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Home My WebLink AboutUNDERGROUND TANKCA Cert. No. 25502 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (661) 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 inthe 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 27th day of April, 2001 to: A 1 FOOD STORE Permit//015-021-01)2203 1200 H Street Bakersfield, California 93301 692, ~t'ficient 'et the., ulation. uit the' 7 equire~ ' oard for control Jard O) ~ rmit .to"-. section."? (a) ~f ~- .hat t of ~e .~ . in ireme~'. n of~ tring~[ J n 4~2~ ,ply y e~. the ~' : 693 AIR RESOURCES Code) and the district is the lead agency, the district shall prepare and act upon the report or as?essment and the permit to construct concurrently in order to streamline the approval process. However, the district shall be required to take that concurrent action only if the applicant has submitted the information required by this section to allow the district to streamline the approval process. (i) For purposes of this section, "material change" means a change that would result in a material impact on the level of 42301.6 contrivance consistent with a reasonable schedule of compliance, as determined by the district. (2) In determining a schedule of compliance under this subdivision, the district shall consider the extent to which the proposed schedule Will adversely affect the ability of the facility owner or operator to amortize the capital costs of pollution control equipment purchased within the preceding five years. (Added by Stats. 1981, c. 147, p. 945, § 1. Amended by Stats. 1987, c. 602,§ 1.) emission calculated. (Added by Stats. 1993, c. 1180 (A.B. 1520), § I. AmendedbyStats. 1994, c. 720 (A.B. 2090), § 1.) ~ 42301.6. Source which emits hazardous air emissions within 1,000 feet of school; public notice; distribution or mailing;' § 42301.5. District regulation requiring reduction in emis- sions; nonattainment areas; to.dc air contaminant emis- sions; effective date e schedule of com-liance as determined b the sta ...... v , y , te ~Y article, machine, equ pment, or contrivance which within a dis ..... trtct which Is designated by the state board .... uamment area for any national ambient air ~uality and for which an authori~ to construct is issued 0n or ~nu~, 1, 1988, shall complf with any district regulation .(~.aagpted after December 31, 1982, and which requires a m emissions of any air pollutant includin~ any ~..'zf~, ..;.~the ~, mr po,utant, which interferes w~th the attain- standard, from that article, machine, equipment, or (a) Except as provided in subdivision (b), any district regula- tion which requires a reduction in emissions from any article, machine, equipment, or contrivance for which an authority to construct was issued between January 1, 1981, and December 31, 1987, inclusive, shall become effective for that article, machine, equipment, or contrivance five years after issuance of the permit to operate if the regulation was adopted after issuance of the authority to construct and construction has commenced within two years of the date of issuance of the authority to construct or the applicant has, in good faith reliance upon the perrhit issued, performed substantial work or incurred substantial liability. (b) The district may require compliance with a regulation pdor to completion of the five-year period specified in subdivi- sion (a) if the district or a portion of the district is designated by the state board as a nonattainment area for any national ambient air quality standard and the district determines that earlier compliance is necessary .to demonstrate reasonable progress · toward attainment and that, on 'a case-by<ase basis, compliance ~th the regulation will not do ~ny of the following: (1) Require the abandonment or removal from service of any existing manufacturing or energy-producing equipment. (2) Specify an emission level or operating standard which ~ould cause a substantial increase in the rate of degradation of energy-producing equipment or would cause a violation or raiding of a manufacturer's warranty for that equipment. {3) Result in an increase in operating costs in excess of 5 percent per year for the article, machine, equipment, or contri- vance for which the authority to construct was originally is.sued. {4) Require an increase in capital costs in excess of one ~andred thousand dollars ($100,000) or 3 percent of the original capital cost of the article, machine, equipment, or contrivance ~ which the authority to construct was originally issued, 'hkhever is greater. ' {e) Any article, machine equipment or contrivance which ..t~/ emit into the ambient air any 'toxic air contaminant · ~i~_~lfi.ed pursuant to Section 39662 shall comply with any _'qimatton adopted by the state board or a d strict requiring a ~l~d~etion in emissions of that contaminant or chemical from the =l~'le, machine, equipment, or contrivance consistent with'a comments; requirements; certification by applicant (a) Prior to approving an application for a permit to construct or modify a source which emits hazardous air emissions, which source is located within 1,000 feet from the outer boundary of a schoolsite, the air pollution control officer shall prepare a public notice in which the proposed project or modification for which the application for a permit is made is fully described. The notice may be prepared whether or not the material is or would be subject to subdivision (a) of Section 25536, if the air pollution- control officer determines and the administering agency concurs that hazardous air emissions of the material may result from an air release, as defined by Section 44303. The notice may be combined with any other notice on the project or permit which is required by law. (b) The air pollution control officer shall, at the pei'mit applicant's expense, distribute or mail the public notice to the parents or guardians of children enrolled in any school that is located within one-quarter mile of the source and to each address within a radius of 1,000 feet of the proposed new or modified source at least 30 days prior to the date final action on the application is to be taken by the officer. The officer shall review and consider all comments received during the 30 days after the notice is distributed, and shall include written responses to the comments in the permit application file prior to taking final action on the application. (1) Notwithstanding Section 49073 of the Education Code, or any other provision of law, the information necessary to mail notices required by this section shall be made available by the school district to the air pollution control officer. (2) Nothing in this subdivision precludes, at the discretion of the air pollution control officer and with permission of the school, the distribution of the notices to the children to be given to their parents or guardians. (c) Notwithstanding subdivision (b), an air pollution control officer may require the applicant to distribute the notice if the distrkt had such a rule in effect prior to January 1, 1989. (d) The requirements for public notice pursuant to subdivi- sion (b) or a district rule in effect prior to January 1, 1989, are fulfilled if the air pollution control officer or applicant responsi- ble for giving the notice makes a good faith effort to follow the procedures prescribed by law for giving the notice, and, in these circumstances, failure of any person to receive the notice shall not affect the validity of any permit subsequently issued by the officer. (e) Nothing in this section shall be deemed to limit any exisl;ing.authority of any district. (f) An ~,pplicant for a permit shall certify whether the proposed source or modification is located within 1,000 feet of a schoolsite. Misrepresentation of this fact may result in the denial of a permit. (g) The notice requirements of this section shall not apply if the air pollution control officer determines that the application to construct or modify a source will result in a reduction or § 42301.6 HEALTH AND SAFETY CODE equivalent amount of air contaminants, as defined in Section 39013, or which are hazardous air emissions. (h) As used in this section: (1) "Hazardous air emissions" means emissions into the ambient ai~ ,c air contaminants which have been identified as a toxic air co~ aminant by the state board or by the air pollution control officer for the jurisdiction in which the project is located. As determined by the air pollution control officer, hazardous air emissions also means emissions into the ambient air from any substances identified in subdivisions (a) to (f), inclusive, of Section 44321 of the Health and Safety Code. (2) "Acutely hazardous material" means any material defined pursuant to subdivision (a) of Section 25532. (Added by Stats. 1988, c. 1589, § 8. Amended by Stats. 1991, c. I07(S.B. 274), § 1; Stats. 1991, c. 1183 (A.B. 928), § !4.) § 42301.7. Threat of release of air contaminant from source within 1,000 feet of school; notice to administrative agency and fire department; administrative agency; powers; air pollution control officer;, powers (a) If the air pollution control officer determines there is a reasonably foreseeable threat of a release of an air contaminant from a source within 1,000 feet of the boundary of a school that would result in a violation of Section 41700 and impact persons at the school, the officer shall, within 24 hours, notify the administering agency and the fire department having jurisdiction over the school. (b) The administering agency may, in responding to a reason- ably foreseeable threat of a release, do any of the following: (1) Review the facility's risk management and prevention plan prepared pursuant to Section 25534 to determine'whether the program should be modified, and, if so, require submission of appropriate modifications. Notwithstanding any other provision of law, the administering agency may order modification and implementation of a revised risk management and prevention plan at the earliest feasible date. (2) If the facility has not filed a risk management and prevention plan with the administering agency, require the preparation and submission of a plan to the administering agency pursuant to Section 25534. Notwithstanding any other provision of law, the administering agency may require the filing of a risk management and prevention plan and ~,~ implement? tion at the earliest feasible date. (c) The air pollution control officer may, in rc~, ~g to a reasonably foreseeable threat of a release, do an:,. of the following: (1) If necessary, issue an immediate order to prevent the release or mitigate the reasonably foreseeable threat of a release in violation of Section 41700 pending a hearing pursuant to Section 42450 when there is a substantial probability of an injury to persons at a school resulting from a release that makes it .reasonably necessary to take immediate action to prevent, reduce, or mitigate that injury. The officer may not issue such an order unless there is written concurrence to issue the order by a representative of the administering agency. (2) Apply to the district board for issuance of an order for abatement pursuant to Section 42450. (d) Nothing in this section limits any existing authority of any district. (Added by Stats. 