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UST-FINANCIAL RESPON. 2004
UST Financial Responsibility - Year 2004 Equilon Enterprises I Shell Oil Products - Shell & Texaco Branded Facilities Ba~(ersfleld ~arket Brand Address City TEXACO 2401 N OAK ST BAKERSFIELD SHELL 2600WHITE LN BAKERSFIELD SHELL 3605 ROSEDALE HWY BAKERSFIELD TEXACO 3621 CALIFORNIA AVE BAKERSFIELD TEXACO 3698 MING AVE BAKERSFIELD TEXACO 4050 GOSFORD RD BAKERSFIELD TEXACO 5321 STOCKDALE HWY BAKERSFIELD County KERN KERN KERN KERN KERN KERN KERN TEXACO 5300 OLIVE DR BAKERSFIELD TEXACO 6439 ROSEDALE HWY BAKERSFIELD TEXACO 9069 GRAPEVINE ROAD WEST LEBEC State CA CA CA CA CA CA CA SHELL 25712 WARD DR KERN CA KERN CA KERN CA Bruce T. Marubashi HS&E Analyst 925-766-3498 KETTLEMANCIT~ KINGS CA ZiP 93301 Bakersfield FD '~ 93304 Bakersfield FD 93308 Bakersfield FD ~. /x,~/~4,.~ 93909 Bakersfield FD 93309 Bakersfield FD 93309 Bakersfield FD 93309 Bakersfield FD 93308 Kem Co '~ 93308 Kern Co ' '~ ~j. C~- ~.,,~ 93243 Kern Co 93239 Kings Co . /.. ,~J~,~$ ~ ~ 03: 53p T. Mapubashi ' ~09-577-5864 p. I Shell Oil. Products US Northwest Region 3468 Claremont Avenue I:R(,IK'I. Ih'ucc T. IVlarubashi S]lcll {)il Prud,~cls Wc.~[crn Rc~ion bt m aru hashi(/}.}s hcllop us.co,n Phtmc ;~: (!0g} 577-5'~1b0 Fax #: {209) 577-5964 FAX TRANSMII-I'A L NIiN'IIH~R L.H*' I'ALiE.',; INC'I.UI~IN£1 Fl. liS ]'Akill i~ Il-' YOLJ DID NO'/RECEIVE ALI. OF THE PAGES. PLEASE CALL (209) $77-5960 (?O{~1M EN'I'S: !004 - SIIELL OIL PRODL!CTS II} tJST FINANC'I,.~. t, ,I~.IABILITY I)OCUM I~:NT {2) i. IS'r OF SI-IELL BRANDED FACILITIES COVERliD BY THIS DOCUMENT PLEASE FORWARD TO THE AI~PROPRIATE SHELL ]NSPE,C'TOR'S~ TO AVOID NUMEROUS FUTURE REQUESTS FOR THIS DOCUMENT. '" IF 'I'ttERE ARE ANY OLITSTANDING P,A. YMENT ISSUES RELATED TO FACILITy OpeRATING I'ERMITS, PI. EASE CON'i'AC,]',MICIIELLE KENNEDy PQNCE 310qil6-2207~ 20945 S. WILMINGTON ,'tVl.:t CAR~ONa CA 90~$0. MY OFFICE .A.,.T. ,3468 CI.AREMON'T AV, E- MODESTO' WILL, BE CLOSING SOON. I'IIANKS ! CAI.L ~'JE IF ANY PROBLENIS. I.ffucc '1'. ,~l~rubicshi 03:53p BQoe T. Mamubashi ~ UNDERGROUND STORAGE TANK LIABILITY ENDORSEMENT ~ao.ad Insured Shell Oil Products US Endmsement Number JEffective ~ ~f Endomement .]anuan/ ~, 2004 Zurich American Insurance Company 1,100 American Lane Schaumburg, IL. 60196-1056 1-800-382-2150 I~eparaflon of the pollo/. THIS ENDORSEMENT CHANGES THE POLTCY. PLEASE READ TI' CAREFULLY. This endorsement modifies Insurance provided under the following: COMMERCIAL GB~RA~ l~A~IUTY CERTIFICATION ENDORSEMENT FOR SCHEDULED TANKS 1. This endorsement certifies that the policy to which the endomement is attached Provides liability insurance covering the following Underground Storage Tanks: Schedule of Tanks attached for taking ~orrective action, and/or compensating third parties for "bodily injury" and "property damage" caused by either "sudden accidental releases" or "nonsudden accidental releases" or "accidental releases"; in accordance with and subject to the limits of liability, exclusions, condiUons, 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 exdusive of legal defense costs, which are subject to a separate limit under the pc~licy. This coverage is provided under GLO93079.r;0-01. The effective date of said policy is 3anuary 1, 200~. 2. The insurance afforded with respect to such occurrences is subject to all of the terms and condiUons 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 its obligations under the policy to which this endorsement is attached. Zurich American [nsurance Company is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a O~ 03:53p T. Marubashi ~ t77-5564 damaged, third-Party, with a right of reimbursement by the Insta~d for any such payment made by Zurich American Insurance Company. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as spedfied in 40 CFR 280.95-280.102. Whenever requested by a Director of an implementing agency, Zurich American Insurance Company agrees to furnish a signed duplicate odginal 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 misrepresentaUon by the insured, will be effective only upon written noUce and only after the expiration of 60 days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or mts.representetion by the insured will be effective only upon written notice and only after expiration of a minimum of 10 days alter a copy of such written notice is received by the insured. The insurance covers dalms for any occurrence that commenced during the term of the pollo/that is discovered and reported to the Zurich American Insurance Company within slx months of the effective date of the cancellation or termination of the policy. I hereby certify that the wording of this Instrument is identical to the wording 40 CFR 280.97(b)(1) and that the Zurich American Insurance Company is licensed to transact the business of insurance or eligible to provide insurance as an excess or surplus lines insurer In one or more states. for Zurich American Insurance Company Name: Dave Hirshorn 'riue: Senior Vice President Address: Marsh USA, [nc. 1000 Louisiana - Suite 4000 Houston, TX. 77002 01/30/2004:13:17 4/)897 5 SSS TNC ............. o.,,.:arL,u ~.t~e.. ~V~IgTIOI9 (681)B5~-217~ PAGE 0S ~-~ OFFIC, E OF ENVIRONMeNTAl...., SERVICES 1715 Ch~te.,,r Ave, B;~doemfield, CA (661) 32,~-397J'9 APPLICATION TO PERFORI~ FUEL MONITORING CERTIFICATION OPmI. ATOR$ N.A,.,~ "-d ' DO~/S I~A~ HAV]~ DISPENSER PANS? Y~ z~O_ , DATE & ~ TEg~ IS TO BE CONDU~ APPROVI~D BY DAT~ .~ GNATUI~ OF A. PI~O,A.NT 03/84/2084 i2:24 408971~ SSS INC PAGE 82 Monitoring System Equipment Certification For Use By ~ll Jurisdi¢fion~ Wilhin The State o,/'Ca[ifornia Authority Cited: Chapter 6.7, H~aIth and Sa. fety Code: Chapter ]6, Divi~'ton 3. Title 23, California Code of Regulations' This form must be used ~o document testin§ and serviciag of monitorin§ equipment. A separa.t,e ce_rfification or r~por~ mus~ be w-eoare_cl for each monitoring system.control panel by the technician who pcrlrorrns the work. A copy of this form must be provided to tb~ tank system owner/Cfg. UserNam¢. Thc owaer/Cfg,UserName must subrrut a copy oI'thl.~ form to the local agency regulating UST s: within }0 days of test date. A. General Information Facility Name: Rosedale Shell #2 Site Address: 3605 Rosedale Hw~.~ Us 99 FacfltLy CuJlia,,:t P~ ,nm.u El'lo Make/Mod01 of Monitoring System: VIR Simplicity B. Inventory of Equipment Tested/Certified Check thc appropriate boxes to indicste sp,,uifie equipme~lt inspectedlservb'ed: City: ...... Bldg, No.: Bake, rsfield~ CA Zip: 93308 Contact Phone N*O,: (66fl) 3~26-8792 Date of Testing/Servicing: 2/412004 Tank ID,: 01 - Ragu _. In -'rnnk Gauging Probe, Model: VR Annular Space or Vault Sensor. M~=I: VR Piping Sump'~Tmnch Sen~or ts), Model: VR~Sa0-a~ ~11 Sump Sensor O). Model: Mccl~n~cul Lin~ ~ak D~t~tor, Model: b. ICc~tlc Linc ~k ~tect~. M00CI: ~erl~ Tm~k Ovcrffil ~ High-]~'cl lcnsor. M~el: Ngno Other ( ~it~ equipment ~c and m~ct in ~ti~ E on Page 2). Tank ID; 03. I~gu n In - Tank Claudine ProLx:. Model: VR ~ Ann. let ~pnc~ nr V}ml~ R~'. M~CI: ~794~0420 ~ Pipi~g Sump ~ T~nc~ S~sor (s). M~I: Me,ben,cai L~ne ~ak E~t~niC Line [] Otl~r ( spicily equipn~nt type and model in $~n £ on I>a~ 2). Dispenser ID.. ~ Dis~ms~' Cnntalnment Sensor ts). Modcl: Beau~reu 406 gl Shear Yalw fl Dispcn.lcr Contaimramt Flout ts) arid Chain (~). Dispenser ID: [] Dislx:n~r Containment Sensor (a~,'"* Model:~ [] Shes,' Valve [] DispcnserConlainrrent Rout (~) and Chain Dispenser ID: Fl I_,~.spcnsur Containment Sensor (gl. Mm:lei: ri $hc~r Valve [] Di~p,'n~cr C.ntsin me, at Iqoat (~) and Chai~ ts). Tank ID; o2 - Prom [] in - 'rank Gauging Probe. Modch vn ~ Amtular Space or Vault Sensor. Model: ffi Piping Sump \ Trm~ch Sensor ts), lVlod¢l: v~ D Fill Sun~ ~sor (s). Model: ~ Mechunicat. Line ~ak ~t~tof Made1: None O Titnk Ov~r~ll ~ High-Level Sensor, M~ol: ~ Other ( apuuify equipmen: l~e and ~d h~ S~fion ~ on Page 2). Tank ~; n In - Tank Gauging Probc. Model: ['J Annular S~ac~ or Vitult Sensor. Mogcl: CI Piping Sump \ Trench ,%msor ts). Model: [] Fill Sump Sensor (s). Model: ~ Mecl~mical ~ne l_~ak D¢~ootor. Modal: r'l EleutTonic Line Leak De~ector. Modal: [] Tank Overtlll ~, High-l.~vcl Sensor. Model: Iq Other ( spccif7 cquiprn~t type and model in Section Dispen~r ID., 014)4 .. [] DJ~p,.m$cr C. ontai'nm~m Sensor ts). Model: ge,~udmu el 91'mar Volvo [] Dlspen~¢r ContaJnn~:m Float ts) and Chafe Dispenser ID; o?.o8 ~ Dispenser Containment SensOr (~;). Model: Beaudreu ~ Shear Valve ts), . ri DJspensa- Containment Float (al and Chain ts). Dispenser ID~ ri Dispenser Containment Sensor ¢~). Model: r'l Rhe. ar Valw [] Dispcn~r Conudnment Float (~) and Chain *IF thc I'ucility contains more tanks or dispcnser~, copy this ibrm, h'~ludc information for crc. fy tank and dispenser ~t thc f'~cllhy C. Certification - I certify that tl~e equll)meqt identified ia this document was inspectedlaorvieed in accords,tee witlt the manutacturer'u #uid. elineit. AU'ached to this Cerfltleaflon is hfformatloa (e.g. lanai'aerates~ eheeldlsts ) neeefnary tn verify that this Information ia eorreel and it PiG! Plall showing the ms,?out of mollitorlno equipment. For any equipment capable or generating sucl~ reports. I have al~o attached a copy of the; Technician Name Cprint): SsS-gaulS Ccrti£catioo No,; ~66-90-0788 Testing Company Name: Sar. Sea. Sys. Site Address: 3605 Rosedale Hwy. @ Us 99 ( c.h¢ck all that apply): Fl Systemset-ap [J Alarmhlstoryr~Ol~ $igaamr,: Original on file at SSS License. No.: 485184 ?ho~ Ho,: (408) 971-2445 Date of Testir~Servicing:. 2/412004 83/84/2884 12:24 488971 Monitoring System Certification - Page 2 of 3 SSS INC PAGE 83 .%e Address: 3605 Rosedale Hwy. ~j~ Us 99 D. Results of T~t&g / ~rvicing Softwar~ Ve~ion installed: theorist: · Da, re of Testing/Servicing: ?J412004 Yes D No* is the audible alarm operational? , Yes [] No* Is tlae visual alann operational? .,. t'Yes- [] No* Were all sensor~ visually imp~ted, ~nctisnally tested, and confn~ operation? Ve~ ~ No* Were fll sen~om ~ta~ed at lo. st point of second~ con~inment and positioned so t~t other ~uipment will not intm'f~ wi~ their pr~ o~yration? Yes ~ No* lfalat~ a~ relayed to a remo~ monito~ statio~ is all ~om~nicatiom eqaipment (e.g. m~d~) u N/A op~o~17 Yes ~ No* ~or pressured p~ ~t~, does ~e ~rbin~ auto~dc~y shut do~ if the piping secoMa~ ~ N/A n~torl~ sys~m ~tec~ a le~ fails to o~ate, or is el~lly ~o~e~t~d? ~y~: which scm~s initiate posifiv~ shut-down? (Check ~# tha~ op~ly) ~ Su~ten~ ~mots; D Dispenser Conta~nl Sensors. Did you confi~ positi~e sh~-do~ due Io lea~ and s~r ~l~e/dis~o~e~tion? · Yes ~ No Yes Q Ho* For ~c ~t~ t~t util~e the monitorin8 ~ystem as t~ pHma~ tsn~ nve~11 ~rning ~ice (i.e. no E N/A ~chamcal overfill preve~ion valve is ~alled), Is ~e ov~]l w~ng a~ v~ible and a~le ar fl~s) and operating properly? If so, ~ w~t percent of~ capa~i~ d~s th= al~ ~igger? 0 ~ ~s* B No W~ any monito~ng e~pm~nt r~laccd? If yes, id=n~ sp¢cRic ~=o~, ~o~s, or othcr cquip~nt replaced and list thc ~n~ac~rer name and m~el for ~l r~plac~nt p~ ~ S~tion E, ~l. ow. ~ Ye~* ~' No Wag liquid found inside ~ny ~eco~' ~ont~i~enf ~tems ~signed as d~ sy~e~? (Check ali r}at apply) ~ ~cc a Water. Ify~s, describe causes in Section E, ~ow. · Yes ~ No* Was n~t~gn~ s~tcm set-up r~vi~ m ensure proper se~ings? (A't(ach ~el-up reports. ~ Yes 5 ~0' ~S ali momio~ng eq~pmem opcrati~l per manu~cmrcr'~ * In Section E below, describe how and when these deficiencies were or will bc corrected, E. Comment, s: 0~/04/2004 :12:24 408971 SSS INO PAGE 04 Monitoring System Certification - Page 3 of 3 Site Ad&ess: .'~gt~_~ Rosodale Hwy. (~ Us 99 F. In - Tank Gau~lln~ / SIR Equipment: Date of Testing/Servicing: 2/4/2004 ~ Check this box if rank gauging is used only for inventory control. rl Check this box if no lazd~ gauging or Sill equipment is insialled. This secl'io- mt],~t he completed if in-tank gauging equipment is used to perform leak detection monitoring. foilowin :h~ldist: [] Yes [] No* Has all input wiring b. een inspected for proper e and termination, incl. uding testing for grou~td D Yes ~ No* Were all t~,l~ gau~in~ probes visually inspected for damage and residue buildup? "'~ Ycs U No* Was accuracy of system product level readings tested? .... D Yes [] No* Was occur,soy of system water level readh~s tested'? n Yes r~ No* We. re all probes reinstalled properly? ~ Yes G No* Were all items on the equipment manuihcturer's maintenance checklist completed? ,, ~ h~ Section H below, d~scribe how and when these deficiencies were or will be corrected. C. Line Leak Detectors (ELD): n Cheelc thi.~ box WI,I,D's are not installed. followio :beck_list_: ~ Yes O No* For eq~pment s~-up or ~ual cqui~nt c~ifica~on was a i~ s~ulate~ to vcn~ L~ ~do~? ONtA (Check all that apply) Simulatedl~reate: · 3g,p.h.(1.); U 0,1 ~p.h.(2.); 0 0.2 g.p.h. (2.). Notes: 1. Required tbr equipment s~-up ce]~if~.atlon ~ annual ce~ificafion. 2. Unl~s ms-d~ b~ loeal ~y, c~ification requked only for elec~c LLD s~-up. ~ Ye~ 5 No* W'e~ all LLD's ~o~ma~perational and acc~te wit~ re~lato~ mqui~men~ ~ Yes 5 No* Was the ~sfin8 app~ams properly calibrated? 5 Yes ~ No* For ~c~dc~ LLD%, do~ the LLD ms~i~ product ilaw ifil deleets a leak? ~ Yes ~ No* For clec~nic ~D's, does ~he ~binc auw~fic~lly shut off iffl~e ~D delec~ a l~k? n NIA ~ Yes ~ No* For et~onic ~D's, does fi~e ~blne amo~tic~ly shm offif any por~on of ~he mortaring system is d~bled D N/A o~ disco~n~ted? ~ Yes ~ No* For ele~wo~c LLD's, does ~e ~e au~m~c~lly s~u~ off ff a~ pomon of ~e mo~to~ s~m D N/A ~l~ions or fails a test? ~ Y~ ~ No* For ela~o~c LLD's, ~ve ~ll a~e~ble ~r~8 co~ecdo~ been ~suslly ~ N/A "~. Yes ~ No* Were.a~ i~e~ ou thc cquip~n~ ~nufacm~'s mann,nonce c~ck~ * In Section H bo]ow, describe huw and when thes~ deficiencies were oF will be corrected, H. Comntents: 03/B4/2004 ~2:24 408971~ SSS INC PAGE 05 Monitoring System Certification UST Monitoring Site.Plan 3605 Rosedale Hwy. @ US 99 in Bakersfield 1/3Ot04 Date map was drawn; _,Z. / ~(. ! Instructions On your site plan, snow tl3e general luyuul, ui' I. ur~k~ and piping. Clearly idontify locations of the following cqulprnont, if installed: monitoring system control panels', sensors monitoring tant~ annular spaces, sumps, dispenser pans, spill cur ttaiH~f u, uf ut, her ~e~,ondary ~ontainmcnt areas; n~eohanic431 or olootronio line leak detedtore; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. 03/04/2004 12:24 408971 SSS INC PAGE 06 ANNEAL TEST RES'IYLTS FOR THF. PRODUCT AND VAPOR OVERFILL CONTAINMENT Rosedale Shell 2-4=04 3605 Rosedale Hwy - B~kersfield, CA. 93~08 ' Te.~t Method Developed By: H Spill Bucket 'Manufacturer rm Industry Standard 0 Professionai Engineer H Oilier (Specify) Test Method Used: I~] Hydrostatic n Other 65'pet/fy) l Equipment Rc~lution: Test Eqtdpmeat Used- lnenn Te.~rer ISx?.mplc - 1/8" inot, omcn, t,? ~,i..:.v.~:.. :' ..:i:.::,,:~,. ~...,:~.,,:. 5.';.'".',~1~,.*..,.,~,~. ;.~..,,:;*~;;,,.~;,:t I~.;~.~ · , -- Bucket Capacity in gallo~: 20 5 20 $ 20 5 B~eket Depth: .. Wait tinge betwee~ filling with 5 mlrt 5 hain 5 rain 5 mln 5 min 5 rain .watt_..r ~n,i starring test: . Test Stat~ Time: 11:56 am I i:56 am t~' ~2:15 pm 1~ 12:34 pm Initial Re__a4_ing (R0: 4.4711 4.8960 A 5.1018 A 4,6915 -'l~est End Tinm: 12:12 pm 12:12 pm I I2:30 pin I 12:49 pm Fl~! Reading (R~): 4.4705 4.8958 L $. 1023 L 4.6919 'Feat Duration: 15 rain 1 ~ rain 15 rain i 5 mia 15 .mjn ~ 5 ua-, Change in Reading (l~-Rb: Pass/Fail Thxeshold oc Gritena: ZERO 1..O$~ ZgRO LOSS ZERO LOSS re,t Res,u.l.t.! ,, ~ Pass [] rail I [] Pas., [] F~il I [] Pass Comments - (i,eclu,'l~ it!fot,natio,t on eepait'~ made' prior to taatinR,' and r~ee~mmondad Jbllog'-up fior fai, lad.tests) Premium.and Regular (t, ank 2) buckets failed, will not seal. Tested By: Scarier Station Systems, Inc. Contractor License: 485184 Technician: .Dan P. 03/04/2004 12:24 408971 SSS TNC PAGE 87 FUEL MONITORING C~K'rA~CATION c: AIzF~O~ BY DA,I~ SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services ! 715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME~,.,..--.3 ~ j INSPECTION DATE INSPECTION TIME I 'H-~.,~ ~ PHONE No, No. of Employees ..... ......... FACILITYCONTACT Business ID Number 15-021- [] Routine ~[,Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V (C=Compliance ~ OPERATION v=violation APPROPRIATE PERMIT ON HAND ~ [] BUSINESS PLAN CONTACT INFORMATION ACCURATE '~ [] VISIBLE ADDRESS ~ [] CORRECT OCCUPANCY .~ [] VERIFICATION OF INVENTORY MATERIALS J~ [] VERIFICATION OF QUANTITIES ~ [] VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL J~' [] VERIFICATION OF MSDS AVAILABILITYE .~ [] VERIFICATION OF HAT MAT TRAINING ~ [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .~ [] EMERGENCY PROCEDURES ADEQUATE [] CONTAINERS PROPERLY LABELED ~ [] HOUSEKEEPING ~ [] FIRE PROTECTION ~ [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES ,~No EXPLAIN: COMMENTS THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 {~ ,ngpector ~)~Badge No, ---' White - Environmental Services Yellow - Station Copy Busines'~ Site I~esPon~ble Party Pink - Business Copy FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program .Routine ~ Combined [~ Joint Agency Type of Tank ~I,Q '~' Type of Monitoring __.,~'T'~--w ~ Multi-Agency [~i Complaint Number of Tanks Type of Piping Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner,loperator data on file Permit tees curren! 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=Compliance V=Violation Y=Yes N=NO Inspector: ~ I~///'~P~,~/~ Office of n~;~nt~"Se-~x~ (661)~6-3979 While - Env. Svcs. Pink - Business Copy Business Site Responsible Party 10 ;3 ,:, o lu,.~ 204-0461 -0709 3E, 1-~5 R':3'SEDaLE HI...,IY. ' ' Ba);:iERSF I ELD$.. ca. I ' ~803474'.--'6505001 ;~,J"IAR Il. 2004 1:26 PM ~ !1 NVENTORY REI::',:;:,F2T '~T I:R'E'i;IJL~R TAN}( 1 '.,,Vi;:,I.' 7 ; :3740 i'JLl% ULL~i-~F'= 5015 !:,:H£IGHT~ = 37.94 INCHES , !' I,,laTER VOL = 0 {_-.;ALS '"I4aTER = 0. O0 INCHEs IT 2:RE'(3LJLi:~F~, Teqq}( '; &'OI_,U"E = 3814 GALS ',: ILILL6¥:-;E' = 5914 GRLS "t90:;';; ULLAGE= 4941 GaLS ' ~,HEI¢' ' = 38.4? INCHES ~.,JA T'~....~'~.,'<'.:, 1. 0 GALS I,,..I&TF.F: = O. O0 I NL'?HE:S iI'EI',II::' = d, ff,.O DE,('; F ~I' 3: I::'F:EHI LIM tVOL UME = ,-, -.-, ._ ~b~b (3aLS I:ILLe~L-;E = 7102 GaL~ {~0:::';: ULLAGE= 6129 .(-'.;aLS HEIGHT = 29.58 [N(_-;HES i,,,.IRTER VOL = 0 GRLS 'i.,.l~'r'ER = O. O0 INCHES ';TL;',P = 67 2 DEC; F MANIFOLDED TANKS [I NVENTC, R"z' ;TOTALS T 1.RE..,UL~,R TaNK 1 T 2:RE'(.;UL~R TaNK 2 i ./OLUP1E = '7554 (-'.;ALS ~ : ~ ~ END ~ ~ , Postage $ I-"t Certified Fee r--i Return Reciept Fee (Endorsement Required) AL Postmark Here Total po~I ~ Rosedale Shell 3605 Rosedale Hwy. 'or~o~x'~ Bakersfield, CA 93- :' --- ~'~z~;~, 308 · Complete items 1, 2, and 3.',Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse [] Agent 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: ~ ~ NO Rosedaie Shell Baker' jeld' ceA 93308 ' T ~iig,:; ail rl Express Mail. · ered [] Return Rece~ t for M ..... -- -_ J I r--,. . P erchandise - · LJ Insured Mail [] C O D __.~ed Dehvery? (Extra Fee) · [] Yes 2. Article Number / '? ~ ~ 3 ~ ~ ~~ (Transfe.______~r from service label) PS Form 38 1 1, August 2001 Domestic Return. Receipt ~~__.._~,~1 lO2595-02-M-1540 ~ UNITED STATES POSTAL SERVICE IFirst-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box ° Bakersfield Fire Department Prevention Services 1715 Chester Avenue, @uite~300 Bakersfield, CA 93301- '~ D December 12, 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 SERYICE$ · ENVIRONMENT/iL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 3260576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chesler 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 Rosedale Shell 3605 Rosedale Hwy. Bakersfield, CA 93308 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. l~tti~To: Dated: Page Owner/Operators of Propane Exchange ,$~'~iems 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/Petroleum/ Environmental Code Enforcement Officer Winston H. Hickox Secretary./bt Environmental Protection California Regional Water Quality Control Board Central Valley Region Fresno Branch Office Internet Address: http://www.swrcb.ca.gov/-rwqcb5 1685 E Street, Fresno, California 93706-2020 Phone (559) 445-5116 · FAX (559) 445-5910 Gray Davis Governor 90'ctober 2003 Regional Board Case No. 5T15000887 Mr. Tony Palagyi Shell Oil Products U.S. 2255 13th Avenue SW Seattle, Washington 98134 UNDERGROUND TANK RELEASE, SHELL SERVICE STATION, 3605 ROSEDALE HIGHWAY, BAKERSFIELD, KERN COUNTY You submitted Work Plan for Monitoring Well Installations (Work Plan) dated 5 September 2003 and Prepared by KMH Environmental Management, Inc. (KHM). We requested that you submi~ a work plan to identify the source of underground storage tank (UST) system leakage, abate the leakage, and · determine the extent of impacted soil and groundwater by our letter dated 3 July 2003. We also requested that you conduct quarterly groundwater monitoring with an expanded analytical program during the third and fourth quarters 2003. We approve the Work Plan and request that you submit a report of findings. The Work Plan does not propose investigation to determine the extent of impacted soils. We request that you submit a work plan addendum proposing this investigation. A summary of the Work Plan and our comments follow. Work Plan Summary KHM will install on-site monitoring wells MW-5 and MW-6 and off-site monitoring well MW-2 using hollow-stem auger drilling technology. MW-5 and MW-2 will be installed southwest of MW- 1 and M_W,3, respecti.vely,An.downgrad.ient~positionsrbased on two previous groundwater-monitoring events. The fuel oxygenate methyl tertiary butyJ ether (MTBE) has been detected in concentrations up to 2,800 micrograms per liter (~tg/L) in MW-5 and MW-2. MW-1 is south of the western dispenser island and. 'west of the USTs. MW-3 is south of the central dispenser island and east of the USTs. MW-6 will be placed in the northeast corner of the site in an anticipated crossgradient position. The wells will be installed using standard construction with 4-inch diameter casing screened approximately 10 feet above and 15 to 20 feet beneath the water table, which is anticipated to be approximately to be 40 feet below ground surface (bgs). Soil samples will be collected from the well borings at 5-foot intervals .to the total boring depth. Soil samples displaying significant volatile organic compound concentrations during field screening will be submitted to the laboratory and analyzed for total petroleum hydrocarbons as gasoline and diesel (TPH-g and TPH-d) by EPA.Method 8015M, and benzene, toluene, ethylbenzene, and xylenes (BTEX), MTBE, California Environmental Protection Agency ~ Rec3,cled Pape5 Mr. Tony Palagyi 2 9 October 2003 TBA, di-isopropyl ether (DIPE), ethyl tertiary butyl ether (ETBE), and tertiary amyl methyl ether (TAME) by EPA Method 8260B. KHM will prepare a report summarizing the results of the investigation. KHM conducted a water well survey during the voluntary groundwater assessment program (GRASP) investigation. The results of the GRASP investigation were reported in KHM's GRASP Site Assessment Report dated 22 April 2003. KHM identified two water wells within 2,000-foot radius of the site. The nearest well was over 1,500 feet from the site. Comments We approve the proposed monitoring well installations and request that__y_ou include them in the ........ -mo nit o r-lng=tm-t-work .~ ..... . -~ - : We requested by our letter dated 3 July 2003 that you identify and abate the source of the release and investigate the extent of impacted soil and groundwater. Based on our conversations with'Shell Oil Products U.S. (Shell) and KHM staff during a meeting on 3 September 2003, we understand that Shell will investigate the UST system. The work plan does not propose investigation to determine the source of the release and investigate the extent of impacted soil. We request that you submit a work plan addendum for this investigation by 1 December 2003. Quarterly groundwater monitoring should continue. Please submit the third quarter 2003 monitoring report by 3 November 2003. By our letter dated 25 July 2003, we requested that you expand the current groundwater sample analysis program during the third and fourth quarters 2003 to confirm constituents of concern (COCs). Samples were to be ~alyzed for the analytes usually reported in a full EPA 8260 analysis (approximately 63 to 67 analytes), including the five fuel oxygenates and the lead scavengers 1,2-dichloroethane (1,2-DCA) and 1,2-dibromoethane (EDB), and dissolved lead. Dissolved lead samples should be filtered in the field prior to acid preservation or filtered in the laboratory prior to acid preservation within 24 hours of sample collection. These procedures should be noted on Chain-of-Custody documentation. In addition, sa_~mpl.es c~ql_le_cted f~m~ne~upgradienLand~t~-d~.w..ngradient~-monit~ri.ng~we~1s~shou~d=b~=ana~y.zed=fo~ general minerals, nitrate, and total Kjeldahl nitrogen during the third quarter 2003 and first quarter 2004. We requested these analyses to determine groundwater quality and assess natural attenuation of COCs. Sections 2729 and 2729.1.for Underground Storage Tanks were added to the California Code of Regulations requiring you to submit analytical and site data electronically. Enclosed is our letter (Required Electronic Deliverable Format for Laboratory and Site Data Submittals to Regulating Agencies) explaining how to obtain information to implement the requirements. V:\UG%Projects\JDW_files\2003 Correspondence\City of' Bakersfield Cases\Shell Stn Rosedale Hwy SAWP %03.doc Mr. Tony Palagyi 3 Please contact.this office at least five days prior to fieldwork. correspondence, please contact me at (559) 445-5504. 9 October 2003 If you have any questions regarding this J.OHN D. WHITING Engineering Geologist ' R.G. No. 5951 Enclosures: Required Electronic Deliverable Format.~br Laboratory and Site Data Submittals... C~ Ms. Barbara Rempel, SWRCB, UST Cleanup Fund, Sacramento, w/o enclosures · Mr. Howard Wines, Bakersfield F-ire'Del3a~i-trn~enl~, B;ak~rsfi-~id}.w?6 'enclos~i:es- Mr. Bradley Clark, KHM, w/enclosures File: UST/Kern/Shell Service Station, 3605 Rosedale Highway, Bakersfield/5T15000887 V:\UGTSPrqject~\JDW_files\2003 Con'espondence\City of Bakersfield Cases\Shell Stn Rosedale Hwy SAWP 9-03.doc COR0 ROSEDALE SHELL #135 Manager: [~[ ~-~--~-~' - ~¥~ Location: 3605 ROSEDAJ~E HWY City : BAKERSFIELD CommCode: COUNTY STATI°N 66 reiD: 015-021-001340' BusPhone: (661) 326-8792 Map : 102 commHaz : Low Grid: 26A FacUnits: 1 AOV: SIC code:5541 DunnBrad: 36-468 - 9893 Emergency Contact / Title ,~FeV~ ._..Y"-,~R / DEALER B~'~-'i¥{-ess p~one: (661) 326-8792x 24-Hour Phone : ~li Phone : Hazmat Hazards: Emergency Contact / Title TIM WOODSON / COMPLIANCE COOR Business Phone: (925) 766-3494x 24-Hour Phone : ( ) - x Pager Phone : ( ) x Fire Press ImmHlth DelHlth Contact : T-Iq~WOODSON MailAddr: 2401~W~_TERMAN BLVD 4-257 Owner ~ VSHELLOiL PRODUCTS US Address% : 3498 CLAREMONT AVE Phone: (925) 766-3494x State: CA Zip : 94533 City : MODESTO Phone: (925) 766-3498x State: CA Zip : 95350 TotalASTs: Gal Period Preparer: Certif'd: ParcelNo: to TotalUSTs: RSs: No Gal Emergency Directives: -~- 08/04/200~ U ED PROGRAM CONSOLIDATED M UNDERGROUND STORAGE TANKS -FACILITY TANKS (one page per site) PF ~ 1 (ff ='~ TYPE OF ACTION ~' 1. NEW SITE PERMIT ~' 3. RENEWAL PERMIT ~' 5. CHANGE OF INFORMATION (Specify change - ~F' 7. PERMANENTLY CLOSED SiTE (Check one item only) X 2. NEW OPERATOR ~' 4. AMENDED PERMIT Iocaluse only) iF' 8. TANK REMOVED 400 10/1/03 ~F' 6. TEMPORARY SITE CLOSURE .?, · : :' : ' · . ' · · ' BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY=ID # Rosedale Shell #2, Shell Oil Products .. 3605 Rosedale Hwy, Bakersfield, CA 93308 : NEAREST CROSS STREET 401 FACILITY OWNER TYPE Frwy 99 X 1. CORPORATION ~' 8. COUNTY AGENCY* ~F' 2. iNDIVIDUAL ]~ 6. STATE AGENCY* BUSINESS TYPE X 1. GAS STATION ~' 3. FARM ~' 5. COMMERCIAL F 3. PARTNERSHIP F 2. DISTRIBUTOR ~ 4. PROCESSOR ~' 6. OTHER ]-' 7. FEDERAL AGENCY* 402 403 TOTAL NUMBER OF TANKS Is facility on Indian Reservation or *If owner of UST is a public agency: name of supervisor of REMAINING AT SITE trustlands? division, section or office which operates the UST. (This is the contact person for the tank records.) 404 3 ~'Yes X No 405 406 : II. pRoPERTY OWNER INFORMA IO · PROPERTY OWNER NAME 407 I PHONE 408 Shell Oil Products CIO Bruce T, Marubashi, HSE Permit AnalystI 925-766-3498 MAILING OR STREET ADDRESS 409 3468 Claremont Avenue CITY 410 STATE 411 ZIP CODE 412 Modesto CA 95350 PROPERTY OWNERTYPE ~' 2. INDIVIDUAL [-' 4. LOCAL AGENCY / DISTRICT ~' 6. STATE AGENCY 413 X 1. CORPORATION ~' 3. PARTNERSHIP ~ 5. COUNTYAGENCY ~ 7. FEDERAL AGENCY !: i :: ~' , , .'"'. ,' iiii. TANK OWNER iNI~oRMATioN : , TANK OWNER NAME 414 I PHONE 415 I SAME AS II MAILING OR STREET ADDRESS 416 CITY 417 I STATE 418 I ZIP CODE 419 I I TANK OVVNERTYPE ]~ 2. INDIVIDUAL ~* 4. LOCAL AGENCY / DISTRICT ~' 6. STATE AGENCY 420 ~F' 1. CORPORATION ~m 3. PARTNERSHIP ~F' 5, COUNTY AGENCY ~F' 7. FEDERAL AGENCY .... V PET~f31 FIlM I I~T I~lldAl~_O!AI ~ESpf3~$!B!LITY · · INDICATE. METHOD(S) X 1.' sEEF-INSUREb "'~-' 4. 'SURETY BOND ]~ 7. STATEFuNI~ '~ i0: LOCALGOV=TMECHANI~M': ' ~F' 2. GUARANTEE ~' 5. LETTER OF CREDIT ]-' 8. STATE FUND & CFC LETTER ~' 99. OTHER: ~ 3. INSURANCE ~' 6. EXEMPTION ~ 9, STATE FUND & CD 422 Check one b0xto indicate which'addreSs Should I:)~ Used for legal notifications and mailing. ' ]-' 1. FACILITY ]~ 2. PROPERTY OWNER ' Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked. i' '.;' X 3. TANK OWNER 423 VII ,&IDD! !