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UNDERGROUND TANK
Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF .PERMIT ON REVERSE SIDE Permit ID #:: 015-000-001348 FLEET CARD FUELS LOCATION: 7030 SCHIRRA CT H=~rdous MatmtMs Plan Underground Storage of H=-_=_ rdous Materials Risk Management Program Hazardous Waste On-Site Treatment TANK I HAZARDOU: 015-000-001348-00011 UNLEADED 015-000-001348-00021 PREMIUM 015-000-001348-00031 DIESEL FUEL #2- Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' ~ 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice {661) 326-3979 FAX {661) 326-0576 DE Approved by: Expiration Date: 'June 30:2003 Issu~ Date Permit to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .......... ~.~¢~,¢~,~,,~,v~,?~,~,,,~,~ ............. This permit is issued for the following: 0002 Premium Unleaded ..... ~ ............... ~" LPT P~SS~ ~D Ism~ by: O~CE OFE~RON~AL S~CES 1715 Chewer Ave., ~rd Floor I B~e~fiel~ CA 93301 ' Voice (805) 32~3979 ~..~ ~ ~~ F~ (805) 3264576 Expiration Date: ~ City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the tbllowing information in the tbrmat of ,,'our choice: name of owner; name or'operator; name of facility: street address, city, and zip code of thcility: thcilitv identification number (t?om Form A); name of issuing agency; and date of issue. Other identit~'ing intbrmation may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: FLEET CARD FUELS Permit #015-021-001348 7030 Schirra Ct Bakersfield, California 93313 D January 22, 2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES* EHYl~ONIJENTN. SERI/ICE$ 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Arb. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fleet Card Fuels P.O. Box 81685 Bakersfield CA 93380 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 Form Approved OMB No. 2050-0039 [Expires 9-30-99} ~ See Instructions on back of 6. Deparlment of Toxic Substances Control , . Sacrame?to, Cahforma Please print or type. Form designed for use on elite ~ 12-pitch) ly~r. ~ · ' . UNIFORM HAZARDOUS ~. Gen'"~rator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the ,,haded areas [ ' is not required by I~ederal law. ....~'"~ ' ·, I~' ', WASTE MANIFEST !-~J~~' I ~ ? ' ...... I.;1':1,: I I.;' :: 5' I~:".1'~ .5. 17'. o~ , 3. Generator's Marne and Maiiing ''" :' . ' ..... ' ' ' '" 2 · 3 .... 6 : 958;:... + '~,. ";~'~~(~, ~. ~ . , . . .... ."~ ~. ~eO~n,~o~o~,... :~ ~. .~ ..... .. . . ': ~'~ '/~~'r~ ,~ ' ~,' "~"', G tot's P~one 5. Transporter 1 Company Na~ ', ~ 6. U~ EPA ID Numb~ C. State Transport~r~s ID [Re~e~ed.~ / ~/?'b"~,, ~ ~/o/'";~'~..'~'' : /" ,- ' '~ . .,. · . I ')l'?l.~l/I I?1 I~:1'~1/ 7. 'Transporter 2 C~pany Name 8. US EPA ID Number E. State Transporter'/D [Rese~ed.J : ,':'. ~;, ,' 7 ' ..; : - 9 Oesigna)ed Facili~ Nome and Si~e Address 10. US EPA ID Number G, Stale Facili~'S ID ~ t.x-/~,..,?.,o/.z,...,...~.,. .... ~ I l I i. I.I I I I/-'1: ':fi~':'l'''~ "" .;7/~:(~) .;~/ 41,: ..... :~/,~ ~':: 71 ~ i ' . . ~";'~"'"' '" " I" 1'7¢-'1':'1 I'::,'1"1:'; :-t;l"!" Iz: ' ..... :, -- :i ": ' :~"-' Name, Hazard Class, and ID Number) 12. Containers 13. Total 1~. Unll / i?0~b ~ "1.' "1" bi [ I?:":l.:':~l:t).'l~.~ ~"? :..~:.~... , II I IIII d. I 15. Speci:al Handllng Instructlons and Additional InformatiOn I , I I ' ' ' " '" ..... '~N'j ..... ~"- ~ ,, ~ s ~ '' "7 ~ 16. GENERATOR'S CERTIFICATION: I hereby aocla~ t~atlthe conted~, of ~is~onsignment are ~ully and accuralely described above by prop~ipping ~e and'~r~ ~ias~jfiec, marked, and labeled and are in all respecls in prope~ condilio~ for lransportby highway according to appficabIe inleeeationaI and nafiona!governmenl ~egdlaflo~i. , , , ~ : ~ , ,] · ~ ., · ~ ,,.~, .... ~ ~ am a arge quan~ ~ generalor, I cart _~ Ihat l have, a _~r°gram, m _~Iace to reduce the volume 6nd. Iox~c~ of waste, generated Ia the degree I hove de~ermm~d ~ .: practicable and that Ihave selected, the practicable method o~ I~eatment, storage, or disposal currently available to me which minimizes ih~ present ~nd fu~r~ thredf to ~hu~an heah~ '.'. and ihe environment; OR if I am a small quanli~ ge~erator, I have made a good fa th effo~t to m nlm ze my waste general on and se ecl the best waste mahagem~nt ~eth0d that ~ · avaiIabJe to me and t~all can afford. ~ ~ ~ ~ · ' Pr~d/Typed Name , ~ ~ 15ignalu~e''' / ~'; .... ? ,~ J.. , ,,. ~on/h 17. Transporter 1 Acknowledgement of ReceipI al Materiali i -*' ",/" ~ ~. ~, , Printed/Typed Name J ~ I Sighatu/e .... I Month Da2 Year 18, Transporter 2 Acknowledgement at Receipt al Malerlall ', ~ i (-" . 19. Discrepancy Indication Space ; 20. ~acili~ Owner or Operator ~ertification of receipt of hbzardous materials .covered b~ this manifest except as noted in Item 19. printS/Typed Name ~ ~ ~ Signature Month 6ay Year :BTSC:8022A'jl)99)' ~PA 8700--22 DO NOT WRITE BELOW THIS LINE/ Yetlowl GENERATOR RETAINS Non Hazardous Manifest SOU~ Address anti,cation ~ Transporter of. ~aterial -~ Name and Address Description of Consignment Cosignor's Certification I hereby declare that the contents of this consignment are fully and accurately described above and are not considered hazardous waste or material as defined by 40 CFR 261.8 or 49 CFR 171.8 of Federal Regulations and CAC Title 22, Article 66084. I further declare that the consignment does not contain a void space which contains an atmosphere of combustible gas that exceeds the Lower Explosive Limit (LEL) by 5%, and that the consignment is legally transported without a hazardous manifest in accordance with government regulations. The cosignee shall be held harmless J=rom liability arising from misrepresentations by the cosignor. Printed Name: Signat~ Cosiqnee~ Material Date: Valley Tree and Construction 4233 Quinn Road Bakersfield, Ca. 93308 Final Disposition -- Method and Place Printed Name Date A&M Disposal & Recycle 4233 Quinn Rd. Bakersfield, CA 93308 (805) 399-5575 NO, 3431 NO HAZARDOUS MATERIALS WARNING: Transporting any unauthorized hazardous waste to this facility for disposal is prohibited by law. Persons violating this prohibition are subject to civil and criminal prosecution. Date~~- ~ .~oo~ Time In: Vehicle License N'O~~-~.-~ ~ ~'J'~'~ type of Debris T~"ns Yards Total Clean Wood Dirty Wood Asphalt- Concrete Hard to Handle Other ~,~ Totals Remarks '~/-~'---~-~ ~ ~_-~'~_,~ ~_/~--'~.~'o Driver Si~ /~~ Job No. ~~ DumlffAt Your Own Risk Construction Waste only TERMS: Cash before dumping unless previous arrangements have been agreed on by owners. Payments are due by the. 10th of the month following date of purchase. A late payment penalty of 1,5% will be applied on past due balances monthly. Customer agrees to pay reasonable costs, expenses, aftorneys's and collection agency fees as may be incurred In collecting this indebtedness. -~.- }'.-{ ' :INVOICE -FIRE:EQU PMENT.~-~-"~%,-'~,~.'~_-:-~:&,~::: '~-~'~ - - . - SAFETY~EQUiPI~Em-~%~. ~:;~ :- ........ . ..... :~.~ ~ 24.~R,'PHONE~ (~1)'3~001' HYDROSTATIC:~S~NG~:~3.~;~:~:, . '~:~L'~ORE:.~01~P sTRE~--' CALIF. WA~S: (8~) 272-6326 'LICENSES ;;~,:~?~/~ ~.~-:': :?~: :~A~HOUSE:~01 ~U~UN AVENUE - 'ORDERDESK F~: (~1) 3~-0127 ~A~:~ ~.-,:- ~- -~.- ~,~ ,..~,; ~,~- ~A~SFIELD,'CA 9~01~ ~ ' ' OFFICE F~: c~ ;~ ~' ~- ~:''~ '?':- ~:~ - ~'~'- -'" '-' STATE ~ Z~P P.O.~ ' DATE CO~ BULK WEIGHT TICK~ ~ Lbs. CO~ CYLIND. ERS ................................ Lbs. - ....... HELIUM CYLINDERS Cu. Ft. NITROGEN CYLINDERS C,u. Ft. CYLS. DELIVERED CYLS. R~URNED HYDROSTATIC TESTS - GO~MENT REG~ORY COMPLIANCE FEE ~ ~Q ~CHARGE D CHARGE CARD . TAX ~ ~, ~ CALL- D DELIVER D SHiP ~_THANK YOU TOTAL ~ ¢~ , ~ MATERIAL SAFETY DATA SHEET REMITTO: P.O. BOX 1631 BAKERSFIELD, CA 93302 AVAILABLE ON REQUEST CORP. FED.I.D. NO. 95-2599411 TITLE TO ALL ABOVE ENUMERATED PERSONAL PROPERTY OR RENTALS SHALL REMAIN WHOLLY IN BRAND DRY ICE DBA BRANDCO UNTIL FUllY PAID FOR AND VENDEE SHALL BE RESPONSIBLE FOR SAME WHILE IN HIS POSSESSION AND WILL SURRENDER SAME UPON DEMAND IF IN DEFAULT. IT IS ALSO AGREED THAT, IF COLLECTION IS MADE BY SUIT OR OTHERWISE, I/WE AGREE TO PAY A FINANCE CHARGE OF 1.5% PER MONTtl, WHICH IS 18% PEB ANNUM, AFTER 30 DAYS, ALSO COLLECTION COSTS AND INCLUDING A'I-[ORNEY'S FEES, AND WAIVE ALL-RIGHTS TO ANY CLAIMS EXEMPTED UNDER STATE LAWS~ MINIMUM INTERE~ CHARGE $1.50. BASIS ON WHICH cYHNDERS ARE LOANED: PROVIDED THAT IF ANY. LOANE~ CYUNDER NOT RE'IIJRNED WITHIN 30 DAYS FROM DATE OF SHIPMENT THE DISTRIBUTOR RESERVES THE RIGHT TO MAKE A RENTAL CHARGE OF $8.00 PER CYUNDER PER MONTH FOR ALL TIME OVER 30 DAYS THAT SUCH CYUNDER IS AWAY FROM THE DISTRIBUTOR, WHICH DEMURRAGE CHARGE THE CUSTOMER AGREES TO PAY ON DEMAND. THE CUSTOMER SUN.I- PAY FROMF]].Y ON DEMAND TO THE DISTRIBUTOR ESTABMSHED CALCULATIONS AND RATES FOR LOSS OF OR DAMAGE-tO ANY OF, SAID.CYUNDERS OR FITRNGS RESULTING FROM ANY CAUSE AFTER OEMVERY THEREOF TO TH, E CUSTOMER AND UNTIL RETURNED TO THE DISTRIBUTOR. REFILMNG OF CYLINDERS IS PR.I:iHIB~T~j/i~-['"~7: .~ ~ . .. :. · :- -.- . - - . . :, - ~_- .... _..~_ . , ~ .'~'~'V.~ ~¢".~".~/ Rec. eived B~~'~'~"~'T'' ~ . ~' ~ · - Authorized Sienature ZALCO L_A C3RA-FO ?,1 4309 Armour Avenue Bakersfield, California 93308 Cal Vc, l].ay Equip~e.~t 350 O · Gi !more Av~_nue Bakers f.!m].d: CA 93308 Atte]ltion: Jim P~el Sample Type: Solid r~,~ ~ r4~m.0R39 F.a~ (66!) 395-306B Description: Fleet Cato Fuel, i Ft. "-"~"~-.~.,~,;, Prom. Tank Sampled by Client Laboratory No: Date Received: Date Reported: Contract No. : Date Sampled : Time Sampled : 0~' ;uS?AI, YTICAL RE.~ULTS Results Un"tS' 0206074-& 06/06/02 o6/2~/o~ ~ /n~ 7~ 1~:03 DLR 'Method/Ref ,BTXEM & TPH-Ga¢¢li~te Methyl tort-Butyl Ether Benzene Toluene Ethylben~ene Total Xylen~s TPH Gasoline (MTBE) 240 ug/kg ND ug/kg ND ug/kg ND ug/kg ND mg/kg 75 5.o 8020/80~5M/8 5.0 8020/8015M/8 5.0 8020/8015M/8 !5.0 8020/801BM/8 !0 a020/801SM/8 CC: Method Refer~ce 8..D. OH~ I.UFT / ¢~o~' Rc~rt Cortez, Laborator~ Mana~ ug/L ; micrograms per Li~er (parts per umbos/cm : micromho~/efii 8[ =5 C rumbas/ca : milli~hos/cm a~ 2~ C ND : None De~ected N/A : No~ AppiicabJe DI.R ~ Detection 5~mi~ for Reporting Thls report ;~ furnished for fha ~×:k;:i;.¢ u-.= ~ .... ~', ¢~m~r .,~d aah ns on v ~o *he samlales teslecL Zalco is not respo.sible for report 0lteralion or detachment. Jun 24 02 0~:27a Za]co I_ab~ 6(313953069 p~3 4309 Armour Avenue Bakersfield, California 93L~u~ ,6~1) 395-0538 (1:36 ! ) 395-g069 Cal Valley Equipme~nt 3500 Gilmore ~'-'-e .H.4,-.,,~. ,-r~rn Peel sample Type: 'Description: Cons t ikuent s BTXEM & TpH-Gsso].ina Methyl ........ ~ ...... Toluene E~hylbenzene Total Xylenes TPH Gasol~ ne Laboratory No: Date Received: Date Reported: Contract No. : Date Sampled : 7'imc Sa,ipted : Solid Fleet Care Fuel, 1 Ft. Below Re§ Tank Sampled by Client o~..~,no,p ~m ANALYTICAl, RESULTS Result.s_ 3'7 ND ND ND ND units ut2 / kg us/kg ug / kg ug ! r.~ U 'k- in g / kg 0206074-2 06/06/02 o~/~/o2 o~io6/o2 12:06 IMTBE) DLR Method/Ref 5.0 8020/8015M/s 5.0 8020/8015M/8 5.0 ~020/80!5M/8 !5.0 8020/8015M/8 !0 8020/8015M/8 CC: Analyzed : 06/12/02 ethod Referents §, DOH~ tUFT t4anu~l Ro~t Cortez, Laboratg~fy Manager m~/L ~ milli~fams per Liter {parts per .)l]~i~n) u~/b micrograms per ~iCer (par~s per btlli011~ ~ho~/c~ : millimho~/cm at 2~ C ~ ND : None Detected N/A : Not Applicable~ DLR : De,action bi.mi~ for Reporging Purpo~eS~ .... , ...... ~ _. r ...... , ..d -r-i, i.~; nnly to the samplea tesled. Zalco is not responsible for report alteration or d~tachmenl. Jun ~4 JIF_' 08:2'7a Zalco I_ab~ p.4 AnalyticaI ~ OonsuItin,g Services 4309 Armour Avenue Bakersfield, California 93308 (661) FAX (66 ! ) 395-3069 Bakersfield, CA 93308 Attention: JJ.m Peel Sample Typo: Solid Description: Fleet Cato Fuel, Laboratory No: 0206074-3 Date ReceJ. ve~: 06i06/02 Date Reported: 06/21/02 Contract No. : DaLe Sampled ~ 06~0~,/~,. Ti~e s~mpled : 12:10 i Ft. Be].o~ ~-- ~ Tank Sampled by~Ciie~iit REPORT OF ANAL, Y'EICAL RESULTS Results Units DLR Method/Ref BTXEM & TPH-Diese! Benzene ND ug/kg To !ue-ne ND u9 / kg _P., t _by lbenz ene ND ug / kg '1'o a al Xylenes NI'3 u~/]¢~ Methyl tert-.Butyl Ether (MTBE) 5,3 ug/k9 TPI{ Diesel ND rog/k9 s.O 8o2o/8oisM/e s.o eo2o/~oi5~/8 5.0 8020/80iSM/a is.o ~o2o/eois~/e 5.0 eozo/eol5~/e iO.O 8020/80~5M/~ CC: ly 6/1 Aha ze8 : 0 2/02 Method Refcrcnce ~, ~O};S Lu~r Man%l~! .~/~, : miliieta~ p~r Liter (part~ per m~lliuh) u~/L : micrograms De~ ~iter.~p~rts per billion) umhos/cm : micromhos/c~ at B5 u ~:o~/cm : ~iI!~.~h°z/cm at 25 c ND : None Detecc~d N/A : Nog Applicable' Df,R : Detection l,i~uit for Reportin~ Purposes .... r ...... i"- u-- -~ o ' ' ~u" ..... ~"J ~, r ~ r~n{v fo the scrap(es lesled, re{co is ~1o¢ responsible for report alfetaflon or de~oc½monl, Thls report l$ {urn s 3ed to iret~lu~*t ~*~,, u; ............ ~,.p!e-. , CITY OF BAKERSFIELD '" OF]' ,F ENVIRONMENTAL SI 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS CLOSURE CERTIFICATION 'age __ of __ I. FACILITY IDENTIFICATION TANK OWNER NAME ; i 740 TANK OWNER ADDRESS , TANK OWNER CITY 742 . STATE 743 ZIP CODE II. TANK CLOSURE INFORMATION Tank ID # , Concentration of Flammable Vapor Concentratlpn.of Gxygen for mom than three ta,~k~.) I Top Center i Bottom ! Top 7451 746e 746b" 746C~' 747aI ~'471~ J ~' 747C ATMOSPHERE'.. __v~Q~__, '--qa~ I 749a Z49b 749c ' 750a On examination of the tank I ~dl~ ~e ~nk Is visually flee ~from product sludge s~le (~ln. flaky r~sldual o$ t~nk ~ten~), dnseale anti d~br s. t ~f r.~ ,: ced~ ~a~ the. ~nfo~aUon provided here~n is true a~d accur?e to the best of my khowledge.~ ,' ' ~ :,: ~' ~ ~. ,~ .,.., -,.,~, ¥,,,.~.., "SIGNATURE OF C~TIFIE~ ~ , STATUS OR AFFILIATION OF cERTIFYING PERSON Name of CUPA, authorized agency, or LIA: TIfL~F' , o ~ of Bakersfield Fire De~adm~ht. ~c~ of I' I~ , If cefilfler is other ~an CUPA / LIA check &ppro~fl~ie ~o; ADDRESS j ~ . a. Ce~fled Industrial Hygienist (Gill) Bakersfield, CA 93301 ~ zsz : ~ d. Reglatered Environmen~l heal~ Speciail~t P~6hE ~ ; ~ e. Professional Englneer(PE) . :' .~ .. (661) 326-3979 ~ ~ zss D f. Class II Registered Envlrdnmen~l AssesSor; ~ '~' DATE 7ss ~ CERTIFICATION TIME --- ~ g. Conk~ctors' State Llcensb Board II~nsbd c0htn~cto~ (~, .. :~~__[ ;.( { ; ~ ~ haza~oUs substance removal cedlflcatlon) . '.' '" ':." TANK PREVIOUSLY HELD F~MMABLE OR COMBUSTIBLE MATERIALS . ~~ ~ N0 ' (If yes, ~e tank in~dor atmosphem shall be m~hecked ~h a combustible gas indicator ~or to ~rk being conducted on ~e tank.) CERTIFIER'S TANK MANAGEMENT INSTRUCTIO,NS FO~ SC~P DEALER, DISPOSAL FAClLITy~ ETC: py cediflcate shall accompany the rani{ to the recycling / disposal facility and bb provided to the CUPA. If there s no CUPA,., ., Copies shall be submitted to the LIA and authorized ~gency; owner / operator of the tank system removal contractor; and the recyc lng / dmpos,al fac I ~/., . ' I uPCF (7/99) ' i S:~CUPAFORMS\dtsc1249.doc i ' [ CITY OF BAKERSFIELD FIRE DEPARTMENT FIRE SAFETY CONTROL 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 7O3O SCHIRRA CT BAKERSFIELD, CA 9331'3 171§ Chester Ave., Bakersfield, C& 93301 (805) 326-3979 TANK RENOVAL INSPECTION FORM OWNER +'T(,r ~¢~r~( 67;~-(_~ PERMIT TO ~O~R~ ~c~ ' ~ ~oFs~s ~ ~ST ~ODO~GY ~ ~/~ , ~ , ' P~LI~Y ASSESS~ CO. ~-J~ CO.ACT PERSON co~ ~C~T 7 ~ ~ F~oL~L~ ~ PLOT PLAN CONDITION OF TANKS CONDITION OF PIPING CONDITION OF, SOIL p6060088.jpg (1280x960x24b jpeg) D May 30, 2002 Fleet Card Fuels P.O. Box 81685 Bakersfield, CA 93380 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 RE: Deadline for Dispenser Pan Requirement December 31, 2003 on Underground Storage Tank(s) located at 7030 Schirra Ct., Bakersfield. Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/kr Fleet Card Fuels PO Box 81685 Bakersfield, CA 93380 April24,2002 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Re: Enhanced Leak Detection Requirements REMINDER NOTICE Dear Owner/Operator, The purpose of this letter is to remind you about the new provision in California law requiring periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(I) of the California Code of Regulations, Title 23, Division 3, Chapter 16; As an alternative, the owner or operator may submit a proposal and workplan for ,enhanced leak detection to the local agency, by July I, 2002; complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." Please be advised that there are only a few qualified testers available to perform "Enhanced Leak Testing". All testing must be under-permi't through this office. For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services by: / . Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services D April 12, 2002 FLEET CARD FUELS 7030 SCHIRRA CT BAKERSFIELD, CA 93313 Re: Enhanced Leak Detection Requirements REMINDER NOTICE FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Dear Owner/Operator, The purpose of this letter is to remind you about the new provision in California law requiring periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(1) of the California Code of Regulations, Title 23, Division 3, Chapter 16; As an altemati, ve; the owner or operator may submit a proposal and w0rkP!an for enhanced leak detection to the ,1.9ca! agency, by July 1, 2002; ..complete:the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." Please be advised that there are only a few qualified testers available to perform "Enhanced Leak Testing". All testing must be under-permit through this office. For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services by: /; . · .' Steve Underwood-.-,. ',.:,,.'y, Fire Inspector/E.nvironmental Code Enforcement,-.Dfficer Office of Environmental:Services... .... SU/kr Enclosures /% BAKER~EL~,,rmit~iD So.~)E--t9 CITY OF OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION FOR REMOVALOF-AN-UNDERGROUND STORAGE TANK SITE INFORMATION / SITE / ADDRESS 7~ ~ ~ ~/~ C/ZIP ~ODE ~N FACILITY NAME ~/~_~~D~q CROSS STREET ~/~.~/ ~. TANK OWNER/OPeRaTOR' ~/~ ~'x. ~ ~ ~ ~z/~'r_~ PHONE NO..~ / - q ~ &[ CONTRACTOR INFORMATION COMPANY ~, ~/~t.~ ~, PHONENO. _ff2~-q'g~/ LICENSENO. 7~/70 ~ INSTANCE CARRIER _~ ~ ~ ~, ~/~D WO~NS COMP NO.~O~-OOOO - 17 - ~/ PRELIMINARY ASSJESSMENT INFORMATION COMPANY~'~¢2 - L/,~z//~, ~'~,,"o . PHONE NO.527-q~,q/ LICENSE NO. 7~/--//?/~ ~1- /-/'~-2. ADDRESS ,..~,f~ 'C~_-n_~Tme~r~ ~.ff~ CITYc°~_~.t::,5-'_~z'/~ZD ZIP ~3~J'9~ INSURANCE CARRIER -~ _'7'~ T~ ~ ~r~m~dO WORKMENS COMP NO.c~O4-tgOoD- 17 -o/ TANK CLEANING INFORMATION COMPANY ~-2AI£_ k,/.~ z z_ ,: '-7 L~D. PHONENO. .~77~~/ ADDRESS ~0 '~/~r~ ~Va CITY ~P~C~/e/~ ZIP WASTETRANSPORTERIDENT1FICATION~ER ~ o0o 'll{ 2~ NAME OF RINSA~ DISPOSAL FACILI~ DO ~ ~ ~a c~ ADDRESS ~ I ~ ~ ~o~ ~ic ~ CITY ~0~1 ~/ ~. ZIP FACILITY IDENTIFICATION NU~ER ~Z ~ Oo~o ~q /.~ TANK TRANSPOgTER INFORMATION COMPANY ~; "7' '-'~_ A~'{]C/~ _/9.' ('~¢:',OI. JLqaHONE NO. ~ q ~ - O~L[CENSE NO. ADDRESS TANK DESTINATION ~.flAl~Y ~ ~,t~ ~,~j. ~2,~ ~/A~ ~. ZIP TAN K IN FORMATION CHEMICAL DATES CHEMICAL TANK NO. AGE VOLUME STORED STORED PREVIOUSLY STORED For Official U.~ Only '1'1 Il! API'I,ICANT I IAS RF, CEIVEI), UNI)ERS'['ANDS, AND WILl, COMPI,Y WH'H THE ATI'ACIII,:I) CONI)ITIONS O/" Tills I'I';RMIT AND ANY OTI II..~R STATE, I,OCAI, AND FEI)F, RAL ILEGULATIONS. TI IlS I"()1~ I IAS I~I'!F.N COMIq,I,7IT;I) IJNI)F,I~ PENAi,TY OF PERJURY, AND 'FO 'Fl tF, BEST OF MY KNOWI,I,:I)GI! IS TRill! ANI)£'(J~I,:C'I'. /7 // AI'I'ROVI6) 11~ .... AI'~ICXfl'i'-NA~; (PRINT) ~ APPI,ICANT SIGNATURE THIS APPLICATION BECOME A PERMIT WHEN APP~VED D February 11,290.2__ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661 ) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fleet Card Fuels P O Box 81685 Bakersfield CA 93380 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 3 l, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Shauld you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm D August 3,2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fleet Card Fuels P O Box 81685 Bakersfield Ca 93380 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 3 l, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincerely, Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm D January22,2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Fleet Card Fuels 7030 Schirra Ct Bakersfield Ca 93313 Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your permit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning now to retro-fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Steve Underwood, Inspector Office of Environmental Services SBU/dm CAL V ALLEY EQUIPMENT 3500 GILMORE AVENUE BAKERSFIELD, CA 93308 661-327-9341 FAX # 661-325-2529 CONT. LIC. #784170 TANK MONITOR INSPECTION DATE: I0-.~--00 SITE: F'c.~ L~ o3o MODEL: -'-r'L,.5 SOFTWARE VER. I) G .OZ. /~q.