Loading...
HomeMy WebLinkAboutUNDERGROUND TANK_: ~..~; _. - UNIFIED PROGRAM INSPECTION°CHECKLIST ~ _ . ._ ~, SECTION 1: Business Plan and Inventory Program ~+ Prevention Services a F R 5 .r , „ 900 Truxtun Ave., Suite. 210 F~eE Bakersfield, CA 93301 D ARTM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME N INSPEC Io E INSPECTION TIME ~ S~,~ L ~ ~ © ADDRESS PHONE NO. O OF E PLOYEES F 3 - Leo ~- ~ FACILITY CONTACT BUSINESS ID NUMBER 21 ~ 15-0 - ~jj? Section 1: Business Plan and Inventory Program ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance 'OPERATION V=Violation COMMENT S ^ APPROPRIATE PERMIT ON HAND BUSItIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL . ^ VERIFICATION OF MSDS AVAILABILITY ~Nr~ ^ VERIFICATION OF HAZ MAT TRAINING ZO~, ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~CNO EXPLAIN: QUESTION REGAR~NG,,~THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy B ess Site /Responsible Party (Please Print) Pink -Business Copy FD 2155 (Rev. 09/05 .~ INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: C~OSTt1Cd ~5~~~( B E R S F I L D F/li<E ARTM r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 INSPECTION DATE: g ~ Section 2: Underground Storage Tanks Program ^ Routine ^ Combined ^ Joint Agency ^ Multi-Agency ^ omplaint ^ Re-Inspection Type of Tank n(rJ FC~i Number of Tanks Type of Monitoring ~ ~ C~GtA Type of Piping ~Qt1}~-=' OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current ~~ ~ L Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank 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: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Aggregate Capacity Number of Tanks • siness Site Responsible Party Pink -Business Copy a~ i KBF-7335 FD 2156 (Rev. 09/05) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD! LINE TESTING I S6989 SECONDARY CONTAINMENT TESTING !TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT N0. d ~~~~1(~ P/RI parr r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., .Ste: 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ ENHANCED LEAK DETECTION ^ ^ SB-989 SECONDARY CONTAINMENT TESTING I-I TANK TI(;HTNFSS TEST :~' TO PERFORM FUEL MONITORING CERTIFICATION SITE INFO RMATION -, _ FACILITY ONE NUMBER OF CONTACT PERSON ~~~ ADDRESS ~ ~ \ d ~ 2 ~ O A J OWNERS NAME OPERATORS NAME PERMIT TO OPERATE N0. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK # V LUME CONT ENTS ff G 2 r.-ewt. - `~ 1 '3 ~ TANK:.,TESTING COMPANY NAME OF TESTI COMP NY ((/' ~ NAME ~ PHONE N BER F CONTACT PERSON MAILING ADDRESS C~ 3 g ro v~s / GT ' ~ d C~ 330 $' NAME 8 PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR c~ l~ - 8"~ 9l~ CERTIFICATION #: DATE 8 TIME TEST TO BE CONDUCTED ~~ ' t O m ICC #: TEST METHOD SIGNATURE OF APPLICANT - ~+~_ DATE ~ ~U /' APPROVED BY / DATE ~~' FD 2095 (Rev. 09/05) -- - - --- -- ~~s~ MONITORING SYSTEM CERTIFICATION For Use By Aii Jurisdictions Within the State of California Authority CitecPc Chapter 6 7, C~ealth and Safety Code; Chapter 16, Division 3, Trtie 23, California Code ofReguiations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be Aret?are for each Inonitorine system control panel by iE-te technician who performs. the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: C~~~c~a-3~ SN~I. Bldg. No.: Site Address: LfCD~~CrrDl2.fa QC`J• City: ~GAI[ JQ '~'r~,0 Zip: Q~"~ Facility Contact Person: E1~,Nt"a _ Contact Phone No.: ~,) Make/Modes. of Monitoring System: TL-S_~~j bate of Testing/Servicing: '`~ /~0/~~ B. Inventory of l;quipment Tested/Certified INSPECTOTt ON-STYE: YES NO NAME: Check the appropriate boxes to indicate specific~uipment inspected/serviced' Tank IU: ~~~~~ ~~- r#~ Tanlt ID,: [Z.>t:L^C~L~ £3~- #a -~ h,=T'atrk Gauging Probe. Model: A '~'!n-Tank Gauging Probe. Model: ~Nll~t.,~ -{~ Annular Space or Vault Sensor. Model: ~Attnular Space or Vault Sensor, Model: L~q '~ Piping Sump / "french Sensor(s). Model: ^P~-Piping Sump /Trench Sensor(s). Model: ~0S ~'-Fill Sump Sensor(s). Model. ~@$ $Flll Sump Sensor(s). Model: a®8 ^ Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: VEFDE2oL7rISaPls:r ^ Mechanical Line Leak Detector. Model: 'Electronic Line Leak Detector. Model: UE~ld[(2r~0'T ^ Tank Overfill / liigh•Level Sensor. Model: ^ Tank Overfill/High-Level Sensor. Model: ^ Other s ecif a ui ment [ e and model in Section E on Pa e 2 . ^ Other (s ecif a ui ment pe and model in Section E on Pa a Z). Tank !D: ~.(~.tf1~ Q~ Tank ID: KJ~~rSE.t,~ -~ In-Tank Gauging Probe. Model: MAC ~`-In-Tank Gauging Probe. Model: O1(~ (~ '~ Annular Space or Vault Sensor. ModeL• ~t iDq ¢¢Annular Space or Vault Sensor. Model: ~~ '~' Piping Sump /Trench Sensor(s). Model: ~@~_ -~ Piping Sump /Trench Sensor(s). Model: o~~f3 {r~-Fill Sump Sensor(s). Modes: o?tD~ ~FIII Sump Sensor(s). Model: o~~,_ ^ i/techanical Line Leak Detector. ModeL ^ Mechanical Line Leak Detector. Model: 'f>~Eiecu-onic Line Leak Defector. Model: U~,~fZQ.OT Electronic Line Leak Detector. Model: U EEO£,tZt~o ^ Tank Overfill /High-Level Sensor. Model: ^ Tank Overfill /High-Level Sensor. Model: O Otlier (speciFy e quipment type and model in Section E on Page 2). ^ Other (specify equipment type and model in Section E on Page 2). r Dispenser ID: I ~ Dispenser [D: ~~~ ~` Dispenser Containment Sensor(s). ModeL ~E~1~2EaAU ,;Dispenser Containment Sensor(s). Model: sjj~A~FAta, `Shear Valve(s). ;Q-Shear Valve(s). ^Dis eraser Containment Floats and Chain(s). ^Dis eraser Containment Floats and Chains . Dispenser Ill: ~( Cp Dispenser ID: ~( g ~ Dispenser Containment Sensor(s). Model: gEA~DQF1.~t/l ~• Dispenser Coniaimnent Sensor(s). Model: ~ ~ ~~ ~r "Shear Valve(s). , ~=Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s). ^Dis eraser Containment Floats and Chains . Dispenser 1D: Dispenser 1D: O Dispenser Containment Sensor(s). Mollel: ^ Dispenser Containment Sensor(s). Model: O Shear Valve(s). ^ S.hear Valve(s). ODispenser Containment Floats} and Chain(s). ^Dis eraser Containment Floats and Chain(s). *if the fiu:ility contains more tanks or dispensers, copy this form. include information for every tank and dispenser at the facility. C. CertlfiC1t10r1 - 1 certify that the equipment identified in this document was inspected/serviced fn accordance with the manufacturers' guidelines. Attached to this Certification is information {e.g. manufacturers' checklists) necessary to verify thabthis information Is correct and a Plot Plnn showing the layout of monitoring equipment. For any equipment capable of generating such reports, [have also attached a copy of the reptirt; (chec% nit that apply): system set-up ~^ Alarm history report "Technician Name (print): ~~_~~ Q~Q-~(~'t' Signature: G~z.-~3 ~---' Certii.ication 1\`0.: ~~~~ 1 License. No.: _S vZ(,af ~~(7 l..t~ Testing Company Name: RICH ENVTTZONMEN"1'AL Phone No.: ~ 661 ~ 392-8687 Site Address: ~-Im ~ ~C~~Q2Q 2~. 3Rte£IZ.SFy-~I,,Q ~ ~(, Date of Testing/Servieing: ~ /3f2 /~~ Page 1 oF3 03tD1 Monitoring System Certification ~ t~s 6~ D. Results oC Testing/Servicing Software Version Installed: { o~ ~ .~~ Com lete the t'ollowin checklist: '1~Yes ^ ° !s the audible alarrn operational? ~- Yes ^ o Is the visual alarm o erational? -Yes O ° Were all sensors visually ins ected, functionally tested, and confin-ned o erational? Yes O ° Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? O Yes ^ ° If alarms are relayed to a relnote monitoring station, is all communications equipment (e.g. modem) ~ N/A operational? f;~-Yes ^ o For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment O N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check al! that apply) Sump/Trench Sensors; ^ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? -Yes; d No. O Yes ^ o For tank systems that utilize the monitoring system as the primary tank overfill warning device {i.e. no N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what ercent of tank capaci does the alarm trigger? ^ es -~ N o Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for al! re lacement arts in Section E, below. p es .)~ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) O Aroduct; D Water. If es, describe causes in Section E below. ~ Yes ^ o Was monitorin s stem set•u reviewed to ensure ro er settin s? Attach set u re orts, if a licable '~' Yes ^ o Is all monitoring equipment operational per manufacturer's specifications? . " Cn Section C below, describe how and Fvhen these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03101 ! ca5o Ss F. In-Tank Gauging /SIR Equipment: ~ Check this box if tank gauging is used only for inventory control. © Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. (`mm~lnto thn fnllnwino rhrrRlict~ ^ Yes ^ o Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ^ Yes O o Were all tank gauging probes visually inspected for damage and residue buildup? D Yes O ° Was accuracy of system product level readings tested? ^ Yes ^ o Was accuracy of system water level readings tested? ~ Yes ^ ° Were all probes reinstalled properly? ^ Yes ^ o Were ail items on the equipment manufacturer's maintenance checklist completed? ~ In the Section H, below, describe how and Fvtren these deficiencies.were or will be corrected. G. Line Leal: Detectors {LLD) Complete the followiuQ chec{<list: ^ Checl< this box if LLDs are not installed. '-Yes O Noy For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? O N/A (Check nl! ghat apply) Simulated leak rate: ~ g,p.h., ^ 0. I g.p.h , L7 0.2 g.p.h. ~' Yes ^ o Were all LLDs confirmed operational and accurate within regulatory requirements? ~ Yes ^ o Was the testing apparatus properly calibrated? ~ Yes O o For mechanical LLDs, does the LLD restrict product flow if it detects a leak? `l~ N!A ~ Yes ^ o For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? O N/A Yes ^ o .For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ^ N/A or disconnected? Yes ^ o For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ^ N/A or fails a test? '~ Yes ^ o For electronic LLDs, have aII accessible wiring connections been visually inspected? ^ N/A -Yes ^ o Were all items on the equipment manufacturer's maintenance checklist completed? u~ ure ~ecnorr n, oelow, aescr,oe now and when these ueticiencies were or will be corrected. H. Comments: Page 3 of 3 0)1!)1 t (~5~8 LG 163-1, Enc. II •Monitaring System Cerdffcation Form: Addendum for Vacuurnlpressure Interstitial Sensors Y. Results of VacuumlPressure Monitoring Equipment Testing This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this form must be included with the Monitoring System Certificatioii Form, which must be'~provided to the tank system owner/oporator. The owner/operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 30 days of test date. Model; System Type: Pressure; [,~ Vacuum Manufacturer: Sensor ID • Component(s) Monitored by this Sensor: Sensor Functionality Tesr Result ^ Pass; ^ Fail Interstitial Communication Test Result: ^ Pass; ^ Fail Compo:ent(s) Monitored by this Sensor: ° Sensor Functionality Test Result: Q Pass; ~ ^ Fail Interstitial Communication Test Result: ^ Pass; ^ Fair Componeat(s)Manitored by this Sensor: Sensor Functionality Test Result: ^ Pass; ^ Fail Interstitial Comnwnication Test Result: ^ Pass; ^ Fail Component(s) Monitored by Phis Sensor: Sensor Functionality Test Result; ^ Pass; ^ Fail Interstitial Ctin+TM+~*++~^+~nn TestResult; I] Pass; ^ Fail ' 'Component(s) Monitored by thin Sensor: Sensor Flrnctionality Test Result: ^ Pass; ~^ Fail I'nterstitia:! Commtrnicadon Test Results ^ Pass; ^ Fail Component(s) Monitored by this.Sensor: ' Sensor Functionality Test Result: ^ Pass; ^ Fail Interstitial Communication Test Result: ^ Pass; ^ Fail Component(s) Monitored by this Sensor: ' Sensor Functionality Test Result: ^ Pass; ^ Fail Interstitial Gotnmunicadon Tea! Result: j] Pass; ^ Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: ^ Fars; j] Fail • Interstitial Com~*+»++tcationTest Result: ^ Pass; ^ Fai! Component(s) Monitored by thlp Sensor: Sensor Functionality Test Result: ^ Pass; ^ Fail ' Intcratitta] Communcation Test Basalt: ,^ Pass; ^ Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: ^ Pass; ^ Fail Interstitial Communication TestResult: ^ Pass; ^ Fail How was interstitial communication verified? ' .^ I,ea]c Introduccd•atFar Fnd ofInterstitial Space;' ^ Gauge; ^ Visual Inspection; .^ Other (Describe /n Sec. J, below} Vacuum was restored to operating levels in a!i tnteratlttal spaces: ^ Yes ^ No (.(/'no, describe in Sec. J, below) J'. Continents: l~.1 (l~ ~ ~ . Page of ~ If lire sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at rho furthest point >pom the sensor, vacuura(pressurc has been demonstrated to be communicating throughout the interatiee. 656 Monitoring System Certification Site Addressa UST Moni Site Plan _ _ _ S Fzt.aS~tM ------- - - - - - - - - - - dr- V-~APO(2¢Dl~ - - - - - - - - - - --<f~-- -----~--- ~---- y~----------------------- -~1 -~ ::_- {~~- ~:~':-_ -Q______________~:~_:___::::__~ :n ----- 5---------------------- -- --- -------- --- ~ - - - - - - - - - - ' M - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------a ------------------~::: - ----------- - Date map was drawn: ~/~/®~- Ins' suctions 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 o5~00 I ~osQ,~s - 5 6~4 3 81ZQQ~S C',P B~.~ER3F:~ELD, CA. 93 ~ 0 8 i oFF'TC13 (66~.~ 3~2-AG$7 & P'.~C {6fi1,) 392T4621 ' M~Cti*nfvrr~J~T ~:F'mK DE'T'EG'~OR '3'EaT ~ w/o~: &'ao :f.l i ty Na.zzt~ ; GOSFS2 Q SH ~.~. :; Fac:l.li.~y Addx~esa: ~~~ Gd¢ 20 2Q. ~ :fl1~`~F~~.~_ i r Prgc;~uc~ Line Tie (a?raasuxe Suctiam, (3zavity) t i , PR(:JAI7CT LEAK DETECTOR T3'P~ `BEST '.'RIP P.~a~B~. s~aiz.rz, ~IUhtJ3.>rR BELOW PBI OR i L/A ~'XP~ yR-DG7f' ~7 c I s~R.z.A.L #~CtRA~zc l J FATLY ~ _. ' S~z2T.A.L #k~ccF~CT2f~.~.C ,gyp _~ I~j FATLY { r r ~ i - S.ERTAL ~ ~cECt-f7ANS C ~p FASL L/~ ~''S(')?F._____, YES PARS' sFRTA„L ~~.~ I30 FAZL.' i z c:extif~ the ahovF r.P3ts ware conducted on Ghis date aacoxding ~o Red .:rae)Get Pumps .fie.l~3 i_est appa.rar..us Cesti.ng zaxoceduxe az~ limitat~,ona. Th•=.: Meehanica]. Lea)t Detector Test pass / Pail is determined by using a lt~'fi flaw thzesho).rl r_ra.p rate o:E 3 gallon Pex hour Or ~eaS aC 10 ~$z. i s~cknowleage tzza.t a]. 1. data raJ.lecCed is trua Arad poxreot to the .be,vt of rrf~ knowledge . Tech:.-s~.~ ~Z~! Sigi~,s~ture: ___._ Date: ~~BC~/Qf~- !J .a~ i i j ~~sa~ SWRCB, January 006 Spill Bucket Tesfing Report Form ~7ris form is intended for use by contractors performing annual testing of I1S7'splTl containment structures •The completed form aird • printouts from.tesu rjapplicableJ, should be provided to the faciltty;nwner/operatorfor submittal.to the local regulatory agency. i llrr irm~ ri1TAYl1 iI TTn1V i. ~-•wa Facility Name: ~ Date a~Ttsting: ~ m~'- Faciliry Address: ~ `SCp - © Ff~2 - F ~- ~ . . Facility Contact: ~~ E o.l C~ Phone: Date Local Agarcy Was Notified of Testing : ~, ~ ~ ' Name of Local Agency Inspector (ifpresent during testtn$}: N {~ iw . ' 2. TESTING i ComvanvNamc:2if~-1 Ft.1r)i20o\1~MEN"~~- - --- - r .TechniciaaConductingTest: End Fc..T~i '.. Credentials : CSLB Contractor.. C Servic h. SWRCB Tank Tester. Other ( ee{fy) License Number(s): ~"~ Cn t ~- ~.f C~ u l _ - 3. SPILL BUCKET TESTING 1NP'ORM~TION Tech T~,(~ttinr~ TTc~fi• v sect-at~~~ Vacaium OtI1Ct Test Equipment Used: V ~ t,,~ f} L. l~uipmest~ Resolution: t~ Identify Spill Becket (ByTank Number, 3Yored Product, etc. 1 {~i-,,,t-cA2 '~ ~t 2 ~ ~2 3 -7v-n't- ~L 4 ~.t~ Bucket IpsWllation Type: D'u. ontained in S Direct tamed in S Direct B ntawed in D' in Sean Bucket Diameter: • ~ •, ~ •~ t Becket neptb: 1 a ~ ~ I ~ ~ ~ l a ~ ~ ~ ~ wait time etween applying vacuum/water and start of test: ~ M z. (~ ~Q~ A'l Z N 3Q) MT~1 ~ M ~N Test Start Time (T~: Q (~ 1; (~ ~ : Q InltIal Readtn$ (R~; ^ ~ O~ ~ ` ~ ~ '~ ~ a ' r Test End Time (TP): o? : ~ P oZ ~. c~ p a ; 4 a = Fina1 Reading (Rp): ( ''~ (off ~ r (a ' ~ ~ a ~ ~ 1 ~ ~ r Test Duration (TP - Tt}: (- HC~c.~i 2 ~ (-{ Q ~(Z I - D t.~•(Z (- ~-{ p u j~ Change in Reading (RF - Ril: ~' ~" Pass/Fail Threshold or Criteria: Comments - (include information on repairs made urior to testier, and recomme nded follou~un for failed tesLr'f • ` ' CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THYS TESTING I hereby certify that all the information contained in this report !s true, accurate; and us full compliance wish legal requirements. Technician's Signature:_ ~ ~ ~ Date: ~ ~ 3~ ~~~ ~ . -_....". State laws and regulations do not currently require testing to he performed by a gaalif:ed oontractbr. However, local rogc~ircmeuts maY be more s~ingeat. T 3:PREMIUM ARODUCT CODE 3 THERMAL COEFF :.00070D TANK DIAMETER : 92.00 TANK PROFILE 1 PT FULL VOL 9728 METER DATA NO 4050 GOSFORD RD. BAKERS..CA. 93309 7G84g396305001 APR 30. 2007 12:38 PM FUEL MANAGEMENT SETUP DELIVERY WARN DAYS: 0.0 FLOAT SIZE: 4.0 IN. AUTO PRINT: DI SABLED WATER WARNING 0.8 HIGH WATER LIMIT: 1.5 T 1: REGULAR-1 MAX Ok LABEL VOL: 9728 AVG SALES-SUN: 1842 GAL ' OVERFILL LIMIT 94i AVG SALES-MOH: 1809 GAL ` 9144 AVG SALES-TUE: 2151 GAL HIGH PRODUCT 98i AVG SALES-WED: 1857 GAL 9533 AVG SALES-THR: 2247 GAL DELIVERY LIMIT 14^ AVG SALES-FRI: 2340 GAL 1459 AVG SALES-SAT: 2116 GAL ' LOW PRODUCT 500 LEAK ALARM LIMIT: 3 SUDUEN LOSS LIMIT: 5U T 2: REGULAR-2 TANK TILT 2.19 AVG SALES-SUN: 1189 GAL PIANIFOLDED TANKS HVG SALES-MON: 1688 GAL Tir: NONE AVG GALES-TUE: 1341 GAL AVG SALES-WED: 1713 GAL LEAK MIfV FERIODIC: 0% AVG AVG SALES-THR: SALES-FRT. 1333 1772 GAL GAL 0 AVG SALES-BAT: 1266 GAL LEAK MIN ANNUAL 0% . 0 T 3 : PREhI I UM FERIODIC TEST TYPE AVG SALES-SUN: 752 GAL STANDARD AVG SALES-MOH: 688 GAL AVG SALES-TUE: 716 GAL ANNUAL TEST FAIL ALARM DIS ABLED AVG SALES-WED: 730 GAL AVG SALES-THR: 777 GAL AVG SALES-FRI: 942 GAL PERIODIC TEST FAIL AVG SALES-SAT: 763 GAL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED T 4: DIESEL ANN TEST AVERAGING: OFF AVG SALES-SUN: 45 GAL PER TEST AVERAGING: OFF AVG SALES-MOH: 219 GAL TAIJK TEST NOTIFY: OFF AVG AVG SALES-TUE: SALES-WED: 2DU 212 GAL GAL TNK TST SIPHON BREA K:OFF AVG AVG SALES-THR: SALES-FRI: !45 191 GAL GAL RECON WARN LIMIT: 0 AVG SALES-SAT: 85 GAL RECON ALM LIMIT: 1 DELIVERY DELAY 3 MIN PRESSURE LINE LEAK SETUP Q 1:REGULAR TYP:2.O.i3.O1N FIBERGLASS 2.OIN DIA LEN:200 FEET 3.pIN DIA LEN: 0 FEET 0.20 GPH TEST: REPETIT[V 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE 0 PSI T I:REG'ULAR-1 DISPENSE MODE: MANIFOLDED: ALTERNATE SENSOR: NON-VENTED PRESSURE OFFSET: O.OPSI R tp Sow 4:DIESEL RODUCT CODE 4 HER1`1AL COEFF :.000450 4NK DIAMETER 92.00 4NK PROFILE 1 PT FULL VOL 972t3 ETER DATA NO LOAT STZE: 4.0 1N. TER WARNING 1.0 1GH WATER LIh1IT: 2.0 4X OR LABEL VOL: 9728 JERFILL LIMIT 94% 9144 IGH PRODUCT 97% 9436 ELIVERY LIh11T 14% 1361 OW PRODUCT 500 EAK ALARM LIMIT: 3 UDUEN LOSS LIMIT: 50 ANK TILT 0.91 SN I FOLDED TAIJKS p: NONE EAK Ih J IV PER I OU 1 C : 0% 0 EAI. hl I N ANNUAL 0% 0 ERIODIC TEST TYPE STANDARD NNUAL TEST FAIL ALARIh DISABLED ERIODIC TEST FAlL ALARM DISABLED ROSS TEST FAIL ALARM DISABLED NN TEST AVERAGING: OFF ER TEST HVERAGING: OFF ANK TEST NOTIFY: OFF NK TST SIPHON BREAK:OFF ECON WARN LIh1IT: 0 RECON ALM LIMIT: 1 ELIVERY DELAY 3 MIN SYSTEM SETUP N_TAIVK SETUP- - - - - - APR 3D. 2007 12:38 PM ~ LAR-1 SYSTEM UNITS U.S. SYSTEM LHNGUAGE ENGLISH SYSTEM DATEiTIME FORMAT MON DD YYYY HH : MM : SS xI"I 127828 SHELL 121224 4050 GOSFORD RD. BAKERS..CA. 93309 7084439b3050U1 SHIFT TIME 1 5:00 AM SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED SHIFT BIR PRINTOUTS DISABLED DAILY HIR PRfNTOUTS DISABLED TICKETED DELIVERY ENABLED TC TICKETED DELIVERY DISABLED CLOSE DAY OF WEEK SUN GA1LY DLVY' VAR RPTS DISABLED WEEKLY DLVY VAR RPTS DISABLED PERIODIC DLVY VAR RPTS DISABLED DAILY HOOK VAR RPTS DISABLED WEEKLY BOOK VHR RPTS DISABLED PERIODIC BOOK VAR RPTS DISABLED DAILY VAR AIVALY A.PTS DISABLED WEEKLI' VHR ANHLY RPTS DISABLED PERIODIC VAR ANALY' RPTS DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PEk TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED I.REGU PRODUCT CODE 1 'HERMAL COEFF :.000700 'ANK DIAMETER 91 PT TANK PROFILE • FULL VOL 11b27 METER UHTA NU FLOAT SIZE: 4.0 ItJ. WATER WAR IV I NG 0.8 H1GH WATER LIMIT: 1.5 MAX OR LABEL VOL: 1195 OVERFILL LII.IIT 11045 H[GH PRODUCT 97% 11276 DELIVERY LIMIT • 7 1 44 LOW PRODUCT 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 3.75 TANK TILT MANIFOLDED TANKS Tq: 02 LEAK MIN PERIODIC: 00 LEAK MiN ANNUAL 00 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TA~I.ARMADTSABLED ' GROSS TEST FAIL ALARM DISABLED I .„.. ANN TEST AVERAG I I+IG : OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON HREAK:OFF T ~ : kt(iULH~-(~, So ~ PRODUCT CO E : THERMAL COEFF :.0007 TANK DIAMETER 92. TANK PROFILE 1 FULL VOL 97 METER DATA : NO FLOAT SIZE: 4,0 WATER WARNING 0 H 1 GH WATER L I hl I T: 1 MAX OR LABEL VUL: 97 OVERFILL LIM[T . 9 91 HIGH PRODUCT 9 95 DELIVERY LIMIT 1 14 LOW PRODUCT : 5 LEAK ALARM LIMIT: SUDDEN LOSS LIPIiT: TANK TILT '• tMANIFOLDED TANKS Td: D1 LEAK MIN PERIODIC: LEAK MIN ANNUAL PERIODIC TEST TYPE STANDA ANNUAL TEST FAIL ALARM DISAHL PERIODIC TEST FHIL ALARM DISAHL GROSS TEST FAIL ALARM DISAHL HNN TEST•AVERAGING: C PER TEST AVERAGING': C TANK TEST NGTlFY: C TNK TST SIPHON BREAK :C RECON WARN LIMIT: RECON ALM LIM[T: RECON WARN LIMIT: 0 DELIVERY DELAY 3 h RECON ALM LlM1T: 1 DELIVERY DELAY 3 Mitt/ I ~ A w A .-. ~ ~ a N a W ~1 + p d ..1 . t p I~ cal = tall z a d Q o ul A I F •• CJ A H ~ A ... N U C] c + LL • - LK LL q~ E a F H i _ W F ?• A i. A L L4 Z }• W + z •E-' SO K P Ca!]~`W ~O ~W tK H ~ J~ I7C •-• ¢ U ~ F U F ...J ¢ t a Q W tll i D w x E-• ttE•I~-7. I ~ ~~.p. n~ ~ ~ o d ] WWFW~ u ¢ t iZ [U~a = P. U CF 7 j cv ¢ w z Q ~° ~ F E ~ A .. R. C] A. F- a ~ to o` u. Wz ~A (n 05 W H O W U~d CQV OFG~ tFn ° ~ o ~ a u¢i ti ~a ~~ w.-. to aU tsd aA E» V Q W J ~~ cx ..~ ao ¢ O Ua1 ~ L4~ F F A Ca ~ .. Ix a o v a ~• ti ~ F - ...7 .°~a. "" wz ora ..mot w ~mQ Ulo at4 c~1 ~ (-. tl ~ ~ ~ Q ¢ X CWARE REVISION LEVEL iION 121.00 fWARE>t 346121-l00-A iTED - 00.11.15.13.23 )UULEt! 330!60-162-A 'EM FEATURES: :RIODIC IN-TANK TESTS JNUAL IN-TANK TESTS iLD R tEL MANAGER 10 AUTO 20 REPETITIV .D 10 AUTO 20 REPETITIV 1 2:PREMIUM 'YP:2.Oi3.01N FIBERGLASS '.DIN DIA LEN:200 FEET i.01N DiA LEN: 0 FEET i. 20 GPH TEST: REPETITIV ~ !0 GPH TEST: AUTO HUTDOWN RATE: 3.0 GPH OW PRESSURE SHUTOFF:NO OW PRESSURE 0 PSI 3:PREMIUM ISPENSE h10DE: STANDARD ENSOR : IVON-VENTED ~ESSURE OFFSET: O,OPSI 3 ..3 : D I ESEL fYP:2.0i3,0IN FJBERr,LASS ?.OIN DIA LEN:20D FEET 3.OIN DIA LEN: 0 FEET i,20 GPH TEST: REPETITIV 1.10 GPH TEST: AUTO iHUTDOWN RATE: 3.0 GPH .OW PRESSURE SHUTOFF:NO OW PRESSURE 0 PS1 4:DIESEL iSPENSE MODE: STANDHRD ENSOR: HIGH PRESSURE RRSSURE OFFSET: O.OPSI LIQUID SENSOR-SETUP- - - L 1:REGULAR-1 STP SUMP TRI-STATE (SINGLE FLOAT? CATEGORY STP SUMP L 2:REGULAR-2 STP SUMP CATEGORYE:(STPGSUMPLOAT) L 3:PREMIUM STP SUMP CATEGORYE:(STPGSUMPLOAT> L 4:UIESEL STP SUMP CATEGORYE:(STP~SUMPLOAT> L 5:REGULAR-1 FILL SUMP, TRI-STATE (SINGLE FLOAT> CATEGORY OTHER SENSORS L 6:REGULAR-2 FILL SUMP TRI-STATE (SINGLE FLOAT CATEGORY :OTHER SENSORS L ?:PREMIUM FILL SUMP TRt-STATE (SINGLE FLOAT) CATEGORY OTHER SENSORS L B:DIESEL FILL SUMP TRI-STATE (SINGLE FLOAT) CATEGORY OTHER SENSORS L 9:REGULAR-1 ANNULAR TRI-STATE (SINGLE FLOAT> CATEGORY ANNULAR SPACE LIO:REGULAR-2 ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY ANNULAR SPACE OMMUNICATIONS SETUP - - ORT SETTINGS: OMM HOARD 5 (RS-485) HAUD RATE 96U0 PARITY ODD STOP HIT 1 STOP DATA LENGTH: 7 DATA 5-23'~ SECURITY ODE ****~t* OMM HOARD 6 (S-SAT BAUD RATE 9600 PARITY ODD STOP HIT 1 STOP DATA LENGTH: 7 DATA 5-232 SECURITY ODE x~xxxx DTR NORMAL STATE: HIGH EC1=I VER SETUP ONE L11:PREMIUNJ ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY ANNULAR SPACE L12:DIESEL ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY ANNULAR SPACE OUTPUT-RELAY ~t,sur - _ _ R 1:REGULAR-2 STP CONTRL TYPE: PUMP CONTROL OUTPUT TANK >r : 2 !N-TANK ALARMS T 2:HIGH WATER ALARM T 2:LOW PRODUCT ALARM LIQUID SENSOR ALMS L t:FUEL ALARM L 2:FUEL ALARM L 1:SENSUR OUT ALARM L 2:SENSOR OUT ALARM L 1:SHORT ALARM L 2:SHORT ALARM FRESSURE LINE LEAK Q 1:GROSS LINE FAIL Q i:PLLD OPEN ALARM ALARM HISTORY REPORT -- SENSOR ALARM ----- LIO:REGULAR-2 ANNULAR ANNULAR SPACE FUEL ALARM APR 3G. 200? 2:11 Phl SENSOR OUT ALARNH DEC 29. 2005 9:37 AM SENSOR OUT ALARM DEC 28. 2005 9:34 AM LARM HISTORY REPORT ---- SENSOR ALARM ----- ~NNULARMSPACENNULAR 'DEL ALARM APR 30. 2007 2:19 Phl TENSOR OUT ALARM iEC 28. 2005 9:37 AM TENSOR UUT ALARM :EC 26. 2005 9 _3a..HM ALARM HISTORY REPORT -- SENSOR ALARM ---" L12:DIESEL ANNULAR ANNULAR SPACE FUEL ALARM 2 ; 10 Pf 1 APR 30. 2007 D~rSpg,02005 A9M38 AM SENSOR OUT ALARNI DEC 28. 2005 g:3A AM Q 1 : REGULA)~ ~ J ~ IN-TANK ALARMS T 1:HIGH WATER ALARM T 1:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 1:FUEL ALARM L 2:FUEL ALARM L 1:SENSOR OUT ALARNI L 2:SENSOR OUT ALARM L I:SHORT ALARM L 2:SHORT ALARM PRESSURE LINE LEAK Q 1:PLLD OPEN ALARM Q 2:PREMIUM ' IN-TANK ALARMS T 3:HIGH WATER ALAkIM T 3:LOW PRODUCT ALARM LIQUID SENSOR HLMS L 3:FUEL ALARM L 3:SENSOR OUT ALARM L 3:SHORT ALARM PRESSURE LINE LEAK Q 2:PLLD OPEN ALARM Q 3:DIESEL IN-TANK ALARMS T 4:HIGH WATER ALARM T 4:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 4:FUEL ALARM L 4:sENSOR OUT ALARM L 4:SHORT ALARNI PRESSURE LINE LEAK (~ 3:PLLp OPEN ALARM • I,.1dW3 ddld }iN ?INE~.1. ~f3.L36J ~1;~fld .LO'I5 S i7Cn_ ' 0 :.1353 N01.L~H8I']NC ?l3.L Q~(HcTNd MOI,L~+SN3dW0? dW ~.73'THHS 1 Q : W2{b i.-IH.LNOW : 34 NO I .CH I `I I :~N003~f :? 1 QO 13 6~IN 00:5 :3W JNISO'IO 7sf .LdIHS O.L tI3'IHyS 1 O : 3W `?IJ I SO'7~ L't2 .1d 1 H5 OL 03 `H~iSI Q : 3W z E••• Q3'iHFiS t Q : 3W ° E- o ° JN I SO"EO its .Ld I HS OZ ~ ¢ p Q a o Q w o . t-• w a . -t ~ z x WH OO : Z ~: 3W o E-• a H,~ H~ .... z ~ a w DN I SO'IO 1~'I i dQ O I .LdWO.L ~~o rn HwEw-.w `x ~ ¢ z . E, a .. w ...-.. d ~ a f12 L4 F z x C i 3• W Z t-• a ~ ~ ~ ~ iII a U ° a .1 o U - '• - - . -. - - - - - - dfl.L35 NO I .Ld I'I.I ONOC a W ~ ~c,wn ` .a --• .1 -- U z o --xzxz~-. ¢w.- www~ . O o o--xw U ~ _ o o~ aaaoxnc~3[--~s--3~¢ HF~~ U}• c~a LINE LEAK LOCKOUT SETU . LL~UQ •t7UC7UC7W c~ ~c~Aac)u~caoooiwclC PKO ~ ~~ ~~ a _ _ _ LOCKOUT SCHEDULE ....i...cn t~•zE-•-- F'acnA ~ a.r.-t W~NE-.-~~• Sac¢••A[•••a•• ~ cx-}a~w •° Q~t-~aE-.az<„yzN x ~ o I t~i t,,,l_ o ~x ~ DAILY mwa. o¢ ¢nwtn¢m wow ix~, w~ • START T3hiE• DISABLED GT(lP T { fhF. : T~ S 9ABLE'~ _ARM HISTORY REPORT ---- SENSOR ALARNI ----- 3:PREMIUM STP SUMP i'P SUMP JEL ALARM >R 30. 2007 2:19 PM :fVSOR OUT ALARM :G 28. 2005 9:36 Ahl :NSOk OUT ALARh) :C 28. 2005 9:34 AM ALARM HISTORY REPORT ---- SENSOR ALARM ------ Q 1:REGULAR PLLU SHUTDOWN ALARM APR 30. 2007 3:46 Phl GROSS LINE FAIL APR 30. 2007 3:46 PM PLLD SHUTDOWIV ALARM APR 30. 2007 2:18 PM _ARM HISTORY REPORT ---- SENSOR ALARM ----- 4:DIESEL STP SUMP fP SUMP JEL ALARM ~R 30. 2007 2:10 PM ?N50R OUT ALARM :C 28, 2005 9:36 AM '_NSOR OUT ALARM :C Z8. 2005 9:34 HIH .,ARhI H f STORY REPORT PLLU SHUTDOWN ALARM APR 30. 2007 2:12 Phl PLLD SHUTDOWN ALARM MAY 12. 2006 8:50 AM GROSS LINE FAIL MAY ! 2. 2D06 8:50 AI'1 PLLD SHUTDOWN ALARM MAY 1. 2006 5:a7 PM - -- SENSOR ALARM ----- 5:REGULAR-1 FILL SUMP CHER SENSORS JEL ALARM ~R 30. 2007 2:18 PM GROSS LINE FHIL MAY 1. 2006 5:47 PM PLLD SHUTDOWN ALARM :NSOR OUT ALARM DEC 28. 2005 9:36 Ahl ?C 28. 2005 9:36 AM .NSOR OUT ALARMI PLLD SHUTDOWN ALARM ?G 28. 2005 9:34 AM AEC 28. 2005 9:34 AM LARM HISTORY REPORT - -- SENSOR ALARM ----- 6:REGULAR-2 FILL SUMP I'HER SENSORS UEL ALARM PR 30. 2007 2:13 PM ENSOR OUT ALARhI =C 28. 2005 9:36 AM 3NSOR OUT ALARM C 28. ?n05 s:~...~M. ..._._. .ARM HISTORY REPORT - -- SENSOR ALARM ----- 7:PREMIUM FILL SUMP THER SENSORS UEL ALARM PR 30. 2007 2:16 Pht ENSOR OUT ALARM EG 28. 2005 9:36 AM ENSOR OUT ALARM EC 28. 2005 9:34 AI°{ LARM HISTORY REPORT B:DIESELOFILLASUMP - fHEk SENSORS JEL ALARM ~R 30. 2007 2:06 PM ?NSOR OUT ALARM :C 28, 2005 s:36 Af°1 '~!~SOR OUT ALHRM ALARM H I STORY REPORT ----- SEN50R ALARM -- -- L 1:REGULAR-1 STP SUhiP STP SUMP FUEL ALARM APR 30. 2007 2:1R AM SENSOR OUT ALARM DEC 28. 2005 9:36 AM ALARhI . H..I• ~ PORT ----- SENSOR ALARM ----- G 3:DIESEL PLLD SHUTDOWN ALARh1 APR 30. 2007 4:33 Phl GROSS L I NI~ FA I L APR 30. 2007 4:33 PM PLLD SHUTDOWN ALHRM APR 30. 2007 2:10 PM PLLU SHUTDOWN ALARM DEC 28. 2005 8:56 AM GROSS LINE FAIL DEC 28. 2005 8:56 Ahi PLLD SHUTDOWN ALARM DEC 28. 2005 7:23 Ahl PLLD SHUTDOWN ALARM DEC 20, 20ti95 7:13 ANT GR~S L 1 NE FA I L DEC 20. 2005 7:13 AIH I~ ALHRM li l S'I'v1~1P~1' ---- IN-TANK ALARM -°- T 1:REGULAR-1 OVERFILL ALARM JUN 6. 2006 7:35 AM t°IAY 23. 200E 7:52 AM MAY 23. 2006 7:39 Ah1 HIGH PRODUCT HLARI~I JUN 6. 2006 7:49 AM MAY 23. 2006 7:43 AM APR 24. 2006 8:50 Ahl -INVALID FUEL LEVEL i. DEC 20. 2005 9:45 AM NOV 18. 2005 5:33 PM ~ OCT 4. 2005 2:58 Phl PROBE OUT SEP 23. 2005 10:19 AM SEP 23. 2005 10:08 AM ' DELIVERY NEEDED FEH 27. 2007 7:03 PM NOV 7. 2006 6:3t PM MAR 31. 2006 5:44 PM HLARIH HISTORY REPORT ---- IN-TANK ALARM ---- T 2:REGULAR-2 PLLU SHUTDOWN ALARM NOV 7. 2005 2:02 PM OVERFILL ALARM JUL !0. 2006 3:15 AM GROSS LINE FAIL MAY 23. 2006 7:38 AM fVOV 7. 2005 2:02 PM _. HIr,H PRODUCT ALARM _ 1AY 23. 2006 7:32 AM ALARM HISTORY kEPORT -- SENSOR ALARM ----- jELIVERY NEEDED 61-2: PREM I UM ' ~..iAR 26. 2006 6 : 57 PM ,PLLD SHUTDOWN ALARM IAR 17, 2006 4:01 PM I APk 30. 207 4:01 PM 1AR 2. 2006 5:46 PM GROSS LINE FAIL ALARM HISTORY REPORT APR 30. 2077 4:01 PM ____ IN-TANK ALARM - SENSOR GUT ALARM DEC 28, 2005 9:34 pLLD SHUTDOWN ALARM T 3:PREMIUM AM APR 30. 2007 2:19 PM . " - . ' ~.-_ .~ _ .' 1 NVAL I U FUEL LEVEL WH be:6 9002 '8z~ C3Q " SEP 10. 2006 9:40 F W2IH IH .LnO 2[OSN3S FUEL OUT WH 9>;:6 900 '8i; 03Q ' SEP 10. 2006 1:20 PM DELIVERY NEEDED W~{H Ib .LnO ~(OSN3S APR 9. 2007 7 : DD Wd dl:~ LOOZ 'OE ~(dH pECD2BHU2005N 9L36MAM MAR 30. 2007 6:43 w~H~Ir 7~na dWnS d.LS i. . ...:...._ .,.... . awns d,LS Z-2(H'InD3~:Z 'I ----- W~IH'iH ~lOSN3S ----- pLLD SHUTDOWN ALARM .ARM HISTORY. REPORT DEC 28. 2005 9:34 AM .Li:i0d3d h2l01.S 1 H WdH'1H --' I N-TANK ALARM ---- PLLD SHUTDOWN ALARM 4:DIESEL DEC 28. 2005 8:57 AM ALARM HISTORY REPORT :LIVERi' NEEDED '- SENSOR ALARM GROSS LINE FAIL .Y 27. 2006 8:55 AM ---__ L 9:REGULAR_I ANNULAR D£C 28. 2005 8:57 Ah1 ~R 30. 2006 6:52 AM R ANNULAR SPACE 23, 2006 1:34 PM FUEL ALARM APR 30, 2007 2:1 PLLD SHUTDOWN ALARM 8 PM DEC 28, 2005 7:27 AM SEN,S{3R OUT ALARM DEC 28. 2005 9:37 Ahi GFTI IP nOTG I~IGAnIS nlf: 1c~so~ MONITOR CERT: FAILURE REPORT SITE NAME • C~ O S~2f ~ S Ff E.I,L - DATE: u 13m f lD~ - ADDRESS• 4fh ~s ~,~ L~ 2L~ ~ TECHNICIAN:~xJ~..i b3~2T THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REPAIRS„ : NC7~ ~ LABOR• n1O~- PARTS;INTAIfLED: IV Qr.]~ NAME: TITLE: SIGNATURE: THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTlFYIrTG THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIIt THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMAN'TAL FOR ANY NEEDED RETESTING. TffiS ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES OR PENAI;TIES OCCURING FROM NON-COMPLIANCE. A COPY OF TffiS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR CONVIENENCE. . 1 Co5~~5 UNDERGROUND STORAGE TANKS ~ BAKERSFIELD FIRE DEPT ~~R~ ]prevention Services "°"°~""`~"""~"'~`~ ARTr T 900 Truxtun Ave., Ste. 210 APPLICATION :~~ Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING -? ~ Tel.: (661) 326-3979 ~ ,,~ / SB989 SECONDARY CONTAINMENT TESTING '.b~ Fax; (661) 852-2172 ( [~ ) !TANK TIGHTNESS TEST AND TO PERFORM \,`~-'~ FUEL MONITORING CERTIFICATION Page 1 Of 1 t'~LG ~ ,3C~ ~~'~ I - OO~ w, PERMff N0. ^ ENHANCED LEAK DETECTION 1~.,~INE-xESZINr ---^---- ^ S&989 SECONDARY CONTAINMENT TESTING --~~.` /~ `~1~ ~ orie~rn~nnni "~'~ L..c inrvn iwmwwo~coi ~..,. .. .......... ..--..._.... _....._--..._. SITE I 0 ION . FACILITY NE NUMBER OF CONTACT PERSON ~~~ ADDRESS U r ~ ~ ~ Q OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPI OING TO BET ST 7 YE Q N T 2 r..e_.vvL - l 3 ~t ,TANK TESTING COMPANY .., . , NAME OF TEST+l~N COMP NY NAME 8 PHONE N SER F CONTACT PERSON MAILING ADDRESS c.Q 3 f3rov~s G~ - ~v d Cam, ~3 0 8 NAME d PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR p~ C)(p'"O ~ CERTIFICATION #: DATE 8 TIME TEST TO BE CONDUCTED 'v 1 lCC #; TEST METHOD SIGNATURE OF APPLICANT ~ ~- ~ DATE ~ ~-~ APPROVED BY OATS FD 2095 (Rev. 09/05) ,. 1~5a~ BILLING & PERMIT STATEMENT pERM1T NO.: P/R` ~R~r r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Avenue, Suite 210 Bakersfeld, CA 93301 .,,,~ ~~-,~ ~ ~.,,.. raFil a~n_ni~i . LOCATION OF PROJECT ~ '~ - PROPERTY OWNS aQ STARTwG GATE COMPkF1TION DATE , + ~ ~ t[ ~E • PROJECT NAME ADDRESS Ll F'~G /~ f~ O ~ LL~J JlJ V ENE ~ r no G t~' o PROJECT ADDRESS f) O~!\ ~1,~~~~ r_~ l V V 1( Crry ~ STATE LP CO Q • •- CONTRACTOR NAME ~ CA LICENSE NO. ' •' • TYPE OF LICENSE, EXPIRATION DATE PHONE N0. ~ _~ CONTRACTOR COMPANY NAME U•~ FAX N0. ~-ova ADDRESS CfTY I 7JPCODE~ ~~~ a • ~ ~ $262 50 i i h ^ • • ~ arge) ons - (Min mum C Afarms -New & Modificat . 98 000 S FL 20 013125 =Permit fee FL x S ~ ^ Over , q. . q. 98 ^ Cha e ti N Mi i difi S i kl & M $210 00 ~ rg ) ons - ( n mum ca pr o n ers - ew . 98 ^ Ft Over 5 000 S 042 =Permit fee FL x S ~ . , q. q. . 98 ^ Minor Sprinkler Modifications (< 10 heads) $ 93.00 [inspection OrilyJ ~ 98 ^ Commercial Hoods - New ~ Modifications $ 398 26 ~ . sa ^ Additional Hoods 00 $ 36 ~ . 98 ^ Spra Booths -New & Modifcations $458 00 ~ y . 98 O Aboveground Storage Tanks {Installationllnsp: 1~ Time) $165.00 82 O Additional Tanks $ 26.00 82 D Aboveground Storage Tanks (Removaulnspedion) $109.00 82 ^ Underground Storage Tanks (InstaliarionJinspection) $878.00 (pertank) 82 O Underground Storage Tanks (Modification) $878.00 (persite) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 82 ^ Underground Storage Tanks (RemovaQ $675.00 (per tank) 84 ^ Oifwell (installation) $ 72.00 ~ 84 Mandated Leak Detection (Testi g) /Fuel Monft. G $ 81.00 (persiteJ 82 D Tents $ 93.00 (per tent) 84 ^ Afterhourslnspection fee $122.00 84 ^ PyrofechniC - (Per event, Plus insp. Fee ~ $90 per hour) $ 60.00 + (5 hrs. min, stand -bY fee /inspection) = $5i 0.00 84 D RE-INSPECTION(SJ/FOLLOW.tJPINSPECTION(S) $93.t}0 (per hour) 84 D Portabie LPG (Propane): NO. OF CAGES? $66.00 84 ^ Explosive Storage $249.00 ° 84 ^ Copying 8 File Research (File Research Fee $33.00 per hr) 25¢ per page ° 84 ^ Miscellaneous ° gq FD 2021 (Rev. 09/05) 1 _ ORtGiNAI WH(7t: (f0 Treasury} 1-YELLOW (CO File) Y{'1tJK (to Customer) i PERMIT APPLICATION TO CONSTRUCTlMODIFY x: UNDERGROUND STORAGE TANK PERMIT NO. ~~ ~ Q TYPE OF APPLICATION (CHECK O NEW FACILITY MODIFICATION OF FACILITY Bakersfield Fire Dept. B s a s r l D Environmental Service ~~~~ 1715 Chester Ave AR>rI1 t Bakersfield, CA 93301 Tel: (661) 326-3979 O NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE PROPOSED COMPLETION DATE FACILITY NAME aS . ~- •~__'~_ ~. •T~ ..~. ~a EXISTING FACILITY PERMR NO. FACILRY' 1 ESSr ~(/~ CfTY ~- 1 ~ ~ O TYPE OF BUSINESS as s -~'~- -}-`~ a r APN S TANKOWNER S}-~,e~ 1~ f~t•~ dv~~~. ~ ~ + Jrrn ~ ~' PHONE NO Q12.5-oib p$~ ADD'RE``SS 1~ ~ ~ CfiY d V1 DP CODE CONTRACTOR ~ d-- S Y.~- CA LICENSE NO. L} S 3 2 ADDRESS CITY 21P CODE PHONE NO. 11 ~k:l'1~• l o~ BAKERSFIELD CfTY BUSINESS LICENSE NO. WORKMAN COMP N0. $ Sto'b- 20o y INSURER ~d~~ L:o WATER TO FACILITY PROVIDED BY T'~d Gha Y1 ~ "f"Y~ ~ J "~ n DEPTH TO SOIL TYPE EXPECTED AT 3RE GROUND WATER NO.OF TANKS ARE THEY FOR MOTOR FUEL SPILL PREVENTKIN CONTROL AND COUNTER MEASURES PLAN ON FILE TO BE WSTALLED ~ ^ YES ~ NO ^ YES ^ NO IRIS SECTION IS FOR MoTpR FUEL TANK NO. VOLUME REGULAR PREMIUM DIESEL AVIATION ~ ~ 1 O I oO0 ~( 2 t o.