~&IdT $!GN~TURE Ce~ifi'ca{i~n: I certify t~i tl3e information pro;vi~d herein i~ true ~nd accurate to the best of my knowledge. NAME OF APPLICANT (print) TITLE OF APPLICANT BRUCE T. MARUBASHI for Shell Oil Products 426 HSE Permit Analyst 424 I PHONE 925-766-3498 427 425 STATE UST FACILITY NUMBER (Forlocal use only) 428 I 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 429 UPCF (1/99 revised) Formerly SWRCB Form A U ED PROGRAM CONSOLIDATED M UNDERGROUND STOP, AGE TANKS-TANK PAGE 1 TANKS (two pages per tank) Page TYPE OF ACTION [' 1. NEW SITE PERMIT ~-' 4.AMENDED PERMIT F 5.CHANGE OF INFORMATION) ~' 6. TEMPORARY SITE CLOSURE Check one item only)X 2. OPERATOR CHANGE ~-' 7. PERMANENTLY CLOSED ON SITE ~' 3. RENEWAL PERMIT (Specify reason - for local use only) (Specify change - for local use only) ~r~ 8. TAN~' K REMOVED 430 BUSINESSRosedale Shell #2NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 FACILITY ID. '# " [~l~; LOCATION WITHIN SITE (Optional)431 3605 Rosedale Hwy, Bakersfield, CA 93308 : ':':: ;;; ' I. TANK DEscRIPTION (Asdaledplot pla~ with :thelocation of the Ug¢~stem including buildings and landmarks shall be:submitfed to the local age~.) .... , : TANK ID # TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ]-' Yes X No 434 135069 - Regular OWENS CORNING If AYes~, complete one page for each compartment. 436 437 432I DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 1987 10,000 ADDITIONAL DESCRIPTION (For local use only) 438 NUMBER OF COMPARTMENTS ONE ';'~ '" ' ~ ' I.TANK CONTENTS T~NK USE 439 PETROLEUM TYPE X 1. MOTOR VEHICLE FUEL .' (If marked, complete Petroleum Type) ~' 2. NON-FUEL PETROLEUM ~' 3. CHEMICAL PRODUCT. X la. REGULAR UNLEADED E lb. PREMIUM UNLEADED ~' lc. MIDGRADE UNLEADED E 2. LEADED ~' 3. DIESEL [' 4. GASOHOL 5. JET FUEL 6. AVIATION FUEL 99. OTHER 440 COMMON NAME from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory page) 442 ~' 4. HAZARDOUS WASTE (Includes Used Oil) ~' 95. UNKNOWN · ,; ' ". ,' III. TANK CONSTRUCTION ~ ' ,i TYPE OF TANK ~ 1. SINGLE WALL ~'3.SINGLE WALL WITH ~' 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) X 2. DOUBLE WALL EXTERIOR MEMBRANE LINER ~-' 95. UNKNOWN ]~4.SINGLE WALL IN A VAULT ~-'99. OTHER TANK MATERIAL - primary tank (Check one item only) ~ 1. BARE STEEL ~' 2. STAINLESS STEEL X 3. FIBERGLASS/PLASTIC ~' 5. CONCRETE ~-'95. UNKNOWN 444 ~' 4. STEEL CLADW/FIBERGLASS ~ 8. FRPCOMPATIBLEW/100YoMETHANOL° ~-'99. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL - secondary ]-' 1. BARESTEEL X3. FIBERGLASS/PLASTIC ~-' 8. FRPCOMPATIBLEW/100%METHANOL [-'95. UNKNOWN 445 tank ~' 2. STAINLESS STEEL ~' 4. STEEL CLAD W/FIBERGLASS ~' 9. FRP NON-CORRODIBLE JACKET ~' 99. OTHER REINFORCED PLASTIC (FRP) ]-' 10. COATED STEEL ~F' 5. CONCRETE (Check one item only) TANK INTERIOR LINING ~' 1. RUBBER LINED [-' 3. EPOXY LINING ~' 5. GLASS LINING ~' 95. UNKNOWN446 DATE INSTALLED OR COATING ~ 2. ALKYD LINING ~ 4. PHENOLIC LINING X 6. UNLINED ~' 99. OTHER (Check one item only) (For local use only) 447 OTHER CORROSION PROTECTION IF APPLICA.BLE ' (Check one item only) F 1 MANUFACTURED CATHODIC PROTECTION ~ 2. SACRIFICIAL ANODE X 3. FIBERGLASS REINFORCED PLASTIC F 95. UNKNOWN 448 ~ 4. IMPRESSED CURRENT F99. OTHER DATE INSTALLED 449 (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 (Check all that apply) X 1. SPILL CONTAINMENT X 2. DROP TUBE X 3. STRIKER PLATE TYPE (For local use only)451 JOVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 X 1. ALARM X 3. FILL TUBE SHUT OFF VALVE 1F' 2. BALL FLOAT ]-' 4. EXEMPT IF SINGLE WALL TANK (Check all that apply): ~'1, VISUAL (EXPOSED PORTION ONLY) 1/~ 2. AUTOMATIC TANK GAUGING (ATG) ~'3. CONTINUOUS ATG ]~4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING 5. MANUALTANK GAUGING(MTG) 6. VADOSEZONE 7. GROUNDWATER 8. TANKTESTING 99. OTHER 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 ~' 1.VISUAL (SINGLE WALL IN VAULT ONLY) X 2. CONTINUOUS INTERSTITIAL MONITORING E 3. MANUAL MONITORING i :~/.'TAN~ CL~UR~ INF01~MATION / PI~RMANENT CLosuRE i:N PLACE · ' ' 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAI_~ 457 gallons Yes 1C' No UP CF (1/99 revised) Formerly SWRCCB Form B NIFIED PROGRAM CONSOLIDATED FOI UNDERGROUND STOI: GE TANKS - TANK PAGE 2 TANKS UNDERGROUND PIPING I ABOVEGROUND PIPING SYSTEM TYPE X 1. PRESSURE ~ 2. SUCTION ~ 3. GRAVITY ]~ 1. PRESSURE ~ 2. SUCTION ]~ 3. GRAVITY 459 [~ 95. UNKNOWN CONSTRUCTION / MANUFACTURE R MATERIALSAND CORROSION PROTECTION X 1. SINGLE WALL ]-' 3. LI'NED TRENCH ~' 99. OTHER ~' 2. DOUBLE WALL ~'95. UNKNOWN MANUFACTURER 461 ~ 1. BARE STEEL ~ 6. FRP COMPATIBLE W/100% METHANOL ]~ 2. STAINLESS STEEL ]~ 7. GALVANIZED STEEL ~ 3. PLASTIC COMPATIBLE WITH CONTENTS iF' 95. UNKNOWN ~' 1. SINGLE WALL ~ 2. DOUBLE WALL ]~ 99. OTHER MANUFACTURER ]-' 1. BARE STEEL ~ 6. FRP COMPATIBLE W/100% METHANOL ~' 2. STAINLESS STEEL ~' 7. GALVANIZED STEEL ~ 3. PLASTIC COMPATIBLE WITH CONTENTS r' 8. FLEXIBLE (HDPE) 462 463 99. OTHER X 4. FIBERGLASS ~' 8. FLEXIBLE (HDPE) ~'99. OTHER ]-' 4. FIBERGLASS ]-' 9. CATHODIC PROTECTION ]~ 5. STEEL W/COATING ]'~ 9. CATHODIC PROTECTION 464 ~' 5. STEEL W/COATING [-'95. UNKNOWN 465 UNDERGROUND PIPING I ABOVEGROUNDPIPING SINGLE WALL PIPING 466 PRESSURIZED PIPING (Check all that apply): X 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS [' 2. MONTHLY 0.2 GPH TEST X 3. ANNUAL INTEGRITY TEST (0.1 GPH) SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): iF' 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ~' 2. MONTHLY 0.2 GPH TEST ]-' 3. ANNUAL INTEGRITY TEST (0.1 GPH) [' 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS: [' 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES iN BELOW GROUND PIPING): 1~' 7. SELF MONITORING GRAVITY FLOW: ~ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check afl that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) 1? a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~' b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ~-' c. NO'AUTO PUMP SHUT OFF ~F' 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION IF' 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: ~-' 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) ~' 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS . . ~' 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ~' 16. ANNUAL INTEGRITY TEST (0.1 GPH) ~ 17. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply): ]~ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ]-' 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ~ 7. SELF MONITORING GRAVITY FLOW (Check all that apply): ]-' 8. DAILY VISUAL MONITORING ~' 9. BIENNIAL INTEGRITY TEST (O.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) ]-' a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ]-' b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ~' c. NO AUTO PUMP SHUT OFF ~' 11. AUTOMATIC LEAK DETECTOR [' 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: ~-' 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) ~' 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS iF' 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ 16. ANNUAL INTEGRITY TEST(0.1 GPH) ~ 17. DALLY VISUAL CHECK DISPENSER CONTAINMENT ]-' 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 1-'4. DAILY VISUAL CHECK DATE INSTALLED 468 ]~ 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ~ 5. TRENCH LINER / MONITORING 1998 X 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER .................... ,",L,~,RM~ ~' 6. NONE 469 · I ~ertify that the ir~f6~:~ati0n provided he~'eih is tiue and accurate to the best of'~y knowlesge. ...... SlGNAT~E~OPE~ ~ /Z DATE ~ ~-.-' .... ~ 10/2/03 NAME OF O~E~TOR (pdnt) .... ' ~- ~ 471 TITLE OF OWNE~OPE~TOR Bruce T. Marubashi for Shell Oil Products Permit Analyst 925-766-3498 470 472 Permit Number (For local use only) 473 Perm it Approved (For local use only) 474 J Permit Expiration Date (Forlocal use only) 475 U ED PROGRAM CONSOLIDATED M UNDERGROUND STORAGE TANKS-TANK PAGE 1 TANKS (two pages per tank) Page _~' of '~ TYPE OF ACTION 1-' 1. NEW SITE PERMIT ~' 4. AMENDED PERMIT ~' 5. CHANGE OF INFORMATION) F 6. TEMPORARY SITE CLOSURE 'Check one item only)X 2. OPERATOR CHANGE [" 7. PERMANENTLY CLOSED ON SITE 1~ 3. R~:NEWAL PERMIT (Specify reason - for local use only) (Specify change - for local use only) 1-' 8. TAN1-' K REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 I FACILITY ID #"' I¢~!!~ ~' 1 LOCATION WITHIN SITE (Optional)431 3605 Rosedale Hwy, Bakersfield, CA 93308 TANK ID # 432 I TANK MANUFACTURER 433 COMPARTMENTALIZED TANK 1-' Yes X No 434 135069 - Premium I OWENS CORNING ~f AYes~, complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 1987 10,000 ONE ADDITIONAL DESCRIPTION (For local use only) 438 - ' ' yANk C T : ' ' '": :: II. : ON ENTS ' ' , TANK USE 439 PETROLEUM TYPE 440 X 1, MOTOR VEHICLE FUEL 1~ la. REGULAR UNLEADED (If marked, complete Petroleum Type) X lb. PREMIUM UNLEADED [-' 2. NON-FUEL PETROLEUM ]-' lc. MIDGRADE UNLEADED [-'. 3. CHEMICAL PRODUCT ]-'~2. LEADED ~' 5. JETFUEL F 3. DIESEL 1F' 6. AVIATION FUEL r 4. GASOHOL 1~ 99. OTHER ~-' 4. HAZARDOUS WASTE (Includes Used Oil) ~' 95. UNKNOWN COMMON NAME (from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory R~age) 442 III. TANK CONSTRUCTION - .' : i:. : ,. TYPE OF TANK r 1. SINGLE WALL I~ 3. SINGLE WALL WITH ~' 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) X 2. DOUBLE WALL EXTERIOR MEMBRANE LINER ~' 95. UNKNOWN 1-'4. SINGLE WALL IN A VAULT ]"' 99. OTHER TANK MATERIAL - primary tank (Check one item only) ~' 1. BARE STEEL ~' 2. STAINLESS STEEL (Check one item only) X 3. FIBERGLASS / PLASTIC 1~ 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) ]-' 5. CONCRETE ~-' 8. FRP COMPATIBLE W/100Yo° METHANOL ~'95. UNKNOWN 444 99. OTHER TANK MATERIAL i secondary ~' 1. BARESTEEL X3. FIBERGLASS/PLASTIC ~' 8. FRPCOMPATIBLEW/100%METHANOL ~'95. UNKNOWN 445 tank [[-' 2. STAINLESS STEEL ~' 4. STEEL CLAD W/FIBERGLASS [-' 9. FRP NON-CORRODIBLE JACKET ~'~ 99. OTHER REINFORCED PLASTIC (FRP) ~' 10. COATED STEEL [m 5. CONCRETE TANK INTERIOR LINING ~' 1. RUBBER LINED ~' 3. EPOXY LINING ~' 5. GLASS LINING F 95. UNKNOWN446 DATE INSTALLED OR COATING ~' 2. ALKYD LINING ~' 4, PHENOLIC LINING X 6. UNLINED ~'99. OTHER (Check one item only) (For local use only) OTHER CORROSION PROTECTION IF APPLICABLE (Check one item only) 1-' 1. MANUFACTURED CATHODIC PROTECTION 1~ 2. SACRIFIClALANODE 447 X 3. FIBERGLASS REINFORCED PLASTIC ]'" 95. UNKNOWN 448 ~ 4. IMPRESSED CURRENT 1-' 99. OTHER SPILL AND OVERFILL YEAR INSTALLED 450 (Check all that apply) X 1. SPILL CONTAINMENT X2. DROP TUBE X 3. STRIKER PLATE DATEINSTALLED 449 (For local use only) TYPE (For local use only)451 IOVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 X 1. ALARM __X3. FILLTUBE SHUT OFF VALVE, __ ~ 2. BALL FLOAT [' 4. EXEMPT :.": ::~ ............ ~,~ !~ V~TANK L. EAK~DETECTON (Adescnptonofthemontonng:programshalbesubmttedtothelocalagenc ~ I .,:~,: ~==?====:,:,~; t~: · , ..... ~,, ~, ~. ~ Y' =' ::: : :::: IF SINGLE WALL TANK (Check all that apply): ]-' 1, VISUAL (EXPOSED PORTION ONLY) ~' 2, AUTOMATIC TANK GAUGING (ATG) ~' 3. CONTINUOUS ATG ~' 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING ]~ 5. MANUAL TANK GAUGING (MTG) 1~ 6. VADOSE ZONE ~' 7. GROUNDWATER 1-' 8. TANK TESTING ]~ 99. OTHER 453 IF DOUI3LE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 ]'~ 1. VISUAL (SINGLE WALL IN VAULT ONLY) X 2. CONTINUOUS INTERSTITIAL MONITORING ~' 3. MANUAL MONITORING V. TANK CLOSURE:iNFORMATioN /pERMANENT cLOsuRE IN PLACE r ' ' ': ~: ~ : :: "' ~ 455 ESTIMATED QUANTITY OF sUBsTANCE REMAINING 456 TANK FILLED WITH' INERT MA:r~Ri~L? 457 .gallons ~' Yes ~' No UP CF (1/99 revised) Formerly SWRCCB Form B TANKS IFIED PROGRAM CONSOLIDATED F UNDERGROUND STORAGE TANKS - TANK PAGE 2 UNDERGROUND PipiNG I ~OVEGROU.O PIP,NG SYSTEMTYPE X I PRESSURE ~ 2 SUC~ON ~ 3, G~ ~ 1. PRESSURE ~ 2. SUCTION CONSTRUCTION MANUFACTURE R MATERIALS AND CORROSION PROTECTION X 1. SINGLE WALL [" 3. LINED TRENCH F 99. OTHER [" 2. DOUBLE WALL [" 95. UNKNOWN MANUFACTURER 461 ['* 1.BARE STEEL ~' 6, FRP COMPATIBLE W/100% METHANOL [" 2. STAINLESS STEEL F 7. GALVANIZED STEEL r 3. PLASTIC COMPATIBLE W1TH CONTENTS [' 95. UNKNOWN X 4. FIBERGLASS r 8. FLEXIBLE (HDPE) ]"' 99. OTHER r 5. STEEL WI COATING r 9. CATHODIC PROTECTION ]-' 1. SINGLE WALL r 95. UNKNOWN ~' 2, OOUBLE WALL ~ 99. OTHER MANUFACTURER [" 1, BARE STEEL ]-' 6. FRP COMPATIBLE WI 100% METHANOL [" 2~ STAINLESS STEEL ]-' 7, GALVANIZED STEEL ]~ 3. PLASTIC COMPATIBLE WITH CONTENTS [' B, FLEXIBLE (HDPE) [" 4. FIBERGLASS [" 9. CATHODIC PROTECTION ]" 5. STEEL WI COATING ]-' 95. UNKNOWN F99. OTHER 4~2 465 UNDERGROUND PIPING SINGLE WALL PiPiNG 466 PRESSURIZED PIPING (Check ali that apl~y): X 1. ELECTRONIC LINE LEAK DE~ECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ]'~ 2, MONTHLY 0.2 GPH TEST X 3. ANNUAL INTEGRITY TEST(0,1 GPH) CONVENTIONAL SUCTION SYSTEMS: r 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0, I GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): r 7, SELF MONITORING GRAVITY FLOW: 1" 9. BIENNIAL iNTEGRITY TEST (01 GPH} SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check afl that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WiTH AUDIBLE.AND VISUAL ALARMS AND ...Check one) ' a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ]" b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION [" c. NO AUTO PUMP SHUT OFF F 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION [" 12. ANNUAL INTEGRITY TEST (01 GPH) SUCTION/GRAVITY SYSTEM: ~" 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Chec~ afl' that apply) ]-' 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL AL~S ~ 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) W1THOUT FLOW SHUT OFF OR RESTRICTION ]-' 16. ANNUAL INTEGRITYTEST(0,1 GPH) ]-' 17. DAILY VISUAL CHECK ABOVEGROUND PIPING SINGLE WALL PiPiNG 467 PRESSURIZED PiPiNG (Check all that apply): ]" 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION ,~ AUDIBLE AND VISUAL ALARMS F 2, MONTHLY 0.2 GPH TEST r 3. ANNUAL INTEGRtTYTEST (0.1 GPH) r 4, DALLY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check afl that apply): r 5, DALLY vISUAL MONITORING OF PIPING AND PUMPING SYSTEM r 6. TRIENNIAL INTEGRITY TEST/,0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PiPiNG): ~" 7. SELF MONITORING GRAVITY FLOW {'Chec~ all that apply): ~' B. DALLY VISUAL MONITORING ]'~ 9. BIENNIAL INTEGRITY TEST (O. 1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZEO PIPING (Check afl that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WI~ AUDIBLE AND VISUAL ALARMS AND (check one) ]-' a~ AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ' [" b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION [r~ c. NO AUTO PUMP SHUT OFF ~ 11_ AUTOMATIC LEAK DETECTOR [" 12. ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM: ~ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check e/I that apply) ]-' 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF 4- AUDIBLE AND VISUAL ALARMS [' 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ 16, ANNUAL INTEGRITY TEST (0.1 GPH) [-' 17, DALLY VISUAL CHECK DISPENSER CONTAINMENT r 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ~'~ 4. DAILY VISUAL CHECK DATE INSTALLED 468 [" 2, CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND V~SUAL ALARMS [' 5. TRENCH LINER i MONITORING _1998 X3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER ~ ,".'JD;~LE.",H-n ~-;S~^-L .^.5%~-,~S [C 6. NONE 469 I certify that the information provided here~ ~s true and accurate to the best of my knOWledge. ' ./Z. I .. .... 1012103 N/~IE OF OV~ERATOR (print) .... -- 471 TITLE OF OWNER/OPERATOR Bruce T. Marubashi for Shell Oil Products Permit Numbe~ (For local use only) 470 472 473 Permit Appeoved (For local use only) I Permit Analyst 925-766-3498 474 I Permit Expiration Date (For/oca/ use on/y,I 475 U ED PROGRAM CONSOLIDATED M UNDERGROUND STORAGE TANKS-TANK PAGE 1 TANKS (two pages per tank) Page ~ of '~ TYPE OF ACTION [` 1. NEW SITE PERMIT ]~ 4. AMENDED PERMIT [` 5. CHANGE OF INFORMATION) ~' 6. TEMPORARY SITE CLOSURE "Check one item only)X 2. OPERATOR CHANGE [` 7. PERMANENTLY CLOSED ON SITE ~' 3. RENEWAL PERMIT (Specify reason - for local use only) (Specify change - for local use only) [` 8. TAN~' K REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Busi .... As) 3 . Rosedale Shell #2 LOCATION WITHIN SITE (Optional)431 3605 Rosedale Hwy, Bakersfield, CA 93308 TANK ID # TANK MANUFACTURER 433 COMPARTMENTALIZED TANK [` Yes X No 434 135069 - Plus OWENS CORNING if AYes_--, complete one page for each compartment. 436 437 DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 1987 10,000 ADDITIONAL DESCRIPTION (For local use only) 438 NUMBER OF COMPARTMENTS ONE ' " i1: TANK cONTENTS ' ' TANK USE 439 PETROLEUM TYPE 440 X 1. MOTOR VEHICLE FUEL ]-' la. REGULAR UNLEADED ~' 2. LEADED ~' 5. JET FUEL (If marked, complete Petroleum Type) ~' lb. PREMIUM UNLEADED [` 3. DIESEL [` 6. AVIATION FUEL ]-' 2. NON-FUEL PETROLEUM X lc. MIDGRADE UNLEADED ~' 4. GASOHOL ]-' 99. OTHER ~-' 3. CHEMICAL PRODUC'I: COMMON NAME from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory page) 442 ~' 4. HAZARDOUS WASTE (Includes Used Oil) ~' 95. UNKNOWN ,:.,.., ' , ,`. :, ,., ;- III. TANK CONSTRUCTION -' ~:. ';' TYPE 0F YANK [` 1. SINGLE WALL ["' 3. SINGLE WALL WITH (Check one item only) X 2. DOUBLE WALL EXTERIOR MEMBRANE LINER ~' 4. SINGLE WALL IN A VAULT 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 95. UNKNOWN 99. OTHER TANK MATERIAL - primary tank (Check one item only) F 1. BARE STEEL [` 2. STAINLESS STEEL X 3. FIBERGLASS / PLASTIC ~' 5. CONCRETE [` 95. UNKNOVYN 444 ~-'4. STEEL CLAD W/FIBERGLASS [` 8. FRP COMPATIBLE W/100% METHANOL ~r~99. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL - secondary ~ 1. BARESTEEL X3. FIBERGLASS/PLASTIC ]r~ 8. FRPCOMPATIBLEW/100%METHANOL ['95. UNKNOWN 445 tank [` 2. STAINLESS STEEL F 4. STEEL CLAD W/FiBERGLASS ~' 9. FRP NON-CORRODIBLE JACKET 1? 99. OTHER REINFORCED PLASTIC (FRP) ~' 10. COATED STEEL ~F' 5. CONCRETE (Check one item only) TANK INTERIOR LINING [` 1. RUBBER LINED [` 3. EPOXY LINING ~' 5. GLASS LINING F 95. UNKNOWN446 DATE INSTALLED OR COATING [` 2. ALKYD LINING [` 4. PHENOLIC LINING X 6. UNLINED 1~ 99. OTHER (Check one item only) (For local use only) 447 OTHER CORROSION PROTECTION IF APPLICABLE (Check one item only) [" 1. MANUFACTURED CATHODIC PROTECTION [' 2. SACRIFICIAL ANODE X 3. FIBERGLASS REtNFORCED PLASTIC F95. UNKNOWN 448 ~ 4. IMPRESSED CURRENT [` 99. OTHER DATE INSTALLED 449 (For local use only) SPILL AND OVERFILL YEAR INSTALLED 45O (Check all that apply) X 1. SPILL CONTAINMENT X 2. DROP TUBE X 3. STRIKER PLATE TYPE (For local use only)451 IOVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 X 1. ALARM X 3. FILL TUBE SHUT OFF VALVE ~ 2. BALL FLOAT [` 4. EXEMPT IF SINGLE WALL TANK (Check all that apply): ~' 1, VISUAL (EXPOSED PORTION ONLY) ~'~ 2. AUTOMATIC TANK GAUGING (ATG) ]~ 3. CONTINUOUS ATG ~' 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING [~ 5. MANUAL TANK GAUGING (MTG) F 6. VADOSE ZONE [' 7. GROUNDWATER ]~ 8. TANK TESTING ]-' 99. OTHER 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 [` 1. VISUAL (SINGLE WALL IN VAULT ONLY) X 2. CONTINUOUS INTERSTITIAL MONITORING [` 3. MANUAL MONITORING ESTIMATED DA-:f~ ~T' ~SEE~ {YpJMo/DAY) 455 E~:TiMA~-ED QUANTITY 0f SUBSTANCE REMAINING 456 TANK ~it. LED WiTH INERT MATERIAL~ j .gallons ~' Yes ]-' No UP CF (1/99 revised) Formerly SWRCCB Form B UNDERGROUND STORAGE TANKS - TANK PAGE 2 UNDERGROUND PIPING I ABOVEGROUND PiPiNG SYSTEM TYPE X 1. PRESSURE ~" 2. SUCTION [" 3, GRAVITY F 1. PRESSURE ir-' 2, SUCTION [" 3. GR~.VITY 459 CONSTRUCTION MANUFACTURE R MATERIALS AND CORROSION PROTECTION X 1. SINGLE WALL [" 3. LINED TRENCH [" 99 OTHER ~r' 2. DOUBLE WALL ["95~ UNKNOWN MANUFACTURER 461 [" 1.BARE STEEL [-' 6, FRP COMPATIBLE W/100% METHANOL F' 2. STAINLESS STEEL F 7. GALVANIZED STEEL ]-' 3 PLASTIC COMPATIBLE WITH CONTENTS ~ 95. UNKNOWN X 4. FIBERGLASS 1"' 8. FLEXIBLE (HDPE) ]~ 99. OTHER SINGLE WALL [" 9.5~ UNKNOWN 462 DOUBLE WALL ~-' 9g. OTHER MANUFACTURER 463 1[-` t, BARE STEEL ~'~ 6. FRP COMPATIBLE WI 100% METHANOL 1~ 2~ STAINLESS STEEl. [" 7~ GALVANIZED STEEL ]~ 3. PLASTIC COMPATIBLE WITH CONTENTS ]-' B~ FLEXIBLE (HOPE) ~ 4. FIBERGLASS [" 9, CATHODIC PROTECTION [" 99. OTHER STEEL W~ COATING ~ 9, CATHODIC PROTECTION 464 ]~ 5. STEEL W/COATING 1r'' 95. UNKNOWN UNDERGROUND PIPING SINGLE WALL PIPING 466 PRESSURIZED PIPING (Check ail that apply): X 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST W1TH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE. AND SYSTEM DISCONNECTION * AUDIBLE AND VISUAL ALARMS [" 2, MONTHLY0.2GPHTEST X 3. ANNUAL INTEGRITY TEST(0~I GPH) CONVENTIONAL SUCTION SYSTEMS: [~ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM +TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 1-' 7. SELF MONITORING GRAVITY FLOW; [" 9. BIENNIAL INTEGRITY TEST (O1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check a~ that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WTTH AUDIBLE AND VISUAL ALARMS AND (Check one) ]-' a. AUTO PUMP SHUT OFF WHI::N A LEAK OCCURS ]-' b~ AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION [" c, NO AUTO PUMP SHUT OFF ~" 11~ AUTOMATIC LINE LEAK DETECTOR (3..0 GPH TESTJ WITH FLOW SHUT OFF OR RESTRICTION }'~ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: [~ 13~ CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (~ at/that apply) 1-' 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS [" 15, AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST) WITHOUT FLOWSHUT OFF OR RESTRICTION F 16. ANNUAL INTEGRITY TEST (0.1 GPH) [~ 17. DAILY VISUAL CHECK I ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check afl that apply): ~' 1. ELECTRONIC LiNE LEAK DETECTOR 3.0 GPH TEST WiTH AUTO PUMP SHUT OFF FOR LEAK~ SYSTEM FAILURE. AND SYSTEM DISCONNECTION ~- AUDIBLE AND VISUAL ALARMS ]-' Z MONTHLY 0.2 GPH TEST ]~ 3. ANNUAL INTEGRITYTEST (o.1 GPH) ]" 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check att that apply): ]" 5. DALLY VISUAL MONITORING OF PIPINGAND PUMPING SYSTEM ir" 6~ TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PiPiNG); [" 7. SELF MONITORING GRAVITY FLOW (Check all that apply)~ ]"' 8. DAILY VISUAL MONITORING [' 9. BIENNIAL INTEGRITY TEST (O. 1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check ail that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WiTH AUDIBLE AND VISUAL ALARMS AND (check one} iF' a~ AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [" b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION 1-' c. NO AUTO PUMP SHUT OFF [' 11. AUTOMATIC LEAK DETECTOR 1~ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAViTY SYSTEM: ~ 13~ CONTINUOUS SUMP SENSOR *- AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check e//that apply) ][" 14. CONTINUOUS SUMP SENSOR WiTHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS [' 15. AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST) [" 16. ANNUAL INTEGRITY TEST (0,1 GPH) [' 17. DAILY VISUAL CHECK DISPENSER CONTAINMENT [~ I. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ['~ 4 DALLY VISUAL CHECK DATE iNSTALLED 468 1~ 2, CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS [-' 5~ TRENCH LINER I MONITORING _1998 X 3, CONTINUOUS DISPENSER PAN SENSOR WiTH AUTO SHUT OFF FOR DISPENSER ~ .'¥.JD~LE .,~.,~.,_n %;S~.~.L .~j..~..%..S [- 6. NONE 469 '" '. i ::JX.:/~INI~:RIopF:RA'r~'IR RII'I. NATIIRi: - that ~e inflation ~ ~ ~ ~e ~d ~r~e to ~e best of 'my ~l~ge~ SIGNA~RE OF~E~OPE~R ~ / ~ OA~ OF O~~TOR (~nt) - r - - " 471 TI~E OF ~P~TOR B~ce T. Ma~bashi for Shell Oil Products Pe~it Anal~t 925-766-~98 470 472 Permit Number (For ~ use only) 473 Permit Approved (For local use only) 4741 Pe~mitExp~at'~nDate(Forlocaluseon~y)475 jl October ' ~, 2003 Steve Underw6od Bakersfield Fire Dept - Environmental Services P.O. Box 2057 Bakersfield, Ca 93303-2057 Shell Oil Products US Northwest Region 3468 Claremont Avenue Modesto, CA 95350 Operator Change- Revised HMBP State UST Form A & B's Enclosed is an updated HMBP and State Form A & B's for the change of Business Owner/Operator and/or information at the Shell 'branded facility within your jurisdiction. Shell Oil Products will be responsible for the payment of annual operating permits, continue sending invoices my office at 3468 Claremont Ave., Modesto, CA 95350. If there are any questions or problems, I can be reached at 925-766~3498, fax 209-577-5964 or btmarubashi@shellopus.com. Sincerely, Bruce T. Marubashi H,S&E Permit Analyst Northwest Region Attachment cc: File Form A dlr/ag Shell .doc Systems, Inc. 680 Quinn Avenue San Jose, CA 95112 (408) 971-2445 (408) 971-0135 fax September 11, 2003 RE: SB989 Secondary Containment Testing Bakersfield Fire Department 2130 "G" Street Bakersfield, CA 93301 805-326-3979 Dear: UST Inspector, Please find the secondary containment testing results for Shell #135069 located at 3605 Rosedale Highway, Bakersfield, CA 93308. If any of the secondary containment components failed or were not tested at this facility, repairs will be made within 30 to 120 days. Components Tested I Manufacturer Date Tested Test Performed Pass / Fail Tank Turbine Sump-87 ] American 8/12/03 Hydrostatic Pass Tank #1 Containment Tank Turbine Sump-87 American 8/12/03 Hydrostatic Pass Tank #2 Containment Tank Turbine Sump-91 American 8/12/03 Hydrostatic Pass Containment Tank Fill Bucket-87 EBW 8/12/03 Hydrostatic Pass Tank #l Tank Fill Bucket-87 EBW 8/12/03 Hydrostatic Pass Tank #2 Tank Fill Bucket-91 EBW 8/12/03 Hydrostatic Pass Tank Vapor Bucket-87 Tank # 1 Tank Vapor Bucket-87 EBW 8/12/03 Hydrostatic Pass Tank #2 .Tank Vapor 13ucket-91 ! EBW 8/12/03 Hydrostatic Pass Tanks Annular-All Unknown N/A N/A N/A WET Annulars Secondary Product Line Ameron 8/12/03 Nitrogen psi * Containment-87 Syphon/Manifold Dispenser l&2 Western 8/12/03 Hydrostatic Pass Fiberglass Dispenser 3&4 Western 8/12/03 Hydrostatic Pass Fiberglass Dispenser 5 &6 Western 8/12/03 Hydrostatic Pass Fiberglass Dispenser 7&8 Western 8/12/03 Hydrostatic Pass Fiberglass If you have any questions regarding this submittal, please contact Mark Able at (408) 971-2445. Sincerely, Susann Rymer CC: Tim Woodson - Shell Oil Products U.S. EQUIVA Services LLC Site Test Log Form Testing Contractor: Service Station Systems, inc. Containment Sumps Site #: Address: City: She11#135069 3605 Rosedale Highway Bakersfield, CA 93308 Technician: Richard Ivaldi Date: 8/12/03 Tank (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) 87 American Containment Tank 1 Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 7:19 am / 7:31 am Pass Start Level: 10.39911 End Level: 10.39960 Tank (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) 8.._~7 American Containment Tank 2 Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 7:19 am / 7:31 am Pass Start Level: 9.85841 End Level: 9.85942 Page 1 of 2 3605 Rosedale Highway Containment Sumps Tank (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) 91 American Containment Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 7:44 am / 7:56 am Pass Start Level: 10.61376 End Level: 10.61321 Page 2 of 2 3605 Rosedale Highway Containment Sumps EQUIVA Services LLC Site Test Log Form Testing Contractor: Service Station Systems, Inc. Fill / Vapor Buckets or Containment Sumps Site #: Address: City: She11#135069 3605 Rosedale Highway Bakersfield, CA 93308 Technician: Richard Ivaldi Date: 8/12/03 Tank (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) 87' EBW 15 gallon Fill Bucket Tank #1 EBW 5 gallon Vapor Bucket Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 8:32 am /8:44 am Pass Start Level Fill: 8.41754 End Level Fill: 8.41754 8:23 am / 8:39 am Pass Start Level Vapor: 11.09368 End Level Vapor: 11.09278 Page 1 of 3 3605 Rosedale Highway fill & vapor containment Fill ! Vapor Buckets or Containment Sumps T~chnician: Richard Ivaldi Date: 8/12/03 Tank (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) 87' EBW 15 ,qallon Fill Bucket Tank #2 EBW 5 gallon Vapor Bucket Test Time (HH:MM) Test Results Stad/Finish Pass / Fail Test Notes 9:21 am / 9:33 am Pass Start Level Fill: 8.15085 End Level Fill: 8.15245 9:39 am / 9:51 am Pass Start Level Vapor: 11.30478 End Level Vapor: 11.30478 Page 2 of 3 3605 Rosedate Highway fill & vapor containment Fill / Vapor Buckets or Containment Sumps Technician: Richard Ivaldi Date: 8/12/03 Tank (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) 91 EBW 15 gallon Fill Bucket EBW 5 gallon Vapor Bucket ~Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 9:44 am / 9:56 am Pass Start Level Fill: 8.41683 End Level Fill: 8.41683 9:10 am / 9:22 am Pass Start Level Vapor: 11.38958 End Level Vapor: 11.38949 Page 3 of 3 3605 Rosedale Highway fill & vapor containment EQUIVA Services LLC Site Test Log Form Testing Contractor: Service Station Systems, Inc. Tanks (Annular Testing) Site #: Address: City: Shell #135069 3605 Rosedale Highway Bakersfield, CA 93308 Technician: Richard Ivaldi Date: 8/12/03 Tank Type (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) , 87 Wet Tank #1 H-Test Time (HH:MM) H-Test hydrostatic (in/wcl) H-Test V-Test Time (HH:MM) V-Test Vac (In-H20) V-Test Start ! Finish Start / Finish Pass / Fail Start / Finish Start / Finish Pass / Fail / / N/A / / / / / / / / / / / / / Tank Type (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) ~!" 