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HomeMy WebLinkAboutBUSINESS PLANHazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE Permit ID#:: 015-000-000993 CIRCLE K STORES INC LOC, ATION: 2222 F ST This _m~rmit is issued for the followin_a: [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [3 Risk Management Program [] Hazardous Waste On-Site Treatment TANK HAZARDOU~ S~A~ ~;,~.~ CAP~ ~ DIsPEN~ER~,~NSi~ONITORING 015-000-000993-0001 MIDGRADE UNLEADED~¢~'~.~' .~*: '.-~:~.;~0~ ~.~.~'.~-~ECH. SHUTS:oEF~ SH'~R VAL. 015-000-000993-0002 UNLEADED GASOLINE ~' ~i; ~.~"~',., "~"~;~:::~:~OELOA~ MEGH SHUTS ~EF,'SHEAR VAL. 015-000-000993-0003 PREMIUM UNLEADED GASOLINE ,. - :~. ?.';'~"00~0, i[FLOAT MECH!'~SHUTSI O'~'F SHEAR VAL. Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Officeof Evironmea~tlScrvices - Issue Date Expiration Date: June 30; 2003 Permit Operate Hazardous.Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT. ON REVERSE SIDE ..... ~¢~E?~ .... This permit is issued for the followin,l: LOCA~ON 2222 " ~ ~:N~ PIPING PIPING PIPING TANK HAZA~OUS SUBSTANCE CA~ACITY ,~AL ~i1~: TANK ?. DW ,<'e ~ .~A~ DWF P~SSU~ ALD 0002 Unleaded G~oline ...... ''~" "~' Im~ by: O~CE OFE~O~AL 5~ ~CE5 1715 Chewer Ave., 3rd Floor B~e~el~ CA 93301  Voice (805) 32&3979 F~ (805)32~576 Exp~tionDate: June 30~ 2000 ICA Cert. No. 00500 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following information 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 2nd day of November, 1998 to: CIRCLE K STORES INC #8825 Permit #015-021-000993 2222 F St Bakersfield, California 93301 DEC 11 2002 15:S4 BKSFLD FIRE PREVEHTIOH (GG1)852-2172 p.2 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326:-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING/TRACER TESTING PERMIT TO OPERATE # NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED CONTINUED (See 2na File) Triangle Environmental Inc 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 (818) 840-6929 US T TES TING S YS TEMS S UMMAR Y SHEET Precision Underground Storage Tank System Leak Test Client: T°sc°Marketing C°' TOSCO Facility # 08825 1500 North Priest Drive Tempe, AZ 85281 Test Date: 12/27/00 Facili. ty: 2708825 ' . x~x Work #: 7509n0 . Tosco Facility # 08825. ~ ~ County: KERN 2222 F ST . ' \ Cross Street: 23RD · ~ . BAKERSFiELD, CA 93304 : i .! . / . ~ Pr°duet ~ ~,/ Type Rate/Results Ullage Result Rate/Result L/D Result Certified By: Technician: ~~~ Mfgr's #: Angel Casillas State Lic. #s: Comments: · Compliance L/D & monitor certification Stage II A/L pre-test This precision tank testing system exceeds the criteria required b3~ Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems'. Triangle Environmental Inc US T MONITOR CERTIFICATION S UMMAR Y SHEE T Client: Tosco Marketing Co. 1500 North Priest Drive Tempe, AZ 85281 Facility: Tosco Facility # 08825 2222 F ST BAKERSFIELD, CA MonitOr model: Serial #: Sensor TYpe: Tank Annular: Waste Oil Annular: Waste Oil Sump: Vadose Wells: Line Pressure: Turbine Sump: Line Trench: Fill Sump: Tosco Facility # 08825 Test Date: 12/27/00 Work #: 750940 County: KERN Cross Street: 23RD 93304 VEEDER-ROOT TLS-350 80649024205003 Certification Result:. PASS Quantity: Result: 3 PASS Annular Type: DRY 0 N/A Audible Alarm? Yes 0 N/A Visual Alarm? Yes 0 N/A Fail Safe? Yes 3 PASS Positive Shut-of~. Yes 3 PASS Gauge Only Result: PASS 0 N/A ATG Monthly? No 0 N/A ATG CSLD? No Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: Angel Casillas Triangle Environmental Inc UST FA CILITY INSPECTION/A UDIT SHEET Facility: Tosco Facility # 08825 2222 F ST BAKERSFIELD, CA 93304 County: KERN Cross Street: 23RD Test Date: 12/27/00 Work #: 750940 -' Status N~ Not Present or Observed S= Satisfactory Uo Unsatisfactory Fill Cover: S Fill Cap: S Fill Cap Seal: S Drop Tube: S Strike Plate: G V/R Cover: S V/R Cap: S VfR Seal: S V/R Dry Break: S Sub Pump: S Sub Pump Cover: S Overfill: S Overfill Mfgr: OPW Comments: ~' Type C~ Coaxial I~= Pr~ure D= Dual A~ Angle Check N= No Stage ! V~ Vertical Check Flex Metalic Fill Type: D Product Line Type: P Tank Swing Joint Type: F Dispenser Swing Joint Type: F __. Status N~ Not Present S~ Satisfactory U~ I[Jusa~tsfactory Impact Valve: S Vertical Check Valve: N Fill Spill Containment: S Fill Spill Mfgr: CNI Dispenser Containment: S Sub Pump Containment: S · Number of Disp. Regular: 2 Plus: 2 Premium: 2 Diesel: 0 Kerosene: 0 Total # of Gas Nozzles: --StageH Il= Balance A= Asist System Type: A Assist Mfgr: Gilbarco Hoses 4 4 4 0 0 4 Compliance Detail: (List items that need immediate attention.) gle Environmental, Inc. 2525 IV. BURBANK BLVD. BURBANK, CA 91505-2302 ~-----_-WORK A CKJVO WLEDGMENT "DAre: fY- ~j-'V--~ ^UTH#: --1/O 5 Ct~ COUNTY P,~--,.-,.TECH: TANK TIGHTNESS TEST PRODUCT LINE TEST LEAK DETECTOR TEST SERVICE REQUESTED (CHECK) MONITOR CERTIFICATION ~ FACILITY INSPECTION ~ VAPOR RECOVERY reST ~ ENVIRONMENTAL REPAIRS OTHER ..... SER-VICF. S PERFORMED ¢~:,? ~,~:r . ~ .... PARTS Quantity Description Quantity Description CUSTOMER PRINT NAME CUSTOMER SIGNATURE DATE: SBD: 123--WORKACKN(3~ PERIODIC TEST FAIL ALARM DISABLED GROSS T~ST FAIL ALARM DISABLED AN~ TEST AVERAGING: OFF PER TEST AVERAGING: · OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN START TIME : DISABLED TEST RATE :0.20 GAL2HR DURATION . : 2' HOURS i " : LEAK TEST METHOD TEST ON DATE : ALL TANK · · : ::':i LEAK TEST REPORT FORMAT NORMAL PRESSURE LINE LEAK SETUP i: .i PIPE TYPE: FIBERGLASS LINE LENGTH: 100 FEET SHUTDOWN RATE: 9.0 GPH TANK: NONE SENSOR: HIGH PRESSURE PIPE TYPE: FIBERGLASS LINE LENGTH: 75 FEET ' '"'".~ SHUTDOWN RATE: 3.0 GPH TANK: NONE SENSOR: HIGH PRESSURE Q B:UNLEADED PIPE TYPE: FIBERGLASS LINE LENGTH: 75 FEET SHUTDOWN RATE: 3.0 GPH TANK: NONE i SENSOR: HIGH PRESSURE i i::: !' i LINE LEAK LOCKOUT SETUP LOCKOUT SCHEDULE DAILY START TIME: DISABLED STOP TIME : DISABLED L 1 :SUPER TR I -STATE (S INGLE FLOAT) CATEGORY : ANNULAR SPACE TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 4:SUPER TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 5:PLUS TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 6:UNLEADED TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP PLLD LINE DISABLE SETUP L 2:FUEL ALARM L 5 :FUEL ALARM Q 2:SUPER. LIQUID SENSOR ALMS L I :FUEL ALARM L 4:FUEL ALARM Q ~:UNLE~DED LIQUID SENSOR ~LMS L .~:FUEL ~L~RM L 6:F~EL ~L~RM :PLUS r L 2:PLUS TR I -STATE (S INGLE FLOAT CATEGORY : STP SUHP '~:.f'~: ~::,~::??. ~:.~:'.~::.~?.' .: '-. ,...<': '- :,: :.~ ~'~:-.~'~/:..;,~o~:~ ;. :' :~::::-: .'.'- ::: .'..;:: :, .., .'..:/~:: ':..' :5' ,~ ::::?~.:':'~' ,:: ?)~;?~L~::~::? ... . . '.-,~ ::':::-:: ~.', ::: ::.- ,: SYSTEM SETUP DEC 27, 2000 9:08 AM SYSTEM UNITS U.S. SYSTEM.LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD VVVV HH:MM:SS xM CIRCLE K 2222 F STREET BAKERSFIELD CA;93301 805-324-1758 SHIFT TIME 1 : 6:00 AM SHIFT TIME 2.: DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED TANK PERIODIC WARNINGS DISABLED TANK ANNUAL WARNINGS DISABLED ' LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNINGS DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED PRECISION TEST DURATION HOURS: 12 DAYLIGHT SAVING TIME DISABLED SYSTEM SECURITY CODE : 000000 : COMMUN I CAT I OIlS SETUP NONE FOUND RS-232 SECURITY CODE : 000000 RS-232 END OF MESSAGE DISABLED I N-TANK SETUP T 2:PLUS PRODUCT CODE THERMAL COEFF' TANK DIAMETER : TANK PROFILE : FULL VOL : 66.8 INCH VOL : · '44.5 INCH VOL : 22.3 INCH VOL : : 2 :.000700 '89.00 4 PTS 9684 7861 · 4904 1898 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING :. 2.0 HIGH WATER LIMIT: ' 3.0 MAX OR LABEL VOL: OVERFILL LIMIT : HIGH PRoDucT DELIVERY LIMIT GROSS TEST FA I L ........ ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAG I NG: OFF TANK· TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN T 3:UNLEADED PRODUCT CODE THERMAL COEFF TANK DIAMETER 'TANK PROFILE FULL VOL 66.8 INCH VOL 44.5 INCH VOL 22.3 INCH VOL 4 PTS 9684 :' 7861 : 4904 : 1898 FLOAT SIZE: 4.0 IN. WATER WARNING : HIGH WATER LIMIT: 9684 MAX OR LABEL VOL: 90~ OVERFILL LIMIT : 8715 : 95~ HIGH PRODUCT : 9199 : 10~ DELIVERY LIMIT : 968 : : .000700 : 89.'oo 8496 2.0 : a.O 95M 9199 .. 968 LOW PRODUCT : 500 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 SUDDEN LOSS LIMIT: 50 TANK TILT : 3.02 TANK TILT : 2.74 MAN I FOLDED TANKS MAN I FOLDED TANKS ~'::,.~'..,~,. T1~: NONE T~: NONE ......... , LEAK M I N PER I OD I C: OM LEAK M I N PER I OD I C: OX : 0 : 0 LEAK MIN ANNUAL : O~ LEAK MIN ANNUAL : 0~ : 0 ; : 0 PER I OD I C TEST TYPE i I STANDARD i PERIOD IC TEST TYPE STANDARD · I . · ANNUAL TEST FAIL : I ANNUAL TEST.FAlL · :.:'::. · ALARM DISABLED t · t - ALARM DISABLED. I ' ::::::::::::::::::::::::::::: ===================================================== ~:::,":,i~i::i,j,::./:.:' ::':::: "":' :':':':: '::::::?"':: :"' '.:: .:' :. · :i::'.::::-: :i':: SER:AL NUMBER ' 239779 ? : ...... ID CHAN = OxCO00 : PRE~SURE LINE LEAK ALARM Q 2:SUPER PLLD SHUTDOWN ALARM DEC 27, 2000 10:08 AM CIR~LE.K 2222 F STREET BAKERSFIELD 0A.93301 805-324-1758 DEC 27, 2000 10:11 AM SYSTEM STATUS REPORT Q 3:GROSS LINE FAIL Q 3:PLLD SHUTDOWN ALARM ' 'GRADIENT = 351.4200 '- MUM SAMPLES '= 20 . ' .---:.: ,.~'...::.:. "::'::::i:" SOFTWARE REVISION LEVEL VERSION 16.02 SOFTWARE~ 346016-100-C CREATED - 98.05.14.13.04 NO SOFTWARE MODULE SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 1: PROBE TYPE MAG1 SERIAL NUMBER 240190 ID CHAN = OxCO00 GRADIENT = 351.0300 NUM SAMPLES = 20 CO0 1371.0 CO1 14613.0 C02 14613.0 C03 14613.0 C04 14613.0 C05 14613.0 006 14613.0 ;.007 14613.0 C08 14613.0';C09 14613.0 C10 14613.0 Cll 42950.8 C12 20285.3 C'13 17614.8 C14 17674.9 015 18262.3 016 19867.9 C17 19927.3 C1B 42950.4 SAMPLES READ =69481333 SAMPLES USED =69480010 COO 1362.9 COl 13781.0 002 13781.2 003 13781.3 C04 13781.0 C05 13781.9 006 13781.0 C07 13781.3 008 13781.0 C09 13781.0 CIO 13781.6 CI1 42955.8 C12 22511.3 C13 20449.6 C14 20462,3 CI5 20718,3 C16 21674,4 Cl? 21745,4 C18 42956,1 SAMPLES READ SAMPLES USED =68510705 =68509265 IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 3: PROBE TYPE M~G1 SERIAL NUMBER 245792 ID CHAN = OxCO00 GRADIENT = 351.1700 NUM SAMPLES = 20 CO0 1361.1 CO1 21228.0 C02 21227.8 003 21228.0 C04 21228.0 005 21228,0 C06 21228.0 C07 21227.9 C08 21228.0 C09 21228.0 CIO 21228.1 Cll 43004.0 C12 21714.7 C13 20044,9 C14 20155,2 015 20208,1 016 20218.7 C17 20264,1 C18 43005,6 SAMPLES READ =67667095 SAMPLES USED =67663552 SENSOR ALARM ..... L B:UNLEADED ANNULAR SPACE FUEL ALARM DEC 27, 2000 9:17 AM ..... SENSOR ALARM L 2:PLUS STP SUMP FUEL ALARM DEC 27, 2000 9:18 AM ..... SENSOR ALARM ..... L 5:PLUS ANNULAR SPACE FUEL ALARM DEC 27, 2000 9:21 AM ..... SENSOR ALARM L 2:PLUS STP SUMP FUEL ALARM DEC 27, 2000 9:26 AM ..... SENSOR ALARM L 4:SUPER. STP SUMP FUEL ALARM DEC-27, 2000 9:28 AM ..... SENSOR ALARM ..... L I:SUPER ANNULAR SPACE FUEL ALARM DEC 2?, 2000 9:32 AM C I ROLE K ' 2222 F STREET BAKERSFIELD CA. 93301 · 805-324-1 ?58 DEC 27, 2000 9:36 ~ SYSTEM STATUS REPORT ALL FUNCTIONS ~ORMAL ..... SENSOR ALARM L 6:UNLEADED STP SUMP FUEL ALARM DEC 27, 2000 9:38 AM CIRCLE K 2222 F STREET BAKERSFIELDCA.93301 805-324-1758 DEC 27, 2000 9:39 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL PRESSURE LINE LEAK ALARM Q 3:UNLEADED GROSS.LINE FAIL DEC 27. 2000 9:58 AM PRESSURE LINE LEAK ALARM Q B:UNLEADED PLLD SHUTDOWN ALARM DEC 27,' 2000 9:58 AM PRESSURE LINE LEAK ALARM Q I:PLUS GROSS LINE FAIL DEC 27, 2000 10:02 AM PRESSURE LINE LEAK ALARM Q I:PLUS PLLD SHUTDOWN ALARM DEC 27, 2000 10:02 AM' PRESSURE LINE LEAK ALARM Q 2:SUPER GROSS LINE FAIL DEC 27, 2000 10:08 AM C. I ROLE K 9222 F STREET BAKERSF I ELD CY~. '..q. 32n31 805-324-15"58 NOV '.-27, 2000 i:29 Ft'-i SYSTEM F~LL F UI'.K:T D'.} R'~:" R Et-'oF. tT T 1 :SUPER VOL, UI'IE = 2925 ULLAGE = 675'9 90% ULLAGE= 5'790 TC VOLUME = :2~r, En~!', GALS HEIGHT = :2:0,f32 INCHES &lATER VOL = 0 bJATER = u. O0 l NC'HE~, TEMP = 7'?.8 I)EG F T 2 :PLUS: VOLUME = 2','" t,':: ULLAGE = 69:31 90~; LILLAC~E= 59L:.2 GALS; TO VOLIJME = 27'17 HEIGHT = 29,0:3 INCHES t4ATER 'v'OL = 0 ,'];AI.',~ = O. O0 I I'.IC:HEEi = 7:3.4 DEC4 F T 3 :I.JI',iLE~DED VOLUME = ?590 ULLAGE = 2094 90':.; _LL~,";E= 1125 TC VOLLIME = 7520 HEIGHT = 64.52 II,IC;HE~; WATER 'v'OL = 0 ,2ALS', I,,IATER = 13. O0 I I'.IC:HEf:: TEMP ~ '7:3.1 DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~trc[e_ ADDRESS &~_,:l,.~,-1." FACILITY CONTACT INSPECTION TIME INSPECTION DATE PHONE NO. (o(o I - _:t~ r_/- it BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine [~-Combined [~ Joint Agency [~ Multi-Agency [~l Complaint ~ Re-inspection OPERATION C V COMMENTS / Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ~,' Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: [~l Yes ~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy B~.~ine~s Si~ff~esp+/~b/~ Party Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~\ktC~G. L INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine '~ Combined [~1 Joint Agency Type of Tank ~ ,BIDF' Type of Monitoring ~L-/~ [221 Multi-Agency [~1 Complaint Number of Tanks -.~ Type of Piping O~ t=''' [] Re-inspection OPERATION C V COMMENTS Proper tank data on file V / Proper owner/operator data on file Permit tees current / Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No k_._~__ 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: _.~ (_~]_"/~flt'~_~) Office of Environmental Services (805) 326-3979 White - F. nv. Svcs. Pink - Business Copy l~usin~ss ~ite'Res~on-sible-~'arty Tosco Corporation 72 Cummings Point Road Stamford, Connecticut 06902 Telephone: 203 977-1075 Facsimile: 203 326-3190 TOSCO Craig R. Deasy Vice President Treasurer CERTIFICATION OF FINANCIAL RESPONSIBILITY Tosco Corporation hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Pm 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism: Section 280.95 - Financial Test of Self Insurance Amount of Coverage: $2,000,000 in the aggregate Effective Period of Coverage: From January 1, 2000 until April 30, 2001, unless earlier revoked or replaced by written notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Corrective action and third-party compensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising from the operation of underground storage tanks. By: Its: Date: Vice President and Treasurer March 29, 2000 UNDERGROUND STORAGE TANKS - FACILITY (one page par site) · Page __ of TYPE OF ACTION [] 1. NEW SITE PERMIT []3. RENEWAL PERMIT ~;~5. CHANGE OF INFORMATION (Specify change - []7. PERMANENTLY CLOSED SITE (Check one item only) []4. AMENDED PERMIT local use only). []8. TANK REMOVED 400 []6. TEMPORARY SITE CLOSURE BUSINESS NAME (Same as FACILITY NAME or DBA. Doing Business As) 3 Circle K Stores Inc. ~2708825 / / 08825 NEAREST CROSS STREET NWC 23RD /"F" ST 401 BUSINESS TYPE [] 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL [-]2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER 4O3 FACILITY OWNER TYPE [] 4. LOCAL AGENCYIDtSTRICT* [] 1. CORPORATION [] 5. COUNTY AGENCY* [] 2. INDIVIDUAL [] 6. STATE AGENCY' [] 3. PARTNERSHIP I [] 7. FEDERAL AGENCY* 402 I TOTAL NUMBER OF TANKS Is facility on Indian Reservation or *If owner of UST is a public agency: name of supervisor of REMAINING AT SITE trustlands? division, section or office which operates the UST. (This is the contact person for the tank records.) 3 404 [] Yes [] No 405 406 PROPERTY OWNER NAME 407 I PHONE 408 I CATALINA - BARBER CORPORATION MAILING OR STREET ADDRESS 409 P. O. BOX 45001 CITY 410 STATE 411 I ZIPCODE 412 BAKERSFIELD CA I93384-5001 PROPERTY OWNER TYPE [] 2. INDIVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 413 [] 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY TANK OWNER NAME 414 I PHONE 415 Circle K Stores Inc. I (925) 277-2319 MAILING OR STREET ADDRESS 416 P.O. Box 52085 CITY 417 ~ STATE 418 ~ ZIP CODE 419 Phoenix I AZ I85072 TANK OWNERTYPE [] 2. INDIVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 420 [] 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY TY (TK) HQ Call (916) 322-9669 if questions arise 421 I []2. GUARANTEE [] 5. LETTER OF CREDIT [] 8. STATE FUND i CFO LETTER [] 99. OTHER: __ I L [] 3. ,NSURANCE [] 8. EMPTION [] g. STATEFUND CD J Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked. ~ ' ~ ' ~ ' SIGNATURE O~APPLICANT ~ ,,~ /2 DATE, / / 424 PHONE 425 ~/~/~~ ~Z~/~~ I (925)277-2319 NAM~"~F APPLIC~C~f~T~print) TIT~E OF APPLICANT 426 Mediza Z. AtEala for Tosco Regional Compliance Specialist STATE UST FACILITY NUMBER (F-~r local use only) 427 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 428 UPCF (1/99 revised) 5 Formerly SWRCB Form A L~IED PROGRAM CONSOLIDATED FOR~ FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of I. FACILITY IDENTIFICATION ]ltl II I BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 Circle K Stores Inc. #2708825 / / 08825 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Oper~ator Identification page (OES Form 2730). Does your facility... If Yes, please complete these pages of the UPCF .... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold [] YES [] NO 4 - CHEMICAL DESCRIPTION (OES 2731) quantity for an extremely hazardous substance specified in 40 CFR Part (This is repoerted with the HMMP.) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACIL1TY (Formerly SWRCB Form A) 1. Own or operate underground storage tanks? [] YES [] NO 5 UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? [] YES [] NO 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tan~) (Formerly Form C) 3. Need to report closing a UST? [] YES [] NO 7 UST TANK (c~osure ponion --one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or [] YES [] NO 8 NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? [] YES [] NO 9 EPA ID NUMBER - provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? [] YES [] NO 10 per recycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE [] YES [] NO 11 TREATMENT - FACILITY (~ormetly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNIT (one page ~er unit) (Formerly DTSC Forms 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? [] YES [] NO 12 ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION [] YES [] NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as [] YES [] NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS is (You may also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) 5 FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page __ o~ __ FACILITY ID# BUSINESS NAME (same as FACILITY NAME or DBA - Doing Bu$ir~$$ As) Circle K Stores Inc. #2708825 / / 08825 BUSINESS SITE ADD.SS 2222 F ST I. IDENTIFICATION I Ii!ifil?il [ [ii!!i:iiii [ { [ [ 1 BEGINNING DATE l°° [ ENDING DATE 3 BUSINESS PHONE 6613241758 CITY lo4 CA BAKERSFIELD 106 DUN & BRADSTREET 04-8564975 1Ol lO2 103 ZIP CODE 93301 SIC CODE(4digit#) 5541 COUNTY 1o8 KERN BUSINESS OPERATOR NAME lo9 [ BUSINESS OPERATOR PHONE H0 Company Operated [ 6613241758 II. BUSINESS OWNER OWNER NAME 111 'f OWNER PHONE H2 Circle K Stores Inc. - DC-40 / (925) 277-2319 OWNER MAILING ADDRESS P.O. Box 52085 113 CITY 114 I STATE 115 IZIP CODE Phoenix [ AZ [ 85072-2085 III. ENVIRONMENTAL CONTACT 116 CONTACT NAME Merliza Alcala - (TOSCO) CONTACT MAILING ADDRESS 2000 Crow Canyon Pl., #400 CITY San Ramon -PRIMARY- 117 CONTACT PHONE ~ 18 (925) 277-2319 119 IV. EMERGENCY CONTACTS STATE 121 ZIP CODE 122 CA 94583 -SECONDARY- NAME Company Operated TITLE Operator BUSINESS PHONE 6613241758 24-HOUR PHONE 123 124 NAME 1~ Tosco Maintenance Call Center TITLE 129 ~25 BUSINESS PHONE 13o 1-800-726-2312 126 24-HOUR PHONE ~3~ 1-800-726-2312 PAGER # 127 PAGER # 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: CertificatiOn: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is tree, accurate, an.d complete. SIG~N~O~E~ESIGNATED REPRESENTATIVE D~ZI34 NAME OF DOCUMENT PREPARER 135 Kathy Strickland NA'I~I~ OF SIG~/t~ (print) - 136 TITLE OF SIGNER 137 Merliza Z. 7t'lcala for Tosco Regional Compliance Specialist UPCF (1/99 revised) OES FORM 2730 (1/99) UN"~;IED PROGRAM CONSOLIDATED FOR~ TANKS UNDERGROUND STORAGE TANKS- TANK PAGE 1 (two pages per tank~ Page -- of__ TYPE OF ACTION [] 1. NEW SITE PEILMIT [] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE Uheck one item only) [] 7. PERMANENTLY CLOSED ON SITE [] 3. RENEWAL PERMIT (Specify reason -for local use only) (Specify change ,for local use only) [] 8. TANK REMOVED 430 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (.4 ~caledplot plan with the location of the UST system including buildings and landmarks shall be ~ubmitted to the local agency.) TANK 1D # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes XNo 434 DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 iq 7 Io, ooo \ ADDITIONAL DESCRIPTION (For local use only) 438 fl'. TANK CONTENTS TANK USE 439 PETKOLEUM TYPE 440 (/~f 1. [] [] :2. LEADED [] 5. JETFUEL MOTOR VEHICLE FUEL la. REGULAR UNLEADED marked, completePetroleurn Type) [] lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2. NON.FUEL PETP, OLEUIVl N~lc. MIDGRADEUNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT COMMON NAME ¢rom Hazardous Material.~ [nventory page) 441 CAS # O~orn [¢azardo~$ Materia~ [nventory page} 442 [] 4. HAZARDOUS WASTE (Includes Used Oil) [] 95. UNKNOWN I~ TANK CONSTRUCTION ' TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443  EXTEILIOR. MEMBP, ANE LINER. [] 95. LrHKNOWN Check one item only) 2. DOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TANKMATEKIAL-pdma~'tank [] 1. BAEESTEEL ~3. FIBERGLASS/PLASTIC [] 5. CONCRETE [] 95. UNKNOWN (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL [] 99. OTHER. REINFORCED PLASTIC (FP,.P) TANK MATERIAL - $econdaxy tank [] 1. BARESTEEL ~' 3. FIBERGLASS/PLASTIC [] 8. FKPCOMPATIBLEW/100%METHANOL [] 95. UNKNOWN 445 'Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBEKGLASS [] 9. FRPNON-CORKODIBLE JACKET r~ 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING E] 5. GLASS LINING [] 95. UNKNOWN446 DATE INSTALLED 447 OR COATING [] 2. ALKYD LINING [] 4. PHENOLIC LINING ,~6. UNLINED [] 99. OTHER __ 'Check one item onl~ (For Iocal us~ onl~/2 OTHER CORROSION [] I. MANUFACTURED ~ 3. FIBERGLASS REINFORCED PLASTIC [] 95. UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC [] 4. IMPRESSED CURRENT [] 99. OTHER (Check one item only) PROTECTION (For local use only) [] 2. SACRIFICIAL ANODE SPILL AND OVER. FILL YEAR. INSTALLED 450 TYPE (For localuse only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 DROPTUBE Iqq¢ [] 2. BALL FLOAT __ [] S IKERFLATE Iq¢7 l~. T,A~ L~AI( DETECTION ¢ description of the rnonitoring program shall be ~bmitted to the local agency0 IF SlNGLE WALL TA.Ng (Check all that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 [] 1. VISUAL (E×POSED PORTION ONLY) [] 5. MANUAL TANKGAUGING(MTG) [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) [] 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE ~ 2. CONTINUOUS INTER. STITIAL MONITORING [] 3. CONTINUOUS ATG [] 7. GROUNDWATER [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (S1R) + [] 8. TANKTESTING BIENNIAL TANK TESTING [] 99. OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTI~,TEDDATELASTUSEO<V~O/DA~ n¢¢ I ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 ] TANK FILLED WITH INERT MATERIAL? 457 ~allonsI [] Yes [] No UNIFIED PROGRAM CONSOLIDATED FORM SITE#2708825/08825 TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check all that apply) Page UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ~1). PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION/ ·~,n~l' SINGLE WALL [] 3. LllxrED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER ~ DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTURER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLE wt loo,n METHANOL [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL MATERIALS AND [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL CORROSION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [~ 99. OTHER PROTECTION ~4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 VII, PIPING LEAK DETECTION (Check all that apply) ~ description of the monitoring program shall he xubmitted to the local agency.) UNDERGROUND pIPING ABOVEGROUND PIPING SINGLE WALL PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Cheek all that apply): X l. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS [] 2. MONTHLY 0.2 GPH TEST ~2. [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check afl that apply): [] 5. DALLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY[] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0.1 GPH) [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS ('NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES 1N BELOW GROUND PIPING): [] 7. SELF MONITORING [] 7. SELF MONITORING GRAVITY FLOW: GRAVITY FLOW (Check all that apply): [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (O.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Cheek one) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (cheek one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR RESTRICTION [] 12. ANNUALINTEGRITYTEST(0.1 GPH) [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [~ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND ~ [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WFFHOUT FLOW SHUT OFF OR [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17, DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT XI. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING Iq (~ ~) [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+ AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 IX, OWNER/OPERATOR SIGNATURE I certify that the information provided herein is hue and accurate to the best of my knowledge. ,~__ NAME OF OWNER/OPE~tOR (print) 471 TITLE OF (~WNER/O~PERATOR 472 MERLIZA Z. AE'CALA FOR TOSCO REGIONAL COMPLIANCE SPECIALIST Pennit Number (For locM use only) 473 Pennit Approved (For local use only) 474 I Permit Expiration Date (For localuse only) 475 UN~IF, D PROGRAM CONSOLIDATED FOR~' TANKS UNDERGROUND STORAGE TANKS- TANK PAGE 1 (two pages per tank) Page __ of__ TYPE OF ACTION [] 1. NEW SITE PERMIT [] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE (Check one item only) [] 7. PERMANENTLY CLOSED ON SITE [] 3. RENEWAL PERMIT ~pecify reason -for local use only) (~pecify change -for local use only) [] 8. TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID # 1 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (A xcaled plot plan with the location of the UST.~ystem including buildings and landmarkx shall be ~'ubmitted to the local agency.) TANK lB # 432 TANK MANUFACTUREP~ 433COMPARTMENTALIZED TAN K [] Yes ~r No 434 ~ ~ ~ ~Oi~ IfDYesO .... plctc one pa§e £or each compartment DATE INSTALLED (YEARIMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 Iq07 Io,ooo I ADDITIONAL DESCRIPTION (For local use only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE ~140 ~ 1. MOTOR VEHICLE FUEL ~la. REGULAR UNLEADED [] 2. LEADED [] 5. JETFUEL (If marked, completePetraleum Type) [] lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2. NON-FUELPETROLEUM [] lc. MIDGRADEUNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT COMMON NAME Ofrom Hazardous Material~ Inventory page) 441 CAS # (from Hraardous Materials lnventory page) 4~12 [] 4. HAZARDOUS WASTE (Include~ Used Oi0 [] 95. UNKNOWN IlL TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 EXTERIOR MEMBRANE LINER [] 95, UNKNOWN i (Check one it .... ly) ~ 2. DOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 99. OTHER TANK MATER1AL - primary tank [] 1. BARESTEEL ~'3. FIBERGLASS/PLASTIC [] 5. CONCRETE [] 95. UNKNOWN (Check one item only} [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) TANKMATERlAL-secondatytank [] 1. BARESTEEL ~3. FIBERGLASS/PLASTIC [] 8. FRPCOMPATIBLEW/100%METHANOL [] 95, UNKNOWN 445 (Check one item only} [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FRPNON-CORRODIBLE JACKET [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] s. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN446 DATE INSTALLED 447 OR COATING [] 2. ALKYD LINING [] 4. PHENOLIC LINING ~ 6. UNLINED [] 99, OTHER __ (Check one item only) (Jgor loeal ..... OTHER CORROSION [] 1. MANUFACTUP~D ~ 3. FIBERGLASS REINFORCED PLASTIC [] 95. UNKNOWN 448 DATE INSTALLED PKOTECTION IF APPLICABLE CATHODIC [] 4. IMPRESSED CUILRENT [] 99. OTHER (Check one item only) PROTECTION (For local use only) [] 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (For localuse only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR IN STALLED 452 (Check al,,ha, I. SPILLCONTAINME qqS' [] I. , ARM -- X" FILL' ESH OFFVALVE Iqql -- DROP BE qqg> [] BALLFLOAT __ [] EXEM [] 1, VISUAL (EXPOSED PORTION ONLY) 0 5. MANUAL TANK GAUGING (MTG) [] I. VISUAL (SINGLE WALL IN VAULT ONLY) [] 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE y2. CONTINUOUS INTERSTITIAL MONITORING [] 3. CONTINUOUS ATG [] 7. GROUNDWATER [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + [] 8. TANKTESTING BIENNIAL TANK TESTING [] 99. OTHER ¥. TANK CLOSURE INFORMATION / PERMANENT CLOSURE I~ PI,ACE ESTIMATED DATE LAST USED (YPJMO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 I TANK FILLED WITH INERT MATERIAL? 457 gallonsI [] Y~s [] No UNIFIED PROGRAM CONSOLIDATED FORM SITE # 2708825/08825 TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (check all that apply) Page UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ~1. PRESSURE ~ 2. SUCTION [] 3. GRAVITY 458 [-] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION/ ~l. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN ~ [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTURER 463 [] 1. BAKE STEEL [] 6. FRP COIvI~ATIBLE w/~oo~METHANOL [] 1. BARE STEEL [] 6[. FRP COMPATIBLE W/100%METHANOL MATERIALS AND [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL CORROSION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER PROTECTION X4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) (,4 description of the monitoring program shall be submitted to the local agency,} UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL Pn~ING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply}: ~ 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS [] 2. MONTHLY 0.2 GPH TEST X2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST(0.1 GPH) [] 6. TRIENNIAL INTEGKITY TEST (0.1 GPH) i SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND P1PING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING ' [] 7. SELF MONITORING GRAVITY FLOW: GRAVITY FLOW (Check all that apply}: [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) [] 8. DALLY VISUAL MONITORING [] 9, BIENNIALINTEGRITYTEST(O.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply}: PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) (Check one} [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FA1LUKE AND SYSTEM DISCONNECTION DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR [] 11. AUTOMATIC LEAK DETECTOR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply} EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR [~ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DA[LY VISUAL CHECK VI~ DISPENSER CONTAINMENT DISPENSER CONTAINMENT ~1. FLOAT MECHANISM THAT SHI. rI'S OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK DATE INSTALLED 468 [] 2, CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER/MONITORING '----~qq ~) [] 3. CONTINUOUS DISPENSER PAN SENSOR wrrH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein is ~rue and accurate to the best of my knowledge. II MERLIZA Z. ALCJcE'A FOR TOSCO REGIONAL COMPLIANCE SPECIALIST Permit Number (For local use only) 473 Peri. it Approved (For local use only) 474 I Penuit Expiration Date (For Iocaluse only) 475 I UN~IED PROGRAM CONSOLIDATED FORi~[ TANKS UNDERGROUND STORAGE TANKS- TANK PAGE 1 (two pages per tank) Page __ of__ TYPE OF ACTION [] 1. NEW SITE PERMIT [] 4. AMENDED PERMIT [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE (Check one item only) [] 7. PERMANENTLY CLOSED ON SITE [] 3. RENEWAL PERMIT (Specify change -for local use only) (Specify reason -for local use only) [] 8. TANK REMOVED 430 Circle K Stores Inc # 2708825/08825 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (d scaled plot plan with the location of the [JST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes ~' No 434 5. ~ ~.~ ~0 ~ ~N,~ l£DYesn .... plat .... page for each ¢ompmimcnt. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 Iq -/ IO, ooo l ADDITIONAL DESCRIPTION (For local use only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 (/~/ml. [] [] 2. LEADED [] 5. JETFUEL MOTOR VEHICLE FUEL REGULAR UNLEADED arid, complete ?etrol~m T.~e) '~ lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL F-] 2. NON-FUEL PETROL£UM~''[] 1¢. MtDGRADEUNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT COIViMON NAME 0~'om Ha~do~$Mat~rial$ lmv~momyp~ge) 441 CAS # (fi'am H~ardo~$M~t~ri~,'l~v~nta~pag~) [] 4. HAZT~DOUS WASTE t]~ed Oil) TH. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443  EXTERIOR MEMBRANE LINER [] 'Check one item only) 2. DOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 95.99. UNKNOWNoTHER TANK MATERIAL - primaw tank [] 1. BARES'FEEL ~ 3. FIBERGLASS/PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 'Check one item only} [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP~ TANK MATERIAL - seconda~ tank [] 1. BARE STEEL ~ 3. FIBERGLASS / PLASTIC [] 8. FRP COMPATIBLE W/100% METHANOL [] 95. UNKNOWN ~45 'Check one item only) [] 2. STAINLESS STEEL [] 4. STEELCLADW/FIBERGLASS [] 9. FRPNON-CORRODIBLEJACKET [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN446 DATE INSTALLED 447 OR COATING [] 2. ALKYD LINING [] 4. PHENOLIC LINING .~6. UNLINED [] 99. OTHER -- (Check one it .... l~ ~Vo~ local .... OTHER CORROSION [] i. ~NUFACXURED '~ 3. FIBERGLASS REINFORCED VLASTIC [] 95. UNKNOVr~ 44S DATE INSTALLED 449 PROTECTION IF APPLICABLE CATHODIC [] 4. IMPRESSED CURRENT [] 99. OTHER (Check one item only) PROTECTION (For Iocal use only) [] 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTA~LLED 450 TYPE (For local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 IV. TANK LEAK DETECTION (A description of the raonitoring program shall be .rubmitted to the local agency.) IF SINGLE WALL TANK (Check alhhat apply): 453 1F DOUBLE WALL T~K OR IA.NK WITH BLAI)DER (Check one it~ra anly): 454 [] 1, VISUAL (EXPOSED PORTION ONLY) [] 5. M~NUAL TANK GAUGING (MTG) [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE gONE ~ 2. CONTINUOUS INTERSTITIAL MONITORING [] 3. CONTINUOL~SATG [] 7. GROUNDWATER [] 3. MANUAL MONITORING [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + [] 8. TANKTEST1NG BIENNIAL TANK TESTING [] 99. OTHER V. T.ad~ CLOSURE INFORMATION / PERMA~NrENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456ITANK FILLED WITH INERT M~TERIP~? 457 I []No UNIFIED PROGRAM CONSOLIDATED FORM SITE# 270S825/08825 TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI, PIPING CONSTRUCTION (Check dl that apply) Page UNDERGROUND PIPING ABOVEGROUND PIPI~NG SYSTEM TYPE gl. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] I. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 ~ 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 CONSTRUCTION/ MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTURER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLE w/ ~oo~ METHANOL [] 1. BARE STEEL [] 6. FRP COMPATIBLE W/100% METHANOL MATEP-.IALS AND [] 2. STAINLESS STEEL [] ?. GALVANIZED STEEL [~ 2. STAINLESS STEEL [] 7. GALVANIZED STEEL CORROSION [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [] 99. OTHER PROTECTION ~4. FIBERGLASS [] 8. FLEXIBLE (I-IDPE) [] 99. OTHER [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) (A description of the monitoring prograrn shall be submitted to the local agency.) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): ~'1. ELECTRONICLINELEAKDETECTOR3.0GPHTESTWITHAUTOPUMPSHUTOFFFOR [] 1. ELECTRONICLINELEAKDETECTOR3.0GPHTESTWITHAUTOPUMPSHUTOFFFORLEAK, LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS [] 2. MONTHLY 0.2 GPH TEST ~'2. TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) MONTHLY 0.2 GPH [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: CONVENTIONAL SUCTION SYSTEMS (Cheek all that apply}: [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM TEST(0.1 GPH) [] 6. TRIENNIALINTEGRITYTEST(0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING [] 7. SELF MONITORING GRAVITY FLOW: GRAVITY FLOW (Check all that apply): [] 9. BIENNIAL INTEGR. ITY TEST (0.1 GPH) [] 8. DAILY VISUAL MONITORING [] 9. BIENNIALINTEGRITYTEST(O.I GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check ail that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION · [] c. NO AUTO PUMP SHUT OFF [] c. NOAUTOPUMPSHUTOFF [] I I. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHLrr OFF OR [] I I. AUTOMATIC LEAK DETECTOR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) ~ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL VISUAL ALARMS ALARMS I [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR [] 15. AUTOMATIC LINE LEAK DETECTOR. (3.0 GPH TEST) RESTRICTION [] 16. ANNUAL INTEGRITYTEST(0.1 GPH) [] 16. ANNUAL INTEGR1TYTEST(0.1 GPH) [] 17. DAILY VISUAL CHECK [~3 17. DALLY VISUAL CHECK VIII. DISPENSER CONTAINMENT CONTAINMENT ~1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK DISPENSER DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING I qq[] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+ AUDIBLE AND VISUAL ALARMS [] 6. NONE ~69 IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein is true and accurate to the best of my knowledge. NAME OF OWNER/O/PEP~TOR. (print) 471 TITLE OF OWNERIOPERATOR. 472 MERLIZA Z. ~CALA FOR TOSCO REGIONAL COMPLIANCE SPECIALIST Permit Number (For localuse only) 473 Perndt Approved (For local use only) 474 I PermitExpirafionDate(Forlocaluseoaly) 475 I Environmental, Inc. gle March 27, 2000 To: Re: Implementing UST Program Agency UST System Test Results Please find attached the tank/line/leak detector test 'results and/or monitor certification(s) for Tosco marketing Company facility(ies)in your jurisdiction. If you have any questions regarding the attached please call(818) 840-7020. Triangle Environmental, Inc. For Tosco Marketing Company Attachments Cc: Tosco Dealer-Please file the attached test results in your Tosco Compliance binder. Thank you for your cooperation. 2525 W. BURBANK BLVD., BURBANK, CA 91505-2302 · TEL:(818) 840-7020 * FAX:(818) 840-6929 Triangle Environmental Inc 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 (818) 840-6929 UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: Tosco Marketing Co. 1500 North Priest Drive Tempe, AZ 85281 Kathy StrickLand Facility: .............. x ~ Tosco Facility # 08825 ) 2222 F ST / BAKERSFIELD, CA 93304 / ~Tank ~.. Test System ~ Product ,Japacity Type Tosco Facility # 08825 Test Date: 3/20/2000 Work #: 880260 County: KERN Cross Street: 23RD Tank Rate/Results Ullage Result Line Rate/Result L/D Result Certified By: Comments: Monitor certification Technician: Randy Jaquez Mfgr's #: State Lic. #s: This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. gle Environmental, Inc. 2525 W. BURBANK BL VD. BURBANK, CA 91505-2302 FAX: (SlS) 840-6929 CITY/STATE: COUNTY TANK TIGHTNESS TEST ~ PRODUCT LINE TEST [-~ LEAK DETECTOR TEST [--] SERVICE REOUESTED (CHECK) MONITOR CERTIFICATION ~ FACILITY INSPECTION ~ VAPOR RECOVERY TEST [--] ENVIRONMENTAL REPAIRS [---] OTHER [--] SERVICE~ PERFORMED PARTS Quantity Description Quantity Description CUSTOMER PRINT NAME ,5~/~-(L'~'~ ~{ 0, I/1 ( ~ 6'.[~ D ~_ f CUSTOMER SIGNATURE ~ ~ ~ ~/ DATE: SBD:.~23--WORg. v,tO~(3,~) Triangle Environmental Inc US T MONITOR CER TIFICA TION S UMMAR Y SHEET Client: Tosco Marketing Co. 1500 North Priest Drive Tempe, AZ 85281 FacilRy: Tosco Facility # 08825 2222 F ST BAKERSFIELD, CA Monitor model: Serial #: · Sensor Type: Tank Annular: Waste Oil Annular: Waste Oil Sump: Vadose Wells: Line Pressure: Turbine Sump: Line Trench: Tosco Facility # 08825 Test Date: 3/20/2000 Work #: 880260 County: KERN Cross Street: 23RD 93304 VEEDER-ROOT TLS-350 80649024305003 Certification Result: PASS Quantity: Result: 3 PASS Annular Type: DRY 0 N/A Audible Alarm? Yes 0 N/A Visual Alarm? Yes 0 N/A Fail Safe? Yes 3 PASS Positive Shut-off? Yes 3 PASS Gauge Only Result: PASS 0 N/A ATG Monthly? No Fill Sump: 0 N/A ATG CSLD? No Comments: This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: Randy Jaquez Triangle Environmental, Inc. 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 Fax: (818) 840-6929 T. E.I. US T MONITOR CER TIFICA TION S UMMAR Y SHEET Client: //Error Work #: Test Date: Monitor moael: TLS' &YO~ Serial #: County: Cross Street: Sensor Type: Quantity: Result: Tank Annular: Waste Oil Annular: Waste Oil Sump: Vadose Wells: ~ /~' Line Pressure: ._~ Turbine Sump: Line Trench: /~ Fill Sump: Annular Type: AudibleAlarm? Visual Alarm? Fail Safe? Positive Shut-of~. Gauge Only Result: ATG Monthly Test? ATG CSLD? This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. ~0_~ InsPected By: t,~¢_~. ~(~ % I~ C,~ ~ For Use By All Jurisdictions Within the State of California Authority Cite& Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate Certification Or report must be prepared for each monitoring system control panel by the technician who Perfdrms the Work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. Instructions are printed on the back of this page. A. General Information Facility Name: ~ /~ o~ ~ ~- g Site Address: 2 ~[ ~ 2 t~- ,~4'- City: FacilitY Contact Person: ~/~/[C-C O~ ~ctz~t~,'t .(/q,~Dg)'£ Contact Phone No.: (~ &l Make/Model of Monitoring System: Bldg. No~: Zip:' ) Date of Testing/Servicing: t~/Z~O / 2 ~ B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID: f~l~In-Tank Gauging Probe. Model: ~Annular Space or Vault Sensor. Model: [21 Piping Sump / Trench Sensor(s). Model: FI Fill Sump Sensor(s). Model: FI Mechanical Line Leak Detector. Model: I~Electronic Line Leak Detector.. Model: [~'~rank Overfill / High-Level Sensor. Model: FI Dispenser Containment Sensor(s). Model: []~Shear Valve(s). Tank ID: ~' ~ I~l'n-Tank Ganging Probe. [~l~Annular Space or Vault Sensor. lq Piping Sump / Trench Sen. sor(s), FI Fill Sump Sensor(s). FI Mechanical Line Leak DeteCtOr.. · l~Electronic Line Leak Detector. FI Tank Overfill / High-Level Sensor. FI Dispenser Containment Sensor(s). {~Shear Valve(s). Model: Model Model: Model: Model:· Model: Model: ~l~Dispenser Containment Float(s) and Chain(s). [3'Dispenser Containment Float(s) and Chain(s). FI Other (specify equfpment type and model in Section E On Page 2). · FI Other (specify equipment type and model in Section E on Page 2). Tank ID: ~ ~ ~In-Tank Gauging Probe. Model: [~]~nnular Space or Vault Sensor. Model: ~O c/ FI FI Piping Sump / Trench Sensor(s). Model: FI FI Fill Sump Sensor(s). Model: FI FI Mechanical Line Leak Detector. Model: ~ I~l~Electronic Line Leak Detector. Model: tO/_.{- ~-~ FI FI Tank Overfill / High-Level Sensor. Model: FI FI Dispenser Containment Sensor(s). Model: FI l~hear Valve(s). El [2}4Dispenser Containment Float(s) and Chain(s). FI FI Othe~ (speCify equipment type and model in Section E on Page 2). FI Tank ID: FI In-Tank Gauging Probe. Model: Annular Space or Vault Sensor. Model: Piping Sump / Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill / High-Level Sensor. Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Other (specify equipment type and model in Section E on Page 2). 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 is correct and a Site Plan showing the layout of monitoring equipment. For any. equipment. capable of generating such reports,! have also attached a copy of the (checlc all that apply): [~System set-up report; Technician Name (print): ~ ~ ~c'-7 Cert./Lic. No.: Signature: (~.~')' ~.: . Testing Company Name: '/. tt'~- ~ Phone No.: (otv/~7 ) ~7'tT/~-TET.2 ~ CALM-01 Page 1 of 3 11/15/99 Instructio9 for Equipment Testing and Ce~ification General Instructions Equipment that monitors underground storage tank systems containing hazardous materials must be tested/serviced annually, or on a schedule specified by the manufacturer, whichever is more frequent, ' .... This certification form must be used to document the .following activities: 1.) Periodic testing as described above; 2.) Testing of new monitoring systems upon installation; 3.) Testing of replacement sensors, probes, or other system components; and 4.) Testing of repaired sensors, probes, or other system components. As noted on Page 1, a separate certification form must be completed for each individual monitoring system control panel.. For example: If one control panel monitors in-tank gauging probes and another panel monitors electronic line leak detectors, two certification forms are required. Except in the case of emergency repairs, many local agencies require that a permit be obtained prior to installing new monitoring systems or components (i.e. installation of new or different equipment, rather than using parts identical to those replaced). Check with your local agency for their requirements before starting work. · · Section B In the Tank ID sections, describe which tanks you worked on (e.g. Diesel Tank, North Tank, Middle.Tank).. For compartmented tanks, list each compartment as a separate tank. Where "Model" is asked for, the name of the manufacturer and the manufacturer's specific model name or number, as referenced in the "List of Leak Detection Equipment and Methods for Underground Storage Tanks" (i.e. LG-113) must be Specified. Hands-on functional testing of individual leak detection components to confm'n operabili)y to manufacturer's specifications and' state regulations is required. This includes verifying any' mechanical Or electronic automatic .shUt-Off features (e.g.d..ispenser floats and chains). In the case of sensors that can not be non-destructively tested, contact your local agency that regulates UST systems to see if they will approve alternate testing methods (e.g. testing of representative samples). Section C 1. Certification must be made by a licensed and certified technician as per 23 CCR §. 2. All work associated with testing/servicing of equipment must be Performed by or under the direct supervision of the certifying technician. Section D When testing operability of positive turbine shut-down, you must: 1.) verify shut-down by simulating a leak; and 2.) verify shut- down by disconnecting the sensor. . Attachments Site Plan - You must attach a drawing showing 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, and other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if .. used for leak detection). Note the date the Site Plan was prepared. 2. System Set-Up Report - If the monitoring system or diagnostic equipment used in testing is capable of generating a hard-copy report describing system set-up, you must include a copy of the report with this Certification. Alarm History Report o If the monitoring system is capable of generating a hard-copy alarm history, report, you must include a copy of the report with this Certification. Relevant alarms that should appear in this report include overfill, high water, and leak detection equipment-related alarms. This report should be printed before you test any sensors. CALM-01 11/15/99 Monitoring System Certification Site Address: D. Results of Testing/Servicing Software Version Installed: ]/~' 0 ~- Date of'Testing/Servicing: .__/ / . Cojnplete the following checklist: Yes rl No* "'Is the audible alarm operational? I~Ye~ 121 No* Is the visual alarm, operational? ~Yes [21 No* Were all sensors visually inspected, functionally tested, and confn-med operational? l~l~Yes 121 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proPer operation? .12~Yes 121 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) D N/A operational? l~Yes [21 No* 'For pressurized piping systems, does the turbine automatically shut down if the piping secondary Containment I21 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) I~ffSump/Trench Sensors; [21 Dispenser~gntainment Sensors. Did you confmn positive shut-down due to leaks and sensor failure/disconnection? [] Yes; rn No. ' I~'Yes D No* For tank systems that utilize the monitoring system as the primary tank overfill warning device '(i.e~' no FI N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so;' at what percent o£tank capacity does the' alarm trigger? Yes* 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 E, ,below. · 'Yes* I~ No Was liquid found inside any' secondary containment systems designed as dry systems? (Check all that apply) ,,~ 121 Product; 121 Water. !fyes, describe causes in Section E, below. .... ..~ Yes ~ No* Was monitoring system set-up reviewed to ensure proper settings? ~es ~ No* Is all monitoring equipment operational per manufacturer's specifications?. * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: CALM-OI Page 2 of 3 11/15/99 Momtoring~System Certification Site Address: F. In-Tank Gauging / SIR Equipment: Date of Testing/Servicing: / / ~Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: 121 Yes' [] No* Has all input wiring been inspected for proper entry and termination, including te~ting for ground faults? [] Yes FI No* Were all tank gauging probes visually inspected for damage and residue buildup? I-I Yes [] No* Was accuracy of system product level readings tested? [] Yes in No* Was accuracy of system water level readings tested? [] Yes [] No* Were all probes reinstalled properly? FI Yes I-I 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): [] Check this box ifLLDs are not installed. Complete the following checklist: I~f~Yes i'[] No* For equipment start-up or annual equipment ce~rtification, was a leak simulated to verify LLD performance? [] N/A I (Check all that apply) Simulated leak rate: ~3 g.p.h.; uI 0.1 g.p.h.2; I-I 0.2 g.p.h.2 Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. I~Yes 121 No* Were all LLDs confm~ned operational and accurate within regulatory requirements? ~[~Yes [] No* Was the testing apparatus properly calibrated? [21 Yes [] No* For mechanical LLI~s, does the LLD restrict.product flow if it detects a leak? [] N/A [i~}~J~es [] No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] N/A 4~'Yes [] No* For electronic LLDs, does ~e turbine automatically shut off if any portion of the monitoring system is disabled ~ [] N/A or disconnected? IJ'Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion' of the monitoring.system FI N/A malfunctions or fails a test? ~ Yes Fl No* For electronic LLDs, have all accessible wiring connections been visually inspected? [] N/A [] No* Were all items on the equipment manufacturer's maintenance Checklist completed? * In the Section H, .below, describe how and when these deficiencies were or will be corrected. H. Comments: CALM-01 Page 3 of 3 11/15/99 Instr [ ions for Testing Line Leak De l tors Section G 1. Line leak detectors should be tested in-place, not removed. The functional elements of the mechanical LLD are the piston and the diaphragm. To ensure that these elements are functioning properly, the submersible pump can be started and the time that the piston or diaphragm takes to move into a position to enable full flow of the product noted. The range of allowable opening times is specified by the manufacturer and is available in the equipment manual. 3. The presence of air pockets in the system will result in longer opening times since air is much more compressible than product. Thermal expansion and compression may be a problem in areas where there are large temperature variances between day and night. The difference between product temperature and air temperature may be significant enough to create an expansion or contraction as the product is pushed up the line into' the LLD. The purpose of the relief valve is to ensure that the LLD can function properly and is not damaged by an excessive build-up of pressure behind the piston or diaphragm. If the pressure is excessive, the relief valve will vent into a copper tube that leads back to the tank. The connections to this tubing should be checked for leaks. CALM-01 11/15/99 .0 FIIIE D April 4, 2000 FIRE CHIEF RON FRAZE ADMINI8TRATIVE SERVICE8 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICE8 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVEHTIOH SERVICE8 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakemfleld, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAJNING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Tosco Marketing Merliza Alcala 2000 Crow Canyon Rd #400 San Ramon CA 94583 Dear Compliance Coordinator: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The permits to operate this facility/facilities will expire on June 30, 2000. However, in order for this oi~ce to renew your permit, updated forms A, B, & C must be filled out and returned prior to the issuance ora new permit. Please make sure that you are sending the updated forms which are indicated by the date 7/99 in the lower left hand comer. Please complete and remm to this office by May 15, 2000. Failure to comply, will result in a delay of issuance of your new permit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facility_ Circle K Circle K Circle K Circle K Stockdale 76 Country Club Union Address 5634 Stine Road, Bakersfield, Ca 93313 5600 Aubum, Bakersfield, Ca 93306 1030 Oak Street, Bakersfield, Ca 93304 2222 "F" Street, Bakersfield, Ca 93301 5401 Stockdale Hwy, Bakersfield, Ca 93309 2524 Oswell, Bakersfield, Ca 93306 Environmental, Inc. gle March 26, 1999 To: Re: Implementing UST Program Agency UST System Test Results Please find attached the tank/line/leak detector test results and/or monitor certifications for Tosco Marketing Company facility(ies) in your jurisdiction. Should you have any questions regarding the enclosed please call (818) 840- 7020. ' · Attachments 2525 W. BURBANK BLVD., BURBANK, CA 91505-2302 · TEL:(818) 840-7020 .' FAX:(818) 840-6929 .BAKERSFIELD FIRE DEPARTMENT .,~HAZARDOUS MATERIAL DIVISION 213~ G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY ~-~t~P. ~ ~2S ADDRESS PERMIT TO OPERATE OPERATORS NAME lD. Sd o OWNERS NAME ./-/,z~__~77,~/'6-- ~., NUMBER OFTANKS TO BE TESTED ;//~, IS PIPING GOING TO'BE TESTED TANK% CONTENTS / ~Z~oL,~e 0~'-~'s) · 2. VOLUME 7~/4~64~. ~SgS ~L ~W~ ~. TANK TESTING COMPANY ~m/J~W/~37~a, '/z/~- ADDRESS ~W/~W~., ~W'- q/A~-~u~ TEST METHOD 7-~I Z3~-~ NAME OF TESTER 7D~F 141,o,-,,1'1 CERTIFICATioN STATE REGISTRATION DATE & TIME:TEST IS TO BE CONDUCTED · P ROVE~Y: DATE s IGNA m E-Z6F rmPnICr Triangle EnvirOnmental, Inc. 2525 West Burbank Blvd., Burbank, CA 91505-2302 (818) 840-7020 (818) 840-6929 UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: Tosco Marketing Co. 1500 North Priest Drive Tempe, AZ 85281 Kathy StrickLand (602) 728-7149 Tosco Facility # 08825 Test Date: 1/18/99 Facility: Tosco Facility # 08825 2222 F ST BAKERSFIELD, CA 93304 Tank # Product Test System Capacity Type Work #: 341020 County: KERN Cross Street: 23RD Tank Rate/Results Ullage Result Line Rate/Result Result 1 Unleaded Plus 9816~ 2 .Unleaded Regular . 9816 3 Unleaded PremiuTM 98i6 N/A N/A N/A N/A N/A ' N/A -0.011 PASS -0.011 PASS -0.021 PASS N/A N/A Certified By: Technician: Tony Kiani Mfgr's #: TEI-047 Comments: Compliance test Lines and Monitor certification State Lic. #s: CA-1049 This precision tank testing system exceeds the criteria required by Local, State affd Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. Triangle Environmental, Inc. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility:. Tosco Facility # 08825 Tank #: 1 Product: Unleaded Plus Test Date: 1/18/99 Work #: 341020 Test Method: Capacity: 9816 Diameter (in): Product Level (in): Liquid Volume (Gals): Liquid Percent (%): Specific Gravity: Coef. of Expansion: Water On Tank (in): Water In Tank (in): Product Temp. (F): · ~ Head Pressure (psi): Test Start Time: Test End Time: Test Rate (gph): Test Result: N/A Test Method: ULLAGE UllageVolume (gals.): Ullage Test Time: Ullage Vacuum (psi): Ullage Result: N/A Test Method: R.J. FTA Manufacturer: L/D Model: L/D Serial #: Line Drain Back (mi): L/D Trip Time (sec): Holding Pressure' (psi): Metering Pressure (psi): L/D Test Rate (gph): L/D Result: New leak detector? No Test Method: TEl LT-3 Pump Brand: FE Petro System Type: Pressure Line Pressure (pSi): 50 Line Start Time: 9:50:00 PM Line End Time: i0:05:00 PM Line Start Level: 140 Line End Level: 130 Line Test Rate (gph): -0.01 l Lin~ Test Result: PASS NO MECH. LD. .. 2 Triangle Environmental, Inc. / Tosco Facility # 08825 2 Unleaded Regular ................ RESUL'I~ SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Tank St: Product: Test Method: Capacity: 9816 Diameter (in): Product Level (in): Liquid Volume (Gals): Liquid Percent (%): Specific Gravity: Coef. of Expansion: · Water On Tank (in): Water In Tank (in): Product Temp. (F): · ~ Head Pressure (psi): Test Start Time: Test End Time: Test Rate (gph): Test Result: N/A Test Method: ULLAGE UllageVolume (gals.): Ullage Test Time: Ullage Vacuum (psi): Ullage Result: N/A Test Date: 1/18/99 Work #: 341020 Test Method: R.J. FTA Manufacturer: ,L/D Model: L/D Serial #: Line Drain Back (mi): L/I) Trip Time (sec): Holding Pressure (psi): Metering Pressure (psi): L/D Test Rate (gph): L/D Result: N/A New leak detector? No Test Method: TEl LT-3 Pump Brand: FE Petro System Type: Pressure Line Pressure (psi): 50 Line Start Time: 9:55:00 PM Line End Time: 10:10:00 PM Line Start Level: 180 Line End Level: 170 Line Test Rate (gph): -0.011 Line Test Result: PASS NO MECH. LD. 3 Triangle Environmental, Inc. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: Tank #: Product: Tosco Facility # 08825' 3 Unleaded Premium Test Method: Capacity: 9816 Diameter (in): Product Level (in): Liquid Volume (Gals): Liquid Percent (%): Specific Gravity: Coef. of Expansion: Water On Tank (in): Water In Tank (in): Product Temp.. (F): * ~ Head Pressure (psi): Test Start Time: Test End Time: Test Rate (gph): Test Result: · N/A Test Method: ULLAGE UllageVolume (gals.): Ullage Test Time: Ullage Vacuum (psi): Ullage Result: N/A Test Date: 1/18/99 Work#: 341020 Test Method: R.J. FTA Manufacturer: L/D Model: L/D Serial #: Line Drain Back (ml): L/D Trip Time (sec): Holding Pressure (psi): Metering Pressure (psi): L/D Test Rate (gph): LfD Result: N/A New leak detector? No Test Method: TEl LT-3 Pump Brand: FE Petro System Type: Pressure Line Pressure (psi):_ 50 Line Start Time: 10:15:00 PM Line End Time: 10:30:00 PM Line Start Level: 250 Line End Level: 230 Line Test Rate (gph): -0.021 Line Test Result: PASS NO MECH. LD. 4 Triangle Environmental, Inc. US T MONITOR CERTIFICATION S UMMAR Y SHEET Client: Tosco Marketing Co. 1500 North Priest Drive Tempe, AZ 85281 Facility: Tosco Facility # 08825 2222 F ST BAKERSFIELD, CA 93304 Monitor model: VEEDER-ROOT TLS-350 Tosco Facility # 08825 Test Date: 1/18/99 Work #: 341020 County: KERN Cross Street: 23RD Serial It: Certification Result: Pass Sensor Type: Quantity: Result: Tank Annular: 3 PASS Annular Type: DRY Waste Oil Annular ~ 0 N/A Audible Alarm? Yes Waste Oil Sump: 0 N/A Visual Alarm? Yes Vadose Wells: 0 N/A Fail Safe? Yes Line Pressure: 3 PASS Positive Shut-off? Yes Turbine Sump: 3 PASS ATG Result: PASS Line Trench: 0 N/A ATG Monthly? Yes Fill Sump: 0 N/A ATG CSLD? No Comments: SYSTEM PERFORMS INVENTORY GAUGING. This certifies that the monitor and sensors, as listed above, are operational and calibrated per the manufacturer's specification. Inspected By: ~ Tony Kiani ~~ February9,1999 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICF.8 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVEN'I1ON SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAJNING DMSlON 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Circle K Stores 2222 "F" Street Bakersfield, CA 93301 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. sTyr Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY PERMIT TO OPERATE OPERATORS NAME 7D~do OWNERS NAME /q~E/-7~- ~, NUMBER OF TANKS TO BE TESTED A//~, IS PIPING GOING TO'BE TESTED TANK% VOLUME 2 . CONTENTS 7~/~ ~SmS ~/. ~W~ ~, TANK TESTING COMPANY ~-a/V/~_m/d/-l~ur~ '/,~C.. ADDRESS Z~J~~., ~.. ~/~-~9o~ TEST METHOD 7-~I Z3---~ NAME OF TESTER CERTIFICATION 7ar-0¥7 STATE REGISTRATION ~ ~7--/~47 DATE & TIME TEST IS TO BE CONDUCTED '/:00 I~1./ 'AP P ROVEI~Y: DATE SIGNATURE ~0F A.PPLICAN~ Tosco Corporation 72 Cummings Point Road Stamford, Connecticut 06902 Telephone: 203 977-1QQQ Facsimile: 203 964-3187 CERTIFICATION OF FINANCIAL RESPONSIBK,ITY Tosco Corporation hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism: Section 280.95 - Financial Test of Self Insurance Amount of Coverage: $2,000,000 in the aggregate Effective Period of Coverage: From January 1, 1998 until revoked or replaced by notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Corrective action and third-party compensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising from the operation of underground storage tanks. By: Its: Date: Craig R~ Deasy ,.~ Vice President and Treasurer April 27, 1998 State of Arizona County of Maricopa ) )§ ) The foregoing instrument was acknowledged before me this 27th day of April 1998 by Craig-IL_.,.D. easy, personally known to me as Vice President and Treasurer of Tosco Corporation on behalf of the corporation. OR:I~AL SEAL BARBARA A. HUNTER Not;r/Pubic -Stae of.a.'lzo~a MNiICOPA COUNIY My Comm. Expk~s Aug, 11.2001 ~'Notary Public My Commission Expkes: ,~-//-- d / BAKERSFIELD FIRE DEPARTMENT ENVIRONMENTAL SERVICES 1715 Chester Ave. · Bakersfield, CA 93301 Business Phone (805) 326-3979 · FAX (805) 326-0576 FAX Transmittal COMPANY: COMMENTS: F- KBF.7171 CORRECTION NOTICE BAKERSFIELD Sub Div. FIRE DEPARTMENT N° ~ ' 0 1 1 6 Blk. Lot, You are hereby required to make the following corrections at the above location: COl'. 326-3979 07/06/98 09:06 ~805 326 0576 BFD KAZ MAT DIV ~001 ACTIVITY REPORT TRANSMISSION OK TX/RX NO. CONNECTION TEL CONNECTION ID START TIME USAGE TIME PAGES RESULT 7528 12096872243 07/06 09:04 01'31 2 OK iKBF-7171 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° ~'0124. Sub Div.. Blk. . Lot You a~e hereby required to make the [o]lowi~ corrections et the ~bove location: Completion Date lot' Corrections Inspector 326-3979 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT Location 2~-/~-~-/ Sub Div Blk. Lot N° ~'0116 You are hereby required to make the following corrections at the above location: Cor. 1~o Inspector 326-3979 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT Location Sub Div. Blk. Lot You are hereby required to make the following corrections at the above location: Completion Date for Corrections Date · Inspector 326-3979 CITY OF BAKER~ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 c~,. ~p gV ~. ct 3 3 v l rNSPECTION RECORD POST CARD AT JOB SITE Ovm~r C~, Zip Permit# T~~~ ~SPE~ON DA~ ~g ~H of T~s) C~ ~m of T~s) PIPING SECONDARY CONTAIN.'MENT. OVERFILL PROTECTION. LEAK DETECTION ~ lns~llalion. Tank(s) Vaull Wi~ ~ ~ C~blo Fill ~) Spill ~i~ ~ FINAL MOmtOrmg WolI~ Caps ~, Locks Fill Box Lo~k Monitoring Roqu~ ~~: ~ 7/~/~ s,~, ~ ~ CONTRACTOR ~4-,T ~c t't/i¢; .., I-{'CENSZ # ~0 '~ 3 ~t ~'~ 09:58A a&s eng_~neet-tng 818 84.2-3760 0FFIC~bF ENVIRONMENTAL SERJCES' UNDERGROUND STORAGE TANK PR~'GRAM P. 04 '-- o fo7 PERMITJ~PPLJCATION TO CONSTRUCT/M_ODIFY UNDERGROUND STORAGE TANK I"(,,,PI~ OF AP.?UCATION (~CHECK') C:] NEW FACILITM ~]I~-ODIFrC'A;TION OF FACILITY C~ NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE ~- [ - ~ ~' .. PROPOSED COMPLETION DATE ~, -(-'~ FACILITY NAME CI,~CL.~... lC .. ,#'~'~2-.~ EXISTING FACILITY PERMIT No. FACILITY ADDRE~S ~-..2.-~--2.. F. S"'~' . ~ '~.-~ RD. ZIP COOE TYPE OF BUSINESS ~;, A.- '5 ST A'r I o,eu APN TANK OWNER '1'o-$ c.o ,'~AA AK,.F-..I'I~ ¢o/v~. PA/u~' PHONE No."/14' Al)DRESS ~'~ A-,,.,'I"o,,'J J~L. CITY~.,USTA ,,~4~:SA ZIP CODE ~Z.~Z.~, CONTRACT~'~ J~k'3" .5~gtcE S-rAT. mt, I ..c.o,'u'E.~Ac-'ro/~s CA LICENSE No. PHQNE NO.'~O'5.4.$ I '~.~"7..- BAKERSFIELD CITY BUSINESS LICENSE No. '~ $ "5"/12_'~ WORKMAN COM~='. No. '4'?~?--C~ ~NSURE~..O~-~.e.~ e^r,~ ?,~' BREIFLY DESCRIBE THE WORK TO BE DONE ~STA[-.%. ~/Ev~. ..... l:>lsp'~,,v$.E.,,e.. ..... WATER TO FACILITY PROVID'[O By ~'l 1'~. DEPTH TO GROUND WATER SOIL TYPE EXPECTED,~FSlTE No. OF TANKS TO BE INSTALLED 0 ARE THEY FOR MOTOR FUEL ~ES Q NO SECTION FOR MOTOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIEt,EL ..~ AVIATION ( u,,v~A.i~ SECTION FOR NON MOTOR FUELSTORAGE TANKS TANK NO. VOLUME CHEMICAL STOI~ED CAS No. (no Drano name) (it known) CHEMICAL PREVIOUSLY STORED THE APPLICANT HAS RECEIVED. UNOEIISTANOS. AND WILL COMPLY WITH THE ATTACHED CONOITIQN$ OF THIS Pc..I'IMIT AND ANY OTHER STATE. LOCAL ANO I:EOERAI. REGULATIONS. A'~2~r~/ED BY~-..~"'"~ APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED C~RRECTION N Ojll C E BAKERSFIELD FIRE DEPARTMENT N_~ 650 Sub Diw ~)3 3 ~ ~'- Blk. Lot You are hereby required to make the following corrections at the above location: Cot. No ,J Completion Date for Correctior~ 3/2_, _ g Date ~/~)'/~ ~ //'E~ ' 'l InspectOr 326-3979 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., Y~ Floor, Bakersfield, CA 93301 FACILITY NAME (~vCcI~- ADDRESS O~a. FACILITY CONTACT INSPECTION TIME INSPECTION DATE ~0/2~/~ PHONE NO. _"q~l(~- 1"~ ~t ~ BUSINESS ID NO. 15-2]0- NUMBER OF EMPLOYEES "7 Section l: Business Plan and Inventory Program [~Routine [21 Combined [2] Joint Agency I~ Multi-Agency [21 Complaint 121 Re-inspection OPERATION C V COMMENTS Appropriate permit on hand V Business plan contact intbrmation accurate I~ Visible address t/ Correct occupancy Vr Verification of inventory materials fi/ Verification of quantities ~ ~ Verification of location ~r Proper segregation of material ~/r Verification of MSDS availability Vt Verification of Haz Mat training ~/ Verification of abatement supplies and procedures ~/ Emergency procedures adequate V/ Containers properly labeled V Housekeeping ~l Oe, ce c oo[.~i~/ Fire Protection ¥/ Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: [21 Yes I~ No Questions regarding this inspection? Please call us at (805} 326-3979 White- Env. Svcs. Yellow - Station Copy Pink - Business Copy Business SffTsponsible Party Inspector: FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program Routine [~l Combined ~1 Joint Agency Type of Tank ~ tO ~- Type of Monitoring [~l Multi-Agency [~1 Complaint Number of Tanks ~q Type of Piping Dtt/~ [21 Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations (~. Has there been an unauthorized release? Yes No ,,,tm Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks dr 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: t.d ~~fi--t~ Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy l~us~ness Site Responsible Party REPORTED PROBLEM ' /' ' - SERVICES ! REPAIRS PERFORMED. ' : ':?"~?'~::g~%'~,.,. ,.:~pr:: '-.. ' ~ABOR CHARGES MATERIAL ~ MFG. NAMES & ~RIAL NOS. IF PUMP TOTALI~R ~ C~NGED, SH~ BEFORE & "~-?':' ~%''" "' MATERIAL.DESCRIP~ON ~BOR ~R E ,, CORE CREDE TOTALI~R R~DINGS mAVEL TIME I NO' OF ~ i , ' MILEAGE TO S~ ~BT~ , PERSONS ~ , , I AND ~ME AT S~ ~R~L SERIAL NO. ~ ~ i NUMBER UP % ~M .-;. ~ME ' ~' TOTALSUB' MARKup % ~.~OU~._____ : ;ENDING ODOMETER READING MA~RIALT~AL BEFORE .. EQUIPMEm i ; ; ',' SALES T~ RE~AL : . , , , ~ BEGiNNiNG ODOMETER READING T~AL MA~R~ '.- COCA'OR ~ ~ ~ ~ TOTAL MILEAGE TO S~ CONFIRMED SER~. CA~ ~":~ ') T~AL pM ~'0~ PM M~E~E PERSON WHO PLACED CALL T~TAL ~M~T SffE EQUIP- RE~ ~ ~tC TOTAL ~SON (PRINT SERVER PERSON (PRI~ NAME) /~ ' BEFORE SIGNING FORM, A~ORIZED PERSON (PRI~ NAME) TOTAL ~ VERIFY ARRIVAL TIME, ~ SIGN~ SERVICE PERSON'S SIGNA. RE : SERVJcEsDEPARTUREpERFORMED.TIME' ANO ~~AUT'RIZED PERSON'S S~ATURE~ ~/" :-~'~- ':~' DATE FORM 3-8811 (REV. 12-94) PRINTED IN U.S.A. ' ' / 9 / 2 '/{ PAYABLE gle Environmental, Inc. 2525 W. BURBANK BL VD. BURBANK, CA 91505-2302 TEL: (818) 840- 7020 FAX: (818) 840-6929 WORK A CKNO ADDRESS: CITY/STATE: '-TANK TIGHTNESS TEST 'PRODUCT LINE TEST LEAK DETECTOR TEST .SERVICE REQUESTED (CHECK) ':' Mo~/rroR CER~CATION ~ .FACILITY; INSPECTION [5~ VAPOR RECOVERY TEST [~ '.'SERVICES PERFORMED ENVIRONMENTAL REPAIRS OTHER [i_.] 7' . g.y . PARTs Quantity Description Quantity Description a~a..-::, c: ,.,- my,- - ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: - ::::::i:?"!:'"'?':'"'":"" ~::~:!5:1:: ~::..::.:::::.::.' :: ........... '::::"::'~::'"'""'"::i:":'":'"": ......... :!ii !iA ~~:!:!:!i!:!:!::i :il ::::::::.:.s:...:: i::::!:: ~::i !.!: :~:~R:.~EE:!.H ,:':':c 2 ': % :'. 1:2 ::" :9' ','::'???;';" ;' r?r"R': i'?:'"[ "?"7 "?" '% i; ;','i':,';' ',' i-:' 'i' ':'"'"' '"' ' ,'",' ',"/';';'. x,',:,~,.: CUSTOMER PRINT NAME , .. CUSTOMER SIGNATURE ;2 ...-. ' SBD: BAKERSFIELD FIRE DEPARTMENT February 13, 1998 RI~E CHIEF MICHAEL R. KELLY ADMINISTI~u"TVE SF.E~CES 2101 'H" Street Bake~fleld, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPffiffi$1ON SEll, ICES 2101 'H" Street Bakersfield, CA 93.,X]! (805) 326-3941 FAX (806) 395-1349 ~EVE~ SERVICES 1715 Chester Ave. Bakersfield, CA 93.301 (805) 326-3951 FAX (805) 326-0576 ENVlIIONMENTAL SElindlt~.$ 1715 Ch,~ter Ave. Bakersfield. CA 93301 (805) 326-3979 FAX (805) 326-0576 11t, AINING DIVISION 5642 Victor Street Bakersfield, CA 93,308 (805) 399-4697 FAX (805) 3995763 Circle K Stores Inc. #8825 2222 "F" Street Bakersfield, CA 93301 RE: "Hold Open Devices" on Fuel Dispensers Dear Underground Storage Tank Owner: The Bakersfield City Fire Department will commence with our annual Underground Storage Tank Inspection Program within the next 2 weeks. The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire Department now requires that "hold open devices" be installed on all fuel dispensers. The new ordinance conforms to the State of California guidelines. The Bakersfield Fire Department apologies for any inconvenience this may cause you. Should you have any questions, please feel free to contact me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey BAKERSFIELD FIRE DEPARTMENT January 30, 1998 RI~ CHI~ MICHAEL R. KELLY ADhgNISmATIVE ~ 2101 "H' Sheet Bake~tleld, CA 93,301 (805) 326-3941 FAX (805) 395-1349 SUFI~ffi~)N ~I~VlCES 2101 'H" Sheet Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 PI1EVENliON SEIn/ICES 1715 Chestec Ave. Balcers~eld, CA 93301 (805) 326-3951 FAX (805) 326~576 ENVlEONMEI~F, AL 1715 Chester Ave. Bakersfield. CA 93301 (805) 326-3979 FAX (805) 326-0576 11~INING DIVISION 5642 Victor Sheet Bakersfield, CA 93308 (805) 399-4697 FAX (8O5) 399-5763 Heather Smith Gasoline Environmental Compliance 601 Union Avenue, Suite 2500 Seattle, Washington 98101 Verification of Annual Maintenance on Leak Detection Equipment Located at Circle K, 2222 "F" Street in Bakerifield Dear Ms. Smith: Our records indicate that no verification of annual maintenance on leak detection system has been submitted to this office since March 1, 1995. Article 4, Title 23, Division 3, Chapter 16, CCR, requires that maintenance on leak detection systems be performed annually to certify that equipment is in good working order. This office requests that you proVide the annual certification within the next 30 days (March 1, 1998). Failure to comply will result in further enforcement action. If you have any questions, please call me at (805) 326-3979. Sincerely, Ralph E. Huey Director Office of Environmental Services by: Steve Underwood Underground Storage Tank Inspector SBU/dm CQJJ~ECTION N OTIC~; BAKERSFIELD FIRE DEPARTMENT N° 0385 Location ~1 ~lkl ~_ {d- _~Jm~-c Sub Div. go~ F ST, . Blk._ Lot You are hereby required to make the following corrections at the above location: Coro No J ,) Completion Date fo,' CorrectionsO, ~ h*/~ Date O/)t~/~'! ~ )~ Inspector 326-3979 Business Name: ~1~'¢1~ ~ ..5'~.~.. Location: OFF~ .OFke~:sfield ~'tI:e Dept. ENVIRONMENTAL SER VICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed O,/.~,/f' 7 Business Identification No. 215-000 '~'~ 3, (Top of Business Plan) Station No. Shift Inspector Arrival Time: ¢,. ~'g, a-,,, Departure Time: Inspection Time: Address Visable Correct Occupancy Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Matedal Adel~e Inadequate Verification of MSDS Availablity Number of Employees: Verification of Haz Mat Training Comments: Verification of Abbatement Supplies and Procedures Comments: Emergency Procedures Posted Containers Propedy Labled Comments: Adel~te Inadequate 0 o Verification of Facility Diagram Housekeeping Fire Protection Electrical Comments: UST Monitoring Program Comments: .~ ~,~h~,,' ~r~u~l[¢t~'~ Permits [31/ I'1 Spill Control Hold Open Device Hazardous Waste EPA No. Proper Waste Disposal 133/` ffl Secondary Containment E;~/ 0 Security ~ 0 Special Hazards Associated with this Facility: /"3 Business Owner/Manager PRINT NAME ~IGNATUR'~E~ Correction Needed VVhite-Haz Mat Div. Yellow-Station Copy Pink-Business Copy EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM ~ monitonng program must bc kept at thc UST lo~ation at all Umcs. Thc information on ~his momtoring program are condiaons of the operating permit. The pernut holder must notify the Office of Envu~nmental ,~elqti~l~ within 30 days of ally chnnge~ tO the momtonng procedures, unless required to o~tain approval before making the change. Requited by. Sections 2632(d) and 264 l(h) CCIL Facility Name 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 b~rd, are not cleaned up fi'om the secondary, containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. o Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: List the name(s) and title(s) of'the person(s) responsible for authorizing any work necessary under the response plan: WRI EN MONITORING PROC URES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be k~ at the UST location at all times. Thz information on thi. ~ program am conditions of the operating permit. T'az permit holder must notify the Office of Envimmmnml Se. fvi~ within 30 da~ ofal~ chnn? tO th~ monitoring procedures, unless required to o~t~in ap~ow~ ]~eo[~ making th~ change. Requw~ by Sections 2632(d) and 2641Cn) CCR. Facility Name Facih'ty Address Describe the frequency of performing the monitoring: Tank Piping What methods and equipment, identified by name and model, will be used for perfoming the monitoring: Tank Piping Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): Do List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment: Eo Reporting Format for monitoring: Tank Piping Fo Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenance sehednle but not less than every 12 months. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 FACILITY NAME 0 i~-clc_ ~. BUSINESS I.D. No. 215-000 ~?-~ FACILITY ADDRESS ~_~.~ ~_ FSi-. CITY I~{/ ZIP CODE FACILITY PHONE No. .~3~" / ?.5"~ i INSPECTION DATE .3~.o/=/~7 Produ~ Produd Produd TIME IN TIME OUT Inst Date Insl Date Inst Dale INSPECTION TYPE: /~ 7 /~' 7 /~ Size Size Size ROUTINE t/' FOLLOW-UP ,~. dee /d,,~e REQUIREMENTS yes no n/a yes no n/a yes no A & su ed / v/ lb. Form C Submitted lc. Operating Fees Paid .~' ld. State Surcharge Paid la. Statement of Financial Responsibility Submitted lf. Written Contract Exists between Owner & Operator to Operate UST V' 2a. Valid Operating Permit 2b. Approved Written Routine Monitoring Procedure 2c. Unauthorized Release Response Plan v/ 3a. Tank Integrity Test in Last 12 Months i ~1~.~' 3b. Pressurized Piping Integrity Test in Last 12 Months V/ V/' %/ 3c. Suction Piping Tightness Test in Last 3 Years 3d. Gravity Flow Piping Tightness Test in Last 2 Years ~/ ¥/ 3e. Test Results Submitted Within 30 Days ,/ 3f. Daily Visual Monitoring of Suction Product Piping 4a. Manual Inventory Reconciliation Each Month 4b. Annual Inventory Reconciliation Statement Submitted V' 4c. Meters Calibrated Annually 5. Weekly Manual Tank Gauging Records for Small Tanks 6. Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring V 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks ~/~ V/ V/r 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors 13. Continuous Piping Monitoring in Sumps p ~/' v/ 14. Automatic Pump Shut-off Capability 15. Annual Maintenance/Calibration of Leak Detection Equipment V 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series V/' V/ v/~ 17. Written Records Maintained on Site ,~/ V/ 18. Reported Changes in Usage/Conditions to Operating/lVlonitoring Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20. Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection Inspection V 22. Secured Monitoring Wells ~/' V 23. Drop Tube RE'INSPECTION D~. TE_~-V/"~D(~ / ~' 7 RECEIVED BY: INSPECTOR: ~ _/'~~("J OFFICE TELEPHONE NO. _.~..~¢,-.577 '7 FD 1669 THE CIRCLE K CORPORATION CONVENIENCE FOOD STORES October 15,1996 Bakersfield Fire Department ~azardous Materials Division UST Section 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: New Compliance Contact Dear Agency: .&teas of responsibility within the Circle K company have been reassigned since it's purchase by Tosco Corporation. Please note that your new contacts for California regardi~g gasoline comphance issues are his. Heathea' Smith and Mr. Chris Syberg at the following address: Circle K Store-z inc. Gasohne Em'ironmental Compliance 601 Union SSa'eeL Suite 2500 Seattle, Washington 98101 Phone: (206)442-7378 or 442-7078 Change becomes effective upon your receipt of this notice. Respectfully, Ruth H. Bulmer Regional Compliance Coordinator CC: Heather Smith Chris Syberg P.O. BOX 52084 · PHOENIX, AZ 85072-2084 · (602)437-0600 CERTIFICATION OF FINANCIAL RESPONSIBILITY Circle K Stores Inc. (including its affiliates and subsidiaries) hereby certifies that it is in compliance with the requirements o£Subpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: §280.96 - Guarantee of The Ckcle K Corporation Amount of Coverage: $2,000,000 in the aggregate. Effective Period of Coverage: May 1, 1996 until revoked or replaced by notice to the Implementing Agencies listed on the attached Exhibit A. Coverage: Corrective action and third-party comPensation for bodily injury and property damage caused by sudden and nonsudden accidental releases arising from the operation of underground storage tanks. CIRCLE K STORES INC. and its affiliates and subsidiaries Its: Executive Vice President - Finance Date: April 22, 1996 WITNESS Name: Cortlar~ J. Silver Its: Assistant Secretary Date: April 22, 1996 TONDVCJS\4828CS 1 CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 (602) 437-0600 · Fax (602) 530-5147 Printed on Recycled Papo' wltk Soy Ink .C?RCLE,K STORES INC, SCHEDULE 6 4~22~96 STORE STREET CITY ZIP COUNTY STATE 00750 2715 CENTER ST ROSAMOND 9356 KERN CA 00770 ~49594 29 PALMS HWY MORONGO 9225 SAN CA 00777 1005 MISSION RD FALLBROOK 9202 SAN DIEGO CA 00801 18965 VAN BUREN BLVD WOODCREST 9250 RIVERSIDE CA 00837 17671 GRAND AVE LAKE ELSINORE 9233 RIVERSIDE CA 00838 35472 DATE PALM DR CATHEDRAL CITY 9223 RIVERSIDE CA 00858 18465 HVVY 18 APPLE VALLEY 9230 SAN CA 00872 13261 PERRIS BLVD MORENO VALLEY 9238 RIVERSIDE CA 00902 6940 OLD WOMAN SPRG YUCCA VALLEY 9228 SAN CA 00903 68-258 RAMON RD CATHEDRAL CITY;9226 RIVERSIDE CA 0095'1 5809 MANZANITA AVE CARMICHAEL ,9560 SACRAMENTO CA 00956 6825 GREENBACK LN CITRUS HEIGHTS 19562 SACRAMENTO CA 00977 739 ARDEN WAY SACRAMENTO '9581 ISACRAMENTO CA 00989 12854 FOOTHILL ETIWANDA '9173 SAN CA 01023 80-100 HVV"Y 111 INDIO 9220 RIVERSIDE CA 01028 1665 W HANFORD- HANFORD '9323 IKINGS CA 01034 15853 MAIN ST HESPERIA :9234 SAN CA 01045 11408 VENTURA AVE OJAI 9302 VENTURA CA 01057 5555 HEMLOCK SACRAMENTO ~9584 SACRAMENTO CA 01070 795 E PERKINS UKIAH 9548 MENDOCINO CA 01096 500 RIMROCK RD BARSTOW ,9231 ~SAN CA 01102 4833 SHASTA DAM BLVD PROJECT CITY .9607 SHASTA CA 01106 1693 CENTRAL AVE MCKINLEYVlLLE .9552 HUMBOLDT CA 01118 1200 N CREST DR CRESCENT CITY 9553 DEL NORTE CA 01156 1263 FRANKLIN AVE YUBA CITY !9559 rS'UTTER CA ' 01161 1395 PALM WASCO ~9328 KERN CA 01173 1370 BARDSLEY TULARE !9327 TULARE CA 01178 428 SKYLINE AVENAL !9320 KINGS CA 01197 6930 MORRO RD ATASCADERO 19342 SAN LUIS CA 01205 16470 CAMBRIDGE LATHROP 9533 SAN JOAQUIN CA 01212 600 RIO TIERRA AVE SACRAMENTO 9583 SACRAMENTO CA 01215 1421 OCEAN LOMPOC 9343 SANTA CA 01232 4381 EL CAMINO REAL ATASCADERO 9342 SAN LUIS CA 01242 3232 STINE ROAD BAKERSFIELD 9330 KERN CA 01244 9408 KIEFER BLVD SACRAMENTO 9582 SACRAMENTO CA 01270 5634 STINE RD BAKERSFIELD 9331 KERN CA 01271 697 STATE sT SAN JACINTO 9238 RIVERSIDE CA 01274 44046 N JACKSON ST INDIO 9220 RIVERSIDE CA 01315 2585 JENSEN AVE SANGER 9365 FRESNO CA 01326 8101 LANDER AVE HILMAR 9532 MERCED CA 01327 1860 MAIN ST MORRO BAY 9344 SAN LUIS CA 01329 11 MARKET ST COLUSA 9593 COLUSA CA 01330 671 G ST LINCOLN 9564 PLACER CA 01332 215 HARDING BLVD ROSEVILLE 9567 PLACER CA 01337 19615 PEACEFUL OAK RD SONORA 9537 TUOLUMNE CA 01340 1506 SACRAMENTO AVE BRYTE 9560 YOLO CA 01355 111 E AVE K 'LANCASTER 9353 LOs ANGELES CA 01361 10785 COLOMA RD RANCHO 9567 SACRAMENTO CA All Locations Covered by 40 CFR Section 280.96 Page 12 of 40 ¢~IRCL~ K STORES INC. SCHEDULE B 4/22/96 sTORE STREET CITY ZIP COUNTY STATE 05217 12'512 KNOTT AVE GARDEN GROVE 9264 ORANGE CA 05221 8609 GARVEY AVE ROSEMEAD 9177 LOS ANGELES CA 05224 1880E4ST ONTARIO 9176 SAN CA 05230 16408 ORANGE PARAMOUNT 9072 LOS ANGELES CA 05232 6760 CARNELIAN ,ALTA LOMA 9170 SAN CA 05233 16880 SLOVER ,FONTANA 9233 SAN CA 05234 12105 PIONEER BLVD !NORWALK 9065 LOS ANGELES CA 05236 1695 ROYAL AVE 'SIMI VALLEY 9306 VENTURA CA 05237 510 E LOS ANGELES AVE SIMI VALLEY 9306 VENTURA CA 05238 765 W HARVARD BLVD ,SANTA PAULA 9306 VENTURA CA 05239 2734 DEL ROSA SAN 9240 SAN CA 05240 3008 N E ST ISAN 9240 SAN CA 05242 3405 E HIGHLAND ISAN 9240 SAN - CA 05244 16125 BASELINE IFONTANA" 9233 SAN CA 05245 6105 CLAY PEDLEY 9250 RIVERSIDE CA 05246 ,3350 COLLEGE BLVD' OCEANSlDE 9205 SAN DIEGO CA 05247 ,5804 MISSION BLVD RUBIDOUX 9250 RIVERSIDE CA 05248 3950 PIERCE ST RIVERSIDE 9250 RIVERSIDE CA 05249 105 S PEPPER SAN 9241 SAN CA 05250 190 W SAN MARCOS BLVD SAN MARCOS 9206 SAN DIEGO CA 05251 1801 E ORANGETHORPE PLACENTIA 9267 ORANGE CA ,. 05252 518 W FOOTHILL RIALTO 9237 SAN CA 05253 920 W BLOOMINGTON RIALTO 9237 SAN CA 07953 481 SWEETWATER RD SPRING VALLEY 9207 SAN DIEGO CA 08545 1161 E VALLEY PKWY ESCONDIDO 9202 SAN DIEGO CA 08563 1419 CROWELL LIVINGSTON 9533 MERCED CA 08581 1666 ALPINE BLVD ALPINE 9200 SAN DIEGO CA 08605 5600 AUBURN ST BAKERSFIELD 9330 KERN CA 08606 1030 OAK ST BAKERSFIELD 9330 KERN CA 08607 1564 N BLACKSTONE FRESNO 9370 FRESNO CA 08636 4125 PHELAN RD PHELAN 9237 SAN CA 08640 20920 BEAR VALLEY RD APPLE vALLEY 9230 SAN CA 08641 , 295 N WATERMAN AVE SAN 9240 SAN CA 08644 11718 AIRBASE RD ADELANTO 9230 SAN CA 08671 8606 THORNTON RD STOCKTON 9520 SAN JOAQUIN CA 08675 8899 LA MESA BLVD LA MESA 9204 SAN DIEGO CA 08680 80980 HWY 111 INDIO 9220 RIVERSIDE CA 08686 2220 WESTWOOE~ REDDING 9600 SHASTA CA 08688 10520CAMINORUIZ SAN DIEGO 9212 SAN DIEGO CA 08734 247 E OLIVE AVE FRESN© 9372 FRESNO CA 08735 2097 MENTONE BLVD MENTONE 9235 SAN CA 08755 2790 WHITSON RD SELMA 9366 FRESNO CA 08767 2850 CAMERON PARK DR CAMERON PARK 9568 EL DORADO CA 08825 2222 F ST BAKERSFIELD 9330 KERN CA 08843 1640 CARPENTER RD MODESTO 9535 STANISLAUS CA 00254 799 6 ST DURANGO 8130 LA PLATA CO 00888 300 E PAGOSA PAGOSA 8114 ARCHULETA CO 01609 105 S 2 ST LA SALLE 8064 WELD CO All Locations Covered by 40 CFR Section 280.96 Page 14 of 40 NL~Y I, 1996 ENCLOSED PLEASE FIND: CIRCLE K STORES INC. MOST CURRENT FINANCIAL RESPONSIBILITY CERTIFICATION ® 1~ A TT LIST OF GASOLINE ~.~C..~ ~...o LOCATED WITHIN YOUR JURISDICTION TT TC A kTTTrTI) A T~Fi TLT A T ¥(~ITTT7 A/'-"127~T/"~'~ TATTT T KEEP A COPY IN EACH STORE FILE. A COPY I4rlLL BE RESIDENT AT EACH FACILITY. "~T ~ .& ~"'~'~. /"'~,l'-'~'~Tr'J''~ .& ,~r.j-~ "~ ..~1-7 T"'i'~ "~I,~TT TT ,t, '~'/'1-7 ,I~ 1LT'"~./ QUESTIONS AT (602)530-5113 RUTH BULMER SR. COMPLIANCE COORD. Bakersfield FD State of C_.d/fomia Stat~ Water Resources Control Board CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM IA. I am required to demonstra'.' F'mancial Respon,ibili~ in the required amounts as spe~fied ~ Sf.~iom Z.507. Cbap~r 18. DN. 3. ~fle 23. ~: ~ ~D or ~ I miUion doll&rs ~r ~u~en~ ~ ~ minion 4ollars annul a~eiate B.CIRCT_..E K STO~S INC. AND AFFILIATES hereby certifies that it S in compliance with the requirements of Section2807, Ar~c~. 3, Chapter 18, Division 3, 7-#le 23, California Code of Regulatbns. The n'~chansms used to demonstrate fir, ancial responsibility as recluired by Sec'bon 2807are as follows: C. Meci"~"~m Ty'~e Name and Address oHssuer · THE CIRCLE K CORPORATION 3003 N. CENTRAL AVENUE .18TH FLOOR PHOENIX, ARIZONA 85012 Mechanism I' Coverage, Number Amount Coverage [ C orrocttve Period / Action Third Party Comp. CONTINUOUS YES YES §280.96 ~,000,000: 40 CFR Note: Ify~u are using the State Fund as any part of your demonstration oft['~'=al responsibilily, your execution and subm/ss~on of thb cer~-~at~on also cert/fies that you are in core,fiance w~h all condit~.s for part,citation in the Fund. r D. ~_.z~.~.=~ i~,~. Circle K Store %8825 12222 "F" St., Bakersfield. F~.. N~e F~ilit7/g~tre~ Circle K Store #1270 5634 Stine.' Rd. · Bakersfield Circle K Store %8605 5600 Auburn St., Bakersfield Circle K Store '%SGOG 1030 Oak St:., Bakersfield F,-.'~ Na,=e I Fi~i~'d~idr~ CircZe K Store %[242 t3232 St:ine Road, Bakersfield = '"'-~- ~ C.J,,~.~ MAY 1 r 1996 Name a~d MYRON W. SMITH. MANAGER ENVIRONMENTAL/GASOLINE COMPLIANCB N~e of ~lm~ ~ Nom~' . RUTH H. BULMER SR. GASOLINE COMPLIANCE COORDINATOR CERTIFICATION OF FINANCIAL RESPONSIBILITY Circle K Stores Inc. (including its a~liates and subsidiaries) hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financial assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Mechanism' {}280.96 - Guarant~ of The Ckcle K Corporation Amount of Coverage: S2,000,000 in He ag..m-egae. EffeCtive Period of Coverage: May 1, 1996 until revoked or replaced by notice to the Implementing Agencies !i~ed on the anaclned E~Jbit A. C 0vera_o.e: Corrective a~ien and tb2,rd-pmy compensation for bodily injur>.' and pro?errz.~ darnaae caused by sudden and nonsudden accidental releases arisino_ from the operation ofunder~ound storage tanks. CIXC~. K STORES EN."C. and its a~tiares and subsidiaries Its: Executive Vice President - Finance Date: -~oril '~o, 1996 WtTNT S S , ~ N~e: Conl~d J. Silver ks: .~sist~t Secret~ Date: Ao~ 22, 1996 TONDVCJS\4828CS1 CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 850'12 · RO. Box 52084 · Phoenix, AZ 85072-2084 April 26, 1996 Agencies listed on the Attached E,,dfibit A Re: Financial Responsibility under 40 CFR part 280 To Whom it May Concern: I am enclosing information relating to Circle K's requirement to provide financial responsibility for the owners?dp and operation of underground storage t~ks pursuant to 40 CFR pan 280. Contrary to the information sent you in my letter of January. 16, 1996, Circle K xvill be utilizing a guarantee under 40 CFR 280.96 rather than the financial test of self-insurance under 40 CFR 280.95. As such, the standby tr,~st agreement with Bank One .Arizona, A.Z. will continue to exist. This change does not affect the amount of coverage required or provided by the company in complying with the regulations. The packet includes a Certification of Financial Responsibility, the Guarantee of The Circle K Corporation and the Letter from our Chief Financial Officer. You Will note that the packet includes an updated tank list for each of your states. Please forward this notice to the appropriate person in your agency. You may direct any questions to me at (602)530-5138. Very truly yours, Cortland J./Silver, Jr. ,~sistant Gener~ Counsel CJS/tm 48.49CS I CIRCLE K STORES INC. 3003 N. Central Avenue · Phoenix, AZ 85012 · RO. Box 52084 · Phoenix, AZ 85072-2084 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY (~ .~ ~ ~%7-5 ADDRESS 8~KeRSP/&-~ dA ~330~ TANK~ VOLUME CONTENTS TANK TESTING COMPANY TEST METHOD NAME OF TESTER~~ CERTIFICATION STATE REGISTRATION DATE a TIME TEST IS TO BE CONDUCTED ' ' uAP~ROVED' BY: ~J A Environmental, Inc. le ~NUFACTURER & MODEL SERIAL ~- ~ ~~ STA~S: ANNULAR SENSORS __.~ROSTATIC __YA~SE SENSORS LINE PRESSURE SUMP SENSORS (D~ PRODUCT LINES) PASS ~ N/A, PASS__ N/~__ PASS__ N/A ~ PASS~___ N/& PASS~ N/A ,~ ~EN MONITOR IS TURNED O~ OR DO~? YES ~ .. NO__ IN A~ ~ES ~E TURBINE SUCTION,__ SHUT INSPECTED BY' TECHNICIAN 172 WEST VERDi,zGO AV~.:.., BURBAN;<, CA 91502-2132" TEL: (818) 840-7020. FAX: ($18) 840'6929 C~RRECTION N 0 T~C E BAKERSFIELD FIRE DEPARTMENT Location &'~ ~.L~ J~. Sob Div. ~g,~ ",~+ . B]k. Lo~, You are hereby required to make the following corrections at the above location: Cot. No 326-3979 UNDERGROUND STORAGE T~.K INSPECTION .... Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 9.3301 FACILITY NAME (?;,~ta_(~ ~.. FAClLITYADDRESS 2~-'3,~'~,, ~ 5'/' FACILITY PHONE No. INSPECTION DATE TIME IN TIME OUT INSPECTION TYPE: ROUTINE ~, ~ ~FOLL, OW-UP ~R0 , Il , ,EQUIREMENTS la. Forms A & B SUl~[nitted, 1 b. Form C Submitted- ..... c 1 c. Operating Fees Paid' ld. State Surcharge Paid le, Statement of Financial Responsibility Submitted lf. Written Contract Exists between Owner & Operator to Operate UST 2a. Valid Operating Permit 2b. Approved Written Routine Monitoring Procedure ~ 2c. Unauthorized Release Response Plan 3a. Tank Integrity Test in Last 12 Months ,~_./I //9.~' 3b. Pressurized Piping Integrity Test in Last 12 Months 3c. Suction Piping Tightness Test in Last 3 Years 3d. Gravity Flow Piping Tightness Test in Last 2 Years 3e. Test Results Submitted Within 30 Days 3f. Daily Visual Monitoring of Suction Product Piping 4a. Manual Inventory Reconciliation Each Month ,, , 4b. Annual Inventory Reconciliation Statement Submitted 4c. Meters Calibrated Annually 5. Weekly Manual Tank Gauging Records for Small Tanks 6. Monthly Statistical Inventory Reconciliation '.Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors 13. Continuous Piping Monitoring in Sumps ,' 14. Automatic Pump Shut-off Capability 15. /'Annual Maintenance/Calibration of Leak Detection Equipment 16.,/Leak Detection Equipment and Test Methods Listed in LG-113 Series 17: Written Records Maintained on Site 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days 19. Rel~rted Unauthorized Release Within 24 Hours 20. · Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection Inspection 22./ Secured Monitoring Wells 23. BUSINESS I.D. NO. 215-000 ID~ ID~ ID~ Product Product Inst Dale Inst Date Size Size Size RE-INSPECTION DATE .. .....//~ RECEIVED BY: OFFICE No. FD 1669 (rev. 9/95) CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT M. R. KELLY FIRE CHIEF October 20, 1994 CIRCLE K CORP #8825 SHARON CONLEY P 0 BOX 52084 PHOENIX, AZ 85072 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 Dear Business Owner: This notice serves as a reminder that owners of underground storage tanks must be registered with the State of California Water Resources Control Board .and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit .an Underground Storage Tank renewal application form, Forms A. B and C completed for each tank at this facility (forms included) and a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, REH/ed Ralph E. Huey Hazardous Materials Coordinator Underground Hazardous Materials Storage FacilitY ~' CONDITION$?i~i~P~i .... ..................... ' ~'"' .......... .... RSE SIDE Tank Hazardous G~ili:~:~?!i%(:? :"' Number S~bstance C a~;~.~.i{~:%.(?" Piping Method .3 Issued By: Bakersfield Fire Dept. HAZARDOUS MATERIALs DIVISION ............... 1715 Chester Ave., 3rd Floor ~.;;;;L~. Bakersfield, CA' 93301 (805) 326-3979 ,1~/.<~ Approved by: Ralph E. Huey, Hazardous Materials Coordinator Piping Monitoring : ngle Environmental, Inc. Monitor Certification Inspection knnen eigned by an authorized toc~ieian, thie certifies tt~at the alarm panel ~d the sensors are in the correct ~eition, ~d the syetem is operating properly. ADDRESS (~ / ~ C ~ '~' ~t .i~r ~5~5- DATE -~-- } 1995-- MANUFACTURER & MODEL SERIAL ~: SYSTEM STATUS: : ~ ANNULAR SENSORS HYDROSTATIC VADOSE SENSORS ~ LINE PRESSURE SUMP SENSORS (D/W PRODUCT LINES) PASS PASS PASS PASS PASS N/A N/A ~ N/A N/A N/A '~. WHEN MONITOR IS TURNED OFF OR DOWN? YES ~ NO__ IN ALARM DOES T'~E TURBINE SHUT SUCTION INSPECTED BY' TECHNICIAN 172 WEST VERDUGO AVE., BURBANK, CA 91502-2132 . TEL: (818) 840-7020 · FAX: (818) 840~6929 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY J×Rc/i~/f' ~J~ ADDRESS JJm ~ /~ ~'/.~ PERMIT TO OPERATE % ./J~o 35~-J_ - ~ oPERAToRS NAME ~?,~/i~ lc r~-~,~/~. OWNERS NAME (2/~/~ ~ c~ NUMBER OF TANKS TO BE TESTED I IS PIPING GOING TO'BE TESTED TANK# VOLUME CONTENTS TEST METHOD ~-~~o ~ ~'?~-~ NAME OF TESTER V~s' ~%~ STATE REGISTRATION ~ TANK TESTING COMPANY T;t,w~.;~ ~.~~/~,~/ADDRESS CERTIFICATION DATE & TIME TEST IS TO BE CONDUCTED APPROVED BY: w - DkTE ~IGNATURE OF APPLICANT Triangle Environmental, Inc. 172 West Verdugo Ave., Burbank, California FTA LEAK DETECTOR TEST DATA SHEET 91502 Product Serial Number Drain Trip Test Funct. Tripping Pass Type Detector Style Back Time Rate Ele. Pressure or mi sec ml/min psi psi Fail DLD PLD XLD XLP VPR DLD PLD XLD XLP VPR DLD PLD XLD XLP I certify the above tests were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical Leak Detector Test pass/fail is determined using a low flow threshold trip rate of 284 ml per minute or less at 10 psi as set by Red Jacket Pumps Field Test Apparatus testing procedure. Copyright (c) , Triangle Envi..ronmental, Inc. , January 1991. MRL Triangle Environmental, IRC. 172 West-Yerdu§o Ave., Burbank, CA 91502 T.E.I LT-3 Hydrostatic Product Line Test Result Sheet DATE: w/0 # START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE RATE RESULT PASS/ 00:00/ML 00:00/ML (psi) (GPH) FAIL L~ ~ ~- Pk, u~~ 4To' , oo D I certify that the above line tes'ts were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. T eoh. : ~ f .R.~'c'W .~' Cert.# Cn/ooq NOTE: The test data collection time period must be fifteen minutes. The test pass/fail is determined using a threshold of 190 ml per hour (0.~5 GPH) rate at 15~X working pressure or 5~ psi which ever is less. The GPH rate is calculated as: ml/ ~.~1~6. Copyright (c) Triangle Env&ronmental, Inc., March, 1992. MRL Bakersfield Fire Dept. IJAZARDOUS MATERIALS DIVISI )N 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 UNDERGROUND TANK QUESTIONNAIRE I. FACILITY/SITE No. OF TANKS 3 DBA OR FACILITY NAME CIRCLE K STORE ADDRESS NAME OF OPERATOR #8825 CIRCLE K STORES INC NEAREST CROSS STREET STATE ZIP CODE CA 93301 2222 "F" STREET PARCEL No.(OPTIONAL) CI1Y NAME RAKF~R.qFIRI.D BOX TO INDICATE [~'CORF~DRATION INDIVIDUAL ~ PARTNERSHIP [~ LOCAL AGENCY DISTRICTS [~COUNTY AGENCY (~STATE AGENCY [~FEDERAL AGENCY TYPE OF BUSINESS GAS STATION [~3FARM 1 DISTRIBUTOR I KERN COUNTY PERMIT [~ 4 PROCESSOR ~ 5 OTHERI TO OPERATE NO. 160038C EMERGENCY CONTACT PERSON (PRIMARY') DAYS: NAME (~ST, FIRS~ PHONE NO. WITH AREA CODE Fletcher, Dave (805)324-1758 NIGHTS: NAME (LAST. FIRST) PHONE NO. WITH AREA CODE NICHOLSON, TERI (805)335-6032 EMERGENCY CONTACT PERSON (SECONDARY') optional DAYS: NAME (LAST. FtRSI~ PHONE No. WITH AREA CODE JNIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION ' CATALINa/BARBER CORP. MAILING OR STREET ADDRESS ~' BOX [~ INDIVIDUAL ~ LOCAlt AGENCY [~ STATE AGENCY 500 OAK STREET TO,ND,CA,boRi~C~)N ~COUNTY AGENCY QFEDERAL AGENCY CITY NAME STATE ZIP CODE PHONE No, WITH AREA CODE BAKERSF I ELD CA 93304 unk III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION CIRCLE K STORES INC. GASOLINE COMPLIANCE MAILING OR STREET ADDRESS ~' BOX (~ INDIVIDUAL [~ LOCAL AGENCY ~ STATE AGENCY P. O. BOX 52084 TO,ND,C^T~oR~(~,6N QCOUNTYAGENCY QFEDERALAGENCY CITY NAME PHOENIX STATE ZIP CODE AZ 85072 PHONE No. WITH AREA CODE (602)437-0600 OWNER'S DATE VOLUME PRODUCT TANK No. INSTALLED STORED 1 MAR. 1987 10,000 unleaded regular 2 MAR. 198'7 10,000 ~9~-plus 3 MAR. 1987 10,000 unleaded premium DO YOU HAVE FINANCIAL RESPONSIBILITY? TYPE IN SERVICE YIN ¥/N ¥/N December 2, ~994 Mr. Mark Turk Bakersfield City Fire Depart~nent Hazardous Materials Division 1715 Chester Avenue Bakersfield, CA 93301 0 5 RE: UST Inspections/Corrections Circle K Stores ~8605,8606,8825 Dear Mark: Enclosed please find copies of Monitoring Plans, Response Plans, 1994 line and leak detector test results, and 1994 monitor certifications for the subject sites. The Monitoring plans and Response Plans were sent in Duly of this year to Kern County instead of your department for which I apologize. Repairs have not-been made to Tidel units which were previously used to record tank inventory levels only. Circle K requires each gasoline site to perform daily gasoline inventory reconciliation with manual sticking as daily standard operating procedure regardless of what type of monitoring plan or monitoring equipment is in use. Ail 3 of the subject sites have a continuous monitoring type system as evidenced by the attached copies.. The following information is in response to the comments for Store ~8606, 1030 Oak St., : 1. Even though the store also utilizes manual.inventory reconciliation, the primary monitoring type is the Leak Sensor II with 3 annular probes and 3 sump probes. There is a line leak detector on each product line and the leak detector will restrict product flow if a loss of pressure is sensed. You mention that there are no automatic line leak detectors at this site. Please let me know if you are referring to the leak detector or the probes? THE CIRCLE K CORPORATION 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 (602) 437-0600 I~ Printed on Recycled Paper with Soy Ink December 2, 1994 Mr. Mark Turk Bakersfield City Fire Department Page 2 2. Circle K performs monthly analyses on all gasoline facility inventory records. If any inventory variance is not within the State established limits for 2 consecutive months, the tank and associated piping is tested that is why you have 1994 test results for only' tanks #2 and 3. Tank ~1 was last tested on January 18, 1993 - results enclosed. This is a fiberglass double-~all tank system and Federal regulations require precision testlng be performed once every 5 years. The State only requires testing at installation if a continuous monitoring system is used and at this site it is. Our Service department advised me that overfill container valves were repaired'at Store ~8605, 5600 Auburn Street, shortly after your inspection. Aiso, The Store Manager, Marcy, assured me that she wiii have the refrigerator that is bIocking access to the tank monitor paneI moved today. Circle K strives to remain in compliance with all regulatory agencies and anticipates that the information provided herein is as you requested. If you have questions, please contact me. Respectfully Ruth H. Bulmer Gasoiine Compiiance Coordinator California/bJashington CC: Bob Staab Myron Smith Versa1Lindsay Larry Morris THE CIRCLE K CORPORATION 3003 N. Central Avenue · Phoenix, AZ 85012 · P.O. Box 52084 · Phoenix, AZ 85072-2084 (602) 437-0600 Printed on Recycled Paper with Soy lnk ~ BAKERSFIELD FIRE DEPARTMENT You are hereby required to make the following corrections at the above location: Cot'. I~lo I Coml~letion Dale fo,' Corrections / ~1,/~/~ Inspector "326.3979 MONITORING PLAN FOR NEW UST'S INSTALLED 2AN. ~984 TO PRESENT  REQUIRED BY SECTION 2634(B)(2),TITLE 23 , CALIFORNIA CODE OF REGULATIONS --~:/ FACILITY ADDRESS: Circle K Store ~8825 2222 F Street Bakersfield Kern County Phone: 805-324-1758 MAILING ADDRESS : Circle K Corporation Gasoline Compliance P. O. Box 52084 Phoenix, Arizona 85072 In use at this site is a ROMAN X-76 continuous electronic monitoring system with 6 LIQUID probes located in the 3 ANNULAR AND 3 IN-LINE Tanks are double-wall fiberglass, installed in MAR. 1987 and have overfill device and spill containment. Lines are double-~4all fiberglass and tested annually as well as the leak detectors. The Store Manager is responsible for performing a daily system check at the monitor panel located in the storage room and recording the findings on a nearby log. Any malfunctions or alarm conditions are to be addressed immediately and reported to our Service Oepartment. Training is provided by a qualified Circle K Instructor in class and on the job by a Store Manager. Awareness of equipment performance problems and familiarity with emergency shut-off switch is stressed to all employees.~lso stressed is the critical point of accurately recording daily inventory levels to the nearest eighth of an inch and immediate investigation of any inventory variance that is not within the State allowable limits. The monitoring system is inspected annually by Triangle Environmental and certified to be performing accordin9 to manufacturer's instructions. If any performance deficiencies are noticed, the system is repaired, retested and then certified. Results are maintained at store site in the HMMP binder and in Corporate Office gasoline compliance files. RESPONSE PLAN FOR RENOVAL OF UNAUTHORIZED RELEASE FRON SECONDARY CONTAINNENT As required by 23 CCR, Oivo 3, Chapter 16, Article 3, 2632(e)(2) CIRCLE K STO~E ~8825 Upon recognition of a suspected unauthorized release from the primary containment to the interstitial space of either a double-contained tank or product line, or a suspected breach in the secondary containment, store personnel will notify the Gasoline Compliance Manager at (602)530-$089 or Pager No. (800)946-46~6 Pin No. 229-6801. The Gasoline Compliance Manager will arrange for a qualified contractor to verify the suspected breach of primary or secondary containment and/or verify proper operation of the monitoring system. Upon confirmation of loss of tank system integrity, the tank system will be taken out of service and product will be removed from the primary container. The Gasoline Compliance Manager will authorize all work necessary under this plan. Representatives of the tank manufacturer will conduct an inspection of the leaking tank to determine repairability and coverage under the manufacturers warranty. All repairs to the failed tank will be completed pursuant to the requirements of 23 CCR, Section 2661, and by or under the direct super- vision of the tank manufacturer. Upon completion of repairs, the tank will be precision tested in order to insure tank integrity. Unauthorized releases to the interstitial space between primary and secondary containment will be removed under the supervision of, and in accordance with, the specifications and tank design of the manufacturer. The equipment required to accomplish this task will be specified and obtained per the manufacturer recommendations. Contaminating materials will be properly transported and disposed of under manifest. 8. Reactivate monitoring system prior to bringing the UST system back into service. Questions regarding this response plan should be directed to Myron Smith, Gasoline Compliance Manager, at (602) S30-5089. PRINT NAME: MYRON W. SMITH TITLE: ENVIRONMENTAL/GASOLINE COMPLIANCE MGR. SIGNATURE: DATE: 5UNE 29, 1994 172 West Verdugo Avenue, Burbank: California 91502 (818) 840-7020 T E I SY S~~ 4 0 0 0 SU~]PIARY Precision Underground Storage Tank System Leak Test Client- CIRCLE K CORP. P.O. BOX 52084 PHOENIX, AZ. 85072 Site ' CIRCLE K $8~25 2222 F ST. BAKERSFIELD, CA. WO~ - Nl?9! Date' 3-14-94 ~ounty. KERN CO Tank Product Tank Tank/Lines Product Line Leak ~ Description Capacity Rate/Result Rate/Result Detector 1 2 3 4 5 6 UNLEADED 10000 +0.025 PASS -0.005 PASS PASS UNL-PLUS 10000 +0.025 PASS -0.010 PASS PASS PREMIUM 10000 +0.005 PASS -0.007 PASS PASS Signature' Date' Tech. License $: 90-1072 Technician Name' J. RICH Co~nents' ALL THREE TANKS HAVE OVER FILL PROTECTION AND WERE TESTED ABOVE 90%. This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA ~329 and EPA UST Technical'Standards Part 280 for precision testing systems. 1:1: N F' CIRi'"h.~.Y'I" :[ (3N ~: F' r" (::) d t..t c t. :: U N I..., E ~:~ D Ii::: D C,-'.~ p a ,;:: .'L 't: .'/ ,", .'L O 0 0 0 I...e.,v(..".~ ]. I:;h:~'~ 't'..(~ E'}t='H ) "[' e m p, F:: ~:'~ .1:: e (;.3 F' H ) I= .:i.. n a :1. I::(a -I: e G F'I...I ) = 9;t. ~i..'.l (i~:Il a I::)c:) v e '{: a n I,.: b o '!: 't: o m ,, % .... '::?:".;', 5 () -.-, ,j.-. . t **~ .., O. O" .~,. b., c)',.,' (~;..* .t= ,D. I-'~ I,:. [3 (::) '/.';. 't'.'. (3 m. '7 '! ""'""~ .... , ,::. ~:.. O, 0 0 J.. :':.J 'L :':.:.', .'Jr. 2. Zl. a 'I: t a n k I::)o 'E '1':. o m ..... 0.0 0 2 4 T I::' r" c) (::1Lt C 't'.'. ." F'RE.)DL}ETT' if. NF:'OI::;:I:tPiT :[ (31',1 D .:'L ,.'..~. m,'..'.~ i: e r" ( :L n ,, ) I::' r c:)d u. c: 'E L.~i~:v [.~: 1 ( J. n S p,:~-:? c:.'J.. 'f J. c (.?} i"a v :L i:'/ C o. e 'f. o 'f E ;.,' p a n ,:~ kla't:.t:~r (::)r') Tank ( [.'*., '!: a r"-I:: j. r'~ g T i-:..? m i::.~ ,, ( I::: I---ha a d I:::' r e?.:su r ~ D:?:? ]. 'l:.:a 'T'E:,mp ,, ( F/Hr CONF'UTEF;~ AI,I~...hL..Y,:.~ I ,,. F(ESLIL.'FE~: L e v e ]. I:;;: a 't':,:.~ G F' I.-.I ) 'l"¢mp. Ra't:~.:!.: iSF'H ) E.]=.;; iF-ii iE=='] iE'.=!:: "]1 .... I IxlI='OI::i:MA'T' I ON: P r (::.~ d u c t : F;' I::;: E M I t..J M C.:':~ p a c :L t y : :L 000 () PRODUCT INFrORMAT]:ON D :L a m e t.e r ( .'i. n ,, ) ):::'roduct Leve:,l (in,,) : S p e c .:L f i c G r a v .i.t. y Water on Tank Start:Lng Temp,, ( R ~, s o 1 u t i o n ( G a 1 Head Pressur"e (PSX) Delta 'T'emp. (F/Hr.) C 0 M I:::' L]T Iii!: R ,...)lq A L '/~:.~ .1: ~:: R E S U L T iS: I1,,,,,,11C.]]I ::ti=t1.'. I1'",,.11 .]1... '7' "=7' .:IL Date:: ()3/].4/94 "l' :Lm (.:..'.: ('] l:.~ , ":" / ........ : .::, :: ]. 3 91 88" above t:anl,,', bottom,, % .... 99,,0 0 ,, '750 () ,, 0006609 7~ ,, 672 (). 00 .L ~ 95 :L 2.4 at tank bottom (). 00;5 6 Level Rate (GI::'H) = (),C)28 Temp,, Rate (GI:::'H) = 0,,023 F.L n a ], Ra .I..: e ( G F'H ) = 0 ,, 00 !f3 Tri--n~le Environmental , Ino _ 517 East Wilson Ave., Glendale, California .91206 FTA LEAK DETECTOR TEST DATA SZTE:, CIP,.cf.-,~ /<7 ~-z~ ~ <7- / DATE: ~-/~- 9~I w/o ~: .~l~9/ Product Serial Number Drain .Trip Test Funct. Tripping Pass Type Detector Style Back Time Rate Els. Pressure or. mi sec ml/min psi psi Fail ~o ~ Co- 2o~3 , D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R ! certify the above tests were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. Technician: ~/~ The mechanical Leak Detector Test pass/fail is determined using a low flow threshold trip rate of 284 ml per minute or less at 10 psi as set by Red Jacket Pumps Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. MRL' Triangle Environmental, Inc. 517 East Wilson Ave., Glendale, CA 91206 T.E.I LT-3 Hydrostatic Product Line Test Result Sheet DATE: w/0 # df START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE RATE RESULT (ML/H ) PASS/ 00: 00/ML 00: 00/ML ( psi ) ( rate*4 ) FAIL I certify that the above line .tests were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. Tech.: Mfr's Cert.# NOTE: The test data collection time period must be fifteen minutes. The test pass/fail is determined using a threshold of 190 ml per hour (0.05 GPH) rate at 150% working pressure or 50 psi which ever is less. Copyright (c) Triangle Environmental, Inc., March, 1992. MRL BAKERSPIZLD FIRE DEPARTMENT HAZARDOUS NATERZAL DIVISION 2130 G Street, Bakersfield, CA 93301: (805) ~-~79 APPLICATION TO ~EBFOR~ A TIGHTNESS TEST $8825, , OPERATORS NAME C'ircle K Corp. NUMBER OF TANKS TO BE TESTED 3_~__ ADDRESS_,2222 F. St.. Ba~rsfiel~, eA 93304 OWZ~ NAM~ Circle K Cot, p_: IS PIPING GOING TO'BETESTED_ YE,~ TANK$ VOLUHE CONTENTS 1 100,,00 Unleaded _ '" 10_000' . . _?remium, Unle,aded _ ...... Tri~ngte . _ TA~IKTESTING ~O~aA~X Env~=o~~, .T~e ADDRESS 172 W. Ver~=go Ave., .... -- -~ur~a~k, CA 91502 T~T MET~0D T~I 4000 CERTIFICATION $ 1072 , NA~E OF TESTER dam,e..s J. Rich STATE R~GISTRATXON S N/A DATE & TIME TEST IS TO BE CONDUCTED_ -~' ~%l~BOVED~~<~ DATE .03/14/94. at 7:00 a.m. Environmental, Inc.. Monitor Cextificati°n This letter certifies that the monitor is in place, the probes ~x~ in the correct position and the operation of the system. ]FACILITY DEALER DATE TYPE .AND MODEL · SYSTEM FUNTION TANI~ PASS FAIL N~A USED OIL PASS FAIL N/A L~ IN LINE . PASS ~ FAIL N~A.~ ~NITO~R' ' PASS ~/'- FAIL WHEN MONITOR IS-TURNED OFF OR IN ALARM. DOES THE TURBINE SHUT DOWN?. YEs ~,/ NO IS.THE CONSOLE I~,BEI -I:;D CORRECt. COMMENTS: INSPECTED BY: · , comxACrOR f¢~ £~,~ ·TEcmc~ _.~,~ · 172 ~TEST. VERDUGO AVE., BURBANK, CA 91'502-2132 .'TEL:. (818) 840.7020 ..FAX: (818) 840.6929 CO R R ECTiJjO N NOTICE BAKERSFIELD FIRE DEPARTMENT Location .... , . ''~' Sub Div. ,--% Blk. Lot You are hereby required to make the following corrections at the above location: Completion Date for Corrections /:~./~Z' ';?~:'~ Date /.!./l~?/'f:Y' .,-:¥~¥.:.,¥? ~' ' / q ': Inspector 326-3979 UNDERGROUND'STORAGE' IK INSPECTION ,, , Bakersfield Fire Dept. FACILITY NAME 0;gc-~-~ ~ BUSINESS I.D. No. 215-000 FACILITY ADDRESS ~,~."~ ~ 5~ CITY .~c( ZIP CODE FACILITY PHONE No. 4/%'7 - INSPECTION DATE I ~/~,q-~-//5'/-/ TIME IN ,TIME OUT INSPECTION ~PE: / ROUTINE FOLLOW-UP REQUIREMENTS la. F~s A & B Subm~ lb. F~ G Su~ lc. O~mting F~ Pa~ ld, State Surcharge Paid le. State~nt of Fina~ial R~si~l~ Su~ lf. W~en Contm~ E~sts ~n ~ & O~ to O~te ~. ~lid O~mting Pete ~. Approv~ Wr~en Ro~ine Monitoring Pr~ure 2c. Una~ho~ Relea~ R~n~ Plan ~. Tank Int~r~ Test in ~st 12 Months 3b. P~ur~ Piping Int~ri~ Test in Last 12 Months ~. Suction Piping ~ghtn~s Test in Last 3 Years ~. Gm~ F~ Ptpi~ T~ht~ T~ in Last 2 ~. T~ R~uEs Subm~ Within ~ Da~ 3f. Dal~'~su~l,MonitoHng of Suct~n Pr~uct Piping , ~. Manual Inve~o~ R~ncil~tion Each M~th ~. Annual Invento~ R~ciliati~ Statem~t Su~ ~. M~em Calibrate-Annually 5. W~kly Manual Tank Gauging R~rds for Small Tanks 6. Monthly Statistical Invento~ R~nciliation R~u~s 7. M~th~ A~atic Tank Gauging R~u~s 8. Gmu~ Water MonRo~ng 9. ~mr MonRoring 10. C~tin~s Int~titial Monit~ing f~ ~W,II~ Tan~ 11. M~hani~l Line Leak Det~tom 12. El~tronic Li~ Leak Oet~tom 13. Continuous Piping Uon~odng in Sum~ ~L 14. A~omatic Pump Sh~ffCa~bil~ ~ ~e ~, ..... 15. Annual Maintenan~Calibration of Leak Det~ Equi~t 16. Leak Det~tion Equipment a~ T~ Metes L~t~ in LG-1 17. Wr~en R~rds Maintain~ on S~e ~[ ~;[~, 18. Re~ Changes in U~g~Cond~ions to O~mti~n~oH~ Pr~ures of UST S~tem W~hin ~ Da~ 19. Re~ Una~ho~ Relea~ W~hin 24 Houm ~. Ap~ov~ UST S~tem Re.irs a~ U~md~ 21. R~rds Sh~ng Cat,lc Prot~ti~ Ins~ . ~. S,ur~ Mon~ng Wells RE .......... N DATE MONITORING PLAN FOR NEW UST'S INSTALLED JAN. 1984 TO PRESENT REQUIRED BY SECTION 2634(B)(2),TITLE 23 CALIFORNIA CODE OF REGULATIONS FACILITY ADDRESS: Circle K Store #8825 2222 F Street Bakersfield Kern County Phone: 8~5-324-1758 MAILING ADDRESS : Circle K Corporation Gasoline Compliance P. O. Box 52084 Phoenix, Arizona 85072 In use at this site is a RONAN X-76 continuous electronic monitoring system with 6 LIQUID probes located in the 3 ANNULAR AND 3 IN-LINE . Tanks are double-wall fiberglass, installed in MAR. 1987 and have overfill device and spill containment. Lines are double-wall fiberglass and tested annually as well as the leak detectors. The Store Manager is responsible for performing a daily system check at the monitor panel located in the storage room and recording the findings on a nearby log. Any malfunctions or alarm conditions are to be addressed immediately and reported to our Service Department. Training is provided by a qualified Circle K Instructor in class and on the job by a Store Manager. Awareness of equipment performance problems and familiarity with emergency shut-off switch is stressed to all employees. Also stressed is the critical point of accurately recording daily inventory levels to the nearest eighth of an inch and immediate investigation of any inventory variance that is not within the State allowable limits. The monitoring system is inspected annually by Triangle Environmental and certified to be performing according to manufacturer's instructions. If-any performance deficiencies are noticed, the system is repaired, retested and then certified. Results are maintained at store site in the HMMP binder and in Corporate Office gasoline compliance files. RESPONSE PLAN POR RE~OVAL OF UNAUTHORI~ P~.~.~E FROM SECONDARY CONTAINMENT As required by 23 CCR, Div. 3, Chapter 16, Article 3, 2632(e)(2) 1.~ Upon recognition of a suspected unauthorized release from the primary containment to the interstitial space of either a double-contained tank or product line, or a suspected breach in the secondary containment, store personnel will notify the Gasoline Compliance Manager at (602)530-5089. The Gasoline Compliance Manager will arrange for a qualified contractor to verify the suspected breach of primary or secondary containment and/or verify proper operation of the monitoring system. Upon confirmation of loss of tank system integrity, the tank system will be taken out of service and product will be removed from the primary container. The Gasoline Compliance Manager will authorize all work necessary under this plan. Representatives of the tank manufacturer will conduct an inspection of the leaking tank to determine repairability and coverage under the manufacturers warranty. All repairs to the failed tank will be completed pursuant to the requirements of 23 CCR, Section 2661, and by or under the direct super- vision of the tank manufacturer. 6. Upon completion of repairs, the tank will be precision tested in order to insure tank integrity. Unauthorized releases to the interstitial space between primary and secondary containment will be removed under the supervision of, and in accordance with, the specifications and tank design of the manufacturer. The equipment required to accomplish this task will be specified and obtained per the manufacturer recommendations. Contaminating materials will be properly transported and disposed of under manifest. 8. Reactivate monitoring system prior to bringing the UST system back into service. Questions regarding this response plan should be directed to Myron Smith, Gasoline Compliance Manager, at (602) 530-5089. B-ke~,~lleld, CaiitomJ~ 'l'elepho~e (80S) ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER * L~ M W, M.D. " DIRECTOR OF ENVIRONMENTAL HEALTH Vernon 8. Relgttard ,; HAZARDOUS MATERIALS MANAGEMENT PROGRAM Address ~_.~_.~. ~.. n/~--- , ~.7/..._ Person Interviewed Underground Tank Facility # /~Z'O~ ~'<~'~' EPA I.D. # Assessors Parcel #. , , Type Facility //~///~Y'O,Y~'M',~/ *'"~ NOTICE OF VIOLATION AND ORDER TO COMPLY The following conditions or practices observed this date are Violations of one or more sections of the California Health and Safety Code, Div. 20, or the California Administrative Code, Title 22, Div. 4, Chap. 30, relating to the "storage, handling, transportation, and disposal of hazardous waste" or Ordinance Code of Kern County, Div. 8, "Underground Storage of Hazardous Substances." Conditions or practices must be corrected within the times ordered below: ! z , - 2 /-- · /i ' .~ , ~ . i- ...... t . - _ :- -~ .. ,/ - . Your signature acknowledges receJptof a copy of this repo~ and collection of any samples described above, and is not an admission of guilt. Failure to fully comply with this "Notice and Order" may resuit in fu~her legai action by County or State officiais. .~ ...-~..._......' ? Owner or Authorized Representative Agent of the Kern County Healt~ Officer Cana~ -- Fac~/i~ file / '" Pink -- SpecJahst Environing;at Hea;;~ 580 4l of'Califomis ' Resources C6n~ard "CERTIFICATION OF FINANCIAL RESPONSIBILII¥ FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM %.' 1 ~m required to dcmoustra',, Financial Responsibility in thc required amountS as specified in Section 2807, Chap',"r 18, Div. 3, Title 231 ~'C~' ' $00.000 dollars per occurrencn or million dollars per occurrence AND ~-~1 million dollars annual ag&regain or ~-~2 million dollars annual aigresat¢ ~. THE CIRCLE K CORPORATION AND hereby certifies that it is in complJance with the requirernents of Section 2807, Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechan~rns used to demonstrate financial responsib~Tity as required by Section 2807 are as foliow~: · . . ...;];].. Mechanism ...... :. . ..:C0vemge.. Coverage.-.: .[ Corrective [Third Party .': Type 'Number .':..':." .:'.-': ::':'.:'Amount Perkx:l...:-..!.',; I:" .Action,.. I Comp. TRUST BANK ONE, ARIZONA NA 2,000,0 0 YES YES FUND 201' N. CENTRAL AVENU~ (".0NTiNUOE S PHOENIX, AZ ' ' gEC Iv O Note: If.y~..u. are USing the State Fund as any part of your demonstration of financial responsibility, your execution and subrn~ssion of th~ ce/lJflcatlon also celtffies that ~,ou are/n comp/iance with all conditions, for participatiot iO.F~'~,m F~'3232 Stine Rd Circle K Store %1242 Bakersfield ~"~' ~~5634 Stine Rd. Circle K Store %1270 Bakersfield ~'"m r~'5600 Auburn St Circle K Store %8605 Bakersfield ~""~-- {r'~""~030 Oak St Circle K Store %8606 I' Bakersfield ~'~v,""-- J · 2222 "Fn St Circle K Store %8825 I Bakersfield ~. R~e ~ ~ ~ Op~ /~-) D~. /Nam. md"llde MTmk O~m~r ~r Opsr~mr.. Executive ' Director , ~~~~~ J~E 30, 199~ Myron W. Smith t FIRE DEPARTMENT M. R. KELLY FIRE CHIEF CI T Y of BAKER SFIELD "WE CARE" July 15, 1994 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 The Circle K Corporation Ruth Bulmer P. O. Box 52084 phOenix, AZ 85072-2084 RE: Underground Storage Tank compliance within the City of Bakersfield Dear Ms. Bulmer: I am in receipt of your letter of July 2, 1994 to the Kern County Environmental Health Department, dealing with Underground Gasoline Storage Tank Compliance Documents. This. letter covers facilities located at: 2222 F Street ' 1030 Oak Street 5600 Auburn St 5634 Stine Rd 3232 Stine Rd These facilities are located within the incorporated boundaries of the City of Bakersfield. The Local Implementing Agency for Underground Storage Tanks within the City of Bakersfield is: Bakersfield Fire Department Hazardous Materials Division 1715 Chester Ave., Suite 300. Bakersfield, CA 93301 Please correct your records and forward all compliance information to this office. If you have any questions regarding this please feel free to call me at (805) 326-3979. Sincerely yours, Ralph E. Huey Hazardous Materials Coordinator Triangle Environmental, Inc. .172 West Verdugo Ave., Burbank, cA 91502 'T.E.I LT-3 ~ydrostatic Product Line Test Result Sheet ~ATE: l-tq-~_l - W/O # sTART TIME END TIME' TEST VOLUME' PRODUCT /READING '/READING· PRESSURE RATE RESULT PASS/ ' 00:00/ML 00:00/ML (.psi) (GPH) FAIL _~.~ ~ '/~~ ", I certify that the above line tests were conducted on this date according 'to the equipment manufacturer's procedures and 'limitations and the results as.listed ·are.to my know'ledge true and correct. Signature: NOTE: OTTL# ~?~ -/3va/ . Mfr's Cert.# ~/.i~d/~['~ · The test data collection time period must be fifteen minutes. The test. pass/fail is determined using ~ .threshold of 190. m! per hour (0.05 GPH) rate at 150% working pressure or DO.psi which ever· is less. The GPH rate is calculated as:'.ml/ 0.0010B. 'Copyright (c) Triangle Environmental, Inc., March, 1992. MRL _Tx~i',~]~ ~x~_v_~x~ox~r--ex~ta]_ _ · Tx~ _ 172 West Verdugo Ave. , Burbank, CA 91502 FTA LRAK DETECTOR TEST DATA SITE: DATE: WI0 ~ Product Serial Number Drain' Trip. Test Funct. TriPping Pass Type De%sc%or Style Back Time Rate Els. Pressure or - mi see ml/min psi psi Fail D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R D~ P~ X~ X~ ~R 'I certify the above tests were conducted on this date according to the eguipment manufacturer's procedures and limitations and ~he results as listed are to my .knowledge true and correct. Technician: OTTL 97-13W/ . The' mechanical Leak Detector Test pass/fail 'is determined using a low flow threshold trip rate of 284 ml per minute or lees at l0 psi as see by Red Jacket Pumps Field Test Apparatus testing procedure. Copyright (c) . Triangle Environmental, Inc., January 1991. MRL Environmental, Inc, Monitor Certification Inspection This letter c~rtifies that the monitor is in place, the probes are in the correct position and the operation of the system. FACILITY DEALER ADDRESS D^~ TYPE AND MODEL OF. MONITOR 77~.~/~?~~!/~f~ .SYSTEM.FUNTION T.,edWK~ PASS C,/'' FAIL N/A USED om PASS  PASS t./" FAIL N/A · PASS t./. FAro N/^ , WHEN MONITOR IS. TURNED OFF OR IN ALARM. DOES THE TURBINE SHUT DOWN?, YES t.../ NO IS THE .CONSOLE LABELED CORRECrLY? YESe.--'/i NO COMMENTS: INSPECTED BY: · ,. coNT~CToR ?'~,~,& ~ £~,~ ~c 172 WEST. VERDUGO AVE., BURBANK, CA 91'502-2132 . TEL'.. (818) 840-7020 . FAX: (818) 840:.6929 _T _r i. a_n_f:~l e E~v__']~_r o ~me n t a 1 , I nc _. 172 West Verdugo Avenue, Burbank, California 91502 (818) 840-702~,~' ]~- I BY STeM 4000 SI~RY SI-iEEI Precision Underground Storage Tank System Leak Test Client: CIRCLE K CORP. P.O. BOX 52084 PHOENIX, AZ. 85072 Site: CIRCLE K $8825 2222 F ST. BAKERSFIELD, CA. Date: 3-14-94 County: KERN CO Tank Product Description Tank Capacity Tank/Lines Rate/Resul~ Product Line Rate/Result Leak Detector 1 2 3 4 5 6 UNLEADED 10000 UNL-PLUS 10000 PREMIUM 10000 +0.025 PASS' -0.005 PASS +0.025 PASS -0.010 PASS +0.005 PASS -0.007 PASS PASS PASS PASS Signature' ~-~ ~ z/~_~ Date' ~-- / ~'-~ Tech. License $: 90-1072 Technician Name: J. RICH Comments: ALL THREE TANKS HAVE OVER FILL PROTECTION AND WERE TESTED ABOVE 90%. This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA ~329 and EPA UST Technical Standards Part 280 for precision testing systems. T]RI~NGLE ENI&I~ONMENT~L, INC, CIRC][,E ]<~8825 2222 F ST, B~%]iIg]RSFIEI,]), CA~ TAN K INFORMATION: Product : UNLEADED Capacity : 10000 PRODUL]T INFORMATION: Diameter (in,) : F.'roduct L. evel (in,) : Specific Gravity : Coef. of Expansion : Water on Tank (in,) : Star'ting Temp. (F) : Resolution (G~llons): Head Pres_sure (PSI) : Delta Temp. (F/Hr.) : COMPUTER ANAL. YSIS RESULTS: Date: 0.3/14/94 ~.~m~, 08:36:13 91 89" above rani,.', bottom,· % ='99.5 0.750 0,0006609 0" above tank bottom. '71. 728 0,00~31.31 2,4 at tank bottom · -0. 0024 L. eve]. Rate (GPH) = 0,010 ]"emp. Rate (GF'H) = -0.015 Final Rate (GPH) TANK INFORMATIGN: Product : Capaci ty : U N L- P L I. S D a t e: 03 / 14 / 9 4. 10000 Tithe: 08:36::1.3 PRODLJCT INFORMATION: Diameter (in.) : F'roduct Level (in.) : Specific Gravity : I]oef. of E;.,'pansion : Water on Tanl,.: (in.) : Starting Temp. (F) : Resolution (Gallons): Head Pressure (PSI) : Delta Temp. (F/Hr.) : 91 90" above tank bottom. % = 99.8 0.750 0.00()6604 0" above tank bottom., 72. 832 0. 0009319 2.4 at. tank bottom - 0.0 2 0 0 COMF'UTER ANAI_YSIS .RESULTS: I_evel Rate (GF'I.-I) = -0.107 Temp. Rate (GPH) = --0.132 F:inal Rate (GPH) = 0.C).~5~ I NFORMAT I ON: P r o d u c t : Capacity : F"REMIUM Dat. e: 03/14/94 100.{':) 0 ]' i m e: 08: 36: 13 PRODUCT INFORMATION: Diameter (in.) : Product Level ('}.n.) : SpeciTic Grav.i ty : Coef. of E;.,'pansion : Water on Tank ('Ln.) : Starting Temp. (F) : Resolution (Gallons): Head Pressure (PSI) : Delta ]"emp. (F/Hr.) : 91 88" above tank bottom. % = 99.0 O. 750 0. 0006609 0" above tank. bottom. 71 . 6 Z~= 0. 001D9D1 2.4 at tank bottom 0.00~6 COMPUTER ANALYSIS RESUL]':S: Level Rate (GPH) = ,0.028 Temp. Rate (GF:'H) = 0.023 Final Rate (GF'H) = 0.00D 0 30 60 ~ ~ ~u i20 150 Ti rr, e-rr, i r,~t es T Tx-~_--n ule Rr~¥i~-onmen~t~a i- Ino_ 517 East Wilson Ave., Glendale, California 91206 FTA LF-~J[ DBTEC'I~R TEST DATA SITE: CI~C&~ ~. ~fRS- DATE: / Product Serial Number Drain · Trip Test Funct. Tripping Pass TFpe Detector Style Back Time Rate Ele. Pressure or. mi sec ml/min psi psi Fai 1 DLD PLD XLD XLP VPR DLD PLD XLD XLP VPR . DLD PLD XLD XLP VPR.. ! Certify the. above tests were conducted on this date according to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and correct. Technician:~ ~ ~~ OTTL~ The mechanical Leak Detector Test pass/fail is determined usinE a low flow threshold trip rate of 284 ml per minute or less at 10 psi as set by Red Jacket Pumps Field Test Apparatus. testing procedure. Copy~ight (c) , Triangle Environmental, Inc,, January 1991. MRL" Triangle Environmental, 517 East Wilson Ave., Glendale, CA 91206 Inc. T.E.I LT-3 Hydrostatic Product Line Test Result Sheet SITE: Cf~CAE ~~4,~ DATE: START TIME END TIME TEST VOLUME PRODUCT /READING /READING PRESSURE RATE ' RESULT ( ML/H ) PASS/ 00:00/ML 00:00/ML . (psi) (rate*4) .FAIL I certify that the abowe line .tests were conducted on this date according, to the equipment manufacturer's procedures and limitations and the results as listed are to my knowledge true and. correct. Signature: /~/~~ Tech,: OTTL# Mfr's Cert.# NOTE: The test data collection time period must be fifteen minutes. The test pass/fail is determined using a threshold of 190 ml per hour (0.05 GPH) rate at 150% working pressure or 50 psi which ever is less. Copyright (c) Triangle Environmental, Inc., March, 1992. MRL BAKERSFIELD FIRE DE~ARTHENT H~LDOU~ ~ATERIAL DIVISION 2130 G Stree=, Bakersfield, CA 93301~ (~05) 326-39?9 A~PLICATZONT0~EI~I~R~A TIGHTNESS TEST PEi~ZT TO O~gRATE $. 160038C 93304 OPERATORS NAM~_ Circ~e.K ~orp _ corp_, NU~ER OF TANKS TO BETESTED_ 3 IS PIPZNGGOINGTO'BETEST~D:YE~ TARK% VOLUH~ CONTENTS ! ~0000 _ Unlea_ded _. -'_--' ~oo0,o_ _._-" ' ~n~e~, '3 1.0_000 Premium OnZe,,ade,d T~STMET~OD. T~ 400~ Ja~es $. ~ich CERTIFICATION % 1072 STATE 1~GISTKATION % N/A DAT~ ~ TIM~ TEST IS TO BE CONDUCTF~: · 03/14/94. at 7:00 a.m. -- ~NATURE OF~9~PLI~ IU BAKERSFIELD FIRE DEPARTMENT HAZARDOUS ~ATERZAL DIVISION 2130 G Street, Bakersfield, CA 93301; (805) 326-3979 APPLICATION TO i~ERFORM A TIGHTNESS TEST FACILITX Circle ~ ~8825 PEP~IIT TO OPERATE % 160038C ADDRESS 2222 F. St. Bak~rsfield~ CA '- ' 93304 OPE~ATORSNAME Circle K Corp. OWNER~NAME Circle K Corp. NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO'BE TESTED YE,~ TANK# VOLUME CONTENTS 1 10090 Unleaded .. ~ I0000 Unleaded Plus ~ 10O~0 Premium Unleaded _ Triangle TANK TESTING COMPA~=Envi=onm~.~l'..?-~ ADDRESS_172 ...W' Verdu.go Ave. , Burbank, CA 91502 TEST ME~"~OD TEI 4000 NAME OF TESTER James J. Rich CERTIFICATION # 1972 STATE REGISTI~ATION % N/A DATE & TIME TEST IS TO BE CONDUCTED · 03/14/94· at 7:00 a.m. ACCOUNT/ AMOUNT - -'' J IV D ]Y; FORM e40470 Finance Director PLT-IOOR HYDROSTATIC PRODt~Yf LINE RESULT Triangle Environmental , Ino. 517 East Wilson Ave., Glendale, CA. 91206 START TIM~ END 'TIM~ TEST PRODUCT /READING ~ING PRESSUR~ VOLUM~ RESULT RATE PASS/ O0:O0/ML O0:O0/ML (psi) (GPH) FAlL ' 0 ??; I certify the according to the limitations and.the and correct. above tests were conducted equipment manufacturer's results as l'isted are to my on this date procedures and knowledge true Technician: NOTE: The Hydrostatic Product Line Test 'pass/fail is determined using a threshold of 0.05 gallons per hour rate at 150% working pressure or 50 psi which ever is more. -.~ ...... Copyright (c) Triangle Environmental, Inc., March, 1991. M_gL 'l'~-i~,~e~ l~nvi~-onr~n~l_- ]?_n~m - 517 ~ast Wilson Ave., Olendale, California 91206 l~fA ~ DETECTOR ~ DATA ., W/O s: /U/.<-~X . Product Serial Number Drain Trip Test Funct. Trippin~ Pass Type Detector Style Back Ti~e Rate Els. Pressure or ml sec ml/min poi psi Fail I certify the above tests were conducted on this date accordini to the equil~nent manufecturer-'s proCedures and limitations and the 'result's as listed are to my knowledge true and correct. The mechanical Leak Detector Test pass/fail is determined usin~ a low flow threshold trip rate of 284 ml per minute or leas at 10 psi aa set bM Red Jacket Pumps Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. HRL T,qf.~K 2 CURRE'.,.IT STATUS ,~,r,o..-, GALLOf4S ~.iOT R?'," HET,:~,~.'"- ~ ~ '-¢-":':_ ,_ NOT pr.y..~ '- ..... ~'¢ Ur-iL ~ r,,:~. !::'E)_):~ ' f.~'...3 T ~.r.,,;: 'r ¢lkiL." ,-- tr',rr~ ? CTOTi LE'dEL HOT RI:,'.,: b-.p %-,.-; ~..[: ;. ~.! ,--.., GF4LLOHS NOT ~'' '," !~ P;.~ L,~m _ -~. ~ ,-,,-~ F.,.,_':'LT,~ iEl:;:,;., ,. ,,.....,. %,F¢...~ iL~ ! ..... · ,.'"i ~,_-:,.-.,r':....i-- ~-d - '.--~'.-'-';", -'-':' REPORT ~SPILL/OVERFILL DETAIL SE (to be completed if one or both are present). DATE: ~D~SS OVERSPILL Manufacturer if known : What size containment manhole? 5 gal. ~s_manhole__c.ouer~water~tig~t?~__ _ Is drain mechanism working properly? Are containment manholes present on all fills? Please note any problem areas: Larger Yes 'c/ No Yes ~ No Yes J No OVERFILL Manufacturer if known : ~zz¢~co Check type as follows : ~ill tube/leVer device Fill tube/float device Ball/float device Is overfill present on all products ? Please note any problem areas: Yes ~ No Technician ~ s Signature Client' Site' Precision Underground Storage Tank System Leak CIRCLE K CORP. 2222 F %T. BAKER~FIELI, C~ Date' 1/14~92 C. ounty: KERN RECEIVED f fl 1 3 1992 HA~.., MAT, DIV. Tank Product Tank Tank/Lines Product Line Leak ~ Description Capacity Rate/Result Rate/Result Detector 1 3 4 5 6 S/UL 1~000 -~.~39 PASS -.005 PASS N/T UNL 100¢0~: +.~2 ~Aoo -.OD~ PASS N/T UNL+ 100~ -.055 PASS -.005 PASS State License ~' 91-if~7~ Technician~.~ ,'ame' PHilLIPS This ;,recision tank testing system exceeds the criteria required by Local, State and Federal NFPA ~29 and EPA UST Technical Standards Part 28~ for precision testing systems. TRIAN,3LE ENVIRONMENT AL , INC, VENTS CIRCLE F Si t, e Layout For: ~27.2 F ST, , :aAKERSFIELI), CA, T~NK I NF!']RMAT' if. ON: F'roc-uct : S/UL Capacity : .1.000D PRODUCT iNFORMATION: Diameter (in.) : Procuct Level (in,) : Spec±fic Gravity : Coef, of E;.,'pansion : Water on ]"ank (in.) : Starting Temp. (F) : Resolution (Gallons): Head Pressure (F-'SI) : Delt. a Temp. (F'/Hr.) : COMF'UTER ANALYSIS RE. SL!LTS: t,M 63 $$ ,1. 72.'.< :1.-_-;--' Date: 01/14/92 Time: (Z)9:]2:31 98 115" above tank bottom. 0,740 D. 0~6765 0" above tank bottom. 66,943 3.1 at tank bottom ~. 059 [..:eve l Rate (GPH) = 0,,4.39 ]"emc . Rate (GF::'H) = ~.400 F:' i n ~ ! R a t e ( 6;1:::'1'.*1 ) = 0. E139 # I NFOR~;AT .T ON: Product : UNL Date: ~1114/92 []apac~ty : £00E40 Time. 09"~c' 'X PRODUCT INFORMATION: Diameter (in·) : 98 Product Level. (in.) : 11.7" above tank bottom. Speci~ ic Gravity : ~. '75~ Coef. of Expansion : ~.~665'7 Water on 'Tank (in.) : ~" above tank bottom. Starting Temp. (F:') : 62 Resolution (Gallons): Head Pr'e~sure (PSI) : 3,,2 at tank bottom Delta Temp. (F/Hr.) : E;OMPU]"ER ANALYS ]; S Rf'::.SUI_ I ,..~: Level Rate (GF'H 'T'emp. Rate (GPH F'inal Rate (t_,-I~ TA'4K INF:'ORP'~ATION: F:'roduc ti : Capacity : UNL.+. F'F. ODUCT INF'ORMATION: Diameter (in.) : Product Level (in.) : Specif;Lc Gravity : Coef. of Expar~sion : Water on Tank (in.) : Starting Temp. (F:') : Resolution (Gallons): Head i::ressure (PSI) : Delta Temp. (F:/Hr.) : C]MF'UTER AFCAL. YSIS RESUL. TS: L. evel Rate (GF::'H) = Temp. Rate (GIZ'H) = F:'ina]. Rate (GPH) Date: E~I./":',9,:.~ Time: 09: ~~;;].~J. 98 116" above tank bottom. ~.750 ~a · 000657'7 0" above tank bottom. 75. 754 3.2 at tank bottom 0.0~8 0.28;? 0.317 -0, OLT, 5 PLT-IOOR HYDROSTATIC PRODUCT LINE RESULT SHEET Work Order J ./] /~ START END PRODUCT TIME/ TIME/ TEST VOLUME RESULT READING READING PRESSURE RATE PASS/ O0:O0/ml O0:O0/ml (psi ) (GPH) FAIL The test pass/fail is determined using a threshold of 190 milliliters per hour (0,05 GPH) rate at 150% working pressure or 50 psi which ever is greater. The test is conducted with the leak detector removed and replaced with an isolating test plug and with the impact valves closed. The minimum data collection time must be 30 minutes. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY Circle. K ~..~ ~ PERMIT TO OPERATE % 8087066-068 OPERATORS NAME Mike Spinuzzi NUMBER OF TANKS TO BE TESTED 3 ADDRESS 2222 F St. OWNERS NAME Circle K CorD. IS PIPING GOING TO BE TESTEDYes_ TANK# VOLUME 10000 2 10000 3 10000 CONTENTS Unleaded Unleaded + Premium TA~TESTINGCOMPANYTriangle Env. Inc. TEST Mq~THOD TEI System 4000 NAME OF TESTER Rich Phillips STATE REGISTRATION # N/A DATE & TIME TEST IS TO BE CONDUCTED ADDRESS 517 E. Wilson ~101 Glendale, CA. 91206 1/3/92 APPROVED BY: DATE CERTIFICATION # 1071 Jan. 14, '92 ~ 7:00am SIGNATURE OF APPLIC~ANT Trianqle Envirorzrnent a 1 , 517 East Wilson Ave. M101 Glendale, Ca!ifcrnia 91206 q-nc - _r.~3~ DETEC~R TEST DATA womKo : I Test Serial Type Drain Trip Test Func~. Metering Pass No. No. Back Time Rate Ele. Pressure cr ml sec ml/min psi psi Fail 4 PLD DLD 5 PLD DLD 6 PLD DLD Include 'the 'date code with the serial number* The Date code is coded . as follows: 50191".'.=" 5th week, 01 month, 91 year ". The mechanical Leak Detector Te'St'.pass/fail is determined using a low" flow threshold.trip rate of 3.0 GPH +- 1.5 GPH at 10 psi pressure as set by the Field Test ..... Apparatus testing procedure. . .. 'd......). '-. .-. .... ~.' . :' ..: :...)..?.' ~ · :.- .. ... .. ~.:..:.: .. '. .... ~...: .. . Copyri ght'"' ( c; '.'j' '.T~iahgie ~n:~ir'0nmentai~' ' I'n'c ["',"[ JanUary .'.199i : .MRL' PLT-IOOR HYDROSTATIC PRODUCT LINE RESULT SHEET Work Order START END PRODUCT TIME/ TIME/ TEST VOLUME RESULT READING READING PRESSURE RATE PASS/ O0:00/ml O0:O0/ml (psi) (GPH) FAIL The test pass/fail is determined using a threshold of 190 milliliters per hour (0.05 GPH) rate at 150% working pressure or 50 psi which ever is greater. The test is conducted with the leak detector removed and replaced with an isolating test plug and with the impact valves closed. The minimum data collection time must be 30 minutes. Trianqle Envi rorxrnenta 1 , 517 East Wilson Ave. #101 Glendale, California 91206 IBC o LEAK DETECTOR TEST DATA SFRRT / WORKORDER: n_ i l O ~- Product Test Serial Type Drain Trip Test Funct. Metering. Pass Type No. No. Back Time Rate Ele. Pressure, or ml sec ml/min psi psi Fail t ]"'5 ¢5 P 5 PLD DLD 6 PLD DLD 'Instructions: Include the date code with the serial number. The Date code is coded as follows: 50191 = 5th week, 01 month, 91 year. The mechanical Leak Detector Test pass/fail is determined using a low flow threshold trip rate of 3.0 GPH +- 1.5 GPH at 10 psi pressure as set by the Field Test Apparatus testing procedure. Copyright (c) , Triangle Environmental, Inc., January 1991. MRL T.E.I. HYDROSTATIC PRODUCT LINE RESULT SHEET Work Order OAK START END PRODUCT TIME/ TIME/ TEST VOLUHE RESULT READING READING PRESSURE RATE PASS/ 00:O0/m] 00:00/ml (psi) (GPH) FAIL The test pass/fail is determined using a threshold of 190 milliliters per hour (0,05 GPH) rate at 150% working pressure or 50 psi which ever is greater, The test is conducted with the leak detector removed and replaced with an isolating test plug and with the impact valves closed. The minimum data collection time must be 30 minutes. ,~ /~~~. ' ......... ~~O~TERIALS:Di~ION ~W.~.~,~'~ 2130 G Street, Bakersfield, CA 93301 ~ (80~ 326 3970 UNDERGROUND TANK QUESTIONNAIRE I. FACILITY/SITE No, OF TANKS 3 O~A OR FACILITY NAME CIRCLE g STORE t8825 I NAME Of OPERATOI , :IRCLE K CORPORATION ADORE~ NEA RE~I CRO~ STRrr-lq' PARCEL 2222 "F" STREET ~'~OXIOINDICATE ~CORPORA13ON [~IINDIVIDUAL {~PARI'NERSHIP [~LOCALAGENCYE)~mtC'~ QCOUNqYAGENCY ~;]~I'ATEAGENCY C~FEDEEALAGENCY TYPE C~ BUSINESS [~ 1 GAS STATION C:~ 2 DISTRIBUTOR KERN COUNt' PER,MI~ 160038C-91 [~3 FARM [~4 PI~X:E~,~OR ' C~$OmER 10 OP£RAIE No. EMERGENCY CONTACT PERSON (PRIMARY') DAYS: NAME (LAST. FII~I~ PHONE No. WITH AREA CODE BARBARA SNYDER (805)324- 1758 NIGH/S: NAME (LAST, FIRST) PHONE No. WITH AR~A CODE C. ALLEN MOORE (209)276-8350 EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FII~T) PHONE NO. WITH AREA COO~ NIGNT$: NAME (LAST. FII~T) PHONE No. WITH AREA CO0~ II. PROPERTY.OWNER INFORMATION r(MUST BE COMPLETED) NAME CATALI'NA/BARBER CORP. MAILIN~ OR STREET ADDRE~ 500 O/~K $~REI~.~ BAKERSFIEI'.D CARE Of ADDRE,~ INfORMAtION .~ K)X [~ INDIVIDUAl, Q LOCAL AG[N~ ~ ~A~[ AGE~ TO IN~A~ ~ PAR~E~HIP ~ COUN~ AGE~ ~ FEDE~L AGEN~ III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE Of ADORE~ II',~-ORMATION' C'TRCL'R 'K CO]~)ORATTON I~.N~TROI~LEN'~t~,~ MAILING OR STREET ADDRE~ 6101 N. SIERRA AVE. CI~' NAME FONTANA .~' ~OX I~ INDIVIDUAL [~ LOCAL AGENCY Q S1AIE AGENCY TO IND~A~ ~ PARTNERSHIP ~ COUN~ AGE~ ~ FEDE~L AGEN~ ,CO~OPATI nN STA~ I ZIPCODE ~ I 92336 1(714)823-0691 OWNER'S DATE VOLUME TANK No. INSTALLED 1 ~!M~,.~1.~_7 10,000 2 ~ 10,000 3 MAR. 1987 10~000 PRODUCT IN SERVICE YIN YIN YIN YIN YIN YIN DO YOU HAVE FINANCIAL RESPONSIBILITY? YIN TYPE _'~.i~-__. r.~ _Elll one_ s,.egm~-~t out for each tank, unless all ~tanks and piping are ..: %ne-:-segm~'~~=ldentif¥ tanks by o~r ID #.' ......... I. TANK DESCRIPTION co~pLcr~z~.n~s- S~C~,~U~KNOWU A. TYPE OF '~ ~ DOUm. E WN.L SYSTEM ~ 2 SINGLE WALL TANK [] I BARE STEEL MATERIAL [] s CONCRE~ [] a ~w~m. ~o.~ I--1 'ALu. INu. [] ,o ~v~,~o .TE- [] ag u. KNow. [] 4 ~TEELCLAO WIFLqERGLAS~ REINr-ORC~DPLASTIC ] I 100% MEI~L, Id~L COMPATIBLE W/FR~ ] ~ O13.~R C. iNTERIOR UN~ [] $ E~OXY LINING [] 4 PHENOLIC i.~IINO ~, ~ UNKNOWN [] . Ol'~ER YE$~ NO~ O. CORROSION PROTECTION [] 5 CATHODIC PROTECTION [] 05 NONE [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC ~. UNKNOWN [] g90'I~ER IV. PIPING INFORMATION A. SYSTEM TYPE B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION O. LEAK DETECTION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A U I ~,JGTION A~::~2 PRESSURe A U 3 GRAVITY A U I SINGLE WALL A U~2 EXXJBLE WALL A U I ~ARE STEEL A U $ ALUUI~,~M A U 9 GALVANIZED STEEL ['~1 AUTOMATIC LINE LEAK DETECTOR A U ag OTHER LINED TRENCH A U ~ Ulk~4OWN A U ag OT~4ER A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLOR~:~(PVO}A(~I/~4 F~ERGLASS PiPE A U 6 CONCRETE A U 7 STEEL W I COATING A U 9 10o% METHANOL COUPATIBLEW~RP A U 10 CATHOOIC PROTECTION A U g5 UNKNOWN A U ag OTHER 2 LINE TIGHTNESS TESTING [] g~ ERSTiTIAL uO~gO~U~G [] 99 OTNER V. TANK LEAK DETECTION i 9 INVENTORY RECONCILIATK N [] 3 VAPOR MONI'TORIN(:I" 4 AUTOMATIC TANK GAU( ING [] GROUND WATI[R MONITOR' 6 TANK TESTING '7 INTERSTrTtALMONITORIN~ [] ~1 NONE ~ ~5 UNKNOWN [] ~ OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOV~I c. DATE INSTALL~.~AY/YEAR) O. TANK CAPACITY IN GALLONS: IlL TANK C0NST R U CTI-"~ UARK o.E n~u ONLY IN BOXES A. e. AND C. AND ALL THAT APPLIES IN BOX O A. TYPESYSTEMOF ~,' 2 SIDLE WALL. ~ 4 ~ND~ ~TNNMENT ~AUL~D T~ ~ , ~ STOL ~2 STN~ESS STE~ ~ 3 FIBERG~S B. T~K ~ s ~RE~ ~ ~W~ ~oal~ ~ 7 ~UMINUM ~T~IAL ~ a B~N~ ~ m ~S~ ~ ~ UN~O~ (Pri~T~k) ~G ~ UNI~ MATERI~ ~TI~E ~ 1~ ME~? ~ ~ ~ I ~LE~ W~ ~ 2 ~A~ ~~L WR~ ~ 5 CA~ PROT~T~ ~ gt ~ ~ ~ U~ [] 95 UNKNOWN ] 99 OTHER O 4 STEELCLAD WIFIBERGI..A,.~S REINC-ORCEDPLASTIC O 6 100% METHANOL'COMPATIBLEW/FRP ] ag OTHER ~'] 4 F~NOLIC LINING E~ ag OTHER O. CORROSION [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION r'-] 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNDERGROUNO. BOTH!F APPLIC~A~ ' A. SYSTEM TYPE A U I SUCTION A U 2 PRESSUR~ A U 3 GRAVITY ~ U 9g OTHER 8. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U ~ LINED TRENCH A~ag UNKNOWN A U gg OTHER C MATERIAL AND A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLWINYL CHLOR~O~ (P~ .4 FIBERGLASS PiPE · CORROSION A U $ ALUMINUM A U 6 CONCRETE A U 7 STEEL WICOAT1N~ A ~ 100% METI-IANOL COK~PATI~LEW/I:RP 0 LEAK DETECTION r--I v, TAN E,K O ECT O. I ~-~,V,SUA~C,EC~ I~INV~NTOR~RECO"C'L~T~" I~V~°OR~ON,TOR,NG[], ! ' 6 TANK -EST:NO ~ 7 iNTERSTiTIAL MONITORING ;~_ gl N~NIE ~ g5 UNKNO'~N ~ 99 OTHER / December .4, 1991 Mr. Joe A. Dunwoody City of Bakersfield Hazardous. Material Division 2130 "G" Street Bakersfield, CA 93301 RECEIVED DEC 0 1991 Ans'd ............ RE: Underground Tank Questionnaire Dear Mr. Dunwoody: On July 10, 1991, I received the original packet of Underground Tank Questionnaires. They were completed and returned to the City of Bakersfield on July 12, 1991. Copies are attached for your convenience. Circle K Corporation currently operates five (5) stores in the city of . Bakersfield - #8606 (1030 Oak Street), #8605 (5600 Auburn Street),#1242 (3232 Stine Road),#1270 (5634 Stine Road) and #8825 (2222 "F" Street). All others are closed sites and any question concerning the operation of the underground tanks should be directed to the property owners. If you have any questions or need more information, please call me at (714)823-0691. Sincerely, Ruth H. Bulmer Environmental Coordinator enc. THE CIRCLE K CORPORATION 6101 NORTH S[ERRA AVENUE · FONTANA, CA 92335* 714)823-0691 2130 G Street, Bakersfield, CA'93301 (805) 326-3970 UNDERGROUND TANK Q~TIONNAIRE No. OF TANKS 3 ~ RECEIVED...- ~JUI "6 1991. HAZ. MAT. DIV. I. FACILITY/SITE DBA OR FACILITY NAME CIRCLE K STORE #8825 ~NAME O~ OPERATOR  IRCLE K CORPORATION ADDRE~ JNEARF..ST CROSS STREET PARCEL No.(OPTIONAL) 2222 "F" ST~RET / CITY NAME /ffi'ATE ZIP CODE /CA 93301 BAKERSFIELD ~' BOX ?O INDICATE ~CORPORATION OINDIVIOUAL QPARTNERSHIP QLCX;ALAGENCYDISTRICT~ ~COUNTYAGENCY ~STAIEAGEHCY [~FEDERALAGENCY O 2 DISTRIBUTOR _ I KERN COUNTY PERMIT '~ ~/ ~ ' ,PROCESSO '05oTH- I ,O O,E ,'E "o:--' TYPE OF BUSINESS [] 1 GAS STATION EMERGENCY CONTACT PERSON (PRIMARY) , DAYS: NAME (LAST. FIRS'0 PHONE No, WITH AREA CODE BARBARA SNYDER ( 805 ) 324- 1758 EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA COD~ NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE NIGHTS: HAME (LAST. FIRST) PHONE No. WITH AREA CODE C. ~T,T,EN MOORE (209) 276-8350 II. PRO.P..ERTY.O.WNER.INFORMAIIO.N.(MUST;BE COMPLETED) CARE O¢ ADDRESS INFORMATION NAME CATALINA/BARBER CORP. MAILING OR STRE~ ADDRESS 500 OAK STREET CITY NAME BAKERSFIELD F' BOX Q INDIVIDUAl, (~ LOCAL AGENCY ~ STATE AGENCY TO INDICATE [~ PARTNERSHIP [~ COUNTY AGENCY ~ FEDERAL AGENCY pi"IR pl'Yl~ AtilT n1~1 STATE %~FE6%E- ...... T PHONE No. WITH AR~ CODE CA 93304 / unk ! NAME CIRCLE 'K CORPORATION TANKOWNER INFORMATION (MUST BE COMPLETED)' CARE OF ADDRESS INFORMATION ENVIRONMENTAL MAILING OR STREET ADDRE~ 6101 N. SIERRA AVE. CiTY NAME FONTANA ,/BOX [2:] INDIVIDUAL Q LOCAL AGENCY Q STATE AGENCY TO INDICATE J~ PARTNERSHIP Q COUNTY AGENCY Q FEDERAL AGENCY STATE J ZIP~DE ...... [-~HONE NO. WITH AR~ CODE I CA 92336 ~ (71~)823-0691 OWNER'S DATE VOLUME TANK No. INSTALLED 1 ~M~_.L~_7 10,000 2 MAR~_LgB3 10,000 3 ~7 10~000 PRODUCT SERVICE Y/N Y/N Y/N YIN YIN Y/N DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE ..... Fill one seqment out for each tank, unless all tanks and piping are. ..... --.~-_/~?3Dnstructed-of -~same -material-S ~: style'-'an~Ype*,Y- then only fil1-:~- .... .' :~he=segmen%---O-~:~-~-~-l-ease--identify tanks by o~er ID ~--'.~ ..... ~ .... . I. TANK DESCRIPTION COMPLE~ ALL I~,S - SPECIFY IF UNK~ ' ' c. ~ ,~s,AL~(~~) ~C~ tqm7 ~. ,~ c~c,w~,. ~[o~: /0t ~O ..................... II1. TANK CONSTRUCTION MARKONE~TEMONLY~N~XESkS. ANDC,~DALLT~TAPPL~ESlNSOXD A. TYPE OF '{~ 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] ~ ~ARE STEEL [] 2 STAINLESS S~-EL ~ 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7. ALUMINUM (Pdma~,Tank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEELCLAO W/FiBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER C. INTERIOR UNING [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] ~ ~SS L,N,NG [] 0 U.L,.ED 1~ ~ UNKNOW. ,s L,N,NG MATE.,AL ~MPAT,~E ~ ,~ "~' YES_ ~__ ] 4 PHENOLiC LINING ] 99 OTHER O. CORROSION [] I POLYETHYLENE WRAP [] 2 COATING [] 3 vINYL WRAP PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE ]~ 95 UNKNOWN ] 4 FIBERGLASS REINFORCED PLASTIC [---] 99 OTHER IV. PIPING INFORMATION CIRCL~ .& IF ABOVE GROUND OR U IF UNDERGROUNO, BOTH IF APPLICABLE A, SYSTEMTYPE A U 1 SUCTION A(~2 PRESSURE A U 3 GRAVIS' B. CONSTRUCTION Co MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 99 OTHER SINGLE WALL A ~_~)2 DOUBLE WALL A U 3 LINED TRENCH A U 9S UNKNOWN A U 99 OTHER 8ARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIOE(PVC)A([~)4 FIBERGLASS PIPE V ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U S 100% METHANOL COMPATIBLEW/FRP GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER AUTOMATIC LINE LEAK DETECTOR [~ 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL UONITORING [] 99 OTHER V. TANK LEAK DETECTION VISUAL CHECK INVENTORY RECONCIL~AT[ON [] 3 VAPOR MON{TORtNG *. ,TANK'TESTING, ' ~, INTERSTITIAL MONITORING [] 91 ~NONE [~..95 UNKNOW%I []..99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN I OWNER'S.TANK I. D. ~ A, C. DATE INS~DAY/YEAR) B. MANUFACTURED BY: D. TANK CAPACITY IN GALLONS: III. TANK CON'STRUCTI"~0N,~ MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A TYPE OF [] ~ DOUBLE ~ [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL '~ 4 SECONDARY CONTAINMENT (VAULTED TANI0 [] 99 OTHER__ ~ 1 BARE STEEL ~ 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC B TANK 'MATERIAL [] 5 CONCRETE [] ~.~YVINYL CHLORIDE [] 7 ALUMINUM [] 8 1009. METHANOL'~OMPATIBLEW/FRP (Primar~Tank) [] 9 BRONZE [] 10 GA'~V~,~.ZED STEEL [] 95 UNKNOWN [] 99 OTHER [] , RUBBER L,NED [] ~ AL~D LIN~.. [] ~ EPOXY L,.ING [] . ~E.OLiC L,N,NG c INTERIOR · UN,N~ [] ~ ~ L,N,NG[] ~,"~D ~r-] - UNKNOWN[] ~ OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? '~Y~__ NO__ D coRRos,o. [] , POLYETH~EN~WRAP [] ~CO~ ~ ~.~L WRAP [] ~ F,RERG~S RE,N~ORCED PLAST,C 'PROTECTION [] 5 CATHODIC PROTECTION [] 9~ NONE [] 95 UN~WN [] 9~ OTHER IV. PIPING INFORMATION C~RCL~ A IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF APPLICON A, SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY ~ U 99 OTHER ~ 8. CONSTRUCTION A U I SINGLE WALL A U 2 DOUBLE WALL A U 3. LINED TRENCH A~.~95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U ~ BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC~ .4 FIBERGLASS PiPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A '~ 100% METHANOL COMPATIBLEW/FRP PROTECTION AU 9 GALVANIZED STEEL AU 10 CATHODIC PROTECTION AU 95 UNKNOW. N ...... ~,U 9~THER 3 INTERSTITIAL THI~ D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] ~ ~.~nlT~(~N~Gc [] V, TANK LEAK DETECTION !-'-n 1 VISUAL CHECK 6 TANK TESTING [~ 2 iNVENTORY RECONCtLIATKDN [~ 3 VAPOR MONITORING [] ~ AUTOMATIC TANK GAUGING [] 5 GROU-"~.~R MONITORING [] ~ ,.TERSTITIALMONITORING ~ ~, NONE ~ ~ UNKNOWN [] ~ O~ER FILE CONTENTS ~ 0.~~, SUMMARY ENV~ SENSITIVITY:~ ~ Date # Of Tanks Comments PERM-'T NUMBER OF TANKS AT THE SITE: ............................................... EMERGENCY C~NTACT PERSON(PRIMARY): NAME: ' ' ENV. SENSITIVITY ' PHONE NUMBER: ..................................................................................................................................................................... EMERGENCY CONTACT PERSON(SECONDARY) : NAME: PHONE NUMBER: ..................................................................................................................................................................... TANK OWNER' INFORMATION: NAME: ...................................................................................................................................................... : ............................ : ...... ADDRESS: ......................................................................................................................................................................................... PHONE NO.: TANK CONTENTS: TANK ~ MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS TANK CONSTRUCTION: TANK : TYPE(dw, sw, sec.con~.)JMATERIAL I INT. LINING ' t CORROSION PROT. I LEAK DETECTION: TANKS: VISUAL ......... ,.GROUNDWATER MONITORING WELLS VADOSE ZONE MONI"~'(~'J~"ING WELLS U-TUBES WITH .LINERS ...................... U-TUBES WITHOUT LINERS ....... ~'~'~'~'-'[~'~-TECTOR ............ LIQUID SENSORS ....................... CONDUCTIVITY SENSORS ......................... PRESSURE SENSORS IN ANNULAR SPACE ...................... LIQUID RETRIEVAL SYST'~I'~'--I"~-~-TUBES, MONITORING WELLS, OR ANNULAR NONE UNKNOWN OTHER PIPING INFORMATION: TANK : SYSTEM TYPE (SUC,PRES. ,GRAV.) [ Y " CONSTRUCTION (SW,DW,LINED MATERIAL LEAK DETECTION: PIPING: ...... ~.. FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED PIP[NG MONITORING SUMP WITH RACEWAY S~'%'L~:~'""~'NCRETE RACEWAY HALFCUT COMPATIBLE PIPE RACEWAY PERMIT NUMBER TYPE OF INSTALLATION ( ) 1. In-Tank Level Sensor FACILITY NAME FACILITY ADDRESS CONTACT PERSON ~) 2. Leak Detector ( ) 3. Fill Box 1. IN'TANK LEVEL SENSORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS Number of Tanks. ~ List By Tank ID Name of System Manufacturer & Model Number~t~~ ' Contractor/Installer '~b FILL BOXES Number of Tanks List By Tank ID Name of SYstem Manufacturer a Model Number Contractor/Installer OWNER/OPERATOR DATE (805) 851-368~ ~E I VA~R RE.VERY IN~PECTI~ FO~ Ic .............................................................. ~n~r .............................................. . ............... 'PU~, ~ or R) . T~NK ~ TANK 3. BROK~ OR ~I~ING VA~R CAP ~. B~K~ OR MISSING FiLL CAP S 8~K~ CAM LOCK ~ ' . ,- ~ ~_ t~,.~,= ).lOT PRO:2ERLY ._.~:= ~ ~=r, ,. '~.~ CAPS NOT PROPERLY ,q.u~NG F~M ~ CAP .. ,,~o~'J~ F~M VAPOR' 'i !. "¢A.~R AOA. PTOR NOT TIGHT · :. ¢..:.v ,=o¢~. ZASK:ET'S *¢':'~" -' ~ .: E)':CE~[ .,i: '~:RTM ': f'-.'~"~ .,'~ ~ · [! !','~ ¢: 6/' '9. c3F~£R ~'~ 0'6~ ~"' - 20. -' ~A~[N6 : SYS. T~ ~D NZ~ A ~ECX .~OVE ARE IN V~O~T~ OF K~ ~N~ A~R ~LLUTZ~ '~*'*~ SP~CIF[~ P~ALTZES OF UP TO $:],000.00 PER DAY FOR ~._SOuu, ~1 OF THE IzuLA, ~(S~ ' ' ' "-~'~ 86i-3682 ~ ,'~-, 'r~ ~= ' 'i~'~ ' '~, '~~ Slore No. Daily Gasoline Report ~ /-~,/~'~'~ Shift Day Date__ 19 ~ Total Gallon GASOLINE METER READINGS REGULAR UNLEADED PREMIUM UNLEADED DIESEL PUMP GALLONS MONEY PUM~, GALLONS MONEY Puap GALLONS MONEY PUMP GALLONS MONEY 1 2 3 4 5 6 7 10 Price Changes: Notes. CLOSING TANK INVENTORY ' GASOLINE INVENTORY CONTROL - GALLONS Premium Unleaded Unleaded Diesel Shck Read,ngs By Meter Readings By. Manager's Signature: CK291 (Rev 3/88) WATER INVENTORY Inches: ~'/,~ches: J Inches: Prem'ium Regular Unleaded Unleaded Diesel 21 Closing St;ck Reading From Last Report [hne 26 of prewous report) 22 Plul Delive~e~ .~...: .~-J~7~.~ ;,,- ,~ ," . ...... , 23 Bill of Lading it. ',,;.. -. . '. . 24 BIIIofLadingil.;;'::;,.: . ,: :-,,,'.., , : ,,~, ,'~ i , ,, , '..- ...,,-. ;,. ,: , . 25 i Bill of Lading t .';~., ~.:":.~ ;.. ~.::.~.:. ,:,,.~ .-,....,.:..,. ...... :;._,. ...~ .:; .... :, ;., .... .,~, .:, 2~ jLea ~ St~k (U,. ~0) . ' ,..-.,,.:"':', .," ' ,~ ..... ..: ,,..' ..... · · . .: ,:,"i ':..',-..;:. .:>::i'> ."::~:~: 27 Equals Stick Reading Sales IInches: 28 Meter Sales (Line 13) 29 Less Stick Reading Sales (Line 27) 30 Over (,,) Short (-) (Daily) 31 Plus Yesterday's MTD Over/Short 32 leTO O~r/ShOtt (30 · Sl) '~ ' ...... On Ihe first day of EACH month Line 31 will be zero. If line 28 is greater than line 29. line 30 is over (+). if line 28 is less than line 29. then line 30 is shorl (-). Competitor Prices: (1) REG UNL PNL __ DSL OTHER__ (2) REG UN[__ PNL __ DSL OTHER__ (3) REG UNL PNL __ DSL OTHER (4) REG UNL PNL __ DSL OTHER__ May 15, !990 To Whom It }fay Concern: For all matters involving environmental compliance (be it violations, gasoline tank permits, testing, etc.) of the Circle K Corporation Stores in the State of California, please send your correspondence to our California Environ- mental Director, Michael D. Karvelot, at the following address: Circle K District Office 6101N. Sierra Avenue Fontana, California 92335 Cordially, Ruth H. B'.~imer Environmental Coordinator THE CIRCLE K CORPORATION 6101 N. S I E R R A A V E N U E · FO N TAN A, CA 92336 · (714) 823-069 I ] . . : .: :; :' .:'.? .:~., ..... , , ,: .... :~ GARY J. WICKS Agency Director (805) 861-3502 STEVE McCALLEY Director PERMIT TO CONSTRUCT UNDERGROUND'''~'~';:°~' PERMIT NUMBER :~700 M Street, Suite 300 Bakersfield, CA 93301 Telephone (805) 861-3636 Telecopler (805) 861-3429 AGENCY 160038M STORAGE FACILITY FACILITY NAME/ADDRESS: Circle K 2222 "F" Street Bakersfield, CA 93301 OWNER(S) NAME/ADDRESS: Circle K P. O. Box 52084 Phoenix, AZ CONTRACTOR: Banks and Company 2403 E. Blemont Fresno, CA 93701 X NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT EXPIRES APPROVAL DATE APPROVED BY June 7, 1990 ' ~¢h 7, 1990 Dan S~~ Environmental Hellth Specialist .................................................................................. POST ON PREMISES ..................................................................... CONDITIONS AS FOLLOW: Standard Instructions 4. 5. 6. This permit applies only to the modification of an existing facility involving the testing and repairing of the Regular Product 'Line possible removal of pea gravel and steam cleaning of secondary containment liner. All construction to be as per facility plans approved by this Department and verified by inspection by Permitting Authority. All equipment and materials in this construction must be installed in accordance with all manufacturers" specifications. Permittee must contact Permitting Authority for on-site inspection(s) with 24 hour advance notice. Backfill material for piping and tanks to be as per manufacturers' specifications. Construction inspection record card is included with permit given to Permittee. This card must be. posted at jobsite prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Piping system with secondary containment leak interception/raceway b. Any other inspection deemed necessary by Permitting Authority. Standard Instructions Permit No. '160038 M Primary and secondary containment of underground piping must not be subject to physical or chemic deterioration due to the substance(s) in them. If contamination is found in secondary containment, gravel must be removed and liner steam cleaned. Hazardous waste must be hauled under manifest wit:~ copy being sent to this Department within 14 days. ACCEPTED BY: DS:cas \160038m.mod 1700 FLOWER STREET BAKEI~FI~rn, Oi 9330=_ PHONE (805) 861-3636 I~O~S: Please ¢a11. for an ins~c~r only wl~en each grou~ of inspections with the s~n~ nu~er are re~dy. They will nm in consecutive order be~innin~ with numl~r 1. DO ~ cove:' work for any numbered group ~tLl ~1 items in that group are signed off by t]~ Pemitti~ Authocity. Followir~ these instxuctions will redu~e the ~ of required inspection visit~ ar~ therefore l~eVent assesmm~ of ~lditio~al fees. - TAm~ & B~xFIrL - " I~SPI~TION DATE INSP~R BaCkf-[lf 'of Tank(s) ........ S~rk, Test Certtficati6n ..... Cathodic Protection of'Tank (s) ' . ..... '. ' ' ' - PIPING SYSTEM .- Corrosion...,, Protection. of Piping,. Joints, Fill, Pi~e ' Electrical Isolation of Pip1 .r~ Frcm Tank(s) . ' Coth~/ic .P~otection s~ste~-Pipir~ 'Liner Installation - Tank (s) ' Liner Installation - Pi[~i ,r~ Vault With ~:oduct C~n~atible Sealer " ' ~eVel Causes or S~.nsors: Float Vent Va. lves ..... Product Cce~atible Fill Box(e~) "',' " . Product Line Leak Detector(s) r ak tsc or(s) for Annular ,S ce-O.W. Tank(s) Mo~ito. rin~ Well (s)/Sump(s) ,, . Leak De~ectton Device(s) For Vadose/~rou,ndwater , . ENVIRONMENTAL [ ILTII DE 2700 "M"' STREE'~ , STE. BAKERSFIELD, CA 93301 MENT ~ ~ ermit No. Ap~cation Date 3//~/'~_ APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of App!lcation (cl)ec~): . Facility~Modiftcatton Of Facility[]Existing FacilityE~Transfer Of Ownership A. Emergency 24-Hour Contact (name, area code, phone): Days Facility Name ~,~/~--" '~'" Nights No. Of Tanks Type Of Business (check): ~Gasoline Station ~Other (des~ribe) Is Tank(s) Located On An Agricultural Far~? ~Yes ~o Is Tank(s) Used Primaril~ Foc Agricultural Purposes? ~Yes~ Facility Address ~ ~ ~~ Nearest Cross T R SEC (Rural Locations Tank Owner ~,~~ ~ Contact Person ..F~( ~,~ Address ~. ~ ~-2~ City/State ~f~; ~ Telephone ..~.~Z- Operator ~,~C~ ~ Contact Person ~ 'Address ~X~ ~ ~~ Zip Telephone B. Water To Facilit~ P~ovided B~ ~-~V Depth to Groundwater Soil Characte~iskics At Facility / Basis For Soil Type and Groundwater Depth Determinations Contractor i~,~;~,~,~ ~ ~.d/) Address ~z~'i~t~ d- ~/~ ~ Proposed Starting Date J/~ Worker's Compensation Certification No. If This Permit Is For Modifications Proposed CA Contractor's License No. Zip ~.~TD / Telephone~ ~.~/~"~ PropOSed, Completion Date ~ ~/~ Insurer Modification Of An Existing 'p'ac.tlity, Briefly Describe Tank(s) Store (check all that apply): Tank # Waste .Product Motor Vehicle Unleaded Re~ Premium Diesel' Waste Fuel 011 0 o O. 0 0 0 0 Chemical .Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank # Chemical Stored (non-commercial name), CAS # (if known) Chemical Previously Stored (if different) Transfer Of Ownership Date Of Transfer Previous Owner Previous Facility Name I, accept fully all obligations of Permit No. issued I understand that the Permitting Authority may review modify or terminate the transfer of the Permit to Operate this underground storag facility upon receiving this completed form. This form has been completed under penalty of perjury and to the best of my knowledge Is true and correct. Facility Name H. Permit No. !~ ~ __ (FILL OUT SEPARA FORM ~ . TANK]. FOR EACH SECTION, CHECK ALL APPROPPJA"I~ BOXES Tank is: ( ) Vaulted ( ) Non-Vaulted ( ) Double-Wall ( ) Single-Wall_ Tank Materia~ ( ) Carbon Steel ( ) Stainless Steel ( ) Polyvinyl Ghloride ( ) Fib~r~lass-Clad Steel f~)~Fiberglass-Reinforced Plastic ( ) Concrete ( )- Aluminum ( ) Bronze ( ) Unknown ( ) Other (describe) Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 10. Tank Secondary Containment ( ) Double-Wall .X~Synthetic Liner ( ) Lined Vault ( ) None ( ) Unknown () Other (describe): Mamffactur~r: ( ) Material 'Thickness (Inches) Capacity (Gallons) Tanl( In, rerior Lining ( ) Rubber ( ) Alkyd ~(/'f>Epoxy ( ) Phenolic ( ) Glass ( ) Clay ( ) Unlined ( ) Unknown () Other (describe): Tank Corrosion Protection ~ ( ) Galvanized ( ) Fiberglass-Clad ( ) Polyethylene Wrap ( ) Vinyl Wrapping ( ) Tar or Asphalt ( ) Unknown ( ) None ~(-"f" Other (describe): r~/~ .~'~'.~/,~G' ' Cathodic Protection.'. .(~ None ( ) Impressed Current System ( ) Sacrificial Anode System Describe System and Equipment: Leak Detection, Monitoring, and Interception.. a. Tank: ( ) Visual (vaulted tanks only) ( ) Groundwater Monitoring Well(s) ( ) Vadose Zone Monitoring Well(s) ( ) U-Tube Without Liner ( ) U-Tube with Compatible Liner Directing Flow to Monitoring Well(s)* ~ Vapor Detector* ~quid Level Sensor* ( ) Conductivity Sensor* ( ) Pressure Sensor in Annular Space of Double Wall Tank* ( ) Liquia Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space (-~ Daily Gauging & Inventory Reconciliation (.) Periodic Tighrness Testing () None () Unknown () Other Piping:/(..)/Flow-Restricting Leak Detector(s) for Pressurized Piping* ,..' ( ) Monitoring Sump with Raceway (.) Sealed Concrete Raceway ( ) Half-Cut Compatible Pipe Raceway ~-~"Synthetic Liner Raceway ( ) None ( ) Unknown ( ) Other *Describe Make & Model: Tank Tightness Has This Tank Been 'Tightness Tested? ( ) Date of Last Tightness Test Test Name Tank Repair Tank Repaired? ( ) Yes ( ) No Date(s) of Repair(s) Yes ( ) No ( ) Unknown Results of Test Testing Company ( ) Unknown Describe Repairs Overfill Protection, ( ) Operator Fill's, Controls, & Visually Monitors Level ~-T-~aPe Float Gauge dc)"-Float Vent Valves ( ) ( ) Capacitance Sensor ( ) Sealed Fill Box ( ) None ( ) Other: Auto Shut-Off Controls ( ) unknown List Make & Model for Above Devices 11. Piping a, bo Underground Piping: ~s ( ) No Thickness (inches) Diameter __ ~ Pressure ( ) Suction ( ) Gravity Underground Piping Corrosion Protection: ( ) Galvanized ~berglass-Clad ( ) Impressed Current ( ) Polyethylene Wrap ( ) Electrical Isolation ( ) Vinyl Wrap ( ) Unknown ( ) None ( ) Other (describe): Underground Piping, Secondary Containment: ( ) Double-Wall ,j~.}"'~-ynthetic Liner System ( ) None () Other (describe): ( ) Unknown Material Manufacturer Approximate Length of Pipe Run ( ) Sacrificial Anode ( ) Tar or Asphalt ( ) Unknown RECEIPT PAGE I 03/06/90 · KERN COUNTY PLANNZNG & DEVELOPMENT 2700 'M' Street Bakersfield, CA 93301 Type of Order (805) 861-2515. 30138 CASH REGISTER !nus~:~mer P,O.~ · I' "Wtn 'B.v IOrd~r O~te L...I D I 03/06/90 ! BANKS & CO Shffp Da~e ! ...... Vffa .... o3/o6/9o 1 I ' l 1 100,00 E Order ToCa] !. Terms -I ~T To~al 100 O0 '~00 O0 '1. Amount 1 O0 00 ! 00 ¢,0 THANK Y~(.I ~ Permit # ~' "', ,!'. '.:"--" ( EnYiro-flmental Sensit!vity Ii~_,,ection Time UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * Facility Name No. of Tanks Type of Inspection: Routine Comments: b,,'~'~::*~. ~.-.~ Address Is Information on Permit/Application Correct? Complaint No'"~r~ ' Permit Posted~-~ Yea No Yes · ) R e inspection ITEM VIOLATIONS NOTED 1. Primary Containment Monitoring: a;' Intercepting and Directing System b. Standard Inventory Control Monitoring c. Modified Inventory Control Monitoring d~./l~-Tank Level Sensing Device e. Groundwater Monitoring f. Vadose Zone Monitoring 2. Secondary Containment Monitoring: a. Liner ouble-Walled'Tank c. Vault 3. Piping Monitoring: a. Pressurized b. Suction c. Gravity 4. Overfill Protection 5. Tightness Testing 6. New Construction/Modification 7. C~osure/Abandonment 8. Unauthorized Release 9. Maintenance. General Safety, and Operating Condition of Facility Reinspection scheduled? Yes ~.,,. .... .. , ... INSPECTOR ~ '~ '~:. '~. *, .\ ',~ Health 580 4113 170 (7-87) Approximate Reinspection Date REPORT R EC E IV E D BY ;~<--' I~'-~["D XZtJNTY AIR POLLUTION . .CC~NTROL .~ICT 2?00 "M" Street.'Soite 2?5' ~akersfield, CA. 93301 PHASE II VAPOR RECOVERY INSPECTION FORM, 1. CERT. NOZZLE 2. CHECK VALVE N ~ ' 0 3. FACE SEAL Z Z 4. RING, RIVET E 5 8ELLOVCS 6 SWIVEL(S) ~Y FLON L!MITER (B~I II I / '1 HCSE CONDZT~ON V A 2 L-~NGTH P O 3 CONFIGURATION R ,1 SNIVEL H O 5 OVERHEAD RETRACTOR S E , 5 PONER~P ': LOT ON ? OTHER Key to system tYpeS:levRE:Hea '. __.~-~ ~me~to~eficie~'~i6~/. ~f~C~e~ied. B= broken 8A=Balande I M= missing, TO: torn, F= flat, TN_= tangled ~" Ri=Red Jacket GH=Gu! f Rasselmann .AD--. need adjustment, L= lonq, LO= loose, HT.=Hirt NA=Hasstech ! S= short ?4A= misaligned, K= kinked, FR= frayed. .--- --~ ..... I',~ -~ · Key to inspection, re~ul(s:~Check= OK, 7= Repain with- in r~evem days, T= Taq_qed ~nozz!s ~agged our-of-order until re~ai~s ¢gNMENTS- -- · . z ~-'~,' ..L,%... ............... L~...,.,.~.._~.~..~,~\.__~.,~,.,~~...,..~~,..~.~..~......~,.~. ............... ....... ..... .............. NOTE: CALIFORNIA HEALTH & SAFETY' CODE SECTION 41960.2, REQt)_IRES THAT THE ABOVE LISTED ?-DAY ? DEF.CIENCIES BE CORRECTED WITHIN ? DAYS. FAILURE TO ~PLY MAY RESULT IN LEGAL ACTION KF-,--R~ COUN,TY AIR POLLUTION CONTROL DISTRICT Baker$t:ie'ld, CA. 93301 " (805) 861-3682 .,-- \ ,~.:., PHASE I VAPOR RECOVERY INSPECTiCN FORM " rns ~tor . ~qU ~ a m Notice R~ d T~K ~1 TANK ~2 T~K ~3 T~K .RoDuc (ut_, P, o,- R) 2 TANK LOCATION'REFERENCE 3 ~ OR MISSING VAPOR CAP 4 BROKEN OR MISSING FILL CAP 5 BROKEN CA~4'. LOCK .ON VAPOR CAP 6 FILL CAPS NOT PROPERLY-SEATED ? VAPOR CAPS NOT PROPERLY SEATED 8 GASKET ~IISSING FROM FILL CAP 9 GASKET, MISSING ~ROM VAPOR CAP 10 FILL ADAPTOR NOT TIGHT 1! VAPOR AD~.PTOR NOT T~,GHT 12 GASKET. 9ETNEEN ADAPTOR & FILL ,TUBE hqISSING / IMPROPERLY SEATED !3. DRY BREAK GASKETS DETERIORATED *,,4. EXCESSIVE VERTICAL PLAY COAXIAL F~LL TUBE !5- COAXIAL-Y F,rLL ,,'TUBE TURNED TJX4 THE WRONG DIRECTZCN !6. COAXIAl.' FILL ,TUBE SPRING MECHANISbl DEFECTIVE, TANK DEPTH 18. T1JBE LENG'P-. hqEASUREMENT 19. DIFFERENCE (SHOULD BE 6" OR LESS) 20. OTHER 21. COMMENTS: .;'- NOTE: A CHECK ABOVE INDICATES A VIOLATION OF KCAPCD RULE 209. RECEPT OF ¢~SOLINE ~ PRIOR TO CORRECTION MAY FURTHER CONSTITUTE A VIOLATION OF KCAPCD RULES 2Qg & 412. ~ Station Operator's NameJ Station Addr, Major Cross Telephone Inspector Defect Totalizer Reading When Tagged WARNING Use of this device is prohibited by state law and un- authorized removal of this tag or use of this equipment ,' constitute a violation of the law punishable by a . .~,~mu.m civil fine~ of $1,000 per day or a maximum d/or six months In jail. declare under penalty of perjury that the device tagged was not used, nor was the tag removed, until the required repairs were effected and the district notified. Repaired by Title. (Please print) Signature Date 'Rme , Totalizer Reading at Time of Repair Repairs made BEFORE USING THIS DEVIC~ ;l'e~e~qe ~Aur,local air pollution control district at ~'71_r~X--' _~[~_,,~;.~o i-.- . If repairs were made to the nozzle body you must notify the County Department of Weights and Measures. 65750 Operator's Hame (_'-~'1"~_j~ ~-~ % - ' Station Address 9"~.-'7;"L- Tel'ephone N0 ~ Totallze' Rea~lng ~en T,~ W~ING Use of this de~ Is prohibited ~ ~ate law and un- authorized remo~l of this tag or use of this equipment · ~11 constitute a ~olatlon of the law punishable ~ a ma~mum d~l fine of $1,~ ~r day or a ma~mum criminal fine of $~ ~r day and/or six months In Jail. 1 declare under ~nal~ of ~u~ that the de~ce ta~d ~s not used, nor ~s the tag removed, until the required re~im ~re effeded and the died notified. Re.ired ~ ~tle (PI~ print) Signature Date Time Totallzer Reading at Time of Repair Repairs made .... ",i----,-~~ BEFORE USING THIS DEVIGE.TelepJ;:~r~ yp~r 19~al air pollution control district at v0{_~k'"""%~"~-' · If repairs were made to the nozzle body you must notify the County Department of Weights and Measures. 66126 Station Name ~mtor's Name G V A< Station Addre~ ~~ Defed I. ~~~ W~NING Use of this de~ce Is prohibited ~ ~ate law and un- authorized remo~l of this tag or ~se of this equipment ~11 constitute a ~olation ~f the~law punishable ~ a ma~mum d~l fine of $~,~ ?minal fine of $5~ ~r day and]or six months in jail.: I declare under ~nal~ of ~u~ that the de~e ta~ed ~s not used, nor ~s the tag removed, until the required re~i~ were effeded and 'the distdd notified. Re~ired ~ ~tle (Please print) Si~ature. Date ~me TotalEer Reading at ~me of Re~r Re~im made BEFORE USING THIS D~ Tele~or~e vetml~al air ll~llution control district.at "~"~ k'~' ~ ,z..-., I repairs were made to:~lhe nozzle body you must notif~ the County Department!~of Weights and Measures. Ser. # 66127 g When Tagged~ ~ice Is prohibited by state law and un- ,v-al of this tag or use of this equipment · violation of the law punish~b!_e by a 'ine o! $1,000 per day or a ma~mum 5500 per day and/or six months in jail. ~enalty of perjury that the device tagged r was the tag removed, until the required :cted and the district notified. Title (Please print) g at Time of Repair THIS DEVl~eleph~r~ y~ur,,4pcal air dist~ct at ~. ~\ ~/~_~' ~ · ~ade to the nozzle body you must notify ~rtment of Weights and Measures. ;~30 ce is prohibited by state law and un. mi of this tag or use of this equipment violation of the law punishable by a .ne of $1,000 per day or a maximum ,500 per day and/or six months in jail. )entity of perjury that the device tagged : was the tag removed, until the required ~ed and the district notified. (Please print) Time t at Time of Repair 'fa§ Number-'- ,*'- Date, ~ ir ' 'me ',-4.. ~-.,:,' -; ,'" (~llll~t,... Name ('.~L"[-C'(~''' /~'- Station Address ~.-~ ~ ~ Major Cross Stree~"~. e ephone No CZ'- / Totalizer Reading When TaggecI~'~'~-'~ ~'~ WARNING Use of this device is prohibited by state taw and un- authorized removal of this tag or use of this equipment will constitute a violation of the law punishable by a maximum dvil fine of $1,000 per day or a maximum criminal fine of $500 per day and/or six months in jail I declare under penalty of perjury that the device..ta~: was not used, nor was the tag removed, until the'required -... repairs were effected and the district notified." Repaired by Title~ (Please print) Signature Date ' .Time Totalizer Reading at Time of Repair Repairs made BEFORE USING THIS DEVIC~ep,~to, ne,~,J~i local air poilution control dis~ct at t,-hN.~.--' ~_.4~.~, ~, . If repairs were made to the nozzle body you must notify the County Department of Weights and Measures. 66~25 Station Name ("~¥C'~'~::~ C tor's Name C_ Station Address Defect Totalizer Reading When Tagged~ WARNING Use of this device is prohibited by state law and un- authorized removal of this tag or use of this equipment will con~tute a violation of the law punishable by a maximum civil fine of $1,000 per day or a maximum criminal fine of $500 per day and/or six months in jail ! declare under penalty of perjury that the device tagged was not used, nor was the tag removed, until the required repairs were effected and the district notified. Repaired by Title (Please print) Signature Date Time Totalizer Reading at Time of Repair Repairs made Ta9 Number. ' ' Date [ % i l~me , '- ~' ~tion Name F~'~/'~'C~',' ' f" _ ~erator's Name ( ~-~': ~ StaUon ~dr~ '- ~'~ ~ Totalizer Reading When TaoJ~d--~! WARNING Use of this device is prohibited by state law and un- authorized removal of this tag or use of this equipment will constitute a violation of the law punishable by a ma~mum dvil fine of $1,000 per day or a maximum criminal fine of $500 per day and/or six months in jail. ! declare under penalty of perjury that the device tagged was not used, nor was the tag removed, until the required repairs were effected and the dist~ct ~otified.' Repaired by Title~ (Please print) Signature Date ,Time Totalizer Reading at Time of Repair Repairs made BEFORE USING THIS DEVlCF_Tel~bo~e.voJ~' local air pollution control dist~ct at /~='\ '"~( ~" L., -,' if repairs were made to the nozzle body you must.notily the County Department of Weights and Measures. 66~39 Tag Number ~ Station Name Operator's Name CX~'C~'XT~ '~.~-~. Major Cross Street '~% ~C~,~ , T;t~li~Readi~g Whe~ Tagged'~ WARNING Use of this device is prohibited by state law and un- authorized removal of this tag or use of this equipment will constitute a violation of the law punishable by a maximum civil fine of $1,000 per day or a rnmdmum criminal fine of $500 per day and/or six months in jail. ! declare under penalty of perjuzy that the device tagged was not used, nor was the tag removed, until the required repairs were effected and the district notified. Repaired by. Title~ (Please print) Signature... Date .Time Totalizer Reading at Time of Repair . "-"~" . Repairs made ~ 1700 Flower Street Bakemfleld, California 93305 Telephone (805) 861-3635 ,. ,. _:-, :>,-.~:..::,-,, :.-.. ~'N'CoU'NTY HEALTH D'EPART~- ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER ' Leon M Hebert~n. M.D. DIRECTOR. OF ENVIRONMENTAL. HEALTH ', Vernon S. Relchard ,. ....... ., '~' . - .:>.~. ~. 'MATERIALS. ~A~GEMENT .PROGRAM' EPA I.D.. ~ Parcel ~ NOTICE OF VIOLATION AND ORDER '.TO ' ' l'Th'e'f0ilowing ~ondJtions Or practices observed this date are violations of o'ne .. .... _..and Safety Code, Div. 20, or the California Administrative Code, Title 22, Div..4, Chap. 30, relatina to the "storaa~, · ::. - :. 'handling, transportation, and d sposa of hazardous waste" or Ordnance Code of Kern Countv, Div- 8, "Undernr0u'~d ~'~" " ' .~ ,~ :' '~ -"?~;'~ .,..,~ ,, .~..Storage of Hazardous Substances. :~:~::;~::. ~:::::,~::~.~p%...,:.~,,~ ~ ' -: .... 'Conditions 0~ p~aCt'ices must be ~o~e~ted With~'~he'~ime~ . .--. . .,- , ... .- . -- / ...... .., , "..-'~ . '.-..::'.t~r ~i~a~r~ ac~a~wmag~ rec~ip~a~ a ~py ~f tki~ rap~ a~d ~ll~cti~a ~f a~y ~ampla~ da~cr kad ak~a, a~d i~ .,:?::::"~°t an admission of guilt. . ' . .... '.- .. ;: .'.. :. .. ..'~,....~: ~.,~' :f... ,~:...?.,.,. . ..: ..- : :'. Failure to fully comply with this "Notice and Order" may result in further legal action by County or State officials. :' ,. ,.-':~ --:' ..: ~: .' .., . .-:." Owner or Authorized Representative White -- Original Canary -- Facility file .. __Pi~k -- Specialist Environmental Healtll 580 4~3 120 (7/87) Agent of the Kern County Health Officer 1700 Flower Street Bakersfield, California 93305-4i 98 Telephone (805) 861-3621 _RN COUNTY HEALTH DffPARTJ~i,~ r AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.D, Director of Public Health Air Pollution Control Officer March 10, 1988 Circle K Corporation 2588 Newport Blvd. Costa Mesa, CA 92627 Re: Permit ~ Dear Sir/Madam: Enclosed you will find a copy of the original invoice, plus a computation of the 50% penalty on the annual Cee for t'he permitting of your underground storage tanks. This department's records show that this invoice, due February 27, 1988, has not been paid. Please submit payment within ten (10) days to avoid legal action. If you have any q'ti~-~:.-s;'t..i,,.~.~..t reg.ardJng tl~Js invoice, please contact me at (805) 861-363~. Also, please refer to ¥,'_~ur permit number when contacting our office. Sincerely, ~.., .?,<~, -.,.... .... . Brenda Knight '..~ Environmental Hea.lth Technician Hazardous Materials Management ~rogram BK:dP Enclosure KERN COUNTY HEALTH DEPARTMENT 1700 FLOWER STREET BAKERSFIELD, CALIFORNIA 93305 (8g_$.) ~861= 3_63.6. ..... PE~4 IT/D~%~O.fCE i~ 1 i~ 003 8B J, BILLING DATE J -- '? '7- 8:9 AMOUNT DUE .5 308.. ]0 AMOUNT ENCLOSE[ I- C i. rc 1 e K Cor~orat [on 2588 Newport Blvd. Costa Mesa, CA 9:_oz DETACH HERE CHARGES PAST DUE ARE SUBJECT TO PENALTY DUE DATE 2--27-88 PLEASE RETURN THIS ~RTION TO INSURE CORRECT PAYMENT IDENTIFICATION SEND PA~.tk~-~ WITHIN 30 DAYS TO AVOID 5'0% PF~.D~LTY DETACH PE~,IlT/Itf~OICE ~ 16 0(J 3 BE NI,H 3 FEE FOR [:-'ER~.ii~? ":::3' '37!:2;t:.'['E ~.]DiARG.~,";d:'>iD S'FORA(":E F:"-.CILITY' m- 222 _F' St-t:eet [-27-88 STATE SUI~IID-~,ZE OF SSiS.fiO per tank KERN COUNTY HEALTH DEPARTMENT ~o~o. ~0~ ~,~.,s. , ~, *. ,.q.,..* (,~ ,.,. u ........ ~,,, ~. ..... ~. ,,~ ~ 1700 FLOWER STREET -,,~:,.. TOTAL AMOUNT DUE BAKERSFIELD, CALIFORNIA 9330~ $ 140.00 $ 168.00 308.00 ANNUAL· FEE FOR PERMIT TO OPERATE 50% PENALTY STATE SURCHARGE · TOTAL AS0UNT', r)UE $ 140.00 70.00 168.00 378~00 THE cIRCLE K CORPORATION July 21, 1988 Joe Canas Kern County Health Dept. 1700 Flower Street Bakersfield, CA 93305 RE: Address Change : Dear Mr. Canas Please be advised that as of August 5, 1988, we will be relocating to ournew offices. For your information and records, our address will be as follows: CIRCLE K CORPORATION ENVIRONHS]V?AL DEP~ 3437 MYRTLE AVENUE SUITE 440 NORTH HIGHLANDS CA 95660 Also note a change of phone numbers: (916) 331-2540. Sincerely, Pat Wright Environmental Director PW: is J290o o c Jo 7 0oo I ,/ii ooo5 ./44oo,c . v' 44oo~ / ~-!.-~! o ,'-":' 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861o3636 N COUNTY HEALTH DEPART T ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER : Leon M Hebertlon, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reich-rd ~ HAZARDOUS MATERIALS MANAGEMENT PROGRAM Underground Tank Facility # /~"O~ ~',~' · EPA I.D. # Date .___~.' Z 0 - oO~ Firm Name {~-./,"e"~:~ ~'2 ~'7/OY.P-.-.. "P"~ ~-~'' Address ,~,2~.';Z, "/C-" ~'7/---- Person Interviewed -/_,9_~..~_ ~ 5~_/.~_,9{_,0.)''/t'J/?.~'_ Assessors Parcel # Type Facility ~/~Y'O)"OUI4~It '~ ~ NOTICE OF VIOLATION AND ORDER TO COMPLY The following conditions or practices observed this date are violations of one or more sections of the California Health and Safety Code, Div. 20, or the California Administrative Code, Title 22, Div. 4, Chap. 30, relating to the "storage, handling, transportation, and disposal of hazardous waste" or Ordinance Code of Kern County, Div. 8, "Underground Storage of Hazardous Substances." Conditions or practices must be corrected within the times ordered below: " ..... / ' - - '- -Z " -/- ' Your signature acKnow~eoges receiprot a copy of this report and collection of any samples described above, and is not an admission of guilt. Failure to fully comply with this "Notice and Order" may result in further legal action by County or State officials. ...,,' ~ ..::: ~ ~' . j/' Owner or Authorized Representative Agent of the Kern County Health Officer Cana~ - Facility file -- Specialist .. Environmentat Heatt~ 560 41t3 120 r®c s cn n trurn nta on, Co. 12410 BENEDICT ® DOWNEY, CALIFORNIA 90242 (213) 803-1497 April 16, 1987 Kern County Environmental Health Division 1700 Flower Street Bakersfield, Ca. 93305 Attn: Mr. Bill Scheide Regards: R & S Piping Dear Sir, A.P.I./Ronan has instructed R & S Piping on the installation and service of the TRS76 & X76S Leak Detector Systems. They are authorized and qualified, to correctly install and perform all necessary tests to demonstrate and service the system. A.P.I./Ronan has been successfully working with R & S Piping for nearly two years. We are satisfied with this company and are currently in good standing. If you have any questions, please contact me at (213) 803-1497. Sincerely, Mike Thornton General Manager - A.P.I. MCT/st Cc: Michelle D-TECT, Santa Ana Permits #. Facility Name Date FINAL INSPECTION CBECKLIST N Plot Diagram Plot plan notes Ali new and existing tanks located on plot plan? Does tank product correspond to product labels on plot plan? Was there no modifications identified which were not depicted on the plot plans? If "No" described Yes No Are monitoring wells secure and free of water and product in sump? 5. Is piping system pressure, suction or gravity? o Are Red Jacket subpumps and all line leak detector accessible? Type of line leak'detector if any~'~--/~/~.-~''~"~-- ~-'~'-/~/z~ Yes No 7. Overfill containment box as specified on application? If "No", what type and model number: C/~// ° a) Is fill box tightly sealed around fill tube? b) Is access over water tight? c) Is product present in fill box? 8. Identify type of monitoring: a) b) c) Are manual monitoring instruments, product and water finding paste on premises? Is the fluid level in Owens-Corning liquid level monitorini reservoir and alarm panel in proper operating condition? Does the annular space or secondary containment liner leak detection system have self diagnostic capabilities? _ If "No", how is it tested for proper operating n/~ condition? ~ ~ ' Notes on any abnormal conditions: INsPI~U~ION R~COliD 1700 FLOWER STREET BAKERSFIELD, CA 93305 PHONE (805) 861-3636 INS~IONS: Please call for an inspector only when each group, of inspections with the same number are ready. They will run in consecutive order beginning with number 1. ~O NOT cover work' fo= any numbered group until all items in that group are signed off by the Pen~itting /%uthority, Following these instructions will reduce the 'number of required inspection visits ar~ thezef0re prevent assessment, of additional fees. ' - TANKS & BACKFILL - · INSPECTION DATE INSPECTOR Backfill of Tank(s) $~ark Test Certification ' '' ,,,. .. Cathodic Protection of Tank(s) ' -- Pn,[m S~STEM.- '~t7- $ 7 "'[t~ Raceway ~' :!~lCorrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection s~st~m-Pipin~ - S~CONDARY CONTAINMENT, OVE~ILL PROTeCtION, LEAK DET~CTI~ - Liner Installation - Tank(s) Vault With Product Compatible Sealer ~Product Line Leak Detector (s) Leak Detector(s) for Annular S~ace-D.W. Tank(s) Monitoring Well (s)/Sump(s) Leak Detection Device(s) .For Vadose/Groundwat. er Monitoring Wells, Ca~s .& Locks ~-/~'~7 /'3.~¢1~6~ .... Fill Box Lock Monitor in~ Requir~nen .ts .. CONTain' ,(";,;z-" f'Y,,,/~+,5 ..... va I ~-~2z_3.--z ........... LAN APPROVED .~,,...., KERN COUNTY HEALTH DEPARTMENT 1700' Flower Street 0 ~eLL Bakersfield, California- 93305 :.:I I I 1700 Flower Slreel Bakersfield, California 9330.5-4198 Telephone (805) 861-2231 KERN COUNTY HEALTH DEPARTMENT AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.D. DlreclOr ol Public Health Air Pollution Conlrol Officer Date /' 2 ,'~'- ~7"7 To: Permit Applicant This department has reviewed the application submitted~. for . the underground storage facility IZ zT_?__ /. 3/F, ~/.'er$~:~/~/ , .. .,. known as Based on this r~view, yoor ap[~llcation has been'~~' for -- the reasons listed on the attached Permit Application Checklist. L _ - "-;--~ permit application!,anc} We are [~ After making required corrections and/or modifications, the application may be resubmitted for review. and plans located at If you have.~an.y _questions please call at (805) 861-3636. regarding our requirements Permit. Application Checklist Facility Name ~/'/~/~ Facility Address Application Category: ~Standard Design (Secondary Containment) Motor Vehicle Fuel Exemption Design (Non-Secondary Containment) Approved Permit Application Form Prope. r.l~ Completed Deficiencies: 3 Copies of Plot Plan D~: Property lines Area encompassed by minimum 100 foot radius around tank(s) and piping Ail tank(s) identified by a number and product to be stored Adequate scale (minimum 1"=16'0" in detail) North arrow All structur~ within 50.foot .radi.u~ of tank and piPing Location and labeling of all product piping and dispenser islands' Environmental sensitivity data i~cluding: *Depth to first groundwater at site *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemption 'fr'om secondary containment Comments: ~pproved '3 Copies of Construction Drawings Depicting: Side.View of Tank Installati'on with Backfill, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top view of Tank Installation with Raceway(s), Secondary Con.tainment. an~/or Leak Monitoring System in Place ~I /~K,Y~.h~, m~lo~ ~1~.~ .b~C~.~. A Materials List (indicating those used in the construction): Backfill T~nk(s) .Product Piping Raceway(s) Sealer(s) Secondary Containment Leak Detector(s) Overfill Protection Gas or Vapor Detector(s) ~ze_ /~/~ ~ ' , , .. , ./,/~1~ . , Sump(s) MonitOring Well(s) Additional: Reviewed By SITE INSPECTION: Comments: App r o v ed Disapproved Inspector Date Standard Compliance Check Equipment to be installed: Tank(s) , ~t. of ['3suction Approved ~pressur i zed piping Pri_.m~.'ry Containment [_~Fiberglass (FRP) Make & Model []Fiberglass-clad steel Make & Model '' ~]Uncoated steel Make & Model ~]Other: Make & Model Comment: Additional: Inspection: Secondary Containment of Tank(s) [~lDouble-walled tank(s) Make & Model []Synthetic liner Make & Model []Lined concrete vault(s) Sealer used []Other Type Make & Model Comment: Addi't'ional: Inspection: Secondary containment volume at least 100% of primary tank vol ume (s) Comment: Additional: Inspection: Secondary containment volume for more than one tank contains 15~% of volume of largest primary containemnt or 10% of aggregate primary volume, whichever is greate~<~ Comment: Additional: Inspection: Secondary containment open to rainfall must accomodate 24 hour rainfall Total Volume Comment: Req'd Approved Additional: Inspection: Secondary containment__ ~is Pr od uc t ,(~¢~_~ Comment: Additional: Inspection: product-compatible _ _ Oocumentation Annular space liquid Prod uct Comment: Add itional: is compatible with product Annular liquid %nspection: Primar~ontainment of 'Pi~ing iberglass piping [-]Coated steel piping r-]Uncoated steel piping DOther Comment: Additional: Size & Make Size & Make Size Inspection: Secondary Containment of Piping y Uble-wal!ed pipe Size & Make nthetic liner in trench Size & Make E]Other 'Comment: I - - ' Addi'fiona 1 Inspection: Corrosion Protection .~Tank(s) .~ ~ / ~ ! /?.~-/ . LRIP ipi ng &-~ [-]Electrical isolation ¢/ // // ,.,/- Comment: Additional: Inspection: Manufacture~-Approved Backfill for Tanks & Piping Type /~J~~~ comment: .Req"d Approved Additional: Inspection: Tank(s) Located Comments: Additional: No Closer Than 10 Feet to Building(s) Inspection: Complete Monitoring System Monitoring device within secondary containment: ~]Liquid level indicator(s) ~_jL iquid used ty sensor (s) /~z/~ ~_~Thermal conductivi IWIPressure sensor (s) ///~z~/ 7'/~-7'~ f'~?~' (~/7~) .' [~Vacuum gauge ...../ ~/ Gump(s)' as or vapor detector(s) //~/7-~-~[~ [']Manual inspection & sampling [~Vi sual inspection ~Other Comments: Additional: Inspection: Other Monitoring [qPeriodic tightness testing ~Pressure-r~ducing line leak ~-]Other Comment: Method m /~ ~'~ detector(s)/~/~Z~,~" Additional: Inspection: Overfill Protection ~Tape float gauge(s) ~Float vent valve(s) ~Capacitance sensor(s) ~High level alarm(s) Futomatic shut-off control(s) ill box(es) with 1 ft.3 volume ~Operator controls with visual, level monitoring Other Comment: Req'd Approved Additional: Inspection: ~onitoring Requirements Additional Comments Inspection: Inspector Date /-Z2 °~ 7 4 Extra Inspections/Reinspections/Consultations Date: Purpose: Comment:. Da te: Time Utilized Purpose: Comment: Date: Time Utilized Purpose: Comment: Da te: Time Utilized Purpose: Comment: Invoice Date: Inspector Time Utilized Total Time: Date: 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 KERN COUNTY HEALTH DEPART ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER Leon M Hebertson, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard April 13, 1987 Circle K Corp. Attn: Pete Vroder 5811Manzanita Avenue Carmichael, California 95608 RE: Circle K Store Construction 2222 F Street Bakersfield, California Dear Mr. Vroder: This is to inform you this department has not received the new drawing requested for tile Circle K facility, Permit # 160038B. If au as-built plot plan is not submitted to this department prior to the final construction inspection, this facility will not pass that inspection and will not be allowed to operate.. The submittal must include the following items and/or changes: The new piping trench layout with monitoring well(s), and The location of the alarm panel in the building. Please take care of this matter before causing a costly delay. If you have any questions, please call me at (805) 861- 3636. Sincerely, Bill Schetde Environmental Health Specialist Hazardous Materials Management Program BS:sw cc: R & S Piping DISTRICT OFFICES Del,nnn Lamon! '~ke [R~bella . Moiave , Ridqecrest Shorter 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 KERN COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH DIVISION PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY FACILITY NAME/ADDRESS~ Circle "K" Corp. 2222 "F" Street Bakersfield, CA 93301 HEALTH OFFICER Leon M Hebertson, M.D, DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT ~160038B OWNER(S) NAME/ADDRESS: Circle "K" Corp. 2588 Newport Blvd. Costa Mesa. CA 92627 IXXI NEW BUSINES~ [ I .I CHA'NGE OWNERSHIP I I I RENEWAL I I I MODIFICATION I { {- OTIIER Tank Replacement{ PERMIT EXPIRES APPROVAL DATE. APPROVED BY FebrUary 17~ 1988 February 17, 1987 Bill Scheide POST ON PREMISES ................ CONDITIONS AS FOLLOWS: 1. All construction to be as per facility plans ~approved by this department and verified by Inspection by Permitting Authority. 2. Ail equipment and materials tn this construction must be installed in accordance with all manufacturers' specifications: 3. Permittee must contact Permitting Authority for on-site inspection(s) with 48 hour advance notice. 4. Float vent valves are required on vent/vapor lines of underground tanks to prevent overftllings. 5. Construction inspect.ion record card is included with permit given to Permlttee. This card must be posted at jobsite prior to Initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tanks and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting A'uthority 6. All underground metal connections (e.g. piping, fittings, fill pipes) to tank(s) mu'st be electrically isolated, and wrapped to a minimum 20 mil thickness with corrosi.on-preven'tive, gasoline-resistant tape or otherwise protected from corrosion. 7. The following equipment and materials must be identified by manufacturer and model prior to their installation: a. Tank level sensor 8. No product shall be stored in tank(s) until approval is granted by the Permitting Authority. DISTRICT OFFICES D~,~n~.. Lamont Lake Isabella Moiave Rldciecrest . Shafter Taft 9. Liner shall be installed b.v a trained experienced liner contractor' and installation at s./'te approved by the Permitting Authority. 10. Monitoring requirements, for this facility will be described on fiual "Permit to ()perute" Kern County Ilealth ~epartm~'~' Division of EnvironmentalO. th 1700 Flower Street, Bakersl'ield, CA '93305 Ao ~ation Date APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check}: []New FacilityC]Modification Of Facility F]Existing Facility[~Transfer Of Ownership Emergency 24-11our Contact (name, area code, phone): Days Nights Facility Name CIRCLE "K" CORPORATION No. Of Tanks 3 Type Of Business (check): ~'~Gasoltne Station ~Other (descPibe) Is Tank(s) Located On An Agricultural Farm? ~]Yes Is Tank(s) Used Primarily For Agricultural Purposes? [-]Y~:s ~No Facility Address 222 F ST (23RD & F STS) Nearest Cross T R SEC (Rural Locations Only) Owner CIRCLE K CORPORATION Contact Peruon Address 2588 NEWPORT BLVD., COSTA MESA, (~ip 92627 Telephone (714) 642-7702 Operator.CIRCLE K CORPORATION Contact Person Address 222 F STREET, BAKERSFIELD, CA Zip Telepi~one B. Water To Facility Provided By KERN COUNTY WATER AGENCY Depth to Groundwater 175 FT Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth Determinations PRELIMINARY SOILS INVESTIGATION PREPARED BY: SOILS ENGINEERING, INC., BAKERSFIELD, CA 9/1~/86 C. C~ntractor R & S PIPING,'INC. CA Contractor's License No. 408337 Address 3108 ANTONINO AVE., BAKERSFIELD Zip 93308 Telephone 324-7994 Proposed Starting Date Proposed Completion Date Worker's Compensation Certification No. 327858 Insurer ~TAT~ C~MP TNg: ~UND D. If This Permit Is For Modification Of An Existing. Facility, Briefly Descril: Modifications Proposed NEW INSTALLATION g. Tank(s) Store (check all that apply): Regular Unleaded Tank ~ ~aste Product Motor Vehicle Unleaded Regular Premium Diesel Waste Fuel Oil 3 [] [] [] E3 [] [] [] [] [] [] [] rq, [] [] [] [] Chemical Composition Of Materials Stored (not necessary for motor vehicle fueJs) Tank # Chemical Stored (non-commercial name) ~AS ~ {if known) Chemical Previousl~ Stored (if different) Transfer Of Ownership Date Of Transfer Previous Owner Previous Facility Name I, accept fully all obligations of Permit No. issuud I understand that the Permitting Authority may review modify or te~-minate the transfer of the Permit to Operate this underground facility upon receiving this completed form. This form ha~ been completed under penalty of. perjury and to the best: SECRETARY 1. ~ ~ Tank is: 2. ~amk Nat~rial OCarbon Steel ~Stainless Steel ];IFiberglass-Rein forced Plastic OOther (describe) Dat~ Installed ~hickness (Imches) O~'aulted []Non-Vaulted ]~[Double-~ll oPolyvinyl 0~1.o£ kle OConcrete 0 Al,,-inum Capacity (Galloms) 10,000 OLt~ Vault o~me Thickness (Inches) o ophenolic ~Glsss OC~ay oSin~le-~all o~'il~,.rglasS-cled Steel OBrOnze OL~know~ Manufacturer XERES CORPORATION Ca~scit¥ (Gals.) nO,lined ~ o~alvanized (]Fiberglass-Clad oPol~ethylene Hrap nVlnyl ~a~i~ 'OT~ ~ ~lt o~k~ 0~ ~Ot~ (de~ri~): .FIBERGLASS , ~~c ~o~~: O~ O~es~ ~r~t ~ o~rificial ~e ~ ~i~ Syst~ & ~~nt: ~ ~~~, ~~i~ ~ ~~~ RED JACKET LEAKDETECTOR SYST~ a. ~: .~Vis~l (va~t~ ~ o~y) ~o~e- ~i~ri~ ~ll(s) POLY ~ERT O~o~ ~ ~itori~ ~ll(s) OU~ Wi~ut ~r SYST~ IN OU-~ ~ C~ti~e 5i~ Dir~ti~ ~1~ ~ ~i~ri~ ~ll(s) SECONDARY O~r ~tor O~id ~ ~r O~~vity ~r O~ess~e ~n~ in ~ul~ S~ of ~le ~1 ~ OLi~i~ ~i~ & Ins~tion ~ U-~, ~i~ri~ ~11 or ~~ ~ o~ily ~i~ a I~ento~ R~iliati~ o~i~ic Tigh~ ~ati~ ON~ O~o~' O~r b. Pipit: ~l~-~s~i~i~ ~ ~tor(s) for ~=i~ Pipit... o~itori~ ~p ~ ~y o~1~ ~re~ ~y OHalf-Cut C~npatible Pipe Race~ay oSyntb~tic Liner Rec~ DNom~ otInkno~ [] Other Pescrib~ Monitorirg M~ttxxl for Abow: NEW TANKS/FACTORY TESTED Has This Tank Been Tightness Tested? Date of Zast Tightness Test Test N~ne T~k l~peiz Tank Repaired? OYes ~ Date(s) of Repair (s) Describe Repairs OYes ONO ol~k~own Results of Test Testin~ Ounpsn¥ Oe~fill l~otectf~o o0~erator Fills, Co~trols, & Visually ~i~rs ~ OTa~ Fl~t ~ OFl~t V~t Valv~ ~Au~ ~t- Off ~ols O~ci~ ~r ~1~ ~11 ~ O~ . OOt~: ~~ C~~~ of ~t~: 11. bo c. Underground Pipirg, Secondary Contairment: ODouble-Wall ]~[S~thetic Liner 0 Other (describe):. ~ ~ Tank id= oVault_~t_ oNon-Vaulted ]l[Double-~ll DCarl:x~n Steel oStainless Steel oPolyvin¥1 chlOride ]~[Fiberglass-Reinforced Plastic oConcret~ [3 Alumin,,- O Other (describe) Date Installed Thickness (Inches) Capacity (Gallo~s) 10,000 OSingle~all OFiberglass-Clad Steel OBronze nLlnkno~ Manufacturer XERES CORPORATION OLin~d Vault OI4o~e 0 Lt~kno~n ~hickness (Inches) CapaCity (Gala.) Ot~anolic ~Glass OClay n~nlir~t Ol~mo~ OGalvanized oFiberglass-Clad oPol~thyle~e Wrap oViny1 Wrapping OTar or Asphalt oUnkno~ ONone ~lOther (describe): FIBERGLASS Cmt~c Pzotmcttom: ilNone illmlxessed Current Systa~ ilSacri]~icial Anode System Pescribe Systeu & Ecluit~ent: 7. ~mmk Dmtmct~om, [t~mitxa:ing, ~ lm~-~_. ~m RED JACKET LEAKDETECTOR SYSTEM a. Tank: oVisual [vaulted tanks only) OGrourd~mtar Monitori~ lSall(s) POLY ALERT OVadoae Zooe Mo~itorin~ W~ll(s) OU-Tube Without Liner SYSTEM IN OU-Tube with C~patible Liner Directirg Flow to Mo~itorirg Well(s) SECONDARY ilVapor P~tector illiquid ~evel Sensor ilC~ductivit¥ OPressure Sensor in Annular Space of Double Wall Tank illiquid R~trie~al & Inspection ~r~n U-Tube, M~itoring Wall. or Annular ODaily Gauging & Inventory Reconciliatim OPeri~dic Tightness Teati~ ilNor~ il~kno~ OOther b. Piping: ~Flow-Restrictirg Leak Detector(s) for Preasuriza~ pipits... OMo~itorir~3 S~np with Raceway OSsaled Oo~:rete OHalf-Cut C~patible Pipe Race~ay OSynthetic Liner 1~¥ ONor~ Describe Mo~itorirg Method for Above: s. . Has This Tank ~ .Tightness Teated? OYes ONo oUnkno~ NEW TANKS/FACT0~Y TESTED Results of Test T~sti~ (kmpan¥ 10. Date of Last Tightness Teat Test l%~e Tank Repaired? OYes ~o Date(a} of ~ir (a} ~ri~ ~irs O~fill p~otecttm OOperator l~ills, Co~trols, & Visually Monitors ravel OTape Float Gauge OFloat Vent Valves ~&uto Shut- Off Oo~trols OCapecitence Sensor ~ealed ~ill Box ONooe OOnkno~ ·OOthex: Pescrtba C(mponenta of Syat~: Tank ~ Tank is:' oVault~ed 2. Tan~ ~at~xial OCarbon Steel Ostainless Steel ~Fibe~91ass-Re in forced Plastic O Otl~r (describe) 3. t, zt~ar~ Data In&tailed ~aickness 4. Tank Secondary Cootal~t 7aooubie-wall os~.~etic OOthe~ (describe) O~cial 6. ~ ~i~ ~~~ ONo~-Vaulted ]ZtDouble-~l 1 oPol~vinyl Otlor ida O Cor~£e~e O Al~in~a 10. Capacity (Gallons) 10,000 OLin~d Vault Thickness OPhenolic ~a~Glass OClay Manufactu~e~ · XERES CORPORATION oOnkno~ capacity (Gala.) oonli.~! OUakno~n OGalvanized oFiberglass-Cled oPol~ethyle~e ~kap oVinyl l~aPpir~ OTa~ ot Asphalt otlnkno~n ONone )~[Other (describe): FIBERGLASS Cathodic pzotmctio~: O~oae olmtzessed o~cre, t Sys~ /~S~criffci'a[ ~node Describe Syst~ & Equil~nent: Leak DotocCton, I~to~iog,, ~ I~__ _~_.on RED JACKET LEAKDETECTOR SYSTEM a. Tank: ClVlso~l {vaulted tanks only) OGrotu'duate~ Moni~orir~ I~ell(s) POLY ALERT nV&dose Zone Momttorin~ l~ell(s) OU-T~be Without: r.iner SYSTEM IN OU-Tube with C~npatible Linec Directir~ Flow t~ Piomitorir~ Well(s) SECONDARY OVa~or Detect:or OLiqoid Level Sensor OComdoctivity ~P~essu~e Senso~ in Annula~ Space of Double Wall Tank ~Liq~id i~etcteval & Inspection F~n U-Tobe, l~mito~inq Wall oozily Ga~inq & Inventory Recomcilistic~ OPe~iodic Tight~e~ Testt,~ b. Piping: MFlow-~estcictir~ Leak Dotector(s) for l~essucized eipir~... OMonitori~ S~np with Race~y riSe&led Oooc~eta oUnkno~n 13 Otbe£ Describe ~ooi~ocir~ ~e~ ~or Has This Tank Been Tightness Tested? OYes O~O OOaknou~ NEW TANKS/FACTORY TESTED Date of Lest Tightness Teat Results of Teat Test l~ne Testir~ O3npan¥ Tank Repaited? OYes ~ OLl~kno~ Oate(s) of ~pair(a) Deacc ihe Rep.a... irs 11. R S Pipin§, Inc. Fuel Tank and Pipeline Contractors February 5, 1987 Kern County Health Department EnvironmentalHealth Services '1700 Flower Street Bakersfield, California 93305 A~tn: Mr. Joe Canas, EHS I CIRCLE K 2222 "F" STREET BAKERSFIELD, CALIFORNIA Mr. Canas: In compliance with your request for the following information regarding the above captioned underground storage facility, please be informed that: Depth of first groundwater at site is 175 feet as shown in the groundwater maps prepared by Kern COunty Water Agency dated May, 1984. 2. There are not any domestic or agricultural water wells within 100 feet of tanks or piping. 3. There is not any surface water in unlined conveyance within 100 feet of tanks or piping. 4. Ail utility lines exceed 25 feet of tanks and piping. 5. There are not any structures within a 50 foot radius of tanks- and piping. ¸. The proposed leak detection system to be installed at the site is the API Leak Detection System with an automatic shut down, or if this system does not meet with Kern County~approval, a leak detection system will be installed which meets with Kern County requirements and specifications. Southern California Office 2033 S. Lgon St., Santa Ana, CA 92705 (714) 545-1161 (714) 545-1162 Central/Northern California Office 3108 Antonino Ave., Bakersfield, CA 93308 (805) 324-7994 Page Two Kern Counky Health Department Environmental Health Services Mr. Joe Canas, EHS I 7. Enclosed is documentation of product performance of Model TRS-76 Leak Detector System for your review. Should need further information of if we can be of further assistance please contact us. Regards, Richard C. Rodney R & S Piping, Inc. RCR:pm enclosure cc: Circle K Corporation Mr. Pete Vroder R e.4 S Piping, Inc' Fuel Tank and Pipeline Contractors SOILS ENGINEERING, INC. PRELIMINARY SOILS INVESTIGATION FOR PROPOSED CIRCLE K CONVENIENCE STORE ' ::$.E.~CORNER OF .~23RD. & F STREETS 'BAKERSFIELD, CALIFORNIA FOR CIRCLE K CORPORATION 5811 MANZANITA CARMICHAEL, CA. 95608 .SEPTEMBER 17,1986 290! H STREET · BAKERSFIELD. CALIFORNIA 93301 · PHONE (805) 327-7065 SOILS ENGINEERING, INC. September 17, 1986 File 86-4914 Circle K Corporation 5811 Manzanita Carmic~hael, CA. 95608 A~Cention: Larry larkington Subject: Preliminary Soils Investigation for Proposed Circle.K Convenience Store 23rd and F Streets Bakersfield, CA. Gentlemen: In accordance with your request, we have performed a Preliminary Soils Investigation at the subject site. Recommendations for site preparation and grading; criteria for foundation design are pro- vided in the attached report. Appendix A conbains Guide Specifications for Earthwork and is pro- vided as a supplement to Section I, "Earthwork," in the.recommen- dations of the report. Appendix B, "Field Investigation," contains Logs of lest Borings, Plates I through 4, and a Site Plan, Figure 1, showing the approx- imate test boring locations. Appendix C, "Soil lest Data," contains tabulations of laboratory test data and Consolidation lest Diagram B-1. We hope this provides the information you require. If you have any questions regarding the contents of our report, or if we can. be of further assistance, please contact us. Respectfully submitted, SOILS ENGINEERING, INC. L. lhomas Bayne ~ R'.C.E. 2610.6 exp. 3/31/90 LIB:hk cc: 1-addressee 4-Dennis DeWalt, Inc. 2901 H STREET · BAKERSFIELD, CALIFORNIA 93301 · PHONE (805) 327-7065 Preliminany S°'ils InvestigatTM Proposed Circle K Convenience 23rd & F St., Bakersfield, CA. SOILS ENGINEERING, INC. File 86-4914 September 17, 1986 TABLE OF CONTENTS SECl .ION PAGE SCOPE ..................................................... Earthwork .............................................. Foundations ........ , ................................... Soil-Borne Salts ......................... · .............. LOCAl ~ SITE ION AND CONDIIIONS .............................. SUBSURFACE CONDITIONS ..................................... GROUNDWATER CONDITION ...................................... RECOMMENDAI IONS ........................................... Earthwork .............................................. Compaction .......................................... Optimum Moisture .................................... Stripping ........................................... Ground Surface Preparation .......................... Pavement Areas ................................... Utility lines ............ . ......................... Engineered Fill ..................................... Imported Fill ....................................... Drainage ............................................ Founda Tab Set Latera Table Active tions ............................................ ~e A - Foundation Design CriLeria ................ tlement .......................................... 1 Earth P'ressures ................................ B - Lateral Earth Pressures ................... Case ......................................... 1 1 2 2 2, 3 4-12 4-8 4 4 4 4 5 5-7 7 7 8 8-9 8 9 9-10 10 10 Preliminary.Soils Investigation Proposed Circle K Convenience 23rd & F St., Bakersfield, CA. $o~1L$ ENGINEERING. INC. File 86-4914 September 17, 1986 SECI ION PAGE Passive Case ........................................ At-Rest' Case ............... ~ ...................... .- Frictional Resistance ............................... S1 ab s-On-Grade ....................... · ......... · ....... Soil-Borne Salts ....................................... Limitations, Observations and lesting .................. 10 10 10 10-~1 11 11-12 APPENDIX A - GUIDE SPECIFICAIlONS FOR EARIHWOR}C APPENDIX B - FIELD INVESIIGAIIONS APPENDIX C - lest Borings (4) Site Plan (Figure SOIL 1ES1 DAIA 1) Sieve Analysis In-Situ Moisture Relationships Consolidation Test Direct Shear lest Soil-Borne Salts SOILS ENGINEERING, INC. PRELIMINARY SOILS INVESIIGAIION PROPOSED CIRCLE K CONVENIENCE SIORE Al lHE S.E. CORNER OF 23RD. AND F SIREEIS BAKERSFIELD, CALIFORNIA September 17, 1986. SCOPE lhls report was prepared to provide recommendations for site pre- paration, grading, and criLeria for selection and design of foun- dations for Circle K Convenience SLore. The following recommen- daLions are addressed herein: Earthwork, Site preparation and grading in areas to receive sLructures and pavements. Quality control of engineered fill. FoundaLions FoundaLion ~ypes mos: adequate for the proposed s truc tures. AnticipaLed ~otal and differential seLtlements. LaLeral earth pressures for 'designing re:aining walls and for evalua~.ing the passive and frictional resistance of foundar_ions. 2901 H STREET · BAKERSFIELD, CALIFORNIA 93301 · PHONE {805} 327-7065 Preliminary Soils Investigation Proposed Circle K Convenience Store 23rd & F Strs., Bakersfield, CA. SOILS ENGINEERING, INC. File 86-4914 September 17, 1986 Page 2 Soil-Borne Salts Potential corrosion of concrete and buried ferrous - metal conduit. SIIE LOCAIION AND CONDIIIONS lhe proposed site occupies approximate one-half acre aC the south- east corner of 23rd. and F Streets in the City of Bakersfield, CA. and comprising Lots 11 through 15, inclusive, Block 162 in the City of Bakersfield. At the time of our field investigation, the site was essentially flat and level, and ground surface elevations generally coincided with adjacent pavement grades. A thin veneer of soil sand sur- facing covered the property, lhe project was occupied at one time by a Union Oil Company Service Station. It is not known at the time of the writing of this report, whether existing gasoline storage tanks were removed, and excavations created during that removal were backfilled and compacted properly. Accordingly, we strongly recommend that the former location of the gasoline storage tank be determined and this area be subjected to additional investigation at the time of construction. No surface vegetation, trees or other site features were noted that might present unusual grading or drainage problems. SUBSURFACE CONDIIIONS lhe site is underlain by a considerable depth of alluvium derived in essentially granitoid formations of the Sierra Nevada Mountains to the east of the site and deposited by the Kern River and tri- butary streams, lhe predominant soils encountered in our test borings generally consisted of interbeOded strata comprising dark brown, moist sandy-silt with fine sand fraction; dark brown slightly moist, silty fine sand; and yellowish brown, slightly moist, fine to medium, well graded, clean sand, described as ML, SM, and SW, respectively, in the Unified Soils Classification Sys- tem. Soils within the zone of influence of'shallow foundations.are loose to medium dense, 'exhibit low to moderate compression poten- tial and low to moderate tendency to consolidate when loaded and then subjected to increase moisture conditions. Accordingly, Prelimina. ry Soils Investigation Proposed Circle K Convenience Store 23rd & F Strs., Bakersfield, CA. SOILS ENGINEERING, INC. ,File 86-4914 Septembe~ 17, 1986 Page. 3 these materials should' provide'adequate support for shallow spread foundations. Underlying clean sand are loose to medium dense, likewise stable, and should present no unusual foundation pro- blems. More detailed descriptions of the various earth, materials encoun-' tered are provided on our les~ Borings Logs., Plates I through 4. GROUNDWAIER CONDIIIONS Free groundwater was not encountered in any of our test borings to the maximum depths penetrated, eleven and one-half (11.5) feet. Moreover, groundwater maps prepared by the Kern County Wa. ter Agency and. dated May, 1984, show the free groundwater surface to be at 175 feet below present ground surface elevation.. At this depth,, groundwater is of no concern to foundation stability. Preliminary Soils Investigation Proposed Circle K Convenience 23rd & F St., Bakersfield, CA. September 17, 1986 APPEND I X B FIELD INVEST IGAl ION Four (4) test borings were drilled at the subject site and ter- minated drilling at a maximum depth of eleven and one-half (11.5) feet below the existing ground surface. Borings were advanced using a six (6.0) inch· solid stem auger. Test data and descrip- tions from these ho]es form the basis of the conclusions and re- commendations contained in this report. Undisturbed samples and disturbed bulk samples were 'obtained. Undisturbed samples were taken with a 2-3/8" (inside diameter) sPlit-barrel sampler. Penetration resistance of undisturbed soils was obtained by driving the above described sampler using a one- hundred-forty pound hammer falling a distance of thirty {30.0} inches and recording blow counts for each six (6.0) inch increment of drive on lest Boring Logs. In addition, bulk soil samples, se- ~lected as most representative of near surface soils encountered', were taken for laboratory testing. As drilling progressed, earth materials encountered were logged and classified in accordance with the Unified Soils Classification System and presented graphically on Logs of lest Borings, Plates 1 through 4. Approximate. locations of test borings are shown on the Site Plan, Figure 1. TZ S T ~ 0 £11t/ (_, L[.~£NO IN-£LAL£ £EN. FITV Y£$f ~ Y IY(/L'L£A£ EP.4,~T/AL R~c.~oVER. Y ~ZL~W (L~LIAI T FOR ~ " D~'IV£ - .SAI~PL££, 14~ L~. DIS ?LIRB£L~ ~AAllPL£ · !.,~£6£ BULK _.qAIAPL£ UNIFIED SOIL. CLASSIFICATION SYSTEM SOIL CLASSIFICATION CHART NOTE: DUAL SYMBOL8 ARE USED TO INDICATE BORDERLINE 80IL CLA$81FICATION SOILS ENGINEERING, INC. '.OATE DRILLED: 8/29/86e, 'EST BORING LOG il)' .Job No. 86-49~4 DATE REPORTED: 9/17/86 No.1 '* .SOILS ENGINEERING INC. PLATE 1 P.~el O1 4 % DI[NSITY %FIMiS DEPTH 5AMPI.J5 SOIL SOIL DESCRIPTION Mo~s'r. PCF GROUP 0 2" AC at surface _ 0'-4~': SANDY-SILT: Dark brown; moist; - ML fine sand. - _ 5 8.0 95.4 33° - 7 ~ _  4½'-8': SILTy-SAND: Dark brown; 68 SM slightly moist; fine sand. 5.2 96.7 25 - - SW 8'-11%': SAND: Yellowish brown; slightly - in 41 moist; fine to medium grained; 5 ~ ~ler~d~ ~unded crrav_e_l 1.9 97.6 - _ -v ~_ to--%"- Terminated drilling at 11½'; no free' -- groundwater encountered. E LFVATION: LOCATION' .,.s~_ .~. p]~n LOGGED BY: D.T. EQUIPMENT~ 6" Solid Stem A~er _ lOlLS ENGiNEEIqlNQ DATE DRILLED: 8/?9/86 .TEST BORING LO4~ ,Job No. .A,..,,O,T,.: 9/17/8~'~ NO.2 .SOILS ENGINEERING INC. DEPTH SAMPtFS SOIL SOIL DESCRIPTION % DENSITY %FINES FRICTION GROUP MOIST. PCF I~I~ZO0) ANGLE 0 2" AC at s~face bulk 0,_3,: SILTY-SAND: Dark brown; moist; - SM fine to medium sand; predcminan~.[y -- fine o 3'-5': SANDY-SILT: Dark Drown; moist; 5 ML fine sand fraction. _ S~ 5'-7' '-' SILTY-SAND: Dark brown; moist; fine to medium sand; predc~- --inantly fine. _ ML .' 7,_9,; SANDY-SILT: Dark brown; moist; fi~¢ sand fraction. 10 SM 9,-10,: SILTY-SAND: Dark brown; moist;  fine to medium sand; pred~- - inantly fine. - Terminated drilling at 10'; no free _ groundwater encountered. 15. LOCATION, See Site Plan: ELEVATIO. N: LOGGED BY: D.T.. EQUIPMENT: 6" ~lid S~ Auger TEST BORING LOG ,Job NO.86.4914 DATE REPORTED: 9/17, NO. 3 · SOILS ENGINEERING INC. DEPTH SAMF~F~ SOIL % ~ENSITY %FI~[S FRICTION OROUP SOIL OESCRIPTION MOIST. PCF ~-12OO) ANGLE AC at surface -- bulk 0,-8½____~': SANDY-SILT: Dark brown; very moist; f~ne sand; hydrocarbon 5 o:tor frr~ 0'-2'. -- 6 considerable clay 26- 8 85.4 87 thin lenses of fine non-cohesiw -'~ ~.~ silty-sand. 17.7 81.9 -- 21.0 98.4 10 4 SW 8½'-11½': SAND: Yellowish brown; slightly  moist; fine to medium grained; - .~ well graded; clean. 3.2 94.0 Terminated drilling at 11½'; no free - groundwater on~ter~. LOCATION: See Site Plan ELEVATION: LOGGED BY~ EQUIPMENT:* 6" Solid St~ A~er SOILS ENGINEERING DATE REPORTED:~/~?/ No. 4 .SOILS ENGINEERING INC. PLATE 4' -' ~a~e 40f 4 % DENSITY ] %FINES FRICTION DEPTH SAMPU5 $O~L SOIL DESCRIPTION MO~. PCF IP~ZOO) ANGLE GROUP 0 ,, DUI~ 0,.~2,: SILTY-SAND: Dark brown; moist;- _ fine to medium sand; predcm- _ % inant!v fine, , / -- ML 2'-4': SANDY-SILT: Dark brown; moist; - .. %_ fine sand fraction.". , / -~ 4'-7': SILTY-SAND: Dark brown; _ SM slightly moist; fine sand. - _ 7'-10': SAND: Yellowish brown; slightly _ SW moist; fine to m~lium grained; _ 10 well graded; clean; ~ fine to coarse grained at 9½'./ _ ~erminated drilling at 10'; no free - _ groundwater encountered. - LOCATION: See Site 'Plan L,ELEVATION: LOGGED BY: n_m_ EQUIPMENT; 6" Solid stem Auqer CIRCLE K CORPORATION ~ECT~ON A- · FIGURE 1 FILE 86-4914 SEPT. 17, 1986 ,, I:'l ~ , ...x~. ~,,-4 ~i ..~. . ~ .* *. e,~l * ., . ~ : .~ 'T,~ . . .-' - . . .. ,' . ..... ....~ _.~.....,~ ..... ,~_ ~.. ~ ..... ~ ...., . ~ ~ . -- ~ ~'. ~--- r - ~'~ .~ ~*--- .' ~ '..' '.' '" ~'/' i * - ,' ~ · - · ,' '~1 ............ ~.- .... ' . ." ~' , .'.~1, ', /~ ~ - '. .... ~ . *. ..T ~* .................. . ,-', . ~,~ .'. ~4~ ,/ ~ ,-~ I~ ~,~,~ ' "": ' "' ......... "' "~--* ' ' ' ......... "'~ ~- ' --_~,_ .... J .,~, . .............. :... ~' .. ~:/ ~~ · ,, ,'~,~ .... ,, ..... . ..... .,. . . ~ -- . ~ .- ' .............. c--.- ~ .~ ' .~_ · ' ' ' '~1 % - . -7 .~ .'. . ...... - ~ ~ " ~ :..~1 ..~';· ""' -- II~C~l~ ~ ~ ....... " ~~~--~"'* "~ ;"" ~ TmN ............ ~ ~ ........ ~ .... ~: ................. ,~--~~='.~ :.~--. ~....ox,..T~ T.S~.O.,.~ LOC. '" ~'-" :' :-.:: [I ......... g ~:~'l'x'' "-~ - : ' ., .~- 7_~ '.. ..::. , .:, ':... ,, ...:.:' I1 LOTS 11,12,13,14 &15' ~[162 j .~.. I ~ ~ 2]RD STREET (HWY ~78) AK -~ - Ii INCITYOFB ERSFIELD J ! ~ ~ , J ~ J ~ EN~G,~