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HomeMy WebLinkAboutUNDERGROUND TANK FILE 5CORREC ,:T~DN NOTICE BAKERSFIELD FIRE DEPARTMENT N° Sub Diw P- 90 ~v,o A)~. , Blk, Lot .... You are hereby required to make the following corrections at the above location: Cot, No I Completion Date for Corrections -~'// Inspector 326-3979 STOR~E UNDERGROUND TANK INSPECTION l~rsfield Fi~e Dept. Hazardous M~rials Division Date Completed Operating Permit: Business Name: V-. C_, C-,o.~,. _c.,,~,_~ ~..~. Location: :~D ~,,, ,,,e Business Identification No. 215-000 i ~ H (Top of Business Plan) Number of Tanks. '~ Type: ~.- m:~n~,~o~ Containment: c~.~ ~~,t-,~,~ .~,~ CONTACT INFORMATION Emergency Contacts: I~,~\~ Monitoring Program Adequate Inadequate RECORDS Maintenance Testing Inventory Reconciliation RESPONSE PLAN Emergency Plan ~ I'1 Violations: Business Owner/ All Items O.K. Correction Needed White - Haz Mat Div Pink - Business Copy UNDERGROUND STORA~GE TANK INSPECTION iii!i ]~mfield Fire Dept. ,'~i Hazardous Matedals Division Date Completed [//il//c~ Operating Permit: I ,~c> ! t C. . Business Name: ~Z~.r, C.~,,,,,,~,., ~,ex~z~ ~J~-~-~-~ ~,,~%, ~,o_~ Location: ~'z~ "~'r,,¥r~ ,'~-, Business Identification No, 215-000 [ ez~ (Top of Business Plan) ~.-'~ o,o~ ~ Number of Tanks. .~ Containment: ~.~,~,\ ~ CONTACT INFORMATION Owner: Lines: Emergency Contacts: Monitoring Program Ade[~ Inadequate[~ RECORDS Maintenance Testing Inventory Reconciliation RESPONSE PLAN Emergency Plan Violations: Business Owner/ White. Haz Mat Div All Items O.K. Correction Needed Pink - Business Copy CITY of BAKERSFIELD ,,we c,4Re" FIRE DEPARTMENT M. R. KELLY ACTING FIRE CHIEF 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 March 29, 1994 James E. Peterson, CPM Real Estate Marketing/Management 901 West Civic Center Dr., Suite 340 Santa Aha, Ca 92703 Dear Mr. Peterson, It has come to our attention that you currently own two Underground Storage Tanks at 230 Inyo Street. Our records reveal that the southerly gasoline tank has been out of service in excess of twelve months. We would greatly appreciate your making arrangements to have the tank properly closed,, per Uniform Fire Code 79.116(c). Also, the two tanks in service are due to be tightness tested. The required permits can be obtained from our office. Please call us at 326-3979 with question or comments. Yours truly,, ~ 7 ,R,a_l_p.h E. Huey [ Hazardous Materials Coordinator ~. O2/6002/~ 7 24 03f/00A~ ' 1 24 04/6002~ ~2 24 5/8' Ob/6OOAH · .3 22 1/8 06/6002R ' 4 [8 7/8 2 L6 L/4 '12/600R~ ' 3 ]3 t3/6OOAK 4'9 14/600AH ~ 6 20/600M~ 4 48 2)/6~0~1J~ 5 44 5/8 29/630~1~ 6 33 30/6302tl ? 32. ?7~IE £ ' 3 567 553 bb3 593 - 5.73. 494 494 ' 395 395. 3[7 320. 232 t36 . [35.7 L244 1244 1104 8].7. 92003 92003" · 92060' 92174 92254 923&2 . 92436, '. 92495, 9~s~9' 2836 92984 NECK 3*'tOTALS TOTALS 93263 93263 819 809. 93263 '2.000 8 9 :[ ~:'.J::.cAi, CO~s ,: , 92003 . ' 0 92003 5.7 92060 ]14, 92174 ., 80 92271 .71 92342 ' 94' 92436 ~ 59 92495 : 134 6 3/4 XXXXXXXXXXXXXXXXXXX 92']28" 108 92836 ' 148 XXXXXXXXXX 932~9 .. 44 93263 0 93263 · - 0 10 0 0 0 0 80 5~. 3/8 *' NONTH/YEAR' DECE, H3~R 95' 0 ' -20- · 0 20 0 0 Q 99 : 114 15 0 0 0 78 ,80 * 2 0 0 0 0 88 . 0 ~ . 96 9~ ' -2. 1 . 0 0 ~ . 59 59 0 ' 0 1592 1512 134 '134 -* 0 : O- XXXXXXXXXXXXXXXXXXX- XX. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX, XXXXxxxxx 35]. '355 4, I. 13f; 2 xxxxxxxxxxxx~xxxxx :xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx: xxxxxx~xx 283 23~ -J.8 -?:66t * ' 3 0 . ' - 0 : 34 44 10 0 0 0 O- ' 0 0 0 XXXX~XXXX 19 1 0 ,1 1 0 0 1 1. $ 4 INYO STREET.TANK DECEMBER 17___95 5 ~DIESEL) VARIATION 25 2O -10 ............. -15 -2O . -25 2 2 6 8 10 12 14- 16 18 20 22 24 26 28 ,30 *;e.,, . ' O3/'IOOM~ , * 05/600AR ? 50 3/4 1, 50 5/8 '2 50 L/8 3 49 .I/8 4 48 L/8. Lt/6OOAIq 3 46 · " 12/600AR 3 45 5/8 13Z500~ . 4 45 3/4 · 14/6003N 5 45 20/$00AH 4 41 3/4 31/60OAR 5 41 3/4 29/630AN' 30/630Atl 6 39 1/4 7 39 1/4 ~ a9 PKRN.IT f: 150011C , * .*:: ,~:X;: :"..- , ' ?AN]< £ ' 1 5 6 5088 , 5071 5071 5002 . 5003 4863 4863 4725 4725 4725 169815 '169827 L69946 170060 t'/0L04 443L 4380 170394: 4380 4397 170442 4397 4394 170476' 4294 4259 : 170549 3850' 3850 3513 35L3 345'9 3850 36&7 3513 :1479 3446 CAPACI?¥ , -'10, 000 · '*:.,':' ',:~i~: ':F~:::,L:"h:; ' SAJ~8: :: ::.:<':: ,.:~-i/<'~ L697'11 , 169815 L6982~ ~ 69946 114 ' · t70060 , 44 · 170327 67 '170394 ·48' 170442 34 170476' 73 170909 170883 26 171092 170909 183 ro'rALs xxxxxxxxxx I~KK'4TOTAI.S 171296 'k~xxxxxxxx L'11286 34, .'IVI301" 171'296 PRODUCT ~0 UNLEADED O 0 O O l·2 0 0 0 0 0 0 ,0 0 0 ' 0 ' 0 0 0 O. O, O 0 0 O 0 0 NONTH/TRAR INVRIgTORY:; :. 69 /12 0 0 103 ' 34 35 73 350 ;203 183 xxxXXXxxk'xIOCXXXIOCXX XILXXIOCXXXXXXXXXIOCXXXXXXXXXXXXXXXXXXXXIOCX XXXXXXXXX 613 0 34. i ~ %.~' :::,: :!i;:: 34' :. xxxxxxxXXXxxixxxxxx xxxxxxxxxxxxxXXxxxxxxxxxxxxxxxxxxxxixxxx xx~xxxxx " O ' 0 0 I 0 ' 0 ' 0 0 'I 34 ' 543 160 · 34, IO ' 33 5 -20 -24 . 44 -9 65 -69 38 -20 -69 :19. 35 34 -34 12/1895 -3.43t -12.71~ 16.25t 1 1 '0 1 1 4 O' 0 0 · 0 .1 0 ,:0 4 VED =. HAZ.,MAT; DIV. FUEl .... I1.129,_5 IN'YO STREET TANK -// 1 DECEMBER 1995 VARIATION 80 20 0 -20 -40 -60 -80 2 2 4 6 8 10 : : : : : 12 14 16 18 20 22 24 26 28 30 Facility 1. l~l qx,,,.,~ ~,,,~fz, z~ By..-'..: ... I have not done any major modifications to lh~ facility durlng~ the- ' ,,. 1~ 1~ ao~hs. '... ,. ::., . Note: All major modifications' require a PJF~tt to Conutruc~'" from ' the Permitting Authority. 2. I have'done major modifications for which i obtained Pera/t(s)~'to Construct from Permitting Authority Signature ......... ,,,,' Permit to Construct ,# Date 3. Repair and Maintenance 8usu~ary Attach a summary of all: -- Routine and required maintenance done to this facility's tank, piping, and monitoring equipment, :~. -- Repair of submerged pumps or suction pumps. Replacement of flow-restricting leak detectors with sa~e. Repair/replacement of dispensers, meters, or nozzles, Repair of electronic leak detection components, or with sane. -- Installation Of ball float valves. -- Installation or repair of vapor recovery/vent lines. Include the date of each repair or maintenance activity. NOTE: Ail repairs or replacements in response to a leak require a Permit to Construct from the Permitting Authority as do .all other modifications to tanks, piping or monitoring equipment not' listed here. replacement' Fuel Changes - Allowed for Motor Vehicle Fuel tanks Only. List all fuel storage changes in tanks, noting: Date{s}, tank number(s), new fuel(s) stored. 5. Inventory control monitoring is r~qutred for this facility .On, the Permit to Operate, and I have not exceeded any.. reportable llmits..~s listed in the appropriate inventory control monitoring' handbook during the last twelve months (if not applicable, disregard), 6. Trend Analysis Summary Please attach Annual Trend Analy. Sis Summary for the last 12 periods. 7. Meter Calibration check Fora Please attach current, completed Meter Calibration Check Form TANK TIME PERIOD: QUARTER 1 PERIOD 1: PERIOD 2: PERIOD 3: QUARTER 2 PERIOD 4: PERIOD 5: PERIOD 6: TIME PERIOD: Lte~' ~ 3 to Total Minuses This Period (Line 3) Action Number for thts.~ertod (Line Total Minuses This Period (LSne 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number f~r this Period (Line 4) TIME PERIOD: ~ ~q to /~/~ Total Minuses This Period (Line 3) Action Number for thl~ Period (Line 4) Total Minuses This Peri~i~ne 3) Action Number for this pe~:(Llne 4) Total Minuses This Period (Line 3) Act,ion Number for this Period (Line ~) QUARTER 3 PERIOD 7: .PERIOD 8: PERIOD 9: TIME PERIOD: , ~4~ '~ 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) QUARTER 4 TIME PERIOD:, /~t~ '~q tO PERIOD 10: Total Minuses This Per~od (Line 3) Action Number f°r'thls Peri'od (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 Number for this Period (Line 4) I hereby certify this is a ~true and.~'ccurate report. Date /I ENVIRONMENTAL HEALTH I I ~1POWER ALARM 'DATE TIME INIT. TANK # "ON/OFF ON/OFF ~r~:,:~j ~.~'.: ~' '~ o~" '.~Z/ ~D-.¢~, "~%~ .~/~ *~ om ,, /~-)%~"g 0535 ~,. oa p~ ,. .... . . :%':~'::,;'?.':." ...'...... , - ,. ,.',,, r~),' [~;~,*"~ ~, >~$~?,~ ':~m~ ¢ 4,~;~..' 4~Z'~'~r' ~'' '' :i,;:~7~,> 0'~'~¢ W~::':"- ..~"<<: ':~':.,'"":: ~:.F~:::~'~ -~,, ..... ?¢. ~.. ',..., . '.'"' ~ :z::' '. ",.: ~.," %..< ', , .,'~ ,..~, CONTINUOUS.'MONITORING DEVICE '~: "- !' <":'"' '.:: :' ~ DAILY INSPECTION FORM ->, .>,,.;~ : "· i :>: i: Permit DATE 'TIME INIT. TANK # ON/OFF ON/OFF . ., ,~ ~~.~,. ,,, .: . .,.,: · . "" ,' .::'~" - , :":"" ~'~u.'t'~;.~,? ":' '~:.?I:?"~,,~. :.,~-,~3 ~:3o ~,:, o ~ '~ , ,,~ . ':," .~'~., , ..--' CONTINUOUS MONITORING DEVICE :.' :' - ~'~ .... ' DAILY INSPECTION FORM Permit #: , Month/Year: " Facility POWER ALARM ' :' ' DATE ' TIME INIT. TANK # 'ON/OFF ON/OFF COMMENTS.. I-3:fF fl,F'5,r'" /~.- ' ~H , t'/:/~' ~-.~.,2~"~'~' ~-~:~ O~o ~' ~ o~e lace ~~:~':' "' '~'""" /-~-Y~ . . . ~ '' ,,:: < ...? t=it-{~ o ~)o '~,, oP UF~F '~1t-. ' "...' ,-:' ~%-:" :'~ ~-~.?~'. ~'~,~ Z ~ o~) .. ~ ~'~ I~'~ ~ '~'~''''' :'~ ":'"'::'~"~:'::: , L. ,' ' , ~' ', · ~...~... , ,... '.,'~{ ,.': . :... , . .-~ ,., · ' . } :: ;. E NVI RON MENTAL HEALTH 'SERVlc ES DEp,~R~MEHT:.'" ".~ ' , CONTINUOUS:MONITORING DEVICE ',: ,' :: i. ":'. DALLY INSPECTION FORM Facility Name: ~-Ofl~Y ~r~ - _.~'7~I-""T'I ~1~ ',::: · ',' DATE · TIME INIT. TANK # "0N/OFF ON/OFF COMMENTSi ' :" , I I I II I I Jl J II II x-~-~ ~;7~ ~ ..... ~ o//, ~// ~,/,~" ,.- , . .. ,.. '., q,~:~:.~ ~:,',...:.. ..,. .. ~- i~-~ m , ', ,,, . ,' ".-':,-> 5'ti-':*':~' '3:""~: ', ~ ' . ' ".' q' :':,4",~'a ~'- ~, ~ ,' ?fi'7~.;:' '.~ ~- ~/- ~ o~7o ~ ..... ~ ~ , ~/ ,' ~~z"?: , ,~-.-~'~,,'-T?~~ I ~- ~ ~'; -' ,'.' '%4;.'> :,~>~:~:e :~ 45~' ~'.'"':~F: t~:(~,~'~~ I II I II I I II II II ~ / ENVIRONMENTAL HEALTH SERVICES:i~EP:~RT=~E~NT!i:?.::.:?/] Permit ~: /~d~O-~,gc , ___ . Month/Year: ~/~/' "' Facility Name: //'~/'/'/ C"~<~/~. ~_/~'~-""- ~~1~ " ,.;:.~ I DATE ' TIME INIT. TANK # 'ON/OFF ON/OFF I ~-:zm~ ~.,~'o d',~",,~' , ~ o/~ ~~~-'-' ':~:'-':': '::: "" , ~ "~k11/4~: ~:,, "~ ' ~-,~ ~5~o~ o~.,~-AcC ~-/~-~ ~ ~ ~~ ~ ~ .~zz . '...~~2~-..:~ :-::':::::7:. ,,~. . & :~. ~:~.,: ~.:.~ :'~?~..,...,,~,,,.~ ~!~-Tz;~ff~:i 3~,,,3 ,?~ o: ~..,o.:. .. ~.. .. .:. -~ w~..':-: ,, ~'.:.:. :.,'o~..".q,,.."~::'--"- ,:~,?,,~:z~:::::'.'~,t:~r,, ENVIRON MENTAL H:EAETH?SERVI:C'ES~:~:DEP;~RT~ENT ..... ~ CONTINuOus MONITORING DEVICE",?::' DALLY INSPECTION FORM Permit ~: /~0 ~,,~ ,,, , ~: Month/Year: Facility Name: ~u~ _. ' .... DATE 'TIME INIT TANK # 'ON/OFF ON/OFF ', COMMEN~S.':':'.. ':" ..," ::'., · ' .' ::~'.:i ~"~:,' ~ ~-", ..... : I I I IIII I III I ~- ~-~,/ o :.~o ~-a._. ~- o ~-N-'~'~.'~'. ~..'. '. ~: ~ ' · . ' '?.: ',t~ ' '~'~',<-~:~:': ~" ...' ~)-? ~ zl ~ ~ ~ ~.'~'~- I b ~' ~? 0'. ~ ~ [//Oa.t~~- "":'~' %"'"~:~'""~"~.,~,-~'%~. "'"'~ ..... . :,' :'.-~.B~, '~.'~'vt :-'.'. t ~"~' "":i'~ "?':.:~t?.?~'j,;~. ::,.. '. ". :'-',t ~-a/N ,af : ~.z ~ ~ . ~' ~.. ~~.....,?:,,, ~,-~,~ %.0 ~7 ~m o~,,g.,({W'~,.~..~ .............. :, :VZ. : '.,' ', .' ' '" "" :-, ~'~':~od ~, '?.~:'~ t' ~.,~:~':~S~I~ ~'~:~.~: *, '~:.~'Sff'~: .' : IIII III I II I II II I I I, III I ~ ~ ..... ' ' ' '".:.:: L':: :". ','-""'.' ENVIRONMENTAL CONTINUOUS' MONITORING DEVICE DALLY INSPECTION FORM Permit ~: /~c~'-~_:~ Facility Name: .:'.75 ' Month/Year: I POWER ALARM .......... . DATE TIME INIT. TANK # ON/OFF 'ON/OFF -' COMMENTS' · ,:..?':;::~,::: 9:.:"~:!. '. ?,'~i:/.,:' · ' '. ':" '""' '~'~:" .. :t-:-: *'.'''~ :'/'"'.:?i;' ~:' ~ . . ;: c' :-;~" ~,"~E~' ~'.~E~.?~:?::%~:L.L.6 ~,,. ~ :"- v o -'~.-~ ,~,,:~':?~ d~-¢r'~'e"~'~'~-~ ~';~/.;g~- 3~:*~'~:~,..-.:~., .., :':'% --~,",'-" :::~~:~:'*t' From: G L 1bL~t Alanl. z ' '1'o: HAROLD LAWI,EI( U,UE,, O,,-LAC.K.,.O.E., ,.,COitIIflUN.,L C, A L. I O. BI,, .']~L{A I BI.L BIG AND ENVIRONMEN ' " " ... . CONTINUOUS MONITORING DEVICE : -- . ' DALLY INSPECTION FORM FacilityP~rmit ~:'Name:/~k~-%-c & ......... -- _ ,., , . ',M°nth/Year:~T~JOq I I I I I I ~ ' ii I I I I ~)~..../ Illl I Illl I Il I I~ I ~ -: -q ~ ~:; ~ ~ ', .: ,, ., ~'' . . .... ~/ .... ~,.:::x.~, ....... . ...... : , .. . ...... . .,::~ ~ , ,,~..... ~ ~' ':E~.~'~ ~.~?-~ o~, ~" ~~:::~,;~ .,t:.::~~: ".......,.~ ..... ,.,..~...- ' : "' Il' ' ' I'~'' ' '~"(':" ' '" I'/ :"~'~l ~ ...... . .., ......... ~. ,,,~= .... ,. '"":~' ',:::: ~ "' .':., '.'!"*'1 I DATE ' TIME INIT. TANK # '0N/OFF ON/OFF I CONTINUOUS MONITORING DEVICE DALLY INSPECTION FORM · Month/Year: DATE ' TiME INIT. TANK # "ON/OFF ON/OFF ..... ~ : ~"'*'~ ~":*':~:"~'~ ' '~,7~ ~ ,,o'~. ~F-~ ~:1 ~ ·. ~, ..~~L ..... %:~. ,: .~.,..a -.~-~l~ a:~."~'.~~' :':~.<, " ;, .":":-': ~.... ~f~ ~.~ ~ ~i :':. ~~ ~:, :. , ...~v~-.,~ ~:. ..- ~..~ ~,/~,~:~,.~~:~ ...... ~ ,.:,,,. ....... ........ I I I II I El CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM Permit #: OO~---~::~__.~ Month/Year: ..... Facility Name: " III II I POWER ALARM DATE 'TIME INIT. TANK # ON/OFF ON/OFF T~ ~$ 3 ~ '~ T ....p,/P ,t~%.B B 0 ~ ~' . ,~. .,, ~ 6~' ~>~7: .5~5o' ~ o~ ' o~ ,,"q: .............. , .... :':: .> ....... ~-, ENVIRONMENTAL HEALTH SERVICESDEp~R~M~ENT Permit ~: Facility Name: CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM ~_o ~-- , r , . Month/Year: POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMEN-Ts~ Io-3 530 /0-10 s~o'~ /6-/7 ~ ~ ~ ~ W~:~:.':" :'::. ,~./: :~: .: '; '..... ~;t;:C,;;)~': .:Q :, .. ~,~ ,~,~ ~¢ ~ O~F ~"-M~'~...' · ..... /o,~ ~us TO BE PERFORMED " W°RK -- , ,, ..... WOR~ PERFOR,MED: ~ ~'7 "~5~ · ,' ":';t ', ~ : ['.-. , ~k'~;:;,,~,,' , ', - ,' Sub Contract;~>~ . ~ %: . . . .,. ...,:.~,.~. ...... ~': ,..,. ...,,.: . ", . ,.'~ .,~'. , , ,_, , . .. . ..;...., ?~:'.' - ~... . . . . .~, .... ,, ., . . ,, ,~;~ ; ,','"~. .:"'"''" . ., :,,,.,,,.,.- ' ', "' : :' ' "' "'. ~:~ ...... . . ., "s. aTY'J ' PART NO,". ~' ~',..:':' :' ~.;:::~.':. ~ESCRIP~N:. :. '... ',. -?,'. : ~: .... '" ":".':;, '~: , "- .'; .' ' . "~" ..,.-. ~.:, ';,, ' ,'.',,:..~ , .,.~'~'.., .. ..:' .:.. .:::':. .::.-:."" .... ,..,.. .. .:'~ "~ .,;':"": ,... ;.,. -...:~ , ;, :, .; .,~ .;~.'~,,-.,' , · -. ., '.:, .,?;,: ';.;. -,,. ,. -'.:-?'.'. . -,s, ,',-"- . ,. . .,.,, ..... '~'~g,':.,': · .-,,~.,,r~?.........,,~,- .~'",,...:;~ ", , . ,.,, ........ ;..~ .. , , -.. ? ', ,-~,,,;,. ,~ ?' .. ,~,- ; ,. .,~.; ..... , - · · .., .... , ................ Rece ~ed & Acce~ ~UrlPME ~- "' ' ", ~.4 I'~ '!,,/'T ' ' ' ' · - '"', "' ..... WOR~ ~ERFO~MED: ~ :"' ' ' "' "" .,.' ..., ..'.~.::..~.,' , 'HOUR~'' : ' ' ' " ' :~ ' ' ' ' % ~'" ', ' '~'.: ' ' ' ,'"' :..... ... :., .... ...; . .~ .,?., .... .. ;,., :,: ..:....,,. .... .........?,:,.::,v. :.; ;/':1- MI~EAGE,: - '", ' : , . ' ~ GubContract::.', ~,., · ' . -v '." -.."~' '.'." ' ..... . ,m';.'-. :.. '.,'' .' ",,,a'.~,' ..........., ' ,.' . :', · ':' ';._' .: .:~ .':'m; .... ' , , .'~: T,,. ~')'" .: ,..' ," ~ -' ~r ~{Rentals..., ...,~.,.,..: "~:"'/.B~;..~.,~,_~ . . '.' . ~ ."" ' ,'' '~'%:;::.~ .... '.'.. '" "."',. .' ' . · -' .... .',y'~.. ~ .'"', , '..', q.,' .... . ~Z,~- .~ ~ ... '. ~ ,,.. MAKE . . · ~.~..,,. .... . ...,, , ,~ .... . , -,, ..... . ,. .. '. ,-.~., ,,-:. :,~..,, ,: ... ,..~ J.L,'. ' .... , .,.~..~,...'. · ...':~.. ,.:' ~...,~, .Z:. ,". ' ' · ." ;' ..... ............... ".":,'." ~' ~ ):' "~ ' "' '"." .~'~ ~ ~'."' ?.' :'. ;", ~'~"~ R? . ' · . · , ,, . . ,..t,,,,., . ~L)'~{9" ' ' "~'~:~ .... . ,"' '~'. " ' ~; ..... ' "'.'~. ' ' · . '....~ · ' ,,.- ::,.L'i~'"-'-~'~"{;'~'"'~ .- ~ ' · , · ,..'~.. ,. ',..~r' ":.' s ,, ' - ... ...~...,:...,. . ;:. ,: 's ...... '-~/' ..' ',.c . , ". ~ '~' C:',' --'%,-," "-..::';'.": ...~' ,.,, ,.2 . :-.'", .... T -'"~'~'"' ' ' '"' "'" :" ' - :~r".-','.~';'.'. ' ". '~': .... , · ,:, ..... .:, .... · ,. ., ..... ,., . .,,. ~ ,, , '".:,,,-,,,,,, ,-,. ,, . ?,.,,,,,. :..:,. .... ~; :;;., : -.. :Haz~dous.~Wast~i q:.:? · .., - ,,., , ,. :- ;:'. -..:t,?',,'~,,~%/.'~,:~TM '--.'-.. ,;:... - , ..... ~',. :~....;.',," ~?, ·., · .'.~, ~ ':.' .... , .. '-, ".:"':'*:' .'.".-L'-'-' :.. ,. :' ' :.. ' .' ,,, .' . .... ,.:.;, :; ::: . ,. ' ' , .... ',,. - -,; , ', ':,MAKE '; ''~ : ..... MODEE:NO';"'"' :"'""""' "' . ' . ',,~ ~ ..' ','" ':'. 2:,; ),: ;~.,.~ ,-,-,.~.','.' ,'.," ~ ~.j , ''., ,. : , ,,.. ,.~;,,, .,~,. ,',.; ','( ' "r ~,',.:." ' · 4',., ".r,,,,';,-, '." - .... :'' ~' , -' ' ' "r-,' :' 'y ,t':~,::.., , ,'.:,~C.',;~,.~. :";"% "';.'~,?"." ;' · ..,;,. ...... ,..;.., .::. ; .'"',. '. ~:).q,?;~;::::':. ': '.:",:;, T '-'" ,: '.'-"J', '..:..,',,'-..,'.~ ~' . :;1;.'s.,:. ' ~.,,.,,, ,.'.. : ,,:':r';..,:~,' .. ,, , ;.'~ ',,. . ' ~'~...:. :/J..i.;, .,'~:;*, :.'. . Received & Acc~: . pL~SE"PAY FROM'T I~:INV, OIOE.~s Net ~ue,upon R : . ' ' ,' · ;:'-:'h',:.;'N. .::, · .:~ ..... ".~ ;.._~ .... : ,,t -~ ; · ..... . ....: ~',~'?;,~,,~ ~;..', · E:] COMPUTER CHANGE D CALIBRATION Record of Computer Change,'Meter:Chap~ge,'or:Calibration,' ~ METER OH,~NGE E] W/M NOTIFIED PUMP.MAKE AND MODEL SERIAL NUMBER CALIBRATION?*,,*=.;.. MONEY GALLONS FAST SLOW FAST .} ' SLOW PRODUCT P~ TOTAL GALLONS RETURNED 'O~AGE ' ' ; .... *' ':~- * ' ~ PU~P-~AKE AND ~ODEL SEmAL NU~BER CALIBRATION" cHECKED .'L ,,ADJUSTED -TO TOTALIZERJ READ I N GS MONEy GALLONS TOTALIZER SEALED METER SEALED START ~ YES D'NO D YES D NO PRODUCT PuMP'e TOTAL GALLONS RETURNED TO STORAGE I I I II II II I PUMP-MAKE AND MODEL SERIAL NUMBER "' CALiBR~TjQN:~ }5 7-'.:' · : FINISH MONEY' GALLON~ ~ST I SLOW ; READINGS ~TART MONEY GALLONS TOTALIZER ~EALED · METER:sE~ED "P.ODUCT .UMP · TOTAL GA~LOHS RETURNED ~0 STORAGE . · ' CHECKED FINISH MONEY ~ GALLONS FAST I SLOW FAST.:;::~.?~,'~:;~)~( I~SLOW I READINGS START MONEY ..... GALLONS TOTALIZER SEALED ~ METER sEA'ED :; PUMP'MAKE AND MODEL , SERIAL NUMBER CALIBRATION'~::::' 75 CHECKED ADJ USTED;~O~; FINISH MONEY GALLONS ;AS, i sLow FAST '- - .'1 TOTALIZER~ .... I READINGS MONEY '" GALLONS TOTALIZER SEALED ~E~R sEALEo START D YES ~ NO ~ YES' ~ NO PRODUCT PUMP ~ TOTAL GALLONS RETURNED TO sToRAGE : '." r "" , PUMP-MAKE AND MODEL SERIAL NUMBER cALiBRATiON' ,:;.., CHECKED ':. ADJUSTED TO FINISH MONEY GALLONS FAST SLOW FAST' SLOW· TOTALIZER READINGS START MONEY GALLONS TOTALIZE~ SEALED METER S~LED'. ... ,, QYes QNO QY~S · PRODUCT ' PUMP ~" TOTAL ~ALLONS RETURNE~O STORAGE '~ ','. ~'ECHNiCAL~: MAiL ;*INVOICE TO; ' ' WORK TO BE PERFORMED: .... . .~ .... . . , , . . ,, ' ~J'L~' ' ' ' ' '' " ' · ' ' ' .': .... . ' ' " ' ' ~ E~ . I Rentals" , ) : . · . , , . :'.- ..' QTY. PART N0~ -': DESCRIPTION ' ' ' . .. . . --,;.., .,., ,, , : .:~; ' , ' ',. ,,.:., · .¢.: .,.,.~ ' :..... , .. .. .. ' ' '~"' ' ' ' '"': , ~ -. ,: :. ' . ... '...-:.'-~....., ' '-":' '" , ," " . -:" · .. :.'. '..'"~ ' ';".,'."' .. M~rdo~'W~ste ...*..,. - ~SE PAY FROM THIS INVOICE, TErMs et~due=up0n ReCeipt''': PLEASE~ RLW EQUIPMENT. ~" :&':':? `% ~:!; ~.~,,,,,__ barge of 2% per M0n.th . ..: ,r. REM IT'TO-:., p.o: Box r,4o :::, ' ,: ,. after'30 days. · ; "' ':; -"' " ' BAKERSFIELD..C~ 93302" · './ :" · '~. "T~ :.*'; '.~; '" "' ' · ' '~ · . ' .' '. ' , ' . ~:K., ', " '' * "'. '* ;'~ ,'" ''~ .,,: ..~,~.7~: COMPUTER CHANGE [--1 C^ueR^T,O. Record of Computer Change, M'eter'change;.orCalibration · . FiNiSH MONEY GALLO,S/ ..... ~' / / : .?, FAS,~ ISLO~ F~S, ISLOW. ' · READINGS START MONEY . , GALLONS PRODUC~ PUMP ~'~ TOTAL / ~. ,, / ~) , ; . GALLONS RETURNE~ S~ORAGE * ' ' ': IIII II IIII. PUMP-MAKE AND MODEL SERIAL NUMBER CAEiBRATION;~,'.,:?,: ".'.; . FAST., ~ TOTALIZER ' READINGS START MONEY ./,. GALLONS~ ,~'?'~ ~,' .... ~.~'~ "~3" ? ~ TOTALIZER SEALED METER SEALED PRODUCT PUMP · TO~AL GALLONS RETURNED TO STORAGE ..... FAST , ~ J SLOW. FAST ~ SLOW READINGS ~TART MONEY ~. GALLONS ? ~,). ,' , D YES D NO : ~YES 0 NO PRODUCT PU~P · TOTAL GALLONS RETURNED TO STORAGE] TOTALIZ'ER FINISH ~d~ GALLONS ~?.-. {~/~4~"'"~.~' FAST SLOW FAST ' slow READINGS START MONEY (~; GALLONS .. /.4~ f,/.~ ~'~/, ,.-, '~?' TOTALIZER SEALED METER SEALED ~' DYES ~NO ~YES' 'DNO PRODUCT PUME e' TOTAL .-~ [~ .-~ /. , ) z , GA'LL~,S RETURNED TO STORAGE I I III II I ~INISH MONE~ GALLONS FAST SLOW I FAST . S~OW TOTALIZER READINGS START MONEY v" GALLONS TOTAklZER SaALED METER SEALED -.. O YES ~ NO ~ YES D NO PRODUCT PU~P · TOTAL GALLONS RETURNED TO STORAGE II I .... I READINGS START M~N E'Y r . GALLONS, pRoDuCT ' ~ TOTAL' GALLONS RETURNE~?O S~ORAGE " Record of Computer.Change, Meter. Change,. or'Calibration "'~ "'~': 7, .'.?.~"..... ~/. ""~:~ -'/~, '. ' COMPANY ~ STATION NO. DATE ~ DISPATCH NO. ' PU~P-MAKE AND MODEL I BMR%AL"UMBER 'CALIBRATION .' :" '"' _'"~~.] ~ / ;~''~0I I ~' -- ~'"'~ ~' ~o~.~ .~' CHECKED , ADJusTED TO MONEY GALLONS S FINISH ~ ' ' ~ ' · TOTALIZERREADiNGS MONEY 9ON ,4'~ '7 ~'~', 3~ TOT^L,ZER SE~/~'~ [ ' "'"' ' START ME'rER 3ROD ~CT" PUMP TOTAL GALLONS RETURNED TO STORAGE . , . ; .,:.~, . II/ II II II I PUMP-MAKE AND MODEL SERIAL NUMSER ~ ~-':;C'AI:IBRATIO'N~::' i;~;';.~,:: CHECKEO ' " 'A'D3'bSTEO TO' I ~AST ! SLOW FINISH MONEY GALLONS FAST SLOW." ': '~ .'., ' TOTALIZER READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED START [] YES [] NO [3 YES [3 NO PRODUCT PUMP · TO?AL GALLONS RETURNED TO STORAGE PUMP-MAKE AND MODEL SERIAL NUMBER . CALIBRATION':"': ~': ~ '" CHECKED 'ADJUSTED TO FiNiSH MONEY GALLONS F~ST ISLOW ~AST ISLOW ' TOTALIZER ,. ', READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED START - J-I YES ' C'I NO r-i YES . ~ NO PRODUCT ' ' ' PU~P # TOTAL GALLONS RETURNED TO STORAGE '. ,' PUMP-MAKE AND MODEL SERIAL NUMBER ;"~ CALIBRATION ~:'~.:: ::¢'::,';: .:: CHECKED . 'ADJUSTED TO.' FiNiSH MONEY GALLONS FAST ISLOW FAS'T '' [SLOW TOTALiZER READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED, ' START [:3 YES [] NO [::] ~ES D NO PRoDucT PUMP # TOTAL GALLONS RETU'RNED TO STORAGE .... I I II II CHECKED ADJUSTED TO · TOTALIZER ..... ~ .... READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED START [] YES [] NO [] YES [] NO PR(~D'UCT PUMP # TOTAL GALLONS RETURNED TO STORAGE /} . . ' . . II I I I PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION':"~'::7 '7"~"';~ '? ~:- ' -' CHECKED "ADJUSTED TO TOTALiZER FINISH MONEY GALLONS FAST ISLOw FAST !SLOw READINGS MONEY GALLONS TOTAUZE'RSEALED aETERSEALEO ' START [3 YES [] NO I-lyEs' ' ~ NO "'PRODUCT PUMP # TOTAL GALLONS RETuRNE:~'~TO STORAGE . ~ER's SIGNATURE~ . ' - ' - . - , · . ..' : - ~ .. ' '".,' ' ' '"' ~ ' . Fabiiit.. .':'." . Permit.# 'Note:.' ' ':~'' ' " ' ' ~.-" :::" :.~ · . '. ~ · .' 2' ': : ':." '" " l':'.."Ail',~e~ers ~USt have ca!ibra~to'n: checks: a'~nx~U~ o~' t~ice ~ year, .~h~?h may. "'::.'_ 'i~Ci~e CheCRS"done by.the Department-o[ ~eights and' ~easur~s. 2..-B~fore':star'ttn~ calibrat'{~~' eUns'/ ]~f'the calibr'ation 'can' with product· and 're'turn"prGduct t0 storage. - "' : . , ' ' .' 3..RUn. 5.gallons with nozzle.wide open into the can. Note gallons and cubxc inches drawn, and return product t'o storage. 4.Run' 5 gallons with the nozzle one-half oPen into the can. Note. gallons and cubic inches dra~n, and return product to storage. 5. After all product for one calibration check is returned to storage, remember to record the volume returned t'o. storage, tn column 9 of the Inventory Recording Sheet.. 6. If the volu~e ~easured in a 5-~allon calibration can is more than 6 cubic inches above or belo~ the 5-gallon mark, ~he meter requires calibration by a realstered device repairman. Date/Time Hose or Tank #/ Fast Flow Slow Flow Volume Returned calibration Device Repairman ',. Date of ,Pump ~ Product ~-~allon Draft 5-Gallon., Draft to Storage Reqq~.red7 ~se~ for ~alibration Gals Cu. Inches Gals,cu. Inches Gallons Yes NO Callbratioh ~ i · { owner or Operator Slg _ , ', ) SUBMIT A COPY OF THIS FORM WITH ANNUAL R )RT. DIFSE! 13o 1 1 # S NOVEMBER 199~ 94 (D'IESEL) ~ VARIATION 20 15 10 5 0 -5 -10 -15 -20 2 8 91011 12 13 14 15 16'17 18 192021 22 23 2z~2526 27 28 29 30