~ o00 ~t 3 10 , Ooo ~l ~1 I'2 ;oao X THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK N0. VOLUME CHEMICAL STORED (NO BRAND NAMEy CAS NO (IF KNOWNy CHEMICAL PREVIOUSLY STORED FOR OFFICWL USE ONLY :., :;: :_~. -..~ -...:.~..` tFACILRY•1~,'•:`.`7..; _;'. NO: OF TANKS:"`;_%-'.•,._" . ,k. .. ,... _ - ~. ; •: _. ...... .... .. ~• ..... .;.,. .. . ~~.~: •....: .;~,.. ::., :. °. ::.._.: •;::::; ?;;:-. . '°,: ~:::~; ~.. ..- .a .. , . - - I I ... .., . _~..... _..... _._ . I .. The applicant has received, understands, and will comply with the attached conditions of the permit andy othe state, local and federal regulations. This form has been completed under penalty of per , anc~to~ie best of my knowledge, is true and correct. <<r~~ jm~ ~sKcrt [~ar~tnl~-~tvw.~~c.. CAyr~rF~ snr~u~ ~- APPROVED 8Y: ^~ APPLICANT NAME (PRINT) APPLICANT SIGNATURE ~ ~ O THIS APPLICATION BECOME8 A PERM17 WHEN APPROVED ~ t Fosn v ncero~oe ~ruc w'~ov rn nc nnue _ _ RightFax 3/22/2005 1:38 PAGE 002/002 Fax Server UNDERGROUND STORAGE TANK ~ BAKER3FILLD FIRE DEPT. '~ ~~ Prevention services k PERMIT APPLICATION ~ 900 'lYiuctun Ave., Ste. 210 TO CONSTRUCT/ MODIFY/ MINOR (~ ~/fl Bakersfield. CA 93301 MODIFICATION OF AN UST "~~ Tel: (681)326-3979 Fax: (661) 852-2171 PERMIT NO. ~~ IM- Q °~~ TYPE OF APPLICATION: (Check one Item only) Q NEW FACILITY v MODIFICATION OF FACILITY Papa 1 of 7 ~ NEW TANK INSTALLATION AT EXISTING FACILITY MINOR MODIFICATION OF FACILITY ARTINd DATE -~ ~ -~- ROPOS COMPlET10N DATE ~~ ~_ _ ... ~ _ AGILITY NAME e C)S l ©~^~- ~ ~ ~ _ BTINO FACILttY PERMIT NO. AGILITY ADD ESS ITY .. .. - CODE l acv os t2d_ ~~ ~e:^~ 1~~ 1 0! q~~o~( E OF BUSINESS l ~ L ~?3 ST~3~a 1~ an .-_. ~. ANK OYUN p~ - - ~ -- --- ? ~ S ~ ©' ~ ~ ~ - HONE NO . _. ~- c-''1 2 ~ ~ ~i b vl - g o 8 ~ r1~1~ ~ ~ ,~ ~ -- ~.. 1 J . - n i N 1 ~ Q~ _ ~- L_ a ~ r _ ~ ~ -n S ~,n m c~ ,rte ~ IF cone _ ~ ~ ~ ONTRACTDR ~ ~~ ~ 1Md ~ rt-r/r~ ~ ,~ z-~- _ _ ~ A LICENSE NO. ~ s3 i z ~ ~ N C K2 501016- Vt ) --~ _ D ESS ... ITY IP E" ONE NO AKERSFIELD CITY BUSINEICEN6E NO _ ORKMANS COMP NO NSU ~~.. . . 2Z ~ ~ ~~5 . ~ ~ - 5 ~ ~ c~©II~~-,~©0 1 . ~ ~. BRIEFLY DESCRIBE THE Wf1RK TO BF I1fMIF_ .. _ . , -___ -_ _ ____ ~2 r»dv-2 -~ l~~#'~ ~ZC -~ -~~~L 1,'...s. -~'~ f~.l S _U~V~S -e I'"S ~ ~o~ r~ L'..1 VID BY DEPTH TO GROUND WATER SOL TYPE EXPECTED Af 511 E. NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL SPILL 1'FitVtN I IUN CONTROL AND COUNTER MEASURES PUW ON FILE --B"' *~ YES ^ NO ^ YEJ ^ NO THIS SECTION IS FOR MOTOR FUEL TANK NO. OLUME -_~ ~~ EGULAR REMIUM IESEL VIAT~N ~ 1~ X00 ____._~.._...__.~____._....._ _._._..._ ~ ~ _ 2 -t---_._..___ 1v o0o _ x _.~_...e - 3 1 ~p O~ -- --- ~-- ~- - 1-) 12 da O _.. X The appl~i~ receive - ury~i'stands, and will comply witk the aitnched cond(tlons of the persntt and any other state, local and federal regulrsrtn~ jn cEh n crnryrle~,(`anrl'r prnalty njperJury, unrl to thr best ojrpy lulawtedgr., is true avid correct ~ BY: APPLICANT NAME (PRI-iT) APPLICANT SIGNATURE ~ .p _ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED la.,r.oa~ FOR OFFICIAL U6E ONLY APPUQATION DATC t'AOILITY NO. NO.OF TANKS FEES CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd J;'loor, Bakersfield, CA;;9j301 FACILITY NAME Go~ ~d ò\1tl' INSPECTION DATE 1/3P/Ð4- Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank 'þJÆJ F" Type of Monitoring ---Od-\'Y\ o Multi-Agency Number of Tanks Type of Piping o Complaint 4- þlAJf ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile X Proper owner/operator data on tìle ~ Pennit fees current '>C Certification of Financial Responsibility I~ Monitoring record adequate and current 1)( Maintenance records adequate and current X Failure to correct prior UST violations 'f Has there been an unauthorized release? Yes No ;( Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MYF? If yes, Does tank have overtìlI/overspill protection? C=Compliance Y=Yes N=NO '/.. ¿¿~<¡ok<- ~~~ Business Site Responsible Party White - Fnv, Sves, Pink - RlIsiness Cory UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 FACiliTY NAME <5.. ¥l I r INSPEC¿'O~ ~TE INSPECTION TIME ,"",<i"-4D16-~=(Y-J-lli ------- ë~~~ NOf'-~"'- FACli:ïTŸCONTACT ~~----_. -,-------------- ------------ ŠÜsinessiD Number"'-- --,... -. -. -.....-.-...- 15-021- Section 1: Business Plan and Inventory Program LI Routine )( Combined o Joint Agency C1 Multi-Agency LI Complaint LI Re-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS _i_. CJ __ Ap~RO~~~~~~~~~~~_~AN~____ ______..._._____.____ .. n_' ._._ _.__.__ _'.._. .._.____...___ __._.__+_.... _......_______. _.-_, "... .-- -----...--.... . œ( 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE --~~~_~---~~S~L€;2-·-~·~=~-~-~~~-~~-~-~~~~~~~.~~.·· .-.. ·?~~t~=-~~~·~-~~~~.~~~~~~.-~~·I,0~.-y ~ ~ \.~.(.._~_.-_.. - ~..r:!._...£?~~CT O~.:U~~~~~._,_.___.____.______._m_ .__ ...._.._.._'_n_ ._..m_. ___,_._____..._.._______ ____.__.. __ ._ _ . .__ ~ C] VERIFICATION OF INVENTORY MATERIALS _____._______.____._________~__..____~__...___.._ ._._._________.....____._.__._ u~ __..____. __. _______.h ___.. .._______.__.. __._____.._.__.._h. __."_~. ..____._ __.. ._. )( LJ VERIFICATION OF QUANTITIES _'_'~_n_'____.___.._____._______n_____.~.___ ..___________~.n__._...~._..._.__. ______.______._____ __.. _...____........_.__.___...u_..u..____.____._...__ __.........._____.__. _ ._.. . .. R..r?___~~_~~~AT~~ OF _~OC~~~~______________________._. ~. LI PROPER SEGREGATION OF MATERIAL ___._.__~___._.___.____.__.___ _._.._._...___.__._______.__._ ..._.. _. ___.__.m___.____. _~._...___~________u__________.._~___ ._~_._____________.__._..____.____._ __ ___~________._._.___.. _._..._..__ ._.._ . ________.___._____ _. _"'___ _____ _____no __.n )r 0 VERIFICATION OF MSDS AVAILABILlTYE __>____~____~._____._____.____________________ __. ._________._.___... .___...__ __...._...___..__.~_____._... ___ _ .....___..._n.__...u_._~_ _n_._. ___".'. __ ___.__ _. _ ._. ..___ ____ _."'_ " LJ VERIFICATION OF H~AT TRAINING ~._~..__..~______.__.__.___._____._._ __._.____ _.__.__.._~__.__._ .___________ __._.___....__..______u_._ ~ ..._.______..__ ..'. __..._.___..__"'_"~_ __._. _ __."~ _... in- C1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -_.________._____ _____.~_.___._.._._._ __._____..<_____ ._..__._ .__._._._~_.____ .__n_..~___.,,_...___.___..______. _'__.._,' .___.. _.____.___.__ _._ ._____.___.___ _.. ____ )f C1 EMERGENCY PROCEDURES ADEQUATE ··ft(-r:J--·C~NTAI~~~~-·~-~~~~~~~-:~~~~~-·-·--·_------·-____H' -Hot '-~b~'~ JJ~f' \h;'ò~ ftN- - 5S--~' -d",- --- m__~__________.___..__..___ .___.._______ ____.____ _ _ J-~"tb-lEd-- 1,~,Ln~t~ _~ ~~/r.éf þ( 0 HOUSEKEEPING 'j ~~__~-.-~~~i~~~~~~~~~.-·=~-=~=.~._-.~~.~~.=~.~-_~=.~~~~~~ ====~~-_.-~_~~=~..~~-_~~~~..~._==,=~.-_..-_---.~._~~..-_~_~=~.-'~.. -:-..~.~._-_.~_ ~ LJ SITE DIAGRAM ADEQUATE & ON HAND . I ANY HAZARDOUS WASTE ON SITE?: LJ YES ~NO EXPLAIN: QUESTIONS RE ~ RDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 x---tdw¿~-.---~.~ Business Site Responsible Party White . Environmental Services Vellow . Slalion Copy Pink . Business Copy '", , ' ""\ . . ( 127828 TEXACO 121224 4050 GOSFORD RD, BAKERS,.CA. 93309 70844396:305001 SEP 30. 2004 12:06 PM INVENTORY REPORT 1 :DIESEL LUr"1E LAGE \. ULLAGE= IGHT fER VOL fER 'lP ) :PLUS 89 ,UI"lE ,AGE ULLAGE= GHT ER VOL ER P : PRE!"l I urv, dr"1E ~GE :>u/. ULLAGE= HEIGHT l,JATER VOL WATER TEr1P T 4:REGULAR VO L ur"1E ULLAGE '3 o~" ULLAGE = HEIGHT ~,JATER VOL WATER TEI"1P 1506 GALS 8222 GALS 7249 GALS 1 9 ,51 I NC HEf: o GALS 0.00 I NCHÐ- 89.8 DEG F 2945 GALS, 6783 GALS 5810 GALS' :31 ,50 I NCHì o GALq' o . 00 I NCI4' 78.4 DEG 91 7954 GAL:: 1774 GAG 8 D 1 GAL 70. 11 I NC" o GAL 0.00 INCHES 86. 1 DEG F 87 55~~3 GALS 6104 GAU3 4941 GALS 44. 19 INCHES o GALS 0.00 INCHES 81 ,4 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ---:- ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA})3301 FACILITY NAME GD~ ~d Ò\1~\ , INSPECTION DATE c¡ /3P/ Ð4- Section 2: Underground Storage Tank~ Program o Routine ~ Combined 0 Joint Agency Type of Tank ~ Type of Monitoring ßt~M o Multi-Agency Number of Tanks Type of Piping o Complaint 4- þlAJF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile X. Proper owner/operator data 011 tile ~ Penn it fees current )(\ Certification of Financial Responsibility 1'-' Monitoring record adequate and current 1)( Maintenance records adequate and current X Failure to correct prior UST violations 'f Has there been an unauthorized release? Yes No ;( Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA nON Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MYF? If yes, Does tank have overfill/overspill protection? C=Compliance Y=Yes N=NO '/.. ~/)~//r-L ~~º>-U I Business Site Responsible Party White - Fnv. Svcs. Pink - Business Copy Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental Services .' 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield. CA 93301 Tel: (661)326-3979 ::~,,~1ö-~~L-m~_=--=~.-~-=_=~;f;~:;;:~'.· 15-021- . Section 1: Business Plan and Inventory Program o Routine )( Combined o Joint Agency o Multi-Agency o Complaint ". ORe-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS __~_.~ Ap~RO~RI~~~~~~~~~_~AN~___. ____.__________..._____ .._.._______ n. .______________. ________ _. ....... '____n _ .______.__ 'œf 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE -~~__~--~~S~L~~---~-~~=~=_~-~-__~__~~~_..~~=~-m-..-- ?~~t~=~~~~¡_-~~~~~~~~~_~·;N TJ l~\b\ 6" - ~. a CORRECT OCCUPÞ.NCY -----_._----------------------_._-------_..~-~_._--_..---- ..~_..__.._._..___.. _....__.__._ __n.__~__,,__._.. ..__.__..__.___ __.__ ___..__. .. ___.___ ..._.... ,., 0 VERIFICATION OF INVENTORY MATERIALS -------------_.__.._~---_._---------_.,--_._----_._------- ~ a VERIFICATION OF QUANTITIES . --- --.-----., --. _ -----,-,-- -. -. ---------.-- -- -' .-----.---.-. ._~-.. --- -- -. .-.-.- .-.- . . - --. .- ____..__._____._______.________..____.._._.___ .< _____.___.____...._ .. .__ _______~. __..___.___________._. __no __'___'_'__'__._ ____._______....0>__.___..__.._._.__ __. __.........__ .__. ..~ R~____~~~~~AT~~ OF _~OC~~I~~______________________...n_ kt a PROPER SEGREGATION OF MATERIAL __________._.___._____ __._. _. ._.u._._...__~___._____....._ __ _ --"--.-----~----_._-------_._._---- ..--.-----.------.-.---.-..-....------ . .----.------¥--.--. .-.--...-..-'" --.. ---¥----.---.---- ------------_.- -....---- )r a VERIFICATION OF MSDS AVAILABILlTYE ___~_____..___..__~__.____._.____.___ _____.__ __+_~_ .__O'_ .______...._..__.. ___...._ _ _ _.._._ ._.____ ..__.~__._~._... .__ _._. __.. _.___.__...___.___ UU___'._._.. ¥.. ~ a VERIFICATION OF HÞ(..MAT TRAINING ~.________~___._____.___________._._._._+____. ____....... ~__.._._. .__~_____n__ __. _.___._n_.._____~.. _ _ +_._.____~_..__.._._.___... in- a VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES __.____~__._______________.__.____. ·__.~_____.____H._.__ ._.._.__ _.._._._~_._____ .__.._____..._...___._....~._ _.. ~..._.._.. .___._ ______.__...__. _.. ._'___.._~____.___ _. ;S a EMERGENCY PROCEDURES ADEQUATE j(-Q---C~~~~~~~~--~~~~;~~~-~~~~~~- n.-----.----------_-n~-n-_cb~'~JJo-f'V;~,'ò\e:f~- 5~-~\ -di-n . ----- --------- -- - --__ _..__ _____ __ __n ___ ___ __ _ --l_~-tb:lç¿,cL l¡J._m~tç _~h(; try_n____n_ ______ þ( a HOUSEKEEPING. 'j' -~~__~~_-~~~i~i~~~~~_~..~~~-===.~_-~~.~.=_-_~-_~=·~~.~~~-_ ~==~-=-___~~~~=~'~-_~=_..~._~==-~_-_..-_~--.~._~..~_~.~.~- -...- 'Ej!( a SITE DIAGRAM ADEQUATE & ON HAND . I -.- . .--.--.----....-.- ANY HAZARDOUS WASTE ON SITE?: aVES ~NO EXPLAIN: QUESTIONS RE ¿Jl RDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Xm_m_~¿~_____~.~ Business Site Responsible Party White _ Environmental Services Yellow _ Slation Copy Pink - Business Copy I' -~ " 127828 TEXACO 121224 4050 GOSFORD RD, BAKERS..CA. 93309 70844396:305001 SEP 30. 2004 12:06 PM I N\lENTORY REPORT 1 :DIESEL L Ur"1E LAGE >.~ ULLAGE; IGHT fER \'/OL rER iP ; :PLUS 89 ,ur"1E .AGE ULLAGE'" CHT ER \lOL ER P :PREf"IIUt"1 Jt"1E iCE :Ow'. ULLAGE= HEIGHT l,·JATER I./OL WATER TEr"lP T 4 ~ REGULAR \lOLUf"1E ULLAGE '30~;; ULLAGE= HEIGHT t·JATER \IOL WATER TEf"\P 1506 GALS 8222 GALS 7249 C;ALS 1 9 . 5 ] I NC HEf; o GALS 0.00 INCHÐ 89.8 DEG F 2945 GALS' 678:3 GALS' 5810 GALS' :31.50 I NCHi o GALS! 0.00 INCf-' 78 ,4 DEG' 91 7954 GAL: 1774 GAL;· 801 GAL 70. 11 INC' o GAr) 0.00 INCHES 86. 1 DEG F 87 55;?3 GALS 61 04 GAU3 4941 GALS 44, 19 INCHES o GALS 0.00 INCHES 81 . 4 DEG F ~ ~ ~ ~ ~ END ~ * * * * FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES FIRE SAFETY SERVICES. ENVIRONMENTAL SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 171 5 Chester Ave.. 3'd Floor Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 852·2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 10, 2004 Texaco 4050 Gosford Bakersfield, CA 93309 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Valued Customer: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators. These are as follows: 1) January I, 2005 deadline for submitting declaration statement designating: (a) Owner/Operator understands and is in compliance with all applicable UST requirements, and (b) Owner identifies the designated UST Operator for each facility owned. (c) Owner/Operator passes and submits proof of International Code Council Test. 2) EVR upgrade requirements on spill buckets are due April 1,2005. 3) Secondary Containment Testing on all secondary systems, Code requires re-testing 36 months from date of last test which was in 2002. Should you have questions regarding these compliance deadlines, please feel free to call me at 661 - 326-3190. Sincerely, jt~ Steve Underwood Fire Prevention Officer SU:db 1f~)l/IJÙl;fllie Y;;;.i'IINlUlmIJj cS1ío'lt Q ¡¿iN! ('¿"¿'lta'lI . oS'¡ ~'lI-li./.'/~!I JI UST Financial Responsibility - Year 2004 Equilon Enterprises I Shell Oil Products - Shell & Texaco Branded Facilities Ba~(ersfield Market Brand Address City County State TEXACO 2401 N OAK ST BAKERSFIELD KERN CA SHELL 2600 WHITE LN BAKERSFIELD KERN CA SHELL 3605 ROSEDALE HWY BAKERSFIELD KERN CA TEXACO 3621 CALIFORNIA AVE BAKERSFIELD KERN CA TEXACO 3698 MING AVE BAKERSFIELD KERN CA TEXACO 4050 GOSFORD RD BAKERSFIELD KERN CA TEXACO 5321 STOCKDALE HWY BAKERSFIELD KERN CA TEXACO 5300 OLIVE DR BAKERSFIELD KERN CA TEXACO 6439 ROSEDALE HWY BAKERSFIELD KERN CA TEXACO 9069 GRAPEVINE ROAD WEST LEBEC KERN CA SHELL 25712 WARD DR KE'FrLEMAN CITY KINGS CA Bruce T. Marubashi HS&E Analyst 925-766-3498 ZIP 93301 Bakersfield FD 93304 Bakersfield FD 93308 Bakersfield FD 93309 Bakersfield FD 93309 Bakersfield FD 93309 Bakersfield FD 93309 Bakersfield FD 93308 Kem Co '~ 93308 Kern Co ~ ~. ~rt~,~ 93243 Kern Co 93239 Kings Co . /...),. ~,~. ~ '3 0 0 ~4 04 03: 53p e T. M&pubashi ........................... P_ _-_ [ Shell Oil,Products US Northwest Region 3468 Claremont Avenue Modc.~lO, CA ['L): i'hoo¢ #: (209) 577-5960 Fax #: (209) 577-59~ NIiMIIER 01.' I',%GE~ INCI.LII)INCi ri-ilS PACiI{ ~ YOU DID NOT RECEIVE ALL OF THE PAGES. PLEASE CALL (209) (?OIVlM EN'FS: 2004 - SII ELL OIL PRO. DUC'T.'~ · II}. UNT FINANCIAl. ~!A~!LI'.i'Y PLEASE FORWARD TO THE AI~PROPRIATE SHELL INSPECTOR'S, TO AVOi NU~]EROUS FU'I'UR~ REQUESTS FO~ TtlIS DOCUMENT. · " II-' 'I'FtERE ARE ANY OUTSTANDING PAYMENT ISSUES EELAI'ED TO FACILIT'~. OPERATING PERMITS. P,!..EA~F.. CONTA..C,'[..MICi.I.ELLE ,KENNEDff PqN~E ~1~816~ZZ07, Z~94~ ~, WILMINGTON AVE, CbR~QN, CA 9~tO. MY OFFICE 6~.~.46g. CI.AREMONT AV.E. MODES~ WILL BE CLOSING SOON I'IIANK.~ ! L'AI.L ME IF ANY PI~OBLEI~IS. I.I.'4E .,~,llill}:si -. WUSI¢I3'I [(CgioII. [Jil) t%[ci~ 04 03: 53p T. Marubashi UNDERGROUND STORAGE TANK LZABILTTY ENDORSEMENT Named Insured I Endorsement Number Shell Oil Products US Policy Number J policy Pedod Effective Dat~ of Endorsement GLO9307950-01 J January 1, 2004 to January l; 2005 January 1, 2004 Lssued by (Name of Insurim~e Company) Zurich American Insurance Company 1400 American Lane Schaumburg, IL. 60196-1056 1-800-382-2150 I~eparaUon of the p~lcy. THZS ENDORSEMENT CHANGES THE POL3CY. PLEASE READ I-T CAREFULLY. TI~s endorsement modifies insurance provided under the roi{owing: COMMERC$4L G~AIERA~ LI,4~I~ CERT~FZCATION ENDORSEMENT FOR SCHEDULED TANKS This endorsement certifies that the policy to which the endorsement is attached provides liability insurance covering the following Underground Storage Tanks: Schedule of Tanks attached for taking corrective action, and/or compensating third perUes for "bodily injury~ and "property damage" caused by either "sudden accidental releases" or "nonsudden accidental releases" or "acddental releases"; in accordance with and subject to the limits of liability, exdusions, conditions, and other terms of the policy; adsing from operating the underground storage tank(s) identif~l above. The limits of liability are: Each Occurrence Annual Aggregate $1,000,000 $2,0(0),000 exdusive of legal defense costs, whlch are subject to a separate limit under the policy. This coverage is provided under GL09307950-01. The effective date of said policy is January 1, 2004. The insurance afforded with respect to such occurrences is subject to all of the terms and conditions of the policy; provided, however, that any provisions inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby amended to conform with subsections (a) through (e); ao Bankruptcy or insolvency of the insured shall not relieve Zurich American Insurance Company of its obligations under the policy to which this endorsement is attached. Zurich American insurance Company is liable for the payment of amounts within any deductible applicable t~ the policy to the provider of corrective action or a .~.-.." O~ 04 03:53p T. Mapubashi ~0~ do damaged, third-party, with e right of reimbursement by the insured for any such payment made by Zurich American [nsurance Company. This provision does not apply with respect to that amount of any deducUble for which coverage is demonstrated under another mechanism or combination of mechanisms as spedfled In 40 CFR 280.95-280.102. Whenever requested by a Director of an implementing agency, Zurich American Insurance Company agrees to furnish a signed duplicate oflginal of the policy and all endorsements. Cancellation or any other termination of the insurance by the Zurich American Insurance Company, except for non-payment of premium or misrepresentat~on by the insured, will be effective only upon written noUce and only after the expiration of 60 days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or mis.representation by the insured will be effectJve only upon written notice and only after expiration of a minimum of 10 days after a copy of such written notice is received by the insured. The insurance covers claims for any occurrence that commenced during the term of the policy that Is discovered and report, ed to the Zurich Amedcan Insurance Company within six months of the effective date of the cancellation or termination of the policy. I hereby certify that the wording of this Instrument is identical to the wording 40 CFR 280.97(b)(i) and that the Zurich American Insurance Company is licensed to transact the business of insurance or eligible to provide insurance as an excess or surplus lines insurer In one or more states. for Zurich American Insurance Company Name: Dave Hirshorn TiUe: Senior Vice President Address: Marsh USA, Inc. 1000 Louisiana - Suite 4000 Houston, TX. 77002 03/04/2004 12:58 "408971 SSS ];NC PAGE 02 Monitoring System Equipment Certification For Use By.' ,4Il Jurisdictions Within The gtat~ of Calfs;ia ~4uthority Cited: Chapter 6, 7. ~lealth and gaJbty Code; Chapter 16, DJvia'ion $, Title 23; Cal~fon~fa Code of Regulatlans This fon~ must be used to document testin~ and .~c~vicing of monitoring equipment. A s..~3gi~a.~ certification or rug_ orr must be prepared for,ga,ch _monJ.toring system control oanel by Q~e technician who performs thc work. A copy of this form:must be provided to fine tank system owner/i2lg. UserNarne, 'Ibc owner/L:fg. UserName n~ust subnttt a copy or'tibia form to the local agency regulating LIST ay: within 30 days of test dat~. A. General Information Facility Name: Gosford Texac,,o,,. Site Address: 4050 Oosfor6 Rd. (~ White Ln. Fuuillty C~,aaet P~,'so~x: Ursula Make/Model of Monitoring System: VIR $1mpllci,t,y B. lnvcntory of Equipment Tested/Certified Tank TD; 0a - [] I, - Tank Gauging Prol~, Mod~l: vn a473so4ol [] Annular Spac~ or Vault Sen~ot. M~el: VRT~O~Ol ~ Fill Sum S~a~ (~), Model: ~ M~ha~ica[ Line L~k ~l~Or, Model: ~ Ta~k Ovm'~ll ~ Hig~.~vel Sensor, Model: U Other ( spuci~ equip~nl ~c and n~dcl in g~uti0n E Tank ID; 03 - Prom [] In. Tank eJauging Probe. Model: YR ~473~0d07 I~ Annular S~ace m' Vault Senna', M~¢I: VR ~ Piping ~ump ~'rmnch S¢~or (s). MOJI: vn ~ Pill Sump Sensor (~). Mo~l: w D Mcchonical Uno ~alc O~ctor. M~I: ~ Elecu~nic ~ne ~ak Dot,tot. M~I: ~ Tank ~¢~11 ~ High-I ~'el Q Off,er ( s~lfy equipment G~o m~d m~el tn S~don ~ on I~ 2). [] Disp~sc~ C.~ainmc~t Scn~o~ ($). Modrl: ~u~mu D Dispenser Contain~t Fl~t Cs) a~l Chain (s).. _ -Dispenser ~1 ~ Oiaponacr Cuntainn~t 8en~r (s). M~cI: ~ Shcargalvc (s). ~ Di~enser Comainn~nl ~at (s) and Cl~aln Dispenser ID~ ~ Di~cnser Con~in~t ~nso,' (al. M~el: Q Dl~enier Conml~menl Flor (s) ~d Chain Beaugr'iu 406 . Bldg. No.: City: Bakersfield, CA Zipi 93309- Contact Phonc No.: (6.~.) 833-4002 Date of Testinglgervicing:. 2/5104 '~;~rtR IL1,; OZ - Plus In - 'l'onk Gauging Probe. Model: VR HlatO.lOl Amlular Space or Vault Scnsor. M~cI: ~ ~eo~01 ~iplng Sump % 't~ch Rcn~ (~), Model: vs ~e~aaa~o~ Fill Sump ~1~1' Cs). Modal: ~ 7~o4oa Mechanical Li~ ~k Det~tor, Model: Nena Electric ki~ L~k Du~or. Model; , ~ ~oe e4e4 'rank Ovcrfill~ Hiih-~v~l S~n~r. Mo~eI: ae~ Olh~r ( specify cqulpm~t t~e and mi~el in Section g On Page 2). T~k ID.' 04- [] In - Tank Gauging Probe, ~11 Annular Space or v~ult ~ Piping Sun~ %'french ~n~r (al. ~ Fill Sump Sensor (s). 0 Mcc~nical L~u ~ D~LecIo~. ~ Etoc~onic Line L~k ~ Tank Over~ll ~ ~gh-Level Sml~. D Other ( s~it~ equipment ty~ and ~1 in ~tlun E on Page Dispenser. iD; ~ Dispcn~ Conmlnmcnt ~m~or (a}. Model; B 6heaP Val,,o (e), ~ Dlapen~:r Continent ~out ($) ~_d Cilia (~)· Dispenser ~; 0Z-~ ~ Dis~nset Con~{n~t Sensor (~). M~eI: ~ Shear Valve (s). ~ Dispenser Centainn~mt Flout (s) and C'huln Dispenser ~; ~ O~naer Contaln~nt Sensor (s). M~cl: n Sh~r VaNe (s). ~ Disp;~r Contalnm~m ~l~t (s) and Chain Signature:, Original on file at 8SB License. No.'. 485154 Phonc No.: {408) 971-2445 Date of Testing/Scrvlcing; 2/5/04 · il' thc facilily contains more ranks or dispcn~r~, copy this I'(m~. include information tbr ~e~ Unk and dispcnscr at the 'F~ili~ C. Certification - I certify tha/~e equipment {dentl~ed iu th{~d~ument wa~ln~cted/~em'ieedin accordance wRh the nmflufaeiu~r'l ~{ddll~ A~ach~ m ~1~ Ce~lfleaflen h infur~JtJUn (t%g. mamlractures' ch~kll~ts ) n~n~a~ to verify that this information is cur~t a~ a Plot Plan showing the layout ot'~nlm~fl~ equipment, ~r nay ~ulpment cal~e oB gene~t,,lg ~uch report~lbaveal~attaeh~nc,,pyefthe; (~ltcckallthat~): 0 Systems~p 0 ~armh{uturyr~p0rt Tactician Name (print}: SSS-gaulS Testing Co.ay Na~: Se~. 8ts. 8ys. ,, Site ~d~ess: ~0~00oa{ord Rd. ~ White La. Monitoring System Certification - Page 2 of 3 SSS ING PAGE 03 Site Add~css: 4050 Gosford Rd. ~ White Ln. D. Results of Testing / Servicing Software Version Installed: tim checMist: Date of Testing/Servicing: ~ Yes o No* is"~he'audible alan~ operational? ......... , ..... ~l Yes [] No* Is tlle visual ala,rm operational'? · Yes Fl No* Were all sensol~ visually inspected, ,fimcti0nal_ ly tested, and confi.rmed '~pemt/onal? [] Yes [] No* Were all sensors installed at lowest point of s~colxiary containment and positioned so that other equipment will not interfere with their proper operation? · Yes [] No* If alarms are relayed to a remote mottitoring station, is all comr~fications equipm~'nt (e.g. modem) IA N/A o~ratlonal? [] Yes m No* - Fez pressurized pipin~ systerm, does the turbine automatically shut down if the 'piping secondary containment [3 N/A monitori~, system detects a teak, fails to operate, °r is electrically disconnected? If yes: which sensors initiate positive shut-down? (Che¢t all rl~at apply) [] Sum0/Trench Sensors; n Dispenser Containment Sensors. Did you cotff",uTu positive shut-down due to.leaks and sensor failure/disconnection? [] Yes n No ., /3 ¥c$ n No* For tank syarama that utilize the monitoring 6yctem w; the primary tank overfill wamin8 device (i.e. n~ [] N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at thc tank fill po'mt(s) and operating pr,operl¥? I_f s% at what percent of tank capacity does thc [].yes~ n No Was any morfitoring equipment replaced? If yes, identify specific sensors, probes, or otl~er equ:pm~mt replaced arid llst th~ mal)ui'acturer name and model/'or all rep',la.cement parts in Section E. below. !-' ia Ye~* m No Was liquid found inside any seeontiaey e. nnralnment systeros designed as dry systems? (Check ali that appl.~) [] Product; ri Water. If yes..d, causes in Section, E, below. [] Y~ [] No* Was monitor, system set-up reviewed to ensure proper settings? ('.~#ach scl-up reports, [] Yes [] No* Is all.mola.'.~,rtng equipment opera~o, na! per manulhctte~z"~ * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Dispenser #718 replaced beaudreau sensor 215/04, all tested oK '03/84/2084 ~2:58 40897i~ SSS INC PAGE 04 Monitoring System Certification - Page $ of 3 Site Ad&'ess: 4050 Goaford Rd. t~ White Ln, Date of Testing/Servicing: 2/5104 F. la - Tank Gauging / SIR Equipment: m Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gaugQlg or SIR equipment ts installed. This section must be completed if in-tank gauging equipment is used to perform leak dctcction monitoring. Corn 9lete the following checklist: [] Yes [] No* Has ali input wirinl~ been in~ccted for' proper entry and termination, including testing for ground faults? ..~, Yes [] No* Were all tank gauging PrO .b~,,,s visually inspected for damage and rcslduc buildup? ......... I] Yes [] No* Was a,,ccmacy of syslem product level readings t,e?.~ed? [] Yes [] No* Was accuracy of system water level readings tested? n Yes [] No* Were all probes reinstalled ~r?perly? a Yes [] No* W,ere all itents on the equipment manufacture. ,f,.$ maintenance checklist completed? * In Section H below, describe how and when these deficiencies were or wilt be corrected. ' G. Line Leak Detectors (LLD): [3 Check this box if LLD's are not installed. Complete the following checklist: an x}cs [] No* Foz c~ipment start-up or ammal eqmpmcnt ccrtilication was a leak simulated to verify LLD pertbrmancc': [] N/A (¢heekall~hatappl.}9 Simulated leak reate: ~1 3g.p.h.(l.); [] 0,1 g.p.h.(2.); Cl 0.2 g.p.h. (2.). Notes: 1. Required for equlprrw, nt ~tsd'-.p ce.ificatian and annual certification. 2. Unless ,,n,mndated by local agency, certification required on[y_for electronic LLD start-up. Ill Yes [] No.*,,., Were all LLD's confirrned operational atari aeemate within regulatory requirements'? ....... [] Yes fl No* Was the testing, ,a.p. paratus properly calibrated? [] Yes [] No* For mechanical LLD's, docs the LLD restrict proflnct flow if it detect~ a leak'! [] N/^ · Yes El No* For electronic LLD's, does'~t~c turbine automatically shut offif the LLD detects a n ~ ¥c~ [] No* For electronic i,LD's, docs fl~c turbine automatically shut off if any portion'~thc monitorln~ system is disabled 13 N/A m' disconnected? III Y~s D No" I~or etectr0nte LLD'S, does Tl~e '~rblne amomarlcally shin o£1' if any puniua ur Lhc moaLt~:l~ sy~ciu. [] N/a, malfunctions or fails,,a.test? · Yes [] N'o' For electronic LLD% have ail ~cessibie wiring emmccdons been visually ins'~e'ct~? n '~ ~'es [] No~ Were all items on the eqmp~nt n~nufactumr's maintenance checldis~ completed? " .... . ....... * In Section H below, describe how and when these deficiencies were or will be corrected. H, Comments: 03/04/2004 12:58 4089710~' SSS INO PAGE 85 Monitoring System Certification UST Monitoring Site Plan 4050 Gosford Rd. (~ White Ln. in Bakersfield 1/30104 Instructions On your .-.itc plan. show the goncrnl Ioyout of tC~nkG end piping. Clcerly identify Ioaatlons of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill ¢4.ni.~iners, or other secondary containment areas; mechanical or electronic line leak detedtors; and in-tank liquid level probes (if usecl for leak detection), In the space provided, note the date this Site Plan was prepared. 03/04/2004 ~2:58 40897~ SSS INC PAGE 86 ANNI]AL TEST RESULTS FOR THE PRODUCT AND VAI~OR OVERFILL CONTAINMENT Gosford Texaco ~'~-04 4050 Gosford Rd - B~kemfleld, CA. 93309 Test Method Developed By: ~ Spill Buck~ Maau~cturer [] ~dust~ ~nd~d ~ Professional Enginecc 'rest Method Hse~: ~ Hydrostatic 0 ~er I Rc~olatio~" Test ~quipment ~d: Incon Tester I E~ipmnt Bucket Capacity ~ gallons: 5 5 5 5 5 5 B~ket Depth: .... Wait ~mc between fil[~g wiflt water ~d s~ test: .,, T~t SI~ T~: 4:38 pm 4;38 pm 4;00'pm 4.00 pm 4;19 pm 4:19 pm 5:20 ~t~{'Read~g (~): ~".2631 ' 5.6976 ~.~4~ 5.9365 5.4959 6.0916 ~.7006 Tes~ End Tio~: 4:53 pm 4:73 pm 4,15 pm 4:1 ~ pta~ 4:34 ~ 4:34 pm 5:35 pm Final Reading (~': ~.2631 5.6977 53498 5.9363 ' '~,~958 6.0915 5.7017 T~at Dmudms: 15 rain 15 ~n 15 rain 15 ~n 15 ~a 15 ~ [5 ~n Orange in Reading'(Rr-~0: PasCall Tlu'~shol.4. or ~mrh: ZERO ~OS$ ~O LOS~ ..... ZBRO LOSS ~RO LOSS T~t Result: ~ Pass ffi Pass ~ Pas~ ~ Comments -- Oncl, tde inJbrmotir,n on rt,ff~irq' made. prior to testing, and r~commended follo~*-uO for Jbiled t~vts) All Buckets Passed. Tested By: Service Station Systems, Inc. Contrnetnr l,ieenxe: 4851 g4 Technician: Dan P. 03/04/2004 3.2:58 40897I SSS INC .Jfl~ 30 :PO04 I-'i:17 BKSFLn FIRE PREVEMTIOil PAGE 07 p.! WJ,./3&/'~094 ~.3: l? 499973. a'L36 ~ 3[NC ~CAI~ION 3'0 I~IYOB3~ i P- Postage $ g Certified Fee  Postmark Retum Reciept Fee Here (Endorsement Required) F'I Restricted Dellvery Fee ,.IJ (Endorsement Required) nj f .,~ nj Total Posta! m~ lse"tr° ~ Texaco ~- ~c~;.'~ '" [orm'6ox'~, 4050 Gosford Iu~;'~i;~Bakersfield'x CA 93309 Certified IV~rovides: A mailing re~ a ~ unique identifier for your mellplece a A re~ord ~f delivery kept by the Postal Service for two years Important Reminders: · Certified Mall may ONLY be combined with First-Class Mafia or Pdurlty Maile. a Ceffifled Mall is not available for any class of intema',Jonal mall. · NO INSURANCE COVERAGE I$ PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mall. · For an additional fee. a Return Receiptmay be reque..stOl to provide p_r~:m~f, of delivery. To obtain Return Receipt .~.rvlce, p~ease comp~te an{3 attach a Hetum Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requ.ested', To receive a fee waive, r for a duplic.ate return receipt, a USPSe postmark on your Certified Mall receipt ia requmren. · For an additional fee, delivery may be restricted to the addressee or add. ressee's authorized a~n.L Advise the clerk or marl( the mallplece with the enoorsement 'Restricteo uelivery". · if a postmark on the Certified Mail..mcei~ is desired please pre_sent the artl.~ cie at the poet office mr postman(ing, If a postman( on the C:artlfied Mail receipt is not needed, detach and affl~ label with postage and mail. IMPORTANT: SaVe this receipt and present it when making an Inquiry. lnternel access to delivery Information is not available on mail addressed to AP0s and FP0s. · 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. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Texaco 4050 Gosford B. Received by ( P/Rt~ted Name) I C. DaCe of [Telivery D'. I; delive, addre~ diff~;nt ~ item 17/ ~ ~es If YES, enter delivew address below: ~ No Bakersfield, CA 93309 2. Article Number (Transfer from service label) PS Form 3811, August 2001 3. Service Type ' _~Certified Mail [] Express Mail -. r-I Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D..~ 4. Restricted Delivery? (Extra Fee) ' :',¢:'1 .Yes 7003 2260 0004 7652 3317 Domestic Return Receipt 102595-02-M-1540 Postage & Fees Paid · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 FII E D December 12, 2003 CERTIFIED MAIL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES. ENVIRONMENTAl. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Texaco 4050 Gosford Bakersfield, CA 93309 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, mm-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001' Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) 2) Constructed of steel, not less than 4 inches in diameter, and concrete filled. Spaced not more than 4 feet between posts, on center. Letter'o: Owner/Operators of Propane Exchange Sy~ems Re: Propane Exchange Program Dated: December 12, 2003 Page 2 of 2 3) 4) 5) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. Set with the top of the posts not less than 3 feet aboveground. Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a Permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, Steve Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer July 12, 2002 WAYNE PERRY, INC. Environmental Remediation, Construction and Consulting Certified Unified Program Agency - CUPA Mr. Steve Underwood 1715 Chester Ave., Third Floor Bakersfield, CA 93301 SUBJECT: SB 989 COMPLIANCE TESTING AT Shell, 4050 Gosford Rd., Bakersfield, CA 93309 Dear Steve: Below please find the secondary containment testing results for the above-referenced site. These results are being sent to you per the requirement of SB 989. If any of the secondary containment components failed or were not tested at this facility, repairs will be made within 30 to 120 days. If, for some reason, the repairs will take more than 120 days, your Agency will be immediately notified. CONTRACTOR: Wayne Perry, Inc.; License No: 300345 TECHNICIAN: Alberto Rodriguez Components Tested Component Date Type of Test Pass / Fail Manufacturer' Tested Performed Tank Sump Turbine - Diesel Fluid 6/27/02 Hydrostatic Pass Containment Tank Sump Turbine - 87 Fluid 6/27/02 Hydrostatic Pass Containment Tank Sump Turbine - 89 Fluid 6/27/02 Hydrostatic Pass Containment Tank Sump Turbine - 91 Fluid 6/27/02 Hydrostatic Pass Containment Dispenser 1 & 2 UDC OPW Pisces 6/27/02 Hydrostatic Pass Dispenser 3 & 4 UDC OPW Pisces 6/27/02 Hydrostatic Pass Dispenser 5 & 6 UDC OPW Pisces 6/27/02 Hydrostatic Pass Dispenser 7 & 8 UDC OPW Pisces 6/27/02 Hydrostatic Pass Diesel - Secondary Product Containment AO Smith 6/27/02 Pressure Pass 87 - Secondary Product Containment AO Smith 6/27/02 Pressure Pass 89 - Secondary Product Containment AO Smith 6/27/02 Pressure Pass 91 - Secondary Product Containment AO Smith 6/27/02 Pressure Pass Tank Annular Testing Wet Annular N/A N/A 30 Main Ave. Suite 5 Sacramento, California 95838 Phone (916) 646-9680 Fax (916) 646-9683 SB 989 Compliance Testing Shell 4050 Gosford Rd Bakersfield, CA Page 2 of 2 If you have any questions regarding this submittal, please contact me at (916) 646-9680. Sincerely, Wayne Perry, Inc. Project Manager Attachments SB 989 Testing Results & Procedures Cc: Perry Pineda - Shell Oil Products US 30 Main Ave. Suite 5 Sacramento, California 95838 Phone (916) 646-9680 Fax (916) 646-9683 SB 989 Test Log Testing Contractor: Turbine Containment Sumps Sump InformatiOn: Fuel Grade: Shell 4050 Gosford Rd Bakersfield, CA Shell 4050 Gosford Bakersfield, CA 9-3e~ N021158 - Testing Test Date: 87 / 87 Slave / 89 / 91/(~/ M85 Monitoring Sensor Manufacturer:, , ~', ~,,,. Monitoring Sensor Model #: ~_t~- TCI or American Cntmt (Beige or White Gel Coat): OC or Fluid Cntmt (Beige w/Spiral Winding):J Environ (Green, HDPE Plastic): Total Containment (Blue, HDPE Plastic):j Xerxes (Red):I Western Fiberglass (Grey):I phil Tite (Green Outside, White Inside):J Other Test Start Time Test Finish H-Test EH:MM (12 Minute Duration) Level Differential ~'~! Fail Condition (Repair Notes) '"' Pass / Fail Pass / Fail · pass / Fail Pass / Fail SB 989 Test I'og Forms 2.0 'SB 989 TeSt Log Testing Contractor: Shell 4050 Gosford Rd Bakersfield, CA Shell 4050 Gosford Bakersfield, CA,~99 N021158 - Testing Turbine Containment Sumps Test Date: . Sump Information: Fuel Grade: ~.