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Home My WebLink AboutUNDERGROUND TANK FILE 2I. FACILITY/SITE Bakersfield Fh-e Dep~ ..... ~ HAZARDOUS MATERIALS DIV~iON ....... ' 2c!30 G ,Street, Bakersfield, CA 93301 ~]~.~ (805)326-3970 ~N~RGROUND TANK QUESTIONNAIRE RE JUL 3 1 1991 No. OF TANKS ~ ~0.Ar~ ~c~ HAZ. MAT. DIV. DBA OR FACILITY NAME ADDRESS CITY NAME . NAME OF OPERATOR I NEAREST.C~ROSS STREET PARCEL No.(OPTIONAL) C ~/~c~ s!. STATE ZiP CODE c~ q'33o ~ BOX TO INDICATE TYPE OF BUSINESS Q CORI~)RATION '~,~ GA $ STATION FARM 1 D INDIVIDUAL D PARTNERSHIP ~ LOCAL AGENCY DLSTRICTS~OUNTY AGENCY ~$TATEAGENCY [~FEDERAL AGENCY DISTRIBUTOR KERN COUNTY PERMIT U,P~-,oR USOTNER TOOPE"~TENO.~:~OI EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE NIGHTS~NAME (LAST. FIRST~ PHONE No. WITH AREA CODE II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME ~,~ ~.~. L~ ~-/~r "~.. ~gjf~-~'~'~.,~""~l~..~./t,~l~'~'"t~l~- CARE OF ADDRESS INFC)RMATION V MAILING OR STREET ADDRESS CiTY NAME EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE - BOX ~ INDIVIDUAL LOCAL AGENCY ~ STATE AGENCY TO INDICATE Q PARTNERSHIP ~ COUNTY AGENCY ~ FEDERAL AGENCY /.E ZiP CODE PHONE NO. WITH AREA CODE III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME MAILING OR STREET ADDRESS CITY NAME ~' BOX ~ INOIV~OUAL TO INDICATE [~ PARTNERSHIP LOCAL AGENCY [~ COUNTY .AGENCY ~ STATE AGENCY FEDERAL AGENCY STATE ZIP CODE TPHONE No. WITH AREA CODE OWNER'S DATE VOLUME PRODUCT TANK No. INSTALLED STORED DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE IN SERVICE ¥/N ¥/N ¥/N ,. ~ ~? /~ill one segment i for each tank, ~,~-~:-~' ~ constructed of th~same materials, - - one segment out. please identify ~ I. TANK D ESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF: UNKNOWN JC. DATE INSTALLED (MO/DAY/YEAR) I~ ~'~13;hC.4~k..~ unless all anks and piping are style andl )e, then only fill tanks by owner ID #. B. MANUFACTURED BY: D. TANK CAPACITY IN GALLONS: ~ C)t,.. boo III. TANK C0NSTRUCTI(~N MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF -----~/~ t DOUBLE WALL [] 3 SINGLE WAll WITH EXTERIOR LINER {-~ 95 UNKNOWN SYSTEM ,~ 2..,SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANk3 99 OTHER TANK ~ BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank) [] g BRONZE [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLEW/FRP ] 99 OTHER [----] 1 RUBBER LINED [---] 2 ALKYD UNING r'~ 3 .EPOXY LINING r-'-] 4 PHENOLIC LINING C. INTERIOR ~ ' ' ~ ['~ 5 GLASS LINING [] 6 UNLINED UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO~ D, CORROSION ~ I POLYETHYLENE WRAP F"~' 2 COATING ~__~//~,"VINYL WRAP PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE ~ 95 UNKNOWN ] 4. FIBERGLASS REINFORCED PLASTIC [] 99 OTHER IV. PIPING INFORM,,ATION C,RCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE ~/' ~.~ ~ SUCTION · A [,J 2 PRESSURE A IJ 3 GRAVITY A U 99 OTHER B. CONSTRUCTION/C~ SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 8ARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A LI 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM .~ U 6 CONCRETE J~ U 7 STEEL W/ COATING A U 8 100"/. METHANOL COMPATIBLEW/FRP PROTECTION ~ g GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNO,~ A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING ~ 3 INTERSTITIALMoNiTORiNG [] gg OTHER V. TANK~ LEAK DETECTION/' [~r-~-~ 1 viSUAL CHECK ir---i~ 2 INVENTORY RECONCILIATION [] 3 VAPORMONITORING[----I 4 AUTOMATICTANKGAUGING [----] 5 GROUNDWATERMONITORING TANK TEST,NG [] ,NTERST,TIALMO.,TOR,.G NONE UN.OW. OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECI~ IF UNKNO~ J C. III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B. ANOC. ANDALLTHATAPPLIESINBOXD A, TYPE OF ~ 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM ~ SINGLE WALL [] 4. SECONDARY CONTAINMENT (VAULTED TANK) [] gg OTHER ~1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL (Primary Tank) ] 5 CONCRETE ] g BRONZE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 8 100% METHANOL COMPATIBLE W/FRP ] 99 OTHER C. INTERIOR LINING D. CORROSION I PROTECTION ~ 1 RUBBER LINED ~'~ 2 ALKYD LINING [] 5 GLASS LINING [] 6 UNLINED IS LINING MATERIAL COMPATISLE WITH 100% METHANOL ? ~ 1 POLYETHYLENE WRAP [] 2 COATING [] 5 CATHODIC PROTECTION [] 91 NONE [95EPOXY LINING [] 4 PHENOLIC LINING UNKNOWN [] 9g OTHER YES__ NO__ ./ VI~L WRAP [] 4. FIBERGL.~S REINPORCED PLASTIC UNKNOWN ~ gg OTHER IV. PIPING INFORMATION C~RCLE A ,FASOVEGROUNDOR U IFUNDERGROUNO, BOTH IF APPLICABLE A. SYSTEM TYPE u/'"~-I~ ~ SUCTION A U 2 PRESSURE A U 3 GRAVITY A IJ 99 OTHER B. CONSTRUCTION A U I SINGLE WALL A U 2 DOUBLE WALL A IJ 3 LINED TRENCH A IJ 95 UNKNOWN A IJ 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A IJ 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PiPE CORROSIONv'f ~-p)A/(~ 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U a 100"/, METHANOL COMPATIBLEW/FRP PROTECTION g GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOW,~ A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING ~'"3 INTERSTITIAL MONiTORING [] 99 OTHER V. TANI~.LEAK DETECTION / .- ,./, ,s AL C ECK ,NYENTORY RECONC,L'AT'ON vAPo. MO.,TOR,NG []., A TOMAT,C,'A.K GAUG,NG GROUND WATER.ON'TOR'N 6 TA~K TESTING i__--~ 7 INTERST'TIALMONITORING -_] 91 NONE ~ 95 UNKNOWN ~ 99 OTHER K E:;RN COU N TY R ESOU RC E I~AI AG E~I~i EN T ~, ENVIRONMENTAL HEALTH SEI~/,IOES DEPARTMENT ~ ~700 "M? STREET', SUITE 300, 8AKEf~SFIELD, CA.93301 (805)861-3636 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT.* PERMIT TYPE OF FACI'LITY NAME:K~RN CO. N ........ L iL~,I,4~ ......... FACILITY ADDRESS:~.,:O .~I' ~ o,R ............... ", BAKERSFIELD, CA ONNERS NAME:SBD GROUP, INC. . . ................. O P E R A T O R S N A M E: .~,~,W.~,~.~,...~.~..,..~.~.~.~:{ ............................. ' ........................................................................................................................................................ COMMENTS: .................................. : ............................................................................................................................................................................................................................ ITEM , PRIMARY CONTAINMENT MONiTORiNG: a. :intercepting an directing system O .~andard InVentory Control c. Modified Inventory Control d. In-tank Level 'Sensing Device e. Groundwater Monitorin~ · F. Vadose Zone Monitoring .~/~aECONDARY CONTAINMENT MONITORING: · Liner b.- Double-Walled tank c. Vault .(?PIPING MONITORING: ~)' Pressurized' "~ 'E... Suction. ii .C.. Gravity:. ~) OV'ERFI~L PROTECTION:".'.;~:. TIGHTNESS TESING NEW CONSTRUCTION/MODIFICATiONS CLOSURE/ABANDONMENT UNAUTHORIZED RELEASE MAINTENANCE GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY KERN'CO~Y' " AIR POLLUTION CONTROL D~ICT 2700 "M" street, Suite 275 <~. Bakersfield, CA. 93301 (8.05) 861-3682 PHASE II VAPOR RECOVERY INSPECTION FORM Station Location ~mpan~ ~d're~ · Inspector ~, .City System Type: Notice' Rec'd B NOZZLE # GAS GRADE NOZZLE T~PE '1. CERT. NOZZLE 2. CHECK VALVE O 3. FACE SEAL Z Z 4.' RING,..I~VET E 5. BELLOWS 6. SWIVEL(S) ' ' 7. "R_OW UMiTER (EW) 1... HOSE coNDITION' A 2. .. LENGTH .... P 0 3. CONFIGURATION 4. SWIVEL H. · 5 OVERHEAD RETRACTOR - . . · ,~,~.'?':.-' ..... · 'E... 6. .pOWER/PILOT ON' '" '' I" .~. '. 7.. SIGNS pOSTED ... Key.to system types: Key to deficiencies:· · NC= not certified, B= broken ..... BA=Balance · ~ HE =Healey M= missing, TO= torn, F='flat,. TN= tangled · RJ =Red Jacket .' GH=Gulf Hasselmann AD='needs adjustment, L= long, '-- LO= loose, HI =Hirt HA =Hasstech S= shod MA= misaligned, K= kinked, FR= fraYed. ~:~ INSPECTION RESULTS COMMENTS: Key to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged 'out-of-order until repaired) U= Taggable violation but left in use. VIOLATIONS': SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION. : ' NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION ....... Company Mailing. Address Date~ Inspector· Phone KERN C~INTY AIR POLLUTION CONTROL 2700 "M" Street, Suite 275 Bakersfield, CA. 93301' (805) 861-3682 J~I'RICT PHASE I VAPOR RECOVERY INSPECTION FORM 1. PRODUCT (UL, PUL, P, or R) 2. TANK LOCATION REFERENCE 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. FILL CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT PROPERLY SEATEQ 8. GASKET MISSING FROM FILL CAP 9. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 11.' VAPOR ADAPTOR NOT TIGHT 12. GASK~:T BETWEEN ADAPTOR & FILL TUBE MISSING / IMPROPERLY SEATED Sys,t,em Ty, pe: Sep. Ri~er~axl~i~ TANK · 1 / TANK ~2 TANK ~3 TANK ~4 13. DRY BREAK GASKETS DETERIORATED 14...,EXCESSIVE VERTICAL PLAY IN .' ~;' COAXIAL FILL TUBE 15~!~:" COAXIAL FILL TUB~: SPRING "'" MECHANISM DEFECTIVE 16. TANK DEPTH MEASUREMENT 17. TUBE LENGTH MEASUREMENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) !. 19. OTHER 20. COMMENTS: ~r ..~W. ARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209, 412 AND/OR 412.1. THE CALIFORNIA HEALTH. & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- ~ TIONOFTHEVIOLATION(S) ~r~WWW~r~r~r~r~r~'~r~'W~W~rWWWW~WW~%~WWWWWWWW~W~ "' APCD FILE " 9149-1010 A. Dispensers X All dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for ta~AD~ring. Results: X All dispensers appear tight Richard Brown 01/07/91 signature/date Dispenser(s) not tight as listed below signature/date B. Tank Area X Ail turbine boxes inspected. X All fills and vapor manholes inspected. Results: Tank area appears tight with no product or liquid present Richard Brown 01/07/91 f~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS:' C. Piping Type: l~ Pressure I] Suction Pressurized piping leak detector(s) tested for proper functioning a detection of leakage. Suction piping tested for indication of leakage. Results: Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARD ING: Facility: County of Kern "Inyo' St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Baker~fieldo Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On , 01/01/91 6:00 PM , the above facility had an (date and time) inventory variation/loss that .exceeded reportable limits as described belo' Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysi 1 & 2 -146 Gal. 120 Per. 9 I have/have-not stopped dispensing product and begun investigation procedu required by the Permitting Authority. This notifi'cation is in addition to the phone call I previously placed. Signatu~ FLEET MANAGER GENERAL ERVICES GARAGE DIVISIO KERN COUNTY ElqV~ROIqPIE~ I4F--~LTH DEPARTPIENT VAR~T]'ON/LO-C:$ 'fNVE~?I~T'[ON REPORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 01/02/91 9:27 Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. -146 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startin at the time a reportable loss is discovered or should have been discovered: Within: 6 Hours Owner/Operator or other qualified person is to I Date I Time review records for errors before determining 101/O2/91 19:27 PM theze is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operat'or must verbally report I ~a~e I Time discovery to KCEHD and follow-up with written[//~/~/ notification on form provided. .. ,j_ Performed By : 2) Visual facility check to be performed using I Date I Time checklist on the back of this form 101/02/.91 [10:30 P Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibrat'ion and adjusted if out of tolerance Performed By : Piping to be leak tested using approved methodl Contractor's Name License ~ Test Performer's Name Description of test performed' Date [ Time * * ATTACH COPY OF TEST RESULTS. Tightness Testing of TanK(s) to be performed using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date [ Time * * ATTACH COPY OF TEST RESULTS. NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers Ail dispensers and their end doors visually Checked for leaks. X All hoses and nozzles visually checked for leaks. All totalizer seals~ checked for tampering. ~x///f' Results: All dispensers appear tight Richard Brown 01/02/91 signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~tSERIAL ~ICOMMENTS: B. Tank Area X All turbine boxes inspected. ~X__ All fills and vapor manholes inspected. ,/z/// Results: X Tank area appears tight with no product or liquid present · Richard Brown 01/02/91 signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: [~ Pressure [[ Suctiol __ Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Results: __ Piping tight based on test(s) above. signature/date Piping not tight base~ on te$.t(s) above, with problems/conditions listed below. signature/date Description 24 HO~ ~PORT~LE V~RIATION~O~~~/ ~TIFIC~TION TO: 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern 'In¥o" St. (GAS) Permit ~ 150011C Facility Address: 230 In¥o St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICAN, FLEET MANAGER On 12/27/90 6:00 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described bel¢ Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysi 1 & 2 -93 Gal. 119 Per. 9 I have/have-not stopped dispensing product and begun investigation procedu required by the Permitting Authority. This notification is in addition to the phone call I previously placed. Signatu~AGER GENERAL SERVICES GARAGE DIVISIO KERN COUNTY ENVIROI~qENTAL HEALTH DEPARTMENT VP~tIATION/LOSS II~VESTIGATION REPORT Facility: County of Kern "Inyo" St. Facility Address.: 230 Inyo St. Bakersfield, Ca. Permit ~ 150011C TanK(s) with Discrepancy: # 1 & 2 Date/Time of Discovery: 01/02/91 9:25 Name of Person Filing Report: Larry Johnicano Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -93 Gal. INVESTIGATION SUMMARY The,following procedures must be performed within the specified times startir at the time a reportable loss is discovered or should have been discovered: Within: I 6 Hours I Owner/Operator or other qualified person is to ~ Date I Time I review records for errors before determining 101/O2/91 ~9:25 PP I there is a reportable variation/loss, Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report ] ~.Da~e I Time discovery to KCEHD and follow-up with writtenl//~'/~/ notification on form provided. __, Performed By : 2) Visual' facility check to be performed using I Date I' Time checklist on the back of this form 101/O2/91 110:30 Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time~ calibration and adjusted if out of tolerance Performed By : Piping to be leak tested u~ing approved methodl Contractor's Name License % Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. Tightness Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY O__F TEST RESULTS. NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 D; OF COMPLETION OF INVESTIGATION PROCEDURES. ~' 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually ch~cked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. ~/rf Results: ~n X All dispensers appear tight' Richard Bro 01/02/91 signature/date Dispenser(s) not tight as listed below 'signature/date tDISPENSER ~ISERIAL $1COMMENTS: B. Tank Area X__ All turbine boxes inspected. X__ All fills and vapor manholes inspected. /;~ Results: X__ Tank area appears tight with no product o uid present Richard Brown 01/02/91 signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: Ce Results: Piping Type: 11 Pressure il Suctior Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description TO: 24 HOUR ' Kern County Environmental Health 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REPORTABLE VARI.~TION/L NOTIFICATIOI~ REGARDING: .~.~i!!t_jft County of Kern "Inyo" St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 12/25/90 3:05 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described belo% Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysi 1 & 2 +98 Gal. 117 Per. 9 I have/have-not stopped dispensing product and begun investigation procedu required by the Permitting Authority. This notification is in addition to the phone call I previously placed. Signat~AGER GENERAL/SERVICES GARAGE DIVISIO: KERI~ COUIFI"Y EI~VIROI~qEI~TAL HEALTH DEPAItT~ENT V~RIATION~LOSS INVESTIC. ATION REPORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 01/02/91 9:20 P Name of Person Filing Report: Larry Johnican, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. +98 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startin~ at the time a reportable loss is discovered or should have been discovered: Within: I 6 Hours I Owner/Operator or other qualified person is to I Date I Time I review records for errors before determining 101/02/9i ~9:20 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours' 1) Owner/Operator must verbally report I Da~e I Time discovery to KCEHD and follow-up with written[//~/~/'/~ notification on form provided. ~~,,-- z // . _.- Performed By : 2') Visual facility check to be performed using I Date I Time checklist on the back of this form [01/02/91 ]10:30 P! Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance I I Performed By : Piping to be leak tested using approved m'ethodl I ,' Contractor's Name ,' License ~ Test Performer's Name Description of test performed Date I- Time ATTACH COPY OF TEST RESULTS. Tightness Testing of Tank(s) to be performedl__ using approved tester and method. contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA OF COMPLETION OF INVESTIGATION PROCEDURES. VISUAL INSPECTION CHECKLIST A. Dispensers .... All dispensers and their end doors visually checked for leaks. _X__. All hoses and nozzles visually checked for leaks. ~.. All totalizer seals checked for tamperin~.~ Results: ~ All dispensers appear tight Richard Frown 01/02/9i signature/date ........ Dispenser(s) not tight as listed below signatureMdate IDISPENSER ~ISERIAL %ICOMMENTS: B. Tank Area .X__ All 'turbine boxes inspected. X All fills and vapor manholes inspected, zT~ Results: ~ ~o~/~ii X_ Tank area appears tight with. no produc quid present Richard Brown 01/02/91 signature/date Tank area does not appear tight because of the problems/conditions listed below: s i gnatur e/dat e .[_T~ ~IPRODUCT~ICOMMENTS/RESULTS: C. PiPing Type: I| Pressure .ii Suctior __ Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Results: __ Piping tight based, on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description HOUR REPORTABLE V~RIATION/LO$$ NOTIFICATION TO: Kern County Environmental Health Department 2'700 "M" Street, Suite 300 Bakersfield, CalifOrnia 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern "Inyo" St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICAN, FLEET MANAGER On 12/15/90 6:00 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below. ~Tank ~ Amount of Amount of AmoDnt of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysi- 1 & 2 +85 Gal. 113 Per. 9 I have/have-not 'stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. GENERAL SERVICES GARAGE DIVISIO~ KEI~q COUNTY ENVIROIqPfl~NTAL HE-~LTH DEPAR~I~ENT- V~dtI~TION/LOSS INVESTIGATION REPORT Facility: County of Kern "Inyo".St. Facility Address: 230 Inyo St. Bakersfield, Ca. Permit ~ 150011C Tank(s) with Discrepancy: ~ 1 & 2 Date/Time.of Discovery: 12/17/90 8:10 Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable 1,imits using LOW THROUGHPUT CHART. +85 Gal. Previous days stick reading was -!80 Gal. .INVESTIGATION SUMMARY The following procedures must be performed within the specified times Startin¢ at the time a reportable loss is discovered or should have been discovered: Withinj. I Hours I Owner/Operator or.other qualified person is to I Date ~ Time I review record~ for errors before determining 112/17/90 ~8:10 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report I .Date ] Time discovery to KCEHD and follow-up with writtenl/~,//~o notification on form provided. ;) ~'.. ~ _ Performed By 2) Visual facility check to be performed using I Date I Time checklist on the back of this form 112/17/90 ~9:00 PM Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance Performed By : Piping to b'e leak tested using approved metho'dl Date I Time Contractor's Name License ~ Test Performer's Name Description of test performed * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License ~ Test ~erformer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. X All dispensers appear tight Richard Brown 12/17/90. signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ¢ISERIAL ~ICOMMENTS: B. Tank Area X__ All turbine boxes inspected. X__ All fills and Vapor manholes inspected. Results: X. Tank area appears tight with no product or liquid present Richard Brown 12/17/90 signature/date Tank area does not appear tight because of the problems/conditions lisJ;ed below: ~signature/date ITANK %IPRODUCT~ICOMMENTS/RESULTS: Results: Piping Type: J_~ Pressure J_[ Suction Pressurized piping leak detector(s) tested for proper functioning.~ detection of leakage. Suction piping tested for indication of leakage. Piping tight based on test(s) above. signature/date __ Piping not tight based on test(s)above, with problems/conditions listed below. Description signature/date HOUR REPORTABLE ~9%RIATION/LOSS I~OTIFICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield. California 93301 Attn: Underground Tank Section REGARDING: .. Facility: County of Kern 'Inyo' St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 12/14/90 6:00 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss 1 & 2 -80 Gal. Total Minuses Line 3 of Trend Analysis 113 Per. 9 I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. Si gnatur"~ .... ~' z ~_~-~- . ~ARR~'~..~OH~ICAN, ;F~EET MANAGER GENERAL SERVICES GARAGE DIVISION COUNTY ENV~RObiHENTAL HEALTH DEPARTIUlENT V~dtIATIOH/LOSS INVESTIGATION REPORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 12/17/90 8:00 Name of Person Filing Report: Larry Johnican, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -80 Gal. INVESTIGATION SUMMARY The following procedures must'be performed within the specified times startin5 at the time a reportable loss is discovered or should have been discovered: Within:- ~ 6 Hours I Owner/Operator or other qualified person is to I Date I Time I review records for errors before determining 112/17/90 ~8:00 PM I there is.a reportable variation/loss. Performed By: Richard Brown 24 Hours 48 Hours I I I I I 72 Hours I 1) Owner/Operator must verbally report I Date I Time discovery to KCEHD and follow-up with writtenlf~_/~l~o notification on form provided. · ~~~.~ Performed By 2) Visual-facility check~ to be performed using I Date I Time checklist on the back of this form 112/17/90 ~9:OO PM Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if our"of tolerance Performed By : Piping to be leak tested using approved methodl I Contractor's Name License ~ Test Performer's Name Description of test performed Date t Time I * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. Results: X All dispensers appear tight Richard Brown signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENT$: Results: X__ Tank area appears tight with no product or liquid Present Tank Area Ail turbine boxes inspected. Ail fills and vapor manholes inspected. Richard Brown signatu~ Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULT$: I I I I C. Piping Type: ~l Pressure II Suction __ Pressurized piping leak detector(s) tested for proper functioning a detection of leakage. Suction piping tested for indication of leakage. Results: __ Piping tight based on test(s) above. signature/date __ Piping not tight based on test('s) above, with problems/conditions listed below. Description signature/date 24 HOUR REPORTAI~LE V~RIATION/LOSS NOTIFICATION TO: Ke~-L'L CO~'L~ty ~vi['o[L~:'.e[~tal-Health De~aL-t.~:e[~t 2700 "[.I" Street, ~2~te 300 BakeL-gf. ield, Califor[~ia 93301 Att[l: Undergcound Tank Section REGARDING: Facility: County of Kern "Inyo" St. {GAS) Permit ,~ 15OOllC Facility AddL-ess: 230 Inyo St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 12/03/90 6:00 PM , the above facility had ° (date and ti.::e) inve~'~fo~y va[-iation/loss ti%at exceeded ['eportable limits as described Amount of Amount of Amount of Daily Week ly Monthly Variation/loss Variation/Loss Variation/Loss Total ['Ii nus~_.s Line 3 of Ti-end Andlysis -94 Gal. 107 Pe[. 8 I have/have-not stopped dispensing product, and begun investigation [.~[-~ .... [-equired by the Fermitting Authority. This notification is in addition .to the phone call I previously KERN COtINT¥ EI~VIROI~IEI~TAL HEALTH DEP~dlT~ENT VARIATIO[~/LOSS INVESTIGATION REPORT Facility: County of Kern "Inyo" St. Permit ~ 15OOllC Facility Address: 230 Inyo St. BaKersfield, Ca. Td['tk(s) with Oiscrepancl/.: ~ I & 2 Oate/Tizte of Discovery: 12/O4/90 8:20 Name of Per:con Filing Report: Larry Johnican, Fleet Manager Description Ot Di~',c['epancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. -94 Gal. Was +102 Gal. previous day. INVESTIGATION SUMMARY The following.procedures ~tust be performed.within the specified times sta~-ting at the ti:,ne a ~-epo~table koss is discovered o~ should have been discove[-ed: Within: I' 6 Hours [ Owner/Operator o~ other qualified person is to [ Date [ Time [ review records for errors before determining [12/04/90 18:20 PM { there is a reportable variation/loss. - P~['focmed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operato[' ::~ust verbally report [ , Dgtg I Tine discovery to KCEHD and foLlow-up with '.,.]~ittJnl 12.-1/~/~0 [ ~~ notification on Eo[-:u provided. ~~ Per fo¢:::ed By :~~ 2) Visual facility check to be performed using [ Oa~e ] T[::e checklist on the back of this form ]12/04/90 [9:00 PM Performed By : Richard Brown 3) All product dispensers are to be checked for [ Date ~ Ti:re calib[-ation and adjusted if out of tolerance [ ~ Performed By : Piping ~o be leak tested using app[-oved :,.:ethod] I C0~ltracto[-'s Na[:'.e License ~ Test Pecfor,:':~e.u's Name Description of test perfo[-r:.ed Date [ '", [ ,:'~:'. I ''%'%~TTACH COPY OF TEST REEULT%. ~ * Tightness Testing Of Tank(s) to be peuformedl using approved tester and :~ethod. Contractor's Name : License ~ Test Pe['former's Naz:e Description of test performed D d t£ C~ ~z E.~ULT~. ATTACH COPY OF TEET R ~' ~ ~ ~' NOTE: THI.q REPORT ['lUST BE SUB['~ITTED TO THE PERi'fITTING AUTHORITY '.;' (DF CO['IPLETION OF INVESTIGATION PROCEDURE$. 2. VI%UAL INSPECTION CHECKLrI~T A. Dispertse~s X Al! dispense.-s and th:_~i[-cvtd doo[-s visually checked [o~- leaks. X AiL l~oses and ~ozzle,.; v/~;uatLy check, ed fo~- leak:~,. Results: ~ X All dispenseL-s appea~' tigt~t Richard Brown 12/04/90 signature/date Dispenser(s) not tight as listed below s [gnatufe/date IDISPEN~ER ,r ] GERIAL ~: t COt. Ir-lENTo: I I I I I I B. Tank Area X All tu[-bi~te boxe:3 inspected. X Ail fills and vapor-::,.anholes inspected. Results: X Tank at-ea appea~s tight with no product or Richard Brown 12/04/90 s [gna t _~re,/,':],n te ~l'i/~q~] i d present Tank a['ea does l~ot af3pea[- tight bec,_--~uze of the problem::',/condittor~:-~ I [,.3ted b e 10 ~'?: S ignatu~-e/date iTANK ~IPRODUCT~ICOMHENTS/REEULTS: Co Results: Piping Type: Il Pressure j_[ Suction Pressurized piping leak detector(s) tested for proper detection of leakage. ~,2c[t-~Rl piping tested for indication of leakage. Piping tight based on test(s) above. ,signature/date Piping not tight based on text(s) above, with problems/(?c,~,~ li,3ted below. signature/date Descr ipt ion 24 HOUR REPORTABLE VARIATION/LO.q~ NOTIFICATION .......... z. County o£ Kern In¥o" St. ~GAE) :~_:::.i!_ ~: I$0011C "',, ~' ~ ..... ~, ....- ..... 230 Inyo St. Bakersfield, Ca ................. · ,,, ~ ........ : LARRY JOHNICAN, ..... "'~'*' 12/02/90 6:O0 .... , ~..: ,z ...... .~uVt_~ [aCi1 i had '-"*," [ dale ,_:n,~ D~ i ly We~ .~ iy .i t:~n th iy · ............ ,..3~1/ '-.,oi2:., 'V,3E 1 & 2 +i02 Gal. 106 Per. 8 T. ;;,.[V'~/"' ' - "--~:~',ve-not s Lopped dispensing pr-oduct and begur~ investigation T!:iz noLi?ication is in addition to the phone call I p~'ev::,'z,u.5!y Df.._;::'. '. KERN COUNTY ENVIRONI~ENTAL HEALTH DEPARTFIEI~T VAI{IATION/LO$$ INVESTIGATION REPORT ?a~_[!Lty: County of Ke[-n "I[]yo" St · =,:.r'-'Lt ~ 150011C ~',_'~i/~ Li' Add£es3: 230 Inyo ......,_~..-,~ :~;~ ...'~,L~" ...... Dizc['epah.u¥: ~ 1 & 2 Date/Ti':'~, of Discove['y: 12/0~90 8:20 P~ ..... . ~-~'" ' ~ I' ' ..... ~-po-L- Larry Johnican~ Fleet Manaqe~ De,script[on Of Dir,,~c~:~an<_.y: Daily variation exceeded allowable liuits using LOW THROUGHPUT CHART· +102 Gal. =~Tz~ATiON S U['I['IAR Y follow , [thin the specified time [ ......... :~us t pe s s t.a,F t [ n~' .... (_ a ~.-eportabte Ic~,ss .s dL,scoveced oc should have been discoveu~d: Within: I 6 Hours I Owner/Ope~atou or other qualified person is to I Date I Time [ t'eview rOOD,rd:?, for errors before determining 112/04/90 18:20 PM I there is a .Fepo['t'able vauiation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours veroally repot t i ) O',,/ne[f/OpeL-,/~hoE :::Llst discovery tc KCEHD ,and follo?-up with wFittenl notification on foe" provided.perfor:ed.By 2) Visual facility check to'be peufoc?.ed checklist on the buck u[ this foFi [12/04/90 Feuformed By : Richa[d Blown 3) AL1 product dispensers are to be checked calibuation and adjusted if out 0f tolerance I Pea'Eof-zed By : Piping to be leak tested using appcoved method[ I Cont['actou"s Nar:le License = Test PeFfo/mer's Name Description of test pe~focmed ~ ~-ATTACH COPY OF TEST RESULTS. ~' ~ Date ] l' i. :::e I Tightness Testing of Tank(s) to be peufo[med[ using approved tester a£~d method. ,] Contractou's Name : License ~ Test Performe$ s Name Description of test peuformed Da te ] T i:::e I ATTACH COP~ OF TEST RESULTS. NOTE: THIS REPORT HUST BE SUBMITTED TO THE PERMITTING AUTHORITY W ..... OF COMPLETION (DF INVESTIGATION PROCEDURES? 2. VISUAL INSPECTION CHECKLIST A. X Al! dispensecs ,a~-~d their ,_~l'~d doors vksualLy checked for- leaks. X Alt l~oses and nozzles visually cl~ecked [or leaks. X All tot. alizer seals checked for tampering., Results: X All di~p~enj~e~'s appea~ tight Richard Brown 12/04/90 s ignahure/date Dispenser'(s) not tight as listed below s ignature/date DISPENSER ~]SERIAL ~ICO~U',IENTS: I 1 I I I I B. Tank Area X All tut-bine boxes inspected. X AiL ELlis and vapor mar~hol~_s in~zpected. Results: i~q~. ' X Tan~ area appeat's tight with no product or 1 td present 'Richard Brown 12/04/90 s ignature/date Tank ar-aa does not appear- ticjhh because of the p~oblems/conditions listed below: signature/date JTANK ~IPRODUCT~ICOMMENTS/RESULTS: I I I Results: Piping Type: I ] Pressure I | Suction Pressurized piping leak detector(s) tested for proper functio~[nc3 detection of leakage. Suc~I~ piping tested fo~- indication of lea~age. Pipin~g tight based on ~test(s) above. signature/date Piping not tight based on test(s) above, with problems/cond[ : ~.z listed below. signature/date Descr- ipt io.n __- 24 HO[JR [rEPOrTABLE VA~IATIOlf/LOS$ NOTI ~ ICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 BaKersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern 'Inyo" St. (GAS) Permit $ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Fllinq Report: LARRY JO[{NICAN, FLEET MANAGER On 11/30/90 6:20 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis 1 & 2 -167 Gal. -234 Gal. 106 Per. 8 I have/have-not stopped dispensing product and begun investigation procedur~ required by the Permitting Authority. This notification is in addition to the phone call I previously placed. SignatjaTe / ~ ~wt~z,_ ~/ . E m,,,-ISEaVXCES VARIATION/LOSS II~/gS?IGATION [lgPO[lT Facility: County of Kern "Inyo" St. Permit % 150011C Facility Address: 230'Inyo St. BaKersfield, Ca. TanK(s) with Discrepancy:'% 1 & 2 Date/Time of Discovery: 11/30/90 8:20 Name of Person Filing Report: Larry Johnican, Fleet Manager Description Of. Discrepancy: WeeKly and Monthly variations exceeded allowable limits using LOW THROUGHPUT CHART. -167 WeeKly. -234 Honthly. INVESTIGATION'SUMMARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: Within: [ 6 Hours [ Owner/Operator or other qualified person is to [ Date I Time [ review records for errors before determining [11/30/90 ~8:20 PM . [ there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours I I I I '1 '72 Hours I NOTE: 1) Owner/Operator must verbally report ' I DDte [ Time discovery to KCEHD and follow-up with wrlttenl/~/%/~O motlficatlon on form prov%ded. .~ ~ 'Perf. ormed By : 2) Visual facility check to be performed using [ '~a~e [ Time checklist on the bacK'of this form 111/30/90 [9:30 PM Performed By : Richard Brown Date [ Time 3) Ail product dispensers are to be checked for calibration and adjusted if out of tolerance Performed By : Pipl'ng to be leak tested using approved methodl Contractor's Name License % Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of TanK(s) to be performedl using approved tester and method. Contractor's Name : License % Test Performer's Name Description of test performed Date [ Time I * * ATTACH COPY OF TEST RESULTS. * * THIS REPORT MUST BE SUBMITTED' TO THE PERMITTING AUTHORITY WITHIN'< DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X All dispensers and their end doors v sually checked for. leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. Results: X All dispensers appear tight Richard Brown 11/30/90 signature/date Dispenser(s) not tight as listed'below signature/date IDISPENSER .~ISERIAL ~ICOMMENTS: B. Tank Area X All turbine boxes inspected. X'' All fills and vapor manholes inspected. Results: Tank area appears tight with no product or liquid present Richard Brown 11/30/90 signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date. ~TANK ~IPRODUCT~ICOMMENT$/RESULTS: ResultS: Piping Type: J_[ Pressure Ii Suction Pressurized piping leak detector(s) tested for proper functioning a detection of leakage. Suction piping tested for indication of leakage. Piping tight based on test(s) above. signature/date Piping not tight based on test(s)above, with problems/conditions listed below. signature/date Description 24 HOUR REPORTAi~LK VARIATION/LOSS NOTIFICATION TO: Kern County Environmental Health Department 2'700 "M" Street, Suite 300 BaKersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: ..County of Kern 'Inyo" St. (GAS), Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICA~, FLEET ~%NAGER On . 11/29/90 6:lSPM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Tank Amount of Amount of Amount of Daily· WeeKly Monthly Variation/loss Variation/Loss Variation/Loss 1 & 2 -106 Gal. Total Minuses Line 3 of Trend Analysis 105 Per. 8 I have/have-not stopped dispensing product and begun investigation procedur~ required by the Permitting Authority. This notification is in addition to the phone call I previously placed. GENERAL~RVlCES GARAGE. DIVlSIO ~.EF.N COU~I~ ENVIRO~ff~EI~r~kL HEALTII DEP~StTl~E~fr ~FA/IIATION/L(~S INVESTIC~qTION REPORT Facility: County of Kern "Inyo' St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. TanK(s) with DiscrePancy: ~ 1 & 2 Date/Time of Discovery: 11/29/90 8:40 PP Name of Person Filing Report: Larry Johnlcan, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable.limits using LOW THROUGHPUT CHART. -106 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startin¢ at the time a reportable loss is discovered or should have been discovered: Within: [ 6 Hours [ Owner/Operator or other qualified person is to [ Date [ Time I review records for errors before determining 111/29/90 ~8:40 PM I there.is a reportable variation/loss. Performed By : Richard Brom~l 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report ] D~te/- [ Time. discovery to KCEHD and follow-up with wrlttenl notification on form provided. ~~..0~ Performed By : 2) Visual facility check to be performed usln~ [ Date I Time checklist on the back of this form 111/29/90 ~9:15 PM Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance Performed By : ~Piping to be leak tested using approved methodl Date Contractor's Name '. License 9 Test Performer's Name Description of test performed Time * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date t T i me [ '* * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checKed.for leaks. X All hoses and nozzles visually.checKed for leaks. X All totalizer seals checked for tampqri~ng.~ X All dispensers appear tight //:~-~J3 signature/date Dispenser(s) not tight as listed below signature/date DISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area All turbine boxes inspected. All fills and vapor manholes inspected. Results: ~/1 X Tank area appears tight with no produq i~i,~ present signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: I I I , C. Piping Type: ]_[ Pressure [[ Suction Pressurized piping leak detector(s) tested for proper functioning ar detection of leakage. Suction piping tested for indication of leakage. Results: Piping tight based on test(s) above. signature/date3 Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description 24 HOUR REPORTABLE V'ARI.~ION~LOSS //~. i ,: .,,~, iii I!l Kern County Environmental Health Department 2700 "~" Stseet, Suite 300 BaKersfield, California 93301 , Attn: Underground Tan~ Section REGARDING: Facility: County of Kern 'InYo" St. (GAS,) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 11/28/90 6:05PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss 1 & 2 +100 Gal. Total Minuses Line 3 of Trend Analysis 104 Per. 8 I have/have-not stopped dispensing product and begun investigation procedure r~qulred by the Permitting Authority. This notification is in addition to the phone call I previously placed. S ignatu/~''L~Y ? JO~NICAN, FLEET_I~?AGER ' GENEitAL/SERVlCES Gg~JkGE DIVISION KERN COIJlf'l'Y ENVIROI~IENTAL HEALTH DEPARTHKMT VARIATION/LOSS INVESTIGATION REPORT Facility: County of Kern "Inyo' St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tan~(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 11/28/90 8:50 Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits using LOW'THROUGHPUT CHART. +100 Gal. INVESTIGATION SUMI~ARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: Within..~ I 6 Hours IOwner/Operator or other qualified person.is to [ Date I Time ~ review records for errors before determining ~11/28/90 ~8:50 PM t there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours I I. I I I 72 Hours I I I I I 1) Owner/Operator must verbally report I p~tD I Time discovery to KCEHD and follow-up with writtenlt/ notificatiOn on form provided. Performed By : 2) Visual facility chec~ to be performed usihg I Date I Time checklist on the bac~ of this form 111/28/90 J9:30 PM Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance Performed By : Piping to be lear tested using approved methodl Contractor's Name License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * Tightness~ Testing of Tan~(s) to be performed[ using approved tester and method. I Contractor's Name : License ~ Test Performer's Name Description of test performed Date I' Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their, end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X .All totallzer seals checked for tampering. Results: ~ X All dispensers appear tight signature/date Dispenser(s) not tight as listed below signatur.e/date ~DISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area All turbine boxes inspected. X All fills and vapor manholes inspected. Results: X~.. Tank area appears tight with no product or liquid present signat'ure/date Tank a~ea does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: ]~ Pressure ~] Suction Pressurized piping leak detector(s) tested for proper functioning a detection of leakage. Suction piping tested for indication of leakage. Results: Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, With problems/conditions listed below. signature/date Description HOUR REPORTABLE VARIATION/LOSS NOTIF ICA?ION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground ,Tank Section /,4 LJ~__ ;' / i/ REGARDING: Facility: County of Kern 'In¥o' St. (GAS) Permit ~ 150011C Facility Address: 230 In¥o St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 11/26/90 6:05PM , the above facility had an (date and time) inVentory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis I & 2 -108 Gal. 104 Per. 8 I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. Slgn~[ .~,-'tAi~R~ J~HNICAN,.__ FLEET MANAGER GENERA[~ SERV?CES GAI~3%GE DIVISION KERM COUI~'Y E~RO~~AL HEALTH DEPARTTIEMT ~IATION/LOSS I~STI~TION REPORT Facility: County of Kern 'Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. BaKersfield, Ca. TanK(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 11/28/90 8:50 Name of Person Filing Report: Larry Johnican, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -108 Gal. ~ INVESTIGATION SUMMARY The following procedures must be performed within the specified times start,lng at the time a 'reportable 10ss is discovered or should have been discovered: within: I 6 Hours I owner/operator or other qualified person is to I Date I Time ~ review records for errors before determining ~11/2S/90 ~8:50 PM . I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours I1) Owner/Operator must verbally report I Dpte I Time I discovery to KCEHD and follow-up with writtenl /2/~;/~o ~ ~/f.~%. I notification on form provided. , Performed By :c-3~ '~~ ~2) Visual facility check to be performed using ~ Da~e I Tim~e I checklist on the back of this form 111/28/90 ~9:30 PM [ Performed By : Richard Brown '.13) All product dispensers are to be-checKed for [ Date I Time ] calibration and adjusted if out of tolerance [ [ ~ Performed By : 48 HOURS Piping to be leak tested using approved meth°d[ Contractor°s Name License ~ Test Performer's Name Description of test performed Date I Time [ ' * * ATTACH COPY OF TEST RESULTS. * * 72 Hours I I I I I Tightness Testing of TanK(s) using'approved tester and method. Contractor's Name : License ~ Test Performer°s Name Description of test performed * * ATTACH COPY OF TEST RESULTS. *'* to be performedl Date I Time NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses and nozzlep visually checked for leaks. X All totallzer seals checked for tampering. Results: X All dispensers appear tight signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. TanK. Area X, Ail turbine boxes inspected. ' Ail fills and vapor manholes inspected. Results: X. Tank area appears tight with no product or liquid present signature/date Tank area does not appear tight because of the.problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: Il Pressure [] Suction Pressurized piping leak detector(s) tested for proper functioning ~ detection of leakage. Suction piping tested for indication of leakage. ResultS: .. Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with Problems/conditions listed below. signature/date Description 24 HOUH R~PORTPJ3LE VPJIIATIO~/LOSS TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 BaKersfield, California 93301 Attn: Underground ~Tan~ Section REGARDING:' Facility: Cogpty of Kern "In¥o" St. (GAS) Permit $ 150011C . Facility Address: 230 Inyo St. BaKersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICAN, FLEET I~%HAGER On 10/20/90 3:ISPM , the above facility-had an (date and time) inventory variation/loss that exceeded reportable limits' as described below: Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis I & 2 -119 Gal. 84 Per. 7 I have/have-not stopped dispensing product and begun investigation procedur required by the Permittlng.Authority~ This notification is in addition to the phone call I previously placed. S 1 g~HAHAGER GENERAL/SERVICES GARAGE DIVISION IK. KRM COUlfTY KIfVIROls~iKlrTAL LIE)iL.TH DEPAR'THKMT VARIATION/LOSS INVE~I~TION .REPORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. TanK(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 10/22/90 7:40 Name of Person Filing Report: Larry Johnlcan, Fleet ~anaqer Description Of Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. -119 Gal. Variation was +96 Gal. previous day. INVESTIGATION SUMMARY The'following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: within: J 6 Hours [ Owner/Operator or other qualified person is to J Date [ Time [ review records for errors before determining [10/22/90 ~7:40 PM [ there is a reportable variation/loss. Performed By : Richard Bro~ 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report [ DuD\~ I Time discovery to KCEHD and follow-up with writtenl/~/L~/~ notification on form provided.' Performed By : . ~ 2) Visual facility check to be performed using ~ Date I Time checklist on the back of this form [10/22/90 ~9:00 PM Performed By : Richard 3) All product dispensers are to be checked for I Date ~ Time calibration and adjusted if out of tolerance I Performed By : Piping to be leak tested using approved methodl Contractor's Name License % .Test Performer's Name , Description of test performed Date [ Time * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of TanK(s) to be performed[ using approved tester and method. [ Contractor's Name : License ~ Test Performer's Name Description of test performed Date [ Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN~5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X All dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked f. pr leaks. X All totalizer seals checked for Results: X All dispensers appear tight /~ ~ signature/date DisPenser(s) not tight as listed below .signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area All turbine boxes inspected. All fills and vapor manholes inspected. X. Tank area appears tight with-no ./~22___ '~-/ signature/date Tank area does not appear tight because of the prOblems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: Results: Piping Type: [[ Pressure [[ Suction Pressurized piping leak detector(s) tested for proper functioning ar detection of leakage. Suction piping tested for indication of leakage. Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description 24 HO~ ~PO~T~LE ~q%I~IATION~OSS NOTIFICA?ION~ · ~0: Kern County Environmental Health Department~'~...~ '~///~' ~ 2700 "M" Street, Suite 300 ~-.~~//// Bakersfield. California 93301 Attn: Underground Tank Section REGARDING: Facility~ County of Kern ".Inyo' Facility Address: 230 Inyo St. Name Of Person Filing Report: St. (GAS) Permit~ Bakersfield, CE. ~' - _/z LARRY JOHNIcAN, ~J'L-~.-T_.J~W~E'R On 10/19/90 6:00PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation~Loss Variation~Loss Total Minuses Line 3 of Trend Analysis 1 & 2 +96 Gal. 83 Per. 7 I have/have-not stopped dispensing product and begun investigation procedur~ required by the Permitting Authority. ~ This notification' is in addition to the phone call I previously placed. Si~__./ LARR~ ~OHNICAN. FLEET MANAGER SERVICES GARAGE DIVISION KERN COUNTY EIq~IROIq~ENTAL HEALTH DEPARTl~ENT VARIATION~LOSS IIq~ESTI~TION REPORT Facility: County of Kern "Inyo' St. 'Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 10/19/90 8:00 PM Name of Person Filing Report: Larry John{can, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. +96 Gal. Received gas'shipment today. INVESTIGATION SUMMARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: Within~ I 6 Hours I Owner/Operator or other qualified person is to I Date I Time I review records for errors before determining 110/19/90 [8:00 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 1) 2) 48 Hours I I I I I 72 Hours Owner/Operator must verbally report I Dpt§ I Time discovery to KCEHD and follow-up with written[ ZC/Z2~.~O notification on form provided. .7 -'{]--',~ Performed By: '(2:;'4t~fTk~,, ~.,,~_ Visual facility check to be performed usin~ I- D~eTM '1 T~e - checklist on the back of this form 110/19/90 Performed By : Richard Brown 3) All product dispensers are to be.checked for I Date I Time calibration and adjusted if out of tolerance { Performed By : Piping to be leak tested using approved methodl Contractor's Name License ~ Test Performer's Name DeScriPtion of test performed Date I Time ATTACH COPY OF TEST RESULTS. Tightness. Testing of Tank(s) using approved tester and method. Contractor's Name : License # Test Performer's Name Description of test performed * ATTACH COPY OF TEST RESULTS. * ~ to be performed{ Date I Time NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION C'HECKLIST A. Dispensers X Ail dispensers and their end doors visually.checked for leaks. K A~i hoses and nozzles visually checked for leaks. X All totalizer seals checked for t~pering. . ...... ~esults: · -/// /'z~ J ' ' ___X_. All dispensers appear tight signature/date Dispenser(s) not tight as listed below signature/date }DISPENSER #ISERIAL ~ICOMMENTS: I I I I. I I I B. Tank Area X__ All turbine boxes inspected. X__ All fills and vapor manholes inspected. X Tank area appears tight with no o ' 'd present signature/date Tank area'does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: I- I I I I. I I I I. I I I I. C. Piping Type: J_[ Pressure 11 Suction Pressurized piping leak detector(s) tested for proper functioning ar: detection of leakage. Suction piping tested for indication of leakage. Results: Piping tight based on test(s) above. signature/date __ Piping not tight based on test(S) above, with problems/conditions listed below. signature/date Description TO~ Kern County Environmental Health Department 2700 "M" Street, Suite 300 BaKersfield, California 93301; Attn: Underground Tank Section REGAl[DING: Facility: County of Kern "Inyo" St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersf'leld, Ca. Name Of Person Filing Report: LA/~RY JOHNICAN, FLEET P~qNAGER On 10/15/90 6:0OPM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis 1 & 2 -84 Gal. 81 Per. 7 I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. GEmm ERVTC -S aaa E KERN COUlfTY KNVIRO~AL HEALTH DKPARTHKIPI VIRIA?ION/LOSS INVESTIGATION Facility: ._County of Kern "Inyo" St. Permit % 150ollc Facility Address: 230 Inyo St. Bakersfield, Ca. TanK(s) With Discrepancy: ~ 1 & 2 Date/Time of Discovery: 10/16/90 7:50 PM Name of Person Filing Report: Larry Oohni~an, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -84 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times st,artin9 at the time a reportable loss is discovered or should have been discovered: Within: 6 Ho~rs Owner/Operator or other qualified person is to [ Date [ Time review records for errors before determining [10/16/90 [7:50 PN there is a reportable variation/loss. Performed By : Richard Bro~ 24 Hours 48 Hours 72 Hours 1) Owner/Operator '~must verbally report I Dgl. ~_ . ~.....e [ Time ' discovery to KCEHD and follow-up with written[ notification on form provided. ' c--.J ~' Performed By :%~-~3~ . _ 2) Visual facility check to be performed using I Date I Time checklist on the back of this form [10/16/90 [9:00 PH Performed By : Richard BroWn 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if o~t of tolerance Performed By : Piping to be leak tested using approved methodl Date I Time Contractor's Name License ~ Test Performer's Name Description of test performed * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of TanK(s) to be performed[ using approved tester and method. Contractor's Name : License % Test Performer's Name Description of test performed Date { Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X- All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tamp~'~g. Results: signature/date Dispenser(s) not tight as listed below signature/date [DISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area All turbine boxes inspected. X Ail fills and vapor manholes inspected. Results: , u~9'r X Tank area appears tight with no prod~.~/j~,.,,__.l~quid present,/~-/ 6-~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: I C. Piping Type: J_[ Pressure ]_[ Suction Pressurized piping leak detector(s) tested for proper functioning a detection of leakage. 'Suction piping tested for indication of leakage. Results'~' Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, wi'th problems/conditions listed below. signature/date Description TO: Kern 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section 24 HOUR REPORT~LE VARIAT~ County Environmental Health Department REGARDING: Facility: County of Kern "Inyo' St.(DIESEL) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 9/13/90 6:00PM , the.above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Tank Amount of Amount of 'Amount of Daily Weekly ~Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis 3 '83 Gal. 54 Per. 6 I have/have-not stopped dispensing product and begun investigati.on procedure. required by the Permitting Authority. This'notification is in addition to the phone call' I previously placed. S g ' ' --~ · i MANAGER GENERA~ SERVICES GARAGE DIVISION KERN COUNTY EIqVIROIqHENTAL HEALTH DEPARTHENT VARIATION~LOSS IIq~-ESTIGATION REPORT Facility: County of Kern "Inyo" St. Facility Address: 230 Inyo St. Bakersfield, ~Ca. Permit ~ 15OOllC Tank(s) with Discrepancy: ~ 3 Date/Time of Discovery: 9/16/90 7:50 Name of Person Filing Report: Larry Johnican, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -83 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startinc at the time a reportable loss is ..discovered or should have been discovered: Within: { 6 Hours~ I Owner/Operator or other qualified person is to I Date t Time I review records for errors before determining I 9/13/90 ~7:50 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report { Dote { Time discovery to KCEHD and follow-up with written{ notification on form provided. ~~ Performed By : 2) Visual facility check to be performed using { Date I Time checklist on the back of this form } 9/13/90 {8:15 PM Performed By : Richard Brown 3) All product dispensers are to be checked for { Date. { Time calibration.and adjusted if out of tolerance{ Performed By'- Piping to be leak tested using approved method Contractor's Name License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. Tightness 'Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License % Test .Performer's Name Description of test performed Date { Time ~ * * ATTACH COPY OF TEST RESULTS. *~ * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA' OF COMPLETION OF INVESTIGATION. PROCEDURES. VISUAL INSPECTION CHECKLIST X X All hoses and nozzles visually checked for leaks. XResults:All totalizer seals check'ed for tamper~./~.._..~__~ X All dispensers appear tight signature/date Dispenser(s) not tight as listed below signature/date Dispensers All dispensers and their end doors visually°checked for leaks. ]DISPENSER ~]SERIAL ~]COMMENTS: B. Tank Area All turbine boxes inspected. X Ail fills and vapor manholes inspected. Results: ~_ Tank area appears tight with no pro . ent signature/date Tank area does not appear tight because of the problems/conditions listed below:' signature/date JTANK ~IPRODUCT~JCOMMENTS/RESULTS: I I I Co Results: Piping Type: [! Pressure J_[ Suction Pressurized piping leak detector(s) tested for proper functioni,ng a detection of leakage. Suction piping tested for indication of leakage. Piping tight based on test(s) above. signature/date Piping n°t.Jtight based On test(s) above, with problems/conditions listed below. .signature/date Description 24 HOtel [IEPO~T~]L~ V~IIATION/L~S Iq(~rIFICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 BaKersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility.: County of Kern "Inyo' St. (GAS~ Permit ~ 150011C Facility Address: 230 Inyo St. BaKersfield, Ca. Name Of Person Fllinq Report: LARRY JOHNICAN, FLEET MANAGER 'On 9/03/90 3:00PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Tank 1 & Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss +100 Gal. Total Minuses Line 3 of Trend Analysis 64 Per. 5' I have/have-not stopped dispensing product and begun investigation procedur~ required by the Permitting Authority. This notification is in addition to the phone call I previously placed. GENERA S RV CES GARAGE DIVISION KERN COUNTY ENVIRONi'qENTAL HEALTH DEPARTHENT VA[tlATION/LO$S INVESTI~tTION REPORT Facility: County of Kern "Inyo" St. permit ~ 15001lC Facility Address: 230 Inyo St. Bakersfield, Ca. TanK(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 9/04/90 8:05 PM Name of Person Filing Report: Larry Johnlcan, Fleet Manaqer ~ Description Of .Discrepancy: Daily variation exceeded allowable limits uslnq LOW THROUGHPUT CHART. +100 Gal. . INVESTIGATION SUMMARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: Within: I 6 Hours I Owner/Operator or other qualified person is to I Date I Time I review records for errors before determining I 9/04/90 ~8:O5 PM I there is a reportable variation/loss. Performed By : Richard'Brown 24 Hours 48 Hours J 72 Hours 1) Owner/Operator must verbally report I Da~e [ Time discovery to KCEHD and follow-up with wrlttenl ~/~/~~ ~'~ notification.on form provided. ~ P er f o rmed By :~=~ ~~-J~z-~ 2) Visual facility chec~ to be performed using I Date I Time checklist on the back of this form ' I 9/04/90 ~8:30 PM Performed By : Richard Brown 3) ~All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance Performed By : Piplng~to be leah tested using approved methodl Contractor's Name License ~ Test Performer's Name Description of test performed * * ATTACH COPY OF TEST RESULTS. * * Date I Time Tightness Testing of TanK(s) to be performedl using approved tester and method. Contractor's Name : License $ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers Ail dispensers and their end doors visually checked for leaks. All hoses and nozzles visually checked for leaks. All totalizer seals checked for tampering. Results: All dispensers appear tight signature/date Dispenser(s) not.tight as listed below ~ signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area All turbine boxes inspected. All fills and vapor manholes inspected. Results: X Tank area appears tight with no product or liquid present signature/date Tank area does not appear tight becaus~ of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: I C. Piping Type: 1[ Pressure J_[ Suction Pressurized piping lear detector(s) tested for proper functioning a detection of leakage. Suction piping tested for indication of leakage. ResultS:' Piping tight based on test(s) above. signature/date Piping not tight'based on test(s) above, with problems/conditions listed below. signature/date Description K e ~-" n C.,::, u n t y Iii n v :L i." o n m e n t a ]i. !..i e a i t h 2",:' i~i!;!i "i'.i" '.ii; t ~.-,::- e t :. ::.:; u i. t' ,.-.- :~.:iZi!~1 B a I,.: e r' s .i-' i e i d, (': a ~ ± .F o r' n i ~ 9 3 :~:Ei 1 Attn: I..In,'~er-g~.-ound "f'ank ~::;,i.:,,:.':tion I hav,.~/l_'~ave...-n,;!JL s'~.,:,pped disl:,en:'~in,:..'.~ t:,l-"o,Juc:'l: and be,gun ir~ves'l.'.i,.~ati,':n ~-equi~-'ed I:,y the F'e~-m±tting Au't:h,",~.-it,..,,. T h i s n o .1: i ~' i ,:: a t i ,::, n i s i n a ,:'1 ,:.1 :i. t i o n .I- ,.~., t h e r' h ,::, n e ,:: a 1 1 I r, r' e v i o u ?; I t~' I:' 1 a c:,.. ':~. KER~ cOUNTy £NVIR~NHENTAI_ HE~TH DE~AR1-HE)iT VArIATION/LOSS Ik~$TIC~TION R~T Tank ( :':'-; } wi th D:i. s::::rep.~n,:::y ',: :~ ...... __,l,_.....&.._.2_ ...... Da 'l;.e i'i":i.r,;~e o-i.' Disc:ov.,s.,r"y :: .__8./L~i'70 :-:.'__:0...~,__.[:~, N a m e ,::, f 1::' e r :'.:::,::, n t::' :i. i i n 9 R e t::',::, r t :: ............... L-.~tz.r y D e s ::: r i I::' t :i. c, n 0 -f D :i. :'.:~ ,::: r 6, !::, a n ,::: y ~_...~_a.i.1 Y Y_2c~_~L1LJ..O n... ~2- e__e d e d._...~. 1 ow.,~b_l_e__l & m & t s_.lZ~JJ:Lg. ....... _LO_..N.._.I_H_B.OJ~-]-..H_F'_tLT_£.HAR.._T ....... .+_IZ_O.._.G~_i..~ ....... - .............. 6 Hours I Owner/Operator or other qualif'ied person is t,::, I Date l__]'..,Jjlu..-z ......... ', rev:i.,-".,~.., r,.:,,:::,",r ::t'.:: .f-'or" errc, r.:..-".. .......... be.f:ore determ±ninq I N~t~... ,J_.'.r.'~ .... , .... c..~_¢__~- ~]¢L_.. ', ther,::, is a reportable variation/loss. Per'for~ed By : Ricahard ~rowo___ 9;//? .'-'.': , ~ ~__,,~c.. ', ,::t i :'.:.: ,": ,::, '.-7 e r" y t ,::, K ', Performed By : ~ ~- ', 2 )V i '.'5 u a 1 ; che:::kl:i, st or'., +he b.~J,::k o.{.' 't'hi...-.: for'm ', _.~:'/ :_ :-]0 PH .. ', t"'erformoJ By '- __E&_chard Broen " i:!!:)A].] p~'c',,ju(.':'.l:, dispensers are 't:o I-,e checked for ', [}ate ', T:im,~ _. ', calibration and adjusted i.f out of tolerance ', ; ', F',:.:,rformed By "- 48 Hours F' i p i h '.4 t ,:, .k., e 1 e m k t e s t ,:.',,::1 u s :i. n g a p pr o v e d m e t h o d I :0 ~ '~. e ', "[d[._,'~ ......... {.~: o r/t r" a ,:: 'I' 0 r-" '=-. ~'.~ a ff~ e License ~t Test F'erfc, rmer's Name ):) e s ,:: r i p t i ,::, n ,::, -f t e s t F, e r f ,::, i." r~'~ e,J ........................................................................... :i=: ::!:: A'f'TA(::H (::()F'Y OF "i"li:Z:!i;"f' RIE:!i;LiLT!:;. * :i:: 72 Hours -('ightness Test, lng of Tank(s) to be performed',. Dat~. ..... ; ...... j'~Jj:o~ ......... using appr',::,ved t.ester an,fl n'~ethod. I ~ ................ (::,::,ntract,::,; .... :s Name : License :t~ ]'est F'er.f',::,r~u~,r"s Name D e s c r i p t ~ ,::, n ,:, .¢ t e s t p e ¢ f ,::, r rn e d N 0 T E '.'. I * * A~(':FI ~.'~Z oF I E.:, i .R E,:.,:, L I, ! .;,,. THIS REP~'I '.;;~FSMI THE PERMITTIN(.'; AUTHORITY ~.~N.~ii !=; DA"L · '" ' :: R "' M U'.~.; T B E ...... "l' T E D T 0 ()F C:C)MF'I_ET. ION OF.. INVEST I (-;AT I()N F'"Id..x.:Ef)UF, E:" ...... ' '"':' .... B. Tank Area A;I]. turl:,ine boxes in.~.pe,:..ted. Ail. ~'&].lz and vapor manho].e.; Resu]~ts: ~_ ]" a r'~ !-:: .:.~ r' ~i~' .a a f." F' e a r' :?; 1.'. :i. g h t... w i t.: 1"~ s .i. ,-3 n a ture/,:Ja te C. Piping Type: 'L~ Pressure '' _ ..~. Suction · F:' r e z z u r :i. z: e d p i. p i n,:7 1 ,:, a k d e + ,;? - t ,:' 7 ( s ) t e s t e d f ,::, r p r o p,-:- i .... F u r'~ ,::: '!: i ,::, n :i. r, ,:.:.~ d e t e,::: t :i. c, n ,:' .F 1 ,-:- ..:~ I.:: ..:!, g e. ..-, ,, _ f i ,::, n I:' .i. F' i r, ,::j . t e s t e,:t .F ,::, r .i. n d i ,::: a .1.-. i ,'-, r; ,::, .F ]. ,:_:, ...'.~ I< a.~ ¢--. Results: ........ F' i F' :i. n ,:_~ .1: i ,.".j h i'. b a :.; e,::l ,: n t e z t ( z ) a t::,,::, v,=,. s i g n a t u r e / d a t e I::' i p i n g n o t t i g h t b ~ s e,::l o n t e s t ( s ) a b o v e .. w i t h p r ,:,b 1 e m s / ,:: ,::, n d :L t i ,::: ."~ s ]. i '.'-z !: e d b e 1 ,:, w. z i ,:.~ n a ': .J r e / :] ..--~ t e Des,::r i p t i on R~PORTA~L~- VAI~IA?ION/LOSS NOTIFICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern 'Inyo" St. (GAS) Permit { 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 8/13/90 7:00~M. , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below· Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss 'Variation/Loss -93 Gal. Total Minuses Line 3 of Trend Analysis 54 Per. 5 I have/have-not stopped ~dispensing product /and begun investigation procedur~ r'equired by the Permitting Authority. This notification is in addition to the phone call I previously placed. S~.gn ~ --'- LARRY/J~INICAN, FLEET MANAGER GKNERAL{ SERVICES GARAGE DIVISION KEItN COU~rf~ EI~VIRO~"~AL HEJ~LTH D~-P~II~ENT ~rARIATION/LOSS II~ESTIC. ATION REPORT Facility: County of Kern 'Inyo' St. .Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: % 1 & 2 Date/Time of Discovery: 8/13~90 8:10 PM Name of Person 'Filing Report: Larry Johnican, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -93 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or~ should have been discovered: ~ithin: I 6 Hours I Owner/Operator or other qualified person is to I Date ~ Time I review records for errors before determining I 8/13/90 ~8:10 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 1) Owner/Operator must verbally report I Date' I Time discovery to KCEHD and follow-up with writtenl notification on form provided. · ~ Performed By : ~~ .~L~ 2) Visual facility check to be performed using I Dat~ I Time checklist on the back of this form { 8/13/90 ~ 8:30 PP Performed By : Richard Brown 3) All.product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance Performed By : 48 Hours Piping to be leak tested using approved methodl ,. Contractor's Name License ~ Test Performer's Name Description of test performed Date I Time 'l 72 Hours ATTACH COPY OF TEST RESULTS. Tightness Testing of Tank(s) to be performedl using, approved tester and method. Contractor's Name : Licens'e ~ Test Performer's Name Description of test performed Date t Time ' · ATTACH COPY: O~ TEST RESULTS. NOTE: THI'S'REPO'R~' MUST?BE SUBMITTED. TO:THE~ PERMITTING.AUTHORITY WITH'IN OF COMPLETION OF INVESTIGATION, PROCEDURES. VISUAL INSPECTION CHECKLIST A. Dispensers Ail dispensers and their end doors visually checked for leaks. All hoses and nozzles visually checked for leaks. All totalizer seals checked for t~ring. X All dispensers appear tigh~ signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area X All turbine boxes inspected. ~ X All fills and vapor manholes inspected. X Tank area appears tight with no d present ,, ~-/Y'- ~'~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~[COMMENTS/RESULTS: C. Piping Type: [[ Pressure [[ Suction Pressurized piping leak detector(s) res.ted for proper functioning a detection of leakage. Suction,piping tested for indication of leakage. Results: Piping tight based on test(s) above. signature/date Piping not tight bas*edl on~ test(s)~ above, with'problems/cond*itions listed'be,low. s i gnatu~ e./da~t e Description.~ 24 HOUR TO: REPORTAI~LB: VAR_IAT ION/LOSS,k Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility:' County of Kern 'Inyo" St. (GAS) Permit ~ 150011C Facility Address: 230 In¥o St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 8/12/90 6:00PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Tank Amount of Amount of .Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss 1 & 2 +102 Gal.. Total Minuses Line 3 of Trend Analysis. ~ Per. '4 I have/have-not stopped dispensing product and begun investigation procedure required by the Permitting Authority. This. notification is in addition to the phone call I previously placed. Sign / '~__...--i:;P[RIC~ ~O~ICAN. FLEET MANAGER z v czs K~ CO~-1~1"~ E~FIRO~NTAL ~-~%L~q4 DEPA~~T ~I/%TION/5OSS' I~S?If.~%?ION ~PORT Facility: County of Kern 'Inyo' St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 8/13/90 8:05 P~ Name of Person Filing Report: Larry Johnican, Fleet ~anager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. +102 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: Withi,n: I 6 Hours I Owner/Operator'or other qualified person is to I Date I Time ~ review records for errors before determining I 8/13/90 ~8:05 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report I .... Ddt9 ' I Time discovery to KCEHD and follow-up with writtenl notification on form provided. Performed By :~ .~/-r~_ 2) Visual facility check to be performed using I Date I Time checklist on the back. of this form I 8/13/90 [ 8.:30 P!~ Performed By : Richard Brown 3) All product dispensers are to be checked for I Date [ Time calibration and adjusted if out of tolerance Performed By : Piping to be leak tested using approved'methodl Contractor's Name License ~ Test Performer's Name Description of test performed Date I Time * ATTACH COPY OF TEST RESULTS. ' Tightness Testing of Tank(s) to be performedl using approved tester and methOd. Contractor's Name : License ~ Test Performer's Name Description o.f test performed Date [ Time ATTACH COPY.OF TEST'RESULTS~ " ' NOTE: THE. S' REPORT: MUST BE'SUBMiTTED' TO' THE. PERMITTING AUTHORITY WITHIN 5' DA OF COMPLETION OF INX~ESTIGATION PROCEDURES.. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses'and nozzles visually checked for leaks. X,Results:All totalizer seals checked for~ta~!~ng'~'%'~ X All dispensers appear tight J~' /J signature/date Dispenser(s) not tight as listed below signature/date {DISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area. All turbine boxes inspected. X__ All fills and vapor manholes inspected. L Tank area appears tight ~ith no or/j~~resen signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: I I I I I I I I I Ce Results: Piping Type: [[ Pressure J_L Suction Pressurized piping leak detector(s) tested for proper functioning a detection of leakage. Suction piping tested for indication bf leakage. Piping tight based on test(s) above. signature/date Piping not tight' bas~ed on test(s)above, with problems/conditions listed below. s i gnatur e/dat e Description 24 HO~II REPORTABLE VARIATION/LOSS NOT I F ICAT 101~ TO: Ker~% County E~'~vi~'oni~enhal Heaitl~ Depa~t[~ent 2700 "?I" Street~, Suite 300 Bakersfield, California 93301 Attn:' Undecground Tank Section REGARDING: Facility: County of Kern "Inyo" St. {GAS) Permafit ~ 150011C Facility Add[ess: 230 Inyo St.- Bakersfield, Ca. Na~e Of Person Filinq Report: LARRY JOHNICAN, FLEET ~IANAGER On 7/31/90 ,.6:15PM , tile above facility had an (date and ti<:',e) inventory va/'iatiot'~/lo~$ that excee~Jed L-~po['table limits as de~c.~'ibed b~lo~,.' Tank A~[[ount of Amount of Amount of Daily Weekly Montl~ly Va~'iation/lo$$ Variation/Loss Variati'on/Los$ Total ['linuses Line 3 ot Trend Analysis +82 Gal. 34 Per. I have/have-~:~ot stopped dispensing product and begun investigation pYocedur~ [equired by the Permitting Authority. This notification is in addition to the phone call I p[-eviously placed. gna · LAR~ JOH~I~kN, fLEET MANAGER. G£I~EItA[~/S~RVICF-S C~GE DIVISION KERN. COtII~TY ENVIRONP[ENTAL HEALTH DEPARTMENT VARIATION/LOSS INVESTIGATION REPORT ~cility: County of Kern "Inyo" St. Fei-ii;it ~ 150011C ~.~ility Add~.~: 230 Inyo St. Bakersfield, Ca. 'ra~(~) ,..~it[~ oi~a~cy: ~ I & 2 Date/Tia~ of Discovery: 7/3!/90 6:45 N~.~c of Fc~-so~ t~ili~ R~poct: Larry Johnican, Fleet Manaqer Dcscriptiu~ Of Diuu[~cy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT C~T. +82 Gal. INVZ'STICATION "SU[ t£.tARY 6 Hours I Ov,'ne~'/'Op=~Lo~' o~' otl~e~ qu~li£i=d pe~'son is Lo I DaLe I Time I [evie%~' records fei' errors before determining, I. 8/0~90 17~45 ~., J there is a reportable variation/loss. ~~~~_d,,~ Performed By : ~ M~O~6~5~R 24 Hours 1) Owne~/Operator r, ust verbally report I Date I Time di:~cov,:.[-y to KCEHD and follow-up with writtenl 8/0~/90 /]] 8:20~ Perform:ed By : HAROLD LAWLER . chec~li:::t on tt~e back of th[,.~ for~ Perforr. ed By : ~AROL~ LAWLER uud,. t dis ~ Til'O .q) All pc ...... penserg ace to be checked for ~ Date calibration an<] adjusted if out of tolerance Performed By : 48 Hours Piping to be leak tested using approved method[ Contractor',~, ~ Na~e License u Test Performer's Name 9escription of test performed Date ! ATTACH COPY OF TEST RESULTS. '~ ~ 72 Hours Tightness Testing of Tank(s) to be performed[ using approved tester and method. ! Contractor's Name : License % Test Performer's Name Description of test performed Date I T i .~e ATTACH COPY OF TEST RESULTS'. ' ' NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN' $ 0AY OF COMPLETION OF INVESTIGATION PROCEDURES. .. 2. VISUAL INSPECTION CHECKLIST A. D i :?,pe n,,-~e r s X All dispensers and their end doo:-:~ virtually checked for leaks. X /kll ho'.-%e,.~ and nozzles visually checked for- leak~. X All tota![ze[- '3, eals checked for tampering. X All di:%penser'.~ appear- tight ~~c}~L~~ s ignature/date Dispegse~(s) not .tight as listed below signature/date IDI%DEN~ER ~]SERIAL ~]COMMENTG: I B. Tank, Area X Ail tu~-bine boxes in:-~pected. X Ail fills and vapor- manholes ir~spected. Results: X Tan~ area appears tight with no p~oduc~ o~/'T3iqui~ p~esent(?,'! . s ignatu~e/date Tank area does not appea~ tight because of the problems/conditions listed below: signature/date ]TANK ~]PRODUCT~,ICOMME'NTS/RESULTS: I I I I I I I I I I C. Piping Type: J_[,Pressure 11 Suction .__ Pressurized piping lear detector(s) tested for proper functioning a~ detection of lea~age. Suction piping tested for indication of leakage~ ResultS: Piping tight based,on test(s) above. signature/date Piping not tight.based on test(s) above, with problems/conditions listed below. signature/date Description '! 24 HOUR REPORT/~BLE VARIATION/LOSS NOT [ F ICAT ION 'I'C): REGARDING: F~lcility: County O~ Kern "Inyo" St. ~GAS} Permit ~'~.tcJ,[J. ty Ad(~r<~ss: 230 In¥o St. BaKersfield, Ca. 150011C N~n:ne Of~ P~,}t.-sor] FJ.I.]nq LARRY JOHNICAN, FLEET On 7/tO/90 6:ISPM , tho. above tn(:l.J, tty lqad ,an inventory var;iation/los£ that exceeded reportable lira/ts as 0escribe~ below: Amou~t o~. Amount o~ Amot~rlt oe Da i iy Week ly Monthly Vat'i. ati. on/].o,ss Vaz'J. atiom/Lo,~s Vat'lati. on/Loss 127 Gal. 38 Per. 3 I hi~ve,/have-r~ot sl:OlPlPed dispensJ, ng pt-oduct and begun invest].gati, on pr.'oco?turo r'c'qul, tod t)y tho Fer-~!tt.i. ng Authori. ty. This not. iEicatlon is in addition to the phone caLL i.prevtously placed. GENERAL SERVICES GARAGE DIVISION ?.. V]'~SUAL 'iNSPECTiON C}]ECKLIST All O]spensers and tl~eir'end door's visual],y checked ior leaks. All hoses and.nozzles visua'£1y checked tot leaks. Results:Ali' t'.otaJ, lze~ seals checked All dispensers appear' tight sig~atu['e/date D]spcnser(s) not tigPt as listed below .signature/date I t)"'.~P" ..bI~ER' ~r" I:'JE[{IAL 11 ICOMMEN'FS: Tank AFea AIl t. ur_ AJ..I t~.l.l~: ant1 vapor ~nanhoJes J.r]spected. Re su Its: ' u~ ~ ' X 't'an ka[ca s [gnat u['¢?/date TANK ~IFL{ODUC'I'~.ICOMMEN'FG~,RESULTS: I I I I I I I I I I I I I Resu].ts: P~plng Type: Il Pressure I1 Suction Pressu£'ized piping leak detectOr{s) tested tot p~ope[' tuncttontng a detect]on et leakage. Suction piping tested to~' i. ndi¢:ation o~ lea~age. , Fiping tight based on test(s) above. signatur'e/dato P~ping not tight based on test(s~ above, with problem, s/condit]ons. i.i. sted below. signature/Gate D ....cr [pt ].on VARIATIOI~/LOSS INVESTIGATION REPORT Fdci. I tty: County ot Ke£-n ." rn¥o" ~t. [}~[l''~l~.[lt ~ 150Oi~C I~'~Ctltty AdOr'OS'.;: 230 fn¥o St. Ba}tet~stield, Ca. 'l'~nF,(s) wi.t~ OLscr'op~ncy: ~ I & 2 Date/Time ot D±scover¥: '//10/90 7:45'P~ Name ot I?e['son ~'tLlng i{epo}:t:' Lacry Johnican, Fleet Hanaget' Desc~'J. ptton Ot 0J. sc['epancy: t)aiiy v-~t-tation exceeded allowable limits using LO~ THROUGHPUT CHART. --127 Gal. iNVESTiGATION SUMMARY 'rbe tollowing procedures must De peri:or'med, witl~in the specitied times starting at tine time a roportabie Loss is discovered of should have Deen discovere~: 6 Hours J Owner/Operator or' otl]er qualitied person is to j Date I Time I [','.:View r(:cO['dS ~O[' el'['OCS beto['e dete['mLnL~lg ~ 7/10/90 ~7:45 PM I i:he[(2 i.s a ['e[)o['tablo variation/loss. Per rot'reed By : Richard Brown 48 Hours I I I I 72 Hours I) O:vne£/Oper'uto~- must ve£'Dai.ty report I pa~e { Time O~.:~cover'y to KCEttO anO totlow.-up ~.,'~.tli '?:r'Lttenl'7//~/?~_ ~ ~ i~ Performed ~y :~~~,~~~ 2) ViS~]~I r~c~.t, tt.y check to t)e pertor.'med usi. ng- I 6~-{ I Time CLtilb[utiofl and ad].usted t~ out ot toLerance { J Pertor'med By : Piping to be £ea~ tested using spat'Dyed methodl I C'ontracto~ ' s Na~ne ii. dense ~ Test Pe~tormer's Name Oesc£'iptLon ot test pe£'l~o£'med ' ATTACH CODY OF TEST RESULTS. ' * Tiglqtness Testing o1~ Tank(s) to be per~ormedl us Lng approved t¢?ste~ and method. J Contracto[-'s Name : License ~ Test Per.'P. ot'mer's Name Desc['iptio~] ot test pe£'~o['med Date J Time I Date J 'rime ATTACH COPY OF TEL]T RE~{UL't'S. '~ ' NOT E: REPORT MUST BE ,~]UBMiTTED TO THE PERM£'r'L'ING AUTHORfTY W LTH~H 5 DAY COMPLET'[ON O~.~ iNVESTIGATION PROCEDURES. 24 HO~R REPORTABLE VARIATION/LOSS NOTIFICATION TO: Ker. n County Environmental [leal't~ Department ',"00 "Pl" '.]tt.(o~.t [.~[/ite B~]ker?,l~leld, Caii~ornia 9330] z,(;c t Ion Attn: Undet'g['ound Tan~ "' ~ ' ' REGARDING: l:'acl.tJ.t¥: County of Kern "Inyo" St. (CAS) Per. mit Fa...ility AdJr.(.~,': 230 Inyo St. Ba~ersL~ield, Ca. Name Ot E'o.r'.;orl [:'l'[,inq Eepo£'t: 150011C LARRY JOHNICAN, FLEET MANAGER 7/08/90 6:00PM , trio ~Dove ~::l'2il}.t5' It:aG ~_]1] ir',,entory v'a[i~tlon,.'.toss: that exceeded reportable limitg as de.~:.crlbe~ be/o'.':: l'anl( ~ A~ount ot Amount ot Amount o~ Dai] y. Weekly Nontnly. Vur.'/atkon/loss Va['iation/toss Var'Lotion/toss Total Minuses Line 3 o~ Tt.-en~t Ana Lys i s -121 Gi~l. 3'I Per. 3 .t ~]uve/have .not stopped dt:$pensttlg pt'oduct and Degun }.nve. stigati, on pcocoO, ur~? [equJ.£',,~(J Dy tile Pei'mittt~lg Authority.. Thinz notification is in addition to the phone call I previously placed. LARRYpOH~iC/~, FLF-F-T MANA(:ER K£RN CO~Y ~'-N~IRO~N'fAI~ HEALTH. D~-PAR~NT YARIATION/LO~SS INVESTIGATION REPORT k"aciiity: County of Kern "InyO" St. k'~.~<:iiity Ad'de'<..':~s: 230 Inyo St. BaKersfield, Ca. P,,?rmit ~ 150011C 'Fank(.c) ;.,'ith Di::.s['?.[)ancy: .il 1 & 2 Oa'te/"F].me ofJ Di..~:c0vetY: 7/09/90 8:05 '~-o Larry Johnican, Fleet Manager Name at Eel., n E'LiLng Report: I.,:-~:c~, iptJ. on Of OLsc[-opancy: Daily variation exceeded aliowaDie limi.ts using LOW THROUGHPUT CHART. -i21 Gal. .' NVE'3TIGAT.- I. ON :]UMMARY The fo/lowing procedures must be perfo[me~ within the specified times starting at the t J~e a ['~?po['t~ble loss is ~igcove['od or should have Doan discover'ed: Hours I Owner/Operator or other qualified person is to I Date I Time I [ .... ,.. LQ?." [,.(J~[.l,;"' '" '"" 1!0£ ",?L'rO['S be~OUO detet'mitlJ, tlg [ 7/09/90 [8:05 PM I I:t~c.r'.:.' .LS a r,-l.p,,r-L t~b'Lo vaE'[ation,.'los£. ('<:r~ormed By : Richard Brown 24 Hours Hours 72 tlour s I I I I I · ' ." "~ ' '-- . Per for~ed Visual taciLity check to be petter'meal usl~g I Date [ Time checklist o~1 t~e bac~ o~ this Lorm Per~o['med All Pe'oduct ~ispeflseL-s are to De C~ecKed to[' ~ Date I Time cai rOi'arian mild ad3. ustod it out Perto[me~ By : Piping to be leak tested using approved methodl I Contractor s Name Lice. ri,Jo ~t Test Pe[to['~eE''-s Nape Descc'iptiorl at test portal'meal Date I '['~me "*' :" ATTACH COPY OF 'FEET RESULT,q. Tightness Testing at '['an-Ris) to be pertormeOI U£LIlg approved taster' arid method. I Cont['acto["s Name : [.ico[ISO {I 'rest Pertormer's Name Descr'].ption ok test pelter'meal Date { Time " * ATTACH COPY OE' TE?[' I{E,SUL'I'S. * * NOTE: THIS REPORT MUST BE t-]UBMiT'CED TO THE PERHI'FTiNG AUTHORITY Wt't'tlt.N ':~ DAY: OF COMPLETION OF. iNVESTI(;ATION PROCEDURFS. 2. VISUAL iNSPECTION CHECKLIST X AIl di.~;pense[r; and their end doors visually checked tot leaks. X All hoses and nozzler~ vi,~-;ua]iy checRed tot le~ks. X AIL retaliate[ ~ea].s chcckc~ tot tamper ir]g. Resu its: X ALi did;per)sets appear tight Dispenser (s) not tight as listed be]ow ~'; ! gnat u[ ~),"da te I Ol'3~'~ ....N.-,I-.R ........ .~ [ .-~ EP. IAL ',T~ [ ~'OMMENTg.:~ B. Tal]k A£-ea ', ,,. X__ All turbine boxes inspected. ~ Ail ~ill.~ and vapor manholes inspected. Results: X__ 'ran~ area appears tight with no product or liquid present s i gna t ute/da t,~? 'Fan~: nj'ed does not appear tight because et tile problems/conditions List:?,,J be low: < s tgnatu['e/date TANK '}'1 "* unnll¢',f' ,~ ..... ' .... , I COMMEN'!'S/REf-;ULTt;: I I I I t 1 I I C. Ptping Type: l[ Pressure Il Suction ,,, F['essurized piping lea~ detectotis) tested ~o[' pt'oi~e[' tunctioni~g detection o~ testate. ~uctio[~ piping tested ~ou ir~dicati, on o~ leakage. Results: Piping tight based on test(s) above. signature/date Piping not tight base~ on test(s) above, w]th problems/conditions listed below. gnature/date Descr ipt J. on 24 HOUR REPORTABLE YARIATION/LOSS TO: ~,,.~k...~ ~,t J e]d C~]lifornia. 93301 .,oct..LOf~ l~, E GAR D 1 NG: [.'a¢.'.]lJt¥: County of Kern "Inyo" St. (GAS} Permit ~ 150011C I?~tci. l.].ty Addr.',;,cs: 230 In~'O St, Bal(ers~ield, Ca. Nacre. O~ Per'sen Fi ].J. nq Report: LARRY ,JOHNICAN, FLEE'[' MANAGER 7/0:1/90 6:00PM , thc' above 1':~¢:] I lS. y l]i~,d .ar1 Inventory var iatJ. on/]oss that exceeded reportable limits as described Delow: 'funk ,t Gal. L~ne 3 or 36 Per. 3 Hot: :3 .... s . · .... tit?; P,'..; r; t?. J. ttJ. ng Autho['Jty. '['ht~: not. iticut, ion is in addition to the phone c~ll 1 previously pLaceO. KEP.~N COU~T¥ E~I/IflOI~.ENT~J~ HEALTH DEPARTI~E~¢T V/LRIATION/L(~S I~ESTIGATIOll REPOItT ~'~c:J. Lit:~,': County of Kec'n ".[nye" .~t. Pe~n~J.t ~ 1500tlC FacJ..I Lty.Ad~(~'.:::: 230 Inyo St. B~ke['~field, Ca. ~ .... or: ~-'er..~ , L~t-['y JohnLc~n, Fleet O{7~](;[ ri)tic;Il et IJ.Lsq['eDaflc~,: Daily vaf'[ation exceeded allowable limits u~[nq LO~ THHOUG[IPUT CHAHT.. +~21 INVE:]T[CATION :;UNMAL{Y 'L'he f-oi'Jowing proceaures .,nust be pertofmed wi.thin the specJ, tied timcF, starting ~.31: tho. tJ.W,(-~. a r.'(:por.'table ~Loss is dJ..g¢:ove[-ed oE st]o~JlLd t]~gve be~R discove, r.'o:~: W i. h n i. n: I 6 Hours I Owner/Operator or other qualified person is to I Date J Time J r;ev.i, ew I there Lsa Per tormcd By : Richard Bro~ 24 Hours Hour": , 72 Hours I I I I 1 I) O?~'ne.['/Oper.'ator must v(?r'bafl%' ['epcut ,~i-,.,~,,e,-,, t:o KCEHD and tollow-up ,,,i. th wrJ. ttenl 7 I'er~ormed By : · ,~- 2; Visual r.ac:iiLty che~,.~ to be [.(.r. tor...,ed using I Date , checkl. J. Et cH the b~cK c~ ge[tor.'med [~' : Richard Bt'own '3) AI.J. p['odtlct dJ. sp<,n~et.~ a['e to be c~ec:ked tel I Date J Ti.-,,, cuL/b['atJ, on arid a%~.)uuted ~r out at tol~['anc(~ J J Per'roomed t~Y : I ?Jplng 1:0 t;e LeaF. tested us.Lng approved methodl I I I (.'orlt[ ~tcto['' S N;~me J I, i '~, "~ " TceEt Pe['J:o['m,e[' S Na~e I ..... ~"~C[' LptJ. oHOt t(:.,t~-' pe['tor'med ATTACH COPY OF 'I'EiJT REL;UL'I'[~. ~ * Tightness Testing of Tank(s) to be pertormedl us i. ng appr.'oved tester' and method. J Cont['actoL"s Name : LJ.(:ense ~. Test PerJ:o~.-me["s Name DescriptJ. on ot test perto['med Date I Time "" ~ ATTACH COPY OF TE'S'F RE',{UL'['[{. * '* NOTE: " ' ' ' TO THIS REPORT MU'ST BE .~UBM1. T~kD '.['HE PERMi'I"£]~NG AUTHORITY WL'I'HLN '~ DAY: 0~' COMPLETION OF.' '[NVESTiGA'I'IOH PROCEDURES. V.[%UAL INSFECT1ON CHECKL1ET A.I.J ,dlsperfser_s and their end doors visual'ly checked tot. ]eaks. Ail No,~e~; and nozzle.~; visually checked l~or leaks. All tot-~Jizer seals checKcO l~or tamper ing. Results: Ali dispensers ~ppear t~ght s ignature/date Dispenser'[ s ) not tigNt as listed below s ignature/date I I I I 'l'an~ Area X ALi turb]r;e boxes lr)spectocl. × A.[I tiJJ. s ~r~O vapor rear, holes lnspecteO. Results: X Tan}: are¢.i ~]ppears t.~ght wit. D no product or liquJ, d present Resu ]:ts: piping l~/pe: I I Pressure [ [ Suet Lon r~.,,sur.'i, zed piping leak detector(s) tested tot.' p.rope[- ~unc~J. onJ. rIg a~ detection oI~ leakage. S~lCtJ. OB piping tested tot' indication o~ 'Leakage. Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with,problems/conditions listed below. siqnatuce/date TO: 24: HOOfl REPORTAI~LE VAR'[AT[ON/LOSS I~)TIF ICATION ..... ~ Kern County EnvironmentDl Health Department 2700 "M" ~3t['eet, Suite 300 Bakersfield, Cali~or'nia 93301 Attn: Unde['grour~d 'l'an~ Section REGARDING: Facility:' .County of Kern 'Inyo' St. ~GAS; Permit $ 150011C Facility Addsess: 230 Inyo St. 8a~ers~ield~ Ca. Name O~ Pe£'son Fil[nq Report: LARRY JOHNICAN, FLEET P[ANAGER 0n 7/09-/90 6:00PN , the above facility had an (date and time) inventory va[]ation/loss that exceeded reportable limits as described below: Tank Amount o~ Amount ot Amount of Daily Weekly Monthly Va£'[ation/loss Va['iation/Loss Va['iation/[.oss 1 & 2 +87 Gal. Total Minuses Line 3 of Trend Analysis 34 Per'. 3 . o I have/have--not stopped dispensing product and begun investigation proceduL'e £'equi£'ed by the Pe['mitti.ng Autho£'ity. This notification.is in addition to the phone call I'previously placed. FLEET--r'mNAC R GENE~hqL S~RVICES GARAGE DIVISION KERN COt~I~ EI,~IROltff"IEI~TAL HEALTH DEPAR~NT VARIATIOI~LO~S IIT~-ESTI~TION REPORT Faciii.~y: County of Ke~n "Inyo' St. Permit ~ 150011C f'ac[lity Add['ess: ~ 230 Inyo St. Bakersfield, Ca. Tan~(s) with Discrepancy: ~ I & 2 Date/Time o~ Discovery: 7/05/90 9:05 P~ Name o~ Person Filing RePo['t: Larry Jo~ican, Fleet Manager Desc[~[ption Of Discrepancy: DaiLy variation exceeded allowable limits using LOW THROUGHPUT C~T. +79 Gal. - INVEST.[GATION SUMMARY The following procedures must.be performed within the specified times starting at the'time a r'epor'table loss is discovered or should have been discovered: Within: 6 Houi's ~ Ownerl/Ope£ato£ o£' other qualified person is to I Date I Time [ ['eview reco£'ds ~or' e£'£'o£'s before dete£'minitlg I 7/05/90 ~9:05 PM [ there ks ~ repor'table var'iat[on/loss. Per~.ormed By : Richard 24 Hour's 48 Hours I I I I I 72 Hours Owne['/Ope['ato[' must we[bully ['epo£'t I F/,~l~e J Time .dLscovet'y to KCEHD and tollow-up with wt'Lttenl7/~/~o J ~~ Performed By : Visual ~acility check to be pe['~o['med using J 0ute J TLme 'checkList on the back oi this to['m J 7/05/90 ilO:OD Pe['~o['med By : Richard B~own All p['oduct dLspensers a['e to be checked tou I Date J Time calibuation and adjusted i~ out o~ tolerance J J Periormed 8y : Piping to be Leak tested using apP['oved methodl Contractor's Name License ~ Test Pe~£ormer's Name Description oi test periormed Date J Time .I ATTACH COPY OF 'rEST RESULTS. 'rightness Testing of TanK(s) to b9 performedl using approved teste£' and method. J Cont£'acto£"s Name : License ~ Test Pe£'tormer's Name Descr'iptio[] of test performed Date J T me ATTACH COPY OF TEST RESULTS. NOT.E: THiS REPORT MUST BE SUBMITTED TO THE PERMI'i'T.[NG AUTHOR'[TY WITHIN 5 DAY OF COMP[.ETION OF .[NVESTIGA'rION PROCEDURES. 2. VISUAL INSPECTION ~CKLIST A. Dispensers X AL1 dispensers and their end doors'visually~checked ~or leaks. X AIl hoses and nozzles visually checked for, leaks. X All tota]J, zer seals checked for tam~ing. Results: . ~~/'/~ X All dispensers appear tight ~_~c-_~ s [gnat u£'e/date Dispenser {s) not tight as listed below s ignatu£'e/date [SPENSER ~ISERIAL ~ICOMMENTS: I B. Tank At'ea X~ All turbirle boxes ~nspected, ,X,, AIl ~ills and vapor manholes inspected. Results: X Tank area appears tight with no prod ~i~lid present _ signatu['e/date Tank area does not appear tight because of the problems/conditions Listed below: signatu['e/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: I- I I I I. I I I I. Results: Piping Type: I! Pressure Il Suction Pressurized piping leak detecto£'ts) tested for p['ope£' ~unctioning an detection, o~ leakage. , Suction piping tested fo[' indication or Leakage. Piping tight based on test{s) above. s ignat u['e/date Piping not tight based on test(s) above, with p[oblems/conditions Listed below. s i gnatu£'e/date Description 24 HOOR REPORTABLE VARIATION/LOSS NOTIF I CATION TO: Ke~.n County Environmental Health Depa'rtment 2'700 M" ot£~-,et, ~uite 300 Bakersfield, Cai]fornia 93301 Attn: Under'ground T~nk ~Secti. otl REGARDING: Fac].lity: County of Kern 'Inyo# St. ~GAS) Permit ~ 15OOllC Faci.L~t¥ Add[es:;: 230 [nyo St. Ba~e£'sl~eld, Ca. Name O~ Pe['son, Filing Repo["t: LARRY JOHNICAN, FLEET MANAGER On 6/30/90 6:OOPM , the abow~ ~acility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Tan~ ~ Amount ot Amount o~ Amount ot Daily WeeKJ. y Monthly Variation/loss Va['iatiog/Loss Variation/Loss Total Minuses Line 3 o~ Trend Analysis I & 2 -103 Gal. 34 Per. 3 I have/have-not stopped dispensing pt'oduct and begun investigation p['ocedu£'~ £'equired by the Permitting Autho£'ity. Thls notification,is in addition to the phone call I previously placed. GENERAL ~N]tCAN, FLEET ~%NAGER SERVICES GARAGE DIVISION KERI~ COtII~TY EI~VlROI~tE~TAL HEALTH D£PA~THENT VAIIIA?IO#/LOSS Ilf~ESTIGATION REPORT Facility: County of Kern 'Inyo' St. Pe£'mit ~ 15001lC ~'~cLJ. Lt¥ Add£'(~;s: 230 Inyo St. 8akerstield~ Ca. 'C;~nk(s) ,;v[th D[sc~'ep~ncy: ~ I & 2 Date/Time o~ Discover'y: 7/05/90 8:30 P~. N:~me o~ Per,on ~' [ [ Lng R(-)po['t: La~y Johnican~ Fleet Manager' 0esc~'~ption Ot Oisc~'epancy: Dairy variation exceeded allowable limits using LO~ THROUGHPUT CHART. --103 Gar. [ NVES't'.[GATION SUMMAilY - The ~.ol].owJng proceaur'es must be performed within the specified times starting at tile time a ['epo£'tab[o 'loss is discove£'ed or should have beeIl discove['(?d: W{t:h[n: I 6 Hours I Owner/Operator or other quaJ]~ied person is to I Date I Time I ['evlew ['eco[-ds to£' e£'£'o£'s before determining I 7/05/90 ~8:30 PM I there is a ['epo£'table variation/loss. Performed By : Richard Brown 24 Hours 48 Hours I I I I I 72 Hours I 1) Owne£'/Operato[' must verbally £-epo£'t I Dgt~ I ' Time . discovery to KCEHD and follOw-up with writtenl ?/~/$0 j ~,~. not'i~ication on form p['0vLded. %~ (%.~, ~._ 0. Performed By : ~ ~~ . 2) Visual ~acility chec~ to be per£o['med using I Date I Time checklist on the bac~ o£ this .to['m [' 7/05/90 ~10:00 'PM. Pertormed By : Richard B[own 3) ALL product dispensers are to De c~ec~ed ~or I Date I Time calibration and ad]usted' Lt out DE tolerance I I PerEo['med By : Fiping to be Leak tested using approved methodl Contt'actor's Name Ilic~.~nse ~ Test Pe['~orme["s Name Desc['iption ot test Date I '[' i me ATTACH COPY OF TEST RESULTS. Tightness Testing of Tan~(s) to be ,pe£'formedl us illg app£'oved teste£' u~ld method. Cont['actor's Name : L'icense ,~ Test Pe£'to£'mer's Name' Desc£'iptio~ ot test pe£'~o£'med Date I 'rime ATTACH COPY OF TEST RESULTS. · NOTE: THIS REPOR'£ MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY~ OF COMPLETION OF iNVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLISI' A. Dispensers X All di::pensers and their end dools visually checked fox lears. X Ail hoses and nozzles visually checRed for leaks. X All tot~].~zer seals checke~ ~.o~ ~,r~ Results: ~~/~ X All dispensers appear tight ~ ~~ ~-~' ~ s igltature/date Dispense~(s} not tight as listed below s ignatut'e/date 1~3ISFENSER ~1 SERIAL ~ I COmMENT$: Tank'A~ea All turbine boxes inspected. All fills and vapor manholes inspected. Tank area appears tight with no produ ent7_3__~ signature/date Tank a£'ea does not appea~ tight because o~ the problems/conditions listed below: s~g~ature/date ITANK ~IPROOUC'['~ICOMMENTS/RESULTS: I I I I I I Results: Piping Type: J_[ P~'essu£'e l] Suction F£'essurized piping leak detector(s) tested tot proper tunctio[]ing detection~o~ lea~age. Suctio[~ piping tested ~or indication of leakage. Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date I 1 Description HOUR REPOI~TAI:M.E VARIATION/LO~;S NOT [ F [CAT.ION REGARDI HG: County ot Kern. "Inyo" St. ~GAS) Merrett ~ 1500ilC Addr<.s,'_': 230 ];rlyo St. BaF, et'slrlel, d, Ca. H:~tllC O1: I.'~Of.'f:O[) }:'J..[ Ltlr'J F,~?[?',r. t: LARRY JOHN£CAN¢ FLEET ~ANAGER On 6/2t/90 6:00P~I , the aloove tactltty had c',n ].nvent:ory var'Lattorb/.[oss that exceeded reportaD.te limits as described be.Low: A.m',)~l/l[ tDt' Aill(;tlrlh <,'l' Amotltlt 1.]~) .1 [ y ~,/ee k l.y flor) t h .[ y V;9[ I:*['.l.t'fl/J.:DYS Var'L;-sti-'rl/L''~'' Tot;al Pttrt z:;,~-'_:' I..ino 3 <;t [ ....:/1,.:1 ARa,..' .¥'_ I ~i 2 -1.1'2 Gal. 30 Per.. 3 ~,- ~ ~.~ ,,m, . r e:.l:J~ r'-:'<J t',y ..t,.. t',:e[ i tt..Lr~g P, ijt'.t'l(;['l t¥ 'rh, ~-_'. not ] t: ] c.:~ t. ] on t ?. ] n .~d..1] t. ).on t pt-torte t..L L pr. ~"' l....u., i pl S Lgnatur _ GLARRY JOHNI~, f'LEE't' ~ANAG~:F, ENERAL SERVICES GARAGE DIVISION .~':.~,c.~ I.~ t;,: County o~ Ke£'rl ".1nye" .St. 'i'~[;k.{'.':) '.'.'I t'tl .......... )~, e:.~-,.-.r,t_..~fl~.,¢,:. ~r" !. &. ') I~t*;,."'t't:~.O 'C'.t '~'"~" ...... "' N:~: ...... :':!' }"e: '.:,',>f', F'I ! ) n'.'.*] ,r~<:f.;'.ur t: [.a[t.'y Johnl. can, Fleet P.e,.:.:..'[ Lpt'~or~ q.'l: [;-tscr.'epancy: Daily variation exceeded allo;-;aD.[e [imits usi. nq t. OH THROU'JHPUT CHART. ~'/9 Gat. b Hour's Ownet/Oper-3tor or. other qua.liti, ed per. son .ts t.o I Date { Ti!.-,e t'evlew [:r-_'co/'ds tot.' error.-s be?t-o[':? .'.:tet(.?r'm.tt]ir~g I 6/21/90 1'!:50 PI"I ttlc'f (':' J. L' :-] r;e[.;.,.;r.-t:lt;.le v:-.] [ J ah ] on,/.I Pertormed By : Richard Bro,~ 24 Hours d~ Hotl[ ~ 72 Hours I I I I '1 '- .........'-'b" r ._., ....~.... , .r. ........... _... { .... t,, ,....._ r,o*.il:ic~t:jor, ,2n t.',:-m pc'..,'..'td'.'d ~ A · F'e~ to[ .......~ Hy · ,) w., ..... I ~:2CIJJ. P)' "t ..... K' t',, h,~ P'~/ t'~rmed u~'tng t L'~*'' J "'t~" ") ~,] t [~t'r)dllCk d]"[)O[l'.;C'~ ~' .:~¢" t'() ~ .... CNec'K~d "."' ~ '~*h-' ~ '"' ;'.z1.{ IDr.'th"r:,rl, :-211d .~,'*'])2,'e~,,4-,. _... .~ II',. ¢)~1L'. .-,e.~, l-,,,,,,3flCe,, _, j j Per t:.'~r ~.~,'~ 9V I 'l'J. ghtness Testtng ot 't'ankts) t.'o be pet'tormedl ,JSLn,'J approved hester.' and mt:tttl',.)(l. J Contt'a,,:tor ' s Name : [.tcense -1~ '['est Per. tot'me[''s Name. Desct"[ptLon ot test D a t. e J 'l.' .tm e · '-~ A"['TACH C. OPY OF TEST RESULTS. * * THIS REPOR"[' MUST BE SUBMI'I"I'EI) TO 'l'tiE PERI*II'L"I'[NG AIJ't'HORZ't'Y WLTH[N 5 DAY ,~ ,,.2 , ( ''lC . (YE' C.O?!P[,E'L'.LON gE' LN~ES'II3At.~.DN PP, OCEDURF.'t3 ~. I) I X A.L R~su.l I.I'ISPF[CTI(~N CI'-I)-:('KI,I..,Ic"' I. ,,,,,1.1 S[.'.erl$Cr S ~]l'ld th.'b.l [ (.~rid dOOr S vtstla.I, ty ch(:(Tked tot' I l~oses and rt();:7.1es.'vtsual.ly c,l'~ecked to( leaks. t t'"t'~',l.t'zpr' s:e~.t ,.h .... ROd to( g.. ts" .,~ .... ~ ....... [,~ .... C J ,.']f~ 1; U ['rO//¢l:-~ ~' O O.~spenser~,s) not ti,:q, ht ax .listed be.l.o'..'; t.'- I <]fl:.] ~ J COH?!,E H'!'%': I I I I I I I I I I I ~ I'I'AHK T~J P[~'C)L~'!f"I'~I I I ~ J t i , t I I I I I I' Piping TYpe: Il Pressure Il .Suction detection et Leakage. Suct,Lon p'tplng tested for lndLcatJon o~ J. caKage. Piping tight based on testis) above. ?].ptng not: tight: based on l:es't:(s) above, I..t .S ~ ¢':'d be? I. ';J. gna t ',vi'th prob.l, ems/condttlons S t gIli-] t IJ r' e,/.',:1 a HOUR ilF-PORTABLg VAR].ATIO~I/LOSS NOtI FICA? ION: ........ Uflc~('.'f g[ ,'..'.Llrld "1'~[1[( Se*'t 1o[I HEGA~DLNG: County ot Kern "l.n¥o" St. (GAS) Per]nit ~ 15001JC A(J.,-_J[e~s: 230 lnyo St. BaKerstleld, Ca. ~<)n F J I i.n.q Repor t: LARRY JOHN[CAN, FLEET ':>.n 5/12/90 6:O.O. PM , the above tac:ilLty [1L~d ar) (date :a[ld tim. c~ ~D"...'cI~i O[ ¥ VEl[ L~'t ] OD/.LOF.~: [ l'l[~t exceeclccJ [ eport~lble .Llml'ts ~E. descr ].bed beJ. ov: Amount ot Amount or Amount ot Du 11¥ Week J.y Month 1¥ i & 2 ,-"19 Gal. .' Line '3 ot T[end Analy~l'2. 12 Pe[. I i have,..'have-not ~topped d ~penslng p['.,_,.duct and [.e<]:Ji[ed b'¥ the Fe~.mittt'rlg 'rhls noti~3, catlon is' ~n ~ddltion to the phone call I pr'ev~ousiy placed. I(ER[I COUNTY EI~IVlllOI~IEI~ITAL ltEALTI'! Di~-PARTINENT VARIATIOn/LOSS llqVE~$TI~AT1ON REPORT F.a,:.: i I ~ v.y: Count'/' bt Ke£'n" !.'.~..'.'~ I~ ~'..' .~.,'~..'~.:,~': 230 !nyo St Poi'mt[ ~.. 15OO[IC. '" ~/[4,'90 8:00 PH 'l':.iflF;~ c- ,~ Y;'J. rtl U i L'Cr..:£'pallf.'.'~': {{ l. ~, ~ P'~t'''' /' '0 m~: ;:IT L)I"""9:,.'C'['./ . .N:~lmc- .,_'.t Pcc:,?t~ Ez.l.~n.::] Rcp.'.;c't: La~:['¥ .Jot]nican, ~'leet Manaqe[' De'_.'cr I. pt.,on bt. I-~z--'c['epancy: Dally va£'iatlon exceeded ailowaD£e ILmlts usztiq 'LOW THROUGI4PUT CHAP-~T. , '79 Gal- I t'!".'F:?T I <..'.AT I "':N ."~ u,.,,-Im pv :it tt[lle t: ].me a r. epor. t%lb.l.e J.o~ U J. 'd (lJ. sc()','e[ ed ,:)r. E[lOtl I.d have been dl scoYeE'e'd: t [t.l.r:: I Hours I Owner/Operator or other qua.l~Piecl per. son zs to I Date } Time I re',.'~e,,.,.' r. ec(;r'ds, tot. errors; bet.or.'e .'J. ete[.mir~ing I 5/14/9o 18:oo P, I the[e is .':1 ['ef3<.-.£t~lL-.[.'..' V::1[J."_]PJ. Ofl/.I.,'.}L'L'_ Per[brined By : Richard Brown 24 Hours 4~ Hou£'s I I I I I 72 Hours I I I I I L) Owner'/Oper:ato[ must ve[-L-.al, ly ['epor. t I I),3te. I Time notLti(:at~on on tot'm pr. ovided. ~~' ' - ' ' t'e[tormed By : '2; visual [acility check to be pertormea usi. ng I L~atc- I 'rzac. checKL.tst off the back o~ tills torm I 5/L4/90 I8:30 PM Pe[-to~mea By : Richard 3) All pr'bauer dt$per~se['s a['e to De c~ecKea tot [ Date .[ 'rlmo cul. ibruti, on uno a(J~lt/~t%,rJ .ir o,.it or tol. er.'ance I I t?ef tO[. ~e(J ~' Ptp].ng to be I.._c.K tested using apla['oved methodl I v a t c I 't' 'l. m e I ": ": AT'['ACH COPY Tightness 9'esting bt 't'arlk(.~;) to be per. to[meal ,Jsing a[.,.p[oved teste[ :a£tcJ method. I I.,[cense ¢ 't'est Fei'former' s bi.amc Dr~s.'.:r J.[;tlc'.n ,.'.'.i' test Date I 't' I :.,.e :': '." ATTACH COPY Ok' '['EL¢T P, EEULIa. *' '" NOTE: 'I'HJ.[{ REPORT MIJS'I' BE SUBMI'I"I.'ED '['O THE PERMI.II.[.I= AU IH()RITY . ,., O~' C. QP1PLE t I ~ 51 bi:' .LNVEL4'I'/G,a.'I'J.O[~I FH. OC. EDUREi{ . ,( ,~.! I C!~F:.[.'.'.'.?rlF~e~r _c-.. ::~rlC.1 thc. i[ :="r).<J cl.:_',c,[ F; VI.?.Llt) J ['.'/ Cl'le.CF'.e.<l toe .Legless, ;K ,~.l J hOFCS ~!rld rloz.'-:.lo.~: '...:] ?Ll.~i l.¥ chec'F, ed tor X .~:{. ! t'.'.:,'~Cl ! I .'/C'[ ?3~E;: I.~ .'.:h~c:t'.'.e:'c! tc::r '.'2 ...... ~ I ,.'..if1..'_] Ii,jr ..'~-,/,~L~ t.'l~:pon?.c.[ ~, -~: ) not, t.lgl'it as .[~sted be.Low' I I I Tank At ea ALI tLlf'blrie' bOXe~ lrispectecl. A L.I t L l..Ls ~ncl v~po[ mz-mno.Les inspected. 'l'a~nk ~'~r e~] a~:,peL~s ttght ?/tth no [es~nt ./ 'I'.~[1F'_ ::1£".=-;.:1 ,.1...... = riot. :~LD.p~);][ t' igtlt L'.eC:]{JS~~ oh the ~"~' Lc:v,": '.'... F i [_'.1. ng 'rype: J J detoct.ton ot .I.e~k~ge. L~uct£on piping tested .~.".?.[' l(ltJlC::ll.:lo[1 o~c P~pLng tight b~sed on testis) ~bove. I'Lp.Lng riot t.Lgrit based on test(s) aDove, with pL-oblems/¢orlG~ttons Listed 24 HOUR REPORTABLE VAI-IiAT!ON/LO$$ NO'I' I F ICA?ION ,~'a<:L.J.',t,/: County ot Ke[n "In¥o" St. (GAS) Pe[c~lt ~ LSO011C I & 2 -'8] Cal. -83 Gal. § Fei. '1 - _ _ ,-' "' '1'] [)r.'O.<:b.lCt .~[1<] J. ~'!..~',,'.'L~,."~!=~,,'~'.'° fl¢)~ ~._',<f>[)f~_t~ (~1 '"p._[l_. .... ., . ........... 't',+~.t'.s not tLc:3t~o[~ 15 In ~<~¢Htt. ior) to the phone c~.li, ~ENERAL S~RVICE$ GARAGE DI. VlSIOH KERN COUNTY ENVIRONMENTAL tIEALTH DEPARTMENT VARiATION/LOSS INVESTIGATION REPORT County ot Kern "l.n¥o" St. ?~_". '.~J. t ¢, 15OOiiC ,~?.rJf',?s,.:: '230 lnyo St. 8ake£stield, Ca. l;lucref, x-zr'~cy: ~;. I & 2 t)ate,.,".l.'L~2C Cf: L.~.S,':<~','~'f:)': 4/30/90 8:lb PM kOW THROUGHPUT CHART. Daily -83 Gal. WeeKly -.~3 GaL. HOURS J O'v/ri.~.r//'''....~..,.,.;~tc;[. "r'... -'th~-',._.. ... .(.luu.l. Lt.ted Do~'oq. ~._. iS tO J I:.>~t"... ~ q'lmC', ..,.. ,J r.::~'.,!.¢-3',-.' r.;_~(:o.[.<2': ~<?r. ,3r r.<)r.~ ber<.'re det.~zc'."]rtlr]g J 4/30/90 JS:i~ FH { till(fir '3 !.'J .~t f ¢;'[)<)f t:d[) t~) ",.'iii I ~t I 0[1,' tO'Z''Z . t¢¢rtoc.".:ed Dy : Richard Brown 24 tlotJt ~ -/2 Hou£ $ .taC.L.). Lt:y Ct¥-~,::K tO t?Z per ror.':~.od ,tu:r~.] i )_)ate ~ 'r:.'.~ oft tile t>.acK <)t th~'¢ form { 4/30/90 {9:00 Her tot me':~ Hy PIp[ruJ t<) t;e ]~!<. t sted ,.]sJrlg a[J.r..[..) .... J ...utHod !.l<:.,_,rlL:...,e ~ q'~3~t Per. t<)[ me[ ~ Uescr }.~)ti.',)r] ,.)~ te'~t [3ector. " * AI. IA_H (;()FY OF '['K5T F.E.qI. JLT~J. " '" D~te 1 Time · : A'I"['ACH C:()t:-'Y (_'~Ir' 't'E'i.¢T b'.YL-'.L'L.'F',-3. ' THL',':] t{EFL)}CI.' PIUI-J'L' lJl~: ~UUPIL'L'TEL) 'Iq.,) THE HE.IF, NI.'I"I.'.I. NC; AUq'H.';?.,LT'¢ W.! 't'~ }~': ", !)A., ,.)P' ~'{..tJ"~,}-'~..).:i'{.'{.~.~!'i I..)k' !. NV~.;'.'~T.I CAT , ,!,ir P~.~O .' ,~::})~ '¢.F'.'.:J, '2. V.[SUAL 1. NUPEC'[',tON CHECK[,IST ~ ] :~ F !.)._ ). A t:. ' I I J TANK I I t ' I I I I I RequitE: Ptptng Type: II F['essu£ e de't. ect.ton o~ .Leakage. J_L suet f' ! J:) ! !tg not t t gtl't. pi .,:.,. r.) L e"? ':.'.,,./'..:orl¢~. ). r ....... t L!'-: t: ff f. J [.) ..v.J.'L'rI 24 HOt JR REPOR'f/iI3LE V/t. RIA'I'ION/LO::;S ~TIF ICAT!ON · <~i~o / ~' ~,,.-~ ~' / HISGAHD.I NG: county ot Kern "£nyo" St. tG^S} ?'r.:~tt '.7 IDOOIIC n,.~.~ ..,,..,. · ~ ~() [fl¥O ~ ~[":~ [O.[~ C~ .. . .......... .~, . 'z.<..>~ ?' i ~.~] '<e[.>'.~[ k: I..AR~Y JOHN1CAN. FLEET ~NAGER 'l'OKd [ ["iJ flhl'L:~''2 J, J.i'l~ J ©12 '['[ ~'fl(l ,a..r!:L! } ¥'-; I 2 I & 2 +'/9 Gal. b Fer. I LEET MP, NAC: E 1~ GENERAL /~ERVICES GARAGE L)IVISION KERN COUNTY ENVIRONHENTAL HEALTH I)EPAR'I'ItENT VARIA'rlOt~I/LOS$ I:NVESTJ:GAT.[ON REPORT F:.',c.t ! it'/: County ot Ke['n ".[nyo" St. I-'c[.:"i't '~ 150011C "]'.'l[l~:t. U ) V."',. I-ti ~.~l.L'!'f C'.j":.-trt";~':. ~ I. i '~ f"-,*'~ ."'l'i...~ ._, .. .... ; .... ' "'*'.~. ''t'','''~',~,.. _._ .,. , ~'l 4/3Q/O~ ,._- 8= N':~'"¢.' .......... .'.,r h't~f.',zcr~ h , ,,.,,.,,,,] ,..._,_.. ,'.'"'""" "'. La['[y Johrll(:arl, b'teet f)c'~c:C .L[)~ [,'~[1 "~ !)[ '-Jcr C¢~h~f~C~': I)ati~' va['ldtlofl exceeded al I. owaDLe I. t_Tlts tis I.,O~ THROUGHPUT CHART. ~79 .:it: I-h.'*..,... t'. I.~V.' ..," £ C'¢..'.cr.. t'_.__,...'~',.,.' ~.. ,.' ,,,¢,......_. .... ' ~' :'.:1' '.:¢'..'~',.,,**, ¢,¢'t ':>r ~.rlC''t¢3.: t];3',~, _ ,...",',,~. ........ ,i,. "."".''..., ......., . .,.. b llour s t,;,.'ner/OF>c,':.::t:or c>.l. o'crlcr qua.l, i .~ .loci ~?crsorl 1 ~; to [ L)c!t.c [ '['I [OVLC'.'/ [~Co['cJ.~ tot. er.[c)['~ bet:ore dcte~.trllrlg ] 4/30/90 [8:lb FM 7 2 Hour s .. _ '~"' t:hL~' m J 4/30/90 ia'gO PH Fr_'r tot :p~'d ~y : t. ticlaard t~['o',;'a ]. '. ' AT'I.'ACI-1 Cr)t?¥ (.)F' 't.'EST .P.b:'TU~.T':-;. ' .' '.I.'H 1.2¢ ?.b:P()R'f' PIIJ:=;'F Bk: ':¢IJI/PI !'!.'TKD TO 'I.'HE REI{I"I!.'L"L'LI~!(_~ AtJTHL)U,L'L'Y ~.'~ . :"; '" '" !.~/".'-' t)F (?()PII-'t..F:Tt.~)N OF INVE',:;'I.'JCATION ! I L' q:2:J ' [ ' C. Plptn9 TYpe: II Pt'essu['e ResuLts: __ P[p.:r]9 t[ql']t Uased on test(~) aUove. I I :~uct ton P.I.[Dk[I[.] ['lOt t tf-Jht based on test( s ) abc;ve, wi th p[ ob.Lem$/conr-Ji t l[ ,. HOUR TO: R£GARDING: FaCl..I. tty: County ot Kern "lnyo" St. (GAS) Permit ,~ ~'ac~ } Lty A,:~.,~['r_~Ss: 230 .'[nyo St. BaKer$~.leld, Ca. IbO011C LARRY JOHNICAN, E'LEET MANAGER 4/12/90 6:0OPM , the adore taCLI. Lty had all '(date and t.[~e) Lnvento[y va[.Latlon/J, oss that exceeded rePortabLe t tm.LtS as descr].bed be.i. ow' Tank 'l'ota [ ['llflllSe5 b;ne 3 °t '['r.'ef~d An~ [.y$1 ~ I & 2 -101 Gal. 147 Per. 12 [ have/h'dve--not .stoppea ,::l.l. Sf.~en'zJ. ng pcodu(:t and beguH LnvestigatJc..n p[,:)(:~du[- r.'equ±~ed ~y the Fe[-mittLng Author'[ry. Th.is; not~t]cation Ls ,Ln acld.ttlon to the phone ca.[.[ I. previousLy p.Laced. V LARRY ~OHN[[CAN, f'LEET MANAGER S£RV C£S GA AS U WS ON COUNTY ~-NVII{O'III~EIITAL HF-ALTH DF-PA~TI~ENT VA[IIATIOI~/LO$$ IllV~$TISATIOIt [IEPOIIT t.'ac.~J, lty: County ot Ke[-n "./nyo" St. PetmJ. t ~ /b00LIC Edcl./.~.tV AO.,:~te~s: 230 /nyo St. BaKet'stte/d, Ca. 7'::~nK( ~ ) ~,/.Lth [)±~ctC.[a.~trtC',,.': ~ L & 2 L)atei'l.'Lme ot glscove['y: 4/12/90 7: 45F~ Nag?re ot FeL'~on k'.L.L.Lng Repout: La[['y Johnican~ Fleet ~anaqer I)C-:CE' Lpt.LOn 0..~ 01~cE'epancy: Oatly va[ration exceede~ aitowable ltm~ts ustnq LOW '['HROUGHFUT CHART. ~lO.L Gal. '[ NV E :~'t' l. G A'I.' 1 (? N :~ U f'IMAR Y The to.t.l, ow~ng procc.-du~'es must De pe~orme':'d w~tn~n the speci~e~ t~mes st~[ttng [e~of. ta~,l~, los dl. coveged of. 5ho[JJ.d have been dtscove['ed: 6 Hour's I Owner/Operator or-other qualitled person ~s to I Date i 'l'.tme I C'eVteW £eCO['d5 to[' ec'c'ots betore .detef'mJ. illzlq I 4/[2/90 l"/:4b FM {. there rs a' ['epo['taDie' va['latlon/loss. PerIormed 8y : Richard Brown 24 Hours O',,v[le[/Ope[:ato[' must verbally report I !~ate, I' Time d[sc'ove['y to KCEHD and to].iow-up with w['lttenl nottttcatton on tot-m ptov.[ded. Fertormed ~3y : .~.'~ Visual facility cl~eck to De per'rot'meG uslflq I Date t '.t'l~e checklist oft the baCK Ot this to['m 1,4/12/90 18:20 Fei'to[meal By : Richacd Brown ALI p['oduct dl. spe[lse['s a[-e to De chocked Eot' I (:~/ibt'atlO[l dfl(~ adjusted zt out ot tolerance I I Fe[to[-med By : 48 Hou[s I I 1 1 I i.:tping to De leak tested I..L C,?[lS [3 ~? '['e5 ~ UeSCt'lpt L<)[] O~ test I')a t e f 't' ~. me I ' ~" AT'I.'ACM COPY OF 'I.'Et~T k~EDUI.,'['S. 72 Hours I ' Tightness Testing ot 'l'anKts) to be pertormedl I using app['oved tester' and metllod. I ContE'acto[ s Name. : I L.,LC{~f~Se ~ Test Fei'fol.'me[ 's Name I Oc-sct'iptlon ot test Date I 't'.tme I "' "~ ATTACH COPY-OF TEST RE~UL'I'.'-]. '~ '" NO't'E: 'I'HI~3 R£FOR'[' MUST BE SUBMITTED TO '['HE PERMITTING AUTHORITY WITHIN 5 DA'." ()~' COf'IF[,E'['ION O~' INVE'.~TIiGA;['[ON FROCEDURES. 2. VISUAL INSFEC'FION CHECKLIST X All ,m].spenser$ ar, d the.t[ end doo/'s.v.lsu~.[.[y che(:ked ~o[ LeaKs. X AJ..I l'i(:,se~; arid nozzles v.LsuaLl.~ ctie(:Ke(] to[ .LeaKs. [)lspense[(s) not t.tg~t as Ltsted be.low I I I' I I I I B. Tank Area AJ..L tu[btne boxes Lnspected. X A.L.I tll.l.s and V~lDO[ manho.[es ~nspected. Results: esent X '.['anK ]. OW: s zgnature/da~e j TANK .~ J I:'~ROOtJC'F ,7 J COIqPP:: N'I.'::3/' ~-: ;.:':;~J .'t':-.;: I I I I i I I I I Results: F~ptng Type: I I Pressure II Suction Fl:'essL]t-i'zecl [3J.t~).l. rlg .L'e. aK detect,'.)[ ~ ~ ) te~tecl r,'.)[ [)[o~)ef r,.~[~ct l. on~ fF.3 ~.~ cletect~orl o~ .leakage. [{uctiol] .piping tested tot. L~ld£catlo[l Or leakage. F~pzng tzgr]t based on test(s) above. s [gnatut'e/date F.Lpl'ng not t.[ght based on test~s) above, .with pt-oDiems/cond.Lt.tons .LJ.~:ted be Low. sLgnatu[-e/date ~-4 HOUR REPORTABLE VARIATION~LOS$ I~OTI F ICATIOi~ Ke.':P. County Envi. ronmentaL H.eaJ. th Department ..... " ,-. . t~~ '~ t~:e~:s~ieLd, Calito[nia 9330L Attn: Unde~ g['ound' Tank SectJ<Jn REGARDING: Fac.iJ. tty: County oil Kern "Inyo' St. IGA$) Permit ,~ 150011C E'acJ..Lity Addre'~S: 230 '[nyo St. Bakerstieid, Ca. Na'~e Ot Fe[son FilLn(~ Repo['t: LARRY JOHNICAN~ FLEET ~NAGER On 4/07/90 6:0OPM , tl~e above taciJ, ity had an (date and tJ...~,e) [[',ventory va[.i, at.Lon/loss that exceeded ceporta~)le limits as described be.lovz' '['ank $ Da t Ly Weekly Month.ly V~][' iat .i oil/ I.,)~ Va[-l. at J.o[1/[,OSS Va[.' JatJ on/Loss ']'ota.I a i. nuse,s I, ine 3 ot Trend Aha I. ys i.s +129 Gal. 146 Per. 12 .[. ~la'''~ "'h:l"e -. riot St~'~ ' ~ ..... ..... · .... pp~d di!~p(._.,nsir~g pcod. uct and begun r'C":~Ii.L[i')(~ t"' the PeL~.LttJ. ng Authot-it:y. This noti~.[cat.ion .is J.n add.it.ton to the phone ca.l..l ~---~L~i~R~ JO~IN]~tAN, FLEE l' "MANAGBR GENL~RAL ~ERVICE$ 'GARAGE DIVISION KERN COUICtY ENVIROIII~EIITAL H£~LI. TH DEPARTI~EItT VARIATION/LOSS III1/gSTIGATION REPORT [-'mct.l.i. ty: County o~ Kern "In¥o" St. ~er-mi.t ~ 1500II. C E'~c:il.i.t:~: A(JtJ['.=.:.,::s'. 230 In¥o St. ',Bake['s~ield, Ca. '?clifF:( !.~ ) '.'.'Lth l'): :~.::/'e[)~n<:y: ~,~ I & 2 I)~t:e>,/'l.'.l~(~ ot D.i '.;cove[ y: 4/10/90 9: I. SPM N:~'2. e o~ For son Fi. LLng Repor't: taE[y Johnlcan, Fleet Manaqe[ ......... · ..[ {,p~J. on 0t L)~sc[epancy:WeekJ. y varLation excee~e~ allowaDle limits ilsinq LOW THROUGHPUT CHART. +129 Ga,i. 1 NVE[<T IiGAq.' 1. ON i~UPIPIARY 'L'he t.:..~'Low.Lng p['ocedu[es must be perZo[:,:..d wlthtn the speci'~ied tzmes startLnc at the ti:ne a ['epo['table loss J.s discover.'ed o[ should have been ali. stove[ed: W.i. t h i n: I 6 Hours I O:,',:nec/Ope[ator,o[ other qualitied person J.s to I Date J Time I [evi. e',v t.'eco[ds toF erro[s be~o['e determining I 4/10/90 lC: L5 PM J ii,ere J.s a ['e[)o[tab.Le variation/loss. Fertormed By : RiChard Bro~ 24 Hour; s 48 Hours 72 Hours I I I I I L ) O'..:ne['/O[)erato[ must ver'ba.l. (Jiscove[y to KCEHD ~][ld i ,Al j) Pertc)~med By : . ~.. '2) Vi.~nunl. Yac:i.l. ity check chi~c:k.!jst o[1 the back FeFtocaed By : Richard Brown 3) ALI [)[',~)duct (ll. spense[~ ,:::..]J. Lbrati. on and adjusted i~ out ot toie['ance J Pi[.>J. ng to be Leak t_~ted using app['oved Cont: ~.'acto[' ' s. Name · J ....I. Per ~ofmcr. Name [)eSc[J. ptzofl ot test [)erto[med [)ate AI [A..H COPY OF 1. k,,~ I. Rk,' "L4UL'!.'[-], Tightness '['esttng of.. '['an~(s) to be pertormed using app['oved tester' and method. C.<)fltlTaCtO[' ' z N~ License ~ Test Pec-torme[''~ Name Oesc['iption ot test performed Date J Time · ' .... I E.) I. '"'l .... " ~ Al.].ACH COPY OF "' .... "Rk.) Jr, to. * ~ NO'I.' E: 'L'[i'l:~ REPOtU[' MUi-;'.I.' BE SUBFIZ'I"I.'ED '['O 'I'HE PERMI:Tq'£N(; AU'['HOR.[TY WI:THiN 5 D^': ()F COMPLET'[ON ()[I INVRoI. 1. GAL I:ON FROCEI)URE'S. 2. V!gUAL iFISPEC'.['.[ON CHECKLIS'.[~ X A.II. d£spensers arid the.~[ end doo£'s vJstJL~l.]¥ checked tot leaks. X :~L.[ hoses ~]d nozzles v:[ ~tl~.l. l¥ X AL.L tot~.l.[ze[ seals checked ~o[ t~mp~.~g. X AI..I. ('Jispense[s appear tight ~~ ~-]~"~ ~ s i. gnat ~J ['e,"da t e ))~spe~]sen(s) not t.tght as listed below s J. gnatu['e/date IL)J.',.;[:KFI:JER. ~It;ERIAI:. ~ICOPIHF:NT',~'. I I 1 I I I 8. Tank Area X__ A.I ]. ttJ[b[rle bo×es .inspected. A.[/ ~.ills and vapo£' m~nho]Les ~nspect. ed. Renu [ts: s J .qrmt u r.' e,."da K. e I I I I I I I ResuLts: Piping Type: Il Pressure Il Suction P['e~su['ized piping I. eak detector(s) tested tot pooper' tuhctJoning detection ot Leakage. t~u&tion piping tested Lot .Lndicatxon oL leakage. Piping tight based on test(s) above s Lgnat ure,/d~te P..Lp.Lng not tight based on test(s), above, with pro'b£ems/condtt~ons Listed ~%eLow. signature/date 2~ HOUR REPOI!TABLE IYi~d:IIATION/LO~$ ~<ccl~ Cou~ity dnvir'or',.mental Health Oepactment ,L._/ .~ ..... 2700 "f"l" ~t[eet, Suite 300 Attn: UnOecgcounO '/'an~ Section ,~< .:-,Q"... Facility: County ot Kern ~'Inyo" St. (GAS; ~'acili t¥ Address: Per!alt ~ · 150011C 230 Inyo St. Ba]~ers~ield, Ca. Name 0~ Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 4/02/90 6:00PM , the aDove ~acility had an (date and time) inventory variation/loSs t~at exceeded reportaDle limits as ~e$criDed Delowr Tank Amount o~ Amount o~ A..':~ount ot ' D a z I y W e c' }: I y I'1o n t h 1 '/ VttL iation/loss VaL'ia'tlon/Los's Var'iation/Logs Total Plinuzes Line 3 ot Trend Ana.Lysiz I & 2 .85 Gal. 144 ['er. 12 .L t~dve/hoVc:-not stopped dlspe[ts±ng product and bc.qun ln,./esti.'.gat±cn p[ocedu[= /,~f'ql.li£,'d'(~ ~3}' tfle Fe['mittinq Au't~o['±t'y'. 'l't~s noti£icatior~ is i~ a,~Oition to the phone call 1 previously placeO. KERN COUNTY E~IROI~NTAL [~2%~LTH DF-P~TPIE!~ VARIATION/LOSS II~STIGATION i~EPORT f'acility: County oI Kerf] "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. BaKersiield, Ca. 'l'an}<{s) witN Di:screpancy: ~ I & 2 Date/Tllle ct Discover'y: 4/02,'90. 8:00PM N<I~[:c et Per-son Filing Report: Larry Johnican, Fleet Manaqer Descc'iptio[l Ct Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. '+85 Gal. INVESTIGATION SUMMARY 'lT~e Iollowin§ procedures must be pertormed within the speciti'ed times startin!4 at the time a ceportaOle loss is discovered or should have Deem discovered: WitNin: 6 Hours I Owner/Operator or other qualified person is to } Date { Time { review records ~or errors De,ore determining I 4/02/90 {8:00 PM { t{]ere is a reportable variation/loss. Fertormed By : Richard Brown 24 Hours 48 Hours 72 Hours Ownec/Opecatoc must ve[Ioally ['epor't 2) Visual Lacility clleck to De peLLoc'med ugirlg [ Date ~ 'l'ifae cNecklist o[~ ti~e Dark dE thl~ Eoc'a 3) Ail. p~oduct dispensers arc to De cIleck~d Eof Date [ Time calibi'atio[~ and adjusted it out Pertormed Piping to be leak tested ,using approved method Co[~tractoc's Name Licenue ~ Test PerEormcr'= Name De~c£iption ct test per'tormed Sate ATTACH COPY O~' 'I'EUT RESUL'I'U. .' ', Tiqh'tness Testing ot Tank(s) to be performed using appuoved tester a~lG me'tnod. COl~tcdCtO[ 'S N~fiie : License " Test l)er£ormer'z Name Dezcfiption o£ test pc£tormeG Date I Time * '* ATTACH COPY Of' TEI3T RESUL'I'I3. ' "' THIS REPORT N{Ji3T B['] ~UDf~I'I"I'ED 7'0 THE PERIqIT'i'INC AUTHORITY W['['HIN 5 DAY Of' CO/"IFI'.,E'flON OF iNVESTiCATiON P£{OCEDUREL~. ,2. VISUAL INSPECTION CHECKLIST A. Disperisers X All dispensers' and their end doors visually che~}:ed tow leaks. X All hoses and nozzles visually checked tot leaks. X All totJlizer seals cNec}:ed Eot t~er~ng. Results: ~~~ X All ~ispensers appear tight signa t ur e,./d~t c Dispenser(s} not tight as listed below siqnature/date [DISPENSER ~{SERIAL ~]COMMENTS: o I I I B. Tank Area X All 'turbine Poxes inspec'ted. Ali tills and vapor manholes inspec_ted. Results: X Tank acta appaars tight with txo pr 'qui~ pre~:d'nt s i gna t Lire/Ga te Tank ac'ca does riot appear tigllt because ct the problems/conditions listed De 1 ow: signature/date [TANK ~[PRODUCT~ICOMM£N'I'S/RESUL'FU: Results: Piping Type: [{ Pressure J_[ SuctiOn l'['essurized piping lea~ ~etecto['is) tester tot proper tunctioning Ge'tection o£ leakage. ~uction piping tested Lof indication ct leakage. Piping tight based' on tes't~ s) above. gna t ur' e/cia t c Piping riot tight based on tes't(~) above with pcobl~='/conditions .t 1 $ t'~O Del'ow. Deut;£ l[3t iof] ,.TO: 24 HOUR Kc-[ri County Environmental Healtr~ Department 2700 "M" ~tr.'eet, Suite 300 Bake[ s~el~, Ca.[ 1 ~c,[ l'll~ 93301 Attn: Unde[ground Tank Scctiotl REGARDING: Facility: County o~ Kern "Inyo" St.~DIESEL~. Permit ~ 150011C li'acillty AGd£es$: 230 Inyo St. Ba~er$£iel~, Ca. Name 0~. Fo[sOn ~'l.[.in,q [{epo£t: LARRY JOHNiCAN~ f'LEET MANAGER On ]/28/90' 6:00PM , tl~e above ~aciiity ha~ an (date and time) lnverrtory varlatior~/loss ti%at excee{Jed [eportaDle il,mits as desc[lbed Del Tank Amount ot Amouilt o~ Amount o~ .Daily Weekly Montgly Variation/loss Variation/Loss Va£'latio~l/Loss Total Minute Line 3 ot 'l'fend Analys 3 +200 Gal. 115 Per. 12 I t~ave/t]ave--not stopped dispensing p£'oduct and begun ~nvestigation proceU £'equl£'ed by t~le Fe£-mitti~lg Autllor£ty. 'rh.~s notitication ~s in aOC~tl0n'to t~e p~]0ne call I p['evlousiy placed. GEI~E~' SERVICES G~d{AGF.' DIViSI KERN COUNTY ENVIROI~I~EJJTAL HEALTH DEPARTI~EI~T VARIATION/LOSS IItVESTIGATION REPORT ~'uci[J. ty: County o~ KeEn "ln¥o" St. [oerm~t # lbOOllC ~'acll. ity Add[es,'-': 230 inyo 'l.'~k(~) ~,-.'lth biscue~:,dncy: 4 3 Date/Time o~ ~scovory: 3/26/90 8:0c Narco ()~ Fe[son k'~l~V~ Report: Larry Jo~nican~ f'leet ~anage~ Dcscf. lpt~on Ot DAscrepan(:y: Daily variation excee~e~ allowable limits uslnc LO~ THROUGHPUT CHART. +200 Gal. £N% ao L/.G~ I..LON [{.JMMAR ,. The V.o.L.Lowirlg procedure?; must be per'~ormed within the specified times start at: 'tine time a r'epo[table Loss i5 discovered o[' should have been discovered: thin: I 6 Hours I Owner/Operator or other qualified person is to I Date [ TiE' J review recoi'd5 to[' eL'[-or's betore deter'mining J 3/28/90 ia:O,0 j tl]eL-e is a ~epor'table va['Lat£o~l/loss. Performed By': Ricl~ard Brown 24 Hours Il) Owner/Operator must verbally ['epor't I Dgte/ 'J 'ri!: I discovery to KCEHD and roi±ow-up with writtenl J notitication on tor'm provided. I~. '.~. ~ i) I - Performed By : 12) V~suai ~acillty cIleck to be perto['med usingu I Date-v 'J 'ri:: j c[~eckl/st Oll tile back ot tills tol'm I 3/28/90 Ja:4b. I Pe['tormed By : Richard Brown 1'3) AIl product dispensers a['e to be cinecKea ~or I Date J '1'~' I callb['atLon and adjusted it out ot tolerance I J I Pe['~ormed By : 48 Hours I Piping to be leak .tested using approved methodl Date I I I I J Cont['actoL''s. Name J License ~ '['e~t Fector.'mer's Natae j Description ot test per-roi'meal I '? ? AT'I.'ACH COFY Of' TEST RESUL,'I'f~. '" ? 72 Hours I I I I I 'l'igntness :l;esting ot 'l'an~(s) -to be p'erl:ormedl using ap[)£-oved tester' and method. J Contractor'~ Name : License ~ Test Pe['to['me["s Name DescriptLon ot test pe['£ormed Date J 'ri~ I ATTACH COPY OF TEST RESULTS. NOTE: THiS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY-WiTHIN b OF COMPLETION OF iNVESTIGATION PROCEDURES. 2. VIBUAL IN~PEC'L'iON CHECKLI~3T A. DJ. upc-[lser~ X Al.[ d.l. spenser$ and their end door's visually checked tot leaks. X AIl hoses and nozzles vlsua.lly chec~e~ to~ leaks. X AIl Lc, tal~,.r 5e~J.s checKe~ t~dm~r~tng. Results: ~~~ X All d.lsper~sers appear' t~ght ~-~'~ '~ s lqnature/date Dispenser'(s) not tight as listed below s ig[lat ur'e/date }DiSFEN[~ER ~I[3ERJLAL ~} I I I I I I B. .Tank Area X AIl turbine boxes inspected. X AIl tills and vapor manholes inspected. Results: ~~ X Tank a['ea appears tight with rio l~uid present -- ~, ~._.~ ~.~ slg[latu['e/date '['a[~k a['ea does not appear tight because ot tIle p['oDJ, ems/co~]dltlons l. iste below: signature/date I'-['ANK ~l PROI31JC'I.'~ICOMMENTS/RI~::SULTS: I I I I I I I I I Co Results: Piping Type: II Pressure II sucti F£essu[ized piping Leak detector(s) tested ~o[' proper tunctionin detection ot leakage. Suction piping tested to[' indication ot leakage, Piping tight based on test(s) above. sZgnatu['e/date Piping not tight based on test(s) above, with pcoDlems/condition Listed below. signature/date Description TO: 24 HOUR REPORTABLE NOTIFICATION Kcr~i Cou;~ty Environmental Health Department 2 /(30 '"M" 5ri'cot, 'Suite 300 Sakcrstleld, Call~or[lia 93301 Att/i: Ui~de[g['ou~id 'l'aii~ ~octlOil RE G~D 1 NG: t.'acl.tity: County o2 Kern "lnyo' St.~D1ESEL} Fermlt ~ 150011C L',icJ. lit¥ Ad.{~.e~s: ~ 230 Iayo St. Ba;<e~$~ie£d, Ca. Nciille {~£ FC'[~Oii ~'l£iflq ~.{epo['t: LARRY JOHNICAN, ~'LEET HANAGER 3/24/90 6:00FM , the above r. acl.Lity .L~lVCi'itOr"y Var iat iOn/LOSS ti'Jar cxcc. c. dod [epo[ table limits as Tank Amount o£ Amount o£ Amouilt or Pal ly WeeKly Mont]]ly Va[ iatloil/losu Va£'iatloii/Loss Va£'latioil/Los5 Total Minute Line 3 o£ Ti.end An~ ly:~ 3 -105 Gal. 114 Per. I have/have-.not stopped dispe/lsl~ig pioduct arid begun i~vestigatioa p[ocec ['cquired by .the Fe[mlttl~ig Autho['lty. '['riis notlticatiori is in adOiti~[] to the phone call I previously placed. g~~ GENE SERVICES GDdiAGE DIVIS1 KERN COUNTY ENVIRONMENTAL HEALTH DE~'ARTI~IENT VARIATION/LOSS II~ESTIGATIOM REPORT [:~(;l[.[ty: County o~ Ke[n "lnyo" St. Fe[mit ~ IbO011C E,.~CJ. ll'ty A~df. ess: 230 lnyO St. Bakersfield, Ca. Ues(:~.~{}.tl()~t (3~ l)zsc['opancy: Da~ly variat~on exceeded allowable l~a~ts using ~OW THROUGHPUT CHAKT. -IO5 Gal. The t'ati, o'.4.~ng p['ocegu~cs must be pe['/'.o[med wlt~,.~n the spccit~ed times stair 6 Hou[s I Owner/Operator o[ other qua.ii,led pe£son is to I Date J ~ev].ew [ceDi'ds tel' c~.Eors ~c~o~'e dote[mining ~ 3/26/90 ~7:50 I the[ e l's a ['.e~)OE taDl. e va[ ldtlofi/IOSS. Fcrto[med By : Richard Brown 24' Hour's I I I I 72 Hours I I I I I All p£'6duct dlspense[s are to be checked ~o[ I cali~)[atio[l and adjusted i]~ out et tolerance I Fei to['mc'd By : discov'ei'y t:o KCEHD and tollow-up with writtenl~?/90 Per to[med By 2) Visual ~acllity check t0 De pe['~o:'med using I ~a~e I Tim- Fe[~'o['med By : Richard Brown . Date I Time- Piping to be £eak tested using app£'oved methodl . Date Coflt£ act()[- "s Name License ~ Test Pe['to[mer's NaP~e IJCSC['lPtion o~ test [)e['to[med 'l'i I "~ * AT'.L'ACH COPY O~' TEs'r RESULTS- . '." ' 'rightness Testing o~ TanK(s) to De per~'ormedl using ap~£'oved teste[' and method. I Contracto[~s Name : Llce~%se ~ Test Fer~o['me[' s Name Descr].[)-t].on o~ test petrel'meal Date I. 'r [ m.c. ATTACH COPY 0~' '['ES'[' RESUL'F{S. * ? NOTE: '['HIS R£PORT MUt~'I' BE SUBMIT'rED TO THE PERMITTING AUTHORITY wJ'['tllN b [? OF COMPLETION OF INVE.'{'I'iGATION FROCEDURES~. ! 2. .V1L~LJAL .I.N?JFEC'i'JLON CHECKLLLST A.LL d[sperisc:'rs and their end doors visua.LJy chocked £or le~Ks. hosc. 5 total.tzar sc'a.Ls .checked to~ t~p~,fzrig. A.L.L d~spensc:.r~ appear tight _ . gLspc, rls(e[ (s) riot tight ~ listed be_Low ~ Lgnatu['e/da te 1 I Tank Area All turbine ~oxes insDecteQ. All t~lls and vapor' manholes ~nspected. Results: ~Wt~[~qu~d pr esent Tank area appears tight with no ~~ 't'a~k area docs not appea£ tight because et the pg'oblems/'conditioHs liste be low: s 1 '.gila t ur e/da te J TANK .j{. J I?FL(3DLJC'/'i} J COFII4EN'L'::-]/[LEELJLT:3: I I i I I i I I I I I I Results: Piping x Type: [[ Pressuce II Sucti FressiJrJ. zed piping Leak detector(s) tested tot' pr'opel tunc:tlonin detection et .Lea~age. Sllction piping tested to[- l~dicatioJ] et Leakage. Piping tight based'on test.(s..) above. s ignature/da Piping not tight based on test(s).above, with problems/condition listed below. signature/date Oescrlptlo[l TA-NK FAC ILI T¥ .ANNUAL RIEPORT ~DR I 8 1991 I have not done any naJor nodiftcations to this facility durin~ the last 12 sonths. Signature Note: All ~aJor aodlfications .require a Per=it to Construct froa the Peretttinz Authority. I have done eaJor aodifications, fo6 whlch~I obtained Pereit(s) to Construct fro. Perettttn~A~y Per.it to ConstructOr / Date . R.P,ir ,nd M, int.n,nc. S--,ry / ' A~ach a summary of all: -~ Routine and required naintenance done to th~ facility's tank, piping, and ~onitorin~ equip~ent. -- Repair of s~b~erged pu=ps or suction punps. [_~/Replace=ent of flow-restrictin~ leak detectors with same. Repair/replace.eat of dispensers, net.rs, or nozzles. -- Repair of electronic leak detection conponents, or replacenent with same. -- Installation of ball float valves. -- Installation or repair of vapor recovery/vent lines. Include the date of each repair or =aintenance activity. NOTE: All repairs or replacesents in response .to a leak require a Perait to Construct fron the Pereittin~ Authority as do. all other aodificattons to tanks, pipinz or nonitorinz equipeent not listed here. Fuel Chan~es - Allowed for Motor Vehicle Fuel tanks Only. List all fuel storage chan~es in tanks, noting: Date(s), tank number(s), new fuel(s) stored. is this on the 5. Inventory control eonitorin~ required for facility Per. it to Operate., and I have~ exceeded~ reportable Ii=its a~ listed in the appropriate ii~ntory control nonitorin~' handbook during.the last twelve =onths (if not~li~able, disre~ard). 6. Trend Analysis Summary / PI. ease attach Annual Trend Analysis'Summary for the last 12 periods. 7. Meter Calibration Check Fore Please attach current, conpleted Meter Calibration Check Fore ANNUAL QUARTER 1 PERIOD 1: PERIOD 2: PERIOD 3: TREND ANALYSIS Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Numbe~ for this Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) S tO QUARTER 2 PERIOD 4: PERIOD 5: PERIOD 6: TIME PERIOD: to Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) ~0 PERIOD 7: Total Minuses This Period (Line 3} ~ ~ ACriDn Number for this Period ('Line 4) //7 PERIOD 8: Total Minuses This Period (Line 3) ' /// Action Number for this Period (Line 4) /~ PERIOD 9: Total Minuses This Period (Line 3) /~l. 2.~ Action Number for this Period (Line 4) /~'? IL PERIOD 10: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 11: Total Minuses This Period (Line 3) Action NUmber for this Period (Lin~ 4) PERIOD 12: Total Minuses This Period (Line 3) Action Musher for this Period (Line 4). I hereby certify thais a true and accurate report. KERN COUNTY TREND ANALYS I TANK # /~P-- CAPACITY" ~c7. ,j~ PRO'DUCT ~..,~a~ ~ YEAR/PERIOD PART A' : OVERAGE/SHORTAGE 1 DAY DATE DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 ;.1-; DAY 7 DAY 8 DAY 9 DAY 10 DAY 11 BAY 12 DAY 13 DAY 14 DAY 15 DAY 16 DAY 17 DAY 18 .DAY 19 DAY 20 DAY 21 DAY 22 DAY 23 DAY 24 DA~ 25 DAY 26 DAY 27 DAY 29 DAY 30 TOTAL 16 (+/-) I NSTRUCTI ON'S : Fill in all information at top c form. In the space for yea~ period indicate the year and t: conseCutive period of analys_ being conducted (from 1 throu[ 12 only). Transfer, the date ar the sign from columns 1 and 16 c Reconciliation Sheet to columr at left. Use the table below t determine the action number fc the period being analyzed. ACTI ON NUMBER TABLE 30-DAY ACTION PERIOD NUMBER NUMBER 1 . = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 7 = 117 8 = ~ 133 9 = 149 10 = 165 11 = 180 12 = 196 Circle appropriate period anc action number, A full cycle is made up of periods 1-12, after' ~hich a new cycle begins. Use Information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ Line 2. Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines 1 & 2) .............. Line 4. Action number for this period (from table above) .... Line 5. Is line 3 greater than line 4? [-~Y. es I__~f Yes, ~ou have a reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING" Env. H~lth 580 ~113 1016 (6/86) 17 17 '2 KERN CouNTY TREND ANALYS I ~' W~~ ~'~' TANK ~ /,~ CAPACIT~ ~,. ~ PRODUCT I NsTRUCT'I ON'S : PA___RT A : OVERAGE/SHORTAGE Fill in all information at top form. In the space for year ,j].. 1 .16, period indicate the year and DAY DATE (+/-) consecutive period of analysi DAY 1 5'./¥-.9 2 -~- being conducted (from 1 throu~ DAY 2 ~'/~'~+2 ,-~ , 12 only). Transfer the date ar. DAY 3 ,~' /6-.~ , -- the sign from columns 1 and 16 c DAY 4 ~-.-;-'~ 3~ ~ Reconciliation Sheet to column DAY 5 ~_,/~-~ ~ at left. Use the table below t DAY 6 ~-/~-~ ~ determine the action number fc . DAY 7 ff-~p_~ ~ ,, the period being analyzed. DAY 8 ~-~/- 9 ~ DAY 9 ~.2~_.~,3 ~ ACTI ON NUMBER DaY 10 ~.: .-~... ~.~ ] , TABLE DAY 11 ~-~ ~ ~ '''-' 3 ' 30-DAY { '~CTION' DAY 12 ,~.2 .. - DAY 13 ~-~ ~_~ ~ ~ ~PERIOD NUMBER[ ,NUMB,ER , DAY 14 ~-27-~ ~ ~ 1 = 20 DAY 15 'J~-,~ 0 ~ [ ~ =~97 DAY 16 ~-~ ~-7~ ~ 3 = 54 DAY 17 ~-3~- ~0 ~ 4 = 69 DAY lS fi'fi/- ~.3 ,,. ~ 5 = 85 DAY 19 ~-.7~ '9 0 ~ 6 = 101 DAY 20 ~-~.-% O - 7 = 117 DAY 21 ~-~-~ 0 ~ i 8 = 133 DAY Z2 ~-~-~ ~ I 9 = 149 DAY 23 ~-~-~ 0 ~ lO = 165 DAY 24 g-G-p ~ ~ ~ = ~so DAY 27 . ~. ~...~..~ ~ Circle appropriate period DAY 28 ~-/~_~...] ,~ action number. A full cycle DAY 29 g-//-~ ~ made up of periods 1-12. afte[ DAY 30 ~,/2-~ ~ ~ whfbh a new cycl'e begins. TOTAL MINUSES ]~ information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ Line 2. Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines 1 & 2) . ............ Line 4. Action number for this period (from table above) . . Line 5. Is line 3 greater' than line 47 [~Ye's I_~f Yes, you have A reportable loss notification and investigation procedures in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING" Env. H~lth 580 4113 1016 (6/86) and must begin as described #UT-10 /1 ..7'7 KERN C.OUNTY TREND' ANALYS I 8 TANK # /-~2- CAPAC . ~ o/ Ooo PRODUCT q/.~c.e.,,~ t 0 YEAR/PERIOD , I NSTRUCTI ON'$ : ,P,AR,T A : .OVERAGE/SHORTAGE Fill in all information at top form. In the space for yea: 1 16 period indicate the year and t DAY DATE (*/-) consecutive period of analys~ DAY 1 $'":.d' ~ ~ ---- being conducted (from 1 throul DAY 2 '~,/,~-~ - · 12 only). Transfer the date al DAY 3 ~-~5-' ~ ~ '--- the sign from columns 1 ~nd 16 DAY 4 ~'-):~'- ~ ) ~ Reconciliation Sheet to columl DAY 5 ~-,~ ~-'~ ~ -/'- at left. Use the table below DAY 6 &.,.~ ~,.~ ~ determine the action number DAY 7 _~'- ~ ~ - ~ ~) ~ .. the' period being analyzed. DAY 9 ~-2./ -~O ~-' ACTI ON NUMBER DAY 10 f-~;-p ~ -- TABLE DAY 12 ~-~-9 ~ ~ 30-DAY [ ACTION DAy 13 ~'~- ~ ~ PERIOD NUMBER{ NUMBER DAY 16. (- ~ 2-~ 0 . 3 = 54 DAY ~8 ~-~p- ~D ~ 5 = 85 DAY 20 7-~- ~ ~ ~. 7 = 117 DAY 2~ 7-f"~ ~ ~ 8 = [33 DAY 22 ~.~-") ~ ~ 9 = 149 DAY 24~-2~ ~,J ~ Il = lS0 oAy.26. 7-7-~.) DAY 2~ ~-~ - ~ ~ Circle appropriate period DAY 28 ~-~-~ ~ action numbe~. A f~ll cycle DAY 29 ~-/~-~ ~ made up of per~ods [-I2, afte~ DAY 30 ~-~-~ ~ ~ ~h~ch a ne~ cycle TOTAL MINUSES I~ information ~o complete Part B PART B: ACTION NUMBER CALCULATION Line Line Line Line ,Line 1. Total minuses this period-Part A '. ............ 2. Cumulative minuses from previous periods in this cycle. 3. Total minuses (add lines 1 & 2) ............. 4, Action number for this period (from table above) 5. Is line 3 greater than line 4? [~Yes I~f Yes, you have a reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-i0 "STANDARD INVENTORY CONTROL MONITORING'' 0 Env. Health 580 4113 1016 (6/86) KERN COUNTY TREND ANALYSI ~ ~'AC I L I TY ~0~i'~7/ o~ /{e,~- "/~.~ ~ °' J"~. PERMI T #_/~00 II C TANK # ~__ CAPACITY' PRODUCT ~J~LC~e~ YEAR/PERIOD ~0'--~ INSTRUCTION-S: PART A : °0VERAGE/SHORTAGE Fill in all information at top .... form. In the space for yeaz 1 16 period indicate the year and DAY .. DATE (+/-) consecutive period .of analysJ DAY 1 7--/~o~j ---- being conducted (from 1 throu~ DAY 2 7-/~'~ ~ ~ 12 only). Transfer the date ar DAY 3 7-/~ ~ 0 -y~ the sign from columns 1 and 16 DAY 4 7-17~ ~ 7~ Reconciliation Sheet to columr DAY 5 .... ~-~ ,3 -- at left Use the table below DAY 6 ~-/~-~ ~ --~ determine the action number fc DAY 7 7'~ 0-~ .3 ~ the period being analyzed. DAY 8 7.~. '3 ~) . DAY 9 ~2 ":~ ; -f-' ACTI oN NUMBER DAY 10 '~.~/, ~D -"'--- TABLE DAY 11 / ~-~-'~ -~ ' DAY 12 7-2~-9 ~ '-/-- SO-DAY I ACTION DAY-13 ~-~g- ~ ~. ~ PERIOD NUMBERI NUMBER DAY 14 7'~7- P 0 ~ 1 = 20 DAY 16 ~_~?-~0 3 = 54 DAY 17 V--3°-~0 -"-- .3---- = DAY 18 ~- ~/-~O ~- 5 = 85 DAY 19 ~--/-~O 6 = DAY 20~-~-~ ~- 7 = 117 DAY S = I DAY 22 ~-~-~ o ~ 9 = 149 DAY 23 ~--~D 10 = 165 DAY 24 ~-~-~O 11 = 180 DAY 25 ~"7' ~ ~ ~ 12 : 196 DAY 26 "~.~ DAY 27 -~ ~ Circle appropriate period DAY 28 ~-/ Q- 9~ ~ action number. A full cycle DAY 29 ~-,//- ~Q ~ made up of periods 1-12, afte~ 'DAY 30 ~- ~Q ~ which a new cycle begins. Us~ TOTAL HINUSES / ~ information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Line 2. Line 3. Line 4. Line 5. Total minuses this period-Part A ............ Cumulative minuses from previous periods in this. cycle. Total minuses (add lines 1 i 2) Action number for this period {from table above) .... Is line 3 greater t. han line 4? ~]Yes I~f Yes, yo~ have a repot'table loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-lO "STANDARD INVENTORy CONTROL MONITORING" KERN cOUNTY TREND ANALYS I TANK # )q-~L CAPACITY ~, O. 0 0 0 DUCT V,~ [ t~ 0e0 YEAR/PF. RIOD ~0-~-~ PART A : OVERAGE/SHORTAGE I 16 DAY DATE (+/-) DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 --- DAY 9 DAY 10 DAY 11 DAY 12 DAY 13 DAY 14 DAY 15 DAY 16 DAY 17 DAY 18 DAY 19 DAY 20 DAY 21 DAY 22 DAY 23 DAY 24 DAY 25 DAY 26 DAY 27 DAY 28 DAY 29 DAY 30 TOTAL MINUSES I NSTRUCTI ON'$ : Fill in all information at top c form. In the space for year period indicate the year and tk consecutive period of analysi being conducted (from 1 throu6 12 only). Transfer the date ar the sign from columns 1 and 16 c Reconciliation Sheet to column at left. Use the table below .t determine the action number fo the period being analyzed. AC. TI ON NUMBER TABLE 30-DAY I ACTION PERIOD NUMBER NUMBER 1 =' 20 2 = 37 3 = 54 4 = 69 = 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 11 = 180 12 = 196 Circle appropriate period ani action number. A full cycle is made up of periods 1-12, after which' a new cycle begins. Use information to -complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ Line 2. Cumulative minuses from previous periods 'in this cycle. Line 3. Total minuses (add lines'l & 2) ............. Line 4. Action number for this period (from table above) ?' · ? Line 5. 'Is line 3 greater than line 4? [~Yes ~/No If yes, you have a reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING" ~ Env. Healtl~ 580 4113 1016 (6/86) KERN COUNTY fi~A~-l~ ~AR'~M~N'~' TREND ANALYSi ~ wo~fi~'i~ TANK # / '%)- CAPACITOr Q-O, O0 0/ PRODUCT ~ ~d YEAR/PERIOD INSTRUCTION'S: PART A : OVERAGE/SHORtAGE Fill in all information at top o form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analysi DAY 1 ~-/2-'~ ~ ~ being conducted (from 1 throug DAY 2 ~-/~0 ~' 12 only). Transfer the date an DAY 3 ~-/~-~.~ .--' the sign from columns 1 an'd 16 o DAY 4 ~-/f-- ~ 0 -;- Reconciliation Sheet to column DAY 5 ~-/~-~O 7&' at left. Use the table below t DAY 6 ~-/7-~ ~ -- determine the action number fo DAY 7 ~-~"~ ~ the period being, analyzed. DAY 8 DAY 9 ~.-2 oo~,'} -- A CTI ON NUMB ER DAY 10 ~-~--.9~ -~- TABLE DAY ,12 ~/~ J '-/'- 30-DAY I ACTION DAY 13 q-~/-~ ------ iPERIOD NUMBER.[ NUMBER ,,DAY 14 ~,~ f, ~e~ 'L-/-- 1 = 20 DAY !6 p-i .?- ~ ~ -'-' 3 : 54 DAY 17 ~'~f-~ D '-'-' I 4 = 69 DAY 18 ~-2 ~ -~ O -7~ 5 = 85 DAY 20 / t-/- ~ ,~ ~ ' --~ = 117 DAY 22 /O-'Y-~ ----- i 9 = 149 DAY 24 ./~-3-~.3 -- ! 11 ~ = 180 DAY ...DAY 27 /~-f.- o ~ Circle appropriate period a'nd DAY 28 /3- ~-.~2 ~ action number. A full cycle is -DAY 29 /~-.! ~-gg ~ made up of periods 1-12, after DAY 30 /~-~/-90 ---- which a new cycle begins. Use TOTAL MINUSES /~2- information to complete Part B. PART B: Line 1. Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A ............. Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) ............. ActiOn number for this period (fro~ table above) .... Is line 3 greater than line 47': ~]Yes- ~/No if Yes, you have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK ~UT-IO "STANDARD INVENTORY CONTROL MONITORING" Env. Health 580 4113 1016 (6/86) KERN COUNTY TREND ANALYSI 5 TANK # / ~-Q- CAPACITY PART A : OVERAGE/SHORTAGE 16 DAY (+/-) DAY 1 DAY DAY DAY 4 DAY 5 DAY 6 DAY 7 DAY 8 DAY 9 DAY 10 DAY DAY 12 DAY 1S DAY 14 DAY 15 DAY.16 DAY 17 DAY 18 DAY 19 DAY 20 DAY 21 DAY 22 DAY 23 DAY 24 DAY 25 DAY DAY t- "'/)'~' 0" ~--?- PERMIT ~ [.~01/ ~RODUCT O~a~,~,~ YEAR/PERIOD ~O-- I NSTRUCTI ON'S : Fill in all information at top form. lin the space for year period indicate the year and consecutive period of analys being conducted (from 1 throu, 12 only). Transfer the date the sign from columns 1 and 16 Reconciliation Sheet to colum~ at left. Use the table below determine the action number the period being analyzed. ACTION NUMBER TABLE SO-DAY [ ACTION PERIOD NUMBER NUMBER I = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 8 = 133 9 = 149 10 = 165 11 = 180 12 = 196 Circle appropriate period an{ action number. A full cycle is made up of periods 1-12, after which a new cycle begins.' Use information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ Line 2. Cululative minuses from previous periods in this cycle. F 0 Line 3. Total minuses (add lines 1 & 2) ' ~f ~ Line 4. Action number for this perio'd (from table above) . /" //~ aNo Is line 3 greater than line 4? [-]Yes If Yes, you have a reportable loss and must begin as described #UT-10 Line 5. notification and investigation procedures in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING" [nv. H~It~ 580 4113 1016 (6/86) KERN COUNTY 1-t. t~ .t:~ .~.., '.i.' tt TREND ANALYS ! TANK # laP- CAPACITY / ...g-q, 0061 -PRODUCT (Jz, Le,~d-~ YEAR/PERIOD I NSTRUCTi ON'S : pART A : .OVERAGE/SHORTAGE Fill in all information at top , fOrm. In the space for yea'. 1 16 period indicate the year and t~ DAY DATE i+/-) consecutive period of analys DAY 1 //- Il~q 3 -~ being conducted (from 1 throu. DAY 2 !t-!~o~ 0 --- 12 o.nl¥). Transfer the date a~ DAY 3 //.t,W-~.~; --' the sign from-columns 1 and 16.~ DAY 4 //./~-~ ~ Reconciliation Sheet to colun~ DAY 5 1]_/~-~ ~ at left. Use the table below DAY' 6 /J-i ~ ~.~ ~ determine the 'action number fc DAY 7 //-/~-~0 ~ the period being analyzed. DAY 9 //-I~-~ ~ AC'TX ON NUMBER DAY 10 fl'2 ~-~ -- TABLE DAY ~2 //.~7-~ ~ ~ J 30-DAY J ACTION DAY 13 //-~-~ 0 ~ PERIOD NU~BERI NUffBER DAY 16 //-27-~ ~ ~ 3 = 54 DAY 18 //-~-~ - ~ 5 = 85 , DAY 22 /~- 3- 9~ ~ 9 = 149 DAY 27 /~- ~-9~ ~ Circle appropriate period an DAY 28 /~.9-~ ~ action number. A full cycle i DAY 29 //-/0-~ ~ made Up of periods 1-12, afte DAY 30 /~-//- 9~ ~ which a new cycle begins. Us~ TOTAL ~INUSES } ~ information to' complete Part B PART B: ACTION NUMBER.CALCULATION Line Line Line Line Line 1. Total minuses this period-Part A .......... 2. Cumulative mlnuses from previous periods in this cycle, 3. Total minuses (add lines 1 & 2) ............. ', . 4. Action number for this period (from table above), . . . ~/ 5. Is line 3 greater than line 4? [-]Yes I~f Yes, you have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING" E:nv. Health 580 4113 1016 (6/86) KERN COUNTY TREND ANALY$I ~ TAN~ # ~ '~- CAPACITY Z~) ~ PRODUCT (,/~c~ .~·¥ YEAR/PERIOD I NSTRUCTI ON'S : PART A : OVERAGE/SHORTAGE Fill in all information at top form. In the space for yea~ 1 16 period indicate the year and tt DAY DATE (+/-) consecutive period of analys_~ DAY 1 /.-' /~- '~ ~ being conducted (from 1 throu~ DAY 2 /~-/~f-~ -f' 12 only). Transfer the date a~ DAY 3 /~-/~-~ ~ the sign fro~ columns I and 16 DAY 4 /~-/~-~ ~ Reconciliation Sheet to colum~ DAY 5 /2~/~ ~ ~ at left. Use the table below DAY 6 /~ -/.~- ~ ~ ~ determine t.he action number fc DAY 7 /2-/~-~J ~ the period being analyzed. DAY 9 /J-~o-9~ ~ ACTI ON NUMBER DAY 12 /~-~ l-~ 3 ~ 30-DAY ~ ACTION DAY 13 /~.~-~ 3 ~ PERIOD NUMBER{ NUMBER DAY 15 /2' ~ ~-~ J ~ 2 = DAY 16 /3~7-~ ~ ~ 3 : 54 UAY 24 . ~ ~m = 180 DAY 25 /-y- e/ ~ 12 = 196 DAY 27 ~- ~.~ / ~ Circle appropriate period DAY 28 /-~-~/ ~ action number. A full cycle DAY 29 /~ ~ ~} made up of periods 1-12, ariel DAY 30 /-/~-~j ~ which a new cycle begins. Us~ TOTAL MINUSES I~ information to complete Part PART B: ACTION NUMBER CALCULATION Line 1. .Total minuses this period-Part A ............ Line 2. Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines 1 & 2) Line 4. Action number for this period (from table above) . / Line 5. Is line 3 greater than l'ine 47 '~]Yes .I~ Yes, you have a reportable loss and must begin notification and investigation procedures in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING" Env. Healt~ 580 ~113 1016 (6/86) as described #UT-10 III KERN COUNTY TREND ANALYSI TANK = / ~ CAPACITY ~ 0/ OD 0 PRODUCT ~ L ~ I NS'TRUCT ION'S : PART____~A : OVERAGE/SHORTAGE Fill in all information at top form. In the space for yea. 1 ~ 16 period indicate the year and t. DAY DATE ~+/-) consecutive period of analys DAY I /,//-0/. ~ being conducted. (from I throu DAY 2 /-/~'~/ ~ 12 only). Transfer the date a: DAY 3 ~/-/j~-7/ -g- the sign from colu~/ns I and 16 ,. DAY 4 ./_/~_~/ - Reconciliation Sheet to colum~ DAY 5 /~-~ ~ at left. .Use the table below ' DAY 6 ./-,/~-~/ ~ determine the action number f~ DAY 7 ./-/7_~ / ~ the period being analyzed. DAY 8 /-~-~ I ~ ~ DAY 9 /-I~-~/ ~ ACTX ON NUMBER DAY 10 -~0-9/ TABLE DAY 12 I-~ ~-~) ' SO-DAY ~ ACTION DAY, 13 /-if- ~/ ~ 'PERIOD NUMBER~ NU~BER DAY 14 /-2~/: C/ ~ 1 : 20 DAY 15 /-~ -~/ ~ 2 = 3~ ~ DAY 16 /-~-5 t ~ 3 = 54 ' DAY 17 /-3?'q/ ~ 4 = 69 DAY 18 /-~ ~_~./ ~ 5 = 85 DAY 19 /-29-9~ ~ S = 101 DAY 20 /-IO -~/ ~ .. 7 = 117 DAY 21 /-~/- ~/ ~ 8 = 133 9 = 149 DAY 23 ~- ~ - ~/ ' '/ , ~ DAY 24 ~-/, ~/ + , 11 = 180 DAY 25 "'.~-~-~ ~ L 12 = 196 DAY 26 2-~- 9/ ~. DAY 27 2- ~' ~/ ~ Circle appropriate period an~ DAY 28 ~-~-~/ ~ action number. A full cycle is DAY 29 ~~ ~ made up of per/ods 1-12, afte~ DAY 30 2-9-~ ~ which a new cycle beElns. Us~ TOTAL MINUSES /~ information to complete Part B PART B: ACTION NUMBER CALCULATION Line Line Line Line Line 1. Total minuses this period-Part A ........... 2. Cumulative minuses from previous periods in this cycle. 3. Total minuses (add lines 1 & 2) ........... 4. Action number for this period (from table above) 5. Is line 3 greater than line 47 ~Yes ~No If Yes, you have a reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. I-lealtl~ 580 4113 1016 (6/86). /¥ ,() ..... '- TREND ANALYS I TANK # , ! . CAPACIT~ ~. 02 oo0 -pRoDucT (3.CF_~¢d YEAR/PERIOD I NSTRUCTI ON'S : PART A : OVERAGE/SHORTAgE Fill in all information at top o ,,, form. In the space for year 1 16 period indicate the' year and th DA~, DATE (+/-) consecutive period of analysi DAY 1 2-,i,)-al., -~- being conducted (from 1 throuz DAY 2 ~_-l)-~ --- 12 only). Transfer the date an ...DAY 3 ;z-/'=-~I the sign from columns i and 16 o DAY 4 2-/.f.-~! .... -- . Reconciliation Sheet to column DAY 5 .2-/~-%/ at left. Use the table below t .DAY 6 ~,/b-'~ ~. determine the action number fo DAY 7 2-/6-9~ -- the period betn~ analyzed. DAY .9 ~-/F-~/ ~ ACTI ON NUMBER DAY 10 2 -/9-~/, ' - TABLE .... DAY 12 2-a /-~/ ~ .. 30-DAY ~ ACTION DAY 13 ~- l~-9/ ~ PERIOD NU~BER~ NUMBER DAY 14 2-~f-9/ ~ 1 = 20 DAY 16 Z-2~-~ ~ 3 = 54 DAY 18 2-~- ~ ( ~ 5 = 85 .DAY 22 ~-~51 9 = 149 DAY 25 ~-~- ~/ - 12 = 196 .pAY 27 .~-C-q/ ~ Circle appropriate period' and DAY 28 ~-~[ ~ action number. A fu~1 cycle is DAY 29 ~-/~-~ / ~ made up of periods 1-12, after pAY 30 ~-//-~/ ~hlch a ne~ cycle begins. Use .TOTAL ~INUSES. /~ information'to complete Part B. PART B: Line 1. Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part. A ............ Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) -. Is line 3 greater than line 49 ~]Yes I_~f Yes, yOu' have a reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-lC "STANDARD INVENTORY CONTROL MONITORING". Env. Healtl~ 560 4113 1016 (6/86) /Fo KERN COUNTY TREND ANALYSI ~ ~'AC'r L 1' TY CoU-T~ 0 :f' /('er,-, '~//'1.,~ ~'J"~-, PERivII' T # TANK # ,~ CAPACITY / O/ 0 o ~) PRODUCT ~.'~, ~-~ ~ YEAR/PERIOD ~ART A : OVERAGE/SHORTAGE 1 18 DAY DATE (+/-) DAY 1 DAY 2 DAY 8 DAY 4 DAY 5 DAY 6 DAY 3 DAY 8 DAY 9 DAY 1 DAY DAY DAY DAY 14 DAY 15 DAY 16 DAY 17 DAY 18 DAY 19 DAY 20 DAY DAY 22 DAY 23 DAY 24 DAY 25 DAY 26 DAY 27 DAY 28 DAY 29 DAY 30 TOTAL I NSTRUCTI ON'S : Fill in all information at top form. In the space for yea period indicate the year and consecutive period of analys being conducted (from 1 throu 12 only). Transfer the date the sign from columns 1 and 16 Reconciliation Sheet to colum; at left. Use the table below determine the action number the period being analyzed. Circle action , V-to MINUSES /5 ACTION NUMBER TABLE 30-DAY [ ACTION PERIOD NUMBER NUMBER 2 3 = 4 = 7 = 8 = 9 = 10 l~ = appropriate number. A made up of periods which a new cycle information to co 2O 54 69 85 101 117 133 149 165 180 periOd ant full cycle t~ 1-12, after begins. Use ere Part B Line 5. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this peri6d-Part A ............ Line 2. Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines 1 & 2) ............. Line 4. Action number for this period (from table above) . / Is line 3 greater than line 4? [~Yes I~f Yes, ypu° have a reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK#UT-10 "STANDARD INVENTORY CONTROL MONITORING" /J ~ Tfc · TA~K ~ ANNUAL TREND $ UI~.A.R Y QUARTER 1 PERIOD 1: PERIOD 2: PERIOD 3: Total Minuses Thi's Period (Line 3) Action Number for this Period (Line 4) To~al Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) ~0 QUARTER 2 PERIOD 4: PERIOD 5: PERIOD 6: TIME PERIOD: 7/~/~O to Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line Action Number for this Period (Line 4) Total Minuses This Period (Line Action Number for this Period (Line 4) QUARTER 3 PERIOD 7: TIME PERIOD: ['o//~q O to Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 8: Total Minuses This Period (Line 3) Action Number.for this Period (Line 4) PERIOD 9: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 10: TOtal Minuses This Period (Line 3) Action Number for this Period'(Line 4) PERIOD 11: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 12: Total Minuses This Period (Line 3) Action N~ber for this Period (Line 4) I hereby certify this is a true and accurate report. s t /// Date KERN COUNTY TREND ANALYS I ~'A C I L I T Y C{~o-~J~ o~/~/--/'~3 - TANK # '~ CAPACITY- ~,~ ~ PART A : OVERAGE/SHORTAGE 1 16 DAY DATE DAY 1 DAY 2 DAY .3 DAY 4 DAY 5 DAY 6 DAY 7 DAY 8 DAY 9 DAY 10 DAY 11 DAY 12 DAY 13 DAY 14 DAY 15 DAY 16 DAY 17 DAY 18 DAY 19 DAY 20 DAY 21 DAY 22 DAY 2,3 DAY 24 DAY 25 DAY 26 DAY 27 DAY 28 DAY 29 ~-/~-~ DAY 30 TOTAL MINUSES i PRODUCTi~)_ YEAR/PERIOD INSTRUCTION'S: Fill in ail information at top c form. In the space for. year period in'dicate the year and consecutive period of ,analysi being conducted (from 1 thvouf 12 only). Transfer the date an the sign from columns 1 and 16 c Reconciliation Sheet to column at left. 'Use the table below t determine the action number fo the period being analyzed. ACTI ON NUMBER TA, BL E 30-DAY { ACTION PERI'0D NUMBER NUMBER 2 = 37 3 = 54. 4 = 69 5 = 85 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 11 = 180 '12 = 196 Circle appropriate period and action number. A full cycle is made up of periods 1-12, ,after which a new cycle begins.. Use information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ..... ' ....... Line 2, Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines 1 & 2) ............. Line 4. Action number for this period {from table above) .... Line 5. ' .Is line 3 greater than line 4? ~]Yes ~o If Yes, you have a reportable loss and must begin notification and investigation procedures as described in Kern County Health Department ~ANDB00K #UT-10 "STANDARD INVENTORY CONTROL MONITORING" ~mv. H~lth 580 4113 1016 (6/86) KERN COUNTY. ~A~l-~ u~A~'I'MBW'2' TREND ANALYSI ~ WUR~u~U'l' ~'ACI LI TANK ~ L~ CAPACITY~ ?. O O ri), P~RODUCT PART A : OVERAGE/SHORTAGE DAY DAY 1 DAY 2 DAY 3 DAY '4 DAY 5 DAY 6 DAY 7 DAY 8. DAY 9 DAY l0 DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY 1 DATE 3--13 - -~, .T-" , '7 - ~ t4 ~-~7- 24 25 ~" ].' 27 28 29 30 DAY DAY DAY DAY DAY DAY D 16 PERMIT #i~) ~) ~; ~)~ ~£~ ~ YEAR/PERIOD TOTAL INSTRUCTION'S: Fill in all information at top , form. In the space for yea: period indicate the year and t~ consecutive period of analys_ being conducted (from 1 throu~ 12 only). Transfer the date ar the sign from columns 1 and 16 [ Reconciliation Sheet to columr at left. Use the table.belo~ ~ determine the action number fc the period being analyzed. ACTION NUMBER TABLE 30-DAY ACTION PERIOD 'NUMBER NUMBER 1 : 20 3 : 54 4 = 69 5 : 85 6 = 101 7 = 117 8 : 133 9 = 149 10 = 165 11 = 180 12 = 196 ~-~'-~ I ~'' Circle appropriate period ant -~-/'~-<~,-.J ' 7-- action number. A full cycle i~ ' ~-//-'~I ~ made up of periods 1-12, afte~ ~-/~ ~'~ ~ ~+- which a new cycle begins. Use MINUSES I ~ information to complete Part B, PART B: Line 1. Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A ............ Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) .............. Action number for this period (from table above) . . Is line ~ greate~ than line 4? C]Yes I__~f · Yes, you have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING" Env. Health 580 4113 1016 (6/86) #UT-10 37 KERN COUNTY TREND ANALYSI TANK # _~ CAPACITY ~,; ~oLP ~PRODUCT ~/c/,'' YEAR/PERIOD ~O-] I NS T RUCT ION'S : PART A : OVERAGE/SHORTAGE Fill in all information at top form. In the space for year 1 16 period indicate the year and DAY DATE {+/-) consecutive period of analysi DAY 1 $-;/-"~ O ~ being conducted (from 1.throu~ DAY 2 ~-./~'--~ -/-- 12 only)-. Transfer the ~ate an DAY 3 ~-/V-'~,.~ ~ the sign from columns 1 and 16 c DAY 4 ?/~- ~ ~ ---- Reconciliation Sheet to column DAY 5 ~-/?- ~ ~ -~- at left. .Use the table below t DAY 6 ~/~-~ ~O -/-- determine the action number fo DAY 7 ~-}~-~ ~ -~- ' the period being analyzed. DAY 8 ~.~ DAY 9 ~-A/-~ ' ACTI ON NUMBER DAY 10 ~'2z-9~ T TABLE DAY ~ ~ ~- z ~ -~ ~ .-/--- DAY 12 ~-~ -~- 30-DAY { ACTION DAY ~3 ~-~0 ---' PERIOD NUMBER{ NUMBER DAY 15 ~27 '~O " 2 = 37 DAY 16 ~o~o~O -~- 3 = 54 DAY 17 ~-z~-~o 4 = 69 DAY 18 '~-_/~- 9 0 -k 5 =. 85 DAY 19 7-/- DAY 20 V-~ ~ 3 .+- 7 = 117 DAY 21 ~/~ '} ~ ~ 8 = 133 DAY 22 7-~-'~ ~ ----' 9 = 149 DAY 23 '7-,~-~ ~ -~-- 10 = 165 DAY 24 7-7- ~ ~ --~ 11 = leO DAY 25 7-~"'~ ~ -~' 12 = 196' DAY 26 7-~-90 ----- DAY 27 7-/~-~ O ~ Circle appropriate period and DAY 28 ~-~ -~ -~- action number. A full cycle is DAY 29 . ~°/~-'~ O ------ made up of periods 1-12, after DAY 30 ~]f-~O --~ which a new cycle begins. Use TOTAL MINUSES PART B: ACTION NUMBER CALCULATION Total minuses t'his Cumulative minuses Total minuses (add period-Part A from previous lines 1 & 2) II Line 1. Line. 2. Line 3. Line 4. Action number for this period (from table above) . . . ~ fNo Line 5. Is line 3 greater than line 4? [~Yes If Ye.p, you have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING" Env. Healt~ 580 4113 1016 (6/86) periods in this cycle. KERN COUNTY TREND ANALYSIS TANK # ~' CAPACITY ~2-, 0 o Q PI~ODUCT f2/ CJ~,C YEAR/PERIOD I NSTRUCTI ON'S': PART~A : OVERAGE/SHORTAGE Fill ih all information at top o form. In the space for year 1 16 period indicate the year and th DAY DATE .(+/-) consecutive period of analysi DAY I ~--/~-~ - being conducted (from I throug DAY 2 7-~ '3 ~ 12 only). Transfer the date an DAY 3 7'-/-~-~D, -, the sign from columns 1 and 16 o DAY 4 7_,/~-~.~ ~ Reconciliation Sheet to column DAY 5 7-/~-~,~ ~ at left. Use the table below t DAY 6' ~-/~-~3 ~ determine the action number fo DAY .7 7.~-~Q ~ the period being analyzed. DAY 9 7.~ 2-~3 : - ACTI ON NUMBER DAY 10 ~-a~' ~ O -- TABLE DAY 1 1 DAY 12 7-~ ~-~ ~ 30-DAY ~ ACTION DAY 13 7-~ 4- 6 ~ - PERIOD' NUMBER{ NUMBER , DAY 14 '7-2 ~ .-'~ .~ ~ 1 : 20 DAY 15 DAY 16 ~--~--90 ~ 3 : 54 ' DAY 18 3_~i-90 ~ { 5 = 85 DAY 19 ~ -t-~O -- 6 : 101 DAY 20 ~-~ ~ 7 : 117 DAY 21 ~-~-~ ~ ~ 8 = 133 DAY 22 ~-q-~ ~ { '9 = 149 DAY 23 ~ ~.o ~ ~0 = 165 DAY 24 ~-~ -9~ ~ ~1 =. ~80 DAY 25 ~-~ ~ 12 = 196 DAY 26 ~-~-~.'~ ~ - DAY 27 ~ ~ ?~ ~ Circle appropriate period and DAY 28 DAY 29 ~.//-~ ~ aade up of periods 1-12,' after DAY 30 ~ ,'~ .-'~ ~ ~hich a ne~ cycle begins. Use TOTAL ~INUSES I~ inforaation to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ ~ Line 2. Cumulative minuses from previous periods in this cycle. ~ ~ Line 3. Total minuses (add lines 1 & 2) ............. ~ ~ 'Line 4. Action number for this period (from table above) .... ,.- Line 5. Is line 3 greater than line 4? ~Yes ~o I~f Yes, you have a reportable loss and must begin. notification and investigation procedures as described in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING" ~nv. Health 580 4113 1016 (6/86) #UT-10 KERN UNTY TREND ANALYSI ~ · "AC I L I TY Coot~T¥ ~J- /(et "/It, TANK # ff CAPACITY/ 2~ 0 0 0 RODUCT ~!eSe,- YEAR/PERIOD ,~0-5'~ I NSTRUCTI ON-S : PART A : .OVERAGE/SHORTAGE Fill in all information at top form. In the space for yeal 1 16 period indicate the year and tt DAY DATE (+/-) q0nsecutive period . of analys: DAY 1 ',~--[ J.B ~ J'- being conducted (from 1 throu[ DAY 2 .~ .... /'--: J ~ 12 only). Transfer the date ar DAY 3 .~-~3'°'"9,.3 .-3C- the sign from columns 1 and 16 DAY 4 ~.,/~-~O ,,, ~ Reconciliation Sheet to columr DAY 5 ~*/~-:¢ ~ ~ at left. Use the table below DAY 6 'T~-;~" :~ ~ ~ determine the action number fc DAY 7 ~-"; ' ) ~ the period being analyzed. DAY 9 ~'~/-~ O '~ AcTI ON NUMBER DAY 10 ?-z~-- ~ 2 TABLE DAY 13 ~ ~ ~-~ ~ PERIOD NUMBER~ NUMBER DAY 15 ~-/ F-",' ) ~ 2 = DAY 16 ~-~- ~g ~ 3 = 54 0AY 21 ~-2 -~ o ~ 8 = 133 DAY 22 ~- ~- ~ ~ ~ 9 = 149 DAY 23 ~ ~/:0 ~ -~ 10 = 165 DAY 25 ~- ~' ~,~ 12 = 196 J .DAY 27 ~-~'- ~,3 ~ Circle appropriate perlod DAY 28 ~-~-~ 3 '+ action number. A full cycle DAY 29 ~-/~ - ~ made up of periods 1-12, afte~ DAY 30 ~-/~-~ O ~ which a new cycle begins. Use TOTAL MINUSES / ~ information to complete Part PART B: ACTION NUMBER CALCULATION Line Line Line Line Line 1. Total minuses this period-Part A ............ 2. Cumulative minuses from previous periods i.n this cycle. 3. Total minuses (add lines ! & 2) .............. 4. Action number for this period (from table above) . . '. 5. Is line 3 greater than line 4? E~Yes ~o I__f yes, you have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". /I 57' Env. Health 580 Ztll3 1016 (6/86) KERN COUNTY TREND ANALYS ][ ~'AC I L I T¥ C oo^'l-y o-~ Ker~- "/a~ 0'' fT. PERMI T TANK # ~5~ CAPACITf 2~ '~ 00 ./ PRODUCT P,¥/~C YEAR/PERIOD INSTRUCT I'ON'S : PART A : OVERAGE/SHORTAGE Fill in all information at top o form. In the space for year I 16 period indicate the year 'and th DAY DATE (+/-) ' consecutive period of analysi DAY 1 ~./,~-~ -~- being conducted (from 1 throug DAY 2 ~'-/J--9~3 - 12 only). Transfer the date an DAY 3 ~?-."~-,"-'~.3 ~ the sign from columns 1 and 16 o DAY 4 ~-/~-~ ~ ~ Reconciliation Sheet to column DAY 5 ~i'~-~ ~ at left. Use the table below t DAY 6 ~ ~-{7-~ Q ~ determine the action number fo DAY 7 ~-/~-~,J ~ the period bein~ analyzed. ..DAY 8 ~-./~-gO DAY 9 :;:-~ a ~.3 -- ACTI ON NUNBER ~ TABLE DAY 10 ~ - ~t... ~ ~ DAY 11 ~'~;'~ = j DAy 12 ' ~.< ~" -'- ~ 30-DAY ~ ACTION DAY 13 ~-~/- ~ ~ ~ PERIOD NUMBER] NUMBER DAY 14 m..~f--~ ~ ~ 1 = 20 DAY 15 '7.2.>- '~ ~ ~ 2 = 37 DAY 16 ':~- .~ ~- '~ ,~ ~ 3 = 54 DAY 17 '~ 2 ~'-'3 .3 4, = 69 I DaY 18 ~'~ $-~ 2 / 5 = 85 DAY 19 ~-~D-~ ,3 ~ ~ : 101 DAY 20 /~ - ,- ~ ~ ~ 7 = ~17 DAY 21 ,/O - ~ - -'~ ') ~ 8 = 133 DAY 22 /~-3- f~ ~ 9 = 149 DAY 23 ./p-4Y--"~ 3 ~ 10 = 165 DAY 24 /~-~'~ ~ 11 = 180 DAy 25 /d~' ~ '-~ 2 ~ 12 = 196 DAY 26 /~-2- ~ DAY 27 ./~- ~ "' ~ .3 ~ Circle appropriate period and DAY 28 /.D-~- '~' 3 ~ action number. A full c~cle ,DAY 29 /~-./O- 9 Q ~ made up of periods 1-12, after DAY 30 '~-:/-"~ ~ ~ ' which a .new cycle begins. Use TOTAL MINUSES ~ information to complete Part B. PART Line' Line Line Line B: ACTION NUMBER CALCULATION 1. Total minuses this period-Part A 2. Cumulative minuses from previous periods in this cycle. 3. Total minuses (add lines 1 & .2) ............. 4.. Action number for this period (from table above) ...... / Is line 3 greater than line 49 [~Yes ~No I~f Yes, yOU have a reportable loss and must begin notification and investigation procedures as described ~UT-IO Line 5. in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING". Env. Health 580 4113 1016 (6/86) '1 / /o/ KERN COUNTY TREND ANALYSIS ~'AC I L I TY ~ ou~T~ O { /ferh 0' £~-PERMI T # /~0/I C TANK # '~ CAPACITY.× ~/ ~ O O PRO CT ~i ¢ J'¢t- YEAR/PERIOD ~0'-7 I NSTRUCTI ON'S : PART A : OVERAGE/SHORTAGE Fill in all information at top form. In the space for yea: 1 16 period indicate the year and t DAY DATE ( +/- ) consecutive . period of analys DAY 1 /~-/2-~ ~-- being conducted (from 1 throu DAY 2 /?-~'-~ ~ 12 only). 'Transfer the date a: DAY 3 1o-~-9~) --/-- the sign from columns 1 and 16 , DAY 4 /~ -~.f'--$ ~; - Reconciliation Sheet to. colum] DAY 5 /~-/~-~j ~ at left. Use the table below DAY 6 /~-;7-~O -~ determine the action number f, DAY 7 ~,~-!~-~ the period being analyzed. DAY 8 /.~-tc7-~. ~ --'- DAY 9 /~.~ ~-~j -- ACTI ON NUMBER DAY 10 /Q.2/.~; -/-- TABLE DAY 11 /o- Z~-~ j -~- DAY 12 12-2./-'c' D -4-- 30-DAY I ACTION DAY 13 / ;--zq -~ 3 ~-- PERIOD NUMBER] NUMBER DAY 14 ,/ ,,-;~-.~ 3 ~ 1 = 20 DAY 15 /~-.i~-'~.~ ~ 2 = 37 DAY 16 ,',,;'2. 7- ~ ../) ~ 3 = 54 DAY 17 / D.~.~..~ ~ 4. = 69 , DAY '18 ./Q_29-c', Q ~ 5 = 85 DAY 19 /o--ro-~ ~} ~ : 6 = 101 ] DAY 20 //;-//- ,9 ~7 -~- , ._3__7 = 117 ' DAY 21 /'/-/- ~ l~ -/- i 8 = 133 DAY 22 //°~ - ~2' -~ i 9 = 149 DAY 23 //~ ~,, ~,~ ~ " 10 = 165 DAY 24 ]/- ,/---~ ~ -~ 11 = 180 DAY 25 ]/- ~-~:.] -~- 1'2 = 196 DAY 26 //- ~-~; ¢; ~ DAY 27 //--~ '~' Circle appropriate, period an DAY 28 //-2~" ~Q) - action number. A full cycle i DAY 29 //-~- ~; '7~ made up of periods 1-12, afte DAY 30 /l-'~'d-~'~,~ '-/ which a new cycle begins. Us TOTAL ~4INUSES /! information to complete Part B PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ Line 2. 'Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines 1 & 2) ............ · ~: Line 4. ACtion number for this period (from table above) . . Line 5. Is line 3 greater than line 4? [~Yes ~No If Yes, you have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL ~0NITORING" Env. Health 580 4113 1016 // KERN COUNTY TREND ANALYS I .EACIL'r TY~"o,J~T'¥ 0',,~ ,~ra "l,,TjJ"'-/-~ pF..1RlV~IT ~ TANK # ~' CAPACIT~/ ?-, c) O 0 PRODUCT L), eyre YEAR/PERIOD ~U-~c PART A : OVERAGE/SHORTAGE 1 16 DAY DATE DAY 1 DAY 2 DAY $ DAY 4 DAY 5 DAY 6 DAY 7 DAY 8 DAY 9 DAY 10 DAY DAY 12 DAY 13 DAY 14 DAY 15 DAY DAY 17 DAY 18 DAY 19 DAY DAY DAY 22 DAY 23 DAY 24 DAY 25 DAY 26 DAY 27 DAY 28 DAY 29 DAY 30 TOTAL MINUSES (+/-) I NSTRUCTI ON'S : Fill in all information at top ~ form. In the space for year period indicate the year and tt 'consecutive per~od of analys: being conducted (from 1 throu[ 12 only). Transfer the date ar the sign from columns ! and 16 ¢ Reconciliation Sheet to columt at left. Use the table below t determine the action number fc the period being analyzed. ACTI ON NUMBER TABLE SO-DAY I ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 5 = 85. 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 11 = 180 12 = 196 Circle appropriat~, period anc action number. A full cycle is made up of periods' 1-12, after which a new cycle begins. Use information to complete Part B. PART Line Line 2. Line 3. Line 4. Line 5. B: ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous Total minuses (add lines ! & 2) Action number for this Is line 3 greater than I__~f Yes, you have .~ periods in this cycle'. period (from table above) line 4? ~Yes . reportable loss and must begin as described #UT-10 notification and investigation procedures in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING" Env. H~ith 580 4113 1016 (6/86} KERN COUNTY ~A~-l'~ u~r~'X'M~'i, TREND ANALYS X ~ wu~~'~' ~'AC I L I TY ..~-['~ ~ /~,,,~ /~ ~" ;~'7 PERMIT # /SOO// TANK # ~ CAPACIT~ ~'7 ~ /~ O pRoDuCT ~).~ ¢~ /' YEAR/PERIOD I NSTRUCTI ON'S : PART A : OVERAGE/SHORTAGE Fill in all information at top form. In the space for yea 1 16 period indicate the year and t DAY DATE I+/-) consecutive period of analys bAY 1 ?z.-~. · p --- being conducted (from 1 throu 'DAY 2 /~-/~-~ '-- 12 only). Transfer the date a: DAY 3 /.;. /..~z_~ ~ ,,-A- the sign from columns 1 and 16 DAy, 4 ./~_/.?-- ~ ~ ~ . Reconciliation Sheet to column. DAY 5 /~-/~_ ~ ~. at left. Use the table below DAY 6 /~-/7-~,.~ ~ determine the action number f~ DAY 7 /~-/~-~3 "/ the period being analyzed. DAY 8 /~ -/~- ~ ~.2 DAY 9 ,/2-20-e~ ~ ACTI ON NUMBER DAY 10 /2-~-~ ~ TABLE DAY 11 / 2~2 Z--~ ~ DAY 12 '/2-2f- 9 ~ ~ 00-DAY ACTION DAY 13 /~-~.-~ ) ~ PERIOD NUMBER NUMBER DAY 14 7~-~-~ p ~ 1 = DAY 15 /2-2~-~ ~~ 2 = 37 DAY 16 /2 -zP-~,~ ~ 3 = 54 DAY 17 /2-~_~,2 - ~- 4 = 69 DAY 18 /2- ;~'~ ~ 5 = 85 DAY 19 /~ -/g~ ~ ~ 6 = 101 DAY 20 /~.~/. ~ p -- ? = I1Y. DAY s = DAY 9 = DAY 23 / -~'~ / 10 = 165 DAY 24 /-~/- P / ~ 11 = 180 DAY 25 /~_M/ ~ i . 12 = 196 DAY 26 DAY 2~ ./-,]- ~ / ~ Circle appropriate period DAY 28 /_~. ~/ ~ action n~mber, A full cycle DAY 29 /-~-M/ . ~ made up of periods 1-~2, afte: DAY 30 /-/~-~f ~ ~htch a new cycle begins, TOTAL ~INUSES information to complete Part B PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A . ........... ~[q Line 2. Cumulative minuses from previous periods in this cycle. ~'~ I00. Llne 3. Total minuses (add lines 1 & 2) .............. Line 4. Action number for this period (from table above) . . . .~ Line 5. Is line 3 greater than line 4? ~Yes If Yes, you have ~ reportable loss and must begin notification and investigation procedures as described in Kern County. Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING" Env. Healt~ 580 ~113 ~0~ (6/86) KERN TREND ANALYS I ~ ~'AC I L I TY ~0~,~7-~ 0 p /~r~ ' /~O~'IT. ~i IJt~PERMI T #/..~. O0t/C TANK # _T CAPACI-TY ~ 0 0 O a PRODUCT (~, ~£~c YEAR/PERIOD ~-/ C I NST.RUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top o form. In the space for year 1 16 period indicate the year and th DAY DATE {+/-) consecutive period of analysi DAY 1 ,j-/./-~/ --~ ' being conducted' (from I throug DAY 2 /-,jf-~/ ~ 12 only). Transfer .the date an DAY 3 '/-/~/ --~ ! ~ the Sign from columns 1 and 16 o DAY 4 /-/~-~/ -/- Reconciliation Sheet to column DAY 5 ./.-/,5,--~/ -/-- at left. Use the table below t DAY 6 / :/~-~/ ~ determine the action number fo DAY 7. /~/~-~/ ~ the period being analyzed. DAY 8 /- DAY 9 /_,/~-~/ ~ ACTI ON NUMBER DAY 10 /-Zo-~/ - TABLE DAY DAY 12 /-2Z-~l ~ SO-DAY ~ ACTION DAY 13 ./.~-~1 ~ PERIOD NUMBER~ NUMBER /_2M-9/ DAY DAY 16 /-2 ~- ~/ ~ I S = 54 DAY 17 ,/-~ 7-~ I ~ ~ 4 = 69 DAY 18 /-2~-~/ - 5 = 85 DAY 19 DAY 20 DAY 21 /-~/- ~ / ~ S = 133 DAY 22 ~-/-~/ ~ 9 = 149 DAY 23 ~-~1 ~ ~ = 16~ DAY 25 ~-~-~/ ~ ., 12 = 196 DAY 26 DAY 27 ~-~-9/ ~ Circle appropriate period and DAY 28 ~-~-~/ action number. A full cycle DAY 29 ~-~-~/ ~ made up of periods ~-12, after DAY 30 2-~-~/~ ~hich a new cycle beEins. Use TOTAL MINUSES l( information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ Line 2. Cumulative minuses from previous periods in this cycle.. Line 3. Total minuses, (add lines 1 & 2) ............. Line 4. Action number for this period (from table above) ..y," Line 5. Is line 3 greater than line 4? [~Yes I__f Yes, you have ~ reportable loss and must begin notification and investigation procedures as described ,'~ in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. H~lth 580 4113 1016 (6/86) KERN TREND ANALYS X ~ ~'AC I L I TY TANK # ~ CAPAC IT~ PART A -: OVERAGE/SHORTAOE 1 DAY DATE DAY 1 DAY 2 4 29 TOTAL DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY DAY ~/ 0 O t) PRODUCT ~, ~S~ YEAR/PERIOD INSTRUCTION'S: Fill in all information at top c form. In the space for year 16 period indicate the year and th consecutive period of anal¥si being conducted (from 1 throug 12 only). Transfer the date an the sign from columns 1 and 16 o Reconciliation Sheet to column at left. 'Use the table below t determine the action number fo the period being analyzed. ACTION NUMBER TABLE 30-DAY ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 11 = 180 ~ ircle appropriate period and ~ action number. A full cycle is 'y~ made up of periods 1-12, after ----- which a new cycle begins. Use ~ lnformat to co ere Part B. PART B: Line 1. Line 2. Line 3. Line 4. ACTION NUMBER CALCULATION Total minuses this period-Part A ............ / Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) ............. Action number for this period (from table above) .... Is line 3 greater than line 47 [~Yes .~o I__~f Yes, yOu have' a reportable loss and must begin ~ y~-,~ %~,'c~ notification and investigation procedures as described ~e~ v .~ in Kern County Health Department HANDBOOK {UT-lO "STANDARD INVENTORY CONTROL MONITORING" Env. H~lth 580'4113 1016 (6/86) Line 5. KERN c~UNTY TREND TANK # CAPACITY- ~_) O 0 0 UCT ~; (/to YEAR/PERIOD INSTRUCTION-S: pART A : OVERAGE/SHORTAGE Fill in all information at top o form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analysi DAY 1 ~-/~-~/ -/-' being conducted (from 1 throug DAY 2 ~-/~-~ - 12 only)' Transfer the date an DAY 3 /'/~-~I ~ the sign from columns 1 and 16 o DAY 4 3-/~---~1 ~-/-- Reconciliation Sheet to column DAY 5 ~-/~ -~./ --/- at left. Use the table below t DAY 6 /7/~-~/ .~ determine the action number fo DAY 7 ~-/~-~ ~ the period being analyzed. DAY 8 DAY 9 ~-30-~,/ -/-- ACTI ON NUMBER DAY 10 ~-~/-~ ~ TABLE DAY 11 DAY 12 ~-~3' ~ ~ 30-DAY I ACTION DAY 13 ~ ~-'~/ -/-- PERIOD NUMBER{ NUMBER DAY DAY 15 /-~-~/ ~ 2 = 37 DAY 17 7-~Z-~ / -~- 4 = 69 DAY 18 7-~ ~-~1 --/" 5 = 85 DAY 19 '~/~-9/ 7~- 6 = 101 DAY 20 7-~- ~/ ~ ' 7 ; 117 DAY 2t ~-/ DAY 22 ~-~-~ ~ 9 ~ ~49 DAY 24 ~-~' ~/ ~ ll · : 180 DAY 26 DAY 27 ~- ~-~./ ~ CircJe appropriate period and DAY 28 DAY 29 '~-;~-~t ~ made up of periods 1-12, after DAY 30 ~-/~ ~J ~ ~hich a ne~ cycle begins. Use TOTAL ~I~US~S /0 information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A ............ Line 2. Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines ! & 2) ............. Line 4. Action number for this period (from table above) . / / ~ Line 5. Is line 3 greater than line 49 [-]Yes Yes, you have a reportable loss and must begin notification and investigation procedures in Kern County Health Department HANDBOOK "STANDARD INVENTORY CONTROL MONITORING". Env. H~lth 580 4113 1016 (6/86) as described #UT-10. h^, sS e J ~ k ~ DATE INYO ST. REPAIR HISTORY TANK ~1, 2, & 3 PER~IT ~15OOllC YEAR PERIOD APRIL 1990 THRU APRIL1991 WORK COMPLETED I INV. 7/16/90 9/21/9o Replace KeylocK assy. on Unleaded pump. I S9661 Remove torn ticket from Unleaded printer. I S10323 .. 10/19/90 I Semi-Annual Calibration. No adjustment. I S10588 1/14/91 I Replaced broken KeylocK & reset totaliz~r.I S1348 2/12/91 I Check & repair KeylocK system. Check sy19hon system on tanks. Replaced bad Check valve. I S1620 2/1S/9~ Replaced Diesel filters & strainer. Replaced G~S strainer & tested. No leaK. ] S1664 2/20/91 [ Plugged turbine side of syphon system and Capped copper tubing. Pressure tested good. [ S1696 3/18/91 [ Calibrate fuel pumps. Unleaded good. Ad'lusted Diesel pumpunit -5 to 0 and resealed. [ S1935 3/25/91 I Transfer fuel from South to North tank. I $2006 4/09/91 New gauge sticK. I S2147 I 'c~UTOMOTIVE-INDUSTRIAL PETR0 LEUM EQUIPMENT INSTALLATION-MAINTENANCE DATE PHONE NO. REQUESTED BY SERVICE INVOIC~ 2080 SO. UNION AVE. o^ (805) 834-1100 1450 W. McCOY, SUITE A mvo~c~ { INVOICE NO. CAEIF. CONTRACTORS LIC. NO. 29~074 CHARGE CASH MAIL INVOICE TO C General Services A i4k5 'Cruxtun Ave T I Ba~ersfielQ, CA 93301 O APR ,-,.,, .:,9 WORK TO BE: PERFORMED: 17i5 WORK PERFORMED: ~" TECHNICAL SERVICE HOURS MI [EAG E Sub Contract Rentals MAKE MODEL NO. SERIAL NO. DESCRIPTION QTY PART NO. I .1 Date Completed ./ _. ' -- Techniciar~; Received & Accepted By ~ PLEASE PAY FROM THIS INVOICE. T;=RMS, Net due ul::~n eceiot PLEASE / Finance Charge of 2% per Month ...... after 30 days. REMIT TO Supplies Sales Tax TOTAL RLW EQUIPMENT P.O. BOX 640 BAKERSFIELD, CA 93302 FOR OFFICE USE ONLY AUTOMOTIVE-INDUSTRIAL PE~TRO LEUM EQUIPMENT INSTA LLATION-MAINTENAN CE 8AKERSFIEL~D~ CA 93307 (805) 834-1100( 1450 W. McCOY, ,~ITE A SANTA MARIA. C~ 93455 (805) 928:'(135 ' DATE MAIL INVOICE TO REQUESTED BY PHONE NO. ORDER NO. l t BY i CHARGE CASH SERVICE INVOICE I ??. S 2006 INVOICE NO. ~'~ O"r % ..~~~..,' ~.'~ /~,'/~ ~ " , TECHNICAL HOURS -- Ren~ls : ~ [ I MODEL NO. . SERIAL NO. ~ Supplies ~ [ , ~mpleted ~' /. Tech~cian(s): Sales Tax ~,SE PAY FROM T~ INVOICE. TERMS: Net due uCon Receipt Finance Charge of 2% per Month after 30 days, PLEASE REMIT TO RLW EQUIPMENT P.O. BOX 640 BAKERSFIELD OCOMPUTER CHANGE OMETER CHANGE OCALI~ATION Record of Computer Change, Meter Change, or Calibratlo PUMP-MAKE AND MOOEL ~ ~SERIAL'NUMBE/R MOt4E¥ [STATION NO. READINGS MONEY TOTAL DISPATCH NO. CALIBRATION CHECKED ADJUSTED TO FAS T I StOW FAST I SLOW ~ I I TOTAtlZER SEALED METER SEALED O ,,s O .o O YES O .o T~TORAGE TOTAI..IZER READINGS FINISH START MONEY MONEY ~ODUCT TOT.kLIZER READINGS Pump # FINISH START Pump # TOTAL OA~ GALLONS GALLONS RETURNED TO STORAGE MONEY GAt I ()NS CALIBRATION CHECKED ADJUSTEr3 TO, TO~ALIZER SEALEO METER SEATED [] YES [] .o O ¥,, O .o IOTALIZER SEALED [] ¥. I"1 No METER SEALE0 0 YES [] NO 1 (..) FALIZER READINU$ FINISH START M(')NE Y CALIBRATION CHECKED I-C'ow ADJUST ED TO Pump mJ~P.MAKE ~NO MODEL. TOTALIZER READINGS P~D~T FINISH START TOTAL MONEY TOTAL SERIAL NURSER GA!.LON$ GALLON'I GALLONS RETURNED TO STORAGE CHECKED FAST [STOW 1'01A~IZER SEALED CALIBRATION I , AOJUSTED TO FAST ISLQW METER SEATED [] ,ES[] NO TOTALIZER FINISH READINGS START SERIAL NUM0~-H Pump #' MONEY GALLUNS GALLI)N$ STORAGE CALIBRATION CHECKED .FAST ISLOW IO I AI.IZEH ~FALED · i I ADJUSTED TO FAST , ISIOW MEt,ER SEALED [] YES [] NO S SIGNATUR~ MAINIENANCE MAN*S SIGNATURE :)MOTIVE-INDUSTRIAL PETROLEUM PMENT INSTALLATION-MAINTENANCE D.~TE (805) 834-1100 3 ~ SERVICE INVOICE 1450 W. McCOY, SUITE A (805) 928-1135 ~IL DICE; r ; L · C ~Jene ~a[ Service8 A 1¢1~ ~ruxtun Ave T I BaKersfieLd, CA 9~)O~ O APR 17~.5 '? ': FOR ".' '~'~' ~' OFFICE USE TECHNICAL S[RVICE HOURS , MILEAGE ~ Supplies Ac~pted By ~ ~,' TO AY FROM THJ ; INVOICE. T~.MS: Net due upon Receipt PLEASE / Finance Charge of 2% per Month REMIT TO after 30 days. RLW EQUIPMENT P.O. BOX 640 3COM'P~TER CHANGE .---7 TOTALIZER READINGS START Record Of 'Compute ~{~ange, Meter Change, or Callbrati NO. ""7 o'1. "/ 5" ;;z,~ ~. GALLONS RE'n..IRNED TO STORAO.F~ CHECKED .' ... CALIBRATION SERIAL NtJMOER :, : . .' ~OOUC;T . .14'AL,- -:--.' Q,At ~(JN': . )NS ; RETURNEO TO STORAGE ':'. '/ SERIAL NUM0t:R TO'TALIZER READI.NGS G^I.LONS Pump # 'T L ". *',.'.'.* CALIBRATION " CHECKED ' Ils i " [~LOW. J ADJUSTED TO. · IFAsT · I.~.U'~w TM r AI,:IZER READINGS FINISH START JMONEY q{ ~.IAt. NUk, I Ell* R O^LI. ONS R~.fURNFU 10 :;I'ORAi~I~ ADJUSTED TO F~.ST . ISLOW ~4J:l LR ~LALC'U */CHECKED.: I FA,.; f 5LOW IOIAL Ill'l< ,'-;LA[ kJ.) .... ANO ~4OOEt. TOTALIZER. READINGS FINISH k+O~EY M"ONEY 3ERIAL NUMOER GALLONS OALLON$ IFA'3T ' . . ..... ; . ::;': ..:.. CALIBRATION:"" *' CHECKED '**.' ':' I ""'* ADJUSTED TO ~ETER SF. ALEO E3~"'.. "C)..o F"IYE,~o ... ,. . ,.'.~y&~l~.. II II I . III '. .... ,.. . ...... .': CALI.BRATION '.JTOI^klZER.. ·SEALED . . : TOTALIZER READINGS -"T~T~RL F~AO{3UG I 8TART Pump I III OALLON$ RETURNED TO STORAGE GALLONS FINISH /MON .I~Y ',' ~,ON t-'y START P..u. mp.,.~.. TOTAL· r'-ALLt)NS ED TO STORAGE CHECKED '-' '. ADJUSTED TO FAST ISLOW.. .*, , FA.ST · {,SI., OW ~'0 [AI.IZ[H ~F, ALEL), , METER &E~LEO Iq,Es .F1.o ,..; C3"~, . F1 "o .5. 51GNATUR£ ' M, AINT[NANCF. k~AN'S ~:IONATU '" 2080 SO. UNION AVE. ~ "E u · E R PEI 8344~00 =(8o5) SERVICE INVOICE AUTO MOTIVE-IN O USTRIA L PETRO LE UM EQUIPMENT INSTALLATION-MAINTENANCE DATE I REQUESTED BY MAIL INVOICE TO 1450 W. McCOY, SUITE A SANTA MARIA, CA 93455 (805) 928-1135 Slm3.DIJN¢[^ND CALIF. CONTRACTORS LIC. NO. 294074 PHONE NO. i ORDER NO. BY ~ ~'~'~'~ CHARGE J((~6~ -- ah,co CASH OFFICE . - USE TECHNICAL ~ SERVICE MILEAGE I' Sub ~ntrac¢ Ren~ls Date ~mpleted ' '. ,,.,, ~echoi~n(,): ' Sales Tax PLEASE PAY FROM THIS INVOICE. TER~S: Net due upon Receipt PLEASE ~in.~n¢'o (~h,qrcl~ nS 9°~ nor {~JSnnth RLW EQUIPMENT AUTOMOTIVE-INDUSTRIAL PETROLEUM EQUIPMENT INSTALLATION-MAINTENANCE DATE. REQUESTED BY SERVICE INVOICE (805) 834-1100 ~ 1450 W. McCOY, SUITE A mmmuam"~mm"~"~ SANTA(805) MARIA,928-1 CA 13593455 .--...c..... .......... .o'" --..,. '"""'""' c--.- ,,.. ~M~ S 166~ INvOIC= I INVOICE NO. CALIF. CONTRACTORS LIC. NO. 294074 Nu~mER MA'LGene rat Services INVOICE. · TO ~[5 ?ruxtun Ave Bakersfield, CA 93301 P C, ' L 5 0'? ~ L O C A T I O N FORMED: ' ' '" '" " · '-,'~::4-"'%., .... '~- OFF'iCE HOURS I ~. ~ MILEAGE Sub ~ntract 1 ' S QTY.I PART NO. DESCRIPTION , ~ ' _ ~ , . Supplies Date~mp;eted ~ ' ~'~5 { - """ -- ~%t Sales Tax PLEASE PAY FROM TH~ INVOICE. T~R'Ms',' Net due upon Receipt / Finance Charge of 2% per Month after 30 days. PLEASE REMIT TO RLW EQUIPMENT P.O. BOX 640 BAKERSFIELD. CA 93302 OCOMPU;rER CHANGE C--~ blET~[R CHANGE 'Company . TOTALIZER REAOINGS OW/M NOTIFIED FINISH MONEY ...~.~-, START ' Record of Coml~Her i~nge, Meter Change, or Calibration TOTAL I STAI'ION GALLONS RE~RNEO TO STORAGE IOtSPATC~ DATE .~ ~- ,: CALIBRATION CHECKED ADJUSTED TO TOTALIZER SEALED..~/~'~.,.,~.~...~- METER SEALED [] YE~O ~ YE~ ~ NO CALIBRATION CH~CKED ADJUSTED TO SERIAL TOTAt. IZER REAOINGS MONEY FINISH MUNEY START ~"ROOUCT Pump # TOTAL GAl GALLUNS TOI'ALIZER SEALEO METER ~EALECl [] Y. [] .o [] T. [] .o RETUIINED 10 STORAGE TOT.&LIZER READINGS I~OuLN: I 1 (J rALIZER READINGS FINISH START Pump # MONEY MONEY FINISH TOTAL II START ~ump '# TOTAL CJAI, Lt)NR CALIBRATION To TALIZER SEALED ADJU."; rED TO METER SEALED [] YES [] NO CALIBRATION III CHE CKEL.) ADJUSTED TO UA"- t [~LC)W F~S1 ISLOW [] YES[] "o TOTALIZER READINGS PRODI.~ r FINISH START MONEY I SERIAL NUMBER MONEY tlALLON$ II I I I CALIBRATION FAST CHECKED ISLOW I METER SEALED TOT ALIZER S~4, L E O [] YeS [] ~o - ~ALLONS RETURNED TO 5TORAQE TOTALIZER READINGS , START Pump #' TOTAL SERIAl, NuMtt~H GALLCINS RETURNED TO STORAGE CHECKED CALIBRATION ADJUSTED TO /MEIER SEA~.EO FAST ISLOW [] YES O NO AUTOMOTIVE-INDUSTRIAL PETROLEUM EQUIPMENT INSTALLATION-MAINTENANCE DATE REQUESTED BY MAIL iNVOICE TO (805) 834-1m0 SERVI E INVOICE 1450 W. MoCOY, SUITE A SANTA MARIA, CA 93455 " ......... ' S 1620 (805) 928-1135 ^.~ co...- ~mvo~c,z INVOICE NO. J CALIF. CONTRACTORS l-lC, NO. 2eA074 NUM'~I~ ,,, ' ' CHARGE CASH O C G~ner.~ ! Services A _Truxtun Ave T Ba~er,~ fi eld, CA 93301 O 507 ' N FOR OFFICE USE ONLY HOURS MILEAGE Sub Contract Rentals DESCRIPTION QTY.t PART NO. RLW EQUIPMENT P.o. BOX 640 BAKERSFIELD. CA 9~302 PLEASE PAY FROM THIS INVOICE. T~RMS, Net due upon Receipt / Finance Charge of 2% per Month after 30 days. PLEASE REMIT TO Date completed ~ Received & Accepted By Sales Tax TOTAL · /T/echnicianwT;. ___ Supplies ' TOTALIZER .. 'READINGS · Meter Change, or Callbratl~ CHECKED IFA8T AOJUS~wTO OALL~ TOTALIZ~R SEALED ' E AND SERIAL. NUMBER : .* · , ...; ' OAt ~,(J~u , · TOTALIZER '. .. READINGS ~ONEY. ' 'SALLONS ~OOUCT START Pump # TOTAL" RETURNED TO STORAGE '.... ".' .;:.::,.',*',;:,i'n:::~;.,~:.' CALIBRATION '" .... CHECKED".:'.:' ' '-' ADJUSTED TO rAS~. . . .~LOWi~.'. :.... r~T IS, OW f(.} TALIZER SEALED MET'~R SEALED t TO'TALIZER I READINGS !. FINISH START Pump # MONEY TOTAL ~ERIAL NU tAOt;H ~'.4~['u~s ...................... GALLONS CHECKED · [SLOW. ,OTALI~ER $&ALEO · .. v. CALIBRATION " FAST . .", LI I w "' .... .',.. ,:: ..' ....... "CALIBRATION '""::' I_1 I TU rALIZER READINGS L FINISH START TOTALIZER. READINGS FINISH 8TART Pump TOTALIZER READINGS FINISH START P. ,u,m,p. ,'~' MONEY blOHCy · GALLONS GALLONS . .:..':'-:"CALIBRATION:"' ' · ".' CHECKED "." ':' I "'~" ADJUSTED TO · TO~AUZ~R ~F-AL~O · ~UErER SE~.~O . / re,E, T'OTAL . "O^,LON$ RE,.RNEO ~o : '"..~ . ..:,' ...... I CHECKED "' ' I ADJUSTED TO FAST [SLOW · .. FA~T [ 5L OW RETURNEO TO STORAGE IOIAIJZEH ~E. ALED, · METER SFr. ALEO UR[ MAINTENANCE .. ''. AUTOMOTIVE-INDUSTRIAL PETR0 LEUM ¢I[QUIPMENT INSTALLATION-MAINTENANCE 2080 SO. UNION AVE. BAKERSFIELD. CA 93307 (805) 834-1100 1450 W. McCOY. SUITE A SANTA MARIA, CA 93455 (805) 928-1135. ¥~.EASI[ AND CO RFli[- SPONDI[NCS TO THIS INVOICS CALIF. CONTRACTORS LIC. NO. 294074. NUMBI[R DATE REQUESTED BY PHONE NO, ORDER NO. ¸ BY SERVICE INVOICE INVOICE NO. CHARGE CASH MAIL INVOICE TO c : L O · C General Services T I .415 Tru×Cun Ave 0 B~ker~fteld. CA 0~30! ~ N WORK TO BE PERFE)RMED: , ,':- · ' -, ' FOR 1 7 ). 5 !:~'....:.,~ ..... ' " OFFICE "~':' ~- '~ US E WORK PERFORMED: Z,A~),~ .'"',I (~.4"~",a,.I ~,( d.~ 1. ZF~he"~ ~...~ ff~.)h ~,/ Z~ ONLY ~~1 Z~/~ ~_)~ ~~ ~/.,'~. HOURS MILEAGE. -/ R en~is s j QTY.~ PART NO. DESCRIPTION i i " - ~ -- ~ ~ .... ~ Supplies Date ~mpleted / - /.~ ~/ Technician(s); ~ ~ Sales Tax Re ~ived & A c~pted By _~Z ~ -~ ~~' TOTAL. PLEASE PAY FROM THIS INVOICE. ~'=.MS: Net due upon gceipt PLEASE RLW EQUIPMENT Finance Charge of 2% per Month REMIT TO P.O. BOX 640 after 30 days. BAKERSFIELD. CA 93302 OCOMPUTER CHANGE CALl ~ AT ti OMETER CHANGE OW/M NOTIFIED TOTALIZER READINGS UONEY FINISH START Record of Coml~xler nge, Meter Change, or Calibration CALIBRATION CHECKED FAST I~LOW TOTALIZER ~4 EALEO I~ODUCT ump TOTALIZER READINGS ~QDuCT OA| ADJUSTED TO FAST METER SEALED CALIBRATION FINISH IMC)NEY START C'~'E~'. Pump # TOTAL GALLt~NS RETURNED TO STORAGE I, ADJUSTED 1'O IMETLR SEALED .... I [],ES ' [].o CHECKED - [ FA.~I R4. OW ! ~OI'ALIZER SEALED TOTALIZER READINGS FINISH START CALIBRATION CHECKED I ADJU.~TED TO. ){ALtZER SEALED METER SEALED OTE$ [].o [ O 'Es [] .o [~;LC,,NS ..................... GAt I ()NS Oo PII O UI, I(: I TOTAL 1 L) rALIZER READINGS FINISH START CALIBRATION I ADJUSTED TO CHECKEL) [] ,E, [] .o [] T. [] .o MODEL FINISH TOTALIZER READINGS START MOHEy MONEY SERIAL NUMBER (]ALLONS GALLONS GALLONS RETURNED TO STORAGE CALIBRATION CHECKED · ADJUSTED TO TO1 ALIZER SEALED METER SEALED [] ,ES [] .o [] TES [] .o FINISH TOTALIZER READINGS START ~RODUC! Pump #' MONEY MONry TOTAL RETURNEO tO STORAGE CALIBRATION CHECKED .FAST [SLOW ID I AI.IZEH ~f ALED · ' ADJUSTED TO FAST . METER SEALED ! AUTOMOTIVE-IND USTRIAL PETRO LE UM EQUIPMENT INSTALLATION-MAINTENANCE DATE REQUESTED BY INVOlCEOene r:.L [ Service8 vo ,a[~ ~rux~un Ave BAKERSFIELD, CA 93307 (805) 834-1100 , 1450 W. Mc'COY, SUITE A SANTA MARIA, CA 93455 (805) 928-1135 ^,o co..=- CALIF. CONTRACTORS E. IC. NO, 29A074 NUMIIrN SERVICE INVOI S ~0588 INVOICE NO. CASH 93301 z-,'~,~,~ ~'z /',.,~-z L 0 C A T I 0 N TECHNICAl. SERVICE: HOURS FOR 0FF.ICE USE: ONLY'-' ',',AKE "'/,~/F4,<'"' .OD~..o ~2a>:-- ..ER,.- -o. MILEAGE '"" Sub Contract Rentals PART NO. DESCRIPTION Supplies Date Completed ..~;, .,.~. Received & Accepted By ;, PLEASE PAY FROM THIS INVOICE. v~e,,~s: Net due upon Receipt Finance Charge of 2% per Month after 30 days. PLEASE REMIT TO' Sales Tax TOTAL RLW EQUIPMENT P.O. Box 640 · O cOMPUTER CHANGE EMETER CHANGE FINISH Record of Computer Change, Mlle~ Change, or Calibratlor START · TOTAL. GALLONS GAL,ONS RETURNE° TO STORAGE ATE,,. CALI.BRATION CHECKED ADJUSTED TO ~ Y~S ~ NO TOTALIZER SEALED ' TOTALIZER P~EADINGS. AN~ TOTALIZER READINGS ~ROOUCT ~I'NISH START Pump # MONEY MONEY TOTAL SERIA, NU BER ....~ .. / .. " ...: "s:.*,"..,.:...:.:.- CALIBRATION "' ~ "~, ':- CHECKED' ' ADJUSTED To NS RETURNED TO STOR&I3E , ..." /'0 ~UMP.~*,~: ANI) MODE, Pump # TOTAL 3~RIA, NUMOU{ 'CALIBRATION CHECKED ' { f0TAUZER SBALED / 0YE, ADJUSTED TO. FAST . I~L¢IW METER ~EALED T(J FALIZER READINGS FINISH START Pump ~ "~-.O'TAL <:( I~,IAL NUMBf R {OALL~N$ RC i'URNFU TO ADJUSTED TO ·CHECKEU rYE3. · l,~LOW F~PoUAKE .&,ND MOOE, TOTALIZER. READINGS FINISH 8TART 3ERIA, NUMBER ~o~Y 140NEY QALLONe' lULjoALLONS RETURNED TO STORAGE · CHECKED ' .. . ,. ~ ,; · J.: . .'..': "CALIBRATION:"' '~'" ADJUSTED TO METER SEALED TOTALIZER READINGS FINISH IMONEY''' MONCy PROOUCT START P..u. mp. ,'~' TOTAL· JRNEO TO STORAGE .... CALIBRATION CHECKED FAST SLOW'. ~ ADJUSTED TO. r--] YES E:::] 1'E$ ' ' [] NO MAINTENANCE MAN'S 810NATURE ! . _ . . · Note: [. 2. 3. 4. 5. Permit All meters must have calibration checks a minimum of twice a year, which may Include checks done by the Department of Weights and Measures. Before starting calibration runs, wet the, calibration can with product and return product to storage. Run 5 gallons With nozzle wide open Into the can. Note gallons and .cubic Inches drawn, and return product to storage. Run 5 ~allons with the nozzle one-half open Into t~ can'. No~e gallons and cubic inches drawn', and return product to storage. After all product for one calibration check Is returned to storage, remember to record the volume returned to' storage In column 9 of the Inventory Recording Sheet. If the volume measured in a 5-gallon calibration can is more than 6 Cubic inches above or below the. 5-gallon mark, the meter requires calibration by a registered device repairman. ~te/Time o~Tank ~} Hose tlPr°duct Pump Fast Flow 5£Gallon Draft Gals~Cu. Inches 'Slow Flow 5-Gallon Draft ]al! Cu. 'Inches Volume Returned to Storage Gallons Calibration Required7 Yes No Device Repairman Used for Calibration Date of Caltbratlor Owner or Operator Signature Calibrator's Signature /Z'~,~//)~z?-.':../..~':'~""-. , . Registration t ~/DO 3_~'> AUTOMOTIVE-INDUSTRIAL PETROLEUM EQUIPMENT INSTALLATION-MAINTENANCE DATE 2080 SO. UNION AVE. ~ BAKERSFIELD. CA 93307 I~?k,,,.,cy,': (805) 834-1100 .i 1450 W. McCOY. SUITE A SANT~A MARIA. CA 93455 (805) 928-1135 TO THIS INVOICE CALIF. CONTRACTORS LIC. NO. 294074 NUMIER REQUESTED BY SERVICE INVOIC, S 10323 INVOICE NO. PHONE NO. CUSTOMER ORDER NO. CHARGE CASH r ~ L 0 ~NVO~C~(';ene~at Services T / · I · o ~l~ Tm~tun Ave 0 FOR : ~7 [~- ' '. . OFFICE WORK PE ,R;~O.MEO: :' ~' ,.¢:2~/g USE t(n 1~ d e~ ~ ~ ~ HouRs MILEAGE Sub ~n~act Ren~ls ! Date ~.mpleted ~ -/ ¢ ' ~' TOTAL Remiv~ & Ac~pted By ~ ~/~*~ -'~ ~ , PLEASE PAY FROM THIS~ VOICE. TERMS: Net due upon Receipt Finance Charge of 2% per Month after 30 days. PLEASE. REMIT TO RLW EQUIPMENT P.o. Box 640 · AUTOMOTIVE-IND USTRIAL PETR0 LE UM EQUIPMENT INSTALLATION-MAINTENANCE · 2080 SOi UNION AVE. BAKERSFIELD, CA 93307 (805) 834-1100 1450 W. McCOY, SUITE A SANTA MARIA, CA 93455 (805) 928-1135 CALIF, CONTRACTORS I. IC. NO. 294074 NUMII[m PHONE NO. I CUSTOMER ORDER NO. I SERVICE INVOICE 9661 INVOICE NO. CHARGE CASH MAIL INVOICE TO WORK TO BE PERI ~J~NIED:. _, .? ~.. USE / " ~ '/" ~/ ,~~~ ~ ONLY SERVICE HOURS MILEAGE Sub ~ntra~ Ren~ls MAKE / ¢ ~ ~ Supplies Sales Tax TOTAL Re~iv~ & PLEASE PAY FROM THIS INVOICE. TE.MS: Net due upon ReceiP{ Finance Charge of 2% per Month after 30 days. PLEASE REMIT TO RLW EQUIPMENT P.O. BOX 640 T.o_:_ Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield', California 93301 Attn: Underground Tank Section REGPd~DING: Facility: .County of Kern "In¥o" St.'(GAS) Permit ~ 150011C Facility Address: 230 In¥o St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, .FLEET MANAGER On 05/08/91 6:05 PM , the above facility had an (date and time). inventory variation/loss that exceeded reportable limits as described belOw Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis 1 -109 Gal. 15 Per.. 1 I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. ignatur .~. LARRY JOHNICANo FLEET MANAGER GENERAL SERVICES GARAGE DIVISION KEIIIq COUIqTY ~-Iq~FIIIONP~q~TAL HEALTH DI~PARTPIENT VT~IlATION/LOSS INVESTIC~ATION REPORT Facility: County of Kern "Inyo" St. Facility Address: 230 Inyo St. Bakersfield, Ca. Permit ~ 15OOllC Tank(s) with Discrepancy: ~ 1 Date/Time of Discovery: 05/09/91 7:20 'Name of Person Filing Report: Larry Johnican, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -109 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startin, at the time a reportable loss is discovered or should have been discovered: Within: I 6 Hours I Owner/Operator or other qualified person is to { Date I Time I review records for errors before determining 105/09/91 ~7:20 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 1) Owner/Operator must verbally report Da%e I Time discovery to KCEHD and follow-up with written _C/~$/~[ I 9~ notification on form provided. .i _~'l--- , 'f~ Performed By.: . v 2) Visual facility check to be performed using I Date I Time checklist on the back of this form IO5/09/91 ~ 7:30 P Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance I ~ Performed By : 48 Hours I Piping to be leak tested using approved method I · Contractor's Name I License % Test Performer's Name I Description of test performed Date I Time I * * ATTACH COPY OF TEST RESULTS. 72 Hours Tightness Testing of Tank(s) to be performed using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time · * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 Df OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL- INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. Results: X All dispensers appear tight Richard Brown 05/09/91 signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL %ICOMMENTS: B. Tank Area X__ Ail turbine boxes inspected. X__ All. fills and vapor manholes inspected. Results: X__ Tank area appears tight with no product or liquid present Richard Brown O5/09/91 signature/date 'rank area does not appear tight because of the problems/conditions listed below: signature/date ITANK %IPRODUCT%ICOMMENTS/RESULTS: Co Resulted: Piping Type: ~[ Pressure II Suction Pressurized piping leak detector(s) tested for proper functioning ~ detectioD of leakage. Suction piping tested for indication of leakage. Piping tight based on test(s) above. signature/date .__.Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description TO: 24 HOUR REPORTABLE VA[tIATION~LOS~ NOTIFICATION - 6 1991 Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REG~RDING: Facility: County of Kern 'Inyo" St.(DIESEL) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICANo FLEET MANAGER On 5/01/91 6:05PM. t, the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily 'Weekly Monthly Variation/loss Variation/Loss Variation/Loss 3 -76 Gal. 10 Per. 1 Total Minuses Line 3 of Trend Analysis I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. Signa~ GENERAL SERVICES GARAGE DIVISIO} KERN COUNTY ENVIRoNHENTAL HEALTH DEPARTHENT VARIATION/LO-~$ II~'g$?I~?IOl~ REPORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: ~ 3 Date/Time of Discovery: 5/03/91 8:40 Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. -76 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: Within:~ 6 Hours Owner/Operator or other qualified person is to I Date I Time review records for errors before determining { 5/03/91 ~8:40 PM there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator'must verbally report [ ,~a,te J Tim9 discovery to KCEHD. and follow-up with writtenl~/&/~_/ notification on form provided. Performed By : . 2) Visual facility check to be performed using I D~te~ ] Time checklist on the back of this form } 5/03/91 [9:15 PM Performed By : Richard Brown 3) All'product dispensers are to be checked for Date [ Time calibration and adjusted if out of tolerance Performed By : Piping to be leak tested using approved method Contractor's Name License ~ 'rest Penfor~er's Name Description of test performed Date [ 'rime ATTACH COPY OF TEST RESULTS. * * Tightness Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAi OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST 'Ail totalizer seals checked for tampering. Results: ~// All dispensers appear tight ~ichard Brown Dispensers Ail dispensers and their end doors visually checked for leaks. Ail hoses and nozzles vis'ually checked for leaks. Dispenser(s) not tight as listed below 5/03/91,,, signature/date signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area X__ All turbine boxes inspected. All fills and vapor manholes inspected. Results: Tank area appears tight with no product or liquid present Richard Brown 5/30/91 /x/~ . signature/date 'Bank area does not appear tight because of the problems/conditions listed below: signature/date ITANK IIPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: I! Pressure Il Suction ___ Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Result~ Piping tight based on t~st(s) above. signafure/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description ,, , - 15 1991 24 HO~ REPORT~J~L£ ~/~IIATION/L~S 1/(~fIF ICATION. · TO: Kern County Environmental Health Department 2'700 "M" Street, Suite 300 BaKersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern "Inyo' St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICAN, FLEET MANAGER On 04/29/91 6:10 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis 1 -92 Gal. 10 Per.' have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. LARRY JOHNICAN, FLEET .MA1/AGER GENERAL SERVICES GARAGE DIVISION 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors Visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. Results: X All dispensers appear tight Richard Brown 02/25/91 signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERfAL ~ICOMMENTS: B. Tank Area X All turbine boxes inspected. All fills and vapor manholes inspected. Results: TanK'area appears tight with no product or liquid present Richard Brown O2/25/91 signature/date TanK.area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~tPRODUCT~ICOMMENTS/RESULTS: Results: Piping Type: [{ Pressure ]_[ Suction Pressurized piping leak detector(s) tested for proper functioning a detection of' leakage. Suction piping tested for indication of leakage. Pi.ping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description KE~J~ CO~I~T~ E~VIRO~P~I~T~L HEALTH DEP~TP~T ~ VARIATION/LOSS I~VESTI~TION ItEPORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. TanK(s) with Discrepancy: ~ 1 Date/Time of Discovery: O4/29/91 6:iO PM Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits uslnq LOW THROUGHPUT CHART. -92 Gal. INVESTIGATION~SUMMARY The following procedures must be performed within the specified times starting at the time a reportable loss is discovered or should have been discovered: Within: I 6 Ho=='~==~rs I Owner/Operator or other qualified person is ,to I Date ] Time I review records for errors before determining 104/30/91 ~7:05 AM I there is a reportable variation/loss. Performed By : Harold Lawler 24 Hours 1) Owner/Operator must verbally report I Date I Time discovery to KCEHD and follow-up with writtenl05/o3/gl ~ 2:30PM notification on form provided. Performed By : Harold Lawler 2) Visual facility check to be performed using I Date I Time checklist on the back of this form 104/30/91 ~ 9:30 AM Performed By : Harold Lawler 3) All product dispensers are to be checked for I' Date I Time calibration ~and adjusted if out of tolerance I ~ Performed By : 48 Hours Piping to be leak tested using approved methodl Contractor's Name License ~ Test Performer's Name Description of test performed Date ] Time * * ATTACH COPY OF TEST RESULTS. * * 72 Hours I Tightness Testing of TanK(s) to be performedl using approved tester and method. Contractor's Name : License % Test Performer's Name Description of test performed" Date ] Time .I * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAY OF COMPLETION OF INVESTIGATION PROCEDURES. TO: 24 HOUI~ ~PO~TA~]LE ~rAI~IATION/LOSS I~rIFICATION Kern County Environmental Health Department 2'700 "M" Street, Suite 300 BaKersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern "Inyo" St.(DIESEL) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOPINICAN, FLEET Ph%NAGER On 4/29/91 6:05Pti , the above facili'ty had an (date and time) inve'ntory variation/loss that exceeded reportable limits as described belo% Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis 3 -76 Gal. 9 Per. 1 I have/have-not stopped dispensing product and begun investigation procedur required.by the Permitting Authority. This notification is in addition to the phone call I previously placed. .KE[H~ COU~fY E~f~IROI~E~ff~L [~-~Llq4 DEP~ItT~EI~T V~ltlATION/~(r~S INVESTI~TION REPORT Facility: County of Kern "Inyo' St. Permit ~ 150011C Facility Address: 230 Inyo St. BaKersfield, Ca. Tank(s) with Discrepancy: ~. 3 Date/Time of .Discovery: 4/29/91 6:05 P[ Name of Person Filing Report: Larry.Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits usinq. LOW THROUGHPUT CHART. -76 Gal. INVESTIGATION SUM~ARY The following proqedures must be performed within the specified times startin~ at the time a reportable loss is discovered or should have been discovered: Within: 6 Hours I Owner/Operator or other qualified person is to I Date I Time I there is a reportable variation/loss. Performed By : Harold Laler 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report I Date I Time discovery to KCEHD and folloW-up with writtenl 5/03/91~ 2:3OPM notification on form provided. Performed By : Harold Lawler 2) Visual facility check to be performed using I Date I Time checklist on the back of this form I 4/30/91 ~9:15 A~ Performed By : Harold Lawler 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance { I Performed By : Piping to be leak tested using approved methodl ContractOr's Name License % Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License % Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA% OF COMPLETION OF INVESTIGATION PROCEDURES. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for'leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. Results: X All dispensers appear tight signature/date' Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area X__ All turbine boxes inspected. X__ All fills and vapor manholes inspected. Results: X__ Tank area appears tigh.t with no product or liquid present signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ~TANK ~I,PRODUCT~ICOMMENTS/RESULTS: C. Piping Type: ~ Pressure J_[ Suction Pressurized piping leak detector(s) tested for proper functioning g detection' of leakage. Suction piping tested for indication of leakage. Results: .. Piping tight based on test(s) above. signature/date Piping not tight based on test('s) ~above, with problems/conditions listed below. signature/date Description 24 HOUR REPORTABLE V~dtIATION/LOSS NOTIFICATION TO: Kern County Environmental Health Department 2700 "M" Street Suite 300 BaKersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern "Inyo" St. {GAS) Permit Facility Address: 230 Inyo St. Bakersfield, Ca. 150011C Name Of Person Filinq Report: LARRY JOHNICAN, FLEET MANAGER · On 02/25/91 6:00 PM , the above .facility had an (date and time) inventory variation/loss that exceeded reportable limits as described belo~. Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Mi~uses Line 3 of Trend Analysi~ 1 & 2 +507 Gal. 147 Per. 11 I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. S V CES KEI~I~ COU-[~TY EI~w-IROI~EI~TAL HEAJ~q4 D£P~dt~q~EI~T V-~dlIATION/LOSS INVESTIGATION ItEPORT Facility: County of Kern "Inyo" St. Facility Address: 230 Inyo St. BaKersfield, Ca. Permit ~ 150OllC TanK(s) with Discrepancy: % 1 & 2 Date/Time of Discovery: '02/25/91 7:55 P Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. +507 Gal. Bad stick readlnq previous day. INVESTIGATION SUMMARY ~ The following procedures must be performed within the specified times startin at the time a reportable loss is discovered or should have been discovered: Within: I 6 Hours I Owner/Operator or other qualified person is to I Date I Time I review records for errors before determining IO2/25/91 17:55 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report I DDtej. I Time discovery to KCEHD and follow-up with writtenl ~-/~/~/ [ /~ notification on form Provided. . ~ ~ ~)' n Performed By : ~~k~~-~T~_ 2) Visual facility check to be performed using I Date I Time checklist on the back of 'this form IO2/25/91 I 8:30 P Performed By : Richard Brown 3) All product dispensers are to be checked for Date I Time calibration and adjusted if out of tolerance I Performed By : Piping to be leak tested using approved method Contractor's Name License % Test Performer's Name Description of test performed Date I Time ATTACH cOpy OF TEST RESULTS. Tightness Tes'ting of TanK(s) to be performed using approved tester and method. Contractor's Name : License % Test Performer's Name Description of test performed Date I Time ATTACH COPY OF TEST RESULTS. * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X All dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked fo~,/t,~mpering. Results: X All dispensers appear tight Richard Brown 02/25/91 signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER %ISERIAL %ICOMMENTS: B. Tank Area .X__ Ail turbine boxes inspected. X Ail fills and vapor manholes inspected. Results: X Tank area appears tight with no product or liquid present Richard Brown 02/25/91 · //~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK '~IPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: J_[ Pressure ~! Suction Pressurized piping leak detector(s) tested for proper functioning detection of..lea'Kage. Suction piping tested for indication of lea~age. Results: Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. ~ signature/date Description 24 HOUR REPORTABLE VARIATION/LOSS NOTIFICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern "In¥°" St.. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICAN, FLEET MANAGER '0n 02/24/91 6:00 PM , the above facility had an (date and time) inventory.variation/loss that exceeded reportable limits as described below Tan~ ~ Amount of Amount of Amount of Daily Weekly Monthly Variation/loss 'Variation/Loss Variation/Loss 1 & 2 -414 Gal. Total Minuses Line 3 of Trend Analysis 147 Per. 11.. I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. ,/~ .... /L~RY J~HNICAN, FLEET MANAGER GENERASSERVICES GARAGE DIVISION KEItI~ CO~Y EI~IRO[~ENTAL [I~ALTH DEP~[IT~ENT VAIII~TION/LOSS II~;~STIG~TION ' [iEPO[IT Facility: Facility Address: County of Kern "Inyo" St. 230 Inyo St. BaKersfield, Ca. Permit ~ 150011C TanK(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 02/25/91 7:50 Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. -414 Gal. Bad stick reading. INVESTIGATION SUMMARY The following procedures must be performed within the specified times start'in at the time a reportable loss is discovered or should have been discovered: Within: [ 6 Hours I Owner/Operator or other qualified person is to [ Date [ Time { review records for errors before determining [O2/25/91 17:50 PM { there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report I Dgte / I Time discovery to KCEHD and follow-up with writtenl notification on form provided. ~, ~. ,~.~ Performed By 2) Visual facility check to be performed using I Date I Time checklist on the back of this form [02/25/91 [' 8:30.? Performed By : Richard Brown 3) All product dispensers are to be checked for [ Date I Time calibration and adjusted if out of tolerance Performed By : Piping to be leak 'tested using approved method] Contractor's Name License ~ Test Performer's Name Description .of test performed Date [ Time k * ATTACH COPY OF TEST RESULTS. * * Tightness Test%ng of TanK(s) to be performed[ using approved tester and method. ] Contractor's Name : License ~ Test Performer s Name Description of test performed Date [ Time ATTACH COPY OF TEST RESULTS. NOTE:. THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA. OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X All dispensers and their end doors visually checked for leaks. X All hoses and. nozzles visually checked for leaks. X All totalizer seals checked for ~t~mpering. Results: X All dispensers appear tight Richard Brown 02/25/91 signature/date Dispenser.(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area All turbine boxes inspected. X All fills and vapor manholes inspected. Results: X Tank area. appears tight with no product or liquid present Richard Brown 02/25/91 /.,~ signature/date Tank area does not appear tight because of the problems/conditions 'listed below: signature/date ~ITANK ~tPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: [! Pressure II Suction Pressurized piping leak detector(s) tested for proper functioning a detection of leakage. Suction piping tested for indication of leakage. ResultS: Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description ~4 HO~'I~ RI~PO~T~LE V~[IATION/LOSS NOTIFICATION TO: Kern County Environmental Health Department 2700 '"M" Etreet, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern "Inyo" St. (GAS) Permit Facility Address: 230 Inyo St. BaKersfield, Ca. 150011C Name Of Person Fflinq Report: LARRY JOHNICAN, FLEET MANAGER On 02/19/91 6:05 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described belo%. Tank Amount of Amount of Amount of .Daily WeeKly Monthly variation/loss Variation/Loss'Variation/Loss Total Minuses Line 3 of Trend Analys~s 1 & 2 -315 Gal. 145 Per. 11 I have/have-not stopped dispensing product and begun investigation procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. ~_.~ARRY~ J~HN~CA~, FLEET P~NAGER GENERAL~ S~RVICES GARAGE DIVISIO~ ~Rlq CO~qTY ~IqVIROIqP~IqT~KL HF~%LT~ O~PAI~TP~IqT · rAI~IATION/LOSS IIqVESTIGATION I~EPO~T Facility: County of Kern "Inyo" St. Permit ~ 150OllC Facility Address: 230 Inyo St. BaKersfield, Ca. TanK(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 02/19/91 8:05 Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CHART. -315 Gal. Previous day +270 Gal. Obvious Bad Readlnq. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startir at the time a reportable loss is discovered or should have been discovered: Within: I 6 Hours I Owner/Operator or other qualified person is. to I Date I Time I review records for errors before determining 102/19/91 [8:05 PP I there is a reportable variation/loss. Performed By :- Richard Brown 24 Hours 48 Hours { { } { } 72 Hours 1) Owner/Operator must verbally report { [~ 9~~Q/~/ } Time discovery to KCEHD and follow-up with Written{ · notification on form provided. ~~ Performed By : ~~ 2) Visual facility check to be performed using- { Oa~e { Time checklist on the back of this form 102/19/91 Performed By : Richard Brown 3) All product dispensers are to be checked for { Date { Time calibration and adjusted if out of tolerance { Performed By : Piping to be leak tested using approved method Contractor's Name License % Test Performer's Name Description of test performed 0ate { Time '* * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of TanK(s) to be performed using approved tester and method. Contractor's Name : License % Test Performer's Name Description of test performed Date { Tlme ATTACH COPY OF TEST RESULTS. '* * NOTE: THIS REPORT MUST BE SUBMITTED.TO THE PERMITTING AUTHORITY WITHIN 5 D~ OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers All dispensers and their end doors visually checked for leaks. All hoses and nozzles visually checked for leaks~ All totalizer seals checked for~t~zpering. Results:~//. , Ail dispensers appear tight Richard Brown 02/19/91 signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENT$:' B. Tank Area All turbine boxes inspected.' X All fills and vapor manholes inspected. Results: X Tank area appears tight with no product or liquid present Richard Brown O2/19/91 signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: J_[ Pressure 11 Suction __ Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Results: Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below.. signature/date Description 24 HO~ ~[EPORT~d]LE V~d~IATION/LOSS I~OTIFICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern "Inyo".$t. (GAS) Facility Address: Permit 230 Inyo St. Bakersfield, Ca. 150011C Name Of Person Filing Report: LARRY JOHNICAN, FLEET PhqNAGER On 02/18/91 4:45 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described belo~ Tank Amount of Amount of Amount of Daily .WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysi 1 & 2 +270 Gal. 144 Per. 11 I have/have-not stopped dispensing product and begun investigation procedu~' required by the Permitting Authority. This notification is in addiction to the phone call I previously placed. Sign~~ J ~----~AR~Y SO,ICON, FLEET MANAGER GENERAL,~ERVICES GARAGE DIVI$IO, KEIilq COlilq~/ £1qVIROIqPff~NTAL ~-~LTIt D£PAIITI~EI~r VAIiIATIOIq/L~S INV~STIGATIOI~ IlgPOIIT Facility: County of Kern "In¥o" St. Permit % 15OOllC Facility Address: ,230 Inyo, St. Bakersfield. Ca. TanK(s) with Discrepancy: % 1 & 2 Date/Time of Discovery: 02/19/91 8:00 Name of Person Filing Report: Larry Johnican.. Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits uslnq LOW THROUGHPUT CHA~RT. +270 Gal. Obvious Bad Stick Readinq. INVESTIGATION SUMMARY The following Procedures must be performed within the specified times starti at the. time a reportable loss is discovered or should have been discovered: Within: I 6 Hours I Owner/Operator or other qualified person is to I Date I Time I review records for errors before determining IO2/19/91 ~8:OO P' I' there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 HOURS 72 Hours 1) Owner/Operator must verbally report I ~at~ J Time diScoverY to KCEHD and follow-up with wrlttenl ~/-7w3~'/ [ notification on form provided.Performed By :~~~~ ~J O 2) Visual facility check to be performed using I me checklist on the back of this form IO2/19/91 Performed By : Richard Brown 3) All product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance { Performed By : Piping to be leak tested using approved methodl Contractor's Name License % Test Performer's Name Description of test performed Date [ Time * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of TanK(s) to be.performedl using approved test,er and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 D OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for~t~mpering. Results: X All dispensers appear tight Richard Brown 02/19/91 signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area X All turbine boxes inspected. X All fills and vapor manholes inspected. Results: X Tank area appears tight with no product or liquid present Richard Brown 02/19/91 /~'./~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENT$/RESULTS: Results: Piping Type: Ii Pressure [~ Suction Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Piping ~ight based on test(s) above. signature/date Piping not tight'based on test(s) above, with problems/conditions listed below. signature/date Description 24 H05~ I~]~PO~T~L£ ~r~d~IATION/LOSS lq(Fr I F ICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern 'Inyo" St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: LARRY JOHNICAN, FLEET MANAGER On 02/09/91 6:00 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss 1 & 2 +82 Gal. Total Minuses Line 3.0f Trend Analysis 139 Per. 10 . I have/have-not stopped dispensing product and begun investigatfon procedur required by the Permitting Authority. This notification is in addition to the phone call I previously placed. Signat'Ure~..- --'-' LARRY JO~NICAN, FLEET MAI~AGER GENERAL SERVICES GARAGE DIVISION KKR]~ COL~TY E~rIROI~ENTAL L~-~TH DEPA~I~3~ENT V~IiIATION/L(P~S INVESTIGATION R~PORT Facility: County of Kern "In¥o" St. Permit ~ 150011C Facil'ity Address: 230 Inyo St. BaKersfield, Ca. TanK(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 02/11/91 8:30 Name of Person Filing Report: Larry Johnican, Fleet Manaqer Description Of Discrepancy: Daily variation exceeded allowable limits uslnq LOW THROUGHPUT CHART. +82 Gal. INVESTIGATION SUMMARY The following procedurDs must be performed within the specified times starting: at the time a reportab'ie loss is discovered or should have been discovered: Within: 6 Hours { Owner/Operator or other qualified person is to I Date I Time I review records for errors before determining IO2/11~91 ~8:30 PM I there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours { 1) Owner/Operator must v~rbally report { Date } Time discovery to KCEHD and follow-up with written{ ~/./~ notification on form .~ ~ . provided. Performed By :..~C~ ~ 2) Visual facility check to be performed usin~ [ Date I Time checklist on the back of this form {0~/11/91 { 9~00 P~ Performed By : Richard Brown 3) All product dispensers are to be checked for { Date I Time calibration and adjusted if out of tolerance Performed By : Piping to be leak tested using approved method{ Contractor's Name License ~ Test Performer's Name Description of test performed Date { Time * * ATTACH COPY OF TEST RESULTS. * * Tightness Testing of TanK(s) to be performedl using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date J Time [ . * * ATTACH COPY OF TEST RESULTS. * * NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DAI OF COMPLETION OF INVESTIGATION PROCEDURES. 2. yISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses and nozzles v%sually checked for leaks. X All totalizer seals checked for tampering. Results: X All dispensers appear tight R~chard Brown 02/11/91 j~,d~z signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER %ISERIAL %ICOMMENTS: B. Tank Area X__ All turbine boxes inspected. X__ All fills and vapor manholes inspected. Results: ~X__ Tank area appears tight with no prodUct or liquid present Rlc~rd Brown 02/11/91 ///~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~ICOMMENTS/RESULTS: C. Piping Type: ]_[ Pressure ~ SUction __ Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Results: Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description HOUR REPORTABLE ~5%RIATION/LOSS NOTIFICATION TO: Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section 'REGARDING: Facility: County of Kern "Inyo" St. (GAS) Permit $ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. · Name Of Person Filinq Report: LARRY JOHNICANo FLEET MANAGER On 02/02/91 6:00 PM , the above facility had an (date and time) inventory Variation/loss that exceeded reportable limits as described belo~ Tank Amount of Amount of Amount of Daily Weekly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysi' 1 & 2 +85 Gal. '136 Per. I 'have/have-not stopped dispensing product and begun investigation procedu: required by the Permitting Authority. This notification is in addition to the phone call I previously placed. S i g n a t. u r e ...- ' ,//~ , ~4~-%~4.-/~~-~-~ · " /~A~{~Y !JO~NiCANo FLEET MANAGER ~ GENERAL~ERVICES GARAGE DIVI$'IO / / KEI{I~ COUlTrY ENVIRONMENTAL HEALTH DEPA~tTI~ENT V~d{IATION/LO$S INVESTIGATION REPORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facility Address: 230 Inyo St. Bak~rsfieldo Ca. Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 92/04/91 8:10 P Name of Person Filing Report: Larry Johnican. Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. +85 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startin at the time a reportable loss is discovered or should have be~n discovered: Within: 6 Hours Owner/Operator or other qualified person is to I Date I Time review records for errors before determining 102/04/91 ~8:10 PM there is a reportable variation/loss. Pe~formed~By :.. Richard Brown 24 Hours 48 Hours 72 Hours 1) Owner/Operator must verbally report I Date I Time discovery to KCEHD and follow-up with writtenl~/~/¢/ . notification on form provided.Performed By : 2) Visual facility check to be performed using I Date I Time checklist on the back of this form {02/04/91 ~ 8:45 P Performed By : Richard Brown 3) All product dispen'sers are to be checked for Date I Time calibration and adjusted if out of tolerance Performed By : Piping to be leak tested using approved method Contractor's Name License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. Tightness Testing of Tank(s) to be performed using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time ATTACH COPY OF TEST RESULTS. NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA OF COMPLETION OF INVESTIGATION PROCEDURES. VISUAL INSPECTION CHECKLIST A. Dispensers X All dispensers and their end doors visually checked for leaks. X All hoses and nozzles' visually checked for leaks. 'X Ail t. otalizer seals checked for tampering. Results: X All dispensers appear tight Richard Brown 02/04/91 .~./~ signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area X Ail turbine boxes inspected. X. All fills and vapor manholes inspected. ResUlts: .X__ Tank area appears tight with no product or liquid Present RiChard Brown 02/04/91 ~.~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~JCOMMENTS/RESULTS: C. Piping Type: ~ Pressure J_[ Suction __ Pressurized piping leak'detector s) tested for proper functioning a detection of leakage. Suction piping tested for indication of leakage. Resulted: __ Piping tight based on test(s) above. signature/date Piping not tight based on test listed below. s) above, with problems/conditions signature/date Description '~4 flOUR REPOI~.TABL£ VARIATION~LOSS ~TIFICATION Kern County Environmental Health ,Department 2700 "M" Street, Suite 300 . BaKersfield, California 93301 Attn: Underground Tank Section - '".'. REGARDING: Facility: County of Kern "Inyo" St. (GAS) Permit ~ 15OOllC Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filinq Report: L~RY JOHNIC~, FLEET ~GER On 01/22/91 6:12 PM , the above facility had an (date and time) inventory variation/loss that exceeded reportable limits as described below Tank Amount of Amount of Amount of Daily WeeKly Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of .Trend Analysis -98 Gal. 105 Per. 10 I have/have-not stopped dispensing product and begun investigation procedur- required by the Permitting Authority. This notification is in addition to the phone call .I previously placed. "'~'~ENER~L ?RVICES GARAGE DIVISION K~I~ CO~r[~ gI~IROI~I~I~L [~L~ DgP~II~I~T ~r/~ItIATION/LOSS IIf~-ES?I~?ION RI~PORT Facility: County of Kern "Inyo" St. Permit ~ 150011C Facil'ity Address: 230 Inyo St. Bakersfield, Ca. Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 01/22/91 8:10 P Name of Person Filing Report: Larry 'Johnican, Fleet Manaqer Description'Of Discrepancy: Daily variation exceeded allowable limits usinq LOW THROUGHPUT CPhqRT. -98 Gal. INVESTIGATION SUMMARY The following procedures must be performed within the specified times startln. at the time a reportable loss is discovered or should have been discovered: Within: '[ 6 Hours { Owner/Operator or other qualified person is to { Date I Time I review records for errors before determining 101/22/91 ~8:10 PM I there is a reportable variation/loss. Performed By : Richard Brown / 24 Hours 48 Hours 72 Hours 1') owner/Operatdr must verbally report I .Date I Time to KCEHD and-follow-up with writtenl //%~/ql ~ ~3/~ discovery notification on form provided. ~-- '~ Performed By : ~ ~ 2) Visual facility check to be performed using I Date I Time checklist on the back of this. form [01/22/91 ~ 8:30 P Performed By : Richard Brown 3) All product dispensers are to be checked for Date I Time calibration and adjusted if out Of tolerance ~ Performed By : Piping tb be leak tested using approved method Date Contractor's Name License % Test Performer's Name Description of test performed Time ATTACH COPY OF TEST RESULTS. Tightness Testing of TanK(s) to be performed using 'approved tester and method. Contractor's Name : License % Test Performer's Name Description of test performed Date I Time ATTACH COPY OF TEST RESULTS. NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA OF COMPLETION OF INVESTIGATION PROCEDURES. ~ 2. VISUAL INSPECTION CHECKLIST A. Dispensers X Ail dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. X All totalizer seals checked for tampering. Results: . X All dispensers appear tight Richard Brown 01/22/91 ~/J signature/date Dispenser(s) not tight as listed below signature/date ' IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area -- X Ail turbine boxes inspected. X Ail fills and vapor manholes inspected. Results: X Tank area appears tight .with no product or liquid present Richard Brown O1/22/91 pZ~/ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date ITANK ~IPRODUCT~.ICOMMENTS/RESULTS: I° I I Results: Piping Type: [[ Pressure J_[ Suctio~ Pressurized piping leak detector(s) tested for proper functioning detection'of leakage. Suction piping tested for indication of leakage. Piping tight based on test(s) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description HOUR REPORTABLE VARIATION~LOSS NOTIFICATION Kern county Environmental Health Department 2700 'M" Street, Suite 300 Bakersfield, California 93301 Attn: Underground Tank Section REGARDING: Facility: County of Kern 'Inyo" St. (GAS) Permit ~ 150011C Facility Address: 230 Inyo St. Bakersfield, Ca. Name Of Person Filing Report: LARRY JOHNICAN, FLEET MANAGER On 01/09/91 6:00 PM , the ~bove facility had an (date and time) inventory variation/loss that exceeded reportable limits as described belo~ Tank Amount of Amount of Amount of Daily Weekly 'Monthly Variation/loss Variation/Loss Variation/Loss Total Minuses Line 3 of Trend Analysis. 1 & 2 -109 Gal. 125 Per. 9 I have/have-not stopped dispensing product and begun investigation procedu~ required by the Permitting Authority. This notification is in addition to the phone call I previously placed. ~ignatu ' . GENERAL S~RVICES GARAGE DIVISIO~ KEI~N, COUNTY ENVIROI~ENTAL HEALTH DEPA[tT~ENT V~d~IATION~LOSS INVESTI~TION REPORT Facility: Facility Address: County of Kern "Inyo'" St. 230 Inyo St. Bakersfield. Ca. Permit ~ 150011C Tank(s) with Discrepancy: ~ 1 & 2 Date/Time of Discovery: 01/09/91 7:55 P Name of Person Filing Report: Larry Johnican, Fleet Manager Description Of Discrepancy: Daily variation exceeded allowable limits using LOW THROUGHPUT CHART. -109 Gal. INVESTIGATION SUMMARY. The following procedur.es must ~e performed within the specified times startin at the time a reportable loss is discovered or should have been discovered: Within: 6 Hours Owner/Operator or other qualified person is to I Date I Time review records for errors before determining 101/09/91 ~7:55 PM there is a reportable variation/loss. Performed By : Richard Brown 24 Hours 48 Hours 72 Hours 1 Owner/Operatgr must verbally report I ~ate I Time discovery to KCEHD and follow-up with writtenl,'/;&/~/ ~ ~ /~ ~ notification on form provided.,t~,~ ~~ ~d~g~.("~ ' ~~ Performed By : . , , ~ 2) Visual facility check to be performed using I Date I Time checklist on the back of this form 101/09/91 I 8:05 P Performed By : Richard Brown 3) Ail product dispensers are to be checked for I Date I Time calibration and adjusted if out of tolerance I I Performed By : Piping to be leak tested using approved methodl Date I Time Contractor's Name License ~ Test Performer's Name Description of test. performed * ATTACH COPY OF TEST RESULTS. Tightness Testing of Tank(s) to be performedl using approved tester and method. Contractor's Name : License ~ Test Performer's Name Description of test performed Date I Time * * ATTACH COPY OF TEST RESULTS. NOTE: THIS REPORT MUST BE SUBMITTED TO THE PERMITTING AUTHORITY WITHIN 5 DA OF COMPLETION OF INVESTIGATION PROCEDURES. 2. VISUAL INSPECTION CHECKLIST A. Dispensers __X_ .... All dispensers and their end doors visually checked for leaks. X All hoses and nozzles visually checked for leaks. .... ~ ..... Ail totalizer seals checked for tam~/ing. Results:~_~.~./'~ - ' signature/date Dispenser(s) not tight as listed below signature/date IDISPENSER ~ISERIAL ~ICOMMENTS: B. Tank Area .X__ Ail turbine boxes inspected. .X__ All fills and vapor manholes inspected. Results: X_ Tank area appears tight with no product or liquid present Richard Brown 01/09/91 ~.//~ signature/date Tank area does not appear tight because of the problems/conditions listed below: signature/date JTANK ~IPRODUCTIICOMMENTS/RESULTS: C. Piping Type: '11 ~Pressure il Suction Pressurized piping leak detector(s) tested for proper functioning detection of leakage. Suction piping tested for indication of leakage. Results: ___ Piping tight based on test(S) above. signature/date Piping not tight based on test(s) above, with problems/conditions listed below. signature/date Description