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Home My WebLink AboutUNDERGROUND TANKHazardous Materials/Hazardous Waste Unified Permit -,-CONDITIONSOFPERMIT ON REVERSE SIDE Permit ID#:: 015-000-000706 HOWARDS MINI MARKET LOCATION: 3200 PANAMA LN This _Derma is Issued for the followin~_: [] Hazardous Materials Plan I:] Underground Storage of HazardOus Materials I::] Risk Management Program O Hazardous Waste On-Site Treatment TANK HAZARDOU~i.S~i~I(E . '~,~ .CAP~IT~'.,~{~, DISPEN§~,~'NS.~. ONITORING ~; , , ,.~ ,-~ , . ... ~- ,, '~ ~ ..' 015-000-000706-0001 REGU~R GASO~N~ ~.~ ~. ~~~~ '~ ~ ~'--..'~ 015-000-000706-0002 · - ~. ~., ~.' , . ~ ~ , v,..-:,~ UNLADED REG~E · 015~00-000706-0003 PREMIUM %::;7":.~ 015-000-000706-0004 UNLADED MID G~~$OLIN¢'~[..; Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice ·(661) 326-3979 FAX (661) 326-0576 -. .. i -'-'*:~. ;:' Approved by: · ' 5 Expiration Date: ~...?".'~--.:,.' 'June 30. 2003 Issue Date Permit Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .......... '"~'~"~'~:'~'~'~?~':~'~' ............... This permit is issued for the following: ~:.~'-..'-"] ~ =i ....... ' '~ ' ~ .... ~ ~ ..... ' ' ~:~ ~ ~'" TAN H~RDOUS SUBSTANCE CAPACI!g~ [~.~AL ~]~g~'{~,~ [~ ~jB~]~]j~;,~:~J~TA~R ~[:-T~NK PIPING PIPING PIPING PIPIN ........ ~...,, I~'[L];;?[~i~X~ERI ~ONi~OE ~"-O~ITOR TYPE TYPE METHOD ONIT ~001 REGU~RGASOLINE ~,,, 11/1)83~::'"'::':~:~ F A~ ~':..}~:? SW GAL PRESSURE ALD 0002 UNLEADED REGU~R 12,000~~~.,,11/~./B3~'",.-:~W F ,:~TG -~'~:::",,;~" SW GAL PRESSURE ALU 0003 PREMIUM 12,000.~ 'GAUj~' :J~' ".;~:~BL, ,~ :~W ,, E~rj;::~:~.,..4~','~ ATG /~?',,":{ ?" SW GAL PRESSURE ALD 0004 UNLEADED PREMIUM 12,000.00 ~GAD~]:",~[~;~ 1~1:'~::;;:~ .~:gW .~ ~ :,E~;.x:;~',;;*~""~i~T;, ~,,ATG~'"~ ',, ",.,;~"' SW GAL PRESSURE ALD Is~ by: O~CE OFE~R O~AL 1715 Chewer Ave., 3rd Floor B~e~fiel~ CA 93301 Voice (805) F~ (80S 32~0576 Expiration Date: June 30.. 2000 ICA Cert. No. 00774 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following information in the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2na day of November, 1998 to: HOWARDS MINI MARKET//4 Permit//015-021-000706 3200 Panama Ln Bakersfield, California 93313 Location ORRECZION ..NC ICE BAKERSFIELD FIRE DEPARTMENT Sub Div. X,~_f~ ~/4/4,/zSl. B]k. Lot You are hereby required to make the following corrections at the above location: :'-.'o 0024 Completion Date for Corrections ~~' ..... ~spector 326;3979 '~ . SO# Site# ITOR WELLS ' ~lON '7 I 9 Ill Standard Symbols for diagram below: QFill ~ VaPor Recovery O V.R.' w / Ball Float Q Ball Float ~"~ iV lanway (~) Monitor Well (Outside Tank Bed Area) Q Tank Gauge r-~ iron c'ross Observation 'Well- (Inside Tank Bed Area), O Vent Turbine.. Location .DiagramT~nciude t. he. Vapor. Re. co.very Syst.em.. Vapor Re,/ ~ted with which tank? Parts,/ .t SO# Site# ~/ , MONITOR WELLS ":' i Depth to Water :., AMOUNT in inches [ ~ / [ / [ _ ~ . I I I . I Standard Symbols for diagram below: OFill Q 'Vapor Recovery OV.R.'w / Ball Float Q Ball Float ~"~ Manway (~ Monitor Well (Outside Tank Bed Area) (~ Tank Gauge ' r-~ iron cross. Observati°n'Well (Inside Tank Bed Area), O vent Turbine.. Locati on .DiagramT~nc~ude .the. Vapor. Re. coyery Syst.em: ~,_,~.~ ~. (.,~.. ¢ .~ Vapor Recovery System & Vents were tested with which tank? Parts and Labor used General Comments When OWNER or local regulations require immediate reports of system failure-ComPlete the following: REPORTED TO: Phone~ NAME" OWNER or Regulatory Agency DATE ITIME FILE NUMBER Print: Certified Testers Name Certified Testers Signature August 4, 2004 FIRE CHIEF · ~C~J :RA~E ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661} 326-3911 FAX J661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES rlllj SAr~Y SEIIVlCE$ · ENVII~ONMENTAL $EIIVICES 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave., 3,cs 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 ) 39%5763 Roy Saunders Jaco Oil Howards #4 .7~q~ 3 I01 State Road Bakersfield, CA 93308 REMINDER 'NOTICE Dear Mr./Ms. Saunders: The purpose of this letter is to remind you that your three Cathodic Protection Certification will be due on 12-15-04 Section 2635(A) of the California Code of Regulations, Title 23, Division 3, Chapter 16: "Field-installed cathodic protections systems shall be designed and certified as adequate by a corrosioh specialist. The cathodic protection systems shall be tested by a cathodic protection tester within six months of installation and at least every three years thereafter." Therefore prior to 12-15-04 you shall have your system re-certified to code requirements. Failure to comply will result in further enforcement action. 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 Au~ 08 04 O?:3Gp Ron Ro~eps 661-387-65~e p,? CITY OF lt~Kl~qlnl~D OFFICE OF ENVIRONMENT~. SERVICi~ 1715 Chester Ave. ~ CA (661) 326-3r/~ APPLICATION TO PERFORM FUEL MOlq]i~l~ORIlqG CElt'II~CATION O~*TO~N*~ ~_.~,. ~ ..... NRM~ O~ MONITOR MANI~ACTURlS~ C'////C_ '~L~.'~',s~ DO~e,S FA _r~T zX'y' :EIA.~j~ D%SPI~Tb-t~ laA]q~ Vj~,S ~ .... L Ru~ 08 04 O?:3Sp Ron Ro~eps ~61-387-65~2 · Crl'Y OF BAKERS{F{I~.~ OFFICE OF ~,~IRONMENTAL SERVICES 1715 Chester Ave., Bakers~l~d, CA (661)326-3979 APP~CATION TO FERFO~ ~- MON1TO]alNG ~IcI'IFiCA'YION NAM~ OF MONIIOR MANUFACTUR]~ TAN~ # VOLUMI~ 3 HOHARDS MINI-MART 2200 PANAMA LN.93312 BAKERSFIELD CA. 805-833-1561 JUL 23, 2004 12:05 PM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T I:UNL.PLUS VOLUME = 3592 GALS ULLAGE = 8408 GALS '90% ULLAGE= 7208 GALS TC VOLUME = 3512 GALS HEIGHT = 32.43 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEHP = 91.6 DEG F T 2:UNLEADED 1 VQLUIdE =_ 3926 GALS ULLAGE = 8074 GALS 90% ULLAGE= 6874 GALS TC VOLUME = 3829 GALS HEIGHT = 34.62 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 95.3 DEG F T 3:DIESEL VOLUME = 3495 GALS ULLAGE = 8505 GALS 90% ULLAGE= ?305 GALS TC VOLUME = 3445 GALS HEIGHT = 31.79 INCHES WATER VOL = O GALS WATER = 0.00 INCHES TEMP = 91.6 DEG F T 4:PREM. UNL. VOLUME = 3317 GALS ULLAGE = 8683 GALS 90% ULLAGE= ?483 GALS TC VOLUME = 3244 GALS HEIGHT = 30.60 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 91.2 DEG F FACILITY NAME OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKI,IST ~' 1 715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program Routine' [~Combined ~ Joint Agency Type of Tank ,'~IAJL (. O, ~'~' ) Type of Monitoring ~T~---~ [21 Multi-Agency Number of Tanks Type of Piping [_..Complaint [2] Re-inspection _-5 o 5 (e..er) OPERATION C V COMMENTS Proper tank data on lile Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES A'd~quate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? Pink - Business Copy Business ~'it'~Responsible Party ~NIFIED PROGRAM IN ECTION CHECELI SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: {661)326-3979 [] Routine · "'SeCtion 1: Business Plan and inventory Program ,J~ Combined r'l Joint Agency [] Multi-Agency [] Complaint [] Re-inspection tC V (!-_=vCi~lr~t~nce) OPERATION COMMENTS [] APPROPRIATE PERMIT ON HAND J~ i'1 BUSINESS PLAN CONTACT INFORMATION ACCURATE ....................................................................................................................... Z_~ [] VISIBLE ADDRESS ,~ [] CORRECT OCCUPANCY ~ VERIFICATION OF QUANTITIES PROPER SEGREGATION OF MATERIAL ~ VERIFICATION OF MSDS AVAILABILIWE VERIFICATION OF H~MAT TRAINING ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ HOUSEKEEPING ....................... . a FIRE PROTECTION J ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: J~ YES ~i~No EXPLAIN: QUESTIONS~THIS INSPECTION? PLEASE CALL US AT (661)326-3979 -- ~-~"~& ct~ r '( P ,e a se~/~~ Pr*~-~ -'-~ ...... ~i~ ~-~n~-~- ~t~r~ i f~ ~3 j- ,~ ,~-e- .............. White - Environmen~l Se~i~s YelJow - ~ation Copy Pink - Business Copy B A--a~-- E R $ F I L D June 5,2003 Howard's Mini Market 3300 Planz Road Bakersfield CA 93309 REMINDER NOTICE FIRE CHIEF RC'N 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 * ENV1RONId~NTAL SERVICES 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 Deadline for Dispenser Pan Requirements December 31, 2003 Dear Underground Storage Tank Owner: A review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, 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, Steve Underwood Fire Inspector/Environmental Services Office of Environmental Services SBU/rs CONFXDENCE UST SERVZC , INC. zFIN~L TEST RESULTS: 1000 / ~I,T.I~I~ 1050 / ~ S~S~w~M II / PL~ IOOR CUST~ ADDRESS: SIT~ COI~ Mark Blackburn TEC~C~: Doug Young I~tTER IN B~qFILL: N/A WORK ORDER:5054 TEST II~TE: e6½~6t~3 SITE ADDRESS: ~6 Howard's Market 3300 Planz Road Bakersfield, CA PR(~ I~:661-322-0660 PHO~ ~:800-339-9930 LI~SE:901076 TIME OFY~T FUEL DELIVER~:+Hours TANK INFOI~I~TZOII: TANK i TANK 2 TANK 3 TANK 4 WETTED) and m~thods meet or exceed, the =i~ ~ U~A 40~ ~ 280, ~A 329-87 ~)10i O053,jpg (1280x960x24b jpeg) p1010054.jpg (1280x960x24b jpeg) p1010055.jpg (1280x960x24b jpeg) p1010010.jpg (1280x960x24b jpeg) p1010056,jpg (1280x960x24b jpeg) COR OS.tON-gr' 7 ELECTRICAL SER VICE& INC. January 30, 2003 Jaco Oil Company PO Box 1807 Bakersfield, CalifOrnia 93303 Attention: Omero Garcia Regarding: ~ oH-6--~d"~-MiFfi-lVl~k~F//77~, 3~00 Planz Road, Baker~fi~l~l,~ This location is, according to the data obtained, receiving a certain amount of cathodic protection but not as recommended by the National Association of Corrosion Engineers. It appears as though the anodes are failing and we recommend adding an additional anode well with four (4) new anodes within ten-foot of the existing well and connecting both together. This will extend the life of both the existing and the new well. The cost to repair this system is Four thousand seven hundred fifty ($4,750.00) dollars including retest. All work shall be completed in a workman like manner acceptable to the trade. We thank you for this opportunity to help you with this phase of your corrosion mitigation program. Should you have any questions regarding this proposal please contact us at (562) 921-9522. Respectfully, Latricia Brewis President Eric.: Acceptance Sheet 14020 MARYTON AFENUE, SANT.4 FE SPR/NG& CALIFOILVIA 90670 PHONE: (562) 9.1-9~,,. F,-L¥: (562) 921-6885 C,4. LICENSE C-lO 684718 D July 1, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ~H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 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 Howards Mini Market 3300 Planz Road Bakersfield, CA, 93309 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 3300 Planz Road, Bakersfield. REMINDER NOTICE Dear Underground Storage Tank Owner, You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services OFFICE OF ENVIRON~IENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661') 3:26-3979 UNDERGROUND STORAGE TANKS - UST FACILITY Page i"YPE OF ACTION ~:] I. NEW SITE PERMIT ~ Cnec/< one ~tem [] :]. RENEWAL PERMIT [] 4. AMENDED PERMIT C~~HANGE OF iNFORMATION (..~A*y cAange. ~cal use [] 6. TEMPORARY SITE CLOSURE E:] ? PERMANENTLY CLOSED SITE [] 8. TANK REMOVED SS NAME (Same a~ FACILITY NAME or DBA - oomg 401. BUSINESS ~"~. GAS STATION [] '1. FARM [] 5. COMMERCIAL TYPE E] 2. DISTRIBUTOR [] 4. PROCESSOR [::] 8. OTHER 403. TOTAL NUMBER OF TANKS I. FACILITY I SITE INFORMATION 3 FACILITY ID # FACILITY OWNER TYPE [] I. CORPORATION [~'2. INDIVIDUAL [] 3. PARTNERSHIP [] 4. LOCAL AGE/~CY/OISTRICT- [] 5. COUNTY AGENCY' [] $. STATE AGENCY* [] ?. FEDERAL AGENCY~ 'If o~,-,~,- o/UST a put)4ic agsl'~,cy:, name ~ ~jp,~,k~3e o~ (This ia~ b'~e contact pe~Je~ for t~e taqk mo:~'es.) 402. 407. t PHONE PROPERTY OWNI~ TYPE 410. [] 1. CORPORATION STATE 411. I ZJPCOOE ~'~. INDMDUAL [] 3. PARTNERSHIP [] 4. LOCAL AGENCY I DISTRICT' [] s. COUNTY^GENCY 412. [] 6. STATE AGENCY [] 7. FEDERAL AC~.NCY 413. IlL TANK OWNER INFORMATION 417.I STATE [] 4. LOCAL AGENCY / DI~'rRIOT [] S. COUNTY AGENCY 416. TANK OWNER TYPE [] 2. INDMDUAL r-] 1. CORPORATION j~i~...~ART.NER~iP 418. [] 6. STATE AGENCY 420. [] 7. FEDERAL AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT .NUMBER V. PETROLEUM UST FINANCIAL RESPONSiBIUTY''': :" INDICATE METhOD(S) [~'"~.~ELF-INSURED [] 4. SURETY BOND [] 7. STATE FUND [] 10. LOCAL GOV'T MECI-LA~ISM 421. [] 99. OTHER: [] 2. GUARANTEE [] 5. LETTER OF CREDIT ~L 8. STATE FUND & CFO LETTER [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CO 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check o~e box to indk:ate whic~ addre~ N't<xdd I~ u~ed for legal no~iflcador~ amJ mailing. [] 1. FACILITY E:] 2. PROPERTY OWNER 4J~"'~K OWNER 423. Legal notiflcati~s ~ mailings will be sent to the tank ovmet unle~l ~ 1 or 2 i~ c~. .. ~.' VII. APPLICANT SIGNATURE I Ce~iflcaU~n: I cavity t~at Ihe infomlati¢~ provided h~'ein ,s ~'ue a~d accurate to ~he be~ o~ my ~owiedge. STATE UST FACILITY NUMBER (/:or k3s3/ ule only) UPCF (7/99) TITLE OF 4{:)PLi~CAN'I' ,.~ PHONE 425.. 4-.I S:\CU PAFORMS~swrcb-a.wpd 428. I 1998 ul::~.d~OE CERTIFICATE NUId~ER (For/ocal u~a on/y) . CITy OF BAd. FIELD ,. OFFI OF ENVIRONMENTAL $~VlC£$ 17IS Cheste~ Ave., Bakersfield, CA 93.t01 ~61) 326-3979 unoEnanouno sTo~oe farms, rANK ~/~OE I t. ) 6,,. cc) PC~ ~'~ Ct ~V\ CL TANK 0 E$C~IPTI(~ ~$a~r. ty~.aat,~.a~ ~1 C] $. r~O~O C:] ~s. u~NOv~ C] 3. ~NGUlW, ALLIMTI. I C] 4. ~OL~WAU.~AVA~.T 441 0 ~. Irn~ COI,~AT',~O0% METHANOt :n~.a~,n~ [] Z ant::~nnOo~ ~t Ol1~R ¥. TAll( CL~IUU INFOI~MATI~II I PIRIIANLI~rr CLOIUIll IN PLACl 'tF (7/~9) 8 ACU PAF'ORM~.,~CB,4I.WPO crl'Y oF oFPICl OF' IHYtRONIdEHTXL ~EJ~¥ICE~ Ch.~lld' Av~.. ~kerll~Id. CA t,130~ C~ 2. oous~E VWL~. ~ 2. 8UCT~N 2. 5'I'A~.E3.q STEEl. 3. P"..~'TrC CC)t,~A~ ~ CON'F'~NT8 ~. STEEL VWCOATIN~ [:] ~ ~Jm.~rM3~ flu. riM. OATE~NSTA~.EO 4~ ~] 2. l'"'1 4. D,~L,Y VISU~ [] s. D(. OWNER/O~E~A~..(~ SmNA~URE '~ndNumow/~.4~UMM~/) 473 I Pl~dlAiN~vid(Fat/lM/wem/~ 471 'CF (7/9g) $ :~.C U pAF OR.M,.~/VRCB '_.~, ~. :ciTY O, ~. OFFIt OF' E~V IRONMENTAL $~V ICES 1715 Ch,stet Ave., Bakersfield, CA 93301 ~8'61) 326-3979 C:] ~s. um~ovm TAM< 0 4. I::] 3. F~e~RaU~S/PtAST~ 0 s. ~ [~ & Ir~ATIBLEW/S00% A~rHANO~ r"l~. OTHEr. M7 ~aTt'Ct~ I~'*. "~.0 ~ C]ee. o~.~ · O 3. sAc~ec~.~ ~LLANOOV~flLL Y~A~Iq~I'A4,LEO 4.30 TYT~(Fm. IocMu~e~ty) 4.ql O~-.q~~NEQUIPMENT:YF. ARIN~TAJL~:O 4~2 V. TANK CLOILIR~ INFORMATION I PIRMANINT CLOIURB IN PLAC:~ 411 11114ATIO ~w~lTrY 01~ ~d~q.~.,i ~M~NO MI TAM( FILL~O WiTH ~ MAI?.I~AL? 441 0 ~,, 0 ~ ---- (7/99) S:~CUpAFORM.~.,~/~CB-O.WF c lh41~. Av~,. ~keml~. CA 93301 (~1) ~) mqESSUIIE (~ 2. ~A rE~,,.S x..~O[~] 2. STAU~LE~.I S'T~EL I-1 ~. QAt. VANg2~ ~ C] s. STEEL W CO~NO C~ t. GAT~'CO~ mO~"ZX~ ~ j ~ ~ S~NCLE WALL C] .. UN~Dw~ ~] 2. 0Oum. E wAu. C] ~g. OTHE~ MANUFACTIJRER ~ 2.. Ma~m~.Yo.zom~sr I'1 ~. o~z. YV~U~.C~ecx TEST (0.1 C.,PH) GI~vITY Ft. OVt [~ 3. COe~rlMX)U80~I~.Na~R PAN SIN~OR WITH AUTO SHUTOFF IX, OWNER/OPERATOR SIGNATURE .l i_/, 474 Plmll ~ Olie (F~rb(=M M ~~'~ 'CF (7/9g) S:&CUPAFORM~,~VRC8''B'VVPC ._~~ cITy OF B,-k~RSFIELD ~_~.w~~~.._ OFFI, OF ENVIRONMENTAL Si~VICE$ 1715 Chester Ave., Bakersfield, CA 93301 (~'61) 326-3979 C, OKe'A~n, eE. WrAU~.O TAJ~ [] Ym C] ~ us.soO ~ ~s. um~x~w~ 0 l& ~lxa~M~ C] · ~ n~. Omar 441 0 4. ~LL ~ Ov~RFI. L Mg ~ ~. co~suo~ Ara ] ~. TrArl3Tk:AI. INVIJ~'Of~IR~CX~IC:3L.~TION(~J~) * e~e~ r, oec V, TAXI( CI,,OIUU INFORMATIO# I PIRIIANINT CI,,OIURI IN PI,AC~ ~4 TAM( F~D W~H ~ MATEAJ~? :F (7/91)) S:~cupAFoRM~/RC,8'8'VVPc ~heet~' Av~., B4#erlf~ld, CA $330~ (~) CORRO$1(~N P~OTECTI(~N ['"1 M. u NFd~SWN L'"] 2. 0OUSL~ '~V~LC C::] 99. OrHE,q MAN~ FA c'r'!JRER ImOLI W~J. ~-~;U~ ~ Z. CONTI~,JOUt O*~"~q~aRPAN~OR*AUOIS~AHOVlSU,~A~rU~ ~ S. CONTII~UO4JS O~(~E/',J~ PAH ~0~ W]']'~,AU'TO ~'IUTOFF FOR O~r:~h~.R *AUOI~,.E ANOVt.,~JALAL,a. RM~ r"l 4. I:~Jk,YVI~JAL CHEO< IX, OIM~ERJOPERATOR SK:WATURE J -Ii// 471 I rrr~o~qWEF~roe ,L L,/,/~, 474 i=~m# P.~ oem (Fatima/~ m~~ 'CF (7/9'9) $ :~,CU PAF ORM~qL.qWRCIt"B.WP C CITY OF BAKERSFIELD OFFll OF ENVIRONMENTAL Si ~VIC£S Chester Ave., Bakersfield, CA 93301 (661) 326-3979 ... UNOEROROUNO STOI~AOE TANKS- TANK PAGE 1 (C. Mcko~etkeM~O O :l,, rrAN.a~i. DATE I¢~T~ tFn ~47 S~:~LL ANO OVERFILL Y~.A~I,/~TALLED ~ TYl~(goelocMu~ec~/y) 4~I OV~II.L~TEG~NEOUII~ENT:YE~IN~9'w~Fn TANK ~t.O~UR~ INFORMATION I P~RMAN~ql' CL.O~JRB IN PLAC~ 4~ TA/qK F&l.~O w~rH ~ MATERI~.? Or# O~ PCP (7/99) S ACU pAFORMS~'SWIW~I'8'WP c crrY OF ~AKER~F~ELO ~t~ A~. ~ker~fl~k~. CA t330~ (~) 32e~ C:] ]. uN~O r~.H C] gl. OT~.~ 4a0 C:] ~. C:] s. S'~EL vw COATING 1'-! g. GATI. COIC i~O'r~CTION 4~4 ~r~ I. ~N<~LE WALL ~ 2. 0OU~.~ WALL MAt~FACTURFR C] ,L SUCT~N [] 2. 5TA~.E~ STEEL i~ 3. ~.~5TZC COMPATmL~ w~r~ CoN'r~NTS r-I $. ~TI~EL vv/COATING LEAK DLr~CT1C~ (OVc~ d m~r ~/) TEST (o.1 Cd~) S,~E SUCT~N SY~I'g~ (NO VALV~,~ iq m:~ C~V GI~O4JM3 PIFI~G): GRAVITY OATEIN~TA~.L~O 4~' C] 2. COf~O~PAN~.A/,JO~ANOVI~JAL. A,t~aJ~ ~ I:~ 3. ~9 048~,NSER PAN~ENSO~wI'rHAUTO SHUTOFF ;~:~ O~aEK~ER 'AUO(BI.EANO VI~UALALARM~ IX. O~I'IER/(~ERATOR $1ONATURE 473 I P~#A4)Omved#r'M'/Ocl/deOMY) I ~PCF (7/g~) 47! S :~CU pAFOR.M~WRCI~.B.WP {~ · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is ~esimd. c · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, . or on the front if space permits. 1. Article Addressed to: Howards Mini Market 3200 Panama Lane Bakersfield, CA 93313 ~2. Article Number ~ PS Form 3811, August 2001 ~le, d~iv~ addm~ dl~nt f~n Item 1 ? [] Yes If YES, enter delivery address below: [] No I~.~ M~ [] Express Mait [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C,O.D, Restricted Delivery? (Extra Fee) [] Yes 7003 2260 0004 7652 3072 Domestic Return Receipt !02Seg~02-M-1540 Postage I $ Certified Fee L Return Reciopt Fee / Postmark (Endorsement Required) [ Here r Restricted Deliver~ EeeJ (Endorsement F( ~ Howards Mini Market 3200 Panama Lane -~ B · -' akersfield, CA 933~3 ..... B D December 12, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Streel Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENV~ONMENTN. 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 CERTIFIED MAIL Howards Mini Market 3200 Panama Lane Bakersfield, CA 93313 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 in a 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. Lett~To: Re: Dated: Page Owner/Operators of Propane Exchange ,~l~ems 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 10 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. If 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~etroleurn/ Environmental Code Enforcement Officer ,>~HOWARDS MINI-MART 8200 PANAMA LN.98812 BAKERSFIELD CA. 805-8S8-1561 OCT 14, '~OO'~ ~ o 11:88 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL I IqVENTORy REPORT T 'I:UNL.PLUS VODUM~ = 3400 GALS ULg~ : = 8600 GALS 90~,~x~LAGE= 7400 GALS TC VOLUME = 3838 GALS HEIGHT = 31.16 INCHES WATER VOL = O GALS WATER = O.OO INCHES TEMP = 85.7 DEC F T 2:UNLEADED 1 VOLUME = 3477 GALS ULLAGE = 8523 GALS 90~ ULLAGE= 7828 GALS TC VOLUME = 3407 GALS HEIGHT = 31.67 INCHES WATER VOL = 0 GALS WATER = O.OO INCHES TEMP = 88.5 DEC F T 3:DIESEL VOLI~ME = 2739 GALS tILL = 9261 GALS 90~'-d~LAGE= 8061 (3ALS TO VOLUME = 2701 GALS HEIGHT = 26.66 INCHES WATER VgL = 0 GALS WATER '~ = 0.00 INCHES TEMP = 90.0 DEC F T 4:PREM. UNL. VOLUME = 2103 GALS ULLAGE = 9897 GALS 90~ ULLAGE= 8697 GALS TC VOLUME = 2058 GALS HEIGHT = 22.10 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP' = 90.4 DEC F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CItECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME INSP_ECTION DATE Section 2: Underground Storage Tanks Program Routine [~1 Combined [2i Joi~t Agency Type of Tank ,Stud!_ Type of Monitoring [] Multi-Agency [] Complaint Number of Tanks Type of Piping [] Re-inspection OPERATION C V COMMENTS / Proper tank data on file Proper oxvner/operator data on tile ~ / / Permit tees current Certification of Financial Responsibility Monitoring record adequate and current ~,, Maintenance records adequate and current / Failure to correct prior UST violations Has there been an unauthorized release? Yes No x_./ 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=Complian~,_ V=Violation Y=Yes Office of Environmental Services (661) 326-3979 N=NO White - Env. Svcs. Pink - Business Copy Business '~te"Resb'~n s ible'PartY UNIFIED PROGRAM IN~SPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 tAFACILITY NAME , 1 INSPECTION DATE I INSPECTION TIME Section 1' Business Plan and Inventory Program Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint I'1 Re-inspection / C=Compliance '~ OPERATION COMMENTS ~, v=violation APPROPRIATE PERMIT ON HAND · ................................................................................................................................................. VISIBLE ADDRESS CORRECT OCCUPANCY VERiFiCATiON OF MSDS AVA~LaS~U~E ' - VERiFiCATiON OF HAT MAT TRAiNiNG VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .............................................................................. ~ ....................................................................................... F~RE PROTECTION ANY HAZARDOUS WASTE ON SITE?: ~ YES I~O EXPLAIN: QUESTION~EGARDING/~HI~?~SPECTION? PLEASE CALL US AT.(661) ...... .......... ............... Inspector Badge No.. 326-3979 ~ ~ usiness Site Resp~3~sible Party White - Environmental Services Yellow - Station Copy Pink . Business Copy C ":.J ?q T.I il',! CC,'N' f'.6L.r~,CT['O [~.S 1.I":] DATE ~ T~& TEST ,~IL l~',) ¥ FiD ' la' 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 retur, n the card to you. · Attach this card to the back of the mailpiece, or on the front if sl:?ce permits. 1. Article Addressed to: HOWARDS MINI MARKET 3200 PANAMA LANE BAKERSFIELD CA 93313 A, Signature / ~,, _ ~ [] Agent · ~ ~ , [] Addressee B. Received by ( Printed Name) ] C~..,Date of Deliv~ery · D. Is ~eli~er~ a~ss different from item 17 [] Yes If YES, enter delivery address below: · [] No 3. Service Type ,~_~'_ Certified Mail [] Mail Express ' [] Registered [] Return Receipt for Merchandise [] Insured Mai~ [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes - 2. Article Number (Transfer from service label) PS Form 3811, August 2001 7002 3150 000-~-"9985 4360 Domestic Return Receipt 102595-02-M-1540' 2 Potage ~C~ed Fee Return R~ept Fee (En~o~en~ Required) R~d ~ F~ ~dome~ ~u~) T~l ~¢ Postmark Here [~tro HOWARDS MINI MARKET ~-,~-x~: 3200 PANAMA LANE or po ~,~x uo. BA September 8, 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 Av~. Bakersfield, CA 93301 VOICE (661) 326-'3979 FAX (661) 326?576 PUBLIC EDUCATION 1715 Ct/ester Avi). Bakersfield, CA 93301 VOICE (6,61) 326-3696 FAX (66t.) 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 Howards Mini Market 3200 Panama Lane Bakersfield, CA 93313 CERTIFIED MAIl. REMINDER NOTICE Re: Deadline for Dispenser Pan. Requirements December 31, 2003 Dear Underground Storage Tank Owner/Operator: A review of our files indicate that you have been receiving quarterly reminders from April of 2002 to December 2002. Our files further show that since January of this year you have been receiving monthly reminders. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install under dispenser containment pans prior to December 31, 2003. You will not be allowed to pump fuel after December 3 I, 2003 unless you have completed the upgrade requirements. Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit your facility as soon as possible. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely/?ours, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db SYSTEM SETUP AOG I3, 200B 9:01 AM SYSTEId UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM HOWARDS MINI-MART 8200 PANAMA LN.93312 BAKERSFIELD CA. 80S-83~-1S61 SHIFT TIME 1 : 6:00 AM SHIFT TIME 2 : DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED TANK PERIODIC WARNINGS DISABLED ...... TANK ANNUAL WARNINGS . ., DISABLED J L'INE PERIODIC WARNINGS DISABLED : LINE ANNUAL WARNINGS DISABLED PRINT TO VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HE I G HT. PREC4SION TEST DURATION HOURS: 12 DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK 1 SUN START TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED SYSTEM SECURITY CODE : 000000 COMMUNICATIONS SETUP PORT SETT I NGS: COMM BOARD : 1 (RS-232> BAUD RATE : 9600 PARITY : NONE 't ~TOP BIT : ! STOP DATA LENGTH: 8 DATA ~UTO TRANSM I T SETT I NGS: AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED .AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED RS-232 SECURITY CODE : 000000 RS-232 END OF MESSAGE DISABLED I N-TANK SETUP T I:UNL.PLUS PROCUCT CODE : 1 THERMAL COEFF :.000700 TANK DIAMETER : 95.50 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4..0 IN. 8496 WATER WARNING : 2.0 HIGH WATE~ LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : : 11400 HIGH PRODUCT : 97~ : 11640 DELIVERY LIMIT : 5~ : 600 LOW PRODUCT : 500 ~EAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2,71 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: 10g : 1200 LEAK MIN ANNUAL : 10% : 1200 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 BREAK:OFF DELIVERY DELAY : 15 MIN T 2:UNLEADED 1 PRODUCT CODE : 2 THERMAL COEFF :.000700 TANK DIAMETER : 95.50 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARI~I NG : 2.0 HIGH WATER LIMIT: 3.0 PlAX OR LABEL VOL: 12000 ~--- OVERFI-LL -klMIT : .... 95% : 11400 HIGH PRODUCT : -97% : 11640 DELIVERY LIMIT : 5~ ~ : 600 LOW PRODUCT : .500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.16 MANIFOLDED TANKS T;: NONE ~EAK MIN PERIODIC: 10% : 1200 LEAK MIN ANNUAL : 10~ : 1200 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 BREAK:OFF DELIVERY DELAY : 15 MIN T S:DIESEL PRODUCT CODE : S THERMAL OOEFF :.000450 TANK DIAMETER : 95.S0 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 95~ : 11400 HIG~ PRODUCT : 97~ : 11640 DELIVERY LIMIT : 5~ : 600 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.54 MAN BFOLDED'~ TANKS T;: NONE LEAK MIN PERIODIC: 10% : 1200 LEAK MIN ANNUAL : 105 : 1200 ~ERIODIC 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 BREAK:OFF DELIVERY DELAY : 15 MIN T 4:PREM. UNL. PRODUCT CODE : 4 THERMAL COEFF :.000700 TANK DIAMETER : 95.50 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 95~ : 11400 HIGH PRODUCT : 97~ : 11640 DELIVERY LIMIT : : 600 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT' : 2.58 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: 10% : 1200 LEA~ MIN ANNUAL : 10% : 1200 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 BREAK:OFF DELIVERY DELAY : 15 MIN LEAK TEST HETHOD TEST PIONTHLY : ALL TANK WEEK ! SUN START T/P1E : 2:00 AP1 TEST RATE :0.20 GAL/HR DURATION : 2 HOURS LEAK TEST REPORT FORHAT NORMAL W 3:DIESEL PIPE TYPE: STEEL LINE LENGTH: 200 FEET 0.20 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH 0.10 GPH TEST MM/DD DATE : ??? 0 T $:DIESEL DISPENSE MODE: STANDARD LIQUID SENSOR SETUP L I:PLUS TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 2:UNL TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L $:PREM TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN WPLLD LINE LEAl( SETUP W I:UNL.PLUS PlP~ TYPE:" STEEL LINE LENGTH: lOO FEET 0.20 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH O JPO GPH-TEST HH/DD- DATE : 999 0 T I:UNL.PLUS DISPENSE HODE: ST~NDAR~ W 4: PREr"I. UNL. PIPE TYPE: STEEL LINE LENGTH: 200 FEET 0,20 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPM 0.19 GPH T. EST MM/DD DATE : 999 0 T 4:PREM. UNL. DISPENSE MODE: :---SIANDARD L 4:DIESEL TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN f 5:UNL TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 6:PLUS TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L 7:PLUS TRI-STATE (SINGLE FLOAT) CATEGORY-: DISPENSER-P~N L 8 :lJNL TRI -STATE (S INGLE FLOAT CATEGORY : DISPENSER PAN W 2:UNLEADED i PIPE TYPE: STEEL LINE LENGTH: 200 FEET 0.20 GPH TEST: DISABLED SHUTDOWN RATE: 3,0 GPH O.10 GPH TEST PIH/DD DATE : 999 0 T 2:UNLEADED 1 DISPENSE HODE: STANDARD LINE LEAK LOCKOUT SETUP LOCKOUT SCHEDULE DAILY START TIME: DISABLED STOP TIHE : DISABLED L~9:PREP1 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN LIO:DIESEL TRI-STATE <SINGLE FLOAT) CATEGORY : DISPENSER PAN LiI:UNL TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L12:PLUS TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN HPLLD LINE DISABLE SETUP 14 1 :UNL.PLUS I N-TANK ALARMS T 1 :LEAK ALARM LIQUID SENSOR ALMS ALL :FUEL ALARM 14 2:UNLEADED 1 I,N-TANK ALARMS T 2:LEAK ALARM LIQUID SENSOR ALMS ALL :FUEL ALARM W J:DIESEL I N-TANK ALARMS T 3:LEAK ALARM L IQ~ID SE~OR ALMS ~LL :FUEL ~L~RM ~--W-4+PREM: ~N~ I N-TANK ALARMS T 4.:LEAK ~LARM LIQUID S~NSOR ALM~ ALL :FUEL ALARM WPLL~ LINE LEAK DIAG AUG 15, 2003 9:19 AM W I :UNL.PLUS :I'SPENSING ENABLED TEST COMPLETE PENDING PUMP OFF HANDLE OFF TOTAL MESSAGE:824099 0RC:864 PARITY:O 0.{0 GPH: IDLE 3.0 GPH P1:21.194 P2:21.300 PSI 0.20 GPH P1:26.372 P2:26.390 PSI 'MID TEST P1:22.014 P2:22.244 PSI WPLLD LINE LEAK DIAG AUG 13, 2003 9:19 AM W 2:UNLEADED 1 DISPENSING ENABLED TEST COMPLETE PENDING PUMP OFF HANDLE OFF TOTAL MESSAGE:3393829 CRC:3594 PARITY:I 0.10 GPH: IDLE ~.0 GPH P1:34.762 P2:37.164 PSI 0.20 GPH P1:48.768 P2:48.208 PSI MID TEST Pl: ~.000~ P2:0.000 PSI WPLLD LINE LEAK DIAG AUG 13, 2003 9:19 AM W 3:DIESEL DISPENSING ENABLED TEST COMPLETE PENDING PUMP OFF HANDLE OFF TOTAL MESSAGE:lO2996? CRC:1125 PARITY:O 0.10 GPH: IDLE 3.0 GPH P1:22.398 P2:22.756 PSI 0.20 GPH P1:46.062 P2:45,628 PSI MID TEST P1:22.864 P2:22.528 PSI WPLLD LINE LEAK DIAG AUG 13, 2003 9:19 AM W 4:PREM.UNL. fISPENSING ENABLED TEST COMPLETE PENDING PYMP OFF HANDLE OFF TOTAL MESSAGE:457000 CR0:499 PARITY:O 0.10 GPH: IDLE 3.~ GPH P1:22.186 P2:22.172 PSI 0.20 GPH P1;34.708 MID TEST P1:23.386 P2_:34.488. PSi _ WPLLD LINE LEAK DIAG AUG 13, 2003 9:19 AM 14 1 :UNL.PLUS DISPENSING ENABLED TEST COMPLETE PENDING PUMP OFF HANDLE OFF TOTAL MESSAGE:824099 0R0:864 PARIT¥:O 0.10 GPH: IDLE 3.0 GPH P1:21.194 P2:21.300 PSI 0.20 GPH P1:26.372 P2:26.390 PSI MID TEST P1:22.014 P2:22.244 PSI WPLLD LINE LEAK DIAG AUG 13, 2003 9:19 AM H 3:DIESEL DISPENSING ENABLED TEST COMPLETE PENDING PUMP OFF HANDLE OFF TOTAL MESSAGE:lO29967 CRC:I12S PARITY:O 0.10 GPH: IDLE 3.0 GPH P1:22.$98 P2:22.756 PSI 0.20 GPH P1:46.062 P2:45.628 PSI MID TEST P1:22.864 P2:22.528 PSI HOWARDS MINI-MART 3200 PANAMA LN.93312 BAKERSFIELD CA. 805-833-1561 AUG 13, 2003 9:18 AM LEAK TEST REPORT T I:UNL.PLU$ PROBE SERIAL NUM 212274 TEST STARTING TIME: AUG 9, 2003 2:00 AM LEA}( TEST RESULTS GROSS TEST PASS WPLLD LINE LEAK DIAG AUG 13, 2003 9:19 AM W 2:UNLEADED 1 DISPENSING ENABLED TEST COMPLETE PEN~ING PUMP OFF HANDLE OFF TOTAL MESSAGE:Si93829 _CRQ:3594 PARITY:I .... 0.10 GPH: IDLE 3.0 GPH P1:~4.762 P2:37.164 PSI 0.20 GPH P1:48.768 P2:48.208 MID TEST Pi: 0.000 P2:0.000 PSI WPLLD LINE LEAK DIAG AUG '19, 21309 9:19 AM --W -4-: P-REMTUNL. DISPENSING ENABLED TEST COMPLETE PEN~ING PUMP OFF HANDLE OFF TOTAL MESSAGE:457008 CRC:499 PARITY:O 0.10 GPH: IDLE ~.0 GPH P1:22.186 P2:22.172 PSI 0.20 GPH P1:34.708 P2:34.488 PSI MID TEST P1:23.386 P2:23.396 PSI HOWARDS MINI-MART 3200 PANAMA LN,99312 BAKERSFIELD CA. 805-833-1561 AUG 13, 2003 9:18 AM LEAK TEST REPORT 5 2:UNLEADED 1 PROBE SERIAL NUM 212269 TflST STARTING TIME: AUG 3, 2003 2:00 AM LEAK TEST RESULTS GROSS TEST PASS HOWARDS MINI-MART 3200 PANAr~A LN.93312 BAKERSFIELD CA. 805-833-1561 AUG 13, 2003 9:18 AP1 LEAK TEST REPORT T 3:DIESEL PROBE SERIAL NUM 206639 TEST STARTING TIME:, AUG 3, 2003 2:00 AM LEAK TEST RESULTS GROSS TEST PASS HOWARDS MINI-MART 3200 PANAMA LN.93312 BAKERSFIELD CA. 805-833-1561 AUG 13, 2003 9:18 AM LEAK TEST REPORT T 4:PREM. UNL. PROBE SERIAL NUM 206629 TEST STARTING TIME: AUG 3, 2003 2:00 AP1 LEAK TEST RESULTS GROSS TEST PASS HOWARDS MINI-MART 320~ PANAP~ LN.93312 BAKERSFIELD CA. 805-833-1561 AUG 13, 2003 9:18 AM WPLLD LINE LEAK TEST- RES ULTS W i:UNL.PLUS 3,0 GAg,'HR RESULTS: LAST TEST: AUG 13,2003 7:22AM PASS NWMBER OF TESTS PASSED PREV 24 HOURS : 26 SINCE MIDNIGHT : 3 O. 20 GAL/HR RESULTS: MAY 28,2002 12:45PM PASS MAY 27,2002 7:01AM PASS MAY 26,2002 2:46PM PASS MAY 25,2002 5:04PM PASS MAY 23,2002 5:47PM PASS MAY 22,2002 12:39PM PASS MAY 21,2002 11:02AM PASS MAY 19,2002 6:47AM PASS MAY 18,2002 4:22PM PASS MAY 13,2002 2:54PM PASS 0.10 GAL/HR RESULTS:. MAY 22,2002 MAY 19,2002 MAY 13,2002 APR 28,2002 APR 26,2002 APR 15,2002 APR 13,2002 l:26PM PASS 8:06AM PASS 3:26PM-PASS 2:45AM PASS 5:52AM PASS i:12AM PASS 5:56AM PASS APR 12,2002 4:07AM PASS APR 3,2002 ll:53PM PASS MAR 30,2002 5:58PM PASS HOWARDS MINI-MART 3200 PANAMA LN.93312 BAKERSFIELD CA. 805-833-1561 AUG 13, 2003 9:18 AP1 WPLLb LIN~ LEAK TEST RES ULTS W $:UNLEADED.1 3.0 GAL/HR RESULTS: LAST TEST: AUG J3,20~3 9:00AM PASS NUMBER OF TESTS PASSED PREV 24 HOURS : 113 SINCE MIDNIGHT : 25 0.20 GAL/HR RESULTS: NO 0.20 DATA AVAILABLE 0.10 GAL/HR RESULTS: NO 0.10 DATA AVAILABLE HOWARDS MINI-MART 3200 PANAMA LN.93312 BAKERSFIELD CA. 805-833-1561 AUG 13, 2003 9:18 AM WPLLD LINE LEA}< TEST RES ULTS 3:DIESEL 3.0 GAL/HR RESULTS: LAST TEST: AUG 13,2008 8:40AM PASS NUMBER OF TESTS PASSE[) · PREV 24 HOURS : 19 SINCE NIDNICHT : 4 0.20 GAL/HR RESULTS: NO 0.20 DATA AVAILABLE 0.10 GRL,.."HR RESULTS: NO 0~, 10 DATA AVAILABLE HOWARDS MINI-MART 3200 PANAMA LN.93312 BA%ERSFIELD CA. 805-833-1561 ABG 13, 2003 9:18 AM WPLLD LINE LEAK TEST RES ULTS W 4:PREM.UNL. 3.0 GAL/HR RESULTS: LAST TEST: AUG 13,2003 6:15AM PASS NUMBER OF TESTS PASSED PREV 24 HOURS : 8 SINCE MIDNIGHT : 1 0.20 GAL/HR RESULTS: JUN 6,2000 7:4?PM PASS JUN 6,2000 6:00AM PASS JUN 5,2000 12:56PM PASS 0.10 GAL/HR RESULTS: JUN 6,2000 9:0GPM PASS HOWARDS MINI-MART 3200 PAI~AI~ LN.93312 BAKERSFIELD CA. AUG 13, 2003 9:.15 AM HOWARDS MINI-MART 3200 PANAMA LN.93312 BAKERSFIELD CA. 805-833-156! AUG 13, 2003 9:16 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORIflAL ..... SENSOR ALARM ..... L I:PLUS DISPENSER PAN SENSOR OUT ALARM AUG 13, 2003 9:16 APl ..... SENSOR ALARM L 2: UNL DISPENSER PAN SENSOR OUT ALARM AUG.13, 2003 9:16 AM SENSOR ALARM L 3:PREM DIS~ENSER'PAN SENSOR OUT ALARM ~UG 13, 2003 9:16 AM ..... SENSOR ALARM L 6:PLUS DISPENSER PAN SENSOR OUT ALARM AUG 13, 2003 9:17 AM SENSOR ALARM L 7:PLUS DISPENSER PAN SENSOR OUT ALARM AUG 13, 2003 9:17 AM ~-- .... SENSOR- ALARM ~" L1 1 :UNL DISPENSER PAN i SENSOR OUT ALARM AUG 13, 2003 9:17 AM ..... SENSOR ALARM L12:PLU$ DISPENSER PAN SENSOR OUT ALARM ~x~_~q AUG 13, 2003 9:17 AM ..... SENSOR ALARM L 4:DIESEL DISPENSER PAN SENSOR OUT ALARM AUG 13. 2003 9:16 AM SENSOR ALARM L 8~UNL DISPENSER PAN SENSOR OUT ALARM AUG 13, 2003 9:17 AM HOW~RDS MINI-MART 3200 PANAMA LN.93312 BAKERSFIELD CA. 805-833-1561 . A UG_L3.,_2OL~ 9-:-1-7~--- SENSOR ALARM L 5:UNL i~DISPE,NSER PA~ SENSOR OUT ALARM AUG 13, 2003 9:17 AP1 SENSOR ALARM LIO:DIESEL DISPENSER PAN SENSOR OUT ALARM AUG 13, 200~ 9:17 AM SYSTEM STATUS REPORT L 8:~ENSOR OUT ALARM LIO:SENSOR OUT ALARM LII:SENSOR OUT ALARM L12:SENSOR OUT ALARM ALARM HISTORY REPORT ,, IN-TANK ALARM ..... T I:UNL.PLUS SUDDEN LOSS ALARM MAY 28, 2003 10:28 AM INVALID FUEL LEVEL MAR ~, 2002 G:28 PM NOV 19, 2001 6:07 AM NOV 12, 2001 4:40 PM PROBE OUT MAY 28, 2003 10:28 AM LOW TEMP WARNING MAY 28. 2003 2:17 PPI ALARM HISTORY REPORT IN-TANK ALARM T 2:UNLEADED 1 OVERFILL ALARM MAY 19, 2003 9:07 AM MAY 16, 2003 3:27 PPI MAR 11, 2003 8:37 PM SUDDEN LOSS ALARM AUG 11, 1998 5:.12 PM HI'Ga PRODUCT ALARM NOV 13, 2002 12:11 PM ~AY 16, 2000 10:15 PM APR 23, 2000 7:37 AM INVALID FUEL LEVEL JUL 28, 2003 5:19 AM MAR°31,.2003 9:39 PM .~SEP 13, 2002 4:27 PM PROBE OUT MAY~28, 2003 9:51 AM ~DELIVERY NEEDED SEP 13, 2002 5:27 PM JUN 20. 2000 I1:03 APl JUN 5, 2000 8:30 AM LOW TEMP ~ARNING MAY"28. 2003 12:50 PM ALARM HISTORY REPORT IN-TANK ALARM T 3:DIESEL HIGH WATER ALARM JAN 3, 2001 4:35 AP1 SUDDEN LOSS ALARM MAY 28, 2003 12:16 PM MAY 28. 2003 9:18 AM AUG 5, 2002 5:11 PM INVALID FUEL LEVEL APR 17, 2003 11:58 AM MAR 29, 2003 11;39 AM AUG 17, 2002 10;17 AM PROBE OUT aAY 28, 2003 9:18 AM JAN 3, 2001 2;09 PM JAN 3, 2001 9;27 AM HIGH WATER' WARNING JAN 3, 2001 4;35 AM LOW TEMP WARNING MAY 28, 2003 12:13 PPI ALARM HISTORY REPORT I N-TANK ALARM T 4:PREM. UNL. SUDDEN LOSS ALARM MAY 28, 2003 8:39 AP1 AUG 5, 2D02 5:11 PM AUG~ 5, 2002 5:10 PM INVALID FUEL LEVEL MAY 28, 2003 11:40 AM NOV 25. 2001 7:17 PM NOV 12, 2001 3:07 PM P~OBE OUT MAY 28, 2003 8:39 AM ALARM HISTORY REPORT SENSOR ALARM DISPENSER PAN FUEL ALARM JUL 24, 2003 5:14 PM ALARM HISTORY REPORT SENSOR ALARM L 8:PREM DISPENSER PAN FUEL ALARM' JUL 24, 200S 5:16 PM ALARM HISTORY REPORT ..... SENSOR ALARM L 5:UNL DISPENSER PAN FUEL ALARM JUL 24, 2008 5:21 PM ALARM HISTORY REPORT ° SENSOR ALARM L 2:UNL DISPENSER PAN FUEL ALARM JUL 24, 2008 5:15 PM ALARM HISTORY REPORT ..... SENSOR ALARM L 4:DIESEL DISPENSER PAN FUEL ALARM JUL 24, 2003 5:18 PM ALARM HISTORY REPORT ..... SENSOR ALARM L 6:PLUS DISPENSER PAN FUEL ALARM JUL 24, 2008 5:22 PM ALARM HISTORY REPORT SENSOR ALARM ..... L 7 :PLUS DISPENSER PAN FUEL ALARM JUL 24, 2003 5:24 PM FUEL ALARM JUL 23, 2003 1:16 PPI ALARM HISTORY REPORT SENSOR ALARM ..... L 9:PREM DISPENSER PAN FUEL ALARM JUL 24, 2003 5:26 PM ALARM HISTORY REPORT ..... SENSOR ALARM LIi:UNL DISPENSER PAN FUEL ALARM JUL 24, 2003 5:26 PM FUEL ALARi~ JUL 23, 2003 12:02 PM ALARM HISTORY REPORT ..... SENSOR ALARM ..... L 8:UNL DISPENSER PAN FUEL ALARM - JUL 24, 2003 5:24 PM ALARM HISTORY REPORT ..... SENSOR ALARM LIO:DIESEL DISPENSER PAN FUEL ALARM JUL 24, 2003 5:19 PM ALAR~I HISTORY REPORT ..... SENSOR ALARM L12:PLUS DISPENSER PAN FUEL ALARM JUL 24, 2003 5:27 P~'l FUEL ALARM JUL 24, 2003 4:56 PM ALARM HISTORY REPORT ..... SENSOR ALARM L13: OTHER SENSORS ALARM HISTORY REPORT SENSOR ALARM L14: OTHER SENSORS ALARM HISTORY REPORT ..... SENSOR ALARM L16: OTHER SENSORS ALARM HISTORY REPORT SENSOR ALARM OTHER SENSORS ALARM HISTORY REPORT ..... SENSOR ALARM g 2: OTHER SENSORS ALARM HISTORY REPORT ..... SENSOR ALARM OTHER SENSORS ALARM HISTORY REPORT ..... SENSOR ALARM L15: OTHER SENSORS ALARM HISTORY REPORT SENSOR ALARM ALARM HISTORY REPORT ..... SENSOR ALARM W 6: ALARM HISTORY REPORT ..... SENSOR ALARM ..... OTHER SENSORS ALARM HISTORY REPORT SENSOR ALARM ..... W I:UNL.PLUS WPLLD SHUTDOWN ALM JUL 24, 2008 5:14 PM WPLLD SHUTDOWN ALM JUL 24, 2003 4:56 PM WPLLD SHUTDOWN ALM JUL 23, 2003 1:16 PM ALARM HISTORY REPORT ..... SENSOR ALARM W 2:UNLEADED 1 WPLLD SHUTDOWN ALM JUL 24, 2003 5:14 PM W~LLD SHUTDOWN ALM JUL 24, 2003 4:56 PM WPLLD SHUTDOWN ALM JUL 23, 2003 1:16 PM ALARM HISTORY REPORT ..... SENSOR ALARM W 3:DIESEL WPLLD SHUTDOWN ALM JUL 24, 2003 5:14 PM WPLLD SHUTDOWN ALM JUL 24, 2003 4:56 PM WPLLD SHUTDOWN ALM JUL 23, 2003 1:16 PM ALARM HISTORY REPORT ..... SENSOR ALARM W 4:PREM.UNL. WPLLD SHUTDOWN ALM JUL 24, 2003 5:14 PM WPLLD SHUTDOWN ALM JUL o, ~4, 2003 4:56 PM WPLLD SHUTDOWN ALM JUL 23, 2003 1:16 PM ~ ''09~/28/01 07:45 ~'66I' 76 BFD HAZ ~IAT DIV 002 MONITORING SYSTEM CERTIFICATION For Use By All durisdicnons Within the State of California Authority Cited: Chapter 6.7, Health arid Safety Code: Chapter 16. DivLviim 3. Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A .$eparaee (;:ertification or repo~ must be prepared t'or..eac___h re_on tot 'nS system control p.~j~el by the technician who performs the work. A copy Of this form must be provided to the tank system owner/opera!or. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A.. General Information Facility Name: ,~t._~..,'~$~ Site Address~ ',~~;~:~ l~.~ ~ ,' Facility Contact Person: Mak~odel of Monitoring System: V~~ ~ -~ B. Inventory of Equipment Teste~Certi~ed Check the ap~roprtat,~ ~oxes to in~cate specific. ~pment mspec~e~s~ice~: k m: ~ ,~ n-Tank O~u~in~ Probe. ~ .~nul~ Space or VauR Sensor, ~ Pipin~ Sump / Trench S¢nso~s). ~ Fill Sump ¢chanicai Line L~ lec~onic Linc Leak ~ Tank Overfill / Hi%h-Level Sensor. Modeh · ~ O~her (s~¢ci,~ ¢~ui~mem {~¢ ~d model in S~cdon ~ on PaBc 2). .. ~r~ In-Tank Gauging Probe. MOdel: Model: Model: Model: Model: Model: Modek Annula.r Space or Vault Se'nsor. Model: Piping Sump / Trench Sensor(s). . Model: Fill Sump Sensor(s).. Model: {~-lechanical Line Leak Detector. Model: ectronic Line Leak Detector. Model 12I Ta0k Overfill / High-Level Sensor. 'Model: O O..ther (s~ci~v equipment t~,[~e and model in Section E on Pa~e 2). , Dispenser ID: ~ I:l Dispenser Containment Sensor(s). Model: '.]~ he ar VaJve(s). ~ Dis[~en,s. er Containment Float(s) and Chain(s). Dispenser ID: '~ Dispenser Containment Sensor(s). Model: P9;,~,~: f~ ~"~ Bldg. No.: City: t.~/4 ~:'~2,*:,~/~:LE': Zip: Contact Phone ~o.: (~) ~Q~4- '7~,~ Date of Testing/Se~icing: ~/ ~/.~ Tank ID: ~ [~fn-Tank Gauging Probe. Model: tr~.~:'~*? - / 0 Annular Space or Vault Sensor. Model: 121 Piping Sump / Trench Sensor(s). Model: ~ Fill Sump Sensor(s). Model: __ E Mechanical Line Leak Detet:tor. Model:' lectronic Line Leak. Detector. Modeh C~ Tank Overfill ! High-Level Sensor. Model: U Od:er (specify equipment ,t~,e and model in ~ln-Ta. nk Gauging Probe. Model: tr~. IZI Annular Space or Vault S~nsor, Model: r'l Piping Sump / Trench Sensor(s). Model: __ ~ Fill Sump Sensor(s). Model: g lechanical Line Leak Detector. Model: leetronie Line Leak: Detector. Model: i2l Tank Overfill / High-Level Sensor. Model: IZI Other (soeciD equipment type and model in Section E on Pa~e 2). Disl~nser ID: ~//-' El Dispenser Containment Sensor(s). Model: !.B/Shear Valve(s). ,ZI Dispenser Containment Float(s) and Chain(s,). ,,, Dispenser ID: o~ .../iD ~ Dispenser Cnntainment. Sensor(s). Model: 1 ~'~'~.C, hear Valve(s). J ~Shear Valve(s). F,,.1 Dispenser Containment Float(s) and Chain(s). [ .g Dispen.s,,er Containment Fid,at(s) and Chain(s). Dispenser ID: ff.~= [ Dispenser ID: J/- / Z ..... ~ Dispenser Containment Sensor(s) ~lodel: ~ U_J Dispenser Containment Sensor(s). Model: _ '~'r'Shear Valve(s), JJ ~"ghear Valve(s). . · ZlDJspenser Containment Float(s) and Clmin(s). ~, ~l,.Dis~e.,nser Containment Float(s) and Chain(s). .-If the facili .ty contains more tanks or dispensers, copy this form, Include information {'or ever)' tank and dispenser at the facility. Section E on Paste 2). Technician Nm-ne (print): Certification No.: 'i~..~ </-43. License. No.: Testing Company' Name: ~_~¢~'" Sit~ Address: '~ ;i~_ _~,~.~ Certification · t certify that the equipment ldenOlied in this document was Inspected/serviced in accordance with the manufacturers' guidelines, Attached to this Certification Is information (e.g, manufacturers' checklists) necessary to yerify that this lnformation 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): ~ System set.up ~ Alarm history report Signature: _ ~ ~,~,I ~ ,,.,~ Monitoring System Certification Page I of 3 Date ot' Testing/S~rvici :~/~f~/q 03t0 U,~,'28/01 07:46 ~'661 300576 BFD HAZ liAT DIV ' ~003 D. ~Results of Testing/Servicing Software Version installed: i '~', Corn flete the following checklist: (~3"Y s ! IZi No* ! is the audible alarm operational?' liD/Yes ~ Noa Is the visual alarm operationa, t.?.. -- ~'/~Yes O No*' Were all sensors...~isually inspected, functionally, tested, and confirmed operational? - · .~l"'Yes ~1 No* Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment will ~ not interfere wi'th their proper operat/on'? '/'~ Yes ~! No* If alan'ns are relayed to a remote monitoring station, is all communications equipment (e g modem) ' ~'/N/A , operational? ,~2'"¥es CI No* For pressurized piping systems, does the turbine automatically.shut down if the piping secondary containment (2 N/A [ monitoring system detects a leak, fails to operate, or is electrically disconnected7 If'yes: which sensors initiate positive shut-down? (Check ail dznt apply) ~ Sump/Trench Sensors; ~l"Dispenser Containment Sensors. DJ.d you confirm positiv.e shut-down due to leaks m,~ sensor failure/disconnection? '~l'Yes: rq No. ,~.~Yes ~1 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ~ N)A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) an._d operating properly'? If'so, at what percent of tank capacity does the alarm tri~l~er? ID/Yes* hi No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced [. and list the manufacturer name and model fo.r all replacement parts in Section E, below. Cll Yes* (]2""No' Was liquid ~ound inside any secondary containment systems designed as dry systems? (Check all that apply) , ?roduct; fi] Water. If)'es, describe,,, causes in Section E, below. gl/Yes O No* Was monitoring system set-,up, r.,ev!ewed to ensure proper set!inss? Attach set up repons, if applicable ~""k'es ~ ,,,No~" Is all monitoring.,e, quipment operational per manufacturers specifications? In Section E below, describe how and when these deficiencies were or will be corrected. Page 2 0£3 03/Of 09/28/01 07:47 8661 0o4 F.. In-Tank Gauging / SIR Equipment: Check this box il' tank gauging is used only i'br inventory control. Check this box if no tank gauging or SIR equipment is installed. ' 'This section must be' completed ii" in-tank gauging equipment is used to perform leak detection monitoring. checklist: Yes O No.', I Has all input ~,viring been i.__.nspected for prope;'¢ntry and termination, including testing for ground' faults? .. ~/'Y'¢s C} No* V/ere all tank gauging probes visually inspected for damage and.r.esidue buildup? . . Yes ~ No* Was accuracy of system product level. readin_.gs tested'? Yes O No* Was accuracy of system water level readings, tested? _ yeS I-I No* Were all probes rein.~talled properly? es ~ 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): [] Check this box it' LLDs are not installed. Corn ~lete the followin checklist: '~;Yes ,"3 No* For equipment start-up or annual equipment~.cflrtification, was a leak simulated to verify LLD performance? ~ N/A (Check all that apply) Simulated leak rate: ~ g.p.h.: ~ 0,1 g.p.h; [] 0.2 g.p.h. .. ~'es CI No* Were all LLDs confirmed operat'ional and ac'curate with. in red'letory requirements.'? -{~]/'Y'es I~ No* Was the testi'ng apparatus properly calibrated? [] Yes [3 ~o* For' mechanical LLDs, d~es the LLD restrict product flow if it detects a lea~? ~Yes ~l No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a ieak? ~ N/A ='~Yes {~ No* For electronic LLDs, does the turbine automatically shut off il: any portion of the monitoring System is disabled f-I N/A or disconnected? ;~Yes ~l No* For ¢le~tronic L~)s, does'ihe turbine a'utomati~lly shut off if any portion of the m~)nitoring system ntalfunctions O N/A or fails a test'/ " q~"Yes t'l No* For electronic LLDs, have all accessible wiring connections been'vis, ually inspected'?. ~ N/A '~Y'es .'-I 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!.wili be corrected. tt. Comments: Page 3 of 3 o3/ol Monitoring System Certification UST Monitoring Site Plan Site Address: '. ,'.: ' ;..,~. :. '.. {~...~. '.. . . . . ~ ........... ,;:',~:/ . . · X:::: ~ ::: :;a~:" :~ .',". ':.:::::::::: :'::'~'""'"" ~' ' "' ' ' ~:::: a::::::::...[-.'-..:.~.~... ,~ ....... ......... ,~"' '. ..... Date map was drawn: ~3~ / ff :3/' O 5. Instructi.on~ ' ' re.. Uired information,'Y0U mhY'ii~clude''it,~ ra~h6r' than'this'~g~, with your If ou already hay.e a ._d.!agra~....t!2....a[.~hows.al! .....cl. ....... ......~ ........ ~....:..:..::,,:, .....:...<..¥,::~..:,?~:~?~......,...:~?..,.....:.~: .~.....,..:.,.,.:,~ ~.- ..,., ... · ~,~Y~C,,;4,4,,~; ~,,;;;,~"c,'~,-t~ei,,;~ii~h~'~''' 'On 'yom:' ~ite'blal//.'.shoTM the i'~enerat :.l,.a. ygut. of.~.~. ~C!~p~p.!~.g. ¥..C.]e~!..y .!dent~,fy ,~,: .... r ,~,x'.,;~i~&,~ ,;,,,,'~,.;~;,~t i{' installed:}:~ohitofin~ 'system c6nti:o! p~e!~F, scnsO, r~. rncm~?r~..g ~ annm .ar spaces, sumPS, diSPefiser' pans; spill containers,: °r"o'ther Secondary containment areas; mecnan!cat Or e~ecu:omc ,m= t~*',,. detectors; and in-tank liquid level probes (if used'for leak detection), in ~'~'~paee pr6vided, note the date this site Plan . .. ..... .. .. . . ~.,,:.. · ......'¢.,..:..: .q~ · .;-.:.. .... .': 9' ' ...... was prepared '" .';:.." - ' ' ' f i' .':'"..: :' ': ::/'.,'i. "!;L' ..:.,:.'-... '." "..' '.' :;"..' '.i ':..'.. l~a~e ; 0 ,, .. :..? '::..': :.<:..:;..?.;-c.'? .' - · ...... ' · · .' · . .. ':..:? :-.~..-'~,;-..~-:';.'¢~-~,, './-;'.,~.::.. '5 · · .. C " · .:'.":. · ' . .. ::: ..')i~: :..'. ':;.~¢'6~:' ':.~.';':'' .'~.~ ~.:~.':.'.~¢:'r::,'t:~%¥~",vs.,g".~,'x'~:,~:","*,:.;: "':'-. ':< "': "' : :. '. '. ::.6'-' .'. '5.: .¢';.-¥:';~C' · ' ': ~....;~' *'; ":z'-;Y" ," ':'":' :~'¢-':}' I.'"~' :'.~.'.'*~¢!;.',~5::~'¢.'~5~., '~" .. .' ' '. · ' .." .' · i':-:':.')i~'-"'i'¢~}':.,' ' .: .w ,., ': .' :.: :'...~ "~ ~.: ,.! ;¢~'~.,.w...;,,,..,~.~.~'~.~.';*..':'...,:: ..;;<::-.,'.::-. ?::. :..' .... ..' O5/OO WPLL15' '~. _ JUl.. 24, ( '~ WP~LD LINE LEAK ALARM W 4:PREM.UNL. WPLLD SHUTDOWN ALM Jt ..... 24, 2003 5:14 PM SENSOR ALARM L I:PLUS DISPENSER PAN FUEL ALARId JUL 24, 2003 5:14 WP"L'~) L I NE LEAK ALARM I/J 1 :UNL.PLUS WPLLD SHUTDOWN ALM JUL 24, 2003 5:14 PM WPLLD LINE LEAK ALARM W 2:UNLEADED 1 WPLLD SHUTDOWN ALM JUL 24, 2003 5:14 PM WPLLD LINE LEAK ALARM W 3:DIESEL WPLLD SHUTDOWN ALM JUL 24, 2003 5:14 PM ...... SENSOR ALARM L 2:UNL DISPENSER PAN FUEL ALARM JUL 24, 2003 5:15 PM SENSOR ALARM L 3 :PREM D I SPENSER' PAN FUEL ALARM JUl 24, 2003 5:16 PM ..... SENSOR ALARM L 4:DIESEL DISPENSER PAN FUEL ALARM JUL 24, 2003 5:18 PM ..... SENSOR ALARM LIO:DIESEL DISPENSER PAN FUEL ALARM JUL 24, 2003 5:19 PM ..... SENSOR ALARM I ~ UNL D'--4'PE NSER PAN FUEL ALARM JUL 24, 2003 5:21 PM ..... SENSOR ALARM L 6:PLUS DISPENSER PAN FUEL ALARM JUL 24, 2003 5:22 PM SENSOR ALARM ..... L 7:PLUS DISPENSER PAN Ft" :ALARM Jb~..,x24, 2003 5:24 PM ..... SENSOR aLARM L 8:UNL DISPENSER PAN FUEL ALARM JUL 24, 2003 5:24 PPi ..... ::: E I,~.~ol~: ALARM L 9: PRE["I DISPENSER PAN " FUEL ALARM JUL 24. 20g3 5:26 PM ..... SENSOR ALARM ..... Lll:UNL DISPENSER PAN FUEL ~LARM JUL 24, 2003 3:26 PM SENSOR AL~RI"I ...... L12:PLUS D~ ENSER PAN F~_~ ALARM JUL 24. 200S 5:27 PM CITY OF BAKE]~FIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD AT JOB SITE Phone No. Owner Address 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 ~¢~ Backfill of Tank(s) -.~ Spark Test Certification or Manufactures Method Cathodic Protection of Tank(s) d.P- .~ SYS'iEM i~(~ Piping & Raceway w/Collection Sump d 0~f Corrosion Protection of Piping, Joints, Fill Pipe ~'~:~C Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping ~, ?. ENT, OVERFILL PROTECTION, LEAK 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 Detector(s) Leak Detector(s) for Annual Space-D.W. Tank(s) Monitoring Well(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater Spill Prevention Boxes FINAL Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements Type Authorization for Fuel Drop CONTRACTOR CONTACT thc LICENSE# : FINAL TEST RESULTS: ;kLERT 1000 / ~LERT 1050 / ~RE SYSTEM II / PLT 100R CUSTOMER ADDRESS: JACO Oil Co. P.O. Box 82515 Bakersfield, CA 93380-2515 SITE CONTACT:Omero Garcia TECHNICIAN: Doug Young ~%TER IN BACKFILL: 0.00" WO~K ORDEr:5119 SITE ADDRESS: %351 Howards Market %4 TEST DATE:7/23/03 3200 Panama Lane Bakersfield, CA 93312 PHONE NUMBS:661-393-7000 PHONE ~3~ER:800-339-9930 LICENSE :901076 DATE & TI~ OF LAST FUEL DELI~RX:6+ hours TANK INfRaCTION: (WETTED) T~/TK i TANK 2 TA~ 3 TANK 4 ,PRODUCT TYPE: Regular Plus Suer Diesel TOTAL GALLONS: .PRODUCT LEVEL: PERCENT FULL: TEST ~THOD: ~TER IN TA~VK: TANK ~%T~.KIAL: P.S.I.@ BO'~'i~: TEST DURATION: TEST RE~O,.T: 'TA~K--- INFORMATION ALERT 1050X ALEaT 1050X ALERT 1050X ALERT 1050X (ULLAGE)U/F ONLY U~.L~E GALLONS: ~T~RT PBES~O~E: END PRESSO~: TEST RE~O'.T: ' ' PRODUCT LIES: AES PLT-100R AES PLT-100R ~.-~_ PLT-100R AES PLT-100R LINE 'i'X~.: Pressure Pz~ssure Pressure Pressure S~-~T '~'~E: 2: 55pm 2: 25pm 3: 25pm 3: 55pm ~ Ti~: 3:25~ 2: 55pm 3:55~ 4: 25pm TEST ,P~S~u~: 5'5 psi 55 psi 55 psi "55' psi W~AL ~ RATE: +0.002 ~h ~ -0.001 9ph +0.003 ~h +0.002 ~h TEST RESULT: PASS PASS PA~S PASS' MECHANICAL ' ,,LEAK DETECTORS: Red Jacket FTA P~d Jacket FTA Red Jacket FTA P_ed Jacket FTR MODEL: ~m~IAL NUlv~.R: ~m~CK VALVE PSI: BT.~.r.O OFF ml: TEST RESULT: A) ~nese syste~m and meth~ meet or exceed the criteria in USEPA 40CFR parts 280, N~A 329-87 and &ll applicable state codes. B) ~.n¥ f~_e list~ a~ ~¥ re~ire fur~he~ action, check with all regulatoz~ a~_ncies. ,,nn ITT a~plic Jul 23 03 Q5:O?p ConFidence UST Services 661-631-3872 p.1 CONFXDENCE UST SERVICE .S XNC. : FINAL TEST RESULTS: ALERT 1000 / /%/~ERT 1050 / 2%/~E SZS%~F~ II / PLT 100R CUSTO~R ADDRESS: JAC0 0il Co. P.O. Box 82515 Bakersfield, CA 93380-2515 SITE CONTACT:Omero Garcia TECHNICIAN: Doug Young I~TER IN BACKFILL: 0.00" WORK ORDER:5119 TEST DATE: 7/23/03 SITE ADDRESS: %351 Howards Market %4 3200 Panama Lane Bakersfield, CA 93312 PHOI~ ~/~ :661-393-7000 PHONE 1~ER~.800-339-9930 LIC~-NSE:901076 DA~ & TIl~ OF I~%ST FO~L DSLI~Y:6+ hours TANK I1TFOIt~TION: (WETTED) TANK i TANK 2 TANK 3 TANK 4 PRODUCT TYPE: ............ ~OTAL C~N$: ................ PRODUCT, ~L: ............. ~ST ~THOD: ~R IN T~: ............ T~ ~~: ........................ ~.S.I.~ ~0M: ........ ~ST D~TION: ~ST ~S~T: T~K INFO~TION (ULLAGE) U/F ONLY ~z ~s: ~ ~SS~: ..... ~ST ~S~T: P~DUCT L~S: ~s PLT-100R ~S PLT-100R ~S PLT-100R ~S PLT-100R ST~T T~: 2: 55pm 2:25~ 3: 2Spin ... ~: 55~ ~ T~: 3 = 25pm 2: 55pm 3: 55~ . 4: 25~ FI~ ~ ~: .... .... ~ST ~T; P~S P~S P~S P~S ~C~I~ T.~ DETECTORS: ~DEL: ........... C~ ~ PSI: B%.~ O~ ~: ~ST ~S~T: A) T~ese ~¥stem~ and meth~ met om ~ ~ o=l~=ta ~ U~A 40C~ p~ts 280, ~A 329-87 ~'~/ L Y - applic CITY OF BAKI~. FIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD AT JOB SITE Facility Address City, Zip Phone No. Owner ~,tC~ Address City, Zip INSTRUCTIONS: Please call i'br an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number I. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL INSPECTION ] DATE [ INSPECTOR Backfill of Tank(s) Spark Test Certification or Manufactures Method Cathodic Protection of Tank(s) PIPING SYSTEM Piping & Raceway w/Collection Sump Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation 'of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan ~x a-b-c~ -kco¢-- o/C SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK 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 Detector(s) Leak Detector(s) for Annual Space-D.W. Tank(s) Monitoring Well(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater Spill Prevention Boxes FINAL Monitoring Wells, Caps & Locks Fill Box Lock Authorization fbr Fuel Drop LICENSE CONTACT ~d~(tg. Or 6e~off PHONE# OFFICE 1715 Cheste~ PERMIT APPLICATION TO CONSTRI TYPE OF APPL~CAT'ION (CHECK) [ ~ FACILITY [~MODIFICATION OF FACE] CITY OF BABSER~FIELD )F ENVIRONMENTAL SERVICES .' Ave., Bakersfield, CA (805) 326-3979 ICT/MODIFY UNDERGROUND STORAGE TAN~ ]NEW TANK {NBT, aT-Y ATION AT EX~TI~O FAClLn'Y TEE WORK TO BE DONE -~ WAil~ TO FACJ]2TYPP, OVIDt~ BY f,~/,c.,,-~a. DEPTH TO OROUND WATER/,')~0' ~ NO. OF TANK8 TO BE ll~ALLED ,~ SFE,L FRE~ON CONTROL AND C5~ ~ ~CTIO~ TANK NO, VOL~ h"gCTION FOR NON1 TANK NO. VOLUME CHEMICAL 8TO (NO BRANDI~ ~s rq,~ H~S Sm~N co~zrsn.~ APPROVED BY: APPLI~ THIS APPLICATION BEC(} 801L TYI~ ~ AT ~ ~suxr. sm~NoNr~u~ , ,,~, w.s ~ DIESEL AVIATION FFICIAL U~E ONLY %ND WILL COMPLY wrrH I}IE ATTACI-R/D CONDITIONS OF 'FY OF PERJlmY, AND TO THE ~E~ OF. IVIY KNOWLEDGE, ~ HES A PERM]iT WHEN APPROVED SUNSET MECHANICAL 3812 Panorama Drive Bakersfield, CA 93306 Phone 661-322-0660 Fax 661-871-1788 June 25, 2003 SCOPE OF WORK DISPENSER PANS Drain product lines back to UST. Remove existing dispensers. Install Total Containment fiberglass dispenser pans. Install entry boots. Install new product and vapor shear valves. Install liquid sensors in each dispenser pan. Test sensors for positive shut-off. Perform Hydro-Static test to insure no leaks occur. Note: No fuel lines will be disturbed to install retro-fit. ~ * By: o! CPE USALCO; .':,.,: DISPENSER PANS.' ' 714771 711 2; " Fi.ber§las's ~ · D,~p. enS.er Pans . Ideal for new:installaUons and marina applica- tioris. Pan 'Entry Boots are required for prod- ucL~vapor entries; universal bulkheads [or con- duil~ entries (Pgs, 17-18), Stabilizer bar includ- ed; imountJn§ brackets (BA0004) sold. ~epa- rat!ly. ::, DPF51814 , '")~r~ais ' DPF52416 Specialized Shear Valve Brackets used to mount OPW Va Part # D.e~crJ~i~n 5B4221V SB4221 VA · Shear Valve Mounting; Bracket used to install shear valve PartJ~: OescriptJo.a BA0004 Shear Valve Mou, Entry Boot Assembly fO.roOiS Assembly used to seal 1-1/2 .or inLe~ty testin& secondary cont~i~ tn'mined to 1 O' in hei&~ht, . :.. 'Pact_~ Description FBOOSD For Shear Valve ~ FBV0~0 For 1" NPT Va F600~l For 1 - 1/2" FI~ FBO032 For 2" Flex trBO0~ For 1 - i/2' Pipe FRoO34 For 2" NPT Dispenser Gaskets Gaslmt used for dispenser ~rames Part_~ Description Feb-25-03 !2:47PM; Page 6/6 i ~: ~, Fiberglass DX Dispenser Pans Ideal [or retrofit applications in s lion and pressure systems. Sump rides its own splash lip. Pan Er Boots required for product/vapor tv/es; universal bulkheads for cone erltrie$ (.0~ 1Z-18). Mounting bra i"i i'i - et~ and stabilizer ~arsincluded.· DX2&14 20L ~ 'I0~25~ x 110 I~.0' cen~r 2 J 3~L x ~'~W x ~.SD 12,5" cen~r Record, ~ans ha~ C~an~d ~om pol~h~ene have been obsolete. In& ~kets ' ;? Valves. Inclu~ mounting:: ~afdware. OPW Va~r Val~ 60-~'~p~~ (.Boss mount) in a 4221 dispenser sump and pan~ InCludes mountin~ ha~ware. Bracket ,nser Pans " flex connector entry in:t~ dispenser pan,"lncludes valve stem for ~ent pipe. Note: To useI ~tth DPF$ =t~le pans, pan must be Con~inment T~ehds (NPB Bushing) :~": ..... DG2014 Dis 2014 sump '. i i.: OPW 60 V SERIES VAPOR LINE SHEAR VALVES OPW 60VS-1000 "Line Saver" · 1 lA" connection to underground piping. · Air test port to enable vapor line testing without breaking pipe connections. · Choice of top or side inlet connection. · Stabilizer mounting connection. OPW 60VSP-IO01 "Vapor Saver" Same features as the 60VS-1000 plus: · Double-poppeted design helps prevent vapor loss in the event the dispenser is toppled. · CARB approved. · UL listed ~ OPW 60VSPC-1001 "Vapor Saver with Containment Threads" Same features as the 60V. SP-1001 plus: · Externally threaded on outlet end for secondary containment connection of underground piping. OPW6OVSPC-IO01 OPW.6OVSPC-IO01 Materials Body: cast iron with black Duragard® coating Discs: M-19 Ordering Specifications Product No. Thread Size Length in mm in mm 60VS-1000 lxlY: ~61~3~i 6Wa2" ~177:' 60VSP-IO01 lxlY: i26~:38] 6Wa2 .... 60VSPC-IO01 lxlY~ ~6'~38~ 6Wa~" ~177( IMPORTANT: OPW products should be used in compliance with applicable federal, state and local laws and regulations. Product selection should be based on physical specifications and limitations and compatibility with the environment and materials to be handled, OPW MAKES NO WARRANTY OF FITNESS FOR A PARTICULAR USE. All illustrations and specifications in this literature arc based on the latest product information available at the time of publication. OPW reserves the right to make changes at any time in prices, materials, specifications and models and lo discontinue models without notice or obligation. O PW I 0 SERIES 1/2" EMERGENCY S T-OFF VALVES Ordering Specifications Internal Threads 1½" NFl' Top Style With Secondary Replacement Containment Tops Single Poppet. 10BF-5725 10RFT-5750 Double Poppet lOBFP-5726 10RFTP-5751 10FTP-5701 (Low Profile) Double Poppet for 10SBFP-5726 10SFTP-5711 (Low Profile) Suction Syslems External Threads Sinqle Poppet 1½" NPT Double Poppet ~ Double Poppet for Suction Systems 10BM-5825 10RMT-5850 10BHMP-5830 10RMTP-5851 ~ 10SBHMP-5830 10SHMTP-5811 Union Connection Single Poppet 10BU-5925 10RUT-5950 ........ ~ ........ 10RUTC.597-5?- 1½" NPT Double Poppet 10BUP-5926 'lOUTP-5901 (LowProfile) 10UTCP-5901 (LowProfile)* 10RUTP-5950 10RUTCP-5976* Double Poppet for 10SBUP-5926 Suction Systems , 10SUTP-$911 (Low Profile) 10SUTCP-5911 (Low Profile)* *With Tail and Nut. 1½" Dimensions IOBF IOBFP IOBM IOBHMP IOBU IOBUP I OSBFP 10SBHMP I OSBUP in. mm. in. mm. in. mm. in. mm. in. mm. in. mm. A 621/64" 161 621/64" 161- 613/16" 173 711/16'' 195 71/4" 184 71/4" 184 B 23/4" C 211/16" O ]3/( 70 23/4" 70 23/4" 70 23/4" 70 23/4" 70 23/4" 70 69 2n/]6" 69 211/16" 69 211/16" 69 2]1/]6" 69 211/]6" 69 44 P/4". 44 21/4" 67 31/s" 83 211/16" 68 2~1/16'' 68 OPW 10S Stabilizer Bar Assembly The OPW Stabilizer Assembly is a stabilizer bar and a mounting bracket which, when properly imbedded into the pedestal island concrete, holds the OPW 10 Series valves rigidly in place to assure proper shearing action. The 10S assembly includes all necessary installation hardware. OPW 10 Series valves include the three bolts required for mounting the valves to the bracket. OPW IORW Wrench The OPW 10RW Wrench is used to install and remove 1½" OPW 10 Series Remote Pump Shut-off valves and is designed to prevent applying stress to the shear section of the valve. This wrench is made of ductile iron and has a 13/4" diameter boss for use with a pipe wrench, and a hole for a 1/2" diameter rod. OPW lOB 1'/2" Series Emergency Shut-off Valves Other Replacement Parts Part Ho. Description H-3955-M Tetra Seal H-7659-M Link Spring H-7643-RB Link Retaininq Screw H-4788-M Hold-Open Link H-5361 Safety Hub S/A X Flexible Entry Boot Patent Granted Other Patents Pending Pipe and conduit entry seals are designed to provide universal flexibility for the pipe or conduit entries into a containment sump by providing up and down, side- to-side, back-to-front movement, as well as, angled pipe entries. They have no metal components exposed to the environment and firmly fasten and seal to the sump wall by means of steel stud fasteners and a galvanized compression ring. Refer to Product Price List, for a listing of available models. Double' Entry 'Boot These pipe and conduit entry seals are designed to seal the sump penetration. These entry boots incorpo- rate both internal and external band clamps to provide additional sealing in harsh environments. Boots firmly fasten and seal to the sump wall using steel studs, fasteners and a galvanized compression ring. Refer to Product Price List for a listing of available models. GeoDuctTM Entry Boots Patent Granted Other Patents Pending GDB-7450 A double clamped, entry boot designed to seat the GeoDuct'" conduit entry into the wall of a tank sump or dispenser sump. This entry boot includes band clamps for sealing off the GeoDuct conduit as well as the GeoFlex Piping. PART NO. SIZE .'.- i~E~cRIPTiON ' GDB-4515 4" x 1.5" Seals 4" GeoDuct to 1-1/2" GeoFlex GDB-45,20 ~ 4" x 2" Seals 4" GeoDuct to 2' GeoFlex GDB-4530 4" x 3" Seals 4"GeoDuct to l-1/2"GeoFlex w/coax (Donut) GDB-7450 4' Used for 3/4", 1', 1-1/2" and 2' GeoFlex (Donut) GDB-7450 does not have an airstem. 21 envir( n' 'qeeder Root - Piping Sump Se~r / Home · Piping Sump Sensor/ Piping Sump Sensor Posib've A/arm lndicaO'on of any Liquid in Underground Fuel Storage Tank I~ping Sumps Veeder-Root's Piping Sump Sensor detects the presence of liquid in a UST piping sump. Liquid presence could mean a dangerous line leak. When the sensor detects liquid, it sends an alarm signal to the TLS console monitor, where both visual and audible built-in alarm indicators immediately identify the location of the problem, you can then quickly take action to help prevent serious safety and environmental problems. Features [ / ' · Positive alarm indication of any liquid in underground fuel storage tank piping sumps · For TLS-350R, TLS-350 .TLS-3503, ILS-350, TLS-300i, TLS-250i and ILS-250 UST Monitoring Systems · System indicators pinpoint alarm location · Simple to install · Two-wire connection to system monitor · Complete with all mounting hardware Product lnf Features & I~ne Manuals, Guides Certifications Ready to Buy Distributor Seam Standard Components Quantity ! 2 ! 3 Description Piping Sump Sensor Assembly Mounting Strips Watertight Cord Grip Screws for Mounting Standard Models Fonla No. 794380-208 794380~209 Description Piping Sump Sensor - 22 ft cable Piping Sump Sensor - 30 ft cable The Series 7943 Piping Sump Sensor is compatible with the following consoles: Console. Series TLS-350.R* 8482 TILS-35~* 8470 TLS-350] 8470 ILS-350'* 8450 http://www, veeder, com/dynamic/index.cfm?pagelD= 118 6/23/2003 ~ Yeeder Root - Piping Sump Seas.or TLS~300i 8485 TLS-300C 8485 TLS-250i Series 7941 TLS-250 7942 *Note: an Interstitial Se ~sor Interface Hodule is required for use of the piping sump sensor with the T1~S-350 0r TLS-350R system. **Note: a Two-Wire Mo~lule is required for use of the piping sump sensor with the ILS-350 svstem, Sl~ndard Specifications Power Requirements: Intrinsically safe power supplied by Veeder-Root TLS- 350R, TLS-350, TLS-350~, ILS-350, TLS-300i, TLS-300C, TLS-250i, or ILS-250 system Page 2 of 2 Seflsor Type: Hermetically seal, ed magnetic reed Contact Rating: 15 wa,'tts Switch Travel: 7/8 inch to contact Temperature RaUng Storage: -40 degrees ¢ to + 74 degrees C Operating: -0 degrees/to +60 degrees C Housing Material PVC Schedule 40 Tubing opyright © Pag~e I print this page contact u.s I privacy I leg~.! I emai! tiis 2003 Veeder-Root, A Danaher Corporation Com http://www, veeder, com/dynamiclindex.cfm?pagelD= 118 6/23/2003 EXPLANATION AMOUNT SUNSET MECHANICAL CONTRACTORS LIC. #589517 3812 PANORAMA DR. 661-871 - 1788 BAKERSFIELD; CA 93306 AMOUNT OF CHECK DATE TO THE ORDER OF DESCRIPTION NUMBER 6801 16-24-1220 CHECK AMOUNT 111011 Wells Fargo Bank. N.A. -~-~/~- ~/~ ~~_ California ~ ~ www.wellsfargo, com -- ,,,oo.r-,.a?.!,.'.+;!:..~,:,~.~ooo a~, ?,:o~ ?r.o~?.~.a.s'~'..? .... ' · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: HOWARDS MINI MARKET 3200 PANAMA LANE BAKERSFIELD CA 93313 2. Article Number (Transfer from service label) PS Form 3811, August 2001 D. Is delivery address different from item 17 [] Yes. If YES, enter delivery address below: [] No '. 3. Service Type i ,~., Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Delivery? (Extra Fee) [] Yes 7002 3150 0004 9985 3431 ' Domestic Return Receipt 102595-02-M-1540 May 7, 2003 Howards Mini Market 3200 Panama Lane Bakersfield CA 93313 F~RE CHIEF RON FR/L,ZE 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 93,301 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: Deadline for Dispenser Pan Requirements December 31, 2003 Dear Underground Storage Tank Owner: A Review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, 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, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc OFFICE 1715 Cheste CITY' OF B~KER~FIELD ~F E~ONMENTAL SER~CES Ave., Bakersfield, CA (80~) 326-3979 PERMIT APPLICATION TO CONSTR TYPE OF APPLICATION (CHECK) [ ~ FACILITY [~]MODI~CATION OF FAC1L I'Y [ INEW TANK. INSTAI-IATION AT F. XIS~O FACILITY ,fCT/MODIFY UNDERGROUND STORAGE TANK DEPTH TO'OROUND WATER NO. OF TANKS TO BE ll~TAr~.m'~ 8prlLf. PI~ON CONTROL AND COUNTER ;$];CTIO1~ TANK NO, VOLU},~ UNL,E. ADHD TANX NO. VOLUME · TRUE ~ CORRE'¢~ / APPROV~I) BY: APPLIC~ THIS APPLICATION BECO ASUR.~ PLAN ON HLE , .1<', ,, YES · NO MOTOR lrO~L ~OTOR Ii'UEL b'TOI~GE TANKS ~ PREVIOUSLY STORIED ~.~ A PERMIT WHeN APPROVED WATI~ TO FAClLr~ PSO~ nY . ~___..~ ~,,~,~ STARTINO DATE --~"///~.~ ~ PROPOSED COMPLETION DATE ~'~ ~ FAC~.~ ~~ ~/~ ~~ F~ ~ NO. T~~~ ~ ~. ~ _. . mo~o. __ co~fo ........... ~ u~ ~o.~ Executive Order VR-101-B' Exhibit 1 Figure lA Phil-TEe Phase I Vapor Recovery System Equipment List Component Name Manufacturer Model Number Spill Container Phil-TEe 85000 Series Debris Bucket PhiI-Tite PP 1005 TB (product) (required) PhiI-Tite PP 1005 TBP (vapor) (optional) Gasoline Hand Pump PhiI-T'~e EP-400-VB (optional) Rotatable Phase I Adaptors PhiI-T~e SWF-100-B (product) Phil-Tite SWV-101-B (vapor) Phase I Vapor Riser Offset Phii-'lite M-6050 (optional) Riser Adaptor Phil-'l'~e M/F4X4 Spill Container Cast Lid Phil-'lite 85011 DropTube OPW 61-T (vadous lengths) Dust Caps Morfison Brothers 305C (product) Morrison Brothers 323C (vapor) Pressure/Vacuum Vent Valve Husky Model 4885, 2-Inch Threaded Extractor Fitting Universal V421 Series OPW 233 Series Ball Float Vent Valve Universal Model 37 Series OPW Model 53 VM Series Tool Kit for Rotatable Adaptors PhiI-Tite T-7043 and Spill Containers Tank Gauge Port Components * Ever-Tire 4097AGBR (Threaded Adaptor) 4097MBR (Double ,Handle. Cap) · Tank gauge po~ componenta, other than those listed above shallrmt be installed after September 1, 2002. Tank gauge comfJcmen~s installed prior to September 1, 2002, sha~l be allowed to remain in use fo~ the remainder of their useful life. Figure 1 B The following components may not be installed as new or replacement parts after September 1, 2002. These components, if installed pdor to September 1,2002, may remain in use for remainder of their useful life. Component Name Manufacturer Model Number Drop Tube EBW 782-204 (various lengths) Emco Wheaton A0020 (various lengths) Extractor Fitting EBW 3XX Sedes Emco Wheaton A0079 Series Exhibit 2. Page' 5 Figure 2D Vapor Recovery Installation Using PhiI-Tite System Phil-Tire Cast Ud 85011 ,,~- yf with viton seal "".-,.,~ ~ ~PhiI-Tite Adaptor SVVV-101B 4" min "t't ,,~ ~'~......_Cast in concrete or Stainless Steel Sleeve~' 1. Achieves 5 gallon capacity. ~ ~ Pelethane Seal 2. AJIows removal o~ installation of container wiU3out ground - Removable Phil-Tire 85000 Series breaking or lid disassembly. - -, Pelethane Seal ~PhiI-Tite Riser Adaptor M/F4X4 ~1 Achieves square, fiat sealing sudace Threaded tank riser Threaded Fitting wi Extractor Tank Bung Bleed Hole~ /-Ba,, Vent 1. Sized to actuate at 90% tank capacity or 30 minutes pdor to tank overfill. 2. Appropriate sizing may be based on SWRCB requirements and manufacturers specifications. PhiI-Tite Enterprises - Phase I Vapor Recovery System -VR-IO1-B Exhibit 2, Page 7 Figure 2F PhiI-Tite 85001-NV Vapor Recovery Spill Container and Inner Assembly To BE FILLED o/fr BY i NSTA L LE R/M,~qTENANC[: PERSON PHIL-TITE 85000 SERIES SPILL CONTAINERS Pr~l-Tile Sp~ll Contmnem a~e des~ned Io p~vide easy in~a~latkm ar removal of the comainer without ttm need for timcl7 cxcavaio~ or dL.~s,s, embly of s, econda~ containment covers. PhiI.T'd:e dran valves provide fast and c~mpl~e ~movM of excess liquid spilled during o gasoline defiv~ry opera-Ucm while maintaining a vaportJgtN, mkable seal Ihs1 eliminatas leaks ~nlo Ihe anvJrc~nmem. ~ O::~IT~,CT I:~L, TITE f. NTEI~q~3~3 F~ A 5~:U.~ O~ Of ~ I~i..TTI~ I:~OCXJCTS. PhiI-Tite Enterprises - Phase I Vapor Recovery System - VR-IO1-B Exhibit 2, Page 9 FigUre 2H PhiI-Tite Debris Bucket Part Number PP 1005 TB (Product) (required) Part Number PP 1005 TBP (Vapor) (optional) PhiI-Tite Hand Pump EP-400-VB (optional) Debris Bu c ke"c Hand Pump (installd in v(~por' debris bucket only) PRODUCT VAPOR REC Hand Pump Operc~.ion Phil-Tire Enterprises - Phase I Vapor Recovery System -VR-101-B Exhibit 2, Page 11 Figure 2J PhiI-Tite SWV-101 B Rotatable Vapor Adaptor SWF-100-B & SWV-101-B ROTATABLE ADAPTORS T~e PHIL-[ITF_ SWF-100~J & :~WV-101-B ro,ata~li:l-~ ~co~cm ~ d~n~l ~o ~,~uc~ INSTALLATION; 3rd 'r~ ~=m ~ :r 3efec~. ISWV-101~ ONLY~ (~ ', B~ ~nd. :N~ Lhe ~dac~ onto ~e ~ll c~ner ~r [~', Us~ a ~rc~ ~ren~ ard a,q adap:~ ~s~ta~ :~ va~e be~n ~e ran~ :i ~ ~D 75 ~T. W~I~ ~E USE OF UN.PROUD ~ ~ ~R~ER IN~T~N WILL VOID ~Y ~c~p:~ of I~ ve~r ~pp~ and ~ ~C~ ~ ~u~ cr :1) Rem~ I~ 5~J-1OI-B ~o~ f:~ the sodl ~ rise.' t~i~ a~ ies~la~ :~ {PHIL-TITE TCOL KIT ~ T-?~3. ~ ). ~3) A~or remo'~n9 ~e s~p rng, :em~ :1~ b~ ~ ~C ~a~ aog~t ~ou~ ~ ~n of ~c sdr8 Ih~ ~s~nbl~ ~ ~c~ a~c a~at~ PhiI-Tite Enterprises - Phase I Vapor Recovery System - VR-IO1-B D April 10, 2003 Howards Mini Market 3200 Panama Lane Bakersfield CA 93313 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 S~ET~ SEmnCES · ~=.WONaa~ SEmnCES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 3263979 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 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 receiving quarterly reminder notices since April of 2002. Effective January 2003, 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, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc D March 5, 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 o ENVIRON MEk~T.,M. SERWCE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Arb. 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 Vlctor Ave. Bakersfield, CA 93308 VOICE (661) 3994697 FAX (661) 399-5763 Howards Mini Market 3200 Panama Lane Bakersfield CA 93313 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 receiving quarterly reminder notices since April of 2002. Effective January 2003, 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, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc D 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' SEFN1CE$, ENY1R~IM~NTAL SER~CES 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 Howard's Mini Market 3200 Panama Lane Bakersfield CA 933 I3 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 receiving quarterly reminder notices since April of 2002. Effective January ~2003, 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 3 i, 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, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc D 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 SAFETf SERVtCES* ENVIRONMENTAL SERVICES 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 Howards Mini Market 3200 Panama Lane Bakersfield CA 93313 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1, 2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc D January 22, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SER~ICES · ENVIRONMEHt*N. SERVICE~ 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 Howards Mini Market 3300 Planz Road Bakersfield CA 93309 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1, 2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc January 13, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FiRE SAFETY SER~CES · ~M. SER~CES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 3263979 FAX (661) 3260576 PUBUC EDUCATION 1715 Chester Avb. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0S76 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 Howard's Mini Market 3200 Panama Lane Bakersfield CA 93313 RE: Deadline for Dispenser Pan Requirements December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: A review of our files indicates that you have been receiving quarterly reminder notices since April of 2002. 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. I urge you to start planning to retrofit your facility as soon as possible. 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 HOWARDS M I N I -MART 32( ,~ANAI"IA LN. 93312 BA}~FIELD CA. 805-833-1561 OCT 29. 2002 9:36 APl SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T I:UNL.PLUS VOLUME = 2772 GALS ULLAGE = 9228 GaLS 90~; ULLAGE= 8028 GALS TC VOLUME = 2721 GALS HEIGHT = 26.89 INCHES WA~ VOL = 0 GALS ~ / = 0.00 INCHES M = 85.9 DEG F T 2:UNLEADED 1 VOLUME = 7527 GALS ULLAGE -'~--~473 GALS 90s~ ULLAGE= 3273 GALS TC VOLUME = 7405 GALS HEIGHT = 57.86 INCHES WATER VOL = 0 GALS WA~ ~ = 0.00 INCHES TE,.._/ = 83.1DEG F T 3:DIESEL VOLUME = 2013 GALS ULLAGE = 9987 (3ALS 90% ULLAGE= 8787 GALS TC VOLUME = 1989 GALS HEIGHT = 21.43 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 85.3 DEG F T 4:PREM. UNL. VOLUME = 2633 GALS ULLAGE = 936? GALS 90% ULLAGE= 8167 GALS TO VOLUME = 2583 GALS HEIGHT = 25.92 INCHES WATER VOL = 0 GALS WA' = 0,00 INCHES TEb.~.-~ = 86.4 DEG F CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE Section 2: Underground Storage Tanks Program Routine ~1 Combined [] Joint Agency Type of Tank 303/_ C t~, O. } Type of Monitoring ./ITt., [] Multi-Agency [] Complaint Number of Tanks c[ Type of Piping L6(3 Lq (.,C_, q. ] [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Pennit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current /' Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available 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=ComplianTe~.V=Violation Y=Yes N=NO Inspector: ._.~.1 1 Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy Business Site Responsible Party CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME P{flli)O~¢r('~ FACILITY CONTACT INSPECTION IIME INSPECTION DATE [ f) ,.,~ .~) -'t..._ PHONE NO. g33' BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine [~ Combined ~ Joint Agency I~ Multi-Agency ~,~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand j,~/ Business plan contact information accurate ,,,,- Visible address ," Correct occupancy Verification of inventory materials ./ Verification of quantities e" Verification of location / Proper segregation of material .,, Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping ,,'/ Fire Protection / Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: Yes ~o Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy September 30, 2002 Howards Mini Market 3200 Panama Lane Bakersfield CA 93313 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 SA.gE'P/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) 399-469'~ 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 forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc 09,:'28,"01 07: 45 0576 BFD ftAZ 3IAT DI~, t~J oo2 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdicttoax Within the State qf Cctl~fornia ,4uthoritv Cited: Chapter 6. ?, Health aqt] Safe(>' Code: Chapter [6. Divi,vion 3, Title 23, Cul~brnia Code of Regtdatioas This form must be used to document testing and se~'icing of monitoring equipment. A 8eparate certification or repo~ must be prepared for each monitorin~ system control pa]~ 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 (own to the local agency regulating. UST systems within 30 days of test date A. General Information Facility Name: ~~" ~t~;' ~ ~ Bldg, No.: Facility Contact Person: ~.~ ~k~ Contact Phone No,: (. ~O/ ) ~g --I~/ Make.%del of Monitoring System: ~ ~ Date of Testing/Se~icing: ~ / &~ / ~ B. Inventory of Equipment Teste~Certified Check the appropriate boxes to indicate specific e ~ ment ~specte~se~icud: .......... ~'- P "' ,~,,,~ ..... o,, ~ tn-Tank G~uoifig Probe. Model: ~ / ~ ln-Wan~a6ging Probe. Modeh ~ / ~ .~mul~ Space or Vault Sensor. Model: ~ Annular Space or Vault Sensor, Model: ~ Piping Sump I Trench Sensor(s). Model: El Fill Sump Sensor(s)· Model: ~ Mechanical Line'Le~ Detector. Model: ~'Eleo. ronic Line Leak Detector. Model: ~1 Tank Overfill / High-Level Sensor. Model: ~ Other (specify equipment t~e ~d model,,in Section E on?age 2). ~ m: .. T'~ ~L ' ' -'rank Gauging Probe. ~ ~lodel: ~ ~mul~ Space or Vault Sensor. Modeh ~ Piping Sump/Trench Sensor(s). Model: ~ Fill Sump Sensor(s). M~el'. echanical Line Le~ Detector. Modeh ec~onic kine Le~ Detector. Model: ~ Taok Ove~ll / Hi,h-Level Sensor. ~odel: ..0 Other (s~ciqv equipment t7~c and model in Section E en Pa~e ?... w: .............. spenser Cont~nment Sensor(s). Modeh ear V~ve(s). ~ Dispenser~ofltainment ~oat(s)and Chain(s). Dis~nser ID: , ~spenserContainmenr Sensor(O. Modeh ~ Shear Valve(s). ~ DisRenser Contaimn~ Roar(s) and Chain(s). Dispenser ID: ' "~ .__. ~ispenser Containment Sensor(s). Model: ~ ~ Shear Vah, e(s). ~Dispenser Containment Float(s) and Chain(s). C.I Piping Sump / Trench Sensor(s). Model: ~ Fill Sump Sensor(s). Model: __ El eChanical Line Leak Detector. Model:' ecrronic Lin'e Leak. Detector. Modeh 02} Tang. Overfill / High-Level Sensor, Model: [1 Other (specify equipment t,ype and model in Section E on Paf. e 2). " [~n-Tallk Gauging Probe. Modeh /~.,~ CI Annular Spnce or Vault Sensor. Nlodeh ~ Piping Sump / Trench Sensor(s). Model: __ UI Fill Sump Sensor(s), Nlodeh gl eChanical Line Leak Detector. Model: ectronic Line Leak Detector. Model: iD Tank Overfill / High-Leve! Sensor, Model: iD ..... Other (specify: . equipment t},pe and,,model ............ in Section E on Pa~e 2). Dis'penser ID: 2 D~spenser Comamment Sensorts), Model: 'Zq~ear valve(s). r'l Dis~enser, C_.,o, nta/nment Float(s) and Chain(s). Dispenser ID: .~spenser Containment Sknsor(s). Model: ear Valve(s).'. :Cl Dispenser Containment Float(s) and Chain(s), DIspenser ID: _////'/ ~ D~jspenser Containment Sensor(s/. Modeh 5,1ii'~ he a r Valve(s), .2 Dispe. nser Coma/nment Float(s) and Chain(s). 'qf the t'acili .~ contains more tanks or dispensers, copy this form. Include informahon for every tank and dispenser at the facility,' C. Certification - I certify that the equipment ldendl]ed in this document was Inspected/serviced in accordance with the mmmfacturers' g~idelines. Attached to this Certification is icJ'on'halloa (e.g, manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring e_q~rnent. For any eq_uip~12ent capable of generating such reports, I have also attached a copy of the repo~(check,&ll that apply): ~"System set-up I~.a.!Arm hlsJ. Ory report Technician Name (print): /COO .~[.~_~.~ Signature: __ f'~---"~ /r'~l'C'a'~ ,, Certit'icat,on No,: 9 Z~ (r-.-" License. No.: -- t.~'"'~'~ ~ ,5'"-/7 Testing Company Name: ..... Site Address: .'.~:~t2~/' __LD~ ~' ~ Date of Testing/Servicing: _f__../_/tS'-'7'O~L_' Page 1 nf 3 03/01 Monitoring System Certificath)n 09/28/01 07:46 8661 !6 0576 BFD HAZ ~tAT DIIO D. Results of Testing/Servicing Vcr, ion /5',O/ Corn ~lete the followin ',checklist: Is the audible alarm operational?' [] NO* Is the visual alarm operational? 003 Yes Yes Yes Yes IZl. No* ~ N/A Were'all sensors visually inspected, functionatjy_j, ested, and confirmed ope. rational? Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operat/on? If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containmen~ monitoring system detects a leak, fails to operate, or is electrfcally disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ~ Sump/Trench Sensors; ~ Dispen~,er Containment Sensors. ' Did you confirm positive shut-down due to leaks and sensor failure/disconnection', uI Yes; D No. IZl Yes I~. N/AN°* I mechanicalF°r tan~:--syst~ms0,,erfillthatpreventionUtilize"thevalvemonitoring syst'-~m as the primary tank overfill warning device (i.e. n© l li~ is installed), is the overfill warning alarm visible and audible at the tank ~ Yes* / ~'"No I fill point(s) and Operating properly'? If so, at what percent of tank capacity does the alarm tri~,oer? oa Was any monitoring equipment replaced? if yes, identify specific sensors', probes, or other e=ci~uil~ment replace'~ and list the manufacturer name and model for all replacement parts in Section ii, below. ~1 Yes* Was liquid found inside any secondary, containment systems designed as dry systems? (Check all that apply) ~ ~ Water. If yes, describe causes in Section E, below'. ' D No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up repons, if applicable UI No* Is all monitorin manufactureFs ~ * In Section E below, describe how and when these deficiencies were or will be corrected, Page 2 of 3 03/01 o9./28/01 07:47 '~661' !6 0576 BFD HAZ ,~IAT DI F. In-Tank Gauging / SIR Equipment: This section must be completed if in-tank gau ~mg equipment is used.to perform leak detection monitoring. Co~nplete the following checklist: . . ~es ~ ~ No* Were all tank gauginff~es visu tlly inspected for damage an~ re~i~'ue buildup? ~es / = NO* { Was accuracy of system product Ii vel readings tested'? ~es ~ O No* t Was accuracy of System water le,n readingiiiited'? ~es t = No* I Were all probes reinstalled proper .r ~ Yes { ~ No* ~. Were all items on the equipm~'nt =anufacturer's maintenance checklist completed7 * In the Section H, below, describe how and when th}se'd~ncieneies were or will ..... G. Line Leak Detectors (LLD): ~ Chec~ this box iff LLDs are not installed. o~plete the.~gHow~ng ehee~ist: ...... . · Yes = No* '~ For equipment ii'an-up 0r aana'~ equipment c~ficati'o'~, was a ll;k simulated to';ia~ LCD perfo=ance* ' 1~ N/A ~ (Check all that apply) Simulatedl akrate: D~g.p.h..: ~0. I g.p.h; ~ 0.2.g.p.h. .. ' ]~es [~ No* /'WereallLLDs~onfim,edoperatiotalm~daccuratewitMnregulato~Vequirements? ' ~ Yes ~ No* ~ Was the testing app~atUs properly :alibrated? ' ' ' = Ye; 1. = NO* ] ?'or mechani'cal LLDs, d~~g~Stfic~product flow if i, detects a leak'~ '" / / I ' ~ Yes } ~ No* , For electronic LLDs, does the turbi0e automatically shut off if the LLD detects a 1~? ' ' / a s/ l / [ ~ N/A [ or disco~ected? ~ Yes [ D No* ~ For elec=°nic LLD~~~tomatic~i~ shut off'if any potion of the monitoring system maifunctions / ~ ~ N/A ~ or fails a test'? ~ Yes ~ No* [ For elecuonic LLDs, have all accessible wiring connections been visually inspected? · N/A /,, ~ Yes ~ No* Were all items on the equipment ma mtActurer's maintenance Checklist completed'? . ~]004 ""~Check this box if tank gauging is used only tbr inventory control. Check this box if no tank gauging or SIR equipment is installed, * In the Section H, below, describe how and when. the H. Comments: deficiencies were or will be corrected. ~age 3 of 3 o3/o~ T 2:UNLEADED ! PRODUCT CODE : 2 THERMAL COEFF :.000700 TANK DIAMETER : 95.50 TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 95~ : 11400 HIGH PRODUCT : 97~ : 11640 DELIVERY LIMIT : 5~ : 600 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.16 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: lOX : 1200 LEAK SIN ANNUAL : 10~ : 1200 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 BREAK:OFF DELIVERY DELAY : 15 MIN PORT SETTINGS: NONE FOUND RS-232 SECURITY CODE : 000000 RS-232 END OF MESSAGE DISABLED I N-TANK sETUP T I:UNL.PLUS PRODUCT CODE : 1 THERMAL COEFF :.000700. 95.50 TANK DI~AMETER. -: TANK PROFILE : 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN, WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELIVERY LIMIT 8496 2.0 3.0 12000 95% 11400 97~ 11640 5% 600 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2.71 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: lUX : 1200 LEAK MIN ANNUAL : log :. 120.0. 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 BREAK:OFF DELIVERY DELAY : 15 MIN AUG 5, 2002 ~,.01 PM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGL I SH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM HOWARDS MINI-MART 3200 PANAMA LN,93312 BAKERSFIELD CA. 805-83G-1561 SHIFT TIME 1 : 6:00 AM SHIFT TIME 2 : DISABLED SHIFT TIME G : DISABLED SHIFT TIME 4 : DISABLED TANK PERfODIC WARNINGS 'DISABLED TANK ANNUAL WARNINGS DISABLED LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNINGS DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE <DEG F ): 60.0 .STICK HEIGHT OFFSET DISABLED PRECISION TEST DURATION HOURS: 12 DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK I SUN START TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM SYSTEM SECURITY CODE : 000000 LEAK TEBT METHOD TEST MONTHLY : ALL TANK WEEK 1 SUN START TIME : .2:00 AM TEST RATE :0.20 GAL/HR DURATION : 2 HOURS LEAK TEST REPORT FORMAT NORMAL WPLLD LINE LEAK SETUP W I:UNL,PLUS PIPE TYPE: STEEL LINE LENGTH: 100 FEET O,20. GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH 0,I0 GPH TEST MM/DD DATE : 9?? 0 T I:UNL.PLUS DISPENSE MODE: STANDARD 'W 2:UNLEADED 1 PIPE TYPE: STEEL LINE LENGTH: 200 FEET 0,20 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH 0.10 GPH TEST MM/DD DATE : 999 0 T 2:UNLEADED 1 DISPENSE MODE: STANDARD T 4:PREM. UNL. PRODUCT CODE : 4 THERMAL COEFF :.000700 TANK DIAMETER : 95.50 TANK PROFILE : ' 1 PT FULL VOL : 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 95% : 11400 HIGH PRODUCT : 97~ : 11640 DELIVERY LIMIT : 5~ : 600 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: SO TANK TILT : 2.58 MANIFOLDED TANKS T~: NONE LEAK WIN PERIODIC: 10~ :' 1200 LEAK WIN ANNUAL : 10~ : 1200 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 BREAK:OFF DELIVERY DELAY : 15 WIN T 3:DIESEL PRODUCT CODE : 3 THERMAL COEFF :.000450 TANK DIAMETER : 95..50 TANK PROFILE : .1 PT FULL VOL : 12000 FLOAT SIZE: 4,0 IN, 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: '12000 OVERFILL LIMIT : 95% : 11400 HIGH PRODUCT : 97~ : 11640 DELIVERY LIMIT : 5~ : 600 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 2,54 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: 10~ :. 1200 LEAK WIN ANNUAL : 10% : 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED' PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AUERAGING: OFF, PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 WIN ~PLLD LINE LEAK ALARM W 4:PREM,UNL, WPLLD SHUTDOWN ALM AUG 5, 2002 6:24 PM WPLLD LINE LEAK ALARM W 3:DIESEL GROSS LINE FAIL AUG 5, 2002 6:44 PM WPLLD LINE DISABLE SETUP W i:UNL,PLUS IN-TANK ALARMS. T I:LEAK ALARM W 2:UNLEADED 1 IN-TAN~ ALARMS T 2:LEAK ALARM W 3:DIESEL IN-TANK ALARMS T 9:LEAK ALARM. W 4:PREM,UNL, IN-TANK ALARMS T 4:LEAK ALARM W 3:DIESEL PIPE TYPE: STEEL LINE LENGTH: 200 FEET 0.20 GPH TEST:. DISABLED SHUTDOWN RATE: 3.0 GPH 0.10 GPM TEST MM/DD DATE : 999 0 T 3:DIESEL DISPENSE MODE: STANDARD WPLLD LINE LEAK ALARM W 3:DIESEL WPLLD SHUTDOWN ALS AUG 5, 2002 6:44 PM WPLLD LINE LEAK ALARM W I:UNL,'PLUS GROSS LINE FAIL AUG 5, 2002 6:11 PM W 4:PREM,UNL, PIPE TYPE: STEEL LINE LENGTH: 200 FEET 0.20 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH 0.10 GPH TEST MM/DD DATE : 99~ 0 T 4:PRES. UNL. DISPENSE MODE: STANDARD WPLLD LINE LEAK ALARM W 2:UNLEADED 1 GROSS LINE FAIL AUG 5, 2002 6:56 PM WPLLD LINE LEAK ALARM W 2:UNLEADED I WPLLD SHUTDOWN ALS AUG 5, 2002 6:56 PM WPLLD LINE LEAK ALARM W I:UNL.PLUS WPLLD SHUTDOWN ALS AUG 5, 2002 6:11 PM LINE LEAK LOCKOUT SETUP LOCKOUT'SCHEDULE DAILY START TIME: DISABLED STOP TIME : DISABLED WPLLD LINE LEAK ALARM W 4:PREM.UNL. GROSS LINE FAIL AUG 5, 2002 6:24 PM SOFTWARE REVISION LEVEL VERSION 15.01 SOFTWARE~ 346015-100-B CREATED - 97.10.23.08.56 S-MODULE~ 330160-OtO-A SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS PRECISION PLLD ALARM HISTORY REPORT .... I N-TANK ALARM --~ T I:UNL.PLUS INVALID FUEL LEVEL MAR 4, 2002 6:28 PM NOV 19, 2001 6:07 AM NOV 12, 2001 4:40 PM N-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 3: pROBE TYPE MAG1 SERIAL NUMBER 206639 ID CHAN = OxCO00 GRADIENT = 951.09DD NUM SAMPLES = 20 CO0 1838.0 CO1 10428.4 C02 10428.7 COG 10428.8 C04 10428.1 CO5 10428.0 006 10427.8 'C07 10428.3 C08 10427.8 C09 10428.0 ClO 10428.0 Cll 44175.8 0.12 4178.4 C13 6162.5 014 6573.4 015 6740.6 016 7409.3 017 9036.8 018 44177.0 SAMPLES READ =125343147 SAMPLES USED =125937524 N-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 1: PROBE TYPE MAG1 SERIAL NUMBER 212274 ID CHAN = OxCO00 GRADIENT = 950.9?00 NUM SAMPLES = 20 COO CO2 12931 C04 12381 C06 12381 C08 12331 ClO 12832 012 4126 014 7372 016 8894 C18 44121 1321 0 CO1 12331 5 5 COB 12331 3 3 005 12931 9 5 CO7 12331 6 8 C09 12932 0 0 Cll 44120 0 5 013 6653 4 3 C15 7921 8 0 C17 10226 5 8 SAMPLES. READ =125955139 SAMPLES USED =125349572 ALARM HISTORY REPORT .... IN-TANK ALARM T 2:UNLEADED 1 OVERFILL ALARM JUN 14, 2002 10:14 PM JUN 7, 2002 2:51' PM MAY 27, 2002 4:47 PM SUDDEN LOSS ALARM AUG 11, 1998 5:12 PM- HIGH PRODUCT ALARM MAY 16, 2000 10:15 PM APR 23, 2000 7:37 AM APR 5, 2000-8:51 AM INVALID FUEL LEVEL. JUN 20, 2000 8:57 AM JUN 5, 2000 7:18 AM MAR 19, 2000 9:55 PM DELIVERY NEEDED JUN 20, 2000 11:03 AM JUN 5, 2000 8:30 AM NOV 22, 1999 5:50 PM IN-TANK DIAGNOSTIC' PROBE DIAGNOSTICS T 4: PROBE TYPE MAG1 SERIAL NUMBER 206629 ID CHAN = OxCO00 GRADIENT = 352.0800 NUM SAMPLES = 20 CO0 1860.0 CO1 9048.2 002 9048.@ C09 9048.6 004 9048.4 C05 9048.3 C06 9048.4 007 9048.5 C08 9048.5 009 9049..0 ClO 9048.8 Cll 49714-.4 012 4360.9 013 6087.1 . 014 6724.8 C15 7145.1 016 7798,0 017 9796,3 C18 48716.9 SAMPLES.READ =125210286 SAMPLES USED =125203909 IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 2: PROBE TYPE MAG1 SERIAL NUMBER 212269 ID CHAN =.OxCO00 GRADIENT = 351.0900 NUM SAMPLES = 20 CO0 1318.5 COl 19799.8 C02 19799.9 C09 19799.9 004 19799.9 C05 19799.6 C06 19799.9 007 19800.0 C08 19800.1 COg 19799.8 ClO 19799~7 Cll 44403.8 C12 3742,3 013 6103.1' C14 7123,3. 015 8253.8 016 8587.8 C17 9058.3 C18 44407.0 SAMPLES READ =125335008 SAMPLES USED =125328091 ALARM HISTORY REPORT ...... SENSOR ALARM ~ 8:DIESEL WPLLD S~UTDOWN ALM A~G 5, 2002 6:44 PM GROSS LINE FAIL AUG 5, 2002 6:44 PM WPLLD SHUTDOWN ALM FEB 5, 1998 B:55 AM END )< ~ ~ ~ * ALARM HISTORY REPORT SENSOR ALARM W i:UNL,PLUS WPLLD B~UTDOWN ALM AUG 5, .2002 6:11 PM GROSS LINE FAIL AUG 5, 2002 6:11 PM WPLLD SHUTDOW~ ALM MAY 30, 2002 9:05 PM HISTORY REPORT IN-TANK ALARM ..... T 3:DIESEL HIGH WATER ALARM JAN 3, 200'I 4:35 AM SUDDEN LOSS ALARM AUG 5, 2002 5:1l PM AUG 5, 2002 5:10 PM OCT 16, 2001 9:15 AM INVALID FUEL LEVEL JAN 3, 2001 2:10 PM DEC 29, 2000 5:56 PM AUG 16, 1999 9:40 APl PROBE OUT JAN 3, 2001 2:09 PM JAN 3, 2001 9:27 AM HIGH WATER WARNING JAN 3, 2001 4:25 AP1 ALARM HISTORY REPORT ..... SENSOR ALARM W 4:PREM.UNL. WPLLD SHUTDOWN ALM AUG 5, 2002 6:24 PM 'GROSS LINE FAIL AUG 5, 2002 6:24 CONTINUOUS PUMP ALM APR 28, 2002 5:00 AM ALARM HISTORY REPORT ..... SENSOR ALARM ..... W 2:UNLEADED ! WPLLD SHUTDOWN ALM AUG 5, 2002 6:56 PM GROSS LINE FAIL AUG 5, 2002 6:56 PPI WPLLD SHUTDOWN ALM JUN 5, 2000 8:46 AP1 ALARM HISTORY REPORT IN-TANK ALARM ..... T 4:PREM. UNL, SUDDEN LOSS ALARM AUG 5, 2002 5:11 PM AUG 5, 2002 5:10 PM INVALID FUEL LEVEL NOV 25, 2001 7:17 PM NOV 12, 2001 3:07 PM SEP 16, 2000 5:55 PM D August 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. Sakersgield, 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 Howards Mini Market 3200 Panama Lane Bakersfield, CA 93313 RE: Deadline for Dispenser Pan R_equirement 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 eff'ect January 1, 2002. This bill requires dispenser pans under fuel pump dispensers. On December 3 l, 2003 which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661- 326-3190. Sincerely ,~ J Steve Underwood 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 SERVICES'. EN~RONMENTAL 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. BakersfieId, 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 Howards Mini Market 3200 Panama Lane Bakersfield CA 93313 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 I, ~. ,~9~ S.~-~R il~ N D ENC E%?.1102 -07t~A D LIN ~R~ F_~ ~,~,~. ~,~.~ ~,,~ t.//~'(_.qt::~DISPF~,.~',O~z.PAN~LE;:~I'~..7~*" '~S CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACILITY ADDRESS Howards Mini Ma'r£et #351 (Site ID #706) 3200' Panama Lane OPERATORS NAME oWNERS NAME' Jaco Oil Company Jaco-Hil£ NAME OF MONITOR MANUFACT~R DOES FACILITY HAVE DISPENSER PANS.'? Veeder-Root YES NO X TANK # VOLUME CONTENTS I 12000 MVF 2 12000 3 12000 4 12000 MVF MVF MVF NAME OF TESTING COMPANY CONTRACTORS LICENSE # CA 5 8 9 5 1 7 NAME & PHONE NUMBER OF CONTACT PERSON Mar/~ DATE & TIME TEST IS TO BE CONDUCTED 0 8 / 0 5 / 0 2 APPROVED BY SUNSET MECHANICAL Blackburn 322-0660 DATE 3:00AM-5:00PM t,-1 " t SIGNATURE OF APPLICANT L D i' July 31, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bal~ersfield, 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 SA~ET~ s~w~cE$, rdemOauF, m*~ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBUC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5783 David Palmer Jaco Oil Co. P.O. Box I807 Bakersfield, CA 93380 CERTIFIED MAIL RE: Annual Maintenance on Leak Monitoring Systems REMINDER Dear Mr. Palmer: This letter is to advise you that the following Jaco Oil sites are coming due for annual maintenance on their leak monitoring systems. They are as follows: Howards Mini Mart 3300 Planz Road Due 08-17-02 Mt. Vernon Fa,strip 3501 Mt. Vernon Duc 09-04-02 Fastrip #622 4013 S. 'H" St Due 09-06-02 Fastrip #641 1200 Coffee Rd Duc 09-07-02 Chris' Liquors 2732 Brundage Ln Due 09-07-02 Fastrip #6 1640 S. Chester Duc 09-07-02 Ming & Real Fastrip 3701 Ming Ave Due 09-07-02 Fastrip #19 4901 S. Union Due -0-07-02 Fastrip #640 8001 White Lane Due 09-19-02 Wholesale Fuels 2200 E. Brundage Due 09-27-02 Fastrip #621 805 34~ Street Due 10-01-02 Fastrip #26 2698 Oswell Due 10-01-02 Harris Market 1701 Union Ave Due 10-01-02 Howards #6 4201 Belle Terrace Due 10-15-02 Farreils Fastrip 6401 White Ln #112 Due 10-15-02 Howard's #4 3200 Panama Ln Due 10-15-02 Fastrip #633 6401 S. H Street Duc 11-01-02 As a courtesy, this reminder has been sent to you. No further reminders will be sent, and formal "Notices of Violation" will be sent 10 days after the due date, unless documentation of testing has been received. 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 SBU/dc B D July 1, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 ~H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399°5763 Howards Mini Market 3200 Panama Lane Bakersfield, CA, 93313 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for Site Location at 3200 Panama Lane, 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 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. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services D May 30, 2002 Howards Mini Market 3200 Panama Lane Bakersfield, CA 93313 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 3200 Panama Lane, Bakersfield. Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr D April 12, 2002 HOWARDS MINI MARKET 3200 PANAMA LANE BAKERSFIELD, CA 93313 Re: Enhanced Leak Detection Requirements 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 REMINDER NOTICE Dear Owner/Operator, The purpose of this letter is to remind you about the new provision in California law requiting periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(1) of the Califomia Code &Regulations, Title 23, Division 3, Chapter 16; As an alternative, the owner or operator may submit a proposal and workplan for enhanced leak detection to the local agency, by July 1, 2002; complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." Please be advised that there are only a few qualified testers available to perform "Enhanced Leak Testing". All testing must be under-permit through this office. For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU/kr Enclosures ERSF FII E .... D February 11, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349. SUPPRESSION sERVIcES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 John Kerley JACO Oil P O Box 1807 Bakersfield cA 93]-03 Deadline for Dispenser Pan Requirement December 31, 2003 for the Following Locations: Chris' Liquor, 2732 Brundage Lane, Fastrip, 8001 White Lane, Fastfip 1200 Coffee, Fastfip, 4901 S. Union Ave., Fastrip, 805 34th St., Fastrip, 4013 S. "H" St., Wholesale Fuels, 2200 E Brundage Ln., Howard's Mini Mkt., 3200 Panama Ln., Howard's Mini Mkt., 4201 Belle Terrace, Howard's Mini Mkt., 3300 Planz Rd., Ming & Real Fastrip, 3701 Ming Ave., Mt. Vernon Fastrip, 3501 Mt. Vernon Ave., Harris Mkt., 1701 Union Ave. REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this'office with rega;d to senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit_ to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is ' why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm HOi...,.IAF.'I:~S M I l;J 1 -MART 3900 l:'hl"~AMA LN.9:331~ Ba}<EI;:SF I E[,D CA. NOV !'3. 2001 9:~1 AM S'ZSTEM STATUS REPORT aLL FUI'4CTI':.-:,hIS NORMAL l I',I'~/ENTOR'f REPORT T 1 :UNL.PLUS V,:DI_ LIME = 3405 GALS LILLAC;E = ,cJ5'35 GALS '913!;.; ULLAGE= ?:3'95 GALS TC VOLUME = ',3401 C-:ALS HE I C;HT = '31 . 1 '9 I.r 'ES WATER V,:_",,L = 0 G,~..__., IjATER = Cl. O0 INCHES TEI'.'IP = 74.6 DEG F T ~: LIr,ll_E~bt:~I) VOLUME -- --= _ ULLAGE = 6941 G~LS 90~';; ULLAGE= 5741 C;ALS TC VOLUME = 5054 GALS HEIGHT = 41 .85 INCHES WATER VOL = 0 ,S~LS ~`laTER = O. 00 INCHES TEMP = 73.6 T :3 :DIESEL VOLUME = 369:3 GALS' ULLAGE = 8307 GALS 90:~ ULLAGE= 7107 GALS TC VOLUME = 3689 GALS HEIGHT = 33.10 INCHES I~A'['ER VOL = 0 GALS (,,lATER = 0,00 INCHES TEMP = 83.6 DEC; F T 4:I::'REM. UNL. VOLUME = 2714 GALS ULLAGE = 9286 GALS 90~';:: ULLAC;E= 8086 GALS TC VOLUME = 2710 GALS HEIC. iHT = 26.48 INCHES 1.4ATER VOL = 0 GALS I4ATER = 0.00 ~"CHES TEMP = 75.7 >.....~ F FACILITY NAME ~t3u )ttc,~'~ ADDRESS .°xOO(9 - FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 PHONE NO. ~- Ig/o/ BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine [~[Combined [~ Joint Agency [~l Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy L' / Verification of inventory materials Verification of quantities ~'~ Verification of location / Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ~'~ / Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand ~ / ' C=Compliance V=Violation Any hazardous waste on site?: ~] Yes ~.No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station CoDy Pink - Business Copy Business Site )Responsible Party Inspector: .~ ~,~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME IqOt~,ar_,r~ Iht~t Section 2: Underground Storage Tanks Program INSPECTION DATE Routine ~ Combined [] Joint Agency Type of Tank Type of Monitoring [] Multi-Agency. t [] Complaint Number of Tanks Type of Piping 3tO,.'i (~(2, P ) [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file [..., Permit fees current ~ Certification of Financial Responsibility Monitoring record adequate and current b /' Maintenance records adequate and current ~ / Failure to correct prior UST violations ~ J 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: ~ ~zff~~ Office of Environmental Services (805) 326-3979 White- Env. Svcs. Pink - Business Copy Business Site Responsible Party 0CT--29--01 MON 1 2 : 06 FROM B . S . S . R . I NC . :tco P. 01 MONITORING SYSTEM CERTIFICATION, For Use By Ali Jurisdictions ;Vidffn tl:e State o/California . , ~tttOri~ Cited: Chapter 6. 7, Hechh and $afe~ Code; Chapter 16, Division 3. Title 23, Cal~orma Code of Re~tlaffons ~r ~c~ mQpi~g~n~ svste~c~n~ol mane.l by the tec~ician who perfom~ ~he work. A copy o[tms lm~ mus~ oe provmea to me ta~ ~,i~e~' b~e~°p¢rator. Th~ ostler/operator must sub~t a copy of ~his fo~ to the local agency regulatmg UST sys[en~ ~5~in' 30 :.k. Ge.,n, eral Informatio ...... mdg. t, ro..._.3 5 ~ ....... Contact Phone Date of Testing/Servicfi~g: Ma,k~[odel of Monitoring System: TCS'350/OSqqO qo B. Inv.entory of Equipment Tested/Certified '" hcc~ ,;.tic a' re flare boxes to Indlcatc specific eq~;orn~nt inSpected/serviced: 0 Fiji Sump S~n,or(s). M : · " 0 Mechanical Line Le~ Dctecior, {~' M'~chanica~ Line Leak Detector. M~del: . . . '~': 7~;i~ Overfill / ~igh-Levd Sensor. Mo&k .... ~ ~3' .?h'~:,' (specify equlpmen~ me and mo&l in S~ction E on Pa~ 2). Model: -' - Model: Model: Model: Ct'lFJcctronie Line Leak Detector. Model: ~_H ~ ~' O Tank Overfill / High-Level Sensor. M~cI: ~ Olher (specify equipment ~e and m~el in Sec6on g o~ Page 2). Tank ID: _ ~ ~, ~ ~ . ~.TankCauSingProb~. ' M0&i/~q~'bq.O210~: Annular Space or Vault Sensor. Modch ...... :.. vlar Space or Vault Sensor. Model: ]' ~:.Pi:l~i'fi$ Sump I Trench Sensor{s). Model: 0 Piping Sump / Trench Stn':,or(s). Model: .! ?:il 9 . ...... '] ~'M~h'anical Mnc Leak Ducctor. Model: u ~tccnanica{ uinc uca~ uctccror, moac~; .......... i ~ =" i; ............ v-' o_:._. Mndcl' ' ........ 0 Tank Ovcrfill/High-Lcvcl Sensor. Modcl: _ .~.~ O{h~r fspcci~ C~pmcn~ {~c and...~cdd in ~ect[?E. 08 Pa$c 2). I ~, O~hc[ fspccif~ ,~u,pmcgi t~ ap~.model m.~qt!cn..E on.page 2). ~ ~:. D g~¥cnscr ~n'tainmcm Scnsof(s). 'M°dch .... ~ Dispcnscr Con{ainmcn{ Scnsor(s), Mcdc{: ......... ~ ,O~'¢nscr Containmen{ Float(s1 and Chainrs). rd Ois6cnscr Containment Floatfs~ and Chain(s). 0 'D~,'~,ms.cr Containmcn{ scn~r(S)· M°dch O Dispenser Contalnmc~i Sensor(s). Model: . .:...._ '~oi~'p~nscr Contaln~cnl Float,s) ~d Chaio(sI' O Dispenser Conlalnment FIoaIO) and Chain(s) .......... . '?~i'b'?~aCiiity Contains more tanks or dispensers, copy this rom. Include info~ti°n for cvc~ ~k a~'d'i~P&nscr a~ thc C. Certification - I cmlrx that lhe cqulpmcn~ Mtnti~d I, this document was tns~ctc~sc~lccd ia accordance with ~he g~jdelines. Anached to this Ce~iflcatio~ ~ Information (e.g, manufacturcm' chcc~lst/) =ec~a~ to ved~ that this Info~tloa c~rcct and a Plot Plan showing the layoat of monRodug equ~menL For any equipment capable of geae~tiat such repo~ I have abo at~ached a ~opy o~ ehe repo~; (check MI t~at a?gl~): ~ystem set-up D ~arm hts~ r~ort .SiteAddrcs~: . ~50 RO'~O~te (4wV ~,, Da~corres~ffSc~k~g:~/.tS/OL OCT-- 29--01 M'ON 12 : 07 · FROM B . S . S . R . I NC . P . 02 ' I)'., R,!?u~Its of Tesda~Servtciag $ofr~v~eVersionl[~statlccl:._._ j ~,.C'),,I, ' ~ ~'7: ~ ~0' Is ~e audible alarm operational? ................... L~u 'o: No* We. all semors visually ~pcctcd. Dnctionally teSto6] a'~d'co~cd opcrati°ml? ..... ~{~". N0* all se~ors .~,: ..... ~ .,, O Were M~tallcd at lowest point ofseconda~ contai~nt an~ positioned s° ~t o~¢r eauiP,ment ~il ,: .... not interfere ~thelr proper opeF~tion? .......... ~,; ~' No* If ala~ ace relayed to a remote ~oaitofing station, is all co~=~catxo~ equipment (e,g.:mod*m) O ~/A operational? ...... ' ' ' ~rbmc auto~t;cally shut do~ If ~¢ piping seconda~ con~a~cnt ~,: ~ No* For pressured pl~lfig syste~, does ~c ' .... ' ...............' ' ' ' : ~ N/A moMto~g s~t~m detcc~ a leak, fails to operate, or ~ clec~caRy disco~cctcd? If y¢s: wMeh se~oa positNc shut-do~? (Check ae that apply) ~ S~p~rench Scoots; ~ Disposer Con~i~ent Scoots. ~. Did you con~ positive shut-do~ duc3~ lea~ ~n~ scmor failurc/disco~ection? ~i~;. ~ ~' 0 No. For ta~ syste~ &at util~c ~e mo~to~S system as ~c p~ ta~ oveffilI warning d~vic~ " ~ N/A ~chaMcal ore.Il prevention valve i$ im~llcd), is ~e ovc~ll ~ng ala~ vis~I~ and audible at flu poMt(s) and pp~rat~g propcrl~ If so, at what perctnt of ~ capacity does &t al~ ~iggeD :L~;$. ,{ ,. % ~e] ~" ~o Was any mo~to~g cqulpmcnt replaccd2 If yes, identi~ specific s~mor$, probes, or o~cr cquip~nt replaced :. and llst ~¢ ~E~.~er mine and mod~!.~oL.alI replacement pa~ M SCfti0n E,..b¢low ~' ~' No Was liquid fo~d ~ide ~y scconda~ conai~ent s~te~ desired as ~ systd~? (Cieck all fiat ~' ~ ~ '"~p.*...Was ~to~g system Set-uP re~icW~a t° ¢~we pr°pcr, s~g.s? ~ch set ~p repo~, ifa licabie ' :~'."::.: ~10 Nos . Is all m°nit9~ ituipmcnt operationalper ~ufac~er's specification? .... . ... ': "f.:'iL{ ~tto, g b~low describe hbw and when these deficiencies'were or will be corrected. " Pal~e 2 of 3 03~1 0CT--29--01 MON 12 .' 08 FROM B.S.S.R. I NC. P. 05 F. In-Ta~k Gnuglng / SIR Equipme~t: Q Check ~is box if ~a uging i~ u~ed only for ~v~nto~ consol, "rhi~ s~ction must be completed if ~-ta~ gauging equipment is used to perform leak dete~tion monitoring. Complete the following chec~tst: ' ii" 0 NO* Has all input wklx~g been inspected for proper entry and termination, including testing for ground faults? ',S ,] 0 No'" Were all tank gauging probes visually lllspeCt_e.~.lf0.r.damage and r~s~due buildup? ',,~-" O' No* ~as acc~acy ofs~tem product level gad~gs t~tcd? ~I..2 ~ No' Was accuracy 0f~ystem water lcve! readings ested? ~ , ~ No* Were all ite~ on ~e eqmpment mnufac~rer's ma~tenance checklist completed? Section H, below, describe how and when thege deficiencies were or will be corrected. G, l,ine Leak Detectors (LLD): t3 Check this box ifLLDs are not installed. lis" D 1~t'o*. For equipment start.up or annual equipment certification, was a leak simulated to' i~erify LLD p~rformariee? El N/A (Check all that apply) Simulated leak rate: ~ g,p-h.; El 0.1 g,p.h; ~ 0.2 g.p.h, 'y: Cl. NO* Wer~"ail LLDS C0nfi~e~l' ~rational and agc, ura'~'~vithin rcgu'i'atory'~eqtfi~emeni~'? '.~,.~ No* Wasthe testing apparatus properly calibrated? ~ 13 No* For mechanical LLDs, does the LLD restfiet"~;}0d~i¢'{floW'i'~it detects a leak7 ....... ,,[~ N/A i' El No* For electror~i~ LLDs, does the t~'rblne automatically sbu! off if the LLD detect~ a leak? ,' ............ El N/A O N/A or disconnected? ' ' · El N/A or fails a test7 i, .'Y' ~El No* For d~c~o~'~c' LLDs, h~v~ all ac'~essibl~ wirin~ ~'~n~cfiom been visually ~spect~d? ....... ....O N/A ~' 'O .No* W~re all i~"on ~ equipment manuf~C~r's ~'h~nanc~ c~¢'c~ist compkt~'d7 ;; ............. ~ - .!l]~lei Section H, below, describe how and when these deficiencies were or will be corrected. Comments: Page 3 of 3 03/01 0CT--29--01 MON 12 : 09 FROM B.S.S.R. INC. P. 04 + System Certification UST Monitoring Site Plan Date .Instructions alr~ad ~ve n dia am....~..'t shows all re aired information, you may include it, ra~F,~n,t~ ~g~, ~i~ your sump~.,Si~efiser p~, ~pill containers,, or other seeonda~ containmeat ~eas; meehabical 0r 'eleCtriC ~ine ~¢a~ and m-tank liquid level probes (if used for leak detection). ~ fl~e ~ace pro, ded, noto tAe date ~xs Site 0CT--29--01 MON 12 : i 0 FROM B.S.S.R. I NC. P. 05 Jaco Dispenser Information Da~e ~ T~tlng/Serviclng ~ 0 / t ~ ! (~ ~_ ' Containment FIc~t(s).and chain(s),. ,, Sensor(6). M~dd: ......... C. i Containment FJoat(e),and ¢hain(s)~ ..... C~?tajnment ,Sensor(s). Model: ..... .i Dispenser Containment Sensor(s), Model:,, 13'~Shear Valve(s) Dispense' ¢~tainmem Sensor(~). Modd:_ ~ El"'"$h e,.~ Sensor(s), M~del:. Sheer Valve(s) Containment Float(s) and chain(s). ID: Dlspense~ Cont,31nment Sensor(s). Modal: Sh~r VaMp(s) Dispenser ID:. El Dispense' Cmtainrn~flt Sensor(s}, Model:,., Shear Valve(s) Dispense' Containment Sensor(s). M~e~:, Shear Vol~s) Containment FIo~(s) and chaln{sJ .... · ,C.;k,~/ete items 1, 2, and 3. Also complete item ~ if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Ad/cie Addressed to: John Kerley J~co ~' 0 Box 82515 BakerSfield CA 93380 RE: Howard's #4 3200 Panama Ln '6. S gna,uri '/ ) /¢ / / ' [] Agent X ~/,~,~/~ (~~,~Addressee J.~elivery/~dr/~ss different from item 17/' [] Yes / If YES, e~lelivery address below: ~ [] No 3. Service Type ~Y. Certified Mail [] Express Mail [] Registered [] Return Receipt for Memhandise [] Insured Mail [] C,O.D. 4. Restricted Delivery? (Extra Fee) [] Yes - 2. Article Number (Copy from service ~abel) 70'-~'0520 0021 9610 8131 PS Fo~'f~'3811, July 1999 Domestic Return Receipt 102595-99-M-17~9 · 'Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endoreemeht;Requlred) Total Postage &.Fees .34 2.10 1.50 3.94 Here ReciPlent,a Name please Print Clearly) (To b~,completed bY John Kerley ~i~;'~};'~;;~'k'b'~T~;p 0 Box 82515:5 ................................................ .-"1 ~a~e=s~&e[d Ca 93380' ,. D September 27, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 John Kerley Jaco Oil P O Box 82515 Bakersfield Ca 93380 Certified Mail NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Submit/Perform Annual Maintenance on Leak Detection System at Howard's #4, 3200 Panama Lane, Bakersfield Dear Mr. Kerley Our records indicate that your annual maintenance certification on your leak detection system is past due. September 23, 2001. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, October 27, 2001, 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: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walt Porr, Assistant City Attorney D september 10, 2001 John Kerley Jaco Oil Company P.O. Box 1807 Bakersfield, ca 93380 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) 395-1 349 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 NOTICE OF EXPIRATION ON MONITORING CERTIFICATION Dear Mr. Kerley: The following Jaeo sites are currently due/past due on annual monitoring certification. These sites are as follows: Site Address Due Date 1. Farrells Fastrip, 6401 White Lane 9-04-01 2. Chris Liquors, 2732 Brundage Lane 9-05-01 3. Fastrip #640, 8001 White Lane 9-05-01 4. Wholesale Fuels, 2200, Bmndage 9-12-01 5. Fastrip #19, 4901 S. Union 9-12-01 6. Fastrip #621,805 34~h 9-20-01 7. Fastrip #6, 1640 S. Chester 9-22-01 8:. Fastrip, #26, 2698 OsweHStreet 9-22-01 9. Howards g4, 3200 Panama Lane 9-23-01 10. Fastrip #622, 4013 "H" Street 9-27-01 11. Ming & Real Fastrip, 3701 Ming Ave 9-27-01 12. Fastrip #641, 1200 Coffee Road 9-28-01 13. Howard's #6, 4201 Belle Terrace 9-28-01 14. Howard's, 3300 Planz Road 9-28-01 15. Harris Market, 1701 Union Ave 9-30-01 16. Mt. Vernon Fastrip, 3501 Mt. Vernon 10-2-01 Failure to perform or submit monitoring certification within 30 days of due date will result in revocation of your Permit to Operate. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Iftspector/Environmental Code Enforcement Office Office of Environmental Services SBU/dm D August 3, 2001 FIRE CHIEF RON [:RAZE 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 Howards Mini Market 3200 Panama Lane Bakersfield Ca 93313 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 3 l, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm · C' ~ete items 1,2, and 3. Also complete it~,-.-( if Restricted Delivery is desfi'ed. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the-front if space permits. 1. Article Addressed to: JACO 0TL COMPAI~ P O BOX 82515 BAKERSFIELD 93380 RE: 3200 PANANA LN 2. Article Number (Copy from service label) ~a00 0520 0021 9625 4630 -~-Ft~,._z'3811, July 1999 Date of Delivery [] Agent [] Addressee · [] Yes [] No If YES, enter delivery address below: ~] Certified Mail ~~'~' ~ [] Registered / ~_/~et,~urn Rec,.~t~ ~e~lerchandise [] Insured Mail ~ Domestic Return Receipt 102595-99-M-1789 postage Certified Fee Retum Receipt'Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ .34 1.90 1.50 3.74 Hem : ~ FReclplent's Name (Please Print Clearly) To be Completed by mailer) -"' L ..................... , ...................... ,,.., .......... ~/ P 0 BOX 82515 . . .................... --, : ~ r;~I"1~'.I~P:~'dTELD CA 93380 D January31,2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES' 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H~ Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661 ) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 John Kerley Jaco Oil Company P.O. Box 82515 Bakersfield, Ca 93380 CERTIFIED MAIL Failure to Submit/Perform 3 Year Certification on Cathodic Protection System at Howard's #4, 3200 Panama Lane, Bakersfield California NOTICE OF VIOLATION SCHEDULE FOR COMPLIANCE Dear Mr. Kerley: Our records indicate that your 3 year Cathodic Protection Ce~ification is past due. You are currently in violation of section 2635(a) Title 23, Division 3, Chapter 16 of the California Code of Regulations. "Field-installed cathodic protection systems shall be designed .and certified as adequate by a corrosion specialist. The cathodic protection system shall be tested by a cathodic protection tester within 6 months of installation and at least every 3 years thereafter." If you have performed this 3 year certification, please submit a copy to our office ASAP! If you have no__~t performed the cathodic protection testing, you will have 30 days (March 2, 2001), to comply. Since your cathodic protection is. part of your monitoring system, it is imperative that the testing be done and received. Failure to perform testing will result in the revocation of your permit to operate. Should you have any questions, please feel free to contact me at 661-236-3979. Sincerely, Ralph E. Huey, Director Office of Environmental Services by: ¢~~ SteVe Underwood, Inspector Office of Environmental Services SBU/dm B FIIIE D January 22, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1 349 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 Howard's Mini Market 3200 Panama Lane Bakersfield Ca 93313 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your permit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pu:? ~c such action, which is why this office plans to update you. I urge you· to 'start planning now to retro-fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector Office of Environmental Services SBU/dm HOL¥-d;:DS I't I [,~ ] ~-HAF!T 3200 PhNaPIA Bat:':ERSF [ EI_.D (_-%, ,~"-" 805-8:33.-. 1561 2000 !0:15 aP1 SYSTEM STATUS F:EPOI-:,'T aLL FUNCT 1 ,:3N','5 ['.4ORPIaL I I'4VE NTOR'~" F:EI:'ORT T 1 :UNI..I:'LUS VOL dPIE = 6756 ,:3aLS IJLLF¥.i;E = 5244 GaLS 90% ULLAGE= 4044 'D.': \/OLLME = 6644 C;aLS HEIGHT = 52.48 INC:HES ~,.laTER VOl. = 0 GALS Lla'I'ER = 13. CI0 I Nc'HES 'rEIIP = S0.6 D[ F · r 2 :IJI'.ILEF:DED 1 VO[.UME = F_?700 GaLS UI_I. FiGE = :3.:3 E,-3-G~LS 90:::; ULLAGE= 2100 ~:--~ALS Ti]' ',/OLUHE = 8573 HEIGHT = 65.01 INCHES t.,IaTER VOL = 0 HATER = 0.00 I ES TEPII-; = LqO. 8 T S:UNLEF~DED 2 VOLUME = 5264 GaLS ULLAGE = 6'736 GaLS 90,% LILLAGE= 5536 G~4LS TC VOLUME = 5i76 GaLS HEIGHT = 4:3.14 INCHES I,,I~TER VOl.. = 0 GALS I.,,JATE};¢ = O. O0 INCHES TEf"IP = 83.? DEG F T 4:PREM, UI,IL. VOLUME = 5856 GaLS ULLAGE = 6144 GaLS 90% ULLAGE= 4944 GaLS TC V©LUME = 5761 GaLS HEIGHT = 46.,.85 INCHES UaTER VOL = 0 r "S HATER = I-I. 00 "...._..~ES TEMP = 83.1 DEG F ' FACILITY NAME ~OOJ~ec~ ~tn, ~"'~ ADDRESS ,"~30 I~.1~ Ma ~ FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 INSPECTION DATE I PHONE NO. 33'1g(o BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: [~ Routine Business Plan and Inventory Program [~oombined [21 Joint Agency {~1 Multi-Agency Complaint Re-inspection OPERATION C V COMMENTS Appropriate permit on hand V Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled / Housekeeping / Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [21 Yes Explain: White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE I{'" I~' tOo Section 2: Underground Storage Tanks Program [] Routine [~ombined Type of Tank ,_.q k) Type of Monitoring [] Joint Agency [] Multi-Agency [] Complaint Number of Tanks ,t.[ Type of Piping ,.5tU.S Cf2 [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Pennit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) 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? C=Compliancelf yes, Does tank have overfill/overspill protection?~ V=Violationj/// Y=Yes N=NO ~l'~/,,_.~ ]//~f~/~ · inspector: ~tjt: F~]~.~~~ 'N~ ~. ~//j .... Bu sines~'-~esponsible Party Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy Construction & MECHANICAL Continuous Monitoring Device Ce~ification TEST DATE C~ ...~'~- O (~) FACILITY NUMBER '"~"~ ~' I FACILITY NAME HO ~,JA ¢' L~/$ ~ ~' CONTACT PERSON J~h,4 ADDRESS £ ~, TELEPHONE CiTY ZIP CODE (661) 871-1788 (ob I - ,,~ ~-? MAKE AND MODEL OF MONITORING SYSTEM ~'/~ ,~,~-0 · TANK 1 TANK 2 TANK 3 TANK 4 Contents of Tank Capacity of Tank I ~, o/") ,, Type of Product Line (Gravity, Suction, Pressure) DreW'.. NDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR No IN THE APPLICABLE BOX; Annular Space Sensor ,,, o -- " ""'- Sump Sensor Dispenser Containment Sensor Electronic Overfill/Level ~ 5' Electronic In-Line Leak Detector ¥ Mechanical Line Leak Detector In-Tank Gauging Device INDICATE THE FOLLOWING BY PLACING A YES OR No IN APPLICABLE BOX: Does the Monitoring System have audible and visual alarms? V E~' ',~ Does the turbine automatically shut down if the system detects a leak, fails to operate or is electronically disconnected? Is the monitoring system installed to prevent unauthorized tampering? Is the monitoring system operable as per the manufacturer's specifications? ~/ ~.~ ~ --~ Which continuous monitoring devices Initiate positive shut down of the turbine? CERTIFIED TESTER'S ID# SIGNATURE OF CERTIFIED TECHNICIAN PRINTED NAME OF CERTIFIED TECHNICIAN TESTING COMPANY NAME ~ TELEPHONE I DATE CERTIFICATION DATA CITY OF BAKERSFIELD rFICE OF ENVIRONMENT'~"ERVICES 1715 Chester Ave., Bakersfield, CA~93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Check one item only) [] 1. NEW SITE PERMIT [] 3. RENEWAL PERMIT ~ ,~-~. AMENDED PERMIT [] 5. CHANGE OF INFORMATION (Specify change - local use only) [] 6. TEMPORARY SITE CLOSURE Page ~ o~ ~ [] 7. PERMANENTLY CLOSED SITE [] 8. TANK REMOVED I. FACILITY I SITE INFORMATION 3 ~Nsss ~1. c~s STAT,O. [] 3. F~"" [] ~. CO~ERC"~L [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER 40~. i TOTAL NUMBER OF TANKS REfrAINING AT SITE t FACILITY OWNER TYPE [] 1. CORPORATION ?INDIVIDUAL ~i~:? ::: PARTNERSHIP Is facilily on Indian R~s~Uen or J In,fiends? I I-Iy. D.o 4o~. [] 4. LOCAL AGENCY/DISTRICT' [] 5. COUNTY AGENCY* [] 6. STATE AGENCY' [] 7. FEDERAL AGENCY* *If Ow~e~' of UST a public agency:, name of supervisor of divisi~, section ~ of~e which ~oemtes the UST. (Thl~ i~ Ihe centact persen for the tank recorcls.) II. PROPERI'Y OWNER INFORI~TION .. PROPERTY OWNER NAME PROPERTY OWNER TYPE [] 2. INOMDUAL [] 1. CORPORATION PARTNERSHIP 407. [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY 412. 413. · ... II!. TANK ~ER INFORMATION TANK OWNER TYPE [] 2. INDIVIDUAL ~. PARTNERSHIP 416. 419. [] 4. LOCAL AGENCY / DISTRICT [] 5. COUNTY AGENCY [] 6. STATE AGENCY [] 7. FEDERAL AGENCY IV. BOARD OF. EQUALIZATION liST STORAGE FEE ACCOUNT NUMBER ' ' - ,,(916)322-96691fquestionsarlse "'"" "V. PETRoLEuM UST FINANCIAL RESPONSlBIMTY ' INDICATE METI-K)O(S) ,~ SELF.INSURED [] 4. SURE'~' BOND [] 7. STATE FUND ,1"'1 10. LOCAL GOV'T MECHANISM 421. [] 2. GUARANTEE [] 5. I.~i D-R OF CREDIT [] 8. STATE FUND &CFO LE'I-FER [] 99. OTHER: [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CD VI. LEGAL NOTIFICATION AND MAILING ADDRESS / Chec~°~eb°xl°indlc~'lewhicfl addresss~"°uldl:~eu=edf°rlagatn°llflcal~'~n'landmaillng' [] 1. FACILITY '~2. PROPERTY OWNER ' LagM no~flcatJon,, and malllng~ will ~e senl to the tank c~mer unless box I or 2 is checked. [] 3. TANK OWNER 423. VII. APPLICANT SIGNATURE ~c GCe~2;2: I cedify mat the Informatien provt,,,,.J;l'ad'heraln Is tree and acc~rala ID the II)ell of my Imowfe<}ge. 9TATE UST FACiLiTY NUMBER (For/oc~/uM only) 428. JPCF (7/99) DATE /. / / 424. I PHONE . ~ 425. T,T'EO~A~CANT...V ~ ~~'/~' ~' 4~ 19~8 uPGRADE CERTIFICATE NUMBER (For local use only) 429] S:\CU PAFORMS~swrc, b-a.wpd OFII~CE OF ENVIRONMENTALiIbERVICES 1715 CheWer Ave., Bakersfield, CA 9330Y'(661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 ,'Y~ OF ACTKDN : Chec* on~ ,mm r-] F. F)EnM~.NTL~ C~OSEO ON ~TE L TANK OE~cJ~nON 433 T~~O~ IL TANK CClN'T~/~ [] ~. ~3t~EWAU. INAVAtA.'r [] z 1"'1 3. I-I s. ~ n ~. ~mP co~,A-ne~w;~0o% ~m'HANOL n~. o'm~. O · ~ non-co.~.~.~:~-~ O~. ~ OtO. COATEO $ ~ r. ed. ~.Tl[ IN~r~ i ~-r~' 447 0 ~. ~.~ t.~mo C] ~. ot,~o~n~ ~,~. 0 L ~un~ 0~.~ DATE INS'TALL~ M0 ~.x U ~n4t k3~y) OVERFILL PROTECTION EQUIPMENT: YEAR IN3TAI ~Fr~ 4~2 I'-] 2. &A/..L FLOAT ~ r""] 4. ~ ~ o<~j~.a WAtJ. TA~< ON ?).NK ~Mm at. ADoLn (C.M~ ~n~ Mm (=n~' ~T F"'I 1. Vl~U/a.(~N(3t. EW.aLt.~NVAULTONLY} r""] 3. gAL MONITORIN~ V. TANK Ct.O~UI~ INPOI~MATKW I PIIUJANII(T I.OJURI IN PLACE r~A TIO GA TI LAIT UI~ (YMG~Y) (ii IITt~T1DQUIWTTTYO~UO~TACI~ 4~ TAItCF~.~OW~HM. KrMAIlRLAL? (7/0'0) CITY OF BAKERSFIELD Chiltlr Av~., ~kertflild, CA g3301 .URrT~D ~P~NO (Check ELEC'T~:K)NIC LM LEA.K CX.=TECTOR 3.0 (31=H TF.~'T ~hlTH AUTO PLIAp .II.K/T OFF FOR LEAK SYSTEM FAJLURE, AND ~f~TEM D~ * AUOI~ AND VISUAL I--! 2. MONT~.Y0.2OPHT~.ST , [:::] S. C~It. YV~UAL. laONffORINGOFPUMPI,~K~SYSTF. M.~~~ TEST (0. I GPH) .SAFE ,~JCTX:)N SYSTEMS (NO VALVES ~ Bet. OW GROUM3 Pt~"): O~,OENSER CONTAJNMENT [:] 1. ~C~,'r MLeO~AN~ TI~T ~ O~ ~ VALV~ OATEIN~TALLEO ~ ~ 2. CO~TII~KS~J~~PM~N~3~*~A,NOVI~UALAZ.M:Ud~ ; ~"~ 3. ~8 ~ PAN SEN~OR ~ AUTO ~tJT OFF FC~ 01~PENSER * AUOiS~ AN~ VISUAL. [::] z MONT~YOJC~TESr I--I 3. ANNUAL WTEO~rYTEST(~ ~ I'1 4. OAA.YV~U~C~C-CX SAFE SUCTION SYSTEMS (NO VALVES ~N BEt. OW ~ P~I:~G): ~=CONDAR~Y CONTNNI[D PgRM3 ~ ~O~O~A~~ ' ' ~ ~ ~~~(o.~ ~) ~ ~5. ~O~U~L~~.O~ ~ ~ a. ~U~ ~l~ ~ST (0.~ ~) ~ ~7. O~LY VI~ ~E~ - ; ,/ DC. OWNIIR/OPERATOR $1ONATURE r 17' IPe'mA Nu~ (Fo~ ~)c~J ~4 ~) 471 474 I PI~I~~#r'~'~:MuMO~)475 UPCF (7/99) S:\CUPAFORMb%.~WIRCB-g.WP C , .~ CITY OF BAKERSFIELD .~~ OF~.E OF ENVIRONMENTAL~RVICES 1715 Chester Ave., Bakersfield, CA 9330"r'(661) 326-3979 UNDERGROUND STORAGe TANKS. TANK PAGE 1 L TANK CO~ARTMENTAU2~D TA.'~ I'-! ¥# ~ ~ OF I'] 5. gINGLEWALLWITHe~UU. BLAZX)ERSY~qeld I-I s. cota::z~Te VI & p~p co,4:'A'net~ w, oo% ~ VI ~g. OT~R. OL~ O~.o~ .~_ ~2. AUSt~L {&XPOI~D PO~TIO~ O~I.Y~ ~] 1. CONT1NUOU~ r-] s, I~Ua~AL?A~(GAUGU,~(MTO) C] ?. OR~ATER V. T.IJ~ ~t. OlUU INFORMATION I PlRMANINT (1OJURI IN PLACE I'IMATIO OATI LAIr UIIO 4~ TAHK F~LSO V~TH ~ Dy# :'.F (7/'9g) S;\CUPAPORMS~c~'WPC CITY OF .XKERSFIELO ., OFFICE OF ENVIRONMEN?