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UNDERGROUND TANK FILE #2
JOB CARD POST CARD AT JOB SITE Bakersfield Fire Dept. Prevention Services 900 Truxtun Ave #201 Bakersfield, CA 93301 Tel: (661}326-3979 BAKERSFIELD ,WNER ADDRESS CITY PHONE No. PERMIT No. ZIP INSTRUCTIONS: PLEASE CALL FOR AN INSPECTOR ONLY WHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN CONSECUTIVE ORDER BEGINNING WITH NUMBER ONE. DO NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP ARE SIGNED OFF BY THE PERMITTING AUTHORITY. FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED INSPECTION VISITS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES. INSPECTION DATE [ INSPECTOR TANKS AND BACKFILL BACKFILI~ "0F 'TANK(S) .................. SPARK TEST CERTIFICATION OR MANUFACTURES METHOD CATHODIC PROTECTION OF TANK(S) pIPING SYSTEM PRIMARY PIPING SECONDARY PIPING TYPE OF PIPING [] FLEX [] FIBERGLASS CATHODIC PRoTEcTION SYSTEM-PIPING DISPENSER PAN SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION ....CoNTINuOUS vAPOR MONITORING............ ENHANCHED LEAK DETECTOR TEST FILLLEVEL GAUGES OR SENSORS' FLOAT VENT VALVES ~C~:~'V~TIGHT FILL BOX(ES) PRODUCT LINE LEAK DETECTOR(S) LEAK DETECTOR(S) FOR ANNUAL SPACE-D.W. TANK(S) MONITORING WELL(S)/SUMP(S) - H20 TEST SPILL PREVENTION BOXES MOniTORiNG WECLS, CAPS & LOCKS ..... FILL BOX LOCK MONITORING REOUIREMENTS TYPE AUTHORIZATION FOR FUEL DROP LICENSE No. PHONE No. fd1743 CITY '.OF BAKERSFIELD OFFICE OFtENVIRONMENTAL SERViCES 1715 Chester~ve.~ Bakersfield, CA (805) 326,~979 ., PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK '.TYPE OF APPLiCATIgN (CHECK) i ' ~' ~T~O DA~ i~SAcn.r~, ADDRESS "TYPE OF BUSINESS ~_~, _~_~ ADDREss ~, x~ ~c;; . ;CONTRACTOR CAL --x,/At~Lg_~ ~. I 'ADDREss ~OO ,WORKMAN coMP NO.I~'-~.~.e,~ :- s~n.¥ DESC~E ~ ,:T~, ~ WO,~'TO BE DOm ...... WATER TO FACILITY, PROVIDED BY. !,DEPTH TO GRQUND WATER':! __,: . ii SOIL T~PE EXPECTED AT SITE !N0. o~ Tails T0 SS mSTAU.ED, ' ~ A~ ~aE¥ SOR MO~Oa SUE). t SP~LL p~VES'n0S Cos'mOL ASD COU~.Me6S, ~ ,tri~s ~,LAS ON HL~. ' : SECTIONFOR MOTOR FUEL ),.TANK NO. VOLUME UNLEADED VOLUME SECTIOI~ SOa ~°s TANK No. NO' AVIATION PREMIUM DIESEL I~OEL STORAGE T,4~[KS cHEMICAL STORED, I CAS NO. (NO BRAND NAMfl) ' (IF KNOWN) CHEMICAL PREVIOUSLY STORED ' FOR OFI~CiAL USE ONLY '~i : :.:: · : ~ i -.i. i :ii~: .~::i.:.:' : ~:i ::' :~:~(~i~::i:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ! ::'' : '' : " ::.. :::::~ ' :: ~'~$::~:~.~:i:~,:~.: ~: ...... :: ......... ........:.:..:::. ::. :::t:?: ......... == ===================== ::::::::::$:$~: , ~PL[C~ . ~S PE~ ~ ~ O~R STA~,) L~ ~ ~PRO~D BY:, ~ . ~ -: ~PLiC~ N~ (P~) : ~PLid~ SiONA~ :' . :THIS APPLICATION BECOMES A PE~IT WH RO~D , ;, , . . ; ;, ~ ' CAL VALLEY EQUIPMENT P.O. Box 80067 Bakersfield, California 93380-0067 RE: PERMIT ~ 2001 OAK ST ~. JIM BURKE FORD CITY Of BAKERSFIELD 1715 CHESTER AVENUE BAKERSFIELD, CA 93303~2057 ***SEVEN HUNDRED TEN & 00/100***DOLLARS MAY 4, 2004 05074c 50749 $710.00 WARNING - Do not cash unless you can verify a color change - Rub Briskly to Verify ..... *-*SEVEN HUNDRED TEN & O0/IO0***DOLLARS · UNION BANK'OF'CALIFORNIA ~- 1.6-49/1220 :-.. :. : DATE MAY 4, 2004 AMOUNT $710.00 PAY TO THE ORDER OF CITY OF BAKERSFIELD ....... - 1715 CHESTER AVENUE BAKERSFIELD, CA 93303-2057 ,'O50?h9,' : hgOOOO&F=5,' WARNING - VERIFY WORD VALID BY TOUCHING. RUBBING OR BREATHING ON. FIRE ,CHIEF ~Cq'i FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 March 10, 2004 Dan Hay Jim Burke Ford 2001 Oak Street Bakersfield, CA 93301 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Perform/Submit Annual Maintenance on Leak Detection at the Above Stated Address. Dear Business Owner: Our records indicate that your annual maintenance certification on your leak detection system will be past due on 02-28-04. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, April 10, 2003 to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db FRD{ALVALLEY EOUIP 16813252B29 ITY OF DA R FII I D OFFICE OF ENvIRONMENTAL SERVICES 171.5 Chester Ave., Bakersfield, CA (661) 326.3979 APPLICATION TO PERFORM. FUEL MONITORING CERTIFICATION ~AcILI'TY .~'Fb'l ,{~',.~'~1~'( ~:~Olm.,~' ADDRF~S .,. ~.47o/ tg~' ~q'9':. .... OpERAToRs NAME _~'~ ~ot~. ~d..,,, ,. OW~S NAM~ ~ ~ DO~ FAC~Y ~VE DISPENSER PANS? YES.' ~ TANK # VOLUME / _ _~7 ~,~ ........ CONTRACTORS UCENSE ~ .... ~Kff/~ ~ ~ ~r NA~ & PHONE NU~BR. OF CONTACt PERSON DATE & '~1IVIjE 'i'F_.ST IS TO BE CONDUC'l'ED'tq/]tqrd-t 1.7.' 7_..~o,,f,/ ~/-.q':t~O' ' . · . . . '3V~, o.v ~ ----- ~ .... ~ APPROVE. D B Y i DAT~ SIGNATURE OP ~pLtCAN~ .,. ;q'. ~.. ~::..~,. ~.. FACILITY NAME ~1~,~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program Routine [~ Combined [] Joint Agency Type of Tank flCO{:C S Type of Monitoring e,_lt& [21 Multi-Agency [] Complaint Number of Tanks Type of Piping [] Re-inspection OPERATION C V COMMENTS e' / Proper tank data on file ~./ Proper owner/operator data on file Permit tees current Certification of Financial Responsibility / Monitoring record adequate and current Maintenance records adequate. and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No \ ,/' Section 3: Aboveground Storage Tanks Program TANK SIZE(S{5/ik: ~c~,<,,otl~ (~.tqm ,4,,.I. 0,',fie(,, 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 overtill/overspill protection? J C=Complian~e.~,. V=Violation Y=Yes Inspector: ~£[L~ [~ Office of Environmental Services (661) 326-3979 N=NO White- Env. Svcs. Pink - Business Copy t~ustness bite aesponsloletvarty ,m Postage Certified Fee Retum Reciept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) --I- r' FU TotalPos~ DAN 1AY ~ i$ontro~_JIM BURKE_FORD_. _ . J.~'---] '~tr'~'w"z' 2001 OAK STREET ..... [?.~.S~ BAKERSFIELD CA 93301 !civ. stat°,. $ ~'~" 'l Poslmank Here Certified Mail Provides: ~-w-eo-~6~eor · A mailing receipt (es. te.~e/ff) ;ffo(:~' '00s~ u, uo-I Sd · A unique identifier for your mailplece~- · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mail® or Priority Mail~ · Certified Mail is notavallable for any class of International mail. · NO INSURANCE COVEI~,GE I'~"'~ROVIDED with Certified Mail. For valuables, please consider insured or Registered Mail. · F, or an additional fee a Return Receiptma~t be requested to provide proof of oelivery. To obtain Return Receipt sen/ice, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee.. E..ndorse mailpiece "Return Receipt Requested". To receive a fee waiver for a oup~ic.ate return receipt, a USPS® postmark on your uortified Mail receipt is requlrecl. · For an additional fee, delivery may be restricted to the addressee or add, ressee's authorized agent. Advise the clerk or mark the mailpiece with the enoorsement "RestrictedZ)elivery". · If.a postmark on t.h.e Ce. rtified Mail ,receipt is desired please pre.sent.the arti- cle at the post or[ice Tor postmarKing. If a postmark on the ~Jertified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. March 12, 2003 Dan Hay Jim Burke Ford 2001 Oak Street Bakersfield, CA 93301 CERTIFIED MAIL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakers§etd, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester AVe. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 3260576 . FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Perform/Submit Annual Maintenance on Leak Detection at the Above Stated Address. Dear Business Owner: Our records indicate that your annual maintenance certification on your .leak detection system was past due on February 28, 2003. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You arc hereby notified that you have thirty (30) days, April 12, 2003 to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 3-20-2003 11:01~M FROM CALVALLEY EOUIP 166132~2B29 P. 2 MONITORING SYSTEM CERTIFICATION For (/.