~/ 87 Slave / 89 /'91/ D / M85 Monitoring Sensor Manufacturer: Monitoring Sensor Model #: ~ ~ ~- TCl or American Cntmt '(Beige or White Gel Coat): OC or Fluid Cntmt (Beige w/Spiral Wi'nding):I ~. I Environ (Green, HDPE Plastic): Total Containment (Blue, HDPE Plastic): Western Fiberglass (Grey):i ". I' Phil-Tite (Green Outside, White Inside):j' , I Test Start Time Test Finish H-Test HH:MM (12 Minute Duration) ,. Level Differential ,~ Fail Condition,,(Repair Notes) Pass / Fail Pass / Fail pass / Fail SB 989 Test Log Forms 2.0 'SB 989 Test Log Testing Contractor: TUrbine Containment Sumps Shell 4050 Gosford Rd Bakersfield, CA Shell 4050 Gosford Bakersfield, CA ~j,300~ ~OC~ N021158 - Testing Test Date: ~'-Z7- 'o'L Sump Information: Fuel Grade: 87 / 87 Slave /(~/ 91/ D / M85 Monitoring Sensor Manufacturer:., V' · ,~ , Monitoring Sensor Model #: TCI or American Cntmt'(Beige or White Gel Coat): OC or Fluid Cntmt (Beige w/Spiral Winding):[ Environ (Green, HDPE Plastic): Total Containment (Blue, HDPE Plastic): Xerxes (Red): Western Fiberglass (Grey): Phil Tite (Green Outside, White Inside): Other :1 Test Start Time Test Finish H-Test EH:MM (12 Minute D.,uration) Le,,vel Differential ,,, ~ Fail Condition (Repair ,Notes) _ E ,*.~'-~ 45 :. E:~:~ Z..7(,l~as~/ Fail - ,--, Pass / Fail Pass / Fail pass / Fail PasS / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log' Testing Contractor: Shell Shell 4050 Gosford Rd .4050 Gosford Bakersfield, CA Bakersfield, CA ~ N021158 - Testing Turbine Containment Sumps Test Date: Sump Information: Fuel Grade: 87 / 87 Slave / 89 /(~)/ D / M85 Monitoring Sensor Manufacturer: Monitoring Sensor Model #: ~,~- TCl or AmeriCan Cntmt '(Beige or White Gel Coat): OC or Fluid Cntmt (Beige w/Spiral Winding).: Environ (Green, HDPE Plastic): Total Containment (Blue, HDPE Plastic): Xerxes .(Red): Western Fiberglass (Grey): Phil Tite (Green Outside; White Inside): Other · Test Start Time Test Finish H-Test · · HH:MM (t2 Minute Duration) Level Differential ,~'~/Fail COndition (Repair Notes) Pass / Fail Pass / Fail pass / Fail - Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Shell 4050 Gosford Rd Bakersfield. CA Shell 4050 GoSford Bakersfield, CA ~ N021158 - Testing 'Sump Information: Under Dispenser Containment DispenSer Number: Bravo (Steel, Shallow Pan): Bravo (Fiberglass, Deep Sump): Bravo (Plastic, Deep Sump): Test Date: /-~ Sump Type: 'Shallow Deep L OPW Pices (White, Straight Sides, Deep):~ Total .Containment (Fiberglass): Western Fiberglass (Grey, Deep'L):I I Phil Tite (White Inside, Green Outside, Deep L): Other I~lonitoring Sensor InformatiOn: Beaudreau (Sm Black Puck, Light Sensor): Beaudreau (Modern Electronic):l Bravo (Mechanical Float):] "' Veeder Root (Electronic):l Other Test Start Time Test Finish H-Test I~H:MM (12 Minute, Duration) Level Differential Pass ~ Condition (Repair Notes) o. 000~ Pass / Fail Pass / Fail Pass / Fail Pass / Fail SB 989 Test Log Forms 2.0 ,SB 989 Test Log Testing Contractor: Shell 4050 Gosford Rd Bakersfield, CA Shell 4050 Gosford Bakersfield, CA 99009- N021158 - Testing Under Dispenser Containment' Test Date: Sump InformatiOn: Dispenser Number: .. Bravo (Steel, Shallow Par{):I I i Bravo (Fiberglass, Deep ,s.mP):l.I. Sump Type: Shall°w ~ Deep L oPw Pices (White, Straight Sides, Deep):l ~ I Total Containment (Fiberglass): Bravo(Plastic, Deep Sump): Western FiberglasS (Grey, Deep'L): Phil Tite (White Inside, Green Outside, Deep L): Other Monitoring Sensor Information: (Sm Black Puck, Light Sensor):E'..~ Beaudreau Beaudreau (Modern Electronic):I ~ I Other .: Bravo (Mechanical Float):I · I Veeder Root (Electronic):l J Test Start Time Test Finish H-Test "'HH:MM (12 Minute Duration) Level Differential Pass/~ Condition (Repair Notes) [~).'N'~... (~. g)~)~Ig) ~-~/Fei! ~r_~b 3-0 Pvt~, ~oT"~,.~pc~_ ~ ~_. ~-,.x~ pass / Fail Pass / Fail Pass / Fail Pass / Fail SB 989 Test LOg Forms 2.0 SB 989 Test Log Testing Contractor: Under Dispenser Containment Sump Information' Dispenser Number: Brav° (Steel, Shallow Par~): Bravo (Fiberglass, Deep SumP): Bravo (Plastic; Deep Sump): Phil Tite (White Inside, Green Outside, Deep L): Shell 4050 Gosford Rd Bakersfield, CA Shell '4050 Gosford Bakersfield, CA ~ N021158 - Testing Test Date: Sump Type: 'Shallow /.~/ Deep L OPW piCes (White, Straight Sides, Deep):I .~.,,, ! Total Containment (Fiberglass):l_ I Western Fiberglass (Grey, Deep L): Other · Monitoring Sensor Information' Beaudreau (Sm Black Puck, Light Sensor):~._~ Beaudreau (Modern Electronic):I']~ I Other :1" Bravo (Mechanical Float):I I Veeder Root (Electronic):]''' ] H:MM (!,2, Minute,Duration) Leve! Differential Pass Condition (Rep,air Notes) Pass / Fail Pass / Fail Pass / Fail Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Shell 4050 Gosford Rd Bakersfield, CA Shell 4050 Gosford Bakersfield, CA. 9'3ee9- ~.'~'=), N021158 - Testing Under Dispenser Containment Sump Information' Dispenser Number: Bravo (Steel, Shallow Parj):j' ' Bravo (Fiberglass, Deep SumP):l, Bravo (Plastic, Deep Sump):I Phil Tite (White Inside, Green Outside, Deep L): Test Date: ~ - ~7-L~ 2~ Sump Type: Shall°~ Deep OPW piCes (White, Straight Sides, Deep):I X' Total Containment (Fiberglass):i I Western Fiberglass (Grey, Deep 'L):'J il Monitoring Sensor Information: Beaudreau (Sm Black Puck, Light Sensor):~;...~ Beaudreau (Modern Electronic)':[,', .~ I Other : Bravo (Mechanical Float):I Veeder Root (Electronic):] ~1~ Test Start Time Test Finish H-Test ~FIH:MM (12 Minute Duration) Level Differential Pass/(~) Condition (RePair Notes) Pass / Fail Pass / Fail Pass / Fail Pass / Fail SB 989 Test Log Forms 2.0 ,'"SB 989 Test Log Testing Contractor: Shell 4050 Gosford Bakersfield, CA 98009 N021158 - Testing Product Piping Secondary Containment Line Information' Test 'Date: Fuel Grade:' '87 / 87 Syphon Line / 89 / 91. /(~/ M85 / WO Remote Fill Type: 'Single wall Primary Piping: · ^o X I otc (~Ok, ~.~}:~ ....... ~ Western 'Co-Flex'(Grey, Flex):] ] Secondary Piping' cTc (Orange, P!astio):l [ CTC (Blue,.Plastio):I I Other Test Start Test Finish P-Test HH:MM/' PressUre HH:MM / PreSsure Pass / Fail Condition (Repair Notes! /' I Pass / Fail / / Pass / Fail / / Pass / Fail / ,/ Pass / Fail · SB 989 Test Log Forms 2.0 "SB 989· Test Log Testing Contractor: Product Piping Secondary Line Information' : Shell · 4050 Gosford Rd Bakersfield, CA Containment .. Test-Date: ~; ® - Fuel Grade:' . / 87 Sypho,~ Line / 89 / 9i/ D / M85 Type: ' Single Wall !~ Shell' 4050 Gosford Bakersfield, CA ~ N021158 - Testing / we Remote Fill Primary Piping: ^o Sm,.. (Oo,°):i :X' I Ameron (Red):I Environ (Green, Flex):i CTC (Black, Flex):] Western Co-Flex'(Grey, Flex):I Other · Other Secondary Piping: AO Smith (Gold): Ameron (Red):I TO! (Grey; Plastic):I otc (Orange, Plastic):i CTC (Blue,.Plastic):I mm)Test Start Test Finish P-Test HR:MM / Pressure HH:MM / PreSsure Pa_ss. ~ - 'Condition (Repair NoteS). /' / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Tesl Log Forms 2.0 SB 989 Test LOg Testing Contractor: Shell 4050 Gosford Bakersfield, CA 93130~ N021158 - Testing Product Piping Secondary Containment Line Information: Fuel Grade" Type: ' Single Wall Primary Piping: AO smith (Ootd): Ameron (Red): Environ (Green, Flex): CTC (Black, Flex): Western Co-Flex'(Grey, Flex): Test 'Date:· ~ -2-7 - O 2-: '8.7 / 87 Syphon Line / 9'1 I D / M85 / WO Remote Fill Other Secondary Piping: AG Smith (Gold):[,.~ Ameron (Red):I TCI (Grey, Plastic):I cTc (Orange, Plastic):[ CTC (Blue,.Plastic):I :1 Test Start Test Finish P-Test HH:MM /Pressure HH:MM / Pr.eSsure. .Pass/'Fail 'Condition (Repa!r Notes) /- / Pass / Fail ! / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Shell 4050 Gosford B~tkersfield, CA 9~Jee~ N021158 - Testing ProdL~ct Piping Secondary Containment Lin'e Information: Test 'Date' Fuel Grade:' '8.7 / 87 Syphon Line / 89 /(~ D / M85 / WO Remote Fill lype: : Sin§le wall ' Primary ~ipin§' Secondaw ~ipin§: AO Smith (Gold):I ~ i Ameron (Red):I ' I Environ (Greer~, Flex):~'"~ CTC (Black, Flex):I '1 Western 'Co-Flex'(Grey, Flex):I '. '. :! Other · Other AO Smith (Gold):I ~ Ameron (Red):I TCI (Grey, Plastic):I cTc (orange, Plastic):I CTC (Blue,.Plastic):I 1 I ,,I Test Start: Test Finish P-Test HH:MM./.Pressure' HH:rvlM / PreSsure Pass / Fail Condition (Repair Notes). /- . / '.~ Pass / Fail / / Pass / Fail / / Pass l Fail / I Pass / Fail SB 989 Test Log Forms 2.0 ~;B 989 Test Log Testing Contractor: Sh'ell Shell 4050 Gosford Rd 4050 Gosford Bakersfield, CA Bakersfield, CA 98QQ9, 3 N021158 - Testing Tank (Annular Testing) Test Date: Tank Information: Fuel Grade: 87 /'87Slave / 89 /'91/{~/ M85 / WO Type: Single Wall /~ Annular Monitoring Method: .~ Testing Necess ! Dry (See Testing Notes Below) Modern Welding (Red, Smooth Walls): Owens Corning (Beige, Smooth Walls):r-'-' Other Xerxes (Red, Square Ribs)':1 Joor (Blue, Smooth Walls):I Test Start Test Finish V-Test HH:MM,, ! Vacuum HH:MM / Vacuum Pass / Fail Condition (Repair Notes) / / Pass / Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Tank (Annular Testing) Shell 4050 Gosford Rd Bakersfield, CA Shell 4050 Gosford Bakersfield, CA zg-3669~ N021158 - Testing Test Date: Tank Information: Fuel Grade: (~/ 87 Slave / 89 / 91/ D / M85 / W© Type: Single Wall Annular Monitoring Method: ~Ne~./ Dry (see Testing Notes Below) Modern Welding (Red, Smooth Walls):I ' Owens Corning (Beige, Smooth Walls):I Owens. Corning (Beige, Round Ribs):I ./~ I Other Xerxes (Red, Square Ribs):[ Joor (Blue, Smooth Walls):[ Test· Start Test Finish V-Test HH:MM / Vacuum HH:MM / Vacuum Pass 1 Fail Condition (Repair No,tes! / / Pass / Fail / · / ' Pass / Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 ~'~B 989 Test Log Testing Contractor: Tank (Annular Testing) Shell 4050 Gosford Rd Bakersfield, CA Shell 4050 Gosford Bakersfield, CA ~ N021158 - Testing Test Date: Tank Information: Fuel Grade' 87 / 87 Slave / / 91/ D / M85 / WO Type: Single Wall 1~ Annular Monitoring Method: lestiag ~eces ) / Dry (See Testing ~otes Below) Modern Welding (Red, Smooth Walls): Owens Corning (Beige, Smooth Walls):l... Owens Corning (Beige, Round Ribs): Other Xerxes (Red, Square Ribs):Li: _,.j Joor (Blue, Smooth Walls): '1 I Test Start Test Finish V-Test HH:MM / Vacuum ,.. HH:MM / Vacuum - pass / Fail 'Condition (Repair Notes) / / Pass / Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail ! / Pass / Fail SB 989 Test Log Forms 2,0 SB 989 Test Log Testing Contractor: Shell 4050 Gosford Rd Bakersfield. CA Shell 4050 Gosford Bakersfield, CA 98~)9 N021158 - Testing Tank (Annular Testing) Test Date: Tank Information· Fuel Grade: 87 / 87 Slave / 89 / D /.M85 / WO Type: Single Wall ~ Annular Monitoring Method: ~W_~(No Testing Necessary~ Dry (See Testing Notes Below) Modern Welding (Red, Smooth Walls):I " Owens Corning (Beige, Smooth Walls):I [ Owens Corning (Beige, Round Ribs):I X I Other Xerxes (Red, Square Ribs):L:;. Joor (Blue, Smooth Walls):[ '1 Test Start Test Finish V-Test ,HH:MM / Vacuum HH:MM / Vacuum Pass / Fail ' Condition (Repair Notes! ,, / / Pass / Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING NUMBER OF TANKS TO BE TESTED /4 IS PIPING GOING TO BE TESTED . TANK # VOLUME CONTENTS TANK TESTING COMPANY ~(~(le NA~ & PHONE ~ER OF CONTA~ N~ OF TESTER OR SPECIAL CERTIFICATION # DATE & TIME TEST IS TO BE CONDUCTED 127828 TEXACO 121224 4050 GOSFORD RD. BAKERS..CA, 93809 ?0844396305001 SEP 11, 2003 6:3? PM BYSTEM STATUS RBP'ORT T I:DELIVERY NEEDED 0 3:GROSS LINE FAIL 0 3:PLLD SHUTDOWN ALARH 12'7828 TE~A¢:O 1 21 4050 GOSFORD RD. BAKERS.,CA. 93309 70844396305001 SEP 11.. 2003 6:37 PP1 SYSTEM STATUS REPORT T i:BEL1VERY NEEDED O. :3:GROSS LINE FAIL O 3 :P'LLD SHUTDOi4N ALARM 127828 TEXAC:O ' '-~ .-,o.. 4050 GOSFORD RD. BeAkER,. ,C'A. 9:3309 70844396305001 SEI::' 11 20.03 _6'q~ DEL I V.,_,,,, ;,;LqEDED GROSS L I NE FAIL' :3:PLLD SHUTDO[,,JN ALARH 127828 TEX~CO 121224 4050 GOSFORD RD. BAKERS.,CA. 93309 70844396305001 SEP I1 o--.- .,~q S'Y'S'I"Ef,1 STATUS REPORT DELIVERy NEEDED GROSS LINE FA!L ° '.1~ L__D__,¥.H U TD Ot,,j N ALARM 4197828 TEXACO I'PI'>'--,.., USO GO;~FO~D E'DT' ,-, '. %":-" '. 93309 "0844396305001 .q . ,-El:-' I1.. 2003 6:40 PPI SYSTEM ~TATUS ~EPO~T 3:GROSs LINE FAIL t27828 TE×ACO 121224 4050 GOSFORD RD.. BAKERSo,CA. 93309 70844396305001. 200:3 6:41 PM SYSTEM STATUS REPORT 1 :DEL I VERY NEEDED 5O:GROS8 LINE FAIL 3:PLLD SHUTDOWN ALARM _ i_22828--T-E×ACO. 1-21224---- 4050 GOSFORD RD. BAKERS.,CA. 93809 70844396305001 SEP 11.. 2003 6:44 PM SYSTEM STATUS REI:'ORT T I:DELIVERY NEEDED D 8:&LARM CLEAR klARNING o ~.~- T~XACO i21224 40,0 GOSFORD RDt BAKERS.,C~. 93309 70844396305001 SEP i1., 2~03 -6:44 PM SYSTEM STATUS REPORT T I:DELIVERY NEEDED D 8 :ALARM (;LEAR kdARNI NG P~ESSURE LINE LEAK ALARM (~ 4:87 GROSS LINE FAIL SEP 11, 2003 6:49 PM PRESSURE LINE LEAK ALARP1 & 4:87 !::'LLI] SHLITDO~II',I ALARP1 ,~EI:_I 1_,__2003__6.:.:4.9 _F_~p_i_.~ PRE,_~,oLIRE L I NE LEAK D I AG SEP I1, 2008 E,:52 PM Q 4:87 3.0 TEST PASSES PON Pl P2 SEP 11.. 2003 6:41 PM 33.6 23.1 23.1 SEP 11, 2003 6:32 PM 3~.9 28.2 23.2 SEP I1, 2003 6:25 PPI 30.5 23.3 23,5 SEP 11, 2003 6:2'2 PPI ~0,'2 23.3 23,5 SEP 11, 2003 6:17 PM 33.? 28.3 23.6 3.0 TEST FAILS PON PI P2 - 8EP i1.. 20~3 6:~9 pM 28.8 14.6 1~.3 OOT 17, 2001 1:51 :'Pi 28.4 4.2 4.2 SEP 7.. 2001 9:'25 AP1 27.8 .0.7 :.~ ~.~ HI PRES~URE'EVENTS PON PI P2 NO TEST DATA AVAILABLE o -o- 212'24 i=TW=W TEXACO I 4050 GOSFORD RD. BAKERS.,CA. 93309 70844396305001 SEP 11, 2003 6:54 PM -~Y~TEI"I-~TATUB REPORT-- T I:DELIVERY I',IEEDED C-'I 4: GROSS L I NE FA I L 0 4:PLLD SHUTDOWN ALARM 127828 TEXACO 121224 4050 GOSFORD RD. BAKERS.,CA. 93309 70844396305001 SEP Il. 2003 6:55 PM SYSTEM STATUS REPORT I:DEL1VERY NEEDED 4:GROSS'LINE E~IL 4:PLLD,SiIUTDC~N ALARM 127828 TEXACO 121224 4050 GOSFORD RD. BAKERS.,CA. 93309 ?0844396305001 SEP 11, 2003 6:58 PM SYS'FEN STATUS REPORT T I:DELIVER¥ NEEDED G 4:GROSS LINE FAIL G 4:PLLD SHUTDOWN ALARM 127828 TE>~ACO 121'224 4050 GOSFORD RD. BAKERS...CA. 93309 ?0844396305001 SEP ll, 2003 7:00 ~=,~oTEI1 STATUS REPORT T :: DEL I k]ER¥ NEEDED (-'~ 4:GROSS LIIslE FAlL _- LT-,~ 4 :PLLD SHUTI'i~Ob,II'I ALARI"I --JSO GOSFO~I-~ 4'2 :: ~,c.. ~.~ q3309 ?OB4439~'~oSOU t . SEP ll. 2003 7:02 pPI T i:DELIUER¥ NEEDED O 4:GROSS LINE FAIL G 4:PLLD SHUTDONN ALARM PLLD LINE DISABLE SETUP O 1 :DSL. I N-TANK ALARMS T 1 :HIGH 14ATER ALF~RPI T 1 :LOW PRODUCT ALARM L I O:U l D SENSOR ALP1S L 4:FUEL ALARM L g:FUEL ALARM LI2:FUEL ALARM 2:89 I N-T~NK t~L~RMS T '2:HIC;H tJATER ALARM T 2 :LOU pROFiUC,'T ALARM LIOUID SENSOR ALMB L 2:FUEL ALARM L 6:FUEL ALARM LIO:FUEL RLARN 2,:9I I N-TAN}( ALARMS T 3:HIGH blA'['EP ALARM T 3:LOkl PRODLh_ . ALARM LIQUID SENSOR ALMS L 3:FUEL ALARM L 7:FUEL ALARM LII:FUEL ALARM II,I-TANK RLARI"IS T 4:HIGH WgTER RLgRM T 4 :LObJ PRoDU...T ALgRI"I LIOUID SENSOR ALMS L I:FUEL ALARM L 5:FUEL ALARM L 9:FUEL AL~RP1 RECONC [ I~ [ AT I ON SETUP AO'FOPlAT I C f'iA [ LY CLOS 1 NG T 11"IE: '2: O0 AM ¢4UTO SHIFT ~tl fi;LOSINC; T I F1E: g I SABLED AUTO SHIFt U2 CLOSING T I ME: D I SABLED ,tcgU'rO SHIFT ¢3 CLOSING T I PiE: D I SBBLEB aOTO SHIFT g4 CLOSING T I ME: 5: O0 PER I OD I C RECONC I L I PiT I ON MONT HLV MODE: ALARM: D I SgBLED fiT~ND&RD p~T~ C~L [~T~ JN OFFSET; O. 000% BUS. SLOT FUEL METER TRNK TAlin.I}( l"lRP EMPTY TYP:2.0/3.0IN FIBERGLASS --Z..O~-N DLC~LEN:2Eu]LEEET 3.OIN DIA LEN: 0 FEET 0.20 GPH ]'EST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.00PH, LOW PRESSURE SHUTOFF:NO LOW PRESSURE : 0 T 9:91PREM. DISPENSE MODE: STANDARD SENSOR: NON-VENTED PRESSURE OFFSET: O.OPSI 0 4:87 TYP:2.0./3,0IN FIBERGLASS 2.DIN DIA LEN:200 FEET 3.01N DIA LEN: 0 FEET 0,20 GPH TEST: REPETITIV O.tO GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE : 0 PSI T 4:87 REG, DISPENSE MODE: STANDARD SENSOR: NON-VENTED PRESSURE OFFSET: O.OPS] LINE LEa}( LOCI(OUT SETUP LOC)lOUT SCHEDULE DAILY START TIME: DISABLED STOP TIME : DISABLED LIOUID SENSOR SETUP L 1:87 TURB. SUMP TR I -STATE, (S I N_,LE FLOAT) ¢::ATEGORY : STP ,~,89 TURB, SUMP TRI-STATE (SINGLE FLOAT> CATEGORy : STP SUMP L 3:91 TURB. SUMP TR! -STATE (S INGLE FLOAT CATEGORY : STP SUPIP L 4:DSL.TURB. SUMP TR~-STATE (SINGLE FLOAT) C;ATEOORy : STP SUMP 5:B7 FILL SUMP ST - ATE (SINGLE FLOAT) CaTEGORy': OTHER SENSORS L 6:B9 FILL SUMP TRI-STATE (SINGLE FLOg]') CATEGORy: OTHER SENSORS L 7:91 FILL SUMP 'tRI-STATE (SINGLE FLOAT) t~TEL.~ORy : OTHER ~ENSoRs L B:DSL. FILL SUMP TRI-STA~'~ .- 'a (SINOLE FLOAT) --ATEGORy : OTHER SENSORS L 9:~7 ANNULAR TR I -STATE (S INGLE FLOAT) CaTEGORy : ANNULAR SPACE LIO:~9 ANNULAR TR I -STATE (S INOLE CATEGoRy · A ........ FLOAT) · -auLa/,f SPACE L l l :91 ANNULAR TRI-STATE (SI NGL C:RTEOoRy ........... E FLOAT) · Ra~'~ULA~ SPACE T~I-STaTE (SINGLE FLOAT) LEAK TEST METHOD TEST ON DATE : TANK 1 FEB 9, 2003 START TIME : 1:00 AM TEST RATE :0.20 OAL.,,,"HR DURATION : 4 HOURS TST EARLY STOP:DISABLED TEST CSLD : TANK 2 Pd = 99% CLIMATE FACTOR:MODERATE GROSS TEST AUTO-CONFIRM: DISABLED REPORT ONLY: END OF MONTH TST EARLY STOl:' :DISABLED TEST CSLD : TANK 3 Pd = CL I MATE FACTOR: MODERATE GROSS TEST AUTO-OONFIRM: DISABLED REPORT ONLY: END OF MONTH TST EARLY STOP :D I SABLED TEST CSLD : TANK 4 Pd = 9?4 CL I MATE FACTOR: PlODERATE GROSS TEST AUTO-CONF I RP1: D I SABLED REPORT ONLY': END OF HONTH TST EARLY STOP: DISABLED LEAK TEST REPORT FORMAT NORMAL 127828 TEXACO 121224 4050 GOSFORD RD, BAKERS,.,CA, 93309 70844396305001 SEP 11, 2003 3:04 PM FUEL MANAGEMENT SETUP DELIVERY ~ARN DAYS: 0.0 AUTO PRINT: DISABLED T I:DIESEL AVG SALES-SUN: 121 GAL AVG SALES-MON: 147 GAL AVG SALES-TUE: 185 G~L AVG SALES-~ED: 175 GAL AUG SALES-THR: 223 GAL AVG SALES-FRI: 206 ~AL AVG SALES-SAT: 109 GAL T 2:89 PLUS AVG SALES-SUN: AVG SALES-MON: AVG SALES-TUE: AVG S~LES-~ED: AVG SALES-THR: AVG SALES-FRI: AVG SALES-SAT: 774 GAL 820 GAL 822 GAL 728 GAL 806 GAL 890 GAL 857 GAL T 3:91PREM. AVG SALES-sUN: AVG S~LES-HON: AUG SALES-TUE! AVG ~ALES-THR: AUG SALES-FRi: AVG SALES-SAT: 654 GAL 621 GAL 571 GAL 718 677 GAL 772 GAL 725 GAL 4:87 REG. S LES-SUN. SALE~_PqOt SALE'-' SALES-sA~: 4211 GAL 4593 4746 GAL 4985 4921 GAL '5573 GAL 4649 GAL PRESsuRE LINE LEAK SETUP O I:DSL, ~?'P:2 ('3.0IN FIBERGLass 2.0IN'[ 3.~IN ~ ~ ~:200 FEET ' ~.20 ~p --5~: O FEET I~ST: RE O.lO ~p Tmo~. SHUTDO~i ~Z' ~UTO RATg: LOkl PRE~ ~URE LO~ PRES ~UR~ · -~?rF:NO -- · 0 PSI T I:DIESEL DISPENSE NODE: STANDARD SENSOR: HI" PRESSUR~ ~,~FRESSURE ~ vr~SET: O.oPsi O 2:89 TYp: o .-~ - '.O,/3.OiN FIBERGLass ~-.UlN DIA S-'~IN DIA LEN:200 FEET U.2.~ ~PH ] LEN: 0 FEET SHU'TDO~N ~ ' ro LObJ P~ESSURE $~ll~.i_ LO~ pRESBUF ' ' ' ~IOFF: N- eE : 0 psi° r~ND~D · SENSOR: _ . T 3:91PREM. PRODUCT CODE : 3 THERMAL COEFF TANK DIAMETER : 92.00 TANK PROFILE : 1 PT FULL VOL : 9728 METER DATA : NO FLOAT SIZE: 4.0 IN. WATER WARNING : O.B HIGH WATER LIMIT: 1.5 MAX OR LABEL VOL: 9728 OVERFILL LIMIT : 94% : 9144 HIGH PRODUCT : 98% : 9533 DELIVERY LIMIT : 14% : 1459 LOW PRODUCT : 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.19 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: : LEAK MIN ANNUAL : 0% : 0 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 3 MI N T 4:87 REG. PRODUCT CODE : 1 THERMAL COEFF :.000700 TANK DIAMETER : 92.00 TAN}( PROFILE : 1P~ FULL VOL~ : 11627 METER DATA : NO FLOAT SIZE: 4.0 IN. WATER WARNING : 0.8 HIGH WATER LIMIT: 1.5 MAX OR LABEl, VOL: 11627 OVERFILL LIMIT : 95: : 11045 HIGH PRODUCT : 98% : 11394 DELIVERY LIMIT : 15% : 1744 LOW PRODUCT : 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 50 TANK TILT : 0.75 MANIFOLDED TANKS T~: NONE LEAK MI~ PERIODIC: 0% : 0 LEAK MIN ANNUAL : O~ : 0 PERIODIC TEST T'~PE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM'DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF KiEL I VERY DELAY' : 3 M I Iq I N-TANK SETUP T 1 :DIESEL PRODUCT CODE : 4 THERMAL COEFF : .000450 TANK DIAMETER : 92. go TANK PROFILE : 1 PT FULL VOL : 9728 METER DATA : NO FLOAT SIZE: 4.0 IN. WATER WARNING : 1 .0 HIGH WATER LIMIT: 2.0 PlAX OR LABEL VOL: 9728 OVERFILL LIPIIT : 94% : 9144 HIGH PROD UC, T : 98% : 9533 DELIVERY LIMIT : 14% : 1459 LOW PRODUCT : 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 60 TANK TILT : 0.91 MANIFOLDED TANKS T;: NONE LEAK MIN PERIODIC: 0% : 0 LEAK MIN ANNUAL : O~ : O PERIODIC TEST TYPE - -STaNDARD- ANNUAL TEST FAIL ALARM DISABLED PERIODIO TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : $ MIN T 2:89 PLUS PRODUCT CODE : 2 THERMAl, COEFF :.000700 TANK DIAMETER : 92.00 TANK PROFILE : 1 PT FULL VOL : 9728 METER DATA : NO FLOAT SIZE: 4.0 IN. WATER WARNING : 0.8 HIGH WATER LIMIT: 1.5 MAX OR LABEL VOL: 9728 OVERFILL LIMIT : 94~ : 9144 HIGH PRODUCT : 98% : 9533 DELIVERY LIMIT : 14~ : 1459 LOW PRODUCT : 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.29 MANIFOLDED TANKS T;: NONE LEAK MIN PERIODIC:: O~ : o LEAK MIN ANNUAL : : PERIODIC T~ST TYPE STAND~RD ANNUAL TEST FAIL ~LARM DISABLED PERIODIC: TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 3 MIN C:OMMUN ! CAT IONB SETUP PORT SETTINGS: COMId BOARD : 5 (RS-485) BAUD RATE : 9600 PARITY : ODD STOP BIT : 1 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : 000000 COMId BOARD : 6 (S-SAT) BAUD RATE : 9600 PARITY : ODD STOP BIT : 1 STOP DATA LENOTH: 7 DATA RS-232 SECURITY CODE : 000000 DTR NORMAL STATE: HIGH RECEIVER SETUP: D 8:VEEDER ROOT (FIDS) CALL 4000010025 RCVR TYPE: COIdPUTER PORT NO: 6 RETRY NO: 5 RETRY DELAY: 5 CONFIRIdATION REPORT: OFF AUTO DIAL TIME SETUP: D 8:VEEDER ROOT (FMS) DIAL ON DATE APR 28, 2002 DIAL TIME : 1:17 PM RECEIVER REPORTS: RS-232 END OF MESSAGE DISABLED AUTO DIAL ALARM SETUP_ _ D 8:VEEDER ROOT (FIDS) IN-TANK ALARMS ALL:LEAK ALARM ALLtHIGH WATER ALARM ALL OVERFILL ALARId : 3SS ALARM ~ L:SUDDEN Lc,. ...... ~, .u~n~ pRODUCT aL~R~I ~P~i?~LID FUEL LEVEL t,ROSS TEST FAIL ALL:At~r~u~ - . ALL: ~ER TST NEEDED ~ER TST NEEDED ALL:", .... n IDLE TIME ALL:NO CS~ , , -'SLD INCR RATE ALL:C'L ......... XRT CAL wARN . LL :ACCU~-,nU .-, ALL: ~w '~U,, · ~ L I NE T ALL:GROSS r~ LIQU1D SENSOR ALMS ,, UEL ALARM ALL:~ ....... ~ oUT ALARPl ALL:S~ZbALAR~ ALL:~AI~ ALARM · ~TER OU~ ALARP1 ALL LIQUID wARNIN~ ALL: , VER ALARMS. RECE,1 .... = ~,;'pORT WARI_'I SERv ~.~, ~p wARN I NG ~ ''t : LINE l,E~ PRESS :~,:o, ~iNi: FAIL., ~L · ,-~ ,rC4T NEEDE?~ ALL: ,~-,'~c, El, ALAI~n ALL :bgW ~'P.'~ alL' UNKNOWN '~[L~UEL OU~ "¢'ULT AU'"I aLL :LN E~UIP ENGLISH SYSTEM DATE...'"T I ME FORMAT MON DD YYYY HH:MM:SS ×M ~'" ..... u~oL' ~,:.~.~,..,.,, l'-"Zi 224 ?0844396305001 SHIFT TIME 1 : 5:00 AM SHIFT TIME 2 : DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED SHIFT BIN PRINTOUTS DISABLED DAILY BIR PRINTOUTS DISABLED TIOKETED DELIVERY ENABLED TO TIOKETED DELIVERY DISABLED CLOSE DAY OF WEEK SUN DAILY DLVY VAR RPTS DISABLED WEEKLY DLVY VAR RPTS DISABLED PERIODIC DLVY VAR RPTS DISABLED DAILY BOOK VAR RPTS DISABLED WEEKLY BOOK VAR RPTS DISABLED PERIODIC; BOOK VAR RPTS DISABLED DAILY VAR ANALY RPTS DISABLED WEEKLY VAR ANALY RPTS DISABLED PERIODIC VAR ANALY RPTS DISABLED TANK PER TST NEEDED WAN DISABLED TANK ANN TST NEEDED WAN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WAN DISABLED LINE ANN TST NEEDED WAN DISABLED PRINT TO VOLUMES DISABLED ' TEMP COMPENSATION VALUE (DEC F ): 60,0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT PRECISION TEST DURATION HOURS: 12 0,20 GPH LINE TEST AUTO-COaFIRM:'ENABLED 0,10 GPH LINE TEST AUTO-CONFIRM: ENABLED DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK 1 SUN START TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM RE-DIREOT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX SYSTEM SECURITY CODE : 000000 SYSTEM SETUP SEP 11, 2003 3:03 PM SYSTEM UNITS U.S. SYSTEM LANGUAGE E NGL I S H SYSTEM DATE×TIME FORMAT MON DD YYYY HH:P1PI:SS xM 127828 TEXACO 121224 4050 GOSFORD RD. BAKERS..CA. 93309 70844996905001 SHIFT TIME 1 : 5:00 APl SHIFT TIME 2 : DISABLED SHIFT TIME 9 : DISABLED SHIFT TIME 4 : DISABLED -SH'I~T-BI-R-PR'I-NTOUTS DISABLED DALLY BIR PRINTOUTS DISABLED TICKETED DELIVERY ENABLED TC TICKETED DELIVERY DISABLED CLOSE DAY OF WEEK SUN DALLY DLVY VAR RPTS DISABLED WEEKLY DLVY VAR RPTS DISABLED PERIODIC: DLVY VAR RPTS DISABLED DAILY BOOK V~R RPTS DISABLED WEEKLY BOOK VAR RPTS DISABLED PERIODIC BOOK VAR RPTS DISABLED DALLY VAR AIqALY RPTS DISABLED WEEKLY VAR ANALY RPTS DISABLED PERIODIC: VAR ANALY RPTS DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WAN DISABLED LINE ANN TST NEEDED WAN DISABLED PRINT TC VOLUMES DISABLED TEMP COMPENSATION VALUE (DEC F >: 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT PRECISION TEST DURATION HOURS: 12 0.20 GPH LINE TEST AUTO-CONFIRM: ENABLED 0,10 GPH LINE TEST AUTO-CONFIRM: ENABLED DAYLIGHT SAVING TIME ENABLED' START DATE APR WEEK 1 SUN START TIME 2:00 AP1 END DATE OCT WEEK 6 SUN END TIME _2_:.00 A~_ __ RE-DIRECT LOCAL.PRINTOUT D I ~A~I .~D '' MONIT( RING SYSTEM,CERTIFICaTION For .t~.y All Jurisdictions Within the State of Califo~ Authority Cited: Chapter 6. 7, Healtt? and Safety Code; Chapter 16, Division 3, Title 2~dl~2alifornia Code of Regulations 'This form must be used to document testing and ~se_rv~icing of monitoring equipment. A separate certification or report must be pre~__~r~ for each monitt}rine system_control rmnel hv the te. ch~iEi~an ~ho performs the work. A copy of this form must be provided to the tank' system owner/isho[I Xopy of this form to the local agency regulating UST systems within 30 days of test datl ..... ' ~.4uuu ~osford Rd. A. ff. eneral',Bakersfield, CA 93309 ,- - Facility Name: N03649 - A/L Bldg. No.: Site Address: Facility Contact Person: Make/Model of Monitoring System: 5///4 / h~[ffp'' B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indieate specific equipment inspected/serviced: [}'In-Tank Gauging Pr6be. Iii-Annular Space or Vault Sensor. Iii-Piping Sump / Trench Sensor(s). Ii,Fill Sump Sensor(s). Model: Model: M~el: ~ ~e ~ ~ctor. M~eI: ecuonic Line ~ ~t~tor. M~el: D T~ Oveffill I ~gh-~vel Sensor. Model: El Other (sPecify equipment type and model in Section E on Page 2). Tank ID: f/'~ ~ E! In-Tank Gauging Probe.. [~'~nnular Space or Vault Sensor. I~rl~ping Sump ! Trench.Sensor(s). ~"Fill Sump Sensor(s).,, n Mechanical Line Leak Detector. [[LElectronic Line Leak Detector. Model: /' t~'''~ ~} r--t/9 [1 Tank-Overfill / HighrLevel S~nsor. Model: Model: Model: Model: M~el: M~el: El Other (specify equipment type and model in Section E on Page 2). [i}~DispenserContainment Sensor(s). Model: .l~r.o~ Z~.~r4 ~ lil-~hear Vaive(s). ,, .~/o ~ 0'"/'4 ~0~'- ~ Dispenser Containment bloat(s) and Chain(s). Dispenser ID: [iL-Dispenser Containment Sensor[s). Model: /~t,~,~,,/~ 121 Dispenser Containment Float(s) and Chain(s). Dispenser ID: S:n/so~s).'''~/- Model: [WlSispenser Containment [~'hear Valve(s). [IDispenser Containment bloat(s) and Chain(s). City: Zip: Contact Phone No.: ( rl/q' ) g'''/Q j?fa~ ~ ~5 ~ Date of Testing/Servicing: ~ / ~// ~:~._.___~ El In-Tank G.at~ging Probe. Model: [~A-nnular Space or Vault Sensor. Model: liPl~iping Sump / Trench Sensor(s). Model: Gl-Fill Sump Sensor(s): Model: 121 Mechanical Line Leak Detector. Model: IJ~-Electronic Line Leak Detector. Model: i n Tank Overfill / High-Level Sensor. Model: D Other (specify equipment type and model in Section E on Page 2). Tank ID: ~,~ ~r,~ El In-Tank Gauging Probe. Model: ~nnular Space or Vault Sensor. Model: 1~t~lgiping Sump / Trench Sensor(s). ModeM: [~Fill. Sump Sensor(s). Model: FI Mechanical Line Leak Detector. Model: [~ Electronic Line Leak Detector. Model: Fl Tank Overfill / High-Level Sensor. Model: Fl Other (specify equipment type and model in Section E on Page 2). Dispenser ID: Iii-Dispenser Containment sensor(s). Model: .(&,v*e~,~m 121-~ear Valve(s). ~-~ ~ Dispenser Containment Float(s) and Chain(s). [1 Dispenser Containment S?psor(s). Model: 121 She~r Valve(s). ~ . 121 Dispenser Containn/~ht~Float(s) and Chain(s). l)is~mer I0: 121 Dispenser Containment Sensor(s). Model: El Shear Valve(s). . . · . D DisPenser Containment Flbht(s} arid Chain(s). *If the facility contains more tanks or dispensers,.copy this forr~ Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in ~ document was im .l.~ted/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. mannfacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such..reports, I have also attached a copy of the report; (check all that apply):. FI System set-up Fl Aia~tory re~or$. , /~x Technician. Name (prin0: ~}~ ff _ff, e~.. ~'~ Signatdre:~ ,,,~,r~_ . _ Certification No.: ~ /~ 2_ ' License. No.: '~OO j~ ~tyv Testing Company Name:/~5",*Z/~,' ~ .~'~ ~"-/ .,Page 1 of 3 Phone o.:( q/a )C- Date of Testing/Servicing: ~/~'' ,/t~ ~_ 03/01 Monitoring System Certification Results of Testing/Servicing Software Version I. nstailed: Complete the following checklist: []~-Yes uI No* Is the audible alarm operational? [~s~es I-I No* Is the visual alarm operational? ~ VI No* Were all sensors visually inspected, functionally tested, and confirmed operational? Ii. Yes ~l No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment wiii~ not interfere with their proper operation? ~F~es O No* If alarms are relayed to a remote monitoring station, is ali communications equipment (e.g. modem) VI N/A operational? li~Y'es VI No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment VI N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) vi Sump/Trench Sensors; VI Dispenser Containment Sensors. Did you confu-m positive shut-down due to leaks and sensor failure/disconnection? FI Yes; VI No. [~res 'VI No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no VI 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 capac?y does the alarm trigger? % l-'l Yes* [~qo] Was any monitoring equipment replaced? If yes, identify specific sensors, Probes, or other equipment replaced t and list the manufacturer name and model for all.replacement parts in Section E, below. 0 Yes* []l~lqo Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) VI Product; VI Water. If yes, describe causes in Section E, below. ~ VI No* Was monitoring System set-up reviewed to ensure proper settings? Attach set up reports, if applicable VI Yes ~ Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these defidencies were or will be corrected. Page 2 of 3 03/01 F. In-Tank Gauging / SIR Eq~ment: Check this box if tan,,~auging is used only for inventory control. Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ~-Yes -~vI No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? [~-yes VI No* Were all tank gauging probes visually inspected for damage and residue buildup7 {il---Yes VI No* Was accuracy of system product level readings tested? .l~.-.Yes VI No* Was accuracy of system water level readings tested? ~-Yes VI No* Were all probes reinstalled properly? ~li~--Yes VI No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Cl Check this box if LLDs are not installed. Complete the following checklist: ~[ Yes VI No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? VI N/A (Check all that apply) Simulated leak rate: li~3g.p.h.; vI0.1g.p.h; VI 0.2 g.p.h. I~ Yes VI No* Were all LLDs confirmed operational and accurate within regulatory requirements? [i~--Yes VI No* W~s the testing apparatus properly calibrated? vi Yes VI No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ~N/A .K~, Yes VI No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? VI N/A {~}"¥es VI No* For electronic LLDs, does the turbine automatically Shut off if any portion of the monitoring system is disabled VI N/A or disconnected? {~g Yes VI No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ~! N/A or fails a test? [~lres I~ No* For electronic LLDs, have all accessible wiring connections been visually inspected? VI N/A Igl~i~es VI 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 ~ '~onitoring System Certification Site Address: uST'Monitoring Site Plan Date map was drawn: 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. 09/08/110011 ll0N 11:36 FAX ,SMl'l ia i.~UU3 1E:HU BKSI-i-D FIRI[ PREYEMTIOM' 001/002 CITY OF BAKE~F~LD OFFICE OF ENVIRO~NTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326--3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION TANK # VOLUM~ CO~S APPROVED BY DATI// SIGNATURI/OF APPLICANT BAKERS.,Ca. 98309 ?0844396305001 MAY 1.. 200:3 1:06 PM INVENTO~'g REPORT T 1: D1 ESEL 'g{:'~E = 460,'3 GaLS ULIE = 51 '-'~'~-...~ GaLS 90'.:-",'~"LLAGE= 415'2 GALS HEIGHT = 44.06 INCHES WATER VOL = 0 GaLS WATER = O.O0 INCHES TEMP = ?5.3 DEG F T 2:89 PLUS VOLUME = 2689 GALS ULLAGE = 7039 GALS 90% ULLAOE= 6066 GALS HEIGHT = 29.48 INCHES I,',IRTEF: VOL = 0 GaLS W~TER = O. O0 INCHES TEMP = 68.1 DEG F T 3:91 I::'REM. VOLUME = 1676 GALS ULLAGE ; 8052 GALS 90:/LAGE= 70?9 GaLS HEII~ff = '21.04 INOHES b¢a]%'l~; 'VOL = 0 GaLS t,,~a'rER = O.O0 INCHES TEMP = 68.2 DEG F VOLUblE :3555 (3aLS ULLAGE = E:072 GaLS 90% ULL~OE= 6909 GALS HEIGHT = Hl.73 INCHE~ ~AT£R VOL = 0 GaLS W~TER = 0.00 INCHES TEMP = 68.5 DE(] F FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program Routine [~l Combined [21 Joint Agency Type of Tank Type of Monitoring [21 Multi-Agency 1~ Complaint Nmnber of Tanks /tt Type of Piping ~111~ Re-inspection OPERATION C V COMMENTS Proper tank data on lile Proper owner/operator data on lile Permit fees cur,'ent 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 t-'~-- Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC availab'le SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtill/overspill protection'? C=Compliance // V=Violation Y=Yes N=NO Inspector: ~ '~' ~}o~ Office of Environmental Services (661) 326-3979 While - Env. Svcs. Pink - Business Copy Bukiness Site Responsible PO UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Entronmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ' I INSPECTION DATE I INSPECTION TIME Section 1: Business Plan and Inventory Program Routine ~,Combined C3 Joint Agency {~ Multi-Agency I~! Complaint ~ Re-inspection C V [ C=Compliance ~ OPERATION COMMENTS ~. v=violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE (~"~ D CORRECT OCCUPANCY HOUSEKEEPING SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: i'=1 YES ~[No EXPLAIN: QUESTIO~_EGARDIN~HI~NSPECTION. PLEASE CALL US AT (661) Inspector Badge No.~ White . Environmentel Services Yellow - Sletion Co0y Pink - Business Copy ~f o3 Bruce T. Marubashi 209-5?7-5964 p.! TO: DATE: FAX #: Shell 0II Products US Northwest Region 3468 Claremont Avenue Modesto, CA 95350 FROM: Bruce T. Marubashi Shell Oil Products Northwest Region btmarubashi(_~equiva.ceom Phone #: (209) 577-5960 Fax #: (209) 57%5964 FAX TRANSMI'V]rAL NUMBER OF PAGES INCLUDING THIS PAGE 1~ IF YOU DID NOT RECEIVE AI..L OF TI-iE PAGES, PLEASE CALL (209) 577-5960 COMMENTS: ' 2003. EOUIL_O. N - SHELL OIL COMPANY (1) UST FINANCIAL LIABILITY DOCUMENT (2) LIST OF SHELL BRANDED FACILITIES COVERED BY THIS DOCUMENT PLEASE FORWARD TO THE APPROPRIATE SHELL INSPECTOR'S~ TO AVOID THE NUMEROUS REQUESTS FOR THIS DOCUMENT. THANKS ! CALL ME IF ANY PROBLEMS. Bruce T. Marubashi HSE Analyst - NWR, Bay Area ~M..,r 11' 03 12:59p Bruce T. Marubashi 209-57T-5964 p.~ UNDERGROUND STORAGE TANK LZABZLTTY ENDORSEMENT Named Insured ghell Oil Compan_~ Policy Number i-'P~l'i~'~' I~;i;~:~ ....... GLOg307gs0-O0 ~ ~pUa~ I~ 2003 to Janu~_~..~,. 2~ ~ by (N~e ~ Z~r~ ~ny) Zuri~ Amer~n Insur~nce Core.ny 1W00 Amerl~n ~ne 1-800-382-2150 Endorsement Nmnber ......................... I ]anuary IL 20_.03-- .......... THZS ENDOI~EMENT CHANGES THE POLICY. PLEASE READ TT CAREFULLY, This endorsement modifies insurance ~ded under t~ fi~llo~tng: CERTIFICATION ENDORSEMENT FOR SCHEDULED TANKS This endorsernent certJfies that the policy to which the endorsement is attached provides iiability insurance covering the following Underground Storage Tanks: Schedule of Tanks attached for taking corrective action, and/or compensating third parties for "bodily injury" and "property damage" caused by either "sudden accidental releases" or "nonsudden acddental releases" or "accidental releases"; in accordance with and subject to the limits of linbllity, exclusions, conditions, and other terms of the policy; adsing from operating the underground storage ~ank(s) identified above. The limits of liability are: Each Occun~nce Annual Aggregate $1,000,000 $2,000,000 exclusive of legal defense costs, which are subject to a separate limit under the policy. This coverage is provided under GLO9307950-00. The effective date of said policy Is January 1, 2003. The insurance afforded with respect to such occurrences is subject to all of the terms and conditions of the policy; provided, however, that any provisions inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby amended to conform with subsections (a) through (e); Bankruptcy or insolvency of the insured shall not relieve Zurich American insurance Company of its obligations under the policy to which this endorsement Zurich American Insurance Company Is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective aCaon or a damaged third-party, with a right of reimbursement by the insured for any such payment made by Zurich American Insurance Company. This provision does not ~r i~ 03 1~:58p Bruoe T. Marubashi ~09-57~-5964 p.3 apply with respect to that amount of any deductible for which coverage is demon:~r,~ted under another mechanism or combination of mechanisms as specified in 40 CFR 280.9.5-280.102. Whenever requested by a Director of an implementing agency, Zurich American Insurance Company agrees to furnish a signed duplicate original of the policy and all endorsements. Cancellation or any other termination ~ the insurance by the Zurich American Insurance Company, except for non-payment of premium or misrepresentation by the insured, will be effective only upon written notice and only after the expiration of 60 days after a copy of such written nolJce is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effecth~ only upon written notice and only after expiration of a minimum of tO days alter a copy of such wdtten notice is received by the insured. ! hereby certity that the wording of this instrument is identic~ to the wording 40 CFR 280.97(bX1) and that the Zurich American Insurance Corn~ny is licensed to transact the business of insuranc~ or eligible to provicle insurance as art e_xoess or sur~us lines Insurer In one or more states. Authorized Reprr~LmtatJve for Zurich American Insurance Company Name: Duncan Plaskett TiUe: Vice President Address: Marsh USA, Inc. · 1000 Louisiana - Suite 4000 HOUStorl, TX. 77002 0 0 UST Financial Responsibillty - Year 2003 Shell Oil Products - Shell & Texaco Branded Facilities Bakersfield Market Brand Address City County State TEXACO 2401 N OAK ST BAKERSFIELO KERN CA SHELL 2600 WHITE LN BAKERSFIELD KERN CA SHELL 3605 ROSEDALE HWY BAKERSFIELD KERN CA TEXACO 3621 CALIFORNIA AVE ' BAKERSFIELD KERN CA TEXACO 3698 MING AVE BAKERSFIELD KERN CA TEXACO 4050 GOSFORO RD BAKERSFIELD KERN CA TEXACO 5300 OLIVE DR BAKERSFIELD KERN CA TEXACO 5321 STOCKDALE HWY BAKERSFIELD KERN CA TEXACO 6439 ROSEDALE HWY BAKERSFIELD KERN CA TEXACO 9069 GF~PEVlNE ROADWE LEBEC KERN CA SHELL 25712 WARD DR KETFLEMAN CITY KINGS CA Bruce T. Marubashi Shell Off Products - HS&E Analyst Northwest Region 209.577-5960 (fax5964) ZIP 93301 933O4 93,308 93309 93309 g3309 g3308 93309 <33308 g3243 g3239 February 25, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 9,3301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIRONMENTAl. SER~ICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 3260576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Mr. David A. Williams RG WGR Southwest, Inc. 11021 Winners Circle, Suite 101 Los Alamitos, CA 90720 RE: Texaco Service Station, ~)5~O~Zl~'a'c~ in Bakersfield Dear Mr. Williams: This is to notify you that the work plan for the above stated address is satisfactory. Please give this office 5 working days notice prior to the commencement of work. Please be advised that any work dOne that is not performed under direct oversight by this office will not be accepted, unless previously approved. If, based on the analytical data, remediation is not warranted, please provide an appropriate risk assessment. If you have any questions, please call me at (661) 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 ' Office of Environmental Services HHW/dc cc: T. Palagyi, Shell S:~USTFORMS~UST. L3 I' D January 22, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 3260576 PUBLIC EDUCATION 1716 Chester Av~e. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399,,4697 · FAX (661) 399-5763 Texaco 4050 Gosford Bakersfield CA 93309 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1, 2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc PAGE LC SERVICES 02 444~795 MONITORING SYSTEM CERTI~CATION ,~ysmm owne~opm'al~, The own~t/ol~amf must suhrd~ · ~py of dtts farm lo Ii~ local ~an~y re~ulatla~ UST sy~. witJ~in 30 d ny~ o1' teat date, 02 Pap I o/3 ~I ~1/26/2002 11:59 4441735 LC SERVICES PAGE 83 t be completed if in tank F, aulin{ equipment is used to p/~dorm leak deter/on monltorins. )lmte the t~l~t~ ehec_~lst: *.In ~he Section 1% below, describe how and when these ddicieudcs wee OF will be urrecled, G. Line Leak Detectors (IZ3)): o ~ mis ~ ~f ud~s a= ~ i=tan~d. Corn)leM the ~ollowln~ chccklLst: * In the Section H below, describe how and when these ddldmcles were or will b~ corr~tvd. H. Comments~ P~,e 3 o1'3 o3mi 71/26/2002 ii: 59 4441735 LC SERVICES PAGE .....: i:..~., vi' tw~-~ ye're°n In~bd: .......... .~ ~.~. * In Section t below, deserfbe how and when the~e de.[ide, ndm were or will bo corrected, E. Commen~: 04 · Complete items 1, 2, and 3. Aisc 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. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ¥,';,. CORO TIE[ACO ;,:' 4050 GOSFORD BAKERSFIELD CA 93309 ~ature I'~ Agent [] Addressee Date of Delivew D. Is delivery address different from item 17 E] Yes If YES, enter delivery address below: [] No 3. Service Type Bt1 Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 7002 0860 ' Augu ' PS Form 3811, st 2001 0000 .1641 7350 '! 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 · r-t Po.rage $ ,r'~ , r-'t Certified Fee Postmerk 1:3 Return ReCeipt F~ H~ ~d~nt R~ul~ ~~ ~ R~i~ ~ive~ F~ ~ ~do~e~ R~u~ ~I Sent To ~ CO~O ~CO ~/~i;~'g'g~:~ .............................................................................. [::r~.~.~:: ........ .~.~,~!.,~.~,?.~. ......................................... (;edified Mail Provides: · A mailing receipt · A unique identifier for your mailpiece al A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. · Certified Mail is not available for any class of international mail. al NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse meilpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is · required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or ~,,.a,, rk the mailpiece with the endorsement "Restricted De#very"° -¢.~. '~ · If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is n(~eded, detach and affix label with postage and mail. IMPORTANTJ~Ie this receipt and present it when making an inquiry. PS Form 3800, April 2002 (Reveme) 102595-02-M-1132 Octobe~ 21, 2002 Coro Texaco 4050 Gosford Bakersfield, CA 93309 CERTIFIED MAIL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES F~ s~:er~ sEm~c;s · ~. SERV~C£S 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 3260576 PUBMC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 · FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 ViCtOr Ave. Bakersfield, CA 93308 VOICE (661) 399-469'Z FAX (661) 399-5763 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Submit/perform Annual Maintenance on Leak Detection System Dear Underground Storage Tank Owner: Our records indicate that your annual maintenance certification 6n your leak detection system was past due on October! 1, 2002. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devic6s used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, November 21, 2002, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to oPerate your underground storage system. Should you have any questions, !please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney i0/i7/2002 08:i4 444i735 LC SERVICES PAGE 07/22/0~ 14:~4 ~:~8~1 ~32~ 01~?$ DFD l~Z llAT I)IV 01 CITY! OF BAKERSFrF. I.D ' OFFICE OF EN~iRO~NTAL SERVICES 1715 Chester Av~, Bokersfleld, CA (661) 326.3979 FACILITy APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION z'~,x,~ ~ ~ ~ .......... NO CONTENTS APPROVED BY , DATE $IONA'IIJ[~ O1~ A~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE Section 2: Underground Storage Tanks Program [2} Routine [~'dombined I~1 Joint Agency Type of Tank Type of Monitoring I~[ Multi-Agencyd [~1 Complaint Number of Tanks Type of Piping Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No h../__ 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? //~ I C=Compliance )~=Violation Y=Yes N=NO Inspector: r._J~ d~~) Office of Environmental Services 1'805) 326-3979 White - Env. Svcs. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS q(~'0 FACILITY CONTACT INSPECTION TIME PHONE NO. ~,..9x3 ' q00'Z' BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: I~ Routine Business Plan and Inventory Program ~ombined [~l Joint Agency [~ Multi-Agency ~.~ Complaint Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate .,/ Containers properly labeled Housekeeping Fire Protection " Site Diagram Adequate & On Hand C=Compliance V=Violation f Any hazardoUs waste on site?: [~ Yes Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Bu'sines: ;it, ~)~.,~ )b~bl ~ Party L D July 24.2002 ;IRE CHIEF ,~ON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 325-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakerslield, CA 93301 VOICE (661) 326-3951 FAX (661) 3260576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Bruce T. Marubashi Shell Oil Products US Northwest Region P O Box 8509 San Jose, CA 95155 Dear Mr. Marubashi: In your fax message of June 25, 2002, you requested a payment extension date to July · 25, 2002 and an explanation of the charges for two Texaco facilities located in Bakersfield, CA. These two facilities are the Texaco stations located at 3698 Ming Avenue in Bakersfield and the Texaco station located at 4050 Gosford Road in Bakersfield. The tanks at 3698 Ming Ave were removed on July 25, 2001. As a result of the preliminary soil sample results, a site assessment was required on October 24, 2001. The borings were completed on May 6, 2002. We have not received a report of the results of this assessment. The oversight of this project during the second quarter of 2002 involved one hour of review and the notice for site assessment and workplan and three hours on site field work on May 6, 2002. The underground storage tank system at 5040 Gosford Road had the under dispenser pan installed on July 7, 2001. Portions oftbe existing lines were replaced and soil samples taken did show evidence of possible contamination. A full site assessment was required by this office on October 24, 2002. We were notified on March 22, 2002 that a new consultant was hiredand provided with a work plan for the site assessment completed by your previous consultant. Review of these correspondences and re- submitted work plan was completed on May 24, 2002. The oversight of this project billed in the second quarter of 2002 covered all of the work to date on this project, the review of the preliminary test results and the requirement for a full site assessment as well as review of the work plan for that site assessment. Total seven (7) hours. As the Certified Unified Program Agency (CUPA) in the City of Bakersfield, the Office of Environmental Services, is a part of the Bakersfield Fire Department agency for the Underground Storage Tank program as well as Hazardous Waste program. Our oversight rate for Hazardous Waste Cleanup projects, as posted in the Municipal Code is $80/hr. The second part of your request was an extension until 'July 25, 2002 to pay these bills. That request has been granted. Sincer_el~/ Ralph~E. Hu~l Director of P?evonfion Services REH/dc cc: H. Wines, Hazardous Materials Specialist B. Wilson, Accounting Clerk II July 30, 2002 Texaco 4050 Gosford Rd Bakersfield CA 93309 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES F~RE SAFET~ SERVtCES· ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 .FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326.3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four 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 perform this test. Contractors conducting this test are scheduling 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 free to call me at (661) 326-3190. Sincerel ,/ Steve Underwo Fire Inspector Environmental Code Enforcement Officer D May 29, 2002 Texaco 4050 Gosford Bakersfield, CA,93309 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 9330 ! VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 RE: Necessary Secondary Containment Testing Requirement by December 3 l, 2002 of Underground Storage Tank located at 4050 Gosford REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are' detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, siX months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincer ,, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures D May 28, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661 ) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Mr. David A. Williams, RG WGR Southwest, Inc. 11021 Winners Circle, Suite 101 Los Alamitos, CA 90720 RE: Work Plan for Additional Subsurface Assessment Former Texaco Station 121224 at 4050 Gosford Rd in Bakersfield. Dear Mr. Williams: This is to notify you that the work plan for the above stated address is satisfactory. Please give this office 5 working days notice prior to the commencement of work. Please be advised that any work done that is not performed under direct oversight by this office will not be accepted, unless previously approved. If you have any questions, please call me at (661) 326- 3979. Sincerely, Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dlm cc: E. Paden, Equiva S:~USTFORMS\UST.L3 D April 17, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2 t 01 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Stmet Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Texaco ' 4050 Gosford Bakersfield CA 93309 RE: Necessary Secondary Containment Testing Required by December 31, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary - containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize ~ind have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SB U/dm enclosures Hazardous Materials/Hazardous Waste Unified'Permit CONDITIONS..OF :.PERMIT ON REVERSE SIDE Permit ID #:: 015-000-000670 TEXACO SERVICE STATION I LOCATION: 4050 GOSFORD RD ·: This ~it is Issued for the following_: [] Hazardous Materials Plan n Underground Storage of H~-~lOus Msterlals [] Risk Management Program ri Hazardous Waste On-Site Trestmenl TANK HAZARDOU~S~~(E ~ (3AP ~-~ ~'~, DISPEN~~S!~ONITORING 015-000-000670-0001 UNLEADED GASq~IN~ ~, ~'~ ~.~ S~E~,LIQUID SE~[&.~RM · 015-000-000670-0002 PO~R PLUS G~O~INE j] ' ~ ...... ~,~0 .~ISP. PA~UID SE~R~&,-~ ~RM 015-000-000670-0003 POWER PREMIU~GASOLINE ' .,:,.-:-;::~?SfO~ ~ISP,, PAN L:IQ'~D sENSOR~&'~RM 015~00-000670-0004 DIESEL~2 ~L"~ ~ ~ ' Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave.f3rd Flo6r Bakersfield, CA 93301. "¥oice. (661)326.3979 FAX (661)' 3:J6.0576 Approved by: Office of EvironmenilffServices -,o 'June 30; 2003 Expiration Date: · .~:;'....,..."- .."-i.--'::-ii". '~i~~; '~ ; ~..' Issue Date Permit Opera Hazardous Materials/Hazardous Waste. Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ~, ~,~,,,,~,, ....... ~,,~ v, , This permit is issued for the following: · . ..~,~,~,'~;~7~' (/./.~.,~!i,,5~:~;~::;,:~::;;~:;2:;~:; ::;~5.~:~Ha~rdous Materials Plan ..~¥~"[ j~:~:~:*~'~:% ~; ~. ~?:~:~~e[ground Storage of Ha~rdous Materials PERMIT ID~ 015~21~00670 .,~?~:~= ~:~):~ ~? ~ ~5:~C~5~}%~}~}~}~k~nagement Program TEMCO SERVICE STATION g0~99 LOCATION 4050 G O S F O RD .~:.~.':,:::?~}~;y? , ~.:.......~ -,,~u~= .~ -~... .-.,~....:~ ~,~.~ ~. ~ '-?~ ~, %,~ ~:~ '~ ...._ =~ · ~....-.,..~ lq ~ ~,,;~ ,~'~ . ~ t ~ ~ r '~ ~ ~' ~,"~... '~ ~;~'-'-.~ TAN H~RDOUS SUBSTANCE C~l~ ~[:-::::?~. ?,, i~{~[L?~ ~'?'[RIA[~ ~ON:.i~R j~:'-0~ITOR TYPE TYPE METHOD ONIT m~ UNLEADED GASOLINE 12,0~ ~ ...... ~"-=';iD~[,... F C.E~ ~,~ ~ DW F PRESSURE ALS ~002 POWER PLUS GASOLINE 10,000~00.~_ GAL ,~:v,,-,,.'"':':'"' ~... '",.-.:DW F ~LM ~/,'GLM LPT F , PRESSURE ALD 0003 POWER PREMIUM GASOLIN 10 000.09 GAL~' '??;~:~::~::.~',~./(:'~,-, .~ .DW .. ~ ,:~.., ,:. ~ ,...., ...,<:? CLM ./~'"~,.'~,~ ~CLM LPT F ~PRESSURE ALD 0004 DIESEL ~2 10,000.00 GAE,C~ ;~' ~;;:,;~i;:::~::;::;~ ~:DW J~ ~ 'E~;~-,~:~;~:::~""~:~ii~ ,~CLM~"?~/'..~ _ CLM DW F PRESSURE ALD ]~ by: 1715 Cheaer Ave., 3rd Floor B~e~fiel~ CA 93301  Voice (805) 32~3979 F~ (805)32~576 Expiration Date: dune 30~ 2000 00772 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following information in the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: TEXACO SERVICE STATION #0799 Permit #015-021-000670 4050 Gosford Rd Bakersfield, California 93313 C .~. ~RRECTION N OTIiiE BAKERSFIELD FIRE DEPARTMENT N° -' 599 Sub Div. qOS'O 4~4~tJ ~ S]k. ~ot, You are hereby required to make the following corrections at the above location: (:;or. No J l/ 'Z Completion Date fo,' Correction~ 5'/~{J/~ 7 Date t'//2~]~, ~ ~ Inspector 326-3979 )RAGE Bakersfield Fire Dept Office of Environmental Services Bakersfield, CA 93301 FACILITY NAME I¢¥aC0 ,~,'~',kcc. ~'~t~'lO~ BUSINESS I.D. No. 215-000 G 70 FACILITY ADDRESS t-{05'(3 _/,~e,~.fnoca(' CITY /'~/'~( ZIP CODE q.~38 ? FACILITY PHONE No. , ~ ~-t/4)~) "L. INSPECTION DATE "~(~[/q7 Product Product Product TIME IN TIME OUT Inst Date Inst Date Inst Date INSPECTION TYPE: /~/ Size Size Size ROUTINE 1// FOLLOW-UP REQUIREMENTS yes no n/a yes no n/a yes no n/a la. Forms A & B Submitted lb. Form C Submitted V/ lc. Operating Fees Paid ld. State Surcharge Paid v/ 1 e. Statement of Financial Responsibility Submitted v lf. Written Contract Exists between Owner & Operator to Operate UST 1~ ~/' 2a. Valid Operating Permit V 2b. Approved Wriffen Routine Monitoring Procedure 2c. Unauthorized Release Response Plan. 3a. Tank Integrity Test in Last 12 Months 3b. Pressurized Piping Integrity Test in Last 12 Months 3c. Suction Piping Tightness Test in Last 3 Years 3d. Gravity Flow Piping Tightness Test in Last 2 Years 3e. Test Results Submitted Within 30 Days 3f. Daily Visual Monitoring of Suction Product Piping 4a. Manual Inventory Reconciliation Each Month 4b. Annual Inventory Reconciliation Statement Submitted 4c. Meters Calibrated Annually ~/' 5. Weekly Manual Tank Gauging Records for Small Tanks ~ ' 6. Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring '~ I 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks V' 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors 13. continuous Piping Monitoring in Sumps 14. Automatic Pump Shut-off Capability V/ 15, Annual Maintenance/Calibration of Leak Detection Equipment I ] 3,~('~ 7 V/ 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 17. Written Records Maintained on Site 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20. Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection Inspection V~' 22. Secured Monitoring Wells 23. Drop Tube .~'I " RE-INSPECTION D_~E RECEIVED BY: INSPECTOR: ...M?'Z¢.~-/""/~'~ OFFICE TELEPHONE NO. FD 1669 (rev. 9/95) HAZARDOUS MATERIALS INSPE~ON ~akersfield Fire Dept. OFF~E OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 BusinessNamei ~. c,¢~ o 6¢~,~,c~ Date Completed Business Identification No. 215-000 ~, 70 Station No. Shift __ (Top of Business Plan) Inspector Arrival Time: Departure Time: Inspection Time: Address Visable Correct Occupancy Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Matedal Comments: Adel~te Inadequate[] Verification of MSDS Availablity Number of Employees: Verification of Haz Mat Training Comments: Verification of Abbatement Supplies and Procedures Comments: Emergency Procedures Posted Containers Properly Labled Comments: Adel~te Inadequate[] Verification of Facility Diagram ~ [] Housekeeping ~ [] Fire Protection ~ [] Electrical fl]/ El Comments: UST Monitoring Program O[Y' [] Comments: Permits Spill Control Hold Open Device Hazardous Waste EPA No. Proper Waste Disposal Gl/ [] Secondary Containment ~ [] Secudty ~ [] Special Hazards Associated with this Facility: Violations: ~/ra~c. l;r~-ma~(--'~,~ldr ~,,re/,~crJ,o.; .4'ee~ "~'c! /zd,,e,a. YJ. ey a~ ,lle¢d ~//n ~~¢~/ Z ~ ~-~ All Items O.K B~;iness O~/Uanag~ PRINT NAME ~- SIGNA~UR~~ ,~ Correc~on Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy ORRECTION NQ ICE BAKERSFIELD FIRE DEPARTMENT Locatioa . lc' ,¢AcO .~-I~lt~ ~)r~'~. su~ Div.*.,O~ .~_~.~?,?~.. Blk. ~ot You are hereby required to make the following corrections at the above location: Completion Date fd Corrections /i~)/~-L~//'~' ~ ..... Ffispector 326-3979 RED JACKET TECH LiNE t-800-262-7539 BAKERSFIELD, CA SITE ~ I 9/23/1996 '03:00 PM INVENTORY REPORT TA~ ~0. 1 10008 GAL DIESEL GROSS 7614.5 GAL NET 7587.9 GAL PROD LEVEL 66,478 IN ULLAGE 2132.6 GAL TEMPERATURE 98.680 F WATER LEVEL 0,888 IN WATER VOL 0.0 GAL RED JACKET TECH LINE 1-800-262-7539 BAKERSFIELD, CA SITE # 1 9JI~"1996 03:81 PM INVENTORY REPORT TANK NO, 2 10008 GAL UNL PLUS GROSS 5801.4 GAL NET 4917.8 GAL PROD LEVEL 47.04I IN ULLAGE 4736.6 GAL TEMPERATURE 83.821 F WATER LEVEL 8.840 IN WATER VOL 9.0 GAL RED JACKET TECH LINE BAKERSFIELD, CA SITE # ! 9/271996 03:01 PM INVENTORY REPORT - 3 10000 GAL SUPER GROSS 4168.3 GAL NET 4099.9 GAL PROD LEVEL 41.092 IN ULLAGE 5571.1 GAL TEMPERATURE 86,295 F WATER LEVEL 0.798 IN WATER VOL 7.6 GAL RED JACKET TECH LINE 1-808-262-7539 BAKERSFIELD, CA SITE # 1 1996 83:82 PM INVENTORY REPORT TANK NO. 4 12888 GAL 1 UNLEADED GROSS ~' 5 · ~48., GAL NET 3293.3 GAL PROD LEVEL 30.934 IN ULLAGE 8296.8 GAL TEMPERATURE 83.32? F WATER LEVEL 8.885 IN WATER VOL 9.4 GAL UNDERGROU D STORAGE., .3 iKINSPECTION ............... O1 ............ B a k De Office of Environmental Services Bakersfield, CA 93301 FACILITY NAME I ~'x~_.O ~_',~'c~' .... c~Jr;o ~ BUSINESS I.D. No. 215-000 FACILITY ADDRESS HO ~0 C-,~'~k,, .~c~ CITY ~,,~.~4-~'~, ~kc[ ZIP CODE FACILITY PHONE No. ~Da ~D~ ~D~ INSPECTION DATE ~roduc! -r- - ' Product "P~roduci I~st Dat'~ Irish'Date Insl Date iNSPECTiON TYPE: Size ;ize Size ROUTINE ~// FOLLOW-UP REQUIREMENTS ,,: yes no n/a yes no n/a yes no la. Forms A & B Submitted ' 1 b. Form C Submitted '. 1c. Operating Fees Paid ' ld. State Surcharge Paid : le. Statement of Financial Responsibility Submitted lf. Written Contract Exists between Owner & Operator tO, Operate UST 2a. Valid Operating Permit 2b. Approved Written Routine Monitoring Procedure 2c. Unauthorized Release Response Plan 3a. Tank Integrity Test in Last 12 Months ,,'/ 3b. Pressurized Piping Integrity Test in Last 12 Months 3c. Suction Piping Tightness Test in Last 3 Years 3d. Gravity Flow Piping Tightness Test in Last 2 Years 3e. Test Results Submitted Within 30 Days 3f. Daily Visual Monitoring of Suction Product Pip.' ,~r~ 4a. Manual Inventory Reconciliation Each Month 4b. Annual Inventory Reconciliation Statement Submitted 4c. Meters Calibrated Annually 5. Weekly Manual Tank Gauging Records for Small Tanks 6. Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring ~" ~" 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors 13. Continuous Piping Monitoring in Sumps ~ · ~.,, ~ 14. Automatic Pump Shut-off Capability 15. Annual Maintenance/Calib'r~tion of Leak Detection Equipment ~./iz.t/'~/.,a 16. Leak Detection Equipment and Test Methods Listed in LC-113 Series 17. Written Records Maintained on Site 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20. Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection Inspection 22. Secured Monitoring Wells RE-INSPECTION DATE RECEIVED BY: OFFICE TELEPHONE No. FD 1669 (rev. 9/95) icBakersfleld Fire Dept. OF ENVIRONMENTAL SER VICES 1715 Chester Ave. Bakersfield, CA 93301. Business Name: ~ ~eo ,.5 dca ~ Location: 3fO gr> C_~0~-~oe-A ~ Business Identification No. 215-000 ~70 Station No. ~£ 5 Shift ~ Arrival Time: Departure Time: (Top of Business Plan) Inspector I ~ ~, ) L Date Completed ~./'/~ 9,t-~ Inspection Time: Adequate Inadequate Address Visable . D]"' [] Correct Occupancy ~" [3 Verification of Inventory Materials .,r::l~ [] Verification of Quantities ~ [3 Verification of Location ..ID"' ~ Proper Segregation of Matedal _El..-.' [] Comments: Verification of MSDS Availablity Number of Employees: Verification of Haz Ma[Training Comments: Verification of Abbatement Supplies and Procedures Comments: Emergency Procedures Posted Containers Propedy Labled Comments: Adequate Inadequate Verification of Facility Diagram~ [] Housekeeping ,,~i/ [] C~i;~ ~ -' Fire Protection 0 ~ Electrical Et,' 0 Comments: ~' , UST M?nitodng Program ' cbmrfl~nt~: Permits ~ 0 Spill Control ,,~i'" 0 Hold Open Device [] .~ Hazardous Waste EPA No. Proper Waste Disposal Secondary Containment Security Special Hazards Associated with this Facility: Business Owner/Manager PRINT NAME White-Haz Mat Div. Yellow-Station Copy All Items O.K o Correction Needed I3 '*' Pink-Business Copy SERVICE STATION CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 191 'CANOGA PARK, CALIFORNIA 91305 818-993-9575 / 818-993-9576 213-875-0830 / 818-993-9577 FAX THIS'I'S TO VERIFY THAT I }lAVE BEEN TRAINED IN THE PROPER OPERATION OF MY TANK .AND PRODUCT LINE LEAK DETECTION MONITORING SYSTEM~ FURTHERMORE, I HAVE BEEN INSTRUCTED OF TEXACO'S RESPONSE PLAN IN THE EVENT OF A MONITOR ALARM CONDITION. DEALER/MANAGE~ ~,2 EMPLOYEE/TITLE NITOR' MAKE & MODEI, EMPLOYEE/TITLE MONITOR MAKE & MODEl EMPLOYEE/TITLE DATE TEXACO STATION NUMBER CONT. LIC. #330631 (B-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 '- SER:VlCF- ....--'S',TA?-'I,O.I'q .,"' ' S'E:R.V.I,CE '." '" 'J e 5; 1995 ~. ~,, ~..... . .-~.:~ . . , ::-. . -. ,-.' "Bake;Sfield'Cit3 Fire. Department . '~" · Hazardous Materials Management Division.' -"- ' · 2i0'1 "H".street . x: - ..__ ' . .'.' .....v. Bakersfield,'.CA.93301-' "'-" ;. subject[. ' ' ' City _o.'f-BakSrsfleld Fire-D~par/ment ,- Annual." Update_ Certification§ Gentlemenii' -' i' .'"' ' ' - .' ".-EnclOsed are One Set:'.0f forms fo~'. each 'of' the following stations in .the. City of Bakersfield jurisdiction.' "I' also.· have.mailed 'a 'cop~ to eac. h ·location With corrections plUs a set for each locati'on to' Fred Lo.ng, EH&S. Coordinator for Texaco Refining & Marketing-Inc. at 1900 E. Los Angeles Avenue; Suite 200, Simi ~alley,'.CA 93065. stations are: "' 1: , mmumbered._.6~01 White. Lane- ..... 2. '058~0700' ' 3698-Ming Ave -.. - .... 3. ,i'. 058-0799 4050 G0sford'Rd ' -' ,4, · -- 05~8-0988 3621 California Ave - 5: ' 058q405 ' 2401 Oak. StrBet'- '6. -' 058-1408. .260L:White Lane._ .- .- '~ "' A!thbugh #1-isnot on my roster as a sORo, RORO or CORO Il/ave copied and forwarded same · as'the-dealer completed.the changes and returned to me for'some r~ason: I can only assume that he. is a wholesaler retail ~outlet? · Should you.have any questions, 'at' 805/579-5024... ' . Thank you.. ?, Sin~. · '-. Robert S.. Watson :' enclosures: .: . · - plea~se: either contact me a~ 714/546:1227 ext 22~} or Fred Long · (~ 'HU~ON' CENTR_E .DR? . suiTE 7T1" 'SANTA Al'hA .CA.-~)~707~ : ~:f~,."'5~6~'lt2:~Z-:' '"'.. /.: ~ 7. - : ~..- ... . F~,,~: fi ~/546-08'1~-2 - ' - SERVICE STATION CONSTRUCTION PETRO TITE'TANK & LINE TESTING P.O. BOX 191 CANOGA PARK, CA 91305 213-875-0830 / 818-993-9575 818-993-9577 FAX SUBJECT: Annual Electronic/Mechanical Monitoring System Inspection and Meter Calibration DATE: 2-14-96 LOCATION: 4050 Gosford S/S Cf: 61058000799 Bakersfield, CA 90043 Dear Sir, This is to certify that the annual inspection of the existing Monitoring System was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Sons, Inc. has been contracted by TEXACO R & M to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, ~1~. J. MYERS & SONS, INC. ' Ronald J. Myers, II Vice President RJM/rf R. J. Myers & Sons, Inc. SERVICE STATION CONSTRUCTION PETRO TITE TANK & LINE TESTING P. O. BOX 191 CANOGA PARK, CALIFORNIA 91305 818-993-9575 / 818-993-9575 213-875-0830 / 818-993-9577 FAX DATE OF SERVICE: 2-14-96 S.S. 8:61058000799 W .O.#:1121222-000 TECHNICIAN: Ron Norris . SERVICE REQUESTED BY: Fred Long BILL TO: Texaco R & M PROBE ID#: 1900 E. Los Angeles Ave, Suite 200 Simi Valley, CA 93065 SERVICE REQUESTED -Annual electronic monitor certification. DESCRIPTION O~W.O~: Dua, float annu,ars.~estsU~and annu,ar sensors and test for PS'O~. System operational and certified. P1 Diesel P2 Plus P3 Super P4 Unleaded L1 Multiplexer M1 Diesel Sump M2 Plus Sump M3 Super Sump M4 Unleaded Sump M5 Diesel Annular M6 Plus Annular M7 Super Annular M8 Unleaded Annular T1 Diesel T2 Plus T3 Super T4 Unleaded MODEL 8: Red Jacket PPM 9000 Multiplexer SERIAL 8: 41190-E13/41290-M15 S_~STE M CERTIFIED YES WASTE OIL SYSTEM PSD N~ NO -SYSTEM RUNNING SYSTEM SEALED (~. NO Monitor Certification inspection This letter certifies that the monitor is in place, the probes are in the correct position and the operation of the system. FACILITY # DEALER: ADDRESS: 61058000799 Texaco R & M 4050 Gosford Bakersfield, CA 90043 D ATE: 2-14-96 TYPE AND MODEL OF MONITOR PPM 9000 RJ SYSTEM FUNCTION TANKS PASS X FAIL N/A USED OIL PASS FAIL N/A IN LINE PASS X FAIL N/A SUMPS MONITOR PASS X FAIL N/A PRODUCT LINES FILL SUMPS PASS FAIL N/A X X WHEN MONITOR IS TURNED OFF OR IN ALARM DOES THE TURBINE SHUT OFF? YES X NO IS THE CONSOLE LABELED CORRECTLY? YES X NO COMMENTS: INSPECTED BY: R.J. MYERS & SONS, INC. TECHNIClAN'~Ron~oj~&,, .. ' LOCATION 4050 Gosford Bakersfield, CA 90043 LEAK DETECTORS TEST CHART S/S #: 61058000799 SERVICE COMPANY R.J. MYERS & SONS, INC. P. O. BOX 191 CANOGA PARK, CA 91305 DATE 2-14-96 TECHNICIAN PERFORMING TEST: TECH #: RON NORRIS TYPE OF LEAK DETECTORS TESTED (CHECK APPROPRIATE MFG [S]) RED JACKET: Accumulator TOKHEIM: VAPORLESS: FE PETRO: SERIAL # GRADE RESILIENCY (ML) OPENING TIME (SEC) TEST LEAK RATE ML/MIN FUNCTIONAL ELEMENT HOLDING PSI METERING PSI PASS OR FAIL NOTE: TEST INFORMATION Unleaded SuDer Plus Diesel 14 14 14 14 31 30 30 35 PASS PASS PASS PASS DATE OF TEST: 2-14-96 LOCATION: 4050 Gosford, Bakersfield, CA OWNER: Texaco OPERATOR: REASON FOR TEST: Line Test TEST REQUESTED BY: Fred Long SPECIAL INSTRUCTIONS: STATION #: 6105800799 PHONE: 805-833-4002 PHONE: PHONE: PHONE: CONTRACTOR - R.J. MYERS & SONS,. INC. MECHANIC NAME: RonNords TANK TEST WITH THIS LINE TEST: N MAKE & TYPE OF PUMP OR DISPENSER: Gilbarco Red Jacket WEATHER: Clear COVER OVER LINES: Concrete TEMPERATURE IN TANKS: N/A APPROX. BURIAL DEPTH: 24" ! A [ BI C i D i E i F . G I . I , IDENTIFY . ! TIME ! LOG OF TEST ' PRESSURE ' PRESSURE ! vOLUME BOLUME ~ NET CONCLUSIONS/REPAIRS/COM EACH LINE i (MILITARY) i PROCEDURES, AMBIENT BEFORE AFTER i READING - READING- i CHANGE MENTS .~.S_~.s_~__! .................... [..T.E. MP.:...W.~!H..E..R....~ .q .............................................. L...S~.....O~... ......... .A._..F~...R.. ......... [ ............................................. .............................. !..O...O...O.j._.A..R.~.D....A..T..._.Sff_.E_:...S...EZ._.U_.P..~..E_?!?~.~..T..D.!ST.:.~_~"[: ............................... ! ............................................... ....... .?.LE..S..E..L..[ ......... !..0..?..~i.__B._L.~.E..D.._.B..A__~ .............................. .S_..0_[ ................ ~_[___._~:.~.!_.0_..0_ ..... ..O__...O.f_!...0.~._....+...:.O_.3.!.9_i.~..L..E~..~.C...K.!...O..K' ................. ~ ~001 STArer UNETESr /i ~0i 0.0740i i UNE~ T~GHT - 'i .... i'-i--~-i'i'~'~-~'~ ..... 4~i ~oi 0.0~40i 0.0~0[ -o.om i~o~u.E CHA.GE -.00~- ~- i~-~ ................................. i ~0[~0~ 0.0~Z0i O,0~ZOi 0.00~'! ............................... 17t 114§i 50i 50i 0.0720i 0.0720i 0.000! ot .................... i ......... ;'~'i .................................................... ~-i .............. -~-~T-"-~2'/~-["--~-2'~-~-[ ....... -~i'~'~'i .............................................. ..................... i ......... ~'~i"i'~'~'~'~'~'; .............. ~ .............. ~l ................. ~T'-"~i~T-'-'~'2'~'['-'-~'-i~i'~'['~[~'~T~'; ...............  ...................... 1059 [ BLEED BACK ................... .5..0. .......... 0i ..0..01.00i .0.0400[ + :0300 .................................... i 1115i i 501 501 0.07301 0.0730'i 0.O0OiUNEIS; TIGHT ................... i ......... i'i"~i ...................................... i .............. ~'~'[ .............. ~'~'?'"'~'~'~'~i'""'~i'~'~'i ........ ~'~'~'i'~'~"~'~T2'~ .................... i ......... i"i'~-i ..................................... i .............. ~i .............. '~'~'i-'"'~i~-~'i'--'-~-2'~'~'[ ....... '~i-~'~i ........... ~ .................... ] ......... (~-i ..................................... ~ .............. ~] ............... ~'~T-'--~2'~-~'i-'---~-2'~-~'i ....... '~i'~'~'[ ........... ~_~ .................... [ ......... i'i'8'i'T'~[~'~' .............. i .............. ~'8'i ................ '~'F"8'2'~'~T['""~i'~'~i""T'2'~T~T~'~"~;"~' .............. Z0J SUPERi 1100 ] START LINE TEST :: /;: 501 i 0.0730i iLINEI$: TOGHT ~ 11151UNETESTCON'T 501 501 0.0730i 0.73001 0.000LVOLUMECHANGE: .000 .................... i ......... ...................................... i .............. ............. ....... ............................................... ~_~ .................... ~ ........ i'T~'~i ...................................... i .............. ~'~'[ .............. ~'~i-' ~.o~oi o.o7~oi ~-~o'~~ I ~ 4 I .................... [ ........ '~'~'8'~] ...................................... i .............. ~'8'[ .............. ~'~-['-'"81'8~-~'~T""'~i'~'~i ........ ~'[~'~'i .............................................. 6 .............................. I'~'O"!'i'-S--L--E--E---D--~"A'~' .............................. 'S'"O'i ................. -O--i----'--q:-O--!--O'-O- ....... -°-':'°'--4-L°--["--'+'":'°"~ LO'i'~'E-'D'"'B'~'C"K":'"'O'"K' ............... UNLi 110015-'TARTLINFTE~ i /i 501 i 0.0730i iBI'EEOBACK: OK · --i ..... ~-1--~-~-[-~'~'~:~'"' 'ii .... 49} - -~-~-!i-----~]~-~-~'~-i----'~-i~'~-~[--:-~]~'1"['1"i~'i~; TIG_~ ..................... ...... i! ....... i i-~i .................................... [ ........ 5-~[ ........... ~'~-!i-----~l'~'~ !"'"'~]'~'~il ........ ~'[~'~']'~'~ME CHANGE:-~00~ ................... i ......... .................................................... .............. ....... ............................................. ~20~1 BLEEDBACK 50~ 0i 0.04101 0.0750i +.03401BLEEDBACK: OK TEXACO FAX TRANSMITTAL COVER SHEET NOTE: DO NOT' USE BLUE OR RED INK OR PENCIL ON THIS FORM, THEY WILL NOT REPRODUCE MESSAGE TO: TELEPHONE NO. E3URGEN~ NO. OF PAGES FAX MACHINE NO. J ?.-¢- od- ~ c ROOM NO. DEPT,/DIV. ISUBS. FAX MACHINE NO. ~) MESSAGE FROM: TELEPHONE NO.~/~o-~ DEPT./DIV./SUBS. ROOM NO. / LOCATION J~-~,' ~//'"'~,~,,'~ SENDING DEPT. APPROVAL TIME TRANSMITTED [] RETURN ORIGINAL CALL SENDER TO PICK UP [] RETURN ORIGINAL VIA INTEROFFICE MAIL ADDITIONAL COMMENTS: , ?~/.r-- 0oo -c:)o / 7- C'Ei TIFIcATION OF FINANCIAL RESPONSIBILITY ,.FOR UNOE~.(3ROUND,STORAGE TANKS _CONTAIN, lNG PETRO ,LE~,M .... A~ 1 am required to d~mo,utra'.e Fiaam:/nl Ro,pouibaity in the requi:mt amir, luff ns spec/Ged in Sc~it ~ Chapflsr I~. l::~r. 3. Tide 2~, CCR: ~ $O0.G~O d~Jal'l per m~rreilee ~ l nh doibrs,uui qsropte j--~ ! minion ddtars per ou~lrreneu ' ~ 2 minion 4oLlars Huual i~repte B. 'I'EXAC:O KEFINtHG _AND M^Rk'B'ING INC.. _herebycert/fiesthatitisinc°mp/ian~ew#htherequ/remen~s°f~ect/0~2807, (A*~rd ~ 2'm~ O, ma- ~r Oprfmr) Article $, Chapter 1~, D/vision ~, T~e ~a, Ca#lomb Code of Regulations. S el f- TEXACO INC. Insurance 2000 Westchester Ave. White Plains, N.Y. 10650 ,... of this cer~cat;on also certifies that J~u f.re in complia, .qce, w~, h all conditiOns for.participation In Texaco #058-1405 .. B'akersfield, 93,301 ~""~' Texaco Star Mart #058-1408 '~~White Lane & Potrero Bakersfield; 93304 , ~ .Bakersfield, 93309 ~"~' Texa6o #058-0700 ....... maKerszz~ld, ~"""° Texa=o S~r Mart #05S-079'~ ~%'%~'O0sfora a W~ite na=e ~=. $1B~ac~m ot T.,,~ OM:s~r er Op~a~r ~ ..... [ t'4~mo ud 71 te of Trait Onus' ~ (:~t[~ ' Texaco #058-0450 ~~-~ c~"-~{21 Stockdale & New Stein Bakersfield, 93309 "'"~illiam C Bousquette 3en,or vice Preslaenl Ch~ei F;nanc~a[ Officer Texaco Inc 2000 Westchester Ave. White Plains NY 10650 Regional Administrators U.S. Environmental Protection Agency Underground Storage Tanks Financial Responsibility Dear Sirs: I am the Chief Financial Officer of Texaco inc. with offices at 2000 Westchester Avenue, VVhite Plains, New York 10650. This letter is in suppor~ of the use of the financial test of self insurance to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and non-sudden accidental releases in the amount of at least one million dollars ($10000,000) per occurrence~..and two' million dollars ($2,000,000} annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this owner or operator= See Schedule A A financial test is also used by this owner or operator to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR Parts 271 and 145: EPA Regulations Closure (Sections 264.143 and 265.143) Post-Closure Care (Sections 264.145 and 265.145) Liability Coverage (Sections 264.147 and 285.147) Corrective Action (Section 264.101 Plugging and Abandonment (Section 144.63) Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment TOTAL 4,252,305 31,842,439 16,000,000 0 252,000 0 0 0 0 0 $_5.2.346.844.0~ This owner or operator has not received an adverse opinion, a disclaimer of opinion, or a 'going concern' qualification from an independent auditor on his financial statements for the latest completed fiscal'year. 4. 5. 6. 7. Alternative Amount of annual UST aggregate coverage' being assured by a test, and/or guarantee Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee Sum of lines 1 and 2 Total tangible assets Tangible liabilities Tangible net worth Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 37 10. Are at least 90 pement of assets located in the U.S? 11. ts line 7 at least 6 times line 37 12. Current assets 13. Current liabilities 14. Net working capital 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service 18. ' Date of maturity of bond 19, Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? $2,000,000 $52,346,844 $54,346,844 $25,419,000,000 $15,756,000,000 $9,663,000,000 $12,995,000,000 Yes No _ $6,019,000,000 $5,015,000,000 $1,004,000,000 A+ A1 Standard & Moody's Poor's August 1, 2024 I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR Part 280.95 {d) as such regulations were constituted on the date shown immediately below. Seflior Vice President and Chief Financial Officer Texaco Inc. Date w:~:ar pfir~nviren~Btlpe.wp .THUR ANDERSEN LLP REPORT OF INDEPENDENT PI,/B. LI(~ ACCOUNTANTS To Texaco Inc.: We have audited, in accordance with generally accepted' auditing standards, the consolidated financial statements of Texaco Inc. and subsidiary companies (the "Company") for the year ended December 31, 1994, and have issued our report thereon dated February 23, 1.995. We have not performed any auditing procedures since that date. At your request, we have read the letter dated April 27, 1995, from Mr. William C. Bousquette, Senior.Vice President and Chief Financial Officer, to the Regional Administrators, Underground Storage Tanks, Financial' Responsibility, United States Environmental Protection Agency and compared the data therein that are specified as having been derived from the audited financial statements for the year ended December 31, 1994, referred to above, with the corresponding amounts in those financial statements. In connection with this procedure, 'no matters came to our attention that caused us to believe that the spec'Red data should be adjusted. This report is furnished solely for the use of the Company and the Regional Administrators, Underground Storage Tanks, Financial Responsibility, United States Environmental Protection Agency and should not be used for any other purpose. New York, N.Y. Apdl 27, 1995 R. J. MYERS & SONS, INC. SERVICE STATION CONSTRUCTION PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NORTH HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 (FAX) SUBJECT: Annual Electronic/Mechanical Monitoring System Inspection and Meter Calibration DATE: 4-12-95 S/S#: 61058000799 LOCATION: 4050 GOSFORD BAKERSFIELD, CA Dear Sir, This is to certify that the annual inspection of the existing Monitoring System was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Sons, Inc. has been contracted by Texaco R & M to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R. J. MYERS & SONS, INC. Ronald J. Myers II. Vice President R. J. MYERS & SONS, INC. SERVICE STATION CONSTRUCTION PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NORTH HOLLYWOOD, CA. 91609 DATE OF SERVICE: 4-12-95 -S.S.#:61058000799 W.O.#: 117676 TECHNICIAN: RON NORRIS SERVICE REQUESTED BY: F. LONG BILL TO: TEXACO R & M PROBE I.D.#: PROBES 1. DIESEL 2. UNLEADED PLUS 3. SUPER SERVICE REQUESTED: ANNUAL ELECTRONIC 4. UNLEADED MONITOR CERTIFICATION TRANSDUCERS DESCRIFrION OF WORK: COVER PANEL FOR LOCATION MISSING INSIDE OF BOX. TEST FOR PSD AND FOR CORRECT LOCATION ON EACH PRODUCT. ANNULAR SPACE HAS PSD WHEN ALARMS AND SHUT DOWN TURBINE ALL SYSTt~qS OPERATING PROPERLY MODEL #: PPM 9000 Multiplexer SERIAL #: 41190-E13 41290-M15 2. PLUS 3. SUPER 4. UNLEADED LIQUID SENSORS MULTIPLEXER 1. DIESELSUMP TURBINE 2. PLUS S~ I'IJRBINE 3. SUPER SUMP TURBINE 4. UNL. SUMP TURBINE 5. DIESEL ANNULAR 6. PLUS ANNULAR 7. SUPER ANNULAR 8. UNL. ANNULAR SYSTEM CERTIFIED ~ No SYSTEM PSD 5; N/A NO SYSTEM RUNNING WAS~ Om YES N~ NO SYSTEM SEALED .G~ NO Monitor Certification Inspection This letter certifies that the monitor is in place, the probes are in the correct position and the operation of the system. FACILITY # 61058000799 DEALER ADDRESS DATE: 4-12-95 4050 GOSFORD BAKERSFIELD, CA TYPE AND MODEL OF MONITOR RJ PPM 900 SYSTEM FUNCTION TANKS PASS X FAlL N/A USED OIL PASS FAll N/A X IN LINE PASS X FAll N/A SUMPS MONITOR PASS X FAll N/A' PRODUCT LINES FILL SUMPS PASS FAll N/A X WHEN MONITOR IS TURNED OFF OR IN ALARM DOES TFIE TURBINE SHUT DOWN? YES X NO IS THE CONSOLE LABELED CORRECTLY? YES NO COMMENTS: ANNULARS & SUMPS SENSOR HAS NO PSD INSPECTED BY: R.J. MYERS & SONS, INC. TECHNICIAN: RON NORRIS SIGNATURE: .~-~.s LEAK DETECTORS TEST CHART LOCATION 61058000799 4050 GOSFORD BAKERSFIELD, CA SERVICE COMPANY R.J. MYERS & SONS, INC. P.O. BOX 3007 N. HOLLYWOOD, CA 91609 DATE 4-12-95 TECHNICIAN PERFORMING TEST: RON NORRIS TECH #: TYPE OF LEAK DETECTORS TESTED [CHECK APPROPRIATE MFG(S)] RED JACKET: X (accumulator) TOKHEIM: VAPORLESS: FE PETRO: TEST INFORMATION 1 2 SERIAL # 11290 9256 GRADE DIESEL RESILIENCY (ML) N/A OPENING TIlVIE (SEC) N/A TEST LEAK RATE ML/MIN N/A FUNCTIONAL ELEMENT HOLDING PSI METERING PSI PASS OR FAIL PASS 20790 6659 PLUS N/A N/A N/A 15 14 30 31 PASS 11290 9234 21190 9172 SUPER UNLEADED N/A N/A N/A N/A N/A N/A 15 10 30 PASS PASS 31 NOTE: DATE OF TEST: 4-12-95 LOCATION: 4050 GOSFORD OWNER: TEXACO R & M OPERATOR: REASON FOR TEST: ANNUAL COMPLIANCE STATION 61058000799 PHONE 805-833-4002 PHONE: PHONE TEST REQUESTED BY FRED LONG SPECIAL INSTRUCTIONS PHONE CONTRACTOR - R~J. MYERS & SONS, INC. MECHANIC NAME: RON NORRIS TANK TEST WITH THIS MNE TEST? NO MAKE & TYPE OF PUMP OR DISPENSER GILBARCO RED JACKET TURBINE WEATHER: CLEAR/WARM COVER OVER LINES CONCRETE TEMPERATURE IN TANKS N/A APPRO)C BURIAL DEPTH 24"+ LOG OF TEST PROCEDURES, VOLUME IDENTIFY EACH TIME AMBIENT TEMPERATURE, PRESSURE READING LINE AS TESTED (MILITARY) WEATHER, ETC. BEFORE AFTER BEFORE AFTER NET CHANGE CONCLUSIONS/REPAIRS/COMMENTS 1030 UNLEADED 1129 1150 1145 1200 1215 1230 1231 1129 PREMIUM 1130 1145 1200 1215 1230 1231 ARRIVED AT sFrE, SET UP TEST EQUIPMENT AT DIST. TEST PORT BLEED BACK 50 0 +.0420 START LINE TEST I 50 .086 LINE TEST COI~T 49 50 .086 .085 -.001 50 50 .085 .085 +.000 BLEED BACK 50 0 .010 .055 +.0450 BLEED BACK 50 0 +.0400 START LINE TEST I 50 50 50 .085 085 +.000 BLEED BACK 50 0 +.042 BLEED BACK OK LINE IS TIGHT VOLUME CHANGE: -.001 BLEED BACK OK BLEED BACK OK LINE IS TIGHT VOLUME CHANGE .000 BLEED BACK OK PLUS DIESEL COMMENTS: 1129 1130 1145 1200 1215 1230 BLEED BACK 50 0 +.0410 START LINE TEST I 50 LINE TES3~ CON~ 50 50 .085 .085 .000 BLEED BACK 50 0 +.044 1244 1245 1300 1315 1330 1345 1346 BLEED BACK 50 0 +.0410 START LINE TEST I 50 .083 LINE TEST CON"F 48 50 .083 .081 -.002 49 50 .081 .080 -.001 50 50 .080 .080 +.000 50 50 .080 .080 +.000 BLEED BAcK 50 0 +.0430 BLEED BACK OK LINE IS TIGHT VOLUME CHANGE .000 BLEED BACK OK BLEED BACK OK LINE IS TIGHT VOLUME CHANGE -.003 BLEED BACK OK Operat 1L;~d'erground Hazardous Materials Storage Facility "~?-..'~:~.. -.:::.:: ..... .-.. .... : ..:-~;: .... / .::?:."'.."?' , · ................... ~:~::.:.....::~::....:::...........:......... . ...... ...... . ....... . ......  Bakersfield Fire Dept. ========%====:=======?============:=====?==?=======:========?????==?=?? .... ~~ ~ HAZARDOUS MA;ERIALS DIVISION 1715 Chester Ave., 3rd Floor ~>~ ~v;~ Bakersfield, CA 93301 q~ ~ (805) 326-3979 Approved by:. ~.~ ~ .... Ralph E. Huey, Hazardous Materials Coordinator Valid from: Fo{ ANNUAL INVENTORY RECONCII,IATION SUMMARY REPORT Facility: Address: Permit/ID #: Tank # Size Product I hereby certify under penalty of perjury that: Ail inventory variations for this facility were within allowable limits for this year. C~I' Inventory variation(s) exceeded the during limits allowable this year. The source of the variation(s) is not due to an unreported, unauthorized release. List the Month, tank number, and amount of variation for all variations which exceeded the allowable limits during this year. MONTH TANK'# AMOUNT OF VARIATION/EXPLANATION Additional incidents shall be listed on a separate, attached sheet of paDer. If the cause of the variation(s) which exceeded alloWable limits was a leak, the incident(s) shall be reported no later than the next business day to your local permit implementing agency. An Unauthorized Release Report shall be submitted within five days. The Annual Summary Report shall be submitted within 15 days of the end o~ each2;~ar. 06-93/mgf1709.wpw/4-5 ' ~ ' / ! · ,eo~ .ovg~ ~.LLOmU~L~ ? ~OTIFIED: · TEXACO - 4050 GOSFORD BA|;~.RSFiELD, CA 9330.c 'L/D 4130 M/C 5367 ~T~:XACO - ..:, .~.?: · .. · eP050 GOSFORD S-81 rev. (CA) 8AKERSF~£[D, OA 93309 8-91 TANK I TANK 2 TANK 3 TANK 4 TANK'S DAY +/- DAY +/- DAY +/'~ DAY +/- DAY :,.+/- 10~' .10¢ 13. .11~'~ ' 3.1 13 13 -- :1.3 1t 18 19.~c:~~ 19 20 20 2: .20 23 26 22 28 /_ 28 29 "" 29 29 3O 3O 3O 31 31 3~ TOTAL DELIVERIES: 1% OF DELIVERIES: 1% + 130 GALLONS = 8' .-'/,?~ 10 11 13 14 15 16 3.7 18., 20 21 22 23 25 26 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21' 22 23 24 25 26 27 28 29 30 31 30 3Z CUM CUM OVER ALLOWABLE. ? . ~. ,,.,, NOTIFIED: - yES ::.' . , .... IF YES - STATE ACTION TAKEN AND wHOM I CERTIFY THE-ABOVE 'IS ACCURATE AND': .:-. . .. :.. 61 058. 799 - '''~'~ -...:.;" .' INvE~bRY'RECONCILIATION/MONT~ MO~G .' MONTH/YEAR .~~?~ ADDRESS: 'rTt~'.~. ~:~"~~.,,,,., r:.',---, , ' - - /. ~ ! '9 r~',,-~-, ,,,/,-, ~,oo~ ~T'~ I TA"~2 TANK 3 TANK 4 TANK 5 DAY +/- DAY~ +/- I)AY +/- DAY +/- DAY +/- 3 ~_q 3 3 ~ 3 7 7 8 ~ 8 10 - 11 11 11 x~ I1 ' 11 12,. 12 '. 12 I 12 13 13 13 ~ 13 ]~ 14 14~ 14 ~ 14 15 1~ ~.2 15 18 18 N~ 18 N 18 19 19 19 19 · 20 20 22 22 ~ 22 22 23 X~ 23 23 q~ 23 23 2~44 ~N ..~ 24~ '. 24~~ 24~ 24 25 ' 25 " 25 ~ 25 ~' 25. 26 ' 26 ~/~ 26~ 26 2~ ' 27 ~9- 27~ 27 28. ' 28 - 28 ~./) 28 29 : 29~ 29 ~ 29  30 ~ ~ 30 30 ~.. 3~) 3~ ~2 3~ Cq~?~ ' CUM 7~ CUM ~/ CUM~ CUM TOTAL DELIVERIES: 1% OF DELIVERIF-'S: '- 1/2 OF 1%: 1% + 130 GALLONS = I CERTIFY 'THE':.;ABOVE ;IS.' :A~,C~RK.J~D:TRU.~" ;'' 'TEXACO '.'..'7::'" i ~7'":!?~q'V~ORY.RECONCII.,IATION/MON'I~,Y MONITORING 4050 .GOSFORD OF UNDERGROUND TANKS TANK I 'I'~K 2 TANK 3 TANK 4 TANK DAY +/- DAY'~ +/- I)AY +/- DAY +/- DAY +/- 3 3 3 6 6 - 6 ~ 7 7 7 7 9 9 9 9 ~o ~ ]o ~ _ ~o ~o ~ ~o 12~-~ ~ 12 / 12~ 12~ 12 13x ~ 13 13 - 14 ' 14 ~ - 1~~ 18 ~ 18 22 22 22 ~ 22 23 ' 23 23 2~ ~ ~ 23 ,., ~- 2s 2s ~ 2s 27~~ 27'~ / > 27 28~~ 28 // 2~B,~ 28 28 ;~7.: .-: 29 29 /~ 2~'~ 29 3O ~ 3 30 ' d~' 30~ / ~ 30 CW~~', 'CUM~ CUM ?~/ CUM /~3 CUM 1% + 130 GALLONS = ' .... CUM OVER' A'LI56~ABi.E:; ?' ', ..YIm _ ~.o iF,.YF~,:TSI:ATE:ACTiON?~'~$N AND .'~.:: ' ... IN~EI~OR¥'RECONCILIATION/MON~ MONITORING. OF UNDERGROUND TANKS DAY +/- DAY" +/- I)AY +/- DAY +/- DAY +/- 34 3 3 "~- ,/~,, 3 4 /_~ 4 5 5 )~ 5 6 6 /c/ 6 7 8 9 r"7.-02'.2 - 9 13 13 "' -,)-q' 13 14 ~ 14 ,~ [~ 14 15 15 &q 16 ~c~ 16 ,._.~3' 16('.--o~ 7 16 18 18 (-~? 18 ' ~' 18 19 19 19<-i 2 19 20 /~ ' 20 20 2o/-/,> _ 20 21 . .~/k.~' 21 '~/~ 21 ~.7_~ 21"'--/" 6i 0~15Zt9.9 ' 23/-c3g.4 23 ~,~ _. '23 23 ~ a.n~o , 2~..' ~- /- ~ : 24 ~ 24 . g:Z ' .~FOED 25 x.~, 25~ 25 .~~ 25 ~~ER. ,~LD, CA 93R0~ 26 C~(7 26 26~ 26~ 4] ~ ~ 27'~0 27 ~g~ 27 ~ 27 ~/) . · 28 ~- 28~ ' 28 ~ 28C~)' 28 29 ~ 29 _~/ 29 q ~ 29 30 30 30 30 (' ' 30 31 .: 31 .~ 31 ~ 31 N 31 %- ./ CUM / 7~ CUM./~ CUM~ CUM ~ CUM TOTAL 'DELIVERIES:- !% OF DELIVERIES: '" ,'" I% + 130 GAI.,LONS = '~IjM'"OVER:' ALI~OWAB'i::ig';. :;:"? '-:'~? ::Yl~r~~ IF:YES;:STATE~ACTION:;I'AKEN AND ..... -: '-: ', ~ - · ~., - 5-' .::. ;(.. ~ i . -:{.'..a ~.,, . . ":i :CERTIFY: TIlE ~BOVE-iS::;A~RAI~E '~ TR~E~' '.;aq.~/?~O~ ¢)s~'~:.~;~?.: ..... .':. ....:.....:.... ,. .. :...: .~~~~~ :....~.; ~ ./~'?::'~::~:~::.~ . , . ' " ". ' .. ~ ...... ~ ~A NAG EW/RE~'ILER : .." :.::......DATE . ff:~..'?)':;:.)'.::5:77': · ' '7 7: ,t :;~, >" .' ' . :... :~ . .., . 7.':: ~ ....-.' · . . INVE~ORY'RF~ONCIIblATION/MONT~ MONITORING OF UNDERGROUND TANKS TANK I ~ 2 3 4 'rANI( 5 2 2 /~ 2 0 / 2~ 2 · q ) 5 ~ 5 5 f 5 8 ~ :~Z 8 C/~2 8 ~.z 8 /~ .8 ~ 10 ~/~ 10 - 10~ 10 12 12 12 ~ ~ 12 ~4~ ~4 ~4 ~ ~ ~4 ~- ~4 16 ~ 16 ' ~. 16 -77 ' 16 / 16 17 < a ~ 17 ~/7.> 17 ~ 17 ~ 17 ~8 ~8 / /~ ~ ~8 ~8 / ~8 22 ~;~ 22 ~ 7 22 zo~ 22 - 23 22 23 %-~2 23 ~ 23 c g~ 23 24.M~. 24 · (5~ '24,~[M. 24 . ., 24 25 ~5 25 Q~> 25~ 25 · 25 26 ~ 26 ~& 26 26 26 27 ~'.' 27 ~ 27 W 7 27 · 27 2~/7fi 28 . ~ · 28 Y52 28 28 30 - /0 30~ 70 30 3(} 31 ~ 31 31 31 31 (.'u~ .0~2 CUM WSW CUM /~q~, CUm //~ CUM TOTAL I) ELI V ER 1 ES: !% OF DELIVERIES: .' I I I I 1/2 OF 1%: .:,- 1% + 130 GALLONS = MONITORING TE)~ACO :.: RY'RECONCILIATION/MON--~- og tn, m~c~o~ YANKS 4050 GOSFO~D BAKERSF~~/~~~ ',/D 413( TANK 2 ' T-ANK 4 TANI<. 5 DAY +/- DA'i'" +/- I)AY +/- DAY +/- DAY +/- 2 -~( ¢ 2 t~ 2 --- 2 3 { I{a'7 3 ((~/ 3 3 4 N.-.~.~ 4 ~x~? 4 9 ~%~ ' 9 ~- 9 ~ 9 10 ' 10 10 10 . lO ~ ~ /~- CY ~ 11 ~ 1~ ' 11 ~ 1~'/~ 11 ~2' ' ~2~ ~2 - ~ ~2 12 ~q ' ~ 13/ / ~ 13 13 ~-'~ 13 13 ~ / 14~ 14~' 14 ,~/ .. 1~. 14 15 ~ 15~ ' 15 ~q 15 ( ,,/ 15 ~6 ~ ~6~ ~ ~6 ~ 16 x.1 ~6 ' 17 - . 17 ~ 17 '~ ~r) 17 17 18 ~ 18 ~ 18 ~/~ 18 18 ~5~ 20 2 20 - . 20 20 20 21 21 ' 21 21 ~ 21 22 22 ' 22 2z 22 23 23- ' 23 ' 23 ~ 23 24 ~-. 24 24~- 24 ~ .... . .' 24 Z7 262S 30 29 28 ~C ~J -~/'//' ~C3 ' I~1' 29 27 26 25 Z8 30~ ~>- 28 Z6 25 29 27 30~~ ~ '25 27' Z6 28~y~ 30 29 -X~ II-1 ~ ~ ~ / " ' :"' ' '27 ' z625 28 30 29 31 31 ~ 31 31 31 CUM p~.' -CUM .'~J CUM/~ CUM /~ CUM TOTAL DELIVERIES: ;" :-' 1% OF DELIVERIFY,: '. .... '... 1/2 OF 1%: ......... ,,'." 1% rt- 130 GALLONS = OF UNDERGROUND TANKS MONTH/YEAR ~ ADDRESS:? DAY +/- DAli''¢ +/- DAY +/- DAY +/- DAY +/- 3 ~" 3~ 3 /~ 3 3 4 .Z~ 4 ~-- 4 Z2> 4  5 5 ~fl~ 5 I - 5 9 ~ 8 ~ 8 ~ 8 13 ~- 1~ ~ 13 ~,X~ 13 ~ 13 · 14 /~' ~ ~4 ~ ~4/ ~ ~4 15 ~ 15 ~. 15 ~3 15~/-) 15 16C.~ 16a~ 16 /~ 16 ~ 16 17 ~ 17~ 17 ~ 17 ~ 17 21 21 21C iD 21 22 22 22 ~' 22 ~ 22 23 23 23 ~ ~ · 23 6 ~) 23 24 /~.". 24 . 24 .~ 24~.-2 24 25 ~ 25 ~2~ 25 ~ 25 --~ 25 26 X~ 26 ,~ 26 ~ 26 ~ ~1 26 27 ~ 27 ,[~7 27~% 27 x]-, 27 28~7'~ : 28~i 28 - 28 (~) 28 29 [uk~ 29 .~ 29 ~k 29 7~. 29 30 ~ 30 ( ~W - 30 ~ 30 (~ 30 ., (rUM ~ CUM ~S' CUM ~d~ cum /O~ CUM TOTAL DELIVERIES: ' ' 1% OF DELIVERI ~ES: i/2 OF 1%:...' .:' ': · .. 1% + 130 GALLONS = I / uo I ,-/s-' I' I ' CUM oVER;ALLOWABI;E: '~'? WIlOM NOTIFIED: : .... '::'9 ;.::..~-.,:?.-:,-: ~:~,::~....::,; ::~J:., ~:.;c::.' :-.:,tTEX~O0.::::c,:~F~'::.. '"-' - ... aUUO GO--FORD · .:.' · .. INVE~)RYRECONCILIATION/MONT~ MONITORING · OF UNDERGROUND TANKS TANK 3 TANK 5 DAY +/- DA~'" +/- I)AY +/- DAY +/- DAY +/- 2 '--~'~ 2 ~d.~~ 2 2 ~ 3 ' 3"(~F 3 43 4 4 4 $ 5 9 ._~ _9_ 10 10 11 11 11 ' I 11 ~3 ~ ~ ~3 ~3 ~3 15 ~/ ~ 1S~a~ 15 ~/ 15 15 1~ 18 ~ 18 ~,I~ 18 ~o ~ ~o ~ ~ zo~/_ ~o ~/~ ~o 24 ' ... 24 24 , ~ 24 ~ ~,.~ 24 25 ' 25~~ 25 ( [~)~. 25 ~ 25 26 26' 27 ~ 27 ~,~ 27 ~ 27 , 27 e8~ 28 /~ 2~~ 28 29 29 29 /~ 7 29 29 30 30 30 '%~ 30 30 3I 31 · 31 31 . 31 TOT^L DELIVERIES: 1% OF DELIVERI 'ES: 1/2 OF 1%: ~. 1% + 130 GALLONS = [ '"' cuM' OVER; A LLO W'A BI.E.: · ?~NO ~"'~YF~, STATE ACTION TAKEN AND TExACOI'CERTIFY'YI¥~':"-~tBOVE:IS)'~_A~_~' ~J~iTRUE:x '~ '" ' ' "' ; BAKERSFIELD, .0A g3309. ~ - MANAG%-R/RE'I,~iLILR /I)A~,E x / ... L/D 41,30 M/C 5367 .. ', OF UNDERGROUND TANKS DAY +/- DAY'~ +/- I)AY +/- DAY +/- DAY +/- 2 3 3 ...x.a TE) ~0 4 t2:~ 4 ( ~'7. ~050 4~OSFn~D 6 , 6 6 L/D 4~30 iW/c 536;  8 8 9 9 ;I} 1 10 ~ 10 ~~ 14~ 14 l~.~ 14 ':; i5 ~ 15 ~ 15 16 16~ 16 - 16 19 19 ~ 19 19 19 20 20 20 20 20 22 ' 22 22 ~ 22 23 ~ 23~ 23 ~ 24~ ~ 24 ~ 24 24 26~ ~ 26 ~ 26 ~/-) 26 28 28 ~ ~ 28 ~ ~ 28 28 29 - 29 29 29 29 31 30 30 30 30 31 ~ 3]~ ~ 31 x~ I 31 C2a~ 31 TOTAL DEI.,IVEI~.IES: 1% OF I)ELIVERIES: 1/2 ()F 1%: 1% + 130 GALLONS _ ?/E I CUM OVER ALLOWABIA~: WIlOM NOTIIqEI): ~,Q,~ ~...,/)NO IF YF~_~. STATE,ACTION TAKEN AND .! .. INVE~RY RECONCILIATION/MoN~ MONITORING OF UNDERGROUND TAN'K~ TC~NI( I TAT}~ 2 TANK 3 TANK 4 TANK 5 DAY +/- DAY" +/- DAY +/- DAY +/- DAY +/- 2 %¢2 2 /7. 2 /~ z ('~' 2 ' :"7 5 5 '~ ' 5 5 7 8~2 8 <y2 8 (3.2 8 <y2 .8 ~0 ~¢ 10 ~/2 ~0 // 10 ~~ 10 -- 11 13 13 ~ 13 < ~ ( ~ 13 ~s ~s ~ ~s~ ~s 17 ' 17 ~&io~ 17 ~ 17  20 -/~ 20 ~. 20 ~-~ 20 2~ - 2~ /~ ......... 2~ 7~ 2~ F// 2~ 22 ~ 22 ~ 22 ( ~,)~ 22 ~/~> 22 23~ 23 / ~ 23 -/~ 23 ~.2 23 24 ~~ 24 .l~, 24 ~ 24~.~ 24 27 27 27 ~ 27 28 ~g 28 28 / 28 29 29 0~) 29 29 ~ 29 3o ~/ ~v~/ ~o~ ~o 31 " 31 31 CUM /~3CUM/~ CUM ~,~CUM ~~ CUM TOTAL DELIVERIES: 1% OF DELIVERIES: 1/2 OF 1%: 1% + 130 GALLONS I CUM OVER ALLOWABLE: ? YES WHOM NOTIFIED: I CERTIFY THE ABOVE IS~~~~T~ ~~7 MANAGERTRE'I~'ILER  F YES, STATE/~C'lllO1N ~tKEN · TrY * RECONCILIATION/MON~MONITORING · ' ." · UNDERGROUND TANII~ . ~ TANK 1~ANrK2 TANK 3 TANK 4 TANK $ DAY +/- DAY~ +/- DAY +/- DAY +/- DAY +/- 2 <&~47 2 2 ~-~ 2 2  - 7 ~~ 7 8 8 ~ ~ 8 9 ~ 9 ~o ~o ~o ~ lO 12 12 12 . J~ 12 12 ~3 ~3 ~3 ~ ~ ~ ~3 14 14 14 /~ 14 15~ 15~ ~~19 ~ 15 19 - - 19 19 20 r- 20 20~ . 20 2~~ ~ 5 21 /J. 21 21 23 23~-- 23 .~o~ 23 , 23 2 ·~~24 -- 24~E~/- ~ 24-- 24 25 ~' ~ ~)~.. 25 26 ' 126~~ 2fi ~i~ 26 2~ -- 27 ~ ' ' ' 27 U~ 29~ - 29 ~~z 29,* 29 29 30 30 · 30 ~V' 30 d ~ 30 31 -- . 31 31 31 ~ 31 c. c~ ~ cu~ c~ /~ c~ TOTAL DELIVERIES: 1% OF DELIVERIES: I/2 OF 1%: -'~'~u 60SFORD BAKERsFIF~ D, CA ~33 1% + 130 GALLONS = I I I CUM OVER ALLOWABLE: ? YES WItOM NOTIFIED: I O~__~F YES, STATE ACTION TAKEN AND I CERTIFY THE ABovE IS ACGLIR~TJg__AND TRUE: _ MANAGER/E~,ETAiLER DATE ITY of BAKERSFIEL "WE CARE" January 30, 1995 FIRE DEPARTMENT M. R. KELLY FIRE CHIEF WARNING! 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED Dear Underground Storage Tank Owner: 2 ! 5-000-000670 ~OEO Go';FoP,~ TEXACO SERVICE STATION F' ii BOX 7812 i. JNIVERSAL CITY, CA 91608 ?tA RKE'F I NG Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification of Financial Responsibility form. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from you tanks, and you pump less than 10,000 gallons per month, check "$500,000 per occurrence". Else, or if you are in the business of selling from your tanks, check "1 million dollars per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All others need only check the "1 million dollars annual aggregate" box. Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in your Permit to Operate being revoked. (25285.1 (b) California Health & Safety Code). ~ If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-3979. Sincerely, Hazardous Materials Coordinator REH/dlm CERTIFICATION OF FINANCIAL RESPO ? FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM ~. I am required to demonsU'at~ Financial Responsibility in the required amount~ as specified in Section 2807, Chapter 18, Div. 3, Tide 23, CCR: ~] 500,000 dollars per occurrence [=--] 1 milBon doll&rs annual aggregate or _ AND or [--~ 1 million dollars per occurrence ' ~'] 2 million dollars annual nggregate B. TEXACO REFINING AND MARKETING INC. hereby certifies that it is in compliance with the requirements of Section 2807, Article 3, Chapter 18, Division 3, 7'[tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Sect/on 2807 are as follows: Self- TEXACO INC. Insurance 2000 Westchester Ave. ~Cnite Plains, N.Y. 10650 Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this cer'Jfication also certifies that you are in compliance with all conditions for participation in the Fund. D:v~v.=.,/ v~?0~N. Oak & 24th v Texaco #058-1405 Bakersfield, 93301 ~"~'~/'2 F~Jhite Lane & Potrero · v'z'exaco Star Mart #058-1408 Bakersfield, 93304 F~W~Texaco Star Mart #058-0988 ~ Calzfornza & Real Bakers field, 93309 F~v~exaco #058-0700 '3698 Ming & R~09 Bakersfield, F~ v~exaco Star Mart #058-0799 ~'~'Gosford & White Lane Bakersfield~ 93309 E. signature of Tank Owncr of O!~l~tor l~e Nm~ne and 'f~le of Tnnk O~ne~ o~ OperaU~ . Si~atu~e of W~me~s of No~m'y i~ Name of W~mess or 1) 2) 3) 4) 5) 6) Texaco #058-.0450 c~-~21 Stdckdale & New Stein Bakersfield, 93309 Regional Administrators U.S. Environmental Protection Agency Re: Underground Storage Tanks Financial Responsibility Dear Sirs: I am the chief financial officer of Texaco Inc. with offices at 2000 Westchester Avenue, White Plains, New York 10650. This letter is in support of the use of the financial test of self insurance to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and non-sudden accidental releases in the amount of at least one million dollars ($1,000,000) per occurrence and two million dollars ($2,000,000) annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this owner or operator: See Schedule A . A financial test is also used by this owner or operator to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR Parts 271 and 145: I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR Part 280.95 (d) as such regulations were constituted on the date shown immediately below. Senior Vice President and Chief Financial Officer Texaco Inc. Date o 4. 5. 6. 7. Alternative II Amount of annual UST aggregate coverage being assured by a test,, and/or guarantee Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee Sum 'of lines 1 and 2 Total tangible assets Tangible liabilities Tangible net worth Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are at least 90 percent of assets located in the U.S? 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current tlabllitles 14. Net working capital 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating sewice 18. 19. Date of maturity of bond Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? $3,000,000 $60,596,835 $63,596,835 $26,540,000,000 $16,336,000,000 $10,204,000,000 $13,774,000,000 Yes No x _ x _ $6,865,000,000 $4,756,000,000 $2,109,000,000 x _ A+ Standard & Poor's August 15, 2023 EPA Regulations ~osure (Sections 264.143 and 265.143) Post-Closure Care (Sections 264.145 and 265.145) Uabillty Coverage (Sections 264.147 and 265.147) Corrective Action (Section 264.101 (b)) Plugging and Abandonment (Section 144.63) Closure Post-Closure Care Uability Coverage Corrective Action Plugging and Abandonment TOTAL 9,864,268 34,486,567 16,000,000 0 246,000 0 0 0 0 0 $60,596,835.00 This owner or operator has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. f Texaco Refining 10 Universal City Plaza / a~d_Marketing Ins Universal City CA 91608 December 30, 1994 Ralph E. Huey Hazardous Materials Coordinator Bakersfield City Fire Dept. 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Subject: Texaco Refining & Marketing - Universal City Plaza Change of Address Dear Mr. Huey, Effective January 9, 1995 Texaco Refining & Marketing Inc. is relocating many of its personnel to a new location. Included in this move is Fred Long, E.H. & S. (~oordinator. Enclosed isa listing of Texaco Retailers, Contract Operators and Salary Operations for which Texaco wishes all correspondence be directed to Mr. Long. Those locations falling within your agency's jurisdiction are highlighted for you convenience. Please ad~~ ~'~--~.~-- ~.. '~F.G. Long, E.H. & S. Coordinator '-~ ~..~ T~ Ref~ng &Marketing Inc. "~ / Pacific West Region ~ 1900 E. Los Angeles Ave., Suite 200 I _ i SimiValley, CA 93065 . / Telephone number: ~ ~,. Fax: (805)579-5024 ~ · (805)579-5098 ~ Thank you for your consideration· Sincerely, Timothy D. Stillman TDS~r Eufidin¢ on a Tradition of Quai/ty b~ .ir~fis stat_num s_dealer 62-481-000010 ALVIN ARNESON 62-481-000154 EVERERT E. LOGAN CIBK 61-058-000450 WILLS, CALVINO. CIBK 61-058-000260 MAN~GE~'(B~-rr~ WILLIAMS) s_addnum s_address s_ciCy ehs_specl 1457 S. CARSON/STEWARD CARSON CITY FGL 400 E. PLUMB LANE/KIRMAN RENO FGL 5321 s~ocm~.~/~ 3521 CIBK 61-058-000988 MANAGER (KAREN BAL~I) CIBK 61-058-000700 SAMI & HANNAH DABBIS 3698' CIBK 61-058-001408 MARAGER (ROSEMARY P,~Y) 2601 CIBK 61-058-001405 MAN~ER (TERRY TIDMORE). 2401 N CIBU 61-106-000251 ~NAGER (ROBIN DENTON) 400 N CIGL 61-106-000150 MAR/(S SERVICE 1140 E CIGL 61-106-000042 HOVSEPIAN, DICK B. 401 N CIGL 61-106-000644 T~ FERZOL GROUP, INC (ELIAS) 1327 S CILA 61-106-000273 TOROSYAN,GEO/SARKIS 7710 CILA 61-106-000103 DONOYAN, VATCT{E 3010 S CILA 61-106-000265 CHOE, CHUL LIM 13606 CILA 61-106-000283 ATYABI, ALI 9500 CILA 61-106-000755 NELSON & FLOOD INC 115 S CILA 61-106-000133 CHOE, CHUL LIM 4456 CILA 61-106-002288 NELSON, JOI~ E. 12007 CILA 61-106-000157 VAN DER VALK, ANDRE 18101 CILA 61-106-000385 VANDER VALK, ANDRE 19706 CILA 61-106-000354 CHOE, CHUL LIM 15805 CILA 61-106-000252 ASHKAN CORP 23201 CILA 61-106-000888 LOFTHOUSE, DUNCAN D. 5314 CILA 61-106-000922 WILLIAM SAFARIAN 4647 CISL 61-058-001103 CHUNG, CTU3N 3 CISL 61-058-000033 SINGH, SUK~JINDER 12398 CISM 61-106-000341 GUIRGUIS, MARC 1410 COFR 61-063-001400 MANAGER (STEVE VOON) 5316 W COFR 61-063-000015 MANAGER (KAREN THACKERY) 4783 N COFR 61-063-000005 MANAGER (GEORGE ROUSE) 390 W COFR 61-063-001432 MANAGER (MONA DARROW) 3808 N COFR 61-063-000045 MANAGER (DON ADAMS) 5756 N COFR 61-063-000003 MANAGER (CHRIS LADD) 1016 W COFR 61-063-000275 MANAGER (MARTY BLACK) 3089 E COFR 61-063-000012 MANAGER (MARIA PONCE) 3464 E COFR 61-063-000010 DHILLON, JATINDER P. 2330 N COFR 61-063-000009 MANAGER (JANET RODELA) 501 COKN 61-058-000225 MANAGER (BETTY FALLOT) 5300 COKN 61-058-000050 BEAGLEY, STEPHEN 9069 COLA 61-106-000021 F. AZANY, ELIAS (BEN) 5226 COLA 61-106-001498 CHITIN & MAHRER 23387 COLA 61-058-000340 H]ENRY, GLENN b. 49764 COLA 61-058-001727 MANAGER (MOHA}9~ED QASEM) 37204 COLA 61-106-001402 GHASSAN (GUS) BATTA 18727 COLA 61-106-000914 ~/~AGER 24440 W COME 61-063-000158 MANAGER (JACKIE BROWN) 1107 W COSJ OES 62-564-000276 IQBAL S. CHOHAN 440 W. COSL 61-058-000401 HORZEN, ANTHONY 1205 COST 61-106-000185 AMJADI, ESSMAIL 5960 COST 61-106-000314 MADADI, ABI 150 S COST 61-058-000080 HOOBERY, JAMES C. 1201 E COVN 61-106-000479 SHEIBANI, NOZAR 256 COVN 61-106-000271 MORGAN, DAVID J. 206 E COVN 61-106-000363 TORABIAN, KAMRAN 56 E COVN 61-106-000352 MANAGER (UNAM SEGARI) 1196 E COVN 61-106-000007 DUNCAN LOFTHOUSE 3050 E COVN 61-106-001184 ~%%NAGER (DIPESH PATEL) 2390 COVN 61-106-001342 SIKAND, NAKINDER & RENU 2439 S COVN 61-106-000386 JABERI, REZA 9459 MING/REA~ ROADS WHITE LANE/POTIUmO OAK/TWENTY - FOURTH VICTORY/MAGNOLIA COLORADO/CHEVY CHASE GLENDALE/LEXINGTON GLENDALE/LOS FELIZ HOLLYWOOD WAY/I- 5 BUNDY/NATIONAL ROSCOE/VENTURA RESEDA BLVD/PLDq~WER BARRINGTON/SUNSET LOS FELIZ/HILLHURST VENTUP_~ BL%~/%~NTUPJ, PLAC'~ VENTURA BLVD/LINDLEY VENTURA/CORB IN ROSCOE/HASKELL Vma%mA/WOODLAKE TOPANGA CYN/SAN LUIS LAUREL CANYON BLVD/HWY 101 SANTA ROSA/FOOTHILL LOS OSOS VALLEY ROAD/HWY 101 PICO/FOURTEENTH S HAW / ~WY 99 PALM/BU-i~d%~O S~AW/PEACH BLACKSTONE/DAKOTA FIRST/BULLARD SHAW AVE/PALM TULARE/FIRST VENTURA/F I FT~ FRESNO/CLINTON SIERRA ST/HWY 99 OLIVE DRIVE/KNtTDSEN GRAPEVINE RD WEST/r-5 PALO CA~O/HWY 101 PCH/CROSS CREEK GORMAN POST RD/I-5 FORTY-SEVENT~ ST/AVE~K~E "S" SOLEDAD CANYON LYONS AVE/I-5 OLIVE/"R" CHARTER WAY/LINCOLN TWENTY - FOURTE/HWY 101 CALLE REAL/FAIRVIEW LA CUMBRE/I{WY 101 MAIN/HWY 101 CARMEN DR/DALY HARVARD/PALM THOUSAND OAKS/MOORPA LOS ANGELES/PATRICIA THOUSAND OAKS/CRESCENT TAPO STREET/COC~ VICTORIA/VALENTINE (HWY 101) TELEPHONE RD/PETIT BA~RSPX]~LD FGL BAKEP~FIELD: FGL B~ FGL G~ FGL G~ FGL G~ FGL B~ FGL ~S ~GE~S FGL P~O~CI~ FGL NOR~I~E FGL LOS ~GE~S FGL LOS ~GE~S FGL S~IO CI~ FGL T~ FGL WOOD~ HILLS FGL SEP~DA FGL WOOD~ HI~ FGL WOOD~ HI~S FGL N HO~OOD FGL S~ LUIS OBISPO FGL S~ LUIS OBISPO FGL S~A MONI~ FGL F~SNO FGL F~O FGL ~OVIS FGL F~SNO FGL ~SNO FGL F~SNO FGL F~SNO FGL F~SNO FGL ~SNO FGL KINGSB~G FGL B~RSFIE~ FGL ~BEC FGL A~HI~ FGL ~IBU FGL ~ FGL P~ FGL S~A~ITA FGL S~A~ITA FGL ~R~D FGL STOC~ON FGL P~O ROBES FGL ~LETA FGL S~A B~ FGL S~A~IA FGL ~IL~ FGL S~A PA~ FGL ~OUS~ O~ FGL SIMI V~r.~.mY FGL ~OUS~ O~ FGL SIMI V~.~mY FGL ~ FGL ~ FGL DATA CHART TEXACO 799 1 Location : 4050 GOSFORD 2 Owner : TEXACO R & g INC. _- Test date : 8/31/94 BAKERSFIELD, CA. 10 UNIVERSAL CITY PLAZA 8058334002 UNIVERSAL CITY, CA (818) 505-2000 91608-7812 3 Operator : TEXACO S/S 799 4050 GOSFORD : BAKERSFIELD, CA 805/833-4002 4 Reason for test : ANNUAL LINE TEST 5 Test requested : FRED LONG by& address : 6 Special instruction : 7 Contract6r : R.J. MYERS & SONS, [NC. Mechanics : JiM SHINE 8 Is a tank test to be made with this Line test : NO ENGINEER 10 UNIVERSAL CITY PLAZA UNIVERSAL CITY, CA 91608-7812 RECEIVED OCr O 7 I994' 9 Make & Type of pump or dispensers : REMOTE RED JACKET 10 Weather : CLEAR-WARM Temp in tanks : °F °C Cover over Lines : CONCRETE/BLACK TOP Approx.buriat depth : 24 100716 11 I .12 I 13 [ 14 Pressure ldent. I Time [ Log of test proc· I before [ after I Arrive at test site 15 VoLume before I after I Net change 16 Test Results Page 1 [ 0729 I 07-50 REGULAR [0745 UNLEADEDI o8oo [ 0815 I 0831 I POWER PLUS POWER PREMIUM 0729 0~0 0745 0800 0815 0831 0729 0~0 0745 0800 0815 0831 BLeed Back Check Start Line Test I BLeed Back Check Start Line Test BLeed Back Check Start Line Test 50 I 49 I so 49 I 50 49 I so 50 I o I I 50 48 48 49 50 I 50 48 49 49 50 50 50 50 50 0 I 50 50 50 50 0 .0200 .0800 .0750 .0705 .0100 I .0225 · 0790 .0740 · 0695 .0460 I .0190 .0775 .0725 .0685 .0150 .0550 .0790 .0740 .0695 .0460 .0550 .0775 .0725 .0685 .0815 .0510 .0760 .0715 .0675 .0505 I +.0350 -.0010 '.0010 -.0010 +.0360 +.0325 -.0015 -.0015 -.0010 +.0355 +.0320 -.0015 -.0010 -.0010 +.0355 BLeed Back - OK Conclusion : Line is tight ? > YES Volume change : +.0330 gph +.0330 gph Bleed Back - OK ConcLusion : Line is tight ? > YES Volume change : +.0315 gph +.0315 gph Bleed Back - OK Conclusion : tine is tight ? · YES VoLume change : +.0320 gph +.0320 gph JIM SHINE 8/31/94 Ident. I I 12 I 13 I 14 Pressure Time I Log of test proc. I before after I Arrive at test site 15 Volume Net before I after I change I 16 Test ResuLts Page 4 5LESEL 0729 OTSO 0745 0800 0815 0831 I BLeed Back Check Start Line Test 5O 49 49 49 50 I 50 50 50 50 0 I .Q205 I .0515 I .0760 I..0750 .0715 I .0705 .0675 I .0665 .ese5 I .o825 I ~ +.0310I I -.OOLO I -.OOLO I -.0010 I +.0320 I Bleed Back - OK ConcLusion : Line is tight ? · YES VoLume change : +.0290 gph +.0290 gph JIM SHINE 8/31/94 SERVICE STATION CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 3O07 NO. HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX SUBJECT: ANNUAL ELECTRONIC/MECHANICAL MONITORING SYSTEM INSPECTION AND METER CALIBRATION DATE: 8/31/94 LOCATION: S/S 61058000799 4050 GOSFORD BAKERSFIELD, 'CA 90043 Dear Sir, This is to certify that the annual inspection of the existing Monitoring System was performed at the above referenced facility. The method used to test th~ electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Sons, Inc. has'been contracted by TEXACO R & M Inc. to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. SinCerely, ~R~. MYERS & S~Si INC. Vice President RJM:MLS CONT. LIC. //330631 (B-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 SERVICE STATION CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NO. HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX TEXACO R & M INC. 10 Universal City Plaza Universal City, Ca 91608 Attn: Fred Long STATION LOCATION: S/S 61058000799 4050 GOSFORD, BAKERSFIELD CA RE: LEAK DETECTION SYSTEM CERTIFICATION ~ For your information and records, the leak detection system at the above referenced site was certified on 8/31/94 by R. J. Myers & Sons, Inc. as indicated below. PRODUCT LINE TYPE RED3ACKET RLM9000 MONITOR TANK WASTE OIL TANK TYpE R~D.IACK~T TYPE__ RLM 9000 N/~ MONITOR MONITOR __Non Existing __Non Existing Non Existing X Operational Non Operational X · Operational __Non Operational Operational __Non Operational Please feel free to contract our office for any questions you may have regarding your leak detection equipment. Sincerely, R. J. MYERS & SONS, INC. Vice President RJM:MLS CONT. LIC. //330631 (8-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 SERVICE STATION CONSTRUCTION / PETRO TITE.TANK & LINE TESTING P.O. BOX 3007 NO. HOLLYWOOD. CA. 91609 213-875-0830 / 818-768-2126' 818-768-2127 / 818-768-2128 FAX DATE OF SERVICE 8/31/94 SS#6105ROOo?Qq WO# 111/,?71-000 TECHNICIAN: J. SHINE BILL TO: TEXACO R & M 10 UNIVERSAL CITY PLAZA UNIVERSAL CITY~ CA 91608 SERVICE REQUESTED BY: FRED LONG IN-TANK GAUGING/LINE SENSO~ 1' DIESEL PROBE I.D.#: 2 POWER PLUS 3 POWER PREMIUM A DIE,RT. ' "SENSORS 1 DIEgEL TURBINE SUMP 2 'POWER PLUS TURBINE SUMI SERVICE REQUESTED: ANNUAL ELECTRONIC MONITOR CERT.~ 3 POWER PREMIUM TURBINE?,SU " 4 REGULAR~.UNLEADED,~TURBINE SU DESCRIPTION OF WORK: FI. ELD 'TESTED ALL SENSDP~ 5 DIESEL ANNUIAR SPACE VERIFIED ~PROPER OPERATION OF IN-TANK 6 POWER PLUS ANNULAR SPACE GAUGING. 7 POWER' PREMIUM ANNULAR SPACE 8 REGULAR UNLEADED ANNUIAR SPA MODEL#' REDJACKET RLM9000 SERIAL# 41190-E13 SYSTEM CERTIFIED SYSTEM PSD SYSTEM RUNNING WASTE OIL SYSTEM SEALED RECEIVED ALAPaM CALL AT: LEFT FOR JOB SITE: ARRIVED AT JOB SITE: LEFT JOB SITE: RETURNED TO BASE: CONT. LIC. #330631 (B-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 CONTRACTOR R.J. MYERS & SONS, PRODUCT DATE 8/31/94 UNLEADED TECHNICIAN J%M SHINE INC. CUSTOMER TEXACO 61058( LOCATION 4050 GOSFORD BAKERSFI~ D, CA SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. INDICATE MODEL NO. IF'KNOWN RECORD SERIAL// 1201110907770 RED WAYNE A.D. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNETT DRESSER BOWSER SOUTH OTHER. LEAK DETECTOR IDENTIFICATION CHECK TYPE DATE 21190 RED JACKET J I RED JACKET MODEL 116-030 MODEL 116-017 PLD-2SEC DLD 2SEC HEX HEAD HEX HEAD PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE __ OTHER COMMENTS TEST PROCEDURE SN 9172 MODEL 116-011A~ IMODEL 585PM DLD 5SEC I I DLD 2SEC ROUND HEAD I SQUARE HEA© GALLONS LEAK DETECTOR INSTALLED TEST AT DISPENSER GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE psig. AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD ML IV PRESSURE STEPTEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION, FLOW RATE OF APPROX. 1V2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1V2-3GAL.PER MINUTE YES NO 3) CLOSE DISPENSER NOZZLE'OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAD< DETECTOR TEST PASS~ FA'LI I PIJRPC~CIA VAPORLESS FO~M §80A ~ LEAK DETECTORISOLATED FROM PRODUCT LINE-TEST AT PUMP PIT REFER TO LDTINSTRUCTIONS [[[ GENERAL PUMPINFORMATION FLUSH LDT TESTOR RECORD OPERATING PUMP PRESSURE psig. ]'V PRESSURE STEP TEST.SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CC/W) RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1'/2-3GAL PER MINUTE YES NO C) PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO PASS ~_._~ FAILI J LEAl< DETECTOR TEST ICONTRACTOR DATE TECHNICIAN LU'I' - .AK UI: R.J. MYERS & SONS ~ INC. J PRODUCT' . 8/31/94 POWER "PREMIUM I EL; i UH i CUSTOMER TgXACO 6105800079 - LOCATION 4050 GOSFORD JIM SHINE BAKERSFIELD, CA SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. INDICATE MODEL NO. IF KNOWN RECORD SERIAL # 1201510906706 RED WAYNE A.O. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNE'FI' DRESSER' BOWSER sOUTH OTHER' LEAK DETECTOR IDENTIFICATION CHECK TYPEDATE 11290 SN 9284 RED JACKET I J RED JACKET ~__~ RED JACKET ~__~ TOKHEIM MODEL 116-030 MODEL 116-017 MODEL 116-011A MODEL 585PM 3LD-2SEC DLD 2SEC DLD 5SEC DLD 2SEC -lEX HEAD HEX HEAD ROUND HEAD SQUARE HEAD PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE OTHER COMMENTS TEST PROCEDURE GALLONS IRED JACKET J X "i ACCUMULATOR LEAK DETECTOR INSTALLED TEST AT DISPENSER GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE __psig. AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD ML PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML: B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 1V2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. -- I'/2-3GAL,PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE'OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAD< DETECTOR TEST PASS FAIL pIIRPORA VAPORLESS FORM LEAK DETECTOR ISOLATED FROM PRODUCT LINE - TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS T~[ GENERAL PUMP INFORMATION FLUSH LDT TESTOR RECORD OPERATING PUMP PRESSURE__ psig. PRESSURE STEP TEST.SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CCNV) RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. ¥ 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WiLL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1V2-3GAL PER MINUTE YES NO C) PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAl< DETECTOR TEST PASS~._.._ FAIL~ SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. RECORD SERIAL # 1201110907769 INDICATE MODEL NO. IF KNOWN RED WAYNE A.D. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNETF DRESSER BOWSER SOu'~H OTHER' LEAK DETECTOR IDENTIFICATION CHECK TYPE DATE '20790 RED JACKET I I RED JACKET MQDEL 116-030 MODEL 116-017 PLD-2SEC DLD 2SEC HEX HEAD HEX HEAD SN6659 MODEL 116-011A DLD 5SEC ROUND HEAD PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE OTHER COMMENTS TEST PROCEDURE GALLONS TOKHEIM MODEL585PM DLD 2SEC ' SQUAREHEAD I IREDJACKE IACC m , I LEAK DETECTOR INSTALLED TEST AT DISPENSER GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE psig. AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD ML IV PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN SECONDS GUAGE . NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BQTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 1V2~3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1'/2-3GAL PER MINUTE YES NO 3) CLOSE DISPENSER NOZZLE'OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO · LEAK DETECTOR TEST PASS FAILI PIIRPORA VAPORLESS FORM 8BOA ~, LEAK DETECTOR ISOLATED FROM PRODUCT LINE - TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS [[~ GENERAL PUMP INFORMATION FLUSH LDT TESTOR RECORD'OPERATING PUMP PRESSURE psig. PRESSURE STEP TEST,SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CC/W) RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE __SEC. V 3 GALLON PER HOUR. LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1'/2-3GAL PER MINUTE YES NO C) PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO PASS~__~ FAIL LEAl( DETECTOR TEST ICONTRACTOR R.J. MYERS & SONS~ PRODUCT DATE 8/31/94 DIESEL TECHNICIAN. SHINE' ]'C~S'rOMER ! TE~ 650580007.99 t LOCATION . ~ 4050 GosFORD '/ BAr S I , CA SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. RECORD SERIAL Il 1201:110907779 INDICATE MODEL NO. IF KNOWN RED WAYNE A.O- KEENE WEST JACKET TOKHEIM GILBARCO BENNETT DRESSER sMIT, H BOWSER SOUTH OTHER LEAK DETECTOR IDENTIFICATION CHECK TYPE DATE 11290 SN9256 MODEL 116-030 MODEL 116-017 MODEL l16-011AI I MODEL 585PM PLD-2SEC DLD 2SEC DLD 5SEC I I OLD 2SEC ' SQUARE HEX HEAD HEX HEAD ROUND HEAD I HEAD PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE __ OTHER COMMENTS TEST PROCEDURE GALLONS RED JACKET [_~ ACCUMULATORI LEAK DETECTOR INSTALLED TEST AT DISPENSER GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE __psig. AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD MI. PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 1V2-SGAL PER MINUTE WILL BE OBSERVED, DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. -- 1V2-3GAL PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE'OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAl( DETECTOR TEST PASS,X__ FAIL PtlRPORA VAPORLESS FORM 880A ~ LEAK DETECTOR ISOLATED FROM PRODUCT LINE - TEST AT PUMP PIT REFER TO LDT INSTRUCTIQNS HI GENERAL PUMP INFORMATION FI. USH LDT TESTOR RECORD OPERATING PUMP PRESSURE psig. IV PRESSURE STEP TEST.SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CCA, V) RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. V 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. ll/2-3GAL PER MINUTE c) WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. I'/~-3GAL PER MINUTE YES NO PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAK DL--TECTOR TEST PASS L____ Texaco Refining and Marketing Inc 10 Universal City Plaza Universal City. CA 91608 March 7, 1994 Mr. Ralph E. Huey, REA Bakersfield City Fire Department Hazardous Material Division 2130 "G" Street Bakersfield.,._..Ca-t~f'or~i'a~9'3'3'0-1~--~ ~F= 4050 Gosford & White Dear Mr. Huey: Reference is made to our January 26, 1994 letter and subsequent conversation concerning the annual inventory reconciliation summary report 'submitted for subject Texaco facility. Attached for your review is a corrected summary report and inventory reconciliation records for November and December 1993 and January 1994. Following our conversation several weeks ago, our Store Supervisor and the Food Mart Manager have performed an audit on our inventory records and have advised there are no unknown discrepancies. Subject facility has double-walled fiberglass underground storage tanks and contained piping monitored by a Red Jacket RLM 9000. We have experienced no alarms and we are satisfied with the integrity of our fuel dispensing system. If additional information is required or if our office may be of any further assistance, please feel free to contact the undersigned at (818) 505-2483. Sincerely, TEXACO REFINING AND MARKETING INC. F. G. LONG EH&S Specialist enclosure Building on a Tradition of Quality TEXACO REFINING AND MARKETING INC. ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT YEAR 1993 Facility: Address: Permit/ID #: 610580799 4050 Gosford Road Bakersfield, CA 93304 280040C-91 UT762901 Tank # Size Product 1 10000 Diesel 2 10000 Unl+ 3 10000 Super 4 12000 Unleaded I hereby certify under penalty of perjury that: All inventory variations for this facility were within allowable limits for this year. X Inventory variation(s) exceeded the allowable limits during this year. The source of the variation(s) is not due to an unreported, unauthorized release. List the month, tank number, and amount of'variation for all variations which exceeded the allowable limits during this year. Month Tank # Amount of variation/explanation 1 Diesel exceeded positive limits Additional incidents shall be listed on a separate, attached sheet of paper. If the cause of the variation(s) which exceeded allowable limits was a leak, the incident(s) shall be reported no later than the next business day to your local permit implementing agency. An Unauthorized Release Report shall be submitted within five days. Report shall be submitted within 15 days of the end of each year. D.IkT~' ' DAY +/- DAY +/- TOTAL DELIVERIES: ~4 DAY 1 2 3 4 5 6 7 8 9 TANK' +/- DAY .+/ ¢$ · .- ( IF - ./~.> 8 ~ ~-~ 9 1% OF. DELIVERIES: 1% + 130 GALLONS = CUM OVER ALLOWABLE YES ~ IF YES - STATE ACTION TAKEN AND WHOM NOTIFIED: I CERTIFY THE ABOVE IS ACCURATE AND TRUE. MANAG ER / ~ET~A~ L E-~ GF 5 , ,OCAT,O - q 61 058 799 GAS AU DIT T~XACO ~ .~' 4@o0 ~OSFOP~D MONTH OF ~~g~ B~KErD~,ELD. cA 0~09 -,. [ -Ii I ~1 -. ~J ~ I ~JJ' ENDING FLOW METERS PREVIOUS MONTHS DIFFERENCE SUPER UNLEADED UNLEADED DIESEL ENDING CONSOLE PREVIOUS CONSOLE DIFFERENCE COMPARISON FLOW CONSOLE +/- BEGINNING STICK READINGS RECEIPTS ENDING INVENTORY WATER GONE FROM INVENTORY COMPARISON GONE FROM INVENTORY DAILY LOG BOOK STICK READINGS DELIVERIES POSTED DALLY CONSOLE METER TOTALS POSTED DAILY END OF MONTH FLOW METER TOTALS POSTED STICK READINGS AND FLOW METERS CHECKED FOR REASONABLENESS BY MGR COMMENTS YES J NO ,,,:~050 GOSFORD '-' s-81 rev. (CA) 8-91 ~ BAKERS-~ ~ · · ..' ~q~~~C.O~OIL~A~IO~I~O~.L~ ~o~I~ORIN~ o~ ~~RO~ L/D 41~67 DAY +/- DAY +/- DAY +/' ~+/- DAY ,.+/- i k~ i %~ 1 ~ 1DA 1 10 -- ~- 10 11 13 14 / ~ I ._~_ 14 19~ 19 ' Z~ 19~ 19 19 20 20 / 20~/~ 20 20 21 ~ 21 ~/ 21 '~ 1~ ~~ 21 22 /~ A2 -z~ 22~ 22 23- ~ 23 ~' 23'~ ~ 23 26 ~ 26 ~ 26 26 27~ y ~ 27 ~ 27 27 28 ~' 2e ~ 28 29~ 29 ~ 29 29 30~ 30 ~t~ 30 ~%. ~ 30 31 cum t~bG cum ?~/ TOTAL DELIVERIES: 5-0 / go 4/,~- 1o~ / ~2~ VSl CUM 1% OF DELIVERIES: 1% + 130 GALLONS CUM OVER ALLOWABLE ? ~D NO IF YES - STATE ACTION TAKEN AND WHOM '~ ' ~NACER/R.E~nrLER ~DAT~ PAGE 5 GAS AUDIT ENDING FLOW METERS PREVIOUS MONTHS DIFFERENCE SUPER UNLEADED UNLEADED DIESEL ENDING CONSOLE PREVIOUS CONS,OLE DIFFERENCE COMPARISON FLOW CONSOLE +/- BEGINNING STICK READINGS RECEIPTS ENDING INVENTORY WATER GONE FROM INVENTORY COMPARISON FLOW DAILY LOG BOOK STICK READINGS POSTED ,[;~,I,L,~. _~ DELIVERIES POSTED DAILY CONSOLE METER TOTALS POSTED DAILY END OF MONTH FLOW METER TOTALS POSTED STICK READINGS AND FLOW METERS CHECKED FOR REASONABLENESS BY MGR COMMENTS YES NO PAGE 6 FLOW METER READINGS 6. 7. 8. 10. 11. 12. 13, 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. TOTALS SALES SALES TO DATE +/- SUP UNL DSL PREVIOUS STICK READINGS JF~ J i ' I PROPANE METER READING RECEIPTS SALES END Location 610580799 Auditor GAV Month December, 4th Qtr Date 1/6/93 Supervisor GAV Manager S. Menzel Add,ss 4050 Gosford Bakersfield, CA Ending Flow Meters Previous Months Difference S - 81 Tank Audit Unl + 987652 839744 147908 Super Unleaded Unleaded Diesel 1254917 742252 119656 1125821 425202 106443 129096 317050 13213 254877 742268 119625 125784 425219 106444 129093 317049 13181 129096 317050 13213 129093 317049 13181 Ending Console Previous Console Difference 987419 839519 147900 147908 147900 8 Comparison Flow Console +/- Beginning Stick Readings Receipt Ending Inventory Water Gone From Inventory 6849 5202 9809 5639 146216 127146 317957 10032 3329 4926 5953 149736 127422 321813 3541 0 12130 13213 12130 1083 Comparison Flow 147908 129096 317050 Gone From Inventory 149736 127422 321813 +/- -1828 1674 -4763 Percentage -0.012 0.013 -0.015 0.089 Comments Cross-dump of Unleaded Plus to Unleaded of 1055 gallons. On 12/26/93, 1000 gallons of Unleaded fuel was dumped into the Unleaded + tank. On 12/28/93, 2818 gallons of Super Unleaded was dumped into the Unleaded + tank to bring it to required specifications. Flow Meter Readings Super Unl + Unleaded Unleaded Diesel 138769 176674 110256 140298 167219 38819 150068 197362 144210 34037 129281 169625 61156 27577 97796 132760 96641 104365 122591 67839 121831 152687 132235 24459 105244 135999 91096 33583 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 TOTALS 987652 1254917 742252 119656 Unl + 3329 Stick Readinqs Super Unleaded Unleaded Diesel 4926 5953 3541 TANK I · T~T~ 2 TANK 3 D.AY_.4-/- DAY _+/- DAY 4-/- 2~ 12 :1.8 DAY +/-. DAY +/- 2 .3 7 8 9 10 -' ?'- - 11 · 12~ · 3: 16 17 18. 19 2O 21 2.3 24' 25 26 28 29, 30 31 12 . . . 14 18 18 1! //// IF YES -- CU~ TOTAL DELIVERIES: 1% OF DELIVERIES:.. 1% + 130 GALLONS = CUM OVER ~LLOWABL~ ~ YES NOTIFI ED: /pc/ .. STATE ~%CTION TAKEN AND WHOM I CERTIFY THE ABOVE IS ACCURATE AND TRUE... MANAGER/RET_~[LER Operating Permit: Business Name: "-i--~,~ ~°--.~v,'~-~1.,~,.~,~ Location: Business Identification No. 215-000 C~ 70 Fire Dept. Hazardous Materials Division Date Completed (Top of Business Plan) Number of Tanks. ~ Type: ~,.,~ C'_~,,.,,~?_.~ ~ Containment: ~._,_~kle .-,_, ~}I,,=L +,,,,k~ CONTACT INFORMATION / - I ~-.,~0~ ,~ ; ,'~ -- ,~O.~ ,.-,. - o '- -~/vv.:.~,. "z;e.e~' - / .. ~*~ Lines: ~:~~ I,'~q~ Emergency Contacts: RECORDS Monitoring Program Adel~~ Inadequate~ Testing Inventory Reconcilia~on RESPONSE PLAN Emergency Plan ~ine4~ O~e r~' White - Haz Mat Dh/ Pink - Business Copy All Items O.K. Correction Needed · HAZARDOUS MATERIAL DIVISION pERMIT TO OPERATE· UNDERGROUND HAZARDOUS STORAGE FACILITY Permit No.: 280040C State ID No.: 280040 Issued to: TEXACO SERIVCE STATION #670 Location: 4050 GOSFORD RD. BAKERSFIELD, CA 93313 Owner: Operator:. TEXACO REFINING AND MARKETING INC. P. O. BOX 7812 UNIVERSAL CITY, CA 91608 TEXACO SERVICE STATION~ 4050 GOSFORD RD. BAKERSFIELD, CA 93313 Facility Profile: Tank No. Substance GASOLINE GASOLINE GASOLINE DIESEL #2 Year I~ Piping Capacity Installed ~ 12,000 GAL 1991 YES 10,000 GAL 1991 YES 10,000 GAL 1991 YES 10,000 GAL 1991 YES This permit is granted subject to the conditions listed on the attached summary of conditions and may be revoked for failure to adhere to the stated conditions and/or violations of any other State or Federal regulations. Issued by: Ralph E. Hu,ey Title: Hazardous Materials Coordinator Issue Date: JULY 1, 1991 Expiration Date: JULY 1, 1994 POST ON PREMISES NONTRANSFERABLE P.o. 300;, NO. HOLLYWOOD, CA... 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX SUBJECT: A/4NUAL ELECTRONIC/MECHA/~ICAL MONITORING SYSTE/~ INSPECTION AND ~ETER CALIBR3~TtON DATE: 6/17/92 STATIOM f 799 ADDRESS: 4050 GOSFORD BAKERSFIELD, CA ,A~TN: FRED LONG 'This is to certify that the annual inspection of the existing monitoring system'was performed at the above referenced facility. The method used to test the Electronic and Mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R.J. Myers & sons, !nc. has been contracted by TEXAC0 R&M to insure that their facilities comply with all the rules and regulations tha~ govern the operations of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R.J. ~DZERS & SONS, INC. -:Ronald .J.----~fyers - Vice P~esident RJM/td CONT. tlC. #330631 (8..C61) SERV(NG THE PETROLEUM INDUSTRY SINCE 1967 SERVICE STATION CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NO. HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX TEXACO R&M 10 UNIVERSAL CITY PLAZA UNIVERSAL CITY, CA 91608 Attn: FRED LONG STATION LOCATION: 7.99 RE: LEAK DETECTION SYSTEM CERTIFICATION For your information and records, the leak detection system at the above referenced site was certified on 6/17/92 by R. J. Myers & Sons, Inc. as indicated below. PRODUCT LINE TYPE RED JACKET TRANSDUCERS MONITOR Non Existing X Operational Non Operational TANK TYPE RED JACKET ANNULAR PROBES MONITOR X __Non Existing __Dperational Non Operational WASTE OIL TANK TYPE NONE MONITOR X Non Existing Dperational __Non Operational Please feel free to contract our office for any questions you may have regarding your leak detection equipment. Sincerely, . ~~ Myers Vice President RJ-M: tlk CONT. LIC. #330631 (8-C61) SERVING THE PETROLEUM INDUSTRY SINCE 1967 SERV[CE STAT[ON CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NO. HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX DATE OF SERVICE 6/17/92 STATION ~ 799 W.0.~,1106404-006 TECHNICIAN:. S. MOSER SERVICE REQUESTED BY: F, LONG PROBE I.D. BIT,r, TO: TEXACO R&M 10 UNIVERSAL CITY PLAZA UNIVERSAL CITY, CA SERVICE REQUESTED: ANNUAL MONITOR CERTIFICATION DESCRIPTION OF WORK: TEST TRANSDUCERS TEST SUMP PROBES TEST ANNULAR SPACE AND LINER LOW POINT PROBE CALIBRATE DISPENSERS CHANGE FILTERS FACILITY ~qP TR/~ PI IIE ~ ]CFR I')TF TR/)~leill ~ RTF.qFI .q ~ ~ P .q ~:~R PI~Lq .q IVl~ UNL ~ nTF~FI ~ II ~,lqS INSPECTION STICK TANKS COMPARE wITH 9000 UNL A~LARS PEODELfRED JACKET RLM9000 SERIAL~ '. ' .... :" .::~ys;~EM c~Tr~D'~':' "'" .' .... sYsT~ NO NO WASTE OIL ' SYSTEM SEALED - ~c~.~'"SD ,,~.U~'~ -. ~-.~,~'.:':'''-~"---' ~ LEFT FOR JOB SITE: ARRIVED AT JOB SITE: LEFT JOB SITE: RETURNED TO BASE: 41190-E13 #'41290-M15 SYSTEM 'RUNNING NO co~. uc. ~J30631 (~-c61) PETROLEUM mOUSTRY SINCE 1967 TANK EQUIPMENT SURVEY FO SS~- 799 ADDRESS: 4050 GOSFORD CITY/STATE: BAKERSFIELD COUNTY: TANK INFORMATION% SIZE: PRODUCT: STEEL/FIBERGLASS: SINGLE/DOUBLEWALL: INSTALLATION DATE: TANK TEST DATE: LINE TEST DATE: TANKS SIPHONED: TANK ! TANK 2 12000 10000 UNL SUP F/G F/G D/W UNK UNK UNK UNK UNK UNK ~/A N/A ENGR/ANALYST: OFFICE: TELEPHONE: SUPERVISOR: F. LONG TANK 3 TANK 4 10000 10000 PLUS DIE FIG FIG D/W UNK UNK UNK UNK UNK UNK N/A N/A TANK 5 PRODUCT_ LYhIE_I NFORMAT ION: LINE STRUCTURE: SECONDARY CONTAINMENT: .F/G SINGLE LINER STEEL/FIBERGLASS SINGLE/DOUBLEWALL FIBERTRENCH, LINER, or OTHER OTHER INFORMATION: SUF~MERSIBLE PUMP MANUFACTURER : f.V. AK DETECTOR MANUFACTURER : TANK LEAK DETECTION MANUFACTU~R: LINE LEAK DETECTION MANUFACTURER: OVERFILL PROTECTION: IF'BAT~FLOAT : SPILL CONTAINMENT BOX : SIZE : AUTOMATIC TANK GAUGING: TYPE : VAPOR RECOVERY: STAGE I : STAGE II: RED JACKET 1~ H.P. RED JACKET RED JACKET -~-q~ED JACKET ~ YES or NO / 90% . [90%(16") or 95~(6") YES . ~ES or NO . 5 1(5) or (15) GALLONS RED JACKETtV~EROOT, E'~C .... k,~LM .90~00 ~/ COAX ----'COAX, DUAL POINT or- SINGLE PICKUP PER TANK YES YES or NO MONITORING WAT,T.%: MONITORING ~LLS: 0 PROBES IN WELLS : WELLS LOCKED AND COLOR CODED: YES or NO 0 NO. OF WELLS VADOSE or GROUNDWATER YES or NO TYPE OF PROBES YES or NO ATTACH .ALL TANK TEST RESULTS, TANK RELATED PEt~ITS AND ST/%RT UP VtSLIFIC2kTION FOR~S FROM MONITORING SYSTEkIS. .<~ ~ Environmento Awareness R.J. HYERS & SONS, INC. P.O. BOX 3007 ~ NO. HOLLYWOOD, ~91609 (213) 875-0830 (818) 768-2126 Annual Environmental FaciHty'~nspection Retail Marketing 4050 GOSFORD Inspector S. MOSERIiDate6/17/92 Address Fac-~99 I D{spenserfPump Leak No leak Repaired YIN Ill Leak D~tectom Leak No leak Repaired YIN Piping X Housing Check Valve Test Hoses X Sea,ed Or/N) Nozzles Proper Clearance to Lid x IV Compliance Monitoring Wells Fittings X impact Valve Operational Or/N) Caps Secured &'Locked Or/N) Filter Warning Signs Or/N) Y Box Covers Fit Propedy Or/N) II Tanks V Visual Promises Check Electronic Tank Monitors (Y/N) Piping X Operational Y Emergency Pump Shut Off (Y/N) y Fills Tagged (Y/N) Y Switch Operational Fill Boxes Free of Dirt, (Y/N) Check for Evidence Debris, Water Y of Spllls: Fill Box Drain Valve, (Y/N)i Low Spots Around Facility Operational (if present) ..... Y Property.. N 0 N'I Vapor R~overy Fittings I~ndscaped Area X OK submerged Pumps- · '. '.. X Nearby Ditches, Creeks, Etc. N'/A Turbine Relays (Y/N) VI DealedFrenchlsee -- Ask Operational Fill Drop'Tubes Any leaks reported within (Y/N) past year N Top of 45° Taper Any spills reported within (YiN} <6' frTank Bottom (Y/N) ~ past year N Note: All discovered leaks are to be reported by phone to ARCO l~aintena~ce prior to leaving the facility. Comments IInspector's Signature APPC-248-C (6-90) ICONTRACTOR [ CUSTOMER R.J. MYERS & SONS, TNC. TEXACO 799 DATE 6/~[7/92 IPRODUCT SUPER LOCATION 4050 GOSFORD TECHNICIAN S. MOSER BAKERSFTELD, CA SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. INDICATE MODEL NO. IF KNOWN RECORD SERIAL Cf 120111090-6708 RED WAYNE A.D. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNETT DRESSER BOWSER SOUTH OTHER LEAK DETECTOR IDENTIFICATION CHECK TYPE RED JACKET I I RED JACKET MODEL116~30 MODEL116~17 PLD-2SEC DLD 2SEC HEX HEAD HEX HEAD DATE 11/2/90 S/N 9234 'MODEL116-OllAI IMOOEL,585PM I I ~LATOR X DLD 5SEC I ] DLD 2SEC .~.:.1 ROUND HEAD I SQUARE HEAD' I PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE GALLONS OTHER COMMENTS TEST PROCEDURE LEAK DETECTOR INSTALLED TEST AT DISPENSER GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE psig. AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD ML IV PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN SEC. Z:~DS GUAGE NEEDLE REMAINS IN COLORED ZONE .SEC. ¥ 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML OPEN DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. I'/~-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1'/2-3GAL PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAK DETECTOR TEST PASS ~. FAIL| PUR~ORA~/APORLE$S ¢O~M ~ ~) LEAK DETECTOR ISOLATED FROM PRODUCT LINE -TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS [[[ GENERAL PUMP INFORMATION FLUSH LDT TESTOR RECORD OPERATING PUMP PRESSURE __ psig. [¥ PRESSURE STEP TEST-SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH Bo,'rOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CC/W) RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. ¥ 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES.__NO__ DOES FLOW RATE INCREASE TO APPROX. 1'/2-3GAL PER MINUTE YES NO C) PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES __NO GAUGE GOES TO OPERATING PRESSURE YES__NO__ PASS LEAK DETECTOR TEST FAIL LDT LEAK DE.TECTOR CHECKLIST iCONTRACTOR CUSTOMER R.J. MYERS & SONS, INC. TEXACO 799 DATE 6/17/92 IPROOUcT UNLEADED LOCATION 4050 GOSFORD TECHNICIAN S. MOSER BAKERSFIELD, CA SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. INDICATE MODEL NO. IF KNOWN RECORD SERIAL # 120111090-7770 RED WAYNE A.O. SMITH KEENE WEST JACKET TOKHEIM GILBARCO BENNE-Cr DRESSER BOWSER SOUTH OTHER LEAK DETECTOR IDENTIFICATION CHECK TYPE REDJACKET I IREDJACKET MODEL116-030 MODEL116~17 PLD-2SEC DLD 2SEC HEX HEAD HEX HEAD DATE 2/11/90 S/N 9172 'MODEL 116'011Al I DLD 2SEC ..I I ACCUvtJLATOR X DLD 5SECI Rou.o HEAoI sou^RE.E^ " PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE GALLONS OTHER COMMENTS TEST PROCEDURE LEAK DETECTOR INSTALLED TEST AT DISPENSER IV GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD PRESSURE STEP TEST psig. ML WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN S~DS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. ¥ 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. I'/~-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE T.O LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1V~-3GAL PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAK ·DETECTOR TEST PASS FAIL PURred:LA ~VAPO~LES S FORM LEAK DETECTOR ISOLATED FROM PRODUCT LINE -TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS [[[ GENERAL PUMP INFORMATION FLUSH LOT TESTOR RECORD OPERATING PUMP PRESSURE psig. IV PRESSURE STEP TEST-SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CC/W) RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1V2-3GAL PER MINUTE YES NO C) PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAK DETECTOR TEST PASSF FAIL LDT 880- LEAK DETECTOR CHECKLIST CONTRACTOR R.J. HYERS & SONS, INC. I DATE PRODUCT 6 / 17 / 9 2 I DIESEL TECHNICIAN S. MOSER [ SUBMERSIBLE PUMP IDENTIFICATION · CUSTOMER LOCATION XACO 799 4050 GOSFORD BAKERSFIELD, CA CHECK MFG. INDICATE MODEL NO. IF KNOWN RECORD SERIAL # 120111090-7779 RED WAYNE A.O, SMITH KEENE WEST 'JACKET TOKHEIM GILBARCO BENNE'[-F DRESSER BOWSER SOUTH OTHER LEAK DETECTOR IDENTIFICATION CHECK TYPE RED JACKET i I RED JACKET MODEL 116-030 MODEL 116~317 PLD-2SEC DLD 2SEC HEX HEAD HEX HEAD DATE 11/2/90 S/N 9256 'MODELll6~311AI I MODEL585PM I I /tml,,~iLATOn DLD 5SEC I I DLD 2SEC .....I I ~u'u ~un ROUND HEAD I SQUARE HEAD" I PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE IX GALLONS OTHER COMMENTS TEST PROCEDURE LEAK DETECTOR INSTALLED TEST AT DISPENSER [[[ GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE psig. AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD ML IV PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 1'/2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1V~3GAL PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES. NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAK DETECTOR TEST PASS ~ FAIL| PURPORA'VAPORI. ESS FORM LEAK DETECTOR ISOLATED FROM PRODUCT LINE -TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS [[[ GENERAL PUMP INFORMATION FLUSH LDT TESTOR RECORD OPERATING PUMP PRESSURE psig. [~ PRESSURE STEP TEST-SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CC/W) RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC.'- ¥ 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 11/2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. I'~3GAL PER MINUTE YES NO C) PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAK DETECTOR TEST PASS~ FAIL| LDT 88Q.,= LEAK DETECTOR CHECKLIST ICONTRACTOR CUSTOMER ~ R.J. HYERS & SONS, 'INC. TEXACO 799 DATE 6/ 17/92 I PRODUCT PLUS LOCATION 4050 GOSFORD iECHNtC~AN S, HOSER BAKERSFIELD, CA SUBMERSIBLE PUMP IDENTIFICATION CHECK MFG. INDICATE MODEL NO. IF KNOWN RECORD SERIAL# 1201&1090-7769 RED WAYNE A.D. SMITH KEENE WEST JACKET TOKHEIM GtLBARCO BENNI=-Ff DRESSER BOWSER SOUTH OTHER LEAK DETECTOR IDENTIFICATION CHECK TYPE REDJACKET L_~REDJACKET MODEL116-030 MODEL116~17 PLD-2SEC DLD 2SEC HEX HEAD HEX HEAD DATE 2/7/90 S/N 6659 'MODEL116-011AI I MODEL585PM I I ACE~LATOR X DLD 5SEC I I DLD 2SEC ,~...I ROUND HEAD I SQUARE HEAD" PRE-TEST CONDITIONS VOLUME OF PRODUCT FLUSHED THRU LINE GALLONS OTHER COMMENTS TEST PROCEDURE LEAK DETECTOR INSTALLED TEST AT DISPENSER GENERAL LINE AND PUMP INFORMATION RECORD OPERATING PUMP PRESSURE __psig. AIR-VAPOR TEST WITH PUMP OFF MEASURE AND RECORD ML PRESSURE STEP TEST WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION TURN ON PUMP RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. re' .3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) OPEN DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 1'/2-3GAL PER MINUTE WILL BE OBSERVED, DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1V2-3GAL PER MINUTE YES NO C) CLOSE DISPENSER NOZZLE OR PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO LEAK DETECTOR TEST PASS FAILJ PURPOt::[A,'VAPORLESS FORM 88OA (~ LEAK DETECTOR ISOLATED FROM PRODUCT LINE - TEST AT PUMP PIT REFER TO LDT INSTRUCTIONS [[[ GENERAL PUMP INFORMATION FLUSH LDT TESTOR RECORD OPERATING PUMP PRESSURE psig. [¥' PRESSURE STEP TEST-SUBMERSIBLE PUMP REMAINS ON THRU-OUT TEST PROCEDURE WITH BOTTOM SELECTOR IN PRESSURE STEP TEST POSITION ROTATE ISOLATOR FULLY (CC/W} RECORD TIME IN SECONDS GUAGE NEEDLE REMAINS IN COLORED ZONE SEC. ¥ 3 GALLON PER HOUR LEAK SIMULATED TEST WITH BOTTOM SELECTOR IN 3 GPH TEST POSITION A) MEASURE AND RECORD VOLUME IN CALIBRATED BEAKER FOR 60 SECOND TEST ML B) PLACE BOTTOM SELECTOR IN DISPENSER NOZZLE POSITION. FLOW RATE OF APPROX. 11r2-3GAL PER MINUTE WILL BE OBSERVED. DOES GUAGE NEEDLE MOVE TO LOWER END OF COLORED ZONE YES NO DOES FLOW RATE INCREASE TO APPROX. 1V2-3GAL PER MINUTE YES NO C) PLACE BOTTOM SELECTOR IN 3GPH TEST POSITION: GUAGE RETURN TO COLORED ZONE YES NO GUAGE DOES NOT RETURN TO COLORED ZONE YES NO GAUGE GOES TO OPERATING PRESSURE YES NO PASS LEAK DETECTOR TEST FAIL No. Type of Report: (Please circle onel Equipment Transfer, Product Transfer, Pump Test, Intercompany Data Form Repair, Station Audit, Station Opening, Station Sold, Product Changes. Station Closing. Location Name T E X A C 0 Location No. 7 9 9 Date 6 / 17 / 9 2 Address 4050 GOSFORD City BAKERSFIELD State CA Failure Reported P.O. AFE No. Service call made Marketing Rep. Rep. No. In addition to correcting the problem reported, please perform the following: Stick all tanks with water finding paste. Readall pump totalizers. Record data below including product type and pump no. where necessary. Time arrived Time Comp. Repair Time Travel Time TYPE IIN L No. ~. TYPE .q II P No. 1 TYPE P I I I.q No. 1 Meter Readings Gallons Dollars Gallons Dollars Gallons Dollars After 32708 615 64100 705 27181 665 Before 32703 64095 27176 TOTALS 5 5 5 Calibr. Beg. +/- 00 00 - 1 CDr. After +/- TYPE IINL No. 2 TYPE .qllP No. ;2 TYPE PI II.q No. ;2 Meter Readin~ Gallons Dollars Gallons Dollars Gallons Dollars After 15,398 615 61715 705 27219 665 Before 15388 61710 27214 TOTALS 5 5 5 Calibr. Beg. +/- 0 0 - 2 - 2 Cot. After +/- TYPE IJ N L No. ~ TYPE S U P No. 3 TYPE ~ No. 3 Meter Readings Gallons Dollars Gallons Dollars Gallons Dollars After 54905 615 76041 705 33350 665 Before 54900 76036 33345 TOTALS 5 5 5 Calibr. Beg. +/- 00 00 + 1 CDr. After +/- TYPE DIE No. 3 TYPE UNL No. 4 TYPE SUP No. 4 Meter Readings Gallons Dollars Gallons Dollars Gallons Dollars After 12375 635 19348 615 65979 705 Before 12370 ' 19343 65974 TOTALS 5 5 5 Calibr. Beg. */- - 1 + ~. 00 CDr. After */- Product TYPE TYPE TYPE TYPE TYPE ITYPE Stick Readings Inches Water Product TYPE TYPE TYPE TYPE TYPE TYPE Stick Readings Inches Water am/pr am/pr No, Type of Report: (Please circle one} Equipment Transfer, Product Transfer, Pump Test. Intercompany Data Form Repair, Station Audit, Station Opening, Station Sold, Product Changes. Station Closing. Location Name T E X A C 0 Location No. : 7 9 9 Date 6 / 17 / 9 2 Address 4050 GOSFORD City BAKERSFIELD State CA Failure Reported P.O. AFE No. Service call made ' Marketing Rep.. Rep. No. [n addition to correcting the problem reported, please perform the following: Stick all tanks with water finding paste. Read.all pump totalizers. Record data below including product type and pump no. where necessary. Time arrived Time Comp. Repair Time Travel Time TYPE PI II.C; No.,, 4 TYPE DTF No. 4 TYPE UNL No. 5 Meter Readin~ Gallons Dollars Gallons Dollars Gallons Dollars After 27843 665 10028 635 01559 615 Before 27838 10023 01554 TOTALS 5 5 5 Calibr. Beg. +/- 00 + 1 + 1 Cot. After +l- TYPE .c; II P No. 5 TYPE PLUS No. 5 TYPE U N L No. 6 .~ Meter Reaclln~c,s Gallons Dollars Gallons Dollars Gallons Dollars After 51791 705 21831 665 8-1155 615 Before 51786 21826 81150 TOTALS 5 5 5 Calibr. Beg. ,,/- - 3 - 2 + 1 Cot. After +/- TYPE SUP No. O 'r~PE PLUS INn. 6 I'YPE UNL No. 2 Meter Readings GtBons Dollars Gallons Dollars Gallons Dollars After 42730 705 20312 665 · 1.2080 615 Before 42725 20307 12075 TOTALS .... 5 5 5 Calibr. Beg. +/- 00 + 1 + 1 Cor. After +/- , TYPE S U P No. 7 TYPE P L U S No. 7 TYPE D I E No. 7 Meter Readinigs ' Gallons Dollars Gallons Dollars Gallons Dollars After 5587,5 705 27243 665 08165 635 Before 55870 ' 27238 08160 TOTALS 5 5 5 ' Calibr. Beg. +1- 00 - 1 00 Cot. After +1- Product TYPE TYPE TYPE TYPE ' TYPE TYPE Stick Readings laches Water Product TYPE TYPE. TYPE TYPE TYPE TYPE Stick Readings Inches Water am/pr, am/pr, No. Type of Report: (Please circle onel Equipment Transfer, Product Transfer, Pump Test. Intercompany Data Form Repair, Station Audit, Station Opening, Station Sold, Product Changes. Station Closing. Location Name TEXACO Location No. '799 Date 6/17/92 Address 4050 GOSFORD City BAKERSFIELD State CA Failure Reported P.O. AFE No. Service call made Marketing Rep. Rep. No. in addition to correcting the problem reported, please perform the following: Stick all tanks with water finding paste. Readall pump totalizers. Record data below including product type and pump no. where necessary. Time arrived Time Comp. Repair Time Travel Time TYPE UNL No. B ITYPESIIP No. R ~TYPE P~ ~.q NO. R Meter Readings Gallons Dollars Gallons Dollars Gallons Dollars After 93779 615 42455 705 22185 665 Before 93774 42450. 22180 TOTALS 5 5 5 Calibr. Beg. +/- 00 00 + 1 Cot. After +/- !vveE JLLL__ ~o. 8 T~E [N°. WVPr. No. Meter Readln~ Gallons Dollars Gallons Dollars Gallons Dollars After 10131 635 Before 1012 6 TOTALS 5 Calibr. Beg. +/- 0 0 Cot. After +/- I TYPE . No. TYPE No.. ]TYPE No. Me{er Readi~ G~Bons Dollars Gallons Dollars Gallons Dollars After l~for~ TOTALS -._ Calibr. Beg. +/- Cor. After -~/- TYPE. No. TYPE No... TYPE No.. Me{er Readings,, Gallo~s Dollars Gallons Ill Dollars Gallons Dollars After Becore TOTALS . . Calibr. Beg. +/- Cot. After +/- Product TYPE TYPE TYPE TYPE TYPE TYPE Stick Readings Inches Water Produc~ TYPE TYPE ITYPE TYPE TYPE TYPE Stick Readings' Inches Water am/pc am/pr. SERVICE STATION CONSTRUCTION / PETRO TITE TANK & LINE TESTING P.O. BOX 3007 NO. HOLLYWOOD, CA. 91609 213-875-0830 / 818-768-2126 818-768-2127 / 818-768-2128 FAX JUNE 17, 1992 TEXACO R&M ATTN: FRED LONG RE: S/S 61058000799 TO INSURE THAT THIS FACILITY MEETS ALL REGULATORY AGENCIES REQUIREMENTS THE FOLLOWING REPAIRS WERE COMPLETED AT TIME OF INSPECTION. 1) SECURED ALL TANK MANWAY BOXES R.J. MYERS & SONS, INC. RONALD d. MYERS VICE PRESIDENT RJM/TD CONT. LIC. #330631 (B-C61) SERVING THE PETROLEUM INDUSTRY SINCE lg67 D~te BAKERSFIELD FIRE DEPARTMEN~'E C In conformity with provisions of pertinent ordinances,~codes, and/or regulations, by: {.~Og.~ ~,c~_/,TZ/'/o ~ 5 ~ of Core.ny " ' ' Address BUREAU OF FIRE PR~VENTIO~pR 2 199~-3/~ APPLICATION AII$'[~ ............ Application No. application is made ~3~/. ~ to display, store, 'install, use, operate, sell or handle materials or processes involving or creating con- ditions deemed hazardous to life or property aZ follows: - ~ o, ~ a ~ - o / (~~ ....... ~l~.~.~ ..................... ~ ...... ¢~. ......................... ~ ................................... DAVID PRIC[ al / ENVIRONMENTAL H~L~ pERMIT TO CONSTRUCT LTm)ERGRO STORAGE FACILITY RESQURCE MANAGEMENT AGENCY Environmental Heath Sen,6c~ Department STEVE McCA; ~ ~"Y, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO P~anning & Development Service~ Department TED ,JAMES, AICP, DIRECTOR DEPARTMENT PERMIT NUMBER 28004,0 FACILITY Texaco Service Station N.E. corner White Lane Gosford Road Bakersfield, CA x NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER OWNER(S) NAME/ADDRESS: Texaco Refining & Marketing 10 Universal City Plaza Universal, CA Phone No. 818-550-2474 CO~CFOR: JNS Construction 9200 E. Shaw Fresno, CA 93612 License # A440440 -. Phone No. 209-299-1746 PERMIT EXPIRES March 25, 1992 APPROVAL DATE APPROVED BY March 25, 1991 / ) //. ' / ..~...,....-~..~ ~.~..-- .... _ - ~S iey~ ~-.~k/cks' . Hazardo~Materials Specialist CONDITIONS AS FOLLOW: Standard Instructions 3. 4. 5. 6. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. All equipment and materials in this construction must be installed in accordance with ail manufacturers' specifications. Permittee must contact Permitting Authoritlz for on-site inspection(s) with 48-hour advance notice. Backfill material for piping and tanks to be as per manufacturers' specifications. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfilling. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and leak detection/monitoring ' ' Any other inspection deemed necessary by Permitting Authority. 27OO STREET, SUITE 3OO BAKERSFIELD, CALIFORNIA 93301 PR[NTED ON RECYCLED PAPER (805) 861-3636 FAX: (805) 861-3429 Standard Instructions · Permit No. 280040 o All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. Primary and secondary containment of both tank(s) and underground piping must not be subject to physical or chemical deterioration due to the. substance(s) stored in them. Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to.construction. NO product shall be stored in tank(s) until approval is granted by the Permitting Authority. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. Monitoring requirements for this facility will be described on final "Perm/t to Operate." Monitoring wells on "Typical Drawings" are not allowed unless monitoring probes are installed and functioning. Construction must be in accordance with Hazardous Materials Management Program standards as per UT-50. WGN:ch nicl~30040.ptc KERN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT INVESTIGATION RECORD DBA OWNER ADDRESS ADDRESS ASSESSORS' PARCEL # CT CHRONOLOGICAL RECORD OF INVESTIGATION DATE 3 FILE CONTE:]TS SUMMARY ( Activity Date # Of Tanks Oomments RTATE OF CALIFORNIA  STATE WATER RESOURCES CONTROL BOARD ~ UNDERGR D STORAGE TANK· PERMIT APPLICA~ - FORM A COMPLETE THIS FORM FOR EACH FAClUTY/SITE MARK ONLY [~"l NEW PERMIT [] 3 RENE~NAL PERMIT [] 5 CHANGE OF iNFORMATION [] 7 PERMANENTLY CLOSED srrE ONE ITEM [] 2 INTERIM PERMIT , [] 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME NAME OF OPERATOR -T ":: ,' '~ ~ , --, :' . '~. ;.. ADD HESS NEAREST CROSS STREET PARCEL t~ (OFTtONAL) , '~., '. ,L.,. :"'. - '-/ - CITY NAME STATE ZIP CODE SITE PHONE # WITH AREA CODE ,/ BOX TO tNOtCATE' EZ]'CORPORATION ~ INDIVIDUAL [--"j P~ITNERSRIP i"--] LO~AL-AGENCY l'~ COUNTY-AGENCY [-'-] STATE-AGENCY [] FEDERAL-AGENCY DISTRICTS EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST, FIRST) NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE ~ (z0 )5'?I-12 lq I PHONE #'~TN AREA CODE ' I EMERGENCY CONTACT PERSON, (SECONDARY) · optional PHONE # WITH AREA CODE PHONE # WITH AREA C. O~E' DAYS: NAME (LAST, FIRST) NIGHTS: NAME (LAST, FIRST) II. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) I NAME MAILING OR STREET ADDRESS CiTY NAME ,' :. ,,' ,-"~:',,~' .,:!. i '~" : ','-"L" · CARE OF ADDRESS INFORMATION ~ CORPORATION I---I PARTNERSHIP r"-] COUNTY,AGENCY r--] FEDERAL-AGENCY STATE I ZIP CODE PHONE # WITH AREA CODE II1. TANK OWNER INFORMATION - (MUST BE COMPLETED) NAME OF OWNER ,." ~,,, .~? ._.£: MAILING OR STREET ADDRESS CITY NAME [] LOCAL-AGENCY ~ STAT~-AGENCY CARE OF ADDRESS INFORMATION ,/ bexloin~icate [] INDIVIDUAL ~ CORPORATION [---] PARTNERSHIP STATE [ ZiP CODE COUNTY-AGENCY ~ FEDERAL-AGENCY PHONE # WITH AREA CODE IV, BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 739-2582 if questions arise. TY (TK) HQ ~-~- I V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. ICHECK INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: L [] II. [] III. ONE BOX THIS FORM HAS BEEN D~MPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT IAPPLICANT'S NAME (PRINTED & SIGNATURE) APPLICANTS TITLE I DATE MONTH/DAY/YEAR LOCAL AGENCY .,USE ONLY COUNTY # LOCATION CODE - OPTIONAL JURISDICTION # FACILITY C b I L:',I ?, CENSUS~~? ~'r K" "[RACT #. ' OPTIONAL I SUPVISOR. - DISTRICT CODE. - OPTIONAL THiS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY, FOR0033A-R2 FORM A (9-90) · STATE OF CALIFORNIA  STATE WATER RESOURCES CONTROL BOARD UNDERG ND STORAGE TANK PERMIT APPLICA'I~N - FORM · ' COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY [~"i N~W PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATtON [] 7' PERMANENTLY CLOSED ON SITE ONEITEM [] 2 iNTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [] 8 TANK REMOVED DBAOR ['A,t,.,ILIIT NAIVIr' vvrll:llr'//'~r~ll'~i°'r'l°i'~'r'-~'''~'u: '~'~ \/ ''~ ' -'--'" - ". '-'-. .... '1. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK L D. # .~ B. MANUFACTURED BY: , C. DATE INSTALLED (MO/DAY. EAR)/_%'",; ~ .~, / D. TAkK CAPACITY IN GALLONS: /' ',, ~..... ,.. ~""'" . II. TANK CONTENTS IFA-1 IS MARKED, COMPLETE ITEM C. ~ MOTOR VEHICLE FUEL ] 2 PETROLEUM ] 3 CHEMICAL PRODUCT ] 4 OIL B. ' [] 8o EMPTY []', PRODUCT [] 95 UNKNOWN [] 2 WASTE C. ~"~" la REGULAR UNLEADED [] lb PREMIUM UNLEADED ] 2 LEADED D. IF (A.1)tS NOT MARKED. ENTER N.AME OF SUBSTANCE STORED III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD [] 4 GAs,.oL I---] 7 M~H~.OL I [] 5 JET FUEL ~ ] 99 OTHER (DESCR BE N ITEM D. BELOW) C.A.S.#: A. TYPE OF Z' 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL B. TANK [] 1 BARE STEEL MATERIAL [] 5 CONCRETE (PrirnaryTank) ' F-~ g BRONZE ] 3 SINGLE WALL WITH EXTERIOR LINER ] 4 SECONDARY CONTAINMENT (VAULTED TANK), [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 95 UNKNOWN ] gg OTHER [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] gg OTHER [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES NO~ ] 4 PHENOLIC LINING ] 99 OTHER O. CORROSION [] '~ POLYETHYLENE WRAP [] 2 COATING PROTECTION , [] 5 CATHODIC PROTECTION [] 91 NONE [] ~ v,~. WRAP~--[4 F,BERG~S RE,N~ORCEO PLASTIC [] 98 UNK.OWN [] 99 OTHE~ IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A,U-') 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 'SINGLE WALL MATERIAL AND CORROSION PROTECTION A U I 8ARESTEEL A U 5 ALUMINUM ' A U 9 GALVANIZED STEEL A .1~ DOUBLE WALL A< U ~3 LINED TRENCH A U 95 UNKNOWN A U 9g OTHER A U 2 STAINLESS STEEL A U 3 POLYV~NYL CHLORIDE(PVC)A.U .'4 F~ERGLASS PIPE A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPAT[BLEW/FRP A U 10 CATHODIC PROTECTtON A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION E~'~ AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [~, g9 OTHER V. TANK LEAK DETECTION [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGiNG ~ 5 GROUNDWATER MONITORING [] ~ TA.K TEST~"G I~'g ',NTERST,T,ALMON~TOR,NG 'F--~ 9~ NONE [] 9~ UNKNOW. [] 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED GUANTITY OF 3. WAS TANK FILLED WITH YES [] NO [] I m SUBSTANCE REMAINING GALLONS INERT MATERIAL ? I THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICANT'S NAME CATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW I p ~STATEI.D.# COUNTY ct JURISDICTION # FACILITY ct TANK # -'J ~ --' .. ../ .-, .~ / I ERM~TNU aER ..... ~ . ~PERMITAPPROVEDaY/OATE {PERMITEXPIRATIONDATE FORM B (9-90) THIS FORM MUST BE AC~MP~IED BY A PERMff ~PLICA~ON - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROO348-R4 S~ATE OF CAUFOR"U~ ° G~U STATE WATER RESOURCES CONTROL BOARD UNDER ND STORAGE TANK PERMIT APPLIC~I~oN- FORM · ' COMPLETE A SEPARATE FORM FOIl EACH TANK SYSTEM. MARK ONLY [~' 1 N'EW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ON'SITE ONEITEM [] 2 iNTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [] 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY fF UNKNOWN A, OWNER'S TANK L D. # ~ B, MANUFACTURED BY: C. DATE iNSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: II.TANK CONTENTS ............. IF A-1 IS MARKED, COMPLETE ITEM C. I'~'laREGULAR [] 3 DIESEL [] 6 AVIATION GAS A. [] 1 MOTOR VEHICLE FUEL [] 4 OIL a. ..-' C. ~ UNLEADED [] 4 GASAHOL [] 2 PETROLEDM [] ~0 EMPTY []"; PRODUCT [] ,bPREM,UM [] 7 M~H~OL UNLEADED [] 5 JET FUEL [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM O. BELOW D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B. ANDC, ANDALLTHATAPPLIEStNROXO A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAUL'IED TANK) [] 99 OTHER B. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [~'~"FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYViNYL CHLORIDE [] 7 ALUMINUM (PrimaryTank) ~ 9 BRONZE ~ 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPAT~BLEW/FRP ] 99 OTHER [] I RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 10(~/° METHANOL ? YES_ NO__ D. CORROSION [] I POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 95 UNKNOWN [~4' FIBERGLASS REINFORCED PLASTIC [] ~ OTHEr' IV. PIPING INFORMATION CmCL~ A IFABOVEGROUNDOR U IF UNDERGR~OUND, BOTH IF APPLICABLE A. SYSTEM TYPE 'A U 1 SUCTION A ..U..2 PRESSURE A U 3 GRAVITY A U 99 OTHER , B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL 'A ~. '3 LINED TRENCH A U g5 UNKNOWN J, U 99 OTHER C. M~,TERIAL .AND CORROSION PROTECTION D. LEAK DETECTION V, TANK LEAK DETECTION A U 1 BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIOE(PVC)A,[I .4 FIBERGLASS PiPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED S'FEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN, ~ A U 99 OTHER [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING ~ '3 INTERITIT~L MONITORING [] 99 OTHER [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] ~ TANK TEST'NC [] ~ INTERST,T,ALMONITORING []., NONE [] .. ~NKNOWN [] ~ OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) t 2. ESTIMATED QUANTITY OF 3. WAS TANK FlU. ED WITH 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 I APPLICANT'S NAME CATE ] (PR~NTFD & S[GNATUREI LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # STATE I.D.# . ~ ',.,,.L,, h':l_?,'l i,:Zt?'_ FORM B (9-~) THIS FORM MUST BE AC~MP~IED BY A PERMff ~PUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FI~D. FORO{~34&R4  STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERG ND STORAGE TANK PERMIT APPLlCATTON - 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 [] 8 TANK REMOVED ONE ITEM [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE DBAOR FACILITY NAME WHERE TANK I~ INSTALLED: '--.-- ~ ~ -', -~' TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK t, D.# -'~- B. MANUFACTURED BY: - C. DATE iNSTALLED (MO/DAY/YEAR) ~ " ~ .:.-. , D. TANK CAPACITY IN GALLONS: .. II. TANK CONTENTS ~F A-1 IS MARKED, COMPLETE ITEM C. A. [~' 1 MOTOR VEHICLE FUEL [] 2 PETROLEUM .[] 3 CHEMICAL PRQDUCT ] 4 ~OIL ] 80 EMPTY ] 95 UNKNOWN ] PRODUCT [] 2 WASTE C. [] laREGULAR UNLEADED ] lbPREMIUM ...-UNLEADED [~' 2 LEADED [] 99 OTHER (DESCRIBE IN ITeM D. BELOW)I C.A.S.#: D. IF IA.l) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED IlL TANK CONSTRUCTION MARKONE~TEMONL¥1NBO~ESA, B, ANDC, ANOALLTHATAPPUESlNBOXD A. TYPE OF [~" 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK. [] I BARE STEEL MATERIAL ~ 5 CONCRETE (PrimaryTank) [~ 9 BRONZE [] ~ STA,NLESS STEEL r~-3 P~BERGLASS [] 6 POLYVINYL CHLORIOE [] 7 ALUMINUM ~ 10 GALVANIZED STEEL [] gs UNKNOWN ] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ~ 99 OTHER ,[~ 1 RUBBER LINED [] 2 ALKYO LINING [] 3 EPOXY LINING INTERIOR [] 5 GLASS LINING []~6 UNLINED [] 95 UNKNOWN LINING is LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES~ NO__ ] 4 PHENOLIC LINING ] 99 OTHER D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 9S UNKNOWN [~ 4 FI~ER.GLASS REINFORCED PLASTIC [] 99 OTHER IV. PIPING INFORMATION CIRCLE A iFABOVEGROUNDOR U IF UNDERGROUNO. BOTHIF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U gg OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE 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)A UC4 FIBERGLASS PiPE CORROSION PROTECTION D. LEAK DETECTION V. TANK LEAK DETECTION ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A IJ 99 OTHER AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 9g OTHER '[] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPORMONITORING["-'~4 AUTOMATIC TANK GAUGING [] 5 GROUNO WATER MONITORING [] 6 TANK TESTING [] 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [~ 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH · 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 I APPLICANT'S NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OFTHE FO[JR NUMBERS BELOW COUNTY # dURISDICT'ION # FACILITY # TANK # STATE I.D.# ,:"' PERMITNUMBER '"'~ d*- r ' ,/?" ' ! PERMITAPPROVEDBY/OATE I PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION -'FORM A, UNLESS A CURRENT FORM A NAS BEEN FILED. FOROO348-R4 other T,X~ C ~NI;ORM&'i~ON CiiANGI! This form slxould bc completed by cahcr thc PERMrI* AI'i'IJ(~XNF or thc I,O(SM. AGEN(~ UNDISRGROUND TANK INSPI:~'YO R. 3. Pfc:me lype :w print clearly all requested info~aliom Z. hlax:atc :m: :)ILk ,3r Vttcihty aamc where thc tank ,; insta!icd. L 'I'ANK i)IZ};CXII~!~GN- C()MPIA?]q~ :~1.I. fIT{MS - IF UNKNOWN - ~) SPUX.]II~' !auk:ale ~)wnc!:i [link iD ,~ - If there is a tank number thai' is used by thc owner to identify ;he lv~dh:ate the name of :he :omoany ~hat manufactured d~e tank (ex. ACMF; 'UANK C. iadical¢ mc year :he tank was iasta!led (ex. 1.987). D. hluicate Iim umk capacny in oilons (ex. ~,(X~ or 1.0,~ cie.). II. TANK ';'L ':5\?':fl 2. D.I. Pfl'!Ntl cONrlT. MDi i. if MOI,..,i VEiIICLE FUEL. check box I and complete items B & C. _,. lfnot :,,,FOR EItlCL,: Iq.;EL, check the appro'pr/ate box in section A and comvlete items FJ & D. Caen'"( :he n)propriate box. Check 'the type of MOTOR VEHICLE FUEL (if box 1 is checked in A).' Print the chemical name of the hazardous substance stored in the tank. and the C.A.S.#. (Chemical Abstract ,5er,'ic~ number), if box l is NOT checked in A. CF:,'-5, ;RI!C. ,)N - M:\,RK ~)Nt;; iTEM' ONI:[ .N 34)X A, B. C ,% D :v~:; :,:.:c ':m '.}L"-.K i)ifEgC'7':c,"is -;v:,tcm[s) usca to campiy ,.vtth ~ he monitoring :'.'cutrenmnt- ?or me plpmg. VL ] ....: '''27 ~ :~71., ,"::Th'; /- ' ' COMPLETE l SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ~' 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION ~ 7 PERMANENTLY CLOSED ON SITE ONEITEM [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE ~ 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN STATE OF CALIFORNIA UNDERG ~i,.ND~ STATE WATER RESOURCES CONTROL BOARD ~k ' STORAGE TANK PERMIT APPLICIS~N - FORM B I B, MANUFACTURED BY: .,:. D. TANK CAPACITY IN GALLONS: .,., A. OWNER'S TANK I.D.# C. DATE INSTALLED (MO/DAY/YEAR) II. TANK CONTENTS IF A-1 IS MARKED, COMPLETE ITEM C. A. ~ ~ MOTOR VE.,CLE FUEL [] , O,L B. ~ C. [] ,aREGULAR ~, DIESEL [] UNL~DED ~ 4 ~S~OL ~ 7 M~HANOL I UNL~AgED ~ 5 ~FU~L -- J ~ 3 CHEMICAL PRODUCT ~ 95 UNKNOWN ~ 2 WASTE g 2 L~DED ~ ~ OmER (DESCRIBE IN D. IF(A.1) IS NOT MARKE9, EN~R NAME OF SUBSTANCE STORED C.A,S.~: . III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A B ANDC, ANDALLTHATAPPLIESINBOXD ~' ~ 3 SINGLE WA~ WI~ E~ERIOR LINER ~ 95 UNKNOWN ' ~ ~ 4 SECONDARY CONTAINMENT (VAULTEDTAN~ ~ ~ O~ER 1 DOUBLE WALL A. TYPE OF SYSTEM 2 SINGLE WALL B. TANK [] 1 BARE STEEL MATERIAL [] S CONCRETE ' (PdmaryTank) [] 9 BRONZE ] I RUBBER LINED [] 2 STAINLESS STEEL F-~'~'~' FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] :~ ALKYD LINING [] 3 EPOXY LINING ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER ] 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING J'~' 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES~ NO__ D. CORROSION PROTECTION ~ I POLYETHYLENE WRAP [] 2 COATING [] 5 CATHODIC PROTECTION [] 91 NONE [] , Vl~L wRAPI~"~ FIBERG~*SS REINFORCE~ PLASTIC [] ,~ UNKNOW, [] ,, O~R IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF APPLICABLE A, SYSTEMTYPE A U 1 SUCTION Ay U.. 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A .U 2 DOUBLE WALL A,~,;3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A'U 4 FIBERGLASS PIPE C. A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U g GALVANIZED STEEL ALI 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION ~ 1 VISUAL CHECK [~ 2. INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING [] 6 TANK TESTING [] ? iNTERSTITIAL MONITORING [] '1 NONE' [] '~ UNKNOWN []" OTHER VI. TANK CLOSURE INFORMATION I1,ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3, WAS TANK FILLED WITH YES [] NO [] SUBSTANCE REMAINING GALLONS INERT MATER(AL ? MATERIAL AND CORROSION PROTECTION TH/S FORM HAS BEEN COMPLETED UNDE~ PENAL 7-Y OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # PERMIT NUMBER>r_~., .~.( ..... ' ~ '"'J-'/"~' I PERMIT APPROVED BY/DATE ~ PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMP~IED BY A PERMff ~PECATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FI~D. FOROO34B-R4 AMERICAN LI .NING COMPANY "3430 Gilmore Avenue Bakersfield, CA 93308 805/325-5452 FAX 805/325-2529 VACUUM TESTING CERTIFICATION THIS IS TO VERIFY THAT ON THIS DATE AMERICAN LINING COMPA2N'Y INSTALLED AND LINING SYSTEM FOR .-7~.~ R'/~ C" ('9 TESTED AMERICAN LINING COMPANY HAS INSPECTED THE LINING SYSTEM .aND VACUUM TESTED THE EXTRUSION wELDED' SEA,MS AND HAVE FOUND THEM TO BE FLUID TIGHT AND IN ACCORDANCE WITH PLANS AND SPECIFIcATIoNS OF THIS PROJECT. TITLE D SUPERINTENDENT DATE ,,~- -~--q / SIGNED TITLE DATE AMERICAN LINING COMPANY CONTRACTOR/COMPANY KERN COUNTY HEALTH DEPAr 'ENT ENVIRONMENTAL HEALTH HAZARDOUS SUBSTANCES SECTION INSPECTION RECORD POST CARD AT JOBSITE 1700 FLOWER STREET BAKERSFIELD, CA 9'3305 PHONE (805) 861-3636 PERMIT # I~4NER /- ,--~IADDRESS ICITY FACILITY ADDRESS CITY /'~(~2~; PHONE. NO.. . I PHONE NO. INSTRUCTIONS: Please call for an inspector only when ea6h--g~ou~ of inspections with the same number are.ready. They will run in consecutive order beginning ~'th~number 1. DO NOT cover work for any numbered group until all items in that group are signed off-.b~.the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. - TANKS & BACKFILL - INSPECTION I ] IBackfill of Tank(s) ', ISpark Test Certification DATE INSPECTOR , / ,,Ix.3 ', ',Cathodic Protection of Tank(s) ',~', ~K !,~,',~ ~','~ -r~ta~ ', '~I d'~.~z Y~..:,'F:,-,<_.~ ~' ,= I:...,~.~, - PIPING SYSTEM - ',~_IPiping & Raceway w/Collection Sump ',Corrosion Protection of Piping, Joints :ill Pi ',Electrical Isolation of Pipin~ From Tank(s) ',Cathodic Protection System-Pipin$ ',~,',.~,4.¢../ I I - SECONDARY CONTAINMENT, OVERFILL PROTECTION~ LEAK DETECTION - ILiner Installation - Tank(s) ', I ',Liner Installation - Pipin5 ',Vault With Product Compatible Sealer ~ ILevel Gauges or Sensors, Float Vent Valves ~ IProduct Compatible Fill Box(es) ~IProduct Line Leak Detector(s) ~ILeak Detector(s) for Annular Space-D.W. Tank(s) I :Monitoring Well(s)/Sump(s) ILeak. Detection Device(s) For VadoSe/Groundwater IPVC Sleeve Pipin~ I Leak. D et ector (s) - FINAL IMonitorin5 Wells~ Caps & Locks. I'~ IFill Box Lock l:%'Monitoring Requirements I CONTRACTOR LICENSE # CONTACT PH # Standard Cospliance Check Equipment' to be Installed: /~9// Tank(s). /2C' Ft. of [-~SucttOn reasurtzed [-]Gravity, Plpt~ .Req'd Approved Proof of Contractor's License - License # .Type'of License Proof of Contractor's Worker's Cospensatlon Insurance Prisary Containment Flberglass (PRP) Fiberglass-clad steel E]Oncoated steel [-]Other: Cossent: Make & ~odel ./'-"~0, S.,m~ ',~TW~- Hake & Model Hake & Model Make & Model Additional: Inspection: Secondary Contalnnent of Tank(s) ~ouble-walled tank(s) Hake & [-]Synthetic liner Make a Model [~Llned concrete vault(s} Sealer used [-]Other Type Make a Model Cossent: Additional: Inspection: ,.f~ Secondary Containment Voluse at Least 100~ of Primary Tan; Volume(s) Comment: Additional: Inspection: Secondary Contalnsent Volume for More Than One Tan Contains 150~ of Volume of Largest Primary Containment o 10~ of Aggregate Prisary Voluse, ~hichever is 6reate Coesent: Additional Inspection: Req'd Approved Secondary Containment OPen to Rainfall Nust Accommodate llour Rainfall Total Volume Comment: Additional: Inspection: Secondary Containment is Product-Coapatlble Product Comment: Additional: Inspection: Documentation /~/~ Annular Space Liquid is Compatible with Product Product Annular liquid Coament: Additional: Inspection: Primary Containment of Piping cciberglass piping · oared steel piping DUncoated steel piping OOther Size & Nake ~ Size & Nake Size Comment: Additional: Inspection: Secondary Containment of Piping OOouble-walled pipe Size & Make o Ynthettc liner In trench Size & Nake ther " COllent: Additional: Inspection: Corrosion Protection. J~ank ( s ). /~ ,~ ~Plplng & fittings ~Electrtcal Isolation Comment: Additional: Inspection: Manufactur~er-Approve'd Backfill for Tanks & Piping - ~:~,., ....... t -l'ype ~ .-,- :L',.-~/,- ,~-*' Comment: Req'd Approve~ ddltlonal: Inspection: Tank(s) Located no Closer than 10 Feet to Building(s) Comment: Additional: Inspection: Complete Monitoring System Monitoring device within secondary contalnsent: ~Llqutd level Indicator(s)~ S:~/h~! /A~,~/~_ S~/~:;~ E]Llquld used / ;/ ' ' / [~Thermal conductivity sensor(s) [-]Pressure sensor(s) ~]Vacuum gauge C]sump(s) lOas or vapor detector(s) Manual Inspection & sampling Vlsual inspection Other Comment: Additional: Inspection: [, ,~, Other Monitoring ~]Perlodlc tightness testing Method  ressure-reduclng line leak detector(s)~.,~ ther Comment: Additional: Inspection: Overfill Protection ~]Tape float gauge(s) '_~loat vent valve(s) [~]~apacitance sensor(s) [~High level alarm(s) [~Automattc shut-off control(s) H:~Flll box(es) with 1 ft. 3 volume perator controls with visual level Bonlto~tng Other Coement: - 3 - ~eq'd Approve~ Additional: Inspection: :qonl toting Requirements. · ,.6~-~c:.~:~: ~'/,',¥~-.,:::.~ >. Additional Comments Inspection: Inspecto _ Date - 4 - Inspections/Relnspectlons/¢onsultations Date: Purpose: Collent: Date: Time Utilized Purpose: Comment: Date: Time Utilized Purpose: Comment: Date: Ttme Utilized Purpose: COmlent: Invoice Date: Inspector - $ - Time Utlltzed Total Time: Date: Permit Application Checklist Application/Category: ~d~Standard-Design ., Motor Vehicle Fuel Exemption Design (Secondary Containment) (Non-Secondary Containment) Approved Perm'it Application Form ProPer. 1¥ Completed De f i c i enc i es: ~,3 ~./~ ~'~ 3 ~'~/;4,4.77 ~1 ~f Copies of Plot Plan Depictinq: Pr'operty lines Area encompassed-bY-minimum 100 foot radius around tank(s) and piping Ail tank(s) i~enti'fied by .a numbe[ and product to be stored Adequate scale (minimum 1"=16'0" in detail) North arrow All structures within 50 foot radius of tank(s) and piping Location and labeling of all product piping and dispenser islands Environmental sensitivity data including: *Depth to first groundwater at site *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water i'n unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel ex~mPfi6n 'fr'om secondary containment Comments: Approved / Copies of Construction Drawings Depicting: Side View of Tank In~ailati°~ wi~h B~6Mfill, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top View of Tank Instal'lati'on~with Raceway(s), Secondary Containment and/or Leak Monitoring System in Place :i/ A Materials List (indicating those used Backfill Tank (s) ~ , C~ /J~ i.,~ /L~ o'~"-~c'~ . '~ Product [~iping ' /~ a~ -~. ~'~-~+ ' Raceway (s). ~ ~ ~_,~c/~ .L~ _ /t'~>. ,~.Ct ~ in the construction): .2, ~: Yc?, ~eal'er (s) Gas or Vapor Detector(s) 7%d'd i't iona 1: Documentation of Product Performance Additional Comments SITE INSPECTION: Approved Co'mmen ts: ' ' Disapproved Date Inspector Date Permits # Facility Name FINAL INSPECTION ClIECKLIST ctor lq Plot plan notes Plot Diagram All new and existinz tanks located on plot plan? Does tank product correspond to product l'abels on plot plan? Was there no modifications identified which ~ere not depicted on the plot plans? If "No" described Yes / No _/ Are monitoring wells secu}e and free of ~ater and product in sump? ~. Is piping system pressure, suction or gravity? ~subpuaps and all line lea Are accessib'le~ Type of line leak detector if any dst tot. Overfill containment box as specified on : Aplication? If "No", what type and ~odel number: Yes ,. No a) Is fill box tightly sealed around fill tube? b) Is access ov,er water tight? c) Is product present in fill box? Identify type of ~onltortng: a) Are manual monitoring lnstrumen~ts, Product and water finding paste on premises? b) Is the fluid level in Owens-Corning liquid level monitoring reservoir and alarl panel in proper operating condition? c) Does the annular space or secondary containment liner leak detection system have self diagnostic capabilities? If "Yes", is it functional If "No", how is it tested for proper operating condition? _-I 9, Notes on any abnormal..condltlons: RANDALL L. ABBOTT DIRECTOR DAVID PRICE I!I ASSISTANT DIRECTOR RES i RCE ENVIRONMENTAL MANAGEMENT Environmenta~ Health Services Department STEVE McCAI I_F~y, REHS, DIRECTOR Air Pollution Control District WILLIAM J, RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR HEALTH SERVICES DEPARTMENT. PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY' PERMIT NUMBER 280040 FACILITY Texaco Service Station N.E. corner White Lane Gosford Road Bakersfield, CA OWNER(S]. NAME/ADDRESS: Texaco Refining & Marketing 10 Universal City Plaza Universal, CA Phone No. 818-550-2474 CONTRACTOR: iNS Construction 9200 E. Shaw Fresno, CA 93612 License # A440440 Phone No. 209-299-1746 NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT EXPIRES APPROVAL DATE APPROVED BY March 25, 1992 March 25, 1991 ) ' ' Hazardo~Materials Specialist .............................. POST ON PREMISES .............................. CONDITIONS AS FOLLOW:. Standard Instructions 3. 4. 5. 6. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. Permittee must contact Permitting Authority for on-site inspection(s) with 48-hour advance notice. Backfill material for piping and tanks to be as per manufacturers' specifications. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfilling. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site · prior to initial inspection, Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and .leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority. 2700 STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 PRINTED ON RECYCLED PAPER (805) 861-3636 FAX: (805) 861-3429 Standard Instructions Permit No. 280040 11. 12. All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. Primary and secondary containment of both tank(s) and underground .piping must not be subject to physical or. chemical deterioration due to the substance(s) stored in them. Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to constrUction. No product shall be stored in tank(s) until approval is granted by the Permitting Authority. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. Monitoring requirements for this facility will be described on final "Permit to' Operate." Monitoring wells on "Typical Drawings" are not allowed unless monitoring probes are installed and functioning. Construction must be in accordance with Hazardous Materials Management Program standards 'as per UT-50. WGN:ch nicksX280040.ptc 2700 "t,l" STRWET , 2.:. 300 BAKEI~SFIELD, CA 9330 AD Co D o AI'PLICATION FOR I'EIiM1T TO OPERATE UNI)EI~GROUND IIAZARIJOUS SUBSTANCES STORAGE FACILITY T~_ O.£ .A_pllLllcatton {check): ~XqNew Facility [~Modiftcatton Of Facility CqExisttng Facility [~Transfer Of Ownership EmerEency 24-llour Contact (name, area code, phone): Days (209).431-1214 FRED ACKERS Nights (209)431-2653 Facility Name TEXACO SERVICE STATION No. Of Tanks 4 Type Of Business (check): ~Gasollne Station ~Other (describe) Is Tank(s) Located On An Agricultural Farm? ~es ~No Is Tank(s) Used Primarily For Agricultural Purposes? ~Yes Facility Address . N.E.C. OF ~ITE ~NE Nearest Cross St. ~SFORD RD. T R SEC (Rural Locations Only) Tank Owner T~CO REFINING ~ ~KETING INC. Contact Person G~Y S~W~T Address 10 UNI~S~ CI~ ~ ~¢ ~" Sta~e UNI~RS~ CI~lephona 818/505-2474 Operator Contaot Person Address Zip Telephone Water To Facility Provided By CALIFORNIA WATER SERVICE CO. Depth to Groundwater ~.150' Soil 'Characteristics At Facility FINE,.SIL.TY.,,S. AND.OR SANDY SILT Basis For Soil Type and Groundwater Depth Determinations ~_~OAD~,~-'~L(CT'q©,a,0 CA Contractor's License No.~ Contractor ~C~ ' ~ ~ Addres~ Ct~C~, ~ ~J _~,~r~ Zip ~[~ Telephone Proposed Startln~ Date Proposed Completion Date Worker's Compensation Certification No C~~ Insurer If This Permit Is For Modification Of An Existing Facility, Briefly Descr Modifications Proposed Tank(s) Store (check all that npply): Tank t Waste Product Motor V~:l~lcle Unleaded Regular Premium Diesel Waste Fuel 011 i [] [] [] [] [] [] [] ~0 3 [] [] [] [] [] [] [] [] 4. [] [] [] [] [] [] ~0 [] Chemical Composition Of Materials Stored (not nece.ssary for Rotor vehicle fuels} Tank ~ Chemical Stored (non-commercial name) CAS # .(if known) Chemical Previously Store(: (If different} ALL MOTOR FUELS N/A Transfer Of Ownership Date Of Trnnsfer __ N/A .. . Previous Facility Name . N/A I, modify or terminate the PI'ovIous Owller accept fully all obligations of Permit No. isstied I understand that the Permitting Authority may review a trausfer of the Permit to Operate this underground .stets facility upon receiving this completed form. This form ha~ beeo ~pleted~under penalty of perjury and to tho best of my knowledge Is. tru. a,d correct. ~.. CZ,./~-~/ -3,~,~Co~ ~-. ~,~ ~/-z ~lqo ~ H.I. :2. 7. Oo 10. il. HM21 Tank is: (t:ILL OUT 512P,A[(AI'Ii FOi(~ OR EACH TANK~ FOR EACH .%ECT1ON.,.CllECK ALL APPlIOPRIATE lIOXEfi ( lulted ( ) Jacketed Tank Material ( ) Carbon Steel ( ) Concreio Priniary Containment Date Installed ( ) Stainless Steel ( ) Unknown Thickness (h~ches) Tank Secondar~t Containment (X) Double-Wall ( ) Synthetic Liner () Other (describe): Tank (~ Double~ll ( ).Single-Wall (X) Fiberglass-Reinforced Plastic () Fiberglass-Clad ( ) Other (Describe). Capacity (Gallons) Manufacturer 12,000 GAL. OCTENS-CORNING FIBERGLASS TANKS ( ) Lined Vault ( ) None ( ) Unknown Manufacturer: OWENS-CORNING ( ) Material FIBE¢Gr,ASS Thickness (Inches) ,220" Capacity (Gallons) 150 Tank Interior Lining (D Unlined ( ) Unknown ( ) Lined (describe). ( ) Galvanized ( ) Fiberglass-Clad ( ) Pplyethylene/Vlnyl (Wrapped or Jacketed) () Tar or Asphalt () Unknown () None (X) Other (describe): FIBERGLASS Cathodic Protection: (X) None ( ) Impressed Current System ( ) Sacrificial Anode Syste Describe System and Equipnlent: l.eak Detectjgn, M._oni~ing. and Inlerce. l~t.!on * (Must be described below) a. Tank: ( ) Vapor Detector · ( ) Liquid Level Sensor * ( ) Conductivity sen~or * .. '( ) Vadose Zone Monitoring Well(s) ( ) U-Tub& with Liner ( ) U-Tube without Liner ( ) Visual Inspection (Vaulted tanks only) ( ) Groundwater Monitoring (X) Sensor In Annular Space ( ) Vapor (X) Liquid ( ) Pressure ( ) Other * ( ) Regular Monitoring of U-Tube, Monitoring Well or Annular Space (X) Daily Gauglng & Inventory Reconciliation ( ) Periodic Tightness Testing () None () Unknown () Other · Describe Make & Model: RED JACKET PPM-4000 b. Piping: fix) Flow-Restricting Leak Detector(s) for Pressurized Piping* ( ) Sealed Cotlcrete Race { ) Monitoring Sump with Raceway (30 Complete Containment Liner with Sumps ( ) Half-Cut Compatible Pipe Raceway ( ) Synthetic Liner RaceWay ( ) None () Unknown () Other · Describe Make & Model: RED JACKET PPM 4000 & AMERICAN LINING Tank Tightness N/A (NE-Sq TANK) Has This. Tank Been Tightness Tested? Date of Last Tightness Test Test Name Tank Rep. air N/A ( ) Yes Date(s) of Repair(a) ( ) Yes ( ) No Results of Test Testing Company (X) No ( ) UnknoWn ( ) Unknown Describe Repairs Overfill Protection (Must describe below') ( ) Operator Fills, Controls, & Visually Monitors Level ( ) Tape Float Gauge (X) Float Vent Valves( ) Auto Shut-Off Controls ( ) Capacitance Sensor (X) Sealed Fill Box ( ) None ( ) Unknown ( ) List Make &_. Mode____[ for all Devices O?~.53-VML~ *Describe oth.er Protection System SKYWAY, Piping a. bo ( ) Giber * Underground Piping: (X) Yes ( ) No Thickness (tnclles) ~ Diameter 2" ( ) Unknown Material FIBERGLASS' Manufacturer'A.O.SHITH RED THREAL Type of piping System (X) Pressure ( ) Suction Underground PiPing Corrosion Protection: ( ) Galvanized ( ) Fiberglass-Clad ( ) Polyethylene Wrap ( ) Electrical Isolation ( ) Unknown ( ) None Underground Piping, Secondary Containment: ( ) Double-Wall (X) Synthetic Litter System () ( ) Gravity Al)proximate Length of this Pipe Run 120' ( ) hnpressed Current( ) Sacrificial () Vinyl Wrap () Tar or Aspr (20 Other (describe);. FIBERGLASS () None () Unknown Make & Model (describe): __A_24_._.ERICAN LINER ......... 10. II. I'IM2 1 FOR EACH Si.:.CT1ON,. Cll ECK_.A LL At'PROI~RIATE BOXES Tank ts: ( ) Tank Material ( ) Carbon Steel ( ) Concrclo' primary Containment Date Installed' l'anK ~ 2 ted ( ) Jacketed ( ) Stainless Sleel ( ) Unknown Thickness (Inches) _]4'4" (~ Double-\ ( ) Single-Wall (X) Fiberglass=Reinforced Plastic () Fiberglass-Clad'. ( ) Other (Describe). Cal)aclty (Gallons) Manufacturer 10,000 GAL. OWENS-CORNING FIBERGLASS Tank Secondary: Conlainnmnt TANKS (X) Double-Wall ( ) Synthetic'Liner ( ) Lined Vault ( ) None ( ) Unknown () Giber (describe): Manufacture[: ONENS-CORNXNG ( ) Material EIBERGI',ASS Thickness (Incites) ,220" Capacity (Oallons)150 Tank Interior Lining (>0 Unlined ( ) Unknown ( ) Lined (describe) T.a__a_ _k._~ _r r_o._s ! 9 !!_ P_r 9_ ~c. ! JOri ( ) Galvanized ( ) Fiberglass-Clad ( ) Polyethylene/Vinyl (Wrapped or Jacketed) ( ) Tar o[ Asphalt ( ) Unknown ( ) None (X) Other (descllbe): FIBERGLASS Cathodic Protection: (X) None ( ) Impressed Current System ( ) Sacrificial Anode Syste~ Describe System and Equipmenu l.eak Detectig. n., h{__o.n.i[o.L~in_.o.~_and Intercept.!9!! * (Must be described below) a. 'rank: ( ) Vapor Detector * ( ) Liquid Level Sensor * '( ) Conductivity Sensor * . ( ) Vadose Zone bionitoring Well(s) ( ) U-Tube with Liner ( ) U-Tube without Liner ( ) Visual Inspection (Vaulted tanks only) (.) Groundwater Monitoring (X) Sensor In Annular Space ( ) Vapor (X) Liquid ( ) Pressure ( ) Other * ( ) Regular btonitoring of U-Tube, Monitoring Well or Annular Space kS) Daily Gauging & Inventory Reconciliation ( ) Periodic TI§hiness Testing () None () Unknown () Other ',Describe Make & Model: RED JACKET PP~-4000 b. Piping: (J0 Flow-Restricting Leak l)ctecmr(s) for Pressurized Piping* ( ) Sealed Concrete Race, ( ) Monitoring Sump with Raceway (D Complete Containment Liner with Sumps ( ) Half-Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None ( ) Unknown ( ) Oilier · Describe Make & Model: RED dACKET PPM 4000 & AHERICAN LINING Tank Tifihtnes~ N/A (NEq, q TANK) Has This Tank Been Tightness Tested? Date of Last Tiglttness Teat Test Name Tank Rep. a_ir N/A ( ) Yes Date(s) of Repair(s) ( ) Yes ( ) No Results of Test Testing Company (X) No ( ) Unknown ( ) Unknown Describe Repairs Overfill. pro,ection (Must describe below) ( ) Operator FillS, Controls, & Visually Monitors Level ( ) Tape Float Gauge (X) Float Vent Valves( ) AUld Shut-Off Controls ( ) Capacitance Sensor (X) Sealed Fill Box ( ) ,None ( ) Unknown ( ) last Make & Model for all Devices *Describe other Protection System' PipinR' a. bo OP_W 53-VML · SKkAOA~'. ( ) Other * ( ) Unknown Material FIBERGLASS Manufacturer A.O.SMITH RED THREA£ ( ) hnpressed Current( ) Sacrificial A () Vinyl Wrap () Tar or Aspb (X) Other (describe);. FIBERGL&SS '\ () None () Unknown Make & Model (describe): _ _~ivI~RICAN LJ:NER Underground Piping: (X) Yes ( ) No Thickness (Incites) ..~ Diameter 2" Type of piping System (X) Pressure ( ) Suction ( ) Gravity Underground Piping Corrosion Proloction: ( ) Oalvanized .( ) Fiberglass-Clad ( ) Polyethylene Wrap ( ) Electrical Isolation (~) Unknowu () None Underground Piping, Secondary Containment: ( ) Double-Wall (X) Synthetic Litter System () Al)proximate Length of this Pipe Run 120' i-1. I. 2. 10. II. IIM21 Ta IA_k_ Is: Contents OUT SEPARATE FORM 1< ~ TANK.) Felt. EACH 51.:.CT1ON,.CllECK ALL APPROPRIA'I'E BOXES ( ) Vaulted ( ) Jacketed (;9 Double-Wall ( ) Single-Wall Tank Material ( ) Carbon Steel ( ) Concrete Primary Containment Date Installed ( ) Stainless Steel (X) Fiberglass-Reinforced Plastic ( ) Unknown ( ) Other (Describe). Thickness (Inches) 3_/4" _ Tank Secondary_Containment (X) Double-Wall ( ) Synthetic Liner Tank # 3 (). Fiberglass-Clad Ca0acity (Gallons) 10,000 GAL. Manufacturer OWENS-CORNING FIBERGLASS TANKS ( ) Lined Vault ( ) None ( ) Unknown () Olher (describe): Manufacturer: OWENS-CORNING ( ) Material FIBERCJ,ASS Thickness (Inches) ,220" Capacity (Gallons) 150 Tank Interior Lining ' (D Unlined, ( ) Unknown ( ) Lined (describe). Ts_ n._k._~o_q~_s! o_n._ P Lo. ~c. !.l 9n ( ) Galvanized ( ) Fiberglass-Clad ( ) Polyethylene/Vinyl (Wrapped or Jacketed) ( ) Tar or Asphalt ( ) Unknown ( ) None (X) Other (describe): FIBERGL&SS Cathodic Protection: (X) None ( ) Impressed Current System ( ) Sacrificial Anode Syste: Describe System and Equipmenu l.eak Detectign_..,_L'.M_9_n.itoring, anti l.n. le_rc.e_pt, j9!! * (Must be described below) a. 'rant: ( ) Vapor Detector * .( ) Liquid Level Sensor" ( ) Conductivity Sensor * · ( ) Varies, Zone Monitoring Well(s) ( ) U-Tube with Liner ( ) U-Tube without Liner ( ) Visual Inspection (Vaulted tanks only) ( ) Groundwater Monitoring (×) Sensor In Annular Space ( ) Vapor ¢4) Liquid ( ) Pressure ( ) Other ' ( ) Regular Md,tiering of U-Tube, Monitoring Well or Annular Space (X) Daily Gauging & Inventory Reconciliation ( ) Periodic Tightness Testing () None () Unknown () Other · Describe Make & M~el: RED JACKET PPM-4000 b. Piping: (X) Flow-Restricting Leak Detector(s) for Pressurized Piping* ( ) S~aled Concrete Race, ( ) Monitoring Sump with Raceway (~ Complete Containment Liner with Sumps ( ) Half-Cut Cnmpatible Pipe Raceway ( ) Synthetic Liner Raceway (). None () Unknown () Other · Describe Make & Model: RED JACKET PPM 4000 & NVlERTCAN LINTNG Tank Tiv. htness N/A (NEW TANK) Has This Tank Been Tightness Tested? Date of Last Tlglttness Test T~st Name Tank Rep. a_ir ~/A ( ) Yes Dale(s) of Repair(s) ( ) Yes ( ) No Results. of Test Testing Company (X) No ( ) Unknown ( ) Unknown l)escribo Repairs Overfill ?rqtection (Must describe below) ( ) Operator Fills. Controls. & Visually Monitors Level ( ) Tape Float Gauge (X) Float Vent Valves(') ( ) Capacitance Sensor (X) Sealed Fill BOx ( ) ( ) List Make & Model for all Devices OPW 53-VMIa · Describe oih.er Protection System SKYWAy PipinR bo Aulo Shut-Off Controls None ( ) Unknown ( ) Other Underground Piping: (X) Yes ( ) No Thickness (incl~es) __0.07" Diameter 2" ( ) Unknown Material FIBERGLASS Manufacturer A.O.SMITH RED THREAD ()Gravity Al)proximate Length of this Pipe Run 120' Type of piping System (X) Pressure ( ) Suction Underground Piping Corrosion Protection: ( ) Galvanized ( ) Fiberglass-Clad ( ) hnpressed Current( ) Sacrificial A ( ) Polyethylene W~ap ( ) Electrical Isolation ( ) Vinyl Wrap ( ) Tar or Aspb. ( ) Unknown ( ) None (X) Other (describe);_ FIBERGLASS Underground Piping, Secondary Containment: '~ ( ) Double-Wall (X) Syulhelic Liner System ( ) None ( ) Unknown' ( ) Make & Model (describe): _AMERICAN LINER o 10.. l'[M21 Tank is: (FILL OUT SEP,a,R^TE FORM 2 EACI4 TANK) ~(.~4 SI_:.CT__I. ON.,.CllECK_ALL APPI lATE BOXES ( )~lted ( )Jacketed (7} Double ( ) Single-Wall Tank Material ( ) Carbon Steel {') Stainless Steel {X) Fiberglass-Reinforced Plastic ( ) Concrelo ( ) Unknown ( ) Other (Describe). Primary Containment Date Installed Thickness (Inches) ___~4" Tank S~cnndar¥ Containmen~ (X) Double-Wall ( ) Synthetic Liner () Olher (de'scribe): ( ) Material FIBERGlaSS Thickness (Inches) Tank Interior Lining (~ ,Unlined ( ) Unknown ( ) Lined (descrlba) Tank ( ) Fll~rglam-Clad. Capacity (Gallons) Manufacturer 10,000 GAL. OWENS-CORNING FIBERGLASS TANKS ( ) Lined Vault ( ) None ( ) Unknown Manufacturer: OWENS-CORNING' ,220" Capacity (Gallons) 150 ( ) Galvanized ( ) Fiberglass-Clad ( ) Polyethylene/Vinyl (Wrapped or Jacketed) (,) Tar or Asphalt () Unknown () None (X) Other (describe): FIBERGLASS Cathodic Protection: (X)' None ( ) Impressed Current System ( ) Sacrificial Anode Sys~e~ Desc,'itm Sysu:m and Equipmenu l.eak DctectjL!n.q.,_.Mg.n. ilorinj~g~: and ]p. ie. ic_ept, jg!! * (Most be descrfbed below) a. 'Fan~: ( ) Vapor Detector * ( ) Llqtfld Level Sensor * ( ) Conductivity Sensor * . ( ) Vadose Zone Monitoring Well(s) ( ) U~Tube with Liner () U-Tube without Liner ( ) Visual Inspection (Vaulled tanks only) ( ) Groundwater Monllortng (X) Sensor in Annular Space' ( ) Vapor (X) Liquid ( ) Pressure ( ) Other * ( ) Regular Monitoring of U-Tube, Monitoring Well or Annular Space (X) Daily Gauging & Inventory Reconciliation ( ) Periodic Tightness Testing ( ) None () Unknown () Other · Describe Make & Model: RED JACKET PPM-4000 b. P/ping: 00 Flow-Restricting Leak l)eleclnr(s) for Pressurized Piping* (.) Sealed. Collcrele Race~ { ) M0ntloring Sump wills Raceway (2~ Complete Containment Liner with Sumps ( ) Half-Cut Compatible Pipe Raceway ( ) Synthetic Liner Raceway ( ) None () Unknown () Other · Describe Mak~ & MedeA: RED JACKET PPM 4000 & AHERIC_~N LINING Tank Tiflhtness N/A (NE-5,/ TANK) Has This Tank Been Tightness Tested? Date of Last Tlgl~mess Test 'rest Name Tank Rep.a_i[ N/A ( ) Yes Date(s) of Repair(s) (1 Yes () No () Unknown Results of Test Testing Company .. (X) No ( ) Unknown l)escribo Repairs Overfill Proiection (Must describe below) ( ) Operator Fills, Controls. & Visually Monitors Level ( )Tapo Float Gauge (X) Float Vent Valves( ) ( ) Capacitance Sensor (X) Sealed Fill Box ( ) () List Make & Model for all Devices opN 53-vMr~... *Describe othe. r Protection System SKYWAy Piping a. bo d° Aulo Shut-Off Controls None ( ) Unknown ( ) Other * Underground Piping: (X) Yes ( ) No Thickness (lnclles) 0.07', Diameter 2'" Type of piping System (X) Pressure ( ) Suction ( ) Gravity Underground Piping Corrosion Protection: ( ) Galvanized ( ) Fiberglass-Clad ( ) Polyethylene W~ap ( ) Electrical Isolation () Unknown () None Underground Piping. Secondary Containment: ( ) Double-Wall (X) Synthetic Liner Sy:ilem () ( ) Unknown Material FIBERGLASS Manufacturer A.O.SMITH RED THREAF Al)proximate Length of this Pipe Run 120' ' ( ) Impressed Current( ) Sacrificial A. ( ) Vinyl Wrap ( ) Tar or Aspb. Lv0 Other (describe)',, FIBERGLASS '\ ( ) None () UnknoWn MaRe & Model (describe): . AMERICAN ~,INER _ _ C.=,3 H REG I ST.~R :'. $ C. '30 Amo='.n ~ Due ,v!ac. je ~'. "',-e.C. 350.00 TEXACO REFINING AND MARKETING INC. ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT YEAR 1994 Facility: 610580799 AddreSs: 4050 Gosford Road Bakersfield, CA 93304 Permit/ID #: Tanl~ # size Product 1 lO000 Diesel 2 10000 Unl + 3 10000 Super 4 12000 Unleaded I hereby certify under penalty of perjury that: All inventory variations for this facility were within allowable limits for this year. X Inventory variation(s) exceeded the allowable limits during this year. The source of the variation(s) is not due to an unreported, unauthorized release. List the month, tank number, and amount of variation for all variations which exceeded the allowable limits during this year. Month Tank # Amount of variation/explanation ....... ItS 2 3 4 5 Additional incidents shall be listed on a separate, attached sheet of paper. If the cause of the variation(s) which exceeded allowable limits was a leak, the incident(s) shall be reported no later than the next business day to your local permit implementing agency. An Unauthorized Release Report shall be submitted within five days. The ~m,ual~ S~qmmj~ry Report shall be submitted within 15 days of the end of each year. T,~/OPERATO'R Texaco Refining and Marketing Inc 10 Universal City Plaza' Universal City CA 91608 March 7, 1994 Mr. Ralph E. Huey, REA Bakersfield city Fire Department HazardOus Material Division 2130 "G" Street Bakersfield, California .... 9~3301 ~REF: 4050 Gosford & White Lan~ Dear Mr. Huey: Reference is made to our January 26, 1994 letter and subsequent conversation concerning the annual inventory reconciliation summary report submitted for subject Texaco facility. Attached for your review is a corrected summary report and inventory reconciliation records for November and December 1993 and January 1994. Following our conversation several weeks ago, our Store Supervisor and the Food Mart Manager have performed an audit on our inventory records and have advised there are no unknown discrepancies. Subject facility has double-walled fiberglass underground storage tanks and contained piping monitored by a Red Jacket RLM 9000. We have experienced no alarms and we are satisfied with the integrity of our fuel dispensing system. If additional information is required or if our office may be of any further assistance, please feel free to contact the undersigned .at (818) 505-2483. Sincerely, TEXACO REFINING AND MARKETING INC. F. G. LONG EH&S Specialist enclosure Building on a Tradition of Quality Inventory Reconciliation/Monthly Monitoring Form 1993 CUM 610580799 4050 Gosford Road Bakersfield, CA 93304 January February March April May June July August September October November December CUM Total Deliveries 1% of Deliveries Plus (123) (68) (6) 109 425 414 517 1,291 84 566 345 1,030 4,584 548152 5482 Super 64 (85) 194 264 311 404 498 2,502 674 673 435 94 6,028 528233 5282 Unleaded (390) (156) 154 467 936 1,203 1,170 1,933 1,456 892 187 (1,302) 6,550 1223972 12240 Diesel 94 (29) 61 (67) 18 99 (51) 53 8 71 (2) 37 292 52842 528 1%+ 130 = 5612 5412 12370 658 TEXACO REF1/hrlNG AND MARKETING INC. ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT YEAR 1994 Facility: 610580988 Address: 3621 California Ave Bakersfield, CA 93304 Permit/ID #: Tank # Size Product 1 12000 Unleaded 2 12000 Unl Plus 3 12000 Super 4 8000 Diesel I hereby certify under penalty of perjury that: X All inventory variations for this facility were within allowable limits for this year. Inventory variation(s) exceeded the allowable limits during this year. The source of the variation(s) is not due to an unreported, unauthorized release. List the month, tank number, and amount of variation for all variations which exceeded the allowable limits during this year. Month Tank # Amount of variation/explanation 1 2 3 4 5 Additional incidents shall be listed on a separate, attached sheet of paper. If the cause of the variation(s) which exceeded allowable limits was a leak, the incident(s) shall be reported no later than the next business day to your local permit implementing agency. An Unauthorized Release Report shall be submitted within five days. The u. al S~lmmary Report shall be submitted within 15 days of the end of each year. RATO"R D Inventory Reconciliation/Monthly Monitoring Form 1993 CUM 610580988 3621 California Ave Bakersfield, CA 93304 Plus Super Unleaded Diesel January 221 3,211 (284) (206) February (191) (440) (743) 172 March 193 77 44 96 April (19) (13) 74 (4) May 257 205 411 129 June 177 129 717 75 July August 256 236 903 76 September 313 167 490 154 October 163 134 541 (43) November 44 27 137 (88) December 875 (914) (459) (12) CUM 2,289 2,819 1,831 349 Total Ddiveries 218961 198961 689427 72194 l%ofDelivcrics 2190 1990 6894 722 1%+ 130 =. 2320 2120 7024 852 TEXACO REFINING AND MARKETING INC. ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT YEAR 1994 Facility: Address: Permit/H) #: 610581408 2601 White Lane Bakersfield, CA 93304 Tank# Size Produ~ 1 10000 Super 2 10000 U~Plus 3 10000 U~eaded 4 10000 Diesel I hereby certify under penalty of perjury that: X All inventory variations for this facility were within allowable limits for this year. Inventory variation(s) exceeded the allowable limits during this year. The source of the variation(s) is not due to an unreported, unauthorized release. List the month, tank number, and amount of variation for all variations which exceeded the allowable limits during this year. Tank # Amount Month of variation/explanation Additional incidents shall be listed on a separate, attached sheet of paper. If the cause of the variation(s) which exceeded allowable limits was a leak, the incident(s) shall be reported no later than the next business day to your local permit implementing agency. An Unauthorized Release Report shall be submitted within five days. Report shall be submitted within 15 days of the end of each year. Inventory Reconciliation/Monthly Monitoring Form 1993 CUM 610581408 2601 White Lane Bakersfield, CA 93304 January February March April May June July August Sept(mber October November December CUM Total Deliveries 1% of Deliveries Plus 53 22 129 (383) 156 202 312 448 277 212 89 (10) 1,507 197954 1980 Super (122) 85 18 507 144 118 173 294 136 195 32 (75) 1,505 140081 1401 Unleaded (312) 47 (14) 216 475 497 714 1,071 676 552 148 (154) 3,916 563301 5633 Diesel 35 (29) 60 29 178 (7) 61 141 230 113 72 50 933 86025 860 1%+ 130 = 2110 1531 5763 990 TEXACO REFINING AND MARKETING INC. ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT YEAR 1994 Facility: 610581405 Address: 2401 North Oak Bakersfield, CA 93308 Permit/ID #: Tank # Size -Product 1 10000 Unleaded 2 10000 Unl Plus 3 10000 Super 4 10000 Diesel I hereby certify under penalty of perjury that: All inventory variations for this facility were within allowable limits for this year. X Inventory variation(s) exceeded the allowable limits during this year. The source of the variation(s) is not due to an unreported, unauthorized release. List the month, tank number, and amount of variation for all variations which exceeded the allowable limits during this year. Month Tank # Amount of variation/explanation 1 2 3 4 5 Additional incidents shall be listed on a separate, attached sheet of paper. If the cause of the variation(s) which exceeded allowable limits was a leak, the incident(s) shall be reported no later than the next business day to your local permit implementing agency. An Unauthorized Release Report shall be submitted within five days. Th~Ann~m~~ Report shall be submiied,]/~/~t//within 15 days of the end of each year. T/~ OPERATOR I}tATE Inventory Reconciliation/Monthly Monitoring Form 1993 CUM 610581405 2401 North Oak Bakersfield, CA 93308 January Febmary March April May June July August September October November December CUM Total Deliveries 1% of Deliveries Plus (123) (1) (15) (21) 123 179 309 418 393 3O3 124 (178) 1,511 258391 2584 Super (68) (71) (85) (26) 101 154 136 247 182 84 (12) (67) 575 181300 1813 Unleaded (213) (103) 48 287 45O 87O 1,030 925 521 788 169 (109) 4,663 685486 6855 Diesel 0 (8) 50 153 83 23 164 - 146 100 171 94 (22) 954 81963 820 1%+ 130 = 2714 1943 6985 950 Texaco Refining and ;~erketing Inc 10 Universal City Plaza Universal City CA 91608 January 26, 1994 Bakersfield City Dire"Department Hazardous Materials Division 2130 'G' Street Bakersfield, California 93301 Ref: ]tnnual Inventory Reconciliation Summary Report Dear Sir: As required, attached are subject reports for the following facilities operated by Texaco Refining and Marketing Inc. (Texaco) in 1993; 4050 Gosford & White Lane 3621 California & Real Road 2601 White Lane & Potrero 2401 N. Oak & 24th If this office may be of further assistance or if additional information is required, please feel free to call at (818) 505-2483. Sincerely, TEXACO REFINING AND MARKETING INC. F. G. LONG EH&S Specialist attachment Building on a Tradition of Quality TAIT ENVIRONMENTAL sYSTEMS 800 N. Eckhoff Street / P.O. Box 4429 / Orange, California 92613 (71'4) 634-2464 / FAX (714) 634-9036 'cERT!FICAT!0N OF COHPL1ANCE . TO HANUFACTUEER' S .-REQUIEEHENTS 21 1993 This certifies 'that Make and~'mode I Said monitor system ; Date : is in compliance with an inspection was made on the the monitor sYstem. manufacturer's specifications and requirements.' S i gnat P'r iht name Authorized service technician identification 6971 (rev 9/92) White: Customof Copy . Canary. File Colby Pink - Oaverment Agency Copy ~ & ~ ~t.tttvl~x Da:a: S~a:e ~ Zip Envlronmen=al Moni=oring Systems (b) Make & Model (c) Mmke & Model Con=rols complies wi~_~ manufa,c~urers specifica=ions and requ&remen=. (a) Yes ,~ No (b) Yes No (c) Yes No Cer~:ifica=ion of Sys=em Compliance issued. (a) Yes No (b) Yes No (c) Yes No If no, s=a=e reason(s) cer~:ifica=ion of comuliance not issued. - WAS:r~ TS215 ,j z-~f-'- :~ Seal monitor caDine~ wi~b s~ic~er seal. 2 Pass ~ Fa~.~ Pass ~< Fail RaBs Fail manufa~s Yes ~ No ,, Produc: Yes ,, X No Produc= Yes " .... x~ No P~du~ Yes _~ No P~du~ Yes No Produ~ Is each =ecnanical . lea~ deCmc=or sealed ~mp. eranT? Yes ~ ~o .t'//r /' ',, leak de=ac:or. ia clearance ada .aua=e ~m leak da=mc=or n: underside of nan~ole lid? 'fas . No / if no, iden=ify !oca=ion of inade~a=e clearance. no, iden=i~ loca~tmn of misaim~ valve~. no, iden=ify locar, ion of nonc~m~iianca valve. Are s~ear/£mpa.c~_ ye.lyes secured =o ~e pump I= no, iden=ify !.ca=ion o~ nonc~mzgliance valve. Does UAe shear/im~ac= valve open and close easily? if no, iden=ify loca=ion of pro~lem valve. ~aes snear!impac= valve suop all pr,duo'- closed? Yes ..'~'. No if no, tdenuify locauion of pronlem valve. flow 4 £~- -- , ~u~u~.O~S, e~c. ) ~a~: m--- - ~ P~-~per opera~:~on~ Yes _~ ~o , _ ,3y ~ravem: I£. no, iden~::LfF local:~on of Problem valve. N~ Ar~ corz~,.==' produ~ id~rC~icanton deca~ If no, iden=if~ location of noncompliance. d£spiaye~,on Are proper oc=ans decals, displayed: on eac~ dispense= for each pruduc=? Yes.. ~( ~o I£ no, iden~ify' loca=ion of noncampkiance. Ars "No Smokxn~ ? Stop Motor# signs pos=ed a= eac~ ptml3-' island? Yes _~ No , If no, iden=ify loca=ion of noncompliance. Is "Warning- it i~ unlawful and dangerous ~o dispense gasoline in=o unapproved ¢on=ainers" sign/.decal pos=ad a= each fueling posi=ion? Yes , , No ~ If no, iden=i£y location of noncompliance. / ' Is "Dan~er - Mo=or Fuel harmful or fatal if swallowe~ . · . e~.c/a' sign/decal poe:ad ac eac.~ fueling post,ton? If no, idan=ify location of noncxmpiianca. Are idenctficaci ,~numbic~. posC~ ar/for eac~ ~ po~iCLon. Yes ._g~_. No I£ no, identify location ol nonczm~liance. 8. Is a sign/decal w£~h ~~:ions for proper use of ~e vapor re~very nozzle wi'.h. APCD/A(I~ pAone nu)~ers posi:~: a= each fuelinq posi=ion? Yes .._... No ~ no, iden=ify loca=ion of noncompliance. Are all nczzle~ .in good repair (torn boor~, Yes .. No ,~ I~ no, iden=ify locaKion of "bad# nozzle. 10. Does each nczzl~ have a la:ch-open device? Yes .... No ~ I~ no, identify location of nozzle without !atc.~-open. 11. 12. 13. 14. 15. 7 Are all product (an,d yapor) hoses in good rapair (=~mrs, lea~s, e~c.) Yes ~ , ~o I~ no, id~=ify lo~Ci~ of "bad~ hoses. ~ eac=. prcduc= h.os~, have- away device? ~es ~~o ~,a I£ no, identify loca=ion of miss~q devices. l~aCa~ ema~enc~ Open eacA dispenser s~,. Are all components and pip~uq free-of lea~? Yes no, identify location of leak(s). in=ac=? Is each.conduit and rela:ed fittings Yes _.~ No .... If no, iden=if¥ loca=ion of pro~lem. Yes. A,c'e conduits equ~.pped with seal-o~fs? If no, identify !oca=ion cf noncompliance. 16. Is there a "filter" Yes __2~ No ~ If no, warning sign at each filter? identify loca=ion of missing signs. 17. Che~ calihra=~cn o~ eac~ dispenser (mere_r). Iden=2fy Number, size and con=eh= of a. Tan~ No. / Size b. Tan~No. ~ Size c. Ten, No. ~ Size d. Tan~ No. .. ~ Size a. Tan~No. SiZe f. Ten, No. Size Tan~s ,, Con~m~_ns 2. Are fi.l~ ccnnecC~crm properly iden~fied/~aqged? Yes~_ No no, iden=if¥ loca=ion of non compliance. Iden=ify fill adal:r~.ers and caps (Make & Model) for each- Are Phase I v~or recovery adap=ers clean and in good repair? Yes~ No I~ no, ~den=ify loca=ion of problem adap=er. 10 Identify vapor recovery adap=ers and caps (Ma~e & Model) for eac~ =anX. Tan~ No. Adapter ~ /f,, /! Are fi.1/l box drain valves operational? Yes~ No __ no, identify ].oca'C:Lon of faulty valve. Are fill boxes clean .arid free-, of dir~, debris, alt(t/or producl:? Yes~ No ~ If no, iden=if¥ location of problem fill box. Are remaining man~o~e boxes/sumps c~gan and f=ee of d~, debris, water and produc~:. Yes ~ No If no, identify location of proDlem. Does eag~ =an~ nave a drop =uDe (submerged fill pipe)? Yes~,~ No If no, identify location of tanJ~ missing its drop 11 10. Does each drop =u~e ex:.en9 ta wit.~hn ~ ~an 6" fro~- t~e ~an~ bo:'co~ Yes ~ No If no, idenTzkf¥ ~oca~i. on of s~OL~C drop t-u~. 11. Does eaca ~ ha. Ye. over~ill pro~a~c:Lon on t. he drop. No~;, If no, iden=±fy loca~.ion of nonoverfill Dro:ec=ion drow 12. Is eac~.//~%n~ free from water in Yu _-_2~.. No If no, iden=ify =an~(s) con=aining wa~r (including m~ wa~er). 13. Do all mar~oles have cover pla=es? Yes .7~ No If no, iden=ify loca=ion and size of massing covers. 14. Iden=±fy each manway (by =an~) Make, Model and size. Vapor Tan~ No. Fill Recovery Turnine Gage 15. Do all ~3zu~ r=sers nave ca.us? Yes Y, No .... If no, identify location an~ size of m~ssxng caps. 16. 17. Does Yes _/~ No .. If no, iden=±fy ~J3e ~(s) missing a tmn~ char=. 18. 19. 20. Does facili=¥ Aave a gage s~tcA or ~ape? Yes ~ No I~ ye--, ~y;e: woo~ ~, aluminum gage ~ape Does s=a=ion ~ave an elecl~Onic Yes '~. No If 7es, lden=ify ma~e and =i/ge. "gage CO .~pare fuel level readings in ~age 21. Do all =anX ven~s discharge s=raig~= up? Yes ._R/' ~o no, identify local, ion of noncompliance. 22. Are all =an~ ven~ outside of buildings, and a= lea~l~12, above ad~acan= ~ l~ek wa~ fre~g, ~ a=' si~ of a ~1~ Y~ ~ No no, iden=ify loca=ion and describe noncompliance.. :WSi? l RED JACKEr TECU LiNE ~R-alph Huey ;)RM G~-44 6-9-93 From Fred Long Please [] Prepare reply for my [] As requested r"~ Attend to signature ~-1 For your comment~ [] Note and return [] Send me information and suggestions [] Note and forward required to answer [] Does attached meet to filet [] For your information with your approval? I'~ See (phone) me [] As per conversation I-! For signature re attached r~ Telephone me~age · °sford & White L Per your request, attached is copy of work order stating Texaco's Red Jacket RLM 9000 monitoring system is in working condition. If additional information is required please feel free to contact me at (818) 505-2483. Thank you. BAKEROFIELD, CA ~ (8051 634-1100 1450 W. McCOY, SUITE A SA~['A MARIA, ~ 9~SI~ s~:~ AUTOMOTIVE - INDUSTRIAL PETROLEUM (0o5) a?.~-1135 EQU!PMENT INSTALLATION - MAINTENANCE c,~u~., co.'r.^c~o~s u¢. NO, 2~40?,~ ~ 10 UN IV~SA'L CITY PLAZA c ' ' ~'u ...... :~NIVEI~SAL CITY, CA 91608-7812a ~O ~~ ..... INVOlC~ 'T SERVICE I,,N...VOICE, S 9683 INVOICE NO, F>' '~- ........ USE , '~,, MILEAGE ' J Sub Contract Rentals s O~. PART NO, OateCom~leted ~-&r_~*~- ~ _Technician(a)t ~g~ . _ _. ....... Supplies Sales Tax TOTAL Poet-It~' brand fax transmittal memo 7671 PLEASE PAY FROM THIS !NVO[G£: TI:RM$: Net due ;,pen rec. flipt~/ PLEASE REMIT TO RLW EQUIPMENT flIJ p.o. BOX 6aO F G (Fred) Long EH&S Specialist Pacific West Region Texaco Refining and Marketing Inc 10 Universal City Plaza 4th Floor Universal City CA 91608 8t8 505 2483 FAX 818 505 2435 recycled paper ENGINEERING & TESTING; A Subsidiary of Arizona Instrument Corporation May 17, 1993 Fred Long Texaco R & M 10 Universal City Plaza, 4th Floor Universal City, CA 91608 RECEIVED 2 7 19 3 HAZ. MAT. DIV. Re: Tank Tightness Tests - Te~xaco 610-58 0799 4050 Gosford , Bakersfield CA Dear Fred, Line testing was performed at the above location using the ACURITE® Line Tester. In addition, leak detectors were tested to the manufacturers specification. We have reviewed the data produced in conjunction with testing for purposes of verifying the results and certifying the lines and leak detectors. The testing was performed in accordance with ACURITE® protocol, and therefore satisfies all requirements for such testing as set forth by NFPA 329-87 and USEPA 40 CFR part 280. The results of testing are shown on the following page. This information is Stored in a permanent file if future verification of test results are needed. gJ Enclosures Sincerely, Quinn Johnson President P.O. Box 8490 · Mesa, Arizona 85214 ° (602) 926-3000 · (800) 229-2930 HORIZON ENGINEERING & TESTING P.O. Box 8490 - Mesa, Arizona 85214 · (602) 926-3000 · (800) 229-2930 CERffJ,~ICA TI OJ~ Contract No:~987-93 Test Date:[May 13, 1993 Customer: 1Texaco R & M Attn: IFred Long 10 Universal City Plaza, 4th Floor {t~niversal CF- .... ~CA -~-~08 Site: !Texaco 610-58 0799 Contact: ~D.J. 14050 GoSford I Bakersfield C~_~ 193309 Tank No. t2 I_ Tank Line Test Er_oduct Besutt Leak Det. Fail ,,/ Unleaded Pass @ .000 Unleaded + Pass @ .000 Super Pass @ .000 Diesel Pass @ .000 Technician Name: ~Kenneth Fine License NO.: 19~_3_-.1~_8_~ ......................... State: ICA Technician's Signature Job Technician License No. Date GRADE PUMP TYPE Customer Location cittl State HORIZON LINE TESTING DATA SHEET ! 2 3 4 5 6 ISOLATOR PUMP PRESSURE TEST PRESSURE INITIAL LEVEL FINAL LEVEL TI ME STARTED TiME COMPLETED TEST INTEAVAL LEAK RATE (GPH) MFG. & TYPE SERIAL # Test GPH ,,, Test GPH PAS~ FAIL PASS FAIL PASS FAIL PASS FAIL PASS FAIL PASS FAIL EXISTING LEAK DETECTOR TEST Pass Fall Pass Fall Pass Fall Pass Fall Pass Fall Pass Fall NEW LEAK DETECTOR TEST Pass Fall Pass Fall Pass Fail Pass Fall Pass Fall Pass Fall D 1--! I-i I-I I--I I-I ID ID I-I ~ r-1 I--I MFG. & TYPE SERIAL # Pump D Dispenser Operational / Yes No I Yes No I-I I--I] D I-! AFTER TESTING · I verify that the dispenser (si work normally and that the leak detector (s) are not leaking. Field Notes MGR Signature HORIZON ENGINEERING & TESTING P.O. Box 8490 · Mesa, Arizona 85214 · (602) 926-3000 · (800) 229-2930 CERTIFICATION Contract No:[3987-93 Test Date:[May 13, 1993 Customer: ITexaco R & M Attn: IFred Long un UniverSal City Plaza, 4th Floor 8 Site: !Texaco 610-58 0799 Contact: ID.J. i4050 Gosford ~-~r~ C[_C_A- ~_3309 Tank Tank Line Test Leak Det. Product Besult Elesu~ Unleaded Pass @ .000 Pass Unleaded + Pass @ .000 Pass Super Pass @ .000 Pass Diesel Pass @ .000 Fail Technician Name: License No.: State: ICA Technician's Signature A Subsidiary of Arizona Instrument Corporation Fred Long Texaco R & M 10 Universal City Plaza, 4th Floor- Universal City, CA 91608 HAZ. MAT. DIV. May 17, 1993 Re: Tank Tightness Tests - Texaco 610-58 0799 4050 Gosford , Bakersfield CA Dear Fred, Line testing was performed at the above location using the ACURITE® Line Tester. In addition, leak detectors were tested to the manufacturers specification. We have reviewed the data produced in conjunction with testing for purposes of verifying the results and certifying the lines and leak detectors. The testing was performed in accordance with ACURITE® protocol, and therefore satisfies all requirements for such testing as set forth by NFPA 329-87 and USEPA 40 CFR part 280. The results of testing are shown on the following page. This information is stored in a permanent file if future verification of test results are needed. Sincerely, Enclosures Quinn Johnson President P.O. Box 8490 · Mesa, Arizona 85214 · (602) 926-3000 · (800} 229-2930 Job No. License No. Date GRADE Customer Location HORIZON LINE TESTING DATA SHEET I 2 3 4 5 6 PUMP TYPE ISOLATOR PUMP PRESSURE TEST PRESSURE INITIAL LEVEL FINAL LEVEL TIHE STARTED TIME COMPLETED TEST INTERVAL LEAK RATE (GPH) MFG. & TYPE SERIAL # Test GPH Test GPH PAS~ FAIL PASS FAIL PASS FAIL PASS FAIL PASS FAIL PASS FAIL EXISTING LEAK DETECTOR TEST Pass Fall Pass Fall Pass Fall Pass Fail Pass Fall Pass .Fall o n o o oo oo. MFG. & TYPE SERIAL # NEW LEAK DETECTOR TEST Pass Fall Pass Fall Pass Fall Pass Fall Pass Fall Pass Fall O O Fq O 0 O O O O O O O AFTER TESTING · Dispenser 0 0 0 0 C'] FI 0 O 0 0 0 0 Operational I uerlfy that the dispenser (s) work normally and that the leak detector (s) are not leaking. Field Notes MGR Signature ........... 'BA RSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION PERMIT TO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILITY Permit No.: 280040C State ID No.: 280040 issued to: TEXACO SERIVCE STATION #670 Location: 4050 GOSFORD RD. BAKERSFIELD, CA 93313 Owner~ Operator: TEXACO REFINING AND MARKETING INC. P. O. BOX 7812 UNIVERSAL CITY, CA 91608 TEXACO SERVICE STATION 4050 GOSFORD RD. BAKERSFIELD, CA 93313 Facility Profile: Year Installed Tank No. Substance Caoacit~ 1 GASOLINE 12,000 GAL 1991 YES 2 GASOLINE 10,000 GAL 1991 YES 3 GASOLINE 10,000 GAL 1991 YES · 4 DIESEL #2 10,000 GAL 1991 YES This permit is granted subject to the conditions listed on the aO, ached summary of conditions and may be revoked for failure to adhere to the stated conditions and/or violations of any other State or Federal regulations. Issued by: Ralph E. Huey Issue Date: JULY 1, 199! Expiration Date: JULY 1, 1994 POST ON PREMISES NONTRANSFERABLE BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G S%reet, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST APR 1 HAZ. MAT. DIV. FACILITY '/~XA=~ ~ I- OS~, OTq9 PERMIT TO OPERATE ~ OPERATORS NAME ~). 3. NUMBER OF TANKS TO BE TESTED__ OWNERS NAME 'q-~)~Co -~ ~; ~ IS PIPING GOING TO'BE TESTED__ AN~K~ VOLUME '~.9 CONTENTS TANK TESTING COMPANY TEST METHOD '~RA~F-,. "7;',,-~'r' NAME OF TESTER '~_~ [~ STATE ~EG~STRATION ~ DATE & TIME TEST IS TO BE CONDUCTED .~}~[t,~i~ '~'~ .~ ~ .,"~ ,,- 01oo DATE L I CANT BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301, (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST RECEIVED APR ' 1 ]V_YJ. HAZ. MAT. DIV. FACILITY'/~XA~ PERMIT TO OPERATE OPERATORS NAME NUMBER OF TANKS TO BE TESTED OWNEaS NAME ~X~o ~ $ ~ IS PIPING GOING TO BE TESTED__ TANK# VOLUME CONTENTS TANK TESTING COMPANY ~~ TEST METHOD '7.~A~-F~ '7~',/- ~ T . STATE REGIST~TION ~ ~% ~ ~ DATE & TIME TEST IS TO BE CONDUCTED A~By: DATE Bakersfield F~e Dept. HA~.ARDOUS MATERIALS DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 UNDERGROUND TANK QUESTIONNAIRE ' I. FACILITY/SITE N.o. OF TANKS DBA OR FACILITY NAME ADDRESS CITY NAME BOX TO INDICATE [~RPORATION [~ INDIVIDUAL [~ PARTNERSHIP TYPE OF BUSINESS [~AS STATION [~ 2 DISTRIBUTOR FARM [~ 4 PROCESSOR [~ 5 OTHER EMERGENCY CONTACT PERSON (PRIMAR~ DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE NIGHTS: NAMe'(LAST. F~RST) PHO~'No. WITH AREA CODE RECEIVED JUL 5 1991 Ans'd..., ........ mN^ME OF OPERATOR TEXACO REFINING AND/~ARKETING INC. NEAREST CROSS STREET PARCEL No.(OPTIONAL) STATE ZiP CODE LOCAL AGENCY DISTRICTS [~ COUNTY AGENCY [~ STATE AGENCY ~ FEDERAL AGENCY I-.,o,---,oo_..o, DAYS: NAME (LAST, FIRST) PHONE No. WtTHAREA,C .ODE NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME MAILING OR STREET ADDRESS CITY NAME Ill. CARE OF ADDRESS INFORMATION TEXACO REFINING ^i~O MARKETING/NC. ,~7-/-,'~: ~" BOX J~ INDIVIDUAL J~ LOCAL AGENCY [~ STATE AGENCY TO INDICATE ~ PARTNERSHIP [-~ COUNTY AGENCY ~FEDERAL AGENCY STATE ZIPCODE I P,H, ONE, No. WITH AREA CODE TANKOWNER INFORMATION (MUST BE COMPLETED) NAME TEXACO REFINING AND MARKETING INC. MAILING OR ST'REET ADDRESS CiTY NAME CARE OF ADDRESS INFORMATION ,,~,,7-,~.. ,'~,~,.~e,7-,~ - ~'~ V" BOX [~ INDIVIDUAL [~ LOCAL AGENCY [~ STATE AGENCY TO INDICATE [~ PARTNERSHIP ~ COUNW AGENCY [~ ~:EDERAL AGENCY STATE I ZIPCODE PHONE No. WITH AREA CODE OWNER'S TANK No. DATE VOLUME INSTALLED PRODUCT IN STORED SERVICE Y/N Y/N DO YOU HAVE FINANCIAL RESPONSIBILITY? CYaN TYPE ,.Ce{,/: /n,/'~,,.e~' ~-L~ Fill one segment out, or each tank constructed of the..~l~me materials, one segment out. Please identify I. TANK DESCRIP'I:ION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN unless all ~ks and piping are style and _~_, then only fill tanks by own~ ID #. A. OWNER'S TANK I. O. #' C. DATE INSTALLED (MO/DAY/YEAR) III, TANK CONSTRUCTION MANUFACTURED BY: (~)~,/E=,,,,~j,` - ~___...O~..~,tl~,,j..~, D. TANK CAPACITY IN GALLONS: /--/"4/ OOO .~-- ~"~ OOO MARK ONE ITEM ONLY IN BOXES A. B. AND C, AND ALL THAT APPLIES IN BOX D A. TYPEOF [~ 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL 8. TANK [~ 1 BARE STEEL MATERIAL [] 5 CONCRETE (Primary'rank) [] 9 BRONZE C. INTERIOR UNING O. CORROSION PROTECTION [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATtBLEW/FRP ] 99 OTHER ] RUBBER LINED [] 2 ALKYD LINING 1 ,,~ 5 GLASS LINING [] 6 UNLINED IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? [] 3 EPOXY LINING [] 4 PHENOLIC LINING [] 95 UNKNOWN [] 99 OTHER YES [] 1 POLYETHYLENE WRAP [] 2 COATING [] 5 CATHODIC PROTECTION [] 91 NONE [] :3 VII~L WRAP .,. [~ 4 FIBERGLASS REINFORCED PLASTIC [] B5 UNKNOWN [] 99 OTHER IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE ~, U 1 SUCTION _ A U~___.~2 PRESSURE A U 3 GRAVITY B. CONSTRUCTION /~)l SINGLE WALL A U 2 DOUBLE WALL A~____..~ LINED TRENCH A U 99 OTHER A U 95 UNKNOWN A U 99 OTHER C. MATERIAL ANB CORROSION PROTECTION BARE STEEL ALUMINUM GALVANIZED STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE A U 6 CONCRETE A U 7 STEEL W/ COATING A(~8 100% METHANOL COMPA~IBLEW/FRP A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 9g OTHER V. TANK LEAK DETECTION [] v,suAL CHECK [23 ' ,NVENTORY RECONC,L,AT,ON []3 VAPOR MON,TOR,NG AUTOMAT,CTANK 'UG,NG []S GROUND WATER MON,TOR,NG [] 6 TANK TESTING,NTERST,T,ALMON,TOR,NG [] ,, NONE I. TANK DESCRIPTION COMPLETE ALL ~TEMS -- SPECifY ~ UNKNO~ 8. MANUFAC~RED BY: A. OWNER'S TANK I.D.# C. DATE iNSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE tTEM ONLY IN BOXES A. B. ANDC, ANDALLTHATAPPLfESINBOXD A. TYPEOF [] 1 DOUBLE WALL SYSTEM ~ 2 SINGLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC ] 8 100"/o METHANOL COMPATIBLE W/FRP ] 99 OTHER [-~ 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING C. INTERIOR LINING [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN IS LINING MATERIAL COMPATIBLE WITH 10(P/o METHANOL ? YES__ NO__ ] 4 PHENOLIC LINING [] 99 OTHER D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN [] 99 OTHER IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A IJ 99 OTHER C. MATERIAL AND A U I BARE STEEL CORROSION A U 5 ALUMINUM PROTECTION A U 9 GALVANIZED STEEL A U 2 STAINLESS STEEL- A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE T~GHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [,-] 1 VISUAL CHECK [~ 2 INVENTORY RECONCILIATION ~ 3 VAPORMONITOR'NG[--'~ 4 AUTOMATIC TANK GAUG'NG. [] 5 GROUND WATER MONITORING ; I 6 TANK TESTING [] 7. ,NTERSTITIALMONITORING [~ 91 NONE [] 95 UNKNOWN ~ 99 OTHER