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Home My WebLink AboutUNDERGROUND TANK CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANI( TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING FACILITY PERM/T TO OPERATE # OPERATORS NAME OWNERS NAME C~¢F~ .~(~ NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED , TANK # VOLUME ¥ CONTENTS TANK TESTING COMPANY ~/r~ ~ p~r (.Ltl . .~l/q~C... . NAME & PHONE NUMBER O'F ~-ONTACT;~RSO~ ~;)(~ 0~ TEST METHOD ~CF_.el ~/'~ NAME OF TESTER OR SPECIAL INSPECTOR .--~.~ CERTIFICATION # DATE &.TIME TEST IS TO BE CONDUCTED_ APPROVED BY DATE [48.0o S~ATURE OF APPLICANT ~4~r 11' 03 (I Bruce P09-57'7-5S6~ p.1 TO: DATE: FAX it: Shell Oil Products US Northwest Region 3468 Claremont Avenue Modesto, CA 95350 FROM: Bruce T. Marubashi Shell Oil Products Northwest Region btmarubashi~equiva.com Phone #: (209) 577-5960 Fax #: (209) 57%5964 FAX TRANSMITTAl. NUMBER OF PAGES INCLUDING THIS PAGE I~ IF YOU DID NOT RECEIVE AI.L OF THE PAGES, PLEASE CALL (209) 577-5960 COMMENTS: 2003 EOUILON-SHELL OIL COMPANY (1) UST FINANCIAL LIABILITY DOCUMENT (2) LIST OF. SHELL BRANDED FACILITIES COVERED BY THI~ DOCUMENT PLEASE FORWARD TO THE APPROPRIATE SHELL INSPECTOR'S~ TO AVOID THE NUMEROUS REQUESTS FOR THIS DOCUMENT. THANKS ! CALL ME IF ANY PROBLEMS. Bruce T. Marubashi HSE Analyst - NWR, Bay Area 11' 03 12:59p Bruce T. Marubashi 209-5??-5864 p.2 UNDERGROUND ~rORAGE TANK I.[ABILITY ENDOi~EMENT Name'c~ ll~S~l~ .... Shell Oil Pollo/Number GLO9307950-00 .... l ]anu. ary ~, 2003 to ]an_u_a_~...l_,' 2004 ~ued htr (Name of Insurance Company) Zurich American insurance Company 1400 American Lane Schaumburg, IL. 50196-1056 1-800-382-2150 -l~r~ t~e I:x:~-ii~/'H'O~'l~iJ:~';'l~'n~l-r~l~'~'~-t'~,~'inf~mT~atx:m IxeparaUon d THT~ ENDOI~EMENT CHANGES THE POUCY. PI. EASE R~D ~ ~FULLY. ~is enact ~fl~ ~n~ 0~ u~ ~ ~lloM~: CER~ON ~S~ ~R ~E~D TANKS ThiS endorsement certifies that the policy to which the endorsement is attached provides iiebility insurance covering the following Underground Storage Tanks: Schedule of Tanks attached for taking corrective action, and/or compensating third parties for ~bodily injury" and "property damage" ca~_c~:l_ by either "sudden accidental re~eases" or ~nonsudden acddental releases" or "accidental releases"; in accordance with and subject to the limits of liability, exduSions, conditions, and other terms of the policy; arising from operating the underground storage tank(s) identified above. The limits of liability are: Each Occurrence $1,000,000 Annual Aggregate $2,000,000 exclusive of legal defense cos~, which are subject to a separate limit under the pollcy: This coverage is provided under GLO9307950-00. The effective date of said policy is ]anuary 1, 2003. 2. The insurance afforded with respect to such occurrences is subject to all of the terms and conditions of the policy; provided, however, that any provisions inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby amended to conform with subsections (a) through (e); Bankruptcy or insolvency of the insured shall not relieve Zurich American Insurance Company of ~ts obltgetlons under the policy to which this endorsement iS attached. Zurich American Insurance Company Is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective actton or a damaged third-party, with a right of reimbursement by the insured for any such t~ayment made by Zurich Amedcan Insurance Company. This provision does not Mar 11' O3 12:59p Bruce T. Marubashi po3 apply with respect to that amount of any deductible for which coverage fs demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95-280.i02. Whenever requested by a Director of an implementing agency, Zurich American Insurance Company agrees to furnish a signed duplicate original of the policy and all endorsements. Cancellation or any other termination of the insurance by the Zurich American Insurance Company, except for non-payment of premium or misrepresentation by the insured, will.be effective only upon written notice and °nly after the expiration of 60 days after a copy of sud~ written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only atter expiration of a minimum of 10 days alter a copy of such written notice Is received by the in~red. I hereby cerUty that the wording of this instrument is identical to the wording 40 CFR 280.97(bX1) and that the Zurich American l~nee Co~n~ is lt~ to transact the business of insuranc~ or eligible to provide insurance as an excess or suq~us lines Insurer in one or more states. Authorized Represeni~Uve for Zurich American Insurance Company Name: Duncan Piaskett Title: Vice President Address: Marsh USA, Inc. m 1000 Louisiana - Suite 4000 Houstcm, TX. 77002 UST Financial Responsibility - Year 2003 Shell Oil Products - Shell & Texaco Branded Facilities BakerSfield Market Brand Address City County State TEXACO 2401 N OAK ST BAKERSFIELD KERN CA SHELl. 2600 WHITE LN BAKERSFIELD KERN CA SHELL 3805 ROSEDALE HWY BAKERSFIELD KERN CA TEXACO 3821 CALIFORNIA AVE BAKERSFIELD KERN CA TEXACO 3698 MING AVE BAKERSFIELD KERN CA TEXACO 4050 GOSFORD RD BAKERSFIELD KERN CA TEXACO 5300 OLIVE OR BAKERSFIELD KERN CA TEXACO 5321 STOCKDALE HWY BAKERSFIELD KERN CA TEXACO 6439 ROSEDALE HWY BAKERSFIELD KERN CA TEXACO 9069 GRAPEVINE ROADWE LEBEC KERN CA SHELL 25712 WARD DR KETTLEMAN CITY KINGS CA Bruce T. Marubashi Shell Oil Products - HS&E Analyst Northwest Region 209.577-5960 (fax5964) ZIP 93301 933O4 93308 g3309 93309 93309 93308 93309 93308 93243 g3239 0 0 Co., ENVIRONMENTAL COMPLIANCE CONTRACTOR P.O. BOX 191 CANOGA PARK, CA 91305 818-702-6470 / 818-702-6484 FAX SUBJECT: DATE: S/S #: Annual Electronic Leak Monitorigg-System'. ~ti_o_p-an~d Certification.%. ! B3~Irsi~~'-'"'-'~ 4/11/01 /' LOCATIO : Shell 135069 To Whom it May Concern, Enclosed are the reports for the annual inspection of the existing Monitoring System that was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Co., Inc. has been contracted by Equiva Services LLC to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R. J. MYERS & CO., INC. 'Ronald J. Myers, II President RJM/rf CONT. LIC. #330631 (B-061) SERVING THE PETROLEUM INDUSTRY SINCE 1967 R. J. MYERS & CO., INC. ENVIRONMENTAL COMPLIANCE CONTRACTOR P. O. BOX 191 CANOGA PARK, CALIFORNIA 91305 818-702-6470 / 818-702-6484 FAX DATE OF SERVICE: 4/11/01 S.S. #: Shell # 135069 W. O. #: TECHNICIAN: James Rich BILL TO: Equiva Services LLC P. O. Box 7869 Burbank, CA 91510-7869 SERVICE REQUESTED - Annual monitor inspection and certification. DESCRIPTION OF WORK: Inspected and tested all leak sensors and probes for proper operation. Verified proper operation and calibration of all TLM probes. All systems normal. SERVICE REQUESTED BY:'Feryal Sarrafian PROBE I.D. #: In Tank Setup T1 Unleaded 1 T2 Unleaded 2 T3 Premium PLLD Set Up Q1 Unleaded Q2 Premium Liquid Sensor Set Up L1 Unleaded STP Sump L2 Unleaed Piping Sump L3 Premium STP L4 Unleaded 1 Annular L5 Unleaded 2 Annular L6 Premium Annular MODEL #: Veeder-Root TLS-350 Simplicity SERIAL #: 80347426505001 SYSTEM CERTIFIED {~ NO YES SYSTEM PSD {~ N/A NO WASTE OIL NO SYSTEM RUNNING SYSTEM SEALED NO )UST EQUIP;~ENT INSPECTION REPORT STATION ADDRESS: 3605 Rosedale Hwy. CITY: Bakersfield STATE: California SAP NUMBER: 135069 BRAND NAME: Shell TANKS AND LINE8 Tank Product Tank T~pe Tank Size UST or AST Tank Corrosion T)~e Line T]~e Une Corro~lofl R - Regular M = Mid Grade DWF = Doublewall Fiberglass Cimle the correct F - Fiberglass DWF = Doublewall Fiberglass F = Fiberglass P = Premium D = Dte~el SWF = Sing!ewall Fiberglass Nominal Gallons type of tank. L = Lined SWF = Singlewa]l Fiberglass lC = Impressed Current U = Used Oil K = Kerosene SWS = Singlewall Steel Underground Storage lC = Impressed Current SWS = Singlawall Steel A = Anode ENVS = Doublewall Steel or Aboveground A = Anode FDW = FlexJbla Dq~Jbiewall P = ~ Flex DFS = Double Fiber Steel Storage 1 Regular DWF 10,000 . UST Fiberglass SWF Fiberglass 2 Regular DWF 10,000 UST Fiberglass SWF Fiberglass 3 Premium DWF 10,000 UST Fibe~lass SWF Fiberglass 4 Comments: PRODUCT TANK MONITORING SY8TEM Positive Fail ~ Qty T),pe Shut Down Safe Operational Manufacturer and Mode~ Number DW Tanks With Interstitial Sensors 3 Wet Yes Yes Yes Veeder-Root TLS-350 Simplicity #420 Automatic Tank Gauge Probes (ATG) 3 ProGlrammed: YES C~LD Yes Yes Yes Veeder-Root TLS-350 Simplicity Mag #1 Groundwater Sensors FiliNaper Recover/Riser ETM (ATG) Sump '~ Cona~ents: USED OIL TANK AND LINE MONITORING SYGTEIB (UST Only) Manufacturer and Model Number Qt~ Type Operational Interstitial Monitor (DW tanks) Elactrenic Tank Monitor Fill Sump Monitor Comntents: PRODUCT LINE MONITORING SYSTEM - Positive Fail Manufacturer and Model Number Q~ T~pe Shut Down Safe Operational N/A Electronic Sensor in Fill Sump 3 Elactmnic Line Pressura Sensors Yea Yes Yea Veader-Root TLS-350 Simplicity PLLD 3 Elactronic Sensor in Turbine Sump Yea Yes Yea Veeder-Root TLS-350 Simplicity - Discriminating Senors 4 Electronic Sensors in Contained Trench Yea Yea Yes Beaudrearn Elect in 404-4 Co~n~nts: ~., I certify that the above information is accurate and the equipment is functioning according to manufacturer's specifications unless otherwise indicated. SIGNATURE: COMPANY: R.J. Myers & Co., Inc. PRINTED NAME: James Rich DATE: 04/11~1 STATION ADDRESS: 3605 Rosedale Hwy. CITY: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT SAP NUMBER: 135069 BRAND NAME: Shell DATE: 4/11/2001 DISPEN8ERAREA Dispenser Nozzles Impact Mechanism Dispenser Containment Impact Type: Gallons per Mechanical Flex Connector Sump Liquid Oldest Date minute being Sta;le II Vapor Valve or Protection: Boot, Tape, Contalament Sensor Type: on pumped by Recovery Type: Motion Mechanical Contain Sump, Anode, Sump TYpe: Mechanical, . Sump Dispenser Securely Dispenser Number closest nozzle. Balance, Vacuum Sensor or Securely Valve Impressed Current, Deep, Shallow, Electroelc, Sensors Numbers Manufacturer Anchored? Fuel FlEers of Nozzles Reg Mid Pre Assist, None Both Anchored Operational Unable To Verify None None Operafloe. al? 1/2 Wayne Yes 4/9/2001 2 Vacuum Assist MV Yes Yes Contain Sump Shallow Electronic Yes 3/4 Wayne Yes 4/9/2001 2 Vacuum Assist MV Yes Yes Contain Sump Shallow Electronic Yes 5/6 Wayne Yes 4/9/2001 2 7.6/8.2/7.4 Vacuum Assist MV Yes Yes Contain Sump Shall~w Electronic Yes 7/8 Wayne Yes 4/9/2001 2 Vacuum Assist MV Yes Yes TOTAL # OF NOZZLES: 8 Comments: GENERAL INFORMATION Emergency Shutoff I ESO) Car Wash OII - Water Separator Automatic Tank Gauge Strip Reclaim Drain If a remote Sump Needs to Attach A Printout Of The Tank Monitor Does the water level Simplicity (S), monitor Is Needs to be be Set-Up and Most Recent Test Results shown on the ATG match PoleCat (P) or Installed, Is it Pumped Pumped B: Sewtce Bay Needs to be (SWF Tank Locations). Is a PrintOut what Is shown on a Neither (N) operating Operatlonel City Out? Out C: Car Wash Pumped Out Attached To This Fon'n. manual stick readln~j? Installed on ATG. correctly? Exterior Yes 1 No No N/A N/A Yes Yes Simplicity N/A Intedor 'Comments: UST EQUIPMENT INSPECTION REPORT STATION ADDRE88:3605 Rosedale Hwy. CITY: Bakersfield STATE: California SAP NUMBER: 135069 BRAND NAME: Shell DATE: 4111/2001 TURBINE AREA Test Boot/Drain Plufl: Flex Connector T~k Permit Required Turb/ne Head Have test boots been ~r.otec'd0n: Plastic ~: Is Confined Space Protection Tv~e becked off secondary Flex, Booted, Taped, the preduct Are there top seat Identification Contained Sump, containment piping, or Sump, Anode, manifolded Are there any Are the or side seal Are there internal or Tag or Decal Rigid Soil Barrier, Is The drain plugs removed Impressed Cun'ent, bat~=en observation wells in products Turl~ne adapters on the external drains on the Tank Product Present Uner, No~e Sump Dry for proper draina~]e? Unable to Verify tanks? the tank area? blending? Filter? tank fill pipes? spill containment ? 