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Home My WebLink AboutUST REP. 6/13/2007i ~ ~/ K `/~ ~ ~' ~ ~ I T __ _ -. __ - - - - ~ (UNDERGROUND STORAGE TANKS) FILE # OSWELL LIQUOR & MARKET - ~ 100 S. OSWELL STREET - -- 1. ~~l ,.~ i~ i'ssued by: Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID # 015-021-00919 OSWELL LIQUOR LOCATION TANK 015-000-000919-0001 015-000-000919-0002 b'15-000-000919-0003 015-000-000919-0004 015-000-000919-0005 100 · S ,~{~ZA RI)OUS~UBSTAN~E PROPANE ~';-.' ~ DIESEL , None . i This hermit is issued for the f°llowinw :PI. Hazardous Materials plan ' , ' '~E~ Underground Storage of Hazardous Materials [] Risk Management Program '[] H.-~rdous Waste On-Site Treatment <, 93307 PAN MONITORING GASOLINE GASOLINE Bakersfield Fire Department, i OFFICE OF ENVIRONMENTAL SER vICEs 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice ~,(661) 326-3979 ~ FAX (661) 326-0576 Approved by: Expiration Date: Office o f Ev~ervices "'"" Issue Date 'June 30. 2003 Z ~ ~~ MONITORING SYSTF;M CERTIFICATION For Use By .~fll Jurisdictions Within the State of California Authority Cite& Chapter 6 7, Health and Sufety Code; Chapter 15, Division 3, Title 23, California Corle ofRegulations "Phis form must be used to document testing and servicing of monitoring equipment. A sP~arate certification or report must be prepare for each tnonitorin~ system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this farm to the local agency regulating UST systems within 30 days of test date. A. General Infortnatiou Facility Name: OS~Lt- t-~Q1>r~-2 Bldg. No.:T _ Site Address: IGYJ S~ C?~~Et_~ `-~~ City: ~q I~~IR~~=iEL~ Zip: Facility Contact Person: _,~y,~~ t•t~ Contact Ahone No.: (_~ Make/Model of Monitoring System: TZ- - _ Date of Testing/Servicing: ~/1,~/~ $. Inventory of Equipment Tested/Certified INSPECTOR ON-SITE: YES/~Q'~IAME: (,h rrl: fhe annrnnri afe hnzrc rn indicate cnerific enuinment insnec[ed/se n~iced: -- ...._ -r, _ ~ - Tank tp: UAL g' rank !D: vt.1 L X ~Hc~ 1PLX.T In=I'.+nk Gauging Probe. Model: ~~C-Z ~ tn-Tank Gauging Probe. Model: C _ Annular Space or Vault Sensor. Model: `'la6 ~ AnnularSpace or Vault Sensor. Model: ~~ a0 (.SPLZ-C~ ~ Piping S[imp/Trench Sensor(s). Model: ~(~~ ~ Piping Sump /Trench Sensor(s). Model: _-~(~ ~ _ { ^ Filf Sump Sensor(s). Model: ^ Flll Sump Sensor(s). Model: '~ Mechanical Line Leak Detector. t\Qodel: ___fli~~: IAt-I~ET ~fvtechanical Line Leak Detector. Model: _L E`~ ~~~1 ^ Electronic Line Leak Detector. Model: O Electronic Line Leak Detector. Nfodel: ^ Tank Overfill /High-Level Sensor. Model: ^ Tank Overfill /High-Level Sensor. Model: ^ Other (s ~ecif e ui ment [ e and model in Section L on Pa e 2). ^ Other (s eei e ui ment pe and model in Section E on Pa e 2). Tnnk tU: ~QE!'J7 11 rsPt-~ i~ Tank ID: ~~- ~~ ~ ~9 In-Tantc Gauging Prole. Model ~n~ ~7 ~ In-Tank Gauging Probe. Model: /I7AC-r ~ Annular Space or Vault Sensor. Model : 'y~J fap_~~.?~ .~ Annular Space or Vault Sensor. Model: G ~' Piping Sump/Trench Sensor{s). Modol: a~ $ ,1~Piping Sump / "French Sensor(s). Model: ~6~ Q Filf Sump Sensor(s). i~fodel: ^ Fill Sump Sensor(s). Model: ~-Mechanical Line Leak Detector. Model: ___.~_E~ ~./~1G16~ T _ __ ~ Mechanical Line Leaf< Detector. A4odel: ,~QG`~ Ufa (J~t.7-_ ^ Eleclraiic Line Len!<Detector. Model: ^ Electronic Line Leak Detector. Model: ^ "hank Overfill /High-Level Sensor. Model: O Tank Overfill /Nigh-Level Sensor. Model: ^ Oehcr (specify equipment type and model in Section E on Page 2). ^ Other (specify equipment type and model in Section 8 on Page 2)T Dispenser ID: ~-a __ _ Dispenser !D: 3- ~'~_ J Dispenser Cun4rinment Sensor(s). Model: ^~J s ___ .[Dispenser Containment Sensor(s). Model: ~ hear Valve(s). __ ,~Sltear Valve(s). ^Dis onset Containment Floats and Chaint~ ^Dis enser Containment Floats and Chains . Uispeuser IU: _ s ~ (p Dispenser 1D: -7~~ 1~ Dispenser Containment Sensor(s). lvtodel: ao~ Dispenser Containment Sensor(s). Model: ~ $ .-Shear' Valve(s). Shear Valve(s). ^ Dispenser Containment Float{s) and Clrlin(s). ^Dis enser Containment Float(s) and Chains . Dispenser ID: Dispenser IU: 4 ^ Dispenser Containlnen[ Sensor(s). Model: ^ llispenser Containment Sensor(s). Model: ^ Shear Valve(s). O Shear Valve(s). ~ Ollis enser Containme t Fl at ) d Ch i p n o (s an a n(s). ^Dis enser Containment Floats and Chain(s). •lt the tacility contains more tanks or dispensers, copy this form. Include information for eve+y tank and dispenser at the facility. C. Cel-tlfiCatlOn - 1 ceriity that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certit'ication is information (e.g. manufnclurers' checklists) necessary to vet-ify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy ol'the repo~rt~;~(checknl/that apply): System set-up ~Alarrn history report Technician Name (print): V"7~==-L~UnJ /~lA_S~^y Signature: ~~ Certification No.: _~3~/ ~'3~ License. No.: _ ~2.e~~`~'y- y r Testing Company Name: RICI-I ENVIROiVMENTF,I. Phone No.: { 661 ~ 392-5687 ~T_ Site ~lcldress: /(~j ~ ~,51„~ C.,f_(_ ,~ 1 ~~~(~~ `,X~~~ ~ Date of "I'estin Servicin --,F- t ~ g ~ l1~1~~_ Page I of; 03101 ~4onltoring System CertiFication t .... .. .. _. - -. _.. l V' v ~ l D. Results of Testing/Servicing Software Version Installed: ~o~ ~ • d `~ Cmm~lefe the followinP checklist: _ _ __ __ - Yes O o !s the audible alarm o erational? ~, Yes O ° is the visual alarm o erational? ,~Ycs Q ° Were all sensors visually ins ected, functionally tested, and confin-ned o erational? Yes O o Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ^ Yes O ° If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) N/A operational? Yes D o For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment O N/A moniroring system detects a [eak, tails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all rhal apply) ~`Surnp/Trench Sensors; ~llispenser Containment Sensors. Did you confirm positive shut-down dire to leaks and sensor failure/disconnection?,~-Yes; ONo. ^ Yes p + ° Far tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no i ~N/A mecharzicat overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operatinh properly? Ifso, at what percent of tank capacity does the alarm trigger? ^ es~ k~No Was any monitoring equipment replaced? ]f yes, idemify specific sensors, probes, or other equipment replaced and list the manufacturer na;ne and +nodel for all re lacement arts in Section E, below. ~~,$~ es; O No Was liquid found inside any secondary containment systems designed as dry systems? (Check al! that apply) O Product, J~3-Water. !f os, describe causes in Section E below. O Yes l7 o Was monitorin s stem set-u reviewed to ensure ro er settin s?Attach set u re orts, if ap licable ^ Yes d o` Is al! monitoring equipment operational per manufacturer's specifications? " In Section L below, describe how :~ntl ~rlreu These deficiencies were or will be corrected. E. Comments: L1a~~'1 t.~R!~l~=o~...i1 .,~ ^~ ~I~F ~ l Jrz;~~i-J ~~MP. L1~~ Page 2 of 3 o1i91 l~ s5~ ~. In-Tat~lc Gauging /SIR Equipment Check this box if tank gauging is used only for inventory control. O Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tat~lc gauging equipment is used to perform leak detection monitoring. Com Mete the foltowin checklist• O Yes O ° Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ~ ^ Yes O o Were all tank gauging probes visually inspected for damage and residue buildup? ^ Yes ^ o Was accuracy of system product level readings tested? ^ Yes ^ o Was accuracy of system lwater level readings tested? ^ Yes ^ ° Were all probes reinstalled properly? ^ Yes ^ o Were al! items on the equipment manufacturer's maintenance checklist completed? '~ !n the Section H, below, describe bow and lvlren these deticieneres were or wdt be corrected. G. Line Leak Detectors (LLD) Complete the.followiuQ checklist: ^ Check this box if LLDs are not installed. ,*L~~Yes ^ No` Por equipment star-r•up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A (Check n!! ~/7ar c:ppl~~) Simulated leak rate: ~3 g.p.h., ^ 0.1 g.p.h , D 0.2 g.p.h. ~ Yes ^ o GVere a!1 LLDs confirmed operational ar.d accura[e within regulatory requirements? Yes ^ o Was the testing apparatus properly calibrated? ~- Yes ^ o For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes I ^ r o J~ N/A For electronic LLDs, does the turbine automatically shut off if ttte LLD detects a leak? ^ Yes ^ No For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ~.N/A or disconnected? ^ Yes O o' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions i .~N/r1 or fails a test? ~~ ^ 1'es ^ o Por elecu•onic LLDs, have all accessible wiring catnections been visually inspected? I N/A 1'es ^ o Were ail items on the equipment manufacturer's maintenance checklist completed? (n the Section H, below, describe how,and when these dei7ciencies were or will be corrected. FI. Comments: Page 3 of 3 03101 ~~ $~ Monltorftig System Certification Form: Addendum for Vacuumll'ressure interstitial Sensors LG ib3-i, Enc. I T. Results of Vacuum/Pressure Monitoring Equipment Testing This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this form must be included with the Monitoring System Certification Forrxt, which must bc' provided to the tank system owner/op~tar. The owner/operator must submit a copy of the Monitoring System Certification Form to the local aQeney regulating UST systems within 30 days of test data Model: System Type: PresstuC; ^ Vacuum Manufacturer: Sensor ID Component(,:) Monitored by this Sensor: Sensor Fl~nctionality Test Result: ^ Pass; ^ Fail interstitial Co~TM'~*niCBtioII Tort Result: ^, Pass; ^ Fail Comporent(s) Monitored by this Sensor. ' Sensor Functionality Test Result: ^ Pass;' ~ ^ Fail Interstitial Communication Test Result: ^ Pass; ^ Fail Component(s).Monitored bythis-Sensor: Sensor Functionality Test Result: ^ Pass; ^ Fail Interstitial Communication Tcst Result: ^ Pass; ^ Fail Component(s) Monitored by this Sensor; Sens~Functionality Test itesult: ^ Pass; ^ Fail intcrstitia! Com=~~~n~cation Test Resulir ^ Pass; ^ Fail ' Component(s), Monitored by this Sensor: ' Sensor Functionality Test Result: ^ Pass; ^ Pall Interstitial Communication Test Result: ^ Pass; ^ Fail Compoaent(s) Monitored by thls.Sensor: ' Sensor Functionality Test Result: Q Pass; ^ Fail Interstitial Commttaication Test Resu1C ^ Pass; ^ Fail Component(s) Monitored by this Sensor: Sensor Functionality Test Result: ^ Pass; ^ Fail Interstitial Cammusucal7on Test Result: ^ Pass; [] Fail Component(s) Mottitared by this Sensor: Sensor Functionality Test Result: []Pass; ^ Fnil .interstitial Gotnmuuication'TcsCResult [] Pass; ^ Fail Component(s) Monitored by ibis Sensor: Sensor Functionality Test Result: ^ Pass; ^ Fail interstitial Communication Test Result: ^ Pass; ^ Fail Component(s) Monitored by this Sensor: Scasor Functionality Test Result: ^ Pass; ^ Fail Interstitial Communication Test Result: ^ Pass; ^ Fail How was interstitial comrnuulcation verified? ^ Leak Introduced atFar End of lutersfitial Space;' ^ Gauge; [] Visual Inspection; .© Other (Describe ut Sec. /, below) Vacuum was restored to operating levels !v ail interstitial spaces: ^. Yes ^ No (~fnn, describe in Sec. J, below) J. Comments: ~T`-' _ /~~ A ~~ ~n~S i f~ Lt.._~1~ ~'}" Tt f .-}-..5 `Z~ \ ~, . Page of ~ If the SCDS!)f Sl10003Sftaily detects a simulated. vaeuurn/pressure leak inU~oduced in the interstitial space at tbo furthest point from the sensor, vacuumipressurc has been dcmonstr-ated to be comcnunicatu~g throughout the irtterstice. ~ ~~~ Monitoring System Certifcation UST Monitoring Site Plan Site Address: /UO S. ~.S LJ ELL ---------------~-~-^i~L`7~~--L~~. ------------------~-_ -=- ====~ r-Ls =-=-===========-----================== = -------------- ------------_------------------------ -r -------------- ------- -~rr,~ - - ~ -- - - -------------- ------------ ------ ------ - --- - ----•_------ - -----------. ..---- ---_ n -- - - --------------------------- -- - - - s -- - ----------------------- -=~ --- -~ ~h - -- -------------------------~~'rP _ t~cvn - l.t rvN - - - - - - - - - - - - - - - - - - - - - - - - - - - - r- - - - - - - - - - - - - - - - ~ ~ - - - - Date rn~~p was draw:t: ~/~/Qz 7n~"-actions If you already have a diagram that shows all required information, you may include it, rather than this pate, with your Monitoring System Certification, C?n your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser parrs, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid Level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. page ~ of__~__, os~oo /~~g~ ~~~ 5643 RR.OO~S ~x 13:A.KERSF'~ELD~C.A.93908 oF'k'TCE (661) 39~-66$7 & F,~ (661132-p623 H~L7.~,BS,~LE:S'~S"l'OR 'I'E3't y~tC1RK S~~~rn I. w/a#: Fae:i.lity ATa~.ez Q.`~~.J~~l_ ~rc.~U~,2 1 Fac:l.~.i~y A.c4.d:x•~t~s; /oU 5. LF-St,.1cL~ 5'~•.~i~1~~tZSF~.GL,D,4~____-~_,~ Proc;luct Litre ~'yp~ {pressure., Suctfazt, (3x'avity) ~«ya2C f P,R(:)zl't7CT Z,F:1~K DE.T'EC2'OR `I'~?J?,~ T `T'EST TRIP P,~6S'; s~z,A,z, ~uus~R &ET.OW Pax Qlt -- L/D "S'x'PE ~'F~ ~1P,C-fo~._?,.. .A, j ~7 3~~2zAI~ $~I1~cLI{14tiiTCA~- t~0 )a. FASL .L/~ 2'SCBS ~ ~~Jfi ~L 6 r ~ ~- l ' r S.R~2T.A,~ #~t~-~A~~c~.~- .ND `~ --- t FATL , S~RT..A.L ~ t'1~6GHR~1uJ{L- kiD l~ NATL. D1~C_ ._. L /n Tx~n~ XJ•:S YA9S Z certify the above re:~ts were cdzaducf:ec.3 on Chia data acaozding to Red ,:tac]r;eG puzm~s field test: appa.rat-us test:~.ng px'ocedux~e era limita[1ons. T~i•:: Mer_hanir.a7. .Leak Deirect.or. `.f.'4gt. pass / fa.i]. is detexmizzed ley using a lour flaw th.res2ZgJ.~ trip rate o:C 3 gallozY per hGtur or leas at 14 BSI. i ~ekn.owleage t:l~.at z). J. data collected fa true and coxraot: to the bent of rrf~ knowledge . sigzze,ture ~=-~- pate; OCR - /3-0? ~~~. 1 IlaSS'Ff SWRCB, January 20~ Spill Bucket Testing Report Form 'This form Lr intended for use by contractors performing annual testing of UST spill containment structures. •The completed form art printouts from rests (rf appl/cable), should be provided to the facilily:owner/operatorfor submittal to the local regulatory agency. 7. FACILITY INFORI!'IA'I'IOIV •'. Facility Name: ~u, ~ .~.-c~ v Date oi`Testing: lv -1 Facility Address: /pp ~5 • o,S~J E w r KG~`~sEl,~ U't Facility Contact g Y Phone: I - 8lv 1-9"7 9 Date lacaf Agency Was Notified of Testing :. ' Name of Local Agency Inspector ({fpresent during restinyJ: /Vpnr E 2. TESTING CONTRACTOR INFORMATION Company Name: ~.{ ~~~ ~L: . .Technician Conducting Test: ~eA ~J ~on1 t~cY-~ Credentials!: CSLB Contractor,. C Service Tec . SWRCB Tank Tester Other (Spec) License Number(s): 'a.g v - v i 3. ~PIY.L BUCKET TESTING INFORMATION Test Method Used: stab Vacuum Other Test Equipmen( Used: V~ v A L ~ Equipment Resolution: Identify Spill Bucket (By Tank' Number, Stored Product, etc. 1 g 7 - 2 7 y:.. P tip nl 3 g 1 4 l~7~ ES ~ t-- BucketInstallation Type: irect Contained in S ucc Contained in Sum irect B Contain um neck B Contained in Sum BucketDiameter: /~ •' ~~ ~ ~ ~, ~ ~~ •. 13ucket laepth: ' ~ ~ (y , ~ ` ~ " Wait time between aPP1Y~g vacuum water and start of test: ~ /1'7 ~ /1'?.T~ (~ .£".~ U/Yl L~ Test Start Time (T'~: .' p ~~ ~ /'~ /rl ~~ 3Cj l° Initial Reading{R~; . y,~ ~,~ , .~ 8,, Test End Time (Tp): ~ •3p PM prt a ~ c3o PM. ; 3o P Final Reading (RF): 9 ' ~ 9 " 9 ~a, ~ • -8 `~ Test]auration(Tp-T~: yHt2 ~ ,lfl2 //7'2 ~ Change in Reading (RF-Ril: ~~ ~ i t ~ .. Q ; ~ PasslFai! Threshold or Criteria; U ~ ~ ~ { ~ , ~ c ~ ~ ~ t Comtuents - (include information on repairs made prior to testing and recommended~llow-up forfailed tes~ CERTIFICATION OF TECHNICIArI RFSPOJVSIBLE FOR CONDUCTING TII7S TESTING I hereby certify that all the infornrativn contuirted in this report is true, accurate; and ire full compliaxce with legal requirements. Technician's Signature: =~"'~ Datt: ~ v~-.•~'~? ~ State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. PER I OU I C TEST 'J~`t#~Q d U SOF"fWARE REVISlGIV LEVEL COMMUN[CATIGN~ SETUP STANDARD VERS I O1V 123 , U2 _ _ _ _ _ - - - - - - - ' ANNUAL TEST. FAIL SUFTWAREq 346123-100-C ALARM DISABLED CREATED - 0'2.11.25.15.17 tV0 SOFTWARE MODULE PORT SETTINGS: pERI0UIC TEST FAIL SYSTEM FEATURES: (NONE FOUND ALARM DISABLED PERIODIC IN-TANK TESTS GROSS TEST FAIL ANIVUAL I N-TAIVK TE.~TS ALARM DISABLED RS-232 ENU OF MESSHG E ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF DISABLED TAIVK TEST NOTIFY: UFF ThJK TST SIPHON BREAK:OFF DELIVERY DELAY 3 MI1V SY5TE1°I SETUP PUIhP THRESHOLD 10.001 JUN 13, 2067 -5:32 Phl JN-TANK SETUP SYSTEhI UPJ I TS - - - - - - - - - - - - U.S. SYSTEM LANGUAGE ' T 1:87 Uh1LEAUED ``ENGLISH PRODUCT CODE 1 SYSTEM UATEiTIIhE FORMA"f THEkf°tAL CGEFF ~ .0 00700 MON DD YYYY HH:MM:S~ xh1 TANK. DIAMETER ~ 95.50 1 PT T 2:B7 UNLEHDED OSWELL LIGUGR 1'HNK PROFILE FULL VGL : 1U152 FRODUC:T CODE 2 100 S.OSWELL THERI°lAL CGEFF :.000700 BAKERSFIELD.CA TANK DIAMETER 95.50 661-861-9769 FLOAT SIZE: 4. 0 IN. TANK PkOFILE 1 PT FULL VOL 5064 SHIFT TIhIE 1 DISABLED WHTER WARNING 2.0 SHIFT TJME 2 : DISHbLED HIGH WHTER LIMIT: 3.0 FLOHT SIZE: 4.0 IIV SHIFT TIME 3 DISABLED , SHIFT TIME 4 DISABLED h1AX OR LABEL VGL: 10152 50% WATER WARN I IVG 2.0 TAIVK PER TST NEEDED ~6JRtV GVERF I Ll. L I h1 I T 913E HIGH 6JATEk LIh1JT: 3.0 DISABLED HIGH PRODUCT 95% 9644 MAX OR LABEL VGL: 5064 TANK ANIV TST NEEDED WRN D15ABLED DELIVERY LIhiIT 25% OVERFILL LIMIT 90% 2538 4557 L I IVE RE-ENABLE f°11rTHOD H I GH PRODUCT 95 % PASS LIfVE TEST LOW PRODUCT ~ M L I I°11 T : 15 99 4810 DELIVERY L I t°1I T 25% LINE PER TST NEEDED WRtV LEAK ALAR SUDDEN LOSS LIh1IT: 99 1266 D l SHBLED TAIVK T I LT 0.00 00 0 . LOW PRODUCT 500 LAVE ANN TST (NEEDED WRN PROBE OFFSET . LEAK ALARI°I L I hl I T : 99 DISABLED SUDDEN LGSS L I I°1 f T: 99 PRIJVT TC VOLUMES SIPHON NIANIFOLUED TANKS TANK TILT O.UO ENABLED Tq: NONE PkOBE OFFSET 0.00 L I NE h1A1V I FOLDED THIVF:S TE1°1P CGhiPEIVSAT I GN Tq: NONE SIPHON hIANIFOLUED TANKS VALUE (DEG F ): 60.0 Tq: NONE STICK HEIGHT OFFSET UISHBLED LEAK IHIW PERIODIC : Oi LINE MANIFOLDEU TANKS DAYLIGHT SAVING TIME 0 T#: NONE DISABLED LEAK MIN ANNUAL : 0% 0 LEHk: MIN FEkIODIC: 0%~ . 0 SYSTEM SECURITY LEAK !~f I IV ANIVUAL U% CODE 000000 0 CUSTOM ALARM LABELS DISABLED PERI~~DIC TEST TYPE -- STANDARD PERIcSDlC TEST TYPE STANDARD ANNUAL TEST FHIL ALARM DISABLED AfVNUAL TEST FAIL ALARM DISABLED PERIODIC: TEST FAIL ALHRri UISAFsLED PERIUDIC TEST FHIL ALARM D I SAIiLED GROSS TEST FAIL ALARf°1 DISABLED GROSS TEST FAIL HLARM DISABLED ANIV TEST AVERAGING: OFF PER TEST AVERAGIIVG: UFF ANIV TEST AVERAGING: OFF PER TEST AVERAGIIVG : OFF TANK TEST NOTIFY: OFF TANK TEST NOTIFY: UFF TIVK TST SIPHGN &REAK:~FF TIVK TST SIPHON BREAK:UFF DELIVERY DELAY 3 MIN PUf°IP THRESHOLD : 10.0U~ DELIVERY DELAY 3 MIN PUN1P THRESHOLD : 10.001 T 3 : 91 PREM I UN( PRODUCT CODE 3 T 4:DIESEL THERMAL COEFF :. 000700 PRODUCT CODE 4 TANK D1AI°IETER 95,50 THERihAL COEFF :. 000450 TANK PROFILE l PT TANK UTANIETER 55.50 FULL VGL 5064 TANK PROFILE 1 PT FULL VUL IU152 FLOAT SIZE: 4 ,0 IN. WATER 6JARIVIIVG 2.0 FLOAT SIZE: 4.0 [N. HIGH WATEk LIr1lT: 3.0 WATER WARNING 2.0 MA UR LABEL VOL: 5064 HIGH WATER LIN11T: 3,0 UVERF ! LL L 111 I T 90 % (°1AX OR LABEL VUL : f 0152 • HIGH PRODUCT 4557 95; OVERFILL LIIh["t 901 9136 DELIVERY LIMIT 420 HfGH PRODUCT 95% 9644 • 1266 UEL I VERY L I Ih 1 T 25%b LUW PRODUCT 500 2538 LEAK ALARM LIMIT: SUUUEN LOSS LIr1IT: 99 99 LOW PRODUCT 500 TAN}; TILT 0 00 LEAK ALARM LIMIT: - 99 PRUI3E OFFSET , O.DO SUUUEN LOSS LII IIT: TANK TELT 99 0.00 PRONE OFFSET 0.00 S I PHOIV I°IAlV [FOLDED TANKS T#: NUNS SIPHON NIAIVIFOLUEU TANKS L I 1VE N1AN I FOLDED TANKS T a: NONE T#: NONE LINE MANIFOLDED TANKS T#: NONE LEHK M1fV PERIODIC: 0% • 0 LEAK M I IV PER I UD 1 C: 0% 0 LEAK I°1I N AIVIVUAI. 0% • • 0 LEAK I°IIIV ANNUAL : 0% . 0 PERIODIC TEST` ~Qp- STAIVDARU ANNUAL TEST FAIL ALARM DI~~AbLEU PERIUDIC TEST FAJL ALARM DISABLED GROSS TEST FHIL ALARf~t D 1 SABLED AN1V TEST AVERAGIIVG : OFF PER TEST AVERAGINU; OFF TANK TEST fVUTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIIV PUMP THRESHOLD l0, 00% LEAK TEST I°1ETHOD TEST ON DATE ALL TANK JAN 1. l99b STHR'P TIME DISABLED TEST RHTE :0,20 GALiHR DURATION : 2 HOURS TST EARLY ;aTOP:DlSABLED LEAK TEST REPORT FORMAT fVORMAL L1~.7U1U 7ti~~VK .:~t1UY L 1 :87 ANIVULAR TRI-STATE (SINGLE FLOAT) CATEGORY ANIVULAR SPACE L 2:91-B7ANNULAR TRI-STATE (SIrVGLE FLOAT? CATEGORY ANNULAR SPACE L 3:UIESEL HNIVULAR TRI-STATE (SItJuLE FLOAT) CATEGORY! ANVULAR SPACE L 4:87 STP SUI°IP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUIhP L 5:87 SYP.SUMP TRI-STATE (SINGLE FLOAT> CATEGORY P I P I NG SUr°1P L 6:91 STP SUfrIP TRI-STATE (SIrVGLE FLOAT) CATEGORI' : STP SUr°IP L ?:DIESEL STP TRI-STATE (SIfVGLE FLOAT? CATEGORY STP SUf°1P L B:DISP.I-2 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L 9:DISF',3-q TkI-STATE (SINGLE FLOAT? CATEGORY : DISPENSER PAN L10:UISP,S-6 TRI-STATE (SINGLE FLOAT> CATEGORY D I SPEIVSER PAIV LII:UISP,7_8 TRI-STATE (SINGLE FLOAT) CATEGORY ; DISPENSER PAPJ OUTPUT RELAY SETUP R 2:91 SHUT-DOWN TYPE: STANDARD hJORMALLY CLOSED L I QU f D SEIUSOR ALMS L 2:FUEL ALARhI L 6:FUEL ALARM L B:FUEL ALARhI L 9:FUEL ALARM L10:FUEL ALARM L11:FUEL ALARM R 3:DIESEL SHUT-DOWN TYPE: STAPlUARU NGRh1ALLY CLGSEU LIQUID SENSOR, ALMS L 3: FUEL HLARNI L 7 :FUEL ALARhI L 9 :FUEL ALARr~i L11:FUEL ALARM RECONCILIATION SETUP AUTONWT I C DAILY CLOS I hJG T f ME : 2 : 00 Ar°1 PERIODIC RECONCILIATION h°IODE : MONTHLY TEMP C0NIPENSATI0N STANDARti HUS SLOT-FUEL METER TANK TANK MAP E!°1PTY ALARI°1 H I S'COkY REPORT ---- I N-TAPJK ALARI°1 -°--- T 1 :87 UIVLEAUEU OVERFILL ALARM tVOV 2. 2006 12:54 Ft~1 SEP 3. 2005 1 :52 Ff~1 OCT 5. 2004 10:52 Plh HIGH PRODUCT ALARM NOV 2, 2006 12:56 PM SEP 3. 2005 1:54 PM FEB 19, 2004 8:18 PM I tV11AL 3 D FUEL LEVEL NOV 16. 20u5 3:41 PN1 FIAY 20, 2005 1:15 PM SEP 16. 2003 6:43 PfH PROBE OUT MAY 20. 2005 8:55 AM MAY 20. 2005 7:48 ANi DELIVERY NEEDED JUN 13. 2007 5:22 F'f°I JUN 7. 2007 6:25 AM JUN 3. 2007 11:16 Ahl N1AX PROD UCT ALARM SEP 3. 2005 1 .56 PI~1 APR 21. 2003 1:01 PM ;~ ~ .. ~ END ~ * x ~ ~ i ALARM HISTORY REPORT ---- IN-TANK ALARM T :_' : d7 UfVLEADED OVERFILL ALARM SEP 3, 2005 3:09 PM JUL 26, 2003 6:10 PM LOI~J PRODUCT ALARM JUN 5. 2007 3:38 PM h1AY 31. 2007 2:29 PM FEB 23, 2D07 5:37 Fhl HIGH PRODUCT ALHRM JUL 26. 2003 6:11 PM JNVALID FUEL LEVEL JUL 2, 2003 4:29 Ph1 HF'R 8, 2003 2:30 Pt~l FRObE OUT NIAY 20. 2005 5:55 AM MAY 20. 2005 7:20 HM ALARM HISTORY REPORT ---- JN-TANK ALARM T 4:DIESEL LObJ PRODUCT ALARhI JUN 13. 2007 2:56 PM JU1V 5. 2007 1:51 PM MAY 1&. 2007 1:20 PM INVHLIU FUEL LEVEL MAY 18. 2007 6:55 F'M APR 27, 2007 6:07 PM APR 19. 2007 5:24 AM DELIVERY NEEDED NOV 3, 2006 11:45 AM OCT 27. 2D06 11:11 Al°I OCT l0, 2006 12:06 PM DELIVERY !NEEDED ..wJUN 7. 2007 1:01 Pt~1 JUIV 3, 20D7 2:49 PM !HAY 31. 2007 7:03 PNI ~: ~ ~ x EPJLi ~ ~ ~ x ~ ALARM HISTORY REPORT ---- IN-TANK ALARM - T 3:51 PREMIUt°1 OVERFILL ALHRhI h1AR 24. 2007 2:12 AI't LOW PRODUCT ALAkt~l h1A'I 5, 2007 3:00 Phl FEB 23. 2007 12:59 Phl NOV 26. 2006 5:51 Pt°1 HIGH PRODUCT ALARhI NIAR 24. 2007 2:13 At°1 INVALID FUEL. LEVEL SEP 10, 2006 ?:37 Pt°I i°{AR 23, 20D6 5:59 PM UEC 25. 2005 6:32 PM PROBE OUT 1°lAY 20. 2005 8:28 AM DEI, I VERY !NEEDED MAY 31 • 20D7 4 : ! 0 PI°1 MAY 2p- 2007 ! 1 :27 At~1 NIAY 11. 2007 5:07 PM :~ ~ x x ~ END ALARf°1 HISTORY REPORT ------ SENSOR ALARM ----- L 1 :87 ANtVULHR AIVIVULAR SPACE FUEL ALARM JUN 13. 2007 1:45 Ph1 FUEL ALARM JUN 14. 2006 10:54 Ah1 SETUP DATA WARiVItVG NIAR 1 D. 2006 3:47 PIH ALARI°! HISTORY RE~O)~$' ---.-- SENSOR ALHRM --- L 2:51 -87AtViVULAR ANNULAR SPACE FUEL ALARM JUN i3, 2007 1:44 PM SENSOR OUT ALARM JUIV 14. 2D06 11 :13 AM SEfVSOR OUT ALARM JUN 14. 2006 11:11 AM * ~ ~ * EfVD ALARI°I HISTORY REPORT ----- SENSOR ALARM ----- L 3:DIESEL ANNULAR ANNULAR SPACE FUEL ALARM JUIV 13. 2007 1 :47 Phl FUEL ALARI°I JUN 14. 2006 10:55 AI~I FUEL ALARM JUN 6, 20D5 2:20 PM * ~ ~ x ~ EfVD ~ ~ x ~ x ALARM HISTORY REPORT ----- SENSOR ALHRth ----- L 4:87 STP 5Uh1P STP SUMP FUEL ALARhI JUN 13. 2007 1:41 PI°1 FUEL ALARM JUfV 14. 2006 10:40 AM FUEL ALARM JUN 6, 2005 2:2! PM ALARf°1 H I STOR`1 REPORT -- SENSOR ALHRhi ----- L 5:87 SYP.SUMP P I P I Plc; SUl°1P FUEL ALARf°1 JUIV 13, 2007 1 :42 PM FUEL ALARM JUIV 14. 2006 10:4'3 Hhl FUEL ALARM J WV 6. 2005 2:22 PM ri ~ ~€ * x ENU x x ~ ALHRIH HISTOR`I REPORT ----- SEP~SOR ALARM ----- L 6:91 STP SUhIP STP SUf1P FUEL ALARh1 JUfV 13. 2007 1:43 PM FUEL ALARM JUN 14, 2006 10:46 AM FUEL ALARhI JUN 6, 2005 2:'~3 PM * ~ * # EIVU l~ ~~ ALARM HISTORY REPORT ----- SENSOR ALAkh1 ----- ALARh1 HISTORY REPORT L 8 : D I SP . ! -2 DISPENSER PAIV -- SENSOR ALAkhI -- FUEL ALARNI L10:DISF.5-6 JUN 13. 2007 1:56 PNi DISPENSEk PAN FUEL ALARI°1 FUEL ALARM JUIV 13. 2007 1 :5b PI° JUN 14, 2006 11:27 AM FUEL ALARh1 FUEL ALARM JUN 14. 2006 11:28 AM JUIV b. 2005 2:30 PM FUEL ALARM JUN 6. 2005 2:30 Phl ~ * ~ ;r ENU ~ ~ ~ ~; ~~~*~ENDx z~~ ALARI°1 H 1 STORY REPORT ----- ~aENSOR ALARM ----- ALARhI HISTORY REPORT L 9:DISP 3-4 . DISFEIVSER PAN ----- SENSOR ALARI°1 --- FUEL ALARM L11:DISP.7-B JUIV 13. 2007 1:55 Pl'1 DISPENSER PAN FUEL ALARhI FUEL HLARM JUN 13. 2007 1:51 PM NUV 2. 2006 1 0: G7 Pf°I FUEL ALARM FUEL ALARM JUN 14, 2006 11:29 AM JUIV i 4. 2006 ! 1:26 A!°1 FUEL ALARhI JUN 6. 2005 2:25 PIh * END ALARPI HISTORY REPORT -_--_ SENSOR ALARh9 ----- L ?:DIESEL STP STP SUINP FUEL ALARhI JUN 13, 2007 1:46 PM FUEL ALAkt~i DEC 11. 2006 8:37 AI°i FU)~L ALARP9 JLtIV 14. 2006 10:41 AI`1 `~ 8~~~ MONITOR CERT: FAILURE REPORT SITE NAME t~5 ~ ~~ L~-C~~G2 DATE• L '/3`~' - - ADDRE S: ~,..L ~- T TECHNICIAN: A ~ ~~ ~ CITY ,~f~ -~ ~ F -~-~ ~ SIGNATUR.E• ~ ---~'~ -- TgE.FOLLOWING COMPONENTS WERE REPLACED/REPAIIZED TO COMPLETE TESTING. REPAIRS ~~ws~ ~..~~5 Ft>U~1'~ T-~ ,~ i E.~E ~ % U~~~- ^' ~ ~~MQ (~~Q IJZn :,JAS ~F:YIuJ~ ~~ i ~.L.~{nl~.tT~!'~ LABOR: ~U i/ ~ PARTS INTALLED: ~o~ E NAME: TITLE: SIGNATURE: THE ABOVE NAbIED PERSON TAh'ES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAII2 TI3E ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVII20NMANTAL FOR ANY NEEDED RETESTING. TffiS ALSO RELEASES RICH ENVIRONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON-COMPLIANCE. A COPY OF TffiS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOUR CONVIENENCE. ,.. i ~.. ~p .s ~ ~- _ ;' ,; .. Vt ,,~.IL~ING 8~ PERMIT STATEMENT t ~ ~~ pA_T.E>~,..._, Bakersfield Fire Dept. PREVENTION SERVICES Fire Safety Services • Environmental Services 900 Truxtun Ave., Suite 210 Bakerstield, CA 93301 Tel: (661) 326-3979 UST/A~PERMIT, TANK TESTING <';" /^~ ~~ s~~ ~ 82 STATE SURCHARGE 86 -~ { - C. TENTS, LPG, FIREWORKS, POWDERlOTHER PERMITS 84 COPIESIREPORTS 89 FOLLOW-UP INSPECTION INSPECTOR: GATE TIME SPENT: CHARGES: J ~ ~"' 1 CHARGES CODE: REASON and DATE FOR INSPECTION: LOCATION OF (INSPECTION: ~'`'} ~'" r,"~.`....~P ~1 i~ f ~ ~ L. ~ ~ ~ ~ ~ ~ w .. ~ .,...... '"' `~ BUSINESS NAME::, r ~'7 '` TELEPHONE NUMi,B,~ER(S): %f 1 BILL TO: PAY BYy:..~,.~ fp ,~q ~ ~ ~, ~~ ~~ ~~ f ~ ~ iy ••1 NOTES: .~ ff - ~`' .. ~~.....~ CUSTOMER SIGNATURE: INSPEC ORlRECENERSI RE:~ f~ ~j ~ ORIGINAL WHRE: FINANCE CUSTOMER: PINK OFFICE: YELLOW FD1 T34 (rev. 12/03) ._ ..1rfirx~~. ~..~;n,~>,:.,...~wt2.::'r~. _..... x~ti _,...c l ~.,~t,53urtiiaa 1.,~.ti,..,c3vam~.-~.a:,asu~.}',~_: vr.~ula:;~i:.8,a... w:~.:S.l~.+~r ..,. ..~ ..n .~ ..~ z~.~~LL. - a... ,. u.M,,.s,_ r ` ,. ~~ PE~~-c~~v~ ~~a~ f Lf~E DES 9 f;~~ ~~t.. (5~' ~ 323-~~? ~~939 SE~~~Vf3AS33' ~C3~i3:~titi~i~~~ ~~STf~G ~. (6C ~ ? 8~2-2 i ;' I3~PJ~ Ti~f-ii-~3ESS ~ES~" .4~t'~ T~ `=E=EO~S'>~ 5`CsEL 3' ~~: ~i~~@T~;"s=via t~E~T1~=~~~-~~~G BCE ' n. PER<v~iT ~O. ~ [~H.aNCEB LEAK DE T EG . ICi~ i ~ LINE TES? INC; ~ SB-939 SECOt~!DA?Y ~;G~~+TAIN~~iEE~J7 T=ST!F:G TAwK TIGH?tiESS ?EST ~ I ?O PEES CRlvi SUE! vi0i`JiTOR1NG CERTi~P; ,'~.- : ~PJ _.INFORN, !G~ _ `FACILITY - - ?~1tSP~Y~ ~: s~?f~%>~~'.l. r~~af..t?~, Ci~;'~~-.nc:.T a_r?„J !„DJRESS ;oti>,~>vE~s ~A!n~ i !Ot~EEf4'T~.ir±S',sf~i~iE Iw'=s^3',7ii IJ~~?E~.-fl.`E:`Jc^~. - - U~rBER OF T.a.NKS T O BE TCSTEG 'T! AE~~` ri ~C}L~fir`!E ! U~f<i S E€~I € 5 ,U__ ~ V Y a of I ~~ _ -- - - -_ - --- ~kli 1 T STi C .,~1ie?P~3[lY" 4J15[df OF TEST1t~G Cdh4PANV ~ ii~fAi'a'~E !-r' `.J~.++~i'`>' 7I4~j E~ vi c^,'vt\ 3 A'~ E t'- RSJh i( -~ _____- ~0/~.Lt?iMp .n /flnltn.il .~~OA tNtQn~. • t~x.C L UJtnn.r.,~ ~1ltAenn~ l.,i~f,. ~~CL.-1„q~ ~ f~ b ~ 15 ~ ~ ~_~~d CA ~~3c5~ AQE P'rt.0[VE gtiu?JIEER oi= TES 7 EP Oz* S~CiAL f sPECTO~ CER T I~IC:?,T!o!v =: ?B Tl~tiE TBST ~'O S~rrJ~~t1C! E~ jiCC ~`: CBS? g~ET3-40C ~~e~ ~ t boo ~ 3 : eo {'/~'L Say{ ~ a ~ ~ -° ~T ~9-K-t.e,.. ~!~.ic'TUBc G€= ~ L1CAltiT F ATB +'"' ~jg ~g {°p,g pu j~~g° P'~~.,g (~~3 ~S t~ y~~t(l - @fp~o-5o, pJp g~g°p q'9 ~^/'p,y gq - -__ _._.____._ _. _.__._,__ ~SI #!_~ .P~S~`A'~.~6.?t°6E ~~'!d a'.3~: ~y~~i~!.C~.a? F°'F:. E"~.~rV~.~ ~I YN~:!<:.5.~. X32: '. ~""? b~$ 6P~~S'Fl _ ... __..___.. _.. _____.. _.._,. PROVES BY DA?E. FD2i05 ,} 4' Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B e R s F , 0 90oTruxtun Ave., suite 210 r_____.__ _e __._____ __ _ ~ _____ = =_ _ __ _ _ _. _~___,T.~ _ _v . ~ {; - -FIRE _ ___ Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~~ ARTM t Tel.:. (661) 326-3979 - ~ Fax: (661) 872-2171 FACILITY NAME INSPEC ION DAT INSPECTJON TIME } C~ S w c u L e a v~,o,2 ' r~i~e~E ; i v~z7 0 6 ./ 2 ADDRESS PHONE NO. NO OF EMPLOYEES Ioa s os~~~~, s%r ~ 1~ - -6S ~ FACILITY CONTACT BUSINESS ID NUMBER 15-021- ~` - , -Sec#ion 1: Business Plan an~i inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPE N C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS „~.. ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS dr -utl ^ VERIFICATION OF QUANTITIES ~ ®/~ (, ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL qq~~,, 1 ICJ ^ VERIFICATION OF MSDS AVAILABILITY D~, ^ VERIFICATION OF HAZ MAT TRAINING yy -LSD ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES V ~I ~~^ EMERGENCY PROCEDURES ADEQUATE ` J( ""\\ ~ ^ CONTAINERS PROPERLY LABELED ~ ~ E ~ ^ HOUSEKEEPING yy Ll~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ^~1Qj QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~' ' ¢~ Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05. - ~'' ~ :. INSPECTIONS H E R S F I L D BUSINESS PLAN & ~ rM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME:©SwC~~ Lt Cxlfld+~- ~ rvweKrr' INSPECTION DATE: ~~~ Section 2: Underground Storage Tanks Program ^ Routine ^ Combined ^ Joint Agency ^ Multi-Agency ^ ~ pl 'nt ^ Re-Inspection Type of Tank ~`'~ ~;a~~ C~~ Number of Tanks Type of Monitoring Type of Piping ~R.w=~s„- ~ 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 N Has there been an unauthorized release? ^ Yes ~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity 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 I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: G-~~'~"`` ' "~'~ Questions regarding this inspection? Please tail us at (661) 326-3979 White -Prevention Services :~ BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 Business ite Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) - -"-"1 - .1, . -: ~ :J r -1 : D I ESEL i k t I VER'f f~{EEDELi +_~ i ??. :'UU6 11:11 HM u 1r~WELL LIi~UtrR lU0 S.CrSWELL BF~}:ER ;F I ELLi . C'ti 661-061-9?69 S`fSTE(°{ STHTU'~J REFuR`f T 4 : DEL I IrER''' ('JEELiED I N'v'E(VTti:iR+' REF'GSkT T 1:8? IJ(VLEAL?ELi IIiJLIJ(^1E = 4c49 C:HI..~: IJLLHGE - 59U:_ ~=;ryl...~_; 9U%5 LILLAr;E= 408? i~HLS Ti' ~Ji}Lll(°lE = 4192 C:AL HE I i;HT = 41 .6'~ I (VCHES I,JHTER VC~L- _ - ~ - U iaHLS 6JATER = L! : tJU- I iVCHE S - r TEP'1F' = 78.8 DEG F T '::' : s37 UPJL.Ei=iLiELi 1.liiLUP'IE _ '?'~'U2 iaHLS `. ~ ULLHGE _ '?86'x' GHLS 9U"~ ULL'nC:E= 't355 UFiLt--J Ti_ 11C}LUN1E = 21 ? 1 GHLS j HEIGHT = 42.86 INCHEt~ t+JHTER UuL = U GALS UJHTER = U . UU I NC:HE. TEN1F' = 79.0 DEG F `~li~'irUME ~ = l 8U4 C~ALS ULi~r=~iaE = 3'~6U ~:ar~LS 9U'~~ ULLA!~E= ~?53 GALS TG t~OLUP'lE _, 17?$ GALS HEIGHT = 36.8? INC:Hi:,-, I,JHTER I,+CrL = 2U iaHLS WATER = 1 . ?U I (VCHI:, TE(°1F' _ ?9.6 DEG t ~;,, T'~ 4:DIESEL z.~.~.jLUME = 2413 GALS - IJLLHGE _ ??:39 GHLS ~ 9G`~~ ULLHGE= t.?23 i=,ALS Ti; VULUNIE _ '238? GHLS ~ HEICaHT = 27.44 INCHES ~ WATER VG'L = ~ 0 iaHLS 4JATER = U . Uu I (Vim HE:~ '; TEMP = 83.5 DEG F n* x~ x E(+JLi ~ n x x~ i UNIFIED P~,OGRAM INSPECTION CHECKLIST .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a Prevention Services IIrtI 900 TYuxtun Ave., Suite 210 ~R>rr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ ~ NSPECTION DATE NSPECTION TIME ~ ~~r~ ~ ~w~lC : o ~ . .~~ ~ .® ~ p ~ ADDRESS HONE NO. O OF EMPLOYEES ~J FACILITY CONTACT USINESS ID NUMBER ~ v 15-021- Section 1: Business Plan and Inventor Program ----- ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~'^ BUSlflt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES (~• ^ V VERIFICATION OF LOCATION ^ ~ ^ PROPER SEGREGATION OF MATERIAL -----------------------------_ -- ----___-- VERIFICATION OF MSDS AVAILABILITY - ------- -- -- -- - ,- ----- --- ---- -- - - --- _------ _ ~ _~Q46_ --- -_ -- ----- ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE J~ ^ CONTAINERS PROPERLY LABELED C,~ ^ r`// HOUSEKEEPING ~, ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - _ _ STIONS REGARDING THIS INSPECTION? PLEASE CALL U8 AT (881) 328-3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. ~I05) '~~~~ ~~ ~ ~ ~ ~+~~ \GA y1 - , • ~~: _wF :~gti,~ FACILITY NAME~~>~r~t'll C[TY OF BAKERSFIEI_,D I+IRE DEPARTMENT OFFICE OF ENVIRONII'IF.NTAIL SERVICES UNIFIED PROGRAM [NSPEC'1'ION CNF,CKL.IST 1715 Chester Ave., 3'~`' Floor, Bakersfield, CA 93301 S Z INSPEC"TION DATF, ~~ f`~' Section 2: Underground Storage Tanks Program ^ RoutineCombined ^ Joint Agency ^ Multi-Agencyy~Complaint ^ Re-inspection Type of Tank ~~,c~l~~Al~ Number of Tanks Type of Monitoring _LL[~. Type of Piping ~wA6 t OPERATION C V COMMENTS Proper tank data on file Proper owner,'operator data on file Permit fees cun-ent Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations ~' pp '~^^ Has there been an unauthorized release? YeS !~/."I = No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY' Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file ti~ith OES Adequate secondary protection Proper tank placarding/laheling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: :/I~ID~tJ U`7Y/~- y~ p OfEce of Environmental Services (661) 326-3979 ~~'hitc - P?nv. Svcs. Pink -Business Copy ~~ Business Site Responsible Party r .. r,-,y J ~t l_ 1':?EF=:';' NEEL~EI) 1 t.E :'I . '?006 = :+-+'+ ~t'1 =,I:JELL L I r:il_h_: k 1 ui i '~'Sk:JELL B~};Ek~F I ELLi, i'h rib l --X61-9?F~~-i ,,/' . - FEB ''1. 20Ur=, 11 :Oy ~i~9 i J ! iJTENI C~ThTLit=~ kEF~~'ikT T 1 : L+EL I ti:? Ek''~` P~JEEL!EL:~ T '~' :DELI'':?ER''i' t'JEEDEI! 'i T :3 : LiEL I 5:?ER'i P~JEEL!EIi T 4 : DEL I ~:? EF'''' I'~JEEL!ELi L 1:SETLIF' LihTF; I;,f;=iRPdIP~Ji I f•ri:?EhdT'~1k`~ kEFt~kT T 1 : N? Uh~JLEtiLiED 'art?LLII`9E _ - ~6t iaHL ' ULLl~i;E _ ?S~ k. GALS 'j0" ULLiGE= t~~:U ;r;L:~ T+~' 'v+iLUt"lE _ 'x'258 i~tiL: - HEIGHT = '2b.'~4 Itd!='HE~ I;J~TEk ~ - u . 00 I fViv HF.f-, TEP'1F' = E5 . Cr -DEG F T '~ : a? UJ'~JL'~i;C!ELi SJvLUt°lE = y 1..20? GhL:=J IJLLr";GE _ '~~~5? i_~i-1LS ~ '~0`4 ULL.r',GE= ' ~;5r1 Ur"iLS ' Tip 11ULIJt°lE = 1'~0'= GHLS HE I i;HT = ~? . 50 I i'JCHE '~ 4Jr;TEk '',1t;L = U i;HLS ~ k,Jr~TER = 0.00 I tVi_ HES TEP'1F' = t.5 . ? LiEG F 91 PREI°1I LIP'1 L.IJf"lE = 9drJ iHL +r:. ULLAC:E= .~5? 1 iaHL.~_1 '•~+lLU(°lE - 98'2 i,i-tL,~J' rlr.':C~HT = '3.81 IhJirHES .. ~ .F' = r.5 . ':' LiEG F ~l :DIESEL HEIGHT = 1?. J~ INi_HES 4J~;TER +J~iL = u Gt~LS ~ 6~JHTEk = U . Uu I tVi HES J TEt°1P = ? LI. 1 LiEG F ri x ~. ~ Et'JLi *. ~ n ~ x MONITO~iING SI'STEM GERT~F~CATION For U.re Ry,l/I JurLsdictions l~thin tha State of Cali ornia ~4uthority Ctred.• Chapter 6.9, ffealth attd Safety Code; Chapter 16, Dlvlston 3, Tit a 13, California Cade ojRegulations This form mtut be used to document testing and servicing of monitoring egnipttient. emigrate ca_rtif?~Q~Qr r~ttor* ++m be brans*e~ for each monitariC~n svs~, ¢nrttral tmrtel by else technician who performs the work A copy of thi9 fiDrtn must be provided to the tank system owner/ope::ifltor. T'he owner/ap~rator must submit a copy of this fomt to the Iocal agency twgtileting UST systems within 30 days of test date. A,. Genern! Informat~ont . Facility Nance: ,t~~t~ ~~,t1~. t_!r"~ ~ ~~~ Bldg. No.: Site Address: _ , ;,A ~ City; ~~~,~,~ Zip: Q~~~- Facility Contact Parson: ~t t~ 5[ ~ Contact Phtme No.: (__•__~ Make/Model of M:anitdring System: ~_~i~~ Date ofTesting/Servicing: ~If~l Cl o B. Inventory ~o~f Egee;rpmeAt Tested/Certii<aed r " . d-+~:...~Z ~~- TanklD:,~ 4'S ~ Tank tD: ~ Al iC~ , In-Tank Gauging Probs. Model: ~.~ t~ '~Tn-Tank Gauging Proi;'e. Model: ,-(V1 ~i=Annuisr Space or Vault Sensor. Modrl: _ `~-Annular $paoc or Vault Sensor, Model: T Piping Sump / Trench Sensors}. Modc1: ~Sf ~ Piping Sump /Trench Sensor(s). Madel:~~ q Fili Sump Sensrnl's). Model: ~ O Fill Sump Sensors}. Modal: ~ Mechanical Linc Leak Detecmr. Model: ~'CPiL~ 4 Mechanical L}ne Leak Detector. Model: Q Electronic Line I. oak Detector. Model: _ ~ u [] Electronic Line Leak Detector. Model: O Tank Overfill./ High-Level Sensor. Model: ^ Tank Overfill /High-Level Sensor. Modal: D Other i ec~yi ant and model in Section E on P e 2 . O Other ei ut meat end model in Suction E on Pe e 2 . Tank 1D: ~Fl!'t~~M G} j _ Tank iA: ~~~ L_ Ala-Tank OaugiitE; Probe. Mode[: M_pi_~ -Q~' In-Tank Gauging Probe. Model: MACo _ ~ Annular Space o r Vault Sensor, Model: ~ Si~T ~Aimular Specs or Vault Sensor. Model: 7>'!`Piping Sump / 11ti:nch Sensor(s). Modes: 7~-Pip}ng Sump !Trench Sensor(s). Model: fl f ill Sump 3easas's). Model: 17 Fill Sump Sensor(s). Model: . ~i3-~idechanical Llne ;~.eek Detector. ModeL• ~,,,~ o r•r_r'r Mechanical Line Leak Detector. Model: ~Q' ^ Elrcimnfc Line beak D erector. Model: O Electronic Line Leak Detecfar. . Model: d Tank Overfill / Filgh-Level Sensor. Model: O Tank Ovcrtill /High-Level Sensor. Model: ^ Othu i uit+' ein and model in Section E on P e 2 . ~ ^ Other i e ui runt end model in Section E on P 2 . Dispenser ID: ~ ~ Dispenser ID: ~ a~ _ Dispenser Containment Sensor(s). Model: _~~~ ~~ j~-Dispenser Containment Sensor{s). Modes: id-Shear Valve(s). 9'~hear Valve(s). D Dis 9erConcauunerrt Floa s and Chains . ^ D.Es set Containment Flo sand Chains . Dispenser ID: S~ Dispeoser ID; -}'Sg' . Dispenser Contaitment Sensor(s). Model: _~ ,____ Dispenser Containment Sensor(s). Model: a'j~g ''Shear Valve(s). f3`Shear Valve(s). D Di set Coatainlneat Fioa s and Chain s . ~ R Dis set Containment Flo sand Chains . Dispenser 1D: _ Dispenser ID: CI Dispenser Containment Sensors). ModeL• , 4 Dispenser Containment Sensor(s). Model; L7 Shear Valve(s). Q Sheer Valve(s). QD1Y eraser Containment Plo sand Chains . ^ pis eraser Containment FI s Chaff s . •tr [ne faauty contei.ns more tanks or dispensers, copy this Form. Include infbrmatinn for every tank and dispenser at the 19cility. C. Certitt"iCati~ta - # certify that the squipment fdentilied In NtiT documsnt was inapeeted/serviced in accordance with the manufacturers' guldelinea. At4ched to this Certlftcatlon Is information (e.g. manetLcturers' checklists) necessary to verll~ that this inlormAlfoR is correct sad a :Plat Plaa showing the Isyont of tllonitorittg egalpmeat. For any equipment caperble of genarattng such reports,l have also attached o copJ• of the report; (check af/ that a,~ly): ~Bystem set-up Alarm 8istory report Technician Name (prfnt): ,,t,~c~s;~ Signature: ~ Certification No.. ~_-r~-~!$~>~fol~y~,~ J,icense. No.: Testing Company ]dame: ~~,~.1 ~i lt_Tt'P~r wl rA£~ S i ~_,y,__ Phone No.;~~~~ Site Addrese:.CB~',~~j],~.~~~' ~ir((~,(~t;~~Q,~Q, Date of Testing/Servicing: ~/~/~'1~ Page I of 3 43/01 Monitoring Systeln Certifacation l 3 agS -----~~ D. Results of'l'esting/Serv~ici;ng Software Version tlstalled: ~_~ 1~.......lare ehe IS.t/.....t.... nhs..L.lin.. __.- ._ Yes ._. - -.a ._ ^ l~to' . _.. is the audible alarm o erational? Yes ^ No" Is the visual alarm o eratiaoall Yes ^ o' Were all sensors visuail inspected, functionally tested, and confvmed o~eratiottal? Yes ^ Noy Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro r o eration? Q Ycs D Noy If alarms are relayed to a remote monitoring station, is aI] communications equipment (e.g. ma[em) -N/,~, operational? Yes D No' For pressurized piping systems, does the turbine automatically shift down if the piping secondary corrtahtment O N/.