1988, c. 1589. § 9.) § 42301.8. Request from principal of a school; district duties; notice Upon receiving a request, for good cause, from the principal or an authorized representative of the principal of a school, the district shall, within 24 hours, respond to the request and noti~ 694 ~695 the administering agency and the fire department having juris- ~; (c) Co, diction over the school. The administering agency, upon :.~f emissi~ receiving such a request, shall notify the district within 24 hours. ,the accur: (Added by Stats. 1988, c. 1589, § 10.) ~lieu of th{ § 42301.9. Definitions I~ (d) En "terms. (~ For the purposes of Sections 42301.4 to 42301.8, inclusive: "~ Stats. 1~. (a) "School" means any public or private school used for ~, purposes of the education of more than 12 children in kindergar. ~ ten or any of grades 1 to 12, inclusive, but does not include any 'Permit iss, private school in which education is primarily conducted in h~ enviro private homes. ( § 210: (b) "Air contaminant" means any contaminant defined pursu. ant to Section 39013. § 42301.1 ~,.. men! (c) "Administering agency" means an agency designated q2: crite. pursuant to Section 25502. ~ (a) An (d) "Handle" means handle as defined in Article 1 (com. iby a dish mencing with Section 25500) of Chapter 6.95 of Division 20 of !c6nsisteni the Health and Safety Code. (Added by Stats. J988, c. 1589, § 11. - }~itle V Amended by Stats. 1990, c. 216 (S.B. 2510), § 81; Stats. 1991, c. ~bllowing 1183 (A.B. 928), § 15.) § 42301.10. Permit issued to Title V source; compliance with (2) Iss~ all federal Clean Air Act applicable requirements ;mental P In any district that has a permit system established pursuant to Section 42300, the air pollution control officer may include, in any permit issued to a Title V source, emission limits, standards, and other requirements that ensure compliance with all federal Clean Air Act "applicable requirements," as that term is defined in regulations adopted by the Environmental Protection Agency pursuant to Title V, including those requirements specified in an applicable implementation plan as defined by Section 7602(q) of Title 42 of the United States Code, and Parts C (42 U.S.C. Sec. 7470 et seq.) and D (42 U.S.C. Sec. 7501 et seq.) of Title 1 of the Clean Air Act. (Added by Stats. J993, c. 1166 (A.B. 2288), § 8.) Cross References Permit issuance, modification, amendment, or renewal, application of environmental quality division, see Public Resources Code § 21080.24. § 42301.11. Implementation of Title V by districts; legislath'e intent It is the intent of the Legislature that, in addition to their responsibilities and obligations under state and federal law, in implementing Title V, districts do all of the following, to the extent feasible: (a) Develop, in recognition that districts are obligated to issue one-third of the Title V permits within one year of the Title V program's approval by the Environmental Protection Agency. and in recognition that sources are allowed one year to sub~t a Title V permit application, an equitable program for ensun~ that all sources receive as much time as feasible to develop anu submit permit applications. In developing the program the dmtncts shall recognize the complexity and size of the facflm . thc number and similarity of facilities within each induSm: category, the level of effort required to develop the per~ application, and the resources available to complete the appli? tion. The districts should also consider potential incense programs to promote voluntary early permit application subm~' sions. (b) Consider the advantages and disadvantages of inclufi~ t_h.e permit shield authorized by subsection (f) of Section 70.0 ~ ~ Iitle 40 of the Code of Federal Regulations in all Title V pe.r~ to clarify the federal compliance responsibilities of Tiu¢ ,,.' sources, z ~' ~,~hose whi · make th: ~ ~,;, ( )i~ :--~e feder~ · ! ~'federal r, *' ~i6.nns an, :~enni~tin, CITY OF BAKERSFIEIJ) OFFICE OF ENVIRONMEiN~AL SERVICE~ 1715 Chester Ave., Baked, CA (661) 3263979 APPLICATION TO PERFORM'A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING NUMBER OF TANKS TO BE TES~D~.:__ IS PIPING GOING TO BE TESTED~/..~. TANK # VOLUME _ CONTENTS t A-,:} N£ STORE 1200 H ',~;T BtAI(ERSFI El_I) CA '33;301 661 -:3:':~ 4 -4138 APR 24. 2002 lO::]:]:~ AM '~..., T 2: DEL i'v'EFt"," I',JEEI)E[) T 1 :RE,] LII'.iL \./,:}LI.IME = 9524 IJLLAGE = 5531 (;ALS '30~:.c ULLA,.SE.= 4025 GALS TC 'v'(:,L, UPIE = '54u1 HEI(]HT = '77.4~ INCHES I..,.i~d'EE' = ,3.00 INCHES "['EI'-'iF' = '78.4 DEG F ]' 2: I:"F~L]'.'I ! ur,.l 'q,hLUME = 5,'7.4 LILLAGE = 6462 902; ULL,AGE= 5749 G,~LS 'FL'; ",,~('~LUi'-'IE = 5f:.7 ,]AL~ HEI;];HT = 17:43 INCHES WATEFt VOL = 0 WATER = 0.00 1 NCHES TEMF' = 76.5 DEG F SENSOR ALARM L 5:ANNULAR ANNULAR SPACE FUEL ALARM MAY 18. 2001 1:26 PM A-ONE STORE 1200 H ST ~ BAKERSFIELD CA 98301 661'-324-4138 MAY 18, 2001 9:52 AM A-ONE STORE 1200 H ST BAKERSFIELD CA 661-324-4138 MAY 18, 2001 1:28 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL ..... SENSOR Al. ARM .... L 2:DISP 3-4 DISPENSER PAN FUEL ALARM MAY 18, 2001 1:23 PM A-ONE STORE 1200 H ST BAKERSFIELD CA 93301 661-324-4138 MAY 18, 2001 1:28 PM SYSTEM STATUS REP~_ ALL FUNCTIONS NORMAL INVENTORY REPORT T I:REG UNL VOLUME = 13102 GALS ULLAGE = 1953 GALS 90% ULLAGE= 447 GALS TO VOLUME = 12952 GALS HEIGHT =104.01 INCHES WATER VOL = 0 OALS WATER = 0.00 INCHES TEMP = 76.3 DEC F T 2:PREMIUM VOLUME = 3980 GALS ULLAGE = 3046 GALS 90% ULLAGE= 2343 TC VOLUME = 3935 HEIGHT 70.69 ES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 76.0 ..... SENSOR ALARM .L_I:DISP 1-2 DISPENSER PAN FUEL ALARM MAY 18. 2001 1:23 PM ..... SENSOR ALARM L 4:92 STP STP SUMP FUEL ALARM MAY 18, 2001 1:24 PM SENSOR ALARM ..... L S:87 STP STP SUMP FUEL ALARM MAY 18, 2001 1:25 PM ..... SENSOR ALARM ...... L 5:ANNULAR ~NNU~ARS~ACE ........ FUEL ALARM MAY lB, 2001 1:26 PM REDWINE TESTING SERVICES, INC. P.O. Box 1567 Bakersfield, CA 93302-1567 ALERT 1000 rJNDERFILL AND A2~ERT 1050X ULLA~£ S¥S'rEM Preci-':ion Unde.c.:;ro~nd. St¢;r*~.ge ~""-k...,, :3ysten% Leak T_~_~t TEST 9,~ SULTS SI'f~:A OME FOOD STORE 1290 "a" STREE? BAKEP. SFI ELD, C'.k ~RODUCT VOLU~ %FULL WETTF. D z NON-W~TTF~ PRODUCT L~F~tK WATER IN (~DJ~) PORTION PORTZON LIN~ DETECTOR I;NL-8? 1506'0 :'38'~ +D. ,31.S-.~,$$ PASS -,.~. OlS.-PA~ N.,"A (~ m' PREMIUM '/0Gf~ 6[ ~" .F,,. O ~4-'?,q'J$ P.~,$S .-O, .S~14- .~A,$,~; :,;/;., 0" WATER Mea$~.~re,T, ents shc',,:ed tha~ ~..,at..~ in tt, e backfa!! area at the cf %e~ting was b~Ic,..~ tank hotto~, and therefcre uot a fatter in d~t~rmina~ion. A mc'.~iror~n~ '.cc~l 0;~ a ~ell psin~ wa~ drl','~:'~ ir~ the ~ank bottom. Alert 1O00 underf~ll ~?stem an~ the Aler% '.050 ullage sys%em, S have perfo['n,ed in .acor[da~De v,u. th A~ert prc~,~,CCi, and therefore sati~fSe~ all CFR Th~., ~esult,~ of te~tiug are whether the we~te~ and nc;~-,.~e~ted pcrtion ~'assed cr w~.~b Ch~ r~porD are reprc,Juztion of ~ata Cc:~plir~d. C~uri:~9' the ~test Wh,'~Ch AL%NC 040 Test Ce r t i'f.zed James J, Rich ALERT TECHNOL OGLES PLOT OF ULLAG£ T£$T DA TA U 7 0 75 I2KHZ ANPLITUOE HA;I0 A ONE FOOD S TOHE 1200 "H" STHEET BAKEHSFIELD. CA 9330i 15000 GALLON UNLEADEO TANK 750* 0 75 H N U T E $ 3 5 I2KH~_ OETECTION RA1 I0 = 25KHZ DETF:CT ION RATIO TEST ¢~ESULT : PASS .999 DA'rE AN0 TIME OF' TEST: 5/11/01 1: 53PM 8EG|NNING BOTTLE PH£S~SL~qE = 2400 ~IEGINNING TANK PC~ESSURE -- I .5 2SIG ENDING B0~1LE PF~SSURE = ENDING TANK PRESSL~E = I-5 PSIG Loca: N U T S AL ERT TECHNOL OGLES PLOT OF ULLAGE 7'EST DA TA A ONE F000 $10RE 2200 "H" STREET. BAKEMSF'iELD. CA 93301 7000 GALLON 12KHZ ANPL I TUDE 0 75 750 ~ 0 75 ~5 I! 754 ~KH: DE'rECTION ~,~TIO = _999 25KIiZ O£~I£CIION RATJ0 TEST FIESIJi.. T = P/~SS 0~1£ ANO TINE OF lES1. 5/11/0~ 1~:01PN flEBiNNINB I~GI'iLF_- PQEGSUA£ ~ 1gO0 tit:GINNING IINX ~,°.[SSU6E = 1.5 PSIG ~NllfNG TANK P~ESSU~ -., 1.5 P$]G REDWINE 'TESTING SERVICES, INC. P.O. Box 1567 Bakersfield, CA 93302-1567 PRODUCT and the results ~ iiste~ are to my knowledge ~rue and correct, hour {0.05 GPH~ rate a~ 150% ~orking pressure o~ 50 psi which ever is leSG. The GPH rat~ f~ calculated ~s; mL/ 0.00106. License:# 99- lO?l__ ~ate: _ . , ONE FOOD STORE FAX NO. ' 661 324 4Z~8: Maw, 17 2801 09:SSAM P2 L._._J2~~, l.,~ ~ ] om., c¥~., oooR LCCK~ ' ES.,',.;. J_-],o ~ 1,.0..00.000 ] or~e~ (~.,,,~,,~,,,~=, ~ "'m ............ ' 1,~' 4 LIQUO~ LIABILITY ON GRO$S RECEIPTS OF 50,000 ...... { 1,000,000 AGGREGATE , !]ZCD .,, .,,, 154'~ 1 PRIMARY FOOD STORE PAC~E R NG BOREAU f D NO ANN ' "'" '"' :"' ;'":'"-' '"': I ...... ~ ' -- ~ PARrr~I¢ATINO , , MAY-- ~1,~7..-- 0 i T HU 1 El .' 57 FROM B . S . S . R I NC P El 1 iA ONE FOOD STORE FF~< NO. ~ 6~1 ~24 4138 vlsi. i7 ~8~i 89:57AM P1 FROM ::'~, ,. '" I"~'-"="?':~..~..O~R..D-,. ............................................................... SMALL COMMERCIAL ACCOUNT PACKAG i='"A."~-~-I t 859-1000 TRUCK INSURANCE EXCHANGE '~ 6q:2 CALI~'ORNtA AVE. BA,:,ER~FIEL..D CA 93504 .04.I1 GENE .P.,~L iNFORMATION ~ ...... ',~",, ~,': ~ , , AR~N~.A~pNY~N~ ~O~N~ eR FUEL PUMPS JUST INSTALLED APPLICANT INFORMATION FEDE~AL~O ~ i ' ]~R]N') 'I H~ PA:~T ~ Y~A~ HA8 ANY COVERAGE BEEN I'AN~I L~D NOAhRGN~W~D ~L N~D OR ~L~CEO ~ NC, 4-~A:4~ARO hmIARg~T39 YE~ E)'~ ~;~) ', X flOC'Al:iON :, . ~200'H[ST ~owr,~j ~, ..., INSURANCE OFFICE BAST ~1 iJ~E'OF bUS INESS RETAiL/SERVICE 80P 04/19/2001 { 0~,/1 ~/200~ J ' ' I 't" ''~" IEASY PA"( _.L ............. :. ........ k__,L2i~Zl__j, ' ' F'[;'cir,1 : A. ONE FOOD STORE '" ~;~k'~ At~L aOV6~ES ~' UNOERLY}NG ~OlJC,IES.'" .AL~O CH~' ~.K ~':,' ',,' ;,~l{,~V~l~ ~F. OI?~TiOH FO~ ANY UNDErLYiNG POUCI~ rN FO~ ~N ADDITION Tg , .,. ,/ ",':~"~ ,. .'.,,/"~D ~t1'fO~L 't~T~RESTS (~orl~g~es~ Loss Payees, etc,) . 6613260453 REDWINE TESTING REDWINE TESTING SERVICES, INC. , P.O. Box 1567 Bakersfield, CA 93302-1567 W/O%: ~,~'.'~ .. PAGE O T £ $ AL ER T TECHNOLOGIES PLOT OF ULLAGE TEST DATA A ONE FO00 SIORE I200 "H" ST~E-T. '~AKE~SF/ELD. CA 9330~ 0-:75 ' -75e-;. TEST RFSUL 25KHz OEIECIION RATIO = .999 PASS 750, 5/:11/01 12: EN0~NG 8011-LE Icq--tE. SS1,.N~ = ' 1500 . FNt"H'NG TANI< PRESSURE -, I 5 tL~2G ..-; ;' -" - -.. · --' ,.-- . : .' .. .. c ..i".; - ' - " ......... " -.- . .'. 'i'..:- - . ' ' .... - ";"' -Z'. J.'--- -'.'. .-.-i.' .. . '- ...} . , :'i:' -,.--.;. 60 · '.: .'."':";'- .. -- - "- . - -'-'-v.: . . - -- -:. ... ".:' _~: "': . . ........ :~:!'-:-':':' - . "'LN' - . ...-...; ~!... --:.. .... - .= ..- .. .. - - : . - .. ... .. . . .~'.. :...-. : ...... . .C'.:::. ....... ..:.:-:--;.:: ::~. -. .-- :.. ~ ... . :'.!':'-:'{~';.-- i'.h-:.'.'";.";Z¢-:'' .._F.. . '; . ---. .... . ..... -- . .~~~-~-.-'-:; ::'T--: .'-~-~~- -':.i.-:'-. '";'!:2:::;':' !'"; " .. .- ':: .'::.:'h'J.. :--':. 'K:::;F ' .~i.Ni~:;.Z .. = -- ... -:-: .:::./...::.-:;-!.!2...'i'....:~.;~-.-.::" . - - -l.i::l-.- . . - . - .... i.;'l-:-: "- :':-'- "21- -.' ' -.'-- - -::h ...... --- . ..... '.-"' -- :'"" ....... ...... -lO:l"'-HOi~ '-".- ::: -" -' .'..'.:'J; :" ' " " ' ...... ' '-{ ...... - ..... : ..i :".. . 'l-l:'.::.' -.~ ......... · .' ':-;:..~. 1::: -1-;':' '.:': ...: :..' ' . - .: .. : '-:..'-: -- '- ; .1:.. ' - : .-.c' ..:._ :'"'. ':::.~L{~::-:-:l m "'k': - - . '": '...':.:':. ..... -' '-:-. ....... . '-' :- .,:- ";:" . '"1..'..'.=" :' . ._'..'.~:.'.';:.. _:7'': :".:-:'iF.ff"' ' ~_. ':. " ~'~:': ' -:::: .:- i'.'" '". :'::-" .'