HomeMy WebLinkAboutBUSINESS PLAN (2) CITY OF
~::' 'OFFICE OF ENVIRONMENTAL SERVICES.'
' i7i h "}'~ fie d' (66 '32~ -:3
5 C ester AVe,, Bakers , i CA 11 6 97'~
: ' ' ,~ERFORM A TANK TIGHTNESS TEST/
APPLiCATiON
CONTAINMENT
}io --,--,i, --,~-~Ec'c~;DA~Y ,TESTING
'FACtorY " ~C~~°7~ : ":
'PE~ TO OPERA~ g ~
pERAToRS ~g~ .' .:.: :~ ~ : ,
N~ ~ ·
.~ ' I , , , '
~ & pHO~ gER OF ONTA ER ON ff~C ~
~THOD "" ' ' ' ' ' ' ' ~: ''~; .i ~:~.;'..~ !~.~'
OF~S~ROR ~SPE ~' n~ ' ~ :.: ""' 'q: '.'"
CERT~CATION $ " ' ' ~ ' '
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BILLING & PERMIT ST [ EMENT
BakeOeld Fire Dept.
PREVENTION SERVICES
Fire Safety Services * Environmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
'UST/AST PERMIT, TANK TESTING ~ -- ~.~ ~ '~-¢~ ~ 82 I STATE SURCHARGE 86
TENTS, LPG, FIREWORKS, POWDER/OTHER PERMITS 84I COPIES/REPORTS ~ 89
FOLLOW-UP INSPECTION
INSPECTOR: [
TIME SPENT: C~,~RGES: ~ CHARGES CODE:
REASON and DATE
FOR INSPECTION:
LOCATION OF INSPECTION:
TELEPHONE NUMBER(S):
NOTES:
CUSTOMER'SIGNATURE:
fl INSPECTE~RECEIVER SIGN~URE: t ,,~ ~/
ORIGINAL WHITE: FINANCE CUSTOMER: PINK OFFICE: YELLOW FO1734 (rev. 12/03)
CAL VALLEY PAGE
08/69/2004 09:28 6613252529
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CITY OF BAKERSFIELD
OFFICE OF ENViRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-397
APPLICATION TO PERFORM
FUEL MONITORING CERTIFICATION
ADDRESS /7,0/ ~'e.~'z
OPERATORS NAME_.
OWNERS N~E ~
NA~ OF MON~OR
DOES FACILtTY HAVE DISPENSER PANS?
TANK #
VOLUME
YES_F__
CONTENTS
it7 ct_
NAME OFTESTINO coMPANY~ C~,I-I/~ti.~
CONTRACTORS LI~NSE
N~ & PHONE NU~ OF CO~A~ P~$ON
DA~ & ~ ~T IS TO BE COND~
APPROVED BY
88/12/2884 16:38 6613252529 OAL VALLEY PAGE
O2
Bldg. No,:.
Date ot'Testing/ServtcinB: _~/
MONITORING sYSTEM CERTIFICATION
For U.~e By All J, rL~Ih:ttot!~ ~flthtn the State of Gal~,'nia . ~ .
/,th~tty Cited: C~pter ~. 7. Health and,q~ety C~e; C~I~ 16, Di~ton 3. Titts 23, ~l~fornia C~e oJ ~egutatlon.~
This form mt~ ~ ~scd 1o d~ement t~ting and se~icin~ of monRorin8 equipment. A scpa~te ceuificatlon or repo~ must be
prepared for each monitoring sys~m canal panel by ~o I~hnician who peffo~s the wo~. A copy of Chh fo~ meal be ~vi~d to
the tnnk system owneffo~tor, ~e o~erlop~tor must ~bmit a ~py of this term to the local agency regulating dST systems
wtUdn 30 days of test date.
A. General Information
Facility Nmne: ~.~e~G'e/~ ~'~ ~ ~l;
Site Add~s:,~~ a~, ' !.~.0 [ '-~C[~ City: ~~a'~/~
Facility Contaa~ Person: Co.ta~t Phone No.: (.
M~odel of Monitoring System: ~d~;~ ~ 7a~ee~-.~ ~-25g
B. Inventory of Equipment Teated/Certified
Check the nll~rol.prlate boxes lo Indicate Ipeciflc equipment Inlp~ceedlservi~edl
Model:
Model:
Mad=l:
TanklD: . .~-- ~'?
* In-Tank Onoglng Probe. Model:
Annular ~pacc or Vault Sea.or.
~ Plplng $ump/ Trench
~ Fill Sump
~ M~hanl~l Line
~ E~tronlc Line L~k D~lor. M~el:
~ Tank eretria t High-Level Sensor. Model:
~ ~cr (sp~lry ~q~ipmcnt type a~d.m~l in ~cflo~ .E on Pa~c 2)'
/n-Tank Oaugins'Pmbe. Model:
Annular Space or Vault Sen.~or. Model:
Piping Sump / Trench
FlU Sump goner(s), Model:
Meclmnicnl l.tne I~nk I)~e~lot, Model:
El~trtmtc I, inc Leek Del~tor, Model:
Scctloo I~ on Parc 2):
Tank ID:
C3 In-Tauk Gauging Probe. Model:
C] Annular Space or Vault 8en.~m. Model:
C] piping ~mp I T~nch S~r(s). M~eI:
~ Fill Sump 3enseCo), Model:
~ M~hanical Linc Le~ Detector. Model:
O 81ect~nio Line Leak D~catoT. Model:
CI Taflk Overfill I ].]lsh-l,evcl Sensor. Model:
,,CI, Oth~ {npecl~..esuipmcnt type and modal in.$e .etlon IZ on I'n~e 2~l., ,
Tank ID:
In-T~mk GnuBlng Probe. Model:
Annular Space or Vault Sensor, Model:
Piping 8ump / Trench ~enaor(a). Model;
~'ill Sump $cnsorCs). Model:
Mech,'mleal I. il~c Leak I')elector, Modcl:
I51ealroni¢ Line Leak Detector, Model;
Tank Ov¢~flll / liq:ll-Lcvcl 8en.qor. Mmleh
Otb? ts?ct fy_.~ul~p_m._enl ty, pe a.n_d model Iff
Dbpenaer fl):
Dispenser Contalnmcnt ~easor(a). Model:
Shear Ynlvc(s).
$ccli,,o, n I[ on Page 2).,
'rank Overfill / lligh.l.cvel Sensor, Modal:
Other (Sl~ciry eq~ipm~t type and model In
Di~cnser Cnnleinment 8~sor(s). Model:
.Nhc,r Vnlvc(.~).
Dispenser
Dl~cnser Ccmialnmea! Sensor(a), Model:
· ~hear Valve(n),
Dlapenser ID:
(;3 Dispenser Cnntainment Sensor(s), Model:
C] Shear Valve(a),
Containment FI
°If the ~¢illly di~epen~era, ¢O1~
C. Certification - I certlry that the equlpme~*t
Dispen~er ID: -
O Dispenser Containment Sen.~or(~). Model:
I"1 Sheaf' Vefvg(a).
Containment
Obpeneer
C] Dbpenser Containment Sea.nor(,), Modch
C] ~hear Valve(a).
and Chalnl
facility,
Identified Id thio document w.s f.spectodfaervleed in .c¢ord.nee with the
mqnuraetorers' I~uldelines. Attached to (hie Certification ia Intermatlon to. Il:. maqoract, rera' checklbfs) #eeeaanry fo verify (hat
Information I! carrel( and n Plot Plan ~howlng the layoul or mo#ltorlag eqllipmeuL Per any equipment e~lpnble of l~eneratln~ .uch
reports, I have also attached a copy of the rcportl (check oUIA~ ~)l ~ System set-up O Alarm history report
Technician N~me (print): ~Cc ~. , 8i~elum: ~ .... ~~
T~Ung Company Name:_~/._~/~W ~pme--r 'Phone No,:(~&/ )~.~/ ,
Site Addre~: / 26~ ~//'~ ~ ~~/~/~: ~ Date ofTestin~Servicin8: ~ (~ ~
~onitorluRSystem Certification ~ F
: , [
~ '~ PAGE 03
08/12/2004 16:38 6613252529 OAL VALLEY
D. R~sults olrTe~¢ing/ServicinK '
Com~ the Following checklist:
~ ~ Is thc audible alarm operutionel?
~ ~ Were e nment and positioned so thet otb. er equipment
, not ifltu'fere with their proper operat?,on?
~S t3 No* if alarms are relayed to a rG~ote ,~o~',;~,~ steP,or,, is all communications e~uip.~nt {e.g, m~e~)
~ N/A operational?
Yes ~ ~o* For pr~suri~e~ pipf.~ system~ d~he lupine ~tomntice]iy shut down Ir the piping ~eco. de~
~ N/A m~itor~ng system deters a leak, ~ails to opem~ or ts e~ricalty discon~ted? IF y~: which seflso~ initiate
positive shut-down? ~C/~ nil ~ot ~p~) ~ Su~p~cnch Sen~; 0 Dispenser ~on/ntnment Sensors.
Did yqu confirm ~sitlv~ slmt-down due ~ T~k~ ~d sensor ~ilur~dlsconnection? 0 Yes; 0 ~o.
Yes 0 No; ' For ~nk ~sfcms that utili~ the mon;~m~,~ sYet~ as the' prima~ teflk ~verfill ~ming dzvlce ti,e. no
m~hanlcal overfill prevention valve is jnSt~led), is the overfill weming ele~ visible and audible st the tank
~ N/A fill iht s) end opereting prop~rfy? if so, at what percent o~nk ~ci~ d~s the alarm triter?
Y~' U No ~ snitCh;nE e~ipment mPi~Md? ]'Y~, identify ~c~fic ~nsor~ pm~s, or other equ,pmem rcpl ced
and list the manu~c~F~F name ~d model ~r all m~fncemcnt pa~s in Section E~ ~low.
YeS* O NO Wes liquid foun~ ~nside ~ seconda~ c~h~t s~teme d~igned as dw systems7 (Check' ell that
~ ~roduct; ~ W~tcr. lfyes~descfl~ ~ps~ ~ Section E, below ......
Ve~ O No* Wu monitoring Syst~ e~t-~,p revi~ to e~ p~ope~ setd~as? ~tt~ch ~e~ up ~po~S, i~ eppiiCabte .
--~'VeS ~ No' I, all ~onltorln~ equipment op..~ona~ Per manu~e~t,?r', s~c~cations~: ,. ,
* In Section E below, describe how mid when these deltcle~ie.q were or
., :' -.,. _ . _
E,, Commc,,~:~/ ~o?-t ~ ~[e~ ~ ~' ~.~.,~ ~ '~1~ ~A~ ...
~-~
08/12/2004 16:38
6613252529
F. In-Tnnk Gaugin~ / ~lR K, qulpment:
CAL VALLEY PAGE 04
Check Ihia box ii'tank §au§in§ is used only rot inventory control.
Ch~k this ~x irno lank gauging or SIR equipment is inslall~d.
This section must be complcted if in-tank gauging equipment is used to pert'erin leak detection monitoring..
leto the followin checklist:
' includtn~, le~tln~ ~r~fld ¢eult~?
Yes O No' Has ell Input wiring been in~c,d ror~eren~nnd~m[n~h~ .......... ~or
Y~ ~ No* were all t~;~ gauging pr~be~-~Sua';i~ ]n~p~d ro~ d~ ~d residue buildup?
YeS Q No* Was a~uracy o;;ystem product le~el
Yes ~ No* Was accuracy nfs~tem'~[er level ~ ~ed? ....
Yes ~ No* Were all pmb~ ~i~;tal[~ properly9
Yea ~ No* ~e~e all items nfl the equipatent manu~r'n m~ifl~enance checkfis[ completed?
* In lite Section I.l, below, describe how nnd when I. he.,m deflcleneles were or will be corrected.
(~. L,ine L, eak Detectors (LL,O): . c3 Check this box tr LLO$ are not installed.
Coat')lete the followl, checklist:
Yes O No* For equipment Mart-up or annual equlpatent certlltcatlon, was a leak slmulaled in ~r~ Li,,t~ porte, anne?
~ NIA ~h~k all fl~ ~pply) Simulat~ leak ~te: O 3 g.p.h.; O O, I g.p.h; O 0.2 g.p. ll,
Yes 0 No' Were all LLDI neaR'ed operational and a~u~ ~ithln reguleto~ ~quJremen~?
~es O Noe ~or mechani~l LLDa, does Ihe ~LD m~ ~roduct flow ir ~'~et~e a leak?
Yes ~ Mo* F~ ele~tronic ~O;, do~s ~e turbine nuto~ically abut off ir ~e LLO ~etect; I leak? '
0 NIA
Y~ ~ N°* For el~lronic LLDs, da~ the turbine .uto~ati~lly sJmt o~¢ ~¢ an~'portian of the monitorin~ sy,t~ is ~J~bled
~ N/A or di~o.nected?
Ye~ ~ N~' For ~Jecbo~i¢ Lt. Ds. does the turbine ~matl~ily shut off' i¢ any ~dion or the
~ N/A malfunctions or ~ails a Its(?
Y~s' Q No'~ Fm eJectroni¢ ~LDs, h~ve'~ll nc~ible wiring e~e~ions be~n visu~ll~ in~pected?
Q N/A
Ye~ ' ~ No; Were all hems ~;~'lhe eq~lp~en~ atanurnetOrer'~ maintennnce chcckllsl
In the Section 14, below, t/ascribe how end wlteu these deflelenele~ were or wily be entree(ed.
il. Comments:
Pap 3 or 3
o3/of