~ol} &,-too-C, / SN: ~OG~q I 5qRO5oo I CONDITION OF UNIT: TANK PROBES: LINE SENSORS: SUMP SENSORS: ANNULAR SENSORS: OTHER SENSORS: QTY. QTY. QTY, PROGRAMMING ACCURACY & COMPLIANCE: TYPE TYPE TYPE TYPE TYPE (1) READS ACCURATE TO TANK CHART? (2) POSITIVE SHUTDOWN? YES ~ NO YES ~ NO ~-d ~I89-88£-[99-[ 86I:~0 O0 98 ~o0 COMMENTS: +o (3) TANK PROGRAMMING MEET COMPLIANCE? YES /~ NO PROGRAM INFORMATION: AIl -~/~1~% ~.~ 'T'E~-]-~% ud~L~ // i:oo , / TANK DATA: MANUFACTURER OF TANKS? SIZE I~.looo SIZE l?-~ OOO SIZE J ~ ,oo 0 SIZE PRODUCT PRODUCT PRODUCT :J~'Z L~¢:~. PRODUCT COMMENTS: INSPECTED BY: DATE: I 0 -~ -.oo CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~.¢t~- ADDRESS "/030 FACILITY CONTACT INSPECTION TIME INSPECTION DATE !t'}!q/O0 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: [] Yes [] No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Business Site//?fsponsjblg~ Party Inspector: ~d~~ FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program [21 Routine [~ombined [] Joint Agency Type of Tank Type of Monitoring [] Multi-Agency Number of Tanks 3 Type of Piping [] Complaint [] Re-inspection OPERATION C V COMMENTS Proper tank data on file ~ Proper owner/operator data on file : ~ Permit tees current ~/ Certification of Financial Responsibility v// Monitoring record adequate and current ~/ Maintenance records adequate and current Failure to correct prior UST violations x_~ 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: _~; ~~ffff~r/~:~ff'~ Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy usiness Site'ResPonsible Party r TYPE OF ACTION (Checl( one Rem only) o ict 1715 Che ter ve., Bakersfield, CA (661) J26- 979 UNDERGROUND STOOGE TANKS- UST FACILI~ ~ 4. A~D ~R~ ~1 ~ o~) ~ 8. T~K RE~D ~. I. FACILITY I SITE INFORMATION BUSINESS NAME (~e a~ FACILITY NAME ~ O~ - ~ I~,-,~ A~) 3 FACILITY ID # NEAREST CROSS ,~TF~F-¥ 401. BUSINESS E] 1. GAS STATION E~ 3. FARM [] 5. COMMERCIAL TYPE [] 2. DISTRIBUTOR [] 4. PROCESSOR [] 6. OTHER ~3. FACILITY OWNER TYPE [] 1. CORPORATION [] 2. INDIVIDUAL [] 3. PARTNERSHIP [] 4. LO~AL AGENCY/OISTNICT~ [] e. STATE n ?. TOTAL NUMBER OF TANK~ I~ f~tlly ~ ~ Re~el~al~n ~' 'ff ~ ~ UST a ~ ~ ~e d ~ ~ RE~INING AT S~ ~? ~, ~ ~ ~ ~ ~ ~ UST. "" ' .';: :.:"~.:~[~::::" '?";'.~'"'~'[::::~::[:~'?:L': ' ILPROP~~ERINFO~N" :," ' :j'~[::::~::::~[~::;:~:," .'..' : :~' ' :" '::::~:Y::J-' · · ' · ' -::~[F:?~ P~ O~ ~7. I ~NE ~. ~ILI~ OR S~ ~ ~. Cl~ 412. ~O~R~ 0~ ~ ~ ~ 413. 410. STATE 411. I ZIP COOE(~ [] 4. LOCAL. AGENCY'/DiSTRICT [] 6. ~I'ATEAGENCY [] 5. COUNTYAOF. NC'Y [] ?. TANK OWNER NAME 414. I PHONE 415. MAILING OR STREET ADORESS 416. TANK OWNERTYP~ [] 2. INDMDUAL [] 4. LOCALAGENCYIOISTNICT' [] O. STAT~AOENCY ' 420. INDICATE I~THOO(S) r-] 1. SELF4NSURED [] 3. iNSURANCE J~ 4. SUR~:TY BOND [] S. Leiie. ROFCREDIT [] e. EXEI~T10N ~. STATE FUND [] 8. STATE FUND&CFO Lt:i~e.R [] ~. STATE FUND&CO [] 1o. LOC~. [] ~. OTNE~ 422. :'" .... ' VI. LEGAL NOTIFICATION AND MAIUNG ADDRESs one tx~x to Imllcale wNch a ~ be u~ed t'~' leg~ noffilcalk~ m~l mailing. ~r~l. FACILITY [] 2. PROPERTY OWNER Legal n<Xlflc~tlo~ and matl~g~ wffi be ~ lo I~e tank o~'unlee~ Ix~ I ~' 2 i~ ct~ck~d. I-] 3. TANK OWNER 423. '"' VII'-'. APPUCANT SIGNATURE ' '; : , . .::.., ..:., ~ . . ...,,,:;:;!:.: ...:: 'tH ~" Certlflcallon: I oe~ tbel the Infemmllon i:)fovlded heelln II line and eccumle to I~e belt of my know~dge. DATE 424. PHONE 425. TITLE OF APPLICANT 427. STATE UST FACILITY NUMBER (For/oc~ us~ on/y) 42~. t gee uPGRADE CERTIFICATE NUMBER (For Io~i uae only) UPCF (7/gg) S:\CU PAFORMS~wrcb-a.wpd OFFICE OF ENVIRONMENTAL Si~[VICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 tYPE OF ACTION ¢oec~ o~ ,/em OATE INST,'~LEO C:] $. CHAN(3~ OF' INFORMATION) [-~ ~. tEMPOrARY ~JT~ C~.O~URE C] ?. P~;MANENTLY CLOSEO ON SITE (.ImK4Y~.~~) (::] 8, rANX~MOVED 433 /COMPARTMENTAL. IZED TAN~ r'l YM ~"~1~ 4.* I. TANK DESCRIFI1ON 432 I TANK MANUFACTLJRER 4,~ ] TANKCAPAC~rYINGAU.ON3 I q- [] 2. NOn-~t.~-L~rrnot. L~0M C] '~. C~.m~2OOCT 0~. u~ O z LEAI~O C] $. JETFU~. O 3. ~_ E:] e. Av~AnON ~ C] 4. (~O.OL 441 c,~ a (aom H&m~m~ M W~) Mt. ~ II~ME~E I. INE~ [] 4. ~I~3LE WALL IN A VAULT i'-1 s. ~NGLEWALL~INT~BLADC~S'r~'~ TANK MAT~ - Iglf~ I~fl~ (C.J~,~x ~ ,~m cmO,) r-'l I. FRPCOMPATISLE W/100% I~ C] fo. COA'TrE~ ~P.a:~ 0 M. UNKbl3WN TANK INTE~O~ LINING OR COAI'INO OTNE~ ~ I~OT~I'ION ~ APIqJCA~ DATE II~T~J ~Kn' 44T DAT~ INST.M,L~O 44g I"l t, V~U~U.(EXI~MDPORTIONONLY) [] 2. AUTOMATIC TAM( (2AI, J(~N~ {Al'G) 0 ,1. COKT.~OUff ATG r'] 4. STATISTICAL INV~NTOfW R~CONCIUATION (~1~) · 81ENNIAI. TN'¢K [] s. MANU~. TAM(~3AU(~NO (&(TO) I-! & VAOO~ZONa O r. OROUNOWATER OI, TANK TEST~(3 O-. o'm~ OVEI~II.I. FRO'I~CTION EQUIPldF..NT: YEAR II~T~U &FO ~52 ~ CONTINUOU~ INTERSTmAL MONfl'ORJNG V. TANK CLOIURE INFORMATIOfl I PIRMAglKr CI.OIURI IN PLAC~ E~TIMA TEO 0ATI LAIT UIIO (YR/MO~AY) 411 IIT1MAT.O; OF ~JHTANCl NIMNNI~ 4~ TANK FIU.~O WITH INEKr MATERIAL.? OY# O~ JPCF (7/gg) 8:%CUPAFORM~qwRCI~8.WPO BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVI 1715 Ch#ret Avl., Olkerifleld, CA 93301 (661) 326-3979 UNDERGROUND PIPING SYSTEId tYPE (~': IP~ESSURE [] 2.,/'SUCTION CONSTRUCTION/' r""~ I SINC~.E WALL ~'~. LINED k4ANUFACTURERI~I 2. OOU~t.E WALL I"~ 96. U~ i MANUFACTURER VI, ~ CONSTRUCTION (c~ C] 3. GRAVITY 458 OTHER 4~0 40! ?:'"] 1. BARE STEEL ["l L FRP COMPATI~L~ ~ 100% METHANOL ,aTE.~s~,,o:C] 2. STA~ST.L r'l 7. OALVAa'~.oSTEe. CORROSION ~TECTION !r-] 3. ~io C, OUPAT]~.E WffH CONTENTS [""1 95. UNKNOWN ;n 4. FISe~ n 8. RJ. xJBLaiHOP~) i-'! ~e. OmE~ ir-] $. ~TEELwICOA'r]NO [] 9. CATHOOCF~OTECTION 464 A~OVE(SROUNO PIP1NG C]I. PRESSURE C] 2. BLJCTION [] 3. ORAVITY ~ff"'] I. SINGLE WALL [] 95. UNKNOWN r~l 2. DOUBLE WALL ~] 99. OTHER MANUFACTURER ~-] I. 6ARE STEEL r-] 2. STAINLESS :STEEL 1'"] 3. PLASTIC COMPATIBL~ WITH CONTENTS I"] 8. FLEXIBLE (HDP~) [] 99. O111ER r'l 4. FIBERGLASS [] 9. CATHODIC I:~OTECTION [] S. STEEL W/COATING [] 95. UNYJ'dOWN 4. VII. PIPING LEAK DETECTION UNC)ERGROUNO PIPING ~NGLE WALL PiPikiO 4H PRESSURbT. ED P1P1NO (Chd~' M o~r [] I. ELECTRONICUNELE, AKOETECTORS.0GPHTEETWffHAUTOPUI4POHUTOF~FOR ~ SYSTEM FM.URL AND SY'STEM ~ * ~ AND VISUAL [] 2. ~43NT~.Y 0.2 om TEST [] 8. FRP COIV~ATI~LE WI 100% METHANOc ~ ?. GALVANIZED ~I'EEL 4 CONVENTIONAL SUCTION SYSTEk~: · ~ S. OAILYVI~UA~h,13NffORIN~OFPUUPI,4~(SI'EM+~PIPINOINTEGRI'TY TEST (0. SAFE ~ CONVENTIONAL BLICrioN SYSTEU8 (Check [] 5. OAILYVISUALMONffOR~NOOFPIP~N~)PUMPINGSYSTEU [] 6. TRIENNIAL INTE~ TEST (0.1 Cd=H) .SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIP, G): [] 7. SELF MONffORJNG GRA Vfl~ FLOW (C/reck al [] 9. BIENNtALINTEC-,RffYTEST(O.S SECONDARILY CONT~NED PIHNG PRESSURIZED PU~IG (Check al ~tmt app/y): 10. CONTINUOUS TURBINE SUI~) ~;~)OR VVffH AUDIBLE AND VISUAL ALARM8 ANC) (check me I-'1 a. AUTO PUIdP SHUT OFF WHEN A LEAK OCCURS [] b. AUTO PUMP SHUT OFF FOR L.EAX~, ~4'STEM FAJLURE AND SYSTEM DISCONN~=ClIOh [] c NO AUTO PUIdP SHUT OFF [] 11. AUTOMATIC LEA~ DETECTOR [] ~2. AHNLUd. INTEC.,~rYTEST(0.1GFH) [] 13. CONT~IJO4JSSUMP~OR +AUO~LEANDVI~UALN. ARM~ EMF. R~ENCY [] 14. CONTINUOUS SUMP SEJ',I$OR WffHOUT AUTO PUMP ~4UT OFF ', AUDIBLE ANO VI~UAL [] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPI4 TEST) [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. DAILY VISUAL CHECK 0 4, D~LY VIBLIAL CHECK n ~. TRENCH UNER/K)NffOI~NO 0 1. FLOA'rM~cHANI,SUTHAT~tUI~0fF~JIP. A.qVALVE [] :L G)taltaJOU$OI&eEN.qERPAN-~N~OR*AUOI~LEANOVlSUALAL,,'-qMS [] 3. CO~8 ~ PAN MN~O~ ~ AUTO SHUT OFF FOR OISPENSER ** AUOIBLE AND VI~iJAL ~ 473 J JT0 472 474 I plnnjl F.~i(~ DMe(FM'/O~MUMa~'~ 4?S~i UPCF (7/09) S:\CUPAFORMS~qWRCB-6.WP(:; crl'Y OF BAKERSFIELD OFFICE OF ENVIRONMENTAL ~ERVI; 1715 Chelfer Ave., ~akerlffeld, CA 93301 (~1} 326-3979 VI. ;'~'~10 CONbimJCTION ((:~m ~ mf AaOVE(mOUNO PlaN6 CONSTRUCTiON/,[::] I. $1NC~E WALL MANUFACTURERIE] ,~. OOUSCE WALL i MANUFACTURER i C:] ,. mE STEEL ~ MATERbaJ.$AND '[::] 2. ~TAINI. E~ ~TEEL CORROSK~N PROTECTION I~1 3. GRAVITY 458 [r-199. OTHER 461 PRESSURE E] 2. ~UCTION [] 3. O~AVTT'Y [] I. SINGLE WALL [] 9~. UNKNOWN, [""] 2. DOUBLE WALL r'] 99. OTHER MANUFACTURER ~ 1. BARES'rEEL [] 8. FRPCOMPATISLEWItOOe&IV~'~ ~ 2, STAINLES~ STEEL (-1 7. GALVANIZED ~rEEL J-'] 3. PLASTIC COMPATIBLE WITH CONTENTS ri 8. FLEXIBLE (HDP~) [] 9g. OTHER I~ 4. FIBERGCASS J"] 9. CATHO01C PROTECTION 1"1 S. STEEL WI COATING [] ~. UN~d~OWN 4~ VI. PIPING LEAK DETECTIO~ (cM~ M ~t e~Y) ',q.,... UNOERGROUNO PIPING WALt. INPING 466 ELE~ ~ ~ ~ 3.0 ~ ~ ~ ~0 ~ ~ ~ FOR ~F~U~~~*~~ CONVENTIONAL. SUCTION SYSTEM8: I--] 5. DAILYVI~MON/TO~OFI~Y~'TEM+T~I~INTEORrrY TEST (0.1 C.~°H) SAFE SUCTDN SYSTEMS (NO VALVF..q ~ BELOW OROUNO FIFING): [] g. BIENI~N.I~TEG/~TYTEST(O. IGPH) ~r:CONDARILY CONTAMF. D P~ESSUmZED P~NG (c/m~ M o~t ) ~ o. AUTOPUMPSHUTOFFFORLJEAK&SY~*TEMFA~LL~E,U~SY~TEId I:)~,~,Ota~CTION r'"] c. NO AUTO PUMP SHtrr oFF [] 11. AUTOMATIC UNE LEAK DETECTOR (3~ GJ~I TE~T) WITH FLOW ~HuT oFF oR RESTRICTION [] 12. ANNUAL ~r~e~UTY TEST (0. S (~=.) I~) 13. CONTlt4J~JS~JMPSENSOR+A4XN8L~ANDVISUALALARM~ REgTRiOTION I--! ~. ANNUAL WTEGRITY TEST (0.; [] 17. DAILY VtSUAL CHECK · '.:'... '. :.'i DISPENSER CONTNNMENT [] 1. FLOAT MECHAN~M THAT ~ 0~F 8HE~R VALVE OATE INSTAJJ. ED ABOVEGROuND ~NGL~ WALL ~UR~D ~ (~ d ~t ~ ~ 1. ~L~~3.0~~O~OFFF~ ~ 3. ~~(0, t ~ ~ ~. TRIENN~ I~ ~ (0.~ ~ ~N ~ (~ V~S 7. ~ ~0~ ~ ~W (~ ~ ~t 9. ~ ~ ~(O.~ ~R~ ~ (~ ~ ~t ~ 10. ~S ~ ~ ~R ~ a. ~0 ~ ~ OFF ~ A ~ ~. A~ ~ ~ OFF FOR ~ c ~ A~O ~ ~ O~ 11. ~0~ ~ ~OR ~Z ~~(0.~ ~) 13. ~~~R +~~~ ~Y G~ O~Y ~4. ~S ~ ~R ~~O ~ ~ ~*~DI~ ~ 15. ~TO~ LINE L~ D~E~OR (3.0 ~8. ~NU~ ~GR~ ~ST (0,~ ~) 7. DAILY VIS~ ~E~ ~:~U~':'~'~,.' 'g~ ~.~.:~ ~':/~~:~,~ :~ ~ ~.~:~'.~ ~ I~' 4~ [-] ~. CONT1NUO4JSOISP~qlMJ~PANSB~OReAUOIll4.EANOWSUALALAR~4S 1'i S. TRENC~UNERIMONffORI'~ [] 3, CONTIMJOUSDI.~PP.N~F. RPAN~EN$ORwn'HAUTO SHUTOFF FOROISPENSER',AUDISLEANOV]SUALALARM8 r-] L NONI~ IX. O~14ER/OPERATOR SIGNATURE DATE 471 TITLE OF OWNEF~OPERATOR 474 470 472 UPCF (7/99) S :tCUPAFORM$~WRCB-B.VVP C 1715 Chester Ave., Bakersfield, CA 93.t01 (661) 326-3979 ~ C~ o~ ,~m oaf?7 rANK lO d ~ OATE ~NSTALLED (YEAR~,4~) ~ I. TANK DESCRIPTION TANK MANUFACTURER (~ ma(kea. ~ ~ T~) [] 2. NON,~e. eeTeOt~ [] 4. 0 ~. Umw, OWN I. TANK ~ 4,4: /TYI~ OF TAM( I. ~WAL.L (Check o~e M ~ 0 2. DO4Je~ W~LJ. [] 3. 81KN. EWALLWI1'H ~ MEMBI~U~E LJNER O 4. ~NGLE WALL IN A VAULT O 5. SlNGLEWALLIMTHINTE~BLA~'YS'11~M TANK MATE~A~ . ~ ~ (Ch~k ~)~ ~ TANK MATERiAL ' MKXJl(~(Y I~I~ I-1 I. ~ ~J. ~4. Os.