. ':. "~..'".'-.' .::~::. . (.'¢t'-). }i:i3~i::.::--~':-:'~:'":--,::'~, i:,: i?~'~: ~"-:-::' ~:'~':-:'"":'~' '~--:::'.,-:'-::~--;~';''-'~:~,:~::-:':::~ ~:':-;~ :. ;~ (h " :-":: ...... ~"-'-':'::':~"-': :': ....... :;:.':':::i',-~ ! !;i.' :{'.:(- ::x!: i:. i.:":.:'i; ::.:- r) ':::-. :':': . :....:.:!;.-::ii:-:~:...::::!: :..-:. :.-t~:--':~ '-:- -::..-:: ...:..:-..:: -~-:~::-.'::ii"a ;:' :-' :::".:::ii:;":N-~ :: : i'i.~:'{ .:i::...~a':::.!f~i..:. "i::': :iv".'.: ' "-":::-:a-a-:-:" '" ".~': - .~'-:..:..~:::.i.:.:-..-'.':':-~-.-'....:-.:.:?..~.,,----~: ...'....--..;.'.'...:. ...... ,~-;-_,.-~. --:.:..:::~',.~'-~ .--_::::. ,,,~,..~-;:.:-.~'.~: . ....;: ~.;-,, . ;]~,~-":~. ...~,[:,-~C{f.~:~~ i .'::~[,Ii~11' :::t, lb~tl]li~]i:: I:1)181i.~.~::~ ~ .-- .Z, 5-] "' ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA ! U E S O. 75 ~2KHz'AHCL TUDE aATIO A ONE FOOD STORE -1200 "{-I" STHECT .BA~EllSFIELD. C/t 93301 i5000 GALLON UNLEAOEO 'TANK .7,50+ O. 75 ' T £ 3 S 25KH2 AMOLITUOE R~.TIU ~2KHZ OETECTION RAtfO = 25KHZ DETECTION qATIO ; .999 1EST DESULT = PASS DATE AND TINE OF- TEST: 5/JJ/O] :1: 53PN .SEG|NNtNG FJOTI'LE PFIES'~L.tqE = 2400 ENOING BOll'L£ @I::i['SSUI:~: ..= ~,r.r.r.r.r.r.r.r.r. raO0 END£N6 TANK PRESSURE ~. 1-5 PSIG 750. REDWINE TESTING ": ~l REDWINE TEstiNG SERVICES, INC'' ~ Bake'rSfield,CA'93302-1567 . Test .Cate ~ .3~ te.~;t.ing ',,a:~ .~.,,,~. :.aP:~ :::.%to:~, .arid the~"~fc:e hot a facce:"i:: Alert lOOO Undo%fill '~'.y~.t'¢~l .aa~ 'the ;~./'~r: .050 ;lla~e ~y~:em, ;: have ~:erifyt. ag Che. :[e'~,-,'~,~ ..a~',:ei~.~fytng ~'he ~ank ~ys':i~.x ' The ('FK pamt,~80,. ,."' . , AL~NC 040 ' ' ' ~e~: C~'L~d "8.y::, , '.." ,,. PAGE 82 PAGE 01 Fa, csimil:e:.COver Sheet ,cOmmentsi .'.* .... . Hardcopy to follow, by.,U. $:' Mail.:',,., ,',... TO':'!.':l.nspecto.r Steve Underwood co'mPanY:.'. Bakersfield Fire Department .' ..Phone:.i. (.66.t) 326-3190 ... Fax.:.~. (66'1).326,.0576 ," "~:"~:ROM::'i ': Dugan. Turner C,Om panY '::' ! REDWlNE:. ,TESTING SERVICES; ..... . ...'I'NC: ... .':Phonei..: '(661).326..0446 :.' ':'".. :.',FAX.;.. '...(661.)326-0453 .,.. Date':..,:.'. May '16;' 2001 Pages incl,uding..this:i' '.c.OV, er:,Page: ~.'." 7' MRY-- 1 $--0 1 TUE 13 : $? F~OM~ B. S . S . ~. INC. P . 0 i -' BFI) Il/l/ ~/t'l' I) lV [~001. ' , PERMIT APPLICATION TO CONSTRUCT/MOD,IPY UNDERGROUND STOILAGE TANK r ]NE.W FACILITY ~).~.,_ODWICA'rION OF FACIL~Y [ ]NEW TANK Ilq$'rALLATION AT EXISTING FACll, FFY WATER TO FAC[I,FfY ?ROVH)ED BY DEPTI-I 'to GROUND WATER SOl'[, TYPE EXPECmFED AT SI'YE NO. OF TAN'KS TO DE INSTALL.ED AKI~ T?IEY FOR MOTOR FUEL " .. YES ..... ~TO.. SPILL PREVENTION CONTROL AND COUNTER MFAS[~.E$ PI,AN ON FILE __.YES ~NO UNLEADED REOULA~ PPJ-:MIIJM D1TJ$/JL ~CTION FOR NON MOTOR FUEL STORAGE TAN'KS TANK NO. VO£,[~vlE CliEMICAI. STOBJtD CAS NO. (NO BP, AND NAME) (~' KNOWN) CHEMICAL PREVlCOUSLY fiTOR~D FOR OFFICIAL USE ,ONI,¥ ~ / ~ ~Y o'r~;R STATE, L~ ~llS FORM ~S BEI!N CO~LETI",I) UNDER PEN~TY OF PERJ~Y, A~ TO T~EST 0,' ~OWLE~S THIS APPLICATION BECOMES A PERMIT WHEN APPRO~D ,., EMERGENCY ]RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at a/l times. The information on this monitoring program are conditions of the operating permit. The pe:rmit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, tmless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. Facility Address If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up from the secondary containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. C_ _ll Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. Describe the location and availability of the required cleanup equipment in item 2 above. Describe the maintenance schedule for the cleanup equipment: C_-~ e__~./~ List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary pnder the response plan: OF~CT~ON ~ ,~ ~' NEW 5ITE PERMIT one ~fe.'n on/y) OFFICE OF ENVIRONMENT K SERVICES 171 hester Ave., Bakersfield, CA l J01 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY [] 3. RENEWAL I:~RMIT C:] 4. AMENDED PERMIT ["] S. CHANGE Of INFORMATIDN (SOec~ ~oce/use [] ~. TEMPORARY SITE CLOSURE I. FACILITY I sFrE INFORMATION 3 FACR.rI'Y ID $ Pa~e ~ ~ [] r. PER~RANENTLY CLOSED SiTE [] 8. TANK REMOVED BUSINESS NAME (Same al FACILITY NAM~ ~- DBA - Doing 8US,NESS IS~4Tcas ST^nO~ E:] ~. F,~'. [] ~. COMMERC~ TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER 403. FACILITY OWNER TYPE [--] I. CORPORATION ]/~ INDIVIDUAL PARTNERSHIP [] 4. LOCAL AGENCY/DISTRICT' [] 5. COUNTY AGENCY' [] 6. STATE AGENCY" [] ?. FEDERAL AGENCY' TOTAL NUMBER OF TANKS Lt flcfllly on Inda~ Re~va~ or 'E ~ ~ UST a ~ ~ ~e ~ ~ ~ RE~INING AT S~E ~? ~. ~_~ ~ ~ ~ ~e UST. · = · IL PROPE~ ~EE INFO~N .' : :?: P~R~ O~R~ ~. J ~NE ~. ~ILI~ OR S~ ~ ~. 410. I STATEc~.411. I ZIPCODE [] 4. L~ AGENCY I DISTRICT I~1 6. STATE AGENCY [] s. COUN'n'AGENCY [] 7. 415. 418. 417. IcSTATE~* 418. i ZIPCOOE~_~,,~%C:::) ~ [] 4. LOCAL AGENCY /OISTRICT [] 8. STATE AGENCY E] 8. COUNTY AGENCY [] 7. FE0~RAL AGENCY 419. 420. ., , ......... ;:~::,,.: .... ..., ,.';. IV. BO OFEQUA. . NUST EFEE CC TNuMBER :i, .' 'FY (TK) HQ 4 4 - Call (916) 322-9669 if questions adse 421. ' . · '::.:. . ,' .. :V, PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(S) ~ 1. SELF4NSURED [] 10. LOCAL C.~}V'T MECHANISM 2. C, AJARANTEE [] 9g. OTHER: [] 4. SURETY BONO //~ 7. STATE FUND [] s. LETTER OF c. aEorr /E~ 8. STATE FUND & CFO [] 3. INSURANCE [] 8. EXEIk. I3T1ON [] g. STATE FUND & CD 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS Chec~ o~e tx~x lo In<lcate ~ addrMI ~ be uaed f~' legai n<~lflcaUo-~ a~l mailing. E] 1. FACILITY [] 2. PROPERTY OWNER [] 3. TANK O~NER 423. Le, ge~ ncXl~K:~lk~n$ e.,Yi mei#ng~ wffi Oe ~ent to ~e I. If~k owne(ur~ee~ I:)ax I ~ 2i~ checke<L wL APPucXNTsm. ATUR ~YA I'E u~TFACILITY NUbI~ER (~)r ~ u~ otfiy) 428. 1~ UPGRADE CERTIFICATE NUMBER (~r local uae only) JPCF (7/gg) S:~CU PAFORMS~awrcb-a.wpd MONITORING PR( EDURES UNDERGRO STORAGE TANK MONITORING PROGRAM This momtormf pro.am must be kept at tlMs US1' I~::ation at all t/rags. T'ms in~'m~on on program are condO.ohs of tho ope~r~,,~ permit. T~ permit bolder must nm~ the Office Services within ~O da~ of any chan~ to the tnomtom~f procedures, u~lm mqub~ to ~- makM8 tl~ change. Requited by Sections 2632(d) and 2641(h) CCK Describe the frequency of performing the monitoring: Tank t~,o~4i~av ,~ Be What methods and equipment, identified by name and model, will be used fi~r per--ming the monitoring: Tank Piping Co Describe the location(s) where the monitoring will be performed (faciliw plot plan should be attached):, List the name(s) and fide(s) of the people responsible for performing the monitoring and/or main~g ~e equipm .ent: · ,v ! Ee Reporting Format for monitoring: Tank d/.-~ Piping O/--IW Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance witl~ the ~nanufacturer's maintenance schedule but not less than every 12 months. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: CITY OF BAKERSFIEL O E OF ENVIRONMENTAL Vi[CES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS- TANK PAGE I TYPE OF ACTION (Check one ~tem ONly) ~ NEW SITE PERMIT [] 4. AMENDED PERMIT [] 3. RENEWAL PERMIT (,Soecify mason - for local use only) BUSINESS NAME (Same as FACILITY NAME o~ DBA - Doing Business AS) LOCATION WITHIN SITE (Optlonel) Page [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE [] 7. PERMANENTLY CLOSED ON SITE (Specify change - forlocaluse only) [] 8. TANK REMOVED 430 I. TANK DESCRIPTION 432 433 434 TANK ID # ADDITIONAL'DESCRIPTIONI(For locel uae only) 435 TANK MANUFACTURER ~6 COMPARTMENTALIZED TANK ~ [] No If 'Yes'. complete (;me page fo~' each comparlmeflt. NUMBER OF COMPARTMENTS 437 438 II. TANK cONTENTS TANK USE 439 ~1. MOTOR VEHICLE FUEL (ff marked, complete Pet~leum Ty~e) [] 2. NON-FUEL PETROLEUM [] 3. CHEMICAL PRODUCT [] 4. HAZARDOUS WASTE (Inc/udes Used 0~) [] ~. UNKNOWN PETROLEUM ~ 111!:REGULAR UNLEADED PREMIUM UNLEADED MIl)GRADE UNLEADED D'2. LEADED [] 5. JETFUEL [] 3. DIESEL [] 6. AVIATION FUEL [] 4. GASOHOL [] 99. OTHER COMMON NAME (from Hazardous Mate~als Invento~7 page) III. T.ANK CONSTRUCTION 441 440 CAS # (from Hazardous Materials Inventor7 page) 442 TYPE OF TANK 'Check one item orby) ~. 1. SINGLE WALL '~[~22. DOUBLE WALL TANK MATERIAL - primary lank [] 1. BARE STEEL Check one item only) [] 2. STAINLESS STEEL TANK MATERIAL - secondary tank [] 1. BARE STEEL Check one/tern on/y) [] 2. STAINLESS STEEL [] 3. SINC-:-:-:-:-:-:-:-:-~E WALL WITH EXTERIOR MEMBRN~E LINER [] 4. SINGLE WALL IN A VAULT [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM [] 95. UNKNOWN [] 99. OTHER ~. FIBERGLASS/PLASTIC 5. CONCRETE 95. UNKNOWN [] [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL []99. OTHER REINFORCED PLASTIC (FPP) 1~. FIBERC-.-.-.-.-.-.-.-.-~ASS / PLASTIC [] 8. FRP COMPATIBLE W/100% METHANOL [] 95. UNKNOWN [] 4. STEEL CLAD W/FIBERGLASS [] 9. FRP NON-CORRODIBLE JACKET ' ' [] 99. OTHER REINFORCED PLASTIC (FPP) [] 10. COATED STEEL [] 5. CONCRETE 445 TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [:] 95. UNKNOWN 446 DAT/E INSTALLED OR COAT,NG 5,_~L [] 2. ALKYD LINING [] 4. PH~LIC LINING [] 6. UNLINED [:~.~'~. OTHER / / '~ 00I 'Check one item on~/) (r-~r loca) use only) OTHER CORROSION [] 1. MANUFACTURED CATHODIC I~'~IBERGI. ASS REINFORCED PLASTIC [] 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION [] 4. IMPRESSED CURRENT [] 99. OTHER 'Check one item only) [] 2. SACRIFICIAL ANODE ~r local use only) 447 SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED . 452 Check a,/that apply) ~ SPILL CONTAINMENT 0 1 [] 1. ALARM ~ ~3. FILL TUBE SHUT OFF VALVE 0 / ~ DROP TUBE C)I [] 2. BALL FLOAT ~ r-I 4. EXEMPT ,~3. STRIKER PLATE (~ { IF SINGLE WALL TANK (Check all that apply): [] 1, VISUAL(EXPOSEDPORTIONONLY) [] 2. AUTOMATIC TANK GAUGING (ATG) [] 3. CONTINUOUS ATG [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) .*, BIENNIAL TANK TESTING [] 5. MANUAL TANK GAUGING (MTG) [] 6. VADOSE ZONE [] 7. GROUNDWATER [] 8. TANK TESTING [] 99. OTHER 453 IIF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) ~ CONTINUOUS INTERSTITIAL MONITORING [] 3. MANUAL MONITORING V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE i ESTIMATED DATE LAST USED (YR/MOIDAY) 455 ESTIMATED QUANTITY OF SUBSTANCE', REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallon8 r-] yes [] No UPCF (7/99) S:\CUPAFORMS\SWRCB-B,WPD CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVIC~ 715 Cheater Ave., Bakersfield, CA 93301 (661) 3II~3979 Page UST. TANK PAGE 2 __ of VI;' PIPINO CON811~UC110~ (ch~, e# eat ~:,pe') UNDERGROUND PIPING SYSTEM TYPE CONSTRUCTION~ MANUFACTURER MATERIALS AND CORROSION PROTECTION [~I.1. PRESSURE r-] 2. SUCTION I-~ 3. GRAVITY 4~8 ?"~ 1. SINGLE WALL [] 3. LINED TRENCH [] 9g. OTHER 460 ~ DOUBLE WALL [] 95. UI~KNOW~ /'~ MA.UFACTURER '--'T'O'~d~k~-~. ,., [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL ABOVEGROUNDPIPING [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 [] 1. SINGLE WALL [] 95. UNKNOWN 462 [] 2. DOU8LE WALL [] 99. OTHER MANUFACTURER 463 [] I. BARE STEEL [] 2. STAINLESS STEEL [] 3. PLASTIC COMPATIBLE WiTH CONTENTS [] 95. UNKNOWN J-] 4. FIBERGLASS ~ FLEXIBLE (HOPE) [] 99. OTHER [] 5. STEEL WI COATING [] 9. CATHODIC PROTECTION 464 [] 6. FRP COMPATIBLE W/I00% METHANOL [] 7. GALVANIZED STEEL UNDERGROUND PIPING ABOVEGROUND PIPING [] 3. PLASTIC COMPATIBLE WiTH CONTENTS [] 8. FLEXIBLE (HOPE) [] 99. OTHER [] 4. FIBERGLASS [] g. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 95. UNKNOWN 465 SINGLE WALL PIPING 466 PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS [] 2. MONTHLY 0.2 GPfl TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: [] 5. DALLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW: [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Ch _e~k one) ~ AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] t). AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPII TEST) WiTH FLOW SHUT OFF OR RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 'GPH) SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATOR~ ONLY (Check ag that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WiTH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. DALLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPI-~) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. ONLY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (O.1 GPfl) SECONDARILY CONTNNED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (c~ec~ one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR · ' [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VlSUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUM___~P SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK DISPENSER CONTAINMENT [] 1, FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK DATE INSTALLED 468 ~ CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER I MONITORING C~' <2~ ~ ' ~ I [] 3. CONTINUOUS DISPENSER PAN SENSOR V¥1TH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 IX, OWNERJOPERATOR SIGNATURE I certify thai the information provided h~eln is true and accurate ID the best of my knowledge. S,GNATUREOFOW"ER/OPERA~ C-~ ~-~ i I DATE NAME OF OWNER/OPERATOR (prfnt),,,~ /,~ ',~ - ' ' ~,71 I TITLE OF OWNER/OPERATOR 470 472 JPermit Numl~er (Fo/Vocal use only) 473 I PetmJtApprove~(Fo/'localuseo/~ly) 474 PermilExpir~ll~Oale(Forlocalu,~o~ly) 475 UPCF (7/99) S:\CU PAFORMS~SWRCB-B,WPD _~. ~ _ CITY OF BAKERSFIEJ..D ~ ~~ 1715 Chester Ave., Bakersfield, CA 93301 (661,326 3979 --' ~ '~' UNDERGROUND STOOGE TANK~ - TANK PAGE LOCATION L TANK DI[~..RIPTION TANK MANUFACllJRER 0 z NO~qJe. m~m.L'UH [] 3. C~E~k~L~OOOCr O 2. LF..N)EO D4. ~ I. TANK~ O e. ^v~noN ~ ~(T~IOR ~ UNER ]-I 4. ~31.EWALLI~AVAUI. T [] 4. [] a ~'coMPAnm. Ew,0(~~ Ow. ~ [] B. FI~C~3MPATI~C~fI00~& METHANOL I'11~ COATED STEEL I'1 3. BK)XyLIdI~ 1'1 0. OI.A~8 UNI~ r"l~ w 44~ DATE II~T,,U i I=n M7 f'l ~. MANUALTANKGAU(~3(MTO) 0 & rANK OVEJ~FII.L PROTECTION EQUIPUENT** YEAR IN~T,~ ~1=o 4~2 [] 1. ~ -- ~3, FILLTU~4U*TOFFVALV~ __.__---- ~? UPCF, fT/gg) S:~CUPAPORMS~W~CE'e,WPO C~-i-~' OF BAKERSFIELD OFFIC8 OF ENVIRONMENTAL. 171S ClIIIW Avl., e4kerlfleld. CA g3301 (e4~l~324.,3979 UNDERGROUNO PIINN(3 A~OVEGROUNO PIPING SYSTEM T'YP~ '~"'~.. PRESSURE [] 2. ~UCT~N ~ 3. ~ 4M ~ ~. ~E~U~E ~ 2. ~UC~N ~ 3. ~ ~ I. SIDEWALL ~ ~. U~ ~ ~ 2. ~UStE WALL ~ ~. 0~ ~UFAC~RER CONSTRUCTiON/!~] I. SINGle WALl. [~ 3. LINED T~ ~ ~. O~ER ~ CORROS~N ~TECT~N 3. ~IC ~A~ ~ ~ ~ M. U~ r-] 8. FRP COMPATIBLE W/100% ]-] ?. GALVANIZED STEEL ]""] l, BARE STEEL 0 2. STAJNLES~(I STEEL ~ 3. Pt. ASTICCOIvlPATIBLEW~TH CONTENTS .l~ 8. ~(HI:X~) [::]99. OTHF~ r-] 4. FIBERGCASS ~] 9. CAl140DIC PROTECTION [~ S. STEEL W/COA~NG [] ;S. UNF~OWN UNOERGROUNO P/PING PRESSURJTFO PIPfNG (Check M ~h4t /'-] t. ELECTRONICUNELEAJCOETECTOR3.0Gi~I~WI~HAUTQIKIM~.IUTQFFFOR [] z MONT~.Y0.2M=HTES'r [] 3. [] 7. SELF MoNn'oRJNG GRAvrrY FLOW~. [] ~, e~,a~AL LNTECM~Y TEST (0.1 (~.l) ABOVEGROUND PIPING ~INGLE WALL PIPING I:~ESSUR~.ED F~P~NG (Check a/d~t [] 1. ELEGTRONIC UNE LEAK OETEGTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEA ~Y~TEM FAJLUI~.. A/~) S'YSI'EM D~CTION * AU~ A.NO V~ AL~ [] z MMm~.Y0.2(m~TEST [] 3. AmU~.Unr:(mnYTE.IT(0.~ :[] 4. DAA.YVLtUAL(~E(:X [] S. D/(JLY VISU/d. MONrro~k~ OF P~PfNO AM3 PUIVi~G SYSTEM [] & TRI~INTEGR/TYTEST(O.1GPH) SAFE SUC~N SYSTEMS (NO V~.VES '[] T. se~ONn'Om~3 [] 8. D)d~YV~U,M. MON~TOI~NG [] e. mE~,~.U~TE~TYTE~T(O.1GP~) 8ECONDA~LY CONT, lUNED P~.SSUR~ZED I~PfN(3 (Check ~l tMt a~/): · I0. CONTINUOUS ~ SUMP SF..N~OR WI'~ AUDIm. E ANO V~.W. ALARMS AND (ched[ cr~ I-] a. AUTO PUMP SHUT OFF WHEN A LEAKOCCURS [] b. AUTO PUMP SHUT OFF PI3~ LEAK.9. SYSTEM FAP..URE AND SYSTEM DISCONNECT~ J"] C NOAUTO PUMP St~rr OFF ~ I~. Au'roMAT~t~:N(DETEc'ro~ I~ 12. ANNUAL INTECd~TY TEST (0.1 GPH) r~ 13. CONTWUOU,tSUMPSEN~C)~ +,4JJO~.EANDVI,IU~AL,AJU~ EMEI~ENCY (~ENE/~TOR8 ONLY (C. Md~ M ~f l~o&) 1:3 14. CONTINUOUS ~UMP SF..NSO~ ~,~'THO4/T AUTO PUMO S~UT OFF + AUDIBLE AND VISUAL E:] 15. AUTOMATIC L/NE LEAK DETECTOR (3.0 GPH TEST) r'] 16, ANNUAL INTEGRITY TEST (0.1 ~ 1 ?. DAJLY VI~(~UAL CHECK ~Z CONTINUOUS OlSI~N~.R PAN ~N~OR ,)AUOJBLE ANO V]SU,U. AL,~:U,kl [] 3. CONTIMJOUS OISPENSER PAN ~ WITH AUTO ~ OFF FOR 01~PENSER * AUOIBLE AND VL,IUAt. ALARM8 l"] 4, DAJLY V~UAL CHECK r-I s. T~.NCH UNE~.aoNn'om'~ IX. OWNER/OPERATOR SIGNATURE 473 I P.m~W(F~'~Wy), TITLE OF OWNER/OPERATOR 470 472- 474 pinM ExMIij~ OMt (/rM,~/UM On¥) 47S:/ UPCF (7/99) S :~CUPAFORMS~WRC,,8-B.WP O ~ ~ CITY OF BAKERSFIELD ",i (~)FICE OF ENVIRONMENTA~SERVICES ' ' FI41 UNDER~ROUND STO~E TANK~ - TANK fYP~ OF (CTION ~ 4. ,4JM. NOEO PEAMrT L TANK DESCRIPTION TAM( MAMJFACT'URER [2] 3. C~EkECJ~ PfKXXJCT ~ 4. HAZAFWO(~WA&TE (;ndudM I. ?ANK CONST1UJGTWN Om. OT~.a 441 I C. AS#(M~mHdm,muWWp~e) !T~U~Tc--m~-'PfmMYIM f'1 1. aA/~a,cr.~ ChECkOMMOay) C] z 8TAN. eMaicr~. C~ 4. ~I. EWALLI~AVAULT O~. UW~OWN Om, OT~ O ~. CC)~:~ O s. coNca~ O~ U~KNOwN O 8. FRPCOM°ATIBLEVWl00% ;~CTHANOL O9~. I-I & FRPOI~ATI~W/100% kl~ O 1o. COATED ii.--. T)~aK WTERIOR UNING OR COATINO OTHER SPILL ANO OWE~U. f-I 1. MANW'AGnm~CAmOOC I'1 ~. EFOXYUNN0 C] ~. 0i.~aaLJN/~ OM, W DAT~WTm,~n 447 O ~. ~oucum~ O L U~UNED ~ _ ~ 4~0 TYPEfFO(bMluMO(~/) 4~1 O~.j~ClL~PIK)Tc-crlONEq~IPMENT:~INST)u~'n 4~2 [] ,. ~nSUA~ (~JOK)SID IK3ffTION OM.Y) C] 2. Au'tOMA~C ?,M,4K (3AU(34NO ~TO) 0 J. CONTtNUOUgATO ["1 4. STATI3TIC~ ~ ~TION elEf,~nAL TANK ~ 0 ~. MAM]~L Oe. O ,L ~ ~.FIU. TUB~ SHUT OFF VAI.V~ ~ V. TW _~__0~_ J.ql INFO#MATION I PIRMANINT a.oluiIi IN lS?fMATlO GAI'I I. AIT UIlO (YIM404~Y) 441 IITI~TIO (3J,41~'lTY (7 ~,J~81',V~Cll ~ 4de UPCF. (7/~) ?ANK PILL,IlO WITH INERT MATIJ~J~? Ov,. O~ 8:~.CUPAFORM~WRCS'B.WPO CITY OF BAKERSFIELD OF ENVIRONMENTAL OFFICE IT1~ Cltell~' Avl., E;ke~fleld. CA 93301 (~2~97g I I I I sYsrE~ r'YPE '~.~ESSU;E C] 2. SUCTION C] 3. (~.AVITY 4Sa [] f. PRESSURE CON.STRUCTION/i.~.,~SlNGJ..~ WALL [] 3. LINE;) TR~N(34 [~ ~. O~ER 4~ ' ~NUFACTURER~ 2. ~U~8 WALL ~ ~. U~ . ; CORYDON ~TECT~N ~ 3. ~C ~A~~~ ~ ~. U~ ABOVE C, dROUND PlI~NO ~ [] t. SlN<~.E WALL [] 9~, UNK~NOWN [] 2. OOUBLE WALL [] 99. OTHER MANUFACTURER VII. W LEAK DETECT~ON (C. ae~ M M ~m~'y) UN~J~.d~OU~ PRESSURb'~O PU~N~ (Chec~c al ~! ~ 1. ELEGTROhlCUNELEAKDETECTOR3J)GJ:q4TESTWIlltAUTOIR,&lPSI. R,FTOFFFOR [] 2.. CONVENTIONN. ~ TEST (0. I SAFE SUCTION SYS~aS {NO VN. VES GRAVrrY ROW:. ['! 9. mF.N~,41~ .~TEC. d~'Y TEST (0.1 A~OVEGROUND P~PtNG ~INOLE WAJ. L P~PfNG' PRESSURb~ED mPIHG (CM~ al b'~! [] t. ELECTROMCUNELEAKOETECTOR3.0GJ~ITES'TWTTHAIJ'rOPUMPSHUTOFFFORLEA · f~TEM FAILURE, AND ~TEM DI~CONNECTtON + ~ AND VtSUA~ AI. ARJd~ r'l 2. MONT~.Y0.2em~ESr I'1 4. OAiLYVlS~CHEC~ [] 5. DAILY Vi.~/A.L MONITORING OF ~ AJ~O pUNChiNG l--I 6. T~ENNtAL;NTEGRrW'rEST(0.1 SA.cE ~"TION SYSTEMS (NO VAt.VES IN B~.OW GROUND [] 7. sa.cMONrro~ GRAVITY ROW (C~ec~ al that [] ,. DA&Y V~UA~ Ia3NrroI~NG C]g. 8ECOI43A~JLY CONTNNED PRESSURtZED PIPtNG (Check ,M ghat ~ 10. CONTINUOUS TURBINE SUMP SENSOR W~ AUD;BI.E AM:) ViSUN. [] a. AUTO PUIV/)SHUTOFFV~,'IENA LEAK OCCUR~ [] t). AUTO PUMP SHUT OFF FOR LEAJ<~, SYSTEM FAILURE ANO SYSTEM DISCO~N [] c. NOAUTO PUI~°S~)TOFF [] ~2. ANNU~INTE~TEST(0J ~ ~4. CONT~,I.~OUS ~UMP SENSOR WITHOUT AUTO PUMP S~J'r OFF I-] 15. AUTOMATI~ LINE LEAK I~-rECTOR (3.0 C~I T~') ~ ~6. ANNUAL INTEGRITY?EST(0.! C, PN) ~ 17. DAJLYVISUA~C~'IECK OATE ~NST~;9 4~ I~'z ~8 0~.NSF~ PAN MNSO~* Auom~ A~ W~ ~ g' ~/~ I ' 0 ( C] 3. CONTINUOUS 01~ PAN ~ ~ AUtO 8HI/r OFF FOR OISPEN~ER * AUOleLE ANO VI~JN.. N. ARM8 [] 4. DA&YVI.~N. CHECK [] a, NONE IX, OWNEI~OPEI~ATOR 81GNATURE IIGNATURE OF OWNFJU3~IUTO~ UPCF (7/9g) 471 DATE 'rll'~ OF OWNER/OPERATOR , 472 8:~CUPAFORM$~WRCB-B.WPD CER I I~IC^llON OF "FINANCIAL RESPONSIBILITY' __ I=OFI UNOERQROUNO Sl'OI:~"~'~ I'ANI~ CONTAININ~ P~ll~._m~_EUM or per oomrresm ::':.:::Mechm'~n~ ' L,~l',~ldl'~ol~llmtm~ Mechanism,-. ' ' ~Tfl" 'ore: ff you are tetrlg fire ~ Fund a~ any part of j~ur demonstration of financial'responsibility, your axu~uSo~ and of thi~ cell~iorl al~o certifies that you are in compliance with all conditior~ ,for parScipation ~ri ffM Fund. _O~__.MLM1' fNFOIgMTfON A. ~ I~qulrad - Check the ei~'opriata boxes.. g. Itlle Of TMdcOilm' - FuLL ~ of either the tank okn~r or the oixrator. [fldicatauhich State aMorovodatchaniMKa) are baffle mod to ~hoif financial resp~fbiLiweither aa co4~tail~d in the federal r~utatim~, ~0 CFR, Part 280, Subpert #, Sections 280.90 through 280.103 CSes ffnafl~iaL RpMufbit(tyGufcle, for mort infor18tion), or Section 2802.1, Ch~ocer 18, Division ],' TitLe 2~, CTflt. List iLL ra ~ dresses of companies wv:i/or individuals issuing coverage. List Ickfltt~ flud2er for each mechanism used. or file raJiberas irdiClted o~l ~ or docuaeflt. Ca,ate F~d) ieave bLa~.) ExampLe: Irmurancepotfcynmber Cfi using State Ctesflq) FLrd lrdfcete mu0u~t of co..verage for each type of smchonismCa). mechMjm ia indicated, total must eClUOL 100X of financial respa~ibiLity for each facility. Corrective Attire - ~tfcn D, FmofLity - fnformtfon Indicate the effective dateCs) of aLL financial mchanism(a). (State FuYI coverage klouLd be cofltim es Long as you maintain compliance m~J reamJn eLigibLe to continue participation iff the ~U'ld.) Indicate yes or no. Dne~ the apKified financial smcheflima pr°Vfcle coverage for corrective ilion? (If using SCats FuYi, indicate s/u".) Indicate yes orne. Does the specified financial mechanism provide coverage for third party cmq0ansatJon? (If using State FLed, indicate "yes".) Provide aLL facTtity mYI/or site names and eddreeses. E. SignltmlLact- Provide signature and date signed by tank oaner or operator; printed or typad flem anti title of tank mmer or operator; signature of uftnesa or notary end cbte signed; and printed or typed nome of uitnese or notary (if notary aline es ,Jtnot~, please pike noter~ seal next to netary's signature). ~LccaL agency Cage~cy,ho Issues your USTpamlta). Ketp i Copy Of the certification at esch fKlLity or site Listed on the form. you have questions on financial res~-~ibiiity requirenonts or on the Certification of Firm~ciaL RespaneibJ.tity Form, please cofltect the State UST CLeanup Fraud at (916) 739-2&7~. Nato: PenaLties foe FaiLure to Com)Ly uJth Financial ResoGruJbiLf~Y.Reauir~amnte: FaiLure to cmq)Lysmy result iff: C1) Je~MrdIzJng claimant eLigibiLity for the StiLe UST C[ean~ Ft~d~ and ¢2) LiabiLity for aiviL i~LtJes of t~ to s10,000 ~ttors ~r ~y, ~r ~rgr~ Itor~e t~, for el~ ~y of vlotatf~ es stat~ In ArticLe T, SKti~ 252~.T6(a) of the CaLJfo~Ja HeaLth ~ Safe~. SENT BY: ~AKERSF1'ELD, PRODUCT DTSi~iTI~UT~'ON.;66t 63t 0939; JAN-24-01_ ~.'4/01 07:58 '~661 0~78 9FI) KAZ BlAT DIV ,// ! (' ~ CITY OF OFFICE OF ENVI]~ 1715 Chester Ave., Bakersfield, C~ STXRT~¢O 1 ~ ¢o~%L~/ZOl¢, PAOE t/t ~lOOZ 326-3979 TANK WATer 3'0 PACR.t'tY . sEc'rr(xvlMRlq¢~ MOl'OR FUBL~q'Ot~.ET~ AV~I'XON TNI5 FOlt.