1 Regular 1 No Contain Sump Yes N/A Sump Yes Yes Yes No Top Seal Internal 2 Regular 2 No Contain Sump Yes N/A Sump Yes Yes Yes No Top Seal Internal 3 Premium No Contain Sump Yes N/A Sump N/A Yes Yes No Top Seal Internal 4 Comments: TANK FILL AREA Overhql Protection Caps and Type: Ball Float, Dip Stick Protection Spill Spill Gaskets tn Flapper, Both, Type: Strike Plate, Containment Containment Remote Spill Containment on Good Fill Lid Product None or Unable to Baske~ Cage, Both or Tank Product Size Drain Operational Fill Remote Fill Condition Fill Lid Condition Painted Identification Verify None I Regular 1 15 Yes No ~ None Yes Good Yes Yes Flapper None 2 Regular 2 15 Yes No ~ None Yes Good Yes Yes Flapper None 3 Premium 15 Yes No~ None Yes Good Yes Yes Flapper None Comments: STAGE I VAPOR RECOVERY AREA Caps and Vapor Is There A Spill Verff Cap Tvl3e: Rem~e Gaskets In Recovery Containment Box Pressure Cap, Vapor Recovey Vapor ~ Dry Break In Good Good Lid identificationTag Present AroUndpointEach VR SpilIDrainContatnmento~erational Tank I Product Rain Cap, None Type Recover~ Operating Condition Condition Ed Painted Condition 1 Regular I Pres~are Cap Dual Point No ~ Yes Yes Yes Good Yes Yes None 2 RegzJlar 2 Pressure Cap Dual Point No~ Yes Yes Yes Good Yes Yes None 3 Premium Press4~re Cap Dual Point No yes yes yes C-.-.-.-.-.-.-.-.-~ Yes Yes None S/S: ADDRESS: DATE: A.Q.M.D. SUMMARY REPORT Shell # 135069 3605 Rosedale Hwy. Bakersfield, Ca. 4/11/01 TP201.3: Reason For Failure: PASS X FAIL N/A TP201.4: Reason For Failure: PASS FAIL N/A X TP201.5: Reason For Failure: PASS X FAIL N/A Electronic Monitor Results: PASS Reason For Failure: X FAIL N/A Drop Tubes: PASS Drop Tubes That Were Replaced: None X FAIL N/A 87 89 Reason For Failure: 92 Diesel Siphon Tank None X Containment Box Report: Reason For Failure: PASS X FAIL N/A Manufacturer: In Ground Type Phil Tite Retrofittable Safe Lite FRC OPW Size: 15Gallons Pomeco EBW D May 3, 2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 .VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Equilong EnterpriSes, LLC Rosedale Shell 3605 Rosedale Hwy. Bakersfield, CA 93308 Dear Business Owner: Enclosed, please find the Site and Facility Diagram Instructions packet. When your Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion. Please draw and submit the diagram(s) of your facility by June 8, 2001.. The diagram should include the following: 1) 2) 3) 4) 5) 6) 7) 8) 9) name of your business; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut-offs; location of the nearest fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s). If yoU haveany questions, please feel free to call me at (661) 326-3658. Thank you for your assistance. Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES Esther Duran, Accounting Clerk II Office of Environmental Services ED\db Enclosures B ,e D April 4, 2000 FIRE CHIEF RON FRAZE ADMINI81'RATIVE SERVICE8 2101 'H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (8O5) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICF..8 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-,1951 FAX (805) 326-0576 ENVIRONMENTAL $ERVlCE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAJNING DM$1ON 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Equilon Enterprises LLC Ms. Feryal San'arian 255 N. Ontario St #208A Burbank CA 91504 Dear Ms. San'arian: You have been identified as the'compliance coordinator for the facility/facilities referenced in the attachment. The permits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B, & C must be filled out and returned prior to the issuance'of a new permit. Please make sure that you are sending the updated forms which are indicated by the date 7/99 in the lower let~ hand comer. Please complete and return to this office by May 15, 2000. Failure to comply, will result in a delay of issuance of your new permit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Enviromental Services SU/dam attachment Facility_ California Ave Shell Cleo Reyes Shell White Lane Shell Formerly Macias Shell Ming Ave Shell Shell Service Station Stockdale Texaco Texaco Gas ' Texaco Texaco Texaco Star Mart Texaco Star Mart Address 3623 Califomia Ave, Bakersfield, Ca 93301 ~~e~d~___~ Bakersfield, Ca 93308 2600 White Lane, Bakersfield, Ca 93309 101 S. Union Ave., Bakersfield, Ca 93305 3700 Ming Ave, Bakersfield, Ca 93309 3130 24th Street, Bakersfield, Ca 93301 5321 Stock&ale Hwy, Bakersfield Ca 93309 2401 Oak Street, Bakersfield, Ca 93301 3698 .Ming Avenue, Bakersfield, Ca 93309 4050 Gosford Lane, Bakersfield, Ca 93309 3621 California Ave, Bakersfield, Ca 93301 2601 White Lane, Bakersfield, Ca 93304 IND. Baka~~D~ ]tazaulo~ lVl~a0als Dlv~m~ I715 Chostcr A'w'*~ B,,l~sfldd. CA 93~01 P,e~ Sh~!! OU Compen~ Sa'v'h:u 8taftom. vafloU Loc~d~ms, na]tn~]el~ CA We will be lnp'oltJ.,8 tho foUow~ equipmam, ~mco Whcam ~TIOO05$ Overfill ~'eve~,, ~ 'lubes ~ Ii;BW~.a5 ?~ Bmmm pmi~ms on ra~ ~ase~e U,~.'I'., 13. ~ White l..sao 17. 3700 ~n~ ~ ~8. 3130 ~ 8~ ~0. 3~ ~ Av~ Dick ))m~e/kt Northern .Calk~omi~t Division 2814 ~n Ave · Muokegon, MI · 49441 EBW 785 TANK BOTTOM PROTECTOR DROP TUBE * 3" and 4" sizes. · Protects steel and fiberglass tanks from punotures and wear made by gauge stick, · Easily Installed and removed In Drop tubes. · Plastisol dip coating. · Plated expanded metal cage. Emco Wheaton Introduces A 11 O0 System A1100 - 055 Complete Overfill Prevention System. Top Drop Tube Factory Installed to At100 Valve Ensures a tight seal. Can pass tough pressure decay tests. Easy to install Bottom Drop Tube Included Ready to install Bottom Tube Included- ready for easy Installation Tube Strengthening Collar Kit - En~ure~ pmpef.~tmngth during product shut-off Factory ir. stalled Top Tube - .o sim assembly needed Al 100 - Indust~s ieacllng Overfill Prevention Valve L Emco Wheaton, Inc. 3800 Gateway Centre Blvd. Suite 301 MorrisviJle, NC 27560 919.319.8999 Fax: 919.319.7224 January 4, 1991 · COUNTT OF KERN BAKERSFIk"r,n, CA 93301 RE: Certifications of Electronic Monitors Shell Oil Company Service Stations Please find enclosed, copies of the certification letters stating the monitoring equipment at the sites on the following .page is fully operational. Upon reviewing our records for 1990, it was discovered that we never received a. return receipt for the packages containing these originals when initially sent to your office. If you have previously received any of these certifications, please disregard the enclosed copy. We apologize for any inconvenience this may have caused your agency. If you have questions concerning these results,, please contact our office. Sincerely, Larry L. Gordon Environmental Group Manager LLG/sf .Encs 2122 8, GRAND AVE., SUITE E & F · SANTAANA, CALIFORNIA 92705 · (714) 546.1227 .Shell Oil Company Service stations damS [ recislon nStrumentation, Co. 12410 BENEDICT · DOWNEY, CALIFORNIA 90.242 (213) 803-1497 RECEIVED DEC 1 2 '1990' srmvl~ STATIO~t'~RVICES Oece~er 10, .1990 ? '.SHELL OIL COMPANY : ~ 1600 SMITH 2230A ,: .. HO. USTON, TX. 77002 ~? .... SHELL STATION WIC #204-0461-0709 3605 ROSEDALE HWY/U.S. 99 i BAKERSFIELD', CALIF. 93308 RE: LEAK DETECTION SYSTEM CERTIFICATION For your information and records, the leak detection system at the above referenced site was certified on 12/6/90 by a reprgsentative of API/Ronan, as indicated below. PRODUCT LINE Type_SW_ TANK Type_DW_ WASTE OIL TANK Type_NONE_ MONITOR MONITOR : MONITOR Non~~-Existing _API_Operational Non Operational Non Existing _API_Operational Non Operational__ X__Non Existing __.Operational Non Operational Ail Mechanical Leak Detectors are-tested for normal operation per Manufactures Specifications. Please feel free to contact our office for any questions you may have regarding your leak detection equipment. pt Regards/ ~ rec rumentatiofi AP[I/Renan L~ak Detection Systems Roger A. Kilmer Service Manager NUMBER OF TANKS AT THE SITE: EMERGENCY CONTACT PERSON(PRIMARY) FACILITY NAME: ..................................................................................... ENV. SENSITIVITY ......... NAME:.._ EMERGENCY CONTACT PERSON(SECONDARY): NAME: -."~.' 'P~HON E NUMBER: ,,~: ..... T AN K--OWN E R .---I,N F O RM AT I O N: i NAME: ADDRESS :. PHONE NO.: TANK CONTENTS: TANK :~ MANUFACTURER YEAR =INSTALLED CAPACITY CONTENTS TANK CONSTRUCTION: TANK ~ TYPE(dw sw sec.cont.) MATERIAl_· INT. LINING CORROSION LEAK DETECTION: TANKS: __VISUAL GROUNDWATER MONITORING WELLS VADOSE ZONE MONITORING INELLS U-TUBES NITH LINERS U-TUBES wITHOUT LINERS VAPOR DETECTOR. " LIQUID SENSORS CONDUCTIVITY SENSORS PRESSURE SENSORS IN ANNULAR SPACE LIOUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING NELLS, OR ANNULAR NONE UNKNOWN OTHER PIPING INFORMATION: '- ..... ~'AN'K ~tt ...... SYSTEj~F'~f~E .......... 3 ........... CONSTRUCT-ION~--.~- ..........J,..'_.MATER IAL (SU~PREy,GRAV.~) (SH,DW,LINED TR) 1 LEAK DETECTION: PIPING: ~ ~.. FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED PERMIT NUMBER TYPE OF INSTALLATION In-Tank Level Sensor coNTAcT PERSON FACILITY NAME FACILITY ADDRESS Leak Detector ( ~3. Fill Box' 1. IN TANK LEVEL SENSORS List By Tank ID Number of Tanks Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS Number of .Tanks ~ List By Tank ID Name of System ~--~~0~ Manufacturer & Model Number Contractor/Installer 3. FILLBOXES Number of Tanks ~ List.By Tank ID Name of System Manufacturer & Model Num.hcr Contractor/Installer PERM I T ........................................ -..... .................. N.U. MBEF~ OF TANKS...AT'~'~E SITE: ................................................ FACILITY NAME: ENV. SENSITIVITY ......... EMERGENCY CONTACT PERSON( PRIMARY): NAME: . PHONE NUMBER: : ..... =-EME RGENCY__CON'r_ACI_ P. ERSON (-SECONDAR-Y.) :_. NAME: i PHONE NUMBER: .......................................................................................................................................... .. ............... I i,' TANK OWNER INFORMATION: :': NAME: ', ADDRESS: ......... -- .................................................................................................. . PHONE NO.: TANK CONTENTS: TANK ~ MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS " TANK CONSTRUCTION: TANK g TYPE(dw,- sw, sec.