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HomeMy WebLinkAboutUNDERGROUND TANK FILE 2 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Vlrtthin the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Resulations This form must be used to documem testing and servicing of monitoring equipment. A separate certification or report nm.~t be prepared for each monitorin~ system COntrol panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of teat date. A. General Information Site Addr~s: ~.' . ~- Facility Contact Person: ~:a,~,~ Make/Model of Monitoring Syat~m: _/~t./'/~. B. Inventory of Equipment Tested/Certified Tank Gauging Probe. Model:. ar Space or Vault Sensor. Model: t~'/'~e g Sump / Trench Sensor(s). Mod~l: ump Sensor(s). Mod~: I/Y/L- ~ Mechanical Line Leak Detector. Model: ' i-i Elecmmic Line Leak Detector. Model: ~] Tank Overfill / High-Level Sensor. Model: ~] Other (specify equipment t~e and model in Section E on Pa$~ 2). nular Space or Vault S~mor. Mod~l: 1,/' ping Sump I Tr~ne..h Sensor(s). Model: [~.J Sump S~n~s). Mod~l: 6// I~ M~:hani~ml Line ~ Det~tor. Model: I~ Electronic ~ ~ l:){~e~or. Mod~l: ' I-I Tank Ov~dl / High-Level ,~naor. Mod~l: I~ Other (sl~if~ equipmgnt ty~ and model in Section ii on Pal~e 2). li~Di~'spcnaea-Conlainm~t S~naor(s). Model: [~'"SImar Valve(s). ~age ~ ora Monitoring System Certification Bldg. No.:,,, Contact Phone No.: f ~ ) tg~?>/' Dat~ of Tearing/Service: ~ Gauging Probe. Model: ~ I~%~Umular Space or Vault Sensor. Model: 1,/~0., I~"l~?,,ping Sump I Trench Sensor(s). Model: ca~m Sump senses). Model: ~i Mechanical Line Leak Detector. Model: I~l ElecUonic Line Leak Detector. Model: ~l Tank Overfill / High-Level Sensor. Model: [~ Other (s~_necJ'_fy eqnipm~.ut t~oe and mnde~_! in S~fion E on Pase 2). Tank ID: cl In-T~,,,Crauging Probe. Model: C~! Annulmr ~ or Vault Sensor. Model: ~ Piping Sump/'Tisch Sensor(s). Model: ~ Fall Sump Sensor(s),'7'-,,, Model: Cl Mechanical Line Leak De"~r~r. Model: 'ti Elec~onic Line Leak De~x~r.~ Model: -~ ~10~her (specify equip~.,¢ ~ and ~l in Section E on Pa~e 2). I~ Shear Valve(s). ' ~ Dispenser Containm~n, t Float(s) and Chain(s). ~] 1){_~_.~ COntainment Float(s) and ~'~..~a-m: "~1'7' __ ~_~}ispenser C-ontalnm~t Senaor($). Model: ~.//L. l]qtsl#m$t~ ID: ~ DispcK~r Containm~t Sonsor(s). Model: ~ She~r Valve(s). C] She~r i ~ Dispenser Containmealt Float(s) and Chaints} 1~] Di~p~-n~,~' Conl~i~m~,, Float(s) and ChsinCs} _~spenser Contalnm~n~Sensor(s). Model:. ~,t'~,, 12 Dispenser eon . Model:_ ta'Shear Valve(s). 12 She~' Valve(s). r'lDispenser Containment Float(s) and C"nain(s~. I~ Dispenser Cootainmeut Flo~t{s~ an~Chain(s). *If the facility co~das ~o~ tanks or dispec~se~ copy Ibis form. Im:inde information for every tank and dispenser ffthe facility. C. ~ Att~lmi t~ tl~ ~ is inf~ (e~. manufacturers' elm:lfftm) nee~m~ to ver~ timt this information is ~echnician r~ame ~rint): ~.-~ I'-~~ ~ Signature: . of 03/1}1 D. R su s or Tes J rviclng Software Version Installed: Com dete the foilowin checklist: ~es 0 No* Is the audible alarm o[~mtions!? ,l~yes .0 No* Is the visual alarm opc, allonal? I~Y..es 0 No* Were 811 sensors vistl~l~ il~e~_t~J, f.n~ionnll~/t~_~ted, and COnfiiii _..~ Ol~;rai~on_n_l? ~Yes ~] No* Were all sensors installed nt lowest point of secondnry containment and positioned so that other equipment will not interfere with their proper operation? Yes ~/~ If alarms are relayed to a ~etuote monitoring station, is aH communications equipment (e.g. modem) operational? J~"~s I~ No* For pressurized piping syslems, does the turbine automatically shut down if the piping secondary containment O N/A mo.ni.'.torin, g s.y? ~ a 1 ..e~k,. falls to ope_rate,~gr is electrically di~._.~ted? If yes' which sensors initiate posluve snm-aown? (Check all tt~t apply) ~t~S~ump/Trench Sensors;~lDispenser Containment Sensors. Did you confirm positive gh_ut-down due to leaks and .~n~_r faihii~Jdi.~,~.r,n~:~fion? [~res; I-I No. Yes ~_~[o* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no -t~ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank ~_xn~__ity does the almm trigger? % Yes* ~'~ Was any monitoring eqiiip~uent replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and ~1 for all rep!~_o~,nent paxts in Section E, below. yes, ~'~No Was liquid fOund inside any secondary containment systems designed as dry systems? (Check all that apply) ~1 Product; I~1 Water. If yes, describe ,-~-~-~ in Section E, below. ~es I~1 No* Was monitoring system set-up reviewed to ensnre proper setting? Att,_ch set up reporis, if applicable ~Fes I-I No* Is all monitoring equipment operational per mannfm~-tlll'~"s s~ifications? bo~v and when these deficieneies were or will be correcte& E. Comments: Page 2 o~3 03~01 F. In-Tank Gauging / SIR Equipment: ~Check this box if tank gauging is used only for inventory control. Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Co~ )lete the following checklist: ,4~s ct No* H~s all input wiring been inspected for proper entry and termination, including testing for ground faults? ~.Y. ea ct No* Were all tank gauging probes visually inspected for damage and residue buildup? yea cl No* Was accuracy of system product level readings tested? ~ Yea ct No* Was accuracy of system water level readings tested? ~Y~es rn No* Were all probes reinstalled properly? ~Yes ~i No* Were all itelm on the equipment manufacturer's maintenance checklist completed? * In the Section It, below, describe how and when these defi~iemim were or will be eorreete~ G. Line Leak Detectors (LLD): ~Check this box if I.l.I~s are not installed. Corn dete the following eheckli~: Yea ct No* For equipment start-up or annual equipment certification, was a leak simulated to verify I.I.D performance? ct N/A (Check all that apply) Sim,!oLed leak rate: ~ 3 g.p.h.; ct 0.1 g.p.h; ~ 0.2 g.p.h. Ye~ ct No* Were all LLDs confirmed operational and accurate within regulatory requirements7 Yes ct No* Was the testing apparatus properly calibrated? yea cl No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? CiN/A Yes ~ No* For electronic LLDa, does the turbine automatically shut off if the LI.D detects a leak? I~! N/A yes ~ No* For electronic LEDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ~ N/A or disconnected? Yes ~! No* For electronic LLDs, does the turbine automa6cally shut off if any portion of the monitoring system malfunctions ct N/A or fails a test? yea cl No* For electronic LLDa, have all accessible wiring connections been visually inspected? ~ N/A Yes ~ No* Were all items on the equipment manufactmer's maintollalleo checklist completed? * In the Section It, below, describe how and when these defieleneie~ were or will be com~d. IL Comments: Page 3 of 3 0zt0t Monitoring System Cerlb'~ution t UST Monitoring Site Plan / Instructions ff you already have a diagram that shows all required information, you may include it, rather than this page, with your MOnitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. .Page S%~TEM SETUP AUG 11. 2004 11:07 RM SYSTEM UNI TS U.S. b-%'STEM IJaNGUAGE ENGL I BH ~ ~TE/T I HE FO~T F~STR I P 362 6401 SO. H B~KE~F I ELD 661 8SI 4709 SHI~ TIME I : 5:00 SHI~ TI~ 2 : DI~BL~ SHIFT TIME 3 : DI~L~ SHIFT TIME 4 : DI~L~ PERIODIC T~ ~NI~ D I S~BLED ~NN~L T~T ~RNI~ D I S~BLED PR I NT TC VOL~ E;~BLED T~P COMPE~T I ON ~aLUE (DEG F ): 60 H-PROTOCOL ~T~ FOR~T ~IG~ RE-DIRECT k~aL PRI~O~ D I SYST~ SECUR I CODE : 000000 N-TANK SETUP T I: UNLF_ADED PRODUCT C01~---,~: 1 THERM~ COEFF :. 000'700 TANK D I ~METER : 96.00 TANK PROFILE : 1 PT FULL VOL : 12000 FLO~T SIZE: 4.0 IN. 8496 WATER WARNING : 2.5 HIGH WATER LIMIT: 3.0 ~ OR LABEL VOL: 12000 OVERFILL LIMIT : : 11400 HIGH PRODUCT : 9~ : 11880 DELIVERY LIMIT : : 1800 LOW PRODUCT : 1000 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT : 0.00 M~NIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 10~, : 1200 LEAK MIN ANNUAL : 10~. : 1200 PERIODIC TEST TYPE STANDARD ANNURL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARH DISABLED ANN TEST AVERAG I NG: OFF PF.R TEST AVERAG I NG: OFF TANK TEST NOT I FY: OFF TNK TST SIPHON BREAK:TF DEL I VERY DELAY : 15 T 2:PRE PRODUCT CODE : 2 THERPiqLCOR~I%~==.:.O00700 TANK DIAMETER : 96.00 TANK PROFILE : I PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 ~,~ATERWARNING : 2.5 HIGH WATER LIMIT: 3.0 MAX ORL/hBELVOL: 12000 OVERFILL LIMIT : 95% : 11400 HIGH PRODUCT : 9~a : 11880 DELIVERY LIMIT : : 1200 LOW PRODUCT : 1000 LF. AK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT : 0.00 MANIFOLDED TANKS T#: NONE LF_.~K MIN PERIODIC: IOn : 1200 ~ MIN ANNUAL : 10~ : 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TE,ST FAIL ALARM DISABLED GR06~ TEST FAIL AI3%RM DI SABL~n ANN TE~T AVERAG I ~: OFF P~ T~ AV~I~: ~FF TANK ~T ~TIFY: FF T~ ~ SIP~N BR~K:~F DELIV~' DE~Y : 15 MIN T 3: D I ESEL~.. PRODUCT CO~D~E~: 3 TH~L COEFF :. 000450 TANK DIAMETER : 96.00 TANK PROF I LE : 1 PT PULL VOL : 12000 FLOAT SIZE: {~TER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELIVERY LIMIT 4.0 IN, 8496 2.5 3.0 12000 11400 99*4 11880 10% 1200 LO~ PRODUCT : 1000 LEAK ALARM LIMIT: 99 SUDDEN LOS~LIMIT: 99 TANK TILT : 0.00 M~NIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 10% : 1200 LEAK MIN ANNUAL : l O~, : 1200 PERIODIC TEST TYPE STANDARD ~NNI. iqL TEST FAIL ALPJ~ DISABLED PERIODIC TF_...~F FAIL &~ DI~BL~ GRO~ TE~ DIBBLED ~NN TEST ~VERROI~: OFF PER T~T &~E~I~: O~ T~NK TEST ~TI~: OFF TNK ~ SIPHON BR~K:OFF DELIVERY DEL~Y : 15 MIN LIQUID SENSOR SETUP L I: UNL STP TRI-STATE (~Tp s~LOAT) C. ATEGO{~! : L 2:UNL FILL TRI-STATE (SINGLE FLOAT) C~TEGORM :PlPlNG SLIMP L 3:UNL ~NN DiJ~L FLOAT HYDROSTATIC C~TEGORY : ANNULAR SPACE L 4:PREM STP TRI-STATE (SINGLE FLO/4T) C, RTEGORY : STP SUMP L 5:PREM FILL TRI-STATE (SINGLE FLOAT) C~TEGORY : PIPING SUMP L 6:PRE~ ANN DUAL FLOAT HYDROSTATIC C~TEGORY : ANNULAR SPACE L 7:DIESEL STp TR I '-C~TATE (,91 NGLE FLO~T ) CVWTEGORY : STp SUPiP L 8:DIE,SEL FILL TRI-STATE (SINGLE FLO~T> CATEGORY : PIPING SUHP L 9:DIESEL ANN DUP~ FLOAT HYDROSTATIC C~TEC, O]~! : ANNt~SPRCE LIO:DIS 1 TRI-STATE (SINGLE FLOAT) C~TEGORY : DISPENSER PAN OUTPUT RELgY SETUP R I:SHUT IX)MN TYPE: STAND~RD NORMALLY OPEN LIQUID SENSOR~LPIS ALL:FUEL RLARH RLL:LO~J LIQUID ALRRH LI 1 :DIS 2 TR I -STATE (S INGLE FLO~T ) CATEGORV : DISPENSER PAN E~K TEST HETHOD EST ON DATE : ALL TANK AN 1. 1996 tART TIME : DISABLE.~ ?.ST RATE JRRTION : 2 HOURS 'AK TEST REPORT FORMAT NO}~'tqL LI2:DIS 3 ~'L TRI-STATE (SINGLE OAT) CATEGORY : DIBPEN~R PAN LI3:DIS 4 TRI-STATE (SINGLE FLOAT) C~TEGORY : DISPENSER PAN SOLVE REVISION LEVEL VERSION 14.01 E~OFTI~gRE~ 346014-100-B CREATED - 97.03.12.20.41 S-MODULE# 330160-06~-A ,SYSTE~IFERTURES: PERIODIC IN-TANK ~ESTS RNNU~L IN-TANK PRECISION PLLD 0.20GRL./HR PLLD ALARM HISTORY REPORT ..... SENSOR At.~F~t ..... L 1: UNL S~ FUEL ~ A~ It. 2004 11:33 ~ FU~ R~ JUN 23, 2004 3:37 ~ FUEL ALA~ JUN 23, 2004 3:18 PH AI.~-~RM H I STOK~ REPORT L 4: PR~ RLREM ..... STP SIJPIP .. FUEL RI.~EM AUG I 1, 2004 11:33 ~1 FUEL RLRI~I JUN 23, 2004 3 :,38 PPI FUEL RLR]~ JUN 23, 2004 3:11 PPI STORY_ ..... SENSOR L ?:DIESEL STP STP SUMP FOEL ~ AUG 11, 2004 1!:34 APt FUEL RLRRH JUN 23. 2004 3:39 PM FUF. L ALARM JUN 23. 2004 3:13 PM ~L~lk~l H I.STOI~! REPORT ..... SENSOR ALARM ..... L 2:UNL FILL PIPI~ S~ FU~ ~RM ~ Il. 2004 11:35 ~ FUEL ~ JUN 23, 2004 3:37 ~ FBEL A~ JUN 23, 2004 3:tB PM ALARM HI STORY REPORT SENSOR AL~ L 5:PREM FILL PIPING SUMP FUEL ALUM AUG 11. 2004 11:34 P~t FUEL ALARM JUN 23, 2004 3:38 PM FUEL ALARM JUN 23, 2004 3:19 PM STORY REPORT ..... SENSOR AI.~t L 8:DIESEL FILL PIPING SlJHP FUEL RLREM AUG ti, 2004 11:34 RM FUEL ALARM JUN 23, 2004 3:39 PM SENSOR OUT ALARM JUN 23, 2004 3:14 PM ALAEt. I HI STORY REPORT SENSOR ALARM ..... L 3:UNL ANN ANNULAR SPACE NIGN LIGUID A~ RUG 11, 2004 11:35 LOM LIGUID ALARM AUG tr. 2004 tt LOW LIQUID JUN 23, 2004 3:37 PM ALARM HISTORY REPORT ...... SENSOR ALARM ...... L 6:PREM ANN ANNUI..P~ SPP~E LO~I LIQUID RLREM ~UG !1. 2004 !1:36 ~ LOW LIQUID JUN 23, 2004 3:38 PM LOW LIQUID ALARM JUN 23, 2004 3:19 PM RI.RI~ H1STORY REPORT ..... SENSOR ALARM L 9:DIESEL ANN ANNULAR SPACE L(~ LIGUID RL~I;~t AUG tt, 2004 tt:39 RI'I NIGH LIGUID ALARM AUG Il, 2004 11:36 AM LOW LIQUID ALARM JUN 23, 2004 3:39 PM P, LRRM H I b-'TORY REPORT ..... SENSOR ALARM ..... LIO:DtS i~ - DISPENSER PAN FUEL ALARM AUG 11. 2004 11:32 AM FUEL ALARM JUN 23. 2004 3:41 PM FUEL ~LARM ,]UN 2.~3. 2004 3:40 PM HISTORY EEPORT ..... SENSOR A[.~qRl"f LI3:DIS 4 DISPENSER PAN FUEL RLRRM AUG 11, 2004 11:31 AM FUEL ~ JUN 23, 2004 3:42 PM FUEL AI.~RM JUN 23, 2004 3:41 PM ALAEt'I HISTORY REPORT ..... SENSOR AIJ%RM ..... Ltl:DIS 2 DISPENSER PAN FUEL ALARM AUG 11. 2004 11:30 AM FUEL AI.,RRM JUN 23. 2004 3:42 PM FUEL ~LARM ,]UN 23. 2004 3:41 PM ~LARFI HISTORY REPORT ..... SENSOR AIJlRtfl ..... LI2:DIS ~ DISPENSER PAN FUEL AI-~RM AUG 11, 2004 11:32 AM FUEL ALARM JUN 23, 2004 3:42 PM FUEL hlJ-lRM JUN 23. 2004 3:41 PM Auc CITY OF B~ OFFICE OF ENVIRONME~~ SERVICES ~7Z5 Chester Ave., Bakersfldd, CA (661) 326-397~ PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK Page 1 of 1 I erm,t,,,o Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Baker ,s. field, CA 93301 Tel: (661)326-3979 ~ODE FACILI~ NAME ~r~ CROSS STREE~~ TANKO~E~OPERATO~c~ ~ ~, PHONEN~_2~D APN MAILINGADDRESS~ ~ - ~ C~~ ZIP ~~ COmpANY.. PHONE UCEN~_¢/ INSU~NCECARRIE~ ~ WORKMENS COMP NO..~ z~co~~ ADDRESS ~d~~ ~~ ~ CI~ ~~ INSU~NC~C~RR~J WORKMENS COMP NO. COMPAN%~--~/~ PHONE NO~_ ~] L~~ INSU~NCECARRIE~- ~~ WORKMENS COMP N~/. WAS~RTER IDENTIFICATION NUMBER fAClll~ IDENTIFICATION NUMBER NAME Of RIN~ATE DISPOSAL fACILI~ ADDRESS~ ~/ ~- _ / I Cl~ ~ . ZI~ LICENSE No. COMPANY ~ PHONE No~ TANKDESTINATION ~ ~ - ~ CHEMICAL DATES CHEMICAL TANK No. AGE VOLUME STORED STORED PREVIOUSLY STORED For Official ~s~ THE APPUOANT HAS RECEIVED, UNDERSTANDS, AND ~ COMPLY ~TH ~E A~ACHED OONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL THIS FORM HAS BEEN COMPLETED UNDER PENAL ~ OF PERJURX AND TO THE BEST OF MY ~O~EDGE APPLICANT ~ME (PRINT) A~CCTSIGNATURE ~ A~OVED?~ ..~ THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED EXPLANATION AMOUNT ** SUNSET MECHANICAL CONTRACTORS LIC. ,~t'589517 3812.PANORAMA DR. 661-871-1788 ' ' '~i BAKERSFIELD, CA 93306 PAY , i' DESCRI~ION 16-24-: CHE¢ AMOU Wells Fargo Bank, N.A. California www. wellsfargo.com ,"00 ? L, ~. c;,, ...'. ,: ].' a ~.000 ;~ h ?i=0 ~, ? &O 1,8 8 :~ ?," SECTION 1 Business Plan.and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ,*,*,'*""'~ '1 ~ t lNSP,,~P-.~?N~ O~TE I INSPECTION TIME FACILITYCONTACT . ~~-- ~/ ~.~ ~ ~' ~ [~Buslness ID Num~rl 5-02 l- Section 1' Business Plan and Inventory Program [] Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection V / C=Con~p,~noe ~ OPERATION COMMENTS ~, V=Violation [] APPROPRIATE PERMIT ON HAND C--O N TA C-T- -I-N- -F- -O-~-M-A-T-I ?- -N- ' -A-(~ C ?- 'R~-'-TE ............... [] CORRECT OCCUPANCY [] VERIFICATION OF INVENTORY MATERIALS [] VERIFICATION OF QUANTITIES ~_ ?_,~,~,_o._o~_oc~;_o_._ .................................................................................................................................. [] PROPER SEGREGATION OF MATERIAL [] VERIFICATION OF MSDS AVAILABILITYE [] VEmF~CAT~ON OF HA~MAT TRAINING [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES [] EMERGENCY PROCEDURES ADEQUATE [] CONTAINERS PROPERLY LABELED [] HOUSEKEEPING [] F~RE PROTECTION -,~-~---~,-,--~,%L~ ~,;%';~;T& ~,~-,-,%'; ....................... I ......................... ~ ................................................................ ANY HAZARDOUS WASTE ON SITE9: [] YES I~, No EXPLAIN: QUESTIONS R,EGARDIN/~I'HIS INSPECTION? PLEASE CALL US AT (661) 326-3979 /~ - Slation Copy Pink - Business Copy FACILITY NAME CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program Routine [~Combin. e__d [] Joint Agency Type of Tank Type of Monitoring [] Multi-Agency Number of Tanks Type of Piping [] Complaint Re-inspection I OPERATION C V I' COMMENTS Proper tank data on file X Proper owner,!operator data on file X Permit tees current X Certification of Financial Responsibility '~ Monitoring record adequate and current J( Maintenance records adequate and current ~ Failure to correct prior UST violations 5( Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC On file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'.> Pink - Business Copy Business Site Rest'~onsig'le'P~'ty Praxair Se'n/ices, inc. Technical Solutions for the Industrial: WOrld. UCISCO ~ Tracer Research Corrocon CERTIFICATION OF ELDsM TRACER TIGHT® TEST RESULTS Date: 6121/04-6/22/04 Prepared For: Shirley Environmental 9595 Lucas Ranch Rd Suite 100 Rancho Cucamanoga, CA 91730 Test Tim® Period 6/21-22/04 Job # 37310NC Site Info: FastTrip Food Store 6401 South H Street Bakersfield, CA SYSTEM TRACER STATUS Diesel Tank & Sumps A Pass 87 Tank & Sumps A Pass 91 Tank & Sumps A Pass Piping 87 Primary W Pass Piping 91 Primary W Pass Piping Vapor Recovery/Vent - Primary W Pass / Pass Piping Diesel- Primary W Pass Piping Diesel - Vent - Primary W Pass Dispenser Sumps W Pass Praxair Services Inc. certifies that the tank and )roduct distribution lines listed in the above table have been tested by means of Enhanced Tracer Tight~. According to EPA standard test procedures for evaluating leak detection methods, the Enhanced Tracer Tight~ method is capable of detecting leaks of_>0.005gallons per hour with a Probability of Detection (PD) of 0.95 and Probability of false alarm of <0.05 Tester: Bryan Quinley CA Lic. # 03-1637 Signature: ,~ ~ Date: I declare under penalty of perjury that I am a licensed tank tester in the State of California and that the information contained in this report is true and correct to the best of my knowledge. The following criteria are used for the classification of leakage based on the presence or absence of tracer. PASS FAIL Criteria: Criteria: No Tracer Detected Tracer Detected Certification Confirmed by: Date: ..... SENSOR ALARM L I:UNL STP STP SUMP FUEL ALARM JUN 23. 2004 J:J7 PM ..... SENSOR ALARM L 2:UNL FILL PIPING SUMP FUEL ALARM JUN 23. 2004 3:37 PM- ..... SENSOR ALARM ..... L 3:UNL ANN ANNULAR SPACE LOW LIQUID ALARM JUN 23, 2004 3:37 PP1 ..... SENSOR ALARM ..... L 4:PREM STP STP SUMP FUEL ALARM JUN 23, 2004 3:38 PM SENSOR ALARM ...... L 5:PREM FILL ?IPI~IG SUMP FUEL ALARM JUN 23, 2004 3:38 PM LOt~l Lie,,,,- ' ~E' 5~- 2004 q.,-..- .... ,7 ~EN~OR ~ ' FUHL ~L~RM ' ~ " 3:39 PM ..... ~ENSoR ALARM ..... L 8:DIESEL FILL ' PIPINg SUMp FUEL ALARM " OUN 23, 2004 3:39 PPI ..... SENSOR ALARM ..... - L 9:DIESEL ANN ANNULAR SPACE LOW LIQUID ALARM JUN 23. 2004 3:39 PPi ..... SENSOR ALARM ~_~l___ LIO:DIS 1 DISPENSER PAN FUEL ALARM JUN 23, 2004 3:39 PM ..... SENSOR ALA~Iq ..... L12:DIS 3 DISPENSER PAN FUEL ALARM JUN 2J, 2004 3:40 PM SENSOR ALARM O- L11 :DIS 2 DISPENSER PAN FUEL ALARM JUN 28, 2004 5:40 PM ..... SENSOR ALARM ..... L15:DIS 4 DISPENSER PAN FUEL ALARM JUN 25, 2004 8:40 PM ..... SENSOR ALARM ..... LIO:DIS 1 DISPENSER PAN FUEL ALARM JUN 28, 2004 :]:40 SENSOR ALARM Lll:DIS 2 DISPENSER PAN FUEL ALARM JUN 28, 2004 3:41 PM ..... SENSOR ALARM L12:DIS 5 DISPENSER PAN - FUEL'ALARM- JUN 28, 2004 3:41 PM ..... SENSOR ALARM ..... LiS:DIS 4 DISPENSER PAN FUEL ALARM JUN 23, 2004 :3:41 PM ..... SENSOR aLaRf'l ..... LIO:DIS 1 hi SPENSER FUEL aLaRM JUN 23. 2004 3: 41 ..... SENSOR ALARM ..... L12:DIS S DISPENSER PAN FUEL aLRRP1 JUN 23, 2004 3:42 PPI ..... SENSOR aLaRP1 ..... LII:DIS 2 DISPENSER PAN JUN 23, 2004 3:42 PPI ..... SENSOR aLaRN ..... LIS:DIS 4 DISPENSER PaN FUEL aLaRt~l JUN 23, 2004 3:42 PPI FASTRIP 362 6401 SO. H BAKERSFIELD CA. 661 831 4709 JUN .... ~U, 2004 3:45 PPI ~'"/-~;' ~ ~~ OFFICE OF E~'VIRONMENTAL SERVICES '~ ~{~ ~' ~)~ 1715 Chester Ave., Bakersfield, CA (661)326-3979 ~X . ~ . .~ POST C,.~RD .x r JOB S;T~ IhST, RC~IONS: Please call for an ins~tor only when ~ach group of insp~lions with the same number am ~ady. rficy will mn ~n consccutiv~ o~cr beginning with ndmb~r t. OO NOT cover work. tbr any numb~ ~ufl until all i~em in that group am si~ed offby th~ PemiRing Amhohty. Following th~s~ inst~ctions will ~uce thc number of squired inspection visits and th{~om p~vem ~essment oF additional fees. TANKS AND BACKFILL Spa,,,*es, Ce.i..,,onor.anu .-u ."e ¢/z-Z/Z>.'r Cathodi. p,~,~tio, orVan*.~ /d/l,l :bid F lp(,~c ~lle~ ~ -- ~ PIPING SYSTEM Corrosion Protection of Piping. Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping SEC NMENT, OVERFILL , LEAK DETECTION Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Leak ~tcction ~vic~s) for Vados~Gmundwater SpillPmvcmionBoxes ~.1~-. ~ FINAL ( 1715 Chester Ave., B&kersfteld, CA 93301 (805) 326-3979 *TJtNK .R.~IOV~T., ZI~PEC?ZON FOR~ CONDITION OF TANKS PERMIT APPLICATION FOR REMOVAL OF AN "UNDERGROU ND STORAGE TANK Page 1 of t [PerrnitNo I$1TE FACILITY NAME TANK OWNER/OPERATOR ~nvlronm 1715 Che Bskersf[e Tel: (661)~ PHONE NO. PHONENo., :Id l~ze Dopt, star Ave Ld, CA 93301 ~N INSURANGECARRII WORKMENSCOMP COMPANY WORKMENS COMP Ne. NAIdE Oi; RJ,N,~ATE . FAC[LI~ ADDRESS TANKNo. AGE / VOLUME CHEMiCAl. D^TI~$ CHEMI~ For Olflclal Ute ~ ' 4:) THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED , ~;0 Bg~d iasNns pENT. mia I I - _ I. Ba]reredleld Fire Dept. Fire S~fety brrl~es · ]~aytroGnmtnl Ser$4ces I1715 Chester Bakemfle.!d; CA 93301 Tel: ff.66,1)326-3979 cus'r~R ORIGINAl. WHIT~ FINANC~ CU~I'oMER~ PINK OFFICe. Y~LrOW FDItM (my. 12/03) £0 3DVd IBSNnS ~L09~£199 bT:G1 bGGa/S~/SO OFFICE 1715 Cheste~ )F ENVIRONMENTAL SERVICES Ave', Bakersfield, CA (805) 326-3979 PERMIT APPLICATION'TO CONSTR TYPE OF APPLICATION (CH~CK) [ ]NEW FACILITY [ ]MODIFICATION OF FACR~ STARTINO DATE ....... FA¢ILITY.I'~I~ ,~-,~-,e'~.~ · FACII/TY ADDRESS T~O~~ ~/~ ~ · ~D~ ~/~ ~~ ~ .... CO~CTO~~ wo~ c~ ~o. DF.2TH TO GROLrI~) WATE[t, ~t~/,,~,~' , , NO, OF TANKS TO B~ ]l~T,a?~.]m_~. SELL PRI/VENTIOlq CONTROL AND COUNTIER M~ SlICTIO~ T,~qK NO, VOLUM~ ~ ,? ~ A~ TANK NO. VOLUME ;CT/MODIFY UNDERGROUND STORAGE TANK rY [~IEW TANKn~T,a~.;ATION AT F_..X~TINO FACILITY PROPOSED' COMPLETION DATE EXISTIN(~ FACILITY PERMIT NO. cn~ ~-.~ Z~CODE ~~, SOR, TYPE ~ AT SFZ'E ~'~,, su~zs ~'~ 0N F~ ......,2~ Y~. FOR MOTOR FOXL ~I~CTION gOR NON ~ ~[OTOR FUEL STORAGg TANK'S ~ STO ~ FORO ~.'.:': .... :'"':',~ ...... r": .......... ~'.~i?;~.,':..?.."'.;..'.t~liill&$~ "' .~" .. '"t~!i 1~ i :::::':::i:::m.::;;~D,l~l&~ ::::::::::::::::::::::::: :::a.:Yl~: 'l~ '~ ' ,:~::~l:'l: ' THIS APPLICATION BECO ,TY OF ~Y, AND TO TI~ BF. ST OF MY KNOW~.~-r~3E, I~ PERMIT WHEN APPROVED ~ PREVIOUSLY STORED AVIATION r'YPE OF ACTION 1-1 I NEW SITE PERMIT Check one ,tern on/y] ,~ CITY OF BAKERSFIELDt~i OFFICE OF ENVIRONMENTAL S'~'RVICES 715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY [] 3. RENEWAL PERMIT ~.[~cHANGE OF ~NFORMATION (,.~e~/c/~ange · ~'] 4. AMENDED PERMIT · local use only) -. E] 6. TEMPORARY SITE CLOSURE Page ~ o~ i-'] z PERMANENTLY CLOSED SITE l-') 8. TANK REMOVED 400 BUSINESS NAME (Same a~ FACILITY' NAME o~ DBA - C~ing 8u~ness A~) BUSINESS ~ STATEN ~ 3. F~M ~ 5. CO~RC~ ~ 2. DISTRIO~OR ~ 4. ~OCES~R ~ S. O~ER I. FACILITY I SITE INFORMATION 3 FACILITY ID # FACILITY OWNER TYPE [] 1. COR~N:~RATION . [~'~IONIDUAL r-] 3. PARTNERSHIP [] 4. LOCAL AGENCY/OISTRiCTo [] S. COUNTY AGENCY' [] 6. STATE AGENCY' [] 7. FEDERAL AGENCY' 402. TOTAL NUMBER OF TANKS REMAINING AT SITE 404. I~ la,lily (m Indian Rese~vati(~ tms~and~? '11' ovmer ~ UST a public agemcy: name (~iSi¢~, sec~on or off~e vatio~ oge~am~ the UST. ('rh~ i~ the co~ct pemon fa~ ~e ~ank re<:am~.) '1. PROPERTY OWNER INFORMATION (:~)~.,,-~..dc~/--~/~'--- ~,~.~ ~o./'/..~,/~L~/-,,~/~ · 407. * 408 PROPER~ O~ ~ ~ 2. ~ND~ ~ 4. L~ AGE~ ~ ~ 6, STATE AGE~ III. TANK OWNER INFORMATION CITY __ TANK OWNER TYPE [] 2. iNDIVIDUAL [] 1. CORPORATION 3~;~ 3"~". ~-. PARTNERSHIP [-] 4. LOCAL AGENCY / D4STRJCT [] 5. COUNTY AGENCY 414. ON . 415. 416. [] 6. STATE AGENCY 420. [] 7. FEDERAL AGENCY [] I0. LOCAL COV'T MECHANISM [] 99. OTHER: 421. IV. BOARD OF' EQUALIZATION UST STORAGE FEE AccoUNT NUMBER V. pETROLEUM UST FINANCIAL RESPONSIBILITY ":" INDICATE METHOO<S) [:~ELF-INSURED [] 4. SURETY BON~ [] 7. STATE FUND [] 2. GUARANTEE [] 5. LEYrI:R OF CREDIT ~;: STATEFUND& CFO LETTER [] 3. INSURANCE [] 6. EXEMPTION STATE FUND & CO 422. VI, LEGAL NOTIFICATION AND MAILING ADDRESS Checkonei:)o~toindlcatewhic~a4~lre~.~ s~:)uk:lbeu~e<lf~legaino~flca~andm~. [] I. FACILITY [] 2. P~OPERTYOWNER ~OWNER 423. Legal notifications am:t mailings will be se~t to the ta~tk ow~e~' unless ~ 1 o~' 2 ia ci~e,ct~cl. .. . VII. APPLICANT SIGNATURE Ce~i~caUo~: I ce~iEy thai b~e information provided herein ia ~e a~d accurate lo the be~ c~ my k~owie<lgs. STATE UST FACILITY NUMRER (For/oca/use only) 428. 199~ U CERTIFICATE NUIb~ER (For local use only) 425. ? UPCF (7/99) S:\CU PAFORMS~swrcb.a.wpd ,~ , ..-~'. CITY OF BAKERSFIELD OFF~ OF ENVIRONMENTAL SOVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 · UNDEaGROUND STORAGe TANKS- TANK PAGE 1 -,~)~ .'F ~C~'~N C.~ec~ ~n4 ~em .~) .Foe L TANK DII~7,~IFTI~N ITN'4K MANUFA~TURI~R l>--, (}CPO ?A~ U~I 430 UM~ OW) 0 4. oAsosot, O9,. on~a. Cl 4. Oze, oxYu~o O~m.A~L,W~ O~tN<NOW~ C] I. WA~eDC~tTH~OC C] z m~aot,~~~ C]M. t~3,x)~N ~OVeCr~ O 4. M'a~a3 ~ C]~. o'rar=a '~2. '~*JTo~,~T',C TaM( ~ (ATG) ). coNT~NI,~)UI AT(] . 4. ~'ArI.ITICA& INV/J~TOI~' I~::~:)NCI. IAT~ (~R) + ¥. TAXI( CI.OIURI INIlClllU11~t I IIIRII~INT ctOIUll IN Ft.)iq TI, M( F~O C]~H PCF (7/9g) ~:~CUPAJ=ORM~,~'/VRCg'~'WP c C1-~1~ OF ~AKER3FIEL0 :UN~O r~4c~ · UNK,NOV~ [] t. ~NCA, E 'WALt, [] 2, OOU~E WAL~, MAHUFACTURER [] I. &aU~E ~I~EL [] 2. STA~'~LE~ STEEL [] 3. ~?]C CO~AI"~.~ wrrH CONTENTS [] 5. STEEL W~ COAI'ING C] ~. FRPC~4~ATI~I.~ W/I00% ~ C] ?. C,a~vAMZ~O ~rEFJ. 0 · ~.~.a~(.~,~ 0~e- o~ E]~. VI. ~ LEAK DETECTION !0 tS. AUTO~ATICLIN~I,EAJ<OL~-'rEcTOR(3.004=H~W~'HOUTFLOW~'tSTO~'FOR RE3TRICTIO~ I'-J Te. ANNUAL ~NTEGRrT"Y TEST (0.~ C:] ! 7, OAILY V~$U,aA. CHECK · : ' ': " . ...:.~ O~SPEN~ERCONTA~NT E] ~. FLOAI'I~THAT~/T~0t~.RVALVE IX, O~MER/OPERATOR SIGNATURE JPCF (7/99) 47! S :\CUPAFORMS~IM~CI~B.VVP D ,~.~,~ CITY OF B,-~KERSFIELD~6~ " OFFI~ OF ENVIRONMENTAL SI 'ICE'S 1715 Chest~Ave., Baker~fleld,'CA 93301 1) 326-3979 UNDERGROUND ~TO~GE TANK~. TANK ~AG~ I ' !/'~1/'~7 k TAHK T~fi( U~ 4O0 0~. u~ Dc ~ O~. o~ 441 [~ 4. ~NOI~WA~LINAVAL~.T OM.Y) ¥, TKMN (:~.OiURJ INFORII~TI~N I IIIRIIANIJ~T (~X! IX I~.ACI TAM( FLL~O WtTH ~ MAT~q~q.? Ave,. hkeqfl~ld. CA t,330~ (M!) C] ~. SUCr,eN C] 3. 0 ~9. OTHE~ g ~MJ~ T~I O~ Y (CMM M IM ~W/) IX, OWNER/OPERATOR SIGNATURE -47! )CF (7/9g) SACUPAFOR~Ci~,B.WPC ¢I'TY'OF 8A'~;~:FIE LD o. eei~ oF env[ronm~.nt^r s~livlces 1715 C. he~fl~Ave., BakerSfield, CA 93301 ('8'61)326-3979 0~. uM(~Cv, N 1 I'ANK~ r~iNM. LIUM r~of r~ 0 t. IlO. lw)~J. 441 0 & AV~T~O~ ~ '[3~. J'~4. ~qOl. E WAJJ. Iql A VAULT 0~. o~ I'1 ~. M~'eUAL. TAM((3AUG4~3(I~I'O) O L ram( ~4 TAt~ F~.LIO WITH OY# O~ '---- heelee A~,. bkerlfleld. CA t3301 (~1) CCN$'rC~L~C r~CNr ~ ~ C::~' 2. SUCTI(]N r~ t. IL4U~E [] ts. AUTO~A'nC L~,~ LEAX DETECT0~ (3.0 C4=~ TEST) [] 18. A,NNUAL;NTEG~r'P~ I'E~T(o.'~ [] fT. I~ULYVI~UAL CHEC,~ 0 3. ~80~8~ENM~PAN~EN~ORY~THAUTO~n. OFFFO~DL~D~N~.~ *AUOmLEAHOV~UAL/d. ARMS ~--] & NOI~ -, IX, (~INER/O~ERAT0~ SIGNATURE )C; (7/<J~), 471 $:,~CUPAFOR~CG'B.VVPC ~-~ :': CITY OF BAK~ERSF[£LD, · ' ~ " OFFIi~ OF ENVIRONMENTA~.'SiiIVICE _.~P/.~~..._. 171~ Chest~Ave., Baker, field, CA 93J01 ~61)326-3979 · UNDERGROUND STO~Gfl TANKS .. TANK PAGE -/ I'AI~ UlI 09~. u~ r-,~ of rAM< O 1. SId~t.E~U~U. 4 C~ 4, ~IQLEWALLINAVALILT ri 3. FteER~/J:~ Os. ~ Ot~,oxYum~3 O~m.A~LNNO O~UW3~V~ O~N~JCUI~3 l~U~.~a~ O~,Omm Cl.. Om~ DATE I~'T~S f m · 447 DAT~ 14~T.JJJ Fn V. TANK CI.~lUR~ ~NIIORMATI(3H I PIRIIMdlNT CL.OIUN8 IN PLAC~ :F (7/99). Chtl~e AV'e~ ~lRerlfllld. CA 13301 (~1) 321~11 · ' uN~O r~n.~ ~1 gl~ ,OT~R ~0 ~. VII. ~ LEAK DETECTXSN (Cb.c* d ~ ~) [] 4, DAJLYV~C~ IX, ~ER/O~ERATOR $1ONATURE 471 )CF (7/99) 1700 FLOW~ STREET Please call for an inspector only when each. group` of inspections with are ready. They .will run in consecutive order beginning with number 1. DO NOT anY numbered group ' until all items in that group, are signed off by ~ Lt¥. Followi~ these instructions'will redUCe, the number of required inspection preVent assessment of additional fees. ~.- I~f~ON DATE INSP]~R' !Spark Test Certification /,2-7.~/~ ~. _--~/,,~ ,.7,.~C:~ ~ic Prot~tion of 'Ta~ (s) , :~ - PIPING SYSTEM- I~ Pipiw & lac-c-.~a~ w/Collection 'St~., ' [5~ ~rosion ~ot~tion of Pi~i~, Joints, Fill - SECOI~)ARY CONTAINMENT, ~ILL pROTSCTION~ rPAK DETeCtION - Liner. Ins~allation - Pipi ,n~. ~'~a~t., Wi~ Pr~uct. C~tible ~aler · ~i{~vel Ga~es or ~S, F1~% Vent valves ~'~t C~tible Fill ~x (~) ~k ~t~tor(s) for ~]nular S~D.W. Ta~(s) :~ak ~t~tion ~vim(s) For V~o~/Grm~ter Monitoring Wells, Fill ~x LIC~lqSE $ '!Car or Vehicle Initials - ' IThe rl~ '~ u~d f~ thll shlpme~ conr~ ~ tb.l~clrlcatlona ~t f~/i~~ker'm c~te ,~. ~ mil ~r ~mn~ ' I ~fl d Bill d bdl~ mpp~v~ by tb Shipper. Agent must detach rind retain, this Shipp;ng and must s,qn the'Original Bill.of Ldding. i,:' ~and~as*t.o,~eaCh~ it ~ n~ tlme,~terested,!n'aJ!, or !l~, of~;sald=,pr.operty; Ihat ~ve~- se~lee to ~, ~ he~er-ehlJ ~ subJ~t ~ all the terms t~ d erme arid. ~ndit 4 ~a~ ~ Sh ~r.~d~ for htm~lf ~, b 8 ~lg~: , :.' ~ = ~i,. ' ~ .Sf,te':U"A "".~'? ~ ;'.C6~'n~ ::'~- ':' .;' D~liCe~'Addre'ss ~:~6~00:;S. H $~. , ~, 5:~:::: C~:6~:~ehlCle 'initial ,- .:'.... /. ;:=:] ..: :]]: . No, :. p~;~tj~ffim'~dr~$f ~p~'.;' :. FRE~, CALIFORNIA 937~ .~r~r, .....; 's,qn the Orlginel 81ll of Lading. Prepared for: Shirley Environmental LLC P.O. Box 219 Nebraska City, NE 68410 Testers St Lic. No: 97-1579 SYSTEM STATUS TRACER TIGHT® TEST RESULTS 4/1/2002' Job No: 860004 Jaco #362 640i S: HSt deJ: " Bakersfield, CA 93304 .SYSTEM # PRODUCT SIZE TRACER TRACER DETECTED? 1 Premium 12,000 2 Diesel 12,000 3 Unleaded Plus 12,000 4 Unleaded 12,000 Soil permeability is l~reater than 41.6 darcys. GROUND WATER INFO A NO R NO B NO R NO' SYSTEM # DEPTH / GROUND WATER DEPTH / TOP OF TANK DEPTH / BOTTOM OF TANK (Inch) (Inch) (Inch) Tank 1 >200 30 126 Tank 2 >200 30 126 Tank 3 >200 31 127 Tank 4 >200 30 126 SITE COMMENTS Back fill in tank pits consists of packed sand. Backfill in piping trench is ¼ to V9ea gravel Ground cover over tanks and pipeing trench consists of concrete and asphalt. TEST EVENTS . , INSTALLATION INOCULATION SAMPLING ANALYSIS 3 / 14/02 3 / 14/02 3/25/02 3/27/02 FILL RISER- SPILL BUCKET TEST TANK # PASS/FAIL Tank 1 Tank 2 Tank 3 Tank4 PASS PASS PASS PASS Submitted by: TEST COMMENTS General : Tanks 1 through 4 are double wall steel with brine filled interstitial components. Produci distribution', vent, stage 1 vapor recovery lines and stage II vapor recovery lines are single wall steel components. . Tanks 1 Through 4 No detectable Tracer's in the tank excavation zone. There wei'e light detections ofTVHC (Toial Volatile Hydrocarbons) in the tank excavation zone, ranging from 0.12000 mg/L to 9.48000 mg/L. Product Distribution Lines, Stage 1 and 2 Vapor Recovery Lines and TankVent lines No detectable Tracer in line excavation Zone. There were light detections of TVHC (Total Volatile Hydrocarbons in the line excavation zones, ranging from 0.01000 mg/L to 1.33000 mg/L Conclusion Tank and line components are Enhanced Tracer Tight® at the time of testing · Tracer Research Job No. 860004 Page 3 of 4 Sample Date: 03/27/02 ', Location CONDENSED DATA Compound Concentration(rog/L) 001. 001 001 '001 A B R TVHC 002 002 002 002 A B R TVHC 003 003 003 003 .A B R TVHC 004 004 004 004 A B R TVHc 005 005 005 005 A B R TVHC 006 006 0O6 O06 B R TVHC 007 007 007 007 A B R TVHC 008' A 008 . B 008 R 008 TVHC TVHC '(Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L). Tracer values reported in milligrams/liter (mg/L) 0.00000 0.00000 0.00000 5.40200 0.00000 0.00000 0.00000 0.85200 0.00000 0.00000 0.00000 1.96000 0.00000 0.00000 0.00000 2.61000 0.00000 0.00000 0.00000 3.37100 0.00000 0.00000 0.00000 0.52800 0.00000 0.00000 0.00000 1.36300 0.00000 0.00000 0.00000 0.12000 0.0000 = Not Detected -999999.9999 = No sample · Tracer Research Job No. 860004 Page 4 of 4 Sample Date: 03/27/02 CONDENSED DATA Location Compound Concentration(mg/L) 009 009 009 009 010 010 010 010 011 011 011 011 A B R TVHC A B R TVHC A B R TVHC 012 A 012 B 012 R 012 TVHC 013 A 013 B 013 · R 013 TVHC 014 A 014 B 014 R 014 TVHC 0.00000 0.00000 0.00000 9.48200 0.00000 0.00000 0.00000 1.18900 0.00000 0.00000 0.00000 0.33300 0.00000 0.00000 0.00000 1.33300 0.00000 0.00000 0.00000 0.46700 0.00000 0.00000 0.00000 0.00000 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L). Tracer values rePorted in milligrams/liter (mg/L). 0.0000 = Not'Detected -999999.9999 -- No sample Tank 1 Tank 2 Tank 3 Tank 4 12,000 gal 12,000 gal 12,000 gal 12,000 gal Premium Diesel Plus Unleaded Tracer IA] Tracer [R] Tracer [B] Tracer [RI R ~ P L A N A T I O N , 1 Sampling Probe Location ..... Approximate Pipeline Location 0 Tracer .~esearch Oorporation Dispensers .11 Dispensers 10 12 Sidewalk Building 10 860004 J a c o # 3 62 6401 SOUTH "H" STREET BAKERSFIELD, CALIFORNIA SAM P L I N G LO CAT I ON S I ] Figure 1 SHIRL[' VIRONMENTAL TESTINCI~I~.C. P.O. Box 219 1928 Tyler Avenue, Suite K Nebraska City, NE 68410 South El Monte, CA 91733 402-873-4077 / 800-447-3490 6;'6-444-7447 / 800-533-4030 SITE: JACO #362 (Fastrip Food Store) 6401 South H Street Bakersfield CA 93304 Tank # Capacity Dimensions Product Type of Tank(ST, FRP, DW/FRP) Type of Piping (ST, FRP,DW/FRP) 12,000 8'x32' Premium DWFRP Steel SITE INSPECTION SHEET DATE: 3-14-2002 cONTACT: Rodger Englen PHONE: 661-831-4709 JOB #: T5 009070 2 12,000 8'x32' Diesel 3 12,000 8'x32' Unleaded Plus DWFRP Steel DWFRP 4 12,000 8'x32' Unleaded DWFRP Steel Steel Fill Pipe Diameter 4" 4" 4" 4" Overfill Device Ball Float B~II Float Ball Float Ball Float Overspill Device Flush with Grade Flush with Grade Flush with Grade Flush with Grade Drop Tube Dual Point Dual Point Dual Point Dual Point Condition of Sump PumpArea (Wet, Dry Dirt Dry Dirt Dry Dirt Dry Dirt [Dry, Fue ) DELIVERY SYSTEM Number of Pumps 1 1 I '1 Suction Pump N/A N/A N/A N/A Model/Brand N/A. N/A · N/A N/A Check Valve N/A N/A N/A N/A Position Pressure Pump Red Jacket Red Jacket Red Jacket Red Jacket Model/B ra nd Extracta Extra cta Extracta Extra cta Leak Detector Red Jacket Red Jacket Red Jacket: Red Jacket Model/Brand XLP XLP XLP XLP Condition & discription of dispenser pan construction and ldepth. Tight with no apparent leaks Tight with no apparent leaks Tight with no_ apparent leaks Tight with no apparent leaks Technician: James .S. Davis Comments: 12 02 10:52m -7017 p.13 TRACER TIGHT® TEST RESULTS Prepared for: Shirley Environmental LLC P.O. Box 219 Nebraska City, NE 684~10 Testers St Lic. No: 9% 1579 SYSTEM STATUS 4/1/2002 Job No: 860004 ~ Jaco #362 ri~,''¢Ttd-I'~~ 6401 S. H'Street Bakersfield, CA 93304 SYSTEM # PRODUCT SIZE TRACER TRACER DETECTED? 1 Premium 12,000 2 Dic~:l 12,000 3 Unleaded Plus ' 12,000 4 Unleaded 12,000 ..Soil permeability is ~rcatcr than 41.6 darcys. GROUND WATER INFO A NO R NO B NO R NO SYSTEM # DEPTH/GROUND WA]ER DEPTH /TOP OF TANK (Inch) (Inch) Tank I >200 30 Tank 2 >200 30 Tank 3 >200 31 Ta.k 4 >200 30 DEPTH / BOITOM OF TANK (Inch) 126 126 127 126 SITE COMMENTS Back fill in tank pits consists of packed sand. Backfill in piping trench is ¼ to V:pea gravel Ground cover over tanks and pipeing trench consists of concrete and asphalt. TEST EVENTS INSTALLATION INOCULATION' SAMPLING ANALYSIS 3/14/02 3/14/02 3/25/02 3/27/02 FILL RISER - SPILL BUCKET TEST TANK # PASS/FAIL Tank 1 PASS Tank 2 PASS Tank 3 PASS Tank 4 PASS Submitted by: Apr -7017 p.14 TEST COMMENTS General : Tanks 1 through 4 are double wall steel with brine filled interstitial components. Product distribution, vent, stage 1 vapor recovery lines and stage II vapor recovery lines are single wall steel components Tanks 1 Through 4 No detectable Tracer's in the tank excavation zone. There were light detections of TVHC.(Total Volatile Hydrocarbons) in the tank excavation zone, ranging from 0.12000 mg/L to 9.48000 mg/L. Product Distribution Lines, Stage 1 and 2 Vapor Recovery Lines and Tank Vent lines No detectable Tracer in line excavation zone. There were light detections of TVHC (Total Volatile Hydrocarbons) in the line excavation zones, ranging from 0.01000 mg/L to 1.33000 mg/L Conclusion \ Tank and line components are Enhanced Tracer Tight® at the time of testing '~ 'i 02 10:52a Rpr 2' 701'7 p,15 Tracer Research Job No. 860004 Sample Date: 03/27/02 CONDENSED DATA Page 3 of 4 Location Compound Concentration(rog/L) 001 001 001 001 A 002 002 002 002 A B R TVHC 003 003 003 003 A B R TVHC 004 004 004 004 A B R TVHC 0O5 OO5 O05 005 A B R TVHC OO6 OO6 OO6. OO6 A B TVHC 007 A 007 B 007 R. 007 TVHC 008 A · 008 B 008 R 008 TVItC TVHC (Total Volatile Hydrocarbons) values reported in mill/grams/liter (mg/L). Tracer values reported in mill/gramsfliter (mg/L). 0.0000 = Not Detected -999999.9999 = No sampIe' 0.00000 0.00000 0.00000 5.40200 0.00000 0.00000 0.00000 0.85200 0.00000 0.00000 0.00000 1.96000 0.00000 0.00000 0.00000 2.61000 0.00000 0.00000 0.00000 3.37100 0.00000 0.00000 0.00000 0.52800 0.00000 0.00000 0.00000 1.36300 0.00000 0.00000 0.00000 0.12000 Apr 10:52a 626 7017 p.16 Tracer Research Job No. 860004 Sample Date: 03/27/02 Location CONDENSED DATA Compound page 4 of 4' Concentration(rog/L) .009 009 009 009 010 010 010 010 011 011 011 011 012 012 012 012 013 013 013 013 014 014 014 014 A B R TVHC A B R TVHC A B R TVHC A B R TVHC 'A B R 'IWHC A B R TVHC 0.00000 0.00000 0.00000 9.48200 0.00000 0.00000 0.00000 1.18900 0.00000 0.00000 0.00000 0.33300 0.00000 0.00000 0.00000 1.33300 0.00000 0.00000 0.00000 0.46700 0.00000 0.00000 0.00000 0.00000 TVHC {Tom1 Volatile Hydrocarbons) values reported in milligrams/liter (rog/L). Tracer values reported in milligrams/liter (mg/L). 0.0000 = Not Detected -999999.9999.= No smnple Tank 1 12~0o0 9al Premium Tracer IAI Tank 2 12, 000 9al Diesel Tracer [RI Tank 3 · 2,000 gal Plus Tracer [BI E X P L A N A T I O N ,1 Sampling Probe Location ...... Approximate Pipeline Location ~£icer ~r?eseacc~ ~or£oratio~ Tank 4 12,000 gal Unleaded Tracer IR] 9 1I ..................... % .......... Sidewalk B u'i 1 d i n g J a c o ~ 3 6 2 SOUTH F i 9 u r ~ 1 i Postage Certified Fee Return Reciept Fee (Endorsement Required) r--t Restricted Delivery Fee ..a (Endorsement Required) ru ILl Total Postag~ Postmark Here ~ [SentTo I Fastrip ~ }~,'/¢'t.'~: 6401 South H Street I°rPOB°xN°'! ...... t"~A 93304 t-~r"~'~t'~ t~a.~:ersnem, ~ · Complete items 1, 2, and 3. Also complete item 4 ff Restricted Delivery is desired. · Prin-t your na~q~e, and add.-ress or~ the reverse so that we can return the card to you. · ~Att~ch this (~ard to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delive~J address different from If YES, enter delivery address below:. IFastfip 640[,South H Street Bakersfield, CA 93304 2. Article Number (Transfer from service labeO PS Form 3811, .August 2001 3. Service Type ~[.Cerfifled Mall [] Express Mail [] Registered [] Return Receipt for Memhandlse [] Insured Mall [] C.O.D. ..., 4. Restricted Delivery? (Extra Fee) [] Yes 7003 2260 0004 7652 3034 Domestic Return Receipt 102595-02-1W-1540. ' ' Po~ta Bakersfield Fire Department Prevention Services 715 Ohester Avenue, Suite 300 Bakersfield, OA 93301 D December 12, 2003 CERTIFIED MAIL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661 ) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SER'tlCES * ENVIRONMENTAL SERVKi:ES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chesler Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fastrip 6401 South H Street Bakersfield, CA 93304 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange SYstems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders .awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required 'as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) 2) 'Constructed of steel, not less than 4 inches in diameter, and concrete filled. Spaced not more than 4 feet between posts, on center. LetterOo: Re: Da~ed: Page Owner/Operators of Propane Exchange S~l~rms Propane Exchange Program December 12, 2003 2 of 2 3) 4) 5) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. Set with the top of the posts not less than 3 feet aboveground. Located not less than 5 feet frOm the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All 'existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, Steve Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer FgST~IP 633 6401S©.R ST BAKERSFIELD ,661-8.31-4709 DEC: 16.. 2003 9:53 AM ,_ ~oTEII STATUS REPORT ALL FONC:TIONS NORMAL · I IqVENTORY REPORT T L:_.~dREM I UM ~...,'0 ~ = 6670 GaLS O LL'~IE = 5:_'330 (]ALS 90::; ULLAGE= 4130 (_--:ALS TO VOLUME = 6612 GALS HEIGHT = 52.21 INCHES I,,JATER VOL = 0 GALS [...lATE]{ = O, O0 I NC:RES TEMP = 72. ,9 DEG F T 2 :DIESEL VOLUME = 4444 GALS ULLAGE = 7556 GALS 90!'.'; ULLAGE= 6356 GALS TI-: VOLUME = 4421 GaLS HEIGHT = :38.15 INCHES ¢.JATER VOL = 26 GALS I,dATER = 1.14 I NIl:RES TEMP = 71.1 DEG F rlE = 2981 GALS ;E = 9019 (gALS 90~: ULLAGE= 7819 GALS TC VOLUME = 2966 GALS HEIGHT = 28.48 INCHES WATER ~OL = 0 GALS' ~.IATER = 0.00 INCHES TEMP = 67.,~ DEG F T 4 i UNLEAE:,Er) VOLUME = 4054 GALS ULLAGE = 7946 ,:gALS' 90% ULLAGE= 6?46 (-;ALS TC VOLUME = 4039 ':]ALS HEIGRT"" = :35.64 INCHES WATER VOL = 0 GALS ~JATER = 0. O0 INCHES TEMP = 65.1 DEG F /. ~ ~ ~ ~ ~ END ~ ~ ~ ~ UNIFIED PROGRAM PECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironment~! Se~arices 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME FACILITYCONTACT INSPECTION DATE I INSPECTION TIME :f~ ~ E?__0~ t .......... Business ID Number 15-021 - ,' Section 1: Business Plan and Inventory Program Routine ~ Combined ~ Joint Agency I~ Multi-Agency ~ Complaint i"1 Re-inspection ~' C=Compliance ~ OPERATION COMMENTS ~, V=V, iolation ,/ APPROPRIATE PERMIT ON HAND RECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS IFIC OF ABATEMENT SUPPLIES AND PROCEDUEE8 EMERGENCY PROCEDURES ADEQUATE HOUSEKEEPING FIRE PROTECTIO~ ................................................................................. SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: EXPLAIN: YES I'1 No QUESTION/~/REGARDING/THIS/}NSPECTION?/? PLEASE CALL US AT (661) 326-3979 ~~.."'""~ ~ Inspector Badge No... ' ....... ~--' ' . ....... ~-. ....... ~ ~ White - Environmental Services Yellow - Station Copy Pink . Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME Section 2: INSPECTION DATE Underground Storage Tanks Program [] Routine ~ Combined [] Joint Agency [] Multi-Agency. [] Complaint Type of Tank qtal ~:2 ~, Number of Tanks Type of Monitoring ~'C,, Type of Piping [] 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 Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance . V=Violation Y=Yes N=NO Inspector: ~ Office of Environmental Services (805) 326-3979 White- Env. Svcs. FR'OI,I : ............. ,:.ff., 2 ._.a2 :.';::(2a~..~ APPRCi ¥'%D SYSTEM SETUP AUG 1,3.. 2003 6:5'--2 AM SYSTEM UNITS U. S. S¥ST ~EU _ LA NG UAGE ENGL I SH SYSTEM DATE./TIME FORMAT MON DD YYYY HH.:MM:SS xM FASTRIP 633 6401 SO.H ST ......... -BAKERSF I ELD 661-831-4709 SHIFT TIME 1 : DISABLED SHIFT TIME 2 : DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED PERIODIC TEST WARNINGS D I SABLED ANNUAL TEST WARNINGS D I SABLED pRINT TO VOLUMES ENABLED TEMP COMPENSAT I ON VALUE (DEG F ): 6010 SYSTEM SECURITY (:;ODE : 000000 COMMUN I CAT IONS SETUP ~ORT SETTING:: (:;ODE i, O0000d~'<~ RS-232 ENI') OF MESSAGE D I SABLED ', I N-TANK SETUP T I:PREMIUM PRODUCT CODE 1 THERMAL COEFF .000700 TANK DIAMETER 96.00 TANK PROFILE 1 PT FULL VOL 12000 . FLOAT SIZE: 4.0 IN-~ 8496 WATER WARNING : 2.0' HIGH WATER LIMIT: 3.0 ,MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 90% : 10800 HIGH PRODUCT : 95% : 11400 DELIVERY LIMIT : 15~ : 1800 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : :3.60 MANIFOLDED TANKS TI~: NONE LEAK Mllq PERIODIC: : 240 LEAK MIN ANNUAL : 2% : 240 PERIODIC TEST TYPE Q U I C..K ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: ' OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN T 2:DIESEL PRODUCT CODE : 2 THERMAL COEFF :.000450 TANK DIAMETER : 96.00 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: .4.0 IN. 8496 WATER WARNI NG : 2.0 HIGH WATER LIMIT: 3.0 PlAX OR LABEL VOL: 12000 OVERFILL LIMIT : 90% : 10800 HIGH PRODUCT : : 11400 DELIVERY LIMIT : : 1800 LOW PRODUCT : 500 LEAl( ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.40 MANIFOLDED TANKS T.;: I~ONE.:~ LEAK MIN PERIODIC: : LEAK PIlN ANNUAL : : T :3 :PLUS ....... PRODUCT CODE : :3 THERMAL COEFF :. 000700 TANK DIAMETER : -~96.00 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARN I NG : 2.0 HIGH WATER LIMIT: 3.0 [flAX OR LABEL VOL: 12000 OVERFILL LIMIT : 90~ : 10800 HIGH PRODUCT : 95~ : 11400 DELIVERY LIMIT : 15~ : 1800 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 3.60 MANIFOLDED TANKS T~: NONE ~-'° ' LEAK MIN PERIODIC: 240 ~ : '2~-; '~K MIN ANNIJAL : 240 PERIODIC TEST TYPE QUIC~ ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: osF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN 2% 240 240 PERIODIC TEST TYPE  QUICK ANNUAL TESTN FA I L ACARM DISABLED PER I OD I ¢ TEST ALARM DISABLED. GROSS TEST F~IL ~L~RM DI $~BLED ~NN TEST ~VER~GING: OFF PER TEST AVERAGING: OFF T~NK TEST NOTIFY: OFF TNK TST SIPHON ~REAK:OFF DELIVERY DEL~Y : 15 MIN T 4:UNLEADED PRODUCT CODE : 4 THERMAL COEFF :.000700 TANK DIAMETER : 96.00 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNIN~ : 2.0 HIGH WATER LIMIT: 3.0 MAX OR ~ABEL~OL: '12000 OVERFILL LIMIT : 90~ : 10800 HIGH PRODUCT~ : ~ 95~.~ : 11400 DELIVERY LIMIT : 15% : 1800 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 4.50 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC;: 2g : 240 LEAK MIN ANNUAL : 2~ : 240 PER I OD I C TEST TYPE A~NUAL TEST FAIL QUICK ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY': OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 PIlN LEAK TEST METHOD TEST MONTHLY : ALL TANK WEEK 1 SUN START TINE : 2:00 AN TEST RATE : 0.20 GAL/HR DURATION : 2 HOURS LEAK TEST REPORT FORNAT NORMAL WPLLD LINE LEAK SETUP W i:PREMIUM PIPE TYPE: STEEL LINE LENGTH: 90 FEET 0,20 GPH TEST: ENABLED SHUTDOWN RATE; 3.0 GPH 0,10 GPH TEST MM/DD DATE : ?9? 0 T I:PREMIUM DISPENSE MODE: STANDARD W O :PLUS PIPE TYPE: STEEL LINE LENGTH: 90 FEET 0.20 OPH TEST: ENABLED SHUTDOWN RATE; 3,0 GPH O,lO GPH TEST MM/DD [lATE : ??? 0 T 3:PLUS DISPENSE MODE: STANDARD W 4 :UNLEADED PIPE TYPE: STEEL LINE LENGTH: 90 FEET 0,20 GPH TEST: ENABLED SHUTDOWN RATE: 3.0 GPH 0.10 GPH TEST NM/DD DATE :; ??9 0 T 4:UNLEADED DISPENSE MODE: STANDARD WPLLD LINE DISABLE SETUP W I:PREMIUM - NO ALARM ASSIGNMENTS - W 2 :D I ESEL - NO ALARM ASSIGNMENTS - W 3 :PLUS - NO ~LARM ASSIGNMENTS - W 4: UNLEADED - NO ALARM ASSIGNNENTS - W 2:DIESEL PIPE TYPE: STEEL LINE LENGTH: 90 FEET 0.20 GPH TEST: ENABLED SHUTDOWN RATE: 3,0 GPH 0.10 GPH TEST NM/DD DATE : 99? 0 T 2:DIESEL DISPENSE MODE: STANDARD FASTR IP 633 6401 SO.H ST BAKERSF I ELD CA. 9030 661-831-4709 AUG 13, 2003 7:01 AM WPLLD LINE LEAK TEST RES ULTS W I:PREMIUM ~3.._0 - GAL," btR--~ES ULT ~-:-------~ LAST TEST: AUG !3,2003 4:52AM PASS NUMBER OF TESTS PASSED PREV 24 HOURS : 7 SINCE IdlDNIGHT : 2 0.20 GAL/HR RESULTS: AUG 12,2003 9:14PM PASS AUG 12,2003 4:47AM PASS AUG 11,2003' 5:49AM PASS · AUG 10,2003 l:56PM PASS AUG 9,2003 2:33PM PASS AUG 9,2003 l:34AM PASS AUG 8,2003 2:21AM PASS AUG 7,2003 7:05AM PASS AUG 6,2003 6:0iPM PASS AUG 5,2003 6:02PM PASS FASTRIP 633 6401SO.H ST BAKERSFIELD CA.9330 661-831-4709 AUG 13, 2003 7:01 Aid WPLLD LINE LEAK TEST RES ULTS W 2:DIESEL 3.0 GAL/HR RESULTS: LAST TEST: AUG 13,2003 4:51AM PASS NUMBER OF TESTS PASSED PREV 24 HOURS : 6 SINCE MIDNIOHT : 2 0.10 GAL/HR RESULTS: MAR 28,2003 l:lOPld PASS MAR 18,2003 4:57PM PASS JAN 13,2003 l:30Ald pASS DEC 20..2002 12:35AM PASS JUN 7,2002 I:13PM PASS 0.20 GAL/HR RESULTS: AUG 13,2003 5:53AM PASS AUG 12,2003 11:43AM PASS AUG 11,2003 8:40AM PASS AUG 10,2003 4:18PM PASS AUG 10,2003 i:30AM PASS AUG 9,2003 6:0?AM PASS AUG 8,2003 5:04AM PASS AUG ?,2003 12:14PM PASS AUG 6,2003 IO:45AM PASS AUG 5,2003 l:44PM PASS 0.10 GAL/'HR RESULTS: NO 0.10 DATA AVAILABLE FASTRIP 633 6401SO.H ST BAKERSFIELD CA.9330 661-831-4709 AUG 13, 2003 7:02 AM WPLLD LINE LEAK TEST RES ULTS W 3:PLUS 3.0 GAL/HR RESULTS: LAST TEST: AUG 13,2003 6:15AM PASS NUMBER OF TESTS PASSED PREV 24 HOURS : 45 SINCE MIDNIGHT : 12 0.20 GAL/HR RESULTS: AUG 13,2003 i2:SIAM PASS AUG 12,2003 12:00Pld PASS AUG 11,2003 I:O1PM PASS AUG t0,2003 9:08PM PASS AUG 9,2003 ll:O?PM PASS AUG 9,2003 4:25AM PASS AUG 8,2003 2:03PM PASS AUG 7,2003 ll:51AM PASS AUG 6,2003 lt:18PM PASS AUG 5,2003 IO:3?PM PASS O. l 0 GAL./HR RESULTS: AUG 6..2002 4:41PM PA~ FASTRIP 633 6401SO.H ST BAKERSFIELD CA.9330 661-831-4709 AUG 13, 2003 7:02 AM WPLLD LINE LEAK TEST RES ULTS W 4:UNLEADED 3.0 GAL/HR RESULTS: LAST TEST: AUG 13.2003 6:50AM PASS NUMBER OF TESTS PASSED PREY 24 HOURS : 136 ...... S'I-NOE. M-I DN I GHT ': -~ 36 0.20 GAL/HR RESULTS: AUG 13,2003 12:34AM PASS AUG 12,2003 2:51AM PASS AUG 10,2003 ll:31PM PASS AUG 10,2003 12:59Aid PASS AUG 7,2003 2:53AM PASS 5,2003 ll:55PM PASS AUG 5,2003 12:1SAM PASS AUG 2,2003 I:08AM PASS JUL 30,2003 ll:12PM PASS JUL 30,2003 l:56AM PASS 0.10 GAL/HR RESULTS: NO 0.10 DATA AVAILABLE FASTRIP 633 6401SO,H ST' ' BAKERSFIELD CA.9330 661-831-4709 AUG 13, 2003 ?:02 AM WPLLD LINE LEAK TEST HIS TORY W I:PREMIUP1 LAST 3.0 GAL,-'HR PASS AUG 13, 2003 4:52 APl FIRST 0.20 GAL....'"HR PASS EACH MONTH: AUG 1, 2003 4:43 AM JUL 1, 2003 6:11 AM JUN 1, 2003 10:04 PM MAY 1, 2003 3:37 AM APR 1, 2003 8;17 AM MAR 2, 2003 12:14 APl FEB 1, 2003 5;36 PM JAN i, 2003 4:23 PM DEC 1, 2002 1;02 AM MAR 28, 2003 1:10 PM OCT 1, 2002 12:36 PM SEP 1, 2002 12:20 AM FIRST 0.10 GAL/HR PASS EACH MONTH: MAR 18, 2003 4:57 PM JAN 13, 2003 1:30 AM DEC 20, 2002 12:35 AM JUN 7, 2002 1:13 PM FASTRIP 633 6401SO.H ST BAKERSFIELD CA.9330 661-831-4709 AU(] 13, 2003 7:02 AM WPLLD LINE LEAK TEST HIS TORY AUG JUL JUN PlAY APR MAR FEB JAN DEC NOV SEP W '2:DIESEL LAST 3.0 GAL/HR PASS: AUG 13, 2003 4:51 AM FIRST 0.20 GAL,,"HR PASS EACH MONTH: 1, 2003 5:36 AP1 1, 2003 4:25 PM 1, 2003 7:50 AM 1, 2003 10:07 AM 1, 2003 9;15 PM 1. 2003 12:59 PM 1, 2003~ 3:lT.AM 1. 2003 5;49 P~ 1, 2002 2;54 PM 1, 2002 4;03 PPi 1, 2002 1';-15 PM 1, 2002 12:07 PM FIRST O.lO GAL/HR PASS EACH MONTH: FASTRIP 633 6401SO,H ST BAKERSFIELD CA.9230 661-881-4709 AUG 13~ 2003 9:02 AM WPLLD LINE LEAK TEST HIS TORY W 3:PLUS LAST 3.O GAL./HR PASS: AUG 13, 2003 6:15 AM FIRST 0,20 GAL/HR PASS EACH MONTH: AUG 1, 2003 8:25 AM JUL 1.. 2003 7:04 AM JUN -1, 2003--11132 'MAY 1, 2003 6:50 PM APR 1, ~2003 6:0~ AM ~tAR 1, 2003 1:14' AM _.FE~ 'l~ 2003 ~:01'9:50 AM ...... -iA. 2003 APl."'.' DEC '2~ 2002 2:20 AM ,NOV -1,.2002 2:51 AM OCT 1, 2002 2:16 AM SEP 1, 2002 1:05 APl FIRST 0.10 GAL/HR PASS EACH MONTH: AUG 6, 2002 4:41 PM FASTRIP 633 6401SO.H ST BAKERSFIELD 0A.9330 661-831-4709 AUG 13, 2003 ?:02 Aid WPLLD LINE LEAK TEST HIS TORY W 4:UNLEADED LAST 3.0 GAL/HR PASS: AUG 13, 2003 6:50 Aid FIRST 0.20 GAL/HR PASS EACH IdONTH: "' AUG 2; 2003 1:08 AM JUL 1', 2003 2:44 AM JUN 2, 200~ 9:1~ AM MAY 3, 2003 12:41 AM APR 1, 2003 3:32 AM MAR 1, 2003 1:20 AM FEB 2, 2003 4:42 AM JAN 2, 2003 4:18 AP1 DEC 2, 2002 2:11 AM NOV I, 2002 4:33 AM OCT 1, 2002 12:07 AM SEP 1, 2002 1:55 AM FIRST O.lO GaL/HR PASS EACH MONTH: .t WPLL[) LINE LEAK DIAC, AUC, 13, 2003 7:01 AM W I:PREPIlUM DISPENSI NC, ENABLED TEST C, OMPLETE PE ND I NC, PUMP OFF HANDLE OFF CRC:149 PARITY:O 0.10 GPH: IDLE 3,0 GPH P1:22.552 P2:22,.544 PSI' 0.20 C,PH P1:40,998 P2:41.042 PSI IdlD TEST P1:22,500 P2:22.474 PSI WPLLD LINE LEAK DIAG AUC` 13, 2003 7:01 AP1 W 2.1 I ESEL DISPENSINC, ENABLED TEST COMPLETE PENDINC` PUMP OFF HANDLE OFF CRc:g5 PARITY:O 0.10 C,PH: IDLE 3,0 C,PH P1:22,856 P2:22.808 PSI 0,20 GPH P1:35,556 P2:35,496 PSI MID TEST P1:22.646 P2:22.376 PSI SOFTWARE REVISION LEVEL VERSION 14.01 SOFTWARE~ 346014-100-B CREATED - 97,03,12.20.41 ':S=PIODULE¢ 330160-060-A SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS PRECISION PLLD 0.20 C,AL/HR PLLD WPLLD LINE LEA}( DIAG AUG 13. 2003 7:01 AM W 3:PLUS TEST COMPLETE PENDINC, PUMP OFF NCNDLE OFF 0R0:462 PARITY:O 0.10 GPH: 3,0 C,PH 0 20 OPH P1:41,272 -MIS-~EST- P1:23.002 IDLE P2:23,164 PSI P2:41,260 PSI P2:23,072 PSI WPLLD LINE LEAK DIAC, Uo 13, 2003 7:01 APl W 4:UNLEADED DISPENSING ENABLED '- - TEST COMPLETE PENDINC, PUMP OFF HANDLE OFF CR0:1280 PARITY:O 0.1~ C,PH: IDLE~ 3.0 C,PH --~1~24-.218._:2.L24_._1.86 ~S.I~.: ..... ' 0.20 C,PH Pi=35.132 P2:35.108 :'SI MID TEST P1~23.832 P2:23.832 :'SI ALARM HISTORY REPORT .... I N-TANK ALARM T I:PREMIUM SUDDEN LOSS ALARM FEB 13, 2003 9:28 AM INVALID FUEL LEVEL ,JUL 2, 2002 ?:49 AM JUN 11. 2002 ?:00 PM MAY 28, 2002 3:57 PM PROBE OUT FEB 25, 2003 t1:27 PM ALARM HISTORY REPORT .... I N-TANK ALARM ..... IT 3:PLUS SUDDEN LOSS ALARId AUG 5, 2002 10:21 AM AUG 5, 2002 10:20 AM , AUG 5, 2002 10:19 AM INVALID FUEL LEVEL .--AUG-12,-2003--~f14 AM ¢ ¢ 3 2:26 PM ~ JUL 1u, zOO 1 APR 20.. 2003 '2:16 PM PROBE OUT APR 15, 2003 6:23 AM t FEB 25, 2003 11:26 PM FEB 20, 2003 4:04 AP1 i FEB 20, 2003 4:03 AM ~--FEB-20; 2003--3-:39 ~ ~ DELIVERY ,NEEDED DELIVERY NEEDED ~ AUG 10, 2003 2:35 PM ! AUG 6, 2003 2:51Pld AUG 2, 2003 5:30 PM ..! JUL ?, 2003 3:41 PM JUL 29, 2003 6:08 JUN 6, 2003 9:02 PM ALARM HISTORY REPORT .... IN-TANK ALARId ..... T 2:DIESEL SUDDEN LOSS ALARM AUG 5, 2002 10:21 Aid AUG 5, 2002 10:20 Aid AUG 5, 2002 10:19 AM .INVAEID FUEL LEVEL ~,-~ 5:44 AM " ....JUN 12, ~00~ ~RROBE-OUT' FEB 20., 2003 3;11 AM AUG 5, 2002 10:25 AM MAR 30, 2002 11:20 PM DELIVERY NEEDED AUG 2, 2003 7:35 PM JUN 2, 2003 6:28 AM DEC 11, 2002 8:24 AM ALARM HISTORY REPORT .... IN-TANK ALARM ..... T 4:UNLEADED OVERFILL ALARM AUG 12, 2003 7:39 AM 'FEB' JAN 17, 2003 9:15 PM SUDDEN LOSS ALARM AUG 5. 2002 10:21 Aid AUG AUG 5, 2002 10:19 APl HIGH PRODUCT ALARM JAN 17, 2003 9:19 DEC 31, 2002 9:03 AM NOV 13, 2002 ?:24 AM INVALID FUEL LEVEL . JUL 13, 2003 8:53 PM JUL 2, 2003 9:2? PM JUN 9, 2003 4:51 Aid PROBE OUT FEB 25, 2003 It:4? PM .... FEB 25, 2003 11:41 PM FEB 25, 2003 11:27 PM DELIVERY NEEDED AUG 5, 2003 5:06 PM JUL 13, 2003 2:03 PM JUL 5, 2003 7:41 PM ALARM HISTORY REPORT SENSOR ALARM OTHER SENSORS ALARId HISTORY REPORT ..... SENSOR ALARM ..... g 2: OTHER SENSORS _ALARI,,I~HISTO~S~:R.EP~R~ ..... SENSOR ALARM OTHER SENSORS ALARM HISTORY REPORT SENSOR ALARM ..... g 4: OTHER SENSORS ALARM HISTORY REPORT SENSOR ALARM ..... W I:PREMIUId ~PLLD SHUTDOWN AMd AUG 5, 2002 11:19 AM GROSS'LINE FAIL' AUG 5, 2002 11:19 AM ALARM HISTORY REPORT ..... SENSOR ALARM ..... W 2:DIESEL WPLLD SHUTDOWN ALM AUG 5, 200~ l'.P:21 PM l WPLLD COMM ALARM AUG 5, 2.002 12:21 PM · WPLLD SHUTDOWN ALM t JUN i2, 2002 4:01 ~I"1 . ALARM' HI STORY REPORT ...... SE NSOR-A'D-ARM-=~ = :--':=' ~ ',, "W 3:PLUS CONTI NUOUS PUMP ALP1 JUN 1S, 200,~ 10:29 PM WPLLD SHUTDOWN ALM APR 21, 2003 9:44 AM (]ROSS LINE FAIL APR 21, 2003 9:44 AM ALARM HISTORY REPORT SENSOR ALARM ..... W 4 :UNLEADED WPLLD SHUTDOWN ALM JUN 9, 2003 6:55 AM / I GROSS LINE FAIL I I JUN ,9, 2003 6:55 AM WPLLK SHUTDOWN ALM APR 26, 200~ 6:3~ ~M ~L~RP1 HISTORY REP-'R ALARM HISTORY REPORT ...... SENSOR ALARM --7'--~ W ~: // ' 09'/2&/01 ,.07:45 ~66'~6 0576 BFD HAZ ~IAT'DI ~oo2 MONITORING SYSTEM CERTIFICATION For Use By All durisdictu,:s Within the State of Cktlifornia Authority Cited: Chapter 6. 7. Health and Safety Code: Cimpter 16. Division 3. Title 23. Culifort,&t Code of Regulations This Form must be used to document testing and servicing of monitoring equipment. A s.¢pgrate certification or repom mu.st be prepared for each_~_m_9, nitoring system control Ea..riel by the technician who performs the work. A copy o£ this form must be provided to the tank system owner/opera[o(. The owner/operator must submit a copy of thi'; [btm to the local agency regulating UST systems within 30 days of test date. A.. General Information Facility Name: ~'/':~L~'~; it~--,o Site Address: f2~.Om~O,~..~'~ '~' Facility Conrac~ Person: ~V?~) Mak~odel of Monitoring System: B. Inventory of Equipment Teste~Certified Check the a~ro~rlate, ~oxes to ln~c~t* sp,emc aq~pm~nt Tank ~: ~ i ~n-Tank Gauging Probe. Model: ~ .~mul~ Space or Vault Sensor. Model: ~ Piping Sump / Trench Sensors). Model: ~ Fill Sump Soarer(s). M~el: :~ Mechanical Line Le~ Detector. Model: ~Elecffonic Line Leak Detector. ModeL: ~ Tank Oveffill i High-Level Sensor. Model: ~ Other (speci,fy equipment t~e ~d,model in Section E on Page 2). . Tank ID: ~ ~ i;i!~ln-Tank Gauging Probe. Model: D~, -. } ~ .,Mmulm' Space or Vault Se'nsor. Modeh ~ Piping Sump l Trench Sensor(s). · Model: ~ Fill Sump Sensor(s). Model: __ ~ Mechanical Line Leak Detector: Model: lit'Electronic Line Leak Detector, Model: i.~/~>.lSzk~-: ~. ~ Taok Overfill / High-Level Sensor. Model: ~ Other (s~ciqv equipment t},[~e, and model in Sec?o? E on Pa~.e..2). Dispenser ID: ~ ~ ..~jspenser Containment Sensor(s). Model: I,..~D'~Shear Valve(s). ~ Dispen.s. er Containment Float(s) and Chain(s). 1~ Dispenser ID: DispenserContainment Sensor(S). Model: I!~'Shear Yah.ets). Dispenser Cony, in,neat Float(s) and Chain(s). Vls~enser m: '"1 'i"'~" Dispenser Containment Sensor(s). Model:. ~"Shear Valve(s). .-qDispenser Containment Float(s) and Clmin(s). Bldg. No.:, City: ~ )¢~.~,._,~zt=i t-2h,tZ',, Zip: Contact Phone N'o.: ( {.~$5. ,/* ) ~ "~]? -- '"7t:>Oq5 -~.~_~i?.¢id~Qd£r-~ ] Date of Testing/Servicing: d;-~/ ~,'~/.:0 3 fit'l'n-Tank Gauging Probe. Annular Space or Vault Sensor. Piping Sump / Trench Sensor(s). Fill Sump Sensor(s). Mechanical Line Leak Detector. (i~'Electronic Line Leak Detector. Model: Model: Model: Model: Model:' Model: Q Tank Overt'ill / High-Level Sensor. Model: Q Other (specify equipment,t~e, and model in Section E on Pa'to 2). Tank ID: Q In-Tamk Gauging Probe. Model: Q Annular Space or Vault S~nsor. Model: rq Piping Sump / Trench Sensor(s). Model: __ ~ Fill Sump Sensor(s). Model: Ul Mechanical Line Leak Detector. blodel: ~ Electronic Line Leak Detector. Model: CI Tank Overfill / High-Love! Sensor. Model: [-10t~he[ (specify cquipmtn! tYPe and_m..odel in Section E on Pa~e 2). Dispenser ID: lO -' t/ - / Y?~ Z} Dispenser C0ntaimnent Sensor(s). Model: ~,'ghear Valve(S). ~ Dispenser Containment Float(s) and Chain(s). Dispenser ID: f B~ i~4 Zl Dispenser Containment Sensor(s). Model: ~i}/g'o hear Valve(s). iZl DispenserContainment Float(s) and Chain(s). Dispenser ID: _,*~' - '? ¢',.~ -~~ Dispenser Containment Sensor(s). Model: ".~.~heu r Valve{s). Disvenser Containment Float(s) and Chain(s). .'Fl the facili .l7 contains more tanks or dispensers, copy this form, Include infom~ation for every tank and dispenser at the facility. C. Certification. I c~rtlfy that the equipment identified in this document was ln~pected/servieed in accordance with the manufacturers' guidelines, Attached to this Certification ts irfform, atlon (e.g. manufacturers' checklists) necessary to ','edgy that this information is correct and a Plot Plan showing the layout or monitoring equipment. For any equipment capable of generating such reports, I have also · attached a copy of the report; (check all that appty): ,~'gystemset.up ' ~5'~larmhlstoryreport Technician Name (print): i<~_.~> ,~.t., ':;~ Signature:_ Certification No.: ;~7~ 9 {'~. License. No.: .. ~"~q ~; t~ '7 Testing Company Name: ~.?~.t._/b2, 5'q.~T' .g/,45.:.& <..~.',,~,i,~<..g~,,_6=-.. ~_ PhoneNo.:(~;<~.t2 _) Site Address: ~"7'8. ~ 2_. ,3'v~ t,,, ge, ~.%/c3 (~a..O.7. Date of Testing/Servicing: ~/-ff~/O Page I of 3 03/01 Monitoring System Certification 0~/28/01 07:46 866 26 0576 BFD HAZ ~tAT DI ' 1~003 D. Results of Testing/Servicing Software Version [nstalled: j~-...~.~ ~. Corn ~tete the followi.ng checklist: ~ir'Yes ;' C~ Nod !"l~'the audible alarm operational7' I;Y'Yes ~1 Noa Is the visual alarm operational'? -- C3 Yes ~,No* Were all sensors visually' inspected, t'~t~ctiopall~,, t~ested, and confirmed operational.'? -- ~l Yes ..~ No* Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment wild- not interfere with their proper operation7 ~¥es ~} No~' [f alan'ns are relayed to a remote monitoring station,, is all communications equipment Ce g modem) {~N/A operational7 ' Yes C~ No* For pressurized piping systems, does the turbine autOmatically shut down if the piping secondary cor~tainmen[ g~N/A I monitoring s)'stem detects a eak fsi s to operate or is electrically d sconnectedo If es which sensors in' ' ·. · ' ' · Y · mate I Yes Cl No* I -'" ' "" .. ' .' . ' ' . "; ' ' ; · ' ' .e. no C~ N~A mechanical overfill preven!ion valve is installed), is the overfill warning alarm visible, and audible at the tank fill point(s) an._.d operating properly'? If so, at what percent of tank capacity does the alarm trigger? .~Z) % Yes* ~"No Was any monitoring equipment replaced? If yes, identify specific Sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. Yes* / ~ No Was liquid 'i;o'und inside any secondary, containment systems de.nighed as dry systems? ('Check all that apply) ~- Product.; r"_l Water. I_Lye. s, describe causes in Section E, below. ~I~Yes D No* Was monitorJn~ system set-up reviewed to ensure, proper settinss? Attach set up reports, if applicable Yes C] No'" Is all monitori'ng equipment operational per manufacturer's specificati°nso when these deficient,es were or will be corrected. E. Corrunents: A.~& f"'"'~,,.~?~ ~f; Page 2 of 3 03/01 09/28/01 07:47 326 0576 BFD HAZ ~IAT r [~004 F. In-Tank Gauging / SIR Equipment: Q Check this box if tank gauging is used only tbr inventory control. 12 Check this box il' no tank gauging orSlR equipment is installed. - This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Com )leto the followin~ ch.ecklist: i[~IW'Yes O No* I Has all input wiring been inspected tbr proper entry and termination, including testing for ground faults? I OW'Yes ~ ,No* ' Were ail tank gauging Pro"--~es visually inspected for damage and re.s.idue buildup? ~Yes ~ No* Was accuracy of system product level readings tested'? - [~'Yes C] No* Was accuracy ol" system water level readings~tested'? ~Yes ~ No* Were all probes reinstalled properly'? ~Yes 12 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, bel9TM, describe how'and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Cl Check this box it' LLDs are not installed. Com ,lete the following checklist: Yes ('1 No* For equipment start-up or annual equipment certification, was a leak simulated to verify Li'D performance? 12' N/A (Check all that apply) Simulated leak rate: ~ 3 g.p.h.: i~l 0. I g.p.h; ~ 0.2 g.p.h. Yes i. CI No'" Were all LLDs confirmed operational and accurate within regulatory requirements? Yes 12 No* Was the testing apparatus properly calibrated? Yes 12 No" For mechanical LL3s, ~t~es the LLD restrict product flow if it detects a leak? ,-I N/A Yes ~ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? 12 N/A Yes Q No* For electronic LLDs, does the iurbine"automad~ally shut off if any pord'on of thc monitoring system is disabled 12 N/A or disconnected? Yes Cl No* For electronic LL"~s, does the turbine automati~ly shut off if any portion of the m~)nitoring system malfunctions ~ N/A or fails a test'? l~;7~es 12 No* For electronic LLDs, have all accessible wiring connections been visually inspected? "' ~1 N/A Yes 12 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when. these detlclencies were or.will be corrected. 13t. Comments: Page 3 of 3 03/01 Monitoring System Certification Site Address: UST Monitoring Site Plan Date map ~vas drawn: Og.//~.~/.O.~ . Instruction~ If you already hayed diagram' that sl~ows all re~lui~red information'~'.Y~'u .m~Y':i~;!ude"it,· rafi~ir.i~.n.~."t~'~i'.~age,' .~..th you~ Monitoring System Certificatiofl;" On your site'~~lan,' show the ~eneral ·layout of .t~ks and, ptp~ng, i:..Clearly .~dent~fy locations, of the"f°ii°w~ng equipment, if installed(ii~!:i~hitOrir~g 'S~;~t. emi.,~.!i'~!~i¢~"0.flS ii~b~!.t..0ri~.'.'~'~ annular spaces, sumpS, diSPe~s'sr' pans, SPill containers, or"°'ther S~c°nda~ ~i~ht~i~ht ~reas:, 'mechahical 0r'"electr6nic line leak detectors; and in-tank liquid level probes (if used for leak dete~tion), In ~ SPace pr6vided, note the date this site Plan · .. .... ...... [.,-: .... ··...¢.,,.: .... :.~ · · ;.. :...... ~.~.. !.... .... was prepared. ... '.' .~.. i.%!/.':...;:':i.;::,~ :~;i,::i.: ! i:..;../..:;~.... ... .'. Page' of :' ,':'"5.: 'f:.ii-::'."til !55~.-,'.:~?.5.i'::-7: ':'" ""' ::':". "'' ' . 0~00 '. :...: . ,: :. 'ii;: ..,..'. ....:.'.:~...:.' .. _ .~....'. ':'..'..:.~ ':-':5;','~;'~c;~-T,-~?~,...%'..Y~...'~' :: · . ;." ~' · .:..,.. .. · -;..~i.:::'.~: "F' ,;~.:':'~::'a.? · '~'-.:;~,.~?¥': .;:~:5~ .... '..'.:.-?.~;.~..~.'.,?::~:?.~.~:"..',z'~',;-',~::?,.~.:-.' :":.. ':<': ...... ~ :,. '. ' ' ..... · '- ~':'~), '~ .~.' t ,, ~" .-~'~ ....... - ' FIRE R TMqT FIRE CHIEF RON FRAZE ADMINISTRATIVE SERviCEs 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETr SERIRCE$. ENVlRONMFJ~AL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avb. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 January 221 2003 Fastrip 6401 South H Street Bakersfield CA 93304 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1, 2003 Assembly'Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may/if you wish, have them pOsted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags.or certificates. Should you have 'any questions, please feel free to call me at 661- 326-3190. Sincerel~ . Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 633 .H ST FIELD CA.9330 66i'-831-4709 NOV 15, 2002 11:31 AM SYSTEM STATUS REPORT ALL FUNCTIONS IqORMAL INVENTORY REi>~RT T i:PREMIUM VOLUME = 2209 GALS ULLAGE = 9791 GALS 90% ULLAGE= 8591 GALS TC VOLUME = 2173 GALS iT = 23.00 INCHES VOL = 0 GALS = 0.00 INCHES = B2.6 DEC; F T 2: D I ESEL VOLUME = 4376 (]ALS ':E..~;:: i_ILLAC;'E= 6424 GAL~~ TC VOLUME = 4~:3:3 HEIC;HT = 37,72 INCHES WATER VOL = 20 GALS W~TER = 0,98 INCHES Tt : 81.5 DEG F T 3:PLUS VOLUME = 3942 G~LS ULLAGE = 8058 GALS 90~ ULLAGE= 6B58 GALS TC VOLUME = 3895 GALS HEIGHT = 84.90 INCHES WATER VOL = 0 GALS WATER = 0..00 INCHES TEMP = 76:,7.DEG F . T 4:UNLEADED VOLUME = 9033 GALS ULLAGE = 296? (]ALS 90~ ULLAGE= 1767 GALS TO VOLUME = 8929 GALS ~EIOHT-- = 67.62 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES = 76.4 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 ADDRESS ~cto [ FACILITY CONTACT INSPECTION TIME INSPECTION DATE PHONE NO. R3I ' ct'/{)'/ BUSINESS ID NO. 15-210- NLIMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine [~ffombined 1~] Joint Agency [~ Multi-Agency ~.] Complaint ~ Re-inspection OPERATION C V COMMENTS Appr, opriate 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 r~ 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: Yes ~No Questions regarding this inspection? Please call us nt (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy fiusiness Sitte P,~espc;n~ible Party Inspector: ~ d~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine [2~ombined [] Joint Agency [] Multi-Agency [] Complaint Type of Tank ...qtO ff-e__q Number of Tanks ~ Type of Monitoring fiT'co Type of Piping /,PT Re-inspection OPERATION C V COMMENTS Proper tank data on file / Proper owner/operator data on file / Permit fees current /' Certification of Financial Responsibility Monitoring record adequate and current ~ j Maintenance records adequate and current ,// / Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~ J _ ~ j Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy 09 28/01 07:45 '~661 0576 BFD HAZ MAT DII 002 MONITORING SYSTEM CERTIFICATION For Use By AII Juri.¥dictu)ns Wittu',q t/tv State qf California Authuritv Cited: Chapter 6.7. Health and Sql'ely Code: Cha?rer 16. Dit.'i.vu.m 3, Title 23, California Code of Re,guh~tio,~s This ['ocm must be used to document testing and servicing of monitoring equipment. A .se..parare certification or report must be prepared for each monitorin,~ system control p.o_nel by the technician who performs the work. A copy of this tbrm must be provided to the tank system owner/operator. The owner/operator mu'st submit acopy of this tbrr.'.~ to the local agency reguhtting. UST systems within 30 days o(test date· A. General Information Facili[y N a me: Site Address: __ ~,O"~:;,,/ ~7 /t/,-5'1'" Facility Contact Person: . Make/Model of Monitoring System: ~'/1,,} C B. Inventory of Equipment Tested/Certified ..~heck the app?p.riat,e boxes to in,d!c',ate specifi_.c_.e_quipn'~ent inspecte~service,d,:, m: 'ri I~ In-Tank Gaugi~g Probe. Model: __/'.,'~,.tO~3'/ ___ f.~ In-Tan~ Gauging Probe. Bldg. No.: City: ,~~7=/,~"-,t_,~ Zip: q/Peg ~--,q Con[act Phone No.: (~) ~/ "77~ ~O2~O/O~ Date ofTestingtSe~icm~: 0~1 ~-I 0'~ Model: '221 .&nnula.r Space or Vault Sensor. Model: . ~ Piping Sump / Trench Sensor(s'. Model: ~ Fill Sump Sensor(s). Model: f 'lcchanical Line'Le~ Detector. Model: leer. conic Line Leak Detector. Modeh~--- ~ ~ank Overfill /High-Level Sensor. Modeh ! ~ Othe'r (specify equipment type and model in Section E on Page 2). ~.k m: 7'2 ,;0/q.5_~ ' In-Tank Gauging Probe. Model: ~/ __ ~ Asmulal Spac, or Vault Sensor. Modeh ~ Piping Sump / Trench Sensor(s). Model: ~ Fill Sump Sensor(s). Model: E fechanical Line Leak Detector. Mode]: lecrronic Line Leak Detector. Model: ~1 Tank Overfill/High-Level Sensor. Model: ~ Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 7:'~- ' [iD Dispenser Containment Sensor(s). Model: il.'..~fhea,' v~,'~(s). . ' . ~1 Dis p ens"r,L~Co~tainment_ o_Float(s)'and.,. Chain(s) . ~.,Dispenser Containment Sensor(s). Model: h..~S hear Valve(si. - C.] Dispenser Containment Float(s) an~d Chain(s). t ?.~J:)iSp¢nier Co, t~i n me,-'fl"fg~en sot(s). ~Dispehser C0aininment Float(s) and Clmin(s). ~ Annular Space or Vault Sensor. g_..l Piping Sump / Trench Sensor(s). ~ Fill Sump Sensor(s). D.,)Mechanical Line Leak Detector. ~ Electronic Line Leak Detector. Modeh Q Tank' Overfill / High-Level Sensor. Model: ,~ Other (s~l~_~v equipment ,t~e and model in -Tm~k Oa~,-ging Probe. Model: ~. Annular Space or Vault Sensor. Model: ~ Piping Sump / Trench Sensor(s), Model: __ ~ Fill Sump Sensor(s). Ivlodel: D.~leChanical Line Leak Detector. Model: ctronic Line Leak Detector. Model: ~1 Tank Overfill / High-Level Sensor, Model: [] Other (specify equipment type and mo~el in ~..~penser Containtfi~ent'Sensor(s). Model: ~ Shear Valve(s). 3 Dispenser. ~...o..nta. in, rn~n,[ Float(s,),, and. Chain(Q. Dispenser ID: ~ '-_--l/D'ispenser Contaiffmeni' Sensor(s). Model:. ~ Shear Va ye(s). ~ DispenSer Containmeet Float(s) and Chain(s). C.I 'Dispenser Con"ainU;h'm'Sensor'(s)7 Modeh _ r~hear Valve(s). ' .',Z.I Dispenjer Containment Float(s) and Chain(s). Model: Model: Model: Model:' Section E on Page 2). Se¢[!0n E on Pa~e 2). 'qf the facili .ty contains more tanks or dispensers, copy this form. Include informalion for every tank and dispenser at the facility.' C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the mmmfacmr'ers' g,fideline~. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that tkls infornmtion is correct and a Plot Plan showing the layout of monitoring e__q~l~ment, For any eq~_~,ment capable of generat!ng such reports, I have also attached a copy of the repsu:ll; (chec.l~a}l tirol _a,?~: ' ~.~$ystern scl-up [] Alarm'~tory~port_ Technician Name (print):. 't~'rO~O ~.O.~.~, Signature:_ '~O,~. ~ Testing Company N'ag/e: .~5'7,.2q/..5'i57]" /'Y//d&ff-/; Phone No.:(,~/ ._) 227----- ~ Page I of 3 03/0l :Monitoring System Certification 09/28/01- 07:45 '~66! :6 0576 BFD HAZ 31AT DI' -., MONITO ING SYSTEM CERTIFICATION For Use[By ,'Ill Juri.~'dic'nol~.s Withzn thc Stare of California ' .4uthuritv Cited: Chapter 6.7. Health ai]t'l Safety Code: Cbt pier 16. Division '3 Tit]k 23, CaliJbrnia Code of Regulan'ons This t'orm must be used to document testing anb servicin2 of monitorin.o_' equipment. A separate certification or repo.rt m__ust be r~repared for each___m_o.nitorin._,2 system, control 9. a_n~el by thee~ technician who performs the work. A copy of this form must be provided to the tank svstem owner/operatOr. The owner/opera,or must submit a copy' or this tbrm to the local agency regulating UST systems within 30 d~vs of tesl date. A. General Information Facility Contact Person: Make/Model of Monitorin~ S~ B. Inventory of Equipment Teste~Gerfified Check the appro, p.tiate boxes. ~o indicate ........... specific el ...... ~p~ ~ent ~specte~e~iced: Bldg. No.; Date of Testing/ge~icina: ~ / ~ O~ Tank ID: ~ In-Tank Gaugi~g Probe. Model: C] ..-M~nular Space or Vault Sensor. Model: r-1 Piping Sump / Trench Sensor(s). Model: __ UI Fill Sump Sensor(s). Model: :n Mechanical Line Let& Detector. Model: ~ Electronic Line Leak Detector. Model: Q Tank Overfill / High-Level Sensor. Model: ~ Other (specify equipment typ,e, and mpde[ in Tank ID: Section E on.Pa~e 2). ZI In-Tank Gauging Probe. Model: ~ .,.Mmular Space or Vault Sensor. Model: __ __ ~ Piping Sump / Trench Sensor(s). Model: ~ Fill Sump Sensor(s). Mo~el: __ ~ Mechanical Line Leak Detector. ModeI: ~/~Elecr. ronic Line Leak Detector. Model: __ ~1 ~a0k Overfill / High-Level Sensor. Model: ~ Other (s~ecifv eauipment twe and model in Section E on Page 2). DispenSer ID: ~ ...... ?~ispenser Containment Sensor""s). Modeh ~ Shear Valve(s). ~ Dispen. ser Con'tainment Float(s)'and Chain(s). Dispenser ID: // .?.~_fspenser Containment Sensor(s). Modeh ~ ~f"S hear Valve(s). ~ Dispenser Cont,a, inment Float(s) and Chain(s). Dispenser ID: ?~l)ispenser Containment ~ens°r(s). t~odel: ~-~ Shear Valve(s). .'-IDispenser Containment Float(s) and Chain(.~). TanklD: In-Tank Gaugir, g Probe. Model: Annular Space or Vault Sensor, ~ Model: i-' L"!,7.!: . Piping Sump / Trench Sensor(s). Mode :,..,r~., · ~,' .... Fill Sump Sensor(s). Model: Mechanical Line Leak Detector. Model:'. ',: - Electronic Line Leak Detector. Model: :' :',. '~'''' Tank Overfill / High-Level Sensor. Model: OtF. er (specify equipment.t~e and model in Section ,E,6n Pa;~e 2). 'l'ank ID: ~ :~ ...~ ' Q In-Taak Gauging Probe. lVlodel: [] Annular Space or Vault Sensor. Model: [] Piping Sump / Trench Sensor(s), Model: ~ FiLl Sump Sensor(s). Model: [1 .Mechanical Line Leak Detector. Model: ~ Electronic Line Leak Detector. Model: [] Tank Overfill / High-Level Sensor. Model: [] Other (specify equipment t~vpe and model in Dispenser ID: ~]~Dispenser Contaiotnent Sensor(s). Modeh ,~ Shear Valve(s). rq Dispenser Containme.nt FLoat(s) and Chain(s). Dispenser ID: hispenser Containment Sensor(s). Model: ear Valve(s). ,,~ Dispenser Containment. Float(s) and Chain(s). Dispenser ID:_ r.~s[iSpenser Containmen(S~:nsor(s). Modeh ~ear Valve(s). .2 Dispens, er Centainment Float(s) and Chain(s). Sectign E on Pa,ge 2). qf the facili~ contains more tanks or dispensers, copy this form. Include infocmalion for every tank and dispenser at the facility. C. Certification, I certify that the equipment identified in this document was Inspected/serviced in accordance with the mmmfacturers' g~fidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also · attached a copy of the rep. j~t; (chectoall that apply): Technician Name (print): Certification No.: q7 Testing Company Name: ~002 Page I of 3 03/0l Monitoring S)'stem Certification 09/28/01 07:46 8661 326 0576 BFD HAZ blAT DI'~ 1~003 D. Results of Testing/Servicing V r. ion Instal,ed: / q. OI flete the following checklisl:; ~' Yes' i [3 No'* ! Is the audible alarm operational? .... I~ Yes r"l No.~ Is the visual alarm operational'? -- ~ Yes ~ No* Were all sensors visually inspected, functiona~ll'Y-~ted, and confirmed operational? - ~ Yes 12t" No* Were ail sensors installed at lowest point of secondary containment and podia'ned so that other equipment not interfere with thei[' proper operat/on?. Yes [3 No* If alarms are relayed to a remote monitoring station, is all communications equipment {,e.g. modemi- ~ N/A operational? Yes ~ No* For pressurized piping systems, does the turbine automatically shut down if the piping, secondary containment ~ N/^ monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all tha,t apptyJ ~ Sump/Trench Sensors; ~ Dispenser Containment .Sensors. Did you 90nfirm positive shut-down due to ieaks ~.a~..d sensor failure/disconnection? '~ Yes; IZI No. Yes ~ No* 1 For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. nO Il] 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'? /~f so, at what percent of tank capacity does the alarm trigger? . % Yes* ~ No Was any monit'-oring 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) [3 Yes '121 No*"I Product; ~ Water. If yes, describe causes in Section E, below. Was monitoring system set-up..r, ev.!e, wed to ensur_e proper settings? Attach set up repons, if applicable Yes . 121 N0:7 ..I.Is all monitori,ng equipment operational per manufactureFs specifications? these deficmncies were or will be corrected. Page 2 of 3 03/0 l "~ 09/28/q1. 07:47' 6 0576 BFD HAZ 3fAT I~] 004 F. In-Tank Gauging / SIR Equipment: .~heck 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.. Co ilete the following, checklist: 'Y;;" '~ No* I '~I~'k a~]l input wiring been inspected for proper entry and termination, including testing for ground faults? ~/h'es ~ No*~ Was accuracy or' system product level readings tested'? Yes ~ No* Was accuracy o[ system water level readings tested'? ~ N0* Were all probes reinstalled properly? Yes ~ No* Were all items on the'equipment mandfactureFs maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): al Check this box il" LLDs are not installed. Corr ,lete the following checklist: [21~}s ~ ",~o* "For equ'ii;ment';tar~-up or an'r~:~l-eq-':"~ip;nent c~.e~if~c'ation, was a'l;'ak simu'lated to'verify Li.'D perforrnahce? El N/A (Check all that app!y) Simulated ieak rate: Igl3g.p.h.: iZI0.1g.p.h; 1-10.2 g.p.h. es ~1 No* Were all LLDs confirmed operation.a.l m~d accurate within regula/o~ requirements? ~ Yes I~ No* 'Was the testing apparatus properly calibrated? ~ Ye's ~/No* For mechanical LLDs, does the LLD restrict'product flow' if it detects a leak? / ',T N/A ~ Yes ~1 No* ~oi electronic I,LDs, does the turbine automatically shut off if the LLD detects a leak? d y .:-1 N/A . .. ' es I~1 No* For electronic LLDs, does the turbine automatically shut off if any port/on of t-he monitoring system is di'sabled ~ N/A or disconnected'? ,2/Y'es ,'-1 No* For electronic LLD'~. does the turbine autom;ti~"atly shut off'if any portion of the mgnitoring system malfunctions / c"l N/A or fails a test'? ~Yes ~ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ~- 21 N/A -~ Yes .El No* Were all terns on the equipment manufacturer's maintenance checldist completed'? * In the Section H, below, describe how and when. these deficiencies were or will be Corrected. H. Conm~ents: · Page 3 of 3 03/0~ WORK ORDER DATE: ~- S'---o z_. LOCATION OF JOB ADDRESS ~,~/~/ CITY CONTACT PERSON PHONE NUMBER DESCRIPTION OF WORK TO BE PERFORMED: /~,z~-e, ~.~/z~,,t.- Z.~,~a ASSIGNED TO ' DATE: ff-~---'o "2- WORK PERFORMED: · MATERIALS USED: MATERIALS USED: MATERIALS USED: MATERIALS USED: VENDOR: VENDOR: VENDOR: VENDOR: T 2:DIESEL PRODUCT CODE : 2 THERMAL COEFF :.000450 TANK~DIAMETER : 96.00 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.D IN. 8496 WATER WARNING : 2.O HIGH WATER LIMIT 3,0 PlAX OR LABEL VOL: 12000' OVERFILL LIMIT : 90~ : 10800 HIGH PRODUCT : 95~ : 11400 DELIVERY LIMIT : 15~ : 1800 LOW PRODUCT : 500 LEAK ALARM LIMIT 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.40 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: 2~ : 240 LEAK MIN ANNUAL : 2~ : 240 PERIODIC TEST TYPE QUICK ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED · GRoss TEST FAIL ALARM DISABLED ANN TEST AVERAGING:. OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 IN-TANK SETUP T i:PREMIUM PRODUCT CODE : 1 THERMAL COEFF :.000700 TANK DIAMETER : 96.00 TANK PROFILE :' 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 1.2000 OVERFILL LIMIT : 90~ : 10800 HIGH PRODUCT : 95~ : 11400 DELIVERY LIMIT : 15~ : 1800 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 3.60 MANIFOLDED TANKS T~: NONE LEAK SIN PERIODIC: 2M : 240 LEAK MIN ANNUAL : 2~ : 240 PERIODIC TEST TYPE QUICK ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED' GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : t5 MIN SYSTEM SETUP AUG 5, 2002 12:23 PM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGL I SH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM FASTR I P 633 6401 SO.H' ST BAKERSFIELD CA. 9330 661-831-4709 sHIFT TIME 1 : DISABLED SHIFT TIME 2 : DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED PERIODIC TEST WARNINGS D I SABLED ANNUAL TEST WARNINGS D I SABLED PRINT TO VOLUMES ENABLED TEMP COMpENSAT ION VALUE (DEG F ): 60,0 sYSTEId SECURITY CODE : 000000 COMMUNICATIONS SETUP PORT SETTINGS: NONE FOUND RS-232 SECURITY CODE : 000000 RS-232 END OF MESSAGE DISABLED LINE LEAK SETUP W I:PREMIUM PIPE TYPE: STEEL LINE LENGTH: 90 FEET 0.20 GPH TEST: ENABLED SHUTDOWN RATE: 3.0 GPH 0.10 GPH TEST MM×DD DATE : 9~9 0 T I:PREMIUM DISPENSE MODE: STANDARD W 2:DIESEL PIPE TYPE: STEEL LINE LENGTH: 90 FEET 0.20 GPH TEST.: ENABLED SHUTDOWN RATE: 3.0 GPH 0.10 GPH TEST MM×DD DATE : 999 0 T 2:DIESEL DISPENSE MODE: STANDARD W B:PLUB PIPE TYPE: STEEL LINE LENGTH: 90 FEET 0.20 GPH TEST: ENABLED SHUTDOWN RATE: -8.0 GPH 0.10 GPH TEST MM/DD DATE : 999 0 T 3:PLUS DISPENSE MODE: STANDARD T 4:UNLEADED PRODUCT CODE : 4 THERMAL COEFF :.000700 TANK DIAMETER : 96.00 · TANK PROFILE : 1 PT FULL VOL~: 12000 FLOAT SIZE: 4.0 I,N. 8496 WATER WARNING : 2.0 HIGH 'WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 90~ : 10800 HIGH PRODUCT : 95~ : 11400 DELIVERY LIMIT : 15~ : 1800 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 4.50 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: 20 : 240 LEAK MIN ANNUAL : 2~ : 240 PERIODIC TEST TYPE QUICK ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN ~3:PLUS ~ODUCT CODE : THERMAL COEFF :.000700 TANK DIAMETER : 96.00 TANK PROFILE : I PT FULL VOL : 12000 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 12000 90~ 10800 95~ 11400 15~ 1800 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 3.60 MANIFOLDED TANKS T~: NONE LEAK IgIN PERIODIC: 2~ : 240 LEAK MIN ANNUAL : 20 : 240 pERIODIC TEST TYPE QUICK ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL : ALARM DISABLED ANN TEST AVERAGINQ: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN W 4.:UNLEADED PIPE TYPE: STEEL LINE LENGTH: 90 FEET' 0.20 GPH TEST: ENABLED SHUTDOWN RATE: B.O GPH 0.10 GPH TEST MM/DD DATE : 999 0 T .4.:UNLEADED DISPENSE MODE: STANDARD LEAK TEST METHOD TEST MONTHLY : ALL TANK WEEK 1 SUN START TIME : 2:00 AM TEST RATE :0.20 GAL/HR DURATION : 2 HOURS LEAK TEST REpoRT FORMAT NORMAL IN-TANK DIAGNOSTIC r l: PRovE TYPE MAG1 SERIAL NUMBER 168455 ID CHAN = OxO000 GRADIENT = 355.0400 NUM SAMPLES = 20 'COO 1356.1 C01 6912.0 · 002 6912.0 ¢03 6912.0 004 6912.0 C05 6912.0 C06 6912.0 007 6912.0 C08 6912.0 C09 6912.I 010 6912.0 ¢1! 44041.8 C12 5089.8 Cl3 6108.4 CI4 6644.8 ClS 6974.7,:.~.: C16 7534.4 C17 9144.8~ 018 44043.6 SAMPLES READ =23239194 SAMPLES ·USED =2322Ili9 "IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 2: PROBE,TYPE MAGI SERIAL NUMBER 168456 ID CHAN = 0×C000 GRADIENT = 354.8708 MUM SAMPLES = 20 C00 1472.1 C01 11256.7 C02 11256.6 C03 I1256.5 C04 11256.4 005 11256.5 C06 11256.8 C07 11256.9 008 11256.7 C09 11256.3 010 11256.3 C11 44284.5 OJ2 547Q.Q C13 6227.6 014 6533.0 Ci5 6736.5 C16 7636.4 C17 9402 5/ ' C18 44285.8 ' SAMPLES READ "23073109 SAMPLES USED =23055640 SERIAL NUMBER 168458 I'D OHAN OxCO00 GRADIENT = 355.0400 NUM SAMpLEs = 20 008 1365.6 CO! 12972.5, ...~002 12972.5 003 12972.4 004 12972.5 005 12972.0 06 12971.7 007 12971.6 08 12971.9 009 12972.3 10 12972.4 Cll 44072.5 12 6333.2 C13 7638.9 014 8663.3 015 10287.9 016 13110.3 017 13232 ~ %18 44074.4 · SAMPLES READ =23005740 . SAMPLES USED =22987560 -TANK DIAGNOSTIC ~O'BE DIAGNOSTICS ,4": PROBE'TYPE MAGI ~R:IAL NUMBER ~168454 Ii CHAN = OxCO00 ;~AI)IENT = 354. 6700 ~,., M SAMPLES = 20 1362.0 col 23179. ~ 23179.0 003 23178.? 23178.7 C05 23178.7 23181 .9 C07 23181 .7 )~ 23181.9 009 23181.8 , 2318! 6 Oil 44157 4 7289.1 013 8290.] 9297.3 015 9558.] 9647.4 017 9774.8 8 44158.1 MPLES READ -22419936 USED =22384438 ,ARM HISTORY REPORT IN-TANK 'ALARM i:PREMIUM FUEL LEVEL IL 2, 2002 7:49 AM IN 11, 2002 7:00 PM .Y 28, 2002 3:57 PM OUT ~N 23, 2002 6:54 PM ~N 20, 2002 4:50 PM 12, 2001 7:11PH ;LIVERY NEEDED IL 24, 2002 6:12 PM L 5, 2002 8:01 PM N 25, 2002 11:21 AM HISTORY REPORT IN-TANK. ALARM ,. 2:D:ESEL i/DDEN LOSS ALARM 5, 2002 10:21 AM 5, 2002 10:20 AH 5, 20~2 10:1'9 AM !/N"12, 2002 5:~, AH 5, 2002 10:25 AM 30, 2002 11:20 PM 30, 2002 11:00 PM LIVERY NEEDED 6, 2002 5:36 AM iN 3, 2002 5:33 AM ,R 24, 2002 6:20 PM WPLLD LINE DISABLE SETUP W 1;PREMIUM - NO ALARM ASSIGNMENTS - W 2 :DIESEL - NO ALARM ASSIGNMENTS - W 3 :PLUS - NO ALARM ASSIGNMENTS.- W 4:UNLEADED - NO ALARM ASSIGNMENTS - SOFTWARE REVISION LEVEE VERSION 14.01 SOFTWARE# 346014-100-B CREATED - 97.03.12.20.4! S-MODULE# 330160-060-A SYSTEM FEATURES: PERIODIC IN-TANK TESTS · ANNUAL IN-TANK TESTS PRECISION PLLD 0.20 GAL/HR PLLD HISTORY REPORTFl' ,ARM' SENSOR ALARM .... ~" 1: ?HER SENSORS .ARM HISTORY REPORT -- SENSOR ALARM 2: SENSORS ~ARM HISTORY REPORT SENSOR ALARM 3: 'HER SENSORS HISTORY REPORT SENSOR ALARM 4: ~ER SENSORS ALARM HISTORY REPORT '~ .... SENSOR ALARM :'~ I:PREMIUM WPLLD SHUTDOWN ALM AUG 5, 2002 11:19 AM GROSS LINE FAIL AUG 5,. 2002 11:19 AM ALARM HISTORY REPORT SENSOR ALARM ..... W 2:DIESEL WPLLD SHUTDOWN ALM AUG 5, 2002 12:21 PM WPLLD COMM ALARM AUG 5, 2002 !2:21 PM WPLLD SHUTDOWN ALM JUN 12, 2002 4:01 PM ALARM HISTORY REPORT. ..... SENSOR ALARM W 3:PLUS W~LD SHUTDOWN ALM AUG 5, 2002 11:05 AM GROSS LINE FAIL AUG 5, 2002 11:05 AM WPLLD SHUTDOWN ALM JUN 5, 2002 12;19 PM ALARM HISTORY REPORT ' ~ENSOR'ALARM ..... W 4:UNLEADED WPLLD SHUTDOWNALM. AUG 5, 2002 11i37 AM GROSS LINE FAIL AUG 5, 2002 11:37 AM HISTORY REPORT IN-TANK ALARM 3:plUS LOSS ALARM 002 10:21 AM 2002 AM 2002 ~u:~ AM FUEL LEVEL 2002 6:29 PM 2002 4:25 AM 2002 4:32 PM 4:50 IW~RY NEEDED 3,2002 1:15 PM 28, 2002 7:45 AM 29, 2002 7:45 PM HISTORY REPORT I N-TANK ALARM UNLEADED :30 AM 07 AM LOSS ALARM · 2002 10:21 5, 2002 10:2~ 5, 2002 10:19 H PRODUCT 2, 2002 AM 30, 2002 FUEL LEVEL 2002 7:59 PM 25, 2002 9:~7 AM : 25, 2001 5:52 AM OUT , 2002 7:35 AM AM PM 2:: 2002 2002 11:48 AM August 30, 2002 Fastrip 6401 S. "H" Street Bakersfield, CA 93304 REMINDER NOTICE FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (Califomia Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases fi.om the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services L D July 31, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326..0576 PUBUC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INV~[STIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0578 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 David Palmer Jaco Oil Co. P.O. Box 1807 Bakersfield, CA 93380 CERTIFIED MAIL RE: Annual Maintenance on Leak Monitoring Systems REMINDER Dear Mr. Palmer: This letter is to advise you that the following Jaco Oil sites are coming due for annual maintenance on their leak monitoring systems. They are as follows: Howards Mini Mart 3300 Planz Road Due 08-17-02 Mt. Vernon Fastrip 3501 Mt. Vernon Due 09-04-02 Fastrip #622 4013 S. "IF' St Due 09-06-02 Fastrip #641 1200 Coffee Rd Due 09-07-02 Chris' Liquors 2732 Brundage Ln Due 09-07-02 Fastrip #6 1640 S. Chester Due 09-07-02 Ming & Real Fastrip 3701 Ming Ave Due 09-07-02 Fastrip #19 4901 S. Union Due -0-07-02 Fastrip #640 8001 White Lane Due 09-19-02 Wholesale Fuels 2200 E. Brundage Due 09-27-02 Fastrip #621 805 34t~ Street Due 10-01-02 Fastrip g26 2698 Osweli Due 10-01-02 Harris Market 1701 Union Ave Due 10-01-02 Howards #6 4201 Belle Terrace Due 10-15-02 Farrelis Fastrip 6401 White Ln #112 Due 10-15-02 Howard's #4 3200 Panama Ln Due 10-15-02 Fastrip #633 6401 S. H Street Due 11-01-02 As a courtesy, this reminder has been sent to you. No further reminders will be sent, and formal "Notices of Violation" will be sent 10 days after the due date, unless documentation of testing has been received. Should you have any questions, please feel free to call me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACIL~Y Fastrip #362 (Site ID #626) ADDRESS 6401 South "H" Street OPERATORS NAME oWNERS NAME Jaco 021 Company Jaco-Hill NAME OF MONITOR MANUFACTURER DOES FACILITY HAVE DISPENSER PANS? Veeder-Root YES X NO TANK # VOLUME I 12000 2 '.12000 3 12000 4 12000 CONTENTS MI/F MVF MVF MVF NAME OF TESTING COMPANY cONTRACTORS LICENSE # CA 5 8 9 5 1 7 NAME & PHONE NUMBER OF CONTACT PERSON Mark DATE & TIME TEST IS TO BE CONDUCTED 0 8 / 0 5 / 0 2 SUNSET MECHANICAL Blackburn 322'0660 '9:15AM-10:45AM APPROVED BY DATE /SI~N,~4'~RE ~3/F APPLICANT TRACER TIGHT® TEST RESULTS Prepared for: Shirley Environmental LLC P.O. Box 219 Nebraska City, NE 68410 Testers St Lic. No: 97- 1579 SYSTEM STATUS SYSTEM # PRODUCT SIZE Job No: 860004 Jaco #362 6401 S. H Street ~..~Bakersfield' CA 93304 J TRACER ~ ~ DETECTED? 1 ' Premium 12,000 2 Diesel 12,000 3 Unleaded Plus 12,000 4 Unleaded 12,000 Soil permeability is greater than 41.6 darcys. GROUND WATER INFO A NO R NO B NO R NO SYSTEM # DEPTH / GROUND WATER DEPTH / TOP OF TANK DEPTH / BOTTOM OF TANK (Inch) (Inch) (Inch) Tank I >200 30 126 Tank 2 >200 30 126 Tank 3 >200 31 127 Tank 4 >200 30 126 SITE COMMENTS Back fill in tank pits consists of packed sand. Backfill in piping trench is % to Vpea gravel Ground cover over tanks and pipeing trench.consists of concrete and asphalt. TEST EVENTS INSTALLATION INOCULATION SAMPLING ANALYSIS 3/14/02 3/14/02 3/25/02 3/27/02 FILL RISER - SPILL BUCKET TEST TANK # PASS/FAIL Tank I PASS Tank 2 PASS Tank 3 PASS Tank 4 PASS Submitted by; ,~o. jcct .Man0ger . '['racer Roseate h Corporation TEST COMMENTS General Tanks 1 through 4 are double wall steel with brine filled interstitial components. Product distribution, vent, stage I vapor recovery lines and stage I1 vapor recovery lines are single wall steel components. Tanks 1 Through 4 No detectable Tracer's in the tank excavation zone. There were light detections of TVHC (Total Volatile Hydrocarbons) in the tank excavation zone, ranging from 0.12000 mg/L tO 9.48000 mg/L. Product Distribution Lines, Stage 1 and 2 Vapor Recovery Lines and Tank Vent lines No detectable Tracer in line excavation zone. There were light detections of TVHC (Total Volatile Hydrocarbons) in the line excavation zones, ranging from 0.01000 mg/L ~o 1.33000 mg/k Conclusion Tank and line components are Enhanced Tracer Tight® at the time of testing Tracer Research Job No. 860004 Page 3 of 4 Sample Date: 03/27/02 CONDENSED DATA Location Compound Concentration(mg/L) 001 001 001 001 A B R TVHC 002 002 002 002 A B R TVHC 003 A 003 B 003 R 003 TVHC 004 A 004 B 004 R 004 TVHC 005 A 005 B 005 R 005 TVHC 006 A 006 B 006 R 006 TVHC 007 A 007 B 007 R 007 TVHC 008 A 008 B 008 R 008 TVHC TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (m°wfL).. Tracer values reported in milligrams/liter (rog/L). 0.0000 = Not Detected -999999.9999 = No sample 0.00000 0.00000 0.00000 5.40200 0.00000 0.00000 0.00000 0.85200 0.00000 0.00000 0.00000 1.96000 0.00000 0.00000 0.00000 2.61000 0.00000 0.00000 .0.00000 3.37100 0.00000 0.00000 0.00000 0.52800 0.00000 0.00000 0.00000 1.36300 0.00000 0.00000 0.00000 0.12000 Tracer Research Job No. 860004 Page 4 of 4 Sample Date: 03/27/02 CONDENSED DATA Location 'Compound Concentration(mg/L) 009 009 009 009 010 010 010' 010 011 011 011 011 012 012 012 012 013 013 013 013 014 014 014 014 A B R TVFIC A B R TVI-IC A B R TVHC A B R TXqqC A B R TVHC A B R TVHC 0.00000 0.00000 0.00000 9.48200 0.00000 0.00000 0.00000 1.18900 0.00000 0.00000 0.00000 0.33300 0.00000 0.00000 0.00000 1.33300 0.00000 0.00000 0.00000 0.46700 0.00000 0.00000 0.00000 0.00000 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (~mg/L). Tracer values reported in milligrams/liter (mg/L). 0.0000 = Not Detected -999999.9999 = No sample Tank 1 Tank 2 Tank 3 Tank 4 12,000 gal 12,000 gal 12,000 gal 12,000 gal Premium Diesel Plus Unleaded Tracer IAI Tracer IR] Tracer lB] Tracer IR] o o o o o .5 o E X p L A N A T I O N · I Sampling Probe Location ....... Approximate Pipeline Location ~racer 3q?esearcg ~'orpora£ion OoC D [ s p e n s e r s D i s p e n s e r s 10 12 13 Sidewalk ~.x% 14 Building 860004 f e e 10 J a c o 6401 SOUTH BAKERS FI ELD , # 3 6 2 "H" S T R E E T C A L I F 0 R N I A Figure 1 SHIRLE~NVIRONMENTAL TESTING ,~ L,C. P.O. Box 219 1928 Tyler Avenue, Suite K Nebraska City, NE 68410 South El Monte, CA 91733 402-873-4077 / 800-447-3490 626-444-7447 / 800-533-4030 SITE: JACO #362 (Fastrip Food Store)' 6401 South H Street Bakersfield CA 93304 SITE INSPECTION SHEET' DATE: 3-14-2002 CONTACT: Rodger Englen PHONE: 661-831-4709 JOB #: T5 009070 I-ank # 1 2 3 4 Capacity 12,000 12,000 12,000 12,000 . Dimensions 8'x32' 8'x32' 8'x32' 8'x32' Product Premium Diesel .Unleaded Plus Unleaded Type of Tank(ST, iFRP, DW/FRP) iType of Piping ~,(ST, FRP DW/FRP) iFill Pipe Diameter DWFRP DWFRP Steel Steel DWFRP Steel DWFRP Steel 4" : 4" 4" 4" iOverfill Device Ball Float ~ Ball Float Ball Float Ball Float iOverspill Device Flush with Grade Flush with Grade Flush with Grade Flush with Grade !Drop Tube Dual Point Dual Point Dual Point Dual Point ~.Condition of Sump i Pump Area (Wet, Dry Dirt Dry Dirt i Dry Dirt Dry Dirt iDry, Fuel) DELIVERY SYSTEM !Number of iPumps 1 1 '1 1 iSuction Pump N/A N/A N/A N/A '~Model/Brand N/A N/A N/A N/A iCheck Valve ' · ] Position N/A N/A N/A N/A ! : ~IPressure Pump Red Jacket Red Jacket Red Jacket Red Jacket ~Model/Brand Extracta Extracta Extracta Extracta ILeak Detector Red Jacket Red Jacket Red Jacket Red Jacket i Model/Brand XLP XLP XLP XLP iCondition & !discription of !dispenser pan !construction and idepth. Tight with no Tight with no , Tight with no · apparent leaks apparent leaks ~ apparent leaks Tight with no apparent leaks Comments: Apr 12 02 10:52~ 626-_4_44-7017 p.13 TRACER TIGHT® TEST RESULTS Prepared for: Shirley Environmental LLC P.O. Box 219 Nebraska City, NE 68410 Testers St Lic. No: 97-1579 SYSTEM STATUS SYSTEM # PRODUCT 4/1/2002 Job No: 860004 Jaco #362 I~'/~,-S{-Te--[() 6401 S. H Street Bakersfield, CA 93304 SIZE TRACER TRACER DETECTED? '1 Premium 12,000 A NO 2 Dics~l 12,000 R NO 3 Unleaded Plus 12,000 B NO 4 Unleaded 12,000 R NO Soil permeability is srcatcr than 41.6 darc~,s. GROUND WATER INFO SYSTEM # DEPTH / GROUND WA1 ER DEPTH / TOP OF TANK DEPTH / BOTTOM OF TANK (Inch) (Inch) (Inch) Tank I >200 30 126 Tank 2 >200 30 126 Tank 3 >200 31 127 Tank 4 >200 30 126 SITE COMMENTS Back fllt ia tank pits consists of packed sand. Backfill in piping trench is 'A to '/pea gravel Ground covcr over tanks and pipeing trench cofisists of concrete and asphalt. TEST EVENTS INSTALLATION INOCULATION SAMPLING ANALYSIS 3/14/02 3/14/02 3/25/02 3/27/02 FILL RISER - SPILL BUCKET TEST TANK # PASS/FAIL Tank I PASS Tank 2 PASS Tank 3 PASS Tank 4 PASS Submiffed by: ~Apr 12 02 10:52~ G26~4-?017. p.14 TEST COMMENTS General. Tanks I through 4 are double wal! steel with brine filled interstitial components. Product distribution, vent, stage 1 vapor recovery lines and stage II vapor recovery Iines are single wall steel components. Tanks 1 Through 4 No detectable Tracer's in the tank excavation zone. There were light detections o£TVHC (Total Volatile Hydrocarbons) in.the tank excavation zone, ranging from 0.12000 mg/L to 9.48000 mg/L. Product Distribution Lines, Stage 1 and 2 Vapor Recovery Lines and Tank Vent lines No detectable Tracer in line excavation zone. There were light detections of TVHC (Total Volatile Hydrocarbons) in the line excavation zones, ranging from 0.01000 mg/L to 1.33000 mg/L Conclusion Tank and line components are Enhanced Tracer Tight® at tl~e time of testing 12 O2 10:52a 626-444-7017 p.15 Tracer Research Job No. 860004 Sample Date: 03/27/02 CONDENSED DATA Page 3 of 4 Location Compound Concentration(rog/L) 001 A 001 B 001 R 001 TVHC 0O2 A 002 B OO2 R 0O2 TVHC 003 A 003 B 003 R 003 TVHC 004 A 004 B 004 R 004 TVHC 005 A 005 B 005 R 005 TXq-IC 006 A 006 B 0O6 R 006 TVHC 007 A 007 B 007' R 007 TVHC 008 A 008 B 008 R 008 TVHC TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L). Tracer values reported in milligrmns/liter (mg/L). 0.0000 = Not Detected -999999.9999 = NO sample 0.00000 0.00000 0.00000 5.40200 0.00000 0.00000 0.00000 0.85200 0.00000 0.00000 0.00000 1.96000 0.00000 0.00000 0.00000 2.61OO0 0.00000 0.00000 0.00000 3.37100 0.00000 0.00000 0.00000 ' 0.52800 0.00000 0.00000 0.00000 1.36300 0.00000 0.00000 0.00000 O. 12000 12 O2 10:52a 626 - 44-7017 p.18 Tracer Research Job No. 860004 Sample Date: 03/27/02 CONDENSED DATA Page 4 of 4 Location Compound Concentration(mg/L) 009 009 009 009 010 010 010 010 011 011 011 011 012 012 012 0[2 013 013 013 013 A B R TVHC A B R TVIIC A B R TVHC A B R TVHC A B R TVHC 014 A 014 B 014 R 014 TVtIC 0.00000 0.00000 0.00000 9.48200 0.00000 0.00000 0.00000 1.18900 0.00000 0.00000 0.00000 0.33300 0,00000 0.00000 0.00000 1.33300 0.00000 0.00000 0,00000 0.46700 0.00000 0.00000 0,00000 0.00000 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/Liter (rog/L). Tracer values reported ha milligrams/liter (m~dI.). 0.0000 = Not Detected -999999.9999 = No sample Tank 1 Tank 2 Tank 3 Tank 4 12~000 9al 12.000 9al ]2,000 9a~ 12,000 Premium Diesel Plus Unleaded Tracer [Al Tracer IR] Tracer lB] Tracer EXPLANATION )1 Sampling Probe Location ...... Approximate Pipeline Lobation 11 N Sidewalk 0 S lO I "" · Building 860004' J a c o ~ 362 F i 9 u r e July 30, 2002 Fastrip 6401 South H Street Bakersfield CA 93304 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFET'/SERVICES · ENVIRONMENTAL SER~CES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697~ FAX (661) 399-5763 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerel¢ Z~/7 S eve Underwood Fire Inspector Environmental Code Enforcement Officer D May 29, 2002 Fastrip - 6401 So. "H" Street Bakersfield, CA,93304 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-O576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 6401 So. "H" Street REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures April 17, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661 ) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fastrip 6401 South H Street Bakersfield CA 93304 RE: Necessary Secondary Containment Testing Required by December 31, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January I, 2001 shall be tested upon installation, six months after installation, and every 36 .months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize amd have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me'at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures _n Postage Lei ' I'FI Certified Fee ,,_i] Return Receipt Fee I [Z] (Endorsement Required) ~ Total Postage & Fees .34 2:20 .50 3.94 Postmark Here I '~J P 0 Box 1807 ~. r~~;'~'"":: .................................................................... ' · Complete items -1, 2, and 3. Also complete item 4 if Restricted Delivery is desired· · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ~ACO ~O~L FASTRIP #633 P O BOX 1807 BAKERSFIELD CA 93308 RE: 6401 S "H" ST 2. Article Number (Copy from service label) 7000 1530 0006 3456 3256 B. Date of Delivery [] Agent [] Addressee item 17 [] Yes enter delivery address below: [] No Ii ' Service Type [.~Certified Mail [] Express Mail [] Registered · [] Return Receipt for Merchandise [] Insured Mail ~ [] C.O.D. · Restricted Delivery? (Extra Fee) [] Yes PS Form 3811, July 1 999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVICE IFirst-Class Mail ] Postage & Fees Pai-d USPS Permit No. G-10 Sender: Please print your name address, and ZIP+4 in this box ° BAKE,i::I_SFIELD FiRE DEPARTMENT OFFICi:: OF ENVIRONMENTAL SERVICEs 1775 Chester Avenue, Suite 300 Bakersfield, CA 93301 B FIRE CHIEF, RON FRAZE ADMINISTRATIVE SERVICES 2101 UH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 D February 20, 2002 John Kerley Jaco Oil Fastrip #633 P. O. Box 1807 Bakersfield, CA 93308 CERTIFIED MAlL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Submit/Perform Annual Maintenance on Leak Detection System at Fastrip #633. Dear Mr. Kerley: Our records indicate that your annual maintenance certification on your leak detection system is past due. November 14, 2001. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, March 22, 2002, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney F E tl-- 2 $-- 0 2 M 0 H 1 ~ .' 5 3 FROM ~ = S = S = R . I N C = BSSR, Inc. 6630 Roscdal¢ Hwy., # B, Bakersfield, CA 93308 Phone (661) 585,2777 Fax (561) 588-2786 MONITORING SYSTEM CERTIFICATION ,,Thi.q .form mu~ be: used to documen! testing aad servicing of rnoilitoring equipment A s'~z~~~u~t b~ .?'.~[~ar~! fo~a~h monito~in~t~m Con~ol ~a~ by ~ tcc~ic~ who ~rforn~ ~c work A ' ' ...... ..Wifl~;~"the ta~3OSyStem~ay~: of°Wner/°perat°r't~s~ date :: " .... a~e ow~r/ope~tor, must submk a copy of ~hi~ form to ~o local ug~ncy regulating.. UST. syst~,. ~.. Geaerai lafi~ma60n ' ~f Equipment Tested/c~Nified Vauit Sensor, 'Trench Sensoi'('s). Modeh " Model: ....... Detector. Model: Li~ie Le~< Detector. . Model: ~CLS[SLO -.~..C~.'~_- ~d~l in Secti0~E on Pa Mod~l: O~ Yau!t $~.~sor. Modal: Tr~n,h Sensors). M~el~ Model: .... .. Leak D*ledor. Modal:' ffi'gh-Lev~l Sensor, Mod~l: ~, ~d mod~l in Se~tlon E on Comammen~ Sensm~s). Model: ?Valv'e(s~. and Model: Containment ~and Con3aln r(s). ~e(s)'. :nscr Containment Tank ID: {;S]'qn-Tank GaugingProbe, 0 Annular Space or Vault Sensor. ~ Piping Sump / Trench Sensor(s). D Fill Sump Sensar(s). Model: ; '- ". Modeli Model: .. llechankal Line Leak Detector. Model: ~ Tan~ Owrfill f High-Level Sensor. Model;~-"~'~7 ~'~.... '. 0 Other model in'Section E on Annular Space or Vault Sensor. Model: ' Piping Sump / Trench Sensor(s), .Model; ~ Fill Sump Sensor(s), Modch  cl~ani~al Lin~ L~ak D~t~ctor. Model: ctmnic Lin= L=ak Detector.. Model: Tank Overfill / High-Lcwl ~cn:or. Model: a~d model in S~ciion ~ on Pa Dispenser Containment Sensm(~). Model: ~hear , and Chain Dl~penser ID: Dispenser Containment Sensor(s). ~hear Valve(s), and Chain~ Dispe~'lscr ID: Dispenser Comainmcnt $cnsor(S), Model; ~ <nserContalnment Ploatl and 03/01 Page I of 3 "..h~m~ltOringSystem Certilleatlon co/italns mort tanks or disPCm;cr,, copy this form. Include information for every tank and dispenr, or at the facility. :'(::ertlficatlon * I certify tl~a/ the equipment identified in thb document was Inspected/serviced In accordance with the :~i~'(;i~atiol(:Is corral and a Piot'Plan showing ibc layout of monitoring equipment. For any equipment capable have ,also attac~d a copy of the repo~; (~eak aa that ap~ty)~ ~ S~m seFup~ ~ ~arm history r~Pokt .... FEB--25--02 MON i ~ '~ 55 '~ K. l~,~.Taak Gauging / SIR Equip~nent: FROM ~:. S. S.R. I NC. P. 02 C] Check ~his box i£ ~ank gaugiag is used only for in~cntor~ 0 Check ~his box if no ~ni ~u~ng or~$%R cq~pmcn~ This ~ection must be completed/fin-tank gauging equipment is used to perform le~ detection monitoring. Co,nl,)!e~e the follow~ln~ checklist. ' ~s,": '0 No Ha: all in u ..... : ' '~"=~=~"~-~"~"-~'-'-=='~"----~=~=~-~'~,=,~-~ ' I.~.~-;;~..i,_~:; . p t wanng been respected for pro, er entry and termin~Ha. ;~.l,,~;,.. ~:....:,~ ~ ~ .~I' ~.~ .~ g~ug~ng proves wsuauy ins ected for damn e and ' ' ' ' ' ~; ......... :. ,,,,: W S ~, racy of system prMuct level readmis ~ested? .... - ~ ~:',Y~' ~ ,:No* Was accuracy OfsYStem wat6~'level'}ead]~gs t'c'Sted~ ~:.:, 0 N~, W~re all probes te~stalled, properly? ' ~s'"~'; :'~ No',' w~e ,il'it:~ O ' ' ' , ' .'- . . . ,.~;~.;.~ :.,~_. . ...... n ~:pment manufac~et s maintenance checkl~t completed? *. .... ~ , ', i '; .... Q ~~~~.~~z.~a~~:~ ..... ~. ,~ ......... ' :!~...t~12~t!on H, below, d~rlbe how and when these deficiencies were or will be corrected. G..':I~ltle Leak Detectors ~LD): a Check this box if LLD~ ~ not installed, '. ;~ '~ ...,, .~, . .... , . checMIst: For equipment start-up or annual equipment c~-'rtification, was a leak simulated to verify LLD perfomaance'~ (Check all f~at apply) Simulated leak rate: ~ g,p.h.; ~ O. 1 g.p,h; ~ 0.2 g,p,h. ,..,~ ' ' W¢~'e'~tll LLDs con,fh, med oPetatiot~al aad"~c~m{t~ wltSi~ regulat~;~-requiremen~-'~ ................. Was the tes~'app~ratus l~';~PerlY 'calibra~d? .... ' Foz ~;~nie~l LLDs, does ~e' LLD re~h'ict p~'o&m~' flow if'it detects ~ ie~k? For ,lee~0nic ~s, doei'~e m~'~e au~ma~c'ali~ shu{'off ir ~,e' LI;D de{eets ~' 1~ ........... F~ ~l~onic LLDs, doe~ ~ mxb~ autO~acali~"sh~t off if'any portion O~ disCo~c~d? .................. ' 'ro~ ~c~'"t~; d,~~ ~ ~'~n~ ~uto~ca~ ~'~ 0~'~ ~l~ncfions or fails a test? For elec~onic LLDs, have all acce~S~le wi'r]~ c°~mectio~ been visually ~spec~cd? Were ali items,~n the equipment mmaufach~rer's maintenance checklist coaplcted? .................. H) below, describe how arid when these deficiencies were or will be corrected. Com.:meats: .. .............................. Page 3 of 3 i $ : 55 FROM B . $ . S . R . I NC . P . ~"all sensor'~ Visu~l~~d ~nctionall tcs~cd and co~nncd- ?' "' ~':No* Were all Sensors in~tallcd a~ Iow~st po~t of secondai~ contai~ent and positioned so ~a!: ot~r c~i~cni will aI~s arc .relayed to a remote monitori, s station, is all co~unkations".'qUipi~nt (a~ ."?od~m) ' ....' ' a U~l=e ~e ~O~itoring aystem as ~c pnm~ ta~ 'ov~I!lli warn}hi ~ev~ce.. ~.e. no No* ~. sys~e~ th valve is Mstalled), is tM ovcrill wamh~S alarm visiB!c ~d: audibl~ 2t': ~ ta~ 'N/A mechanical does W~ ~y monit~Mg iqulp~nt"~laced? If yes, No . Was liquid fo~d ~uid~ any seconda~ condiment syst~ designed as Was"~Mtor~i iyst~ s~tiup r~Vi=wcd to'i~ure proper .,. ~ ,,~ below' d~crlbe how and.~he~ these d~fldcnties were ' ~ ' '. ,~' .'~ ":' '":',": ?' ..' .,. ;,,.,:,:./ ., : ['age :~ of 3 FEB--25--02 MOll 1 ~ .- 56 FROM ID. S= S= R= P. 04 Mop~tO~!ng System Certification UST Monitoring Site Plan Instr._uction~ [f.yocaJready have a diagram that. shows ali required information, you may includ~ it, rathor than this page, with your M~nii~ii~g Syste~n C~i~oatio~, On y~ si~ plan, ~how ~e general layout of tanks and piping, ,Clearly idcnti~ ,~;.~;~;'~i~f't~ follOwin~ ~6uivment, if installed: monitoring system ~on~ol panels; s~nsors momtormg tan~ ann~la~ ~e~i:~ '~d'in:~ank liquid level probes (if used for leak detection), In the ~pace provided, note me date this Site Plan 1928 Tyler Avenue El Monte, CA 91733 (626) 444-7447 (800) 533-4030 Fax (626) 444-7017 January 11, 2002 Mr. Steve Underwood City of Bakersfield FD CUPA 1715 Chester Ave., Third Floor Bakersfield, CA 93301 RE: Enhanced Leak Detection Testing at JACO Oil Co. 6401 South H Street., Bakersfield CA 93304 Dear Mr. Underwood; Below is our work plan for performing Enhanced'Leak Detection' (ELD) on four (4) underground stOrage tank(s) CUST's). Shirley Environmental Testing, LLC (SET) will provide ELD services to JACO Oil Company at the above-referenced location. SET is a licensed affiliate of Tracer Research Corporation providing ELD serviges throughout California. Copies of the Tracer Enhanced Leak Detection Certifications are enclosed. IF you have any quest, ions regarding our approval for ELD, ·please contact Jimmy Humphries at Tracer Research. His phone number is (520) 888-9400. The scheduled work-plan is to provide enhanced leak detection services (0.005 gph sensitivity), to the facility listed above, with a technological method that meets the requirements set forth in SB 989. According to i.nformation provided by JACO there are (4) UST's containing motor vehicle fuel. The tanks will be inoculated with individual Tracer. Inoculation Will be performed following strict guidelines established by Tr. ace[ Research. We would prefer to begin the first phase of this three-day project ASAP per your approval. Approximately 10 Probes.numbered 1 - 10 will be installed around and between. the tanks to a depth of approximately 10 'feet below grade. An additional 14 probes numbered 11 ~ 24 will be installed to a depth of 12 inches'to 18 inches below grade along the vent lines and piping runs. Samples may also be taken from any applicable tank or piping annular spaces (#25, etc). 24 discreet gas samples will be collected from the probe locations approximately 7 - 10 days from the date of inoculation. These:will also be collected following strict Tra6er ResearCh guidelihe-sV-Th~-samples willbe.'~.fffilyze-das discreet san~pq6s. Additionally, the sPill buckets are water tested. The 'samples will 'l~e,submitted under chain-of-custody to Tracer Research's Laboratory in Tucson, Arizona for analysis. Results. Will be forwarded to JACO as soon as they are made available to SET (approximately 5-7 working 'days following Tracer Research's receipt of the samples). The probe locations used in this study will be based on information provided by JACO. Pl~e.a~e.call me if you'~ ' : need additional information'. Thank you. ~our . Compliance Manager - Shirley Environmental Testing, LLC cc: David Palmer (JACO) / _. .Enwronmental Testing,-L..k;C. ,. ~ i "~ LoRI .', -' ,' ~ -. . Complianc~ Manager, -,; . -?1928*~yle¢ Avenue,-Suite K . -(626) ~-7~7 - Y.~ .South El Monte, CA-91733-3622 -' -(800) 58~-¢030 ,N.' [ '" ' : . ,. : ;". '~' '" ' '~ ~" :; ~" : "; '-~" Ifreshour~shirley~nvironmental.com Fax'(626) 4~;7017' Shirley Environmental 1928 Tyler Avenue E1 Monte, CA 91733 (626) 444-7447 (800) 5334030 Fax (626) 444-7017 January 11, 2002 Mr. Steve Underwood City of Bakersfield FD CUPA 1715 Chester Ave., Third Floor Bakersfield, CA 93301 RE: Enhanced Leak Detection Testing at JACO Oil Co. 3801 Fruitvale Ave., Bakersfield CA 95308 Dear Mr. Underwood; Belowis our work Plan.for performing Enhanced Leak Detection (ELD) on four (4) underground storage · tank(s) CLIST's). Shirley Environmental Testing, LLC (SET) will provide ELD services to JACO Oil Company at the above-referenced location. SET is a licensed affiliate of Tracer Research Corporation providing ELD services throughout California. Copies of the Tracer Enhanced Leak DetectiOn Certifications are enclosed. IF you have any questions regarding our approval for ELD, please contact Jimmy Humphries at Tracer Research. His phone number is (520) 888-9400. The scheduled work-plan is to provide enhanced leak detection services (0.005 gph sensitivity), to the facility listed above, with a technological method that meets the requirements set forth in SB 989. According to information provided by JACO there are (4) UST's containing motor vehicle fuel. The tanks will be inoculated with individual Tracer. Inoculation will be performed following strict guidelines established by Tracer Research. We would prefer to begin the first phase of this three-day project ASAP per your approval. Approximately 10 probes numbered 1 - 10 will be installed around and between the tanks to a depth of approximately 10 feet below grade. An additional 14 probes numbered 11 - 24 will be installed to a depth of 12 inches to 18 inches below grade along the vent lines and piping runs. Samples may also be taken from any applicable tank or piping annular spaces (#25, etc). 24 discreet gas samples will be collected from the probe locations approximately 7 - 10 days from the date of inoculation. These will also be collected following strict Tracer Research guidelines. The samples will be analyzed as discreet_ samples. Additionally, the spill buckets are w~fer tested~ The samples will be submitted under chain-of-~ustody to Tracer Research's Laboratory in Tucson, Arizona for analysis. Results will be forwarded to JACO as soon as they are made available to SET (approximately 5-7 working days following Tracer Research's receipt of the samples). The probe locations used in this study will be based on information provided by JACO. Please call me if you need additional information. Thank you. Sincere_ly, ~ Compliance Manager - Shirley Environmental Testing, LLC cc: David Palmer (JACO) Tracer Research C o r p o r a t i o n Tracer T]mght® "Enhanced" Leak Detection Me, od Manufacturer's CertifiCation - Cert/fies: LiGenaed Aflfllate Certiflca~n Valid Ryan King Shirley Environmental f l/la/Ol Thru 01/02/03 The employee listed above has completed sufficient training and/or requirements and has demonstrated certifiable knowledge to perform Tracer Tight~ Leak DetectiOn Services. Termination with the aforementioned company will void the Tracer 'right® certification. Certified By, Jimmy Humphrie8 Affiliate Manager HOV-i~-~% 14:5~9 TRFL"ER RE5E~ CORP 5~dl~b H.~i Tracer C o r p o r a t i o n Tracer~!ght® "Enhanced" Leak Detection Met-h_od Manufacturer's Certifii:atiOn Certifies: Li~;enaed Affiliate Certifica~on Valid James Davis Shirley Environmental 11/f 6/0~ Thru 01/02/03 The employee listed above has completed sufficient training and/or requirements and has demonstrated certifiable knowledge to perform Tracer 'P~ht® Leak Detection Sewices. Termination with the aforementioned company will void the Tracer Tight® certification. Jimmy Humphries Affiliate Manager Tracer Research C o r p o r a t i o n Tracer_Tight® "Enhanced" Leak Detection Method ..... Manufacturer's Ce~ifi~:ati0ff ..... Cerlffles: Ron Johnson Licensed Affiliate Shirley Environmental Certification Valid ff/f6/Of Thru 0f/02/03 The employee listed above has completed sufre;ient training and/or requirements and has demonstrated cert~able knowledge to perform Tracer Tight~ Leak Detection Services. Termination with the aforementioned company w~ll void the Tracer Tight® certification. ~ Certified By, Jimmy Humphries Affiliate Manager Tracer Research C o r p o. r a t i o n Tracer Tight~ "Enhanced" Leak De~ection Method ..... ~anu~a~tu re~s · Ce~ifi~.~ti6n ................ Cart/f/es: Li~rmed Affiliate Cer~cation Valid Gary Swanson Shirley Environmental 11/16/01 Thru 0f/02/03 The employee listed above has completed sufficient training and/or requirements and has demonstrated certifiable knowledge to perform Tracer Tight® Leak Detection Services, Termination with fJle aforementioned company will void the Tracer Tight® certifi~aon. Jimmy Humphrle$ Affiliate Manager TOTRL P.[~6 Tracer Research C o r p o r a t i o n T_. ~ra~__~_Tig~t_~_"En_ha~n .._c~__- Leak Dete~cti_ '~n~_ivl_e~h__o~ Manufacturer's Ce~fication Cert/f/e~: I. icer~ed Affiliate Cet/ff/cat/on Valid Dan Marinesou Shirley Environmental 11/16/01 Thru 01/02/03 The employee listed above has complel~l sufficient training and/or requirements and has demonstrated certifiable knowledge to perform Tracer'r~ght® Leal( Detection Services. Termination with the aforementioned company will void the Tracer Tkjht~ Jimmy Humphrie~ Affiliate Manager NOU-2CJ-2E~! 14:39 TRRCER RE~ C°RP ~L:::~:~31~ P.03 Tracer Research C o r p o r a t i o n Tracer~Tight® "Enhanced,_Leak_~D_e_t~e~ct:i_op~ Method Manufacturer's Certification Certifies: Daniel Willenberg Licensed Affiliate Shirley Environmental Ceitlflcation Valid 11/16/0~ Thru 01/02/03 The employee listed above has completed auff~Jent training and/or requirements and has demonstrated certifiable knowledge to perform Tracer Tight~ Leak Detection Services. Termination with the aforementioned company will void the Tracer Tight® certification. Certified By, Jimmy Humphries Affiliate Manager FAS'TRIP 633 6401SI}.H ST BAKERSFIELD CA.9330 661-831-4709 DE(] 11. 2001 9;28 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T I~PREI"IlUM VOLUME = 3061 GALS ULLAGE = 8939 GALS 90% ULLAGE= 7739 GALS TC VOLUME = 3057 HEIGHT = 29.02 WATER VOL = O WATER = 0.00 INCHES TEMP = 94,0 DEC F T 2:DIESEL VOLUME = 334? GALS ULLAGE' v~- -= - 8653-~JAES-' 90% ULLAGE= 7453 GALS TO VOLUME = 3344 GALS HEIGHT = 30.96 INCHES WATER VOL = 30 GALS WATER = 1.25 INCHES TEMP = 74.3 DEC T 3:PLUS VOLUME = 2818 (]ALS ULLAGE = 9182 GALS 90% ULLAGE= 7982 GALS TO VOLUME = 2815 GALS HEIGHT = 27.35 INCHES WATER VOL = 0 GALS - WATER = 0.00 INCHES TEMP = 70,7 DEG F T 4:UNLEADED VOLUME = 5400 GALS ULLAGE = 6600 GALS 90% ULLAGE= 5400 GALS TO VOLUME = 5396 GALS HEIGHT = 44.23 INCHES WATER VOL = O GALS WATER = O.O0 INCHES TEMP = 69,~ o ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA'93301 FACILITY NAME ~,64~'alt~ ADDRESS (~ ~/~ I $ ,'-t{" ~_?- FACILITY CONTACT PHONE NO. BUSINESS ID NO. 1:5-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [] Routine ~ Combined [~ Joint Agency [] Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS · Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy / Verification of inventory materials Verification of quantities L/ / Verifi'cation of location t.~/ / 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: Yes ~ No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. · Yellow - Station Copy Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE 12,/ll/OI Section 2: Underground Storage Tanks Program I~1 Routine ~ Combined [] Joint Agency Type of Tank Type of Monitoring A-T(o [221 Multi-Agency . [] Complaint Number of Tanks Type of Piping [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file [,~ Permit tees current {.,,, Certification of Financial Responsibility ~, / Monitoring record adequate and current Maintenance records adequate and current ~ Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance /~,. =Violation~ Y=Yes N=NO Inspector: ~ ~~f~/~'~q~ Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy CA 93308 Phone (661) - :..(~) 588-278.6 This form must be used to doc~ent t~g ~d se~cmg of momto~g eqmpmen~ A SeP~ate c~m~Cgtmn o~ r~O~:'m~gt ~.': D.'Annal~'.S~% or Vault Seo~ri~ ',.-M~F:' ~':t -?,'~." ~' '~,:.-" ' ' - ~ ~PMg S~I T~ Sen~(s): ' ~1:"'.:.: ~ ]" :/~-: '' -. ~ FitlSumpSenso~s), " '" :~: M~el:'.": :, .:-'.:'....':.,v.- - ,  ~igal.~ine L~ Dete~or. ,d MM~k , L, -:. :, ~ ..': ,.;, :.-... ~ ~onic~ine L~Detector, ', M~el: ~ O,~ ~-..' ~ T~ O~e~ll / Hi~-Mvel Sensor. M~el .. Dispenser. Containment Sensor(s). Model: · Containment F! and e,ff.~r Containment gensor(~), Model:~- Valve(s).. : Float(s) ind Chain(s): {21H~-T~k 0fiuginff Probe:' ~. ~nU]~ Spa~ O~ Va~tS~sor. :~ Piping Sump~ Trench ~ ~i!l $~P.$~so~s). .... ~ O~er (~J~ ~uipm~t ~ , .[.. - ': ' ....... a Dis~nser'Contain~nt ,. ~h~ Valve(s), ..... ': a DiSpOser CoMainm~t Hoa{s m: 't' 5' a Dinner Con~inm~[SenS0~S)~ ...... .~ ~h~ Valve(s'), a Dis~n~.c~m~ment Flpat(,s) m:_.: ..g RC..- ': O 'D~spenser Containment-Sen~r(-s). M0d~l: ' ~_," 0 Disp'efi~? Cbniain?nent Si~nsot(s),"j Model: ......... [it~hear Valve(s):'-.: ..... . .... .-.- .... :; :-,. ~ 7.-...-.: 7,. .lil~,ear~ "_V, aN~s).:. : ........ _ . Imcnt and ~' Dispenser containment Float(s) and ~l~ain(s)~ ' :' "' *if the facility contains more tanks'&'diilL--figeis, copy ttiis form. Include'information for everytank and disimnsex at tile facility C,' C-ei-tifieatiSii ':.-i eeriffy'-tli~' the equipni~nt'"id~e, ntifled-- la :this- doeament--was7. Inspected/servie~_ in manufacturers: guidelin~s' Attaehed..t°-.~is..Ce..r0fleatlon is Information (e.g, manufacturers' ehecldists) necessarY to veOfy ma$ this · information is enrreet and a Plot Plan showtng ~e laYOut'of moalfoLrjng'CaPiFpme~t: For any equipment capable of. gen. evatln~" such rep0tts, I ha~e also atta~__,eda copy oft~e reP0~ (e~ee~.alttl~pty): ...... 121 S s~t~..m,s.e}-.upA ~l~.Al.~r.m_h_i_St, o..ry Techniciar~.N.a_me(p__r~.0: -{-'II~t~'L ~O~II~LO i Signature:'' ,4,~_~o~ Certification~No.:__ |. OQ.'~_~ .' License: No.: (~"~r~L t~ Testing Company Name: ~)'~$~,, Si,eAd ess: 6650 _H oq Page I of 3 Monitoring System Certification O~ R~ults of T~Sting/Servi~ing Software Version Installed: checklist: a Y% a No* We~ all sen~ ~lled at lowest ~t ofs~nd~'conm~t and posifi%bd so ' ' ? not ~te~e~ wi~ ~ek pr~r open,on? -' '-"' · . - ~- ~.a~* ~'~ ~.~laY~. ~t° a;-~emotc 'monitg~g afion, As. h~...co~~,~nt. (~.~ ~) '" "'~k~A' FO~ ~~~P~Pmg ~' ~ ~ ~me auto~fi~Y shut ~'~te p[pmg.sec~a~'~n~t . . ;' ,.l~ ~ . , momto~g ~ d~ a 1~ f~ to ope~, pr'~ el~.~co~t~?. .... i..'_ _~: !':posi~ve ~hut-d~?~ ~C~ck all that app~: ~: S~rcnch S~, ~. _ ~ .' ': Did you 97~ ~iflve shUt-do~ ~e ~'l~d se~/r ~Ojsc~nn,~6o~? ~ 9 ~ _ 'F°r ~_ ~S~ &at uh~ !~. ~to~g ~Et~ ~s &e. ~ ~nk'0~ ~g'de'~ce (i.e.:~ '... ,' .~d H~,!~ ~~ ~m~,~d.m~o! for a~ r~la~m p~ ~-~ff0~- ~' a Y~* ~ No .... ~ ~d fo~d ~ide'~y.~~:~o~ent ~ d~ a~.syste~?, f~'~H ~ ~ply)~ ~---~ -. O~CC aWa~Lff~,-d~,,~~g~fiOnE;~Iow..-'~. .':, ? In Section E below, d~rlbe how": wePe-or'Will be ' ?.';. ':~ .; ';- ~' "- :.".'~ . --_ ,~ , .. .~ _ ._., _. ¥~.... :.,':/' ::',~ ... . ..: ....... ;., ,.-. :_...'...*.. E. Commen~:- --1~'~i~,~_~ C"~k'Y. 'i,"~/K} I/.~-'.~ ~ O/~O*i ~I;O~'~. _' ~,-e~ : !-~ 'a ~:.C ~.'~ ~ ..... ~ , *, ' ' - "- " " '* ,~r,~ ,' : ;~ Page 2 o1~3 'E. l~Tank Gauging/'SIR Equip : ~ Check'this box if tank ga~mg is' Used only for inventory ~ontrol. 121 CheCk this box if no tank gauging or SIR.eqPip~ment is installed.. This section must be completed if in,tank gauging equip'ment i.s,' used to perform leak detection monitoring} ~lete the following,checklist: ' ............ ~ .... ~i~.,;'r~{ f,~::~ ..... ~ : '''~ ' * In the Section H, below, describe how and when th.ese deficiencies were or will be'CorkeCted.'", . ' ~, : ; ' '? ': .. G. :Lh~e Leak'Detectors'(LLD)f ' "'ti clieck ~is l~ox:ifLLDs hre,n~t installed! .. : .....'..: . .... . ' ,1etethefol~owingchecklist::.,''' ' ' ' .' · :',. '., , . ..... .- .... :>.., .. , ~ In the SeCtion H, below, descn~be how' and when these deflgiencies: were or will be COrrected2 ..' '. ' : ... : ~ Corn ents: .... ' Page 3 of 3 f you already have a diagram that.show,.aH.required inf~ .rm.~-tign, you~ may~,includ¢ it, rather than this page, with your /lonitoring.System Certification. On your site plan, show 'the general layout Of tm~"-and isiping: CleariYidenti~]''- 0catio~ of the foliowin~ 6qi/i'pnieiit,' if ins~talled: -monit°ring system -control panels; sensors monitoring, tank.annular paces; sumps,' al!spenser pans, spill Containers,. or oth~. sc .~ndary containment areas; mechanical or electronic line leak ietectors; and in-tank liquid level probes (if used for leak detection). In the space provid~, n0~e the date thi§ Sit~ Plan cas prepare& _/~ ,. , Page __ of__ 05/00 Jaco DiSpenser Infennatim , zip: q~DoH C.a'~Phone#:_t &61 ), J5"5 ~.- Dale of Testirtj/Senid~ ~.~. I t I OI Shear Valve(s) D~ Conta~ Fk~S) Shear Val~s) ' spenser IE ' She= va~(s). · ,O~per~er Cen~nm~ Fk~e and ,chis). JCl D, iSpen~ ~ · ,Fk~$) anti ~n(s). Dispenser ID: 13. DisPenser Containment Sensor(s). Moda: Disper~.,er ConSminment Se~s). Model: . She=Valve(s) ' ' o~ c '.~,,"~ F~s).~ c~.(s)., D August 3, 2001 FiRE CHIEF RON FRAME ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-O576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DWISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fastrip 6401 South H Street Bakersfield Ca 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 3 l, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm D January 22, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326~0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fastrip 6401 S "H" Street Bakersfield Ca 93304 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank DiSpenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with · regard to the Senate Bill 989, which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On · December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your permit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you. to start planning now to retro-fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector Office of Environmental Services SBU/dm Construction & MECHANICAL Continuous Monitorin( TEST DATE //- J//; ("~O FACILITY NAME ' ADDRESS ~ ~/~ / ~-~. 'I'/'. (661) 871-1788 Device Certification FAciLITY NUMBER ~'~' ~ CONTACT PERSON TELEPHONE C4:/ ZIP CODE MAKE AND MODEL OF MONITORING SYSTEM '~.R, ~'~' ~ TANK 1 TANK 2 TANK 3 TANK 4 Contents of Tank Capacity of Tank Type of Product Line (Gravity, Suction, Pressure) INDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR No IN THE APPLICABLE BOX.' Annular Space Sensor Sump Sensor Dispenser Containment Sensor Electronic Overfill/Level ~-'/~)~ Electronic In-Line Leak Detector Mechanical Line Leak Detector In-Tank Gauging Device ~NDICATE THE FOLLOWING BY PLACING A YES OR No IN APPLICABLE BOX: Does the Monitoring System have audible and visual alarms? Does the turbine automatically shut down if the system detects a leak, fails to operate or is electronically disconnected? Is the monitoring system installed to prevent unauthorized tampering? Is the monitoring system operable as per the man'ufacturer's specifications? Which continuous monitoring devices Initiate positive shut down of the turbine?L--///]C ~-d~'~'¢./~'~' 5~'J~So)' CERTIFIED TESTER'S ID# SIGNATURE OF CERTIFIED TECHNICIAN PRINTED NAME OF CERTIFIED TECHNICIAN TESTING COMPANY NAME & TELEPHONE IDATE CERTIFICATION DATA