~I. SERVlCES ~ WCh~tir ~ve.. ~kemfl~ld. C~ ~3301 (~1} 32~-~9 /,- UNCE~(3~K3UNO PI~NG SYSTEM CONSTRUCT~' ~ I. SI~E WA~ ~3. LIN~ T~ ~NUFACTU~E~I~ 2. ~U~ W~L ~ ~, U~ ~ ~FACTURE~ I'"1 3. (3RAVTTY 454 PRESSURE 1--1 2. ~JCT~N I--1 3. (3AAVTTY ~ ~. S~NC~.E w,~J. I-1 ~. U&,,aC,NOVm I-I 2. OOum. E w)~. I-] ge. OTHEA ~FACT'UR~R [] I. ~3AJ:IES'T~EL r-I 8. FRPCOMPAi'ISL~WI 100%k,~'TH~ ~ 2. STA~h'L. FS-S STEEL l"1 ?. GALV~ STEEl. l"l 3. ~ST~: COMPA?mLE wrm CONT-cm'S I:::] & FLEX~.~ (HI:X~) ri 99. o*r~ER [-I 4. F~BERC, LAS~ ~ g. CATHOOC P/K)TECT'K)N ~"] S. STEEL W/COATING [] g4. UNKNOWN 4 VI. PI)fN(a ,~. ERL,T~O PU~NG (CMc~ M ~h~t LE~ UNE LEAJ< OLrTECTO~ 3.0 Gl:q.f T-r. ST WTTH AUTO PUI4~ ~4UT OFF FO~ LEA~ SYSTEM FAJLURE, AJ, O ~Y~3TEM ~ ,,, ~ AND VI~dAL [] z M(XN'n.~Y0.2m'~'rEST I--] S. OAJLYVtSUALMOe'eTOf~'eGC~Ia'UMPIHGSYSTEM*~PI=geGI'ilT:GI~'TY TEST (0.! Cd:~l) SAFE SUCT)ON S'ru~F..~S (NO VALVF.~ ~1 BELOW C3~C)UI'() ~ [] 7. SELF MONn'O~NG ~N ~ST~ ~ ~2. ~~~(0.~ RE~TR~T~ ~ lT. OAJLY~CHE~ ~TE IN~ED DAJ~Y V~U~L (::HEC~ r'~ 2. ~ OLI~.N~PMMN~:X~*AUOlaL~AM3~UAL. A~q~ TI~J~I~/MO~ ~ 3. ~8 ~ PAN ~ W~TH AUTO SHUT OFF FOR 01S,C~N~-.R * AUOIBLE AN~ V~UAL AL~ r~ & NOI~ ~ 474 pi. mil F..~i~ (~ll (/r<~, j~C~ uM 0n/y) 475 UPCF (7/~)) S:\CUPAFORMS~SWRC-~.WP£ . .~ CITY OF BAKERSFIELD .~~. OF. CE OF ENVIRONMENTAL~ERVICES 1715 CheWer Ave., Bakersfield, CA 9330~(661) 326-3979 UNOERGROUNO STORAGE TANKS - TANK PAGE 1 ~ t. ~ ~TE ~ ,J~4. AJ~.,N~O ~RMrI' r-I 'L CP, oK~ OR ~01~,~190~) ~] 4. TEt,~ORA/~ ~rE CLO~jI~ L TANK DESCRIPTION ~~~iW~) 441 IL TANK (~N~TmIGn~ O ~. IX3U~E WALL EXT'EmOR ~ LNg~ r-I 4. ~NGLEW, UIINAVAUL? O s. cosc~-m D 3. B=OXYl.~ 0 L U~O O~. ome~ ~ Fq~OT'ECTN~N EQUIPMENT: Y'c~R ii~'r~ LFO 452 FLOAT r'l 4. ~ ~ 0~u~.~ WAM. TANK OR ?ANK WITH ~.ADOe-R/Cae~w one M o~Y~ [] 1. V~JAL(SmOLEWALL~VAUt.?OM.~ I--I 2. C,t~INmNUO<J~ ~rF./~TrrO~. MONfT0~ 0 3. I~AL, MONITORINQ n~ r lo C~TI ~$r ul~o (Y/~gM~Y} ~l g~TT~AT~D(~J,~,ITTTYO~3U58TANC~~ 4~ T~J~AF~OWITHM. RTM~T~A~.? Cl~# O~ .~F (7/9g) S:~CU PAFORM~A/RC'~'WP C CITY OF 8AKER3FIELO (NIFICE OF ENVIRONMENTAL ~ERVICE~28.~j~i Clle~r Av~., ~ker. fleld, CA 93301 (641) I~T · ?ANK FAq~ . SYSTEM VI. W CONITRUC110N (CheM M ~4t 4U)F~ i ,Lt.'] 1.~.qE ~TEEL I"1 e. : COm~OS~ON 'Pm3?ECV~ON !1~ ]. P'.AST~ATmCEW~THCONTEN~ flee. UNXNOWN f-] ~. ~qESSURE I~ ;. S~NGLE w~uJ. [] 2. oouace WAU. MANUFACTURER C::] 1. 8ARE 5'r~EL ~ 2. $T,~M.Z$8 5~rEEL I-1 3. ~.ST~C COMPA'rm~ wrrH CONTEHTg [-] 4. FiBERGLA~ J-] & FRPCOkI'ATI~WI t00%ME'rt~u~OC C] & n.sx, m~ (Hca') C] ~e. o'n.~ I"'i ~. UNKNOWN 4 VI. PIPfNG LEAd( DETECTION (Chec~ M ~'m ~;~,) ' .uR~7~:o P~PfNG (Caee~ M u'mt ~).- ELECTRONK~ U,NE LEA,K I~CTO~ 3.0 (]la91 TE~T WITH AUTO PUI~ ~kRZr O~ FOR LE,4U<. SYS'TEM FAI..UR~. AND SY~T-cM DI~ * AUDIaI. E AM3 V~UA~ r-I 2. MONI~YO.2O~'H'r~ST J Me [] 2. COf(I1/eU(X~~PMMN~C~eWANO~SUALAL.Am~ ~. 'r~:~.NC~/MONn'O~ !-I 3. CONI'B~X~8~PAN~I~O~WTTHAUTO ~fUTOFFFOR 01~P~N~-R *AUOI~EAHOVI~JALAL-A'q~ C:] & NONE 4~g IX. OWNER/OPERATOR $10NATURE 471 470 474 UPCF (7/9~) S:\CUPAFORMS~.RV91RC~'WP E crrv .~~~)'~r~ OF(L~C. E OF ENVIRONMENTAL~ERVICES · UNDERGROUND 8TO.GE TANK8 - TANK PAGE 1 I-1 ~1. O4ANGE Of 0 r. ~RiW~.N~v e~OSEO ON IL TA~K C~3NTENTI IL TANK C(:NI~mUG?X~I S'.kdck OM M C~ EX hl:~ MEMBRANE UNE~ ~J 4. ~NO~EWALLINAVAUI.T [] $. ~NGLEWAI. LV~HINTE~'iAI.~$YSTI~4 O s. co~c~m 0~.~ '""~ ~ ri 1. MANUI'ACT~ C~mOOC 0 & t~.~ O~. o~.~ __ O~/~J4J:l~,.. PROTECTION EQUIPMENT: YEAR V. TANK CLOIUItE INFO~MATION I Pll~dA$~J~r (:t,O~UNI IN PLACE 444 IITI4AI'~ O(JAHTTTY Of ~UMT)J~.,I M-k4AW3 4~ TANKF~.L~OV(rTHM. RTMATP. RtAL? ,~ .':.P (7/99) 5:~CU PAFORM$~swRCB'~.WP C TANK PAqr SYSTEM ~NUFACTURE~I~ 2. ~U~ W~L ~ ~. U~ ~ ~FA~URER ABOvEG,q~UNO P~NG 0 3. O~AVr~Y 4Sa [] ,. ~:ssu~E [] 2. SUCtX3N [] 3. CmAvrrY 461 [] ,. SINC~.E WALL I--1 g~. UNKNOWN [] 2. {:X)UBLE WALL [] ~. OTHER MAJ,~JFACTUR~R I--1 I. 8ARESTEEL [] & FRPCOIV~ATI~,E WI IOO%'~rHAI¢OL I'-] 2. STAINLESS ~I'EEL 1""'"] ?. GAI.VANIZED [] 3. P',..AST~ COI~ATIBLE WITH CONTENTS C]e. ~ (I.101;~") 0 gg. OTHER ("] 4. FISERGi..ASS 0 S. GATHO01C [] $. STEEL W/COA?ING [] g~. UNI<NOWN 4 . VI. piy~OLEAKDETECTION(Cr4ckM~c~y) I-~ $. O,qt.yv~.~J,q.I, IOe~rORiNGO~PUI4PI~IG~'r=~F..id*TREH'IALPI=~NG~ TEST (0.! ~E SUCnON S'~'TE]~ (NO VALVF.~ W ~ELOW OROUNO P~:'t,~): [] 9. mEM~~TESTi0.1C~r) [] 3. ~8 01&~.N~ER P/~I ~OR W~rH AUTO ~'fUT OFF FOR OI~)EN~ER ° AUOIIN'E A~D VI~J/4' At'ARM~ I-l~.& NON~ ~ IX. OWNERK)PERATOR ~IONATURE 474 ~.~,.t E~.~.¢.~ 01~ (For ~K~ uM On¥) 473 UPCF (7/~) S:\CUPAFORMS~WP.C~.WPC CITY OF BAKERSFIELD OI:~E OF ENVIRONMENTAL ~VICES 1715 Chester Ave., Bakersfield, CA 93301 (66t) 326-3979 UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFIGATE OF GOMPLIANGE One form per tank - I. FACILITY IDENTIFICATION 1~ /~~_ i~(t ~ t pl~l<l._~_? ................... I!,I l lillll I -I II. INSTALLATION Check a/I that app/y ' The Installer has been certified by the tank and piping manufacturers. The installation has been insped,~l and certified by a registered professional engineer. The installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. All work listed on the manufacturer's installation checklist has been completed. The installation contractor has been certified or licensed by the Contractors State License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: IlL TANK OWNER/AGENT SIGNATURE F~ C CITY OF BAKERSFIELD . OF/E OF ENVIRONMENTAL S~VICES 1715"Chester Ave., Bakersfield, 01~ 93301 (66t) 326.3979 UNDERGROUND STORAGE TANKS-INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank - I. FACILFrY IDENTIFICATION II. INSTALLA~qON " Check a/I that app/y · The Installer has been cert~ed by the tank and piping manufacturers. The installation has been insped~l and certified by a registered professional engineer. The installation has been Inspected and approved by the City of Bakersfield Office of Environmental Services. AJI work listed on the manufacturer's instaltation checPJist has been completed. The installation contractor has been certified or licensed by the Contractors State License Board. Another method was used as alk~wed by the C~y of Bakersfield Office of Environmental Services. Identify method: III. TANK OWNER/AGENT SIGNATURE CITY OF BAKERSFIEED ~ OFI/E OF ENVIRONMENTAL S'VICES ~ 171~"Chester Ave., Bakersfield, 01~ 93301 (66t) 326-3979 UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFICATE OF COMPLIANCE ~ One form perTl~nk~ - I. FACILITY IDENTIFICATION II. INSTALLATION Check all t~at apply ' The Installer has been certified by the tank and piping manufacturers. The installation has been insped~l and certified by a registered professional engineer, The installation has been inspected and approved by the City of Bakersfield Office of Environmental Services, All work listed on the manufacturer's installation checklist has been completed. The installation contractor has been certified or licensed by the Contractors State License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. IdentiN method: Ill. TANK OWNER/AGENT SIGNATURE CITY OFBAKERSFIELD ~ OF.E OF ENVIRONMENTAL S.VICES ~ 171~Chester Ave., Bakersfield, ~ 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFICATE OF COMPLIANCE One form perlank · I. FACILITY IDENTIFICATION II. INSTALLATION r'1 The Installer has been certified by the tank and piping manufacturers. The installation has been insped~l and certified by a registered professional engineer· The installation has been Inspected and approved by the City of Bakersfield Office of Environmental Services. All work listed on the manufacturer's installation checklist has been completed. The installation contractor has been certified or licensed by the Contractors State License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: IlL TANK OWNER/AGENT SIGNATURE 485 l' ~1.~ 0~, TA/'~ OWNER/AGENT , Fe,~ C .0 L D April 4, 2000 FIRE CHIEF RON FRAZE ADMINISTRATNE 8ERVICE8 2101 'ii' Street Bakersfield, CA 93301 VOICE (80,5) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICE8 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICE8 1715 Chester Ave. Bakmsfleld, CA 93301 VOICE (805) 3263951 FAX (805) 326-0576 ENVIRONMENTAL SERVICE8 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAJNING DM~NON 5642 Victor Ave, Baker~qeld, CA 93308 VOICE (805) 399-4697 FAX (605) 399-57~3 Jaco Oil Mr. John Kerley P O Box 1807 Bakersfield CA 93303 1807 Dear Mr. Kerley: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The permits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B, & C must be filled out and returned prior to the issuance of a new permit. Please make sure that you are sending the updated forms which are indicated by the date 7/99 in the lower left hand comer. Please complete and return'to this office by May 15, 2000. Failure to comply, will result in - a delay of issuance of your new permit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment Facility Farrells Fastrip Fastrip Fastrip Fastrip Fastrip Fastrip Fa,strip Fastrip Fastrip Fastrip Wholesale Fuels Chris Liquors Howards Howards Howards Address 6401 White Lane, Bakersfield, Ca 93309 8001 White Lane, Bakersfield, Ca 93309 1200 Coffee Road, Bakersfield, Ca 93308 4901 S. Union Ave., Bakersfield, Ca 93307 2698 Oswell Street, Bakersfield, Ca 93306 1640 S. Chester Ave., Bakersfield, Ca 93304 805 34t~ Street, Bakersfield, Ca 93301 12851 Rosedale Hwy, Bakersfield, Ca 93312 4013 S. "II" Street, Bakersfield, Ca 93304 6401 S. "II" Street, Bakersfield, Ca 93304 2200 E. Brundage Ln., Bakersfield, Ca 93307 2732 Brundage Ln., Bakersfield, Ca 93304 ~ 2Oe~P~ama-L~ane__C~;~Bakersfield, Ca 93312 4201 Belle Terrace, Bakersfield, Ca 93309 3300 Planz Rd., Bakersfield, Ca 93309 WI::'LLh LINE LEAl( ALARM W 4:PREM. UNL. GROSS L I NE FA I L' FEB 5.. 1998 UPLLD LINE LEA}( ALARM W 2:UNLEADED 1 GROSS LINE FAIL FEB 5, 1998 8:57 AP1 WI::'LLD LINE LEAK ALARM W 4:PREM.UNL. WPLLD SHUTDOWN ALM FEB 5, 1998 8:52 A~'.'I WPLLD LINE LEAK ALARIfl W 2:UNLEADED 1 WPLLD SHUTDOWN ALP1 FEB 5, 1998 8:57 AP1 WPLLD LINE LEAK ALA~t.,' W ~:UNLEADED 2 " GROS~ LINE FAIL FEB 5, 1998 8:55 WPLLD L I NE LEAl::: ALAn.` I..,J 1:: IJNL. I::'LLIS ~ ', t~Rv~,~ LINE FAIL .~ ,, FEB 5, 1998 9:06 AP;,~fi WPLLD LINE LEAK ALARM kl 0:UNLEADED 2 HPLLD SHUTDOWN ALM FEB 5, 1998 8:55 AP1 WPLLD LINE LEAK ALARM W I:UNL.PLUS WPLLD SHUTD©WN ALM FEB 5, 1998 9:06 AM SUNSET MECHANICAL 3812 PANORAMA DR. BAKERSFIELD CA. [80si 322.06m i Continuous Monitoring Devic6 Certification co.t..ts of Tank Capacity of Tank ~//~, --'""- -~' Type of Product Line: (GraviS, Suction, pressure). ~Z ~ ~ ~. _. :ION OF THE MONITORING SENSORS TESTED BY PLACING AYES OR NO IN APPLICABLE BOX: Annular Space Sensor Sump Sensor Dispenser Containment Sensor -EieCtronic in-Line Leak Datector Mechanical Line Leak Detector In Tank Gauging Device INDICATE THE FOLLOWING BY PLACING A YES OR NO tN APPLICABLE BOX: poes the monltorlng system have audible and visual alarms? ,t~ 'r ~ ... Does the turbine automatically shut;down if the system detects a leak, fails to operate or i~i eleciromcally disconnected?. . . I ,, , . · ~/~1~ ~i '~""~ -- Is the monitoring .s.ystem Installed to prevent unauthorized tampering? Is the monitoring system operable as per the m.anulacturer's sp-~cificati.o, ns? ,~ ,~'~: ~_ ~ Which continuous monitoring devices Initiats positive shut-down of the turbine? /,~__,~$ _4"Za~ z~__ Z.~,~._~,,~za~ SIG~TUR~ OF CERTIFIED TECHHIC~N ~ ~ ..... ~ _ __ D February 9, 1999 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICE8 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICE8 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-,1951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399.4697 FAX (805) 399-5763 Howards Mini Market #4 3200 Panama Lane Bakersfield, CA 93313 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to. contact me at 805-326-3979. Sincer/~y, Steve Underwood Underground Storage Tank ,Inspector Office of Environmental Services SBU/dm enclosure D January28,1999 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICE5 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 396-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Shing Tae Ahn Howards Mini Mkt #4 3200 Panama Lane Bakersfield, CA 93307 RE: Rectifier Inspection Records Dear Sir: Our records reveal that your facility was recently modified to meet 1998 upgrade requirements. Our records also show that your facility uses cathodic protection using an "impressed current system." California Code of Regulations Title 23, Division 3, Chapter 16 Section 2635(a) requires that all impressed-current cathodic protection systems shall be inspected no less than every 60 calendar days to ensure that they are in proper working order. Since cathodic protection is a vital part of your monitoring system, this office will be verifying that your logs and inspection records are up to date. To assist you, this office is providing you with a '"Rectifier Inspection Sheet" for your convenience. Should you have any questions with regard to your cathodic protection system or record keeping requirements, please do not hesitate to call me at 326-3979. Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure cc: R.Huey, Director, O.E.S. W. AI~ 24, i:998 -- Mr.: Steven-Underwood City of Bakersfield Offic'e of Environmental Services 1715 ~Ch~ster St. Bakersfield CA 93301 CA LIC.NO. 418129 A-540757 A/HAZ AZ LIC.NO. 0i~I2~A NV. A22/0039190 · F .X ¢o0 sz6-os76 Re: Howard's #351, 3200 Panama Lane, Bakersfield CA Dear Steve:. - ' · Please find enclosed the Start Up CathodioProtection System Survey report for the above referenced location. If you have any questions or concerns, please contact me at the Bakersfield office. Assist. to Ross'Sessions CORROSION- ELECTRICAL SERVICES, INC. START UP CATHODIC PROTECTION SYSTEM SURVEY HOWARD'S MINI MART #351 3200 PANAMA LANE BAKERSFIELD, CALIFORNIA Prepared For: Sessions Tank Liners, Inc. PO Box 49061 Bakersfield, California 93308 Prepared By: Corrosion-Electrical Services, Inc. 16210 Gundry Avenue Paramount, California 90723 January 1998 16210 GUNDRYAVENUE, PARAMOUNT, C4LIFORNL4 90723 PHONE: (562) 634-4929 FAX: ($6D 634-5131 CA. LICENSE C-lO 684718 CORROSION- ELECTRICAL SER VICES, INC. TABLE OF CONTENTS INTRODUCTION INSTALLATION SPECIFICATIONS SURVEY PROCEDURES SURVEY ANALYSIS CONCLUSIONS AND RECOMMENDATIONS TABLES Potential Survey Data Sheet · Cathodic Protection System Maintenance Record Sheet Rectifier Data Sheet DRAWINGS · Site Map 1 1 1 2 2 16210 GUNDRY AVENUE, PARAMOUNT, CALIFORNIA 90723 PHONE: (562) 634-4929 FA.k:' (562) 634-5131 CA. LICENSE C-lO 684718 CORROSION- ELECTRICAL SER VICES INC. INTRODUCTION This report contains information pertinent to the successful operation of the cathodic protection system located at Howard's Mini Mart #351 3200 Panama Lane, Bakersfield, California, including present structure-tO-soil potential measurement data, survey procedures, and recommended maintenance program. INSTALLATION SPECIFICATIONS The impressed current cathodic protection system installed at this facility in January 1998 consists of the following items: Four 3-inch diameter x 60-inch long graphite anodes installed in one 10-inch diameter x 40-foot deep cathodic protection well. The well is backfilled with petroleum coke breeze and vented to the surface via PVC piping. A traffic-rated road-box is placed over the anode well. The anodes are connected to the rectifier by a header cable. · One J.A. Electronics rectifier rated at 50 volts and 12 Amperes (DC). · Miscellaneous electrical fittings and cathode header cable. SURVEY PROCEDURES The following procedures were followed during the start up survey: · The rectifier was energized and the operating voltage and amperage were noted. Structure-to-soil potentials were measured with a digital volt meter connected between the structure and a saturated copper-copper sulfate reference electrode in contact with the earth. Test point locations are listed on the attached data sheets~ · During the above procedure the tap settings on the rectifier were adjusted as needed to ensure that sufficient protective current is being applied to the underground metallic structures at this facility. 16210 GUNDRY,4VENUE, P,4R,4MOUN1; CALIFORNI,4 90723 PHONE: (562) 634-4929 F,.L¥: (562) 634-5131 C,4. LICENSE (.'-10 684718 I CORROSION- ELECTRICAL SERVICES, INC. SURVEY ANALYSIS Structure to soil potential measurements for each test point are above National Association of Corrosion Engineers (NACE) design criteria of 850 millivolts (mV) with cathodic protection applied. Rectifier output (DC volts and amperes) and potential measurement data for each test location are shown on the enclosed data sheets. CONCLUSIONS AND RECOMMENDATIONS Based upon our visual inspection and the data obtained during the survey, Corrosion- Electrical Services, Inc., concludes and recommends the following: · The cathodic protection system is operating as designed and the underground tanks are receiving adequate protective current at this time. · The State required follow up survey will be conducted at this facility within the next four to six months. Corrosion-Electrical Services, Inc., recommends that the rectifier data (volts and amps) be recorded weekly on the attached Rectifier Data Sheet and mailed or faxed to Corrosion-Electrical Services, Inc., on a quarterly basis. If any significant changes are observed in the volts and/or amperes on the rectifier, Corrosion-Electrical Services, Inc., should be notified immediately. Along with the above Corrosion-Electrical Services, Inc., recommends, that in order to protect your investment, an annual survey be performed by a qualified individual. We will forward a letter approximately one year after the installation date requesting your authorization to perform this service on your behalf. 16210 GUNDRYAVENUE, PARA`}IOUNT, (.;4LIFOtL. VL4 90723 PHONE: (562) 634-4929 FA,'(: (56D 634-5131 LA. LICEiVSE C-10 684718 ( 2 CORROSION- ELECTRICAL SER VICES, INC. This start up survey was conducted in accordance with the procedures described in the National Association of Corrosion Engineers (NACE) standard Recommended Practice RP0255-95, Corrosion Control of Underground Storage Tank Systems by Cathodic Protection and American Petroleum Institute (API) Recommended Practice 1632, Cathodic Protection of Underground Petroleum Storage Tanks and Piping Systems. Thank you for the opportunity to assist you in this phase of your cathodic mitigation program. If you have any questions please contact us at your convenience. Respectfully, CORROSION-ELECTRICAL SERVICES, INC. ~.~M. P.E. ' Shipley Engineer President ~ \C,P· -k%. ~. NA~- 16210 GUNDRY AVENUE, P,4R,~IOUNT, CALIFORNIA 90723 PHONE: (562) 634-4929 FAX: (562) 634-5131 CA. LICENSE C-10 684718 3 CORROSION- ELECTRICAL SER VICE& INC. CLIENT: HOWARD$ MINI MART 1-14-98 SERVICE STATION NO.: 3200 PANAMA LANE BAKERSFIELD, CA. 1500 BgGINEER: JAY SHIPLEY P.E. 'IECH~: . C:, ARAGON RECTIFIER DATA MANUFACTURER: JA ~1 gCTRONICS SEI:EAL NO.: 97503 RATING: 50 VOLTS 12 AMPERES VAC: 115 OUTPUT: 28 VOLTS 4.5 AMPERES MONITOR CHECK: :SL=rnNG: B-5 HOUFIMETER READING 0 HRS LAST READING HRS DATE CHANt'_ ~: IN ~ING HRS ACTUAL HOURS HRS DAYS OFF FIELD TEST DATA STRUCTURE-TO-SOIL TEST LOCATION POTENTIAL (MV) I (on) I (off) FUEL TANK #~ - PLUS UNLEADED -1126 -466 FUEL TANK #2 REGULAR UNLEADED -1119 -468 FUEL TANK ~ REGULAR UNLEADED -1115 -469 FUEL TANK #4 SUPER UNLEADED -1115 -470 FUEL TANK #S FUEL TANK #6 VENTS - -1127 -398 DISPENSER #1 - PLUS UNLEADED -1117 -392 DISPE~R #2 - REGULAR UNLEADED -1121 -392 DISPENSER #3 - SUPER UNLEADED -1118 -392 DISPENSER #4 - DISPENSER #S - DISPENSER #6 - WATER UNES -967 -395 GAS CO. METER - -962 -398 ELECTRICAL CONDUIT -970 -398 CuCuSO4 REFERENCE I..OcA'nON ~: PLANTER BY SIGN ~ ~: {REt. D) START UP SURVEY SYSTEM IS OPERATING AS DESIGNED ALL POTENTIALS ARE ABOVE THE NACE CRITERIA OF -850 MILMVOLTS. 16210 GUNDRY AVENUE, PAR.4MOUNT, CALIFOI~¥1A 90723 PHONE: (562) 634-4929 FAX: (56D 634-5131 CA. LICENSE C-10 684718 CORROSION- 'ELECTRICAL SER VICES, INC. CATHODIC PROTECTION SYSTEM MAINTENANCE RECORD SHEET LOCATION OF RECTIFIER UNIT: IN RESTROOM TYPE OF RECTIFIER: AIR COOLED TYPE OF ANODES: GRAPHITE RECTIRER MANUFACTURED BY: REc"nFIER AC INPUT: RECrlRF_~q D~ OUTPUT: DATE TURNED ON: 'NUMBER: JA ELECTRONICS 97503 115 VOLTS JANUARY 14. 1998 4 SIZE: 3 X 60 LONG PHASE AMPERES RECTIFIER READINGS RECTIRER SETrlNO D.C. OUTPUT BY DATE REMARKS COARSE FINE VOLT AMPS B 5 28 4.5 CA 1-14-98 START UP SURVEY O 16210 GUNDRY AVENUE, PAR,4~IOUNT, CALIFORNIA 90723 PHONE: (562) 634-4929 F,-LX? ($6D 634-513i CA. LICENSE C-lO 684718 RECTIFIER QUARTERLY 'RECORD RECORD WEEKLY JOB # 1500 OWNER . HOWARDS MINI MART LOCATION 3200 PANAMA LANE BAKERSFIELD, CA, UNIT D.C. OUTPUT DATE TIME REMARKS BY NO. VOLTS AMPS I 28 4.5 1-14-98 START UP SURVEY CA UNIT NO. I UNIT LOCATION IN RESTROOM UNIT NO. UNIT LOCATION NORMAL RANGE: UNIT NO. I VOLTS 25-32 UNIT NO. VOLTS 1-8 NOTE: IF UNIT STABILIZES OUTSIDE NORMAL, NOTIFY YOUR ENGINEER !!! MAIL TO CORROSION-ELECTRICAL SERVICES INC. QUARTERLY RECTIFIER QUARTERLY RECORD RECORD WEEKLY JOB # 1500 OWNER HOWARDS MINI MART LOCATION 3200PANAMA LANE BAKERSFIELD. CA. UNIT D.C. OUTPUT DATE TIME REMARKS BY NO. VOLTS AMPS I 2B 4.5 1-14~8 START UP SURVEY CA UNIT NO. 1_ UNIT LOCATION IN RESTROOM UNIT NO. UNIT LOCATION NORMAL RANGE: UNIT NO. I VOLTS 25-32 UNIT NO. VOLTS 1-8 NOTE: IF UNIT STABILIZES OUTSIDE NORMAL, NOTIFY YOUR EN(~INEER !l! MAIL TO CORROSION-ELECTRICAL SERVICES INC. QUARTERLY RECTIFIER QUARTERLY RECORD RECORD WEEKLY JOB # 1500 OWNER HOWARDS MINt MART LOCATION 3200 PANAMA LANE BAKERSFIELD, CA, UNIT D.C. OUTPUT DATE TIME REMARKS BY NO. VOLTS AMPS I 28 4.5 1-14-98 START UP SURVEY CA O UNIT NO. I UNIT LOCATION IN RESTROOM UNIT NO. UNIT LOCATION NORMAL RANGE: UNIT NO. I VOLTS ~5--32 UNIT NO. VOLTS NOTE: IF UNIT STABILIZES OUTSIDE NORMAL, NOTIFY YOUR ENGINEER !!! MAIL TO CORROSION-ELECTRICAL SERVICES INC. QUARTERLY RECTIFIER QUARTERLY RECORD RECORD WEEKLY JOB .# 1500 OWNER HOWARDS MINI MART LOCATION 3200PANAMA LANE BAKERSFIELD, CA, UNIT D.C. OUTPUT DATE TIME REMARKS BY NO. VOLTS AMPS I 28 4.5 1-14-98 START UP SURVEY CA UNIT NO. I UNIT LOCATION IN RESTROOM UNIT NO. UNIT LOCATION NORMAL RANGE: UNIT NO. I VOLT8 25-32 UNIT NO. VOLTS NOTE: IF UNIT STABILIZES OUTSIDE NORMAL, NOTIFY YOUR ENGINEER Il! MAIL TO CORROSION-ELECTRICAL SERVICES INC. QUARTERLY o o I.U BAKERSFIELD FIRE DEPARTMENT February 26, 1998 RRE CHIEF MICHAEL R. KELLY ADMINISTIb~/IVE SEIIVlCF. S 2101 'H' Street Bakersfield, CA 93301 (805) 3263941 FAX (805) 395-1349 SUPPRESSION SEI~flCES 2101 'H" Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVENnON SEIlVlCES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAl, SEitviC~ 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) 3~9-5763 Robert Hall JACO Oil Company P.O. Box 1807 Bakersfield, CA 93308 RE: Howards #4, 3200 Panama Lane, Bakersfield, CA NOTICE OF VIOLATION SCHEDULE FOR COMPLIANCE Dear Mr. Hall: A routine inspection was conducted at Howards #4, 3200 Panama Lane. During the inspection, it was noted that the "No Smoking/Turn Off Engine" signs were missing from the dispenser islands. This is in violation of Section 5201.8 of the Uniform Fire Code (1994 Edition). Section 5201.8: "Signs prohibiting smoking and requiring vehicle engines to be stopped during fueling shall be conspicuously posted within sight of each dispenser." To avoid additional regulatory action, please have the above mentioned correction made within 30 days (March 26, 1998). Should you have any questions, please call 326-3979. Sincerely, Ralph E. Huey Director by: Steve Underwood Underwood Storage Tank Inspector SBU/dlm cc: Ryan Ahn FACILITY NAME ADDRESS ,%,~(k~ l)ai~al~ FACILITY CONTACT ~¥arl INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE ~q~O['lg PHONE NO. ~ 3 3- ! 5"_(,, S BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES 7 Section 1: Business Plan and Inventory Program [~Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact intbrmation accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location ~,, Proper segregation of material Verification of MSDS availability e, Verification of Haz Mat training .~.~ Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping 0 ~j] p~ca-~c.. (jkaOr~ plo Fire Protection Site Diagram Adequate & On Hand ~ .- C=Compliance V=Violation Any hazardous waste on site?: [21 Yes [~No Explain: Questions regarding this inspection? Please call us at (805) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy 'B&in~s Site.Responsible Party I n spe~c, to~: J~, ~t~ FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [~ Routine [] Combined [] Joint Agency [] Multi-Agency Type of Tank _~oJs/... Number of Tanks Type of Monitoring fiT~, Type of Piping [] Complaint [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current 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 OPERATION 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: 4d ~ Office of Environmental Services (805) 326-3979 White- Env. Svcs. Number of Tanks Y N COMMENTS Site Res/po~nsible Party Pink - Business Copy BAKERSFIELD FIRE DEPARTMENT February 13, 1998 REE CHIEF MICHAEL R. KELLY ADMINIS/RATIVE SEEVICE~ 2101 'H' Street Bake~fleld, CA 93,~i (805) 326-3941 FAX (805) 395-1349 SUPPRE~ION SEIIVICES 2101 'H' Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 ~EVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3951 FAX (805) 3260576 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 Howards Mini Market #4 3200 Panama Lane Bakersfield, CA 93313 RE: "Hold Open Devices" on Fuel Dispensers Dear Underground Storage Tank Owner: The Bakersfield City Fire Department will Commence with our annual Underground Storage Tank Inspection Program within the next 2 weeks. The Bakersfield City Fire Department recentlY changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire Department now requires that "hold open devices" be installed on all fuel dispensers. The new ordinance conforms to the State of California guidelines. The Bakersfield Fire Department apologies for any inconvenience this may cause you. Should you have any questions, please feel free to contact: me at 326-3979. Sincerely, Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey CONFIDIE CE UST SERVIC 417 Montclair Street , Bakersfield, CA 93309 , 800-339-9930 or :FINAL TEST RESULTS: ALERT 1000 / ALERT ULLAGE 1050X / AES PLT-100R J/IN 6 1998 CUSTOMER ADDRESS: WORK ORDER2701 SITE ADDRESS: Sessions, Inc. Howard's Market 9521 West Fritz TEST DATE: 01-21-1998 3200 Panama Lane Bakersfield, CA 93307 Bakersfield, CA 93312 SITE CONTACT: Ross Sessions PHONE NUMBER:805-833-9501 TECHNICIAN: Doug Young PHONE NUl~BER:800-339-9930 LICENSE: 99-1076 WATER IN BACKFILL: 0.00" DATE & TIME OF LAST FUEL DELIVERY:20+ hours TANK INFORMATION: (WETTED) TANK i TANK 2 TANK 3 TANK 4 Plus Regular Regular Supreme PRODUCT TYPE: tOTAL GALLONS: 12000 gallons 12000 gallons 12000 gallons 12000 gallons PRODUCT LEVEL: 69 inches 70 inches 68 inches 70 inches PErCeNT FULL: '78% 79% 77% 79% TEST METHOD: Alert 1000 Alert 1000 Alert 1000 Alert 1000 WATER IN T~/~K: 0.00- 0.00- 0.00', 0.00" TANK MATERIAL: F.G. Lined F.G. Lined F.G. Lined F.G. Lined P.S.I.@ BOTTOM: 1.725 psi 1.75 psi 1.7 psi 1.75 psi TEST DURATION: 2.3 hours 2.4 hours 2.4 hours 2.4 hours FINAL LEAK RATE: +0. 021 gph -0. 015 gph -0. 004 gph -0. 012 gph TEST RESULT: PASS PASS PASS PASS 'TANK INFORMATION: ALERT 1050X ALERT 1050X ALERT 1050X ALERT 1050X (ULLAGE) U/F ONLY 2661 gallons 2519 gallons 2806 gallons 2519 gallons UT.?.%G~. G~?.?.ONS: START PRESSURE: 1.5 psi 1.5 psi 1.5 psi 1.5 psi END PRESSURE: 1.5 psi 1.5 psi 1.5 psi 1.5 psi TEST RESULT: PASS PASS PASS PASS PRODUCT LINES: AES PLT-100R AES PLT-100R AES PLT-100R AES PLT-100R LINE TYPE: Pressure Pressure Pressure Pressure START TIME: 02: 35p 02: 40p 02: 45p 02: 50p END TIME: 03:05p 03:10p 03:15p 03:20p TEST PRESSURE: 50 pal 50 psi 50 psi 50 psi FINAL ?.m~K RATE: -0.003 gph -0. 002 gph -0. 004 gph -0. 003 gph TEST RESULT: PASS PASS PASS PASS MECHANICAL T.~.~K DETECTORS: Red Jacket FTA Red Jacket FTA Red Jacket FTA Red Jacket FTA DLD DLD DLD DLD MODEL: S~RIAL NUMmW. R: Illegible Illegible Illegible Illegible CHECK VALVE PSI: 15 psi 17 psi 15 psi 16 psi BT.~.~D OFF ml: 43 ml 77 ml 63 ml 59 ml T.~.~K RATE TESTED: 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi 3 gph @ 10 psi TEST RESULT: PASS PASS PASS PASS A) These systems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329-87 and all applicable state codes. B) Any failure listed above may require further action, check with all regulatory agencies. Technic1 ns 'g a/re: I Date: AlertManufacturer Certification No: I ~~U /~/.~ : ALTX123 and/°r AES: 86116 T2 = :t.21~l~iJ 6~L, RE6ULI~R T3 = '[ 2tagg 6~L, REGULAR ~:---'i T4: 12888 GAL, SUPREHE _~~ /UST I~~~ ,,, HO,~R~'S H~RKET Si~e La~ou~ Fo~ ', 3266 P~H~H~ L~HE, ~KERSF~EL~, C~, ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA M I N U T E S 0 75 :12KHz AMPLITUDE RATIO ~5 3 12KHz DETECTION RATIO = .960 Howard, s Market #35:1 3200 Panama Lane Bakersf&eld, CA ~2000 GALLON Plus TANK 750+ 0 75 M I N U T E S 25KHz AMPLITUDE RATIO J5 3 5 25KHz DETECTION RATIO = TEST RESULT = PASS ' .0:1 750+ BATE AND TIME OF TEST: 0~/21/98 5: :14PM BEGINNING BOTTLE PRESSURE = 2400 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING BOTTLE PRESSURE : 2300 ENDING TANK PRESSURE : 1.5 PSIG ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA M I N U T E S Howard, s Market #35~ 3200 Panama Lane Bakersfield, CA ~2000 GALLON Regu]ar TANK ~2KHz AMPLITUDE RATIO 0.75 ~ 5 3 750+ 0 75 M I N U T E S 25KHz AMPLITUDE RATIO J5 3 5 750+ 12KHz DETECTION RATIO = i.O0 25KHz DETECTION RATIO = .999 TEST RESULT = PASS DATE AND TIME OF TEST: 01/2J/98 5: 2~PM BEGINNING BOTTLE PRESSURE = 2400 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING BOTTLE PRESSURE : 2200 ENDING TANK PRESSURE = J.5 PSIG ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA M I N U T E S 0 75 5 HowarO. s Market #35~ 3200 Panama Lane Bakersfield, CA ~2000 GALLON Regular TANK ~2KHz AMPLITUDE RATIO ~5 750+ 0 75 M I N U T E S 3 5 25KHz AMPLITUDE RATIO J 5 12KHz DETECTION RATIO = ~.00 25KHz DETECTION RATIO = ~.04 750+ TEST RESULT = PASS DATE AND TIME OF TEST: BEGINNING BOTTLE PRESSURE = 2400 BEGINNING TANK PRESSURE = !.5 PSIG 0~./2:t/98 5: 27PM ENDING BOTTLE PRESSURE : ~900 ENDING TANK PRESSURE = ~.5 PSIG ALERT TECHNOL OGLES PLOT OF ULLAGE TEST DA TA M I N U T E S 0 75 3 5 Howard, s Market #35~ 3200 Panama Lane Bakersfield, CA 12000 GALLON Supreme TANK ~2KHz AMPLITUDE RATIO ~5 750+ 0 75 M I N U T E S 25KHz AMPLITUDE RATIO ~ 5 3 5 750+ ~2KHz DETECTION RATIO = ~.00 25KHz DETECTION RATIO = J.06 TEST RESULT = PASS DATE AND TIME OF TEST: 0J/2~/98 5: 09PM BEGINNING BOTTLE PRESSURE = 2400 BEGINNING TANK PRESSURE = ~.5 PSIG ENDING BOTTLE PRESSURE = 2300 ENDING TANK PRESSURE = J.5 PSIG uo ou a UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program mu~ b~ ~ at th~ UST location at all timm. TI~ information on thi_~ ~ program am con&tions of th~ ol~rating pe~nit. The permit holdm' must no,fy tl~ Offic~ of Envimmnmmfl S~,i~es w~thin 30 da~ of aily ~ to th~ monitoring procedm~ ~ required to obtain approval befu~ making the change. Requix~ by Sections 2632(d) and 2641(h) CCR. Facility Name Facility Address Describe the frequency of performing the monitoring: Tank I What methods and equipment, identified by name and model, will be used for perfuming the monitoring: /! Piping te Describe the location(s) where the monitoring will be performed (facility plot plan should be attached).', Do List the name(s) and tide(s) of the people responsible for performing the monitoring and/or maintaining the equipment: Eo Reporting Forrrmt for monitoring: Tank Piping Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenance schedule but not less than every 12 months. ,~,~noal ~wf- ,e~ lealc ~,~vff~,.,z,~ Go Describe the training necessary for the operation of UST system, including piping, and the monitoringequipment: fl,? m'~q EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitonn8 program must be kept at the UST location at all tunes. The information on this momtormg program are conditions of the operating permit. The permit holder must nott~ the Office of Environmental Sel'vioe$ within 30 days of any changes to the momtormg p _roced__ures. ualess required to o~l'nin a[:~lql3Val be:fore making the change. Requited ~ Sectiom 2632(d) and 264 l(h) CCIL Facility Name !'~or,~,~4 -~ ~/ Facility Address ~(~ ~)~ ~,~ /~ If an nn~,,thorized release occurs, how will the hazardous substance be cleahed up? Note: It' released hazardous substances reach the environment, increase the ~'e or explosion hazard, are not cleaaed up ~'om the secondary, contaimaent within 8 hours, or deteriorate the secondary containment, then the Office of'Environmental Services must be noticed within 24 hours, f~c ~ ,~/~¢,~,~ ~t.~n/ , t4~ Z~r,.,.t w,// 4ue/f ~// e Describe the proposed methods and equipment to be used for removing and ?roperly. disposing of any hazardous substance. 11-~¢ ~4: a(o~)~,,~,^'~ ~'et~v (~'~-. Describe the location and availability.of the required cleanup equipment in item 2 above. o Describe the maintenance schedule for the cleanup equipment: List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: JAN-21-1998 12:33 SESSIONS T~NK LINERS 8058330423 P.01 FAX COVER SHEET I~'ROM: DATE: MESSAGE: Total number of pages including cover: }lard copies to follow:yes: t----Ni~: .... 'If you do not receive legible copies old'this fax call (80S) 833-95t1,~ ^SA I' ~-21-1998 12:3~ SESSIONS T~NK h~NER$ 805BB30423 P.02 060) ~lX2-4832 FAX 3~.-264~ (80~) ~3-9~)~ PAX ~3-0~2~ CA LTC~O. 4XS]29 A-S407~ January 21, 1998 M.r. Steven Underwood City of Bakersfield Office of Environmental Services I715 Chester St. Bakersfield CA 93301 vTA FAX (sos) Re: Howard's #351, 3200 Panama Lane, Bakersfield CA Dear Stcvc: Please find attached the Coating Inspection (..ertificatt n from Hake Consulting & Inspections Secvices, for the above referenced location. If you have any questions or concerns, please comact me at the Bakersfield office. Sincerely, Betty S~ford Assist, to Ross Sessions SESSIONS TRNK LINERS 8058330423 P.03 ~N-21-1998 12:34 HCI ~ CONSULTIIVG & IlqSP£CTION SERVICES 5390 K~lin8 Place, Falmdalz, CA 93552 Phone. (805) 2~5.81515 . Faa: ¢805) 285.~255 II · I I I ~ II III DA~: 1-1e-co DA¥~ M~ PROJECT: HowtKl'l Mini-Mart, 3200 Peoerna Ln. BaKersfield, CA. CONTRACTOR: Sessions Tank Liners J I I l~ lllll I IIII · TANK DE$CRIRTION: 1 10.{~30 (3al Underg~nd F~ STC~e Tank - IV~;u~ - S 4 2 lO,~Gaf Unde~d Teeing ~kness ~2 (mee~ Fends ASTM ~4~ & ~C~ ~J~a~ ~ls d~, ~ore ~ ~r i~on, ~5~a~ ~at~ SRM ~1~ ~ 39,7 mils. ~ 8m m~e~ r~dt~s met ~ roll and m~a~'s ;eq~;~ ~ U~ SSPC~ ~d~ CCR.TITLE 23, DIV, 3, CH~ 16. T~k 1 A~rage~ls 135 ~deHa~n 8.$ N~rof~s 99+ 2 A~gemils 140,, St~dard aeration _1~.0 Number ~ Re~n~ .99+ ,, 3 A~o mils 4 5 Av~age mils __ St~d~ de~Mi~ ~ NU~r ~ Read~ 6 A~ra~ ~1~. ~and~ de~n - Numar ~ Re. nos .... ~ F~ ~$ Hmd~ m~mm~ WasUm~nts ~l ~5 - Gaa~ed on a GYZL ~69 t~ dl~, ;~ 67~9. CCR TITLE ~, DIV. 3, CHPT 1 C~RTI~ICATION _ . H=ke ~o~n8 & I~on FAX,COVER SHEET P.O1 DATE: MESSAGE:_ 'lo'ill number'~)'f pages in~ludlng Cover:' Hard copies to follow:. YesL,/.~.~:~ '1 f you do not receive legible copies of this fnz cnll {805) 833-95(11 ASA !~ , ,, $AN-16-1998 17:09 SEbONS TANK LINERS 8058330423 P.02 -e'~"um ~T w,e,~ P.O~ ~ ?3] 9'321 W_ CA LIC.NO..41gI29 A-~40757 ~ AZ LrC.NO. 09912~ NV. January 16, 1998 ,Mr. Steven Underwood i ,C. i ty of Bakersfield :Office of Environmental Services i:715 Chester St. :Bakersfield CA 93301 tAX tsos s2 os76 Dear Steve: Howard Mini Market, 3200 Panama Lane, Bakersfield Ca PIease fred enclosed the letter from Joe Engel the structural engineer, certifying that the interior of the (4) 12,000 gallon tanks subjected at the abovejobsite h~s been sandblasted, 6leaned and meet the requirements for the structural integrity found in CCR T~tle 23, Division 3, Chapter 16, dlrgicle 6. Therefore, we will spray these tanks with U.L.listed spray material GC-900 .Included also, are copies of the ultrasonic thickness gauging reports for the (4) tanks subjected above. We will be lining the tanks on Saturday, (01/17/98), Hake Consulting & Inspecting, SerVices, will be inspecting the tanks Monday morning (01/19/98) at 8:30 a.m.. If you have any questions, please contact me at the Bakersfield office. (805) 833-9501 Sincerely, Betty Standford Admin. Assistant to Ross S~ssions ,4ttachments JAN-16-1998 17:10 SE~ONS TANK LINERS P. OJ ENGEL & COMPANY Engi~em UNION AVENUE BAK£RSF1ELD, OA $~0~ ,January 16, 1998 SessiOns Tank 'Liners, Inc. P.O. Box 4906,1 ,Bake~fi&ld, CA ~3382 Ama:' Mr. Ros.~ S~io~: ~c st~ct~ ~nditio~ o~ ~ four 1~000 gallon undcrg~und s~et ~el sm~ge :~ks at 3200 Panda Lane, B~crsficid, Ca. Mr, Sessions: As yOU explained in our recent t¢Icphonc convcr.~ation, the interior of the tanks have been sandblasted and cleaned. Also, the tanks are in good condition with no splits or ~ffora~ons, Having reviewed the results of the thickness t~s~.~, I hereby certify that ~ tank.~ meet the requirements, for structural integrir~ found in CCR Title 23, Division 3, Chapter 16, Article 6 and may receive an interior lining. Joseph C. Engcl JCF../Iw JAN 1 6 1998 JAN-16-1998 17:10 SES~ONS TANK LINERS 8058330423 Slons Tank Liners, In~ Ultrasonic, Thickness Gauging Report Tmlk Site Informat(on P. 04 Tank £oe. ettlon: ~ o ~x "'~: '1,.~1~ ~ Tank Diameter: ._~__FT Tank Leng~: JAN-16-1998 17:11 S~! ONS TANK L I NERS 8058330423 Sessions Tan, k Liners, Inc. Ultrasonic Thickness Gauging Report F'i]! End l'art kh ead FI' 7 b tals P. 05 raise Z n.[*2 I~r~ Opposite End I"1 LL, END ., ': 7brM Number o/Gauges DESIGN 7111CKNESS ~0 IttIC~NEZ8 A UIIIORIZED $1GNA 1URIZ.~ JAN-16-1998 19:12 SE&ONS TANK l INERS Ses'~ons Tank Liners, Inc Ultrasonic Thickness Gauging Report 7~tk. $itt Information 8058330423 P.06 Tnnk Loetttfon: $o ~n Tank Lengdi:~_~ PT' S%I ONS TANK L I NERS 8058330423 Sessions Ta.k I. ine~:% Inc: Ultrasonic Thicltness Gauging Reporl Tankhead Fill End End P. 0? 8 1:1' ~ 0,4 vtrng~. ?tffckness or' omzc, iv zmcx~v~ss A U I 7IORiZED SIGNA 1 UI~Ii~~L~~~_ SE~IONS TANK LINERS Ses~ltonS Tank Liners, Ina' ,':Ultrasonic Tizickn'esS Gauging Report 8058330423 P.08 JAN-16-1998 17:14 ;IONS TANK LINERS 8058330423 P.09 Ultrasonic I'hickness Gauging Sessions Tank Liners, b~c: Report O£posite End lEI. qf: .. Gauges :i," ''~'''': , . 8 FT Totals = ~ A vera£e 71~tckness =_~.-0 Avera£, 7hiclmess .2. 5'~u.cx/v~.ss A U 111 OR IZE D $1 GNA 7 JAN-16-1998 19:15 SE~ONS TANK LINERS · Sesstons Tank Liners, Inc. '"~ ~ltrasonic Thickness Gauging Report Site Infor,, mation 8058330423 P. 10 Tank LengOt: :!;i;i:',: 'Ultrasonic Thiclmess Gauging Report " '~' ..~ ', ,?, ,.?.. ,,',.. ~...,, ~ .., ...,,, , Opposite End .B A K E R S F I E L D FIRE DEPARTMENT December 18, 1997 FlEE CHIEF MICHAEL R. KELLY ADMINI,~Ilt, ATiVE SERVICES 2101 'H" Street Bake~fleld, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SEI~ICES 2101 'H' Street Bakersfield, CA 93,301 (805) 326-3941 FAX (805) 395-1349 PREVEN'I1ON SEIIVlCES 1715 Chester Ave. Bakersfield, CA 93,301 (805) 326-3951 FAX (805) 326-0576 ENViI~ONMENTAL SEEVICE$ 1715 Chester Ave. Bakersfield, CA 93,301 (805) 326-3979 FAX (805) 326-0576 I~.AINING DIVISION 5642 Victor Street Bakersfield, CA 93,308 (805) 399-4697 FAX (805) 399-5763 John Kerley JACO Oil P.O. Box 1807 Bakersfield; CA 93303-1807 RE: Howards Mini Mart #4, 3200 Panama Lane Dear Mr. Kerley: Last summer, you answered a survey concerning your underground storage tanks, stating that your tanks would be replaced by October 1997 ...... You did not meet that target date! In November, we invited you to a free underground storage tank workshop, where State representatives discussed both the regulations and alternatives that you as a tank owner will have. - ..... You did not attend! ...... We are concerned! You will be receiving this letter on our about December 22, 1997. One year from today, December 22, 1998, your current underground storage tanks will become illegal to operate. Current laws and code requirements would require that if your tanks are not replaced by that date, your permit to operate would be revoked, - - it will be illegal for any fuel distributer to deliver fuel to your tanks, - - and your tanks would then be considered illegally abandoned and require that action be taken within ninety (90) days to remove the tanks. Of course, we have no interest in pursuing this route. We would like to have your tanks properly handled prior to this December 22,1998 deadline. Please review your situation and reply within two weeks as to the current (realistic) plans for your existing tanks. As we get closer to the December 22, 1998 deadline, I would expect construction costs, as well as lead times to increase considerably. If there is anything this office can do to assist you in your planning, do not hesitate to call. Sincerely, Ralph E. Huey Hazardous Materials Coordinator REH/dm cc: Kirk Blair, Assistant Chief CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 INSPECTION RECORD POST CARD AT JOB SITE INSTRUCTIONS: Pleas~ call for an insp~or only wh~n each group ofinsp~tions with the same number ar~ ready. They will run in ~ order bc~rmin$ with number 1. DO NOT cover work for any numbered group until all items in that group ar~ signed offby the Permitting Authority. Following these instm~om will redu~ the numb~ of required impection visits and therefor~ prevent assessraant of additional f~es. TANKS AND BACKFILL PIPING SYSTEM Piping & Raceway w/Collection Sump Corrosion Protection of Piping, Joints, Fill Pipe Cathodic Protection System-Piping ! ! [ 7 lq ~ . Dispenser Pan SECONDARY CONTAINMENT~ OVERFILL PROTEC'rlON, LEAK DETECTION Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Ganges or Sensors, Float Vent Valves Produet Compatible Fill Box(es) Product Line Leak' Detector(s) Leak Detector(s) for Annual Space-D.W. Tank(s) Monitoring Weli(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater Prevention Boxes Spill FINAL Fill Box Lock CONTRACTOR 3 0q~t~ 0 ~ '~ LICENSE CONTACT ~{~- PHOI'~ # CITY OF BAKERSFIELD OFFICE .OF ENVIRONMENTAL SERVICES,~ 1715 Chester Ave., Bakersfield, CA (805)326-3979 INSPECTION RECORD POST CARD AT JOB SITE ow~ ~Jac~ ,~l A, Sa~ R O. INSTRUCTIONS: Plea.~ call for an im~ctor only when each group of in. om with tho same numb~ ar~ r~giy. They will nm in ~ ~ ~b~Zinnin~ with mm~r I. DO NOT cover work for any numbe~d group until all itema in that group ar~ signed offby tim Permitting Authority. Following the~ imtnu:fi{~ will ~r,~_3¢~ th~ ~ of required inspection visits and ~fo~ prevent assesm~t of additional fe~ TANKS AND BACKFILL INSPECTION DATE INSPECTOR Backfill of Tank(s) Spark Test Cert/fi~on or Manufactures Method Cathodic Protection of Tankis) PIPING SYSTEM Piping & Raceway w/Collect/on Sump Corrosion Protection of Piping, Join~ Fill Pipe EleCaical Isolation of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan SECONDARY CONTAINMENT. OVERFILL PROTECTION. LEAK DETECTION Liner Installation - Tank(s) Liner Installation - Piping Vault With Product CompaUble Sealer Level Gauges or Sensors. Hoar Vent Valves Product Compatible Fill Box(es) Product Line Leak Deteaor~s) L~ak Detector(s) for Annual Space-D.W. Tank(s) Monkorin§ Well(s)/Sump~s) - H20 Test Leak Detection Deviceis) for Vadose/Groundwater Spill Prevention Boxes FINAL Momtormg Wells, Caps & Locks Fill Box Lock Monitoring Requirements Type CONTRACTOR CONTACT LICENSE # PHONE # · .~.~)~.~JAN709-1998 09:09 SESSIONS TANK LINERS 8058350423 P.01 ~ ~ ~t~ ~ [. .$ ON$ T~ Inc. ~ ' ~,~[NT ~ P.O. ~ ~l 9~ W. ~ FAX COVER SHEET COMPANY: ~ FAX NUMBER: I'ROM: ?0~ BAT,= ] / ..t~/ 0-7 MESSAGE: , Total number of pages including cover: Hard copies to follow: Yes: -,-----,No: .... '1 f you do not receive legible copies of this fax call (805) 833-9501 ASA I' ...'. '. ' .P.O, ~ 731 9~.2t W, Fritz El Ceatm, CA 92244 l~a:la6dd, CA 9330'/ ~ ~C.NO. 4tsl~9 A-~ ~ ~ Ut. NO. ~. · ~V. H~ ~-1103 :' ":Mr..'Steven Underwood · :C'.'.~y of Bakersfield ' '"!'O~ce ~fEnvironmental Services ":1715 Chester St, : :Bakersfield CA 93301 · Vid F,~Y (SOS) $26-o~6 Re: Howard's #:i~51, 3200 Panama Lane, Bakersfield CA , Dear, Steve: ': PI~$e be, informed that we will be Degassing the tanks at the above referenced location on ':.'Monday, january. 12,1998. ' I6you have any questions or concerns, please comact me at the Bakersfield office. : (805) $33-9501 Sincerely, '.,: ROSS Sessions - Bakersfield Fire Dept OFFIi~ OF ENVIRONMENTAL SE~ICES UNDERGROUND STORAGE TANK PROGRAM PERMIT APPLICATION TO CONSTRUCT/M~ODIFY UNDERGROUND STORAGE TANK TYPE O; ~PPllCATION (CHECK} 2_JNEW;AC;LllY L_~-~'ODIFFC'ATIONOFFAC]LITY C] NEW TANK INSTALLATICN AT EXIS-;NG XA'C:..T'. :,,- ,; ,,,,o CATE /'~ , PROPOSED COMPLETION DATE :AC'Lti'YNAME /~.l~jc¥'zJ~ .¢¢- 35'j EXISTINGFACtLITY ?ERM[f No ' ........ ~C, NE No(~~. ~¢o / BAKERSFIELD C~ BUSINESS LICENSE No. · VORKMAN COMP. No. DESCRIBE THE WORK TO BE DONE TO FACiLI~ PROVIDEDBY TO GROUND WATER 7&NKS fO BE INSTALLED SOiL TYPE .,(P:,~,ED A) S;TE ARE THEY FOR MOfORFUEL ~YES SECTION FOR MOTOR FUEL %.:. ,'; K .'<o. VOLUME UNLEADED REGULAR PREMIUM .DIES-_'.. .:. '.'.: '.". VOLUME SECTION FOR NON MOTOR FUELSTORAGE TANKS CHEMICAL STORED CAS NO. (¢o Orcnd nome) (it known.: No. OF S'&f~ ,CC;,t AN~EC'E,1A~:IEG~LAf;ONS. THIS APPLICATION BECOMES A PERMIT WHEN APPROVED AFFILIATE September 16, 1997 Mr. SteVe Underwood Bakersfield Fire Prevention Bureau 1715 Chester Avenue Bakersfield CA 93301 Howard's #351, 3200 Panama Lane, Bakersfield CA Dear Steve: We at Sessions Tank Liners, Inc., will be interior coating (4) 12,000 gallon uriderground storage tanks at the above location. U.L. listed spray material GC-900 will be applied to 125 mils as per manufacturers specifications. Sessions will furnish and install an impressed currem cathodic protection system designed by a corrosion engineer. A 20 year guarantee will be included for the tank lining. Enclosed is the Bakersfield City permit application, and a check for $2,480.00. Included also is Sessions Tank Liners, Inc. "Coating Procedure & Safety manual," with an emergency information sheet regarding the site on page twenty-seven. ~_ If you should have any questions or concerns, please contact me at the Bakergfield office. (805) 833-9501. Sincerely, Ross Sessions RS/bs Enclosures CORROSION- , ELECTRICAL SER VICES, INC. July 21, 1.997 Mr. Ross Sessions Sessions Tank Liners, Inc. PO Box 49061. Ba!.:.ersfield, California 93308 Proposed Cathodic Protection System Howard's Mini'Mart ~ $_¢I 3200 Panama Lane Bakersfield, California Mr. Sessions: Corrosion-Electrical Services, Inc. (C:E.S.), proposes to install a Cathodic protection system at the above location using either one 40-foot or two 20-foot deep anode wells. The type of ground bed used will be determined based on field conditions encountered during installation. Either method should provide adequate corrosion protection to the exterior of the underground fuel storage tanks. C.E.S. proposes to install the cathodic protection well (CPW) north of the store, northeast of the underground storage tanks (See attached Site Plan). This location was selected in an effort to maximize the level of protective current applied to the underground tanks and minimize interference from existing cathodically protected pipelines or other metallic substructures that may be nearby. Thank you for this opportunity to assist you with this phase of your corrosion mitigation program. Should you have any questions, please feel free to contact us at you convenience. Respectfully, CORROSION-ELECTRICAL SERVICES, INC. · ,//Latricia I. Browis President 16210 GUNDRY A VENtIE' F',4RAMOUN?; £;4LIFORNIA 90723 PHONE: (562) 634-4929 Fzt,~2' (562) 634-.¢1.t1 (...;4. LICENSE G-10 684718 W I B L E R O A D ISLANDS 12,000 GAL UST~ I 12,000 GAL UST ~ 12,000 GAL UST ~ I I 12,000 GAL UST ~ RECTIFIER CPW STORE PANAMA LANE LEGEND CATHODIC PROTECTION ANODE WIB_L C Es Corrosion...... Electrical ,. Services sc.~u~ ~ HOVVARDS MINI MART #351 3200 PANAMA LANE o~.m~ LJ~ BAKERSFIELD, CALIFORNIA L HOWARD'S//351 3200 PANAMA LN., BAKERSFIELD' CA. Coating Procedures and Safety Manual for Underground Storage Tanks Util~zi.g U.L. Listed Spray Material GC-900 P.O. Box 731 El Centro, CA 92244 (619) 352-4832 FAX'352-Z646 Branch Office P.O. Box 49061 Bakersfield, CA 93382 (805) 833-9501 FAX 833-0423 CA LIC. NO. 418129 A - 540757 A/HAZ AZ LIE NO. 099125A TABLE OF CONTENTS D~finifions 2 Responsibilities .............................. ,.: ............................. ~ ..................................................... 2 Pre-Entry Requirements ........................................................................................................ 3 Isolating a Space ..................................................................................................................... 3 Atmospheric Testing of Confined / Enclosed Space ......... : ............................................. ~ ........ 4 Tank Openin8 Preparation ..................................................................................................... 5 Tank Entry Requirements ...................................................................................................... 7 C 'lassiiication of Space / Entry Approwl ................................................................................ 8 Special Safety and Protective Equipment 8 Standby Requirements ......................... · .......... : ..................................................... ........... ; ..... 9 Continuing Precautions and Requirements ........... ; ............................. ~ .................................... 9 Tank Cleaning .................................................................................................................... 10 Ultrasonic ~Ilfickness Gauging ~roceduro .............................................................................. I l Ultrasonic Thickness Gauging Report (Sample) .................................................................... 13 Abrasive Blasting ' 15 Tank Assessment . 15 Spray Application .................................................................................. .; ............................ 16 Scaling the Manway . 17 Vacuum Testing 17 Additional Testing . 17 Confined Space Classification Table ..................................................................................... 18 T~st R~sults - Entry Classification Chart ....................................... . ........................................ 19 Check List for Entry Into An Existing Confined Space ........................................................... 20 Material Safety Data Sheets COL Listed Spray Material GC-900) .......................................... 21 Material Safety Data Sheets (Methyl Ethyl Keytone Peroxide) ...................................... ~ ......... 25 Emergency Response Information ......................................................................................... 27 GE~R~ The scope of this specification covers a turnkey job including, but not limited to, excavations; vapor fleeing; tank opening; abrasive blasting; safe removal and lawful disposal of bottom sediment, water and tank residue; coating / lining application; inspections; sealing manways; and final testing. Sessions Tank Liners, Inc. certifies that all supervisors to be used on this work are familiar with and, except as may be specified otherwise, will comply with the procedures established in the following publications: 1. Cleaning Petroleum Storage Tanks (API Publication 2015, November 1976) 2. Cleaning Small Tanks and Containers (NFPA 327, 1970) 3. Recommended Practice for Protection Against Ignitions Arising Out of Static, Lightening, and Stray Currants (API RP 2003, March 1982) 4. Recommended Practice for the Interior Uming of ExiSting Steel Underground Storage Tanks (APl RP 1631, 1983) Sessions Tank Liners, Inc. certifies that prooedures have been developed and that all personnel have received training on and will comply with thc rules and regulations of the Environmental Protection Agency and thc Occupational Safety and Health Administration. Including, but not limited to those arc: 40 CFR: 29 CFR: part 262-Standards for Generators of Hazardous Waste Part 262-Standards for Transporters of Hazardous Waste Subpart H-Hazardous Materials Subpart I,Personal Protective Subpart J-General Environmental Controls Subpart L-Fire Protection Subpart Z-Toxic and Hazardous Substances Sessions Tank Liners, Inc. will provide an on-site supervisor at all times who understands the health and safety requirements for this work and who will be responsible for maintaining a safe environment in the work area; Sessions will have on hand at least two (2) properly maintained and tested portable fire extinguishers; Sessions will provide appropriate personal protective clothing and equipment including positive pressure-full face piece air masks and combustible toxic gas measuring devises. Sessions Tank Liners, Inc. shall obtain all required State and local permits and approvals of all regulating authorities. The owner shall remove the liquid product from the tank leaving the bottom sediment and water for removal by Sessions. Bottom sediment, water and tank residue are to be disposed of in a safe and lawful manner acceptable to local and State regulatory agencies. Before any work is done which might release vapors, the work area shall be barricaded and Page 1 appropriate accident prevention signs shall bc posted. All sources of ignition are to be Criminated from the area whcre flammable vapors may be prcscnt or may travel. The area shall bc kcpt fi'ce of sources of i~nition during the work pcriod. !1. DEFINITIONS "Confm~ space" means all areas or pieces of equipment where, (1) existing ~,cntilation is imuflicicnt to remove dangerous air concentrations and/or oxygen deficiency may exist or develop, and~ (2) the ready acce~ or cgrcss for thc removal of a suddcnly-disablcd worker is difficult duc to the location or size of the opening. "Enclosed space" means any area, inclosure or piece of equipment where a dangorous air concentration and oxygen deficiency does not exist BUT the ready access or egress for the removal of a suddmly-disablcd worker is difficult due to the location or size of the ol~ning. Note: All enclosed spaces shall be considered confined spaces until tests verify thc space is safe for entry. "Dangerous air concentration" is an atmosphere that nm-y cause injury, or illness, duc to the presence of flammable or combustible vapor, or toxic substance in cxccss of the safe limits. "Oxvgcn deficiency" exists if the atmosphcrc contains less than 19.5% oxygen. · "Supcrvis. ' or, r~fcrs to the person who ovcrse~ the operation of thc facility wh~re thc work is being performed. This may be_ the facility supervisor or his wri~n "Person in chat~e" refers to the person who has bccn de, signatexl to dircct the work of the other employees involved in pcrfo~ a specific task. "Standby" r~fm to the pm'mn who is assign~ to maint~ sutvoinancc on woxtbrs insid~ an enclosed or confined space and assures that blinds or other equipment are not altered which could affect thc safety of thc persons inside the space. "Backup" refers to the person who can bc easily contacted and immediately respond to provide assistance to thc standby person. "Dcsignatcd tcster" refers to thc pcrson who has rcccivcd training and has a dcmomlratcd ability in performing tests for flammable/toxic vapors and oxygen d~ficiency. IlL RESPONSIBILITIES Thc supervisor is respomiblc for verifying that thc cmployccs arc adequately trained in safe Page 2 entry procedures, rescue methods, testing requirements and safety requirements for each entry. The supervisor shall issue permits and entry tags. The supervisor shall assure that the person-in-charge has the necessary protective and safety equipment on-site to do the job safely. The person-in-charge is responsible for assuring that all requirements of this standard, including permit requirements, are followed. He.must personally oversee initial entry into a space, and assess the hazards and conditions of the space to be entered prior to and during the work. He must be available at the site during the entire period that workers are inside a confined space. Each individual involved in a confined or enclosed space entry is responsible for conforming to the requirements of applicable permits and the provisions of this standard. Violations are considered a breech of safety rules and can subject the violator to disciplinary action. A method of rescuing a disabled worker must be established prior to entry. If a rescue method cannot be established, entry is prohibited. Any deviation from this standard must be approved in writing. IV. PRE-ENTRY REQUIREMENTS Provisions set forth shall be implemented before every entry into either a confined or an enclosed space. Before work invohdng entry into an enclosed or confined space begins, a plan for cleaning, isolating and entering must be established by the person-in-charge. As part of this plan, the appropriate Material Safety Data Sheets (MSDS) for materials workers may be exposed to must be reviewed with all persons involved in the work. An entry request must be completed as part of the planning phase of the work to be done. This request is good for the duration of the work unless conditions change. After an entry plan has been established, the space to be entered must be isolated. V. ISOLATING A SPACE All lines to and from the space shall be isolated from the space by binding, disconnecting, and plu~ng, or equivalent means. Threaded lines shall be disconnected and plugged as close to the space as possible. Any bleeders or drain connections between the blind and the space must be capped or plugged. Dated and signed CAUTION-DO NOT OPERATE tag shall be placed at each blind or disconnected line. The locations of where tags are placed should be maintained on a log. The log should be used to certify that all blinds have been removed and lines reconnected prior to facility start-up. All rotating equipment in the space, such as mixers or motor-operated valves, shall be electrically disconnected or de-energized, locked and tagged with a CAUTION - DO NOT OPERATE tag according to established lockout procedures. Steam or hot oil coils inside the space shall be disconnected or blinded with valves closed Page 3 ~L and locked at the point whor~ they enter the space. A CAUTION - DO NOT OPERATE tag is als°rcquircd. If s~veral pieces of equipment must be isolated as a unit, cach piece of interconnected equipment must be open to the atmosph~r~ and made safe for entry. Tauks are to be degassed per local requircuuents. When a space has be~m opened, but not approved for entry, a DO NOT ENTER tag must be hung at each opening. When openings are left uncovered and unattended for more than a shift, additional protection shall be taken to assure entry is prohibited. The opening(s) should be barricaded by a positive means (e.g., chicken wire, hardwire cloth, etc. that does not block air flow). VI. ATMOSPHERIC TESTING OF A CONFINED/ENCLOSED SPACE After a space has been isolated, opened and ventilation established (either natural or mechanical), it must be tested to establish what the conditions are within the space. DO NOT ENTER tags shall be posted at each entrance into a space until tests verify that conditions of a space are safe and the appropriate ENTRY PERMIT .tag has be~-n completed and approved. Testing should be don0 by ll~ pcu'son-in-chavge, or a designated tester. The penson conducting the tests should verify, lhat the testing equipment is properly calibrated and adjusted to ass,~e acc.~ate results. Testing cquipme, nt should be checked and calibrated when circumstances might cause suspicion concerning the equipments' accuracy (i.e., unit dropped, otc). With mechanical type ventilation stopped, the person-in-charge or a designated tester should perform the tests indicated on the ENTRY REQUEST at the entrance of the space (e.g., manWay opening). Results of the tests should be re, corded on the ENTRY REQUEST. Tests must also be taken at low spots in a space, in areas adjusted to pipes and tubing around irregular surfaces and mixers, and in areas away from openings where ventilation may be restricted. When all areas in a space cannot bc thoroughly tested from the outside, further testing must be done within the space. Note: Spaces are not ,to be entered when flammable vapor levels measured at entrances are greater that 10% of the lower flammable limit. When a space is entered for the first time aO~r having boon removed from active service, the person pcrforn~ tests within the space must wear a supplied air or seff-conh~ined breathing apparatus (SCBA) when entering the space. A standby person having an SCBA must be present while tostin~ is bein~ conducted. Tests for flammable or explosive vapors, oxygen deficiency, or carbon monoxide are to be run every 4 hours, or if the space has been vaca~d for over 30 minutes, or per thc enclosed/confined space entry request if it calls for moro often than 4 hour interval testing. Hydrogen sulfide, temperature, tetraethyl lead or hazardous materials tcstins, ff required, will be Page 4 specified for each particular job. Continuous may be used in place of periodic monitoring. Work may continue while retesting is being done. Test results shall be recorded on the appropriate space on the ENTRY PERM/T tag and initialed. Following is a list of matefiak/conditions which may exist within a space and ff present must be evaluated as part of the entry process. The test results listed for each material/condition are to be used to establish the type of entry requirements that must be met. 1. Flammable or Explosive Vapors Test results - Above 10% Lower Hammable Limit (LFL) - NO ENTRY ALLOWED; 5% to 10% LFL - SPECIAL ENTRY REQLrIREMENTS must be followed; Below 5% LFL - GENERAL ENTRY REQUIILEMENTS must be followed. 2. Oxygen Test results - Below 16.1% - Entry allowed in EMERGENCIES ONLY using SCBA or other supplied air respirator equipment; 16.1% to 19.5% - SPECIAL ENTRY REQLq/LEMENTS must be followed; Above 19.5% - GENERAL ENTRY REQUIREMENTS must be followed. 3. Hydrogen Sulfide(H2S) Test results - Above 10 ppm - SPECIAL ENTRY REQUIREMENTS must be followed; 10 ppm or less - GENERAL ENTRY REQUIREMENTS must be followed. 4. Light Hydorcarbom (gasoline4ike vapors) - Test results - Above 300 ppm - SPECIAL ENTRY REQLqlLEMENTS must be followed; 300 ppm or less - GENERAL ENTRY REQUIREMENTS must be followed. 5. Temperature Test results - Above 100 degrees F- Entry allowed if cooling ventilation is provided and lime in the area is limited to no more than 30 minutes continuous with 15 minute break between periods. Vll. TANK OPENING PREPARATION Safe_t3' precautions - A combustible gas indicator shall be used to check for hazardous vapors in the area. All open flames and spark-producing equipment within the vapor hazards area shall be shut down. Electrical equipment used in the area shall be explosive proof or approved for the service. Tank Isolation - Before any work on the exterior surface of the tank begins, tanks shall be inspected to determine how the tank is to be isolated. If a tank is equipped with a vent manifold, fill line or syphon assembly, necessary measures shall be taken to isolate each tank. The vent for the tank being lined shall be isolated fi.om vents of other tanks which may still be in service. This may require a temporary separate vent for the tank being lined. Ail electrical switches supplying electrical current to submerged pumps and/or other equipment connected to ~the tank shall be disconnected and locked. Page 5 Removal of Liquid Products - As much product, water and s~dimCnt as possibl~ shall bo rcmowd using ~xplosion-proof or air driven pumps. Dc[~assing - This section shall bc conducted in accordance with all applicable local rcgulations. If local rcgulatiom rcquirc control systems for vapor frccing, thc method to be uscd shall bc spccificd in thc pcnni~ process. A. Thc tank shall be thoroughly dcgass~l with air to remove flammable vapors. Residue capable of producing flammabl~ vapors shall bc rcmovcd. Thc conccntralion of flammable vapors in a tank may go through tho flammablo range before a safo atmosphero is obtained. Therefore, it is necessary that prccautions arc takcn to eliminate thc possibility of thc discharge of static electricity during thc dcgassing proccdurcs. Consideration shall bc given to ensurc that thc vapors arc not vcntcd into arcas where they could produce a hazardous condition. B. Prcssurc in thc tank shall not cxcccd ~ PSI(]. To prcvent cxccss prcssurc, thc vent linc shall bc checked to make certain it is frcc from obstructions and traps prior to ventilating thc tanks. C. Ventilalion of thc tanks shall be accomplishcd by onc of thc following mcthods: 1. IF SB!.F. CTBD, an air or approved clcctrically drivcn cductor typo air mover shall be properly bonded to prevent tho possibility of static olcctricity generation and discharge. When using ~is method, thc fill (drop) tube shall rcnm~ in place to assure that thc vapors will be drawn from tho bottom of tho tank. An oxtension shall be used to diachar~c thc vapors in thc'tank a minimum of (12) fcct above grade. Vacuum in thc tank shall not cxcccd 5.3" Hg. 2. IF SELECTED, a defused air-blower shall have thc air diffusi~ pipe properly bonded to prcvent tho discharge of a spark. Fill (drop) tubes may be removed to enhance diffusion of tho air in thc tank. Air supply shall be from a comprcssor, which has bccn checked to ensure a clcan air supply, frcc from volaglc vapors. Air pressure in thc tank shall not cxcccd 5 PSIG. 3. IF SE!.F. CTED, a fan typ~ ~Jr mowr n~ be mod to blow ~ir into tho tank through tho fill opening of thc lank. Tho fan shall be driven by comprofiscd air of an approvod cloctric motor. Tho f~n shidl be ~ bonded to tho t~k. Fill (drop) tub~ n~y be r~mo~ to cnhanco diffusion of air in tho tank. Tho lank vent ~ be imp~t~l to mako suro it i~ froo of all obstructions. Air pr~osur~ in tho trak ~ not oxooe~l 5 PSIG. D. All equipment and ventilations systems used in thc confincd space shall' comply with Articlc 502 and 503 of thc National Elcctric Code. Tcsti~ Flammable Vapor Concentrations - An important phasc of thc opcration is thc tcsling of thc vapor flammability in thc cxcavatcd area and in thc lank. Such tcsls shall bc made with a combustible gas indicator that is properly calibrated with haxanc in air, and thoroughly Pagc 6 checked and maintained in accordance with manufacturers instmctious. Persons responsible for testing shall be completely familiar with the use of the instrument and the interpretations of its readings. When purging is being performed by a diffimed or fan type air mover, the tank vapor space shall be tested by placing the combustible gas indicator probe into the fill opening with the fill (drop) robe removed. Readings shall be taken at the bottom, middle and upper portions of the tank and the instrument shall be purged with fresh air after each reading. Readings of 5% or less of the Lower Flammable Limit (LFL), as indicated in the tank and at the vent riser or eductor, shall be obtained before the tank is considered safe for opening. When purging is being performed by an eductor-type air mover, readings shall be taken by placing the combustible gas indicator through a probe hole provided in the side of the eductor. The probe access shall be located where the vapors being removed from the tank are tested prior to mixing with compressed ak induced into the eductor from the ak compressor. Readings of tank vapors which are 10% or less of the LFL shall be obtained before the tank is considered safe for opening. VIlI. TANK ENTRY REQUIREMENTS Opening the tank - Entry into the tank, or any work upon the tank which could result in the ignition of tank vapors, is prohibited until testing of the tank atmosphere has determined that the tank vapors are less than 5% LFL. Entry personnel shall wear a safety harness connected to a safety line held by the standby man outside the tank. If no manhole and cover exists, an opening with the minimum dimensions of 22"x 22" or, in tanks where a permanent manway is to be attached, a circular access opening a minimum of 22" in diameter shall be cut in the tank top avoiding fabrication seams. A manhole-cover joint shall be provided with a trowel material determined to be suitable for tiquid to be stored and shall have a thickness of not less than 1/8 inch (3.2 mm). When cutting into a tank for entry, the tank wall section being removed shall be marked with chalk. The tank vapors shall be continuously tested by inserting the meter probe at least 24" into the hole verifying the vapor concentration is less than 5% or the LFL before proceeding with thc opening procedure. WARNING: Vent~n~n and periodic testing for flammaMe vapors shall continue throughout the entire lining operatio~ Personnel shall never enter a tank without prior adequate ventilation, and ventilation shall continue while persons are in the tank. During tank cutting operations, air pressure less than 5 PSIG shall be maintained to prevent a blow out when blowing air into the tank during the gas freeing process. To avoid build up of flamn~le vapors, air shall be drawn from the tank bottom throughout the lining operation. The tank shall be cut using a cold chisel or snipper using lubricating oil to reduce friction, heat and possible sparks. Prior to the final cut, the section being removed shall be supported to prevent its falling into the tank. Page 7 LX. CLASSIFICATION OF SPACE / ENTRY APPROVAL Aflcr thc atmosphcrc within a spa. cc has bcen tcstcd for thc materials/conditions indicated on the ENTRY REQUEST, tho person'm-charge, together with the supervisor, should evaluate thc results, classify thc space as either confined, or enclosed and establish thc appropriate rcquircmcnts to bc followed for thc entry to continue. 'llm pcrson-in-c~o will complete thc required entry permit. The person-in-charge w~ double check to assure lines into and out of the space are properly blinded or disconnected and tagged, and electrical cquipment in the space is locked 'and tagged out. He will initial the ENTRY PERMIT tag in the space used to verify that the area bcing entered is propcrly isolated. The person-in-charge will assure that therc is a plan of rescue to be used in the cvent that a workcr becomcs disabled and must bc rtanovcd from the space. He will review the method with all personnel involved with the operation prior to aPProving the ENTRY PERMIT ~ag. ' Tke l,ea'son-in.ckarge skall re~ie~ tke atma~h~re te~ resufls, tke catO, req~reme, nts st~ecified on tke appropr~_~_e Material Safety D_~_~ Skeets ~ ali persons ~ko ~li be entering equipment ~s safe to ent~" and affix it to the space wh~ people can ent~. A properly-completed and ~ned ENTRY PEI~flT tag affixed to an entrance Comfitut~ ' approYal for ent~% p~ovided ~he conditions li~ted in the ENTRY PERMIT at~ followed. The ENTRY P~ tag is good fo~ the duration of the day. If work is to confinuc~ the tag shall bo renewed. Renewal is ac~ot~lished by r~tosting and rechecking tho conditions. If t~sts and condifiom are within safe limits~ the penon-in-ch,~ge ~onews the ~This equipment is s~e to ent~" spaco and ent~ th~ now ~xpirafion cl~ in th©"p~mit ~xpire~" ~p~. X. SPECIAL SAFETY AND PROTECTIVE EQUIPMENT Whenever entry rcquirc~ wearing of supplied air respiratory protection, per, om entering shall wear a safety harness with an attached line. The hamcs, s shall bc thc lype capable of suspending a person in the upright position. Wristlets shall not bc used. Thc lifeline shall bo rope of a nfinimum 1/2 inch diameter and 2000 pound test with thc free end anchored outside thc space. For top entry, a mechanical hoisting &vice shall be provided fbr lifting persons out of the space. Pcrsons working in spaces which have last contained substanccs which could bc hamu~ if' absorbed through the akin shall wear protective clothing as specified by the suporvisor. Only li?.hting and electrical cquipmcnt which has bccn approved safc for thc arca shall bc used. In addition, to minimize shock hazards, such lighting and cquipment shall Im opcratcd at 12 volts or lcss or protected by an approved ground fault circuit intcrruptcr to shut down clcctrical powcr should a short-circuit lac dctected. A first aid kit shall lac availablc in the immediate mca outsidc thc spacc. A type of warning dcvicc shall bc available immcdiatcly outsidc thc space to summon assistance if thc nccd ariscs. Thc rcquircment may bc waived by thc supcrvisor if thcrc will bc Page 8 ample people in the area in case of an emergency. If welding fumes are present inside, or if the temperature in the space exceeds 100 degrees F, the 'space must be ventilated by an eductor or blower. The eductor or blower should be mounted on the roof or as near the top of the space as possible to maxinuz' e ventilation. Means should be taken to reduce vibration noise by the eductor setting on metal surface (i.e. bolting it to a flange). X1. STANDBY REQUrlILEMENTS A standby is 'always required when entry is to be made into either a confined or enclosed space. During a confined space entry the standby must remain at the entrance as long as workers are inside. At least one additional worker who may have other duties shall be within sight or call of this standby. This person shall be known as a backup. The standby shall be positioned outside the entry point nearest the workers(s) inside. He must be aware of the nature of the work being performed and the possible hazards that might be encountered. The standby is to assure no one removes blinds, or shuts off ak blowers or other equipment necessary for satb entry and is to be alert for changing conditions and hazards that might affect the safety or persons inside the space. The standby should try to remain in visual contact and communication with the person(s) inside at all times. If this is not poss~'ole, a plan must be worked out that the standby will be assured the person(s) inside can get his attention ff they are in trouble. The standby must have SCBA mediately available for the rescue of a disabled person or other emergency. When entry is into a confined space, either the standby or backup person must be trained in first aid and cardiopulminary resuscitation (CPR) If cutting, burning, welding, grinding or chipping is being performed in the space or other sources of ignition are induced, the standby must have 2 rated fire extinguishers (and fire hose ff possible) and be trained in fire fighting. If the person(s) inside the space are wearing respiratory protection, the standby must have with him respiratory protection equipment which has a separate air supply. The respiratory protection equipment shall be provided with a communication device ff the person(s) inside are out or the line of sight of the standby. A standby may enter a confined space only in an emergency and only after alerting another person out~ide of the intent to enter. If the etnergency is the result of an unsafe atmosphere, a $CBA must be worn by all rescuers. XI1. CONTINUING PRECAUTIONS AND REQUIREMENTS Ah' testing inside the space shall be conducted at sufficient intervals (no longer than 4 hours) to ensure the atmosphere remains flee of flanunable, hydrocarbons, toxins and/or oxygen deficiency. If the space is left vacant for 30 minutes or longer, retesting is required before entry is Page 9 permitted. All tcst results shall be recordcd on tho ENTRY PERMIT tag. If continuous monitors with alarms arc uscd, test results nccd not be rccordcd. ff conditions insidc thc space change, rctesting is required bcforc work can continue. Rctesting of a confined spac~ should be conducted and the results show that all material/condition levels are within tho acceptable ranges for General Entry. Persons pcu'fonni~ retests of enclosed spaces nocd not wear an SCBA be, cause in order ' for a space to be classified as an enclosed space, dangerous air concentrations and oxygen dofi¢ioncy must not be present. Thc basic procedure in rctcstin8 an cncloscd space is: 1. If available, atmospheric test equipment that can be equipped with tclescopin8 shall be used 2. Extend test probes to their full lcnsth, retest thc space at its main entry point and at all arcas that thc test probe can reach. 3. Re, cord test results on e, xisting entry tag. 4. fftest r~sults ar~ within thc acceptablc range, slowly enter thc space k~ping test probe fully cxtcnded whilc giving thc test apparatus time to respond to changing conditions. NOTE: When no other worker is present within a space during retestingo a standby person must bc prcscnt outside thc space. Portablc powered equipment should be located outside thc space on thc downwind sidc of manway openings to prevent their exhaust or flammable vapors from being pulled inside. If an unsafc condition arlscs or an cmcrgcncy occurs at thc facility, all persons insidc shall cxit thc space immediately and EI~VI'RY PERMIT tags shall bc rcmoved and rcplaced by DO NOT ENTER tags, At the end of each day, prior to the completion of the job, the spaco must be secured to prevent entry by unauthorized pcr~o~. ENTRY PERMIT ta~ shall bo rcmovod and replaced by DO NOT ENTER tags. xm. TANK CLEANING Spccial cquipmcnt - Safety Wearing Apparel - Must be worn by each man throughout the entire process. 1. Fresh air helmet 2. Long-sled:veal robber gloves 3. High robber boots 4. Wristlet ~m_fcty harnc~ SPecial equipment 1. Aluminum shovel Page 10 2. Wooden handled broom 3. Floor dry absorbent 4. Plastic, aluminum handled buckets 5. Explosion proof drop light Safety requirements - During the entire cleaning operation, the funnel must remain operative to allow maximized fresh air into the tank. Great care must be taken when entering the tank, taking cxtra measures to avoid standing in sludge or gasoline that is on the floor. Allow time for light adjustment; ff there is not adequate lighting, an explosion proof drgp light may be used. NOTE: The drop light may not be used until after the lfrst laFer o[ [loor dr~ has been swept up and removed [rom the tank. A blower-type or positive-pressure airline hose should be worn by any person who enter a leaded gasoline tank that has not been thoroughly cleaned and freed of toxic vapors. This applies not only to tank cleaners, but to all others who go into the tank for any purpose. The hand-operated blower-type equipment 1" hose is commonly used. Other types of positive-pressure respiratory equipment may be used ff it is recognized tank cleaning equipment and its use is fully understood. Canister masks shall not be used. Hose lines for air masks should be kept clean. If personnel notices any odor while wearing the mask, he must leave the tank at once and not re-enter until the condition is corrected. In the event of any indication of respiratory equipment not working properly, the personnel should immediately leave the tank. All personnel shall wear clean clothing from the skin out; also approved impermeable gloves and boots of good quality, and in good condition. Clothing shall be changed (and laundered) and a bath shall be taken every day. If; at any lime, thc clothing gets soaked with gasoline or sludge, the personnel shall bathe at once and put on clean clothes. At the end of the day, and after the job has been completed, respirators, boots, gloves, and tools must be cleaned. X1V ULTRASONIC THICKNESS GAUGING PROCEDURE Thc objective of thickness gauging is to assure the average metal wall thickness through a series of identified, average measurements of one-foot by one-foot sections. Ultrasonic testing may also be performed on tanks with existing interior lining. Original wall metal thickness shall be established by gauge measurements taken at the tank top manway. After the tank has been emptied and the interior surface has been cleaned out, the tank walls are divided into sections as follows: 1. Walls - Measurements for tank walls shall be divided into one-foot by one-foot sections beginning at the fill end of the bottom of the tank and extending outward around the tank length. Any additional area of the tank wall which is less than one-foot by one-foot shall be measured and treated as an additional section. 2. Heads - Measurements for tank heads shall divide the head into four equal sections by establishing a horizontal and vertical diameter line as an axis center point extending Page 11 · outward on each axis line. Any additional area of the tank head which is less than one-foot by one-foot shall be measured and treated as an additional section. 'Fhickncss gauging measurements shall bo taken in thc center if each section of the tank wall and heads. Tanks shall be closed in accordance with Article 7 of the California Underground Storage Tank Regulations if the tanks' avcq~go metal thickness is less than 7:5% of the original tlfickncss or if tho tank has any of the following defects: 1. Open gain or split longer than 3 inches 2. Perforation larger than 1-1/2 inches in diameter or below a gauging openingat " the bottom of a tank where the perforation shall be no larger than 2-1/2 inches in diameter 3. Five or more perforations in any one,- square foot area 4. Multiple po'rotations of which any single perforation is larger than 1/2 inch in diameter To determine adherence to these guidelines, perforations shall be brass ballpecn hammered (before and after abrasive blasting) to remove thin metal and obtain structurally sound edges. Perforations shall bo roamed until thc edges of thc hole arc a minimum or l/g" thick. Steel plates may also be welded to thc interior wall to maintain compliance with thc acceptable wall thickness in perforated areas. Repair Of scant splits may bo repairs by welding. Welding shall bo conducted by persons familiar with hot work. Repairs may be made to the tank if thc tank meets requirements set forth in thc California Underground Storage Tank Rcgulalions, subsection 2660 (k). Holes in stool tanks shall bc plugged 'using self tapping bolts, boiler plugs, water-tight hydraulic cement, or by wcldins. In addition, holes in steel and fiberglass tanks shall bo rcpaked as follows: Repair areas shall bo covered with epoxy or isophthalic resin. The resin base shall bo compatible with thc intended usc of thc tank. Fiberglass cloth with a minimum weight of 1.5 oz/yd that is silane treated shall bc worked completely into thc resin basel Thc resin base shall bo applied a minimum of two inches beyond the fiberglass cloth. All repairs.shall include installation of fi~s cloth with a minimum dimension of 12 x 12 incbos centered over tho area to be repaired. Larger repairs shall require thc cloth to be la~gc enough to provide cloth coverage of at least fr~ inches of cloth bonded to the tank wall, measured from thc outermost edge of thc rcpair area to thc cloth's edge. A sccond layer of fiberglass cloth, 1.5 oz/yd, shall bo installed dircctly over thc primary cloth layer and shall bc cut to overlap the primary patch by 1.5 inches on all sides. Thc repair shall bc allowed sufficient cure time, as determined by thc resin manufacturer, to provide an acccptablc base for tank lining application. Page 12 Sess~ Tank Liners, Inc. Ultrasonic Thickness Gauging Report T~ut k Site Name: Tank Size:,. Address: Tank Location: Date: / (---- Tank Length at Ftoor I1 l.'i I'I ?'orals Tank Diameter: ~FT Tank Length: ~FT Page 13 SeSsions Tank Liners, Inc. Ultrasonic Thickness Gauging Report Ftll End 7'anMtead Opposite End Totals CYLINI)ER WALL .'.l. 'otat o£ ?btm Number of Gauges FILL.END Total of Gau~tes ?btm Number of Gauges OI'I'O$1TE END 'l'ofid of Gauees 'lbtal Number of Gauges 70TAL TANK $11ELL A FERAGE Toted. 0.{ Gguees ?btm Number of Gauges ,,11."F. RA GE ?IIICKNE,¥,¥ I Ii,SIGN IlllClfNE~:¥ A verugql Thickness Auera'~e 7~ickness 'm Average 11dclUsess. Average Thickness X 100 = % OF DESIGN IIHCKNE$$ A CCI;PT RE.IECT ~ ~ ~ AIiSIIIORIZED SIGNATURE Page 14 XV. ABRASIVE BI,:~.STING Tanks shall bc abrasive blasted to a white metal, removing all sludge from pits, rust plugs, perforations, and an), other openings. .~pecial c--q~l)~:!~!Lt - A. Appt'oved safety equipment as follows: 1. White disposable plastic coveralls 2. Blasting helmet with positive air displacement 3. Wristlet safety harness B. Si.h/ct duct tape C. Abrasive Blasting equipment t. Abrasive blaster with deadman control and light 2. Abrasive materials 3. Nozzles D. Two plastic buckets E. Broom ' F. Aluminum shovel Safe _ty re ~[Uj_Fy.?t3 _e L~t_s Blast operators shall use U.S. Bureau of Mines approved helmet connected to a source of clean, compressed air. Canister type masks may not be used. Blast hoses sh:dl be grounded to dissipate static charges. Only nonferrous tools shall be used for cleaning surfaces of rust, sediment, etc. Persomml workh~g on tanks will wear robber boots, fresh air masks, life lines and clean clothing with no metal buttons or fittings. Filter .type air respkators should be worn by all others who are exposed to blast dust environment. Adecluate protection for personnel from flying particles shall also be provided in any blasting operation. Safety goggles shall be worn by all persons near any blasting operation. Fresh air shaI1 bc supplied to the mask through a hose with a positive displacement air blower to the windward side of the manhole in the tank. Adequate power operated blowers shall continue the air supply until personnel wearing masks have left tank and removed face pieces. One end of a rope shall be secured to the harness to assist in removal, ff necessary. Extra respirator equipment shall be available for emergency use. BEFORE BEGINNING THE ABRASIVE BLAST OPERA TIONS, IT IS IMPERATIVE 7HA T THE AIR HOSE BE CHECKED TO ENSURE CLEAN AIR IS COMING OUT OF THE AIR HOSE. XV1. TANK ASSESSMENT Page 15 Corrosion dOes not usually take the form of a uniform loss (i.e., general deterioration of a surface area). Most corrosion occurs by leaving a pitted appearan~ resulting in perforalious. A small perforation in a tank wall can result whcn thc cnfirc tank surfaco has lost no morc than is found in a 50 cent piece. Numerous perforations in a one foot area indicates locali~d corrosion. Thc number and siz~ of perforations in a tank arc thc criteria used to evaluate if a tank can bc lined to give maximum of a 20 year lifo extension. ff a tank has p~forafions not exceeding the limitations, the tank is considered not to have been structurally impaired. A tank with a perforation or leak can, in fact, have over 100 years of structural life remaining before the tank is impaired to the point that the tank collapses. Prior to the application of the lining material, a minimum 1/4" thick steel reinforcing plate, rolled to the contours of the lank, with minimum dimensions of eight inches by eight inches shall be insialled under the fill (drop) tube and gauging tubes. The plate sh~ be covered with fiberglass cloth embedded in rosin. XVll. SPRAY APPLICATION Special Equipment Respiratory - Scott air supply, wristlet safety harness and lanyard, and protccfivc clothing Air supply - 100 psi continuous input pressure and 50 cfm minimum volume at the spray equipmcnt Hoses - 100 fl. of material hose Spray gun Catalyst doliv~a'y unit Material pump Buckets - (2) plastic with aluminum handles Cotton rags Bmshcs ' Bxplosion proof drop li~t ' Safc _ty Rcquircmcnts NO FLAME, SMOKING, MATCHES OR WELDING IS ALLOWED WITHIN (50') FIFTY FEET. Thoro should be at least (2) moo on all interior tank jobs. One should be outside thc tank, cquippcd with an approvcd air hood, plus a ropc with safcty hamcss. Enough vootilation shall bc providcd to changc thc air insidc oncc cvcry six minutcs. Air must bc circulated into all parts of thc tank. Thickness shall bc chcckcd rcgularly with thc mil gaugc. Thc cntiro arca shall bc chcckcd for pinliolcs with a holiday dctcctor and any such holidays shall bc coated ovcr. Thc coating thickncss shall bc chcckcd for pinholcs bcfor~ closing thc tank, using Page 16 either an Elcomctcr or a Bronson coating gauge. Lining shall bo hardness mi;ted using barcol hardness tester, instrumcnt, to dctcrminc that thc lining hardness meets thc above rcquircmcnts. or equivalent XVlll. SEALING THE MANWAY Thc manway shall bo closcd with a 1/4~ thick steel (but not lcss than original thickness) and overlapping thc holc at lcast two inchcs on each side. Thc cover plate shall bc pfc-formed to thc tank contour and must fit snug~ to tho rank surfac~ at tho plate cdgcs. Thc covcr plate shall bc abrasivc blasted and coated as dcscribcd in sccfion XV. Approved scaling compounds that arc compatible with thc lining system shall be applied to thc tanks mating surface. Thc cover plate shall bc sccurcly fastened to thc tank by bolts on 4" centers. Scaling compound shall bo applied over thc cover plate outsidc thc edge and bolts to cmUrc proper scaling, with a 4' overlap on the tank and cover platc. After thc tank and cover plate compound have fully cured, tank tighmcss testing shall bc conducted. A 5 lb. air test of thc tank with thc usc of soap solution to check thc lld shall be thc nfinimum tightness t~st. XIX. VACUUM TESTING Testing buried steel tanks for structural soundness may be accomplished by vacuum testing, and when required by tho authority having juriadicfion, shall bo pofformcd in tho following mallncr: Tho tank shall withstand, without collapaing, a vacuum for no less that 1 minute. Thc vacuum shall not cxcccd 5.3"Hg. Thc vacuum in thc tank must not cxcccd V-(I/2 D + H) X 0.$8 Hg/ft. 1. 2. 3. V = Vacuum in inchcs mercury D = Diamctcr in fcct H = Thc maximum actual burial dcpth in fcct, but not lcss than 3 feet, to thc top of thc tank. ' XX. ADDITIONAL TESTING Thc tank and piping shall bc precision tested in accordancc with NFPA 329. THE TANK SHALL NOT BE PLACED BACK INTO SERVICE UNTIL A FINAL INSPECTION IS APPROVED. Page 17 C. O IYFINED SPACE CLASSIFICATION TABLE Characle~'i.;iScs Class ,4. ~ I, nunediately dangerous. Life-rescue procedures require the entry of more than one ir~Ib'idual. Fully equipped life support equipment is mandatory. Maintenance of communication requires an additional standby person stationed within the confined space. Ci;tss B - Dangerous, but not immediately life threatening. Rescue procedures require thc entry r~,l.' no more than one individual fill equipped with life support equipment. Indirect visual or auditoIT ;ommuaicafion with personnel. Cl,ss C - Potentially hazardous. Requires no modification of work procedures. Standard rescue i.?;ocedures. Direct communication with personnel from outside the confined space. Oxygen Ci;~ss A Class C Flatrun a b i.i i¢' Class C To~ciB' Class A Cl:,ss C - t6% or less - *'(120 mmHg) or greater than 25% - *(190 mmHg) - 20% or greater of LFL - 10% to 19% LFL - I0% LFL or less - ** IDLH - Greater than contamination level, less than **IDLH - Less than contamination level * Based on a total atmospheric pressure of 750 mmHG (sea level) ** Immediately D,mgerous to Life or Health (IDLH), as referenced in NIOSH Registry Toxic and Chemic, al Substances, Manufacturing Chemists data sheets, industrial hygiene guides or other rccogrtized ;~uthorities, Page 18 'lEST RESULTS - ENTRY CLASSIFICATION CHART The chart below lists the materials that must bo evaluated as par~ of the confined/enclosed space entry procedures. Acceptable levels of these materials have been set to serve as a basic criteria in deciding which type of retry to follow. The chart contains thc name of thc material to bc evaluated, along with thc corresponding acceptable levels for each of the two types of entry, General and Special. NOTE: All materials must test at or bdow the acceptable limits for General En~'y before a space can bo declared, safe for entry following General Entry requirements. If any one material tests above the acceptable limits, Special Entry requirements must be followed. ENCLOSED SPACE Material or Condition General Entry Acceptable Test Results Flammable vapors Oxygen Hydrogen Sulfide (H2S) Light Hydrocarbons (gasoline-like materials) Lead Compounds Other Toxic/Combustible Materials CONFINED SPACE Below 5% LFL G-rcatcr than 19.5% oxygen 0 Parts per million (ppm) 300 ppm or les~ Lcvcls below 4mg per cubic foot after cleaning Consult with Division Compliance Spccialist for rcquircmcnts Material or Condition Flammable Vapors Oxygen Hydrogen Sulfidc (H2S) Light Hydrocarbons (gasoline,-likc materials) L~ad Compounds Other Toxic/Combusfiblc Materials Sl~cial Entry Acceptable Rest Results 5%to 10% LFL L~ss that 19% 1 to 10 ppm Greater than 300 ppm Levels above 4 mg per cubic foot after cleaning Consult with Division Compliance Specialist for requirements ADDITIONAL ENTRY RESTRICTIONS Material of Condition Flammable Vapors Oxygen Hydrogen Sulfidc (H2S) Restriction Greater th.an 10% LFL - NO ENTRY ALLOWED Less than 16.1% EMERGENCY ONLY With sclf containcd breathing apparatus (SCBA) Over 10 ppm - EMERGENCY ONLY - with (SCBA) Pagc 19 CHECK LIST F°R ENTRY INTO AN EXISTING CONFINED SPACE lrEM Cl:r~.s A Cla~a B Cla.~a C 1. Permit X X X X X 0 X X 0 X X X X 2. Atmospheric testing X 3. Monitoring X 4. Mcdic~ X 5. Training of personnel X 6. Labeling and posting X Preparation Isolatc/lockoutYtag Purge and ventilate Cleaning processes Requirements for special equipmenl/tools X X 0 X X 0 0 0 0 X X 0 Procedures Initial plan Standby Communications/observations Work X X X X X 0 X X X X X X Safety Equipment md Clothing Head protcction Hearing protection Hand protection Foot protection Body protection Respiratory protection Safety belts Life lines.harness 0 0 0 O' 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X X X X 0 X I0. Rescue Equipment X X X Il. Rccordkceping/Exposurc X X - indicatcs requirement O - indicates determination by qualified person X X Page 20 MANUFACTIIRER: ADDRESS: PHONE: MATERIAL SAFETY DATA SIlEET ARMOR SHIEI J), INC. #1 SCIIOLL ROAD FALMOLYIH. KEN~I~.ICKY 41040 For information purposes 8:00~am - 5:00 pm, Eastern Standard Time Telephone: 1-606-654-8265 FOR EMERGENCYi Call CHEMTREC: 1-800-424-9300 tn be used "ONLY IN THE EVEN OF CHEMICAL EMERGENCIES INVOLVING A SPILL, LEAK, FIRE EXPOSURE OR ACCIDENT INVOLVING CHEMICALS" DATE OF PREPARATION: December 11, ! 991 SUPERSEDES MSDS DATED: January 12, 1991 PRODUCT NAME: GC - 900 Lining Malerial SECTION I - COMPONENT DATA HAZARDOUS INGREDIENTS: COMMON NAME CHEMICAL NAME C.A.S. NO. Styrene Vinyl Benzene 00010042-5 Percen! Composition - 58% Osha - Pel 50ppm 8-hr Twa, 100 ppm Stel Aggih-TLV: 50 ppm 8-hrTwa, 100 ppm Stel OTHER INGREDIENTS Proprietary Ingredients SECTION H - PHYSICAL DATA (For Styrene) BOILING POINT: 293°F SPECIFIC GRAVITY: (h o = 1) Approximately I ~MELTING POINT; Not Applicable VAPOR PRESSURE: (mm Hg ~ 20°C): 4.5 mm Hg) . PERCENT VOLATILE BY VOLUME: 20-80 VAPOR DENSITY.'. (Air = 1): 3.6 Evaporate Rate (Ethyl Ether -- 1): SOLUBILITY IN WATER: Not Applicable pH: Not Determined ~AF?EARANCE AND ODOR: Red Viscous LiqOid SECTION HI - FIRE AND EXPLOSION DATA · ,. LASH POINT (°F): 86 FLAMMABILITY LIMITS (%): (For Styrene) METHOD USED: TCC LEL: 1.1 UEL: 6.1 .A. 1H'.O. IG_N!'._I'JO_N..]'I~_PJ}B_A'[NI~!~ I'r) 91'1 CForStymne) Alcohol lype foam, COT, dry chemical (NFPA Class B Extinguisher) .SH?.~I~L_F.'..I..~E_:F_I..G..!tT!N.._G i~N_ST_~_U_L'._~I_O_.N__S_.:. Treal ns a flammabl?iquid type fire and wear protective goggles and self contained ', bTealhing apparalus. . _U?~_U_S_U__Ab_~LR.E_ A___~___E~X~P.Pb__O_SI_QNI_t__AZ__A....~RD._S:'. Malerial is flammable. Prevent smoking, open flame slntic and electrical sparking,.. 17: · Ambient temperalures over 100°F, or heal from lire situalion~'may cause rapid polymerization, heat generation, and vapor expansion. -.~ ~. May ca,se closed conlainers to nipture. Keep cool wilh water spray. SECTION IV - REACTMTY DATA :...:: S_['l'_A.B.~l...L!]LY_LConditions to Avoid): Unstable. Excessive heat may cause a closed COntainer lo explode. ::? ~ llNCOMPATIBILITY IMatefial to Avoid}5. Peroxides, oxidizers, acids, bases :i...:.: 'H___AZARDOUS DECOMPOSITION PRODUCTS: .CO, CO~, low molecular weight hydrocarbons, organic acids. :~i'i,:'. HAZARDOUS POLYMERIZATION: May occur if exposed to heat sources or prolonged storage above 38°C (100°F) ~ ,2: '. ~.~ . SECTION V - IIgALTII IIAZARD DATA .~IMARY ROIYI~S OF EH'IRY: lnhalmion, skin contact 'i:~!?~,. HEAI..'g'-"t ItAZARDS: (Including ncule ~nd chronic effects and symploms of overexposure) (Hcallh ha:,atds are given for slvrene) :~::~i:.~' ~._C.U'_[E_.' l_nh_3.!.al.!~.n; Upper respiratory Iracl irritalion. Possible central nervOus syslem effecls incl,de headache, ":~:- drowsiness, diz~.iness, loss of coordination, impaired judgmenl, nausea, gastric upset and weakness. Effecls mimic dmnkennes.~ and th '~:;"'"" effecls will be increased by conm~mption of alcohol or mood alleflng drugs. Exposure lo dust from fabrication of finished (cured) parl.~ !'.':}}~:::! may resull in temporary discomforl or irritation of the upper resptratoBt lract.. Skin Conlact; May ree,l~ ;,~ _~!:!n :-:' ' .............. ,,,,tahon. Styrene is considered Io be a primary skin irrilant. ~"~" ~y_¢_C_9_.n__13~!.; May cause severe irritation, redness, leafing and blurred vision. .'~- lngeDion: May cm~.~e month, lhroal and gaslroinlestinal irrilalion, nausea, vomiting and diarrhea. A.~piratlon }¢', ..'.. .. mate6al into the hmgs can muse chemical pneumonilis whtch can be fatal. ': ' : L.'l!R.O.~!~.i Prolonged exl~m~re may result in nausea, loss ofappetile, general weakness, changes in blood chemi~, and :~.'ii'":' skin co,tact may remit i.n dermatitis, marked by rough, dry or cracked skin. Prolonged or repealed eye exposure Io lhe vapor mav cau.~ '~.' ' i~rilalion to lhe lining of ibc eyelids. In laboratory animals, chronic exposure at high concenlralions has been fot~nd to ca,se liver .~":}' "abnormalilie,q, kidney damage and lung damage. In addition, prelimlnaty res~fits of inhalation sludies indicale thai laboratory ra!s "f~?" exposed to l~00 mm Styrene via inhalation showed evidence of hearing loss. Relevance to humans remains unclear. }~:(' llAZAI1DOUS 1NGREI)IENTS: Listed By: ACGIH IARC NIP OSH^ 4~.~.~"<':" ,vrene No Yes No No ~::~> .... IARC: In March, 1.987, lhe International Agency. for Research on Cancer (IARC) reclassified s'lyrene as possibh' carcinogeni ~.!., ,. lo human,~ !Gto,P 2B) due Io 'inadequate evidence in humans", ~Limiled evidence tn animals~ and ~olher relevant dala". Previou.qly. · ~yrcne was classified a~ a Gro.p 3 compo, nd. not cln.n.nifinble ns to carcinogenicily' in humans. The IARC working gro~p determin~rt ,~nt the weight of data on genetic nnd related effects together with the consideration that styrene is metnbollzed in humnn.n and nnimnl~ ,~ly...~..',~e oxide, for which there is _eufficient evidence of carcinogentcity in e,xperimental animals which has been cla.nsified hy IAI~C. prob~bly carcinogenic Io humans (Group 2A), was sufficient reason to recommend the change in classification. Medical Conditions Al-'Eravate4 b~ gznosure.: Persons with a history of chronic respiratory disease, skin disease, or central or peripheral nervm~S system disorders may at increased risk form exposu~ to this product. SECTION ~! - EMPLOYEE PROTECTION VENTILATION: Provide adequate general and/or local exhaust ventilation to maintain exposures below PEL's and TL~s. RESPIRATORY PROTECTION' If Irritation oc~rs or if the PEL or TL¥ is exceeded, use n NOISH/MSHA approved air p.riryin~ re;pirator with organic vapor cartridges or canisters or supplied att re~'pirator. AlwayS u~ respiratory protection in accordance with yo compnny's re.~n, irnl. n_~ p~!-'~-3."'~ prog:=~-,~ ahd C,~HA tegulati0ns Under 29 CTR 191{~. 134. - .EYE PROTE~CTION: If eye contact is possible, wear chemical protective goggles. PROTECTIVE CLOTHING: Long Sleeved clot~ing, long pants and polyvinyl alcohol or polyethylene or viton gloves. _W.~RK/HYGIENIC PRACTICES: ltat~dle in accordance with good industrial hygiene and safety practices. Safety Showers and sl~!ons should be available. La.nder contaminated clothing before rewearing. Use explosion proof motors and equipment. MATERIAL SAFETY DATA SHEET ATOCHEM 1740 MUl'ARY ROAD · P.O. ;lOX ~ · gUr-FALO. NEW YOnK ME40 ~ (TI6) 8T7-1740 · ~ ~-S675, rA~ f~16) 8T/-I$41 MATERIAL SAFETY TRAD~NAH£ ,.. .............. LUPERSOL Oelte-X-9 Red t:~L~Cb~AR FOrd~ULA ............ , Hlxture of C~fltnO~ DATA $11~£T Supersedes Form Oe~ed~ O3/21/69 CLERICAL rANILY ................. Organic Peroxld~ C.A.S. RECISIRY NUt,BEE(S) . Peroxides 1338-23-~ H~thyl E~hyl Ketone P~rexlde ~truoturel 10 eceeun~ for 8.8 ,, Nathyl Ethyl Ketone* ~I.~thyl Phthalate* saao 5000 Red Hydrogen Peroxide 1,0 35.0 5.0 0.2 2.0 TLV1977 · 0.2 ppm (melTing) TLV 1976: 200 PPe (~w~l TLV 1961 .. TLV 1977 - TLV 1986 - 1 ppm (1WA) ~lhle prnduat Contain* toxic chemicals subject to the rsportl,g requirements of section 313 of the Emergency Planning end Community Right-To-Knew Act of 1986 end of &O OrR 372. SHIPPII~ INFORMATION HAZARfl CLASSIFICATION ....... ,, ..... Orgenfe Peroxide I#D~ CODE PACE; ..~ ..................... 5186 l,O. ~a .... 1~2550 .... ---, .............................................. ........... ................................ ~LII~/~EEZlHG~INT, 'C ........ Oel~ '30 VA~R PRESS~E ....... ., .......... , ......... ...................... , .... ~/A VAP~ OE~ITY (Air - 1) .................... *S.A,O.T. ..... ........... ..................... 71eC, ~P~A~ i ~R ..... ,,..,. Red llqu~d, 451 Cube FI~A~ EXPLOSI~DATA FLASll POINT. 'C/"F ................... ........ [RIINGUI~HlflG H~IR............. ...... ....... Water sprey~ WoOer Fog, ~ry ~leal, S~ClAL FIR~ FI~tTING P~CE~ES .......... .. If large emO~t le I,volved, eYaeueee area end flghe fire care d/stones, Cool surroun41ng materl,l with we~er. UNUSUAL FIR~ & EXPI.OSION ~S .......... ,,, Coat.lactic, T~rature - Can dec.ese wteh force If can- rlnee during exposure to fire. REACTIVITY DRTR CO~ITIOHS COHTRIBUTING TO INSTABILITY .,.... Thermal dee~eltlo.~ eoneamlnaelon fl~ATIBILITY (avoid eontaae with) ..... .,. Strong aelde~ strong at,alii, strong oxldf~ere~ acetone~ transition mctel seltsi pr~otere and reduet~g agents ~ -v nvv~u .... ,..,. .... ;.,.,,. ..... Heltp flame% sparks, t~nltlon seureest e~temlnatfon .................................................................................... ;_~... .. ~PILL ~ LEAl( ,o,o ,A.. ::::::::::::::::::::::::: :-::::: ...... : ................ ... ....... n~er or 7Dost State'1 nazerd~, waste egen~, ~ .'T 'd ~TT&-~-~TG ~ taqaflqs5 ~Jet3 ~ GT:~T ~'; ~ 'des o I qo / ' H A T ~.R I A I. SAFETY nRTA SIIEET TOXICITY ORAL (acute)(rate! ............. ~U~ - ~81 ma/kg - . NOTl:$g Date obtained on I1~ o~ygefl notarial. ~hould IF~LATI~ (ecuteJ(r.t*) ............ LCSO - ~3 ma/1 (4 hourel(1977) elmller ' AMES TESTf Negative ~.:~.:~ . 0CRaAL ................. :::: rlu~wl~ aesp end water. Cot medical attention, fnr medical -* ~'. ' SPEC I AL ~OTECT I ~ I NFO~AT 1 OH ~,'~' ~HTILRTIOH RE~IR~EHT~ Uso ,lth adequate ventilation. Local exheust. EYE ........................ Safety glasses, gogglee~ fame shield "r:?:~' ''' ' IIAl~ (Glove Type) NeOprene~ nttrlle rubber :?~., *~5PIRATOR ~Y~ ......... Can or cartrldge~ gas or vapor ~?~..-" OTIt[R PROT[CTI~ [QUIPH~II/.. Fyeweeh 3::~::', ~U~:- .:hi7 NIOSII~ESA approved equtpmefl~ · ~,~v:~:' Pfl(~UTIO~AflY ~LING.. Wash thero~ghly afEer h.ndllng _.~;' '- Do not get In eyesj on akln er clo~fng Do nee t~ore fleer eombu~tlbles '~ Keep c~flkatner closed ,v. ~.. Keep away. fr~ hea~ sparkap and .:.;. O~ not reule eafleatner ' .. ";": OTtI[R STOflACE AND :~.M'. IIRt/OLlflC ~ITI~ ~tnr~ hel~ I~eF (38eC) to maintain e,ttve oxygen content. Ilarketlng Services Oepar~enb 17~0 HI1ftmr7 needt Buffelo~ flY 142~0 (716)877-17q0 ~.':--= regulations are aubJuet eo change and the eondleien& er hendlln9 and uae~ er mleuse ere beyond our euntrol :?'.?':HA~E~ ~ ~ARRAHTV~ ~ITH~ EXPfl~S OR I~Pl.l~O, WI~ RESPECT TO Tt~ Ca~LETENESS OR C~TI~IHG ACCt~A~ Qr TIIg ~:~;~. ,~ ,11 current de~e relevene to his particular uae? &T TJ.-£~--£TC: '"1~/ olqo / teqe~qo5 qd~l::) ~ 9T:(~T £6, ~ 'da,q. EHERGI:II£Y P, ESPCHSE IHFORFLRliOH - DII4TIlITUUIIL lilt · l'fl.l.~on 11 I.tquld, R.O.S. IIW 2fllO - II.S. rIOT n'-. ~t~"=~;,yieniline UN 2263 - [nterllation. l ~A~t{§_[~: llazerdo,.~ liquid and vapor. Rapidly absorbed through skin, 1tags end eyes. Causes cyano.~t~. :.:atertal ts combustible. I)o not g~.t tn eyes, on skin or clothing. Avotd breathing vapor. Use only with adeq.ete ventilation. II~alth · £1emmahlItty Reactivity I~lS Ratlng~ 4 ~ Extreme Ilealth 3 3 - Ifigh rlan{mahllity 2 2 "Hoderate Reactivity 0 ! *.Slight 0 = lnsign,f!-.nt (flora details on hazards are given tn succeedtngsecttons.) FIREAIII) EXPLOSIOR IIAZAI~DAIA Rlmethylantltne ts a Cl'as~ ilia Comh,,stlhle Ltq,ld. [la___s~_~l_nt: 1630F (7306) Fla,m,able Llmlts: LFL: 1.01 by vol.. UFL! Not found. [.~n_.qt/t_~._hl__~_ng Hedl~: roam, Carbon ~toxlde, dry chemical. ~o__~itlcn T(mp.: 37t°C 5_{~e__.clat FI,-e F{_qhtlnq. Procedures & _E_qyJ..pment: Avoid contact with liquid end vapors. ;'ear f,11 prnt.-cttw clothing and self contained breathing ,pparat,,s. Clear area downwind of t,,rtdent. Cool containers expo.~ed to 'h~.-, ...~,~ .... "r (U,,.r.-, '~111 si,roan .~pllled material.) Unusual Fire & E_xploston Ilazard~: vnpo,*.~ and liquid are toxic and flammable, tlay form e.~rloslve mixtures with al,'. Dange,'ot.'s when heated to decomposition, llay emit toxic fumes of aniline. Hazardous Incomplete Combustion Products: ltOx, CO. Als'o possible nltrtles{ aromatic amines; aldehyde.~; ~cIds~ c)anlde~ pho_nol.~. 5PILL OR LEAl[ PRI]tT~URES .Steeps Tc Be laken If tlaterial Is Sp_llled or Released: Clean up spills promptly. Avoid cunt,.ct ~,lth llq,td cr vapor formS. Ventilate immediate a. rea, Clear area 'downwind. Absorb spills using "Speedy Dry" or simil~.r ah.~er~,{. ~hovel nnd sv~eep np sat,rated absorbent material. IIose area down with water. Persons not weartng prot~.ctive eq{,lpment and clc. thh~g should be restricted from area of spills and leaks. Call Ck~ltttq: 1-600-424-g300. Local e,,virnnm~ntal agency should be notified. ~J~posal }~ethods: O,poslt absorbent materiel saturated with product In a s.eperate labeled, leakproof container and take to an approved treatment, storage or disposal facility. In cn~e of contact get medical attention. ~,mnv~ pe,'scn from expo.~l,re .~lte. Immediately flush eyes or skin with large amounts of ~,ater for at lea~t 15 mlm,t.r.~ ~F. lle removing c~,ntamil~ated clothing, Including shoes. 5hnv~er thOro,ghly a,d der. clean, dry a,,d cl,.an ~hoe~. lt,m'm~gh clean,tau of t.h~ ~ntlre cnntamlnat,a ar~a of the body tncl,dlr:g scalp and nails ........ ..t ,,..~,ui.~,ce. {~i.~card all contaminated c{othtng and shoes. If {,,q~t~d and perscn i~. co, sclvus, itoh,ce vumittrg. Support treathtng with artlfic{~l respiration, tf necessary. lj~_t.eto___r.J_,,:~_{_cJ_~_n: Special I1~.dtcnl $,rveIllance: ~lood methemoglobin tf exposur~'or dc~,'ee cf cya,o~l~ t~ t,, :{.~,ht. Avoid a.~ptrln or ~5ptrlt;-{lke prod,ets ~or complaints of headache. Advise patient tc avoid alcohol fur days. {n ca.~. ,'[ ski, ebRr, rptlon s)~ptoms ,,ay be de{eyed. St"ECl/ilL piEr, Ill I Olts Vapor arrf llqt, ld forms are toxic tf breathed, stzallcwed or absorbed through the skin. :~9i on skin ha.~ poor v'ern fnfl rrnp,.rtles. EMERGENCY INFORMATION JOB INFORMATION: HOWARD'S #351 3200 PANAMA LN. BAKERSFIELD CA 93312 CONTACT: EMERGENCY PHONE: LEE JAMISON 911 (805) 393-7000 FIRE DEPARTMENT: 911 MEDICAL EMERGENCY 911 NEARST HOSPITAL: Mercy Southwest 400 Old River Road Bakersfield CA DIRECTIONS: West on Panama to Buena Vista, Left on Ming Ave, Right on Old River Road. page 27 .% BAKERSFIELD FIRE DEPARTM]!~NT HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE., BAKERSFIELD, CA (805) 326-39?9 93304 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY PERMIT TO OPE~TE OPE~TORS N~E ~BER OF TA~S TO BE TESTED OWNERS NAME ~_/~)- ~ d~ ~_., ¥ L IS PIPING GOING TO BE TESTED TANK~ VOLUME / ~L/~. CONTENTS o,v A 'ct','G ~ TANK TESTING COMPANYfC,~ ! ~'L;.~Tao/ ~Ru,c,;%ADDRESS TEST METHOD ~ ~ T/S $7- N;%ME OF TESTER _~?-~:v/F Y~/,'~7 CERTIFICATION STATE REGISTRATION ~ ~.) - / ~ 9/ DATE eakersfield Fire Dept. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed Business Namei ~ r~l~ &;~i Location: 3~1 ~O /:)a,,m,~ /.-~. Business Identification No. 215-000 (Top of Business Plan) Station No. Shift Inspector Arrival Time: Departure Time: Inspection Time: Address Visable Correct Occupancy Verification of Inventory Materials Verification of Quantities Vedflcation of Location Proper Segregation of Matedal Inadequate [] [] [] [] Fl [] Comments: Verification of MSDS Availablity Number of Employees: Verification of Haz Mat Training Comments: Emergency Procedures Posted Containers Propedy Labled Comments: Adel~e Inadequate[] [] Verification of Facility Diagram iii/'. FI Housekeeping ....fl~3/. [] Fire Protection [:3// [] Electrical III/ [] Comments: Verification of Abbatement Supplies and Procedures Comments: UST Monitoring Program Comments: Permits ¢ [] Spill Control [] Open Device ¢ i-I Hold Hazardous Waste EPA No. Proper Waste Disposal [~Y' FI Secondary Containment [] [] Secudty [] FI Hazards Associated with this Facility: ~ir/Manager PRINT NAME White-Haz Yellow-Station Copy All Items O.K Correction Needed Pink-Business Copy eakersfield l~ire Dept. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Business Name: /~ ~.,~ Location: 33, Business Identification No. 215-000 Station No. Shift Arrival Time: Date Completed (Top of Business Plan) Inspector Departure Time: Inspection Time: Address Visable Correct Occupancy Verification of Inventory Materials Vedfication of Quantities Vedfication of Location Proper Segregation of Matedal Comments: Adel~e Inadequate1.1 Verification of MSDS Availablity Number of Employees: Verification of Haz Mat Training Comments: Verification of Abbatement Supplies and Procedures Comments: Emergency Procedures Posted Containers Propedy Labled Comments: Adel~e Inadequater.1 Verification of Facility Diagram Housekeeping Fire Protection Electrical Comments: UST Monitoring Program Comments: Permits Spill Control Hold Open Device Hazardous Waste EPA No. Proper Waste Disposal Secondary Containment Security Special Hazards Associated with this Facility: Business Owner/Manager PRINT NAME White-Haz M~ iv. Yellow-Station Copy All Items O.K Correction Needed Pink-Business Copy Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 9330 ! FACILITY NAME ~t~r,~r,,(~ yhi.; i~r~t--(-- BUSINESS I.D. No. 215-000 ~G FACILITY ADDRESS 3200 /~ m~ ~ CITY ./~1~-~. ZiP CODE INSPECTION DATE ~/~ ~ [ f 7 In~ ~le In~ ~te Inst ~te ROUTINE ~ FOLLOW-UP REQUIREMENTS la. F~s A & B Su~ lc. O~mting F~ Paid Id. State Sum~rge Pa~ le. Statement of Fina~ial R~sibil~ Su~ 1[ W~en Contm~ E~sts ~n ~er & O~ to O~mte UST 2b. Approv~ Wr~en Ro~ine MonRoHng Pr~um 2c. Una~ho~ Relea~ Res~n~ Plan ~. Tank Int~ T~t in Last 12 Months 3b. Pm~ur~ Piping Int~ri~ Test in Last 12 M~ths ~. Suction Piping ~ghtness Test in Last 3 Y~m ~. Gmv~ FI~ Piping ~ghtn~ T~ in La~ 2 Yearn V ~. m~t R~uRs Subm~ Within ~ Da~ V 3f. Dal~ ~sual MonRodng of Su~i~ Pr~u~ Pi~ 5. W~k~ Manual Tank Gauging R~rds f~ Small Tan~ 6, Monthly Statisti~l Invento~ R~ciliation R~uRs 7. M~hN A~atic Tank Gauging R~uRs 8. Ground Water ~nRoHng 9. ~r MonRoring 10. Contin~us IntemtRial M~oHng f~ Doubl~Wal~ Tan~ 11. M~hanical Une Leak Det~om 12, El~tmn~ Li~ Leak Det~tom 13. Continuous Piping MonRoHng In Sum~ 14. A~omatic Pump Shrift Ca~bil~ 15. Annual Maintenan~Calibmtion of Leak ~t~ Equi~ 16. Leak Det~tion Equipment and T~t Meth~s Llst~ in L~113 17. Wr~en R~ords Main~in~ on SRe 18. Re~ Chang~ in U~ggCondRions to O~mti~R~ Pr~ur~ of UST S~tem Within ~ Da~ 19. Re~A~ Una~ Relea~ WRhin 24 Houm ~. Approv~ UST S~tem Re~im and U~md~ RE-INSPECTIONDAT~ ~']~~ RECEIVED BY: INSPECTOR:. ___ OFFICE TELEPHONE No. FD 1669 BAKERSFIELD FIRE DEPARTMENT FIRE CHIEF MICHAEL R. KELLY ADMINISTRATIVE 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 PREVENTION 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 December 6, 1996 JACO Oil P.O. Box 1807 Bakersfield, Ca 93303-1807 Underground Storage Tanks located at Howards Mini Mart g4, 3200 Panama Lane in Bakersfield. Dear JACO Oil: 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 tanks do not currently meet the new code requirements and therefore fall 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 these tanks. Please complete this questionnaire and return it to this office by Monday, December 23, 1996. If you have any questions concerning your tanks 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 USTMAN SIR SYSTEM Yearly Statistical Inventory Reconciliation (SIR) Report 1995 STATION NAME: HOWARD'S MINI MART #4 STATION #: 3351 COMPANY NAME: JACO OIL ADDRESS: 3200 PANAMA LANE CITY: BAKERSFIELD STATE: CA COUNTY: KERN ZIP: 93313 PHONE: DATE OF REPORT: 02/09/96 MONITORING THRESHOLD: 0.05 GPH LEGEND--> T - TIGHT/PASS *I* - INVESTIGATE~FAIL IP - IN PROCESS/INCONCLUSIVE ND - NO DATA SUBMITTED TANKID CAP JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 33511 12K T T T T T T T T T T T 33512 12K T T T T T T T T T T T 3351M 12K T T T T T T T T T T T 3351P 12K T T T T T T T T T T T SIR PROVIDER: USTMAN INDUSTRIES, INC. 12265 W. BAYAUD AVE. SUITE 110 LAKEWOOD, CO 80228 PH: 303/986-8011 FAX: 303/986-8227 SIR VERSION: 91.1 I certify unde~ penalty of per~"u~y that all SIR results are as cal cull~,~,, .~/~~~ listed above Date FACILITY BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST PERMIT TO OPERATE S OPERATORS NAME ~C_O ~), ~ NUMBER OF TANKS TO BE TESTED__ OWNERS NAME ~(O ~! t IS PIPING GOING TO'BE TESTED~_~ TANKS VOLUME · Z ! TANK TESTING COMPANY CONTENTS ~U~ ADDRESS ~E~[c~, TEST METHOD ~Ct) ~C~- NAME OF TESTER ~1-~[\~_ ~L]~/ CERTIFICATION STATE REGIST TION S 7 DATE & TIME TEST IS TO BE CONDUCTED MA~N VA~kP2~O~; E D~: DATE SIGNATURE OF APPLICANT FIRE SAFETY SERWCES & OFFICE OF ENIqRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD. CA · 93301 R.E. HUEY R.B. TOBIAS, HAZ-MAT COORDINATOR FlEE MARSHAL (805) 326-397o · (805) 326-3951 TANK INTEGRITY TESTING INSPECTION FORM THIS FORIVI MUST BE COMPLETED AT TIME OF INTEGRITY TEST BY THE TECHNICIAN ON SITE AND SUBMITTED WITH THE TANK INTEGRITY T'~ST Facili~, Permit to Operate Number Facility Permit to Tightness Test Number Faciliw Name ~Ot~ ~ ~O ~ "~ Facility. Address .'~ ~ c~ c,, Faciliw Telephone Numoer Have you complied with the following safew requirements YEs o The area within 25 feet of any underground storage tank opening is free of smoldng, open flames, and any other source of ignition. Legible signs with the words "NO SMOKING" are posted in conspicuous locations around the testing area. The general public is restricted from the testing area bv rope, flags, cones, and "if dark" a fluorescent barrier. Fire protection in the form of a 2,~20BC fire extinguisher is located within the restricted area. Vehicles utilized dunng the testing per/od, or within 25 feet of the underground storage tank opening, have adequate ventilation, and the tester has equipment which can be utilized to monitor the concentration of flammable vapors within the vehicle. Personal protective equipment, an eve wash and gloves, and a site safety plan are within the testing area. t~quiphaeni/materials is' available to absorb and contain any small release of testing liquid which is discharged as a result of the test. (Examples include DOT-acceptable containers for storage of the absorbent and an adequate supply of absorbent). · If the answer to anY'of the above questions is NO, stop the testing procedure IMMEDIATELY until compliance is obtained. COMPLETE REVERSE SIDE TANK' INTEGRrTY TESTING INSpeCTION FORM continued Is the following data consistent with the information submitted on the apphcation for Permit To Perform Integrity Testing (PTI')? YES/NO The number of tanks being tested Testing company Test method used State Licensed Technician on site State Licensed Technician's # Is the site layout consistent with the application plot plan? State exceptions for any NO answers to the above questions: I CERTIFY THATTHE AFOREMENTIONED FACTS ARE TRUE AND CORRECT UNDER PENALTY OF PERJURY, (Not valid if not signed and dated,)~ Signed this ~ ~ 7-/4 day of P4/~ ~f ~ , 19 94 at lg',~ ~/~rczr~:z-r~.. c_,4: ~tate month tint. and state (SIGNATURE) - State Licemed Techniman on ~ile~_j/ (PRINT) ; Staze Dcen_~ Technician on Site/ TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston, Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Service Order :/f: 160387 Test Date: 03/26/96 Underground storage tank system(s) tested and found tight for: Tank Owner: JACO OIL COMPANY Test Site No.: 3 51 Test Site Address: JACO OIL COMPANY HOWARD' S BAKERSFIELD, CA 93313 4Tank(s) only, 4 Line(s) only, #4 4 Leak Detector(s) only. Tanksizes & productstested: 1 12000 SUPR UNL 4 12000 REG UNL 2 12000 NO LEAD PLUS ~3 12000 REG UNL Lines Tested: lA SUP, 2A NO , 3A REG, 4A REG Leak Detectors Tested: 11088-8060 XLD 40593-6988 XLD 81795-5017 FX1 UnitMgr. CedificateNumber&Name 296 STEVEN R. COLBY 1567 STEVEN R. COLBY UNREADABLE 07/97 10/96 · Valid only with . Corporate Seal U.S. Patent #4462249, Canadian Patent # 1185693, European Patent Appl. # 169283 TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Report for tank identification & site location drawing. KNOLOG" VacuTect TEST REPORT S.O. # 160387 · Date 03/26/96 Owner JACO OIL COMPANY Site# 351 Phone <800> 253-8054 Invoice Name/Address USTMAN INDUSTRIES, INC. 12265 W. 'BAYAND AVE. #110 LAKEWOOD, CO 80228 Attn: BRUCE M6DUFFY SiteName/Address JACO OIL COMPANY HOWARD'S #4 3200 PANAMA LANE BAKERSFIELD, CA 93313 TANKS LINES Leak Det Ullage I TANKS and LINES Tested to CFR-40 Parts See Tank Dipped Dipped Probe Water Bubble Air Line Final Exist 280-281 & NFPA 329 Spec's. Diag. Dia. & Water Product Water Ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s) NEW For Material Level Level Level Detected Detected Detected · Material Syst Type TEST TEST Rate · Pass/ LD(s) Loc. ST/ · · · · · · Tight · · · · · Tight Fail/ Tested Other: FRP/-t START START START or -- ST/ START END or or & ,~ Tank -Tank Lined END END END Yes/No Yes/No Yes/No Fail Line # FRP PS/SS/GS TIME TIME GPH Fail %lONE PASS . Product Capacity 1 SUPR 12000 ~30~00~03i;'00 00.002 N N N T 'lA ST'i.: ............ ' PS : ,9~:'0411 ~9:3'4 0.'000 T p - ~x's, LOSN,MD',~F~: 11088--8060 XLD UNL 95 30 . 000 031·00 00· 002 Nevv/2nd /OSN/~V;D/#vH:G: Percent of Fill at Pump ' - ' .... ' , ~:, ' ~ ~ ' - Material StartTime: 8 .' 20 Time of Test: 28 0 Mfg.: TOKHEIM · '" . L,N,T,ST.Sl 50 00 S T End Time: 11 : -]11 Tank Probe inclinometer Disp ..... Shear Valves Test PS,: - ~ 00 Entr~: F I L L Deorees: -- 600 · · Operate lyes/no 2 NO 12000 Diameter00 .:000 0.4'4. 00 00.00~3~ m N N I T 2A S'T' :~ ':' PS'.," 9 ::53 10: 23: '?i0:. 00'0' T F Y Ex~stLDSN,.OL/M~:21289--0866 XLD el I LEAD 9500.000 044 00 00 00 P N"~/2'~DS"/'D~/'~:1795--5017 FX1 i Tank Probe Inclinometer Dispenser Shear Valves ST ~nOTime: 1! : 11 Test PS,: -- 2 00 Ent~: FI LL De~rees: -- 300 UNL 9500.0001026.00 00 003~ I MaterialStart Time: 11: 3 6 Percent of Fill at Pump ' * ' LINE TEST PSI 50 · 00 Time of Test: 22 0 Mtg.: TOKHEIM --' '- .... · S T E.~ Time: 14: 07 T~s, P~,: -- ~, Q Q Entw: ? I L L eeorees: -- .500 O~e,.t~t~..,nol UNL 9500.00010~071.00 00 00I Ne~/~.,~OSN/~O.,M~a: Percent of Fill at Pump ~ S T End Time: ]~ Z~ : (~ 7 TTea~tkPSl: -- ;~! Q Q Entre': ~ I n L Deorees: - . 600 Operate (;/es/no) I ..... New/2nd LD SN/MDL/MFG: MaterialStart Time: Time of Test: Mfg.: . ' . '- i'i ~..'''' ' ~ End Time: T~st PS1: Entry: Deqr~es: O~e,'ate f~'es/no) Material ' Start Time: Time of Test: Mfg.: ' ,.;, ' ' " : ,, · ~" ' , LINE TEST PSI: Tank Probe I Inclinometer · · ' End Time: Test PSI: Entry: Deqrees: Operate Iyes/nol Tanknology Corporahon International TANKNOLOGY Region: WESTERN REGION Unit # 015 State Lic. # 1567 State: CA 5225 Hollister St., Houston, TX 77040 NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. (800) 888-8563 · FAX (713) 690-2255 TAK-O1 MONITOR WELLS Well Number I 2 3 4 5 6 7 8 g 10 1 1 1 Well Depth Depth'to Water' Product Detected AMOUNT in inches Standard~ Symbols for diagram below:~ OFill i Q 'Vapor Recovery [~ V.R. w / Ball Float .. ~ Monitor Well (~ Observation Well (Outside Tank Bed Area)~ (Inside Tank Bed Area) ~ Ball Float ~ Tank Gauge ~ Vent ~ Manway ~ Iron Cross ~ Turbine Loc; tion Diagram-;nc~ude the Vappr Recovery System: I ; 1 Vapor Recovery System & Vents Were tested with which tank?, ~~~ ~y General Comments ~~ ~ ~. ~U~%. d~z~m.- L~4m D~T~'c~e ~.~ ~he~_O~NER ~f Io~a~ fegul~tioos.~r~uire immediafe reP~rf~of s~sfem fail~r~-~lete the following: REPORTED ~uE- O~TE TO: Phone~ OWNER or R~ulato~ ~en~ FI~ NUMBER Pdnt C~fi~ Tes~rs N~e V~u~ ~~n Numar Ce~ Tes~rs Sig~m Da~ Tes~ng Comple~ BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY ~)~ ~ PERMIT TO OPERATE 9 OPERATORS NAME ~_O O, ~ NUMBER OF TANKS TO BE TESTED TANK~ VOLUME ADDRESS~ ~-~J, is PIPINS GOING TO'BE TESTEO~S CONTENTS TANK TESTING COMPANY TEST METHOD , NAME OF TESTER ~ STATE REGISTRATION ~ OATE ~ TIME TEST IS TO A~OPE D~: DATE ADDRESS ~~, ~ 92~'11 tSt SIGNATURE OF APPLICANT BAKERSFIELD/'FIRE~ ~ BURE&u · OF FIRE: APPLICATION .:..~,~ . . In conformitY. wi~h:.provisions to displQY; store;, instQII,._.Use, operate, sell or andle, m~terial$.~r.? ":~'" '" ditions deemed hazardous to life Or propert~ of' Pertinent ordinan, USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) ,Report STATION NAME: HOWARD'S MINI MART ~4 STATION #: 351 COMPANY NAME: JACO OIL ADDRESS: 3200 PANAMA LANE 'CITY: BAKERSFIELD STATE: CA ~ ZIP: 93313 PHONE: PERIOD ANALYZED: APRIL, 1995 DATE OF REPORT: 05/15/95 PART A: Tank ID:. Tank and Lines Status: Product: Data Quality: Dels: Sales: 00 O2 O3 O5 TIGHT TIGHT TIGHT TIGHT 00-FS PRE 02-UNL #1 03-UNL #2 05-FS MID POOR POOR POOR POOR 19200 31928 12451 22061 17555 29991 10679 21294 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: 0/S listed below represent removals, additions or delivery · discrepancies which were accounted for as part of the SIR analysis. Tank ID: Comments and Recommendations: 00 Slight losing trend within regulatory parameter - watch tank {4/2/1995: 140} {4/13/1995: 193} {4/30/1995:DEL -352} 02 Majority of o/s exceed +/-100 -> review sticking procedures {4/5/1995: -1120} {4/6/1995: -14!} {4/27/1995: 380} 03 O5 Delivery data.distorted or inaccurate {4/2/1995: 151} { /24/1995: 3533} review delivery procedures {4/26/1995: 359} 4/2/1995: 181} 4/13/1995: -139} 4/30/1995 DEL 109} I4/9/1995:DEL -203} {4/12/1995:DEL 501} 4/23/1995:DEL 3546) {4/24/1995: -3459} For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. Oil Company 3101 State Road Bakersfield, California 93308 *** P O. Box 1807 Bakersfield, California 93303-1807 Phone: 805 393-7000 · Fax: 805 393-8738 May 25, 1995 City of Bakersfield Fire Department 1715 Chester Avenue Bakersfield, CA 99301 Attn: Howard H. Wines, III Dear Mr. Wines, In response to your letter of May 19, 1995 regarding the Statistical Inventory Reconciliation System, I have compiled the following information: STATION #224 SHOP KWIK, REEDLEY, CA - FRESNO COUNTY Not within your jurisdiction. #226 LASSEN MARKET, SOLEDAD, CA - MONTEREY COUNTY Not within your jurisdiction. #228 BELLEVUE LIQUORS, TULARE, CA - TULARE COUNTY Not within your jurisdiction. #789 THE OUTPOST, BAKERSFIELD, CA - KERN COUNTY Station is no longer a JACO facility. INVESTIGATION SITES: All of the following sites have been certified by Tanknology, May t 995. A copy of the certificates is enclosed. #351 HOWARD'S, 3200 PANAMA LANE, BAKERSFIELD, CA #356 FASTRIP, 6501 NILES STREET, BAKERSFIELD, CA #790 HOWARD'S, t332 BERNARD STREET, BAKERSFIELD, CA If you have any questions or need additional information please contact me at (805) 393-7000, ext. 542. Thank you. Larry Henson Retail Operations Tank Owner: Test Site No.: Test Site Address: ' Tank(s) only, Lines Tested: i! la REG, 2A REG, i UNREADABi',E ~ 2i289-0866 ' ~'".' h · ~.'.~-:.'. TANKNOLOGY CORPORATION INTERNATIONAL 5225 Holtister, Houston, Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Test Date: 05/11/95 Service Order #: 14 6 2 3 9 Underground storage tank system(s) tested and found tight for: Leak Detector(s) only. JACO' OIL COMPANY 351 JACO OIL COMPANY~ HOWARD'S #4 BAKERSFIELD, CA 93312 4'Line(s) only, 4 3A PUN, 4A pLU Tank sizes & products tested: UNREADABLE DLD 11088-0066 Leak Detectors Tested: XLD DLD UnitMgr. Certificate Number & Name 083 STEVEN E. HAWKINS 06/96 95-1525 STEVEN E. HAWKINS 04/95 U.S. Patent #4462249, Canadian Patent #1185693 European Patent Appl #169283 TANKNOLOGY & VacuTect are trademarks of TANKN~)LOGY CORPORATIO~ INTERNAT ONAL Note See V ~ : acuTect Report for tank identification & site ,.~f,: '~ ~ location draw ng ' ~%:::::~ TANKNOLOGY CORPORATION INTERNATIONAL 5225 HollisteL Houston, Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Test Date: Service Order #: 14622.5 Underground storage tank system(s)tested and found tight for: JACO OIL COMPANY 356 JACO OIL COMPANY~ FASTRIP BAKERSFIELD, CA 93305. 4 Line(s) only, #29 Leak Detector(s) only. Tank Owner: Test Site No.: Test Site Address: Tank(s) only, Tank sizes & products tested: 4A PUN Lines Tested: lA REG, 2A REG, 3A PLU, Leak Detectors Tested: ~!ii30994-5952 ×T,D 20895-2850 FX1 30292-7566 1091-6889 XLD . . Valid only with Corporate Seal '~ni~M~r. Ce~ifica~e~umb~r~am~ 083 STEVEN E. H~KINS 06/96 95-1525 STEVEN E. HAWKINS 04/95 U.S. ~te~i ~62249, Canadian Patent ~ 1185693, European Patent Appl. ~169283 TANKNOLOGY & VacuT~t are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Repo~ for tank ident f cat on & site ' location drawing. ~. ~ . ~ ,,,. . ~,,~ ...,,,~,,.,, ..,?,,~ .~=?,~ .... ~,,~,~,~ ~,~,~ ~., ,,,,~ ~,~ .... , ............. ~' ' ' ......' "~- ' ':z~ · "~'.~,' ?'~ ........ :~' "~ '"~':'-'~ ~a~,'.' ......."-~.~' '"': ~s-,~.;~. .~.., ..' Tank Owner: Test Site No.: Test Site Address: .Tank(s) only, Lines Tested: lA PLU, 2A PUN, Leak Detectors lested' ~UNREADABLE DLD TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston. Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Service Order#: 146218 Test Date: 05/02/95 Underground storage tank system(s) tested and found tight for: JACO OIL COMPANY 790 JACO OIL COMPANY ~ HOWARD'S MARKET BAKERSFIELD, CA 93305 4 Line(s) only, 4 Leak Detector(s) only. Tank sizes & products tested: 3A REG, 4A REG 31093-1026 XLD i~~' ': ~ Unit Mgr. Certificate Number & Name95_1525083 STEVENsTEvENE. 5 ~ ~ 92 - ~ 750 XL~~-/o¢O~'"~ Valid only with Corporate Seal HAWKINS 06/96 E. HAWKINS 04/95 ,~ :i'i~.;~ U.S. Patent #4462249 Canadian Patent #1185693, European Patent Appl. #169283 ,' l;': ~?,~,' TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Report for tank dent f cat on & site ~'.:";:; ' location drawing. ~ ~,' :~,:~;~':::(;,' ..,,¢~¢~ ~,,;." ",2.:;' ..... ¢%~ ',2;' .~..:;;~., "::~;' . ~;f;¢;; ";:F" ..,;~&. '::4;'~ ~;'~ ':.,:~( ,'-~': .... ~+;4:': '~"' '~':~?" ~' ?;::::; ¢,~:.~' :~::¢:::: .*~,:..~ '~.,,~:~ USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) Report STATION NAME: HOWARD'S MINI MART #3 STATION #: 351 COMPANY NAME: JACO OIL ADDRESS: 3200 PANAMA LANE CITY: STATE: CA ZIP: 93313 PHONE: PERIOD ANALYZED: MARCH, 1995 DATE OF REPORT: 04/17/95 PART A: Tank ID: Tank and Lines Status: Product: Data Quality: Dels: Sales: 00 02 03 05 TIGHT TIGHT TIGHT TIGHT 00-FS PRE 02-UNL #1 03-UNL #2 05-FS MID FAIR POOR POOR POOR 15014 34459 8263 20158 15578 31922 8905 19880 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: O/S listed below represent removals, additions or delivery discrepancies which were accounted for as part of the SIR analysis. Tank ID: Comments and Recommendations: 00 I3/7/1995: 244} {3/9/1995: -103} {3/16/1995:DEL -345} 3/19/1995: 390} {3/21/1995: -144) {3/27/1995: -136) 02 Majority of o/s exceed +/-100 -> review sticking procedures I3/7/1995: 127} {3/9/1995: -347} {3/19/1995:DEL 267} 3/20/1995: 107} {3/26/1995:DEL-125} {3/30/1995: -112} 3/31/1995 :DEL -223} 03 I3/2/1995: 192} 3/30/1995: -106} {3/14/1995:DEL -340} {3/20/1995:DEL -130} 05 Slight losing trend within regulatory parameter watch tank {3/19/1995: 346} {3/29/1995: -122} {3/30/1995: -194} For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are t ate Underground Hazardous Materials Storage Facility State I.D. No. 000310 CONDITIO Tank Hazardous Number Substance 01 PREMIUM 02 UNLEADED PLUS 03 UNLEADED 04 UNLEADED Issued By: Approved by: · ':'%; ':' ::::::::::::::::::::::::::::::::::::::::::::: .??:~?::'"::~::?~i;'iiii:;;:~ii!!!~ .'?i;}::. ~.~.~.:::::::i;:::?':('i ~..i.:?issued To: HAZARDOUS MATERIALS DIVISION 1715 Ohester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Piping Monitoring PRESSURE ALD PRESSURE ALD PRESSURE ALD PRESSURE ALD Ralph E. Huey, Hazardous Materials Coordinator JACO OIL COMPANY HOWARD'S MINI MART 3200 PANAMA LANE BAKERSFIELD, CA 93313 Valid from: 12-22-93 to: 12-22-98 3101 State Roacl Jaco Oil Company Bakersfield, C. alifomia 93308 m p O. Box 1807 Bakersfield, California 93303-1807 · Phone: 805 393-7000 · Fax: 805 393-8738 August 1, 1994 LETTER FROM CHIEF FINANCIAL OFFICER I am the chief financial officer for Jaco Oil Company, general partner of Jaco Hill Co.. This letter is in support of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount of at least $10,000 per occurrence, and $10,000 annual aggregate coverage. Underground storage tanks at the following facilities are assured by this letter. Howard's #4, 3200 Panama Lane, Bakersfield, CA 93312 1. Amount of annual aggregate coverage being assured by this letter: $10,000 2. Total tangible assets: $5,869,372 3. Total liabilities: $1,737,100 4. Tangible net worth $4,132,272 I hereby certify that the wording of this letter is identical to the wording specified by subsection 2801.1(d)(1), Chapter 18, Division 3, Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. AU8 0 ! Executed at ^Bak~sfield. Qalifornia on Date Signature .~",. Name: Brian Busacca Title: Chief Financial Officer BB:jlc 3101 State Road Bakersfield, California 93308 Company Telephone (805) 393-7000 Post Office Box 1807 Bakersfield, 'California 93303-1807 January 20, 1994 Mr. Ralph Huey CITY OF BAKERSFIELD UNDERGROUND TANK PROGRAM 2101 "H" STREET BAKERSFIELD, CA 93301 Subject: HOWARDS MINI MARKET' 3200 PANAMA LANE BAKERSFIELD, CA RECEIVED HAZ. MAT. DIV. Dear Mr Huey: To comply with the monitoring program requirements outlined in the State Underground Storage Tank Regulations, Jaco-Hill Company utilizes Statistical Inventory Reconciliation (SIR) with tank integrity testing as a release detection method at the above referenced facility. Current regulations require Jaco-Hill Company to (1) submit a sunnm~ to the local agency which indicfites the results from the statistical inventory reconciliation reports for the previous 12 months, (2) perform tank integrity tests bi-annually and (3) perform integrity tests on the piping and line leak detectors annually. Attached for your review is the following: The annual summary of the SIR reports for this facility prepared by our SIR vendor, Ustman Industries Inc. Copies of the results of the line and leak detector tests which were performed November 14, 1993, by Tanknology Corporation International. Review of the results indicate the product lines are tight and the leak detectors are functioning properly. Jaco-Hill Company strives to maintain compliance with all state and local regulations at our facilities. Should you have any questions or require additioml information, do not hesitate to contact me at (805) 393-7000. JI jk attachments USTMAN SIR'SYSTEM- Monthly Monitoring Rep~r~ DECEMBER, 1993 Report-Date: 01/11/94 Company name :JACO OIL Station Name: HOWARDS'S MINI MART #3 Address: 3200 PANAMA LANE CUMULATIVE MONTHLY REPORT City: Station # : 351 State: CA - JACO OIL- 1993 LEGEND --> T - TIGHT ?? - INCONCLUSIVE IL - INVESTIGATIVE LOSS ND - NO DATA SUBMITTED TANK JAN FEB MAR APR MAY JUN JUL AUG' SEP OCT NOV DEC 351-00 T T T T T T T T T T T'-' T 351-02 T T T ?? T T T T T T T T 351-03 T T T T T T T T T T T- T 351-05 ?? ?? T T T T T T T T T T Tank ID: Product: 00 00-FS PRE 02 02-UNL #1 03 03-UNL #2 05 05-FS MID USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston, Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 · ~, Certificate of Tightness S®r~lceOrder# Underground storage tank system(s) tested and found tight for: TANK OWNER: TEST SITE ADDRESS: [ ] TANK(S) ONLY, TANK SIZES & PRODUCTS TESTED 1 PLUS 3 REG 030699 Test Date 11/18/93 JACO OIL COMPANY INC. 4 JACO OIL COMPANY INC. 351 HOWARDS PANAMA LANE BAKERSFIELD, CA ~00[ 4 .,.~(s) o..~, [ 4 ~^~ ~.~c~o.(s) o.~. UNL UNL 2 REG UNL ~ / ~ ~ f~ ~_ ~ .'./ HAWKINS 06/94 Valid only with Corporate Seal Note: ~ VacuTect Teat Repo~ for tank Identff~tlon and site I~t~n drawing. LINES TESTED iA, 2A, 3A, 4A LEAK DETECTORS TESTED 21289-0306 DLD, 40593-9775 r 11088-0066 DLD UnitMgr. Certificate Number & Name 083 STEVEN E. U.S. Patent #4462249, Canadian Patent #1185693, Euro0ean Patent AODI. #169283 TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL VacuTect TEST REPORT .... Ownei JACO OIL .COMPANY INC. Site# 4 InvoicoName/Addfess usTMAN 'INDUSTRIES, INC. 12265 W. BAYAND AVE. ~110 LAKEWOOD, CO 80228 Sito~ame/~ddress agcO OI~ CO~Ph~Y IRC. 351 HO~hRD8 3200 Ph~h hh~E B~KERS~IELD, Ch S.O. # 030699 Date 11/i8/93 Phone <80~> 253-8054 Attn: BRUCE McDUFFY TANKS LINES Leak Det See *~r. Ullage TANKS and LINES Tested to CFR-40 Parts Diag, Tank Dipped Dipped~Probe Water Bubble Air Line Final Exist 280-281 & NFPA 329 Spec's. For ' Dia. & Water Product Water ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s) NEW Loc. Material Level Level Level Detected Detected Detecled · Material Syst. Type TEST TEST Rate · Pass/ LD(s) FRP/ START START . ,TART or ST/ START END or or & Tank Tank Lined END END END Yes/No Yes/No Yes/No Fail Line# FRP PS/SS/GS TIME TIME GPH Fail NONE PASS Product Capacity 1 PLUS Diameter ['' ' , 'lA ST'; :~:pS 6:45'! 7':15 0.000'T P N E,,S, LpSN,~OL/MFG: 21289--0306 DLD U N L N~w/2~ ,o Percent of Fill at Pump Material Start Time: Time of Test: Mf~l.: , LINE TEST PSI 5 0 . 0 0 Tank I Probe Inclinometer Dispense~ Shear Valves ~r~ '~[9~; Test PSI: 2 REG Diameter ,I " I 2A ST PS 7:25 7:55 0.000 T P N ExistL[~)SN/MDL/MFG:40593--9775 XLD Percent of Fill at Pump Material Start Time: Time of Test: Mf~.: LINE TEST PSI 5 0 · 0 0 Tank I Probe Inclinometer Dispenser Shear Valves 3 REG Diameter ''J,"' ' J 3A ST PS 8:05 8:35 0.000 T P N ExisILDSN.q,21DL/MFG: DLD UN LJ J Nsw/2r, d LB SN/MBL/IVIF6; Percent of Fill at Pump Material I Start Time: Time et Test: MI~I.: LINE TEST PSI 5 0 · 0 0 Tank I Probe Inclinometer Dispen,,er Shear Valves ..... I ' I ~a SfI~ '~)S S ! 45 9:i5 0 000 fl~ p ~ ExisILDSN/MBL/MFG: 11088--0066 DLD 4 SUPR Diameter , '' , ~ O Percent of Fill al Pump ' , Material Start Time: Time of Test: Mfg.: . . . :' ...... ,, LINE ]'EST PSI 5 0 · 0 0 Tank I Probe Inclinometer Oispenser Shear Valves End Time: ' Test PSI: I Entry: Deorees; Operale lyes/no) New/2n~ LD SN/MDL/MFG: Material Percent of Fill at Pump LINE TEST PSk Tank I Probe Inclinomeler DisDens~r Shear Valves End Time: · Test PSI: I Entry: De, tees: Operate (yes/no) . ' :' :~ ' Exist LDSN/MDL/MFG: . ' New/2nd LD SN/MOL/MFG: Percent of Fill at Pump Material Start Time: Tlrne of Test: Mf~l.: . ~ .,, LINE TE~T PSI: Tank i ProbeI Inclinomeler Dispenser Shear Valves O~erate ?'es/noI TANKNOLOGYRegion: WESTERN REGION Unit # 416 State Lic. # NO?E: Original Vaculect Data recordings are reviewed by lanknology's Audit Control Department and maintained on file. TAK-0'~, State: CA Tanknology Corporation International 5225 HOllister St., Houston, TX 77040 (800) 888-8563 · FAX (713) 690-2255 F~o93o81237 TANKNOLOGY ~ 1715 CHESTER AVE., BAKERSFII~LO, 'CA (805) 326-3979 I~R.I~I~F~;~:LD FIRE DEPARTMENT HAZARDOU~ F, RT~RT. JLL O~'.Y'ZSION 93304 PO4 APPLICATION TO PERFORM A TIGHTNESS TEST FACZLITY_~~~%.__~ I ADDRE:~$~ p~,RMTT TO OPERATE ~ ~ ,~(~,,~Di~eO ...... , OPERATORS NAME 4 ,~c~, c~,'~- OWNERS NAY~ ~ ,~ e;r_ NUMBER OF TANKS TO BE T£STED ~__ IS PIPING GOING TO BE ,,,TANK TESTING COMPANY NAME OF TESTER CERTIFICATION ~TATE REGISTRATION ~ DATE & TIME TEST IS TO BE CONDUCTED DATE ~IGNATURF. OF APpLTCA/~ 3101 Statc Road Bakersfield, California 93303 Jaco Oil Company Telephone (805) 393-7000. Post Office Box 1807 Bakersfield, California 93303-1807 February 17, 1994 Mr. Ralph Huey CITY OF BAKERSFIELD HAZARDOUS MATERIALS DIVISION 1715 CHESTER AVENUE BAKERSFIELD, CA 93301 Subject: BASIC PROPERTIES BANKERS OIL AND TRUST JAMIESON-HILL COMPANY JACO OIL COMPANY J.T. COMPANY CERTIFICATION OF FINANCIAL RESPONSIBILITY Dear Mr. Huey: Attached please find properly completed CERTIFICATION OF FINANCIAL RESPONSIBILITY.. forms for UST facilities operated in the City of Bakersfield by the above named entities. Copies of these forms will be maintained at each facility listed, with an additional copy in each stations compliance file at our main office in Bakersfield. Jaco Oil Company and its aff'fliates strives to maintain compliance with all state and local regulations at 'our facilities. Should you have any questions or require additional information, do not hesitate to contact me at (805) 393-7000. Respectfully, John Kefley attachments State Water Resou~Contml Board CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonsU'at~ Finan.';ai l~esponsibflity in the required &mount~ ns specified in Section 2807, Chapter t& Div. 3. Title Z3, CCR: ~ 500.000 dollars per occurrence ~ l million dollars annual ag[re[ate or AND or i ~'~=~ t million dolla, per occurrence ~=~2 million dollars annual .g$regate J.T. CT.~T)&nv hereby certifies that it/s in compliance with the requirements of Section 2807, (.¥ame or' Tank 0~ o~ Opes~tm,) Article 3, Chapter 18, D/vision 3, 7-itle 23, California Code of Regulations. ,,-he mechanisms used to demonstrate financial responsibility as recluired by Section 2807are as follows: C. MechaniSm · Type.. Si;aLe ,q ,nj ~'.,f Znsurance S~t~ of' California ?.T.C.m~, any P.O. B~x 1807 ._qakersfield, CA 93303-1807 $ g90,CCO.O ~:Coverage?~:~ ~iCorrective: ,]'hird Pa ::ii: !ii'iii. Pe~ ~:i i'i i'i':.' !; !'[ii~h.~:~; i'i~:' ?::'~ co mp Cont Yes Yes $ IO,O00.OC Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance with all conditions for participation in the Fund. O. Fadiit'v Name Uninn Mini 1701 Union Ave. Bakersfield Faci~ty ~Nar~$ Faciii~ Name Fa~lity ,~ldress .:.~-~;Arv Name Fazility .~:tdress I::~cdirv Name F~ility ~kh'eaa Statg Water Resources Control Board CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. [ am required to demonstrate Financial Responsibility in the required amoun" as specified in Section 22/07, Chapter tS. D/v. 3, T/de 23. CCH: or AND or ~ ! million dollars per oocurrence ~ 2 million dolhrs ann~al &S~resate B. ,la£O-H[ ] I C.~'t'~,'l~t hereby certifies that it is in compliance with the requirements of Section 2807, Article 3. Chapter 18, Division 3, T'rile 23. California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: State Fvnd I State ~' ,_,r California Lg 9f~),C£O.00 Cont Y~ Yes P.O. Box 1~7 Note: If you are using the State Fund as any part of your demonstration of financial responsibility, /our execution and submission of this cerlification also certifies that you are in compliance with all conditions for participation in the Fund. Fastrip FcoJ Store ~21 Fa~i~ Name ' Fastrip Food Store #26 ~Minit Mini ~/ert #4 ' 805 34th St., Bakersfield CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonsu"am Financial Respousib,'llty in the required amounu ~ s~fied h ~on ~07, ~r tg D~. ~ ~ ~ C~ ~ 500,~0 doll~ ~r ~n~ ~ I m~ do~ ~ 8~te or ~D or ~ t mi~on doaam ~r ~nm ~ 2 m~on doflam ana~ B. ,laco-Hi l 1 C:~FO~"ty hereby certifies that it is in compliance with the requirements of Section 2807, Article 3. Chapter 18, Division 3, T'rtle 23, California Code of Regulations. }~he mechanisms used to demonstrate financial responsibility as required by Section 2807are as follows: r'...nu SEam of California $ 990,0C0.0C Cont Yes. Yes ~ P.O. ~¢x 1807 ~ 3akersfield, CA 93303-1807 Note: If you are using the State Fund as any part of your demonstration of financial responsibility, ~ur execution and submission of this cerb$ication also certifies that you are in compliance with all conditions for participation in the Fund. i Farrel 1 ' s FastriD · Fastrlp Foz~ S~ ~31 Fa~llty Name [Fb,.,ards Mini F, arket Fad. iJty Name : Fasi:rip Food Store Fadii~/Nam~ I Fastdp Food Sto~ N643 White Ln., Bakersfield 6401 S. "H" st., BakeFsfield ~ R_ £hin~ I~k~; Riag.~r~t 8001 Whi~ l n., BakPr~fi~Id Name ~ Tide o[Tank C~vn~ or ~ Nme o[ ~m~ No~ ~ KPrIey F~i~) State of Califomia~ State Water Resou~ Control Board CERTIFICATION OF FINANCIAL. RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM k. I am required to demonstrate Finauchl Responsiba;ty in the required &mounu as specified ia Section 2807, Chapter I& Div. 3. Tide Z3. CCR: ~ 500,000 doHar~ per occurrence ~'~ 1 mUilou dollar~ ann,,,,,,~ aggregate or ,~dqD or ~ t million dollars per occurrence ~ 2 million dollars annul asfrega~ ,!ami~m-Hi ] lJ r~m.na_ny OVame o[ Tank Om2er or Opmltor) Article 3, Chapter 18, Division 3, 77tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as fo~lows: ~t,~,,t, Et l:Ui"ld hereby certifies ti;at it is in compliance with the requirernenes of Section 2807, State of California $ 10,000.0C Cont ~e!f Insurance Jamiesen-Hi I 1 Ccmpany P.O. ~x 18o7 Bakersfield, C~ 93..~3-1807 Note: If you are using the State Fund as any part of your demonstration of financial responsibility, of this certification also certifies that you are in compliance with all conditions for participation in the Fund. ' q /our execution and submisston Yes D. Faceit' Name Wofford Heights Liquor Fa~li~y Ha.me FastriD Food Store. #622 Fac~ IT Hame Fa~rtp Food Store ~32 Facili~ Name 5S91 Wofford Ht.s., Wofford Hts. 4013 S. "H" St., Bakersfield 3701 Mirq Ave., Bakersfield ; Fastrip Food Store. i~23' 800 Bear F~. Blvd,, Amir, ~ Fadli~ Name F~ility .P, ddreaa !The ~gt ~ ~ ~ Fcli~on ff~.,; RakPmfi~ld F~n~a~ 3, 1~ ~T-J. ,i~iiesm ~ral Pa~r ' ' ~ ~m ' N~o of ~m~ ~ No~ CERTIFICATION OF FINANCIAL RESPONSIBILHY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM i A. I am required to demonstrate Financial Responsibility in the required amounts ~ specified in Section 2807. Chapter tS, Div. 3. Tide iS, CCR: i [ ! 500,000 dollars per occurrence ~ l million dollars anmmi aggregate [ AND or or i ~ I million dollars per occurrence ~ 2 miilon dollars annual &s~regatn Article 3, Chapter 18. D/vision 3, 77tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibiliIy as required by Section 2807are as follows: ',C. ': Mechanism:? %t-~te of C.:;liforn.,i-~ P.O. Box ~, Bakersfield, r& .,3..~j-1~7 Insurance hereby certifies that it is in compliance with the requirements of Section 2807, .990,C00.~Z~ Cont !O,fkqO.O~ C~rreCtive:i :~ifd'P~ Yes Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this cer~fication also certifies that you are in comDi~ar~ce with all conditions for participation in the Fund. i ~. Fa~Name !Fastrip Food S~m~14 iFastrip Focd Stom#3~ Fail,Name iFastrip Food Store#15 F~W, Name ,Fastrip Food Store i Fa~ii~N~e ~b~vard's Mini Fart GI::RTIFIGATION OF FINANGIAL FIESPONSIBILI IY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM required to demonstrate Financial Responsibility in ~he requixed amounts as specified in Secdon 2~07, Cl~aple~ 18, Div. 3, Title 23. F~ S00,000 dollars per oeeu~ence [~] l million doll.s annual or AND or ~'~ 1 million dollars per occurrence E~ 2 million dollars ~nnual a~e~nte J.T. ¢3T~nv hereby certifies that it is in compliance with the requirements of Section 2807, Article 3, Chapter 18, Division 3, 77tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: C. Mechanism <{ · Name and. AddmsSof~lS~Uer:~:: . ;~: : ;i;::i ~eChanism::~:~::~i:ilF;i;ii~::[;i::~:;:J;~;verag~...i~i::::!i~ ~:.;::~::;;C0vemge;:::~i~::~!~:: ;:~ec~.~!:: ~Thii;d:Pa Type... Sta~e FL,.~ S~t~ of California $ 990,CQ0.0 CorFc Yes Yes ~if T. nsurance J.T. CFmT~ny P.O. Box : Bakersfield, CA 93303-1807 $ 10,000.0( Note: If you are using the State Fund as any part of your demonstration of financial responsibility, four execution and subm~ss/on of this certification also certifies that you are in compliance with all conditions for participation in the Fund. i D. Fa,mii~vName :B & B Country Kinq' s Liquor Chris' Liquor F.s,~i cv Na.me pri,,mo' s Liaour Fac~iity Name tvlr. Fast 22Q W. [ehachapi ~ Tehachapi P4 FraTemt St.: Delano 2732 Brundage Ln., Bakersfield 13531 Sierra Way, Ket~ville 3801Fruitvalle^ve., Bakersfield CERTIFICATION OF FINANCIAL.'RESPONSIBIL! I Y' FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonsUam Financial Responsib,'i;ty in ,I,o required amounu ns specified in Se~ion 2807. Chaptsr t& Div. ~ Title 23, CCI~ FI~ 500.000 dollars per o~urreno~ ~ l m~on dollars auual agsregat~ or AND or ~ I m~on doU&rs per occurrence ~ 2 million doUa~ ann~al aggregate B. RanKPrs Oil ard Tn;x-t. Article 3, Chapter 18, Division 3, 7-[tie 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: C;~:: ~::M echanis m ;:~ :~? .. :; :.. Name' and: Addmss :of !SS uec:: ~:-::: z:: ;:iii: ~i~i~::~:=~:i::i::?~ :.~ ::;:i~::~Mechanism~ ~ ~:~: ~::~:: !; :..:::.; :~;~; .i i; i ~g~::ii::i!ii ::i!;ii:~Xe ~geiii::ii?:ii State Fund State of California Ba~kers Oil and TFust P.O. Box 1807 Bakersfield, Gq 93303-1607 hereby certifies that it ~s in compliance with the requirements of Section 2807. Self Insur&qce $ 10,000.~ icorrec~i-~e: ?iThird'Pa, Yes Yes Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submiasion of this cerOfication also certifies that you are in compliance with all conditions for participation in the Fund. D. FaciUty Name Fastrio FcxyJ St, om ~5 ~00 Ni!es St., Bakersfield Fa~lity Na~e Fn~iiit~.~dresa Fastric) Fo~d Sto~ ~ I~Y~O S. Chester Ave. Ba.kersfield 1501 N. China Lake Blvd. ~ Ridq.,ecrest A~O Kem St., Taft FaciUt7 Name Or~ Sized F~rket Fa~lit~ Nnme ~b's Handi Mart F~flitTNamo Ouick Trip F~nnqv 3; lOP~ F~ru~r3, $, 199~. ~0 Center St. Taft CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstr~m Financial Responsibility in tho required amounts as specified in Section 2S07, Chal~er tS, l~v. ~. Ti,le Z~ CCR~ ~ 500,000 doUars per oc~=~enee ~=~ 1 m~on doila~ annua~ ag~esate or AND or ~ t minion dollars per occurrence ~ 2 m~on dollars annual a~'egate Self Insurance Jamieson-Hi I 1 Ccmpany P.O. Box 1807 Bakersfield, Cq 93303-1807 hereby certifies that it is in compliance with the requiremer~s of ,~ction 2807, Yes 990,030.0C 10,0.00.0( !]'hirdPa Note: If you are using the State Fund as any part of your demonstration of financial responsibility, of th/s cer~fication also certifies that you are in compliance with all conditions for participation in the Fund. ~our execution and submission Yes Fa~lity N~ma Fmma~, 3. 1994. Dam F:~b,'m~: 3, 1~74 · 860I Calif, City Blvd.. Calif, City 23~0 ff=,N. 59. ~iave F~ ~ - 12851 Ros~ale Hwy.~ Bake~field CERTIFICATION OF FINANCIAL RESPONSIBILIlY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM i A. I am rcquired to demousU'at~ Financial Responsibility. in the required amounts aa specified in Section 2~07, Chapter 18, Div. 3, Tide Z.~. CC~: ~ 500.000 dollars per occurrence ~ l million dollars annual ag~'~ate i or A.ND or i' ~ t million doUars per occurrence ~ 2 million doila, ann~nl &~r~pt~ (,¥amo o£ Taz:~ O~ar' oc ~ Article 3, Chapter 18. D/vision 3, 77tie 23, California Code of Regulations. The mechanisms used to demonstrate financial resDonsiDil/t3/ as recluired C, ..Mechanism 'i .Type::::. ;Stat~ F,.tnd Name and:Address of Issuer.., ~t~te ?,f C.3~if0mi_~ ,.,&~, t=_C:q-n: ~ 1 C,91T~,aP,.~.' ' '7 P.O. Box ~, Bakersfield, C~, 93~3-1~7 hereDy certifies that it is in compliance with the requirements of Section 2807, by Section 2807are as follov~: Mechan sm....' J.~ .Coverage'i:ii!!: I$ 993.C00.GC Note: If you are using the State j:;. !O,CL"g.O3 corrective.:! ~Thifd P~ .) ~!~:A-~ ~iii; iiii::: i.i 700 m,~ Yes Fund as any part of your oernonsrration of financml responsibility, your execution and submmsion of this cerCication also certifies that you are in comDi~ance with all conditions for ~articipation in the Fund. 10'~1 ~in Ri'_; I~mnt 3501 Ire. Vermn: Rak~r'~iPld i63~ Airpont Or.. B~ersfield Fac~i~ ,a~:tress '4cj01 S. Unim Aw=_. R~kCmfiPld · Fa~lity.~ldr~ ~.vard's Mini Fart IS~3fl Plan7 Rd,:: ! ~- ' amreoiT tot 3101 State Road Bakersfield, California 93308 Jaco-Hill Comffa- y Telephone (805) 393-7000 Post ~ Box 1807 Bakersfield, California 93303-1807 Janumy 20, 1994 Mr. Ralph Huey CITY-OF .BAKERSFIELD UNDERGROUND TANK PROGRAM 2101 "H~ STREETr BAKERS~, CA 93301 Subject: HOWARDS MINI MARKET 320O PANAMA LANE BAKERSFm-~.D, CA Dear Mr Huey: To comply with the monitoring program requirements outlined m the State Underground Storage Tank Regulations, Jaco-Hill Company utilizes Statistical Inventoqt Reconciliation (SIR) with rank integlity testing as a release detection method at the above referenced facility. Currem regulations require Jaco-Hill Company to (1) submit a sustains3' to the local agency which indicate~ the results from the statistical inventory reconciliation repons for the previous 12 months, (2) perform ~_n~lr integrity tests bi-a~mmily and (3) perform integrity tests on the piping and line leak detectors aBmmHy. Attached for your review is the following: The annual summary of the SIR reports for this facility prepared by our SIR vendor, Ustman Imiu,sifies Inc. Copies of the results of the line and leak detector tests which were performed November 14, 1993, by Tanknology Corporation International. Review of the results indicate the product lines are tight and the leak detectors are functioning properly. Jaco-Hill Company strives to maintain compliance with all state and local regulations at our facilities.~ Should you have any questions or require additional information, do not hesitate to contact me at (805) 393-7000. Rg, specffully, J~an~ Kerley Operations Manager rr./jk attachments USTMAN SIR SYSTEM Monthly Monitoring Report DECEMBER, 1993 Report Date: 01/11/94 Company name :JACO OIL Station Name: HOWARDS'S MINI MART #3 Address: 3200 PANAMA LANE City: Station # : 351 state: CA CUMULATIVE MONTHLY REPORT - JACO OIL- 1993 LEGEND --> T - TIGHT ?? - INCONCLUSIVE IL - INVESTIGATIVE LOSS ND - NO DATA SUBMITTED TANK JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 351-00 T T T T T T 351-02 T T T ?? T T 351-03 T T T T T T 351-05 ?? ?? T T T T Tank ID: Product: 00 00-FS PRE 02 02-UNL #1 03 03-UNL #2 05 05-FS MID T T T T T T T T T T T T T T T T T T T T T T T T USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston, Texas 77040-6294 Certificate of Tightness Servlc®Order# Underground storage tank system(s) tested and found tight for: TANK OWNER: FAX (713) 690-2255 030699 Test Date 11/18/93 TEST SITE ADDRESS: [ ] TANK(S) ONLY, TANK SIZES & PRODUCTS TESTED 1 3 Phone (800) 888-8563 JACO OIL COMPANY INC. 4 JACO OIL COMPANY INC. 351 HOWARDS P~NAMA LANE BAKERSFIELD, CA 3 2 0 0[ ~J LINE(S) ONLY, [ 4] LEAK DETECTOR(S) ONLY. PLUS UNL REG UNL 2 ' REG UNL .......... ~-"F -'."oS~'o~"_',. ~'~ XLD, DLD % ~..e,~._ ,.,° m %',-""--" HAWKINS 06/94 Valid only with Corporate Seal Note: See VacuTect Test Relx~rt for tank Identification a~ site ~ ~lm~. LINES TESTED iA, 2A, 3A, 4A LEAK DETECTORS TESTED 21289-0306 DLD, 40593-9775 , 11088-0066 DLD Unit Mgr. Certificate Number & Name 083 STEVEN E. U.S. Patent #4462249, Canadian Patent #1185693, Euro0ean Patent A0pI. # 169283 TANKNOLOGY & VacuTect are trademarks of TANKNOLOGY CORPORATION INTERNATIONAL TAK-O4 VacuTect TEST REPORT 030,699 ~" Date 1 1/1~ 8 / 93 Owner JACO OIL COMPANY INC Site# z[ '~ ' ' ' f,. Phone <8010> 253-8054 Invoice Name/Address USTMAN INDUSTRIES, INC. 12265 W. BAYAND AVE. #110 LAKEWOOD, CO 80228 Attn: BRUtCE McDUFFY Name/Address JACO OIL COMPANY INC. 351 HOWARDS 3200 PANAMA LANE BAKERSFIELD, CA I % TANKS LINES Leak Det I Ullage I'A~4KS and LINES Tested to CFR-40 Parts See Tank Dipped 'Dipped Probe Water Bubble Air Line Final Exist 280-281 & NFPA 329 Spec's. Diag. For Dia. & Water Product Water Ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s) NEW , Loc. Material Level Level Level Detected Detected Detected · Material Syst. Type TEST TEST Rate · Pass/ LD(s) , ST/ · · · · · · Tight · · · · · Tight Fail/ 1'ested Other: FRP/ START START START or ST/ START END or or & . ' Tank Tank Tank '"" # Product C~pac!ty Lined END END END Yes/No Yes/No Yes/No Fail Line # FRP PS/SS/GS TIME TIME GPH Fail ~IONE PASS I 1 PI. iUS Diameter '" '' '..lA ,ST ' ,;PS~ 6'~45' 7:15' ~0;:000'~ T:: P N Ex~,Ds,/~e~G: 21289--0306 eLD ' UN L ,.?., ,e Material Percent of Fill at Pump -., ............... , ............ ~ ......... -~-: .............. r~ .,..:--, ........ LIN~: TEST PSI 5 0 · 0 0 i StartTime: TlmeotTest: Mf~l.: . ..... . ........ : ' ~:..:j . .........: , .: .............. ~,. .......... :..a oiSpenserShearValves Tank I Probe Inclinometer End Time: Test PSI; I Entry; Deorees: Ope!ale Ijes/no "; U N L Ne~/2nd LD SM/MD L/MFG: Percent of Fill at Pump ............ 7 ~ ....... ' ....... ..... ."~' ~ '~ .......... :" .............. LINE TEST PSI 5 0 · 0 0 MaterialSta~ Time: Time of Test: Mf~l.: .... ~ ....... j .~ ...... ~ ~.. ........... _ :~ .......... .... ~ .... _ ; ....... ~ .~; .... Dispense' Shear Valves Tank I Probe Inclinometer Operate I~,es/no~ End Time: T~t P~I: I Entry: D~re~: Percentof Filial Pump ' .......... : ............ ' :? : ....... "' :~ ...... :'~" LINE TEST PSI 50 . 00 Material Start Time: Time of Test: Mf~.: . . : ............... ~ . .:..~,: .......... : : . ,,: ~,~_~ ....... ._: ~ ...... Tank I Probe Inclinometer Disl~enser Shear Valves End ~nme; T~t P~I; I EntrY; D~r~§; Operate I'(es/no~ 4 SUPR Diameter :"~ 'l " I I 4A ST' · 'PS 8.: 45. ,':9~:i5 .02000'. T:: P N ExtstLOSN/MDtJMFG: 11088--0066 DLD U NLI I I New/2nd LD SN/MDUMFG: Percent o~ Fi, a, Pump ................ :'~:~:~: "~ ....... ' :-':~' ................ L,NE~ESTPS, 50. O0 Material Start Time: Time of Test: Mfg.: ...... ' ......... . ,...: ............ : ~_~ .. .~ ......... ~_ ~ ~ ...... :: .......... Dispe~s~' Shear Valves Tank I Probe Inclinometer Operate I~'es/no~ End Time; Te~ P~I; ]Entrv: Deorees; Diameter., ~. : , ' . : . , . ,,, r* j, := :. /"': Exi~'l LD SN/MDL/MFG: New/2r;d LD SN/MDL/MFG: PerCent of Fill at Pump ' ........ ;~' ' ~;'" '" ........... ~ =: .... ~' ' LINE TEST PSI: Material StartTime: Time of Test: MI~i.: ..... .............. .:'.~ .... :, ....: .......... .,..::_~:~ ....~ .......... :~- Tank ! Probe Inclinometer Disl:~mser Shear Valves End Time: Test P~I; ! Entry; p~qrw~; Oprate t~,es/no~ Ne~/2nd LD SN/MDL/MFG: Material Percent of Fill at Pump .............. * ~ ~ ~ "'" ' ' .... ?' Start Time: Time of Test: Mf~].: ' · .... .... ' ' "- ' ~ * Dis~mse~ Shear Valves Tank I Probe Inclinometer Operate I~'es/no~ I~n(~ Tim~: T~}~ ff~: I ~ntrv: I Declrees; I Tanknology Corporation International TANKNOLOGY Region: WESTERN REGION Unit # 416 State Lic. # NOTE:, Original VecuTect Data recordings are reviewed by lanknology's Audit Control Department and maintained on file. TAK-O1 State: CA 52251Ho lister St., Houston, TX 77040 (800) 888-8563 · FAX (713) 690-2255 ~';~-? CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT Sub Div. ~?,t'~"~ fl~/,~/Wzg. Blk. Lot You are hereby required to make the following corrections at the above location: Cor. No J Completion Date for Corrections Inspector 326-3979 ==~ l~ersfield Fire D~pt. UNDERGROUND STOI~E TANK INSPECTION '.? "Haza~c~',us'""?Matedals'" '6iVision Date Completed ~ ~/~,! Operating Permit: Business Name: .~ ~ >=~c,X,~_, Location: "~C~ ~)~,~,~,r~ ),.r', Business Identification No. 215-000 ~7-,~ ~7~ Number of Tanks. ~-~- ~ ~..~r~. Type: Containment: CONTACT INFORMATION Owner: (Top of Business Plan) Lines: Emergency Contacts: Monitoring Program Adequate I_n__ade. quat~ RECORDS Maintenance fo/-~/~ 3 Testing Inventory Reconciliation RESPONSE PLAN Emergency Plan Violations: Busin~ss' Owne~/ All Items O.K. Correction Needed White - Haz Mat Div Pink - Business Copy USTMAN SIR SYSTEM Monthly Monitoring Report SEPTEMBER, 1993 Report Date: 10/07/93 Company name :JACO OIL Station Name: HOWARD'S MINI MART #3 Address: 3200 PANAMA LANE PART A: City: Station # : 351 State: CA Data Tank ID: System Status: Product: Quality: Dels: Sales: 00 TIGHT 00-FS PRE FAIR 8185 7975 02 TIGHT 02-UNL #1 POOR 38886 37691 03 ...... TIGHT ..... O3=UNL--#2 POOR ...... 0 ' 8772- 05 TIGHT 05-FS MID POOR 16399 18646 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: Comments and Recommendations O/S listed below represent removals, additions or delivery discrepancies which were accounted for as part of the SIR analysis. 00 {9/13/1993:DEL 305} {9/26/1993: -183} 02 {9/6/1993: -229} {9/8/1993:DEL 358} {9/19/1993: 5814} { 9/30/1993: 1071} 03 9/26/1993: 2697} 9/27/1993: 1101) 9/29/1993: -3179} 05 I9/6/1993: 3796l 9/14/1993: 284 I9/7/1993: 106} I9/9/1993:DEL 155} 9/21/1993: -4212} 9/30/1993:DEL -3298} For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston, Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Service Order # Underground storage tank system(s) tested and found tight for: TANK OWNER: 116009 Test Bate 03/15/94 JACO OIL COMPANY INC. 351 TEST SITE ADDRESS: JACO OIL COMPANY INC. HOWARDS #4 TANK SIZES & PRODUCTS TESTED 1 12000 REG UNL 2 12000 REG UNL 3 12000 SUPR UNL 4 12000 NO LEAD PLUS IAK-O4 LINES TESTED lA, 2A, 3A, 4A LEAK DETECTORS TESTED DLD, 40693-0.778 XLD, 11088~0068 DLD , 21289-0866 DLD Unit Mgr- Certificate Number & Name 205 CHRIS TERNET 10/93 1563 CHRIS TERNET 08/96 Valid onlywith U,S. Patent #4462249. Canadian Patent #'J 185693, European Patent Appl. #169283 Corporate Seal TANKNOLOGY & VacuTect are traclemarks of TANKNOLOGY CORPORATION INTERNATIONAL Note: See VacuTect Test Report for tank identification and site location drawing. FANKNOLOOy' Owner JACO .OIL COMPA[q¥ INC. InvoiCe Narne?Address USTMAN INDUSTRIES, !NCo Site Name/Address 3ACO OIL COHPAN¥ INC. Tank Capacity VacuTect TEST REPORT 12265 W. HOWARDS ~4 Site# 351 BAYAND AVE. #310 .LAKEWOOD, CO 80228 3.200 PANAMA LANE BAKERSFIELD, CA TANKS Ullage Tank Dipped Dipped Probe Water Bubble Air Dia. & Water Product Water Ingress Ingress Ingress TANK Material Level L~vel Level Detected Detected Detected · ST/ · · · · · · Tight FRP/ START START START or Lined END END END Yes/No Yes/No Yes/No Fail 94D0.000 057.00 Material Start Time· ~: 0 ~ Percent of Fill at ~ ] O Pump Time of Test: --~e-- roK~EI>~ Material ~ta. Time: ~: U~ .ercent of Fill at ~'1 [~ Pump Time of Test: .... ~ ~5 uu.~uI Material Stad~me' ~Q: ~ Percent of Fill at ~ {} ~mp Time of Test: ~e~ ~~ 95 'uu.~uI ~aterial Sta~Time: ~U: ~ ~rcent of Fill at ~ l} Pump Time of Test: , ~ '-- Mfg.: ~r~nt of Fill at Pump Material S~ Time: 'ime of Test: ~ ~meter ~rcent of Fill at Pump Material Sta~ Time: Time of T~t: Mfg.: ~ ~ ~ ~meter ~ ~ End ~me: ~-'"'p~: Ent : D r : LINES WESTERN REGION Unit # 089 StateLic. #1563 TANKNOLOGY Region: NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and'maintained on file. State: CA LINE TEST · END S.O. # Date Phone Attn: Final Leak Rate · GPH 116009 03/15/94 <800> 253~8054 BRUCE McDUFFY and LINES Tested to CFR-40 Pads 280-281 & NFPA 329 Spec's. E'x~, LO SN,MDL,,FS: D L D Ne~v/2nd LD SN/MDL/MFG: · ,NE TES~.S,. 5 0 · 0 0 LD SN/MDL/MFG: New/2nd LD SN/MDL/MFG: LINE TEST PSI 5 0 ~ 0 0 Dispenser Shear Valves y Exist LD SN/MDL/MFG: NeW ~nd LD SN/MDL/MFG: LINE TEST PSI 5 0 · 0 0 Dispenser Shear Valves ~' Exist LD SN/MDL/MFG: . [LD DLD Exist LDSN/MDL/MFG: New/2nd LD SN/MDL/MFG: LINE TEST PSh Dispenser Shear Valves Exist LD SN/MDL/MFG; New/2nd LD SN/MDL/MFG: LINE TEST PSI: Dispenser Shear Valves O0 TanknologY Corporation International 5225 Hollister St., Houston, TX 77040 (800) 888-8563 · FAX (713) 690-2255 TAK-01 ~.~ Well Number I i2 3: /4 5 .6 7 8 i' .9 i 10 11 ' rJ!:' :~l~Well Depth ~/o ~,~,_.._~ .~,5/n ~ ~ .:~ ~ ;'.. ~Depth~to Water ~ , ~P~u~ Det~d ~,,. Sta~'d~?d :Symbols for diagram below:- "' ~Fill . :~ ~ 'Van~r n~n";~ - ~,;~ ~ .. ' ' ' ~ ~ ~,'. . ~ ~, ~"T ....... ~" ' ~.* ~ v~. ~W / aa, Float ,- ~ 4 ~ M~nit~r* Well ~ ".; * ~ ;ObS~ation.Well .C',~ ~ ~ ~ . "'~ . '~ . ~ ~ (Outside lank Bed Area) ~:;(Inslde Tank Bed Area) ~,[B)~: B~II Float ~ .. '? (G) Tank Gauge :. ( :.):;Ven{ . · ~ManwaY ' -::. ~,~' .: '.~: ~ Iron Cross..' ~. . '~-:Turbine * ' ~-" "~"~' - -' -E~a~onuiagram-~nc~ude the Vapor Recove~ System .... ;~ '''~ ,L_J '~.'- '. . . ~ ...... , . _ _ , , . .,. ,.~~./ .... ,. ,. ' · '. .~ .* .~ ~ . . ~ .... . ; . · ~: ~.,: · .. ~ . :. .~ · . '.~ . -. ~ . : ~':,~ ~.'.~ .l~. . . ,~ .. ' · . . ~ ', · · : .... .. · :, · · . · · · ' .r . -' ,' ,1~ .~ '. . . .' : ~, ''. ........ :. :.. . .. ; -- . .. ...,: ~ · _ ....~.,:..~ .,..~,.~ .. ...... . .... D~. ..... .~ . ., .... ~ . . .:. . . ,.. ',T: :' ;' ' ' ~ '.l ": '. ,''. ~ ~ ': ~ · ~., ' ':' ........ 4 " · '~ '~ '- ~-'"" ,,~ .... ~. ..... '_.~ ~ I ' . ~ ~ J · : ...... :: .. ' .. . ,: ~ ~ .' ' .~ ; ; ~ ~" , .~;~. '~' b ~ ~ ;..L '- ~ ' '; ~ ' "" " ' u , ,.. , , ~. .L ' , · . ~ ~ ~'.., ~' ~![ ~' ,~ : , ., ~-.~.. ~:=. ~., : , ~ ,.,, . .. ;: .... . ~, ..., ...'"'...~ .~,~,. , .. . . ..... ~'h ~'' ~ :" · ,'~,' ' - . . ,.?-'-'~j... · ? ~ . ~ < j ~ :~-~ ', ."~.,".. ...~.~ .'.'. ...-. · ~.......... ~. -~?, ..... ~, VapOr Recove~ ~yslem~& Venl5 Were lesJed with wh'ich lank? ' ' ' - '~ ~ ~ ~ '~' ' ~ ........ ~ ..... ' ...... .. ' , :'- . .... ~:... ? ~ ' ~r , , :. Pa~s and.,:Eabor~used:u~- . ~ ,.~ ~ ~ :'.,~ .... '" __i ~I'~ '" ~'~ r~ ~ '" '~ ~'~'::" ": ~'?~': ~ -, · " J .~ x General; Comments. ~'-' ~,-' · ......... ~ ~, , ~/~ ~ ~'~,?~:... ~,.:'. . ,,$ . , . t. ?~,,,,.;,,x: :. ; ~. : -: ~ · ~,~ . . , · . :~ ~ : · . . .. ~ ~ ~ · /. ~. :~ : .~ ,'~.~ ~ · ~ , ,. ,. . · ' ,]~ '" .":'"' .~ ": ' :. ~n~ . · .. ~ ' . -__...~._te the ~o ........ ~. , EPOR~ED -N~ME'-~ ........ , . . ~- ...... DATE ~ ...................... TIME . ;~ ;. . . ,.~ ~'. '~ ... . . ~',:..'- , .j ': ......... :-]-jm- ~.:-.: ,~:.: ~ho~.~ ~ ....... . '-~... OWNER~~ · · - ~ ~M~ ~ ' = ~ ~.PHn~C~- ~ Te~rs N~e ..' V~u~. ~~n Num~r~: ~ Te~r~ 5ig~~ · . '- Da~ Tes~ng,~Com~e~ '.~ ..~.,~:.~ TYPE OF INSTALLATION ( ) 1. In-Tank Level Sensor FACILITY NAME .~-~ ~_'~.~ ?~' '~ FACILITY ADDRESS .-_~C~ {'~ ~'0., (v~ 2. Leak Detector (v~/3. Fill Box 1. IN TANK LEVEL SENSORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS Number of Tanks List By Tank ID Manufacturer & Model 4Number Contractor/Installer S. FILL BOXES Number of Tanks List By Tank ID Name of System ~t)(.~(~.~, /// Manufacturer & Mo~del Number /%//~ Contractor/Installer OWNE~/OPERATORjj . ~ !-' DATE KER~:OUNTY AIR-POLLUTION coNTR~DISTRICT 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 Station Name ¢ ..~ ....... Company Mailing Address'"'.', (.? ~.~'~,,' Date //- · , ~ ~ Phone . Inspector 6. 7. 8. 9. 10. 11. 12. PHASE I VAPOR RECOVERY INSPECTION FORM 1. PRODUCT (UL, PUL, P, or R) . 2. TANK LOCATION REFERENCE 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP BROKEN CAM LOCK ON VAPOR CAP FILL CAPS NOT PROPERLY SEATED VAPOR CAPS NOT PROPERLY SEATED GASKET MISSING FROM FILL CAP GASKET MISSING FROM VAPOR CAP FILL ADAPTOR NOT TIGHT ,VAPOR ADAPTOR NOT TIGHT GASKET BETWEEN ADAPTOR & FILL TUBE MISSING / IMPROPERLY SEATED 13. DRYBREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15. COAXIAL FILL TUBE SPRING MECHANISM DEFECTIVE 16. TANK DEPTH MEASUREMENT i ; 17. TUBE LENGTH MEASUREMENT ,/,? ('''-" ," ', ~' ''%':/'~,' ' 18. DIFFERENCE (SHOULD BE 6" OR LESS) City ,,.'_._:,,~' . ,~ - . Syste ~m Type: ~/~oaxi~l Notice Rec'dBy /~'""~'>~~~¢. TANK · 1 TANK ~2 ' TANK ~3 TANK #~' 19. OTHER 20. COMMENTS: WARNI~IG: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209, 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOI~U- APCD FILE OoN'TR~.~DisTRIC KERN COUNTY AIR POLLUTION 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 ' (805)'861-3682 PHASE II VAPOR RECOVERY INSPECTION FORM Company Address Contact Phone ~. ~,zz,,,/'¢¢..¢//:" Zip , --.-.~-., . City System Type: BA ,.-"'~./'R~J~) HI HE GH HA /.; Notice Rec'd By .£ NOZZLE # GAS GRADE NOZZLE TYPE¢ 1. CERT. NOZZLE 2. CHECK VALVE 0 3. FACE SEAL Z E 5. BELLOWS 6. SWIVEL(S) 7. FLOW LIMITER (EW) .. 1. HOSE CONDITION V A 2. L~NGTH P O 3. CONFIGURATION R 4. SWIVEL H O 5. · OVERHEAD RETRACTOR S E 6. POWER/PILOT ON 7. SIGNS POSTED Key to system types: Key to deficiencies: NC= not certified, B= broken BA=Balance HE =Healey M= missing, TO= torn, F= flat, TN= tangled RJ =Red Jacket GH=Gulf Hasselmann AD= needs adjustment, L= long, LOTM loose, Ht =Hirt HA =Hasstech S= short MA= misaligned, K= kinked, FR= frayed. INSPECTION RESULTS COMMENTS: K~y to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (no,zzle tagged out-of-order until repaired) U= Taggable violation but left in use.. VIOLATIONS: SYSTEMS MARKED WITH A "T OR U- CODE IN INSPECTION RESULTS¢ ARE IN' VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION.' NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2. REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION Operator's Name TelePhone No Totalizer Reading When Tagged. WARNING Use ot' this device is prohibited by state law and un- authorized removal of this tag or use of this equipment will constitute a violation of the law punishable by a maximum civil fine of $1,000 per day or a maximum cdminal fine of $500 per day and/or six months in jail. I declare under penalty ot' perjury that the device tagged was not used, nor was the tag removed, until the required repairs were effeded and the distdd notified. Repaired by Title (Please print) Signature Date . _Time Totalizer Reading at Time of Repair Repairs made , BEFORE USING THIS DEVICE Telephone your local air pollution control distrid at If repairs were made to.the nozzle body you must notif~ the Cbunty Department of Weights and Measures. 68513 Tag Number .... Date O~rator's Name Totalizer Reading When Tagged G Use o[ this device is prohibited by state law and un- authorized removal o[ this tag or use of this equipment will constitute a violation of the law punishable by a maximum civil fine of $1,000 per day or a maximum criminal fine of $500 per day and/or six months in jail. I declare under penalty of pedu~ that the device tagged was not used, nor was the lag removed, until the required repairs were effeded and tile district notified. Repaired by Title. . (Please print) Signature Date . .Time Totalizer Reading at Time of Repair Repairs made BEFORE USING THIS DEVICE Telephone your local air pollution control distfid at I[ repairs were made to lhe nozzle body you must noti~ the County Department of Weights and Measures. 68509 .Jaco Oil Company 3101 State Road Bakersfield, California 93308 Telephone: (805) 393-7000 Facsimile: (805) 393-8738 Post Office Box 1807 Bakersfield, California 93303-1807 June 27, 1990 Kern County Environmental Health Department 2700 '~" Street, Suite 300 Bakersfield, Ca. 93301 Ms. Amy Green: Please be advised that the attached forms are those forms that we have requested that all of our operators in Kern County utilize in completing underground tank monitoring. Please advise us if you have any problem with.these forms. La~.rcence Henson Gasoline Operations PRODUCT: DAYS GALLONS SOLD OVER SHORT 2 3 4 5 6 7 TOTALS 8 9 10 11 12 13 TOTALS 15 16 17 20 21 TOTALS 22 23 24 25 26 , 27 TOTALS 29 30 31 - TO~ALS MONTHLY GRAND -TOTALS (TOTAL Gain. over/shot t TOTAL Gals. sold X lOOt Variation B. Doe,: amt. over/short exceed 350 gals? __ NO - Coatinue F~m~itoring Xes - ~c~ort wiChin 24 his ~s t~ variati~ exc~d 5%? -- Yes - Be~rt to ~lt~i~ Aut~rity within ~ hfs of dis~e~,, A. Gals over/short TOTAL Gals. sold X J0~t Variation B. ~s ~[. over/s~rt e~eed 350 Ye~ - Re~r[ within 24 hfs__°~i~o~r ~ t~ veriati~ ex~d ~ - ~tin~ r~ti~ ~ Yea - ~rt to ~miLti~ AutO[icy ~ithin 24 h~s ot di~very A. Have your shortages exceeded chart amount? No If Yes, report to Kern County If No, continue monitoring u __ Gals over/short TOTAL Gals. sold X 100t Variation B. l~es amt. over/short exceed 350 gals? __ NO - Coat}nee Monitoring __ Yes - Report within 24 hfs of discovery I~oes t~e variation exceed __ No - Continue ~ouCi.e m~itoring __ Yes - l~port to Pecmitting Authority within 24 hfs cf discovery Gals over/sho~ t TOTAL GalG. sold X 100t Variation B. Does amc. over/short e~eed 350 gals? __. NO - Continue Monitorir~] .__ Yes - Report within 24 hfs Does tile variation exceed No - Continue t'o~tine nonitoring __ Yes - Report to Permitting Autho[~t within 24 hfs of discovet'y A. Gala over/short TOTAL Gals. sold X 100t D. Docs Varia[ion exceed l. St? __ NO - C,~ntmue Routine Monitoring ___ Yes - lteport to Pe~mitting Autl~t¥ within 24 hEs of di~-~ve~y PRODUCT: DAYS GALLONS SOLD OVER' SHORT l 4 5 6 : 7 TOTALS 8 9 10 11 12 13 14 TOTALS 15 16 17' 18 19 2O 21 TOTALS 22 23 24 25 26 27 28 -TOTALS 29 30 31 TOTALS MONTHLY GRAND TOTALS (TOTAL SH0t~TA~ES) }lave your shortages exceeded chart amount? Yes No If Yes, report to Kern County if No, continue monJtorino Gals. over/short TOTAL Gals. sold B. Demi lat. over/~t'e~ee~ 350 gala~ ..~ -- Yes - ~r} within 24 bra o~i~ ~ ~ Varlat[~ e~ 5%7 ~ ? witht~ 24 hfs of di~H TOTA: Gala. sold '~", B. ~ .~. ~,/~,, .~ 350 gal.~~: . ~ ~ ...... ~a ~ variatl~ e~d St? " ~ .~.~. ·. :~.} ~ ' TOTAL Gals. sold B. ~a ~t. ~c/~ct e~ 350 gals?. ' No - Contintle Nanitorin9 Yea -' ~lel~X~'within_ 24 I~s oiimt, y.' ~s the variatl~ exceed 5%7 No - O0ntlnae zootine n~nit~rlr~ : Yea - ~l;por?, tO l~mitting hutho~c~ty ' witht~ ~4 hfs of A. ' Gala ove~/short[' TOTAL Gals. ao~ X 100% ~ - ~ti~ ~i~i~ ' · ~a't~ variatl~ ~ __'~ - ~tin~ ~tl~ ~t~ JACO OIL COMPANY, P.O. BOX 1807, BAKERSFIELD, CALIFORNIA 93303, (805)393-7000 LEADED PREMIUM ~e Gallons Money 1 Tolal I Fini$i3 I I I I 1, I I I I i I I I I 1 I I I I~ I I I t I i I ~ I I I REGULAR ~ NO LEAD (~ Gallons Money Gallons Money I TOTAL Pump Tesls Monlh Oay lg I TOTAL I SALES ~ TOTAL GALLONS Beg. Inv Add Rcpts. Leaded Premium · Regutaf · No Lead · Unleaded Premium · Diesel · TOTAL · CIGARETTE SALES ON P~I~C H TOTAL OFF ~LO UNI[ PRICE AMOUNT I I I ~ I Sub. Sales I I I I I Book Inv. UNLEAOED PREMIUM @ Gallons Money I I I I I I I I I I I I Inches Gallons I I I I I I + Or -- PRODUCT DIESEL Gailons CASH SALES I I I I I I t REMARKS: STATION NAME: L. Pram. Reg. NO Lead NIL Pram. Diesel Total Less Ct. ICITY: Lass ~ump F [ Lb' CI)N'['k;N'!,'~ ~Permit to ODerate ,~ ~.~iLO~3 [-]Construction Permit ~. [] Permit to abandon~ []]Amended Permit Conditions ]~'Permit Application Form, [']Application to Abandon []]Annual Report Forms No. of Tanks Da te Date Date Tank Sheets r~ I o-~ tanks(s) Date []Copy of Written Contract Between Owner & Operator []Inspection Reports ~Correspondence- Received Da te Date Da te []Correspondence - Mailed Da te Date Da te r']Unauthorized Release Reports []Abandonment/Closure Reports rlSampl ing/Lab Reports rlMVF Compliance Check ("N'ew Construction Ldhecklist) r~STD CSmpliance Check (New Construction Ch~ecklist) [~MVF Plan Check (New Construction) r~STD Plan Check (New Construction) r~MVF Plan Check (Existing Facility) r'~STD Plan Check (Existing Facility) [-~"Incomplete Application' Form r~Permit ApplicatiOn Checklist [] Permit Instructions [-]Discarded []Tightness Test Results [~ Moni tot ing Well Const r uc't i o'n' 'Da taL/Pe r'm i'ts Da te Date Da te []Environmental Sensitivity Data: [[]Groundwater Drilling, Boring Logs []Location of Water Wells []Statement of Underground Conduits []Plot Plan Featuring All Environmentally Sensitive Data []Photos Construction Drawings Location []Half sheet showing date reqe~ved and tally, of inspecti~'~t'{me, etc 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 ~._RN COUNTY HEALTH DEPARTE,~', ENVlR~)NMENTAL HEALTH DIVISION INTERIM PERMIT TO OPERATE: UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FAGILITY HEALTH OFFICER Leon M Hebertson, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMI T-,~e'3 100 2 6C I'SSUED: JULY 1, 1986 EXPI RES: JULY 1, 1989 NUMBER OF TANKS= 4 FACILITY: I OWNER: HOWARDS #4 I JACO HILL CO. #351 · 3200 PANAMA I P.O. BOX 1807 -. BAKERSFIELD, CA I BAKERSFIELD, CA 93303 TANK # AGE(IN YRS) SUBSTANCE CODE PRESSURIZED PIPING? 1-4 2 MVF 3 YES NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED By THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--TRANSFERABLE * * ~' POST O~ PREMISES DATE PEP~'4IT MAILED:' /~ 2 5 1986 DATE PE~RMIT CHECK LIST RETURNED: Kern County Health Oepartmen~ Division o£ Environmental Hea~, 1900 F15wer Street, Ba'kersfield, CA 93305 Permit Application /%PPLICATION .FOR pERMIT TO OPERATE UNDERGRCl/ND HAZARDOUS SUBSTANCES STORAGE FACILITY Type of Application (check): DNew Facility ['~Modification of Facility [~Existing Facility [-]Transfer of Ownership Emergency 24-Hour Contact (name, area code, pho e): Days /".T', --C "- ? ":: .-~ ~.. Nights ~,_~' ..--- Facility Name .~,O ~' c.'. ,-- C! Q ' ~ No. of ~Tanks Type of Business (check): ~']Gasolin'e Stati'on ~Other (describe) Is Tank(s) Located on an Agricultural Fam? ~]Yes ~qNo Is Tank(s) Used Primarily for Agricultural Purposes? [~Yes [~No Facility Address T Owner /~dress Operator Address ~oO ~Qno~..~, . Nearest Cross R SEC (Rural Locations Cnly) B. ~ater to Facility Provided by ,C~ t L!/G ~e/-- Soil Characteristics'at ~acility Basis for Soil Type and Groundwater Depth Deteminations - C. Contractor ~ ! ~ CA Contractor's License NO. Address Zip Telephone. Proposed Starting Date Proposed Ccmpletion ~te Worker's C~mpensati0n certification ~ Insurer Depth to' Groundwater De If This Pe_rm..it Is For Modification Of An Existing Facility, Briefly Describe Modifications Tank(s) Store (check all that apply): Tank ~ -Waste Product. Motor Vehicle Unleaded Regular Premi,~ Diesel Waste Fuel --611-- Chemical Composition of Materials Stored (not necessary for motor vehicle fu~ls) Tank ~ Chemical Stored (non-commercial name) CAS ~ (if known) Chemical Previously Stored (if d~fferent). Ge Transfer of Ownership Date o--~-Transfer Previous FacilityName I, Previous Owner accept fully, all obligations of Permit No. issued to I understand that the Pemitting Authority may review, and modi'f~ or terminate the transfer of the facility upon receiving this ccmpleted fom. Permit' to Operate this mudergromud storage This fora has been completed under penalty of true and corre~.~. ,-,./f perjury and to the best of my knowledge is Title Date -~/.: '~" Facility Name TAN}< (FILL. OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES 1. Tank .i s: [] Vaul ted []Non-Vaul ted [-]Double-Wal 1 ~Sing le-Wal 1 2.' Ta~ Material []Carbon Steel [-] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic [] Concrete [] Aluminum [] Bronze []Unknown []Other (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer oc. o 4. Tank Secondary Containment ' []Double-Wall 'D'Synthetic Liner []Lined Vault [~None [-]Unknown []Other (describe): Manufacturer: [-~Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Linin~ ~Rubber [-]Alkyd ~Epoxy []Phenolic []Glass []Clay ~Unlined []Unknown []Other (describe): 6. Tank Corrosion ProtectiOn --]~Galvanized ~ass-Clad []Pol~thylene Wrap []Vinyl Wrapping ~]Tar or Asphalt rqunknown []None []Other (describe): Cathodic Protection: []None []Impressed Current System [~Sacrtftcial Anode Syst~ Describ~ System & Equil:ment: 7. Leak Detection, Monitoring, and Interce~)tion a. Tank: []Visual (vaulted tanks only) []Groundwater Monitortrg' Wmll(s) [] Vadose Zone Monitoring Well (s) [] U-Tube Without Liner []U-Tube with C(m~patible Liner Directirg Flow to Monitorirg We.ll(s)* [] Vapor Detector* [] Liquid Level Sensor* [] Conductivity Sensor [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ~Daily Gauging & Inventory Reconciliation []Periodic Tightness Testing ._ I'! None [] Unknown [] Ot~er b. Piping: Fiche-Restricting Leak Detector(s) flor Pressuri~-ed Pip£ng" []Manitortng Sm~p ~dth Race~ay []Sealed Concrete Raceway E]Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway []None >., r'i unknown [] c~er Z' ~ s+~ I I /~.d,_ ?,~ i: ..... "*Describe Make & Model: 8. Tank Tightness' ~is Tank Been Tightness Tested? ~Yes ~No []Unknown "- - I Date of Last Tightness Test Results of Test Test Name Testing C~pany 9. Tank ~ Tank Repaired? []Yes ~No []unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Operator Fills, Controls, & Visually Monitors Level []Tape Float Gauge []Float Vent Valves []Auto Shut- Off Controls []]Capacitance Sensor []sealed Fill Box ~None [qunknown []Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~Yes []No []Unknown Material .~ ' Thickness (inches) ~_ Diameter £cht;{] Manufacturer ~Pressure [qSucti6n [-]Gravity 'App'r~ximate Length ~f Pipe Run b. Underground Piping Corrosion Protection : [~Galvanized []Fiberglass-Clad []Impressed Current [-]Sacrificial Anode [[]Polyethylene Wrap []Electrical' Isolation ~vinyl Wrap []Tar or,Asphalt [-]Unknown []None []]Other (describe): · c. Underground Piping, Secondary Contair~nent: ~Do~le-Wa!l ~Svnthetic Line~ <%'stem ?~_.None Faciliky Name TANK ~ 2_ (FILL OUT SEPARATE FORM FOR EACH TANK) ---F6~--~ S~.CTION, C~.CK ~---~6~-Wf~.' BOXES 1. Tank is: [-]Vaulted 2. Ta~ Material [~Non-Vaulted [2]Double-Wall ~Single-Wall ~7]Carbon Steel [']Stainless Steel [2]Polyvinyt Chloride [~Fiberglass-C!ad Steel ~]Fiberglass-Reinforced Plastic [q Concrete [~]'Aluminum ~]Bronze [-]Unknown []Other (describe) 3. P_r ima ry Containment Date Installed Thickness (Inches) 1,1/ q , 4. T--ank Secondary Containment []Double-Wall []Synthetic Liner [-]Other'(describe):. []-]Material 5. Tank Interior Lining [~Rubber []-]Alkyd [Epoxy []']Other (describe): 6. Tank Corrosion Protection e Capacity (Gallons) Manufacturer 1~.-, Od)© .. /~< ~.,~,,~r ~ ~.-', :' I ~]Lined Vault ~None [-]UnknOwn Manufacturer: Thickness (Inches) caPacity (Gals.) []Phenolic [Glass []Clay ~t~nlined [Unkno~ --]~Ga~ U]Fib~g'[ass-Clad [Pol~thylene Wrap ~Vinyl ~a~i~ ~Tar or ~p~lt ~k~ ~No~ ~Other (de~ri~): : Cath~ic Protection: ~ne ~pres~ ~rrent S~t~ ~crificial ~e ~t~ ~ri~ Syst~ & Equi~ent: Leak Detection, ~nitor. i~., and Interception a. Tank: ~Vis~l (vault~ t~ks only) ~Gro~ter ~nitori~'~ll(s) ~Vadose Zone ~nitori~ ~ll(s) ~U-T~ Wi~out ~ner ~U~ wi~ C~tible Liner Dir~ti~ Flow ~ Monitori~ ~l(s) ~Va~r ~t~tor* ~Li~id ~vel ~n~r* ~Cond~tivit~ ~r ~Pressure Sen~r in ~ular S~ce of ~uble Wall Tank- ' ~Liguid ~tri~al & Ins~ction Fr~ U-T~, Monitori~ ~11 or ~ar ~ ~ily Ga~i~ & I~entory Reconciliation ~ri~ic Tigh~e~ Testi~ ~None ~0~ ~er b. P~pi~: Fl~Restricti~ ~ak ~tector(s) for PressuriZ~ Pipit' ~nitori~ S~p~th ~ce~y '~al~ ~ncrete ~ce~y ~lf~t C~tible Pi~ ~ce~y ~S~t~tic Liner ~y ~None *~ri~ ~ke & ~el: 8. Date of Last Tightness Test Test Name 9. Tank ~ g~ank RePaired? [Yes ~No []Unknown £~ate(s) of RePair(s) f~scribe RePairs []Yes ~No []Unknown Results of Test Testing C(xapany 10. C~erfill Protection [Operator Fills, Controls, & visually Monitors Level []Tape Float Gauge ~F!oat Vent Valves []Auto Shut- Off Controls [CaPacitance Sensor [2]Sealed Fill Box ~None [']Unknown [-]Other: List Make & Model For Above Devices 11. _Piping Underground Piping: ~]Yes [qN~ [Unknown Material .~+ee / Thickness (inches) ~ Diameter £cht/_~_Manufacturer [~Pressure [Sucti6n [Gravity Approximate Length of Pipe Run Underground Piping Corrosion Protection : [~Galvanized [Fiberglass-Clad [Impressed Current [Sacrificial Anode [-]pOlyethylene Wrap [qElectrical Isolation ~Vinyl Wrap ~]Tar or Asphalt [Unknown []-]None [Other (describe): Underground Piping, Secondary Containment: l-]Double-Wall [-]Synthetic Liner System [~'None ~]Unknow~ {~_,Other (de£cribe_~ Facility Name TAN___~K.~ ~_, (FILL OUT HEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: OVaulted [-]Non-Vaulted ~Double-Wall ~Single-Wall 2. ~ Material Carbon Steel [-]Stainless Steel [-]Polyvinyl Chloride I-]Fiberglass-Clad Steel Fiberglass-Reinforced Plastic ~Concrete [-]A1Lm~inum [-]Bronze [~Unknown [']Other (describe) 3. Primary Containment l~te Installed Thick~ess (Inches) Capacity (Gallons) Manufacturer 4. ~ank ~eCOn~ry contair~nent " ..... []Double-Wall []Synthetic Liner [-]Lined Vault [~None []Unknown [-]Other (describe): Manufacturer: [7Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lininc~ ~[Rubb~r [-]Alkyd Il]Epoxy DPhenolic []Glass []Clay ~Pnlined []unknown [-~Other (describe): 6. Tank Corrosion Protection --]~GalvantZed -~-f~P~-~ass-Clad DPol~thylene Wrap [~Vinyl Wrapping ~Tar or Asphalt []-]Unknown []None []Other (describe): Cathodic Protection: ~None [~Impressed Current System ['l~acrtficial Anode System Describe System & Equipment: 7. Leak Detections. Monitoring, and Interception a. Tank: [-]Visual (vaulted tanks only) .[-~Ground~ater Monitorirg'Wmll(s) [-]Vadose Zone Monitoring ~ll(s) [-~U-Tube Wi'thout Liner · []U-Tube with Compatible Liner Directirg Flow to Monitoring ~ell(s)* []Vapor Detector* []Liquid Level Sensor~[]Conductivit~ Sensor* []-]Pressure Sensor in Annular Space of Double Wall Tank ' ° []Liquid Retrieval. & Inspection From U-Tube, Monitoring.Well or Annular Space Daily Gauging & Inventory Reconciliation ~Periodic Tightness Testing Non~ ~Unknown ~Other b. P~ping: Flow-Restricting Leak Detector(s) for Pressurized Piping' [] Monitoring Sump with Race~ay ' [] Sealed Concrete Race~ay Il]Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway ~None [] Unknown [] Other r *Describe Make & Model: 8. ~en Tightness Tested? ~Yes ~No []Unknown £~te of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Re_~__~ g%nk Repaired? []Yes ~No Il]Unknown E~te(s) of Repair(s) f~scribe Repairs 10. C~erfill Protection []Operator Fills, Controls, &Visually Monitors Level []Tape Float Gauge [-]Float Vent Valves ~Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box ~None []Unknown [-]Other: List Make & Model For Above Devices 11. Pip~n~ - I a. Underground Piping: [~Yes []No []Unknown Material .~+ee , Thickness (inches) ~_ Diameter ~c~.i~7 Manufacturer ~?~d [~Pressure ~Sucti6n ~Gravity 'Approximate Length ~f'"~i'pe Run b. Underground Piping Corrosion Protection : PT[Galvanized I-]Fiberglass-Clad [~Impressed Current ~Sacr~ficial Anode []Polyethylene Wrap ~Electrical Isolation ~]Vinyl'Wrap [-]Tar or Asphalt []Unknown ~None []Other (describe): c. Underground Piping, Secondary Contair~nent: ~]Double-Wail [lSvnthetic Liner ~?,,stem .n~_.~,'e~e ~2_'~?nc~.~n TANK ~ ~-;' (FILL OUT HEPARATE FORM FOR -~ACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES Tank is: ~lVaul ted [-]Non-Vaulted I-]Double-Wall ~Single-Wal 1 ~ Material []Carbon Steel [] Stainless Steel D Polyvinyl Chloride [~Fiberglass-Clad Steel ~Fiberglass-Reinforced Plastic [-]Concrete [-]Al~in~an [']Bronze [-]Unknown [] Other (describe) 3. Primary Containment Date Installed Thickness (Inches) 1 ) / 4. Tank 'S'e'c'~nc~ary Cor{t'a'inment [~Double-Wall [] Synthetic Liner [~Other (describe): []Material 5. Tank 'Interior Linin~ DRubber [-]Alkyd []Epoxy [-]Other (describe): 6. Tank Corrosion Protection e Capacity (Gallons) Manufacturer [-]Lined Vault ~None DUnknown Manufacturer: Capacity (Gals,) Thickness (Inches) []Phenolic [']Glass []Clay ~Unlined I"-Itl~known ~rGalvanfzed [qFib~rg'lass-Clad [3Pol~thylene Wrap FTVinyl Wrappir~j ~Tar or Asphalt []Unknown []None []Other (describe): ' Cathodic Protection: []None []Impressed Current System ~lSac'r'i'flc'ial ;~de System 'Describe System & Equipment: Leak Detection, Monitoring, and Interception a. Tank: OVisual (vaulted'tanks only) []GroundWater Monitoring' Wmll(s) []Vadose Zone Monitoring Well(s) [~]U-Tube Without Liner ~[3U-Tube with Ccmpatible Liner Directir~ Flow to Monitoring We.il(s)* Vapor Detector* [] Liquid 'Level Sensor [] Conductivit~ Sensor* ~ [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monitoring. Well or Annular Space [] Daily Gauging & Inventory Reconciliation ~ Periodic' Tightness Testing [] None [] Unknown [] Other b. ..Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' [] Monitoring S~p with Race~y ' [] Sealed' Concrete Race~y ~Half-Cut Compatible Pipe Raceway []Synthetic Liner Race~ay []None [-]Unknown []other r~+n !f 1~. 'r-~,,.,- ~r,~ ,~ _. 'C ~,,o~, ~-,'~. ..,,- *Describe Make & Model: []Yes []No []Unknown Results of Test Testing Company 8. Tank Tightness l~-This Tan~ Been Tightness Tested? Date of Last Tightness Test Test Name 9. Tank ~ Tank Repaired? []Yes ~No []Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Operator Fills, Controls, & Visually Monitors Level []Tape Float Gauge [-]Float Vent Valves []Auto Shut- Off Controls [-]Capacitance Sensor []Sealed' Fill Box ~None []unknown [-]Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~Ye's []No []unknown Material ~,4~ee I Thickness (inches) ~__ Diameter ~cf~{.l(~ Manufacturer ~1~ [~Pressure []Suction []Gravity App'r6ximate Length o~Pipe Run Underground Piping Corrosion Protection : [~Galvanized []Fiberglass-Clad []Impressed Current []Sacrificial Anode []Polyethylene Wrap []Electrical Isolation [~Vinyl Wrap []Tar or Asphalt [-]Unknown []None []Other (describe): Underground Piping, Secondary Containment: [3Double-Wall ~Synthetic Liner 5~stem []None []Unknown ~Other (describe): PF. RMI T CHECKLIST This checklist is provided to ensure that all necessary packet enclosures were received and that the Permittee has obtained'all necessary equipment to implement the first phase of monitoring requirements. Please complete this form and return to KCHD in the self-addressed envelope provided within 30 days of receipt. Check: Yes No A.'The packet I received contained: 1)-Cover Letter, Permit Checklist, Interim Permit, Phase Monitoring Requirements, Information Sheet (Agreement Operator), Chapter 15 (KCOC #G-3941); Explanation of Equipment Lists and Return Envelope. 2) Standard Inventory Control Monitoring Handbook #UT-10. 3) The Following Forms: a) Inventory Recording Sheet b) Inventory Reconciliation Sheet with summary on reverse c) Trend Analysis Worksheet 4) An Action Chart (to post at facility) I Interim Permit Between Owner and Substance Codes, B. I have examined the information on my Interim Permit, Phase I Monitoring Requirements, and Information Sheet (Agreement between-Owner and Operator), and find owner's name and address, facility name and address', operator's name and address, substance codes, and number of tanks to be accurately listed (if "no" is checked, note appropriate corrections on the back side of this sheet). C. I have the following required equipment (as described on page 6 of Handbook): 1) Acceptable gauging instrument 2) "Striker plate(s)" in tank(s) 3) Water-finding paste D. I have read the information on the enclosed "Information Sheet" pertaining to Agreements between Owner and Operator and hereby state that the owner of this facility is the operator (if "no" is checked, attach a copy of agreement between owner and operator). E. I have enclosed a copy of Calibration Charts for all tanks at this facility (if tanks are identical, one chart will suffice; label chart(s) with corresponding tank numbers listed on permit). F. As required on page 6 of Handbook #UT-10, all meters at this facility have had calibration checks within the last 30 days and were calibrated by a registered device repairman if out of tolerance (all meter calibrations must be recorded on "Meter Calibration check Form" found in the Appendix of Handbook). G. Standard Inventory Control Monitoring was started at this facility in accordance with procedures described in Handbook #UT-10. Date Started Title: '/ Date: OPERATION AGREEMENT OF UNDERGROUND TANKS I, Jaco Hill Co. , owner of the underground storage ~anks located at 3200 Panama Lane, Bakersfield, Ca. 93304 have entered into this written agreement with Richard Go!ledge the agent of same, to fulfill a requirement of my Permit to Operate ~ 51OC ~_~ ~ · I have provided the agent with a copy of the Permit to Operate and chapter of the Ordinance. I, Richard Golledge, agent of the owner of underground storage tanks located at 3200 Panama Lane, Bakersfield, Ca. 93304 have received from Jaco Hill Co. , owner of same, a copy of the Permit to Operate # ~iOC~6 C- and chapter 15 of the Ordinance describing fines and Penalties for non-ccmDliance. I have read and understand the owners responsibilities and agree to provide the owner of said tanks the county forms completed with proper completion, gauging of the tanks and maintain proper daily records as reauired by the county. The owner of such tanks assumes all liability for any problems that may occur in regards to any State, County or City ordinances, except in the case of fraud by the agent in completing such paperwork as requi'red by the county. If found to be fraudulently in error, the agent could be held liable for such actions'. Jaco Hill Co., a general partnership Si'gned Dated AC~'E~NT/O.,,,~ERATOR RI'CHARD GOLLED.~E KERN~'UNTY AIR POLLUTION coNTRoL !lCT " 1601 "H" Street - Suite 250 APPLICATION FOr`' ~phoue: (805) 86B3682 Aul , ,.... . , c . L ~ Transfer of Ownership AN APPLICATION I.' ~. .~¢ ~'' C;"',¢'"xL . RCE OPERATION AS DEFINED IN RULE 102, SECTION cc. 1, PERMIT TO Bi ._. Name of organization to operate the following equipment: MAILI~ ADDRESS; 3. LOCATION ~T WHICH THE EQUIPMENT IS TO BE OPERATED: GENERAL NATURE OF BUSINESS: Se EQUIPMENT FOR WHICH APPLICATION IS MADE: F---m~-cP Cc.' :.-, --o c, ff'¢~, Cow- qi-~,,n / Provide additional information as required by District "Instructions". e .8. TYPE AND ESTIMATED COST OF AIR POLLUTION CONTROL EQUIPMENT: TYPE AND ESTIMATED COST OF BASIC PROCESS· EQUIPMENT: SIGNATURE OF APPLICANT: // TYl:~z/OR PRINT NAME OE SIGNER: TITLE OF SIGNER: DATE: I PHONE NO.: Validation (For APCD Use Only) FILING FEE: $ ~/5S9 FEE SCHEDULE NUMBER: DATE: Jaco Oil Company 3101 State Road Bakersfield, California 93308 Telephone: (805) 393-7000 Post Office Box 1807 Bakersfield, California'93303-18 May 26, 1987 Kern County Health Department 1700 Flower St. Bakersfield, Ca. · ATTN: -Ann Boyce Dear Ann: Enclosed please find a copy of our revised forms. These forms and procedures will be implemented system wide as of June 1, 1987. We will be holding meetings in our office on May 28, 1987 at 9:00 a.m. and 11:00 a.m. should you wish to send anyone from your office. Sincerely, Roy P. Saunde~s RFS~ j s encl REPORTING, PROCEDURES FOR INVENTORY SHORTS/OVERS Any loss that is reportable under the guidelines must be'reported to the Health Department and Jaco's office. The guidelines for reporting are as follows: 1) Any shortage or overage on any tank over 200 gallons on a daily basis must be reported to the Health Deparmtent and our office. 2) 3) Any shortage Or overage over 350 gallons or above 5% by the weekly calculaotion must be reported to the Health Department and our office. 1~-% of On a monthly basis, any shortage or overage over -~- monthly throughput must be reported to the Health Department and our office. 4) On a monthly basis, if your total number of shortages exceeds the action number chart it needs to be reported to the Health Department at once. The ~ealth Department reporting number is: 805-861-3636, 24 hours a day Jaco Oil's office number is: 805-393-7000 The Health Department will need your location and permit number for reporting purposes. 'Jaco Oil Company DAILY REPORT INSTRUCTIONS A) Fi.ll in the month, day and year at the top as well as the location at the bottom of the page. B) In Area #1, write down the pump number, total gallons and total money reading from the console, or the dispenser as the case may be. C) Line #2, is the total of all pump readings. D) Line #17' is the start figure, or totals carried forward from the pre~ious day. E) Line #8 is: Line 2 less Line 17 for a total sales figure. F) Line #9 is for deducting pump tests that were returned to. the underground tanks. G) Line #15 is the net total sales after adjustments. It) Line. #!0 is the total sales in gallons for the day. This should be taken from Line ,~1~. I) Line #11 is the total sales in'money, by grade, less pump tests and credit cards, if any., to determine your deposit. J) Line #~ is the beginning inventory by the prior days ~au~in~ (Line #5 of prior days report). K) Line #12, receipts are gross gallons received for inventory. .~hese gallons are not to be temperature corrected. L) Line #14, these numbers are in section 10 which c~ne £r~m Line 15 of the report. (Total gallons sold by grade of product). M) Line #5 is the sum of Line 4 plus Line 12 minus Line 14 to determine Book'inventory. Line #B is the inches you gauged the tank at the close of the report. O) Line #1~ is the gallons those inches represent from the tank chart. P) Line #1~ is the difference between Line 5 and Line 1~. Q) Line #15 is your beginning number for Line 4 for the next day. Line #2 becomes Line 17 for the next day. ~9ecial Notes: 1) Daily tank gauging must take place'at the same time'that the final. shift is cut off for the day..It is imperative that this be done to have accurate paperwork. 2) It is recommended that the gauging be performed by the same .people as much as possible. 3101 State Road Bakersfield, California 93308 Tel,,~hone: (805) 393-7000 Post Office Box 1807 Bakersfield, California 93303 BULK PLAinT WN # INVOICE ~'J ? Y© FUELS ~KERSFIELD, ~LIF. 9~ INC. DATE Truck ~ (805) 3214~0 ~0.~ [~ GAUGE UNITS PRICE TCTAL PART GROSS PRODUCT BEFORE AI='rER GAULBS PER U~'4iT PRICE 01 L/'OE~C egul Gasoline- Flammable Liquid UN1203 02 ,~)C he Laed Gasoline-Flammable Liquid UN,203 ~ ~ I l 0 $ rem. No Lead Gasoline - Flammable Liquid UN1203 0 Premium Gasoline. Flammable Liquid UN1203 _ 04 Diesel Fuel #2 - Combustible Liquid NA1993 PC QTY PKG PART NUMBER PRODUCT DESCRIPTION __ Combustible Liquid [] Sub To,'al Flammable Liquid [] Nei Drums Sales Tax 80 Drums Delivered ( ) Returned ( ) @ $20 80 Drums Delivered ( } Returned ( ) ~ $25 This Invoice includes California and federal luxes ti applicable. Terms: Net by tho tOlh of the follow. Freight/Delivery Differential lng monlh. A 1W% Interssl will be assessed on past due amounts, which is an annual percentage of 18°/o. In the event an action is brought by wholesale fuels incorporated for the collection of sums Invoice Tolal : due. reasonable a,orney'a fees and costs I Charge Check Check # C.O.D. (Cash).~ WHITE " Delivered by. Received by X GREEN Jaco Oil Company OVER/SHORT CALCULATIONS 1) Fill in Permit #, Location, Month and Year. 2) Identify each product you are keeping the recap on. 3) Enter the total sales by product from Line 10 of the Daily Report to the appropriate date line. 4) In the Plus and'Minus columns enter the amount over or short for each day from Line 16 of your Daily Report. 5) The weekly total on this form will be the figure you will use as your gallons over or short for the week you are working with. 6) To determine t~he gallons over or short, you take the gallons over,, less the gallons short, to arrive at' a net number. This number can be a negative~number. 7) The monthly recap will be the total gallons over less the total gallons short. Again, this can be a negative number. This is the total ~nount over or short for the month. l) INVENTORY CALCULATION To complete this portion, you need two numbers: a) The net amount over and short from recap of overs and shorts for the week; b~ Total weekly sales by the meter reading also is on the recap. SECTION A: Enter the net gallons over or short for the week on the first line and total sales for the week on the second llne. By dividing the gallons short or over by the gallons sold you will have a fraction. By multiplying this fraction by 100 you will have a percentage of variation. SECTION B: Simply answer the two questions based on the information you have gathered. At the end of the month a recap of the month (28-31 day period) shall be calculated using the smne format. 3101 'State Road Bakersfield, Califor~nia 93308 Telephone: (805)-393-7000 Post Office Box 1807 Bakersfield,' California 93303 Jaco Oil Company 3101 State Road Bakersfield, California 93308 Telephone: (805) 393-7000 Post Office Box 1807 Bakersfield, California 93303- i ACTION NUMBER CHART In an effort to detect leaks, an "action number" has been developed. For each m6nth yo9 will count the number of total shortages by product. If a product comes up short more than the action number, it indicates a possible leak and is t.o be reported at once. This recap will be totaled at the end of each month. At the bottom of the over/short calculation. ACTION NUMBERS JANUARY FEBRUARY ~MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER 17 15 17 16 16 16 16 16 16 17 16 17 C JACO01LCOMPANY, PO BOX 1807, BAKERSFIELD, CALIFORNIA 93303, (805) 393-7000 LEADED PREMIUM ~t Gallons Money I I NEGULAR ,, NO LEAD ,,~ Gall(ms Money Gallons Money I Total Finish Total Start I I i Pump Tests TOTAL ~ ~ ~ ~¢~ r.~O.Ii ~ SALES L-I' v% & I ~ TOTAL GALLONS Regular ~ Unleaded Pzemium ,~.~ TOTAL I I I q Beg. I ~ I i i I Add Rcpts. Boo ~0 I I I I CIGARETTE SALES t ' I UNLEADED PREMiuM 4. , Gallons Money I REMARKS: T~ATION NAME: . , L CITY: ~ ~ i~"'"~'"~....~ f + D!ESEL ,ir Gallons Money I ! I. I I ,/ L. Prem. Reg. No Lead NIL Prem. Diesel Total CASH Less "" ¢ ~.,r. ,.,ards Less Pump Test DEPOSIT 9 ODUCT: t 1 1 2 21 2 2 G~AND TOTALS Yes ,, ta~s excee~ ~ . .... o, ccatinue*foa?.a Count-/ I,<~CO, t I Otl P[TR[H I T # ,! ", ,"7-~~ -~' .... :. razz. ~1~ /';?ky ' DUCT: ....... I._.9 .. " -- car :. ~-,- . ...... '" '"'~ ..... ~,z~ ~,,t...v.--., ~ '~" ~ Yes - ~.~r~ .... e ~nitoring r, --.~r t ~ 'b - Con~-~ ,._ ~xc,~ 350 Yes , ...... g . . _ · - s c~ &'s~e~ ! ~TOTAL Gals. Sold ~ X 100% Variation B. Does ~mt. over/shOrt eX-~ed 3 ~No -Continue ~b~;[~'. 50 gals? Yes -P~ort w< ,,~Orlng -- - 2thin 24 hfs O~, D°e~he Variation exceed 5~ -sc~ver~ ~Y~- ~r~ ._ - -"~ ~n-tcrin9 _.fi.' ~u ~e~ktting Authcr~--. ~ztnzn 24 hfs of disc=Very Ye- _ ~-.tZnue F~nito~ ~ ~. ~Gal: over/shor~ th~ Var~at~, .... c~{=co ~TOTAL Gals. sold · ~es ~t. OVer/short e~ Yes ~i ity ~ ~ ~ - ~ntinue t'~nitoring Do~S the variation exceed 5~-~ ~Gais Ove,/shor~ -- 5- ~ntznu~ rou~in, ~nito ~U q ? TOTAL Gals. SOld ~ -== - ~e~ · .' .... X !00~ variat~ot~, Yes - *'- - :c' tin~ t.~itoring Have Your shat ] TOTAL Gain. sold k~rt to ~e~<- . Yes rages exceeded ' ~--~tln? Aut~,o-;~.. NO chart a~o~D~ 100% variatic ~';ithi-. 24 /2rs og ~:- .... z If ~, rep°rt~Kern County ~- Does Varlaticn exsae~ If Mo, Continue moni toting~ ~ - Continu~ Ecu~ ......... · ':' OVer/short Gals.. Sold X 10O~ Variation D~%' S~amt'~°ver/short exc~ xes - ~ ---nz~r~g ..... ~rt wi~L~ 24 hfs of ~ TOTAL Gals. sold ~ X 100% Variat~ Does ~t. OVer/sh~ ~ -on ~b - .. ---re exceed 350 ~al~ Con~lnue ~'bnit~ring .... -S ~.~ varlaticn exceed 5%~ zsCUver,. .... - . f;a [p. - ..... ~ J._..TC, TA L Gals. X 100% Varia:lon ~t. Cver/'short excec~ 350 ~aiz7 - Ee~rt within 24 hfs o variation e~:coed 5%? ~isc~very~ Continue routine ~rt to Permitting Authori~./ .... ~'ovorv ~Gals OVer/short RODUC _6 ak!kg:.i__~ .... " .! TC!'?ALS !0 tl 12 13 la. '~ TC'TALS 16 17 18 19 2O 21 TOTALS 22 23 24 25 26 --'il ~05-~ 31 27 28 TOTALS 30 t 3i TOTALS £.iONTHLY GRAND TOTALS Have your' shortQg~s exceeded chart amount? Yes Mo ~ If Yes, report T~ Kern County if No, continue monitoring ()VI': R/.qiIORTS CALCULATIONS 3. r'L:es a. nc. '-','.'-r/'~h. rt exca~ 350 ga!:~ Yes - Rc~r~ wiU1in 24 hfs ~l~covery ~es ~e variation exce~ ~%? i~ - Continue routine rmnitoring --Yes - Re,ri to Permitting Authority A. B. within 24 hfs'cf discovery -- ~ Gals over/short x 100% Variation Does amt. over,/sp~rt exceed 350 gals? ~b - Contin~ ~nitcring . . Yes - P~rt within 24 hfs ~zs~very: ~es ~e variation exce~ 5%? [.b - ~ntinue routine ~nitoring -- Yes - ~rt to Pe~itting Au~rity within 24 ~s cf dis~ve~ ~ [ ~ ~ Gals over/short ~s ~t. over/short exce~ 350 ga~? -- __ Yes - ~rt wi~Ln 24 hfs of dis~very ~s~e v~iati~,~ 5%? - ~ntinue rou~ne ~itoring -- Yes - Re~rt to Per, trina Au~ority within 24 hrs cf discove~f ' ~U~ZTOTAL Gals. sold ~es ~t. over/s~rt e~ 350 gals? ~ ~b - ~ntinue Mmnitcring -- Yes - Re,ri wi~in 24 hfs o~zscove~. th~ variati~ exce~ 5%? [.b - ~ntinue rout~e ~nitoring -- Yes - Re~rt to Pe~it~ing Authority within 24 bra of discovery A. -- ~q 7 Gals over/short '~_q'?l q~ TOTAL Gals. sold ~ ~! X 100% Variaticr . ~s Variaticn ~xceed !.~%? bb - Continue Pgutine M~itorimg Yes - Ee~rt to Pe~itting Authorit',. within 24 hfs of dig~very Yea~ :'~, ~ ____ PRODUCT:. GALLONS SOI,D OVER SHORT 4 5 6 7 TOTALS 8 9 10 !! 12 13 14 TOTALS 15 16 17 18 19 20 21 TOTALS 22 23 24 25 26 27 28 TOTALS 29 3O 31 TOTALS MONTHLY GRAND TOTALS (TOTAL SH0~TAGES) Have your shortages exceeded chart amount? Yes No If Yes, report to Kern County If No, continue monitoring GalE. c. vof/g[.7 r t ~ TOTAL Gals. z X 100% Variation B. ~es a~. nver,.'short excec~ 350 .gala? t~ - Continue t.~ni~oring Yes Re~rt within 24 hfs ~es tile variation ezcced 5%? ~b - Continue routine mmnitoring --Yes - Re~rt to Permitting Authority within 24 hfs cf discovery A. Gals over/short TOTAL Gals. sold X 100% Variation B. ~es a~t. over/short exceed 250 ~b - ~ntinue ~-bni~cring __ Yes - ~rt within 24 hfs c~isccver~, ~es ~ke variBticn ex, ed 5%? }b - ~ntinue routine ~ni~ring -- Yes - ~rt to Pe~itting Au~ority -- wi~hLn 24 ~s of discovery A. Gals over/short ? TOTAL Gals. sold X 100% Variation B. ~es ~t. over/short exceed 350 gals? ~ - ~ntinue l.bni~ring ~ ~ Yes - ~rt within 24 hfs o~i:ccrar ~ ~s ~e variation e~eed 5%? ~ - ~ntinue routLne ~nitoring -- Yes - ~rt to Pe~itting Authority -- within 24 hr= of discovery A. Gals over/short TOTAL Gals. sold X !00% Variation B. ~es ~t. over/sPmrt exce~ 350 ga~? ~ Yes - ~rt within 24 hfs Does the variation exce~ 5%? I~ - Continue routine r~nitorimg -- Yes - Re~rt to Permitting Authority ~ --within 24 hfs of discovery A. Gals over/short j TOTAL Gals. sold X 100% Var iatic: B. DS~S Variation cxcaed ~.~. ~b - Continue P. cutin~ --You- R~ort to nc--~t-~"~. ......... : AuthtritY wi'th,.; 2.; 2rs ':f di:csvcr':' Location ovr.~/b.U~'l'b CALCULATIONS Month PERMIT # Year DAY S 1 PRODUCT: GALLONS SOLD OVER SHO--~ 2 3 4 5 TOTALS 8 9 10 11 12 13 14 TOTALS 15 16 17 18 19 2o I TOTALS 22 23 24 25 26 27 28 TOTALS 29 30 31 TOTALS MONTHLY' GRAND TOTALS I , I (TOTAL SHO~TAGES)I Have your shortages exceeded chart amount? Yes No 2. If Ye~, reoort ~o '~ .... O~?~+,~ __TOTAl. Gals. sol..'] X 100% Variation Dses ~-~t. or,--r/short ex--ced 350 gala? -- Yes - ~zt within 24 hfs o~iscovery ~es L%e var:etlon exTeed 5%? __ ~ - ~n=inu~ routine ~nitcring __ Yea - Re~r% to Pe~itting Authority A. Gals over/short TOT~ Gals. sold X !0St Variation B. ~es -~t. over/s~rt e~ee~ 350 gals? __ k~ - ~n=L-~e F~itcring .. __ Y~ - ~rt within 24 hfs ~s ~ variati~ ex~5 5%? __ ~ - ~nue routine ~nitoring -- Yes - ~rt to Pe~itting Au~rity wi~n 24 bJs of discove~ A. Gals over/short TOTAL Gals. sold X 100% Variation ~s ~t. o~r/short exce~ 356 gals? __ }~ - ~tLnue ~ni~rin] __Y~ - ~t wi~h~ 24 b~s of discove~ ~ ~ v~iati~ e~ 5%? __ ~ - ~n~ rou~e ~tcring __ Y~ - ~rt ~ ~tt~g Au~ori~ within 24 ~ of dis~ve~ A. Gals over/short TOTAL Gals. sold X 100% Variation E. ~es ~%. ~r/~rt e~ed 350 ga~? __ ~ - ~nue ~i~ring ~s ~e ~riaticn ~c~d 5%? __ ~ - ~ntLnue routLne ~nitoring __ Yes - Re~rt to Pe~tting Authority wi~Ln 24 hfs of discovery A. Gals over/short. TOTAL Gals. sold X 100% Var iatior ~s Variation e::cee~ 1.5%? ~ ~-b C~tinue Rcutin9 ~ .......... PRODUCT- DAYS GAI,LONS SOI,D OVER SHORT 2 3 5 6 7 TOTALS 9 TOTALS 15 16 17 18 19 20 21 TOTALS 22 23 24 25 26 27 .28 TOTALS 29 30 31 TOTALS MONTHLYi GRAND TOTALS (TOTAL SHORTAGES) Have your shortages exceeded chart amount? Yes No : TOTAL Gals. sold X !~% 'Jar~ation B. ~ea ~-~.t. ~-ver/sht;t cxTaud 350 gals? ~.l) - Confine-~ ~4onitsring -- Yea - Report within 24 hzs o~.iscsvery Does th~ variation excaaJ 5%? No - Continue routine monitoring Yes - Report %o Permitting Authority A. Gals over/short = TOTAL Gals. sold X 10D% Variation B. Does ant. over/s.hort ezceed 350 gals? -- No - Continue !~nit=ring Yes - R~por~- within 24 hrs aiscove.~_ Does t~he variation exceed 5%? ~ - Continue routLne monitoring -- Yes - Report to Perm..itting Authori~, -- within 24 .~s cf discovery A. Gals over/short TOTAL Gals. sold X !~0% Variation B. Does ~'nt. over/short .erz_e_~ 350 gals? ~b- CcntLnue ~.~nitmrln.~ -- Yes - Report wi~-hhn 24 hfs o~. Does t.he variation exceed 5%? Nb - Continu~ routL~e r~-nitoring Yes - Report to Pa~ittLng Aut~hori~! -- within 24 hfs cf discovery A. Gals over/short TOTAL Gals. sold X !~0% Variation B. Does ~"~t. over/short em~:eed 350 gals? --Yes - Re,crt within 24 hfs of. Does the variaticn exceef 5%? No- Continue routine r~nitoring -- Yes - Re~rt to Pa..-m. itting Authority within 24 hfs cf discovery A. Gals over/short + TSTAL Gals. sold X 100% Var iatic! B. Du2s Variation exc~-~ 1.5%? ~b - Continue F~utin-~ :'~nitcrin9