~ HA~ FIF. EN CO~ UNDE~ PBi~[.TY OF FEIUURY, ~ TO TH~ Tars APPLICATION BI~COM~S A PF.R~IT WHEN 5592~73413 [TEQ STORAGE SYSTEMS ??0 P01/01 JAN 24 '01 12:47 ITEQ Storage Systems, Inc. SHIPPING NOTICE / CHECKLIST SOLD TO CPEiUSALCO ORDER~ NUMBER 02027 7914 AJAY DR SUNVALLEY CA 91352 SHIPPING NOTICE DATE CONTACT MIKE SHORT LOADING DATE PHONE ~ 5S9-264-~16 FAX ~ 559-264-8~6 SCHEDULE DELIVERY DATE P,O. ~ 117314 TIME '~ ~ ~'~ MAN~A~UR~ LOCATION: BAKERSFIELD CA 93308 ~ ~ ', TECHNOLOGY: Supe~nk COUNIY KERN ~ ~ SALESPERSON ' Ernle P~C'DU~T 000~ i QTY ~- DE$c~PTI'ION ±' UL~ ~;'¢229 1 22,006 GA~ BUPERTANK, 12~3/B DIA. $PL[~ 151? GAL W12~2 DIA R REMARKS' ( } PREPAID (X) PREPAY AND CHARGE ' *'*Che~k All That ~Ply**~ Have you verified the UL n~mbem? Have the tanks bean che=ke; for s~omge damage? Have the ta~k; been de~([ed? Have ~zzla~ been detailed and pbgged? ................................. ~Have tanks maintained 10" vacuum (+) (-} ~" at [east 12 (~oerd a;tuai vacuum by item and mark en raj) rare ltff;ng lugs included? (~ the followl~ stenciled on one end ~ eac~ ta~k: "Do not pmssu~e"~ "Use FRP pipe provided", ~nk size, weight, ~hic~ness, test into, and UL ~ ? ....... ~ t~e UL numOst sten~l e~ ~th ends of ~Ch ~nk? ....................... Am ~e tanks equipped with fiberglass monitors? ........................... ',. is one gage stick for each order and one c~a~ far ea;h si=e tan~ on ttu~k? ....... Is felt for hot,down straps ~oadeO? ..... · Is t~e shipping ~lt t~a~ w~th tanks / Vaults? Nas t~a equipment / decal package bean verifie~? Is the ~WRI {~bel st~ ~nd stashed? Are pour po~ cova~s IoaOed? · For Abovegmnd Storage Tan~s ........................ Re=;~ Pump Sa~tai Number here Purchaser or purchasers agent Inspected product and accepm ~e~ive~ in apparent gea~ Signature: Dat~: 'i" ) IJ'i~I'LOAOIi~6'I~';i~LUD~) ....... III ~l ( ) WILL CALL ( ) COLLECT NR YES NO (',,</ ( ) ¢',<) ( ) License Detail - ' Page 1 of 2 CALIFORNIA CONTRACTORS STATE LICENSE BOARD License Detail Contractor License # 771837 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aware of the following limitations: · CSLB is prohibited by law from disclosing complaints until they are referred for legal action. · Civil judgments known to the CSLB are not disclosed unless the contractor has failed to comply with the judgment law. · Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. · Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base. Extract Date: January 23, 2001 * * * BUSINESS INFORMATION * * * VITO GARRY DIMAGGIO 15601 MANON DRIVE BAKERSFIELD, CA 93312 Business Phone Number: (661) 588-2680 Entity: Sole Ownership Issue Date: 11/23/1999 Expire Date: 11/30/2001 * * * LICENSE STATUS * * * This license is current and active. AH information below should be reviewed. * * * ADDITIONAL STATUS INFORMATION * * * The license may be suspended at a future date because of its association with another license, if that other license fails to comply with an outstanding civil judgment. * * * CLASSIFICATIONS * * * A GENERAL ENGINEERING CONTRACTOR * * * CONTRACTOR BONDING INFORMATION * * * This license has the cash deposit T705L1 in the amount of $7,500 on file with CSLB. Effective Date: 01/22/2001 * * * WORKERS COMPENSATION INFORMATION * * * This license is exempt from having workers compensation insurance; they have no employees at this time. Effective Date: 11/07/1999 Expire Date: NONE Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel List Other Licenses .C...~.n~r a_c_to.r Npmp...R..p!I post !~e rson ne!....Na m e.R~qu est http://www2.cslb.ca.gov/iXpress/CSLB_Library/CSLB+Book/License+Detail.DML 1/23/01 Personnel List - Page 1 of 1 CA~IFORlglA CONTRACTORS STATE LIi~EN$1~ BOAR~ Contractor License # 771837 Click onthe person's name to see a more detailed page of information on that person. Association Disassociation More Name Title Date Date Class Class D!~G~..I_Q, v!TO. SOLE 11/23/1999 A GARRY OWNER kjce. o.~_e__Num__b.~.r.R~qu~$J; Cqn. tractor...H.ame Reqt!.~t Per~onnel...N.an!~_ Request ~P!e.~p~_r~.o.P. R_~.q.u._e_.st S.a.!~.~p. ers_on...N.a____me R~qp_e_~t A public service of the Coh~rhctors Si~(~'"Ei~nA~ Board, C6~y~igfit ~'~'§~§'i"Aii figfi[~ ~$~rv~di ............ Last Updated June 1, 2000 http://www2~cs~b~ca~g~v/iXpress/CSLB-Library/C~~~/Pers~nne~+List~DML?LicNum=++77183 1/23/01 License Detail Page 2 of 2 SalespersPn_.Reques!; s-a.lesper~pn.. Na m~_..Request public servi~ 6~tH~ con~r~C~0~S Sta~6 license B6~i'J C0pyrig~ 1999. All right~ ~J'J ...... r Last Updated May 2, 2000 http://www2.cslb.ca.gov/iXpress/CSLB_Library/CSLB+Book/License+Detail.DML 1/23/01 FROM : BRADSHAW PHOTO Jan. 22 ~0010~;~?PM P02 ~DIMAGQIO.,i .VITO, GARRY L617PUB CONTRACTORS '.STATE LICENSE BOARD 01/2~./2001 QUERY LICENSE PERSONNEL Updt 01/22/2001 Id. C3020JMG Lic No 771837 Receipt 1999 04 06310 BusTp SOLE OWNERSHIP Status 10 150 DBA DIMAGGIO VITO GARRY Issued 11/23/1999 Exp ].1/30/2001 Classes A .~ ..... Page !,.of. 1 ' " ': .' :!' ..' ': 'J :..'..'~-:?"i '~. '.">. Titl :S0L~ OWN~:"ii'': '::..'.'?.,'~'"I",;.l~i~,.: ,.:...I''" "" AS '11/23/19~9"' "DIs. ''(~ "' "''~':.' ".:.'" E C Class A. Titl As E C Titl As E C Titl AS E C ~14=WC X 615~Status 616=RelRecs PF6=Frwd PF7=First Page Case Dis Class Case Lic Dis Class Case Lic Dis Class Case 612=Cmts X 613=DispActns PFl~Quit PF3=Ex PF5=Bkwd PF10=Main Menu EX- FROM : BRRDSHAW PHOTO PHONE NO. : 916 364 86?3 Jan. 22 2001 05:57PM PO1 L61SPUB Lic # 771837 Print VITO GARRY DIMAGGIO Name DBA DIMAO~IO VITO GARRY Addr 15601 MANON DRIVE state CA Zip 93312 Country Issue Dt 11/23/1999 Lt Ren Dt Reissue 1st Prior Exp Date 11/30/200]. 2nd Prior $ T A T U S Add].? 10 CLEAR CONTRACTORS STATE LICENSE BOARD 0i/22/200i QUERY, iL.ICENSE 'STATUS Updt 01/22/2001 id C3020JMG Recpt 1999 04 06310 BusTP'SOLE OWNERS City BAKERSFIELD County Code 15 Inact Dt React Dt IFS Pend 'Family Support Dt 150 ENTITY SUSP PND Physical Address Phone 661 588 2680 Mail List Hold N C E R T $ Classes Addl? A Current Bond Surety E72 $7,500 Bond ~ TT05L1 Eff Dt 01/~2/2001 Can Dt Prior Bond Disciplinary Bond B01 $7,500 Cs 6038980 11/01/1999 Act Dt 11/10/2000 Act 611=Judg 612=~nts X 613=Disp 616=Rel Recs PF13=Phys Addr PFl=Quit PF3=Ex PP4=Curs Desc PF$=Bkwd PF6=Frwd PF10=Main Menu EX CITY OF BAKI~SFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD AT JOB SITE Address Phone No. INSTRUCTIONS: Please call tbr an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number I. DO NOT cover work for any numbered group until all items in that group are signed offby the Permitting Authority. Following these instructions wi~l reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL INSPECTION I DATE I.,'7.Iq INSPECTOR Backfill of Tank(s) ~l,~. ~ttl~e_,{ ['"Oltl'OI _~// r~nufactures Meth0 ~o~t [" ~ ~ ~ ] ~ Spark Test Ceaification . ~ ~~,, [~I Cathodic P~tecfion of Tank(s) PIPING SYSTEM Piping & Raceway w/Collection Sump Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION ~' Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Line Leak Detector(s) Leak Detector(s)for Annual Space-D.W. Tank(s) Monitoring Well(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater Spill Prevention Boxes FINAL Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements Type Authorization for Fuel Drop CONTRACTOR CONTACT CITY OF BAKERSFIELD 'PA ~/'~ ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (80/;) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) s~[EW FACILITY [ ]MODIFICATION OF FACILITY [ ]IVEW TANK INSTAL!ATION AT EXISTING FACILITY T.'~ODAr~.. ./~- /g'--~~,~oms~co~eu~TIo~A'rs .... FACILITYNAMEA! ~ D ~" EXIS~OFAC~P~NO. ' F^C~ADD~SS t~oo ,V_ --W'~t~' crr~ .~~~',~.A TYlaE OF BUSH~r.~ ,~-<a~,D ;:~72~ _ APN # TAZ~O~,~,t~,~L. _q,,va/, N,o .,, Pa--'5'~'NO.- ~o co~ mo~ ~o. s~~.~ c~ BUS~S UC~ ~O. WO~ CO~ ~0. ~ ~ ~ ~ ~S~ ~~ ~ ~ S~YD~Cm~WO~TOBn~ ~/K ~n V ~~ WATER TO FACILITY PROVIDED BY ~-~4,$ l~-O~,~'l ~oe ~ DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE .~'.~,~ NO. OF TANKS TO BE INST~ ~ ARE THEY FOR MOTOR FUEL "c~ YES. NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE ~' YY,8 NO gli~CTION FOR MOTOR FU~L TANK NO. VOLUME UNLEADED REO~ PREMIUM DIF_.SEL AVIATION TANK NO. VOLUME SECTION FOR NON MoToR FUEL STORACrE T/h~'Ks CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED 0~O BIh~'VD N,~IE) 0~ ~U~OWN) FOR OFFICIAL USE ONLY ........ · ......,....:: ..: ::..:. ............. .- ........... ,.'....,. ..... <~..., ',,.~; ....... <,,..~.,.......~.,... .........., o,,, ,..'.,..'..'..< ....' :-,'"~'~'.',.'..-',..<...',,,,,.,<d,,o. ,,,-.'" ,~ .' ~,~' < ~ :,,, ~ {,. THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY wrrH THE ATTACHED CONDITIONS OF THIS PERM]T AND~ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THI$ FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJIJRY, AND TO THE BEST OF MY KNOWLEI~E, I8 A-ONE STORE 1200 H BT BAKERSFIELD CA 93'301 661-924-4138 MAR 15, 2004 2:12 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAl. INVENTORY REPORT T I:REG UNL VOLUME = 11761 GALS ULLP~E = :3294 GALS 903, .L~GE= 1788 GALS TCt'~:,LLIi1E = 11656 GALS HEIGHT = 90.33 INCHES WATER VOL = 0 GALS WATER =. 0.Q0 INCHES TEPIP = 72.8 DEG F T 2 ' r".REM 1 UN b'Ol $ = 1947 GALS I..ILL"~:~ = J6 ,, 9 GAI.S SOfa ULLAGE= 4976 GALS TO VOLUME = 1932 GALS HEIGHT = 31 .56 INCHES WATER VOL = 0 G~LS b,JATER = O. 00 INCHES TEMP = 74.7 DEG F UNIFI__E_D PROG SECTl - - iness Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 NAME IFA~IHTYCONTACT INSPECTION DATE INSPECTION TIME I PHONE-~ No. of Employees ................... Business ID Number 15-021 - ",' .-~':" ':': . ..,,. .: Section 1: Business Plan and Inventory program [] Routine ~Combined [] Joint Agency ~ Multi-Agency I~1 Complaint 1~ Re-inspection C=Compliance '~ OPERATION v=violation APPROPRIATE PERMIT ON HAND [~ BUSINESS PLAN CONTACT INFORMATION ACCURATE l~' ~ VISIBLE ADDRESS J~ ~ CORRECT OCCUPANCY A [] VERIFICATION OF INVENTORY MATERIALS r~ VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION ~' [] PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITYE VERIFICATION OF HAT MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE [] CONTAINERS PROPERLY LABELED ~ HOUSEKEEPING COMMENTS ~1 FIRE PROTECTION ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE.9: ~ YES ~ No EXPLAIN: QU~PLEASE CALL US AT (661)326-3979.~& Inspector (~ U Badg----~ No. ~F--' 'BuUness §ite Responsible Party White - Environmental Services Yellow - S{ation Copy Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CItECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program []Routine [~Combined ~..~nt Agency Type of Tank Type of Monitoring ~ Multi-Agency Number of Tanks Type of Piping Complaint [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper oxw~er/opel'ator data on file Permit tees current ,~, Certification of Financial Responsibility Monitoring record adequate and current Z Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes\ No .. Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: / ~_ fi~_, _.-.- Office of E/r~n"~tal Service~(~6~) ~ ~ ~Whhe- Env. Svcs. Pink - Business Copy Business Site Responsible Party BSSR, Inc. 6630 Rosedale Hwy., # B ersfield, CA 93308 Phone (661) (661) 588-2786 MONITORING SYSTEM CERTIFICATION t This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating CST systems within 30 days of test date. ; A. General Information Facility Name: A-0~4~ Site Address: 1'3-.00 "bi" Facility Contact Person: 1~_ (2) Make/Model of Monitoring System: 'Tt_ -300 B. Inventory of ]Equipment Tested/Certified C___heck the appropriat~ bo~es to~ iudicate specific e~ulpment Inspected/serviced: l~n-Tank Gauging Probe: - Model:'~tqOl~513~L ~Annular Space or Vault Sensor. Model: ~.LL / P~l~liping Sump / Trench Sensor(s). Model: Sump Sensor(s). '~'Tp Model: O':lqq3flO 121 Mechanical Line Leak Detector. Model: D Electronic Line Leak Detector. Model: [] Tank Overfill / High-Level Sensor, Model: O Other (specify equipment type and model in Section E on Pa~e Tank ID: .... [] In-Tank Gauging Probe.. -'Model: - ' D Annular Spaceor Vault Sensor. Model: [] Piping Sump / Trench Sensor(s)': Model: [] Fill Sump Se~nsor(s).,. - ....... Model: [] Mechanical Line' Leak'Dete'cto'r; Mod~l: [] Electronic Lin~ Leak D~:t'6St6rJ -' Model:: ' ' z.... - .., . [] Ta3ik Overfi'll / High-Level Sensor. Model: , · [] Other (~pecffy eqmpment type and model in Section E on Pa[~e 2). ispenser Containment Sensor(s). Model: 0':[ q q ~fl O Ci~Shear Valve(s). O D. ispenser Containment Float(s) and Chain(s). Dispenser ID: ~ I L'~I'zl I~ 6'0 5 ' 8 ~'T)ispenser Containment Sensor(s). Model: t~hear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: [] Dispenser Containment Sensor(s). Model: [] Shear Valve(s). []Dispenser Containment Float(s) and Chai,n/s). Bldg. No.: Contra P one No.: Date of Testing/Servicing: In-Tank Gauging Probe. [~'Annular Space or Vault Sensor. Piping Sump / Trench Sensor(s). ~'l~l~ Sump Sensor(s). -~T P Mechanical Line Leak Detector. Electronic Line Leak Detector. Model: Model: Model: Model: oc[q q 3l-~0 - ~20~ Model: Model: D Tank Overfill / High-Level Sensor. Model: D Other (specify equipment type and model in Section E on Pgge 2). Tank ID: E] In-Tank Gauging. Probe... . Model: [] Annular Space or:Vault Sensor. M~del: ' · D PipingSump/Trench Sensor(s).. Model: Cl Fill Suml~ Sensor(s). : -. 'M°d~l: ............... D Mechanical Line Leak Detector. i._ Model: [] Electronic Line Leak Detector. Model:' · [] Tank Overfill / High-Level Sensor. Model: ' D Other (spe,cif~, equipment t~pe and model in Section E on ,Page 2). ispenser Containment Sensor(s). Model: dYqq ~hear Valve(s). {2] Dispenser ,Containment Float(s) and Chain(s/. Dispenser ID: ~ iL~ 1'2.6(25 I~'Dispenser Containment Sensor(s). Model: [i~'ghear Valve(s). ~ Dis~nser Containment Float(s) and Chain(s),. Dispenser ID: [] Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). D Dispenser Containment Float/s) and Chain(s). ,. - *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility· C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g, manufacturers' checklists} necessary to verify that this .'. mformat~on is' correct and a 'Plot .Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attach_ed a copy of'the report; (check alt that apply): _ . i, F1 S~ Fl_Alarm history report 'Technician. Nan~.(~rint):,,.. '37-"1~/~5 'L'''. _. ~'g ~' ~, .. it-LO. ...... ...... Signature:. . Cert,ffica. t'onNo..i .... ~75-~1'~"~ ..... ' ...... L,cense..,No.: {"h'"~ p.~_ I"~--(" ' ...... · . ' , (.c:-:i" -' ires't'in~ C6'mi~hn~ Nai-ne: [:5_S ~5..[~j (- -iix,}(... "----' "7' ~.'"~ Phon.e No.:(' 66 Sit~ Address:- 8~-."5_0 .... ~ [2xOS g'[~n [_~ Hb'3y 7~ ~.D" Date ofTesting/se~icing': 1~' /J_~/ Monitoring System Certification Page 1 of 3 03/01 On Results of Testing/Servicing Software Vernon Installed: t'--I I CI~ Complete the following checklist: {Xl.~Yes r"l No* Is the.. au&'ble alarmoperational?' ; .... [2t/Yes [] No* Is the visual alarm operational? ~Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational? ~es ~ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? 121 Yes [] No* If alarms are relayed to a remote monitoring stafior~i is all communications' equipment (e.g. modem) Iii N/A operational? ~Yes [] No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] 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) ~ump/Trench Sensors; [l~Dispenser Conta/m'nent Sensors. Did you corffirrn positive shut-down due to leaks gg,.d sensor failure/disco ..nnection? [~Yes; Q No. [2~es Q No* For tank systems that utilize the rrionitoring system as the primary tank overfill warning device (i.e. no [] N/A mecharfical overfill prevention valve is insmlled),.is the overfill warning alarm visible and audible at the tank fill pgint(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? cl ~ % ~ Yes* l~i No Was any monitoring equipment replaced? if yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section Et below. [] Yes* gl No Was liquid found inside any secondary containment systems designed as cky systems? (Check all that ~'pply) [] P.r0duct; [] Water. If yes, descn'be causes in Section E~ below. ~ Yes [] No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable ....[i}/Yes . ~ ..... No* Is .all mom'to, ring equipment operational. . .. per manufacturer's, specifications?.. .. .. * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03/01 F. /n-Tank Gauging / SIR Equipn~l[t: 13 Check this box if tank is used only for inventory control. · 13 Check this box if no tank gauging or SIR equipment is installed. This ~ection must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Com flete the following checklist: ' ~}s 13 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ~Yes ~ No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes IZl No* Was accuracy of system product level readings tested? ~Yes IZI No* Was accuracy of system water level readings tested? Yes 121 No* Were all probes reinstalled, properly? [iVYes ~ 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): ~r'~eck this box ifLLDs are not installed. Complete the following checklist: Yes ~1 No' For equipment s~art-up or annual equipment certification, was a leak sk~ulated to verify LLD performance7 ~i N/A (Check all that apply) Simulated lcak rate: O3g.p.h.; IZl0.1g.p.h; ~0.2g.p.h. Yes ~ No* Were all LLDs c~nfirmed operational and accurate w/thin regulatory requirements? Yes- IZI No* Was the testing apparatus properly cah'brated? Yes D No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? IZI N/A Yes r-1 No* For electronic LLDs, does the turbine automatically shut offifthe LLD detects a leak? ~ N/A , 'Yes D No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ~1 N/A or disconnected? Yes ~ No* For electronic LLDs, does the turbine automatically shut off if any po~on of the monitoring system {~ N/A malfunctions or fails a test? Yes ~ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ~1 N/A Yes D No* Were all item~.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/ol Monitoring System Certification Site Address: !2(...3(") "~[" %"5 UST Monitoring Site Plan Date map was drawn: .I. nstructions 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 imtank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page __ of__ os/oo 02/0g/20~ 03:~3 21~-382-6805 gEE INSUR~OE ACORD CERTIF OF ITY INSU E ~ Wibhi~ ~. 8ulte ~4 '~ ......... A~E~ T~ CO~GE ~F~DEO ~.~HE ~LICIE~ ~. .... L~ ~ge~l, ~ ~1~ ~ ' INSURERS AFFOR~Ne CO~E ............................ C~ ~"~T~;~I~ ~%~ ~MEO & SHIN. INC, , , . Night Ma~t ~m~ e~ .................................. Ch~ Ave I.~ ¢: ................. ~kl~l~.fiel{{I r_,,A 93301 . ~ ~ REQU~, ~ ~ C~ION OF ANY GO~ OR O~ER ~C~ ~1~ RE~P~ TO ~ICH ~lS CER~IF~ ~Y ~ I~U~ OR ~ ~Y P~TNN. ~ iNSUrE AFFO~ED BY ~E ~UOES OE~RIBED HEREIN I$ 6U~ECT ~0 ~ ~E ~RMS. ENCLUSlON8 AND CONDmON8 OF ~H r,-', ~,. :~ '"~ "3 ~ ' I ~ ~ I..~.~~ ................. L'.Ie~, ~ ......................................... F'7 ~~ . .................................... ~, :72: ......... 'L: .............................................. ~ ................... [ ............... ~ ~'~" ..... = ................. ~:: ............................ ~ ................................... ~ ....................... t ' ' I .....................I ~;ANU~' LLA I P~C~FIC UN~N I~ (^~ [O~' ~'~')' ..................... I~i~C6'/~-~-d~'~i ~F~i~'~i'iib-i~6[~ii~ ii c,~c~-~ ~'o~t c~Rrros, c~ 'rHl~ OERTIR~a, YE I~ I~UIID A~ A I~A1'11~ Olr ~A~ ~.~ ~,~.BY THE ~~ .... .......... ~_O.~A~..~ co~ .......... CDMPANY Fl~t 8~1~ [~umn~ ~ A COMPANY DBA: Day & Night Me,et COMPANY ~,~~: ..... ::,..,.:.,.,~:...~...:,:~,., ,:~'.'.:~:,~:~'~ ~.', ~,,...~... ?:' . ...:"~ ?:';:T.;~ ?.'::'"' "..:::'?~;;77:: :.::::~'.:~ THI~ 18 TO GER~ ~AT TH~ ~OL~laa OF I~N~ L[~ B~ HA~ BEEN I~O IND~E~, NO~DI~ ~ RC~UIREME~, ~RM OR CO~ON O~ ~Y CO~? OR OTH~ OO~MENT~ GERTIPlCA~ ~Y ~E I~U~ OR ~Y ~TA~ THE ~NS~ ~DEO ~ T~ POLICIES ~SCRI~O HER~N IS SUa,eCT TO R~ ~ T~S, TBF i"rl,,c Or POLIC~Y [---' ~7-iii~'~. & ~::~i~i~.-~ .................... ...... LLi o~.~ ......................................... Da~ & N~g~ Mamet ~ ~r A~ Loan ~I 1-321-1522 ., , .. ' $t~CONDAR¥ S¥$TElVi CF.~TI~C&. ,TION ~Oi~M :. UST tnnular ' Tank 1 Tank 2 Tank 3 Tank 4 : _ . _i_. '~ '-'-" · ~ ...... ,~.; . ,,~ - .': ~' ~....,... ~ -'" :: "' ..... ~ ~,,~. ~~on (S~~) Line 1 Line 2 Line 3 Line 4 ~ <s~~) . ,, .. UN-- 1 9 8~ THU P. 0~: I Pa~ .._of THU ~= S= ~= ~= iN END OA'rE LEAK TI.~$H8{. r., 0. ~.'~t,;];( I t, ~s~r: RightFAXUser Host: FAX Class: Fax Job: !Q_HAZ1 T I :REG UNL I NVENTOR'~" I I',ICREA~E I N~ ~BE START APR-- 9, 20[3 '3:38 AM VOLUME = 4900 GALS HEIGHT = 46.E2 II,IOHE~ W~TER = 0.00 INCHES TEMP = 67.:3 bEG I NCRE~E ~PR 9, 2003 10:28 AM H~IGHT =104.58 WATgR = O.DO INCHES TEMP = 64.4 GROSS ! NCREASE= 8268 TO NET INCREASE= 825:3 -A='3'NE-STOF:E- - - 1200 H ST BAKERSFI ELD C~ '33301 6~1 -324-4138 APR 9. 200,'3 12:10 I:'M SYSTEM STATUS REPORT ~ FUNCT !ONS NORMAL I N',../ENTORY REPORT T 1 :RE{_-; UNL VOLUME = 12669 GALS ULLAGE = 2386 GALS 90,-..~; ULLAGE= 880 GALS TO VOLUME = 12629 GALS HEIGHT =100.41 INCHES WATER VOL = 0 GALS WATER = O. O0 I NCzHES TEMP = ~4.5 DEO F T 2:PREMIUM VOLUME = 1970 GALS ULLAGE = 5056 GAi.S 90% ULLAGE= 4353 fl;ALS TC ",'OLLII'.IE = 1958 GALS HE )T = 41 .44 INCHES l,,IF~-~ VOL = 0 GALS WATER = O. O0 II',ICHES TEMP = 68.1 DEG F 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 q-I' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SER~CES* ~AL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-O576 PUBUC 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) 3260576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 A~ ! Foodstore 1200 H Street Bakersfield CA 93301 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. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc Jan 28 03 02:~lp ,~ Page: 1 Franzen-Hill Construction, Maintenance & Testing for Fueling Facilities & Lubricating Systems Secondary Containment Testing Report Form I Facility Name: A-1 Market ...... Facility Address: 1200 H Street .... Facility Contact: Panwa Date Local Agency Was Notified of Testing; Name of Local Agency Inspec{~r Present: 1. FACILITY INFORMATION I Date 0¥ Testing: Bakersfield 1661-324-4138 2. 'I'E~TING CONTRACTOR INFORMATION 'cOmpany Name: Franzen-Hill Corp. ' Tulare, Ca. " Technician Conducting Test: ~-"¢ I; 'l ~i~,,~ ~.~(:, ~,.~, / '1 .... ~" ' · ., ,~,,. ,.z[;~ F""' Credentials: V' CSLB Licensed 'Contractor oSWRCB Licensed Tank Tester of: 7 10/29f02]1 110761 p.3 License Type and #: A,B, C-61/D40 HAZ Lic~ 304147 . Training by Manufacturer Manufacturer Component's) Date Training Expires Environ, APT Piping and Testing /°/O-'~ Smith Fiberglass, EBW Pipin~l and Testing Total Containment, VeederRool Piping and Testing / o//d_~ ilbarco EMC, Monitor..Sy,s.tem Piping and Testing .... SUMMARY OF TE81' RESULTS Number ~)f Tanks Tested: .... N~mber of Piping Runs Tested: N'umber of Submersible Pump Sumps Tested:,. Number of UDC Boxes Tested: Number of Fill Sumps Tested: Number of Overfill Boxes Tested: ComRonent Pa~ Fall [] [] [] [] B [] Customer Signature: ~ / ?~2... S ??~/? Date: 2080 Soulh Union Ave, Bakersfield, Ca. 93307-4154 PH. 661-834-1100 FAX 661-834-4216 www.fi'anzen-hill.com .~an 28 03 02:2!p p.4 Page: 2 of:. 7 4. TANKANNULAR TESTING TeSt Method'"~eveloped"By: [] Tank Manufacturer ~ln'd~stry Standard [~ Professional Engineer [] Other (Specify) Test Method Uses: ! [] Pressure ~acuum [] Hydrostatic [] Other (Specify) Tank# Tank# Wait time applying pressure/ ..... ' vacuum/water and starting test Test Start Time: ! Change in Readin;g (Rf-Ri): Was sensor removed for testing? Was sensor proPerly replaced /' after testing? Commen~-(inclu;de information on repairs made prior to testing) SWRCB Jan 28 03 02:21p Franzen Hill S596~1467 po5 Page: 3 of:. 7 5. SECONDARY PIPE TESTING l'est Method Developed BY: [] Tank Manufacturer ~..~ndustry Standard [] Professional Engineer D~tlner (Specify) /'est Method Uses: ~0_.P~mssure [] Vacuum [] Hydrostatic [] Other (Specify) :Measuring Equip. Used for Testing: . Pipl~ Run # Piping Run # 'Piping Material:: Length of Piping Run: .-'~0 / Product Stored: " '. .... Method and location of piping-run isolation: Wait time applying pressure/ vacuum/water and starting test Test Start Time:~'10~'~~ . ............ , Initial Reading (Rit: Change in Reading (Rf-Ri): Comment~-(include information on repairs made prior to.testing) ~--' '. ~ SWRCB 0;~: Hill p.6 Page:4 . of:.7 6. SUBMERSIBLE PUMP CONTAINMENT SUMP TESTING ~es{ M'ethod Developed By: ...... [] Tank Manufacturer ~i~;ndustry Sta'~lard [] Profess'ion"al Engineer n Other (Specify) Test MethOd Uses: [] Pm~sure E] Vacuum J2[J-lydr~static [ [] Other (Specify) Measuring Equip.. Used for Testing: (~'.0~4?.r~J . .... .......... "' 'Sump # I I su,~ ~ ':',~,, I ,, sump # su,~p Diameter: ,r ' Sump Depth: ,~ ,'~ ,;, ~,. r: ..'.-'~,..~." ~ , Sump Material: -~1: Height from Tank Top to Highest Piping Penetration: ./ ~? / ~ ~ v,.. Height from Tank Top to Highest Electrical Penetration: Condition of sump P~'ior ~o testing: .;~,i ~'\.~ . , ~- ~' £.~'1 .... _ . ~,~' , ~ [~.. ; ;,'~ y,,. Po.ion of S.m. Tested (,) .~ _~'-~. ~,p;I ,'"-"~' = ,~ ,.,~ . Does turbine shut down when ~ ' ' ,) sump sensor detects either :)roduct or water? Turbine shutdown response time(2)] Is system programmed for fail-safe shutdown? ...... Was fail-sa~e vedflecl to be operational? Wait time applying pressure/ vacuum/Water and starting test: I I') Test S~rt Test: Initia!' Reading (Ri): .. - Test End Time: Final Rea'ding (Rf); .... Test Duration: Change in Reading (Rf-Ri): :asslFail Threshold ~Nas sensor removed for testing? C/as Sensor replaced, affe~ testing? , ~ ¢ //7 '~ ?"~ I C~mments-(Indude information on repairs made prior to testing) b',~..[iii t,, ...',,.~. :,, .. '~,"~ ..~ . ;~ r ~r ' ~ ~"' ~ If ~he t~u~g meted ~oes ~t te~t the enOre dep~ of ~e ~ump, spe:i~ how much of the ~um~ was t~ted. Me~od~ ~t SWRCB J al,'l 28 03 0~:22p FraJJ~n Hill 5596~1~6'7 Page:5 7. UNDER-DI8PENSER CONTAII)IMENT (UDC) TESTING of: 7 :l'Est Method Developed By: 0 Tank Manufactur~'r" ~l, ndust~ Standa~J I"] Professio--r~al Engh'~eer [] Other (Specie) rest Method Uses: " [] Pressure [] Vacuum ~] Hydrostatic [] Other (Specie) Measuring Equip. Used for Testing: UDC Manufacturer: Height from UDC Bottom to , ~ # .H..ighest P!plng Penetration: ~ Height from UDC Bottom to · Lowest Electrical Penetration; J o ;'~ Portion of UDC Tested (1) Does turbine shut down when UDC sensor detects either 3roduct or water? T'~rbine shutdown response time(2) -- Is system programmed for fail-safe shutdown? Was fail-safe verified lo be operational? Wait time applying pressure/ / vacuum/water and starting test : Test Start Test: ,- _ . Test End Time: ...' ..' Final Reading (Rf): : ~.-' Test Duration: ' Change in Reading (Rf-Ri): : .... /' Pass/Fail Threshold Was sens~)r removed for testing? · Was s~nsor replaced after tes[ing? p o ¸'7 Comments(include information on repairs made prior to testing) ~l,~ t .'i~ .4';". ~.~ , ~ ~ ,--, _ I If ~e teeing me~ do~ not ~st ~e en~m depth of ~e UDC, sp~l~ how much of ~e ~DG ~s test~. Mo~s not t~ng ~e en~m UDC sh~ld only be us~ If th~ monitor~g system prov~es fail-save t~bine shutdown, 2 ~ lhe ~bme~lbl~ pump running, pla~ the sensor in ~mduct (dlscrlminafl~ sensom should also bo pla~ in ~ter). ~e time be~n p~ci~ ~e se~or In product and ~e ~ine sh~l~ do~ is ~e ~ponse ~me. This should ~ done If · e seconda~ containment tosting method us~ does not tost the entire volume of ~e UDC. SWRCB 28 03 02:22p Fra~en Hill Page: 5 7. UNDER-DISPEHSER CONTAINMENT (IJDC). TESTING of: 7 Test Method Developec~"B~: [] Tank Manufacture~; '~]-Indust~ Standt~l ' D Professional Engineer Te~t'Me~ Uses: D Pressure D Vacuum ~yd~tatlc D ~her (S~cl~) Measuring ~quip. Used for Testing: UDC Man~ctumr: UDC Material UDC Depth: ~-~ Height from UDC Bottom to Highest Piping Penetration: Height from UDC BoEom to Lowest El~trical Pene~ation: ~pdition of UDC prior to testing: Potion of UDC Tested.,(1) _ Does turbine shut down when UDC sensor detects eider )roduct or water? Tu~ine shutdo~ response time(~) Is system programmed for fail-safe shutdown? Was fail-safe verifi~ to be operational? ~ait time applying pressure/ ,/ ~vacuum/water and starting test ,/' 'Test Sta~ Test: Initial Reading (Ri}: / ...... Tes~ End Time: Final Reading (~: Test Du~tion:_., Change in Reading (Rf-Ri): Pass/Fail Threshold Was semor removed for testing?II / I Was sensor repla~d after testing? I p.8 Cemment~-(include Information on repairs made prior to testing) " , t If t~ I~ m~t~d does nol t~1 Ih~ lnlr~ d~pth of ~ U~C, spaci~ how mu~ of ~e UD~ ~ ~t~d. Mathods not I~ ~ inlir~ U~ shoul~ only ~ us~ if 1 ~lh ~ su~m~ibl~ pump ~nnin~, plac~ ~t sensor in pt~u~ {di~mlnatint s~o~ should tl~ b~ plac~d In ~r). T~I limt ~ plci~g ~ s~n~r in p~du~ anO th~ ~eln~ sh<lng do~ Is th~ ~sponse lim~, ~is s~l~ b~ do~a if lhe ~onda~ ~n~i~m~t t~ng m~thod ~ed do~s ~1 l~t ti ~nllrl volum~ of ~e U~, SWRCB Jan 28 03 02:23p Fr,aten Hill Page: 6 of: 7 8. FlU. RISER CONTAINMENT SUMP TESTING ~'est Method Develo;~l By: -' [] Tanl~'"M'ianufactumr' [] Industry Standard O Professional Engineer' CI Other (Specify) Test Method Uses: [] Pressure [] Vacuum [] Hydrostatic [] Other (Specify) Sump Diameter:: Sump Depth: Height from Tank Top 1o Highest Piping Penetralio,n: ConditiOn of sump prior to testir~g: Portion of suml~ Tested Sump Material: Wait time applying pressure/ vacuum/water and starting test: Test Start Test: Initial Reading (Ri): Test End Time: Final R~ading (Rf): Test Duration: Change in Reading Pass/Fail Threshold Is there a sensor in the sump Does the sensor alarm when ~ither product or water is :lectected? as sensor removed for testing? as sensor replaced after testing? Contrnent~(include information on repairs made prior to lesting) SWRCB ..la rt 28 03 02:23p Fra~lr~en Hill Page: 7 o~ 7 p. lO 9. 8PILL/OVERFILL CONTAINMENT BOXE8 Test Method Developed By: i-I Tank Manufacturer [] In(J'[~Sby Standard [] Professional Engineer [] Other (Specify} Test Method Uses: [] Pressure -[] Vacuum I-I Hydrostatic I-1 Other (Specify) ...... Measuring Equip. Used for Testing: iil!i Spill BO-- ~ Spill Box. · Spill Boxes. Bucket Diameter: !Bucket Depth: Wait time applying pressure/ vacuum/water and starting, test ~l'est Start Test: . ;Initial Reading (Ri): Test End'=l'Jme: ' ' ~:inal"~eading (Rf): rTest DuratiOn: Change in Reading (Rf-Ri): Pass/Fail Thres,h...old Comme~tts-(include information on repairs made prior to testing1 SWRCB h\MY FILES\FORMS ,3an 28 03 02:~3p F r,a~en Hill 5596~1467 p.11 CUSTOMER NAME: JOB NAME: WORK ORDER #: JOB SITE : Franzen-Hill SB-989 TESTING CODE ~FORCEMENT AGENCIES WORKSHEET A-1 Mar~t ~ A-1 Market 110761 1200 N Stree~ Baker.,sfi, e~¢ 5FO TIME IN: ~!g~ 7~.1~_ _ TIME OUT: NAME: INSPECTION PERFORMED: DATE: SIGNATURE TIME IN: TIME OUT: BKSFLD FIRE PREVEMTIOM (661)852-2172 Franzen Hil! 558688146'7 P.2 :"...%1: :" . . TANK # VOLUM~ CO~ ~ ,~ .. ?~/,~ II~H uazueJ~ Cg~TO89GS~ ':' . .. """' ' ' ':':i:: : MONITORING SYSTEM CERTIFICATION ' For Use By AllJttri~dictions ~'itlth~ the State of California "Attt~ority Cited: Cha~oter 6. 7. Health and Saf~ Code; C~apter 16. Divaion 3. ~tle 23. Cal~ornia Code of Re, lotions This fo~ must be used to do~ment testing and so.icing of monitoring equipment. A s~ara~e ce~fication o~ rc~o~=~st Cot each ~onlto~ng system consol panel by the tec~ician who pe~fo~ Ibc wor~ A copy of~is fo~ must be provided to system oxmer/opemtor. The o~er/opcrator must sub~t a copy of this fom~ to &c local agency regulating UST syste~ ~n days of test date. A. General Information Facili~ Name: ~--/ ~~ Bldg. No.: Site Address: ~ ~ ~ Ci~: ~~~ Faciliw Confa~t Felon: ~~ Contact Phone No.: ( ) Mak~odel of Monitorlng System: ~~ ~o~ ~ ~'~ Date ofTestin~Se~icing: /O //~/~ B. Inventory of Equipment Tested/Certified~ ~l!eckthe aOp~p~ale ~es ~o Indicate s~ci,fic equlp~n?nspectcd/s~iced: ........... 'm' t Tank ID: ?/~ ~ . / L-'. ~;?.':3.~ ~' ': ~LTank Oa~g~ng Pmk. M~el. ~/~r~ / ~:Tank ~auging Probe. M~I: ~nuIar Space or Vault Sensor. Model: Gl"'A'~lar Space or Vault Sensor. Model: Ig~ing Sump / Trench Sensor(s). . Model: C3 Fill Sump Sensor(s). Model: ~ ' ' C! Mechanical Line Leak Detector. Modeh ronic Line Leak Detector. Model: Overfill / High-Level Sensor. Model: ~'g~..].,$'L~ 13 Other (specify ~quipment type and model in Section E on Page 2). Tank 10: :" C3 In-Tank Gauging Probe. Model: 13 Annular Space or Vault' Sensor. Model: C~ Piping Sump 1 Trench Sensor(s). Model: D. Fill Sump Scnsm(s). Model: 13 Mechanics] Linc Leak Detector. Model: 13 Electronic Line Leak Detector. Model: C3 Tank Overfill / High-Level Sensor. Model: C1 Other (specif~'equ|pment type and model in.Se,,ction E on Page 2)~ Dispenser ID: I [~1~_..~enscr Contain~nen-'~sor(s). Model: [-1 ~hear Valve(s). · Cl-d:~ponser Containment Float(s) and Chain(s)t_',.L speSer ID: ~ ' nser Containment Sensor(s). Model: t,~'~ car Valve(s). spenser Containment Float(s) and Chain(s). , Dispenser ID: CI Dispenser Containment ~ensor(s), Model: I'1 Shear Valve(s), C/Dispenser C?,tainn~,n, t'Floal,(s) and L-'hain(s)., C~ ~l~'ng Sump / Trench Sensor(s). Model:~;. :':t.'- .~-~,' ':. ~;~-. C! Fill Sump Sensor(s). 'Model: CI Mechanical Line ~ak Det~t~. Mode[: mnic Line ~ak Detector. Model: ~ ~erfill/High-~vel Sensor. Model: ~'~ " O Oth~ (~rci~ ~uipment t~c ~d m~e~.in Section E on Page ~. Tank ID: ..... CI In-Tank Gauging Probe. Model: CI Annular Space or Vault Sensor. Model: CI Piping Sump/Trench Sensor(s). Model: .' · r'l Fill Sump Sensor{s). Model: C! Mechanical Li~ne Leak Detector. Modoh C! Electronic Line Leak Detector. Model: C~ Tank Overfill / High-Level Sensor. Model: I-10the~ (specify equipment t~pe and model ,in Section Eon Pa~e 2~. Denser ID: ispenser Co~nt Sensor(s). Model: ~hear Valve(s). C~'l~penscr Containment FloatCs) and Chain(s) Dispenser ID: 7:~ C/.-~ispenser Containment Sensor(s), Modei: ~L) ~ CPS'~ ca[ Valve(s). . ~cnse, r ,Containment Float(s) a,,nd C~tain(s~. Dispenser ID: - ~ Disposer Containment Sensors). Modol: ~ S~e~ Valve(s}. ~ Di~nscr Containment Float(s) and Chain,s}. *1 f the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at ~e facility. C, Certification - I certify that the equipment Identified in this document was Inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is Information (e.g. manufacturers' checklists) necessary to verify that this Information correct and a Plot Plan showlnR the layout of monitoring equipment. For any equipment capable of generating such reports, ! have also attached a copy of the report; (check ail t/tat appl.~): C]'g~iem set-up Cl..Alarn~ history report Technician Name (print}: ~ ~,~ Signature: Certification No.: > w; License. No,: Te,ting Comp,~y Na.~: ~--...'~-L.,, - vho:~e No.:(:s~- ?- ) ~ ~ ~-- ~"~7 , Site Address: ~'~ ~or.J '~ "N'.,~}'.6i~-t~'', -'-..~ 'q'~-'* ~'?:~r. Date o~Testing/Servicing:. Monitoring System Certification Page I of 3 0.1/01 C'd Lg~IBBgBSg II!H uazueuJ eg~:0I g0 0I oaQ D. Results of Testlng/Servicing Soft¥~zre Version Installed: Ce ~lete the following checklist: ~ ¥,~" [l No* Is the audible alarm operational? . Ul~'Yes ~ No* Is t~ ~! ala~ o~rational? ~ ~cs_~ ~ No* Were all sensors visually it~ected, functionally tested, and confi~ed, ppe~tio~l? ~s ~ No* Were all senso~ ~talled at lowest point of second~ con~i~ent and positioned so not interfcrc wi~ thck proper opc~tign? ~ Yes ~ No* If al~ are relay~ to a remote monito~ng station, is all co~ic~'~o~s equipment (e.~. modem) ~X" operatio~l? ~ '" ~ N~* For pressured piping sYste~';"does the mr~e automatically shut dos~ if the piping second~ con~ime~ ~ N/A ~nitofing s~tem d~tects a leag fails to operate, or is elec~i~lly disco~ect~d? If yes: which semo~ ~a~ positive shut-do~? (~eck all that apply) ~p~r~ch Did you conf~ positive shut-do~ due to le~ and sensor fail~Misco~ection? ~ ~ No. ~'Y~ ~ No* For ta~ ~t~ ~t utilize ~e monitoring s~tem as the prima~ ~ ove~ll warning device (i.e. no ~ N/A mechanical overfill prevention valve is instaEed), is fill point(s) and operat~g properly? If so, at what percent ofta~ capaci~ does the ala~ ~igger? ? % ~ Yes* ~o Was any monitoring equipment replaeed? If yes, iden6~ specific sensor, probes, 0r o&er equipment ~laced and list the ~nufacmrer nam~ and ~del for all replace~nt pails in Se~on E, below. .' '~" ~s* ~/N6' was liquid fo~O i~ide any seconda~ contai~ent Pr~uct; ~ Water. If yes, describe ea~ in S~ction E, below. ~ yes. D No* W~.monitoring system set-up reviewed to e~e prop~r se~n~s9. A~a~t. u~_rePo~ if applicable ~Yes ' ~ No*. Is all ~t0r~g eq~p~nt operational per-~uf~m~'s Specificago~? ,. * In Section E below describe how nnd when these deficiencies were or will be corrected. Page 2 of 3 ~-d ~9~1889GR~ IlIH uozueaj eg~:O! EO OI oea In-TanlcGauging / 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. Corn dete the following checklist: s ~l No* Has all input Wiring been inspected for proper entry and termination, including testing for ground faults? Yes Ci No* X~ere all tank gauging probes visually inspected for damage and re-~idue buildup? [~l'~Yes '~ No* Was accuracy of system product I'~vel readings tested? [~/Yes ~! No* Was accuracy ofsystc~"~atcr lcvcl readings tested? Y.~9~. ~ No* Were all probes reinstalled properly? ......... l~'~'cs ~ No* Were all items on thc equipment manufacturer's maintenance checklist compleled? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ~"~heck this box ifLLDs are not installed. Corn ~lete the following checklist:_._ Yes Cl No* For e~ipment"start-up or' annual eq~ipment'~er~ificat'io~, Was a leak simulated to verify LED. performance?. C3 NIA (Check all that apply) Simulated leak rate: Cl 3 g.p.h.; IZ! 0.1 g.p.h; Cl 0.2 g.p.h. Yes Cl No* Were ail LLDs co~n~l operational and accurate v~hin reg-ulatory requirements? ~'~:s Cl No* 'v~s t'l~ testing apparatus properly calibrated? ............. Yes I~ No* For mechanic~l LLDs, does the LLD restriCt'product flow if it detects a leak? ~-I N/A Yes ~ No* For elec~nic LLDs, does the turbine'~u~n~tically shut off if the LLD detects'~'leak? Yes I~ No* For electronic LLDs, does the turbine-a'~matically shut off if any portion of the monitoring system is disabled ~ N/A or dis¢ormected? Y~s ~ No* For electronic LLDs,'~ the turbine automatically shut off if any portion oft he monitoring'system malfunctioas ~l N/A or fails a test? Yes CI /~'~' For electronic LLDs, have all accessible wiring"C'0~n'~'ctions been visually inspected? 'Yes 'f'! No* Wer~ all items on the equipment ma~t~'fac~urer's maintenance checklisi'completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 ox, or S'd Lg~I8896SG IISH uazueuA e9~:OI ~00I oaO Monitoring System Certification Site Address: UST Monitoring Site Plan ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ! ..... © ........;=_~ .......... ~ ~ ....................... .............. ~ ~ .~.- ....... ; .... ~ ......................... .... ,-?.ii~,~.~'g! ...... , ................................... :::::.::::::: ::::::::::::::::::::::::::::::::::::: 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. Page q of~ OS~oo 9'd /.9t~I889Gclc; II!H uazue.J=l e/.t~:0I ~0 0I Oa(l SYSTEM SETUP OCT [1. ~002 9:06 AM SYSTEM UNITS U.S. SYSTI~I LANGUF~GE ENGL l SH ~-~YSTEM DATE/T INK FORMAT r-ION DD YYYY HH:Mt'I:SS xM A-ONE STORE 1200 H ST BAKERSFIELD CA 93301 661o324-4138 SHIFT TIME I : 5:4§ AM SHIFT TIME 2 : DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED T~NK PER TST NEEDED WRN DISABLED TANK ANN 'l~ NEEDED WRN DISABLED LINE PER TST NEEDED WAN DISABLED LINE ANN TST NEEDED WAN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F ): 60.0 STIC~ HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK I SUN ErrRRT TIME 2:00 AH END DATE OCT ~EEK 6 SUN END TIME 2:00 AH RE-DIRECT LOCAL PRINTOUT DI~ABLED EURO PROTOCOL PREF[× S COHHUN I CAT I ONE SETUP PORT SETT I NGS: COI~I BOARD : 2 BAUD RATE : 1200 PARITY : ODD STOP BIT : [ STOP DATA LENGTH: 7 DATA AUTO TRANSMIT SETTINGS: AUTO LEAK ~LARM LIMIT DISABLED AUTO HIGH WATER LIMIT DI.°~BLED AUTO OVERFILL LIMIT DISABLED AUTO LOW P~ODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED RS-2@2 SECURITY CODE : ~ RS-232 END OF HESSAGE DISABLED IN-TANK SETUP T I:REG UNL PRODUCT CODE : 1 THERr'~L COEFF :.000700 TANK DIAMETER : 128.00 TANK PROFILE : 1 PT FULL VOL : 15055 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 15055 OVERFILL LIMIT : 90~ : 13549 HIGH PRODUCT : 95~ : 14302 DELIVERY LIMIT : 9~ : 1500 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : O.OO M~NIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: 9~, : 1500 LEAK MIN ANNUAL : 9A : 1500 PERIODIC TEST TYPE STANDARD ANNUAL-TEST F~IL ALARM DISABLED PERIODIC TEST FAIL RI.ARI~I DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TE~T NOTIFY: OFF TNK TS]' SIPHON BREaK;OFF DELIVERY DELAY : 15 SYSTEM SECURITY CODE : 000000 L.d /.~).1,[8886SS IISH uazue..~_-I e/.~,:OI ~00I oe(I ..... SENSOR ALARM L 4:99 STP STP SL~P FUEL ALARM OCT 11, 2002 9:21 AM ..... B~I,ISOR ~LARM ..... L 2:DISP 3-4 DISPENSER P~N FUEL OCT Il, 2002 9:22 AM ..... SENSOR ALARM ..... L 2:DISP 3-4 DISPENSER PAN FUEL ~LARM OCT 11, 2002 9:23 AM ...... SENSOR ALARM ..... L I:DISP 1-2 DISPENSER PAN FUEL ALARM OCT 11, 2002 9:BE ~ ..... SENSOR ALARM ..... L B:B? STP STP SUMP FUEL ALARM OCT 11. 2002 9:46 AM ~-ONE STORE 1200 H ST BAKERSFIELD CA 93901 661-324-4138 OCT 11, ~" ,.OU2 9:06 AM S¥,ST~I STATUS REPORT ALL FUI'.ICT I 0~ NORMAL ! NYENTORY REPORT T I:REG UNL %/OLUME = 9??2 GALS ULLAGE ~ 5283 GALS TO ~OLUME = 958~ GALS HEIGHT = ?9.1D INORES WATER VOL - 0 GALS WATER = 0.00 INCHES TEMP ~ 87.5 PEG F T 2:PREMIUM VOLUME - 3141 GALS ULLAGE = 3885 GALS 90% ULLagE= 3182 GALS TO VOLUME = 3079 GALS HEIGHT ~ 58.68 INCHES ~ATER VOL ~ 0 GALS U~ATER = 0.00 INCH]~B TEMP = 88.0 DEG F R-ONE STORE 1200 H ST BAKERSFIELD CA 93301 661-324-4138 OCT llo 2002 9:50 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL A-ONE STORE 1200 H ST BAKERSFIELD CA 9330I 661-324-4138 OCT 11o 2002 9:50 APl ~!F/rEM STATUS REPORT ALL FUNCTIONS NORMAL II~dENTORY REPORT T I:REG UNL VOLUME = 9761 GALS ULLAGE = 5294 GAL~ 90~ ULLAGE= J788 ~ALS TO %~OLUME = 9572 GALS HEIGHT = ?9.05 INCHES WATER VOL - 0 GALS WATER ~ O.O0 INCHES TEMP = 89.6 DEG F T 2:PREMIUH VOLUME ~ 3133 GALS ULLAGE - 3893 GALS 90~ ULLAGE= 3190 GALS TC VOLUME - 3071 GaLS HEIGHT - 58.56 INCHES WATER VOL = O GALS WATER - 0.00 INCHES TEMP = 88.0 BEG F 8-d L9t~I8896SS ii.tH uazueJ-I eLt,:O! 20 O! oa[I ~TERNAL INPUT SETUP NONE OUTPUT RELAY SETUP R 1:87 TYPE: STANDARD NOI~'IALLY CLOSED LIOU]D SENSOR ALMS ALL:FUEL ALARM R 2:92 TYPE: STANDARD NORMALLY CLOSED LIQUID SENSOR RLM~ ALL:FUEL ALARM LEAK TEST METHOD TEST ON DATE : ALL TANK APR 25, 2001 STAR]' TIME : 2:30 APl TEST RATE :0.20 GALxHR DURATION ; 2 HOURS LEAK TEST REPORT FORMAT ENHANCED LI~UID SENSO~ SETUP L I:DISP 1-2 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 2:DISP 3-4 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 3:87 STP TRI-STATE (SINCLE FLOAT) CATE(;ORY : STP SUHP L 4:92 STP TRI-STATE (8INGLE FLOAT) CATEGORY : STP SUMP L 5:ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE l' ~:P~i~ ................... PRODUCT CODE : 2 THERMAL COEFF :.000700 TANK DIAMETER : 128.00 TANK PROFILE : I PT FULL VOL : 7026 FLOAT SIZE: 4.0 IN. 8496 WATER WA~NING : 2.0 HIGH ~ATER LIHIT: ~.~ MAX OR LA~EL VOL: 7026 OVERFILL LIMIT : 90~ : 6323 HIGH PRODUCT : 95~ : DELIVERY LIMIT : : 700 LO~ PRODUCT : 5~0 LEAK ALARM LIHIT: 99 SUDDEN LOSS LIMIT: 60 TANK TILT : O.00 MANIFOLDED TANKS T~: NONE LEA}( MIN PERIODIC: : ?O0 LF~K MIN ANNUAL : : PERIODIC TEST TYPE ST~ND~RD ANNUAL TEST FAIL ALARM DISHBLED PERIODIC TEST FAIL aLARM DISABLED GRO~ TEST FAIL ALAF~I DI~O4~SLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY ; 15 MIN S'~ Lg~,[889GSS II.~H uazue-~4 es~,:O! ~D O! :~a[I CITY OF BAKERSFIELD 'P3~ ~/-~ & OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION TO CONSTRUCTdHODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) EW FACILITY [ ]MODIFICATION OF FACILITY [ ]NEW TANKINSTALI~TION AT EXISTING FACILITY STARTING DATE /~ - /~' -- ~ PROPOSED coMPLETION DATE FACILrrYNAME,~I- ~ Z) ff../-.~ EXISTINOFAc_Ilfl~..PERMr~NO. ' VACn.rrYADD~SS z~O ~ aV",~a'~7' crrY .b',~a~;~ ZmCODE__q_&Y_a_ff__ TYPE OF BUSINESS ~'a~9 ::y/-~,~x' . APN # ADDRESS /Z$,~ AX ..~" "'_ ~rrv~e~v~,~ ZIPCOD£ CO,reACTOR ~,~,.aSt-~q~ Pa~i~o~ L~r'~ L. C6L$CENSENO. ADD~ESS 4~ttrb ~~ crrY ~~/~/d7/4/ ZmCODE PHONE NO.' - 6,6, t ~ 7~,0'~ BAKERSFmLD crrY BUSm'F_~S UCENSE NO. WOP. XMnNCOMP~O. /.~'_q? ~,,~ ~StmER .57'~.7'~ BRIEFLY DESCRIBE THE WORK TO BE DONE '7'~ml~ t~,~ ~t r'~o ~.,_~... ' WATER TO FACIL1TY PROVIDED BY dO'Ltl~o~,,ot~k ~ DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INST. aLI.g.D ~ ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO NO SI~CTION FOR MOTOR FUEL TANK NO. VOLUME UNLEADEDREGULAR PREMIUM / Z~,'-a'O ~ ~ DIF~I~ AVIATION TANK NO. VOLUME SECTION FOR NON MOTOR FUEL STORAGE TANKS CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED (NO BRAND NAME) (IF KNOWN) FOR OFFICIAL USE ONLY THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY wrrH THE ATTACHED CONDITIONS OF THIS PERMIT AND,ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS THIS APPLICATION BECOMES A PERMIT WHEN APPROVED