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Home My WebLink AboutMITIGATION TUlZ. IDI N~- .F___..NC.LO ~U ~ ~ ~ LEVE I' ( NO SLOPE) :DO" -: ~,"" BAKERSFIELD FIRE DEPARTMENT BUREAU OF FIRE PREVENTION APPLICATION Application No. In conformity with provisions of pertinent ordinances, codes and/or regulations, application is rnade Name of Company Address c~ ~ L/~ t/ to display, store, install, use, operate, sell or handle materials or processes involving or creatin~j' con- ditions deemed hazardous to life or property as follows: C VE 3500 GILMORE AVENUE BAKERSFIELD, CA 93308 661-327-9341 FAX: 661-325-2529 Cont. Lic. #784170 A HAZ February 7, 2003 Bakersfield Fire Department Environmental Services · 1715 Chester Ave. Bakersfield, Ca. 93301 Attn: Steve Underwood On February 7, 2003, C'al~Qalley Equipment-performed a quarterly inspection of the temporary closure..,.On (1) UST at the' Kern COUnty Genera/Services site at the 'comer. of "O' St~:::~,~a"fid Golden State. D. uring the inspectibn?:all locking caps were found to be in placeand locked. A gauging stick was'ssbd to determine if any material had been :added.to:!ihe tank since the closure.'qit!was determined that.none had' been added,:Ihe UST system did not appear to b~':t'ampered with Please call m~dfi:~you.:haVe any questions. Thank you .... · · ...... ~-- Sincerely, :.~ ,:;..v;,..-.. _ Bruce Hinsley - "CAL2 FALLEY EQUIPMENT Marconi, Tokheim, GaslSoy, Lincoln Lube Equipment, OPW Products, Red Jacket Pumps, Alemite ~ ........ ; ~' WI'YW. CAL- VALLEE COM D July 1, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661 ) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Kern County General Services-Fuel 2717 "O" Street Bakersfield, CA, 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 2717 "O" Street, Bakersfield. 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. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services Permit #: Facility: 1. e e MAINTENANCE AND BF~PAIR Attach a completed coPY of the Maintenance/Repair Summary. MODIFICATION . , , ,, , , NOTE: Be No major,· modificatio ,ns~ have, ,been ?completcd'.at ~ ~this.~'facility 'during ~:hhe last 12 months. ' AH repairs or replacements in response to a leak require a'Modlfl~on Permit Major modifications were ~""'"'""':; mpleted at this facility for which a Modifi~tion Permit was obtained ~om ~e,, P,~,,rng~'~g,,.aut,h..qp.',ty_,; Signature: .... ' ...... D crib FUEL CHANGes - Allowed for. Motor Vehicle Fuel tanks I~[I,X. ' ~'~'~ ~'"' .List'al] fuel;storage"' "" ' ~' ..... '? " " ' · ...... ~ ~ ...... ~ ~"~ ~'~:~.'. ' changes:in, tankS:..,:, .... ,.,.: ..,,~,:~,;:: ~,- ~:,!·,..,. .~:., ~,~,, .: ,:,,,,? .. Date :' / /. ,,. , /,, /, Tank'Number ',, - ' ~; ~ Fuel;Stored. '~" , . .~,, ,, . :. ,. ,, ~,:: , iNFoRMATioN OPERATOR ra~ 'sNam~: C'o~'~'~ Ope or ¥ MAINTENANCE/REPAI~~) SUMMARY Permit #: If your underground storage tank system is secondarily contained, d~have a continuous monitoring device in the annular space of the tanks and/or piping?' ,,-k!_~_~.).°r NO the required annual maintenance cnecl~ was concluctecl by: Co_l - L/c~llex/ Eoct'~a~,~t~,4,~'~'~" (Autho~ Se~ ~mpa~y) B. Does your underground storage tank system have an in-tank level~mSnitor?~or NO , ~ ,/,~ (~lr~ one) If yes; the required annual'maintenance cheCk"Was conducted ..................... o~_/~_//~ o ......... by:~ iii-aa l~ -V,- (. [¢ ~/ /-:'~--L~TO ~-~ ¢ ~C~--- on (Auth0riz~d S~/lce 'c~p~ny) ' C. Unless' " ' ' '~"' .... ' ~ :~'''''''~ ~' "' ' ' automatic shut down ,d, evices are p, rogerlv installed, the reouired annual Inte~..ity Test on=the ............ ~. . pressurized p~pmg was ~onducte~ .... by: on' /, I (Authorized Testing .,~c~..,~p.~,ny) . * * * Attach a copy of the*test resalts D. The required annunl maintenance check on al!automatic line:'leak/detectorsiWas, conducted (Authorized Se~ic~' Conlpany) · "Repatr of submerged p .u~ps or Su pumps , ":' ' Replacement line'leak ~, . Replacement of dispensers or.meters '. ',. ~ Repair or'replacement'of'electroniC` le~''detection Components DATE: 04/06/2000 04/10/2000 05~08~2000 05/22/2000 VENDOR CAL CAL CAL CAL WORK PERFORMED Repaired hose retractor Calabration and Certification on Tank Monitor Internal leak "O" St. -- On Fuel dispenser Tested fuel pump & advised of vapor locking problem. 05~26~2000 CAL TLS 250 paper 10/03/2000 CAL Calibrate pumps and check out Veeder Root 10/19/2000 CAL Replaced nozzle & ring on RUL fuel pump 01/10/2001 CAL Replace nozzle Unleaded i 04/04/2001 CAL Calibrate pumps, Inspect tank monitor REPAIR ORDER # 36057 36066 36365 36635 183887 37576 37751 38124 39054 TANK MONITOR INSPECTION MODEL: f"~/~ ~ CONDITION OF UNIT UPON ARRIVA/~: ~,TANK PROBES: QTY., TYP SENSORS TY. QTY. TYPE PROGRAMMING ACCURACY & COMPLIANCE: (1) READS ACCURATE TO TANK CHART? YES I// NO (2) POSITIVE SItUTDOWN WORK PROPERLY? YES /~//~ · NO .... (3). TANK TEST PROGRAMMING MEET. COMPLIANCE? .. YES X ..... NO RECOMMENDATIONS: DATE: MISCELLANEOUS RECEIVABLES ADJUSTMENT AODRE~8 CI"IAN~E CLOSE AC, CT : RNANCE CHARGEI. ~ i , o~E. ~.~ I '"Z' I /- CUSTOMER NAME, MAILING ADDRESS ZIP CODE. SITE ADDRESS PARCEL NUMBER (~F,V,PUCASU~ ADJUSTMENT I CHG DATE CHARGE CODE ! ADJUSTMENT.AMOUNT I/--/5-'~ ~$~ ( ,,/$'/~. i -"- ! . I 06/17/94 K C GEN SERV "0" ST (UST) 215-000-000525 Overall Site with 1 Fac. Unit Page General Information Location: 2717 O ST Map:103 Haz:0 Type: 3 I City : BAKERSFIELD' Grid: 19C F/U: 1 AOV: 0.0 Contact Name RICHARD BROWN Business Phone: 24-Hour Phone : Pager Phone : Title / GARAGE SUPER (805) (805) 831-~4~7xoS~& ( ) - x Contact Name Fle~Title kAREN GEYE ZA~y~/4~E~ SERV MANAGE Business Phone: (805) 24-Hour. Phone : (805) Pager Phone : (~o~$5~ -&31Ix Administrative Data Mail Addrs: 1415 TRUXTUN AV City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 D&B Number: State: CA Zip: 93301- SIC Code: 5541 Owner: K C GENERAL SERVICES DEPT Phone: (805) ~ Address: 1415 TRUXTUN AV . · State: CA City: BAKERSFIELD Zip: 93301- Summary Date 06/17/94 Pln-Ref K C GEN SERV "O" ST (UST) 215-000-000525 Hazmat Inventory List in MCP Order 02 - Fixed Containers at Site Name/Hazards Form Max Qty Page MCP 2 02-001 UNLEADED GASOLINE ~ Fire Liquid 10000 Moderate GAL 06/17/94 K C GEN SERV "0" ST (UST) 215-000-000525 02 - Fixed Containers at Site Hazmat Inventory Detail in MCP Order ' Page 3 02-001 UNLEADED GASOLINE ~ Fire Liquid 10000 Moderate GAL CAS #: 8006619 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 10,000 I Daily Average GAL 5,000.00. Annual Amount GAL 40,000.00 Storage UNDER GROUND TANK Press T Temp Location Iambient~ambientlWEST SIDE OF AGING OFFICE LOT -- Conc 100.0% IGasoline Components MCP ---FGuide ModerateI 27 06/17/94 K C GEN SERV "O" ST (UST) 215-000-000525 Page 00 - Overall Site <D> Notif./Evacuation/Medical 4 <1> Agency Notification AFTER THE GARAGE SERVICES SUPERVISOR IS NOTIFIED OF AN UNAUTHORIZED RELEASE OR WARNING OR SUCH, AND THE SERVICE STATION MAINTENANCE CONTRACTOR HAS DETERMINED THAT IT IS NOT A FALSE ALARM, THEY WILL NOTIFY THE NECESSARY AGENCIES AS DETERMINED BY CURRENT RULES, LAWS, AND REGULATIONS. e ~,, &. - I'14£ e ~ G s ; T'£ ;3 £ 6l ~ I p f O W~rH ,4 6-,45 :,Ty..I_.sITf ALso H,45 ,q f ll~f OFT~-KIoN .5£Iv...%01~, 14 ;qOl3pA'l Al, lO v,¢~II.I-. NOT/iI OOy;'"l~OI.. 3'- V,v'HIy CONTROL ~ YVlz. z Yb~'ll)/ 77qP N£c6-zSAb~' d6-~Md, tf.J <2> Employee Noti'f./Evacuation THIS SITE HAS NO EMPLOYEE PHYSICALLY STATIONED THERE. THEREFORE, THE ONLY NOTIFICATION/EVACUATION WILL BE THE APPROPRIATE RESPONSE TEAM TO CORRECT CURRENT CONDITIONS, AND RESTORE THE SITE TO NORMAL OPERATIONAL CONDITIONS. <3> Public Notif./Evacuation AS DEEMED NECESSARY BY THE APPROPRIATE RESPONSE TEAMS THAT ARE BEING DISPATCHED TO THE SITE AT THE TIME OF THE EMERGENCY. <4> Emergency Medical Plan EACH EMERGENCY MEDICAL REQUIREMENT WILL BE TREATED ON AN INDIVIDUAL BASIS. IF THE EMPLOYEE CAN, EITHER ON THEIR OWN, OR ANOTHER EMPLOYEE IS PRESENT THE PERSON WILL BE GIVEN FIRST AID AND TAKEN TO THE COUNTY APPROVED TREATMENT CENTER. OUR EMPLOYEES CARRY A CURRENT AMERICAN RED CROSS MULTIMEDIA STANDARD FIRST AID CERTIFICATE, AND MAJORITY STAYS CURRENT WiTH THEIR CPR TRAINING. IF AN'EMERGENCY MEDICAL REQUIREMENT DICTATES THEN THE NORMAL 911 PROCEDURES WILL BE FOLLOWED. THE STANDARD INJURY PROCEDURE WILL APPLY AT ALL TIMES. THESE PROCEDURES ARE 1) BE SURE FIRST AID IS GIVEN; 2) SEE THAT THE INJURED EMPLOYEE IS TAKEN TO A DOCTOR OR HOSPITAL, IF NECESSARY; 3) REPORT INJURY IMMEDIATELY TO YOUR SUPERVISOR. THE PRIMARY CARE FACILITIES ARE: SAN JOAQUIN INDUSTRIAL MEDICAL ASSOCIATION, 2021 22ND STREET; MERCY MEDICAL CENTER INC, 820 34TH STREET; KERN MEDICAL CENTER, 1830 FLOWER 06/17/94 K C GEN SERV "O" ST (UST) 215-000-000525 Page 00 - Overall Site <D> Notif./Evacuation/Medical <4> Emergency Medical Plan (Continued) STREET; BAKERSFIELD OCCUPATIONAL MEDICAL GROUP, 4580 CALIFORNIA AVE., SUITE 100; AND VALLEY INDUSTRIAL MEDICAL GROUP, 2501 G STREET. 06/17/94 K C GEN SERV "O" ST (UST) 215-000-000525 Page 6 00 - Overall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention THERE IS AN AUTOMATIC QUICK SHUT OFF SWITCH LOCATED NEAR THE WEST FENCE APPROXIMATELY 15FT FROM THE NORTHWEST CORNER FOR STOPPING UNAUTHORIZED RELEASE THROUGH THE PUMP OUTLET. THERE IS AN ELECTRONIC MONITORING SYSTEM THAT RUNS A TIGHTNESS TEST AND LOSS OF PRODUCT FROM TANK AND PIPING. W~LL IN510£ r#~ c,~O~ ~LoCK g~l~lN& /VEXT To r~E ~1~O h'lONIrOfo <2> Release Containment OPERATOR WILL SHUT OFF THE ELECTRICAL CURRENT TO THE PUMP BY THE QUICK SHUT OFF SWITCH. CONTAINMENT UNDERGROUND IS CONTROLLED THROUGH THE DOUBLE WALL AND PIPE SYSTEM. A TIGHT TEST IS RUN NIGHTLY. <3> Clean Up THE CLEAN UP PROCEDURES WILL DEPEND UPON VOLUME AND TYPE OF THE UNAUTHORIZED RELEASE. IF IT IS A LIMITED VOLUME THEN "ASSORESIT" WILL BE USED. FOR OTHER UNAUTHORIZED RELEASE OUR CURRENT SERVICE STATION MAINTENANCE CONTRACTOR WILL BE NOTIFIED AND NECESSARY ACTIONS WILL BE TAKEN UPON EACH INDIVIDUAL BASIS IN ACCORDANCE WITH CURRENT RULES, LAWS AND REGULATIONS. <4> Other Resource Activation 06/17/94 K C GEN SERV "O" ST (UST) 215-000-000525 Page 00 - Overall Site <F> Site Emergency Factors 7 <1> Special Hazards <2> Utility ShUt-Offs A) GAS/PROPANE - NONE LISTED B) ~LECTRICAL - THE ELECTRICAL CURRENT coMEs FROM THE EQUIPMENT ROOM OF THE PARTS DEPARTMENT. THIS UTILITY ROOM IS LOCATED IN THE NORTHEAST CORNER OF THE BLDG. THERE IS A UTILITY CONNECTION BOX (BELOW GROUND) AT THE 4 FOOT MARK FROM THE NORTHWEST CORNER OF THE FENCE IN AREA. C) WATER - NONE LISTED D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water THE UTILITY FIRE HYDRANT IS LOCATED AT THE NORTHWEST CORNER OF 28TH & M ST. THERE IS ANOTHER ONE LOCATED ON 26TH ST, HALFWAY BETWEEN N & O STREET. THERE IS A 3/4" WATER OUTLET, WITH HOSE, LOCATED AT THE REFUELING ISLAND. <4> Building Occupancy Level THIS FACILITY IS AN OUTSIDE STAND ALONE REFUELING ISLAND - THIS FACILITY IS ENCLOSED WITH A CHAIN LINK 5FT HIGH, FENCE WITH SOUTH & NORTH GATES. THE SOUTH GATE HAS A 15FT WIDE SWING GATE WHERE THE NORTH ONE HAS A 15 1/2FT SWING GATE. 06/17/94 K C GEN SERV "O" ST (UST) 215-000-000525 00 - Overall Site <G> Training Page 8 <1> Page 1 WE HAVE ?? EXMPLOYEES AT THIS FACILITY. DO YOU HAVE MSDS SHEETS ON FILE?? BRIEF SUMMARY OF TRAINING PROGRAM: THIS REFUELING FACILITY IS A SELF SERVICE, NO ONE INDIVIDUAL IS ASSIGNED THERE. THIS SITE IS VISITED TWICE DAILY (MONDAY THRU FRIDAY) TO UNLOCK AND OPEN THE FACILITY IN THE AM AT APPROXIMATELY 6:00 AM. IT IS VISITED AGAIN AT APPROXIMATELY 6:00 PM TO SHUT DOWN AND LOCK UP THE GATES. THE GARAGE HAS 2 TRAINING SAFETY & SHOP MEETINGS MONTHLY. THESE MEETINGS ARE SCHEDULED IN ORDER THAT EACH GARAGE EMPLOYEE CAN ATTEND ONE OR THE OTHER. ATTENDANCE IS TAKEN AND TRAINING SAFETY TOPICS DISCUSSED ARE RECORDED. WE HAVE ONE OVERALL TRAINING/SAFETY CHART WHERE THE OVERVIEW IS MAINTAINED AND A MORE DETAILED PROGRESS IS RECORDED ON THE INDIVIDUAL TRAINING RECORD. BOTH OF THESE RECORDS ARE MAINTAINED WITHIN OUR COMPUTER SYSTEM. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use 06/17/94 K C GEN SERV "O" ST (UST) 215-000-000525 00 - Overall Site <G> Training Page 9 <4> Held for FUture Use (Continued) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTO~ FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME FACILITY NAME SITE ADDRESS ~'/ CITY t~koe~': e ia~ NATURE OF BUSINESS SIC CODE ,.~'" 6/ [ STATE C A ZIP DUN & BRAI)STREET NUMBER ~82~01 OWNER/OPERATOR ,q.¢. 6-e~, .Sc,,-u/F'/¢e+ Set MAILINGADDRESS Iql,_C T'rt~I't~ ~ve_tgctr- CITY ~aRer-.s (2; e [~l STATE PHONE zn, 9~o t EMERGENCY CONTACTS NAME BUSINESS PHONE NAME BUSINESS PHONE TITLE /'-/e ¢ 7 24 HOUR PHONE 24 HOUR PHONE f 7¸ HAZARDOUS MATERIALS INVENTORY Business Name ~ ~ ~'~'J Address Page ! of / CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Additional, Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Seeret [ 2) Common Name: ~x~m?r(~seO t~,~,-~tKAk.. ~X% 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health Hazard Categories Fire [~ Reactive [ 5) WASTE CLASSIFICATION PHYSICAL HEALTH ] Sudd~ Release of Pressure [~ Immediate Health (Acute) [ O-digit code fi'om DHS Form 8022) USE CODE ] Delayed Health (Chronic) [ 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas ~ Pure [ff~] Mixture [ ] Waste [ ] Radioactive [ ] 7) AMOUNT AND TIME AT FACILITY A~n~_Amoun~ ~.. # Days on Site UNITS OF MEASURE 8) STORAGE CODES Lbs [ ] Oal [ ] fa ~] a) Container: Curies [ ] b) Pressure: c) Temperature Cimle Which Months: (~r, J, F, M, A, M, J, $, A, S, O, N, D 9) MIXTURE: List COMPONENT the three most hazardous 1) /v~ E-T~U~ ~' chemical components or 2) any AHM components 3) CAS# % WF [ ] [ ] [ ] 10)LOCATION 1) INVENTORY STATUS: New [ 2) Common Name: Chemical Name: 4) Physical & Health Ha?srd Categories Fire [ 5) WASTE CLASSIFICATION ] Addition [ ] Revision [ ] Deletion [ ] PHYSICAL ] Reactive [ ] S~dd_~ Release of Pressure [ 6) PHYSICAL STATE Solid [ ] Liquid [ 7) AMOUNT AND TIME AT FACILrrY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site 9) MIXTURE: List the three most h~srdous 1) chemical components or 2) any AHM components 3) 10)LOCATION Check if chemical is a NON Trade Secret [ ]TradeSecret[ ] 3) DOT # (optional) AI-nvf[ ] CAS# ] lmmediateHealth(Acute)[ ] Delayed Health (Chronic) [ ] O-digit code fi'om DIaS Form 8022) ] Cas[ ] Pure[ ] uNrrs OF MEASURE Lbs[ ]Gal[ Irt3[ ] curies [ ] Cixcle Which Months: COMPONENT USE CODE Mixture[ ] Waste[] Radioactive[ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature AIl Year, J, F, M, A, M, $, J, A, S, O, N, D CAS# % WT [ ] [ ] I certify under penalty of law, that I have personally examined and am familiar with the information on this and all attached documents. I believe the submitted information is true, accurate and complete. ,d. 7 ~___ -Nm~&-B~ of Authorik, ed Company Representative PARK8 DEPARTMENT Ix / OFFICE ON AGING FENCE PLAN GOLDEN STATE AVE, (STE. RTF_ 204) 1/20" ALL FENCE WORK TO BE PERFORMED BY SITE WORK CONTRACTOR. ~ GENERAL ..... ~ / ~' ' SERVICES DEPARTMEWT. ~ ..... , /A~ xx XX x - coMpRESSED X~ ~- ~o .~ ~ ~ , NATURAL GAS * ~'~' "' ~" ' ' FACILITM ' ELEC~ICAL SITE PLAN GENERAL ' ~mn,T~..~.~ ~ · ~m . ~ // X BAKERSFIELD, CALIF. T~aFuel S~t~: ~c./ GOLDEN STAT[ A~. (STE. RTE. 204) U~U~ES C~INA~ ~: ELECTRICAL SITE PLAN & GENERAL NOTES 1/20" c~u~ ' Overall Site with 1 Fac. Unit Ger, er.a 1 Ir, format iors JUN 1 3 1994 Location: 2717 0 ST Map:lO3 Haz:O Type: 3 Commur, ity: BAKERSFIELD STATION 0i Grid: 19C F/U: i AOV: 0.0 Corstact Name .... Title 1--- Busirsess Phor, e ---T 24-Hour Phc, rte] Rdrnlr,~ra~ve Da~a Mail Addrs: 1415 'FRUXTUN Ag D&B Number: City: BAKERSFIELD State: CA Zip: 93301- Corem Code: 215-001 BAKERSFIELD STATION 01 SIC Code: 5541 Owr, er: K C GENERAL SERVICES DEPT Phor~e: (805) 861-2611 Address: 1415 TRUXTUN AV State: CA ........ City:-_BA~EESEIELD .... -_-_~ ............... Zip: 93301- Summary I, _~,~c~ FI, .I_,~L~'~ Do hereby cai'dry th~t..I.have reviewed the ~te, ched hazardous materials merit plan for_ '_' ~" -~~nd that it along with any corrections constitute a complete and correct man. agement plan for my facility. 05/23/94 K C GEN SERV "0" ST (UST) 215-000~}0525 ~ - Fixed C,z,r, tairsers at Site Haz~at Inverstory Detail ir~ Referersce Nut, bet Order Page 02-001 UNLEADED GASOLINE Fire Liquid 10000 Moderate GAL CAS ~: 8006619 Trade Secret: Nc, Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 10,000 Daily Average GAL =;~, 000.00 Arsr, ua l A~c, unt GAL ~ 40,000.00 Storage UNDER GROUND TANK Press T Te;s~p [ Locat iors A~bierst/A~bientlWEST SIDE OF AGING OFFICE LOT -- Corec 100.0% Ccm~pc, r~erst s MCP --TGuide IModerateI 27 05¢23 / ~4 00 - Ore'tall Site <D> Not if. /EvacuatiorWMedical 3 <1> Agency Notificatior, <3> Public Notif./Evacuation <4> Emerger~cy Medical Plan 0~%R3/94 K C 00 - Overall Site <E> Mit igat ion/Prevent/Abatemt Page 4 <1> Release Prever, tion <3> Clean Up <4> Other Resource Act i vat i or, <1> Special Hazards <3> Fire Protec./Avail. Water ~ " <4> Building Occupancy Level '94. K C GE~ERV "0" ST (UST) 215-00~00525 Page O0 - Overall Site <G> Trairsing Page 1 F~,~ ,~ ~ ~.~. ~ ~/~,~L~ ~:~. ~/',~' ~,~,a~ ~~ ~ ~,.~ Page 2 as needed <3> Held fc, r Future Use <4> Held for Future Use BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVIsION PERMIT TO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILITY Permit No.: 060023C Issued to: Location: Owner:. Operator:. KERN COUNTY GARAGE 2717 "O" STREET BAKERSFIELD, CA 93301 COUNTY OF KERN 1415 TRUXTUN AVE BAKERSFIELD, CA 93301 KERN COUNTY GARAGE 2717 "0" STREET BAKERSFIELD, CA 93301 State ID No.: 1~~ Facility Profile: Year Is Piping Tank No. Substance Caoacit~ Installed ~ 1 GASOLINE 10,000 GAL 1980 · YES This permit is granted subject to the conditions listed on the attached summary of conditions and may be revoked for failure to adhere to the stated conditions and/or violations ~f any other State or Federal regulations. Issued by: Ralph E.. Huey Issue Date: JULY 1, 1991 Expiration Date: JULY 1, 1994 POST ON PREMISES NONTRANSFERABLE 'UNDERGROUND' ' ·TANK':'QUESTIONNAIRE I.' FACILITY/SITE No. OF TANKS/ . · r ' O~A OR FACILII~ NAME. ~_?: UAME OF OPERATOR · ~ , · ' , AOO~E~ ,'~" N~RES~ C~O~ Sm~ pARCEL ~.(OP~L) ' C~ NAME ' ' ' '-' " ' '= ~',, ' . ,, S~A~E ZI~ CODE ' ~BOX~OINOICA~ ~COR<~0N":~'INO~Ip~Lr,~PA~E'HIP ~L~LAG~<~ ~A~EN~ ~STA~AGEN~ ~F,~LAGE~ . ~ 2 DI~I~UTOR ~ ~RN COUN~ ~RM~ EMERGENCY CONTACT PERSON (PRIMARY') -. EMERGENCY CONTACT PERSON (sECONDARY~ oplional DAYS: NAME (lAST. FIRST) PHONE N~. WITH AREA CODE I DAYS: NAME (lAST. FII~I') PHONE No. WITH AREA CODE NI~H~: N~ME (~S~. F RS~ 'PHONE ~. Wire AR~ CODE I NIGH~: NAME (~. FI~ P~NE ~.:WIm AR~ CO~E ,... II. PROPER~ OWNER.INFORMATION (MUST BE COMPLETED) MAILING OR S~E~ ADDR~ ~ BOX ~ INDIVIDUAL ~ L~A/AGENCY ~ STA~ AGE~, CI~ NAME ~, .. ZIP CODE PHON~ ~. WI~ A~ CODE III. TANKOWNER INF~rRMATION (MUST, BE COMPLETED) MAILING OR ST~EB A~O~ / BOX ~ INDIVIDUAL ~ LO~AL AGENCY ~ STATE AG~CY IO INDICATE OUN~ AGENCY' · ~FEOE~L AGEN~ OWNER'S ' ~' DATE ' VOLUME PRODUCT IN TANK No. INSTATED STORED .: .... SERVICE DOYOU HAVE FINANCIALRESPONSlBILI~? YIN ~PE III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. ANDC, ANDALLTHATAPPLIESlNBOXD .... ' .............. A. TYPE OF~'--~/DOUBLE WALL [] 3 SINGLE WAll WITH EXTERIOR LINER ~'~ 95 uNKNowN SYSTEM 2?,NG.E WALL [] . sEco.o* , CO. TA,"MENT ,VAULTEDTAN" oTHER BARE STEEL 5 CONCRETE . [] 9 BRONZ B.' TANK MATERIAL (Primary Tank) ] 2 STAINLESS STEEL [] 3 FIBERGLASS [] '6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] ,o GALVAN,ZED STEEL [] 9S UN~OWN 4 STEEL CLAD W/FIBERGLASS REINFORCED PL.A~TIC 8 100% METHANOL COMPATIBLE W/FRP 99 OTHER ' [] , ~RUBBER LINED [] ~ AL~D L..G Om ~,NING [] ..PHENOLIC LIN,NO ':. C. INTERIOR UNING I---] 5 GLAS~ LINING ' ' ~ 6 UNLINED ~ 9S UN~WN ~ ~ O~ER IS UNI~ MATER~L ~MPATI~ ~ 1~ ME~L 7 YE~ ~ C0RROSlON [] ~1 POLYET~LENE WRAP [] 2 COATING [~.~' VINYl. WRN3 [] '4 FtBEROI.J~qS'REINFORCED P~TIC PROTECTION ~--"~'s CATH(X)IC'PROTECTION [] ~1 NONE~ L~g~ UN~t~OWN'' [] gg OTHER ;' , .... ,' '' IV. PIPING INFORMATION '. c,.o~ A IFABOVEGROUNOO. U IFUNDERoRoUND. BOTH IF APPLICABLE A. SYSTEM TYPE ./."~) ~ SUCnON - -:- 'A U-2 PRESSURE - ' B. C0NSTRUCTI01~/~.. ~.. SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A [J 9S UNKNOWN ~ U 99 OT~ER C. MATERIAL AND '~.' I BARE STI=EL A [J 2 STAINLESS STE~. A IJ 3 POLYVINYL CHLORIDE(PVC)A U .4 FIBERG~ PIPE :~' CORROSION A U 5 ~UMINUM A U 6 CONCRE~ A U 7 STEEL WI COATING A U 8 1~ ME~L ~MPATIB~W~R~ PROTE~ION ~ 9 ~LVANI~D S~EL A ~ 10 CATHODIC PROTECTION A U g5 UN~OW~ A U ~ O~ER D. LEAK 0E~ECTION ~ 1 ~TOMATICLINELE~DE~CTOR ~ 2 LINE T~H~ESS TESTING ~ ~N~ORINGINT~H~L. ~ 99 O~ER V. TANK,,EEAK DETECTION- /' I C.~t vISUAL CHECK ~_.--'~2 iNVENTORY RECONCILIATION I-'-'I 3 VAPOR MONiTORiNG ~"I , AUTOMATIC TANK GAUGING ~'---] 5 GROUND WATER MONiTORING I. TANK DESCRIPTION CO. PLET~ ALL ~TEMS - S.EC,~,~ UNKNOWN A. OWNER'S TANK I. D. # J B: MANUFACTURED BY: C. OATE INSTALLED (MO~13AY/YEAR} i D. TANK CN3ACl3~f IN GALLONS: III. TAN K C0NSTRUCTION '.ARK ONE ~mM ONLY IN BOXES ~. e. AND C. ~O ALL mAT AP~.~ES IN BOX O A. TYPE OF ~"-'"- ! DOUBLE WALL [] 3 SINGLE WAIl WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM ~-- 2 SINGLE WALL ~'~ 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK ~ ~ ~RE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLN3 W/mEERGLASS.EE~NFORCED PLASTIC MATErnAL [] 5 CONCRETE [] ~ POLW,NYL CHLOR,DE [] 7 ALUMINUM [] (Pril/lalltTallk~ [] 9 BRONZt¢ [] 10 GALVANIZED STEEL [] 95' UNKNOWN [] 9g OTHER ,s UNINO.MATE.,AL COMPATIa. E ~TH ,O0% METHANOL ? [] 3 EPOXY LINING 4 PHENOLIC LINING c. INTERIOR · [] 95 UNKNOWN ~g OTHER LINING YE~ ~ NO~ O. C0RROSION ~ , POLYETHYLENE WRAP ' [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION ~. 5 CATHODIC PROTECTION,F'~ 9! NONE [] g5 UNKNOWN [] 9g OTHER IV. PIPING INFORMATION ' C,RCLE A IF ABOVE GR(XJNO OR U IFUNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U I SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 9~ OTHER B. CONSTRUCTION A U I SINGLE WALL' A IJ 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U ~ BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U. g GALVANIZED STEEL' A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER ~ 1 AUTOMATIC LINE LEAK DETECTOR ~ 2 LINE TIGHTNESS TESTING ~ 3 INTERSTITIAL ~ ' MONITORING ~ g9 OTHER TANK LEAK DETECTION ' '- ! VISUAL C',qECK ~ 2 INVENTORY RECONCILIATION "--~ 3 VAPOR MONITORING t-~ 4 AUTOMATIC TANK GAUGING I-- 5 GROUND WATER MONITORING 6 'rANK -EST~NG ~ 7 ;NTE;RSTITtALMONITORING '~ 9t NONE ~ 95 UNKNOWN -- 99 OTHER H. 1. 2. o 10. 11. HM2I OUT .....VARATE FORM FOR ~T. ANK)... i g-c..o-k-Yk- c-gWff .-f RoPt Es . A Tank is: ( ) Vaulted ( ) Jack'ted ]~g) Double-Wall-- (7 '~ing]-~-e-~al:i= //3 GSC Tank Material r ( ) Carbon Steel ( ) Stainless Steel i(0{~ Fiberglass-Reinforced Plastic· ( ) Concrete ( ) Unknown ( ) Other (Describe). Primary Containment Capacity (Gallons) lOrO00 Date Installed (F Tank # 3 FOR INST/~I,I. Thickness (Inches) 1/4" ( ) Fiberglass-Clad Steel Manufacturer Owens/Corn±nq Tank Secondary Containment . I*~X) Double-Wall {0: SYnthetic Liner ( ) Lined Vault ( ) None ( ) Unknown ( ) Other (describe): Manufacturer: it/X) Material Filq~,-gl~ Thickness (Inches) 1/4" Capacity (Gallons) Tank Interior Lining ( ) Unlined ( ) Unknown ( ) Lined (describe). Tank Corrosion Protection ( ) Galvanized (i0[ Fiberglass-Clad ( ) Polyethylene/Vinyl (Wrapped or Jacketed) ( )' Tar or Asphalt ' ( ) Unknown ( ) 'None ( ) Other (describe): Cathodic Protection: () None ( ) Impressed current System ( ) Sacrificial Anode System · Describe System and Equipment: Leak Detection. MOnitoring, and Interception * (Must be described below) a. Tank: ( ) Vapor Detector * (X~ Liquid Level Sensor * ( ) Conduct,ivity Sensor * ( ) Vadose Zone Monitoring Well(s) (') U-Tube with Liner (.) U-Tube without Liner ( ) Visual Inspection (Vaulted tanks only) ( ) Groundwater Monitoring :~iX) Sensor in Annular Space ( ) Vapor :/iiX) Li'quid ( ) Pressure ( ) Other * ( ) Regular Monitoring of U-Tube, Monitoring Well or Annular Space ( ) Daily Gauging 8~ Inventory Reconciliation ( ) Periodic Tightness Testing () None () Unknown () Other · Describe Make & Model: c~7on~/C~,,-ni,~,-, RS lO ~on~nr g OP~q b. Piping: ( ) Flqw-Restricting Leal< D~t-ector(sY for Pressurized Piping* ( ) Sealed Concrete Raceway ( ) Monitoring Sump with Raceway .( ) Complete Containment Liner with Sumps ( ) Half-Cut Compatible Pipe Raceway ( ) Synthetic Liner Raceway ( ) None ( ) Unknown -~0 Other double-walled pipinq with sumps · Describe Make & Model: Owens/Oorninqsumps 8, 3sneron product pipinq and Tank Tightness total secondary containment Has This Tank Been Tightness Tested? . ( ) Yes ( ) No ( ) Unknown Date of Last Tightness Test Results of Test Test Name Testing Company Tank Repair. ( ) Yes ( ) No ( ) Unknown Date(s) of Repair(s) Describe Repairs Overfill Protection (Must describe below) (). Operator Fills, Controls, & Visually Monitors Level ( ) Tape Float Gauge ~X) Float Vent Valves( ) Auto Shut-Off Controls ( ) Capacitance Sensor ~ Sealed Fill Box ( ) None ( ) Unknown ~ Other * ( ) List Make & Model for all Devices OPW 1-0563 spill bucket S3rm float valve · Describe other Protection System voodor_ Rc~t- rpls 2.50 I t-auk invo_ntory_ monitorin~ system Piping a. Underground Piping: ~ Yes ( ) No ( ) Unknown Material Fitmr_c, lass Thickness (inches) Diameter Manufacturer b. Type Of piping System ( ) Pressure 7(X) Suction ( ) Gravity Approximate Length of this Pipe Run 20' c. Underground Piping Corrosion Protection: () Galvanized ~ Fiberglass-Clad ( ) Polyethylene Wrap ( ) Electrical. Isolation ( ) Unknown ( ) None d. Underground Piping, Secondary Containment: -~,) Double-Wall ( ) Synthetic Liner System ( )/None ( )' Unknown ( ) Make & Model (describe): Total containment: Araeron ( ) Impressed Current( ) Sacrificial Anode ( ) Vinyl Wrap ( ) Tar or Asphalt ( ) Other (describe): ~..TUH 19 '91 10:13 86,1 2700 "M" STP,~.~-T, SUXT~. 300 ~ APN NU'M~EA_. Tv~a O~ i~lica_Cion ( )New Facility ( )Modification of Facility ~)New Tank Installation at Sxi~in~ Facility Number of Tanks To Be Ina=alled_~ , · Ex~=in~ Facility Perm,= ~ .NO~ Type of Business o~.n~, c~v~m~nt ..... Facili=y Namec~lS~n R~t~ Cr.,,p]~x ~.sfi~l~ .,. Addr.ss 2737 ?O" Strut .. . . .. oi=Y ~sflel~ '" Tank Owner 'Kern County Public Works Address,.. 2700 "M" Public Works Dept.' ! IIII j II II I City/Stat.' Bakersffield/~°ne ~:~05-861-2481 . ....... Z~p q~fll III --n____ ~) ( ) ( ) () () ( ) ( ) ....... () () () () () () () ----__ ( ) ( ) ( ) ( ) ( ) ( ) ( ) ' () () () () () C) () II I I Tbsp. n~mj~%ted under penalty ot perjury ind to the best of my knowlad&e is Sisna~u __ Date~ 2q: lqq~ Chemical Composition Of Materials Stored (For Products Or Waste Marked Wi%h Tan~.~ Chemical 8toted Cnon-commercial na2e) CAS tl fir known__) Chemical 9revlouskv Stored (if .d~feren=) .11 Other. () () () () C. Wa=er To Facili:y Provided By w~m Depth To Groundwater_. , 'Soil Charac-teris~ics A~ Facility ~,---' ' I I I .,I I I II III II D. Con,rector B & T Services CQntracto,r.s . CA ¢on~ractor's L~cense No. 431824B~C-61 Addrs~s~_~_ ~ .1351 . Ctty~ovo Gr~d~.. Zi 93421 Phone ~05-~81-2552 Insur-er~ S~te ~d Worker's Competes:ion Certification # 1068113, Proposed Starting Date ~Y 24 .__ Proposed Comple=ion Da~e auks: 9 E. If This Applica~ion Is For Modification Of An Exis=in8 Tank System, Briefly Describe Modlfica:ions Proposed (Excludin~ New Tank Installs=ion a~ BXie=ing Facilities) ~, Tank.fs) St~vae. (~ ~ ~ Ap~I~): (If" - COm;le:e Section INSPECTION RECORD POST CARD AT JOBSITE Kern County Environmenta. F~alth Services Departme~ 30 "M" Street, Suite Bakersfield, CA 93301 ('805) 861-3636 FACILITY County of Kern PERMI'T # ADDRESS 2717 "O" Street 060023 CITY Bakersfield, CA 93301 PHONE NO. (805) 861-2481 OWNER ADDRESS CITY county or' Kern - cuo±lc works 2700 "M" Street Bakersfield~ CA~ 93301 INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instrutions will' reduce the number of required inspection visits and therefore prevent assessment of additional fees. -TANKS&BACKFILL- INSPECTION DATE ' [iNSPECTOR 1 Backfill of Tank(.s) Pea 8ravel Spark Test Certification Cathodic Protection of Tank(s) 1'~ numbers of tank 1 Annular space integrity - liquid test - PIPING SYSTEM ~Piping & Ra'ceway w/Collection Sump J Corrosion Protection of Piping, Joints~ Fill Pipe J Electrical Isolation of Piping From Tank(s) JCathodic Protection System-Piping ' 2JPressure test - primary piping with soap 3JPressure test - secondary piping with soap ner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer evel Gau or Sensors, Float Vent Valves Product ~ompatible Fill Box(es) ~roduct Lin~Leak Detector(s) Leak Detector, s) for Annular Space-D.W. Tank~ ,nitorin Leak Detection (s) For Vadose/Groundwater In tank level monitor test - FINAL - '~ ~" ;Monitoring Wells Caps & Locks '. 'i 3 Monitoring Requirements ~ ~ I'l I CONTRACTOR B & T Service Station Contractors LICENSE # B431824 CONTACT PH # BAKERSFIELD FIRE DEPARTMt' BUREAU OF FIRE PREVENTIONI '/" ' Date' PERMIT Permit No. In conformity with provisions of pertinent ordinances, codes and/or regulations, permission is hereby ~ranted to: to dl,~lo¥~ store, instoll~ use, 'operate, s~ll or handle rr~le~ials ~r process in¥ol¥ing or creatln~ con- ditions deemed hazardous to life or property os follows: ' subject to the provisions and/or limitations as provided on the'reverse hereof. Violation of pertin- ent ordinances, codes and/or regulations shall void this per 't. ' ~ / BI~KF-REFZELD FZRE DEPARTHENT ._ /.-~.,.~:~,,,~ D~'T£~ 19 ~ BUREAU OF FZRE PRE~TZON PERHZT NQ~- ~-~ Auto Tire Rebldg. Plants ~ A~muntLion ~ Matches Auto ~recking ~ 'Fla~able Finishes ~ Place of Assembl~ Junk Yard ~ Spray Finishes ~ Tent Flammable Liquids ~ Welding & cutting 8owling Alley ~ Fumigation ~ Motion Pie Project Cellulose, Nitrate ~ Garage ~ Airport-Heliport Combustible Fibres ~ Hazardous Chem. ~ Organ,S. Coating CompresSed Gas ~ Liquefied Pet Gas ~ High Piled Stock Dus~ Explosion Ham. ~ Lumber Yard ~ Extin. System N tat. This card ts to remain in a conspicious place near final inspec~ion is made and apmroved. Remarks: the installation until Permit Application Checklist Facility Name ~D~ o~' .~ Facility Address ~-7IT ~) ~~ Applicatio~? Category: ~/ Standard' Design (Secondary Containment) Appr o//~ Motor vehicle Fuel Exemption Design (Non-Secondary Containment) Permit Application Form Properl~ ~omplete~ Deficiencies: Proper·ty l~nes ~ around_, t~nk (s) and Area encompasse piping ~ ~ ~ All tank(s) identified by a number and product to be stored Adequate scale (minimum 1"=16'0" in detail) North arrow All structures----~i~in 50 foot ra p~p~ng Location and labeling of all product p~p~ng and dispenser islands Environmental 'sensitivity data including: *Depth to first groundwater at site *Any domestic or agricultural water well ·within' 100 feet of tank(s) and- piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping leach lines, (telephone, electrical, water, sewage, gas, seepage pits, drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemPtion ~rom ~econdary containment Comments: Copies of ConstruCtion Drawings Depicting: Side View of Tank Ins6al~'ation'with Back~ill, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top View of Tank Installation with Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Materials List (indicating those used in the construction): Backfill e Tank(s) Product ~iping Raceway(s) Sealer(s). Secondary Containment [~eak Detector Overfill Protection Gas or Vapor Detector(s) Sump(s) Monitor'ing Well(s) Additional: Documentation of Product Performance Additional Comments Reviewed By SITE INSPECTION: Comments: Date isapproved Inspector Date 'CI~[ARAHCE'}~."i,ti~A~L,"A.4,"' RIS£R',PIPE FROM TH[ TANK & AN oP.i,.,1-o563:,5 GALLON SHE,, '.-. ,., ,. ,- i,~.,.', ,, ,, , .... ,CONTAINER '&' FiLL .' ~'Ot~NECTiON. RISER PJ~E 'FROM THE "TANK':' ,~ST~L T,E "DI~T~'":SENS,.[N6 PROBE., .'...iBTO THE 'TANK':* "~'NSTALL VE~p[E.RgOI' '¢312020-878'.~P, 'ADACT.ER RING & PLUG.' INSTALL 'ALLOIHER.'COMPONENTS' . . . ,.. .. , , . ... ,. '...... ,,.. ~ .' ~ ., ..'~'. NECES~aY ::~0..~ROV[bE .ImENTORY" ~Og~[NG I, ',,,,' ....,.'. .... .......:.:.,. :......?.....,..,.: , ' . . ..,. , ' , ,~,....,~,..... ':... RECO~END~TI'O~S. :;.".:.' "'.. . ' ' .'.'.:...:;.,.:.' '.: ..::: ::::::::::::: ::::::. · . ..,....,, ,'. '"' : .. .,...'..,,,., '.;... ' .:,,... f.;' ,. .' ,. ., ,. ~, :..'... .. ~. '...';,: ~.','-"'~ ~/'. ,..' ~ ......... ,:~: . ~,; ....., .. ... . . , . . .... .. ........ ... ~,~.' ,...'.. .... . ... , ,, ,.~.'. ] iNSiAL A~':'.?.cA',..-.¢2$SRrl.~· 18 ¢ BOX w/ CHEC~RD STEEL ' v ' · .:, ,, .'7".' :,', :t::~,'.' ~.'..' .... ~.:";,;.". ¢''' '"' '.' : SENSOR WIRING, &' . '-.'.'.....'.." ,,'.':.~i,6~'s'~8,;,'ROo~.:o'u,o~zo,'~ox ,,,. ~,E. . . . . . 'Z-ST~':~"OU'~'~':~.---.;:'''';'''¢''':'~'''',,,,.,.,, .., .... ;",'.'~,,;..:;,,:~,' . TEP'-- I 6--9 I MON I 6 : 0:~; B&T TERV . STAT I ON ¢ONT. p . 82/05 . SEP~- 16--91 MON 16 .' 04 'I~&T SERV . STAT I ON CO~T . P . ,, . . .. .... , . ,, . , ,~,, .... , :.:.~]. ZNTEG~'~/:~E~:,TANK. '[ Afl O~ENS-C~RN]NG CCS E ~N ~E:','.ENCLOSU~"',,' 'SEE,:.~E,,~'G :,,,' ,', '.'.~ ' . , REMOVE ~'XISTI'NG DISPENSER' INBTALL A MODEL glS~UOTI~N PUMP DISPENSER W/ I/~ H P PUMP, PHASE ~ VAPOR RECOVERY,. COAXIAL OTHER RE~UIR. ED ~OMPONENTS. CONNECT TO NEW sUCTION F'UEL PIPING ~.EXISTIN5 VAPOR RECOVERY.. INSTALL GAgBOY "SPECIAL'KEYLOCK"~ I,WWg07 B I-WWSS. 5 IN THE DISPENSER.. "' pUMP/DISpENS~ MANUFA~URgR SHALL BE ~SBOY. ' .... or N.°-O 5 4 6 4 7 4 DE~A"fMENZ. Or 'N~US~mA~ ,E~A~0~S -" DIVISION ' OF OCCUPATIONAL SAFETY AND HEALTH · ': .- .... "'-' i"":::~;:. : ..:::::~!:~i::::.: .... ..-' ::.:..': : P E R M I T ' '-::':"' Permit: -":' ' · :, . :' 0~'"~7~ · ::- (InSert E~np/6Yer'~" Na~'e,.!'Add~i;:'~n'd Te/e~hone No.) : ........ .-. ....... No., ~; .... :::,: .- - ....... ,-~-:.-~ ~,::~:: -: :~.~,~/~:~FA~ ~ .. · ,. , .~ .,.....~ ~,,~:~ . , ~:,_~-.~ ...... .,. ~. ~ .... . ... . ::.:. &.&~ :~::~ .~: :.,.~....; .:'.';~ :~:. :~: ::,p....,,, ::_:. :.'....... - . . -.: .. .:.:...~,.~.. :~ ...... .:~. ype-of Permit ................. .. .." :'' ::'-:::': emPloYer:f0'r de~6~'d, bel6W:::.',': -:.: -: ~::;~- .".: ....::.~:~:~:~': ================================== .~:~ .::::..:::?f.'?(:?::~::::k:::::.--'::-".""~:. ... This Permit is issued uP"on ~he following'conditions: . · 1. That the work is pb~°'r'~ed'by, the same employer. If this is an annual permit the appropriate District . Office ::shall be :.notified, in writing, of dates-and location of joblsite-prior to 2.-That empIoye~'iWill cOmplY ~ith oll occupational safely c~nd health Sfondords:°r:orders ap- plicable fo the above proiects,'.ond any other lawful orders of the Division. .".. :? '.:.' 3. That if any 'unforeseen condition causes deviation from the plans or statements confoined in the Permit AppliCation Form' the employer will notifY the Division 'immediately. 4. An¥'.voriation from 'the specification and assertions of the Permit Application Form or ¥i~iafion of sa~ef7 orders moy be cause fo revoke the permit. 5. 'This'permit shall 6e posfed-at or near each place of employment °s provided in 8 CAC 34].4. INJURY PREVENTION PROGRAM 1. PERSON/PERSONS RESPONSIBLE FOR IMPLEMENTING PROGRAM: - Thomas G Tulledge,-President Ken Bruton,"'.Northern Office DiVision Manager (MT) Ken Brut. on, Southern Office Division Manager (MT) Jerr. y Cop'Icy,. ConstrUction Superintendent Construction Foremen responsible for "on site" inspections. ,,Administrative assignments· shall be completed by the Bookkeeper~ .... · ~ . 2. EVALUATION~OF WORKPLACE HAZARDS: =-.~ij.....Identification of potential WOrk hazards shall be.dOne .~, o ~ ~i~s= i t'e ~ ? !'i~ t. Lt h e'i' o n s e t- -i 0 f !=t a'.'itJ o b. by:': t he ~'cons.t r uCt i on/Ma Int enance Leadman. "Al!.~=ilperls~n{~ihou'ld report unsafe"~condltions to his/her immediate .supervisor' ' .... 3. PROCEDURES=.EOR CORRECTING UNSAFE CONDITIONS: - a) Identify unsafe/unhealthy condition. b) Employees will observe and obe.y rules and regulations deemed necessary· (by the·Supervisor/ Foreman) to correct the situation and make the work environment a safe one. c) Unsafe/unhealthy conditions shall be addressed in a timelY manner. 4. GENERAL SAFE AND. HEALTHY WORK PRACTICES: Foremen shall insist on employees observing and obeying every rule, regulation, and order as is necessary to the safe conduct of the work, and shall take such action as is necessary to obtain observance. Ail employees shall be given frequent accident prevention instructions. Construction and Maintenance to conduct tailgate meetings every 10 days (minimum). Work shall be well planned and supervised to prevent injuries in the handling of materials and in working together with equipment. Workers shall not handle or tamper with any equipment, or machinery in a manner not within the scope of their duties, unless they have received instructions from their Foreman. COMMUNICATION. WITH EMPLOYEES REGARDING OCCUPATIONAL HEALTH AND SAFETY MATTERS: - Ail supervisOrs (Foreman/Managers) are encouraged to create an...atmosphere in which fellow workers feel free and comfortable to share their ideas and/or opinions. Management and employees shall work together.-to develop and organize better methods and procedures which encourage a safe and healthy work envirnoment. "Incentive t° work in'an "accident 'free" environment is supported by-the Company "SAFETY'QUARTER PROGRAM" where a drawing 'is held in the event of a "claim free HEALTHY'~WORK PRACTICES: . review '(making safety.awareness a 'hlgh~pr. iorlty)~. Information from this record may indicate where areas may be Improved upon, le. training, equipment usage, hazard Identification, 'etc. Disciplinary measures used to ensure the workers follow safety rules include: - verbal warnings * (* most commonly used) - written reprimands - suspensions - termination (for absolute non-compliance and endangerment of fellow workers) b. examples of hazardous/unhealthy working conditions: - open holes (barricade off area, well marked) -electrical hazards (qualified personnel only) - handling of hazardous materials le. gasoline (proper use of protective clothing ie. masks) - Jackhammer (wear protective eye glasses, mask etc) C. Ail new .personnel are given "hands on" iraining by a qualified, experienced member of their appropriate department. Job policies and procedures are explained at such time. "CODE OF SAFE PRAC'TICES" given to all new employees. J~ne 21, 1991, B & T Service Station Contractors P.O. Box 1351 Arroyo Grande, California 93421 'RE: Safety site plan on finding of contaminated soil B & T recognizes that hydrocarbon-bearing soil may be encountered during the up-coming construction activities at the any'of'the facilties where work will be performed. In that event, B & T proposes to leave as much of the contaminated soil in place as is possible. B & T understands that the County may request further assessment of the extent of contamination, if found, and that remediation of this soil may be required in the future. B & T also understands that some assessment and remediation options may not be possible due to the installation of new equipment. However, well-established technologies for assessing and remediating gasoline-bearing soils in place are available and can be utilized at the site if necessary. Hydrocarbon-bearing soil may be encountered near existing dispenser islands If that is the case, the following procedures will followed in order to meet County requirements for a permit to install new tanks and piping: 1. B & T will leave product-line excavations in the current locations 'in relation to the pump islands. During installation of the new product lines, enough soil will be excavated to allow a 2-foot wide and deep clean area around the new piping. Excavations under the islands will allow a 2-foot deep excavation a%d as much area on the sides as possible without compromising the structural integrity of the canopy supports; 2. Any contaminated soil removed during construc, t-ion will be stored on site. The material will be ~ stockpiled temporarily under visqueen with containerization (either roll-off bin or drums)'" to follow immediately upon completion of soil removal. All contaminated soil will be covered to minimize aeratiOn. '. ~.~.~ access of 5" unless'made aa~e 6)'~:: 'No weld~n~ ~s to ~e done w~thOut ~r°per:approVed p~otect~on. -" No welding in an.explosive ~v~o~eng. A f~re ~g~gu~she~ '-'- . ~0) ~ead P~o~action"muaC be worn at all' times ~hen exposed : ff.....[ _ ~) Respira~or or [~l~e~. mask ~ua~ be. vo~n. ~hen exposed ·., '.. . - . . . _ .. . ..... ~.~ .... .'~!~": ". . '" ':;-..-. ~ '. '.'1-". :__-2:,p. OLLARS t DATEI 19, BUREAU OF FIRE PREVENTION PERMIT Auto Tire Rebldg. Plants ~ Ammunition 0 Matches Aut~ ~r~cking ~ ~la~mable Finishe~ ~ Place of'A~s~mbly Junk Y~rd ~ Spray Finiah~ ~ T~nt Flammable Liquids ~ W~lding & cutting C~bu~tibl~ Fibr~ ~ ~a~d~ua Ch~. ~ Organic Co~tin~ Du~t Explosion H~z. ~ LuAb~ Y~rd ~ gAtin. Syat~ ~ploaiv~ ~ M~gn~ium ~ $~ok~ gyro. System This o~d is to re~in in ~ oon~pieiou~ plso® n~a~ the installation final ina~®ction is.~de ~nd ~pprov~do R®~rk~: Final Xnap®c.tion: lS,__ Xnsp®ctor: ' · -,':~ ......... ~ ..... ~ ....... .-~:": .......... )-: ............ :'": ......... :V ......... .. . until {~{~{~ Perrni~ No. In conformity with provisions of pertinent ordinances, codes and/or regulations, permission is hereby Name of Company Address to display, s~ore, install, use, 'operate, sell or handle materials or process involving or creating con- ditions deemed hazardous ?o life or proper~y as follows: subject to the provisions and/or limitations as provided on the-reverse hereof. Violation of pertin- ent ordinances, codes and/or regulations shall void this pe~)t. Standard Cospllance Check ~quips'ent to be installed: CT O0ooZ3 [~]Gravity, Pipin O Flberglass-clad steel [~Uncoated steel [~]Other: Comment: Additional: Inspection: . L=~Ooubl e-~al I ed ~,ank ( s ) Containaeu~ of Tank(s) [~]Synthe~lc llne~ [~]Lln~d concrete vault(s) [~Other Type Co~ae~t: ~ake & ~odel Sealer used ~ake & ~odel Inspection: Secondauy Contalnaent Volu~e at Leas~ 100~ of Pulsauy Tank Voluae(a) Consent: Secondary Contalnaent Voluae fop ~oue Than One Tan~ Contains 150~ of Volu~e o~ Larges~ P~l~ary Containment or 10% of Agguegata Pclaacy Voluae, ~hlcheveu is Greater Coanen~: Additional Inspection: Secondary Contatnaent Open to Rainfall Must Accommodate Hour Rainfall Total Volume Comment: Additional: ~nspectlon: Secondary Containment is P~oduct-Compatlble Product .O/C~ Co~e~t: Puoduc[ Addl~loua~: ~nspec~lon: / [~Coated stee! plpl~ ~U~coated steei pipinE ~Othev Size Size Additional: nspec[lon: C,~ Second~a~y Containment of Piping L~Double-~alled pipe Size & Make [~Syn~he~lc !ine~ in trench Size & Make [~Othe~ Additional: - ~-~ Cou~'O~l~f'n P~otectlon Iaspec[lo~: Manufactur~proved 2ackfill for Tanks & Piping Type ~/~/ Comsent: Approved Additional: Inspection: --. Tank( s) Located no Closer than ]0 Feet to Building(s) Coa~ent: Additional: ~nspection: It Ig/~t-~ / comp~'et~' ~on~ }_~Llquid torlRg Syste~ device within seco.n~ar~ containment: level indicator(s) ~]Therma ~Vacuu~ [~]~anual ¥1sual Other used conductivity ~auge vapor detector(a) inspection & sampling inspection Additional: ~nspectlon: , ! Other ~onitoring ~Periodlc tightness ~ethod ~Pressure-reduclng line leak detector(s) [~Otheu Co~Eent: Additional: ~nspec~ion: Overfill Protection [2]Yape float gauge(~) [~Float vent valve(s) ~]Capacl~ance sensor(s) [~Hlgh level alarm(s) [~Auto~atlc.,shut-off control(s) [~Flll bo~(e~) ~lth ~ ft. 3 volume ~Operator control~ ~ith visual level ~onltorln~ Other Co~aent: - 3 - Approved Addi:tonal: Inspection: Insp~c~o~ ~NDALL L. ABBOTT DIRECTOR DAVID PRICE ~ ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILLIAM d. RODDY, APCO Planning & Development Services Department TED dAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT ?ERMIT TO CONSTRUCT 'UNDERGROUND STORAGE FACI[L]ITY PERMIT NUI~BER 06002~C FACILITY County of Kern 2717 "O" Street Bakersfield, CA 93301 OWNER(S) NAME/ADDRESS: County of Kern 2700 "M" Street Bakersfield, CA 93301 Phone No. (805) 861-2481 CONTRACTOR: B & T Service Station Contractors P. O. Box 1351 Arroyo Grande, CA 93421 License # B 431824 Phone No. (805) 481-2552 X NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT EXPIRES APPROVAL DATE APPROVED BY September 11~ 1992 SeDtember~l, 1994 - Chris Fin~rg Hazardous Materials ~p~cialist .............................. POST ON PREMISES; ............................. CONDITIONS AS FOLLOW: Standard Instructions 3. 4. 5. 6. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. Permittee must contact Permitting Authority for on-site inspection(s) with 48-hour advance notice. Backfill material for piping and tanks to be as per manufacturers' specifications. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfilling. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill b. Piping system with secondary containment ~ .. leak interception/raceway c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 Standard Instructions Permit No. 060023C 11. 12. 13. 14. All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. Primary and secondary containment of both tank(s) and underground piping must not be subject to physical or chemical deterioration due to the substance(s) stored in them. Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to construction. The vacuum gauge for each tank must have a secured access point for periodic leak monitoring and for vacuum system maintenance. The following equipment and materials must be identified by manufacturer and model prior to their installation: Sealer used to secure fill box(es) No product shall be stored in tank(s) until approval is granted by the Permitting Authority. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. Monitoring requirements for this facility will be described on final 'Permit to Operate.' Monito~ng wells on 'Typical Drawings' are not allowed unless monitoring probes are installed and functioning. Construction must be in accordance with Hazardous Materials Management Program standards as per UT-50. ACCEPTED BY: ~~~-~--"~~ CF:cas \~:~0023C.PTC DATE: ,1,/- "?- q ? 1.. ~I-have not done any major modifications to this Iactllty during the last 12 months. - - ~ ~ ~Y n Signature Note: All major modifications require a Perk[i~-to Construct from the Pernltttn~ Authority. 2. I have done major modifications for which I obtained Permit(s) to Construct from Permitting Authority' SlSn~.ture Permit to Construct # Repair and Maintenance Summary A}t/aCh a summary of all: Routine and required malntenaflce done to pipinf, and monitorinK equipment. Date this 0 -- Repair of 8ubmerKed pumps or suction pumps. . -- Replacement of flow-restrictinf leak detectors with same. -~,~__epalr/replacement of dispensers, meters, or nozzles. -~ Repair of electronic leak detection, components, or replacement with same. -- Installation of ball float valves. -- Installation or repair of vapor recovery/vent ,lines. Include the date of each repair or maintenance activity. NOTK: All repairs or replacements in response to a leak require a Permit to Construct from the Permitting Authority as do all other modifications to tanks, piping or monitoring equipment not listed here. e Fuel Changes - Allowed for Motor Vehicle Fuel tanks Only. .List all fuel storaKe changes in tanks, noting: Date(s), tank number(s), new fuel(s) stored. · 5. 'Inventory control nonlto~inE 18 ~qutred for this facility on the Permit to Operate, and~l~ave not exceeded any. reportable limits aa appropriate inventory control aonitorinE handbook durin,llsted thein la, tthe twelve months (if not applicable, dl~r~,ard). 6. Trend Analysis Summary Please attach Annual Trend AnalySis Summary for the last 12 periods. ?. Meter Calibration Check Fora Please attach current, completed Meter Calibration Check Form "ANNUAL TREND ANALYSIS TANK # 7 PERIOD 1: PERIOD 2: PERIOD 3: PERIOD:~ ~3 TIME TINE PERIOD: ~ ? ~ to Total Minuses~hls Period (Line 3) ACtion Number for this ~e~tod (Line 4) Total Minuses This Period (L~ne 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number' f~r this Period (Line 4) S UI~I~2~RY QUARTER 2 PERIOD 4: PERIOD 5: PERIOD 6: QUARTER 3 PERIOD 7: PERIOD 8: PERIOD 9: TIME 'PERIOD: ~.~ ~3 to ! Total Minuses This,Period (Line 3) Action Number for thl~ Period (Line 4) Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) Action Number ~or this Period (Line TIMe PERIOD: * ~3 tO Total Minuses Th~s Period (Line 3) Action Number for this Period (Line 4)'" /// Total Minuses This Period (Line 3) Action Number for this Period (Line 4) Total Minuses This Period (Line 3) / / Action Number for this' Period (Line 4) QUARTER 4 TIMe PERIOD: ~-C~L- ~ to PERIOD 10: Total Minuses This, Per2od (Line 3) Action Number for this Period (Line 4) PERIOD 11: Total Minuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 12: Total Minuses This Period (Line'3) Action Number for this Period (Line 4) I hereby certify this Is a true and accurate report. / K E R N._~_C_O_U_N'I'~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM Facility Name: POWER ALARM DATE TIME INIT. TANK ~ ON/OFF ON/OFF COMMENTS KERN COUN'F~~ / ENVIRONMENTAL HEALTH SERVICES'DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM Facility Name: %tO '' ~+~~ ~~TJO~ POWER ALARM DATE TIME INIT. TANK '# ON/OFF ON/OFF COMMENTS 'KERN COUNT%~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Permit Facility Name: CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM ,, o" C+pr~..T~v, o ~ POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS KERN COUNT~I~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Permit #: Facility Name: CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM ~ Month/Year: ,,o" ~+~~ _c~, POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS t IM~ ~ ~ KE RJ~LC_O_U_N ~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS KERN_~_C_O_U_NT~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM #: i~'~ O0 ~.'~.~ Month/Yea=: Permit Facility POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS tIM~ ~ ~ .~.. c°u.~ ~ ,ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DALLY INSPECTION FORM #:_~~ O0 ~ Month/Year: ,'o" C+/~_T Permit Facility Name: POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS "KERJ~LQ_O_UN ~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM Facility Name: ~+~~ _~'~l~'J'l O 11~ POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS "KERN COUNT~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM Permit ~ :~ Facility Name: ~+~~ Month/Year: POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS I IM~ ~ ~ KERN COUN'I'~ ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM Facility Name: %1~ '' ~+~J~ _.~'~'"'~'~ ~)q POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS 3-~- g.D~ ~ ~ ~.L ',~r~. 9 ENVIRONMENTAL HEALTH SERVICES DEPARTMENT CONTINUOUS MONITORING DEVICE DAILY INSPECTION FORM Permit ~: ~g_ _ O0 ~~ Month/Year, Facility Name: "O" ~~~"". ~T~TIO~ POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS KERN COUNTY .ENVIRONMENTAL HEALTH. SERVICESDEPART~MENT CONTINUOUS MONITORING DEVICE DALLY INSPECTION FORM Permit #:~~L~~~~ Month/Year: Facility Name: POWER ALARM DATE TIME INIT. TANK # ON/OFF ON/OFF COMMENTS :.,' :;~ '~,' ~ ~1 '~..: ',',-2090 SO.-UNION AVE: '..':. ~*:~'s:.~"l';' "" ' '" . BAKERSFIELD"CA 93307 : .::.~: ',~ . .. ;:.:~. :,:" ,. h :~,;? '?..:, ~ . . ,. 14~sANTw.A MARMccOY'A cASUITEg~Ss.A' '' R LEUM "AUTOMOTIVE- INDUSTRIAL PET O . .:-' , (~5.) 928-11~. "' EQUIPMENTINSTALLATION ~'MAINTENANCE' CALIF. CONTRACTORS LIC. NO. ;:'94074 ....... INVOICE NO. MAIL INVOICE .TO PHONE ORDER NO. C:' A T · O ' ~? _1 N I BY J CHARGE · ' .'OFFICE '~ '" ,'~,1 ~'"',~ .,':. ' ,, ' "" .'". . · ' ' i,, ; , '.. ' '. . .... · ,.,.,,.,:.:.., .,..; ,' .',.-' . ...: .. , , . . . .... USE ~,... TECHNICAL ..... :; "' HOURS '"" ": : ?,i,~ · ,. ': ' .: .., ,: ,;:'.::;,...: , ~,,, .: .. ';'.,:.. ':'.,...;,..;:/,"!:.~..,'.!~;::..,, '~'-:' ..,' .: · ~ . '::,".,." . .... ,,"" ':',... ' .. Sub,Contract . :" ": ' ' '' ' ' ';"-'-"' "' . . ,' ....::.. :. ~'": :..:.,. ::'~:? :.... :. ,. . . '.,.::. ; ', · ::..' .;:...:,:., · ... ~;- . ,... . ' ', ' :,":';'!' '"2';"';" :' " ~ .... '. ' .,'. ?'.' ........ ' ":"'"" ':' ~'~:: ...... 'i'"' ' "" ' ~ "'"' : , :.' . . . ;. ..~, , - . , · ,.~,,,. .. . .. . ,....: ,:~'::, ,-..;~..:~''. .~.,.,. MAKE ~ ~' ~ l,~'/'d~"c'~* ' ~vI'oDEL:"No. ';:'~''" :"' "~"'.1' 5ERIA'L NO.' ' ' '"' '"':' :;'' '" ' .' ' :'" ': ~'~ ''';'r ' ",DESCRIPTION ' "'"":' " ," ' '' S QTY'. ,PAR'F. NO. · :'i"~','!-~":,:'...~.. .... .... :" , .: . , "':' . ...:' ,' . , %~.,.,'. : , ,',.,,. , , .' . · . ::.':'::'.. ' . :' ' ..' .... ', , .'. ', ,','!'-'"-'i'.:,".".'., " '.'" ':,. '.' ." ',;' ' ' ':' " ' ' . : " r ' ' . ',', ~ ' ': ' ':: ' Hazardous Waste . :. ,' ' '. "~ " DIspoaatFee . '- : ' ' Date completed ~ · ".;':'"" "':::';' ::.: h ici n(S): '': '. .. . : .' Received & Accep ed By ' - PLEASE PaY FI~'I~'THIS : . .. PLEASE. 'REMIT TO RLW EQUIPMENT IL'. P.O. BOX 640 BAKERSFIELD· CA 93302 AUTOMOTIVE - INDUSTRIAL PETROLEUM EQUIPMENT INSTALLATION -MAINTENANCE DATE REQUESTED BY PHONE NO. 2080 SO. UNION AVE. BAKERSFIELD, CA 93307 (805) 834-1100 1450 W. McCOY. SUITE A SANTA MARIA, CA 93455 (805) 928-1135 CALIF. CONTRACTORS LIC. NO. 294074 ORDER NO. i..' -4 e-~..~ MAIL INVOICE TO IUI3 WORK TO BE PERFORMED: FOR OFFICE USE ? ~ ECHNICAL HOURS ....... MILEAGE Sub Contracl ,' ' ' Re~tala S QTY. PART NO. DESCRIPTION Dl~poeal Fee Supplies Received& Accepted By ~q ~~'~':~"' t% "~~ TOTAL PLEASE PAY FROM THIS INVOICE. TERMS: Nat due upon Receipt Finance Charge of 2% per Month after 30 days. PLEASE REMIT TO RLW EQUIPMENT P.O. BOX 640 BAKERSFIELD, CA 93302 <.. :."':' '. ": .,' ~,'~'-:'. ':.' ":.': ," :',. ;::'"~'. '"" .... ':*: '::" ' ...... ' .... ., ,.... .... :. :':','::use:.'' ' , , .... '..... ,~ ~;.'. · ,, . ~),~,b~ ~R~' ~,,,,,,~; ONE .~..L'~ : ~..' ,' ..,,,., .OURS · -.. ,' · ...,-, '. .....?.".',...:'. :,". , "~,'~ ':,.,,:~,'::~ ~:':' ',, ........ "'~ .... ,, · ,, -,, ...... ':, ,~,, '", ,.: ' ':,/ .',':1,...,.~.. '",'"'~'~.'. :'," ':",'7': ' ' .. " ;.', ,~ ,~,.~'~,' ' "," ,. :-,~,:,,:, .: ~.:,,. ~,::,.~-~:?..,,: ,.::: :... :...,.,~,~.,,,: ~:,,:~, ~.:.::.,..,.. :... :., :,...~, ,.:,.:',: ..::::: :,,:. ~..:~.:..'.,:~..~ ~.. :'.,:',: ~ . '..,..',.:.. "..~-,?;," ' , ,, +;'. .' .. · ...... :, .., ,..', ','. , ' ,.'..'. ~:,.,.~',. '"" .......... ' :,', ."-'. '. ,'C7..~: -': '~'~ ,,,r~ ~ '~'~..::? ".:,,,'. '..',~v ;,~,,?> ,:': .:.. '. , ; ....... . · '". '" . '~'.-i':' "'" " ;;',:': ~' ~'' ":"" ..... :":>~.~ ~ ~ '.: ': ~ ',';-"'.' :. 9' ....... :: .... ,,., ..... .... , ..... ,::,..: ::... .:..:,::, . · '.,, · · :' ':"5;'-.':4. ~ :~ :.,...:.,.:: .~'.,. '. '..2" -,~. ~-':-." ,' ".. .:-::' ........ '.'.',.' '?' - ' ~ ,., :.. . .',' ..'. ": ',. :::::.:..~,,~,.' ,:..,.;} , .-. ~-,~ ........... '.'/,.' '::,; " " ' ..... .... ,'~ ',,'.:,' ,:'"'"' ,'-.:; ":'~,"; '.":':'.~.L":.. ,,' ',' ....... : :,, .......... : .... :..., . .... ' " ........ - · . . .... . : . . . , , . · 'i: ,;':.' ':...' ~. :."?f :::.:' ~ ':",. '".: ~,,',' ,'." ::.'.~' ' "' ' "' :?L' ,", ";~",: ' . ~ . ,~:, . m~po,~ ~,,"~'~,~: %',,;:"':' . : 'r:" "% '~:~{,~ ~d:,' . "' - , , -' .~. ¥ - ~ Supples ..,., :,. ,.:.:,~-;".,..,:.;:.,..,,7,, " , ' . "." ;'.'.2.,::,c;',;., .., ,,,. ',~t ~,. ~ales": .... .Ta~?~.:: ;?'?:":'>"~'~,,m?',:' ~:" :" '" ~"~ '~'''-" "';"~ ";" '~ ..... ',: '~";' "' ...v ',.'s~ ;"2 ,'.: · ,' ~- ,~' > '~", ...... .'-.,~,:..c~,,, ...... · ,~, , ....... ., ' .... ~';"'~' "' TOTAL-,,.",:'~,~ :":' ~;~ '.: "%;~ ~,.:': ,, ":",,:,:: :'-:: PAY: ~,.. :,:. ,.. ,.-.,.,. :?~:,:.~ !:.::,i:!::~ ',,'.i ~:'~,:.. .:' .".g .".".: 2080 SO. UNION'AvE.. f:~'i: ', BAKERSFIELD,"'CA93307: !'' ; ". : . (805) 834Hl100.' ' '" ,:: :' :i:.'::-' :'":: 1450 W. McCOY,'SUITE A . ~ :'.' SANTA MARIA; CA 93455 AUTOMOTIVE-INDUSTRIAL ·PETROLEUM "' .." .(805) 928-1135 EQUIPMENT INSTALI'ATJON ~ MAINTENANCE ,CALIF. CONTRAi:TORS LIC. NO. 294074 . MAIL INVOICE TO · PLEASE NOTE ALL INQUIRIES AND CORRE- SPONDENCE SHOULD REFER TO TH IS INVOICE NUMBER ':..]; ,"' ORDER N...~.-.~. ' I BY' '1 ' · ~ '0 PHONE NO. SERVICE I NvoI_C~E IS 8'9.37' INVOICE NO. · .'. .USE ' ~ ~: '" ' ~ . ' ' : ' ' ;" ' "' TECHNICAL '!. ' SERVICE . . HOURS :., MILEAGE ' Sub Co~,ntract . .. I · · Rentals . S QTY: PART NO. . . DESCRIPTION · · , . ' ' '" "~' ' ; Su es Date Completed:., .~._ ~ ¢~..~ , ,,, lab(s): ~'~'~' Sales Tax- : i : PLEASE PAY FROM THIS. INVOiC Net due upon Receipt Finance Charge of 296 per Month after 30 days. PLEASE RLW EQUIPMENT · REMIT TO P.o. Box 6<0 .. BAKERSFIELD, CA 9330:~