~ 0 M. U~KNOWN [] L FRe COMOA?m~E vwloolf, ~ O ~. on~e~ [] g. FRP CO&~A'I'~LE w~10o~ MET)Ud~OL 0 M. UI~IOaOWN T)~K ~mF, JUC~tJNIM] C] 1. mJeM~ oR COAT1NO CMck ~e M~ 0 ~ (~SLNNO C] M. UNm0WN 04. M~SSOEO CUe~.ar DATE IN~TAJ m ~:n' 447 IF Iai(ILl WALL TM( (ClWi M MI 4W~: C]t. W~L (EXlaOWJ ~TION OM. Y) I'q 2. AUTOMATIC TANK (]AU~ (ATO) [] ,I. CONT1NUOUe AT(] [] 4. 3TATI~TICAL iNVeNTORY ~CONOUATION(~IR) ) eme~ TA~a( 'rg~T)NO I'] s. MANUAL?AM(GA~(MTG) [] ?, OAOUNDWATE~ OVERFILL PROTECTION EQUIPMENT: ~ IN~T)J [l=~n 4.12 C]I. ALARM [] 1. FILLTUeESHLrro~q:VALVE _____ ¥. TANK Cl. OIUR! INFORMATION I PIRMANINT CLOIURI a PLAC~ e~TfMATIO O),1'1 LAII' UIIO (YRa4Oa~AY) 411 IIT1M~TIO qUAHTTTY O~ IUI81'ANCl NIMNNIN(] 411 T,~ql( FILLIO WITH INERT M? ]PCF (7~og) S:~CUPAFORM~WRCI~41.WPO Cii-¢ OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICI ' ' 171~ Chelter Av~., ~lkerlfleld, CA 93301 (~1) 326-3979 SYSTEM I'YPE ~1. PRESSURE ~[:~ 2.~CTION C:] 3. G~AVITY 458 CONSTRUCTION/' [~] I. SINGLE WALL L~3. LINE0 TRENCH ["] gg. OTHER 460 MANUFACTURERt{'"] 2. 00U~LE WALL [~ g~, UNKNO~J i MANUFACTURER 401 i~-I I. ~ARE STEEL l-1 e. FRP COMPATI~.,~ W/100~ ldLrTHANOL CORROSION PROTEC!rION i ~'"~ yPLA~TIC ~ATII~LI= WITH CONTENTS UNKNOWN F~8~RC.,~.S~ Ft. EX~BLE (HOI~) OTHER iI:~'$. STI~ELWICOATINO I"'J g. C. ATHOOCI:~OTECTION ABOVEOJROUNO PIPINO [] I. PRESSURE i-'1 2. SUCTION [] 3. GRAVIT'Y [] I. SINGLE WALL ['"] 9~. UNKNOWN [] 2. OOUSLE WALL I"'] 99. OTHER MANUFACTURER [] 1. BARE STEEL [] 2. STAINLESS STEEL [] 3. PLASTIC COMPATIBLE WITH CONTENTS [] 4. FIBERC. d. ASS [] $. STEEL WI COATING VI. PB~i~ LEAK DETECTION CONVENTIONAL SUCTION SYSTEM~: r"] 5. DAJLYVlSUALMON~rORINGOftPUI~NN~SY~TEM+~~INTEGRJTY TEST (0.1 ! SAFE SUCTION SYSTEMS (NO VALVF..~ tN BELOW OflOUNO PIPING~ l-] 0. BF. HNU~.~rE(~TEST(OJ O~'H) ABOVEC.~OUNO PIPING ~INGLI~ WALL PIPING 4~ ~UR~D ~ (~ ~ ~t ~' ~ 2. ~Y 02 ~ ~ ;~ 3. ~~(0.1~) ~ 4. ~Y ~ ~E~ ~ S. DALLY ~ ~N~ ~ ~ ~. TRJENN~ I~ ~ (0.1 ~ ~N ~ (~ V~S ~ 7. ~ ~o~ ~ ~ow (~ ~ ~t ~): ~. el~ ~~(o.t ~o~Y ~N~ ~ a. ~O~OFF~A~~ ~ D. A~ ~ ~ OFF F~ ~ c ~A~O~O~ ~ 1. ~0~ ~ ~OR ~Z ~~(0.~ ~) 13. ~~R+~~~ [~14~ IlilRO ENCY 0 BIF. RAI'Olll ONLY (Chedr II lei ~ BERg ENCY 0 BIEJIATOIIJ ONLY ~ CONTINUOUS SUMP ~.J'4~OR WTTHOUT ,AUTO ~ ~HUT OFF + AUOIBLE AND [] 14. CONTINUOUS SUMP SENSOR WTTHOUT AUTO PUMP ~4UT OFF + AUDIBLE ANO VI~LIL4~ [] 15. AUTOMATIC LIN~ LEAK DETECTOR (3.0 (~H TEST) ~ITHOI.~' Ft.OW ~HUT OFF OR r~ 15. AUTOMAT~C LINE LEAK DETECTOR (3.0 GPtl TEST) RESTRICTtON C~] 10. ANNUAL INTEGRITY TEST (0. I G~H) ~ [] 16. ANNUAL INTEGRITY TEST (0.1 GPH) [] 17. OAILY VISUAL CHECK I [] 17. DAILY VISUAL CHECK ' OISm=.HSER CONT~MENT [] 1. FLOAT MECHA.N~M THAT SHUll 0~F aHEAR VALVE [] 4. ONLY VL~UAL CHECK [] OATE INs'rALLED 4a~ [~ 2. CONTINUOUS OISPENSER PAN ~ + AUOIgt~ ANO VISUAL ALARMS LINER (~/~...~ '1-1 3. ~8~pAN~~AUTOSHLrroFFFORO,SPEN.~R*AUOIm.aANOWSU~AUm~V~S I-1 47'f TITLE OF OWNER~OPERATOR 473 I UPCF (7/9g) $ :\CUPAFORMS~qWRCB-It. WP C 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS- TANK PAGE 1 i'*'(P~ OF ACTION t C~eck o~ ,mm on)y) r-i I. ~ Si?~ ], RENEWAL WLEE'~ C~o ~'u C--c% t. OCATION WITHIN ~r~ (~) rANK I. TANK DE~CRIF'r~ TAM( MANUFACTURER IL TANK CON?m4TI O~& ~E(X~.M~ [] z LEAMO [] s. IL TANK ~ iTYP~ OF TAM( (Ch~ck one M oMr) 1~ ~NGLE WALL WITH EXTERIOR I~MBRN~ UNER 0 4. SI4OLEWALLNAVAULT [] S. r"~x uArcRva' ' Ne°needY md[ O ~. ~J~4. ~tl~ CLAD V~ []s.~ [] ~ ~ CO&~A'I']8~E W/t00% &~CTHANOL 0 g~. OTHE~. O M. UNKN~ OR COAT,NO 0 4...m3ucu...o )lZiL U,,uHEo Om. e~TECnON 0 4..4,~.sMo ~ C]m. DATE INST~U t J~n' 447 (r-re'btM w o~ DATE I~TALLED MO 4~0 TYP~ (For ~ocM uM o~y) 4~1 r-I s. MMUAL TAM( OAU(~O (UT(S) [] e, VADO~ZONE [] ?. OAOUNDWATER OV~RFIU,. PROTEG~'ION EQUIPMENT: Y'EA.R IN~TAJ I ~n 4.12 [] I. ALA~a [] 3. FILL TUBE SHUT OFF VALVE _____- ~ ~FLOAT ~ [] 4. P. XE~ ¥. TANK Cl. OIUl~ IIFORMATIO~ I PIRWlNT CI.O~UR! IN PLACE ESTIMATEO 0~TI LAIT UIID (YIUI~Y) 411 IITWTID (DJ(rlTY 01~ ~UI~TAtCl W 4~ TAM( FU. IO WITH INl~r MATUI, U.? JPCF (7/gg) .I:~,CUPAFORM~3WRCB-~.WPO D April 4, 2000 FIRE CHIEF RON FRAZE 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 TRAJNING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Davies Cardlock Ms. Michelle Shinault 4200 Buck Owens Blvd Bakersfield CA 93308 Dear Ms. Shinault: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The permits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B, & C must be filled out and returned prior to the issuance of a new permit. Please make sure that you are sending the updated forms which are indicated by the date 7/99 in the lower left hand comer. Please complete and return to this office by May 15, 2000. Failure to comply, will result in a delay of issuance of your new permit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dam attachment FaciliW Davies Cardlock Inc. Address 7030 Schirra Ct, Bakersfield, Ca 93313 L 1QU 1 [:, SENSOR SETUP DUAL FLT. D I S, CR IM 1 NAT I NC; C. ATEGC'RY : OTHER SENSOI ..... SENSOR e:LARI'-'I ...... L 2: MONITOR HELL HIGH LIOUID ALARM AUG 12.. 1999 9 :'34 RM ..... SENSOR ALARM ..... L 2: MONITOR gELL FUEL ALARM AUG 12, 1999 9:20 AM ..... SENSOR ALARM ..... L 2: MONITOR WELL HIGH LIQUID ALARId AUG 12, 1999 9:37 AM I/.JH I TE LN. FCF-48 WHITE LN.FCF-48 AUG 12.. 1999 9:38 AP1 OUTPUT RELAY SETUP R I:POSITIVE SHUT-DO~N TYPE: STANDARD NORMALLY OPEN AUG 1'2, 19q9_ q"?9_.~ AM SYSTEM '"'':,,~,LIS REPORT L 2 :FLIEL WHITE LN.FCF-48 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL LIQUID SENSOR SETUP L 2: DUAL FLT. DISCRIMINATING CATEGORY : MONITOR HELL LIQUID SENSOR ALMS L 2:FUEL ALARM L 2:SENSOR OUT ALARId~--~ ALL:SHORT ALARM L 2:WATER ALARM L 2:HIGH LIQUID ALARM R 2:OVER FILL ALARM TYPE: STANDARD NORMALLY OPEN IN-TANK ALARMS T I:OVERFILL ALARM T 2:OVERFILL ALARM T 3:OVERFILL ALARM AUG 1'2, 1999 9:22 AM SYSTEM STATUS REPORT L 2:FUEL ALARM ARCHIVE UTILITY SAVE SETUP DATA: START TIME: AUG 12, 1999 9:38:56 AP1 ..... SENSOR ALARM ..... L 2: MONITOR WELL HIGH LIQUID ALARId AUG 12. 1999 9:31 Aid FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE Section 2: Underground Storage Tanks Program []~outine [] Combined {21 Joint Agency Type of Tank ~5~0 FC5 Type of Monitoring [] Multi-Agency [] Complaint Number of Tanks Type of Piping Re-inspection OPERATION C V COMMENTS Proper tank data on file / ~ ~ ~'0~¥' Proper owner/operator data on file t.,/' Permit fees current Certification of Financial Responsibility / Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations ,./' Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compl/ance V=Violation Y=Yes N=NO 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 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 FLEET ~ FUELS P 0 BOX 81685 B/~v,I!2.SFIELD C_~ 93380 CiTY OF BAKERSFIELD ~'.. FIRE DEPARTMENT ,.", .... OFFICE OF ENVIRONMENTAL SERVICES 1~15 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 , FLEET CA~ FUELS 7030 SCHI~ CT BAKERSFIELD, CA 93313 D February 9, 1999 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 396-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 Fleet Card Fuels 7030 Schirra Ct Bakersfield, CA 93313 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. Sincere/l;y,, Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure CA Cert. No. 00S42 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. I Instructions to the issuing agency: Use the space below to enter the following information in the format of lYour choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2"d day of November, 1998 to: FLEET CARD FUELS Permit #015-021-001348 7030 Schirra Ct Bakersfield, California 93313 F~I, {~), TM. NO. ~le~e line u~ ~iOe m~o~$ witt~ ~ltom of document OIL CO. (714) 744-7140 (FAX) 744.7161 1825 W. Collins Ave, P.O. Box 4159 Orange, CA 92613-4159 Fax No, Tel No, w Z Z c~ w T Diesel Ires 1 [ -! (1) ltold static i~r~ Cai, W 0_ Z o c_~ Z bJ -c 0 Cf) 'lAne ~rib5 nozzbe Ln full Te~t I - 3 Gal/12 IAf~rm ,. D~te Te.~t_~ z 0 Z T 0 'rest i - 3 ~all!2 Liters ~est. 2 - 3 Gal/12 Liters ' III~I~~IEU~,~NE:CONVERSATIOIL Business Contact Name: Business Phone: Inspector's Name: Time of Call: Date: # Min: ,,~ Type of Call: Incoming [ ] Outgoing Returned.[ ] Content of Call: Time Required to Complete Activity # Min: {0 By__..._._ Mark Turk Inspector - Haz Mat Bakersfield City Fire Department 1715 Chester Ave. Bakersfield CA 93301 June 26, 1995 Re: Correction Notice Dear Mr. Turk; We filed a Hazardous Materials Business Plan(copy enclosed) for our Site #48 at 7030 Schirra Court when we opened in 1988 and updated it in 1992. I was not aware of a separate written Routine Monitoring Procedure or an Unauthorized Release Response Plan. I have filled out thc forms as best I can without instructions or examples. I called your office but have not received a reply as yet. Wc have been testing our leak detectors every time wc have thc tanks tested and I see that that is not frequently enough. We will have them tested right away and continue on an annual basis. I havc enclosed a copy of thc results from thc last time they wcrc tested. can bc of any further assistance, please ]et me know. P.O. Box 81685, Bakersfield, California 93380-1685, Phone 805 321-9961 08/18/92 FLEET CARD FUELS 215-000-001348 Overall Site with 1 Fac. Unit Page General Information Location: 7030 SCHIRRA CT Map: 123 Hazard: Low Community: BAKERSFIELD STATION 09 Grid: 16D F/U: 1AOV: 0.0 '1 Contact Name [ IRICK DAVIES IPAUL LINGENFELDER Mail Addrs: P.O. BOX 81685 City: BAKERSFIELD Comm Code: 215-009 BAKERSFIELD STATION 09 Title I Business Phone I 24-Hour Phone] (805) §8~2 x (805) 323-0233[ (805) ~-m~7-Tu2 x (805) 832-8223/ Administrative Data D&B Number: State: CA Zip: 93380- SIC Code: Owner: FLEET CARD FUELS Phone: '('~(~5 ~Zl Address: P.O. BOX 81685 State: CA City: BAKERSFIELD Zip: 93380- Summary reviewed ihe af/acb~ ~)~alerials marmge.. men/P/an for~~ ~e~s ;~n '~ il'mt it along witb,~ any ~rrections Consl//~!e a cO,~p[ete and correc; n]a~). agemen[ Plan for my facility. 