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HomeMy WebLinkAboutPROPERTY EXCHANGE PROG. 12/12/2003 Continued (3rd Folder) Certified Fee Postmark Here Return Reciept Fee (Endorsement Required) Restricted Oellve~y. Fe?, (Endorsement ReqUtrea) Total postage l a'~ Oak Street -o~-go-~,~:~o? 1131 Oak Street ~b;~.~-~;: Bakerfield, CA 93304 · Attach this card to the back of th~ilpie..~ce, or on the front if space permits. 1. Article Addressed to: I Oak-Street 1131 Oak Street Bal~erfield, CA 93304 2. Article Number (Transfer from service label) ::). Is delivery address different from item 1 ? [] Yes If YES, enter delivery address below: [] No 3. Service Type 'J~'~Certified Mail Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes Domestic Return Receipt 102595-02-M-1540~} PS Form 38'11, August 2001 UNITED STATES POSTAL SERVIC ' '/~ First~Ota Mail ~ ~ I Postage~&;F, ees Pa,d I ' ,~ ~3USP. S% ~ ,I~,~ '. ~'~ ~ Berm~t-~o G-10 bender: F~ease pnnt y~ H~ addr~sCa~ZIP+~n this box · Bakersfield Fire Department Prevention Services ' 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 D December 12, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SEIWICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING .DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 CERTIFIED MAIL Oak Street 1131 Oak Street Bakerfield, CA 93304 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through' BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be loCated in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) 2) Constructed of steel, not less than 4 inches in diameter, and concrete filled. Spaced not more than 4 feet between posts, on center. Letter'o: Owner/Operators of Propane Exchange Sy~ems '. ~,-~ .............................. Re: ........... ProPane Exchange Program ~ ~/ Dated: December 12, 2003 Page 2 of 2 3) 4) 5) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. Set with the top of the posts not less than 3 feet aboveground. Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, Steve Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer C:HE',...¢R.:}N STI'.I 1'320 :30 OAK ST BAKERSFI EL[) CR OCT .14. 2C103 9:5:3 AM ...... 1 Er I STATI_I;-]; ¢:~L.L, FIJI,I('rF1" .~', _ oNr_. NORMAL T 1 :SUPREME IE = :36,94 GALS = 6148 GALS LA(]E= 516:3 (--;ALS TC VOLUME = 3641 GALS HE~!GH]' = 36.80 INCHES [,,,lATER VOlf? = 0 GALS WATER ;, = O. O0 INCHES TEMP .~[ 80.1 DE("; F T 2: PLUS V©LUME = 4398 ,2~LS ULLAGE = 5444 GALS 90.,'~; UL[_.RK.;E= 4459 GALS TC; VOLUME = 4338 (];ALS HEIGHT = 4~.89 INCHES WATER VOL = 1 ! GALS WATER = 0.83 !NCHES TEMP '= ?9.3 DEG F T :3 :RISC~I_ILAR VOLLIME = 7155 (]ALS ULLAGE = 26,89 GALS 9t~%-'I~ILLAC.;E= 1702 GALS TC~¢LUI"IE = 70?6 GALS HEIGHT = 61._9 INCHES q W~TER VOL = 11 ORL~ WATER = 0.80 INCHES TEMP = 75.7 DEG F T 4: D I ESEL VOLLIME = 1995 OALS ULLAGE = 7847 GALS '_:t0% ULLAGE= 6862 GALS TC~ V{ILUME HEIGHT = 23.75 INCHES WATER VOl. -= 0 GALS t.,IRTER = 0.00 INCHES TEI'lP = 84.9 DEE; F FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CitECKLIST 1715 Chester Ave., 3ra Floor, Bakerstield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program Routine ~ Combined ~ Joint Agency Type ofTank _ht4}~ Type of Monitoring 6t.-l~ [] Multi-Agency ~ Complaint Number of Tanks ~ Type of Piping ~0.1}w Re-inspection OPERATION C V COMMENTS Proper tank data on file k~ Proper o~vner,!operator data on file Permit fees current .~' Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY .Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance /,~ V=Violation Y=Yes Office of Environmental Services (661) 326-3979 N:NO White - [".nv. Svcs. Pink - Business Copy Business ~te Resp~nsi~'ty UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory PFogram Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACI[[TY NAME i ' 1 INSPECTION DATE I INSPECTION TIME 'O~k_ ~&_~,.,:5 .... _~kc~_~_/ .............................. i ...................... LzO:Lq.:~3__t .......................... ~'E-Ss . I PHONE NO. ~ NO. of Employees ........~.,.,~co.,~,~L-O&~'tt .................................................................. ~--~~-~! .... I ...... 7 .................. { 15-021- / .. Section 1: Business Plan and InVentory Program Routine ~[Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection [ C=Compliance ~ OPERATION COMMENTS ~. V=Violation APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE V'S'BL2__*D?R~._$5 VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION PRO.ER SEGREGAT,ON OF MATER,AL VERIFICATION OF MSDS AVAILABILITYE VERIFICATION OF HAT MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES HOUSEKEEPING . ANY HAZARDOUS WASTE ON SITE?: I'1 YES ~O EXPLAIN: QUESTiON~/~EGARO,NG~, H~S~, PECTION? PLEASE CALL us AT (661)326-3979 ..... "" ............ Inspector Badge No.. White - Environmental Services Yellow - Slation Copy Pink - Business Copy .8900 Shoal Creek Bird, Building 200 Austin, Texas 78757 Phone: (5'12) 45'1-~334 · Fax: (5'12) 459-'1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test. Date: 08/04/2003 .; Order Number: 3130320 Date Printed and Mailed: 08/15/2003 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 98109 1131-OAK ST. X/ST CALIFORIA AVE BAKERSFIELD, ca. 93304 ~ Testing performed: ¥. Leak detector tests ,, Monitor Certification Sincerely, Dawn Kohlmeyer Manager, Field Reporting TELEPHONE (512) 451-6334 FAX (512) 459-.1 459 PURPOSE: COMPLIANCE TEST DATE: 08/04/03 CLIENT: CHEVRON U.S.A. P.O. BOX 2292 145 S. STATE COLLEGE BLVD. BREA, CA 92822-2292 JUDY BOWE (714)671-3214 SUPRF_A~ I pLUS REGULAR DIESEL TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3136329 ~- CUSTOMER PO: 4626376 SITE: CHEVRON 88109 1131 OAK ST. X/ST CALIFORIA AVE BAKERSFIELD, CA 83304 RANDY PAYNE (805)324-7621 Product Pipe Tightness Test Results DW FIBERG DW FIBERG DW FIBERG DW FIBERG TEST TYPE: TLD-1 · :.:.: ~ :.~:.:.:~:~.:.~~:~" ~:::~:~:~::.~:~a:::~ '~ ~:~::::~:: ~ii~il~....:~:.... ~.. ':~:?~i~TM.. ~:~'~a~ ~':~'~:~::~:~:~:::~*~' ~:~/~i?a ~??~. ~a~. ~ PRESSURE PRESSURE PRESSURE PRESSURE Existing Line Leak Detector Test 1 2 ~3 4 1 VEEDERROOT 2 VEEDERROOT 3 VEEDERROOT 4 VEEDERROOT 14090 ELECTRONI 01106 ELECTRONI 001095 ELECTRONI 01107 New Replacement Line Leak Detector Test Tester Name: RICHMOND PHILLIPS Technician Certification Number:91-1071 Pdnted 08/15/2003 07:39 SBOWERS INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08/04/03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER9130320 CLIENT:CEE'v'RON U. S .A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:Ct[~¥~ON 98109 Tank ID: 4 4 Product: DT~.S~.T, Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW ]~TB.~t~ COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: ~s Overspill protection: Installed: ATe CP installed on: / Bottom to top fill in inches: 155.5 Bottom to grade in inches: 160.5 Fill pipe length in inches: 5'7.0 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: NON~ Stage II vapor recovery: Noz,'~ Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: End (in) Bubble Ullage COMMENTS NOT TESTED New/passed L.D. #1 Make: W~.n~OOT Model: ET'~'C'I~ONI C S/N: o~o? Open time in sec: Holding psi: Resiliency cc: Fest leak rate mi/m: zeg. o Metering psi: Calib. leak in gph: 3. oo Results: PAss COMMENTS Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #2 L.D. ~2 NOT TESTED COMMENTS Material: DW FIBERC- Diameter (in): 3.0 Length (ft): 250.0 Test psi: Bleedback cc: Test time (rain): NOT Start time: TESTY. D End time: Final gph: Result: Pump type: PZ~SStmS Pump make: ~ P~.TaO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: O'NK~OW~ INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08/04/03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER9130320 CLIENT:CEE"V-~ON U. S .&. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:Ct~E'v~ON 98109 Tank ID: 3 3 Product: RE GTJ'-J.m~ Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FIBER~ COMMENTS Tank manifolded: No Vent manifolded: YEs Vapor recovery manifolded: YEs Overfill protection: YEs Overspill protection: YEs Installed: &TG CP installed on: ! Bottom to top fill in inches: 155.0 Bottom to grade in inches: 160.0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: ]~.~cs Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: End (in) Bubble Ullage COMMENTS NOT TESTED New/passed L.D. #1 Make: VSSDmU~OOZ Model: ET~,C'J~.ON I C S/N: oo~o95 Open time in sec: Holding psi: zt Resiliency cc: rest leak rate mi/m: zsg. o Metering psi: Calib. leak in gph: 3. oo Results: PASS COMMENTS Failed/replaced New/passed Failed/replaced LD. #1 L.D. #2 L.D. ~2 NOT TESTED COMMENTS Material: DW Diameter (in): 3.0 Length (ft): 250.0 Test psi: Bleedback cc: Test time (min): NOT Start time: ~E s TF_~D End time: Final gph: Result: Pump type: DRE S SUR~ Pump make: F~ PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: ONKNOW~ INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08/04/03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER;3130320 CLIENT:CHEVR. ON U. S .A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:CHEVRON 983.09 Tank ID: 2 2 Product: PLUS Capacity in gallons: 9,842 Diameter in inches: 93.. 00 Length in inches: 354 Material: DW FTBERG COMMENTS Tank manifolded: No Vent manifolded: YEs Vapor recovery manifolded: YEs Overfill protection: YEs Overspill protection: YEs Installed: AT~ CP installed on: ! Bottom to top fill in inches: 3.55.0 Bottom to grade in inches: 3.60.0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: BALANCE Start (in) End (in] Dipped Water Level: Dipped Product Level: Probe Water I~evel: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: NOT : VacuTect Probe Entry Point: TESTED Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS New/passed L.D. #1 Make: w~oo'~ Model: ~.~.~.c'zmo~z c S/N: o~o6 Open time in sec: Holding psi: Resiliency cc: rest leak rate mi/m: ~se. o Metering psi: Calib. leak in gph: 3. OD Results: PASS Failed/replaced New/passed Failed/replaced L.D. #1 L.D. ~ L.D. #2 NOT TESTED COMMENTS COMMENTS Material: DW ]~TaERG Diameter (in): 3.0 Length (fi): 250.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TES~T~D End time: Final gph: Result: Pump type: P~SSUt~ Pump make: F~ PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: ONKNOWN INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08/04/03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER~130320 CLIENT:CtI~VRON O'. S .A. AUSTIN, TEXAS 78757 (512) 451-6334 SlTE:CtI~VRON 98109 Tank ID: i 1 Product: s~ Capacity in gallons: 9,842 Diameter in inches: 91. O0 Length in inches: 354 Material: DW COMMENTS Tank manifolded: NO Vent manifolded: Vapor recovery manifolded: Overfill protection: 3rss Overspill protection: ~'~s Installed: CP installed on: / Bottom to top fill in inches: 156.0 Bottom to grade in inches: 161.0 Fill Pipe length in inches: 56.0 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DOA~L Stage II vapor recovery: ~c~ II Start (in) End (i.) I ............ ~ ......................................................................... "T""'1"'111'""""1"11'1'"' ~ II Dipped Water Level: II New/passed Failed/replaced New/passed Failed/replaced I Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble Ullage NOT TESTED L.D. #1 Make: Model: S/N: 14o~o Open time in sec: Holding psi: Resiliency cc: Test leak,rate mi/m: zeg. o Metering psi: Calib. leak in gph: 3.oo Results: PASS COMMENTS L.D. #1 L.D. ~2 L.D. ~2 NOT TESTED COMMENTS Material: DW ]~IBERG Diameter (in): 3.0 Length (ft): 250.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TES~F_,D End time: Final gph: Result: Pump type: PR~SStrRE Pump make: FE ~E~RO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: .... ~:~ ~ MONITORING SYSTEM CERTIFICATION ~i~ P ~r Use By Ail Ju#sdictions Within 'the State of Calif~ ~ · Autho#ty Cited: Chapter6.7~alth and Safety code; Chapter 16, Dit4sion 3 Title 23~ California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certirmation or report must be prepared for each monitoring system control panel by lhe technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this fon~ to the local agency regu!ating UST systems within 30 days of test date. A. General Information Fac!lity Name: CHEVRON 98109 Site Address: 1131 OAK ST. X/ST CALIFORIA AVE City: BAKERSFIELD ~ CA Zip: 93304 Contact Phone No:324.7621 Facility Contact Person: ',RANDY PAYNE Make/Model of Monitoring System: VR TLS-350 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate Date of Testing/Service: 08/04/2003 work Order Number: 3130320, specific equipment inspected/serviced ITank .ID: 1/91 lanK IL): ,.3/O1 In-Tank Gauging Probe. Model: MAG 1 Annular Space or Vault Sensor. Model: 409 Piping Sump//'ranch Sensor(s). Model: 208 Model: 208 Fill Sump Sensor(s). Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: PLLD Tank Overfill/High-Level Sensor. Model: MAG 1 Other (specify equipment type and model in Section E on page 2). Tank ID: 2/89 'Z'] In-Tank Gauging Probe. Model: MAG 1 X---] Annular Space or Vault Sensor. Model: 409 X--~ Piping Sump/Trench Sensor(s). ' "Model: 208 X'~ Fill Sump Sensor(s). -'-~. Mechanical Line Leak Detector. X--1 Electronic Line Leak De{ector. la Tank Overfill/High-Level Sensor. Other (specify equipment type and nK ~U: ,~i~iF_~.EL__ · In-Tank Gauging Probe~ · Model: ,208 "Model: -'~ · Medel: ' PLLD "Model: MAG 1 ' model in Section E on page 2). Model: MAG 1 . ,~ ~[] In-Tank Gauging Probe. Model: MAG 1 ~.~ Annular Space or Vault Sensor. Model: 409 Piping Sump/Trench Sensor(s). Model: 208 '~ Fill Sump Sensor(s). Model: 208 ] Mechanical Line Leak Detector. Model: [] Elect, ronic Line Leak Detector. Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG 1 ] Othe. r (specify equipment type and model in Section E on page 2). Di~pen~e~ iD: l/Z [] Dispenser Containment Sensor(s) Model: 208 [] Shear Valve(s). r--'] Dispenser Containment Float(s) and Chain(s). L)lspenser IU: ;~/4 [_] Dispenser Containmsnt Sensor(s) Model: 208 ] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5/6 'X"] Dispenser Containment Sensor(s) Model: 208 '~ Shear Valve(S). Z]Dispenser Containment Float(s) and Chain(s). Model: 409 MOdel:, 208 Model: 208 :. Model: ' Model: PLLD Model: MAG 1 Annular Space or Vault Senser. Piping Sump/Trench sensor(s). ] Fill Sump Sensor(s). [] Mechanical Line Leak Detector. ] Electronic Line Leak Detector. ] Tank Overfill/High-Level Sensor. [] other (specify equipment type and model in Section E on page 2). ulspenser IL); II~ - [] Dispenser Containment Sensor(s) , Model: 208 [] Shear Valve(s) L)[--2 Dispanser Containment Float(s) and Chain(s)~ . ispenser IU: ~1/1 u . ] Dispenser Containment'Sensor(s). ~ Model: 208 ] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: ] Dispenser Containment Sensor(s).. Model: [] Shear Valve(s). r ' [] Dispenser Containment Float(s) and Chain(s). * If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): System set-up report; [] Alarm history report ..... ~<:-':2:.~'~:''' PRINTED NAME:RICHMOND PHILLIPS COMPANY: Tanknology SIGNATURE: PHONE NO: page 1 of 3 (8OO) 800-4633 Based on CA form dated 03/01 onitoring System Certification Site Address: 1131 OAK ST. X/ST CALIFORIA AVE Date of Testing/Service: 08/04/2003 D. Results of Testing/Servicing Software Version Installed: 123.02 Complete the following checklist: rx'] Y .es [] No* Isthe audible alarm operational? ~ [] Yes [] No* Isthe visual alarm operational? ~' - ~. '[] Yes [] No * Were all sensors visually inspected, functionally tested, and confirmed 0peratior~al? . [] Yes [] No * Wereinterfereall withsens°rSthei[installedproper operation?at lowest point of secondary containment and. positionedl so that other equipment,~ will not; [] Yes [] No* [] N/A If alarms are relayed to a remote monitoring station, is all communicatio, nsequipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment · . [] Yes [] No * [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive - shut-down? (check all that apply) [] Sump/Trench Sensors; [] Dispenser Containment Sensors., Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [] Yes [] No r-'l' Yes [] No * [] N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.:' no mechanical overfill prevention valve is installed), is the overfill warning alarm visibleand audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the []Yes* []No manufacturer name and model for all replacement parts in Section E, below. [] Yes* [] No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) ~ [] Product; [] Water. If yes, describe causes in Section E, below. [] Yes [] No * Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable.. []' Yes [] No* Is all monitoring equipment operational per manufacturers' specifications? * In Section E below, describehow and whenthese deficiences were or will be corrected. E. Comments: ' Replaced board and software chip 8.06 was installed PLLD's would not see 3 g.p.h, lea~(.,-Installed 123.02 and also replaced Diesel annular sensor. page 2 of 3 nitoring System Certification site Address: 1131 OAK ST. X/ST CALIFORIA AVE Date of Testing/Service: 08/04/2003 F. In-Tank Gauging / SIR Equipment [] Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. * Complete the following checklist: [] Yes [] No * Has all input wiring been inspecte~d for proper entry and termination, including testing for ground [] Yes []No* Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes [] No ' Was accuracy of system product level readings tested? r~Yes []No* Was accuracy of system water level readings tested? []Yes []No* Were all probes reinstalled properly? [] Yes []No* Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, descdbe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LED) [] Check this box if LEDs are not'installed. Complete the following checklist: For equipment start-up or annual equipment certification, was a leak simulated to verify LED. performance? [] Yes [] No, []N/A (Check all that apply) Simulated leak rate: [] 3 g.p.h [] 0.1 g.p.h [--]0.2 g.p.h [] Yes [] No * Were all LEDs confirmed operational and accurate within regulatory requirements? : [] Yes ['-]No * Was the testing apparatus properly calibrated? [] Yes []No* [] N/A For mechanical LEDs, does the LED restrict product flow if it detects a leak? [] Yes ['~No * [] N/A For electronic LEDs, does the turbine automatically shut off if the ELD detects a leak? [] Yes ONo * [] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? [] Yes []No *i [] N/A For electronic LEDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? [] Yes []No * ! [] N/A For electronic LEDs, have all accessible wiring connections been visually inspected? [] Yes ONo* Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, descdbe how and when these deficiencies were or will be corrected. H. Comments: page 3 of 3 TEST DATE:08/04/03 CLIENT:c~]~VRON O, S ,A, 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3130320 SITE: C~'Wv'RON 98109 COMMENTS Replaced VeederRoot Board and software chip 123.02 and replaced diesel 409 annie, ar sensor. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 08/15/2003 07:39 SBOWERS SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 08/0~,/03 CLIENT:C~[~'v"RON O. ,S WORK ORDER NUMBER3130320 SITE: C[-]~"v'~.ON 98109 UJ 10KPLUS ~ Printed 08/15/2003 07:39 SBOWERS ~ work Order: 3130320 t'~ J ~BLED Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 " Work Order: 3130320 '!'HElCI'*,~L. C~}E[:'}"" :, 000!.Z:00 'I::'R'~D.:I :;YF' CGDE : 4 4~T~{ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 -' Wo&Or~e~: ax. aoa2o --~l~ Tanknology-NDE 8900 Shgal Creek, Building 200 Austin, Texas 78757 Work Order: 3130320 I.... :~. ;~g~N~3'~T'~.,a~M '':''~ '" '' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 WOrk Order: 3130320 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 3130320 Work Order: Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3130320 Tanknology-NDE 8900 Shoal Creek, Buildia. g 200 Austin, Texas 78757 4~/'4~Jk~J~k]~ TANKNOLOGY CERTIFICATE OF TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 TELEPHONE (512) 451-6334 FAX (512) 459-1459 PURPOSE: COMPLIANCE TEST RESULT SUMMARY REPORT TEST DATE: 08/04/03 WORK ORDER NUMBER: 3130320 CUSTOMER PO: 4625376 CUENT: CHEVRON U.S.A. SITE: CHEVRON 98109 P.O. BOX 2292 1131 OAK ST. X/ST CAUFORJA AVE 145 S. STATE COLLEGE BLVD. BAKERSFIELD, CA 93304 BREA, CA 92822-2292 JUDY BOWE RANDY PAYNE (714)671-3214 (805)324-7621 TEST TYPE: TLD-1 Product Pipe Tightness Test Results i i ~UPREME DW FIBERG PRESSURE 2 2 PLUS DW FIBER~ PRESSURE 3 3 REGULAR DW FIBER~ PRESSURE 4 4 DIESEL DW FIBERG PRESSURE ,, ~,~¥ ~:r~-~ ~: '~ Existing Line Leak Detector Test I I VEEDERROOT 14090 P 2 2 VEEDERROOT ELECTRONI 01106 P ~ ~ VEEDERROOT ELECTRONI 001095 P 4 4 VEEDERROOT ELECTRONI 01107 P New Replacement Une Leak Oetecto~ Test Fo~ ow~c~ dc, cr~ilcd ~cpoz't L.-zt'oz'matio~ visit www.~los~,.com a~d select Oa-Linc Rcl~ozts-WRAP, o~r comact you~ local Ta.~aiolo~-,y office. Tester Name: RICHMOND PHILUPS Technician Certification Number: 91-1071 Pdnted 08114/2003 13:38 KOHLMEYER INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08/04/03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER3130320 CLIENT:C~E%'~ON O. S .A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:C~E~I-~.ON 98109 · Tank ID: i 1 Product: Capacity in gallons: 9,842 Diameter in inches: 91. oo Length in inches: 354 Material: DW FIBEEG COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: Overfill protection: YES Overspill protection: YEs Installed: ATG CP installed on: / Bottom to top fill in inches: 15 6.0 Bottom to grade in inches: 161. o Fill pipe length in inches: s6. o Fill pipe diameter in inches: 4. o Stage I vapor recovery: DO, Z, Stage II vapor recovery: TANK~TEST RESUETS,Test~M~th. od:?ac.u?e~:t< .:;.:.