¢ont.) MATERIAL INT. LINING ~CORROSION PROT. LEAK DETECTION: TANKS: ...... VISUAL GROUNDWATER MONITORING WELLS VADOSE ZONE MONITORING WELLS U-TUBES WITH LINERS' U-TUBES WITHOUT LINERS VAPOR DETECTOR iLIQUID SENSORS ............. CONDUCTIVITY SENSORS PRESSURE SENSORS IN ANNULAR SPACE ............. LIQUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING WELLS, OR ANNULAR NONE UNKNOWN OTHER PIPING TANK ~ INFORMATI?gJ3~ SYSTE~.~..~T~E (SUC<PR~,~/. ,GRAV. ) cONSTRUCTION I MATERIAL i I LEAK DETECTION: PIPING- ~ FLOW RESfRICTING LEAK DETECTORS FOR PRESSURIZED PIPING MONiT~'~'~ SUMP WITH RACEWAY SEALED CONCRETE RACEWAY HALFCUT COMPATIBLE PIPE RACEWAY SYNTHETIC LINER RACEWAY NONE UNKNOWN 12/10/90 .... ~ ..... _ -:~iEF-.DEPUTY--EXECUTiVE.~OFF.iCERF-CkLI-FORNIA.--=:= Waste Management Board, 1020 9th Street, Suite 300 Sacramento, CA 95814 SERVICE STATION FACILITIES .AT: ' ' · Dr .- _--__360.5__Rosedale -"¥:::---201' W';- Noble .... -1 I 1 I --E ;--Tuta-~e'"Ave. .... 257 ~.2'. Ward Kettleman City, Visalia, CA Tulare, CA Gentlemen: In accord with new requirements of 40 CFR Part 122 and Part 403, adopted by the Environmental Protection Agency~ dated July 3, 1990, I am providing the one time notification that the discharge from the service bay sump of the referenced location may contain small quantities of chemical components that may be considered a hazardous waste. The EPA hazardous waste number may be D018 or DO08. The discharge is of a non- continuous nature. V~Q truly yours, t.~ ~ ~ '-'~ ~ "~ '~'" CLEO E. RHYNE OWNER CC: Director Hazardous Waste Management, EPA Division Shell Oil Company Local EPA for each location CER/lm DIRECTOR, HAZARDOUS WASTE MANAGEMENT Division, Environmental Protection Agency 1235 Miss~o~ Street San Francisco, CA 94103 .~_~Re:_SERVICE.STATION.=FACiLiTiES-'AT: 201W Noble % 1111 E. Tulare AVe. · -i .~ ~ '>~i~/'~ Visalia, CA Tulare, CA Gentlemen: 2571'2 Ward Dr. 360!5..Rosedale'.~H~'".~.. Kettleman City .... a~e~'b'f ie Id, In accord with new requirements of 40 CFR Part 122 and Part 403, adopted by the Environmental Protection Agency, dated July 3, 1990, I am providing the one time notification that the discharge from the service bay sump of the referenced location may contain small quantities of chemical components that may 'be considered a hazardous waste. The EPA hazardous waste number may be D018 or DO08. The discharge is of a non- continuous nature. OWNER CER / lm . i~ CLEO RHYNE'S SHELL i~ MAIN OFFICE "~' '. i . 236 W. Caldwell · i ,~, Visalia, CA 93277 · VISALIA · TULARE · KETTLEMAN CITY . ' .' 201 W. NOBLE 1111 E TULARE AVE I-5 & HWY. 41 ' · BAKERSFIELID 3605 ROSEDALE HWY. KERN COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH DIVISION HAZARDOUS SUBSTANCES'SECTION INSPECTION RECOR~ POST CARD AT.JOBSITE 1700 FLOWER STREET BAKERSFIELD, CA 93305 PHONE (805) 861-3636 INSTRUCTIONS: Please ~all for ~ inspector o~y when each group of Xnspemtions with the ~e number are ready. They ~11 run in ~onsecutive order beginning ~th number 1. DO NOT ~over work for .any number~ group until all it~s Xn that: ~roup are sign~ off by the Pe~itting ' ' ~thority. Follo~ng these instructions ~11 ~duce the number of required Xnspeeti6n visits INSPECTION ~"/ IBackfill of Tank(s) , ~Spark Test Certification DATE _INSPECTOR ! , ICathodic Protection of Tank(s) - PIPING SYSTEM - ~Pipin~ & Raceway w/Collection Sump ' ~ ~Corrosion Protection of Piping, Joints, Fill Pipel , ~Electrical Isolation of Pipin~ From Tank(s) , [ ~Cathodic Protection System-Pipin~ I I .I I I I I I I ' SECONDARY CONTAINMENT t OVERFILL PROTECTION t LEAK DETECTION Installation - Tank(s) ] ' I I I ' · ,, ,, c I I l~2JLiner Installation - Pipin~ -[ ~Vault With-Product.Compatible Sealer :~JLevel Gauges or Sensors, Float Vent Valves ~,~:Product Compatible Fill Box(es) l~Product Line Leak Detector(s) l~ILeak Detector(s) for Annular Space-D.W. Tank(s) ~.JMonitorin~ Well(s)/Sump(s) [ ' ~Leak Detection Device(s) For Vadose/Groundwater ' I I - FINAL - I~ IMonitorin~ Wells~ Caps & L.~ks ~/P'-/-..~-~ _~(~/~, 3 CONTRACTOR CONTACT ..... ] ....... / ...................... FEBRUARY-9-~-1990 ANN BOYCE KERN COUNTY HEALTH DEPARTMENT DEPARTMENT OF ENVIRONMENTAL HEALTH 2700 "M" STREET, SUITE 300 BAKERSFIELD, CA 93301 Dear Ms. Boyce: Shell Oil Company P.O. Box 4848 511 N. Brookhurst Street Anaheim, California 92803 Please find.enclosed a listing of the service stations, under your ~epartment's jurisdiction, which are within the Los Angeles East District of Shell Oil Company. I would like to request that the billing and mailing address (for purposes related to the Underground Storage Tanks) at these stations be changed to reflect the following locationE SHELL OIL COMPANY . 511 North Brookhurst Street Anaheim, CA 92803 ATTN: LAE District Please contact me at (800) 447-4355, ext. 3347 if you have any questions or arein need of further information regarding these sites. Very Truly Yours, '-~ Env~'ronmental Analyst L'os Angeles East District enclosure Pa~e No. 1 ~ 02 ,/0.9/90 SHELL c - - ,~TATIONb IN KERN COUNTY - L.A. EAST DIST. 2600 >.. 3605.~:: 5212 ADDRESS CITY WHITE LN/EL POTRERO .BAKERSFIELD ROSEDALE/HWY 99 BAKERSFIELD OLIVE DR/HWY 99 BAKERSFIELD ST ZIP CA 93304 COHD KERN CA 93308 COHD KERN. CA 93308 COHD KERN 3700 . MING RD/REAL' :, ,.-BAKERSFIELD CA 93309 .COHD KERN ~: ............. ~ ..... :3130 ............ TWENTYFOURTH/OAK- '-~:-.--~--~--BAKERSFIELD ........ ' ....... CA 9330I '~COHD~''KERN'--IVOod- 101S-, UNION/BRUNDAGE. BAKERSFIELD '3623 "CALIFORNIA/REAL. BAKERSFIELD 1130 OAK ST/CALIFORNIA ...BAKERSFIELD S/E/C I-5/STOCKDALE HWY .j- BUTTONWILLOW 20649 TRACY/I-5 BUTTONWILLOW 33224 I-5/GRAPEVINE LEBEC CA 93307 COHD KERN CA 93309 COHD KERN CA 9330~ COHD KERN CA 93206 COHD KERN CA. 93206 COHD KERN CA 93243 COHD KERN /~.SO0/~ .. No. of Tanks ' '-.Type of Inspection: R/outine ~ Comments: D.t. B -- 2. '" . ............ Inspaction Time UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY : ", .... . -'- · INSPECTION REPORT * . : ..... . ~ ~~~ ~_'"'~-~.,,~" : .*.~ '~ . .'::,, Complaint Rein~ion ............. *' 'i. Primary Containment'Monitoring: .' .,,:~ . - ,' ' .~' i '.* '. ?:]:~ a. ~lntercepting and Directing System :. ;. ,':':¥~.b. Standard Inventow ~ntrol Momtor~ng a. Liner . x' r. Vault '' (~) I~...rizod ' b. Suction 'c. Gravity "r4.' Overfill Protection 5. Tightness Testing · ' ' ' "" ' "" '.: ",x,-,;- 6. New Construction/Modification '.7. 'Closure/Abandonment 8. Unauthorized Release 9. Maintenance. General Safety, and ... . i-~.i Operating Condition of Facility Comments/Recommendations: ..' ' .~ ". ',' ':".~.:C Reinspection scheduled? ~ Yes ~ No Health 580 4113 170 (7-87) Approximate Reinspection Date REPORT RECEIVED BY: ,,~. ,~ ~ ~~-~ K~RN COUNTY AIR POLLUTION CONTROL'DISTRICT Bakersfield, CA. 9330'1 r'(80~) 861-3682 ,, · PHASE I VAPOR RECOVERY INSPECTION FORM . · ' . '" B~K~' OR NZ~ZNG VA~R CAP ' .... "- "4. B~Km OR MI~ING ~iLL cap ~ NA~ING : SYST~ ~.RKED NI~ i ~ECK ~OVE ARE IN VIOL~T:~ OF KE~ ~N~ AiR ~LLUTI~ u~-t 3582 ~C~ING F~NAL RE~LUTI~ OF'~E V[O~T[~(S) ................ i:.,:?i:'i., ',i %;" !'7. 'VAPOR CAPS .NOT' PROPERLY SEATED -8. GASKET MISSING FRON FILL CAP GASKET MISSING FROM 'VAPOR CAP FILL ADAPTOR NOT TIGHT VAPOR ADAPTOR NOT TIGHT GASKET 8ETNE~mN ADAPTOR & FiLL TUBE MISSING / IMPROPERLY SEATED .....D,&Y BREAK GASKETS DETERIORATED, EXCESSIVE VERTICAL PLAY IN' COAXIAL FILL 71JBE (" '". '- ' SPR~NG .;OAX.~AL ¢~LL TUBE TANK OEPTH MEASURB'4~-NT TUBE LSNG%~t MEASURF,N!,E?.JT U RTERLY INVENTORY REPORTZ tt; ! County: ' Certify ....................... '* ........... , " Y ~er penalty of p~J~y that I)2 ~oduc I':' ~'' '" ":'"~ "w2th2n I]]'OVlb21 ]212~e for ~21 ~lrter. ~ Inventory virlitionl exceeded the 0210~21 ]Jlltl for thtl quarter. X hereby certify ~der ~a2ty Of perjury ~ the Iource for ~e Vir$e~20. ~l ~ M tO ~ ~eu~ortZed {2eak] Date Lilt date. tank ~ and laO~t fo~ i22 vePiitton. t~it exceed the i22ovable 2tittm T~nk · Aeount Date T~nk ~ iount 3'he quarterly luallry report Bhmll be lUblttted with:tn 15 ~yw _ of ~ end Of oe~ ~t~. kfld To ~-~ocat.-Ageflcy): .................... ~ ........................................................................................ KEEP COPZES .OF TH]:S FORH. FOR YOUR OWN RECORDS /4hire -.Agency Cop), C&narv Dealer Cn~v KER~N~ AIR POLLUTION CONTROL 2?00 "MI' Street, Suite 2?5 Bakersfield, CA. 9330'I ~(805) 861-3682 PHA~E II V~I~R RECOVERY INSPECTION ~ ,... ,. ,~NOZZLE ' Z.E~..~4.. RING, RIYET, S~)O,~~ :. ::. E .- 5.: BELLOHS 1. H~E ~D!T!~' V ~ ':' A 2. · ' R · ~ ..... . - ' 4 .: ~IVEL . ' O 5. OVE~D RETRACTOR E '5 ... ~ERq~i LOT ~ '- 7. '.'S~C~S ~TED .' "Key to ~t~ ' - : .... BA~alance 't~ml~ ':'"' ' ~ Key to defici~ci~ :NC=' not. certifi~? ~ ~ mis~ing, T~ torn, F= f~t, - ~= tangl~ . ~ '.' RJ=R~ Jacket '~]¢ Hasze]~nn 8 A~' n~z adjuzt~t, L= ]~q, L~ ]~e. ' ' ~HI~irt ' HA~msst~h ~ ~ s~r: ~: mizalign~, ' . K= kink~, :.. F~ frayS. .'~ .' ; ~ey co ios~siaq c~ul~z: 81aqk: OK. 7= Re. ir_within sev~ ' · ~ ., ~ : "~a~, )~ ;agg~. ~nozF/m ~agg~ ~t~¢~rder until, re~ir~) mJ : .:u=.{agga~e v~o{atn~ ~t ~m~t in use. · '. .'.. : ' ~ ' ',' . '-'.' :. .,:' · .... ' , ' , ..... · , . ' ' . ~:". · '- .... ~-, ~ ' ' ' - .; ....... *~ ........... L · · - ~'~~'~"~~'~~ "{ :*~VIOLATIONS: GYSTE~ ~IARKED WITH A "T" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF, i'' ~ ~Nry AIR POLLUTION CCNTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA ' :... ~EA~._T~t_ & ~.AF__E'r~Y~ CODE SP~IFIES.~PENAL~IES_OEUP_TO_,$_1~OOO. O0 PER DAY FOR EACH DAY OF :'"' VIOEATICI4%-" TEEEP~fONE~.805) 861-3682 CONCERNING FINAL RESOEUTION';'O~TFiE-VI'OLATION: NOTE:'CALIFORNIA HEALTH & SAFETY COOE SECTION 41960.2, R~Q~-IRES THAT THE ABOVE LISTED ?-DAY DEFICIENCIES 8E OORRECTED HITHIN 7 DAYS. FADJ. URE TO COf4PLY hlAY ~LT IN LEGAL ACTION "" 2?00 "M" Street, Suite K ,VALVE'· SEAL ·. .- .E -,5. BELL~S -,. , A 2. L~G~ O 5. OVE~D R~CTOR RJ=R~ Jacket GH~lf Hassei~n,, ~ HI~im~ HA~ass~n :~ .;= smor': ~A= misa]igmed, ~= kinK~, '.F~ -"~ INSPECTI~ R~L~ ~ ~ey to i~s~ticn results: 81ank= OK. 7: Re.ir within meven . '. I." ~ VIO~TI~S: A~~ ~RKED "I~4 A T ~OE IN INSP~TI~ R~LTS, ARE 'IN VIO~TI~ OF J ~ LLUTI~ ~T~L. DISTRICT ~LE S) 412 ~D/OR 412.1. ':~E ~LIFO~IA ";[ ...... ~" VZO~TZ~. · TELE~E (805) 861-368E~C~[NG"F[N~L-R~LUT[~ OF ~E ' [ ~TE: CAL[FO~[A H~L~ & SAFE~f ~DE SECT[~ 41960.2. RE~[R~ ~AT ~E ~OVE LISTED ?-DAY DEFZC[~C[~ BE ~RRECTED ~[~[N 7 DAYS. FA[LURE TO ~PLY ~Y R~LT K.B:~N COUNTy, AIR POLJ_UTION CONTROL'DISTRiCT 2700 "M" Street Su~tm · " 8akermfSe]d,' ,CA.. 93301 ":NOZZLE ~ GRADE "i'~' ~:J" ' ':'FACE SEAl "Z ' 4. RING, ::RIVET L¥.E -.57._.BELL .o~ 1..H~E ~OITI~ '-?,X .... O 3.'~FI~TI~ R H O '5. OVEP~D R~AACTOR 6. ~ER~PILOT '"- -?. SIGNS POSTED ' Key t9 sysl::~rn t:y~oe~: ', '" '~' Key to-de~ffcffenc:fes: NC= mol: ~ '" '~ ' :',. " ." : , - . · - ' ,' ' "::; ' ' ':: ;:' '. ,F.' · ' . Key ~O ffns~=im ~u]=s: 8~ank= OK, 7= 'Re,ir . " ' .. -u= ~aggam~e v~o~a~ ~t /et~ In use. ::-' -~ 'W"-?~" -.?:'T:,:':TF"T": ...... T"?'., %~7-"L.'7'.?',-.~ '.~'::%~=7~F:-'%"~ ........................ '"~-~": ......... ::' ............. : .............. : ................................... :: .................. : ................. :": ........... "- ............................................. :'": .............. 7: ............ : ....................... :':'~:"' '%'? "VZO~T~S: A~~ ~RKED W[~ A "T"' ~DE~[N:(s[NSPECTI~ RE~LTS. LL~Z~ ~T~L'D[STR[CT ~LE S) 412 ~D/OR 412.1 ~" "'H~L~-'-&' SAF~--~E~CI F-~ ~-.-P~AL~I~-,QF-=~'~'--$1g'00~:OO'"-PE~D~"~~-~Ay ~ VZO~T~. TELE~E (805) 861-3682 ~E~ZNG FZNAL R~LUT~ OF NOTE: CAL~FO~A H~L~ & ~F~ ~DE SECTZ~ 41960 2, RE~IR~ ~AT ~E ~OVE EZSTED 7-DAY'..:: DEFICI~CI~ BE ~RREC~D NI~IN ? ,DAYS. FAILORE TO ~PLY ~Y R~LT IN LEaL ACTI~" INDIVIDUAL i~STALLATION CONTRACTOR CI~I'IFIC~TE XERXES John E_ ~nndgra$$ John [~..~:l~j~lss Co. , named on the face of this pocket , * ' · .. certificate has reviewed and under- ' stood the to. ehniques for installing · .... ' .'i a"~'r, aerg~ass tank manufactured -~)y ~[:' . ~:;~ XERXES Corporation. The following ' ' ' ' ' '"~ and conditions are , detailed in the XERXES : ,., Installation and Warranty Manual !.i . : · · and must be adhered to for a i' · :. ~.'~ proper installation and warranty ' :i! Implementation. i'.:.~' · . ' ' ': . · · ..- · Selection of backtill materials. ;:': '.. "-' "' !~ __ ·. Visual inspection of:tank before--__:_~i ....... : .... ~ ...... .~_ ...... ' ;': '""' '" .......... · burial. ~.~: · . '.. :...... " · ',~ · Pre-burial testing procedures. i~~ · Handling of tank from unloading :"' ': :~ to burial. ,. i : . . '" I -' .': · · .... ' .... ~:~. · Excavation depths for traffic vs. i'~'-: .. · .; ': -. -' : . :..: /. ',: : .':.... !....~ . · ., -.. ..' ::.':_..-.:::~ . .: .. · no-trafficamas. · · Excavation depths for wet vs. !: i ' ' ..... ,~ .. - hole conditions. "' '~ '- . :. "'.'"-."'.-...:.~-,~'~ ' · ' w,,,~,,, ~-': ,.'. "'.i' .'- :,' "~...:...-..?.,.,· : ..... · Backfill tamoina_, and'comaacfiOn.r --- ,i'~J' '. ' ' -' ' ' ' -"" '. '" '~ ; :':;:'?' :'~: :i:'::-',, ' Ballasting Procedures. - · ... ~'ii' . '. -. .'.: ::.: .'.. · .: ::.': .... :: :;'~..:'~ ::.:.-}::~".:!:-~i:~ . ... :- · Anchoring methods. ' ..... : ....... :: ....... o: Any Questions Call 61'2-887-1890 ' ~:' :: :;..' · . .. :..:.: ...... ..........~.:,...:.:-..:'.: ..... .. .... ..... .: . ..: .:.. :.: .: . ;.:.,?.... :'...: .. :. .'.. ~: .., ..:... ' ..: "' :::~ '~....:':.:i~.."'" ' ' ' "' ':' '":' '"' '":'"' '""'"':' '"':" ':" ' " : :: "' '" .... :' :' ': ' ' .. .... . ..- ..::. ': :,.-... :'...:' :..'...'. '. .- ~ :. .... - .. ,,- . .. iL. ':. ,': . : ..' · . ..: .: · .. · . , -:.', '-.~ ...' ' . : ': ..... .[ Station Location: 3605 ROSEDALB }r~f/US 99 BAKE~, CA 93308 l~aler ~rlC ~: 20~0~6107~ .. SUPPLI~.ffiNI IX) DF..ALER AGRF2!iMENT/COI~P, ACT B~N SNELL OIL CC~P~ AND C.E. & C.S. EFFEC~VE/DAT~D JANUARY 25, 1988 ~IS sIrPPLE~h~ ~o the above Dealer Agree~nt (or Contract) ("Agreoment") shall be effective from June 30, 1989. This Supplement sets forth ~he terms and Conditions resardins compliance at Dealer's Station vith the regulations of the ~nvironmental Protection Agency ("~PA") covering unleaded gasoline and gasoline vola~ility, and with any applicable state re~ulations coverin$ Sasoline volatilit~y, and supersedes and replaces any prior agreements or Supplement(s) relatin$ to the subject ~atter hereof._ The ~er~s and conditions of che Agreement shall apply to ~he sale ~nd delivery of sasoline to ueazer In the operation of Dealer's Station, Dealer shall strictly comply with ~he ~PA regulations . ~ated as Par~ 80- REGULATION OF }~rELS Ah~D FUEL ADDITIVES, of Chapter I, Ii:le &0, Code of Federal · Regula~ions, and vith any applicable state regulations coverin$ Sasoline volatili~y, as heretofore or hereafter amended (rise "Regulations"). Under t~e Regulations, Dealer, as a retailer of 8asoline, ;': regularly Offer for sale one or ~ore Srades of unleaded Sasoline" ~nd, durins specified annual su~er "retmlatorv control ~eriods." ~a~ not sell, offer for sale or dispense Sasoline ~ose Reid vapor pres- sur[-("~') exceedd the "~ppli~able standard." "Gasoline" and ocher ~er~s used in chis Supplement shall have the stone ~eaninss as defined in the Regulations or in che Agreement. Utah respect to. Dealer's $~ation, Shell and Dealer will have the following rights and obllSations: (a) Shell's Rights and Obli~ations. Shell shall: ': - ,' .·. (1) Nake available for sale ~o Dealer Shell branded 8asoline, tncludin$ One or ~re 8ra~s o · · unleaded gasoline, complying wi~h ~he Regulations; (2) Supply go Dealer ~he pump notices and labels required for unleaded 8aaoline by the Regulations; (3) Continufng for such period as Shell, in its sole Jud~nent, dee~s appropriate, tJlke periodic samples from the gasoline dispenser(s) of Dealer and/or other dealers supplied .from ~he as~e Plant and test such'samples to determine vhecher the 8asoline is in compliance with the Regulations, any such se~pling and testing, hoverer, not to relieve Dealer of any oblisation Dealer ~ay otherwise have here- under or by law to sell, dispense or offer for sale only gasoline co~plying ~ith the Regulations; (~) Give prompt notice and details to Dealer (by ~elephone, folloved by formal notice) if any performed under (3) above or other circumstance known to Shell reflects that Dealer's 8asoline inven- tory is not in compliance with che Regulations, and coops'rate vith Dealer in the ~akin~ of such furcher action as is necessary (includin$ pump out) to restore the avallabilit~y of co~plying gasoline, the costs of any such further action, includin$ further semplin$ and ~estin$, to be for Dealer's account if the cause of contamination vas vichin Dealer's control; " (5) Arrange for the paintin$ of ~anhole covers and fill line caps to identify storage tanks dedicated to unleaded gasoline; (6) llave ~he right, chroush its employees, a~ents or representatives, a~ all reasonable gt~es for the .. purpose of determining co~pliance rich ~his Supplement and the Regulations, to enter upon Dealer's Station premises and utilize Dealer's facilities as necessary ~o take ss-plea and conduc~ ~ests of ~asoline offered for sale or dispensin$ at Dealer's Station and to inspect Dealer's 8aeoline storase and dispensin$ systems and records of ~asoline receipts and seles or deliveries; and (7) Rave the right, follovin$ any default by Dealer under this Supplement, and vichout li~i~tion of any other riShts or remedies available to Shell hereunder or ocher,rise, ~o suspend deliveries of 8aso- line to Dealer and/or enter upon Dealer's $~ation premises and ~ake such action as is appropriate in its Juds~ent (includin$ padlockin$ of pmnp dispensers) ~o avoid any viola~ion or continued violation of chis Supplement or the Regulations. (b) Dealer's ltt~hts and Oblisations. Dealer shall: (1) Utilize for the s~orase and dispenein$ of unleaded 8asoline Only ~hone facilities vhich have been ........................ approved-for such.use by_ Shell; (~) Properly affix and ~ain~ain the pimp notices and labels required for unleaded 8eaoline by the Regulations; (3) Equip the gasoline pump dispensers (both leaded and unleaded) with nozzles in co~liance with the P~gulations ~nd ~intain ~ch nozzles ~ ~ood c~di~i~ ~d repair and o~he~se in c~liance wi~h ~e ~la~ions; (~) Es~blish ~d enforce a ~sttive progr~ o~ c~pli~ce to assure t~ ~aler, ~aier's e~loye'es or agents, or third par~ies (includin~ the ~loy~s, agents or contractors o~ ~e11) viii not caul, all~ or ~i~ c~t~iution of ~aler*s sasoline by ~y o~her gasoline pro~c~ or ~rei~ substance at any ti~ after delive~ ~ or for ~ell to ~aler ~d prior to introducti~ ~ ~aler into ~y ~t~- ~'ehi~le, ~ch pro~-to~tnCl~d~;~-t'f''~d~'ii- he~'es~a~;~-~ri°dic' s~ling~d~.~st~by=~aler-----~. of ~aler's Sasoline inven~ou, the securi~ o[ ~nhole ~virs, ~ill line caps ~d dis~nsers ~o avoid ~au~horized entU or ~ ~d ~e ~.ision and insC~c~ion o[ ~loyees and others ~v~ access to ~aler's '~soll~ Us~ re~ardinl pro~r pr~edures to prevent ~nt~inati~ o~ ~aler's ~soline or the ~Cro~cti~ o[ leaded ~soline into vehicles desired ~ly ~or ~l~ded gasol~e; I ante ~th ~e Re la~i~s together vith all relev~t ~eta~s relating ~ereco, ano to~ ~ re e p (c) ~ticesJ ~pt aa o~e~se ~ci[~d ~ ~is ~pl~c, notices her~der shall ~ ~v~ as prairie ~re~nt. Type or Print (Title of Officer or A~ent) _ ~ '1-0~.=~ Station Location: 3605 RosedaleHwy@ u.S. 99 Bakersfield, CA 93308 Dealer ~rlC #: 20~-0~61-0725 511 North Brookhurst THIS IS ANACREEHENT effective January 25, 1988 between' SHELLOILCOHPA~Y, Street, Anaheim, CA 92803 ("Shell') and a partnership co~posed of CLEO E.~RttYNE and CARLINS. RHY~, 3315 Cutler Avenue, Visalia, CA 93277 ('Dealer"). : !!~: ......... [ ....... PAR~_Z_.of.~thisA~ree~ent sets forth._theparticular~provisions-of~-thiaAgree~ent._and..~_nc!udes.the_._~ex~-~u''':'~ ~ti~s o~ ~is ~re~ent ~ ~el~ ~d ~aler ~d any Sp~ial ~ovisions ~ich~y be ~licable, and .'...- P~ II sets forth ~e s~eral provisi~ of ~is A~nt ~d includes ~y S~l~nts to ~is ~nt ~ich~y ~ ~ie~d to in a~ ~h S~cial ~ovisions. ~e provisions of ~ ~h S~cial "' .. ~ovisions ~d ~l~nts shall consol to ~e ~tent of ~y con/lict ~en ~ch p~isi= ~d ~e ~ o/'tMs ~nt. ~e ~bers in ~e left col~ in P~ I relate to a~lic~le ~iclea in Article No. ' ; &. Term of ASreament begins on the effective date specified above and ends on 3a~y 31, 1991. 5. Dealer's Station located at 3605 Rosedale Hvy @ U.S. 99, Bakersfield, CA. 93308. 7.1 Petrnletm Products quantities: HOTO~Ft~qlIiHTIT~S (IH THOUSANDS OF C~LL0~S) PRODUCT JAN FI~B ~ APR I~,Y 3UN 3lTL AUG SE? OCT NOV DEC GASOLINE 250 250 250 250 250 . 250 250 250' 250 250 250 250 ll.l(a) Specified hours of operation: 2~ hours each day. 25.3 E~y Hanagement Person designated for Dealer: SPECIAL PROVISIONS: Unleaded Gasoline. lI~e Supple=ertl hereto entitled '~nleaded Gasoline Supplement" shall govern Dealer's receipt, storage, sale, dispensing or offering for sale of unleaded gasoline at Dealer's Station. ; -- Credit Card Imprinter/P.O.S. Equi~ent. The Supplement hereto entitled "Credit Card Imprinter/ P.O.S. Equipment Lease Supplement" shall $overn the leasing by Shell to Dealer of the equilment ('~quip~ent") described in the eqUilment rental schedule ("Schedule") below. If any changes occur in the description, mmber or rental of any ite~ of the Equipment, Shell and Lessee ~rlll ..................... : ......... ex~Ut-e--a--~ev- Supplement- ~hi'ch 'shall'-'-replac~,'~s ~'f' it~ 'effective dat~';-"th~"-follo~ng- schedule and' original Supple=ent or any later Supplement at the time in effect, as the case ~ay be. gqUIP~NT RE~L SCltgDUI.g: International Descriptive Biller Imprinter N~B~R OF ~ RE~T UNITS PER ~ ALL UNITS 2* Sa Sa* Electronic P.O.S. Terminal ltanufacturer: DATATROL 14odel No.: RS7100 Total lionthly R~nt $179~ · · NtUnber of units sho~n includes one i~printer for each P.O.S. terminal leased to Dealer, if ..~any, but the ~on~hly rant sho~n for all units excludes any such imprinter(e) ~ch ia/are "I provided to Dealer vithout charge to back up such terminal(s). ' ._,;'t-~ Not~ithstandin$ the fore$oin~ Schedule or the ter~s o[ ~he Supplement hereto described above, if on ~he effective gate of ~his A~re~en~ Shell is billin$ Dealer and/or o~her dealers Dealer' s ~ar~et -~area ' for '-t~prtnters On an "~nnual bas'is. PUrsuant to '--applicable '~ree~ents, Shell ~ay bill Dealer on an annual basis ($~8.00 per imprinter per year be~innin~ January 1, ~o be prorated £or any partial year) [or the imprinters subject to rant in ~he above Schedule until Shell can s~inistratively conver~ ~o ~on~hly billin$, at ~hich ~i~e ~he u~rned portion of any prepaid annual rent viii be reflnbursed or cregited to Dealer .... .-:~ :,:.L,-::if~:: NOTE TO DEALER: BE SUKE YOU READ AND UND~ ALL PROVISIONS .OF ~IS BINDING DOCUI~NT B~P~ YOU ~N~G ALL PAGES ~HICH FOLLOW. .., EXECU~D on the date(s) shmm balms. : CLEO g. RHYNE, a Partner__~V Date: / ' ~ ~--~.~ , 19 Station Location: 3605 Rosedale Hvy @ U.S. 99 ~:' ~ Bakersfield, CA 93308 Dealer ~rlc #: 20~-0~61-0715 ~~ J~l~ 25, 1988 ' '. (1) ~ake available for sale to Dealer one or ~ore grades of Shell branded unleaded gasoline to enable Deale r to have available for sale unleaded Sasoline co~plying vith the Re~ulations. (2) Supply to Dealer the pump notices and labels required by the Resulations. ... (3) Continuing for such period as Shell, in its sole Jud$~nt, deems apprOPriate, arrange f~rr the taking of periodic semples fro~ Dealer's unleaded gasoline dispenser(s) and the testin$ of such ples to determine ~hether Dealer's unleaded ~asoline inventory is in compliance vith the Re~ulations, any such sampling and testin$, however, not to relieve Dealer of any obligation Dealer ~ay othervise have hereunder or by. law to sell, dispense or offer for sale unleaded sasoline complyin~ with the ReSulations. (&) Give prompt notice to Dealer if any test performed under (3) above reflects that Dealer's unlead- ed gasoline inventory is not in compliance with the Re~ulation8, and cooperate with Dealer in the taking of such further action as is necessary (including pump out) to restore the availabili~y of a complyins unleaded gasoline, the costs of any such .further action, including further 8mnplin~ and testify, to be for Dealer's account if the cause of contamination was within Dealer's control. (5) Arrange for the painting of manhole covers and fill line caps to identify storage ~ank8-dedicated to unleaded gasoline. (b) Dealer's Obli~ations - (1) Utilize for the storase end dispeneinS o£ unleaded gasoline only those facilities which have been approved for such use by Shell. (2) Properly affix and maintain the pump notices and labels required bY the Resulatious. (3) Equip the ~aeoline pump dispensers (both leaded and unleaded) with nozzles in c~npliance with the Resulations end maintain such nozzles in good condition and repair and otherwise in compliance with. the Resulations. (&) Establish and enforce a positive proKram of co~pliance to assure that Dealer, Dealer's employees or ~ents, or third par~ies (including the employees, agents or contractors of Shell) will not cause, ellow or permit contamination of Dealer's unleaded gasoline by any other gasoline product or foreisn .substance at any time after delivery by or for Shell to Dealer and prior to introduction by Dealer into any motor vehicle, such prosram to include, if and as necessarY,, periodic samplins and ~es~ing by Dealer of Dealer's unleaded gasoline inventorY,, the securir~ of manhole covers, fill line caps and dispensers to avoid unauthorized' entry or uae sud the supervision end instruction of employees and others having accesi to Dealer's unleaded Sasoline system regarding proper procedures ~o prevent con- temination of Dealer's unleaded Sasoline or the introdu~tion of leaded gasoline into vehicles designed only for unleaded sasoline. (5) Give .prompt notice and details to Shell of any circumstance Or occurrence at Dealer's Station which reasonably .could cause Dealer's unleaded gasoline or unleaded gasoline dispermin~ equipment be not in com~liance with the Resulations; and upon discovery of any such condition _-~_s__te forthwith ~o eel1, dispense or offer for sale such product until Shell and Dealer can mutually determine by sam- pling, tes~ing end/or other means ~bether the product is in compliance, and if found ~o be not in compliance,' take such f~rther action as is necessary (including pump out) to restore availabili~y of a 'complying product, the cost of such sampling, testing and/or ~ur~her action to be for Dealer's account i£ the csuse o£ contamination was within Dealer's control (6) O~hervise comply with all obligations imposed on Dealer by ~he Re~ulations, ~d~e~her or not such o~her oblisations are re£erred to or restated herein. --(.~%--Allov Shell,.-t.ts euployees,_a~ents.or_anthorized _repreeentativeerat~.al~-reasonable-tines-.£or.~he_ purpose o£ determining compliance wi~h ~his Supplement and ~he Re~ulatione, to enter upon Dealer's Station pre,~ises and utilize Dealer's facilities as necessary to ~ake 8mnples and conduct tests o£ unleaded gasoline and/or o~her ~asoline oifered £or sale or dispensing at Dealer's Station and to : inspect Dealer's gasoline storage and dispensins systems and records o£ Sasoline receipts and sales or , : deliveries.· (c) Default b~ Dealer o Following any defaUlt by Dealer under ~his Supplenent, 'and without linitation o£ any~ other rights or renedies available to Shell hereunder or othervise, Shell shall be entitled to [ suspend deliveries o£ unleaded gasoline to Dealer and/or enter upon Dealer's Station pre~. ises and ~ake .- . ~8uch action as is appropriate in its Judsnent (includin~ padlockins o£ punp dispensers) to avoid any ............ ~violation' or-continued violation o£. ~his..Supplenent or .~he ReSulations. .I£-' either Dealer or 'shell shall have cause to believe ~hat Dealer's unleaded gasoline inventory .is not in coupliance wi~h the. .... Re~ulations at any time, such par~y shall £orf~wi~h advise ~he other by telephone or personal messen- 61UARTERLY Fact llty Facility Address: ~a~,,v~ -~" ' .... '' · ~ , . State .... :. .......~' ~' ._~=..:.:, ~ ....., .... [,t-,:.. .,- : -:--..-_,.~-:]..- , .- ~ . ; ; ' _ :. :" ' ' ' .. "', '. ',;...".' . , ..-. -..,:,~. .. · ' - .... ~,~'~. ~,. ?,%~'~,~ ';:~ ~,~',',..~ 4~X ;~,.~,~:,;~' %~.-~ thta quarter. Z hereby certify under penalty o'f perjury ::~.,. 'tJlat the source for the variation kma NOT :. uneu~or~z.d Il.k) rel.mme. ~..;,.~./'-: !::!U.::::~' -. '?,?:,.:'::i/il;'i,~.~:':,'!{,::. ,."' '~':'~':'"-."~ ":., Liat date. tank t and amount for all vartattona :. Date .... Tank # .... ~mount ': Date ". Tank-'# ~mount .-- ~ '' [ ,, of the en~ of each quarter. ] Qumrter t - dmnuary thru l~rch ', ~bntt by ~rtl t5 ' ........ ~rtmr 2 -.'~rt) thru ~e ~mtt by ._. .~ter 3 - ~ly ~ru ~pte~er -- ~att by ~to~r t5 ' ~rteP 4 - ~tober thru ~ce~er -.~[t by ~l~y 'S5 ......... 'Sen~ To '(Local Agency): ...... KERN COuNTY'HEALTH OEPARTHENT ~ '"ENVIRONMENTAL HEALTH'' . 2700 'M' Street. Ste 300 ";" Bakersfield, CA 93301 L.~ KEEP COPIES OF TH: A~t.: Ann Boyce .JCORDS WHITE - AGENCY COPY CANARY - MAIL TO'DISTRICT ENVIRONMENTAL ANALYST PINK - DEALER (TO BE KEPT IN TANK.MONITORING BOOK) P.O. Box 4848 511 N. Brookhurst Street Anaheim, California 92803 Shell 011 Company PROOF OF FINANCIAL RESPONSIBILITY May 24, 1990 ,,.,.~eTo: AMY GREEN ~:' :"" ?~' SUBJECT: SHELL OIL COMPANY :' !I "? ...... ' .... ' 1:4 '."~,. ' ..... . ..... .:.i~:INCIDENT REPORT OF CONTAMINATIO~ ' -- .... ' ....... --:~---~ .............. : ................. ~:-'~7'!~;~'-~ :~ :7:-::: ........ : .... ~ ...... ~ ......... .-::~V':~::]~::~!~I~:!~.~?':'-:~ · .. Dear Ms. Green: ., . : -,,., ',, 'L,' . ' :. ;.~:',:~'i':,!~:'!':?,,-!...::.::; :,.. :.:;" ' " ':'.This' is a report cOncerning discovered S°il.contaminati'On at.Shell,'s':,~:,.,';~:','.:i;: ...: I,'" gasoline retail facilities existing at the following locations: 5212 Olive Drive., Bakersfield, CA 93308 .' Description of the incident is as follows: .' Soil contamination was discovered during a tank removal'.:~:- project. " The U.S. Environmental Protection Agency.has issued regulations that require a company to demonstrate proof of financial responsibility of up to $1MM for corrective action and third party liability caused by sudden and/Or non-sudden releases of petroleum products from underground storage tank systems. Accordingly, we have attached a copy of Shell's proof of Financial i. Responsibility for these locations. The letter shows proof of self !' insurability, is in the form approved by the U.S. EPA and is signed by th~_Company's chief financial officer. Please advise if additional information is required. Los Angeles East District' Enclosures Shell Oil Company One Shell Plaza P. O. Box 2463 Houston. Texas 77252 vice President Finance and Information Services April 24, 1990 ! am the chief financial officer of Shell oi'~ C~h~'j--P. "0:'-B0~2463, - Houston, Texas 77252. This letter is in support of the use of the financial 'test of self-insUrance to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental' releases in the amount of at least $1,000,000 per occurrence and $2,000,000 annual aggregate arising from operating under- ground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial 'test under an authorized State program by this owner or operator: All'tanks are assured by this financial test: See Attachment A for Retail Locations; . See Attachment B for Distribution Locations; See Attachment C for Manufacturing Locations; See Attachment O for All Other Locations. A financial test is also used by this owner or operator to demonstrate evid66ce of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR Parts 271 and 145: EPA Regulations Closure (Sec. 264.143 and Sec. 265.143) Post-Closure Care (Sec. 264.145 and Sec. 265.145) Liability Coverage (Sec. 264.147 and Sec. 265.147) Corrective Action {Sec. 264.101(b)) Plugging and Abandonment.(Sec. 144.63) Closure *Post-Closure Care Liability Coverage ................... Corrective Action .......................................................... Plugging and,Abandonment Total California Amount $ 60,609,381 $ 99,384,692 $ 10,000,000 , ] *30 Year Post-Closure Care owner or operator has not received an adverse opinion, a disclaimer ~.;:.- ...... - ...... T~s.-.. -.- _~ _ w,.~ ~x-.A...rn,,~..nuali fication from an independent; · -' ot open ' .... · ---- .... *- ~-r the latest cOmpleted flscam year-. -- auditor on his Tinanclam ~caucm=-~= .v ., Alternative ! t of annua Am°un a financial test, and/or 1 UST aggregate coverage .. being assured ................................................................ $ guarantee. 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment' costs covered by a financial 'teSt, and/or guarantee. 3. Sum of lines f and 2. 4. Total tangible assets*. 5. Total liabilities*. 6. Tangible net worth* (subtract line $ from line 4). 7. Is line 6 at least $I0 million? 8. Is 1-ine 6 at least 10 times line 3? g. Have financial statements for the latest. fiscal year been filed with the Securities. and Exchange Co~ission*? 