08/18/92 FLEET CARD FUELS 215-000-001348 02 - Fixed Containers on Site Hazmat Inventory. Detail in Reference Number Order Page 2 02-001 UNLEADED · Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate. GAL CAS #: 8006-61-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 12,000 Daily AVerage GAL Annual Amount GAL 6,000.00 ~ 200,000.00 Storage UNDER GROUND TANK IIPress T Temp Location ,Ambient.Ambient,UNDER TANK W OF DISPENSE -- Conc 100.0% IGasoline Components MCP ---FList I~oderatel 02-002 PREMIUM UNLEADED GASOLINE · Fire, Immed Hlth, Delay Hlth Liquid 12000 Moderate GAL CAS #: 8006-61-9 Form: Liquid Type: Pure Daily Max GAL 12,000 [ Storage UNDER GROUND TANK -- Conc 100.0% IGasoltne Trade Secret: No Days: 365 Use: FUEL Daily Average GAL 6,000.00 Annual Amount GAL 200,000.00 Press T Temp Location Ambient~AmbientlUNDER TANK W OF DISPENSE Components MCP List IModerate I 02-0'03 DIESEL FUEL #2 · Fire~ Immed Hlth, Delay Hlth Liquid 12000 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Llquid Type: Pure Days: 365 Use: FUEL Daily Max GAL 12,000 Daily Average GAL 6,000.00 Annual Amount GAL 200,000.00 Storage UNDER GROUND TANK Press T Temp Location IAmbient{AmbientlUNDER TANK W OF DISPENSE -- Conc I 100.0% IDiesel Fuel No.2 Components MCP -,iLlst IModer.t. 08/18/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site <D> Notif./Evacuation/Medical Page 3 Agency Notification <2> Employee Notif./Evacuation ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. THE PROCEDURE IS TO TURN THE EMERGENCY SWITCH OFF AND GO TO THE PAY TELEPHONE AND DIAL 911 AND ADVISE EMERGENCY PERSONNEL OF THE SITUATION. THERE ARE THREE EXITS FOR'EASY EVACUATION. <3~ PubliC Notif./Evacuation <4> Emergency Medical Plan LOCAL URGENT CARE AND EMERGENCY FACILITIES 08/18/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page <1> Release Prevention EACH FILL PIPE IS FITTED WITH AN OVERFILL CONTAINMENT DEVICE. EACH DISPENSER IS FITTED WITH A COMBINATION THERMAL/SHEAR VALVE SHUT OFF FUEL IN CASE OF IMPACT OR FIRE. THERE IS AN EMERGENCY SHUT OFF ON BLDG WHICH SHUTS OFF ALL FUEL PUMPS AND TURNS OFF POWER TO.DISPENSERS. THE DIESEL HOSES HAVE BREAK-A-WAY DEVICES WHICH CONTAIN THE FUEL IN THE EVENT OF A DRIVE-OFF. ALL CARDLOCK USERS ARE INSTRUCTED IN EMERGENCY PROCEDURES. <2> Release containment <3> Clean Up SMALL SPILLS WILL BE ASSORBED AND DISPOSED OF. LARGE SPILLS WILL REQUIRE A LOAD OF SAND FOR CONTAINMENT AND ABSORBTION <4> Other Resource Activation 08/18/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site <F> Site Emergency Factors Page 5 <1> Speclal Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - INSIDE BUILDING C) ,WATER - DRIVEWAY NEAR DMV LOT D) SPECIAL - EMERGENCY POWER SHUTOFF ON BUILDING NEAR DOOR E) LOCK BOX - NO <3> Fire Protec./Avall. Water 3A SEC 4) THERE IS NO PRIVATE FIRE PROTECTION 3A SEC 5) FIRE HYDRANT - ? P-9- cb 4 <4> Building Occupancy Level 08/18/92 FLEET CARD FUELS 215-000-001348 00 - Overall Site <G> Training Page 6 Page 1 NO EMPLOYEES AT THIS SITE <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING T~tDa~ 10 Jun 1993 NDE ENVIRO~AL CORPORATION 20000 Mariner Avenue, Suite ~ Torrance, C, aliforuia 90503 (310) 542-4342 Wo~Order~: 960980 Client: FLEET CARD FUELS Site: FLEET CARD FUELS P.O. BOX 81685 7030 SCHIRRA CT. BAKERSFIELD , CA 93380 BAKERSFIELD Attn: REX RICE , CA 93313 'l'no following tests were conducted at tho ~ described above in accordance with all applicable po~on~ of Federal, NFPA, and Local regulations. TANK SYSTEM INFORMATION Tank Tank Product Vapor Recovery Tank Capacity Diameter Level Tank No. Gallons Inches Product Inches Material Stage I Stage II I 11,783 96 UNLEADED 73.30 FIBERGLASS DUAL BALANCE 2 11,783 96 EXTRA 66.20 FIBERGLASS DUAL BALANCE 3 11,783 96 DIESEL 63.20 FIBERGLASS DUAL NONE TESTING RESULTS VPLT Wetted Vent & Leak Leak Volume Portion Ullage Vapor Product Detector Detector Tank Change of Tank Test Lines Lines Present? Results No. (gph) Pass/fail Pass/Fail Pass/Fail Pass/Fail Yes/no Pass/Fail I -0.027 PASS PASS PASS PASS YES PASS 2 -0.031 PASS PASS PASS PASS YES PASS 3 -0.039 PASS PASS PASS PASS YES PASS NDE appwoi~,e-_ tho _%yppo~_rmnio/to sorvo you, and looks forward to working with you in ~he futuro. Please call any ~ne, day o~ night, when you hood us. NDE Customer Service Representative Testing condu~_,~d_ by M. LEVESOUE' Teclmld~n certification no.~ F. MILLER ~ .... Reviewed by~ ~ B~lnmin l'~tDate: 10 ,.Tun 1993 WorkOrde~: 960980 LEAK DETECTOR DATA Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 Tank 6 Serial number: I 2 3 Product: UNLEADED EXTRA DIESEL Leak Detector manufacturer: REDJACKETREDJACKETREDJACKET .Leak detector model: X.L.P X.L.P X.L.P Leak detector serial number: 405889932 405889931 405889989 Open time - sec: 3 3 3 Element holding-pst: 10 10 10 Resiliency - cc: 310 310 310 Leak calibration-cc: 252 252 252 Leak Rate - OPH: 4.00 4.00 4.00 Metering PSI: 10 10 10 Detected Leak (Y/N): YES YES YES Pass/Fail: PASS PASS PASS FAILED LEAK DETECTORS Tank 1 Tank 2 Tank 3 Tank 4 Tank 5 Tank 6 Leak Detector manufacturer: Leak detector model: Leak detector serial number: Leak Rate - OPH: Pass/Fail: DETECTOR TEST COMMENTS: NDE Envimnn~nml Corporation - 20000 Madn~r Avonuo Sm 500 - Tommm, CA. 90503 - 010) 542-4342 l~,o 4 Facility Name- Facility Address F. Mt ENCY RESPONSE-PLA UNDERGROUND STORAGE TANK MON1TORIXG PROGRAM · ondlins of th~ ~ ~ Tim ~ hoid~ mus~ ~ ~ ~ a~) ~ ~ of R~u~ by ~ ~2(d) ~ ~1~) C~. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If. released hamar40us substances reach the environment, increase the firm or explosion hazard, are not cleaned up from the seoondmx-f containment within 8 hours, or deteriorate the se=ondar~ contai~ment,'then (the local aqenc¥} must be notified within 24 hours. ~b%- ~~S ~ CJJ&TD~L Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substances. Describe the location and availability of the required cleanup equipment in item 2 above. Describe the maintenance schedule for the cleanup equipment. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: WRIT~MONITORING PROCHD~.~ '- UNDF.~GROUND STORAGE TANK MONFrORING PROGRAM Requb~ b~ SeVens 262~(d) and 2mi(h) Piping What methods and equipment, identified by name and model, will be used for performing the monitoring: Tank ~-Sb ~- ~- -/-~_5 ~k.~ ~ Piping ~-~ T~7- 4. L. ~. ~~ 6~79/--70~& Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment Reporting Format for monitoring: Piping /P~ ~4 ~ ~~ /~ ~~4-~¢:~ Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance m~st bo in accordance with the manufacturers' maintenance schedule but not less than ever]f 12 months. Describe the training necessary for the opera:ion of UST system, including piping, and the monitoring equipment: ~ORRECTION N (~TI C E BAKERSFIELD FIRE DEPARTMENT Cot. Ho [ You are hereby required to inake the following corrections at the above location: Completion Date fo,' Corrections Inspector 326-3979 UNDERGROUND'STORAGE TANY~SPECTION ,~1~, .Bakersfield Fire Dept., ........ Hazardous Materials Division FACILITY NAME .~"7~ (~_~j~J ~_~ BUSINESS I.D. No. 215-000 /34/8 FACILITY ADDRESS ~_.m~ ,?t~,~__j~j~:t ~ ClTY,_~~ ZlPCODE FACILITY PHONE No. INSPECTION DATE TIME IN ~ TIME OUT INSPECTION ~PE: ~- ~ ~5 ROUTINE ~ FOLLOW-UP REQUIREMENTS I a. F~s A & B Su~ lb. F~ C Su~ lc. O~mting F~ Pa~ ld. S~te Surc~rge Pa~ le. State~ of Fi~ial R~si~l~ Su~ lf. W~en Contm~ E~s~ ~n ~r & O~mt~ ~. ~lid O~mting Pete 2b. Ap~ov~ W~e, Ro~ine Mon,~ng Pr~ure 2c. Una~h~ Rel~ R~n~ Plan ~. Tank Int~ T~t in Last 12 Months 3b.. Pr~ur~ Piping Int~ri~ T~t in ~st 12 M~ths ~. Sucti~ Piping ~ghtn~ T~t in ~st 3 Yearn ~. Gmv~ FI~ Piping ~ght~ T~t in ~. T~t R~uEs Subm~ Within 3f. Dal~ ~s~l MonE~ng of S~n Pr~ Piping ~. Manual Invento~ R~cil~tion Each M~th ~. Annual Invent~ R~iliat~ Statem~t Subm~ ~. Metem Calibmt~ AnnualN 5. W~k~ Manual Tank Gauging R~rds f~ S~II 6. Month~ Statisti~l Invento~ R~ciliation R~u~ 7. M~thN A~atic Tank Gauging R~uEs 8. Gr~ Water M~ing 9. ~ Mon~ing 10. C~tinuous Inte~t~ial MonRoring f~ ~ubl~Wal~ Tan~ 18. Re~ Chang~ in U~g~C~itions to O~mti~n~ Pr~ures of UST S~tem W~hin 19. Re~ Una~ho~ Relea~ WEhin 24 Houm ~. Appmv~ UST S~tem Re~im 21. R~rds Sh~ng Cath~ Pr~t~ Ins~t~ ~. S~ur~ MonRori~ Wells ~. Drop Tu~ RE-INSPECTION DATE RECEIVED BY: INSPECTOR: "~~~ ~_._~.~ .,~. OFFICE TELEPHONE No. ~q,L~--_~ ? · ' FD 1669 per te Underground Hazardous Materials Storage Facility e~State I.D. No. Tank Number t, 'z,, 3, Issued By: Approved by: CONDITIO Hazardous SubStance Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Piping Moniloring Ralph E. Huey, Hazardous Materials Coordinalor Valid from: - CITY FIRE DEPARTMENT M. R. KELLY FIRE CHIEF FLEET CARD FUELS ~7~ ~,) P.O. BOX 81685 BAKERSFIELD, CA 93380 of BAKER SFIELD "WE CARE" 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 Dear Business Owner: This notice serves as a reminder that owners of underground storage tanks must be registered with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit an Underground Storage Tank renewal application form, Forms A. B and C completed for each tank at this facility (forms included) and a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH/ed FIRE DEPARTMENT M. R. KELLY FIRE CHIEF CITY of BAKERSFIELD "WE CARE" October 18, 1994 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 FLEET CARD FUELS 7030 SCHIRRA CT P.O. BOX 81685 BAKERSFIELD, CA 93380 Dear Business Owner: This notice serves as a reminder that owners of underground storage tanks must be registered with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit an Underground Storage Tank renewal application form, Forms A. B and C completed for each tank at this facility (forms included) and a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, Hazardous Materials Coordinator REH/ed LEITER FROM CHIEF FINANCIAL OFFICER I am the chief financial officer for Fleet Card Fuels, 2822 F Street, ;Shire J, Bakersfield, CA 93;}01. This letter is in snpport of the nee oflhe Underground ;Storage Tank Cleanup Fnnd to demonstrate financial responsibility for taking corrective actions and/or compensating third pmties ]'or bodily injnry and properly damage caused by an unanthorized release ofpetroletun in Ihe an~ount of at least $10,000.00 per occurrence and $10,000.00 annual aggregate coverage. Underground storage tanks at the following facilities are assured by this letter: Fleet Card Fuels Cardlock Facility at 7030 $chirra Corot, Bakersfield, CA 93309. 1. Amount ofaunual aggregate coverage being assured by this letter ...... $ 10,000.00 2. Total tangible assets....~. ................................................................... $2,619,07J.00 :~. Total Liabilities ................................................................................ $1,860,860.00 4. Tangible Net Wodh ........................................................ ; ................ $ 758,213.00 I hereby certify that the wording of this letter is identical to the wording specified in tatbsection 2808.1 d) (1), Chapter 18, Division 3, Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is tree and correct to rite best of my kn~ef-~xec~ersfield, CA on At,gq, st 8,1994. Richard Davies, President P.O. Box 81685, Bakersfield, California 93380-1685, Phone 805 321-9961 ~tnte Water Resout~,es Control Board _, RTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANK8 CONTAINING PETROLEUM A. ! om requlre~ lo demonJuola J~ooneiol Responoib~ily in the required amounl~ ns specified in ~eellon 2807, Chapter i8, Dh'. 3. Title 23, CCR: [~ 500.{~0 dolls, per eeeurrenee ~ I million dolls, aununl o~,teBate ot AND . or [__! million dollars per oeeurrenee ~ 2 milion dollars annual n~resate B. F [~z~z~___[~_~O~ ~, R T T R R hereby certifies that it is in compliance with the requirements of Section 2807, Article 3, Chapter I8, Division 9, l'#le 23, Callfom& Code of Regulations. l~e mechanisms used to demonstrate financial responsibility as ~. ulred by Section 2807 are as follows: ~- Mechanbm: Name and Addre~ ~! le~uer ' Ide;chanl~r~ CoVedige Coverag· Co.ectlve Third Party Type ..~ ,,, Number A~, '.,unt ~,Period Action Comp,: STATE FUND & C, FO LTR YES YES Note: If you are using the State Fund es any part of your demonstration of financial responsibility, your execution and submission of this certification also certiSes that you are in compliance with all conditions for participation in the Fund. FLEET CARD FUELS CARDLOCK FACILITY F~lll~N~me F~tthy AddreSS -, ........... FadllryN~e F~Ii~ Name Fadll~ Addt~ ~.~-~ Kern County, Celifornl~J ~MY Commission E~p. Mar..t. ]995 -. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA193301 (805) 326-3979 ~ APPLICATION TO PERFORM A TIGHTNESS TEST ~ER OF T~S TO BE TESTED 3 IS PIPING ~ING TO'BE TESTED TANK% VOLUME CONTENTS TANK TESTING COMPANY TEST ~THOD ~ ~-~ STATE REGISTRATION DATE & TIME TEST IS TO BE CONDUCTED DATE SIGNATURE OF APPLICANT AzABakersfield Fire Depf~ RDOUS MATERIALS DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3970. UNDERGROU_ND3 TANK QUE~ I. FACILITY/SITE No. OF TANKS DBA OR FACILITY NAME NAME OF OPERATOR Fleet Card Fuels Fleet Card Fuels ,~, c~o~ ~EET PARCEL NO.(OPT,O,AL) ~ Schirra Ct. Lvlexzca±z RECEIVED HAZ, MAT. DI¥, CI1Y NAME Baker s field ~ STATE ZIP CODE CA 9331 3 EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE Lingenfelder, Paul 805-321-9961 EMERGENCY CONTACT PERSON (SECONDARY') optional DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE Rice, Rex 805-321-9961 NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE No, WITH AREA CODE Lingenfelder, Paul 805-321-9961 Rice, Rex 805-321-9961 II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) CARE OF ADDRESS INFORMATION NAME Fleet Properties MAILING OR STREET ADDRESS P.O. Box 81685 CITY NAME Bakersfield ~' BOX ~ INDIVIDUAL TO INDICATE ~ PARTNERSHIP STATE ZiP CODE CA 93380 LOCAL AGENCY [~ STATE AGENCY [~ COUNTY AGENCY [~ FEDERAL AGENCY PHONE No. WITH AREA CODE 805-321 -9961 III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME Fleet Properties MAIUNGORSTREETADDRESS P.O. Box 81685 CITY NAME Bakersfield CARE OF ADDRESS INFORMATION ~' BOX J~ INDIVIDUAL J~j LOCAL AGENCY ~J STATE AGENCY TO INDICATE J~PARTNERSHIP J~ COUNTY AGENCY ~J FEDERAL AGENCY STATE ZIP COOE CA 9338O PHONE No. WITH AREA CODE 805-321 -9961 OWNER'S DATE VOLUME PRODUCT TANK No. INSTALLED STORED 1 May 1988 12000 ~iesel #2 2 May 1988 12000 ~]Unl. Gasoline 3 May 1988 12000 U P Gasoline DO YOU HAVE FINANCIAL RESPONSIBILITY? ,/~N TYPE California Tank Fund IN SERVICE .,~ ~_~f~. Fill one segment~t for each tank, unless al~tanks and piping are . constructed of tv same materials, style anODe, then only ~fill// one segment out. please identify tanks by owner ID #. I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN J A. OWNER'S TANK I.D.# Tanks. I , 2 & 3 Same a. MANUFACTURED BY: Mosier Bros. C, DATE INSTALLED (MO/DAY/YEAR) AU q. 1 9 8 8 D. TANK CAPACIW IN GALLONS: I 2 0 0 0 I MARK ONE ITEM ONLY IN BOXES A~ B, AND C, AND ALL THAT APPLIES IN BOX D III. TANK CONSTRUCTION A. TYPEOF [] 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTEDTANK3 [] 99 oTHER B. TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM (Primary'rank) [] g BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC ] 8 100% METHANOL COMPATIBLE W/FRP ' ] 99 OTHER [] 1 RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING C, INTERIOR LINING [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES ~ NO__ ] 4 PHENOLIC LINING ] 99 OTHER D. CORROSION [] I POLYETHYLENE WRAP [] 2 COATING .,' [] '3 VINYL WRAP PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE .. [] 95 UNKNOWN [] 4 FIBERGLASS REINFORCED PLASTIC . [] 99 OTHER IV, PIPING INFORMATION C~RC~ A IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE ~, U 1 SUCTION _ ~ ]~ 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A ~ I SINGLE WALL A U 2 DOUBLE WALL A ~ 3 LINED TRENCH ' A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U I BARE STEEL A U 5 ALUMINUM A U 9 GALVANIZED STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A [X~ 4 FIBERGLASS PIPE A U 6 CONCRETE A U 7 STEEL W/ COAT1NG A U 8 100% METHANOL COMPATIBLEW/FRP A U 10 CA~HODICPROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTrrtAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] , VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4. AUTOMATIC TANK GAUGING [] S GROUND WATER MONITORING [] TANK TEST, NG [] ,NTERST,T,ALMON,TOR,NG [] NONE [] UNKNOWN [] oTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY in UNKNOWN A. OWNER'S TANK I. D. # B. MANUFACTURED BY: I C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: I II1. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] 1 DOUBLE WALL SYSTEM [] 2 SINGLE WALL ] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK ' © 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLOR~OE [] '7 ALUMINUM (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN ] 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC ] 8. 100% METHANOL COMPATIBLE W/FRP ] 99 OTHER ~ 2 ALKYD LINING [] 3 EPOXY LINING 1 RUBBER LINED C. INTERIOR LINING [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN IS LINING MATERIAL COMPATIBLE WITH lO0"/o METHANOL ? YES__ NO__ ] 4 PHENOLIC LINING [] 99 OTHER D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE ] 3 VINYL WRAP E95 UNKNOWN ] 4 FIBERGLASS REINFORCED PLASTIC ] 99 OTHER IV. PIPING INFORMATION C,RCm A IFABOVEGROUNDOR U IFUNDERGROUND, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION A U 1 BARE STEEL A U 5 ALUMINUM A U 9 GALVANIZED STEEL A U 2 STAINLESS STEEL A U 3 POLYVlNYL CHLORIDE (PVC)A U 4 FIBERGLASS PtPE A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [~ 1 AUTOMATIC LINE LEAK DETECTOR [~ 2 LINE TIGHTNESS TESTING [] 3 INTERSTITLAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION VISUAL C'ECK [] 2 INVENTORY RECONCILmATION ~ 3 VANO. MONITORmNG [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING TANK TESTING [] 7 INTERSTITIAL MONITORING ~ 9' NONE [] 95 UNKNOWN [] 99 OTHER (X) 1. In-Tank Level Sensor (x) 2. Leak Detector FACILITY NAME FLEET CARD FUELS CARDLOCK 48 (x) a. FACILITY ADDRESS GONTACT PERSON 7030 SCHIRRA COURT PAUL G. LINGENFELDER Fill Box · 1. IN TANK LEVEL SENSORS Number of Tanks 3 List By Tank ID UNLEAD EXTRA Name of System UST MONITORING SYSTEM UNLEAD DIESEL Manufacturer & Model Number VEEDER-ROOT TLS 2501 Contractor/Installer 2. LEAK DETECTORS Number of Tanks 3 CLARKS EQUIPME~T List By Tank ID UNLEAD EXTRA DIESEL Name' of System PISTON LEAK DETECTOR Manufacturer & Model Number RED JACKET MOD 116-030. Contractor/Installer 3. FILL BOXES Number of Tanks 3 PEARMAN CONSTRUCTION List By Tank ID UNLEAD EXTRA DI.ESEL Name of System SPILL CONTAINMENT MANHOLE Manufacturer a Model Number ~cn ~on~Tn~,~ ~nn~T, ,,]11 Contractor/Installer PEA~ CONSTRUCTION DATE PERMIT FACILITY NAME: NUMBER OF TANKS AT THE SITE: ENV. SENSITIVITY ....... CONTACT PERSON(PRIMARY): ~'~/~)~.~ ~' EMERGENCY NAME: ............................................................................................................ ~. ....................................... PHONE NUMBER: ......................................................................................................................................... EMERGENCY CONTACT PERSON(SECONDARY): NAME: PHONE NUMBER: ................................................................................................................ TANK' OWNER'INFORMATION: NAME: AOORESS: PHONE NO.: TANK CONTENTS:. TANK ~ MANUFACTURER YEAR INSTALLED CAPACITY J CONTENTS TANK CONSTRUCTION: TANKS TYPE(dw, mw, sec.cont. )JMATERIAL INT. LININGI CORROSION PROT. LEAK DETECTION: TANKS: VISUAL GROUNDWATER MONITORING WELLS VADOSE ZONE MONITORING WELLS.' U-TUBES WITH LINERS U-TUBES WITHOUT LINERS VAPOR DETECTOR __.LIOUID SENSORS CONDUCTIVITY SENSORS PRESSURE SENSORS IN ANNULAR SPACE LIOUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING W~LLS, OR ANNULAR NONE UNKNOWN OTHER TANK PIPING INFORMATION: SYSTE~PE (suc R .,GRAV.)J CONSTRUCTION (SW,DW,L!NED TR) MATERIAL LEAK DETECTION: PIPING: ...~... FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZ 'PERMIT ~ ............................................................... i .......................... FAC I L I TY NAME: .../(C.,. .......,,'.:.,;:. :],,[L;,..,~: ............ ~,.~..!3.:L-.~?.,.,.?_...'.'.LD .... NUMBER OF TANKS AT THE SITE: ~-~ ENV. SENSITIVITY ......... EMERGENCY CONTACT PERSON(PRIMARY):' NAME: PHONE NUMBER: EMERGENCY CONTACT PERSON(SECONDARY): NAME: ............................................................................................................................................................................................... . PHONE NUMBER: ............................................................................................................................................................... TANK OWNER INFORMATION: NAME: ADDRESS: PHONE NO.: TANK CONTENTS: TANK ~ MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS TANK CONSTRUCTION: TANK ~ TYPE(dw, sw, sec.cont.)IMATERIAL LEAK DETECTION: TAN~S: VISUAL INT. LINING1 CORROSION PROT. GROUNDWATER MONITORING WELLS VADOSE ZONE MONITORING WELLS U-TUBES WITH LINERS U-TUBES WITHOUT LINERS VAPOR DETECTOR LIQUID SENSORS CONDUCTIVITY SENSORS PRESSURE SENSORS IN ANNULAR SPACE LIQUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING WELLS, OR ANNULAR NONE UNKNOWN OTHER PIPING INFORMATION: TANK ~ SYSTEM TYPE (SUC,PRES.,GRAV.) CONSTRUCTION (SW,DW,LINED TR) MATERIAL LEAK DETECTION: PIPING: 2""-- FLOW RESTRICTING LEAK DETECTORS FOR ,BRESS~RI,ZED ©TD!N~ MONITORING ~;.IMP WITH RACEWAY PERMIT NUMBER ~ 7 D ~ TYPE OF INSTALLATION /.,z. - cT~ ( ) 1. In-Tank Level Sensor FACILITY NAME FACILITY ADDRESS CONTACT PERSON (~, 2. Leak Detector ( ) 3. Fill Box 74. ,,,.~/,~/,,v' ~5.L. 1. IN TANK LEVEL SENSORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS Number of Tanks List By Tank ID /,~-g~-/ Manufacturer & Model Number Contractor/Installer 3. FILL BOXES Number- ~f Tanks Li~t By Tank iD Name of System Manufacturer & Model Number Contractor/Installer /OWNER/OpeRAToR DATE FILE CONTENTS INVENTORY []]Permit to Operate ~ Date [~}'C~onstruction Permit ~.~1~'~)'~'.~' Date []]Permit to abandon~ No. of Tanks Date [[]Amended Permit Conditions ~'Permit Application Form, ~ Tank Sheets [-]Application to Abandon tanks(s) Date []]Annual Report Forms ~Copy of Written Contract Between Owner & Operator []Inspection Reports ~orrespo. ndence- Received Da te Date []Correspondence - Mailed Da te Date Da te []-]Unauthorized Release Reports []Abandonment/Closure Reports []Sampling/Lab Reports [~]MVF- Compliance Check (New Construction' Checklist) [-]STD Compliance Check (New Construction Checklist) []MVF Plan Check (New Construction) []STD Plan Check (New Construction) []MVF Plan Check (Existing Facility) [~]STD Plan Check (Existing Facility) [2]"Incomplete Application" Form [~Perm~t Application Checklist [] Permit Instructions [-]Discarded []Tightness Test Results [2]Monitoring Well Construc'tio'd'"Data'/Permits Da te Da te Da te []Environmental Sensitivity Data: []Groundwater Drilling, Boring Logs [[]Location of Water Wells [-]Statement of Underground Conduits [2]Plot Plan Featuring All Environmentally Sensitive []Photos Construction Drawings Location []Half sheet showing [] Mt scel laneous Data date received and tally of inspection time, etc ;.'r.l..~ Count'~ Health DeF~rt~ ...~3iv'~'sion on gnv ironmencal 1~' --' r2~ '" 1'700 Flow~- Street, Bakers[i~ .d, CA 93305 APPLICATION FOR PERM.iT 'FO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STOR;~E ~'ACILII~Y T~Q-_~~.. of .Appl~ication (check): C~N~w Facility ~Modificatfon of Facility [-]Existing Facility [-]Transfer A. ~rgency 24-Hour Contact (nmne, a~ea c~xJ,.~, pC, one): Days~n~ Ds¥ic~. 589 5772 NightsR~e~ D~v~m~.5~q 5777 Facility Nam~ Fleete~rd~F,'~els No. of .. Is Tank(s) bcat~ on Is Tank[s) Us~ Pri~rily for ~ricultural ~r~ses? ~Yes ~NO Facility Addres~ O~ner Fle%card Fuels= A~d~ess 2700 Wear Rd O~ratoi; F1 ear. nard F,,ml ~ Address ?7~]f] Wmmr rd Nearest Cros~ St.Scherra &~ mexicali (R,,,!al Locations Only) ColltaCt P~rSO~ Rick Davies zip 93308 Telep~lone 805 589 5772 Contract Person Ri ~Jz I~vi ~ Tel=~'°ne ' ..589 577? B. Watag to Facility Provided b,7 I I I~ As.~n~m~-~nn __ Depth to' Groundwater Soil Characteristics' at Facili~ 5andy roam ~ Basis for Soil %~;pe a~ Gro=~water Depnh Deteminations Ce Contractor .CB~-Valle¥ Equipmeot CA Contractor's License No. ~a7797. Address ~500 gilmore Ave. · Zip 9~08 Telephon~ 805 527 Proposed ~tartir~ ~te~198~ Pro~s~ C~p~tton ~ , ~eb 20~ 198~ Worker's C~~ti~ CertificatiOn $ 0690647-87 Insurer ~_~tate [und ' D. If This Permit Is For Modification Of An Existing Fmcility, Briefly De~cri~ Modificati~ Proposed Ee Me Tank(s~ Store (check all that apply): Tank ~ ~ast~ Product Motor Vehicle Unleaded Re~,ular Premium Diesel ~aste ___ 0 O O Chemical Caupositi~] of Materials Stored (not necessary for motor vehicle fu~ls) Tank $ Chemical Stored (non-co~n~rc~al name) CAS $ (if kno~0 Chemical Pre,,Ice,si? Srorc~] ( if di ffere7[~) Transfer of Ownership Dace of Previous Fa.ri lity Name i, ~,-~,Jify or terminate 'the Previous OwneT accept f~iiY all .obligations of Permit No. __ iss~=d · I understand that the Pemitting Authority may review transfer of ,r2~e Permit to Operate this ~de[gro~-~d stor~. facility upon receiving this c~mpleted form. ?.niz form ru~s been~completed under penalty of Signature perjury and to the best of my know!~'.-d.]a ';.s (FILL OUT SEPARATE Ff)P4~_.~ EAC~ri TANK) EACH SECTION, CHECK AIL APPROPRIATE BOXES 1. Tank is: [2]Vaulted r'lNon-Vauited n~ouOle-Wall [~Singl.e-Wall 2. ~a~ Material [] Carbon Steel iq StainleSs Steel ~ ~olyvin¥1 Chloride [] Fiberglass-Clad Steel Fib~glass-Reinforced Plastic [~Concrete EAluninum EBronze EUnkno~ Other (describe) 3. Pr i[w~ fy Conta i~'~nt Date Installed Thickness (Inches) Capacity (Gallons) Manu~ac~urur · !,, 12,000 gallon Mosier 4. Tank ~ucondafy containment [~]Doub[e-Wall '~'~Synthetic Liner []Lined Vaul~ [qNone [~t~kno~ ]-]6~h~£ {describe): Manufacturer: [~material H.D.?.[. 'ThiCkness (Inches) ~ Capacity (aais.) 5. Tank Interior 51'~ir~cj ~[~Rabber [2]Alkyd [-]Epoxy [']Phenolic [-]Glas~ ~qCla¥ ~]~lia~ ~Unkno~ [']Other (describe): 6. Tard{ Corrosion Protection ~G~lvanfzec~-]~--~fass-Clad [']~ol~thyleme Wrap EViny1 Wrap~i~ [q.'£ar or Asphalt [-]~known [~None []Other (describe): Cathodic Protection: ~None EImpressed Current $~t~m [lSa¢~-fi~ial Eescribe System & Equipment~ 7. Leak Det,~ctie.:;, Monitoring, and Interception :7 ~'~ ~-~isual (Vaulted' ~-anks 'ohlY) -'[~Groundwater Mmnitorirg' iii Vadose Zone Monitoring Well(s) r]u-Tu~e Without Lin, r [] U-TUbe with C~pa_~lble Liner Directing Flow to Monitorirg [] Vapo~ D~tector* ~Liquid Level Sensor~ ~Condu~:tivit~ [] Pressure Sensor in Annular Space of Double Wall Tank [-] Liquid R~trieval & Inspection Fr~ U-Tube, Monitoring nDaily Gauging & If__Nentory Reconciliation EPeriodi'~ Tightne~ b..~ipbs: ~Flow-Restricting Leak Dec~cto~(s) ~or Pressurtzed-~'Plping [] }4oai tot lng Su~ap wi th Raceway [] S~led Co,.crc=re Racg~y n~alf-Cut C~t~pa%:lbl~ Pip~ Racu~ay [qSyntb~tic Lin~.r Race~y [] Unknown E other *Describe Mak~ & Model': [okheJm Pressure Modif0~ -" 8. Da~ of l~St TiqhtnesS Test new ~ank Results of T~st Date(s) of. Repair(m} D~r ibe Repairs 10. Overfill Protection [']O~r~,tor ~1~, Contrnls, & Visually Monitors Level [2]T~pe Float d~uqe [-]Float Vent Valves []Auto Shut- Off Controls F~C~paclt~nce S~nsor {r]S~aled Fill. 5ox ~]Non~ List' ~a~e & ~del Fo~ Abov~ r~vic~a 11. Piplm{ a. ~%derground Piping ~qYes ENo [']t~kna~,~ Material Red 'Thread Thickness (inches) Dianet~ 2" ~ufacturer ~berolass ~Pressure ~S~~Gravity ~proxi~ ~ ~l~ ~ 100' Undergro~ Pipi~ Corrosion Prot~ti~ : ~lvanized ~Fi~rglass~l~ ~ess~ ~rrent ~crificial ~= ~Polye~yle~ Wrap ~Electri~l I~lati~ ~Vinyl Wrap ~Tar o~ ~mlt ~Unkno~ ~None ~her (de~ri~): Undergro~ Pipi~{ Seco~ary Contair~nt: ~f~l~Wall ~S~thetic Liner Syst~n ~ ~o~ TANK ~ ~ (FILL OUT ,qEPARATE FORM e'OR EACH TANK) ['%OR EACH SECTION, CHECK ALL APPROPRINPE BOXES 1. Tank is: [-]Vaulted E]Non-Vaulted' [~Double-Wall ['~Singl.e-Wall 2. %a~ Material [] Carbon Steel E] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Fib~[glass-Reinforced Plastic []Concrete ~Alu. in~n E]Bronze Other (describe) 3. Pr i[~_fy Conta irm~nt Date Installed Thick~ess (Inches) Capacity (Gallol~s) Manulfact,,rer !,, 12,000 gallon MosJer 4. Tank H~condary cont~ir~ent []Double-Wall -~Synthetic Liner E]Lined Vault ~None [~Unkno~ [-]Other (describe): Manufacturing: OMaterial H.D.P.E. ThiCkness: (Inch~s) ~ Capacity (Gals.) 5. Tank Interior-L,-1, ~{ing ..---[~ber I-]Alkyd E]Epoxy []Phenolic E]Glass ~Clay ~t~li,~d g]Other (describe): 6. Tank Corrosion Protection ' ' ' --~-Ga-lQan~Zed~ --~-~-~ass-Clad []Polyethyleme Wrap []Vinyl Wrap~i~ [-].'far or Asphalt E]t~.know~ [-]None ~Other (describe): Cathodic Protection: [~None [-lImpres~ed Current System ~Sac~if-i~-i~l - EeSCrlke' System & Equipment: 7. Leak DuC,~c[ic, n, Monitorin~i, and Int~ ~7 9'~3 ~,~l-~lsua-1 (vaultod ~ only) E]Groundwater Monitorirg' Wmll(s) [i]Vadose Zone Monitoring Well(s) r]u-Tube Without Lin. r [] U-Tube with C~p~:.tible Liner Directing Flow to Monitoring [] vapo~ D~tector* ~] Liquid L~¥el Sansor~ ~ Condu~:tivit~ [] l~r=ssure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monito~ing Well or Annul~ [] Daily Gauging & I~a/entory Reconciliation l-]Periodic Tlghr. ne~w~ [] None [] U~known [] Other. b." Pipi'rg: ~7~Flow-Restr~ctirg Leak De[=cto~(s) for Pressurized Piping ~]~4onitoring Su~np with Raceway E]S~aled Concret(: Raceway [q~ialf-Cut C~npauibl~ Pipe Racily [-]Synthetic Liner Raceway ge 10. [-] Unknown [] Other *Describe Make & Model: [okheim Pressure Date of. l.a~ '£ightn~ss ~Tes~ new tank Test ~e Tank ~,[ ~ Ta~ ~Re~? ~ Yes ~ ~ ~ ~own ~te(s) of ~ir(s) ~ri~ Re.irs E]tk~know~ Resul r.s uf Test T~ting Cx~pany Overfill Protection [-]O~r~,to~- ~ls, Contrnls, & Visually Monitors [~vel C]T~pe Float G~uge Fir'!oat Vent Valves [-]Auto Shut- Off Controls [-]C~pacltance Sensor ~]f~aled Fill ~ux [-]None [-![~%u'~n ' F]Ocherl Lisu' ~mk~ & Model ~or Al:x3ve r~vlcca 11. pip~,r~t ................ a. L~derground Piping: ~]Yes E]No [2]tiaknown ~te~lal Red 'Thread . glB~s ~Pressure Os~Eion--OCraviCy ~proxl~ ~ ~ 100' b. Undergro~ Pipi~ Corrosion Pro~ti~ : OC~lvanized OFi~rglasS~l~ O~ess~ ~rent O~crifi~lal , OPolye~yle~ Wrap OElectr. i~l I~la~i~ OVlnyl Wrap OUnkno~ ONon~ ~he~ (de~ri~): c. Undergro~ Pipit, Seco~ary O[o~l~Wall '~S~thetic Liner Syst~n 0~ TANK ~ _s~_ (FILL OUT SEPARATE FO I1 EACH TANK) FOR EACH SECTION, CHECK ;~3_-L APPROPRIATE BOXES Ho Tank Is: []Vaulted [qNon-Vaulted []Double-Wall [~Slngl?-Wall %a--~ Material [] Carbon Steel [] StainleSs Steel [] Polyvinyl Chloride [] Fiberglass<lad f'ib~glass-Reinforc~d Plastic []Concrete []Aluninum []Bronze Other (describe) Pr bna ry Conta ilm~nt Date Installed Thicku%ess (Inches) Capacity (Gallo~zs) !,, 12,000 gallon Tank Secondary Contai~nt ~[~Wall ~thetic Liner ~Oth~ (descri~): ~terial H.D.P.5. Thic~ess {Inc~s) 8U~t & ~,, Tank Interior Ll~i'~ '~~r ~kyd ~xy ~enolic ~Glass ~Clay ~Other (de~ri~): Tank Corrosion Protection Manulfa¢[ur ur Mosier [] Lined Vault [] None [-]Unknown Manufacturer; Capacity (Gals.) [~tnliaed [2]Unkno~ --~G~lva~i-z~ ~ass-Clad []Polyethylene Wrap []Vinyl Wrapplrg [-]Tar or Asphalt r']t~,known [']None FqOcher (describe): Cathodic P~otection: ~]~None OImp~essed Current $~l;e~ r'lsa¢~i-J~iC~l C~scribe System & EquiPment: 7. Leak Outec~ic.n, Monitoring, and Interception , ~ 'Tan---~-[ '~isual (vauit~d' t--anks ohly~' r~'Groundwater l~onitorirg [']Vadose Zone Monitorirg ~ell(s) [-]U-Tu~a Without Liner [-]U-Tube. with C~np~7~tible [,inet Directing Flow to Monltorirg [] Vapor Detector* 1~] Liquid L~vel Sensortl [~] Conductivity, [] P[=ssure Sensor in Annular Space of Double Wall Tank~ [] Liquid Retrieval & Inspection From U-Tube, Monitoring ~ell or Annul~ [-] Daily Gauqing & I~a;entory R~conciliation [-]Peri•die [] None [] Unknown [] Othe~ b.--Pipirg: ~UlFlow-Restricti~ Leak D~c=cto~(s) for Pressurized [f]~4ot]itorlng Sump with Raceway [-]S~aled Concrete Raceway [-]lialf-Cut C~,~pa%:ibl~ ~ipe Raceway [] Synthetic Line~ [] Unknown [] Other *De~cribe Mak~ & Model: [okheim Pressure Monitor 8. new tank []Unknown aesulLs of Test T~tir~ C~nl:~ny 10. Date of Last Tightness Test Test Tank .'Re~, Ta nk' ~Re pa-r~ed? Date(s) of. Repair(s) Eg:scr i be Repairs Overfill Protection []O~rato~- ~1£, Controls, & Visually Monitors t~vel C]T~pe Float Gu~je. •Float Vent Valves [-]Auto Shut- Off Contro]s [~C~pacit~nce Sensor fC]S~aled Fill '[?JX ~ne ~'lmlU'~ 11. a. t~%derg round Piping: ~qYes []No F]U~known Material Red-Thread Thickness (inches) Dla~ete~ 2" Manufacturer F'~berglass ~]Pressure OSuctlon=~[]Gravity Approximat~ Length of PlJ~e Run, ]00' Underground Piping Corrosion Protect i~ : [-]C~lvanized []Fiberglass-Clad []Im[xessed C~rrent []Sacrificial []Polyethylene Wrap [2]Electrical Isolation i-lVinyl Wrap [-]Tar o1~ AsiX~lt r~Unknown [']None Bother (describe): Underground Piping, Secondary Contairment: [~[ouble-Wall ~]Synthett~: Liner Syst~n []None []Unknown LLM & ASSOCIATES A partnership of Engineering Corporations 2323 'E; STREET, BAKERSFIELD, CA 93301 (805) 324-4791 MAILING ADDRESS: P.O. BOX 2896, BAKERSFIELD, CA 93303-2896 ANTHONY N. LUSICH R.C.E, November 25, 1987 Mr. Rick Davies Fleet Card Fuels P.O. Box 81685 Bakersfield, CA 93380 Re: Fuel FacilitY _Schirra Court Bakersfield, California Job No. 87364 Dear Mr. Davies: This letter is intended to present available information as to the soil type and depth to groundwater at the subject site. This information is for submission to the Kern County Health Department as part of the fuel facility application. This information is not intended for any other use or purpose. Based on the "Preliminary Soil Report, Stockdale Industrial Park, Phase IV, easterly portion of the south half of Section 16, T.30S., R.27E., MDB&M" the soils in the vicinity~%re mostly silty sands to a depth of about 4 to 7 feet overlying sands. This information was obtained from test hole logs in the vicinity extending to a depth of about eleven .(11) feet. Changes in soil types and the thickness of layers can be expected between the test holes. The soil descriptions do not provide a warranty as to the conditions which may exist between or beyond the points of exploration.., The depth to groundwater is estimated to be about 150 feet. This depth is obtained from the "Water Supply Report, 1985" by the Kern County Water Agency, May 1986, Plate 4:Depth to Groundwater Unconfined and Equivalent Wells Used for Control. Our work was performed in accordance with generally accepted procedures of soil mechanics and foundation engineering in this or similar localities. No other warranties, either expressed or implied, are made as to the information provided under the terms of the agreement and included in this letter. Very truly yours, LLM By: .~ntho~slch, R.C.E., R.G.E. Presid~ . ENGINEERING PLANNING SURVEYING SOILS t T00 Flower Street Bakersfield, California 93.305-4196 Telephone (805) 861-3621 PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY ~,ERN COUNTY HEALTH DEPARTMr..,,~T AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.D. Director of Public Health Air Pollution Control Officer PERblIT NUMBER #310055B FACILITY NAblE/ADDRESS: Fleetcard Fuels T30S, R27E, Sec. 16 Bakersfield, CA OWNER{S_~ NA?.IE/ADDRESS: Fleetcard Fuels 2700 Wear Rd. Bakersfield, CA 93308 CONTRACTOR.: Steve Pearman 9500 Rosedale Hwy. Bakersfield, CA License #342633 93312 NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTIIER PERMIT EXPIRES APPROVAL DATE APPROVED BY May 18, 1989 February 18, 1988 Joe ................... POST ON PREMISES ....................... CONDITIONS AS FOLLOWS: 1. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. 2. Ali equipment and materials in. tbJs construction must be installed in accordance ~ith all manufact,rers' specifications. 3. Permittee must contact Permitting Authority for on-site inspection(s) ;~ith 48 hour advance notice. 4. Backfill material for piping and tanks to be as per manufacturers ' speci ficat ions. 5. Float ve.t valves are required on vent/vapor lines of underground tanks to prevent overfillings. 6. Construct]on inspection record card is included with permit given to Permittee. This card must be posted at 'job site prior to initial .[aspect, ion. P'ermiktee must contact Permitt:i'ng Authority and arrange for each gt',~p of ~-equired inspections numbered as per instructio, ns o~l card. Genera,ti.y, inspections will be made of: a. Tanks and backfill b . PJ ping system with secondary containment c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority PERI~IIT TO CONSTRIIL'T iINtJERGROI!~]I1 PI{R~IIT NUi,IBE~{ 31006511 STtlRAGE FA{;I!,[TY ?. A.!i undery,'ound metal connections (e y. pipin?l, fitt.ings, fiii pipes) tank(a) mus'i; be al. eotricaliy isolated, and ~rapped ~o a m.inJmt~m 20 mil thickness ~vith corrosion-p~'eventive, yasoiine-resista~t tat!e, or oti~erwiae protected from co~.-rosion. 8. Spa~'k testing (35,000 volts) required at site prior to instai!a'tion of tank(s) . Teat(s) must be certified by the manufacturer, and a copy of test ce~-tification supplied to the Permittin~ Authority. 9. No p~'oduct shall be stoa-ed in tank(s) until approval is granted by the Pet'm~ t ti~R A.tho~'ity. i0. h_i..~r ~t~a.I 1. bo .i. nstalJed b~ n trained ezperlenced liner contractor i.st:al ial:i~n aL site appt'.ved by the Pe.mittin~ Authol'ity. A(:CEPTEII BV D A T E_ POST OFFICE 8OX I','IOSI ER BROS. TANKS & J¥~ANUFA~TUR~NG WOODLAKE, CALIFORNIA 93286 CERTIFICATION The following underground storage tank was coating tested this date using Tinker and Rasor Model .~P/W high voltage tester set at 35,000 volts and found impervious to the .electr/~notive force. ......................... Size: ~.~. _ ..~..'..~. '? ....................... gallons Location: ~.../~. i~. ::~..'..~. _ .('...~./.C ..~... ........................................................ Witness: ....... ~..~.~..~.....'~.. ~ ..~-..../.'. ................................................. Telephone: 564-3304 After Hours 564-2502 , ' gC ' American Linin o. P.O. Box 80593 Bakersfield, CA 93380 (805) 393-1743 THIS IS TO CERTIFY THAT ON '~'--- ~-O~~ ~ AMERICAN LINING CO. INSTALLED AND TESTED A TRENCH LINER SYSTEM AT VACUUM TEST AND FOUND THE SYSTEM TO BE IN ACCORDANCE WITH PLANS AND SPECIFICATIONS SUPPLIED BY US. SINCERELY, dAMES ALDRICH CONSTRUCTI©N SUPERINTENDENT Pit and Pond Linings ® Secondary Containment Systems ~ Geotextiles ® Biodegradation Systems £ininrjs to ,orevent sL.,bqrao'e, c~.n.~g, min~ticn Facility: Standard Compliance Check CT $/ Equipment to be installed: Tank(s), fZ~ Ft. of [~Suctien C~Pressurized [~Gravity, P!pi~ Req'd Approved Proof of Contractor's License - License # Type of License Proof of Contractor's Worker's Compensation Insurance Primary Containment ~]Fiberglass (FRP) Make & Model []Fiberglass-clad steel Make & Model [-lUncoated steel Make & Model [~Other: Make & Model Comment: Additional: Secondary Containment of Tank(s) ~Double-walled tank(s) Make & Mod,&l []Synthetic'liner Make & Model [~Lined concrete vault(s) Seale. r used ~Othec Type Make & Model Comment: ~]1 A~,>~_-, L;,,L~ , ~ Ii;~ ___l - Additional: Secondary Containment Volume at Least 100% of Primary Tan Volume(s) Comment: Additional: Inspection: Secondary Containment Volume for More Than One Tan Contains 150% of Volume of Largest Primary Containment o 10% of Aggregate Primary Volume, Whichever is Greate Comment: Additional Inspection: Req'd Approved Secondary Containment Open to Rainfall Must Accommodate 2, Hour Rainfall Total Volume Comment: Additional: Inspection: Secondary Containment Product /~Y~ Comment: is Product-Compatible Documentation ,Additional: I)~sp~ction: ~'~ AnnulaP Space Liquid is ~ompatible w~th Product Product Annular liquid Comment: Additional: Inspection: Primary Containment Of Piping []Fiberglass piping Size & Make []Coated steel piping Size & Make []Uncoated steel piping Size []Other ,' Comment: Additional: Inspection: Secondary Containment of []Double-walled pipe ~Synthetic liner in [~Other Comment: '~.~../?m,"f Additional: Inspection: Piping Size & Make trenc'h Size & Make Corrosion Protection ~Piping & fittings ~]E]ectrica] isolation Comment: Additional: Inspection: ManufacCure~-Ap^proved Backfill for Tanks & Piping Type~c~ Comment: Req'd v/ Appcoved' Additional: Inspection: Tank(s) Located no Closer than 10 Feet to Building(s) Comment: Additional: Inspection: Complete Monitoring System Monitoring device within secondary containment: ~]Liquld level indicator(s) [~Liquld used ~]Thermal conductivity sensor(s) ~]Pressure sensor(s) [-]Vacuum gauge [~Sump(s) Gas or vapor detector(s) Manual inspection & sampling ~-]Visual inspection [-]Other Comment: ~ ~_ ~ ~n~u~- $c~,~ ~ Additional: Other Monitoring [-]Periodic tightness testing Method ~j~Pressure-reducing line leak detector(s) [-]Other Comment: Additional: ~ t.7~. ;~~ d-- ~ Inspection: [,L~,a-'",--~ ~ ~ ~ Overfill Protection ape float gauge(.s) loat vent valve(s) ~Capacitance Sensor(s) ~High level alarm(s) ~Automatic shut-off control(s) ~ill box(es) with 1 ft. 3 volume ~~ ([ ~ ~Operator controls wlth visual level monitoring Other Comment: - 3 - Req'd Approved Additional: Inspection: Monitoring Requirements Add.al Inspection: Inspector Date Date: 'Extra Inspections/Reinspections/Consultations Purpose: Comment: Date: Time Utilized Purpose: Comment: Date: Purpose: Time Utilized Comment: Date: Time Utilized Purpose: Comment: Invoice Date: Pnspector - 5 - Time Utilized Total Time: Date: