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Home My WebLink AboutUST REP 07/06/98Inspector Date FINAL INSPECTION CBECKLIST N Plot plan notes . All new and ~xistlni tanks located On plot plan? Does tank product correspond to product labels on plot plan? Was there no modifications.identified which were not depicted on the plot plans? If "No" described Yes No ............... 4.. -Are monitorin~_.wells secure and ~ree of water and product in sumP? 5. Is piping system pressure' suction or travity? :4 BAKERSFIELD FIRE DEPARTMENT July 7, 1998 RRE CHIEF MICHAEL R. KELLY ADId]N~ $~WICES 2101 'H' Street 8aker~Bld, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUFFttES~ON ~ 2101 'H" Street Bake~fletd, CA 93301 (805) 326-3941 FAX (8O5) 395-1349 PREVENTION 1715 Chestor Ave. Baken'fleld, CA 93301 (805) 326-395 FAX (805) 326-0676 ENVIRONMENTAL ~ 1715 Chester Ave. Bakers'field. CA 93301 (805) 3263979 FAX (805) 326..0576 TRAINING DIVISION 5642 Victor Street Bakersfield, CA 93308 (805) 399-4697 FAX (805) 399-5763 Mr. James D. Colt Kern County General Services 1115 Truxtun Avenue, 3"~ Floor Bakersfield, CA 93301 CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT 2601 PANORAMA DRIVE IN BAKERSFIELD. PERMIT #BR-0221. Dear Mr. Colt: This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of the tanks located at the above stated address. Based upon laboratory data submitted, this office is satisfied with the assessment performed and requires no further action at this time. Accordingly, no unauthorized release reporting is necessary for this closure. If you have any questions regarding this matter, please contact me at (805) 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Specialist HHW/dlm cc: Y.Pan, RWQCB D. Walker, SCI Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID0 015-021 O01298 K C COMMUNICATIONS LOCATION 2601 PAN{ This permit is issued for the following: Materials Plan !rground Storage of Hazardous Materials ement Program Waste ~0001 ITAN I Issued by: HAZARDOUS SUBSTANCE DIESEL CAPA~!~ 2,000~0 FCS Bakersfield Fire Department OFF/CE OF ENVIR ONMENTA L SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 3~6-0~76 Approved by: Expiration Date: PIPING METHOD SUCTION LPIPING MONITOR December 22, 1998 State of Cali~ornia--Environmenta~ Protection Agency Form Approved OMB'No. 2050-0039 (Expires 9-30-99) See Instructions on back of 6. Department of Toxic Substances Control ' Please print or type. Farm c~signed for use on elite Sacramento, California UNIFORM HAZARDOUS 1. Generator's US EPA ID No. · Manifest Document No. - 2. Page 1 Information in the shaded areas WASTE MANIFEST CjJ~ "~ ~ ~ {~ 01 113131512 r~I ~t~ I ~ ~ I~ o' ~ isn°trequiredbyFederaJl°w' 4..G ..... tor's Phone ( f~05~8-30~7 JAMES D, COLT 5. Transporter 1 Company Name 6. US EPA ID Number .:~.:[5~ T~ID~:j.:,;;::??/,,)'~?~%~,: 7. Transporter 2 Company Name 8. US EPA ID Number 11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Numar) 12. Containers No. T~pe Quanti~ Wt/Vol .1~;~ ~s~ ~Num~r d. ~3J ~ ~~P ~°~ J~;~'.i°" SITE ADDRESS 24 H~ ER~ERGENCY CONTACT' PH~ ~{,- ~{ t~ WHITING COMM:CTR, d~o678~ 260i PANO~MA,DR. BAKERSFIELD,CA. 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accura~ly descr bed above by proper shipping name and are c ass f ed, packed, marked, and labeled, and are in all respects in proper condition ~r fransporf~y highway according to applicable international and nafionoJgovernment regulations. If I am a large quanti~ generator, I ce~i~ that I have a pro~ram in place to reduce lhe volume and tax c ~ of waste generated to the degree I have determined to be economically practicable and that I nave selected the ~racticable method of treatment, storage or disposal currently available to me which m n mzes the present and future threat to human health and fha environment; OR, if I am a small quanti~ generator, I have made a good fa th e~orf to minimize my waste generat on and se act the best waste management method that is available to me and that I can afford. ~ ' 7. T porter 1 Acknowledgement of Receipt of Mate~ .... ~; ~ X ~ .... __Day Printe~/T~ped Name Si fur ~ ~on 18. Transporter 2 Acknowledgement of Receipt of Materials Printed/Typed Name I Signature Month Day Year I'l I I I 19. C -~ ' Scales Construction, 26. F~ DAVE WALKER ~nifest .... pt .... ted in Item 19. Printe{ Field Foreman [ Month Day Year ~ 4~1 Arrow Street,,' Suite 2~~ ~ 7h/~{~. Phone (805) 324-3115 ; ~/~, ,,v- ~ Fax (805) 324-3125 DTSC' 8022A (4, Pager (805) 6,33-6299 EPA 8700--22 IOW THIS LINE. I Blue: GENERATOR SENDS COPY TO DTSC WITHIN 30 DAYS. ~'HIS To: P.O. Box 400, Socromento, CA 95812-0400 · of California--Environmental Protection Agency n Approved OMB No. 2050-0039 (Expires 9-30-99) se print or type. Form designed for use on elite ~12. UNIFORM HAZARDOUS WASTE MANIFEST ~,~,~..~ j~e.~..~e~ng Address -;~'t, ~ TRUXION A~'~. 3F(~. FLOO~ ~ERS~I~LD 4. Generator's Phone ( B05-~B-1O~7 See Instructions on back of 1. Generator's US EPA ID No. JAMES 5. Transporter 1 Company Name 7. Transporter 2 Company Name 6. US EPA ID Number 8. US EPA ID Number 13.'t,~8 StaYer Ave, Fonta. n~, CA 92,337 10. US EPA ID Number 11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) No~- F~CRA Hazardous waste so!id (WASTE EMPTY STORAGE TANK(S) 2. Page I of 1 12. Contain 13. Total Quantity Department of Toxic Substances Control Sacramento, California Information in the shaded areas is not required by Federal law. Printed/Typed ~g/ne -~_.._ I . T ansporter 1 Acknowled~lement of Receiptc~at~'rials. Prated/Typed Name ~ -- 2 Acknowledgement of Receipt of Materials ,.,-I b118. Transporter om; IPrinted/TypedName I S~g.oture ,, k.)l F I 19. Discrepancy Indication Space .¢; 20. Facility Owner or Operator Certification of n [ ~ [ Printed/TypedName ISignature SiTE ADDRESS: WHITING COi~iV), CTR. 260t PANORAMA DR. BAKE~$t:IELO, CA. 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately descr bed above by proper sh pp ng name and are classified, packed, marked, and labeled, and are in ali respects in proper condition for transportby highway according to applicable i~ternational and nationaJgovernment ragu at ans. . I~ I cma large quantit,/generator, I certify that I have a program in place to reduce the va ume and toxicity of waste generated to the degree I have determined to be economically practicable and that Ihave selected the p, racticable method of treatment storage, or disposal currently ava ab e to me which minimizes the present and future threat to human heahJ~ and the environment; OR i~ I am a small quantity generator, have made a good faith effort to minimize my waste generation and select the best waste management metl~od that is avai ab e to me and that I can afford. ~ SignatUre~ ""~.-~,. ("' 'N. ~ .-,Month, Day ~ e?~ Month ' Day Year Month · Day Year ~ceipt of hazardous materials covered by this manifest except as noted in Item 19. DO NOT WRITE BELOW THIS LINE. DTSC'8022A (4/97) EPA ~700--22 Blue: GENERATOR SENDS THIS COPY TO DTSC WITHIN 30 DAYS. To: P.O. Box 400, Sacramento, CA 95812-0400 ' State of Colifornia-~Environment~ Protection Agency Fgrm Approved OMB'No. 2050~39 (Expires'9-30-99) See Instructions on back of 5. Department of Toxic Substances Control Please print or type. Form ~signed for use on elite (12-pitch) Sacramento, California UNIFORM HAZARDOUS . Generator's US EPA ID No. Manifest Document No.-'~~l~ 2. Page 1 Information in the shaded areas is not required by Federal law. :~ ~"~.~3' Generator's~,~,~, ~'.~Name~ ~-~tand Mailing Address ~~~;. ~ ~ ~ ..... --5. T .... porter 1 Company Name 6. US EPA ID Number ~;~ $~;~I~,EL~,~(Tt~,;~, ~,;:~.~.~,.: . :~ ~., 7. Transporter 2 Company Name 8. US EPA ID Number [~$~~S ID:" ". :'; :/ '~ ;' ~-~'- ~d ~ {~ , ~ ~. Designated Facili~ Name and Site Address 10. US EPA ID Number [.~L~6~:~i:~ ~'~;~: 4.;~ ~,.L,'~?:'%>:..C;~ ~,;::, ,:< .: ,:~' 1 1. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) 12. Containers 13. T6tal 14. Unit ~'; '~ C.;~.-~::.[] ~; ~ No. T~pe Quanti~ WI/Vol I~ W~ N~;~ 1 ~ ~u~iol:H~i~.i~slr~ a~d~io~d le~r~otio~ 16. ~ENERATOR'S CERTIFICATION: I Bereb~ declore tBot t~e contents of this consignment ore ~11~ ond occuro~ ~ descr bed obove b~ proper sBip~ing nome and ore dossified, pocked, marked, o~d Iobeled, ond ore i. ~11 respecls in proper condition Jar tronspo, B~ BigHw~ occording to ~pplicoble imemofionol and ,of on~J government regulofions. ' If I ~m ~ large quanti~ ge,ero~or, I ce,i~ t~ I Hove ~ pro~rom in ploce to reduce ~Be volume o.d toxici~ of waste generated lo tBe degree I hove determined to be economicollv pro~ticoble ~nd thor In~ve selected tBe practicable metBod of tremment s~roge or d sposo currentl~ ovo ~ · lo me wBicB minimizes tBe present ond future ~Bre~t to Human o,d the environme,t; OR if I ~m ~ small quonfi~ generator I Bore m~e ~ go~d foilB e~orf to m n mize m~ w~$le generation ~nd select t~e Best wo$le monogement metBod tBot , Printed/Type~.~ 17. Transporter 1' ' ' Acknowledgement of Receipt of Mater~al~" ' I Signature'" ~''- ' '"' Man? Day ]~e: ..:," ,"":::.~. "~ ' ' ~ ' '~, ,, .. ,' - : ' Printed/Typed Name Si~' : ~ ~.. /~ ~ I Month Day ~e~ ~ri~t~/T~ N~ Si~tur~ I Mo~tB ,Do~ Year 19. Discrepancy Indication Space ,20.' Facili~ ~ner or Opemtar Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. DO NOT WRITE BELOW THIS LINE. DTSC 8022A (4/97) EPA 8700--22 Yellow: GENERATOR RETAINS State of California--Environmental ProteCtion Agency Form Approved OMB No 2050-0039 (E ires 9-30 99 ~ -_ . x~ - ) ,- · See Instructions on back Of Department of Toxic Substances Control ease print or type. Form desighed for use on elite (12-pitch) " Sacramento, California 1. Generator's US EPA iD No. Manifest Document No. 2. Page 1 information in the shaded areas UNIFORM HAZARDOUS -. , ~, ..... ,,-~t 2 9 2 4 I 0 '~ is not required by Federal Jaw. Generator's Name and Mailing Address ' '~ ' ' ' :~' ~ .... .... ~ ] 1. US DOT Descr pt on (inc uding Proper Shipping Name Hazard Class and ID Numar) 12. Containers 13. Total 14. Unit b. ':I.~.,~ ~p~l Hand ing. ~struct o~s and ~ddit o~a[In ormofion · 'Wea~ ~p.p;'op~'~,te P.P,[. 260! PANORAMA g~ 16. ~ENERATOR'E CERTIFICATION: I ~ere~ declare t~ot t~ ~o~t~ti o[ t~i[ ~o~lignme~t ~r~ ~IIx oed o~curote I described o~ove ~X proper s~ippi~g nome o~a ore classified, packed, marked, and la~eled, o~d ore in oll respect~ i~ proper condition [or tro~spod~ ~ig~wo~ according to =pplico~le,intemotio~oJ and notional government reguJationl. I[ I om o large quonti~ ge~erot~r, I ~erti~ t~ot I ~ove o program M place lo reduce ~e volume and tax c ~ al waste ~e,erated to t~e degree I ~ove dmermi,ed to ~e economically proc(ica~le and t~ot Ihave selected t~e ~roctica~Je met~ed o[ treoimt~I ltoro~e or disposal ~urre~tlx ova Io~ e to me w~ic~ minimizes t~e present and [uture t~reot to ~umon ~eaJt~ and the env ronment; OR, f I am a small quonfi~ generalor~ I have made a g~ faith e~ort to minimize my waste generation and select the best waste management method that is available ~o me and that I' can afford. Printed/Typed~Name . U - Signa~ur&.~, ~.. ~' "" ...... I Month Day 'Year 17. Tronsp&~er i.Ackh~wledgement of R~ceipt of ~aterials ~ ~ ~ Printed/Typed Name I Si~u~ ' / '~ 18. Transporter 2 A~n~wled~e~ o~ R~c~ip[of Materi~ ~ Printed/Typed Name E [Signature , I Month Day Year 19. Discrepancy Indication Space 2~ Facili~ Owner or Operator Ce~ificafion of receipt of hazardous materials covered by tMs manifest except as noted in Item 19. · ~P~i~te~/Typed Name ~. ~ S~gnature Month Day Year DO NOT WRITE BELOW THIS LINE. DTSC 8022A (4/97) ~,... EPA 8700---22 Yellow: GENERATOR RETAINS ECl Ecology Control Industries ~~-~'SPORTATION SERVICE ORDER A FULL SERVICE ENVIRONMENT~J. COMR4NY ' SERVICE . ORDER# 75073 (310) 320-2555 · FAX (310) 320-8532 ' DATE: ~,~///~/'~_~~ ~/,//~,.~/ : ._~-, ~/· , , /, Name: ~ Job Location' Address (BILMNG): Ordered by: Name (PRINT): 1' k~./~/'/~--~ 1' Il r City: Zip: Company:. ...--" ./'~ / ~ P.O.~ Size/Type: ~. . MANIFEST #Loads: BBE ~~a~ Tim~ O~ DISPOSAL # Tons: Yards: MEALS.' ~ Start: ~ Stop: Other 'time: PM .Gross Time: - Total: Add/Deduct Hrs. Time In: Time In: ~op Miles: Start Mile~ Time Out Time Out Miles Ddven: QTY. U.O.M. RATE EXT. QTY. U.O.M. RATE EXT. Vacuum Truck Disposal End Dump Washout Roll-off Roper Pump Flat Bed Bin Liner Tank Mover Surcharge Driver Relief Subsistence CHARGI~: If invoice is not paid within ~'days, interest shall commence accruing at 1.596 per month. Should suit be commenced to collect any portion of this invoice, Ecology Control Industries shall be entiUed to any costs deemed reasonable by the cour~ including attorney fees~ Original: Accounting Yellow: Accounting Pink: Customer Gold: Driver Scales Construction, Inc. City of Bakersfield Fire Prevention ?-~ C, 2 ~ 1 FAcxt~/4. 6/I2/98 Subject: Soils Test Data for Whiting Communications UST Removal Performed 6/2/98 Dear Sir/Mam: Attached are the results from the above UST removal project. If you have any questions, please call. Sincerely, ~ ~ ~ 7509 Feather River Dr. · Bakersfield, CA 93308 ° Phone ~ (805)-~,~t~:~;;~7~ ,~'~-~//,ff'" ~ s Pur~eable Aro~nat £cs i Total Petroleum HydroCarbon8 ': k°~ec: r: ~Z~ ~I~TION Date Colle~e~: 06/03/9~ ~ ~5:23gM S~ie zH: ~ :~8-o~o-1 oate .~al~ea-eolsM(a): o6/08/~8 S~le C~lebted Sy: )D~IS~ : ' Prac=[cal · : i ~lysis ~po~ing ~tikat~bn : Rea~ts ~ Limit ~y~o~ · (~e.oel.) Nme Detected mg/k~ 10. Su~rogate~ % ~ove~- 99. % 44-XSX .., ~H ~ D_O.H.S. / L.U.F.T. ~u~ ~th~ - ~dified EPA 8015 ., Indivi~al Cone:i:u~ts by EPA ~ 5030/8020. 1 cR 95~09 a~ion: cted By: Purgeable Aromatics and Total Pe=roleum ~y~roCarbons WHITING CO~E~HICATIOE Da=e Re~orted: Date Received: Laboratory No.: Date Collected: i5..5' B~-LOW DIZS~-L TAN Date Rxtrac~ed-8015M(d): ;.98-010-2 Date Analyzed-8015M(d): 'DANIRL $CAL~$ Analysis eum $ ~(dieSeI) None Detected ~%over~ ~04. Repo~cing Onits · o$/~o/~i8 o~/o~/~8 98-063~0-2 : PageI o~/os/~ia o~/o~/~ Pr&cc~cal TPH :bY!D.O.H.S. '/ L.U.F.T. Manual ,Metho~ -}~odified ~PA 8015' IndiViduaL constituents by ~}AMet~l 5030/8020. 1 ~urgeable Aromatic ~alysie (EPA ~thod 8020) Cal!zfornza,D:O~H.S. Cert. #11~6, Analysis Resu~,~. ~one Detected Quality COntrol libra Recovery ...... 9S. Date P. epo=ted: 06/ZZ/9~ Date Re~iVBd:, 06/04/9;8 I~boratoryNo.~: 98-0632D-1 Date-Collected:: Date Extracted:: Date Analyzed: Units ~g/kg Control Limits. ?O-S30 "'"%i Pract~cal'i O. &RSFIELD FIRE DEPARTMENt' ENVIRONMENTAL SERVICES --- 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY ~ ,c. ~n,,~c~.~y ~)~,~,_ ADDRESS ~&0 1 ~am O~R ~ ~,,~ PE~IT TO OPE~TE~ CO~CTOR ~{~[~ ' ~%, ~. CO.ACT PERSON ~O~TORY ~ A~ ~OFS~PLES ~ TEST METHODOLOGY TPl4-D PRELI~NARY ASSESSME~ CO. ~ea(~ ~. CO.ACT PERSON PLOT PLAN CONDITION OF PIPING CONDITION OF SOIL OATE INSPECTOR8 NAIIE SIGNATURE Pcrmi! No. CITY OF BAKERS~. O OFFICE OF ENVIRONMENTA-~L SER¥ ICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION FOR -'~ V~' REMOVAL OF.AN UNDERGROUND STORAGE TANK SITE INFORMATION SITE.iqhiL_ing_Comm, ConterADDRES~60! Panorama dr. ZIPCODE qt&06APN FACILII'Y NAME._S.a.me__ CROSS STREET Mount Vernon- Ave. 'rANK OWNER/OPERATOR C~nnty of Kern PHONE NO.(80.5) ~EE-3!OO MAILING ADDRESS L1 I 5_ Wrn~tnn Ave: __ CITY BE~e~.~d Ca. ZIP 93301 ('ON'I'RACI'OR IN FORMATION PHONE NO(~5)324_3!15LICENSENO. 66A.~00 CITY Bakerfie!d ~Ca. --ZIP9330B WORKMENS COMP NO, 229-~7 Unit 18548 PRELIMINARY ASSESSMENT INFORMATION COMPANY,._~7~i3_e~ Const.. Tnc~ ADDRESS___~2..01 ~ r r n xc .q ~_ _ INSURANCE CARRIER NiC Insurance PHONE NO. ( 805)"~34Z4_~4 ~ENSE NO._ 664800 CITY ' Bakersfield ZIP 93~0~ WORKMENS COMP NO. _ 229-97 18548 'rANK ('LEANING INFORMATION COMPANY EricSson Env~r~m~n~.al PHONENO. (909) 355-5601 ADDRESS 13738 SloY..er Ave, CITY ~n~.~n~ ZIPgA?~i//___ WASTE TRANSPORTER IDENTIFICATION NUMBER ,CAD qR~z184zlqqq NAME OF RINSATE DISPOSAL FACILITY ~l~ -.K~rdoon , ADDRESS 2000 N.Alameda CITY Compf. on ZIP go??? FAC[tlTYIDENTIFICAT[ONNUMBER~. CAT 08/)0133527 TANK TRANSPORTER INFORMATION COMPANY Rx-i~kson En?iromental ADDRESS same TANK DESTINATION Amen-i-can Met=_! PHONE NO. 9ame' LICENSE NO. 168076 CITY same ZIP same TANK INFORMATION CHEMICAL TANK NO AGE \,'Ot.tJME STORED ......... 1 ........ 123Z..r_'s ;-E~2- fl0Jlg, al ~Die s e ~ DATES CHEMICAL STORED PREVIOUSLY STORED 1986 to present Diesel For ()llicia! [ :~c (Ndv APPLICATION DATE FACILITY NO. NO. OF TANKS FEE $ TI il': AI'I'I .IC...\NI' I lAS RI-:CI~IVI-'I). I INt)I..'RSTANI')S. AND WILl, C()MI'I.Y WFI'il 'Him.: AmI'TA£'I IF:l) C( )NI)I'I l( )NS ( )l: TI lis Iq<I(MIT ANI ) ANY, )11 II!R s I',.\ I IL I.( )CAI, AND I'I'])I':I{A[, RE¢;I II,ATION,q. '1'1 IlS t.'( )RM l I,,\S I~I{I.:N Ct )MPf. I: I'f-:l) l ~NI)I.:I,~ PI{NAI.TY t)l: I>t{R.II.fRY. AND TO rill! III{ST ()1,' MY KN( Tills APPt. ICATION BECOME A PERMIT WHEN APPROVED )ATE s'rATE OF CAUFORNIA WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A MARK ONLY [] 1 NEW PERMIT ~ 3 RENEWAL PERMIT ONE ITEM ~ ~ 2 INTERIM PERMIT [] 4 NdENOEO PERMIT [] $ Cl,,IANG~ OF INFORMATION [] ? PERMAJII~Y CLOSED SITE ~ 6 TEM~)RARY SITE CLOSURE I. FACIUTY/SITE INFORMATION & ADDRESS. (MUST BE COMPLETED) DGA OR ;ACILITY'NAME ' NAME OF OPERATOR Whiting Communications ~nt. er [ Count~v of Kern 'ADDRESS i NEAREST CROSS-STREET PARCEL m (O~NAJJ I 2601 Panorama dr~ I Mnnnf,,, V~rnOB Av~-- CiV~ NAME : STATE I ZIP COD~ SITE PHONE m WII~'AREA CODE B_~kersfield CAti Q~n~ (805)8~8-400t' TO~NO~CATE ~ CORPORATION ~ INDIVIDUAL ~ PARTK~RSHIP ~ LOCAL-AGENCY [:~ COUI~TY-&GENCY [*-"~ STATE-J~ENCY ~ FEOEI:~U.au~ENCY DgSTRICT$ J RESERVATION ~" IF --DIAN J. OF TANT AT SII'E I E.P. A- L D., (o~i'--, TYPE O1:: BUSINESS "--'], 3 FARM ~ 4 PROCESSOR ~ S OTHER OR TRUST LANDS EMERGENCY CONTACT PERSON (PRIMARY) IDAYS: NAME (LAST. FIRST) n~.l.. 'v Joseph ~-IG-HfS'~ NAME (~%ST. Ft'~ PHONE e WITH AREA EMERGENCY CONT&CT PERSON (SECONDARY). eptlmml DAYS: NAME (LAST. FIRS~ PHON~ · WITH AREA ~,-,='1~ ('!nn.~-.. 324-31 15 II. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) NAME MAILING OR STREET~.~DR~ CIT~ NAME B_ a~, ~sf. i_eLld CARE OF AODRE~ INFORMAT~)N v" I~,, elr~i~ ~ INOIViDU~L STATE ~: Z~P CODE ~a. ' 9330]. ! u~La~CY [~I S?