87 Wet Tank #2 H-Test Time (HH:MM) H-Test hydrostatic (in/wcl) H-Test V-Test Time (HH:MM) V-Test Vac(In-H20) V-Test Start / Finish Start / Finish Pass / Fail Start / Finish Start / Finish Pass / Fail / N/A / / / / / . ; / / / / ~ / / / / Page 1 of 2 3605 Rosedale HighwayTanks Tank Type (Grade) Description (Manufacturer, Specs) Condition (Repair Notes) .. * 91 Wet H-Test Time (HH:MM) H-Test hydrostatic (in/wcl) H-Test V-Test Time (HH:MM) V-Test Vac (In-H20) V-Test Start / Finish Start / Finish Pass / Fail Start / Finish Start / Finish Pass/'Fail Page 2 of 2 3605 Rosedale HighwayTanks EQUIVA Services LLC Site Test Log Form Testing Contractor: Service Station systems, Inc. Product Line Secondary Containment Testing Site #: Shell #135069 Address: 3605 Rosedale Highway City: Bakersfield, CA 93308 Technician: Richard Ivaldi Date: 8/12/03 Line Type (Grade) Description(Manufacturer, Specs) Condition (Repair Notes) 87 Ameron Pipe *Repairs Needed. Syphon/Manifold P-Test Time (HH:MM) P-Test Pressure (PSI) P-Test Start / Finish Start / Finish Pass / Fail 8:00 am / 9:00 am 5psi/3psi * Page 1 of 1 3605 Rosedale Highway Lines EQUIVA Services LLC Site Test Log Form Testing Contractor: Service Station Systems, Inc. Under Dispenser Containment Site #: Address: City: Shell #135069 3605 Rosedale Highway Bakersfield, CA 93308 Technician: Richard Ivaldi Date: 8/12/03 Under Dispenser (#) Description (Manufacturer, Specs) Condition (Repair Notes) 1&2 Western Fiberglass . Shallow Pan Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 11:51 am / 12:03 pm Pass Start Level: 13.02249 End Level: 13.02151 Under Dispenser (#) Description (Manufacturer, Specs) Condition' (Repair Notes) '" ' 3&4. Western Fiberglass Shallow Pan Test Time (HH:MM) Test Results .. Start / Finish Pass / Fail Test Notes 11:42 am / 11:54 am Pass Start Level: 13.02021 End Level: 13.01973 Page 1 of 2 - 3605 Rosedafe Highway Dispenser Containment Under Dispenser (#) Description (Manufacturer, Specs) Condition (Repair Notes)' 5&6 Western Fiberglass Shallow Pan Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 10:54 am / 11:00 am Pass Start Level: 13.93100 End Level: 13.93025 Under Dispenser (#) Description (Manufacturer, Specs) Condition (Repair Notes) 7&8 Western Fiberglass Shallow Pan Test Time (HH:MM) Test Results Start / Finish Pass / Fail Test Notes 10:49 am / 11:01 am Pass Start Level: 14.12769 End Level: 14.12631 Page 2 of 2 3605 Rosedale Highway Dispenser Containment' . Sec°ndary Containr nt Test Panel Test Parameters Test Status Function Menu ' ~2"--~1' ......... ~ 3605 Rosedale Hwy ~ . Change ~$~:~ f , , , ~ Bakersfield, Ca 93308 . ~.. ~:~0'~'0~'~::'--~-'~'''~ ~ ]~ Save Return ? Product ............ ~: ~ I87 Piping Sump Tank $2 [ Test Results ~ T"~e--SF , 9.8587- , ' fTank Sump Turbine [ 9.8586-j.~f~5i=~-rd~:~:~-~2~21+H--~-.t.-~+¢· Test Sta~ Time 9.8584-, ................. ~_~ ; ITue, Aug 12, 2003 7:10 AU [ Test End Time ~ 9.85~--'-'::-~:---:--~'-~:-, --~: ~ Tue, Aug 12, 2003 7:31 AM e ~ Length (min) Limit (in) ~ ~~ ~ = 9.8579 - -F~:~:~+~ i Test Result g.8577-~F~~rFF~ est passed, g,8576- ~[ 9.8573-':-~ ~ 07:19:38 AM 07:24:00 AM 07:27:00 AM 07:31:38 : 08/12/2003 08/12/2003 08/12/2003 08/12/2003 ~ ' Test Time Secondary Containnlnt Test Panel Test Parameters Test Status Function Menu ~T t-es Site ......... Status : Change JSa¥ing...; , i ................ ~'/ , Restart i 3605 Rosedale Uwy i~)0 ~': ~ ....... .... : i Bakersfield, Ca 93308 I 'jl~ ~9 Save Return i 'ProdUct ! ..... ~,,~:, ~ .... ~-, ' i ]87 Tank #1 E'BW 5 Gal Vapor [ .~Tes~Resu!t~S ................................................ ~Type ~.o94o- , ......................... [ JTank Sump Fill ' 11,0945-~~~}~ ~ Test Sta~ Time ~:=~-~-~-,-~-~-~-~--~--~-~-=~-~=--~-~--,-~---~ } Tue, Aug 12, 2003 8:27AM" ~ 11.0943-~?~~-[-;:~2~:~ --~-- F~ ~-- ~i- 'T-'?- T-i--i Length (min) Limit (in) ~ 11.0940- ~=~:x~:~ ~ 12J' ~ Jo.o'o2o ' ~" ,1.0939- Test ReSult , Test passed. ~ ; 11.0935 ...... ~ ........ ; 08:27:45 AM 08:30:00 AM 08:33:00 AM 08:36:00 AM 08:39:45 ~ 08/12/2003 08/12/2003 08/12/2003 08/12/2003 08/12/2003 ~; Test Time Secondary Containn nt Test Panel Test Parameters Test Site Shell 135069 13605 Rosedale Hwy Product .187 Tank #1 EBW 15 Gal Fill Bucket Type prank Sump Fill Test Start Time .Tue, Aug 12, 2003 8:32 AM .~ Test End Time t.Tue, Aug 12, 2003 8:44 AM J Length (min) Limit (in) 112 i i® Test Result ~Testpassed. Comments Test Status JO.O0000 Test Results Function Menu Restart ~ Save Return 08:32:06 AM 08:36:00 AM 08:39:00 AM 08:42:~)0 AM 08:44:06 AM 08/12/2003 08/12/2003 08/12/2003 08/12/2003 08/12/2003 Test Time Secondary Containn~.~ t Test Panel Test Parameters Test Status Test Site Shell 135069 13605 Rosedale Hwy J. Bakersfield, Ca 93308 Product Status jsaVing..] change 'i ~87 Tank #1 Type .Tank Sump Turbine Test Start Time J!Ue, Aug 12,.2003 7:19 AM Test End Time ITue, Aug 12, 2003 7:31 AM Length (min) Limit (in) J~2 i 1o.oo2o Test Result JTest passed. Comments Function Menu jRestart AbL.~ Save ' Test Results Return 10.3993- ~, l Ti-t] ~Tri-~-F-VT]-T F77 i-WU-13-i-'~-i-~-i-r-~!~L~ ' i~--i~i--i-i-i--l- _._._.__.._____.___._..____._,__._.__.__________________-FF i~ FVT-T'q-f-VFF r-i-- 10.3985- r 07:19:22 AM 07:24:00 AM 07:27:00 AM 07:31:22 AM 08/12/2003 08/12/2003 08/12/2003 0811212003 Test Time Secondary Containn~,nt Test Panel Test Parameters Test Status Function Menu 3605 Rosedale Hwy Bakersfield, Ca 93308 Product /87 Tank #2 EBW 15 Coal Fill Bucket Type JTank Sump Fill Test Start Time ..Tue,.Aug 12, 2003 9:21 AM Test End Time ITue, Aug 12, 2003 9:33 AM Length (min) Limit (in) J_~2 1' lo.oo~o Test Result ]Test passed. Comments Pass/Fail Test Results __ [~H-~ -~-~-r-rT-~ .~ 8.1498- J~~:~-~-l-~.L~:+--~T~ 8.1492-1~~ ~ Tm -=-:i-i-F~ ~ ......... i i--F-- ~ ...................... ~ ............. ~_. 8.149_4~. _, 09:21:31 AU 09:24:00 AM 09:27:~0 AM 09:30:00 AM 09:33:31 AM Test Time Secondary ContainnlBnt Test Panel Test Parameters Test Site Shell 135069 13605 Rosedale Hwy JBakersfield, Ca 93308 Product 187Tank t/2 EBW 5 Gal Vapor Bucket Type .Tank Sump Fill Test Start Time ~Tue, Aug 12, 2003 9:39 AM Test End Time JTue, Aug 12, 2003 9:51 AM Length (min) Limit (in) J~2 l' Jo.oo2o Test Result JTest passed. Comments Test Status Status j~i'~']. Pass/Fail jo;ooooo · _Tes~t,R_esu~ts 11.3055- i 11.3054- · ~ 11.3052- -J 11.3051- I~ 11.3050- 11.3049- 11.3048- 11.3047- Function Menu Save . Return 09:39:17 AM 09:42:00 AM 09:45:00 AM 09:48:00 AM 09:51:17 AM 08/12/2003 08/12/2003 08/12/2003 08/12/2003 08/12/2003 Test Time Secondary ContainnlBnt Test Panel Test Parameters Test Site Shell 135069 3605 Rosedale Hwy Bakersfield, Ca 93308 Product Test Status f status ..........~-- ................. I; r ........ ~ ass/Fail P JSaving':' ,! ............. T Change '! PAS~>j 91 EBW 5 Gal Vapor Bucket Type ITank Sump Fill Test Start Time .Tue, Aug 12, 2003 9:10 AM Test End Time ue, Aug 12, 9:22 AM 2003 Length (min) Limit (in) ,[~2 F 1o.oo2o Test Result [Test passed. Comments Function Menu Restart Abort l Save Return Test Results 11.3899- ~ ~ ~ I!rlrl I~l iii ~ r r ll ~ ,~j .3896- kjz~_~}zki~:kNj~!~~z~¢ ~']"-~~5~j -F-T5 15-i-i7]--f~-'"~' ~%--r-i--7-i-f%-~-l%~-T-Fi--l-15 F-%T'--~ I ;~Fim il ~-i-i-l-i FT-Ciq-Ci-Fi-i-i~-CCf'STi~i-i'l-i-Ci-i-Ci-F~i~-i-]q 09:22:54 AM 08/12/2003. 11.3891- 09:10:54 AM 09:15:00 AM 09:18:00 AM 08/12/2003 08/12/2003 08/12/2003 Test Time SecOndary Containrr t Test Parameters i Test Site Shell 135069 3605 Rosedale Hwy Bakersfield, Ca 93308 prO~Uct i 91 EBW 15 Gal Fill Bucket i Type JTank Sump Fill Test Start Time ,[Tue,, Aug 12, 2003 9:44 AM Test End Time -ITue, Aug 12, 2003 9:56 AM Length (m/n) Limit (in) Test Result Comments Test Panel Test Status Status ~i~g. lil ...... Pass/Fai! Function Menu -Change , i PAS~'., IRestart ' ~ 8.41( · -J 8.4168- 8.4167- ................. _ ..................... ~-:_- ........... 09:44:35 AM · 08/12/2003 09:48:00 AIV 09:51:00AM 09:54:00 AM 09:56:35 AM 08/12/2003 08/12/2003 08/12/2003 08/12/2003' Test Time Secondary contai:n t Test Parameters Test Site i Shell 135069 13605 Rosedale Hwy ]Bakersfield Ca 93308 Product 191 ~ Type ~Tank Sump Turbine Test Start Time ?ue, Aug 12, 2003 7:44 AM Test End Time JTue, Aug 12, 2003 7:56 AM i Len. gt~h (min) _ ~ ~2 Test Result .Test passed. Limit (in) 0.0020 Comments" Test Panel Test Status Test ReSults Function Menu ISave __~l IL!_i JJ [X_~J_.LLL!_!_LL_U I ~LL~ I_LLLJ_LLLU LLU ~q%~ f F 07:48:00 AM 07:51:00 AM 07:56:00 AM 08/12/2003 08/12/2003 08/12/2003 Test Time 07:44:00 AM 08/12~2003 SecOndary Contain .nlBnt Test Panel Test Parameters Test Status Function Menu !- 'Te-St~$i~e ~ ! ~'stat~s ...... i ........ I ' :J ........... I Pass/Fail Rt Abort ~ IShell 135069 [' Saving i 3605 Rosedale Hwy change` ; PAsS!f { Bakersfield, Ca 93308 i~"R~an' ........ ~ ' r ' '~'~'~ ' i Save Return ~ JWeStern Fiberglass Shallow Pans "J Test Results ~ Type 13.0242-~~1~ ~~F~F~)~ ~ Test Sta~ Time 13.0238- 2[:r~t~:~j_,:~z~r-i_SJjJr~<chH~_5-j-u~_,j " ......... T'ue, Aug 12, 2003 11:51 AM [ 13.0236-[J;._j_~2~.~-'-'-'~-~ [ Test End Time- ,,,~,,,,,,,~,,, .................... ,,,'~ ..... ~',,,. } Test Result ';~ r -7_~-, ~;i~ r~- [~-i-~-i-i-~-[-[-i~[-~-~-i-[-"i-[-i-i~-J-~-~'-[-~-[-~-~-[-~ ~ Comments 13,0226- F: ,- ,- ,--~ij~]~i~zH~z~/~c~k-~jz ; ~ 1~.0224_~ I I ~ I I I I I I I I ~ I ~ } I I I ~ I I I I I I I I I I I I I ~ I I I I I I I I I I I I 11:51:14 AM 11:54: 0AM 11:57:00 AM 12:00:00 PM 12:03H4 PM i ~ ~ 08/12/2003 08/12/2003 08/12/2003 08/12/2003 08/12/2003' Test Time ! Secondary Containni nt Test Panel Test Parameters Test Status Function Menu ~-' Test Site { Status i Pass/Fail i IRestart] ~ i Shell 135069 JSaving .... ' 3605 Rosedale .wy change ~ Bakersfield, Ca 93308 10.00048 ~ Save Return I t ~ Product ....J:, :~, .......... i jweStern Fiberglass Shallow Pans I Test Results "Type 13.0208-_L~2J_LLL! ~ L. LLNJ ~_LLLU Test Sta~ Time ~ 'T-~-FF~FF~-~'~ ITue, Aug 12, 2003 11:42 AM ,,~, ~, ~,, FF,-FFF-i'i-iTYFFi-Fi'-i-i ]-F]-~iTFi--F'W-~-i-F]--~ i-F'F Length (min) Limit (in) ~ .12 ]0.0020 J ~ ,~, n T-nTrrr~m~ Test Result -r'i~Tr~'-~-~-~ r-F-"-;'-'~'--'~x;q~i-qq--~i-WJ-~Ti-7]-i'-: FrTi'-'i'-i-Fj .... Comments · i_l.~[i ~I I Ii III I1~ Ill i 13.0202-, .... I, ,ill iii I1[ I!l [11 Iii III Ill Ill III III [11 III I1[ ~ ' 11:42:53 AMl1:45:00 AM 11:48:00 AM 11:51:00 AM 11:54:53 AM i : ] 08/12/2003 08/12/2003 08/12/2003 08/12/2003 08/12/2003, , i Test Time Secondary Contain nt Test Panel Test Parameters Test Site t Shell 135069 , 3605 Rosedale Hwy Bakersfield, Ca 93308 Product JWestern Fiberglass Shallow Pans r Type JDispen'ser 5a6 Test Start Time _Tue, Aug 12, 2003 10:54 AM ]' Test End Time JT~e, Aug 12,2003 11:06 AM Length (min) Limit (in) Test Result ]Test passed. Comments Test Status Change Function Menu Pass/Fail Test Results ISave . Return 13.9320- r 13.9318- 13.9317- 13.9316- 13.9315- 13.9314- 13.9313- 13.9312- 13.9311- 13.9310- 13.9309- 10:54:39 AM 10:57:00 AM 11:00:00 AM 11:03:00 AM 11:06:39 AM 0811212003 0811212003 0811212003 0811212003 0811212003 Test Time ,Secondary containn t Test Panel Test Parameters ~ Test Status Function Menu Test Site Shell 135069 3605 Rosedale Hwy Bakersfield, Ca 93308 prOd,~t · JWeste,:rn Fiberglass Shallow Pans Type , JD!sp_enser 7&8 Test Start Time '!Tue, Aug 12, 2003_ !0:49 AM Test End Time ITue, Aug 12, 2003 11:01 AM Length (min) I12 Limit (in)' ,II5.0020 TeSt ReSUlt lTest passed. Comments Status : ' ' ' Il ;i~avin~:-j:~-z'- pass/Fail [Restart], i]1 ~ ~' : ~-"' 'Save .0.00_38 Return Test Results 14.1294- ! q'-J ...... ~ -'3 -j ............ ; ...................... W'~ ................ ]-i-~E~ .......... --~i-i-~i-~7-i-i--i-T-i7~ ..... ~-f Ci- i-i-WFF Wi% 7-%7i Ti ~14.1282- 5~-H.+T~+H-j~-~~:~+~-I-HH-HH-H-~-~ 10:49:45 AM 10:54:00 AM 10:57:00 AM 11:01:45 AM 0811212003 '0811212003 08/12/2003 0811212003' Test Time 04/18/200~ FRI 1¢:81 F~ [5:5~ BKSFL'n FIRE ~002/002 CITY OF BA_K~RSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-5979 · APPLICATION TO PERFORM A TANK TIGHTNESS IEST/ SECONDARY CONTAINMENT TES~G~CER TESTING I P~ ~ OP~ ~ ~ OF T~S ~ BE ~~ IS P~O ~O TO B~ ~~ TANK # VOLUME CONTEhTTS California Regional Water Quality Control Board Central Valley Region Winston H. Hickox Secretary.~br Environmental Protection Fresno Brancli Office Internet Address: http://www.swrcb.ca.gov/~rwqcb5 Gray Davis 1685 E Street, Fresno, California 93706-2020 Governor Phone (559) 445-5116 · FAX (559) 445-5910 25 July 2003 -Regional Board Case No. 5T15000887 Mr. Tony Patagyi , 'Shell Oil Products U.S. ---2.2:55-Nort. h ,Ont~io~Sti, eet-~ ..................................... ~-~ ......... : Burbank, California 91504 UNDERGROUND TANK RELEASE, SHELL SERVICE STATION, 3605 ROSEDALE HIGHWAY, BAKERSFIELD, KERN COUNTY You submitted Second Quarter 2003 Groundwater Monitoring Report (Monitoring Report) dated 15 July 2003 and prepared by KMH Efivironmental Management, Inc. (KHM). The Monitoring Report documents a monitoring event at the above-referenced site on 18 June 2003. In a letter dated 17 June 2003, the Bakersfield Fire Department referred thesubject case to our agency for regulatory oversight. It. also provided us with information indicating that gasoline range hydrocarbons, and the fuel oxygenates methyl tertiary butyl ether (MTBE) and tertiary butyl alcohol (TBA) leaked at the subject.site degrading soil and groundwater. We requested that you submit a work plan to identify the source of leakage, abate the leakage, and determine the extent of impacted soil by our letter dated 3 July 2003. We also requested that you conduct quarterly groundwater monitoring. Gasoline range hydrocarbons and MTBE continue to be detected in groundwater beneath the site. Quarterly groundwater monitoring should continue with an expanded analytical program. A summary of the Monitoring Report and our comments follow. Monitoring Report Summary Blaine Tech Services, Inc., San Jose (Blaine Tech) collected groundwater samples from the monitoring wells on 26 March 2003. Blaine Tech measured depth to groundwater from approximately 40 to 41 feet below ground surface (bgs). KHM determined groundwater flow to be toward the southwest with a water table slope of 0.0083 feet per foot. The samples were analyzed for total petroleum hydrocarbons as gasoline (TPH-g), benzene, toluene, ethylbenzene, and xylenes (BTEX), MTBE, TBA, di-isopropyl ether (DIPE), ethyl tertiary butyl ether (ETBE), and tertiary amyl methyl ether (TAME) by EPA Method 8260B. TPH-g and MTBE were each detected in MW-1 at 2,200 micrograms per liter (~tg/L). No other analytes were detected. During the 26 March 2003 monitoring event, TPH-g was detected in MW-1 and MW-3 at 2,800 and 330 ~tg/L, respectively and MTBE was detected in these wells at 2,800 and 310 gg/L, respectively. TBA was detected in MW-1 and MW-3 at 470 and 53 fig/L, respectively 'during the 26 March 2003 event. California Environmental Protection Agency Recycled Paper Mr. Tony Palagyi - 2 - 25 July 2003 Comments KHM conducted a voluntary groundw .ater assessment program (GRASP) investigation on behalf of Shell Oil 'Products U.S. due to proximity of public water supply wells. KHM's field reconnaissance indicates that the nearest water well to the site is City of Bakersfield well CBKF-102-01, approximately 1,700 feet to the south. The results of the investigation are presented in KHM's GRASP Site Assessment Report dated 22 April 2003. A release from the UST system has contaminated soil and degraded groundwater quality beneath the site. Analytical data suggest that a vapor release may have occurred since detected ' gasoline constituents are limited to the fuel oxygenates MTBE and TBA. The site is underlain by a transmissive aquifer used for municipal water supply. By our letter dated 3 July 2003, we requested that you submit a work plan to identify and abate the source of the release and to investigate the extent of impacted soil and groundwater. We remind you that the work plan. is to be submitted by 6 October 2003. We also requested that you conduct quarterly groundwater monitoring be~inni~n .g_ with the third 'quarrer~2003: Quarterly groundwater monitoring should continue. Please submit the third quarter 2003 mohitoring report by 3 November 2003. During the third and fourth quarter 2003, we request that you expand the current groundwater sample analysis program to confirm constituents of concern (COCs). Samples should also be analyzed for'the analytes usually reported in a full 'EPA 8260 analysis (approximately 63 to 67 analytes), including the five fuel oxygenates and the lead scavengers 1,2-dichloroethane (1,2-DCA) and 1,2-dibromoethane (EDB), and dissolved lead. Dissolved lead samples should be filtered in the field prior to acid preservation or filtered in the laboratory prior to acid preservation within 24 hours of sample collection. These procedures should be noted on Chain-of-Custody documentation. In addition, samples collected from one upgradient and two downgradient monitoring wells should be analyzed for general minerals, nitrate, and total Kjeldahl nitrogen during the third quarter 2003 and first quarter 2004. We request these analyses to determine groundwater quality and assess natural attenuation of COCs. Our Guidelines for General Minerals Analysis, describing the analyses requested, is attached. Sections 2729 and 2729.1 for Underground Storage Tanks were added to the California Code of Regulations requiring you to submit analytical and site data electronically. Enclosed is our letter ..... .- (R e q_u i_ r_e~d E~c_rr_ardc~D~li.v.e r. ab le~Fo rmat-for-Labo vato r-y,and-S.i.te-t?)ata-S-ubmittalx-to-R'e~ rrla-tir~g : Agencies) explaining how to obtain information to implement the requirements. V:\UGTXProjects\JDW_files\2003 Correspondence\City of Bakersfield Cases\Shell Stn Rosedale Hwy GW 7~03.doc Mr. Tony Palagyi - 3 - 25 July 2003 Please contact this office at least five days prior to fieldwork. correspondence, please contact me at (559) 445-5504. JOHN D. WHITING Engineering Geologist R.G. No. 5951 If yo, u have any'qubstions regarding this Enclosures: Guidelines For General Minerals Analysis Required Electronic Deliverable Format for Laboratory and Site Data Submittals... Ms. Barbara Rempel, SWRCB, UST Cleanup Fund, Sacramento, w/o enciosurek,,.. Mr. Howard H. Wines 1I[, Bakersfield Fire Department, Bakersfield, w/o enclosures-X,~ Ms. Gretchen Tagavilla, KHM Environmental Management, Inc., Monvoriva, w/enclosures File: UST/Kern/Shell Service Station, 3605 Rosedale Highway, Bakersfield/5T! 5000887 V:\UGTxProjectsklDW_files\2003 Correspondence\City"6f Bakersfield Cases\Shell Stn Rosedale Hwy GW 7~03.doc FII~E CHIEF ,~ON 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 June 17,2003 Mr. John Whiting Regional Water Quality Control Board 1685 E Street Fresno, CA 93706-2020 Shell Service Station Release Reports: 2401 Oak Street c3605zR os .ed ale,-Hw, y. 5321 Stockdale Hwy. Dear Mr. Whiting: Enclosed, please find the site assessment reports for the above locations. The reports indicate that groundwater has been impacted beneath these locations. Our office is referring the investigations to the Regional Board for your follow-up. Sincerely, Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/db 08/01/2003 09:i7 4089710135 RU~ O! ~003 ~:50 [SFLD SSS INC FIRE PREYEMT I OM ~ PAGE 02 po2 CITY OF BAKERSY! OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326~3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTINGfrlLACER TESTING FACILITY Shell gas station ADDRESS 3605 Rosedale Highway/US 99, Bakersfield P 'F_..RMIT TO OPERATE ~ OPF.~ATORS NA lVI'E OW1WE. P..~ NAM.~ Shell 0il Products' 'US NUIV[BER OF TANKS TO BF., TESTED 3 - 4 ~ PIPING GOING TO BE TESTED Y~es TANK # VOLUM~ 1 1 OK 2 1 OK 3 1 OK 4 1K CONTENTS 87 grade/gasoline 89 grade/gasoline 91 grade/gasoline Waste oil (if applicable) TANK T~gTING COMPANY MAH.ING ADDRESS N/MME & PHONE NUMB.UR OF CO.ACT P~SON ~T ~0~ Hydrostatic/vacuum/PSI N~ OF ~8~R OR SPEC~ IN$~OR CERT~CA~ON ~. S/A DATE , i'~ T-ST S TO BE CO~U~ A~EO~ BY .... Able Maintenance, Inc. 3224 Regional Parkway, Santa Rosa, California 95403 Rod Brownlee _ (707) 545-5522 August 12, 2003 -- 8:00 a.m. - 4:30 p.m. sz~~ ov THIS IS NOT F~ P~CISI~ T~ ~S~NG. BIS IS F~ SB~ ~S~NG. 360~ ROSEDALE B~t.iERSF [ ELDS. CA. 80347426505001 APR 24. 200:3 10:44 APl REPORT T 1 :REGUL/qF,' TANK l \,,',;i;.L UME = 36'38 ULLAGE = 60:30 90% ULI..RGE= 5057 GALS HEIGHT = 3?.63 INCHES ~d~'FER VOL = ? G~LS I.,.I&TER = O. 75 ~ NCHES TEMP = 67.9 DEG F T 2:RE(]IJLAF: TAN}:: 2 VOLUME = 3758 (]ALS IJLb:. ];E = 5970 (;-;ALS 90% ULLAGE= 4997 GALS HEIGHT = 38.07 INCHES !4~4TER ",,"OL = 0 GALS I,'JA]'Egt = O. CIO INCHES TEl"fi' = ~'7. 1 DEG F T :3 :PREMI IJPI V,:}L LIME = 2002 GALS ULLAGE = 7726 GALS 90% LII.Ln~;E= 6,?53 GALS HEIGHT = 2,:1..55 [FICHES I,.JATER VOL = 0 GALS I....IATER = 0. OD l NC. HES TEMP = ?t.4 DE,; F I"lA t',i I F,:)L DED 'I'~ I NVENTOF.'Y TOTALS T I:FtEtgULRR T~N}( 1 T 2: RE,'_'-;LILAR T~hNt( 2 VOLIJME 7456 GALS I I] 31 Ii', 0 2 I] 4 - t_'14 E, 1 -- t[I '7 El 9 3605 ROSEDaLE HWY. BA}':iERSF'I ELDS. Ca. 80:347d26505001 ~FlF~.24. 2:0 L-h :_-~- -2'-: E~6--PM--- S'YSTEM S'F~,TUS F,'EI::',:gRT O "~ · F' -" '-' -_' · =..,F, Oc:,:-, L [ NE F'& I [, ,:.L-',~ 2 :F'I,I.D E;HLr'f'[~,;)[..,.IN aI_,A.P.'.M i I N"..'ENTt:,Ry E'Et:'C, RT ,~-. T_ I .: ~.JLAR 'l:,'qN}: i 'v":)Li_IME = "-" ,j ,/i¢0 -.,'. c " U[.L~(.;E = E,F l 8 ':;:~,I..S ' qK~>; IJLL&GE= = "~.S ' ~- -, 4._ (;aLs HEIGHT = 37.72 INCHES I..J¢~'I'ER 'o::;,L = 7-.,.. o I....~iTER = 0.75 ] NCHES TEMP = 68.0 fiE,[; F T 2:REGULAR TaNK 2 V,UL LIME = 3??? GALS UI.,L~GE - 90>; UI..Lar;E~ ..... '~ GaLS 4978 ",", o HEIGHT =' 38.2I INCHES I,.,I&TER VOL = 0 ,3~4LS t.JaTEN = 0.00 1NCHES TEMP = 6?.5 DEG F T 3: I::'REM I UP1 ;,/':)LUPtE = 1969 GaLS 90:::.~. ULLR,:;E- ~ ~.j.H GaLS E,'786 Gc4LS HEIGHT = 24.28 INCHES IgATER ","';iL = 0 (gaLS t.:,IRTE~: = O. O0 INCHES TEMP = 71.6 DEG F aPR 24.. :?Oa3 '2:09 PPI O 2:t:'REpii UM , [:, I Sf>EI',IS 1 I',IG ENABLED TEST C:Or-'IPLE'I'E PUMP OFF t't~ NFLE OFF 20. ?' ~,,1 ' PS I l.,O~..j FIEF = HIGH REF = SENSC,~ = ~,51 :.3 r'l'rro 2942 CNTS [.-:'RE:-~;SI_IRE L I NE LEAl:: aLARM t:i I: F,'EC;ULAR ~t::'R 24. 2'-3:3 2:11 PM F'J'],~:~g',~;I_I~:E LINE LEaK ALARM O I :~EC;UL~R -r'"LLD q I" - ,- H J I L't'.,.gN aL/.~F//'.'I aP>F: '2,:1. 20 ] '3 2: I 1 l:ff'"l Pla N I FOLDED 'l"i:~ Nh'S I NVENTOE,'.,, TC, TALS T 1 :REGUI. i::~ff: TANK 1 T 2:REGULAR TAN}( 2 "./©L UME = '748'2' (;ALS I::'F:E;:¢,:21_~};:£ L 1 Nil' LEal::: 1) I aG 24. 21'0:': '2:14 [t't [:, I L:.;f'ENS 1 N,'~, ENABLED TEST C(-:'MPI.ETE PUMP Ha N[:q.E ,:_-:,F F 213.9:3?' PS1 A,."l., I..OIJ REF = Hi(;tt REF = S f:':NSOR = G512' -'t' "'o 1660 ONTS .:. _w.:. 4 CNTS ._,~ ,_,'TEll SETL.IP ~t:"P.. 2!4. 200:3 8: 40 Al'-'l LI NE RE-ENABLE METH,:_-;,D PASS LINE TERT LINE PER T,S;T NEEDED IJRN D I SABLED L1NE ANN TST NEEDED 14RN D I SABLED PP.. [ NT TC "./OLUMES D i ~BLED SYSTEM UI'.I 1 TS . . IJ S SYSTEM L/:~ I'.ICdJAC~E EI'.IGL I SH SYSTEM DFC!'E...'T I PIE FORI'qAT MON [)D '7'Y"/Y' HH :PIM: SS :<P1 103188 204-046!-0709 :3606 ROSEDALE BAKERSF 80347426505001 SH1FT TIPIE 1 : 5:30 St-tlF'F TIME 2 : DIShBLED -SHIFT TIME :3 : DIS~BI..ED SHIFT TiME 4 ; DISABLED SHIFT Bit;: PRINTOUTS ENABLED DalL"~" BIR PRINTOUTS D I ~ABLED T 1Ct,:ETED DEL I',,/ER'Y' ENABLED TC TI C:KETED DEL IVERY D I SP, DLED CLOSE DAY OF HEEK ~; U N Ii:,alLY DL',./Y VAR RI:'TS D 1S&E',LED t...I1EEKL',' DLVY VaR RPTS D I PER I ©D I C DL',./Y VhR D I SABLED DA I It" ~O';.'~K VAR RPTS D I SABLED bJEEKLY BOOK V~R RPTS D [ SABLE[i D 1S~BLED DAILY VAR AI'.IhLY D1FJABLED HEEh'LY \."AP.. ~l'.l~L"," RPTS D I SABLED PERIODIC VAR ~4I,IALY RI-:'TS TANK PER TST NEEDED I/jlkN D I SABLED TANK ANN TST NEEDED b. IRl'.l 1-:, 1 StaBLED H-PROTOCOL DATA FORMAT HE I GriT PRECISION ]'ES]' DURATION HOURS: 12 0.2L3 ,'3PH LINE TEST AUTO-CONFI RM: ENABLE1) 0.!0 (;PH I,!I',IE TEST AUTO-CONF I RM: ENABLED DAYLIC;HT SA',./II'.IC; TIME ENABLED START DATE APR I,JEEK I SUN START TIME 2-.':00 AM END D~4TE OCT 14EEK 4 SUN END TIME 2:00 AM RE-r:~I REC:T L,:)C~:~L f~:'g I I'.IT.;}LIT D I ~ABLE13 ELIRO PROT,3,2OI: PP, EFI::.: S SYSTEM SEC;URi T"~" Cxi:.DE : 0000Chi 03 ~ I"ILIN I CAT I ,'? NS SETUP P,:}RT SETTINGS: C::{;'PIP1 BO~PRr~ 5 (RS-485) - BAUD RATE 2400 PAR I T'Y' NONE STOP BIT 1 STOP DATA LEI,,~C-;TH: 8 DATA COI'.'IM BOARD : 6 (S-SAT BAUD RATE : 9600 PAP..ITY : ODD STOP BIT : I STOl::' DATA LENGTt4: ? DATA RE(':EI "..."EP.. SETUF": N It 8 :",/EEDER' F:':i:C,T ( CALL 40000100'25 cxxx RCVR TYPE: COMI::.ilTER\\\ P':i:'RT, NO: 6 RETR, N'J: 5 RETRY DELA'/': ~ CONF 1RMaT I ON ~EI:"(;RT: '3FF' AU'f::;, D 1 1:, 8 :'v'J-::EI:~ER R,;:i,;::,l' DIaL Obi [:,ATE APR 14.. 2003 Dial_ TiME : 6:50 PM PRECE I VER k~i:.'P,:::,}:."I'S: RS-232 SECURITY C.'ODE : RS--232 END ,:iF MESSAGE I:, I SABLED ~UT© DIaL ~4LaRM SETUP D 8: VEEDER R,:)C,T ( FP1S",, I N--T~N}..: aLRRI"IS ALL: LE~K aLL: H I OH U&TEI:;; aI_~4RM ALI. :OVERF ILL aLaRM ALL,SUDDEN LOSS aLARM aLL: H l OH PRODUCT ALARPI ALI.:INVALID FUEL LEVEL ALL :I:'ROBE OIJT ALI_: HI,:_:;H [..JATER bJARNI NG AI.L. :MAX f:'Ror)I. IC:T aLARM AI.I. :Ga©SS TEST Fi:41 I. ALL: PER 1 OD 1C.'. TEST FA I L aLi.:ANNU(:~L TEST FaIL ALL :PER TST NEEDED bJRN ALL :PER TST NEEDED ALM ALL:NO C:SLD IDLE T1ME aLL:CSLD I NCR RATE &LL:c4CCU_CHaRT caL I,daRN aLi.: RECON I,.,I/4RN I NO ALL :aEC;ON ~LRRM aLL; LOU TEPlP 1.4aRN 1 NG ~:d..L:GROSS FAIL LINE TNb' I_.IGIJiD SENSOR aLMS ,qLL :FUEL aL&RI"1 ¢4LL :',SENSOR OUT aLARM -aLL :SHORT ~LRRI"I ¢4LL: t.daTER ALL:I.dATER OUT ¢4LaRI'.I ALL:HIGH LIa)UID ALI..: LC;,t,,J L I C-~U I [', RLL :LI(~LIID I.,,I~:~RNI RECE I vER ~4LARI"IS SERVICE REPORT aLARM Ct.EAR PRESSURE I.I NE LEAl( aLL: CRO~S L l lie F~ l 1.. ~I.L:ANI'dJAL LINE F~IL aLL :PER TST NEEDED ~LI"I RLL :PLL[, ':)PEN ~L~RI"I ~LI.: UNKr'.K>t.41'~ ~L~RI,'I RLL: UNKI'.IOI.4N RLRRM &LL: UNENOI4N ~LRRf'.'I ALL:PERIODIC LINE F~IL aLL:~NN TST NEEDED ~LM aLL :LOU P~E~SURE aLL: UNKNOUN aLI. :CONT H~NDLE ~LP1 aLL :FUEL OUT ~LL:LN EOUIP F~ULT &LP.'I 1 I',1 -TAN}.: SET!JI:' T I:REOLILAR TAN}( 1 PRODIJCT CODE : 1 THERMAL C. OEFF : . 000700 TAN}:.: DIAMETER : 92. O0 . TaNK [-'ROFILE : 4 PTS FULL. V,;)L : 9728 69.0 INC;H VOL : 7910 46.0 INC;H VOL : 4864 :.'3.0 INE'H V,:::,L : 1BlS METER D~4TA : 1'4,:) FI,C, RT SIZE: 4,El II'.l, 8496 t..Ica'I'ER L,,J~-~RI'41 I'~,:3; : 0,8 HIGH UATER LiPIlT: 1.5 l'.'la>i OR LAI3EL VOL: 9728 t-;,',,/ERF ILL LIMIT : 90% : 8755 I4 IC-:H PRC, E, Lh'i:T- '-: - : .... 9241 DE[.tWERY LIMIT 14% 1459 L,:)I,,I t-'R':_,'D IJ,.:T : 5013 LE~]( ['.'111,1 PER l OD I.E,~}( M1 I',~ ANNUAL PERI,',3DI(.: TEST TYPE STANDaRD ¢~NI',~URL TEST FAlL ALARM [',ISRBLED PERIODIC TEST F~4IL ALARM ['11 S~*EILE17'I GROSS TEST FAiL ~4LRRI'.'I 131S&BLED aNN TE;::sT R',,/ER~G I I'.~,3: GFF [-'ER' TEST a',./ERt4G I NO; OFF TaNK TEST N,:::,TI FY: OFF TNK TST 5;IPHON ~REt4K:OFF DEL I VERY bELa"," : :3 M I N '1' 2 :REGULAR 'raNK 2 f'F:Ol) UC;T O,:_-:,D E : 2 ]'HEF.'MAL COEFF : . '17¢,~1( D I AME'FER : 92. O0 ']'~l',lt:: PROFILE : 4 PTS FULL k.,'OL : 9?28 69.1] INCH V,;:',,L : 7910 46.CI IIiC:H ",/OL : 4864 23.0 INCH V(4_ : 1818 PIE'TER D~:4T& : I',K) F£,(:,,~T SIZE: 4.0 IN, 8496 I...l*4?l:~Ft t,,.li-~RN I big: 0.8 HIGH '4~TEF: LIPII'I":'- 1:5 Max ,:.'>P, Lhi:.qEI. ',YC, i..: '_~'72~ <)VEP. F I [~L LIMIT : : 8755 HIGH F'RC'DUCT : 95:q, : 9241 DEL I WERY L I I'-'l I T : 14~.;:: : 1459 L,:)t4 I::'ROD UC:T : 0 LE~: ~L~RI"I I.. 1 I'I I T: SUDDEN LC>SS LIMIT: 50 Th N}( T I LT : 1 . 45 Mi-iNl FOLDED TANKS '3'~: 01 LEA}:.: MIN I:'ERI,:)DI<_:: : 0 I..E~qK M IN RNNUaL : : PEk 1 OD 1C TEST T":c'I:~E al'~NUihL TEST Fail. ~qLaF, T'I I) I SaBLED I::'ER I O1) I C.: TEST F,q I L ~LaRM DISaBLEr:~ C;Ft,:)SS 'I'E2;T F~ I L aLaRM DISABLED &l'.if'4 TEST ~q\.,'ERaG I NC;: OFF kER TESI' ~../ERaGI NG: OFF TANK- TEST N©TIFY: OFF T ['.IK 'EST S 11:'HO N BREAK: OFF DEL l',,/EFyf DELa",' : 3 P11N T :]: l::'~Eh'l I LIH P};.'E:,DLICT C:E:,DE : 3 THERI'.'hqL C,C, EFF : . CIL-II~l;?l].f~ T~ I',l}::', 1) 1 &NETEF: ; 92.00 "f~Nl.:: I::'RE:,F I LE -: .4_ FULL VE:,L : - 9728 69.0 INC:H VC, L : 7910 ,46.0 INCH 'v'OL : 4864 2:3.0 INCH '~.tOL : IS1S P1ETEF! Da'F~:~ : NC, i FL.EhqT OlZE: 4.[']' IN. 8496 HIL';H t4aTER LIMIT: 1.5 Pla::-,:: ':SR LABEL 'u'OL: 9728 ':)",/ERF ILI. LIMIT ; 8755 H I ,--;H P~'L-:'DUCT : : 9;241 'DEl_. 1 't.,'ER"f LIMIT : 1 : 1459 LC'Id ~::'.,9. E>EJ i jr[::T ' 500 LEa}( al.aRM L I PI! T i 3 SUDDEN LOSS LIMIT: 50 TRI'.J}( T I LT : 2.44 Plan I FOLr~ED T~: NONE LEaK I'.'] 1 f'.l PFF: I OD 1,2: 0~;~ : LEa}( ["lin aNNUaL : 02, : 0 PEP, I C,L'~ ] C TEST STaNDaRD aNNUal_, TEST Fail_. aLaRM DI,%qBLED "kEF: 1 ':)D 1 c: TEST Fa I L aLal;;Tl D I SaBLED GROSS TEST FaIL ~qL~F.'I'I h I SABLES, RNN TEST aVERRGI NG: OFF PER TEST ~q",.?ER~GI NG: OFF 'I'~N}; TEST NOT1FY: OFF TNI( TFJT SIPHON BRERK:OFF DEI_ I ",/EF:'/ DELAY : 3 M 1 N LEal,: TEST METH,OD TEST ,3, N DaTE : aLL 'F~hNK C>CT 9. 2000 START TIME : 12:00 aP1 TEST R~TE : O. 20 G~L.,'HR [)URaTION : '2 HOURS LEaK 'PEST REI-.t._->RT F(:,RMRT 10:3188 204-0461-0709 :3605 ROSEDALE BaKERSFIELDS. 80347426505001 APR 24. 200:3 B:40 AP1 FUEL MaNaGEMENT SETUP I)ELI'v'ERy t,',J~RN IH,,_.: RIJTO P-'~ 1NT: 1-:~ 1SaBI.E[:, 1:396 144.3 GAL 1402 GAl. l 4'75 GaL 1595 1~,41 GAL T '2 :REGLILAR TF, NK '2 A\/G SaLES-TLIE: a',,.tG SALES-WED: A\/G SALES-THR: A\.,'C; SALES-FRI: ~',./C4 SALES-SAT: 1 '.347 GaL 1455 GAL 13'35 GAL 1484 GA[. 15'72 GAL 1617 GAL 1:362 GAL T '3 :PREMIUM a\.,'G SaLE,C.'_; - ~11J I',1 A*,./G SALES-M':)I',I: A\,,',3 SA!_~ES-TIJE A",."G SdLES-b,IED AVG SALES-THR AVG SALES-Fk I a\.,'G SALES-SAT 567 GAL 422 GAL 417 {3AL 514 GAL 491 GaL 580 GAl.. 529 GAL PRESSUI;':E LINE I_E~K SETUP G I :REGLIL~ TV[:': 2.0 I I'.I F I BERGL. aSS LINE LEI'.,I,3TH: 200 FEET 0,20 f3PH TEST: REI:'ET 1T IV 0.10 GPH TEST: AUT© SHdTDOWN RATE'2' :3.13 LO[J PRESfSURF~ ~UT,:)FF :","ES i:OW_rd~ESStlPE. -:- , _,54.1::S1 .... '~' 1 :REGULAR TAN}( 1 O 1SPEI'4SE MODE: STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O. Ot::'S1 e 2:PREMIUM TVI:.':2.0 1N FIBERGLASS LINE LENGTH: 200 FEET 0.20 GPH TEST: REI::'ETITIV 0'. 10 t3PH TEST: AUTO SHUTDOWN RATE: '.3.0 GPH LOW PRESSURE SHUTOFF:YES LOW PRESSURE : 5 PSI T 3:PREMIUM DISF'EI,ISE MODE: STRNDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI LINE LEAl( LOC;K,:i;,UT SETUP ,I I_.OCK,L-) UT SCHEDLILE D~41LY START TIME: DISABLED STOP T1ME : DISABLE[) LI&UlP SENSOR SETUP L 1 :REGULAR TURBINE SUMP DUAL FLT. HIGH VAPOR CATEGOR"/ : STP SUPII:' L 2:REGULAR PIPING SUMP DUaL FLT. HIGH VAPOR CATEGORY' : PIP1 NG SIJMP L 3:PREMIIJM SUMP DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 4:REGULAR TKI ANNULAR TRI -STATE ( SI NGLE FLOAT CATEGORY : ANNULAR SPACE L 5:REGULAR TK2 ANNULAR TR I -STATE (S INGLE FLOAT) CATEGORY : ANNULAR SPACE L 6:PREMIUM aNNULAR ]'RI-STATE (SINGLE FLOAT~ CATEGORY : ANNULAR SPACE L 7: NONE NORMALLY CLOSED C;ATEGC:,R'~:' : OTHER SENSORS L 8: NONE NORMALLY CLOSED CATEGORY : OTHER SENSORS !::'I..LD LINE DISABLE S"~TUI:~ 9 I :REGLILAR I1,,~-TAN?.'