- ,? ~: ,:. LEAK DETECTOR,TE~TRESqLTS ;~;: -hl ' ~ . Test!meth°.d:;:yTA':~?'~ "~".: / ?,~ :~ Start (In) Dipped Water Level: Dipped Product Level: Probe Water Level; Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: End (in) Bubble Ullage COMMENTS NOT TESTED New/passed LD. #1 Make: VEEDERROOT Model: S/N: Z4090 Open time in sec: Holding psi:' ~ Resiliency cc: Test leak rate mi/m: ~a~. o Metering psi: Calib. leak in gph: 3. oo Results: t,~;s COMMENTS Failed/replaced New/passed Failed/replaced LD. #1 LD. #2 LD. #2 NOT TESTED COMMENTS Material: DW FIBEEG Diameter (in): 3.0 Length (fi): 2so. 0 Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: P~EBBOt~E Pump make: FE PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: oz~,.~o~ Pdnted 08/14/2003 13:38 INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08 ! 0~, ! 03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER313 0320 CLIENT:CHEVRON U.S.A. AUSTIN, TEXAS78757(512)451-6334 SITE:CHEVRON 98109 Tank ID: 3 2 Product: P~.os Capacity in gallons: 9,842 Diameter in inches: 91. oo Length in inches: 354 Material: DW FIBER(3 COMMENTS Tank manifolded: NO Vent manifolded: YEs Vapor recovery manifolded: YEs Overfill protection: YEs Overspill protection:. YEs Installed: ATe CP installed on: / Bottom to top fill in inches: 155.0 Bottom to grade in inches: 160.0 Fill pipe length in inches: SS. 5 Fill pipe diameter in inches: 4. o Stage I vapor recovery: DOA[, Stage II vapor recovery: BALANCE TANK'TEST RE ,S.U~TS TeS[ Methqd~VacUT~C~, :; ~ ~T~~ ~ Start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: NOT VacuTect Probe Entry Point: TESTED Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS New/passed LD. #1 Make: vsammOOT 'Model: E~.SC"~ONZ ¢ S/N: ozzo~ Open time in sec: Holding psi: lO Test Resiliency cc: leak rate mi/m: le9.0 Metering psi: Calib. leak in gph: 3. oo Results: PASS Failed/replaced New/passed Failed/replaced LD. #1 LD. #2 LD. #2 NOT TESTED COMMENTS COMMENTS Material: DW F'rsERO Diameter (in): 3 Length (fi): 25o Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: PRESSOl~E Pump make: YE PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: ~OWN Pdnted 08/14/2003 13:38 INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08/04/03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER3130320 CLIENT:CHEVRON U.S.A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:C~EVEON 98109 Tank ID: 3 3 Product: REGULAR Capacity in gallons: 9,842 Diameter in inches: 91. oo Length in inches: 354 Material: DW FZBEEG COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection: YEs Overspill protection: YES Installed: AT(; CP installed on: / Bottom to top fill in inches: 155.0 Bottom to grade in inches: 160.0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: BALANCE Start (In) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: NOT VacuTect Probe Entry Point: TESTED Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS New/passed Failed/replaced LD. #1 LD. #1 Make: wm3s~oo~ Model: ELEC"Z~ONI C S/N: ooz09s Open time in sec: Holding psi: 11 Resiliency cc: 'est leak rate mi/m: 189.0 Metedng psi: Calib. leak in gph: 3. oo Results: PASS · New/passed Failed/replaced LD. #2 LD. #2 NOT TESTED COMMENTS Material: DW FIBEP. O Diameter (in): 3. o Length (ft): 25o. o T~t psi: ....... - Bleedback ~: . Test time (min): N~ N~ N~ N~ S~ time: TESTED TESTED TESTED TESTED End ~me: Final gph: Result: Pump ~e: Pump make: COMMENTS PRESSURE FE PETRO Impact Valves Operational: Printed 08114/2003 13:38 INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 08/04/03 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER913 0330 CLIENT:(~E'v'~ON O. S .A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:tHErEON 98109 Tank ID: 4 4 Product: D'rEsE?. Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FIBEEG COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YEs Installed: ATe CP installed on: / Bottom to top fill in inches: 155.5 Bottom to grade in inches: 160.5 Fill pipe length in inches: 57. o Fill pipe diameter in inches: 4. o Stage I vapor recovery: NONS Stage II vapor recovery: NONE Start (in) · Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: End (In) Bubble Ullage COMMENTS NOT TESTED New/passed Failed/replaced LD. #1 LD. #1 Make: Model: ELECTRONIC SIN: oz~o~ Open time'in sec: Holding psi: 12 Resiliency cc: Test leak rate mi/m: z69.0 Metedng psi: Calib. leak in gph: 3.0o Results: New/passed Failed/replaced LD. #2 LD. #2 NOT TESTED COMMENTS COMMENTS Material: DW FIBERG Diameter (in): 3.0 Length (ft): 2so. 0 Test psi: Bleedback cc: Test time (min): NO? Start time: TESTED End time: Final gph: Result: Pump type: PRESSO~E Pump make: FE PETI[O NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: printed 08/14/2003 13:38 TEST DATE:08/04/03 CLIENT:(~EV~,ON 13'. S .A. 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER~13032 0 SITE: C~V~ON 98109 COMMENTS Replaced VeederRoot Board and software ch~p 123.02 and replaced diesel 409 annular sensor. PARTS REPLACED I 'Veeder Root: %09 eeaeor HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 08/14/2003 13:38 KOHLMEYER SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 08/04/03 CLIENT:C~'~/'RON O'. B .~-. WORK ORDER NUMBER313 0 3 2 0 SITE: C~[3i~ROt~ 98109 UJ 1OK 1OK 1OKPLUS ~ ~f:l I I :fi] :~ ~ I F:w:%Tj _ m z Printed 08/14/2003 13:38 KOHLMEYER ~ .~....MONITORING SYSTEM CERTIFICATION ~USe By All Jurfsdictions Within the State of California Authority Cited: Chapter 6.7, ~l~lth and Safety Cede; Chapter 16, Division 3 Title 23, of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or report must be prepared for each monitodna system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: CHEVRON 98109 Site Address: 1131 OAK sT. X/ST CALIFORIA AVE City: BAKERSFIELD CA Zip: 93304 Contact Phone No: 324-7621 Date of Testing/Service: 08/04/2003 Work Order Number: 3130320 Facility Contact Person: RANDY PAYNE Make/Model of Monitoring System: VR TLS-350 B. Inventory of Equipment Tested/CertEled Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: 1/91 Tank ID: 2/89 In-Tank Gauging Probe. Annular Space or Vault Sensor. Piping Sump/Trench Sensor(s). Fill Sump Sensor(s), Mechanical Line Leak Detector. Electronic Line Leak Detector. Tank Overfill/High-Level Sensor. Model: MAG 1 Model: 409 Model: 208 Model: 208 Model: Model: PLED Model: MAG 1 Other (spaci~ equipment type and model in Section E on page 2). In-Tank Gauging Probe. Annular Space or Vault Sensor. Piping Sump/Trench Sensor(s). Fill Sump Sensor(s). Mechanical Line Leak Detector. Model: MAG 1 Model: 409 Model: 208 Model: 208 Model: Electronic Line Leak Detector. Model: PLLD [] Tank Ove~ll/High-Level Sensor. Model: MAG 1 ~'J Other (spacify.equipment type and model in Section E on page 2). u~spenser ~u: 1~ J"~-J Dispenser Containment Sensor(s) Model: 208 [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: 3/4 [] Dispenser Containment Sensor(s) Model: 208 J-~ Shear Valve(s). N Dispenser Containment Float(s) and Chain(s). ~Dispenser ID: 5/6 "~-J Dispenser Containment Sensor(s) Model: 208 X---'J Shear Valve(s), ~J Dispenser Containment Float(s) and Chain(s). '~J In-Tank Gauging Probe. Model: MAG 1 X---1 Annular Space or Vault Sensor. Model: 409 ] Piping Sump/Trench Sensor(s). Model: 208 Fill Sump Sensor(s). Model: 208 ] Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: PLED Tank Overfill/High-Level Sensor. Model: MAG I Other (specify equipment type and medel in Section E on page 2). Tank ID: 4/I31E,~EL [] In-Tank Gauging Probe. Model: MAG 1 [] AnnularSpaceorVaultSensor. Model: 409 [] Piping Sump/Trench Sensor(s). Model: 208 ] Fill Sump Sensor(s). Model: 208 ] Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: PLED Tank Overfill/High-Level Sensor. Model: MAG 1 ~] Other (specify equipment type and model in Section E on page 2). Dispenser ID: ~ Dispenser Containment Sensor(s) Model: 208 X~ Shear Valve(s) --'~ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9/10 ~ .DispenserContainmentSensor(s). Model:208 ~ Shear Valve(s). -1 Dispanser Containment Flost(s) and Chain(s). Dispenser ID: ~] Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). ---~ Dispenser Containment Float(s) and Chain(s). * If the facility contains more tanks or dispensers, copy this form. Include infonmation for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): System set-up report; [] Alarm history report r~ COMPANY: Tanknology PHONE NO: (800) 800-4633 page 1 of 3 Based on CA form dated 03/01 nitoring System Certification Site Address: 1131 OAK ST. X/ST CALIFORIAAVE Date of Testing/Service: 08/04/2003 D. Results of Testing/Servicing Software Version Installed: 123.02 Complete the following checklist: [] Yes [] No* I Is the audible alarm operational? [] Yes [] No * ! Is the visual alarm operational? [] Yes [] No * Were all sensors visually inspected, functionally tested, and confirmed operational? [] Yes [] No * Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No * [] N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] Yes [] No * [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) [] Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [] yes [~ No For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e.'. no mechanical [] Yes [] No * [] N/A overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm t~igger? [] Yes* [] No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes* [] No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) [] Product; [] Water. If yes, describe causes in Section E, below. [] Yes [] No * Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. [] Yes [] No * Is all monitoring equipment operational per manufacturers' specifications? * In Section E below, describe how and when these deficiences were or will be corrected. E. Comments: Replaced board and software chip 8.06 was installed PLLD's would not see 3 g.p.h, leak. Installed 123.02 and also replaced Diesel annular sensor. page 2 of 3 {~nitoring System Certification Site Address: 1131 OAK ST. X/ST CALIFORIAAVE Date of Testing/Service: 08/04/2003 F. In-Tank Gauging ! SIR Equipment [] Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: [] Yes [] No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? [] Yes [] No * Were all tank gauging probes visually inspected for damage and residue buildup? []Yes DNo* Was accuracy of system product level readings tested? []Yes [] No * Was accuracy of system water level readings tested? [] Yes [] No * Were all probes reinstalled properly? [] Yes [] No * Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G, Line Leak Detectors (LLD): [] Check this box if LLDs are not installed. Complete the following checklist: [] Yes [] No * ON/A For equipment start-up or annual equipment certification, was a leak simulated to vedfy LLD performance? (Check all that apply) Simulated leak rate: [] 3 g.p.h [] 0.1 g.p.h [~0.2 g.p.h [] Yes [] No * Were all LLDs confirmed operational and accurate within regulatory requirements? [] Yes DNo * Was the testing apparatus propedy calibrated? [] Yes []No * [] NIA For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] Yes ONo * [] N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] Yes []No * [] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? [] Yes DNo * [] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? [] Yes [~No* [] N/A For electronic LLDs, have all accessible widng connections been visually inspected? r~Yes ! []No * Were all items on the equipment manufacturers' maintenance checklist completed? · In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: page3 of 3 Work Order: 3130320 i.H£T L~LT ~ .! ;"': ' " -~' ~:~U~ :, RE~DIRE~ '~'IG~ '.'38:~75 !~S:~: E PR T~ - 105:3 bEG F · ~ ' · ' ,,'.~:::..:' ., SYffiTEH ..... CODE : COHHUI'I ICATIONS SETUP ¢OHH BO~D : 2 ~ES'-232) BfiUD RRTE : 9600 PARITY : EVEN. ~TOP BI3' : I STOP DATA LEITH: ? DATA ~-292 SECURITY ~E ; DISABLED '.: SUDDEN' I~OfiS"i"IMIT:',. ~ PROBE OFF~, '~ ~ . .:. '..,~:'.j .. LINE ~RNIFOLDED 'TR~S;,; : :): ..:; .: Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3130320 LF_~qK HIN RNNUAL,: fr4 : o ~ThNI~RD ANNUAL TEST FRIL . t3L~reH, t) 1SABLED PERIOD'IC T~T F~IL GRO~. T~T Fa [ L ~JJ~ TEST AVE~I~: OFF TNK T~ '~IPHOfl B~ERK :0~ DI!LtvE~ DE~V : 8 IqIN PUMP Ti'~HOLD : T g: PLLI~ PI~EmLI£:T CODE : 2 TNE~MAL COEFF : .o0o7o0 TRNK DI~ETE~ :' 91:.~0 T~IJ)( PROFILE : 4 PTS FULL UOL. : ~2 68.3 INCH VOL : 79~5 ~5.5 iNCH VOL : 4902 2~.8 INCH VOL : 1875 FLOAT SIZE! 4.0 IN. WATER t&qRNj NG : 1. o HIGH HATER LIMIT: 2;0 M~ OR L~BEI, VOL 9842 OVERFI I.L L Jr:liT 905; 8857 HI~H pROD~::T 93~9 DE~ ~ UER~,' LIHIT LO~ p~[,UCrI' LE~K ~A~M L ~tJDD~H l:o~ LIHIT: T~NK TiLT : PROBE OFFSE~ : 0. O0 SIF, HON H~NIFOLDED ~fiI,iKS 'TI:: NOr,IE LI NE tSAR I FOLDED TAH}I,'~ LEA}( MIN FERIODIO: Or.~ : O LEt4E I'll N ANI~LIAL .: ~, STANDARD ~NNUAL TEST FR t L ~L~RM D 1S~BL£D PER I OD I C TEST FA I L A~EH P 1 ~BLE~ G~OS~ That FA ! ~ ALA~ DISABLED ~N TE~T ~VEE~[~: OFF PER TEST AV~R~I~: OFF TANK ~ST NOTI~Y: OFF TN~ '~T EI:pBON ~RE~Y :OFF D~I~E~ DE~Y : S HIM P~P THRESHO~ : lO.OO~ PRODUCT CODE : 3 THERMfiL. COEFF :. 000700 TRNK. DI~EE : T~NK. PROFILE : 4 PTS FULL VOL : 9842 45'. S I ~H VOL : ~902 ~2 8 I<H VOL : 1675 FLOAT -~ [ ZE: 4. O' IN. HI~H ~TEE LIMIT: :2.0 M~ OR L~BEL VOL: OUERF 1 LL LIMIT : ' ': 8857 HICH PEO[iL~2T : 95f~ : '9349 LEAK 'A~ LI M IT: 99 ~UDDEN l.~ LIMIT: GROSS. TEST FA I L ALREH D I SABLED ANN ~' AVEI~o,~i 1~: OFF PE~ TE~T RVER'~:I N~2: OFF TA~ T~T mDTttY: OFF TNK TST SIPHON B~EAE:OF~ DELIVERY DE~Y : .5 MIN T e, :DIESEL PRODUG~F CODE THERMRL COEFF TfiNK D I ~METER T~NK P~F I:LE FU~L VOL 6~.3 INCH VOL 4fi~ INCH ~L 22,8 I~H ~1. .O00q50 9t,00 4 9842 7935 1875 FLO~T' SI2E: .WATER W~RNIN~' : I.O HIGH'W~TEP Li~IT: 2.0 I~G":OR L~BE"L VOL: 9842 · OVERFILLLINLT : : 8857 : .~3q9 .DELIVEI~'LI~i[T. : 118t LO~ PRODUCT ': LEAK:.AL$.~RISLIHIT: 99 BUDD~N.LO~ LIHIT: TfiNK TILT. : PROBE.OFFS~¥' : O;'OO SIPHOI't I'I~HIFoLDED T~N]&~ siPHoN MANIFOLDED TANKS. .Tn; {K~NE LiNE ~NIFOLDED, T~NKS .Tfl: I~i~ 'TaT ~NE L'INE ~NIFOLDEb T~{S ' T~: '~N~ I.E~I: Hli,l PERIODIC: O~ 0 LE~k HIM PE~'IODIC: m4 : : 0 : ~ L~K MI N ANNUal. : o~ : '0 Tanknology-NDE 8900 Shoal Creek, Building 200 A~sthn, Texas 78757 Work Order: 3130320 STr4NI'~i~D PEEIODIc: YEST RLRRPI D I S~BI.ED GP.O~_, TEST FAI1- PE~ TF~¢[' RuE~G I NO.: OFF T~NK T~T NOTIFY: TNK q'~%T SI PlffJN BPEAI( :OFF p~p TtlR~SHOLD : 10.00% I:'RESSURE LlhiE I,EF~K sE'm}' ,.J.I.:SUPREI'II: .T'/[' :2. 2~ t's[N '.DI~ I,EI¢:I2F} FEET .3.OlFI Dta LEN;I'IO FEET BHLITI~L. JI'i RATE: 3. O GDH [,Obi PRESSURE SHU'FOFF.: t. Ot, J. PRESS I~E : TaNK: SE~OR; NoH~TEI!TI;I~ P~Ffi~ilJRIJ ,OFF:~;ET :' 2,011'1 DI~ l.EN;12ri FEET 3,01N DI~ I,EN: t IU FEET Lf~t,J ['~E~%URE : 0 F~[ T 2:PL~ D ISPI!~¢E PIODE: STRI~D/i~?D SE[.BO~: NOH ~EHTED PRESSURE OFIBE'I': 0 L S::92 'PI FtSi;uRp TRI -::;T~TE (~-~ [I,IC~LI~ FLOAT) (;PiTEGOFtY : :FIP1 FIG ~;UIIP I. :~: 'oL' .ST}' SUtIP 'l'P I -ST~-I:FE 4:S 1NC;LE FIX~i-~T J :~¢rEc;oRv': S;TP SUMP L 4 :.89~1-11'.1111./41~ . 1'~ t "$TC, TE .(.911'f(;LE FLowr ~ TEI-STAT£ i$11~LE ffLb~TJ, CATEGORY :. P. lPlNG SUPIP. ' L 6: 8':A~TP SUMP. TRI"rS'rATE (,.~ I'NGLE FLOAT ) OATEGORV :-,STP :SUMP ~L 7': 87 TR ~ -STATE- ~ i W, CL~ FiiO~qT). 'gRq'EGORY :' aNNUI~qR .Sp,%3E L '8:87 PIPE.'SLIPIP . T~I-STRTE(SINGLE'.FLOAT) 6~TEGO~¢ :P[RING.SUMP L '9:~?.'sTI;' ~SUHP 'T~I-STRTE {~II~SOLE F'~OYqT} igaTE(;OI;~ : STP SUMP k I O: DIESEL ANNUlJ.~R TR ! -E;'i%TE :¢ S I NOLE FLORT'i C,qTEGORY : ~.~NNUl,~. SPACE 'LI I :DSi,, PIPE Slll'tP TRI-ST/~TE (SIF~gLE FLO~I'; C~TEGORY ; PlPlls~ SUMP L.I 2.:DSL. STP. SUPIP 'rRJ-rSTA'fE ($11~.~[E FLO~T'} CRTEGOI~ : STP LI 3:DISP 1-2 TR I.-STRTE (S I INGLE FLOAT ,?:(4TEGORv :' DISPENSIi~ ['aH LI :t :DiSP' 3-,4 TR 1 -:3T~qTE l ,'31NGLE 'FLO/4'r.~ Lie, DISP. 7-0 CaTEGOF~,, :, DI SPENSER PAN LI 7!DISP 9ztO TRI rs'rATE (SI NdLE- .~LOAT') ',~q'I'EGORV .: .D I SPE-N,SER PAN R [ :OVERI:'ILL TYPE: I'tORH~q.k¥ ~I.1. OVERFi Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3130320 PLLD L~N£ I)I.SABLE .'~UIre IN-TANK LIuUIi, ,SENSOR Al,MS L 1 :FUEl. L; 2 :FLIEI,. [..3':FUEL IA3:FUEL Lt4:FUEL LiS:FUEL L16:FUEL L I :~;Et't~ OUT L 2:SEN~O~ OUT L: 3:SENSOR L i 3 :SEI~OR OUT L'I ~: SEI~[~)R OUT L I 6 :~EI~R OUT L I ;~HO~ RL~H L ~:SHO~T ~i~M L 1 5 :~RT IA 6 :SitoRT AI,ARH AL~RI4 ~LARH ALARH ALARH ALARII 0 2 :PLUS I ti 'i'~NK T- t-:HIGH i. dA.T D R L 4/FUEL AI,RRM ~ ~:FLIEI. ~LARH 1. b:FUEL RLA~It LI3:FUEL LI4:FUE1, L 16: FHEL' LI~:FUEL ~L~ L ~:~J~ GIlT ~L~H L G:~EN~OR OUT. ~H L I ~: ~E N:30~ gUT i:d_~ L] 4 :~ENDOR. OUT LI 5:SEN:~R ObT.' L l 7: ~E~OR' OUT. ~L~ L ~ :~HORT T :3:'H[(:;H MATER T 44 LOW PRODLiCT ALAI,~] L I'QU ID gF'. '.~Dql~ AiJ~ L ?:FUEL L g~ :FHEt,. L 9 :FUEL LI$ :FUEL RL~ L 14: FUEL h I ~': I"!JEL El7 :FUEL L 7:SENSOR O~ ALARM L O:$EN$OR O~ A~RRM L '~SEN~R OUT ALARM 14 3:SEI~OR OUT ALARM L] ~ :~I~R O~ hi. ARM LI 5:DEI~R OUT ~LgRH LI~:~E~ OUT 1.17 :SE~R OUT ~L~M L 7:S~RT ~L~RN L ~:8HO~ gL~RM LI4 :B}~RT ~L~RM L15;SHORT ALARM LI.6 :~kT ~L~M 1.17 :S~)RT ALARM 0 4: D [ E~EL N-T~t, IK T l :HITCH WATER T 2: l..(~ld PRODUCT LIGuI L, :dENF~O~ LL0:FUEL ALARM L[I :FUEL AIZARIq l..l 2 :FUEL RLAEll LI 3:FtJE1. AIJ~{~I L 17: FUEL .i~ L l H: SE~OR gDT ALARM LI 2;SEi,~E OUT i~LARM 1.10.:SE~O~ OUT ALAkM L! ! ::[;~RT ALARH LI 2:SH0~T AL~M !, I ,:3: SHORT ALARM 1.1 ~ :SHORT ALARIq k'l)"6N<' [ L i s'I' l ON t~,UTOM~T l c D,% I L.V F~[,,:5~ lNG, 'r IHE:, 2:00 IflONTttl 'r k~[-, ,?Oi',l[,E NS~T i ON FiTA RIJ~; ~L(/I' FUEl. {~ETEB T~NK TAI'.H{ I'~'iP EIqPTV .... · 1 N-TRNK RL~RM ' 1~ I .:St~PREHE H l OH L4~'Fi~R :/4LARM ALIa, 4; ~OOg 1.:4] PM' PROBE OUT A~] 4. '200~ L ;42' PH AIJG 4, 2003 t :S4 PH AUG. 4.- 2003 1'::25 ~ HI~H ~TER HARNit~' A~;: 4. 2003' ,l ;~3' PM DEL 1VER~/. NEEDED AUG "!*' 2orjs .1:26*PM ~:4--PRODUCT ' RLRRel ~ 4',;.200a I.:29 F'H ALORM 141 f;ro~Y REPORT .... I I+-TANY J~I,ABIt ...... sL~ruP DATA Id~Nl A~:; ~ 2003 Il:41 }41GH WitTER LO~ PRODLJi71' ALARM ~UG 4- 2Fig',TI '1]:41 hH Hb~H 'PRODUCT ALI{3 4, 2OO~ I :31 PM lt{U~I. IP FUEl. teu£t Al):; ' 4, 200~ I: $1 PH l, J::OBE O~ ,hUG 4 · '2003 I: 35 AUG .d.~ 2003 .! :30 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3130320 ALARM' tt'l 2rl'oP.~' REI'CH;;T /~uo. ~. 2003 L~I _PRODUCT '~L~I AUG ,1. ~003'i H 1GH F:ROD~ST 114V~LID FUEl. LEVEL fl~g ' 4, 2~Jg3 A~ 4. 20(13 I :43 Pf'I AI,~;; 4. 2003' I HIGH t,I~TER · ~UG. 4. z0,)s 1 DEI.I vi.:~:V &~ 4. 2003' I I :'HI hl"l: ~ 4 · 2OO~1 I: i41~RM 'itlSTOR}: REPORT ~ 5:e9PIPE ~ FUEL RLR~M ~UG 4. 2003 i2137 ~:'~i.~sJ-;l"I Hi:3T~)R'~: P.I;I'ORT ..... I'I~-TANIi 41.,RRI"i T ,I: tq t'::;l ~3 4., 20113 I:~ ! :29. LEVEL 1: 4 I i: 2~ I:~I 4 .. 2OgSl I: 29' Plq ~L~] 4, 200~ I;39. ~; 4. 2003 1125 Rt~I~t HISTORY REPORT STP SLIRP FUEl. ~kR~,t ,,. Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Ordor: 31.30320 LIB:DISP 1-2 DISPENSER-F'RN '- ~3 4', 2009 12:59 F'H i il./il.:l'l tH[SToW I~1 t :i¢,:;L PIPE t" I l; l fig SLIrtP [:l IEl. Al.AAH AUG 4. 2..OOf) Lt4;£dSp Di¢;PENSER 'FUEL .... :SI::3'.1',30R..,' '~LR BI/i ..... FUEl. aLaRM ¢41P]:' 4. 2flu3 1;::;3& ppi '-'--~ SEI';,ISOR fit_.~iRt'l ..... P,L~MI t I I f.';TOR',' ...... SEI~I~O~t ~4L~I~ ..... t,J 5 :DISP 5-:6, D I ,~I:'Et,EsER PAN ¢~t.jcg 4.. 20t'1:3 12.: 54 ['Pi Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 31.30320 ..I iEVRON' L;'I'I4 1 t30 O'~K ST E~KERSF [ ELI) \.q H .I II'~i, ,I I rg'"! C;~LS LiLI,~.;E, - 5?50 d~LL~ 9l¥,: 1 ILL,GE= .t765 1'0 VOl.Ui"lt; - 399t 'HEIGHT = 39.69 I.JF~TE~; dOL, = 0 T 2:PLUS VOLIJH£ = 36[5 TE' VC.L~IE = 3514 [.,l Sf'EFI~;ER P~N ~RTER = O. O0 t NCHES' FUEL R~RI~I TEIflP' ' = 99.8 'DEG AUG 4, 20133 l:13 3194 GALS '58. ~4 9 0.V'i l NCH~ 98.2 bEG F Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Chevron Products Company ESH P.O. Box 6004 Attn: Permit Desk San Ramon, CA 94583-0904 Tel 925-842-9002 Fax 925-842-9585 ibrar~chevrontexaco.com Benny Brar Permit Specialist April 24, 2003 City of Bakersfield Office of Emergency Services-U 1715 Chester Ave., Third Floor Bakersfield, CA 93301 Chevron RE: FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS Dear Sirs: Please find enclosed the following documents: 1) Proof of Financial Responsibility 2) Certificate of Financial Responsibility 3) Chevron Facility List under your jurisdiction These documents meet the financial responsibility requirements for all USTs owned by Chevron and have previously been submitted directly to the State. If you have any questions feel free to contact me. Benny Brar Enclosure ChcvronTcxaco Corporation 601) 1 ltollmgcr Canyon Road San Ra~non, Ca 94583-2324 Tel 925 842 3232 Fax 925 842 6047 .John Walson Vice President and Chief Financial Officer April 30, 2003 ChevrOnTexaco UST FINANCIAL ASSURANCE To Whom It May Concern: I am the Chief Financial Officer of ChevronTexaco Corporation, 6001 Bollinger Canyon Road, San Ramon, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective act. ion and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor. Ail underground storage tanks owned by Chevron U,S.A. Inc. are assured by this financial test: A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§ §264.147 and 265.147) Corrective Action (§264.101 (b)) Plugging and Abandonment (§ 144.63) California State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment Louisiana State Program Closure Post-closure Care 85,937,394 83,679,196 8,000,000 27,223,479 5,340,000 209,640 743,779 66,000,000 0 0 4,968,415 853,978 April 30, 2003 Page 2 oi'7 Liability Coverage Corrective Action Plugging and Abandonment 1,000,000 0 0 Total 283,955,881 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. April 31). 21)1)3 Page 3 of 7 '2. 4. 5. 6. 7. ALTERNATIVE II Amount ofarmual UST aggregate coverage being assured by a test and guarantee Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee Sum of lines 1 and 2 Total tangible assets Total liabilities Tangible net worth Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If"No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 from line 12).. 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service $ 2,000,000.00 $ 283,955,881.00 $ 285,955,881.00 $ 77,069,000,000.00 $ 45,755,000,000.00 · $ 31,314,000,000.00 $ 28,870,000,000.00 Yes No X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors April 30. 201)3 Page 4 of 7 18. Date of maturity of bond February 15, 2008 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? Yes No I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date Shown immediately below, except that information concerning California and Louisiana was added to make disclosure more complete. April 30, 2003 April 31). 2003 Page 5 of 7 GUARANTEE Guarantee made this April 30, 2003, by CHEVRONTEXACO CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 6001 Boilinger Canyon Road, San Ramon, CA. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. Guarantor owns or operates the following underground storage tanks covered by this guarantee: Alaska Arizona California Florida Georgia Hawaii Louisiana Nevada Oregon Texas Utah, Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking · corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from opera.ting the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. April 31). 2003 Page 6 of 7 In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance ~vith 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 1'20 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above- identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment Compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; April 30.2{)03 Page 7 of 7 (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, Or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 30, 2003 CHEVRONTEXACO CORPORATION By ceWats°n President, Finance By Assistant Secretary CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. [NC. hereby certifies that it is in compliance with the requirements ofsubpart H of 40 CFR part 280. The financial assurance mechanisms used tO demonstrate financial responsibility under'subpart H of 40 CFR part 280 are as follows: Financial test and corporate guarantee of ChevronTexaco Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 30, 2002 and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 2004. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 30, 2003 CHEVRON U.S.A. INC. By ~--- Rich~l'J. Hat~s Assi~ By dith L. Geisler Legal Analyst · Corflplete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Pdnt your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: CHEVRON STATION 1131 OAK STREET BAKERSFIELD CA 93304 A. Signature I~. Is deliver~ item 17 If YES, enter delivery address below: of Deliver [] Yes" [] No 'Service Type [] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mai~l [~] C.O.D_~_.c_ __ ~ Restricted Delivery? (Extra Fee) [] Yes 7002 2410 0002 1974 9749 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 First-Class Mail I Postage & Fees~Paidt -- usP. s - I Pe. rm!t No. G-_10 I · Sender: Please print your na~e, address, and ZIP, ~+~4 i,n this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 Retum Reciept Fee Restricted Delive~j Fee Fit TotalP~ ' mm ~ CHEVRON STATION ,~ [ ....... : 1131 OAK STREET /~i BAKERSFIELD CA 93304 March 5, 2003 Chevron Station 1131 Oak Street Bakersfield CA 93304 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 *. FAX (661) 395-1349 SUPPREsSIoN SERVICES · 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFET'f SERVICES. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~. · Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 CERTIFIED MAIL Recent SB 989 Secondary Containment Testing THIRD REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment- testing on May 22, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under permit from this office. The repairs of your system are a condition of your permit to operate. Failure to repair and re-test will result in the revocation of your permit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc [] Complete items 1; 2, and 3. Also complete item 4 if Restricted Delivery is desired. .[] .Print your name and address on the reverse so that we can return the card to'you. · Attach this card to the back of the mai!piece, or on the frOnt if space permits. 1. Article Addressed to: ON STATION K STREET SFIELD CA 93304 if YES, enter delivery address below: [] No ~. Service Type [] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. -~1' 4. Restricted Delivery? (Extra Fee) [] Yes 7002 2410 0002 1974 9329 I Dome~lc Return Receipt r PS_Form 3811, August 2001 2ACPRI-03-Z-0985 ~' :~- * Sender Pie ~ - : ase pnr~t y.~j3n~lYhe, addr~.~:l~lP_~~J~ox~ ._~.~ '-~ · -~ B~ERSF~E~ FIRE DEPAR~.~ENT OFFICE OF E~IRON~ENTAi SERVICES 1715 Che~ter Avenue, 8uiLe B~rs~ie~d, CA 93~1 ,~'~ Postage ~ iA Certified Fee ~ I Postmark Return Reciept Fee I ~[ Here ir''~ (Endorsement Required) I Restricted Delivery Fee J I r,~__j~. Total I~ ~ ~ CHEVRON STATION ' --?---:i .............. ~_:~.~.~:. 2. :.:~ ..~.~.~!~' February 13, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H · Street Bakersfield, CA 93301 VOICE (661) 326-3941 ~:AX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SER1F~CES · E~I~NTAL SERI/1CES 1715 Chester Ave. Bakersfield, CA 93,.'.'.'.'.'.'.'.'~31 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA ~1 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Chevron Station 1131 Oak Street Bakersfield CA 93304 Certified Mail Recent SB 989 Secondary Containment Testing SECOND REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on July 16, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under permit from this office. The repairs of your system are a condition of your permit.to operate. Failure to repair and re-test will result in the revocation of your permit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc January 22, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FI~E SAFET~ SER~/ICE$ · ENI~MEI~TAL SE~MCE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avb. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 9,3,301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Oak Street Chevron 1131 Oak Street Bakersfield CA 93304 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1, 2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Sincerel y,/,~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc [] Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. [] Print your name and address on the reverse so that we can return the card to you. · Attach this card to the ba~k of the mailpiece, or on the front if space permits. 1. Article Addressed to: CHEVRON STATION 1131 OAK STREET BAKERSFIELD CA 93304 Agent [] Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 17 [] Yes If YES, enter delivery address below: [] No 3. Service Type [] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes : 7002 0860 0000 1641 PS Form 3811, August 2001 5912 i Domestic Return Receipt · Se.der: PleaSe: prin~-y?o..u~ ,rj-~ ,¢address, BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfield, CA 9.3301 Postage $ Certified Fee Return Receipt Fee i Postmark (Endorsement Required) I Here Restricted Delivery Fee Total P~ · -. ,,~' I January 13, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAJ=ETY SERWCES · EN~ROflMENTAL SERYICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-O576 PUBUC EDUCATION 1715 Chester Av~. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Chevron Station 1131 Oak Street Bakersfield CA 93304 Certified Mail Recent SB 989 Secondary Containment Tegting REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your .secondary containment testing on May 22, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must. be under permit from this office. The repairs of your system are a condition of your permit to operate. ShoUld you have any questions, please feel free 'to contact me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 1 Nri:E'EASE START ,:i:,C:T i 6. 21102 TEMt:~ E~'i'*' 9 ? GALS 0.83 INCHES ?,'7..4 DEG F ':::,CT !E,. 2002 5:31 Al'-'l ',,"O L UHE L,,~ATEF,' TEMF-~ 58:30 GALS 0.78 I ? 4,8 GR'OSS 1NC;REASE= 2033 TC NET iNC:REASE= 2019 T 3: FtE,;SUI..aR ' I N'v'E NTOF:'f 1 NC.:REASE I I'.IC;REASE S'i'~F:~I! OCT I 6. 21111112..' 5: 2:'3 i:~I'-'1 vol. IJPIE I..,.ia'FER TEI,..i[-~ 6726 0 ?'8 alES 82'. '9. . L~I"F i N,'i,:REAL:.iE E HD OC:'[' 16. 200'2 5:3:3 AM ',./O1. UPIE = 77214 G~:~LS I..,~A'I'EF! = 0.79 I TEMF~ = S2,7 DEG F C;I:~,;_';,SS Ii',4C;F.'EASE= 1008 TC: NET ! I',JCF:EASE= 993 ,':;HEVt.-..'C:,I'.J S;I'I'4. 1 920 1 1 ',3 i OA.K STREET E~AKEF:SF' l Et.[',. ,:l;~ 661-324-7621 OCT l 6, 21102 9:25 hl'.'l SYSTEM STAT Lily - Lf. - i N'v'ENTORY T 1 :SLIF:'REME 'v'OI.LME = 5690 GALS ULL~GE = 41 52 (-;ALS '30!:; hlI.LAGE= 3i67 GALS T,;-; 'v',:)I.IJME = 5630 GALS HEIGHT = 5! .13 INCHES L,.laTI:'R VOL = 0 ~'~"' o I,,IATER 0 00 IN.,HEo TEMI::' = ?4.7 [iiSi] F T 2 :F'!J_IS ',.,'OL UHE = 5304 C¥iLS gJLLAGE .= 4538 GALS 90% Ui.L./:~C.-;E= .qa~--'-..~._,o 'GALS TC VOLUME = 5219 GALS HEIGHT = 48.'37 INCHES I.,.IA]'ER VOl_ = l 1 GALS MATER = 0.83 INCHES TEMP = 82. S T 3: RE,.':;L!LAR VOLUME = 7032 GALS ULLAGE = 2810 GALS 90% IjLI.,AC;E= l 825 GALS TO VOLUME =, 6,923 GALS HEIG;HT = 61.04 INCHES I....IA'I'ER ',/GL = 10 GALS i,,,iATER = O. ?6 INCHES TEMP = 82.0 DEG F T 4: £,1ESEI_. ',,.,'OLUP1E = 1602 GALS U[_LAGE = 8240 GALS 90;:';;: LII..LAGE= ?255 GALS TC; VOLUME = t584 GALS HEIGHT = 20.42 INCHES MATER \/(','L = 0 GALS MATER = O. 00 ! NCHES TEl'fi:' = 85.3 DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME _/'}ti ~ Section 2: Underground Storage Tanks Program [] Routine [] Combined [] Joint Agency Type of Tank _t~_O t Type of Monitoring INSPECTION DATE [] Multi-Agency [] Complaint Number of Tanks Type of Piping _~- [] Re-inspection OPERATION C V COMMENTS //" Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility ,/' Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations '-/ Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance. i=Violation Y=Yes N=NO Inspector: _'~.~ j ~ Office of Environmental Services (805) 3t"2~-3979 White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS [{~! FACILITY CONTACT INSPECTION TIME INSPECTION DATE [0 '£(o 'O 'T PHONE NO. ,gb~ (/- '76 L [ BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES '7 Section 1: Business Plan and Inventory Program [~l Routine ~1 Combined [~1 Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V / COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location --~ Proper segregation of material ,/ Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~ Yes ~l_No . Explain: Questions regarding this inspection? Please call us at (661 ) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459. TEST RESULT SITE SUMMARY REPORT TEST DATE: 07/29/02 TEST TYPE: TLD- 1 CUSTOMER PO: 4 613 6 5 9 PURPOSE: COMPLZ3~ICE . WORK ORDER'NUMBER;. 3124108 CIJENT: CHEVRON U. B .A. P.O. BOX 2292 145 S. STATE COLLEGE BLVD. BREA, CA 92822-2292 JUDY BOWE (714) 671-3214 SITE: CHEVRON 98109 1131 OAK BT. BAKERSFIELD, .CA 93304 Manager (805)324-7621 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests I I SUPR~ Y P Y 2 2 PLUS Y P Y 3 3 ~U~R Y P Y 4 4 DIESEL Y P Y Tanknology appreciates the opportunity to serve you, and looks forward to wofldng with you in the future. Please call any time, day or night, when you need us. Tanknology representative: Test conducted by: Reviewed: Technician Certification Number: 91-144 8 Printed 08/08/2002 14:18 CCHAPA INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 07/29/02 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBERS124108 CLIENT:C~EVEON O. S .A. AUSTIN, TEXAS 78757 (512) 4,51-6334 SITE:CHEVRON 98109 Tank ID: i 1 Product: SOPREM~ Capacity in gallons: 9,842 Diameter in inches: 91. oo Length in inches: 354 Material: DW FIBERG COMMENTS Tank manifolded: NO Vent manifolded: YEs Vapor recovery manifolded:' YEs Overfill protection: YEs Overspill protection: YEs Installed: ATe CP installed on: / Bottom to top fill in inches: 156.0 Bottom to grade in inches: 161. o Fill pipe length in inches: · 5 6. o Fill pipe diameter in inches: ~t. o Stage I vapor recovery: DUAL Stage II vapor recovery: BALANCE start (in) Dipped Water Level: Dipped Product Level:. Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level .in inches: Water table .depth in inches: Determined by (method): Result: COMMENTS End (in) Bubble Ullage NOT TESTED Newlpassed LD. #1- Make: VEEDEm~OOT Model: ELECT~ONIC S/N: oz4690 Open time in sec: Holding psi: 3 Resiliency in mi: Fest leak rate mi/m: :LES. Metedng psi: Calib, leak in gph: 3 ,oo Results: ~,ASS COMMENTS Failed/replaced New/Passed Failed/replaced LD. #1 LD. #2 LD. #2 NOT TESTED COMMENTS Material: DW FIBEEG Diameter (in): 3, o Length (ft): '250.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: PEEBSURE Pump make: FE PETEO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: YES Pdnted 08/08/2002 14:18 INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 07/29/02 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER3124108 CLIENT:Cl~IEVEON U. S .A. AUSTIN, TEXAS 78757 (512)451-6334 SITE:C~E~RON 98109 Tank ID: 2 2 Product: pnua Capacity in gallons: 9,842 Diameter in inches: 93.. oo Length in inches: 354 Material: DW y'rBER~3 COMMENTS Tank manifolded: NO Vent manifolded: Vapor recovery manifolded: Overfill protection: Overspill protection: Installed: AT~3 CP installed on: / Bottom to top fill in inches: 3.55.0 Bottom to grade in inches: 3.60.0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: D[~AZ, Stage II vaPor recovery: BALANCE · Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: End (In) Bubble Ullage NOT TEATED Newlpassed Failed/replaced LD. #1 LD. #1 Make: WS~IOOT Model: S/N: ooz~oe Open time in sec: Holding psi: 26 Resiliency in mi: Test leak rate mi/m: 189.0 Metering psi: Calib. leak in gph: 3 .oo Results: COMMENTS Newlpassed Failed/replaced LD. ~t2 LD. #2 NOT TESTED COMMENTS Material: DW y'rREI~(~' Diameter (in): 3. o Length (ft): 250. o Test psi: Bleedback'cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: P~ESSOaE Pump make: YE PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: YEs Printed 08/08/2002 14:18 INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST DATE: 07/2 9/02 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBERS124108 CLIENT:C~EVRON U.B.A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:CHEVRON 98109 Tank ID: 3 3 Product: Capacity in gallons: 9,842 Diameter in inches: 91. oo Length in inches: 354 Material: DW COMMENTS Tank manifolded: NO Vent manifolded: YEs Vapor recovery manifolded: YEs Overfill protection: YEs Overspill protection: YEs Installed: ATe CP installed on: / Bottom to top fill in inches: 155.0 Bottom to grade in inches: 16o. 0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4. o Stage I vapor recovery: DUAL Stage II vapor recovery: SA[,ANCE Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: Bubble NOT TESTED COMMENTS End (In) Ullage New/passed LD. #1 Make: v~oo~ Model: E~.gCT~CmZC S/N: oo,ogs Open time in s~: Holding psi: Resilien~ in mi: Test leak rote mi/m: Ia9 Metering psi: Calib. i~k in gph: 3 .oo Results: ~s Failed/replaced N~wlpassed Failed/replaced LD. #1 LD. #2 LD. #2 COMMENTS NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End ~me: Final gph: Result: Pump type: Pump make: DW FIBERG 3.0 250.0 NOT TESTED PRESSURE FE PETEO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: YEs Pdnted 08/08/2002 14:18 INDIVIDUAL TANK INFORMATION AND TEST RESULTS TEST'DATE: 0'7/29/02 8900 SHOAL CREEK. BUILDING 200 WORK ORDER NUMBEI~124108 CLIENT:CHEFRON U.S.A. AUSTIN, TEXAS78757 (512)451'6334 SITE:CHEVRON 98109 Tank ID: 4 4 Product: D'rESE~. Capacity in gallons: 9,842 Diameter in inches: 91. oo Length in inches: 354 Material: DW FIBERG COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YEs Overspill protection: 3rEs Installed: AT(~ CP installed on: ! Bottom to top fill in inches: 155.5 Bottom to grade in inches: 16o. 5 Fill pipe length in inches: 57. o Fill pipe diameter in inches: ~,. o Stage I vapor recovery: NON~ Stage II vapor recovery: NONS Strut (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water'level in inches: Water table depth in inches: Determined by (method): Result: End (In)' Bubble Ullage COMMENTS NOT TESTED New/passed Failed/replaced LD. #1 LD. #1 Make: VEEDEm~OOT Model: E~.SCtmONZC S/N: oozzo? Open time in sec: Holding psi: 2,~ . Resiliency in mh Test leak rate mi/m: Metedng psi: Calib. leak in gph: 3 .oo Results: t, ASS Newlpassed Failed/replaced: LO. #2 LD. #2 COMMENTS NOT TESTED COMMENTS Material: DW FIBERG Diameter (in): 3. o Length (ft): 25o. 0 Test psi: Bleedback cc: . . Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: PReSSUrE Pump make: FE PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: 3rEs Pdnted 08/08/2002 14:18 TEST DATE:0?/29/02 CLIENT:C~S'V~,ON U. S .A. 8900 SHOAL CREEK. BUILDING 200 AUSTIN. TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER312a~ 108 SITE: Cw~V'E.ON 98/.09 COMMENTS Notified maonitenance (7/29 e 435pm) to correct the following problems: place all sum~ sensors at the lowest points, and the annul&r sensor on the Supreme tank has no pull string. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 08108/2002 14:18 CCHAPA SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 0 ?/2 9 / 02 CLIENT:(:3~/~ON O'. S .A. WORK ORDER NUMBER3124 10 8 SITE: CI~I~V'RON 98109 UJ DSL 10K ~OK 1OK PLUS 10K ITl Z Printed 08/08F2002 14:18 CCHAPA ~ ~ ~, ~ · ~I~IITORING SYSTEM CERTIFICATION Fo.~By All Jurisdictions WY~hin the State of California Authority cited: Chapter 6.7, He~it~and Safely Cede; Chapter 16, Division 3 TrUe 23, Califon'/f~'P_,ode of Regula~ons This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at ~he facility, a separate certification or report must be prepared ~or each monitorina system control eanel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operetor. The ownor/operetor must submit a copy of this form to lhe local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: CHEVRON 98109 Site Address: 1131 OAK ST. City:. BAKERSFIELD CA Zip: 93304 Contact Phone No: 324-7621 Facility Contact PerSOn: Manager Date of Testing/Service: 07/2912002 Make/Model of Monitoring System: VEEDEROOTTLS350 Work Order Number: 3124108 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced ITank ID: 1-91 ank ID: 2-89 In-Tank Gauging Probe. Annular Space or Vault Sensor. In-Tank Gauging Probe. Model: MAG-1 Annular Space or Vault Sensor. Model: 409 Piping Sump/Trench Sensor(s), Model: 208 Fill Sump Sensor(s). Model: .208 Mechanical Line Leak Detector. Model: Electronic Line Leak Detector, Model: PLLD Tank Overfill/High-Level Sensor. Model: MAG-1 Other (specify equipment type and model in Section E on page 2). In-Tank Gauging Probe, Model: MAG-1 AnnularSpeceorVaultSensor. Model: 409 Piping Sump/Trench Sensor(s). Model: 208 [] Fill Sump Sensor(s). Model: 208 ] Mechanical Line Leak Detector. Model: ] Electronic Line Leak Detector. Model: PLLD ] Tank Overfill/High-Level Sensor. Model: MAG-1 Model: MAG-1 Model: 409 I Piping Sump/Trench Sensor(s). Model: 208 Fill Sump Sensor(s). Model: 208 Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: PLLD J 'Tank Overfill/High-Level Sensor. Model: MAG-I Other (specify equipment type and model in Section E on page 2). Lank ID: 4-UIEJSP-L ~ In-Tank Gauging Probe. '~ Annular Space or Vault Sensor, 'j~j Piping Sump/Trench Sensor(s). .~.~J Fill Sump Sensor(s). -] Other (specify equipment type and model in Section E on page 2). ~spenser IU: 1/2 '~J Dispenser Containment Sensor(s) Model: 208 x~J Shear Valve(s). --1 Dispenser Containment Float(s) and Chain(s). Dispenser ID: 3/4 X~J Dispenser Containment Sensor(s) Model: 208 J'~J Shear Valve(s). r--j Dispenser containment Float(s) and Chain(s). Dispenser ID: 5/6 J",~,tl Dispenser Containment Sensor(s) Model: 208 [] Shaar Valve(s). DDispenser Containment Float(s) and Chain(s). Mechanical Line Leak Detector. Electronic Line Leak Detector. · Tank Sensor. Overfill/High-Level Model: MAG-1 Model: 409 Model: 208 Model: 208 Model: Model: PLLD Model: MAG-1 -'J Other (specify equipment type and model in Section E on page 2). Dispenser ID: ~ - [] DispenserContainmentSensor(s) Model: 208 [] Shear Valve(s) [--J Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9/10 [] Dispenser Containment Sensor(s). Model: 208 [] Shaar Valve(s), r---j Dispenser containment Fioat(s) and Chain(s). Dispenser ID: ] Dispenser Containment Sensor(s). Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). * If the facility contains more tanks or dispensers, copy this form. Include information, for every tank and dispenser at the'facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certificatJon is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached . a copy of the (Check all that apply): System set-up report; [~] Alarm history report [-~ COMPANY: Tanknolo~y (800) 800-4633 PHONE NO: page I of 3 Based on CA form dated 03/01 M~koring System Certification Site Address: 1131 OAK ST. Date of Testing/service: 07/29/2002 D, ReSults of Testing/Servicing Software Version Installed: 8.05 Complete the following checklist: [] Yes [] No* IS the audible alarm operational? [] Yes [] No * IS the visual alarm operational? [] Yes [] NO * Were all sensors visually inapected, functionally tested,, and confirmed operational? [] Yes [] No * Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No ' [] N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? [] Yes [] No * [] N/A For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) [] Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [] Yes [~ No [] Yes [] No* [] N/A For tank systems that utilize the monitoring system as the primary tank overfill waming device (i.e.: no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? 90 [] Yes* [] No Was any monitoring equipment replaced? If yes, identify specific sensors, prolSes, or other equipment replaced and list the manufacturer name and modal for all replacement parts in Section E, below. [] Yes* [] N6 Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) [] prodUCt; [] Water. If yes, describe .c~uses in Section E, below. ]Yes 'D No monitoring system set-up reviewed ensure proper Attach set-up if applicable. Was settings? reports,' i[] Yes [] No* Is all monitoring equipment operational per manufacture?s' specifications? * In Section E below, describe how and when these deficiences were or will be corrected. E. Comments: DIESEL TURBINE & FILL SUMP, REGULAR FILL SUMP, & pLUS TURBINE SUMP SENSORS NOT PUT IN'LOWEST POINT OF SUMPS. SUPREME ANNULAR SENSOR HAS NO PULL STRING ATTACHED. 'ALL ABOVE NOTED SENSORS DO ALARM...Chevron maintenance notified of above problems on 7/29 @ 435pm...sump sensors and supreme annular sensor to be retested page 2 of 3 Mo~oring System Certification Site Address: .1131 OAK ST. Date of Testing/Service: 07/29/2002 F. In-Tank Gauging I SIR Equipment [] Check this box If tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This seCtion must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ~]Yes [--~No* Hasa~~inputwi~ngbeeninspectedf~rpr~perentryandterminatj~n~indudingtestingf~rgr~undfauits? [] Yes r']No * Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes [] No * Was accuracy of system product level readings tested? []Yes []No * Was accuracy of system water level readings tested? []Yes i ['-]No* Were all probes reinstalled properly? [] Yes []No * Were all items on the equipment manufacturers' maintenance checklist completed? ~* In the Section H, below, describe how and when these deficiencies were or will be correctedl G. Line Leak Detectors (ELD): [] Check this box if LEDs are not installed. Complete the following checklist: ' ["~'] Yes [] No' [] N/A For equipment start-up 'or annual equipment certh~cation, was a leak simulated to 'verify LLD performance? (Check all that apply) Simulated leak rate: [] 3 g.p.h [] 0.1 g.p.h ['-~0.2 g.p.h [] Yes [] No '1 Were all LLDs con§rmed operational and accurate within regulatory requirements? [] Yes []No * Was the testing apparatus properly calibrated? [] Yes [] Iqo* ![] N/A For mechanical LEDs, does the ELD restric{ Product flow If it detects a leak.? [] Yes []No * [] N/A -'or electronic U. Ds, does the turbine automatically shut off if the LED detects a leak? [] Yes []No* [] N/A For electronic LEDs, does the turbine automatically shut off If any portion of the monitoring syst;m is disabled or disconnected? [] Yes DNo * [] N/A For electronic LEDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? [] Yes []No* [] N/A For electronic LLDs, have all accessible wiring connections been visually inspected? ' ' [~] Yes []No * Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H, Comments: page 3 of 3 Work Ordor: 31.24108 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3:1.24108 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 q Work Order: 3124108 :APR: ~ 2002; ~25":PH a karat H.I f~TORY), R EI::'Ot/:I! '- :.' ,._ .... .~=k'~o~,,d'~._.~.~ ,- . ' ' .L...;3:.:92:tSTPq~': . . . ' . .S,.Fp-~al~p'c- , ~.. .... ... '... : . ' _ ' · , ..... ,:FU~L ,~i~'~ -- - .,.~m~.~.~fit ' ' - - "-' "'" '" '8~P' i~. 2aOr' a:'~ Fit: .-. . ' O~FI.IA.. ~t~RM . . a~. F,~ ~r~ ' ": ' ' B~ :~!t',:' 200 - ' ~;: k3','AH ' - -~ '-~'.. ~dl ~:~ea:.:m · ....- ' ~,. 6;' 2:8dl- 1,2.:~7 PH ~4~AR:,ST'~E ..... '" ' ' - Tanknology-NDE 8900 Shoal Cr~¢k, Building 200 Austin, Texas 78757 Work Order: Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 :JIJ].: .J ~:-'20~2 :'- i}i':5T ~1~,. JI.IL ~:: 2002. I !'aS ~.' ' - JUL %4 ,. 2002: 7:,:'0i:: APl :.glen ,1'-~ ::. p~,~ ~:5: ~oU~_' SUg '~. 20o2 ' 7::00 :~ -~BL' 26,'. 2002 '8 ::0~ ~' ~PJ~. -:~ROBE OUT: auE" f.s,'.' 2~:-~ '"T: ug: ~ -. · - :~. -i:,%~: .2'oe~: ~ i ::'~6: '~:.. DELI,VE~:~ NEEUE D" JUL '23., 2002' [.2::2~: PI~: -' - R~' P~¢,~<, ~'~ ..'..-. : :.. ' :RUG: ,'~,:. ~:~%~,~'-~.~ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 TanknologyzNDE 8900 Shoal Creek, BUilding 200 Austin, Texas 78757 Work Order: 31.24108 . ~ ... .. .;......',.~.~:'~..'."..:."~.. '~.... '..~..-.....: . . . .. ...... ~ ..,... - -. -...; ..'_ .-. ., .'' ..;,: ....'.- Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 ':,"K; 2:~LUa ....... ' " 'dOE "29~: :.2002' :3:03:-Pp!:' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 ~' ' 2.9;: 2D02; '-;3: 28. :PM' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work (~dcr: 3124108 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 .?~Sep~-05-02 10:23A TANK~i~i~OGY 909 308 1239 P.01 ~ ~1~ ~ MONITORING SYSTEM CERTIFICATION . For Use By Ail Jurfsdlctlons WJth~ ~ Sta~e of C, elfforrda Autho~y Cited: Chapter 6. 7, Health and Safety Code; Chapter re, Division 3 Title 23, Catffomie Code of Regulafions This form must be used t~ do~Jment testing and servicing u~ menllming equipment. If n~re ~ ene m~nil~lng ~h control penal ia In~talkld at Ihe fl~ility, a separate A. General Information Facility Name: CHEVRON 98109 Site Address: 1131 OAK ST. Facility Contact Person: Manager Make/Model of Monitoring System: TL8-350 B, Inventory of Equipment Tasted/Certified [ank ID:. 1 {~-Tank Gauging Probe. Check the approlxlate boxes to indicat~ ~R'I A~nular Space or Vault Sense. Xl Piping Sump/Tr~ch Sensor(aD ["]Fill Sump :! Mechanical U~e Leak Detector. Mod~l: 409 Mrxtel: 208 Model: 208 Modal: City: BAKERSFIELD CA Zip: 93304 Contact Phone No:324-7621 Data of Tesllng/Sen~e: 09/03/2002 Work Order Number:, 31247'47 Electronic ~ Leak DeteCtor. Model: PLLD Tank Ove~WHiOh. Level Sensor. Model: Other (specify equipme~ type and model In Se~iml E on page 2). anK u~. & specific e~uipment inspected/send, ed Tank ID:. 2 ~ In-Tank GauglngProbe. Model: K4A~=-I '~ A~nder Spare or Vault SeMer. Mode~. 409 X'~ Pipi~ Sump/Trench Saner(e). Mod~. 208 ~ Fm Su,~ Se,,~s). M~a: 208 ~ ~n~l L~ ~ ~. ~el:  El~fl~ ~ ~ ~r. ~1: P~D ~ ~r (~ ~ ~ and ~ in ~ t ~ ~ 2). I~ iu: 4 , In-Tank Gauging Probe. Model: MAi3-1 Annula~ Space ~- veuR Sensor. Modal:. 409 In-Tank Gauging Annular Space or V~ull Sensor. Piping Sump/Treftch Fa Sump Senamla). Mud~l: MAG-1 Mo~I: 40t) F-IDispe~ser Coe~i~ment Sensor(s) Medel: · ~ Shem'Valva(a~ ' ~ :.Di:~. ser Confair~nt Float(s~ and Chain(s). L~panser fu: Oispm'.ser C_,.ontai~ Sensor(e) lvtodel: p__J Sheer Valve(s), [] Dispenser Colltalnment Float(e) a/~l Chain(s}. I Disp®nser. ID: I['-] olsmnm Con~.ment semor(s) II-] Piping Sumprl'mnch Sensor(s). Model: ~ Fill Sump Sensor(s). Model: 208 Mechank:el Line Lank ~r. Model: Electro~c Line Leak Detector. Model: PLLD Tank OvediWHigh-Level Sensor. Model: MAG-1 Other (apec#y equipment lype and modM In SecUon E on page 2). Model: 208 MO~el: 208 sp.Mechm~ Une Leak t)eledor. Electronic Une Leek Deleclor. Model: Tank Ove~lVHigh-Level Savor. Mo<te~: MAG-1 Olher (epacif~ e~Jlprtlanl type and model ie Secl~n E on page 2). nser I~ I~$penser ~) Model: i ShearVelve(s) Dleparr~r Containment Rset(e) and CMin(s), paRser IU: Dispenser Canlalnm~t Sensors). I~xlel: Shear V~lve(s). . D Oispanset Centahmeflt Flse~s) and Cha~(s), penser ID: Dispenser Contalm'nant Sector,s). Model: Shear Valve(e). Dlspen~e~ Containment Float(8) aM ChaiNs). * If ll~e facility contains more tanks or diapensem, c~py ~ia form. Include information for every tank and dispenser at Itm facirity. C. Certification I certify that the equipment Identified in this document was inspecte~serviced ih a~co[Ga,a~e with the manufacturers' guidelines. Altached ~ Ibis ~alJflcaSon Is Information (e.g manufacturers' checklists) necesSary to verify that Ulls infommtion ia corre~,-t. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of Oenera~ng such reporta, i ilave also attae, hed a copy of the (Check ali mat appJy): System set-up report; [] Alarm history report [] COMPANY: Tankn~ogy PHONE NO: (800) 800-4633 page1 of 3 Based on CA form dated 03/01 Monitoring System Certification Site Address: 1131 OAK ST. Date of Testlng/~e~ca: 09103t2002 D. Results of Tesfing/Servicing So,ware Version Installed: 8.05 Complete the following checldLst: [] Ye~ [] NO ' ~ the audible alarm operational? [] Y,~,, [] No* ;s the visual am~m oberellonal? : [] Yes ~ [] No · Were all senso~ visually inspected, furt=tlonally lesled, and oonflrmed operational? Were all sensors Installed at lowest point of secondary contaminant and ix~ltloned so that oiher equipment will not [~]' Yes' [] No' Intmfe~ vdlh ~eir proper operation? [] Yes [] No · ~ N/A if alaarns are raiaymd k) a rmm34e monilednl~ $imlon, is ~dl cemmunica~orm equipment (e.g. modem) opemtimal? ~' l~or pressured piing systems, does the tu~oine automallc~ ~ut down if the Wping secondmy ~:ontalnnrmnt [] Yes []No' F~N/A m~it~dng~ystemd~lectsalaak~fa~st~pemle~r~selac~r~ca~yd~s~nr~'d?~yas:which~m~n~le~ shut-down? (check all that apply) [] 8uml}/Trertch Senaors; [-] Dispenser Conlelnrnast Sene~s. Did you confirm poeitive shut-clown clue to ~ an_.d sensor fallure/dlseonne~oll? [~ Yes (~] No [~ Ye~ [] No ° [] N/A For tank syslems Ihat ut~ze the ~oniloting syslem as the primacy ~ overfill warning device (i.e.: no mechanic~ overfill prevention valve Is Installed), is the over~ll warning ala~n visible artd a~lble at the tank fill ix)inla(a) and opem~g properly? If so, at what percent of tank capeolty cloe~ the alarm Irlgger? _. % Was any rnonitoting equipment replaoed? If ye~, idonti~ specific sensom, probes, or other equipment replaced and list the [] Y~' [] No manufacturer name and model fox all replacement ~rts in Seddon E, below. [] Yes' [k--~'No was liquid found inside any secondary containment sYStems designed as dry systems? (check all that apply) F1 Produoi: [] Water. If yes, describe causes in Se~on E, below. [] Y. [] No ' Was'm~;atoring system set-up re~wed to ensure proper setlings? Atta~ ~t-up mpods, If applicable. [] Yea [] No ° ts all monitoring equipment operational per man ._ufe~__Jm~s' si:moillcatlmm? · In Seoiion E below, desodbe how and when these defioiencas were or will be co~ected, E. Comments: i~Oe 2 ~3 ~ Sel~-O5-O2 10:24A TANKiL OGY 909 18 Monitoring System Certification 1239 P.03~ Site Address: 1131 OAK ST. Date of Tesling/Se~ce: 0910312002 F. In-Tank Gauging I SIR Equipment [] Check this box if tank gauging is used only for inventory control. [] Check lhls box ff no lank gauging or 8IR equipment Is installed. This section must be completed If In.tank gauging equipment is used to perform leak (kgmction monitoring. Complete the following ohe~kltst: [] Ya [] No' Has all Input wldng been Inspected For proper enby and terminatico, including testing for ground faults? OYes r-'lNo' Was accuracy of aystem product level madings tested? F'lYes [] No ' Was accuracy of System water level readings tested? [] Yes [] No' Were all probes reinstalled properly? [] Ye~ ONO. Were all items on Ihs equipment manufacturers' maintenance checklist completed? · In Ute Section H, below, cteacaibe how and when Uteaa deficiencies were orwiH be corrected. G. Line Leek Detectors (LLD): [] Check this box If LLDs am not installed. Compfale ~ following ofleckli~t: For equipment start-up or annual equipment ceftlficallon, was a leak simulated to verify LI.J~ performance? [] Yes [] No I'-"~N/R I (Check all that apMy) Simulated leak rate: [] 3 g.p.h [] 0.1 g.p.h I'-]0.2 g.p.h [] Yea, [] No Were all I. LD,S confirmed operational and accurate ~thin regulatory requirements? E~ Yes [] No* " Was ~e testing apparatus properly calibrated? ' ' ..... -I ~,.~ [] .o. [] e^ For mechan~ ,u~. dee. me U.D ~m~ ~.0~ ,f it de~c~ · ~.k? [] Yea []No *. [] N/A For slectTmlic LLDs, does Ute tul~f~'~maltceUy shut off if the LCD deteots a leak? [] Yes [:::]No * [] ,/A For electronic U.Ds, does the turbine automatically shut off if any pod]m of the monitoring system is disabled or disconnected? [] :Ye~_ []"No- [] N/A For efaclrofllc LLDs, have all accasslb]e whlng ~onnsctions bee. &dsually inspect~. ' [] Ye~ : [--'INo' Were all Items on Ihs aqulpmant manufacturers' maintenance checklist completed? · In the Sectio~ I, below, desc~be ~ and ~ these defldencies were or will be core,md. H. Comments: RMested fill, turbine sumps and 91 annular only. i~ge 3 o~3 ~Sep~O5-O2 10.:24A 909 308 1239 P.O4 TEST DATE: 09/03/02, CLIENT:~V'~-O~T ~. ~ ,~o TANKNiOGY SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER~ 124747 SITE: ~v'~O~ 98109 .+ 10K SUP 10K Z -I O~ Draft 09/05/2002 12:23 KMINTON 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 07/29/2002 Order Number: 3124108 Date Printed and Mailed: 08/09/2002 Dear Regulator,. Iosed arethe r~s recent testing performed at the following facility: // CHEVRON 98109 . 1 OAK ST. //.-/'~ tCA. 93304 T~ng performed: Leak detector tests Monitor Certification Sincerely, Dawn Kohlmeyer Manager, Field Reporting CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING Tankno/ogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST DATE: 07/29/02 TEST TYPE: TLD-1 CUSTOMER PO: 4613659 PURPOSE: CO[~PLIA~CE WORK ORDER NUMBER: 3124108 CLIENT: CHEVRON U.S.A. P.O. BOX 2292 145 S. STATE COLLEGE BLVD. BREA, CA 92822-2292 JODY BOWE (714)671-3214 SITE:CHEVRON 98109 1131 OAK ST. BAKERSFIELD, CA 93304 Manager (805)324-7621 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations i 1 2 2 3 3 4 4 SUPREME PLUS REGULAR DIESEL Tanknology representative: KEN MINTON Line and Leak Detector Tests ENT; Y ¥ Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any time, day or night, when you need us. Test Conducted by: ALBERT J. QUEIROS / ¥ ¥ Reviewed: Technician Certification Number: 91-1448 Printed 08/09/2002 07:36 SBOWERS INDIVIDUAL TANK INFORMATION AND TEST RESULTS · Tankno/ogY TEST DATE:0?/29/02 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER312&108 CLIENT: CHEVRON U. S.A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE: CHE¥"RON 9810 9 Tank ID: I 1 Product: STj-~ REZVt'B Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 3 54 Material: DW FIBERG COMMENTS Tank manifolded: NO Vent manifolded: Vapor recovery manifolded: Overfill protection: Overspill protection: Installed: ATe CP installed on: / Bottom to top fill in inches: 156.0 Bottom to grade in inches: 161.0 Fill pipe length in inches: 56.0 Fill pipe diameter in inches: ~ .0 Stage I vapor recovery: DIAL Stage II vapor recovery: BALANCE Start (in) Dipped Water Level: .Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: Bubble NOT TESTED COMMENTS End (in) Ullage New/passed L.D. #1 Make: VEEDERROOT Model: ELECTRONIC S/N: oz4ego Open time in sec: Holding psi: 28 Resiliency in mi: Test leak rate mi/m: z89. o Metering psi: Calib. leak in gph: 3. oo Results: PASS COMMENTS Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #2 L.D. #2 NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: DW FIBERG 3.0 250.0 NOT TESTED PRESSURE FE PETRO NOT NOT NOT TESTED TESTED TESTED Impact valves Operational: YES Printed 08/09/2002 07:38 INDIVIDUAL TANK INFORMATION AND TEST RESULTS Tankno/og TEST DATE:0?/29/02 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBERS124108 CLIENT: C~ON U. S o A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE:CH~'v-EON 9810 9 Tank ID: 2 2 Product: PLUS. Capacity in gallons: 9,842 Diameter in inches: 91. oo Length in inches: 354 · Material: DW FTBERG COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection; YES Overspill protection: YES Installed: ATG CP installed on: / Bottom to top fill in inches: 155.0 Bottom to grade in inches: 16o. o Fill pipe length in inches: 55 .'5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: BALANCE Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS End (in) Bubble Ullage NOT TESTED New/passed Failed/replaced L.D. #1 L.D. #1 Make; VEEDERROOT Mode~i ELECTRONIC S/N: oo~o6 Open time in sec: Holding psi: 26 Resiliency in mh Test leak rate mi/m: 189.0 Metering psi: Calib. leak in gph: 3.00 Results: PASS New/passed Failed/replaced L.D. #2 L.D. #2 NOT TESTED COMMENTS Material: DW FIBERG Diameter (in): 3. o Length (ft): 250.0 Test psi: Bleedback cc: Test time (min): NOT NOT NOT NOT Start time: TESTED TESTED TESTED TESTED End time: Final gph: , Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS Impact Valves Operational: YES Printed 08/09/2002 07:36 INDIVIDUAL TANK INFORMATION AND TEST RESULTS Tan TEST DATE: 0'7/2 9/02 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER33.2410 8 CLIENT: CH~'v"RON O . S . A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE: CHEVRON 9 810 9 Tank ID: 3 3 Product: RE(~U~,~ Capacity in gallons: 9,842 Diameter in inches: 91.0 0 Length in inches: 354 Material: DW FIBERG COMMENTS Tank manifolded: NO Vent manifolded: YES Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATe CP installed on: / Bottom to top fill in inches: 155.0 Bottom to grade in inches: 160.0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DOAL Stage II vapor recovery: Start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: NOT VacuTect Probe Entry Point: TESTED Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS New/passed L.D. #1 Make: VEEDERROOT Model: ELECTRONIC S/N: oo~.o9~ Open time in sec: Holding psi: 30 Resiliency in mi: Test leak rate mi/m: 189. o Metering psi: Calib. leak in gph: 3. oo Results: PASS COMMENTS Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #2 L.D. #2 NOT TESTED COMMENTS Material; DW FIBERG Diameter (in): 3.0 Length (ft): 250.0 Test psi: Bleedback cc: Test time (min): NOT Start time; TESTED End time: Final gph: Result: Pump type: [:RESSURE Pump make: * FE PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: YES Printed 08/09/2002 07:36 INDIVIDUAL TANK INFORMATION AND TEST RESULTS Tankno/ogy TEST DATE: 07/2 9/02 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER~ 12 410 8 CLIENT: CI-IE'v"RON U. S.A. AUSTI N, TEXAS 78757 (512) 451-6334 SITE: C:I-I~RON 981 0 9 Tank ID: 4 Product: DTESEL Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FIBERG Tank manifolded: NO Vent manifolded: NO Vapor recovery 'manifolded: NO Overfill protection: YES Overspil] protection: YES Installed: ATG CP installed on: / Bottom to top fill in inches: 155.5 Bottom to grade in inches: 160.5 Fill pipe length in inches: 57.0 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: NOZ~TS Stage II vapor recovery: COMMENTS Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: End (in) Bubble Ullage COMMENTS NOT TESTED New/passed Failed/replaced LD.#2 L.D. #2 Failed/replaced L.D. #1 VEEDERROOT ELECTRONIC New/passed L.D. #1 Make: Model: S/N: Open time in sec: Holding psi: 24 Resiliency in mi: Test leak rate mi/m: Metering psi: Calib. leak in gph: 3.00 Results: P~ss COMMENTS NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: FinaJ gph: Result: Pump type: Pump make: DW FIBERG 3.0 250.0 NOT TESTED PRESSURE FE P ~.TRO NOT NOT TESTED TESTED Impact Valves Operational: YES NOT TESTED Printed 08/09/2002 07:36 , By All Jurisdictions Within the State of Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16,- Division 3 Title 23, CaTifornia Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or report must be prepared for each monitorin,q system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: CHEVRON 98109 Site Address: 1131 OAK ST. Facility Contact Person: Manager Make/Model of Monitoring System: VEEDEROOTTLS350 B. Inventory of Equipment Tested/Certified City: BAKERSFIELD ca Zip: 93304 Contact Phone No: 324-7621 Date of Testing/Service: 07/29/2002 Work Order Number: 3124108 Check the appropriate boxes to indicate specific equipment inspected/serviced Tank ID: 1-91 In-Tank Gauging Probe. Model: MAG,I Tank ID: 2-89 [] In-Tank Gauging Probe. Model: MAG-1 Annular Space orVault Sensor. Model: 409 X---] Piping Sump/Trench Sensor(s). Model: 208 X-~ Fill Sump Sensor(s). Model: 208 ~.~ Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: PLLD '~ Tank Overfill/High-Level Sensor. Model: MAG-1 [] Annular Space or Vault Sensor. Model: 409 [] Piping SumpfTrench Sensor(s). Model: 208 [] Fill Sump Sensor(s). Model: 208 ] Mechanical Line Leak Detector. Model: aElectronic Line Leak Detector. Model: PLLD Tank Overfill/High-Level Sensor. Model: MAG-1 Other (specify equipment type and model in Section E on page 2). nk ID: 4-DIESEL In-Tank Gauging Probe. Model: MAG-1 ~ Other (specify equipment type and model in Section E on page 2). Tank ID: 3-87 [] In-Tank Gauging Probe. Model: MAG-1 ] Annular Space or Vault Sensor. Mod~l: 409 [] Piping Sump/Trench Sensor(s). Model: 208 [] Fill Sump Sensor(s). Model: 208 ] Mechanical Line Leak Detector. Model: ] Electronic Line Leak Detector. Model: PLLD ] Tank Overfill/High-Level Sensor. Model: MAG-1 Other (specify equipment type and model in Section E on page 2). Dispenser ID: 1/2 X~ Dispenser Containment Sensor(s) Model: 208 X'~ Shear Valve(s). '~] Dispenser Containment Float(s) and Chain(s). Dispenser ID: 3/4 ['~ Dispenser Containment Sensor(s) Model: 208 [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5/6 ~] Dispenser Containment Sensor(s) Model: 208 [] Shear Valve(s). []Dispenser Containment Float(s) and Chain(s).  Annular Space or Vault Sensor. Model: 409 Piping Sump/Trench Sensor(s)· Model: 208 '~ Fill Sump Sensor(s). Model: 208 Mechanical Line Leak Detector. Model: '~ Electronic Line Leak Detector. Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG-1 ] Other (specify equipment type and model in Section E on page 2). Dispenser ID: 7/8 [] Dispenser Containment Sensor(s) Model: 208 [] Shear Valve(s) r-"] Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9/10 [] Dispenser Containment Sensor(s). Model: 208 [] Shear Valve(s). [~ Dispenser Containment Float(s) and Chain(s). Dispenser ID: ] Dispenser Containment Sensor(s). Model: [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). * If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this certification is information (e.g manufacturers' checklists) necessary to vedfy that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): System set-up report; E~ Alarm history report r-~ PRINTED NAME:ALBERT J- QUEIROS COMPANY: Tanknology SIGNATURE: PHONE NO: page I of 3 (800) 800-4633 Based on CA form dated 03/01 I~ toring System Certification Site Address: 1131 OAK ST. Date of Testing/Service: 07/29/2002 D. Results of Testing/Servicing Software Version Installed: 8.05 Complete the following checklist: [] Yes [] No * IS the audible alarm operational? [] Yes [] No * Is the visual alarm operational? [] Yes [] No * Were all sensors visually inspected, functionally tested, and confirmed operational? [] Yes [] No * Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No * [] N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] Yes [] No * [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) [] Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [] Yes [] No For tank systems that utilize the monitoring system as the primary tank overfill waming device (i.e.: no mechanical [] Yes [] No * [] N/A overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger?. 90 % [] Yes* [] No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes* [] No Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) [] Product; [] Water. If yes, describe causes in Section E, below. [] Yes [] No Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. [] Yes [] No * IS all monitoring equipment operational per manufacturers' specifications? * In Section E below, describe how and when these deficiences were or will be corrected. E. Comments: DIESEL TURBINE & FILL SUMP, REGULAR FILL SUMP, & PLUS TURBINE SUMP SENSORS NOT PUT IN LOWEST POINT OF SUMPS. SUPREME ANNULAR SENSOR HAS NO PULL STRING ATTACHED. ALL ABOVE NOTED SENSORS DO ALARM...Chevron maintenance notified of above problems on 7/29 @ 435pm...sump sensors and supreme annular sensor to be retested page 2 of 3 M~itoring System Certification Site Address: 1131 OAK ST. Date of Testing/Service: 07/29/2002 F. In-Tank Gauging I SIR Equipment [] Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: [] Yes []No * Has all input wiring been inspected for proper entry and termination, including testing for ground faults? []Yes ~'~No* Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes [] No *; Was accuracy of system product level readings tested? []Yes []No* Was accuracy of system water level readings tested? [] Yes [] No * Were all probes reinstalled properly? [] Yes []No* Were all items on the equipment manufacturers' maintenance checklist completed? in the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): [] Check this box if LLDs are not installed. Complete the following checklist: [] Yes [] No * E~]N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: [] 3 g.p.h [] 0.1 g.p.h []0.2 g.p.h [] Yes [] No * Were all LLDs confirmed operational and accurate within regulatory requirements? x-~ Yes r-"~No * Was the testing apparatus properly calibrated? [] Yes [] No * I [] N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] Yes [--]No * [] N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] Yes DN° * I [] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? [] Yes ~'-'~No *[] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? [] Yes []No * [] N/A For electronic LLDs, have all accessible wiring connections been visually inspected? [] Yes []No * Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: page 3 of 3 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST.DATE:0 ? / 2 9 / 0 2 WORK ORDER NUMBER3 12 & 10 8 CLIENT: CH~.~RON U. ~. A. SITE: ~O~ 9 8 ~0 ~ COMMENTS Notified maonitenance (7/29 ~ 435pm) to correct the following probl~s: place all s~p sensors at the lowest points, and the a~ular sensor on the Supr~e tank has no pull string. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 08/09/2002 07:36 SBOWERS SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 07/29/02 CLIENT:C:[-[]~¥'RON O'. S. A. WORK ORDER NUMBER3 12410 8 SITE: CHE'v'"RON 98109 LU {e Ce (e 1OK UL ~ {e 1OKPLUS ~ Z Printed 08/09/2002 07:36 SBOWERS Work Order: 3124108 JUL 29'. 2002 ; :32 F:M: .3~:~L ,29. 2C!0.2 I !32 ENSTEFI UN ] E NGL i S H 661·-924 ¢ 762 l SHH [ Title .1 : DDk~DLED E;HIFT TiME 2 : ~HtF~ rlP~ ~ PE~ I OI'HC TE~T ANNUAL TE~T ~N 1 NGS DISABLEG PRINT TC VOLUMES V~LOE :'(DEO, F .~: ,cu. 0 ~?IUN l'C;¢qT 10N~ ~.'t' SETT Ii NG~: PaR I:t:V :: EVeN STOP BIq' 'I STOl,' D I 'E~:I SABLEb ~UT0 '(:,VE~F~ LL, Li M i ~::UTO THEFT. L l ~'t [ T A~O: riEL I VEE:g ~T~RT [~ i~4BLED .... ,AU~r~. E~TERN~L ti:~FLfr 5 I~BLED AUTO ExTERI~AL' I I~IPHT (>FF' .UTC .. =E~k~'4R FUEL D I F~BEED ~tJTO,,~gE~OR OUT ~1 ~R~: ~--232 (::{:?LiE'': D I Sg~BLED I~!RODi~:T CODE : t TRNK" D: ~E'rER : 91 . nO TANK PROF11;E : ,1 PTS FULL V&L : 3:a42 69'.3' [~%'H VOL : 7935 45:. % I f¢;d -WOI', : 4~0'2 ?" t875 _~.,U INCH VOL : 4.t3 1N :ti~ ~ .U 8857 Il SUDDEN ~;¢'tK TILT u.OO MAN 1FOkDED ~tlN ~NNOAL : _ OD ! ( TES-I' TYPE ~4I:~Ri'~I [,'J E~ELED F:ERt(')Id~' ':E;S'I F~'IL THE~PF4Id ~O~F,F: ,..UggT00 ':FO RK D I *¢IETER 68.3 I~H VOL : 4515 I f;K:H VOL : 490'2 .2.2,a :UCH y~)[: : FLO~T SI ZE: 4. O i NC'RES H~G~ ~ATER t.[~':iT 2.0 f¢l~;~ Ok L. RBEL VOL: 984~ O~dEREILL LIMIT : 9349 : 8857 D:L ! :,:IR,- I, IMiT :. I : i181 LE~E 8L~RIT.'L ltql:T: 99 .BUDDEN L(fSS ' [I.MI'T: 59 TCM~K ' TILT : O. 00 I~N I ~%~LDED T~NK~ ,EE~}:: btlN ~NNUhL : C PER I Ob 1C TEST ~L~b~H DI S~BLE[~ ItEk IOD t C' TEST' .Fa 1L t3~o~- TES1 F~ I L kgR T~T .*,~VER~O I NS: OFF T&NK :rbSqT NOTIF'Z: OFF f'NK TST' SI PHON ~RL~4K :OFF DEL i'VENY DE~Y : m ['I l N Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 8857 12% BOO THERMAL COEEF : T~N~{ PROEILE : 4 PT~, 5.~:.3 INCH VOL ~ ?935 J5:~: {NCH VOL : 490? i:~?/; O~ LABEL VOL,:: 9842 O%:ERF:i LL L Hfl'I T 95~: 9:24'9 f¢Obf<E;,i LOSS LI[,ii:f: ..~ TAD}, TiLT ; O. :: i~Y: t ?,::, l C TEST .TVPE 9R,::,~s TEsT· FaIL i',4(.;K iT%;T NOTt FY: OFF ,O. lO. (;PH TEST: T~(N}::: :f~ONE~ '~ :i :-FJTW!'E: (:~i:2;~?~LE FI.OaT) ' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 ii:~TE;'x'>R¥ :ptPlNG Si.~LP E-16,: D IBP. 7'-~.. .... d/4TE£;OR'? : DISPK~-~: P~I1 C:aTEi3ORY : Dl ~PE ~,4SER P~LLD L I NE D l ~i~tA.; SETUP L .3 :FUEL, L ~ 2: FUEL L t 4 ;Fl: El, 'i, 1 5: i-.t V: FUEL, 'F u: i;04j P~-,',:,Di¢cT i N-T~,N~: ALHP. PIS, T 4:HhJH I.IATER ~t..akH ~a~ OUT'" JUL ,t~a:' '2002...:2;:24';6- PH r~T'rE~.~ Is (OPF Tanknology-NDE 8900 Shoal Creek, Building 200 Aihsfir/~:Texas 78757 Work Order: 3124108 DELivErY DEC 23,. :2OEi:~ 12:;0:9 PD DEO t.7,, ,2OOl 3:52 Pi5 tI~X PE'ODUC'~ AL~M JUL 15, 2002 ;1:~6 PPi-, EE .... 3:,. :,PROBE OUT JJi 15; 2082 1]:49 pFf ;JUL; 4. · JUN-1~*, 200S' 8:01 ,JilL' 4. 2002 JU~; ~2'- 2002 i;1i~q..I D :POE~ LEVEL JUL. %; 2002 JOL.22. ?002 :~::~6 JUL 3. 200:: ~2 ~?~JE~E OUT" PPi Phl g~ i~; 2002 3;:35 AUG 6'. ?:OOil 1:~04 PM · g[k] 6'~ .280i k2:5i PM B [~;H b, IAT~,: ~Rfi I'NG JWL i'5:. )2~0~-' [;49 ~Pt"l 'JUN'~,7; 2002: ,Il ;56 kM JUL 27,: ?802 ,7:27 JUE 26; ~2002 6:~i Pi';1. DEC .i5; 200i ':~0~:29 AM 'ft~UG: 6; 200.1 ~2:E6 ,~,t_.~EI'~ H~ ~STOR¥' REPORT ..... l I$':]'!~IF. ,AL'ARM ....... [': ~ ::C IESEL '¢~1::i,3"' ~;, .280.~ i: 05 1::iq t}E*:, 22'. 2'00~ 7>i72:;¢:1 ~/:J~; 6, 30:3t t2:49 : t ':":RE ,, 5." 20g~ ~2::,)7 PM Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 LI2:[~ STP SdHP STP. FUEL FUEl; ......... SEH~OR ALARH ...... FUEL. ~LARM: MAY 22> 42002' I ;~h ~:~ P IPt h<;'. FuEL Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 iSROhB' 'LI t,~F. 'F~ I L PaF a~: our' iNTER* ERRO~ B~T'FE~Y m' OFF J~N :i. t"99~ E~:HO /¢1 T :1 ~$[)PEEME t:t:ERFI LL aL~F:I:i :~f~OBE DCLI'VE~ ¢ ~iEEDED [JB'~ 17'. 200i 2:52 PM Plax P~OD~)T auG' '61 2OOL 12:56.PM apes g', 208~' 1~:5o PM LEVEL 'DEL l,~2E~:&: t'iEE[::ED, ,JUL i~; 2002 JUL q. 21302 ?:Oi ~'1 :IlIN 12F 2002 8::Ql' PM DEc' ~5. 200! ~0::23 ~I~ JOE' . 2002 JIlL 22,. 2002 1 JUL 3:2002 12:'44:B~ PROBE OJJT ~PR: 8. 2002 AUG ~:;: 200i: !"LO4 PM 'DEL I·~ER¥' NEEDE[.,, JUL 27,. 2002 · JO[: 26'b,2:002; 6:ri JUL 23:', 2002 12: Pi~N PRODU:~T ~L~Ri4 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 ..... :- ~ENSO~ ~LARiq -: ..... L ?:92 PiPE FUEL ALARM, · t~AY '2:2~ 2002 ~UG ~,, 2001 12':21 i. 7:'89 AUG 2~.; FUEl_. AUG ,24 · A:JO 24; ' 200'I L ~:r;,s'/ PFPE SL~P ,FUEl. ~:iLARM ~1_10' ~;, ~a~ t2:2[ t:~ t. 6: 89 ::STP,'SUMP 'STP SUMP, AUG 6, 2001, ]:':tEl SENSOR L 10 :D 1ELSEL Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 t. ::::i: 92 ,STP '::U,~,JIz "' STP :'S t~~ FUEL, ~,l.~-t~M 1 ~[ ">~: "::~ '~i'jo F: :?q PPi PL.LD ::SRIJTD~41~¢ ;; Ut ;', ~ 9';. ~O0:' ?:2 9 ,[,'ii ........ SENSOR STP Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 JUL 29; 2002 .,.:8: :P:::P I NG; SUN~' J'OL '29, 900~ 3:UL ?:C '.<9~::?: '7:°~-PH ~ ?L,q[5: ~tJTDOt4N STP: Tanknology-NDE 8900 Shoal.Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 JuL 29; ::'t)07 ~'~02 [:'1"t PRESSURE, L Cj 3: ~:iE/:;I,.II y:L~,'' P. LLD SHLrrDG%~N JUL '~9., 20~2:' 'F :3:: REi3UL~E: if:SEE I . ,IESEi., Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124108 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 CITY OF BAKERSFIELD ':FJ~ ~f -~t OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATIOn(CHECK) [ ]NEW FACILITY [~MODIFICATION OF FACILITY [ ]NEW TANK INSTALLATION AT EXISTING FACILITY pROPOSED COMP LETION DATE ~,"~ STARTING DATE ~'~ O FACILITY NAME ~ g"?A ' ,~?~{Z~ EXISTING FACILITY PERMIT FACILITY'ADDRESS Ilg{, O,,O<'~_~ ~', CI_TY ~~"[~ ZIPCODE TYPE OF aUSINESS ~t~ 4 WP ~'a~--~T Sr~,C,~'V APN # TANK OWNER CMr'~, PHONE NO. ADDRESS p',.0. ~..C~2."~ C~TY ~ Z~P CODE _~ CONT~OR ~, ~.~ CA LIC~SE NO. ADD,SS ~ ~P~ ~ C~TY ~~ mPCODE PHOne 80.m ~ ~ta ~ / a~E~SF~ELD C~TY aUSINESS UCENSE ~O. WO~MAN COMP NO. ~ 8~ ~U~ ~T~ ~ ~ ~mEFLYD~SCm~ETHEWO~TOaE~NE ~~ ~~ ~P ~c'~J ~ WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER ' SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO YES NO SECTION FOR MOTOR FUEL TANK NO. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION TANK NO. VOLUME SECTION FOR NON MOTOR FUEL STORAGE TANKS CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED (NO BRAND NAME) (IF KNOWN) APPLICATION DATE FOR OffICIAL USE ONLY . : FACILITY NO. NO. OF TANKS FEES $ "I THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULAT IONS. THIS FO[~:HAS BE/~N C/oOMP LETED UNDER PENALTY OF PERJURY, AND TRUE APPROVED BY: APPLICANT NAME (PRINT) TO THE BEST OF MY KNOWLEDGE, IS APPLICANT SIGNATURE 'THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ~ 3RUX'Pd N AVE. N 02°59'45'W 192.49' [ / :', SITE DATA 4) ~o,~o ~ / ~ (~.-~o) ~ (~q:~ -2) 21" CHEVRON- ~~. ~ ~ C-78 HALLMARK ID SIGN WORDMARK SIGN h 'Y- CONCRElt SIDEWALK ~"~ CONCRETE ApPI~OACH S 0'52'47"W · ;I OAK STREET 30,871 (.$4 ACRES) BUILDINGS - 1.0% CANOPY - L4NBSCAPING - 2.4~ REQUIRED PRO¥1DED GASOLINE SERVICE STAllON BAKER-.I, FiELD FiRE OFFICE O!~ ENVIRONMENTAL NOTE: A~ ~11~ to plans ~=. ~d rot ~n~u~n an~/or instellah,: ~. : . ~', SCOPE OF WORK 1) SUPREME UNLEADED TURBINE SUMP TEST FAILED. REPAIR ~HOD: SEAL SUMP WITH SUMP FLEX RD-1750 BY VORTEX 2) DISPENSER SUmP TEST FAILED AT POSITION 7-8, 9-10. REPAIR ~ETHOD:' EXPOSE SUMP, RD-1750 BY VORTEX ~;IGRoUND & GRADE PLAN SERVICE STATION #9-8109 1131 OAK STREET l) CALIFORNIA AVE JBAKERSFIELD, CA · Chevron DA'IIi: 07/02/85 -- $CAI~z 1"=10'-0' ~ FILENAME: 98109 items 11 2, and 3. Also complete Restricted Delive.ry is desired. · Print YOUr name and address on the reverse so that we can return, the card to you. · Attach this card to the'back of the mailpiece, or on the front if space permits. 1. Article Addressed' to: ~ON ,~RODUCTS P O BOX ~6004 SAN P,A~ON, CA 94583 ', "~'~'ql 0360 0002 5244 PS I-'1~'~ 3811, July 1999 D. Is delivery addres.' item 1 ? If YES, enter delivery address below: [] Agent [] Addressee 3. Service Type ~1 Certified Mail [] Express Mail [] Registered [] .Return Receipt for Merchandise [] insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 7285 Domestic Return Receipt 102595-99-M-1789i UNITED STATES POSTAL SER~/ICE IFirst-Class Mail_ Postage & Fe~ USPS Permit No. G- · Sender: Please print your name, address, and Z P+4 in this box · BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 Postage ~,- ru i.rl Certified Fee Return Receipt Fee (Endorsement Required) I"1 Restricted Delivery Fee (Endorsement Required) Total Postage & Fees .3~ 2.1C 1.5C 3.94 Postmark Here Sent To HAL O ~ RF_JLR ................... /~;~'t;'~'~:'~'¥[ ......................................................... [or Po sox ~o. p 0 ]303[ 6004 |Eii~'~i~i~:'~'~F;'~' ........................ : ................................................. SAN RAMON CA 94583 D August 13, 2002 Hal O'Rear Chevron Products P.O. Box 6004 San Ramon, CA 94583 CERTIFIED MAIL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERg~CES * EN~IRONM~.NT~ SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBUC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 3260576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-O576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Submit/Perform Annual Maintenance on Leak Detection System at Chevron Station g98109, 1131 Oak Street, Bakersfield, CA Dear Mr. O'Rear: Our records indicate that your annual maintenance certification on your leak detection system was past due on August 6, 2002. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, September 13, 2002, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any-questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 07/25/2002 Order Number: 3123953 Date Printed and Mailed: 08/07/2002 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 98109 1131 OAK ST. BAKERSFIELD, CA. 93304 Testing performed: Stage II blockage tests Stage II pressure decay tests Sincerely, Dawn Kohlmeyer Manager, Field Reporting CERTIFICATE OF STAGE II VAPOR RECOVERY TESTING 8900 SHOAL CREEK BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512).459-1459 TEST DATE: 07/25/02 WORK ORDER NUMBER3123953 CLIENT: CHEVRON U.S.A. SITE: CHEVRON 98109 P.O. BOX 2292 1131 OAK ST. 145 S. STATE COLLEGE BLVD. BAKERSFIELD, CA 93304 BREA, CA 92822-2292 A/TN: JUDY BOWE CONTACT: Manager Pass/ I cfh I cfh ! cfh fa cfh I crh I crhl c~h I c~hl fail ~-~OLm~ I 0.04 0.10 0.20 0.40 0.56 PASS PLUS Z o.o5 o.13 0.26 0.44 0.60 PASS suPR~ i 0.04 0.12 0.19 0.35 o.so PASS REGULAR 2 0.05 0.13 0.29 0.40 0.65 PASS PLUS ~ 2 0.07 0.14 0.30 0.44 0.63 PASS supR~.~ 2 0.04 0.10 o.z9 0.33 0.49 PASS REGULAR 3 0.07 0.14 0.30 0.44 0.60 PASS PLUS 3 0.06 0.13 0.29 0.44 0.60 PASS supRmra 3 0.06 0.12 0.29 0.40 0.57 PASS REGUL~ 4 0.04 0.10 0.19 0.30 0.4s PASS PLUS 4 0.06 0.15 0.29 0.40 0.57 PASS SUPREME 4 0.08 0.14 0.29 0.40 0.61 PASS REGULAR 5 0.04 0.10 0.20 0.34 0.49 PASS PLUS 5 0.06 0.10 0.29 0.40 0.57 PASS SUPREME 5 0.05 0.12 0.22 0.39 0.50 PASS 'REGULAR 6 0.02 0.10 0.20 0.29 0.44 PASS PRESSURE DECAY TEST i i 2.00 2.00 1.98 1.97 1.97 1.97 1.80 8106 PASS 1ST TEST FAILED PER TP201.3 Tankno]ogy appreciates the opportunity to s~ve you, and looks foward to workin§ ~th you in the future. Please call any time, day or niEht, when you need us. Tanknology representative: Test conducted by: CLIFF PORTER ALBERT J. QUEIROS Reviewed: Technician Certification Number:91-1448 CERTIFICATE OF STAGE II VAPOR RECOVERY TESTING TEST DATE:07/25/02 CLIENT: CHEVRON U.S.A. P.O. BOX 2292 145 S. STATE COLLEGE BLVD. BREA, CA 92822-2292 ATTN: JUDY BOWE ranknotogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459~1459 WORK ORDER NUMBER3 12 3 9 5 3 SITE: CHEVRON 98109 1131 OAK ST. BAKERSFIELD, CA 93304 CONTACT: Manager 6O cfh I .cfh I cml fail I cfh I cfh I cm I cm I cml fail PLUS 6 0.07 SUPREME 6 0.05 REGULAR 7 0.04 PLUS 7 0.04 SUPREME 7 0.05 REGULAR 8 0.04 PLUS 8 0.04 SUPREME 8 0.06 REGULAR 9 0.07 PLUS 9 1.00 0.05 SUPREME 9 0.07 REGULAR 10 0.03 PLUS 10 0.07 SUPREME 10 0.05 0.14 0.11 0 10 0 10 0 13 0 10 0 10 0 12 0 13 0.13 0.14 0.10 0.14 0.11 0.29 0.40 0.69 PASS 0.28 0.40 0.56 PASS 0.29 0.44 0.62 PASS 0.22 0.34 0.49 PASS 0.26 0.40 0.59 PASS 0.22 0.35 0.50 PASS 0.19 0.30 0.44 PASS 0.22 0.39 0.53 PASS 0.29 0.41 0.62 PASS 0.29 0.44 0.69 PASS 0.27 0.40 0.57 PASS 0.19 0.39 0.50 PASS 0.28 0.39 0.53 PASS 0.20 0.33 0.53 PASS PRESSURE DECAY TEST 1ST TEST FAILED PER TP201.3 Tanknology appreciates the opportunity to serve you, and looks foward to working'with you in the future. Please call any time, day or night, when you need us. Tanknology representative: CLIFF PORTER Reviewed: Test conducted by: ALBERT J. QUEIROS Technician Certification Number:91-1448 Form 1 Source Test Tesults Static Leak Test Date: 07/25/2002 GDF Name and address: Stage II system (check one): Stage I type (check one): Time: 11:30 9-8109 1131 OAK ST. Vapor Balance Vacuum Assist Two point [X ] Coaxial [ ] Application No. [ X ] Single Hose M.P.D. [ ] Type: Manifolded? Yes [X ] No [ ] [ ] Tank # 1 2 3 Product grade 91 89 87 Actual tank capacity (gallons) 9842 9842 9842 29526 Gasoline volume (gallons) 6776 8173 6471 21420 Ullage (gallons) 3066 1669 3371 8106 Initial pressure of UST, inches H20 0 0 0 0 Number of nozzles served by tank 10 10 10 30 Test location: (A) Stage I vapor , coupler of (B) Stage II riser A Initial Pressure, inches H20 (2.0) 2.00 Pressure after 1 min. (inches H20) 2.00 Pressure after 2 min. (inches H20) 1.98 Pressure after 3 min. (inches H20) 1.97 Pressure after 4 min. (inches H20) 1.97 Final Pressure after 5 min. (inches H20) 1.97 Allowable Final Pressure: Table lA, Table lB, Equations 9.1, 9.2 1.80 Test Status [Pass or Fail] Pass Tests Conducted By: AQUEIROS Test Company: TANKNOLOGY Tests Witnessed By: Date of Tests: 07/25/2002 TEST DATE:0?/25/02 CLIENT:CH~..VRON ~T. S.A. · Ten 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3123953 SITE:CHEVRON 98109 COMMENTS Witness test with Catherine from SJAPCD PARTS REPLACED 6 EMCO WHEATON A4005-04 REBUILT NOZZLE I tPhil-tite swivel vapor adaptor HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 08/07/2002 07:32 SBOWERS SITE DIAGRAM ~ Tan~ 6900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 0'7/25/02 CLIENT:CHI~'V"RO~I' O. S .A. WORK ORDEP~ NUMBER3123953 SITE: CH~.'V~ON 9810'9 LM 10K PLUS 10K ' ~-'N I11:2o] ~4 ~ I I',_V_,%TJ I m z Printed 08/07/2002 07:32 SBOWERS July' 30, 2002 Oak Street Chevron 1131 Oak Street Bakersfield CA 93304 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 ~H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ~H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester A~e. BakerSfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 REMINDER NOTICE · RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does hot want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Steve Underwood Fire Inspector Environmental Code Enforcement Officer 'l'anknology 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 05/22/2002 Order Number: 3122700 Date Printed and Mailed: 06/05/2002 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 98109 ~ 1131 OAK ST. BAKERSFIELD, CA. 93304. Testing performed: Secondary Containment testing Sincerely, Dawn Kohlmeyer Manager, Field Reporting SB 98 ARY RESULTS TEST DATE: 05/22/2002 WORK ORDER NO.: 3122700 CLIENT: C~]EVRON SITE: CZ-~"v'~ON 98109 P.O. BOX 2292 1131 OAK ST. 145 S. STATE COLLEGE BLVD. BREA CA 92822 BAKERSFIELD CA 93304 CRAIG MORGAN 714-671-3282 Tank Interstital Tests SUPRE~ Xerxes PASS PLUS Xerxes PASS REGULAR Xerxes PASS DIESEL Xerxes PASS Piping Interstital Tests DIESEL Smith PASS SUPREME Smith PASS REGULAR i Smith P/~S PLUS : Smith PASS Sump & Under-Dispenser Containment Tests DIESE xer~es Pass PLUS xerxes Pass SUPINE xerxes ~Fail 1/2 ~m~erican containment Pass REGUL Xerxes Pass 3/4 American Contaiament Pass PLUS xerxes Pass 5/6 American Containment Pass DIESE Xerxes Pass 7/8 American Containment Fall SUPRE xerxes Pass 9/10 American Containment Fail REGUL xerxes Pass Tanknology representative: Services conducted by: KEN MINTON DAVID LASKY SUPRE~ Xerxes PASS PLUS Xerxes PAS S REGULAR Xerxes PASS DIESEL Xerxes PASS DIESEL Smith PASS SUPREME Smith PASS REGULAR Smith P~S PLUS : Smith pASS ;ITE NAME: CHEVRON 98109 SITE ADDRESS: '1131 OAK ST. REASON FOR TEST: SB-989 Compliance SECONDARY CONTAINMENT TEST RESULTS 98109 WORK ORDER 3122700 BAKERSFIELD CA IGroundwater Level(" from ~lrade): 93304 TANK INFORMATION AN[;) INTERSTI]IAL leu I ~ I~ p~ Start Initial Finish Final Pass/ Dia. Matedal Manufacturer e h Test Method Tank Product Tank Size (. ) " Time Level Time Result Fail I SUPREME 9842 91 DW FIBERG Xerxes 68 Vacuum 0952 -10.02 "Hg 1057 -9.75 "Hg PASS 2 PLUS 9842 91 DW FIBERG Xerxes 68 Vacuum 1056 -10.07 "Hg 1156 -9.83 "Hg PASS 3 REGULAR 9842 91 DWFIBERG Xerxes 68 Vacuum 1025 -10,02 "Hg 1125 -9.98 "Hg PASS 4 DIESEL 9842 91 DW FIBERG Xerxes 68 Vacuum 0920 -10.11 "Hg 1020 -9.89 "Hg PASS 5 7 8 Comments: Volume Start Initial Finish Final Pass/ Dia. Len. Material Manufacturer Test Method Tank Product (" ) (feet) (~lallons) Time Level Time Result Fail I DIESEL 4.00 250 DW FG Smith 82 Pressure 0832 5.10 psi 0932 5.10 psi PASS 2 SUPREME 4.00 250 DW FG Smith 82 Pressure 0816 5.08 psi 0916 5.00 psi PASS 3 REGULAR 4.00 250 DW FG Smith 82 Pressure 0815 5.07 psi 0915 5.06 psi PASS 4 PLUS 4,00 250 DW FG Smith 82 Pressure 0812 5.06 psi 0912 5.04 psi PASS, 5 6 7 8 Comments: SECONDARY CONTAINMENT TEST RESULTS Test Date: 05/22/2002 Work Order: 3122700 ~UIVll~ I I~1 ~ Model or Diam./Width/Length Depth Start Initial Level Finish Final Pass/ Type Tank or Disp Manufacturer Test Method # Material (" ) (" ) Time Level Chanqe Time Result Fail STP Sump DIESEL Xerxes Fiberglass 48 68 VPLT 1033 16 " .00001 1053 .006 gph Pass STP Sump SUPREME Xerxes Fiberglass 48 68 VPLT 1009 ~ 17 " -.00805 1032 .305 gph Fail STP Sump REGULAR Xerxes Fiberglass 48 68 VPLT 1050 19 · .00002 1108 .010 gph Pass STP Sump PLUS Xerxes Fiberglass 48 68 VPLT 1251 22 , -.00007 1304 .004 gph Pass Fill St~mp DIESEL Xerxes Fiberglass 48 61 VPLT 1506 11 · -.00065 1520 -.016 gph Pass Fill Sump SUPREMEF Xerxes Fiberglass 48 62 VPLT 1515 30 " -.00017 1529 .011 gph Pass Fill Sump REGULAR Xerxes Fiberglass 48 61 VPLT 1607 13 . -.000169 1620 .029 gph Pass Fill Sump PLUS Xerxes Fiberglass 48 59 VPLT 1625 27 · .00002 1641 .002 gph Pass Dispenser Sump 1/2 American Fiberglass 49X26 ' 27~ VPLT 1338 16" , -.00012 1354 .002 gph Pass Dispenser Sump 3/4 American Fiberglass 49X26 27 VPLT 1330 13 .00007 1345 -.005 gph Pass Dispenser Sump 5/6 American Fiberglass 49X26 27 VPLT 1413 13 · -.00003 1427 -.004 gph Pass Dispenser Sump 7/8 American Fiberglass 49X26 27 VPLT 1345 13 .00350 1404 -.229 gph Fail Dispenser Sump 9/10 American Fiberglass 49X26 27 VPLT 1315 16~5 , 3"VISUAL 1423 13.5 gph Fail Comments: DISPENSER SUMP 9/10 DROPPED TOO FAST TO DETERMINE LEAK RATE. Work Order: 3122700 OFFICE OF EN~¢IRONMENTAL SERVIC~ 1715 Chester Ave., Baker~.ekl, C~ ((~1~1) $~6..3979 APPROVED BY DA~ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3 ~.2 2 ? 0 0 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3'122700 SECON~)&RY SYST~ CERTWICATION FOP~ DAT Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 31.22700 UI)C ~?ING WA'Ilffi t Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 32.22700 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 TEST DATE:05/22/02 CLIENT: CHEVRON 'ran 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3122?00 SITE: CI~/RON 98109 COMMENTS One 55 gallon drum left on site provided by Joe Rhodes. 91 STP sump faile~ testing. Dispenser Dans 7/8 an~ 9/10 faile~. 3.5 hours labor repairing clam~s on electrical penetrations. PARTS REPLACED r QUANTITY DESCRIPTION HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) ITEMS TESTED HEMUM =PINPOINT LEAK TEST RESULTS Printed 06/05/2002 08:47 CCHAPA SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 05/22/02 CLIENT: C I-I~'t/'EON WORK ORDER NUMBEP,3122700 SITE: CI-I~'I/~ON 98~.09 Printed 06/05/2002 08:47 CCHAPA D May 29, 2002 Oak Street 1131 Oak Street Bakersfield, CA,93304 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 R.E: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 1131 Oak Street REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (66 l) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures April 30, 2002 City of Bakersfield Fire Department 1715 Chester Avenue, Third Floor Bakersfield, CA 93301 Chevron Products Company, Inc. PO Box 60~vr0~n San Ramo~3-0904 Benny Bra~ Licenses/Permits Specialist Phone No. 925-842-9002 Fax No. 925-842-9585 RE: FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS Dear Sirs: Please find enclosed the following documents: 1) Proof of Financial Responsibility 2) Certificate of Financial Responsibility 3) Chevron Facility List under your jurisdiction These documents meet the financial responsibility requirements for all USTs owned by Chevron and have previously been submitted directly to the State. If you have any questions feel free to contact me. Sincerely, Benny Brar Licenses/Permits Specialist Permit Desk Enclosure: as stated April 30, 2002 Page 11 ChevronTexaco CERTIFICATION OF FIN~~ RESPON~n.~ CI-~EVRON U.S.A. INC. he .r~by certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The fmaucial assurance mechanisms used to demonstrate financial respousibility uuder subpart H of 40 CFR pa~t 280 aro as follows: Financial test and 0orporato guarantee of Ch~munTexaco Corporation in the amount of $1 million p~r occurrence, $2 million annual aggreg~, for tho period commencing April 30, 2002 and which is anticipated to be renewed annually, with time next renewal soheduled to o~:ur during the first 120 days of 2003. Said guarant~ covers taldug corrective a~tion and compensating third parties for bodily injtuy and propox'y damago caused by either sudden accidental releases or nonsudden accidental releases or accidental releases; April 30, 2002 · CHEVRON U.S.A. INC. ,,/Judith L. ~eisler 04130/02 TUE 14:04 [TX/RI NO 8561] April 30, 2OO2 Page 1 ! ChevronTexaCo CERTIFICATION OF FINANCIAL EF_,SPONSIBH.rrY CHEVRON U.S.A. INC. he .r~by certifies that it is in compliance with ~he requirements of subpart H of 4O CFR part 280. The financial assurance mech~ni.~ms used to demonstrate financial responsibility under subpart H of 40 CFK part 280 are as follows: Financial test and corporate guaran~ of Ch~vronToxa~ Coqxa~fion in the amount of $1 million per occun~nce, $2 million annual aggr~p~, for the period commencing April 30, 2002 and which is antioipated to be renewed annually, with lhe next rmewal scheduled to occur during the tim 120 days of 2003. Said guarante~ cowrs taking correc/ive action and compensating lhird parties for bodily injury and prop~ty damage caused by either sudden accidental releases or nonsuddefl accidental releases or accidmdal r~lease~; Apd130,2002 CHEVRON U.S.A. INC. By //Judith L. Geisler 04/30/02 TIlE 14:04 ['rX/RX NO 8561] April 30, 2002 Page 11 ChevronTexaco ~ ~r~CI~ICATION OF I~INANCIAL RKSPONSIBn.rI~ CHEVRON U.S.A. INC. he .r~by certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The fiuancial assurance mech~ni.~n~s used to demonstrate fina~ial respons~ility under subpazt H of 40 CFR pa~t 280 are as follows: Financial test and corporate guarantee of ChevronTexaco Co~xwation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 30, 2002 and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 2003. Said guarantee .coves taking con~cfve action and compensating third parties for bodily injury and property damage caused by either sudde~ accidental releases or nonsudden accidental r~leases or accidental releases; April 30, 2002 · CHEVRON U.S.A. INC. ~udith L. Oeisler 04130/02 TUE 14:04 [TX/RX NO 8561] April 30, 2O02 Pag~ 11 ChevronTexaco CERTIFICATION OF FINANCIAL RgSPONSIBn.rI'Y CHEVRON U.S.A. INC. h~ .r~by certifies that it is in compliance ~ thc requirements of subpart H of 40 CFR part 280. The ~mcia.1 assuran~ mechanisms used to demonstrate financial rmponsibility under subpart H of 40 ~ par 2~0 are as follows: Financial test ami eoqxaato guarantee of ChovronToxa~ Coq~m~fion in the amount of $1 million per occtm-ence, $2 million annual aggregate, for the period commencing April 30, 2002 and which is anticipated to be reae~ annually, with ~1~ next rea~val soheduled to ocour during tho first 120 days of 2003. Said guamat~ ~ov~s taking oon~tive aotion and compensaling third parties for bodily injury and property damago caused by either sudden ar. cide. mal releases or nonsudden ~.cident~l releases or ar. cid~ntal roleases~ April 30, 2002 · CHEVRON U.S.A. INC. //~udith L. Geisler 04~30/02 TUE 14:04 [TI/RX NO 8561] April 3O, 2002 Page 11 ChevronTexaco CERTIFICATION OF FINANCIAL RF..SPONSIBn.rrY CHEVRON U.S.A. INC. be .r~y certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The fmaucial assurance mechanisms used to demonstrate finaucial respous~ility under subpart H of 40 CFR p~ut 280 nfo as follows: Financial test and oorlx)rato guarantee of ChemmxmTexac. o Corporation in tho amount ors1 million per occurrence, $2 million anmud aggregate, for the period commencing April 30, 2002 and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first ]20 days of 2003. Said guarant~ covers taking co~ action and compensaling third parties for bodily injury and property damago caused by either sudden accidental releases or nonsudden accidental r~leas~ or ac.,cidmtal releases: April 30, 2002 'CHEVRON U.S.A. INC. /~udith L. ~isl~ 04/30/02 TIIE 14:04 [TX/RX NO 8561] April 30, 2002 Page 11 ChevronTexaco CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. he .r~by certifies that it is in complianco with the requirements of subpart H of 4O CFR part 280. The financial assurance mechanisms used to demonstrate financial respons~ility under subpart H of 40 CFR part 280 ar~ as follows: Financial test and ootlmmto guatantoo of Cl~eronToxaco Corporation in tho amount orS1 million per occtllTellce,, $2 millioil allll~al aggrllgl~, for the period e, omme~lcing April 30, 2002 and which is anticipated to be renewed annually, with tl~ next renewal scheduled to occur during the first 120 days of 2003. Said guarant~ covers taking ce~ a~ion and com~ third parties for bodily injury and property damago caused by either sudden accidental releases or non.sudden accidental r~leases or accidental roleases; April30,2002 -CHEVRON U.S.A. INC. 04/30/02 TUE 14:04 [TX/RX NO 8561] April 3O, 2OO2 Pag~ ~ 1 ChevronTexaco CERTIFICATION OF FINANCIAL RESPONSIBII.rl'Y CI-IEVRON U.S.A. INC. he .r~by c.~ifies that it is in complianco with the requixemeats of subpart H of 4O CFR part 280. The financial assurance mechanisms used to demonstrate financial responsibility under subpart H of 40 CFR part 280 are as follows: Financial test and ootporato guarantoo of ChovroaT~ Corporation in tho amount of $1 million per occun~co, $2 million anluial aggrogate, for tho period commeacing April 30, 2002 and which is anticipated to be renewed annually, with ~ho next r~newal scheduled m occur during the fu~t 120 day~ of 2003. Said guaranteo cove~ talcing corrective action and compen~ third partie~ for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental role, ases or accidoaial r~leases~ April30,2002 · CHEVRON U.S.A. INC. Senior Counsol By //Judith L. Oeisler 04130/02 TI. rE 14:04 [TX/RX NO 8561] April 30, 2002 Page 11 ChevronTexaco C~RT~'][CATION OF FINANCIAL RESPONSIBn.rrY CHEVRON U.S.A. INC. he .r~y certifie~ that it is in compliance with thc requirements of subpart H of 40 CFR part 2g0. The financial assurance mechanisms used to demonstrate financial responsibility under subpart H of 40 CFR part 280 aro as follows: Financial test and corporate guarant~ of ChcwoaT~ Corporation in the amount of $1 million per occurrence, $2 million annual aggr~a~, for the period commencing April 30, 2002 and which is antioipated to be renewed annually, with tho next rmewal scheduled to occur during the first 120 days of 2003. Said guanmtm Cove~ taking corroctive action and com~ third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental r~le~z or accidental releases; April 30, 2002 · CHEVRON U.S.A. INC. x//udith L. Ocisler 04/30/02 TUE 14:04 [TX/RX N0 8561] ~n~vgv~ ~oKr. ~001 ChevronTexaco Corporation 575 Market Street San Francisco, CA 94105-2856 Tel 415 894 3232 Fax 415 894 6017 John Watson Vice President and Chief Financial Officer ChevronTexaco April 30, 2002 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the Chief Financial Officer of ChevronTexaco Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor -- all underground storage tanks owned by Chevron U.S,A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR paris 271 and 145: EPA REGULATIONS AMOUNT Closure (§ §264.143 and 265.143) Post-Closure Care (§ §264.145 and 265.145) Liability Coverage (§ §264.147 and 265.147) Corrective Action (§264.10 l(b)) Plugging and Abandonment (§ 144.63) 91,323,697 80,968,710 8,O00,0O0 22,164,100 1,562,960 California State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment 207,359 735,685 66,000,000 0 0 04/30/02 TUE 14:01 [TX/RX NO 8560] April 30, 2002 Page 2 ChevronTexaco Louisiana State Program Closure Post-closure Care Liability Coverage Corrective Action Plugging and Abandonment Total 4,914,355 844,687 !,ooo, ooo 0 0 277,721,553 This guarantor has not received an adverse opinion, a disclaimer of opinion, ora "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. 1. Amount of annual UST aggregate coverage being assured by a test and guarantee $.. 2,000,000:00 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee $ 277,721,553.00 3. Sumoflines 1 and2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. $ 279,721,553.00 $ 77,354,000,000.00 $ 43,614,000,000.00 $ 33,740,000,000.00 $ 32,629,000,000.00 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are ~east 90% of assets located in the U.S.? (If'2qo", complete line 11.) 11. Is line 7 at least 6 times line 3? Yes X N___9.o X 04/30/02 TUE 14:01 [TX/RX NO 8560] U~/3U/UZ TU~ i2:a'! VAA ! 415 894 5640 April30,2002 Page 3 CHEVRON CORP. 003 ChevronTexaco 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service 18. Date &maturity of bond $_, N/A $ N/A $ N/A $ N/A Standard & Poors October 1, 2004 19. Have f'manciai statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? Yes N__~o I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that information concerning California and Louisikaa was added to make disclosure more complete. _' Watson ' ' ~Vice President, Finance April 30, 2002 04/30/02 TUE 14:01 [TX/RX NO 8560] U4/SU/U2 'I'LJ~ [Z:57 FA& [ 415 5640 CHEVRON CORP. ~ 004 April 30, 2002 Page 4 ChevronTexaco GUARANTEE Guarantee made this April 30, 2002, by CI-IEVRONTEXACO CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the financial test cri~ria of 40 CFR. 280.95(b) or (e) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee underground storage tanks at various facilities in the states of: Alaska Arizona California Florida Georgia Hawaii Louisiana Nevada Oregon Texas Utah Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage mused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $ 1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or 04/30/02 TUE 14:0! [TX/RX NO 8560] U.I/~U/UZ 'I'UE 12:58 FAX l 415 5640 CHEVRON CORP. April30, 2002 Page 5 {~005 ChevronTexaco suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an mount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. IfCUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions t~om the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits.of coverage specified above. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt 6f the notice by CUSA, as evidenced by the return receipt. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above- identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; 04/30/02 TUE 14:01 [TX/RX NO 8560] TUg t2:5~ FAX I 415 5640 CHEVRON CORP. April 30, 2002 Page 6 OO6 ChevronTexaco (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 30, 2002 CHEVRONTEXACO CORPORATION Vice President, Finance Assistant Secretary 04/30/02 TUE 14:01 [TX/POi NO 8560] u4/Jo/o~ TUE 12:5S FAX I 415 894 5640 CHEVRON CORP. April 30, 2002 Page 11 007 ChevronTexaco CERTIFICATION OF FINANCIAL RESPONSIBIIJTy CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assuranco mechanisms used to demonstrate financial responsibility under subpart H of 40 CFR part 280 are as follows: Financial test and corporate guarantee of ChevronTexaco Corporation in the amount orS1 million per occurrence, $2 million annual aggregate, for the period commencing April 30, 2002 and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the f~t 120 days of 2003. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 30, 2002 CHEVRON U.S.A. INC. J.~J~ffrey ~loj'cher Senior Counsel //Judith L. Geisler Legal Analyst 04/30/02 TUE 14:01 [TX/RX NO 8560] April 17.2002 FIRE CHIEF RON FRAME ADMINISTRATIVE SERVICES 2101 ~H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Chevron Station 1131 Oak St Bakersfield CA 93304 RE: Necessary Secondary Containment Testing Required by December 31, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize a'hd have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SB U/dm enclosures KERN CTY- ENVIROMENTAL HEALTH 2700 M STREET SUITE 300 BAKERSFIELD, CA. 93301 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 Test Date: 08/06/2001 Order Number: 3118256 Date Printed and Mailed: 08/17/2001 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 98109 1131 OAK ST. BAKERSFIELD, CA. 93304 Testing performed: Leak detector tests Sincerely, Dawn Kohlmeyer Manager, Field Reporting CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST DATE: 08/06/01 TEST TYPE: TLD-1 CUSTOMER PO: 4601026 PURPOSE: COZv~:)L IANCE WORK ORDER NUMBER: 3118256 CLIENT: CHEVRON U.S.A. P.O. BOX 2292 145 S. STATE COLLEGE BLVD. BREA, CA 92822-2292 JUDY BOWE (310) 694-7349 SITE:CHEVRON 98109 1131 OAK ST. BAKERSFIELD, CA 93304 Manager (805)324-7621 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests l OK i SUPREME 1 OK 2 PLUS 10K 3 REG~ 10K 4 DIESEL :;::~:~i:~ ~EVNIE CH~NGi~ ~!NERESULT L~K~ LEAK IMPACT · ·~'~,~ ::: ~(~:F~ii: D~ECTO~ D~ECT~ .... ~' ~;~;~>~'~ ~ :(g~::'?~ ~ ~'~,!~[~o~clusive): PRESENT RESU~ ~:~E~:: Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any time, day or night, when you need us. Tanknology representative: Services conducted by: KEN MINTON RICHMOND PHILLIPS Reviewed: Technician Certification Number: 91-1071 Printed 08/17/2001 14:41 CCHAPA INDIVIDU, TEST DATE: 08/06/01 CLIENT: CHEVRON U. S. A. INFORMATION Tanknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TANK: INFORMATION RESULTS WORK ORDER NUMBER3118256 SITE:cHEVRON 98109 Tank ID: 10K 1 Product: SUPREME Capacity in gallons; 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FIBERG COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / Bottom to top fill in inches: 156.0 Bottom to grade in inches: 161.0 Fill pipe length in inches: 56.0 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DO~ Stage II vapor recovery: BALANCE Start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: ROT VacuTect Probe Entry Point: T~.STF. D Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS LEAK+DETECTOR?TEST RESULTS 'L.~T~.st :method~.FTA Make: Model: S/N: Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced L.D. #1 L.D. #1 VEEDERROOT P.L.D. 014690 . PASS New/passed Failed/replaced L.D. #2 L.D. #2 NOT TESTED COMMENTS LINE TEST RESULTS ............. , .,,,.;'. Test~type; i~*L COMMENTS Material: DW FIBERG Diameter (in): 3.0 Length (ft): 150.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: ~ P~.TRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: O-Nm~OWN Printed 08/17/2001 14:41 I : .D WDU _ ^.D · Tankno/ogy TEST DATE: 08/06/01 CLIENT: CHEVRON U. S. A. 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512)451-6334 WORK ORDER NUMBER3118256 SITE: C[-~VRON 98109 Tank ID: 10K 2 Product: PLUS Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FIBERG Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YEs Overfill protection: YEs Overspill protection: XES Installed: ATG CP installed on: / Bottom to top fill in inches: 3.55.0 Bottom to grade in inches: 3.6O. 0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: SALANCE COMMENTS "TANK TEST~:UL Start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: NOT VacuTect Probe Ent~ Point: TESTED Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Make: Model: S/N: Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced L.D. #1 L.D. #1 VEEDERROOT P.L.D. 001106 New/passed Failed/replaced L.D. #2 L.D. #2 NOT TESTED PAS S COMMENTS Material: DW FIBERG Diameter (in): 3.0 Length (ft): 3.50.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO COMMENTS NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: O-NmqOW~ Printed 08/17/2001 14:41 TEST DATE:08/06/01 CLIENT:cHEVRON O. S Tank ID: 10K 3 Product: REGULAR Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW F'rBERG T-an 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TANK~!~ORMATION Tank manifolded: No Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: Installed: ATG CP installed on: / / WORK ORDER NUMBER3118256 SITE: CF,~VRON 98109 Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 155.0 160.0 55.5 4.0 DUAL BALANCE COMMENTS Start (in) End (in) Bubble Ullage NOT TE S TED Dipped Water Level: Dipped Product Level: Probe Water Level: ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS ?L~DETECTOR TEST RES01b'I~S',~ ; ,~:~Test method: FTA Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced L.D. #1 L.D. #1 VEEDEP. ROOT P.L.D. 001095 New/passed Failed/replaced L.D. #2 L.D. #2 NOT TESTED PASS COMMENTS C~MMENTS Material: DW FIBERG Diameter (in): 3.0 Length (ft): 150.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: ~ PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: TmK~OW~ Printed 08/17/2001 14:41 I an/o /om m TEST DATE:08/06/01 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER3115256 CLIENT: CHE~P, ON O.S. &. AUSTIN, TEXAS 78757 (512) 451-6334 SITE: CHEVRON 9810 9 TANK INFORMATION Tank ID: 10K 4 Product: DTESET, Capacity in gammons: 9, $42 Diameter in inches: 91.00 Length in inches: 354 Material: DW FTBERG Tank manifolded: No Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: ~S Installed: ATC- CP installed on: / Bottom to top f~, in inches: 155.5 Bottom to grade in inches: 160.5 Fill pipe length in inches: 57.0 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DO~.L Stage II vapor recovery: COMMENTS ~TA~K~TEST ~SU~TS,TeSt Method.,y~,~ee~ start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: NOT VacuTect Probe Entry Point: ~ESTED Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Make: Model: S/N: Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced L.D. #1 L.D. #1 VEEDERROOT P.L.D. 001107 PASS COMMENTS Material: DW FIBER. C- Diameter (in): 3.0 Length (fl): 150.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: PRESSURE Pump make: ~ PETRO New/passed Failed/replaced L.D. #2 L.D. #2 NOT TESTED NOT NOT NOT TESTED TESTED TESTED COMMENTS Impact Valves Operational: b't,~K~OWN Printed 08/17/2001 14:41 TEST DATE:08/06/01 CLIENT:C~RVRO~ U. S .A.. 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3118256 SITE:CHEVRON 98109 COMMENTS Maintenance on site and aware that monitor wiring needs to be changed PARTS REPLACED ...... DESCR ION: HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) HA~:PINmlN~fEST RESL1L!~~ ~ Printed 08/17/2001 14:41 CCHAPA SITE DIAGRAM · ~ ~, Tankr~/ogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 08/06/01 CLIENT:CHEVRON U. S. A. WORK ORDER NUMBER3118256 SITE: CHEVRON 98109 10K p~ PLUS OK Printed 08/17/2001 14:41 CCHAPA ~:.--;:-~' ~ MONITORING SYSTEM CERTIFICATION ForW'~thin the State of California ,~k Use By All Jurisdictions Authority Cl1~a~Chapter 6.7, Health and Safety Code; Chapter 16, Division ~ 23, California Code of Regulations ; This Form must be used to document testing and se[vicing of monitoring equipment. If more than one monitoring system control panel is insalled at the facility, a separate certification or report must be prepared for each monioring system control panel by lhe technician who performs the work. A copy of this fom~ must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. Instructions are printed on the back page. A. General Information Facility Name: CHEVRON 98109 Site Address: 1131 OAK ST. city: BAKERSFIELD CA Zip: 93304 Contact Phone No: 324-7621 Facilty Contact Person: Manager Date of Testing/Service: 08/06/2001 Make/Model of Monitoring System: TLS-350 B.Inventory of Equipment Tested/Certified Word Order Number: 3118256 Check the appropriate boxes to Indicate specific equipment inspected/serviced Tank ID: 1 Tank ID: 2 [] In-Tank Gauging Probe. Model: MAG-1 [] Annular Space orVault Sensor. Model: 409 [] Piping Sump/Trench Sensor(s). Model: 208 [] FilISump Sensor(s). Model: 208 ] Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector. Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG-1 [] Dispenser Containment Sensor(s) Model: 208 aShear Valve(s). Dispenser Containmenl Float(s) and Chains(s). , Other(specify equipment type and model in Section E on page 2). nK IU: 3 n-Ta. %] In-Tank Gauging Probe. 'X']Annular Space or Vault Sensor. 'X'] Piping Sump/Trench Sensor(s). 'X'] Fill Sump Sensor(s). -'] Mechanical Line Leak Detector. 'X~ Electronic Line Leak Detector. 'X'J Tank Overfill/High-Level Sensor. 'X] Dispenser Containment Sensor(s) 'X] Shear Valve(s). Model: MAG-1 Model: 409 Model: 208 Model: 208 Model: Model: PLLD Model: MAG-1 Model: 208 '-] Dispenser Containment Float(s)and Chains(s). ~] Other(specify equipment type and model in Section E on page 2). lank IU: 4 Model: MAG-1 Annular Space or Vault Sensor. Model: Piping Sump/Trench Sensor(s). Model: 208 [] Fill Sump Sensor(s). Model: 208 [] Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector. Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG-1 [] Dispenser Containment Sensor(s). Model: 208 [] Dispenser Containment Sensor(s). Model: Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Other(specify equipment type and model in Section E on page 2). '~ In-Tank Gauging Probe. Model: MAG-1 -~Annular Space or Vault Sensor. Model: 409 '~ Piping Sump/Trench Sensor(s). Model: 208 'X'] Fill Sump Sensor(s). Model: 208 ~] Mechanical Line Leak Detector, Model: '~ Electronic Line Leak Detector. Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG-1 r~Dispenser Containment Sensor(s). Model: 208 [~Dispenser Containment Sensor(s). Model: [] Shear Valve(s). [~Dispenser Containment Float(s) and Chains(s). E-]Other(specify equipment type and model in Section E on page 2). C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturer's guidelines. Attached to this certificab'on is informab'on (e.g manufacturer's checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monito#ng equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): System set-up report; r~ Alarm history report r'~ ii ii PRINTED NAME:RICHMOND PHILLIPS SIGNATURE: COMPANY: Tanknology PHONE NO: (800) 8o0-4633 page 1 of 3 Based on CA form dated 05/00 onitoring System Certification Site Address: 1131 OAK ST. Date of Testing/Service: 08/06/2001 D. Results of Testing/Servicing Software Version Installed: Complete the following checklist: [] Yes [] No * Is the audible alarm operational? [] Yes [] No * Is the visual alarm operational? [] Yes [] No * Were all sensors visually inspected, functionally tested, and confirmed operational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not OYes []No* interfere with their proper operation? [] Yes [] No * [] N/A If alarms are relayed to a remote monitoring station, is all communications equipment(e.g, modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] Yes [] No * [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down (check all that apply) [x-] Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut-down due to--feaks and sensor failure/disconnection? [] Yes [] No [] Yes [] No * [] N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e, no mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigge~ % [] Yes [] Ne * Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes [] No* Was liquid found inside any secondary containment systems designed as dry systems?(check all that appl~[~ Product; [] WateHf yes, describe causes in Section E, below. [] Yes [] No * Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable [] Yes [] No * Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these decifiences were or will be corrected. E. Comments: page 2 of 3 ~)nitoring System Certification Site Address: 1131 OAK ST. Date of Testing/Service: 08/06/2001 F. In-Tank Gauging / SIR Equipment [] Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to preform leak detection monitoring Complete the following checklist: [] Yes [] No * Has all input wiring been inspected for proper entry and termination, including testing for ground faults? [] Yes [] No * Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes r'X'-~No* Was the accuracy of system product level readings tested? [] Yes r'~No* Was accuracy of system water level readings tested? YesI [] [--]No * Were all probes reinstalled properly? [] Yes []No* Were all items on the equipment manufacturer's maintenance checklist completed? G. Line Leak Detectors (LLD) · [] Check this box if no tank gauging or SIR equipment is installed. Complete the following checklist: For equipment start-up or annual equipment certification, was a leak simulated to verily LLD performance? [] Yes [] No [] N/A (Check all that apply) Simulated leak rate: [] 3 g.p.h [] 0.1 g.p.h [] 0.2 g.p.h [] Yes [] No Were all LLDs confirmed operational and accurate within regulatory requirements? [] Yes [] No * Was the testing apparatus properly calibrated? [] Yes [] No * [] N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] Yes []No * [] N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] Yes [] No * [] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected'; [] Yes [] No * [] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test; [] Yes []No * [] N/A :or electronic LLDs, have all accessible wiring connections been visually inspected? [] Yes [] No * Nere all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: page 3 of 3 Work Order: 3118256 ~:.*J?O Hi(i,.' :,b.~TE? L; -.LI'~'(. E>('i[RL-[, I iS-~. ~' 4 9842 i:~.UD-,DE N LOSS 'T~d~K TiLT 6645 '{,l,' 349 99 9842 7935 [,:~L [ ,'~;?< / L U"i 1T L,',;-M i k(A4.Z:Y T~4NX 'l'l i,.T 2.0 ::,* t-; '} S ~*. } 6©, [161 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3118256 Ti:.'i .-:7IMTE <,' Si t:¢:';i.E, FLO*~,T > Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: e 3118256 ..... L, FUEL Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3118256 ', i~;7 ~S? 0.4 FLiEL *~...:; ~,.:. 200[ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 C~TY OF BAKERSFIELD F~RE DEPARTMENT OIFF]CE OF ENVIRONMENTAL SERVICES UNiFiED ?~OGRAM t~NSPECTION CHECKLIST 117115 Che~ter Ave. 3~a lFll~r, Baker~fielld~ CA 9330~ FACILITY NAME Ofl.~_. !;4'FC--e.~ &,>~\ [] Routine [~Combined [~] Joint Agency Type of Tank ,D/M~v Type of Monitoring ~Z. ~ INSPECTION DATE [~ Multi-Agency [~ Complaint Number of Tanks g Type of Piping [0&~> Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility ~ / Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground S~rage Tanks TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~ ~ ~/_'~...; (_]ff~//~ ~ _/~---')~ Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy Business Site Responsible Party OHE\/F.'Of.I FJ'I>,l. 1920 BAKE~;:_;F I EL1]. 661 -324- '7621 17. 5'F~31 10::32 AM ALL F U N,?T 101',IF_; I N\ 'EI'.~T(.~"Z VOLUME -= .4F74 ULL~L;E ~ 5818 90'.'..;; LILL.*4GE = ,4,9:3 :~ TO' "L U['.'IE = 3972 HE~,-tT = :39.20 I [,d['.FrER \/,}L ~ 0 WATER = O. O0 I NC'HE;-; TEMI:" = '78.;3 DEC: F T 2: t:'LLIS V©LUPIE = 4050 ULLAGE = 5',:92 9[' ' Ii'.LA,]E= 4,_qCI7 TC~_..-.)LUME ; :'39'7'7 HEItgHT = :39.38 INCHE;:; WATER ',..;Oi. ~ I 1 GALS Wt.-4TER ~ 13.82 ! NC:HE;:., TEMP -- 8e,.5 £,EG F VOLUME = 6984 ULLAGE = 2858 907-;:, IjLL.hGE= 1873 TC VOLUi'.IE = 6855 HEIGHT = E,O. 68 I I'.IC:HEh: WATER VOI. = 0 [dATER ~ ~], O0 1NCHES TEMP = 86.2 DE(~ F T 4 :DI ES:EL VOLUME = 4227 UL~A(}E = 5615 90~Z LILL~4,_~E = 4~:30 TC VOLUP1E = .4172 GaLS HEIGHT = ql].[:,E, INCHE~3 bJA~'~c~ W,:::,L = 0 GALS kJ;" ~' =- i:~. OO l NC'HE:- TE~: :~ E~8.6 DEC: F CITY OF BAKERSFIELD FiRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGEAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ FI]oor, Bakersfield, CA 93301 FACILITY NAME ADDRESS .~!.q 1 FACILITY CONTACT INSPECTION TIME INSPECTION DATE /03 PHONE NO... ,~¢* '~6 2 (/ BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Routine ~ Combined [~ Joint Agency [~ Multi-Agency ~.~ Complaint [~ Re-inspection OPERATION C V COMMENTS 7 Appropriate permit on hand Business plan contact information accurate Visible address ~,.~ Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability ~ / Verification of Haz Mat training ~.~ Verification of abatement supplies and procedures Emergency PrOcedures adequate Containers pro.P, erly labeled / Housekeeping Fire Protection ~ / Site Diagram Adequate & On Hand C=Compliance V=Violation ° 9 Enplain: I~ Ye~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy · Sitq~ Responsible Party Inspector: '~,~ ~/~~ 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 08/06/2001 Order Number: 3118256 Date Printed and Mailed: 08/17/2001 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 98109 1131 OAK ST. BAKERSFIELD, CA. 93304 Testing performed: Leak detector tests Sincerely, Dawn Kohlmeyer Manager, Field Reporting CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TESTDATE: 08/06/01 TEST TYPE: TLD-1 CUSTOMER PO: 4601026 CLIENT: CHEVRON U. $.A. P.O. BOX 2292 145 S. STATE COLLEGE BLVD. BREA, CA 92822-2292 JUDY BOWE (310) 694-7349 PURPOSE: COMPLIANCE WORK ORDER NUMBER: 3118256 SITE:CHEVRON 98109 1131 OAK ST. BAKERSFIELD, CA 93304 Manager (805)324-7621 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations TANK` 10K 1 10K 2 10K 3 10K 4 SUPREME PLUS REGULAR DIESEL Line and Leak Detector Tests E~ECTOR DEECTOIq P P P P : iM~T VALVES ~!ONAL Tapknology appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any time, day or nig'ht, when you need us. Tanknology representative: Services conducted by: Reviewed: Technician Certification Number: 91-1071 Printed 08/17/2001 14:34 CCHAPA TEST DATE: 08/06/01 CLIENT:cHEVRON U, S.A. 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3118256 SITE:cHEVRON 98109 Tank ID: 10K 1 Product: SUPREME Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FIBERG COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection; YES Overspill protection: YES Installed: ATG CP installed on: / Bottom to top fill in inches: 156.0 Bottom to grade in inches: 161.0 Fill pipe length in inches: 56.0 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: BALANCE Start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: Inclinometer reading: VacuTect Test Type: NOT VacuTect Probe Entry Point: TESTED Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Make: Model: S/N: Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced L.D. #1 L.D. #1 VEEDERROOT P.L.D. 014690 PASS New/passed Failed/replaced L.D. #2 L.D. #2 NOT TESTED COMMENTS COMMENTS Material: DW FIBERG Diameter (in): 3.0 Length (ft): 150.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TE S TED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: UNKNOWN Printed 08/17/2001 14:34 TEST DATE: 08/06/01 CLIENT:CHEVRON U. S .A. Tank ID: 10K 2 Product: PLUS Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FIBERG Tan/ato/ogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 Tank manifolded: No Vent manifolded: No Vapor recovery manifolded: Overfill protection: YES Overspill protection: Y~.s Installed: ATG CPinstalled on: / / WORK ORDER NUMBER3118256 SITE:CHEVRON 98109 Bottom to top fill in inches: 155,0 Bottom to grade in inches: 160.0 Fill pipe length in inches: 55.5 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: BALANCE COMMENTS 'P.E~L~,~I'.S Te~thod:VacuTe<=t ~ LEAK~DETECI~.R...~TEST~RESULTS~ ~T .... ~ .... S[~rt (in) ..... End ni ¥ '~: ~' ~ .... ~ ~ ~ Dipped Water Level: New/passed Failed/replaced New/passed Failed/replaced Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble Ullage NOT TESTED Make: Model: S/N: Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: COMMENTS L.D. #1 VEEDERROOT P.L.D. 001106 PASS L.D. #1 L.D. #2 L.D. #2 NOT TESTED COMMENTS DW FIBERG 3.0 150.0 Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: NOT NOT NOT NOT TESTED TESTED TESTED TESTED PRESSURE FE PETRO Impact Valves Operational: Printed 08/17/2001 14:35 TEST DATE: 08/06/01 8900 SHOAL CREEK, BUILDING 200 WORK ORDER NUMBER3118256 CLIENT: C~'EVRON O. S.A. AUSTIN, TEXAS 78757 (512) 451-6334 SITE: C[-~VRON 9810 9 Tank ID: 10[( 3 Tank manifolded: NO Bottom to top fill in inches: 155.0 Product: ~GULAR Vent manifolded: No Bottom to grade in inches: ].60.0 Capacity in gallons: 9,842 Vapor recovery manifolded: YES Fill pipe length in inches: 55.5 Diameter in inches: 9].. 00 Overfill protection: YES Fill pipe diameter in inches: 4.0 Length in inches: 354 Overspill protection: YES Stage I vapor recovery: DUAL Material: DW FTB~.RG Installed: ATG Stage II vapor recovery: SA~aA~TCE CP installed on: / COMMENTS ~TANK~TEST, RESU~TS'~est Me~?,ra~u'~ee~, ';~.~ Start (in) End (in) Bubble Ullage Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS NOT TESTED ; '" ~LINETEST :RESULTS New/passed Failed/replaced L.D. #2 L.D. #2 COMMENTS Material: DW FIBERG Diameter (in): 3.0 Length (fi): 3.50.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TESTED End time: Final gph: Result: Pump type: Pt~,~ ssut~ Pump make: ~ PETRO New/passed Failed/replaced L.D. #1 L.D. #1 Make: VE~.DERROOT Model: P.L.D. S/N: oo~o~s Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: PASS COMMENTS NOT TESTED NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: Printed 08/17/2001 14:35 INDIVI TEST DATE:08/06/01 CLIENT:C~EVROR O. S .A. TANK INFORMATION 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 RESULTS WORK ORDER NUMBER3118256 SITE:cHEVRON 98109 Tank ID: 10K Product: DIESEL Capacity in gallons: 9,842 Diameter in inches: 91.00 Length in inches: 354 Material: DW FTBERG COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: XES Overspill protection: XES Installed: ATG CP installed on: / Bottom to top fill in inches: 155.5 Bottom to grade in inches: 160.5 Fill pipe length in inches: 57.0 Fill pipe diameter in inches: 4.0 Stage I vapor recovery: DUAL Stage II vapor recovery: Start (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: End (in) Bubble Ullage COMMENTS NOT TESTED Make: Model: S/N: Open time in sec: Holding psi: Resiliency cc: Test leak rate mi/m: Metering psi: Calib. leak in gph: Results: New/passed Failed/replaced L.D. #1 L.D. #1 VEEDERROOT P.L.D. 001107 New/passed Failed/replaced L.D. #2 L.D. #2 NOT TESTED PASS COMMENTS COMMENTS Material: DW FIBERG Diameter (in): 3.0 Length (ft): 150.0 Test psi: Bleedback cc: Test time (min): NOT Start time: TE S TED End time: Final gph: Result: Pump type: PRESSURE Pump make: FE PETRO NOT NOT NOT TESTED TESTED TESTED Impact Valves Operational: ~ow-~ Printed 08/17/2001 14:35 MONITORING SYSTEM CERTIFICATION ,~ ~ T~ ~ For Use By All Jurisdictions W'~[hin the State of Califori ~ Authodt1~l~d Chapter 6.7, Health and Safety Code; Chapter 16, Divisi~"itle 23, California Code of Regulations This Form must be used to document testing and servicing of monitoring equipment, if more than one monitoring system control panel is insalled al the facility, a separate cerlification or report must be prepared for each moniodng system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. Instructions are printed on the back page. A. General Information Facility Name: CHEVRON 98109 Site Address: 1131 OAK ST. city: BAKERSFIELD CA Zip: 93304 Contact Phone No: 324-7621 Facilty Contact Person: Manager Date of Testing/Service: 08/06/2001 Make/Model of Monitoring System: TLS-350 B.Inventory of Equipment Tested/Certified Word Order Number: 3118256 Check the appropriate boxes to Indicate specific equipment inspected/serviced Tank ID: 2 Model: MAG-1 MAG-1 ] ank ID: 1 In-Tank Gauging Probe.  Annular Space orVault Sensor. Model: 409 Piping Sump/Trench Sensor(s). Model: 208 -~ FilISump Sensor(s). Model: 208 ~ Mechanical Line Leak Detector. Model: '~ Electronic Line Leak Detector. Model: PLLD '~ Tank Overfill/High-LeveI Sensor. Model: MAG-1 "'~ Dispenser Containment Sensor(s) Model: 208 [] Shear Valve(s). [] Dispenser Containment Float(s) and Chains(s). [] Other(specify equipment type and model in lanK IL); 3 [] In-Tank Gauging Probe. Model: r'~Annular Space or Vault Sensor. Model: 409 [] Piping Sump/Trench Sensor(s). Model: 208 [] Fill Sump Sensor(s). Model: 208 [] Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector. Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG-1 Model: 208 [] Dispenser Containment Sensor(si [] Shear Valve(s). [] Dispenser Containment Float(s) and Chains(s). Section E on page 2), r~ Other(specify equipment type and model in Section E on page 2). lanKIU: 4 [] In-Tank Gauging Probe. Model: MAG-1 E~Annular Space or Vault Sensor. Model: 4u~ [] Piping Sump/Trench Sensor(s). Model: 208 [] Fill Sump Sensor(s). Model: 208 [] Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector, Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG-1 [] Dispenser Containment Sensor(s). Model: 208 Dispenser Containment Sensor(s). Model: Shear Valve(s). Dispenser Containment Float(s) and Chains(s). Other(specify equipment type and model in Section E on page 2). [] In-Tank Gauging Probe. Model: MAG-1 r~'lAnnular Space or Vault Sensor. Model: 409 [] Piping Sump/Trench Sensor(s). Model: 208 [] Fill Sump Sensor(s). Model: 208 [] Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector. Model: PLLD [] Tank Overfill/High-Level Sensor. Model: MAG-1 []Dispenser Containment Sensor(s). Model: 208 []Dispenser Containment Sensor(s). Model: [] Shear Valve(s). [] Dispenser Containment Float(s) and Chains(s). []Other(specify equipment type and model in Section E on page 2). C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturer's guidelines. Attached to this certification is inforrnat~'on (e.g manufacturer's checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached acopyofthe(Checkallthatapply): Systemset-upreport; E~] Alarmhistoryreport E~] PRINTED NAME:RICHMOND PHILLIPS SIGNATURE: COMPANY: Tanknology PHONE NO: (800) 800-4633 page 1 of 3 Based on CA form dated 05/00 Monitoring System Certification Site Address: 1131 OAK ST. Date of Testing/Service: 08/06/2001 D. Results of Testing/Servicing Software Version Installed: Complete the following checklist: [] Yes [] No * Is the audible alarm operational? [] Yes [] No* Is the visual alarm operational? [] Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational? [] Yes [] No * Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No * [] N/A If alarms are relayed to a remote monitoring station, is all communications equipment(e.g, modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] Yes [] No * [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down (check all that apply) [] Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you confirm positive shut-down due to--teaks and sensor failure/disconnection? [] Yes [] No [] Yes [] No * [] N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e, no mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what pement of tank capacity does the alarm trigger?. % [] Yes [] No * Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes [] No * Was liquid found inside any secondary containment systems designed as dry systems?(check all that appl[~] Product; [] WaterJf yes, describe causes in Section E, below. [] Yes [] No * Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable [] Yes [] No * Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these decifiences were or will be corrected. E. Comments: page 2 of 3 , ' ' i~Monitoring System Certification Site Address: 1131 OAK ST. Date of Testing/Service: 08/06/200 F. In-Tank Gauging / SIR Equipment [] Check this box if tank gauging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to preform leak detection monitoring Complete the following checklist: [] Yes [] No * Has all input wiring been inspected for proper entry and termination, including testing for ground faults? [] Yes [~No* Were all tank gauging probes visually inspected for damage and residue buildup? [] Yes ~'~No* Was the accuracy of system product level readings tested? [] Yes r'~No* Was accuracy of system water level readings tested? [] Yes []No* Were all probes reinstalled properly? [] Yes []No* Were all items on the equipment manufacturer's maintenance checklist completed? G. Line Leak Detectors (LLD) · [] Check this box if no tank gauging or SIR equipment is installed. Complete the following checklist: For equipment start-up or annual equipment certification, was a leak simulated to verily LLD performance? [] Yes [] No* [] N/A (Check all that apply) Simulated leak rate: [] 3 g.p.h [] 0.1 g.p.h [] 0.2 g.p.h [] Yes , [] No * Were all LLDs confirmed operational and accurate within regulatory requirements? [] Yes [] No * Was the testing apparatus properly calibrated? [] Yes [] No * [] N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] Yes []No * [] N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] Yes [] No * [] N/A --or electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? [] Yes [] No * [] N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test'? [] Yes []No* [] N/A :or electronic LLDs, have all accessible wiring connections been visually inspected? [] Yes []No * Nere all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: page 3 of 3 SITE DIAGRAM 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 08/06/01 CLIENT:CI-I~.~RON U. S .A. WORK ORDER NUMBER3118256 SITE: CHEVRON 98109 10K [OkUL ~ '~OKPLUS ~ Printed 08/17/2001 14:35 CCHAPA D August 3,2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ~H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERWCES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Oak Street 1131 Oak Street Bakersfield Ca 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME C~,,c~'O~ ADDRESS FACILITY CONTACT INSPECTION TIME INSPECTION DATE /O/ {{}O PHONE NO. ~_,:3,~- 7(0 '~, BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: [~ Routine Business Plan and Inventory Program ~Combined ~ Joint Agency [~ Multi-Agency Complaint Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials r' Verification of quantities Verification of location / Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate L, / Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any h:~zardous waste on site?: [~ Yes [~ No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ~~ n ~bl P usi-nL~s.~te~ espo s' e arty Inspector: ~ [~~P/P? CITY OF BAKERSFIlELD FIRE DEPARTMENT @FFI~CE OF ENVIRONMENTAL SERVICES ILINltF[ED PR©GRAM INSPECTI~@N CHECKLIST 17~5 Che~ter A,ve.~ 3~d Fltoor, Bakersfieltd, CA 93301 INSPECTION DATE {'0//00 Sect[on 2: Underground Storage Tanks Program [] Routine [~Combined ~ Joint Agency ~ Multi-Agency Type of Tank Dt4~ Number of Tanks Type of Monitoring bL~ Type of Piping [] Complaint [~1 Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility ~/r ,- Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No b/' Section 3: Abovegroundl Storage Tanks TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Office of Environmental Services (805) 326-3979 White- Env. Svcs. Pink - Business Copy Business-'S'ite Responsible Party TYPE OF ACTION (Check one item only)  eIED PRO~RAM CON~OIJDATF. D TANKS UNDERGROUND STORAGE TANKS - FACILITY (one page per site) Page 1 of 1 [] 1. NEW SITE PERMIT [] 3. RENEWAL PERMIT [] 5.CHANGE OF INFORMATION [] 7~PERMANENTLY CLOSED ~l'f~. [] 4. AMENDED PERMIT specify change local use only [] 8. TANK REMOVED [] 6.TEMPORARY SITE CLOSURE 4oo I. FACILITY / SITE INFORMATION BUSINESS NA~ (Same as FACILITYNAME or DBA-Doin§ Business AS)chevron Station #98109 3 I FACILITY IDg I 0 0 I 10[0 01 I0 010 0 0 0 1 NEAREST CROSS STREET 4ol FACILITY OWNER TYPE [] 4. LOCAL GENCY/DI:S'iRICT* 1131 Oak Street, Bakersfield, CA 93304 BUSINESS [] 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER 4o3 TOTAL NUMBER OF TANKS REMAINING AT SITE 4 Is facility on Indian Reservation or trustlands? [] Yes [] No 4o5 [] 1. CORPORATION [] 5. COUNTY AGENCY* [] 2. INDIVIDUAL [] 6. STATE AGENCY* [] 3. PARTNERSHIP [] 7. FEDERAL AGENCY* 4o2 *If owner of UST is a public agency, name of supervisor of division, section or office which operales the UST (This is the contact person for the tank records.) 406 II. PROPERTY OWNER INFORMATION 407 I PHONE Chevron Products Company, Attn: Permit Desk 925-842-9002 PROPERTY OWNER NAME MAILING OR STREET ADDRESS P.O. Box 6004 408 CITY 410 STATE 4Il ] ZIP CODE 412 San Ramon CA [ 94583 PROPERTY OWNER TYPE [] 1. CORPORATION [] 2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE AGENCY [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY IH. TANK OWNER INFORMATION TANK OWNER NAME 414 PHONE Chevron Products Company, Attn: Permit Desk 925-842-9002 MAILING OR STREET ADDRESS 416 P.O. Box 6004 CITY 417 I STATE 418 I ZIP CODE San Ramon I CA [ 94583 TANK OWNER TYPE [] 1. CORPORATION [] 2. INDIVIDUAL [] 4. LOCAL AGENCY / DISTRICT [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 6. STATE AGENCY [] 7. FEDERAL AGENCY 419 420 13/. BOARD OF EQUALLZATION UST STORAGE FEE ACCOUNT NUMBER TY (TK) HQ 44- [ 0 I 3 I i 19 I 1 I 3 I Call (916) 322-9669 if questions arise Vo PETROLEUM UST FIN~CIAL RF3P~NSI~IL1TY 421 INDICATE METHOD(s) [] 1. SELF-INSURED [] 4. SURETY BOND [] 7. STATE FUND [] 10. LOCAL GOVT MECHANISM [] 2. GUARANTEE [] 5. LETTER OF CREDIT [] 8. STATE FUND & CFO LETTER [] 99. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CD 422 VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used for legal notifications and mailing. Legal nofificafions and maihngs will be sent to the tank owner anless box l or 2 is daecked. [] 1. FACILITY []2. PROPERTY OWNER []3. TANKOWNER 423 VHo APPLICANT SIGNATURE Certification - I certify that the inform~ion provided herein is~ue and accurate to the best of m', knowledge. NAI(4E OF APPLICANT (prim) ff~ ~ 426 Chevron Products Company/RESH STATE UST FACILITY NUMBER (~or local use or~y) 428 DATE 424 [ PHONE 08/31/00 I 714-671-3218 TITLE OF APPLICANT Retail ESH Specialist 1998 UPGRADE ~ERTIFICATE NUMBER flor local use only) 427 429 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM MONITORING PROGRAM FACILITY INFORMATION SHEET Facility: Chevron Products Company Service Station//9-8109 1131 Oak Street Bakersfield, California 93304 UST Owner: Chevron Products Company 6001 Bollinger Canyon Road, Bldg L P. O. Box 6004 San Ramon, Califomia 94582-0804 (925) 842-9002 { * For inquiries regarding the content of this plan, call (714) 671-3218 } UST Equipment: Tanks Type Tank Tank Monitoring Tank # Storage Capaci _ty Type Classification 1 Gasoline 10,000 D/W Fiberglass New 2 Gasoline 10,000 D/W Fiberglass New 3 Gasoline 10,000 D/W Fiberglass New 4 Diesel 10,000 D/W Fiberglass New Spill Containment POMECO POMECO POMECO POMECO Piping For Piping Piping Tank # Operation Type 1 Pressurized D/W Fiberglass 2 Pressurized D/W Fiberglass 3 Pressurized D/W Fiberglass 4 Pressurized D/W Fiberglass Monitoring Classification New New New New Note: "Existing" -- Installed prior to January 1, 1984 "New" -- Installed after January 1, 1984 9-8109 1131 Oak Street Bakersfield, Califomia 93304 EX-OI02 Rev. 08/08/00 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Owner Certification Chevron Products Company, as the owner of the underground storage tank system located at 1131 Oak Street, Bakersfield, California 93304, I hereby certify that: We have entered in to a written agreement with the operator of the UST system at the referenced location. This agreement is contained in our contract with the operator. The operator of the UST system at the referenced facility is responsible for and will perform all monitoring, record keeping, and reporting requirements for the UST system as outlined in the documents listed below. o The operator has been provided a copy of the Permit to Operate the UST system at the facility. The operator has been provided a copy of the provisions of Health and Safety Code Section 25299, January 1997. o The operator has been provided a copy of the California Code of Regulations Title 23 - Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994. o We understand that we are required to notify the UST Program of the Bakersfield Fire Department, in writing, of any change of operator within thirty days of any such change. Owner: CHEVRON PRODUCTS CO. We hereby certify that the preceding monitoring plan for underground storage tank systems will be implemented at our service station located at 1131 Oak Streeh Bakersfield, California 93304, To the best of our knowledge, all information contained herein is true and correct. Signature: ~t,,~_ A_~ -'~, ~~ Date:~~ Bruce T. Carpenter ~t Compliance Specialist, Environmental Safety & Health 9-8109 1131 Oak Street Bakersfield, Califomia 93309 EX-0107 Rev. 7/29/96 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Operator Certification As the operator of the Underground Storage Tank system installed at 1131 Oak Street~ Bakersfield~ California 93304,1 hereby certify that: I am, or represent the individual, firm, tmst, partnership, association, or corporation that is in control of and has the daily responsibility for the operation of the UST system at the referenced facility. I have entered into a written contract with Chevron Products Co., the owners of the UST system I am operating. I understand that this obligates me to perform monitoring, record keeping, and reporting requirements as outlined in the documents listed below. 3. I have received a copy of the Permit to Operate the UST system at the facility. 4. I have received a copy of the provisions of Health and Safety Code. Section 25299, January 1997 o Signature: I have received a copy of the California Code of Regulations Title 23 -Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994 Robert O. Southwick - Area Manager Chevron Stations Inc., Facility Operator Date: '~/ ~/ Facility Manager: Facility Manager: Facility Manager: ON SITE OPERATOR'S MANAGER/CONTACT Print and Sign Name Date: Print and Sign Name Date: / / Print and Sign Name Date: / / 9-81 O9 1131 Oak Street Bakersfield, California 93304 EXo0108a Rev. 08/08/00 Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: Facility Manager: ON SITE OPERATOR'S MANAGER/CONTACT Date: Print and Sign Name / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date:. / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / Print and Sign Name Date: / / 9-8109 1131 Oak Street Bakersfield, California 93304 EX~0108c Rev. 8/8/2000 CHEVRON PRODUCTS COMPANY MONITORING PROGRAM FOR "NEW" UNDERGROUND STORAGE TANKS Monitoring of underground tanks constructed pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2632 (C) (2) (A) and Section 2632 (C) (2) (B) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stored: Method of monitoring: Overfill protection: Dry Volatile Continuously operated electronic liquid level indicator Positive shut off in fill tube set at 95% of tank's capacity Monitoring equipment Control Unit Make: Model: Veeder Root TLS 350 with *TLM Liquid level probe - Gasoline Tank Interstitial Space: Make: Veeder Root Model: VR: 7934380-409 Location monitoring to be performed: At Facility - inside all underground tank(s) interstitial space (4) Note: Tank Level Monitor (TLM) is used for tank inventory control only and not for tank monitoring Person responsible for performing the monitoring: Chevron Stations Inc., Facility Operator's current on site manager Persons responsible for maintaining the monitoring equipment: Chevron Products Company Marketing Operations -- Maintenance Department 9-8109 1131 Oak Street Bakersfield, Califomia 93304 NW-0101a Rev. 8/8/2000 Visual monitoring of the tank monitor alarm box is performed daily by the dealer or a designated employee. Chevron also requires that the tank monitoring equipment operational and alarm condition be documented daily by using a "UST Equipment Monitoring Log". This log is also required to be used to document when equipment problems are reported to Chevron Maintenance and is to be kept as part of the station monthly inventory reconciliation records and on site at all times. Please see the attached site map for the location of all equipment at the site. The electronic monitoring devices are maintained according to manufacturer's recommendations. The dealer will also perform inventory reconciliation according to the procedure outlined in the Inventory reconciliation section of this plan, as stated in detail in Section 2626 of the copy of the California Code of Regulations, Title 23, Division 3, Chapter 16 dated May 5, 1994 that is attached to the dealer's copy of this plan. Daily and monthly inventory reconciliation is required by Chevron Policy. Training will be given to the dealer of record, Chevron Stations Inc.'s current on site manager, which includes information regarding: how to self test the electronic monitoring equipment, what the equipment monitors, how to tell when the alarm goes off, how to perform inventory reconciliation, record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other emergency. Chevron requires that all station employees be trained and familiar with tank alarm systems and reporting requirements, however training of the dealer's management and employees on the above mentioned subjects as well as the completing and filing of any further documentation outlining such training, as may be required by the Los Angeles County Department of Public Works, will be the responsibility of the dealer of record. In the event of an alarm activation, the operator may have cause to suspect a leak and is required to investigate. In the case of a monitoring equipment malfunction (e.g., green lights not on, lost power, etc.), operator is required to notify Chevron immediately for equipment maintenance. In the event of a leak, the operator will notify the Chevron Territory Manager (or other Retail Management), and will take the following actions: 1. Shut down the tank or product line. 2. Contact Chevron Maintenance Dispatch. 3. Contact the Fire Department or local Emergency response agency, if warranted. 4. Keep employees, customers, or bystanders away from any gasoline. In the event of a suspected leak, Chevron specifies procedures and mandates the use of a "Suspected Leak Activity Log" for investigation in case of an inventory tolerance problem, and equipment alarm, and/or if there are any other reasons to suspect a leak. When circumstances occur to the point where this log needs to be used, it is to be kept as part of the monthly inventory reconciliation records as proof that suspected leak situations were investigated. In the event of an emergency, the operator will follow their site Emergency Response Plan which consists of 1) Emergency Response Procedures: 10 Steps to Safety During an Emergency, where employees know what to do in the event of a fire, spill, or an observable leak. 2) Site map, where employees know the location of critical equipment (e.g., emergency shut-off switches, etc.). And 3) Emergency Contact List, where employees know who and how to contact all appropriate people in the event of an emergency. 9-81 O9 1131 Oak Street Bakersfield, California 93304 NW-0101a Rev. 8/8/2000 ,CHEVRON PRODUCTS COMPA~ MONITORING PROGRAM FOR "NEW" UNDERGROUND PIPING Monitoring of underground piping constructed pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2636 (f) (1) and Section 2636 (f) (2) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stored: Method of monitoring: Monitoring equipment Volatile Continuously operated electronic liquid level indicator with positive shut down of turbines and dispensers Control Unit Make: Veeder Root Model: TLS 350 Automatic line leak detector Make: Veeder Root Model: TLS 350 with PLLD Liquid level probes - Tank fill/turbine sumps: Gasoline dispenser containment boxes - Make: Model: Make: Veeder Root (single float) VR: 794380-352 VR (non-discriminating) Location monitoring to be performed: At Facility - inside all underground tank fill (4) and turbine containment sumps (4) and under gasoline dispenser containment boxes (5) Person responsible for performing the monitoring: Chevron Stations Inc., Facility Operator's current on site manager Persons responsible for maintaining the monitoring equipment: Chevron Products Company Marketing Operations -- Maintenance Department 9-8109 1131 Oak Street Bakersfield, California 93304 NW-OlO2b Rev. 8/8/2(X)0 ~CHEVRON PRODUCTS COMPA~ UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN If the unauthorized release detection system is activated the facility operator will be responsible for: Determining the source: UST and/or pipeline (if possible) Discontinuing operation of the system (if necessary) Telephoning Chevron Products Company IMMEDIATELY Week Days: Chevron Products Company Maintenance: (800) 423 - 6911 Week Ends and Holidays Days: BSSR Nights: BSSR Chevron Products Company will be responsible for: (661) 588 - 2777 (661) 588 - 2777 Initiating unauthorized release determination IMMEDIATELY. Initiating cleanup procedures IMMEDIATELY (if necessary). Contacting agencies within 24 hours. Person responsible for work authorization: Chevron Products Co., Maintenance Supervisor, or a designated representative Hazardous substance will be removed according to all laws and regulations regarding hazardous substance handling, transportation, storage and disposal. Equipment Chevron uses to remove hazardous substance will be owned and operated by a state licensed contract hauler. Chevron will use the hauler with the best response time. Maintenance of ail equipment used by haulers is the hauler's responsibility. At a minimum, Chevron reserves the right to dispatch proprietary transport vehicle from the Texaco/Bakersfield Exchange Terminal, California bulk storage facility. All unauthorized releases will be removed from the secondary containment within 30 days. This response plan outlines required dealer actions and Chevron's response if the facility's unauthorized release detection (tank monitoring) system is activated. Chevron requires that all station employees be trained and familiar with tank alarm systems, reporting requirements and in the use of clean up equipment, however training of the dealer's management and employees in the alarm systems and in the use and maintenance of any on site clean up equipment as well as the completing andfiling of any further documentation outlining such employee training, as may be required by the Bakersfield Fire Department, will be the responsibility of the dealer. Signature: ~~L~; ,~', ~a~t~0~ Date:~/~/~ ~3~ce T. Carpenter - Compliance Specialist, Environmental Safety & Health 9-8109 1131 Oak Street Bakersfield, California 93304 NVV-0102b Rev. 8/8/2000 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK MONITORING EQUIPMENT PREVENTATIVE MAINTENANCE SCHEDULE Veeder Root - TLS-350 Underground Storage Tank and Pressurized Piping Monitoring System Preventative maintenance frequency: Annually Performed by: Veeder Root Certified Representative Annual maintenance checklist: Inspect Hardware Inspect panel for loose wires. Inspect for intrinsic safety cover in place. Inspect for much screen mounted and enclosed properly. Inspect for CPU operation. Test Operation of Operator Interface Terminal (O1T) Test all screens for live data. Re-enter date and time (even if currently correct). Test Tank Level Monitor and Printer Calibrate product and water readings to physical measurements (stick readings). Print out inventory report. Test Pump Control Interface and Link Leak System Start line test for each product. Note pressure rise for each product. Note pressure at which each check valve seats. Verify pump shutdown. Verify emergency stop shuts off all submersible pumps. Test External Alarms and Remote Communications Individually simulate each alarm condition and Verify the event on the orr. Verify dial tone at telephone extension on modem module. Verify modem operation. Site Documentation Verify installation manual is on-site. Verify maintenance log. Certification Certify the TLS-350 has been checked according to manufacturer instructions. Certify the system is operating properly. Verify with appropriate agency that certification has been completed. NOTE: All functions listed in this preventative maintenance schedule may not be present at each specific site. Ail functions present at each site will be maintained according to this program. 9-8109 1131 Oak Street Bakersfield, California 93304 Rev. 7/29/96 UNDERGROUND STORAGE TANK SYSTEM OPERATOR TRAINING REQUIREMENTS The training required to operate the underground storage tank system and monitoring equipment located at referenced facility is as follows: Underground Storage Tank System Orientation session on the operation of an underground storage tank system topics include: underground storage tanks, double wall piping, overfill prevention, spill protection and monitoring systems. Chevron Service Station Maintenance Guide is provided to each operator. This guide provides in depth instruction on the operation of an underground storage tank system. Underground Storage Tank and Pressurized Pipe Monitoring System -- Veeder Root TLS-350 Operators are given an orientation session during system start-up to familiarize them with the operation of the unit. The Veeder Root TLS-350 Installation and Operation Guide is provided to each operator. This guide provides in depth instruction on the unit. 9-8109 1131 Oak Street Bakersfield, California 93304 Rev. 7/29/96 N 02'59'45'W ~92.49' 4 10.000 DBL WALL I (TYP.-3) 395,. 396.65 [] Crm.-~o) [] [] O~ A/C PAVING ) 2' r/G VENT UNES (:HAJN UNX F'ENCr - · / [] [] [] C-25 ~ HAUJ,~ARK COk~ aPPROACH AJC PA~NG) (~0'-7 I/2' TO (TY'P.-2) 4.5 CON CRE"I~ APPROACH 5'X9' READER n n OAK STREET HC ~ I t VICINITY MAP SITE DATA SQUARE FOOTAGE: 30,871 (.14 ACRES) BUILD(NG SQUAR~ FOOTAGE: 280 LANDSCAPING SQUARE FOOTAGE.:754.4 LOT CO~RAG£: BUILOtNGS -- 1.07. CANOPY- 11[ LANDSCAPING - 2.4~ BUlL.DING SPRINKI.ERS: ~'~ N 0 5 I0 GRAPHIC SC.N.E 2O REVISIONS · S CONSmUC'~O (7/2/~} TLM, HM-21, MGO'S ;IGROUND & GRADE PLAN J SERVICE STATION #9-8109 ' J 1131 OAK STREET 0 CAUFORNIA AVE BAKERSFIELD, CA I I o,,~ o,/o~/.~ I -- I I ~ ~: va I ~ I I s~ ~'=~o'-o' I ~ I I "~°" I