~T~.4G~4CY ] COU~/TW~L'f E~ FEOERALa~.A~C¥ PHONE · WITH AREA 805 ) 868-3000 _ IlL TANK OWNER INFORMATION. (MUST BE COMPLETED) iNAnE oF OWNER C.O_U]it_y_. o 'f K~_rn MaiLiNG OR STREET ADDRESS I 1 I ~ t_rll¥'l-.l~n Ave C~T~ ~AQ~ -* ....... Ba, kcrcfio!d CARE OF AOORE~ INFORMATION STATE ZIP CODE Ca _ 93301 tPHONE ! ~MTH AREA CODE (805) 868+3000 IV. BOARD OF EQUALIZATION MST STORAGE FEE ACCOUNT NUMBER - Call (916) 739-2582 if queslions arise. TY (TK)HO ~- j I I t i V. LEGAL NOTIFICATION AND BILLING ADDRESS Leaal notification and billing will be sent to the tank owner unless box I or II is checked. CHECK ONE BOX INDICATING 'WHICH ABOVE ADDRESS SHOULD RE USED FOR L='GAL NOTIFICATIONS AND SILt. lNG: ,. IL IlL IAPPLICANT'S NAME (PRINTED & SIGNATURE) THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY AND TO THE BEST OF MY KNOWLEOGE. IS TRUE AND CORRECT IAPPLICAN]'S TITLE I DATE MONTH/GAY/YEAR LOCAL AGENCY USE ONLY COUN,~ # JURISDICTION FACILITY LOCATION CODE - OP rio/vat !CENSUS TRACT · - OPTIONAL ] SUPVkROR - DISTRICT CODE · O~TJONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1.1 OR MORE PERM~ APPL~AT~N - FORM B, UNLESS TH~ IS A CHANGE OF SffE ~JFORMATION ONLY. FORM A tg-go) FOROG~A.R2 STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION · FORM B COMPLETE A sEpAI~TE FORU r"1311~l~CH TANK SYSTEM MARK ONLY i~.~ t NEW PERM~.T ONE ITEM L..--_~ 2 ~NTERIM PERMIT RENEWAL P~RMIT AJdENOEO P~RMaT r'~ 5 CHANGE OF INFORMATION ~.~ [] 8 TE~"~' TAN,< bosun; [] P~RMANENTLY CLOUD ON SITE TANK REMOVED DBA OR FACILITY HAME WHERE TANK IS INSTALLE0: I. TANK DESCRIPTION CO~.ETE ALL ITEMS - SPECIFY IF UNKNOWN C. DATE INSTALLEDIMO/DAYffEAR) I q~,,, O. TANK CAPACITY IN C~ALLON$: '~00 ~t'~r;q '~ ,, · II. TANK C0NTENTS IF A. I tS MARKED. COMPLET~ ITEM C. A. i..-..~ I MOTOR V~HK:LE FUEL [] 4 OIL B. C. [] ,,REGULARijNL~D ~ 3 DIE~EL ~ , AVIAT~ ~ 2 PETROLEUM " ~L~O I I 5 ~TF~L D. tF (A.t) iS NOT MARKED, ENTER NAME ~ ~ST~E STO~O C.A.S. a: IlL TANK CONSTRUCTION MARK ONE ITEM OHLY IN BOXE$ & 9. AHD¢.AHDALLTHATAPRLI~SIN~OXD A. TYPEOF [] ! DOUBLE WALL SYSTEM {~ 2 SINGLE WALL ~ 3 S/NELL WALL WITH EXTER/OR LINER [] 85 UNKNOWN [] · s~co~o~w CO~T,~uE~r (VA~TED T~,q [] ~ DINER 8. TANK [] 1 ~R~STEEL [] 2 STAINLE.SS STEEL [] 3 FtBERGLA~ MATERIAL [] $ CONCRETE [] 6 POLWlNYL CHLORIDE [] ? ALUMINUM (PrimaryT~k) [] . GRON~E [] tO GALVANIZED STEEL [] ~5 UNKNOWN 4 STEEL CLAD W/PiSERGLAS~ RE~IFORCEO [] a lINTY. ME*I'~-L&NOL COMPATIBLE Wfl:RP ] gg OTHER ] 4 PHENOLIC LINING [] ~9 Ol14ER O. CORROSION [] ! POLYETI, CYLEN~ WRAP [] 2 COATING PROTECTION [] .5 CATNO01C PROTECTION [] ~1 NONE [] 3 VINYL WRAP ~ ¢ FIGER~8 REINFORCED PLASTIC [] ~ U.K.OW. I--'1 -- OTHE. IV. PIPING INFORMATION ClaCLE A IFA~OVGOROUNOO. U IFUNOEROROUNO. 801H IF APPLICABLE A. SYSTEM TYPE A U 2 PRESSURE A U 3 GRAVrTY B. CONSTRUCTION k<~-~ A U 2 DOUBLE WALL A U 3 LINED TRENCH · U 99 OTHER A U as UNKNOWN A U ~ OTHER C. MATERIAL AND CORROSION PROTECTION A U ~ BARESTEEL A U 2 STAJNLESS STEEL A U 3 POLYV~NYL CHLORIDE(PVC)A U 4 FIBERGLAS~ PIPE A U 5 ~UMI~M A U 8 ~TE A U 7 STEEL~COAT~O A U 8 l~ ME~L~MPATIBLEW~RP A~ A U 10 ~T~P~TECT~ A U ~ ~ A U ~ O~R O. LEAK 0ETECTDN V. T~K LE~ DETECTION I:.~ I VISUAL CHECK ~ Z iNVENTORY REm~ILaTm ~ 3 V~RMONITORING~ 4 ~OMAT~TANKmmlNG ~ 5 GROUNOWAmRMONnORI~ VI. TANK CLOSURE INFORMATION THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPL;CANT'SNAME I DATE (pRINt'E0 & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE 1.0. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # STATE I.D.# ' ' I'~ERIdIT NL JMB-~, , , , u. IPERMIT APPROVED BY/DATE, , , , I PERMIT, EXPIRATION DATE ,, Foma s ~ol THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION. FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. BAKERSFIELD FIRE DEPARTMENT FAX Transmittal FAX No: ~3,~ ~- .~ 1 2.5' Office of Environmental Services FAX No. (805) 326-0576 · Bus No. (805) 326-3979 1715 Chester Ave. · Bakersfield, CA 93301 COMMENTS: .......... .~..{.k~ ~.{..c..k~..t..h..., ............................................................................................................................................................................... .......................... 13..,...~.~..,..~. ........ r~ ......... ~o..~. ............ ~..~.p.~.0..~.~. .......... ./~...o...c ........... .o..pp.b.~.~.~.~..~ ........... ~.~.r .......... ~..~.~.~..~.,~[ ~+ ~o~ ~L ~L.___~. ...... ~ ........... .d~.~.~!~_~__~ ~~_ ...................... ,.~.~ .............. ~:~.(. ............... ~.~.,~.~.~...: ....... ~.~..~.~ ........ ~.~.~........~:~..~.~' ........... t~.~. ........... ~o ~ ................... .............. .~_~ ........... ~ .... ~,.m ....... .c.J=.~.~J. ........ m., ....... ~,~. ......... ~.~. ....... _~.~,..~4~ ....... 5.~..c. ............ ' , ....................... ~.,r ........... ~(.~..(.~. ............. ~.(.ca.~ ................ so..h.t,.;.~ .......... ~.....X. ........ ~x~..~.....t ........... p..~...,.~...~.J. ..................... ............................ J...h.x}. .............. ~.v.{..a.~.~.~..~ .......... p.[.~.~.s.=.. .......... ~.~..(.~ ......... &.~. ........................................................................... .............................................................................................................................................................................. O.s.r. ......... ~.~.~...~.~ ................. 05/29/98 06:47 ~"805 326 0576 BFD HAZ RAT DIV ~001 ACTIVITY REPORT *** TRANSMISSION OK TX/RX NO. CONNECTION TEL CONNECTION ID START TIME USAGE TIME PAGES RESULT 6710 05/29 06:45 01'25 2 OK 3243125 RRE CHIEF MICHAEL R, KELLY ADMINISTRATIVE SEl~"rr~ 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVEN11ON SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3951 FAX (805) 326-0576 ENVII~NMENTAI. SERVlC~ 1715 Chester Ave, · Bakersfield, CA 93301 (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield, CA 93308 (805) 399-4697 FAX (805) 399-5763 BAKERSFIELD FIRE DEPARTMENT February 24, 1998 Fred A Plane, Deputy CAO Kern County Admin Office 1115 Truxtun Avenue, 5th Floor Bakersfield, CA 93301 RE: 2601 Panorama UNDERGROUND STORAGE TANK UPDATE Dear Underground Storage Tank Owner: The City of Bakersfield has some exciting news regarding loan monies, which has just become available through the Small Business Loan Association (SBA). Pollution Control loans, thru the SBA, are intended to provide loan quarantees to eligible small businesses for the financing of planning, design, or installation of pollution prevention controls, which includes underground storage tank facilities. The vast majority of businesses are eligible for financial assistance from the SBA. The SBA defines an eligible small business as one that is independently owned and operated and not dominant in its field of operation. For those applicants that meet the SBA's credit eligibility standards, the agency can quaranty up to eighty percent (80%) of loans of $100,000. Seventy five percent (75%) of loans above $100,000. Lynn Knutson, Chief of Finance for the SBA says, "If customers apply immediately, and meet the requirements, funding is available". The City' of Bakersfield hopes all of our underground storage tank owners take advantage of this opportunity. For more information on SBA, Pollution Control Loans, please call or write to: Lynn Knutson, Chief Financial Officer Small Business Loan Association 2719 North Air Fresno Drive, Suite 200 Fresno, CA 93727 Phone # (209) 487-5785, Ext 130 Don't delay, start today!!! Sincerely, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services cc: Ralph Huey BAKERSFIELD FIRE DEPARTMENT January 29, 1998 RIlE CHIEF MICHAEL R, KELLY 2101 'H' Street Bakelsfleld, CA 93301 (805) 326-394 i FAX (805) 395-1349 2101 'H" Street Bake~flotd, CA 93,301 (805) 326-3941 FAX (805) 395-1349 I~EVENllON SEItVlCF, S 1715 Chester Ave. Bakelsfleld, CA 93301 (805) 326-3951 FAX (805) 3260576 ENVIRONMENTAL SEI~NICrr. S 1715 Che~ter Ave. Bakersfield, CA 93301 (805) 326-3979 FAX (805) 326-0576 11~JMNING 5642 Victor Street Bake~'fleld, CA 93308 (805) 399-4697 FAX (805) 399-5763 Fred A. Plane, Deputy CAO Kern County Administrative Office 1115 Truxtun Avenue, 5th Floor Bakersfield, CA 93301 RE: 2601 Panorama UNDERGROUND STORAGE TANK UPDATE Dear Mr. Plane: The City of Bakersfield wishes to congratulate those tank owners who have upgraded, removed or replaced their tanks in the month of January. During the month of January, our office had six sites (14 tanks) which are now in compliance. This is a very big "first step". For those who have not yet upgraded, I would like to share some thoughts on why it is so important to act right away: Licensed contractors are booking up fast, in some cases, up to three months in advance. Supplies (pumps, dispensers, leak detection equipment) may be scarce. The cost for upgrading or removing could go up as demand increases. Assembly Bill 1491 will ban fuel deliveries after January 1999 to non-upgraded owners. The good news, is there is still time!!! If there is anything this office can do to assist you in your planning, do not hesitate to call. Sincerely, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services cc: Ralph Huey, Director, Office of Environmental Services BAKERSFIELD FIRE DEPARTMENT December 18, 1997 FIRE CHIEF MICHAEL R. KELLY ADMINISIRATIVE SERVICES 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SEI~VlCES 2101 'H" Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 ~EVEN11ON SEI~VlCES 1715 Chester Ave. Bakersfield. CA 93,301 (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SEI[N1CE$ 171,5 Chester Ave. Bakersfield, CA 93301 (805) 326-3979 FAX [805) 326-0576 TRAINING DIVISION 5642 Victor ~reet Bakersfield, CA 93308 (805) 399*4697 FAX (80,5) 399-5763 Fred A. Plane, Deputy CAO Kern County Administration Office 1115 Truxtun Avenue, 5th Floor Bakersfield, CA 93301 Dear Mr. Plane: (~l You will be receiving this letter on or about December 22, 1997. One year from today, December 22, 1998, your current underground storage tank will become illegal to operate. Current law would require that your permit be revoked and, would make it illegal for any fuel distributer to deliver to any non upgraded tank. However, in reviewing your file I see that you do plan to remove your tank by May 1998. We congratulate you on your decision to remove your tank and simply want to offer any assistance we can in meeting your target date. Please remember to contact this office for permits well in advance of your anticipated start date. As we get closer to the December 22, 1998 date, I-would expect construction lead times to become extendedl as well as costs for tank replacements. Sincerely, Hazardous Materials Coordinator REH/dm cc: Kirk Blair, Assistant Chief BAKERSFIELD FIRE DEPARTMENT October 10, 1997 FIRE CHIEF MICHAEL R. KEM.Y ADMINISTEA11VE SERVICES 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVEN11ON SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield, CA 93308 (805) 399-4697 FAX (805) 399-5763 Fred A. Plane, Deputy CAO Kern County Administration Office 1115 Truxtun Avenue, 5* Floor Bakersfield, CA 93301 RE: Monitoring requirements for underground storage tanks. Dear Mr. Plane: Our records reveal that no annual leak detection testing has been performed on one (1) 2,000 gallon underground storage tank located at 2601 Panorama Drive. Section 2643 3 of Article 4; Title 23, Div. 3, Chapter 16, CCR., requires that all underground tanks that utilize automated leak detection shall have a maintenance check test annually. Please make arrangements to bring the tanks into compliance with state law. if you have any questions, please call me at (805) 326-3979. Sincerely, Ralph E. Huey Hazardous Materials Coordinator by: Steve Underwood Underground Storage Inspector SBU/dm BAKERSFIELD FIRE. DEPARTMENT nl~ MICHAEL R. KElly 2101 'H' ~t (~) 3~941 F~ (~) 3~1~9 SUPffi~S~N SEINICES 2101 "H" Street BakefsfielcL CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVENTION SEII~flCE, S 1715 Cheste~ Ave. Bol(etsfie~. CA 93301. (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesl'et Ave. Bakersfietcl, CA 93301 (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfieicl, CA 93308 (~5) 39~-4697 FAX (805] 399-5763 February 3, 1997 Kern County Administrative Office 1115 Truxtun Avenue, 5~ Floor Bakersfield, CA 93301 Underground Storage Tank located at Kern County Communications Center, 2601 Panorama Drive. Dear County of Kern: As I am sure you are aware, all existing single walled steel tanks that do not meet the current code requirements must be removed, replaced or upgraded to meet the code by December 22, 1998. Your tank does not currently meet the new code requirements and therefore falls into the remove, replace or upgrade category. Your current operating permit expires on or before that date and of course will not be renewed until appropriate upgrade of your tank system is accomplished. In order to assist you and this office in meeting this fast approaching deadline, I have attached a brief questionnaire addressing your plans to upgrade this tank. Please complete this questionnaire and return it to this office by Tuesday, February 18, 1997. If you have any questions concerning your tank or if we can be of any assistance, please do not hesitate to contact this office. Sincerely, Ralph E. Huey Hazardous Materials Coordinator Office of Environmental Services REH/dlm attachment JOEL A. HEINRICHS ~0UNTY ADMINISTRATIVE OFFICER KERN COUNTY ADMINISTRATIVE OFFICE SCOTT JONES Assistant Count~ Administrative Officer WILLIAM C. DOUGLAS Employee Relation,~ Officer October 23, 1995 City of Bakersfield Fire Department Office of Environmental Services 1715 Chester Avenue Bakersfield, CA 93301 Attn: Howard Wines Dear ~s: Per our telephone conversation on October 20, 1995, enclosed is a copy of the County's Certification of Financial Responsibility for all underground storage tanks owned by the County. The original of this form is on file with the County Environmental health Services Department. If you have any questions or need any further information, please feel free to contact me. Fred A. Plane Deputy CAO FP:dr\tankscit.fin Enclosure cc: Robert Perry, Risk Management Charles Conner, Communications Division David Baumstark, County Administrative Office 1115 Truxtun Avenue, 5th Floor BAKERSFIELD, CALIFORNIA 93301 (805) 861-2371, FAX (805)325-3979 R.E. HUEY HAZ-MAT COORDINATOR (805) 326-397q FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA * 93301 SEP 2 6 1995 FINAL NOTICE!l! R.B. TOBIAS, FIRE MARSHAL (805) 326-3951 REVOCATION OF UNDERGROUND STORAGE TANK PERMIT WILL FOLLOW IN 30-DAYS IF VIOLATION PERSISTS PI®sas be aware that failure to provide tha financial responsibility document to this office within 30 days, will result In your Permit to Operate being revoked (25285.1(b) California Health & Safaty Code). Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Our records also indicate that you have been issued at least one warning letter prior to this notice. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else comDiete the attached Certification for Financial Responsibility form and return it to this office within 30 days. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you doe't sell product from your tanks, and you pump !ess than 10,000 gallons per month, check "$5~0,000 per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All other need only check the "1 million dollars annual aggregate". If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-,3979. Sincerely, H~.~rdous Materials Coordinator REH/dlm attachments ~MORtlNDU~ Joseph E. Drew County Admlnistra~ Ofllcer TO: Distribution DATE: June 6, 1994 FROM: ~ Fred Plane Deputy CAO S~: UNDERGROUND STORAGE TANKS Attached for your information is the statement of financial responsibility for underground storage tanks operated by your department. This information has been filed with the Environmental Health Services Department and the State Water Resources Board. If you need any fu~ther information, please contact me. Distribution: Karen Geye, General Services Department Mike Parker, Fire Department Dave Price, Airports Department Ron Errea, RMA Daphne Washington, Waste Management Department Lee Willeford, KMC cc: Robert Perry, Risk Management Attachments 1 Sttto of California State Water Reeources Comrol Board .CERTIFICATION OF FINANCIAL RESPONSIBILITY F~ UNDE~OUND 8T~m~= TANK8 CONTJMNING PEI~M A. lam mqukud to,bmoamrme F'maaeid bq,eaaildltyi, the requifud mo-auaoq,oeibdia beaie. 2~07. Chapeor I& i:~.3. T'ab 23. CCR: ~'-] S00.000 deilm pr oeewmm ~] 1 mb ~' ~ ! milio- doflars Per o~m~e.e, r~] 2 ah ddlannnud afpqate a. County of Kern herel~y certi~es that it is in compliance ~efth the t~lui~nts of Arece s. Cl~oter ~a, D'tv~n S, TiUe ~a, California Code of ~. Ty~e "." Nu~r ~ount Pe~ ~ Co~. Worksheet County of Kern 1 millio~ Test 1115 Truxtun Avenue 5th F1 per Bakersfield, CA 93301 N/A occurren¢-' 1 year yes yes ~a~l asgr~ ~te Note: ff you are using the ~tate Fund as any part of your demonstration of financial responsibility, your execution and submission of th~s cer88cation also certiffe~ that ~tou are in comptJence w#h all conditions for pert~_~'_r,~___~_n in the Fund. lb. FacAM ~/.~'~.~.~ Paddity Addrem see a~ached F~rfN~e Fe'~i~T N~e Ft.4~ty Addre.. 5-~1-94 County of Kern-Joseph E. Drew required for each [K~J4ENT ~#FWTIOll A. M..K bq~rod - ~ ~t~ isms of Issuer llecbeni-- #~ Coverage Period - Correcti~ Action - Third Party Compenoat ion D. Facility - inforletion Check the N~roprlete boxes. FuKt n~e of either the t~nk mr or the aperetor. Indir~te uhlch State approved mmchmieaKa) ere being used to ~ho~ financial reeponlibi{ity either M cantairmcI in the rackers& regulations, 44) CFR, Part 280, Sda~ II, Secttn 280.g0 through ~80.Ig (See Fiwlll Ilpenelbllity Guide, for more tnforitien), or Soctlo~ ~808.t, Chapter 18, Olvtllml 3, Title Z5, CC:lt. List ail nm end od~'ass~ of caN~iee end/or indlvicidis Issuing covers. List identifying mr for each or file nudaer as indicated on ~.~-.~, or docunent. (State Fund) ialVe bL~nk.) Essmpte: tnsur~noe policy rdJnber (If using State Cicanup F~cl Indicate MOSt of coverage for each tYlae of amcheniaaKs). If more than Mm mechanism is indicated, total must eClusL 100~ of fjnMIcJaL raspaneibiLlty for each feci L Sty. Indicate the effective clltsCs) of eLL ffnanotat mechm~iMKs). (State' f~md coverage t~Jid be continuous as Long ss you maintain cc~pLi.nce and ramie eLigibLe to continue participation in the FL~CI.) indicate yes or no. Does the specified ffMncfat smchanfsm provide coverlge for corrective Kttofl? (If using State FL~cl, indicate ~yas".) Indicate yes or no. Does the specified financtsL mechani~an provide coverage for third Party cca,pensstiofl? (If using State F~cl, indicate Provide eli facility and/or site ram and ecidresses. E. Signature BLoc~ - Provide signature and date signed by tank ouner or operator; printed or typed name and title of tank o~ner or operator; signature of witness or notary and date signed; and printed or typed name of witness or notary (if notary signs as witness, please piece notary seal next to salary's signature). t~ere to N~It Certif. ication; PLease send original to your Local agency (agency IdhO issues your UST permits). certificatio~ et each facility or 8its Listed on the form. Keep a copy of the Questiord: If you have questior~ o~ finar~iai respor~ibllity requireme~ts or on the Certification of Financial Respo~sibility Form, please contact the State UST Cleanup Fu~cl st (916) 22T-&307. Note: Penalties for FaiLure To r~,~T¥ with Financial R~-_-;~ibitity;~_,~, ,is: SeiZure to comply may result in: ¢1) jeopardizing claimant eLigibiLity for the State UST CLeanup Ft~:l, end C2) ~abiLity for civil penalties of up.to S10,000 doLLars per day, per ~tergrou~l storage tank, for each day of v~oLat[on as stated in ArticLe 7, Sectio~ 25299.76(8) of the CeLifor~ia HeaLth end Safety Code. WORKSHEET FOR ML~'ICn'AL FL'~ANCIAL TEST PART I: BASIC EVFOP. MATION 1. Total Revenues a. ~veu~ (do~) V~ of ~ ~cl~ liqui~ou of ~~~ ~ i~ of d~ V~ incl~ ~i ~ ~ o~ ~d uou- o~g ~m. ~ well n f~m ~! o~ ~v~~ ~ b. SuSa ~~ ~c~ (do~) c. To~ ~v~ues (dol~) 2. To~ a. ~ndim~ (do~) Valu~ consk~ of the sum of ~eneral fund opmmm! am/ non-opea'atmg expenditures including paym~nu for miremem of d~t p~ci~. ~ to~ ~m~ from ~i o~ gov~ debt ~i~, ~i~ pmj~. b. Su~ ~nd t~e~ (do~) To~ ~n~m~ (do~) ~ ~evenues a. To~ ~venu~ (from b. Sub~ to~ inte~ove~cn~ ~fc~ (don~) ~ ~venues (do~) Debt Se~i~ a. Intemn ~d fis~ c~ (doll~) b. Add d~bt m~ment (do~) c. To~ D~t Sedco (do~) 726,259,315 10.,079,927 .716,179,388 741,802,931 10,656,028 731,146,903 716,179,388 375,524,602 340,654,786 7,002,290 4,296,700 11,298,990 Total Funds (Dollars) (Sum of amounts he. Id as cash and invesm~nt securities from nil funds, exe. ludins amounts held for employee r~ti~nt funds, alnmy funds, ant mai Population (Persons) 53,526,836 610,000 PART Il: APPLICATION OF TEST '7. Total Revenues to Population .8. Total Revenues (from lc) Population (from 6) Divide 7a by 7b Subtract ¢17 Divide by 5,212 Multiply by 4,095 Total Expenses to Population a. Total Expenses (from' 2¢) b. Population (from 6) c. Divide 8a by 8b d. Subuact 524 e. Divide by 5,401 f. Multiply by 4.095 Local Revenues w Tolal Revenues ao Local Revenues (from 3¢) Total Revenues (from lc) Divide 9a by 9b Subtract .695 Divide by .205 Multiply by 2.840 716,179,388 610,000 1174,065 757,065 0.1453 O. 595 731,146,903 610,000 11198.601 674.601 0,1249 0.512 340,654,786 716,179,388 0.4757 -0.2193 -1.070 -3.038 I0. 11. 12. 13. Debt Service to Population a. Debt Service (from ad) b. Population (from 6) c. Divide 10a by 10b d. Subtract 51 e. Divide by 1,038 f. Multiply by - 1.866 Debt Service to Total Revenues R. b. ¢. d. ¢. f. Total Revenues to Total Expenses f. Funds &. b. ¢. d. f. Debt Service (from ad) Total Revenues (from lc) Divide I la by I lb Subtract .068 Divide by .259 Multiply by - 3.533 Total Revenues (from lc) Total Expenses (from 2c) Divide 12a by 12b Subtract .910 Divide by .899 Multiply by 3.458 Bninnce to Total Revenues Total Funds (lmm 5) Tota/Revenues (from lc) Divide 13a by 13b Subt~ct .891 Divide by 9.156 Multiply by 3.2?0 610.000 , 18.523 -32,47,7,, -0,0313 0,058 11,298,990 716,179,388 0.0158 -0.0522 -0.202 0.712 716,179,388 731r146,903 0.980 0.07,2, 0,0779 0,269 53,52.6,836 716~179,~88 0.0747 -0.8163 -0.0892 -0.292 KERN COUNTY OWNED UNDERGROUND STORAGE TANKS Number 160028 160026 120007 060023 010006 540002 090005 120003 390022 230001 450034 040009 O10O27 520025 530001 Location Jessie Street 1350 Norris Road 128 E. Coso Street Ridgecrest, CA :' ~I.'.Pan0rama Dr. 7'~ 1830 Flower Street Industrial Farm Road 301 S. Oswell Street Lost Hills Airport Lost Hills, CA 101 E. Roberts Lane 101 Universe Avenue 11018 Kernville Road Kernville, CA 140 E. Las Flores Ridgecrest, CA Diesel/Emer. Generator 1 Gas 1 Diesel 1 Waste Oil 1 Diesel/Emer. Generator 1 Gas General Services General Services 1 Gas 1 Gas. 1 Diesel/Emer. Generator General Services General Services General Services ! Diesel/Emer. Generator General Services Diesel/Emer. Generator General Services Diesei/Emer. Generator KMC Diesel/Emer. Generator Sheriff Gas Kern Sanitation Aviation Gas Airports Gas Fire Diesel Gas Fire Gas Fire 1 Gas Fire 1 Diesel 450023 '520019 590016 230028 33O103 440018 '510029 560008 160029 600023 580OO8 630025 410013 520026 14670 Lost Hills Road Los Hills, CA Gas Diesel 16001 Walker Basin Road 1 Gas Walker Basin, CA 1953 Highway 58 Mojave, CA 2214 Virginia Avenue 2420 Symonds Drive Pine Mountain Club, CA 2424 7th Street Wasco, CA 24700 Highway 58 Keene, CA 26965 Cote Street Boron, CA 2731 "O" Street 28946 Bear Valley Road Bear Valley Springs, CA 2980 Desert Street Rosamond, CA 301 Campus Drive Arvin, CA 325 Campus Drive Shafter, CA 4500 Lake Isabella Lake Isabella, CA 1 Gas 1 Diesel 1 Gas 1 Diesel 1 Gas 1 Gas 1 Diesel 1 Gas 1 Diesel 2 Empty 1 Gas 3 Gas 1 Gas 1 Gas 1 Gas 1 Diesel 1 Gas 1 Diesel 1 Gas 1 Diesel Fire Fire Fire Fire Fire Fire Fire Fire Fire Fire Fire Fire Fire Fire 520001 .050092 330102 610015 640010 38OO19 320022 O5O105 510030 010013 3301O4 5309 Navajo Avenue Southlake, CA 6400 Fruitvale Avenue 729 West End Drive Frazier Park, CA 800 S. Curry Street Tehachapi, CA 8225 McKee Road 9443 Taft .Hwy Landco & Marlin Ct Glennville Fire Station Glennville, CA 1401 Skyway Drive 1801 Mettler Frontage Mettler, CA 1 Gas 1 Diesel 1 Gas 1 Diesel I Gas 2 Gas 1 Gas 1 Diesel 1 Diesel 1 Gas 1 Gas 1 Diesel 1 Gas I Empty 2 Gas 2 Diesel 1 Gas Fire Fire Fire Fire Fire Fire · Fire Fire Fire Airports Fire 3 K C COMMUNICATIONS CENTER 2601 PANORAMA DR BAKERSFIELD, CA 93306 CARL PARK Dear Underground Storage Tank Owner. Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Our records also indicate that you have been issued at least one waming letter prior to this notice. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification for Financial Responsibility form and return it to this office within 30 days.. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from your tanks, and you pump less than 10,000 gallons per month, check '$500,000 per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All other need only check the "1 million dollars annual aggregate'. If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, HaTardous Materials Technician, at 326-3979. Sincerely, Hazardous Materials Coordinator REH/dlm attachments FIRE DEPARTMENT M. R. KELLY FIRE CHIEF la'CITY of BAKERSFIEL "WE CARE" January 30, 1995 WARNING! 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED 215-000-001298 K C COMMUNICATIONS CENTER 2~.-i, 01 PANORAMA DR BAKE P, SF I ELi},.. CA 93306, Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification of Financial Responsibility form. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from you tanks, and you pump less than 10,000 gallons per month, check "$500,000 per occurrence". Else, or if you are in the business of selling from your tanks, check "1 million dollars per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" boxl All others need only check the "1 million dollars annual aggregate" box. Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in your Permit to Operate being revoked. (25285.1 (b) California Health & Safety Code). If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-3979. Sincerely, Hazardous Materials Coordinator REH/dlm e te :'underground Hazardous Materials Storage Facility State .I.D. No. CONDITIO Tank Hazardous Piping Number Substance Monitoring I, b:-' ~\ L.T r" Issued By: Approved by: SE SIDE Piping Method Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester Ave., 3rd Floor Bakersfield, CA' 93301 (805) 326-3979 Ralph E. Huey, Hazardous Materials Coordinator Valid from: "( ~-' '- ~.-' to: [3<c ~= c CO R R ECiTlll o N NOTICE BAKERSFIELD FIRE DEPARTMENT N° ! 002 $ Location /~,F~ ~r~. dnS/e . Sub Div. '2'~ ~ ! P~to f.J~/~. Blk. Lot You are hereby required to make the following corrections at the above location: Cot. l~o Completion Date fo,' Corrections ,~/ I/,/-'/"~ Date W//,/~/ ~ .'~, _~ _(~/~ ~J Inspector 326-3979 UNDERGROUND ST GE TANK INSPECTION : kersfield Fire Dept. ':: Hazardous Materials Division Date Completed 'g./l l ./q,H Operating Permit: Business Name: k Location: ~('~,(~ [ Business Identification No. 215-000 Number of Tanks. Containment: r~-~! CONTACT INFORMATION Owner: I~q ~ (Top of Business Plan) Type: 5-,oo~._~~ Lines: Emergency Contacts: RECORDS Adequate Inadequate Monitoring Program ~-~ ~ Maintenance Testing Inventory Reconciliation RESPONSE PLAN Emergency Plan White - Haz Mat Div Pink - Business Copy All Items O.K. Correction Needed COUNTY OF KERN INFORMATI~N,!~~DEPARTM ENT ,~"~AY STEVENS~*~~: BAKERSFIELD, CA g3306 ''"~ ~ ~"'~ ~-''~ .~"~ ~'.~.~:~'~.. FAX (B05) 871-8325 Printed On Retried Paper FIRE DEPARTMENT SD. JOHNSON FIRE CHIEF CITY of BAKERSFIELD "WE CARE" 2101H STREET BAKERSFIELD, 93301 326-3911 February 28, '1994 Ray Stevens County of Kern Information Systems Department 2601 Panorama Drive Bakersfield, CA 93306 RE: Conditions for replacing underground fuel storage with above ground storage at 2601 Panorama Drive. Enclosed, please find the information that you requested regarding the above Stated address. If this office can be of further assistance, please do not hesitate to call. Sincerely, Mark A. Turk, Inspector Hazardous Materials Division 5) 6) 7) 8) 9) 10) 11) 12) le 0nly openings permitted in the tank vault shall be for inspection, filling, spensing,-venting, emergency venting,; and they shall be installed rough the top only. Antisiphon devices shall be installed on discharge mk connections shall be so piped or closed that neither vapors or liquid an escape into .the enclosed space between the tank and the tank vault. leans shall be provided to ventilate each vault to dilute, disperse and ~move vapors. tent pipe provided for normal tank venting shall terminate at least 12 feet above ground level. Permits shall be required for all reinforced concrete such as pad, sides, ends and top through Building Department. Permits shall be required for all electrical through Building Department. The tank vault shall be protected against accidental dislodgement by use of crash posts minimum six inches in diameter, six feet long, two feet of which shall be below grade and encased in concrete. Be set four feet on center and three feet from vault. (Encasement in Concrete shall be minimum of 12 inches wide. Bottom of' posts, suspended' in concrete minimum of three inches from bottom). Shall be protected against disiodgement during seismic activity as per Building Code. Tank vault Should be at least 25 feet from any opening in a building, any property line or any street, alley or public way. One hundred feet from I, R-1 and R-3 occupancies. One hundred fifty feet from al__[I A and E occupancies (see Uniform Building Code). Vaults shall have warning and identification sign installed to clearly identify the hazards. Vapor recovery, approved-by air pollution laws. All Vaulted tanks shall be inspected for vapor and/or liquid leaks every six months. Records kept on premises and signed by responsible party. 13) Maximum life of above ground tanks: 25 years. [] D D [] [] [] FILE CONTENTS INVENTORY Permit to 0pekate ~ . C)~c)o ~ Date Construction Permit #' ~q~DQ~'~'~ ~;,'~&b~ Date Permit to abandon~ No. of T~dks Date Am e nd ed_P e rmi~.t~C o nd?it ions ................ Permit Appl.ica~tion Form, Tank Sheets Application to Abandon tanks(s) Date Annual Report Forms DCopy of Written Contract Between Owner & Operator ~Inspection Repot_ts . ...... [-]Correspondence - Received Date Date Date Correspondence - Mailed Date Date Date []Unauthorized Release Reports []Abandonment/Closure Reports []Sampling/Lab Reports []MVF Compliance Check (New Construction Chec'klist') ~STD Compliance Check (New Construction Checklist) []MVF Plan Check (New Construction) []STD Plan Check (New Construction) []MVF Plan Check (Existing Facility) []eTD Plan Check (Existing Facility) []"Incomplete Application" Form '~ Permit' Application Checklist [] Permit Instructions []Discarded ~qTightness Test Results Date Da te Da te []Monitoring Well ConstruCtion Data/Permits []Environmental Sensitivity Data: [2]Groundwater Drilling, Boring Logs []Location of Water Wells []Statement of Underground Conduits ~Plot Plan Featuring All Environmentally Sensitive Data [] Photos · []Half sheet showing date receiVed and tally of ins~ection~time, ~qMiscel'lan. eous ~OCC~O~ '--'-'~.ELOr"d"~ ~h~ -- ~ etc Kern County Health Departmen~ Div.ision or Environmental Hea. . 1700 Flower Street, Bakersfield, CA 93305 Permit Application 'APPLICATION FOR PERMIT TO OPERATE UNDERGROUND · HAZARDOUS SUBSTANCES STORAGE FACILITY Ne f Application (check): ~ Facility ~lModification of Facility [~Existing Facility [']Transfer of Ownership A. EmergenCY 24-Hour Contact (name, area code, phone): Days__ / Nights · :~-::'=:=::~Ty~ ~'f 'B~iness (chebk): ~lGaSOltne statfon__~Lot~.er (describe) ~'7~~'~ Is Tank(s) Located on an Agricultural Farm? DYes ~ Is Tank(s) Used Primarily for Agricultural Purposes.~--~]Yes T _.-- R ' SEC , ' (Rural 'Locations (~ly) - Operator e--~,~ ~c- Contact Person ~ B. l~ater to Facility Provided by ~~~b /,~1~ I~th to' Ba~i~ for Sol! ~ and 6ro~adwater D~pt.h i~etemtnattons . ~,,~,,~. ' ¢. Contractor//7,ID~6~ ~/$~ Ca Contractor's Ucense m. Address C2 ~ ' _/ Zip ~%~dg ~elephon~__~~ Proposed tartzng Date _--~ Proposed ¢cmpletion Da~e ~orker's ¢cmpenaa~t~ Cer~ ~.~b"-W~/'~ Insurer If This Permit Is For Modification Of An Existing Facility, Briefly Describe ModifiCations Propo~d E. Tank(s) Store (check all that apply): Tank ! Waste Product Motor Vehicle - Fuel I o o [] [] [] [] [] 0 [] [] [] [] Unleaded R ,e~ular Premium Diesel Waste Chemical Composition of Materials Stored (not necessary for motor vehicle fuels) Tank t Chemical Stored (non-commercial name) CAS t (if known) Chemical Previously Stored (if differ~nt) Transfer of Ownershi~ Date of Tr'ansfer Previous Facility Name I, Previous Owner accept fUlly all obligations' of Permit No. issued to · · I understand that the Permitting Authority may review and modify or termina'te the transfer of the Permit tc Operate this ~derground storage facility upon receiving this completed .form. This form has been c~npleted under penalty of true and correct. per]ury aaJ to the best of my knowledge is Facility TANK ~ / (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPRgPRIATE BOXES '.' H. 1. Tank is: []Vaulted [~Non-Vaulted ~Double-Wall r~single-Wall 2. ~ Material . pL~-~ .' . []Carbon Steel [] Stainless Steel D P~lyvinyl Chloride ~Fiberglass-Clad Steel : k'] Fiberglass-Reinforced 'Plastic []Concrete [] Al~in%m~ [] Bronze []Unknown Other (descr. ibe) 3. Primary Containment Date Installed Thickness (Inches) ......... Capacity (Gallons) ............. Manufacturer .... _ .... : -- . . 4. Tank SecOndary Contair~ent --~otUble-Wall []Synthetic Liner []Lined Vault []None [~Unkno~ her (describe) :. ~ ' Manufacturer: , ~lMaterial Thickness (Inches) Capacity (Gals.) 5. Tank ~Interior ~ ~Rubber ['~Alkyd []Epoxy []~nenolic []Glass '[]Clay []Unlined []Unkno~ .' '_.=. ............ ~ []Other._(des3~_ribe): . ~¢:"~-t4~'~~ ........ - ....... - ...... '._ .. ..... 6. Tank Corrosion-~0te'ctfon .......... : .'--~Galvanized ~ass-Clad [~Pol~ethylene Wrap ?.Vinyl Wrappin~ '" " []Tar or Asphalt ri_Un, known []None .~.h_er (describe). /~/.~]-~a/' Cathodic P~_rotection: ~N?ne 9Impressbd Current System ['1~ System Describ~ System & Equilm~ent. 7. Leak Detection, Monitoring, and Interception a. Tank: []Visual (vaulted tanks only) [3Groundwater Monitorirg' Wail(s) []Vadose Zone Monitoring Well(s) ['ltl-Tube Without Liner ~l~U-Tube with C~gpatible Liner Directing Flow to Monitoring Wall(s)* Vapor Detectors [3Liquid Level Sensors [] Conductivit~ Sensors ' [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Ratrieval & Inspection From U-Tube, Monitoring Well or Annular Space Daily ~u~ing & Inventory ~Reconciliation [] Periodic Tightness Testing None []Unkno~,n [~]Oth6r 1~N77~2- ~,~-;~,/~C~ ~'~d~ , b. Piping: ~]Flow-Restricting Leak Detector(s) for Pressurized ~iping' []Monitoring Sump with Race~y D Sealed Concrete Rece~y [Half-Cut C~mpatible Pipe _Race~ay []Syntheti.c Liner 8. ~en Tightness Tested? ~Yes ~TNo DUnknown Date of Last Tiqhtness Test Results of Test ~~'y ~~; Test Name Testing C~pany 9. Tank ~ .3 Repaired? []Yes ~ ~lUnknown Date (s) of Repair (s) Describe Repairs 10. Overfill Protection []Operator F~, Controls, & Visually Monitors Level · []Tape Float Gau~e ~__loat Vent Valves [].Auto Shut- Off Controls ~Capacitance Sensor [~]Sealed Fill Box []None ~Unkno~ [.]Other: · List. Mak~ & Model F~ A~e Devices 11. Pipmg .a. Underground Piping: ~'¥es UINo Oun_kn.~wn Material 6-7-8'87/ Thickness (ir~he~s)~j~O 'Oia~eter ~ Manufacturer ~, ~'~'---- .... ' ......... [-]Pr~ssure ]~Suction DGravity 'ApProximate Length df Pipe l~rl' .... b. 'Underground 'Piping-Corrosion PrOtecifi6n-'? .... ' · [Galvanized [3Fiberglass-Clad []Impressed Current ~]Sacrificial Anode [Polyethylene Wrap [~Electrical Isolatio~ gVinyl Wrap [~Tar or Asphalt [~Unknown []None DOther (describe): c. Underground Piping, Secondary Containment: o DOUble-Wall r]synthet~c Liner System[]None ~]Unknown ther (describe): KERN COUNTY HEALTH DEPARTMENT PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY PERMIT ~090005B FACILITY NAME AND ADDRESS: OWNER(S) NAME AND MAILING ADDRESS: County = of_ Kern Eme rg.ency _~D i spa tch .C_en te r ............... Co un ty=o f Kern . =_.~.: ........ ~ 2601 Panorama Drive 2601 '0' Street Bakersfield, CA 93306 Bakersfield, CA 93306 {XX{ NEW~ BUSINESS { PERMIT EXPIRES March 18, 1986 { { CHANGE OWNERSHIP I { { RENEWAL { APPROVAL DATE. March 18, 1985 ..... ~=.{.~{-- MODIFICATION .............. -.=._l .......-~=.{ .... L_ ................... . ........ ~ ...... I { oTHER ........ I '- APPROVED BY ....... :~-~ ...... I / Ann BoY~ POST THIS PERMIT ON PREMISES CONDITIONS AS FOLLOWS: ** Note: All pertinent equipment and materials used in this construction are subject to identification and approval by the Permitting Authority. prior to construction. This permit is issued contingent upon guaranteed compliance with the guidelines as determined by the Permitting Authority. 1. Ail construction to-be as per facility plans approved by this department and verified .by inspection by Permitting Authority. 2. Permittee must contact Permitting Authority for on-site inspection(s) with 48 hours advance notice. 3. Backfill material for piping and tanks to be as per manufacturers' specificationS. 4. All underground metal product piping, fittings, and connections must be wrapped to a minimum 20-mil thickness with corrosion- preventive, gasoline-resistant tape or otherwise protected from corrosion. 5. Spark testing (35,000 volts) required at site prior to installation Of tank(s). Test(s) must be certified by the manufacturer, and a copy of test certifications supplied to the Permitting Authority. 6. The following equipment and materials must be identified by manufacturer and model prior to their installation: a. Tank fill box(es) b. Float vent valves . 7. Permittee to' provide drawings describing installation of PVC Conduit prior to completion of project. 8. Construction inspection record card is included with permit given to Permittee. This card must be posted at jobsite prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspgctions will be made of: a. Tanks and backfill b. Piping system with secondary containment d. Any other inspection deemed necessary by Permitting 9. Monitoring requirements for this facili'ty will be described on final "permit to ACCEPTED BY _ _ DATE Are Red Jacket subpumps and all line leak detector accessible? Type of line leak detector if any ~/Jg~L -- ~,. ~ Yes 7. Overfill containment box as. specified on application? "''-'-:---'-':*"--===: ..... ,If "No"', i#hat type a ~ a) Is fill box .tightly sealed around fill tube? b) Is access over water tight? {_. - .... ................................... o Identify type of monitoring: -Y¢/(~/~ a) Are manual monitoring instruments, product and water finding paste on premises? b)' Is the fluid level in Owens-Corning liquid level monitoring reservoir and alarm panel in proper operating condition? Does the annular space or secondary containment liner leak detection system have self diagnostic capabilities? If "Yes", is.it functional If "No", how is it tested for proper operating Condition? Notes on any abnormal conditions: -.~,'°~c~ c,4/° /..5 c,,,J/-l,x,,.~ '"/% Standar__d_ Compliance _Check Equipment to be installed: _~ Tank(s) , ft. of Dsuctfon F berglass (FRP) Make & Model berglass-clad steel Make & Model r~Uncoated steel' Make &.Model DOther. · Comment: Dpressurized piping Make & Model Secondary Containment of Tank(s) ' [~DoUble-walled tank(s) Make & Model D~ynthetic liner Make & ~odel ~Lined concrete vault(s)' Sealer used DOthe°r Type Make & Model Comment: Additional: 'Secondary containment volume at least 100% of primar'y tank vol ume (s) ~ ' AdditiOnal: Secondary containment volume for more ithan one..ta~k contains 150% of volume of largest primary, containemnt or 10% of aggregate primary volume, whichever is greater Comment: Additional: Secondary containment open to rainfall must agcomodate 24 hour rainfall Total Volume Comment: Additional: Secondary containment~is, product-comPatible Product 17~>~I ~/' D.o.c umepta, t i on ' Additional:-' / Annular space liquid is compatible with product Product Annular liquid Comment - ~ Additional: Primary. Containment o.f Piping .... -:,..~.- .... '..' ' [-]Fiberglass piping size & 'Make ....-" un ated steel piping ' Size & Make coated steel piping Size Comment: ~;~ ~. ~ · ' Secondary Containment of Piping ' · >' ~Double-wal.led pipe Size & Make '.h.' . ~yn.thetic. liner, i9 trench Size &-Make · · ,- ' .- Additional: - - / - ' '~'.' .. "/ Corrosion Protection. .- .. ''. -:.,.' .:~:... ~l.ectrical isolatio.~./~ ~~~ ,~ . . Comment: /~ddit i hal' ' ' ~ ' 0 · * -7' ' · Manufacturer-Ap[%roved Backfill for.Tanks & Piping Type Additional: Tank(s) Located Comments: Additional: No Closer Than 10 Feet to Building(s) ' / Complete Monitoring System Monitoring device within secondary ~Liquid level indicator(s) DLiquid used DThermal conductivity sensor(s) ~Pressure sensor(s) ~Vacuum gauge ~Sump(s) ~Gas or vapor detector(s) [~anual inspection & sampling DVisual inspection Other Comments: contatnment -~ 5] Periodic tightness, testing Method ~J~ressure-reduci,n,g line leak det. ector(s) Comment: ~ '" Overfill Protection ... ..~. _[]~_p'e float gauge(s) " ..... . : ' ~Float vent valve(s)' : ..~' ~Capaci. tance Sensor(s) ,, ['1High level alarm(s) .... . . .'- . r~l~toma, tic shut-off control(.s) ' '- : .... '"~ ........~ .......................... : ............ 'E]o~e~-~-E~'~' controls with visual level monitoring _ Other Additional: Monitoring Requirements ,,, g. Additional Comments. .Inspector Date Permit Application Checklist Facility Address Application Category: ................. ~? .......... ::~=-F/' St a nd a r d Desi gn ..................... ~:-~ < .......... M o t-o r-Ye h i Cl-e -Fue 1~ EXempt £~n--~:-~e'si'~-~{ - (Secondary Containment) (Non-Secondary Containment) Approved Permit Application Form Properly Completed DeficiencieS: 3 Copies of.., Plot Plan D.e.p%c. ting: Property. lines Area encogpassed.by minimum 100 foot radius around t~nk(s) and piping '~_~ ~/~6 ~ ~/~ ~~~~~ ~~ All tank(s) identified by a number and product to be stored Adequate scale (minimum 1"=16'0" in detail) /"=Z~'~z~Je~,~,~. North arrow All structures within 50 foot radius of tank(s) and piping Location and labeling of,all product piping and dispenser islands /~/~ ~;~/-~ ~~~~ Environmental sensitivit~ data ~fncluding: *Depth to first groundwater at site *Any domestic or agricultural water well ~ithin 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemption frOm secondary containment Comments: ,. Approved 3 copf&s of COnstruction Drawings ,D. epicting: --,'Side Vi~-~ of Tank Insfallation wi'th Back~ill, Racewav(s), Secondary Containment and/or Leak Monitoring _S-yst?m in Place Top View of Tank Installation with Raceway(s), SeCondary Containmen~ and/or Leak Monitorin System in Place ~~ A Materials Lfst (indicating those used in the construction): Backfill Tank (s) Product Piping "Sealer(S) - Secondary Containment Leak Detector (s) /~/~ ,,o__~_ Overfill Pr/dtecti~-n Gas or Vapor Detector(s) Sump(s) Monitoring Well(s) Add i~'iona 1: Documentation of prOduct Performance Additional Comments ., Reviewed By /~ ~~<~ Date ~-/~-~- SITE INSPECTION: Approved Comments: Disapproved Inspector Date CONDITIONS AS FOLLOWS: · Standard Instructions H~ALTH PERMIT INSTRUCTIONS __ This conditional permit applies only to the modification of an existing facility in~ volving -z:~ ....... ~(Blank-w~il~'list~'-:the':-cons'tructiOn "specified~ in Sect.ion'b.~ of Application for Permit) ~Note: All pertinent equiPment and materials used in this construction are subject to identification and approval by the Permitting Authority prior to construction. This permit is issued contingent upon guaranteed compliance with the guidelines as deter- mined, by the Permitting Authority. · /, Ail con. struction to be as per facility plans approved by this department and verified- . by inspection by Permitting .Authority. , Z, Permittee must contact Permitting Authority for on-site inspection(s)_with.. _48 hours ,"~ .............. advanc'e~no t ±ce~ ....... - '~'~ ........ '~-i ................................................ ' ........................................................ ~. Backfill. material for piping and tanks to be 'as per manufacturers' specifications. · ' ~ Ail underground 'metal product piping, fittings, and connections must be wrapped to a minimum 20-mil thickness' with corrosion-preventive, product-resistant tape or other- wise protected from corrosion. Float vent valves required on vent/vapor .recovery lines of underground tank(s) as a · prevention to overfillings. _~ Construction inspection record card is included with permit given to Permittee. This card must be posted at jobsite prior to initial inspection. Permittee must contact .i Permitting Authority· and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: A. Tank(s) and backfill B. Piping system with secondary containment ~-~~ t ion/raceway _ " C. Overfill protection and leak detection/monitoring D. Any other inspection deemed necessary by Permitting 'Authority. .' All metal connections(e.g, piping, fittings, fill pipes) to tank(s) to be electrical-· ly isolated. ~. Monitoring requirements for this facility will be described on final "Permit to ~ Operate". Special Instructions Permittee must clearly identify what substance(s) will be stored in the underground tank(s) and piping, and verify by chemical analysis, if necessary, compatibility of combined stored substances. No chemically incompatible substances may be combined in 'the underground tank(s).and piping. Documentation of compatibility must be ~ubmitted to Permitting Authority prior 'to construction. ~ Primary and secondary containment of both tank(s) and underground piping must·not be subject to physical or chemical deterioration due to the substance(s) stored in them. Documentation from tank, pip[ng, and seal manufacru:ers of compatibility with these substance(s) must be submitted to.Permitting Authority prior to construction. Provide design, method and materials fOr precluding any .leakage or seepage at the piping/tank interface(s). Ail tank inlets, outlets, and manway extensi~? tubes must have seals both product- tight and product-compatible for substance(s) stored in the ~ank(s). '" Spark testing(35,000 volts) required at site prior to installation of tank(s). Test( ) ..... must~"be-certif'ied'~b'Y~:~the"ma~ufacturer'~nd-~ ~opy o-f-~-~si---~e~i'~i~(s~'~pp'lie~ ....... to the Permitting Authority. .Special Instructions (Cont.~ __ The vacuum gauge f~r each tank must have a secured access point for periodic leak monitoring and for vacuum system maintainence~ ~o The following' equipment and materials ~ust be identified by manufacturer and model prior to-their installation: Tank(s) __Tank liquid level gauge(s) Tank high level alarm(s) I __Tank secondary~containment automatic monitoring system(s) - Secondary containment of underground product piping Tank monitor fitting(s) ~ Tank fill box~es) Sealer used to secure fill. box(es~) '~. Permittee to provide "as-built drawings~" prior to completion o~ project, .~apo~:-~detecto~_must..~e_uaed.=~ith_the leak-~n~erceptionsystem:-~tx, order.~t.o~.meet .............. ~-~ monitoring requirements. The vapor detector must receive prior approval from the Permitting Authority in order to assure it will meet current monitoring perfor- mance standards. KERN .cOUNTY HEALT~ DEPA~I~'-" ItiVIROIq~E~. HEALTH DIVIS-~ i HAZARDOUS SUBSTANCES SIID~ION 1700 [~uOWER STREET BAKERSFIRrn, CA 93305 I~IONE (805) 861-36q6 m. 2- :5'9;':/7 I t,,ms m. / ~i ;'~'=~i~L-' ....... ~'-'-==:'~ -'~-= .... :-='-=-= '=----. -~* ..... w----: ........ - .... ..... ~ ,. INdieS: .Plea~ call for an im~tor o~y m e~h gro~ of i~iom wi~ t~ mt n~r are r~y. ~y ~11 ~n in con~utive o~er ~i~i~ ~ ~ I. ~ ~ ~:. for ~y ~r~ gro~ ~til ~1 it.s in ~t gro~ ~e si~ off ~ ~ ~mitti~ ~ Corrosion Protection of Pi?lng, Josnts, ~ill Pi Electrical Isolation of Pipin~ From Tank(s) . ;, .. ~."'Cathodic Protection S~tst~m-Pipi.n~ ' <" b~ONDARY CONTAIN}~qT, ~ILL P~ION, LEAK D~I~C~I0~I - ' Liner' Installa%ion - Tank (s) " Liner Installation- Piping ' ' . . ' , . ' . Vat{lt With Product Ccmpatible Sealer ~ ~evel .Gau~es or Sensors, Float Vent..Valves J Product C.ampatible ,Fill Box(es) .. .. Product Line Leak Detector(s) " [~ak De%ector(s) 't~or Annular Space-D.W. Tahk(s) ' ', , Well (s)./Sump (s) Monitorin~ .... Leak Detection Device(s) For Vadose/Groundw~ter -. Monitorin~ Wells, Ca~s & Locks . Fill Box Lock Moni tori .ng Requirements Address "~ tgplication Attached' " 1. ,,G> P~t P~n (3 sets) ~" Co~tnction ~awi~s (3 sets) " ~/ C~let ton ~rd Hours: ,, Plans Checked By: .. ; Date Plarm Picked-Up: .------ Inspections: :~' (Firal Designated By "F") TOTAL HOURS: x $35.00 Total Plan Check/Inspection Fee ,i I)HON! 1714! 748-0e71 20oo -- ¢a~.~..ou._.: ...... IDC>~o ESL.~... ~ ~ ~ - ~ · J/ 1111 INDUITRIAL AVENUE EICONDIDO. CAUFORNIA 92028 PHONE (714! 745-O971 111 INDUITRIAL AVENUE FJCONDIDO, CAUFORNIA 92025 PHONE (714! 745-0971 "~~'='~"~'~'"~" [189 INDUSTRIAL AVENUE * ESCONDIDO, CALIFC4:~N!A, 92025 TA~S · ~ESSURE VESSE~ · ~NTAINERS · ~S~M ST~L FA~.iCATION .... - ............................. ' ..... NOV~ER 1.3.,. t98.4 PLASTEEL COMPOSITE TANK SPECIFICATION · . TANKS SHALL BE BUILT OF MILD STEEL PLATE, ALL WELDED " CONSTRUCTION, AND SHALL BEAR THE U.L. LISTING LABEL FOR COM- POSITE UNDERGROUND TANKS STORING FLAM. MA~LE LIQUIDS. THE U.L. · LISTING SHALL COVER THE COMPLETE STEEL ASSEMBLY AND THE CORRO- · SION RESISTING OUTER LAYER OF FIBERGLASS REINFORCED POLYESTER RESIN. THE DESIGN SHALL BE-COMPLETELY SELF-SUPPORTING AND SHALL REQUIRE NO EXTERNAL RIBS. FOLLOWING FABRICATION AND LEAK TESTING OF THE SINGLE-WALL STEEL ASSEMBLY~ THE ENTIRE EXTERIOR SURFACE SHALL BE PREPARED PER LISTING REQUIREMENTS FOR SPRAY APPLICATION OF U.L. ACCEPTED GLASS-FIBER REINFORCED IS0PHTHALIC POLYESTER RESIN OF.SUFFICIENT THICKNESS TO SHOW NO HOLIDAYS USING A TINKER & RAZOR MODEL AP-W HOLIDAY DETECTOR SET AT 35,000 VOLTS. TANK SUPPLIER SHALL SUPPLY INSTALLATION INSTRUCTIONS AND A KIT OF MATERIALS AND RESIN FOR SEALING ALL EXPOSED METAL AFTER TANK INSTALLATION. TANK TO BE INSTALLED PER NFPA-30, APPLICABLE LOCAL CODES AND MANUFACTURERS INSTRUCTIONS. PRODUCT TRADE NAME: PLASTEEL COMPOSITE .~NUFACTURER: JOOR MANUFACTURING, INC. 1189 INDUSTRIAL AVENUE ESCONDIDO, CALIFORNIA 92025 TELEPHONE: (619) 745-0971 INDUSTRIAL AVENUE. ESCONDIDO, CALIFORNIA 92025 TANKS · PRESSURE VESSELS' · CONTAINERS · CUSTOM STEEL FABRICATION Phone (6~[9) 745-0971 JOOR PLASTEEL COMPOSITE U.G. TANK ' U.L. COMPOSITE LISTED Customer: CORROSION WARRANTY Project: Date Shipped: Gentlemen: Joor Manufacturing,. Inc. is pleased to extend, On the project above, the following warranty: "Joor Manufacturing, Inc. warrants the JoOr Plasteel Underground Tank: 1. to be free from defects in workmanship and materials · for a period of one year from date of shipment. 2. Will not fail due to internal or external corrosion for a period of 30 years from date of shipment when used to store gasoline, gasoh°l, diesel oil, fuel oil, aviation gas or jet'fuel. 3. when installed per our instructions and to comply with N.F.P.A., Pamphlet 30, for underground steel tanks. This warranty is specifically limited, at our option, to the following: i 1. Repair of the tank at our factory, freight charges not included. 2. Replacement of tank delivered to point of original delivery. : 3. Refund of the original purchase price. We are not liable for any labor, other installation or removal costs, indirect or consequential damages or any other damages in connection with these tanks. Except as stated above, we make no warranty of merchantability, no ..~a~ran.~..that our un~erground_.Pl_asteel t~s particular purpos'e of use and no other warranty, express or implied." . 8. T-"Y' :."-.%:.-C LTLE E.(-'.E~£CD TO ~NERAT.3R ~"t-ON INSTA~ AS PER ,,-,--. .-- ~'" ~,, · ;¢ "' Y-''.~ .' --,'"'~'-' -' - t:-~.~ ~- I", .~ ' ._ , . .., ~' q---' :" ..... "' ..... "~ '1, ' t" ~', I .,4 ...... ~-. '' '~' '.' T"' t .... ,5' ~-.::" ;t:.??,-' :'.--~"~'~ 's...F~_~s[~~'-' "~ ' --' · "" ;. '-'"-' -,~ :' .,' :' - "- I .... _..:.: _q _.._,., ..... ,. PER C-CNERA,CR BY PLLI'I~. COf'fffR. , I ~1: ~'T -2' F:vD .~C,--.TT~ , r-. . 'r - ~ . i.. ,~. 2" '",.',~",~' .",,:""::, ~, ........ ': - '~i'~i ' --'=J- ':;~ '-'-~':-'~'~-~- '-"~"% ' .... ............. I ("~'"I- ~" ' .....,_:,.: .... __._ ........... " /' :~T- L.~, '~,' "-.'",,A --. ' ~ ~'"" ' 1='- '""'~"--:"-- '""--'""~'" "'~'~-'~'~'"'"~--~l ......... It'1 ] ~'~--- .............. · ..... ' i ~o,. ~..._:..,-'.- .-,r.,~:--.,.,:~ (~¥ ~,_~uT. ) .-.-- .... ..... --- ..... -:--,- ............ . .............. !:'.~. ,.,:.:_::_L -._.:&,.~: 'q£Td~J L!f'£-SL~E I/q" PER FOOT OF ..q~Z7. ~JN TO ~. I I! ' : ¢ / / I .L': ~_T?L-:- P:-~, ~2NERAT~ RE.O'S ~ ~ I ! ,~ / I I !9. ~,-,.~l, Sj~DLY LT~£-SLC~F ~I~" PER FOOT OF ,~R.,T7 ~JN Tn ~ I! .__.._.___..___~~ . -: ~.-.. i', o:_'... ~.-<, ~...--~!,~ R'....~'S . / ' ' · ~ . · ~ "~I · = .............. - ....... ~ ....... :.¢,.,t , [9)IGEN. PIPING SCHEMATIC_. 1 YE:? --4.RU ~)2:. USE APPR kCAT~RPR'~¥ VENT " ~ . ~ArrlC~ ACCESS ~ :'" ~'-:::~ ):~.. ~._ :.: ,J~: ',4/ ~ · - · ~!.,~a.~_ ,,~, ~Cf'.:T :' 6.' '~.2 :-" OEESEL ~2T?N LENE 7 '"" /~ c.:..~:~t T&~'~: (SEE ' ~CL F"C.T v:LVE :~.i ~./2 - S~PLY L!~ . . . ~,, ~ ~ PER CC,~T~ BY ~. 15. 7:FT~'t: PJ.P [:~3~RE '16,.C.:[':ZL ~E:[m.AT~ (BY ELECT.)-: rT. St'Z:?_= :gEL PLI.P I!,~- . ," ~'t F,, RETURN :.'=_:_~:_L :-.:':'$'.q.',K ~:'Tnm~,= .~, .., LZh,E-SL~E 1/4" PER FOOT OF ~OPZZ. ~JN TO T.~,:~" '-:'"-: PER ~-" ~'" ,%:f'ct~i.t ~]DPLY LiNE-SL~E II~" PER FOOT OF HORTZ. ~,.?.~ TO ~ ,' ~.' ,"' T "71~' ."'w"' ,, .'.""' -. ~ T~ lS GEN. PIPING SCHEMATIC NTS