. ALARMS T 1 :HIGH WATER Ak. ARid T 1 :GROSS TEST FAIL l_,IOl_lI D SENSOR ALMS L 1 :FUEL aLaRM I.. 2 :FLIEL ALARM I. 4 :F'UEL ALARM L. 5:FIJEL ALARM L 1 :SENSOR OU'I' aLaRM I. 2:SENSOR Ol..rr ALARM l.. 4:SENSOR OUT ALARM -,.,-.,EN,_,£.,R '3UT ALARM L 1 :SHORT ALARM L 2:SHORT aLARM L 4:SHORT ALARM L 5:SHORT ALARM L 1 :WATER ALARM I_. 2 :WATER ALARM L ,1 :WATER ALARM I. 5 :WATER ALt4RM L I:HIGH LI(-IUIf) aLaRM L 2:HIGH LI6~UID ALARM L 1 :LIOUID 1.4ARN1NG L 2:LI©LII1] WARNING L 4:LIOLIfD WARNING I_, 5:LIOUID WARNING i:"RIZ$.c'-;URE LINE LEAK t[.~ I:PLLD OPEN tqLF~RI'.'I [~ 1 :CONT H~NDLE ALP1 (i~ 1 :LN E¢_~UII:' FAULT ~4LM G 2:PREPIIUM 1 I',I-TAI,I}( ALgRM,'S T 3:HIGH tJRTER ALARM T 3 :LOt.,I PRODUCT ALARM LI~7.~I. IID SENSOR gLPI~ L 3:FUEL ~LgRP1 L 6:FUEL ALARM L 3:SENSOR ()UT ALt4RI'.'I L ~:SEN,'zs_',:)Ft OUT L, :3:SHORT ALARM L ~S:SHORT gLt4RM L .'3: I,.,IATER AL~RP1 L G,:L,IATER ALARM L :3:LI~UI[~ I,.JARN1NO L 6:Lt'.GLIID 1.4ARNII'.IC4 PRESSURE LINE LEk},.'.' (i 2:PLLD OPEN G 2:CONT HANDLE ,Si 2.:LN EOt.liP F'~ULT RECO NC; I L 1 &T I C>r',l AU'FOI"IAT I C [.*~ I I..V C:I_O~ I big TI ME: 2: O0 gl./TO ~',HIFT ~11 [ I'.'IE: D I EMBL,ED ~I_ITO ISH1FT ~2 C;L,:)SI NO r"lE: D I ~UT(;, ',E;HIFT ~:3 CLC)$11,1G ME: [,IS~BLED ~LI'I'O SHIFT ~4 CLOE;INC4 PIE: 5; 30 ~1"1 M,:)E)E: MO NT HL"," ~Lt4RM: £) I TEMP COMI:~ENSf4T I E~U;-3 5;LOT FUEL METER .'For Use By All Jurisdictions Within the Stateof California " Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by tl)e technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must 'submit a copy of this form to the local agency regulating UST systems within 30 days of test date. ~Shell A. General Inform~ 3605 Rosedale Hwy Facility Name: __~ Bakersfield, CA 93308 Bldg. No.: Site Address: ' N03328 - A/L M/C ST-30 ST-27 ~ CitY: Zip: Facility Contact Person: ......... , Contact Phone No,: (.__) Make/Model of Monitoring System: '~/{'~ TL-,.~ 5~--~'O _ _ : Date of Tes~!ng/Servicing: q ./,2./~/05 B. InVentory of Equipment Tested/Certified Check the appropriate boxes t6 indicate specific equipment inspected/serviced: l] Tankm: ~,.¢o~0 ~ o..((.~--/) I Tankm: ~,e~0/c,~ ]]~,,In-TankGaugingPro~e. Model: '~((- 5~t{'13~O't07 [~In-TankGaugingProbe. ' Model: ~dt~,, ~q-138o-107 I~_ nnnul/r Space or Vault Sensor. Model: V~ -~qq I~^~ui~ Space or Vault Sensor. Model: 'Xt ~Piping Sump/Trench Sensor(s). Model: ~{~- 7q q~O-3~2~ I ~l~Piping Sump/Trench Sensor(s). Model: x/~ r-I Fill Sump Sensor(s). . Model: [ I-I Fill Sump Sensor(s). Model: 121 Mechanical Line Leak Detector. ' Model: [ D Mechanical Line Leak Detector. Model: [[[~1~ Electronic Line Leak Detector. Model: V~ 0~0 ["l~ [1-1 Electronic Line Leak Detector. Model: [] Tank Overfill / High-Level Sensor. Model: __ __ I [] Tank Overfill / High-Level Sensor. Model: [] Other (specify equipment type and model in Section E on Page 2). ] [] Other (specify equipment type and model in Section E on Page 2). Tank ID: '~('e~"x~ O v~- (,_qt5 Tank ID: ]il~in-Tank Gauging Probe. Model: ~/f,~ 8~'/5~ I0 7 ]~,Annular Space or Vault Sensor. Model: Of,, "[qq'bq0- ~ Piping Sump / Trench Sensor(s). Model: X/ ~ '7 e//-4 350 -~ 3 [] Fill Sump Sensor(s). " Model: ~ [] Mechanical Line Leak Detector. Model: ~ Electronic Line Leak Detector. Model: ',4~ O [2--'~ {c~'" [] Tank Overfill / High-Level Sensor. Model: - Other (specify equipment type and model in Section E on Page 2). Dispenser ID: i~ Dispenser Containment Sensor(s). Model: [] Shear Valve(s). IZI Dispenser Containment Float(s) and Chain(s). Dispenser ID: ~ Dispenser Containment Sensor(s). Model: ~o,0 [] Shear Valve(s). VI Dispenser Containment Float(s)'and Chain(s). ,.Dispenser ID: D Dispenser Containment Sensor(s). Model: D Shear Valve(s). [21Dispenser Containment Float(s) and Chain(s). [] In-Tank Gauging Probe. Model: [] Annular Space or Vault Sensor. Model: [3 Piping Sump / Trench Sensor(s). Model: [] Fill Sump Sensor(s). Model: 121 Mechanical'Line Leak Detector. Model: [] Electronic Line Leak Detector. Model: ~ Tank Overfill / High-Level Sensor. Model: [] Other (specify equipment type and model in Section E on Page 2). Dispenser ID: ~ ~Dispenser Containment Sensor(s). Model'~°~O0 ~O(a-IOC]~ [ [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: ~ [] Dispenser Containment Sensor(s}. Model: ~,,nz0 [] Shear Valve(s). W~ 'Xa'-O ~1 Dispenser Containment Float(s) and Chain(s). Dispenser ID: [] Dispenser Containment Sensor(s). Model: [] Shear Valve(s). [] Dis. penser Containment Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' '~" guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): D System set-up ~ Alarm history report Technician Name (print): Certification No.: Testing Company Name: Site Address: Signature: License. No.: Phone No.:(.__) Date of Testing/Servicing: / ..../~ Monitoring System Certification Page 1 of 3 03/01 ~: R~hlts of Testing/Servicing Software Version ~nstalled: t t~ Complete the following checklist: ~ Yes I-I No* Is the audible alarm operational? ~l(Yes [] No* Is the visual alarm operational? ,,l~,Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational? ~,,Yes [] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ~I~ Yes [] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) [] N/A operational? i~Yes [] No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [3 N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If ves' which sensors initiate positive shut-down? (Check all that apply).~Sump/Trench Sensors, [] Dispenser ~onta~nment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ~l~fes; [] No. [] Yes [] 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) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % [3 Yes* ~ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or 6ther equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes* ~t~No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) [] Product;. [21 Water. If yes, describe causes in Section E, below. Yes [] No* Was monitoring system set-up reviewed to ensure proper settings? Attach set reports, if applicable up Yes [] No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 03/01 f F' In-Tank Gauging / SIR Equipm [] Check this box if tank gauging is used only for inventory control. [21 Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: Yes FI No* Has all input Wiring been inspected for proper entry and termination, including testing for ground faults? Yes Fl No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes FI No* Was accuracy of system product level readings tested? ~Yes Fl No* Was accuracy of system water level readings tested? Yes FI No* Were all probes reinstalled properly? Yes Fl 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): Fl Check this box ifLLDs are not installed. Complete the following checklist: ~ Yes F1 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? Fl N/A (Check all that apply) Simulated leak rate: ~1~3 g.p.h.; FI 0.1 g.p.h; Fl 0.2 g.p.h. ~1~ Yes FI No* Were all LLDs confirmed operational and accurate within regulatory requirements? ~ Yes FI No* Was the testing apparatus properly calibrated? [] Yes [] No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? FI N/A [] Yes FI No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? Fl N/A Fl Yes Fl No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled FI N/A or disconnected? Fl Yes FI No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions FI N/A or fails a test? ~ Yes Fl No* For electronic LLDs, have all accessible wiring connections been visually inspected? Fl N/A rn Yes Fl No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 03/01 Mbflit~Iring System Certification Site Address: UST Monitoring Site Plan Date map was drawn: Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. 05/02/2003 FRI 13' 51 FAX Ul'*..u~ i--u I .Lr~.i-- I n~c.¥r-Ill .I. Uil tl~lr~J- J,t:lO.,"*---"'l Jig: 002/002 CITY OF BAKERSFIELD OFFICE OF EN~3RONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA (661) 326-3979 APPLICATION TO PERI~RM FUEL MONITORING CERTIFICATION TANK ~ VOLUM~ CON'1/~T~$ ___ ~_ fOk /2~ q APPROVI~ BY · ' Complete items 1, 2, and 3. Also complete .:item 4 if Restricted Del!very'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: HENRY ROSEDALE SHELL 3605 ROSEDALE I-IWY BAKERSFIELD CA 93308 ?ODE 3150 PS Form 3811, August 2001 [] Agent [] Addressee B. n~cei~y (P!inted Name) / I C. Date o..f ~ehx~9 Do ~s ~elivery address different from item t? [] Yes if YES, enter delivery address below: [] No :3. Se.S.~ice Type [] Certified Mail [] Express Mail [] Registered [] Return Receipt for Merchandise-' -- JI[] Insured Mail [] C.O,D, 1 4. Restricted Delivery? (Extra Fee) [] Yes 0004 9985 3714 Domestic Retum Re¢~t 2ACPRI-03-Z-O98u Bakersfield Fire Department Prevention Services 7'/5 Chester Avenue, SUite 300 Bakersflelcl, CA ~3801 --]' Certi~ed Fee r'"l Postmark i~ Return Reclept Fee Hem (Endorsement Required) r-*l Restricted Delivery Fee LFI (Endorsement Required) ~-**---*--------~ m T~ po~ GLEN I-[ENRY ~ ~ CORO ROSEDALE SHELL [ .............. 3605 ROSEDALE HWY .... 1 AF?il' 36, 2003 Glen Henry Coro Rosedale Shell 3605 Rosedale Hwy Bakersfield, CA 93308 CERTIFIED MAIL FIRE CHIEF ~Otq FF~AZE 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 SAFETX 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 (66~) 399-4697 FAX (661) 399-5763 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Perform/Submit Annual Maintenance on Leak Detection System at the Above Stated Address. Dear Business Owner: Our records indicate that your annual maintenance certification on your leak detection system was past due on April 8, 2003. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, May 30, 2003 to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc January 22, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES, ENVIR(~IJTrNTAL SER~ICES 1715 Chester Ave. Bakersfield, CA 9'3.301 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 9.3.301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Vlctor Ave. Bakersfield, CA 93308 VOICE (661 ) 399-4697 FAX (661) 399-5763 R0sedale Shell 3605 Rosedale Bakersfield CA 93308 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 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME .~OSt'dtx tO. ,~xt_ ~( INSPECTION DATE Section 2: Underground Storage Tanks Program Routine ~ Combined Type of Tank Type of Monitoring Joint Agency [] Multi-Agency [] Complaint Number of Tanks .~ Type of Piping ~ ~' [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file L/ Permit tees current L.,, 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=Compliance ,V=Violation Y=Yes N=NO Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy Bu si[e~s Siie"Resp'onsible t0arty ~,~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME O~,~t,d'd ¢~, ADDRESS ,~ & _(L~ FACILITY CONTACT INSPECTION TIME INSPECTION DATE PHONE NO. ~ '- BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine '~ Combined [~ Joint Agency [~ Multi-Agency ~ Complaint {~ Re-inspection OPERATION C V COMMENTS Appropriate permit,on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials {.. Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedUres adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: [~ Ye~ ~ No Questions regarding this inspection? Please call us at (661 ) 326-3979 White - Env. Svcs. Yellow - Slation Copy Pink - Business Copy 103188 204-0461-0709 3605 ROSEDaI..E H~J¥. B~KERSFIELDS. C~. 80:347426505001 ,Jf4l',l 15, 200;3 5 ::30 aP1 I l',b../E NTO~Y VOI_,'TuP1E = 5430 ,:];ALS LILLP~GE = 4298 GALS ':"-~'-' ~ G~LS 90% ULLAGE= ,~,~.- HEIGHT = 50.04 INCHES I,,.IRTEI,~ VOL = 0 GRLS ~dR'I'ER = O. O0 INCHES TEP1P = 60.6 DEG F T 2:REGUL&R TRI',IE 2 VOLUFtE = 5492 G&L'S L.ILLt~GE = 4236 GRLS 90% ULLRGE= 3263 G~LS HEIGHT = 50.48 INCHES t,,,~TER VOL = 0 G~LS t.,,I&TER = O. O0 11',ICHES TENP = 60.2 DEG F T 3: PREI'I I UI'.'I ,,,IO_¢i3PtE = 27?7 GF~LS ULi~ = 6951 ..... ~' 90% (.ILL'GE= 5978 GALS HEIGHT = '30.75 INCHES t,',J~TER VOL = 0 GRLS b'3&TER = 0. O0 INCHES TEI"~P = 65.6 DEG F PI&I,I 1 FOLDED TFd'4}::S I NVEI'4TORY TOT/4LS T 2:REGLIL~R T~I'4}( 2 '1 VOLLII"IE = 10922 GALS .... ~ ~ ~ ~ ~ ~ END ~ ,~ ~ ~ J July 12, 2002 WAYNE PERRY, INC. Environmental Remediation, Construction and Consulting Certified Unified Program Agency - CUPA Mr. Steve Underwood 1715 Chester Ave., Third Floor Bakersfield, CA 93301 SUBJECT: SB 989 COMPLIANCE TESTING AT Shell, 3605 Rosendale Hwy., Bakersfield, CA 93308 Dear Steve: Below please find the secondary containment testing results for the above-referenced site. These results are being sent to you per the requirement of SB 989. If any of the secondary containment components failed or were not tested at this facility, repairs will be made within 30 to 120 days. If, for some reason, the repairs will take more than 120 days, your Agency will be immediately notified. CONTRACTOR: Wayne Perry, Inc.; License No: 300345 TECHNICIAN: Scott Happ Components Tested Component Date Type of Test Pass / Fail Manufacturer Tested Performed Tank Sump Turbine - 87 American 6/26/02 Hydrostatic Pass Containment Tank Sump Turbine - 87 Slave American 6/26/02 Hydrostatic Pass Containment Tank Sump Turbine - 91 American 6/26/02 Hydrostatic Pass Containment Dispenser 1 & 2 UDC Western 6/26/02 Hydrostatic Pass Fiberglass Dispenser 3 & 4 UDC Western 6/26/02 Hydrostatic Pass Fiberglass Dispenser 5 & 6 UDC Western 6/26/02 Hydrostatic Pass Fiberglass Dispenser 7 & 8 UDC Western 6/26/02 Hydrostatic Pass Fiberglass 87 - Single Wall Piping Ameron N/A N/A 87 Slave - Secondary Product Containment Ameron 6/26 Pressure Pass '91 - Single Wall Piping Ameron N/A N/A 30 Main Ave. Suite 5 Sacramento, California 95838 Phone (916) 646-9680 Fax (916) 646-9683 SB 989 Compliance Testing Shell 3605 Rosendale Hwy Bakersfield, CA Page 2 of 2 Components Tested Component Date Type of Test Pass / Fail Manufacturer Tested Performed Tank Annular Testing Wet Annular N/A N/A If you have any questions regarding this submittal, please contact me at (916) 646-9680. Sincerely, Wayne Perry, Inc. Brandon Smith Project Manager Attachments SB 989 Testing Results & Procedures Cc: Perry Pineda - Shell Oil Products US 30 Main Ave. Suite 5 Sacramento, California 95838 Phone (916) 646-9680 Fax (916) 646-9683 SB 989 TeSt Log Testing Contractor: Shell 3605 R0sendale Bakersfield, CA 93308 N021159 - Testing Turbine Containment 'Sumps. Test. Date: Sump Information: Fuel Grade: ~/87 Slave / 89 / 91/ D / M85 Monitoring Sensor Manufacturer: ~/, ~2... Monitoring Sensor Model #: ~.~, TCl or American Cntmt (Beige or White Gel Coat): OC or Fluid .Cntmt (Beige w/Spiral Winding): Environ (Green, HDPE Plastic): Total Containment (Blue, HDPE Plastic): Xerxes (Red):I Western Fiberglass (Grey):I Phil Tite (Green Outside, White Inside):I Other .: Test Start Time Test Finish H-Test HH:MM (12 Minute Duration) Level Differential Pass I Fail Condition (Repair Notes) ~'~,'"~ .',~_~ ,~c:P,:::5:~ ~ P'~.a~/Fail "~//~,.3¢_...s{,-, o.,,-.,~__., dJ~ i~~ ~lf Pass / Fail (~/~ Pass / Fail pass / Fail Pass / Fail SB 989 Test Log Forms 2.0 SB'989 Test Log Testing Contractor: ~hell 3605 ROsendale Bakersfield, CA 93308 N021159 - Testing Turbine Containment Sumps Test Date: Sump Information: Fuel Grade: 87 ~~/ Monitoring Sensor Manufacturer: ~J, ~-~.~, 9'1 ! D / M85 Monitoring Sensor Model #: TCI or American Cntmt (Beige or White Gel Coat): OC or Fluid Cntmt (Beige w/Spiral Winding): Environ (Green, HDPE Plastic):I Total Containment (Blue, HDPE Plastic): Xerxes (Red): Western Fiberglass (Grey): Phil Tite (Green Outside, White Inside): Other : Test Start Time Test Finish H-Test HH:MM (12 Minute Duration) Level Differential Pass I Fail Condition (Repair Notes) Pass / Fail Pass / Fail pass / Fail Pass / Fail SB 989 Test Log Forms 2,0 SB 989 Test Log Testing Contractor: Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing Turbine Containment Sumps Test Date: SUmp Information: Fuel Grade: 87 /~ 87 Slave / 89 /(~/ D / M85 Monitoring Sensor Manufacturer: ~).. ')-~.. MOnitoring Sensm; Model #: TCl or American Cntmt (Beige or White Gel Coat): Xerxes (Red): OC or Fluid Cntmt (Beige w/Spiral Winding): Environ (Green, HDPE Plastic): Total Containment (Blue, HDPE Plastic): Western Fiberglass (Grey): Phil Tite (Green Outside, White Inside): Other : Test Start Time Test Finish H-Test HH:MM (12 Minute Duration) Level Differential Pass I Fail Condition (Repair Notes) ~'-~.,~'-'~:::~ , d;Z:;~t.~ (~-~,/Fail ~//.~.~___~/~ --~/~-/~,~ ~./'/ ~__.z/,~,~.¢,' Pass / Fail Pass / Fail · pass/Fail Pass / Fail SB 989 Test Log Forms 2.0- SB 989 Test Log Testing Contractor: Under Dispenser Containment Sump Information: Dispenser Number: Bravo (Steel, Shallow Pan): Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing · Test Date: ... Sump Type'~.'.'.'.'.'.'.'.'~~ /'Deep / Deep L OPW Pices (White, Straight Sides, Deep): Bravo (Fiberglass, Deep Sump): Total Containment (Fiberglass): · Bravo (Plastic, Deep Sump): Phil Tire (White Inside, Green Outside, Deep L): ,,IVlonitoring Sensor Information: Beaudreau (Sm Black Puck, Light Sensor): Beaudreau (Modern Electronic): Western Fiberglass (Grey, Bravo (Mechanical Float): Veeder Root (Electronic): Other · Test Start Time Test Finish H-Test ~HH:MM (12 Minute Duration) Level Differential Pass / Fail Condition (Repair Notes) . Pass / Fail__ --~~~~~ Pass / Fail Pass / Fail Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Under Dispenser Containment Sump Information: Dispenser Number: Bravo (Steel, Shailow pan):i Bravo (Fiberglass, Deep SumP): Bravo (Plastic, Deep Sump): ~'hefl 3605 Rosen(/ '¥UZ1159. '.;..~ 93308 ' esting Phil Tite (White Inside, Green 'Outside, Deep L): Monitoring sensor Information: Beaudreau (Sm Black Puck, Light Sensor):l' ..;¢~ Beaudreau (Modern Electronic): Test Date: Sump Type~ Deep / Deep L OPW Pic'es (White, Straight Sides, Deep):I' I Total Containment (Fiberglass):I I Western FiberglaSs (Grey,4;;l~=E~. L~J Other :1" I .: Bravo (Mechanical Float): " Veeder Root (Electronic): Test Start Time Test Finish· H-Test .... iHH:MM,, (12 Minute, Duration) , Level Differential Pass/Fail Condition (Repair Notes) Pass / Fail D~ ¢~-~__ ... Pass / Fail Pass / Fail , Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: · Under Dispenser COntainment Sump Information' DisPenser Number: Bravo (Steel, Shallow Pan):'I' Bravo (Fiberglass, Deep SumP):l. Bravo (Plastic, Deep Sump):I Phil Tire (White Inside, Green Outside, Deep L):I Shell 3605 Rosendale Bakersfield, CA, 93308 N021159 - Testing Test Date: ~'~ Sump Ty~/ Deep / Deep L OPW Pic'es (White, Straight Sides, Deep): Total Containment (Fiberglass): Western Fiberglass (Grey, Other Monitoring SensOr Information: Beaudreau (Sm Black Puck, Light Sensor): Beaudreau (Modern Electronic): Other · Bravo (Mechanical Float):I I Veeder Root (Electronic):I I Test Start Time Test Finish H-Test ~HH:MM (12 Minute Duration) Level D!fferential Pass-/Fail Condition (Repair Notes) ,, Pass / Fail I Pass / Fail Pass / Fail Pass / Fail SB 989 Test Log Forms 2.0 · SB 989 Test Log Testing Contractor: Under Dispenser Containment Sump Information: Dispenser Number: Bravo (Steel, Shallow Pan): Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing Test Date: Sump Type~Deep / Deep L OPW piCes (White, Straight Sides, Deep): ~ Bravo (Fiberglass, Deep SumP):l.., Bravo (Plastic, Deep Sump): Phil Tite (White Inside, Green Outside, Deep L): Monitoring Sensor Information: Total Containment (Fiberglass): Western Fiberglass (Grey, ~): Other :1 Beaudreau (Sm Black Puck, Light Sensor):[ Beaudreau (Modern EleCtronic): Other Bravo (Mechanical Float): Veeder Root (Electronic):I Test Start Time Test Finish H-Test ~HH:M,,,M (12 Minute Duration) Level Differential Pass / Fail Condition (Repair Notes) , ... Pass /Fail - Pass / Fail _ Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing · Product Piping Secondary Containment Test Date: ~-~.~.~-O o---- Line Information: Fuel Grade:' (~/ 87 Syphon Line / 89 / 91/ D / M85 / WO Remote Fill Type: ~ Double Wall Primary Piping: AO Smith (Gold): Ameron (Red): Environ (Green, Flex): gTC (Black, Flex): Western go-Flex (Grey, Flex): Other 'l Other Secondary Piping: AO Smith (Gold):I Ameron (Red):I TC! (Grey, Plastic):l" CTC (Orange, P!astic):I CTC (Blue, Plastic):I :1 Test Finish P-Test Test Start HH:MM / Pressure HH:MM / PreSsure Pass / Fail 'Condition (Repair Notes) / / Pass / Fail' /' · / Pass / Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Product Piping Secondary Containment Line Information' Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing Test Date' ~_ ~.¢~ _~. ~___. Fuel Grade: 87 / / 89 / 91/ D / M85 / WO Remote Fill TyPe: Single Wal~ Primary Piping: AO Smith (Gold):I Ameron (Red):I Environ (Green, Flex):I CTC (Black, Flex):[ ' Western Co-Flex (Grey, Flex): Secondary Piping: AO Smith (Gold): Ameron (Red): TCI (Grey, Plastic): CTC (Orange, P!astic): CTC (Blue, Plastic): Other · Other · Test Start Test Finish P-Test HH:MM / Pressure HH:IVIM / Pressure Pass / Fail 'Condition (Repair Notes) / / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: '1 Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing Product Piping Secondary Containment Test Date: ~-~z~ -~--z---- · Line Information: Fuel Grade: 87 / 87 Syphon Line / 89 D / M85 / WO Remote Fill Typ~e Wall Primary Piping: Secondary Piping: AO Smith (Gold): AO Smith (Gold): Ameron (Red):I )/,,. I Ameron~ (Red): Environ (Green, Flex): TCl (Grey, Plastic): CTC (Black, Flex): CTC (Orange, Plastic): Western Co-Flex (Grey, Flex): CTC (Blue, Plastic): Other " ,:1 I Other : Test Start Test Finish P-Test HH:MM / Pressure HH:MM I Pressure Pass I Fail "Condition (Repair Notes) / / Pass / Fail / / Pass / Fail / . / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: , Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing Tank (Annular Testing) Test Date: Tank Information: Fuel Grade: (~/ 87 Slave / '89 / 91 / D / M85 / WO Type: . Single Wall Annular Monitoring Mefl~d~Wet (No Testing Ne___~~ry) / Dry (See Testing Notes Below) Modern welding (Red, SmOoth Walls): Owens Corning (Beige, Smooth Walls): Owens Corning (Beige, Ribbed Walls): Other Xerxes (Red, Ribbed Walls): Joor (Blue, Smooth Walls): ., Test Start Test Finish V-Test HH:MM/Vacuum HH:MM / Vacuum Pass / Fail Condition (Repair Notes) / / Pass/Fail /' / Pass/Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing Tank (Annular Testing) Test Date: ~-7_~ Tank Information: Fuel Grade: 87 I~~/ 91/ D'/ M85 / WO Type: Single Wall ~ Annular Monitoring Metho~ary) 'Modern Welding (Red, Smooth Walls): Owens Corning (Beige, Smooth Walls):~ Owens Corning (Beige, Ribbed Walls): / Dry (See Testing Notes Below) Xerxes (Red, Ribbed Walls):I Joor (Blue, Smooth Walls): Other · Test Start Test Finish V-Test HH:MM/Vacuum HH:MM / Vacuum Pass / Fail Condition (Repair Notes) / / Pass / Fail / / Pass / Fail / ! Pass / Fail / / " Pass / Fail SB 989 Test Log Forms 2.0 SB 989 Test Log Testing Contractor: Tank (AnnUlar Testing) Shell 3605 Rosendale Bakersfield, CA 93308 N021159 - Testing Test Date: Tank Information: Fuel Grade: .87 / 87 Slave / 89 /~/ D / M85 / WO Type: Single Wal~ Annular Monitoring Methodt,'/'~Wet/~(No Testing Necessary)~. Dry (See Testing Notes Below) Modern Welding (Red, Smooth Walls): Owens Corning (Beige, Smooth Walls): Owens Corning (Beige, Ribbed Walls): Xerxes (Red, Ribbed Walls):I Joor (Blue, Smooth Walls): Other · Test Start Test Finish V-Test HH:MM/'Vacuum HH:MM / Vacuum ,, Pass / Fail Condition (Repair Notes) / / Pass / Fail / / Pass/Fail / / Pass / Fail / / Pass / Fail / / Pass / Fail SB 989 Test Log Forms 2.0 D July 30, 2002 Rosedale Shell 3605 Rosedale Bakersfield CA 93308 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 ~H' Street Bake.rsfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 ' SUPPRESSION SERVICES 2101 "H".Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES · ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Vlctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Steve Underwood Fire Inspector Environmental Code Enforcement Officer D May 29, 2002 Rosedale Shell 3605 Rosedale Hwy Bakersfield, CA,93308 FIRE CHIEF RON FRAME ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 3605 Rosedale Hwy REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. REMEMBER.*! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincere Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/kr enclosures R D April 17, 2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 ~H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661 ) 396-1349 PREVENTION SERVICES 17'15 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 Rosedale Shell 3605 Rosedale Bakersfield CA 93308 RE: Necessary Secondary Containment Testing Required by December 31, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1, 2003 and every 36 months thereafter. Secondarycontainment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures · 451 CONSTITUTIdN UNIT E CAMARILLO, CA,' 93010 805-383-9244 / 805-383-9245 FAX 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 me,lchanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Co., Inc. has been contracted by Shell Oil Products US 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. BUtch Karn Pr_esident RJM/rf CONT. LIC. #33063,1 (B~361) SERVING THE PETROLEUM INDUSTRY SINCE 1967 DATE OF SERVICE: TECHNICIAN: J. Myers & Co., Elq'VIRONMENTAL COMPLIANCE CONTRACTOR 451 CONSTITUTION UNIT E CAMARILLO; CA 93010 805-383-9244 / 805-383-9245 FAX 4/8/02 S.S. #: Jason Nonnweiler Shell 135069 W.O. #: SERVICE REQUESTED BY: Tim Woodson BILL TO: Shell Oil Products US TRWoodson(~equiva.com SERVICE REQUESTED: Annual Monitor Certification and Testing DESCRIPTION OF WORK: Inspected and tested all leak sensors for Proper operation. Verified proper operation And calibration of all TLM probes. All systems normal. PROBE I.D. #: In Tank Setup T1 Unleaded Tank #1 T2 Unleaded Tank #2 T3 Premium Pressure Line Leak Setup Q1 Unleaded Q2 Premium Liquid Sensor Setup L1 Unleaded STP Sump L2 Unleaded Piping Sump L3 Premium Sump L4 Unleaded Tank #1 Annular' L5 Unleaded Tank #2 Annular L6 Premium Annular MODEL #: SERIAL #: Veeder-Root TLS-350 Simplicity. 80347426505001 SYSTEM CERTIFIED: SYSTEM PSD: SYSTEM RUNNING: WASTE OIL: SYTEM SEALED: YES YES YEs YES YES X X X X NO NO NO NO NO NA NA X UST EQUIPMENT INSPEC'rlON REPORT STATION ADDRESS: 3606 Rosedalo Hwy SAP NUMBER: 136069 CITY: Bakersfield BRAND NAME: Shell STATE: California TANKS AND LINE8 Tank Product Tank Type Tank Size UST or AST Tank Corr~lon T~be Line Type Line Con'oMan Type R = Regular M = Mid Grade DWF = Doublewa0 Fiberglass Circle the correct F = Fiberglass DWF = Doubtawail Fiberglass F = Fiberglass . P = Premium D = Diesel SWF = Singlewall Fiberglass Nominal Gallons type ~f tank. L = Lined SWF = Singlewall Fiberglass lC = Impressed Current U = Used Oil K = Kerosene SWS = Slnglawail Steel Underground Storage lC = Impressed Current SWS = Singlawan Steel A = Anode DWS = Doublewall Steel or Abovegmund A = Anode FDW = Flexible DoublawaJl P = Plastic Flex DFS = Double Fiber Steel Storage 1 Regular Tank #1 DWF 10,000 UST Fiberglass SWF Fiberglass 2 Regular Tank fY2 DWF 10,000 UST Fiberglass SWF Fiberglass 3 Premium .. DWF 10,000 UST Fiberglass SWF Fiberglass 4 Comments: PRODUCT TANK MONITORING SYSTEM Positive Fall Type Shut Down 8ale Operational Manufacturer end Model Number DW Tanks W'ffh Intamtit]a] Sensors Wet Yes Yes Yes Veoder-Root TLS-350 Simplicity #420 Automatic Tank Gauge Probes (ATG) Programmed: CSLD Yes Yes Yes Veeder-Root TLS-350 Simplicity Mag #1 Groundwater Sensors FiilNapor Recovery Riser E-TM (^TG) Sump USED OIL TANK AND LINE MONITORING SYSTEM (UST Only) Manufectumr and Model Number Interstitial Monitor (DW tanks) Electronic Line Monitor Fill Sump Monitor ETM (ATG) Probe Comments: PRODUCT LINE MONITORING 8YSTEM Pnsltlve Fail Manufacturer and Model Number Qty Type Shut Down Safe Operet]onal Mechanics' Leak Detector ~~ Electronic Sensor in Fill Sump 2 Elac~'onic Line Pressure Sensors Yes Yes Yes Vesder-Root TLS-350 SImplicit7 PLLD 3 Elaca-onic Sensor in Turbine Sump Yes Yes Yes Veeder-Root TLS-350 Simplicity #352 Electronic Sensors In ConteJned Trench Comments: I certify that the above Information is accurate and the equipment is functioning according to manufacturer's specifications unless othen~ise Indicated. SIGNATURE: Jason Nonnwelisr COMPANY: R.J. Myers & Co., Inc. PRINTED NAME: Jason Nonnweller DATE: 4/8/02 UST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 3605 Rosedale .Hwy CITY: Bakersfield STATE: California SAP NUMBER: 135069 BRAND NAME: Shell DATE:' 4/8/02 TURBINE AREA Test B(~gt/Dreln Plua: Fl~x Connector Tank Permit Required Turbine Head Have test boots been Protection: Plastic Manifold: Is Confined Space Protection True: backed off secondary Flex, Booted, Taped, the product Are there any Are there top seal o~ Identification Contained Sump, containment piping, or Sump, Anode, manifolded observation Are the side seal adapters Are there Internal or Tag or Decal Rigid Soil Barrier, Is The drain plugs removed for Impressed Current. between wells In the products Turbine on the tank fill external drains on the Tank Product Present Liner, None Sump Dry proper drainage? Unable to Verify tanks? tank area? blending? Filter? pipes? si)ill contelnment I Regular Tank #1 No Contained Sump Yes Yes' Sump Yes Yes Yes No Top Seal Intemal 2 Regular Tank ~ No Contained Sump Yes Yes Sump Yes Yes Yes No Top Seal Internal 3 Premium No Contained Sump Yes Yes Sump No Yes Yes No Top Seal Internal 4 Comments: TANK FILL AREA ~ Caps and Overfill Protect]on DID Stick Protection Gaskets In . Tv~: Ball Float, Type: Strike Plate, Spill Spill Containment on Good Fill Lid Fill Lid Product Flapper, Both, None Basket Cage, Both or Containment Spill Containment Tank Product Size Drain Operational Remote Fill~~',~ Remote Fill Condition Condition Painted Identification or Unable to Verify None 1 Regular Tank #1 5 Yes No None Yes Good Yes Yes Flapper Basket Cage 2 Regular Tank ~ 5 Yes No None Yes Good Yes Yes Flapper Basket Cage 3 Premium 5 Yes No None Yes Good Yes ' Yes Flapper Basket Cage Comments: STAGE I VAPOR RECOVERY AREA Cape and Vapor Is There A Spill Vent Can Tvoe: Remote Gaskets In Recovery Contelnment Box Pressure Cap, Vapor Recovey Vapor Dry Break In Good Good Lid Identification Around Each VR Spill Containment T~ank Product Rain Cap, None Type Recovery Operating Condition Condition Lid Painted Condition Tag Present Point Drain Oi)erationel I' Regular Tank #1 Pressure Cap Dual Point No Yes Yes Yes · Good Yes Yes None .~2 Regular Tank fi2 PressureCap . Dual Point No ~ Yes Yes Yes Good Yes Yes None _ 3 Premium Pressure Cap Dual Point No ~ Yes Yes Yes Good Yes Yes None Comments: ~.2,~ STATION ADDRESS: 3605 Rosedale Hwy CITY: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT SAP NUMBER: 135069 BRAND NAME: Shell DATE: '4/8102 DISPENBER AREA Dispenser Nozzles Im )act Mechanism Dispenser Containment Impact TyPe: Gallons per Mechanical Flex Connector Sume Llauld Oldest minute being Sta.e II VaPor Valve or Pro~ection: Boot, Tape, Containment Sensor Type: Date on pumped by Recovery Tvns: Motioo Mechanical Contain Sump, Anode, Sump Tyne: Mechanical, Sump Dispenser Securely Dispenser Number ot closest nozzle. Balance, Vacuum Sensor or Securely Valve Impressed Current, Deep, Shallow, Electronic, Sensors Numbers ManufaCtUrer Anchored? Fuel FIItere Nozzles ReS] Mid Pre Assist, None Both Anchored Operational Unable To Verify None None Operational? 1/2 Wayne Yes 3/21/02 2 7.5/8.6/7.7 Vacuum Assist MV Yes Yes Unable To Verify Shallow Electronic Yes 3/4 Wayne Yes 3/21/02 2 Vacuum Assist MV Yes Yes Unable To Verify Shall°w Electronic 'Yes 5/6 Wayne Yes 3/21/02 2 Vacuum Assist MV Yes Yes Unable To Verify Shallow Electronic Yes 7/8 Wayne Yes 3121102 2 Vacuum Assist MV Yes Yes Unable To Verify Shallow Electronic Yes TOTAL # OF NOZZLES: 8 Comments: GENERAL INFORMATION Emergency Shutoff ~ ;SO) Car Wash Oil - Water Separator Automatic Tank Gauge Strip Reclaim Drain Simplicity (Si, If a remote Sump Needs to Attach A Printout Of The Tank Monitor Does the water level PoleCat (Pi or monitor is Needs to be Set-Up and Most Recent Test Results shown'on the ATG match! Neither (N) Installed, is it be Pumped Pumped · B: Service Bay Needs to be (SWF Tank Locations). Is a PrintOut what is shown on a Installed on operating Operational Qb/ Out? Out C: Car Wash Pumped Out Attached To This Form. manual stick reading? ATG. correctly? Exterior N/A N/A N/A NIA Yes Yes Simplic'~y Yes Interior Yes 1 Comments: MON i )RING SYSTEM CERTII ATION FO~rUse By All Jurisdictions Within the State of Cal~'fornia Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A ~eparate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: Shell 135069 Site Address: 3605 Rosedale Hwy Facility Contact Person: Glen Henry_ Make/Model of Monitoring System: Veeder-Root TLS-350 Simplicity_ B. Inventory of Equipment Tested/Certified Cheek the appropriate boxes to indicate specific equipment inspected/serviced: Tank ID: Unleaded Main lSd]In-Tank Gauging Probe. ~;~Annular Space or Vault Sensor. [] Piping Sump / Trench Sensor(s). [] Fill Sump Sensor(s). [] Mechanical Line Leak Detector. [] Electronic Line Leak Detector. [] Tank Overfill / High-Level Sensor. Model: Veeder-Root Mag #1 Model: Veeder-Root #420 Model: Veeder-Root #352 Model: Model: Model: Veeder-Root PLLD Model: Veeder-Root Mag #1 [] Other (specify equipment type and model in Section E on Page 2). Tank ID: Premium [] In-Tank Gauging Probe. [] Annular Space or Vault Sensor. [] Piping Sump / Trench Sensor(s). [] Fill Sump Sensor(s). [] Mechanical Line Leak Detector. [] Electronic Line Leak Detector. [] Tank Overfill / High-Level Sensor. Model: Veeder-Root Mag #1 Model: Veeder-Root #420 Model: Veeder-Root #352 Model: Model: Model: Veeder-Root PLLD Model: Veeder-Root Mag # 1 [] Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 81/2 [] Dispenser Containment Sensor(s). Model: Beaudreau #406 [] Shear Valve(s). ~ Dispenser Containment Float(s) and Chain(s). Dispenser ID: __ #5/6 [] Dispenser Containment Sensor(s). Model: Beaudreau #406 [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: [] Dispenser Containment Sensor(s). Model: [] Shear Valve(s). []Dispenser Containment Float(s) and Chain(s): Bldg. No.:. City: Bakersfield Zip: 93308 Contact Phone No.: (661) 326-8792 Date of Testing/Servicing: 4/08/02 Tank ID: Unleaded Syphon [] In-Tank Gauging Probe. [] Annular Space or Vault Sensor. [] Piping Sump / Trench Sensor(s). [] Fill Sump Sensor(s). [] Mechanical Line Leak Detector. [] Electronic Line Leak Detector. Model: Veeder-Root Mag # 1 Model: Veeder-Root #420 Model: Veeder-Root #352 Model: Model: Model: Veeder-Root PLLD [] Tank Overfill / High-Level Sensor. Model: Veeder-Root Mag#1 [] Other (specify equipment type and model in Section E 0n Page 2). Tank ID: [] h-Tank Gauging Probe. Model: [] Annular Space or Vault Sensor. Model: [] Piping Sump / Trench Sensor(s). Model: [] Fill Sump Sensor(s). Model: [] Mechanical Line Leak Detector. Model: [] Electronic Line Leak Detector. Model: [] Tank Overfill / High-Level Sensor. Model: [] Other (specify equipment type and model in Section E on Page 2). Dispenser ID: #3/4 [] Dispenser Containment Sensor(s). Model: Beaudreau #406 [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: #7/8 .15~ Dispenser Containment Sensor(s). Model: Beandreau #406 · [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). Dispenser ID: [] Dispenser Containment Sensor(s). Model: [] Shear Valve(s). [] Dispenser Containment Float(s) and Chain(s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information {e.g. manufacturers' checklists) neeessarj to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): [] System set-up [] Alarm history report Technician Name (print): Jason Nonnweiler Certification No.: 559491195 Signature: Jason Nonnweiler License. No.: - Testing Company Name: R. J. Myers & Co., Inc. Phone No. ' (805) 383-9244 Page I of 3 03/Ol Monitoring System Certification D. Results of Testing/SerVicing Software Version Installed: 119.02 Complete the following checklist: [] Yes [] No* Is the audible alarm operational? [] Yes [] No* Is the visual alarm operational? [] Yes [] No* Were all sensors visually inspected, functionally tested, and confirmed operational? [] Yes [] No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? [] Yes [] No* If alarms are relayed to a remote monitoring station, is all communications equipment (e'.g. modem) operational? [] Yes [] No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment [] N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) [] Sump/Trench Sensors;. [] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? [] Yes; [] No. [] Yes [] 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) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % [] Yes* [] No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. [] Yes* [] No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) [] Product; [] Water. If yes, describe causes in Section E, below. [] Yes [] No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable [] Yes [] No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below describe how and when these deficiencies were or will be corrected. E. Comments: Page 2 of 3 o3/ol F. In-Tank Gauging / SIR Eq~nent: [-]' Check this box iftan~auging is used only for inventory control. [] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gaUging equipment is used to perform leak detection mOnitoring. Complete the following checklist: [] Yes [] No* H~s all input wiring been inspected for proper entry and termination, including testing for ground faults? [] Yes [] No* Were all tank.gauging probes visually inspected for damage and residue buildup? [] Yes [] No* Was accuracy of system product level readings tested? [] Yes [] No* Was accuracy of system water level readings tested? [] Yes [] No* Were all probes reinstalled properly? [] Yes ~] 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 ifLLDs are not installed. Complete the following checklist: [] Yes [] No* 'F~r equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? I-'IN/A (Check all that apply) Simulated leak rate: []3g.p.h.; [-]0.1g.p.h; [-] 0.2 g.p.h. [] Yes [] No* Were all LLDs confirmed operational and accurate-within regulatory requirements? [] Yes [] No* Was the testing apparatus properly calibrated? [] Yes [] No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [] N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [] N/A [] Yes [] No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or [] N/A disconnected? [] Yes [-1 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions [] N/A or falls a test? [] Yes [] No* For electronic LLDs, have all accessible wiring connections been visually .inspected? [] N/A [] Yes [] No* Were all items on the equipment manufacturer's maintenance checklist completed?' * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 o3t01 Monitoring System Certification UST Monitoring Site Plan Site Address: 3605' Rosedale Hwg, Bakersfield 91 87Siphon 87 Main Fill ~"0 0 0 · [--q.. ~ . ?r..___¢. .... .O. ..... .O. ....... · .me. ............ .... .... [-- Unused Dispenser I I I I I -I ...... · Unused Dispenser .............. ESO ................ ............ ~... Vem~sers ................................ Date map was dram: 04/08/02 Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annUlar spaces, smnps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. CALM-02 Page I of 1 11/15/99 lt.3. MYERS & CO. 451 CONSTITUTION AVENUE UNIT E CAMARILLO, CA 9~010 PHONE: (805) 383-9244/F,aO(: (805) 383-9245 LZNE LEAK DETECTOR TEST Customer: Location: Technician: Tech. Cert.# Manufacturer: Product: WPLLD/PLLD Sedal #: Operating Pump Pressure: Gallons Per Hour Leak Rate: Bleed Back Rate: Pass/Fail Shell 135069 3605 Rosedale Hwy Bakersfield~ CA 3ason Nonnweiler 559491195 Date: 4/8/02 Submersible Pump Information Red .lacket TesUna Information 87 91 080179 012865 28 28 3.0 3.0 110 120 Note: Pass=Leak detector reads leak and shuts down turbine. Fail=Leak detector did not read leak and turbine did not shut down. 103188 204-0461-0709 3605 ROSEDALE ~dV. 6qKERSFIELDS. 803~7426505001 APR 8. 2002 11:04 LIOUID STATUS APR 8. 2002 11:04 L I:R£GULaR TURBINE SUMP SEI'~;30R NORmaL L 2:REOULHR PIPING SUMP SENSOR NOI~,IAL L 3:PREMIUM SUMP SED~50R NORMAL L 4:REGULAR T~I ANNULAR SEN~OR NORMAL L 5:REGULAR TK2 ANNULAR BENSOR NOR~L L 6:PRBNIUM ANNULAR SE~GOR NORMAL L ~:NONE SENSOR NORflRL L 8: N01~ SENSOR NORMAL SOFTt4qRE REVISION LEVEL VERSION 119.02 SOFT~R£, 346t19-100--C CREATED - 99.12.29.23.12 S-MODULE~ 3~0160-t12-A SYSTI~FEA'FURES: PERIODIC IN-TA~ ~TS ANN~ IN-/am~ ~ SIR FUEL~ P~D 0.~0 A~O 0.20 REP~ITIV WPLLD D.IO AUTO, 8.20 REPETITIV ISTORY REPORT .... IN-TANK ALARM T I:RE¢;ULAR TANK I OVERFILL ALARM AUG 27, 2001 5:22 AP1 aUG'25, 2001 I0:17 PM JUL 31o 2001 4:42 PM LO~ PRODUCT ALARM OCT 21, 2001 0:34 AM OCT 18. 2001 5:42 PM OCT 14, 2001 10:37 AM SUDDEN LOSS ALARM FEB 9, 2001 2:11 PM HIGH PRODUCT Al. ARM JUL 21, 2001 9:42 PM FED 7, 2001 5:52 PJ'I JAN 28, 2001 9:30 ~ INVALID FUEL LEUEL OCT 21, 200t 7:15 AM OCT 18, 2001 5:18 I>M OCT 14. 2001 10:16 AM PROBE OUT APR 6. 2001 9:51P~I DELIVERY NEF, DED ~ 12, 2002 6:35 AM JAN 19, 2002 9:21 aM DEC 26, 2001 8:35 .DM C~LD INCR P, ATE W/.~fl FEB 2. 2002 4;14 AM OCT 16, 2001 12:49 RM OCT 3, 2001 2:09 AM ,'%LARM HISTORY .... IN-TANK A~ ..... T 3:PREMIUM LOW PRODUCT ALARM NOV 19, 2001 11:41 ~9 JUN 13o 2001 7:03 AM JUN 9, 2001 10:59 PM SUDDEN LOSS ALA~4~ NOV 19, 2001 I1:40 RM INVALID FUEL'LEVEL NOV 19. 2001 11:41 ~ RUG 1% 2001 §:17 PM JUN 12, 2001 10:29 PM PROBE OUT APR &, 2001 9:5! at'l DELIUF, Ry NEEDED APR 1, 2002 8;14 Pit4 DtqR 30, 2002 1:47 PM ~ 27, 2002 12;50 PM C~LD INCR RATE WARN M,qV 31, 2001 4:42 RM MAY 30, 2001 1:2? ~ ALARM HISTORY REPORT .... I N-Tah'X RL~I;;~I ..... T4: L 2:REGULRR PII:'ING SUMP SENSOR NOEHAL L 3:PREHI~I SUPIP S£N?X)R NOEt~L L 4:REGULP~ TKI RNNUL~R SENF, OR NORM¢~. L 5:R~UL~R TK2 ~NNULAR -°,E NBOR NORMAL L 6:PREMIUH .~NNLII~R SEI~OR NORI'~L L 7:NONE SENSOR NORHRL L B: NONE SEI~OR SOF'rI~E{~VISION LEVEL VEI~ION 119.02 SOFTWARE# 346t19-100-C CRERTED - 99.12.29.23.12 S-HODOLEa 3301GO-II2-R SYSTEM FEATURES: PI~IODIC IN-T~NK TF, BTS RNNOiqL IN-?ANK TEIS'TS ¢SLD FUEL I'~r~';ER PLLD O.lO AUTO 0.20 REPETITIV WPLLD 0.10 AUTO 0.20 REPE'TITIV STORY REPORT .... IN-T~N[ ALARM ..... T I:REGUL~R TANK I OVERFILL ~LRRM ~UG 27, 2001 5:22 AH ~UG 25. 2001 lO:l? PM JUL 3I, 2001 ~:42 PM LOW PRODUCT ALARH OC~ 2l. 2001 8:34 RM OCT 18, 200l 5:42 PM OCT 14, 2001 10:37 ~ SUDDEN LOSS ALARM FEB 9. 2001 2:il PM HIGH PRODUCT ALAF, YM JUL 21. 2001 9:42 PPi FEB 7. 2001 5:52 H~ JAN 28. 2001 9:30 Pt.{ INVALID FUEL LEVEL OCT 2l, 200l 7:15 {:~ OCT 18, 2001 5:18 PM OCT 14. 2001 loll6 RH PROBE OUT RPR 6. 2001 9:51 Fei DELIVERY NEEDED FEB 12. 2002 6:35 ~ J~N 19. 2002 .9:21 ~ DEC 26, 2001 8:35 PM ~LD I[~R RRTEWR~N FEB 2. 2002 4:14 ~ OcT 1£. 2001 i2:49 RM OCT 3. 2001 2:09~'1 AL.~RM HIt51'ORyR~ORT .... IN-T~NK AI~R[~ ..... T O:PREMiLIH LO~ PRODUOT ALA~I NOV 19. 200i 11:41RP{ JUN 13, 2001 7:33 ~ JUN 9, 2001 10:59 PM SUDDEN LO~9 AbARM NOV 19. 2001 [1:40 ~M INV~£1D FUEL LEVEL NOV 19. 2001 11:41Fe't ~UG 17, 2001 5:17 ~ JUN 12. 2001 10:29 ;'Pi PROBE OUT APR 6. 2001 9:51 ,PM DELIVERY NEEDED RPR 1, 2002 8:14 M~R 30. 2002 1:47 {'FIR 27. 2002 12:50 CSLD I~R MAY 31. 2001 4:42 MAY 30, 2001 1:27 .... I N-T~qNK AL~H ..... T 4: GRO~ LINE FAIL APR I, 2002. 1'.01 PM PLLD SHUTDOWN ALAFO9 P~'R I, 2002 I2:22 PH PLLD SHUTDOWN ALARM D~¢ 22, 2001 7:44 PM PLLD SHUTDOWN ALARM NOV 25. 2001 12:11 PM PLLD BHUTDOWN RI..qRM NOV 25. 2001 11:10 AM PLLD SHUTDOWN ALARM NOV 25. 2001 10:58 PLLD SHUTDOWN ALAI%M NOV 5. 2001 11:52 AM PLLD SHUTDOWN AI~qRM NOV 5. 2001 11:41 AM PLLD SHUTDCA, JN ALAI~'I NOV 5, 2001 ll:lG AM ALUM HIb-"rORY REPORT ..... SENSOR ALARM ..... Q 2 :PR~gl UH PLLD SHUTDOWI'~ ALARPI APR 1. 2002 1:04 PM GRO~ LIBE FAIL APR 1. 2002 1:04 PM PLLD SHUTDOWN ALARM APR 1, 2002 12:21 PM PLLD SHUTDOWN ~L.qRM JAN 31, 2002 1:47 AFl PLLD BHUTDO~N ALARM DEC 22, 2001 7;17 PM PLLD SHUTDOWN ALARM DEC 5, 2001 B:03 AM PLLD SHUTDOWN ALARM DEC 5, 2001 7:03 AM PLLD SHUTDOWN ALARM DEC §, 2001 4;5B Pd9 PLLD SHUTDOWN ALARM NOV 19, 2001 11:41 AM PLLD BHUTEKY~N ALS DDV 17, 2001 4:3t P~l RI..~RH HISTOI~/ REPORT ..... SEN;~OR ALAEM ..... Q 3: ALARM HIBTO~I REPORT ..... SENSOR AL~ ..... .L I:REGULAR TURBINE BUMP STP SUMP HIGH LIQUID ALARM APR t, 2002 12:2B PM. HIGH LIQUID ALAI~I /.~R ti, 2001 10:51 AM S~ ~TR WA~N[~ JAN 1, ~996 8:08 ~ AlaRM HISTORV REI>ORT ..... SENSOR ALA~I ..... L 2:REGULAR PIPING SUMP PIPING SUMP HIGH LIQUID ALARM APR I. 2002 12:23 Pti HIGH LIQUID ALARM APR Il, 2001 10:51 AM HIGH LIQUID ALARM APR 4. 2001 4:15 Piti ALARM HIBTORY EEPORT ..... S~NSOR ALARM ..... L 3:PREPiIUfl BUMP STP BUMP HIGH LIQUID ALARM APR ~. ~00~ X~:~4 ~ HIGH LIQUID A~M ~R 1). 2001 ~:43 ~ HIGH LIQUID ~_ ~R 4, 2001 4:16 PM ~ Hl-CeroRY REPORT ..... SENSOR Rt~I~M ..... L 4:REGULAR TK! ANNU~ FUEL ~PE ~, 2002 FU~ NOV B. 2SOl 1l;52 ~V 5. 2001 II ALF-~ HISTORY REPORT ..... SENsoR AL~RM ..... L 5:REGULAR TK2 ~NNULAR ~NNULRR SPACE FUEL A~RM ~R 1, 2002 12:22 ~ FU~ R~ DSC 22, 2001 ?;44 ~ FUEL ~ ~V 25. 2001 12:li PM ALARM HISTORY REPORT ..... SENSOR ALARM ..... L 6;PRENIUM ANNULAR ANNUI~ SPACE FUEL ~ ~PE t, 2~02 12:21 ~ F~L A~ J~N 31, 200~ 1:47 ~ FUEL ~L~ DEC 2~. 2001 7:17 ~ SETUP APR 8, 2002 ENGLISH ~ [V-~TE,'TINE FO~'"IRT /'ION DD ~ HH:I~:SS 103189 204-04G1-0709 3605 ~ED~E BRKE~ EL~. 80347426505001 SHIFT TIME I 6;00 ~HIFT .TIME 2 DIe,BLED , SHI~ TINE 3 DIBBLED SHIFT TINE 4 DISABLED sHIFT SIR PRI~OuTs DIALED ~ ~ LY B I R PR I NTOUTB D I ~LED TICKETED DEL 1V~y E~BLED ~ TICK~ D~IVERY CLUE DAY OF BUN ~ILY DLW V~R DIeD ~Y DLW V~R DI~L~ P~IODIC DLW V~ WEEKLY ~K V~ PERIODIC B~ VAR ~PT8 D I 8ABLED DRILY VAR RN~LY DIALED WEEKLY VAR R~LY RPTB D i 8ABLED PERIODIC VA~ A~LY D 1BABLED TANK PER TST NEEDED WRN D I ~ABLED T~Ng ANN ~T NEEDED WEN D l ~BLED LINE RE-ENaBLE PA~B L I NE TEST LINE PER T~;T NEEDED DISABLED LINE ANN TST NEEDED WRN DI~L~ FRI~ TC VOLU~ D I SRBLED TE~P ~E~TION VALUE (b~ F ): 60,0 STICK ~IGHT D I H-P~OT~OL DRT~ FOR~T HE 1 OHT PRECISION ~T HOURS; 12 0.20 ~H LI~ T~ RUTO~O~I~: E~L~ 0.10 ~PH LI~ ~0~0~I~: E~ DRYLIG~ ~VI~ TI~ ENABLED APE ~EE~ [ START TIME 2~00 ~ END D~TE ~ UEEX 6 ~UN END TI~ 2~00 ~ RE-DIRE~ L~L PRINTOUT DIBABL~ EURO PROTOCOL PREFIX S'/STEN SECURITY CODE : OOO000 _COF~UN I C,~T IONS i~'T Up POET SETT I 1'4G~: CONM BOARD : 5 (1~B-485> BAUD RATE : 2400 PARITy : NONE STOP BIT : I STOP D~TA LENGTH: 8 I~TA COMN BOARD : 6 (S-SAT I~aUD R~E : 9600 PARITY : ODD STOP SIT : I STOP DATA L£1~TH: ? DATA RECE 1VER SETUP D '8:VEEDF_.R ROOT (FMs) CaLL 4000010025 RETRY NO: 5 RETRY DEL,Ry' 5 CONFIRP~TIO~ REPORT: OFF ~,UTO DIaL TIME .qETUP: b B:VEED£R ROOT D[RL DALLY DIaL TIME : DISABLED RECEIVE~ REPORTS: RS-232 S~3URITY CODE : 000000 ~-2J2 END OF MESSAGE D I E~BLED aUTO DIaL ALARM SETUP ~ 8:vEE'DER ROOT" iFMS> I N-TANK ALk:L£AK aLa~ ALL:HIGH ~qTER ALA~ ALk;OV£RFILJ~ ~ ALI.:~Lff~DEN LO~ ALARM ALL:HIOH PRODUCT ALARH ALL: INVALID FUEL LEVEL ~J-L:PROBE OUT RIA~:HIGHWATERW~RN~N~ ALL:~XPRODUC~ MLL:GROSSTEST FAIL ALL:PERIODIC TEAT Fall aLL:ANNUAL TF. J3T FAIL ALL:PER T~T N~EDED WRN ALL:PER T~iT NEE1)ED ALM ALL:NO ¢SLD IDLE TIME ALL:C'~LD INCa RATE WARN ALL:ACCU_CHART CAL WARN ALL:RE¢ON WARNING ALL:LO~I TEMP WARNING ALL:GROF:~ FAIL LINE LIQUID t~E{~OR ALL:FOBL A~ ALL:SEI~OR OUT AL4RH aLL:SHORT ~:HIGH LIGUID ~LL:L~ L[GUID ~LL:LIGUiD R~J~O~' ~RN CLEAR WARNING PREg~URE LIN~ LEAK ~LL:~ROS~ LINE F~IL ~LL:~NNU~L LINE F~iL ~LL:PER ~ HEED~ ~L~ ~LL:PLLD OPEN ~ ALL:U~t~N ~ ~:U~N A~ ~:U~N ~ ~L:P~IODIC LI~ F~IL ~:SNN ~ ~EDED ~LL:UNKN~N RL~RN ~L:~NT ~NDLE ~ ~LL:FU~ O~ ~LL:LN EQUIP F~ULT IN-TANK SETUP T I:REGULAR TANK I PRODUCT CODE : 1 TH£RMAL COEFF :.000700 TANK DIAMETER 92.00 TAR PROFILE 4 PTA F~VOL 9728 69.0 I~H~L 7910 46.0 I~H VOL 4864 23,0 I~H VOL 1818 H~ ~TA NO FLOAT BIZ~; 4.0 IN. 8496 WATER WARNING : HIGH WATER LIHIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELIVERY LIMIT LOW PRODUCT : LEAX ALARM LIMIT: SUDDEN LO~ LIMIT; TANK TILT : MANIFOLDED TANKi~ T#: 02 2.0 9728 8755 924 I 14% 1459 5OO 3 '50 2.20 LEaK MIN PERIODIC: : LEAK MIN ANNUAL : : PERIODIC TEST TYPE b-'TANDARD ANNL~ TE~T FaIL ALARH D 1 F:~BLED PERIODIC TF~ FAIL Al.ARM O I,SABLED GROSS TEar FAIL ALA~ DI~qBLED aNN TEST aVEI~GING: OFF PER TEAT AVERAGING: OFF TANK TEAT NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY D~AY : 3 MIN T 2:R. EGUL~, TANK 2 PRODUCT CODE : 2 THE~q'~L COEFF : .000708 T~NK DI~TER : 9~.00 T~,NK PROFILE ; 4 ]>TS FULL VOL : 8728 69.0 INCH VOL 7910 46.0 INCH VOL 4864 23.0 INCH VOL 1818 METER DATA NO FLOAT B1ZE: 4.0 IN. 8496 t, JA'I'E~ WRRNING : HIGH {,,,lATER LIMIT: MAX OR L~EL VOL; OVERF ILL LIHIT HIGH PRODUCT DELIVERY LIMIT LO~ PRODUCT : LEi:U< ALAI~9 LIMIT: SUDDEN LO~ LIMIT: TANK TILT : MANIFOLDED TANKS T,; 81 1.0 2.0 9728 90% 8755 95~ 9241 14~ 1459 0 3 50 1 LEAK MIN PERIODIC: LEAK M1N AIqNLI~qL : : PERIODIC. TEST TYPE ANNUAL TEBT FAIL ALARM D I IBRBLED PERIODIC TEST FAIL ~LARM DISABLED GRO,S~ TF. qT FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEBT AVERAGING; OFF T~NK TEST NOTIFY; OFF TNK Ti~ SIPHON BRE~K:OFF DELIVEK~/'DELAy : 3 PRODlJCT CODE T P, ERI"t~L COEFF TANK DIAMETER T~NI< PROFILE FULL VOL 69.0 INCH VOL 46,0 INCH VOL 23.0 INCH VOL METER DATA : 3 :.000700 92.00 4PT~ 9728 7910 4864 1818 FLOAT SIZE: 4.0 IN. 8496 WATER WA~N I NG : HIGH WATER LIMIT: MAX OR Li~BEL VOL': OVERFILL LIMIT HIGH P~ODUCT DELIV~ LIMIT · LOW PRODLIC~ : LE~K ALA~ LIMIT: SUllEN LOSS LIMIT: TANK TILT : MANIFOLDED TANK9 T#: NONE 2.0 9728 90/4 8755 9241 1459 500 3 50 2,44 LEAK MIN PI~IODIC: LEAK MIN ANNUAL PERIODIC TEST TYPE STANDARD ANNIJAL TEST F~[L RLAEH DISABLED PERIODIC TEST F~IL ALARM DISABLED GROd~S TEST FAIL ALARM DIBBLED ANN TEST RVE~OI~: OFF PER TEST RVEEAG]~: OFF T~NK TE~T NOTIFY; TNK TST SIPHON B~E~K:OFF DELIVERY DELAY = 3 LEAK TEST TE~ CBLD ; AL1. T~NK Pd ~ 9~; CLIMATE LEAK TEST REPORT FORi~qT NOeL 103188 204-0461-0709 3605 ROSEDALE HWY. I~KERSFIELDS. CA, 8034742650500I APR 8, 2002 11:07 la.M FUEL HRNAGEMENT SETUP DE~IUERY WARN D~YS: 0.0 AUTO PRINT: DISABLED T I;REGUL~R TANK I AVG SALES-SUN: AVG I~qLES-MON: AVG SALF_~-TUE: ~VG SALES-WED; AVO BALEB-TH~: AVG BALES-FRI: AVG ,9~.~LES-SAT: 1649 GAL 1854 GAL 1732 GAL 1023 GAL 1890 GAL 203? GAL 1763 GAL T 2;REGULAR TAI~ 2 AVG SALES-SUN: AVGS~LEB-MON: AVG SALES-TUE: RVG S~LEB-14ED: AVG B$~.ES-THR: AVG ~LEB-FRI: AVG I~LES-SAT: 1641 GAL 1835 GAL 1757 GAL I818C.~L 1891 GAL 2039~L I?93GAL T 3:PREMIUH AVG SALES-SUN: AVG 8ALES-MON: AV$ ~-TOE: AVG ~LEB-~ED: AVG l~qI~-TH~: 681 GAL 651 GAL 546 GAL 582 GAL 645 GAL ?06 C~L 822 GAL pREC~URE LINE LEAK BETU~ Q I :R~X~ULRR TYP:~,O IN FIBERGLRGB LINE LENGTH: 200 FEET 0.20 GPH T~T: REPETITIV 0.10 GPH T~T: AUTO SHUT~N RMTE: 3.0 GPH T I:REGUL~ TRNK 1 D l BPOe. ~DE: ~RD PR~ OFF~ET: e 2: PREI'I[ UM TYP:2.0 tN FIBE~L~B LINE LENGTH; 200 FEET 0.2G CPH TEST: REPETITIV O. 10 GPM TEST: AUTO SH!.iTDOWN RATE: 3. O GPM LOW PREBSURE 6HLffOFF:¥ES LOW p~F..~URE : 5 PSI T 3:PREM[ L~ D ISPE[~BE HODE: SENSOR: HIGH pP, E,.C~URE pREF~*~UR£ oFFBET: G.OPSI L~LF~K LOCKOUT SETUP LOCKOUT SCHEDULE D~ILY $'TART TIME; DISABLED 'BTOP TII~ : DISABLED LIQUID SENSOR SETUP L l :REGULAR TURB] NE BUI~ DURL FLT, HIGH VP,~OR C~TEGORY : B~ ~ L 2:R~ULRR pfPING BUMP Dt~L FLT. HIGH vAPOR O~TEGORY : PIPING BLIMP L 3:PREMILtH SUMP DUAL FLT. HIGH CATEG01~ : STP L 4:REGULAR TKI ANNULAR TEl -SI'RTE (s [NGLE FLOAT ;,. CRTEC.,ORY : AN~,tUI, J:~R SPRCE L 5:REGULRR TK2 ANNULAR TEI-STATE (SINGLE FLORT) CATEGORY : RNNULAR BPRCE L 6:PREMILIM RNNUI..qR TRI-B'TRTE t-'alNGLE FLOAT) CRTEGORY : RNNULAR BPACE L ?;NONE flORMRLLY CLOSED CATEGORY : OTHER BEI, EsORS L 8:~ONE NGRt'tqLL¥ CLOSED CRTEGORY : OTHER SEI~O~S PLLD LINE D[?~LE BETUP O 1 :REGUL.,~ I N-TAN~ AL.qRMB T 1 :HIGH WATER ~ T ! :GRO~.~ TEST FAIL LIQUID SENBOR ~ L I :FUEL ALRRM L 2:F~ ~L~ L 4;FO~ ~ L 5:FUEL ~ L i:SE~ O~ ~L~ L 4:BE~OR O~ RL~I L ~:SE~OE O~ RL~ L 2:~ ~ L 4:~ ~ L ~ :~T~ ~ L 2:~ L t :HIGH LI~UID L 2;HIGH LIeUID L 2:LIGUID L 4:LIGU1D L B:LIGBID pR~U~E Li~E L~ e t ;~LLD OPEN e I:LN ~ FReT I N-TRNX ALAR~ T 3:HIGH BRT~ T 3 :L~ PROD~T LIGUiD ~E~R ~ L 3:F~L L 3:~E~OR O~ L ~:SE~E O~ L 6:SHO~ ~ g B:~T~ ~ L 3:HIGH LIQUID RL~ L 3:LIQUID L 6:LIQUID PRE~U~ LI NE ~ G 2;PLLD OPEN G 2:C0~ HR~ G 2:LN ~UIP FReT RI~CONCILIRT 1 ON SETUP AI. ri'O~TiC 'DAILY CLOSING TIME: 2:00 ~ ~UTO SHIFT =1 CLOSING TIME: DISABLED AUTO ~HIFT 1~2 CLOBI~E} TIHE: DISABLED AUTO BHIFT ~3 CLO-~ING TI~'IE: D II~qBLED AUTO BHIFT {{4 CLOSING TII'~: 6:00 ~ P~IODIC RECONCILIATION MODE: MONTHLY ALARM: D I ~L~ T~P CO~E~TION ~AND~RD B~ SLOT FU~ METER TRNK TA~ ~P EHPTV {~ENSOR /-~LARM ..... L 6!PRE~IU~ ANNULAR ANNULAR SPRCE FUEL A~RM 8, 2002 11:19 ~ FRESSLrP. E LINE LF-~K ALARM Q 1 PLLD SHUTDOWN Al. ARM APB 8, 2002 ll:lg A~ ..... ~ I'~'.-'.~R AL~I ..... L 2:REGULAR PIPI{~3 BUMP PIPI,NC, BU~P HIGH LiOUID AL~h~M APR 8. 2002 1[:19 ~ ..... SENSOR L I:REGULAR TURBINE BU~P S']'P BUMP HIGH LIGUID ALf-Oh~ APR 8, 2002 11;20 ~ PRE.ORE L[NE LERK ALA{~M Q I:REGULAR PLLD SHUTDOWN ALARM APR 8, 2002 II:2OP{~ -~--- 8ENBOR ALARM ..... L 4:REGLIL,Q,];~ TKI ANNULAR ANNULAR SPACE FUEL ALARM RPR 8, 2002 [1;20 ~ PRESSURE LINE LF..~X ALA]~ PL[.D SHUTDOWN AL~RM ~PR 8, 2002 11:18 P~ PRE~SURE LINE LE~K RL~R~ Gl l :REGULJ:~R PLLD SHUTDOWN ALARM APR B, 2002 11:20 P~I 103188 204-0461-070~ 3605 BOSEDALE B~KE~FIEL[~. O~. 80347426505001 APR 8, 2002 11:23~ ..... SENSOR ALARM ..... L 3:PREMIUP{ SUMP STP SUMP HIGH L]QuID ALARM P'd:>R 8, 200~ 11:18 ~ ..... SEN~OR ALARM ..... L 5:FeEGULFu~ TK2 RNN~R ANI,iULPd~ BPRCE F~ ALA~ APR 8, 2002 11:20 ~ AIL FU~3TIONB NOPJAqL PRESSURE LINE LEAK ALARM Q 2:PREMIU{,I PLLD BHUTDOWN ALARM APR 8. 2002 11:195V'1 PR~-~,SURE LINE LEAK O I:REGUL~R PLLD SHUTI)O~N ALUM APR 8, 2002 11:20~ PRESSURE LINE LEP~< Q 2:PRE~It2~ GRO'~S LINE FAIL APR 8, 2002 11:47 PRED,~URE LINE LF_~I'~ 0 2: PREI'II Lt't PLLD BHLrrl)~N F.%OR B, 2002 It:47 pRE~URE L I hie LEt;I}( :REGULAR GRO.~.','~3 LINE FAIL @, 2002 11:50 I)RE~UR£ LINE LF.~K :REGULAR PLLD SHUTDC~;~ 8, 2002 1l:50 AM D April 11, 2002 GLENN HENRY ROSEDALE SHELL 3605 ROSEDALE HWY Bakersfield, CA 93308 FIRE CHIEF RON FRAZE ADMINISTRATWE 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) 325-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Elakmsfleld, CA I~301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Failure to Submit/Perform Annual Maintenance on Leak Detection System at ROSEDALE SHELL, 3605 ROSEDALE HWY Dear GLENN HENRY, Our records indicate that your annual maintenance certification on Your leak detection system is past due APRIL 11, 2002. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, May 13, 2002, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services by: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney E ,UILON ~l ENTEI:IPRISEg LLC $b~1 r, Teuc~ Ir/a4'dlI February 8, 2002 City of Bakersfield Fire Department 1715 Chester Avenue, Third Floor Bakersfield, CA 93301 Re: Equilon Enterprises LLC/Shell/Texaco Stations Change of SH&E Compliance Coordinator To Whom It May Concern: The stations listed on the attachment have been reassigned to another region. Responsibility for underground tank matters, permits, etc. has been transferred to: Tim Woodson, SH&E Compliance Coordinator Equilon Enterprises LLC 2401-A Waterman Blvd 4-257 Fairfield, CA 94533 Telephone: 925-766-3494 209-577-5960 (alternate) 925-766-3498 (cell) Please direct all future correspondence to Tim. Thank you. Yours truly, e alSarrafian Feryal Sarrafian SH&E Compliance Coordinator P.O. Box 7869 Burbank, CA., 91510-7869 120977i2401 N. OAK/24TH BAKERSFIELD TEXACOI93301 KERN WOODSON GLENN HENRY' i805-861-8972 ~RORO ~CIBK 121017~2601 ~IT~EL POTRERO BAKERSFIELD T~CO~ ~- KER~ WOOD~ CALVIN ~LLS ' ~-~ ~'-~'~ .............................. 1211~73'~'~' CALIFORNINR~L ROAD BAKERSFIELD T~C~3~0~ ........ KERN WOODSON LINER ~1 MGR (Mamha Ho~) 1661-325-3388 121176~98 MING/R~L ROAD BAKERSFIELD TE~C~93309 KERN WOODSON LINER ~15 MGR (Mamha Ho~) ........... ~2~ .... GOSFORD~ITE BAKERSFIELD TE~CO~93309-7692 KERN WOODSON LINERS11 MGR(Jani~Stotts) ~661-833~002[CORO ~ClBK 121379~5321 STOCKDAL~N~ STINK BAKERSFIELD T~CO i93309 KERN WOODSON CALVIN O ~LLS ~'~" ~'""-?C~' ...................... 135~8~2600 ~IT~EL POTRERO ~KERSFIELO SHELL 1933~ KERN WOODSON CALVIN ~LLS j661-832~801 [RORO ~CIBK ........... ~3~-~3~0~--- ROSEDALE H~IUS 99 BAKERSFIELD SHELL J9330~'--~-- W00DS°N GLENN HENRY' .......... 1~070~'~"" '~'~ ~'~ALE~I~-~- ......... BAKERSFIELD SHELL .~ [~ ~ ~~~ 135071~5212 OLI~H~99 BAKERSFIELD SHELL t93308 ~ WOODSON PERM CLOSE 411~01 ~661-726'~7-~'~ ~~-~UNIONIBRUNDAGE BAKERSFIELD SHEL~'-~93307 iKERN WOODSON TEMP CLOSED [~'~'~'~'~'~'i~'~ 135075~3623, CALIFORNINR~L BAKERSFIELD SHELL'193309 ~KERN WOODSON GLENN HENRY (~ do~ 6127) T~~ ~ ~". 3a'~ 29 02 0~:58p It. J. Myers & 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 Monitoring System Inspection and Certification 4/11/01 :~ ~~ 3605 Rosedal Shell 135069 . Bakersfield, C 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 3a~ 29 02 p.3 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: 4/11101 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. Vedfied proper operation and calibration of all TLM probes. All systems normal. SERVICE REQUESTED BY: Feryal Sarrafian PROBE I,D, #: In Tank Setup Ti 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 L,~ Unleaded 2 Annular L6 Premium Annular MODEL #: Veeder-Root TLS-350 Simplicity SERIAL #: 80347426505001 SYSTEM CERTIFIED SYSTEM PSD SYSTEM RUNNING WASTE OIL SYSTEM SEALED YES ~ NO ~ NO ~) NO ~NIA NO ~ NO ~a~ 29 02 0~:59p UST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 3605 Rosedale Hwy. CITY: Bakerslield STATE: California TANKS AND LINES SAP NUMBER: 135069 BRAND NAME: Shell Tank I Product ' ' Tanl~ Ty?e Tank Size UST or AST Tank Gorroelon TyF~ I Line T~q3e LIne'Con'oelon R - R~uler M = Mid Grade DWF = ~e~ll Fi~la~ Cimle ~e con~t F = Fi~rg~ DWF = ~ubl~ll R~g~a~ F = Fl~ P - Premium D = O~l SWF = Single~ll Fi~rgla~ Nom[na~ Gallons ~ af~nk, L ~ ~n~ SWF = Singl~lJ FJ~Ie~ lC = Impm~ Cu~ U = U~ ~1 K = Ker~ne SWS = Sing~ll S~l ~ndergmund S~rage lC ~ Im~e~ Cun~t SWS = 8ingle~il Stol A = ~e DWS = ~e~ll S~I or ~v~round A = ~e FDW = FJ~b~ DFS = ~uble F~r Stol Storage 1 R~ular DWF 10,~ UST Fireless SWF '2 R~ular DWF 10,~ UST Fi~rgla~ SWF Fi~ia~ 3 Pr~Jum DWF 10,~ UST Fi~la~ SWF Fi~la~ 4 PRODUCT TANK MONITORING SYSTEM Positive Fail Qt~ Type ,Shut Down Safe Operational ,Mapufactur~r ~rtd ModeI Nu.mbelr OW Tanks Wll~ Intemtitial Sensors 3 Wet Yes Yes Yes V..eeder-Root TLS-3~. 0 Simplicity #420 Automatic Tan~, Gauge Probes (ATG) 3 Pro~ram.med: YES CSLO ..... Yes Yes Yes Veeder-Root TL.S..3.50 Simplicity Mag #! Groundwate;' Sensors FilL'Vapor Rec~v~ Riser ETM (ATG) Sump Comments: USED OIL TANK AND LINE MONITORING SYSTEM lUST Only) Manufacturer and Model Number Type Operational [Interstitial Mon~[or (DVV tanks) Electronic Tank Monitor Sump Monitor I ETM (ATG) Probe Cofmm~ts: PRODUCT LINE MONITORING SYSTEM Positive Fair Manufacturer and Model Number N/A Mechanical L. eal~ Detector N/A Electronic Sensor in Fill Sump 3 ElecS'onic Line Pressure Sens0m Yes Yes Yes Veeder-Root TLS-350 Simplicity PLLD 3 Elec~'onlc Sensor In Turbine Sump Yes Yes Yes Veeder-Roo! TLS-350 Simplicity - Discclminatlr~g Senors 4 Electronic Sensom in Contaiaed Trerlch . Yes Yes Yes 8eauclream Elect in 404-4 Comments: .... . I certify that the above Infornmtlon is accurate and the equilxnent is t'unctloning according to manufacturer's specifications unless otherwise indicated, SIGNATURE: COMPANY: R.J. Myers & Co., Inc. PRINTED NAME: James PJch DATE: 04/1tl01 LIST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 3605 Rosedale Hwy. CITY: Bakersl~d STATE: California SAP NUMBER: 135069 BRAND NAME: Shell DATE: 4/11/2001 TURBINE ?est Boot]Drain Pluq: Flex Connector Tank Permit Required Turbine Head Have test b.~:A$ been Protection; Plastic Manifold: Is Confined Space P/'otectior~ Tyl>e: backed off seconda~ Flex, Booted, Taped, the product Are there top seat Identjfm~f. ion Contained Sump, conta]nmen~ piping, or Sump, Anode, manifolded Are there any Are the m' side ~ Are there internal or Tag or Decal Rigid Soil Banier Is The drain plugs removed Impressed Cun'ent, between obse~n/afion wells in products Tuybine adapters ~n t~.e external drains on the Tank ...Praduct .. PTesent I. Jner, Niobe Sump Dry for proper drainage? Unable to Verify tanks? the tank area? blending? Fi~te¢? tank fill pipes ? sc)ill containment ? I Ref3ulm I ~ No Contain Sump Yes N/A .. Sump Yes Ye?. ..... Yes No Top Seal Internal 2 Regula., 2 No Contain Sump Yes , N/A Sump Yes, Yes Yes No ,,, Top Seal Internal 3 Premium No Contain Sump Yes N/A Sump NIA Yes Yes No Top Sea! Intem..al Comments: T ~.~.~ FILL ~a Overfill Protection ps and Type: Ball Float, Di Stick Protection Spill Spill ~~ Gaskets In Flapper, &)th, Type: Strike Prate, Containment Containment Remote ~ Spill Containment on Good Fill Lid Product None or U~ab~e ta Basket Cage, ~oth or Tank PYaduct ...... Size Drain Operational Fill [~__~/F~¢~~ Remote Fill Condition Fill Lid CoGnition Painted Identification Veri~ NO~le 1 Re~_ u~ 1 15 Yes No ~ Nqne Yes Good Yes Yes FI~? i None 2 Regular 2 15 Yes No ~ None Y. es Good Y~s. , Ye~. Flapper None 3 Premium i .... 15 Yes No ~ None Yes Good Yes Yes Flapper None Comme,,~: STAEE I VAPOR ItEl Vent Can Tvl~e: Rern~e ~ Gaskets In Recovery Containment Box Pre.~su~e Cap, Vapor Rec~vey Vapra' ~ Dry Break In Good Good Lid IdentiflcaUon AJ~urtd Each VR Spill Containment Tank Product Rain Cap, None ..... Type Recovery ~[l~jr~l~ operating Condition Condition Lid Painted Condition T.a.g Present ,. Point Drain O~er...a~ma] 1 Regular I Pressure Cap Dual Point Nol¢~L--~.......~..~,~,~me~,~~ Yes Yes ...... yes Good Yes Yes ..... None 2 Regular 2 Pressure Cap Dual Point No ~ Yes Yes Yes Good Yes None 3 Premium Pressure Cap Dual Point No~ yes Yes ._ Yes Good Yes '" Yes None Comments: STATION ADDRESS: 3605 Rosedale Hwy. CITY: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT SAP NUMBER: 135069 BRAND NAME: Shell DATE: 4/11/2001 Dispenser Nozzles Impact .Mechanism Dlspans..er Containment Impacl Type: Gallo~s per Mechanical Flex Connector Sump Liquid Oldest Date minute being Staqe II Va~or Valve or PrMectlon: Boot, Tape. Containment Sensor Ty~e: o~ pumped by' ~: Motion Mechanical Cm~taJn Sump, Anode, Sump Ty~e: Mechanical, Sump Dispenser Securely Dispenser i Number closest nozzle.: Balance, Vacuum Sensor or Securely Valve Impressed Current, Deep, Shallow, Electronic, Sensors Numbers Manufacturer Anchored? Fuel Filters of Nozzles Reg Mid Pre Assist, None Both Anchored Operational Unable To Verify Nofle None Operational? 1/2 Wayne Yes 4/9/2001 ...2 Vacuum Assist MV Yes Yes C0nta!.n' ,Sump Shallow Electronic Yes 3/4 Wayne Yes 4/cj/2001 I 2 Vacuum Assist MV Yes Yes Contain Sump Shall0w Electronic Yes 5/6 Wayne Yes 4/9/2001 2 7.6/8.?_/7.4 Vacuum Assist MV ... Yes Yes Contain Sump. Shalln~w Electronic Yes 7/8 Wayne Yes 4/9/2001 2 Vac.uum Assist MV ... Yes Yes TOTAL # OF NOZZLES: 8 Comments: GENERAL INFORMATION Emergency Shutoff E$O) Car Wash OII - Water Separator Automatic Tank Strip Reclaim Drain If a remote Surep Needs to Attach A Prlnlout Of The Tank Monitor Does Ihe water level Slntpllclty (S), monitor Is Needs Io be be Set-Up and Most Recent Test Results shown on theATG match PoleCat (P) or Installed, Is it Pumpe~ Pumped B: Service Bay Needs to be (SWF Tank Locations). Is a PrintOut what is shown on a Neither (N) operating Operational _Qly Out? Out C: Ca..[ Wash PumJ:~d Out Attached To This Form. m..anual stick readln[J? nsta led on ATG. correctly? Exterior Yes 1 No No NrA _..N/A Y~es Yes Simplicity .N/A ..Interior I Comments: J.~ 2.9 02 05:00p p.? 1 03! 88 2134..-04~i-,1-0?09 360':_5 ROSEDRLE HLr'f. B~'~}:'iERSF ~ ELDS. 8~;~;'-4 q 74'2650500 1 RPR ii.. 2001 1 H\?EHTORy REPORT PRESSURE fINE l. ERK RL~RI,'I 61 I; REGI. II.RR l:;i_.l..[~ SHUTDO~..JN F~["~ lt. 2:0I I0:39 '~ hie LE~'~h' I.'I..1..1.', :] HIJT£,O(.. ,':1 ,d-'R ti. 2C_il 10:51 ..... SENSOR AL~RI~I ..... L 5: RE(';LIL~R T}C? ~qlql~lt.tL~:~,R ~NNULRR FUEL ~:~L~'~]::I',I · RPR 11. 2001 10::39 ,~M ....... SENSOR (:~LARM ..... 1.. i:REOULRN TURBINE SUPIP STP S Uf"IP HIGH l,l(il. JlD ~'~LARPI ~PR 1I, 2001 JO:SI ~1't 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 'l /~t]O'~ Section 2: Underground Storage Tanks Program [] Routine ~j Combined [] Joint Agency Type of Tank .t~[~ Type of Monitoring [] Multi-Agency_ [] Complaint Number of Tanks ...3 Type of Piping ~121'~ [] Re-inspection OPERATION C V COMMENTS Proper tank data on file I,,, Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Z ~'~ 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., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME FACILITY CONTACT INSPECTION TIME INSPECTION DATE /'/,'3 do PHONE NO. ,°O(o ' 'it 7~ Z BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine [2~ Combined [~l Joint Agency [21 Multi-Agency ~ Complaint 1~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location [.,/ Proper segregation of material Verification of MSDS availability Verification of Haz Mat training L.,, Verification of abatement supplies and procedures Emergency procedures adequate L,/ 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 Copy Pink - Business Copy Business Site,~.esponsible Party Inspector: _~, ~ EQUIVA ~11 SEFIVI CES LLC March 6, 2001 City of Bakersfield Fire Department Attn: Steve Underwood 1715 Chester Ave. - 3rd Floor ~: O~tner/Operator ^greeme'~t, / Rosedale Shell #135069 3605 Rosedale Hwy / ~t~, Bakersfield, CA 93~ D r Steve' Enclosed please find updated forms for this location. Leak Response and Tank Monitoring Plans Should you have any questions regarding the enclosed material, please contact me at (818) 736-5078 Thank you. Sincerely, Feryal Sarrafian SH&E Compliance Coordinator Enclosures: PO BOX 7869 BURBANK, CA 91510-7869 Cost Center Nbr 135069 BUSINESS PLANS AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY WEST COAST COMPLIANCE SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR RESULT WITH REGARD TO THE SUBJECT MATTER. OWNER/OPERATOR AGREEMENT OPERATOR: As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations and I have received a copy of Section 25299, chapter 6.7, California Health j~nd Safety Code. SIGNATURE: .~fY ~/~// DATE: OPERATOR NAME: GLENN HENRY BUSINESS NAME: ROSEDALESHELL LOCATION #: 135069 OWNER: As the owner of the underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety Code. SIGNATURE: DATE: (3r.?:l~!. ~ \ Equilon Enterprises LLC 135069 Rosedale Hwy 1 04/06/2001 Cost Center Nbr 135069 SERVICE STATION MONITORING PROCEDURE Title 23 of the California Code of Regulations (CCR) requires that a written monitoring procedure be established for all underground storage tanks. This form is used to satisfy the information required in Section 2632 & 2641, Title 23, CCR. A copy of this form will be maintained on-site (located inside the Equilon's Marketing Service Station Safety, Health and Environmental Manual and a copy will be submitted to the local administering agency (inside of the Business Plan and inventory disclosure). Facility Name ROSEDALE SHELL Facility Address: 3605 ROSEDALE HWY BAKERSFIELD, CA 93308 Facility Telephone Number: (661) 326-8792 Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH&E DEPARTMENT P.O. BOX 7869 BURBANK, CA 91510-7869 Telephone Numbers: (818) 736-5078 OR (714) 992-0689 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632 or 2641. My signature below confirms that I have read and understand my responsibilities as they pertain to tank monitoring, reporting, and records retention and training of employees. Operator Signature Persons Responsible for Performing Monitoring: HOWARD BODEN, RETAIL SUPERVISOR OR LOLA KELLY, MANAGER Product Information Volume Regular Unleaded 10,000 Plus Unleaded 10,000 Premium Unleaded 10,000 Diesel M-85 Waste Oil Tank Total Number of Tanks on Site: 3 135069 Rosedale Hwy 04/06/2001 Cost Center Nbr 135069 Underground Storage Tank/Line and Monitoring Information Tank Type: Tank Material: Monitoring Type: Tank Monitor Mgr: Double Wall Fiberglass ( X ) Interstitial ( X ) Wet ( ) Dry (X) Electronic Tank Monitor Veeder Root Model Nbr: TLS-350R Line Type: Line Material: Monitoring Type: Line Monitor Mgr: Single Wall Fiberglass ( X ) Interstitial ( x ) Electronic Line Pressure ( ) Mechanical Veeder Root Model Nbr: TLS-350R Dispenser Information: Containment Box Mgr: Containment Sump Type: Sump Liquid Sensor Type: Positive Shut Down: Western Fiberglass ( ) Deep ( X ) Shallow ( ) None ( X ) Electronic ( ) Mechanical ( ) None (X)Yes ( )No REPORTING REQUIREMENT Any monitor that is discovered in Alarm (RED Lights On) or audible alarm is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: Designated Maintenance Contractor Equilon Enterprises LCC SH&E Compliance Coordinator (818) 736-5078 Facilities Engineer (714) 992-0689 Training by Company Personnel Per manufacturer guidelines, the authorized installation contractor performs the training necessary to operate the tank and line monitoring system. The location is also responsible for daily inspections of the monitoring panel, alarm Panel Test Log and corrective actions, emergency response and alarm/leak response plan. Operator/Manager Each Individual alarm system is determined and located at the service station premises. Visually inspecting the alarm panel lights and pushing the appropriate audible alarm button activate each Individual alarm system. No impromptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the station. Designee It shall be the responsibility of the operator/manager to train the designee to perform alarm panel tests. It shall be the responsibility of the operator/manager to train the designee to perform physical inventories. 135069 Rosedale Hwy 3 O4/O6/2OO 1 Cost Center Nbr 135069 Additional Releases Safety Features at the Service Station Inventory reconciliation as def'med by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if the absolute value of the monthly variations exceeds a variation of 1.0 percent of the monthly input to or withdrawals from the tank plus 130 gallons, or a plus or minus 300 gallons in any day or a plus or minus of 150 gallons per day over 3 consecutive days. The variation shall be investigated in accordance with subsection (e) of Paragraph 2646. · Electronic Monitoring systems described above [] Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency ) [] Physical Inventory · Annual UST Equipment Certifications Tanks Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic monitoring of the annular interstice space in each tank. A monthly status report of the annular space condition in each tank is submitted to the station at the end of each month. Hard copies of all test data will be maintained on-site in the tank monitoring binder. Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank at least once per month after product delivery or when tank is filled to within 10% of highest operating level during previous month. The system is capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in the ETM Results binder. Single wall tanks with no electronic monitoring equipment will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR. Lines All lines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a month according to CCR, Title 23, Div 3, chapter 16 UST Regulations. Also the monitor is capable of a 0.1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from Local Regulatory Agency. All product lines have Positive Shut Down and will stop the flow of product through the lines in the event of a leak. Some Double Wall lines are also monitored with either interstitial or sump sensors. Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which are certified annually. Single wall lines: All single wall lines will be pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified annually Tank / Line Testing or Certification Results: · The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. 135069 Rosedale Hwy 4 04/06/2001 Cost Center Nbr 135069 These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. Tank and line testing will be conducted by a qualified contractor and results of these tests will be maintained on-site and available for inspection. Fuel Tanks Veeder-Root TLS-350R The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing andCertifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. Dealer Inventorv Rec. Inventory reconciliation as defined by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if the absolute value of the monthly variations exceeds a variation of 1.0 percent of the total monthly input to or withdrawals from the tank plus 130 gallons, the variation shall be investigated in accordance with subsection (e) of Paragraph 2646 Fuel Lines Veeder-Root TLS-350R The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. 135069 Rosedale Hwy 5 04/06/2001 Cost Center Nbr' 135069 Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Dispenser Containment Bravo containment boxes. Bravo boxes are equipped with float switches to detect liquid under the dispenser. When liquid is detected the float switch engages the shear valve shutting down product flow to the dispenser. Western Fiberglass shallow with electronic sensors. Beaudreau equipped deep containment boxes. These boxes are equipped with a mirror liquid sensor system, which detects liquid by light refraction. When liquid reaches are set level the mercury sensor switch is activated which engages the shear valve and shuts down product flow to the dispenser. The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder~Root system in the event that a leak is detected. A sump liquid sensor will cause the fuel supply to the dispenser to be shut off in the event the liquid level reaches a prescribed height. In some cases an alarm will sound. In the event of a shut down or an alarm is activated, it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required If an under dispenser leak occurs, the fuel supply to the dispenser will be shut off. It shall be the responsibility of the dealer or designee to remove the dispenser cover and visually check to determine source of leakage. The environmental contact and/or facility engineer plus the designated maintenance contractor shall be called to make repairs as needed and before returning dispenser to service. Waste Oil Tank Veeder-Root TLS-350R The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF.These copies of the UST Testing and Certifications will be maintained on-site 135069 Rosedale Hwy 6 04/06/2001 Cost Center Nbr 135069 at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required Preventive Maintenance Schedule Daily Operator / Manager / Designee will perform equipment checks to ensure that monitors are operational. The Alarm Panel Test Log must be initialed by the person performing the daily equipment check (sample attached). Annual - (A) All monitoring equipment will be inspected and certified operational, according to manufacturer's specifications, by a licensed tank tester who is authorized and trained by the manufacturer. (B) Operational status will be reviewed on site by the Equilon SH&E Representative using the Equilon Service Station Audit Check List once a year. Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system must be on site and available to Equilon / Agency auditors for a period of not less than three (3) years. Operating status of the monitors will be recorded DAILY on the Alarm Panel Test Log (as mentioned above.) [2] Physical Inventory will be recorded daily on the Inventory log. Tank and Line Testing Guidelines: All Simplicity monitors are continuously being monitored at a central office In COnnecticut. Simplicity operators will notify each dealer and Equilon in the event that an alarm goes on at a station. They will also dispatch a service contractor to investigate those alarms and notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0.1 and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak Detection CSLD which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. In the event that an alarm is activated it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at a 0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. In the event that the Operator finds a reconciliation variance during physical inventories greater then the allowable variation, the Operator will begin the inventory discrepancy investigation procedures. The Operator will be responsible to notify an Equilon Representative if any further action is required. Inventory is taken on daily basis. Each month will have a monthly report which will be maintained on-site. 135069 Rosedale Hwy 04/06/2001 7 Cost Center Nbr 135069 UNDERGROUND STORAGE TANK LEAK RESPONSE PLAN Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH & E DEPARTMENT P.O. BOX 7869 BURBANK, CA 91510-7869 Telephone Numbers: (818) 736-5078 or (714) 992-0689 If a Leak Detection Alarm or System is Activated: 1. Determine which tank system is involved. 2. Shut offpump and discontinue operations. 3. Call the Maintenance Contractor Immediately. Persons responsible for contacting the leak response unit / company and authorizing any work necessary. 4. Notify the local agency: 5. Call911 (if necessary): DEALER/MANAGER (661) 326-8792 SH&E Compliance Coordinator (818) 736-5078 Facilities Engineer (714) 992-8689 CITY OF BAKERSFIELD FIRE DEPARTMENT PHONE: (661) 326-3979 FAX: (661) 326-0576 The Methods and Type of Equipment Used for Removing Hazardous Substances. All unauthorized releases will be removed from the secondary containment by vacuum truck. A licensed hazardous waste contractor will be called to perform the clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licensed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of small generated hazardous waste, the operator / dealer will call Equilon's Contractor for proper disposal A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. 135069 Rosedale Hwy 8 04/06/2001 Cost Center Nbr 135069 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, California Code of Regulations. My signature below confirms that I have read and understand my responsibilities as they pertain to leak response, reporting, and records retention. Signatfire~ - - GLENN HENRY Print Name of Operator/Dealer 135069 Rosedale Hwy 04/O6/2001 T I :I;:'Ig_';ULa~-: Te;l'.i}'[ 1 ii, ',,,,'E N'P)~'¥,' ST~4RT -0 2001 8: 5';," AM ',YOLL!PIE -- ! 69,4 ,SAI.,S HEIGHT = 21 .04 iHCHEE; I..JATEF,' = 0, CI0 1NCHE-; TEMP = 62.8 DEC-; F ","')LIJI"iE = 136! 5 GALS HI~IO;HT = 75.,1G I'NC'HE9 TEr"IP = 53.5 DEG F ,S't~,:)S::J i I"JC};;:t_~FISE= 7021 ,..IFq,l ?,, 2)Jl 10:'?1 AH I tt',,,' Fit',f PO F2/ '1' i :E'EQiJLp. F,' TAlqt( 1 ',.?'t;, l., U M }:_' = 8.47,1 IJLI,aC. £ = I25,4 ,'S, I tiSI,SHT = 74.09 IIqCHES i,,..m~-f['Ej:f VOL : 0 GALS i,,,~TEF~ = 0. O0 I iqOHES TEI'.!F: = 53,6 ['EG [: 'I :': F.'E:(.;I ILaR T,'-~lql( 2 ',/,_>[ lIME = 4132 qLr',., LILLa(:;E= S;35;2, GALS ttEIGHT = 8.46 l t.,l~']'E'f,~ ",/©L = 0 'Ct;FiLS I.,,,lifl'[ }iR = i3, CIO INCHES TEl"Ii:' = E, 9.5 DE,'_; F '../,)t.t ,qE = 2525 L.,~-fI'tSF: Vt;,L = Ct C:ALS i,,lei']'}S,~? = 0.00 [Iq,SHES '1CMP - 53.5 DEG CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME FACILITY CONTACT INSPECTION TIME INSPECTION DATE PHONE NO. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~1 Routine [~1 Combined [~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy k~/ 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?: Explain: Yes ~ No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Sves. Yellow - Station Copy Pink - Business Copy In~;~i~oerS: s~es~;rty 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 Type of Tank Type of Monitoring 1~ Multi-Agency_ [] Complaint Number of Tanks __~ Type of Piping [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file / Permit tees current L,,, Certification of Financial Responsibility Monitoring record adequate and current t// Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY' Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: .~ Office of Environmental Services (805) 326-3979 White- Env. Svcs. Pink - Business Copy "Business Site R~spons;ble Party TYPE OF ACTION [] 1. NEW SITE PERMIT ('Check one item only) CITY OF BAKERSFIELD ' CI~FICE OF ENVIRONMENTAl 1715 Chester Ave., Bakersfield, CA 9~ ERVICES 1 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY [] 5. CHANGE OF INFORMATION (Sl)ecif]/change. local use only) [] 6. TEMPORARY SITE CLOSURE J~3. RENEWAL PERMIT [] 4. AMENOED PERMIT [] 7. PERMANENTLY CLOSED SITE [] 8. TANK REMOVED I. FACILITY I SITE INFORMATION BUSINESS NAME (Same as FACILITY NAME o~' DBA - O~ng Business A~) 3 FACILITY ID # NEAREST CROSS STREET BUSINESS {~ I. GAS STATION TYPE [] 2. DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE 401. FACILITY OWNER TYPE ~1. CORPORATION [] 2. INDIVIDUAL [] 3. FARM [] 5. COMMERCIAL [] 3. PARTNERSHIP [] 4. PROCESSOR [] 6. OTHER 403. Is facility on Indian Resecvation or i *If own~ of UST a public agency: name of supecvisor of trustlands? division, section or office ~q~nic~n operates the UST. i (This is the contact pe~:~n f~ the tank records.) []¥~ ~No 4os. i ,~__ ~.___~L~ .~ __,~-- _~ ----~ ~; : I [] 4. LOCAL AGENCY/DISTRICT* [] 5. COUNTY AGENCY' [] 6. STATE AGENCY* [] 7. FEDERAL AGENCY* 402, II. PROPERTY OWNER INFORMATION PROPER.,..~ OWNER NAME 407. PHONE 408. MAILING OR STREET ADORESS ¢30 , ve, ,q 4,2. CITY 410. i STATE 411, I ZIPCODE PROPERTY OWNER TYPE [] 2. INDR/IDUAL [] 4. LOCAL AGENCY / DISTRICT [] 6. STATE ,~GENCY 413. ~1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNTY AGENCY [] 7. FEDERAL AGENCY III. TANK OWNER INFORMATION L._LC 414, PHONE 415. TANK OWNER NAME ¢'""" 416. MAILIN.Gt,~ STREET~DDRESS CITY 417. STATE 418. i ZIPCODE 41~. TANK OWNER TYPE [] 2. INDrVIDUAL [] 4. LOCAL AGENCY/DISTRICT [] 6. STATE AGENCY ~ 1. CORPORATION [] 3. PARTNERSHIP [] 5. COUNIY AGENCY [] 7. FEDERAL AGENCY TY (TK) HQ IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER 4 4 - ~) .,.~::~'~/~ Call (916) 322-9669 if questions arise V. PETROLEUM UST FINANCIAL RESPONSIBILITY 421. INDICATE METHOD(S) [] 10. LOCAL GOV"F MECHANISM [] 99. OTHER: ~1. SELF-INSURED [] 4. SURETY BOND [] 7. STATE FUND [] 2. GUARANTEE [] 5. LETTER OF CREDIT [] 8. STATE FUND & CFC LETTER 422. [] 3. INSURANCE [] 6. EXEMPTION [] 9. STATE FUND & CD VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate whic~h address should be used for legal notifications and mailing. [] 1. FACILITY [] 2. PROPERTY OWNER ,~ 3. TANK OWNER 423. Legal notifications and mailings will be sent to the tank owner unless hex 1 or 2 is ohec~ked. VII. APPLICANT SIGNATURE Corflficalion: I certify that the information provided hecein i$ true and accurate to the best of my knowledge, IGNATURE OF .................... STATE UST FACILITY NUMBER (Fortocal use only) 428. 1998 UPGRADE CERTIFICATE NUMBER (Forlocal use only) : L/PCF (7/99) S:\CU PAFORMS\swrcb-a.wpd CITY OF BAKERSFIELD OFI~E OF ENVIRONMENTAL SI~VICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS-TANK PAGE 1 r~PE OF ACTION [] I, NEW SITE PERMIT [] 4. AMENOED PERMIT (Check one ~tern only) j~3. RENEWAL PERMIT (Specd~ mason - for local use only) BUSiI~E'S~S NAME (Same as FACILITY NAME o. DBA - Doing Business [] 5. CHANGE OF INFORMATION) LOCATION WITHIN SITE (Optk)nal) Page ~ o~ ~'7 [] 5. TEMPORARY SITE CLOSURE [] T. PERMANENTLY CLOSED ON SITE (S~ecity change - for local use only) [] 8. TANK REMOVED 430 I. TANK DESCRIPTION -¥,~NK lO # 432 TANK MANUFACTURER 433 : COMPARTMENTALIZED TANK [] Yes ~No 434 If 'Yes'. complete one page fo' each compar[ment. -'~ATE INSTALLED (YEAR/MO) ADDITIONAL DESCRIPTION (For local use only) 435 TANK CAPACITY IN GALLONS 436 F-N-0~-R~F COMPARTMENTS 437 438 TANK USE 439 !'~1. MOTOR VEHICLE FUEL (If marked, complete Pet/oleum Type) [] 2. NON-FUEL PETROLEUM [] 3. CHEMICAL PRODUCT [] 4. HAZARDOUS WASTE (includes Used Oil) [] 95. UNKNOWN II. TANK CONTENTS PETROLEUM TYPE 440 ~a. REGULAR UNLEADED [] 2. LEADED [] 5. JET FUEL [] lb. PREMIUM UNLEADED [] 3. DIESEL [] 6. AVIATION FUEL [] lc. MIOGRADE UNLEADED [] 4. GASOHOL [] 99. OTHER COMMON NAME (flora Hazardous Materials Inventory page) 441,[ CAS # (flora H~zardou$ Mate/Yal$ Inventory page) 442 · . II1. TANK CONSTRUCTION TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WRg.-I [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 'Check one item only) ~.. DOUBLE WALL EXTERIOR MEMBRANE LINER [] 95. UNKNOWN [] 4. SINGLE WALL IN A VAULT [] 9g. OTHER TANK MATERIAL- pdmary tank [] 1. BARE STEEL ~3. FIBERGLASS / PLASTIC [] 5. CONCRETE [] 95. UNKNOWN ~ · ~Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 8. FRPCOMPATIBLEWI100% METHANOL []99. OTHER. REINFORCED PLASTIC (FRP) LJ 95. UNKNOWN [] 99, OTHER 'ANK MATERIAL - seo:~da,'7 tank [] 1. BARE STEEL (Check one item only) [] 2. STAINLESS STEEL '~ 3. FIBERGLASS / PLASTIC [] 8. FRP COMPATIBLE W/100% METHANOL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FPP NON-CORRODIBLE JACKET REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE 445 DATE INSTALLED 447 TANK INTERIOR LINING OR COATING (Check one it~) ~'(~T--~ER C]RROS O-- N i~ PROTECTION IF APPLICABLE (Check one item only) [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING ~] 95. UNKNOWN 446 [] 2. ALKYD LINING [] 4. PHENOLIC LINING [] 6. UNLINED [] 99. OTHER __ (For local use only} DATE INSTALLED [] 1. MANUFACTURED CATHODIC ,,,~3. PROTECTION [] 4. [] 2. SACRIFICIAL ANODE FIBERGLASS REINFORCED PLASTIC IMPRESSED CURRENT ..~95. UNKNOWN [] 99. OTHER 448 (For local use only) 449 SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR [NSTALLEO 452 ! (Check atl that apply) [~1. SPILL CONTAINMENT ~5 ~')~" ~ 1. ALARM ~ ~[~3. FILL TUBE SHUT OFF VALVE .~ {~' 2. DROP TUBE ~ 2. BALL FLOAT , [] 4. EXEMPT IF'sING~ ~LL'TANK (Ch;ck ;~ t~ a~ly): .................. R ' ~ 1, VISUAL (~POSED ~RTION ONLY) ~ 5. ~NUAL TANK ~UGING (~G) ~ 1. VISUAL (SINGLE WALL IN VAULT ONLY) ~ 2, AUTO~TIC TANK ~UGING (ATG) ~ 6. VALSE ZONE ~ 2. CO~INUOUS I~ERSTITIAL ~NITOR NG ~ 3. CONTINUOUS ATG ~ 7. GROUNDWA~R ~ 3, ~NtJAL ~NITORING ~ 4. STATISTI~L I~E~ORY RECONCILIATION (SIR) + ~ 8, TANK TESTING BIENNIAL TANK TESTING ~ ~. OTHER V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YPJMO/OAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 45 ! gallons [] Yes [] No S:\CUPAFORMS\SWRCB-B.WPD UPCF (7/99) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES Chester Ave., Bakersfield, CA 93301 (661) UST - TANK ..... P__a?__ ................... VI. PIPING CONSTRUCTION (Check aa mat aplllY) ......... ABOVEGROUND PIPING UNDERGROUND PIPING ...... - 3. GRAVITY sYSrEM TYPE ~[' ! PRESSURE [] 2. SUCTION [] 3. GRAVITy 458 ~.E~ I; PRESSUI~E._' 2. SUCTION CONSTRUCTION/ ~ 1. SINGLE WALL [] 3. LINED TRENCH [] 99. OTHER 460 [] I. SINGLE WALL [] 95, UNKNOWN 462 MANUFACTURERi[~ 2. DOUBLE WALL [] 95. UNKNOWN [] 2. DOUBLE WALL [] 99. OTHER : 461 i MANUFACTURER 463 ' MANUFACTURER ......... - ............................... ........................................................... ' ..................................... ~]- 6. FRP COMPATIBLE W/ 100% METHANOL [] 1. BARE STEEL [] 6. FRPCOMPATIBLE W/100% METHANOL i [] 1. BARE STEEL [] 7, GALVANIZED STEEL MATERIALS AND ;~-'] 2, STAINLESS STEEL [] ?. GALVANIZED STEEL i 2, STAINLESS STEEL CORROSION PROTECTION ;1[] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HOPE) [] 99. OTHER i~t' ' [] 9. C-a~T"OOIC PROTECTION FIBERGLASS [] 8. FLEXIBLE (HOPE) [] 99. OTHER [] 4. FIBERGLASS 4. ;[] 5. STEEL W/COATING [] 9. CATHODIC PROTECTION 464 5, STEEL WI 95. UNKNOWN 465 COATING UNDERGROUND PIPINg SINGLE WALL PIPING 466 PRESSURIZED PIPING (Check all that apply): ~ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH. AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS [] 2. MONTHLY 0.2 GPH TEST !I~' 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS.' C]' 5. OAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW: [] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS ,~ND (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR'+ AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION VII. PIPING LEAK DETECTION [Check all that apply) ABOVEGROUNO PiPiNg SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check afl that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION +AUOIBLE AND VISUAL ALARMS [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check ali that apply): [] 5. DALLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. DALLY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (O.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITI.-~, AUDIBLE AND VISUAL ALARMS AND (dnec~ one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VIsUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] .14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) l'--J 16. ANNUAL INTEGRITY TEST (0.1' GPH) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 17. DAILY VISUAL CHECK DISPENSER CONTAINME~ ~ 1. FLOAT MECHANISM THAT SHUTS OFF SH~R VALVE DATE IN~ 4~ ~ 2. CO~INUOUS DISPENSER'PAN SENSOR + AUDIBLE AND VISUAL A~R~ ~ - ' IX. OWNE~OPE~TOR SIGNATURE [] 4, DALLY VISUAL CHECK [] 5. TRENCH LINER / MONITORING ~3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS [] 6. NONE 469 :' '1 cedif7 II, at the infon'nation provided herein Is true and accurate ID the best of my knowledge, lPermit Number (For local use only) 473 Permit Approved (For local use only) 471 ....................... 474 Permtl Expiration Dale (For local use only) 475 "1 I S:~CUPAFORMS\SWRCB-B.WP O UPCF (7/99) _. CITY OF BAKERSFIELD OFFIC~OF ENVIRONMENTAL SEI~iCES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STO~GE TANKS - TANK PAGE 1 Page YPE OF ACTION [] I. NEW SITE PERMIT [] 4. AMENCED PERMIT [] 5. CHANGE OF INFORMATION) [] 6. TEMPORARY SITE CLOSURE 2hack one from only) [] 7. PERMANENTLY CLOSED ON SITE ,j~3. RENEWAL PERMIT (Spec~'y reason - for local use only) (Spec;[y change - lorlocal use only) [] $, TANK REMOVED 430 , BUSiI'~E§-s NAME (Same as FACILITY NAME ~ DBA - Doing Bu$ine~ As) ........... ~- I FACILITY ID # oz, ~ DA,- ~-. ~,-J,~-- ,.