~. monitoring system detects a leak, faits to operate, or is electrically discotmectedl If yes: which sensors initiate positive shut-down? (Check all that apply) ~#Sump/Trencb Sensora;'Ji:FDispenser Containment Sensors. Did u confirm itive shut-down due to leaks a satsor failure/discoanecdon7 ~Yes• D No. Q Yes D No"' For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no `!~ Ni.9. tnechanica! ove~ll prevention valve is insuillad), is the overfill warning alarm visible and audible at the tank fill int s and o eratin ro erl ? If so at what rcent of tank ca act does the alarm tri er? Yes" O Na Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or otber equipment replaced and )ist the manufacturer name and model for all r lacement arts in Section E below. ^ Yes' ~ No Was liquid found inside any secondary conteintnent systems designed as dry systems? (Check all thal apply) D Product O Water. tf es describe cau9es in Section E below. Yes O IQo"' Was monitorin s stem set- reviewed to ensure ro settin ? Attach set w r ifs !i ble Yes O No's Is all rraonitori a ui eat o rational manufacturer's s ifications? '* In Section E below, describe how and when these defieieectG4 were or wilt be corrected. E. Comments:; H~itJ._..~.~22~ ~,~~~ ~p~,~._.:i.f~ ~L~.~ GO+'*'~ ~c~.T A-F~~C2 ~^r . -~~c_ -~'S~~aQ ~ ~~.~c..JAS Rrtb~t..~P,c.F~ ~R 4l /~~s~t~F ____.5.s,~~t= T ti11L D~f~~ >`.1~ _t-}A~J ~ ~1 ~t.~~~r+•.) '~ Air 3S c.J ~F Y TH FjZ~' _ z S ~lc"~ c~',Ai t~ (3E, i'~~Z ~S i-lC~-~ r~L_ ~otZ 7~zS ~IL~ Pag° 2 of 3 03Nlr 1 ~~ F. in-Tank Gmuglag /SIR Equipment; 'Check this box if tank gauging is.used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section mte3t be completed if in-tank gauging equipment is used to perform leak detection monitaning, Com te[e the tolra wrn cnee1c11st: ^ Yes ^ No't Has all put wiring bean inspected for pmper entry and termination, including Fasting fur ground fawitsT O Yes ^ No' Were all tank gaug?ng probes visually inspected far damage end residue buildup? ^ Yes O Noy Was accuracy of system product level readings tested? ^ Yes ^ tVO' Was accuracy of system water level readings tested? O Ycs C3 No' 'Were aLl probes reinstalled properly? [~ Yes _ O No' Were ell items on the equipment manufacturer's maintenance checklist cotnpletedT ' to the Section tl, be18W, 4eSCriOe 110W 8lln Wr1eO mesa UeIlC,lenCteB were or Wltl ne COrreC[C17. G. Line Leak Detectors (LLD): D Check this box if LLDs are not installed. n......1.....1... f..11.,..d......1•ewL11... - _ es a ^ Nv" For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A: (Check al! that apply) Simulated leak rate: ;H-3 g.p.h.; ^ 0.1 g.p.h ; 0 0.2 gp.h. Yes 0 No" Were all LLDs confirmed operations] and a¢eurate within regulatory requiremants7 ~. Yes O Nei'' Was the testing apparatus properly calibrated? ~' Yes O No" Far mechanical LLDs, does the LLD restrict product flow if it detects a Ieak7 0 N/A; ^ Yes ^ Noy For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? /A. ^ Yes ^ No'` For electronic LLDs, does the turbine automatically shut ofir if any portion of the monitoring system is disabled ~N/A, ordiseonnected? D Yes O No" For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions • >~-N/P, or f$ils a test? O Yes ^ No" For electronic LLDs, have all accessible wiring connections been visually inspected? 5d-N/A. ~F-Yes 4 No" Were all items on the equipment tnanttfaeturer's mttlntenance checklist corrtpleted? to tae section tt, below, aesertibe now and When these tleticiencies wars or Witt tae corrected. H. Comments; Page 3 of 3 0301 135 Monitoring System Certification Site Address: l UST Monitotrl~-,~ Site Plan ....... ................. .................. ... .. . :::::::::::::::~:::::::::::::::::::::::::.::::: pli ~ . .~ , . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ .. . Date map was drawn: ,~/~/QJ (~. Instructions If you already hove a diagram that shows all required information, you may include it, rather than this page, with your Monitoring Sysu;m Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the foliowing equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, clispenser pans, spit! containers, or other secondary containment areas; mechanical or electronic line leak detectors; and ir~•~tank liquid Leval probes {if used for leak detection). in the space provided, note the date t}tis Site Plan was prepared. Page of pypp 1 ~~S ~3naser. ~eiE~ ~=~,+~r~~,iRr ~~ii~~t3~y ~.~.~ 5643 BRaQBS CT k?ASCBRSfi~EI~D, CA, 93308 OF'FICki (G61) 392-56$7 6c F',A.X (661) 392-06x1 P'Ul~~13&Nr(e8L`T~_S?~f'TaR "`~Q~ F~c:i.lit~e Name:~~r_1! L"s'1~uOL? ~/0#a k'a~ c :!. ~. ~. Syr ,A~ddx~ ~ a : , l~ 5 •C~~.~r.~t.a-- ~'. tom. A t[-~.1? ~~-~£.c..D_ [ A • Px'gc;(tie~ L~.]r1+e Tx~ (Press'ttze 6uctiatt, ax•avl,ty) ~8(:I~.lC3'CT LEAK Ill?TECT0~2 TXk~k TEST TJ~x$ PABB ss~axa~x. ~acna~R ABLOA~ F$x oIi ~5~" L/n ~x~$ R.~o~cx.~r s~zxz.A.L # sY co~cv ~~ 1 ~ m®s ~A~ L/2? `1'Y'PR~_r~D7~~ s~ztrA~. #~~ ~' S Boa 1 ~ FA88 FATL A2~..~L' L/D TYPS_JLF~?IRL1lTt_T 88ItxAI, # ~~~~-1 $ ~ii0 ~ ~ $ FAIL .L, /L T'StF~ X88 PAS SBRT.A.L #~ _ -- N4 FAxL 2 ::ertify the a.bo,re tests were con.ducteri on this dace according Co Red ,:facket Pampa fie1,9. test apparatus testing pzoCeduxe an limitations. T2~~~, Meehan.i.cal I,ea)c nPtect.oz Feat pass / £-a1l is detex~nined. by uaing a lort £low threshold trip rate of 3 gallon ,psr hoax ox lase at IO p62. I s~cknowledc~e that all data collectefl 2a tru® and oorx•aat to the beat of M}~ knowled.cfe. ~'ech: S~/~y~,7~t~1~t ~ Sall ~~lCr UT S igiLS~t ur. e ; ~J l~~L` pats : ~,.1.ty.~tzkh ~,~. ARM HISTORY REPORT -- IN-TANK ALARM ----- 3:91 PREMIUM ~J PRODUCT ALARM J2 29. 2006 3:16 PM ~R 22, 2006 12:31 PM .R 12. 2006 12:45 PM IVALID FUEL LEVEL .R 23. 2006 5:59 PM. .C 28, 2005 6:32 PM .Y 20. 2005 8:28 AM KOBE OUT ~Y 20, 2005 8:28 AM ;LIVERY NEEDED 1N 14, 2006 7:33 AM IN 5. 2006 8:16 PM tY 24, 2006 10:5? AM ARM HISTORY REPORT ALARM HISTORY REPORT ---- 1N-TANK ALARM - T 1:87 UNLEADED OVERFILL ALARM SEP 3. 2005 1:52 PM OCT 5. 2004 10:52 PM AUG 19. 2004 6:37 PM HIGH PRODUCT ALARM SEP 3. 2005 1:54 PM FEH 19, 2004 8:18 PM APR 21, 2003 12:59 PM INVALID FUEL LEVEL NOV 16, 2005 3:41 PM MAY 20, 2005 1:15 PM SEP 16. 2003 6:43 PM PROBE OUT MAY 20, 2005 8:55 AM MAY 20, 2005 7:48 AM DELIVERY NEEDED -- IN-TANK ALARM ----- JUN 10. 2006 12:22 PM JUN 4. 2006 11:36 AM 4:DIESEL MAY 30. 2006 6:46 AM W PRODUCT ALARM MA)( PRODUCT ALARM N 7, 2006 6:54 AM SEP 3. 2005 1:56 PM Y 16. 2006 6:55 AM ApR 21. 2003 1:0i PM R 24. 2006 9:28 AM -ALARM HISTORY REPORT .VALID FUEL LEVEL IN 7, 2006 7:41 AM ---' IN-TANK ALARM ----- ,R 24. 2006 5:02 PM :T 13, 2005 3:00 PM T 2:87 UNLEADED OVERFILL ALARM iLIVERY NEE~'D SEP 3, 2005 3:09 PM iP 6. 2005 2:19 PM JUL 26. 2003 6:I0 PM IL 7, 2005 10:02 AM aR 23, 2005 9:22 AM LOW PRODUCT ALARM JUN 7. 2006 7:25 AM ITPUT RELAY SETUP _ -...- ~ MAY 26. 2006 5:45 PM _ _ _ _ _ _ _ _ _ _ _. FEB 23, 2006 2:09 PM 2:91 SHUT-DOWN HIGH PRODUCT ALARM +pE; JUL 26. 2003 6:11 PM STANDARD }RMALLY CLOSED INVALID FUEL LEVEL JUL 2. 2003 4:29 PM APR B, 2003 2:30 PM 9UID SENSOR ALMS . 2:FUEL ALARM PROBE OUT . 6:FUEL ALARM MAY 20, 2005 8:58 AM B:FUEL HLARM ~ MAY 20, 2005 7:20 AM . 9:FUEL ALARM .lO:FUEL ALARM .11:FUEL ALARM 3:DIESEL SHUT-DOWN 'PE STANDARD ~RMALLY CLOSED 9UID SENSOR ALMS . 3:FUEL ALARM . 7:FUEL ALARM . 9:FUEL ALARM .11:FUEL ALARM DELIVERY NEEDED JUN 10, 2006 6:27 PM JUN A. 2006 6:42 PM MAY 30. 2006 10:20 AM SOFTWARE REVISION LEVEL VERSION 123.02 SOFTWARE 346123-100-C CREATED - 02.11.25.15.17 NO SOFTWARE MODULE SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS L 1:87 ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY ANNULAR SPACE L 2:91-87ANNULAR TR1-STATE tSINGLE FLOAT) CATEGORY ANNULAR SPACE L 3:DIESEL ANNULAR . TRI-STATE (SINGLE FLOAT) CATEGORY ANNULAR SPACE L 4:87 STP SUMP TR1-STATE (SINGLE FLOAT) CATEGORY STP SUMP L 5:87 SYP.SUh1P TR1-STATE (SINGLE FLOAT) CATEGORY PIPING SUMP L 6:91 STp SUMP TRI-STATE (SINGLE FLOAT) CATEGORY STP SUMP L 7:DIESEL STP TR1-STATE (SINGLE FLOAT) CATEGORY STP SUMP L B:DISF.1-2 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L 9:DISP,3-4 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L10:D1SP.5-6 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L11:DISP,7-8 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN RECONCILIATION SETUP AUTOMATIC DAILY CLOSING TIME: 2:00 AM PERIODIC RECONCILIATION MODE: MONTHLY TEMP COMPENSATION STANDARD BUS SLOT FUEL METER TANK TANK MAP EMPTY - L 3a~s5 T 4:DIESELr"- PRODUCT CODE THERMAL COEFF :.0004 TANK DIAMETER 95. TANK PROFILE l FULL VOL : I01 FLOAT SIZE: WATER WARNING • HIGH WATER LIMIT: ' MAX OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DELIVERY LIMIT LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMiT: TANK TILT PROBE OFFSET 4.0 I 2 3 101 9 91 9! 96~ 2! 25: 51 i 0.1 O.i SIPHON MANIFOLDED TANK: Tit: NONE LINE MANIFOLDED TANKS Tq: NONE. LEAK MIN PERIODIC: I LEAK MIN ANNUAL ~ PERIODIC TEST TYPE STANDA] ANNUAL TEST FAIL ALARM DISABLI PERIODIC TEST FAIL ALARM DISABLI GROSS TEST FAIL ALARM DISABLI ANN TEST AVERAGING: O1 PER TEST AVERAGING: O1 TANK TEST NOTIFY: 0: TNK TST SIPHON BREAK:O: DELIVERY DELAY 1 M PUMP THRESHOLD 10.0 LEAK TEST METHOD TEST ON DATE : ALL TAN1 JAN 1. 1996 START TIME DISABLED TEST RATE :0,20 GALiHF DURATION : 2 HOURS TST EARLY 8TOP:DISABLEI LEAK TEST REPORT FORMAL NORMAL 3:91 PREMIUM ODUCT CODE 3 ERMAL COEFF :.000700 NK DIAMETER 95.50 ~NK PROFILE I PT FULL VOL 5064 OAT SIZE: 4.0 IN. .TER WARNING : 2.0 GH WATER LIMIT: 3.0 .X OR LABEL VOL: 5064 'ERFILL LIMIT : 90% 4557 GH PRODUCT 95Y 4810 :LIVERY LIMIT ~: 25i. 1266 ~W PRODUCT 500 AK ALARM LIMIT: 99 1DDEN LOSS LIMIT: 99 INK TILT 0.00 'OBE OFFSET 0.00 FHON MANIFOLDED TANKS ~: NONE NE MANIFOLDED TANKS ~: NONE :AK MIN PERIODIC: Ox 0 .AK MIN ANNUAL 0% 0 :RIODIC TEST TYPE STANDARD INUAL TEST FAIL ALARM DISABLED :RJODIC TEST FAIL ALARM DISABLED 'OSS TEST FAIL ALARM DISABLED IN TEST AVERAGING: OFF :R TEST AVERAGING: OFF tiNK TEST NOTIFY: OFF 1K TST SIPHON HREAK:OFF :LIVERY DELAY 3 MIN IMP THRESHOLD 10.00xc T 2:87 UNLEADED PRODUCT CODE 2 THERMAL COEFF :.000700 TANK DIAMETER 95.50 TANK PROFILE ! PT FULL VOL 5064 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 5064 OVERFILL LIMIT 90x: 4557 HIGH PRODUCT 95% 4810 DELIVERY LIMIT 25% 1266 LOW PRODUCT 500 LEAK ALARM L[MiT: 99 SUDDEN LOSS LIMTT: 99 TANK TILT 0.00 PRONE OFFSET 0.00 SIPHON MANIFOLDED TANKS Tit: NONE LINE MANIFOLDED TANKS Tq: NONE LEAK MIN PERIODIC: 0: 0 LEAK MIN ANNUAL Oy 0 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON HREAK:OFF DELIVERY DELAY 3 MIN PUMP THRESHOLD 10.00x: [N_TANK SETUP- - - - - T 1:87 UNLEADED PRODUCT CODE 1 THERMAL COEFF :.000700 TANK DIAMETER 95.50 TANK PROFILE 1 PT FULL VOL 10152 FLOAT S12E: 4.0 IN: WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 10152 OVERFILL LIMIT 90% 913b HIGH PRODUCT 95% 9644 DELIVERY LIMIT 25% . 2538 LOW PRODUCT 15 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0,00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T#: NONE LINE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 0% 0 LEAK MIN ANNUAL 0% . 0 JUN 14.~f'986--i-1:45 AM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATEiT1ME FORMA' MON DD YYYY HH:MM:SS sd OSWELL LIeUOR loo s.OSwELL HAKERSFIELD.CA 661-861-9769 SHIFT TIME 1 : DISABLE] SHIFT TIME 2 : DISABLE] SHIFT T I ME 3: D I SAI3LEI SHIFT TIME 4 : DISABLE] TANK PER TST NEEDED WRI DISABLED TANK ANN TST NEEDED WRI DISABLED LINE RE-ENABLE METHOD PASS LIME TEST LINE PER TST NEEDED WRt DISABLED LINE ANN TST NEEDED WRt DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F }: 60.0 STICK HEIGHT OFFSET DISABLED DAYLIGHT SAVING TIME DISABLED PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL SYSTEM SECURITY ALARM DISABLED CODE 000000 FERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST S[PHON BREAK :OFF DT:L I VERY DELAY 3 M I N PUMP THRESHOLD 10.005 CUSTOM ALARM LABELS - DISABLED COMMUNICATIONS SETUP PORT SETTINGS: NONE FOUND RS-232 END OF MESSAGE nISA9LED 3RM HISTORY REPORT --- SENSOR ALARM ----- 1:DISP,7-8 SPENSER PAN EL ALARM N 14, 2D06 11:29 AM EL ALARM ~N 6. 2005 2:29 PM IEL ALARM ~Y 3, 2004 11:14 AM ALARM HISTORY REPORT -- SENSOR ALARM ----- L 9:DISP,3-4 DISPENSER PAN FUEL ALARM JUN 14, 2006 11:26 AM FUEL ALARM JUN 6, 2005 2:27 PM FUEL ALARM MA'! 3. 2004 11:12 AM ALAP.M HISTORY REPORT ------ SENSOR ALARM ----- L 8:D18P.1-2 DISPENSER PAN FUEL ALARM JUN 14. 2006 11:27 AM FUEL ALARM JUN 6. 2005 2:30 PM FUEL ALARM MAY 3. 2004 11:13 AM ALARM HISTORY REPORT -- SENSOR ALARM ----- L 3:DIESEL ANNULAR ANNULAR SPACE FUEL ALARM JUN 14, 2006 10:55 AM FUEL ALARM JUN 6, 2005 2:20 PM SENSOR OUT ALARM MAY 3, 2004 12:31 PM ........~_--r._..-._.._- ~.__-__.-~-.._ ALARM HISTORY REPORT -- SENSOR ALARM ----- L10:DlSP,5-6 DISPENSER PAN FUEL ALARM JUN 14. 2006 11:28 AM FUEL ALARM JUN 6, 2005 2:30 PM FUEL ALARM MAY 3. 2004 11:13 AM nLnMl 11a OaVRY RAYV/Sa - -- SENSOR ALARM -- L 4:87 STP SUMP STP SUMP FUEL ALARM JUN 14. 2006 10:40 AM FUEL ALARM JUN 6, 2005 2:21 PM FUEL ALARM MAY 3. 2004 iI:OB AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 5:87 SYP,SUMP PIPING suMP FUEL ALARM JUN 14, 2006 10:43 AM FUEL ALARM JUN 6, 2005 2:22 PM FUEL HLARM MAY 3. 2004 11:07 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 6:91 STP SUMP , STP SUMP FUEL ALARM JUN 14. 2006 10:46 AM FUEL. ALARM JUN 6. 2005 2:23 PMl FUEL ALARM MAY 3, 2004 11:07 AM AI~AR!°1 HISTORY REPO. L 7:DI~~R ALARM _____ STP SUMPEI, STP FUEL ALA JUN 14. O6 l0:41 AM FUEL AI-ARM MAR I9, 2006 5:25 AM FU1rL ALA MAR 3, 06 3:42 Ahl ALHxM H t ~ f~S1CY ~~T ---- J N-TAIV1. LAA' RM - T 1 :87 UNLEAI?ED OVERFILL ALARM SEP 3. 2005 1:52 PM OCT 5. 2004 10:52 PM AUG 19, 2004 6:37 PM HIGH PRODUCT ALARM SEP 3, 2005 1:54 PM FEB 19, 2004 8:18 PM APR 21, 2003 12:59 PM INVALID FUEL LEVEL NOV 16, 2005 3:41 PM MAY 20, 2005 1:15 PM SEP 16. 2003 6:43 PM PROBE OUT MAY 20, 2005 8:55 AM MAY 20. 2005 7:48 AM DELIVERY NEEDED JUN 10, 2006 12:22 PM JUf~ 4. 2006 f1:36 AM MAY 30, 2006 6:46 AM MAX PRODUCT ALARM SEP 3, 2005 1:56 PM APR 21, 2003 1:01 PM ALARM HISTORY REPORT -- SENSOR ALARM --~ L-1:87 ANNULAR ANNULAR SPACE FUEL ALARM JUN 14. 2006 10:54 AM SETUP DATA WARNING MAR 10. 2006 3:4? PM SETUP DATA WARNING MAR l0. 20D6 3:42 PNl ALARM HISTORY REPORT ` -- SENSOR ALARM ---- L 2:91-87ANNULAR ANNULAR SPACE SENSOR OUT ALARM JUN 14. 2006 11:13 AM SENSOR OUT ALARM JUN 14. 2006 11:11 AM FUEL ALARM JUN 14. 2006 11:08 AM ~ 3a~s _--____ Idi~1tiTIT(]R. CER~'. FA~.,IT. RIi~P~RT ~~~ NAME: f75w~ l~•c~~S2 ,~~~~ ~ iCD~ an~~RES : ImCA kr- ~ . E c CS3' TH]s', FOLLOWING COMPONENTS WERE REPLACED/R~PAIRTD TD COMPLHTE TE~~TING. LA~30R• ~),~~ r ~AI~;TSA~ITALLED• ~-Ary1N_e~c..A•fZ. ~~ ~~JsnQ ~.tet0 N~~!!IE' ~.~LE: SI~~I.vATUF.E: -- - - THE: ABOVE NAMED PERSON TADS FULL RESPONSIB,H;ITY OF NOTIF~~'~iG TI30E: APPROPRIATE PARTY TO $A.VE CORREt:TIVE ACTi~ON TAKEN TO REPAIR TB[]N; ABOVE LISTED PROI3I~EMS AND NOTIFYING RICH ENVIIt{9NM,A-NTAL FOR ArTlr NEEDED RETESTJ[NG. THIS ALSO RELEASES RICH ENVIRONMENTAL. OF APfI.' FINES OR PENALTII~S OCCURIATG FI20M•NON-CO1t~IPLLANCE. A 1=0PY OF TIiIS DOCUMEN'T' HA$ BEEN LEFT ON-BITE FOR YOUR CC1'NVIENENCT.. 5V.'i:r~!?, Jn~~ii:uy 2002 Page o~f•~~ S~canld.ar~ ~ontain~~nt T~st~ing ~~pnrt Fermi This form is inrendad far vse by contractors perjorrnil~gpenipdt+F tasting of U.4'T sscon,gTpry apstp4frlpfjaR~Syxt~»7~ Ufa },hR npnrnprlare pages c~'thls form to sport rasults far all catg+aaettt4 tested 7718 eott~+,(eDaGt, f 6r~, wrltASq tes<pJ'P~d~tr~g a~td p,•;ntotWS fronx tests (t",fappltcableJ, slwr~,td be provided to the faeflity awnerJaperatarfor.stebrnfttal to the local regtaiatary agency. 1. FACILITY 1.AT~ON F~nciliry Neme:~ •-- -- - ~?, - -- --- -- _. _ Date o£ToaLio$: b~ t~klmC~ Fi~cili[yAddross: ~~ ~,OSt.a"r~, Si Cam, ~- s Facility Contact: Ph®ne: Date Local Agsnoy Was 1Vaci.~ed o;f'i'sstUtg -~1 t~ ~ c`~(® Nr1-mt of I.oc;al e:ncy ector (f resent durih tea ti.i© '' F CampD~nent _• Pass .tall ~fnt TES ~'~ 1tI de CP11k~10tI0R# Pass IQ'AIl ~ T Re~"i' s ~ ~ ~`A 2 g~ 5~..~3 ~- 0 ^ ^ ^ . C] D ^ z~n~t4t ~ ^ o D a a a o? (?iE ~ a~ ^ o ^ ^ ^ ^ ^~ _. o o ^ a~ ~ ^ a a ^' .. ^ ~ 0 ^ ^ Q t] D ' _ ^ Q D Q ^ ^ p ^ _ _ Cl 0 D ^ ^ ^ Q ^ ....~~_. D L7 © ^ 0 © D ^ ^ n ^ ^ 4 v A ^ _. ^ ^ a ^ ^ o Q o ' .. ^ ^ ^ a ~ a o o~ Zf hydrostatic nesting vas per>~tmed, dGSCribc what was done wiltb, the water $&~r conap~atEoa oi: tasts: RF,~CYCLE A~'aD S CERT?~n~ICATI~0i~i (3lF'I:ECkINICIAPi R'ONSI3lcIJ~ BUR {~ONTli7t'T'I~~ TIC TIf~S'I'kTG • . 7'a tl:e bear of my knt~~+iedge, tkr facts stilted a'xr dais dgaerettt~tit 4tsaaerretsase Alttl $re full ctyy~c¢ with legal t+e~rtlritme~ts T'ec~uucia.rt's Signattu~:: {~ ~~ Date: ~~ I Y.l~'a ._ 3. ~iJ~Y1MARX 4~' ~ ~~~3L'T5 SWRCB, January '1,002 t 3 mss r--_____ Page of Facility is NOt F,~II~p~lCd ~1~1 ^~pllb~Ovtzfl~ll CO~ntaitlintnf.B~x~~.s ^ - ~~ SpilUOvea:i311 CoQtt~inm~effi Boxaes are l'ressttt, but veare I~tot ested ^ .. Test 'h+iethod Devttiupett By: t] Spill Bucket Maau#gatuter t3 iAdustty Standard ^ Pxa#13ssional ingineer ^ Other (,~peaify) Test Method Uaecl: ^ Presswe ^ Vacutun ^ I~ydtx-siatic ^ Other lS~ecifv) Test Fq~ Ue~ed: Bsao~ueon Spili JBo$ #~} plil Bolt S iii Box ~ ~ (pfN &sx # •. Bucket Diameter. (a 1 ~ ii ~ a 4 •' ~ _• Bucket Ddpth: a ~~ __.._ ~, ! a ~~ (~~~ _ 1 Wsit time~betweeii applying , pressui~Jvacut~mh~atearand ~~,~~~ 3c~ Nt~~ 3~MS"' 3~M=~ I S tit: .__ , _• Test sett Tims: l t;~ca ~ :~ A ~ ~~ .... Init~iaal Reading tR ~: ~ ~~- a ~ a . , ~ m ,, ~ Test EnQ Time: I : 0 to ~. ~ : ~ ~ - J I a : Q _ _ 1^ final Reading (RFy: ~ ~ • ' • ~ • ~ ~~ Test Duration: -{-1t~f2 - ~O~.c.fZ -!-} -t-+'QC.IfZ _ Cha.ttge in Readint3 (RF-Rt3: ..~ ~' _~ Pass/Fail Threshold or Criteria: -- ';rest Ream#t .. Vass . ^ Fail ^ Fall ~.Pasa ^ 1Fit11 '~aas ^ Fa31 +Cotaxtte~~ - {ia~:Tude matio» on r aifis made i©r to a~td reccammended rtw,u r Ted tests t-~5 S~9'~9 .TE~TIN~ ~.~~LU P~~T ~lG D L C~ ~c- s • s. s~ sT .fir ~x:~FttiC.r2~(~ ~~~:~~~ THf: FOI.~OW~G COMPONENTS W~ REPLACED/REPALRED TO CUN[PLETE TE~9TIl~tG, RE~~~~R9t„ N ~ N~,~,,,, ~l~tTSt rA~r.,,Eau: ~~„~ ~ ~'~:~ . T$~ .A~Bi NAMED PE~fiON TA~:?L~ xtESPONSTX 4F NaTII'fi'ING TIIh APPI~oPItiA;TE PASTY T(D HA:~Jf, CGRR~CT~ A~CTI'ON TAKEN Ta REPAII2. TI3E ASO~E LISTED P~()lB~f ,EM,4 ANI~ NC1'I'~'ING INCH ENVYR[1~~I1W.iA~,N"I'AL I+'OIZ A.Pa711YEE~TI:IED kfiETES7CAN~G. THIS ALSO RE~.EASES Y~3CH EN'V.iRO~~'AG OF A.r~x FuvES oR a~~:NAL TIES oC~tG I~ta~t NoN~co~Pxz~NCE. . .9~ C:OPY U~' T~E][S I20C1U1NxJENT ~9,$ BEEPi LEFT ON~S~TE ~'O~t Y4TJli C~~P~TVIEI~TENCIE, 13as~s UNDERGROUND STORAGE TANKS APPLiCATlON TO PERFORM ELD 1 UNE TESTING ! S8989 SECONDARY CONTAINMENT TESTING !TANK TIGHTNESS PEST ANQ TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. ~!~ j Prevention Services ~irr r Sao Truxcun Ave., ste. 210 Bakersfield, CA 93301 TeI.: {661) 326-3979 Fax: (661) 852-2171 Pam 10l 1 PERMR NO. ^ ENHANCED LEAK DETECTION _ ^ SB-0eo SECONDARY CONTAWMENT TESTING f~ CbTIC./'•sT~ FACILITY d~ PHONE NUMBER OF.CONTAC7 PERSON ADDRESS OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO 8E TESTED / 0 00 v a coo a ~ - ~ C~ r -9/ `~ vo v~ rJ res .. .. .:::;: :.<TANK,T~$TING COMPANY _ __ NAME OF TE TINO OMP Y NAME 3 PHONE NUMB OF C NTACT PERSON ~$ > MARINO ADDRESS CD - °1 3 4 NAME 8 PH E NUMBER OF TESTER OR SPECIAL INSPECTOR CERTIFI TK)N /: DATE ~ TIME TE8T T. y. ICC /: TEST METHOD SIGNATURE T DATE S --I ,_.C~ Co -APPROVED BY DAB FD.2095 (Rev. 09!05) .. ~- -- - l~~ BIL.LiNG & PERMIT STATEMENT sax~RSFIErn FYi~ ~' J Prevention Services rIR~ 900 Tntxtun~Avenue, Suite 210 PERMIT NO.:~ r Bakersfield, CA 93302 . -"'~T T .1.: f6611.32C~39?9 S Far,16611852-2171. • - •~ LOG710P1 OF PROJE PROPERTY OtiIVNER v sTAIrnNC DATE . COMPI.ET~ a- "A""~ - PROJECT 1YMAE ~~ _ _ n Q Q W ~~ ~E NQ PROJECTAt>ORESS ! OV S • . -~.( •~ «rr 13 6c~ ~ d ~A~ jy a ~3 0 • COWTRACTOR NAME G LICEN,RE NO. TYPE OFlICFl13E EXPIRATION GATE PHONE ~ r CONTRACTOR COMP FAX N0. 