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Home My WebLink AboutUNDERGROUND TANKHazardous Materials/HazardouS Waste Unified Permit CONDITI '..5;.(*- ~,r..,. , PERMIT ID #~ 015-021-001532 : ROSEDALE CHEVRON LOCATION 9700 TANK 015-000-001532-0001 015-000-001532-0002 015-000-001532-0003 Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 12,000' .12,opo' Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 ~ · Approved by: ERSE SIDE ': This ~ermit is issUed for the followin,~: [] Hazardous Materials Plan [3 Underground Storage of HazardOus Materials .Fl Risk Management Program .- ' [3 Hazardous Waste On-Site Treatment 93312 W/POS SHUTOFF W/POS sHuTOFF SENSOR W/POS SHUTOFF Office o f Evimnm~ttlffScrvices Issue Date ICA Cert. No. 00~60 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (661) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed' at the facility. Instructions to the issuing agency: Use the space below to enter the following information in the format of [ your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue: Other identifying intbrmation may be added as deemed necessary by the local agency. This permit is isSued on this 18th day of January, 2001 to: ROSEDALE CHEVRON Permit #015-021-001532 9700 Rosedale Hwy Bakersfield, California 93312 Hazardous Materials/Hazardous Waste Unified erm~t CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-021001532 RAY SUTTON CHEVRON INC LOCATION 9700 ROSEI ,?' ,i" .D CA j ---'~'-~-RDOUS SUBSTANCE ~0NLEADED GASO ~ UNLE~ ~ GASOLINE Issued by: Bakersfield Fire Department OFFICE OF ENV1R ONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (SOS) 326-0576 F F This permit is issued for the following; s Materials Plan Iround Storage of Hazardous Materials .. lement Program PIPING METHOD PRESSURE PRESSUR Approved by: Expiration Date: PIPING ONITO ALD ALD ALD KERN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT INVESTIGATION RECORD DBA OWNER ADDRESS ADDRESS ASSESSORS' PARCEL CT CHRONOLOGICAL RECORD OF INVESTIGATION MC:cd KERN COUNTY ENVIRONMENTAL iIEALTH DEPARTMENT INVESTIGATION RECORD DBA OWNER ADDRESS i%DDRESS ASSESSORS' PARCEL CT CHRONOLOGICAL RECORD OF INVESTIGATION ! 3 o/c. I t 'zv ~ b W ,3 "7 3 %q/~_ I I I I CONTINUED (See 2aa File) COIJRECTION N OTI ~._~. BAKERSFIELD FIRE DEPARTMENT N~ O292 Location ~t~ fdhlo~x ~AcOFO~ ~Ohk. ~-?01/ Sub Viv. q?an .g,,~,rd,_ . Blk. Lot You are hereby required to make the following corrections at the above location: Cot. No Completion Date fo,' Correction.q//~ ~.~ Date ?~o2~'~ ~ ~fr/~~7) Inspector 326-3979 STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY [] 1 NEW PERMIT ~_J 3 RENEWAL PERMIT [~ 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED. SITE ONE ITEM [] 2 INTERIM PERMIT [~] 4 AMENDED PERMIT ] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DB~.~F~CILITY NAME NA~ OF DP ERATOR ,.5'0 P.~n[~S$ ~R_EST~CROSS STREET PARCEL # (OPTIONAL) CliME · ~' STATE Z~P~O'DI:: ~' SITAR PHONE # WITH AREA CODE V' BOX ~.CORPORATION [~ INDNIDUAL ~ PARTNERSHIP ~ LOCAL-AGENCY [~] C0UNTY-AGENCY* ~ STATE-AGENCY* I---] FEDERAL.AGENCY TO INDICATE DISTRICTS · ff owner of UST is a public agency, complete the followhg: name of s~oe~sor of ¢~visio~, section or office whicfl operates the UST ! 7 EMERGENCY CONTACT PERSON (PRIMARY) ID~.~S: NAME (LAST. FI,~T) J N~HTS: N~ME (~AST~IR-S~' ~.~ PHONE # WITH AREA_CODE WITH AREA CODE II. PROPER~Y OWI~R INFORMATION-(MUST BE COMPLETED) EMERGENCY CONTACT PERSON (SECONDARY). optional DAYS: NAME (LAST. FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONily# WITM ARE C~DE' ICARE OF ADDRESS INFORMATION v' box to ;~ie ~ INDIVIDUAL ~,, C0RPORATION [~ PARTNERSHIP M~&tNG OR sTREET ADDRESS III. TANK OWNER INFORMATION - (MUST BE COMPLETED) LOCAL-AGENCY ~ STATE-AGENCY COUNTY-AGENCY [~ FEDERAL-AGENCY PHONE # WITH AREA CODE M~LJNG OR STREET ADDRESS JCARE__OF ADDRESS II~FORMATION~ '~ / v~ box ID indicate [~ INDIVIDUAL [~ LOCAL-AGENCY ~ STATE-AGENCY I ~CORPORATION [~ PARTNERSHIP [~ COUNTY-AGENCY r-'-I FEDERAL-AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 322-9669 if questions arise. Y(TK) HQ cl I;zlC/! 19 V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) - IDENTIFY THE METHOD(S) USED 1 SELF-INSURED r~ 2 GUARANTEE ~ 3 INSURANCE [~] 4 SURE~fBOND ~-~ 5 LETrEROFCREDiT [~ 6 EXEMPTION r'--I 7 STATE FUND VI, LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. JCHECK WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I. [] II. [] III. [] ONE BOX INDICATING THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT K OWNER'S NAME (PRINTED & SIGNATURE)l/ ~ ~ J TANK OWNER'S TITLE LOCAL AGENCY USE ONLY COUNTY # LOCATION CODE JURISDICTION # JDATE MONTI-FDAY/YEAR ?? FACILITY # - OPTIONAL CENSUS TRACT # - OPTIONAL I SUPVlSOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (6--95) OWNER MUST RLE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS STATE OF CALIFORNIA ' * STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION'- FORM C(~MPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. ' -[] 3 RENEWAL PERMIT [~ ~ CHANGE OF INFORMATION ' . []., PERMANENTLY CLOSED ONS,TE MARK ONLY I~EW PERMIT 1 ONE ITEM. ,[~ 2 INTERIM..,.PERMIT· [] 4 AMENDED PERMIT U 6 TEMPORARY .TANK (~LosURE ~ 8 TANK REMOVED DESCRiPTioN I. TANK ., COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN ' ~ OWNER'S TANK '.D.# / " 'B. MANUFACTURED BY: O/_~1 F__~.'~ II, TANK CONTENTS ~F A-1 IS MARKED, COMPL~E I~M C. ~ ~ , MOTOR VEH,CLE FUEL [] "O'L B. C. [] ,a ,,,~ ~,L~,0 [] 3 D,ESEL [] , AV,AT,ON GAS lc MIDG~E UNLADED ~ 5 JET FUEL ~ 8 M85 ~ 3 CHEMIC~PRODUCT ~ 95 UNKNOWN ~ 2 WASTE ~ 2 LEADED ~ 99 O~ER(DESCRIBEJNITEMD. BEL0~ III, TANK C0NSfi~CTION ,*,~ ONE ITEM ONLY IN BOXES A, B. AND C, AND ALL ~AT APPLIES IN BOX D AND E ~ ~PE 0F ~ I DOUBLE WA~ ~ 3 SINGLE WALL Wl~ E~ERIOR LINER ~ 5 I~RNAL B~DDER SYS~M 95 UNKNOWN SYSTE~ ~ '2 SlNG~ WALL ~ 4 S~NGLE WALL IN A VAULT ~ 99 OTHER B,. TANK ~ 1 BARESTEEL ~ 2 STAINLESS S~EL ~ 3 FIBERG~SS ~ 4.S~ELO~D W/FIBERG~SSREINFORCEDP~STIC ~TERI~L ~ s CONCR~E , , ,~ 6 POLW~NYL CHLORIDE ~ 7 ALUMINUM ~ 8 m0% METHANOL COMPATIBLE W/FRP C. BTERIOR ~ t RUBBER UNED ~ 2 AL~D LINING ~ 3 EPOXY UNING ~ 4'PHENOLIC LINING. · "' :.' LINING OR [] 5 GLASS LINING . [~ 6 uNLINED. [] 95 UNKNOWN COATING ' ' IS LINING MATERIAL COMPATIBLE WITH 100%' METHA~OL~ ' . YES" .N'O~ D, EXp-RIOR · r'--1 1 POLYETHYLENE WRAP [] 2 COATING [] ~ oTHER CORROSION [--~3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [~'91 NONE, [] 95 UNKNOWN [] 99 OTHER SPILL coNTAINMENT INSTALLED (YEAR) ! ~ ~'~ / OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) F- SPILL AND OVERFILL, etc. DROPTUBE YES ~ NO STRIKER PLATE YES ~. NO DISPENSER CONTAINMENT YES ~X_ NO IV. PIPING INFORMATION CmCLE A IF ABOVE GROUND OB U IF UNDERGROUND, BOTH IF APPLiCABLE A. SYSTEM TYPE A U I SUCTION A~,,2 PRESSURE - A U 3 GRAVITY A U 4 FLEXIBLE PIPIN(~' A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL "A~)2 ~OUBLE WALl' C. MATERIALAND CORROSION 'PROTECTION A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A U 1 BARE STEEL A U 2 ~'~INLEsS' STEI~L A U 3 POLY~/INYL CHLORIDE(PVC)A(~4 FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ C0ATING ' A U 8 100% METHANOL COMPATIBLEW/FRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION [] 1 MECFJ~NICAL !JNE LEAK ~-TI2 UNE"TIGHTN;S$ 'r--~ 3 CONTINUOUS INYE~ShI~L r-~4 ELECTRON C LINE [] 5 AUTOMATIC PUMP DETECTOR TESTING ~ MONITORING ~ ' LEAK DETECTOR SHUTDOWN ' . [] 99 OTHER V. TANK LEAK D~-lh-CTION I' []., v,SUAL CHECK . [] ~ MANUAL 'NVENTORY 'F--q ~ VADOZE' r~ ~ *;UTOMATIC TAN~. ,[] ~ ~ROUND ~ .ANNUA, TANK RECONCILIATION ' MOI~IITORING, ~'~ GAUGING ' MONITORINGWATER'[] TESTING [~ 7MONITORINGCONTINUOUS INTERSTITIAL' [] 8 SIR,." .." '. '.~] .9 TANKWEEKLYGAuGINGMANUAL ~ 10 MONTHLy. TANK." [] 95 UNKNOWN. [] 99 'OTHER. · TESTING VI, TANK CLOSURE INFORMATION (PERMANENT CLOSURE ~N-PL~CE) ..... I'''1' ESTIMATED DATE'LAST U-SED (MO/DAY/YR) '' 2' EsTIMA~'ED QUANTITY OF :. SUBSTANCE REMAINING" . GALLONS t3' WAS TANK FILLED WITH'INERT MATERIAL ?.YES [] NO[] I THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND 'TO THE BEST OF MY KNOWLEDGE, '/S TRUE AND CORRECT t TANK OWNER~,~ NAME , ' .~ _ DATE ' _LOCAL AGENCY USE ONLY 'THE STATE loB. NUMBER IS COMPOSED 0FTHE FOUR NUMBERS BELOW . . COUNTY # JURISDICTION # FACILITY # TANK # STATE I'D"# ~ I I I I' I'1 I I I I I I'1 I III. l PERMIT NUMBER PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGU_.I~ATIONS . FORM B (6-95) . · .... . ' · "' " .- STATE OF*cALIFORNIA '~: :' ~" :'* : * '.. ! STATE WATER RESOURCES CONTROL BOARD ' ~ -. ';'* '"": ~' "~ UNDERGROUND STORAGE TANK PERMIT APPLICATION'. FORM B ' , cOMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. I .ARK O.L. [] ' RENEWA. PE" ,T CHANG; OF,; FORMAT,O" I ONE ITEM ,~ 2 INTERIM PERMIT' ~ 4 ~"¢ ............ ~ - ~ .7 PERMANENTLY CLOSED ONSITE ' ~ ~ ~ ,. ~ . ~'"~ ..... ~ ..... ~ 6 ~EMPORARY TANK ~LOSURE ~ 8 TANK REMOVED 'NJ I. TANK DE~.,r.~,~ COUPLETE AL~TEMS- SPEC~F UNKNOWN · ' ' · ' II. TANK CONTENTS ~F A-~ ~S UARKED, COMPL~ ~TEU C. C.A. ~ ~~ III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, E~,ANDC. AND ALL THAT APPLiES iN BOX D AND E A, TYPE OF ~ 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 5 INTERNAL BLADDER SYSTEM [] 95 UNKNOWN SYSTEM 2 SINGLE WALL [] 4 SINGLE WALL IN A VAULT [] 99 OTHER B... TANK [~ i BARE STEEL [] 2 STAINLESS STEEL ~ 3 FIBERGLASS [] 4 STEELCLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL (Prima~.T~) C. INTER/OR LINING OR COATING D. EXTERIOR [] S conCRete [~9 BRONZE [] 1 RUBBER UNED 'J----I 6 POLYVINYL CHLORIDE ' []: 10 GALVANIZED STEEL ] 2 ALKYD LINING [] .~ GLASS LINING ~ 6 uNLINED- IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL:? [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLE W/FRP [] g5 UNKNOWN [] 99 OTHER ' ' ' ' . [] 3 EPOXY LINING [] '4'PHENOUC LINING- ' i"'i:: ' [] ,~ UNKNOWN [] 99 OTHER '.,' , .' .,, CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 I~IBERGLASS REINFORCED PLASTIC P"OTECTION [] 5 CATHOD,CPROTECTI;N NONE [] ~ UNKNOWN [] '9 OTHER : L SPILL CONTAINMEN~ INSTALLED (y~R) ~ ~V~RFILL REVENTION EQUIPMENT I~STALLED (Y~R)' · E. ~ILL AND OVERFLY, etc. DROP TUBE YE~ STRIKER P~TE Y~~~ YES ~O IV. PIPING INFORMA~ON C~RcL~ A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYS~M ~PE A U 1 SUCTION A 2 PRESSURE A U 3 GRAVI~ A U 4 FL~IBLE PIPING' A U 99 OTHER B, CONS~UCTION . A U 1 SINGLE WALL ' ~'2 DOUBLE WALE A U 3 LINED ~ENCH A U ~5 UNKNOWN A U 99 OTHER C. MA~RIALAND A U 1 BARESTEEL A U 2 S~AiN~SS S~L A U 3 POL~INYL CHLoRIDE(PVC)A~4 FIBERG~SS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING ' A U 8 100% METHANOL COMPATIBLEW/FRP · PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PRO~C~ON A U 95 UNKNOWN A U 99 OTHER D. LEAK D~ECTION ~ 1 ~c~=~ u,~ ~K ~ 2 u,~~ ~G~N~S~,T~NU~S ~RS~ ~.4 ~L~ON C UNE ~ 5 A~O~C PU~P ~ D~0R ~ TES~NG ~ MONITORING ~ ~ ~ [~K D~CTOR ~ SHU~ ' · ~ 99 O~ER V. TANK LEAK DE~CTION ~ ~ ISUAL CHECK 2 MANUAL INVENTORY ~ 3 vADOZE ' ~ [ : : ' ' ' 4 AUTOMATIC TANK ~ 5 GROUND WATER' ~ ~ ~ 7 CON~NUOUS IN~RS~TIAL' RECONCILIATION ' ~ MONITORING ~ GAUGING ' MONITORING ~ 6 ANNUALTANK '~STING ~TORING 8 SIR, · ' -I I 9 WEEKLY MANUAL ~ 10 MONTHL~ TANK" ~ 95 UNKNOWN ~ 99 OTHER ' ~ , TANK GAUGiNG ~ TESTING ' . VI, TANK CLOSURE INFORMATION.(PERUANENT CLOS.;i~E ,IN-PLAC,E): . ' · ..--, ';'. . TH,~.__:... · ~ ............... --- : - ~ - INERTMATERIAL?. S LJ NO L_J ] I0 i"f. JP1M HAS BEEN COMPLETED UNDER PENAL TY OF P~m ' '~ ..... '"-'~ ....... ~ ' ~ -- -- " ' ,-~,~ ~r~ r, ~¢v~ ~., I HI= BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I ED & SIGNA LOOAL AOENOY USE ONLY THE staTE kD. NUMBER ~s cOMPOsED OF tHE FOuR NUMBERs BeLOw ' THIS FORM MUST BE ACCOMPANIED BY A pERMIT APFMCATION - FORM A, UNLESS A CURRENT FOFIId A HAS BEEN FILED. FORM ¢ IdUST BE COMPLETED FOB INSTALLATIONS. THIS FORM SHOULD BE ACcOMpANIED BY A pLOT pLAN. FILE THIS FORM WITH THE LOCAL A6ENCY IMpLEIdENTINo THE UNDERGROUND STORA6E TANK REGULATIONS FORM B (6-os) . ·. : STATE OF CALIFORNIA ' '' ' STATE WATER RESOURCES CONTROL BOARD ' "' UNDERGROUND STORAGE TANK PERMIT APPLICATION'..FORM B cOMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. ' ONE ITEM J'--I 2 INTERIM PERMIT* ~ 4 AMENDED PE .... ~ . · . · L__J ~ PERMANENTLY CLOSED ON SI ' MARK O.LY [] , .~w PERMIT [] 3 RENEWAL PER~,T r~ '5 CHANGE OF ';~FORMAT,O" ~ ' ~ , ~ ' I. TANK DESCRIPTION COMPLETE ALLITEMS - SPECIFY IF UNKNOWN .... C. DATE INSTAl I Fn (MO/DAY/YEAR) ~ D. TANK CAPACITY IN GALLONS: ' II. TANK CONTENTS ~F A-1 IS MARKED, COMPLETE ITEM C. ~ [] 2 PETROLEUM [] BO EMP~, [] 3 CHEMICAL PRODUCT ' [] 9S UNKNOWN O. IF (A.1)IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED [~ 1 PRODUCT ] 2 WASTE C.'-~ la REGULAR UNLEADED [] 3 DIESEL [] 6 AVIATION GAS lb PREMIUM UNLEADED [] 4 GASAHOL [] 7 METHANOL [] ,c MIDGRADE UNLEADED [] 5 JET FUEL [] 8 M85 [] 2 LEADED ~-~ 99 OTHER (DESCRIBE IN ITEM D. BELOW) I!1. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, 6, AND C, AND ALL THAT APPLIES IN BOX D AND E A. TYPE OF ~ I DOUBLE WALL '[] 3 SINGLE WALL WITH EXTERIOR UNER [] 5 INTERNAL BLADDER SYSTEM [] 95 UNKNOWN SYSTEM 2 SINGLE WALL [] 4 SINGLE WALL IN A VAULT [] 99 OTHER B., TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [~ 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE °* '[] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL ~0MPATIBLEW/FRP (Prima~Tallk) [] 9 BRONZE ' '' L---~ :10 GALVANIZED STEEL ~ 95 UNKNOWN [] 99 O'~H, ER ',-, "., C. INTERIOR ~'T~l' RUBBER LINED [] 2 ALKYD LINING' .. [] 3 EPOXY UNING [] '4 PHENOLIC LINING ': UN~NG OR [] s GLASS UNIN~ ·[~ ~ U~LINE~- [] 9~ UNKNOWN [] ~ 0~HER "' ~' ' COATING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? ~ . YES"' NO~ "' '' ~ ' ' ' D.~IERIOR ~ 1 POLY~YLENE WRAP ~ 2 COA~NG ' CORROSION ~3 VINYL WRAP ~ ~ FIBERG~S~ REINFORCEb P~STIC PROTEC~0N ~ 5 CAmODICPRO~C~ON ~ 91 NONE ~ 95 UNKNOWN ~ 99 OTHER SPI~ cONTAINMENT INSTAl I Fn (Y~R) ~' / OVERFILL PREVENTION EQUIPMENT INSTAl I Fn (Y~R)' /~'~ / E SPILL AND OVERFILL, etc. DROP TUBE YES ~ NO ~TRIKER P~TE YES ~ NO DISPENSER coNTAINMEnT ~E~ ~ IV, PIPING INFORMATION CIRCLE A IF ABOVE GROUND O~ U IF UNDERGROUND, BOTH IF APPLICABLE A, SYSTEM ~PE A U 1 SUCTION A~ PRESSURE A U 3 GRAVI~ NO A U 4 FLEXIBLE PIPIN~' A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL ' A~'2 DOUBLE WAL~. A U 3 LINED TRENCH* A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARESTEEL A U 2 ~AINE~SS-STEEL A U 3 POLY~/INYL CHLORIDE(PVC)A~4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATiNG . A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION [] 1 .MECHANICAL UNE LEAK [~ UNE~'TIGF;TNESS ~;;~3 CONTINUOUS I~/TERSTITIA!. ~ ELECTRON,C UNE [] 5 AUTOMATIC PUMP DETECTOR TESTING I~ MONITORING LEAK DETECTOR SHUTDOWN ' * [] 99 OTHER ~ V. TANK LEAK DETECTION [] ,~ v,SU^L CHECK ' [] ~ MANUAL INVENT~R~'~ VADOZE , ' AUTOMAT,C TAN~. ,[] 5 GROUND WATER,[] ~ ANN~ALTANK RECONCILIATION '' ~ MONITORING J~ 4 GAUGING MONITORING 'TESTING [] 7 CONTINUOUSINTERSTITAIJ _~ 8 SIR. . ' .~-~ 9 WEEKLY MANUAL [] 10 MONTHLY TANK "[] 95 uNKNoWN [] 9g OTHER MONITORING ' ' ' . TANK GAUGING TESTING ' VI, TANK CLOSURE INFORMATION.(PERUANENT c~_0sURq .IN.PLAC,E): · 1, ESTIMATED DATE LAST U~ED (MO/DAY/YR) ' 2. ESTIMATED QUANTITY OF: '~ 3. WAS TANK FILLED WITH YE~ ' . SUBSTANCE REMAINING . GALLONS . INERT MATER!AL ?. THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND 'TO THE BEST OF MY KNOWLEDGE,' IS TRUE AND COR~ ~ECT i ~4R;If~IIED & $1GNAlt~H~] ~ . o ~,9 DATE LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # 'FACILITY # TANK # STATEI.D:#, ~ FI I L I I I I I 1 ['1 I IIIl'l PER~'T HUMBErt PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. RLE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS . FORM B (6-95) ~ CHEVRON PRODUCTS COMPAN UNDERGROUND STORAGE TANK SYSTEM MONITORING p · ,- ~ UN ROGRAivl FACILITY INFORMATION SHEET~ ChevronProductsCompanyService~ ? /Ill OoT o,, 9700 Rosedale Highway c 05 / I' ~ - T ,~ O ]997 /~.,/ Bakersfield, California ~~,~t , ,,' ~/ UST Owner: Chevron Products Company 6001 Bollinger Canyon Road, Bldg L P. O. Box 6004 San Ramon, California 94582-0804 (510) 842-9002 {* For inquiries regarding the content of this plan, call (562) 694-9129} UST Equipment: Tanks Type Tank Tank Monitoring Tank # .Storage _Capacity .Type _Classification 1 Gasoline 12,000 D/W Fiberglass New 2 Gasoline 12,000 D/W Fiberglass New 3 Gasoline 12,000 D/W Fiberglass New _Piving For Piping Piping Tank # .Operation ~ 1 Pressurized D/W Fiberglass 2 Pressurized D/W Fiberglass 3 Pressurized D/W Fiberglass Note: "Existing" -- Installed prior to January 1, 1984 "New" -- Installed after January 1, 1984 9-0705 9700 Rosedale Highway ,. Bakersfield, California Spill Containment PHILTITE PHILTITE PHILTITE Monitoring _Classification New New New EX-0102 Rev. 7/29/96 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Owner Certification Chevron Products Company, as the owner of the underground storage tank system located at 9700 Rosedale Highway, Bakersfield, California 93308, I hereby certify that: We have entered in to a written agreement with the operator of the UST system at the referenced location. This agreement is contained in our contract with the operator. The operator of the UST system at the referenced facility is responsible for and will perform all monitoring, record keeping, and reporting requirements for the UST system as outlined in the documents listed below. o The operator has been provided a copy of the Permit to Operate the UST system at the facility. The operator has been provided a copy of the provisions of Health and Safety Code Section 25299, January 1997. o The operator has been provided a copy of the California Code of Regulations Title 23 - Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994. We understand that we are required to notify the UST Program of the Bakersfield City Fire Department, in writing, of any change of operator within thirty days of any such change. Owner: CHEVRON PRODUCTS CO. We hereby certify that the preceding monitoring plan for underground storage tank systems will be implemented at our service station located at 9700 Rosedale Highway, Bakersfield, California 93308. To the best of our knowledge, all information contained herein is true and correct. J~Michael Welty ~ ~ ~.~.-Cebmpliance Specialist, Envir-omtaental Safety & Health Date.~ /~/ 9-0705 9700 Rosedale Highway Bakersfield, California 93308 EX-0107 Rev. 7/29/96 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Operator Certification As the operator of the Underground Storage Tank system installed at 9700 Rosedale Highway, Bakersfield, California 93308, I hereby certify that: I am, or represent the individual, firm, trust, parmership, association, or corporation that is in control of and has the daily responsibility for the operation of the UST system at the referenced facility. I have entered into a written contract with Chevron Products Co., the owners of the UST system I am operating. I understand that this obligates me to perform monitoring, record keeping, and reporting requirements as outlined in the documents listed below. 3. I have received a copy of the Permit to Operate the UST system at the facility. 4. I have received a copy of the provisions of Health and Safety Code Section 25299. o I have received a copy of the Califomia Code of Regulations Title 23 -Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994 Signature: Ray Sutton,~acility Operator Date:/o I iq 1 77 9-0705 9700 Rosedale Highway Bakersfield, California 93308 EX-0108 Rev. 7/29/96 CHEVRON PRODUCTS COMPANY MONITOR/NG PROGRAM FOR "NEW" UNDERGROUND STORAGE TANKS Monitoring of underground tanks constructed pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations- May 1994 Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations- May 1994 Section 2632 (C) (2) (A) and Section 2632 (C) (2) (B) Monitoring Frequency. Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stored: Method of monitoring: Overfill protection: Dry Volatile Continuously operated electronic liquid level indicator Audible high level alarm programed into system control panel program and a 3" ball float installed in Phase I vapor recovery riser set at 90% of tank's capacity Monitoring equipment Control Unit Make: Model: Control Engineers Inc. Station Link Series 3000 with *TLM Liquid level probe - Tank(s) Interstitial Space: Make: Ronan Model: LS - 7 Location monitoring to be performed: At Facility - inside all underground tank(s) interstitial space (3) * Note: Tank Level Monitor (TLM) s used for inventory control and not for tank monitoing Person responsible for performing the monitoring Ray Sutton, Facility Operator Persons responsible for maintaining the monitoring equipment Chevron Products Company -- Marketing Operations -- Maintenance Department 9-0705 9700 Rosedale Highway Bakersfield, California 93308 NW-0101 Rev. 8/14/97 Visual monitoring of the tank monitor alarm box is performed daily by the dealer or a designated employee. Chevron also requires that the tank monitoring equipment operational and alarm condition be documented daily by using a "UST Equipment Monitoring Log,. This log is also required to be used to document when equipment problems are reported to Chevron Maintenance and is to be kept as part of the station monthly inventory reconciliationrecords and on site at all times. Please see the attached site map for the location of all equipment at the site. The electronic monitoring devices are maintained according to manufacturer's recommendations. The dealer will also perform inventory reconciliation according to the procedure outlined in the Inventory reconciliation section of this plan, as stated in detail in Section 2626 of the copy of the California Code of Regulations, Title 23, Division 3, Chapter 16 dated May 5, 1994 that is attached to the dealer's copy of this plan. Daily and monthly inventory reconciliation is required by Chevron Policy. Training will be given to the dealer of record, Ray Sutton, which includes information regarding: how to self test the electronic monitoring equipment, what the equipment monitors, how to tell when the alarm goes off, how to perform inventory reconciliation, record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other emergency. Chevron requires that all station employees be trained and familiar with tank alarm systems and reporting requirements, however .training of the dealer's management and employees on the above mentioned subjects as well as the completing andfiling of any further documentation outlining such training, as may be required by the Bakersfield City Fire Department, will be the responsibility of the dealer of record. In the event of an alarm activation, the operator may have cause to suspect a leak and is required to investigate. In the case of a monitoring equipment malfunction (e.g., green lights not on, lost power, etc.), operator is required to notify Chevron immediately for equipment maintenance. In the event of a leak, the operator will notify the Chevron Territory Manager (or other Retail Management), and will take the following actions: 1. Shut down the tank or product line. 2. Contact Chevron Maintenance Dispatch. 3. Contact the Fire Department or local Emergency response agency, if warranted. 4. Keep employees, customers, or bystanders away from any gasoline. In the event of a suspected leak, Chevron specifies procedures and mandates the use of a "Suspected Leak Activity Log" for investigation in case of an inventory tolerance problem, and eqmpment alarm, and/or if there are any other reasons to suspect a leak. When circumstances occur to the point where this log needs to be used, it is to be kept as part of the monthly inventory reconciliation records as proof that suspected leak situations were investigated. In the event of an emergency, the operator will follow their site Emergency Response Plan which consists of 1) Emergency Response Procedures: 10 Steps to Safety During an Emergency, where employees know what to do in the event ora fire, spill, or an observable leak. 2) Site map, where employees know the location of critical equipment (e.g., emergency shut-off switches, etc.). And 3) Emergency Contact List, where employees know who and how to contact all appropriate people in the event of an emergency. 9-0705 9700 Rosedale Highway Bakersfield, California 93308 NW-0101 Rev. 8/14/97 CHEVRON PRODUCTS COMPANY MONITORING PROGRAM FOR "NEW" UNDERGROUND PIPING Monitoring of underground piping constructed pursuant to: Califomia Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations- May 1994 Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations- May 1994 Section 2636 (f) (1) and Section 2636 (f) (2) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stores: Method of monitoring: Monitoring equipment Automatic line leak detector Liquid level probes - Tank fill/turbine sumps and gasoline dispenser containment boxes Location monitoring to be performe~k Dry Volatile Continuously operated electronic liquid level indicator Control Unit Make: Control Engineers Inc. Model: Station Link Series 3000 Make: Model: Control Engineers Inc. Station Link Series 3000 with PLLD Make: Ronan Model: LS-3 At Facility - inside all underground tank fill (3) and turbine containment sumps (3) and under gasoline dispenser containment boxes (6) Person responsible for performing the monitoring Ray Sutton, Facility Operator Persons responsible for maintaining the monitoring equipment Chevron Products Company Marketing Operations -- Maintenance Department 9-0705 9700 Rosedale Highway Bakersfield, California 93308 NW'0102 Rev. 7~29~96 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN If the unauthorized release detection (tank monitoring) system is activated the facility operator (Dealer) will be responsible for: Determining the source: UST and/or pipeline (if possible) Discontinuing operation of the system (if necessary) Telephoning Chevron Products Company IMMEDIATELY Week Days: Chevron Products Company Maintenance: (800) 423 - 6911 Week Ends and Holidays Days: R.L.W. Equipment Nights: R.L.W. Equipment Chevron Products Company will be responsible for: (805) 834 - 1100 (805) 834 - 1100 Initiating unauthorized release determination IMMEDIATELY. Initiating cleanup procedures IMMEDIATELY (if necessary). Contacting agencies within 24 hours. Person responsible for work authorization_' Roger W. Cleworth, Maintenance Supervisor, or a designated representative In the event that a release occurs inside a motor fuel dispenser cabinet and triggers a sensor to shut the dispenser down and/o__.r trigger an alarm, the dealer is to contact Chevron Maintenance, or the after hours contractor identified above, immediately. Using the station on site clean up equipment and procedures, the Dealer is to clean up any visible spill that may have penetrated through the dispenser cabinet to dispenser island(s) or driveway(s) and block off access to, or attempted use of, such dispenser(s). Chevron Maintenance, or the after hours contractor identified above, will respond to all dispenser calls within 4 hours. Chevron Maintenance, or the after hours contractor identified above, will pump out, or otherwise remove any hazardous substance from the under dispenser secondary containment within eight hours, as specified in California Health and Safety Code, Chapter 6.7, Section 25294, dated January 1997. Hazardous substance will be removed according to all laws and regulations regarding hazardous substance handling, transportation, storage and disposal. Equipment Chevron uses to remove hazardous substance will be owned and operated by a state licensed contract hauler. Chevron will use the hauler with the best response time. Maintenance of all equipment used by haulers is the hauler's responsibility. At a minimum, Chevron reserves the right to dispatch proprietary transport vehicle from the Van Nuys, California bulk storage facility. 9-0705 9700 Rosedale Highway Bakersfield, California 93308 NW-0104 Rev. 8/14/97 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN (continued) With the exception of under dispenser containment, as previously outlined, all unauthorized releases will be removed from the secondary containment as quickly as possible, but not to exceed a maximum of 30 days, per Section 2632 (d) (2) and 2634 (e) of the California Code of Regulations, Title 23, Division 3, Chapter 16, dated May 1994. This response plan outlines required dealer actions and Chevron's response if the facility's unauthorized release detection (tank monitoring) s~vstem is activated. Chevron requires that all station employees be trained and familiar with tank alarm systems, reporting requirements and in the use of clean'up equipment, however training of the Dealer's management and employees in the alarm systems and in the use and maintenance of any on site clean up equipment as well as the completing andfiling of any further documentation outlining such employee training, as may be required by the Bakersfield City Fire Department, will be the responsibility of the Dealer. Signature: J/' Michael Welty ~., [ ...~.~ompliance Specialist, Environn~al Safety & Health 9-0705 9700 Rosedale Highway Bakersfield, California 93308 NW-0104 Rev. 8/14/97 CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK MONITORING EQUIPMENT PREVENTATIVE MAINTENANCE SCHEDULE Control Engineers, Inc. Station Link Series 3000 Underground Storage Tank and Pressurized Piping Monitoring System Preventative maintenance frequency.' Annually Performed by: Control Engineers Certified Representative Annual maintenance checklist .Inspect Hardware Inspect panel for loose wires. Inspect for intrinsic safety cover in place. Inspect for touch screen mounted and enclosed properly. Inspect for CPU operation. Test Operation of Operator Interface Terminal (OIT) Test all screens for live data. Re-enter date and time (even if currently correct). Test Tank Level Monitor and Printer Calibrate product and water readings to physical measurements (stick readings). Print out inventory report. Test Pump Control Interface and Line Leak System Start line test for each product. Note pressure rise for each product. Note pressure at which each check valve seats. Verify pump shutdown. Verify emergency stop shuts off all submersible pumps. Test External Alarms and Remote Communications Individually simulate each alarm condition and Verify the event on the OIT. Verify dial tone at telephone extension on modem module. Verify modem operation. Site Documentation Verify installation manual is on-site. Verify maintenance log. Certification Certify the Series 3000 has been checked according to manufacturer instructions. Certify the system is operating properly. Verify with appropriate agency that certification has been completed. NOTE: All functions listed in this preventative maintenance schedule may not be present at each specific site. All functions present at each site will be maintained according to this program. 9-0705 9700 Rosedale Highway Bakersfield, California 93308 NW-0106 Rev. 7129196 UNDERGROUND STORAGE TANK SYSTEM OPERATOR TRAINING REQUIREMENTS The training required to operate the underground storage tank system and monitoring equipment located at referenced facility is as follows: Underground Storage Tank System Orientation session on the operation of an underground storage tank system topics include: underground storage tanks, double wall piping, overfill prevention, spill protection and monitoring systems. Chevron Service Station Maintenance Guide is provided to each operator. This guide provides in depth instruction on the operation of an underground storage tank system. Underground Storage Tank and Pressurized Pipe Monitoring System -- Control Engineers, Inc. Station Link Series 3000 Operators are given an orientation session during system start-up to familiarize them with the operation of the unit. The Station Link Series 3000 Installation and Operation Guide is provided to each operator. This guide provides in depth instruction on the unit. 9-0705 9700 Rosedale Highway Bakersfield, California 93308 NW-0106 Rev. 7/29/96 ~LIGHTED S 89' 49't0" E J 185.00' TEASH (10'-0' . 12'-0") //, / ~' /// ' CONCRETE SLAB . s(/~-'¢~. (2) 2' TELE. ~ TELEPHONE- 6LE I.D. TOP) 3/4' COND. FROM ,,/ 3/4" EL[C. (9'-0' X 20'-0") D CONO. TO Tm s ~ (3) 12.ooo GAL P.~,,'EL CPm.) DOUBLE WALL. F/G. U/G -- g. HANDICAP SIGN 3' 2' r/G VAPOR TYPE SPANNER OF 3) 3/*¢ ELEG. COt, lO. F~OU SIGNS t/z" WATER -~/F33'-O'R I FFOU PLANTER ~d;)EA '~ ). I ALL ~, 2' GATE V~VE ~'~'~l ~ i/ TO WATER SUPPL~' LINE i (2§'-0" TO TOP) ROSEDALE 3" F/G V.~OR Dm~ ASPHALT PAVING 6' CONCRl~il~ CUR, B HWY. 3/4' ELEC. COND. NEW PIPE TRENCH HWY. 58 DA.SIN 0~ N 36.B~ 50. Fi. OF Sill[ LEGEND GROUND & GRADE ~LAN SERVICE STATION # 9-070:_-, 9700 ROSEDALE HWY, & CALLOWAY DR. BAKERSFIELD, CA. ~c: o9/~t~ J April 30, 1997 ' AYX71997 Chevron Chevron Chevron Products Company, Inc. P.O, Box 6004 San Ramon, Ca 94583-0904 Bakersfield Fire Department UST Division 1715 Chester Ave. Bakersfield, CA 93301 Cheryle Canfield Permit Desk Phone No. 510-842-9002 Fax No. 510-842-9591 RE: FINANCIAL RESPONSIBILITY FOR UNDERGROUND TANKS Dear Sirs: Please find enclosed the following documents: 1) Proof of Financial Responsibility 2) "Certificate of Financial Responsibility" These documents meet the financial responsibility requirements Chevron and have previously been submitted directly to the State. feel free to contact me. for all USTs owned by If you have any questions Chevron is responsible for the following facilities in your jurisdiction: . CHEVRON SS// 90705 91536 91554 93978 94025 94416 95325 98109 99615 99702 201238 201527 201921 203576 STREET ADDRESS 9700 Rosedale Hwy. 2700 Oswell Street ~t. 3699 Wilson Road 2525 White Lane 1131 Oak Street 8'0°c4 California Ave. 5~201~O}ive45rr? 6601 Ming Avenue 6601 Ming Avenue 1125 Coffee Road CITY Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Sincerely, Cherylc~t. Canfield Marketing Assistant Environmental Compliance Enclosure Chevron Chevron Chevron Corporation 575 Market Street San Francisco, CA 94105-2856 Martin R. Klitten Vice President, Finance April 28, 1997 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating Underground storage, tanks. Underground storage tanks at the following faCilities are assured by this financial test or a -financial test under an authorized State program by this. guarantor -- all underground, storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101 (b)) Plugging and Abandonment (§144.63) $ 182.211.758.00 $ 52.567.819.00 $ 8.000.000,00 $ -0- $ 2.430.000,00 California State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment Louisiana State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ 196.731.00 $ 694.620.00 $ 66.000.000.00 $ -0- $ -0- $ 4.504.037.00 $ 774.158.00 $ 1.000.000.00 $ -0- $ -0- Total $ 318.379.123.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification, from an independent auditor on his financial statements for the latest completed fiscal year. - Page 2 of 4 ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test and guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee 3. Sum of lines I and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Currem liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Currem bond rating of most recent bond issue 17. Name of rating service 18. Date of maturity of bond 318.379.123.00 $ $ $ $ $ Yes X X X $ $ $ $ 320.379.123.00 34.785.000.000,00 19.231.000.000.00 15.554.000.000.00 18.855.000.000,00 No X N/A N/A N/A N/A Standard & Poor$ Au_mast 15. 2004 Page 3 of 4 CUSA UST FINANCIAL ASSURANCE April 28, 1997 D. V. Barksdale L. T. Brown C. R. Canfield J. P. Casey E. V. Cottrell H. P. Davis Jr. W. H. Ford A. G. Fredeluces E. Gonzalcz M. Leong P.T. Liang D. E. Ludlam R. W. McCranie S. E. Merritt R. B. Miller, Honolulu A. R. Mora D. A. Newell I. O. Ng K. L. Norris B. C. Randle D. T. Sherman R. J. Shewchuk S. C. Stoner S. W. Strader G. L. Sweinhart E. A. Thompson C. P. Woodland 72413 CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation inthe amoum of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 22, 1997, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the fa:st 120 days of 1998. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 28, 1997 CHEVRON U.S.A. INC. By ,JUdith L. Martin Legal Analyst Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by .CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by. reason of the assumption of liability in a contract or agreement other than a contract or agreemem entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by ~he implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c). as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1997 CHEVRON CORPORATION By By M. R. Klitten Vice Presidem, Finance Assistant Secretary Page 3 of 3 In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title H (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days 'after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entmstment to others of any aircraft, motor vehicle, or watercraft; Page 2 of 3 Guarantee made this April 28, 1997, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS ° Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). CUSA owns or operates the following underground storage tanks covered by this guarantee -- underground storage tanks at various facilities in the states of: Alaska Mississippi Arizona Nevada California 'New Mexico. Florida Oregon Georgia Texas Hawaii Utah Idaho Virginia Louisiana Washingtgn This guarantee satisfies 40 CFR part 280, subpart H requirements for asstiring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. 19. Have financial statements for the latest fiscal year been fried with the SEC, the Energy Information Administration, or the Rural Electrification Administration? Yes I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that information concerning California and Louisiana were added to make disclosure more complete. M. R. Klitten Vice President, Finance April 28, 1997 Page 4 of 4 ~iIDRRECTION NO, lC E BAKERSFIELD FIRE DEPARTMENT N° 596 Sub Div. q2~0 Blk. Lot You are hereby required to make the following corrections at the above location: ,/ Comple*tiolDate fo,' Corrections Date C(_~{2/, 2 Inspector 326-3979 H~DOUS MATERIALS INSPE~ON ' ~akersfield l~[re Dept. OFFI~'E OF ENVIRONMENTAL SERVICES. 171 $ Chester Ave. Bakersfield, CA 93B01 Business Namei ~cv,'~, sz~w(.~c;~ Date Completed Location: Business Identification No. 215-000 15'3:2 (Top of Business Plan) Station No. Shift Inspector Arrival Time: Departure Time: Inspection Time: Address Visable Correct Occupancy Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Material Adel~te Inadequate [] Comments: Verification of MSDS Availablity ~ Number of Employees: ,, ~] Verification of Haz Mat Training Comments; Verification of Abbatement Supplies and Procedures Comments: Emergency Procedures Posted Containers Properly Labled Comments: Adel~ate Inadequate Verification of Facility Diagram[3~(' [] Housekeeping 1~' El Fire Protection [] Electrical I~ [3 Comments: UST Monitoring Program Comments: Permits Spill Control Hold Open Device Hazardous Waste EPA No. Proper Waste Disposal Secondary Containment Secudty Special Hazards Associated with this Facility: Bu$i~e:~$ Ov~ner/M~n-ager PRINT NAME White-Haz Mat Div. Yellow-Station Copy All Items O.K [] ¢ Correction Needed~ ~ Pink-Business Copy c3 L,I.. UNDERGROUND STORAGE TA ,N~i, SPECTION Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 FACILITY NAME d~rd'~r, ~-~z'J[Io~;~ BUSINESS I.D. No. 215-000 t,.5".~'Z FACILITY ADDRESS ?'100 ~s,-~f~[c /(~u.Y CITY ~_/~ ZIP CODE FACILITY PHONE No. ~'$~/ "' ~'01( ID~ ID# ID~ INSPECTION DATE t.//~tfq 7 Product Product _ . , /l~roduct TIME IN TIME OUT Inst Date In-st Date Inst bate INSPECTION TYPE: / ~[ /f fl /~ / Size Size Size ROUTINE .~ FOLLOW-UP I~, REQUIREMENTS yes no n/a yes no n/a /es no n/a la. Forms A & B Submitted 1 b. Form C Submitted V,/ lc. Operating Fees Paid V/ 1 d. State Surcharge Paid b/ le. Statement of Financial Responsibility Submitted V/ lf. Written Contract Exists between Owner & Operator to Operate UST V 2a. Valid Operating Permit 2b. Approved Written Routine Monitoring Procedure ,~' 2c. Unauthorized Release Response Plan V" 3a. Tank Integrity Test in Last 12 Months 3b. Pressurized Piping Integrity Test in Last 12 Months V 3c. Suction Piping Tightness Test in Last 3 Years 3cl. Gravity Flow Piping Tightness Test in Last 2 Years V" 3e, Test Results Submitted Within 30 Days 3f. Daily Visual Monitoring of Suction Product Piping ~/' 4a. Manual Inventory Reconciliation Each Month 413. Annual Inventory Reconciliation Statement Submitted V/ dc. Meters Calibrated Annually ~ ~i~ 5. Weekly Manual Tank Gauging Records for Small Tanks 6. Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks .v~ 11. Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors ,V/ 13. Continuous Piping Monitoring in Sumps ~/' 14. Automatic Pump Shut-off Capability v/ 15. Annual Maintenance/Calibration of Leak Detection Equipment 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 17. Written Records Maintained on Site 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days V" 19. Reported Unauthorized Release Within 24 Hours ,,/ 20. Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection Inspection 22. Secured Monitoring Wells 23. Drop Tube INSPECTOR: _ OFFICE TEL 3~G-3') 27 FD 1669 (rev. 9/95) 1715 CHESTER AVE., BAKERSFIELD, (805) 326-3979 93304 API~LICATION TO PL'I~OI:~ A TIG"WRTES$ T~ST FACILITY ~,~lqMIT TO.OPEi~T£ ~ _, April 30, 1996 Bakersfield'Fire Department UST Division 1715 Chester Ave. Bakersfield, CA 93301 Dear Sirs, RECEIVED HAZ, ~AT. DIV. Financial Responsibility For Underground Tanks Chevron SS// STREET ~ CITY 90705 ¢-97~a-1. E-~y~ Bakersfield 91536 ,,2700 Oswell St. Bakersfield 91554 ~ 10 Union Ave. Bakersfield 92718 $'5101 Stockdale Hwy. Bakersfield 93978 3100 Niles St. Bakersfield 94025 ~ 800 34th St. Bakersfield 94416 'o3699 Wilson Rd. Bakersfield 95325 ,2525 White Lane Bakersfield 98109 '~1131 Oak St. Bakersfield 99615 ~3624 California Ave. Bakersfield 99702 95201 Olive Dr. Bakersfield 60201238 8100 E. Brundage Lane Bakersfield 60201527 ~6601 Ming Ave. Bakersfield 60205673 SWC Rosedale Hwy. & Bakersfield Chevron Chevron Chevron Products Company · 6001 Bollinger Canyon Road Buildin9 L San Ramon, CA 94583 RO. Box 5004 San Ramon, CA 94583-0804 Marketing - Northwest Region Phone 510 842 9500 1) Proof of financial Responsibility' 2) "Certificate of Financial Responsibility" These docUments meet the financial responsibility requirements for all USTs owned by Chevron. These documents have previously been submitted directly to the State. If you have any questions feel'free to contact Cheryle R. Canfield at (510) 842-9002. Sincerely, Chevron Chevron Corporation 575 Market Street San Francisco, CA 94105-2856 Martin R. Klitten Vice President, Finance April 30, 1996 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor -- all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101 (b)) Plugging and Abandonmem (§144.63) AMOUNT $ 151.180.720.00 $ 46.894.203,00 $ 8.000.000.00 $ -0- $ 3.379.327.00 California State Prograr~ Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment Louisiana State Pro_cram Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment 'Total 194.808.00 686.933.00 56.000.000.00 4)- $, 4.455.472.00 $. 765.810.00 $ 1.000.000.00 $ 4)- $ 4)- $ 272.557.273.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. Page 2 of 4 ALTERNATIVE II Amount of annual UST aggregate coverage being assured by a test and guarantee Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee Stim of lines 1 and 2 Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 fi.om line 12). 15. Is line 14 at least 6 times line 3? 16. Currem bond rating of most recent bond issue 17. Name of rating service 18. Date of maturity of bond $ 2.000.000.00 $ 272.557.273.00 $ 274.557.273.00 $ 34.253.000.000.00 $ 19.975.000.000.00 $ 14.278.000.000.00 $ 19.183.000.000.00 Yes No X X X X $ ]N-/A $ N/A $ N/A $ N/A Standard & Poors August 15. 2004 Page 3 of 4 19. Have' financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? Yes I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that information concerning California and Louisiana were added to make disclosure more complete. M. R. Klitten Vice President, Finance April 30, 1996 Page 4 of 4 'Guarantee made this April 30, 1996, by cHEVRON CORPORATION, a business entity organized' under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96C0). 2. CUSA owns 'or operates the following underground storage tanks covered by this guarantee -- underground storage tanks at various facilities in the states of: Alabama Mississippi Alaska Nevada Arizona New Mexico California Ohio Florida Oregon Georgia Tennessee Hawaii Texas Idaho Utah Kentucky Virginia Louisiana Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000, .000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In 'the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a Standby trust fund in Page 1 of 3 accordance with the provisions of 40 CFR 280.108, in an amount, not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed .to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a Standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If'CUSA fails to satisfy a judgement or award based on a determination of liability' for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written insumctions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or'(c)'and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemPloyment compensation laTM or other similar law; (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; Page 2 of 3 (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entmstment to others of any aircraft, motor vehicle, or watercraft; Property damage.to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroletun underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreemem other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is idemical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 30, 1996 CHEVRON CORPORATION By By M. R. Klitten Vice President, Finance Assistant Secretary Page 3 of 3 CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 30, 1996, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1997. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. · Senior Counsel April 30, 1996 Jfidith L. Martin April 30, 1996 Chevron Chevron ,May 24, 1995 ~Bakersfield Fire Department UST Division 1715 Chester Avenue Bakersfield, CA 93301 Attention: Ralph Hwey Re: Underground Storage Tank Financial Responsibility Dear Ralph Hwey: Chevron U.S.A. Products Company Marketing Department 1300 South Beach Boulevard Building 4516 La Habra, California P.O. Box 2833 La Habra, CA 90632-2833 Phone 310'694 7300 The enclosed letter is provided to comply with the requirement to demonstrate financial responsibility for underground storage tanks owned by Chevron U.S.A. Products Company. Financial responsibility applies to the enclosed list of service stations located in the City of Bakersfield. If you have any questions, please contact Jean Chavira-Flores at 310-694-7452. Very truly yours, K. F. Wiseman Manager-Environmental, Safety and Health Enclosure 057. j ac PAGE CHEVRON U.S.A. PRODUCTS CO. - SOUTHWEST REGION SW REGION STATION LIST - APSI & 3 PTY OUTLETS 05/22/95 T9SWPGR -SW_OULET FACILITY STREET CITY COUNTY ST/ZN ZIP CROSS ST DEALER NAME/PHONE ~., 91835 1011 IMPERIAL STREET CALEXICO IMPERIAL CA 92231 4TH STREET ARTURO U ANTUNEZ 90130 905 N MAIN ST 90086 460 S MAIN ST v~0705 9700 ROSEDALE HWY ,//91536 2700 OSWELL STREET V/91554 10 UNION AVENUE ~92718 5101STOCKDALE HWY ~-x~-2 93978 3100 NILES ST 94025 800 34TH ST 94416 3699 WILSON ROAD 95325 2525 WHITE LANE 98109 1131 OAK STREET 99615 3624 CALIFORNIA AVE 99702 5201 OLIVE DR /C/ 201238 81oo E. BRUNDAGE LANE 201527 6601 MING AVENUE C/ 93249 26056 TRACY AVENUE BISHOP LONE PINE BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BAKERSF ELD BUTTONWILLOW I NYO I NYO KERN KERN KERN KERN KERN KERN KERN KERN KERN KERN KERN KERN KERN KERN 8E 619-357-2336 CA RICK CASSEL, II 61 619-873-4430 CA DARRELL C CATHERMAN 61 619-876-5971 CA RAY SUTTON INC 61 805-589-9011 CA STEVE R THORNE, INC. 61 805-871-1200 DBA CA KENNETH MC COY 61 805-871-1865 CA MOHAMED MANSOUR 61 805-323-9694 CA CA 6 CA CA CA CA CA CA 6 93514 MAINE 93545 93308 CALLOWAY 93306 AUBURN 93307 93309 VILLAGE LANE 93306 OSWELL 93301Q ST 93309 REAL RD 93304 EL PORTERO 93304 CALIF ST 93309 REAL RD 93308 HWY 99 93307 WEEDPATCH HWY 93307 93206 SONNY SWAFFAR 805-831-6075 BOB HALEY SERVICE, INC 805-832-9781 PHILIP A WELCH DBA 805-324-7621 CHARLES SUTTON INC 805-325-1642 KEESTER INC 805-399-9056 THOMAS W SCOTT 805-366-5542 A.P.S.I. # 1830 805-831-1270 PERRY C SCOTT DBA 805-764-5419 CA NOLAN W BERST DBA 61 805-322-2445 CA PHILIP A WELCH DBA 61 805-832-1818 Chevron Corporation 225 Bush Street, San Francisco, California 94104-4289 M. R. Klitten Vice President, Finance April 28, 1995 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 225 Bush Street, San Francisco, CA. This letter is in support of thc use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.1010a)) Plugging and Abandonment (§144.63) AMOUNT $. 158.409,500.00 $ 59,726,500.00 $ 8,000,000.00 $ -0- $ 3,096,000.00 California Slate Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment Iogisiana State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ 266.000.00 $ 687,000.00 $ 56,000.000.00 $ -0- $. -0- $ 4.381.500.00 $ 753.500.00 $ 1,000.000.00 $ -o- Total $ 292,320,000.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. Page 2 of 4 ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test, and/or guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee 3. Sum of lines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the ~J.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital. (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issues. 17. Name of rating service 18. Dates of maturity of bond $ 2.000,000.00 $ 292.320.000,00 $ 294.320.000.00 $ 34.315,000,000.00 $19.811.000,000.00 $14,504.000,000.00 in excess of $ 20,175,000,000.00 Yes X X No X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors August 15. 2004 Page 3 of 4 Yes No 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration,. or the Rural Electrification Administration? X I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below. M. R. Klitten Vice President, Finance April 28, 1995 Page 4 of 4 GUARANTEE Guarantee made this April 28, 1995, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(h) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee -- underground storage tanks at various facilities in the states of: Alabama Mississippi Alaska Nevada Arizona New Mexico California Ohio Florida Oregon Georgia Tennessee Hawaii Texas Idaho Utah Kentucky Virginia Louisiana Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases, or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency Page 1 of 3 has determined or suspects that a release haS occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accor~ce with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor.shall send within 120 days of such failure, by certified mail, notice to CLISA. The guarantee will terminate 120 days from the date of receipt of the notice by CLISA, as evidenced by the return receipt. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; Co) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; Page 2 of 3 (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1995 CHEVRON cORPORATION By By M. R. Klitten Vice President, Finance Assistant Secretary Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No. 5907 State of ~-----~P,~ County of On .~:,~.,'L_~ ~ 'l 1.~j. ) ~ ~ ~ before me, DATE personally appeared '~--- NAME~ TITLE OF OFFICER - E.G., 'J~NE DOE, NOTARY PUBLIC" NAME(S) OF SIGNER(S) [~'personally known to me - OR - [] proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the .person(s), or the entity upon behalf of Which the person(s) acted, executed the instrument. ~ My Comm. F.x~es MAY 24. 1998 WITNESS my hand and official seal. SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER [] INDIVIDUAL [] CORPORATE OFFICER DESCRIPTION OF ATTACHED DOCUMENT [] PARTNER(S) [] A'I-I'ORNEY-IN-FACT [] TRUSTEE(S) TITLE(S) [] LIMITED [] GENERAL [~GUARDIAN/CONSERVATOR [~OTHER: TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(lES) SIGNER(S) OTHER THAN NAMED ABOVE ©1993 NATIONAL NOTARY ASSOCIATION · 8236 Remmet Ave., P.O. Box 7184 · Canoga Park, CA 91309-7184 CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per °CCurrence, $2 million annual aggregate, for the period commencing April 28, 1995, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1996. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage mused by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. Date: ENV8114 nderground Hazardous Mate~s torage Facd ty C 0 N D I TI 0 N$:!:;;~;;~iP:~I ~':'REVEaSE SIDE Tank Hazardous G~ji:~?~¥:?:;:~:~::.... Ye~ii~ii~iiiii~i:':'. :iiii~Tank ~:~;;::;;~:-a.'~i:i?~ii:i:':':i!i!!i~. Pipin Pi in Number Substance Ca~ :...a~ff:%:::.? in..~.{:~iii~.~!~::~!~:.?=:~. ::~i: ~! ...... :::::...:~:::::?~:.-.......:.~: g p g Piping ,iii:P;..??,:~/i;,!!i?::' , ........... ??;.~,ii:~ii;~ii;~ype Mon:!i!?~..r....!.~;~i?::?i~:' Type Method Monitoring 02 GASOLINE ::ii!:'ti'~iO.00 ?. .?:~i':9~:~i!'?"i:."'?':.;;i??:?DWE~;~: ~:i:';i~ c~M ii.:':i':::i! DWF PRESSURE ALD 03 GASOLINE ~!?l:~id6~'~i?~: ~:;:;~i~;~%;!i~ii~:ii~i!ii;iiiiii~i~;;;~i~;~;ii~;i~;~i:~!iiiiii!i~:~!ii;!~!!C~.:~:~... ?:i'"::::i;;;i? DWF PRESSURE ALD Issued By: Bakersfield Fire Dept. Approved by: HAZARDOUS MATERIALS DIVISION 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 ~rdinator CHEVRON USA INC. CHEVRON STATION #9-0705 9700 ROSEDALE HVVY BAKERSFIELD, CA 93312 Valid from: 11-10-94 to: 11-10-99 UNDE ROUND STORAGETANW ..... Bakers[ield Fire Dept. ISPECTION FACILITY'NAME ~_~,~.r~,, ?~,'~;o.o, . BUSINESS I.D. No. 215-000 FACILITy/ADDRESS oI70~ ~_.~. ~,~ CITY /.~~'~./~(dZIPCODE ~~,~* FACILITY PHONE NO. . ~'~" - ~::)// / ,D~ ,[~ ,D~ INSPECTION DATE ~,~/~L C.~ ./C~ ~ Product Product Producl TIME IN ' TIME OUT INSPECTION TYPE: /~wtA~ P-C)4, '~-'~ ~"-~* :j~, ~(c.~ /" ' :'i'~'~'':'1'~'' ' '~' Inst Dale Insl Date Insl · .. ,,./ ~_. ~,~-,~', ;,*, ~.L.~q~'~-,, Size Size Size ROUTINE ~ FOLLOW-UP I ~,r -' REQUIREMENTS yes no tva yes no tva yes no rVs la. Forms A & B Submitted lb. Form C Submitted lc. Operating Fees Paid ld. State Surcharge Paid le. Statement of Financial Responsibility Submitted lf. Written Contract Exists between Owner & Operator to Operate UST 2a. Valid Operating Permit 2b. Approved Written Routine Monitoring Procedure 2c. Unauthorized Release Response Plan 3a. Tank Integrity Test in Last 12 Months /" u/ ~,~" 3b. Pressurized Piping Integrity Test in Last 12 Months ~" 3c. Suction Piping Tightness Test in Last 3 Years 3d. Gravity Flow Piping Tightness Test in Last 2 Years 3e. Test Results Submitted Within 30 Days 3f. Daily Visual Monitoring of Suction Product Piping '4a.. Manual Inventory Reconciliation Each Month ~ a,,' .~,,~, · ab. Annual Inventory Reconciliation Statement Submitted ~/' ~" ~"' 4c. Meters Calibrated Annually 5. Weekly Manual Tank Gauging Records for Small Tanks 6. Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results ~/' 8. Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks ~-~ / ~ ~.~ 11. Mechanical Line Leak Detectors ,.~ 12. Electronic Line Leak Detectors /,./ ~,~ 13. Continuous Piping Monitoring in Sumps ~t ~ ~.. ~ ,~ e,~'/~ ~ ~/ c;,~2}q~,~ 14. Automatic Pump Shut-off Capability .., ~, .~, ..o 15. Annual Maintenance/Calibration of Leak Detection Equipment ' ~ 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 17. Wr'~en Records Maintained on Site 18." Reported Changes in Usage/Conditions to Operating/Monitoring · , Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20..-' Approved UST System Repairs and Upgrades !,,"'" ~ ..'"'" ~';"21. Rebords Showing Cathodic Protection Inspection 22. Secured Monitoring Wells 23. Drop Tube RE-INSPECTION DATE OFFICE TELEPHONE No. ...~.~ FILE CONTENTS SUMMARY *~~ :, 9700 ~~~)~ ~,, ' I Actlv~ty Date # Of Tanks Comments II Chevron June 8, 1994 Chevron U.S.A. P~oducts Company 2410 Camino Ramon San Ramon, CA 94583 P.O. Box 5004 San Ramon, CA 94583-0804 Compliance Agencies: Marketing Department Phone 510 842 9500 Chevron Corporation has developed an exciting new Service Station Facility Compliance Program which I'd like to inform you about. We feel this program will enable us (and our dealers) to take a proactive approach to compliance issues relating to Retail Service Stations. As I'm sure you're aware, it is far easier to prevent an incident involving petroleum products than to clean up and remediate one afterwards. The program components are as. follows: Dealer Training - The program includes a 4-hour compliance awareness training program for each Dealer or Station Manager at Chevron owned facilities. Topics covered in this training include Underground Storage Tanic.% Waste Management, Air Quality, Water Quality, Safe Work Practices, Emergency Response and Training Requirements (Hazcom, Hazwoper Safety programs.) Retail Facility Compliance Guide & Workbooks - As part of the Chevron Dealer Lease, each Dealer or Station Manager must comply with "all applicable laws or regulations". To assist the Dealer Chevron developed a Retail Facility Compliance Guide and Workbook. The guide is to make the Dealers aware of Environmental and Safety issues and to provide some practical guidelines for compliance. Federal laws and regulations are covered as well as state and local requirements. o Facility Compliance Specialists - Chevron realizes that merely giving a guide is not enough to assure proper safety and environmental management in today's environment. Accordingly we developed new positions in our staff: Field Compliance Specialists. The Specialists conduct semi' annual inspections and help the dealers to develop action plans to achieve and maintain 100% facility compliance at our units. Our dealers and contract station operators have enthusiastically embraced the Retail Facility Compliance Program. They realize that environmental and safety issues are becoming an increasingly important part of doing business. They seem to genuinely appreciate the assistance Chevron is providing to enable them to comply with all applicable regulations. However, in order for us to be fully effective, we need your help. We need to establish lines of communication with your Depa~iment Heads and Field Personnel so that you can keep us informed about new or proposed regulations impacting Retail Service Stations and we can keep you informed on new' procedures or' technology we're employing at our Retail Facilities. We have three Retail Facility Compliance Specialists located in Northern' California. They are: Roger Henry, Jr. - Facility Compliance Coordinator Telephone Number (510) 842-9550 Gordon John~n - Facility Compliance Specialist Telephone Number (510) 842-9060 Yolanda Byeman - Compliance Specialist (includes Utah) Telephone Number (510) 842-8922 Their mailing address are: Chevron Products Company P.O. Box 5004 San Ramon, CA' 94583-0804 Fax: (510) 842-9591 Mr. R.J. Miller is our Retail Facility Compliance Specialist covering the states of Washington, Oregon and Alaska. Mr. Miller's mailing address is: Chevron Products Company 20500 Richmond Beach Drive NW Seattle, WA 98177 Telephone Number (206) 542-9762 Fax (206) 564-6580 Please include the above individuals, on your mailing lists for future publications or regulations. We at Chevron look forward to establishing a mutually beneficial working relationship with you. Sincerely, Roger Henry, Jr. Retail Facility Complianc~ Coordinator ENV I RONM~ m 2700 "M" STR~'~T, RN' COUNTY HEALTH SERVICES DEPART SUITE 300, BAKERSFIELD,~,CA. (805)861-3636 93301 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY ~ INSPECTION REPORT ~ PERMIT# 380011C TIME IN ......... : ....... TIME OUT ............... NUMBER OF TANKS: PER, IT POSTED? YES NO ~.. INSPECTION TYPE (DF INSPECTION: ..... ~5~'i'~INE ............ ~. ........ i'"~'~INSPECTION ........................ COMPLAINT F A C I L I T Y A D O R E S S: .:9..?....O....O........R...O..S.....E....D...A.....L...E.......H...~.G...H...~.A...y. ............................................................................................................................. BAKERSFIELD, CA o w N E R S N A, E.- q.~.~..V...R...q..N_....U..:_,.S...:...A_:..,..._LN....q..: ..................................................................................................................................................... O P E R A T 0 R S N A ~ E .' .E.SZ....5 .U. ZZ..O..N,.~......L~.E... ................................................................................................................................................................... COMMENTS: ............................................................................................................................................................................................................................................................. T[TED4 VIOLATIONS/OBSERVATIONS ~, PRIMARY CONTAINMENT ,~ONITORING: a. Intercepting an directing system b, Standard Inventory ContDol Modified Inventory Control !n-tank Level Sensing Oevice Groundwater ~onito~ing f, Vadose Zone ~onito~ing SECONDARY CONTAINMENT MONITORING: a. Line~ C.~l ~ Double-Walled tank c, Vault PIPING MONITORING: ,P.essurized Suction c, G~avity 4. OVERFILL PROTECTION: 5. TIGHTNESS TE,STING NEW CONSTRUCTION/~ODIFICATIONS 7. ClOSURE/aB&NDON~ENT I ~ K!£.RN couN~:, RESOURCE MAI~i~IE~M£NT ~..,;>_~ ' ENVIRON~E~EALTH SERVICES DEPART~ ): 2700 "M" STR~;~ SUITE 300, BAKERSFIELD~ UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACiLiTY "~' .'.": ~ ~NSPECT~ON R~PORT ~ YES NO .... ~ ..... '"' INSPECTION DATE: ~-Z~]~- ...... ONNERS NANE:CHEVRON~L~.S.A.,~NC. PERMIT~ 380011C PERNIT POSTED? TYPE OF INSPECTION: PRIMARY CONTAINMENT MONITORING: a, Intercepting an directing system b. Standard Inventory Control Modified Inventory Control d. In-tank Level Sensing Device Groundwater Monitoring f. Vadose Zone Monitoring SECONDARY CONTAINMENT MONITOR[NG: a; Liner (~ Double-Hailed tank c, Vault PIPING MONITORING: pPressurized · Suction c. ~ravit.y. ~.OVERFILL PROTECTION: TIGHTNESS TESTING CONSTRUCTiON/MODIFICATIONS ?.' CLOSURE/ABANDONMENT: UNAUTHORIZED RELEASE. ' b/. , . ~ / ' "~ t ~' ~ '~ " .... I , ~ ~'~" *'~ -~ ......... ~ '-* ~ ..... ~,,,,-~..,.,Lz,.~ ,_ ' ..... : .............. ~.~47Za~.... REPORT RECEIVED BY- ~.- ~"~77:L ................ R E. C E I P T PAGE 1 03/02/94 Invoice Nbr, I 115681 3:27 pm KERN CO RESOURCE NANAGENENT AGENCY 2700 'M' StPeet Bakensfie~d, CA 93301 Type CASH REGISTER CHEVRON USA INC 7940-1N I CSR 03/02/94 03/02/94 120-CHEVR11 I NT L ne Descnfip~ion Quant'i~y Pnice Unfit Dffsc Total 1 3398 UNDERGROUNDTANKS ANNUAL FEE EH 1 450.00 E 450.00 2 REF: 380011C; CK 1003811956 OndeP To~al 450,00 THANK YOUJ Amount: Due 450.00 r~,.~¢. Payment Nade By Check 450.00 --,~ ~--~/% R E C E ! P T PAGE 1 08/3t/93 Invofce Nbr. ! 103940 2:24 pm KERN CC RESOURCE MANAGEMENT AGENCY 2700 'M' Street Bakers-field, CA 93301 Type of Order W (805) 86i-3502 CASH REGISTER 'THE CHEVRON COMPANIES 3'~:~O'~:~:C~ I GLR j 08/3!/93 08/31/93 ! NT Line Description ..... ~i~ity Price Unit Disc Total 'i 3398~,UNDE~GROUNDTANKS ANNUAL FEE EH 1 187.50 E 187.50 UST001 Order To:al 187.50 THANK YOU~ Amount Due Payment Made By Check 187.50 187.50 Chevron Chevron U.S. roducts Company Mail Addres..,~:. B~j 2833, La Habra, CA 90632-2833 1300 South I~e~ch Boulevard, Building 4516, La Habra, California, Phone (310) 694-7300 May 19, 1993 Underground Storage Tanl< Financial Responsibility Kern County Environmental Health Depa£tment 2700 "M" Street, Suite 300 Bakersfield, CA 93301 To Whom It May Concern: The attached letter is bein§ provided in order to comply with the requirement to .demonstrate financial responsibility for underground storage tanks owned by Chevron U.S.A. Financial responsibility applies to the attached list of service stations located in Kern County. If you have any questions, please contact Desiree Clcss at (310) 694-7452. Very truly yo~rs, ~ Wiseman ~ Safety, Fire, Health and Environment Supervisor DDC Enclosure Chevron Corporation 225 Bush Street, San Francisco, California 94104-4289 M. R. Klitten Vice President, Finance April 30, 1993 UST FINANCIAL RESPONSIBILITY To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 225 Bush Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the follOwing facilities are assured by this financial test or a financial test under an authorized State program by this guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the. following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b)) Plugging and Abandonment (§144.63) $ 149,095,286.00 $ 53,084,226.00 $ 8,000,000.00 $ -0- $ 3,101,720.00 California State Proqram Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment 798,556.00 1,167,038.00 56,000,000.00 -0- -0- Louisiana State Proqram Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ 6,771,600.00 $ 2,780,460.00 $ 1,000,000.00 $ -0- $ -0- Total $ 270,718,787.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. 11. ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test, and/or guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee 3. Sum of lines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? If "No", complete line 11. Is line 7 at least 6 times line 3? 12. 13. 14. 15. 16. 17. 18. Current assets Current liabilities Net working capital (subtract line 13 from line 12). Is line 14 at least 6 times line 3? Current bond rating of most recent bond issues. Name of rating service Dates of maturity of bond 2,000,000.00 $ 270,718,787.00 $ 272,718,787.00 $33,860,000,000.00 $20.242,000,000.00 $13,618,000,000.00 in excess of $21,435,000,000.00 Yes X X No X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors April 1, 1998 ~es N~o 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? X I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below. Date: April 30, 1993 M. R. KLITTEN VICE PRESIDENT, FINANCE GU~i~EE Guarantee made this April 30, 1993, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, .to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), 575 Market Street, San Francisco, CA. Recitals. (1) Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96 (b) . (2) CUSA owns or operates the following underground storage tanks covered by this guarantee: underground storage tanks at various facilities in the States of: Alabama Alaska Arizona California Washington, D. C. Florida Georgia Hawaii Idaho Indiana Kentucky Louisiana Maryland Mississippi Nevada New Jersey New Mexico Ohio Oregon Pennsylvania South Carolina Tennessee Texas Utah Virginia Washington West Virginia (3) This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third partieS for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of (5) (6) (7) (8) this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above- identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to raise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The .guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such' notice by CUSA, as evidenced by the return receipt. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; and (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. (9) Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 30,~1993 CHEVRON CORPORATION BY By M. R. Klitten Vice President, Finance Assistant Secretary State of California County~/~/,~of~:4~ ~d rifle of ~e officer), pe~om~y ~on~ly ~o~ to me ~on~whosc to m~n~ ~U ~c~ow~U~U~ ~o m~ ~~~y ~cu~U ~ ~ ~r/ · c perone, or ~c cnti~ upon ~h~ of w~ch ~c ~on~ ~~ent ac~d, execumd ~e ~~ent. WITNESS my hand and official seal. ~ r~,'.c.'.~ :~. :~-'. :?i.i':;-"'::-.i-. Y,V",;:'.%'f.':-:,'.': ..... 'I r ........ ,', ..... ,'-.',:-...,.,,', ,,, q V,,C~.,.:.~,',.;, ,/ ,'.:~ .... '-':'"::'-: "'"'.'.;" ;%-,-,. CERTIFICATE OF FINANCIAL RESPONSIBILITy CHEVRQN U.S.A. INC. hereby certifies that it is in compliance with.the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence,.$2 million annual aggregate, for the period commencing April 30, 1993, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1994. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and nonsudden accidental releases. CHEVRON U. S . A. INC. j/Jeffrey Moj~er, Counsel R E C E I P T PAGE -:FS?~SF~'~.' ...................................................................... T~;~T~;"~;;-.'--i .... · ..... ~5~ I:05 pm KERN CO RESOURCE MANAGENEN'F AGENCY 2?00 ' [4 ' ..... ~?,eker, sf'ield, CA 93301 'Type o'fi Order (805) 861-3502 CASH REGISTER CHEVRON COMPANIES Customer, P O.~ Ntn Dy IOr'der D~t:e I Shfip D4~te i Vie t *' ' 380011093 t~AS I 10/20/92 I 10/'20/92 I j NT' 3 100.00 E 300.00 3398 UNDERGROUND TANKS ANNUAL FEE U S T 00 'I 35b0 ?,IISC - ZZZ005 '15O. 00 E Ol-der Tota'l H~,NK COL i Amount Due Payment Me~de 8y Ch.~,ck 450..00 450.00 R E C E I P T PAC~E I 0~I~ 7192 !2:49 am KERN CO R~SOUR~.E MAflAGERE~ AGENCY i3,~kers'Ffifs]d, CA ~' '~ 'Type o~ Order N ,CASH RE:G~m,~R RAY ~tj, F'.~t; ]:NC ............................................... ! 'Terms ............................ F .... ':---: ......~'~,;;~l',-Da.'~t:e Ship D~Le ' Customer P.O.,~ ! W~:m Ely NT 3800110-93 ~ AJH ~ 09/1 ?/92 09/I 7/92 .......................................................................... ()uar~ti ~y .... $7:~'~- Uni ~ O-i~c To'ua', Line Oescr'i p~ion I 3398 UNDERGROUND TANKS ANNUAL, FEE 3 I00.00 E 300.00 UST00 '~ Order Tota'i 300.00 Amount Due Payment r4ade 8y C, heck 300.00 300.0'0 THANK YOU ! CLAIM COUNTY OF KERN STATE OF CALIFORNIA CLAIM OF- CHEVRON USA, INC. DATE 10/21/92 CHEVRON STATION #9-0705 - -- ADD~E$$ P.O. BOX 2833, LA HABRA CA 90632-2833 FOR PAYMENT .. ,~ 0-~-00 OEPARTME~ __, // INSTRUCTIONS TO CLAIMANT SOmAk S~;CUmTV FEDIflqAL. TAX I0 NO, REFUN____~DFOR RECEIPT# 84505 n~ ~ nromcr~ 10-21-92 ^ROD~ 4210 DEPT____L 4113 REVENUE# 3398 · FUND# 00001 DOLLARS 300 TOTAL Oet¢,,o,.,,e i'v,JOSe 0j C,¢,m t'm" '; ~ WORKSHEET FOR CLAIM FOR PAYMENT GOVERNMENT CODE REFUND AMOUNT TO REFUND RECEIPT NO. DATE RECEIVED TYPE OF FEES REASON FOR REFUND SIGNATURE OF APPROVAL ACCOUNT SECTION: DATE OF DEPOSIT AROD NO. REVENUE CODE NO. FUND NO. L COUNTY OF KERN ENVIRONMENTAL HEALTH SERVICES 2700 'M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 1805) 861-3636 PLEASE NOTE ANY ACCTS THAT AR~ 120 CHEVRON U.S.A., INC. CHEVRON STATION #9-0705 P..O'. BOX 2833 LA HABRA, CA 90632-2833 DETACH HERE 10/92 CHANGES DAYS STATEMENT _. PERMIT/INVOICE #38001 lC-93 ON STATEMENT AND RETURN WITH PAYMENT. PAST DUE MAY BE SENT TO COLLECTIONS. CHARGES PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION PLEASE MAKE CHECK PAYABLE TO THE COUNTY OF KERN PERMIT/INVOICE #380011C-93 BILLING DATE DESCRIPTION AMOUNT DUE ] $450.00 ANNUAL FEE FOR PERMIT TO OPERATE UNDERGROUND STORAGE FACILITY WITH 3 TANKS LOCATED AT: 9700 ROSEUALE HIGHWAY BAKERSFIELD, CA INVOICED 8/6/92 ~ PENALTY I'i AMOUNT ENCLOSED PAST DUE ARE SUBJECT TO PENALTY DUE DATE UPON RECETPT CDETACH HER, qRONMENTA HEALTH SERVICES 0 "M" STREET SUITE 300 ERSFIELD, CA 93301 TOTAL AMOUNT DUE 300.00 150,00 $450.00 10/20/92 1':06 pm R E C E I P T PAGE 1 .................... T~GT~,-~-. .... T ........ ~;~- ~T~'~"' CASH REGISTER KERN CO RESOURCE MANAGEMENT AGENCY 2700 'M' Street Bakersfield, CA 93301 (805) 861-3502 Type of Order CHEVRON COMPANIES Customer P.O.~ I Nth By. IOrder Date I Shffp Date I Via I Terms 380011093 I BAS I 10/20/92 I 10/20/92 [ I NT Line Description Quantity Price Unit Disc ~ 1 3598 UNDERGROUND TANKS ANNUAL FEE 3 ' 100.00 E UST001 2 3550 MISC - PENALTIES 1 150.00 E 150.00 ZZZ005 Order Total 450.00 THANK YOUl. Amount Due Payment Made 8y Check 450,00 450.00 RECEIPT PAGE 09/'1'7/92 12:49 am KERN CO RESOURCE NANAGENENT AGENCY 2700 'M' Street 8akersft'e]d, CA 93301 (805) 861-3502 Invoice Nbr. Type of Order 1 82803 CASH R.EG[STER RAY SUTTON, INC. Cu=tomer P.O.# I Wtn By IOrder Date I Ship Date Via I Terms 380011C-93 I AJH I 09/17/92 I 09/17/92 I I Line Oescrlption Quan~tcy 1 3398 UNDERGROUND TANKS ANNUAL. FEE 3 UST001 I I' I NT Price Unl~ Disc To~al 100.00 E 300.00 Order Total 300.00 THANK .YOU ! Amount Due Payment Made By Check 300.00 300,00 ONTR~IC'I " '¢ POLLUTION C. ' .... .-"- .~ 2700 "M" Street, Suite 275 Bakersfield, CA. 92301 " ! ' (805) 861-3682 : ' Date ·Inspector Station Name Company Mailing Address, ~///.~, _o. ?y_n 14_ //~ .., / ?. ~2 ~ Phone 1. PRODUCT (UL, PUL, P, or R) 2. TANK LOCATION REFERENCE 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. FILL CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT pROpERLY SEATED 8. GASKET MISSING FROM FILL CAP 9. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 1 1. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL · _TUBE MISSING / IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED PHASE I VAPOR F~(~OVERY INSPECTION FORM , ' ",.' Notice Rec'd By TANK #4 TANK #1 14. 15. 16. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE COAXIAL FILL TUBE SPRING MECHANISM DEFECTIVE TANK DEPTH MEASUREMENT TUBE LENGTH MEA~§UREMENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) / /' ,? ,,' 19. OTHER WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTTIOL DISTRICT RULE(S) 209, 412 AND/OR 412.1. THE CAMFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE {805} 861-:3682 CONCERNING FINAL RESOLU- 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 ""' ;: pHASE II VAPOR RECOVERY INSPECTION FOl~it~i ...... ~= ' '~ .. , · Station Location qTol~) /~~/~ //-~J~ / ,/~/~/,~ -~/'~/J ' P/0~'~ ~ ~--~ ' Company Addr~ ~~ ~ ~~. ~. ~o ~,~ City ~ ~~Zip.. Contact ~u .%~ Phone ~ ~ ~// o ......... ~'_. ' · ~.~ -- . oy~[ulil ~ype:. ~ HJ HI. HE GH HA Inspector ~~ ~~ Date ~ ~' ¢% Notice Rec'd By -' .: 2. CHECK VALVE O 3. FACE SEAL Z Z 4. RING, RIVET L E 5. BELLOWS 6. 'SWIVEL(S) 7. FLOW LIMITER (EW) 1. HOSE CONDITION V A 2. LENGTH P O 3. CONFIGURATION R 4. SWIVEL H O 5. OVERHEAD RETRACTOR S E 6. POWER/PILOT ON 7. SIGNS POSTED Key to system types: Key to deficiencies: NC= not certified, Bz broken DA=Balance HE =Healey M= missing, TO= torn, F= flat, RJ =Red Jacket GH=Gulf Hasselmann AD= needs adjustment, L= long, LO= loose, HI =Hirt HA =Hasstech S= short MA= mis~iligned, K=-'kinked, .~,R,.~ frayed. , INSPECTION RESULTS Key to inspection results: Blank= OK, " 7= Repai~ithin se~~,~ days, T= Tagged (nozzle tagged out-of-order unt repaired) /~- Z ~__ U= Taggable violation but left in use. ~. . ~IOLATIONS: SYSTEMS MARKED WI~H A "T OR U" CODE IN INSPECTION RESULt, ARE IN VIOLATION OF KERN AIR POLLUTION CONSOL DISTRICT RULE(S} 412 AND/OR 412.1. THE CALIFORNIA NEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. ~LEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION. NOTE: CALIFORNIA HEAL~ & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE USeD 7-DAY DEFICIENCIES BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION · :.:.K~~'~' ...... ~' 'NTY AIR POLLUTION CON-'I~~~ . 2700 "M~,,.Street,. Suite' 275 " .,?: .--,, ~ Baker~fieid~ CA. 93301 :: (805! 861-3682 ~,. ~;~. PHASE II VAPOR RECOVERY INSPECTION FORM ~ V, .... ~ · StationLocatior~q7~ ,J~$~'d//L~ /'///-~4,'5'. ~*~/~g~// 'P/O, ~/~ ~-0/ ' ~ntact ~~~ Phone ~-7~// System Type: (~ RJ HI HE GH HA : Ins~ctor ~ff~~ Date ";'/~- ~' Notice Rec'd By NOZZLE # GAS GRADE NOZZLE TYPE . , 1. CERT. NOZZLE 2. CHECK VALVE N O 3. FACE SEAL Z Z 4. RING, RIVET L E 5. BELLOWS 6. SWIVEL(S) 7. FLOW LIMITER (EW) ~' 1. HOSE CONDITION V A 2. LENGTH P O 3.. CONFIGURATION R 4..~ SWIVEL H O 5. OVERHEAD RETRACTOR S E 6. POWER/PILOT ON 7. SIGNS POSTED Key to system types: Key to deficiencies: NC: not certified, B= broken BA=Balance HE =Healey M= missing, TO: torn, F= flat, TN: tangled RJ :Red Jacket GH=Gulf Hasselmann AD: needs adjustment, L: long, LO= loose, · HI =Hirt HA =Hasstech S= short MA= misaligned, K= kinked, FR-- frayed. INSPECTION RESULTS COMMENTS: Key to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged out-of-order until repaired) U= Taggable violation but left in use. VIOLATIONS: SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN COUNTY :, AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION. NOTE: ~':{3ALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION AIRPOLLUTION (:;ON I~.: 2700 "M" Street, Suite 275 ,f . Bakersfield, CA. 93301 (805) 861-3682 · PHASE II VAPOR RECOVERY INSPECTION FORM · . ~ · : -,.... .... ·-/ ,--~ j., '/,y" -- Contact /~z~' .~"~/~'f, ' Phone _~" ~"~-- ?(~)!/ sYStem Type: (~ .R, HI HE[.,.:' GH :HA Inspector ?'~),~//~ ~Z',,,.~'o_.. Date /'~'--- ./~'-_~'Z~' 'Notice Rec'd By NOZZLE #.~:' GAS GRADE NOZZLE TYPE 1. CERT. NOZZLE 2. CHECK VALVE N O 3. FACE SEAL Z 4.~ ' 'RING, RIVET L E 5. BELLOWS 6. SWIVEL(S) 7. FLOW UMITER (EW) 1. HOSE CONDITION A 2. LENGTH O 3. CONFIGURATION R 4. SWIVEL H: O 5. OVERHEAD RETRACTOR s jE 6. POWER/PILOT ON !:' 7. SIGNS POSTED Key to system types: ' Key to deficiencies: NC= not certified, B= broken BA=Balance ' HE =Healey M= missing, TO= torn, F= flat, TN= tangled RJ =Red Jacke~ ~ GH=Gulf, Hasselmann AD= needs adjustment, L= long, LO= loose, HI =Hirt HA =Hasstech S= short MA= misaligned, K--k~nked, FR= frayed. · ~-": INSPECTION RESULTS COMMENTS: Key to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged out-of-order until repaired) U= Taggable violation but left in use. VIOLATIONS: SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN coUNTy AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION. NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES --BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION- ~ ,~.,o.,,-.. "..-==:., AImC,,I-) FII ~ RE CE MANAGEMENT RANDALL L. ABBOTT DIRECTOR DAVID PRICE Iii ASSISTANT DIRECTOR Environmental Health Services'Department STEVE McC.~! ! Fy, REHS, DIRECTOR .Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Development Se~ices Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT TO OPERATE UNDERGROUND BAZARDOUS STORAGE FACILITY Permit No.: 380011C State ID No.: 61883 Issued to: CHEVRON STATION #9-0705 No. of Tanks: 3 Location: 9700 ROSEDALE HIGHWAY BAKERSFIELD, CA Owner: CHEVRON U.S.A., INC. 2410 CAMINO RAMON SAN RAMON, CA 94583-0804 Operator: RAY SLrl~ON, INC. 9700 ROSEDALE HIGHWAY BAKERSFIELD, CA 93308 Facili~7 Profile: Substance Tank Tank Year Is piping Tank No. Code Contents Capaci~ Installed Pressurized? 1 MVF 6 2 MVF 6 3 MVF 6 PREM-UNLEADED 12,000 1991 YES UNLEADED 12,000 1991 YES REGULAR 12,000 1991 YES Issue Date: June 12, 1992 Expiration Date: June 12, 1997 This permit is granted subject to the conditions and )rohibitions listed on the attached summary of conditions/p~ ibitjom _ ' ·e: ' , ' I ~ Ser~e$/Department -- POST ON PREMISES -- NONTRANSFERABLE 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 HAZARDOUS UNDERGROUND STORAGE FACILITY PERMIT SUMMARY OF CONDmONS/PROmRmONS CONDITIONS/PROI--r~ ITION~: Thc facility owner and operator must be familiar with all conditions specified w/thin th~ permit and must meet any additional requirements to monitor, upgrade, or close the tanks and associated piping imposed by the permitting authority. If the operator of the underground storage tank ia not the owner, then the owner shall enter into a written contract with the operator, requiring the operator to monitor the undergrOund storage tank; maintain appropriate records; and implement reporting procedures as required by the Department. The facility owner and operator shall ensure that the facility has adequate financial responsibility insurance coverage, as mandated for all underground storage tanks containing petroleum, and supply proof of such coverage when requested by the permitting authority. The facility owner must ensure that the annual permit fee is paid within 30 days of the invoice date. The facility will be considered in violation and operating without a permit if annual permit fees are not received within 60 days of the invoice date. o 7. The facility owner and/or operator shall review the leak detection requirements provided within tiffs permit. The monitoring alternative shall be implemented within 60 days of the perm/t issue date. The facility underground storage tanks must be monitored, utilizing the option approved by the permitting authority, until the tank ia closed under a valid, unexpired permit for closure. Any inactive underground storage tank which ia not being monitored, as approved by the permitting authority, ia considered improperly closed. Proper closure ia required and must be completed under a permit issued by the pertmttmg authority. 10. The facility owner/operator must obtain a modification permit before: a. Uncovering any underground storage tank after failure of a tank integrity test. b. Replacement of piping. c. Lining the interior of the underground storage tank. The tank owner must advise the Environmental Health Services Department within 10 days of transfer, of ownership. 11. 12. 13. Any change in 'state law or local ordinance may necessitate a change in permit conditions. The owner/operator will be required to meet new conditions within 60 days of notification. The owner and/or operator shall keep a copy of all monitoring records at the facility for a minimum of three years, or as specified by the permitting authority. They may be kept off site ff they can be obtained within 24 hours of a request made by the local authority. The owner/operator must report any unauthorized release which escapes from the secondary containment, or from the primary containment if no secondary containment exists, which increases the ha~ard of Fire or explosion or causes any deterioration of the secondary containment within 24 hours of discovery. AEO:jrw (green~oetmit. p2) ..MONITORING REQUIREMl~NTs:(~6 pr) 1. AH underground storage tanks designated as MVF 6 on the first page of this permit shall be monitored utilizing the following method: ao bo Each tank shah be equipped with a continuous monitoring device within the interstitial space, which must be connected to an audible and visual alarm system within 60 days of the issue date on page 1 of this permit. All piping sumps shall be monitored manually or by utilizing an electronic monitoring device. ' Co All pressurized piping systems shall install pressurized piping leak detection systems and ensure that they are capable of functioning as specified by the manufacturer. The mechanical leak detection systems must be capable of alerting the owner/operator of a leak by restricting or shutting off the flow of hazardous substances through the piping, or by triggering an audible or visual alarm, detecting three gallons or more per hour per square inch line pressure within one hour. ~ do All pressurized piping systems shall be tested annually unless the facility has installed the following: (1) (2) (3) (4) A continuous monitoring system within secondary containment. The continuous monitor is connected to an audible and visual alarm system and the pumping system. The continuous monitor shuts down the pump and activates the alarm system when a release is detected. The pumping system shuts down automatically if the continuous monitor fails or is disconnected. o o The first test shall be completed before December 31, 1992, and subsequent tests completed each calendar year thereafter. All equipment installed for leak detection shall be operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks (at least once per year) for operability or running condition. A monitoring response plan shall be developed, and submitted to the department for review and approval within 90 days of the issuance date of this permit. An annual report shall be submitted to the Kern County Environmental Health Services Department each year after monitoring has been initiated. The owner or operator shall use the form provided along with the permit, unless another has received prior approval. TIGHTNESS TESTING REPORTS EVALUATION FORM Specialist reviewing the tightness test report: Date tightness 'test reports were submitted: ~//~/ Date tightness tests were completed: ~//c~/~ / Facility Permit Number: Number of Tanks Tested at the site: (list the tanks numbers if provided). by their tank Was the method a test of the entire tank_system, piping alone, or just the facility tanks? (describe) ' Did the facility pass all tests: ' Yes No (if no, provide the leak rate and a description of the tank(s) that failed the test) (failure is > 0.1 gal per hour). The facility will do the following to investigate the failed test: The test method certification that is submitted to the state specifies that each test method be completed in a certain manner. Is there anything within the results which would suggest that the tank test was improperly completed? Yes f" No (describe). Information has been reviewed and placed within the database: Date entered within the database:~/~'~/~./c>('/~/7¥ HM25 Entered by (name) YES NO Chevron Marketing Operations Date R. B. Bellinger Manager, Operations S. L. Patterson ! / z ~,~-2 9 '9 ] Araa. Manager. 0,e,a,,o,, ' /(~ _ . , ~._._ ~ M.L'.~ C. S. Trimbach ~/,' _~,.~"~-/,,,~'~"'-.-~ ',.,-"r'~v"'7 Manager, Engineering ' ' ~, Re: Annual Precision. Tank and Lines Test Result Enclosed are the required annual precision tank and lin.~test..resu_lts fto~,the following Chevron owned service stations within your~ Chevron U.S.A. Inc ..... 2410 Camino Ramon, San Ramon, California · Phone {415) 842-9500 Mail Address: ~0. Box 5004, San Ramon, CA 94583-0804 RECEIVED AUG ? 5 1991 HAZ. M~'T- DIV. The above list may not be a complete list of Chevron owned sites within your city/county. Results for those not listed will be forthcoming. If you have any questions, please call Marge Farrar, at (415) 842-9624. Very truly yours, R. B. Bellinger M.L. Farrar MLF:gsb/V2- 154 Enclosure j'ANKNOLOGY ,. 'Customer CHEVRON U.S:A' Invoice Name/Address CHEVRON Site Name/Address CHEVRON U.S.A., //90705, 9700 ROSEDALE HWY/CALLOWAY, BAKERSFIELD, CA. 93312 VacuTect T. TANK TESTING REPORT' Site # 90705 U.S;A;,'2410'.CAMINO RAMON,' SAN RAMON, CA., 94583-0804 S.O.~ 30102 Date 8/12/91 Phone 415-842-9624 Att'n: MARGE FARRAR TANKS LINES Leak Det Tank Dipped Dipped I Probe Exist TANKS and LINES Tested to Mat'l Water Product l Water NEW CFR-40 Pints 280-281 and Wmer Bubble Ullage AJr Tight Line Deliv Tight LD Pass PmTestad NFPA 329 Spec's. · Level Level I Level ingress ingress Ingress (m) Mat'l Syst. ¢) (P) LD ST/ I ST:mT; · Detected Detected Detected or · · or Fai · Tank Tank Tank FRP/ START.., START · · · Fail ST / PS / Fail (F) cr SOLD O~er: Product Dia. Gallons Lined END E-~ END Yes/No Yes/No Yes/No (F) Line# FRP SS (F) NONE Yes/No REG 95 12K NO NO NO T lA FG PS T ExistLD SN: 0 64 .18 lB NewLD SN: Startqime: 08:20 - EndT me: 10:50 1C Pump Mfr.: 1.0© TIL'[--D TO ILL 1D NO NO NO T 2A FG PS T Exist LD SN: RUN 95 12K 0 64 .16 2B NewLD SN: Start l'ime: ~ End T mc: 10:50 2(3 IPump Mfr.: 0.8© rlLTED TO ILL 2D SUN 95 12K NO NO NO T 3A FG PS T Exist LD SN: Start ' ime: 11:41 0 64 .16 3B New LD SN: End ~' me: 1 '11:/41. 3C Pump IVlfr.: ~3.2© tILTED TO F LL'' 3D 4A Exmt LD SN: Start ']Lme: 4B NewLDSN: End T me: 4C Pump Mir.: CA. //91- 1073 TANKNOLOGY CORPORATION INTERNATIONAL TANKNOLOGY Regional Office: 992 Unit Number 42 ' 4960-F Allison Parkway · Vacaville, CA 95688 NOTE: Original VacuTect Data reco~ings are reviewed by Tanknolgy's Audit Control Department and maintained on file. (707) 446-2494 · (800) 826-5837 · FAX (707) 446-2495 FORM lA Customer O-J~-V~o~ Billing Address: VACUTECTTM TANK TESTING REPORT Tanknology Region: Tester:' '~,,-I ~ Unit Cf s.o.# Phone: Service Address:__.~'7©© ~ Jr-I~' Attention: 1:::::c~., TANK TEST LINE TEST Vent, TANKS and LINES TESTED TO CFR# 40, Paris 280-281 Tank: Risers, Dipped Dipped Rec. Ullage TIGHT Vapor 1~: TIGHT & NFPA329 Specifications. Others: Type Water Prod. Water Water Bubble Air (T) TIGHT (T) of Tank Tank Level Level Level Ingress Ingress Ingress FAIL (T) FAIL L[IN-E FAIL SUCTION (SS) or PRES: SYSTEM (PS) FIBERGLASS Prod. Dia. Gal. START START START DetectedDetectedDetecte~ (F) (F) A, B, C(F) (FG) or STEEL (ST) LEAK DETECTORS Installed? (LDI) ¢ 2.,.--~1~ I~-Y ?5 O.O ~?(D -/¢ NO /Vd ~',,.~O ~ (A ~ / STARTED: (~.'/O FINISHED: START: ~_.Jo°'.' ~-O FINISH: ]0 ':~ TESTPSI: [°0°' '-~tT~"D ~ ~/cc LEAKRATE: STARTED: (:~'~%5'~ FINISHED: START: O ~': Z.C_~ FINISH: [ ~): ~© TEST PSI: O. ~,o '-~.-T~--~ -7-r~ "~," c_ LEAK RATE: -- ~. ~' STA ~ITED://o '~/g? FINISHED: /c~2.~7 START: I1: (F~N~SH: !3,_~ TESTPSI: ~,2° -TT-,~_-re'D TO 'i~2c_ LEAKRATE: TEST PRESSURE: STARTED: FINISHED: START: FINISH: TEST PSI: · '---------- ............. LEAK RATE: TEST PRESSURE: .............. STARTED: FINISHED: START: FINISH: TEST PSI: LEAK RATE: NTS: SITE CONTACT: ~/_/~./_~_~ SITE PHONE: TANK TEST INCLUDES TESTING OF RISERS, VENT AND VAPOR RECOVERY LINES. Tankn.ology Corporation International - 10700 Jersey Boulevard, Unit #170 · Rancho Cucamonga, California 91730 · (714) 941-4491 · Fax (714) 94i-7215 MONITOR WELLS Number 1 2 3 4 5 6 7 8 9 10 11 12 Depth Water Prod. Detected NOT Det. /4/// Location Diagram ~o7o5 · . ~To~ ~ 0 Parts and Labor used General Comments When local regulation$ require Lmmediate reporting of a system leak--Complete fl~e following: Reported to: Name Date Time Phone Number Regulatory Agency File Number Print: CertLfied Testers Name Certified Tegters Sitmatm-e ' Vacutect(tm) Certification Number Date Test~in~ C6mol~ted Form:TestData 1/91 · . .~0..,,.,.v.o--.. %/ LINE TEST LOG Customer Site: ~o-7o5 Facili ~: ~'o 7o5 Tank No. .// Line No. //5/ Product s.o.# Piping Material ~-- Test Pressure ,,~-0 psi Calib.MultiplieF .. TEST ~ · -'--v,'-f.~ Volume LINE TEST ~iLT!m_e Readin8 · Level LevelA VolumeA 07.'/0 Start ,~,3, 0 ~9.'~o 1___/_._ I~.~ ~---fT.'~ 3 ~ o oo_ .~o ~__ ._..__.________ ~ ~ U.',-./U 0 PINAL LINE TIGttTNES~ RATE: - O ,o o Comments: ?__~j_ected G.P.H. A --/7~/-/7- , FAIL [ ] or PASS ping Materml ( ~ Test Pr . c - _ . I · ' "--" essure O-O psi Calib.Multiplier COMPRESSIO~i{] Zero Pres. Level ~9-.S, O Test Pres. Level TEST ~ LEVELA " ' Volume A mi.'rim Level O~ Start 23, o o:o 1 13.~ 10.'15 2 lo'z6 3 4 S 6 LevelA LINE TEST VolumeA -- O,oc) --0,0o FINAL LINE TIGHTNESS RATE: - o. o o Comments: I~ORM NO.: LineTe~tLo~~~~~~:~ 'ected G.P.H. A , FAIL [ ] or PASS TANKNOLOGY Service Order Site: ~7oo ~o~~- Tank No. ~ Pipin; Material /~- Line No. ~ Test Pressure ~ psi Facil 8:' ~©'7 0.~ Product COMPRES SION~-~o-pres. Level ~_..~.~ TEST ~ LEVELA, __~ Test Pres. Level Volume Calib.Multiplier - 00~? Start L/NE TEST Level LevelA ~ 2~.¥ VolumeA ----~ -_____ J ___~____._ FINAL LINE TIGHTNE$~ RATE: Comments: 7T-~/-/~- / ~cted G.P.H. A ~] or PASS Tank No. Line No. Piping Material Test Pressure C~RES SIO Zel~l~-~=~-ro Pres. Level TEST psi Product Calib.Multiplier Test Pres. Level Volume A Level LevelA Start 1 FINAL LINE TIGHTNESS RATE: Comments: LINE TEST VolumeA iected G.P.H. A PRI]~F NAMK , FAIL [ ] or PASS [ TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston, Texas 77040-6294 Phone: (713) 690-TANK Fax: (713) 690-2255 CerlJficate of Tightness Sor coOr ,r#50102 , Testdate 8/12/91 [ 3 ] Tank(s) & Piping, [ ] Tank(s) Only, [ ] Piping only. (~U811. OUSI~. QUSI~. Tank Owner/Address CHEVRON U.S.A., 2410 CAMINO RAMON, SAN RAMON, CA. Test Site Address CHEVRON #90705, 9700 ROSEDALE Tank sizes & products tested TANK #1 12K REG, TANK #2 12K RUN, TANK #5 SUN 94583- 0804 HWY/CALLOWAY, BAKERSFIELD~ C/ 93312 Piping Tested LINES: lA, 2A, 3A TCI #150-3/93 CA ~91- ln7'~ U. S. Paten[ "4462249, Canadian Pat. an[" 1185693, Eur'i~ean Paten[ Appl." 16928~ TANKNOL013Y & VecuTect. are trademarks of TANKNOLOGY CORPORATION INTEI~IATIONAL Form-Cert.3/89 Valid only ~ Corporate Seal I~' 9URCE ~4ANAGE:M~.,GE~C¥ RANDALL L ABBOTT i~ F~,~......,~ ~ ~ DIRECTOR STEVE ~.*J. LEY, R~S, D~ECT~ DA~ PRICE ~I ~ ~ c~ ~ ~T~ D~OR ~ J. RODDY, ~O ~ ~, ~CP, D~R U~ }ERG ROUND STOOGE TA~ P~R~IT UPDA~'~STIONNAI~ THIS QUESTIONNAIRE MUST BE L'OMPLETED AND RETURNED W~TI{ YOUR '""~'" ~,~vu~ FAYMENT, PEP, HIT ~ '_~ Z~'"~:) /'/~-- ~ ~ NUMBER OF TANKS FACILITY -,--- --- -~f ADDRESS TANK OWNER ADDRESS CITY/STATE OPERATOR ADDRESS CITY/STATE IF A TRANSFER OF OWNERSHIP HAS TAKEN PLACE WITHIN THE L~ST YEAR, PLEASE COMPLETE THE FOLLOWING~ DATE OF TRANSF~R~ MONTH PREVIOUS OWNER: PREVIOUS FACILITY NAME (IF CHANGED): DAY YEAR SIGNATURE /X /'~-'":'":w~,/, Z,~r TITLE ~F¥OU i-iAYE ANY QUeSTiONS PL£ASE CALL JANE WARRE~ AT (805) 861-$63& EXT. ch HM4 m 2700 "M" S~. SUITE 300 BAKERSFIELD. CAL[F('3~N~A e~n~ PERMIT NUMBER TYPE OF INSTALLATION 2~oo ~I ( ) 1. In-Tank Level Sensor (~2. Leak Detector ( ) 3. Fill Box FACILITY ADDRESS ~ -- ~~~. CONTACT PERSON 1. IN TANK LEVEL SENSORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer LEAK DETECTORS . - . ^ - - ~lame o5 Sys~:em ~, ~=D~~_~_~2 Manufacturer ~ Model Numbem Contractor/Installer ~~~ FILL BOXES N~ber of Tanks List By Tank Name of System Manufacturer & Model Number Contractor/Installer OWNER/OPERATOR % - -' ~'" ' -- ' % ' DATE PERMIT NUMBER~ OF TANKS AT THE~ITE: FAC I L ! TY NAME: ..... .~.__~. ___~._~.._j.A._~.; -~NV. 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 I TANK CONSTRUCTION: TANK ~ TYPE(dw, sw, sec.cont. ) MATERIAL INT. LINING CORROSION PROT. LEAK DETECTION: TANKS: ..__ VISUAL .... GROUNDWATER MONITORING WELLS VADOSE ZONE MONITORING WELLS U-TUBES DIITH LINERS U-TUBES WITHOUT LINERS VAPOR DETECTOR LIOUID SENSORS CONDUCTIVITY SENSORS PRESSURE SENSORS' I'--~ ANNULAR SPACE LIOUID 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: ..~ .... FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZEC PIPING MONITORING SUMP WITH RACEWAY ........................ SEALED CONCRETE RACEWAY .................... HALFCUT COMPATIBLE PIPE RACEWAY ............. ~,.,^v ~N~ UNKNOWN ..... ?~%~..,..,..- ~.~,~?,,.~: ~,~'f, LL~.:?,~.,~,.,.:'..4?.~.;..,,~- i:I'/ ~..-?~ ,.~.~..~ . , .., ,,~ R E C E ] P T .: "PAGE .'.,t~ Og/30/g 1 [nvo1~e NbP.. I -6~26g '3:36 ~m KERN COUNTY PLANNING & DEVELOPHENT 2700 'H' SCPee= ~'~:'~':., · : .~ ..~:, .J~. Bakersfield, CA 93301 Type (805) 861-2615 .... -- - .... -.~'- - - ----' ..... -- - · - -, _ CASH REG[S'TER RAY SUTTON [NC ~ J H~n By jOy-der DaCe J 3h'ip Oa=e J Via J Tenm~ I RAR I o~/~o/~ I o~/~o7~ I I NT i ~__1 I i · .................... 1 I I.~ ! 3398 UNDERGROUND TANKS ANNUAL FEE 1 150 00 E.~ ' USTO01 - .~ 1 ~0 ~ 00 2 5730 UNDERGROUND TANKG ~TATE 3URCH 1 168.00 E 188 00 ZZZ001 ' O~'der Total 318.00 .... Amount Due Payment Made By Check 318.00 318.00 THANK YOU AND HAVE A NICE DAY! KERN- cOu~T'-,' -2700 'M.: STREET,'SUITE 300,-BAKERSFIELO,' :*' INSPECTION REPORT * .- ~.:. ~ .. ~. T~ ..... ' PERMI iME IN /~./.~..TiME OUT .ff...~...Z.~...... NUMBER OF TANKS:' ~$ PERMIT~POSTED? J YES ' "~ ........... . 'INSPECTION DATE: ................................. TYPE OF"~'NG'c~'"G"T'ff~N: ..... ~'~'~"i~'~NE.......X:i]]iiiiiiii]"~'EiNsPECTI ON ...:L .................... COMPL'~T~'~: ................................. r ~ C~ _ i T Y N A M E: .~,,A....Y._.....S...u,_.T...T.O.N.......~ H,..,.E...V.....R.O..N,.L ............................................................................................................................... L.. ........ .. ............................ F A C ! L .I T Y A 9 O R E S S: ``9`.~``~````~``````~i``~````S``~``E```D```.~```L````E```~`?j```~````~``;~``~``A`.`.Y. ........................................................................................... : ........................ L ........................... ~AKERSFI,_LD. CA .:D~N a aa a Aa E: :.9...H...a_y....a...O..N.......U.......!..:...A........,.._.LN....C..~ .......................................................................................................................................................................... OPERATORS NAME :.:..a...~:X......~..U....T....T....O....N....,.......I..N....C....: ............................................................................................................................................................................. ':,-;OMM EN TS: ............................................................................................................. , ................................................................................................................................................. ........................................................................ .......... .......... ITEM VIOLATIONS/OBSERVATIONS PRIMARY CONTAINMENT MONITORING: a. Intercepting an directing system b. Standard Inventory Control c. Modified Inventory Control d. in-tank Level Sensing Device e. Groundwater Monitoring f. Vadose Zone Monitoring SECONDARY CONTAINMENT MONITORING: a. Liner b. Double-Nailed tank Vault PIPING MONITORING: a. Pressurized b. Suction c. Gravity OVERFILL PROTECTION: 5. 7. :::n~N~SS i:S~NG ~ NEN CONSTRUCTION/MOOIFiCATiONS CLOSURE/ABANDONMENT UNAUTHORIZED RELEASE MAINTENANCE, GENERAL SAFETY, AND OPERATING CONOiTiON OF FACILITY .... ' - REPORT RECEIVED BY: ................................................................................. ZNS~u OK: .......................................................................................................... ".~" / ' ~' ." ~ ~:~'L:'~' "- ~'-.~ ' ~' .' ~ ' . ~ · .... .~" ~"~, '~."::'"-;' ". ' '. ', / ".:'~ ~..~.;-~ ...... '~;~(,8'05~)B~-3636 ~ '..t ...... - "-'~' '. · ,"';'~ ...... '" "':. L:, :": .-'.,'U~oER~OU~:D ':HAzARoOu~;',~Us~A~:'~TO~A~E FACILITY .? .... "~?":"'.:-~-:::--Y "" - PE~IT.= 2800~C ' '?':I~E IN ~~TI~E OUT ~~ NUMBER OF TANKS:.' PER~I~ POSTED? /"'YES ~"NO ' " ....... '["~$PECTION DATE: ........................... . TYPE O F'--I-N$ PE C-T.-I O~': ROUT I N E.,.?.~, .............. REINSPECTION ' COMPLAINT · F A ¢ I L I T Y N A M E: ,.,R.,.A_.y..._..S.'.,U._T_ T...O.,,N_,_..C.~_E_.y.R.,9.N,. ....................................................................................................................................................... F A C I L I T Y~ A O D R E S S: ..g..7_O..~...,...R,,,O,..~,~..D.,,A.,,_L..E,...,,H,,..I...G.,H...H,,.,A.,..Y. ..................................................................................................................................... BAKERSFIELD, CA OWN E RS NAME: ,,C,,~_E..V_R,,,O.,,N,..,,..U.,,,:,~,,:...A...,:.z,.,,.,,I.~_C..,: ............................................................................................... ~ ........... i ....................... '_..~ ............... OPERATORS NAME:,..R,.A_,y,_.,~..U.T,,.T.,.O,,,.N,..~_....,I.,.N,, .C.,.: ...................................................................................................................................... ~__ ............... COMMENTS: " " :::: :':::: :::::::::::::, ~-~ :::::::::::: ::::::::::::::::::::::::: ...... :::2'~-'~':/~::~'~' ~ :'"'::':"~'"~'~'~:~ .................. -~'~ ~ ~×~-~--~~:~vX ~-~'-~-~:~. ........................... :~-:-' '"?' 1. PRIMARY CONTAINMENT MONITORING: a. Intercepting an directing system b.' Standard Inventory Control c. Modified Inventory Control d. In-tank Level Sensing Device e. Groundwater Monitoring f. Vadose Zone Monitoring I( SECONDARY CONTAINMENT MONITORING: a. Liner b. Double-Walled tank c. Vault PIPING MONITORING: a. Pressurized b. Suction c. Gravity 4. OVERFILL PROTECTION: 5. 7. B. TIGHTNESS TESING . ,. NEW CONSTRUCTiON/MODIFICATIONS CLOSURE/ABANDONMENT UNAUTHORIZED RELEASE '~'~. MAINTENANCE. GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY COMMENTS/RECOMMENDATIONS .........RE I N~PECT ION'] ....................................... SCHEDULED*i ................................... i' ::::_~:]::::'"~ ........... e~ ]i:::::::::iino .................................... APPROX ~`~`~`~`~`~`~`~Fi`~`-[~`[::`~`~-`:--`]:.:~"-`~.~]~]~I INSPECTOR: - REPORT RECEIVED BY: ................................................ ? A¢I LITY NAME: RAY.: SUTTON ;-;CHEVROh' ' FAC I.L,~I. TY ADDRESS , · ';'"~ · OWNERS' ~AME OPERATORS N A~-~-;-RAY I.TEN 'iI"?'i!PRI~RY .CONTAINMENT MONITORING:: ...q. '-'~odified Inv~to~y . d... In-tank Level Sensing ~vice f.. Vadose Zone ~nitoHng' "--' ..... 2..'SECONDARY CONTAINNENT MONITORING: ':'-b.. Suction 4.:'.'"OVERFILL PROTECTION; -" ' 64 NEN CONSTRUCT?ON/MODIFICATIONS i. CLOSURE/AI]ANDON~IENT ... ~' 8."-:.UNAUT~OR[ZEO RELEASE .... - .......... ""-- ~I~TENA~'~_, GENERAL SAFETY; ,AND OPERATING ~NDITION OF FACILITY : -' ;,.i:-..,.:.: ' EMERGENCY CONTACT PERSON (PRIMARY) I DAYS: NAM~,(LAST, FIRST) ~ P~IONE # WITH AREA~ CODE NIGHTS: NAME (LA~r. FIRST)~. j · II. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) MAILING OR STREET ADDRESS g... IlL TANK OWNER INFORMATION - (MUST BE COMPLETED) NAME OF OWNERc k MAILING OR STREET ADDRESS 'EMERGENCY CONTACT PERSON jSECOND~i:RY);-~Ptlonai NIGHTS: NAME (LAST, FIRST) . - . PHONE # W1TH AREA CODE CARE OF ADDRESS INFORMATION. . ~ CORPORATION' 'r"] PARTNERSHIP .' : J ~E#I~VITI:L~,P, EACODE '~; ' J CARE OF ADDRESS INFORMATION ~' box lo ~r4'-:-~:- J'--'J INDIVIDUAL - ~ I--1 u3c~J..~,e4cy I--I s'rA'rE.4C, e~cy IV. BOA UA TORAG E FEE ACCOUNT NUMBER. Call (916) 739-2582 if ques~ons ari~. V. LEGAL NOTIFICATION AND BILLING ADDRESS Leg~ notifi~tion ~nd billing will be sent to the t~k owner un~s J CHECK ONE BOX INDIOATING .ICH ABOVE ADDRE88 ,HOULD BE USED FOR LEGAL NOTi~iCATiONS AND ,iLLiN~: "1. ~- :~ ~11.~' ' THIS FORM HAS BEEN COMPLy. II-L) UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT ' APPLICANT'S NAME (PRINTED & SIGNATURE) APPLICANT'S TITLE J DATE MONTH/DAY/YEAR '. ~. - ........ , ~ :..>;-,~-- ..~,~: .... LOCAL AGENCY USE ONLY COUN%TY # LOCATION C, OOE - OPTIONAL l CENSUS TRACT # - OPTIONAL JURISDICTION # FACILFrY # I c, I/.,:1/I,:'1: i' I SUPVISOR - DISTRICT CODE - OPTIONAL "1 THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION. FORM B, UNLESS THIS IS A CHANGE oFsITE INFORMATiON'ONLY. FORM A (9-90) " ' -' ~ '--. ', ',' .~ - ::, FOR0033A..R2 '.-:.,~--~:' '~.:':..:'.~'., ~ ~-:,~' '~-'~,~:~: ~:: '.'UNDERGROUND OeAOn FAC[~ NAm WHERE TANK I5 ~D: '"(".'¥"~?:57,'-'~"~1 ~':¥ I. TANK DESCRI~ION . COMPLE~ALLITEMS- SPECI~IFUNKNO~ C. DATE INSTALLED (MO/DAY/YEAR) II. TANKCO~E~S IF A-1 IS MAR~D,~MPLE~ I~M O: A. ~ 1' MOTOR VEHICLE FUEL "" ". E~.' .4, .OI.L. B: " ~. 'l~--J ....., UNLEADED ~ ~ 3 CNEMICALPRODUCT ~ 95 UN~OWN ~ 2 WAS~ ~ 2 ~DED ~"~'~"~'*O~ER ~SCRI~:~ ~M ~. BELOW D. IF (A.1) IS NOT MARKED, EN~R NAME OF SUBSTANCE sToRED . C. A~ S. IlL TANK CONSTRUCTION MARK ONE I~M ONLY IN BOXES ~ B, ANDC,~oALLTHATAPPLIESINBOxD; '~'~ :~:~:~'~ A. TYPE OF [] 1 DOUBLE WALL SYSTEM ~ 2 SINGLE WALL . B. TANK [] 1 BARE STEEL MATERIAL [] '5 CONCRETE [] 6 POLYViNYL CHLORIDE [] (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] SINGLE WALL WITH EXTERIOR LINER [] 95., UNKNOWN SECONDARY ~NTAINMENT (VAUL~D TAN~' :'::~ ~: ~LO~ER.':~ STAINLESS STEEL ~ 3 FIBERG~S..?,~.,;'4~.ST~g'C~'W/~FIBE~RE~RCED'P~C 7. ALUMINUM .~ :~ ~ 8..100% .METHANOLCOMPATIBLEW~Rp-.', ~ .... 95 UNKNOWN.. ~ .,99.' OTHER 3 EPOXY LINING..v ~ .'.4 PHENOLIC- LINING: ;'~O.~-~' "~ '" ": ':~'': "v 95 UNKNOWN [] 99 OTHER .. [] ~ RUBBER LINED [] 2 AL~D U..G [] C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] ENING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES D. CORRoSIon ' [] .1 POLYETHYLENE WRAP ~ 2 COATING PROTECTION [] 5 CATHODIC PROTECTION [] B1 'NONE "' I IV. PIPING INFORMATION CIRCLE & ,FABOVEGROUNDOR U ,FUNDERGROUNO, BOTH IF APPLICABLE A. SYSTEMTYPE A U 1 SUCTION .-.-: .. A ~ .;2 PRESSURE R U 3 GRAVI'rY.,.'~£'~:~[~'ATUf99;OTHER~;;I:-~,;-.7~.~i?,'~:~::L::.' *- B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED ~'.RENCl;'I ~,~'~.U 95 UNKNOWN i.i~,:~.U~:'o'r~lER. · C. MATERIAL AND CORROSION PROTECTION A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U.4' FIBERGLASS PiPE'.'~.::~~''. ":~ '-. A U 5 ALUMINUM A U' 6 CONCRETE A U 7 STEEL W/ COA:rI~ ~;'£~ ~'-':"~'U *~ 8'**'""~iO0%'METHANOL; ..... *"-' '~COMPATIBLE"'*' '' W/FRP " '-" UNKNOWN' ~ ') ?~A · ~' ~, ~ · ~,*~'~':'~'* ~ *,~ ~'+'~,~'~' ¢ ~,~"~:'~ '. ~' .- -', A U 9 GALVAN'I~i=D STEEL A U 10 CATHODIC PROTECTION A' U 95 ..', :r~':- .' ..... ,, , D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 ~TERS~T~L r:~9 UON~OR]Ne · . ...... '- ' V. TANK LEAK DETECTION '- ....· "-' [] 1 VISUAL CHECK ] 6 TANK TESTING [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING I [] 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN' ',":'~-!:~ :,~£':L~'.'~:g9 ;OTHER~'~L.' '. " VI. TANK CLOSURE INFORMATION · . .... 1. ESTIMATED DATE LAST USED (.MO/DAY,/:YR) 2. ESTIMATED QUANTITY OF (;,.., ./ / ./."/ ~ / SUBSTANCE REMAINING '< ~ALLONS I' ': INERTMATERIAL?'?" :: -..:'r I "~.i~.l TH/S FORM NAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MYKNOWLEDGE;"/S'.~tuE;AND CORRECT I APPLICANT'S NAME ..... :=- ' .... ~': ;~' :'"' I. DATE ~"~.:~:;:-~.:: ?~';~.~. z;......I · ' · '-:' ' - 't-,*v~''' ;~,"' -~'~ I , ~-~; -:~,~A/'~";~ ~ - '1 · (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY STATE I.D.# PERM,T NUMBER ~, (7~.~ ()//". THE STATE I.D. NUMBER IS COMPOSED 0FTHE FOUR NUMBER's'~'I~I::(~t~/' ' :;L~, ~;'~:~ ? .... COUN~ JURISDICTION~ FACILI~8 . :.:'.'.~t..~;.?t~ TANKe ..-..:? :.::, .L '. ,.~ ' . IPERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE . :A_~-~ :~.::::... ~,...·:,~!-~: ::. '- FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN ,F.! ~U~. D; ..":i~:!': .-;~.." '. ..:......,_. ~'. .- - . . A. [~' 1 MOTOR VEt:IDLE FUEL· ' [~ 4 OIL B. ":'J C.i.::._J,' . UNLEADED [] 2 PETROLEUM [---~'80 EMPTY [] 1 PRO[~uCT.' "r----I'lbPREMiUM "'L-'J'4 GASAHOL':~:[':[ I--"l 7 METHANOL ' ~ UNLEADED'" [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE '1'~ 2 LEADED "~1 99 OT~ER (DES~RIBI--'~iN I~EM D. BELOW D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A. III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD :~.~'~; : , ...- ,,. A. TYPEOF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UN. KNOWN .; .... SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) ' [] 99 ;oTHER ',. ; ,/~ ~ ,-~ ~,,. ~.:*~ -: , B. TANK [] ~ BARESTEEL [] 2 STAINLESS STEEL ' [] 3 FIBERGLASS '~[]: 4 : STEEL CLAD'. W/ F!BERGLASS REINFoRcED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM ..:.:... ~ [] 8 100% METHANOL COMPATBLEW/FR~P: (PrimaryTa,k) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] 1 RUBBER LINED I I 2 ALKYD LINING [] 3 EPOXY LINING' [] ..4 PHENOI:IC.~INING. ~..~.-~:-~:~, , .[. C. INTERIOR UNING [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES~ NO__. :. . D. CORROSION I I 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL W~AP... PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE .r--195 UNKNOWN ' 'r--'] ~9 OTHER '- ......... .-,~,~.'., ,, . IV, PIPING INFORMATION C~RCU~ A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE ';-:,¥:,~; ~[.~-'¢ '4~ r:~.' ~ ~ ~ ' A. SYSTEM TYPE A U 1 SUCTION . A,,,..U_ 2 PRESSURE J[ U 3 GRAVITY ;., A U g90THER..i.~ ,-..,.,......, =~ .~ . , B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL J, U 3 LINED TRENCH A U 95 UNKNOWN .~ U .~ 99 OTHER C. MATERIAL AND A U 1 BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVlNYL CHLORIDE(PVC)A U 4' FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE .~ U 7 STEEL W/ COATING .., A U 8 1~J~ METHA~NoL ~OMPATiBLEW/FRp PROTECTION 'A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN "A U."O~'OI~ER! ~"["' ''~' . · ~ 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER , D. LEAK DETECTION V. TANK LEAK DETECTION I I--~ 6 TANK TESTING [] 7 INTERSTITIAL MONITORING [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC :FANK GAUGING [] 5 ~ROU'I~DW~T~RMONITORING [] 91 NONE [] 95 UNKNOWN []. 99 OTHER VI. TANK CLOSURE INFORMATION · ,. -. --." · ~ ~ 1. ESTIMATED.DATE LAST. USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF . · 3. WAS TANK FILLED WITH ·~' YES [] ~' ? ? '~ ,/ ',/ / SUBSTANCE REMAINING GALLONS INERT MATERIAL ? ~ , · .... ~.~ ,.~,. ,,':~ ~_,, . THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BES'T OF MY KNOWLEDGE: IS TRUE AND CORRECT I APPLICANT'S NAME I DAT~ {PRINTED & SIGNATURE) = . . . .', . LOCAL AGENCY USE ONLY STATE I.D.# PERMITNUMSER FORM B (g-go) THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNIY # JURISDICTION # FACILIT~ # TANK # ':<:;_ ,~ ('5'(? .// PERMIT A~PROVED ,~,DA,E PERM,T EXP,RATIO. ~TE ~ . THIS FORM MUST BE ACCOI~ANIED BY l PERMII APPMCATION · FORM ~ UNLESS A CURREffi' FORM l HAS BEEN FILED. DBA OR FACIL~ NA~ WHEREyA~'%~NST~ED: I. TANK DESCRI~ION :, ~M~E~ALL~Eus:~ ~E~I~IFuN~ " .... ' A. OWNER'S TANK I.D. A. [~'i MOTOR' VEHICLE FUEL''f ~;L"~T:4 OIL ~ 74-~ ,;:, '.'B:.:~ '~ '2 PETROLEUM ' ' * * ~ ~ E~PTM ' ' '1 PRODUCT : -'~';',~RE'~J~: 3~{J~/~E'~E~[~'-~";:~''-~ ' ' ' ~ 3 CHEMIOALPRODUCT '.~ ~ UNKNOWN .' D. IF (A.1)IS NOT MARKED, EN~R NAME OF SUBSTANCE STORED '" UCTION MARK ONE ITEM ONLY N BOXES A, B, AND C, AJ~D ALL THAT APPLIES iN BbX I~ , 3 SINGLE WA~ WI~ E~ERIOR LINER SYSTEM ' ~ 2.SI.NG~E WALL .,, ~ . . . - 4 SE~NDARY CONTAINMENT ~AUL~D 2 STAINLESS STEEL ~ 3 FIBERG~S. B, TANK [] 1' ~IARE ~lr.~L **' MATERIAL [] 5 CONCRETE (PrimaryTank) [] 9 BRONZ~ 1~1 RUBBER'~INED' ' ~ 2 ALKYD LINING C,I~ERIOR ~ 5 ~ LINI~ ' ~ 6 UNLINED ~ LINING MATERI~ ~PATI~E WITH D. CORROSION ~ 1 ~L~LENE W~P PROTECTION *~ 5 C~THODIC PROTECTION B. CONSTRUCTION MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3. LINED ~-AI::NCH ' - '- A ~U." 95' UNKNOWN., ~:;'/;:"< ~;;"U- ' 9g 'OTHER" A U 1 BARE~H-I:;L A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U ,~,FIB~:RGLAgS;.P~PE :..,?';::-.-. ', -~ 'A U 5 ALUMINUM A 'U 6 CONCRETE .. "A U ,7..$~EE~.L:;~W{ ~..C?.A.T!NG ,~?~-A ~U;S.~lOO%,,MEll~tANOL~ MPATIR/I=w/~n,, [] ~ AUTOMAT~C LINE LEAK DETECTOR [] 2 UNET~HTNESSTEST~NG . [] 3 ~NrERSm~L -. :m't'b~ER~," ';;~ F;? ,;' ,',',:~. /:~,h--' ' ' MONITORING ~......,. ~ .... ::,.: :~ ~ ....-- .~ .,, V. TANK LEAK DETECTION [__~ 1 VISUAL CHECK · [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [---Ir' ~ ' ' '~ ..... ~ ' : ~ ....... ~'~~ ~ ~ '~'~ ~ '~ 4 AUTOMATIC TANK GAUGING' [~' 5 GROUND.WATER MONITORING] [] 6'TANK TESTING [] '7 INTERSTITIAL MONITORING [] 91 NONE' .,: ,~T~ 95 UNKNOWN~f:z~-~:;(~;-;¼.~,.gg~6:r~iER[:~:.: ~',::.,.~!-. ?~_,.. -/ VI. TANK CLOSURE INFORMATION ' ' ....... ' ,.'-:c! ~;.;~-~j SUBSTANCE REMAINING ' - ~LLONS THIS FORM HAS BEEN COMPLE~D ~NDER p~N~L ~ OF PERJURY; AND TO ~E BEST APPLICANTS NAME (PRINTED&SIGNA~RE) . . . ;.:~ LOCAL AGENCY USE ONLY STATE I.D.# PERMIT NUMBER FORM B (9-90) THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR ..... ~.., NUMBERS BELOW-~.~.~;: ~*~.rA*~.~ . "-.: ........ ,~, ~-- COUNTY# JURISDICTION# FACILITY# . . ~' .~':;:.~2~??~:~?;. ,F.~,~4~'~: . · . THIS FORM MUST BE ACne.lED BY A PERM~ ~PUCATION. FORM ~ UNLESS A CURREm FORM A ~ B~H~Fi~D:2?~;~ ;:-'.:,:'7 "/: ' ' ' .ONE C. DATE INsTALLED(MO/DAY/YEAR) 5/"~ /4~ / II.T~KCO~E~S -IFA-I~MAR~D:~MPL~ITEM ~ 3 CNEMICALPROD~T ~ ~ UN~O~ ~ 2 WAS~ ~ 2 ~DED ~ ~ O~ER ~SCRI~ IN ~M D. BELOW D. IF(A.1) IS NOT MARKED, EN~R N~E OF SUBSTANCE sToRED III. TANK CONSTRUCTION UARKONEI~UONLYINBOXES~,ANDC,~DALLTHATAPPLIESINBOXD _. A. ~PEOF ~ 1 ~UBLE WALL ~ 3 SINGLE WA~ WI~ E~RIOR LINER SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY CONTAINMENT ~AuL~DTAN~''' ~ ~ O~ER .... ' ~"~ 'V*'~"~'~"' B. TANK [] 1 BARE STEEL MATERIAL [] 5 CONCRETE (PrimaryTank) [] 9 BRONZE [] 2 STAINLESS STEEL ~ 3 FIBERGLASS. ,".[] 4'~TEELCLAD W/.FIBERG'~.~'~'REINFoRcEDPLASTiC [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM ~ ~1-~ 8 100% METHANOL,COMP. ATIBLE~W/FRp ~e¥. [] 10 GALVANIZED STEEL [] 95 UNKNOWN . [] 99 oTHER :. ''" C. INTERIOR UNING [] 1 RUBBER LINED [] 2 ALKYD LINING [] 5 GLASS LINING ~6 UNLINED IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? [] 3 EPOXY LINING [] 4 PHENOLIC LINING [] 95 UNKNOWN [-'-]' 99 OTHER YES __ NO__ , , ~ D. CORROSION ~ 1 ~L~LENE W~P ~ 2 ~ATING ~ 3 ~L WRY.;': ~4 *FIBERG~S REINFO~D PROTE~ION ~ 5 CATHODIC PROTECTION ~ 91 NONE ~ ~ UN~O~ ~' ~ ~ 'O~ER ' IV. PIPING INFORMATION C%RCLE A IFABOVEGROUNDOR U IFUNDERGROUNO, EOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION ~ PRESSURE A'U 3 B, CONSTRUCTION ~ ' . A U 1 SINGLE WALL DOUBLE WALL. .A U 3 LINED TRENCH. .~ . 'A U 95 UNKNOWN '".~ ,~,'"'~ A ~:U~,~gg*.. OTHER, C. MATERIAL AND I U 1 EArlE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE ..F,!BERGLASS. PiPE~ .* CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING . .A U 8 1=00% METHANOL,COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN I.' ~ ' A U'~ QTHER .,'C g '' D. LEAK DETECTION .~ 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3MONITORINGINTERSTITIAL · F--'] 99 OTHER ,~ 0~',.,: V. TANK LEAK DETECTION ,': .. ..~ ' ..... , . ~. ,.::. ,~ .:~;,.? ~ I [ ] 1 VISUAL CHECK F---I~ o TANK TESTING [] 2 INVENTORY RECONCILIATION [-~3 VAPOR MONITORING"~"4 AUTOMATIC TANK GAUGING []5 GROUND WATER MONITORiNG [] 7 'NTERSTITIALMONITORING [] 91 NONE []. u.oW. : . .... ": [] ':* VI. TANK CLOSURE INFORMATION I1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF 3'WASTANKFILLEDWITH~" YES [] NO [] 'GALLONS INERT MATERIAL ? . SUBSTANCE REMAINING FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNoWLEDgE, I"S'~:~'E AND CORRECT (PRINTED & SIGNATURE) ' LOCAL AG ENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW STATE I.D.# ERM,TNuMBER: t*' ,' .;, 0 / / __.., ~b ..- COUNTY # JURISDICTION # FACILITY # ' : : . TANK # FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION · FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. DBA OR:FACiLITY NAME WHERE TANK iS · DESCRiPTiON · , . COMPLETE ALI: ITEMS - sPECIFY IF UNKNOwN ·' C.. DATE INSTAll Fn (MO/DAY/YEAR) f '?, ' ' D. TANK II'.TANKCOh~ENTS -'"" ....... " ~ '"' ' "" ' ~ .... ? ; :~.~-~-~ IFA-1 IS MA~KED, COMPLE'~ I~MC. A. [~ 1 ,MOTOR VEHICLE FUEL· - r-~: 4 OIL: ' B. [] 2 PETROLEUM [] 80 EMPTY I~ '1 PRODuct "T-'F-~-:'lb..P..R.E_MLU_M"~;~--~',~.~ ~;,~..",~*'..¢;:~.~:~-r~,.7 METHANOL ' ~ 3 CHEMICAL PRODUCT [] 95 UNKNOwN [] 2 W . ' [ I 2 LEADED ; .r~ 99 OTHER (DESCRBE'"IN'I~-U~D Rl=lnW D. iF(A. 1) IS I~0T MARKED. ENTER NAME OF SUBSTANCE STORED TYPE OF SYSTEM B. TANK - [] i EARE~T~-t=L MATERIAL [] s CONCRETE (PrimaryTank) [] 9 BRONZE C. INTERIOR UNING JCTION MARK ONE ITEM ONLY IN BOXES A, B AND C. AND ALL THAT APPLIES IN':BOX'I~ 1 ~UBLE WALL ~ 3 SINGLE WA~ Wl~ E~ERIOR LNER ~ 2 SINGLE WALL ~ .'4 SE~NDARY CONTAINMENT '~AUL~DT~ .... ~ 2 STNNLESS,S~EL ~ 3 BERG~S ~ 6 ~LWINYL CHLORIDE ~ 7 ~UMINUM ~ I RUBBER LINED ~ 2 ~D LINING ~ 3 EPO~ LININ ' ~ 5 ~ LINING 6 UNLINED ~ IS LINING MATERIAL ~MPATIBLE WITH 1~ ME~NOL? ' YE8~ NO~. D. CORROSION [] I POLYETHYLENE WRAP [] 2 ,.COATING.. PROTECTION ~ '5'CA'I:~bDIC PROTECTION'[] 91 NONE [] g5 UNKNOWN IV. PIPING INFORMATION C,RCLE A IFABOVE.,,~NDOR U IFUNOERGROUND, BOTH IF APPLICABLE A. SYS~M~PE A U 1 SUCTION ' ' ~2 PRESSURE A U 3'G~VI~ ' : ~J..,~A-U.~'b~ER,, ~.~.:: :~L:.,.,;.~,~,~ ..,,,:,, ' B. CONSTRU~IO, ~ U. 1 SINGLE WALL C. MA~RIALAND A U ~ ~RES~EL PROTE~ION ~ ~ 9 ~LVANI~D S~EL A U 10 CATHODIC PROTECTION · ~ U. ~ UN~O~ :L~'~-U:'~,O~ER'~.~?-~::~ ,.,:,;:~;,,~,~.~'.... D. LEAK DETECTION ~1 AUTOMATIC LINE LEAK DE~CTOR V. T~K LEAK DETECTION 4 ~TOMATICTANK~UGING ~ 5 GROUND WA~R'MON~ORiNG VI. TANK CLOSURE 'NFORMA~ON SUBSTANCE REMAINING .~LLONS INERTMA~RI~? '.~ .: THIS FORM HAS BEEN coMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE,"I$ .TRUE'~AND, ~,OR/ IECT ' I APPLICANT'S NAME · . l_., · ',;" ":. :::-:~:.'1. LOCAL AG ENCY USE ONLY THE STATE I,D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELow: :, ~ ;"' '~ '~:~ ':~: ..... ' '"" ' ~, ..... . ... ~:,-'~.'~:,?:~.,.-,',...;~ . JURISDICTION # FACILITY #, , ?,.~'-.,.;'.~- .,.:~:~;~',? TANK ~ .' ?: ' '..-. ~ ;.-., :~ ::'-' ' FORM B (9-90) IPERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERM~ ~PUCA~ON · FORM ~ UNLESS A CURRE~ FORM A HAS BEEN FIND. "~:~ ;?~;:- :~ -., . OWNER'S TANK I.D.I ~ '~:~.~/;~:" ~;~"~ ~; ~'. T' ~-~, :':;::. :~:~Z:' v :1 ~.B. ~uFAC~RED-BY: ~:~~.~ Et ~.~ ~'~.' . ' I :' '"'' ~ ' ~ "- '~f' ..... ~:'~ ............... '-- -'~:)': '~ ~'~'7'~'~'-~' .-' ~," "1 [ C..DA~INSTALLED(M~AY~EAR) . ~/~~ :7~:- , I D'TANKC~AC'~IN'G~LONS:' '~ --~ r~~ .... r.~.?:.? :.,:.;. II./~A~U~IE~I~ IFA-11SMAR~D,~MPL~ITEMC. ' ". ~: ' ' _ ...... "' ;'~ ......... · : ~ ~'= 7' . E ~:~??:.~.~:~'L' 4"1-~ 2 PETROLEUM , [] 80 EMPTY~ I PRODUCT -'-'~1~] lbPREMUM . '~';~-.~-~-=~GA'~AH-O-L.~[,,~: "~. 7 METHANOL [] 3 CHEMICAL PRODUCT . [] 95 UNKNOWN [] 2 WASTE :"1 I 2 LEADED ....... [] "1~ 0TH'I~R ~)~CRl~'i.' ITEM O. BELOW D. IF(A. 1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, ANDC, ANDALLTHATAPPLIESIN'BOXD: :~ ~j': '~ ~': A. TYPE OF :~ 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER '~ [] 95 UNKNOWN. ...." SYSTEM 2 SINGLE WALL [] 4 sEcONDARY CONTAINMENT (VAULTED TANK)' ':F'~. 99 OTHER 2 STAINLESS STEEL ~ 3 FIBERGLASS'.:.::[~].'4 STEELCI~...'W/I~I~ER'GI~SsREINFORCEDPLAST1C B. TANK [] 1 .BARE STEEL MATERIAL [] 5 CONCRETE (Prima~/?ank) [] 9 BRONZE' C. INTERIOR UNING [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM -i-~ ,B !00% METI"IANOL:COMPATIBLEW/FRP [] 10 GALVANIZED STEEL [] 95 UNKNOWN ,. [] 99, 0.1'~'I,~R ?. . . [] I RUBBER LINED [] 2 ALKYD LINING [] 5 GI. AS~ LINING ~ 6 UNLINED IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? O. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING PROTECTION [] 5~ATI:IO~I~'pRO;~EmlON [] 9~ NONE [] 3 EPOXY LINING []' 4" PHENOLIC LINING*: ' :~ *' ' '~ ' [] 95 UNKNOWN [] YES__ NO__. . [] S VINYL WRAI~.'.':. [] ~, UNKNOWN . :.: [:~ '99 OTHER~- .~". ':-~-7, :i::., .~','.~7~. ",':/:.?:;~;:i: '- ;:"':' ~.* IV: PIPING INFORMATION LEA FABOVE~r~NDOR U IF UNDERGROUND. BOTHIFAPPLICABLE . . . ·.': ...... A. SYSTEMTYPE A U 1 SUCTION J~ U.~2 PRESSURE :A U :3 GRAVITY ' ' .... A U 99 OTHER = ~'~'~:~7~ ..... . B. CONSTRUCTION A U I SINGLE WALL JCl2 DOUBLE WALL A U S LINED TRENCH ;"/,A U "95'UNKNOWN :I(**~.A U.~99,0THER · C. MATERIAL AND A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A(~'~. F!BERGLASS~ PiPE ** . . · CORROSION A U 5 ALUMINUM, A U 6 cONCRETE A U 7 sTEEL WI COATING :"' ;,~'~"" IO0~'METHANoL'COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIc pRoTECTION · A U 95 UNKNOWN .;, ~'A U, :99 OTHER,. ?~ D. LEAK DETECTION ~ AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING: [] 3. MONITORINGINTERSTiTiAL . [] .99~ -OTHER. ' --:E' ~' * :~ ' ~::~2 ~: ' ;. I [] 1 VISUAL CHECK L~ 2 INVENTORY RECONCILIATION [] 3 VAPORMONITORIN 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONITORING r-'-~ 6 TANK TESTING ['---I. 7 INTERSTITIAL MONITORING [] 91 NONE [] ~ ·UNKNOWN ':" "*~'* ~:'[];99",.O."~-{E~', : ,,. VI. TANK CLOSURE INFORMATION -,, . .:.'.?.". I 1- ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OFSUBSTANCE REMAINING .GALLONS'r3' WAS TANK FILLED wlTHINERT MATERIAL ? '*YES ["-~' NO [], THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KN6WLED G~,! ~$'.7~- AND OORRECT ' r APPLICANTS NAME DATE ' (PRINTED& SIGNATURE) *' ~ *' I LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY #JURISDICTION # FACILITY # "· ' ' -' TANK # STATEI.D.# ~ [.::',.I;._,1I.ETI Eldd/I/1 · PERMITNUM.ER.-~,..~:/f.r? / t ~ PERMITAPPROVEDBY~ATE PERMIT EXPIRATION DATE .' FORM B (~) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. TO : FROi~f : Memorandum · KERN COUNTY Telephone No. Sus.N~CT: J~'O o// I/ _~f ., . , .:., ., .~ ~ j ~--j/ ~ District 6 / " ................................ ~ 1352 West Olive Avenue P.O. Box ~26~6 Fresho, CA 93778 KC 96-5004 Larsen Boyer Engineering Services Hazardous Waste Investigation (209) 488-4378 ATSS 422-4378 FACILITY: ADDRESS : PERMIT FILE CONTENTS SUMMARY ENV. SENSITIVITY: Activity Date # Of Tanks Comments Facility Name Inspector ~_,~/~L~ Date PINAL INSPECTION CllEC][LI~T N Plot plot p~sn note. _~ ~ V. ~- ~¢'~,. ¥e~ All new and existing tanks located on plot plan? 2. Does tank product correspond to product labels on plot plan? 3. Was there no iodifications identified which were not depicted on the plot plans? If "No" described No 4. Are monitoring wells secure and free of water and product in sump? 5. Is piping system pressure, suction or gravity? Yes 6. Are Red Jacket subpuaps and all line lee det tot accessible? Type ut line l~eak detector If any ~ ~ ?. Overfill contalnaent box as specified on :.~pltcatlon~ If "No", what type and nodel nunber: No a) Is fill box tightly sealed around fill tube? b) Is access over uater tight? c) Is product present in fill box? Identify type of monitoring: a) Are manual monitoring lnstrunenta, product and ~ water finding paste on premises? b) Is the fluid level In Owens-Corning liquid level monitoring reservoir and alarm panel in proper operating condition? c} Does the annular space or secondary containment liner leak detection systec have self diagnostic capabilities? If "Yes", is it functional If "No", how is It tested for proper operating condition? 9. Notes on any abnormal, conditions: Standard Compliance Check Equipment ~o be Installed: Tank(s), Ft. of ~Suction ~.~ ApprOved "~Pressurtzed [~]Gravlty, Proof Of Contractor's License - License ' ~/~ Type of License ~ Proof of Contractor's Worker's Compensation Insurance Pr im~'ry Containment ~Fiberglass (FRP) O Flberglass-clad steel ~']Uncoated steel ~']Other: Comment: CT $oo/1 Piping Make & Model Make & Model Make & Model Make & Model Additional: Inspection: Sec~o~x{ary Containment of Tank(s) L_~Oouble-walled tank(s) Make & Model ~/C__ Synthetic liner Make & Model ~-]Lined concrete vault(s) Sealer used D0ther Type Make & Model Comment: Additional: Inspection: Secondary Containment Volume at Least 100~ of Primary Tank Volume(s) Comment: Additional: Inspection: Secondary Containment Volume for More Than One Tank Contains 150~ of Volume of Largest Primary Containment or 10~ of Aggregate Primary Volume. Whichever is Greater Comment: Additional Inspection: ApProved Secondary Containment Open to Rainfa]! Nust Accommodate Hour Ralntal! Tota! VoJume - _ Comment: Additional: Inspection: Secondary ContaJnment is Product-Compatible Product ~-~ ~_. Comment: Documentation Additional: Inspection: Annular Space Liquid is Compatible with Product Product Comment: Annular liquid Additional: Inspection: Prlmary~./Contalnment of Piping ~Pibergiass piping DCoated steel piping DUncoated steel piping ~Other Comment: Additional: Inspection: Second?.~y Containment of Piping I-~DoubIe-wailed pipe ~]Synthetic liner in trench E]Other Comment: Size & {lake Size & ~ake Size S,ze & )lake ~/~.0,,~, ~" Size & Make Additional: Inspection: Corrosion Protection E]Tank (s) [~Pl'ping & fittings DElectrIcal Isolation Comment: Additional: Inspection: Manufacturer-A~proveOd Backfill TYpe ~ ~/~ tot Tanks & Piping , ~' -- Comment: ~eq'd ApprOved Additional: Inspection: Tank(s) Located no Closer than 10 Feet to Building(s) Comment: Additional: Inspection: Complete Monitoring System Monitoring device within secondary containment: [~Liqutd level Indicator(s) [~Llquld used ~]Thermal conductivity sensor(s) ~-lPressure sensor(s) saCUUm gauge ump(s) ~L~o~,~ Flo~-~ o Gas or vapor detector(s) Manual Inspection & sampling sual inspection Comment: ~ ~'-~- ~ L~-7 Additional: Inspection: Other Monitoring ~]Perlodic tightness testing Method essure-reducing line leak detector(s) her ~ Comment: Additional: Inspection: Overfill Protection _ ~F~Pe float gauge(s) oat vent valve(s) c~a7 ~-~ ~/~ ;',F,~'~-~ ~! ' ' - . ,~ ~'~ [-]Capacitance sensor(s) [-]High level alarm(s) / utomatlc shut-off control(s) 111 box(es) with -- 1 rt. 3 volume [~Operator controls with visual level monitoring Other Comment: - 3 - Approued Additional: ~nspectlon: Monitoring Requirements Additional Comments Inspection: Inspector Date - 4 - ~xtra I~nspections/Relnspectlons/Consultations Date: Purpose: CoBaent: Date: Tike Utilized Purpose: Collent: Date: TIBe Utilized Purpose: Coaeent: Date: Tile Utlltzed Purpose: Coalent: Invoice Date: Inspector Tlee Utilized Total Tl~e: Date: - 5 - KERN COUNTY HEALTH DEPA~NT ENVIRONMENTAL HEALTH DI ' JN HAZARDOUS SUBSTANCES SECTION .,INSPECTION RECORD POST CARD AT JOBSITE CHEVRON SERVICE STATION#9-0705 FACILITY PERMIT ADDRESS 9700 Rosedale Hi hwa CITY B~%kersfield CA 93308 PHONE NO. ~ --,Kern County Environmen~.ai ]ealth Services Department 2700 "M"' Street, Suite 300 Bakersfield, CA 93301 (805) 861-3636 # 380011C~ OWNER . CHEVRON U.S.A. INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. DO .~OT cover work for any numbered group until all Items in that group are signed off by the Permitting Authority. Following these instrutions will reduce the number of required inspection visits and therefore prevent assessment of addJtional fees. INSPECTION~ - TANKS & BACKFILL - PIPING SYSTEM - & Racewa w/Collection Sum Test of Pri Pi in w/Soa Test of Second~ - SE~CONDARY CONTAINMENT OVERFILL PRO Level 'loat Vent Valves Product 'roduct Line Leak~ Leak Del )ace-D.W. Lockszn Re uirement ~ ntout - FINAL - CONTRACTOR California Petroleum Equip., Tnc,LICENSE # 432613 A CONTACT Bryce Ruschhaupt PH # ...(209/ 276-1881 KERN COUNTY IF II IR IE ID IE PA\ IRT M IE N T 5642 Victor Street ' Bakersfield, California 93308 Telephone (805) 861-2577 I Plans have been checked in accordance with: FIRE CHIEF THOMAS P. McCARTHY ADMINISTRATIVE DEPUTY CHIEF SCHUYLER T. WALLACE OPERATIONS DEPUTY CHIEFS DANIEL G. CLARK CHARLES E. DOWDY CHARLES A. VALENZUELA ADMINISTRATIVE SERVICES OFFICER NORMAN R, BRIGGS TYPE CONSTRUCTION: ( A U.F.C. 19 ZZ ( ) Title 19 FLOOR AREA: ACTUAL ( ) U.B.C. 19~ ( ) Title 24 ALLOWABLE: ( ) OTHER: OCCUPANT~..LOAD:. COMPLIANCE LIST: Protect/ng Th~/Golden E'rnpire ~ Permit Application Checklist Applicati~ Category: _A_ppro~ed Standard- Design (Secondary Containment) Motor Vehicle Fuel Exemption Design (Non-Secondary Containment) Permit ~pplication Form Properly Completed Deficiencies: ~~ qopies of Plot Plan Depicting: Property lines Area encompassed by minimum 100 foot' radius around tank(s) and piping I All tank(s) identified by a number and product to be stored Adequate scale (minimum 1"=16'0" in detail) North arrow All structures within 50 foot radius of tank(s) and piping Location and labeling of all product piping and dispenser · ·islands Environmental sensiti'vfty data inclUding: *Depth to first groundwater at site -~_.~O ~-/- *Any domestic or agricultural water well within 100 feet of~ tank(s) and piping ~ *Any surface water in unlined conveyance within 100 feet of tank(s) and piping ~ *All utility lines within 25 feet of tank(s)and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemption from secondary containment Comments: Approved 3 Copies of Construction Drawings Depicting: -- ~'ide Vi6~ ~f Tank Insfal'lation with Backfill, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top View of Tank Installation with Raceway(s)', Secondary Containment and/or Leak Monitoring System in Place A Materials List (indicating those used in the construction): Backfill Tank(s) Product Pipin'g Raceway(s) Secondary ~ Lea Detector s) Over~ Gas or Vapor Detector(s) Sump(s) ------- "--'----------'- Documentation of Product Performance Additional Comments Reviewed Disapproved Date Inspector Date RANDALL L. ABBOTT DIRECTOR DAVID PRICE II! ASSISTANT DIRECTOR Environmental Health ~en~ces Department STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control District WILLIAM J. RODDY, APCO Planning & Deveiopmen~ Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY FACILITY Chevron Service Station #9-0705 9700 Rosedale Highway Bakersfield, CA 93308 PERMIT NUMBER 380011C 3. 4. 5. 6. OWNER(S) NAME/ADDRESS: Chevron U.S.A. 2410 Camino Ramon San Ramon, CA Phone No. (415) 842-9500 CONTRACTOR: California Petroleum Equip., Inc. P. O. Box 9364 Fresno, CA 93792 License # 432613-A Phone No. (209) 276-1881 X NEW BUSINESS PERMIT EXPIRES May 3, 1992 CHANGE OWNERSHIP RENEWAL APPROVAL DATE Mmv ~/~1 ~ OTHER APPROVED BY Chris Fin~erg ~. HazardousIMaterials Sp~ist .............................. POST ON PREMISES ...... ........................ CONDITIONS AS FOLLOW: Standard Instructions All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. Permittee must contact Permitting Authority for on-site inspection(s) with 4g-hour advance notice. Backfill material for piping and tanks to be as per manufacturers' specifications. Float vent valves are required on ventA, apor lines of underground tanks to prevent overfilling. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 Standard Instructions Permit No. 380011C 11. 12. 13. Ail underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. Primary and secondary containment of both tank(s) and underground piping must not be subject to physical or chemical deterioration due to the substance(s) stored in them. Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to construction. The vacuum gauge for each tank must have a secured access point for periodic leak monitoring and for vacuum system. maintenance. The following equipment and materials must be identified by manufacturer and model prior to their installation: __ Tank secondary containment automatic monitoring system(s) Sealer used to secure fill box(es) No product shall be stored in tank(s) until approval is granted by the Permitting Authority. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. Monitoring requirements for this facility will be described on final "Permit to Operate." ACCEPTED BY: CF:cas k380011C.ptc 2700 UN# loatioa Data:_ ~__~ICATION__]~0~ iPI~R~i? TO OpR~TB ~ND~RGROU~6 Type Of ]~untnean Icheck)t ~9asollne 8~ation ~Othe~ descttb ..... " '" lo Tank(s) Loioa~e(I Oil An Aar~Ultuenl ~---~ ~ ~. ( ~ e) ............ ~ .... T R 0,~ . ~_ . .... = _~ r at Cross St. =.~Z~.~. · ank Owne~__~!~a~~ ~ /~ . Contaot P so Address ~ ~~,~_~';~. ...... er n. ~.~/~ iddro8o ~ ~e~ ..... Contaot Person .~ ...... ~ =. , . ..... ~~_~/~ Zip -~_ ff~ ~ ~.,, Telephone Water To P:a~ilt'~y Provided ay ~~~ ~ 'De-t ...... ~ -~ con r Address .~/:, --,~;:;-~ ~. ~ ~ ~/ .-- ,,~,, ~A ~on~aoto~a License ~e, ~.~ '~~-- ~-~ ~: Y lip ~ ~-/~ ~. Telephone Proposed 8tart/st :Data .~:/~ ~ . PropOsed Completion Date Worker* 8 Co~pefl, a.tion CerI:I F.lcatlon,NOt . /~, ~/~ ~. '~ Insurer I~ ~ls Pet'~dt .If ~o~ Modification OF An ~xt~tln~' Faolllty, Briefly Desorlbe Modifioa'~lone .Proposed _~ ~, ~~ ~./~ ~. ~;~r=~.~~.e~/.!~~ .. Tank(n) I~t~e (c'he,ok ail that apply)= fuel ..... D D O O ~hsnleal ~o~,~oattion Of Nats~tals Sto~sd {not nsoess~t~ ~o~ noto~ Tank ~ ~~l~j~i~jno~.~ommerotaI na~e} ~..{.l{.known) Chem~nal P~evlousl~ ~tore~ ....... - ...... , ....... ao=ept fully all obligation, o~Permit-~o, --.----- issued to modify 0~-~----~. I understand that the Perm/ttln~ Authority may review and _. ...: · C .~n!aab$ the transfer o~ the Permit .to ~erate this underground .storage faoiil£y U~o~ r'ece:tv/ag this completed.form. Thin form has bDen .c*~n~ple~;e~der penalty .of Perjury and. to the best of my knowledge Is true and oorreot~ · ..... ~ .z_~_ ~ .... /~,,~,~ _. /_. IClilt~ u 0 10. 22. ( ) Vaulted ( ) Non.Vaulted {~lDouble. Wall ( ) Sinfle.Wall. '( ) ~r~ Sled ( ) Staldess Sled ( ) Pol~ eND,de' ( ) Fibe~lass~ad'S~e~ ' ~ ~lbergleos.Re~orced Plas~c ( ) Concrete ( ) ~um~ ( ) BronH. ( ) Un~o~ ( ) O'~er E~mat~ Contnl~ent . ' Dale Tint, led ~Ic~ell Onches) ~pacf~' (Oal]o~} M~ufac~et ~ DoubN.W~ ( ) ~eec :~er. ( ) ~ed VaSt ' ' ( ) None . (} U~o~ C) R~:bb~ C) ~yd () Epo~ () Phenolic .C)Glue ()Clay ~UN~ed. ( ) 'O~d~d. M -P~erglass.~ ( ) lPolye~ene Wrap ' ( ) V~yl'Wrapp~ () Te~ or ~phgt. {) U~o~ {'~ None (.) O~er {des~e)~, . ~Llc P~te.c~ ~ None { ) Impressed C~ent S~tem ( ) Sa~cf& ~de S~tem Oes~e.S~m ~d Equipment: ' .._.. _ ,, ~,ete~lon=Monito~n~. and lnterceo~on a. T~: ( ) VIa~ (vaulted t~ o~ { ) Om~dwat~ Monfto~g. WeHCs) ( ) Vedose ~ne Monfto~ Well(s) ( ) U.Tube Wf~out (). U-~be ~ compa~ble L~er O~c~8 Mow to Monfto~8 Weli(e)e ' ( ) Va~r Detector* M Uqufd ~& Sensor* ( ) ~ndu~ ' { ~ .~e bnsor ~ ~n~ Space of Double W&I T~* ' ' M Daffy ~au~f & Invento~ Recone~la~on .. ( ) Pe~odlc ~mes~ Plow. Res~c~g Le~ Detecmr~) for Pmss~Ud P~P~g~'~.. M M~fto~f s~p. ~ ~eew~ { ) Se~ed ~n~te ( ) Hdf.~t C~pi~le Pl~ ~c~ay { ) ~e~c ~er hc~ ( ) None ~i~ ~ls T~: ~ ~hmess Tested? M Yes ( ) No ( ).'.U~o~ O~:te of LaK Tf~mesl T~t, Res~ of Test Fr~e .. ' · Te ~I Comp I ii i ~ il DefaCe) ~ Repair(1) · ~ INo Unknown Tape ~ont ~u~e ~ ~oat Vent V~s ( ) Auto ~ut-O~ C~pa~ce S~sor ~ ~ed F~ ~x ( )' None ( ) U~ ~d.~d Plp~: ~ Yes ' ( ) No () U~o~ Mate~ '~ P~ ( ) $ucffon ~ Gra~ ~Pro~a~ ~ of Pi~. R~ l ( } G~enl~d ~ Fibe~as~.~ C ) lmp~ ~t (). 'Sa~ ~ode ( ) Po~ylene Wrap ( ) Elec~c~ Isoia~on { ) ~ W~p . ( ) T~ ~ ~t' ( ) U~o~ C ) None ( ) 0~ {des~): ., · 2d~d Pfp~& Second~ Conu~enc. ~" ~ ~b~e-W~ . ( ) ~e~e ~ ~tem ( ) No~ ( ) U~ C ) Ot~ (deStane): . ( ' t 10. Carborl Steel $ · . · Ct4 C } tairdess Steel ( ) Polyvinyl C~Tortde' C ) Fib~ 'less.Cfa C ) O'd~er Cdesmbe) . . 3. EKJJZhlJ',' Containment . Date lJ~st~J]led . - Thl¢~.ess~nches) Capacity' (Gallons) ManufactUrer '() 0~,. {,da~be)~ ' ' ' ( ~ ). ~ (des~Jbe). . s { ) Clay · ~~ . . , { ) 'Ch~d M F~-gla..~ C ) .Polye~ene Wra . ( ) l'e~ or ~ph~t . C ) u~o~ . C) None · .... ~- ( D~sm~e.~ ~d Equipment: ' y caeca ~ent e~tem C ) sac~cf~ e. T~: {) Vfeu~ (veuhed t~ o~ C ) O~dW~ter ( ) Vedose ~ne uo-,. .... · .......... ~onito~g. Well ~ ~. - · mm corn a~bie L ~ . : · P ~er D~c~g Flow m ~onito~ W . · r~l~ t,~c ~ ~Shmes. Tested? ~ Yes (.) Taj)e R.t)at :~,ge ~ Float Vent , ( } Auto ~ut-O~ ~ Ca;,ed~ce S~or~ ~ed P~ ~x () None ~de~d pip.g: ~ Yes ' ( ) No ( ) U~o~ Meted~ b, Und:~d Pipes Co--ion Proce~: ( } O~enl~d ~ Pibe~asa.~ f ) ;mpms~ ~t ' ( } Pe~ylene Wrap C } glec~e~ lsoia~on { 1 V~a '( )' ( ) None ( ) 0~ Cd.~): _ . () O'~er (desm~) ~ ~ ~o.~re~e () Aluminum () tlro~ ,~,~"~" :3. i~cknas-~ Cam;lnmen; , . : ..... ,, ,,-,:~e' ( ) ummown ' DatelnstaHed ' ~ ThlcknessClnche,) Ca~ w' ' --- _ ....... -'r./.,~)' .~cf.. (OGJlorui) Man--'--~' ' 4, ~ ~"~- /~ c~ o o ,~c~ . ' ~)uble.W~ () S~e~c L~er. ( ) ~ed VaSt ( ) ~e C') 'ol~ Cdes~Jbe):' ( ) po~ C) Phenolic . C ) ale, C } aay ~ U~ed ,, .-. Desire 8~ ~d E ui-me ~ J' s~pressed C~ent S~tem ( ) Sa ~ ' · ~ ) Vadose ~ne Monlto~e ~.-,.~ · ...... ark Monlto~g. ~.u--~uoe~Co ' o~ ' ' . . . . , . mpadble :~et D~c~ . . ( ) Va~)r D~eete~ ~ U~..,~, .... ~ ~ow to Monitors Well~slt . . . ~ ] .~s~e ~or ~ ~n~ S ..... - .... ( ) ~ndu~ S~o~ ' " . f 'i ' ~ ': · ~T°,.. ~.,..m~ ~econculauon ( ~ n.~.., .... e. ~ ~esmc~3 be~ Detec~t~) for P~Ss~d pip,ge :. ' ' 10, Dese~eRepa~ . ' ' . ' . . ~) Yape ~oat ' Ca md ~ Noat Vent V~s ' ' ' ' ~ ' , , · ~ *~w~ , , __~~ Ust M~e & M~d for ~o~ ~d.e~d plp~F ~ Yes ' ( } No ( ) U~o~ Mate~ R E C E I PT PAGE 10/30/90 4:05 pm KERN COUNTY PLANNING & DEVELOPMENT 2700 'M' Street Bakersfield, CA 93301 (805) 861-2615 Invoice Nbr. Type of Order 41700 CASH REGISTER CHEVRON RESEARCH Customer P.O.~ I Wtn By JOrder Date I Shffp Date H1030903 I ADJ I 10/30/90 I 10/30/90 Line Description Quantity 1 PERMIT TO CONSTRUCT (PER FACILITY) 1 I?OA Via I Terms OD I NT I Price Unit Disc Total 350.00 E 350.00 Order Total 350.00 Amount Due Payment Made By Check 350.00 350.00 THANK YOU! 10/30/90 Invoice.Nbn. 1 41700 4:05'pm KERN COUNTY PLANNING & DEVELOPMENT ..... · 2700 '~' Street Bakensffie]d, CA 93301 TyPe of Order W (805) 961-2615 CASH REGISTER CHEVRON RESEARCH Customer P.O..~ t Win By' Omder Date H!030903 I ADJ 10/30/90 Line Descciption · I PERMIT TO CONSTRUCT rPER, FACI'~iT'F) 170A Ship Date ] Via 10/30/90 Quantfty 1 Payment Made· By. Check DD .- ' Price Unit Disc ...... Total 350.00 E- 350.00 Order Total ' '.'3-50.00 Amount!Due 350.00 .. L. 35'0~00 HANK YOU ! RANDALL L. ABBOTT DIRECTOR DAVID PRICE Iii ASSISTANT DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT July'lO, 1991 Chevron U.S.A. P. O. Box 5004 San Ramon, California 94583 CLOSURE OF 4 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT 9700 ROSEDALE HIGHWAY IN BAKERSFIELD, CALIFORNIA. PERMIT # A1348-38/380011 This is to advise you that this Department has reviewed the project results for the preliminary assessment associated with the closure of the tanks noted above. Based upon the sample results submitted, this Department is satisfied that the assessment is complete. Based on current requirements and policies, no further action is indicated at this time. It is important to note that this letter does not relieve you of further responsibilities mandated under the California Health and Safety Code and California Water Code if additional or previously unidentified contamination at the subject site causes or threatens to cause pollution or nuisance or is found to pose a significant threat to public health. ' CHRIS FINBERG, HAZARDOU~ATERIALS SPECIALIST CC: California Petroleum Equip., Inc. P. O. Box 9364 Fresno, CA 93?92 2700 "M" STREET, SUITE 300 BAKERSFIELD, CAL~FORNL~ 93301 (805) 861-3636 FAX: (805) 861-3429 cE REGION SR-2410 CAMIN0 RAMON ~' ~ P.O. BOX ,5004 ... SAN RAMON, CA. 94583'-0804 (STRFE-r: ~4~0. CAMINo RA~ON) MAIL ADDRESS: TO: £hevrO DATE: FAX NI~M~ER: ~~ ~ F-- FROM: Lu~,~ R. Cho~ NO./BLDG. NIYMBER OF PAGES INCLUDiNG COVER · o ~.~ ~ ~~ _ ~ (41 Form Appro{~d OIdB NO. 2050--00~, (Expirss 9-30-gt)~..~ Please pdnt or type. Form designed for use on, qtch typewriter). M HAZARDOU WASTE MANIFEST-,'~ 3. Ganerator'a Name and Mailing Address -2410 Cama~ '~-a~u, S~ ~, CA 94583'0804 4. Generator's Phone · 7. Transpolar ~ ~pany Name ....... ~. Designated Fa¢il~ Name and Site Addrsae ~1. US DOT Descjipfion (inc uding Proper Shipping N~me Haza~ Class and D Number) ' O. and Front of P;~- 7 Toxk: Substances Con/roi Divinion i SaCramento, California ~in the shaded arsaa of ], ia not required by Federal law. 12. Containers · ~:.. 13..Total .. . Quantity ; .~-o-.oo, and l'~c~e fi~ry & Ca~i~¥,' ]~p.e~afie.td' CA ..... .... GE.NERATOR'S CERTIFICATION: I hereby declare that the contenta of this consignment are fully and accurs/el d~ac ' ano are cmsaified packed marked and labeled and are in all re ' Y' Jibe . . national government regulations. , . . ~ apecta m proper condition for transport by hinhwa ..... .e~_a_b.o_ve by..pr.o.per, ah~Ppmg name .... - , -~,.~,u,,,~ [o appllcaole intemationaland If I am a large quantity generator I certify that I have a = ' " ' ' ' ' ': ' .... :"~ · -' ,~ .~.-',. -' ' ~ · ..;.':~.';:'.:.';..~. '0 be economically practicable a~id that l have aelect2dPt~grsm i.n. place tO reduce the volume aild toxicity o, waste ...... '-: ' '-' ' ':.':~;~,:'..." present and future threat to human health an,~ --- - e Prs~jcable method of treatment ators'ae ,~, a; ..... , _.y~_,,_~:.,=d .t.o.t.he:degrse I have detei~l~ · ,, -,~ environm · . " - -- ~, ~-, ~mrenily avanaale to me which mlmmlzs · generahon and select t ant OR if I am a small quanhfy generator ~ the beat waste management method that ia available to me and that I can affo,~I have made a good faith effort to minimize my ~ed Name [ ,' -:-.-.: . ....:.., · · ... ..: ..... .~ . ....}.,~;~ 't Month .os Yeer 17. Transporter 1 Acknowledgement of Receipt o! Mater/als /Typed Name ransporter 2 Acknowledgement of Receipt of Materials Name 19. Discrepancy Indication Space Month Day Year Month or Operator Certification of receipt of hazardous m~e tp a~ n/~ed in Item 1 . · . ' · Name" : ' ' Month Day _ . , '87oo-22 ,D° Nof~r~ Below This line /-~----~' ~ ..: 6-89) Previous editions ars obsolete. II : TSDF SENDS THIS COPY TO GENE~TOR WITHIN 30 DAYc end .Welfare Agency IFEST.~: .'~ ~7~'~'7 :/...See Instructions on Bacg ot Page of '1'i:~ ~'~' b~r~l~tl~n '~Ci~J~n~mPer'sh Ppino' Name Hazard C aaa · : $.: ..:.,~!: :::..,'. 6.,: ., ',. US EPA ID ·Number -.: ~,~,: : ;!!~':~ii:: :. 8.- ~/,::.'US EPA ID.Number :~:.": ~;10. ';~.~:~-:~=US EPA :::,'.: -?. :'.fi," ' ..... " >'.~' · .12 Containers :!.: ..- Depertmem m tSealm ~en~lcea :~. Toxic SubstanCee ~ontrol . . .., . _..Sacramento, Information In the aha~'~reaa Is not required by F~lem~ Jaw.' · . Quantity ~ and Additional '::::'S ~;,'"':': "~" · :"!: .-'".'. -- ' .... ' .'- :'; :: -' : ......... '~ . . :. OENE~ATO~'S CE~FICA~N: . I hereby declare lhet lhe contents Of thi~ consignment ere fully and accurately described a~ove by p~°per .:.~:.~,f, .m'. ~'q~.m~'~;~;,t'~: i'~,~ ihLt'~ ha~e a 'prog~.~'in pi.~o ~o ~d.ce the ~oi.~ a.d toxicity of ~.ete :::'~;:.~ be 'ic~nomical~ pra'cticable and thet I have SOloed the predicable methd of treatment, storage, or disposal cu~ent~ available lo me ~ich minimizes present and future threat tO human health and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize ;generation and select the beat waste management method that ia available to me and that I can afford ,, . .. ,~:. Name · . ../ /,:.. . · ~. 17. Transporter ! Acknowledgement of Receipt of Materials Name 18. 2 Acknowledgement of Receipt of Materials 19. Discrepancy Indication Space lSignature Facility Owner or Operator ~-.erlification of receipt of hazardous meteria!s covered by this~ept as noted in 8022 A EP,A 8700--22 ' (R"v. 6-89) Previous editions are obsolete. Do of Write Below This Month ::. Day ~... . Year. . .- ......::?>. ~:.:.:, Month ,:Day Month Day .. Yellow: TSDF SENDS THIS COPY TO GENERATOR WiTHIN'3~)"DAYs Chevron Chevron U.S.A. Inc. 2410 Camino Ramon, San Ramon, California · Phone (415) 842-9500 Mail Address: RO. Box 5004, San Ramen, CA 94583-080,~ Marketing Operations R, B. Bellinger Manager, Operations S. L. Patmrson Area, Manager, Operations C. 6. Trimbach Manager, Engineering TANI~ REMOVAL SOIL SAMPLING CHEVRON STATION//9-0705 NWC ROSEDALE HIGHWAY/CALLOWAY DRIVE BAKERSFIELD, CALIFORNIA Project No. E91-090 June 10, 1991 Prepared for: Chevron U.S.A. Attn: Mr. Jim Sampson P.O. Box 5004 San Ramon, California 94583-0804 (415) 842-9529 Prepared by: Krazan & Associates, Inc. Environmental Division Office 4816 E. Shields Avenue Fresno, California 93726 (209) 453-9637 krazan & associates, inc. engineers, geologists, environmental specialists KRAZANi Construction Testing and Inspection Geotechnical Investigations Environmental Engineering Laboratory Soils Testing Monitoring Wells ASSOCI fES, INC. June 7, 1991 Project No. E91-090 TANK REMOVAL SOIL SAMPLING CHEVRON STATION//9-0705 NWC ROSEDALE HIGHWAY/CALLOWAY DRIVE BAKERSHELD, CALIFORNIA INTRODUCTION In accordance with your authorization, we have completed the sampling of soils for chemical analysis at the above-referenced site. The sampling took place after removal of two 10,000-gallon and one 5,000-gallon gasoline tanks and one 1,000-gallon waste oil tank. The former sen, ice station, pump islands, and piping have been removed. The results of the sampling and analyses are detailed in this report as follows. _SITE DESCRIPTION The project site is located in the southeast 1/4 of Section 19, T29S, R27E of the Mount Diablo Baseline and Meridian. Specifically, the subject property is located at the northwest corner of Rosedale Highway and Calloway Drive in Bakersfield, California. The site covers less than 1 acre. A Texaco Mini-Mart occupies the lot to the east. At the time of sampling the site was paved with asphalt and concrete. Main Office.. Fresno/Clovis · 3860 N. Winery · Fresno, California 93726 · (209) 291-7337 Bakersfield (805) 393-2343 i~ California (800) 233-5050 .~ FAX (209) 291-5010 _GEOLOGIC & HYDROLOGIC SETTINC Project No. E91-091 Page No. 2 The topography of the site is relatively level. The site is located within the San Joaquin Valley, which is situated between the Sierra Nevada Mountains and Coast Range of California. The San Joaquin Valley makes up the southern portion of the Great Central Valley. Unconsolidated materials found in the vicinity of the project site are generally composed of alluvial deposits made up of sands, silty sands, and silts with some minor clays and gravels. The source rock for this material is primarily granitic and methrnorphic rocks located in the Sierra Nevada Mountains. The deposition of these alluvial sediments began to take place in the Late Cretaceous age (100-65 million years before present). The majority of the San Joaquin Valley was covered at that time by epeiric seas. Epeiric seas were shallow salt water bodies which were generally situated on the continental shelf or within the continental interior (inland sea). Sediments currently at or near the surface are believed to be of Quaternary age (2 million years old or younger) alluvium derived from the nearby Coast Ranges. Major faults in the vicinity of the project site are situated along the eastern edge of the Sierra Nevada Mountains, the San Andreas Fault Zone, and the White Wolf Fault. The san Andreas Fault Zone is located along the Coastal and Diablo Ranges to the west. According to the 1973 photorevised U.S.G.S. Oildale, California, topographic quadrangle map, the project site is located at an elevation approximately 380 feet above mean sea level. ' The project site is located within the San Joaquin Valley Hydrologic Study Area, which is primarily an arid and semi-arid environment. Within the study area, 39 groundwater basins have been identified. Storage capacity is approximately 570 million acre-feet; useable storage totals 80 million acre feet. Fresh-water bearing deposits, comprised dominantly of alluvium, have a maximum thickness of 4,400 feet. Specifically, the project site is located in the Kern County Basin, which is bounded on the east, south, and north by the Sierra Nevada foothills, Tehachappi Mountains, and Coast Ranges, respectively. This basin is experiencing an overdraft problem in which the static groundwater levels are increasing in depth due to extensive pumping of the upper unconfined aquifer for agricultural use. The depth to groundwater below the project site may vary seasonally. According to Plate 5 of the "Kern County Water Agency 1988 Report on Water Conditions, Improvement District Number 4" groundwater in the vicinity of the project site can be interpolated to exist at a depth of 100 feet below existing grade. KRAZAN & ASSOCIATES, INC SAMPLING & LABORATORY TESTING PROTOCOl, Project No. E91-091 Page No. 3 Sampling was conducted under the guidelines established by the Kern County Environmental Health Department, California Regional Water Quality Control Board, the California State Department of Health Services (DHS), and the United States Environmental Protection Agency (EPA). The sampling was accomplished under the direction of Ms. Laurel Funk of the Kern County Environmental Health Department. Relatively undisturbed samples were obtained by Mr. Walter Tucker, our environmental technician. The samples were obtained from a backhoe bucket by pushing stainless steel tubes. Teflon film was placed over both ends. Each tube was then capped with tight fitting plastic caps and secured by an "inert" tape. All samples were labeled and placed in a cooler chest which contained synthetic ice. Samples were then either analyzed by a State-approved mobile laboratory located on site or transported under chain of custody protocol to a State-approved laboratory for analysis. Samples obtained from below the removed gasoline storage tanks, dispenser islands, and adjacent to the product lines were analyzed for the detection and concentration of benzene, toluene, ethylbenzene, xylenes, and total volatile hydrocarbons by EPA 8020 GC/PID and 8015(M) GC/FID. The samples taken from beneath the waste oil tank were analyzed for the presence and concentration of oil and grease, total organic halides CTOX), and total lead. FINDINGS OF THIS INVESTIGATION The tanks were removed by California Petroleum on May 24, 1991 under the supervision of Mr. Jim McAllister. The removal process was observed by Mr. Jim Sampson and Ms. Violet Cargill of Chevron, U.S.A., and Mr. Walter Tucker, our environmental technician. For the exact location of our sampling, please refer to Figure 2. For the results of chemicals analysis, please refer to Table I as follows: KRAZAN & ASSOCIATES, INC TABLE I Concentrations of Petroleum Constituents in Soil Tank Removal Soil Sampling: Chevron Station'//9-0705 NWC Rosedale Highway/Calloway Avenue Bakersfield, California May 1991 (Concentrations in parts per million.) Project No. E91-091 Page No. 4 Sample Location Depth Ethyl- Total Benzene Toluene benzene Xylenes TPH-G O&G Lead TOX T-1 East End 2 feet 6 feet T-1 West End 2 feet 6 feet T-2 East End 2 feet 6' feet T-2 West End 2 feet 6 feet T-3 East End 2 feet 6 feet T-3 West End 2 feet 6 feet T-4 East End 2 feet 6 feet LS#1 2 feet 6 feet LS#2 2 feet 6 feet LS#3 2 feet 6 feet LS#4 2 feet 6 feet Composite gl NA Composite #2 NA TOX = TPH-G = O&G = ND = NA = ND ND ND ND ND 0.011 ND 0.017 ND ND ND ND ND 0.008 ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND 0.006 ND 0.007 ND ND · · · · · · · · ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND 0.007 ND ND ND ND ND ND Total Organic Halides Total Petroleum Hydrocarbons as Gasoline Oil and Grease None Detected Sample not analyzed for his constituent Not Applicable ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · · ND ND ND · ND ND ND ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · ND · · · KRAZAN & ASSOCIATES, INC .CONCLUSIONS Project No. E91-091 Page No. 5 The results of the chemical analyses show only trace levels petroleum constituents were present in four of the twenty-two samples obtained from beneath the project site. Two of these samples were from beneath the 5,000-gallon unleaded gasoline tank (T-l) and two were from beneath the 10,000-gallon supreme tank (T-3). The concentrations of toluene and xylene that were present in the samples are only slightly above the analytical detection limits. It is anticipated that these trace amounts of toluene and xylene pose no threat to groundwater resources. For more detailed information on the chemical analyses please refer to the Certified Analytical Reports. LIMITATIONS The findings of this report were based upon the results of field and laboratory investigations, coupled with the interpolation of subsurface conditions associated with our samples. Therefore, the data are accurate only to the degree implied by review of the data obtained and by professional interpretation. Chemical testing as done by laboratories approved by the State of California Department of Health Services. The results of the chemical testing are accurate only to the degree of the care ensuring the testing accuracy and the representative nature of the soil samples obtained. The findings presented herewith are based on professional interpolation using state of the art methods and equipment and a degree of conservatism deemed proper as of this report date. It is not warranted that such data cannot be superseded by future geotechnical, environmental, or technological developments. KRAZAN & ASSOCIATES, INC Project No. E91-091 Page No. 6 If there are any questions or if we can be of any further assistance, please do not hesitate tO contact our Environmental Division Office at (209) 453-9637. Respectfully submitted, ~& ASSOCIATES, INC. Project Geologist _ Dean Alexander Geotechnical Engineer RGE #002051/RCE//34274 RH/DA/sf 3c herewith I c Kern County Environmental Health Department KRAZAN & ASSOCIATES~ INC i I L-~ ~l:: DA J_... P__. f]~ y". KRAZAN & ASSOCIATES Merced Fresno Visalia Bakersfield GEOTEST An Environmental Monitoring and Testing Service Post Office Box 90911, Long Beach, California 90809-0911 (213) 498-9515 (800) 624-5744 LABORATORY REPORT CHEVRON USA P.O. BOX 5004 SAN RAMON, CA 94583 ATTENTION: JIM SIMPSON PROJECT NAME: LOCATION: CHEVRON #9-0'705 ROSEDALE HIGHWAY BAKERSF£ELD, CA DATE SAMPLED : DATE RECEIVED: DATE ANALYZED: SAMPLE MATRIX: CLIENT ID : GEOTEST PROJECT NO. : ANALYSES: CALLOWAY DRIVE 05/24/91 05/24/91 05/24/91 SOIL 91686-07 TPH-G ANALYSIS OF HYDROCARBON CON*rENT BY GAS CHROMATOGRAPHY CAL/DOHS TPH FOR GASOLINE SAMPLE ID RESULTS (mg/kg) DETECTION LIMIT (mg/kg) SC #1 ND 1.0 SC #2 ND 1.0 T-3 W END @ 6' ND 1.0 T-2 W END @ 6' ND 1.0 T-1 W END @ 6' ND 1.0 Analyst: SJ Reviewed and Approved: . This report pertains only ~o the samples investigated and does no~ necessarily apply to ot~er apparently identical or similar materials. Th~s report is submitted for the exc£us~ve use o~ the client to whom it is addressed. GEOTEST is a division of GEOSERVICES, a California corporatio.n. ORIGINAL GEOTEST An Environmental Monitoring and Testing Service Post Office Box 90911, Long Beach, California 90809-0911 (213) 498-9515 (800) 624-5744 LABORATORy REPORT CHEVRON USA P.O. BOX 5004 SAN RAMON, CA 945~3 ATTENTION: JIM SIMPSON PROJECT NAME: LOCATION: CHEVRON #9-0705 ROSEDALE HIGHWAY @ BAKERSFIELD, CA DATE SAMPLED : DATE RECEIVED: DATE ANALYZED: SAMPLE MATR£X: CLIENT ID : GEOTEST PROJECT NO. : ANALYSES: CALLOWAY DRIVE 05/24/91 05/24/91 05/24/91 SOIL 91686-07 BTEX COMPONENTS DETECTION LIMITS ANALYSIS OF ORGANIC AROMATICS EPA METHOD 8020 BENZENE (mg/kg) TOLUENE (mg/kg) ETHYLBENZENE (mg/kg) 0. 005 0. 005 0. 005 TOTAL XYLENES (mg/kg) 0.015 SAMPLE ID SC #1 ND 0.007 ND ND SC #2 ND ND ND ND T-3 W END @ 6' ND ND ND ND T-2 W END ~ 6' ND ND ND ND T-1 W END ~ 6' ND 0.008 ND ND ND - Not detected below Analyst: SJ- nde-cared llm~.t of detection. , /./'~ / / .~ ~//, Repo -t date: This report pertains only to the samples investigated and does not necessarily apply to other apparently identical or similar materials. This report is submitted for the exclusive use of the client to whom it is addressed. GEOTEST is a division of GEOSEF~VICES, a California corporation, ORIGINAL GEOTEST An Environmental Monitoring and Testing Service Post Office Box 90911, Long Beach, California 90809-0911 (213) 498-9515 (800) 624-5744 LABORATORY REPORT CHEVRON USA P.O. BOX 5004 SAN RAMON, CA 945~3 A'FTENTION: JIM SIMPSON PROJECT NAME: LOCATION: CHEVRON #9-0705 ROSEDALE HIGHWAY BAKERSFIELD, CA DATE SAMPLED : DATE RECEIVED: DATE ANALYZED: SAMPLE MATRIX: CLIENT ID : GEOTEST PROJECT NO.: ANALYSES: GALLOWAY DRIVE 05/24/91 05/24/91 05/24/91 SOIL 91686-07 TPH-G SAMPLE ID ANALYSIS OF HYDROCARBON CONTENT ~ GAS CHROMATOGRApHy CAL/~HS TPH FOR R£SUL'FS (mg/kg) DETECTION LIMIT (mg/kg) T-1 E END ~ 6 ND 1.0 T-3 E. END T-2 E. END @ 6 ND 1.0 LS #1 @ 6 ND 1.0 LS #2 ~ 6 ND 1.0 LS #3 @ 6 ND 1.0 LS #4 @ 6' ND ND - Not detec=ed below ^naiyst: SJ indicated limit of detection. This repot= pertains only to ~e samples investigated and does not nece~sa~±±y apply to other apparently identical or similar m~teri~l~. Fhis report is suDmitteo for t~e exc±u~ve use of t~e client to whom it · s adoressed. GEOTEST is a division of GEOSERVICES. a California corporation. ORIGINAL GEOTEST An Environmental Monitoring and Testing Service Post Office Box 90911, Long Beach, California 90809-0911 (213) 498-9515 (800) 624-5744 LABORATORY REPORT CHEVRON USA P.O. BOX 5004 SAN RAMON, CA 94583 ATTENTION: JIM SIMPSON PROJECT NAME: LOCATION: CHEVRON #9-0705 ROSEDALE HIGHWAY @ BAKERSFIELD, CA DATE SAMPLED : DATE RECEIVED: DATE ANALYZED: SAMPLE MATR£~: CLIENT ID : GEOTEST PROJECT NO. : ANALYSES: CALLOWAY DRIVE 05/24/91 05/24/91 05/24/91 SOIL 91686-0'7 BTEX ANALYS£S OF ORGANIC AROMATICS EPA METHOD 8020 COMPONENTS BENZENE TOLUENE ETHYLBENZENE TOTAL XYLENES (mg/kg) (mg/kg) (mg/kg) (mg/kg) DETECTION LIMITS 0.005 0.005 0.005 0.015 SAMPLE ID T-1 E END @ 6 ND 0.011 ND 0.017 T-3 E. END ~ 6 ND ND ND ND T-2 E. END ~ 6 ND ND ND ND LS #1 @ 6 ND ND ND ND LS #2 ~ 6 ND ND ND ND LS #3 ~ 6 ND ND ND ND LS #4 @ 6' ND ND ND ND Analyst: SJ Reviewed and Approved: Report date: This report pertains only to the samples investigated and does not necessarily apply to other apparently identical or similar materials. This report is submitted for the exclusive use of the client to whom it is addressed. GEOTEST is a division of GEOSERVICES, a C~lifornia corporation. ORIGINAL Chevron U.S.A. /nc. P.O. BOX 5004 San Ramon. CA 94583 FAX (415)042-9,591 Chevron Facility Number~~ Facility Addrese Consultant Project Number_ ~-~ ~-) · P~J~t Contact (Name) (Phone) ~l ~/~ r}l:,~-') ~(Fox Number) unain-of-L: -t{ecord Chevron Conloc', (Name) _. CollecUon Dote Z ~ Slgnotu~_ __ Anoly~es fo Lie Porformod Remarks Relinquished 'S gnotur,) Organization Oc9onlzatlon organization Dote/Time Date/lime Recleved For Laboroto Dy (Slgnalure) Organization Dote/lime Date/Time Turn Around Time (Circle Choice) 24 Itra. ,t8 IIr~. 5 Days 10 Days A3 Contracted herren U.S.A. Inc. '.0. I]OX 5004 an Romon, CA 94583 AX (415)842-9591 Romork.~ offnqubh~l Dy Signature) OrgonlzoUon ,nlzallon Organlzotlon Roeotvod By (Sllnoture) Recleved For Laboratory Dy ($1gnalure) OrganlzoUon Dote,/'llmo Turn Around Hmo (Circle Choice) 24 tlr~. 5 Ooy~ 10 Doye As J~ontmctod , RANDALL L. ABBOTT DIRECTOR DAVID PRICE [] ASSISTANT DIRECTOR Environmental Health Sewices Department STEVE McCAH Fy, REHS, DIRECTOR Air Pollution Control District · WILLIAM j. RODDY, APCO Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY PERMIT NUMBER A ~348-38 FACILITY NAME/ADDRESS: Chevron Service Station #9-0705 9700 Rosedale Hwy. Bakersfield, CA 93308 PERMIT FOR CLOSURE OF ag TANK(S) AT ABOVE LOCATION OWNER(S) NAME/ADDRESS: Chevron U.S.A. P. O. Box 5004 San Ramon, CA 94583 Phone: (415) 842-9529 PERMIT EXPIRES APPROVAL DATE APPROVED BY CONTRACTOR: California Petroleum Equip., Inc. P. O. Box 9364 Fresno, CA 93792 License #432613-A Phone: (209) 276-1881 August 3, 1991 -- Ma~9~' ()_ Hazardous lVlJaterials Speci ~al~,yr ............................................................................................... POST ON PREMISES ................................................................................................ CONDITIONS AS FOLLOWS: , 1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work (i.e., City Fire and Building Departments). 2. Permittee must noti~ the Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandonment in place to arrange for required inspections(s). 3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-30. 4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials. 5. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank removal experience prior to working unsupervised. 6. If any contractors other than those listed on permit and permit application are to be utilized, prior approval must be granted by the soecialist listed on the permit. Deviation from the submitted application is not allowed. 7. Soil Sampling: a. Tank alze !~ than or ~quai to 1,000 gallona - a minimum., of two samples must be retrieved from beneath the center of the tank at depths of approximately two feet and six feet. b. Tank size greater than 1,000 to 10,000 izallons - a minimum, of four samples must be retrieved one-third of the way in from the ends of each tank at depths of approximately two feet and six feet. c. Tank size greater than 10,000 $allona - a minimum of six samples must be retrieved one4ourth of the way in from the ends of each tank and beneath the center of each tank at depths of approximately two feet and six feet. 8. Soil Sampling (piping area): A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the dispenser area. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805~ 861-3429 PERMIT FOR pERMANENT CLOSURE OF UNDEROROUND HAZARDOUS SUBSTANCF, S ItTORAOE FACE,ITY 9. PERMIT, NUMBER A 1348-38 ". "- ,'-~:~ c '~'(' ' ADDENDUM a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene, and total petroleum hydrocarbons (for gasoline). b. All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene. c. All soil ~amples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease. d. All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease. ' · e. All soil samples retrieved fi.om beneath' tanks and appurtenances that contain unknown-substances~ must be analyzed' fora full range of substances that may have been stored within the tank. 10. Thc following timetable lists pre- and post-tank removal requirements: A~ 9.F,,Ag. LI~ Complete permit applieation submitted to Hazardous Materials Management Program Notification to inspector listed on permit of date and time of closure and soil sampling Transportation and tracking forms sent to Hazardous Materials Management Program. All baTardous waste manifests must be signed by the receiver of the hazardous waste At least two weeks prior to closure Two working days No later than 5 working days for transportation and 14 working days for the tracking form after tank removal Sample analysis to Hazardous Materials Management Program No later than 3 working days aRer completion of analysis 11. Purging/Inening Conditions: a. Liquid shall be pumped from tank prior to purging such that leas than 8 gallons of liquid remain in tank. (CSH&SC 41700) b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700) c. No emission shall result in odors detectable at or beyond property line. (Rule 419) . d. No emission shall endanger the health, safety, comfort or repose of any person. (CSH&SC 41700) e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal. RECOMMENDATIONS/OUIDELINES FOR REMOVAL OF UNDEROROUND STORAGE TANKS This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks. Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that thc overall job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests and expectations for this department. 1. Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by CAL-OSHA regulations. Thc job foreman is responsible for the crew and any subcontractors on the job. As a general rule, workers are not permitted in improperly sloped excavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed function. For example, backhoe buckets are never substituted for ladders. 2. Properly licensed contractors are assumed to understand the requirements of the permit issued. The job foreman is responsible for knowing and abiding by the conditions of the permit. Deviation from the permit conditions may result in a stop-work order. 3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous waste manifests and analyses documentation are necessary for each site in order to close a case file or move it into mitigation. When contractor~ do not follow through on necessary paperwork, an unmanageable backlog of incomplete cases results. If this continues, proce~ing time for completing new closures will increase. OWNER. OR AGENT CF:cas DATE ~a1348-38 OCT 03 "BO 88: 3G ', '~ 'P.4 ? EI~ NTY ~XJI~"E EN AC (FILL OUT CN....~E APPt.~CATEON PER FACILITY) 10/30/90 R E C E I PT Invoice Nbr. PAGE I 1 4t701 4:06 pm KERN COUNTY PLANNING & DEVELOPMENT 2?00 'M' Street Bakersfield, CA 93301 (805) 861-2615 Type of Order W CASH REGISTER CHEVRON RESEARCH Customer P.O.~ I Wtn By JOrder Date I Ship Date Via Terms H1030904 I ADJ I 10/30/90 110/30/90 I I I I I Line Description Quantity 1 PERMIT TO CLOSE/ABANDON 1 I?OG DB I I Price Unit Disc 250.00 E NT To'~al 250.0C Order Total 250.00 Amount Due Payment Made 8y Check 250.00 250.06 THANK YOU! RECEIPT PAGE 1.. 10/30/90 4:06 pm KERN COUNTY PLANNING & DEVELOPMENT 2700 'M' Street Sakersfield, CA 93301 (805) 861-2615 invoice Nbr. Type of'order 1 41701 W CASH REGISTER CHEVRON' RESEARCH Customer P.O.~ I Nth 8y Order Date HI030904 :I ADJ 10/30/90 Line Description PERMIT TO CLOSE/ABANDON I?0G Ship Date lO/3O/9O 0uantity .1 Via I Terms DD I NT I Price Unit Disc Total 250.00 E 250.06 Order Total 25'0.06 Amount Due Payment Made By Check 2So.oo 250.06 THANK YOU Chevron Chevron U.S.A. Inc. 2400 I~amino Ramon, San Ramon, California Mail Address: i~O, 8ox 5045, San Ramon, CA 94583-0945 October 23, 1990 Chevron Reconstruction Service Station 9-0705 Rosedale & Calloway Bakersfield, CA Donna Davis Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, CA 93301 Dear Ms. Davis: Enclosed are applications for removal of the existing tanks and installation of new tanks, piping & dispensers at the subject Chevron Service Station. Also enclosed are drawings showing the work, and Chevron's check, in the amount of $600.00. ($250 for tank removal and $350 for installing the new tanks, piping & dispensers.) ' If you have any questions, please call me. My phone number is (415) 842_8210. Very truly yours, RDW:dm 50Misc9 Enclosures R. D. Wahlen e ANNUAL LEAK DETECTION SYSTEM REPORT THIS FORM MUST BE' AVAILABLE TO REGULATORy · INSPECTORS AT ALL TIMES~ KEEP IT WITH AIR ' QUALITY PERMIT .. MECHANICAL LEAK DETECTORS // Date Tested LEAK DETECTOR REPLACEMENTS REQUIRED Regular ~i?/~. Unleaded '-"/~'~' Premium /(~o Other· ALL LEAK-- DB~CTORS SEALED IN PLACE Yes ~ No . . . .. .... . · (Note Pr~t(s)' ELECTRONIC MONITORING SYSTEMS waste OH Make T)~e Location or, Panel _ ." Mode.__~l (TL/~A n~nnula~~ Date Tested (Lube Bay-Pay Booth-Sales Area) Tested OK Yes No Repairs Needed (Description) Product Make Type Date Tested Repairs Needed (Description) LocatiOn of Panel ~ ' (Lube Bay-Pay Booth-Sales Area) 3SM/jas:VKI-126 . · ¥1SABLE VF~ITING APPEARS TO BE AI': FiLL Etm,~U, i~s eunr TUOE, ~. I1~ B~IECK, OlllER. ~ ~II~E Il V~OR ~CO~RY SYS~FI 1YPE~ ~PIUTO~ ~5ISI'ED LUNG R~ ~EL~ H~IFULUED N~E OILIER. ~IEtIT NEA~IER C~IUITI~IS: TEHP. P~IES~ POSTEST~5~,~~ C~UDY HINU OILIER, ' 5YSTEH FL~UEI) . IIOU~ OIAR, ED 'NlK SIZE ~ 0.4 PSi Dnor IIOURS PSI TO lie HAINTAItlED ON.TANK BO'i-II.IM lXJRING TEST PERIO04~ LIQUID LEVEL CALIIIIL~TIONS P EE1EST POS IEs'r ~'fl~ ~UED LINES ~V~NT LIqUID'C~ST~T "A"' ;~-~ STAflT END GAIN + TII-~S LEVEL LEaL LEVEL L~S CONS A ~SULTS 1EHPERAI'URE CA Li BIIATIOIlS APl GRAVITY OF ~ .* AT 60 DEGREES F COEFFICIENT OF EXPANSION OF , ~q~ COEFFICIEHT OF EXPANSION X SYSTEM CAPACITY - TEF~PERATURE C~ISTA~IT "B' START END GAIN * TIHES 1EI,~ERAI~JRE · TEHP. TEHP. LOSS CON A RI~SULTS IllE FINAL IIOUR OF ~I~STING REFLECTS A LOSS / GAIN OF: WI'Ill A STANDARD DEVIATION OF.'+/,-, 1= I FILIAL RESULTS ,1 : -,S i IE ADDRESS SITE AGENTS U~I.f~"-'Igt~ER EZY C/lEK I HE'ilIOO OF PRECISIOH TESTINfi TIlE RESULTS, ARE NOT I~ITIIIN 'IllE SI'AIE OF CAI.IFOIV/IA AND TIlE NFPA 329 or A ~'-Ffi~ ~.c~$/C,,^i. O~ .ns G^U.~NS rER 0~ .OUR OF IRc. TESTING PaR A T/~K.SYS,~.F.~TO lie CONSIUE~EO TIGIIT. Construction' (~RTIFIEO T~R ~l~ k/ (805)325-1451 ~,OII~'lrIIcI. IUII 3213 Fairl,avc,, Drive, Suin: II100 Bakcrsfield, ...CA 93308 EPA t/CAI)982476921 Contractor's l,icensc #A-539228 TEST ~;i'I'E I flI:(IIIH^'I'I(IH. i805) 325-1451 Fax: (805} 325-0447 TI m e (;1'1'¥ , I Uffl. gfiPgP 5Ul'Ell U II1,1';^ II1:,1! I{ gt;Ul,^l{ I'l{l:;tllUll 1,1';^ PEII P l g~gl, O'l'llgl{ IIAII 11:OI, DI:,D VII? FILL ~J17~l~; '! LEAK i~ I';'1' I~.(:'l'(J II '1 'I'YI'E ()1: I'IIHI' · '; I' I,A :J II TU II I': JJ- Jll~ rib, l( - r e m o v u ute,dh L IIEi'^ l II TItlE IIUI{II · 6^ I,l,l~ti.'J - ' ' .~ 1'1~ I';I, tlUT ' l':,Flt,l~r,;'l~...~ I'~F,'I'I~.,.gT, 'I'JIZRU '/'E,.q T 6 AM 7 0 Z ¥ISABLE VEt/TING APPEARS TO BE Al': FILL Et/D, ~ ItAS BURP TUllE, U~II~IO~N, IIA~ BAL~ ~IEC[, OIlIER,, S,'STEH FL~UE,, ~ ' ' OIARI'ED TAtlK SiZE IIOIJRS 0.4 PSi DROP IIOUlLf.PSI TO BE HAINTAIIIED ON TA/II(: BOI'TU~ 17dRING TEST Esr.,.,o ,.,,~_ G~LO,S~,.OUUCr A,,VED TO FLOOD s~sl~.~vor~ s,s~. C^PAC,r~..~. ,LIQUID LEVEL CALIDI~ATIONS P~IEST PUS n~s'r START EtlD LEVEL LEVEL 1EHPERA1URE CA LIBRATIOtIS ,6q- /~l CRAVIT~ OF ~ .. AT 60 DEGREES F COEFFICIENT OF EXP.,SION OF_ . (~~-~'~ COEFFICIENT OF EXPAHSIOt~ X S¥STfiH C~ACITY - TE~*~ERATUI~E COtlSTNIT "B.' GAIN * TIHES LEVEL START END GAIN * T1HES 1E~ERATURE · FINAL LOSS COilS A RESULTS TEHP. TEHP. LOSS COil A RESULTS RESULTS '1% ' STANDARD DEVIATION O'F:./...L J ~f~aEl~ EZY OIEl~ I lq~,TiIOO OF PRECISION TESTING TIlE RESULTS, ~ ' AI~ NI~IIT¢ / ANE NOT HI.liN ~IE STATE OF CAI. IFO~IA ~D ~IE NFPA 329 ~DgLINES OF A ~ I,~S/GAIN OF .05 GALI~IS PER ONE IIOUR OF ~STIHG ~R A T~K Construction' E~~~Servic~s,~ Inc. ~ST ! (805)325-1451' °°~'d~v ON 'ON ¥1SABLE VENTING APPEARS TO BE AT: FILL EHD, ~, IIAS BURP TU~E, BAL~cIIECK. 01ILEA ~., PlI~E 1~ V~OR'~CO~RY St'S~FI 1YPE:~ ~PI~TOff ~SISI'ED LUNG R~ ~ --' ~'~_~.~ I~OE~.-- I~ * PIPELINE LE~ DElE~O~ H HA .L~qUID L~%'EL CALIBICRTIONS PR~IEST PUS IlJS'I' :*~ START END GAIN + TI t.~S LEVEL Til~ LEaL LEVEL L~S COtlS A ~SULTS APl GRAVITY OF. 5'1-cl AT. COEFFICIENT OF EXF~ISI~ OF . COEFFICZEHT OF EXPA~JSION X S¥STEH CAPACITY ' IE}ff'EP. ATUEE COHSTANT "B' START ENO GAIN * TIDIES TE~EI~TURE · FILIAL TEHP. TEHP. LOSS CON A RP. SULTS RESULTS t~lO../t,qER EZY CIIEIC I }~'rllOO oF PRECISION TESTINP, Tile RESULTS, ~ WlllllNJ/ ARE NOT NITIIIN Tile STATE OF CAI,IFCU1HIA AND Tile NFPA 329 g ~l]T~g,;,r~c.~' OF A HA-~"~IUN LOSS/GAIN OF .OS GALl.OIlS PER ONE IIOUR OF TESTING /:UR A TANK SYSTEH TO gE CONSIDERED ,Constructi _~[i . Services, Inc. TE..ST (805)325-1451 / / / NOON 1 ~ IHOINOI~I LI~ID IPVEL CALInRATION$ P~EIEST PUS IEs'r LEaL LEVEL L~S COIl5 A ~SULT~ :,,,,,:,~,,~.,,,,.,~l, bt,, m"O""~' YISABLE V'~ITING A/~PEA/LS TO BE Al': '~ , IIAS BURP TUDE, UtlKHC~N. IIAS BALL ~IECIC, OlllEl,. FILL END U - ",~,,.,, ,,,,,,o, ,-,,,,,~ ,o ,, ,,,,.. ,,,,.,_ ,:,,.~.s. rlIASE II VAPOR. R~COVER¥ SI'$TEtl 1YPE~ ASPIRATOR ASSISTED LUIIG RUN ~ELLSHalrULUEO NONE OTllER ~ ,"~0- '--'"~'~],", ',~,.I.~_J~ IPELIIIE LEAl( UETECTOI~/I~ ~N NA A~mlENT I~EATllER CONUlTiOtIS. TE~m PI~IES~'~ FOSTEST /~'~' · · _. , J~___s~,~~ c~uo'r ,I,u,r(_..~.,~ on,ER, $1'S1'EH FLOOuEuO~"")ilOUI~ 0o4 PSI DROP IIOUICS i'SI TO BE HAINTAih~ED ON TAHr, BOi_fUH iXJRiNG TEST PERIO~D(?~~ FILIAL RESULTS ~Ot~l : START Etfo GAItl * TIHES '~E~ERATUR~ · 'I'~HP. TEHP. LOSS COt/ A RESULTS ]lie FINAL IIOUR OF ]~STING REFLF. CTS A LOSS / GAIN OF: IVI'I'il A STANDARD DEViATiON - ' SITE AG~TS ~I?ftNER EZ¥ C/lEE I HETIIOD OF PRECISION TESTIN~ THE RESULTS, TESTING mn A' T~[ SYS~TO BE C~SIUERED TlOIT. Construction' ~dv~nme~l Services, (805)325-1451' 3213 Fairhavca Drive, Suile/t100 ' Bakc~slield,...~.CA 93308 EPA #CA1)982476921 Co,aractor's Lice.sc #A-539228 'I'E~;T ~;1'1'1~ ItlFOI/tl/~'i'i(I/I i805) 325-145 i Faa: (805) 325-0447 111 7. F, St/i'l~ll Il 1':~1~1,^ It I'lllllll t/Il LI';/~I~I~I~ I~ 1 (rl'lll~lt II/~ll 1 lq)l,I) I:ll) VIII i:ILL, L;I~I:~ '1 I,I;AI( '1'¥1'1'; (Il"' I'll/Il' I; I' i,/I .; II 'i'll II I'1 II - r e at o v ~ 6 ~M ?. ,/Ct.IART NO. MC MP-lO0 ~AKEN OFF /*' % VIS~LE YE/TING ~PEA~ TO BE Al': FILL END, ~ I~S BU~P TBE~ ~IB~N. I1~ BAL~ OIECK~ OIlIER~ fll~E II VAPOR ~CO~gY SYS~H 1YPE: ~~PI~TO~ ~SISI'ED LONG R~ LIQUID LEVEL CALIBILATIONS PR. E1 EST PUS I1~S'1' START END CAIN + Tit.mS LEVEL LEVEL LEVEL LOSS COOS A RESULTS 1EI'IPERA1TIRE CALl BIIATIOIIS AI'I GI~VITY OF . s , .., AT 60 DEGREES f COEFFICIFJ~IT OF EXPANSION X SYSTEN CAPACITY - TEHPERATURE COtlSTI~IT "11: START ENO CAIN * TllqES TEI'~ERATURE · FILIAL TEHP. TEH?. LOSS CON A P~S ULTS RESULTS 111E FINAL ilOUR OF II]STING REFLEC'I'~ A LOSS / GAIN OF: WI'H! A STANDARD Bi]VIATION OF:+/.-.I, J y~~-~'~'IER EZY OlEK I ~'~100 OF PRECISION TESTING ~IE RESUL~ [! 6~ Wl]~'/ AnE NOT NI~IIN ~IE STATE OF CAI.IFO~IA ~O ~IE NFPA 329 '~.~GU-~D~LINES OF A ~ I.~S/CAIN OF .05 CALl,IS PER OHE IIOUR OF ~STIHG ~R A T~E SYST~ TO BE C~SIUEREO TI~IT. ¢onstructSon'E n ervice$, Inc. ~RF1FIEO TES~R, - (805)325-1451 O0~'dN ON 'ON ,D ABRIVEU TEST SITE ¥1SA~LE YEHTING APPEAR TO BE AT: FILL ENO, ~, IIAS BUItP T~E, ~l~N, I1~ BAL~OlEC[. 01IIER, VISMLE V~OR ~S TO BE B~D: BALL OlEC~S, ~AYS, ~IU~ LINES, RE~TE FIL~, 0111ER, ~ PII~E 11 V~OR ~CO~? S~S~l 1YPE:~ ~PI~TO~ ~SISI'ED LONG R~ ~EL~ H~IFOLDED H~E OILIER ~IE.T ~EA~IER COIDITI~IS: TEtlP. P~IES~ POS~ST,~ S~STEHFL~UE'~,dOU~ Psi vnor NOUNS.~'Sl m BE ~AI~T^ZNEO O~ T~K ~orru~ ~UnING TEST COEFFICIENT OF EXPANSION X S¥STEH CAPACITY - TEFfPERATURE C(~JSTA?~T "B' START ~ND GAIN · TIHES TEI.~ERAI~JRE · FINAL TEHP. TEHP. LOSS COt/ A R~SULTS P~SULTS 111E FINAL IIOUR OF 1ESTING REFLEC'rfi A LOSS / GAIN OF: WITII A STANDARD DE. VIATIOH OF:+/.-. L '" SITE AG~TS ~~IO..II?/ER~ EZY CIlF. K I l~.*rllOO OF' PRECISION TESTING TIlE RESULTS~ ~ WIlIIINJ/ ARE HOT )¢iTIIIN TIlE STATE OF CM,IFOItHIA A/JO TIIE NFPA 329 CVT'D~'~'R~ OF A IqA*'~HUH I,OSS/GAIN OF .05 GALI~5 PER OHE ilOUR OF TESTING ~R A T~K SYSTEH TO BE C~SIUERED TI~IT. (805)325-1451' ? i NOON TANK FJ~C! L! TY · I have not done any major modlflcatlons_!to this facility during the last 12 months. _____)/fi/ ~ff Signature ~ . ----------. ---_ Note: All major modlficatlo~~o Construct from the Permitting Authority. . ; 2. I have done major modifications for which I obtained Permit(s) to Construct from Permitting Authority Signature Permit to Construct # Date 3.Repair and Maintenance Summary Attach a summary of all: -- Routine and required maintenance done to this facility,s tank, piping, and monitoring equipment. -- Repair of submerged pumps or suction pumps. -- Replacement of flow-restricting leak detectors with same. -- Repair/replacement of dispensers, meters, or nozzles. -- Repair of electronic leak detection components, with same. or replacement -- Installation of ball float valves. -- Installation or repair of vapor recovery/vent lines. Include the date of each repair or maintenance activity. NOTE: All repairs or replacements in response to a leak require a Permit to Construct from the Permitting Authority as do all other modifications to tanks, piping or monitoring equipment not listed here. Fuel Changes - A/lowed for Motor Vehicle Fuel tanks 0n__qJ~. List all fuel storage changes in tanks, noting: Date(s), tank number(s), new fuel(s) stored. Inventory control monitoring is required for this facility on the Permit to Operate, and I have no__~t exceeded any reportable limits as listed in the appropriate inventory control monitoring handbook during the last twelve months (if not applicable, disregard). Slsnature Trend Analysis Summary Please attach Annual Trend Analysis Summary for the last 12 periods. Meter Calibration Check Form Please attach current~ completed Meter Calibration Check Form TANK QUARTER 1 PERIOD 1: ANNU QUARTER 2 PERIOD 4: QUARTER 3 PERIOD QUARTER 4' TREND ANALYSI TINE PERIOD: ,,~~S tO Total ~lnuses This Period (Llne 3) Action Number for this Period (Line 4) PERIOD 2: Total ~inuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 3: Total ~inuses This Period (Line 3) Action Number for this Period (Line 4) Total ~inuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 5: Total ~lnuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 6: Total Ninuses This Period (Line 3) Action Number for this Period (Line 4) Total Nlnuses This Period (Line 3) Action Number for this Period (Llne 4) PERIOD 8: Total Nlnuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 9: Total Nlnuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 10: Total Ninuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 11: Total Nlnuses This Period (Line 3) Action Number for this Period (Line 4) PERIOD 12: Total Ntnuses This Period (Line 3) Action Number for this Period (Line 4) I hereby certify this Is a t~lue and accurate report. Si ature. / Date HOUR .REPORTAlaLE V~d~X ATX ON,'LOSS NOTI FI CATI ON Kern County Health Department 1700 Flower Street Bakersfield, California 93305 'Attn: Underground Tank Section '" ' ' ;":f~"'~'/~?-:~ / Permi t ~ '" ~aci l i ty A~dress : ~' 7~-?~'~ ~-h-~J....~- ~:' .~).,,4.z_ -~ T~~,:~::~__~>W'---'..~ ..... , the above [a¢ility had an (date and time) inventory variation/loss that exceeded reportable limits as described below: Amount of Amount of .Tank # Daily Weekly Variation/Loss Variation/Loss I have slopped the Permitti.n~Auth~O-~. Total Mlnuses Line 3 of Trend Analysi~ This notification ls in addition to the phone call I previously placed. Signature 2 4 HOUI~ REPORT~al:~LE VA/~I ATX ON/LOSS NOTX l~X CikTX ON Kern County Health Department 1700 Flower Street Bakersfield, California 93305 Attn: Underground Tank Section Facility Address: ~;;~~? ~ ~ ///Z " On , ?' ..... , the above 'facility had an (date and ti~e) inventory variation/loss that exceeded reportable limits as described below: Tank # Amount of Amount of Total blinuses Weekly Monthly Line 3 of Var i at/o~q~ Variation/Loss Trend Analysis Amount of Daily Variation/Loss ~I~-have~~ d~p~nsing~-p~d~b~ ............ '. ocedures required by the'P~-r-~'~-~i~"'~hority. ' .---'-'---'~'~-- This notification is in addition to the phone call I previously placed. OW E /.LOC. f1070..5 15. lANK I0 I[.~l I~. CAI'ACIIY R'rATE (.;UUIIIllUi'I$ Alii] PIII)I;EUUIII~O lO lESt 11116 IANK" L-h, ..... .,. ........... ,,.. · 'l. le; ARRIVED ON SITE MEASURE FOR WATER TANK w/GROUND / TANKS FILLED Y'J N FUEL ARRIVED llAT~ DROP COMPLETE PUMPS RUNNING lO. IAUK MEA$11IIEMEtlIS foil lOI i A$~;EMIILY 2~. ,,,...,., ...... *.,.,-,,,,.'.'", ' ~ ~ ~ i;IU~rFICIENI (IF ~XI'AUSIUll (Cm,l,lolo fdlqf chculnllu.) "'~"' '"''6 ~ /, ~.2.. · 21. V^l'OII 2'1o. foil IE~;IINO Wll!l WAIEII ...,.I..o,, · TECll. CERT. // SENSOR BOX # gAll Ir,qlh el I1.! II pfrd,41 .L__ 31. ;14, i TANK_ ~,/~ROUND... FUEL ARRIVED DROP COMPLETE PUMPS RUNNING TECll. CE~T. tt ~$ENSOR BOX # 2,1o. I'011 II'Slll'lll WII!I WAII~II ..:, h,:..oi.. 31. 3g ,( ) OTH~7~ ( Pound 'ti ' RtlJ. e e].evntlon to 12'". level Tank bobtom to .RTMENT OF WEIGHTS AND . MEASURE COUNTY OF KERN ~ STATE OF CALIFORNIA 1116 East California Avenue Bakersfield-9330/ Telephone (805) 861-2418 Certificate of Inspection K O This is to certify.that, in accordance with the law, I have tested the scales, weights, and measures said to be the property of or used by: DATE _t/_~--~q~ OWNER FORMER NAME NO. DESCRIPTION AND R~EMARKS IN X ~nfy H. Hopper, PROMINENT PLACE ~J ~ ~j 1700 Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 OERN I NTERI M PE R[v]I T TO OPERATE: UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY COUNTY HEALTH DEPARTMI ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER Leon M Hebertson,~ M.D. · DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT~88OO1 1C I S SUED: APRIL 1, 1987 EXPI RES: APRIL 1, 1990 NUMBER OF TANKS= 4 FACILITY: I OWNER: RAY SUTTON CHEVRON I CHEVRON U.S.A., INC. 9700 ROSEDALE HIGHWAY I 2 ANNABEL LANE, STE. BAKERSFIELD, CA I SAN RAMON, CA 94583 200 TANK # 6GE(IN YRS) SU___~BSTANCE CODE P~RESSURIZED PIPING? 1-3 16 MVF'"2 - YES 4 16 W0 2 NO NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--TRANSFERABLE * * * POST ON PREIvlI SSS DATE PERMIT MAILED: DATE PERHIT CHECK LIST RETURNED: DATE: LOCATION: Chevron SS ~90705 CERTIF'-"ATE OF PRECISION L' ~.K TEST Associated Environmental Systems, Inc. has tested and certifies 8 8 6 7 3 8 the following: 06/01/88 CERTIFIED TESTER: KEM # 87112 ?700 Rosedale Hwy., Bakersf'ield, CA TANKS: TANK LINE PRO.LINE 1. 1K W/0 PASS PASS N/A 2. XXXXXX XXXX XXXX XXXX 3. XXXXXX XXXX XXXX XXXX 4. XXXXXX XXXX XXXX XXXX 5. XXXXXX XXXX XXXX XXXX S. XXXXXX XXXX XXXX XXXX jl/_:c,, Associated Environmental Systems, Inc. ANY FAILURE LISTED MAY REQUIRE NOTIFICATION OF AGENCY. Recertification Date Recomm~::l~: / 06/89 % Home Ofrme P.O. Box 80427, Bakemfield, CA 93380 .~105 / 393-2212 Associated Environmenta! Invoice Address: CHEVRON USA INC ~ ANNABEL LANE #200 SAN RAMON CA. 94585 Systems, Inc. PRECISION TANK & LINE TEST RESULTS Tank Location: CHEVRON SS#90705 9700 ROSEDALE HWY. BAKERSFIELD CA. Date: 6-1 Time Start: 8:00 Facility Phone#: 805 589-9011 Contact: RAY SUTTON P.O. Box 80427 Bakersfield, CA 95.58C (805) 39-].-2212 W.O.#: 6758 I.D. Number: 90705 Techn i c i an: KEM Tech.#:87129 Van#:6102 End: 10:15 COunty: KE Groundwater Depth: =(-. ~-~ FT+ Blue Prints: N/A Date;Time system was filled: 5/51 1700 Product Ty~e Of Vapor Line ~ecovery N/A N/A Inches of Pump Tank Water/Tank Type Material N/A SWS Tank Fill/Vent Tank Capacity Product Tank Vapor Lines 1 1K W/O PASS PASS 2 4 5 6 Additional Info~-mation: CLEAR 70 DEGEREES SITE LOG TIME Set Up Eguip: 08:== Bled Product Lines: N/A Bled Vapor- Lines: N/A Bled Vent lines: 08:50 Bled Turbine: N/A Bled Suction Pump: N/A Risers Installed: N/A a) These ~esults obtained usins the patented A-E.S./Brockman system. b) This system and method meets the c~'ite~ia set forth in NFPA #529. c) Any failu~-e listed above may require fu~.the~, action, check with all ~-eBulatory aBencies' Technician KEM : Calibration Value~?~,SUNITS = ,~-( Gal. Date 6/1/88 ~ System Variation ~ UNITS ~ GPH Time Stab-ted 09:02 ~ HIGH LEVEL (FULL SYSTEM) ) _~ ~-,(~0~ Galions 1K ~ LOW LEVEL ( ) MID LEVEL ( ): I Tank Diameter 47 : PRODUCT LINE : ~ G~ound Wate~' 50 FT+ ~ TEST IS ~F'ASSED ()FAILED () INCONCLUSIVE GRADE LEVEL AT ~ INCHES TEST CONDUCTED AT ~ INCHES ? £ M !1 ** Notes CHEVRON SS # 90705 9700 ROSEDALE BAKERSFIELD CA. HIGH LEVEL TEST CALIB. = 2X CLEAR 70 DEGREES ASSOCIATED E[t~ I RO~I[~ENIAL 9O7O5 B~)XERSFIELD C~,. LO,,,,, #1 Site Lagout Fo~,: 6?38 9700 HOSEDALE LCI LIQUID CONSTRUCTION, INC. July 17, 1987 Bob Stoltz Chevron U.S.A., Inc. 2 Annabel Lane, Suite 200 San Ramon, CA 94583 Re: Chevron #90705, 9700 Rosedale Hwy., Bakersfield, CA Dear~Mr. Stoltz: On July 14, 1987, a Petro Tite System Test was performed at the above-refernced location. The test was performed by George Yarbrough, LCI Technican. The NFPA Code 329.02 criteria for a tight system is a maximum loss. of .05 gallons per'hour. Because of the almost infinite variables involved, this is not int4nded to be a mathematical tolerance and is not the permission of actual leakage. During the standpipe test procedure the internal liquid hydrostatic pressure applied to the underground tank system is generally two to three times greater than normal liquid storage pressures. This'increase in hydrostatic pressure will amplify the indicated rate of leak accordingly. SYSTEM TEST Tank No. 1 - North East Size - 1,000 gallons Product - Waste Oil The test showed a plus .02.5 gallons per hour. Based on the above criteria, we find the tank tested mathematically tight. This concludes ou~ test and findings, if you have any questions regarding the results, please contact me. It is your responsibility to notify your local County Health Department, Environmental Health, within thirty (30) days of the results of this test. The notification is required by the California Administrative Code, Title 23 Waters, Chapter 3 Water Resources Contoi Board, Sub-chapter 16 Undergound Tank Regulation Article 4.30. ' We have enjoyed working with you on this project. If you need any further information, please feel free to contact our office. 1054 North 'J' Street Sincerely, George Yarb~ ' Tank testing Technician Post Office Box 1220 · Tulare, California 93275 · (209) 688,1980 PLEASE PRINT 1. OWNER Pmm~.y [] Tsflk(s) 2. OPERATOR Data ..rt for Tank System TiDIi.-ss Test petro TL_fe TANK TESTER Chevron, 2 Annabel Lane~ Suite 200, San Ramon, CA 94'583 Chevron (/90705, 9700 Rosedale Hwy., Bakersfield CA 3. REASON FOR TEST ( Ex,sin Fully) 4. WHO REQUESTED TEST AND WHEN Bob Stoltz Chevron U.S.A.. Inc. Chevron, 2 Annabel Lane, Suite 200. San Ramon. CA Chevron U.S.A., Inc. Bob Stoltz Chevron, 2 Annabel Lane. '"~'-" ^"'"°'~"' Tel ail~.o~m. Suit~ 200. San Rmmon~ CA q4~R~ Ci~ #lmm Zip 5.. WHO IS PAYING FOR THIS TEST? 6. TANK(S) INVOLVED 7. INSTALLATION DATA 8. UNDERGROUND WATER 9. FILL-UP ARRANGEMENTS Id~ntiff by Locotion iVOr/~,~-~ 7 Nofll~ i~ dfl'Yewl¥. Riff Of SLitIOn, mC. Clplcity 8rem:l/Su~li~f lOOt, Co~crete. Black Top. Earth. etc. Gl*ode . Fills I Vents I-i . Sill. Titdt# ~ke. O~ A~ox. Age Siphom IVo f ' Wl~,~ links Steel/Fiberglass Pum~ lustily1. RImotl. Il thl Wltif ovtf tlu tank Depth to the Wetif table ~'~e ~' / ~ ' '. DY-- ~No Tanks to be filled --- hr. Dete Anenged by ' EJ~e product to "top off" end mn TS1T. How #nd who to provide ? . Cona~ef NO Lnad. TelePhone 10. CONTRACTOR. Terminal o~ other center foe notice o~ inquiry Additional ~fi|C~r-,dtiOfl on any ~i~ IDovl. Offictll# O~ Otllifl tO be edwsed when teltmg il in Ixogrltt o~ completed. Vis*to4.# MECHANICS. eny other eontrlctor invo~ 11. OTHER INFORMATION OR REMARKS 12. TEST RESULTS 13. CERTIFICATION ¢7 T#to wef~ made on the above tank symoms in accordance with test procedurls pr~lcribld for so cMtllied off Ittochod test charts w~th moulto so folJow8: Tlflk Identificlt~ofl Tight Leekege Indicated / p~m Dote Tested Thio Jo to co~'ffy the thole took oym~s wee temod on the Omo(s) shown. Theme indicated lo *'Tight" meet tho Criteria eltll)tllh~3 by the Notional Fie ProteclJon Am)ciltJon Psmphim 329. /~/~/~ //~ ~,,~ P.O. Box 1220, Tuiare, CA 93275 14. Chevron (]90705, 9700 Rosedale Hwy., Bakersfield, CA Hlfl~ M lU~I. OWfllf Il Oflll~' AdIIIII He. 1/14 $111t1(1I Oily $IIII OII, el 'lilt IS. TANK T0 TEST 18. CAPACITY /00 O_ Olflon8 Il thMo doubl ,,8 to True Copoel~y 1 See Section '*DETERMINING TANK CAPACITY" Ir/om s,.,.,. link MlnUflCluffr'l Chirr Complny Engmee.ne Dill o,.., 17. FILL. UP FOR TEST Io Y~ In. Oillonl ~1 up. STICK BEFORE AND AFTE~ bCH COMPARTMENT DROP OR EACH METERED DELIVERY OUAHTI~ 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST TItlS TANK . ..' % SoO mlnvll IicIIOnl IppfklMI. Check below end rocmd ~oceduri In log (26). 0 WMof In link [] High wltof tabk Iff link excivltlon Inventory Product In luff link (up Io fill 'plp~) Stick rteedlngl ToliI Olgonl Io ~b In. (Jellonl ea. Reodk~g ioa lO3 V /0. / o /o c/L/ [] Line(I) being leered w th,LVLLT VAPOR RECOVERY SYSIEM Silgo [] Siege 19. TANK MEASUREMENTS FOR TSTT ASSEMBLY gotiom of tank Io OrodoI .................... 7~ ., Add 3r foe 4- L ................. ,, Add 24'/M S' L of lb loll ....... ~;~ (t( ,, TOlII lublr~ ID e~emldl Apl~O-lm~l ~ 0 " 20. EXTENSION HOSE SE1-rlNG TInS lop Io erli~' .................................. Edofld hq)ii MI lucJJo~ lube g' of more below fink lop ..................................... *If/'iR pipe I,,leMI ibove elide, use lop of tiff. 21. TEMPERATURE/VOLUME FACTOR (II TO 1EST Tills TANK Il Today Warmer?'l J Colder? I J ~° F .Pfodu~ in lank ~' F F~.up P~odu~ on Duck ~' f [tprcled Ching~ f · Or - ) 24. t4~lll qulnllly In ~for furl tank (IS or 17J Invoked peoduct 25. volume ehlnge per *~ (24) Dlgltl per *F In Till flange (23) CONIflOL flECORO I0.111 Ut, USE FACIOR (11 tACH READING CI(ANGI lei b Inchll flecefd details of getting gp I,,~q Grldultl and funning lest. (Use full h. 124 k.I fielding flellofed fielding Heeding Recovered ~;*~ ~'RRIVEO AT SITE: TOOK TANK BURIAL Ui ~URE~.ENFS: CIIECKEL FOR ~Ai~R: PLEBE NOI'E: IN TIlE ~VE~T Al '/VAFOR lOOK INVENTORY OF PROPUCT ON ItAk): ~P ARD FOR SE1F~NG UP T~TE~. POCKET~ WERE ~RESEBF tN TIlE ~, ~K/SYSTEM IT COU~.D IIAV AN EFF[ ~T ON TI( 1'~/ REAl PELIVERY TRUCK ARRIVEP: ~SISTE~ DR~ VER ~1 F~LL~G TA~K S~T U~ ~I~STA~O ANP STARTEP CIRCULATINg PU~IP, LEP A~ R. ~:oo sragr s~,sog gEaOl~ I. ~[, o 0~.o ~o o ~o -, ~o;,Cco,r'v ,z~, t~v~t r~sr ~. ~/,/ q~.o Of© O a~ -.ovY ~g( .~IO r, Olf -.o5o 7. 8. I ~/GS. Chevron U.S.A., Chevron #90705, Inc., 2 Annabel Lane, Suite 200, Sn Ramon, CA 94583 9700 Rosedale Hwy.', Bakersfield, CA 87-~5101 d I- z 0 Chevron Chevron U.S.A. Inc. 2410 Camino Ramon, San Ramon, California · Phone (415} 842-9500 Mai Address: P.O. Box 5004, San Ramon, CA 94583-0804 Marketing Opemti0ns D. Moiler Division Manager, Operations S. L Patterson Area Manager, Operations C. G. Trimbach Manager, Engineering Re: Annual Precision Tank and Lines Test Result E' - nclosed are the required annual precision tank Chevron owned service stations within your Date OCT 21 '88 and line test results for the following The above list may not be a complete list of Chevron owned sites within your city/county. Results for those not listed will be forthcoming, If you have any questions, please call Tim Kerr at (415) 892-9581 or Marge Farrar, (gift) 892-962g. Very truly yours~ CHEVRON U.S.A. INC. TJK:jt/XKS-129 Enclosure By Data .Ghart for Tank-System Tightness Test' 2. OPE .RATOR 3.. REASON FOR TEST 4. WHO REQUESTED TEST AND WHEN 5. TANK INVOLVED 6. iNSTALLATION DATA 7. UNDERGROUND WATER 8. FILL-UP ARRANGEMENTS. 9. CONTRACTOR, MECHANICS, m~y, (~ oo~l~lctm' 10. OTHER INFORMATION OR REMARKS 11. TEST RESULTS 12. SENSOR CERTIRCATION 17. FILL-UP'FOR TE~T 18. SPECIAL CONDITIONS ANO PROCEDURES TO TEST THIS TANK 1Sa. BRIEF DIAGRAM OF TANK FIELD .PSt & P~SOI~ i I1~ M I~ PS, 16. CAPACITY' · ' . '/~. oo~ Nom~ Csq,~'ly '" '---'/-'~.~lo..__ ' ' ] T~I "envIIC~Po~'I CAll · [--1CemMfly CAIfll I,dpM,ed will~ · kmellj ~lmg tilted with LVLL! 19. TANK MEASUREMENTS FOR · TS. ASSEMBLY ' / ,00 =..,..~. ,,0..., ...... .,. ~_~ 20. EXTENSION HOSE'SEI'rlNG ' '5O *~"~.' ~2_., COEFFICIENT OF EXPANSION (Complete alter circulation) 24a. co,,.,.° ,,,, o,',,, ' .. '7'0/o o/~ -/' 21. VAPOR RECOVERY SYSTEM E:]~,.g~, E~,~.,, 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHO0 ,,o., .t'7 . 24c. FOR TESTING WITH WATER., T,~o. o T.b~ C ....................................... ; ...... .Ir till {UII lull A[COAO TO .COl GAL. 34. TIU~I~TUAI USI FACT~ Iii 37. Icl · Ill, 0~0 P-T Ta~k Teat Data Chart "' Additional Info, ind I)foOuCl handling lyltlm ding lo the Precision Till CriletiI II'illlbliJhld by .A. publiClliOn' 329 Thil il riot &fllehded Io I~d,Clll Tlflk end P~oduCl handling lyltlm hll Ijiled Ihi link II{)hl~lll N ~ P A pv~hcllIOh 329 .. .Il il the r#pOnlilDllll¥ of II~l OwflI~ 11t11/O1' OplI'IIQI' Of Ihil lyllem lo Immedlll~ly Advise Illlt and local 81Aho~ltiel 0f Iny implied hlllrd Ind Ihl poi Ilbllil¥ Of I~y rlpOrllbll I)OIIUIIQ~I I0 ~PQ~libilily o~ hlb~hlX I0~ I~X I~10I p~U~ I0 I~t /~./~ ~' . -,,, ..... Chevron - Chevron U.S.A. Inc. 2 Annabel Lane, Suite 200, San 'Ramon, CA 94583 · Phone (415) 838-5000 Marketing Operations D. M011er Division Manager, Operations S. L. Patterson Area Manager, Operations C. G. Trimbach Manager, Engineering )O ! Re: Annual Precision Tank and Lines Test Result Enclosed are the required annual precision tank and line test results for the followln§ Chevron owned service stations within your The above list may not be a complete list of Chevron owned sites within your city/county. Results for those not listed will be forthcoming. If you have any questions, please call Tim Kerr at (QIS) 838-5281. Very truly yours) CHEVRON U.S.A. INC. T3K:cjw/XKS-129 Enclosure T. 3. Kerr L Off. MTOIi ~ REASON FOIl ~4.. ~0 REQUESTEO FOR THIS 'TESTT L TANK(.SJ INVOLVED uam c na[tlor~n-lC~ysti~ Chevron US~- 2 Alnabel Lane---Sm Ralal-Ca ~§htqess Bob $1;0]z (4'15) 838-5302 -' .~.--':m~._,_ ;.._: State& Local Ord~ · Bob Stolz , ~--. : .... ' ngzneer Ch ~. - evron USA 3-2 - ------_ 5 87 ~~y,M~..A ~.~_ ' n ~ ee 415 '838-5302 -----' · ...,*-., . ~___~mon' Ca ~~ Id,Adly Iq~ Dk,eikn Cl~ Sleel/Fll~rgla# 7. INSTALLATION DATA L UNDERGROUND WATER I. FILL-UP ARRANGEMENTS 10. CONTRACTOR, MECHANICS. Iffy oih~ ~oniyoclo~ · i.vodv, d 11. OTHER INFORMATION OR REMARKS L TEST RESULTS' -I 13] CERTIFICATIO, / Depth Io Ihl Water tebl~ ~ L~ sJ~h~M: Pump. Which IBMJ ~ Mike Il kAowk E]y- E~.o T.k,,. b. ,",.d ~,.. ~ O.,. A'"'q.d b7 ~ Elbe I)~N:I~cI lO 'lop Mr' eT~,d fldfl TSTT. H~ow &nd who to I~OV~e J' Consider .do I,,.--,. HelM, e co off- Super unleaded. TormIMI m ethel, eoelloe&,,, j .. "'~. .~ ---.._____ fm no,Ice m inqu~y~ Additioflll informltlon o~ awl hems ebove. Offleilll Paul Mascorro P.O. Box 1,. 1, Bake~s~_~ ' A 93389-09~1 , Date To;led _ -~._.~.~._.~ .~------______. tL S~C~L co.onms 4~0 r.ocfo~ms To .$! ;ms ;MK OBS /~PI Gravlt¥:~ (4/~--~eemp...'~ w~ mcow.y m~e Corr. APl Gravity Ok..., I1. TANK I~ASU~MINT~ foil ~,m,,..I 1.4 I. e.,,,~,.. .................... Ic~C~ . ,tdd Ir k, ~'1. .................. --.~C) * ~krl.*a~l ....... ,,. srr,,,G b~b d r,,M, Im, edd. I ~ primed i; runn Sensor Readln, ~HI level test to 12" low level test SER# (~ McC[, · 4.1&~11b.21 ~e. mc~L ce.roms ~o faoc~oms vo my vms mac OBS APl Gravlty~=~,~ Temp. 2~/° lt. TANK &I{AtUMIMINT$ FOR ,......, ,..,..,.... ................... l'~ - l& Pumo primed l& bbdll Corr. APl Gravity 1st Sensor Readh Start Hi level test to 12" Iow level SER# · . ~ ~ ¢~....-. 11. TANK MIASUK[MIIIT,S foil ]1. TIMI'~llATUIIM~II/i~ fACTOR (i) TO liST THI~ TM TS/T ASSIMILT -._..... ................... ~_=~_~. :':'2-,-', --,- ~, ~.~-.,_=., ,_,,,.., .~rk,~'L ............... --~.r,... ..... :: -~----I ' -',-----. ~/o · [XIIN$~Ii HOM sLrTTN6 -- ,~ I ' ' "" -- "'"'" ................................. ~') -I '-' ................................... --)~--'l ~--"-~ '~'=~s~u Jmo primed & runnin( Sensor ,tart HI level test to 12" Iow level test SER # HcCL1 KRAZAN & ASSOCIATES, INC. Soils Engineering Compaction Testing Engineered Septic Systems Construction Testing Geotechnical Investlaations October 9, 1986 Proj. No. T86-063 Chevron USA, Inc. 2 Annabel Lane, Suite 200 San Ramon, CA 9t~383 · Attention: Mr. Frank Lopez R~sts ~J-0-0 Rosedale Highway Bakersfield, California Gentlemen: In accordance with your authorization, we have completed underground tank tests at the above-referenced project on October 3, 1986. The results of these tests are summarized as follows: Tank No. Tank Size Tank Contents Test Result (GPH) I 10,000 gal. Unleaded Gasoline -.008/pass 2 10,000 gal. Regular Gasoline -.018/pass 3 3,000 gal. Premium Unleaded +.020/pass Review of the Kern County Water Agency map entitled "Depth to Ground Water, Unconfined & Equivalent Wells used for Control, Spring 1983," indicates depth to ground water at the project site is approximately 200 feet. Therefore, the .tests were performed without elevating the standpipe to compensate for shallow groundwater conditions. The criteria established of +.050 gallon/hour is a mathematical calculation based on actual liquid volume change and temperature change, and is not intended as a p~rmission of a leak. Main Office: Fresno/Clovis · 3860 N. Winery ,, Fresno, California 93726 ,, (209) 291-7337 Bakersfield (805) 393-2343 I_.1 Visa/ia (209) 625-8251 I~ Merced (209) 383-3993 Page 2 Proj. No. T86-063 If you have any questions or if we can be of further assistance, please do not hesitate to contact our office. Respectfully Submitted, KRAZAN & ASSOCIATES, INC. ME/jsP/ko Michael Erwin Principal Engineer RCE # 18625 3 c plus invoice herewith KRAZAN & ASSOCIATES, INC. 14. .AZA'N &. ASSOCI .S, INC. CHEVRON STAT'ION #(~70~'/°900 'gl~[~ ~l~f'. I~~ ~0/; ~ ~ 1L ~PAClTY ~' ' ......... Prkr.-~lnfa Fill + 10 ~ ,,.$PECIALCONOITIOflSANOPROCEOUfl[$TOTESTTHISTAflK API '~-S ~o~ ................................ ,,,,. CORRECTED . * TSTT ASSEMBLY .,.s,h .,.....,.,.~ '"T" ";~'; .......... '.m. XArrived at site, load l.p.¢ lake bur~al dimensions, disable va>[~recrvery,.pum~s and/o~ su[ un~ x~A} Install test adaptors x~co I~~t sets k~.~y: Pump up and running, ci~cu ate ~D minules ·,,. C.EVRO. ~^~xo~~~aaL~L.~_L_z~~ ~o~ -,......~m....,~ ' c./~s,.,. ~., ,; , ~ ,S. TANK TO TEST ~ ~ ~ d ~ ~ .......... I ...... ~ ~?~.~ .................... ~q~o ,, ............... . ...... ~/0 '~"' - o~ c ~ 1~¢~ [ .................. ~;;7; ~ ~.l .' ............ ':' . -" u O,h. ' 17. TILL.UP ~OR TEST Prkr.-Hnfa FEi) + )0 ~ 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK AP I .~. 3 @ F VAPOR RECOVERY SYSTEM _ CORRECTED.. orF.,~ Os,.o., .:" g ~ 'l~Ls,.o.. ~o 21. TEMPERATURE/VOLUME FACTOR II) TO TEST THIS TANK ~ ' 19. TANK MEASUREMENTS FOR ~ ................. . ................... I 2(/ ., .... o-,.,,-L ................. .To,.,,.~,.~ w .,,.~. ~.0.~, ......... I ~ '-r ~. 20. EXTENSION ROSE SE.lNG ................. -' ........................ zs, $-)~5~3 * ~/~ -=gI~.l~;)_ ~"'t" '.,~'., , ........ ~ '~l~2' r.,~ .... ~.~.~. wg ....... ~ .... ,,,, ~:~;,?:',~,t':~;..t~:~:J' J ..................................... 2;,' "::"' ;.';;.,'~rr~ve~ / .~ ~,~e, ~0a, ,~ ~t~ _ ....................... . ':'.~za'Take burial dimensi0ns,~ble vap~ r'recl ~,~ Install test adaptors J ~.~, install test sets ta~o Pump up and running, ci~ te ~olo 'minutes 0 - I 2 ~ ~<., 18. SPECIAL CONOITJONS AND PROCEDURES TO TEST THIS TANX AP I ~. 4' @ .~z/ lg. TANK MEASUREMENTS FOR ?kr.-_Hnfa Fill ~ ~ _,~ _,c'./=.- ...... F 2 CORRECTED. . ,i~ L,.~,~ ,..,~ ........ ~ ..... 4 T-~. - ~ ~RE/VOLUME FACTOR I~) TO TEST THIS TANK VAPOR RECOVERy SYSTEM at si load test ada up and Kern ,C. ocm~¥. Health DeDartment_. _ Division cF Enviror~ental Hea~' ~mit A~I i cat ion '~- 1700 Flo~r Strut, ~kersfie~, ~ 93305 , ~~S S~ST~~ . ~w Facil~~ifiCatl~ of Facility ~isti~ F~llitv ~- - - A. ~e ,, z ~ ~er ot ~r~p rg~ 24-~ Contact (~, area c~e, ~o~): ~ ~? ' I~_°~.~~is (c~ci{~ ~line S~];n ~er ~-~-,~, ~- ~r ~ Facill~ Pr~ld~ by ~11 ~racteristics' at ~cllity ~ ~' ~O~~r ~sis for Soil ~ ~ Gro~~r ~p . C. ~tractor NA ~ ~tra~or, " ~rker's Cm~ti c~ Pro~s~ Cm~etim -- ....... ""' NA z r,r Z. _?a~.~ (_s) SCore (check all that apply): Z~. ! .,r~ product ~o~:~hicle ~nle,~ ~ pr.i. ~ ~ C~l Stor~ n~~rcia] ~ ~.~ . ,,[~ for ~tor ~lcle ~a~er o~ ~er~ip " Pr~lo~ Pacilltv ~ Pr~l~ ~er ~ corr~ ~/ . -- ~-J~y a~ ~ ~ ~st of my ~wl~e is TANK # (FILL OUT SEPARATE FORM ~ TANK) FOR EACH SECTION, CHECK ;~T.T. APPROPRIATE BOXES [] Other (describe) 3. Primary Containment Date Installed Thickness (Inches) 4' ~ank Secondary Cor{tainment [] Double-Wall ~'~ Synthetic Liner [-]Other (describe): []Material 5. Tank Interior Linin~ ~Rubber i-]Alkyd •Epoxy [[]Other (describe) :. 6. Tank Corrosion Protection e Tank is: DVaulted ~Non-Vaulted DDouble-Wall ~Single-~all ~ Material Carbon Steel [] Stainless Steel []P~lyvinyl Chloride []']Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [~ Alumin~ [] Bronze [-]Unkr~own Capacity (Gallons) [] Lined Vault Thickness (Inches) []Phenolic DGlass 8. ~en Tightness Tested? []Yes []No Manufacturer None []unknown Manufacturer: Capacity (Gals.) []Clay ~t~lined []unknown ---~rGalvanized ~ass-Clad []Polyethylene Wrap DVinyl Wrappin~ ~]Tar or Asphalt []Unknown []None []Other (describe): Cathodic Protection:. •None []Impressed Current System []Sacrificial Anode System Describe System & Equipment: Leak Detection, Monitorir~, and Interception a. Tank: []Visual (vaulted tanks only) [-]Grour~water Monitorir~3' Well(s) [-~Vadose Zone Monitoring Well(s) []U-Tube Without Liner []~U-Tube with C~mpatible Liner Directing Flow to Monitorirg Well(s)* Vapor Detector* []Liquid Level Sensor~ []Conductivit~ Sensor* [-] Pressure Sensor in Annular Space of Double Wall Tank []Liquid l%etrieval & Inspection Fr~m U-Tube, Monitorir~] Well or Annular Space Daily Gau~in~ & Inventory Reconciliation []Periodic Tightness Testirt~ None _~ Unknown D Other b. Pipirg: ~Flow-Restricting Leak Detector(s) for Pressurized [] Monitoring S~up with Race~sy [] Sealed Concrete Race~y []Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway []None Unknown []Other *Describe Make & Model: Date of Last Tightness Test Test Name 9. Tank ~ ~Repeired? []Yes []NO Da te (s) of Repair (s) Describe Repairs ~Unknown __ Results of Test Testing Ccmpany 10. Overfill Protection TT ~a rator Fills, Controls, & Visually Monitors [~vel pe F~oat Gauge []Float Vent Valves []Auto Shut- Off Controls B Capacitance Sensor []Sealed Fill Box []None []unknown Other: List Make & Model For Above Devices 11. Piping a. Underground Piping: ~]Yes []No []Unknown Material Thickness (inches) Diameter Manufacturer ~Pressure []Suction []Gravity A~Proximate Length of Pipe b. Underground Piping Corrosion Protection : ~Galvanized []Fiberglass-Clad []Impressed Current ~Sacrificial Anode []Polyethylene Wrap ~]Electrical Isolation []Vinyl Wrap []Tar or Asphalt []Unknown []None []Other (describe): c. Underground Piping, Secondary Contai~uent: []Double-Wall []Synthetic Liner System ~None [-]Unknown []Other (describe): d~Td~'" TANK # ~_..'- (FILL OUT HEPARATE FORM ~, '-.%{ TANK) ------~R-~ SECTION, ~EC-~ ~%P~ROPRIA-~:BOXES Tank is: []Vaulted ~Non-Vaulted []Double-Wall ~Single-Wall ~ Material Carbon Steel ~-I Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Al~uin~u [] Bronze []Unkr~own Other (describe) H. 1. 2. ® ~r ima r~/ Containment Date I~s~alled Thickness (Inches) /~ Capacity (Gallons) 4. Tank SecOndary Containment '-' ~-D°uble-Wall---~-~---~ic Liner [] Lined Vault []Other (describe): ['1Material Thickness (Inches) Manufacturer Manufacturer: 10. ll. 5. Tank Interior Lining Capacity(Gals.) ---~Rubber []Alkyd [~Epoxy []Phenolic []Glass []Clay ~lined []Other (describe) :. 6. Tank Corrosion Protection ---~G~lvanized- [~Fiberglass_Clad []Pol~thylene Wrap [~Vinyl Wrappin~ ~TTar or Asphalt []Unknown [~None []Other (describe): Cathodic Protection: []None []Impressed Current System ~Sacrificial A~ode System- Describe System & Equipment: 7. L__eak. Detectio_n_., _Monitoring, and I~ a. Tank: [~Vxsual (vault~d--~~Grour~water Moni. torirz3. [-~Vadose Zone Monitoring Well(s) ~ U-Tube Without Liner U-Tube with C~mpatible Liner Directin~ Flow to Mnn~ ' Vapor Detector* ~ .~.~.~., ...... _~ .. . .-...-torirg We_ll (S) · . P~ n Fr~m U-Tube, Monitorf Well ~ Daxly Gaugx & Invento . . .~ or A~nular ce ~]None []Un&r~own ~Otherry Reconciliation [~Periodlc Tightness T, sti~Spa b. P/pirg: _ ~Flow-Restricting Leak Detector(s) for Pressuri [i] Monitoring S~p with Race~y m Sealed C ..... ze~ .~.._.. ........ ~ uncrece Nace~¥ [_ln~&r-~ut ccmpatlDle Pipe Raceway []Synthetic Liner Ra~e~a¥ []-]None [] Unknown [] Other *Describe Make 8. ~en & Medel: ~ Tightness Tested? [~Yes []No ~unknown '"---- Date of Last Tightness Test ~ Results of Test Test Name -~?~ ;-/?_~ _ 9. Tank Repair Testing C~mpany Tank Repaired? []Yes []-]No J~unknown Date(s) of Repair(s) Describe Repairs Overfill Protectio--~ --~Ta~rat°r ~ Controls, & Visually Monitors Level pe F~oat Gau~e []Float Vent Valves []Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box []None []unknown [] Other: List Make & Model For Above Devices a. Underground Piping: [~Yes rTNo []Unknown Material Thickness (inches) Diameter ~Manufacturer b. Und~~ressure []Suction []Gravity Approximate Length of Pipe -~rground Piping Corrosion Protection : ~Galvanized []Fiberglass-Clad [-]Imp~essed Current ~Sacrificial Anode [-]Polyethylene Wrap [-]Electrical Isolation []Vinyl Wrap []Tar or Asphalt []Unknown []None []Other (describe): c. Und__erground Piping, Secondary Contairm~ent: ~Double-Wall []Synthetic Liner System ~None []Unknown []Other (describe): · Ho TAN___~K t ~. (FILL OUT SEPARATE FORM F~'-'~ TANK) Tank is: [-]Vaulted '~Non-Vaulted []Double-Wall ]99Single_Wall ~ Material Date of Last Tightness Test ~3~Yes Test Name ~z~/&9~-t_ Results of Test 9. Tank Repai~ T~sting C~pany Tank Repaired? ~-Yes []No ~Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protectio~ ----~--~a~ Controls, & Visually Monitors Level []Tape F~o~t Gauge Capacitance Other: oCarbon Heel [] Stainless Steel [] Polyvinyl Chloride [2] Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [-] Concrete [-] Al~in~li [] Bronze [']Unkr~own ther (describe) 3. ~ C_ontainment Date Installed Thickness (inches) /~7~ Capaci ty (Gallons) Manufacturer 4. Tank Seconda r~ conta inment /~d~) ~D°uble-Wall--~-~-~ic Liner [']Lined Vault ~None l~Other (describe): [] Ma terial Manufacturer 5. Tank Interior"'~ _ Thickness (Inches) Capacity(Gals.) ----~R~ber [-]Alkyd []Epoxy [~Phenolic [-]Glass []Other (describe): 6. Tank Corrosion Protectlo~ Cathodic Protecttnn ~,~.~.nown ~L~None [.]Other (describe): - ~-'~ · . ~.~_.~.~_ _ -.--..: ,,None [JImpressed Cur ...... ' ~--- ~-~ ~ystem & Equil:ment: ~=nu system ~]Sacrlfi¢ial ;~ 'System · ~'-~. LJvlsual (vaulted tan~Ground~ater Monitorirg' ~ll [] Vadose Zone Monitoring Well (s) [-] U-Tube Without Liner []U-Tube with C~mpatible Liner Dlrecti Flo · [] Vapor Detector* ~'i r{~,,~ , ...... _n~ ,~ w to Monitoril~] Well [] Pressure Sen~r ~-~'~-~-~.~-7--u~v-~ ~en_sor U ConductivitF Se~or* ' ' · --- -,, ,'-u,uld[ U ce ot " ~_~g~quid Retrieval & In .... ,__pa_ ._Dou.ble Wall Tank_ · . . -~*un ~-r??.U-Tu~e, Monitoring Well or Annular ce [~Dally Gauging & Inventory Reconciliation ~]Per ' Spa _['] None [] Unknown [] Other iodlc Tightness Testin~ b. Pipi · F1 - ----- ----------- ng- ~ ow-Restrict~ Le ~ ~ [2]Sealed Concrete Nace~y []Half-Cut Cqupatible Pipe Raceway []Synthetic Liner Race~y l-]None [] Unknown [] Other · Describe Make 8. ~en & Model: ' Tightness Tested? []No []Unknown []Float Vent Valves ['] Auto Shut- Off Controls Sensor []Sealed Fill Box []None []-]Unknown [] Clay ~Unlined [']Unknown List Make & Model For Above. Devices a. Underground Piping: ~Yes [2]NO [-]Unknown Material ~--f~,~ _ Thickness (inches) Diameter Manufacturer b. -~Pressure []Suct~ion []Gravity '~---~imate Length of Pipe l~ Underground Piping Corrosion Protection : ~l~alvanized []Fiberglass-Clad []Impressed Current ~Sacrificial A~ode ~]Polyethylene Wrap /-]Electrical Isolation [~Vinyl Wrap [-]Tar or Asl~halt []Unknown []None []Other (deSCribe): c. Und_.erground Piping, Secondary Contair~ent: LJDouble-Wall []Synthetic Liner System ~None []Unknown []Other (deSCribe): 10. 11. e --Primary Containment Date Installed T~ickness (Inches) TANK _~ J~ . (FILL OU_~T SEPARATE FORM F~,--~ TANK) FOR ~'cH SECT-~--~, C~E~K _.~_.~,P~RI'i-~' [~E~ Tank is: []Vaulted ~Non-Vaulted []Double-Wall ~Single-Wall ~ Material ~Carbon ~eel [~Stainless Steel [']Polyvinyl Chloride ~ Fiberglass-Reinforced Plastic [~ Concrete [-] Al~m~in~m~ ~-~ Other (describe) [] Fiberglass-Clad Steel []']Bronze []Unknown /~d~co Capacity (Gallons) Manufacturer []D°uble-Waii~ic Liner []Lined Vault []None [-IUnknoim []Other (describe): _ Manufacturer []Material Thickness (Inches) : 5L Tank Interior~lninc~ Capacity-(Gals.) ---~Rubber ri Alkyd -- - -- T []Other (describe):.[2]Ep°xy []Phenolic []Glass []Clay [~unlined []unknown 6- ank Corrosion Protect~o~ ----------- ------__ ______ ---_-----_ cath ic Protectio..''S e' UOt.er (deecrihe).. De~ribe System & Equipment: .pressed Current System ~]~aCriflclal ir~xie Syst~m- 7,. 'Leak Detection, Monitorinc~, and I~ a. Tank: [~]gisml (vaulted~~G ~ roundwater[] Nonitorimj' W~ll (s) Vadose Zone Monitoring Well(s) [-IU-Tube Without Liner *Deecrlb~ Make 8. ~en & Mode~: .... . Tightness Tested? []U-Tube with Compatible Liner Directi F · [] Vapor Detector* [] Li~..(~ ...... _r~ F_,low to Monltorirg W~ll s * ~u u,~veJ. ~ensor L~Conduc ' · · ( ) ~ Pressu. re Sensor in Ann lar ~ ........ tlVlt~ Sem-$Or [.~ Liquid Betrieva~ ~ ?__u_~___:.~c_e oz DouDIe Wall Tank' ~[~..~'ly ~Gauglng & Inventory Reconcilia*.-- 'lm,?,°-m'~°r.i.ng .We.ll or Annular Space b. ~ ~one LJ Unknown [] Other ,-.~,. u ~-~r~o~c Tightness Testing PiPitS3: Fl~w-Restrictirg Leak Detector ~s~ ~Monitorin~ S~ ~4~ ...... . , for Pressuriz~d Hal --~ ~ -~- -~ce~y [] Sealed Concre -- _~] f-Cut C~mpatible nj,- - ..... te Race~y [] Unknown [] Other -~ ~u, way [] Synthetic Liner Date of Last Tightness Test Test Name 9. Tank _R_~_~-'------ Tank Repaired? []Yes, []No ~unknown Date(s) of Repair(s) Describe Repairs [2] Yes []No ~Unknown ., Results of Test Testing Ccmpany Ce Overfill Protectio-'~ --~--~-~a tot ~ Controls, & Visually Monitors Level ~Tape F~oat Gauge ~Float Vent Valves []Auto Shut- Off Controls ~Capacitance Sensor []Sealed Fill Box []None []unknown g~Other: List Make & Model For Above Devices a. Underground Piping: ]~Yes ~qNo []unknown Thickness (inches) Diameter Material ~]Pressure [] Suc t ~ on-~6~-~Gr ay i ty '- Manufacturer Appro~-imate Length of Pipe ~ -- Underground Piping Corrosion Protection : -{~Galvani zed []Fiberglass-Clad []Impressed Current []Polyethylene Wrap [~Electrical Isolatio~ ~Sacrificial A~ode ~Unknown ~'~None E]Other (describe): []Vinyl Wrap [~Tar or Asphalt Un~2~e~f~lPirg~, Secondary Contai--nt: -- [-]Synthetic Liner System ~None []Unknown [.]Other (describe): ~ . PEI~I? CBECKLIST This checklist is provided to ensure that all necessary packet enclosures were received ~ that the Permittee has obtained all necessary equipment to Implement the first phase of monitoring requIreaents. Please complete this form and return to KCHD in the self-addressed envelope provided within 30da_.~ of receipt. . Check: .~es 'No - ~ ~=~/'~ ~e p~ t~t~ e .. ecelved contained: ~ .,, '~ ~J)~ er. Permit Checklist, Inter ~///~ ~ /~ttortn~ Re~ ........... tm Permit, Phase I Interim Permit , '- ='-" C ~- /!~2 - .~ ~---=,.cnc~, lnzormatlon Sheet A re /,, &,.}.: . ~=~a~nc L~s~S and Return Envelope. -- Substance Codes, ~ '...~'"~;>~ ~J Standard Inventory Control Honttorln~ Handbook ~T-IO.: "'"' .....with the follo~tn~ roms: a) "Ioventory Recordin~ Sheet" b) 'Inventory Reconciliation Sheet with 'sugary on reverse" ~" c) 'Trend Analysis ~orksheet" ../ - 3) Hodtfted Inventory Control Nonttortng Handbook~UT-15. with form: "quarterly Nodlfled Inventory Control Sheet" with "quarterly Sugary oo ~everse" 4) An Action Chart ior each lnventor~ aethod (to post at fac. lllt~) ... B. I have exantned the tnfornatlon on a~ Interta Peratt, Phase I Honttorlni Requlreaents, and Information Sheet (A~reeaent between Owner and Operator), and find owner's na~e and address, facility n~e and address, operator's name and address, substance codes, and number of tanks to be accurately listed (If "no" Is checked, note appropriate corrections on the back side of this sheet). C. I have the tollowln~ required equipment (as described In Handbooks under "Belore Starting") ' . ~ 1) Acceptable gauging Instrument ..-. ~ 2) "Striker plate(s)" tn tank(s) ~ 3) ~ater-flndln~ paste O. I have read the lnfornatton on the enclosed "Inforaation Sheet" pertaining to A~ree~ents between O~er and Operator and hereby state' that the o~er of this factllt~ ts the operator (If "no' Is checked, attach a copy of agreement betweeo owner and'operator). E. I have enclosed a copy o~ Calibration Charts ~or all tanks at this facility (If tanks are Identical, one chart ~111 suffice; labe~chart(s) with corresponding / tank numbers listed on permtt)~ ' ~ ~ F. As required on pase 6 of Handbook tUT-10, all eeters at this facility have had calibration checks within the last 30 days and were calibrated by a registered device repairman If out of tolerance (all ~eter calibrations aust be recorded on "Neter Caltbrattd~Check Form" ~ound tn the Appendix of H~dbook). .... ~ 6. Standard Inventory Control Nonttortn~ (Handbook 'tUT-10) and Nodtiled Inventory Control Nonttorlng (Handbook tUT-15) were started at this facility In accordance with requirements descrlbed~n~nterla permit conditions. Date Started. ~// /~ Title: .- ,.... , Date. --'~'~ ~ ........... --~: ,~:x~ss. 9700 Rosedale Highwa e · ' ........ DIPSTICK READING (INCHES) TO GALLONS '' I~.;,_~_'_.~ Gallons Dipslick Gallons Dipstick Gallons Dipstick Gallons Dipstick 'Gallons Dipstick Gallons Dip~iick Gallons '~"' 3 14',4 492 281/, 1302 42% 2246 56v. 3222 .?0'/` 4143 84'/` 4899 ,,½ 5 14v~ 504 28 '/,~ 1319 42V? 2263 58'/~ 3239 70V~ 4158 84V~ 4910 ~ 8 143~ 517 28'/` 1335 423/` ~, 2281 563'" 3256 703~ 4174 64~/` 4921 1 10 15 529 29 1351 43 2298 57 3273 71 4189 85 4932 1'/` 14 15'/, 542 29'~ 1367 43'/` 2316 57,/, 3290 71,/, 4204 85,/, 4943 1'/; 19 15'/: 555 29'/~ 1383 a3'/~ 2333 57'/, 3308 71,/, 421 9 85'/~ 4953 ~ 23 15~/, 568 29~/, 1399 43~/, 2351 57~ 3325 713/, 4234 85~ 4964 _2 27 16 581 30 1415 44 2368 58 3342 72 4249 86 4974 2'~ 33 16% 594 30'/, 1432 44',4 2386 ,58',~ 3.~59 72% 4264 86'/, 4984 2'h 38 16'h 608 30'/.~ 1448 44,/, 2403 58'/~ 3370 72'/, 4279 86'/~ 4994 23'" 44 16~,4 621 30~,4 1465 443'" 2421 58~/` 3393 72~/` 4393 863'~ 5004 3 49 17 634 '31 1481 45 2438 59 3410 73 4308 87 5014 . .. 3'/, 56 17',4 648 31'/, 1497 45',4 2455 59v, 3427 73',4 4323 87'/` 5024 3'/, 63 17v~ 662 31'/, 1514 45'/, 2473 59'/~ 3444 73v~ 4338 87'/~ 5035 3~/` 69 17~A 675 31~ 1530' 45~/` 2490 593/' 3461 733'4 4352 87~/, 504.3 4 76 18 68~) 32 1546 46 2507 60 3478 74 4367 88 5052 4'/, 83 18'/` 703 32',4 1563 46',4 252~ 60'/` 3495 74',4 4382 88',~ 5061 4'/~ 91 18'/~ 717 32'/, 1580 46v, 2542 60'/~ 35,12 747~ 4396 88v~ 5070 .. 4A 98 183,'` 730 32~/` 1596 463/` 2560 603,4 3528 74~/` 4411 883/` 5078 5 105 19 744 33 1613 47 2577 61 356,5 75 4425 89 5087 5'/, 113 19',4 758 33'A 1630 47',4 2595 61 ',4 3562 75',4 4439 89'/, 5095 5v, 122 19'/? 772 33'/~ 1647 47'/, 2613 61 v~ 3579 75'/~ 4453 89v~ 5104 53,4 130 19~,4 786 33~,4 1664 47~/, 2630 61~/, 3595 75~/, .' 4467 893/, 5112 6 138 20 800 34 1680 48 2648 62 3612 76 4481 90 5120 6'~ ]47 20',4 815 34',4 1697 48',4 2666 62'/, 3629 .. 76'/, 4495 90'/, 5127 6~ 156' 20v, 829 34'/, 1714 48'/,- 2683 62'/~ 3646 767~ 4509 90v, 5135 6~/, 164 20~/` 844 34~x~ 1730 48~/, 270.1 62A 3662 763/, 4522 90,/, 5142 7 173 21 858 35 1747 49 2718 63 3679 77 4536 91 514~) 7,,4 183 21 ',4 873 35'/, 1764 49'A 27~5 63',4 3695 77'/, 4595 91 'A 5156 7'~ 192 21'/~ 888 35'/~ 178] ;' 49'h 2753 63;,'~ 3712 77'h 4564 91'h 5163 73/` 202 213/` 902 353~ 1798 493/, 2770 633'" 3728 77~/` 4577 91~, 5169 8 21] 22 917 36 1815 50 2787 64 3744 78 4591 92 5176 8'~ 221 22',4 932 36'/, 1832 50'/, 2805 64'2, 3761 78'~ 4604 92'/` 5I~2 8v, 231 22'/, 947 36v~ 1849 50'/, 2822 64'/~ 3777 ?8V~ 4618 92v~ 5187 83/` 241 22~,4 961 36~/, 1866 503/, 2840 64~/, 5794 783/, 4631 92'/, 5193 9 251 23 976 37 188,3 51 2857 65 3810 79 4644 93 5198 9'/, 262 23'/, 991 37',4 1900 51 ',4 2875 65',~ 3826 7g'~ 4657 93',4 5202 9'/~ 272 237~ 1006 37v~ 1918 51'/~ 2892 65v~ 3842 79'/~ 4670 93'/~ 5207 93/' 283 23~/, 1021 373/, 1935 513/, 2910 653,4 3858 793;~ 4683 93~ 521I 10 293 24 1036 38 1952 52 2927 66 3874 80 4696 94 S215 10'/, 304 24',4 1052 38'/, 1969 52'/, 2945 66,,4 3890 80,/, 4709 94'/, 5218 10'/~ 31,5 24,/~ 1007 38,/, 1986 52'/= 2962 66,/~ 3906 80'/~ 4721 94v~ 5220 103/, 32§ 24~ 108.~ 38~/, 200~ 523~ 2980 66~/, 3921 803/, 4734 94~ 522_t 11 337 25 ~098 39 2020. 53 2997 67 !3937 81 4746 95 5225 11~A 349 25'/, 1114 39'/, 2023 53'/` 3014 67'/, 3953 81'/` 4758 95'/, 11'/~ 360 25'h 1129 39'/~ 2025 53'/~ 3022 67V.~ 3!)70 81V~ · 4771. 95V~ 113~ 372 25~/, 1145 39~,4 2028 533/, 3049 673A 3986 81~/` 4783 953/` 12 383 26 1160 40 2030 54 3066 68 4002 82 4795 96. ' 12'/` 395 26'/, 1176 40'/, 2062 54'/, 3083 68',4 4018 82'/, 4807 96'/, 12Y~ 407 26Y~ 1192 40V~ . 2095 54V~ 3101 68Y~ 4034 82V~ 4819 9~,/, 12~, 418 263~ 1207 403/, 2~27 543/, 3118 683/` 4049 823/, 4830 ~:'?...96 ~ ~3 430 27 1223' 41 2159 55 3135 69 4065. 83 4842 97 13'/, 442 27'/, ~239 41 ',4 2176 55'/, 3153 69'/, 4081 83',~ 4854 97~A 13V~ 455 27V~ 1255 41V~ 2194 55V~ 3170. 69'/~ 4096 83V~ 4865 97'/~ 13~ 467 27~ 1270 41~'~ 2211 553/, 3188 69A 4112 83~, 4877 97~ . Bake r sf ~el.:~d', '.CA. ~'~ ~- ~. i PA 9 '- ~,"" "' 9 80 .... '.' " :i ~MAxIMUM CA CITY' '"~;'; · ' 't',c ' i~'~ '~-':' ' " ~,'~ . -' r- ' ')' "'-.='.' ",:'- DIPSTICK R DING41NI TO GALLONS ,~::: Dipstick Gallons DiPSiick Gallons Dipstick. Gallons Dipstick Gallons DipstiCk Gallons Dipstick Gallon~i'~D)¢"~.;,~' Gallons 'fi" ;2 14'./, 936 28'~ 2489 42'4 ,: 4288 56'~. 6155 ' 70'4 '7912. ':~...!,4L' '/2 ? 14V2 960 28V2 2520 42V2 4321. 58V~ 6187 ?0V~ 7942 84',5 9379 34 12 14~ 987- 28~ 2551 4234~' 4355 58~.~ 62'20 70~/` 7971 84~ 9400 1 18 15 1008 29 2582 43 4389 57 6252 71 79~6 85.: 9421 1,4 26 15¼ . 1036 29¼ 2612 43¼ 41423 57,/` ~.-,o . ~(:S 71 ',~ ~050 85 V,+. 9441 lV2 34 15v2 1060 29v~ 2643 43'/., 4455 57v.~ 6318 71'/:, 8059 ). 85v2 9461 1~/, 43 15"~ 1084 29:'/` 26'~Z 433A 4489 57~ 6351 71'~/` 8088 "'85~ 9482 2 51 ~6 1109 30 2705 44 452~3 58 6383 72 8116 ..86 9501 2'4 62 16'4 1135 30¼ 2735 44¼ 4555 58,4 6416 72¼ 8145 86'~ 9520 2'/~ 73 16v~ 1160 30v~ 2766 44v~ 4988 58'/~ 6449 72v~ 8173 86v, 9540 23~ 83 16'~/` 1185 303/, 2797 44~/` 4622 58:~ 6482 723/` 8201 86~/` 9558 3 94 ~7 1210 '31 2828 45 4656 59 6514 73 822~ .87 9576 3'/` 106 17',~ 1236 31¼ 2859 45'/` 4722 59'~ 6547 73¼ 8257 87'/` 9595 .. 3v~ 119 17'/~ 1288 3172 2889 457~ 4755 59v~ 6579 73'/., 8285 87v:, 9613 3:~,~ 132 173/` 1316 31~/` 2921 45~/` 4789 59~/` 6610 73'~/` 8313 87'~/` 9632 4 144 18 1342 32 2953 46 4822 60 6642 74 8340 88 9649 4'~ 158 18¼ 1368 32¼ 2876. 46',4 4895 60¼ 6675 74,m '. 8368: '88'4 9666 4v~ 172 18v~ 1394 32v~ 30L7 46v~ 4888 60'/~ 6707 747~,. ,8396-'~ 88v~ 9683 4"/` 187 18~ 1421 32~/. 3049 46:~,~ 4922 60:/, 6739 74:~/, -8425 88:~ '9699 5 201 19 1443 33 3~81 47 4956 61 6771 75 8452 89 9716 5¼ 217 19'/` 1474 33'/, 3113 47,/, 4990 6~'/, 6803 75¼ 8479 -89¼ 9732 m 5V~ 232 19V.~ 1497 33'/., 3145 47V.~ 502,~ 61'/~ 6835 75v~, 8506 89V~ 9748 53/` 247 19~/` 1528 333/`' 3177 47:",~ 5056 6~ :'/` 6867 75:/` 8533 &93/` 9763 ~. 264 20 1556 34 3209 48 5092, 62 6899 76 8559 90 9779 6'~ 281 20'/, 1584 34,/, 3241 48'/, ' 5126 62'/` 6931 76',~ 8586 90','; 9793 6v~ 297 20'/~ 1612 34'/.-. 3273 48'/.. 5158 62'/~ 6963 76'/.-, 8612 90'h 9808 6'/, 314 20~/` 1640 34~/`' 3305 48:~/` ' 519',~" 62~/` 6995 76~/` 8638 90'~/` 9'8:.22~ . 7 331 2t 1667 35 3338 49 S225 63 7027 77 8665 91 '9856 7',I 3~.8 21 '~; 1695 35'/, $3'70 49'/, 5258 63'/, 7059 77'/` 8692 91 '/, 9848' 7V~ 367 21'/~ 1723 35'/, 3402 49',5 5297, 63'/~ 7091 77'/~ 8718 91'/2 986! 73'4 385 213/, 1751 35~/, S4~4 493/, 5324 633/, 7122 773/, 8744 913~ 9874 8 404 22 1779 36 3466 .',50 5358 64 7153 78 87.70 92 · 9886 8',~ 422 22¼ 1807 36¼ 3498 ': _~50',~ 5392 64¼ 7184 78¼ 8795 92'/. 9897 8V2 440 22'/~ 1835 3672 3531 50V~ 5425 647, 7215 78V~ 8820 927~ 9007 8~/, 460 22~/, 1804 36'/, 3564 503/, 5458 643/, 7245 783/, 8846 92!/, go18 9 479 23 1892 37 3597~ 51 5491 65 7275 79 8871 93 902q .., 9¼ 500 237, 1921 37¼ 3629 51¼ 5525 65'/` 7306 79',~ 8896 93'4 9037 9'~ 519 23'/~ 1951 37',5 3662 5172 5558 6572 7537 79'/~. 8920 93'/2 9046 . 9~/` 5 39 23~'~ 1980 37~ 36'95 51 ~/, SS 91 65~/, 7368 79'/` 8944 93J/` 9954 .10 560 24 2002 38 5728 52 5625 66 7998 80 8069 94 9962 10'/` 580 24'/` 2038 38',~ 3760 52'/` 5659 66¼' 7429 80¼ 8993 94'/` ' 9968 10',5 601 24'/~ 2068 387~ 3795 527~ 5692 66'/~ 7460 80'/~ 9017 94'/2 997_q 10~ 622 24~'~ 2098 38~/` ~820 52~/' S725 66*/` 7497 803/` 9041 94J/` 9978 11 644 25 21 27 39 5858 5'"J 579dm 67 7522 8~ 9065 95 9980 ~¼ 665 25¼ 2149 39'/` 3891 53',~ 5791 6z¼ 7553 8~'/` 9090 95¼ 1172 686 25'/2 2186 39'/, 3924 53'/~ 5823 67v~ 7584 8~v, 9113 95'/~ il J/` 709 25~/`' 2216 39~,~ 3957_ 53~/` 5856 673/, 7614 813/, 9136 95~/, ~2 729 26 2246 40' 3991 54 5890 68 7644 82 9159 96 ~2'4 753 26',~ 2276 40'/, 4024 54'/, 5924 687, 7674 82',~ 9182 96~,~ ' . 12V~ 773 26v~ 2306 40'/~ 4057 54v~ 5956 68',5 7704 82'/~ -3205 96',5 ~2~ 798 26~ 2336 40~,~ 4090, 643/, 5989 68~/` 7734 823/, 9227 ~,',~ 13 820 27 2366, 41 4123 55 6023 69 7704 83 924~ 97 .... 13',,1 844 27'/` 2388 41 '/, 4 157 55.'/, 6056 69'4 7~124 83',I D272 97'A . .... ,, ' 13½ 867 27'/~ 2427 41'/~ 4190. 557~ 6089 69V2 7853 83V~ 9294 97',5 __ 13~ RO1 27:~/` 2458 41:Y. 4222 553/` 6177 69~/` 7R82 83~/, 0~1 ~' 97:~ ' " ....... 14 915 28 2489 42 · 4255 56 6155 ?0 7912 84 9330 98 .:.:.~ Model D-5 1,000 Gallon Tanks/Tank Size and Capacity in Gallons 'Calibrations for Level Tanks Actual Capacity 971 Gallons Dipstick Gallons Dipstick Gallons Dipstick Gallons Dipstick Gallons Dipstick Gallons Dipstick Gallons Dipstick Gallons 11/e" 5 · 8" 100' 147/8'' 250 213/4" 426 28s/8" 607 ~ 351/2'' 778 423/8" 912. 13/s'' 6 8~/." 105 151/8'' ! 256 22" 433 287/8'' 614 353/4'' 783 42¥8" 916 11/2" 7 83/~'' 107 '15'/4" 259 221/8" 436 29" 617 35~/8'' 786 423/." 918 15/8" 9 , 81/2'' 109 ' 153/8'' 262 221/4'' 440 291/8'' 620 · 36" 789 42z/8'' 920 13/4" 10 8~/8" 112 15'/2" 265 223/8'' 443" 291/4'' 623 361/e'' 792 43" 922 1 ?/~" 11 83/4'' 114 15s/8'' 269 22'/2" 446 29~/8'' 627 361/.'' 795 431/8'' 924 2" 12 87/~'' 117 · 153/.'' 272 22~/8'' 449 291/2'' 630 363/8'' 797 431/.'' 926 21/8'' 13 9" 119 157/8" 275 223/4'' 452 29~/e" 633 · 361/2'' 800 433/8" 927 21/4'' 15 9V8" 122 16" 278 22z/8'' 456 293/4" 636 36s/8'' 803 431/2'' 929 , 23/8'' 16 9'/4" 124 161/8'' 281 23" 459 297/8'' 640 :: 363/." 806 43s/8'' 931 · 2'/~" 17 93/8" 127 16'/4" 284 23'/8" 462 30" 643 ' 367/8'' 808 433/.'' 933 2¥~" 19 91/2'' 129 163/~'' 287- 231/.'' 466 301/8'' 646 37" 811 437/8'' 934 23/,'' 20 9~/s'' 132 161/2'' 291 233/8'' 469 301/.'' 650 'I 37'/s" 814 44" 936 2?/8'' 22 93/4" 135 16s/8'' 294 231/2'' 473 303/8" 653 371/.'' 816 441/e'' 938 3" 23 9?/8'' 137 163/4'' 297 235/8'' 476 301/2'' 656. 373/8" 819 44'/4" 939 3V8" 24 10" 140 16z/e'' 300 233/.'' 479 30s/8'' 659 37V2" 822 443/8'' 941 3'/4" 26 101/~'' 143 17" 303 237/8'' 483 30~/4'' 663 ~': 375/8'' 824 441/2'' 943 33/~'' 27 101/.'' 145 - 17'/8" 306, 24" 486 30?/8'' 666 373/.'' 827 ' 44s/8'' 944 3'/2" 29 103/a" .148 17'/~" 309' ': 24'/8" 489 31" 669 ~ 37~/8'' 829?' 448/.'' 946 33/4" 32 ' 10s/8'' 153 171/2'' 315 243/8'' 496 31'/4" 675 .': 381/8" 835 · 45" 949 :, 3?/8'' 33. 10~/4'' 156 17~/8'' 319 241/2'' 499 313/8" 679 ' 381/4'' 837 451/8'' 950 4" 35 .. 10~/8'' 158 173/4'' 322 24~/8" 502 · 31'/2" 682 ~ 383/8'' 840 451/4'' 952. 41/8'' 37 11" 161 177/8'' 325 243/4" 505 31~/8'' 685.' 381/2'' 842 453/8'' 953 41/4" 38 111/8" 164 18" 328 24;'/8" 509 313/4" 688 38s/8'' 845 · 45'/2" 954 45/8'' 43 111/2'' 172 183/8'' 338 25V4" 519: 321/8'' -~ 6977!~ 39" 852.~-: 45?/8" 958. 4z/8'' 47 113/.'' 177 18s/s'' 344 251h'' 525 323/8'' ': 703::? 39'/4" - 857 461/8'' 960 ./ Dealer Employer Identification No. (EIN) 95-3869706 DEALER LEASE PREMISES AND TERM S.S. No. B029-~ Dated: October 15, 1985 1. .Chevron U.S.A. Inc. ("Company") hereby leases to Ray Sutton, Inc. ("Dealer"), for a term commencing on the 1st day of January, 1986 and ending on the 31st day of December, 1988 the premises located in the City of Bakersfield, County of Kern, State of California, described as follows: 9700 Rosedale Hwy., Bakersfield, CA 93308 together with all buildings, improvements, fixtures, facilities and equipment (except signs) located thereon and any additions, replacements or substitutions thereto (hereinafter sometimes collectively referred to as the "premises"). USE OF THE PREMISES 2. (a) Dealer shall use the premises only for the operation of a service station for the sale of the following merchandise and automotive services normally s°ld at service stations: motor fuels, motor oils, tires, batteries and automotive accessories, lubrication, tire and battery services, and minor motor vehicle repairs. Dealer acknowledges that by this Lease Company has furnished Dealer with a facility meeting the requirements of the motoring public for such merchandise and services. Dealer shall diligently promote the sale of such merchandise and services from the premises. Dealer recognizes and agrees that Dealer's failure to comply with the provisions of this Lease would not only impair Dealer's sales but would also adversely affect the motoring public's patronage of other retail service stations displaying Company's insignia. Company and its authorized representatives shall have the right at any time to enter upon the premises to perform Company's obligations and exercise Company's rights and to confirm the performance by Dealer of Dealer's obligations under this Lease. (b) Dealer shall: (1) Devote sufficient time to the personal management of the premises so as to provide for the continued proper operation thereof as a service station; and (2) Subject to any valid requirements of any applicable statute, keep the premises open for business and fully illuminated for such hours and days as are necessary to serve and develop fully the available business, and in no event less than those hours and days required to compete effectively with competitive service stations in the vicinity of the premises, the following being the hours and days reCommended by Company: 6:00 a.m. to 6:00 a.m. to 6:00 a.m. to 6:00 a.m. to 6:00 a.m. to 6:00 a.m. to 6:00 a.m. to Midnight each Monday, Midnight each Tuesday, Midnight each Wednesday, Midnight each Thursday, Midnight each Friday, Midnight each Saturday, and Midnight each Sunday; and (3) Render professional driveway and automotive service to customers bY providing trained, acceptably groomed and uniformed service station personnel in numbers adequate to handle the available business; and (4) Operate and manage the premises and cause customers to be treated in · such a manner as to eliminate customer complaints to the extent possible; and (5) Continuously offer for sale at the premises merchandise and automotive services normally available at service stations (as enumerated in subsection (a) above), and in connection therewith fully utilize all service bays; and (6) Comply with all applicable Federal, state and local laws and regulations relevant to the use and operation of the premises, and supply Company with all information which Company shall reasonably request to enable Company to comply with all applicable Federal, state and local laws and regulations. (c) Dealer shall not, without Company's prior written consent, permit the premises, or any part thereof, to be used for: (1) The parking, storage, rental or sale of automotive vehicles, trailers or equipment; or (2) The sale of garden supplies; or (3) The sale ofalcoholic beverages of any kind; or (4) Video games, pinball machines, vending machines (excepting only a reasonable number of vending machines dispensing soft drinks, food, cigarettes and road maps) or any similar device~'or (5) Major motor vehicle repairs, including but not limited to the replacement of or partial or complete overhaul of engines, transmissions or differentials; or (6) Sales, services or other revenue producing activities not normally offered at service stations (normal sales and services being enumerated in subsection (a} above); or (7) Any other activity of a type that might conflict with the effective operation of the premises as a service station. (d) If Company gives its consent under subsection (c) above to the use of the premises for other purposes, such consent shall be conditioned upon: (1) The use of only such part of the premises for such purposes as may be specified by Company; and (2) 'The payment by Dealer to Company for such use of an amount to be set forth in a "License--Non Service Station Use Agreement," which Dealer hereby agrees to enter into as a condition of such consent. ASSIGNMENT-SUBLEASING 3. This Lease is personal to Dealer, and Dealer shall not, subject to any valid requirements of any applicable statute: assign this Lease, or any interest therein (either voluntarily or by operation of law) by assignment or other arrangements having similar effect; let or sublet any part or the whole of the premises; mortgage this Lease; become associated with any other person, directly or indirectly, as a partner or otherwise in regard to Dealer's interest or operations under this Lease; permit or suffer any lien or encumbrance to be placed upon the leasehold interest hereby created or -2- any part thereof; or permit any other person, firm or corporation to occupy the premises or any part thereof as a tenant or otherwise. RENT 4. (a) Base Rent. For each calendar month during the term of this Lease, Dealer shall pay Company rent for the use of the premises as follows: (1) The sum of $ 2800.00 per month for the use of the motor fuel facilities on the premises (the "base monthly motor fuel facilities rent"); plus (2) The sum orS 1000.00 per month for the use of any additional profit center (for example, service bays, convenience store or car wash) on the premises (the "monthly additional profit center rent"). (b) Alternative Motor Fuel Facilities Rent. The base monthly motor fuel facilities rent (but not the monthly additional profit center rent) shall be subject to reduction as follows: (1) The base monthly motor fuel facilities rent shall be reduced by a percentage equal to one half (1/2) of the percentage, if any, by which Dealer's motor fuel purchases from Company for resale at the premises (under the Supply Contract referred to in section 14 hereof) during the calendar month exceed the following volume (the "base monthly volume"): 28,000 gallons. However, in no event shall the monthly motor fuel facilities rent for the premises be reduced to an amount less than twenty-five percent (25%) of the base monthly motor fuel facilities rent. (This means, for example, that if Dealer's motor fuel purchases from Company during a particular calendar month exceed Dealer's base monthly volume for that month by 60% (that is, they equal 160% of Dealer's base monthly volume), Dealer's base motor fuel facilities rent for that month would then be reduced by 30% (that is, by one half of 60%).) (2) In order to give Dealer the benefit of any greater rental reduction which Dealer might receive if the calculation contemplated by clause (1) of this subsection (b) is performed on the basis of a six-month period rather than for each calendar month, Company shall, promptly following January 1 and July 1 of each calendar year, perform the calculation contemplated by clause (1) of this subsection (b) on the basis of the entire prior six calendar months. That is, the aggregate of the base monthly motor fuel facilities rents for such six-month period shall be reduced by a percentage equal to one half (1/2) of the percentage, if any, by which Dealer's total motor fuel purchases from Company for resale at the premises (under the Supply Contract referred to in section 14 hereof) during such six-month period eXceed the aggregate of the base monthly volumes for such six-month period. However, in no event shall the total motor fuel facilities rent for the premises for such six-month period be reduced to an amount less than twenty-five percent (25%) of the aggregate of the base monthly motor fuel facilities rents for such six-month period. If the resulting total motor fuel facilities rent for such six-month period is less than the aggregate of the motor fuel facilities rents paid by Dealer pursuant to clause (1) of this subsection (b) for such six-month period, Company shall credit Dealer's account for the difference. All such calculations shall be prorated as appropriate for any fraction of such six-month period included within the term hereof. (3) Any quantities of motor fuels transferred by Dealer from the premises for resale at another location shall be deducted from the quantities of motor fuels purchased by Dealer from Company (under the Supply Contract referred to in section 14 hereof) in calculating the reduction in the base monthly motor fuel facilities rent to which Dealer may be entitled under clauses (1) and (2) of this subsection (b). If Dealer so transfers any -3- motor fuels purchased from Company, Dealer shall immediately notify Company of the quantities of motor fuels so transferred. If Dealer fails so to notify Company, then, in addition to such other remedies as Company may have, Dealer shall not be entitled to any reduction under clause (1) of this subsection (b) in the base motor fuel facility rent for the month in question and shall pay to Company the full base motor fuel facilities rent for such month, and such month shall not be considered in the calculation of the adjustment contemplated by clause (2) of this subsection (b). (c) General. All rents hereunder in regard to any calendar month shall be due and payable by Dealer to Company on or before the twenty-f'xfth (25th) day of the following calendar month. All rents payable hereunder (and the base monthly volume) shall be prorated as appropriate for any period less than a calendar month included within the term hereof. DEALER__iNDEPENDENT BUSINESS 5. (a) Dealer is engaged in an independent business and nothing herein contained shall be construed as granting to Company any right to control Dealer's business or operations or the manner in which the same shall be conducted, Dealer's obligation to Company hereunder being the performance of the terms ~and conditions of this Lease. Company has no right to hire or fire any employees of Dealer or to exercise any control over any of Dealer's employees, all of whom are entirely under the control and direction of Dealer, who shall be responsible for their acts and omissions. Dealer accepts exclusive liability for all contributions and payroll taxes required under Federal Social Security laws and State Unemployment Compensation laws or other payments under any laws of similar character as to all persons employed by and working for Dealer. (b) Dealer shall pay when due, or if payable or collectible by Company shall on demand reimburse Company for, all license fees and privilege, occupational, sales, use, excise or other taxes of any character whatsoever (including but not limited to any such tax imposed upon or as a result of the rent payable by Dealer hereunder) now or hereafter levied, assessed or otherwise imposed by Federal, state or local governmental authorities upon or as a result of the use or occupation of the premises by Dealer or the operations or improvements or property of Dealer on the premises. MAINTENANCE -- UPKEEP -- REP____AIRS -- REPLACEMENTS -- ~LTERATIONS -- CON.._.__~DITION OF ·PREMISES 6. (a) Dealer shall maintain and operate the premises in a clean, safe and healthful manner with an appearance that is inviting to the motoring public. Dealer and Company shall perform the respective maintenance and other responsibilities assigned to them in Exhibit A attached hereto and made a part hereof. (b) Dealer shall not make any additions, alterations, rearrangements or improvements to the premises, or any property thereon, or remove any such property therefrom, without Company's prior written consent. Dealer shall not, without Company's prior written consent, alter, remove, cover, add to or deface any paint or signs on the premises or on any property located thereon, or add additional paint or signs to the premises or to any property located thereon. Such pumps, tanks, containers or receptacles as have been furnished to Dealer by Company and are or may be marked as such, shall be used solely for the storing, handling or dispensing ofpreducts supplied by Company. Company shall not unreasonably withhold its consent to the required identification of, and installations to dispense, products not supplied by Company which Dealer desires_to sell at the premises. -4- TERMI.._____~NATION 7. (a) Dealer may terminate this Lease together with the Supply Contract referred to in section 14 hereof without cause at any time during the term hereof upon giving Company written notice of such termination. (b) Company may, in addition to such other remedies as Company may have (including but not limited to the right to terminate this Lease as otherwise provided herein) and subject to any valid requirements of any applicable statute, terminate this Lease upon giving Dealer ninety (90) days' prior written notice of such termination or, if it would not be reasonable for Company to give ninety (90) days' prior written notice, at Company's election upon giving Dealer prior written notice for such lesser period as is reasonable in the circumstances, if any one of the following occurs: (1) Dealer by act or omission breaches or defaults on any covenant, condition or other provision of this Lease, which breach or default can be cured, and Dealer fails to cure such breach or default within ten (10) days after such written notice of termination from Company which shall specify such breach or default; or (2) Dealer by act or omission breaches or defaults on any covenant, condition or ~ther provision of this Lease which breach or default cannot be cured, or in the event of any breach or default by Dealer after notice of two previous breaches or defaults of any kind has been given hereunder, regardless of Dealer's curing such previous breaches or defaults; or (3) Dealer fails to' exert good faith efforts to carry out the provisions of this Lease following written notice to Dealer from Company of such failure and a reasonable opportunity to exert good faith efforts to carry out such provisions; or (4) Dealer fails to pay to Company in a timely manner when due all sums to which Company is legally entitled (whether or not such sums are owed to Company under this Lease); or (5) Dealer knowingly fails to comply with Federal, state or local laws or regulations relevant to the use or operation of the premises; or (6) Willful adulteration, commingling, mislabeling or misbranding of motor fuels or other violations by Dealer of trademarks utilized by Company; or (7) This Lease, or any interest therein, is assigned or otherwise transferred contrary to the provisions of section 3 hereof; or (8) Dealer fails to comply with Company's Inventory Control and Spill Handling Procedures set forth in Company's Service Station Maintenance Guide and referred to in subsection l(a) of Exhibit A; or (9) Unlawful, fraudulent or deceptive acts or practices or criminal misconduct by Dealer relevant to the operation of the premises; or (10) Continuing severe physical or mental disability of Dealer of three (3) months' duration which renders Dealer unable to provide for the continued-proper operation of the premises as a service station; or -5- (11) Failure by Dealer to operate the premises as a service station for seven (7) consecutive days, or such lesser period which under the facts and circumstances constitutes an unreasonable period of time; or (12) Conviction of Dealer of any felony involving moral turpitude; or. (13) Dealer's death. Without limitation on the foregoing, it is agreed that upon the occurrence of any of the events specified in clauses (6} through (13) of this subsection (b) it would not be reasonable for Company to give ninety (90) days' prior written notice, that ten (10) days' notice would be reasonable in such circumstances, and that in any such circumstance Company may elect to terminate this Lease upon giving Dealer ten (10). instead of ninety (90) days' prior written notice of such termination. (c) If during the term hereof Company decides to withdraw from marketing motor fuels through retail outlets in the relevant geographic market area in which the premises are located, Company may terminate this Lease by giving Dealer one hundred eighty (180) days' prior written notice of such termination and otherwise complying with any applicable requirements of law, including the Federal Petroleum Marketing Practices Act. (d) Waiver by Company of one or more breaches or defaults hereunder shall not be deemed to be a waiver of any other or continuing breach or default hereunder. The subsequent acceptance of rent hereunder by Company shall not be deemed to be a waiver of any preceding breach or default by Dealer regardless of Company's knowledge of such preceding breach or default at the time of acceptance of such rent. No modification of this Lease, and no waiver of any provision hereof, shall be binding on Company unless in writing and signed by Company. Termination of this Lease shall not relieve Dealer of responsibility for obligations incurred prior to termination. DESTRUCTION OR CONDEMNATION 8. If the premises or a substantial portion thereof are destroyed or taken by eminent domain (the filing of an eminent domain action shall be deemed a taking), or should the operation of the premises as a service station be prevented by any law, ordinance or act of lawful authority, either party hereto may, subject to any valid requirements of any applicable statute, terminate this Lease upon ten (10) days' written notice to the other or such longer notice as such party may elect to give, it being agreed that it would be unreasonable for Company to give ninety (90) days' prior written notice and that ten (10) days' prior written notice is reasonable. Dealer shall have no right or interest in any damages or compensation awarded as the result of taking by eminent domain, which shall be the sole property of Company, except as otherwise provided in the Federal Petroleum Marketing Practices Act. If this Lease is terminated by Company because the premises or a substantial portion thereof are destroyed and Company subsequently rebuilds or replaces the premises for dealer operation, Company shall, within a reasonable period of time, grant to Dealer a right of first refusal of the proposed agreements under which the premises are to be so Operated. DEALER EQUIPMENT 9. Upon termination of this Lease, subject to any valid requirements of any 'applicable statute, neither Company nor any incoming Dealer shall have any obligation to purchase from Dealer any of Dealer's inventory, tools, equipment or supplies. -6- SURRENDER 10. Upon termination of this Lease, by expiration or otherwise, Dealer shall peaceably and quietly surrender and yield up to Company the premises and all appurtenances in as good order, condition and repair as the same were in at the execution of this Lease, or into which they may be put, · reasonable use and wear thereof excepted. Dealer shall, at Dealer's own expense, remove from the premises Dealer's trade fixtures and all other personal property owned by Dealer thereon and shall repair all damage to the premises resulting from such removal. Any property remaining on the premises after the termination of this Lease shall be deemed to have been abandoned by Dealer and may be used or disposed of by Company in such manner as Company may see fit. Without limitation on its other rights, following such repossession Company may operate the premises through its agents or employees. INDEMNITY 11. Dealer shall indemnify, defend and hold harmless Company, Company's parent company, Chevron Corporation, the subsidiary and affiliated companies of each of them (collectively "Company anal its affiliates"), and their respective directors, officers, agents and employees, from and against all expense tincluding attorneys' fees), liability and claims of whatsoever kind and nature, including but not limited to those for damage to property (including Dealer's property) or injury to or death of persons (including Dealer), directly or indirectly resulting, or alleged to result, from anything occurring from any cause on or about or in connection with the maintenance, upkeep, repair, replacement, operation or use of the premises, or anything located thereon. INSURANCE 12. (a) Dealer shall maintain, at Dealer's own expense during the term hereof, insurance with respect, to Dealer's business, the premises and all activities on or about or in connection with the premises of the types and in the minimum amounts described generally as follows: (1) Garage Liability Insurance or Comprehensive General Liability Insurance (bodily injury and property damage) of not less than $500,000 combined single limit per occurrence, including explosion hazard, personal injury, premises-operations, products and completed operations, blanket contractual and independent contractors liability coverages; and (2) Business Auto Liability Insurance (bodily injury and property damage) of not less than $500,000 combined single, limit per occurrence on all nonowned automobiles, all tow trucks and service vehicles which are owned, hired or leased by Dealer, and all vehicles bearing the hallmark or other insignia used by Company, which are owned, hired or leased by Dealer; and (3) Environmental Impairment Liability Insurance (bodily injury and property damage) of not less than $500,000 combined single limit of liability, including gradual seepage, pollution and cleanup costs; and (4) Full Worker's Compensation and Employer's Liability Insurance covering all employees of Dealer; and (5) Any other insurance or surety bonding that may be required by applicable Federal, state and local laws and regulations; and '- (6) Excess liability insurance of not less than $1,000,000 per occurrence in excess of the insurance required under clauses (1), (2), (4) (except Worker's -7- Compensation) and (5) above, affording not less than the same coverage and inCluding personal injury and property damage coverage. (b) The insurance required under clauses (1), (2), (3), (5) and. (6) of subsection (a) above shall include Company and its affiliates as additional insureds except with regard to occurrences that are the result of their sole negligence. (c) The insurance required under clauses (1), (2), (3), (5) and (6) of subsection (a) above shall provide that it is primary coverage with respect to Dealer, Company and all other additional insureds. (d) The insurance required above shall provide that no cancellatiOn or material change in any policy shall become effective except upon thirty (30) days' prior written notice to Company. (e) The insurance companies shall have no recourse against Company, or any other additional insured, for payment of any premiums or assessments under any policy issued by a mutual insurance company. (f) Dealer shall furnish certificates satisfactory to Company as evidence that the insurance required under subsection (a) above is being maintained. (g) Dealer shall be responsible for all deductibles in all of Dealer's insurance policies. (h) Dealer's indemnity and other obligations shall not be limited by the foregoing insurance requirements. UNDERLYING ESTATES 13. (a) Company's interest in the premises is or may be a leasehold estate derived from a third party whose interest in the premises may or may not be of record. This Lease is subordinate to all the terms and conditions of any lease ("Company's underlying ground lease") now in effect, or hereafter entered into, with such third party evidencing such leasehold estate of Company. If Company's underlying ground lease is terminated in any manner by either party thereto, Company may, subject to any valid requirements of any applicable statute, terminate this Lease upon giving Dealer ninety (90) days' prior written notice of such termination or, if it would not be reasonable for Company to give ninety (90) days' prior written notice, at Company's election upon giving Dealer prior written notice for such lesser period as is reasonable in thecircumstances. Company shall in no way be liable to Dealer for such termination, whether voluntary or involuntary. Dealer agrees that Dealer shall not, by act or omission, breach any of the terms and conditions of Company's underlying ground lease of which Dealer has notice. (b) In order that Company may ascertain and verify the calculation of rents under Company's underlying ground lease, if the rent thereunder is based on receipts from sales of products or services at the premises, Dealer agrees to keep accurate books and records of the quantity and dollar amount of all of Dealer's sales of merchandise and services, and of Dealer's merchandise cost prices, and to make such books and records available to Company for inspection during regular business hours. Dealer further agrees that, if requested by Company, Dealer shall give Company on or before the tenth (10th) day of each calendar month a written statement of all business done at the premises during the preceding calendar month in such form and detail as is necessary to substantiate the calculation of rents under Company's underlying ground lease for the preceding mo-nth. -8- S~UPPLy _CONTRACT 14. Concurrently herewith Company and Dealer have entered into a Dealer Supply Contract (the "Supply Contract") for the sale by Company and purchase by Dealer of motor fuels. Dealer, as a covenant of this Lease, agrees that the breach of or default on any of the terms or conditions of the Supply Contract shall constitute a breach of this Lease, and that the cancellation or termination of the Supply Contract shall automatically cancel or terminate this Lease without further notice to Dealer. CORPORATE DEALER--.OPERATOR 15. (a) The personal qualifications of each Company dealer are o£material significance to Company, other retail service stations displaying Company's insignia, and the motoring public. When Company accommodates an individual's desire to do business in corporate form by entering into this Lease with the corporation, this is done with the understanding that, although it is only the corporate Dealer that enjoys rights under this Lease, those rights are conditioned on the individual remaining actively involved with and responsible for the operation of the service station and retaining control of the corporation. Accordingly, ii' Dealer is a corporation and subject to any valid requirements o£any applicable statute, Dealer agrees that the references to "Dealer" in clauses (9), (10}, (12} and (13) of subsection 7(b) hereof are amended hereby to read "Dealer or any Operator" and that Dealer's rights under this Lease are subject to the following conditions being met throughout the term of this Lease, which Dealer shall cause the following named individual Ray Sutton ("Operator"} to meet: (1) Operator shall perform Dealer's obligations under clause (1) of subsection 2(b) hereof to devote sui~cient time to the personal management of the premises so as to provide for the continued prOper Operation thereof as a service station; and (2} Operator shall own all right, title and interest, legal and benet3cial, in and to a majority of the voting stock and any other stock of Dealer (as well as a majority thereof after giving eit~ect to the conversion of all securities convertible into stock of Dealer and taking into account the issuance of any additional stock or securities convertible into stock) and Operator shall not pledge or otherwise hypothecate any~ such stock or securities, or permit or suiTer any lien or encumbrance to be placed thereon, or grant proxies or enter into stockholder or other agreements which limit in any manner Operator's control of Dealer, or otherwise create, permit or suffer legal, beneficial or other rights or interests to exist in others with regard to any such stock or securities; and (3) Operator shall guarantee the performance of all of Dealer's obligations under this Lease. (b) The occurrence of any event, whether voluntary, involuntary, direct or indirect, by operation of law, by merger or other corporate proceedings or otherwise caused, which results in Operator having less than a majority of the voting and other stock of Dealer as required by clause (2) of subsection (a) above or any action otherwise in breach of clause (2) of subsection (a) above shall be construed as an assignment of this Lease for the purposes of section 3 hereof. 16. If Dealer holds over a~er the eXpiration of the term hereof with or without Company's express or implied consent, such holding over shall not create a renewal of this Lease by operation of law or otherwise, but shall create only a tenancy for month-to-month and for no longer Zerm, upon all the terms and conditions hereof. -9- ~UNDERGROUND STORAGE SYSTEMS 17. (a) If at any time during the term hereof: (1) Company, in its reasonable judgment, determines that a leak has occurred from any underground motor fuel storage tank and line system ("underground storage system") located at the premises and owned or supplied by Company, or that there is a reasonable probability of such a leak in the near future and that the underground storage systems at the premises which have leaked or threaten to leak cannot be adequately repaired and need to be taken out of service or replaced; or (2) Applicable laws or regulations or any order of any governmental authority require that any underground storage system at the premises owned or supplied by Company be taken out of service or replaced; but, in Company's reasonable judgment it would not be commercially reasonable for Company to make the substantial investment required to replace such underground storage system or systems, because of the limited tenure remaining under Company's underlying ground lease or because Company intends in the near future to sell premises or convert the premises to a use other than the sale of motor fuels, then, notwiths~ng section 5 of Exhibit A, Company shall have no obligation to Dealer hereunder to replace such underground storage system or systems unless Dealer agrees in writing to reimburse Company for all reasonable expenses incurred by Company in replacing Such underground storage system or systems. Unless Company expressly so agrees in writing, Dealer's agreement to reimburse Company for such expenses shall not be deemed to create or imply any duty on Company's part not to sell the premises, nor shall it be deemed to create or imply any duty on Company's part to exercise any oPtions it may have to extend Company's underlying ground lease, if any, or otherwise to secure additional tenure at the premises. Co) If Dealer is unwilling to agree to reimburse Company for the expenses referred to in subsection (a) above, then: (1) Dealer may exercise Dealer's right under subsection 7(a} hereof to terminate this Lease; or (2) If, in Company's reasonable judgment, the leaking or suspect underground storage system or systems at the premises may safely be taken out of service and motor fuel sales at the premises may safely be continued utilizing the remaining underground storage systems at the premises, Dealer may elect to continue motor fuel sales at the premises, and in that event the base monthly motor fuel facilities rent (as well as the base monthly volume) and the monthly additional profit center rent, if any, set forth in section 4 hereof shall be reduced in the same proportion as the number of underground storage systems taken out of service bears to the total number of underground storage systems at the premises owned or supplied by Company; or (3) If, in Company's reasonable judgment, all of the underground storage systems at the premises owned or supplied by Company need to be taken out of service or replaced or the remaining underground storage systems cannot continue safely t° be operated, Company may, subject to any valid requirements of any applicable statute, terminate this Lease upon giving Dealer ninety (90) days' prior written notice of such termination or, if it would not be reasonable for Company to give ninety (90) days' prior written notice, at Company's election upon giving Dealer prior written notice/'or such lesser period as is reasonable in the circumstances. -10- PRIOR LEASES 18. This Lease shall not become effective if, prior to the commencement of the term hereof, Company notifies Dealer of Company's election to exercise any right Company may have to terminate any prior lease with Dealer covering the premises. In such event this Lease shall, be null and void. Subject to the foregoing, effective as of the commencement of the term hereof, this Lease supersedes and terminates all prior leases from Company and its affiliates to Dealer covering the premises, provided that any outstanding breach by Dealer of any such prior lease shall be deemed to be a breach of this Lease and the occurrence of any event authorizing the termination of any such prior lease shall also authorize the termination of this Lease. UTILITIES 19. Dealer shall pay promptly and directly, or reimburse Company for, all charges and rentals for gas, electricity, water, sewerage and other services or utilities used in or consumed on the premises, appurtenant thereto or in connection therewith. NOTICE 20. All notices to be given under this Lease shall be in writing and shall be posted by certified mail or personally delivered to Company at 2 Annabel Lane, Suite 200, San Ramon, CA 94583 and to Dealer at the premises or such other address as either party may designate by written notice to the other in the manner herein provided. IN WITNESS WHEREOF, the parties hereto have executed this Lease as of the date first above written. CHEVRON U.S.A. INC. By __~ Ray Sutton, Inc. Dealer The undersigned Operator hereby agrees that Operator shall perform and comply with the provisions of section 15 of this Lease and hereby guarantees to Company the performance of all of Dealer's obligations under this Lease. Ray'S~tton Operator MS-9250 (7-85) EXHIBIT A UPKEEP, MAINTENANCE, REPAIR AND REPLACEMENT RESPONSIBILITIES Except as set forth in sections 4 and 5 of this Exhibit A, Dealer shall at Dealer's sole cost and expense properly maintain, perform upkeep on, repair and replace all buildings, improvements, fixtures, facilities and equipment owned or supplied by Company as set forth below and according to Company's Service Station Maintenance Guide and such other guides as may be provided and such procedures as may be prescribed by Company from time to time: a. Inventory Control and Product Spills Check daily for inventory leakage in accordance with the procedures set forth in the Service Station' Maintenance Guide, as may be required by applicable laws and regulations, and as may be required by any permit or license issued to Company or Dealer in regard to the premises. Keep daily inventory control records in accordance with the procedures set forth in the Service Station Maintenance Guide, as may be required by applicable laws and regulations, and as may be required by any permit or license issued to Company or Dealer in regard to the premises. Such records shall be made available to Company for inspection during normal business hours. Promptly notify Company and the appropriate governmental authorities if a petroleum product spill occurs at the premises and take immediate action to clean up the spill and prevent further damage in accordance with the procedures set forth in the Service Station Maintenance Guide and applicable laws and regulations. In view of the necessity of preventing and detecting leaks in the product handling system, the necessity of promptly and effectively dealing with any product spill and the various laws and regulations imposing specific duties in this regard on both Dealer and Company, it is essential that Dealer strictly comply with the inventory control and spill handling procedures set forth in the Service Station Maintenance Guide, required by applicable laws and regulations, and required by any permit or license issued to Company or Dealer in regard to the premises. Any failure by Dealer to comply with such procedures shall be a noncurable breach of this entire Lease and, in addition to such other remedies as Company may have, Company shall thereafter have the right to terminate this Lease and/or to withhold product deliveries under the Supply Contract referred to in section 14 of this Lease. b. Yard Inspect regularly and advise Company immediately of breaks or other failures in paving. Make minor repairs to fence. c. Landscaping Water, fertilize, weed, cut, remove litter from planters and landscaping, including any artificial turf. - Repair and replace sprinkler heads. do ho jo Li~htin~ Replace all burned-out lamps and tubes except primary identification signs which must be reported immediately to Company. Advise Company immediately of any electrical malfunction. Plumbing 2. 3. 4. 5. Clear yard catch basins, plugged toilets and urinals. Repair leaky faucets and traps. Drain water lines to prevent freezing. Clean grease and sand traps as required. Repair leaks in fixed air and water lines which can be repaired by tightening fittings, and advise Company immediately of other leaks. Use drain cleaner in urinal, lavatories, and service sink as needed. Drain and flush the hot water heater tank at least twice a year through the drain valve provided to remove corrosive sediment. Heating-Air Conditioning--Evaporative Coolers 2. 3. 4. 5. Replace filters and cooling pads as required. Clean sumps. Adjust pump belt tension. Oil motors (equipped with cups). Advise Company immediately of any malfunction. Glasswork 2. 3. 4. Clean windows regularly. Remove tape, inoperative advertising posters and decals. Replace rest room mirrors whenever cracked or broken. Replace all broken windows unless occasioned by act of God, such as tornado, hurricane, flood or earthquake. Buildings 1. Perform regularly scheduled maintenance to keep floors clean and free of grease and oil. 2. Repair any damage resulting from the addition or removal of Dealer's equipment. Lube Bays (if applicable) Perform regularly scheduled maintenance to keep floors clean, grease and oil free. Repair any damage resulting from the addition or removal of Dealer's equipment. Painting Maintain appearance of painted surfaces by periodically cleaning and removing greasy hand prints, graffiti, etc. Perform minor touch-up using spray or canned paints in accordance with Company's specifications. - A-2 mo oo Tanks 1. Check daily for water (use Water detector paste on gauge stick). 2. Empty waste oil tank. 3. Lubricate fill caps including the "O" ring. 4. Check for proper product identification tags and advise Company immediately of missing or damaged tags. 1. Oil electr/c motor (ii'equipped with oil cups) and linkage. 2. Periodically check pumps for accuracy, immediately reporting out-of-tolerance conditions to Company. 3. Maintain and replace motor fuel pump hoses. 4. Maintain, repair and replace motor fuel nozzles. 5. Mainta/n, repair and replace motor fuel hose swivels. 6. Replace spin-on pump filters with filters supplied by Company once each year. 7. Adjust belts as necessary. 8. Replace belts when required (Company furnishes). 9. Clean sU'ainers. 10. Adjust switch control rod. 11. Replace face glass when broken. 12. Tighten union on product line if leaking. 13. Advise Company immediately of any major malfunction. 14. Unless otherwise expressly authorized in writing by Company, all pump meters shall be set and calibrated in U.S. gallons. 1. Drain water daily. 2. Add oil as needed and change every six months· 3. Regularly inspect and clean air inlet filter element. 4. Advise Company immediately of any malfunction. 5'. Tighten belts as required--replace if necessary 6. Tighten packing glands on valves if leaking. (Company furnishes). L..~_ (il'applicable) 1. Tighten packing gland as required. 2. Tighten leaking pipe fittings. 3. Tighten head belts holding superstructure to cylinder. 4. Tighten packing gland on control valve. 5. Add oil as required. 6. Advise Company immediately of any malfunction. Res___!t Rooms Clean and maintain rest room facilities and dump trash receptacles regularly. Keep the rest rooms properly supplied with paper products, soaps and disinfectants. Replace dispensers and trash receptacles with items of equal quality and similar construction when required. Advise Company immediately if major maintenance is required for facilities. Miscellaneous Maintain, repair and replace all locks and keys. Lubricate overhead door tracks. Replace broken or frayed pull ropes. Replace electrical fuses (household screw type only). Maintain fire extinguishers in a serviceable condition at all times, recharging as required and order free replacements from Company. Maintain, repair and replace cash boxes. Maintain, repair and replace air and water hoses and hose bibs. Maintain and repair oil cabinets and driveway bell signals. Dealer acknowledges having thoroughly inspected the premises and that the same are on the date hereof complete and in good order, condition and repair. Dealer shall maintain, perform upkeep on, repair and replace when necessary all equipment, fixtures and other facilities on the premises owned or installed by Dealer. Upon reasonable notice by Dealer to Company, Company agrees (except where occasioned by the negligence or willful misconduct of Dealer or Dealer's agents or employees) to make all major repairs to and to replace when necessary only the following listed facilities and equipment owned or supplied by Company: Air compressor; heating, air conditioning and evaporative coolers; air and water dispensers; auto lift; fire extinguishers; motor fuel pumps, lubricating oil tanks; painting; paving and. driveways; piping; signs; wiring; roofs, plumbing, walls, fences and foundations of buildings. Dealer shall immediately discontinue use of any such facilities or equipment needing repair or replacement. Company shall endeavor to cause such work to be done'in a manner so as to minimize interference with the operation of Dealer's business on the premises. Dealer shall not be responsible for the payment of any rent to Company for the period when such work makes it impractical for Dealer to offer motor fuels for sale to the motoring public at the premises, but Company shall not be responsible for any sales or profits lost by Dealer as a result of such interruption of Dealer's business. Subject to subsection 17 of this Lease, Company agrees (except where occasioned by the negligence or willful misconduct of Dealer or Dealer's agents or employees) to make all major repairs to and to replace when necessary the underground motor fuel storage tank and line systems (~underground storage systems") located on the premises and owned or supplied by Company. Dealer shall immediately discontinue the use of any underground storage system needing repair or replacement. Company shall replace the underground storage systems owned or supplied by Company whenever Company determines, in Company's sole judgment, that any such underground storage system has leaked or that there is a reasonable probability that such underground storage system may leak in the near future and that such underground storage system cannot adequately be repaired. Whenever Company elects to repair or replace one or more such underground storage systems, Company, in its sole discretion, shall have the right to repair or replace any and all other underground storage systems located on the premises and owned or supplied by Company. Company shall endeavor to cause such work to be done in a manner so as to minimize interference with the operation of Dealer's business on the premises. Dealer shall not be responsible for the payment of any rent to Company hereunder for the period when such work makes it impractical for Dealer to offer motor fuels for sale to the motoring public at the premises, but Company shall not be responsible' for any sales or profits lost by Dealer as a result of such interruption of Dealer's business. o In making repairs and replacements hereunder or at any other time, Company, in its sole discretion, may make reasonable substitutions, alterations and rearrangements to improvements, equipment, fixtures and facilities owned or supplied by Company, and may elect to alter, repair or replace improvements, equipment, fixtures and facilities then in good operating order. If Dealer at any time fails to perform any of Dealer's maintenance or other obligations hereunder, Company shall have the right, but not the obligation, without notice or demand to Dealer to perform such obligations and to be reimbursed therefor by Dealer upon demand by Company. , Dealer hereby acknowledges understanding of the above and receipt of Company's Service Station Maintenance Guide. Ray Sutton, Inc. Dealer MS-9268(7-85) Pe cra1 t _(~}~]e s t i. o nna t ~- e Normally, permits are sent to facility Owners but since many Owners live outside Kern County, they may choose to have the permits sent to the Operators of the facility where they are to be posted. Please fill in Permit # and check one of the following before returning this form with payment: For PERMIT # ~'0 ! I ~ ~<~ 1. Send all information to Owner at the address /listed on invoice (if Owner is different than Operator, it will be Owner's responsibility to provide Operator with pertinent information). Send all information to following corrected address: Owner at the 3. Send all information to Operator: Name: Address: (Operator can make copy of permit Owner). for