- I . ~ ~ ~a_L__L_L..'. ........................... LOCATION WITHIN SITE I. TANK DESCRIPTION ADOITIO~L OESCRIPTION (FOr local use only) ~NKiD# 432 : TANK MANUFACTURER 433 : COMPARTMENTALIZED TANK [] Yes [~No 434 i ~ i If 'Yes'. complete c~e page f~ each compartment. 435 ',;.'-'~,'~"IT,'~XP'~ITY IN C~LLONS II. TANK CONTENTS 440 TANK USE 439 ~1. MOTOR VEHICLE FUEL (If marked, complete PeE-oleum Type) [] 2. NON-FUELPETROLEUM [] 3. CHEMIC-,.~,L PRODUCT PETROLEUM TYPE [] l~a. REGULAR UNLEADED ~,.lb. PREMIUM UNLEADED [] lc. MIDGRADE UNLEADED [] 2. LEADED [] 3. DIESEL [] 4. GASOHOL [] 5. JET FUEL [] 6. AVIATION FUEL [] 9g. OTHER 441 i CAS # (f/om Hazardous Materials Inventory page) COMMON NAME (Eom Haza,'dous Materials Inventoo' page) 442 ~ 4. HAZARDOUS WASTE (Includes [] ~s. UNKNO',~ IIII. TANK CONSTRUC~ON I-YPE OF TANK [] 1. SINGLEWALL [] 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER 'Check one item only) ~---,2. DOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM [] 95. UNKNOWN [] 99. OTHER 4-43 [] 95. UNKNOWN 'ANK MATERIAL- pdmary tank [] 1. BARE STEEL ,]~ 3. FIBERGLASS / PLASTIC [] 5. CONCRETE · Cl~eck one item only) [] 2. STAINLESS STEEL [] 4, STEEL CLAD W/FIBERGLASS [] 8. FRP COMPATIBLE W/100% METHANOL [] 99. OTHER REINFORCED PLASTIC (FRP) 'ANK MATERiAL-seco~darytank [] 1. 8ARESTEEL '~3. FIBERGLASS/PLASTIC [] 8, FRPCOMPATISLEW/100% METHANOL [-]95. UNKNOWN ~Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9, FPP NON-CORROOtELE JACKET [] 99. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE DATE INSTALLED 447 rANK INTERiOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING ~] 95. UNKNOWN 446 OR COATING [] 2. ALKYD LINING [] 4. PHENOLIC LINING [] 6. UNLINED [] 99. OTHER __ (Forlocal use only) . DATE INSTALLED C~_eck one item only) OTHER CORROSION [] 1. MANUFACTURED CATHODIC ,~ 3. FIBERGLASS REINFORCED PLASTIC ~'..~95. UNKNOWN 448 PROTECTION IF APPLICABLE [] 99. OTHER PROTECTION [] 4. IMPRESSED CURRENT (For local uae only) 'Check one item only) [] 2. SACRIFICIAL ANOOE YEAR INSTALLED 450 TYPE (Forlocal use only) 45t OVERFILL PROTECTION EQUIPMENT: YE_AR INSTALLED 4.49 SPILL AND OVERFILL 452 'Check all that apply) [~% SPILL CONTAINMENT I~ ~)~'~ ~ 1. ALARM ~ C~ 3. FILL TUBE SHUT OFF VALVE ~ [~' 2. DROP TUBE ~ 2. BALL FLOAT ~ [] 4. EXEMPT · . ¢~ · ............... ,.,: .,..~ ....~ ...~,..,.~ ;, ¢::;. -:..,' ....... . . ....,:>,.,.;.:,., :..:,;~:¢.~.;~;: ,-,,:..:.~.,%~..'v....,,,~:,...~..., :,"':.::;, · .. · ;;:;.¢,:.':I:¢~ :~ .::¢~.,~,~'~.",~':~,0¢.',,~;~ :- ,: .-, *, % ,.,.,;~.:,. ~.~ ,: ,.' ~,~: IV: ~,]'AN.K LEAK DE~EO'llON. , .,,(" ,.. ,,.. ,.',:' , : :'~:": ~'.,,. ,, ,'v.' :' ' .. IF SINGLE WALL TANK (Check all that apply): 453 I IF DOUBLE WALL TANK OR TANK W1TH BLADDER (Check one item only): 454 [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) J~ 2. CONTINUOUS INTERSTITIAL MONITORING [] 1, VISUAL (EXPOSED PORTION ONLY) [] 2. AUTOMATIC TANK GAUGING (ATG) [] 3. CONTINUOUS ATG [] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) BIENNIAL TANK TESTING [] 5. MANUAL TANK GAUGING (Ivrrg) [] O. VADOSE ZONE [] 7. GROUNDWATER J © 3. MANtJAL MONITORING [] 8. TANK TESTING [] 90. OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTrTY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL?45/' [] yes ~ NO JPCF (7/99) S:\CUPAFORMS\SWRCB-B.WPD CITY OF BAKERSFIELD IOFF1CE OF ENVIRONMENTAL SERVICES 1ester Ave., Bakersfield, CA 93301 (661) VI. PIPING cONSTRUCTION (C,~eck ell that appiy) ! ABOVEGROUN .D PIPING UNDERGROUND PIPING ~ ~ 1. SINGLE WALL I }NSTRUCTION/ ~,NUFACTURER;~] 2. DOUBLE WALL ' MANUFACTURER :[] 1, BARE STEEL ATER[ALS AND ~.E] 2. STAINLESS STEEL DRROSION {OTECTION [] 2. SUCTION [] 3. GRAVITY 458 i [] ~, PRESSURE [] 2. SUCTION _ [] 3. GRAVITY ~.Sg [] 3. LINED TRENCH [] 99. OTHER 460 i [] 1, SINGLE WALL [] 95. UNKNOWN 462 [] 95. UNKNOWN ![] 2. DOUBLE WALL [] 99. OTHER i 463 MANUFACTURER ........................................ [] 6. FRP COMPATIBLE wi 100% METHANOL i [] 1, BARE STEEL [] 6. FRP COMPATIBLE WI 100% METHANOL [] 7, GALVANIZED STEEL I [] 2, STAINLESS STEEL E] 7. GALVANIZED STEEL ;~[] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN ! [~ 3. PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HDPE) [] 9. CATHOO,C PROTECTION i~[' 4. FIBERGLASS [] 8, FLEXIBLE (HOPE) [] 99. OTHER i [] 4. FIBERGLASS :,[] 5. STEEL W/ COATING [] 9, CATHODIC PROTECTION 464 i[--] 5. STEEL W/ COATING [] 95, UNKNOWN :' ' ' ' VII. PIPING LEAK DETECTION (Check all ~hat apply) ABOVEGROUNO PIPING UNDERGROUND PIPING ~i~'~-~Pt NG SINGLE WALL PIPING 466 ~ESSURIZED PIPING (Check all that apply): i ~1~1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH. AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ] 2. ALARMS MONTHLY 0.2 GPH TEST . ANNUAL INTEGRITY TEST (0.1 GPH) ONVENTIONAL SUCTION SYSTEMS: ] 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) AFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ] 7. SELF MONITORING RAVITY FLOW: ] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING RESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH. AUDIBLE AND VISUAL ALARMS AND (Check one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c. NO AUTO PUMP SHUT OFF ] 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR I ] RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) UCTION/GRAVITY SYSTEM:. ] 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) "'] 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUOtBLE AND VISUAL ALARMS -'] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT_ FLOW SHUT OFF OR RESTRICTION '"] 16. ANNUAL INTEGRITY TEST (0.1 GPH) ] 17. }ISPENSER CONTAINMENT 468 DAILY VISUAL CHECK ' '~'~,- ' '~ ..... ~ ..... ' '-' ' T': ~ :;,;~ ~'"' : · . ,~ .... : ..... ' .... "~'~: :~ ~?-'.',,; 3~ ;?¢'~:,~~ ~. ,'VIIPDISPENSER CONTAINMEN ....... : '" [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE [] 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ]~3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE [] 99. OTHER 465 PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WIT___._~H AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE, AND SYSTEM OISCONNECTION + AUOJBLE AND VISUAL ALARMS [] 2. MONTHLY 0.2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DALLY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. DALLY VISUAL MONITORING [] 9. BIENNIAL INTEGRiTY TEST (O.1 GPH) SECONDARILY CON'TA NED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WI.._...~.~ AUDIBLE AND VISUAL ALARMS AND (~ecA one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] ~. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c, NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: [] 13. CONTINUOUS SUMP SENSOR ',' AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOU___.._~T AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK [] 4. OAILY VISUAL CHECK [] 5. TRENCH LINER / MONITORING [] 6, NONE 469 ~'c~ih/Ii, at Ihe infoematlon provi0ed herein Is Irue and accuraIe to the best of my know~edge. SI(~N~¥U~ 6~ OWNERJOPERATOR .... ~_~..~..~ ...~ ...... ~ NumO~ (~r local use only) ~rov~ (~r local use only) JPCF (7/99) S:\CUPAFORMS\SWRCB-B.WPD 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 'YPE OF ACTION [] 1. NEW SITE PERMIT [] 4. AMENDED PERMIT ~heck one ttem only) j~3. RENEWAL PERMIT (Spec,fy ma.son, tot local usa only) BUsi~E'~s NAME (Same as FACILITY NAME o~ DBA - Dong Busine~s As) LOCATION WITHIN SITE (Optional) [] 5. CHANGE OF INFORMATION) [] 6. TEMPOR.'~RY SITE CLOSURE [] T. PERMANENTLY CLOSED ON SITE (Specify change. Iorlocal use only) [] 8, TANK REMOVED 430 , _~ ._.L__-:_.-~- .................. .'31 I. TANK DESCRIPTION 'ANk ID # 432 : ~0FACTURER 5Afff i~fXEL-CE~Y EAPJMO) ADDITIONAL DESCRIPTION (For local use only) 433 COMPARTMENTALIZED TANK [] Yes [~ No 43.4 i O ~ '~--~"~ ~ ~ If "Yes'. complete one page fc~ eact~ comparlment. 437 438. IL TANK CONTENTS 44o TANK USE 439 -~1. MOTOR VEHICLE FUEL (if marked, complete Pet,'oleum Type) [] 2. NON-FUEL PETROLEUM ~ 3. CHEMIC. AL PRODUCT [] 4. HAZARDOUS WASTE (includes Used Oil) I--1 95. UNKNOWN PETROLEUM TYPE [] la. REGULAR UNLEADED [] lb. PREMIUM UNLEADED ~.1c. MIDGRADE UNLEADED [] 2. LEADED [] 3. DIESEL [] 4. GASOHOL [] 5. JET FUEL [] 6. AVIATION FUEL [] 99. OTHER_ 441 [ CAS # (f~om Hazardous Materials Inventows? page) 442 COMMON NAME (from Haza~ou.~ Materials Inventor/page) · I'1. TANK CONSTRUC'IgON TYPE OF TANK [] 1. SINGLE WALL [] 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER 'Check one item only) ~-,2. OOUBLE WALL [] 4. SINGLE WALL IN A VAULT [] 5. SINGLE WALL WITI I INTERNAL BLADDER SYSTEM [] 95. UNKNOWN [] 99. OTHER 443 FANKMATERIAL-pdmaryIank [] 1. BARE STEEL .~3. FIBERGLASS/PLASTIC [] 5. CONCRETE E]g5. UNKNOWN ~Check one item only) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FtBERGLASS [] 8. FRPCOMPATIBLEW/100%METHANOL []99. OTHER REINFORCED PLASTIC (FRP) TANK MAtERIAL-seconda~tank [] 1. BARE STEEL '~3. FiBERGLASS/PLASTIC [] 8. FRPCOMPATIBLEW/100% METHANOL []95. UNKNOWN 445 ~Checkone~emonly) [] 2. STAINLESS STEEL [] 4. STEEL CLAD W/FIBERGLASS [] 9. FRPNON.CORRODIBLE JACKET E399. OTHER REINFORCED PLASTIC (FRP) [] 10. COATED STEEL [] 5. CONCRETE DATE INSTALLED 4.47 TANK INTERIOR LINING [] 1. RUBBER LINED [] 3. EPOXY LINING [] 5. GLASS LINING ~] 95. UNKNOWN 446 ~R COATING [] 2. ALKYD LINING [] 4. PHENOLIC LINING [] 6. UNLINED [] 99. OTHER __ (For localuse only) . DATE INSTALLED 449 ~ :hack one item only) OTHER CORROSION [] 1. MANUFACTURED CATHODIC ~ 3. FIBERGLASS REINFORCED PLASTIC ~ %95. UNKNOWN 448 PROTECTION IF APPLICABLE PROTECTION [] 4. IMPRESSED CURRENT [] 99. OTHER ~ -- (Forlocal use only) ~Check one item only) [] 2. SACRIFICIAL ANODE YEAR INSTALLED 450 TYPE (Forlocal use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 SPILL AND OVERFILL 'Check al/ that apP/y) [~rl. SPILL CONTAINMENT ~.~ ~.. ~ 1. ALARM ~ (~3. FILL TUBE SHUT OFF VALVE ~' 2. DROP TUBE ~ 2. BALL FLOAT ~ ~ 4. EXEMPT ~3. STRIKER P~TE ~~~ · ........ IF SINGLE WALL TANK (Check a# that apply): 453 IF DOUBLE WA~ TANK OR TANK ~ 8~DDER (Check one item I~] 1. VISUAL (EXPOSED PORTION ONLY) [] 5. MANUAL TANK GAUGING (MTG) [] 2. AUTOMATIC TANK GAUGING (ATG) [] 6. VADOSE ZONE .E~] 3. CONTINUOUS ATG [] 7. GROUNDWATER ~ 4. STATISTICAL INVENTORY RECONCILIATION (S/R) + [] 8. TANK TESTING BIENNIAL TANK TESTING [] 99. OTHER V. TANK CLOSURE INFORMATION I PERMANENT [] 1. VISUAL (SINGLE WALL IN VAULT ONLY) .,~ 2. CONTINUOUS iNTERSTITIAL MONITORING [] 3. MANUAL MONITORING ;LOSURE IN PLACE ESTIMATED DATE LAST USED (yR/MOIDAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING456 gallo~s JPCF (7/99) TANK FILLED WITH INERT MATERIAL? 45~ [] yes [] NO S:\CUPAFORMS\SWRCB-B.WPD CITY OF BAKERSFIELD ~FFICE OF ENVIRONMENTAL SERVICES '~ester Ave., Bakersfield. CA 93301 (661) ×1 UST - TANK PA~. VI. PIPING CONSTRUCTION (Check a; that ABOVEGROUN..O pIpING. , UNDERGROUND PIPING ~ ..... [] 3. GRAVITY -STEM TYPE ~ i. PRESSURE [] 2. SUCTION [] 3. GRAVITY 458 [] h PRESSURE [] 2. SUCTION ............... ........... ........ [~] 95, UNKNOWN 462 3NSTRUCTIONI ~ 1. SINGLE WALL [] 3, LINED TRENCH [] 99, OTHER 460 [] 1 SINGLE WALL ~NUFACTURER;[] 2. DOUBLE WALL [] 95. UNKNOWN [] 2, DOUBLE WALL [] 99. OTHER : MANUFACTURER 461 b MANUFACTURER 463 .................................................................................................... [] 6. FRP COMPATIBLE W/ 100% METHANOL :[] 1. BARE STEEL [] 6. FRP COMPATIBLE W/ 100% METHANOL ~ [] 1. BARE STEEL &TER;ALSANO i[-'] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL i [] 2. STAINLESS STEEL [] 7. GALVANIZED STEEL DRROSION :~OTECTION i[--I 3. PLASTIC COMPATIBLE WITH CONTENTS [] 95. UNKNOWN [] 3, PLASTIC COMPATIBLE WITH CONTENTS [] 8. FLEXIBLE (HOPE) [] 99. OTHER iL I [] 9. CATHODIC PROTECTION '4. FIBERGLASS [] 8. FLEXIBLE (HOPE) [] 99. OTHER [] 4. FIBERGLASS El 5. STEEL W/ COATING [] 9. CATHODIC PROTECTION 464 [] 5. STEEL W/ COATING E~95. UNKNOWN __465 · "' ' VII. PIPINg EEAK DETECTION (Check all that apply) UNDERGROUNO PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 ESSURIZED PIPING (Check all that apply): 1. ELECTRONIC LINE LEAK OETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS '~ 2. MONTHLY 0.2 GPH TEST ~(~3. ANNUAL (0.1 GPH) INTEGRITY TEST ~}NVENTIONAL SUCTION SYSTEMS: ] 5. DALLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) '~'~-~--~'l PIPING "~f PRESSURIZED PIPING (Check all that apply): [] 1. ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WIDTH AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS [] 2. MONTHLY 0,2 GPH TEST [] 3. ANNUAL INTEGRITY TEST (0.1 GPH) [] 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply): [] 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM [] 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) ~,FE SUCTION SYSTEMS (NC VALVES IN BELOW GROUND PIPING): ] 7. SELF MONITORING F~,VITY FLOW: "] 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING IRESSURIZED PIPING (Check all that apply): SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [] 7. SELF MONITORING GRAVITY FLOW (Check all that apply): [] 8. DAILY VISUAL MONITORING [] 9. BIENNIAL INTEGRITY TEST (O.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c, NO AUTO PUMP SHUT OFF 11. AUTOMATIC LiNE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION I~ 12. ANNUAL INTEGRITY TEST (0.1 GPH) UCTION/GRAVITY SYSTEM: ! '~ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) '~ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS I ~ 1 ~. AUTOMATIC LINE LEAK OETECTOR (::].0 GPH TEST) WITHOUTi FLOW SHUT OFF OR RESTRICTION ~.~ 16, ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DALLY VISUAL CHECK [] : 3~SPENSER CONTAINMENT [] 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 10. CONTINUOUS TURBINE SUMP SENSOR wITH AUDIBLE AND VISUAL ALARMS AND (dnecA one) [] a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION [] c. NO AUTO PUMP SHUT OFF [] 11. AUTOMATIC LEAK DETECTOR [] 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONIGRAVITY sYSTEM: [] 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) [] 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17. DAILY VISUAL CHECK CONTAjN~IENT'~...., ..... :: ~...'. [] 4. DAILY VISUAL CHECK OA TEIN.~1~/ 468 [] 2. CONTINUOUS DISPENSERPANSENSOR+AUDIBLEANOVISUALALARMS [] 5. TRENCH LINERIMONITORING , ~L~ 3. CONTINUOUS OiSPENSER PAN SENSOR WiTH AUTO SHUT OFF FOR OiSPENSER+ AUDIBLE AND VISUAL ALARMS E] 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE I ~ c~li~ Iha! the [nfoFmatlon provided herein is Irue and accur,,,ate to the bas! of my know~edge, Permit Number [For local use only) 473 Permll Approved (For local use only) 471 TITLE OF OWNEPJOPERAT~O.~AT( /,~ 474 Permit Expiration Date (For local use only) 475~I IPCF (¢/99) S:\CUPAFORMS\SWRCB-B.WPD STATE OF CALIFORNIA t/V' STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT ONE ITEM [] 2 INTERIM PERMIT ~-] 4 AMENDED PERMIT __~ 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED SITE I ] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME NAME OF OPERATOR ADDRESS NEAREST CROSS STREET PARCEL) (OP~ONAL) Cl~ NAME STATE ZlP~ODE SITE PHON~ WITH AREA CODE ~ BOX ~ CORPORATION ~ INDIVl~AL ~ PAR~ERSHIP ~ LOCAL-AGENCY ~ COUN~-AG~CY" ~ STATE-AGENCY * ~ FEDEX-AGENCY TO INDICATE DISTRICTS · ~ o~er of UST is a publ~ age~, ~mplete the fol~wing: ~me of s~ewisor of dMs~n, s~ or office wh~ ope~tes the UST I RESERVA~ON I I EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) - optional DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE , L%DS~ ~,b3- bfl~q NIGHTS: NAME (LAST, FIRST) PH~ONE # WITH AREA CODE DAYS: NAME (LAST, FIRST} Y/k-~ (~ ~C&L l C,tA NI(~HTS: NAME (~T, PHONE # WITH AREA CODE C~S) =oz-~- PHONE # WITH AREA CODE D%) I1. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION EQUILLON ENTERPRISES LLC MAILING OR STREET ADDRESS ,,/ box to hdc. ate ~ INDIVIDUAL ~ LOCAL-AGENCY ~ STATE-AGENCY P.O. BOX 8 0 8 0 ~ CORPORATION r-'--] PARTNERSHIP [--] COUNTY-AGENCY r-~ FEDERAL-AGENCY CITY NAME STATE ZIP CODE I PHONE # WITH AREA CODE iZ~ART I NE Z, CA 94553 IlL TANK OWNER INFORMATION- (MUST BE COMPLETED) NAME OF OWNER CARE OF ADDRESS INFORMATION EQUILLON ENTERPRISES LLC MAILING OR STREET ADDRESS V box t0 indicate ~-~ INDIVIDUAL ~ LOCAL-AGENCY ~ STATE-AGENCY P.O. BOX 8 0 8 0 ~ CORPORATION ~ PARTNERSHIP [---] COUNTY-AGENCY [~] FEDERAL-AGENCY CITY NAME STATE ZIP CODE PHONE # WITH AREA CODE MARTINEZ, CA 94553 IV. BOARD OF EQUALIZATION MST STORAGE FEE ACCOUNT NUMBER - Call (916) 322-9669 if questions arise. V. PETROLEUM UST FINANCIAL RESPONSIBILITY . (MUST BE COMPLETED) - IDENTIFY THE METHOD(S) USED I~' box to indicate [~ 1 SELF-INSURED ~ 2 GUARANTEE [~ 3 INSURANCE [~ 4 SURETYROND [~ 5 LETrEROFCREDIT ~ 6 EXEMPTION [~] 7 STATEFUND ~ 8 STATEFUND&CNIEFFtNANClALOFFICERLETFER ~ 9 STATE FUND & CERTIFICATE OF DEPOSlT ~ 10 LOCALGOV'T. MECHANISM ~ 99 OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked, ICHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF P~RJURY,'Z~ NOTIFICATIONSAND TO THEANDBEsTBILLING:oF MY KNOWLEDGE, IS I.TRUE [] AND '"CORRECTII' ~'--] [] l TANK OWNER'S NAME (PRINTED~'t~'F~bl~E) J' 7~/[ ~ [/rANK OWNER'S TITLE DATE MONTHfDAY/YEAR HS&EREPR, ESENTATIVE I LOCAL AGENCY USE~NLY --~ (~'~ ',~/~ U JURISDICTION # V COUNTY # FACILITY # LOCATION CODE - OPTIONAL CENSUS TRACT # - OPTIONAL SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY, ' OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM A (6-95) R. J. Myers & Co., Inc. ENVIRONMENTAL COMPLIANCE CONTRACTOR P.O. BOX 191 CANOGA PARK, CA 91305 818-702-6470 / 818-702-6484 FAX SUBJECT: Annual Electronic and/or Mechanical Monitoring System Inspection and Meter Calibration / A. Q. M. D. Test Results DATE: 4/3/00 S/S #' Shell 135069 LOCATION: 3605 Rosedale Hwy Bakersfield, CA 93308 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. Also enclosed are the Air Quality Management District test results for the above referenced station. These results must be kept at your station for a minimum of five (5) years. The results must be available for agency inspections. Failure to maintain these records could result in fines and penalties. 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 SERVICI 4/3/00 S.S. #: Shell 135069 W.O. #-' TECHNICIAN: Jason Nonnweiler BILL TO: Equiva Services LLC P. O. Box 7869 Burbank, CA 91510 SERVICE REQUESTED- Annual leak monitor inspection and certification. DESCRIPTION OF WORK: Inspected and tested all leak sensors for proper operation. Verified proper operation and calibration of all TLM probes, All systems normal. SERVICE REQUESTED Bt Feryal Sarrafian PROBE I.D. #: In Tank Setup T1 Unleaded Tank 1 T2 Unleaded Tank 2 T3 Premium Liquid Sensor Setup L1 Unleaded Turbine Sump L2 Unleaded Piping Sump L3 Premium Sump L4 Unleaded Tank 1 Annular L5 Unleaded Tank 2 ,Annular L6 Premium Annular Pressure Line Leak Setup Q1 Unleaded Q2 Premium MODEL #: Veeder-Root TLS-350 Simplicity SERIAL #: 8034742650 5001 SYSTEM CERTIFIED SYSTEM PSD SYSTEM RUNNING 'YES ~) NO ~ NO ~ NO ~.~ N/A NO Y~ NO WASTE OIL SYSTEM SEALED OUST_~_~U~IP__MENT INSPECTION REPORT STATION ADDRESS: 3605 Rosedale Hwy CITY: Bakemfleld SAP NUMBER: 135069 BRAND NAME: Shell STATE: California TANKS AND LINES Tank Product Tank Type Tank Size UST or AST Tank Corrosion Type Line Type Line Corrosion T~/pe R = Regular M = Mid Grade OWF = Ooublawall Fibe~lass Circle the correct F = Fiberglass DWF = Ooubtewall Fiberglass F = Fiberglass P = Premium U = Used Oil SWF = Sioglewall Fiberglass Nominal Gallons type of tank. L = Lined SWF = Singlewall Fiberglass lC = Impressed Current O = Methanol or Diesel SWS = Singlewall Steel Underground Storage lC = Impressed Current SWS = Singlewall Steel A = Anode DWS = Doublawall Steel or Aboveground A = Anode P = Plastic Flex Storage 1 (~) M P U O ~D~ SWF SWS DW~ 10,000 ~ AST ~ L lC A DWF ~F SWS ¢~ lC ^ P 2 ~) M P U O SWF SWS DW~ 10,000 AST L lC A DWF SWS lC A P 3R o swFswsow 40.000 ^sT L,c ^owF sws ,c ^. 4 R M P U O DWF SWF SWS DWS UST AST F L lC A DWF SWF SWS F lC A P 4 R M P U O DWF SWF SWS DWS UST AST F L lC A DWF SWF SWS F lC ^ P 5 R M P U O DWF SWF SWS DWS UST AST F L lC A DWF SWF SWS F lC A P PRODUCT TANK MONITORING SYSTEM Positive Fall Qty Type Shut Down Safe Operational Manufacturer and Model Number DW Tanks With Interstitial Sensors 3 ( X )Wet ( )Dry (~e~) No ~) No ('Y(~ No Veeder-Root TLS-350 Simplicity # 420 Automatic Tank Gauge Probes (ATG) Programmed: 3 ) Static Test ( X ) CSLD ~'P NO ~ No ("~es..) No Veeder-Root TLS-350 Simplicity Mag # 1 Groundwater Sensors Yes No Yes No Yes No Comments: Simplicity System USED OIL TANK AND LINE MONITORING SYSTEM (UST Only) Manufacturer and Model Number Qb/ Type Operational Interstitial Monitor (DW tanks) Comments: PRODUCT LINE MONITORING SYSTEM Positive Fall Manufacturer and Model Number Qty Type Shut Down Safe Operational Mechanical Leak Detector ~/J~~/2~~ Yes No 2 Electronic Line Pressure Sensors ~ No i~ NO Y~ No Veeder-Root TLS-350 Simplicity PLLD 3 Electronic Sensor in Turbine Sump~e~ No Y~e~.~ No ~ No Veeder-Root TLS-350 Simplicity # 352 Electronic Sensors in Contained Trench (TLM) Yes No Yes No Yes No Comments: Simplicity System 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 8, Co., Inc. PRINTED NAME DATE: 413100 UST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 3605 Rosedale Hwy CITY: Bakemfleld STATE: California SAP NUMBER: 135069 BRAND NAME: Shell DATE: 4/3100 TURBINE AREA Test BootJl~rain Plug: Turbine Head Have test bool~ been Permit Required Protection Type: becked off secondary ~=lex Connector Protection: Tank Manif~d: Ara them any Confined Space Contained Sump, containment piping, or Plastic Flex, Booted, Taped, Is the product observation A~e the Are there top seal or Are there internal or extemal Identification Tag or Rigid ~ Bamer,Is The Sump drain plugs removed fo~ Sump, Anode, Impressed manifolded welle In theproducts Turbine side seal adapters on drain~ on the spill containmenl Tank: product Decal Present Line1., None Dry proper drainage? Current, Unable to Verify between tanks? ! tank area? blending? Filter? the tank fill pipes?__ ? I ~.~M P D Yes ~ C~RSB L N ~ No Yes No ~ pF B ;~A lC UTV i~ NoN/A ~ No ~ No Yes ,4~ ~__~ SS~l~n~ma'~ External 3. Yes Nt JNo Yes No PFBT ^,C Yes N ^__ -- No E¢ No Yes 4 R M P D Yes No CS RSB L N Yes No Yes No N/A PF B T S A lC UTV Yes No N/A Yes No Yes No Yes NO TS SS Internal External 5 R M P D Yes No CS RSB L N Yes No Yes NO N/A PF B T S A lC UTV Yes No N/A Yes No Yes No Yes No TS SS Internal Extemat 6 R M P O Yes No CS RSB L N Yes No Yes No N/^ PF B T S A lC UTV Yes No N/A Yes No Yes No Yes No TS SS Internal External Comments: TANK FILL AREA Overfill Protection Caps and T~13e: Ball Float, DIp Stick Protection Type: Spill Containment Spill Containment Spill Containment on Remote Gaskets In GoodFill Lid Product Flapper, Both, None el Strike Plate, Basket Cage, Both Tank Product Size Drain Operational Remote Fiji Fill Condition ConditionFill Lid Painted identification i Unable to Verify or None 1 ~ M P D 5~25 None ~ No lYes ~f~.,~ Yes No ~ ~ No ~Poor /~"~ No /~ NO BF F~N UTV SP ~-I~B N 2 R~M~D 5 1~25 N°ne ~ No lYes ~ Yes N° ~ ~ No ~'"~ poor ~"~ N° ~es~ N° BF F~r)~B~ UTV SP B~CB N 3 ' M O 5 25 None /~)~.~ No I Yes Yes No (~ NO ~ Poor ~ No No BF F U'IV SP B N 4 R M P D 5 15 25 None Yes No Yes (-I~/JJ/~ Yes No None Yes No Good Poor Yes NO Yes No BF F B N U'D,/ SP BC B N 5 ~ M P D 5 15 25 None Yes No Yes No~J~JJ./~ Yes No None Yes No Good Poor Yes No Yes No BF F B N UTV SP BC B N 6 M P D 5 15 25 Nor~ Yes No lYes No~.,~/~--~ Yes No None Yes No Good Poor Yes No Yes NolBF F BN UTV SP BC B N Comments: STAGEI VAPOR RBCOVERYAREA Vapor Vent Cap Type: Caps and Recovery Is There A Spill Pressure Cap, Rain Remote Va Dry Break In Good Operating C-asketa in Good IdentificaUon Containment BoxSpill Containment Tank product Cap, None Vapor Reco~ey Type Recove Condition Condition Lid Painted Lid Condition Tag Present Around Each VR Point Drain Operational _1 ~M P D ~ RC N , O~u~3l.g~i~ Coaxial' Yes ~~ ~ No ~ No ~ No ~o~)Poori~e~ No (~ No ~ No None 2 M P D RC N u~u'"'"'~Coaxial! Yes {~~J~ ~ No ~Y'~ NO Y~ No /~ Poor~"~ No (~ No No None 4 R M P D PC RC N Dual Point CoaxialI Yes Yes No Yes No Yes No Good Poor Yes No Yes Ne No None Ne 6 ! R M P D PC RC N Dual Po~m Coaxial,, Yes No Yes No Yes No Yes No Good Poor Yes Yes No Yes No None STATION ADDRESS: 3605 Rosedale Hw~ CIT~: Bakersfield STATE: California UST EQUIPMENT INSPECTION REPORT SAP NUMBER: 135069 BRAND NAME: Shell DATE: 4/3/00 DISPENSER AREA Dispenser Nozzles Impact Mechanism Dispenser Containment Im~ct~: Gallons per Mechanical Sump Liquid minute being Steee II Vapor Valve or Flex Connector Protection: Sensor Type: Oldest Date pumped by Recovery Type: Motion Mechanical Boot, Tape, Contain Sump, Containment Mechanical, Sump Dispenser Securely on Dispenser Number of closest nozzle. Balance, Vacuum Sensor or Securely Valve Anode, Impressed Current, Sumo Tvoe: Deep,! Electronic, Sensors Numbers Manufacturer Anchored? FuelFilters Nozzles Reg Mid Pre Assist,None Both Anchored Operational Unable To Verify Shallow, None None Operational? 1/2 Wayne ~ No 11/9/99 2 B ~, N ~'~ MS ~ No ,,~-~ No B T~L{~ A lC U'rV D/'~e."'~LCSL¢~ N M (""~'~/~ N ~'~'j~ No 3/4' Wayne No 11/9/99 2 B N (~v~vl MS ~ No ~,.~,~,j No B T A tC UTV D ~ N M ~L~, N ,,,_,~,,~ No 5/6 Wayne ~f x No 11/9/99 2 7.3/8.4/7.6 B V~ N ~ MS ~ No ~ No B T~ A lC UTV D (~ N M ~/~ N Y~e.,~ No 7/8 Wayne ~?/) No 11/9/99 2 B VA N MV MS Yes No Yes No B T CS A lC UTV D S N M E N Yes No Yes No B VA N MV MS Yes No Yes No B T CS A lC UTV D S N M E N Yes No Yes No B. VA N MV MS Yes No Yes No B T CS A lC UTV D S N M E N Yes No Yes No B VA N MV MS Yes No Yes No B T CS A lC U'IV D S N M E N Yes No Yes No B VA N MV MS YesNO Yes No B T CS A lC UTV D S N M E N Yes No Comments: GENERAL INFORMATION Emergency Shutoff (ESO) Car Wash Oil - Water Separator Automatic Tank Gauge Reclaim If a remote Sump Needs Attach A Printout Of The Tank Monitor Simplicity (S), monitor is to be Strip Drain Set-Up and Most Recent Test Results Does the water level shown on PoleCat (P) or installed, is it Pumped Needs to be B: Service Bay Needs to be Pumped (SWF Tank Locations). is a PrintOut the ATG ma{ch what is shown on Neither (N) operating Operational Qty Out? Pumped Out C: Car Wash Out Attached To This Form. a manual stick reading? installed on ATG. correctly? Exterior Yes No Yes No Yes _No B C Yes No ~ No ~ No (~ P N Yes ~) CommentS: S/S: ADDRESS: A. Q. M. D. SUMMARY REPORT Shell 135069 3605 Rosedale Hwy Bakersfield, CA TP201.3: Reason For Failure: TP201.4: Reason For Failure: TP201.5: Reason For Failure: Electronic Monitor Results: Reason For Failure: Drop Tubes: Drop Tubes That Were Replaced: 87 89 Reason For Failure: 92 Containment Box Report: Reason For Failure: Mannfacturer: In Ground Type X Phil Tite PASS X FAIL PASS FAIL Not required at this time. PASS X FAIL See report enclosed. PASS X FAIL PASS X FAIL X Diesel Siphon .Tank PASS X FAIL Retrofittable Safe Lite FRC CNI Size: N/A N/A N/A N/A N/A None 15 Gallons Pomeco X ENVIRONMENTAL COMPLIANCE CONTRACTOR P.O. BOX 191 ,.,ANOGA PARK, CA 91305 818-702-6470 / 818-702-6484 FAX SUBJECT' Annual Electronic/Mechanical Monitoring System Inspection and Meter Calibration ~ DATE: 4/6/99 S/S#: She!l 135069 LOCATION: 3605 Rosedale Hwy Bakersfield, Ca. 93308 Dear Sir, This is to ceC, ify that the annual inspection of the existing Monitoring System 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., tnc. has been contracted by Equiva Services LLC to insure that their facilities comply with a~l the rutes and regulations that govern the operation of underground storage tanks and product lines, if you have any questions, please call. Sincerely, R.,,¢.'. MYERS & ,CO., INC. ~ ,~ !, ,,,] ,~ Ronald J. Myers, !~ President RJMlrf CONT. LiC.//330631 (B-C61) SERVING THE. PETROLEUM INDUSTRY SINCE 1967 103188 204-0461-0709 3605 ROSEDmLE Hk)Y. BAKERSFIELDS. CA. 80347426505001 JAN 6. 2000 9:22 AM SYSTEM STATUS REPORT I NVENTOR'~,' REPORT T 1 :REGULAR TANK 1 VOLUME = 6:359 GALS ULLAGE = 3369 GALS 90',';; ULLAGE= 2396 GAL~, Ti-; VOLUME = 6.'362 HEIGHT = 56.78 I L,JATER ~./OL = 0 GALS ~=.I..,JATER - -=- 0.00 1 ["~C~S_=~ TEMP = 59.2 DEG T 2:REGULAR TANK 2 ~ ¥OLUME : 6412 GALS ULLAGE = 3316 GALS 913% ULLAGE= 2343 GALS TO VOLUME = 6425 GALS HEIGHT = 57.18 INCHES WATER VOL = 0 GALS L~ATER = 0.00 INCHES TEMP = 57.1DEG F T 3:PREMiUP1 VOLUME = 2676 []ALS ..... ULLAGE = 7052 GALS 90% ULLAGE= 6079 GALS TC VOLUME = 26?9 GALS HEIGHT = 29.97 INCHES b,IATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 58.i DE~ F UST EQUIPMENT INSPECTION REPORT STATION ADDRESS:, :~605 Rq~='da!ff h~f SAP NUMBER: 1~,~369 C~TY: B~k~f~flqld BRAND NAME: _ ~h~il STATE, ..... ~^ , TANKS and LINES 'r ............... r ....... . ............ J kCorrosionT e Line'r e ~LineCo~rosio~T Prod~:~ ...... Ta.~__T~e~ ............ .T__an~ ~ ....... U ~T_.~__A..S_~ .... _ ~ i I I ~ ~ / ' / ] _ ~ .... ~ E A DWF SWF SWS F ~ A P U 0 DWF SWF SWS DWS J ~ UST AST, F L ................. J ...... P U 0 ~ D~L~.~S:~~ .......... U~__AST F' L C A J OWF SWF SWS F ~ A PRODUCT TANK MONITORING SYSTEM I t C~ty Type Pc, sir, Ne Shut Down Fail Safe Operationa, OW Tanks With Interstitial Sensors , r Automebc Tank geu~ Pr~ (ATG) ~ Manufacturer and Mo~et Number Veeder-Root TLS-350 R #0794390-4Z0 Programmed: ..__.~-~ ~o N Veeder-Root TLS-350 R I~ag#1 #8496 ?.. )s~C.;~' . (~.~.? ...... ~ ................................................................................. .~.r.O~ Se~s~ ....... ; y~ No ] Y~ No Y~ No ~ .............................. .................................. · ~ USED OIL TANK AND LINE MONITORING SYSTEM (UST Only) I'-"" I : ................................... ............................ ........................... i i~)Wet,~)0.. ~[ i'J;'i~,'~;;i,o~ ~"~;~;~ ...................... ~ .oI-~ ............................................. ,. ..................................... ~s_ ...... N_?_J0 Electronic Line Mo~ito~ y ........................................................ Comments: PRODUCT LINE MONITORING SYSTEM Type Positive Sllut Dow~ J:aJj ~.¢~, Operational ) .......... .~?ur__actureF. and .__o~d_~ .~_~: .............. E~e~onic Senses ~n C~tained I ................ Comments; ce~ffy that the above information Is accurate an~ the ~uipment is functioning according to manufactureKs sp~ificaUons unless othe~ise indicated SIGNATURE:_ _, ~ . COMPANY: , R, J. MYERS & CO., ~NC. PRINTED N~E: (~jgn Nonnw~Jler .... DATE: 4~ Page 1 of 3 Rosedale Shell Oaily Sales Summary / / Cash Paid Out JDescription ]Bank Deposits JCredit Card Deposits JCredit Card Discount D-13 Taxable Purchases Non-Tax Purchases & Re & Maint ~ense Current Month to Amount Date Drive~off Government Tax Other. Total Charge Sales Current Month to Description Amount Date Ceedit Card Activity Descflpflon .. Amount Amount Fonvard Add Today Less Payments Total Fuel Sales Date Total Product Sales Units Taxable Non-taxable Lotto Total Current __^moun~_L_- Current Amount Month to Date Total Sales Cash beqinnln_cl Credit card be( Sales Tax Total Cash Paid out _~hame sales .;ash. end Credit cards -end :Total Over/short Fonvard Month to date R. ,MYERS & CO., INC. ENVIRONMENTAL COMPLIANCE CONTRACTOR P. O. BOX 191 CANOGA PARK, CALIFORNIA 91305 818-702-6470 / 818-702.-6484 FAX DATE OF SERVICE: 4/6/99 S.S. #: SHELL 135069 W. O. #: TEC H N I CIA N jASON NONNWEILER QUESTED BY: FERYALSARRAFIAN BILL TO: EQUIVA SERVICES LLC P.O. BOX 7869 BURBANK, CA. 91510-7869 SERVICE REQUESTED ANNUAL LEAK MONITOR INSPECTION AND CERTIFICATION. .)ESCRIPTION OF WORK: REPROGRAMED TLS FOR SHUT DOWN ON FUEL ALARMS AND IN TANK ALARMS. TEST ALL SENSORS, AND TLM PROBES. ALL SYSTEMS OPERATING PROPERLY. PROBE I.D. #: ! N_T_A_N ~8 ET. tJ. P_ T-1 UNLEAD T-2 PREMIUM LIQ_L!~_SE NSDR_S E]~.U.I~ L-1 UNLEAO STP SUMP L-2 UNLEAD PIPING SUMP L-3 PREMIUM STP SUMP L~4 UNLEAD ANNULAR L-5 UNLEAD ANNULAR L-8 PR{:MIUM ANNULAR MODEL #: VEEDER-ROOT TLS-350 R/SIMPLICiTY SERIAL #: 8034742850 5001 SYSTEM CERTIFIED SYSTEM.PSD SYSTEM .RUNNING YES WAST.EOIL NO SY_,S_TE M_$EA L El) · Rosedale Shell Oaily Sales Summary / / Cash 'Paid Out 3tion Bank Deposits Credit Card Deposits Credit Card Discount D-13 Purchases Non-Tax Purchases & Refunds & Ma Drtve,~off Government Tax Other:. Total Current Amount Month to Date Charge Sales - Current Month to !Description Amount Date Credit Card Activity Description .. Amount Amount Fonvard Add Today Less Payments Total Sales ate Product Sales Taxable le Total Sales Cash be( Credit card be( Tax Units Total Currenl --^mou_gL__ Current Amount .Cash Paid out Cha~e sales Oash. end Oredit cards -end Total Over/short .Fonvard Month to date IMOnth to Date FACILITY NAME ADDRESS 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 INSPECTION DATE PHONE NO. ,32(~ - $ BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES (,~ Section 1: [~outine Business Plan and Inventory Program ffCombined [] Joint Agency 1~ Multi-Agency [] Complaint [21 Re-inspection OPERATION C V COMMENTS Appropriate pemfit 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 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 [] No Explain: Questions regarding this inspection? Please call us at (805) 326-3979 While - Env. Svcs. Yellow - Station Copy Pink - Business Copy ~~ble~arty Inspector: -L~f~e' CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME Cleo ~kqtl¢,~ .~ell INSPECTION DATE Section 2: Underground Storage Tanks Program [~Routine [~j/Combined [] Joint Agency Type of Tank I~_ o.) Type of Monitoring [] Multi-Agency l~[ Complaint Number of Tanks 3 Type of Piping ?IcO~- [] Re-inspection OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current b/ Certification of Financial Responsibility Monitoring record adequate and current b/r Maintenance records adequate and current It/' Failure to correct prior UST violations Has there been an unauthorized release? Yes No v"' Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ,_~ ~ Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy gf~e~s -Sit~'~esponsible Party PERKINS COIE LLP Bakersfield'City Fire Dept. Attention: Records Department 1715 Chester Ave. Bakersfield, CA 93301 1999 AVENUE OF THE STARS, NINTH FLOOR · LOS ANGELES, CALIFORNIA 90067-6109 TELEPHONE: 3 I 0 788-9900 · FACSIMILE: 3 I 0 788-3399 June 14, 1999 Direct Dial Number (310) 788=3221 Re: Public Records Act - Request for Documents Dear Sir or Madam: Pursuant to the California Public Records Act, this office is requesting copies of any and all documents pertaining to actual, suspected or reported petroleum product leakage or contamination at the following location: 3605 Rosedale Highway/U.S. Highway 99, Bakersfield, CA 93308 We specifically request copies of all correspondence, reports, test results and agency documents pertaining to any of these sites. We would like to expedite this request, if possible. Please contact me prior to copying these documents if the cost will exceed $100.00. Otherwise, please send a copy of the responsive documents' to me at the address above, along with an invoice, if any. I appreciate Your cooperation and assistance with this matter. Please contact me at (310) 788-3221 with any questions or comments concerning this request. Very truly yours, Ann F. Ferreri Paralegal AFF:aff [09901-0001/LA991630.019] ANCHORAGE BELLEVUE DENVER HONG KONG LOS ANGELES MENLO PARK PORTLAND SAN FRANCISCO SEATTLE SPOKANE TAIPEI WASHINGTON, D.C. STRATEGIC ALLIANCE: RUSSELL ~ DuMOULIN, VANCOUVER, CANADA L I) FIIIE February 9, 1999 FIRE CHIEF ~ON; RAZ. E ADMINISTRATIVE SERVICES 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 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 DMSION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Rosedale Shell 3605 Rosedale Hwy Bakersfield, CA 93308 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. Sincere/ly, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure 18-89-1998 9:36A~ FROM P. 1 Bill Edwards Project Coordinator 1236 North $'~ Street San Jose, CA 95112 408-938-7115 408-971-2445 FAX 408-971-0135 FAX TRANSMITTAL October 9, 1998 TO: MR. STEVE UNDERWOOD COMPANY: BAKERSFIELD FAXNO: 805-326-0576 FROM: BILL ED WARDS NUMBER OF PAGES INCLUDING COVER SHEET: 2 Steve: Per our discussion today, I am forwarding a copy of our installation schedule for the Bakersfield area. We will install or upgrade two TLS-350R systems per day beginning at approximately 6:30am and continuing to the second scheduled site upon completion of the fu'st. Normally installation at each site w/Il take 3 to 5 hours depending upon the condition of the site upon arrival. On the average the. completion and start-up times are between 11:00am-1:00pm and 3:00pm to 5:00pm for each site respectively. Mr. Mark Able and Mr. Jim Pickford will be on site throughout each installation and will conduct inspections at an agreed upon time with you. We will pay an overtime fee if required. They can be reached at any time on their mobile phone (408) 221-6389. Mark or Jim will call to coordinate accurate inspection times with you as each installation progresses. Service Station Systems, Inc. is looking forward to working in your area and meeting with you. Please call if you have any questions about this project. Very Respectfully 10-09-1998' 9: 37AM FROH P. 2 ', ,, "~-,~ October M T W T F S I 2 3 5 6 7 8 g 10 11 12 13 14 15 16 17 lB 19 20 21 22 23 24 5 26 27 28 29 30 31 Simplicity Installation Schedule For The Week Of :October 25 - 31, 1"998 Sunday £5 25712 Ward, Kettlemann City Monday 20649 Tracy, Buttonwillow 26 29645 Stockdale Hwy, Bakersfield TUesday.· 10l South Union ~ Brundage, Bakersfield Wednesday 2600 ~tl~i-te, f&.~E1 Potrero, Bakersfield ~' -~",'~ 3700 e~sfield 3623 California ~ Real, Bakersfield ~/ Thursday 3130 24th ~ Oak, Bakersfield -,,, V/~ 29 3605 Rosedale Hwy @ Hwy 99, ~. Friday Bakersfield 30 5212 Olive ~ Hwy 99, Bakersfield 1111 Tulare ~ Blackstone, Tutare Saturday ~,~'~ Service Station Systems, Inc. 101~'/98 CAMBRIA Steve Underwood' Bakersfield Fire Department Environmental Services 1715 Chester Avenue Bakersfield, California 93301 August 10, 1998 Re: Dispenser Soil Sampling Report Shell-branded Service Station 3605 Rosedale Highway Bakersfield, California WlC #204-0461-0709 Cambria Project #240-1216-984 Dear Mr. Underwood: On behalf of Equilon Enterprises LLC (Equilon), Cambria Environmental Technology, Inc. (Cambria) is submitting this report presenting the results of sampling conducted, during station upgrade activities at the site referenced above. Presented below are a description of the site conditions, sampling activities, analytical results, and conclusions. SITE CONDITIONS The site is located near the intersection of Rosedale Highway and Gibson Street in Bakersfield, California. The area surrounding the site is commercial. This Shell-branded service station was recently upgraded by LC Services of Fresno, California. LC Services added secondary containment to the existing dispensers and turbine sumps (Figure 1). Oakland, CA Sonoma, CA Portland, OR Seattle, WA Cambria Environmental Technology, Inc. .44 65th Street Suite B Oakland, CA 94608 Tel (5)o) 42o-o7oo Fax (SIO) 42o-917o I CAMBRIA Steve Underwood August 10~ 1998 SAMPLING ACTIVITIES AND SAMPLE ANALYSIS Personnel Present Title Michael Paves Steve Underwood Kenny Remke Staff Engineer Environmental Health Specialist Site Foreman Cambria Bakersfield Fire Department LC Services Sample Date: June 3, 1998. Sampling Requirements: Based on Cambria's April 30, 1998 conversation with Steve Underwood of the Bakersfield Fire Department, soil sampling is required beneath the dispensers during upgrade activities. Dispenser Sampling~~ Cambria inspected the dispenser and gasoline tank pit areas. Soil samples were collected beneath product piping adjacent to all six dispensers at the request of Mr. Underwood. No field indications of hydrocarbons, such as staining or odor, were observed in any of the samples' collected at 2.0 feet (Figure 1). Therefore, no additional sampling was performed at these dispensers. Cambria's standard procedures for dispenser and piping sampling are presented as Attachment A. Sample Analyses: Sequoia Analytical of Redwood City, California (Sequoia) analyzed samples from beneath the dispensers for total petroleum hydrocarbons as gasoline (TPHg) by modified EPA Method 8015, and benzene, toluene, ethylbenzene, and xylenes (BTEX) and methyl tert-butyl ether (MTBE) by EPA Method 8020. The highest MTBE concentration was confirmed by EPA Method 8260. ANALYTICAL RESULTS The maximum hydrocarbon concentration was 1.5 milligrams per kilogram (mg/kg) TPHg in sample D-10(2.0'). The only detectable benzene concentration in the six samples was 0.0072 mg/kg in sample D-8(2.0'). MTBE was detected in only one sample, and this detection was not confirmed by EPA Method 8260 analysis. CAMBRIA Steve Underwood August 10s 1998 CONCLUSIONS Due to low hydrocarbon concentrations in the dispenser areas, no further investigation is proposed at this time. CLOSING We appreciate the opportunity to work with you on this project. Please call Michael Paves at (510) 420-3332 if you have any questions or comments. Sincerely, Cambria Environmept, al Technolo~f, Inc. Diane M. Lundquist, P.E.~ Principal Engineer Attachments: A - Standard Piping and Dispenser Removal Sampling Procedures B - Laboratory Analytic Reports for Soil CC: Mr. Tim Hargraves, Equilon Enterprises LLC, P.O. Box 8080, Martinez, CA 94553 Mr. Ed Paden, Equilon Enterprises LLC/Equiva Services LLC, 10 Universal City Plaza, Suite 1004, Universal City, CA 91608-7812 G:~Bakersfield 3605\Upgrades\Upgrade Report.wpd R OSEDALE HIGHWAY Dispenser Island (lyp)~ . I I I(3) Underground Storage Tanks I Planter Diip'8. ~-~ Disp-4~ Disp-2~_~ Property Line 0 15 3O Approximate Scale (ft) EXPLANATION ~, Sample Location Disp-2 ~] Dispenser Location · . CAMBRIA · * . *. Environmental Technology, Inc. Shell Service Station 3605 Rosedale Highway Bakersfield, California G:',,BAKERSFIELB 3605~:IGURES~ISP-LOC.DWG Dispenser Sampling Locations June 3, 1998 FIGURE 06/23/98 .CAMBRIA Table 1, Dispenser Sample Analytical Data - Shell.Service Station - WIC #204-0461~0709, 3605 Rosedale Highway, Bakersfield, California Date Sample ID Depth TPHg (feet) ~ MTBE Benzene Toluene Ethylbenzene Xylenes (Concentrations reported in milligrams per kilogram) ~ 6/3/98 D-2(2.0') 2.0 1.3 <0.025 <0.0050 6/3/98 D-4(2.0') 2.0 < 1.0 <0.025 <0.0050 6/3/98 D-6(2.0') 2.0 <1.0 0.055(<0.100) <0:0050. 6/3/98 D-8(2.0') 2.0 1.4 <0.025 0.0072 6/3/98 D- 10(2.0') 2.0 1.5 <0.025 <0.0050 6/3/98 D- 12(2.0') 2.0 < 1.0 <0.025 <0.0050 0.015 <0.0050 0.021 0.0057 <0.0050 <0.0050 0.0072 <0.0050 0.0054 0.012 0.0078 0.020 0.012 0.016 0.038 <0.0050 <0.0050 <0.0050 Abbreviations and Notes: TPHg = Total petroleum hydrocarbons as gasoline by modified EPA Method 8015. MTBE = Methyl tert-butyl ether by EPA Method 8020. Result in parentheses indicates MTBE by EPA Method 8260. Benzene, ethylbenzene, toluene, and total xylenes by EPA Method 8020. <n= Below detection limit ofn milligrams per kilogram CAMBRIA ATTACHMENT A Standard Piping and Dispenser Removal Sampling Procedures CAMBRIA STANDARD PIPING AND DISPENSER REMOVAL SAMPLING PROCEDURES Cambria Environmental Technology, Inc. (Cambria) has developed standard operating procedures for collecting soil samples during petroleum dispenser and piping removal. These procedures ensure that the samples are collected, handled, and documented in compliance with California Administration Code Title 23: Waters; Chapter 3: Water Resources Control Board; Subchapter 16: Underground Storage Tank Regulations (Title 23). Cambria's sampling procedures are based on guidelines contained in the California State Regional Water Quality Control Board Tri-Regional Staff Recommendations for Preliminary Evaluation and Investigation of Underground Tank Sites dated August i 0, ! 990. Piping and Dispenser Removal Sampling The objective of sample collection during routine dispenser and piping removals is to determine whether hydrocarbons or other stored chemicals have leaked to the subsurface. We collect one soil sample from the native soil beneath each dispenser unit, at each piping elbow, and at every 20 ft of product piping, as applicable. The soil samples are collected in steam cleaned brass or steel tubes fi'om either a driven split-spoon type sampler or the bucket of a backhoe. When a backhoe is used, approxilnately three inches of soil are scraped fi'om the surface and the tube is driven into the exposed soil. Upon removal from the split-spoon sampler or the backhoe, the samples are trimmed flush, capped with Teflon sheets and plastic end caps, labeled, logged and refrigerated for delivery under chain of custody to a State certified analytic laboratory. CAMBRIA A'I-rACHMENT B Laboratory Analytic Reports for Soil Sequoia Analytical 6~esapeake Drive ~ Wlget Lane 819 Striker Avenue, Suite 8 1455 McDowell Blvd. North, Ste. D Sacramento, CA 95834 Petaluma, CA 94954 (650) 364-9600 (925) 988-9600 (916) 92.1-9600 (707) 79Z-I 865 FAX (650) 364-9233 FAX (925) 988-9673 FAX (916) 921-0100 FAX (707) 792-0342 Cambria 1144 65th St. Suite C Oakland, CA 94608 Attention: Mike Paves Project: Shell 3605 Rosedale Hwy · EnClosed are the results from samples received at Sequoia Analytical on June 4, 1998. The requested analyses are listed below: SAMPLE Cf 9806262 -01 9806262 -02 9806262 -02 9806262 -03 9806262 -04 9806262 -05 9806262 -06 SAMPLE DESCRIPTION SOLID D-12(2.0') SOLID D-6(2.0') SOLID D-6(2.0') SOLID D-2(2.0') SOLID D-4(2.0') SOLID D-8(2.0') SOLID D-10(2.0') DATE COLLECTED 06/03/98 06/03/98 06/03/98 06/03/98 06/03/98 06/03/98 06/03/98 TEST METHOD TPPH/BTEX/MTBE (Concord) MTBE by 826O TPPH/BTEX/MTBE (Concord) TPPH/BTEX/MTBE (Concord) TPPH/BTEX/MTBE (Concord) TPPH/BTEX/MTBE (Concord) TPPH/BTEX/MTBE (Concord) Please contact me if you have any questions. this project. Very truly yo?~ 7~/~~ AN~rICAL Project Manager In the meantime, thank you for the opportunity to work with you on · ~ Chesapeake Drive Redwood City, CA 94061 364-9600 Sequoia ~0~ N. Wiget Une Walnut Creek, CA 94598 (510) 988-9600 Analytica1 FAX (650) 364-9233 FAX (510) 988-9673 FAX (916) 921-0100 iii 1144 65th St. Suite C Sample Descript: D-12(2.0 ) Received: 06/04/98 iii Oakland, CA 94608 Matrix: SOLID Analysis Method: 8015Mod/8020 Analyzed: 06/15/98 Attention Mike Paves Lab Number: 9806262-01 R..eported: 0..6J..1..gJ..98 QC Batch Number: SP0615988020EXA Instrument ID: HP-4 Total Purgeable Hydrocarbons (TPPH)with BTEX and MTBE Analyte Detection Limit Sample Results mg/Kg mg/Kg TPPH as Gas 1.0 N.D. Methyl t-Butyl Ether 0.025 N.D. Benzene 0.0050 N.D. Toluene 0.0050 N.D. Ethyl Benzene 0.0050 N.D. Xylenes (Total) 0.0050 N.D. Chromatogram Pattern: Surrogates Trifluorotoluene 4-Bromofluorobenzene 4-Bromofluorobenzene Control Limits % % Recovery 70 130 110 Analytes reported,~,~were not present above the stated limit of detection. SE~.~I~NAI~ICAL - ELAP #1271 pei~ly~P~en ne~' r ~'~ Project Manager /~ Page: Sequoia Analytical t80 Chesapeake Drive 404 N. Wiget Lane 819 Striker Avenue, Suite 8 Redwood City, CA 9406~650) 364-9600 Walnut Creek, CA 94598'~'(510) 988-9600 Sacramento, CA 95834 (916) 921-9600 FAX (650) 364-9233 FAX (510) 988-9673 FAX (916) 921-0100 1144 65th St. Suite C Sample Descript: D-6(2.0 ) Received: 06/04/98 iii Oakland, CA 94608 Matrix: SOLID .-'~: Analysis Method: EPA 8260 Analyzed: 06/18/98 ,~ Attention: Mike Paves Lab Number: 9806262-02 Reported 0..6J..1..9~98 Analyte Detection Limit Sample Results ug/Kg ug/Kg Methyl t-Butyl Ether 100 Surrogates Control Limits % 1,2-Dichloroethane-d4 70 121 N,D, % Recovery 93 Analytes reported as N.D. w/eeC not present above the stated limit of detection. Peggy Pen~ Project Manager Page: Sequoia Analytical 680 Chesapeake Drive 404 N. Wiser Lane 819 Striker Avenue, Suite Redwood City, CA 9406~.~(650) 364-9600 Walnut Creek, CA 94598~"'(510) 988-9600 Sacramento, CA 958:24 (916) 921-9600 FAX.(650) 364-9233 FAX (510) 988;9673 FAX (916) 921-0100 iii 1144 65th St. Suite C Sample Descript: D-6(2.0 ) Received: 06/04/98 iii Oakland, CA 94608 Matrix: SOLID iii Analysis Method: 8015Mod/8020 Analyzed: 06/15/98 iii Attention: Mike Paves · Lab Number: 9806262-02 . R.eP. orted: 0_6~1..9~98 QC Batch Number: SP0615988020EXA Instrument ID: HP-4 · Total Purgeable Hydrocarbons (TPPH) with BTEX and MTBE Analyte Detection Limit Sample Results mg/Kg mg/Kg TPPH as Gas 1.0 N.D. Methyl t-Butyl Ether .................... 0,025 .................... 0,055 Benzene 0.0050 N.D. Toluene .................... 0.0050 .................... 0,0072 Ethyl Benzene 0.0050 N.D. Xylenes (Total) .................... 0,0050 .................... 0.0054 Chromatogram Pattern: Surrogates Trifluorotoluene 4-BromOfluorobenzene 4-Bromofluorobenzene Control Limits % % Recovery 70 130 111 Analytes rePorted as N.D. were not present above the stated limit of detection. ICAL #1271 SEQU~~I~ ELAP pPre°~egcYtP~nn~aa gr~er ~ Page: Sequoia Analytical Chesapeake Drive 404 N, Wiget Lane 819 Striker Avenue, Suite 8 Redwood City, CA 94061~:~(650) 364-9600 Walnut Creek, CA 94598~'"~(510) 988-9600 Sacramento, CA 95834 (916) 921-9600 FAX (650) 364-9233 FAX (510) 988-9673 FAX (916) 921-0100 ill 1144 65th St. Suite C Sample DescriPt: D-2(2.0') Received: 06/04/98 ili Oakland, CA 94608 Matrix: SOLID iii Analysis Method: 8015Mod/8020 Analyzed: 06/15/98 iii Attention: Mike Paves Lab Number: 9806262-03 R.e.p. orted: 0..6J1..9~98 QC Batch Number: SP0615988020EXA Instrument ID: HP-4 Total Purgeable Hydrocarbons (TPPH) with BTEX and MTBE Analyte Detection Limit Sample Results mg/Kg mg/Kg TPPH as Gas .................... 1.0 .................... 1.3 Methyl t-Butyl Ether 0.025 N.D. Benzene 0.0050 N.D. Toluene .................... 0,0050 .................... 0,015 Ethyl Benzene 0.0050 N.D. Xylenes (Total) . ................... 0,0050 .................... 0,021 Chromatogram Pattern: ........................................ C6-C12 Surrogates Trifluorotoluene 4-Bromofluorobenzene 4-Bromofluorobenzene Control Limits % % Recovery 70 130 102 Analytes reported as ~reo~ ect ManagY P~eP'ffe;er N,/~ere not present above the stated limit of detection. [L~EI~P #1271 Page: Sequoia ' 6,0C'e.a..'eO".e404 N. W,.e, La.e Analytical .9s.,,e, ^ven. e, s..e, Redwood City, CA Walnut Creek, CA 94598 Sacramento, CA 95834 k g(650) 364-9600 FAX (650) 364-9233 (510) 988-9600 FAX (510) 988-9673 (916) 921-9600 . FAX (916) 921-0100 ~ii 1144 65th St. Suite C Sample Descript: D-4(2.0 ) . Received: 06/04/98 · iii Oakland, CA 94608 Matrix: SOLID ~.:~,~ Analysis'Method: 8015Mod/8020 ' Analyzed: 06/15/98 ill Attention: Mike Paves Lab Number: 9806262-04 ...................................................................... ...R..ep...o.~..e..d..: o..6J..1..gJ..98 QC Batch Number: SP0615988020EXA Instrument ID: HP-4 Total Purgeable Hydrocarbons (TPPH) with BTEX and MTBE Analyte Detection Limit Sample Results mg/Kg mg/Kg TPPH as Gas Methyl t-Butyl Ether Benzene Toluene Ethyl Benzene Xylenes (Total) Chromatogram Pattern: 1.0 N.D. 0.025 N.D. 0.0050 N.D. 0.0050 .................... 0.0057 0.0050 N.D. 0.0050 N.D. Surrogates Trifluorotoluene 4-Bromofluorobenzene 4-Bromofluorobenzene Control Limits % % Recovery 70 130 110 Analytes reported as N.D. were not present above the stated limit of detection. Peg§y Penner Project Manager Page: Sequoia Analytical Chesapeake Drive 404 N. Wiget Lane 819 Striker Avenue, Suite 8 Redwood City, CA 9406~50) 364-9600 Walnut Creek, CA 94598 (510) 988-9600 Sacramento, CA 95834 (916) 921-9600 FAX (650) 364-9233 FAX (510) 988-9673 FAX (916) 921-0100 iii Gambria Glient Proj. ID:. Shell 3605 Rosedale Hwy Sampled: 06/03/98 ili 1144 65th St. Suite C Sample Descript: D-8(2.0') Received: 06/04/98 iii Oakland, CA 94608 Matrix:. SOLID iii . Analysis Method: 8015Mod/8020 Analyzed: 06/15/98 ~ Attention: Mike Paves Lab Number: 9806262-05 Rep. orted 0.6~19.~98 QC Batch Number: SP0615988020EXA Instrument ID: HP-4 Total Purgeable Hydrocarbons (TPPH) with BTEX and MTBE Analyte Detection Limit Sample Results mg/Kg mg/Kg TPPH as Gas .................... 1.0 .................... 1.4 Methyl t-Butyl Ether 0.025 N.D. Benzene .................... 0.0050 .................... 0.0072 Toluene ......... ; .......... 0.0050 .................... 0.012 Ethyl Benzene .................... 0.0050 .................... 0.0078 Xylenes (Total) .................... 0.0050 .................... 0.020 Chromatogram Pattern: ........................................ C6-C12 Surrogates Trifluorotoluene 4-Bromofluorobenzene 4-Bromofluorobenzene Control Limits % % Recovery 70 130 116 Analytes reported as N.D. were not present above the stated limit of detection. Project Manager Page: q ake Drive Redwood City, CA ~(650) 364-9600 FAX(650) 364-9233 Se u°ia 404 N. Wiget Lane Walnut Creek, CA 94598 "(510) 988-9600 lAX (510) 988-9673 Analytical 8,9$tri,,er,,venue.$u,,e8 acramento. ,,8,4 (,,,, 92,-,600 "AX (,,,,, ,:',-O,O0 iii Cambria Client Proj. ID:. Shell 3605 Rosedale Hwy Sampled: 06/03/98 ili 1144 65th St. Suite C Sample Descript: D-10(2.0') Received: 06/04/98 ili Oakland, CA' 94608 Matrix: SOLID .,~ Analysis Method: 8015Mod/8020 Analyzed: 06/15/98 iii Attention: Mike Paves · Lab Number: 9806262-06 ' R..e.p..orted: 0.6.].1..9].98 Instrument ID: HP-4 Total Purgeable Hydrocarbons (TPPH) with BTEX and MTBE Analyte Detection Limit Sample Results mg/Kg mg/Kg TPPH as Gas .................... 1.0 .................... 1.5 Methyl t-Butyl Ether 0.025 N.D. Benzene 0.0050 N.D. Toluene .................... 0.0050 .................... 0.012 Ethyl Benzene ................. .... 0.0050 .................... 0.016 Xylenes (Total) .................... 0.0050 .................... 0.038 Chromatogram Pattern: ........................................ C6-C12 Surrogates Trifluorotoluene 4-Bromofluorobenzene 4-Bromofluorobenzene Control Limits % 70 130 % Recovery 106 Peggy~ner::;~Jr~iT~rted as ,~re not ~esTn,..__ a~e~he#1t::I limit of detection. Project Manager Page: Q 6~esapeake Drive Redwood City. CA 9~ (650) 364-9600 Sequoia 40111~. Wiget Lane Walnut Creek, CA 945~J~~;' (925) 988-9600 · .~ iyu t 8,9 Striker ^venue. Suite 8 Sacramento. CA 95834 {916) 921-9600 1455 McDowell Blvd. North,'Ste. D Petaluma, CA 94954 (707) 79Z-1865 FAX (650) 364-9233 FAX (925) 988-9673 FAX (916) 921-0100 FAX (707) 792-0342 iiiii 1144 65th St., Ste. C Matrix: Solid iiliii ~iiiiOakland, CA 94608 !{iili :~?~iAttention: ·Mike Paves Work Order #: 9806262 -01-06 Reported: Jun 22, 19987:?:i:: i i i i iii i::iii::iii::ii~i~::~iii~i~ii::~::ii~::~i i?:i::i::!::i::!::i::iii?:iiiii:: i::i ::iii::i::i ::i ::i ::i ::i ::i ::iiiii::i ::iii ::i::i ii ::i ii ii ::i ii ii ::i ii ::i ?:i::iii::i::i::i::iiiii::iiiii::i::iii:: i::i::i::i::i:: i::i:: :::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::: ::~i[ili~i i?:ii~ ??:i??:~i~iii~ ::ii~i~ ii ii il il il ::i il il ::i i~ il ::i il ii ::i ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::: ii i:=ii i ii?: i:?:i::~i i iiiiiiii????:iiiii?:iiiiiiiiiiiiiiiii?:ii i i~iiii??:ii!il i i iii i iiiii!i~;:i ???:i??=i:=i ~?:i:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::ii:~i?~iiii::?:i QUALITY CONTROL DATA REPORT Analyte: Benzene Toluene Ethyl Xylenes Gas Benzene QC Batch#: SP0615988020EXA SP0615988020EXA SP0615988020EXA SP0615988020EXA SP0615988020EXA Analy. Method: EPA 8020 EPA 8020 EPA 8020 EPA 8020 EPA 8015M Prep. Method: EPA 5030 EPA 5030 EPA 5030 EPA 5030 EPA 5030 Analyst: D. Newcomb D. Newcomb D. Newcomb D. Newcomb D. Newcomb MS/MSD #: 8060693 8060693 8060693 8060693 8060693 Sample Conc.: N.D. N.D. N.D. N.D. N.D. Prepared Date: 6/15/98 6/15/98 6/15/98 6/15/98 6/15/98 Analyzed Date: 6/15/98 6/15/98 6/15/98 6/15/98 6/15/98 Instrument I.D.#: HP4 HP4 HP4 HP4 HP4 Conc. Spiked: 0.80 mg/Kg 0.80 rog/Kg 0.80 rog/Kg 2.4 mg/Kg 6.4 mg/Kg Result: 0.81 0.84 0.84 2.5 14 MS % Recovery: 101 105 105 104 219 Dup. Result: 0.86 0.89 0.90 2.7 12 MSD % Recov.: 108 111 113 113 188 RPD: 6.0 5.8 6.9 7.7 15.4 RPD Limit: 0-20 0-20 0-20 0-20 0-50 ECS #: LCS061598 LCS061598 LCS061598 LCS061598 LCS061598 Prepared Date: 6/15/98 6/15/98 6/15/98 6/15/98 6/15/98 Analyzed Date: 6/15/98 6/15/98 6/15/98 6/15/98 6/15/98 Instrument I.D.#: HP4 HP4 HP4 HP4 HP4 Conc. Spiked: 20/~g/L 20/~g/L 20 #g/L 60 #g/L 6.4 mg/Kg LCS Result: 1.0 1.0 1.0 3.1 14 ECS % Recov.: 125 125 125 129 219 MS/MSD 60-140 60-140 60-140 60-140 60-140 LCS 70-130 70-130 70-130 70-130 70-130 Control Limits iSEQU(~ANALYTICAL Please Note: The LCS is a control sample of known, interferent-free matrix that is analyzed using the same reagents, preparation, and analytical methods employed for the samples. The matrix spike is an aliquot of sample fortified with known quantities of specific compounds and subjected to the entire analytical procedure. If the recovery of analytes from the matrix spike does not fall within specified control limits due to matrix interference, the LCS recovery is to be used to validate the batch. · ** MS = Matrix Spike, MSD = MS Duplicate, RPD= Relative % Difference 9806262.CCC < 1 > sapeake Drive Redwood City, CA 9 (650) 364-9600 Sequoia~6~. Wiser Lane Walnut Creek, CA 9454~ (975) 988-9600 Analytical 819 Striker Avenue, Suite 8 Sacramento, CA 95834 (916) 9ZI-9600 1455 McDowell Blvd. North, Ste. D Petaluma, CA 94954 (707) 797-1865 FAX (650) 364-9233 FAX (925) 988-9673 FAX (916) 921-mOO FAX (707) 79Z-034Z ili~i 1144 65th St., Ste. C Matrix:· Liquid ?~iiii Oakland CA 94608 ::i::iii iiii~Attention: Mike Paves Work Order #: 9806262-02 Reported: Jun 22, 1998i?~?~i QUALITY CONTROL DATA REPORT Analyte: MTBE QC Batch#: MS0618988260S2A Analy. Method: EPA 8260 Prep. Method: EPA 5030 Analyst: MS/MSD #: Sample Conc.: Prepared Date: Analyzed Date: Instrument I.D.#: Conc. Spiked: N.' Nelson Result: MS % Recovery: Dup. Result: MSD % Recov.: RPD: RPD Limit: LCS #: LCS061898 Prepared Date: 6/18/98 Analyzed Date: 6/18/98 ,Instrument I.D.#; GCMS2 Conc. Spiked: 50 pg/L LCS Result: 51 LCS % Recov.: 102 · MS/MSD 60-140 LCS 65-135 Control Limits SEQUO ~AN/ r~ct~ ~a~;er IPlease Note: :YTICAL · I The LCS is a control sample of known, interferent-free matrix that is analyzed using the same reagents, Ipreparation, and analytical methods employed for the samples. The matrix spike is an aliquot of sample lfortified with known quantities of specific compounds and subjected to the entire analytical procedure. If ~.,~~~lt'he recovery of analytes from the matrix spike does not fall within specified control limits due to matrix linterference, the LCS recovery is to be used to validate the batch. ** MS = Matrix Spike, MSD = MS Duplicate, RPD = Relative % Difference 9806262.CCC <2> Sequoia 80C,e.a,eake O,ve RedwoodCity~ CA 940606,0) ,64-9600 FAX.(6,0) 364-91,3 · 404 N. Wiget Lane Walnut Creek, CA 94598~'~'i510) 988-9600 FAX (510) 988-96?3 Analytical 8,gS,r,ker^,enue,,u,,e, Sacramento, CA 958,4 (9,6) 921-9600 FAX(gl6) 921-0100 1144 65th St. Suite C Oakland, CA 94608 Lab Proj. ID: 9806262 . Reported: 06/19/98 Attention: Mike Paves LABORATORY NARRATIVE in order to properly interpre~tthis report, it must be reproduced .in its entirety. This report contains a total of [~ pages including the laboratory narrative, sample results, quality control, and ~elated documents as required (cover page, COC, raw data, etc.). S Pegg~ Project Manager Page: 1 'I' ~.SHELL OIL'COMPANY" . ~HAIN"oF CUS:I'ODY RECORD 'u'a~.~ "R~AIL'ENVIRONMEN~ALENGINEERING-WEST ~ SmlalNo~ ~fl~'~ . Page ~lc~: ' - - ' / ....... [ ~ 0~I -o~o/~. ~ .,,~..,,,,,,,.~o,., ~,,,' ,..,,~,.u,,.,,,.,, ~li ~ngi~m"~: ' Phone ~io) ..w. ~,o.,.,.,'_ El -,] ~,,..u,, El ~i...~' ~~5 ~o, ,~~~ ~,~ .~ ,,.,....,,.,,.. c~ ,,,, ,,,,0,.,.. c'~ ~; ' ] ~ ""'""'""""' - ':~ "" "'"" ~' ....... e°nsUllunl C~nlaOl~' - .... ' ' Phon~' ~1 ' ~0,~,~,.., 0. ,ii . ~ ~~ · ~ '- ~am"fodby:' ·........ D ~ 1~;~ ~ ~ ~. UST'AGENCY: ~ - ' I " ~ ~ MATERIAL SAMPLE ~amplelD gale ~ludge Idl ~al~ Ab Ne. el ~ CONDIIION/ ~_~r~.o'~. ~ ~, ~' .... ~ ..... ~ ._ ...... _ ...... ~(z.Q.~ ~. ~; 'W . ~ ~ :.~ ..... I. ,,~ ~ . ,,,,,,.~: ,~/~'~_ .,~ //~' ~~ ' IIl~I .... - ..... ' , ~lm~' '