39~- -© .. D Alarms -New 8 ModiBgtlons - (MtTtirltturl Charge) 5282.50 ~ ~ Over 20,000 Sq. Ft Sq. FL x.013lT5 = Permlt fee ~ 9t) D Sprinklers- New & Modifica0ons - (ANnlmum Charge) $210.00 ~ 98 O Over 5,000 Sq. Ft. Sq. F2 x .042 = Fermlt fee ~ 98 D Minor Sprinkler Modificatlvns (< 10 heads) $ 83.00 (inspection onlyj ~ 98 ^ t:ommerdal Hoods -New & Modifications $398.28 ~ 98 ^ AddlBortal Hooda t 36.00 ~ 98 ' D Spray Booths -New & Modifiptions $458.00 ~ 98 D Abov round Store a Tanks pnsta!latroNlnsp,-1'Time) $1 B5.00 tit ^ Additional Tanks ~ t 2&00 82 ^ Aboveground Storage Tanks (RemovaYlnspedion) ;109.00 82 ^ Undergrourxi Storage TarlkB UnsteNatial.Arlspectlon) 5878.00 (per tarry 82 ^ Und round St a Tanks {ModitJc~Itlor) 5878.00 (persite) 82 ^ Storage TaNcs ( MadNkatiorl) 5155.00 t#2 ^ Und round a Tanks (laerrlova!) ;675.00 (pertarrlrJ 84 D Oilwetl (klstaUatlon) 572. 84 l~ Mandated Leak Detecxion (1' rIg) /Fuel Monk. ; 81.00 }--=' 82 O Tents S 93.00 (pertenn 84 D Afterhourslrtspectlon fee ;122.00 84 D Pyrotechnic - (Per event, Plus Insp. Fee ®390 per hour) $ 60.00 + (S hrs. ndn. ammo-by tae Anspectlorl) = 5510A0 ti4 D REdNSPECTION $) /F0110W-tJP/NSPECT/ON(S) S 83.00 per hour) 8a L7 Portable LPG (Propaner NO.OF CAGES? ;88,00 134 D lostve Storage $249.00 84 O 5 FUe ResBarch (FITe Reaearril Fee 333.00 per hr) 25¢ per page 84 ^ NGsceUaneous 84 FD 2021 (Rev. 09b5) 1- ORIOIN/-L WHITE (to 7»asury) t-YELLOW (to FUa) 1~INK (to Cuatomar) fi UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD !LINE TESTING / S6988 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT N0. l ~ /~ ~~R~ ARTr r BAKERSFIELD FIRE DEPT.. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ ENHANCED LEAK DETECTION ^ G- ^ SB-989 SECONDARY CONTAINMENT TESTING ICI TCCT W TA OC OClIO\/ CI ICI \Al1 AlIT(1DIA1!'_ (`CDTICIf`ATi~ SITE INFORMATION FACILITY ~ ~~ E 8 PHONE NUMBER OF.CONTACT PERSON ADDRESS OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO T # V L M CO TENT 1 ~ o X00 - g a v UO d c-~s~ . b C~ . r _~l `{ UO ~ /~ l~S~ .. TANK TESTING COMPANY NAME OF TE TING OMPANY NAME 81 PHONE NUMB OF C NTACT PERSON ~$'. MAILING ADDRESS Q _ ~ ~ ~ ~ ~ ~~ NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR O CERTIFI ATION #: DATE & TIME TEST TO BE CONDUCTED D ~0 2 : O CJ ICC #: TEST METHOD SIGNATURE OF APPLICAN ~ DATE 5 ~-` pf _. APPROVED BY DATE FD 2095 (Rev. 09/05) ~K ~BIL-LING & PERMIT STATEMENT PERMIT NO.: BAKERSFIELD FIRE DEPT. a Prevention Services FIAT 900 Truxtun Avenue, Suite 210 ~Rrr r Bakersfield, CA 93301 . - ~ • LOCATION OF PROJECT PROPERTY OWNER U STARTWG DATE - COMPLETION DAT I -p : ~G NAME s ~c v~r PROJECT NAME ADDRESS ~ PHONE N0. /' V ~C ~ J ~ PROJECT ADDRESS % O ~ ~ . ~~ n /f ~ ~ CnY ~ ~ n ~ ~ ST ATE ~ ZIP COD A _ O CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE PHONE NO~ r ((!!]~' \0i CONTRACTOR COMP NAM p FAX NO. 39a -o ADDRESS ~ ~ ~ V CffY ZIP C00 ~~ 08 J I • • ^ Alarms -New & Modifications - (Minimum Charge) $262 50 ~ • . 98 Over 20 000 Sq Ft 013125 =Permit fee Sq Ft x ~ ^ , . . . 98 ^ Sprinklers -New & Modifications - (Minimum Charge) $210 00 ~ . 98 ^ Over 5 000 Sq. Ft FL x .042 =Permit fee Sq ~ , . 98 ^ Minor Sprinkler Modifications (< 10 heads) $ 93.00 [Inspection Only] ~ 98 ^ Commercial Hoods -New & Modifications $ 398 26 ~ . 98 ^ Additional Hoods $ 36 00 ~ . 98 ^ Spray Booths -New & Modifications $458 00 ~ . 98 ^ Aboveground Storage Tanks (Installatwn/Insp.-1~ Time) $165.00 82 ^ Additional Tanks $ 26.00 82 ^ Aboveground Storage Tanks (Removal/Inspection) $109.00 82 ^ Underground Storage Tanks (Instal/ation./Inspection) $878.00 (pertank) 82 ^ Underground Storage Tanks (Modification) $878.00 (persite) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 82 ^ Underground Storage Tanks (RemovaQ $675.00 (pertank) 84 ^ Oilwell (Installation) $ 72.00 ~ 84 lt3~; Mandated Leak Detection (Te 'ng) /Fuel Monft. $ 81.00 82 ^ Tents $ 93.00 (per tent) 84 ^ After hours inspection fee $122.00 84 ^ Pyrotechnic - (Per event, Plus Insp. Fee @ $90 per hour) $ 60.00 + (5 hrs. min. stand ~y fee /Inspection) _ $510.00 84 ^ RE-INSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) 84 ^ Portable LPG (Propane): NO.OF CAGES? $66.00 84 O Explosive Storage $249.00 ~ ^ Copying & File Research (File Research Fee $33.00 per hr) 25¢ per page ; 84 ^ Miscellaneous ; 84 FD 2021 (Rev. 09/05) 1 -ORIGINAL WHITE (to Treasury) 1-YELLOW (to Flle) 1-PINK (to Customer F/RE ARTM RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 RALPH E. HLIEY, DIRECTOR PREVENTION SERVICES FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 May 12, 2006 Mr.Benu Gulhati Oswell Liquor and Market 100 S. Oswell Street Bakersfield, CA 93307 Re: Failure to Perform /Submit Annual Fuel Monitor Certification REMINDER NOTICE Dear Mr. Urbano, Our records indicate that yoiit` fuel monitor certifications is due/past due on 06-06-06. You will be in violation of Section 2638(a} California Code of Regulations, Title 23, Division 3, Chapter 16. "All monitoring equipment shall be installed, calibrated, operated and maintained in sCCOrdance with manufacturers instructions, and certified every 12 months for operability, proper operating condition, and proper calibratidti." Therefore you have 30 days to comply. Should you have any questiorig, please feel free to contact me at 661 - 326-3190. Sincerely yours, Ralph E. Huey, Director of Prevention Services r tr ~ . By: Steve Underwood Fire Prevention Officer REH/SU/db "Serving the Community ~For~l~lore ~I1'ianA Century" E R S F I F/RE ~ARTM T RONALD J. FRAZE FIRE CHLEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 D April 10, 2006 Mr. Benu Gulhati Oswell Liquor i~ Market 100 S. Oswell Street Bakersfield, CA 93306 REMINDER NOTICE Re: Guidelines for Unsupervised Dispensinq Dear Mr. Gulhati: It has come to our attention that many convenience stores who sell gasoline, like yourselves, are closing late at night. If you are using card readers and leaving your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised Dispensing." Unsupervised dispensing is allowed when the owner or operator provides, and is accountable for daily site visits, regular equipment inspection and maintenance, including any unauthorized i`elease or spills, posted instructions for safe operation of dispensing equipment, and posted telephone numbers for the owner or operator. Signs prohibiting smoking, prohibiting dispensing into unapproved containers and requiring vefiitle engines to be stopped during fueling shall be conspicuously posted within site of each dispenser. Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 RALPH E. HUEY, DIRECTOR PREVENTION SERVICES flRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 In addition, a sign shall be posted in a conspicuous location reading: In case of spill or release: 1) Use Emergency Pump shut-off 2) Report the accident 3) Fire Department Telephone ' 4) Facility address During the hours of operation stations having unsupervised dispensing shall be provided with a fire alarm transmitting device. A telephone not requiring a coin to operate is acceptable. The fuel leak detection system must have a remote or phone modem to insure off-site monitoring during hours of unsupervised dispensing. During hours of darkness, sufficient lighting must be maintained so that all signs associated with fueling operation are conspicuous and readable. A gallon container of an absorbent material used for spills must be made available to the public during hours of uhsupervised dispensing. Afire extinguisher with a minimum 2A, 2B, and 2C rating must be located on dispenser island during hours of unsupervised dispensing: ..~e,~;4i~ tie ~ ~ ~~a~e ~J~ ~~/ Ve~2t~ 1 1 To: Mailing List of Valued Customers '; Reminder Notice Re: Guidance for Unsupervised Dispensing April 10, 2006 Page 2 If you are currently having hours of unsupervised dispensing, you must comply with the above-mentioned requirements. . Starting April 15, 2006, this office will conduct random checks of all fueling stations within the city limits for compliance. If you shut your station down after normal business hours and are not pumping fuel, please disregard this reminder notice. Should you have any questions, please feel free to call meat 661-326-3190. Sincerely, Ralph E. Huey, Director of Prevention Services C~.~~~~ By: Steve Underwood, Fire Prevention Officer REH/db 04f03/2006 13:28 6618363177 REI~WINE TESTING SVCS PAGE 02f05 ~~•~ ~ ~ ~ f ..' 1 .sa Y'S,'~ Tr1 ~• ~ G~tT~/471 /l i'V1f ~' n ~ . .~; • •; f ~'~ ~ D~ 1TIU~-a'to •. 'w .. .~ .,. •~+' ~~~~ ~a;;,; - ~~ ~ ~. ~=~: ~;r:-. ':: ~::. ,• ~~, ~ , L,K ~" i.. . ,'~ -1. :~;~ _~.x: ~ '~Tss~ 3G Q~ ~'~'~t3`~( IY,L c 4 ~., '~~~ ?~, ~ :r, _ ~ ~ ' ' .. , i'.:.e ~ , . ~ , ~. :: qtr? , - - ' a.:S. t ~ '~1~91~~ '1. .:a.' i' ~ ~ ~~~,~ ~, y N~: ~ ,y~w ~l r• } b ~~~ f'~V ~. ~ ~T ~ 4` ~~ 't~ r ,r 4`x. ~.~ - ~ , ~~' r . I .. ~ ~.~~ .; 04!03 ;,~ ,l ~Y 4~' ~,+~Y...~ ~~ -. ~Yr , , ,. rr y,\I i ~~~. i ~.• -~ ~~ V "' ti' '' ~._ f' •. ~~.. ~. ~•,~ 't.. ~~.~ ~~ ~. ~:•.; ', • I :', 1 • ,'~ 4.. X2006 13:28 6618363177 i~EI)WINE TESTING SUCS .~ •Y ~~'~I~Y'~ ~~~~ ~~ ~~ irl14'~Ld7'Y ~U ~ ~ ~ ~uO+~ i:~Ci~•T~'3~ ADS ' : ,: T Sumac ~ ~~ r ~~~~;~ . ° ~ ~ ~-a~l ~ "~ CAS ~! 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C.t~ 93301 a;, TeI-: {-661) .`326-3t37:a ~'8xx: i66'r.} c~5?.. ~ 17I Fage 1 ttif ^ ENhIJa1VCEp LEIg1C DF_TECTION ~ LINE TE5TING }~. St-989 SEt.ONDARY CDNTAINA!lENT TES"f:Nr ^ TAhIK TIGkI'NE„''~C TEST ~ 'i G ~rrHFQRfvI Fl;e"L M(iNITORI!'dG t; ER71rIGA71pN . PAC1tITY~,n ~ ~fs~'Ary'f`VS1 ~'?iC+P•.E !+i:1'.;E.E^ J+ :~'~l'i.4C='~rE°°~='`• .. _ P.DDREu5 ~ t ' r ~ M1 t , J bU ~ ~~.~c~ ~- ct .~ u ~ - -- -- ..___._. _-.._ ..-......- ._...~ _. ;OWNERS NAIv1E. *- k?F'PS:;ArORS iaiAjvfE .-_.~_~..._.-..~_-.~-__. ~-..__ -oc~iNl'1' YO .: chi :' u{, -' _.- . _-...__-._..~ .._.... __ u.- - i ' ~NUN18Eh OF TANKS Tp BF TES'iED ~ IS PIPI 1a CpIN~_TO ~?E T STI'U?_ _: ~ YES-_.- _ ~---• --- ---~ .3AP,(K #._ ..,. ...... ._...... ! .. ._ ~OLlIMF--° ..:.:. .__ _i... .. ...--- .... ~ON~EniTS. _ [~'... . _. ~.._...` i I ; _~.~_ • ; I ' 1 -. _ ~....-_ .-. ~_._..- ~ --.~ ._-. _.. _. ___. i ~.~~-.-. .._..._ _...._ .__.. .__..__- _.... 1. _ _ _ _.. . . :FAIVii_T65T1N GQMi NJIY ~ :1 _ _ __ NAR7 F Te$TfNG C4iVAPANY ~ ~• he~~ cii~y~e a _ ~__._-~ .__.-_,~_ _ ..: ' .g ~• . ~_ SAN itJ~ADdFE 5 '-"-' - -'-' ,TIAnQE & PFfQNE NU ER OF TESTfiq Oq SPSCIl~1 IMSP$CTOR ~ERTIFi~TI N 5"-: -.-.~ ~"-••--~-~"i -` "_-'-'- ' -~o-.11~s~~ - .1 _(~I -3~'~_-~~iod'? ___ _ ; 6S~3ys~~-'~ _.=.. Q.~ v:~S13a- bATE $ IaM1F. TEST TP BE aomad~~Cr~~ - ' A,,,,., acc ~: ~~ 1 ~ / -.-' .~..- i. ~s i 4FETHQb -- -• t i~l~.+.o~.l f, ~A! rim,,. De~~~.~U~ ,~ ~! : r1UFl7'r > ~ ~~"~f'dfo~ 7_~0~ ~ ~ _I ~wL,_ri,. .. f._;...-..._._ ~ ..-.._.-. SIGPiATI}Re 4E P~f,ICANT QA E ~. - .~..~_...~ -•_-------..-._.-- --.._.~ ..r ._i -----•- - ..... .._. ._... ..... ~~;?~:A~:~~~,.lC~~t~Q~t-~~.~~~ll"~S_¢k P6€~t{iY l?~~f'~:h~! dL~.:~?~&fi~ifEfJ.... .. J~PPFOVED $Y ~'JATE .. . - .-. ~.----..-.__~.._.._ -r-D~ypg f S ~ c.' ~ ~ 4• ;' " 1 a. ~. ~ 5~~t~SYS'~`EM C~RT~CATI4N ~'UR1VI . ' ~ .. .,. . ~~ ' Dt~TE (-f~-O(o ~ ; ;.. . , . ~. s~: ~~ FACYLi'I'Y ID ~,~ ~.~9E~, r ,~Q s ~ : ; FACILITY ADDRF~ o ~ 5 ~~ , t~~,r '' BA~~t t~ h`.. ; ~ t)~T ,4~a~ space .::.~~ :: ' ~ ' ~~~:'~::.~ 9~ I '~'e~lk ~~. '~`.`~:. "~'~c ~ ~ ~ Ta~k~3`~C 1~[- ,'I'udi.4 4 ~ • ~ S . '' L:.. /~ /V 7 . K~~. ~~~~ //./~il/L+'~iK~_ _~'~.' Ll-./'l/~ ..~/ /~LfQz//l/ %ti ~ . V ~. if L 1• r ,.`~. i ~ '7N~': ~'. ~ 2 'Line ~j ,~~ ~' ~ ~'tl~ ..~ ;~ ::; ~l I r /~(o Q Soh ill ~~„ ~ ;` ;~~. I ~:~?~ I :~~ ., ~,, ~~ is ~; ~~-'~ 1, -~5.~ :~ `''~~ FA+QLITY ~A h'; r x~,:, FAC1I;~'Y ADl ~4 ~. l~ A•• i. ! . :;4.i : k~: , ~ Tit~a Sumps ~~ , ,.. . ~~ . lY , .. ~::. . ,i ,.: ~,, ~. .~ M1~ C C.,. .sue x .:: :~ :~ :sump z g~ sumF ~ ~ sip a ~ert~ ~~~5 ~ ~ : iS : ~S~ ~:iS Ink4a ~elbht df water . ~ I :,,, ' ,..i ' ~Vi~r Asight .;~, ; ,~ 1 p ;,~ . ~~ i ~ ~+l+si~er Hatsht . b l ~ a ~ ; ~ . 3 0 7; ~, 3 S,'-~ ~ ~~~~ a~t~5',;~~ ~:: ~ 5 ~P6 ?~~S !t ~~:; ~ : ~ :: -::: t~ver~ltl Z `~J OverliMf 3~ j : , t3v~rlil! 4~~ hart T1ae~ p : ~°ti~1' .. ~ [ 0: fj'a~ ~ ~.~ 0 / He3gM ~t w~ ~_: ~; ~;.:. y ;,.~ ~ ; ., . ~ a a ; spar ~.gight '. (G~~7i~ .:::: ~ .J ~ ' $~g. ~" ! ~ ^' ~Caon i~nsture) S'... ; • ~ . :, } ~j i~ ~ .. ~? 5 ~ ~ . ~ ~.: ~: l' Psg~ 2 of ,~ !' ~tq~~O .~-----~ '~; f~4~~ h AC~L~ i1 ID ~':: ~ FACILTTX ADi ~t. . ~'''' ~ I UDC 'I'E.S'1'YNG ~~~ i ~,>•: i ::. ,: . ^~ .. ,~ . ~. ~ . ~;y. .. i ~t+ .. ,: ~7~~ . f .~ ~~I ~~ ;Y.. , ~~ ~~. . ~. `?~- :f~ .+ STCa~kl~~ 3YS'!'EM CER'i'iFICATION FARM ~Z~~. ; c~ vO~ C~ D~S~~~~.: ;13ISFErI$BR Z DISPEi~tS~R 3 D~SPENSEIt 4 START TIME ~ DOA OF ~AT~at . ~ i ~ • I ~g- ~ l 17~,.~ t~VAT$t 1 C..~ i• l -337; ~~ .$~ ~ ~ ~ ~ LI' I I~ -.~ t~RTn~cn~ox .~ t~A'i'(1REj ~(~?F ~ ~ N55 . ~5 X155 i / i ~ bISP~.~19'~k^~F :: DIS~.~'SER 6e , bISPE1V'SER 7 . D?~PENSER 8 START T#MB . SAL REit,~HT OF WATER 'V'ASE !DVATER $BIGRT . - TlME ~1-ATER ~IEit"iHT . TURD - . • ' Page 3 of ~. B E R S F I F/ICE ARTM RONALD J. FF:A.ZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 D Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 December 1, 2005 Oswell Liquor & Market 100 S. Oswetl Street Bakersfield, CA 93306 FINAL REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2005 of Underground Storage Tank (s) Located at the Above Stated Address Dear Valued Customer, Over the last six months this office has continued to send reminder notices regarding secondary containment testing: Code requires that all secondary containment systems must be tested 6 months post construction and every 36 months there. after. 2101 "H" Street ~ Senate Bi11989 became effective January 1, 2002, section 25284.1 (California Bakersfield, CA 93301 ~ Health & Safety Code) of the new law mandates testing of secondary containment OFFICE: (661) 326-3941 ~ components upon installation and every 36 months, thereafter, to insure that the FAX: (661) 852-2170 systems are capable of containing releases from the primary containment until they are detected and removed. RALPH E. HUEY, DIRECTOR PREVENTION SERVICES FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 Our records indicate that your facility is due prior to December 31, 2005. Those sites that have not been tested and have not pulled a permit prior to December 31, 2005, will have their permit to operate revoked. This office does not wish to take such action, which is why we will continue to send monthly reminders. Contractors are already booked several weeks in advance. I urge you to schedule your testing date as soon as possible to avoid possible revocation of your permit to operate. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely, RALPH .HUEY, Director of Prevention Services ~~ Steve Underwood Fire Prevention Officer SU:db Jul t~i~e~ >~ Zv z»t~~sai~ ~ ~~1GT.ose Tan ~~~~ ~ei~~~ r UNDERGROUND STORAGE TANKS - - ~,:. ~ _ APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~ ~ ,'~~ E E R 3 F I D ~~~~ ~ ~rr~r r BAKERSFIELD FIRE DEPT. PPeventaon services 900 Truxtun Ave. , Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of i ^ ENHANCED LEAK DETECTION ^ LINE TESTING ~SB-989 SECONDARY CONTAINMENT TESTING ^ TANK T{GHTNESS TEST ^ TO PERFORM FUEL MONITORING CERTIFICATION sirF 1Ns=n~innariri~i I FACILITY - NAME & PHONE NUMBER OF CONTACT PERSON DDRESS D~ ~ ~~ a WNERS NAME PERATORS NAME PERMIT TO OPERATE NO. UMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES ^ NO ~o( TANK# VOLUME CONTENTS I ME F TESTING COMPANY - - --- TANK TESTING COMPANY - -- - -- NAME & HONE NUMBER OF CONTACT PERSON AILIN~~ADDRE S r, I S!~ C~ 9331~- AME & PHONE NUMBER OF TESTER OR SPECI INSPECTOR I -3 a-~~~ ERTIFICATION #: b503S,6~ -- oSo3S~3a- DATE & IME TEST TO BE CONDUCTED ICC #: EST METHOD IGNATURE OF PPLICANT ATE ~ ~- ~ -~ S .~ ~ ~ ~ ~ ~ ~~~ r~ PPROVED BY DATE , a FD2106 _. ~ ~:~. 'e1NDERGRJl1N® ST®RAGE TA(~KS ,~" ~°°` -~ `-~; ~~. ~ I2S~'~I.D I'I~2E I)~. - `~ - ' " ~'` p even#~®n lea vases ~~~~'~~~~®~ ~~ ~,~r'~*'Et7~s'~~ 900'l~~uxtunAve_, Ste_ 210 ~';~ ~ ' ~ Bakersfield, CA 93301 TO PERFORM ELfl>< uNE TESTING _. Tel.: (661} 326-3979 / 56989 SECONDARY CONTAINMENT TESTING Fay: (66I) X52-2I7I lTANIC TIGHTNESS TEST AND TO PERFORM FEIEL MONITOR4NG CERTIFICATION Page 1 of 1 PERMIT NO- ~ t '~ V ~ ~ , ^ ENHANCED LEAK DETECTION ^ LINE TESTING ice. SB-989 SECONDARY CONTAINMENT TESTWG ^ TANK TIGHTNESS TEST ^ TO PERFORtvi FUEL MONITORING CERTiFICATiOt ~ / __ - 5'Tc INI=ORf ;rTfOf1 _ _------ FACILITY n -- -- ' -- INANE & PHONE NUMBER OF CONTACT PERSON ADDRESS l DU ,~,~L~•_- ~~.~ ~,~~i~ o~ G~ a 330 ~~ OWNERS NAME ~ i' 'OPERATORS NAME PtcRMIT TO OPERATE NO. i jNUMBER OF TANKS TO BE TESTED TANK # IS PIPING GOING TO BE TESTED? __~i l'ES_ ~ NO~a~~Q~ i _~--- - --1--_.-_-- - C O N T E N T S-___-_-. __, V O L U M E --- ----_-- I ( i . - I ~ ~ t~0~- ' ~ ~ I i ~4 i - ----- - ~-- -------------------- { ---------------------------rl ~ TANK TESTING COPJIPRNY ;NAM OF TESTING CO PANY NAME ~ PHC3NE NUM ER OF CONTACT' PERSON ~ga3 P3~l - - iMAILI G ADDRESS (NAME PHONE NUMBER OF TESTER ORS ~i.Q~ ~~~ CiAL i SPECTOR _3~~_ ~~~~ ERTiFICATION #: ~ DS~3S' laq -- oSo3S~3~ ~AATE TIME TEST TO BE CONDUCTED I_.~~~~ I ~ - 3 : so ~ ACC #: I Sa ~ a a ~ (~ - EST METHOD u-f- j ..9-„-t,e-ti,...~ SIGNATURE OF A iC ^NT ~~ ~ 'DATE ~` ` I O'0 APPROVED BY \ /1/i. ~ //i~//~..._.~/) DDATE . I/i.//.. T^- FD2106 z~ x ~~~~~ r~ a~f_~~-v'~t~ Yip t 3 `s~~ (`~ 4 fh~. d~~ _: , _.. . a q~~ `~'~= ~ct~_ ~°" __ Vii- ~``€~~.a.. ~' ~3:~a\ ~:=~u ~~.~~ .~. ~~°'~~ .f 3: b~ ~':~~~ ~~~'-~~~ _~, r~:.j:% li fj ~Yr ~ ,. w~ ~I~LItVCa & PERINIT STa4TEAAEIVl' Bakersfield Fire Dept. PREVENTION SERVICES Fire Safety Services • Environmental Services 900 Truxtun Ave., .Suite 210 Bakersteld, CA 93301 Tel: (66l } 326-3979 DAT,E~w-~. UST/AST . RMIT, TANK TESTING ~, ~ t> i ;~,a. ~. 82 STATE SURCHARGE 86 TENTS, LPG. FIREWORKS, POWOER/OTHER PERMITS 84 COPIESIREPORTS 89 FOLLOW-UP INSPECTION INSPECTOR: GATE TIME SPENT: CHARGES: ~ ~ ,.~ °' CHARGES CODE: REASON and DATE f :,~' i.. ) FOR INSPEC TION: LOCATION OF INSPECTION: °~, BUSINESS NAME: ~ ' L.,..e.r+.°C`~-~ `-.-`(r'~_r .+1`~ ,.~; .a,,.,,.{n..."il..-ems.-e .(;..w° TELEPHONE NUMBER(S): ~,,1 BILL TO: PAY BY:... _ "- NOTES: "`°~ # - '* i „ . ..,~-^~. CUSTOMER SIGNATURE: INSPECTOR/RECENER SIG~f7t1)TIJRE:"'^-; ,~ ORIGINAL WHRE FINANCE CUSTOMER: PINK OFFICE: YELLOW Ft)1734(rev.12J03) Superior Court -Justice Building 1215 Truxtun Avenue Bakersfield, CA 93301-4698 (7hpe HenJ ~~ Office of the Asst. Court Executive Officer Superior Court -Justice Building 1215 Truxtun Avenue ~>~`'~~ Bakersfield, CA 93301-4698 ~ ~' v_ I (~3H Plod) ~s J.~ ~~ ~~ T , sa~~ ~os~~ ~~w S,LN~Y~IY~IO~ Customer Service Survey Today's Date Time of visit Please give to an employee of the Court or mail. THANK YOU! This questionnaire is designed to help us improve our service to you. Please take a fe~v minutes and fill it out. There is no need to give us your name. Your comments will be read and used to help us provide better service. 1. Did you telephone the Court prior to coming in? Yes _ No ifyes, please answer the following. a. Did you receive good telephone service? Yes _ No b. Were you satisfied with the telephone service? Ycs _ No c. Was telephone service helpful? Yes _ No d. Was telephone service courteous? Yes _ No Comments 2. What was the purpose of your visit? Criminal Case Civil/Small Claims Traffic Revenue Recovery Other 3. Once you were in the office, did you wait a long time? Yes No ' _ __slfy_es, how long? _ _ _ . ' 4. Did our employees give you: Courteous service? Yes _ No Helpful service? Yes _ No Adequate Information? Yes _ No Comments: 5. If you have any suggestions or other comments for improving our service, please write them on the oche side of this card. If you would lik response to any of your concerns, please PRINT your name, address and phone number below: (Mr., , Mrs) ,r n Name /`j„ Address /"~~/ City Zip Code Day Telephone Number Evening Telephone Number PLEASE GIVE TO AN EMPLOYEE OF THE COURT OR MAIL. THANK YOU! SUP CRT M ETRO pl V 580 9410 419 (5/01) ': ~ ~... t..Eti' T ~ ~ r ., K .L".~: . .~ .. _. a~'"sJS~"S-^~.+ .~ k .. ~ ... .. r` r ... .. _ 1 -_ _ BII.~ING 8~ PERIIAIT ST~-TENIENT ,.-~~ - DATE ~ G.i Bakersfield Fire Dept. PREVENTION SERVICES Fire Safety Services • Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 UST/AST PERMtT, TANK TESTING ~ ~` ~ ~ 82 /f jSTATE SURCHARGE 86 84 TENTS, LPG, FIREWORKS, POWDER/OTHER PERMITS COPIES/REPORTS 89 FOLLOW-UP INSPECTION INSPECTOR: DATE TIME SPENT: CHARGES: ~ C,J V CHARGES CODE: REASON and GATE FOR INSPECTION: LOCATK)N OF INSPECTION ~~^^~~ ({/~jj 8USINESSNAME: ~' `' ~ (~ /'"%~~/ ~r ~ - _ TELEPHONE NUMBER(Sj:" // ~., ~, {,~ ..~ lei `~i ~ ~ c~.~~'t-al,~'~--~~."'ly.^'-i,,,,•~' , BILL TO: ~" PAY BY: NOTES: ~ ~ `~ ~ ' _ CUSTOMER SIGNATURE: INSPECTOR/RECENERSIGNATURE:"`~ ..'' ORIGINAL WHITE: FINANCE .CUSTOMER: PINK OFFICE: YELLOW F01734 (rev.12J03) .:-,i...;,ud..w~tix:.n.'u...,u.._.a~mit< ....kv:...a. n...h,v ....:.,k ~taG.a,r +lv ~r«.a ar.~,z~..~wa.%.s».t~..:..a < ~9NDERGRO~}ND STORAGE TANKS --~' ;~~„ ~ 1~~FLI) ~~ ~3~. ~ .~ , t ~ ~ -' y p events®n S~rvice;s „-~~- L` ,~~~~, a r. _ ~~ 900 Truxtun Ave., Ste. 210 ~~,~~~~~® p'. ~_~ ~ ' `b=~ Bakersfield, CA 93301 TO PERFORM ELD i LiNE TESTING - Tel.: (661; 326-3979 ~ sBSSS SECONDARY CONTAINMENT TESTING FaX: (661) 852-2171 /TANK TIGHTNESS TEST AND TO PERFGRM FUEL MtDNITORiNG CERTIFICATION Fage 1 of 1 PERMIT NO. ^ ENHANCED LEAK DETECTION ^ LINE TESTWG ~SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TGHTNESS TEST ^ TO PERFORt~~ FUEL MONITORING CERTIFICATION ~ ~;T_ J! I F NFOF-i V`v1 A.T~CJ {~'.- -. jNAME c4c PRONE NUe~BER OF CONTACT PERSON I ADDRESS i t ot~ CA ~r3 0 ~ OWNERS NAME PERATORS NAME iPER~~IT TO OPERAFE NO. ;NUMBER OF TANKS TO BE TESTED ! T A IV K# ------- IS P{PING GOING TO BE TESTED? _ _ ~~ YES _______~-_NO _ _ ~ CONTENTS---__.__- V O L U M E - - - ------ - - __-- I---- -- -- - ____ - _ - I I ~ i I ~ i ` i 1 ~ ~ I ' I ~ ; ~ - r--- - ---_._.. --------- ~ -------'---- i ------~---- ------ --- -- i ----------------------- --i --- -~---- --- i I I I TANK TESTING COMPANY __. __ ,., A,ME r TESTING COMPANY iNA.ME & HONE NUPABER Ot` CONTACT PERSON -- ~ MAILIN ADDRESS U V !NAME & PHONE NUMBER OF TESTER OR SPECI INSPECTOR ;CERTIFICATION #: ~-~ ~.~ ~ c~ ~ -39a - d't~~ 7 I ~ SD 3 S ~-~ -- ~ ~ o ~S t 3 ~- ~~ DATE 8~ IME TEST TO BE CONDUCTED jICC #: ]i EST METHOD ; J~-~ollw,-, ,l~c~,~.p~... ,3t? ~Oy S Q : yt~ ~ i 5~~9~ ~(o - u! i ~ ~ jSiGNATURE OFU~PPLICANT ~ IDATE IP,PPROVED BY !DATE FD2106 ~_ .~ti 1 ~ ~~~ _ .1, ~~,. ~~ ~. ~~ ~ C.P ~~~~~ ~`` ~~ ~ ,~ ~t~~~ ~. a ~~~ ~ ~~~~~~ _ ~ -~ ~~Z~ 7 ~ ~ r~~ cl~ S~ ~~ ,, ,~` h FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 852-2170 PREVENTION SERVICES fiRE SAfETY SERVICES' ENVIRONMENTAL SERVICES 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave.. 3'd Floor Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 10, 2004 Oswell Liquor & Market 100 S, Oswell Street Bakersfield, CA 93306 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Valued Customer: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators. These are as follows: 1) January 1,2005 deadline for submitting declaration statement designating: (a) Owner/Operator understands and is in compliance with all applicable UST requirements, and (b) Owner identifies the designated UST Operator for each facility owned, (c) Owner/Operator passes and submits proof of International Code Council Test. 2) EVR upgrade requirements on spill buckets are due April 1, 2005, 3) Secondary Containment Testing on all secondary systems. Code requires re-testing 36 months from date of last test which was in 2002. Should you have questions regarding these compliance deadlines, please feel free to call me at 661 - 326-3190, S2~ Steve Underwood Fire Prevention Officer SU:db {{Q~~(.'II{;J~Y tit (/ Y¡;;'WJNiZII/}U!;¡ r¡Þo'Jt Q. /tNt(/ d//Uldl QÝ'I Yi:"'Jtli, P// II 64/27/2864 07:55 6613920621 PAGE 01/01 *COPY REQUESTED PLEASE FAX( 661 )392-0621 CITY OF BAKERSFIELD OFFICE' OF ENVIRON~NTAL SERViCES 1715 Chester AVe., Bakersfield, CA. (661) 326-3~79 FiX :(66i~ APPLICATION TO PERFORM' FUEL MONITORING CERTIFIC,ATiON~ ~ FA~Y ~ D~PENS~ P~S? ~S~ NO 3 VOLUMB CO~S ~ ~ l_0 ?c~rD · ~nc :.-? '"7 is ,rog,.,i. APPROVED BY DATE,.., ,,/ SIONATUR~ OF APPLICANT -~ BakerSfield Fire'Dept. Enlronmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield. CA 93301 Tel: (661)326-3979 FACILITY NAME ~ , ~ ] ~ ~... /i ! ~ ~ I I~SP~ECTI~N DATE INSPECTION TIME Routine Section 1' Business Plan and InVentory Program ,~C0mbined ~! Joint Agency {~ Multi-Agency l'1 Complaint Re-inspection C V C=Compliance ~ OPERATION V=Violation ] APPROPRIATE· PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS COMMENTS VERIFICATION OF LOCATION ROPER SEGREGATION OF MATERIAL VERIFICATION OF M S DS AVAiLABiLi3~y; VERIFICATION OF HAT MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .................................................................................... Co.~,.~.s ..o~.~ ~ ........................................................................................... FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?; [~ YES /1~' No \ EXPLAIN: QUESTIO~NS REGAR~I~NG TH~ INSPECTION?PLEASE CALL US AT (661) 326-3979 /) · // .......--~~ ~ ,)/~!tor ...... B~-ge ,(~ ........... / ) sB[!~' Site Responsible Party al Se~iLs Yell~ - ~t~n ~y Pink - Business. ~py FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAl. SERVICES UNIFIED PROGRAM INSPECTION CitECKLIST 1715 Chester Ave., 3ra Floor, Bakersticld, CA 93301 Section 2: Underground Storage Tanks Program Routine ,[~Combined _~ Joint Agency Type of Tank ,~ IM Type of Monitoring ('~L.Yv% [21 Multi-Agency Number of Tanks Type of Piping []2],~mplaint F [2221 Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on tile Pennit tees current Certification of Financial Responsibility Monitoring record adequate and current in\la' Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC On file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~') 4~/~~ Office of ~nment~ ~i~6~39~,~itc _ E,v. Svcs. Pink - Business Copy B'usines'~te'Responsible Party ©SWELL LIQUOR 100 S.OSWELL BAKERSFIELD,CA 661-861-9769 SEP 7, 2004 10:22 AM SYSTEM STATUS REPORT T 4 :DELI \/ERY NEEDED INVENTORY REPORT T 1:87 UNLEADED VOLUME = 2871 GALS ULLAGE = 728i GALS 90% ULLAGE= 6265 GALS TC VOLUME = 2813 GALS ',~HT = 31.12 INCHEE~ :~R VOL = 0 GALS ER = 0.00 INCHEE; .p = 88.8 DEG F 87 UNLEADED JJME = 1548 GALS ..... 35-1'6' GALS' ULLAGE= 3009 GALS VOLUP1E = 1518 GALS IGHT = 32,94 INCHE¢ TEA VOL = 0 GgLS TEA = 0.00 INCHES ,MP = 87.3 DEG T 3:91PREIdIUM VOLUME = 1554 GALS IJLLAGE = 3510 GALS 90% ULLAGE= 3003 GALS TC VOLUME = 1523 GALS HEIGHT = 33.03 INCHES WATER VOL = 13 GALS ~ATER = 1.30 INCHES TEIdP = 87.6 DEG F T 4:DIESEL ',,/OLUPIE = 1152 GALS ULLAGE = 9000 GALS 90% ULLAGE= ?984 GALS TC VOLUIdE = 1135 GALS HEIGHT = 16.31 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 91.7 DEG F · 86/15/2884 14:55 PAGE 82/24 MONITORING SYSTEM CERTiFICATION . ~ludwrl~ Clrad: Chap~ 6. Z ~edth and Safe~ Cod~' Choler 16, Dba~n 3, ~'tle 23, Cal~nia Co& of~gdadon~ -I'~Js :brin must be used m docent ~a~g ~ serviced ofmo~tor~ eq~p~n~ ~m~..~i~c~on or m~o~ must b~ ore0are9 ~caach monRor~syb~m coati p~i by ~e ~c~ta~ w~ perfo~ ~ wo~. A ~py ofth~ ~ mu~ b~ provi~d ~ the tank sys~eal own~/ope~. ~ o~/o~r must submit a o~y of~ ~ m ~e l~al ~cy fcgu~g ~ systems wJ[~ 30 days O.t' rest dare.' Comet Ph~e No.: { ~ B. lq¥catory of Equipment Tested/Certified Chcelc ri*c ~pLotopriate boxe~ to I~dica~ s9~ifle eau!atonaL insDec~ed/se~d: I ~u}ar Sp~e or V~R S~r. ~odet: ~ -- ~ ~i~ing S~p / Trench Senso~s). Model: ~ FiLl :~mnp SensorCs). Modcl; ~ lc~hmtical L'Lac Leak Detec, mr. Electronic Line L~ Det~tor. Model: ~ut~ Sp~e or Va~r Sensor. Model: ~Piping Stm, p t Tr~ch ~a~s). M~cI: Fill Stoup Senso~s), Mo&l: Elccu~uic Li~ ~ Dame{or. ~el: l'~k Overlill I ~.Lev~ g~sor. ModH: (~l~f.3~pcci~' equlom~r Wpe md m~ in Se~on E on Page 2). peasar Co~t Se~O). Model: ar ValveLs). L)ispamer Con~nm~ ~oat{s) ~d ~he~ V~veCs), Dispenser Coat.meat Float(s) ~d C~i~(s). ~ Gauging Probe. Model: ~...t~q~t- ~' ~'"- ulat Rpoee or Vauk ~or. Modat: og Sump t TrenCh Scnso~s). M~el: Fill Sump Sc~or(s), Mod~: M~I Lido Le~ D~. Modeh Blo~on~ Li~ ~ Domclor. ' Model: T~ Ore,ri / High-~ O~ {s~t~ equi~mt,, ~e ~modd .... in ~6on.., ~. on Pa~ 2). ~ Oaugi~ Pm~ Model: - ul~ Spa~ or V~k Saner. Model: ~ · ~g Sump / Tr~h S~n~s). Model: FlU Su~ ~o~s). Model: M~hm~c~ Line L~ D~r. Model: Ei~ronic Line L~ De--on Trak Ove~ll l Hi~-L~el ~enaor. MMpi: 0~ (sgeo[~ e~ui~nt ;---',.m-" ' .... Db~n~er ~: D~spe~ Conmtnm~t S~s). Model: Die,sCr Con~nmcm FI~S) md Ch~s~. I oi pe ,e¥ ¢ontam , rioa,L -If file ~cilky con~ mom ~ 0r dlsp~ copy ~hls ~nn. Mclode in~ ~r ev~ ~ ~d di~ M ~e ~:ili~. guideline. A~ach~ tO correct and a Plot P~n showin~ the ia~eut of monl~rin~ eq~nt. For any equi~t ~pable Of gentling such r~o~, i have also attached a copy of the repo~ c.,nmcaaon No.: E~/D Li~. N~1/O40- ~ ~o905o 're~r~gCom~y~me: ~leS ~NVIRO~N~AL Pho~No.:(66i ) 392-8687 Site Address: Page 1 of 3 03/01 Monitoring System Certification 06/15/2004 14:55 66139 1 PAGE 03/24 Coz ~leTc thc Ioliowing checklist: nor jn[er~c wi~ ~e~ proper operp~On? If ~ ~ relayed m a ~o~ mo~t~r~g smUo~, is att ~c~Qons'~uipmc~ (c.~':' 'modc~) ~¥'¢s 0 ~o* For p~d pip~g syst~, does ~e t~b~ ~m~6~tl~ shut do~ if ~ pip~ seco~d~'coa~Jn~nc posi~vg sh~-do~vn~ (Cheek all t~tat apply) ~ ~um~r~nch Sensor; ~D~pe~er C~enc Sensors. Did you con~ posldve sbur~o~p,d~ ~o !e~ a~ sen9,9r ~it~di~o~i~? ~es; ~ No. , Yes ~ ~ot t~ sYstg~' ~t 'utit~e ~e mo~m~ System ~ d~c pr~ t~ ove~fl w~ag dev[oe (i.e. no me~c~ ov~fiU p~ vstve ts ~s~d). ~ ~e ov~11 w~n[ng alarm visiblt and audible at / flu po~t(s) ~d op~'adng properly? lf~, at ~ ~rc~ of~ capaciT docs ~c ~ ~i~ge~ =~Y~* ~ No W~ any monitor~g ~uipme~ repl~? [t'y~, t~n:~ speci~c s~o:s, ~obes, or o~ ~uipmc~u Yes* ~No Was liquid btmd ~si~ ~y s~ coam~o~t s~e~ ~s~ed ~ d~ systat? (Check all t~t Pmdttet~ D Water. ~f~es, describe c!~s ~ Secdon ~, .below. ~: 1~. NaT _Wu_m~i~nS s~t~= set-,p ~vieW~'~re ~o~ sennas?. A~h set ~ repo~, ifappljcabJc ~Ycs I O ~o= Is ~U ~J~ equi~c~t opcmti~al p.e~.~u~tu~r's ~ccificadons? .... below, de~cribe lmw. and when these deficiencies were or will be corrected. .g. Commea~s: Page 2 0/'3 06/15/2004 14:55 66139 F. ia-Ta~k Gauging / $11~. E~luipment: PAGE 04/24 this bo~. if tank gaul~ing is used only for inventory cor~rrot. ri Check this box if no ~ gaugmg or SIR equipment ~ installed. This s~cdon must be completed if in-tank gaugiuE ecluipmcnt is Used 1o perform leak detection monitoring. Compleye ~he fotlowin[~ checklist: Y ct C~ No* 'H~ all input wlrln~ h~en insPeCted for proper Y~s ~ No* Wer~ ~1 t~ ~ug~g pro~ v~ua~y ~pect~ f~r'd~e Y%;" ~ No' W~ ~c~a~y of~'~m pro~ 1~[ r~'tes~{ ' Yes [.~ No' Were a~probes ~[led p~periy? tlxe Section H, below, daseribe how and when these deficiencies were or will be corrected. Line Leak Detectors (LLD): ~eck this box ifLLDs a~e not instaJled. Co,n )lere the following chee. kl/st: Yes 0 No* For equipment start-up or amiua.]'eq~m~,ut ce~tif~ation, ~as a leak simmd m wd~ ~.~.~ performance? ~c~ ~ N°' W~ ~l.~s conf~d oPem~o~l ~d acc~a~ wi~n r~am~ requ~en~? Y~ O No*' W~ ae ~s~ app~ms properly Ye~ O No* For m~m~l ~Ds, does fl~ ~D'~ p/~u~ flow if it ~cm a ~ ...... Yes ~ No* Forel~c~Ds,~estMmrbh~e~m~al~sh~offif~Yp~;~'~tbet~oni~r~g"~smmadisabled Yes G No* F~'~l~c ~s, does ~ turbine auto~tkaay ~ut o~ifany po~o~ of~e m~rag sysmm ~lfuncrlo~ Ye~ O No* F~ ~e~nie ~[Ds, have aU accessible ~ co~o~ b~ visu~i~ ln~Pec~? " O N/A Yes 0 NO* W~ ~1 hm Oa ~"e' ~uipmut m~t~cm~*s ~n~ce ch~/st compie~d? ;he Section ]:1, below, describe how and when these deficiencies were or will be corrected. Comments: Page 3 ofl 0~m~ . l~o~llgOrj.ng Sys~m Ce~ffic~t[o~ UST MOnitoring Site Plan PAGE 05/24 ][nztructions If >on already have a diagram that shows all required information, you may include it, rather than this page, witlt your Monitoring System Certificz. tion. On your ,ire plan, show the general layout of tanks and piping. Clearly identi/3' locations of the following ~uiprucnt, if in~tallefl: monitor[ag system control panels; sensors .monitoring tank annular {p~ce9; Sumps, dispensc,' pans, spill contlfiners, or other secoudary containment areas; mechanical or electronic line leak deteccor~; and in.tank Uquid level probes (it' used for leak detection). In the space provided, note tho date this Site Plan was prepm'ed. 06/~5/2004 14:55 PAGE 86/24 MONITOR CERT. FAILUP. E REPORT SZq~. CONTACT: C~TZFI CATION T~-qTING. ~'AW.~S ZNETALLED ~ 06/15/2004 14:55 100 8,O~L ~E~F I ELD. GA 6~ 1 --~$ ! -~76~ 80F"rk~RE hEY IBION LEV~L, VER~I ON 128.02 BOI=3'%dARE~ 846128-100~ CREATED - 02, 11.25. t 5, 17~ NO BOFT~ ~DULE 8YBTEM F~T~ES: : P~R I OD l C I N'-T~NK T~ RNN~ IN-TANK TE~B ~-U.,RRM H 181'0R¥ REPOET .... IN-TANK RL,qPJ,,I T I :87 UNLEADED ~RFI LL A~RH F~ ~9. 2004 B':i6 JUN '14. 200~' 8:14 H I G H PROD UGT ' ALA~ APR 21. 200a ~ 24, 2004 ~PR 18. 2004 8 ~X P~DUCT A~R 21, 2003 l:Ol .... n~, n l ~ t VN¥ RE, PORT .... 1 N-TANK ALARt'I --- T 8:91 PR~IUH LOW PRO~CT ~LR~I JAN 8, 2004 7:82 P~ DEC 30, 200~ 12=24 PH 8AN 5. 200~ 8:52 AH ~ 24, 2008 2:1~ PU ~0L 22. 2003 4~37 PH V~R¥ NEEDED . 8., '2004. 7:1~ AN ,26. 2004 ~:58 ~. 20, 2004 2:34 ~ PAGE 07/24 ALA~'~I H[aTOR¥ R~ORT .... IN-TRNK ALARM ..... T 4:DIE~EL LOW'PRODUCT ALARM APR 29, 2004 HPR 26. 2004 8:52 AH: APR t4o 2004 5;45..PM INV~,,[D FUEL LEVEL APR 29. 2004 ~R 26. 2004 7:28:AH ~R 14, 2004 8:52 PM 2004. 4:67..PH: 2004 4:04 PM: ~ARM HI~I'ORV ~ORT. i ~A~ HI~O~ REPORT' ~ 2003 ~, ' , ~ · .[ J 86/15/2884 14:55 66139 1 PAGE 08/24 .;.ALRRIfl HI'IBTO~¥ 'EZPG,~q~ I .A~. HI~ORY R~ET' ' ~ " ' :' ' ........ "" '- .... ~OR ~A~M .... - .... ~N~O~ A~A~ .... ;,__L ~ AL~H ~ : " .... :" ';'""" '";" ANNULAR ~C~ PlPI~ BUMP ' , D'I~PE~E~ ~N DI~ ~'N~. ; ': I" ':':" ~Y 3, 2004 11:0~ ~ ~AY 3,.2004. 1'1~07 ~ ~ HAY~ 3, 2004 11:13 AM ~Y ' ~, 2004'. 1'1:~1~.~; FUEL A~M F~L ALR~ : " PU~ ~M APR 10. 2003 1:37 PM AP~ 8. 200~ 4:1~ PM ~R 8, 2003 4:1~ ~ . H , .;:.' : ~ ALA~ HI BTO~ i ..... $~..',A~',.-~--- . ~ OT~R' ~N~ : :!,. ~NgOR O~ ~ FU~ R~ '~U~ R[R~ ' ~Y g..2004 12:31 ~M MRY 3, 2004 11:07 .~Y 3, 2004. 1.12-'~. · :.~ . . . , = .. .,. . , .,.:.': .'~ ..,': ,, * .. ...[ ~ ~.... ..... ...=.. =.,.,~, ,.,. ,~ ..... . . , .~ .'~ .' ~ .~ . . .."'~', ... ,,.~' :: . , .. · . ~ .,. · ..... ' .,~?~,,..:..~, . ::.,.= . .... ~ , : .... . . . ~ ':.'?.~:,~'"'&..,~'.~..,~ ; ,' , · ' .... ~ :~,~.,.'. 'L ;. ',' : . . . .:? ;., .., . ......... ; ..... :'.~.:..~.: ~?:~..'..:f'.~?.;;..: :.; .. ..., .,:..: .. ~,...; :........,,:....:. ::.~:, ~ ~j(~' ~ ;~--- .... '[~' . · . . .. ... .... ..~ . It.: ,. ~, , , ~. . : .;,,'"..' "" .' '.' .. ':'."' :""",'~ ~] ~".;-' ~.:~:'L, ~',": ....~ .' '.. '"":" =: ,... ~ ~' .. .. ...: ..,~ .;,... ..,.:~. ....... :~ .... ~,. ;,. . .... ....... .. .:.......,,, ...... ::; .~ .... ~, ~ .... ~=~.~[~,.,: ,g...:,']~ .....~ ' ~'~ .:.~:...:.... . . .. .. :.......... ..;, , ..~.~:i~;~.~ ~.':'.~, .: .'; '. ~,..~ ~,:: ...... ,.. . .... 7. ',... :=:.;."' ~ ' · ':~,. L[.' ?. ',::.'.': ': ' . .. :~,~.".. . .~i .~7 ,~.;, '~ ~ .. . ..... '~: '~' - ~.: L~:~m~, ~.~ '... ..... L . ~' ~a~ PriN. 1 .............. ' .... ~ ~ '.,:.,. ...~ ..... p~ · ~. ~~. ' .. ~y . '4icil ~;' ~¥'3~"2004 ~=~ AH. ' " ":";' "' ~ ~.~, . :} .~; ,:.. .... j ~'.. :.'..~.~. :' . ',OTH£R ~ENSORS ALA~PI HII3TOR¥ REPORT ..... ~Ehl~R ALARM i ALA~ N~TORY ~PO~T ...... SENSOR ~L~ --~ OTH~ BENSO~ ' 6613 1 ~I-,AEM HI~TORY REPORT' OTHE~ AL~P-J,t H I ~TOR¥ REPORT ~: .... PRODUCT ALARM ' :'i '1 --"~ P~ODUCT AI.~AhH .... PAGE 09/24 SYSTEM SHl'Ul:' ,, , '": ,,' · " .t ~ ~g~ ' " · ~ -..',. ' · '. ~'.. :..:' ' '~':::.L,~.~ ~. .~ '.. ' ' .. ~ · . . . . ,. ,, ::.., ,~, ~.~, ,~ ,~' ~, ., ;...:.,', .... , · ' .' ' ' . . · I' '..~?':. :. 't ."~,',~ '.. '. . · · ' .."T--'~ ~ ~ ---~ >ROD~ ~.~ -~ · '~'~J~'t:J..',".':;. ::;'L .:..' '"..: '.. 'i ...... ~,:- , · .' ;. 'OT ..... U~E · . · ,. ..~.,..: · .. ....... ...,:..., · .. ...... , .: .. . ..... . ~; . .- . t { ,... ... ,~ .,.. , .~., ...,?....:..:/~-,... .... . ..;,. . ..... . , . . , 05/15/2004 14:55 :N~TANK SETUP ' 1:$? UNLEADED 'ROD~*T¢ODE : 't-IF_.~ COEFF :,00070~ 'ANK PROFILE : I PT: POLL VOL ~TER W~NIM3 : WATER LIMIT: OR L~BEL VERFILL LIMIT ELIV~RY LIHIT : aL~ LIMIT: UDDEN. LOS~ LIMIT: TILT : 4.0 IN,' 66139: PRODLICT ~ODE' TI~'R~,~ COEFF ' TANK PROFILEI FULL VOL FLOAT, SIZE: HIGH b~R LIMIT: MAX O~ OVI~RFILL'LIM~T ::' ,HIGH ,P~OVUCT i 964~ '.LOW PRODUCT : '500' 25.~ [EAXAL~M LIMIT: 15 PRO~ OP~ET :' 0','00~ FLO~T SIZE;; 4,0 IN,! PAGE 18/24 T 4: D ! i~1~1~., PRODUCT CODE T~NK P~ VOL Fl,OAT ~IZE: ~0 WA?ER I*~:~RN I NO '8.ol HIGH W~T~R LIMIT.: 5064~ ~ OR L~EL'VOL~: 465 ~' ' ~0. · 2~. DELI ~Y .LIMIT, 12~6. · , TA~ TILT '." : SIPHON I"~%NIFOLDED TAN,K~ T#: NONE L~NE I~NIFOLD'ED TANF~ T#: NONE IPHON PtqNIFOLD£D TANK8 . '! INE {'IANIFOLDPD TAN{~f{ , LF. qK MIN,.I~RIODIC: O~J ~ MIN PERIODIC: . , . ... ... .~:;. . ~D · , , ..... O~ 0 , ! · oBo450 :10152 4..0 IN, 2.0 ii0152 91~6 95~ 9644 '25~ 500. 99 0.00 0.00 SlPNON HANIFOLDED TANKS T#'f N~N~ LIN£ {'tqNIFOLDED T~NK8 T~; NONE ' 06/2§/2004 14:55 TEI~I' ON DATE : RLL TANK JAN 1, !996 BTA{;Ff TII~ ~ DI~L~D DURATION : 2 HO~ , E~K T~BT ~0~ FO~AT ".~iQUID ~R ~ETUP L 5; 97. ~¥p :SUPIP TRI-STATE {SINGLE FLORT) CATEGOR',Y : PIPING i~l.~ TRi'-STATE (EI{'NGLE FLOAT) 66139: 'RECONCIL I',~'~ ION BETUP PAGE 11/24 86/15/2884 14:55 PAGE 16/24 ' ' *cOpy R~-QUESTm'D " FAX( 661 ) 392-0621 CIT,Y OF OF~CE"OF E~O~~~ SER~CES 1715 Char Ave., B~er~eld, CA. (661) 326-3~9. APPI~ICATION TO PERFORM FUEL MONITORING CERTIFICATION TANK # c0m~cro~s iacmss # ~o -. . ! -- _ 1072 APPROVED BY SIGNATURE OP APPLIC~ FIRE CHIEF ?ON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 SUPPRESSION SERVICES 2101. "H'! Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES FISE SAFETY SERVICES · ENVIRONMENTAL SERVICES 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 171.5 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326~3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 39%4697 FAX (661) 399-5763 June 10,2004 Oswell Liquor and Market 100 South Oswell Bakersfield, CA 93301 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Sir: Our records indicate that your annual maintenance certification on your leak detection system will be past due on 04-10-04. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used tO m0nit0/' 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 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 hage any questions, please feel free to contact me at 661-326-3190. Sincerely, -. Ralph Huey Director of Prevention Services by: Steve Underwood ......... Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db April 22, 2004 Oswell Liquors & Market 100 S. Oswell Street Bakersfield, CA 93306 · FiRE CHIEF :'(Gi'-i 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 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 maintenam:e certification on your leak detection system will be past due on April 10, 2004. 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, May 22, 2004 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 06/15/2004 14:55 6613B~ 1 PAGE 12/24 $ WKC~: Jmtum'y 2002 Secondary Containment Testing' Report Fora Thi¢ Ibrm ix b~lto~lad for.u~a by tontrctctorx p~rformlng lp~riadte tartln~t of UST #aaondtmy comtalrlr~zrff g~xlmnt, t.~a th~ appropriate pa~ ~th~ f~m to report r~ul~ for all co~on~ t~t~d ~a o~l~d fo~, wr~ t~t~~, ?.b~toum j~om t~m (~ ap~li~lO, gh~d be pr~i~d to ~e f~ai~ ~n~o~or for ~bmit~ Faeili~ Cou~ { Phon~: ' ' - Dat~ Loc~ Ag~ W~ Notified ofTe~zg: ............ ~.. TESTING .......... co~rtRacr~..R · Techaician Coudu'¢t~ Credentials: ~ CSLB Liceu~d Cont~ac~r 'LiCeCa~ T~pe, C611D40 INCON INC0N ~g-S?S '8/04 3, SUMMARY OF' TE~T RESULTS I Component Pa~ FailTestedN°t :~lagairaMade Component Peas Fall T~ Made o o o o o o 0 0 ~ 0 0 O 0 ,.~ ~ 0 0 0 0 0 0 O o o o o o o o q,, O D O O O O O D D D O 0 D D D D 0 ~ D D 0 O O D = D D D D D D D O o ~ ........... p o __ o o o o if h>,drostatic mstlug was .pe~i~mecL describe what was done with the WaZ= aRet eomplemiou of tern: R]~CYCLE AND REUS~.. 06/15/2004 14:55 661392'~'21 PAGE 13/24 Test M~od Deve]o~ ~ 0 Sp~ Budc~ M~~ ~ ~m~ $~ O ~el~ ~ ' Test Me.od U~d: O ~s~e D ~a~ a Hy~c = ' T~tEqulpm~tUa~ INCON T~ST$ '~ ~i~~l~: . ~ooin. Psss/Fmq ~old ~ Comm~n~ -.(ine.~tl, inlrormation on mpairs rnad~_~rior ~ te~_ _tt!~ and r,,ornmgnded follon-up for failed gests) ~ ~'-,~..% v~-. (:: ,.,,,c~-~.!_.,_ ~_,~-_.~.~. __~. ~.~, ~~J -' 06/15/2004 14:55 66139: PAGE 14/24 SB989 TES_T, ING FAILURE RE~OI~T gITE CONTACT: SIGNAJ~~~~~ T~STING.T~E FOLLOWING C0~4~ON~NTS WF~RE 1%~PLAC~D/~EPAI1RED TO COldla~TE T~ 3 LABOR ~ ~ r ~ Certified Fee I"-I Retum Reciept Fee (Endorsement Required) r-~ Restricted Delivery Fee ,-[3 (Endorsement Required) Postmark Here I'l.J Total Post;/ r~ o i r~ ~ Oswell L~quor & Market i'--] [~}t......!i~~ 100 South Oswell Street · 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 mailp ece" or on the front if space permits. 1. Article Addressed to: Date of Delivery D. Is address different from item 17 I-I If YES, enter delivery address be ow: [] No Oswell Liquor & Market 100 South Oswell Street Bakersfield, CA 93306 Se~ce Type ~ ~ ~,Certified Mail [] Express Mail '~ [] Registered I-1 Return Receipt for Merchandise I [] Insured Mail [] C.O.D. ~ 4. Restricted Delivery? (Extra Fee) , 2. Article Number . ' ran [] Yes ~o 7003 2260 0004 7652 3249 , PS Form 3811, August 2001 Domestic Return Receipt . - - '' 102595-02-M-1540 ~ USP$ ....... ~ Permit No. G-10 · Sender: Please print your name, ada~ss, and ZIP+4 in this box · ~Bakersfield Fire Department Prevention Services 715 Chester Avenue, Suite 300 Bakersfield, CA 93301 FIRE CHIEF RON FR&ZE ADMINISTRATIVE SERVICES 2101 "H" Slreet 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 D December 12, 2003 · CERTIFIED MAIL Oswell Liquor & Market 100 SotJth Oswell Street Bakersfield, CA 93306 RE: Propane Exchange Program Dear Owner/Operator: .The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from dOorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located ina manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) 2) Constructed of steel, not less than 4 inches in diameter, and concrete filled. Spaced not more than 4 feet between posts, on center. Re; Dated: Page ~:' Owner/Operators of Propane Exchange S propane Exchange Program December 12, 2003 2 of 2 3) 4) 5) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. Set with the top of the posts not less than 3 feet aboveground. Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than I0 feet of separation between the curb and the cylinder storage area. "No Smoking"signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely,_ Steve Underwood Fire Inspector/Petroleum/ EnvirOnmental Code Enforcement Officer G 6_, 1 - L--I ~, 1 --L:! ? ii, ? DEC: 1 6. ~O0:L:: :3:1 9 PM S"x"i_:.WEM._,c-"r' ,,p~,~ ~, ,_,':' REIi:'C:'RT T 4 :D£LI',,.,,'Eh'Y NEEDED I r.{,..,'ENT,:)I;-:',' 17Ef::,:7:,},i"l' T 2':S7 '--";,,';:_-:,IJLII'";IE" - -~ 'l~h4 L~4LS~ LILL~,:2E = 2220 GALS ' 91-1:~-;:; JI.I_i::~L-;E= 271:3 GRLS TC;: V,:::,LUME = l:P, 40 HEIGHT, = 3'7.43 INCHES I....IR,'I'EI4! 'v'(:,L = L-I ,.l&f -'~ = Ii. FII-I I NC;HES TEi'..~/ = L:,'2. '3 [,E(; F T :3:91 F'F;EMII_IM 'VC:,LLIME = 1 4S4 ,;;;ALS IJI.,L~C;E = 35210 GP~LS 90':;'-;; LIi..L~C;E= 30?3 TC VC'LIJME = 1430 ttEI,:i;HT = 31 . 94 I N,i;HES I.,...I&TER VOl_, = 14 t,.J~TER = 1 . 33 TEI'"IF:' = 6:7',. l~l CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME 0.30~e_ { t INSPECTION DATE Section 2: Underground Storage Tanks Program Routine [2J Combined [] Joint Agency Type of Tank ~tO~ Type of Monitoring d t..~t [] Multi-Agency J [] Complaint Number ofTanks ~ Type of Piping ~t.0 ~ [] Re-inspection OPERATION C V COMMENTS Proper tank data on file k,., / Proper owner/operator data on file k.. / 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 OPERA. TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance ~V=Violation Y=Yes N=NO Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy Bu~esponsible Party UNIFIED PROGRAM ~SPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ' INSPE[CTION DATE INSPECTION TIME FACILITYCONTACT Business ID Number 15-021 - [] Routine ~[~Combined ~ Joint Agency ~ Multi-Agency ~ Complaint [] Re-inspection ~' C=Compliance ~ OPERATION COMMENTS ~. v=violation . APPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF LOCATION VERiFiCATiON OF MSDS AVA~LAB~UWE VERiFiCATiON OF HAT MAT T~N~NG VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE CONT*~NERS P.OPE.LY LABELED HOUSEKEEP~N~ F~E PROTECTION S~TE D~AGRA~ ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES [] No EXPLAIN; QUESTIONS J~GARDING T~/3~ IN:,~OECTION? PLEASE CALL US AT (661) 326-3979 White - Environmental Services Yellow - Station Copy Pink - Business Copy p1010014.jpg (1280x960x24b jpeg) p1010013.jpg (1280x960x24b jpeg) p1010012.jpg (1280x960x24b jpeg) p1010011 .jpg (1280x960x24b jpeg) p1010009.jpg (1280x960x24b jpeg) p1010008.jpg (1280x960x24b jpeg) p1010007.jpg (1280x960x24b jpeg) p1010006.jpg (1280x960x24b jpeg) p1010005.jpg (1280x960x24b jpeg) p1010004.jpg (1280x960x24b jpeg) -~O'~'~'FFICE CITY OF BAI~SFIELO OF ENVIRONMENTAL sERvICES 1715 Chester Ave., Bakersfield, CA (661)326-3979 Phone No. INSPEq"TION RECORD POST CARD AT JOB SITE INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will mn in consecutive order beginning with number I. DO NOT cover work for any numbered group until all items in that group are signed offby the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL INSPECTION [ DATE [ INSPECTOR Backfill of Tank(s) ~ Spa~ Test Cetlification or Manufactures M Cathodic Protection of Tank(s) PIPING SYS-I-~.M Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping ................ SECONDARY CONTAINMENT, OVERFILL PROTECTION, DETECTION Liner Installation. Tank(s) Liner Installation. Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Line Leak Detectors) Leak Detector(s) for Annual Space-D.W. Tank(s) ~ Monitoring Well(sySump(s) - H20 Test ~It~/C._~ .~ Leak Detection Device(s) t'or Vadose/Oroundwater Spill Prevention Boxes FINAL Monitoring Wells, Caps & Locks Fill Box Lock ~ Monitoring Requirements Typq. Authorization for Fuel Drop CONTRACTOR CONTACT LICENSE # PHONE # qTt~351 _ CITY OF BAKERSFIELD ~ OFFICE OF ENVIRONMENTAL SERVIC~~'' 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) [ ]NEW FACILITY [~MODWICATION OF FACII.ITY [ ]NEW TANK INSTALLATION AT EXISTING FACILITY FACILITY NAME EXISTI~.F.~AC~I~_p~ERMIT NO. FACILITY ADDRESS I(~D '~o. ~ ~ CITY y,.,1/~..~CD+~D ZIP COVE TY~E OF BUSINESs: .. ~_~?.o(e~ ._~'~L--[ u~,/~ ,~N~ TAN~ OW~VER ~_'t'/~_ ~_t ~,~:~-. . PHONENO. ADDRESS I C~,.~,. ~~-~. CITY ~ zn, COVE ~ CONTRACTO_R J/lJJ~.f~z~cZ (_~. _ , CA LICENSE NO. ADDRESS ~('P~' g,l~ /~(~..,, - CITY ~ ZIP CODE PHONE NO. C~,']~/~ ~t~t BAKERSFIELD CITY BUSINESS LICENSE NO. wo~U<MA~ coMP No. ,UlA ., _n, ts.u~; _ _.~',,)- ~ B(R~FLY DESCRIF~ ~ WOJ~K TQ P/~.D~_ NE .~ J]/~_ ~l~.~_~'~(~- ~ ___~-'~._ ~:.~) J) WATER TO FACILITY PROVIDED BY .(-~,..~J~, ~ '~AAe~ , DEPTH TO 6ROUND WATE~ 060' ~ SOIL TY~E EXPECTED AZ SITE ~ ~C~ NO. OF TANKS TO BE INSTALLED ~ ARE TI-IEY FOR MOTOR FUEL " YES NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE ? YES NO SECTION FOR MOTOR FUEL TANK NO. VOLUME UNLEADED REGULAR PREMIUM DIESEL t AVIATION SECTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED CAS NO. AJ/-~' (NO BRAND NAME)(]~ KNOWN) C}g:.MICAL PREVIOUSLY STORED FOR OFFICIAL USE ONLY THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FO~. HAS BEEN ~OMPLETED UNDER PENALTY OF PERJURY, AND TO..~T OF MY KNOWLEDGE, IS APPROVED BY: ~,PFLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED SlOE OF DISPENSER CONTAINMENT ['1. Agent Compl~,te items 1, 2, and 3. Also complete · Restricted DelivenJ is desired. item 4 If _ __.~ oh tess on the reverse of Delivery Print your name ~'-,~ e can return the card to you. so that W ..... -- h~ck of the mailpiece, A~ach t~ls cato tu ,-~ ~- --=ts . ~.17 ~ Yes or on the front if space' peru. · D. Is delNe~ addr~ if YES, enter delive~ address beloW: ~ A~icle Addressed m: ~ osWELL LtqU~ ~ ~, 100 SO~H osWELL ~ ~aa g' OD i~ 1974 9064 ~', ' '~~c Return Receipt ~11 ~ug~t 2001 2ACPRI;03-Z-0985, UN'TED STATES POSTAL SE~~ I JJ Jbi~ ~~~-I ~,~=C,ass ~a~-- I [? P~ ~'~1 [ [[ 11~[=.. ~ ..... [~P~st~ge~FeesPad[ t!~1='_7~ .... l~s~ ....... t~ ~I ~11"~'1' "'~ .... ~-P~itNb. ~-~0--~ ~ ' Sender: Plea~ pd~~me, addre~, an~lP+4 in ~i~'~ - BA~RSF~E~ FiRE DEPARtmENT OFFICE OF ENVIRONME~AL SERVICES 1715 Chester Avenue, Sui~ ~0 Ba~ersfiei~ ~ Postage $ ru r-i Certified Fee r"l Postmark Return Reclept Fee I r--I (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) Ina ', OSWELL LIQUOR & MARKET 'g /*°ri'T° i~oo souru OswELL r,-I~'~:~ BAKERSFIELD, CA 93306 'l~:'~:~, .... -)--t February.5, 2003 Bobby Gulhati Oswell Liquor & Market 100 South Oswell Bakersfield, CA 93306 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 o EN~ONM~I~I*AL SEFff~:E S 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: 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 5, 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, March 7, 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 by: . , Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 12:10 6618BGBl?? REDWINE TESTING PAGE 01 SECOND ~AiR¥'iSYSTEM CERTIFICATION FORM' DATE FACILITY· ID~_ FACILITY ADDRF..~./~, "~ UST Annular Space Secondary Piping ..... ., Page I of ~ '? ...:, Trens de~: 12/~/e2 Tine: 16:15:17 ORIGINAL PHILLIPS 66 COMPANY A Division of Phillips Petroleum Company 3525 HYLAND AVENUE COSTA MESA, CA 92626 P:O. BOX 25376 SANTA ANA, CA 92799-5376 PHONE (7'14) 428-7600 FAX (714) 428-8080 January 3, 2002 Mr. Marty Brown County of Kern Environmental Health aker~sfi e ld';"-C'.h,.-'9'33'O 1' ........................... ~........... Re: New Prope~y Owner: ........ ~'"% Tosco OPerming Company ~256089 ~ 2524 Oswell Street Bakeffield, CA 93306 This letter se~es"to {nf6~m y0ur'agehcy thru ConocoPhillips is no longer the OwneffOperator of the site referenced above. The following informmion is for the new Prope~y Owner: Owner: Loung K..& Melissa Y. Chao Address: 5609 Stine Street City: Bakersfield, CA 93306 ' If you have any questions or need further information, please give me a call at (714) 428-7639. Sincerely, Sonia Ray Compliance Specialist CC: San Joaquin Valley Unified APCD-Northem .Loung K. & Melissa Y. Ch'aO -' Compliance File #256089 ....... ".'- . February 3, 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 · ENVIRONMENTAL 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 Oswell Liquor & Market 100 South Oswell St Bakersfield CA 93306 REMINDER NOTICE RE: Deadline for Dispenser Pan Requirements December 31, 2003 Dear Underground Storage Tank Owner: A Review of our files indicate that you have been recei~ng quarterly reminder notices since April of 2002. Effective January2003, you can expect them monthly. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser pans prior to December 31, 2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I urge you to start planning to retrofit your facility as soon as possible. Sincerely, Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 02/03/2003 15:40 66: 12:10 8~18363177 DATE/,~-/_:/,~'"aa,... ".: '" .: .... . . ...,,: ~'i'."' ~ · ~T~~8~..', . :,... ~?~,,.: REDWINE TE~TING PAGE PAGE B1 14/20 02/0@/2003 15:48 ~.. 661392~1 65I 8363117 I~-))WINE TE~TING ~I~C.O~ SYSTi/M CE3/TWICAZlON FOIIM Stm. t TLm?_ :. ' ..... .._...:,: . :"'.' .'. .... of W"*"r .......... , ,: ~;' " . .'.. ?i' ':-" Th~m .:..... :..,., .. ~... ,, .. ,. .. '7- (' ....... ,':~:~j:.,~'~.~ ¢j.;.- <....) V' T:--e . ;:.,' ':' . '"..'...i'.: ...'.', ........... : ' ' .,:~ , '."' W,.~.. H.,~m,t . .'.. '~;'":'" ,; ::, :... Tim ' " ' :" ' · · ......~__ . . *;.L:;' ..... = · , ' :-, ' ' · . ". p,~.~ .. W~_~_? .., . ..::.. ,. I' ...., ($~..h,,,~) '. ,: .:, .:. _____ PAGE 15/20 02 · 02/03/200@ 15:40 6819383177 REDWI~E TESTING s~.co~o~W~ S.ySTEM czaX~C~,'flO~ rOaM PAGE 16/28 PAGE 17/20 I) January 22, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE S~FETY SERVICES · EN~'I~MF.~T~. SEFNlCE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DlVlSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 3994697 FAX (661) 399-5763 Oswell Liquor & Market 100 South Oswell Street Bakersfield CA 93307 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. Sincerely//~ ~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc D April 17, 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 Oswell Liquor & Market 100 South Oswell St Bakersfield CA 93307 RE: Necessary Secondary Containment Testing Required by December 3 I, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment c6mponents upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize a'nd 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 SBU/dm enclosures DEC OG 2002 18:21 BKSFLD FIRE PREVEMTIOM (661)8S2-2172 p.1 CITY OF BAKERSFIELD OFFICE OF E~rIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 , t APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ : SECONDARY CONTAINMENT TESTING FACILITY ADDRF~$ I00 OP~TO~$ N~ NUMBF, R OF TANKS TO BE ~ 3 TANK # VOLUME PIPING GOING TO BE TES~ CObrIMNTS TANK TESTING COMPANY MAn.rNG ADDRBSs NAME & PHONE NUMBER OF CONTACT PERSON ~"~, ~AM~ O~ T~ST~ O~ SP~.¢~L msP~-rro~ _. CERTIFICATION ~,,,, ,- D^TE & TXM~ TF. ST ~S TO BI! CONDUOrF. D ~ e C. APPROVED BY DATE · 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. Ii · Attach this Card to the back of the mailpiece, ~' or o______~n the front if space permits. ..~? 1. Article Addressed to: U1 Agent Date of Delivery ' s delivery address different 17 [] ye~, If YES, enter del/very address below: [] No OSWELL LIQUOR & MARKET f ~ IOOSOUTHOSWELLSTREET . 3. Service Type .~BAKERSFIELD CA 93307 [] Certified Mail ~ ................ -- ................... [] Registered [] InSured Mail e' 4_~. ~ed Delivery? (EXtra Fee) !-:~"' ' :""~-'-~ ~ ~-' ~ b'-'-~-~bd".~:~-~-~.- ._~ ~,~--l . -~S Form 3811, August 2001 Domestic Return Receipt ' [] Express Mail [] Return Receipt for Merchandise [] C.O.D. Yes _J 102595-02-M.0835~ /~~ II II ~;~.[ PosTage ~, ~-ees ~a~a Sender: Please ~~n this box · BAKERSFIELD F~RE OE.PARTMENT OFFICE OF ENVIRON~,,~.ENTAL SERVICES 1715 Chester Avenue, Suite -300 Oakemfield, CA 93301 ~. ~ Postage r ~ Certitled Fee '~ Return ReeeJpt Fee , ,..a (EndorsemeetRequired) Postmark Here '~'l°""l""'r'~"--' OSWELL LIQUOR & MARk'~ /._.__ : t~A 933 7 ; ............ ~D December 1, 2002 FiRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIRONMENTAL SER~CE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~. Bakersfield, CA 9,3,301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave.i 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 Oswell Liquor & Market 100 South Oswell Street Bakersfield CA 93307 CERTIFIED MAIL FINAL REMINDER NOTICE JANUARY 1, 2003 DEADLINE Dear Tank Owner/Operator: You will be receiving this letter on or about December 1, 2002. One month from today, January 1, 2003, your current underground storage tank(s) will become illegal to operate. Currentlaw would require that your permit be revoked for failure to perform the necessary Secondary Containment testing. In reviewing your file, I see that you have received "Reminder Notices" since April of this year. This is your last chance to comply with code requirements for Secondary Containment testing prior to January 1, 2003. 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/dc CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME OSLOc[.( [~O~w 4- INSPECTION DATE Section 2: Underground Storage Tanks Program [~l Routine [~/Combined [] Joint Agency Type of Tank OlD ff' Type of Monitoring .~ dLua. [] Multi-Agency 1~ Complaint Number of Tanks Type of Piping .54! [] Re-inspection OPERATION C V COMM'ENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current c,, / 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 T 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 BusXh~eess Si~e Responsible Party CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 0~l)'ct[ ADDRESS [0t~ ¢')3toc.({ FACILITY CONTACT INSPECTION TIME INSPECTION DATE. I~- q PHONE NO. ,- f ?(o ? BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine ~'~°mbined ~ Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appr. opriate permit on hand i~, ~ Business plan contact information accurate [.,, f Visible address [/r ~CCC~ ~ Oeo{act Correct occupancy ~ / ' Verification of inventory materials C,/ Verification of quantities ~ / Verification of location ~ / Proper segregation of material v'" Verification of MSDS availability L.. / Verification of Haz Mat training Verification of abatement supplies and procedures ,.-. Emergency procedures adequate ,/; Containers properly labeled k./ Housekeeping : ~,, Fire Protection Site Diagram Adequate & On Hand ~, C=Compliance V=Violation Any hazardous waste on site?: Explain: Yes [~o Questions regarding this inspection? Please cnii us at (661 ) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Business S, ite ~esponsible Party Postage $ - Certified Fee ~ Postmark Ir~ Here Return Receipt Fee I~n '(Endorsement Required) -- Res~cted Delivery Fee , (Endorsement Required) ~ FL] Total Postage & Fees _~ ~I''~am oS~LL L~qUO~ COmplete items 1 2 and 3. Also corn let item 4 if Restricted ' · Print Your nam~ ~_?el!very is desiredlp e so that we c--~nu aC/dress on the fever ^~ ~-,, mss card to t~ ~ ~'~ ~u YOu. ~ ~uaressed to: address different from item 1 ? If YES, enter del/very address below: Agent ~ No 2001 Domestic Return Receipt [~ Certified Mail ~ Express Mail [~ Registered ~ Return Receipt for Merchandise C.O.D. 4. Restricted Delivery? (Extra Fee) 102595-02.M.0835 First-Class Mail Postage & Fees PaidI USPS / Permit No. G-10 J · Sender: Please print your name, address, and ZIP+4 in this box · BANERSFIELD FIRE DEPAR'I'~T' OFFICE OF ENVIRONI~ENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 October 31, 2002 Oswell Liquor & Market 100 South Osweil Street Bakersfield CA 93307 REMINDER NOTICE CERTIFIED MA~ FIRE CHIEF ,RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93..'.'.'.'.'.'.'.'.~)1 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street BakersfieM, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERYICES * ~N. SF.R~C ES 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 DIWSION 5642 Vlctor Ave. Bakersfield, CA 93308 VOICE (661) 3994697 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 six 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~ b.Y 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. Sincerel . Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services ~D FII E September 30, ~2002 Osweil Liquor & Market 100 South Oswell Street Bakersfield CA 93307 ~:iRE CHIEF RON .CRAZE 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 · EI',I~RONIJF. IJTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester AY6. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have 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 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. Sincerel ,~ ,q _ Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services ~D September 30, 2002 Oswell Liquor & Market 100 S. Oswell Street Bakersfield CA 93306 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 SAFETY SERVtCES- ENYIRONM~NTAL SERY1CES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX 1661) 326-0576 PUBLIC EDUCATION 1715 Chester Av~. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-469'Z FAX (661) 399-5763 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, 2002. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003 which is the deadline for compliance, this office will be fomed 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. sis Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc August 30, 2002 Oswell Liquor & Market 100 S. Oswell Street Bakersfield, CA 93307 REMINDER NOTICE FIRE CHIEF RON gRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 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 (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 3 l, 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 ugust 30, 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 Oswell Liquor & Market 100 S. Oswell Street Bakersfield, CA 93306 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this offices with regard to Senate Bill 989 which went into effect January 1, 2002. 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. ~. Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr D 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 SERI~CES. ENVlRONI~d~I'AL 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 RRE 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 July 31, 2002 Oswell Liquor & Market 100 S. Oswell Street Bakersfield CA 93306 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, 2002. 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 purse 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 SBU/dc ~,~,,.~~ S:~_RI~F~aO_ NDENCEX2~2-0~DLIN~R DISPF~ PAN L~ July 30, 2002 Oswell Liquor & Market 100 South Oswell Street Bakersfield CA 93307 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 · ENVIRONMEHTAL SEFAICES 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 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 ali 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 Underwood Fire Inspector Environmental Code Enforcement Officer D June 30, 2002 Oswell Liquor & Market 100 So. Oswell Street Bakersfield, CA 93307 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) 395o1349 PREVENTION SERVICES 1716 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 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 100 So. Oswell 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 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 D July 1, 2002 Oswell Liquor & Market 100 S. Oswell Street Bakersfield, CA, 93306 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 100 S. Oswell 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 regulatio0s. 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 29, 2002 Oswell Liquor & Market 100 So. Oswell Street Bakresfield, CA,93307 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 100 So. Oswell Street REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the system~ are capable of containing releases from the primary containment until they are' detected and removed. Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1, 2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by.either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. · For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincer/~_, Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures B FII £ D May 30, 2002 Oswell Liquor & Market (Mikes Liquor #2) 100 So. Oswell Bakersfield, CA 93306 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 100 So. Oswell, 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 I, 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 SBU/kr ..13 Postage ITl Certified Fee Return Receipt Fee (Endorsement Required) g Delivery Fee Restricted {Endorsement Required) I-'1 Total Postage & Fees m $ .3~ 1.5¸ $ 3.96 Postmark Here ~1 ~oo's ~ ~~_a''--:~ ................................................................. o~F]~EL1) ~ 93307 '" · Complete i'~ems 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 cardto the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: BHART ~gULHATI oSmmf L { UOl S OSWELL BAKERSFIELD CA 93307 2. Article Number (Copy from service label) 7000 1530 0006 3456 3454 B.~2~) ~)'~Date of Delivery . Sig , [] Agent X [] Addressee D. Is delivery address different from item 17 [] Yes If YES, enter delivery address below: [] No 3. Service Type r"Jg'Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 i UN,'rEO ST^TES POST^. SERv,C. ..... I ii ii I -----' ~ ~. ~ ~ C ......... First-Class Mail '~ v~UNMENTAL SERVICES 715 Chester Avenue, Suite 300 Bakersf/e~d, 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 D February 20, 2002 Bhart Gulhati Oswell Liquor & Mkt 100 S. Oswell Bakersfield, CA 93307 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Submit/Perform Annual Maintenance on Leak Detection System at Oswell Liquor & Mkt., 100 S. Oswell Dear Mr. Gulhati: Our records indicate that your annual maintenance certification on your leak detection system is past due. February 19, 2002 You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, 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. Porr Jr., Assistant City Attorney R I CH ENVIRONFIENTAL 5643 BROOKS CT BAKERSFIELD,CA.93308 OFFICE(661)392-8687 & FAX(661)392-0621 1000 UNDERFILL AND ALERT 1050X ULLAGE SYSTEM Precision Underground Storage Tank System Leak Test TEST RESULTS Test Date:02-10-2002 BILLING:TEXACO 100 S.OSWELL ST BAKERSFIELD,CA 93307 SITE:TEXACO 100 S.OSWELL ST BAKERSFIELD, CA 93307 PRODUCT VOLUME %FULL WETTED NON-WETTED PRODUCT LEAK WATER IN (GAL) PORTION PORTION LINE DETECTOR TANK UNL-87 10000 95% +.019-PASS PASS -.010-PASS NONE 0" UNL-89 10000 75% +.002-PASS PASS -.005-PASS RAJ 0" PREM-91 5000 85% +.025-PASS PASS -.005-PASS LD2000 0" DIESEL 5000 93% +.000-PASS PASS -.000-PASS RAJ 0" COMMENT: WATER BALANCE Measurements showed that water in the backfill area at the time of testing was below tank bottom, and therefore not a facter in test determination. A monitoring well or a well point was driven in the backfill area to determine that there is no water in the backfill at tank bottom. A precision test was performed on tanks at the above location using the Alert 1000 underfill system and the Alert 1050 ullage system. I have reviewed the data produced in conjunction with this test for purpose of verifying the results and certifying the tank systems. The testing was performed in acorrdance with Alert protocol, and therefore satisfies all requirements for such testing as set forth by NFPA 329-92 and USEPA 40 CFR part 280. The results of testing are shown on the following page, and indicate whether the wetted and non-wetted portion passed or failed. 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. ALkNC 040 Tes%/~ertifiec]//By .( ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA M I N U T E S TEXACO &O0 S.OSWELL STREET. BAKERFIELD, CA &O000 GALLON UNL-87 TANK 0 75 3 5 ~2KHz AMPLITUDE RATIO ~ 5 750+ I N U T E S 0 75 3 5 25KHz AMPLITUDE RATIO ~ 5 750+ ~2KHz DETECTION RATIO = ~.~0 25KHZ DETECTION RATIO = ~.~0 TEST RESULT = PASS DATE AND TIME OF TEST: 2/11/02 ~: 24AM BEGINNING BOTTLE PRESSURE = 3200 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING BOTTLE PRESSURE = 2800 ENDING TANK PRESSURE = ~.5 PSIG 0 75 M I N U T E 3 S 5 ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA TEXACO 100 S.OSWELL STREET. 8AKERFIELD, CA 10000 GALLON UNL-89 TANK 12KHz AMPLITUDE RATIO 750+ 0 75 M I N U T E S 25KHz AMPLITUDE RATIO 1 5 12KHz DETECTION RATIO = 1.05 25KHZ DETECTION RATIO = 1.02 TEST RESULT = PASS DATE AND TIME OF TEST: 2/11/02 3: 1lAM BEGINNING BOTTLE PRESSURE = 2300 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING BOTTLE PRESSURE = ~BO0 ENDING TANK PRESSURE = ~.5 PSIG 750+ ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA TEXACO 100 S.OSWELL STREET. BAKERFIELD, CA M I N U T E S 5000 GALLON PREM-91 TANK 0 75 3 12KHz AMPLITUDE RATIO ,15 750+ 0 75 3 5 25KHz AMPLITUDE RATIO '1 5 750+ 12KHz DETECTION RATIO 25KHz DETECTION RATIO = ,1.00 TEST RESULT = PASS BATE AND TIME OF TEST: 2/11/02 3: 18AM BEGINNING BOTTLE PRESSURE = 2300 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING BOTTLE PRESSURE : 1400 ENDING TANK PRESSURE = 1.5 PSIG ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA 0 75 3 5 12KHZ AMPLITUDE RATIO 15 ~2KHz DETECTION RATIO = 1. 15 TEXACO ~00 S.OSNELL STREET. BAKERFIELD, CA 5000 GALLON DIESEL TANK 750+ 0 75 M I N U T E S 3 5 25KHZ AMPLITUDE RATIO '1 5 25KHZ DETECTION RATIO = J.03 TEST RESULT = PASS 750+ DATE AND TIME OF TEST' 2/1~/02 3: 46AM BEGINNING BOTTLE PRESSURE = 1400 BEGINNING TANK PRESSURE = 1.5 PSZG ENDING BOTTLE PRESSURE =' 1300 ENDING TANK PRESSURE = J.5 PSZG RICH ENVIRONFIENTAL 5643 BROOKS CT BAI{ERSFIELD, CA. 93308 OFFICE(661)392-8687 & FAX (661)392-0621 ACLrRITE TM PIPELINE TESTER WORK SHEET w/0#: Facility Name: '-7~ ~~ Facility Address: /00 S, ~%LU~L %7-~'~~/~./2-~ Product Line Type (pressure, Suction, Gravity): ~'~.~ P%%mp Manufacturer: ~ ~_~olation Mechanism: PRODUCT STA}{T TIME END TIME TEST VOLUME RESULT /READING /READING PRESSURE RATE PASS/ 00: 00/GPH 00: 00/GPH (PSI) (GPH) FAIL I cer5ify thee the above line tests were conducted according to the equipment manufacturer's procedures. The results as listed are to my knowledge true and correct. The test pass/fail is determined using a threshold of 190 ml per hour (0.05 GPH) rate at 1 1/2 times working pressure or 50 psi which ever is greater. Tech: JAMES J. RICH State License:# 99-1072 MFG.CERTIFICATION:# 601.LT MONITOI [G SYSTEM CERTIFIC ION For Use By All &~risdictions Within the State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate-certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: Site Address: t/OO ~, OSUo/5/~Z, ~'7- . ........ ,.. Facility Contact Person: .~O [~ Make/Model of Monitoring System: ,~L~'~le( B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: Bldg. No.: City: ~,-~/~-~',~.t9 Zip: .~3~0~7 . ContactPhoneNo.: ( ~'(~,i ) got- qbreq Date of Testing/Servicing: .~ /..[0 /_ O'Z Tank ID: [d[ )~a~ i..,- <~r~ [] In-Tank Gauging Probe. '~[ Annular Space or Vault Sensor. ~ Piping Sump / Trench Sensor(s). [] Fill Sump Sensor(s). [] Mechanical Line Leak Detector. [] Electronic Line Leak Detector. Model: Model: Model: Model: Mode'l: Model: Tank ID: ~/~"~/t,'i ~ q{ ~ In-Tank Gauging Probe. ~ Annular Space or Vault Sensor. ~i~ Piping Sump / Trench Sensor(s). [] Fill Sump Sensor(s). F1 Mechanical Line Leak Detector. F-I Electronic Line Leak Detector. Model: Model: ,L, Model: Model: Model: Model: ~1 Tank Overfill / High-Level Sensor. Model: [] Other (specify equipment type and model in Tank ID: ~'k t~ ~,,.-4~. ~ In-Tank Gauging Probe. Model: Annular Space or Vault Sensor. '~j~ Piping Sump / Trench Sensor(s). Fill Sump Sensor(s)· [] Mechanical Line Leak Detector. Model: El Electronic Line Leak Detector. Model: Section E on Page 2). Model: Model: Model: [] Tank Overfill / High-Level Sensor. Model: [] Other (specify equipment type and model in Section E on Page 2). Tank ID: .~ /~ g"~2~.. [] In-Tank Gauging Probe. ' Model: ~ Annular Space or Vault Sensor. Model: ~ Piping Sump / Trench Sensor(s). Model: [] Fill Sump Sensor(s). Model: [] Mechanical Line Leak Detector. Model: Fl Electronic Line Leak Detector. Model: Fl Tank Overfill / High-Level Sensor. Model: [21 Other (specify equipment type and model in Section E on Page 2). FI Tank Overfill / High-Level Sensor. Model: [] Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 121 Dispenser Containment Sensor(s). Model: '~i Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: Fl Dispenser Containment Sensor(s). Model: ~i~' Shear Valve(s). ~ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 121 Dispenser Containment Sensor(s). Model: Fl Dispenser Containment ~ She~ Valve(s). ~ She~ VMve(s). ~Dispenser Containment Float(s) ~d Chain(s). -~ Dispenser Containment Dispenser ID: 0 ~ 'r/ [] Dispenser Containment Sensor(s). Model: ~ Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: ~q ~ 121 Dispenser Containment Sensor(s). Model: ~i~ Shear Valve(s). ~ Dispenser Containment Float(s) and Chain(s). DispenseriD: it I:z 1'3 Sensor(s). Model: Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to vei'ify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): [21Sys~~p //[~1~ ~)~istory report Technician Name (print): :~C~AA ~E_,q ~- /0~ ~ (34-3 Signature: ~/ . .~; _ Certification No.: t/~ :2, - l ~/~-q ~'/O ~ License. No.: ~0 '" fO v-I '2. Testing Company Name: ~1 Cb/- .~'/,.) O[W~_JA/_~,4~xa~flA~ Phone No.:((~/' ) ~qe2.,- ~>'~ 3>'* Site Address:/OO, ~_,~, 675bt.,}'~. ~"~ ~:,'~/lg'~'~'~::~,"ff'/a tg"-~. O~,..'.... Date of Testing/Servicing:_ Monitoring System Certification Page 1 o1'3 03/01 D. Results of Testing/Servicing Software Version Installed: Complete the following checklist: ~i[' Yes [] No* Is the audible alarm operational? i[ Yes Fl No* Is the visual alarm operational? Yes fi~ No* Were all sensors visually inspected, functionally tested, and confirmed operational? [] Yes ~ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ~ N/A operational? [] Yes Fl No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) F1 Sump/Trench Sensors; [] Dispenser Containment Sensors. Did you coiafirm positive shut-down due to leaks and sensor failure/disconnection? FI Yes; [] No. · [] Yes 121 No* For tank systems that utilize the .monitoring system as the primary tank overfill warning device (i.e. no '~i~' N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % Fl Yes* '~' No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ~ Yes* F1 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) [] Product; '~ Water. If yes, describe causes in Section E, below. "~ Yes 121 No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable [] Yes '~1, No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03/01 F. In-Tank Gauging / SIR Equipment: [] Check this box if tank gauging is used only for inventory conlrol. 3~k. Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: [] Yes [] No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? IZl Yes [] No* Were all tank gauging probes visually inspected for damage and residue buildup? Fl Yes [] No* Was accuracy of system product level readings tested? [] Yes [] No* Was accuracy of system water level readings tested? [] Yes [] No* Were all probes reinstalled properly? [] Yes IZI No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Cl Check this box ifLLDs are not installed. Complete the following checklist: [] Yes '5~ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ~1 N/A (Check all that apply) Simulated leak rate: FI3g.p.h.; FI0.1g.p.h; [] 0.2 g.p.h. [] Yes ~ No* Were all LLDs confirmed operational and accurate within regulatory requirements? [] Yes '~ No* Was the testing apparatus properly calibrated? [] Yes F1 No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ~J~[' N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? "1~ N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled '~1 N/A or disconnected? [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system , ~ N/A malfunctions or fails a test? [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually inspected? 1~ N/A [] Yes ~ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 03/01 Monitoring System Certification Site Address: UST Monitoring Site plan Date map was drawn: / Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your M°nitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page __ of__ 05/00 U~:34 BAKI3LSI~XELD FXILE DIePARTIfLqT 1'115 Chest:er Ave., eakera£iel, d, CA ~13301 (805) 326.3979 APPLZCA'I'ION TO PERFORM A ?I:GHTHESS TEST ~KR OF' TAHlq$ TO BE TKSTED '~, DATE & PERMIT STATEMEN' Ba~rsfield Fire Dept. 1715 Chcs[¢r Ave. Bakersfield, CA 93301 RECEIVED FROM ~ ~ ,~--/I ./L2/F',~',A)A,~ ,-DATE ~ [~ ~ v~1 - _ ~ AMOUNT UST/AST PERMIT 82 STATE SURCHARGE 86 TANK TESTING~"'~" I ¢)~.~) by AMOUNT TENTS, LPG 84 FIREWORKS, POWDER, 84 OTHER PERMITS / OTHER; ¥ TOTAL DUE '~ I '~-'~, ~ FD1595 2/!]102 'l'i~e: 1i:57:).? PERMIT STATEMENT B~ Fire Dept. 1715 Chester Ave. Bakersfield, CA 93301 DATE AMOUNT UST/AST PERMIT 82 STATE SURCHARGE 86 TANKTESTING 83 L(O,-.-- COPIES/REPORTS 89 AMOUNT TENTS, LPG 84 FIREWORKS, POWDER, 84 OTHER PERMITS OTHER ¥ TOTAL DUE 3217 $180,0¢ COMMERCIAL I NERAL LIABILITY COVE PART SU pI:RI EM ENTAL DECLARATIONS ,NO. CPS0457377 Effective Date 12/16/2001 12:01 A.M., Standard Time ed Insured ],3-20 INC. DBA: OSWELL LIOUOR & .Agent No. 04058 Item 1. Limits of Insurance Coverage Limit of Liability Aggregate Limits of Liability Coverage A - Bodily Injury and Property Damage Liability Damage to Premises Rented to You Limit Coverage B - Personal and Advertising Injury Liability Coverage C - Medical Payments $ EXCLUDED $ 2,000,000 $ 1,000,000 $ 50,000 $ 1,000,000 $ EXCLUDED Products/Completed Operations Aggregate General Aggregate (other than Products/Completed Operations) any one occurrence subject . to the Products/Completed Operations and General Aggregate Limits of Liability any one premises subject to the Coverage A occurrence and the General Aggregate Limits of Uability any one person or organization subject to the General Aggregate Limits of Uability any one person or subject to the Coverage A occurrence and the General Aggregate Limits of Liability Item 2. Form of Business and Location of Premises Form of Business: [] Individual [] Partnership or Joint Venture [] Limited Liability Company [] Organization (other than Partnership, Joint Venture or Limited Liability Company) Location of Ail Premises You Own, Rent or Occupy: 100 S. OSWELL ST. BAKERSFIELD, CA 93307 Item 3. Forms and Endorsements Form(s) and Endorsement(s) made a part of this policy at time of issue: See Schedule of Forms and Endorsements Item 4. Premiums Coverage Part Premium: $ 1,236 Other Premium: $ $ 1 r 236 Total Premium: THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. ' CLS-SD-1L {9-98) INSURED CERTIFICATION OF FINANCIAL RESPONSIBILITY herel~y cerr/[i~ t~at it ~ /n compliance will~ tl~ ~ of SecEon 2~07. ' of ~i~ ce~_-_-~._~-.n*__~o_~e.,t,,~,~ that you are ~ compliance ~ allcor~.__e~__w forth in 8me Fur~. ~ircl Pa~. CITY OF BAKERSFIELD 1715 Chester.Ave., BakerSfield, CA 93301 (661) 326-3979 TYPE. OF'ACTION (Check one imm only) UNDERGROUND STORAGE TANKS - UST FACILITY [] 1. NEW SITE PERMIT BUSINESS NAME (Same as FACILITY NAME or DBA - DOng Business As) [] 3. RENEWAL PERMIT [] 5. CHANGE OF INFORMATION (Specify cltange. - .'~ 4. AMENDED PERMIT local uae only)· [] 6. TEMPORARY SITE CLOSURE I.,FACiLITY I SITE INFORMATION BUSINESS. '~ 1. GAS STATION [] 3. FARM [] 5. COMMERCIAL TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6.'OTHER 403. TOTAL NUMBER OF TANKS REMAINING AT SITE # Page ~ of __ [] 7. PERMANENTLY CLOSED SITE [] 8, TANK REMOVED J Is facility on Indian Reservation or t~stlan~s? - 404. FACILITY OWNER TYPE . [] 4. LOCAL AGENCY/OISTR!CT* [] 1. CORPORATION [] 5. COUNTY AGENCY' [] 2. INDIVIDUAL . * [] 6. STATE AGENCY° [] 3. PARTNERSHIP -' [] 7. FEDERAL AGENCY* 'if ovmer of UST a public agency:, name of supervisor of ¢~iSion, se<;tion or office which operates the UST. ('l~is is the contact person for ff~e tank records.) PROPERTY OWNER NAME · MAILING OR STREET ADDRESS CITY PROPERTY OWNER TYPE ~1. CORPORATION ~2. INDIVIDUAL [] 3. PARTNERSHIP 407. I PHONE 408. 410. STATE 411. ZIP CODE 412· d4-- 133 6 [] 4. LOCAL AGENCYIDISTRICT [] 6. STATE AGENCY 413. [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY PHONE 415. TANK OWNER NAME ]~L6JLING OR STRS::ET ADDRE~ 416. ZIP CODE 419. CITY TANK OWNER TYPE 417. [ STATE 418. [] 2. INDNIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY 420. : [] 1. CORPORATION [] 3. PARTNERSHIP. [] 5.. COUNTY AGENCY [] 7. FEDERAL AGENCY : . '-'.. iV. BOARD OF EQUALIZATION UST STORAGE FEE' ACcoUNT NUMBER .. I I-:l *TY K)'HQ 4 4 , ' · Call (916) 322-9669 if questions arise , 421. ,7 'i'. ': .':..~):;i{'.: :" '.: ':i' ". :...i-:.i?:::i'~: i~0i'E'UM'~T FiNANC~ REsPON'$i~ ::;,": ':". - " INDICATE METHOD(S) I~l. SELFoINBURED [] 4. suRETY BOND [] 7. STATE FUND. . [].2. GuARANTEE [] 5. LETTER OF CREDIT [] 8. STATEFUND&CFOLET'FER [] 3. INSURANCE [] 6. EXEMI:~ION [] 9. STATE FUND & CD 422. [] 10. LOCAL GOV'T MECHANISM [] 99. OTHER: · . · VI, LEGAL NOTIFICATION AND MAI~ING ADDRESS -- Chec~ one box to indicate which address sh<x.dd be used for legal noltflcelions and mailing. '~] 1. FACILITY [] 2. PROPERTY OWNER Legal notifications and mailings will be sent to the tank ovmor unless box I or 2 is checked. [] 3. TANK OWNER 423. VII. APPLICANT SIGNATURE Cetiflcation: I certify that the information prodded h~'etn is true and a~urale to the I~l d my knowledge. NAME OF APPLICANT (pein0 426. DATE 424. PHONE 425. TITLE OF APPt. lCANT 427. 428. UPGRADE CERTIFICATE I~UMI~..R (For local use only) 429,. ] JPCF (7/99) . S:\CUPAFORMS~swrcb~a.wPd EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this mouitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before In.king the change. Required by Sections 2632(d) and 2641(h) CCR. Facility Name ~.~u} c{( ~l Ot)oc t- Facility Address ./~C) .c~, ~c{[ ~'~, If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up from the secondary containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. h,,,~.t_ ~,,t~ ' of .t, mad .,-,r,,t{¢.---, A-{,,,~,, r{,,,,.{-. ..,,.l{. ,i"~' ,ar°'~'/l"', _ , gD.os~/, ! Describe the proposed methods and equipment, to be ussd for removing and properly disposing o, fany hazardous.sUbstance. ' ~t~[~,~ t~r a q ,~ ~~ Describe the location and availability of the required cleanup equipment in item 2 above. · Describe the maintenance schedule £or~he Cleanup equipment: List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: WR~EN MONITORING PRO~DURES UNDERGROUND STORAGE TANK MONITORING PROGRAM Tlxis momtormf prosram must be ~ at tbs UST Ioc~on at ~ tium. ~ bxfbrm~on on this program ar~ conditions of tim ope~,4,%~ permit. Th~ permit holder must aoti~ tho Oftlc~ ofF. m'irmmmmd ,~lqd~ within 30 (~ Of'lily chnn~m~__ tO th~ Illoaitoriflf pr~gghll~ ~ ~ to o~nin ~ making t~ changt ~ R~med tO' Sections 2632(d) and 2641(h) ¢CR. Facility Name Facility Address Describe the frequency of performing the monitoring: Piping Bo What methods and equipment, identified by r~ame and model, will be used for peffomiag the monitoring: Tank ~ V.R Describe the location(s) where the monitoring will be performed (facilit~ plot plan should be attached): List the name(s) and title(s) of,the people responsible for performing the monitoring and/o_r r..i.t..ining the equipment: Reporting Format for monitoring: Tank :q I I~ Piping Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenance sehednle but not leH than every l2 months, q~t~lt 'T)e/,~:g_< ~c~.-~l.'. ~.~.,~¢{? Describe the training necessary for the o. peration ofUST sys~eng including piping, and the monitoring equipment: d~ ~ntrt~'t~x-- ¢~ ~(~mt{taC cu ('~'~ ?~c~,~.~¢e¢ CITY OF BAKERSFIELD Olde OF ENVIRONMENTALi~RV[CE$ Chester AVe., .Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS- TANK RAGE t~ OF (C~ck o~ ,mm ~]t. NEW 31TE F~klJT ~ 4. ~O I:~RMIT (,,~eC~ ,'~a~ · ~ ~ ~ 0,~) FACILITY NAM~ w OBA - 0omg _",._~:~ Al) LOC, AT/ON w~rHIN ~ q. CHANGE OF INFORuATIoN) toe ~ TANK ID ~ DATE INSTAl ~ Fn (y~) 3 FAC~ ~) $ [] 4. ~WASTE (~*,~ea u~o~ r-I.. L TANK OE~CRLIrnON [] e. TEM~C~/~J~Y SITE CLOSURE [] ?. P~RMANENTLY CLOSED ON ~ITE [] a. 'rANK 432 I' TANK MA%~JFACTURER, 43~ J TANX CAPACITY IN /01 If 'Y~'. coml~Me one p~ge I, TANK CONI~I~I~ I" TANK C~JSTRUCT~N 441 442 :~ TANKMATE/~,~d..~.T.--,ymnk r"] 1. BA~SI~EL [] 3. [] 4. S,~NGL~WALL~NAVAUL? [] 8. FRPCOIvI:~ATI~.EW/.100~ IVlE'r~ANOL r""l~. OTHER [] & FR~ COMPATIBLE W/1(30~ METHANOL [] o. F~ NONCo~ODm~ ~ Os.~um~ O..U.XNO~ M ~TE~rAL~ 'gl.. ~ 0~. o~ __ 0 ~. o~E~ 447 DATE INs'rN. LE0. 449 ~-] t V~UAL, (EXPO~.D ~ OM.Y) [] 2. AUTOMATIC TANK (~dJ(~3 (ATO) ' [] ]. CONTtNUOU8 A?O C] 4. ~rATISTIC~, INVF. NTORY I~CONClUATION (~IR) · 81ENNtAL TANK TI[~TINO 0 s. MANUAL*rANI< 0 a. VAeOSeZONe C] ~. O~OUNOWATe~ C]e. TAN~ TESTtNO OVERFILL PROTECTION/EQUIPMENT: YEAR INS"TAtL~O el. ALA,~ 'K!'~! [] 3. F,LL TU~ ~.UTOF. V~.V~ [] 2. eau. ~oA'r __ r"l 4. EXEM~ 452 V. TANKCLOSURE INFORMATION I I:~RMANBNT CLOSURE IN-P ~I.:.ACE ............... ~*...-, -. - ESTIMATED DATE ~ UMD (YI~AO~OAY) 4M ESTlldATEO QUANTrrY OF ~JMTANC~ R~k#JNJNC] · 4~ TANK FILLED wrrH INERT MATERL4L? .Oy- ON= ~? UPCF (7/99) . S:~,cupAFoRMS~SWRCB-B.WPD CITY OF BAKERSFIELD OFFICE OF ENVIRONME:NTAL ~ERVICE~ Chiller Avl., Bakerlfleld, CA 93301 (6~1)3~F'.3979 SYSTEM TYPE i~?. PRESSURE r-] 2,'SUCTION [] 3, GRAVITY :CONSTRUCTiON/i[] !.~INGLEWALL .I--I 3. LINED TRENCH []gg. OTHER 460 MANUI:ACTURERI ~ DOUBLE WALL r~ 95. UNKNOWN I MANUFACTURER 461 I[] 1. ~4~,E STEeL [] e. FRP COMPATIBLE WI I00% METHANOL : MATERIALS AND ![] 2. STAINI F~q STEEL [] ?. (:~J, VANIZED S'TEEL CORROSION I-- PROTECTION i LJ 3. PLASTIC COMPATI~.E WITH CONTENT~ [] g~. UNKNOWN J~T-. FIBERGLASS C::] 8. FLEXIBLE(HDPE) I'~ 99. OTHER I[] S. STEEL WI COATING [] 9. CATHOOIOPflOTECTION 4~4 [] 1, PRESSURE' [] 2. sUcTION [] 3. GR.~VITY ' 45__? [] I, SINGLE WALL r-I 95.5, UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER MANUFACTURER [] ~. 8ARE STEEL [] e. FRPCOMPATIBLE W/~1(30% ~~'"- [] 7. GALVANIZED STEEL [] e. ~LEX,BLE (HD~) E] ~: oTH~ [] 9. CATHODIC PROTECTION" [] 95. UNKNOWN z '. . · ':~'. ::,:.?~"*~:. [] 2. STAINLESS STEEL [] 3. PLASTIC COMPATIBLE WITH CONTENTS r~'4. FIBERGLASS [] S. STEEL WI COATING UNDERGROUND PJPING ~JNGLE WALL 7;7;;,1(3 PRESSURIZED ~ (~ ~ ~t ~): ~ 1. E~NIC~~OR3.0~~~~FOR ~ ~F~U~~~+~~ 0 Z ~YO.2~ ~ 3. ~~(0.1 ~) ~ S. D~LY ~ ~N~O~ OF ~ ~ + ~ ~ ~ ~ (0.~ ~) ~E ~N ~ (~ V~S IN ~ ~U~ R~ ' ~ 7. ~ ~N~O~ ~V~ FL~ ~ 9. n~~(0.1 ~) ~ECONDARJLY CONTAINED PIFIHG PRESSURIZED PIP~G (Check all that apply): ~o. CONTWUOUS TU~mNE SUMP SF. RSO~ WnHAUmBLE AND ~ ALARMS (C~ck one) [] a. AUTO PUMP SHUT'OFF WHEN A LEMC OCCURS [] O. AUTO PUMP SHUT OFF FOR LEAKS. SY~'F..M FAILIJR~ AND SYSTEM DISCONNECTION ,D~,. ~ No AUTO PUMP SHUT'OFF NUNE LE~X DETECTOR (3.0 Gm TEST) ~ ROW SHvr OFF OR '[] 12. ANNUAL ~TEO~rTY TEST (0.1 SuCTION~3RAVTTY SYSTEI~ ,[] 13. CONTIMJOUSSlJMPSENSOR+AUDIBLEANDVlSUALNJ~M8 [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUOIBLE AND VISUAL ALARM~ 1S. AUTOMATIC MNE LEAK DETECTOR (3.0 C.d=fl TEST) WITHOUT ~ ~ OFF OR RESTRICTION . - [] le. ANNUAL INTEGRITY TEST (0.1 Gl=H) [] 17. DAILY VlSUAL CHECK DI$1="cNSERCONTAINM~NT [] 1. FLOAT MECHANISM THAT ~UI~ OFF ~HE/U~ VALVE ABOVEGROUND PIPING ~NGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC UNE LEAK DETEcToR 3.0 GPH TE~I' WITH AUTO PUMP SHUT OFF FOR LEA~ SYSTEM FAILURE, ANO ~YSTEM ~CT1ON + AUDIBLE AN~ VISUAL ALARM~ [] 2. MONTHLY 0.2 ~ TEST [] 4. 0A~.Y V~SUAL CHECX CONVENTIONAL SUCTION SYSTEM~ (Check ~i that apply): [] S. DAILY VISUAL MONrrORJNG OF F~FqNG AND PUM~NG SYSTEM [] 6. TRIENNIAL INTEC.~ TEST (0.1 GPH) " SAFE SUCTION SYSTEMS (NO VALVES IN BELDEN GROUNO PIPING): [] ?. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. ONLY ~ASUAL MONITORa~3 [] 9. mENN~J. UVTEGRrrY TEST (O.1 SECONDAI~LY CONTAJNED PIPING PRESSURIZED PtPING (Check all dfat apply): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL AL~ AND (CheCk one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION [] ~ NO AUTO PUMP SHUT OFF [] 11. AUTOMAlqC LEAK OETECTOR [] 12. ANNUAL~NTEGRrrYTEST(0.~ [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY (]ENERATOR~ ONLY (Check M/that [] 14.' CONTINUOus SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF +AUOIBLE AND VISUAL [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0~ TEST) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. D)dLY VISUAL CHECK DATE INSTALLED 4M [] 2. CONTINUOUS OI~aEN~F.R PAN ~ENSOR 4, AUDIBLE AND VISUAL ALARMS j~0 ~( C [] 3. DONTINUOUS OI~cN~ER PAN ~EN~OR VWTH AUTO SHUT OFF FOR OISRENSER + AUDIBLE AND VISUAL [] 4. DAJLYVlSUAL CHECK [] 5. TRENCH UNER / MONITORING ~NGNE IX, OWNER/OPERATOR SIGNATURE I ce~fy ~M u~e inform~ p~:l ~m'Mn il true Ir, d m=umte to ~ IxiI of my lu~, ,,, I, ,,,"° NAME OF OWNER/OPERATOR (p#nt) o (~ ~ ~) 473 '1 UPCF (7~9) TITLE OF OWNER/OPERATOR I 474 Pemtlt ~ I~tl (F~/Dca/uM on/y) 475 · S:\CUPAFORM$~SWRCB-8.WPD ' OI~CE' OF ENVIRONMENTAL' RVICES 1715' CheSter Ave., Bakersfield, CA 93301 (661) 326-J979 · UNDERGROUND STORAGE TANKS- TANK PAGE I ~ 3. CHANG~ OF INFORkIATION) [-] 6. TEMPORARY 51TE GI-O:~URE t"'l ~'. PERM~EN'n.'r CCO,tEO ON srrE (,,~oeoP~ d~. ~ JOCM uae on~y) [] 8. TANK REMOVED TANK ID $ · I. TANK DE$CRIFRON 432 I TANK MANUFACTURER TAM( CAPACITY IN C. Ud,.LONS 43 if "Yes'. c~mplMe ~ I:)mge fo' each oomp,a'tm,e~t. 43~ NUlmSru( OF COMPARTMENTS 437 ~. MOTOfl V~HtC~ FtC. [] ,~. uMe 0.') 0~. I-I li~ FR~GmUM t)M,.EN~D [] 3. [~m. iTYP~OFT'M~K r"! 1. 9M~LEWALA. ("1 3. 8~WALLM~TH I(Cr,~c~ o,~ ,~m o,~,) 441 AVIATION FUEL [] 5. SINCM.EWALLWITHINTERNN. BLADOERS'YSTEM 442 [] 4. ~dNI~.EWA~.INAVAULT TANK MATERIAI'&~7'"~-~'-'~-YIMIk r"] 1. ~ARE~I'EEL ~3. FIBEI~IPI.AST1C [] S. CONCRETE 095. UNKNOWN O 4. STEE~CI. ADW~IBERGI.A~ [] 8. ~A~I~~L O~. O~., ~o~ ~ (~ O[e. Assu.~' O~u.m~ow. "8~ ~ u,a.weo O .. o'n.m. __ 0 1. MAN~ CATHO(XC PROTEC110N DATE ~IST)J [ Fn 447 . DATE O~s'rALLED 449 (F~r ~oc~l uM only) [] ~, - wSU~. (lXPOMD ~ ONLY) [] 2. AUTOMATIC TAI~K OAUOINO (ATO) [] 3. CONTINUOU~ATO O 4. ~rATI~I'IGAL ll~'F.J~rOl~' RECONCILIATION (~IR) BIENNIAl. TANK [r-I s. MAM.LAL TANK OAUOINO (MTO) O e. VAIX)8~ ZONE. [] ~. e~OuNC~ATE~ 0~. o'mm 0 2. ~ ~.O^T 0 4. ~ IF ooumul WN.L ?ANK OR T, ANK Wn'H m.a, DOf. A (Check o~e ~ (VW): I'1 1. IASU)4.(SINOLEWAt. t. INVAUt. TONLY) · [~,/~GONTINUOU8 I~TITI,N., MONITORJNO O 3. ............................... ; ...... V. T,MIK CLO~URE INFORMATIONI PERMANENT ~RE-IN PLACE .... ........................ '~.'-.-- ESTJMATED OA?I LAST U~.O (YFMdC)~AY) 4M IWTIMATEO QUAMTITY OF 9UMTANC~ I~MNNIN~ TANK FlU.ED WtTH INER'r MATERL~,? UPCF (7/99) S:tCUPAFORMStSWRCB-B.WF)O OFFICE OF ENVIRONMENTAL ,ERVICE~ Chafer Ave., Bakerlfl®ld, CA 93301 (6~1), 32~979 SYSTEM TYPE ' i~L PRE~SURE CONSTRUCTION/! [~],~ SINGLE WALL MANUFACTURERI~Y2. OOUBLE WALL ! MANUFACTURER 1--1 3. I.JNED TRENCH r-I gg. OTHER 460 1-1. ~. ~E STEEL 1--1 6. FRP COMPAnm. E W/100~ MET~U~OL AND ill 2. STAI~SS ASOVEGROUND PIPING PRESSURE ' [] 2. SUCTION II ;. SINGLE WALL II 95.' UNKNOVVN r"'] 2. DOUBLE WALL [:::] 99. OTHER .MANUFACTURER 4~3 [] 1. BARE STEEL [] 6..FRP COMPATIBLE W/100% ~ [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL II 3. F~.ASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPt) [] 99. OTHER [] 4. FIBERC. d. ASS ' [] 9. CATHO01C PROTECTION ' [] 5. STEEL WI COATING [] 95. UNKNOWN 46.,~ ·." vu. P.~m LeAK DE'rscrm, rc.,~,,, ~,,,~) . .....'. ..... :~.' .. ;:.i:~i~:. -- UNDERGROUND PIPING ~i~i.~ WA/J. ~-'i~-'iN~ , 466 PRESSURIZED PIPING (Check all Emi apply): " [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 CaJ~H TE~T WITH AUTO PUMP ~HUT OFF FOR LEAK, SYSTEM FAILURE, ANO SYSTEM ~ + AUOI~E N~D V~JAL [] 2. MONTHLY0.2C.d=~TEs'r . 1-1 3. ANNUAL WrEGRrrY TEST (0.1 C.~H) [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRJENNLM. PIPING IJ~'EGRJT'Y TEST (0.~ C..4~) SAFE SUCTION SYSTEMS (ND VALVES IN BEU3W C-d~OUNO P~PINGJc [] 7. SELF MONITORING GRAVITY FLOW:. ~ 9. 8JE~IALINTEC..,F~ITYTEST(0.1 (3PH) SECONDARILY CO~I'AJNED PIPING PRESSURIZED PIPING (Check ~11 I~at apply): ~o. CONTINUOUS TURBINE SUMP SENSOR WITH AUOISLE (Ched~ [] a, AUTO PUMP SHUT OFF WHEN A LEAK OCCUR~ IIb. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION · ,_~' E] c NG AUTO PUMP SH~ O~ · ~ 11. AUTOMATIC LINE LEAJ< DETECTOR (3.0 GPH TEST) y~ FLO.O.O.O.O.O.O.O.O.OW SHUT OFF OR [] 12. ANNUALINTEC,,~rrY. TEST(0.~ SUCTION/GRA~ SYSTEM: r-] ~3. CONTINUOUS SUMP 8EN,IOR + AUI~BLE AND VISUAL ~ aME.'~ENCY eENERA'ro~ O14.Y (CM~ ~ Mt ~,~,~; [] 14. CONTINUOUS SUMP SENSOR WrTHOUT AUTO PUMP SHUT OFF + AUDISLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TE~T) WITHOUT FLOW ~HI,rr OFF OR RESTRICTION II 16. ANNUAL INTEGRITY TEST (0.1 GPH) *' Ill 17. DAILY VlSUAL CHECK DISPENSER CONTNNMENT 0ATE INSTALLED ASOVEGROUND PIPING ~NDLE WAIL PImNG 467' ~ 7. ~0~ ~ c ~'A~O ~ ~ O~ (3.O ~) 4M 1--1 2. CONTINUOUS 0~ PAN ~ + AUOIBLE AND VLqUAL ALARUS [] 5. TRENCH UNER / MONITORING [] 3~C~NTLNU~U~aEN$ER~AN~EN~RW~THAUT~SHUT~FFF~R~PENSER~A~D`~LEAN~V~$UALALARM~ IC~'"~,', NONE . IX. OWNEI~OPERATOR SIGNATURE 0ATE 470 SIGNATURE OF OWNER/OPERATOR UPCF (7/99) 471 TITLE OF OWNERIOPERATOR .472 S:[CUPAFORMS~SWRCB-B.WPD .~~~ , ' __ CITY OF BAKERSFIELD. 1715 Chester Ave., Bakersfield, CA 93.301 (661) 326-3979 UNOERGROUNO STORAGE TANKS. rANK aAGE ~ J'YP~ OF ACTION Lr"'~ 1. NEW SI?E [] $~ CHAN(~ OF INFORMATION} · 3 ] FAcn. ffY~e I. TANK DE~:RIPTION 43~ I *rANI( C. APAC~'Y IN ~'~ON$ NU~,~,.~ OF COMPARTMENTS T~il( UM 43~ [] ,~. ~,u~(~ w~ (~ UMdO~ C] 9~.' UW~,0WN IL TANK C(Nnml'r~ I~ TANK ~J~TRUGTION 0 6. AVIATION FUEL 442 TYP~ OF TANK [] 3. INOL, EWALLWITH EXTERK)R MEMBRANE L/NER · 0 4. SINGLE WALL IN A VAULT 81ENNIAL. TANK l~8'rlN(3 IEST M IPCF (7)99) Ci~. UNmOWN 0~. cm.~ n3.~I '~ 3. ~"~-'~m~.~'OACF. DP~.SnC OM. UNKNOWN D/I~I~ IN~r~J 1 l~l ' 447 DATE INSTAl ESTIMATED OATE ~ L _~g_~ (~y) ~ iiTi4M~D qUANTITY OF ~JHTANC~ ~ 4M I'A/~( F~O wrrH INe~T MM?.~IA/.? "~q' 0~# 0 Ne ' S:~CUPAFORM$~qwRCB-B.WPO Crl'Y OF BAKERSFIELD .~ Ave,, Bakersfield, CA 93301 (661) UST. TANK PAGE ,: *::,iTM UNOERGROiJND PIPING SYSTEM TYPE i~,,~'l.~/'''~ ' PRESSURE O 2. SUCTION GRAVITY' 458 ".CONsTRucTiON/!E ~,,,,S~NGLEWALL [] 3. LINED'rRENCH ~. OTHER 4~0 MANUFACTURERI ~ev'2. OOUBLE WALL [] 9~. UNKNOWN , ~. I MANUFACTURER 481 [] 1..BARESTEEL . [] 6. FRPCOMPATIBLEwII00%ME'rHANOL MATERIALS AND [['-] 2. STAINLE~ STEEL [] 7. 'GALVANIZED ~'EEL CORROSION i-- · · PROTECTION i ~,.~ ,~AST'C COMPATIBLE WITH CONTENT~ r'],. UNKNOWN '' Ij-] 5. STEEL W/ COATING [] 9. CATHODIC RROTECTION . 464 AmOVEGROUNO PIPING [] 1. PRESSURE [] 2. SUCTION [] 3, GRAvrrY 4~___? I--] 1. SINGLE WALL [] 95. UNKNOWN [] 2. oOU8LE WALL [] 99. OTHER MANUFACTURER [] 1, 8ARESTEEL ' [] 8. FRp cOMPATIBLE W/100% MET~M~IOL--'-- [] 2. STAINLESS STEEL [] ?. GALVANIZED STEEL [] 3..~sTic COMP^T~~'E wrrH CONTENTS [] 8. FLEX~eLE (H~) [] ~. OTHER [] 4. FIBERGLAS~ [] 9. CATHO01C PROTECTION [] $. STEEL W/COATING [] 95. UNKNOWN 465 I · UNDERGROUND PIPING · .__ ~jNDi il WALl. i~Ii~G - ~E~UR~D PI~ (~ ~ ~t ~): ~ I. ELE~MC~~OR3.0~~~~FOR ~ ~F~U~~~+~~ O 2. ~Yo~ ~ 3. ~ ~ ~ (o.~ ~) CONVENTIONAL SUCTION SYSTEM~: [] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + ~ TEST (0.1 OPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW:. [] 9. 8~ENNUd.~TEGRrrYTEST(0.1 ~ECONDARJLY CONTAINED PIRNG ' PRESSURIZED PIPING (~ a~ tltatapply): 10. CONTINUOUS TURBINE S~UMP ~ WITN AUDIBLE AND (C~ec~ one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURE [] 0. AUTO PUMP SHUT OFF FOR LEAK~. SY~FF.M FAILURE AND SY$~E.M DISCONNECTION ~[~. AUT0 ND AUTO S~ OFF .' · MArC UNE LEAK DETECTOR (3.0 Ca~ TEST) W~H FLOW SHirr ~ OR RESTRICTION · [] 12. ANNUAL INTEGRITY TEST (0.t SUCTION/GRAVITY SYSTEI~ [] 13. CONllNUOUSsuMPsENSOR+AUDmCEANDvlSUN-ALARM~ EMERGENCY GENERATOR~ ONlY (C/~ [] 14. CONTINUOUS SUMP SENSOR WrrHOUT AUl'O PUMP SHUT O~-'F * NJDIBI-E AND VISUAL ALARMS [] 15. AUTOMATic LINE LEAK DETECTOR (3.0 (}PH TE~'F) WIll. loUT FLOW 8HUT OFF OR [] RESTRICTION . ~6. ANNUAL ~NTEGRn'Y TEST (0.~ [] 17. OAILYVISUALCHECK. ABOVEGROUND PIPING SlI~LE WALL roPING 467 PRE~,RURIZED PIPING (C, he~ al tfmt apply): :r'] 1. E[ECTRONIC UNE I'EAJ( DETECTOR 3.0 GPH TEST WITI.~ AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AN~ SYSTEM DI~:X)NNECTION + AU~B/,.E AND V~UAL ALARMS ri 2. MONTHLY 02 GPH TEST F'I .4. DAILY VI,~dAL CHECK CONVEN'nONAL SUCTION SYSTEMS (Chec* all ~at [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM . [] 8. TRIENNIAL INTEGRITY TEST (0.1 GPH) S~FE sucno~ SYSTEMS (ND VALVES iN BELOW GROUND PIPING~ GRAVn'Y FLOW (C/~eck d met [] 8. DAILY VISUAL MONITORING [] ~. aENN~ ~ITEC, RrrY TEST(O.~ ~-CON~ARIL¥ CONTA/NED PIPING PRESSURIZED PIPING (~ e//~at a/~): 10. CONTINUOUS TURBINE ~ SEN,.ROR wrrl~ AUDIBLE AND VISUAL Ai. ARM~ AND (ctteC~ one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] I~. AUTO PUMP ~ OFF FOR I. EAK~, SYSTEM FAILURE AND SYsTEM DISCONNECTION I--] c. NOAUTO PUMP SHu'r oFF [] ~Z ANNUAL ~NTEGRn'Y TEST (0.1 C_~H) [] 13. CONTINUOUS SlJMP SENSOR +AIUOIBLEANOVISUALALARMS EMERG~ GENERATOI~ ONLY (~ [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE ANO VISUAL [] 15. A~rOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 18. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK OlSPENSERCONTAINMENT [] 1. FLOATM~=CHANISMTHAT~HUT~O~"F~H~=,A/~VALVE · [] 4. OAILY VISUAL CHECK . DATE INSTALLED ~ [] 2. CONTINUOUS OI~.N~F.R PAN ~ENSOR (. AI. IOIBLE AND VISUAL ALARM~ [] S. TRENCH UNER I MONITORING _~)~__ [] 3. CONTINUOUS DISIr~.NSER PAN ~EN~OR WITH AUTO SHUTOFFFOROISPEN~ER-AUDIBLEANO~ISUALALARM~R ~:]-,~-~NE 489 IX, OWNER/OPERATOR SIGNATURE ~ c~lify mat me int~ma~ 13~ t~ Il line ~ accumle to the beet ot my knevAe~lge, SIGNATURE OF OWNERIOPERATOR ~.~~ UPCF(7199) 471 °ATE TITLE OF OWNERIOPERATOR 470 472 S:~CUPAFORM$~VVRCB-B.WPD iO. . ~. CITY OF BAKERSFIELD~' .- i , · OIF~E OF ENVIRONMENTAL IIRvIcES 1715 'Chester Ave., Bakersfield, CA 9:3301 (661) 326-3979 UNDERGROUND STORAGE TANKS'- TANK PAaE ~ ~ OF ACT~N ~ t. ~ ~ITE ~T ~O ~R~* ~ ~. C~ OF INFOR~TION) ~ 6. TE~Y ~ITE CLO~RE (~ ~ - ~ ~ uze o~) (~ ~- ~ ~ ~e o~). ~ 8. T~K RE~VED . 0 2. NON-FUEL I-1 ,,. ~.~xx~ w~ r~ * UMdO~ []~. UNmeOWN 0 2. LEADi~ 441 r-15. JEr FUEL F'I e. AWAT~ON FUEL 442 0 z n.x, to~ 0 4. ma~oucu.~ lig~, ~ 0~. o'n.~ S~LL ~ OVERFILL "~ 2. OROP TUBE C] 2. AUTOMATIC T'~qK /-'] 3. CONTINIJOUSATQ [] 4. ~TATISTICAL INV~N'roRY RECONCILIATION (~/R) · BIENNtAL. TANK "I'~,~TIN~ UPCF (7/99) : S:~cUPAFORM$~WRCB-B.WPD CITY OF BAKERSFIELD oFFIcE OF ENVIRONMENTAL SERVICE~I~ ch~ter Ave:, Blkerlfleld, CA 93301 (~1) 979 ABOVEGROUND PIPING 0 3. GRAvrI~ 4~ ; CONSTRUCTiON/I__~. ~ff~IGLE WALL' I:] 3. UNEDTRENCH [""19~.. OTHER 4~0 i MANUFACTURERIL[.~2. OOUBLE WALL. ~ 9~. UNKNOWN . I MANUFACTURER 461 MATERIALS AND CORROSION PROTECTION 0 1.8ARE ST~:EL. [] 6. FRP COMPATIBLE WI 100~ METHANOL [] 2. STAINLESS STEEL r-] ?. GALVANIZED ~'EEL STIC COIvlPATIB[E ~ COKTFJ~TS 0 ~. UNKNOWN RC~,..A$$ l"] 8. FI.EYd~ (HOPE) . r-I ~. OTHER 'O S. S~EEL W/ COATING [] 9. CATHOOICPROTECTION 464 [] I, PRESSURE [] 2. SUCTIO" [] ~. SINGLE WALL [] 2. 0OUBLE WALL MANUFACTURER [] ~. SARE s*r~EL [] 2. STAINLESS STEEL · / 0 3. PLASTIC COMPATIBLE WITH CONTENTS [] 5. STEEL WI COATING [] 3. GRAVITY 45c [] 95..UN~'~OWN [] 99. OTHER _ 463 [] 6. FRP COMPATiBLE W/100% ~'--- [] 7. GALVANIZED STEEL [] e. n. ExmLE (Hr~a~) r'] es. o'n.~,~ [] g. CATHODIC Fq~OTECT~ON } .. UNDE~UND PIPING i SINGLE WAIL ;-;;;:~G 466 PRESSURbT. ED PIPING (Check all eat [] 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPN TEST WfTH AUTO IR,IMP ~HUT OFF FOR LEAK SYSTEM FALURE, AND SYSTEM DI~CTION + AUDIBLE At~) VI~ I-I: 2. MONTHLY0.2 C~=~TEST [] 3. ANNUN. INTEGRITY TEST (0.1GPH) CONVENTIONAL SUCTION SYSTEM~: [] 5. DALLY VISUAL MONITORING OF PUMPIN~ ~ + ~ PIPING INTEGRITY TEST (0.1 Cd=H) ABOM~GIROUND PIPING -- SINGLE WALL PIPING 46~ PRESSURIZED PIPING (C,~e~k all eat apply): [] 1. ELECTRONIC UNE LEAK OETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK. ~YSTF. M FNLURE. ~ SYSTEM DI~COI~c"rlON + AUDIBLE AND VtSUAt. ALARN~ [] Z MONTHLY0.2G~NTESl' [] 3. AM~U,,'TEQ~n"msT(0.~ ~ I:] 4. o/m.Y ~ C~ECX - CONVENTK)NA~ SUCTION SYSTEMS (Check all eat apply): [] e, TRIENNIAL INTEGRITY TEST (0.1 C~) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING):. [] 7. SELF MONITORING GRAVITY FLOW:. [] 9. E~ENNUU. INTEG~rrY*TEST(0.1 eH) 8ECONDAJ~L¥ CONTAJN~D PIPING PRESSURIZED PIPING (Otec~ al ~ ~): . SUCTIO~ VISU~ ~ RESTRICTION ~ ~8..~NU~ ~~ST(0.~ ~) ~ 17. DAILY VI~AL CHECK DATE INST~LED SAFE SUCTION SYSTEIvlS (NO VA4.VE$ IN BELOW G,~OUND PIPING): [] z. Se~MO.~OmNG G~AWl~ F~OW (Cr~ a~ eat apply): [] 8. DAJLY VISUAL MONITORING [] 9. mENtaAL~NTEORrrYTEST(O.~eH) _ 8ECONDARJLY CONTNNED F~PING P~ESSURIZED PIPING (C. he~ a/eat app/y)? 1o. CON~NUOUS *n~INE SU~dP SENSO; v~rH AUD~m.E ~ V~$U~. ~ AND (meck me) [] a. AUTO PUMP SHUT OFF WHEN A LEAKOCCURS [] c. NO AUTO PUMP SHUT OFF [] ~. AUTOMATIC IEAK DETECTOR ~'1 13. CONTINUOU~SUMP~EN~OR*AUDIBLEANDVTSUAL~ [] 14. CONTINUOU~ SUMP SENSOR WtTHOuT AUTO PUMP S~UT OFF ,, AUDIBLE AND WSUAL [] tS. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] ~?. D,,~,LYVisu"~-C,EC~ 4~ [] 2. CONTINUOUSDISPF. N~.RPAHSENSOR4, AUOIBLEAHDV1SUALALARMS [] 3. CONTINUOUS DI~OEN~ER PAN ~EIqI~OR WITH AUTO ~-iUT OFF FOR OiSPENSER +AUDiELEANDViSUAJ. Aj. ARM~ [] 4. DAJLY Vl~UAJ.. CHECK [] S. TRENCH UNER I MONITORING ~8. NONE 469 uPCF (7/99) 473 470 472 474 S:ICupAFoRM$~SWRCB. B.WPD.