10. Have financial statements for the latest fiscal year been filed with the Energy Information Administration? 11.-Have financial statements for the latest fiscal year been filed with. the Rural Electrification Administration? 12. Has financial information been provided to Dun and Bradstreet, and has Oun and Bradstreet provided a financial strength rating of 4A or $ 171,084,753 $ 173,084,753 $27,599,000,000 $11,550,000,000 $16,04g,000,000 Yes No --1-- - X N/A . N/A _ X *Period ended December 31, 1989. NOT USED 3 Alternative II 1. Amount of annual UST aggregate coverage · ~being assured by a test and/or guarantee. $ 2.~'Amount of corrective action, closure and · ....... : ...................... coverage, and plugging and abandonment ........... costs covered by-a financiaT'~'test,'-and/Or guarantee. 3. Sum of lines ! and ~. 4. Total tangible assets. 5. Total liabilities. 6. Tangible net worth {subtract line 5 from line 4). 7. Total assets in the U.S. 8. Is line 6 at least $10 million? g. Is line $ at least 6 times line ~0. Are at least 90 percent of assets loca:ed in the U.S. (if "No", complete line 11.° IS line 7 at least 6 times line 3 (fill in either lines ~2-X5 or lines !6-lB)! 12. Current assetS'. 13. Current liabilities. 14. Net working capital {subtract line from line 12). lS. Is line 14 at least 6 times line 16. Current bond rating of most recent bond issue? !7. Name of rating service. 18. Oate of maturity of bond. 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration,' or the Rural Electrification Administration? $ $ Yes ~l No $ $ BOM08901105 - 0003.0.0 4 ___I ~hereb~ certify that the wording of this letter is-identical* to the WOrding ~e~i~f~d in-40'CFR P~rt 280:-gS(d)- as-such~regulati°ns were:~- constituted on the date ~hown in~nediately below. L.E. Sl oan Vice President Finance and Information Services April 24, ~990 Attachments .,_Typographical error, s .havebeen .corrected.;_ ~exp.!~_na~o__ry been added where appropriate. Shell Oil Company hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. 'Th~ financial assurance mechanism used to demonstrate financial CERT"IFICATION OF FINANCIAL RESPONSIBILITY responsibility under Subpart H of 40 CFR Part 280 is as follows Financial test of self 40-CFR Set.-280195: .... Shell Oil Company '~' V'-~ - rPes~d' ent Finance and Information Services April 24, 1990 S. H. Hillman April 24, lg90 ~n~n~on~mnq - 0009.0.0 m us ~ 205-$130-0239 ~, 1922 H UNIVERSITY PAGE 2 LII'rLE ROCK. AR7220~ 013 282 204-0108-0773 1401S OARFIELIVVALLEY ALMI'IBRA CAglO03 015 282 204-0108-1032 32Q0 # VALLEY~IESTHOHT ALHAPB3RA CA91805 013 ~82 204-0294.-02~9 916 SANTA AHZTA/IXJARTE ~ARCADZ~ * CA91006 015 ,282~204~-OZ94~314~S-E-~irOOTHXLL--ffLV~ARCAOl~ 282 204-0330-0nZ. 4421HHY lOX AROHAS CAGSOO4 015 202 ' 204,-04M-1111 422 S AZUSA AVEI4JE AZLISA CA91702 2BE 204-0461-0568 2600 HJ~IT~ UVEL POTRERO BAKERSFIELD CA95504 013 282 204-0462-2183 101 $ UI~OH/BRUNDAO~ BAAERSFZELO CA93307 013 202 204-0462-2399 3623 CALZFORI~A AVE/REAL BAKERSFZELD CAe$309 282 204-0462-2733 HNY 99/LERDO o ~____~ERSFIELO ~3o8_.o~3 ~82---~04:0462---298b'--'/I30-OJU~-ST~X:~CZFOKA-------BAAERSFIELD CA9330~ 013 282 204-0400-0292 '3660 N PU~NTE/PACXFIC BALOH/N. PAR~ CA91706 013 282 204-O48O-0334:12999 E OARVEY/BESS BALDHIH PARA CA9~706 013 2G2 204-0480-1223 440S N flAIHE BALIX, IZN PARA CA91706 013 ~82 ' z04:04'gO:Oldl~---TeO-E''RAMSEY'ST''''HIRGRAVE--BAI'iqIHG C~92220--'01~ 282 204-0316-0533' 1390 E HA~H ST/PrFVIEN BARSTOH CA92311 013 282 204-0A~6-1272 1601E MA~H/~-I,S BARSTGfl' CA92511 013 282 204-0576-0570 71~1 S ATLMJTIC,,'FLORENCE BELL CA90201 013 282 204-0588-0535 10210 E ROSECRANS/HOODRUF BELLFLOHER CA90706 013 202 204-0588-0459 8604 ARTESIA BL/D~EY BELLFL~'IER CA90706 013 CAgOTO& 015 CA90706--013 CA90706 015 CA92223 013 CA92223 013 202 204-0588-0764 16904, LAKEHOOD/ALONDRA BELLFLOHER :.GZ---~04--OGOO=OgqT---J,7254-CAKEI,:OOD' BL/ARTESZ[-'BELLFLOHER 282 20q,-0388-1349 17608 S HOODRUFF/ARTESZA BELLFLOHER 282 204-0816-0839 8990 H09SO~ HAY/HHY 9,S BLYTHE 282 20;.0816-0941 201 S LOVEKIN/I-IO BLYTHE ~82---~Oq_zOTq~OiT/---V/[/~-Z-S · umU~KOALL:-ItJ4Y--BUTTOI4'II'tIOh CA9320G-'-01[ 202 204-1074-0526 20649 TRACY / ~-S BU'I'IOI~4ILL(M CAgD20& 013 202 204-1122-0278 1213 CALZHESA BL/SAHDALHD CALZNESA C:A92320 282 204-1392-0131 69010 mW 1II/DATE PAUt CATHEDRAL CITY CA9223q 013 :8~O~lSqZ~O339--69':4SS-E-PALJ4-CYI~RII~RCX3C--'CATHEORAL--CZTW-----CAG~4---~ £82 i~'204-1330-0159 12310 CENTRAL/)IALHUT CHIHO CAg~ZlU ~82 204-1670-0244 .1091 N FOOTHILL/TOJ, e~E CLAREIK)I~I' CA91711 013 2B~ 204-1r~70-033~ 267 S INOIA,'q HILL/ARRCB4 CLAREMONT CA91711 013 ' Telephoned ,L.. · , , ,~/ili call a~lain' Holdirlg on'lin~ # ' 1/' 'PleaSe calt~ Long distance call ~' 'Returned yOU~"call v. Came to see yo..u . ... Waiting to See you Message ......... : ................ : .................... - ........................ ; ............. :....; ....... PAS 580 1151 39~-5009 (R.3-86) ~ ' ' i . WHILE YOU WERE OUT of~::-..:;..:;.:-~- ...... ;-:-..,..: ........................................... : ............ ,,Eloicllng on 'line~ ~-.; ..... ;.~ ~.- .'t~.lease call ~'[~ Long ~istaflce ~all ' · ' R~m~ your ...... ~ ~ L-Wailing *o s~ ~ou 'Came ~"se~'~ou , I ::': ~' , - 'r ,'~ - .,Me.a;, .~:....:.~.:~.~:_:: ......... ':' ';;- Date: ....... Si ~ ~ 1151 ~ (R.~) Shell Oil Company ENVIRONMENTAL HEALTH -March 25~-1989 P.O. Box 4848 511 N. Brookhurst Street Anaheim, California 92803 Richard Casagrande Kern County Health Department Environmental Health 1700 Flower St. Bakersfield, CA 93305 RE: Closure Request for Shell Service Station, 3605 Rosedale Highway, Bakersfield, CA. Dear Mr. Casagrande, The attached "Underground Storage Tank Unauthorized Release (Leak) Report" was filed for the above referenced site on June 24, 1987. The report states that product was released from the regular tank when the fill cap was removed due to pressure build-up in the vapor recovery lines. The Kern County Fire Department was immediately notified and supervised clean-up_oft~ease. The rez-e~ contained within a~4~t_dike., and, the'~ -- '~' product evaporat~ Soil or groundwater contamin~tidn would ~ot have occurred due to the location of the release (on a paved surface), quantity of the release, and evaporation of the release. As a matter of formality, Shell Oil respectfully requests closure at this site. Thank you for your cooperation in this matter. me at (714) 520-3789 if you have any questions. L. M. Morris Environmental Ena Western Distribut attachment Iineer ion Area cc: C. F. Grimm( . - HS&E Manager, WDA Environmentai~. Please call Req'd Approved' Additional: Inspection: Monitoring Requirements AdditiOnal Comments Inspection: Inspector Da te 'FILE CONTENTS INVENTORY ..PTO # Date App. Date #of Tanks Plot Plan Abandonment Permit # Date App. Date #of Tanks Modification Permit # Date "Appl. Date Amended Permit Conditions Annual Report Forms " 'CoP¥'~f written COntract Between Owner Inspection Reports . Correspondence - Received Correspondence - Mailed Date Date Date Date Date Date Date Date Unauthorized Release Reports Abandonment/Closure Reports, Sampling/Lab Reports : MVF Comp/lance Check (New Construction· Checklist) STD Compliance Check (New Construction Check/its) MVF Plan Check (New Construction) · STD Plan Check (New Construction) MVF Plan Check (Ex/sting Facility) STD Plan Check (Existing Facility) "Incomplete Application" Form '" Permit Application Checklis~ Permit Instructions Discarded , Tightness Test Results Date Date ! Date Monitoring Well Construction Data/Permits Environmental Sensitivity Data: Groundwater Drilling, Boring Logs Location of Water Wells .................. Statement of Underground~Condu/~s Plot Plan Featuring All Environmentally Sensitive Data Photos Construction Drawings Location: Half sheet showing date received and tally of inspection time, etc Miscellaneous Extra Inspections/Reinspections/Consultations Date: Purpose: Comment: Date: Time Utilized Purpose: Comment: Da te: Time Utilized Purpose: Comment: Date: Time Utilized Purpose: Comment: Time Utilized Invoice Date: Total Time: Inspector Date: UNDERGROUND STORAGE TANK ,,NAUTHORIZED RELEASE (LEAK)ICON .~MINATION SITE REPORT E~4ERGENcY STATE TANK ID e HAS STATE OFFICE OF EMERGENCY ~ER_VICES REPORT DATE ' I LO=Al.CASE ~t REGIONAL BOARD CASE'~ · 'NAME OF INDIVIDUAL FILING REPORT J PHONE ' , _1 SIGNA~III~I'~ --~ .~PRESENTING -~-- LOCAS. i'GENCY ~ OTHER I COMPANY OR AGENCY NAMe i STreeT ~ITY ~TATE ZIP I ~ NAM~ > I CONTACT ~ERSON I ~HONE FACILITY NAME {IF APPLICABLE} ' I OPERATOR i ~HONE . ~ STREET '. ~ITY COUNTY LOCAL AGE.C? AGt.C CONTACT P .*ON- REGIONAL ~OARD MU =z ( ) ~m ,DATE DISCHARGE BEGAN METHOD USED TO STOP DlSCHA~Gt ~ < HAS DISCHARGE BEEN STOPPED'/ ~ REPAIR T~K ~ REPAIR PlP~.u ~ CHANGE PROCEDURES LAUrelS} ~ ~TANK LEAKSOURCE{S) OF DISCHARGE~ UNKNOWN TANKS~ONLWCAPACITY ~ ~ i ~ O GAL ~ OVERFILL ~ CORROSION ~ AGE YRS..~ UNKNOWN ~ ~ PIPING LEAK MATERIAL ~RUPTUR~FAILURE ~SPILL U ~ ~ STEEL ~FIBERGLASS -- RESOURCES AFFECTED WATER SUPPLIES AFFECTED THREAT- UN-- · OF YES NO THREATENED UNKNOWN YES NO ENED KNOWN WELLS U~ AIR (VAPOR) ~ ~ ~ ~ ~ WAT~RPUB~IC DRINKING ~ ~ ~ ~ __ .= SURFACE WATER OR STORM ORAl. ~ ~ ~ ~ INDUSTRIAL ~[ I GROUNO~ATER BASIN NAME COMMENTS: C~unty of Kern ............................ Environmental Health 27 "M" Street Bakersfield, CA 93305 RE: Leak Detection Certification Please find enclosed the leak detection Certification for Shell Oil Service Stations sites. The following locations are enclosed. If you have any questions, please call us at (714) 546-1227. Sincerely, Josephine M. Smith Service Station Services JMS/md 3605 ROSEDALE/HWY 99 ~FIELD 204-046!-0709 2122 S. GRAND AVE.. suITE E& F , SANTAANA, CALIFORNIA 92705 · (714) 546'-1227 (818) 504~0131 .' I0875 Tuxford Fax: (818) 504.2015 Sun Valley. CA 91352 T & L Pearce Inc. Electronics Service Station Maintenance and Construction January 2, 1990 SHEL~ OIL COMPANY P.O. Box 4848 Anaheim CA 92803 SHELL STATION WIC~ 204-0461-0709 3605 Rosedale & Hwy 99. Bakersfield CiA RE: LEAK DETECTION SYSTEM CERTIFICATION For your information and records, the leak detection system at the above referenced site was certified on November 2.9, 1989. PRODUCT LINE TANK Type sw Type - dw MONITOR Non-Existing Operational Non-Operational API MONITOR Non-Existing Operational Non-Operational API WASTE OIL TANK Type - MONITOR Non-Existing Operational Non-Operational XXXX Page 1 of 2 ion per All .~echanical leak detectors are tested for normal operat manufactures specifications. Leak detectors are wired and sealed . resistance. ~Please 'feel free to contact our to increase tamper ......... ,, have regarding your ~leak ~ any q ......................................................... r ........ i ................... ................. office for uest~ons yuu .... ~ , detection equipment. Sincerely,. :z~oanna M. Shultz JMS DEC I 5 3.990 County of Kern Environmental Health 2700 "M" Street, Ste. 300 Bakersfield, CA 93301 Re: Leak Detection Certification Please find enclosed the leak detection cert.ification results for the below listed Shell Oil Company service station sites within your jurisdiction. If you have questions concerning these results, please contact our office. SinCerelY, Larry Li Gordon Environmental Group Manager LLG/j s Enc 3605 Rosedale Hwy/U.S. 99 Bakerfield 204-0461-0709 dams recision nstrumentation, Co. RECEIVED DEC 1 2 1990 12410 BENEDICT · DOWNEY, CALIFORNIA 90242 (213) 803-14~)7 : December 10, t990 ...... SHELL OIL COMPANY ' ' ' -' 1600 SMITH 2230A HOUSTON, TX. 77002 SHEbL STATION WIC $204-0461-0709 3605 ROSEDALE HWY/U.S. 99 BAKERSFIELD, CALIF. 93308 RE: LEAK DETECTION SYSTEM CERTIFICATION For your information and records, the leak detection system at the above referenced site was certified on 12/6/90 by a representative of API/Ronan, as indicated below. PRODUCT LINE TANK Type_SW_ Type DW WASTE OIL TANK Type_NONE_ MONITOR MONITOR MONITOR __Non_Existing _API_Operational __Non Operational 'Non Existing _API_Operational Non Operational__ __X__Non Existing __pperational Non Operational Ail Mechanical 'Leak Detectors are tested for normal operation per Manufactures Specifications. Please feel free to contact our office for any questions you may have regarding your leak detection equipment. A~a~s PreciSion Instrumentation AP~I/Ronan L4ak Detection Systems Roger A. Kilmer Service Manager UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LE'AK)/CONTAMINATION SITE REPORT ENIERGENcY HAS STATE OFFICE OF EMERGENCY E~.~VICES STATE TANK ID ~, [] YEs l~No .EPORTBEENF,LED,[] YES m~.NO I I I I I [ I I i I I I'1 I ~'? REPORT DATE I LO--AL # STR~T CITY STAT~ ~ ~ ~IP I ~ NAM~ . ~ CONTACT P~SON ~ PHON~ FA~IL.ITY NAME {IF APPLICABLE) _ L, IOPERATOR ' ' ;' ' 'l PHONE ~ . O - ' ~ ~ " ~ *. ~-' ZIP j ' STEEET · : ..... CITY - COUNTY' ~ Z7 , ' " ' I TYPE OF AREA COMMERCIAL ~ INDUSTRIAL I ~ CROSS STREET . ~ .. TYPE OF BUSINESS ~RE~AIL FUEL STAT ION LOCAL AGENCY ._ AGENCY NAME _ CONTACT PERSON. . PHONE ~. ~'~ .._ ,. . ( ~u ~ ,. '-~ ~ ~ TSCD ~ ( ) ,. ~ CAS ~ (ATTACH EXTRA SHEET IF N~EDED) NAME QUANTITY LO~T (GALLON~ ~"~ I I I ~ I ~ I I I I I I - J , ~o DATE DISCOVERED I HO~ DISCOVERED ~ INVENTORY CONTROL '~ SUBSURFACE MONITORING ~ TANK ~ NUISANCE CONDITION~ ~ OTHER: ~ HAS DISCHARGE BEEN 5TOPPED/ ~ REPAIR T~K ~ REPAIR PIPING ~ CHANGE PROCEDURES CAUSE{S) ~ ~TANK LEAKSOURCE(S) OF DISCHARGE~ UNKNOWN TANKS ONLWCAPACITY~ ~O I ~ ~ GAl ~ OVERFILL ~ CORROSION ~ ~[ I Yes. ~ ~ ~ PIPING LEAK MATERIAL RESOURCES AFFECTED WATER SUPPLIES AFFECTED THREAT- UN-- · OF ~= "UILDIN~ DE UTILITY VAULT ~ ~ ~ ~ A~,ICULTU,AL ~ ~ ~ I GROUNDWATER BASIN NAME I UNKNOWN COMMENTS: O ' I i LAE ~' APR 2 0 ,Q Q Environmental Health Div. Kern Ca.~/Health Dept.. ............... k~ R-I-~ -~1-~-7-7~-T9 8'9 ANN BOYCE KERN.~COUNTY ENVIRONMENTAL HEALTH 1700 FLOWER- ST. BAKERSFIELD, CA 93305 RE= Leak De~ec~ion Cercificatton Please find enclosed the leek detection certification for Shell Oil Service S~a~ion sites. The following locations are enclosed. If you have any questions, please call us ac (714) 546-1227. Sincerely, Stephen W. Hogie Service StatZon Services sW' /js 1. 3605 ROSEDALE/HWY. 99 BAKERSFIELD, CA WIC #204-0461-0725 2122 S, GRAND AVE,, SUITE E& F · SANTA AN~ CALIFORNIA 92705 · (714) 546-1227' tdams recisio nstrumentation, Co. '12410 BENEDICT '® DOWNEY,'-CALIFORNiA 90242 MARCH 31, 1989 (213) 803-1497 SHELL O~L COMPANY 511 N. ~ROOKHURST ANAHEIM, CA. 92803 - SHELL STATION %20404610725 3605 ROSEDALE/HWY 99 BAKERSFIELD, dA. LEAK DETECTION SYSTEM CERTIFICATION For your information an~ records t~e leak ~etec=ion system at t~e above rm~renced sit~ was ceruizied on 03/28/89 by a representative oI API/Ronan, as indicate~ Dmlow. PRODUCT LINE TANK Type SWF Type__DWF WASTE OiL '£ANK Type__NONZ MONITOR MONITOR MONITOR _AP t Non Exis=ing Operational Non Operauional Non. Existing _APl__Operational Non Opera~ionai X Non Zxisuing .0pera=ional Non Operauional Please ~eel--~ree ~o con~ac~ our o~ic~ ~or any questions you may hav~ regarding your Leak ~euecsion equipment. Bas= Regards, Adams Precision Instrumenuauion API/~onan Leak D~tectio~s Systems Todd A. Suawar= Service Manager Kern County Health Dep~rtmen~- Division of Environmental HeY' h 1700 Flower Street,, Bakersfield, CA (805) 861-3636 ':' 933O5 Per'it No. .".ation Date APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type O~Application (check): ~ew iacilityOModification Of Pacility[]gxisting Facility[]Transfer Of O~nership A'.--Emergency 2'4~H~-u~Cdh~t~-a~-:a~de, phoUe)~-'Days ........................ ~-~ Nights Type Of Business (check): ~Gasoline Station ~ther (describe)~ Is Tank(s) Located On An Agricultural Farm? ~Yes ~No Is Tank(s) Used Primari[y For Agricultura1 Purposes? ~Yes FaCility Address ~O~ ~~ ~ ~ 'Nearest Cross S~. T R SEC (RuraiYLocations Only) C°.Oct- P~7'~% owner '- ~' ~-C--Y. L~ ~)! ~ '-f"~D Address -~{I ~, ~~ ~ Zip '~..~i Telephone Operator Contact Person Address - Zip ~ Telephone B. Water To Facility Provided By Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth ~erminations c. Co.tractor Address ?)~ ~_~ ~_r~ ~u~ ~ Proposed Starting Date Worker's Compensation Certification No..~ D. If This Permi~ Is ~or Modification Of Au Existing Modifications Proposed Tank(s) Store (check all that apply): Tank t Waste Product Motor Vehicle Depth to Groundwater CA Contractor's License No. Zip ~/'~ ~/7_ Telephone Proposed Completion Date Insurer Facility, Briefly Describe Unleaded Regular Premium Diesel Fuel [] [] [] [] 0 [] F.. Chemical Composition Of Materials Stored (not necessary for Waste 0il motor vehicle fuels) Tank # Chemical Stored (non-commercial name) CAS # '(if known) Chemical Previously Stored (if different) · ~ Transfer Of Ownership Date Of Transfer Previous Owner Previous Facility Name I, accept fully all obligations of Permit No. issued tc ..................... I dnde~s~n~-t~a~ '~e~-mi'~-~--~o'r ity '- may- ~e~'Y~ modify or terminate the transfer of the Permit to Operate this under,round storag~ facility upon receiving this completed form. This form has been complet.ed under penalty of perjury and to the best of my knowledge is true and correct. /~ /f ~ !~ TANK'~ ] " (FILL OUT. SEPARATE FORM EACH TANK.) i -" FOR EACII SECTIOn, UIIECK ALL APPROPRIATE BOXES : H. 1. Tank is: ~'] Vaulted [] Non-Vaulted uble-Wall [~ Single-Wall '~ 2. Tank Material ~ C~_ ~Carbon Steel ~ Stain]ess Steel [] Polyvin¥1 Chloride [] Fiberglass-Glad Steel i ' [~' Fiberglass-Reinforced Plastic [] Concrete [] Aluminum [~ Bronze [~]Unknown [] Other (describe): ........... _ .............. ~ ...... 8;=p~i~y~bnt~-i~menI~ ' Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer .., 4. Tank Secondary Co~tainment ~ouble-Wall ~ Synthetic Liner ~ Lined Vault ~ None .~ U~nown ~ -4Other (describe): ~anufaoturer: ~,, Material Thickness (Inches) Capacity (Gals.) 8.'T~~ Interior Lining ....................... ~ 'Rubber ~ 'Alkyd ...... ~' Epoxy ~ ~ PhenOlic --~ Glass ~ Clay ~ Unlined -.~-~ Unknown ~ ~ Other (describe): 6. ~ank Corrosion Protection ~'~ .~ Galvanized ~iberglass-~ ~ Polyethylene Wrap ~ Vinyl Wrapping ~. .... . ~ Tar or Asphalt ~ Unknown ~ None ~ Other (describe): Cathodic Protection: ~ None ~ Impressed Current S~stem ~ Saorificial Anode S~stem ~ Describe S~stem a Equipment: ~. Leak Detection, Monitoring, and Interception. / a. 'Tank: ~ Vt~al (vaUlted'{~ks only) ~Groundwater Monitoring Well(s) ~ Vadose Zone Monitoring Well(s) ~ U-Tube Without Liner .~ U-TUbe with Compatible Liner DirectinM Flow To Monitoring Well(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 Annula~ Space ~ Daily Gauging a Inventory Reconoiliation ~ Periodic Tightness Testing ~ None~ Unknown ~ Other b. Piping: ~Flow-Restricting Leak Detector(s) For Pressurized Piping* ~Monitoring Sump With Raceway ~ Sealed Concrete Raceway ~' Half-Cut Compatible Pipe Racewa~ ~nthetio Line~ Raceway ~ None ~ Unknown ~ Other · "Describe Make ~ Model:~ . 8. Tmn~ TiMhtness Has This"Tank Been Tightness Tested~ ~ Yes ~ No ~ Unknown Date Of Last Tightness Test Results Of Test Test Name Testing Company 9. Tank Repair Tank Repaired? ~ Yes ~ No ~ Unknown - Date(s) Of Repair(s) Describe Repairs lO. Overfill Protection ~ Operator Fills, Controls, ~ Visually Monitors Level ~ Tape Float Gauge ~loat Vent Valves ~ Auto Shut-Off Controls ~ Capacitance Sensor ~ealed Fill Box ~ None ~ Unknown ~ Other: List Make R Model For Above Devioes Underground Piping: [] Yes [] No N Unknown . ~Pressure O Suction [] Gravity Approximate Length Of Pipe Run b. Under,round Piping Corrosion Protection: [] Galvanized [~berglass-~ [] Impressed Current ~ Sacrificial Anode ~ Polyethylene Wrap ~ Electrical Isolation ~ Vinyl Wrap ~Tar or Asphalt ~ Unknown ~ None ~.Other (describe): ' c. Underground Piping. Secondary Containment: ~ Double-Wall ~nthetic Liner Syste~~ ~ None ~ Unknown ' TANK ~ ~, (FILL OUT SEPARATE FORM FoR EAC!~ TANK.) .' ~-F0i{ EACII SECTION, U~I~ALL APPROPRIATE B~XEs '! .. 1. Tank is: ~Vaulted ~ Non-~aui~ed ~Double-Wall / 2. T--~nk~aaterial m Fiberglass-Clad Steel [~l ~Carbon Steel [] Stain]ess Steel [] Polyvtnyl Chloride i ~ Fiberglass-Reinforced Plastic [] Concrete [] Aluminum ~ Bronze []Unknown .... : ........... []--~Other-(~descr~be-)-: ...................... i' 3. Primary Containment , ~anufacturer . C~pacit~ (Gallons) Date Installed' Thickness (Inches) /~ ; 4. Tank Secondary Coli~atnmen[ ~ouble-~all ~ Synthetic Liner ~ Lined Vault ~ None ~.~ U~no~n Manufacturer: ~, Other (describe): · ' '. Material Thickness (Inches) ~ Capacit~ (Gals.) ,, ~ .'., -....- ..).:.~:.... --: ...... 5.~'Tan~ Interior Ltnint ~ ~ubber U llkld ~ tpoxi ~ ~]~iiC-'-'~ '~1ass ~' Clai .... ~-Unlfned '-~ 'Unkn°~n ~ Other (describe): - · . 6. Tank ~orroslo!l Pro~ectloq ~ Galvanized ~iber~lass-~ ~ Polyethylene ~rap ~ Vtnyl'~rapptnK. -:.':~.~.~ '~- ~ Tar or Asphalt ~ Unknoml ~ None ~ Other' (describe): Cathodic Protection: ~ None ~ impressed Current S~stem ~ ~5acriftctal Anode System ~ Describe System & Equipment: . Detection, ~, and Interception. / ~ Leak Tank: ~ Visual (vaulte~a~ks Chi~) ~Groundwater ~oiiltoring Well{s) a. ~ Vadose Zone Monitoring Well(s) ~ U-Tube Without Liner .' .~ U-Tube ~ith Co~patible Liner Oireetin~ ~low To ~ Va~or ~etector'*~ ~tquid ~evel Sensor* ~ pressure Sensor In ~nnular space of Oouble ~aii Tank * U ~t~uid Retrieval t Inspection ~ro~'U-Tube, ~onitori~ ~ell ~ Oaily Oauging· Inventory Reconciliation ~ Periodic Tightness Testing ~ ~ None~ Unknown ~ Othe~ b. Piping: ~Flo~-Restricting ~eak ~etectoria) For Pressurized Piping* ~ ~onitoring Sump ~ith Race~ay ~ Sea'ied Concrete ~ ~alf-Gut Compatible Pipe Race~ay ~nthette ~tner Ra~e~aY ~ None ~ Yes ~lUnknown [] Other *'Describe Make & Model:, 8. Tan____~k ~ ,! Has This Tank Been Tightness Tested? Date Of Last Tightness Test Test Name 9, Tank..~epair Tank Repaired? [] Yes [] No Date(s) Of Repair(s) Describe Repairs 10. Overfill Protection [] Capacitance Sensor [] Other: No [] Unknown Results Of Test. Testing Company []Unknown Operator Fills, Controls, & Visually Monitors Level Tape Float Gauge [~-"~loat Vent Valves [] Auto Shut-Off Controls [!~gealed Fill Box [] None [] Unknown List Make & Model For Above Devices 11. Piping a. Underground Piping: [] Yes [] No [] Unknown J Material 'ThiGk¥~Ss-'(ih~hes) ............... Diameter ...... Madu~a_cturer [] Pressure [] Suction [~] Gravity Approximate Length Of Pipe Run ...... Underground Piping Corrosion Protection: [] Galvanized [~'~berglass-C~ [] Impressed Current [] Sacrificial Anode [] Polyethylene Wrap [] Electrical Isolation [] vinyl Wrap [3Tar or Asphalt [] Unknown [~ None ~] Other (describe): Underground Piping, Secondary Containment: m n~,,h~.-Wall [~.vn~hetic Liner System [] None [] Unknown TANR '# ~ (FILL OUT SEPARATE FORM F ... EACH TANK,.) · FOR EACII SECTION.., CIIEC______~K AL~L APPROPRIATE BOXES H. 1. Tank t_~s: [] Vaulted ~ Non-Vaulted ~ouble-Wall ~ Single-Wall . ~... 2. Tank Material ~ ~arbon Steel ~ 8tainJess Steel ~ Polyviny1 Chloride ~ Fiberglass-Clad Steel ~ Fiberglass-Reinforced Plastic ~ Concrete ~ Aluminum ~ Bronze ~ Unknown 7[' ~ Other (describe): ...... ~. Primary c°ntain~~k ~: ...... : ............ -- .~:~::~ .... ~ ......................... Manufacturer , Date Installed Thickness {Inches) Capacity {Gallons) , . . 4. Tank Secondar~ Containment --~ouble-Wall ~ Synthetic Liner ~ Lined Vault ~ None ~'.~ Unknown Manufacturer: ' ' .~, ~Other (desorlbe): Thickness ~ Inches) Capa¢ttY (Gals.) · '.:' - ..... ... -. Material .. ,~ ...~'-):..~ ":: ..,:'/. . :" 5.:'T~nk ~nteriQ,F Lining ' ~ Rubber ~ Alkyd-' ~ Epoxy -"~ Phenolic ~ ~ass '~ Clay ~ _Unltned_,~ .~pkn0w.n : ~ Other {describe): ..' ...... 8. Tank Corrosion Protecttoq .... .'::.' ~ 6alvantzed ~iberglass-~ ~ Polyethylene Wrap ~ Vinyl Wrapping ~ Tar or Asphalt ~ Unknown ~ None ~ Other (describe): Cathodic Protection: ~ None ~ Impressed ~urrent System ~ ~Saorifioial Anode System -~ Describe System & Equipment: ~ Detection, MonttortnR, and ~. ~ ' ~. be~k. Tank: ~ ViSual {vaulted ~mnks only) ~roundwater Mol~ltortng W~ll{s) a. ~ Vadose Zone Mon~tortng Well{s) ~ U-Tube Without Liner .~ U-Tube with Compatible Liner Directing Flow To Monitoring ~ell~S')~ ~' Vapor Detector'*~ Liquid Level Sensor* ~ Conduo~ivit~ Sen~or* ~ Pressure Sensor In Annular Space Of Double Wail Tan~ * ~.Ltqutd Retrieval a Inspection From U-Tub~, Monitoring Well Or Annular ~ ~all~ ~auglng & Inventory Reconciliation ~ Periodi~ Ti~htness ~ None ~ Unknown ~ O~her b. Piping: ~Flow-Restrte~ing Leak Detector{s) For Pressurized Piping* ~ Monitoring Sump With Raoewa~ ~ Sealed Concrete Racewa~ ~ Half-Cut Compatible Pipe Raoewa~ ~thetto'Ltn~r Raoewa~ ~ None [] Yes [] No [] Unknown Results Of Test Testing Company [~ No []Unknown Operator Fills, Controls, & Visually Monitors Level Tape Float Gauge [~loat Vent Valves [] Auto SLut'-Off Controls [~.-~ealed Fill.Box None ~]' Unknown List Make & Model For Above Devices []Unknown [] Other *'Describe Make & Model:'. 8. Tanh~ Has This Tank Been Tightness Tested? Date Of Last Tightness Test Test Name 9. Tank. Repair Tank Repaired? ~]Yes Date(s) Of Repair(s) Describe Repairs lC. Overfill Protection [] Capacitance Sensor [] Other: ~ a. Underground Piping: ...................... ~htckness.(tnches). ~ Material [] Yes [] No [] UnknownMadufacturer Diameter [] Pressure F-] ~ucti°n [] Gravity "Approximate ~ength-Of--PiPe Rum- Underground Piping Corrosion Protection: [] Galvanized [~berglass-6~ [] Impressed Current [] Sacrificial Anode [~] Polyethylene Wrap [] Electrical Isolation [] Vinyl Wrap ~]Tar or Asphalt [] Unknown [~] None [] Other (describe}= Underground Piping, Secondary Containment: [~] Double-Wall [~-~ynthetic Liner System [] None [] Unknown ' 1700Flower Street .- ~,,'RN COUNTY HEALTH DEPARTMEI~, Bakersfield, California 93305 Telephone (805) 861-3636 ' ENVIRONMENTAL HEALTH DIVISION PERMIT TO CONSTRUCT Shell Oil Company .3605 Rosedale Highway Bakersfield, CA HEALTH OFFICER Leon M Hebertson, M.D. DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT #050113B OWNER(S) NAME/ADDRESS= Shell 0il Company 511N. Brookhurst Anaheim, CA 92801 NEW BUSINES~ CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER Tank Replacement PERMIT EXPIRES March 12, 1988 APPROVAL DATE APPROVED BY March 12, 198.'7 · POST ON PREMISES ................ CONDITIONS AS FOLLOWS: !. All construction to be as per facility plans approved by thts department and verified by inspection by Permitting Authority. 2. Ali equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. 3. Construction inspection record card is included with permit given to Permittee. This card must be .posted at Jobsite prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tanks and backfill b. Piping system with secondary containment c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority. 4.. All underground metal connections (e.g. piping, fittings, fill-pipes) to tank(s) must be electrically isolated, and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. 5. The following equipment and materials must be identified by manufacturer and model prior to their installation: a. Tank liquid level gauge(s) 6. Liner shall be installed by a trained experienced liner contractor and installation at site approved by the Permitting Authority. ?. No product shall be stored in tank(s) until approval is granted by the ....... Permi t. ting Aut. horlty.. .... . 8. Monitoring requirements for this facility will be described on final' "Permit to Operate". 9. Permittee must contact Permitting Authority for on-site inspection(s) with 48 hour advance notice. ACCEPTED BY ' " q~c-Zu. DATE Permits # Facility Name FINAL INSPECTION CHECKLIST Plot plan notes 1. All new and existing tanks located on plot plan? 2. Does tank product correspond to product labels on plot plan? 3. Was there no modifications Identified which were Yes not depicted on the plot plans? If "No" described e ~ Are.monitoring wells _secure. and.fre, e of. water and product in sump? ~]~l~ ~Jt/7?~C~ ~ ~' Is piping system'pr~ssure,'sxl~tlon or gra y. No " Yes No 6. Are Red Jacket subpumps and all line leak detector accessible? '" Type of ~ne leak_ de~t.ect~r if ,any .~. ~/~x~,.~'--~. ~%~ ~., . : 7. Overfill containment'box as specified o_n apl~llcatton? [~ 1-[ .... : = '-"- ~f "No", what type and m~el n-~mb~": ~~---" .~k~:'~- .......... "-= :',&) Is fill box tightly sealed around fill tube? :,:' b) Is access over water tight? ........ ~ ...... ~'-C~) .... -IS product present in fill box? 8. Identify type of monitoring: ~ate~ f~d~n~ paste o~ p~ea~ses? b) Is the fluid level in Owens-Corning liquid level monitoring reservoir and alarm panel,in proper operating condition? ~m /~x~ ~..~(~f. C,~. c) Does the annular space or secondary containment liner leak detection system have self diagnostic ~II~ ~ capabilities? ~ ~^,~,~_-~ 'If "Yes", is it functional If "No", how is it tested for proper operating condition? Not'~ on any abnormal conditions: Permit Application Checklist Facility Name ~,// ~// ~. Motor Vehicle Fuel Exemption Design (Non-Secondary Containment) Applicatio~ Category: V' Standard Design ~ (Secondary Containment) Approved Permit Applicat, ion Form Properly Completed / -'~ ~ ,~ ........... -~ ........ ~ . . 3 Copies of Plot Plan Depicting: Property lines Area encompassed by minimum 100 foot radius around tank(s) and piping Ail tank(s) identified by a number and product to be store(~ Adequate scale (minimum 1"=16'0" in detail) North arrow All structures within 50 foot radius of tank(s) and piping Location and labeling of all ~product piping and dispenser islands Environmental sensitivity data including: *Depth to first groundwater at site *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) '*Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemption 'from secondary containment Comments: Approved 3 ~0pies of Construction Drawings Depicting: -- Side View of Tank Instal'lati'on with Backfill, Raceway(s), ~ Secondary Con]~ainment and/or Leak Monitoring System in Place .~_.~ ..... ~ p-V-' e~_o.f_._T, ank~I~tallation With Raceway_(s.L~.Secan:dary=.= := Containm~ak~onit0r-~g'dys~m i9 Place ' ' ' -~ A Materials List (indicating those used in the construction): .......... Product_Pipin~ _.~ ~~/~-~ ..... ~.~ / ...... ~_.7 .~ : . Sealer(s) Secondary Contai'nme~t' ~ ,~,x~. ~n[~][~ ~ -/~, ~l~~ OVerfill Protection ~?m~ ¢~ k~)~ ~~/0~ ~/7 ~. Gas or Vapor Detector(s) Sump(s) Documentation of Product Performance Additional Comments ,, , Date ~--/~r~'~ Reviewed By SITE INSPECTION: Comments: Approved Disapproved Inspector Date Standard Compliance Check Equipment to be installed: ~ Tank(s) , ft. of [qsuction Pressur ized piping Req'd .~ed Pr im_~a~, y Containment ., I-]Fiberglass-clad steel Make & Model '-::~ '. [-]Uncoated steel Make &' Model ,- - ,~' "[qOther: " Make & Model : · .... ;.4r . . : - ~ .'. .I ,, ' ..,,:: .... ' ' ' ""'" '!. ' ~' .I~'."' Comment .. Additional: Inspection: Seco~ary Containment of Tank(s) []Synthetic liner Make & Model [~]Lined concrete vault(s) Sealer used ~]Other Type Make & Model Comment: Additional: InsPection: 'Secondary .containment volume at least 100% of primary tank volume(s) '... '. COmment: ~fi~. 5]/3 ~ 5~ AdditiOnal: Inspection: Secondary containment volume for more than one tank . . .contains 150% of volume of largest primary containemnt or 10% of aggregate primary Volume, whichever is greater ¥... Comment: Additional: Inspection: .Secondary containment open to rainfall must accomodate 24 hour rainfall Total Volume Comment: Req'd Approved Additional: Inspection: Secondary containment Product ~t~ O//AJ ~ Additional: Inspection: Annular space Product Comment: is product-compatible Documentation liquid is compatible with product Annular liquid Additional: inspection: Primary_~C~.ntainment of Piping []Fiberglass piping [qCOated steel piping [Uncoated steel piping E]Other Comment: Additional: Size & Make Size & Make Size Inspection: f Secondary Containment of Piping y Uble-walled pipe Size & Make nthetic line. r in trench Size & Make [qOther Comment:.~/~-~[._ ~ .~A~/~/~/ ~,~._ ~ (~/~L. . Inspection: Corrosion Protection []Tank(s) []Piping & fittings []Electrical isolation Comment: Additional: Inspection: ---~a~U-~'act~'rer-~PP'~Ved B. ackfill for Tanks & Piping Type '~).~,~rI,,~ ~;~/~J ~/l o- Comment: Req'd Approved Additional: Inspection: Tank(s) Located No Closer Than 10 Feet to Comments: /~Q~ FT/F~F*i~f,./~4 ~, ~'Ad~i-tfonal Build lng (s) Inspection: Comp%ete Monitoring System Monitoring device within secondary 'containment: [~Liquid level indicator(s) ~- ':~[~Liquid ~used' ' []Thermal conductivity sensor(s) DPressure sensor(s) DVacuum gauge ~]Sump (s) ~]Gas or vapor detector(s) [-]Manual inspection & sampling [qVisual inspection [-]Other Comments: Additional: Inspection: 'Other Monitoring · ~Periodic tightness testing []Pressure-reducing line leak ~Other Method detector(s) Comment: Add iiti~nal: Inspection. Overfill Protection 1oe float gauge(s) at vent valve(s) r-]Capacitance sensor (s) ~]High level alarm(s) DAu~u~matic shut-off control(s) ~Fill box(es) with 1 ft.3 volume ~e'(,) [~]Operator controls with visual level moni'~oring Other Comment: