leap res ~:j ~99) i~ , ~ 'See Instructions on ~oc~ ~ TronspoUer 1 Company Nam~ .... ~ 6. US EPA ID Number ' ' ' ' ' ' 7, 7ranl~r~er 2 Company Hume 8. US EPA ID Number ,~. ~ta~ Trans~o~l~r'l I~ ~ ' ' ' ~ ' ~ ' ' Designated Foc~li~ Nam0 and ~ife Ac ~reil F. Transpo~er ~ Pho~i ' Sio~ 15. Sp~iol Handling Instructions and Addi~ mai fnfor~~fian' , GLOVES L.:~)':~.,.~;.,~:~ FOR ~M~G~NCY RESPONS~ P~AS~ CONTACT DAVZD A~VA~ SR. A~ 805-792-24~20~ 324-O1~g ~6. OINI~ATOI'S CI~TIH~ATION; I hare~ , declare ti ~f Ihe contenfl ol fhil consign~e~f ore Fully and occu~i.ly de~crlb~d abow by ro ~ ,hl fn nam ~ · .""~F -~ora,ng ro Opphco~e mlernaho~al and national goveF~nf reguJal on~, 1~ l a~ a larg~ qunn~hy g.n~ ~ o Icer ~ that f h va a progra~ [~ pl~ce ~ reduce ~he volume and ~ox[ci/y of waste genera/ed to t~e de tee I hay ' and t~e enu;rOn~en~; OR. iF I olVl o sma quanli~ I ' - ~ '- -- - . ~l~o. me pre~e~t aaa ru ute thr.a~ ~o human a~ailable f0 me and lha~ I con ~/d. ~nerolor. I have maa~ a good ~rm etrorl t0 m,mmrZe my was~ generation and select the ~st wal~ man~gemenl meth~ ~at Printed/Typed Name Mon~ Day Yeo~ Yello-, TSDF SENDS THIS COPY TO GEN[RATOR WITHtN 30 DAYS. ~PA 8700--22 H,ocJu,.~ ~r:r~pl~t~d ropy o~ ~is copy ong send to DTSC w;th;n 30 days.) RPR--15--99 11 : 14 RM KERH OIL FILTER REC¥. 18~572187~9 P. 18 KER, IL FILTER RECYCLING 235S RD - DELANO, CA 93215 805-' OR 805-324-0199 (24 Hr. E~ ~ncy Pick-Up 805-721-8739) Pager 8C ~-5743 · Fax 805-792-2400 ID # 77-1 EPA # CAL000149101 Invoice No: N.° '17794 DATE //'// -,~ ................... MANIFEST # GENERATOR IN ~: MAIL TO: Name ,,(AL- /~/~ Name Address "'~ ~] AI~ A .................... Address City .r~A./c~5~, City Zip Code ~,0 t ......... Zip Code Area Code & Phone # ................. Area Code & Phone # Contact ~r..~; Contact DESIGNATED FACl Industrial Service Oil Co. 1700 South Soto Street Los Angeles, CA 90023 TAMCO CAD 099452708 P.O, Box 325 ..... Rancho Cucamonga, CA 91739-0325 ~ . 'TiON IANTITY UNIT PRICE AMOUNT I~COMBUSTIBLE LIQUID (WASTE PETROLEUM WATER) NA 1993 P.G. III (22%) ,~ !C;;30 ~'"'A ~"- 4 ~'~""<~ LUBRICATING % ~ ~-~'""" o ......................... WATER ............... % ~ ANTIFREEZE, NON-RCI ARDOUS WASTE, LIQUID (134) L-:'J DRAINED, USED OIL FII NON-HAZARDOUS WASTE) ~ OTHER ENVIRONMEN' DS ......................... GENERATOR ereby certify to the best of my knowledge that ~ove are accurately described TRANSPORTER SIGNATURE PAY FROM THIS INVOICE A .ervlce fee of I 1/2% percent I shall be eha~ged on all pact due a¢ce~nt.. In the event this aeeoun! becemea ~lell~que~t and It Is necessary to Institute legal pr purchaser agrees to pay reasonable at~orne, ,~ fll and court coat. ~ UNIFORM HAZARDOU~ ~'~*ne~a~r's U5 EPA ID No. e · ~ ~anife~t Document No. 2, ~ae, ~ InFa~matro~ rn ,he ~had,d area* - 3, G~neratoe'~ 974 FRONTAGE ~ ). M(~FAR~AND CA. 93250 e, sf~t,~,.~''~'' .BX~PT ~.4' ~'ral*"l P~on. (80S~79Tr.n,porter I : -24r'2 [,11 I .I .1_1', I I I I I I C~mpa,y Na~e 6. US EPA ID Number C, 8rote Tra~Wil~ . ' ~ ' ' 7. Tron,~or~e¢ 2 Company Name 8. US EPA ID Number E. S~te Tr~fl~0r'i.)O.. '.'... ZNDUST~IAL SERV :CE ([~ CO. I~alblal ~l~i.~,{ffl~l.71o/~' ..... i7oo ~O~TH ~OTO ST. 'k. r,~,~,,,~,, .. ~OS ANG~b~8 CA,90023 i~l;~lb~C:,lrflC/l~l},$'l~Ol~l,,.F. 1 ~, US ~OT ~*cHpllon (indud;ne Prope~ Sh;ppJng la~e, Hazard Clasi, ~nd ID ~u~ber) ~2. Cgn~a~ne~s 13. Total ~ 4, Un;I ~' COMBUSTIBh~ I IQUID N.O.S; NA,1993 s~ '~l'"": ' ,,wo,~ :' S~tw ,,,:," o~ 90~ us~ o~ ~ ~zx~u oz~ *' O": ~'~'''''' " """'"" ., . 1~. $~e.{a] Hand}ing In$~r'~ct{Qnj and A~c rienzi In~ motion ...... GLOVES & GOGOL~S FO~ ~M~RG~NCY RESPONS~ P~AS~ CONTACT DAVID AL~AR~Z SR. AT 805-792-24722 OR 324-0~99 16, GEN~EATOE'5 ~ER{IFi~ATION: I ~e~ ,bydedar~thatthe cmnten~* of~kbcons;nnmen~ereblJy~n~accurotelxdmscr[bedaboveby proper ~h{ppbg n~meondareclassi}ied, m~rk~d, and Iebm{ed, and are l. al{ ~pe~s in p oper condition {or ~ransport~y h;ghwoy accordin~ to applicable I.temo,onal and .ati~nu{ gmvemment r~ulatrons, ff { am ~ large quentl~ gen.ra~r }, ~{~ that: have a pr~ro~ in place *o reduce the volume and toxicffy of wo~s~ ge~eraled to Ibm dogree I have d.terra,ned to be pm¢lko~h and ~kal lkaw seJected ii ~ practica} · me~hod aT treatment, sto~og~, or d~,pv~al currently a~e;lobl~ to me which minim[{e* Ihe ~re*ent on~ {~rn Ihroat to human ~hh anda~i t~e~blelenv}mnmentnd rha~ I =anOR ii I umafford.O ~, u~{ qu~nlil ga~erarar, { how made ~ good faft~ effoct to minimizo ~y waste generation and ~e{ect Ihe ~s~ wrote management methmd ~ 7. ?ranspe[~e¢ 1 Ac~nowl"~dflement of Re e~p~ o~ Ma ~rials j ~ w ~ DAVID ~bVA tgZ , _{ transporter 2 ACkno~'l'edm,mentoF R, ,lp, aC ,rial, ~ 1 ~r Discrepancy Indicatl0~ Space F A I k 20, Facil{~ ~r O~ol,r Certffi~ath ~r~ a~h~m~terlallcovered b~lhi, m~.~, n~lte~ 1~ T / / DO NOT ~rS~& THIS LINE. Y,.,lh;w TSDF' 5~N()S ]14lS COPY TO GENERATOR WITHIN 30 DAYS. rSC B022A {4/97)- {~,~',,mraf~rs who ~ubmH hozordo~ w~te for Ironsport ou~-o~.~fute, · p:,:,luCu cortff~lo~,~] Copy Of tk{S copy an~ send to ~TSC within ~O duys.~ El 'A 8700--22 APR--15--99 11:15 AM KERN OIL FILTER RECy. 18057218?39 P.20 KER IL FILTER RECYCLING · 2355 RD. DELANO, CA 93215 805-7 :72 OR 805-324-0199 (24 Hr. Pick-Up 805-721'8739) Pager .5743 · Fax 805-792-2400 ID # 77-0; t0 EPA # CAL000149101 Invoice No: N.° 17727 '" ~^T~ /0 -_,_.?- ~ ................. GENERATQR,,INF MAIL TO: Name ~ '~(. ...................... Name Address ~, A J, Address City _.. . ................ City Zip Code ...... ~_~_~ ~__?...! ................ Zip Code Area Code & Phone # ............... Area Code & Phone # Contact ,~.._c~. (.!__~. .................... Contact DESIGNATED FAt ndustrial Service Oil Co. 1700 South Soto Street Los Angeles, CA 90023 TAMCO CAD 099452708 P.O. Box 325 Rancho Cucamonga, CA 91739-0325 i,.o. l .. ' ...., QUANTITY UNIT PRICE AMOUNT ~'! COMBUSTIBLE LIQUID '~' (WASTE PETROLEUM ' WATER) NA 1993 P.G, III (22%) .--~~ LUBRICA?INa /"~' C, ..% ~,. INDUSTRIAL Oil _ % WATER ..... % ..... WASTE, LIQUID (134) / "1 ANTIFREEZE, , IT.i DRAINED, USED OIL FI[ NON-HAZARDOUS WASTE) 'L.; OTHER "GENERATOR CERTIFI{ certify to the best of my ?'Ii~'"~"~""~7 · ~'"'t~ I knowledge that the contents ova are accurately described ~ TRANSPORTER I PLEASE PAY FROM THIS INVOICE A service fee of I 1/2% shall be eharged on all past due accounts. In the event this account becomes delinquent and it is necessary to Ifletitute legal agrees to pay reasonable attorney, e fee and court Coat. APR--15--99 1 1 : 16 F~rl KERH OIL FILTER RECY. 18~)57218759 P. ,r~ Approved OMB No. 205~39 (~xpi,es*-3d .~,9~,~;~)i See InstructiOns on back o · 6. Department of Toxic i UNIFORM HAZARDOU~ . Gedera~or's U5 EPA ID No.' Mani~nu DocUment No. j 2, Pag* 1 In~ormalion in she ~haded areas ~ i~ not required ~y WASTE MANIFEST , a ~ a ~1 c,~ II ql~ll I~ ~=.'J I I~1 i I ~ ~ ~] I or 1 ,: . . . ~.rd,. .*,, . . . . . · 3. O.~,,,Ior', ~.~0 ~na ~"n, Aaa .... .,,~ ~'5G~'~b'~;~i~r N~'~r --. ' ' ...... ,' , h'; 974 FRONTAG~ R ). MC FA~AND CA. 93250 s.'s.~,."~n~/.,..~01~.: ........ :~¥.-,~,; ..... ~.~ .... .,~,',,~0..~80~99~-24:2 I.~'.'4 ['.:.l'l.I I' t I ] I~:' ,, 7, TrOnm~rfer 2 Ca,pony Name 8. US EPA ID Number r'~. S~ Tmn~r~r's ID ~. , '" ' '"'~ ".' ' 9, Design~l~ Facility Name and Site AcIre, 10, US ~PA ID Number O. ~ta~ Fo~l ~'s I~ 1~00 SOUTH SOTO S~. S, ~.:~,~.,,~,,. '", ' 12, C~ntalner*, 13. To~I 14. U~il " ] 1. US DOT DeKrtpfion ~includi~g Prape Shipping l~ame, Hazord Class, and ID Numbe~t N0, T~pe Quant[~ Wi/Vol 1. Wad, N~,~? ]] J,:" R II r IIII A ........ S~ ~.. . ,~ . :.' ¥ :, ~, :,~ :',',t' ; ,. , ,', r'; ,',, ';?,'; :':.,r;' d, ~m ,. , ,,., . · :.-~.F ;'"".? ",' Z~' A~D NZ~ID OZ, L "' "' ~;~'"'" ' ' ....... >"~'"" 15, Spatial Handling Insrruc~;'o'n; and Xd~ fionat into'mation ~ GLOVES & GOGGLES ~OR'EMERGEN~T RESPON$~ PL~ASS CONTACT [ DAVID ALV~REZ SB. AT 805-792-2472 OR ~ 324-01~9 16 GENERATOB;~ CERTIFICATION: I he ~y ~eclar, ~that the content~ of ~il conllgnment~re fully and ~¢cumlely de~cr~bed a~ve by proper shipping name and are clas~ifind, packed, mo~ked, and label.d, and are in all ,*pec~i in ropeF condition for transparf~y highway according I~ applicable inlernotianal and na~J~na/go~emmenl reguroflons. 1~ I am a J~rge quanflly gene~afor. .rJi~ lhat ~ have a Dr.gra~ in ~lace te reduce Ihe ~olu~e an~ ~o~Jcity of waHe g~nero~d to lhe degree I Kava d.t,rmin~d Ip be ,conomJcallF prOCfica~l, and Iha~ I have seceded e praCtica ~e ~elh~d o~ trealm~nf, sta~age or disposal currently available Io me ~hich minimizes t~e pre,apl ~nd ~ulure threat la ~uman h,allh a~d the e,vlro~ment; OR. if I am o ~all quanli y generat~r, I ha,e mad. a g.ad fallh el[oH fo ~inimize my wasle gen~ralion and ~elecf t~e b.sl wasf~ monag.menf me hod ~af s ~,ai~able Io mo and thor I can afford "~', ' ~l icrep~n~ Indication Space F ....... .o .oz "' }T$C ~022A (a/gFl / JJ , ,".)"? .": ,.,' ::."..~,~,,;S ~PA 1700-,22 APR--15--99 11 : 16 AM KERN OIL FILTER RECY. 18057218739 P. 22 KERN FILTER RECYCLING 974 F1 · MCFARLAND, CA 9:3250 805-79; OR 805-$24-0199 (124 Hr. Pick-Up 805-721-8759) Pager 805-: · Fax 805-792-2400 ID # 77-03] EPA # CAL000149101 Invoice No: No- 17680 GENERATOR MAIL TO: Name ¢ c~ I~v~. ¢ Name Address Address City City .. Zip Code ~ ._ Zip Code Area Code & Pl~one # .... Area Code & Phone it Contact Contact DESIGNATED ndustrial Service Oil Co. [] 1700 South Soto Street TAMCO .os Angeles, CA 90023 P,O. Box $25 )9452708 Rancho Cucamonga, CA 91739-0325 j 21DRIVER ........ i DATE OF NEX. r pAj ...... QUANTITY UNIT PRICE AMOUNT (WASTE PETROLEUM WATER) .A 1993 P.G. ~11 (22%) LUBRICATING //~ ~- ..... INDUSTRIAL OII .% WATER .... % [':.] ANTIFREEZE, NON-RCl ;ARDOUS WASTE, LIQUID (134) [] DRAINED, USED OIL FI' NON-HAZARDOUS WASTE) I--& OTHER DS __ .............................. GENERATOR CEI 1araby certify to the best of my knowledge that the accurately described (}ENERATOR SIGNATURE __, TRANSPORTER ~IGNATURE ............. . ,E PAY FROM THIS NVOICE A eervice fee of 1 1/2%.per~enl all past due Is n®ceeeery to Inetltute ga, purchaser agrees to.p_aY reasonable ittor.ey, e fee and oourt oost. APR--15--99 I 1 : l? AM KERN OIL ~ILTER REC¥. 18057218759 P. " ' ' ~, Genlrator'~"Us EPA ID No. Manifest DaCumen~ No. 2, Page 1 Information in the shaded UNIFORM HAZARDOUS · , ~ .... ~ ~ "~+ ~equ1~ed by F~d~aJ ~o~, 974 ~RON~AGB 81 . HCFA~LAND CA. 93250 ;,. . ' ,' ,, ' · ' ' ,. ~,~,. ~'",~,'~ ~' ~1~ ' ' Tron~porler ~ Company Na~e " ~, US EPA ID Number C. State Tr~po~r s ID · . .....~n,=t~T oee~(,~ OI~ CO, IClrllUiffl I1/I,~)~1~1 I'~]wt: '"":'i ' H ' ~ h~ ' li~oo ~o~fl so~o :;~. ...... .,,,'.~ ,,, ,, .,{, ' ' ~n~.~a.[5?~. "" : I~OS AN~Eb~S CA. '~0023 L' ,''~ ':~' "t /i ,'i~l '1 ;'l .... , .......... '-- i~, ...... ' ~, 221' · , "~O~ex ' * '.:' .... ' co~us~z~ ~'auzz, ~.o.s.~, zge~ " ~'*' ';' '~''' il. I I1l~, ~' . ....... '':" , ' ' K Hand lng C~! ~r~Wo~te~ L~S~ ~v~ ' , 324-019~ " I t rgb dacl~ '0 Ihol the canlenfa oJ thi* consi nme~f are fully and accurately described ab=va by proper shipping nome and are cla,;fied, pocked, 16 GEneraTOR S CERTIFICATION, Y · ' in t~ a I~ca~le international and ~ationalgovern~en~ regualio~s. ma~kod, and labeled, and ara 1~ al r~pecis ~r proper ~dlttgn for Iron~port~y ~*g~way accord g pp If I am ~ ar e uanfi~ generalor, certl~ th~ . ~ P ..... ' ' ' ' · · en and future Ihreat 1o human prac table ~d~at ~ave selacte< ,~e fac , ~be ~elh~ ~ Irea'~e*t, ~torage, or d,sposal currently .... labia t .... ~,ch mln,m~ze~ th pr, .... ged fha eeviranment' OR, il I em ~ sma~ quo~ 'i~y generater, 1 have made a go~ ~th ef[or~ to minlm~e ~y waste generation an~ select ~a bed weate manogement meth~ thai 7. Trons orler I Ackne~led emenl of ~ ,ateriah ~ - ~ ~ ~~ 2 Ack~owledflement o1~ P J Month Day Yea~ ~.~,;.~,o~. i l~'~'~'~'' / ~ I I ~ ., , I ' ' ' ' ' ' tl~n e~ r.c ~ ...... : r~ ~ WRITE BE(OW ~l~ LINe...' 8022A [4/971 APR--15--99 1 1 .' 17 ¢~M KERN OIL FILTER RECY. 15057215759 P. KERN FILTER RECYCLING 974 · MCFARLAND, CA 93250 805-79; OR 805-324-0199 (24 Hr. Eme Pick-Up 805-721-8739) Pager · Fax 805-792-2400 ID # 77-03; EPA # CAL000149101 Invoice No: N°. 17664' GENERATOR INf MAIL TO: Name Name Address Address City City ........................... Zip Code ............................. Zip Code Are~ Code & Phone # Area Code & Phone # ............. Contact ,~ c ~.. ....................................... Contact DESIGNATED ndustrlal Service Oil Co, South Soto Street TAMCO Angeles, CA 90023 P.O. BOX 325 ,o6 Rancho Cucamonga, CA 91739-0325 _~.;~-3. ' ........................... O ~ITITY UNIT PRICE &MOUNT (WASTE PETROLEUM ) WAT§;R) NA 1993 P.O. III (22%) LUBRICATING/ ~ O ...% INDUSTRIAL O ..... % WATER ......................... % [] ANTIFREEZE, NON-RCt )US WASTE, LIQUID (134) ~ DRAiNED~ USED OIL FI (NON-HAZARDOUS WASTE) ~ OTHER ENVIR ......................... GENERATOR ( certify to the best ~f my knowledge that hove are accurately described GENERATOR S :.~ ........................ TR&NSPORTER 81QNA?URE ~ LEASE PAY FROM THIS INVOICE A service fee of 1 1/2% be charged on all pact due accountl, I/1 :he event thio accourt! becomes delinquent arid It Is rteceesary to Institute legal pu~ohaaer agrees to pay reasonable attorney;8 fee arid oourt oolt. ~PR--15--99 ! 1 : 18 AM KERN OIL ~ILTER REC¥. 180572187~9 P. PI rose print or ~pe, ~ ~s~d~r~;~ on ell~ F2,pl~ehJ ~ ~r. · .e Sacramenl~, i UNIFORM ~ fG~er~r'&U5 EPA ID No, Ma~ife,t ~ument Ne. 2, Po~ 1 Infor~ot~n in the s~ed,d ..... HAZARDOUS 7. Tren,porler ~ Com~nT Na~e 8. U~ EPA iD Number 'E. S~te T~"~'i~ .............. ' "' " .... ' ' 12. Container* 13. Total 14, Unll .: I 1. US DOT ~scdpt[on C~ndudi,g Proper ~hipping ~ am., Hazard Class, and ID Number~ N~, T~p. Qua~Hty Wt/Vel I, Wal~ Numar 0 ~/~* .... "'''/" 'GLOVES & GOGGL::S FOR EMERGENCY R~SPOND~ PLEASE CONTACT DAVID ALVA~EZ SI. AT 805-792-2472 O~ 3~4-019g - ~ 6. GENERATOE'S CEETIflCA~ION: I he e~y dec~a~ ~hm ~he co.ten~, of *h~s consign~ a~e ~u y and a~cura~e~y described obov~ b~ prope~ *~lp~g na~. a~d ar~ cla~s;~ied, , mar~ed, ond labeled, and are Jn al~ =s~ecfs Jn ~ope~ (ondJtion {or s~o~,port~y highway according ta appl;¢able In~rn=Honal and naH~nalgove~nment reguJationt, ~f I am a la~ge quantity generator. ~ :~rHJy I~af ha.e a pr~m n plo=e to redu~ ~he ~ol~m~ and foxk;~ ~[ waste generated ~o th~ degree 1 ~e determined to b~ .conamiCall~ ~ pmcHcable and}hat ~ hav~ ~de¢led ~e p~acfl¢c ~ · me~h~ ~ ~eotmen, s~rag~, or d ~po~a ~urre~t ~ a~a ob · to me which minim~es the pr~,enl and Future threa~ ~ ge.~roJor I ~ave mad~ a gaOd ~;J~ e}fort to ~]nimize my wa~Je ge~aflo, ond ~eJect the besf waste management ~ethod available to me and ~at I can a~ord Month Day Year_ ....... Signature ~ ' Printed/Typed Name ~ 5~gnature ~ F 19 Discrepancy Indicotio~ Space ¢ T DO NOT WRITE BELOW THIS L{NE.-- APR--15--99 11:18 AM KERN OIL FILTER RECY. 15057215739 P.26 KERN L FILTER RECYCUNG 2355 RD. 1 DELANO, CA 93216 805-79 '2 OR 805-324-0199 (24 Hr. Pick-Up 805-721-8739) Pager i743 · Fax 805-792-2400 ID # 77-03 EPA # CAL000149101 Invoice No: N.0 17635' MANIFEST # _..~_~1.~o DATE, ~"' ,,,/~ ................ GENERATOR INF( MAIL TO: Name Name ................. Address Address ................ City City ....... . ........... ~ ..... Zip Code ........................ Zip Code_. Area Code & Phone # Area Code & Phone #. . ........... Contact _.. Contact ..... '.':['_ ..................... DESIGNATED IJ~dustriat Service Oil Co. r-'.] 1700 South Soto Street TAMCO Los Angeles, CA 90023 P.O. BoX 325 CAD 099452708 Rancho Cucamonga, CA 91739-0325 .................. ' ..... QUANTITY UNIT PRICE AMOUNT COMBUSTIBLE LUBRICATING //~ % INDUS ................... % WATER ---- ~J ANTIFREEZE, :ARDOUS WASTE, LIQUID (134) [] DRAINED, USED OIL (NON.HAZARDOUS WASTE) L-~ OTHER ............ GENERATOR CE hereby certify to the best of my knowledge that tt above are accurately described [....~,,o.,',..,o.....~ ................... [ PLEASE PAY FROM THIS INVOICE tA eervice fee of 1 1N% percm b. charged on all past due accounts. In the event thio la neceasa~y to institute legal rigs, purchaaer agreea to pay reaaenable aT~orfley,$ fee and eeurt APR--15--99 I 1 : 19 AM KERH OIl FILTER RECY. 15057218759 P. IO'.f Califarn~o--~nvitanmenhil~ protection Agan ! I ~preved OMB No, 205~39 ~Xpires 9.3 -99) ~ See Instructions on back o e 6, Department of To~ic ~ubsto.c.s prinl or type. ~arm ~ea;gned Io~ use on el~t / ~2.p#ck) ~ri~er ~acromenla, UNIFORM HAZARDOU~ ~. O.neralor's US EPA ID No. Manila. O~m.~ ~o. Z, ~ag. ~ ' "}.~o~fio. i. ,M ~ha~ed area& KERN OIL FILTE~ REC'~CLING . :L.: :..'" 974 FRONTAGE R~, MC:~ARLAND CA. 93250 .~.s~,,,~';~ . ~N~T ~, Transpnrler I Co~pany No~e 6, US EPA ID Nu~e~ (. ~ T~O~p~l ID ~" KERN 0~ FILTER ~rl~sl~ ' " .... ..':' '." '.. ~, 'v. .... :..,' '..'" .... :..' ' fi~ ' PG i 1111 '"' ~. ~ : . . ,.~,.... DAVID ALV~R~Z SR, A~ 805-792-2472 OR 324-0199 16, GENiEATO~'5 CERTIFICATION: ~ hal ~by declar~ Ihat the confnnl~ oF Ihi~ condgnmanl a~e Mly ~nd accurately de*¢dbed above by ptope~ ih~pplng name an~ are cla*~ified, packed, marked, and labeled, and ore In 01~ spact~ i~ repot condtf~a~ ~ar Iran~p~rt ~y h~ghway a~co~ding f~ apphcab~e i~femali~nal and natl=naf government regulations. practicable and Ihat Iho*e ~*Jected t i p~acficol ~le malhod =~ treatment, ~to~oge, or di~p~al currently a*allable to me which minimizes th* preient and future threat I= human and the .nvponment; OR, If t am a s ,afl quanfl ~ genero~r. I have made a good f~thlaf[orL~ min(~ze my waste gener=lt=n and ~elecf t~e best wade managem.n~ method that available I~ me and Ihat I con a~fo~d, ' './~. PrintS/Typed Nome Slgnafure . ' ]' Man h Pay 18. Transporter 2 Ac~nowlad~em.n, of ~, :.i.~ of, M~lerials DO NOT/~IT~L~W ~'S LINE. ~ v~,tl:~w T~iDF SENDS THIS COPY TO GENERATOR WITHIN ~O DAYS, ~';e~.ercHors who su~m~f Kazar~c~uS wasla ~or t~nspo, ~022A 14/97) ~,.<h.,ce completed copy o~ ~is copy and send Io DT$C within 30 days.~ APR--15--99 11:19 AM KER~ OIL ~ILTER REC¥. 18~572187~9 P.28 KE IL FILTER RECYCLING 2355 RD.DELANO, CA 93215 80! OR 805-324-0199 (24 Hr. Icy Pick-Up 805-721-8739) Pager 5743 · Fax 805-792-2400 ID # 77-0: 0 EPA # CAL000149101 Invoice No: NO 16338 DATE ~ - 1..7..._:'7 _C-._~ ................ MANIFEST # ~ GEI~ MAIL TO: Name Name Address ...... ,j~.._. ......... Address City ~/~ City Area Code & Phone # Area Code & Phone # Contact ~..__._,,,I ............... Contact DESIGNATED ustrial Service Oil Co. 1700 South Sore Street T~CO Los Angeles, CA 90023 CAD 099452708 P.O. Box Rancho Cucamonga, CA 917~9-0325 ........................................... 'RI~'1%~ I DATE OF NE~ P~ "'0' 13~ ........................... ON QUANTITY UNIT PRICE AMOUNT (WASTE PETROLEUM WATER) UA le93 P.G. III (22%) ~ ~ LUBRIC,TINO ,,/~ .............% ....................................... .......................................................... :..-:::'.:.' ..................... GENERATOR CE ~ ce~ify to the best of my knowl.g, ,h.t th. , are .ccur.tely de, crl,ed ' b -I~-~ ._ aENER~TOR: ............................. i ~NSPO~ER SIGNATURE ;-. ~.O~T.~,.vo,c. A service fee ~f 1 1~% percent shall bi peat due aeeeunta. In the event this account becomes delinquent ts necessary to inotitu~ legal ,urohaa~r~g~e.e ,.... ~ze~..r.~.onabt...orney,. fee and cou, coet. APR-15--99 1 1 :20 AM KERN OIL FILTER RECY. 15057218?$9 P. 29 Soc~am~ma, 5. Tf'an~porter T Company N~me ~. US ~PA ID Number .... ]'aUS DOT ........... Description flnduding Prop Shipping qame, Halord Cia*l, ~nd ID Numb.r{ No.12' CuntaineraType ..... 13/Ouanli~Te~{ '14,WlYVoj~nill. , ~.:' ~ ~;.' , "~:, , .~., , ~ ' ,, ,:' .,., ~ ~.. .. , .,. . DAVID A~VAR~Z SR. AT 805-792{{472 324-0199 marked. =nd labeled, and are in afl r ~p.¢~ ~. p 'oper condition far transperl~ highway a~cording t~ applicable inter~allanal a.d ~allona[gowrnment eegul~tions, and d~e n~ironme~: O~, it I om a s~ all quanti[, e~neramr. ~ nave maae o goea rar~ etfart t~ mlm~i[, my wolfe generofi~n and ~elecl tAe bell wa~e management m~hod thai o~ailablc ~o ~e and fhat i can afford, Tror~po;.f~ Prinle~/Typed Numa Slgnatur~ ~ [ Month v;;;'~r'~rat~r Cetll~icati, Qf recelpt oF haxard~s mater a t covered by *h[~a~st '~cept a~ nol. d in ~m 19: Ynth-,~ TSDF S~N[.)S THIS COPY TO GENERATOR WITHIN 30 DAYS. DT~C ~022A 16/e7~, (Oc,mrutors who subm~ hozardous walte for transp0d oul of EPA 870~22 pmJucn compbtod copy o~ this co~y and send ~o DTSC ~itkM 30 APR--15--99 1 1 :20 AM KERH OIL FILTER RECY. 15057218~?~9 P. KERN! L FILTER RECYCLING 2355 RD. DELANO, CA 93215 805-7! '2 OR 805-324-0199 (24 Hr, ~cy Pick-Up 805-721-8739) Pager 80,' 5743 · Fax 805-792-2400 ID # 77-0 t0 EPA # CAL000149101 Invoice No:' NO- 15300 DATE~/.~.. / MANIFEST. GENERATOR ' MAIL TO: Name ~ . , .. Name Address . .~_.,~_._ ................. Address City __., .;.~ ~__ ........ City ..... Zip Code Zip Code ........ . Area Code & Phone # Area Code & Phone # .............. Contact Contact ............................... - DESIGNATED FACIL Industrial Service Oil Co, r-~ '- 1700 South Sots Street TAMCO Los Angeles, CA 90023 P.O, Box 325 CAD 099452708 Rancho Cucamonga, CA 91739-0326 i' (WASTE PETROLEU ,ND WATER)NA 1993 P.G. Ill (22%) IN ....................... % WATER .... - ............... % E3 ANTIFREEZE, NON-I tAZARDOU$ WASTE, LIQUID (134) [-1 DRAINED, USED Oii (NON.HAZARDOUS WASTE) [~ OTHER ENVIRONMI ...... "" GENERATOR CERTIFI' ~ hereby certify to the best of my knowledge that the are accurately described TRANSPORTER $1GNATUF -' " ......... PLEASE PAY FROM THIS INVOICE A service fee of 1 1/2% ed on all past due a¢oount~. In the event rees to pay reasonable sflomey,$ fee and court cost, ~ Is necessary to '-- APR--15--99 11:21 AM KERN OIL FILTER RECY. 15057218759 KER IL FILTER RECYCLING 2355 RD - DELANO, CA 93215 805-' OR 805-324-0199 (24 Hr. EJ ncy Pick-Up 805-721-8739) Pager 80 -5743 · Fax 805-792-2400 ID # 77-i EPA # CAL000149101 Invoice No: N.o 16301 ~am~ Address Address City ............... City _ Zip Code ..... . ............... Zip Code Ama Code & Phone ~ ............. Area Code & Phone Contact ..~ ~ Contact DESIGNATED FA S~ice Oil Co, South Soto Street Los Angeles, CA 90023 T~CO CAD 099452708 P,O. Box 325 Rancho Cucamonga, CA 91739-0325' ~O. ' ....... - ...... ~ D~i'~'ER~ -- ' DATE'OF NE~ P~ '- .................. . .... QUANTITY UNIT PRItE AMOUNT,, ~WASTE PETROLEUM ) WATER) NA 1993 P.G. III (22%) LUBRICATING .... /.O1~ % INDUSTRIAL 0....... Wn~E~ ..... , ............... % L~ ~"T;..ZE, NON-~Cl U=UID (~4) ~ DRAINED, USED OIL FI NON-HAZARDOUS WASTE) j OT.=~ =.v~ DS GENERATOR CERTI ereby ce~lfy to the best of my / knowledge that the are accui =rlbed A service fee of 1 1~% percent charged on all pasl due accounts. In The event this account be=omea delinquent and is naces.ry to Institute I. agrees to pay reasonable afforney, e fee and co~ cost. APR--15--99 1 1 -'21 AM KERbl OIL FILTER REC¥. 18057218739 P. 32 ....... a,rorm=--"'~v~ronn~ental Prolectian ~nen< ~w 0~ Appr~ed OM~ No 205~39 (Exp reTS-3( 99) ~ See Instructions on back o · 6. ~pa~tmenl oF Toxic Substances Control "' UNIFORM HAZARDOUI j Genera~oe's US EPA ID Na~ Manifest D ..... t No. 2. Page 1 Informo/ian ~n the ~haded WASTE MANIFESTJ ~ j .. 96681268 X~RN OIL FILTE~ R~C'~CLING .. ..,; ,..'.: ~: ~ .. 7. Tr~fl~po~ler 2 c=mpo~y N0me~ 6, US EPA ID Number E. $tp~ TraM~r%.~', ' ,:';'" ?~ ........ M ,'~ ' ~ .......... " 10. US EPA iD Number ........ COMBUSTIIL~ L [~UZI) N,O,S. NAi 1993 . q:..'l~?1 ';'' 0,~9~ ~ 6 ', - b, State R EFA/~h~ ' ,. ~ ~, ,,, ,,,,,L I ,I l I ti ~,o,,"'. ° ..... ' .... ~. Additional ~;crlpfian, ~r Material. U 'ed ~e K, Handi~cod.~ ~,~ali.~'~,~e ' , ' ,oz 90s .R o "' "'~ ~, ~pedol Hondli.g iM~rucfi~., a'nd Ad~ ~Jonol Info GLOVES & 60G~:,~S rOB ~M~RG~NCT ~SPONS~ PLEAS~ CONTACT DAVI.D A~YAREZ 8R, AT 805-792-2472 OR 324~0199 16. GENERATOR'S CERTIFICATION: ~h'e' ,by declor, thai t~e contents o[ this tOnsig~nf are ~lly and accurately described above by pr~er ~hipping name a~d ~re cl~ified p~c~vd, marC,d, and labeled, and are In all ,s~c~s in roper c~ndilian for ~ra~*partby high.ay according ~o applicable inlernaf~onal and national go~.mm.nl regulations, IF I om a large quantL~ generator, r erlJ~ Ihaf Kava a progra~ in pla¢, to reduce Ihe vojv~e and toxrci~ of waste generated to the degree I have deler~lned ~o be ~raclJeo~le a~d ~o~ I~av. selected n ract~ca ~e melhod o~ treatment stocaga, o~ disposal cu~r~nl~y a~ailable Ia me which minimizes t~e present and ~tur~ thr~at to huma~ o~a~ ab · fo me and that ~ can o~fard, /' printed/Txped No~e DAVID AIVIREZ .._ _ ~ 18. Tro,~p~rrer 2 Acknowl~d~en~ o~ ~d :.ipt ~F M( te~la)a "' '- ""' .... 19, Diicrepa~cy indication Space F A " DO NOT WRITE BELOW T~S LkE. ~C 602~A (4/9~) ~ ,, [:,:,,,. ~,.~ ,..,r ,', '. . ...t,u.j EPA 8700--22 , APR--15--99 11:22 AM KERN OIL FILTER RECY. 18057218759 P. ~3 KE IL FILTER RECYCLING 2355 RD.DELANO, CA 93215 805-7~OR 805-324-0199 (24 Hr, Pick-Up 805-721-8739) Pager ,5743 · Fax 805-792-2400 ID # 77-0: ~0 EPA # CAL000149101 Invoice No: No 16239 DATE .................... MANIFEST # GENERATOR I: MAIL TO: Name Name Address Address City ............................ City Z~P Cod~ B.~ ~__. m~~ ............................. Zip Code Area Code & Phone # Area Code & Phone # Contact 2.(,4./~.~ ............... Contact ....... DESIGNATED Industrial Service Oil Co, 1700 South Soto Street Los Angeles, CA 90023 TAMCO CAD 099452708 P.O. Box 325 Rancho Cucamonga, CA 91739-0325 ~TION QUANTITY UNIT PRICE AMOUNT (WASTE PETROLEUM, WATER) NA 1993 P.G. III (22%) LUBRICATING ,, ~ % INDUSTRIAL C] ................................ WATER . % ~'.] ANTIFREEZE, .'ARDOUS WASTE, LIQUID (134) [.'.:1 DRAINED, USED OIL F; (NON-HAZARDOUS WASTE) [.'.', ] OTHER GENERATOR CI I certify to the best of my [knowledge that the content~ Ibove are accurately described PLEASE PAY FROM THIS INVOICE & 8ervl=® fee of I 1/2% parcel1! be charged on ell past due la necessary to ge, purchaser agrees t~ pay reasonable att~rney,$ fee and court cost. APR--15--99 11 :22 AM KERH {II1 FILTER REC¥. 15057215759 P.~4 ..... ~_~r I..a,l~m~--~.iro.m..,ol Prot.ctlc, n Agenl ~ Far'Approved OMB N~, 205~039 CExp~B~ 9-3' '99) ~ See Instructions on back ge 6. Sacramento, Ca~itorn~a ~~ ~ UNIFORM HAZARDOU~ ~. G .... amr't US EPA ID No. Manifesl D .... ent No. 2. Page I InFormation in the *boded a~ea~" ' 3. Generator% Name and ~e;l;ng Add~ ~*iA. ~,994~..,~o,,,ERON~AGE RD, HC;iAR~AND, CA. 93250 5. Transporter 1 Co~pany Name' 6. ~S EPA i~umber C. Sia~'Tmn~potte~:iD : ................ : ~ .... 7, Trans~rter 2 Company Name 8. ~ ~Pk iD Nu~ber E, Slate T~aflipoHer'l ID ' '. ' ' . ' : 10 ~$ EPA ID Number O. Stale Fm~ltl~', ID ............... ~ i. US DOT Dolor;pt;on ~cludlng Prop, Shipping la~e, Hazard Cla~% a,d ID Nu~er) 12. Containers 13. Total ... No, Type Quant;fy WI/V~I t./Wa~t, Num~ a. ~ ,./.. COMBUSTIBL~ ] IOUI~ N.O.S.NA,'1993 0 -, II ':,' tt I I. Additional D;*crlp~ion. ~Mo~i;oI~ [ ~,d A~ve K. HandlinnC~4~ f~* Wo~I~ ti~ ~.. '~ " ......... 0IL 90~ USBD 03 b AN:) NIXED OXL 0. ~, : :" ..... .XT~ 10~ ~a~$2?(NO:¢ eCOA) ,. ~, ' ............. ; ...... '~'5. ~pecicl Handling Instructions ~n~ Ad, ~lionql in~c -motion GLOVES & GOGGLE~ FOR EMERGENCY R~SPONSE PLEAS~ CeNTACT DAVID ALVARE'Z SR. AT 805-792-2472 OR marked, and labeled, and are in oll ~ ,specs~ i~ ro~e~ condMon ~or *ranspor~y highway according te applicable ;nie~nafional and nalional governmenl ~gulaf~ons. If I am o large quanlity ge~eratcr, I erfl~ ~haf I have a pr~ram in place to reduce the ,alum, and toxicity of waste generated ~ ~h~ degr~ I hovi deferral,ed so be economically a~d tko e~v~tonment OR if I am a ~ ~oK quanti y gBa*raler, I have mode a good Faith etfo~ ~ minimize my wasle~lneration and ,rlnlad/Typedava, ab. to me and tho, I can afford N.m. Signature ,/ DAV/D ALVA:, I (~ /~ I~l/lTl~ F [ ~ ~ ...... / -' '- · .o .,s ' y~:ll~w: T~DP 5END~ THIS COPY TO O~NERATO~ WITHIN 30 DA~S. , ; (Oe~e~o~ors who submit hazordou~ waste ~or transport our.of-uat~, ' rSC 8022A (4/97j produce completed copy o; I~s copy and sand t~ DTSC w;~h;n 30 day,.1 ~A 8700~ APR--15--99 11:2~ A~ KER~ OIL ~ILTER REC¥. 180572187~9 P. $5 'KE L,FILTER RECYCLING 2355 RD.DELANO, CA 9;3215 805-7!OR 805-324-0199 (24 Hr. cy Pick-Up 805-721-8739) Pager · Fax 805-792-2400 ID # 77-0; EPA # CAL000149101 Invoice No: NO. 16206 DATE ~ '..//' ? ........................ MANIFEST # ~ GENERATOR INFORM MAIL TO: Name C ~' ..~, Name Address c,,,. .... ~ ...... Address City ..................... City Zip Code .... ~_,.~_c,../. ........... Zip Code__ Area Code & Phone # ............... Area Code & Phone # Contact l t~..4d ........ Contact ..................... DESIGNATED Industrial Service Oil Co, 1700 South Soto Street TAMCO Los Angeles, CA 90023 P.O. Box 325 CAD 099452708 Rancho Cucamonga, CA 91739-0325 '1 [ ..... I~_~,,V~ . ......,__. _~__~...-..~.___ _ ~TION QUANTITY UNIT PRICEAMOUNT ...................... / (WASTE PETROLEUM ) NA 1993 P,G, III (22%) LUBRICATING ........ ~Z'OC;) ...... % INDUSTRIAL ...................... % WATER ........................ % ....:~ ANTIFREEZE, NON-R( LIQUID (134) 1. i DRAINED, USED OIL (NON-HAZARDOUS WASTE) ;'! OTHER ENVIRONMEI EDS ..................... GENERATOR CE hereby certify to the best of my knowledge that the contort1 above are accurately described GENSR&?OR $1GNATUR! ............... . TRANSPORTER PAY FROM THIS INVOICE A service fee of 1 1/2% chsrgad on all past due seoour~t$. In the event this account is necessary to institute legal agrees to pay reasonable afforney,e fee and court Jan-Z9-03 03:00pm From-Vulcan Ma1 Company 661 833 9134 T-??3 P.O01 F-491 Uulcun .. Materials Company . DA~: Jan-2g-03 03:01pm From-Vulcan Ma ' Is Company 661 839 ~134 T-U3 P.002/01'5 F-4~I .... &ASSOCIATES, I C. C~OT~C. ItNIC~L ~NCINEERINO · ~NVlRO~ENT~L ~NGINK~RING CONSTRUCTION TESTINC & INSPECTION Sanuarj/25, 2003 Projg~t No. 02602520 Mr. Se, an l~o~ke~ 4627 ~u~ Ch~ Av~ Limii~! Soll Assessment VuI~ Ma:eHaL~ · Dg~ St. & T~ St I B~field, California ; I ~ a~or~ wi~ your ~ ~ & ~~ Inc.. [~n) p~ I ~ ~d fihd~ of ~ ~mi~ ~ii ~~t (LSA) condu~d ~ the mfomn~ Vul~ ~my .(subj=~t si~). '~c p~[~ ~R ~mcnt w~ ~nd~d ~ ~ I~t~u~ of' Oho ~ati~ g~line LJS~ m~d ~l bland in ~ m de~i~ ~c pm~nuc or abgnm of pedicure hy&~n coust~e~ in ~u~u~ soils. ; ; On ~cm~t 27. 2002, Mt, S~ Sp~ of~ Inc. provid~ ~n wi~ ~{tten ~o~n to gonduot ~g LgA at ~e subject ~, ~. ~der~d~ dti~ ~rk w~ ~ductcd at fltc rcqu~ of a regu~ ~g~noy. PURPOSE OF WORK The propose bfthis asmemsment was'to delermin¢ if thu ,u~uffaee soils b,~n~th enistin& USTs und thc location of a~ £u~l {sJaad have been imim¢i~l, by petrolemn ],ydummaoon eonstitu~j~ a~ogia~ed with g~line, oil a~d die~l £ue4s stored within the v~'cteneed tJSTs. 4~..'11{ F~ter AvL"UUC - i~nlKl~rleld Calitoruia 9330& - (661) ~2200 · FAX (~1) ~-~0 '. ~ Ten 0~ Ser,~ the ~ent Oared $~ I S~OP£ OF ~ORK Time $copo oF!work f~- this ~,esstucnt included ~u ~oll~[~ ~ivities: A) a CME 55 mo~{~ ~II ri~ ~d ~ ~p~ ~ ~,n ~n~th soil ~aples ~m each ~}i ~ ~ ~ ~}mum d=~, ~ne, toluene. ~yi~ene ~d mm! xylem (B'I'I~X). to~{ (TPH-G), ~d~me~y{ tert{a~ but~ ,~ (~BE) ~ EPA M~m~s 503~8015~ ~d 8020. res~fiwly ~d D) th~ I~o~t~ u~{~ of 4 ~ ~p{~ ~r ~l ~m~um h~mca~ons ~ di~l ~PR-D) by { me~em~}~ W our fluid z~~ve ot ~efim~ of i ~ J~ 10, 2003, ~n's ~ld f~mtive ~vanced a ~l of 6 ~il s~ple borings (~l ~mugh ~6), ~lizing a CME 5~ mobile ~! rig ~ ~ end a~a thc ~ter of ~c ~cr 20.~allou U~, at { A tot~ of s~ soil ~ples coU~t~ ~m soil ~gs B-l ~alysis to BC La~mtodgm of B~nficld, Ca)ifo~ a Stai~cenified ~yti~i I~o~, Soil m~ples coll~tgd ~om soil ~Hn~ B-1, B-2 ~d ~3 were ~al~cd Fur BTEX. TP[{-O, a,d MTB~ by ~iym~d ~r{TPH~Oil) ~ EPA M~M 418.1. ~il ~ly~ ~or BT~, TPH-G, ~d ~B~ ~ ~PA M~ 503WS015M ~ 8020. wi~ tight ~ing pla~c c~ ~cm~ ~ {ncr mpc. 3~ ~mptc sl~v~m we~ labeled ~ p~ in u Jan-Z9-03 03:01pm From-Vulcan Ma Is Company 661 833 9134 T-773 P.004/015 F-491 Project No. 02602520 Page No. 3 RESULTS AND FIN1)INC.8 Visual lield obse~v'~Jons did not discern any unusual odors or discoloration in the soil gcnere~d f~om the mobile auge~ bor~gs. Rgsuits of th~ laboratory a~alysis for fh¢ soil sumplcs coll.'ted fi'om thc subjcc~ site indicate th~.soil sample~ ~llected from soil borings 15-1 thmu,l~h B-6 did not comain ~:oncenu'e~ons ol'dicscl or §asolinc fuul constim(n'It~ respectively. Based Oil ibc trace con~ntrations of diesel fuel con.stilue.ts m~d gasoline fuel oxygenates (MTB£) itldis;at~cl by the iabor~ory analytioal ~ulls cou@l~ with thr ab~uce of soil discoloration m~d odor identified during ~he field activities, it is iCmam's opinion tl~t an ,unvironmentai impairmem to fl~ subject site a.~ a msull o£ the operation of the three USTs doos not appear Io currently exist as of The d~te of Ibis ~'port, Con.~qttesnly, it is Krazan's opinigm that further assessment of fire UST locations at thc subj~t site is not wnrrart~d a~ this ~imc. LIMITATIONS The findings of.t:bis report were based upon the r~sults ct' our field and labol~tory invvstigations, coupled with Th~ intcrpreta~:~on of conditions associated with die soil sample. Therct'ore, the data are accurate only to xhc dg~'~ impli~t by review of thc data obm~n~l a..xd by pro£ession~l inl~z~.0rgtation. The soil borings were located In ti~ field by measurcm~ms taken ~t tlw th-ne of The rank removal, ThereFore, The soil borings should tx: consid~ a~uratc un~ to Thc de,,Tee hnplied by the meal',ods usrzd to loc/d~ them, The conctu.sioes present~ in this r~'t ar,: based upo. s~ conditions as (hey e~.gd at the lime of o~r field/nvesd~ation. Additior~lly, it is assum~l tl~ thc soil borings installed on Thc subject site ate representative of subsurface conditions everywhere o~ thc si~e: tha~ i~, subsurface conditions on d~e subj~:t sit~ do not vary sigaLficamiy fiorn those disclosed by thc soil borings. Chemical testin~ was done by a htl:~t~ ce~ificd by thc S~te of C~itbmi~ ~e ~ulm of ~ eh~i~l ~ing am ~ only to ~e 'dele of c~ of e~uJnff the ~[stg a~ and hc ~~ namm of~e ~il ~p~s ~m~. K.IR~AN & ASSOCIATF~, INC. O~rwes gerdag the I~'avtertt Lfttlted Jan-Zg-03 03:01pm 'From-Vulcan Ma I$ Company 661 833 9134 T-773 P.005/015 .F-491 ~ ,, Project No. 02602.S20 findh~[ p~ he~ewi~ ~ ~ on ~rof~l in~emtiofl ~qing ~c of ~ a~ me~ds ~e and ~pm~tl sucl~ ~ cat'not ~ s~ ~ ~ g~i~i, envimnm~al, or ~i~d d~lopmen~ - T~is inve~i~a~on and ~rt w~ ~~ by and pm~ for ~ ~clus~e ~e of our cli~t. CLOSING If you have ny questions or if we may be of further assL~t.u~ce, please do not hcsRabz to conta~ our office at (661) 633 2200. Respectfully submittc'd, KRAZAN & ASSOC LATES, [NC. Dina Alexander Pdncipal £ngineor RGll #00~0:~ I/RCE #3427¢ GDW/DAJgW Jan-29-03 03:02pm From-Vulcan ~ls Company ' 661 633 9134 T-??3 P.006/015 F-491 ~- ?~ Laboratories, ln~ Cover Report ~N & ASSOCIATES 215 W DAKOTA AVENUE ProJect Number: 2602520 CLOVIS, CA 93612 COC Numl~er: Attn: GREG WALKER BCL Number: 03-00335 Dear Mr. Walker. This report contains the analytical results for the samples received under chain of custody by BC Laboratories. inc, The samples were logged into the Laboratory Information Management System (LIMS) and BC Lab numbers were assigned to each sample. The result of the temperature check, condition of the samples and any other discrepancies were recorded on the cooler receipt form. All aPplicable quality control procedures met method-specific acceptance criteria, except as noted on the following analytical and quality control reports. This report shall not be reproduced except in full, without written approval of the laboratory, California DOHS Certification #1186 Authorized Signature Laboratories, Inc <RAZAI~I & ASSOCIATE~ :)15 W DAKOTA AVENUE 3LOVI6, CA 93612 A~tn: GREG WALKER Total Petroleum Hydrocarbons COG' Number. !--- ...... _. _ ',Receive Date/Time 01ft 3t2003 .~ 14:00 Proje0t Number 12602520 ........ iSampl..l~g. Datefl'ime 01/10t2003 Sampling Location i--- i,gampJe Depth -- Sam plinl~ Point ~ 36923 OIL-NO RTH ~,Sampl_ a M al(ix i Soil TolalPeVo[aumHydro~a~o~s * <POL ] m~a I 20. ] ~. EPA-t604 i011171D3i011~7~03! : JCC ! : 1 I I ' § ~ Printed 01/20J2003 13:13:52 O30G335-4 _~ Labora~ories, Inc ~.P, AZAN & ASSOCIATES !15 W DAKOTA AVENUE ;LOVI$, CA 93612 - Atln: GREG WALKER tr01 Hydro Total Pe eum carbons :OC Number !-. 'Receive Date/Time :01113t2003 ~-oJect. Number -- 21~0:~'520 ' .. :Sampl.l.ng Datefflme 011t0t2003 _~a.~plin9 Lo=etlon -- Sample..D_.e~.!.h_. .- Sampling point 36924 OIL. SOt)TH 8ample Matrix ~otl Sampled ay iGREG WALKER 03-00~35-5 , !SCL Sample ID .~RAZAN & ASSOCIATES Z15 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: GREG WALKER. . Purgeable Aromat, cs and Total Petroleum Hydrocarbons Sampled By, ........ ., :GREOWAr. KER ...... '- ....... , IBCLS~,~, rD 10S-00a*5:.'6 ' ' Tola~Xyler~s .... " --!. ~U. I ~ _0.,.0.1 ]i.~,0096:80'Z0 outstoa ,ol/16m:slo~:iol ILF Icrc-va t ! _J30_Z-100350 ND ' Oasogir~e RangeOrganlca <POJ~ I ~_mo~g ~ '1 0,046 : 81)151d 01/t6/I)9 01/f~,f03 01:49 ILF GC.V~ I ' 30.100350 ND ; a,~,e.Trlflu~nYa:)luene 84 Ir_. ,~ ....... 704..:30 - California DOHS Certification #1186 · F'rV, ted 0 |120J2003 09:04:32 03-~335.( Laboratories, lnc KRA2~N & ASSOCIATES 215 W D~OTA AV~UE CLOVe, CA 93612 Nlm GREG WAL~R Purgeable Aromatics and' Total Petroleum Hydrocarbons ~COC B~r --- IReceive DatiVe ;0111~2~3 ~ ~Frole~t N~mber 2602520 .. _ ,~Sampl~ Datemme ~01/10t2~3 ~mpllng. Legation *-- , .... [Sample Dep~ *- ~SampIl~ Point_ ~3~ FUEL [~NO ~Sample Ma~x ~il 'Sampled By ~G~GWALKER . ' ......... . [BC~SamplelD .. ~3-0~335-~ _ :.,..- ..: ~ ~.~ ...... ~ . .~ '--~ ~ -- ~ . . . ~ .... . Cali~r~a D~S ~catlofl ~11~ Prin~ 0112012003 09:04:35 0~5-; ~ KRAZAN & ASSOCIATES .I 2t5 W DAKOTA AVENUE ~. CLOVIS, CA ~12 o A~: GREG W~KER Fuel Ident~ication I Quantitation Summa~ (EPA Method 80t5M) COO Numbor ~2 ....... ~Re~e Da~lmo ~1113~. 14~ ~oje~ HumbBr 520 ~ ~mpling ~al~me ... ]01f10~0~ ~mplin~..Lo~ion !~ -' Sampl~ De~ '---. .... ~ ~mplin~ P~Int 0 DIES~-SO~H . Sample ~ Sot -- tampled By IGREG W~KER .... BCL S~o ID 03~35.1 CaliE)mm OOHS Certilicalion #1188 · . ~ P, inied 05/211Z00:~ 10:58:O1 O3.00335-1 ~ q:),AZAN &AS~OGIATE$ .I 715 W DAKOTA AVENUE ,,,.~LOVI8. CA 93612 ° Alta: GREG WALKER N Fuel Identification I Ouantitation Summary (EPA Method 8015M) coc Number -- ~iv. DaP, emma lOtila/2OO3 ~. I4:00 ~ Sampling' Point 36921 DIESEL-CENTER IS,.m~eMatrix !Soil ~, Sampled ay GREG WALKER ~~~~Dl~et Re · Of ~nlm C12- CZ4' < PaL ..- 1~. 3. [ 8015M ._ ~ California DOIlS Cerlifimtlon #1186 ~ Prinled 01/21/2C~3 16:58:05 03.C~335-2 Laboratories, Inc '" 215 W DAKOTA AVENUE ,,, CLOVIS, CA 936t2 ~ /trim: GREG WALKER . . '= Fuel Identification ! Quantltatlon Summary (EPA Method 8015M) iSampling Lo_~ .............. ]$~msplo D~pth ;-_-. ...... ~~,, . ......... .., .. IThe SUtTOgal~ recovery on ~, S~plo for Ibis ~ou, d was not w~hin th, ~n~ol limit~ ~ Prl~ O~12tt~3 ! $:~:14 03.~5.~ ~ B~ Laboratories, lnc ~, I~RAZAN & A$8OCIATE8 '"' 215 W DA~(OTAAVENLIE ~, CLOVI$, CA 93012 --. Altn: GREG WALKER o ~ Fuel Identification I Quantitation SUmmary (EPA Method 8015M) COC Number ].- Receive DatelTtme !01il 3/2003 @ 14:01] projeci Nu~b~r ~25D2520 .. Date/Time _S..e_mptinO Location I-- ' Sample Depl~ Sampling Pofnt 36926 FUEL ISLAND Soil ~ Sampled By IGREG WALKER 03-00335-~ ,-, ~'o i to. Te~raco~a,e ].. B4 ,% I 53-130 ! 8055M Ot~20t03 ;21}~) i I I CHAIN-OF-CUSTODY RECOR[ ' "' ' K~N& ASS~IATES, INC. co~en~s: .... ....,. , .-..~ ..-. 2~5 WEST DAKOTA AV~UE CLOVIS, CA ~612 , ~ ' _ ---- ":- '.7.~ :~,.:,~ ~ , , -- _-2.,,'.%:- :.?. , ~' ~ .. ~:'.: :~ . , ? . :?;.¢. '..,?.:. :' f ' [ ~ i ~...i_~.__~.=51 ~ ~ [ ~.:....-:1: :.' , ,/ , = ...... . ~ , , , '~'.-, ~ .. I .......................... ;.' :k.~..~'~'.' '.- , [ ...... · ' ....,. ........ ...... , ~ . .. ................. ~,,... ........... ~e . ~e - La~ v¢~. Pr¢~ F~e Pink - C O C & ASSOCIATES, INC GEOTRCHNICAL I/NGINI~,~RING* ENVIRONMI~-NT~sL I~NGINI~ERING CONSTRUCTION TI~$TING & NSPI~CTION January 28, 2003 Project No. 02602520 Mr. Scan Spraetz Kroeker Incorporated 4627 South Chestnut Avenue Fresno, California 93725 RE: Results.and Findings Limited Soil Assessment Vulcan Materials Delores St. & Tulare St. Bakersfield, California Dear Mr. Spraetz: In accordance with your 'request, Krazan & Associates, Inc., (Krazan) prepared this summary of the results and findings of the Limited Soil Assessment (LSA) conducted at the referenced Vulcan' Materials Property (subject site). The preliminary soil assessment was conducted in the locations of one existing 20,000-gallon diesel fuel underground storage tanks (UST), 5,000-gallon oil storage tank, 1000-gallon gasoline UST, and fuel island in order to determine the presence or absence of petroleum hydrocarbon constituents in subsurface soils. On December 27, 2002, Mr. Shawn Spraetz of Kroeker Inc. provided Krazan with written authorization to conduct the LSA at the subject ·site. Krazan understands this work was conducted at the request of a regulatory agency. PURPOSE OF WORK The purpose of this assessment was to determine if the subsurface soils beneath existing USTs and the location of a fuel island have been impacted by petroleum hydrocarbon constituents associated with gasoline, oil and diesel fuels stored within the referenced USTs. 4231 Foster Avenue · Bakersfield California 93308 · (661) 633-2200 ° FAX (661) 633-3930 With Ten Offices Serving the Western United States (01-29-03 )_Analytical Repor~_02520.doc Project No. 02602520 Page No. 2 SCOPE OF WORK The scope of work for this assessment included the following activities: A) the advancement of six, approximately-12 to 14-foot deep soil Sample borings beneath each of the former UST locations, utilizing a CME 55 mobile drill rig, and one sample taken from beneath the former fuel island B) the collection of soil samples from each soil boring at its maximum depth, C) the laboratory analysis of 2 soil samples for benZene, toluene, ethylbenZene and total xylenes (BTEX), total petroleum hydrocarbons as gasoline (TPH-G), and methyl tertiary butyl ether (MTBE) by EPA Methods 5030/8015M and 8020, respectively and D) the laboratory analysis of 4 soil samPles for total petroleum hydrocarbons as diesel (TPH-D).by LUFT/EPA Method 8015B. The depth and locations of the soil sample borings were estimated based on measurements taken by our field representative at the time of the tank removal. FIELD ACTIVITIES Soil Sampling On January 10, 2003, Krazan's field representative advanced a total of 6 soil sample borings (B-1 through B-6), utilizing a CME 55 mobile drill rig, at each end and the center of the former 20,000-gallon UST, at each end of the former 5,000-gallon UST, and the center of the former 1,000-gallon UST. Soil samPle borings B-1 through B-6 were advanced to a depth of 12 to 14 feet bgs. One soil sample was obtained from the base of each of soil borings B-1 through B-6. A total of six soil samples collected from soil borings B-1 through B-6 were submitted for laboratory analysis to BC Laboratories of Bakersfield, California, a State-certified analytical laboratory. Soil samples collected from soil borings B-l, B-2 and B-3 were analyzed for BTEX, TPH-G, and MTBE by EPA Methods 5030/8015M and 8020. Soil samples' collected from soil borings B4 and B-5 were analyzed for TPH-(OIl) by EPA Method 418.1. Soil samples .collected from soil borings. B-6 were analyzed for BTEX, TPH-G, and MTBE by EPA Methods 5030/8015M and 8020. Following sample collection, the ends of the sample sleeves were covered by Teflon® tape and sealed with tight fitting plastic caps secured by inert tape. The sample sleeves were labeled and placed in a cooler chest, which contained synthetic ice to minimize loss of volatile constituents. The samples were then transported under chain of custody protocol to a State-certified analytical laboratory for analysis. Copies of the laboratory analytical reports and sample chain of custody records are attached. KRAZAN & ASSOCIATES, INC. Offices Serving the Western United States (01-29-03 )_Analytical Report_02520.doc Project No. 02602520 Page No. 3 RESULTS AND FINDINGS Soil Sampling Visual field observations did not discern any unusual odors or discoloration in the soil generated from the mobile auger borings. Results of the laboratory analysis for the soil samples collected from the subject site indicate that soil' samples collected from soil borings B-1 through B-6 did not contain concentrations of diesel or gasoline fuel constituents, respectively. Based .on the trace concentrations of diesel fuel constituents and 'gasoline fuel oxygenates (MTBE) indicated by the laboratory analytical' results coupled with the absence of soil discoloration and odor identified during the field activities, it .is Krazan's opinion that an environmental impairment to the subject site as a result of the operation of the three USTs does not appear to currently exist as of the date of this report. Consequently, it is Krazan's opinion that further assessment of the UST locations at the subject site is not warranted at this time. LIMITATIONS The finding~ of this report were based UPon the results of our field and laboratory investigations, coupled- with the interpretation of conditions associated with the soil samples. Therefore,' the data are accurate only to the degree implied by review of the data obtained and by professional interpretation. The soil borings were located in the field by measurements taken at the time of the tank removal. Therefore, the soil borings should be considered accurate only to the degree implied by the methods used to locate them. The conclusions presented in this report are based upon site conditiOns as they existed at the time of our field investigation~ Additionally, it is assumed that the soil borings installed on the subject site are representative of subsurface conditions everywhere on the site; that is, subsurface conditions on the subject site do not vary significantly from those disclosed by the soil borings. Chemical testing was done by a laboratory certified by the State of California. 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. KRAZAN & ASSOCIATES, INC. Offices Serving the Western United States (01-29-03)_Analytical Report_02520.doc Project No. 02602520 Page No. 4 The findings presented herewith are based on professional interpretation using state of the art methods and equipmem 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. This investigation and report were authorized by and prepared for the exclusive use of our client. Unauthorized use of or reliance on the information contained in this report without the expressed written consent of Krazan & Associates, Inc., is strictly prohibited. CLOSING If you have any questions or if we may b6 of further assistance, please do not hesitate to Contact our office at (661) 633-2200. Respectfully submitted, KRAZAN & ASSOCIATES, INC. Dean Alexander Principal Engineer RGE #002051/RCE #34274 GDW/DA/gw KRAZAN & ASSOCIATES, INC. Offices Serving the Western United States (01-29-03)_Analytical Repon_02520.doc L;er[l~leo Analy[ical i~epor[ (Jover - I~age I et 1 Laboratories, Inc. Cover Report KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE Project Number: 2602520 CLOVIS, CA 93612 . COC Number:. Attn: GREGWALKER BCL Number: 03-00335 Dear Mr. Walker; This report contains the analytical results for the samples received under chain of custody by BC Laboratories, Inc. The samples were logged into the Laboratory Information Management System (LIMS) and BC Lab numbers were assigned to each sample. The result of the temperature check, condition of the samples and any other discrepancies were recorded on the cooler receipt form. All applicable quality control procedures met .method-specific acceptance criteria, except as noted on the following analytical and quality control reports. This report shall not be reproduced except in full, without written approval of the laboratory. California DOHS Certification #1186 Authorized Si§nature Ali resnit li~tcd in ~is report are for the exclusive use or,he subrailling parry, BC Laboratories, Inc. assumes no res'ponsibility for report alteration, detachment or third part~' mtm'prctatmn. 41.00 Atlas Court ' Bakersfield, CA 93308 * (661'B27-4911 * Fax(661)327-t918 * www.bclabs.com Laboratories, Inc .. KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE CLOVIS. CA 93612 Attn: GREG WALKER Total Petroleum Hydrocarbons COC Number Receive Date/Time 0!!~13/2003 @ 14:00 ProjeCt' N~-~er 2602520 Sampling Date/Time 01/10/2003 Sampling Location Sample Depth --- Sampling Point 36923 OIL-NORTH Sample Matrix iSoil . Sampled By GREG WALKER BCL Sample ID i03-00335-4 H ! < PQL rog/kg 20. 10. i EPA-1664 0t/17/03 i 01/17/03 , California DOHS Certification #118.6 ,e Al results listed in this report a for the exclusive use of thc submitling party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment OT third party interpretal~on. 4100 Arias Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * w,~w.bclahs.com Printed 0'1/20/2003 13:13:52 03-00335-4 .Laboratories, Inc KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: GREG WALKER ,, Total Petroleum Hydrocarbons COC Number _77_ ........................ Receive Date/Time01/13/2003 @ 14:00 Sampling Date/Time Project Number 2602520 . ISample Depth 01/10/2003 Sampling Location --- . ...................... "' Sampling* Point 36924 OIL-SOUTH ',Sample Matrix Soil Sampled By GREG WALKER ' . BCL Sample ID 03-00335-5 ............... · ~.;, ........................... ::..-~-__-;_~ ...... .............. ~ ..... ~i~ ~~ ~ ~. ~ ~ ~g~ T0taI Petroleum Hydrocarbons <"Q" ! mg/k. ' 20. I ~0.. J EPA-1664 101/17/03 101/~7/03 i I JCC j J ~ J I California DOHS Certification #1186 All results listed in this report are for Ibc exclusive use of lime submitting paay. BO Laborato6es, Inc. assumes no n:sponsib/lity for report alteration, separatio~t, detachmcn~ or ti~ird party interpretation. 4100 Atlas Court * Baketsl]eld, CA 93308 * (660 32'/-4911 * FAX (661) 327-19] 8 * www.bclabs, com Printed 01/20/2003 13:14:09 03-00335-5 KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: GREG WALKER Purgeable Aromatics and Total Petroleum Hydrocarbo,ns COC Number Receive Date/Time 01/13/2003 @.14:00 .................. Project Number ' ;;02520 . .. Sampling Date/Time 01/10/2003 ...... Sampling Location '36925 GAS-CENTER Sample Depth -- Sampling Point Sample Matrix soil Sampled By IGREG WALKER . BCL Sample ID 103-00335-6 Benzene < PQL mg/kg 0.005 0.00036 8020 01/16/03 1 01/16/03 01:4(` TLF GC-V8 1 302-100350 ND -~luene < PQL rog/kg -~.005 0.0040' ' ' 8020 01/16/03 101/16/O3 [01:4(, [ TLF GC-V8 I 1 302-100350 ND, Ethylbenzene <PQL mg/kg ....... 01~- 0.0018 e 8020' ' 0t/16/03 101/16/03 01:4(` I TLF GC-V8 I 1 - 302_-1_~0350 ....... ND Methylt-butylether .. <PQL mg/kg ---~-~~ ''-8020 ..... -0'~1/16/03 !01/16/03 101:4(, [ TLF GC-V8 I 1 302-100350 ND TotalXylenes ..... <PQL mg/kg 0.01' o.ooea s020 01/16/03 !ov~,03 Iol:a,I TLF IGC-V6 ~__1 302-100350 ND' Gasoline Range Organics ¢ PQL rog/kg .... ~1- ....... 0.046 8015M 01/16/03 1 01/16/03 101:4!~TLF GC-V8 ~ .302-100350 ND a,a~.a-Trifluorotoluene 84 ..... %_ ........ 70-130 = 8020 · 01/16/03 01/t6/03 101:4! ................... 302-100350 a,a,a-Trifluorotoluene (8015 i I ' I ...... TLF GC-VS 1 Surrogate) 97 % 70-1.30 8015M. 01/16/03 01/16/03 !01:49I TLF IGc-V8 I I 302-100350 California DOHS Certification #1186 All results listed in this ~epo~ are for the exclusive use of the submit6n§ party., BC Labora'todeS. lac. assumes no responsibility }'or report alteration, separation, detachment or third party interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 ~' FAX (661) 32%1918 * www.bcl~bs.com printed 0~/20/2003 09:04:32 03-00335-( Laboratories, Inc KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: GREG WALKER Purgeable Aromatics and Total Petroleum Hydrocarbons CCC Number :--- .. Receive Date/Time 01/13/2003 @ 14:00 Project Number 12602520 ' )ling Date/Time '01/10/2003 Sampling Location i--- .... Sample Depth ~--- Sampling Point i36926 FUEL ISLAND Sample Matrix ;Soil Sampled By !GREG WALKER BCL Sample ID 03-00335-7 Benzene < PQL rog/kg 0.005 0.00036 8020 02:19 TLF 302-100350 ND Toluene <PQL mg/kg 0.005 i 0.0040 .. 8020 01/16/03 02:19 TLF 302-100350 ND Ethylbenzene < PQL rng/kg 0._0~.,~_. [ .... 0.~)0i8- 8020 01116/03 02:19 TLF 302-100350 ND Methyl t-butyl ether < PQL mg/kg 0.02 i 0.00056 8020 01/16/03 302-100350 ND Total Xylenes < PQL mg/_kg 0.01 0.0098 8020 CC-V8 I ~ 302-100350 ND Gasoline Range Organics < PQL rng/kg I 0.046 8015M 02:19 TLF CC-V8 I i .302-100350 ND a,a,a-Trifluorotoluene 87 % 70-130 8020 01/16/03 302-100350 a,a,a-Trifluorotoluene (8015 Surrogate) 98 % 70-130 8015M 01/16/03 02:19 TLF GC-V8 1 302-100350 California DOHS Certification #1186 All results lisl~d in this report are for fl~ exclusive a,~e.o£ thc st~bmi~fing party. BC Lal)oratmigs. Inc. 3ssum~s no rcspo]~silfility for report aJi8~lion, separation, d¢~chmenl or third party intcrpret3tion. 4100 Atlas Coult * Bakcv3field, CA 93308 * 1661) 3274911 "FAX (661) 32'?-1918 * www.bclabs.com printed 01/20/2003 09:04:35 03-00335-; Laboratories, Inc KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: GREG WALKER Fuel Identification ! Quantitation S.ummary (EPA Method 801'5M) COC Number -- · Receive Date/Time 01/13/2003 @ 14;00 Project Number 2602520 - ~Piing D~i~'ime 01/10/2003 Sampling Location Sample Depth- .... I Point 136920 DIESEL-SOUTH Sample Matrix 'Soil Sampled By GREG WALKER · . BCL Sample ID ::03-00335-1 Diesel Range Organics (C12 - C24 < PQL mg/kg = 10. 3. 8015M- Tetracosane 90 % I 53-130 8015M California DOHS Certification #1186 All results listed in this report are for the excluslw u~c of the subatitting party. BC. Laboratories, Inc. assumes no responsibilits, lbr report alleration, sCparat/on, detachment or third part), interpretation. 4100 Atlas Court * Bakersfield, CA 93308 * (661) 327-4911 * FAX (661) 327-1918 * www.bclabs.conl Printed 01/21/2003 16:58:01 03-00335-1 BC ~ Laboratories, Inc KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: GREG WALKER Fuel Identification ! Quantitation Summary 'EPA Method 8015M) ICOC Number --- ' Receive Date/Time 10111312003 @.14:00 ~-iuP~oJect.Number 2~2520 ~ - Sampling Date/Time 10111012003 {! MSa~lpling Location -- ..ii' ' i i Sample Depth /-'- ' ..... Sa~_~p_ling Point 136921 DIESEL-CENTER . Sample Matrix tSoil ISamPled~By IGREG WALKER ...... . .... . .... B'~ sample ID 103-00335.2 California DOHS Certification #1186 ' All results listed in this report ar~ for the exclusive use of Ibc submitting Pa'ay. BC Lal~ratoviCs, Inc. assumes no responsibility for report allerafion, separation, detachment or third party interprelation. 4100 Atlas Court * Bakcrslicld, CA 93308 * (661) 3,27491 ] * FAX (661) 327-1918 * www.bclabs.com Printed 0112112003 16:58:05 03-00335-2 _~ Laboratories, Inc KRAZAN a ASSOCIATES 215 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: G'REG WALKER Fuel Identification / Quantitation Summary (EPA Method 8015M) 2C.~C Number --- ' . Receive Date/Time 101/13/2003 @ 14:00 Project Number ~02520 ' - . [Sampling D~t~/Time '!0'~')~012003 ~-~ampling"Pgin-n~--- ~ESEL-NbRTI~ ............ .. ISample Matrix Soil' sampled'By ............ GREG WALKER /BCL Sample ID 03-00335-3 Di~e Range Organi~ (C12- C24) < PQL m~g 10 ' 3 8015M 01121103 01/21103 14:18 [ JST , 1 sI0ag Explanations · . 9 The surrogate recovery on the sample for this compound was not within th~ control limits. Califomia DOHS Certification #1.186 ~ for the exclusive usc orthc subnfiltin§ party. BC LaboratorieS. Ino. asstm~es no responsibility [or report alteration, separatio,,, detachment or third parts, inlerprctafino. All results tistea inmos report e. 4100 Atlas Court *' Bakersfield, CA 03308 * (661 ) 327-4911 * FAX (661 } 327-1918 * www.bclabs.rom Printed 0112112003 16:58:14 .03-00335-2 Laboratories, lnc KRAZAN & ASSOCIATES 215 W DAKOTA AVENUE CLOVIS, CA 93612 Attn: GREG WALKER Fuel Identification / Quantitation Summary (EPA Method 8015M) COC Number --- Receive Date/Time 01/13/2003 @ _1.__4~00 I~roject Number ..... 2602520 Sampling Date/Time 01/1012003 ......... .S.._a_.rn__pllng Location --- ..... _ .... Sample Depth --- _ ..... Sampling Point~ ........ 36926 FUEL ISLAND __ Sample Matrix Soil Sampled By GREG WALKER BCL Sample ID ,03-00335-7 Diesel Range OrganiCS (C12 - C24 70 mg/kg [. 10. 3. 8015M 01/14/03 01120/03 20:59 JST 1 Tetracosane 94 % I 53-130 8015M 01/14/03 01/20/03 i 0:59 JST 1 , I California DOHS Certification #1186 All ~:sults listed in this report are for the exclusive usc of the submitting pa~'. BC Labor, tlt~ries, Inc. a~.~umcs no responsibility for report alteration, separation, detachment or third party h~terpretation 4100 Arias Corot * Bakersfield, CA 93308 * {661) ~27-4911 * FAX (661) 327-191.8 * WwW.belabs.com printed 01/21/2003 16:58:22 03-00335-7 P.O. KR~N & ASsocIATES, INC. Comments: ~ ~Number: 2~ 5 WEST DAKOTA AVENUE ~ ~ chin CLOVIS, CA 93612 (559) 348-2200 VOICE ~ ~ Laborato~: (559) 348-2201 F~ , ~ ~ ~ ~ ~~~ ..... :~~ ~'~ ~;~j~::~:~:~.~)~.:::.~.:;??~:~ ~ ~ ~ = ~ ~ Lab Quote No.: ~ ~~ ' Sample DescAption ~ ~" ~' ~' "= ~ ~' ~ '~ ~ '~ ~ m o Me~odofShipmen~elivo~: ~:~ ..... ~:~:'~; ~azan Date Time E ~ ~ E ~ ~'~o ~ ~ m ~ m ~ Rema~s Sample No. Sampled Sampled ~ ~ ~ ~ :: '<~;,~ ~.. s ...... :~::::~ .:.x~<,: :.-'.~", ..... : ................. , ,: ,~, ,:; ............. ;', , ...... ,-, Relinquishedbyt~] ~ ~~- ~ X{ ~ ~.~[1~ ~ ~[D~a~) Turn Around Time Receiv~by:~ m~ ~ ~t~-~ ~--~ li;~'~ (Circle Choir) ~ite - L*b Yellow - Pro]~ File Pink - C.O.C. Binder COOS.VSD 02-0J-0J p1010199.jpg ( 1280x960x24b jpeg) BAKERSFIELD FIRE DF~PARTHENT ENYIRONNENTAL S~tYICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 T~qK RE~OV~ II~PECTION FORM FACILITY ~~ n/V~Ae~ ADDRESS ~Z~% ~O~ ~- OWNER ~ PERMIT TO OPE~9 ~-o~ CO~~R ~~ CO~A~ PE~O~ s~ ~O~RY ~ OF S~S ~ST ~0~~ ' P~LI~Y ~SESS~ CO. ~~ CO,ACT PERSON ~ CO2 ~CIEPT ~L% O2% PLOT P~ CONDITION OF PIPING CONDITION OF, SOIL COMMENTS OATE IN~0~8 N~JIE Dec-Il-02 04'.34pm From-Vulcan Materials ~ompan¥ 661 833 9134 T-494 P.002/003 F-734 CI~ OF ~~LD I~o C~ ( om~ OF ~0~~ SER~CES 171S Ch~r A~ B~e~eld, CA (~1) ~2~3979 APPLICATION TO INSTALL AND/OR REMOVE ABOVE GROUND STORAGE TANK(S) Date Approved by:. Applic~t N~nc (print) Applicant $lg;namm ~ AI~FLICATION BECOMKS A FERMIT ~ APPROVED 0 2002 14:35 BK :LD FIRE PREVEMTIOM (661)852-21'7 p.2 ~' C~ OF BA~RS~ELD ' O~CE OF E~RONMENTAL SERVICES 1715 Chester Ave., Bake~fiel~ CA (661) 326''3979 PE~T APPLICATION FOR ~MOV~ OF ~ ~DERGRO~D STOOGE TANK SITE INFORMATION SITE 'VULCA"o ~,~,-V~ ~% ' ~D~S ~ ~~ ~, ~ CODE ~ ~N FAC~N~ yu~ ~~ CROSS S~T ~ T~O~OP~TOR ~~ ~h~~S Co~ PHO~NO.(~I~'~ ~G~D~SS V.o. ~o~ ~ ~ ~<~'~ ~ co~~Pa ~o~r~o~ CO~ ~o~ ]~. PHO~N~~,-%~ UC~SENO,,,~8~ ~~~~ ~ ~Q~ ~~ WO~NSCO~NO. ~oq~ ~- ~ ~S~~ ~ER WO~NS cO~ NO. f .... ~': ~ ' · T~K C~o m~O~TIO~ WA$~ ~S~RTER ~ICA~ON ~~ ~D~SS ~0~ - ~.,, ~~ C~ ~~o~ Z~ q 0~ FACIL~ ~E~CA~ON ~~ , ~P~ ~ ~8~ T~ ~S~R~R ~O~TION COMP~ ~~ t~. PHO~NO~~7-~q~ ~C~SENO, ~l T~ DES~A~ON ~~ ~u T~ ~O~TION C~IC~ DA~S ~IC~ T~ NO. AO~ VOL~ ~ S~D STO~ P~IOUSLY STOOD For ~ Use ~ ,, ~~,.'~ ~-~."*:...,: ~ ~,'. ~ .... ~ .... ' '~'~"~s~" -; ', ' ' 'i ';".- ~ ' ' '~ '.' ' .~ h' ' "' ' ' ' ', ' ../'~/ r:'~ '~"~.' ~ ..... i~' L~~~~ ~' .~'~=~'~.": ' ~ ~.~ "5~~' .~ ' ~'~'. TH~ AP~UC~ ~ ~gI~, ~T ~ ~ W ~ ~OMP~Y WlT~ T~E ~TT~H~ ~ORBIT IO~$ OF THIS P~iT AND ~Y OT ~ STATE, L~AL ~D FE~L ~OU~T [ONS. P EN~TY OF PE~Y, AND TO THE B~T OF MY KNOWLE~E RU 09/26/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Aon Risk Services Inc. of Central California AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 5260 North Palm Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 400 Fresno CA 93704 USA COVERAGE AFFORDEDBYTHEPOLICIESBELOW. INSURERS AFFORDING COVERAGE PHONE-{559} 449--7200 FAX- (559/ 439-0863 I~$URED rNSURERA: State Compensation Ins Fund Kroeker, Inc. ~SURERB: 4627 S. Chestnut Fresno CA 93725 USA ~SURERC: rNSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDINO ANY REQ~, TERM OR. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTEFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIM1TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM~DD\YY) DATE(M]~DD\YY) LIM]TS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL G~RAL LIABILITY FIRE DAMAOE(Anv one fire) Z CLAIMS MADE ['"[ OCCUR MED EXP (Any one ~erson) PERSONAL & ADV INJURY GENERAL AG-GREGATE AUTOMOBILE I.~.BIIITY ,' COMBINED SINGLE LIMIT ANY AlYro {F~ accident) ~ ALL OWNF_D AlYrOS . BODILY INJURY ', ( Per person) SCHEDULED AUTOS HIRED AUTOS . BODILY INIURY NON OWNE, D AUTOS (Per ac~;idont) , / PROPERTY DAMAGE ~ ',, (Per a~d~0 GARAGE LIABILrFY AUTO ONLY - RA ACCIDENT ANY AUTO OTHER THAH EA ACC AUTO ONLY: AGG EXCESS LIABILrrY EACH OCCURRI~CE 2 OCCUR ~'~ CLA1MS MADE AGGREGATE DEDUCTIBLE · . . ~ . . ~ WORKERS coMi~ENSATION AND ., 6311060l 10/01/02 10/01/0B [WC STATU- [ lOTH- " EMPLOYERs' LIABILrrY, ~OREERS COMPENSATTON ITOR¥ ~I~IITS ! 1~ ' ' ~' ' ..... · -. E.L. EACH ACCIDENT $150005 000 · · E.L. DISEASE-POLICY LIMIT $1 ~ 000 ~ 000 E.L, DISEASE-EA EMPLOYEE $1 ~ 000 $ 000 OTHER 'DESCRIPTION OF OPERA~IONS/LOCATIONS/VEI-HCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE tD~IRATION " ~ DATE TI-~.~EOF. THE ISSLRNO COMPANYV~LL EI~DEA¥~RTO MAIL Ins ute d ' s Re cords 30 DAYS WRITTEN NOTICE TO THE CEP, TIFICATE HOLDER NAMED TO THE LEFT. 4627 S. Chestnut BUT FA~URE TO DO SO SHALL ~POSE NO OBLIOATION OR LIAB~ITY Fresno CA 93727 USA OF ANY KIND UPON TH~ COMPANY, rrsAGENTSORR~RESENTATIVES. Holder Identifier Certifieate No: 570003942468 ::.:.: . .~. ORD 07/18/02 PRODUCZR l'HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Aon Risk Services Inc. of Central California AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 5260 North Palm Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 400 COVERAGE AFFORDED BY THE POLICIES BELOW. Fresno CA 93704 USA INSURERS AFFORDING COVERAGE PHONE.(559) 449-7200 FAX-(559) 439-0863 INSURED INSURERA: State Compensation Ins Fund Kroeker, Inc. INSUREgB: Golden Eagle Ins Corporation 4627 S. Chestnut Fresno CA 937250000 USA INSURERC: American International Specialty Lines INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREIvIENT. TERM OR CONDITION OF ,%NY CONTRACT OK OTfiE.% DOCL~AENT VflTH KESPECr TO WHICH THIS CEKT~ICAi~E MAY BE ISSUED OR MAY ' PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVEPOLICY ExpIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMVDD\YY) DATE(MMXDD\YY) LIMITS C GENERAL LIABILITY 2671880 07/15/02 07/15/03 EACH OCC~NCE $1, 000, 000 CGL/Pollution Legal Liabilty '~ COMMERCIAL GENERAL LIABILITY ; FIRE DAMAGE(Any one fire) $ 50,000 -- CLAIMS MADE [] OCCUR , mD EXP (Any one o ..... ) $ 5, 0 0 PERSONAL & ADV IN~JRY $1, 000, 00 GEN~IL~L AGGREGATE $ 2, 000, 00 GE~L AGGREGATE LIMIT APPLIES PER: PRODUCTS - CONh~/OP AGG $ 2, 00 0,00 2 POLICY DPRO' JECT [] LOC B AUTOMOBILE LIABILITY CBP9517011 07/15/02 07/15/03 COMBINED SINGLE LHvilT -- Commercial Pkg/Auto (Ea accident) $1,000,00 X ANY AUTO ALL OWNED AUTOS BODILY INflJRY ~ ( P~r person) SCHEDULED AUTOS I~ AUTOS BOD~Y INJURY ~ (Per accident) NON OWNED AUTOS PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC IAUTO ONLY: AGG ! EXCESS LIABILITY EACH OCCURRENCE -] [-1 CL S ADE D£DUCTIBLE RETENTION A 69110601 10/01/01 10/01/02 WC STATU- IOTH- WOP. KERS COMPENSATION ANDEMPLOYERS, LIABILITY WORKERS COMPENSATION TORY L~TSIER E.L. EACH ACCIDENT $1, 000,00 E.L. DISEASE-POLICY LIMIT $1, 000, 00 E.L. DISEASE-EA EMPLOYEE $1,000, 00 OTHER DESCRJPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEIv~NT/SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, TH~ ISSUING COMPANY WILL ENDEAVOR TO MA/L Insured ' S Re cords ~0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 4627 S. Chestnut BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR L1ABILITY Fr e s n o CA 93727 USA OF A~ 1CrNq) [/PON ~ COMPAIqY. ITS AGENTS OR P. EPRESENTAlq%rEs. AUTHOPJZED REPRESENTATIVE Certificate No: 570003471381 Holder Identifier: Injury & Illness Prevention Program . POLICY KROEKER INC. will institute and administer a comprehensive and continuOUs occupational Injury and Illness Prevention Program 0IPP) for all employees. The health and safety of the individual employee, whether in the field, factory or offiCe; takes precedence over all other concerns. Management's goal is to prevent accidents, to reduce personal injury and occupational illness, and to comply with all safety and health standards." RESPONSIBILITY The program administrator, RODNEY AINSWORTH, has the authority and is responsible for overall management and administration of the Injury and Illness Prevention Program. All. supervisors are responsible for carrying out the IIPP in their work areas. A copy of the IIPP shall be available from each supervisor, who can answer employee questions about the program. EMPLOYEE COMPLIANCE Employees who follow safe and healthful work practices will have this fact recognized and documented on their performance reviews. ' Employees Who are unaware of Correct safety and health procedures will be trained or retrained (see Training Section). Willful violations of safe work Practices (see SafetY & Health Compliance Process) may result in disciplinary action in accordance with company policies. COMMUNICATION Matters concerning 'occupational safety and health will be communicated .to employees by means of written documentation, staff meetings, formal and informal training and 'posting: Communication from employees to supervisors and/or safety representatives about unsafe, or unhealthy conditions is encouraged and may be verbal or written, as the employee chooses. The employee may use the Report of SafetY Hazard form and remain anonymous. No employee shall be retaFtated agains~t for' reporting hazards or potential hazards, or for making suggestions related to safety. The results of the investigation of any employee safety suggestion or report of hazard will be distributed to all employees affected by the hazard, or posted on appropriate bulletin boards. INSPECTIONS Each supervisor and/or safety representative will conduct inspections/investigations to identify unsafe work conditions and practices: . 1. DAILY in all work areas. :2. Whenever new substances, processes, procedures Or equipment introduced into the workplace present a new occupational safety and health hazard. 3. Whenever the supervisor/safety representative, is made aware of a new or previously unrecognized hazard.~ The Hazard. Checldist or Hazard Assessment Form Will be used to document these inspections/investigations INJURY/ILLNESS INVESTIGATION Occupational injuries and illness will be investigated in accordance with established procedures and documented, as described in Basic Rules for Accident Investigation. CORRECTION OF UNSAFE OR UNHEALTHFUL CONDITIONS .Whenever an unsafe or Unhealthful condition, practice or procedure is observed, discovered or reported, the program administrator or designee will take appropriate corrective measures in a timely manner based upon the severity of the hazard. Employees will be informed of the hazard, and interim protective measures taken until the hazard is corrected. Employees may not enter an imminent hazard area 'without appropriate protective equipment, training, and prior specific approval given by the program administrator or designee. TRAINING The program administrator or designee shall assure that supervisors'receive training on recognizing the safety and health hazards to which employees under their immediate direction and control, may be exposed. Supervisors a/e responsible for seeing that those under their direction receive training on general workplace safety, and specific instructions regarding hazards unique to any job assignment. This Training is provided: 1. To all employees and those' given new job assignments for which training was not · previously received - The Employee Safety Checklist should be used to document this training. 2. Whenever new substances', processes, procedures or equipment introduced to the workplace present a new hazard. 3. Whenever 'the employer is made aware of a' new or previously unrecognized hazard. When supervisors are unable to provide the required training themselves, they should request that the training be given by others through notifying the program administrator or designee. The Request for Training form should be used. RECORDKEEPING The program administrator or designee shall keep records of inspection, including the name of the person(s) conducting the inspection, the' unsafe conditions and work practices identified, and action taken to correct these identified unsafe conditions and iwork practices. 'The records shall be maintained for three (3) years. The program administrator or designee shall als0 keep documentation of safety and health training attended by each employee, including employee name or other identifier, training dates, type(s) of training, and training providers. This documentation shall be maintained for three (3) years. Safety. & Health Compliance Process Disciplinary measures are progressive and involve four steps: 1. Should a safety and health violationbe noted, the supervisor is to informally discuss the behavior with the employee - stating the potential dangerous result and outlining the correct procedure - then to retrain the employee to ensure understanding. 2. A second violation should generate either a formal verbal warning or a written warning to the employee, depending on the severity of the violation. 3. A third infraction results in a formal. written warning or emp!oyee suspension. 4. A fourth violation may lead to employee termination. THESE STEPS MAY BE MODIFIED IN THE EMPLOYEE HANDBOOK General Industry Safety Orders Code of Safe Practices It is our policy that everything possible Will be done to protect employees, customers and visitors from accidents. Safety is a cooperative undertaking that requires participation by every employee. Failure by any employee to comply with safety rules will be grounds for corrective discipline. Supervisors Shall insist that employees observe all applicable Company, state and federal safety rules and practices, and take action as necessary to obtain compliance. To carry out this policy: . 1. . Employees shall report all unsafe conditions and equipment to the supervisor'or safety coordinator. 2. ~ Employees Shall report, immediately all accidents, injuries and illnesses to the supervisor or safety coordinator. 3. Anyone known to 'be under the influence of intoxication liquor or drugs shall not be allowed on the job while in that condition. 4. Horseplay, scuffling, or Other acts that tend to adversely influence the. safety or well being of the employees are prohibited. 5. Means of egress shall be kept unblocked, well lighted and unlocked during work hours. 6. In the event of fa'e, sound the alarm and evacuate. 7. Upon hearing a fire alarm, stop work and proceed to the nearest clear exit. Gather at the designated location. 8. Only workers trained for it may attempt to respond to a fire or other emergency. 9. Exit doors must comply with fire safety regulations during business hours. 10. Keep~ stairways clear of items that can be tripped over. All areas under stairways that are egress routes should not be used to store combustibles. 11. Materials and equipment will not be stored against doors or exits, fire ladders or fire extinguisher stations. '12. Aisles must be kept clear at all times. 13. Work areas should be maintained in a neat, orderly manner. Throw trash and refuse into Proper waste containers. 14. All spills shall be wiped up promplly. 1'5. Always use the correct lifting technique. Never attempt tO lift or push an object that is too heavy. Contact the supervisor when help is needed to move a heavy object. 16. Never stack material precariously on toP of lockers, file cabinets or other high places. 17. When carrying objects, use caution in watching for and avoiding obstructions or loose material. 18. Do not stack material in a unstable manner. 19. Report exposed wiring and cords that are frayed or have deteriorated insUlation, so that they can be repaired promptly. " 20. Never use a metal ladder where it' could come in contact with energized pans of . equipme.nt, fLxtures or circuit conductors. 21. Maintain sUfficient access and working Space around all electrical equipment for ready and safe operations and maintenance. 22. Do not .use any portable electrical equipment or tools that are not grounded or double -- insUlated. 23. Plug all electrical equipment into 'appropriate wall receptacles, or into an extension of only one cord of similar siZe and capacity. Three-pronged plUgs should be used to ensure continuity of ground. -24. All cords running into walk areas must be taped down or inserted through rubber protectors to prevent tripping hazards. 25. Inspect motorized vehiclei and other mechanized equipment daily or prior to use. 26. Shut off engine, set brakes and block wheels prior to loading or unloading vehicles. 27. Inspect. pallets and their loads for integrity and stability before loading or moving. 28. Do not store compressed gas cylinders in areas that are expOsed to heat sources, electric arcs or high temperature lines. 29. Do not use compressed air for cleaning off clothing unless pressure is less than 10 psi. 30. Identify contents of pipelines prior to initialing any work that' affects the integrity of the pipe. 31. Wear hearing prOtection in areas identified as having high nOise exposure. 32. Goggles or face shields must be worn when grinding. 33. Do not use any faulty or worn hand tools. 34. Guard floor openings by a cover, guardrail, or equivalent, 35. Do not enter into a confmed 'space unless tests for toxic substances, explosive concentrations, 'and oxygen deficiency have been taken. 36. Always keep flammable or toxic chemicals in closed containers when not in use. 37.' Do not eat in areas where hazardous chemicals are present. 38. Be aware of potential hazards involving various 'chemicals stored or used in the workplace. 39. Cleaning supplies should be stored away from edible items on kitchen shelves. 40. Store cleaning solvents and flammable liquids in appropriate containers. 41. Keep solutions that may be poisonous or are not intended for consumption in well labeled containers. 42. When Working with a VDT, have all furniture adjusted, positioned ~and arranged to minimize strain on all parts of the bodY. 43. Never leave lower desk or cabinet drawers open, a tripping hazard. Use care when opening and closing drawers to avoid pinching fmgers. 44. Do not open more than one upper drawer at a time, particularly the top two drawers on tall file cabinets. 45. Keep individual heaters at work areas clear of combustible materials such as drapes or waste from wastebaskets. Use newer heaters that are equipped with tip-over switches. 46. Keep appliances such as coffeepots or microwave ovens in working order and inspect them for signs of wear, heat or frayed cords. 47. Fans used in work areas should be guarded, and guards must not allow fingers to be inserted through the mesh. Newer fans 'are equipped with proper guards. Kroe'ker Inc. VARIOUS FIELD LOCATIONS 4627 S. Chestnut Fresno, CA 93725 Plan Question Hazard Communication 1 Does this plan cover construction sites? 2 Who is the person responsible for keeping a file which contains the written hazard communication program? (Name of the person responsible.) . 3 In what room does that person keep the file which contains the written hazard communication program? (Room number or name.) 4 Who is.the person responsible for performing the hazard evaluation? (i.e. keeping the chemical inventory current.) (i.e. name of the person responsible.) 5 What are the procedures for keePing the chemical inventory current? (Describe procedures.) 6 Where is the chemical inventory list located at your facility? 7 Do you manufacture your own chemicals? 8 List the chemicals and their CAS numbers which you manufacture. 9 How do you determine if chemicals which you manufacture are hazardous? (Choose one or more of the options listed in More Information.) · · 10 Who is the person responsible for obtaining/maintaining the MSDSs at your facility? (Name of the person.) 11 Where are the MSDSs located at your facility? (Insert locations.) 12 How can emploYees obtain access to MSDSs? (Describe means Of access provided to employees.) 13 What procedure do you follow if the MSDS is not received at the time of the first shipment? (Describe procedure.) May 15, 2002 Page 1 of 4 Plan QuestiOn Hazard Communication 14 Do you generate your own MSDSs? 15 List the chemicals for which you generate MSDSs. 16 What procedure do you use for updating an MSDS when new and significant health information i~ found? (Describe procedure.) 17 What MSDS format do you use? (Describe MSDS information provided and format.) 18 Do you have any alternatives to actual MSDSs in the facility? 19 What MSDS alternatives (e.g., MSDS information access via computer stations throughout the facility) does your facility use? (Describe in detail.) 20 Who is responsible for making sure in-plant containers are labeled? (Insert name/title of person responsible.) 21 Who is responsible for making sure shipped containers are labeled correctly? (Insert name/title of perso~ responsible.) 22 Do you put up a poster to informemployees about the standard,.or where hazard communication standard information is located? 23 .Describe the poster. 24 What labeling system do you use to identify hazardous chemicals, both on shipped Containers and in-plant? (Describe system and attach samples of labels used to the written program.) 25 Do you have any labeling alternatives (e.g., putting the label information on batch tickets .for stationary process tanks, using posters for air emissions) for in-plant containers at your facility? 26 Descril~e the labeling alternatives for in-plant containers at your facility." 27 What 'procedures are used to review and update label information, when necessary, to ensure that labels that fall off or become unreadable are immediately replaced? (Describe procedures.) 28 Who is the person responsible for conducting training on hazard communication? (Name of the '~erson.) May 15, 2002 Page 2 of 4 : I Plan Question Hazard Communication 29 In your facility, do all employees receive training for hazard communication? 30 What are the criteria used to determine which employees will receive training? (Describe in detail.) 31 How is training content organized? (Choose one: employees receive training only on those chemicals/chemical hazards to which they are exposed during the course of doing their jobs, or they receive training on all chemicals/chemical hazards present at the faCility.) 32~ Are employees trained on specific hazardous chemicals present or are they trained by hazard class (i.e., similar chemicals that behave in similar ways)? (Describe approach Used.) 33 What is the format (e.g., audiovisual materials, classroom instruction, demonstration of chemical reactions~' etc.) of the hazard communication training program? (Describe instructional strategies used.) 34 What is the procedure to.train new employees at the time of their initial assignment? (Describe method USed to make sur6 all affected employees receive training before they begin working with hazardous chemicals.) 35 What is the procedure to train affected emploYees when a new hazard is introduced? (Describe pr0cedure0 36 Do' you provide retraining on an annual or other basis? 37 If you retrain employees on hazard communication, describe frequency, content, and procedure. 38 Do you have employees sign certificates upon completion of their training? 39 who monitors whether employee training is up to date and maintains a file for the certificates? (Insert name/title of person responsible.) 40 Do your operations involve nonroutine tasks having the potential to expose workers to hazardous chemicals (e.g., the cleaning of reactor vessels, cleaning tanks, entering confined spaces)? 41 Describe these nonroutine tasks' that have the potential to expose workers to hazardous chemicals. 42 How do you inform employees of the hazards of nonroutine tasks? (Describe.) 43 How do you inform employees of the hazards of chemicals contained in unlabeled pipes in their work areas? (Describe.) · May 15, 2002 Page 3 of 4 Plan Question Hazard Communication' 44 Is your facility a multi-employer facility? 45 How will you provide the other employer(s) with MSDSs for any of your chemicals that their employees may be exposed to? (Describe method.) . 46 How will you relay any necessary label and/or emergency precautionary information? (Describe method.) 47 Who is the person responsible for keeping a file which contains the written hazard Communication program? (Name of the person responsible.).~ 48 In what room does that person keep the file which contains the written hazard communication program? (Room number or name. May 15~ 2002 Page 4 of 4 Keller-Soft Safety Plan Customi~. Page 1 of 4 Hazard Communication Program Our company is complying with'the requirements of OSHA's Hazard Communication Standard for construction by compiling a list of hazardous chemicals, using MSDSs, ensuring that containers are labeled, and training our workers present at a given construction site. In addition, we provide this same information to subcontractors involved in a specific project so that they may provide this information and train their employees. This program applies to all work operations in our company where emplOyees may be exposed to hazardous substances under normal working conditions or during an emergency situation. The safety and health manager,, is the program coordinator, acting as the representative of the plant manager, who has overall responsibility for the program. Mr./Ms. will review and update the program, as necessary. Copies of the written program may be obtained from Rodney Ainsw0rth in Room designated as Dispatch. All employees, or their designated representatives, can obtain further information on this written program, the 'hazard communication standard, applicable MSDSs, and chemical information lists from Rodney Ainsworth or in Room designated as Dispatch. Under this program, our employees will be informed of the contents of the Hazard Communication Standard, the hazardous properties of chemicals with which they work, safe handling .procedures, and measures to take to protect themselves from these chemicals. Our empl.oyees will also be informed of the hazards associated with nonroutine tasks, such as the cleaning of reactor vessels, and the hazards associated with chemicals in unlabeled pipes. If after reading this program, you find that improvemeqts can be made, please contact the safety and health manager,. We encourage all suggestions because we are committed to the success of our written hazard communication program. We strive for clear understanding, safe behavior, and involvement in the program from every level of the company. Hazard Evaluation Procedures Our chemical inventory is a list of hazardous chemicals known to be present in our workplace. Anyone who comes into contact'with the hazardous chemicals on the list needs to know what those chemicals are and how .. to protect themselves. That is why it is so important that hazardous chemicals are identified, whether they are found in a container or generated in work operations (for example, welding fumes, dusts, and exhaust fumes). The hazardous chemicals on the list can cover a variety of physical forms, including liquids, solids, gases, vapors, fumes, and mists. Sometimes hazardous chemicals can be identified using purchase orders. Identification of others requires an actual inventory of the facility. Whenever we purchase any form of chemical we should make it automatic to order the MSDS Rodney Ainsworthupdates the inventory as necessary. · The safety and health manager,, keeps the chemical inventory list, along with related work practices used in our facility located in the Dispatch office where it is accessible during work hours. The company does not manufacture any chemicals and, therefore, does not make any hazard determinations. After the chemical inventory is compiled, it serves as a list of every chemical for which an MSDS must be maintained. Material Safety Data Sheets (MSDSs) The MSDSs we use are fact sheets for chemicals which pose a physical or health hazard in the workplace. MSDSs provide'our employees With specific information on the chemicals they use. Rodney Ainsworth or Matt Myers is responsible' for obtaining/maintaining the MSDSs at our facility. He/she will contact the chemical manufacturer or vendor if additional research is necessary. All new procurements for the company must be cleared by Rodney Ainsworth or Matt Myers. file ://C :\jj ka\66KSXPrint.htm 5/15/2002 ~" ~Keller-Soft Safety Plan Customi2 Page 2 of 4. The material safety data sheets are kept at the following location(s) in our facility: Dispatch office. Employees can obtain access to them by: asking foe them. The procedures followed if the MSDS is not receiv, ed at time of first shipment is: the person ordering or the dispatcher will contact the vendor immediately upon it's arrival on site.. We do not generate MSDSs. No alternatives to MSDSs are used in this workplace. Labels and Other FOrms of Warning " Labels list at least the chemical identity, appropriate hazard warnings, and the name and address of the manufacturer, importer or other responsible party. The chemical identity is found on the label, the MSDS, and the chemical inventory. Therefore, the chemical identity links these three sources of information. The chemical identity used by the supplier may be a common or trade name, or a chemical name. The hazard warning is a brief statement of the hazardous effects of the chemical (i.e.i "flammable," or '"causes lung damage"); Labels frequently contain other informa.tion, such as precautionary measures (i.e;, "do not use near open flame"), but this information is provided voluntarily by our company and is not required by the rule. Our labels are legible and prominently displayed, though their sizes and colors can vary. The tool room manager is responsible for.ensuring that all' hazardous chemicals in in-plant containers are properly labeled and updated, as necessary. The tool room manager also ensures that newlY purchased materials are checked for labels prior to use. '. The Dispatch office is responsible for ensuring the proper labeling of any shipped containers. The tool room manager and The Dispatch office will refer to the corresponding MSDS to assist employees in verifying label information. The labeling system used on in-plant and shipped containers is: Clearly marking out any markings that may be confusing and remarking clearly the contents of the container..' If employees transfer chemicals from a labeled container to a portable container that is intended only for their · IMMEDIATE use, no labels are required on the Portable container. No alternatives to labeling are used in this workplace. The following procedures are used to review and update label information when necessary and to ensure that labels that fall off or become unreadable are immediately replaced: Periodic spot checks of problem areas for compliance are performed and the necessary 3ersons are notified.. Training Everyone who works with or is potentially "exposed" to hazardous chemicals will receive initial training and any necessary retraining on the Hazard Communication Standard and the safe use of those hazardous chemicals by the safety coordinator. "Exposure" means that "an employee is subjected to a hazardous chemical in the course of employment through any route of entry (inhalation, ingestion, skin contact or absorption, etc.) and includes potential (e.g., accidental or possible) exposure." Whenever a new hazard is introduced or an old hazard changes, additional training is provided. Information and training is a critical part of the hazard communicatiOn program. We train our emplOyees to read and understand the information on labels and MSDSs, determine how the information can be obtained and used in their own work areas, and understand the risks of exposure to the chemicals in their work areas as well as the ways to protect themselves. file://C :\jj ka\66KS~Print.htm 5/15/2002 ~" ~Keller-Soft Safety Plan Customi: page'3 of 4:.' Our goal is to ensure emploYee comprehension and understanding including being aware that they are exposed to hazardous chemicals, knowing how to read and Use labels and MSDSs, and appropriately following the protective measures we have established. We ask our employees to ask the safety coordinator and questions. · As part of the assessment'of the training program, the safety coordinator asks for input from employees regarding the training they have received, and their suggestions for improving it. In this way, we hope to reduce any incidence of chemical source illnesses and injuries. All employees receive training for hazard communication. Training Content Training content is organized according to the chemicals used on thei~ particular jobs, They are trained for Hazardous situations inherent in their profession. The format of the training program used is to provide for a Hazwhopper program that utilizes audiovisual and classroom instruction.. The training plan emphasizes these elements: · Summary of the standard and this written program, including what hazardous chemicals are present, the. labeling system used, and access to MSDS information and what it means. · 'Chemical and physical properties of hazardous materials (e.g., flash point, reactivity) and methods that can be used to detect the presence or release of chemicals (including chemicals in unlabeled pipes). · Physical hazards of chemicals (e.g., Potential for fire, explosion, etc.). · Health hazards, including signs and symptoms of exposure, associated with exposure to chemicals and any medical condition .known to be aggravated by expoSure tO the chemical. · Procedures to protect.against hazards (e.g., engineering controls; work practices or methods to assure proper use and handling of chemicals; personal protective equipment required, and its proper use, and 'maintenance; and procedures for reporting chemical emergencies). The procedure.to train new employees at the time of their initial assignment is to provide an orientation meeting and/or at a minimum a site specific safety meeting with the other members of the crew to determine any hazards at hand.. We train employees when a new hazard is introduced by holding a new and specific safety meeting performed by a superviSory type individual who has completed the Hazwhopper course. (enter your answer) Certificates are signed .by employees upon completion of their training and are kept by the payroll department in each employees personell file. The safety coordinator will have a record of all.employees who have completed the coarse.. Hazards of Unlabeled Pipes We inform employees of the hazards of chemicals contained in unlabeled pipes in their work areas by: Performing a walk thru with the Plant Foreman or Supervisor with direct knowledge of any dangerous situations... Additional Information All employees, or their designated representatives,-can obtain further information on this written program, the hazard commUnication standard, applicable MSDSs, and chemical information lists from Rodney Ainsworth or the dispatcher or in Room designated as "Dispatch". Appendix We have attached to this 'plan the lists, samples, or procedures that ensure better understanding of our written program. file://C:\jj ka\66KS~Print.htm' " 5/15/2002 ....~--_. State of California CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE 621866 ~,,,, coRP ~OE~ I~C r,~=,ii,:~:,¢.~'.,~ A C12 C21 HAZ AS~ C57 C61/D06 ~'""'"°~":: 0 F-S / 3 0 / -2 0 0 3 ' -. · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. Name) · Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 17 [] Yes 1. Article Addressed to: If YES, enter delivery address below: . [] No ~CAL MAT P OBOX22800 3. Service Type BAKERSFIELD CA 93390 [] Certified Mail [] Express M~il [] Registered [] Return Receipt for Merchandise ~._ ~ .~ [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 7002 08,60 0000'1641 6438. I PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835 UNITED STATES POSTAL SERVICE First-Class Mail Postage & Fees Paid USPS Permit No. 'G-10 · Sender:~Please.,.print your name, address, and ZIP+4 in this box ° BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENV!RONMENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 t-~ Postage $ rt. r~ C3 Certified Fee Return ReCeipt Fee Postmark ~ (Endorsement Required) Hem ={3 Re~.tricted Delivery Fee ~ (Enaorsement Required)__ ~ CAL MAT 't~ ~' o ~ox ~oo [°X°.., B^~mRsFmLr~ ¢^ 93390 ............ December I, 2002 Cai Mat P O Box 22800 Bakersfield CA 93390 FIRE CHIEF RON FRAZE CERTIFIED MAIL ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 (661)39 1349 FINAL REMINDER NOTICE suPPRESS,O. SE.VICES JANUARY 1, 2003 DEADLINE 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 Dear Tank Owner/Operator: PREVENTION SERVICES ,,,,,,m,,~c,,.,,~o..~,,,~,~,~, You will be receiving this letter on or about December 1, 2002. One 1715 Chester Ave. Bakersfield, CA 93301 month from today, January 1, 2003, your current underground VOICE (661) 326-3979 FAX (661) 326-0576 storage tank(s) will become illegal to operate. Current law would require that your permit be revoked for failure to perform the PUBLIC EDUCATION necessary Secondary Containment testing. 1715 Chester Av~. , · Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 In reviewing your file, I see that you have received "Reminder Notices" since April of this year. This is your last chance to comply FIRE INVESTIGATION with code requirements for Secondary Containment testing prior to 1715 Chester Ave. Bakersfield, CA 93301 January I, 2003. VOICE (SSi) 326-3951 FAX (661)326-0576 Should you have any questions, please feel free to contact me at 66~- TRAINING DIVISION 326-3190. 5642 Victor Ave. Bakersfield, CA 93308 FAX (661) 399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc ~'Oec-lO-O2 10:48am From-Vulcan Materials Company 661 833 g134 T-$87 P.001/002 F-SSS FAX TRANSMISSION Materials Company Western Division Bakemfield, California P.O. Box 22800 Bakersfield, CA. 93390 (661) 835-4817 Reliance Transport Company (661) 835~07 Ready Mix Fleet (66t) 835-4824 Fax TO: Steve Underwood DATE: December 10, 2002 COMPANY: B~_a.k..ersflel City Fire . , FAX#: 326-0576 PAGES: 2 FROM: Steve Michael e-mail michaeis(~vmcmail.com SUBJECT: UST at 529 Dolores Street COMMENTS: Thanks for your Help! If you have any questions, please call me at (661) 835-4817. Ir you do not receive alt o1 the pages indicated above including ~over sheet, please call (001) 835-4B17 ,~"Dec-10-02 10:48am From-Vulcan Materials Company 661 833 9134 T-337 P.002/002 F-553 Uul[on Materials Company Western Division Stevc Underwood Bake£sfleld City Fin: D~partrneu~ 171 ~ Ch=st~ Ave. · D~ci~ C~ 93301 ~r 10, 2002 Re: UST at $29 Dolores Street Dear Steve, To let you know I lmve receded all of yonr monthly reminder notices regarding the $B-989 testing r~quixed by 12/31/02 in order tO k~p our permit active. Vulcan Matm-Jal$ Company docs not d~sire to keep this UST system in placg and will ce, as~ the uTi/i~,mion ofth~ b-'y$l~lll prior To II~ deadlille. V1VIC has hired Kroeke Inc. from Fresno Ca. to do thc de. mo and r~moval of thc UST. Krocker Environmental will Conlact you i'0r fl~e necessary permits required to remove thc UST. I have a copy of ~hc Krock~ conuact available for your review ff n¢ce~ry. Vulcan lVla~rials Complmy will replace th~ UST system with a 10,000 gallon Convalt for diesel fuel ~orag¢ only. I plan on in,stalling a 1,000 _o-allon Con,fault on the property as a temporary fueling $1~tion for dicscl fu~l only while thc dcmoliton of the UST system is undea~y and the n~w 10,000 Comault is l~ing installed. I will stay in communication with you reganiiug the d~molRion, in~allaflon of ~he new Convault and d~e temporary tank_ Plcas~ fill fr~ to contaci m~ for any qu~ons or re"~iew of conwacts. I look foreword to working wkh you on this Ixoj~ as I am surc I will have m~ny qucstlOnS a~d the aced for your professional opinion. Thani~ A~;~{ Steve Michael Tm~tlo, u NIan~ger VUlC~m Materiais Company PO Box 22800 Bakersfield, C~, 93390 Offiee 83~-4817 ~ax ~35-$g24 CcH 979-S3 IS I · Complete items 1,2, and 3. Also complete Signature - ~.~gent item 4 if Res'~ricted Delivery is desired. -~ Print y6ur name and address on the reverse ~ X~ [] Addressee ,. · so that we can return the card to you. · ~ec'~ivedbY~,~rinted Na ~) I C. Date of Delive~ Attach this card to the back of the mailpiece, ~' ~~_~0~ ~ ~ -~ -~ "~ or o~ {h~ front 'if s~ace permits. Is delive~ address different from item 17 ~ Yes 1. A~icie Addressed to: If YES, enter delive~ address below: ~ No ~ 0 sox 22800 S~RS~ZE~ CA 93390 Se~ice Type ~ Ce~ified Mail ~ Express Mail ~ Registered ~ Return Receipt for Merchandise" ~ ~ Insured Mail ~ C.O.D. 4. Restricted Deliver? (Extra Fee) ~ Yes PS Form 3811, August 2001 Dom~;~G ~;turn Receipt 102595-02-M-0835 UNITED STATES POSTAL SERVICE -:~'~,1 ':,p..<Ssta~ & Fees Paid --,~-'--,~.~L- ~'Permit No G-10 · Sender: Please print your da~eF~ore~, and ZIP+-4-~n~h~~' BA.~(ERSFIELD FiRE DEPAFIT~,~ENT OFFICE OF EN¥1RONM,~NTAL SERV'ICES 1715 Chester Avenue, Sui~ 300 Bakersfield, CA 93301 t--! Postage S -- C:] Certified Fee -- Return Receipt Fee Hem ~ (Endorsement Required) cO Restricted Delivery.F?e~ _ r-'t (Endorsement Requlre~j FU Total postage & Fees $ 1~1o-''' '~ ~ .~ ............................................... October 31, 2002 Cai Mat P O Box 22800 Bakersfield CA 93390 CERTIFIED MAIL REMINDER NOTICE FIRE CHIEF RGN FRAZE ADMINISTRATIVE SERVICES RE; Necessary secondary containment testing requirements by December 31, 2002 of 2101 "H' Street Bakersfield, CA 93301 underground storage tank (s) located at 529 Dolores, Bakersfield, CA VOICE (661) 326-3941 FAX (661) 395-1349 Dcal' Tank Owner / Operator, SUPPRESSION SERVICES 2101 "H' Street If yOU are receiving this letter, you have not yet completed the necessary secondary Bakersfield, CA 93301 VOICE (661) 326-3941 containment testing required for all secondary containment components for your underground FAX (661) 395-1349 storage tank (s). PREVENTION SERVICES Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety FIRE SAFETY SERVICES* ENVIRONIdF. NT~. SEF~CES 1715 ChesterAve. Code) of the new law mandates testing of secondary containment components upon installation Bakersfield, CA 93301 VOICE (661) 326-3979 and periodically thereafter, to insure that thc systems are capable of containing releases from FAX (661) 326-0576 the primary containment until they are detected and removed. PUBLIC EDUCATION 1715 Chester avi~. Of great concern is the current failure rate of these systems that have been tested to date. Bakersfield, CA 93,301 Currently the average failure rate is 84%. These have been due to the penetration boots leaking VOICE (661) 326-3696 FAX (661) 326-0576 in the turbine sump area. FIRE INVESTIGATION For the last six months, this office has continued to send you monthly reminders of this 1715 Chester Ave. necessary testing. This is a very specialized test and very few contractors are licensed to Bakersfield, CA 93301 VOICE (661) 326-3951 perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. FAX (661) 326-0576 TRAININ6 DIVISION The purpose of this letter is to advise you that under code, failure to perform this test, by the 5642 Vlctorave. necessary deadline, December 31, 2002, will result in the revocation of your permit to Bakersfield, CA 93308 VOICE (661) 399--4697 operate. FAX (661) 399-5763 This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~tL(" ~'1~'~- INSPECTION DATE ADDRESS ~q ~t3[{lCt 6 PHONE NO. 30q"q?tq FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine [~ Combined I~ Joint Agency ~ Multi-Agency ~ Complaint [~] Re-inspection OPERATION CIv COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy f Verification of inventory materials Verification of quantities· Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardousmaste on site?: [~Yes [~ No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 - Bf~iness Site~ponsi~ble~Party ,N- ,,/'/ - White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~d_l- .~t'_(~- INSPECTION DATE [[~ [ 'I0 ~_ Section 2: Underground Storage Tanks Program [~[ Routine [~Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank 0W~ Number of Tanks Type of Monitoring ~ L.~/A Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance //V=Violation Y=Yes N=NO Omce of Environmental Services (805) 32~"~-397~ -Bu~ness Site Responsible Part~ White - Env. Svcs. Pink - Business Copy September 30, 2002 Cai Mat P O Box 22800 Bakersfield CA 93390 REMINDER NOTICE FIRE CHIEF RON FR~E RE: Necessary secondary containment testing requirements by December 31, 2002 of ADMINISTRATIVE SERVICES 2101 'H' Street underground storage tank (s) located at 529 Dolores, Bakersfield, CA 93305 Bake,s,eld, Ca 963O1 Dear Tank Owner / Operator, VOICE (661) 326-3941 FAX (661) 395-1349 If you are receiving this letter, you have not yet completed the necessary secondary SUPPRESSION SERVICES containment testing required for all secondary containment components for your underground 21Ol 'H' Street storage tank ~]ts~. Bakersfield, CA 93301 VOICE (661) 326-31M1 FAX (661) 395-1349 Senate Bill 989 became effective January l, 2002, section 25284.1 (California Health & Safety PREVENTION SERVICES Code) of the new law mandates testing of secondary containment components upon installation s,~sE,~c~s.a~o.m~,~ s,..c,s and periodically thereafter, to insure that the systems are capable of containing releases from 1715 Chester Ave. Bakersfield, CA 93301 the primary containment until they are detected and removed. VOICE (661) 326-3979 FAX {661) 3260576 Of great concern is the current failure rate of these systems that have been tested to date. PUBLIC EDUCATION Currently the average failure'rate is 84%. These have been due to the penetration boots leaking 1715 Chester Ave. in the turbine sump area. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 For the last five months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to FIRE INVESTIGATION perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 The purpose of this letter is to advise you that under code, failure to perform this test, by the FAX (661) 326-0576 necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. TRAINING DIVISION 5642 VlctorAve. This office does not want to be forced to take such action, which is why we continue to send Bakersfield, CA 93308 VOICE (661) 3994697 monthly reminders. FAX (661) 399-5763 Should you have any questions, please feel free to call me at (661) 326-3190. ~~Sincer y, . . Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services August 30, 2002 Cai Mat P.O. Box 22800 Bakersfield, CA 93390 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at 529 Dolores Street, Bakersfield. FIRE CHIEF P, ON FRAZE Dear Tank Owner / Operator, ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93.301 If you are receiving this letter, you have not yet completed the necessary secondary VOICE (661)326-3941 containment testing required for all secondary containment components for your FAX (661) 395-1349 underground storage tank (s). SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 Senate Bi]] 989 became effective January 1, 2002, section 25284.1 (California Health vOiCE (661) 326-3941 & Safety Code) of the new law mandates testing of secondary containment FAX (661) 395-1349 components upon installation and periodically thereafter, to insure that the systems are PREVENTION SERVICES capable of containing releases from the primary containment until they are detected 1715 Chester Ave. Bakersfield, CA 93301 and removed. VOICE (661) 326-3951 FAX (661) 326-0576 Of great concern is the current failure rate of these systems that have been tested to ENVIRONMENTAL SERVICES date. Currently the average failure rate is 84%. These have been due to the 1715 Chester Ave. Bakersfield, CA 93301 penetration boots leaking in the turbine sump area. VOICE (661) 326-3979 FAX (661) 326-0576 For the last four months, this office has continued to send you monthly reminders of TRAINING DIVISION this necessary testing. This is a very specialized test and very few contractors are 5642 Victor Ave. Bakersfield. CA 93308 licensed to perform this test. Contractors conducting this test arc scheduling VOICE (661) 399-4697 FAX (661) 399-5763 approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel fi'ce to call me at (661) 326-3190. Sincerely,/2 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services ugust 30, 2002' Cal Mat P.O. Box 22800. Bakersfield, CA 93390 [E: Deadline for Dispenser Pan Requirement December 31, 2003 FIRE CHIEF REMINDER NOTICE RON FR~E ADMINISTRATIVE SERVICES Dear Underground Storage Tank Owner: 2101 "H' Street Bakersfield, CA 93301 VOICE (661)326-3941 You will be receiving updates from this offices with regard to Senate FAX (661) 395-1349 i Bill 989 which went into effect January 1, 2002. SUPPRESSION SERVICES 2101 'H" Street This bill requires dispenser pans under fuel pump dispensers. On Bakersfield, CA 93301 VOICE (661)326-3941 December 31, 2003 which is the deadline for compliance, this office FAX (661) 395-1349 will be forced to revoke your Permit to Operate, for failure to comply PREVENTION SERVICES with the regulations. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 It is the hope of this office that we do not have to pursue such action, FAX (661) 326-0576 which is why this office plans to update you. I urge you to start ENVIRONMENTAL SERVICES planning to retro-fit your facilities. 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661)326-3979 If your facility has been upgraded already, please disregard this notice. FAX (661)326-0576 Should you have any questions, please feel free to contact me at 661- TRAINING DiViSION 326-3190. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 Sin7 ~ FAX (661)399-5763 Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr July 31, 2002 Cai Mat P O Box 22800 Bakersfield CA 93390 RE: Deadline for Dispenser Pan Requirement December 31, 2003 FIRE CHIEF RON FR~E ADMINISTRATIVE SERVICES 2101 "H' Street REMINDER NOTI CE Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES Dear Underground Storage Tank Owner: 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 You will be receiving updates from this office with regard to Senate F^x (c~1) 39s-t349 Bill 989 which went into effect January 1, 2002. PREVENTION SERVICES .~,~s.~,~,~,~.~,=,~,=~ This bill requires dispenser pans under fuel pump dispensers. On 1715 Chester Ave. Bakers,e~d. C^ 93a01 December 31, 2003, which is the deadline for compliance,, this office VOICE (661) 326-3979 FAX (661) 326-0576 will be forced to revoke your Permit to Operate, for failure to comply with the regulations. PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 It is the hope of this office that we do not have to purse such action, VOICE (661) 326-3696 which is why this office plans to Update you. I urge you to start FAX (661) 3260576 planning to retro-fit your facilities. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 If your facility has been upgraded already, please disregard this notice. VOICE I~) s~-39s1 FAX (661)326-0576 Should you have any. questions, please feel free to contact me at 661- 326-3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 ~ncere~¥, FAX (661) 399-5763 . Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc S:\C.ORRF, S~NDENCE~2002-07k~T~ADLIN~R DISP~ PAN LE~IiF~ L D FII E Ir July 30, 2002 Cai Mat P O Box 22800 Bakersfield CA 93390 REMINDER NOTICE FIRE CHIEF RE: Necessary Secondary Containment Testing Requirements by December RON FRAZE 31, 2002 of Underground Storage Tank (s) Located at ADMINISTRATIVE SERVICES 529 Dolores, Bakersfield, CA. 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 Dear Tank Owner / Operator: FAX (661) 395-1349 If you are receiving this letter, you have not yet completed the necessary SUPPRESSION SERVICES 2101 "H' Street secondary containment testing required for all secondary containment Bakersfield. CA 93..'.'.'.'.'.'.'.~)1 components for your underground storage tank (s). VOICE (661) 326-3941 FAX (661)395-1349 Senate Bill 989 became effective January 1, 2002, section 25284. I (California PREVENTION SERVICES Health & Safety Code) of the new law mandates testing of secondary FIRE SAFETY SERVICES · EN~RONMENTIIL SERVICES 1715 Chester Ave. containment components upon installation and periodically thereafter, to insure Bakersfield, CA 93301 that the systems are capable of containing releases from the primary VOICE (661) 326-3979 FAX (661)326-0576 containment until they are detected and removed. PUBLIC EDUCATION Of great concern is the current failure rate of these systems that have been 1715 Chester Ave. Bakersfield. CA 93301 tested to date. Currently the average failure rate is 84%. These have been due vOICE (661) 326-3696 to the penetration boots leaking in the turbine sump area. FAX (661) 3260576 FIRE INVESTIGATION For the last four months, this office has continued to send you monthly 1715 ChesterAve. reminders of this necessary testing. This is a very specialized test and very few Bakersfield, CA 9,3,301 VOICE (661) 326-3951 contractors are licensed to perform this test. Contractors conducting this test FAX (661) 326-0576 are scheduling approximately 6-7 weeks out. TRAINING DIVISION The purpose of this letter is to advise you that under code, failure to perform 5642 Victor Ave. Bakersfield. CA 90308 this test, by the necessary deadline, December 31, 2002, will result in the VOICE (661) 399-4697 revocation of your permit to operate. FAX (661) 399-5763 This office docs not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Fire Inspector Environmental Code Enforcement Officer D May 30, 2002 Cal Mat P.O. Box 22800 Bakersfield, CA 93390 RE: Deadline for Dispenser Pan Requirement December 3 l, 2003 on Underground Storage Tank(s) located at 529 Dolores, Bakersfield, CA. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES Dear Underground Storage Tank Owner: 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. SUPPRESSION SERVICES 2101 'H" Street Bakersfield. CA 93301 This bill requires dispenser pans under fuel pump dispensers. On December VOICE (661) 326-3941 FAX (661)395-1349 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 It is the hope of this office, that we do not have to pursue such action, which VOICE (661)326-3951 FAX (6B1) 326-0576 is why this office plans to update you. I urge you to start planning to retro-fit your facilities. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 If your facility has been upgraded already, please disregard this notice. VOICE (661) 326-3979 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at (661)326- 3190. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 Si2(x~, ~ VOICE (661) 399-4697 FAX (661) 399-5763 - Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr <,~,~,,O'lar 26 02 03:4Ep Franzen Hill 6851460 1467 p. 15 MONITORING SYSTEM CERTIFICATION For Use By ~ll Jurisdictions ~thin the State of Cal~ornia Authori~ Cited: Chapter 6. 7, Health and Safe~ Code: Chapter I6, Division 3, Title 23, Cal~ornia Code of Regulaaons This fora must be used to document testing and so.icing of monitoring equipment. A separate codification or repon must be prepaid lbr each monitoring system consol panel by tl~e tec~ician who perfom the work. A copy of tkis fo~ must be provided to system oxmedoperator. The omer/operator must sub~t a copy of this fo~ to the local agency regulating UST syste~ ~n 30 days of test date. A. General Information Facili~Name: ~1~ ~t~[ ~~ Bids. No.: Site Address: ~ Zq B~lor~ ~ Ci~: ~~~l~ Zip: Facili~Cont~ctPerson: ~ge ~/e~e~ Contact Phone No.: ( ~6f ,) 3Z~ ~7/~' Make~el of Monitoring System: ~e~ ~ T T~ % Z~ t' Date of Testing/Semicing: B. Inventory of.Equipment Teste~Certified Che~k the a~proprlate boxe~ to lndieate ~pedfi~ eqaipme,t in~perted{~ervi~ed: ~ Annular Space or Vault Sensor. Model: ~ ~ ~ Annular Space or Vault Sensor. Model: ~~D ' ,. ~ Piping Sump / Trench Sensor(s). Model: ~ ~ ~ ~ ~iping Sump / Trench Sensor(s). Model: O Fill Sump Sensor(s). Model: ' - "' O Fill Sump Sensors). Model: ~ Mechanical Line Leak Detector. Model: ~ D ~ , ~Mechanical Line Leak Detector. Model: O Electronic Line Leak Detector. Model: ' O Electronic Line Leak Detector. Model: O Tank Overfill / High-Level Sensor. M~el: O Tank Overfill / High-Level Sensor. Model: O Other (specify equipment t~e and model in Section E on Page 2). O Other (specify equipment t~e and model in Section E on PaSe 2~. Tank ID: ~ Ott ~~' , Tank lO: ~ In.Tank-G~ging P~obe. "~ 'Mbde[: ~ ~ ~ r~e~ ~ In-Tank Gauging Probe. Model: ~ Annular Space or Vault Sensor. Model: ~ Annular Spac~ or Vault Sensor. Model: ~ Piping Sump / Trench Sensor(s). Model: ~ Piping Sump / Trench SensorCs). Model: O Fill Sump Sensor(s). Model: ~ Fiji Sump Sensor(s). Model: ~ Mechanical Line Leak Detector. MMel: ~ Mechanical Line Leak Detector. Model: ~ E~ectronic Line Leak Detector. Model: ~ Electronic Line Leak Detector. Model: ~ Tank OverfilI/ High-Level S~nsor. Model: ~ Tank Overfill / High-Level Sensor. Model: ~ Other (s~ccify equipment t~e ~d model in Section E on Page 2). ~ Ot~er (specify equipment t~e and model in Section E on Page 2). Dispenser ID: ~1~ ~( Dispenser ID: ~ (f ~ ~ ~ Dispenser Containment Sensor(s). Model: ~ Dispenser Containment Sensor(s). Model: ~-Shear Valve(s). ~ O ~T~~ ~hear Valve(s). ~ ~ Dispenser Containment Float(s) and Chain(s). .. ~ Dispenser Containment Float{s) and Chain(s). . Dispenser ID: Dispenser ~ Dispenser Containment Sensor(s). Model: ~ Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). ~ Shear Valve(s). O Dispenser Containment Float(s) and Chain,s). ~ Dispenser Containment Float, s) and Chain~s~. . Dispenser ID: Dispenser ID: ~ Dispenser Containment Sensor(s). Model: ~ Disposer Contaifment Sensor(s). Model: ~ Shear Valve(s). ~ She~ Valve(s). ~Dispenser Containment' Float,s) and Chain(s). ~ Dispenser Containment Float(s) and Chain,s). *If the facility contains more tanks or dispensers, copy this fo~. Include info~ation for eve~ tank and dispenser at the facility. C. Certification - I codify that the equipment identified in this document was inspecte~sem'iced in accordance with the manufacturen' guidelines. Attached to this Cemification is information (e.g. manufacturers' checklists) nec~sa~ to verify that this information correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such repo~s. I have also attached a copy of the repo~; (check all that apply): ~ystem set-up ~rm hist~y r~ort . Tec~ician Name (print): ~V[~ C. ~~t~ Signature: Codification No.: ~ ~ ~ [ ~ l ~ License. No.: SiteAddress~ ~ ~. ~ O~ ~~f$~~ ~~Datc°fTesting/Scmicing: Page 1 o~3 03/01 Monitoring System Certification Mar 26 02 03:44p Franzen Hill 6BS1460 1467 p.16 D. ReSUlts of Testing/Servicing SoftX~'are Version Installed: Complete the following checklist: ~, Yes 121 No* Is the audible alarm, operational? ~. Yes 121 No* Is the visual alartn operational? . ~ Yes FI No* Were all sensors visually inspected, functionally tested, and confirmed operational? ~..Yes F! No* Were all sensors installed at lowest point of secondary ,containment and positioned so that other equipment will not interfere with their proper operation? FI Yes rq No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ]~- N/A operational? FI Yes ~ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment FI N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If' yes: which sensors initiate positive shut-down7 (Check all that apply) 0 Sump/Trench Sensors; rq Dispenser Containment Sensors. Did you confh'm positive shut-down due to leaks an..d sensor failure/disconnection? FI Yes; 121 No. 121 Yes O No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no Iii N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? C! Yes* ~ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ~ Yes* n No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) Product; FI Water. If yes, describe causes in Section E, below. ~ Yes FI No* Was monitoring system set-up review'ed to ensure proper settings? Attach set up reports, if applicable 'l~l--Yes FI No* Is all monitoring equipment operational per. manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be cot ..... E. Comments: Ot[ To-,O~-- ~?r~b ~[ ~to T-/,-~' ~v~p- Co~,Jco,qer' pv pe , 7-00-7- , ; Page 2 of 3 113101 Hat 26 02 03:44p Franzen Hill 6851460 1467 p. 17 1~. In-Tank Gauging / SIR Equipment: ~ Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete t~e iOllOWlng cn¢cgaas~;. '" El Yes ~ No* Has all input wiring been inspected for proper entry and re,ruination, including testing t~or ground faults? ~r-1 Yes U! No* Were all tank gauging probes visu~iiy inspected for damage and residue buildup? .. D Yes O No* Was accuracy of system product level readings tested? ~! Yes I~l No* Was accuracy of system water level readings tested? ., [] Yes El No*. Were all probes reinstalled properly? El Yes ~ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corre-'~a G. Line Leak Detectors (LLD): E! Check this box ifLLDs are not installed. Complete the lOllOWlng cnec~a~st; ~ Yes [3 No'* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?. I"l N/A (Check all that apply) Simulated leak rate: ~ 3 g.p.h.; ~ 0.1 g.p.h; [] 0.2 g.p.h. ]~ Yes ~ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ~i~ Yes IZI No* "Was the testing apparatUs properly calibrated? i,~if 'Yes [] No* For mechanical LLDs, does the LLD restrict ~roduct flow if it dete'cts a leak? El N/A ' D Yes · El No* For electronic LLDs, does the turbine automatically shut offifthe LLD detects a leak? ~' Yes El No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disable~ ,.[~ N/A or disconnected? ,. ~ Yes' El No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions 1~ N/A or fails a test? IZI Yes ~ No* For electronic LLDs, have all accessible wiring connections been visually inspected? J~..Ycs El No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 03/01 Mar 26 02 03:~5p Franzen Hill 6851~60 l~B? p. lB Monitoring System Certification UST Monitoring Site Plan · ~.,~ - · ~ .~ ...... ~' ~r~ ' ' ' . ........... Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page . of __ 05100 Mar- 26 02 03:46p Fr-anzen Hill 6851460 1467 p.19 TANK CAPACITY: ~ TAHK ZIiAiIETER: 10i? G~LLONS FUEL 6.S:.5~ iNCHES 0 GALLOHS FUEL ~ ' ~ GALLONS FUEL TAHK TiLT ADDER: ~ GALLONS FUEL FJ.i~ INC:HES 0 GALLOHS FUEL .:,~-4 HEIGHT CAPACITY: 8i'2 GALLONS FUEL I E~ GALLCIH~; FUEL ~ TANK 3 'E~ GALLOtIS FUEL ~ TURBIHE OIL ~l GALLOHS FUEL : PRODUCT COI~E 3 ~ ~LLOt'IS FUEL HiGH NATER LIMIT: 4.E~ iNCHES NATER 1/~ HEiGH~ CAPACITY: 5~E: GALLONS FUEL OVERFILL LIMIT: ~ GALLONS FUEL ~,~.:,~, GALLOItS FUEL ~ GALLOHo FUEL _ G~L "LON$ FUEL LO6J LIMIT: ~ I~LLUN-~ FUEL THEFT LIMIT: i/4 HEIGHT CAPACITY: 9999'~9 GALLONS FUEL 196 GALLOH$ FUEL ~. GALLONS FUEL LEAK LiMiT: ~ GALLOHS FUEL -'~'9 ~LLI.I~'~o FUEL ~ GALLONS FUEL THERHAL CO~FF: ~ GALLF]~'tS FUEL DELIVERY REPORT DLY: i HIHUTE$ i/4 HEIGHT CAPACITY: TANK ~APACITY' ,-~'= GALLOHS FUEL 5036 .... ~ - . c. _ m~LuH~, FUEL E~ G~ LOHS FUEL ~ GALLOHS FUEL E~ GALLONS FUEL E~ ~LUH.: FUEL ~ GALLONS FUEL E~ GALLONS FUEL E~ GALLOHS FUEL ~ E~ GALLONS FUEL ~,,~ HEIGHT F:APACITY TAHK I~iAHETER: 4~52 GALLONS FUEL E~ G~LLOHS FUEL T&HK TiLT ~[I~ER: E~ GALLOI-IE; FUEL -'~. ~5 INCHES E~ GALLONS FUEL E~ GALLOHS FUEL M~NIFFjLDEI~ TAHKS: NONE o._ ,=. ~HLLI_Ho FUEL E~ GALLONS FUEL E~ I=R~LUN.. FUEL E~ GALLOHE; FUEL ~3 GALLOHE; FUEL Mar 26 02 03:46p Franzen Hill 6851460 1467 p.20 ~ SENSOR iA SENSOR iB ..5 SEHSOR 2A SENSOR 2B SENSOR'3A SEHSOR 3B TAHK I)IAMETER: TLS-2:50 TANK I 1.50 'IHCHES TANKLEVEL SENSOR Di'ESEL F'RO~dJC:T COBE ~At. IK TILT A~ER: . _o B6 INCHES INVENTOR'¢ REPORT ~' MAR 7~ 2002 HiGH WATER LIMIT: 4,0 ~NCHES HATER blANIFOLBEB ~AHKS: 7:00 AM NOHE OVEF~F i LL L i M TANK 1 19999 GALLOHS FUEL TANK c DIESEL LOH LiMiT' UNLEA~E~ i6 i 2 GALLONS FUEL pRO~dJOT COT~E 8 MAR 7, ~-J~'J2 - i:27 PM THEFT LIMIT: HIGH WATER LIMIT: ~9'~9~ GALLOH~ FUEL 4.0 iNCHES NATER LEAK DETECT START: "' 10:00 PM LEAK LiMiT: oVERFILL LIMIT' -q9 GA~LOHS FUEL i0~7 GALLOHS FUEL LEAK DETECT STOP: "' 4:00 AM THERMAL COEFF: LOI'I LIMIT: -¢~ 0F~¢~47 GL/GL/DEG F 200 GALLOHS FUEL AUTI] PRINT :i .... 7'00 AM BELiVERY R~FLR. I DLY: THEFT LIMll: i MIHUTES ~.~.~ GALLONS FUEL Al]TO PRINT :2 DiSA~.LE~ TANK CAPACITY: LEAK LiMiT: 20068 GALLONS FUEL -99 GALLONS FUEL ~ A:iTO PRINT :3 0 GALLOHS FUEL DISABLED ~ 0 ~=RLLUN._. FUEL THERMAL COEFF: · 0 GALLOHS FUEL -0.00065 GL/GL/DEG F SECURITY CODE: 0 , GALLONS FUEL '. 000000 "' ., .,, BLY' '~ ~ELI'~EE' REPORT ' i MiHUTES RELAY C:ONF~GUR~TIOH,' 3/4 HEIGHT CAPACITY: RLY i RLY 2 i6875 6~LLONS FUEL LEAK RLbi NO HO 0 GALLONS FUEL HI ~4ATER NO NO 0 GALLONS FUEL OVERFILL NO YES 0 GALLONS FUEL LO LIMIT NO NO 0 GALLONS FUEL THEFT ALM YES NO E.X T. I N P U T N 0 N 0 SEN FUEL NO NCl t/~ HE[~HT SEN PIATER NO NO SEN F~l IT NO HO } 0034 GALLONS FUEL '- 0 6flLLONS FUEL 0 GALLONS FUEL E',:4TERNAL iNPUT ALARM 0 GflLLONS FUEL BISABLEB 0 GALLONS FUEL SENSOR CONFIGURATION i24 HEIGHT CAPACITY: 3920 GALLONS FUEL 0 GALLONS FUEL 0 GALLONS FUEL ~ll~l · Complete items .1,2, and 3. Aisc complete Received b, Print C/early) B. Date of Delivery item 4 if Restricted Delivery is desired. -LQ j~ · Print your name and address on the reverse C. Signature so that we can return the card to you. · Attach this card to the back of the mailpiece, or bn.the front if space permits. [] Addressee delivery address different from item 17 [] Yes 1. Article Addressed to: . YES, enter delivery address below: [] No JOHN "BLYTBE P O BOX 22800 3. Service Type BAKP, ESFTKLD CA 93390 ~I Ce~ified Mail [] Express Mai~ [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes PS Form 3811, July 1999' Domestic Return Receipt 102595-99-M-1789 First-Class Mail Postage & Fees Pal USPS Sender: Please print name, address, and ZIP+4 in this box · '~"~ your BAI"(ERSFIELDE FIRE DEPART ~' OFFIC OF MENT' - '1715 ENWRONMENTAL. SERVICES Chester Avenue, Suite, 300 B-kers,,uld,,~ '~- CA 93301 _11 Postage $ .34 .:3' m Certified Fee 2 o ]. 0 Return Receipt FeE Postmark ~ (Endorsement Require~ ]- - -~0 Here Restricted Delivery Fe~ (Endomement Required I"-I Total Postage & Fees $ 3 o 94 m U'l J Sent To ~[ .......... ~0~ B~.~ I'~ f Street, A~'t'.'~i~ ~ ~'~'r'i~'~'~l~'. ........................................................... r,-~,m aii~'~i~}['~7~;';i ........................................................................... February 20, 2002 John Blythe Cai Mat P O Box 22800 Bakersfield, CA 93390 CERTIFIED MAIL FIRE CHIEF RON FRAZE NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE ADMINISTRATIVE SERVICES 2101 "H" Street RE: Failure to Submit/Perform Annual Maintenance on Leak Detection Bakersfield, CA 93301 System at Cal' Mat, 529 Dolores VOICE (661) 326-3941 FAX (661) 395-1349 Dear Mr. Blythe: . SUPPRESSION SERVICES 2101 uH" Street Bakersfield, CA 93301 Our records indicate that your annual maintenance certification on your leak VOICE (661) 326-3941 detection system is past due. December 1, 2001. FAX (661) 395-1349 PREVENTION SERVICES You are currently in violation of Section.2641 (J) of the California Code of 1715 Chester Ave. Regulations. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661)326-0576 "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's ENVIRONMENTAL SERVICES 1715 Chester Ave. instructions, including routine maintenance and service checks at least once per Bakersfield, CA 93301 calendar year for operability and running condition." VOICE (661) 326-3979 FAX (661) 326-0576 You are hereby notified that you have thirty (30) days, March 22, 2002, to either TRAINING DIVISION perform or submit your annual certification to this office. Failure to comply will 5642 Victor Ave. Bakersfield, CA 93308 result in revocation of your permit to operate your underground storage system. VOICE (661) 399-4697 FAX (661)399-5763 Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services by: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney February 11, 2002 Cal Mat FiRE CHIEF ~. RON FRAZE ....... P O Box 22800 Bakersfield CA 93390 ADMINISTRATIVE SERVICES * 2101 "H" Street .. Bakersfield, CA 93301 ' RE: Deadline for Dispenser Pan Requirement December 31, 2003 VOICE (661) 326-3941 - ..... FAX (661)39s-1349 suP.REss,O. SERVICES E E M I N D E'R N O T I C E 2101 "H" Street Bakersfield, CA 93301 Dear Ta~ Owner: VOICE (661) 326-3941 unuergrounu otorage FAX (661) 395-1349 PREVENTION SERVICES' You will be receiving updates from this office with regard to Senate Bill 1715 Chester Ave. 989 which went into effect January 1, 2000. Bakersfield, CA 93301 . . VOICE (661)328-3951 FAX (661) 326-0?6 .... This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office Will ENVIRONMENTAL SERVICES .............. 1715 ChesterAve. be forced to'rev0ke your Permit to Operate, for failure to comply wihh {he Bakersfield, CA 93301 r;*- 'Jr'ow.e~.lia 1 s " ............... ' ' vo,cE (661)326-3979 FAX (661)326-0576 TRAINING DIVISION ..... .It is the.hope of this office, that we do not have to pursue such action, 5642 VictorAve. which is why this office plans to update you. I urge you to start planning Bakersfield, CA 93308 '-' VOICE (661) 3994697 t'o retro-fit your facilities.- --..- - '-. ~ ....................... . ........... FAX (661) 399-5763 If your facility' has been upgraded already, please disregard this notice..· - Should you have any questions, please feel fi-Ce to contact me at 661-326- ' 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental SerVices SBU/dm II CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~./~L' .6/4a."~ INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine 1~ Combined [] Joint Agency [221 Multi-Agency [~l Complaint [21 Re-inspection Type of Tank /]03 ~'~ ._6 Number of Tanks Type of Monitoring ~_/.../~x. Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current r Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'?. C=Compliance V~Violation Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 B~si~es~ ~.t-~ R~"g~nsible Party White - Env. Svcs. Pink - Business Copy CONTINUED (See 2na File) ZNVENTOF.:'.,-' REF'uP.: i "T A N K i P F..: 0 i'~ U r: T :...' 6.A, 5 r~EGF.:EE'.E; F T A N K '-' ~ 0 0 ;:% ('; A L. L r; ;--4 ::; F U E L :E: 9 9 3 G A L :--; U L L A F; E ::: q q ::!7; A L_ :E; U L L A G E i 5 0 4 i[ N C H F :E; Fi F L 0,0 [ N C H E S [4~i,' E F.: 65,5 3 E G R E E S 0,0 :[NCHES i.,.iAibk: 66,2 - 3EGF.:EES F 6A,2 3EGREES F ..... ¢ .... D January 22, 2001 FIRE CHIEF Cai ,,,,LX'~a" RON FRAZE 529 Dolores ADMINISTRATIVE SERVICES Bakersfield Ca 93305 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 RE: Dispenser Pan Requirement December 31, 2003. Underground Storage Tank Dispenser Pan Update SUPPRESSION SERVICES 2101 "H" Street ' Bakersfield, CA 93301 Dear underground Storage Tank Owner: VOICE (661) 320-3941 ~ FAX (661)395-1349 You will be receiving updates from this office now, and in the future with . PREVENTION SERVICES regard to the Senate Bill 989, which went into effect January 1 2000. 1715 Chester Ave. ' Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 This bill requires dispenser pans under fuel 'pump dispensers. On · December 31, 2003, which is.the deadline for compliance, this office will ENVIRONMENTAL SERVICES be forced to revoke your permit to operate, effectively shutting down your 1715 Chester Ave. Bakersfield, CA 93301 fueling operation. VOICE (661) 326-3979 FAX (661) 326-0576 It is thc hope of this office, that we do not have to pursue such action, TRAINING DIVISION which is why this office plans to update you. I urge you.to Start planning 5642 Victor Ave. Bakersfield, CA 93308 now to retro-fit your facilities. VOICE (661) 3994607 FAX (661)399-5763 . If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector Office of Environmental serVices SBU/dm · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~l Routine [~ Combined . [~1 Joint Agency [~ Multi-Agency [~1 Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand. Business plan contact information accurate Visible address Correct occupancy J' Verification of inventory materials. Verification of quantities Verification of location Proper segregation of material L,~/ Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supl~lies and procedures Emergency procedures adequate - Containers properly labeled / Housekeeping Fire Protection ~/ / Site Diagram Adequate & On Hand C=C°mpliance V=Vi°lati°n Any hazardous waste on ~teg.: [~Yes [~ NO ~uesdo~s re~di~ ~is i~spectio~? ~lcase call us at White - Env. Svcs. Yellow - Station Copv CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~.~[L-'fl]l,&{' dalt03A ~[~x-kti-~dd_~ INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine ~[1 Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank '~ul I:'e.~ Number of Tanks Type of Monitoring CL ~W Type of Piping OPERATION C V COMMENTS Proper tank data on file t/r Proper owner/operator data on file b/ Permit tees current Certification of Financial Responsibility Monitoring record adequate and current [jr Maintenance records adequate and current Failure to correct prior UST violations L// Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) ~ ~ AGGREGATE CAPACITY' TypeofTank U)~.6.{t_ 0_~( Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES X/r Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? Inspector: Office of Environmental Services (805)326-3979 /'~usi~l'e'Ts 2it'e ' ~'~' ' Responsible Party White - Env. Svcs. Pink - Business Copy UUlC'a n CalMat Division* 5, 2000 Steve Underwood Office of Environmental Services Bakersfield Fire Department 1715 Chester Avenue Bakersfield, CA 93301 Dear Mr. underwood: Enclosed please find the new forms for renewal of the permit for our three (3) underground storage tanks located at 520 Dolores Street in Bakersfield. Forms B and C are completed for each tank. If you have any questions, or' if I can provide any additional information, please contact me at (661) 835- 4820. Sincerely, John B. Blythe Sr. Resource Manager cc: Peter Chiu Tony Smith ~.~~. 'ICE OF ENVIRONMENTA.ERVICES 1715 Chester Av~., Bakersfield, CA 933[}1 (661) 326-3979 UNDERGROUND STORAGE TANKS- UST FACILITY ,n. I ~ 7 FYP~ OF ACTION [~ 1. NEW ~ PERMIT ~ 3. RENEWAL PERMIT [] 5. CHANGE OF INFORMATION (,..~oecO c,/~r, ge - [] 7. PERMANENTLY CLOSED SITE (C~cJ( one ,~m o~) · . r-J 4. MNOED ~RMIT ~ uM o~) ~ 8. T~K RE~VED ~ ~. ~Y SITE CLOSURE I. FAClLI~ I 8~ INFORMA~ON ~ ~ 3. P~ERSHIP ~ 7. FED~A~Y' RE~IN~TOT~ ~RAT s~OF T~ ~~' STA~ 418. ~P~OE 419. ~ GK) HQ 4 4 ' ~s) ~. ~ NO~FICA~ON ~D MAILING ~DRE~ VII. ~PLIC~ 81GNA~RE STATE U~T FACILITY NUMBER (F~/~/uae ~dy) 42~. [ sgg~ UPGRAD~ CERTIFICATE NUbI~.R (Foe/oc~ uM o~/y) 429. I IPCF (7/99) $:\CUPAFORMSL~wrct~a-wp~ OFF~E OF ENVIRONMENTAL S~VICES ' 1715 Ches~r Ave. Bakersfield, CA 93301~6_1) 3~6-3979 ' UNDERGROUND ~TO~GE TANK~ . TANK PAGE 1 e~ CITY'OF BAKERSFIELD ~ OFIF~E OF ENVIRONMENTAL ,~V[CES .1715 Chester Ave., Bakersfield, CA 93501~661) 326-3979 ' ,.~ UNDERGROUND $TO~GE TANK~ - TANK PAGE 1 · ' L TANK i **. , · CTTY OF BAKERSFIELD . ' . . * ~ OIqlICE OIB ~NVIRONMIONTAL ~ERV~ " :~ ~NuF~RERJO~2:-'~U~,W~'* 0 M. U~ ~ l 0.2.".~U~ ,· i - , .... 'jO,.~ .0~~ 0~0~ ~/0,.~'~'-, ' . , . '0~.~~o~.~~ ; ~/o~.~w,~ 0~. L ~~~ ~ I - · ~W~n~ . I0 · ~o ~.~~~,~ .. ..... .:. lo -~~~. - ........ -. . ' I ~-~ , · .' -.'" -."---'~ ' .',.-':. ~"-,'~- '.'.: ~/~~-~ -. - ....... -~ ..... ~. ...... '..,,:"'... . . ...~ . ~..,~,~. ~.,,.,:,~ ,~,~.:~... ,::,, >:.~,/~.~~~o. ~. . : ,,. '... ,,,,.... .~ ,...:.:. . . (~ ~) , ...~~~A~~','' ' --, ....... . '- ' ~~O~A~~ .-..-~-, - ~' '.'" RE~ i ~f~ ~~ ~ ~ ~ ~ ~ ~_~Id~~ 470 UPCF (7~) OFFSIdE'OF ENVIRONMENTAL S~i~VICES · 1715 CheslTr Ave., Bakersfield, CA 93301q~1S61) 326-3979 · UNDERGROUND :STORAGE TANKS - TANK PAGE 1 I. TANK ~ -aa ~ ~ 6 ooo ' I = (7~) ~;~UP~ORMS~C~O .. CITY OF BAKERSFIELD ~'* OFFIi~ OF ENVIRONMENTAL SEI ICES ~_.~,~. 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFIGATE OF COMPLIANCE One form per tank · - I. FACILITY IDENTIFICATION 8U$1NES~ NAME (~ame as FAClUT'Y NAME of II, INSTAL~ON ~e ins~ller has ~en ~ by ~e ~nk and piping manufa~urem. The ins~lla~on has been insp~ and ~fi~ by a r~ister~ professional engineer. ~e ins~llafion has ~en ins~ and approv~ by ~e Ci~ of Bakemfield ~ of Environmental Se~i~s. NI ~ list~ on ~e mandamus ins~llaflon ch~ist has ~en ~mp~ted.. ~e ins~llaflon ~n~or has ~n ~ or Ii~ns~ by ~e Con~om S~te L~nse Boa~. ~o~er me~ was us~ as allo~ by ~e Ci~ of Bakemfield ~ce of Environmen~l Sewi~s. Iden~ meth~: IlL TANK OWNER/AGENT SIGNATURE "' ~ CITY OF BAKERSFIELD ~ OFF~; OF ENVIRONMENTAL SEt'ICES ' 17t5 Chester Ave., Bakersfield, CA 93301 -- (66t) 326-3979 UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank- - I. FACILITY IDENTIFICATION BUSlNES~ NAME (Sa~ '~'~'~I'LrTY NAME m, ~ - O~ng ~ As) II, INSTALLATION Check a//~at appty The Installer has been certified by the tank and piping manufacturers. The installation has been inspect~l and certified by a registered Professional engineer. The Installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. All work listed on the manufacturer's installation checklist has been completed. The Installation contractor has been certified or licensed by the Contractom State License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify_ method: "] III. TANK OWNER/AGENT SIGNATURE SIGNATURE OF TAngENT /,~ . ,,~ ~.~~ ~. 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILITY IDENTIFICATION 8USINE.~ NAME (,~ as FACILITY NAME ot {~ o {~ng ~u~ A~) ~ The ins~ller has ~n ~ by ~e ~nk and piping man~a~umm. : D The ins~llaflon has been insp~ and ~fi~ by a r~ister~ professional engineer. ~ ~e ins~llafion has ~en ins~ a~ appmv~ by ~e Ci~ of Bakemfleld ~ of Environmen~l Sewi~s. ~ NI ~ Iist~ on ~e mandamus ins~llaflon ~ist has ~en ~mpleted.. ~ ~e ins~lla~n ~n~or has ~n ~ or Ii~ns~ by ~e Con~om S~te ~nse Boa~. D ~o~er me~ was us~ as allo~ by ~e Ci~ of Bakemfield ~ce of Environmen~l SeWi~s~ Iden~ meth~: . III. TANK OWNER/AGENT SIGNATURE , UNDERGROUND STORAGE TANK PER~IT APpUCATI ~. FOR~ A ·, .. ~ I .' MAR'KON,.. 1 NEW PERM'T ~ 3 RENEWAL PERMIT . ~- 5 CHANGE OF,INFORMATION ~' 7 PERMANENTLY C~OSED SITE ONE ITEM '~. ~ 2 INTERIM PERMIT ~' 4 AMENDED PERMIT ~ ~ 6 TEMPORAR~ SI~E CLOSURE I. FAcILITY/SITE INFORMATION & ADDRESS' (MUST BE coMpLETED) ADDRESS NEAREST CROSS STREET P~CE~ (O~IONAL) . Cl~.~ NAME. ~~.~~_ . ~ ~ STATEcA ZIP. ~ '~ ~ ~CODE SiTE PHONE ~ WITH,, AREA CODE ~ BOX ~C TOINDICATE OR.RAT)ON ~ iNDIVIDUAL ~ ~ARTNERSHIP ~ LOCAL-AGENCY ~ COU~Y-AGENCY. , ~ STATE-AGENCY ~ FEDE~L-AGENCY DISTRICTS ' ) "/ ~PE OF BUSINESS ~ 1 GASSTATiON ~ 2 DiSTRiBUTOR I .~ ~ 'F INDIAN '~ OF TANKS AT SITE I E.P.A. ',D.~tidal)RESERVATION,; . EMERGENCY CONTACT PERSON '(PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY)- optional DAYS: NAME (LAST, FIRSt: . PHONE ~ WITH AREA CODE ~ DAYS: NAME (LAST, FIRS~ NIGHTS: ~AME (LAST, FIRS~ ~HONE ~ WI~H AR~A CODE NIGHTS: NAME(LAST FIRST) II. PROPERTY OWNER INFORMATION. (MUST BE COMPLETED) NAME ~ ~ CARE O~ ADDRESS iNFORMATION ~~ ~ ~x ~ indicate ~ INDIVIDUAL MAILING OR STREET ADDRESS ~' LOCAL-AGENCY ~ STATE-AGENCY Cl~ NAME ' .' STATE ZIP CODE PHONE ~ WffH AREA CODE III. TANK OWNER INFORMATION-(MUST BE COMPLETED) NAME OF OWNER : ' . CARE OF ADDRESS INFORMATION MAiLiNG OR STREET ADDRESS ~ ~x ~indicate ' ~ INDIVIDUAL ~ LOCAL-AGENCY ~ ~Z~ ~0~0~ ~ ~ ~COR~RATiON ' ~ PARTNERSHIP ~ COUmY-AGENCY ~ FEOE~UAGENCY CI~ NAME STATE ZIP CODE ~ PHONE ~ WiTH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 323-9555 if questions arise. V. PETROLEUM UST FINANOIAL RESPONSIBILITY- (MUST BE OOMPLETED)-'IDENTIFY THE METHOD(S) USED / ~x~indicate ~1 SELF-INSURED - ~ 2 GUARA~EE ~ 3 INSURANCE · ' ~ 4 SURETY ~ .5 LE~E~ OF CREDIT ~ 6 ~EMPTION ~ ~ OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to lhe tank owner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: L ~ I1.~ IlL ~ THIS FORM HAS'BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE B~ST OF MY KNOWLEDGE, IS TRUE AND CORRECT "LbCAL AGEN~ USE ONL~ ' -~) ~ CENSUS TRACT' ~~N, [~00[:717~ LOCATION CODE - OPTIQNAL - OPTIONAL '.' SUPViSOR - DISTRICT CODE.- OPTIONAL ~ THIS FORM'MUST BE ACCOMPANIED BY.AT LEAST (i) OR MORE pERMIT APPLICATION - FORM B, UNLESS THIS IS A CHANGE OF SEE INFORMATION ONLY. FORM A (5-91)- ' : FOR0033A-5 · ' ' -~ ~' STATE OF CALIFORNIA · - S~ATE WATER RESOURCES CONTROL BOARD IL/ ~'~ ~ ~ ~9~~~ uNDERGROUND STORAGE TANK PERMIT APPLICAtiON -.FORM B '. . ~~~J~ ~ COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ~ 1 NEW PERMIT [~ 3 RENEWAL PERMIT [] '5 CHANGE OF INFOrMATiON [~ 7 PERMANENTLY CLOSED ON SITE ONE ITEM'~' 2 *iNTERIM PERI'liT I:~ ;4 AMENDED PERMIT [] 6 T~MPORARY TANK CLOSURE [] 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANKis'INSTALLED://~',E'~/~..,~,,J' ,,'P~,~_,<c" "-~'";Z.~' ~,,"~Z.,~)J~zE <~ ST- ,~,~.~'/~%,~",,'.ZCZ../-~ ~-..,,~, I. TANK.DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN · A. O.WNER'S TANK I.D.# ~ ~). B. MANUFACTURED BY: . ,~'~,,~ . C. DATE INSTALLED(MO/DAY/YEAR) ~-.,,,~,1~ -- ?.~ ' D. TANK CAPACITY IN GALLONS:. '~O. ,I. TANK CONTENTS IF A-1 I~ MARKED; COMPLETE ITEM C. A. [] ~ MOTOR VEhiCLE FUEL :[].,, O,L B. C. [] "" REGULAR " ~.[;~,? D'ESEL [] ~ ^V,AT,ONGAS '. UNLEADED [] , GASA'O~ ' .[~,,~ PETROLEUM.. [] ~0 EMPTY [] ~ PRODUCT [] ~PREM,~MuNLEA~ED [] ~ UETFUEL. [] ~ M~THANO~ [] 3 CHEMIC~.LPRODUCT ' [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW 9. ~F (A.~ tS NOT MARKED. ~NTER NAME OF SUBSTANCE.STORED . C.A.S. #: II1. TANK CONSTRucTION MARK ONE ~TEM ONLY IN aOXES A. B. ANDC. ANDALLTHATAPPUESIN'BOXD A. TYPEOF ~[. 1 DOUBLE WALL· [] 3 SINGLE WALL WITH EXTERIOR LINER [] 9~ uNKNowN SYSTEM' [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK)- [] 99 OTHER ~.~ B. TANK [] ~' BAREsTEEL [] 2 STAINLESS STEEL [] 3 FIB'ERGLASS ,~ 4 STEEL CLAD W/FIBERGLASS REINFORcED PLAsTIC MATERIAL [] 5 CONCRETE . [] 6 PO'LYVINYL CHLORIDE [] 7 ALuMINuM [] 8 100% METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] .95 UNKNOWN [] 9b OTHER [] ~ "UMBER U"EO [] 2 ALKYD LINING [] ~ EPOXY UN~NG [] ,~ PHENOLIC UN'NB Ci INTERIOR [] 5' GLAss LINING ~. 6 UNLINED [---I' 95 UNKNOWN' [] 99 OTHER LINING ' · · ~s UN,NB MATErnAL COMPATIBLE W~TF~ ~00°~o METHANOL ? YES NO__ D CORROSION .[] ~ POLYETHYLEN;' WRAF; [] 2 COATING ' .'-':' [] 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC . PROTECTION [] 5 CATHODIC'pROTECTION [] 91 NONE .[] 95 UNKNOWN. [] 99: OTHER V. PIPING INFORMATION CIRCLE A iF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1' SUCTION' '~ 2 PRESSURE A U 3 GRAVITY A U 99 OTHER 'B. CONSTRUCTION A U 1 SINGLE WALL ,t~ 2 DOUBL.E WALL A'U 3 LINED TRENCH A U' 95 UNKNOWN A 'U 99 OTHER C. MATERIAL AND A U I BARE STEEL ' A U-2' STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)~ FIBERGLASS PiPE CORROSION A U 5 ALUMINUM . A-,U 6 CONCRETE A.U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U ,9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION ' A I,,I 95 UNKNOWN A U 99 OTHER 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING ~3 INTERSTITIAL D. LEAK DETECTION MONITORING ~ 99 OTHER V. TANK LEAK. DETECTION I J~:] 1 VSUA. L. CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPORMONITOR[NG~4 AUTOMATIC T~-NK GAUGING [] 5 G'RouND WATER MONITORINGI [] 6 TANK TESTING ~,7 INTERSTtTIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED'DATE L,~ST USED (MO/DAY/YR) 2. ESTIMATED.QUANTITY OF 3. WAS TANK FILLED WITH YES' [] NO [] ,,,,,~"/,,,~ SUBSTANCE REMAINING GALLONS INERT MATERIAL ? · THIs FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO'THE BEST OF My KNOWLEDGE, IS TRUE AND CORRECT LOCAL AGENCY USE ONLY THE ;T;TE I.D. NUMBER J~ C'OMPOSEI~'TH~ FOUR NUMBERS BELOW ' COUNTY # JURISDICTION # 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, UNLESS A CURRENT FORM A HAS BEEN FILED. . FOROO34B-R4 ~-' '.UNDERGROUNDSTORAGE TANK PERMIT APPLICl )NJLI ORM 199Z 'COMPLETE A SEPARATE FORM FOR EACH TANK SYSTE ~_ ...,'~,I -- MARK ONLY ~ 1 NEW PERMIT E~. 3 RENEWAL PERMIT , ~ 5 CHANGE OF INFORMATION ' ~. 7 PERMANENTLY'CLOSED ON SITE ONEITEM; '-2 INTERIM PERMIT ~ 4 ~ENDED PERMIT ~ 6'TEMPORARY-TANK CLOSURE "~ 8 TANK.~EMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: ~. ~ ~/~ ~ ~~'~ ~ ~ ~~ ~/~/~' ' ~. E;TANK DESCRIPTION COMPLETE ALL ITEM~ -~' SPECIFY IF UNKNOWN , ' ' C. DATE INSTALLED (MO/DAYNEAR) ~ ~ ~ G, --~ D. TANK CAPACI~ IN GALLONS: II.TANKCONTE~S IFA.llSMARKED,COMPLETEITEMc.' " ' ' ' "' . ~ la REGULAR ~ 3 DIESEL ~ 6 AVIATION GAS A.. ~ .1 MOTOR VEHICLE FUEL ~ 4 OIL' B. · C. ~ ~ UNLEADED ~'4 GASAHOL ~ 2 PETROLEUM ~ 80. EMPW ' ~ 1 PRODUCT ~ lbPREMIUMuNLEADED ~' 5 JETFUEL ~ 7 METHANOL ~ 3 CHEMICAL PRODUCT ~ 95 UNKNOWN ~ 2 WASTE ~ 2 L~DED ~ 99'OTHER (DESCRIBE IN ITEM'D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF.SUBSTANCE STORE~ C.A.S. ~: III. TANK coNsTRUCTION ' ' MARK ONE 'ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX D A. ~PE OF ~ 1 DOUBLE.W~LL ~'= 3';SINGLE WALL WITH E~ER~OR LINER : ~ 95 uNKNowN SYSTEM' -~ 2 SINGLE WALL' ~ 4 SECONDARY CONTaiNMENT (VAUL~EDTAN~ ~ 99 OTHE~ ~ B. '~ANK ' ~' 1~ BARE STEEL ~ 2 STAINLESS ~TEEL ~ 3 ,FIBERGLASS ~ 4 STEEL CLAD'W/FIBERGLASS REINFORCED PLASTIC MATERIAL ~ 5 CONCRETE ~ 6 POLWlNYL CHLORIDE '~ 7 ALUMINUM "~ 8 1~/~ M~THANOL ~MPATIBLEW/FRP (PrimaryTank) ~ 9 BRONZE ~ 10 GALVANIZED.STEEL '~ 95 UNKNOWN ~ .99 OTHER . '" '~ 1 RUBBeR,LINED ~ 2 .AL~D LINING ' ~ 3 EPO~ LINING ~ 4 PHENOL~ LINING' C. INTERIOR ~ 5 GLAss LINING~ ~ 6 UNLINED ~ 95 UNKNOWN ~ ~ OTHER LINING ' IS LINING MATERIAL COMPATIBLE WITH 1~ METHANOL? YES ~ NO~ D. CORROSION. ~ 1 POLYETHYLENE WRAP ~ 2 COATING ~ 3"Vl~L WR~ . ~ 4' FIBERGL~ REINFORCED PLASTIC PROTECTION ~ 5 CATHODIC PROTECTION ~ 91 NONE ~ 95 uNKNOWN ~ 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BO~ IF APPLICABLE A. SYSTEMTYPE A U 1 'SUCTION ~ 2 PRESSURE A U 3'~RAVI~ A U 99 O~ER B. cONSTRUCTION A U 1 SINGLE WALL ~ 2 DOUBLE WALL A U' 3 LINED TRENCH. A U 95 UNKNOWN A U 99 OTHER C, MATERIAL AND. A U 1 BARE STEEL 'A U 2 STAINLESS STEEL A U 3 *POLWINYL CHLORIDE (PVC)~ 4 FIBERGLAS PIPE CORROSION A U 5 ALUMINUM ' A U 6 coNCRETE A U 7 STEEL W/ COATING A U 8 10~/. METHANOL COMPATJBLEW/FRP PROTECTION -A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION. A U 95 UNKNOWN 'A U 99' OTHER D. LEAK DETECTION ~ ~ AUTOMATIC LINE LEAK DETECTOR ' ~ 2 .LINE TIGHTNESS TESTING ~ INTERSTITIAL ~ MON~ORING ~ ~9 OTHER V, TANK LEAK DETECTION VI. TANK cLOSURE INFORMATION I 1..ESTIMATED DATE LAST USED (~O/DAY~R). . ~/~ 2. ESTIMATED QUANTI~ OFsuBSTANCE REMAINING GALLONS' 3' WAS TANK FILLED wlTHINERT MATERIAL ? YES ~ NO~ TH/S FORM HAS BEEN COMPLETED UNDER PENAL ~ OF. PERJURY:AND TO THE BE~T OF MY KNOWLEDGE, IS TRUE AND CORRECT LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSE~ / THE FOUR NUMBERS BELOW PERMIT NUMBER ~ PERMIT ~PPROVED.BY/D~TE PERMIT EXPIRATION D&TE FO~ ~ (~-~0) THI~'FO~ ~ST BE ~O~P~IE~ By ~ ~E~ff ~PBO~{ION - FOB~ ~, ~NLE88 ~ OHRRENT FOR~ ~ H~8 BEEN FILE~. - FORO~ .... STATE OF CALIFORNIA* " :'*' ' STATE WATER RESOURCES CONTROL BOARD~ ' . UNDERGROUND STORAGE TANK PERMIT. APPLII,,ATION-FORM'B . ~T;~~J COMPLETE A SEPARATE'FORM FOR ' ' ~~ EACH TANK SYSTEM. I. MARK ONLY ,~ 1 NEW PERMI]- [] :3-RENEWAL PERMIT' · [-~.5 CHANGE OF INFORMATION E~ 7 PERMANENTLYCLOSED ON S,TEI" _ ONEITEM. [] 2 INTERIM PERMIT" [-~ 4 AMENDED'PERMIT ,[----] 6 TEMPORARY TANK CLOSURE.- [] 8 TANK REMOVEDI DBAOR FACILITY NAME WHERE TANK IS INSTALLED: /~/'~'/'~,,~,J //'~<;:/<' ,.~.~.' ~0'/'./,-~/-~_:~ .~"7': '~:~/~..Z~/~'/~'~/~'/~'J-Z> I. TANK DESCRIPTION COMPLETE ALL ITEMS :- SPECIFY IF UNKNOWN : .~ · A. OWNER'S TANK I. D. # B. MANUFAC'I;URE'D BY:: ' . ~/~.. .. c. DATE ,NSTALLED MO, DAY EAR) D. '" II. TANK CONTE~S ~F A-1 IS MARKED, COMPLETE ITEM C. · UNLEADED ~ 5 JET FUEL . ~ 3 CHEMICAL PRODUCT ~ 95 uNKNowN ~ 2 WASTE ~ 2 L~DEO ~ 99 OTHER (DESCRIBE IN I~M D. BELOW) D. [F(A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED ~ ~/~ C.A.S.~: III, TANK CONSTRUCTIONMARK ONE ITEM ONLY IN BOXES A, B,ANDC, ANDALLTHATAPPLIESINBOXD A, TYPEOF ~ 1 DOU~E WALL ~ 3 SINGLE WALL WITH E~ERIOR LINER' ~'95 UNKNOWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY CONTAINMENT (VAULTEDTAN~ - ~ 99 OTHER' B. TANK ~ 1 aARESTEEL ~ 2 STA,NLESS STEEL ~ 3 FlaERGLASS ~ 4 STEELCLAD W/FISERGLASS RE,NFORCEOPLAST,C MATERIAL ~ 5 coNcRETE ~ 6 POLWlNYL CHLORIDE ~ 7 ALUMINUM, ~ 8 10~. METHANOL coMPATIBLEW/FRP (PrimaryTank) ~ 9 BRONZE ~ 10 GALVANIZED STEEL ~ 95 UNKNOWN ~ 99 O~ER ~ 1 RUBBER LINED ~ '2 AL~D LINING ~ 3 EPO~ LINING. ~ 4 PHENOL~ LINING · C. INTERIOR ~ 5 GLASS LINING ~ 6 UNLINED ~ 95 UNKNOWN ~ 99 O~ER LINING IS LINING MATERIAL COMPATIBLE WITH 10~ METHANOL ? YES~ NO~ D. CORROSION ~ 1 POLYETHYLENE WRAP .~ 2' cOATING ~ 3 VINYL WR~ ~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION ~ 5 CATHODIC PROTEcT[oN'~ 91 N~NE ~ 95 uNKNowN ~ 99 OTHER . IV. PIPING INFORMATION c~RCL~ A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION... ~ 2 PRESSURE A U 3 GRAVI~ 'A'U 99 OTHER B. cONSTRUCTION A U i SINGLE WALL 2 DOUBLE WALL ' A U 3 LINED TRENCH A U g5 bNKNOWN A U 99. OTHER:' C. MATERIAL AND . A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)~ FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A'U 8 lOm/. METHANOL COMpATIBLE~/FRP PROTECTION A U 9 GALvANIZED'STEEL 'A U 10 CATHODIC PRoTEcTION A U 95 UNKNOWN A U 99-OTHER D. 'LEAK DETECTION ~1 AUTOMATIC LINE, LEAK DETECTOR ~ 2 LINE TIGHTNESSTESTING ~3 MONEORINGINTERSTITIAL ~ 99 OTHER V. TANK LEAK DETECTION . ~ 6 TANK TESTING 7 INTERSTITIA[MONITORING ~ 91 NONE ~ 95 UNKNOWN ~ 9g OTHER VI. TANK CLOSURE INFORMATION I 1. ESTIMATED DATE LA~T USED (MO/DAY~R) 2. ESTIMATED QUANTI~ OF 3. WAS TANK FILLED WITH YES'~ NO~I ~ . , 'SUBSTANCE REMAINING GALLONS ' INERT MATERIAL ? THIS FORM HAS BEE~ COMPLETED ~NDER PENAL~ 0F PERJURY, AND TO THE BEST OF My KNOWLEDGE, IS TRUE AND CORRECT ' DATE . LOCAL AGENCY USE ONLY THE STATE I.D. HUMMER IS COMPOSED OF~UR/NUMBERS BELOW J COUN~ ~ JURISDICTION ~ FACILITY ~ TANK ~ STATEI.D.S' ~I 71. t I -I I FORM B (9-90) THIS FORM MUST BE AC~MP~IED.BY A PERM~ ~PMCATION · FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. · . FORO~B-~ · .. , ~ ~: - .. ' .. .* -/ STATE OF CALIFORNIA ~. " ' -' STATE WATER RESOURCES' CONTROL '* . CERT, F,CAT,ONOFCOrv1P[.,ANCF.' COMPLETE A SEPARATE FORM FOR EACH TANK sYsTEM / I. SITE LOCATION II. INSTALLATION (mark all that apply): . T he installer has been certified by the tank and piping manufacturers.. ~] The installation has been inspected and certified by a registered professional engineer.' The installation. has been inspected and approved by the implementing agency. All work listed on the manufacturer's installation ~hecklist has been Completed. The installation Contractor has been certified or licensed by the Contractors State License Board. [] Another method was used as allowed by the implementing agency. (Please specify.) III. OATH.. I certify that the information provided is true to the best of my belief andknowledge. Tank Owner/Agent,,~,/~/~..4/ .,/~o,¢.z.~' ~'o. Date PrintName ~ ~~ Phone Address ~R /~oZ ~ ~ % ~ ~ ~~s~/~L~ ~ ~ LOCAL AGENCY USE ONLy STATE COUNTY # JURISDICTION # FACILITY # TANK # FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 :' ' STATE OF CALIFORNIA · STATE WATER RESOURCES CONTROL BOARD' " UNDERGROUND STORAGE TANK PERMIT APPLICATION ~ FORM B · COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM; · ' MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT . [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ON SITE . ONE ITEM . [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT ' [] 6 TEMPORARY 'TANK CL~S. URE ~ TANK REMOVED DBA 0 R FACILITY NAME WHERE TANK IS' INSTALLED: ~"~/ ., I. TANK DEscRIPTION COMPLETE ALL iTEMS -- SPECIFY IF UNKNOWN . . . A. OWNER'S TANK I. D. # ~.~ " B,. MANUFACTURED BY: C, DATE.,INSTALLED (MO/DAY/YEAR) ~ D. TANK CAPACITOr. IN GALLONS ' · II. TANK CONTENTS ~F A-1 IS MARKED, COMPLETE ITEM C. ..... A.~MOTOR VEHICLE FUEl: [~4 OIL B. C. [] ,a,REGULAR, ~DIESEL , [] 6 AVlATIONG,~S UNLEADED L~ 4 GASAHOL '~. [] 2 PETROLEUM [] 80 EMPTY PRODUCT [].lbPREMIUMuNLEADED [] 5' JETFUEL' [] 7 METHANOL ' [] 3~CHEMICALPRODUCT [] 95 UNKNOWN WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW) p. IF (A,1) IS NOT MAR.KED, ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD ' A. TYPEOF ' [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH ExTERIOR'LINER' [] 95 UNKNOWN SYSTEM .~SINGLE WALI~ [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER · E~ARE STEEL' [] 2 STAINLE~SS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7' ~LUMINUM [] 8 100% METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] '.1 RUBBER'LiNED' [] 2 ALKYD LINING - [] ~ EPOXY LINING [] ~4 'PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING- 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING * IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES__ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING ,. [] ~3 *VINYL WRAP [] '4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION ~ NONE [] 95 .UNKNOWN* [] 99 OTHER IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND. BOTH I'FAPPLICABLE *' · A. SYSTEMTYPE * A U 1 SUCT. ION' ~ ~A~IA~ PRESSURE A U 3 GRAVITY · A U 99 OTHER B. CONSTRUCTION A ~ SINGLE WALL * A U 2 DOUBLE WALL A U. 3 LINED TRENCH ; A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND /~ BARESTEEL ~ A I.I 2 STAINLESS STEEL A U 3 POLYvINYL CHLORIDE(PVC)A U 4 FIBERGLASS. PIPE CORROSION A U 5 ALUMINUM A U .6 ~30NCRETE A U 7 STEEL W/ COATING A U 8 100% METH~.NOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A [I 10 CATHODIC PROTECTION A U 95 UNKNOWN A IJ 99 OTHER D. LEAK DETECTION· ~'~A--'~TOMATIOLINELEAKDETECTOR ~ LINE TIGHTNESS TESTING [---~ 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION ~ 6 ?ANK TESTING ,-~'[] 7 INTERSTITiAkMONITORING [] 91' NONE , '' [] 95 UNKNOWN [] gO OTHER VI. TAI~K CLOSURE INFORMATION'- ' . I 1. ESTiM~..~LA~,~.~DAY/YR, 2. ESTIMATED QUANTITY OFsuBSTANCE REMAINING ~S" WAS TANK FILLED WtTHiNERT MATERIAL ? YES [] I I 4' .., THIS FORM HAS BEEN cO,~/~PLETED UNDER PENALTY OF PEI~JURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT LOCAL AGENC~ ONLY THE STATE O NUMBER IS COMPOSED OFTHE FOUR NUMBERS BELOW I ~ cOUNT'~ # JURISDICTION # ' FACILITY # TANK # ...- STATEI.D.# .~ Iolz4/I . I I.dlSI 2 I.¢I. . PERM!T EXPIRATION DATE ~ PERMIT NUMBER PERMIT APPROVED BY/DATE. . FQRM B (9-90) · THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION- FORM A~, UNLESS A CURRENT FORM A HAS BEEN FILED. · ' . FOROO34B-R4 STATE OF CALIFORNIA .. ~'~*~3~:-~':'~" ~ . '* '. * STATE WATER RESOURCES CONTROL BOARD* UNDERGROUND STORAGE TANK PERMIT APPLICATION- FORM B -* ~ .. COUPLETE.A SEPARATE FORM FOR EACH.TANK SYSTEM.. , ' ~ · 'l MARK ONLY [] 1 NEW PERMIT *[~ 3 RENEWAL. ~ERMIT ~ 5 CHANGE OF INFORMATION ~ 7 PERMANENTL~ CLOSED ON SITE · ONE ITEM . ~' 2 tNTERIM PERMIT ' ~ 4 AMENDED PER~IT ~ 6 TEMPORARY T~NK CLOSURE ~ TANK~REMoVED * .' I; TANK DESCRIPTION COMPLETE ALE ITEMS --,SPECIFY IF UNKNOWN .... ' C. DATE ]NST~LLED(MO/DAY~EAR) ~ ~ * D. TANK CAPACI~ IN GALLONS: .. II. TANK CONTE~S IF A**I IS MARKED, COMPLETE ITEM C* ~ B. C. ~ la REGULAR ~ 3 DIESEL ~ '6 AVIATION GAS A. ~ 1~ MOTOR VEHICLE FUEL OIL~ ' ' ' " UNLEADED ' ~ 2 PETROLEUM, ~ e~ EMB~ PRODUCT ~, lb PREMIUM ~ 4 GASAHOL ., · ~ UNLEADED ~ 5 JETFUEL ',; ~ 7 METHANOL ~ 3 CHEMICAL PRODOCT ~ 95 UNKNOWN ~ 2 WASTE . ~ 2 LEADED.~, ~OTHER (DESCRIBE IN ITEM D. BELOW) · II1. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A BAND, C,~NDALLTHATAPPLIESINBOXD' ' ' .... A. TYPE OF "~ ' ~ DOUBLE WALL ;" ~ 3. S NGLE' WALL WITH E~ERIQR LINER · ~ '95 uNKNowN, '~ SYSTEM ~. SINGLE WALL' ~ 4. SECONDARY CONTAINMENT (VAUL~EDTAN~', ~ 99 OTHER ~ARESTEEL ~ 2 STAINLESS STEEL '~ 3 'FIBERGLASS' ~ 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC B. TANK ' MATERIAL ~ 5 CONCRETE ~ 6 POL~INYL CHLORIDE ~ 7 ALUMINUM ~ 8 IO~A METHANOL COMPATIBLEW/FRP (PrimaryTank) ~ 9 BRONZE ~ 10' GALVANIZED STEEL ~ 95 UNKNOWN ~ 99 OTHER O.'~NTERIOR ~ 5 GLASS L)NmNG~UNUNED ~ g~ UNKNOWN ~ gg OTHER LINING m~ LmN~NO MATEnlAL OOUPATm~L~ ~mlH lo~ U~T.ANOL ~ YE~ ~ D. CORROSION ~ 1 .POLYETHYLENE WRAp ~ 2 COATING ~ ~. 3 VINYL WR~ ~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION ~ 5 CATHODIC PROTECTION~ NONE' ~ 95 UNKNOWN~ ~ 99 O~ER '' IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BO~H IF APPLICABLE , A.' SYSTEM TYPE ~1 SUCTION A'U 2 PRESSURE '. A U 3 GRAVI~ A U' 99 OTHER B; CONSTRUCTION ~ SINGLE WALL' A U 2 DOUBLE WALL A U 3 ~INED TRENC~ A U 95 UNKNOWN.., A U 99 OTHER C. MATERIAL AND ' ~ BARE STEEL A U 2 sTAINLESS STEEL A U 3 POLYViNYL CHLORIDE(PVC)A. ~ 4 FIBERGLASS PiPE CORROSION' A U 5 ALUMINUM , A'U 6 ,CONCRETE A U 7 STEELW/COATING A U .8 10~/. ME~ANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHO~TECTION ,-A U 95 UNKNOWN A U 99 OTHER ~ ~2 LINE ~ ' MONEORING D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR TIGHTNESS TESTING ' ~ 3 INTERSTITIAL ~ 99 OTHER V.'TANK LEAK DETECTION / ~SUAL CHECK INVENTOR~ RECONCILIATION ~ 3, VAPOR MONITORING ~ 4 AuToMATIC TANK GAUGING ~: 5' GROUND WATER MONITORING I ~i6 ~AN~ TESTING ~ 7 ,NTERSTmTmALMON,TOmNG ~ ~, NONE , ~ ,5 UNKNOWN ~ 99 OTHER ' VL TANK CLOSURE INFORMATION THIS FORM HAS BEEN COMPLETED uNDER pENAL~ OF PERJURY, AND TO THE ~EST oF'My KNOWLEDGE, IS TRUE AND CORRECT · (PRINTED&SIGNATURE) / // // //~ _~ · - LOCAL FACILITY ~ TANK ~ - .PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE . ~o.~ ~ ~-~o~ - TH~s FOR~ MUST aE ~c~P~ED aY A PERM~ ~PU~'AT~ON- FORM ~, UNLESS A.CUR~ENT' FORM ~ HAS BEEN F~LED. : : .. FOR0~.~ :. . STATE OFCAUFORNIA STATE WATER RESOURCES coNTROL BOARD . . 'UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLET'E ~* SEPARATE FORM FOR MAe" TANK SYSTEM. MARK ONLY [] 1 NEW PERMIT 3 RENEWAL PERMIT [] 5 C~IANGE OF INFORMATION - .PERMANENTLY CLOSED'ON SiTE ONE ITEM '~' 2' INTERIM PERMIT . [~1 4~ AMENDED' PERMIT · ~ .~ TEMPORARY TANK CLOSURE· TANK REMOVED I. TANK DESCRIPTION ' COMPLETE AL~TEMS-- SPECIFY ~F ~N~N&WN C. BATE INSTALLED (MO/DAY.EAR) D. TANK CAPACI~. IN GALLONS: .' .* I1. ............. TANK cONTRaS ~FA*I IS MARKED, COMPLETE ITEM C~ A ~MOTOR VEHICLE FUEL ~ 4 ,OIL . '~'B. _ ~l'a REGULAR ~ 3 DIESEL ~, 2' PETROLEUM ~ 80 EMP~ ',~ROD~CT ~ UNLEADED ~ 6 AVIATION GAS . ' ~' ' ' . UNLEADED. '~ 5 JET FUEL ~ 3 CHEMICAL PRODUCT .~ 95 UNKNOWN ~ 2 WASTE ~ 2 LEADED , ~ 99 OTHER (DESCRIBE IN I~M O. BELOW D. IF (A.'I) 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 . [] 1 'DOUBLE WALL [~. 3'* SINGLE WALL'WITH' EXTERIOR LINER [] 95 U'~KNOWN SYSTEM* ~ SINGLE WALL . [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER .B'. TANK ~ BARE STEEL ~[] 2 STAINI'ESS STEEL [] 3 FIBERGLASS []_ 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL I ~ 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLEW?RP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95.UNKNOWN [] 99 OTHER . [] , ,'UBBER LINED 2 AL D L,N,NG [] 3 EPOX L,N,NG [] PHENOL,C L N,NG C. INTERIOR [] 5 GLASS LINING · .,~UNLINED - LINING [] 95 UNKNOWN [] 99 OTHER · IS LINING MATERIAL COMPATIBLE WITH 100"/,, METHANOL ? YES_ NO__ D/CORROSiON [] 1 POLYETHYLENE WRAP* []...~OATING E~ 3 VINYL WRAP ~ 4 FIBERGLASS R£~NFORCEO PLAS~-~.. PROTECTION [] 5 CATHODIC PROTECT~ON~]'~9~ NONE [] 95 UNKNOWN [] 99 OTHER IV. PIPING INFORMATION C~RCLE A IFABOVE'GRouNDoR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION.. ~ PRESSURE A U 3 GRAVITY J. U 99 OTHER B. CONSTRUCTION A(~), SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A. U 99 OTHER C. MATERIAL AND ~ BARESTEEL A U 2 STAINLESS STI~EL A U 3 POLYVINYL CHLORIDE(PVC)A U ~ FIBERGLASS PiPE CORROSION A U 5'ALUMINUM : A U "6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODI.CPROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [~,~,KOTOMATIC LINE LEAK DETECTORJ LiNE TIGHTNESS TESTING [] 3 INTERSTITIAL MOfl[TORING [--1 99 OTHER V. TANK LEAK DETECTION · [] 1 VISUAL CHECK ' ~ INVENTORY RECONCILIATION' [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING TEST,NG. ,NTERSTI IAL ON,TOR,NG [] NONE. . [] UNKNOWN [] OTHER THIS FORM HAS'BEEN COMPLETED UNDER pENAJ..7~/ OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS'TRUE AND CORRECT APPLICANT'S'NAME .// · "// · J' 'x'.~J ,,. ' ' . I DATE, Z ! _ ~ I . I ~~1/~, ~ ~1~~ . ~ ..... ~ // ~ / - I LOCAL AGEN~E ONLY ~E STATE lO, NUMBER ~S COUPO~HE FOUR NUMBERS BELOW .,. * ' ~ * COUNTY ~ JURISDICTION ~ P~,U,T ~UM~R ' ~ ,ERM,TAPPROVEO aY;DATE PERM,T ~xP,RAf~ON D~TE ' . .: FOR~ a (9-90) · THIS FORM MUST'BE Ac~MpANIED BY A PERMff~PLICATION · FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. " STATE OF CALIFORNIA . -".., UNDERGROUND STORAGE TANK PERMIT APPLICATION' FORM B -.: · - COMPLETE A SEPARATE'FORM FOR EACH TANK SYSTEM, MARKONLY · [] 1 NEW PERMIT [] 3 RENEWAL PE·RMIT [] 5 CHANGE OF ·INFORMATION [] 7 PERMANENTLY CLOSED ONSITEI 'ONE ITEM ' -E~ 2 IN;rERIM PERMIT . ~ 4 AMENDED PERMIT ' '1-"--I 6 TEMPORARY TANK CLOSURE ~ TANK REMOVED. DBA OR' FACILITY NAME WHERE TANK IS INSTALLED: .~,-~.~'~_,,~ ., TANK DESCRIPTION 'cOMPLETE ALL iTEMS -- SPECIFY IF UNKNOWN · A, OWNER'S TANK I. D. # ~ B. MANUFACTURED BY: 'C. DATE INSTALLED (MO/DAY/YEAR) t- D. TANK CAPACITY 'IN GALLONS: II. TANK CONTENTS IF A-1 IS MARKED, COMPLETE ITEM C. ·.· . .. A. []' 1 MOTOR VEHICLE FUEL' ~'"'3'"~OIL B. C. [] la REGULAR E~ 3 DIESEL. [] 6 AVIATION GAS' ~ . UNLEADED [] 4 GASAHOL []. 2 PETROLEUM [] 80 EMPTY [] I PRODUCT [],lbPREMIUMuNLEADED [] 5 JET FUEL [] 7 METHANOL: []' 3 CHE~tICAL.PRODUCT" [~] 95 UNKNOWN ~STE' . [] 2 LEADED [] 99 'OTHER (DESCRIBE IN ITEM D. BELOW D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBsTANcE §ToRED ' C.A.S. #: I1[ TANK CONSTRUCTION MARKONEITEMONLYINBOXE§A,B, ANDC. ANDALL'THATAP-PLIESINBOXD A. TYPEOF [~' 1 DOUBLE W/~LL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM ~NGLE WALL · [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER , RESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS ' [] 4 STEELCLAD W/FIBERGLASS REINFORCEDPLAS?'IC B. TANK MATERIAL [] 5 CONCRETE ,r~ 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLE W/FRP. (PrimaryTank) [] .9 BRONZE' [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] " [] 1 RUBBER'LINED 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING .C. INTERIOR [] 5 GLASS LINING ,,~""UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING M~TERIAL COMPATIBLE WITH 100°/o METHANOL ? YES_ NO__ O. CORROSION I--~ 1 POLYETHYLENE WRAP [] 2 COATING E~ 3 VINYL WRAP [] 4, FIBERGL~SS RE~N~ORCEO PLASTIC PROTECTION [] 5 CATHODIC PROTECTIO~NONE . [] 95 UNKNOWN ,' .['--~ 99 OTHER IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE -A U, 1 SUCTION A U 2 PRESSURE A~3~,, GRAVITY A U 99 OTHER B. CONSTRUCTION ~1 SINGLE WALL A U 2 DOUBLE,WALL A. U 3 LINED TRENCH A U 95 UNKNOWN ~, U 99 (~THER ,~'~1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVI~YL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE C. MATERIAL AND CORROSION ALUMINUM A U 6' CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PF~OTECTION A U 95 UNKNOWN A U 99 OTHER ' D. LEAK DETECTION I-~1. AUTOMATIC. LINE LEAK DETECTOR [] 2 LiNE TIGHTNESS TESTING I-~3 MONITORINGINTERSTITIAL ~ OTHEr_ _...~.~ V. TANK LEAK DETECTION UAL CHECK ' [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING ~,~6 TAI~K TESTING [] 7 INTERSTI:TIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION ' THIS FORM HAS BEEN CO,~fPLETED UNDER ~ENAL TY OF, PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLCANT'S NAME // // ~// f/J ' ' -- ' ' - DATE/ __ · ~ COUNTY # . JURISDICTION # FACILITY # TANK # STATE I.D.,','/¢.,. ~ I I' PERMIT NUMBER .- ' PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE. FORM B (9-90) -: THiS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION -FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. ' ' FOROO34B-R4 STATE OF. CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION- FORM A ' COMPLETE THIS FORM FOR EACH FACILrrY/SITE MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION ~'~'7 PERMANENTLY CLOSED SITE ONE ITEM "- [] 2 INTERIM PERMIT ' .[~ 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS- (MUST BE COMPLETED) ...BFAC~L~ NA~E.F) /~ N~E OF OPE RATOB .. _,_ . 7 AMEI - ZiPocDsTAE DE SITEPHONE,W,THABEACODE ~ v/ BOX TO INDICATE ~'~RPORATION [~ INDIVIDUAL r~ PARTNERSHIP -~ LOCAL-AGENCY ~ COUNTY-AGENCY [~ STATE-AGENCY [~ FEDERAL-AGENCY DISTRICTS 'I ~ RESERVATION [~ 3 FARM [~ 4 PROCESSOR .._[~"~OTHER OR TRUST LANDS I I EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY). optional DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONF # WITH ARFA NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE ~ WITH AREA II. PROPERTY OWNER INFORMATION- (MUST BE COMPLETED) II1. TANK OWNER INFORMATION- (MUST BE COMPLETED) MAILING OR STREET ADDRESS ~ box to indicate [---] INDIVIDUAL ~ LOCAL-AGENCY ~ STATE-AGI::NC¥ I---]'CORPORATION [~] PARTNERSHIP [~) COUNTY-AGENCY ~ FEDERAL-AGENCY CITY NAME STATE ZIP CODE PHONE # WITH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 323-9555 if questions arise. TY (TK) HQ° o 0 30 D' V. PETROLEUM UST FINANCIAL RESPONSIBILITY-(MUST BE COMPLETED)-IDENTIFY THE METHOD(S) USED I ,/ box toindicate .,,~..,~ 1 SELF-INSURED ~ 2 GUARANTEE [~ 3 INSURANCE ~4SURETYBOND [ r~ 5 LE~EROFCRED~T r~ 6 ~EMPT~ON r~ 9~ OT.ER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or Il is checked. I CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I. [] ill. [] ly THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT A~PLICANT"'~ NAME (pRINTED & SIGNATURE.~ ~3 ~ I APPLICANT'S TITLE DATE MONTH/DAY/YEAR LOCAL AGENCY US~--~)~ ~ ~,,- COUNTY # JURISDICTION # FACILITY # LOCaTiON CODE - o~rto~~ CENSUS TRACT # - o~rtoNat . SUP¥~SOR - D~ST~CT CODE - THIS FORM MUST BE ACCOMPANIED BY.AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (5-91) . FOR0033A-5 April 5, 2000 FIRE CHIEF Cai Mat RON FRAZE P.O. Box 22800 · ~MI.ISTRA~WE SERVICES Bakersfield, CA 93390 2101 'H' Street Bakersfield, CA 93301 VOICE {805) 326-3941 FAX (805) 395-1349 Dear Underground Tank Owner: SUPPRESSION SERVICES Your permit to operate the above mentioned fueling facility will expire on 2101 "H" street 8akersf~e~a. CA 933O1 June 30, 2000. However, in order for this office to renew your permit, VOICE (805) 325-3941 ' FAX (805) 395-1349 . 'updated forms A, B & C must be filled out and returned prior to the issuance of a new permit. PREVEN'I1ON SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 Please make arrangements to have the new forms A, B & C completed and FAX (805) 326-0576 returned to this office by May 15, 2000. For your convenience, I am ENVIRONMENTAL SERVICES enclosing all three forms which you may make copies of. Remember,' 1715 Chester Ave. forms B & C need to be filled out for each tank at your facility. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 Should you have any questions, please feel free to contact me at TRAJNING DIVISION (661) 326-3979. 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 Sincerely, FAX 1805) 399-5763 Steve Underwood, Inspector Office of Environmental Services SU/dlm Enclosure March 29, 2000 FIRE CHIEF Cai Mat RON FRAZE 529 Dolores ADM,U,S*.A*ntESEmqCES B_al2?s~_eld, CA 933~.0 Bakemfleld, CA 93301 VOICE (805) 326-3941 F~ (805) 395-1349 Dear Underground Tank Owner: SUPPRESSION SER~CES 2~0a "H' Strut Your pe~it to operate the above mentioned ~eling hcility will expire on 8akemfield. Ca 9330~ June 30, 2000. However, in order for this office to renew your pe~it, voice (805) F~ (805) 395-1~9 updated fo~s A, B & C must be filled out ~d returned prior to the issu~ce of a new pe~it. PR~ENTION 8ERVlCE8 1715 Chester Ave. Bakemfield, CA 93301 VOICE (805) 32~-3051 Please make a~gements to have the new fo~s A, B & C completed and F~ (808) 326-0578 returned to this office by May 15, 2000. For your convenience, I ~.w~oNaEm~ SE~WCtS enclosing all t~ee fo~s which you may m~e copies of. Remember, . 1715 Chester Ave. fo~S:B:~ C need to be filled out for each ta~ at your facility. Bakemfield, GA 93301 VOICE (805) 326-3979 F~ (~05) 32~-057a Should yoU have ~y questions, please feel free to contact me at ,~.~u~ mws~o~ (661) 326-3979. Bakemfield, CA 93308 VOICE (805) 3994697 Sincerelv:· F~ {805) 399-5763 Steve Unde~ood, Inspector Office of Environmental Se~ices .) March 29, 2000 Cai Mat 529 Dolores Bakersfield, CA 93305 · Dear Underground Tank Owner: Your permit to operate the above mentioned fueling facility will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B & C must be filled out and returned prior to the issUance of a new permit. Please make arrangements to have the new forms A, B & C completed and returned to this office by May 15, 2000. For your convenience, I am enclosing all three forms which you may make copies of. Remember, forms B & C need to be filled out for each tank at your facility. Should you have any questions, please feel free to contact me at (661) 326-3979. Sincerely, Steve Underwood, Inspector · Office of Environmental Services SU/dlm Enclosure A B C D Delores SI. TIS-2501-~ ,~ ~/4' Overhead Condiil F~el Retur~ Or ~i To ~,se T~ Probe~ ~ ~ 2' Sp~re~ - ~ _:: · . . ~ Super Va, Il JI : ~80' ~NeJ Service -3/¢ Dispenser ~fld, il [J Trusco Super Tanks --. ..... ., , X / X iA) 20.000 Gal Ion DiesiJ (Bi 5.000 Gal Ion Ne, Oil Component Descr ipl ion Peri Number Property Line (C) 1.000 Gal Ion Unlead Trusco $upervauJt I. Oo,ble Top Fi~i,9 - 2', ~/4' Concrele Encased Avove Ground Tank 2. Coupli,9- 2' ,h 4. Foot Vel., Double Poppet, 3/4' . ............. Op~ / 5. E,erge,c~ Vfll ...................... Horrisofl / 2~ LS , [e~der C~ble [ 6. ~e~ ........................... Op~ / g. 2' : l. Fill Cop ......................... Opg / 6~-TT. 4' ~tlOnQI : 8. Fill Adaptor ....................... Op~ / 6SS-T. 4' ' ' ' 9. Level ~ge ......................... Er~eger i lher~-~e, lype H-2 ~ 24-Character- Junction ~x~ Varnla9 ~ ~ ' Display ( J Vail ~ Po,co Series I10-~' - ~' Dia. Po,co lelerlighl ~,hole lilh ~ Iolerliqhl Hanhole Hamholes To Be I' 5 Gallon Box Sealed Ama Traffic Rated , : k~J Sealed A,d TrafJic Above Grade For -16' Die I10-10 ~ , ~., . ~ .... , ~. , SunP ~ ~nilor Syslea , ,, See Bet.TS)~ I~ A~r Dr~.~ ~ ~ ~ Amlor b 4 ~: b ~: - ~ ) Li,e~ ~ ; Ne,bury Park C~. gl320 ~Weatherproo[ S1roi, ~~/ 4~ Ju,clio, Bo, Wi~ ~ (805) 499-0429 EpoxyS~ e~ ' ~2-Wi. CaUe ~ ~ / jKern Rock Company I; Red.er I ~PA Spec. ~ Sepplied lith ~Epoxy s.~ e,, 52g Dolores ~t. Cable--~L~. 2. Die RiserJ'cti°" Box ' ; : ' DWG No. 295 I Rev. ' ' Scale. None Dra,n By B.J. Cannon ~ i Date:''Hay I. IgC2 ,, Checked-By _ ~ ' oPw o~-So Rev is ions ~ Ii F~II P~pe~ Dale D,nCkd This Or,in9 And Ail lm[or~tiofl Thereo~ is The Properly of K. E. C~rlis Co~slruclio~ And S~oll Not Be Copied Or Used Except For The P,rpose For Tru.sco 5.000 Gel Ion Bulk Oil Tank ~h I~ Is Exoresslv Furaished ' The Or,i,, (Nrliel Or Co~plete~ Shall Be Rem,ed To Sheet; Of ;, A B C D Scope Of Work' I. Inslall (I) 20.000 Oallon Diesel Trusco Tank I~slall (I) 5.000 Gallo~ Ne~ Oil Trusco Ta~k Po.ecg Series I10-~' Inslall (I)1,000 gallon Unleded Trusco Tank laterliqht~,hole ~a~holes ToBe I' -~' Dio. P~colalerliqhl ~a,holelilh Install (I) 5~ Gallon Waste Oil Trusco Super Sealed A~d Traffic Abo~e Grade For S ~110~ Boxes Sealed Aed Traffic Rated _ 16' Dia 110-16 ~ lalerliqhl ~,hole Vault Aboveground Tank Rated later Roll Of 4' O~ 116 Cap Sealed A~d Traffic Tank I ns t a la I ion Not es: j (~ Pks.)] (2 Plcs.)- ~ Rated , , _ ~" ~ A. Tank To be Tesled Before Installing Per Hfq. . ~ j~/ . Around Tanks To Free Area Of Voi ~Oel.-HJ- ,. . ~~ ' ~ B. Tank Lay-Oul Typical Exteraal TLS-2~I Sump . ~ J ~/4Hp. R,d JoCL,t ~- ' ~-' C. All BIk. Pipe Exposed To Soil To Be Tape Wraped. f /~~ % s-2~, D. Hah,ay To Be Sealed. ~ Label ,onitor {2 P~cs. /'~ ) . ' rbi,e (2 Plcs.} -- ~ I A, nJlar Honitor Pri,ary T~mk Thlcbeis I ~ PiDina Instalal io~ Notes' Dole Hbdoct~rd 42' bio. S~ j J ' ~ ' Li~e (Typ.) ~ : J B. Secondary Pipinq Will Be 3' Total Containment ~ ~ ~ ~j ~ ~~/~~~,,,,~ 3. Furnish And Install (I)40' Service Islands iI / Complete With Air & Water Reels. / .." 4. Furnish And Install (I) Bennett Commercial Single ~ : ~s~-m-o~ _ Product Dual Hose Dispensers Wilh Related ~Tube--- ~Di spenser Hard,are ~ S~,l hi,o~x ~ 5. Fur~ish And Inslali (I)Bennell Commercial Single ~ ~ T,,~ Product Si glo Hose Dis e~ser. ' ~ (4)P4' ~ : 6. Furnish An InslalJ Steel Concrete Filled 2 : Bu,per Posts At The Ends Of Each Of The Islands. F.~.P. ~ o~e~-So 7 Install TLS 2501 Honilorinq Ststym Secodar~ : Fill PIpe~ ' T,~ ~~ 8. Backfill And Co~pact Trenches Wiih Sand. .... 4s~ g. Test Tanks As Required Prior To Operalion. , , ~ / ..... I ~ . I0. All Piping Shall Slope Per Fool Back ~L No. " i,000 Gallon Trusco. ~uper TankNom. Capacity:. 1,000 gallons Lifiinq .Weiqhl g.'149'~ Lbs Trusco 1,000 Gallon Unleaded Tank 'T'a~k T~ickn~ss. .25 In. ~.R...P..Thickness' 200.Hils No,. S ~ Io ~ xes Seel~ ~td Traffic Rated/ Seald And Traffic Aboye Grade For ~ ~ -16' ~Ja 110-16 ~ Rated~ Water Roll Of / 4' OPW IIG Cap ~ Waterliqhf Haahale (See Del .-H)- 3/4 Hp Red Jackel ~ ' ~~1 ~ ~ ~z nxn ~ve~ r~ex = IE. Riser (See Del. A) ' '12 Plcs) ~ ' = Priory Tank Thlck,eis J - i 3 Total ~llalalell Seco,dory Co~t. ( p.) : ' ......... oPl S3/~O~ Kern Rock Company - ~o,i~o~ x Bakers[ laid. Ca ~ To,kSleeJ Pri.ary',, ~,.~ : ,' ,,~ .......... Tank And Honilorin9 Details ' ~ DWG No. 295 j Rev. / ~ ~ Scale None Dra~n By: B J Cannon ~ '~L FIllPlpe~ Date.~ay I. Igg2 Chec F.R.P,·~~~ Revisions Dw Ckd S.odarx : ' . ~ Dale n , ' , I / , Nom. Copacily: 20.000 Gall On Sco,,,,~,io~ And Shall ~t Be ~pied Or Used E,cepl For The P,rpose For Liftinq Weight' ~,J4~ + Lbs.. ~ich I~ Is Expressly F,rnished.' TheOra, iq ~d'A,y Copies Tan~ T~ick~ess' .25 in. IParfiel Or Coipletel Sbll Be Ref,rled To TGe O,er'O~ be,od. F.R.P. Thickness' ~00 Hils Nom. Sheet' A B C D Delores St. ' TIS-2SOIj-j Office : 3/4' Overhead Conduit I Office ' ',', To Po~er Unil ~ 3/4' Overhead ~ndeif F~el Relura Or · illena~ce ' 8uildi,9 :', i L~ped ~l~eea ~tiloria9 Poials I ~ j ~G~I. Tr~sco i' ' ----, '~ ' " Super Vault 5 , ~Ne~ Service , ~ · 80' . Island i 3' Hin. i ,, ,.,, X / ,,. N / ,. ;(A) 20.000 Gallon Diesil Component Description Parl Number i(B) 5.000 Gallon Ne~ Oil ' ' Property Line __ ~ (C) i.O00 Gal Ion Unlead Trusco .Su. pervauit I. Double Tap Fi~fi,9 - 2'x .......... Concrete Encased A'vove Ground Tank 2. Co,p~i,9-2' .... I~ ~. Smcliol Pipe - ~/4' 4. F~t Valve. Double Poppet. ~/4' . ............. Op~ / [e~der Cable ,, ~ 6. ~ ........................... 07~ / 23. 2' ~ ~ I. Jill ~ ......................... 0p~ / 6~-H. 4' ~tlonal Printer. 8. Fill Adaptor ....................... Op~ /6~-T. 4' ' ' ~ ~. Level Gage ......................... Kr~eger i Theru-~,Se. Type H-2 VEEDER - RO0 T I I0. ~col Kit .... -T~-Llfle. ~ ' II~Am~LLa' ~umctzom~Zs8J ~:sJ:S~mORmAL P" ~ 24-Character- Junction Box ~q ' : '" Per-Line ~ ~ ~ ( , , i lalerliqhl Hanhole Haflholes To Be I' ~ ~' Dia. Po. eco lalerliqht Heahole With ' S Gallon Box Sealed Ama Traffic Raled "' ,. : · I I ~ Sealed A~d Traf[ic Above Grade For k ~16' Dia 110-16 ~ "~"~'~ '":~~': : " ~untlag Il Rated-- later Roll Of 4' O~ 116 Cap ilalerfiqht ~hole ~.~./~~_~ _. {~ Plcs.) {2 Plcs l-- Scold A,d Traffic Sieve ~ I ' q · ....~'~~ J , Rated L L r--.,..~ ..~....~ "' ~-..~: ~. , .... ' ' . .. ~.':' .:.- . .=C.-:. ~ I~dlcators~Buttons Buttons . ~~ ~.~. S TLS-2~I Tank Level ~ ~ · · ~' ~ , " -- ~" Sunp = ~,i lot SysteJ Sensor (See ~el.-H)- . S~llCh : ~ .... ' ) ~ TLS-2~I Su,p Air ~ ~ro~er Hodel 83~ ; ~TLS-2501 .. He, ilar 12 Plcs. jL~le' ~ ~ HeQiv D~Iv Air Drite~ --.~ ~ A~ulor ........ S~ Del. SJ~ J .' ~ Oil ~.p ' ~ 4'BI~. Riser ~ JSee gel. A) Hen~oJe Concrele SIQ~ ' HeA~ole 3/4' Cofldiif IT~p.)~~ ~ ~_ ~ _, ~Ll'FlexibleHigh_ - ~ - _ ~ i~ ~ ~ 2' A.O. Vent ~ Pressure hppty Lice , J~O0 Old Co~ejo Roo~ ury Par . L~,, ~ ' I Ne,b k Ca. 91320 ~ T J,,~io~ Bo, wi~ ::~/ ~ , J.c~,o, Box ~,~h : ~2' :' (805) ~ / 1/2' N~I. T~ds. " Top Bushi~ I ' ~Epox~ S,~ P,~ ~ L2-wi~ C~6~ ~ ~1 ' ,~', Kern Rock Com~en~ , i R,d.. ~PASp.. :: ~,p~,~ ~ '~d~f~ ~Epo,~S.~ P. ~ '~' 529 Dolores ~I. LeQder ' .To Probe ~ S~-~-O~ ' , ' Bakersfield Ca ~ ~ j rro~e ~P~ Spec, : ,i Coble--~ J~flctio~ 8ox ~ [ ;: ' ~ 2' OioRi,e~ ~ 'J Tank And Honilorin~ Delails ,l :~~ ' ' ' . ~ J [~' DWG No. 295 J Rev r. i :~, Scale. None Drain By. B.J. Cannon Date. 'Hay I. Igg2 Checked OPW 61-So , ~ ~ Fill P~pe : Revisions Dqte .D~n Ckd ~ I , 4 ,. 5 .......... 4:' LI This Bra,ia9 And All llforiQliol Thereol is The Properly of K. E. Clrlis Colslrucliol Amd Shell ~l Be Co~ied Or U~ed Elcepl For T~e Pmrpose For Trusco 5.000 6al Ion Bulk Oil Tank ~,~' I~ Is Expressl~ Furn,shed.' ' T.,ek Dr~.,q- ' Amd'Any Cop~.s IPorllol Or Co,plele) She,! Be Rellrmed To ~e Os~er On ~e,oJd. S~eel; A B C D .r~O Inslell {I) 5.000 Gallon Ne~ Oil Trusco Tank Po,ecoSeries 110-5~' ~ ~ Install (I)1.000 Gallon Unladed Trusco Tank leterliqht ~eahote Me,~oles ToBe I' ~ -~' Oie. P~coleterliqhl ~,holelii~ Inslaii (I) 500 Gallon Waste Oil Trusco Super Sealed R~d Trdlic Aba, Grade For 5 ~lloa Bo~e~ Sealed ~ed Traffic Rated _ I&' Die IlO-I& ~ lelerliqht Me,hole VQUll Aboveground Tank Poled Rater Roll Of 4' OPI Il& Cap Sealed R~d Trd[ic Tank Instalal ion Noles' (~Plcs.)~ 12Pic,.)- Rated A. Tank To be Tesled Before Inslalling Per , , .... - ..... , ~)-.'~. ~C .: ~_-.~ Req. Backfill To be Sand. Waler Jet Under And ,o. itor S~t, Around Tanks To Free Area Of Voids. (See Det.-,}-i ~ ~ ~~~~_ B. Tank Lay-Out Typical '~= ~--3/4Hp redJacJe, ] --~ C All Blkl Pipe E~posed To Soil To Be Tape Wraped .imcoTo,~ lic. g~ ~ ~ ~ ~ ~ ~ i 4'Bii. Ri,r ~.A) 2 InslaJ/Tank Pipin9 In Accordance Wilk SiDle And To6 No, i,l Co~oci~ ~ 3lq' Co,d,i~ (iyp. J~' 12 Plcs.) Local Pracl ices. Primary Teal T~;c~me~s ~ J . ~ III ~/ ~2' A.O. Smit~ Red Thd. Prod,cl Li~e ITyp.) ~ ~ipina InslaJal ion Notes' ~J ..... :Li. ':~~~~ ~__~ ~2' A.a. S, ithR~ thd. Vr Li,e ~ C Vapor re~ove?y 'ill,l)~e2'BennettA.O. S, ilh Red Thread ' ~ ~ ~ ~ ~ ~ ~ .: ~--~ J--~~' D. Vent Lines Will Be 2 A.O. Smith Read Thread. ~ ~ ~ ~ .~ ~ ~. Furnish And Install (I)40' Service Islands ~ Complete With Air & Water Reels. :. /il 4Furnish And Install Commercial Single ~ iJMoaitor :~ ~J ~-~-o~ao/Product Dual Hose Dispensers With Related ~ T,b, ~ [ ~ Dispenser Hard,are ~ ~ri.ary , : 5. Furnish And Instali (I)Bennett Commercial Single ~ j t,,k ' ~ Product Sinqle Hose Dis enser ~i G. Furnish An(Install (4)P4' Steel Concrete Filled 2 , I BuIper Posts At The Ends Of Each Of The Islands. F.r.P. i ,. on6~-So 7Insiall TLS 2501 Monilorinq Slstym Seco~darl ~ Fill PIpe~ ' T.~ ?.8. Backfill And CoJpacl Trenches WiTh Sand. ~ gTesl Tanks As Required Prior To Operation. F " '-, I0. All Pipi,9 Shall' Slope ~' Per Fool Back UL No. 4=,_ J L To Tank. 1,000 GalJon.Tru~co Super Tank No,. CaPaci.tv: " I.OgO'Gallons Li[.linq Weig~l' g,14~] ~ Lbs Trusco 1.000 Gallon Unleaded Tank ~ Tank T~.ickness' .25 tn. ~.R..P. Thickness' 200 ~.ils NDe. S~led Rid TrdJic 6bo~e Grade For -16' gia I10-1~ ~ (~ PIc~.) 12 Plcs. I-- : Sealed R~d Traffic See Oel S)~ ~, ' 2' HxK S~i.l Fh~ ~ 4' 81~. Ri~er Del. RI ~ Label ~ ~ * Dale HbHfoct~red ~42' Dia. Sl~p 2' A ., ,. ?-- ~~~ ~ 1400rypOld Conejo Road I ~ I o~s~-~-o~o , Kern roc~ Co~pa,~ ~ s2g Dolores --' ~,ilor Bakersfield. Ce ~ Steel Primary Tibe : , , Tonk And Non:it De,oils ~ ' -- ~ DWG No. 295 , J Rev. F~II e~pe~ Dale. Hay I, Igg2 Checke F.R.P. ' Revisions Date Din Ckd Secod~rl Teak . : . 45~ I ..... 20.000 gal Ion Trusco Suoer Tank UL No. Trusco 20.000 Gal Ion Diesel Tank T~i, o~o,i,~ ,,d ,~ ~,Jo~,~,o, T~ereo, i, T~ e~o~erty o~ ~. Nom. Ca aCitv· 20.000 Gallons ' P.. .: .. . Construction And Shall Not Be ~oied Or Used E~ceot For The hroose Liflinq We~~t' g.14g, Lb~~i~h It Is Expressl~ F,r,ished.' The Bra, i~q A,drA, j Copies There Of Tank J~Jck~ess:' g ' ' ........ . .25 J'~..IParlial Or Coqle~el Shall Be Rmraed To ~e O,er'O~ F.R.P, ~ickness' ~00 ~i Is Nom. Shem!' O[ .