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Home My WebLink AboutUNDERGROUND TANK FILE #1Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE LOCATION PERMITLUBEID#.4 015-0214)00916 U 6607 FAN ~002 ~)003 3004 ~oq5 MING HAZARDOUS SUBSTANCE WASTE OIL LUBE OIL 10-30W LUBE OIL 10-40W LUBE OIL 20-50W This permit is issued for the following: iiiii~,:~',~e[ground Storage of Hazardous Materials [ PIPING METHOD SUCTION SUCTION SUCTION SUCTION Issued by: Bakersfield Fire Department OFFICE OF ENVIR ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30, 2000 IT.E HM~IP GRAM _PLA~.MAP FAQ'~. ' I TY DIAGRAM CITY of BAKERSFIELD Farm and Agriculture l-I Standard Business, II~,..AZARDOUS MATER'rALS TNVENTORY NON--TRADE SECRETS Page __~ ...... of ( BUSINESS NAME' ~[L CLJz~.~ ~'~i~ OWNER NAME: ~[~_ C_~[A~.,~_.., I~ ~H~D~FDT"~ F~T~D ~(.~_.C~n~~ LOCATION; ~&~ ~IN~ ~U[ ADDRESS: ~.o,,~..~ ' DU~ AN~ B~AD~REE~ NUHB~-'-7~-"-''-'-:]::::::;:]':'-~: CiTY IP' ~ . · _~.~ _ _ ~ ~O~~~~R~ROPER CODES Tr,,sl !Y,'; Code code Ami Am( Est Units on e ~ype Press /emp~!~r~g IQ taClllLy Physical and Health Hazard C.A,S. Humber ~/xL~ Component II Name I C.A.S. Number (Check All that apply) KFire Hazard n Reactivity Component 13 Name I C.X.S. Number PhYsicll Bnd Health Uazlrd C.A.S. Number Component II Nile i C.i.S. Number (Check 81/ that apply) Component t~ Name I C.A.S. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate Health of PressureHealth Componen~ 13 Name I C.A.S. Number Physical and Health Hazard C.A.S. Number Component II Name I C.A.S. Number (Check a11 that apply) Component 12 Name I C.A.5. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Immediate flealLh of Pressure Heal&h ComponenL Physical and Health Hazard C.l.S. Number. Component II Name I C.l.S. Number (Check 81/ that apply} Component I~ Name I C.A.6. Number ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ l,m~dtAL~ HealCh of PressureHealth Component 13 Name I C.A,S. Number ferti[iati0q ,(Re~d an.d.~fgn af¢pr cqmpl~tipg.all, sec~i.on~) cer~lty under penally oF!ap thq[ l nave personal~Y, examln~gQqo tm ramille[¥1tbthe !nlo~maHpn ~ubmittpd iff this. Qfld all at,ached.dot,menLo. In~ t~ac based on.my Inquiry qr.&nose In~lVlOUl/S responsible tar obcalnln9 one Information. ] believe that the submitted InlOrma~lOA IS crum, Accurate, and comp/eom. njAe~[~l(ie o ~ ~ lode 8[Or u oUn~~[hOtized representallve T£/FACI LI TY FORM D NORTH SCALE: None BUSINESS Beacon Lube Stop #27-3 DATE: ' / 4-12-89 FACILITY Beacon Lube Stop #27-3 (CHECK ONE) SITE D[AGR~ .FLOOR: OF UNIT ~: OF 27r, 3 FACILITY DIAGRAM Inspector's Comments): 2OFFICIAL USE ONLY- o SA - 1. Addrell: identify the principle bulld~ by tho Street n~l. 2. Street(a). Alleys. Urive*~ays. end Parking Areal adjacent to the property, include the street fl~mos. 3. Storo Droins. Cuiverte. Yard DraAna 4. DrnlnaRe Canals. Ditches. Creeks, S. 9ulldtnre &. Frame construction b. Nasonry construction c. #sial construction d. Access Ooor 6. Utility a. Gel b. Electricity c. Mater 7. Fire Suppr~ssion Systems: a. Fire Hl~ranta b. Fire Sprinkler Connections c. Fire Standplp~ Connections d. Mater Control Valves for protection eysteuo e. fire I~ap O. Fire Department Access $. Lock (key) Box lO. MSOS St Box 11. Railroad Tracks 12. Fence or Barrier a. wire b. Masonry c. Mood d. Gates 13. Po~rllnes 14. Guard Station IS. Storage Tanks: Identify the capacity in fat. a. Above fround b. Underground 16. Diking or B~ru 17. ~vicuatLon Route 18. Evacuation Area: Identify the location uhero employees sill Beet. 19. O~taide Hazardous Mazte StorM.. -20. Outside Ifazerdoua Material Storage 21. Outside Hazardous Material Uns/Haml~inf 22. Typ~ of Hazardous Material/Vesta Stored or Uend (See B41o~) R · Ridlological p · Potion FACILITY DIAGI~N (Required lteta tn addtt/on to the 1. Risers tar Sprinklers 8. Faro ~aeap~e 2. Partitions O. Air Conditioning Unite 3. Stairoeye: Indicate the 10. #Indons levels uarvnd frae -. blt~eat to lo, oat. - Il. lniide unsardoce Waste $torelm 4. ~acaJator: Indicate the levela marred From 13. lnsld~ Nazirdoua biwheat to lo~met. M~tartaia Storap S. Elevator 13. Inside Uazardoue Materiall Uae/HeAd] lng 14. Seg~r Drain Inlets I TE/FACI L! TY 1~ 01~1~ 5 NORTH SCALE: BUSINESS NAME: .FLOOR: OF None Beacon Lube Stop #27-3 :: DATE: .' / FACILITY NAME: UNIT ,: OF 4-12-89 Beacon Lube Stop #27-3 27-3 (CHECK ONE) SITE DIAGR~ FACILITY DIAGRAN (Inspector's .Couents): -OFFICIAL USE ONLY- AddreeB: lUencl;y principle buildings by the Street nuul)eru. Street(e). Drlveuaya, end Purktng Areos adjacent to the prop-.ray. Include the street naBea. StorB Drains. Culverts, Yard DraAns 4. Draiaafe Canals, Ditches, Creeks. $. Buildings a. Franc construction b. #esonry construction c. Metal construction d. Access Door 6. Utility Con:reis e. Gel b. £1ectriclty c. #stet ?. Fire Suppression Syeteas: x. Fire Hydrants 10. RiDS StoraEe Box 11. Rnllroe~ks 12. Fence or Barrier &. Mire b. IMaonry c. #sod d. Gates 13. Power]lees 14. Guerd Selfish 15. Storage Teaks: Identity the clpeclty in f~l. o. Above frouad b. Underground 16. DJkJng or Serb lq. Evicuetioa Route 18. EVlCUitIo~ Arno: Identity the loc&elsa where empZoyees w111 b. Fire Sprlflkler Connections c. FLr~ Standpipe ConnectLonl d..Meter Control Velvel tot protectlou ly~tetl Outside Ruxrdout Malta Storife · 20. Outside Uez~doua IMterlnl Stornl~ 21. suicide Rnzir~Jout UBe/Um)dltng e. Fire Pump 8. ftr~ OupertBent &geese Type of MarMoul Riterlnl/#ute Stored or Used (se~ D - Molto 2 - 2tiologlcxl Lr~tpJe: Flum~ble Liquid - FL FA~L~TY DIAGRAM (Required Jteel In addition to the I. Rjnerb rot SprinkJerb 8. fire Partitions' StoJruoyt: ludlcote the levels aer~d free hlghBet to loBeet,' EeceJetor: Indicate the ]e~ela ear-ed tree bifheat to loueat. S. EJevutor e. Attic Actors 9. Air CondttloeJnl Unite lO. Mind(plo 11. Inald~ Buardoul Matte StorBl~ 12. Inside #agi~dous IMtarlele Stortf~ 13. Inside Razardous MateriAls Doe/Red]lng 14. Smear Drein Inlets AVE AJU~ ': LOC/I I IO/kJ ~ F/ / Ir.r. Y'do rw '"' -- __.,F.4,,~ o LOCAl!OM., 6601 II I I BEACON OIL COMPANY 525 WEST THIRD STREET, HANFORD, CALIFORNIA 93230 /0/2/~.1I ....... I T£/F~¢ · L~ TY FORM NORTH SCALE: None DATE: ' 4-12-89 BUSINESS ~E: Beacon Lube Stop #27-3 FACILITY Beacon Lube Stop #27-3 (CHECK ONE) SITE DIAGR~J{ · FT. OOR: OF UNIT ·: OF 27-3 FACILITY DIAGRAM WASTg OIG TAJJg., r,J~ , (Inspector's Comments).: -OFFICIAl, USE ONLY- - SA - S~TE O[A~R,,~. (Required teens) Address: Idefltify tbs by the Street humeri. 9. Lock (key) Box lO. NSD$ Stora,e Box Street(s). A~leya. Drlve~ayl. and Parkin, Areal adjacent to the property. Include the street nil. Yard DroWns Il. Railroad Trsckl 12. Fence or Barrier a. #ire b. Nasonry c. Wood 4. Drainale Canals. Ditches, Creeks, 8. Frale coflstrucCion d. Gates ~3. Po~rlines 14. Guird SCat/on b. Masonry construction c. Nets1 construction d. Accels Door 6. UtIILty Con:ro~s 8. Gal b. electricity c. enter ?. Fire Suppression Systeeo: 8. Firm Hydrants IS. Storalv Tanks: Identity the 8. Above fround b. Under,round 26. Dikin, or B~re l?. Evacuation Route 18. evacuation Ares: Identify the location mre employees will lemto b. Fire S~rinkter Connections emote Stori&t.. c. Fire Standpipe Connection d. elmer Concrel Velvem for protection -30. O~tlide Ifaomrdoul aitirial Storetl Outside Nionrdoul Niteriol Un/eaodltn~ e. Fire I~mp Fire DopmrCmmmt A~eoI Type of Iluordmao Plmtor Iai/eMote Stored or Used (See klo~) f - flnoable TYP~ Of IIAZAIfJXX~ MATERIAL g - b~lolive L - Liquid R o Radiolowicml CorroliVl 0 · Oxidizer O · Gte P · Potion Relative T · Toxic S · Solid H · Cryoqunic O · lists I - lttolo,lcml lnmpie: Flmmable Liquid - FL FACtLZTYDIAGRAN (Required treed tn oddities to the ahems) 5. Elevator 6. Attic Access 8. Fire Eocmpeo O. Air Conditiontnl Units 10. eindon 11. Intde BasarMmo emote Storequ 13. lnli~l MmsmrWe #mtertoio Storequ 13. lniide genrdouo natorimlo Uee/liandltnf 14. Sequr Drain Inlets -A3NO ISa ~¥I3I&&O- : ($~u~o3' s ,~olo~dsuI ) ~9YIa l.l.i'li3Y,t .... /'; h'V~9¥1(1 l.l, IS (3NO 1t33H3) £-LE ~-Lg# do~s ~qn~ uoue~ 68-~I-~ &0 :~ ~I~ :3h~X A£13IDV& / ~ :]%VG ? ~-ZE# do~s ~qn] uoo~ ~UON 30 :MOO3~- :3~VN SS~%IS~ :3~¥3S H£~ON · 1eNo! ol 3moq,JTq *) 'T (oAoqe oql o3 IIOT3TPPe eT emil! po,,JTnJoM) NVM0'VIQ A,l, lql~V] ~1 . pTtd)Tq oTqWm~Td :oTduUr"d OTUOJOAJ3 · R PTTOS" gOlTOd · d ego · 0 oTIo~ · ~ #TTOlll JltlJt - I 4oZTpTIo - 0 8mT8O.14O'3 - 3 luoVJoTovPul - I pTnbT~ - ~ oATeOTdrD - I oTqumguT& - d ~Vi~VM ~ ,dO 3dA.L (morn o'~ wmt/TUT,,tO%Ull dmnd oJTJ 'e OOATmA {o.J3uo'J Jo3ea 'P onoB. iuzull Ot)Te3n0 IgOT3OOuuo3 odTdpUe3S &,ETd &Jm4o3s 0301~ mnopJeZUll OpTt%nO '6T SUOT33omao3 , JoT'qUTJdS OJT] 'q TTTm oooAoldmo &,tmqm UOT~eOo! 0#3 AJI3UOp! :maJv UOT3enOUA3 A3l~lJ3OOT3 'q Llag 40 JUTXIO 'gT punoJJ3opufl 'q puno~ mAOqV .1 'TUJ UT AZlOedlO oq~ AJ$~UOpl uoT3~nJ31uo~ Tu3ON '~ uoT~oflJ~luoo AJUOIEN 'q IOUTTJOmOd 'CT poo# '~ Aduoemd 'q OJT# 'l JOT~JU~ JO a~um~ '~T xoe 03u3o~$ S(3SW 'OT xog (Ao~) M~o~ '6 ofl3 oPnT~ul '&3JkdOJd oq~ o~ ~uaol(pu tlaJV oq3 ~Jl~UapZ :ISoJpp¥ 't HMMP PLAN MAP SITE DIAGRAM Business Nc]me: FACILITY DIAGRAM Business Address: For OffiCe Use Only First In Station: Inspection Station: Area Map # NORTH of R~ETURN PAYMENTS TO: "' CITY oF BAKERSFIELD ~ ~"1 STATEMENT O.Ij: ACCOUNT · BAKERSFIELD, (J'A 93303-'2~57 Annual Fee Tot Un GL No~ OLL' PLEASE MAKE CHECKS PA~ABLE TO: CITY OF BAKER:~FIELD - LD -- / ~ IAI P--.MP--.NI Ub,, AL;L;~UN/ : ' ' , .t P.O. BOX 2057"~,~| .... -' '- - ' ,- ' '" '". , CITY OF' BAKERSFIELD BAKEi:::ISFIEED: CA 93~03L'2.~0~7~ "ACCOUNT NO."",~'? ;'~,_:, ;~.~.!; ' .; ': ' '': · :,.,: .... ' ,, ?,.'. '., ', .. ',; INQUIRIES CONCERN~HIS BILL PLEASE PHONE: plO7OO40.jpg (1280x960x24b jpeg) FIED PROGRAM CONSOLIDATED FOO - TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page 1 of 6 TYPE OF ACTION [] 1 NEW SITE PERMIT [] 4 AMENDED PERMIT [] 5 CHANGE OF INFORMATION [] 6 TEMPORARY SITE CLOSURE (Check one item only) [--I 7 PERMANENTLY CLOSED ON SITE [] 3 RENEWAL PERMIT (Sp~x'ify reason - for local use only) (Speci~j reason - for local use only) [] 8 TANK REMOVED 430 BUS~NIESS NA.~ (Same as FACILITY NAME or DBA- Doing Business As) 1 ChevronStation#201527[3[FACILITYID: 00] 0 0101 1010100 0[0I LOCATION WITHIN SITE (optional) 431 I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes [] No 434 4 XERXES If "Yet, complet .... page f .... h compartmem. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/14/1993 1,000 0 ADDITIONAL DESCRIPTION (For ~oc~ use only) 438 lI. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 44o [] 1. MOTOR VEHICLE FUEL [] la. REGULAR UNLEADED [] 2. LEADED [] 5. JET FUEL (lfmarkedeompletePetroleumType) [] lb. PREM1UMUNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2. NON-FUEL PETROLEUM [] lc. MIDGRADE UNLEADED [] 4. GASOHOL [] 99. OTHER il"l 3. CHEMICAL PRODUCT COMMONNAME (from Hazardous Materialslnvemoo, page) 441 CAS# (from Hazardous Materials lnventoty page ) 442 i[] 4. HAZARDOUS WASTE (~naludes U~a al) USED MOTOR OIL N/A iUI 95. UNKNOWN IlL TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINE]~ [] 95. UNKNOINN [] 2. DOUBLE WALL [] 4. SINGLE WALL 1N VAULT [] 99. OTHER TANK MATERIAL - primary tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 (Check one item oaly) 1-12. STAINLESS STEEL []4. STEEL CLAD W/FIBERGLASS []8. FRPCOMPATIBLEW/100%METHANOL []99. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL - secondary tank- [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 445 ('Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPATIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING [] 2 ALKYD LINING [] 4 PHENOLIC LINING [] 6 UNLINED [] 99 OTHER (Check one item only) (For local use only) 448 448 OTHER CORROSION [] 1 MANUFACTURED CATHODIC [] 3 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN PROTECTION IF APPLICABLE PROTECTION [] 4 IMPRESSED CURRENT [] 99 OTHER (Check one item only) [] 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that apply) [] 1 SPILL CONTAINMENT 1993 [] I ALARM [] 3 FILL TUBE SHUTOFF VALVE [] 2 DROP TUBE [] 2 BALL FLOAT [] 4 EXEMPT [] 3 STRIKER PLATE Tank Mfg 1V. TANK LEAK DETECTION (^ desc~ption of the monitoring program shall be submitted to the local agency.) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR'TANK WITH BLADDER 454 (Check one item only) [] 1 VISUAL (EXPOSED PORTION ONLY) [] 5 MANUAL TANK GAUGING (MTG) [] 1 VISUAL (SINGLE WALL IN VAULT ONLY) [] 2 AUTOMATIC TANK GAUGING (ATG) [] 6 VADOSE ZONE [] 2 CONTINUOUS INTERSTITIAL MONITORING [] 3 CONTINUOUS ATG [] 7 GROUNDWATER [] 3 MANUAL MONITORING [] 4 STATISTICAL INVENTORY RECONCILIATION [] 8 TANK TESTING (SIR) BIENNIAL TANK TESTING [] 99 OTHER IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE 1N PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons [] Yes [] No [ED PROGRAM CONSOLIDATED UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check all that apply) Page 2 of 6 UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 TANK CONSTRUCTION [] 1. SINGLE WALL [] 3. LINED TRENCH MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN MA~0FAC~R AO Smith [] 99. OTHER 460 461 [] 1. SINGLE WALL [] 95. UNKNOWN 462 [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLE w/loo% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] Unknown [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 99. Other [] 4. FIBEROLASS [] a. ELEXmLE CaVPE) [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 1. BARE STEEL [] 2. STAINLESS STEEL [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 4. FIBERGLASS [] 5. STEEL W/COATING [] 6. FRP COMPATIBLE W/100%METHANOL [] 7. GALVANIZED STEEL [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 9. CATHODIC PROTECTION [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) (A description of the monitoring program shall be submitted to the local agency.) UNDERGROLINDPIPING SINGLE WALL PIPING 466 PRESSURIZF. D PLYING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AblE) SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) CONVENTIONAL SUCTION SYSTEMS [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION []c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): [] 1. EleCTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) [] 5. DALLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) [] a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION I-lc NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR [] 12, ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 16. ANNUAL INTEGRITY TEST (0.l GPH) [] 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT [] I. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DALLY VISUAL CHECK DATE INSTALLED 468 [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING N/A [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR [] 6. NONE 4~9 DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE I certify that the infiarmation provided herein is tree and accurate to the best of my knowledge. DATE 47O SIGNATURE OF OWNER/OPERATOR ~ ~ 0 1/29/2002 NAME OF OWNER/OPERATOR (print) TITLE OF OWNER/OPERATOR Chevron Products Compan~,/RESH Retail ESH Specialist Permit Number (For local use only) 473 Permit Approved (For local use only) Permit Expiration Date (For local use only) 472 475 UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page 7 of 8 TYPE OF ACTION [] I NEW SITE PERMIT [] 4 AMENDED PERMIT [] 5 CHANGE OF INFORMATION [] 6 TEMPORARY SITE CLOSURE (Check one item only) [] 7 PERMANENTLY CLOSED ON SITE [] 3 RENEWAL PERMIT (Specify reason - for local use only) (Specify reason - for local use only) [] 8 TANK REMOVED 430 BUS[NESS NAI¥[E (same as FACILITY NAME or DBA - Doing Business As) ChevronStation#201527 13[FACIL T¥ID: Iool Iololol Iolololololol LOCATION WITHIN ~SITE (Optional) 431 I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes [] No 434 5 XERXES tv'vet, complet .... page for each compartmem. DATE INSTALLED (YEAR/MO) 435 TANK CAPA~dflY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/14/1993 600 0 ADDITIONAL DESCRIPTION (For lo~ use only) 43S II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 [] 1. MOTOR VEHICLE FUEL [] la. REGULAR UNLEADED [] 2. LEADED [] 5. JETFUEL (ff'mmkedcompletePeixnleumType) [] lb. PREMIUM UNLEADED []3. DIESEL [-16. AVIATION FUEL [] 2. NON-FUEL PETROLEUM [] lc. MIDGRADE UNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT COMMON NAtVtE (fi.om Hazardous IVatterials Inventory page) 441 CAS# (fi.om Hazardous Materials Inventory page ) 442 [] 4. HAZARDOUS WASTE (Xnct~a,~ v~ Oil) NEW MOTOR OIL N/A [] 95. UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM ' 443 (Check one item only) EXTERIOR MEMBRANE LINER [] 95. UNKNOWN [] 2. DOUBLE WALL [] 4. SINGLE WALL IN VAULT [] 99. OTHER TANK MATERIAL - primary tank [] 1. BARE $1EEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPATIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) TANKMATER]AL-secondarytnak [] 1. BARE~JTEEL [~3. FIBERGLASS/PLASTIC I-'] 5. CONCRETE []95. UNKNOWN 445 (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPATIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK IN'I1~RIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING [] 2 ALKYD LINING [] 4 PHENOLIC LINING [] 6 UNLINED [] 99 OTHER (Check one item only) (For local use only) OTHER CORROSION [] 1 MANUFACTURED CATHODIC [] 3 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN 448 448 PROTECTION IF APPLICABLE PROTECTION [] 4 IMPRESSED CURRENT [] 99 OTHER (Check one item only) [] 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that apply) [] 1 SPILL CONTAINMENT 1993 [] 1 ALARM [] 3 FILL TUBE SHUT OFF VALVE [] 2 DROP TUBE [] 2 BALL FLOAT [] 4 EXEMPT [] 3 STRIKER PLATE Tank Mfg IV. TANK LEAK I)ETECTION (A description oftha monitoring program shall be snbmitted Io the local agency.) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) [] 1 VISUAL (EXPOSED PORTION ONLY) [] 5 MANUAL TANK GAUGING (MTG) [] 1 VISUAL (SINGLE WALL IN VAULT ONLY) [] 2 AUTOMATIC TANK GAUGING (ATO) [] 6 VADOSE ZONE [] 2 CONTINUOUS INTERSTITIAL MONITORING [] 3 CONTINUOUS ATG [] 7 GROUNDWATER [] 3 MANUAL MONITORING [] 4 STATISTICAL INVENTORY RECONCILIATION [] 8 TANK TESTING (SIR) BIENNIAL TANK TESTING [] 99 OTHER IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR,'MO/DAY) 455 [ ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 I gallons [] Yes [] No PROGRAM CONSOLIDATED FO TANK UNDERGROUND. STORAGE TANKS - TANK PAGE 2 . VI. PIPING CONSTRUCTION (C_heck all that apply) UNDERGROUND P'~-I~--~-- ~ -- ~ ABOVEGROUND PIPING Y SYSTEM TYPE [] 1. PRESSURE [] 2. SUCTION [5~1 3. GRAVITY 458 [ [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVIT [] 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 46o I [] 1. SINGLE WALL [] 95. UNKNOWN CONSTRUCTION [] 2. DOUBLE WALL [] 95. UNKNOWN I [] 2. DOUBLE WALL [] 99. OTHER 1VL~uNUF ACTU'REP. 461 ] MANUFACTURER Page 8 of 8 459 462 MANUFACTURER [] 1. BARE STEEL [] 6. FPP COMPATIBLE w/lO0% METHANOL / [] 1. BARE STEEL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] Unknown] [] 2. STAINLESS STEEL [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 99. Other [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION I-] 5. STEEL W/COATING [-] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/COATING [] 95. UNKNOWN VII. PIPING LEAK DETECTION (cl~.k all that apply) (A { :riplion of the monitoring p ~ro~gam shall be submitted to the local agency.) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING n66 pRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) CONVENTIONAL SUCTION SYSTEMS -I 5. DALLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARIVIS AND (Check one) [] a. AUTO PUMP SHUT OFF XhrHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION []c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION :[] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM .F-I 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK { [] 17. DAILY VISUAL CHECK Vlll. DISPENSER CONTAINMENT 463 [] 6. FRP COMPAT1RLE W/10(Y'A METHANOL [] 7. GALVANIZED STEEL [] 8. FLEXIBLE (HDPE) [] 99. OTHER 465 SINGLE WALL PIPING 467 pRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) [] 4. DALLY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING pRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARIV[S AND (Check one) [] a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION I-lc NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM [] 13. CONTUqUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) DISPENSER CONTAINMENT DATE INSTALLED 468 [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR [] 6. NONE 469 DISPENSER + AUDIBLE AND VISUAL ALARMS IX, OWNER/OPERATOR SIGNATURE 470 I certify that the information provided ho'ein is true and accurate to the best of my knowledge. DATE SIGNATURE OF OWNER/OPERATOR ~.gtde. e ~(t. otteg 01/29/2002 , NAME OF OWNER/OPERATOR (print) TITLE OF OWNER/OPERATOR Chevron Retail ESH Specialist Permit Number (For local use only) 473 Permit Approved (For local use only) Permit Expiration Date (For local use only) 472 475 UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page 7 of $ TYPE OF ACTION [] 1 NEW SITE PERMIT I"] 4 AMENDED PERIVIIT [] 5 CHANGE OF INFORMATION [] 6 TEMPORARY SITE CLOSURE (Check one item only) [] 7 PERMANENTLY CLOSED ON SITE [] 3 RENEWAL PERMIT (Specify reason - for local use only) (Specify reason - for local use only) [] 8 TANK REMOVED 430 BUSINESSNAIV[E(SameasFACILITYNAMEorDBA-DoingBusinessAs)chevronStation#201527 ]3]FACILITYID: [0[0 [ 10 [0 [0 ]o]ololololo ' ~OCATION WITHIN SITE (Optional) 431 1. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes [] No 434 6 XERXES if "Yes", complet .... page t~or each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/14/1993 600 0 ADDITIONAL DESCRIPTION (For loc, al use only) 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 4no i[] 1. MOTOR VEI~CLE FUEL [] la. REGULAR UNLEADED [] 2. LEADED [] 5. JET FUEL (IfmarkedcompletePetrnleumType) [] lb. PREMIUMLINLEADED [] 3. DIESEL [] 6. AVIATION FUEL :[] 2. NON-FUEL PETROLEUM [] lc. MIDGRADE UNLEADED [] 4. GASOHOL [] 99. OTHER 441 CAS# (from Hazardous Materials Inventory page ) 442 ~[] 3. CHEMICAL PRODUCT COM1MON NAME (from Hazardous Materials Inventory page) [] 4. HAZARDOUS WASTE 0nclndes U~ Oil) NEW MOTOR OIL N/A [] 95. mer~ow~ lll. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER [] 95. UNKNOWN [] 2. DOUBLE WALL [] 4. SINGLE WALL IN VAULT [] 99. OTHER TANK MATERIAL - primary tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 (Ch~ck one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPATIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) · TANK MATERIAL - secondasy tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 445 (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRP COMPATIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING [] 2 ALKYD LINING [] 4 PHENOLIC LINING [] 6 UNLINED [] 99 OTHER (Che~k one item only) (For local use only) 441t 448 OTHER CORROSION [] 1 MAN1JFACTURED CATHODIC [] 3 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN PROTECTION IF APPLICABLE PROTECTION [] 4 IMPRESSED CURRENT [] 99 OTHER (Check one item only) [] 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all that apply) [] I SPILL CONTAINMENT 1993 [] 1 ALARM [] 3 FILL TUBE SHUT OFF VALVE [] 2 DROP TUBE [] 2 BALL FLOAT [] 4 EXEIvlPT [] 3 STRIKER PLATE Tank Mfg IV. TANK LEAK DETECTION (^ description of the monitoring program shall be submitted to the local agency.) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) [] 1 VISUAL (EXPOSED PORTION ONLY) [] 5 MANUAL TANK GAUGING CMTG) [] 1 VISUAL (SINGLE WALL IN VAULT ONLY) [] 2 AUTOMATIC TANK GAUGING (ATG) [] 6 VADOSE ZONE [] 2 CONTINUOUS INTERSTITIAL MONITORING [] 3 CONTINUOUS ATG [] 7 GROUNDWATER [] 3 MANUAL MONITORING [] 4 STATISTICAL INVENTORY RECONCILIATION [] 8 TANK TESTING (SIR) BlENNIAL TANK TESTING [] 99 OTHER IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 I ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 I gallons [] Yes [] No TANK IED PROGRAM CONSOLIDATED FOO UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check nil that apply) Page 8 of 8 UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE [] 1. PRESSURE ['-I 2. SUCTION [] 3. GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION [] 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 95. UNKNOWN 462 MANUFACTURER [] 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER 461 MANUFACTURER 463 [] 1. BARE STEEL [] 6. FRP COMPATIBLE w/lOO% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] Unknown [] 3. PLASTIC COMPATIBLE WI CONTENTS [] 99. Other [] 4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 1. BARE STEEL [] 2. STAINLESS STEEL [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 4. FIBERGLASS [] 5. STEEL W/COATING [] 6. FRP COMPATIBLE W/10o% METHANOL [] 7. GALVANIZED STEEL [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 9. CATHODIC PROTECTION [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check all that apply) (A ~ UNDERGROUND PIPING SINGLE WALL PIPING 466 PRESSUR/ZED PIPING (Check all that apply): f"] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) CONVENTIONAL SUCTION SYSTEMS [] 5. DALLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) ~cription of the monitoring program shall be submiRed to the local agency.) ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check nil that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) [] a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION []c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0. I GPH) SUCTION/GRAVITY SYS~I~EM [] 13. CONTINUOUS SUM~ SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check au that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION F']¢ NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR [] 12. ANNUAL INTEGRITY TEST (0.1 GPFo SUCTION/GRAVITY SYS'I~EM [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) I-] 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT DATE INSTALLED 468 [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE llcertify that the information provided herein is tree and accurate to the best of my knowledge. SIGNATURE OF OWNER/OPERATOR ~ ~ I DATE 47O 01/29/2002 NAME OF OWNER/OPERATOR (print) I TITLE OF OWNER/OPERATOR 472 Retail ESH Specialist Chevron Products Compan~/RESH Permit Number (For local ~ only) 473 Permit Approved (For 1o~ Permit Expiration Date (For local use only) I 475 UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page 7 of 8 TYPE OF ACTION [] 1 NEW SITE PERIVIIT [] 4 AMENDED PERMIT [] 5 CHANGE OF INFORMATION [] 6 TEMPORARY SITE CLOSURE (Check one item only) [] 7 PERMANENTLY CLOSED ON SITE [] 3 RENEWAL PERMIT (Speci~ reason - for local use o~y) (Specify reason- for local use only) [] 8 TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 1 Chevron Station #201527 [ 3 [ FACILITY ID: 1004 [0 10 l0 l0 10 10 [0 [0 l0I LOCATION WITHIN SITE (optional) 431 L TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency,) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [] Yes [] No 434 7 XERXES ~"ves", complet .... page for each companmem. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/14/1993 600 0 ADDITIONAL DESCRIPTION flor local use only) 438 Il. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 [] 1. MOTOR VEHICLE FUEL [] la. REGULAR UNLEADED [] 2. LEADED [] 5. JET FUEL (If marked complete Petroleum Type) [] lb. PREMYOM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] 2, NON-FUEL PETROLEUM [] lc. bill)GRADE UNLEADED [] 4. GASOHOL [] 99. OTHER [] 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS# (from Hazardous Materials Inventory page ) 442 [] 4. HAZARDOUS WASTE ~cl~ u~ Oil) NEW MOTOR OK, N/A [] 95. UNKNOWN IH. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER [] 95. UNKNOWN [] 2. DOUBLE WALL [] 4. SINGLE WALL IN VAULT [] 99. OTHER TANK MATERIAL - primary tank [] 1. BARE STEEL [] 3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 444 (Check one item only) []2. STAINLESS STEEL []4. STEEL CLAD W/F1BERGLASS {--18. FRPCOMPATIBLEW/100%METHANOL []99. OTHER REINFORCED PLASTIC (FPP) TANK MATERIAL - secondary tank [] 1. BARE STEEL [] 3. FIBERGLASS/PLASTIC [] 5. CONCRETE [] 95. UNKNOWN 445 (Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8, FPP COMPATIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC 0vRP) [] 10. COATED S ,TELL [] 5. CONCRETE TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING [] 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING [] 2 ALKYD LINING [] 4 PHENOLIC LINING [] 6 UNLINED [] 99 OTHER (Check one item only) (For local use only) 448 448 OTHER CORROSION [] 1 MANUFACTIIRED CATHODIC [] 3 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN PROTECTION IF APPLICABLE PROTECT/ON [] 4 IMPRESSED CURRENT [] 99 OTHER (Check one item only) [] 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 45:2 (Check all that apply) [] 1 SPILL CONTARqMENT 1993 [] I ALARM [] 3 FILL TUBE SHUT OFF VALVE [] 2 DROP TUBE [] 2 BALL FLOAT [] 4 EXEMPT [] 3 STR1KER PLATE Tank Mfg IV. TANK LEAK DETECTION (A description of the monitoring program shall be submitted to the local agency.) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Cheek one item only) r-I 1 VISUAL (EXPOSED PORTION ONLY3 [] 5 MANUAL TANK GAUGING (MTG) [] 1 VISUAL (SINGLE WALL IN VAULT ONLY) [] 2 AUTOMATIC TANK GAUGING (ATG) [] 6 VADOSE ZONE [] 2 CONTINUOUS INTERSTITIAL MONITORING [] 3 CONTINUOUS ATG [] 7 GROUNDWATER [] 3 MANUAL MONITORING [] 4 STATISTICAL INVENTORY RECONCILIATION [] 8 TANK TESTING (SIR) BIENNIAL TANK TESTING [] 99 OTHER IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YRIMO/DAY) 455 [ ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons [] Yes [] No TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCTION (Check all tha~ apply) Page S of S UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] 1. PRESSURE [] 2. SUCTION [] 3. GRAVITY 459 CONSTRUCTION [] 1. SINGLE WALL MANU~^CTURER [] 2. DOUBLE WALL [] 95. UNKNOWN MANUFACTURER [] 1. BARE STEEL [] 6. FRP COMPATIBLE w/lO0% METHANOL [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] Unknown [] 3. PLASTIC COMPATIBLE W/CONTENTS [] 99. Other [] 4. FIBERGLASS [] 8. FLEXIBLE (HDPE) [] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 [] 3. LINED TRENCH [] 99. OTHER 460 [] 1. SINGLE WALL [] 2. DOUBLE WALL 461 MANUFACTURER [] 1. BARE STEEL [] 2. STAINLESS STEEL [] 3. PLASTIC COMPATIBLE W/CO~S [] 4. FIBERGLASS [] 5. STEEL W/COATING [] 95. UNKNOWN 462 [] 99. OTHER 463 [] 6. FPP COMPATIBLE W/100% METHANOL [] 7. GALVANIZED STEEL [] 8. FLEXIBLE (HDPE) [] 99. OTHER [] 9. CATHODIC PROTECTION [] 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Ch~k all that apply) (A description of the monitoring program shall be subm~ed to the local agency.) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) CONVENTIONAL SUCTION SYSTEMS [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1GPH) [] 4. DALLY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) [] a. AUTO PUMP SHUT OFF WI-IEN A LEAK OCCURS [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) [] a AUTO PIYMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION []c. NO AUTO PUMP SHUT OFF I[] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FA[LURE AND SYSTEM DISCONNECTION l-lc NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT DATE INSTALLED 468 [] t. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 4. DAILY VISUAL CHECK [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [] 5. TRENCH LINER / MONITORING [] 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE I certify that the information provided herein is tree and accurate ~ the be~ of my knowledge. SIGNATURE OF OWNER/OPERATOR ~ ~ [ DATE01/29/2002 470 472 Retail ESH Specialist 473 475 Chevron Products Compan~,/RESH NAME OF OWNER]OPERATOR (print) Permit Numb~ (For local use only) TITLE OF OWNER]OPERATOR Permit Approved (For local use only) Permit Expiration Date (For local use only) Since 1968 WAYNE PEKRY, INC. Environmental Rernediation, Construction and Consulting To; Mr. Steve UndenNood From,' Eugene Francisco Co.= ..Cit¥ of Bakersfield Fire Department Phone: 661-326-3979 Pages= /q (including cover) Date: Wednesday, January 23, 2002 Chevron Facility 20-'1527 Fax: 66'J-326-0576 re: 6601 Ming Ave,, Bakersfield, California [] Urgent [] For Review [] Please Comment E~ Please Reply [] Please Recycle Dear Mr, Underwood, Pursuant to your request, attached is a copy of the analytical report for soil samples collected at the site on January 21, 2002, during drilling activities. Boring locations are shown on the attached Plot Plan. Unless you have any concerns resulting from review of the data, I will instruct the general contractor to return to the site and re- surface the area of the former UST pit. If you have any questions or need additional data, please call me at (714) 826-0352. Sincerely, E ug e,F'e Franbie'co Project Scientist 8281 Commor~wea[th Ave. Buena Park, Califomi'a 90621 Phone (714) 826-0352 (800) g83-0352 Fax (714) 523-7880 ~' YARD UGHT PHONE 80OTH ' Foo~i OOUISI.E WALL ~/~ LU~ o~ ;]TB.O XERXES LUBE ~TORA~ 3"/6.O P~ 376.~ ~~ ASSOCIATED LABORATORIES 806 North Batavia- Orange, California 92868- 714/771-6900 FAX 714/538-1209 CLIENT ¢~tevron - Wayne Perry (651 ATT~= Eugene Francisco 8.!81 W. Commonwealth Ave. Buena Park, CA 90621 LAB REQUEST g7023 REPORTED 01/22/2002 RECEIVED o~/2~002 PROJECT #0t.633 Chevron Fae~tity #20-1527 SUBMITTER CLient COMMENTS 6601 Ming Ave., Bakerst'mld S,rvice Code: ZZ02800 This laboratory request eovOt~ the followimz listed rumples which were analyzed forthe parameters indicated on. the attached ~alytical Result RC~o~. All analyses we,'e conducted using the appropriate methods as indicates on the ~po~. Tli~ ~ver letter is an integral pa~ ofthc fin ~i repo~. ~ Orde. r 321821 3211t22 321823 321824 321825 321826 321827 321828 .CllentSn mol~_Idgn t/float/on W01-1 l-S- 11-020121 W01-15-S-15-0201 L01-I0.5-S-t0.5-020121 L01-15-S-15-02012! L02-10.5-$- I 0.5.020 L02-15-S- 15-0201 LO3-10,$-S- 10,~-020121 L03-15-S-15-020121 Thank y,~u for the opportunity to be of service to y,>U~ company. Please f¢¢1 free to call ifther~ am any questions mgardin:~ this report or if we can be of further ser~i~:o. Edw(~d S. Beh~r¢, Ph.D. Vice President NOTE: Unless notlflael in ~vriting, all .~amples will be disc arded by appropriate disposal protoao130 days from data reported The rcpor~-~ o£ ~h¢ A.~oclamd Laboratories are conflfl¢latial property of our cllcn~ ~ not bo r~mc uccd or us~fl for publlcmjnn ~ pa~ or in full Wifl~out our writm~ 0e~i~si~. This J.~ ~t ~ mutt~l prote;tton of thc public, nut elirnts, ~nd ou~glv~. Lab mqu~s~ 87023 cov~r, page I of I TESTfNG & CONSU£TING ('hem~cai Microbiological ~nvironmentol Ha~rix: SOLID - 3ate Sampled: 01 2I./2002 Flme Sampled: 05:13 Sampled By: Client: Chevron - Vv~aync Perry Clfcnt Sample ID: W01 - 11 -S- 11-020121 Analyte Result DF DLR Units Date/AnalD'st i iiiiiiii iiii i i i i IJ i i fill IIIIIIIIII i I l0 rng,/Kg 01/21/02 TN Chlorofor n Chloromc ~hanc Dibromoc hloromcthane Dichlorobromomethane ND I 5,0 ND ! 10.0 ND 1 5.0 ND i 5.0 ND 1 15.0 ND i i 5.o ND I 1o.0 N12 I 5,0 ND I 20.0 i 5.o ov22/o2 .... _0_t(.2_2/_0.2.. ND 1 5.0 u~d'Kg 01/22/02 CH ND I 8.0 ug/Kg 01/22/02 CH ND i 8,0 ug/Kg 01/22/02 CH ug/Kg ug/Kg 01/22/02 CH Ug/Kg IM~2/02 CH ug/Kg 0]/22/02 CBI ug/Kg 01/22/02 Ug/Kg 0 [/22/02 ug/Kg 01/2Z/02 CH ug/Kg -6'i';2~/02 CH ND 1 10.0 ug/Kg 01/22/02 CI-! ND I 10.0 ug/Kg 01/22/02 CH ND 1 ND 1 ND 1 ND 1 ND ND 1 ND 1 ND I ND i Dichlorod ffluoromcthane Metbylen,: Chloride letmchlo.'oethene Trichloto, ~thene Trlchloro Vinyl chloridc cis-12.D ehloro~thene cis-l,3-D ND 1 ND 1 01/22/02 CH 01/22/02 CH CH ~0 ug/Kg 01/22/02 CH 10 ug/Kg 01/22/02 CH 15.0 ug/Kg ~1/22/02 CH 5.0 ug/Kg 01/22/0-~-- "CH 5.0 ug/Kg 01/22)02 CH-'- ....... '~.0 ug/~g 01/22/02 CH 15.0 ug/l(g 01/22/02 CH 20.0 ug/Kg 01/22/02 CH 0~/22/02 CH 01/22/02 CH DLR = Dctcctio~ Ii mit for reporting purposes, ND" Not Dcwct~l below indicated dctcction limit, DF = Dilution Factor .4S.~;OCIA 7'ED LABO~.~ORIE, V ~~ res,,it~ Repoe Ma~dx: SOLID Date Sampled: 01/21/2002 Time Sampled: C9:13 Sampled By: Client: ............. Chevron- 'V "-'"' -- 'ayneperry Client Sample ID: W{,I-I l-S-11-020121 Result DF DLR Uni~ Date/Analyst ug/Kg 01/22/02 CH ug/Kg 01/22/02 Cfi"' DLR -:- Dctection lit.dr for reporting purposes, ND ~ Not Detected b¢lo,.v indicalcd detection limit. DF = Dilution l~aotor ZOOZ-~Z-NYr' Order ~~ ~ MatrLx: SOLID Date Sampled: 01/21/2002 Time, Sampled: {~0:21 Sampled By: Client: Chevron- Wayne Perry Client Sample ID: W(,1-15-S-15-020121 Result DF .... DLR Units Date_lAnaly._st _418J .Tgtql Re~ovsFable Petroleum Hydrocarbons Tetal gec overaJ>le Petroleum Hyckocarbon$ i NDI I I0 rog/Kg 01/21/02 TN' ~_t ~af;eO Volatile Of~a.~{c_q1 l,l,l-Trkhloroethane ........................ I~'D-- .......... ~ ....... 5.0 ~"- 01122/02 CH 1,1,2.2-Tu~hlor~th~ .... ND ! 5.0 u~ 01~/02 CH 1,12-Trichloroe~ane ........................... ~ ........ i" 5.0 u~g 01~02 CH 1,l-Dichl,>roe~ ND I g.0 u~g 01/2~02 CH 1,l-Dichloroethene ND 1 8.0 u~Kg 01~2t0~ CH l~-Dlb~h~e ND 1 5.0 u~g 01/22/02 CH 1,2-Dicht,~r~eth~n~- ...................................... ND I 5.0 up/Kg 01/22/02 CH 1,4-Dichloro~nzene ND I 15.0 ~g~g 01~2/02 CH 2-Chl~tlWlvinyl ether ND 1 10.O ug~g 01/22/02 CH Bromofor n ND I 5.0 ~Kg 01/22t02 CH Bromom~ :h~e ND 1 20,0 u~Kg 01~2/02 CH ~lmber ~e ND 1 10.0 u~Kg 01 ~2/02 CH CMorotBnn ND ! 5,0 u~Kg 01/22/02 CH .... Dlohi~ fluomm~c ND I 15,0 u~ 01/22/02 CH M~yl~e Chloride ............... ND 1 5,0 u~g 01/22/02 CH __ T~chloraeth~e ........................ ND 1 5.0 u~g 01/2~/02 CH Trichlor~thenc ND 1 ~,0 u~g 01~2/02 CH TrlohI~of uorome~an~ ND i 13.0 u~Kg 01~2/02 CH ~ . 20.0 u~Kg 01/22/02 CH Vinyl cMo:idc cis-1,2-Di(:hlomethene oi,-l,3-Dic.hlompropenc ND 1 ND 1 ND 10.0 ug/Kg 01/22/02 Cfi 15.0 up/Kg 01/22/02 CH DLR = Detection lin mit for tel~rting purposes, ND = NOt Detec ted below lndleat¢~d detection litait, DF = Dilution Factor Order #: ] 321 ~2~~aYne Perry Matrix: SOLID ............. Client Sample ID: W(' 1 - 15-S. 15-020121 Date Samp{ed: 01/21/2002 Time Sampled: Sampled By: Analyt,, ~ .................... Result ........ DF ...... DL, R U_nits Date/Analyst ug/Kg o I/22/02 CH ug/Kg 01/22102 CH DLR ~, Detection lin it for r~porting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ~S_O_C.Z~LT. ED L.41;fOR,4 ~ORIEN A~!~, Ra~aJ~ma__ Matrix: SOLID Date Sampled: 01/21/2002 Time Sampled: 10:09 Sampled By: Client: Chevron - Wayn-e Perry Client Sample ID: LO i-10.5-S-10.5-020121 Result DF DLR Units able Pet w__l~um Hydrocarbons Date/Analyst 01/21/02 'IN DLR = Det~tioa limit for reporting purposes. ND = Not Dct¢c :ed below indicated detection limit, DF = Dilution Factor Mab-ix: SOLID Date Sampled: 01/21/2002 Time Sampled: 10:18 Sampled By: Client: Chevron - Wayne Perry Client Satnpl~ ID: LO l - 15-S- 15-020121 Analytt; ............ Result DF DLR Units Date/Analyst 41,8.1 T,,o.t. al_Re~ove~ able..P_e~rol{um livdr0e_arbons ToTal Recoverable Petroleum Hydrocarbons ] NDI 1 ~0 mS/Ka 0tr~t/o_~ T~ DLR = Detection lira it for r~porting pta'po~es, ND = Not Detec':ed below indicated dctectiou/fruit, DF = Dilution Factor ~tS.S_O=CIA TI~;D L,4B OR d TOR IE,¢; A,a~, r.,aLRe.~ ................. Client: ~hevron- Wayne P~ : Client Sample ID: L02 -10.5-S-10.5-020121 Order#: ['": 32I~2'"~. MatrLx: SOLID Date Samplcd: 0 l/2J t2002 Time 5amplcd: 11~:40 Sampled By: An_a~ Result DF DLR Unim Date/~nalyst 115.1 Total Recoven~ble P~froleum HYdrocarbons ............... Total Rccc vcrablc Petroleum Hydxocarbons DLR ' Detection lin.it for reporting purposes, ND - Not Dctec ted below 'indicated detection limit, DF = Dilution Factor ,4,~;.~;O~'IA TF.D LA B~OR~ TORIE,~ An=lytie_~l Re~uI~ Repo~ ~8-~ Zt~/600'~, ~gz-I ~0~ St:Or zooz-£z.~Yr Client: Chevron - Wayne Perry Vlatrix: SOLID Client Sample ID: L02..15-S-15 ~020121 )ate Sampled; el t21/2002 rime Sampled: lC :49 Sampled By: Anal ....... Result DF DLR Unita Date/Analyst 18.1. Total lRg~-,oye~ ble.Petroleltm.ltydrocnrb.o_ns Total Recoverable Petroleum Hydrocatbon~ I NDI ]-- I0 'rog/Kg 01/21/02 TN DLR = Detection limit for reportiog purposes, ND '~ Not Det¢ :ted below indicated detection limit. DF = DilUtion Factor .Vlatrix: SOLID Client Sample ID: L03.10.54-10,5-020121 ~)ate Sampled'. O1121/2002 rime Sampled: 1 ] :10 hmpled By: Analyte,, ......................... Result DF DLR Units Date/Ana!ys, t Torn I.Recover;Ible Petroleum l-I~/dt~lrbolls Total Reccverablc Pc~oleum Hydr~a~ons lO rag/Kg . 01/21/02 TN DLR = Detection li~nit for reporting purposes, ND - Not Dete:tcd below indicated detection limit, DF = Dilution Factor __.dS$OCI'A TED M BOR~TORIES ar,~lx..t~,~ resu~,,.r,,?~ ~88-~ ZtJ/OtO'd ~9~-i ~O~ aZ:or zooz=£z4¥r Matrix: SOLID Date Sampled: 01/21/2002 Time Sampled: I t:[ 7 Sampled Analyte Client: Chevron- ¥/ayne'p~ ........ Client Sample ID: L03-15-S-15-020 ! 21 Result DF DLR Units CMtelAnalyst 4I$,I,, Total Recoverable Petroleq,p~ HYdrocarbons oi/~/i502 ?~ DLR" Detection limit tot reporting purposes, ND ..=' Not Detected below indicated detection limit DF = Dilution Factor ~ S, ~] 0 C!,4 TJ ?..D~L4 B O R,4 TO R llX..~.~mal~ ml. R~z~. ul~_ R~port Chevron Sile Global ID: CHAIN OF CUSTODY FORM Chevron Products Company' a 145 S. State College Boulevard = Brea, CA Chevron $~te Numbe~. Chevron Site Address: ~,~.01 ~ '~ ~.., Chevron Service Code: ZZ02800 ~;~J~onslruc~nlRetail Job or E-] Site Assessment and Remedia[ion (SAR) Job NOTE: THis ts A LEGAL DDCUr,~E~T. ALL FIELDS MUST BE FfLLED OUT CORRECTLY ~ COMPLETELY. SAMPLE ID To~ blat~ I Deplh~ Dale (yymmdd) F~e[d P.ml blame ] )Z.. 0 t.7_.~ Add~ess: ~-~ I Consu~an! Contact · Consultant Ph~e No._ Censutlant Pmi~ ~- Sampling Com~ny: L~ ~tact ,, ~¢ ~~J ~mple Co~r ~ of ~me Type Co~tai~e~ DateHime: ReAnquis~~ 92822-2292 COC/ of.. ANALYSES I~Q UI~E.O 0 Sped~ ~struclia~ letup. T~me Temp.~l, · /X _ Tu [r'e~e~n~:l Tin-j~.. 24 Hor~s ~ Standard 48 hours Ollle~ D January 8, 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 Pamela J.Slack, Project Manager Chevron Products Company P O Box 2292 Brea Ca 92822 2292 Former Lube 4 U at 6607 Ming Avenue in Bakersfield. Removal of Lube Oil & Waste Oil UST's on 1/7/02 Dear Ms. Slack: Due to the extent of the pea gravel beneath the tanks and the possibility of undermining the concrete slab and other structures on site, no soil samples were excavated at the time of removal. Please make arrangements to obtain the necessary soil samples pursuant to our attached soil/sampling site assessment guidelines. Also, please be advised that it is the contractor's responsibility to ensure that the tank removals are performed in a safe manner, including but not limited to de-energizing the natural gas and electrical utility conduits extending through the excavated area prior to the work being performed. If you have any questions, please call me at 661-326-3979. Sincerely, Howard H. Wines, llI Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HI-IW/dm attachment cc: M. Peltz, Petro Builders Enviwnmental Remediation, Construction and Consulting Lic.#CA 300345 - A B C61/D40 HAZ BUENA PARK Jay O'Kain Staff Geologist WAYNE PERRY, INC. 8281 Commonwealth Ave. Buena Park, CA 90621 Phone (714) 826-0352 (800) 883-0352 Fax (714) 523-7880 CULVER CITY SACRAMENTO STATE LICENSE NO. 241905 JOANNA M. SHULTZ, R.E.A. OFFICE: 562-946-2285 ESTIMATOR FAX: 562-946-5395 10609 PAINTER AVENUE, SANTA FE SPRINGS, CA 90670 HTTP://VVVVVV.P ETROBUILDER S.COM Chevron Pamela J. Slack Project Manager Phone 714 671 3362 Fax 714 671 3433 Pager 562 807 0324 E-Mail ~sl@chevron.com Chevron Products Company 145 S. State College Blvd. Suite 400 E0. Box 2292 Brea, CA 92822-2292 BAKE~S~XELD FIRE ~Ai~~ ENVIROI~IENTAL SXRVIC~II~ Cheater Ave., Bake~a~eld. CA 93301 ?AN~ I~EMOVAL INSPECTION FORM FACILITY, ~0~e q U f , ADDRESS CONCUR ~o ~m(l~ CO,ACT PERSON ~ST ~ODOLOGY , P~LI~Y ASSESS~ CO. ~y~ ~ CO,ACT PE~ON CO2 ~CIEPT LEL~ O~ PLOT PLAN CONDITION OF TANKS CONDITION OF PIPING CONDITION OF, SOIL ,A./~-.. x. ~,~.~ . ~ OATE INSPEct'OIl IL4JIE Ill " i ~.~ Permit No. /Vx~~ ! CITY OF BAKEi~IELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester'Av~., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION FOR REMOVAL~.E~ROUND STORAGE TANK SITE INFORMATION ~ '" ~ ~~~ON~I$~DDR~SS 66~ ~ ~g. ~?~ CODE ~%~5 mS ~ FAC{L{TY NAME ~U~. ~ ~ ~ CROSS STREE~ ;~ TANK OWNER/opERATOR ~~0~ ~_ODO~ ~...~ PHONE NO. ~%~'~&%' MAILING ADDREgS ~.. O, ~D~ ~ 00 ~ % ~{~~ ~O~ ZIP~ CONTRACTOR INFORMATION . __ COMPANY e'l~.'r'/Z~ tz-~O'lt.~fe.A'Z~ b...~t.. PHONE NO. 5{~'~.-~it-l~, ~ LICENSE NO. 2~[~0~ INS~ANCECA~/ER ~'~ ~~ ~. l~- WO~NS COMP NO. ~~~ PRELIMINARY ASSESSMENT INFORMATION COMPANY ~A,/t'~'"{b,~c,, '~Cc,.lZ.O-"i' PHONE INSURANCECARPUER j~,'r~_~ fA3n. t~~~'~..,~¥~woRKMENSCOMPNO. TANK CLEANING INFORMATION COMPANY G: c..O~OOx"'C COI-3TCt. Ob l}~l~x.,~-~'Tl'Z4~¢-~ PHONE NO. t~Ot~ WASTE TRANSPORTER IDENTIFICATION ~ER NAME OF RINSA~ DISPOSAL FACILI~ 0~ ~. FACILITY IDENTIFICATION ~ER ~ TANK TRANSPORTER INFORMATION COMPANY ~;t.O'l.D~.~'-( C0~'VCLoL. ~t,-~Dt~'~'P.~r.~HONE NO. C00~ %c~% ~,,O% LICENSE NO. (7-~,1~7.-O°'~O ADDRESS t'~"~ ~ ~:~,JC~O.- /X,~.. CITY ~O~,J,'~."/X.I-.~,~,. ZIP TANK DESTINATION ~3OM,q'~.~,~, TANK INFORMATION CHEMICAL TANK NO. AGE VOLUME STORED DATES STORED t o/,~s - CHEMICAL PREVIOUSLY STOP, ED L.~I~ o For Official 15,~ (h'fly ...... TI I1,1 ^PI'I,ICANT IiAS RI".CEIVI?.D, {/NDERS'I'AND,%, AND WILl, COMPLY wrfl-I THE A'i'l'^CllI!l) CONi)I'I'IONS OF Tills I'I!I,IMI'I' ANI) ANY o'rl IER ST^TI'i, I,OCAI, AND FI..'I)I:.RAI. ILEGULATION$. TI IlS I.~RM I IAS IIEEN COMPLI,TrI'.:I) UNI)ER PENALTY OF PERJURY, AND TO TI IE BI!ST O1.' MY KNOWI.I.3)GE IS 'rRtll! ,~I'I'R{)~/I'3 ) DY: - - APPI.iC^N'[' NAMi'.' (PRINT) APPi.ICAN'[' SI(}NATURE Tills APPLICATION BECOME A PERMIT WHEN APPROVED RECEIVED FROM ~'~~ DATE Bakersfield ~iie Dept. 1715 Chest~t~ ye. Bakersfield, CA 93301 AMOUNT STATE SURCHARGE 86 TANK TESTING 83 COPIES/REPORTS 89 TENTS, LPG 84 FIREWORKS, POWDER, 84 OTHER PERMITS OTHER AMOUNT TOTAL DUE ! ' c. v.o ..o uc s co .^N¥ P.01/02 'TO: FACSIMILE TRANSMITTAL SHEIgT FROIq; Steve Underwood Parn Slack, 714-671-3362 Bakersfield Fire Dept, ~avironmcn/~l 11/07/01 Services FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER; 661-326-0576 2 PI~ONE NUMBER: S£NDkiR'5 }LISFI~RtiNCF. NUMBF, R; 661-326-3979 PMF# 201527 RE: YOUR REFER~NC~ NUMB~il~: Permit to Remove UST Application URGENT [] FOR REVIEW [] PLEASE COMMENT X PI,EASE REPLY [] PLEASE RECYC. I.E NOTgS/(:OMMI:'.NT$~ Attached to this cover sheet is a site plma "Ground & Grade" per your request this monfing. Plczasc let me know if you require mo~e infomaation. I understand you spoke with Bill Day, Petto Builders Inc. on Monday. I left a message with Bill today passing along the request for information on Pervo Builders' licensing and proof of insurance. The site specific safety and he-alth plan will come from their office as well. If you have any other questions, please contact me 714-671-3362. ~you~ r.j. S ck Project Manager PII(ONE; 714-671-3362 VAX: 714-671-3433 145 S, STATE COLI. I~;GI~: BI.VD,, SUITE 400 P.O. B(~x 2292 BREA, CA 92822-2292 CHEURON Z Z P.02/02 TOTAL P. 02 August 7, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Pam Slick Chevron Products Company P O Box 6004 San Ramon Ca 94583 RE: 90 Day Extension of Temporary Closure at Former Lube 4 U, 6607 Ming Avenue, Bakersfield, Ca 93309 Dear Ms. Slick: Your request for a 90 day extension is hereby granted. This extension will expire on November 7, 2001. At that time, the tanks must, be properly closed per Section 7902.1.7.2.2 of the Uniform Fire Code. · For your convenience, I am enclosing a tank removal application and the fee per tank. Should you have any questions, please feel fi-ee to contact me at 661-326- 3979. Sincerely, Ralph E. Huey by: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm cc: Bruce Carpenter enclosures C~Ni~lete items 1, 2, and 3. Also complete ittif Restricted Delivery is desired. PnTl~our 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: i~IR. ~RUCE CARPENTER CHEVi~..PRODUCTS COI~ANY PO BOX 6004 SAN P~u~iON, CA 94583 C. Signat~'elj~/ ..... [] Agent x [] Addressee I D. Is delivery address different from item 1 ? .[~Yes If YES, enter delivery address below: j~No 3. Service Type ~ Certified Mail [] Express Mail [] Registered [] Return Receipt for Memhandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 2. Article Number (Copy from service/abe/) 7000 0520 0021 9610 7684 381 1, July 1999 Domestic Re~(urn Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVICE IFirst-Class Mail Postage & Fees Paid USPS Permit No. ° Sender: Please print your name, address, and ZIP+4 in this box ° OFFICE OF ENVIROlfl~ENTAL.SERVICES 1715 CRESTER AVENUE BAKERSFIELD, CA 93301 r-~ ~ Postage r--~ ' _11 13- Certified Fee Return Receipt Fee (Endorsement Required) r'-I Re.~ed Delivery Fee r-1 (Endorsement Requlre~ postm~r~ I A mailing receipt I A unique identifier for YOur mailpiece I A signature Upon delivery I A record of delivery kept Important Rern/nders: by the Postal Service for tWo Years M Certified Mall may ONLY be Y a.~ ~,, nmmational mail "Certified combine · . Mall is not ava/to~.,-, d With FIrst-cI oo, ..... , I NO INSURANc .~,~u rot an cl ~ ..... aw ,w,~, or i~riodty Mall Valuables Di~_E COVERA~-~ .- - ffi For '~.. --~e Consider in~,,~1:5 PROVIDc~ . ~,,ve. ry. ro ob ' fee ?ecelpt (pc~ ~- tam Return R,~,.~,_R. ecelpt may ~ --_ or tee End~..~_ r-orm 38111 to ~'/'~'P[ service nl'--~ 'c-'quested to ..... requi~ ~ ,~um receipt }'~ece~pt R ue '~-.P~lcab e Postaa"'~un_a Hetum r "~ , a ~p$ eq Sled' To . ge. to coy , II Fn~ ~- t Postmark ^~ _ · _receive a f,~ er the ~.[J, ~ ~ additin,~, . ~. your (Jertifi - ;~ Waiver for r ~=uaressee,~ ~. X'~' ~'ee deli,,~-, led Mall feces-- . r --,. -'~'Kn' Restricts%'_',? ~dvise ~:h(~l~Srncted to t Cie at t~'a-'~ on the Certlf;~., recoil+ .''~ post offic~ ,- '"~ n~ail rec~. .v,u~ [ne '"rutll~NT...~ ...... ' .-~:n and aff/.~ ;.-~ ? postmark .... pre_sent the arti. . · --~c I//IS rennl.¢ __. ^ ,,~uel w/th posta ~. me Certified · , '"~, ~,e Present it ,,,~-- -ge .and mail. Mall : PS Form 3000, February 2000 (Reverse) --,c, making an i, qlfiry. 102§9~-00.M.1480 D July 16, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 949 S~PPRESSION SERVICES '~ 2101 'H" Street Bakersfield. CA 93301 ~l 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 Mr. Bruce Carpenter Chevron Products Company P. O. Box 6004 San Ramon, CA 94583 Re: EXPIRATION NOTICE Expiration of 1 year Temporary Closure of four (4) UsT'S at 6607 Ming Avenue, Bakersfield, CA 93309 Certified Mail Dear Mr. Carpenter: Our records confirm this date, that your temporary closure at the above- mentioned facility will expire on August 1,2001. Under current code, these tanks must either be put back into service or properly closed (removed). Please advise this office no later than July 25~h as to your intentions with regard to these tanks. I can be reached at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU/db c:\winnt~exp notice 4 USTs 6607 ming ave sUnden~ood D September 11, 2000 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 Brace Carpenter Chevron Products Company P.O. Box 6004 San Ramon, Ca 94583 Temporary Closure Request Regarding Former Lube 4 U, 6607 Ming Avenue, Bakersfield, Ca 93309 Dear Mr. Carpemer: Based on the third party certification report, received by this office, your request for a one (1) year temporary closure is hereby granted. This temporary closure is good until August 1, 2001. Should you have any questions, please feel free to call me at 661-326-3190. Sincerely, Ralph E. 'Huey, Director Office of Environmemal Services by: Steve Underwood, Inspector Office of Environmental Services SBU/dm August 8, 2000 1715 Chester Avenue Dear Steve, I am writing to request a temporary closure for the underground storage tanks used for motor oil, both new and used, for the Chevron Lube Stop located at 6601 Ming Avenue. The site has three 600 gallon tanks used for fresh oil and one 1,000 gallon tank used to store used oil Per our previous conversations, I have taken the following ac'dons: 1. All liquids have been removed from the tanks. 2. Chevron Maintenance is in the process of having the tanks rinsed and all piping capped or plugged. 3. The former operator of the lube facility is cleaning the interior of the building and will provide any waste removal receipts or manifests, I will be in the Bakersfield area a v~ek from Thumday, August 3~, and would like to meet you for a joint inspection of the facility. I would like to meet with you in the momin9 on the 3'~, Please call me at my office and let me know if this fits your schedule, Sincerely, Bruce Carpenter Retail Specialist Environmental Safety and Health 714-671-3218 or 310-863.8519 Cellular D June 15,2000 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 Bruce Carpenter Chevron Products Company P.O. Box 6004 San Ramon, Ca 94583 RE: Former Lube 4 U Site, 6007 Ming Avenue, Bakersfield CA. 93309 Dear Mr. Carpenter: It has been brought to our attention, that the former Lube 4 U site, at the above referenced address, has been closed for approximately 2 months. After 90 days, August 1, 2000, the following action must be taken: Section 7902.1.7.2.2. Uniform Fire Code (1997 Edition) Underground tanks not used for a period of 90 days shall be safeguarded or removed in accordance with the following: 1. Flammable or combustible liquids shall be removed from the tank. 2. All piping, including fill line, gauge opening, vapor return and pumping connection, shall be capped or plugged and secured from tampering. In addition, you must request in writing, a request for temporary closure. This temporary closure, when granted, is good for one year. Prior to issuance of a temporary closure, this office would require a facility inspection to (a). insure tanks have been emptied. (b). insure facility meets Health & Safety Code requirements, as well as Uniform Fire Code requirements. Please make arrangements to have the above mentioned items completed by August 1, 2000. Should you have any questions, please feel free to call me at 661-326-3190. Sincerely, / Steve Underwood, Inspector Office of Environmental Services FII E D February 9, 1999 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICE8 2101 'H' St~est Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 325-3941 FAX (805) 395-1349 !PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326.0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAJNING DMSION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Lube 4 U 6607 Ming Ave Bakersfield, CA 93309 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. Sincere.ly, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure ate Underground Hazardous Materials Storage Facility Approved by: CONDITION, P: EV SE IDE Tank Hazardous G~i'i]~:.~ ?ii!ii?:?:!??:::? ..... Yea~i~i:: .... :~: ~'.~Tank "::~::;::.;i~:.~]~ :~?~i;]':i!i!!~:~!?::~ Pip,ng Piping Piping Substance C~;&.6.!.i~:~:.::;,.::;:::;:::' in'~'i~:ii~61a?.':::.!i:?.?Type Uoh'it~61~'id'~::?::':!;:!?~i~: Type Method Monitoring Nulmber ~:...'::::? ~:::.~ .......... ~?~:.::: ::::::~ .:.:::::?~::~:?:. ::~:~:~. ~j:~:::.::::~.:....::..~.:::::~;:::~::~::~:::.:~:~;~:.?.:?`.:;::.?.:~:.:::~:~t~?~:.:~:.~?:?:~?~:~[~:~:::::.:.~?.~ .~:..:::: ?.....:...:.::::~' ~' ~. ~ L~ ~ ..... :: ....... .,.]........ .... : ~ ~ :::;;.......:...~:;:. Issued By: ~:"'~ ¥~%:; Bakersfield ~ire Dept. HAZARDOUS MA;ERIALS DIVISION 1715 Chester Ave., 3rd Floor Bakersfield, CA' 93301 (805) 326-3979 Ralph E. Huey, ~azardous Materials Coordinator Valid from: June 1, 1994 Chevron Chevron Chevron U.S.A. Products Company Marketing Department 1300 South Beach Boulevard Building 4516 La Habra, California RO. Box 2833 La Habra, CA 90632-2833 Phone 310 694 7300 Underground Storage Tank Financial Responsibility Bakersfield Fire Department 2101 H Street Bakersfield, CA 93301 To Whom It May Concern: The attached letter is being provided in order to comply with the requirement to demonstrate financial responsibility for under- ground storage tanks owned by Chevron U.S.A. Products Company. Financial responsibility applies to the attached list of service stations located in the city of Bakersfield. If you have any questions, please contact Suzanne Sissung at (310) 694-7452. Very truly yours, K. F. Wiseman Environmental, Safety, Fire & Health Manager SMS Enclosure SOUTHWEST DIVISION STATION LIST (DELIVERY CITY ORDER) 06/08/94 PAGE 2 REPORT: DLRCITY ARCADIA ARROYO GRANDE ARTESIA ATASGADERO AZUSA BAKER BAKERSFIELD ANAHEIM HILLS APACHE JUNCTION APPLE VALLEY ANAHEIM 92069 B19 1002239 10972 KATELLA AVE 93558 B34 1002239 2175 W LA PALMA ST 94927 C33 5183816 1221 AUTO CENTER DRIVE 95321 B19 1002239 1801 S HARBOR BLVD 96477 C33 5183816 953 SOUTH ANAHEIM BLVD 97779 819 1002.239 2501 E LINCOLN 98449 C33 4241754 1200 S ANAHEIM BLVD 99545 B19 1002239 590 N MAGNOLIA 99795 B21 1002239 3490 W LINCOLN 99950 A94 5583556 1801 S HARBOR BLVD 201029 A35 1002239 8000 E. SANTA AMA CANYON 202326 C15 1002239 1200 SOUTH HARBOR 202586 C19 1002239 1198 S. STATE COLLEGE 202756 C17 1002239 9225 BROOKHURST 95264 C33 5183816 5395 E.LA PALMA 99943 B42 1002216 140 OLD WEST HIGHWAY 90575 B19 1002251 17937 HWY 18 201467 A35 1002251 19180 BEAR VALLEY RD. 91293 B19 1002223 102 E HUNTINGTON DR 92407 B19 1002223 500 N SANTA ANITA 93583 819 1002223 11 E LIVE OAK AVE 98913 B14 1001483 1421 SO.2ND AVE 91156 B19 1002219 251 GRAND AVE 90207 C16 1002235 17509 PIONEER BLVD. 95619 B26 1002234 16725 PIONEER BLVD 93181 B26 1002219 6280 MORRO RD 92190 C19 1002238 1195 WEST FOOTHILL 92313 C19 1002238 901 E GLADSTONE 98633 B19 1002238 101 N AZUSA 99879 B19 1002251 I 15 AT KELBAKER RD 90705 B34 1002188 9700 ROSEDALE HWY 91152 C16 1002188 920 34TH STREET 91536 B34 1002188 2700 OSWELL STREET G(.,,91554 B19 1002188 10 UNION AVENUE 92718 B16 1002188 5101 STOCKDALE HWY ~C,93978 B19 1002188 3100 NILES ST 94025 B19 1002188 800 34TH ST BROOKHURST ST KATELLA KNOTT AVE BALL AT BROADWAY IDAHO APPLE VALLEY RD REATA I ST COLORADO BLVD SANTA ANITA US 101 168TH U S 101 CITRUS FIRST ST 1-15 CALLOWAY 0 STREET AUBURN BRUNDAGE VILLAGE LANE OSWELL q ST KAMRAN NAEIM EDWARD O'SON QUALITY LINCOLN MERCURY MICHAEL M. FLYNN DBA STEFFY BUICK CO INC JRANS PETROSIAN MCPEEK CHRY-PLY, INC PHONG CHIEU TANG ZAFAR AHMED DBA CHEVRON USA INC METHONAL A.P.S.I. # 1494 G & M OIL VASKIN KOSHKERIAN G AND M OIL #31 DBA 714-638-0664 714-956-3209 714-533-8741 714-776-7360 714-533-7181 714-827-2220 714-527-4391 714-533-8741 714-998-2637 714-999-9075 714-535-6500 714-535-9364 CALIBER MOTORS 714-777-1900 HARBERT D JORDAN 602-982-8106 LOYE W WILLHITE A.P.S.I. # 1488 619-242-4114 619-247-2937 MOHAMMAD SATERI FAISAL SALEH SHARI FAWAZ ELMASRI RALPH W HAUPT 818-446-7423 DBA 818-445-0261 DBA 818-446-5659 ROBERT BEWLEY DBA 805-489-5048 RONALD R. WORKMAN DBA ROBERT W STINSON 310-860-5616 310-860-5718 MICHAEL W HEILMAN 805-466-1853 YASSER KABAB SHAMSADDIN KARIMI MILAD FARAH 818-334-2477 DBA 818-915-6485 DBA 818-334-8515 CLARK A BRYNER 619-733-4334 RAY SUTTON INC CHARLES FENLEY STEVE R THORNE, INC, GLENN HOOVER PHILIP A WELCH KENNETH MC COY MOHAMED MANSOUR 805-589-9011 805-323-9071 805-871-1200 805-322-2445 DBA 805-832-1818 805-871-1865 805-323-9694 DELIVERY ADDRESS CROSS STREET CITY ACCT PRE ZONE {GULF - 1ST BEL. ADBRESS) (GULF - 2ND DEL. ADDRESS) DEALER NAME TELEPHONE ALTADENA 93267 C19 1002223 907 E ALTADENA DR LAKE AVE ANWAR E FAKHOURI 818-797-9221 BAKERSFIELD SOUTHWEST DIVISION STATION LIST (DELIVERY CITY ORDER) 06/08/94 REPORT: DLRCITY DELIVERY ADDRESS CROSS STREET CITY ACCT PRE ZONE (GULF - 1ST DEL. ADDRESS) (GULF - 2ND DEL. ADDRESS) DEA~ER NAME TELEPHONE BALDWIN PARK BANNING BARSTOW BEATTY BELL BELL GARDENS BELLFLOWER BERNALILLO. BEVERLY HILLS BIG BEAR CITY BIG BEAR LAKE BISHOP BLOOHINGTON BLYTHE BORREGO SPRINGS BOULDER CITY BRAWLEY 94416 B19 1002188 3699 WILSON ROAD 95325 B34 1002188 2525 WHITE.LANE 98109 B21 1002188 1131 OAK S~REET 99615 B19 1002188 3624 CALIFORNIA AVE ~-'99702 B34 1002188 5201 OLIVE DR '.~201238 B34 1002188 8100 E. BRUNDAGE LANE 201527 A34 1002188 6601 MING AVENUE 201921 BSO 1002224 660~MING AVENUE 91196 B35 1002236 14477 MERCED AVE 91846 B21 1002236 13905 FRANCISQUITO AVE 90255 B19 1002250 3251 WEST RAMSEY ST. 94886 B34 1002250 290 S. HIGHLAND SPRINGS 92325 B17 1002251 913 BARSTOW RD 93933 Al5 1002251 1451 EAST MAIN STREET 99752 A17 1002251 2890 LENWOOD RD 95854 B19 1002253 HWY 95 AND MCDONALD 91686 B34 1002234 5001 E FLORENCE AVE 202423 C15 1002234 5703 E. GAGE AVE 94031 B26 1002234 10340 E ROSECRANS 201934 C15 1002234 17106 BELLFLOWER BLVD. 75777 B19 1290512 HWY 44 AND US HWY 85 93532 B19 1002225 9378 WILSHIRE BLVD 202286 C15 1002225 391 SOUTH ROBERTSON 95464 C15 1002250 101 W BIG BEAR BLVD 93111 B19 1002250 41895 BIG BEAR BL 90130 B19 1002229 905 N MAIN ST 98646 B19 1002238 18745 VALLEY BLVD 91045 B34 1002250 321 S LOVEKIN 202361 C19 1002250 761 EAST HOBSONWAY 90153 C15 1236353 590 PALM CANYON DR 94912 C17 1002253 1004 NEVADA HWY 97790 C33 2328876 811 BRAWLEY AVE REAL RD EL PORTERO CALIF ST REAL RD HWY 99 WEEDPATCH HWY PUENTE AVE DALEWOOD SUNSET AVE FIFTH HWY 15 1-15 U S 95 MCNAB US HWY 85 CANON OLYHPIC BLVD HWY 18 SUMMIT BLVD MAINE CHURCH LOVEKIN HWY 93/BUCHANAN P 0 BOX 79 SONNY SWAFFAR BOB HALEY SERVICE, INC PHILIP A WELCH CHARLES SUTTON INC KEESTER INC THOMAS W SCOTT A.P.S,I. # 1830 LUBE MANAGEMENT CORP DAVID KOHANTEB NELSON W. QUAN #2 TUAN KHONG JAMES J. PFEIL RONALD D. BARRETT A.P.S.I. # 1415 A.P.S.I, # 1490 DONALD F DAWSON AZAR DOKHT RITA GARY WEBB & SON, INC. ZABIHULLAH ABDULLAH G AND N OIL CO. 805-831-6075 805-832-9781 DBA 805-324-7621 805-325-1642 805-399-9056 805-366-5542 805-831-1270 DBA 818-960-9927 818-337-1255 909-849-1456 DBA 909-769-1866 DBA 619-256-9679 619-256-7415 619-253-4076 DBA 702-553-2736 213-773-8043 213-773-2673 310-920-1419 714-373-0833 ROBERT F ATLER DBA 505-867-6260 HAROLD W BUTLER DBA 310-275-1153 WORLD OIL MARKETING COMP 310-855-9588 MICHAEL GIESLER DBA 909-585-8848 JAMES RYAN GESSNER 909-866-3246 RICK CASSEL, II DBA 619-873-4430 CHARLES W. O'NEAL, JR DBA 909'877-3492 WAYNE C CUSICK DBA 619-922-7710 W. C, CUSICK CORP DBA 619-922-2366 BRITISH MOTOR CAR DIST. 619-767-5513 JOHN SAMUEL SLEDGE 702-293-0819 DEL NORTE CHEVROLET CO April 29, 1994 Chevron Corporation 225 Bush Street San Francisco. CA 94104-4289 M. R. Klitten Vice President, Finance UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 225 Bush 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 £mancial 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) $ 155.744.232.00 $ 58.800.406.0O $ 8.ooo.ooo.o0 $ -0- $ 3.097.310.00 California State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ 819.000,00 $ 1.196.915.00 $ 56.000:000,09 $ -0- $ -0- Page 1 of 4 Louisiana State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging, and Abandonment .250.096.00 604.521.00 .000.000.00 -0- -0- Total $ 286.512.480.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concernN qualification from an independent auditor on his financial statements for the latest completed fiscal year. Page 2 of 4 ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test, and/or guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee 3. Sum of lines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth '7. 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 issues. 17. Name of rating service 18. Dates of maturity of bond $ 2.000.000.00 $ 286.512.480.00 $ 288.512.480.00 $ 34.636.000.000.00 $ 20.739.000.000.00 $13.897.000:000,00 in excess of $ 20.816.000.000.00 Yes X X X X $. N/A $ N/A $ N/A $ N/A AA Standard & Poors April 1, 1998 Page 3 of 4 Yes N9 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? X 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. April 29, 1994 M. R. Klitten Vice President, F~mance Page 4 of 4 Guarantee made this April 29, 1994, by CHEVRON 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. 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. CUSA owns or operates the following underground storage tanks covered by this guarantee -- underground storage tanks at various facilities in the states of: Alabama Nevada Alaska New lersey Arizona New Mexico California Ohio Florida Oregon Georgia Pennsylvania Hawaii South Carolina Idaho Tennessee Kentucky Texas Louisiana Utah Maryland Virginia Mississippi 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 operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 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 Page 1 of 3 e e 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. 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. 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 280.95CO) 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 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 CLISA 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; Co) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; Page 2 of 3 (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; O) 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 29, 1994 CHEVRON CORPORATION By By M. R. Klitten Vice President, Finance Assistant Secretary Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT On ,'~-;! =.qj I~'e~' before me, /v'~,~ 3-. /~l.,t, z~o~.l~', ~,,,~-~.-y ,'~Z,//~= OATE NAME, TITLE OF OFFICER * E.G.. 'JANE DOE, NOTARY PUBUC' personally appeared 3'-=~-r-~,y 3--. /,,i oj ck,~,,. , NAME(S) OF SIGNER(S) I~ personally known to me - OR - [] proved to me on the basis of satisfactory evidence to be the person(~) whose name(C) is/ere subscribed to the within instrument and ac- knowledged to me that he--executed the same in his.P,'~m'~'~ authorized capacity(i~'~/, and that by his~r signature(p) on the instrument the person(~, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. · ' ~' ~'SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER [] INDIVIDUAL [] CORPORATE OFFICER DESCRIPTION OF ATTACHED DOCUMENT Tm.E(S) [] PARTNER(S) [] LIMITED [] GENERAL [] ATTORNEY-IN-FACT [] TRUSTEE(S) [] GUARDIAN/CONSERVATOR [] OTHER: TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(rES) SIGNER(S) OTHER THAN NAMED ABOVE ©1993 NATIONAL NOTARY ASSOCIATION · 8236 Remmet Ave., P.O. Box 7184 · Canoga Park, CA 91309-7184 ~:ERTWICA~ON OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the ra.]uirements of subpart H of 40 CFR part 280. The finan~ assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 29, 1994, and which is anticipated to be renewed annually, with the next renewal scheduled to .occur during the first 120 days of 1995. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases and nonsudden accidental releases or accidental releases. Date: CHEVRON U.S.A. INC. J.~t'~~je e 6' er,'\$em°r'..