~e By All Jurisdictions Within ti~. ~tate of California AuthoriO~ Cited: Chapter 0.7, ltealth and Safety Code; Chapter 76, DivL~ion 3, Title 23, California Code of Regulations This form must be u~ed to document tenting and servicing of monitoring equipment. A separate certification or report must be p~pared for each monitoring system control panel by the technician who performs the work. ^ COpy of this form mu.st be provided to the tank system owner/operator. The owner/operator must ~ubmit a copy of thin form to the loaai agency regulating UST systems within 30 days of test date. A, General' Information Facil it), Con tact Pexson: Make/Model of Monitoring System: ~/~Et:L/~/',-- B. Inventory of Equipment Tested/Certified Cheek the nppeop, H,a~? b, os? to indlaate specific equipment innpeeted/~erviced: Tank ID: ~ ill In-Tank Gauging Probe. Model: ~ Annulat Space or Vault Scant. Model: ~ l'iping Sump / Trcncl~ Sensor(s). Model; _~6,~14~ C] Fill Sump Sensor(s). Model: C3 Mechanical Line Leak Detector. Model: C~ ~icctronic Linc Leak D~tector. Model: C:] Tank Overfill/.Hish-Level Sensor. Model: C3.0th~ (spa;iffy, cqu!p,,mcnt ~yp,~,,and,m,,odel i. Section E o~ Pa~e 2~. ,., Tank IO: 0 In-Tank Gauging Ih-obe. Model: rl Ammlat Spa~ er Vault Sensor. Model: I'1 piping sump / Trench Sent, or(s). Model: O Fill Sump ,~nsm'(s). Model: O M~hm~icad Lin~ Leak Dul~tor. Model; CI Ei¢~troni~ Linc L~ak D~tcctor, Model: O Tank Overfill / High-Level Sgnsor. Model: O Othcr'(spect0y cqulpmcnt_~y~p~.and m0d¢l [~ Sccd0n.E on page 2). Dispenser !i): , ~, rn Dispenses- Containment S~nsor(s). Model: ~ Shear Valve(s). O Disp~n.ncr COntainment Float(s) and _Chain(s), Dispenser ElD: C3 Di~l~nscr Containment Sensor(s). Model: I-1 She;o' C3 DLspe~set Conlainment Float(s} and Chain(s), Dispenser ID: rn Diapease~ Containment ,Sensor(s). Model: O Shear Va Jvc(s). City: Contact Phon~ No.: O Date of Testing/Servicins: Bldg. No.: Zip: ~'.Y=~ ~/ ). Tank ID: 0 in-Tank Gauging Probe. Model: 0 Annular Spa~ or Vault Sensor, Model: Ci Piping Sump / Trench $cosor(s). Model; ~ Fill S~p S~so~s). M~el: 0 M~h~i~l Li~ ~ D~ccmr. M~I: ~ El~ttonic Line ~ ~tec~t. Model: ' · ~ T~ Owrfill/Hi~-Lcvcl ~nsor. M~I: 00th~ (.Tecifx equip~,,~ Tank ID: In-Tank Gauging Probe, Model: Am~ulat Space or Vault ~ensot. Mod;l: Piping Sump / Trench Sensor'(s). Model: Fill Sump Sensor(s). Model: MccJ~ani~al Lin~ l. nak Doto~tor, Model: Blccltonic Line L~ak DCtc~toL Modct: Tank Over~tl/ [-iigh-L~vel $~nsor. Model: Dispenser Containment Sensor(~). Model: Shear Vaivo(s) .... Di~p_ensar Containment Float(s) nod ~hain{$). I)ispeaser lO: Dispenser Coniainmcn{ $cnsor(~). Model: Shear Valve(s). Dispc_,n..~.C.,o.,n,!,ainmcnt Float(a) and Chain(s); Dispenser Containment $~or(s). Model: Shear Valvc(s). C3O!Sp__.c~._'~r Containment FI.o~, ,,t(~)?d Chain(s). i C} Dispc~scr Con~inment FI~S) ~d Chai,(s). =If~c faciliW ~fl~ns mo~ ~ or dis~flsers, ~py d~i~ form, ~cludc n~rmatlon ~or ev~ t~k ~d dis~n~r ~ tho facility. C. Certification . I ~tify that the equipment iden~fied in this d~ument was instate/serried in ae~nn~ ~ ~he manufacturers' Guidelln~. At,chad to this Certification is information (~g. menu~ure~~ checklist) n~ry to ~rify 'that ~b. iuformstloo is correct .,d. Plot ~lan showing the I~ou* of mOni~ri.~ equipme.t. For say equipment cap,ble o~ g~.er~ting such repom, ! have a~o a~a~ a copy Of the repoK; (~eck ~ll tkot ~ply): ~ System ~t-up ~ Alarm history. ~rt Page Monitoring System Certification 3-20-2~03 11:01AM FROM OALVALLEY EOUIP 166132B2529 P. 3 D.' Results of Testing/Servicing Software Version Installed: ~ O~ Corn the followJn checklist: -~/cs ~] No* Is the audible ajar? Operational?... ... .' y~ ~l' No* Is the visual alarm operational'? . YeS ~ 'No* W~'~II ~nsors visually inspec~d, ~n~tioeally tested, ~d conf~ed o~erationaf? : . Yes ~ No* W~ nil s~rs'~n~i~ ~t Iow~ ~t of seconda~ ~n~inme~t ~d ~siti0n~ so thai o~her ~uipme~t will not int~ wi~ ~cir proper op~tion? O.Ycs ': ~ No* If al~s ~ relay~ to"a remo~ monitoring s~tion, is ali ~mmu~ications equipme~ (~.~ .m~m)".. ~ ~A op~ationaI? Yes O ~o0 For press~rlz~ piping s~stoms, docs ~'turb~ho au~maticaily shut do~n if the piping sec~nd~'c~minm~ O N/A monitorin~ system dMects a ie~, fails to operate, ~ is el~lly d~conflec~d? ffyes: which s~ ini~ posi~ve shut-down? (C~ ~ zAnz ~/y) ~ Sump~ch ~nso~; O Dispenser Cont~nm~t Did you confi~ posi~ve shut-down, due to l~ks ~d sonar failu~dlsconnectiofl? ~ Yes; O Yes' O No* For ~n~ .sys~s t~nt utilize ~e monitoring sy~ ~ ~e'p~ima~ t~ ove~ll'"~g ~v~e ~i.r. n° ~ N/A mechanic~ over~ll prevention valve Js ins~lled), is the ovg~ll wam~g ~m visible and audible at the ~nk fill point(s) and o~tJo~pro~rly? if so, at what ~e~t of rank ~p~i~ d~ ~o ai~m ?_~e~. : % Yes* ~ No Was a~y ~noni~r~g equi~cnt ~pl~ed? lfy~, Jd~tify s~cific sentra, ~, 0r o&er equi~ent mplac~ ~d list &c manuf~mrcr fl~e m~d model for all replnc~ent pa~ in Scc~on E, ~elow. Yes* ~ No WaS liquid fooed insid~'~y se~dn~ ~ontaiDment ~s desired '~s ~ sYst~s? ~h~k ~ P~oduct; ~ Wa~r. if yes, d~cri~ c~ in Section E, below, Ye~ ~ No* Was monitoring syst~'~t-up ~viowed ~ eflsu~ pm~r ~in~? ARa~ s~ up re~m, t~appli~ble ' Y~' ~ 'No* Is all monitori~ e~ipmcnt op~donal per manuf~mr~'s *. ]in Section. E below, describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 3-20-2B03 11: 01 AM FROM CALVALLEY EOUIP 188132B2~29 P.A ~1~ Check this box ifta0k gauging is used only tbr inventory cOntrol. C3 Check th!s box if no taok gatlging or SIR equipment is installed. This seotion must be completed Lf in-tank gauging equipment is Used to perform leak detection monitoring. Com dote the following checklist: Ci Yes O No* Has all' input wiring: been inspected for proper entry and termination, including testing for ground faults? 12 Yes Cl. 'No* Were all tank gauging probes visuallyinsPec~d-~'o-r-dame§e and residue buildup?' ~ Ca ~; ..... G 1LI~)*' ' was accuracy of system product level readings tested? ..... C! Yes C3 No* Wfas.ac~uracy of system water level readings tested7 C1 Yes gl No* V]~re all probes reinstalled pm~iy? ........... CI Yes [] No* Were all ~tems on the equipment manufacturer's ma~ten~mce ebeckti~'~:~mpleted? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (L, LD): ~ G'~eck this box if LLDs am not installcxL Complete the following checklist: ,. Yes (2 No* For equipment sta~Lup'or ann'~'~l equipme,t ~;t'i~'aii'~n~'~es a leak' simulated to ve~fy LLD ~ N/A (CA~A ~ that ~1~) $imulat~d leak rat~: O 3 g.p.h.; ~ 0.1 g.p.b; ~ 0.2 g.p.h. .'~"yes ~ Noa Was ~e ~ting ~Pa~s Propcrlycalib~d? ........ Y~ ~ Nee' Form~h~ical'L~'~;,"doe~eLLOreseictpr~tflow' '" ' ~ N/A ~s ~ No* For Ol~tmni~ LLDs, d~s the t~bine automaG~ally sh~t offiftbo LLD d~lec~ a lc~?--" 0 N/A Y~ ~' N~* For el~onic LL~, d~ lh~ turbine auto~'~lly ~ut off if ~y potion of the monitorh~ sys~m is disab~' ~ N/A or di~onnec~d~ Y~ ~ No~''' For' ~i~ic L~s. d~s ~e mrblne automatically ~ut off if ~Y 'po~on of ~ N/A ~lfunctions or fai~ n test? y~ O No* For ~l~onic LLDs, have ail ~ible wiring co,meltons b~ .visually insetted? ....... ~ N/A Y~ ~ No* Were all i~ms on ~e equipment m~'~rer's m~nten~ce ~h~list complet~? * In the Section H, below, describe how and when these deficiencies were or will he corrected. H. Comments: Page 3 of 3 o3/01 3--20-2003 11:0~AM FROM CALVALLEY EQUIP 186132B252@ P. 5 Dat~ map was drawn; ~ / ~n~"/O.Y , Instructions If you already hays a diagram that shows all required informations you may_include it, rather than this page. with your Monitoring System C~rtification: On your site plan, show the general layout of tanlc~ and piping. Clearly identify locations of the following equipment, if installed', monitoring system control pm~els; sensors monitoring tank annolat spaces, sumps, dispenser pans, spill containers, or other secondary containment ate, as; mechanical or electronio line leak al.erectors; and in-tank liquid level probes (if' used for leak det~tion). In the space provided, note the date this Site Plan was. prepared. Page __ of__ OS/O0 User: RightFAXUser Host: FAX Class: Fax Job: !Q_HAZl ~-31-~03 9:49AM FROM CALVALLEY EQUIP 16613252629 SECONDARY SYSTEM CERTIFICATION FORM DATE~ FACILITY ID. UDC TESTING DISPENSER ! DISPENSER 2 DISPENSER 3 DISPENSER 4 START TIME IIEIGtIT OF - WATER _.------ TIME. HEIGHT WATER CERTIFICATION - ' ..... ~ DISPENSER $ DISPEN$!*_':-? 6 DISPENIi/ER 7' DiSPEN.$ER 8 START TIME , , , ..-, · ' IN/T/AL ItF~GilT OF WATER .... -,, TIME _, .............. WATER WATER H~!GHT _. C~RTiFiCATiON ' (SIGNATURE) ........ Page 3 of~ FROM CALVALLEY ,Tin .81.L~KE F-ORB 2tlg;L,' ORK ~Z-~l~ e2~8~2~" ' 12~ 8~ L~.'TEST TE~T ~T~T~ ~2:e~ [HO T[~'~ ..... TEST ~T ~.'~''. · Complete items 1; 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front-if space permits. 1. Article Addressed to: ~AY JIM BURKE FORD , 2001 OAK STREET BAKERSFIELD CA 93301 A. Signature [] Agent X ' [] Addressee B. Received by (Printed Name) I C. Date of Delivery I D. Is delivery address different from item 17 [] Yes if YES, enter delivery address below: [] No 3. Service Type [] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. .... J 4. Restricted Delivery? (Extra Fee) [] Yes 7002 2410 0002 1974 9510 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-Z-0985 UNITED STATES POSTAL SERVICE First-Class Mail Postage & Fees Paid USPS Permit No. G~IO · Sender: Please print your name, a'ddress, and ZIP+4 in this box · Postage $ Certified Fee Return Reciept Fee (Endorsement Required) Restricted Delivery Fee (Endorse~ ' -~ Postmark Here .IIM BURKE FORD 2001 OAK STREET BAKERSFIELD CA 93301 Certified Mail Provides: · A mailing receipt (es~e,~el~) 7_,00~ eun~ u~Jod Sd · A unique identifier for your mailplece · A record of delivery kept by the Postal Service for two years Important Reminders: ~ · Certified Mail may ONLY be combined with First-Class Maite or Priority Maile · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · F. or an additional fee a Return Receiptma)/be requested to provide proof of colivery. To obtain Hetum Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee.. E..ndorse mailpiece."Retum Receipt Requ.ested". To _recei.v.e a fee waiver for a (]uplica.. te return receipt, a USPS® postmark on your uertified Mail receipt is require(]. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Z)elivery". · If a postmark on the Certified Mail receipt is desired, please present the artt.~ cie at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed detach and affix label with postage and mail. IMPORTANT: Save this receipt and present It when making an Inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. D March 1, 2003 Dan Hay Jim Burke Ford 2001 Oak Street Bakersfield, CA 93301 CERTIFIED MAIL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES. ENV~IONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~e. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Perform/Submit Annual Maintenance on Leak Detection System at the above stated address. Dear Business Owner: Our records indicate that your annual maintenance certification on your leak detection system was past due on February 28, 2003. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, April 1, 2003 to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc · Complete items 1; 2, and 3. Also complete item 4 if Restricted Delivery is desired. .al Print your name and address on the reverse so that we can return the card to you. al Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: JIM BURKE FORD 2001 OAK STREET BAKERSFIELD CA 93301 2.~ 7002 2410 PS Form 3811, August 2001 [] Agent -[] Addressee B. J:~ e,ceive.,d b[,~/Pdnted~Na_m~ate of Delivery O. IS delivery addm~ diff~nt~/f:)m ~em 17 if YES, enter delivery 3. Service Type [] Certified Mail I-I Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. R~Re_strict~.d Delivery? (Extra Fee) [] Yes 0002 1974 9220 Domestic Return Receipt 2ACPRI-03-Z-0985 UNITED STATES POSTAL SERVICE First-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · DA~ERSF~ELD FIRE DEPARTMENT OFF~CE OF E ~V~P,O~ ~,~.NTAL SERV;CF; 1715 Chester Ave~e, Suits ©FF L I~'~ Postage I $ I ~ r"1 Certified Fee I I Postmark 11::3 Return Reciept Fee ~ , t,-1 (Endorsement Required) I Hera I ~ ~ (Endomemen~ ,.~'- Total Posta ;ru o JIM BURKE FORD '~ ~ 2001 OAK STREET ' P'- ~t't~tV~'tT? .... · ' ...,,.,,~~~ .... Certified Mail Provides: · A mailing receipt 'ooe~ u.o4 Sd · A unique identifier for your m~Ipiece m A record of delivery kept by tt~iPostal Service for two years Important Reminders: f~ · Certified Mail may ONLY be combined with First-Class Mail® or Priority Mail~ · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mall. · For. an additional fee, a Return Receiptmay be requested toprovide proof of dedvery, To obtain Return Receipt service, p~ease complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee.. Endorse mailpiece "Return Receipt Requested". To r..e~, iv® a fee waiver for a ouplic,ate return receipt, a USPS® postmark on your uertified Mail receipt is requ~reo. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mallpiece with the endorsement "Restricted ~)elivery: · If.a postmark on t.h.e Certified Mail receipt, is desired, please pre_sent the. arti- cle at the post owice for postmarking. IT a postmark on the uertifiea Mall receipt is not needed, detach and affix label with postage and mall. IMPORTANT: Save this receipt and present it when making an Inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. February 13, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ~-t' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avb. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Jim Burke Ford 2001 Oak Street Bakersfield CA 93301 Certified Mail Recent SB 989 Secondary Containment Testing SECOND REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on October 16, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under permit from this office. The repairs of your system are a condition of your permit to operate. Failure to repair and re-test will result in the revocation of your permit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. Steve Underwood Fire InspeCtor/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc January 22, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES * ENYiR~JIJ~IJTN. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBUC EDUCATION 1715 Chester Av~e. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 V~ctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Jim Burke Ford 2001 Oak Street Bakersfield CA 93301 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1, 2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc F'ROIHeAL. VAL. I_IEY I:'QU T p 1/~6132=,2S29 CITY OF BAKERSFIELD " .'. '~ .-!' .~! !' ':':: 17i5 Chester Ave., Bnkersfield, CA (661) 326.397~'. ?. '' :' ' / NO APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION TANK # VOLUME · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: Agent D. Is delivery address If YES, i JIM BURKE FORD ~ 2001 OAK STREET ,trice Type Certified Mail [] Express Mail BAKERSFIELD CA 93301 Registered [] Return Receipt for Merchandise ~_ } insured Maid [] C,O.D. .......................... ]-4~-~l~stricted Delivery? (Extra Fee) [] Yes 7002 0860 0000 1641 5813 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-083~ UNITED STATES POSTAL SERVICE II IFirst-Classqvlail Postage & Fees Paid USPS Permit No. G-lO · Sender: Please print your name, address, and ZIP+4 in this box · C AL r'"t Postage $ r'~ Ceftin=led Fee Postmm'k Return Receipt Fee Here (Endomement Required) ~ Res~'icted Delivmy Fee I:~ (Endorsement ~ ---------- rlJ Total Posta~ r~ ~j r~lso,.ro ' IM BURKE FOr--, [o.~,o B~'~, BAKERSFIELD CA 93301 ..... c,y.'s~,to, z, .............. ""J Certified Mail Provides: · A mailing receipt · A unique identifier for your mailpiece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, pleaee complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". · If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not ne_._eded, detach and affix label ~ post~ and mail. IMPORTANT: S~his receipt and present it when n~iking an inquiry. PS Form 3800, April 2002 (Reverse) 102595-02-M-1132 D January 13, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES * ENV1ROflMENTJJ. ~ER~CE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~. Bakersfield, CA 93301' VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VO;CE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Jim Burke Ford 2001 Oak.Street Bakersfield CA 93301 Certified Mail RE: Recent SB 989 Secondary Containment Testing REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on October 16, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under permit from this office. The repairs of your system are a condition of your permit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 11-14-2002 FROM CALVALLEY EOUIP SECONDARY SYSTEM CERTIFICATION FORM DATE FACILITY ID UST Annular Space .. ' Tank 1 ' Start Time Initial Pressure ]~. ff"Ro, , ~"i' End Time ]/'3~. : ': Final Pressure Certifl~tion Secmldary Piping Lisle 1 Line 2 Line 3 Line 4. Start Time lnl, tlal Pressure ~.~ ~:, ..... End Time ] ~ ]0 ' Final Pressure CerUflcatlon (SIpj!ature) -~.,~,, ~7~e~. , , P. 2 Page I of_ 11-14-2002 8:47AM FROM CALVALLEY EQUIP 166132~2S29 SECONDARY SYSTEM CERTIFICATION FORM FACILITY ID. FACILITY ADDRESS Turbine Sumps Sump I Sump :~ Sump 3 Sump 4 S,-rt'rI,...~ ~:tq ' , ....... lnitlnl Height Time Water Height Thne Water Height ' Water Height ~. 7,~Y' .... Certification (Signature).. Overfill Buckets Overfill i Overfill 2 Overfill 3 Overfill 4 of Water [. ~! ' Water Height t .Cerflfl~flon ~ (SJ~ature) ~~' . ,~ : Page 2 of_ ' ' :' 11-1A-2~02 8:~7AM FROM CALVALLEY EI~LIIP 1G61~B2S2c~ SECONDARY SYSTEM CERTIFICATION FORM DATE_/0-/6'--o~- FACILITY FACILITY UDC TESTING DISPENSER 1 DISPENSER Z DISPENSER 3 DISPENSER 4 $'rART TIMI~ INITIAL HEIGHT OF WA ER WATER HEIGHT. XIM~..,, ~T~R, ~}iT ~. 331" ' .... DISPENSER $: DISPENSER 6 DISPENSER 7 D/~PENSER 8 START TIME · HEIGHT OF WATER : TIME WATER : HEIGHT TIME WATER : HEIGHT CERTIFICATION ~ ,. ($1GN&TURE) . Page 11-14-2002 FROM CALVALLEY EOUIP 132S2B29 B~kers~ield, C~. ~P L~K TEST DP t TEST STATED 3~19 Pr1 T~T STflRTED 1~1~2ee2 E~ TIRE 5~ ~ E~ LEVEL ~.~9 IH T~T E~ULI ~tLED T TEST STRRTED TEST STRRTED 1~,'16/2~2 ~OlN ~EL 6.~8 IH END T~M~ END ~TE 1G/16~2 END ~UEL G. ~2 iN TE~ ~T P.S 1~v16~2 ~:48 PM 18/17~8f~2 2:5! P~ :FAJMP LEflK TEST REPORT TCST $'I'RI~TCO 2:36 PM TE. ST STRRTED te/IY,,'2.~H2 8[OIN LEUEL 1.8866 IN F~ TII~ 2:51 Pti END' D~'3TE 18/17/2~82 F,.ND L~:UEL 1.8~a8 1N I.,I,3a~ TNRESHOLD 9,e~2 I'N CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING FACILITY ADDRESS PERMIT TO OPERATE # OPERATORS NAME NUMBER OF T~S TO BE T~ ~ VOL~ CO~S / TANK TESTING COMPANY ~'~l,/" O.~ NAME & PHONE NUMBER OF CONTACT PERSON NAME OF TESTER OR SPECIAL INSPECTOR J CERTIFICATION# (-$-7 '",~Z-~'~. DATE & TIME TEST IS TO BE CONDUCTED APPROVED BY "Z,,6 ~ - "?oqul DATE ANT CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE i l* I 7.- Section 2: Underground Storage Tanks Program Routine [] Combined [~Joint Agency Type of Tank .[3o3~q Type of Monitoring 0../-~ [] Multi-Agency [] Complaint Number of Tanks Type of Piping [] Re-inspection OPERATION C V COMMENTS Proper tank data on file [.~ Proper owner/operator data on file (.~ Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current ~ Failure to correct prior UST violations F' 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 B~Sit~e~ponsible Party FACILITY NAME ~f ADDRESS ,,~ t~o / FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE //- PHONE NO. .~ y, ~, ,f ~,'a BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ~ Combined [~ Joint Agency I~ Multi-Agency ~1 Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material -~' Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ~.. Containers properly labeled Housekeeping Fire Protection ,.~ Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous~ waste on sitg?: ,,~ Yes [~ No Explain: {_k_J~,~ .~,t . ,/~-~.', ~['~t'~ t~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow - Stalion Copy Pink- Business Copy ' fius~ne~s-Si't~esponsible Inspector: Party CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING FACILITY ADDRESS Zoo/ o~K .5~ ~/c'e<c?e/~,, Cc~, PERMIT TO OPERATE $$ ' OPERATORS NAME ,'~'~ ow~eas ~n~ ~'~ ~r~ NU~ER OF TANKS TO BE TESTED TANK ~ ~ · ; ~ VOLU~ l IS PIPING GOING TO BE TESTED/~A' ' CONTENTS ~7~'~ TANK TESTING COMPANy MAILING ADDRESS ~q-00 G/Y/o~o.g'e NAME & PHONE NUMBER O~ CONTACT PEaSON ~e ~'~/e~ ~/~2~/ TEST ~THOD ~H~o~ TS-,,S NA~ O~ T[s'r[a oa seEc~~ ~S~[CTOa ~~ ~h¢/~ CHRT~CATION ~ DATE & TIME TEST IS TO BE CONDUCTED ]0-/g"02- ~ ,0~ :'bO APPROVED BY DATE SIGNATURE OF APPLICANT CITY OF BAKERSFIELD '~;[ ~ ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) [ ]NEW FACILITY ~MODIFICATION OF FACILITY STARTING DATE FACILITY NAME ,Tt~/ ~ue't'e fold FACILITY ADD.SS TYPE OF BUSINESS TANK O~ER ~'m ADDRESS ~O[ ~a~ CONT~CTOR ~/-Y~ /{~ ADDRESS ~0 ~e PHONE NO. [ ]NEW TANK INSTALLATION AT EXISTING FACILITY PROPOSED COMPLETION DATE EXISTING FACILITY PERMIT NO. CITY ~cz, E'e4,"-F~'c,'/tat ZIP CODE APN # PHONE NO. CITY .~a/cec_c~,'ela' ZIP CODE CA LICENSE NO. 7~0'/70 CITY ,~'a.Z"et"d'0c?e/~ ZIP CODE ~-,'%~o BAKERSFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO. ~Oq-t~aOOIT-OZ INSURER BRIEFLY DESCRIBE THE WORK TO BE DONE7.7~D.K~a// ~'C. ff WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO YES NO SECTION FOR MOTOR FUEL TANKi NO. VOLUME UNL~)ED REGULAR PREMIUM DIESEL AVIATION TANK NO. VOLUME SECTION FOR NON MOTOR FUEL STORAGE TANKS CHEMICAL STORED CAS NO. CHEMICAL PREVIOUSLY STORED (NO BRAND NAME) (IF KNOWN) FoR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FOX, vi HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS ' APPROVED BYT- .APPLICAN'fNAME (PRINT) APPLICANT SIGSqATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED September 30, 2002 Jim Burke Ford 2001 Oak Street Bakersfield CA 93301 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 FtRE SAFETY SERVICES * EH~RONi~c,14TkL SER~CE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBUC EDUCATION 1715 Chester AVe. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-O576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX {661) 399-5763 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last five months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services August 30, 2002 Jim Burke Ford 2001 Oak Street Bakersfield, CA 93301 REMINDER NOTICE 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 RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have no.t yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing: This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Steve Underwoo~ [ -- Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services L D July 30, 2002 Jim Burke Ford 2001 Oak Street Bakersfield CA 93301 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIROHMENTN. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 9'3,308 VOICE (661) 399-4697 FAX (661) 399-5763 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not vet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (Califomia Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sinc~re~ /~///o ~ Fire Inspector Environmental Code Enforcement Officer D June 30, 2002 Jim Burke Ford 2001 Oak Street Bakersfield, CA 93301 REMINDER NOTICE 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 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 2001 Oak Street. Dear Tank Owner / Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 will be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 will be tested by January 1, 2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661)326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Environmental Services SU/kr D July 1, 2002 FIRE CHIEF ,qON 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 Jim Burke Ford 2001 Oak Street Bakersfield, CA, 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 2001 Oak Street, Bakersfield. REMINDER NOTICE Dear Underground Storage Tank Owner, You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services D May 30, 2002 Jim Burke Ford 2001 Oak Street Bakersfield, CA 93301 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 RE: Deadline for Dispenser Pan Requirement December 31, 2003 on Underground Storage Tank(s) located at 2001 Oak Street, Bakersfield. Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. Sincerel/g,b . St~ve'Underwood v ' Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr D April 12, 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 Cl~ester 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 JIM BURKE FORD 2001 OAK ST. BAKERSFIELD, CA 93301 Re: Enhanced Leak Detection Requirements REMINDER NOTICE Dear Owner/Operator, The purpose of this letter is to remind you about the new provision in California law requiring periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(1) of the California Code of Regulations, Title 23, Division 3, Chapter 16; As an alternative, the owner or operator may submit a proposal and workplan for enhanced leak detection to the local agency, by July 1, 2002; complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." Please be advised that there are only a few qualified testers available to perform "Enhanced Leak Testing". All testing must be under-permit through this office. For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU/kr Enclosures -2882 1 : [:,[3PM FROM CALVALLEY EQU'r p 1 ISIS13252529 P. 4. · For Use By All.h,'isdk~tions Within the State ~'Col~rnia ~uthority Cited; Chtq,ter 6. Z H~alth a,d &~eO, Code: Ch~ter 16, Division 3, Tide 23, Cal~ornia Code of Regulations This Ibrm must be used to document lasting and servicing of monitoring equipment, A separate certification or repod must be prepared for each monitoring system corm'Gl panel by the ~echnician who performs th~ work. A copy of this form must be provided to lhe lank syslem ow~~perator must sl~bmit a copy Gl dfis form to the local agency regulating UST systems witl, in 30 d~sLdat~~- ~,. ~ ' A. Ge~ral ln[~rmafio~[ 2 ~ ~ ' ' Sit, Address: .=. ~ / ~ ~ ..... / .. City: ~~J'~'~/~ Zip: __ Ma~el of Mo,,itor,,,g Sysle,,,: ~er-~ Y~~ Dine atTesting/Servicing: 2 B. ~,,;~ of~q,,ipment T~ertified , CIl~gk ~h~p~c boX(s (o in~l~lfig t~u~pmtnt tnSO~ctadatrvls,5~: ..... ' .............. 'rank iD: ] ff~6r/- ~i[ In-Tank Gauging Probe. ~ Annular Space or Vault Sensor, ~ Ptping Sump / 'l'rench Sensotts}. ~ Fill Sump Sensor(s). ~ Mechanical Line Leak Detector. ~ Electronic l.lne Leak D~mctor. Model: Model: 121 Tank Overfill / High-Level Sensor, Model: 120tlter.(~pectfy equipment type and model in Section E au Page, ,.., Tank ID: [] ln-'l'ank Gauging Probe. Mod~l: 12 Annular Space or Vault Seh~or. Model: 12 Piping Sump /Trench Sensor(s). Model: 0 Fill Smnp Setlsor(s). Modch ~ Mechanical Linc Leak I)ctcclor, Model: O Elcclronic Linc J~cak Detector. Model: O 'l*m~k Overfill/l ligh-Levcl $cnsor. M~dcl: ~ Other (specify equipment Iy~c ~nd moad'in Section E on Page 2): ...... Dispenser ID: .~J ~ ~ Dispenser Contahunent S~nsor(s). Model: ~ Shcar Valve(s). ~ Dissever C0ntaimncn~ Float(s) and Chain(s). Dispenser ID: [I Dispenser Conla~mncnt Sensor(s). Model: 12 Shear Valve(s). CI Dispenser Containment Flo~t(s) and Chain(s). Dispenser ~ Dispeuser Contahun¢nt Seusor(s). ~ Shear Valv~(s}. ~Di~penSer Cootatmnq~lt. ~10at(~) and Chain{s}: Tank ID: 0 In-Tank Gauging Probe. Model: [] Annular Space or Vault Sensor. Model: 12 Piping Sump / Trench Sensor(s). Model: 12 Fill Sump Sensor(s), Model: 12 Mechanical Line Leak Detector. Model: 12 Electronic Linc Leak Detector. Modcl: 12 Tank Overfill/.High-Level Sensor. Model: O Other (specify equ,![,. ,meat type and model tn Sectt0n E o.n Page 2t. Tnnk iD: 0 In-Tank Gauging Probe. Model: 12 Annular Spac~ or Vault Sensor. Model: 12 Piping Sump / Trench Sensor(s), Model: 12 Fill Sump Sensor(s). Model: C! Mechanical Line Leak Detector. Modcl: 0 l;.Icctrouic Linc Leak Detector. Model: ~ Tank Overfill / Iiigll-Lcvcl Sensor. Model: 0 Other (specify cquipmcoi typ~ ~d model in Se~tio9 ~ ~,~,,~ge 2). Dlsp~nsor ID: ~ Dispenser Containmeut Sensor(s). Model: ~ Shear Valve(s). ~ Disp~na,(Containment Flout(s) and Cllain(s). Dispenser ID: 12 Dispenser Containment Sensor(s). Model: O Shear Valve(S). O Dispenser Containment Float(s) and Chain(s). Dispenser ID: 0 Dispenser Containment Sensor(s). Modch O Shear Valve(s). O.Dispenser. C?gtainment .F,!gat(~) aJ~d Chain(s), *lftl~c facility contains marc tanks or dispensers, copy Il, is fbrm. Include information for every tank and dispenser at d~e facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the .manufacturers' guidelines. At.chad to thi~ Certification is information (e.g. manufactnrers' checldlsis) necessary to verify (hat this Information la correct and a Plot Plan showing the layout of monitoring equipment. For ,ny equipment c~pable of generating such reports, i have also attached n copy of the report; (check nH t/tat apply): ~ System set-up 0 Alarm history report Technician Name (prin0: ~Ce ~[~/t~ ' Signature: _~~~ Site Address: ~/ ~ .5~ ~a~'~t'e/~C,~ .......... Date of Testing/Servicing: Page 1 of 3 03/01 Monltorl,g System Ccrl. tficalion 3-11-2002 1:51~M FROM CALVALLEY EQUZP 1E;6132B2B29 !), Results of Testing/Servicing Software V~rsion Installed: Co~nplete the following checklist: P.S Ye~ ' U No* Is the audible alurm operational? Yes C3' ~o* Is the visual alar~"operatkn~al7 ............... Yes O No* Were all Sensors visually it~spected, functionally tes~e~, and confirmed o~e. rationaI? Yes '~ N0* Were all sensors installed at lowest poin~ orsecondary containment and positioned sO that o{l~er equipment will not interfere with tl~eir prop~r,o~ration? Ye~ ~ No* If'~'~a~s are relayed to a remote inonil0ring .station, is'"~i~ commUnications equipment (e.g. '~dem) ~ N/A operational? Yes ~ No* ~r pressurized piping syste'~s,' docs the turbine au~omatic~li3'~hut down if the piping seconda~ containment O N/A monkoring system detects ~ ~cak, fails to operate, or is ~lcctrically disconnected? If yes: which sensors initiate positive shut. down7 (Check all tha~ apply) ~ Sump/Trench Sensors; ~ Dispenser Containmen~ Sensors. Did you confirm p~i3iye shut-down due to leaks attd sensor failure/disconnection? ~Yes; ~ No. Yes ~' No* For tank systems that utilize the monitoring system as the prima~ tank overfill ~arnin~ ~evice (i.e. no ~ N/A mechanical overfill prevention valve is insialled), is tl~e overfill warning alarm visible and audible at the lank fill point(s) and operating properly? ffso, at what percent of tank capacity.d.0~s the alarm trigger7 % Yes* ~ No 'Wfi'~ any t~onitoring equipment rel~laced?' If yes, identify specific sensors, probes, or other equipment repl'a~ed and list the manufacturer name and model Ibr all replacemen} pa~$ in Section E, below. Yes* ~ No Was liquid found inside any secondary containment systems designed as dry systems? (Cheek all that aPPly) Q ~roduct; ~ Water. If yes, describe causes in Section E, bclow. ... Yes ~ No* Was moniloring system set-up revie~4~d'[o ensure proper settings? At. ch set Gb'TgPbm, i?applte~le Y~ ..D No* IS"~Jl monitoring equipment operational pe~'manufacturer's specifications? Section E below, describe how and wl~en tl~ese deficiencies were or will be corrected. E. Comments: Page 2 of 3 03/I}1 3-11-2002 1:51~M FROM CALVALLEY Ir., In-Tank Gaugin~ / SIR Equilm~Cnt: EQU 1' p 16613252529 P. 6 ~ Clieck this box it' lanl~ gauging is used otdy fbr inventory control. 121 Check thb bo~. if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perlbrm leak detection monitoring. Complete thc following checklist: -3,.-,7-" ~' ,', .................. Yes' El N~* -j las a'll input wiring been inspected Ibr proper entry and termination, including testing ¢or groined Faults? Yes D N°i .... Were all tank ~auging probes visually inspected for'damage and residue'~uildup? .... Yes ~ No* Was ~ccfiracy ofsyst~n producl level readhlgs tested? .... Yes D'"'No* Wes accuracy of system w~ter level readings Yes ~' ~'~ Were all prices reinstalled p,',;perly? "' Yes ~ No* Were all items o~i th'e equipment manuJ~cturer~s maint~n'ance checklist complete'd? '" * In the $.ecliol~ I! below, describe how and when these deficient|es were or will be corrected, G. Line Leal{ Detectors (LLD): ~, Check dfis box if LLD:s are .ot installed. Complete the following cltccklist: Yes El No* For equipme~t start-up or ,~nnual eciuipment '" " ¢ertificatmn, was a leak simulated to vel;ify LL'I~ performance? ~ N/A (Check all that apply) Simtdaled leak rate: ~ 3 g.p.h,; ~ O. t g.p.h; ~ 0.2 g.p.h. Yes" ~ No* Were all'~LDs confirmed opcratio~ml and accura~' within regulatory requirements? ~eS ~.No* -Was the lesting appa'ratus pro'fly calibrate~7 .... Yes ~: N'~* For mechanical L~'Ds, does the LLD 'restrict product flow if it detects-a leak? D N/A Yes D No* F'~r eiectronic LLDs, do~'ihe turbine automaticatly'~ut offifthe LLD detects a leak? ~ N/A Yes D No* For ele~onlc I.LDs, does the turbbe'automatically shat off if ~ portion of the monitoring s~stem.is disabled : ~ N/A or disconnected? .. Yes ~ No* For electronic LLDs, docs the turbine autOCraticallY shut off if any port[on of the monitoring system ~ N/A malfunctions or hi]~ a test? Y~s D No* For electronic LLDs, have all accessible Wiring ~onnecti~t~s been Visually inspected? D N/A Yes D No* ~ere aU items on lhe equipment manufa~tu~r's maintenance checklist completed? ...... =~ * In lite Section Il, below, describe how and when these deficiencies were or will be corrected, ~l. Comnlellts: Page 3 of 3 OJ/OI 3-,~ 1-2882 1 : 52PM FROM CALVALLEY EglU T p 16613252529 Monitoring System Certification · P. 7 UST Monitoring Site Plan ............... : ..~/:~rt,;~, t $'o~ ............................ :::::::::::::::::::::::::::::::::::::::::::::::::::::::: .................. ~,~ ~}.' ................................ Date map was drawn'. ~- Instructions If you ah'eady have a diagram tl~at shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the £oIlowing equipment, if installed: monitoring ,ystem control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary c'ontainme~t areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection), h} the space provided, note tl~e date this Site Plan was prepared. Page ~ of__ O~tO0 · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attacl~this card to the back of the mailpiece, or on the front if space permits. '1. Article~'Ad~ressed to: ;, J~BURKE FORD 201~ OAK STREET BAKERSFIELD CA 93301 A. R. eceived by (P/ease Print Clearly) B. Date of Delivery C.S' X [] Addressee D.Is delivery address different from item 17 [] Yes · If YES, enter delivery address below: [] No 3. Service Type ~ Certified Mail [] Express Mail [] Registered [] Return Receipt for Memhandise [] Insured Mail [] C,O.D. 4. Restricted Delivery? (Extra Fee) [] Yes PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVICE · Sender: Please print your name, address, and ZIP+4 in this box ° ~ ~(ERSFIELD FIRE DEPARTMENT OFFICE OF ENV~RoN?~E~TAL SERV'SCES 715 Chester AVenue, Sure ,300 Ba~(ersfield, CA 93301 Postage .:1' Certified Fee Return Receipt Fee ~ (Endorsement Required) r"l Restricted Oellve~ Fee 1'-3 ~Endorsement Required) Total Postage & Fees m $ .34 2.10 Postmark 1.50 He~ $ 3.94 ~r~ I Sent To ~~i~i;42f/~<'~212}'F6~Z~'~ ........................................................... ~ ~[ ~oo~ o~ ~ 11 Certified Mail Provides: la A mailing receipt la A unique identifier for your mailpiece la A signature upon delivery =~ A record of delivery kept by the Postal Service for two years Important Reminders: ~ Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. =~ Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. al For an additional fee, delivery may be '~e'str~ctec~to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Deliveof". · If a postmark on the Certified Mail receipt is desired, please present the arti- cie at the post office for postmarki? .g;~'~Af, a postmark on the Certified Mail receipt is not~l~ed, detach End affix la(Sol with postage and mail. IMPORTANT: ~Ithis receipt and present it when making an inquiry. PS Form 3800, May 2000 (Reverse) D February 20, 2002 Dan Holy Jim Burke Ford 2001 Oak Street Bakersfield, CA 93301 CERTIFIED MAIL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661} 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 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 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Submit/Perform Annual Maintenance on Leak Detection System at Jim Burke, 2001 Oak St Dear Mr. Holy: Our records indicate that your annual maintenance certification on your leak detection system is past due. December 29, 2001. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, March 22, 2002, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Port Jr., Assistant City Attorney D February 11, 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 Jim Burke Ford 2001 Oak Street Bakersfield CA 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 3 l, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with' the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update yOu. I urge you to start planning to retro-fit your facilities. · ..... If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm D August 3, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 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 Jim Burke Ford 2001 Oak Street Bakersfield Ca 93301 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm D January 22, 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 Jim Burke Ford 2001 Oak Street Bakersfield Ca 93301 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On · December 3 l, 2003, which is the deadline for compliance, this office will be forced to revoke your permit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you.to' Start planning now to retro-fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector Office of Environmental Services SBU/dm _Monitor Certification Inspection Moni~oring system make and model: Tank & Monitor Descri~=ion Tank I Tank 2 Tank T~. Conten~s ~uct L~e _T~e ~ress~e. auction) Tank ~ular S~ace Se~or ~. Disoenser Conta~en= Sensor ~0 ,,, Slec=ronic In-L~ne Leak Detecto~ ~-Tank Gauuin= Deyi=e .... Hechaical Line Leak De=ector Do~s =he moni~oring 8ys=em have " audible a~d ytsual ~a~? .~ ,, DOes the turbine automatically ~ ~nu ~nu ~nu 8hu~ do~ i~ ~he 8en~or ~to alarm ....... Dis~ Dia~ DimD Diso monitor panel alarm and ~he sensors ore in ~he correct pofi~ion, and the system is opera=lng according to manufac~urer,~ specifica~ion8. CERTIFIED BY= ~ ~. ~ TECHNICIAN SIGNATURE: DATE RICH ENVIRONMENTAL 56~3 BROOKS CT BAKERSFIELD, CA. 93308 OFFICE(661)392-868? & FAX (661)392-0621 AES MODEL PLT-100R ~YDROSTATIC PRODUCT LINE TEST Precision Product Line Test TEST RESULTS JOB#: Test Date:12-21-2000 BILLING:JIM BURK~ FORD 2001 OAK STREET BAKERSFIELD, CA 93301 SITE:JIM BURKE 2001 OAK STREET BAKERSFIELD, CA. PRODUCT PRODUCT M~CHANICAL MONITOR PRODUCTS LINE T~ST .... LEAK DZTECTOR .L~ DETECTOR UNLEADED PRESSURE ELECTRONIC LINE LEAK ANNULAR & SUMP NO TEST DETECTOR-PASS PASS COMMENT~ A precision test was performed on product lines at the above location using the A~S MODEL PLT-100R HYDROSTATIC PRODUCT LINE TEST. I have reviewed the data produced in conjunction with this test for purpose of verifying The results and certifying the product line test systems. The testing was performed in acorrdance with AES protocol, and therefore satisfies all ~equirements for such testing as set forth by NFPA 329-92 and USEPA 40 CFR par[ 280. The results of testing are shown on the following page. Included with the report are reproduction of data compiled during the test which formed the basis for these conclusion. This information is stored in a permanent file if future verification of test results is needed. AL\NC 040 Test Certified By: State cert#99-1072 FACILITY NAME .... ADDRESS ~2.E~E) ( FACILITY CONTACT ~SPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE ~ PHONE NO. ,23 5kg - BUSINESS IDNO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [] Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS / Appropriate permit on hand [/ Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability / Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand D,/ C=Compliance V=Violation Any hazardous waste on site?: Explain: [] Yes [] No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ~ruus[ness Site"~o~gs~le Party Inspector.c~' ~p,~P-~') CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 FACILITY NAME ~'|~ ~dt[:¢ Section 2: Underground Storage Tanks Program [] Routine ~ Combined ~1 Joint Agency Type of Tank Type of Monitoring ~/.-t~ INSPECTION DATE [] Multi-Agency [] Complaint Number of Tanks { Type of Piping .Ow ~ [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current {// Maintenance records adequate and current Failure to correct prior UST violations ~ / Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS sPCC available '7 SPCC on file with OES Adequate secondary protection b/ Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Office of Environmental Services (805) 326-3979 White - Env. Svcs. Business Site Responsible Party Pink - Business Copy FORD 2001 OAK BT. BAKERSFIELD CA. 93301 DEC 14, 2000 1:4! . EM STATU _ INVENTORY R£~Pd~T ~ T I:UNLEADED VOLLIME = 1927 Of~L~ ULLAGE = 9503 GALS 90: ULLAGE= 8360 GALE HEIGHT = 20.60 INCHE~ WATER VOL = 0 GALS = 0.00 INCHES = 71.4 DEG F ~(PE Of: AC?~QN ~-I t NEW SIT~ P~RMIT ; C~ec~' one ~em o~/y) OFFICE OF EN¥1RONMENT L SERVICES Chester Ave., B kersfleld, CA OI (661) UNDER~ROUND STO~ TANKS - UST FAGILI~ ~ ~.REN~AL~R~T ~ ~.C~O~INFOR~TION(~~. ~ 4. A~NOED PERMIT ~1 ~ o~). ~ 8. TE~Y S~ ~OSURE [] ?. PERMANENTLY CLOSED SITE [] 8. TANK REMOVED I. FACILITY I SITE INFORMATION NEAREST CROSS STR-E'I~ 4431. .FAC~rI'YOWt, JER TYP~ ' I [] 2. INDIVIDUAL. [] 0. STATE AGENCY" BUSINESS [] 1. GAS STATION [] 3. FARM [~] $. COMMERCiaL TYPE . [] 3. PARTNERSHIP [] 2. O,SmlSUTOR I"] 4. PROCESSOR [] e. OTHER ~3. i [] r. FEOER~LAGENCY' TOTAL NUbS, ER OF TANKS ~ ~¢lllt~ o~ Indian RM~v~tt~n ~ 'If ow~M of UST a p~bllc ~ r~l~e o~ ~l)en~ c~ REMAINING AT SITE ~lJand~? ~, ~ ~' ~ wllictt ~ ~e UST. '* IL PROPERTY OWNER INFORMATION ..' ' PROF~RTY OWNER NAME MAIUN~ OR'"ST~EET ADORE.~ o z- PRO R owNE. [] 2. ~ 1. CORPORATION [] 3. PARTNERSHIP I--1 4. LOCAL AGENCY / DISTRICT CI 5. COUNTY AC~.NCY 412. [] $. STATE AGENCY [] 7. FEDERAL AOENCY 413. TANK OWNER ~ ~1 [] 2. INOMDUAL · CORPORATION [] 3. PARTNERSHIP 415. 416. r'] 4. LOCAL AGENCY / DISTRICT [] 8. STATE AGENCY 420. ~ $. COUNTY AGENCY [] 7. FEDERAL AGENCY · . ""': '."~::'.i.' ,":' ~',. ':.; ' ";' ~V. BOARD OF EQUALIZATION. UST EToRAGE FEE ACC°UNT NUMBER 'r'Y (TK) HQ 4 4 - Call (916) 322-9669 ff questions arise V. PETROLEUM UST fiNANCIAL RESPONSIBILITY 421. INDICATE METHO0(S) ~rt. SELFdNSURED [] 2. GUARANTEE [] 3. ,NSUP~NCE r-] 4. SURETY BOND [] $. LE'~ER OF CREDIT r-I 7. STATE FUND ~'] 8. STATE FUND & CFO LETTER [] 9. STATE FUND & CD r'] 10. LOCAL oov-r MECHANISM I"] 9~. OTHER: 422. · ' VI. LEGAL NOTIFICATION AND MAILING ADDRESS Chec~ o~e ~3x to In~Clle wt~ch ~rMI ~touk~ be ul~J for leg~ no~cl~tl ~ milling. ~1 Le~M n<xlflcatlona a~l m~Ing~ w~ be se~t Io bhe tas,~k o,~me*' unleM box 1 ~ 2 ~- cz'tecXe~. . FACILffY [] 2. PROPERT~ OWNER [] 3. TANK OWNE~ 423. VII. APPuc.~NT siGNATURE '"" ..: 9TATE UgT FACILITY NUMBER (For~Deal uae on/y/ PCF (7/g9) 428. I 199~ UPGRAOE CERTIFICATE NUMBER (For/ocs/uJ~ on/y) S :\C U PAFORMS~swTd3-a.wp<:l ?L-ce~.& --~.~~ ~ CiTY OF BAKE RS FI F~D ',' ~,,,~m_~_ ~WFICE OF ENVIRONMENT~SERVICES ~~~. 1715 Chester Ave., Baker~flel~ CA 93301 (661) 326-3979 ~' ~ '~' UNDERGROUND STOOGE TANK~ - TANK PAGE 1 (~~. ~ ~ ~) --.. M ~ $. ?J. tANO~ OF II~OI~FIONI ~ e. rE~PO~%~q¥ ~r~ ~LO~UR~ I OATE *NSTAU. ED (Y~) 4~ 4,16 NUI~eF.R OF COMPARES O~& MIOMOM UNLEAMD [""i 3. ~ [] e. AV~AI'X)N ~ !:] 4. o~zMx I:::] ~. oma~ [] 4. SI~X)LEW)U.I~AVAUt.T . .~r~'c~l:a~{~ Os.~ 0~. um~o~a D & FRPOO&~A~V~IO0~ METHANO~ ~1 ~0~1~. P~K~N EOUIM~rT: ~ IN81'aJ EGO ~ C] 2. Au'rOMA'nc TA,'4K OAUON3 (ATO) 0 ]. CONT~NUOUOA?O ~] 4. qTATI~TI~AL ~ II~E~)N~UATION (~) · OlEM, dPd, TAM( ~ V. TANK W I~ORIMTI~ I PlNMANINT CI.O~UI~ IN PLAC~ PCP'. (7/g9) S:\CUpAFORM~SWRC~'fl. VVP O 1. UNOERGROUNO ;qPINO SYSTEM tYPE · m~ESSURE r'l 2. SUCTION [] 3. GRAVITY 4~ A~43VEC~OUNO PlaN(3 I~ i. ~qESSURE [] 2. SUCTION [] 3. O,qAVrry [] I. SINGLE WALL (:::] 9~. UNKNOWN [] 2. DOUBLE WALL ~'] 9g. OI'HE.~ MANUFACTURER [] 1, 8A~E STEEL 0 6. FF~O COMPATIBLE WI 100% ~ [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL [] 3. PLASTIC COMPATIBLE VV~rH CONTENTS [] 8. ~ (HDf~) r'l gg. OI"HF~ [] 4. FIBERGLASS [] 9. CATHODIC PROTECTION I:~ 5. STEEL WI COATING [] 95. UNKNOWN CONVENTIONAL SUCTION SY~I--eME: I-1 S. OALYVtSUALMONfTOmNOO~PUM=INO~*TmEIe&~IqI:qN(3IdTEORITY TEST (0.1 Cd=H) SAFE SUCTKSN SYSTEMS (NO VALVES ~1 BELOW GROUNO PIFqNG): [] 7. S~U: MONrrOmNG , GRAVfTY [] 9. mEJ~m~, fNTEC~ TEST (0.1 (3PH) I_~a. AUTO PUMP SHUT OFF WHEN A LEAK OCCUR~ DISCONNECTION [] 12. AJ, n, iU~WTEGFU'rYTEST(0.1(:~PH) ' '. SUCI'K~N~.4~AVn'Y SI'STEM: [] 13. ElliS3 B4CY OEI~.~ATO~I [] 15. AUTOMATlCUN~LEA~DL=TECTOR(3.0(~a~TEST)WITHOUTFLOW~UTOF~OR RESl~ICTION I/~ t8. A~NUAL INTEGRITY TEST (0.1 Iii lT. OAJLY V~SUAL CHECK · ':",: *.' ..: :.': :i IOI~=.NSERCONTA~N~ENT [] I. ~,.OATM~CHANIEMTI~T~I. lUT~O~.ARVALV~ DATEIN~JTALLED 4~ [] 2. CONTIffUOU~OkqPf:..N~ERPAH~EN~OfleAUOI~.~ANDVI~UALALARk~ ABOVEGROUND PJPfNG ~INGLE WALL PIPING I~ESSURIZED PiPiNG (CMc~ d ~hat f'l t. ELECTRON~CLINELEAKOETECTOR3.0GI~'ITEffrV4THAUTOPUMPSHLrTOFFFORLE,~. · I'~TEM FAKURE, AND ~TF.M DISCONNECTION + AUDIBt. E AND VISUA~ ALARM~ r'l 2. [:] 4. D~.YVtSUALCV~CK [] 0. T~ENNW. I~rTEG~TY TEST (0.1 ~ S~'.ON SYSTE~ (NO VALVES IN e~.ow GRAVTTY FLOW (Chwk d m~t ~y): [] e. OAn. Y V~UAL ~/~Nrro~No [] ~. 8ECO~L¥ COHTAINED PIPfNO PRE..~SURIZEO P1PING (Check M ~mt al~' 10. CONTINUOUS TUROINE SUMP ~.NSOR WlTH AUDIGt. E [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP S~AJT OFF FOR LEAK~, SYSTEM ;Aa. URE AN;) SYSTEM Dk.~CONNECT~ [] ~ NO AUTO PUMP SHUT OFF [] ~1. AUTOMAT~CLEA~OETECTOR [] ~2. AN~4UALINTEC.=JTYTEST(0.~ G~) EME~OBKW' OENERATOKI ONt. Y (Ca~t M mat a~ [] I~. CONTa~OUS SUMP ~ISOR WTTHOtn'AUTO PUMP,I.nJTOF'F *AUOI~.E AM:) ~ASU)~. [] 15. AUTOM~C UNE ~ DETECTOR (3.0 GPH TEST) i-I fa. )~NU~. mrrEORrTY TEST (0.1 GPH) ~1 ?T. DAJLYVl3UAL CHECK [] 4. DAfl. Y VISUAL CHECK I [] 3. CONTINUOUS OISJ~ PAN ~ ~ AUTO &qUT OFF FOR Old--eNtER * AUOIBLE ANO VISUAL ~ ,/~1. NONE ~ f IX, OWNER/OPERATOR SIGNATURE ~ I ~ ~m ~e m~am~lUa~ I~d~ II ~'ue M~ ec~x'lte to t~e I~lt ~ my ImavM(Ige., , ) ' I ' / . , . JP~mdNomMr~.a/L~or.'y) 473 J UPG~ (7~) 8:~CUPAFORM.S~WRCS-B.WPO ST&TE ~F ~'-AUFOI&IA STATE WATER RESOUR(::E$ COKI'ROL BO~D UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COW~.~TE THIS FOAM FOR EACH FAOUTY~ITE MARK O#LY [] ~ ~ p~qidrr [~ 3 KENEW~ ~E,..rr ON~ ITEM [] 2 INTERIM PERialT [] 4 AMENOEC)I~RMIT [] ~ 'I~I~F~I~dW 8rl~ CLOSUmE I. FACIMTY~ITE INFORMATION & ADDRESS - (MUST BE COMPLETED) EMERGENCY CONTACT PERSON (PRIMARY) d ...... IlL TANK OWNER INFORMATION- (MUST BE COMPL, ETE~) IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 739-2582 i! quesdons arise. V. LEO AL ~OTIFIC~TION AND BILUNG ~D ORESS LegaJ n:tfi~fion and biffing ~J~ ~ sen~ Io the t~k ~ner un~s ~x I ar Il ~ ch~, CH&CK ONE BOX INOICATINQ ~ A~OVE ADDRESS ~H~LD BE USeD ;OR L~GAL ~OTIFCAT~N~ AND ~I~NO: I. ~ · ~ I[I, ~ THIS FORM ~S BEEN C~PLETED UNDER PENALTY ~ PENURY. AND TO THE BEST ~ ~ KN~E, IS ~ ~O ~RECT ' LOCAl"AGENCY USE~ONLY .. III I III I III I COUf,,,'TY il JURISDICTION # LOCA'tlON CODE . O~OTION.~L TCENSUS TRACT · · OPT~N~ ~ SUPVISOR. DIS~CT ~ - ~ THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR ~RE PERMIT APPLICATION . FORM B, UNLESS TH~ IS k CHANGE OF ~ ~FORMATION ONLy, ~TAI~ WJl~FI RESI~IR~J CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION . FORM B COMPL~E A SEPARA~ FORM FOR EJ~PI TANK Il. TANK CO~E~S ~ L, m ~A~D.~PL~ ~u ~ Ill. TANK CONSTRUCT]ON IdAIIKON;FI~tIONI.YIN.,II:)XESA~ .I~AHDO. M~:)ALI. TH~TAPPLESI#~XD A, 17PS OF [~ , cxzJei.~ w44~ ~:~ 3 8NS~E WAI2 WEH E~ERQ. LW ~ ~ ~ SYSTEM ~ 2 ~ WA~ ~ 4 K~ ~T~MENT ~OT~ ~ i B, TMK ~ 1 ~ IT~ ~ 2 STMES. 8~ ~ ~ FI~ ~ 4 STEEL ~ [] ~J 1U~qL idK~a, AHC~ C2~dPAT~L~ W4~ [] os OTHER m IJ~iIN~ kiAT£RiAL C~IPAT'~LE ~ 1~. IdE'rT.l~k~ ? Y~__ Nl:)__ CONSTRUCTION C. MATERIAL AND CORROSION FROTECTION O. LEAK DETECTK)# V. TANK LEAK DETECTION [~] '1 V,$LIAL C, HECK E~ 2 'NVEPi't'~I;IY R;CONCILIA?CIN [] $ ¥,IPOR HONITORIklQ ~:] 4 Au'ro"ATI~ TANK GRUElI'M3 i'--"1 , GROUND W&TER IdONITOIUNQ VI. TANK CLOSURE INFORMATION i i lull I II THIS FORM HAS BgEN COMPLETED UNDER PENAL TY OF PERJURY, ,aND TO THE BEST OF MY KNOWLEDGE, i$ TRUE AND CORRECT [ ".~.,=., ~'~ ~,~'~ ' ~ ",.. , .' , *i _ ' ' L~AL AGENCY Us,,E ONLY THE ST~?E L0.~UMBER IS COMPOSED OF THE ............. STATE I.D.# FOUR #UMBE.qS BELOW FACILITY # L1 I l.I,,1 ] COUNTY · JURI$OtCTION a TANK J L-T3 I I 1"-1 F I'1 iII I I . ........ ] I IIIIIII I ~ Bill . ~ ~ ~ST BE ACne.lEO BY A ~ MPUCA~ON - FORM ~ ~L~8 J CURRE~ FORM A ~ BE~ FI~D, FOAM EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitormg program mttst bc kept at the UST location at all tim~. T~ i~o~fiou on ~s mo~g ~ ~ ~o~ of~ ~g ~t. ~c ~t hoist m~ ~ ~ ~ ~n~~ ~ ~ c~nge. ~ ~ ~om 2632(d) ~ 2641(h) CC~ F~i~ ~ess If an unauthorized release occurs, how ~lt the hazardous substance be cleaned up? Note: If re~ hazardous submances reach the en~ronment, increase thc fire or explosion haz~rc~ are not cleaned up from the ~econdary containment ~dth~ 8 hours, or deteriorate the seconda~ conminment, then the O~cc of Environmental Services must be nofified ~thin 24, hours. Employees will contain small releases ,siXth an ab~orb~.~ mat~rt~l In major incidents a contractor and/or County/City Offlcia!~ wtll Describe the proposed methods and equipment to be used for removing and properly d~sposing of any hazardous substance. s~illed or released ma~er.ial and any affected soil into drums or limed bins. The containers will be labeled,then transported and d£sposed of according to ~'tate, Fe~al ~n~ LocaA ~egdAat$ons. De~c~be the location and avnUabi~ty of the requked cleanup equipment in item 2 above, ~'m..mbove necessary e~u~pme~t is ]ocaKed in our available at all times. Dcsc~be the maintenance schedule for the cleanup eq~pment: Do frequent inspections of equipment. Checking for quantity and q~ality, of equipment. '~l's'o performing any necassary maintenance on equipment according to manufacturer' s maintenance schedule. List the name(s) and tide(s) of the person(s) responsible for authorizing any work n_~_es _saTy under the ,resvonseolan: Jim Burke-Chairma~, Dad Hay-l~residenC, Bob Hols~on-Di~e'ctor of Fixed Opera,tons, Scott Sutton-Service Manager, and A1 Augustine-Controller JIM BURKE FORI) 200! BAKERSFIELD C~. -9330[ ~ 2. 1999 Il:G6 ~H b--WSTEH b--'T~TL~ REPORT ~.LL FUNCTIONS NOEFIAL JIN BU~J(£ FORD 20010~K ST. BP~E~SFlg'IDC~. 93301 ~ 2, 1999 I~:06 SVSTEM ~T~TLIS REPORT PJ..L FUNCT]OI~ I IW'EI~ORY REPORT T I: UNLF_~DED VOLLIP~ - 6787 ULI...,~E = 4643 90,~ LILL,'~£- 3500 ~ VOL~ - 677? ~iG~ = 52.60 ~ ~L = 0 = O. O0 = 62.0 WRITrEN MONITORING PROCEDURES UNDKRGROUND STORAGE TANK MONITORING PROGRkM Facility Name Descgbe the frequency of perfonnh~ the rno-lWr~8: Tank Monitored on a continu.ous basis us,t,,ng an electr, onic mo, n. itoring system Same as above W'luu m~thods and equipm~ idcntitied by name sad modal, will be used fur perfbmi~ thc mo~itoria$: Talli¢ Veeder-Rooc TLS-350 Electronic monitoring equipment sa"e a, ; ove Describe the location(s) wher~ the monitoring will be perfo~ (f~ plot ~ shmdd be attached): Heavy Duty Truck Shop Office located on the south wall. D+ List the name(s) and title(s) of the people responsiblc for performing the monitoring and/or maintaining the equipment: Stephante E. ~oirney-EHS Coordinator/Human Resources Assistant P,~mn~ Format for monitorins: Ta~k ~omputerized print out. See attached. Piping Describe the preventive maintenance schedule for thc monitorir~ equipm_.~ Not~: l%~aintenance must be in accordance with the manufacivr~-'$ mnintennne~ sthedsde but not less than every 12 months. The monitoring system and equipment are inspected on an-annual basis by a contractor ' ' ..... Describe the trainin$ necessary for the operation of UST system, includiag pipiag, ~ r2~ rnor~tognR.equipment: , The location of the monitoring system and emerKenc¥ = n°cificac~°n procedure., shuc-dp,w~ o, peractons and spill c!eanyuP. _ SMOKE AND HEAT FIRE ALARM SYSTEM (Revised 10/2/98) The new smok~ and heat fire alarm system is now operational. The system is designed to detect excessive heat changes or smoke. In areas where you can expect smoke to be present the system will detg~t changes in temperatur~ (i.e.: the shops and showroom). In areas where there should be no smoke 0.e.: offices, parts, rent-a-car) the system will detect excessive smoke. The dealership is divided into seven systems. Each system is divided into zones. The following is a description of the system and zone location: System System 2 System 3 System 4 System 5 System 6 System 7 Tire Shop, Fast Lube, Body Stalls on the east side, and office storage area Parts Department (upstairs & downstairs) And Human Resources Thc Service Drive, Main Shop, Truck Shop The Paint Shop and Body Shop Offices Showroom, Sales Offices, Certified Leasing & Rent Car, and Main Office Reconditioning and New Car Get Ready Body StaLls on west side and Maintenance Building 2 Zones 5 Zones 6 Zones 2 Zones Zones Zones Zones A system is an area of the dealership and a zone is an area within the system. In the case of an alarm, Tel-Tee, the company who installed the .system and maintains the monitoring, is notilled by the 'system where the alarm is. Tel-Tee can then notify the Fire Department and inform them what system is setting off the alarm and the zone within that area. Each system has an alarm box located in the system area. The alarm boxes are red, and approximately 16" x 26'. A key should be located either in the lock, on top of the box, or hanging next to the box. The locations of the alarm boxes are: System I The alarm box is located in the east Body Shop building, on the north wall in the closet adjacent to the body shop break room. System 2 The alarm box is located in the Parts Department on the bottom floor, on the south wall near the door going into the Main Shop. System 3 The alarm box is located on the north wall of the phone room off the Main Shop Service Drive. System The alarm box is located in the Paint Shop, on the north wall outside the painter's office. System 5 The alarm box is located in the Main Office area, in the utility closet with the sliding doors across from the Credit Offices. System 6 The alarm box is located in the Reconditioning area, in the supply room, east of the office on the east wall. System 7 The alarm box is located in the west bank of body Stalls, in thc second stall from the north on the north wall. There must be 3 people assigned to each system to respond in case of fire or if the alarm box needs some attention because of a false alarm or other malfunction. The following people are assigned to the various systems. Tel-Tee will call the people in the order they appear on this list at the listed phone numbers. If these phone numbers are not correct, please notify A1 Augustine. System I System 2 Larry Blevins 392-9744 Barry Hopfe 393-7755 Bob Holston 588-7935 Chuck Manzer 631-1451 Bob Holston 588-7935 Dan Hay 832-2801 System 3 System 4 System 5 System 6 System 7 Mac Mathis 872-4249 Burley Gentry 834-6051 Bob Holston 588-7935 Larry Blevins 392-9744 Barry Hopfe 393-7755 Bob Holston 588-7935 Al Augustine 664-8874 Jerry Cook 66a-91 64 Dan Hay 832-2801 Bob Reed 399-0708 Bob Holston 588-7935 Al Augustine 664-8874 l~trry Blevins 392-9744 Barry Hopfe 393-7755 Bob Holston 588-7935 When an alarm has to be cleared, the following procedure should be followed: 1) 2) 3) 4) Open the red alarm box of the system where the alarm is located. Reset the alarm by pressing the following buttons in this order: · Silence - Enter * Re..~t - Enter · Clear Memory - Enter This should reset the alarm. Close the alarm box. Attached is a layout of the dealership with the various systems identified. The locations of the various system alarm boxes are indicated with a rea dot. Familiarze yourself with the system and these instructions. If you have any questions, please refer them to A1 Augustine. If you have any problem call: Tel Tee 832-8204 A1 Augustine 664-8874 February 9, 1999 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICE~ 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 3263951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Jim Burke Ford 2001 Oak Street Bakersfield; CA 93301 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. Sinc%5)Y, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE 5' q' q' ~/ Section 2: Underground Storage Tanks Program [] Routine [] Combined ~oint Agency [~ Multi-Agency [] Complaint [] Re-inspection Type of Tank ~ F¢$ Number of Tanks Type of Monitoring ]WO Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fbes current Certification of Financial Responsibility i/ Monitoring record adequate and current Maintenance records adequate and current V 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 7 Adequate secondary protection J Proper tank placarding/labeling 4//` / Is tank used to dispense MVF? ~/ If yes, Does tank have overfill/overspill protection? C=Compliance /7 V=Viol.ation Y=Yes N=NO Inspector: ~,- Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy 5643 BROOJCB ~ BAr. JJ~BF'Trr_~, ~_,K. 93308 (805) 392-868'7 Monitor Certlflt~tltm ln.qneetirm JAN 8 1999 PASS__Y,__ ~'~L K'~DB.08TAT'~C PAS8__ PAZL._~ N/A %/%. Z, ZZ~ PRZSSZ~I~ PAOli ~: FAZL , , N/A_ razz, .... x/A .~_ . ~ ~O]~'~)]l ]:ii ~ Or~' 0~, Z:H ~ DOB8 TK.B