HomeMy WebLinkAboutABOVEGROUND TANK
_ -=---0- ¡---:--------=---~~ -
81'()(.LE TE><ACO
13004 STOCKDALE HWY
BAKERSF I ELD " CA 93312
MAR 12, 2004 2:20 PM
SYSTEl"l FjWÚ"US REPORT
- - - - - - - - - - - -
ALL FUNCT I ONS NOR~'1AL
INVENTORY REPORT
T 1: 87 UNLEAIJED
VOLUME 9143
ULLAGE 2857
90% ULLAGE= 1657
TC VOLUME 9099
HE.'" <::8' ...,...,
t· 1..1,.00
lAIA1ì \lOL 0
.WA' 0 . 00
TEMP 66.9
T 2: 89 PLUE;
VOLU~1E
ULLAGE
9œ_~,: IILLAGE=
TC ' .LII'1E =
HE =
LJfHEF-: \¡'OL
1,J{;,'f'E¡;¿
THti>
GALS
G{~LS
Gf~LS
GALS
INCHES
Gf~LS
INCHES
DEG F
4472 (;ALS
7528 GALS
6328 GALS
4423 GALS
:38.33 INCHES
21 GALS
[1,98 INCHES
75.6 DEG F
T 3:91
VOLUrvIE
ULLAGE
90% ULLAGE=
TC \lOLUr1E
HEIGHT
\,JATER \lOL
l,JATER
TH1P
PRH'11 UM
3299
67[11
5701
:3252
47.05
[I
0.00
8[1.0
GALS
GALS
GALS
GALS
INCHES
GALS
I NC HES
DEG F
T 4:DIESEL
\!OLUI"IE
ULLAGE
9œi ULLAGE""
TC \¡'OLUME
H.'IT
l,J VOL
kl(" ..
TH'1P
51% GALS
4804 GALS
3804 GALS
5159 GALS
66.48 INCHES
o GALS
0.00 INCHES
75.4 DEG F
~
~ ~ ~ ~ ~ END ~ ~ ~ ~ ~
I
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave.~ 3rd Floor~ Bakersfield. CA 93301
FACILITY NAME c:StðcJt&J~
WG5+ I~
INSPECTION DATE
?>/, 7//04-
Section 2: Underground Storage Tank~ Program
o Routine ~Combined 0 Joint Agency 0 Multi-Agency
Type of Tank ~ (t,~ Number of Tanks
Type of Monitoring 6-L. Wl Type of Piping
o Complaint
+
ÞV\JF'
ORe-inspection
OPERA TlON C V COMMENTS
Proper tank data on tile ~
Proper owner/operator data on tile X
Penn it fees current X
Certification of Financial Responsibility ..J.
Monitoring record adequate and current J(
Maintenance records adequate and current X
Failure to correct prior UST violations .x.
Has there been an unauthorized release? Yes No '1-
Section 3: Aboveground Storage Tanks Program
TANK SIZE(St(Z.) 11014 lei) ~5D~.J W.4s-k 2}, ~GGREGA TE CAPACITY
Type of Tank l)L.. LA-1.. ' Number of Tanks
5 70~}A.1
~
OPERA TION y N COMMENTS
spec available X
spec on tile with OES X
Adequate secondary protection )(
Proper tank placarding/labeling X
Is tank used to dispense MVF? ~
If yes, Does tank have overtill/overspill protection? 'f.-
C=Compliance
V=Violation
Y=Yes
N=NO
\ Inspector:
Office of
\
Pink - Business Cory
/
UNIFIED PROGRAM IN'ECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILlTYCONTACT
I,-Jb t E,W~___T E-~~______________________
m4- ó-rovl~ò/E_ +J~~_____;
INSP,ï;TION DATE
?o I1-Lo
PHONE No,
_ 1::.fll B
Business ID Number
INSPECTION TIME
FACILITY NAME
5
No, of Employees
__l Q________
----------
ADDRESS
15-021-
'" Se..ctiOn1:al.ìsinéss Plan and Inventory Program
o Routine
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
Ft 0 ApPROPRIATE PE~MIT ON HA~_________________ ______________________________________,_________.______________
L? BUSINESS PLAN CONTACT INFORMATIO~~~~~~~_=___________ .__________________________.__ ___________________'._,____________________
A 0 VISIBLE ADDRESS
;I 0 CORRECT OCCUPANCY
"---------------------".--. -,---
-..-..---------.---....-----.--.-.--------.-.----.--"........-----..--...-.-,.----..---
--------------,.-.---.-- -----..------.----.-----.-." .__._---_.._--------,-..----~.__._--_._-_._-_...-. ------.-.----.,.
o VERIFICATION OF INVENTORY MATERIALS
--~----~----"-'-'--- -----_._----_.._..---~_.__. ---~--_._---------------~---------_.._-- ..... .--.-'-'-'---
Ii 0 VERIFICATION OF QUANTITIES
__________.____________._._____..._____...........--_ _____~_________.______________________.__.._______.______.___,..__..u...._......____
of 0 VERIFICATION OF LOCATION
~-_-.-:._------------------,--
~ 0 PROPER SEGREGATION OF MATERI~________________
o VERIFICATION OF MSDS AVAILABILlTYE
----------------..----.-----.--.-.-.---------.--------.-.
-----~---_._---._-------_._- --.-------_._------------ --.-------.----------.----
------------_._~.~----_..._,------ ----.--.-.-------.---.--.---.-------------.-----------.-----------
o VERIFICATION OF HAT MAT TRAINING
---------.-----".----
-----_._-_.._-----_._~-----_.._--~.._--------~._._-----.-.---------.
~,D VERIFICATION O~ ABATEM-=NT SUP~LIES A~~_~":~~~~_~S_ ----------.------------.----.--------------,-------,---
~ 0 EMERGENCY PROCEDURES ADEQUATE
~ 0 CONTAINERS PROPERLY LABELED
~ 0 HOUSEKEEPING
<rA-r;-~~~ PROTECTI;N------------- - 1le.. ~ CG{F-~;~N E- - E:~N -t:;~
--------------,-----,--------- ----k-M-~N±-ti-~~-y;±(#_oiL~v:::",---------
o SITE DIAGRAM ADEQUATE & ON HAND
------------
-------~-------------
--------.--.-...-.---.-------------------------.-..---_._._-~-_._-._--_._.._.._._---
----------.---.----..--------.-..--.--.
.--.-----------------.-----.--.--,.------..-.-.---.--------------..-
ANY HAZARDOUS WASTE ON SITE?:
~YES
o No
EXPLAIN:
.¡tlb's t (P), I
EjLJ ,,-
THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
---------.
-'~~ ~'" -~
~-Responsible Party
Badge No.
White· Environmental Services
Yellow - Station Copy
Pink - Business Copy
~
-FiRE CHIEF
-RON FRAZE
ADMINISTRATIVE SERVICES
2101 oW Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661)395-1349
SUPPRESSION SERVICES
2101 °H" Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395·1349
PREVENTION SERVICES
FIRE SAFETY SERVICES' ENYIRONIlEHTAl SERVICES
1715 Chester Ave,
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chester Avè.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326.0576
TRAINING DIVISION
5642 V1ctor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
--
--
January 30, 2003
Texaco
13004 Stockdale Hwy
Bakersfield CA 93312
RE: Upgrade Certificate & Fill Tags
Dear Owner/Operator:
Effective January 1,2003 Assembly Bill 2481 went into effect. This
Bill deletes the requirement for an upgrade certificate of compliance
(the blue sticker in your window) and the blue fill tag on your fill.
You may, if you wish, have them posted or remove them. Fuel
vendors have been notified of this change and will not deny fuel
delivery for missing tags or certificates.
Should you have any questions, please feel free to call me at 661-
326-3190.
Sincerely,
.Jt riLe¡]
Steve UndelWood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
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January 22,2003
FIRE CHIEF
RON FRAZE
Texaco
13004 Rosedale Hwy
Bakersfield CA 93312
ADMINISTRATIVE SERVICES
21 01~H~Street -.
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395·1349
I
RE: Upgrade Certificate & Fill Tags
Dear Owner/Operator:
SUPPRESStON SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395·1349
Effective January 1,2003 Assembly Bill 2481 went into effect. This
Bill deletes the requirement for an upgrade certificate of compliance
(the blue sticker in your window) and the blue fill tag on your fill.
PREVENTION SERVICES
FIRE SAFETY SERVICES' ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3979
FAX (661) 326-0576
You may, if you wish, have them posted or remove them. Fuel
vendors have been notified of this change and will not deny fuel
delivery for missing tags or certificates.
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3696
FAX (661) 326-0576
Should you have any questions, please feel free to call me at 661-
326-3190.
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3951
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4691
FAX (661) 399·5763
sm¿~
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
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.:----1~·--·CÎTY OF BAKERSFIELD
FIRE DEPARTMENT
PREVENTION SERVICES
FIRE SAFETY SERVICES. ENVIRONMENTAL SERVICES
1715 CHESTER AVENUE
_ BAKERSFIELD, CALIFORNIA 93301
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03/11/2003 12:23
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PAGE 01/01
. CITY OF BAKERSFI~' :p
OFFICE OF ENVIRONl\ŒNTAL SERVICES
1715 Chester Ave., Bakersfield. CA (661) 326·3979
-H.. 'f. ( Ct r, 1- 3~ "'05'7",
*Copy REQUESTED
PLEASE
APPLICATION TO PERFORM
FUEL MONITORING CERTIFICATION
FAClUTY S''1ò ~ D.t\;b.~ ~'l ,4,..P~
ADDRESS ''30 p 'f ~ t::.¢ o~ ~ y .... ß~~tñr9.; IIfI!.
OPERATORS NAME J<..lLV '- C fI4'o~
OWNERS NAME YVIA..IA- ~".,....
NAME OF MONITOR MANUFACl"URER
DOES FAcn..rrY' HAVE DISPENSER. PANS? YBS.l!;L
rr
NO_
TANK if
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VOLillIŒ
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CONTBNTS
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NAMEOFTESTINOCOMPANY RICH 'RNYIR(rr:J~~NT¡:"T,
CONTRAC!ORS UCENSE #: 90 -1072
NAME &. PHONE NUMBER OF CONTACT PERSON J AME~ R I Q.H r : 392 - 868 J. .
DATE&; 11ME resT IS TO BE CONDUCTED ~-.2$ - 0'3 - ~: Ft,t¿ ,4""""
\
4.C4~£2
APPROVED Err
1-II-o~
DA'I'E
~Aß
¡ÆNA ~ muCAm:
· Complete items 1, 2, and 3. Also Complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
~---'->--
" =!~':'''
~ A...r...r... 1\.'''_10.__
! 7002 3150 0004 9985 3721
( KENO CHAO
i STOCKDALE WEST TEXACO
' 3. Service Type
¡ 13004 STOCKDALE HWy 0 Cern"" "", 0 ""'_ M..
' BAKERSFIELD CA 93312 0 R"'.re.... 0 R'rem ..""" ro,__
' 0 Insured Mail 0 C.O.D.
'---- -~ -- ~ -~~/4, R_ D."'o/I....... "" 0 ""
PSForm 3811, August 2001
Domestic Return Receipt
2ACPAI-03-Z-0985
, -._=--= -Fiœt=ClassJ,Aai---- "
~- -=_>~=-- Qstagé--,fEees-Paid.L
:: =-"<~= ~~ê ,.,~-:±'~.
_____~---~ gem'ilt NC>. G-tQ"."._ =
'--=-.
Bakersfield Fire Department
Prevention Services
1715 Chester Avenue, Suite 300
Bakersfield, CA 93301
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If, I I IIII it, III ,n III! IIHIIIIII ILf ¡ IIml III I! III II,fl rr !llf
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USE
postalJe $
Certified Fee
postmark
Here
::r
C1
g Return Reclept Fee
(Endorsement Required)
o Res\ric\ed Delivery Fee
U1 (Endo ( .
~ Tote KENO CHAO
!1J STOCKDALE WEST TEXACO
g en! 13004 STOCKDALE HWY
{'- ~~ BAKERSF1ELD CA 93312
ëi¡ÿ.í.,=============-~···········
. _. . - I
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Certlfi~d Mail Provides: (9SJ9A9/:J) ¡:OO~'008E: WJo,¡ Sd
· A mailing receipt
· A unique Identifier for your mallplece
· A record of delivery kept by the Po~al S~rvJ:e for two years
Important Reminders: _
· Certified Mall may ONLY be combined with First-Class Mali@ or Priority Mail<!l>.
· Certified Mall is not available for any class of international mail.
· NO INSURANCE COVERAGE is PROVIDED with Certified Mall. For
valuables, please consider Insured or Registered Mail.
· For an additional feel a Return Receipt may be requested to provide proof of
delivery. To obtain Re urn Receipt service, pfease complete and attach a Retum
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mallpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPSø postmark on your Certified Mail receipt is
reqUired.
· For an additional fee, delivery may be restricted to the addressee or
addressee's authorized a~nt. Advise the clerk or mark the mailpiece with the
endorsement "RestrictedVe/ivery".
· If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
Internet access to delivery Information is not available on mail
addressed to APOs and FPOs.
FiRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
21 01 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAfETY SERVICES. ENV1ROIIIlEHTAl SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chester Avè.
Bakersfield, CA 93301
VOICE (661) 326·3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAJ< (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAJ< (661) 399-5763
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AprH'3Ò, 2003
Keng Chao
Stockdale West Texaco
13004 Stockdale Hwy
Bakersfield, CA 93312
CERTIFIED MAll..
NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE
RE: Failure to Perform/Submit Annual Maintenance on Leak Detection
System at the Above Stated Address.
Dear Business Owner:
Our records indicate that your annual maintenance certification on your leak
detection system was past due on April 15, 2003.
You are currently in violation of Section 2641(J) of the California Code of
Regulations.
"Equipment and devices used to monitor underground storage tanks shall be
installed, calibrated, operated and maintained in accordance with
manufacturer's instructions, including routine maintenance and service checks
at least once per calendar year for operability and running condition. "
You are hereby notified that you have thirty (30) days, May 30, 2003 to either
perform or submit your annual certification to this office. Failure to comply
will result in revocation of your permit to operate your underground storage
system.
Should you have any questions, please feel free to contact me at 661-326-3190.
Sincerely,
Ralph Huey
Director of Prevention Services
by: ¡). ,,/l ¡J ~, '
jJUC ~,I
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
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...7e/~OUl;? bœ· (jonlnlN~?, .::rOP ../~oo,,~e J/lU/¿, .J'(!) 0~~?,
i' / ~~;(;- , MONI~RING SYSTEM CERTI~ATION
\ '- For Use By All Jurisdiclions Within ¡he Srare of California
Aurhoriry Cired: Chaprer 6.7, HeaJ¡h and Scd'ery Code; Chapter 16, Division 3, Tide 23, California Code ofReg¡¡J({jons
This form must be used to docwllent testing and servicing of monitoring equipment. A separate certification or report must be prèpared
for each monilOring system control panel by the œchnician who performs the work. A copy of this form LUust be provided to the tank
system o\\'l1èr/operatof. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30
Jays of tcSt dar.:.
A. Ge:oerall:oformation
FacililY Name: :s Tðc...kÞA--L--E 1"'"E~o
Sile :\ddress: 1300'-( ..5IOLK'þ ""L.£.. tfw,y
FacilÜy Contact Person:
IvLl-:.e/1Vlodel of Monitoring Sysœm:
Bldg. No.:_______,___.
City: 'gA-/tU.5FJGL.Þ Zip: qŠ3C~____
Comact Phone No.: ~~_________.
~-RGr()v 77--S -Â~ Date of Testing/Servicing: _:~_~L~~~
Mfrfc: /.
;;). 6> t5
Ta!}k lD: P A ~ IÑ\ c¿ II
13'þ1-Tank Gauging Probe. !vlodd: ~---=-T- I
(i( þ:ni1ular Space or Vault Sensor. Model: -q d'D --.------ i
[![ Piping Sump / Trench Sensor(s). Model: ._~_L~==~:~ I
o Fill Sump Sensor(s). !\'lodel:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overtìll / High-Level Sensor. Model:
o Other (s eci' 1 e ui menr t e and model in Secrion E on Pag.:. ~).
Tapk ID: Þ / i?SfEL
œ( jn-Tank Gauging Probe. Model:
G;( bRnular Space or Vault Sensor. Model:
Œ(Piping Sump / Trench Sensor(s). Model:
o Fill Sump Sensor(s), Model:
o Mechanical Line Leak Detector. tvlodd:
o Electronic Line Leak Detector. Model:
o Tank OvertìlJ / High-Level Sensor. ¡\ltode!: __________
o Other s ecifve ui ment I)e and model in Section E on Pa 'è 2),
þíj,l!lenser lD: <r"
~~penser Containment Sensor(s). Model: ..,(1.J Sfp5ìut_._
Ga""Shear Valve(s).
o Dis enser Containment Float(s) and Chain(s),
Di~ßser lD: rl
Œ']ispenser Containment Sensor(s). Model:.;U ¿' ,>llP;;¡J¡<'
ii:íShear Valve(s).
o Dis enser Containme11l Float(s) and Chain(s).
~ Dispenser ID:
9ß;.;$'iJtf- 0 Dispenser Containment Sensor(s), Model: A}¿Î 5rpÇ¡,).<..
o Shew- Valve(s).
o Dis enser Conrainment Flom(s) and Chain(s),
Include information tor every tank wld dispenser at the tÌJciJiry.
------.-----.-
T,I gJ.. 1D: ____!,¿tl L
~jP-LInk Gauging Probe. Model:
~?l1IllILir Space or Vault Sensor. Model:
Œf Piplllg SLimp / Trench Sensor(s), Model:
o Fill Sump Sensor(s), Mode!:
o !vkëkmical Line Leak Deœcror. Model:
o Ekctrùnic LÜle Leak Detector. Model:
o Tank Ol'ertìl1 / High-Level Sensor. Model:
o OIh~r rS )cci " e ui mel1t t' e and model in Seerion E on Paoe 2).
'f¡IIlJdD: vy¡L P "%'1
Œ!')n-T,ulk Gauging Probe, Model:
[!( þd'ülUlar Space or Vaulr Sensor. Model:
ŒJPiping Sump 1 Trench Sensor(s), Model:
o Fill Sump Sensor(s), Model:
O!\k.ctliUlic,ll Line Leak Derector. Modd:
o Ekc[ronic Line Leak Detector, Model:
o ^Lmk OVè:rJJIJ / High-Level Sensor. Model:
o Orher lS ecit\' e,( ui mtl1t ry e and model in Stction E on p¡)Oe 2).
DijPènser lD: I +- ~
¡g Dispensèf Conrainmenr Sensor(s), lvlodel: ,IVO 51?'A;~ð¡(
ŒrShèar Valve(s),
q Disj)èll?èI' Conr¡)jnmel1t Floar(s) and Chain(s),
Dj~enser lD: ~) +-4
~Dispènsèr Conrainmenr SeJ1sor(s). Model:A.&S£)J<;'û,"<'
~ènr Valve(s),
CJ_Di~fJtr~?_~r C011läinmenr Float(s) and Chain(s),
9iSjlènse"lD: 5' +-l-
iSY"Dispèlbtr Conminmenr Sensor(s). Model: ¡\J()
G?"ShecU'VaJve(s). -
, []Djs£~nser _Cùn~ainmenr FJoar(s) and Chain(s),
"lft]¡è tacilÜy .:ùnrains more ranks or dispensers, copy this form.
VV) v4- ¡,- - (
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---,_...-._~--
C. Certification -1 <:ertify tbat the etluipment idtlltÎÜed in this do,'ument was inspe<:ted/servked in accord:ìllce with the m:HlUf¡¡CfUl'l'rS'
guiddilles. Attached to this Certitication is information (e.g. manufacturers' checklists) necessary to verify that this information is
t:orrec{ and a Plot Plan showing the layout of monitoring eq~ment. For any equ~nt capable of generating such reports, I have abo
,,{[ached a copy of the report; (check al/lhm (Jpp~V): IZf System set-up œf Ala. m is t
TçchlllCWll Name (print): AAA(),.J J::v(¡JZ)p Signatur'-=
:?: '-1 J 0
C61 D40- #809050
Phone No.:(661 ) 392-8687
Date of Testing/Servicing: :5 1_2!?Jf(J
Cèrtificùtion No,:
Sire /\ddress: --'~_ G1;>1
TesTing Company Name: RICH ENVIRONMENTAL
.6 TD l.-Je... ÞAr£...£
H-L.-JY
Page 1 of3
03/01
MonÜoring Syscern Cerri1ïcation
'i' D. fL:suüs of Testing/Servicing e
e
So:fr\\ ,ire Version Installed:
It...(. D (
C01i\Q.ktt: rhe following checklist:
'II Y èS 0 No" Is the audible alarm 0 erational?
~)èS -I 0 No" Is dle visual alarm 0 erarional?
"~~I 0 No" Were all sensors visuaj] I ins ected, functionally tèsted, and confirmed 0 erational?
lrI xc::; 0 No" Were all sensors installed at lowest point of secondary comail1ment and positioned so that other equipment witl
not interfere with their 1'0 )er 0 erarion?
If alarms are relayed [0 a remote monitoring station, is all communications equipment (e.g. modem)
operational?
for pressw'ized piping systems, does the turbine automatically shut down if the piping secondary conrainmt1H
m01~itoring, system de[~cts a leak, fails to op~, or is electTi~ally discorm~cted? If yes: :vhich sensors inilialC:
posmVè shut-down? ,(check all (har apply) ,Sump/Trench ,S.ensors.; 0 Dlsp.enser C9J.JI.alllJ~)enr Sensors,
D¡d 'ou confirm OSlllve SlllH-down due to kaks and sensor tatlure/dlsconnectlOn? ~Yes; 0 No.
D J::1.ü' For rank systems that utilize the monitoring system as the primary rank overfill warning device (i.e. Ill)
~N/~ mechanical overtïll prevention valve is insralJed), is the overfill warning alarm visible and audible at thë rank
tìll oim(s) and 0 eratino ro erly? [fso, at what ercent of tank ca acit I does the alarm trig¡;er? s.."
Was any monitoring equipmwt replaced? If yes, identitY specitìc sensors, probes, or orher equipment replace'd
and Est rhe manutàcrurer name and model for all re lacement arts in Section E, below.
Was liquid tOLU1d inside any secondary containment systems designed as dry systems? (Check a/I [hat app/.vi 0
Product; 0 Water. If es, describe causes in Section E, below.
\~çs 0 No* Was l11onitorino system ser-u reviewed ro ensure ro er settinas? Attach Sê'[ u
\\'$ 0 No" Is all monitoring e ui menr 0 erarionaJ er manufacturer's s ecitìcarions?
-;, In Si.'crion E below, describe how and when these deficiencies were or will be corrected.
I 0 '\!
~_ : es
~YèS
o j;Jo"
~N/A
o No"
o NlA
__J
o Yes
o Yes'"
LJ Y ê'S"
E. Comments:
-_..__._._~_.__.-.. .-
..-.-...-,------------
-------<.
----."'...--,-¥--."-..-----
._----~._- --
---.-.----.---..----.---------
------- -." ---....-.
----_._..__._~,_.
--- -~....~"----"
-------..,~_.._.~
-~---_.-... -,-.-.--.--.
-.---------.--......
__ _._. ..n __.... ____.. .._.______
-------------.
.-".-.-.-~.._._---.
-.----""-.-.- -".."---_.
-.-.__._---"._--"~
"..__._.._._.-----"-~
--------"------.-
. .------------- ---------
-~----
-----.--.-
--...-----"
----_____.0____-_--_...._--
-.--.------.-..---.--------.-.
----------~_.- .
Page 2 of3
03/U I
e
:F. lil-'J\mk Gauging / SIR Equipment:
e
Ilfêheck this box if tank gauging is used only for inventory conrrol.
o Check this box if no tank gauging or SIR equipment is insralkd.
This secrlon must be completed if in-tanl.;:: gauging equipment is used to perform leak detection monitoring.
Cûn¡~eft" rlie foUowiug checklist:
U '\{ ÇS 0 No'" Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
----- 0 No'" Were all tank gauging probes visually inspecred for damage and residue bLiildup?
o Yes
0 \'¢s 0 No* Was accuracy of system producT level readings rested?
0 \'es 1 U No* Was accuracy of sysrem water level readings resred?
0 Yes 0 No'" Were all probes reinstalled properly?
-=-- 0 No* Were all irems on rhe equipmenr manuíàcrw'er's maintenance check]ist complered?
o YèS
-,
" In the Senion H, below, describe how and when these deticiencies were or will be corrected.
G. Line Leak Detectors (LLD):
~heck this box if LLDs are not installed.
Cürü piere rhe following checklist:
,.
U 't'çs 0 No'" For equipment start-up or al1llUal equipment certiflcation, was a leak simulated to verifY LLD pertòrmancl'?
0 N/A (Check all [hm appl» Simulated leak rate: o 3 g.p.h.; 00.1 g.p,h ; o 0.2 g.p.h.
0 Yes 0 No* Were all LLDs contìrmed operational and accurate within regulatory requirements?
0 'res 0 No* Was the testing appararus proper1y calibrated?
0 YtS 0 No'" For mechanical LLDs, does the LLD restrict product flow if it detects a Jeak?
0 N/A
0 Yes 0 No* For electronic LLDs, does the turbine automaticaJ1y shut off if the LLD detects a leak?
0 N/A
0 Yes 0 No'" For electTonic LLDs, does [he turbine automatically shut off if any pOl1ion of the monitoring system is disablècl
0 N/A or disconnected?
U \'èS 0 No* For electronic LLDs, does the turbine automatically shut off if any porrion of the moniroring system malfuncrions
0 N/A or fails a teSt?
0 Yes 0 No* For electronic LLDs, have all accessible wiring cOIlJlections been visually inspected?
0 N/A
U 'YèS 0 No'" Were all items on the equipment manufacrurer's maintenance checklist completed? ~
" in flit' Section H, below, describe how and when these detïciencies were or will be corrected.
H. Comments:
.._--~---_._-
--.+-------.------
__·__.~.h.__
-----.'--
------,.--.-
----.--------.
--------~
.-"..--..-.-----
~----,..__._..-._..
------.--.--
.---_.,"--------
-------. "----
--.._-,,--"-
Page 3 01'3
03/01
,;
ìVloliÍlùciug SysIcm Certification
e
e
Sin; ALlw'C'ss: 1300 '-t
UST lYfonitoring Site Plan
STD0J<~Ê H-I-v"y V5Aj(.'t;{l~FJ£t.....'Þ 14'4 '1~õ F';;;t
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If YOll already have a diagram that shows all required information, you may include it, rather than this page, wirh YOlll'
]\lonÍloring Sysœm Cenitìcation. On your site plan, show the general layout of tanks and piping. Clearly identify
loç,niollS of The following equipment, if installed: monitorlng system control panels; sensors monitoring tank annular
spal.:C:s, sumps, djspenser pans, spjl1 containers, or other secondary containment areas; mechanical or electronic line kak
deteçror5; and in-rank liquid level probes (if lIsed for leak detection). In the space provided, nore the dare this Sire Plan
\-\'as pfep:lfed.
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:\~=;TE["1 UI" r T~3
U. ~3.
-~'i::rrÐ'l LANGUAGE
ENGLJbl-!
~\'STEf"1 DATE /'1' 11"1£ FOJ-:!"lAT
-iON DD 't'\''''\' HH :["11"] :::"::S ;-:[,,]
:~T()':;Kr'ALE TE><~~CC'
i JUD4 bTOCKDALE HklV
HAKEF:;:'::F I ELD. CA 9::::31?
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31-1 I fT T If''1l:-: :3
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D I :::;éiBLED
D I f3ABLED
F'EF: J OD I C TurI' klARN 1 NGS
!) I ~:':~AE:LEr~ _ _" , ,\ " ,"_.
"iNNUi-iL I U=, 1 kiHRf~ I N,,:S
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Pf..? 1 NT TC \iC..LUI"IES
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I'Ef'IP COI'1f"EN::5AT I Ol'~
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RE-DJRECT LOCAL PRINTOUT
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'{\:',,,:TH'I SECLlE I Ti
CODE : [lCJOCiClCi
';OI"ll"IUI' 1 u;r 1 ON:3 E:ETUP
~._ _.~ U_" __
- -. - -
"OJ~T E~ETT I NCS :
~;()f<Ii"1 BO~,RJ)
Bf~LlD EATE
: PAF: I '1"'/
'c;'}'CiP 1.::; ¡ 'I
r:'F/rA LENGTH:
1 (F:S-2:3~~)
9f,OO
ODD
1 STOF'
'7 DAT'A
".\UTO 'IR~iN::31"1 ¡ T f:ŒTT ¡ NGf.:~:
L lTC' LEAK ~;U\¡:;:I"l L J ["J J T
~) Í f~;AfiLEf\
*uro H1GH WATER LIMIT
It I I f.\¡:\BLED
;j1UTO O\/ERF ILL L I f"1 I T
TIll ~3ABLED
~uI'o L(~ P~8DUCT
E' r E~Af:LED
rj;UTO THEFT L r I'] J T
Ij) I E:f~BLED
h\lJfO DEL ¡ \iEF,'\, STARr
rl I E:m::LED
AUTO DEL J \iEJ<''/ am
ri 1 :3¡C\BLED
A!¡JIO E>:TERNfiL 1 NPUT ON
[II Slc,BLED
A\UT, (:< E><TEE'Nf~L I NF'L,IT OFF
Dlf3HBLED
f;¡UTOE::EN:=.X,:'F: FUEL iìLAPI"
D I ::::~ABLED
.':;i.I1'O SENf;OF:' t.JATEk ALAi"!"!
DII,§:~~B~:~~~~_ ~,
I' '
e
F:;::;-2:3:=:: SECUf: I T'{
CODE : OOODCJD
k~3-·232 END OF r"·lEt.\~3AGE
DISABLED
I HuTf~NK E~ETUP
~..__._._--
T 1: t~? UNLEi:;DED
PRCHjUCT CODE
THEF;I"lf~L COEFF
TANK D I AI"IETEf.,'
TANK PROFILE
fULL \/OL
FLOAT SIZE: 4.0 IN.
l...IATER kl¡':;¡;;'NI NG
HIGH WATER LIMIT:
nA>< OR LHBEL \'/OL:
OVERFILL LIMIT :
H r GH P¡;::ODUCT
DEL I \lEF~\" L ¡ Ivl I T
LOl.J PJ:(ODUCT
LE¡':;J( ALA¡;::r"1 L 11"1 IT:
SUDDEN LOSS LIMIT:
TANK TILT
r"lANIFOLDED TANKS
TII: NONE
LEAK 1"'1 I N F'EF: I (:'D Ie:
LEt;K I"] I N ÎiNNUi1L
: 1
: .000700
96.00
1 F'T
12000
tJ496
2.0
:}.O
12000
95%
11400
90~',;
10800
15~:~
1800
250
9:)
99
0.00
PEJ~IODIC: Tnrr T"iPE
STAt'!DA¡;m
A¡~NUHL TEST Ff~IL " .
AU\F:r"1 D 1 SHElLED
PEJdODJ(; TÐ3T FAIL . "
ALAF:!" D r ~:3ABLED
13F:OSS TEST FA I L , __' '" _,
ALPIR["] D I ~3ABLED
ANN TEST AVERAGING: OFF
PEE' TE~3T AVEE'AG I NG: OFF
TANK TEST 1'1(,1'1' J F'{ : (:<FF
TNK TST ~3 ¡ PHON BJ~EAK: OFF
DEL I \lERY DELA'l
1 1"1 IN
T 2:89 FLUS a
PRODUCT CODE . 2
THEh'l"lAL COEFF : .ODO?OD
TANK DIN"IETU¡ : 96. DO
TAI~K ¡:'J~OF I LE 1 PT
FULL \lOL 12000
FLOfvr S I ~T;: .:I. [I IN.
r...1(~TEF: klP.mn NG
HIGH 1.,.IATEF: LInIT:
8496
2.0
3.0
I"lli\<' OF.' LA1'1£L IJOL:
O\l~R~iLL ~IMIT :
12000
95%
11400
90\:
10800
1 5~~;
1800
HIGH PRODUCT
DEL I \/£1<''1' L Ilvl I T
LOl,J PRODUCT
LEAK I~LARr"'1 L II''Il T :
SUDDEN LOSS LIMIT:
TANK TILT :
["IAN I FOLDED TAI"JK:::;
T¡:t: NONE
250
99
~j9
0.00
LEf1K 1"1 I N PH: I OD I C:
LEm: 1"11 N FiNNUAL
PH?IODIC TEf3T T\'PE
STliNDAF:D
,(\NNUAL TEtr!' FA ¡ L
ALARf"1 D I SAElLED
PERIODIC TEST FAIL
f\LARI"¡ D I ~:;(~BLED
TEf:;'!' FA I L
ALAF:r"\ D I SPlBLED
Al'm TEST ICì\lERAG ï !'IG : OFF
f"ER TEST AVERAG I NG : OfF
GROf3E
TANK TEST NOT If V: OFf
TNK TßT ~3rPHON m:EAK :OFF
DEL I \/ER"l DELA'!"
1 [''lI N
0%
o
0\:
o
T 8: 91 PF!H'JI UI"I
P¡";'ODUCT CODE
TI-IEJ;:¡'>lAL COEFF
TANK D I F\!"IETER
TANK PF!OFILE
FULL \/OL
FLOf\T S 1 :::E: "'. U IN.
(,..lATER l...IAE'\J I NG
HICH [,'JATEE' LII'llT:
MAX OR LABEL \lOL:
O\/EF:F I LL L ¡ "'11 T :
HIGH FRO DUCT
DEL I VERY L I t"\ I T
LOki P¡;::ODUCT
LEAK ALi~RI"1 L.II"II T :
SUDDEN LOSS LIMIT:
TANK TI L1'
1"'lf\N I FOLDED TAI"JJ~f~
Tt:!: NONE
,'.,
,,:,1
.000'7[10
129.00
I PT
100C,I0
E:49Cr
2.0
3.0
J 0(.100
9 ~j ~\,
9500
~j o~:~
9CiCJO
I ~:/:~,
1 !::iUO
2~iCi
99
~'19
0.00
0\:
(I
LEAK MIN PERIODIC: 0%
o
0\:
o
LEr:;K 1"] I N ANNUAL C¡;\,
Ct
PERIODIC TEf3Tl"'lPE
STHNÜi-W:D
ANNUAL TEST FAIL
ALAfo;:l"1 D I ;:':;i1BLl~D
PERIODIC TEST FAIL
ALAI;:!"1 D J :3IiBLED
GROSS TEST FAIL
i;LA}~1'1 D I Sf~8LHI
ANN TE::::T AVERAC I r"JG : (;'FF
F'EF; TD3T Ic;VEJ~AG I !'IG : OFF
TANK TEST NOT! FV : OFF
TNK T~=)T S I PHON E:r;:Ep,K: OFF
IÆL I \lERV DELAV
...
I 1"'111"J
T .:.I: D [ C'3EL.
F'F:ODUCT U,:'DE
THE~:r"l,è\.l. COEFF
, 'rri["JK D I f,["]ETEF,
Tr\NK F'F:OF I LE
FULL VOL
4
.000450
129.00
1 PT
10000
fLO~f SIZE: 4.0 IN. 8496
w~rER WARNING : 2.0
HIGH WATER LIMIT: 3.0
["1!~\>< OE' LPjBEL \/OL:
(;\iEF:F I LL L I 1"11 T
10000
95~:'~
95CiCl
90%
9000
1 5~~·(;
1500
H ¡ GH FRODUCT
DEL I \/Ef;;V L I ["1 I T
LOl..,.I FRODUCT
LEAK (\U,RI'I L r 1"1 IT:
SUDDEN LOSS LIMIT:
T¡é\NK TILT
1"liW) r FOLDED TANKE:
Tit: NO I'.JE
250
99
99
0.00
LEAK ["1 I N PH: I i)D Ie: IT\
o
LEI,( 1"1 IN ANI'Wi;L 0::.
[I
PERIODIC Tn~;T TVPE
STANDfjJ~D
ANNUAL TE:::rr FPI I L
iiLARI"1 D I t;ABLED
PERIODIC TE;:,T FAIL
ALARr"l D I SfmLED
'G)~O:::;:3 TE::3T FA I L
F\LARI'l DISABLED
i1f~N TEST AVEF:AG I I'JG: ¡)FF'
PER TEST (\\/ERAG I NG : OFF
TANK TEE,T NOTIF\'; OFF
TNK TST SIPHOI~ BREm~:OFF
DELIVERY DELAY 1 M1N
OUTPUT RELA\' E-;ETUP
J~ 1-: ~.:):D
T\'PE:
ST{1NDAHD
1"ORI'lALL.V CL.œ:::;ED
LI(¡UID SEN::::i)f: i\U'IS
L 1: FUEL ALAF:I"I
L f., :FUEL i4Lf'IF:~'1
I~ :2: E:'3 PLUE;
TVPE:
:::n?,I~Di~kD
NORI"lALL'l CU)SED
L!OUrD ~::;EN~30R ALI'I:3
L 2: FUEL ALARI"1
L. 6: FUEL ALAFa"l
R 3: PREr"ll Llr"1
TVPE :
:::HANDAFm
NOF:r"lF\LL\:' CLOf3ED
LI(¡UID SENSOR ALMS
L 3: FUEL ALARI"!
L 7: FUEL ALARI"'I
~ 4: D I ü:;EL
PiPE:
STANOF1I;::D
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_1 OU I D ~3EN:::jOR AUt3
L 4: FUEL i~U~E'r"1
L 7: FUEL ALARI"!
~I~)U~D__~:¡~I'J~':)R__;=:;fl.'_ __ _
L 1: 87 :::;TP
Tf: I --STATE .; E: I NGLEFL':)AT )
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L 2: 89 F;TP
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CATEGORY : STP SUMP
L 4: 0 I EEŒL :'3TP
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Cf\TEGOIN : STP sur"lP
L 5:87 ANNULAR
TEl-STATE <81 NeLE FLOAT!
CATEGORY' : ANNUU\f~ f3PACE
L 6:89ANNULAR
TF:I-BTATE <SINGLE FLC+1T:'
CATEGORy' : ANNUU'IJ~ 8Pf~CE
L 7:91-DIE8EL ANNULAR
TR I -STATE Œ INGLE FLOliT)
CATEGOR'l : ANNULAR SPACE
E;'fOCJ<DALE TE><ACO
1 ~:O[l4 STOCKDALE I-Il.J\'
BAKEF:ßF I ELD. Cf~ '3 :::::31 ;;'
MAR 25. 2003 3:29 PM
::::\'tr!'EI'-'l STATl.l~:; F:EF'i)Rr
- .~~ ..... - ...
ALL fUNCT lONE: NOF:1"li-\L
f::C'FTl.\Jf\]Œ FŒ\/ I f~; I Ol'~ LI::\/I::I.
VERSION 14.(11
:30FTklf1F:Ert ~34C(ll .:.1-1 (1(1-- B
CREATED - 97.0::::. 1 '2 . ~'U . 41
N,:) ::::OFndi~F:E t"100ULE
t,'':"STHI FEfìTUF:Ef:;:
PEF:IODIC IN-TANK TEién'::::
AI',JI~UAL r I'~-TAN}: TÐ3T~::;
- - -. -. -- - - - - -
LEAK 1'E:31 I"IETHOD i
TEST (;'N DATE : ALL TANK
JfìN 1. 1996
SWiRl' T \[''1£ : D IHAE:LED
TEt;'!' RATE : Ci . 20 Gr~L/HF:
DURATION : 2 HOURS
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(}\"EF:F j 1..1. ALARI"I
NOV 10. 2002 12:05 N1
H j CH P}:¡OC>UCT HUiF:I"]
I"lAR 7. 2003 11 :11 PI"l
DEG 15. 2002 4:34 A1
DEG 14. 2002 4:51 PM
I f'j\/i~L I D
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::::mr: 7: 01 PI"1
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I"lAR 7. 2003 8:41 AM
MAR 4. 2003 9:21 N1
FEE 26. 2003 7:86 PM
1-')[...1 TEI"IP I:Jf\RNI NC
I~O\/ 27. 2002 10: 11 An
f;U:;J~:I"1 H I ~::-;'rOR'l kEF'OF:T
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T ;~: 89 J?LU:=:;
~:3ETUF' 1Vi'1',·\ 1.\lf~J~N I NG
OCT 21. 2002 '3: 45 'HI"I
HI CH PF~ODU(:l' AU:;Rt"1
DEC 9. 2002 5:26 An
PF:OBE OUT
NOV 27. 2002 10:28 AM
[lEL J \lEI<Y NEEDEJ:I
NOV 6. 2002 6:15 A1
LO(...J THIP l.,Ji:;RNI NG
NOV 27. 2002 1] :32 HM
~1LHF:I"1 H 1 ~3TOFt{ EEPOE'T
...' - '.. I N"Tf~I\JL ,~U~}~I"I
T :3: '31 F'F:H] I l.ll'l
~::;ETUP DAT,:, [.,.JA!<N 1 NG
OCT ~~ 1,. 2002 Si: 4~:', tif"
HI CH J>F~ODUCT I"ILAF:I"I
JAN 8. 2003 4:44 AI"l
FROBE OUT
NOV 27. 2002 11:45 AM
DEL I \lEFtY NEEDED
I"'IAF: 2. 200:3 10: 0:2 AI"!
L(\[...I THIP klHFiN I ¡'K;
NOV 27. 2002 12:23 PM
AU~FJ'l H I ~:rr':)I;;:V REPOR!'
.---- I N-TfìI"JK i~LAF!I'''l -....
T ·1: D ] ESEL
~::;r:TUP [I,:;TH I.dHFUH I\JG
OCT ~21 " 2002 St: 53 {"i"!
DEL I \lEF:Y NEEDED
NOV 26. 2002 3:24 pn
AU~Rr"'1 HI E;'lï)¡;(Y' F~EPOf\'r
:3ENBOR ALH¡;::I"l
L 1: 87 STP
:3T F' ~~ UI"lP
:=:;ETUF' DAm I.,I¡:;F:NI NC
OCT 21. 2002 9:31 AM
¡'IU~Rr"1 HI t:õTOR'/ FŒPORT
.- - --.. SE It30 J< r'jLAFif"l
L ~~: e 9 ßTP
STF' f:~UI''!P
SETUP DATA l,di':;J<N I NG
OCT 21 " 2002 ".I: 31 lìl"]
e
~iLAr<I"1 H 1 ~rrOR\' F:EPORT
-- --. -- - f:;EI"J~)O F: f;U:ìI<I"]
L :3: '31 STP
:::~TP :::;UI"lF
E;ETUP DA'fA kIAF:Nl NG
OCT ~~ 1, ~~!O()2 '3 : 31 AI"\
ALARI"1 H 1 f':rrOJ~\'" kEF'OF~T
_P. -- - h :::;EI'~SOJ< ALAF:I"l
L 4 :nIE8EL :3TP
mF' S IJI"\P
SETUP Dm'f~ I.dP¡);::NI NG
OCT 21. 2Ci02 '3: 31 <'\1"1
ALARI"] HI f::TORY REP()¡;::T
---...-.- SDKX)R HU,RI"}
L 5: 87 ANNULAr::
¡:iNNULAF: ;'::;PACE
EETUP f:>;TA [...IAF:NI "JG
OCT 21. 2002 9:31 AM
r~L¡::iF:r'¡ HI STOR\" REP()RT
------ SEI'-Jf30R ALAf~I"l
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ALHRrl H I STORY' REPORT
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e
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITYNAME~kUdL CÙt-d- k¥llrO
INSPECTION DATE (~31 ~o 3
Section 2:
Underground Storage Tanks Program
o Routine I!) Combined 0 Joint Agency
Type of Tank --f)ö) Fe)
Type of Monitoring ë l.,(¡t'\..
o Multi-Agency 0 Complaint
Number of Tanks if
Type of Piping {JaJV
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on file V
Proper owner/operator data on tile V" ....
Pennit fees current V
Certification of Financial Responsibility V
Monitoring record adequate and current V "
Maintenance records adequate and current V "
Failure to correct prior UST violations V ,;
Has there been an unauthorized release? Yes No 1/
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S( ~\ ((0 ~aJ· ((\ 1~() wc..6~uOJ
Type of Tank {// '(/7_
OPERATION
AGGREGA TE CAPACITY' Ç70 qð.(f
Number of Tanks 3
Y N
COMMENTS
SPCC available
I f yes, Does tank have overfill/overspill protection?
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
C=CompJiance V=VioIation Y=Yes N=NO
/n'p"to, ~J dalV
Oftìce of Environmental Services (805) 326-3979
White - F.nv. Svcs,
Pink· Business Copy
UNIFIED PROGRAM 'SPECTION CHECKLIST e
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661}326-3979
FACILITY N ME _
, h<a.{~.l)J-'ßi__t~~ 0
ADDRESS
INSPECTION DATE
INSPECTION TIME
'--~"~-'-------'--"-----------"-----'--
" ~__º3
PHONE No,
S8i-
Business 10 Number
--'~-----"
L31lÐ L(
FACILlTYCONTACT
-s\-Qc1ddc -l&.t¥-~---
No, of Employees
a~______
15-021-
.'/
S~(;tion-1:Business Plan and Inventory Program
o Routine
.". Combined
L1 Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
C V ( c=ComPliance)
V=Violation
0'0 ApPROPRIATE PERMIT ON HAND
------.-------.--..------ .-_._--_._----~--------~----_._------_._.~----_._--_.~-------------.-----..,-..-.--...--
~ LJ -BUSINESS PLAN CONTACT INFORMATION ACCURATE
c/"O VISIBLE ADDRESS
tr"'õ CORRECT OCCUPANCY
--------------.-----..-.-....-.-- ----_.._._.--_._-_.__._.,.._._-_._---_.._._-----_._--~-----.---.--..---.-..---.----.--.....-...-
c/E:J
OPERATION
COMMENTS
-,-,-----_._._._------------ ----.----------------...------.--.-.-,.------.-------------.- .-.-.....------..
. ...--.-------
--------~--------------------._. ..-..
--.._.__._-----_...-----_._"_.~---------_._-_._.--..._---.-._--_..._.__._.~--, -----
VERIFICATION OF INVENTORY MATERIALS
~O VERIFICATION OF QUANTITIES ------------------,--------------------------,-.--------------------------------- -~--
~---VERIFICATION ;-LOCA;,~_;;----------------------- ---------------------------.-------------.---.-.------ ---,,-----------
dJ/'0 PROPER SEGREGATIO~-;- MATERI~~------------ _________________________~_________._______u__
~ 0 VER;FICATION OF MSDS AVAILABIL-;~_;--------------- .__________________.____________________._________m___--------
~WRIFIC~TION OF HAT MAT TRAININ~-----------'------- ______________________u_________.____________·____.____---------.
rJ7'o VERIFICATION OF ABATE~~~~;~~~~-AND ;~~~~~R~~ ___________________________________________,,_______m_------------
~ :::::::: :~~::E::::"^-TE-=-~=-=- _=:=:=:=_=~===-=:===-=-_:
d~--- '-----------~-'---------'--..,-' -,---.---,--------------,-----,--------------,,------------------
HOUSEKEEPING ðot~ c.. -kJ \J)~!oj't~J~.u.-.J(~_ {~L±9__.t\\Q.\&~-º~~~~___..ç.~BJ~t: _ 1(.(
tV'LJ FIRE PROTECTION
------.---.---------- -~--------_._-_._._-_._--.._------_.__._-------+- .---...----.---.
r:1./t:J SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?: ø:VES 0 No
EXPLAIN: Ú)ll~~<.. 0(( f- .ç.\l+(V'~ ~('()~"'- ~b<.. ~h~ Ntvi- deer. ~r-f.
ð'\ t:)1G 1M L ß\J.c;l 1\;" ~
GARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector
~_._-----
Badge No,
~~~-
BUsi~'te Responsible
White· Environmental Services
Yellow . Station Copy
Pink· Business Copy
~~~
'/' 1~/1a/2aa2
-
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13:54
6618363177
REDWINE TESTING
PAGE
132
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
APPLICATION TO INSTALL AND/OR REMOVE
ABOVE GROUND STORAGE TANK(S)
In confonnity with provisions of pertinent ordinances, codes and/or regulations, pennission is
hereby granted to:
~t,
S 7 ðCléí)fJ-1E J1¡'g 7 7-exJl-(¡j
Name of Company
/8DOl/ ShCJO)A-f.c. tfWY
I Address BA-Ic¡:{.0ûf- 933~
to display, store, install, use, operate, sell or handle materials or process involving or creating
conditions deemed hazardous to life or property as follows:
(7/fJ~J~ ~ ~:kV¡i/ff-¡2fk
.--.....
subject to the provisions and/or limitations as provided. Violation of pertinent ordinances, codes
and/or regulations shall void this permit.
Qr/Jl
Pennit Denied l {J () (
Date
.i:- rJ~ GAfNL~ ,ç ~IHM~=-~~
Approved by: Applicant Name (print) Applicant Signature -............
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
\.--"'
Received Time Oct~ 8. 8:30AM
n _~Yd
~-
'.
tit
Bakersfield ~ Dept.
1715 Chest. ve.
Bakersfield, CA 93301
PERMIT STATEMENT
f.'- - ~
RECEIVED FRoM~~ch\L \ 1 )e4::.L DATE
I
0(')-- 1 " éXDL
I
UST/AST PERMIT 82
STATE SURCHARGE 86
TANK TESTING 83
COPIES/REPORTS 89
AMOUNT
TENTS, LPG 84
FIREWORKS, POWDER, 84
OTHER PERMITS
OTHER
~iÌ(i _rn~
TOTALrE.Jo~-
OCT 1 1 2001
CITY OF BAKERSfIELD
(" .
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FD1595
OCT-05-2001 03: 35-PM
78737467.7867243.82657
323 562 1944
P.02
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SUPERIOR u&-1'O~ÞC. w{ll(pok ~~,~
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Weight 250 Pounds
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ALL NON UL TANKS MANUFACTURED BY"SUPERIOR" are welded in accordance
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are tested per the UL-142 standðrd~ i.e. brusned with soapy suds water
while tank is pressurized at 3-5 psig to test for leak"bubbles".
THESE TANKS HOWEVER DO NOT BEAR THE UL LAm: The NON UL Single 'tall
tanks are stamped by an engineer as being constructed soundly.
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FADM: --', LINDA' N AZARETIAN ~ .I _ ¿" j,
--- KEITH EASTON /- ~.
S\JPERIOR SHEET METAL/SUPERIOR STORAGE TANKS ~~
7962-B SALT LAKE AVENUE - HUNTINGTON PARK, CA 90255 ~~
FAX #:~562·1944 · PHONE #: (21 a, 562·3950
(32.3) , (3Z~)
Sua.JECT: SfGc f
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OFFICE OF ENVIRONMENTAL SERVICES
17'15 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
o REVISE
200
(one form per meterle' per buOd'ng or SfØe}
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o p PURE
PHYSiCAl STATE
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FED HAZARD CATEGORIES
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01 FIRE
'''---''--''
ANNUAL WASTE
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UNITS'
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STORAGE CONTAINER
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o e ABOVEGROUND TANK
o b UNOERGROUND TANK
Dc TANK INSIDE BUILDING
o d STeEL DRUM
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STORAGE PRESSURE
o a AMBIENT
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STORAGE TEMPERATURE
o II AMBIENT
210
D m MIXTURE
Dves 0 No
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215
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R~I)IOACTIVë
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STATE WASTE CODE
220
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OAVS ON SITE
222
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LARGEST CONTAINER
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. If EHS. smDunl musl bo In Ibs.
o Q] LBS
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223
o q RAIL CAR
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o Ba ABOVE AMBIENT
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224
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225 i
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UPCF (7/99)
Received Time Oct. 8.
8:30AM
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.18 ÞVI:RAGE
, DAIL V AMOUNT
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Do PLASTIC/NONMETALLIC DRUM
0, CAN
o g CARBOY
o h SILO
o m GLASS BOTTLE
o n PLASTIC BOTTLE
o 0 TOTE BIN
o p TANK WAGON
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3 I 234 235 0 Yes 0 No 236 ! 237
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e CITY OF BAKERSFIELD"
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL [tESCRIPTION
o NEW 0 ADO 0 DELETE 0 REVISE 200
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! CONFIDENTIAL (EPCRA) Yes No 202
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PHYSICAL STATE
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FED HAZARD CATEGORIES 0 1 FIRE
(Check elllhBt BPply)
"'--"--"
ANNUAL WASTE
AMOUNT
.......----...
UNITS'
.......-.....-
STORAGE CONTAINER
(Check ," fhet apply)
De ABOVEGROUND TANK
Db UNDERGROUND TANK
0" TANK INSIDE BUILDING
o d STEEL DRUM
".---.-. ....
STORAGE PRESSURE
o a AMBIENT
.......-.,...-...-... .
o m MIXTURE
DNa
210
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215
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fhl)IOAG'fIVE 0 Yes
o 2 REACTIVE
OS CHRONIC HEALTH
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215
.......-------
219
STATE WASTE CODE
220
. ...-..-............-...............-.-..........
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DAYS ON SITE
222
o I LIQUID
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LARGEST CONTAINER
221 ,
",t."".".,.,. ,..'
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223
214
.............-.....
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217
;,\,..XIMtlM
DAILY AMOUNT
o gs GAL 0 cf CUFT
. " EHS. 8mount must be in Ibs.
,18 ,WI"RAGE
: DAILY AMOUNT
.f.
o B8 ABOVE AMBIENT
o be BELOW AMBIENT
...... .--- .. -..--..--...................------.
224
....._...____.._...__......... ...........,........... ... ... ......··_··_________._.___..........._1
STORAGE TEMPERATURE 0 B AMBIENT 0 Ba ABOVE AM~'.:~_._l] be BELOW AMBIENT 0 c CRYOGENIC 225 I
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De PLASTIC/NONMETALLIC DRUM
01 CAN
o 9 CARBOY
C h SILO
o I FIBER DRUM
C¡ BAG
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o I CYLINDER
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Received Time Oct. 8. 8:30AM
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......-..---
DADD
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.__........_...~-~_._.__....-.-.. ......_............"'".--....>''''-_..__.--...~..-
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OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
D REVISE
200
(one (orm per me/Mal per bUDding or aree)
Psge 0/
..-..--..---..... ""-.'" .......... .-. ...-......... _....
<~;¡~~~~Ä;b:Úri~A~-"ö;'Õ"~Ã":Dõi~9ãÜS~늊.ÄŠr~:..~'..,: ",I,' 'FACILITY 1t\IFORMA TION
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COMMON NAME
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CAS #
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! CONFIDENTIAL IEPCRA} Yel No 202
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, JÄ0 f!:. u../ó-c:: S(çLAøÞL Cl / £....:.. _[)'K.[]":':'.~____'~' '
2/._ 230...._,_...,.......... 231, _~~~ ~,~ ~321..,..._....._.__._.,~~
3 I 234 235 I 0 Yes 0 No 236 i 237
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:;:,'~~~¡~itj~:¡;ill~~~2~:~¡ci~'ð~izió~õ~p~~~ipÎrèS~ÑÏ.ÃiïVg...~~~~;",..:,','.,,':,:,,', ··ŠïGÑÄTÜ·ÃË'··'''· "~.,....',..",--~,.,.,.._.~..,, .. -- - ~ATE 246
o p PURE
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FED HAZARD CATEGORIES 0 1 FIRE
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...--..--..
ANNUAL WASTE 217
AMOUNT
.....----.,
UNITS'
~.......__.....-
STORAGE CONTAINER
(Check .11 tha/spp'r)
D e ABOVEGROUND TANK
D b UNDERGROUND TANK
DC TANK INSIDE BUILDING
D d STEEL DRUM
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