~_ Cbj~nsel~, . £NV~179 Ultramar Ultramar Inc. P.O. Box 466 52.5 W, Third Streel Hanford, CA 93232-0466 (209) 582-0241 Telecopy: 209-584-6113 Credit & Wholesale 209-583-3330 Administrative 209-583-3302 Information Services 209-583-3358 Accounting January 17, 1993 City of Bakersfield P.O. Box 2057 Bakeref£eld, CA 93303-2057 SUBJECT: Beacon Station ~578 6607 Ming Avenue B~k~sfie'ldT-CA 2nd Notice mailed 3/31/94 3rd mailin~ 4/20/94 Attach: Tank fees The above referenced sites was sold on December 3, 1993. the following company: It was sold to Chevron USA P.O. Box 5004 2410 Camino Ramon San Ramon, CA 94583 If you have any questions, please call me at (209) 583-5598. Very truly yours, , ~O{ Sandy Huff 16~ CERTIFIED MAIL SH/mas 1206i/1207i Operations and Environmental Coordinator A Member of the Uitramar Group of Companies BEAC- N #1 Qu:dity and .~crvicc Ultramar Ultramar Inc. P.O. Box 466 525 W. Third Street Hanford, CA 93232-0466 (209) 582-0241 June 14, 1990 209-584-6113 Credit & Wholesale 209-583-3330 Administrative 209-583-3302 Information Services 209-583-3358 Accounting Ms. Ann Boyce Environmental Health Specialist COUNTY OF KERN Environmental Health 1415 Truxton Street Bakersfield, CA 93301 Dear Ms. Boyce: Re: Beacon Lube Stop #27-3 6607 Ming Avenue Bakersfield, CA 93309 Enclosed are the precision tank test results for the above referenced Beacon service station(s). Please review the results and if you should have any questions, feel free to contact me. Very truly yours, Peter W. Huke Project Engineer I Environmental /jsm Enclosure 0078i BEAC '¢I #1 quolity and Service A Member of the Ultramar Group of Companies Ultramar Ultramar Inc. P.O. Box 466 525 W. Third Street Hanford, CA 93232-0466 (209) 582-0241 June 8, 1990 'Ms. Ann Boyce Environmental Health Specialist COUTNY OF KERN Environmental Health 1415 Truxton Street Bakersfield, CA 93301 Telecopy: 209-584-6113 Credit & Wholesale '~L ! 209-583-3358 Accounting · ' '\' :. - '-:L/ ,"-~ ..:.,.:! ...... .,..~?,~ ', % ~ ~. ~ :. '-,. Dear Ms. Boyce: Re: Beacon Lube Stop #27-3 6607 Ming Ave. Bakersfield, CA 93309 Enclosed are the precision tank test results for the above referenced Beacon Lube Stop. Please note that Your office was notified of the Pennzoil 10/30 and 10/40 results within twenty-four hOurs of test, and that these tanks did pass below grade. Subsequent excavation revealed no visible leaks. Vent and product lines were pressure tested and test pressures held. The Pennzoil 10/30 and 10/40 are at this time being retested. Results will be forwarded to you in due course. Please review the results and if you should have any questions, feel free to contact me. Very truly yours, ULTR~NC. Peter W. Huke Project Engineer Environmental I ./jsm Enclosure 0078i A Member of the Ultramar Group of Companies BEACON ' #1 Quality and Service NDE VPLT COMPUTERIZED PRECISION TEST REPORT - PATENT PENDING GENERAL REPORT FORM - @COPYRIGHT 1985 PAGE 1 1.Owner of storage tanks Cc, mpany representative ULTRAMAR, INC. PETER HUKE 2.Mailing address of owner 3.Owner phone number 4. Station number 5. Location name for tanks Location address for tanks Locat £on Dhone number Manager or operator P.O. BOX 466 HANFORD, CA. 93232 -0466 (209) 583-3351 ~2'7 -3 BEACON I. UBE STOP .~22'7-3 660'7 MING AVE BAKERSFIELO, CA. 933:09 (805) 398 -9833 MANAGER ON I)U'fY 6. Regulatory agency KERN 7.Tank designation or ID~ .8.Date tank was tested 9. Testinq company Mailing address Testing company phc, ne 10.TechnicJ. an conducting test S~ate Certification Number PENZO i L 10.-30W"f' · 05/31 / 1990 SNAVELY ENTERPRISES INC. 13381 S. HENDERSON CARUTHERS, CA. 936(79 800 -345 - 1633. ~90-1114 .Capacity of tank 3, c700 qalions 12.Tank. construction material STEEL 13.Testing liou..i.d PENZOIL. lO&3OW'f'. 14.UNDERGROUND STORAGE TANK SYSTEM CAN. NOT.. BE CERTIFIED f'iGHT AT A PRODUCT HEIGHT EQUAL TO OR HIGHER THAN GRADE LEVEL. Measured Numerical Leakage Ra~e is: +.236 Gallons Per Hour Loss (+) or. Gain (-). Above Grade Measured Numerical Leakage Rate £s: +.0i7 Gallons Per Hour This measurement iS ~0~. within the ~ "Fan,:: "fop allowable limits established in NFPA 329 for a tight tank system. SNAVELY ENTERPRISES, INCORPORATED - 13381 SOUTH HENDERSON P.O. BOX 5 - CARUTHERS, CALIFORNIA 93609 - 800-345-&633 NDE VPLT COMPUTERIZED PRECISION TEST REPORT - PATENT PENDING GENERAL REPORT FORM - ~COPYRIGHT 1985 PAGE 2 1. Capacity of the tank 3,000 2. Past contents PENZOIt. 3. Testino liouid PENZOIL 4. Tank construction material STEEL 5. a. Tank £nclination (degrees) 2 b. Fill pipe inclination (degrees) 2 6. a. Internal diameter of tank '75 b. Tank bottom to grade level i20 7. a. Fill pipe internal diameter 4 b. Fill pipe lenath 3'9, c. Top of fill pipe ~o tank Oo~t,:,m 114 d. Top of ?ill pipe to oraoe level 6 8. ~ir vents 1 9. Type of ?ill pipe cap CAMLOCK lO.Type of pumpin~ system SUCTION Il.Cc, efficient of thermal expansion .0004151 12.Specific oravity .875 13.Bulk modulus 250000 14. Vapor recovery system 15.Depth of groundwater below grade 16.Date tank was topDed for ~es~ino 17.Time tank was topped for testino 18.Total product level from ~ank~ Oottom 06/01 / 1990 07: 00 80 oallc, ns inches i n c hes inches inches i ;] c h es inches number i FI C heS inches SNAVELY ENTERPRISES, INCORPORATED - 13381 S. HENDERSON P.O. BOX 5.- CARUTHERS, CALIFORNIA 93609 - 800-345-1633 System accuracy:O.OSgph =' pd>O.95/pfa<0.05; O. lOgph = pal>0.99 NDE VPLT COMPUTERIZED PRECISION TEST REPORT - PA'T'ENT PENDING GENERA[. REPORT FORM - ~COPYRIGH'r' 1985' PAGE 3 1'. General notes and leo entries: ARRIVED AT 18:00. TOOK MEASUREMENTS AND WAITED UN"TII.. 08:00 TO FILL AND TOP TANK. I SET-UP TEST AND CALiBR~AT'ED SYSTEM. I BEGAN TEST. MY LEVEL WAS FAI. LING AND TEMPERATLJRES WERE STABLE, I MONITORED AWHILE BUT LEVEL KEPT FALl_lNG CONSISTENTLY, I "[HEN DROPPED LEVEL TO TANI< TOP. I AGAIN CAt. IBRATED AND BEGAN TEST, I HAD TO MONI]"OR SYS'TEM AWrtlLE TO LET TEMPERATURES STABILIZE. ONCE 'I"HIS WAS ACHIEVED I RAN MY TEST. .2. Any special procedures cther than the NDE ComDuterize~ VPLT Tank Testing Procedures. TANK TOP TEST. 3. Description of any reoairs maoe to stc, raoe tank: system ~ric, r to c,r durino the test. NONE 4. Describe any rec,-,mmenOeO repairs. NEED Ti] PRESSURIZE LINES, CMECK ~OR LEAKS, ALSO (]NECK FILLPIPE ATTACHED TO TANK AND TANK ]"OP CONNECTIONS. 5. Describe-an~ sionifican~ delays not caused resulted in Oelays in comoletino the ~.es~. NONE 6. Describe ouantit¥ of liouids removeo from tan~:: c,r iiouios added to tank by tester from tester s~or,aoe tanks. 3000 GAL/.ONS ADDED TO BLEED AND RAISE ABOVE GRADE. 2972 GALLONS REMOVED AT END OF TEST. 25 GALLONS REMOVED TO CONDUCT TANK ]'OP TEST. 7. Does tank~ show evidence of vaoor mockers? NO If yes, was owner advised c.,f mroceOures necessary tc, re'lease the vam,:,r mc, cket? SNAVELY ENTERPRISES, INCORPORATBD - 13381S. HBNDERSON P.O. BOX 5 - CARUTHERS, CALIFORNIA 93609 - 800-345-1633 NDE VPLT COMPUTERIZED PRECISION TEST REPORT - PATENT PENDING GENERAl. REPORT' FORM - (~COPYRIGHT 1985 PAGE 4 1. TOTAL TEST CONDUCTION TIME - ~1)1: :?:2:1'7 nc, urs Leak rate calculation time : a. start : i3: ~8:12 nc, urs b. end : i5:00:29 r,c, urs (calculated leak rate based on data Generated during final hour of precision test.) 2. Fluid level below grade 40 inches 3. Hei. gh~. of water present in ~ank: 0 inches PIPING PRESSURE TEST - NEUMATIC PRESSURE DATA 4. Piping pressure test cc, nducte~ NO 5. Amount of ~ressure applied to s~stem N/A' 6. Amount of pressure drop N/A 7.' Elaosed time durino test N/m 8. System pass or fail N/A 9. Was turbine plimp activated N / A 10. I~ full system leakaoe rates are in excess of allowable limits, were the owners notified of an~ aOOi~ional tes~ino procedures .necessary to lsolate lea~::aoe to the tan~ or .~ank ~ipinq. YES ll.Have these additional testing oroceO,ires, been comp. leteO? YES 12.Was helium leak oinp],intinq services recommenOed in pi..npointina locati,.-.,n of leak. YES SNAVELY ENTERPRISES, INCORPORATED - 13381S. HENDERSON P.O. BOX 5 - CARUTHERS, CALIFORNIA 93609 - 800-345-i633 , Tank Owner ..................... BEACON LUBE STOP Tank Nu~mber .................... = 3K 10-~OWT PENNZOIL Measurement ~ 1S Date of Test 0B/01/1990 Ti~e of measurement ........... = 1S:00:29 Tank Temperature .............. = ?B.04S9 Tank Pressure ................. Basic Tank Volume ************* Temperature Correcti,on ~res~ure Correction *********,, Corrected Volume ************** Stratified corrected VolUme To,al Fluid Level ............. Fluid Pressure on Tank Bottom Total Temperature Change ...... degrees F. -.008B psi. 3000.487 Gallons. 22.4?8 Gallons. -.000 Gallon~. ~022.BBS Gallons. ~022.~7G Gallons. ?9.3B43B inches. 2.509B -.030BB degrees F. Total Level Change ............ = -.B1SB4 inches. Leak Rate Calculation Time ..... = 01:01:25 Geometry Band -.0004 Gallons/Hour. Volume Change ................. Expected Level Change ......... Measured Level Change ********, Primary Apparent Leak ********* Primary Apparent Leak Rate **** Strat Volume Change *********** Sitar Expected Level Change *** Strat Apparent Leak *********** Strat Apparent Leak Rate ****** Avg Measured Level Change ..... · Avg Volume Change ............. Avg Expected Level Change'. .... Avg Apparent Leak ............. Avg Apparent Leak Rate ........ Avg Strat Volume Change ******* ArQ Stret Expected Level Change Av9 S~rat Apparent Leak ******* 6vg Sitar Apparent ~eak Rate ** -.01572 degrees F/Hour. -.O22 Gallons. -.22862 inches. -.46688 inches. · 0232 Gallons. .0~ Gallons/Hour. -.02S4 Gallons. -.28024 inch~s, · 0201 Gallons, .020 Gallons/Hour. -.45792 inches. -,0250 Gallons. -.25~21 inches. .01~7 Gallons. .0~9 Sallon~/Hour. -.0270 Gallons. -.27~9S inches. .017S ~allons. .017 SNAVELY ENTERPRISES, INC. - P.O. BOX 5 - CARUTHERS. CA. 93609 NDE ...,.V.. ~.~..T', ,C,,~ _P,.U,,.T. E R.!,~[~ED...i P...R..!,.N..TOL~.T.,......AND...PL.~)TB.,..O~....,.P..E.RT ! NEN.,T,......,L EA..K,.. , ~AT E..,.,D.,~.TI~, t TEST TIME T MIHUTE,,$.. J -.3 -.4 TE, ST .Z~nE - M~t~U,T~S SNAVELY ENTERPRISES, INC. - P.O. BOX 5 - CARUTHERS, CA. 93609 NDE ~PLT ~PUTERIZED PRECISION TEST ~PO~T Cpmp~.~erizeO Pl.o~ Of Temperat.u~e Se~.so~ #2 SNAVELY ENTERPRISES, INC. - P.O. BOX 5 - CARUTHERS, CA. 93609 DRU ~1 (channels 0 - 29 D4U ~2 (cha~nels 30 - 59 DAU ~3 (channels. 60 - 89 DAU ~4 (channels 90 - For Tank ~1 is present. is NOT present. is NOT present. is NOT present. Line Sensor Channel 1 .Temp ~1 0 2 Temp ~2 1 3 TeMp ¢3 2 4 Tank Press 20 B Level 22 .Calibration or Model 460440001 460440001 460440001 4.00 Volts/psi 10.00 Volts/inch Height 18.0000 inches 36.0000 inches 54.0000 inches Name of Fluid = PENNZOIL 10-30WT Specific 6havity of Fluid = .875 Thermal Coef of Expansion = .0004151 Bulk Modulus of fluid = 250000.0 Displacement Calibration Volume = 300.0000 Milliliters (MI = t8.3071 cubic inches. ~ank Level Readings: .965011 volts, = .096S inches Tank Level Readings: 9.096347 volts, = .9096 inches Calibration Factors Displacement Calibration Volume Primary Initial fluid level Primary Final fluid level Primary fluid level change, 18.30712 cubic inches · 09850 inches. .90963 inches. .81313 inches. Processing Tank Number t Data Point Number 0 O4U ~1 (channels 0 - 29 is present. D~U ~2 (chan~els ~0 - 59 is NOT present. 08U ~3 (channels 60 - 89 is NOT present. DGU ~4 (channels 90 - 119 is NOT present. Tank Pressure Transducer Voltage = .74216 volts Tmp$ I, Ch~ 0, R = 4890.00 ohm, imp = Tmp~ 2, Ch~ 1, R = 4875.70 ohm, imp = Tmp~ 3, Ch~ 2, R = 4849.30 ohm, imp = Tank Level Readings: 1.656604 volts, = 77.9217 F, ht = 18.00 78.0422 F, ht = 55.00 78.2658 F. ht = 54.00 .lBS7 inches TBNK LEAK TEST PROGRAM Disc NuMber 4.09d51 NDE Environmental Corp. Copyright 1986-1990 ~11 rights reserved. Tank Owner'. ................... = BEACON LUBE STOP Tank Number ................... = 3K 10-30WT PENNZOIL Measurement ~ 0 Date of Test 06/01/1990 Time of measurement '. .......... = 13:28:12 T~nk Temperature .............. : Tank Pressure ................. = Basic Tank Volume ************* = Temperature Correction ******** = Pressure Correction *********** : Corrected Volume **************' = Stratified Corrected Volume *** : Total Fluid Level ............. = Fluid Pressure on Tank Bottom = 78.0766 degrees F. .1855 psi. 3000.487 Gallons. 22.51G Gallons. .002 Gallons. 3023.005 Gallons. 3023.018 Gallons.. 80.00000 inches. 2.5291 psi Processing Tank Number 1 Data Point Number Tank Pressure Transducer Voltage = .047B2 volts Tmp~ 1, Ch~ ~0, R '~ 4890.G0 ohm, tmp= 77.glBG F, ht : Tmp~ 2, Ch~ 1, R : 4875.80 ohm, tmp: 78.0414 F, ht : Tmp~ 3, Ch~ 2, R = 4848.60 ohm, tmp: 78.2718 F, ht : Tank Level Readings: 1.GSGS1S volts, = .1657 inches 54.80 TANK LEAK TEST PROGRAM Oisc Number' 409d51 NDE Environmental Corp. Copyright 1986-19B0 All right5 reserved. Tank Owner .................... : BEACON LUBE STOP Tank Number ' = 3K 10-50WT PENNZOIL Measurement ~ 1 Date of Tes~ 8810111990 T£me of measurement ........... = 13:34:2~ Tank Temperature .............. Tank Pressure ................. ~lc Tank Volume ************* Temperature Correction ******** PreBsure Correction *********** Corrected Volume ************** Stratified Corrected Volume *** To%al Fluid Level ............. Fluid Pressure on Tank Bottom Total Temperature Change ...... Total Level Change ............ 78.0768 degrees F. .0120 psi. 3000.487 Gallons. 22.516 Gallons. .8.000 Gallons. 3023.003 Gallons. ~023.~1G Gallons. 7g.ggggg inches, 2.52gl psi .00002 degrees F, -.00001 inches. Lea~ Rate Calculation Time ..... = 00:06:11 Beometry Band ................. Rate of Temperature Change .... = Volume Change ................. = Expected Level Change ......... = Measured Level Change ********* = Primary Apparent Leak ********* Primary Apparent Leak Rate **** : Strat Volume Change *********** = Strat Expected Level Change *** = Strat Apparent Leak *********** = Strat Apparen~ Leak Rate ******.= 0.0000 Gallons/Hour. .00018 degrees F/Hour. -.002 6allon~. -.02114 inches. -.00001 inches. -.0021 Gallon~, -.020 ~allons/Hour. -.00t? Gallons. -.0171~ inches. -.0017 Gallons. -.01~ Gallons/Hour. Total Elapsed Test Time ....... = 00:0G:11 Processing Tank NuMber 1 Data Point Number 4 Tank Pressure Transducer Voltage = .08885 volts Tmp~ 1, Ch~ 0, R'= 4894.80 ohm, tMp= 77.88t3 F, ht = Tmp~ 2, Ch~ 1, R = 4876.50 ohm; Cmp = 78.03?2 F, ht = Tmp~ 3, Ch~ 2, R = 4850.60 ohm, imp = 78.2548 F, ht = Tank' Level Readings: .98033g volts, = .8988 inches i8.0,3 TANK LEAK TEST PROGRAM Oisc Number NDE Environmental Corp. Copyright 1986-1998 All rights r'eserved. Tank Owner .................... = BEACON LUBE STOP Tank Number ................... = 3K 18-30W1' PENNZOIL Measurement ~ 4 Date of Test 06/01/1990 Time of.measurement ........... = 13:52:50 Tank Temperature ........ ; ..... Tank Pressure ................. Basic Tank, Volume Temperature CorrectiOn ******** ~ressure Correction *********** Corrected Volume ************** Stratified Corrected Volume Total Fluid Level ............. Fluid Pressure on Tank Bottom Total Temperature Change ...... Total Level Change ............ ?8.05?8 degrees F. .0167 psi. 5000.487 Gallons. 22.492 Gallons. 0.000 Gallons, 3022.980 G~llons. 3022.993 Gallons. 79.~3237 inches. 2.5270 psi -.01883 degrees F. -.86?63 inches. LeaE.Rate Calculation Time ..... = 00:24:38 Geometry Band ................. Rate of Temperature Change .... Volume Change ................. Expected Level Change ......... Measured Level Change ********* Primary Apparent Leak ********* Primary Apparent Leak Rate **** Strat Volume Change *********** Strat Expected Level Change *** Strat Apparent Leak *********** Strat Apparen~ Leak Rate ****** ~vg Measured Level Change ..... Avg Volume Change ............. Avg Expected Level Change-. .... ~vg Apparent Leak ............. Avg Apparent Leak Rate ........ Avg Strat Volume Change ******* ~vg Strat Expected Level Change AvQ S~rat Apparent Leak ******* Avg Strat Apparent &eak'Rate ** -.0012 Gallons/Hour. -.04585 degrees. F/Hour. -.025 Gallons. -.2~141 inches. -.06763 inches, - 8189 Gallons. - 846 Gallons/Hour'. - 8254 Gallons. - 26831 inches. - 8188 Gallons. - 046 6allons/Hour. - 04489 inches. - 0188 Gallons. - llOSB inches. -.00~4 Gsllons. -.051 Gallons/Hour. -.0105 Gallons. -.107~4 inches. -.0081 Gallons. -.030 Gallons/Hour. Total Elapsed Test Time ....... = 00:24:38 Processing Tank Number 1 Data Point Number 7 Tank Pressure Transducer Voltage = .G1GJ9 volts Tmp$ l, Ch$' 8, R"= 4895.10 ohm, imp = 77.8788 F, ht = TmD$ 2, Ch~ l, R = 4878.]0 ohm, tMp= 78.8220 F, ht = TMD~ 3, Ch$ 2, R = 48S1.80 ohm, tMp =' 78.2446 F, ht = Tank Level Readings: -.61643G volts, = -.8616 inches TANK LEAK TEST PROGRAM Disc Number" 409d31 NDE Environmental Corp. Copyright 198G-1990 All rights reserved. Tank Owner .................... = BEACON LUBE STOP Tank Number ................... = 5K 10-30WT PENNZOIL Measurement ~ ' ? Date of Test 0G/0111990 Time of measurement ........... = 14:11:2G Tank Temperature .............. : Tank Pressure ................. = Basic Tank Volume ************* = Temperature Correction ******** = P~essure Correction *********** : Corrected Volume ************** = Stratified Corrected Volume *** = Total Fluid Level ............. = Fluid Pressure on Tank Bottom = Total Temperature Change ...... = Total Level Change ............ = 78.048S degrees F. .1S41 psi. 5000.487 Gallons. 22.481 Gallons. .002 Gallons. 3022.970 Gallons. 3022.983 Ga!lons. 79.77270 inches. 2.5219 psi -.02813 degrees F, -.22730 inches, 'Leah Rate Calculation Time ..... = 00:43:14 Geometry Band ................. = Rate of Temperature Change .... =. Volume Change ................. : Expected Level Change ......... = Measured Level Change ********* = Primary Apparent Leak ********* = Primary Apparent Leak Rate **** = Strat Volume Change *********** = Strat Expected Level Change *** = Strat Apparent Leak *********** Strat Apparent Leak Rate ****** ArQ Measured Level Change ..... ArQ Volume Change ............. : Avg Expected Level Change'. .... = Avg Apparent Leak ............. ~vg Apparent Leak Rate ........ = Avg Strat Volume Change ******* = Avg Strat Expected Level Change = AvQ StOat Apparent Leak ******* ~vg Strat ~pparent Leak Rate ** = -.0810 Gallons/Hour. -.03904 degrees F/Hour. -,035 Gallons. -.36337 inches. -.22730 inches. -.0133 Gallons. -.018 Gallons/Hour. -.03S2 Gallons. -.36120 inches. -.0131 Gallons. -.018 Gallons/Hour. -.12347 inches. -.0130 Gallons. - 13340 inches. - 0010 Gallons. - 003 Gallons/Hour. - 0128 Gallons, - 131S7 inches. - 0008 Gallons. - 002 Gallons/Hour. Total ElapsGd Test Time ....... = 00:43:14 .PrGcessing Tank Number 1 Data Point Number 10 Tank Pressure Transducer Voltage = .42984 volts TMpS l, OhS '0, R '= 4896.40 ohm, tmp= 77.8679 F, ht = TmpS 2, ChS l, R = 4877.60 ohm, tmp= 78.0~L. F, ht = TmpS 3 OhS 2 R = 48S2.00 ohm ~mp ?8 ~ ~ , , , = .~4~9 F, ht = Tank Level Readings: -2.08006? volts, = -.2090 inches TANK LEAK TEST PROGRAM Disc Number. NDE Environmental Corp. Copyright 1B86-lggO 811 rights reserved, Tank Owner .................... = BEACON LUBE STOP Tank Number ................... = 3K 10-30WT PENNZOIL Measurement S 10 Bate of Test . 06/01/1990 Time of measurement ........... = 14:29:38 Tank Temperature .............. = Tank Pressure ................. = Basic Tank Volume ************* = Temperature Correction ******** = Pressure Correction *********** = Corrected VOlUMe ************** = Stratified Corrected Volume *** = Total Fluid Level ............. = Fluid Pressure on Tank Bottom = Total Temperature Change ...... = Total Level Change ............ = 78.0457 degrees F. ,1B?S psi. 3000,487 Gallons. 22.477 Gallons. .001 Gallons. 3022.988 Gallons. 3022.879 Gallons, 79.62633 inches. 2,5173 p~i -.03093 de~rees F'. -.3?36? inches. Lea~ Rate Calculation Time ..... = 01:01:24 Geometry Band ................. : Rate of Temperature Change .... = Volume Change ................. : Expected Level Change ......... = Measured Level Change ********* = Primary Apparent Leak ********* : Primary Apparent Leak Rate **** = Strat Volume Change *********** = Strat Expected Level Change *** : Strat Apparent Leak *********** = Sitar Apparent Leak Rate ****** = Avg Measured Level Change ..... = Avg Volume Change ............. = Avg Expected Level Change ..... = Avg Apparent Leak ............. = Avg Apparent Leak Rate ........ = Avg Strat,golmme Change ******* = Avg Strat Expected Level Change : Avg Strat Apparent Leak ******* = AVQ Strat Apparent ~eak Rate ** = -,0008 Gallons/Hour. -,03023 degrees F/Hour. -.038 Gallons. -.40492 inches. -.37367 inches, -.0030 Gallons. -.003 Gallons/Hour. -.0394 Gallons. -.40400 inches. -.0030 Gallons. -.003 Gallon,/Hour. -.20627 inches. -.0200 Gallons. -.20St0 inches. .0001 Gallons. 0.000 .Gallons/Hour, -,0205 Gallons. -,20?86 inches. -,0002 Gallons. -.000 Gallons/Hour. Total Elap~Gd Test Time ....... = 01:01:24 Processing Tank Number 10ata Point Number 13 Tank Rressure Transducer Voltage = .0S8S4 volts TMp~ l, Ch~ 0, R = 4896.60 ohm, imp = TMp~ 2, Ch~ 1, R = 48?4.90 ohm, imp = TMp~ 3, Ch~ 2, R = 4854.90 ohm, imp = Tank Level Readings: -3.347910 volts, = -.3348 inches ~.8BB2 F, ht = 18.90 '78 '~ZSg F ht = TANK LEAK TEST PROGRAM Disc Number' 489d31 NDE Environmental Corp, Copyright 198B-1990 All rights reserved. Tank Owner .................... = BEACON LUBE STOP' Tank Number ................... = 3K 18-30WT PENNZOIL Measurement ~ 1~ Date of Test 0B/01/1990 Time of Measurement ........... = 14:48:0g Tank Temperature .............. = Tank Pressure ................. = Basic Tank Volume ************* = Temperature Correction ******** = ~ressure Correction *********** = Corrected Volume ************** = Stratified Corrected Volume *** = Total Fluid Level ............. = Fluid Pressure on Tank Bottom = Total Temperature Change ...... = To~al Level Change ............ = 78.0478 degree5 F. .014G psi. 3800.48? Gallons. 22.4?9 Gallons. 0.000 Gallons. 3022.966 Gallons. 3022..977 Gallons. 79.49955 inches. 2.5133 poi -.02~SS degrees F. -.S0045 inches. Lea~ Rate Calculation Time., .... = 01:01:50 6eometry Band ................. = Rate of Temperature Change .... = Volume Change ................. = Expected Level Change ......... = Measured Level Change ********* = Primary Apparent Leak ********* = Primary Apparent Leak Rate **** = Strat Volume Change *********** = Strat Expected Level Change *** = Strat Apparent Leak *********** = Strat Apparent Leak Rate ****** = Avg Measured Level Change ..... = Avg Volume Change ............. = Avg Expected Level Change' . .... = ~vg Apparent Leak ............. = 6vg Apparent Leak Rate ........ = Avg Strat Vobume Change ******* = ArQ Strat Expected Level Change = ArQ Strat Apparent Leak ******* = Avg Strat Apparent-Leak Rate ** = -.000B Gallons/Hour. -.02343 degrees F/Hour. -.030 Gallons. -.~0B40 inches. -.43J39 inches. .0124 Gallons. .012 Gallons/Hour. -.0326 Gallons. -.33468 inches. .0096 Gallons. .009 Gallons/Hour. -.38B80 inches. -.0299 Gallons. -.~0S80 inches. .0079 Gallons. .009 Gallons/Hour. -.0311 Gallons. -.3188] inches. .00B~ Gallons. .007 Gallons/Hour. Total Elapsed Test Time ....... = 01:19:S7 - Processing Tank Number 1 Data Point Number t5 Tank Pressure Transducer Voltage = -.03423 volts Tmp~ I, Ch~ 0, R'= 4897.60 ohm, imp = Tmp~ 2, Ch~ 1, R = 4874'.50 oh~, t~p = Tmp~ ~, Ch~ 2, R = 4853.80 ohm, imp = Tank Level Readings: -4.499797 volts, = 77.8578 F, ht = 1~.~0 78.0524 F, ht = 56,88 78 ~ .~ F, h'~ = 54.~0 -.4500 inches TSNK LEAK TEST PROGRAM Disc Number 4~9d51 NDE Environmental Corp. Copyright 1986-1998 All rights reserved. Tank Owner .................... = BEACON LUBE STOP Tank Number ................... = ~K 10-JOWT PENNZOIL Measurement ~ 15 Date of Test 06/01/1990 Time of Measurement = 15:00'~9 Tank Temperature .............. = 78.0459 degrees F. Tank Pressure ................. = -.0086 psi. Basic Tank Volume ************* = 3000.487 Gallons. Temperature Correcti'on ******** = 22.478 Gallons. ~ressure Correction *********** = -.000 Gallons. Corrected Volume ************** = 5822.965 Gallons. Stratified Corrected Volume *** = 3022.~76 Gallons. Total Fluid Level ............. = 79.38436 inches. Fluid Pressure on Tank Bottom = 2.SO~B psi Total Temperature Change ...... = -.OJOGG degrees F. Tot'al Level Change ............ = -.SlSS4 inches, Lea~ Rate Calculation Time ..... = el:Ol:iS Geometry Band ................. = Rate of Temperature Change .... = ' Volume Change ................. = Expected Level Change ......... = Measured Level Change ********* = Primary Apparent Leak ********* = Primary ~pparent Leak Rate **** = Strat Volume Change *********** = Strat Expected Level Change *** = Strat 6pparent Leak, *********** = Strat Apparent Leak, Rate ****** = ~vg Measured Level Change ..... = ~vg Volume Change ............. = Avg Expected Level Change'. .... = Avg ~pparent Leak ............. = Avg Apparent Leak Rate ........ = ~vg Strat Volume Change ******* = Avg Strat Expected Level Change = ~vg Strat Apparent Leak ******* = Rvg Strat Apparent ~eak Rate ** = -.0004 Gallons/Hour. -.01572 degrees F/Hour. -.022 Gallons. -,22862 inches. -.48888 inches. ,0252 Gallons, 023 G~t!ons/Hour, - 0254 Gallons. ~88~4. inches. 020t Gallons. 020 Gallons/Hour. - 45792 inches. - 0250 Gallons, - 2SS21 inches. .0197 Gallons. .01~ Gallons/Hour. -.0270 Gallons. -.2769G inches. ,0176 Gallons. .017 Gallons/Hour. Total Elaps'ed Test Time ....... = 01:32:17 5225 Hollister, Houston Texas 77040-6294 .. Certificate of Tightness s..,c. Ord.,# 060639 underground storage tank system(s) teSted and found tight for'. TANKNOLOGY CORPORATION INTERNATIONAL Phone (800) 888-8563 : FAX (713) 690-2255 ' Test Date 08/13/92 TANK OWNER: OIL CHANGERS 608 TEST SITE ADDRESS: OIL CHANGERS 6607 LINE(S) ONLY, OIL OIL MING BAKERSFIELD, CA ] LEAK DETECTOR(S)ONLY. [ . 4 TANK(S) ONLY, TANK SIZES & PRODUCTS TESTED 1 3000 WST 3 3000 MTR 2 3000 MTR .OIL 4 3000 10 W30 LINES TESTED lA, 2A, 3A, 4A LEAK DETECTORS TESTED Unit Mgr. Certificate Number & Name 175 KENNETH W. U.S, Patent #4462249, Canadian Patent # 1185693, European Patent AppL # 169283 TANKNOLOGY & VacuTect are trademarks Ct TANKNOLOGY CORPORATION INTERNATIONAL BROWN 07 / 93 Valid only with Corporate Seal Note: See VacuTect Test Report for tank identification and site location drawing. VacuTectTM TEST REPORT Owner OIL CHANGERS Site# 608 In¥oiceName/Address OIL CHANGERS 4511 WILLOW ROAD SUITE #1 PLEASANTON, CA 94588 S.C. # 0:5 Date 0 8 Phone < 5~ Attn: BO] 639 13/97 0> 75{-5816 BAILEY Site Name/Address OIL CHANGERS 5607 MINe BAKERSFIELD, CA i ' ' TANKS LINES .. Leak Det See Ullage TANKS and LINES Tested to CFR-40 Parts Diag. Tank Dipped Dipped Probe Water Bubble Air Line Final Exist 280-281 & NFPA 329 Spec's. For Dia. & Water Product Water Ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s).-.,~,, ~I~NEW Loc. Material Level Level Level Detected Detected Detected ~- Material Syst. Type TEST TEST Rate ' Pass/ r~l ~w · ST/ · · · · · · Tight · · · · · Tight Fail/~.,. ,, ....,...Ot er Tank Tank Tank FPP/ ' START START START or ST/ START END or or # Product Capacity Lined END END END Yes/No Yes/No Yes/No Fail Line # FPP PS/SS/GS TIME TIME GPH Fail ~ONE PASS ' i WST 3000 Diameter 00. 000 041 . O0 00. 160 ~ ~ N T lam Sm ss [7,5~ ~o ~ 12 000 -. ~ Exi~tLOSN/MDL/MFG: OIL 7500 . 000 041.00 00 . 160 NejtDSN~Dt/MFG: ~rcent of Fill at Pump ' L'NETE~E TESTED W I TH TANK Material ~tadTime: 17 : 54 TimeofTest 54. 6 Mf~.: Dis~nser Shear Valve, ~T EndTime: ~0: 3. ~ TestTankpst-- ~ , 20 Ent~ ~int:Pr°be ~[LL O~erate~es/n°~ 2 }-~TR 3000 Diameter 00. 000 43 O0 O0. 160 N N N T 2A 7; ~ ~ ' 8500 000 43.00 90.160~ OIL P ..... tofFillat Pump LIN~I.~[sNE TESTED WITH 'TANK M~teri~, ~S,a. Ti~e: 17 : 54 Time of Test: 50. 5 M'a': Di.p~n.e~S,~a~W,~ Tank Ent~ ~in,: F I L L ~ ~'[TR 3000 Diameter~0~000 ~O~,00 00~6~ ~ N ~ N ~ T ST ~: N Exist~LDSN/MDL/MFG: OIL 7530.000 104~.00 00.160 ""wL~s"~u~:. ,u.p u.~DfsNE TESTED W~TH TANK Percent of Fill at 6 ~ 3 Mf~.: Material Sta~Time: ~0 : ] 9 Timeof Test: , ~ End Time: ~ ~ ; ~ Tank Probe O~erate~es/no~ 2 ~: 30 0, ~ O0 T ~ ~x~,bs.~: · ] 10 3000 D~e'er 30,000 049 O0 N N N T SS o.ooo°oo. o ' · u~,er~, S,a. ~.e: 20; ~ 9 ~,.~"~ce"'°'~"'a'o,~e~: S 5 3 u'~':"~'P u.O~ TESTED WITH TANK ST EndTime; ~; ~0 Tank Entrv~int: ~LL T~'"s~: - ! . 20 Probe Oper~,e Diameter . , , Exist LD SN~D~MFG: I I I Percent of Fill at Pump : ' LINE {EST PSI: Material Stad Time: Time of Test: Mf~.: Dispenser Shear Valves Tank Probe O~eraie ~es/no~ ~na Tim~; Test PSt Ent~ ~int: Percent of Fill at Pump LINE TEST PSI: Material Stad Time: Time of Test: Uf~.: Dispe~ser Shear Valves Tank Probe Operate ~es/no~ En~ Tim~; T~t P~l: Entrv ~int: Tanknology Corporation International TANKNOLOGY Region: WESTERN REGION Unit # 023 State tic. # NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. State: CA 5225 Hollister St., Houston, TX 77040 (800) 888-8563 · FAX (713) 690-2255 FILE CONTENTS INVENT'gR¥ ~;~Permit to Operate-,~ [-]Construction Permit [] Permit to abandon~ ~r~Amended Permit Conditions ~Permit Application Form, []Application to Abandon []Annual Report 'Forms I of Tanks Tank Sheets tanks(s) Da te Date Date Da te []Copy~of Written Contract []Inspection Reports Between Owner & Operator DCorrespondence - Received Date Da te Date []Correspondence - Mailed Date Date Date []Unauthorized Release Reports []Abandonment/Closure Reports []Sampling/Lab Reports [~MVF Compliance Check (-New Construct'i'on []STD Compliance Check (New Construction []MVF Plan Check (New Construction) [].STD Plan Check (New Construction) []MVF Plan Check (Existing Facility) []STD Plan Check (Existing Facility) []"Incomplete Application' Form []Permit Application Checklist []Permit Instructions []Discarded []Tightness Test Results i-]Monitoring Well Construc'tion 'I~a'ta/Permits Ch'eckl ist) Checklist) Da te Date Da te [-]Environmental Sensitivity Data: []Groundwater Drilling, Boring Logs C]Location of Water Wells [-]Statement of Underground Conduits ~Plot Plan Featuring All Environmentally Sensitive [] Photos Construction D~awings Location []Half sheet showing 'date [] Miscellaneous Da t a received and tally of inspection time, et,'.- Kern County Health Departme~/~ pivision or Environmental 1700 Flower Street, Bakersfield, CA 93305 Permit Appl icatio~ Ce · A~PLICATION FOR PERMIT TO OPERATE UNDERGROUND " HAZARDOUS SUBSTANCES STORAGE FACILITY Type of Application (check): r-]NeT Facility ~]Modification of Facility [~Existing Facility rlTransfer of Ownership Emergency 24-Hour Contact (name, area code, phone): Days 3im McCutchen 209/582-0241 Nights Shift Supervisor 209/582'-'024'1 ..... Facility Name BEACON LUBE STOP #27-3 No. of Tanks 4 Type of Business (check): ~lGasoline station ~Othe'r (describe) Auto Lubricating Service IS Tank(s) Located on an Agricultural Farm? []Yes [~lNo ~ Is Tank(s) Used Primarily for Agricultural Purposes? []Yes []No Facility Address 6607 Mine Ave., Bakersfield, CA Nearest Cross St. Ashe Road T Owner ~%ddress ~ R SEC Beacon 0il Company 525 W. 3rd St., Hanford, CA Operator Beacon Oil Company Address 525 W. 3rd St., Hanford, CA ~ater to Facility Provided by Soil Characteristics' at Pacility Basis for Soil Type and Groundwater Depth Determination~ Contractor Address Proposed Starting Date Worker's Ccmpensation.Certificatio~ (Rural Locations (~ly) Contact Person Jim McCutchen Zip 93230· Telephone' 209/582-0241 Contact Person G~ Davis :, ,= :~-.~- Zip 93230 Telephone 209/582-0241 .Z.,. ,.'~,'.'-~ ~. - CA Contractor's License NO. Zip proposed Ccmpletio~ Date Insurer De Ee If This Permit Is For Modification Of An Existing Facility, Briefly D ascribe Modifications Proposed , , , Tank(s) Store (check all .that apply): Tank ~ Waste Product Motor Vehicle Fuel 27-3-5 ~ [] '- [] 27-3-6A [] [] Motor 0il [] 27-3-6B [] [] Motor Oil [] 2~-$-6C [] [] Motor Oil [] Unleaded Regular Prmuium Diesel Waste Ch~uical Omuposition of Materials Stored (not necessary for motor vehicle fuels) Tank [ Chemical Stored (non-commercial name) CAS ~ (if known) Chemical Previously Stored (if different) Ge Transfer of Ownership Date of ~-~nsfer Previous Facility Name I, Previous Owner modi'fy or terminate the facility upon receiving this ccmpleted form. accept fUlly all obligations of permit NO. __. issued to · I understand that the Pemitting Authority may review and transfer of the Permit to Operate this m%dergro~d storage This form has been c~mpleted under penalty of true and correct. perjury and to the best of my knowledge Title MEr., Mktn§. Oper. Date 3/26/85 is 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 INTERIM PERMIT TO OPERATE: UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY KERN COUNTY HEALTH DEPARTME , HEALTH OFFICER Leon M Hebertson, M.D. ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH · Vemon S. Reichard P E I=~MI T-~2 8 O0 2 ISSUED: APRIL 1, 1987 ~/ E XP I R~- S :' APR~. 1, ~990 NUMBER OF TANKS= 4 FACILITY: ..~. ' COMPANY BEACOff LUBE STO~ #~-~ . .;' .:.~.! !i"'" BEACON 0IL. -,.'-.'.,'{./. 6607 ;kING AVENUE ..... .i...,,i,~ ~ ii.?,/,~.t.'~,j .?:h'<i'!.,?'525, W...,3~ STREET -~;,,'TANK # .- ',~ IN YRS) _.,- ?,.-,'.SUBSTANCE CODE 2'//3/5 NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING .:-.'-...~ AUTHORITY MUST BE ~ET DURING THE ~ERM O~ THIS ~ERMIT ,~':-'-'"".-.' NON-- TRANSFERABLE POST DATE PERMIT MAILED; HAY 1 2~ 1987 -. .: DATE PERMIT CHECK'LIST RETURNED: Facility Name BEACON LUB~ STOP 27-3 Pemit No~. _f~ ~//~_~ T~ [ (FILL OUT SEP~TE FO~ F~.~ T~K) ~R ~ SE~ION, ~ECK ~ ~PROPRIATE BOXES H. 1. Tank is: []Vaulted' ~;~Non-Vaulted ~]Double-Wall []Single-Wall 2. ~ Material' ~ []Carbon Steel [] Stainless Steel [-]Polyvinyl ChlOride I-]Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic [] Concrete [] Aluminum [] Bronze []Unknown [~ Other (describe) ~ 3. Primary Containment' Date Installed Thickness (Inches) Capa6itYM(Gall°ns)-3 Manufacturer 1983 14 Gauge 4. Tan___~k Secondary Containment []Double-Wall [] Synthetic Liner []Lined Vault ~None []Unknown ~]Other (describe): Manufacturer: [~Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Linin~ ---~R~ber [-]Alkyd []Epoxy []Phenolic []Glass []Clay [~U~lined' [][~kno~ []Other (describe): 6. Tank Corrosion Protection --~[GalvaniZed --~-~nf6~ass-Clad []Polyethylene Wrap [~vinYl Wrappin~ [~Tar or Asphalt []Unknown []None []Other (describe): ~ · Cathodic Protection: [~None []Impressed Current System · ~lSacrificial Anode System ~e--s~ribe System & Equipment: 7. Leak Detection, Monitoring, and Interception a. Tank: []Visual (vaulted tanks only) [~Groundwater Monitoring' Well(s) ['~Vadose Zone Monitoring Well(s) [-]U-Tube Without Liner [']U-Tube with Ccmpatible Liner Directi~n~ Flow to Monitoring We,Il(s)* [] Vapor Detector* [] Liquid Level Sensol [] Conductivit~ Sensor .[] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monitorin~ Well or Annular Space []Daily Gauging & Inventory ReCOnciliation []Periodic Tightness Testing [] None [] Unknown D Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' [] Monitoring Sump with Race~y · [] Sealed Concrete Raceway []Half-Cut Cumpatible Pipe Raceway [-]Synthetic Liner Raceway [-]None [] Unknown [] Other *Describe Make & Model: 8. ~en Tightness Tested? [2]Yes []No []Unknown Results of Test Testing Company Date of Last. Tightness Test Test Name 9. Tank ~ Tank Repaired? []Yes ~No []Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection ~--Operator Fills, Controls, & Visually Monitors [~vel [-]Tape Float Gauge []Float Vent Valves ~Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box []None []Unknown []Other: List Make & Model For Above Devices 11. Piping a. UndergrOund Piping: ~Yes [.']No []Unknown Material Thickness (inches) Diameter Manufacturer []Pressure [-]Suction ~Gravity Approximate Length of Pipe Ru~ b. Underground Piping Corrosion Protection : []Galvanized I-]Fiberglass-Clad []Impressed Current [']Sacrificial Anode []Polyethylene Wrap ~Electrical Isolation ~qVinyl Wrap ~Tar or Asphalt [~Unknown [-~,None []Other (describe): c. Underground Piping, Secondary Containment: []Double-Wall []Synthetic Liner ·System ~None []Unknown []Other (describe): Facility Name H. e o TANK ~ .,. (FILL ()UT SEPARATE FORM ~,~7{ TANK) Tank is: []vaulted [~Non-Vaulted []Double-Wall 5~]Single-Wall. ~ Material []Carbon Steel [] Stainless Steel []Polyvinyl Chloride I-]Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic [] Concrete [] Alumin~mn [] Bronze [-]Unknown [] Other (describe) Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 1983 .025 3M Tank Secondary Contair~nent [~Double-Wall [] Synthetic Liner []Lined Vault ~None []Unknown [] Other ( describe): Manufacturer: []Material ThiCkness (Inches) Capac.ity (Gals.) Tank Interior Linin~ ---~Rubber [-]Alkyd []Epoxy []Phenolic ~]Glass []Clay []Unlined F]t~kno~ []']Other (describe): Tank. Corrosion Protection --]~GalVanized -]~f~asS-Clad []Polyethylene Wrap []']Vinyl Wrapping ~J~Tar or Asphalt []Unknown []None []Other (describe): Cathodic Protection: []None []Impressed Current System ~]Sacr'i'{~icial Anode System Describe System & Equipment: . Leak Detection, Monitoring, a..n.d Interception a. Tank: []Visual (vaulted tanks only) [-]Groundwater Monitoring' Well(s) []Vadose Zone Monitoring Well(s) [2]U-Tube Without Liner' · ~_]U-Tube with Compatible Liner Directing Flow to Monitorirg We.Il(s)* Vapor Detector* [] Liquid Level Sensor* '[] Conductivit~ Sensor' [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space IR]Daily Gauging & Inventory Reconciliation []Periodic Tightness Testing [] None [] Unknown [] Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' [2]Monitoring S~up with Raceway []Sealed Concrete Race~y []Half-Cut Compatible Pipe Raceway []Synthetic Liner Race~ay []None [] Unknown [] Other *Describe Make & Model: 8. ]~en Tightness Tested? DYes ~No DUnknown Date of Last Tightness Test ~ Results of Test Test Name TeSting Company 9. Tank Re~air Tank RePaired? []Yes []No [2]Unknown Date(s) of Repair(s) Describe RePairs 10. Overfill Protection ~Operator Fills, Controls, & Visually Monitors Level []Tape Float Gauge []Float Vent Valves []Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box []None [-]unkno~ []Other: List Make & Model Yor Above Devices 11. Piping a. Underground Piping: [~Yes ~No [~unknown Material Thickness (inches) Diameter Manufacturer []Pressure [~{Suction '[]Gravity Approximate Length of Pipe R~u Underground Piping Corrosion Protection : []Galvanized []Fiberglass-Clad []Im[xessed Current []Sacrificial Anode [-]Polyethylene Wrap [~Electrical Isolal/ion [qVinyl Wrap [~]Tar or Asphalt ~Unknown ?.None []Other (describe): Underground Piping, Secondary Containment: []Double-Wall []Synthetic Liner System ~{None []Unknown [~Other (describe): Facility Name BEACON LUBE STOP {/27-3 Permit TANK ~ ~ (FILL ()UT SEPARATE FORM FOI I.JH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES 1. Tank is: [-]Vaulted. []Non-Vaulted I-]Double-Wall []Single-Wall 2. ~ Material ~ca~bon steel [] stainless steel D Polyvinyl Chloride I-]Fiberglass-Clad Steel ~] Fiberglass-Reinforced Plastic [] Concrete [] Aluminum [] Bronze []Unknown [] Other (describe) 3. Primary Containment Dste Installed Thickness (Inches) Capacity (Gallons) Manufacturer 1983 .025 3M 4. Tan___~k Secondary Containment [~Double-Wall [] Synthetic Liner []Lined Vault ~None []Unknown [] Other (describe): Manufacturer: []Material ThickneSs (Inches) Capacity (Gals.). 5. Tank Interior Linin~ --~B~bber []Alkyd []Epoxy []Phenolic []Glass FqClay ~Unlined []Unkno~ []Other (describe): 6. Tank Corrosion Protection --]~GalvaniZed ~ass-Clad []Pol~thylene Wrap [~Vinyl Wrappillg ~Tar or Asphalt []Unknown []None []-]Other (describe): ~ ~Cathodic Protection: ~None []Impressed Current System ['1Sacrificial 9~ode System Describe System & Equipment: Leak Detection, Monitoring, and Interception a. Tank: [~Visual (vaulted tanks only) ~]Groundwater Monitorirg"Well(s) [~Vadose Zone Monitoring ~ell(s) ~U-Tube Without Liner 10. []U-Tube with Ccmpatible Liner Directirg Flow to Monitori~ W~ll(s)* [] Vapor Detector* [] Liquid Level Sensor' [] Conductivit~ Sensor' [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space [] Daily Gauging & Inventory Reconciliation [] Periodic Tightness Testing [] None [] Unknown [] Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' [] Monitoring S~p with Race~y [] Sealed Concrete Race~y []Half-Cut Compatible Pipe Raceway []Synthetic Liner Race~ay ~None [] Unknown [] Other *Describe Make & Model: Tank Tightness l~is Tank Been Tightness Tested? []Yes []No []Unknown Date of Last Tightness Test Results of Test Test Name Testing Company Tank ~ Tank Repaired? []Yes ~No []UnknoWn Date(s) of Repair(s) Describe Repairs Overfill Protection ~Operator Fills, Controls, & Visually Monitors [~vel []Tape Float Gau~e []Float Vent Valves [] Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box []None []Unknown []Other: List Make & Model For Above Devices a. Underground Piping: ~Yes [~]No []]Unknown Material Thickness (inches) Diameter Manufacturer []Pressure ~Suction []Gravity Approximate Length of Pipe b. Underground Piping Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Current []Sacrificial Anode []Polyethylene Wrap []Electrical Isolation []Vinyl Wrap []Tar or Asphalt ~Unknown ?qNone []Other (describe): c. Underground Piping, Secondary Contairment: []Double-Wall []Synthetic Liner System ~None []Unknown ~Other (describe): Facil ity Name Ho lo e 0 10.' BEACON LUBE 'STOP #27-3 Pemit T~ I ~ 3C (FILL O~ ~ K) ~R ~ SE~ION, ~ECK ALL ~PROPRIATE BOXES Tank is: ~Vault~d ~n-Vault~ ~uble-Wall ~Si~le~all ~ ~ter ia~ ~Car~n Steel ~S~inless Steel ~l~inyl C~oride ~Fi~rglass<l~ Steel ~ Fi~rglass-Reinforc~ Plastic ~ Concrete ~ ~in~ ~ Bronze ~k~ ~Other (de~ri~) ' Priory Contai~nt ~te Install~ ~ic~ess (Inches) Ca,city (~llons) ~nufacturer 1983 .025 3M Tank sec%ndary Contai~ent ~le-Wall '~ ~thetic Liner ~Lin~ Vault ~ne ~o~ ~ Other (descr i~): ~ufacturer: ~terial Thick,ss (Inches) C~city (Gals.) Tank Interior Lini~ ~~r ~mkyd ~xy ~menolic ~Glass ~Clay ~li~ ~O~er (de~ri.~): " Tank Corrosion Protection ~GalvaniZ~ ~ass-Cl~ ~l~yle~ ~ap ~Vinyl ~a~i~ :'. ~Tar or ~p~lt ~k~ ~No~ ~Other' (de~ri~): Ca~ic Protection: ~ne ~pres~ ~rent S~t~ ~crifi~l~ ~e ~t~ Describ~ System a Equi[~ent: Leak Detection, Monitbrin~, and Interception a. Tank: [-]Visual (vaulted tanks only) [-lGroundwater Monitorirg' Wmll(s) [-]Vadose Zone Monitorirg Well(s) []U-Tube WithOut Liner []U-Tube with C~upatible Liner Directing Flow to Monitoring We.il(s)* Vapor .Detector* [] Liquid Level Sensor* [] Conductivit~ Sensor' [-] Pressure Sensor in Annular Space of Double Wall Tank- [] Liquid Retrieval & Inspection From U-Tube, Monitorirg Well or Annular Space ~]'Daily Gau~irg & Inventory Reconciliation []Periodic Tightness Testirg [] None ·[]Unknown [] Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized piping' []Monitoring Stm~p with Raceway '[-]Sealed Concrete Raceway I-]Half-Cut Ccmpatible Pipe Raceway []Synthetic Liner Raceway ~]None [] Unknown [] Other *Describe Make & Model: ~en Tightness Tested? Date of Last Tightness Test Test Name Tank ~ Tank Repaired? []Yes ~No []Unknown Date(s) of Repair(s) Describe Repairs []Yes '~No []Unknown Results of Test Testing Company Overfill Protection []Operator Fills, Controls, & visually Monitors r~-vel []Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls [~Capacitance Sensor []Sealed Fill Box []None []Unknown [[]Other: List Make & Model For Above Devices 11. Piping a. Underground Piping': []Yes [']No DUnknown Material Thickness (inches) Diameter Manufacturer DPressure ~Suction DGravity Approximate Length of Pipe ~ b. Underground Piping Corrosion Protection : DGalvanized []Fiberglass-Clad DImpressed Current [-]Sacrificial Anode ~Polyethylene Wrap ~]Electrical Isolation []Vinyl Wrap []Tar or Asphalt ~Unknown -.~None ~Other (describe): c. Underground Piping, Secondary Containment: []Double-Wall [-]Synthetic Liner System ~None' []Unknown ~Other (describe): Permi ~ Quest i onnai re. Normally, permits are sent to facility Owners but since many Owners live outside Kern County, they may choose to have the permits sent to the Operators of the facility where they are to be posted. Please fill in Permit $ and check one of the following before returning this form with payment: ~ For PERHIT 1. Send all information to Owner at the address listed on invoice .{if Owner is different than Operator, it will be Owner's responsibility to provide Operator with pertinent information). 2.° Send all information to following corrected address: Owner at the 3. Send all information to Operator: Name: Address: (Operator can make copy of permit Owner). for ACO An Ultramar Company 525 WEST THIRD STREET ° HANFORD, CA 93230 ° (209) 582-0241 October 4, 1989 Ms. Ann Boyce COUNTY OF KERN Health Department 1415 Truxton Ave. Bakersfield, CA 93301 Dear Ms. Boyce: Re: Corporate Name Change to Ultramar Inc. Beacon Oil Company is pleased to announce that effective October 1, 1989, its corporate name was changed to Ultramar Inc. This change will unite our operations under a single name and identify our West Coast operations with our world wide affiliates in the Ultramar group of companies. We will continue to use the Beacon brand name to identify our gasoline stations. Ail addresses, telephone numbers, agreements, and operations will continue without modification or interruptions. Please update your records and accounts payable for invoicing to reflect this name change. A list of stations in your area is attached. Any questions may be directed to: ULTRAMAR INC. Attn: Julie M. Caldwell 525 W.-Third St. Hanford, CA 93230 Tlf: (209)583-3247 sincerely, / ..'" BEACON COMPANY Environmental Coordinator JMC/j sm Attachment 0350I 'SERVICE STATIONS WITHIN THE JURISDICTION OF: COUNTY OF KERN Kern County 454 1331 Bernard St. Bakersfield, CA 93305 490 10920 Main Street Lamont, CA 93241 510 511 500 Norris Road Bakersfield, CA 3818 Niles St. Bakersfield, CA 93308 93306 550 571 805/325-2721 578 805/845-0~17 805/399-o8o7 805/871-3854 Hwy 46 & Warren Dr., 93249 805/797-2315 Lost Hills, CA 93249 1102 34th Street 805/322-5268 Bakersfield, CA 93301 6601 Ming Ave. Bakersfield, CA 93309 805/831-1270 597 CARDLOCK SITE #2 3311 Truxton Ave. Bakersfield, CA 93301 805/327-9426 598 CARDLOCK SITE #4 4600 Stine Road & District Blvd. Bakersfield, CA 93313 805/833-9475 608- CARDLOCK SITE #1 241 Union Avenue Bakersfield, CA 93307 8o5/327-9426 27-3 6607 Ming Ave. Bakersfield, CA 93309 8os/398-9833 ~?Oo;h~ 51-4 Beacon TlS Hwy 99 at Hwy 58 on 3225 Pierce Road Bakersfield, CA 93301 805/324-9481 JMC/jsm 01521-23 FACILITY NAME ~Ols¢_ q ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [~Routine [21 Combined Type of Tank /'ltt) g' Type of Monitoring [] Joint Agency [] Multi-Agency [] Complaint Number of Tanks ~ ¢/.-t~, Type of Piping Bt.q~ [] 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 I~ Maintenance records adequate and current W/' Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 White- Env. Svcs. Pink - Business Copy C EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This momtoria8 program mus~ be kept at thc UST location at all times. The information on this monitoring prosxam are coaditions of the operating permit. The permit holder must notify the Office of Environmental Sel~ioeS within ]0 days ofally ch~ng~ tO the momtormg procedm'es, u~less required to making the c.l~ege. Required by. Sections 2632(d) and 264 l(h) CCR. Facility Address (tt.e'~ tRt~,~ /~- Ii'an unauthorized release occurs, how will the hazardous substance be cieahed up? Note: If released hazardous substances reach the environment, increase the ~re or explosion h~_~,~rd, are not cleaned up from the secondary, containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified o Describe the proposed methods and equipment to be used for remo ,ring .and properly disposing ofany hazardous substance, lI~ ,~,~ ~.~tl~,.,// /;~, Describe the location and availability of the required cleanup equipment in item 2 above. o Describe the maintenance schedule for the cleanup equipment: ~ ,~,t~,/r afl List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: WRI~ MONITORING PROCE~,ES UNDERGROUND STORAGE TANK MONITORING PROGRAM This mommrmg program must be ir.--pt at the UST location at all time~ Th~ iafommlion on thi~ program am conditions of the openmn8 permit. Th~ permit holder m,~ S~tic~ within 30 d~ of any changes to the monitoring procedures, unlms making the change. Required by Sections 2632(d) and 2641('n) CCR. Facility Name O!~.otot,,. l~d{,) c Facili~ Address {,~ 6 o "/ l/h/h? ~.~#. Describe the ~.~uency of performing the monitoring: Piping What methods and equipment, identified by name and model, will be used for perfoming the monitoring: Tank CL/t4 Piping Co Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): ! List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment: Eo Fo Reporting Format for monitoring: Tank 0t-t~ Piping ¢/.dta Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufaeturetas m~intenanee schedule but not less than every 12 months. Describe the training neces.sary for the operation of UST system, including piping, and the monitoring equipment: ~cr /~ ~ ~?ta~rt~c,,/ BAKERSFIELD FIRE DEPARTMENT August 29, 1997 FIRE CHIEF MICHAEL R. KELLY ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93301 (805) 326-3941 FAX (80,5) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 ~EVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3951 FAX (80,5) 326q3,576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3979 FAX (805) 326-0676 TRAINING DIVISION 5642 Victor Street Bakersfield, CA 93308 (805) 399-4697 FAX (805) 399-5763 Chevron Products Company P. O. Box 4256 Houston, TX 77210 Statement of Account for Oil Changer (Lube 4 U) at 6607 Ming Avenue in Bakersfield under account number 3831 Attn: Accounts payable This letter is in regards to the returned Statement of Account received by you on August 11, 1997. The Statement of Account for Oil Changers in Bakersfield was sent to our Accounts Payable department and forwarded to me. Apparently their was no check enclosed and your note "Needs release # 45 or 90" really confused them. I am not in the accounts payable department but in the Office of Environmental Services (formerly Hazardous Materials) and I am the one who generated this bill. If there is some question as to why this bill was sent to you maybe it would be best if you phoned me in my office at (805) 326-3979. I can tell you that the current bill includes charges for the four Underground Storage Tanks used by that facility. The bill if broken down would show a 1996 charge of $264 and a 1997 charge of $264 minus a $31.71 payment made on 8-1-95 thereby arriving at the $496.29 total. Again if I can be of further assistance don't hesitate to call. Office of Environmental Services /ed STATEMENT OF ACCOUNT TO: CITY OF BAKERSFIELD 1501TRUXTUN'AVE BAKERSFIELD, CA 93301-0000 (805) 32&-3979 OIL CHANGERS CHEVRON USA P.O. BOX 5004 SAN RAMON, CA 94583 DATE' 8/01/97 CUSTOMER NO: 3831 CUSTOMER TYPE: ES/ 3831 CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT 6/30/97 BEGINNING BALANCE 496.29 ~? ) .~ I ~'IO~YO~ FOR GUESTIONS OR CHANGES T . CALL THE NUMBER AT THE TOP OF THIS STATEMENT, CURRENT OVER 30 OVER 60 OVER DUE DATE: 9/01/97 496.29 PAYMENT DUE: TOTAL DUE: 496.29 ...,CITy,'OF,,')AKERSF P.O. BOX;2057 BAKERSFIELD CUSTOMER NO: 3831 93303-20S7 CUSTOMER TYPE: ES/ 3831 -., TOTAL DUE: $496. 29 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD iSOi TRUXTUN AVE BAKERSFIELD, CA ~530i-0000 TO: OIL CHANOERS CHEVRON USA P.O. BOX 5004 SAN RAMON, CA 945:83 CUSTOMER NO: 383I DATE DESCRIPTION CHAROE (805) 326-3979 DATE: 6/01/97 CUSTOMER TYPE: REF'NUMBER DUE DATE ES/ 3831 TOTAL AMOUNT 5/01/97 BEQINNIN~ BALANCE 496.29 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 'Dut: Dml~=. //01797~ OVER 60 OVER 90 496.29 TOTAL DUE' $496. 29 DATE: REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93305-2057 DOC CANC-INV# PARKED DOC # POC GR/IR# ........ CUSTOMER NO: 3831 CUSTOMER TYPE: ES/ TOTAL DUE: 3831 $496.29 Please... 'lo: ~ ~ [] Read [] Handle [] Approve And... [] Forward From: [] Return [] Keep or Toss [] Review with Me Date: STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT ONE ITEM [~ 2 INTERIM PERMIT ~ 4 AMENDED PERMIT I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) · 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED SITE 6 TEMPORARY SITE CLOSURE DBA OR FACIUTY NAME NAME OF OPERATOR NEAREST CROSB~ET ~ 1 GAS STATION ~ 2 DISTRIBUTOR ~ ~ IF INDIAN ~ OF T~KS AT SITE ~ E.P.A. I.D.~ (opti~) OF ~ RESERVATION I ~ 3 FARM ~ 4 PR~ESSOR ~ 5 OTHER OR TRUSTL~DS EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY). optional DAYS~L NAME (L~T, FIRST) . [NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE '" PRO~E ~-WlTH AREA CODE DAYS.: NAME (LAST, FIRST) NIGHTS: NAME (LAST, FIR§T) PHONE # WITH AREA CODE PHONE # WITH AREA CODE II, PROPERTY OWNER INFORMATION- (MUST BE COMPLETED) tv~A'~ I ~ G~ O-R S 3: R E ET ADO R ES'S -- i .... vvp: CARE OF ADDRESS INFORMATION vx boxt~indicale ~ NDVDUAL [~ LOCAL-AGENCY [~] STATE-AGENCY I~ CORPORATION ~ PARTNERSHIP ~ COUNTY-AGENCY ~ FEDERAL.AGENCY " ~, III. TANK OWNER INFORMATION- (MUST BE COMPLETED) NAME OF OWNER MAILING OR STREET ADDRESS CITY NAME CARE OF ADDRESS INFORMATION ,/ box ~o indicate ~ iNDIVIDUAL [--~ LOCAL-AGENCY [~] STATE-AGENCY r--] CORPORATION ~ PARTNERSHIP ~ COUNTY-AGENCY ~ FEDERAL-AGENCY STATE ZIP CODE PHONE #WITH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER- Ca[[ (916) 739-2582 if questions arise. V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. ICHECK ONE ~OX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: ' THIS FORM HAS BEEN COMPLETE/~D UNDER PENALTY/~(~ PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLiCANtS NAME (PR,NTED, SIGNATURE)/I. ~ //' I AP~2AN~S ~,~.E I DATE M~/NTH,O~EAR LOCAL AGENCY USE ONLY I COUN ,"TY # JURISDICTION # · LOCATION CODE . OPTIONAL FACILITY # CENSUS TRACT # - OPTIONAL SUPVISOR - DISTRICT CODE . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B~ UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FOR0033A-R2 FORM A (9-90) ? STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ~ 1 NEW PERMIT [] 3 RENEWAL PERMIT ~ 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ONSITE ONE ITEM E~ 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [] 8 TANK REMOVED I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK I.D.# ~. I~__~'~..,. L~ ~ I II. TANK CONTENTS ~FA-1 IS MARKED, COMPLETEITEM C. A. ~ 1 MOTOR VEHICLE FU~L ~ 4 Oil 2 PETROLEUM GO EMP~ ~ 3 CHEMICAL PRODUCT ~ 95 UNKNOWN ' D. ~F (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED B. MANUFACTURED BY: D. TANK CAPACITY IN GALLONS: PRODUCT WASTE C. [] IaREGULAR UNLEADED Elb PREMIUM UNLEADED E~ 2 LEADED [] 3 DIESEL [] 6 AVIATION GAS [] 4 GASAHOL ~'~ 7 METHANOL [] 5 JETFUEL ~ [] 99 OTHER (DESCRIBE IN ITEM D. BELOW_~ C.A.B.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANO C, AND ALL THAT APPLIES IN BOX D AND E A. TYPEOF ~ 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [~ 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK ~ 1 BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank) [] 9 BRONZE [] 2 STAINLESS STEEL ~,~ 3 FIBERGLASS [] 6 POLYVINYL CHLOBIDE [] 7 ALUMINUM [] 10 GALVANIZED STEEL [] 95 UNKNOWN E ~ 4 STEELCLAD W/FIBERGLASS REINFORCE[3 PLASTIC ] 8 100% METHANOL COMPATIBLE W/FRP ] 99 OTHER C. INTERIOR LINING ] LINE[;) [] 2 ALKYD LINING 1 RUBBER [] 5 GLASS LINING ~ 6 UNLINED IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? [] 3 EPOXY LINING [] 4 PHENOLIC LINING [] 95 UNKNOWN [] 99 OTHER YES -- NO__ D. CORROS[ON [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) [] 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN [] 99 OTHER 9 ~ OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR, ~' ~"~ IV, PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A~I SUCTION A U 2 PRESSURE A i~ GRAVITY B, CONSTRUCTION A U 1 SINGLE WALL A~,~2 DOUBLE WALL A U 3 LINED TRENCH . A U 99 OTHER A U 95 UNKNOWN A Ij gg OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A ~2~4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION k U g GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D..LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR 2 LINE TIGHTNESS TESTING' ' [] 3 MONrFORINGtNTERSTITIAL [] 90 OTHER__ ,V. TANK LEAK DETECTION 6 TANK ·TESTING 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE ·INFORMATION 1. ESTIMATED DATE L¢S/~ED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH YES E~ NO ~ SUBSTANCE REMAINING GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT l APPUCANT'S NAME I DATE (PRINTED & SIGNATURE) LOCAL AG ENCY USE ONLY THE STATE I.D, NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # PERMIT NUM*ER ! PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERMFr APPLICATION- FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORq~3~6-R5 STATE OF CALIFORNIA STATE WATER RESOUROES CONTROL BOARD uNDERGROUND STORAGE TANK PERMIT APPLIOATION' FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY [] 1 NEW PERMIT ~ 3 RENEWAL PERMIT ~ 5 CHANGE OF INFORMATION 'ONEITEM ~ 2 INTERIM PERMIT ~ 4 AMENDED PERMIT ~_~ 6 TEMPORARY TANK CLOSURE ] 7 PERMANENTLY CLOSED ON SITE ] 8 TANK REMOVED I. TANK DESCRIPTION COMPLETE ALL iTEMS -- SPECIFY IF UNKNOWN C. DATE INSTALLED(MOI[~AY/YEA.) {~/~"~ D. TANK CAPACITY IN GALLONS: II. TANK CONTENTS IPA-1 IS MARKED, COMPLETEITEM C. [] 2 PETROLEUM L_~ 80 EMPTY 1 PRODUCT [] lb PREMIUM [] 7 METHANOL UNLEADED [] 5 JET FUEL [] 3 CHEMICALPROOUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM'D. BELOW D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C, A, S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANOALLTHATAPPLIESINBOXDANDE A. TYPEOF '~ 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL ] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL ~ 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (PrimaryTank) ~ 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLE W/FRP ] 99 OTHER ~-~ 1 RUBBER LINED ~ 2 ALKYD LINING F--1 3 EPOXY LINING C. INTERIOR [] 5 GLASS LINING [~ 8 UNLINED [] 95 UNKNOWN LINING iS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO__ [] 4 PHENOLIC' LINING' ] 99 OTHER O. CORROSION [~ PROTECTION [] E. SPILL AND OVERFILL 1 POLYETHYLENE WRAP [] 2 C~3ATING 5 CATHODIC PROTECTICN [] 91 NONE SPILL CONTAINMENT INSTALLED (YEAR) [] 3 VINYL WRAP [~ 4 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN [] 99 OTHER OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) ~ IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U iF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEMTYPE A/I~ SUCTION A U 2 PRESSURE A~3 GRAVITY A U 99 OTHER B. CONSTRUCTION A .'U 1 'SINGLE WALL A/~ DOUBLE WALL, A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A/~4 FIBERGLASS PiPE c, MATERIAL AND CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 9 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR ~ 2 Li"NE TIGHTNESS TESTING ~ 3 INTERSTITIAL MONITORING ~ 99 OTHER V. TANK LEAK DETECTION ~ 1 VISUAL CHECK ~ 2 iNVENTORY RECONCILIAT[ON ~"'~ 3 VADOZE MONITORING ~ AUTOMATIC TANK GAUGING ~ 5 GROUND WATER MONITORING 6 TANK TESTING 7 INTERSTITIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI, TANK CLOSURE INFORMATION 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH YES ~ NO [] GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION ct FACILITY # TANK # PERMIT NUMBER PERMIT APPROVED ~Y/DATE PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION. FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM B (7-91) FOROO348-R5 IFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION- FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. NEW PERMIT [~ 3 RENEWAL PERMIT 4 AMENDED PERMIT .~5 CHANGE OF INFORMATION 6 TEMPORARY TANK CLOSURE [~ 7 PERMANENTLY CLOSED ON SITE ] 8 TANK REMOVED 2 {NTERIM PERMIT COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN ;0/DAY. EAR) ~ / ff~ i D. TANK CAPAO,= IN GALLONS: rS IFA-1 IS MARKED, COMPLETE ITEM C. UNLEADED .EUM 80 EMPTY 1 PRODUCT [~ lb PREMIUM UNLEADED [~ 5 JETFUEL ;AL PRODUCT [~ 95 UNKNOWN 2 WASTE ~ 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM O. BELOW)I ~RKED, ENTER NAME OF SUBSTANCE STORED C. A, S. #: 'RUCTION MARK ONE iTEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES ~N BOX O AND E 61 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SINGLE WALL ~] 4 SECONDARY CONTAINMENT (VAULTED TANK) ~] 99 OTHER 1 BARE STEEL [] 2 STAINLESS STEEL ~ 3 FIBERGLASS 5 COh~CRETE [] 6 POLYVINYL CHLORIDE~ 7 ALUMINUM 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC ] B 100% METHANOL COMPATIBLE W/FRP [ ' 99 OTHER ~ 2 ALKYD LINING ~-~ 3 EPOXY LINING 1 RUBBER LINED 5 GLASS LINING ~ 6 UNLINED [] 95 UNKNOWN LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ ] 4 PHENOLIC LINING [] 99 OTHER 1 POLYETHYLENE WRAP ~} 2 COATING 5 CATHOOIC PROTECTION [] 91 NONE SPILL CONTAINMENT INSTALLED (YEAR) ~ 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC [] 95 UNKNOWN [] 99 OTHER CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE SUCTION A U 2 PRESSURE A ~ GRAVITY A U 99 'OTHER SINGLE WALL A(~ DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 oTHER A U 1 ,BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)/tt~I3-J4 FIBERGLASS PIPE A [J 5 ALUMINUM A U 6 CONCRETE A U 7 STEELW/COAT~NG A U 8 100% METHANOL COMPATiBLEW/FRP A U 9 GALVANIZED STEEL A [I 30 CATHODIC PROTECTION A I.I 95 UNKNOWN A U 99 OTHER 1 AUTOMATIC LINE LEAK DETECTOR ~ 2 LiNE TIGHTNESS TESTING ~ 3 INTERSTITIAL MON~0RtNG ~ 99 OTHER __ 'ECTION 2 INVENTORY RECONCILIATION ~ 3 VADOZE MONITORING ~ 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING ,~ 7 INTERSTITIAL MONITORING [] 91 NONE 95 UNKNOWN {~ 99 OTHER E INFORMATION USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WiTH YES ~j NO [] SUBSTANCE REMAINING · GALLONS INERT MATERIAL ? ~EEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE 8EST OF MY KNOWLEDGE, IS TRUE ANO CORRECT AME DATE ;E ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION- FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0~34 B-R5 6~J~HEVR~N ~SA d M.HG AVE. ~' BAhERSFIELD, CA -~ STATION NO, 201S~7 ~ HUMBER OF ITEMS = 10 OF SS 21. TIME: 0S:~3:40 DATE: 11-18-$3 LUBE O!L ~2 TANt,· HI LEVEL 22. TIME: 1S:4~:S& DATE: ii-17-.S~ SUPREME LOW PRODUCT-~-~LEAR 23, TIME: IS:44:S2 DATE: 11-17-~ SUPREME HIGH PRODUCT ALARM 24. TIME: 1i:S7:4& DATE: 1t-i7-~ UNLEADED 3 GPH TEST PASS 2S. TIME: 11:S7:I$ DATE: i1-17-S$. UNLEADED ~ GPH TEST FAIL 26. TIME: 11:27:S2 DATE: 11-17-~3 UNLEADED LOW PRODUCT CLEAR 27, TIME: 11:22:42 DATE: 11-!7-~ PLUS LOW PRODUCT CLEAR 28. TIME: i1:22:38 DATE: 1i-17-~3 UNLEADED LOW PRODUCT ALARM 2% TIME: i1:18:88 DATE: 11-17-$3 PLUS HIGH WATER CLEAR 38. TIME: 10:32:~4 DATE: 11-17-~ PLUS $ GPH TEST PASS CHEVRON USA 6681 MING AVE. BAKERSFIELD, CA STATION ~-~ 13:81:31 ~~ ~~ ALARM HISTORY ~$~g~g~g~ NUMBER OF ITEMS = 18 OF 50 1i. TIME: 19:1S:S7 DATE: 12--18-93 SUPREME LOW PRODUCT CLEAR _u:38:11 DATE: 12. TIME: In SUPREME LOW PRODUCT ALflRM 13. TIME: 83:21:39 DATE: 12-84-9~ PLUS LOW PRODUCT CLEAR 14. TIME: 83:28:11 DATE: 12-84-93 17. TIME: 18:13:86 DATE: 11-24-~3 SUPREME HIGH PRODUCT CLEAR 18. TIME: 13:it:~8 DATE: !I-18-~3 USED OiL ~1 TANK CLEAR 19. TIME: 13:83:27 DATE: 11-18-9S LUBE OiL ~2 TANK Ct. EAR TIME: 18:S2:29 DATE: 11-18-~3 USED OIL ~1 TANK HI LEVEL : CHEVRON USA 6681 MING AVE. 8AKERSFIELD~ CA STATION NO. 201S27 13:82:29 81-28-94 ~$~ ALARM HISTORY ~~ NUMBER OF ITEMS = 18 OF Se !1. TIME: 19:iS:S7 DATE: 12-10-93 SUPREME LOW PRODUCT CLEAR 12. TIME: 18:38:11 DATE: 12-18-.93 SUPREME LOW PRODUCT ALARM 13. TIME: 03:21:39 DATE: 12-04-93 PLUS LOW PROOUCT CLEA~ 14. TIME: 83:28:11 DATE: 12-84-93 PLUS I_OW PRODUCT ALARM 1S. TIME: 22:04:40 DATE: 11-29-93 LUBE OIL N3 FILL SUMP WET 16. TIME: 22:00:05 DATE: 11-29-93 PLUS FILL SUMP WET 17. TIME: 10:13:06 DATE: il-24-93 SUPREME HIGH PRODUCT CLEAR 18. TIME: 13:11:08 DATE: 1i-18-93 USED OiL ~i TANK CLEAR 19. TIME: i3:03:27 DATE: 1t-18-93 LUBE OIL ~2 TANK CLEAR 20. TIME: 10:S2:29 DATE: 11-18-93 USED OIL ~1 TANK HI LEVEL CHEVRON USA 6681 MING AVE. BAKERSFIELD, CA STATION NO. 2B1S27 ***.***~.,t F'ROBE STATUS REPORT LUBE OIL ~1 ANNULAR NORMAL LUBE OIL ~1 FILL SUMP NORMAL LUBE OIL ~1 TANK NORMAL LUBE OIL ~2 ANNULAR NORMAL LUBE OIL ~2 FILL SUMP NORMAL LUBE OIL ~2 TANK NORMAL LUBE OIL ~3 ANNULAR NORMAL LUBE OIL #3 FILL SUMP WET LUBE OIL ~3 TANK NORMAL LUBE OIL LINE SUMP NORMAL CHEVRON USA 6681 MING AVE. BAKERSFIELD, CA STATION NO. 201S27 13:00:35 01-20-94 ~~ ALARM HISTORY ~~ NUMBER OF ITEMS = 10 OF S0 1, TIME: 11:SS:24 DATE: 01-20-94 UNLEADED LOW PRODUCT CLEAR 2. TIME: 0S:11:27 DATE: 01-20-.94 UNLEADED LOW PRODUCT ALARM TIME: 02:01:08 DATE: 01-18-94 SUPREME LOW PRODUCi' CLEAR TIME: 02:00:33 DATE: 01-18-.94 SUPREME [.OW PRODUCT ALARM S. TIME: 12:28:36 DATE: 01-01-94 SUPREME LOW PRODUCT CLEAR 6, TIME: 12:28:13 DATE: 01-01-94 SUPREME LOW PRODUCT ALARM 7. TIME: 07:S4:32 DATE: 12-24-93 UNLEADED LOW PRODUCT CLEAR 8. TIME: 18:38:06 DATE: 12-23-93 UNLEADED LOW PRODUCT ALARM TIME: 22:02:39 DATE: !2-21-93 UNLEADED LOW PRODUCT CLEAR 10. TIME: 28:42:44 DATE: 12-21-93 UNLEADED LOW PRODUCT ALARM BAK SFIELD FIRE DEPARTMENT HAzARDous MATERIAl, DIVISION · PERMITTO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILITY Permit No.: 280018C State ID No.: 38963 Issued to: CHEVRON PRODUCTS CO., Location: 6601 MING AVE. BAKERSFIELD, CA 93309 Ownel': CHEVRON PRODUCTS cOMpANY USA 1300 S. BEACH BLVD. LA HABRA, CA 90632' Operator:. CHEVRON U.S.A. INC 6601 MING AVE. BAKERSFIELD, CA 93309 Facility Profile: Tank No. 1 2 3 Year Substance Capacity Installed GASOLINE 12,000 GAL 1993 GASOLINE 12,000 GAL 1993 'GASOLINE 12,000 GAL 1993 OIL' 1,0~0 GAL -1993 OIL 550 GAL 1993 OIL 550 GAL 1993 OIL 550 GAL 1993 YES' YES YES NO NO NO NO 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 of any other State or Federal regulations. tie: Hazardous Issue Date: JULY 1, 1991 Expiration Date: JULY 1, 1994 .POST ON PREMISES NONTRANSFERABLE CORREC IIION NOTICE BAKERSFIELD FIRE DEPARTMENT N° ~ 0018 Location Sub ~iv. ~a_~.~ ~ p,_,~]k. ~ot You are hereby required to make the following corrections at the above location: Cor.l~]~o I · " I Completion Date for Corrections oq-O0/"17 ns~l~p~pector 326-3979 UNDERGROUND STO~AGE TANK INSPECTION ~ ! ersfield Fire Dept. ~'~ Hazardous Materials Division Operating Permit: Business Name: L.~ Location: ~(~,c) 7 Business Identification No. 215-000 Number of Tanks. ~ Type: Containment: 'CONTACT INFORMATION Owner: Emergency Contacts: Date Completed (Top of Business Plan) t ' 'Ad!~ ' ioiitoring Program Inadequate RECORDS Maintenance Testing Inventory Reconciliation RESPONSE PLAN Emergency Plan All Items O.K. C3 Correction Needed 13 White - Haz Mat Div Pink - Business Copy