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Home My WebLink AboutBUSINESS PLAN (2) e . K~RN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 Manager : Location: 3701 E BELLE TERRACE C City BAKERSFIELD BusPhone: Map : 124 Grid: 03C (661) 327-2751 CommHaz : Moderate FacUnits: 5 AOV: CommCode: COUNTY STATION 41 EPA Numb: SIC Code:4151 DunnBrad:01-071-6280 Emergency Contact / Title Emergency Contact / Title BUD BANKSTON / DIRECTOR BUD BANKSTON / ASSISTANT DIREC Business Phone: (661) 631-3199x Business Phone: (661) 631-3199x 24-Hour Phone : (661) 821-0708x 24-Hour Phone : (661) 393-0308x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 827-3199x State: CA Zip : 93307 Phone: (661) 631-3203x State: CA Zip : 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : DELL OLIVER MailAddr: 3701 E BELLE TERRACE C City : BAKERSFIELD Owner Address : City KERN HIGH SCHOOL DISTRICT 3701 E BELLE TERRACE C : BAKERSFIELD Emergency Directives: I. Dc¿..L.. t2L-¡v¡:~ Do hereby certify ~hai ~ have (Typa or print name) reviewed the attached hazardous materials manage- ment plan for ¡¿. , 1-1- I S; I Ð and ~hat i~ along with (Name of Buslnass) any corrections consmute a c:©mpl~~s ~n© rorf~d man- agement plan for my facm~y. n~t'd ~ ... Sigr1lll\1Jre !tfJ ' 9rt:l1 Date -1- 10/01/2004 e . F KÈRN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: KERN HIGH SCHOOL DIST TRANS DEPT Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : BUD BANKSTON Phone: (661) 631-3199x Address: City : State: Zip: Type : COUNTY AGENCY TANK OWNER INFORMATION Name : BUD BANKSTON Phone: (661) 631-3199x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: Legal Notif : Date: Phone: ( ) - x Name: Ttl: State UST # : 1998 Upg Cert#: 00805 -2- 10/01/2004 e F KÊRN HIGH SCHOOL DIST TRANS DEPT p= Hazmat Inventory p== MCP+DailyMax Order . SiteID: 015-021-001038 By Facility Unit SECTION I ì ì ì DailyMax UnitMCP 11000.00 GAL Mod 11000.00 GAL Low 500.00 GAL Low Hazmat Common Name... GASOLINE UNLEADED DIESEL #2 WASTE OIL specHazEPA HazardS Frm F F F IH DH IH DH DH L L L -3- 10/01/2004 SiteID: 015-021-001038 ì By Facility Unit ì SECTION III ì DailyMax IUnitlMCP 55.00 GAL Ext 382.00 FT3 Hi 55.00 GAL Hi 150.00 GAL Mod 500.00 GAL Low 251.00 FT3 Low e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Hazmat Inventory ~ MCP+DailyMax Order Hazmat Common Name. . . specHazEPA HazardS Frm I RUBBER & VINYL SHINE F IH L ACETYLENE E F P IH G WASH & WAX DH L PARTS WASHER SOLVENT F L PROPYLENE GLYCOL F IH L OXYGEN F IH DH G -4- 10/01/2004 e F KÈRN HIGH SCHOOL DIST TRANS DEPT f= Hazmat Inventory f== MCP+DailyMax Order . '~, SiteID: 015-021-001038 ì By Facility Unit ì SECTION IV ì specHaZEPA Hazards Frm DailyMax UnitMCP 55.00 GAL Mod 190.00 GAL Low ~6SS.00 GAL Min 820.00 LBS Min 190.00 GAL Min Hazmat Common Name... CLEANER TRANSMISSION MOTOR OIL GREASE GEAR LUBE FLUID F F F F DH DH DH DH DH L L Lleeo L L -5- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0013 == COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED SiteID: 015-021-001038 ì Facility Unit: SECTION I ì Days On Site 365 Location within this Facility Unit SECTION I W SIDE Map: Grid: , CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 11000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 11000.00 GAL Daily Average 5000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~I CAS # I 8006619 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -6- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì f= Inventory Item 0013 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SECTION I W SIDE TANK DESCRIPTION Tank ID#: 3 Mfr: JOOR Installed: 07/1989 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:GASOLINE UNLEADED TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1989 Drop Tube : 1989 Striker Plate: 1989 Sgl Wall: PLASTIC Alarm : Ball Float : 1989 Fill Tube S/O: 0 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -7- 10/01/2004 e . - ' F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 9 f= Inventory Item 0013 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL AboveGround Piping Type: Const: Mfgr : Mtl : & : Corr : Prot : FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 08/16/2002 Date: 12/06/2000 Name:DELL OLIVER Prmt Number: 1038 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MAINT. SUP. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:08/24/2004 -8- 10/01/200,4 e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0012 === COMMON NAME / CHEMICAL NAME DIESEL #2 SiteID: 015-021-001038 ì Facility Unit: SECTION I ì Days On Site 365 Location within this Facility Unit SECTION I W SIDE Map: Grid: CAS# 68476-34-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 11000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 11000.00 GAL Daily Average 5000.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -9- 10/01/2004 e . F KÈRN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì p= Inventory Item 0012 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SECTION I W SIDE TANK DESCRIPTION Tank ID#: 2 Mfr: JOOR Installed: 07/1989 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:DIESEL #2 TANK CONTENTS Petrol Type: DIESEL Cas #: 68476-34-6 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1989 Drop Tube : 1989 Striker Plate: 1989 Sgl Wall: PLASTIC Alarm : Ball Float : 1989 Fill Tube S/O: 0 TANK LEAK DETECTION Dbl Wall: VADOZE MONITORING Installed: Installed: Exempt: No AUTOMATIC TANK GAUGING INTERSTITIAL MONITORING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -10- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì f= Inventory Item 0012 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL AboveGround Piping Type: Const: Mfgr : Mtl : & : Corr : Prat : FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 08/16/2002 Date: 12/06/2000 Name:DELL OLIVER Prmt Number: 1038 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MAINT. SUP. Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. : 07/01/1999 UST MONIT. CERT:08/24/2004 -11- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT p= Inventory Item 0011 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001038 ì Facility Unit: SECTION I ì Days On Site 365 Location within this Facility Unit SECTION I W SIDE Map: Grid: CAS # 221 STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 500.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 250.00 GAL %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag .Define11 -12- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0011 SiteID: 015-021-001038 ì Facility Unit: SECTION I ì Treated On Site CA Code Us Code GAL Generated/Mo. GAL Generated/Yr. No 2000.00 Treatment UnitID: I Unit Type: Agency-Defined Text Label WASTE DATA -13- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 9 p= Inventory Item 0011 Facility Unit: SECTION I 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SECTION I W SIDE TANK DESCRIPTION Mfr: JOOR Capacity: 1000 Gals Compart Tank: N No. Of Comparts: Tank ID#: 1 Installed: 07/1989 Additional Info: Tank Use: OIL Matl Name:WASTE OIL TANK CONTENTS Petrol Type: OTHER-DESCRIBE Cas #: 221 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s) : Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 0 Drop Tube : Striker Plate: Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No o TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -14- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì f= Inventory Item 0011 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping GRAVITY LINED TRENCH AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : BARE STEEL PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: DISPENSER CONTAINMENT Type: NONE OWNER/OPERATOR SIGNATURE Date: 12/06/2000 Name:DELL OLIVER Prmt Number: 1038 Ttl:MAINT. SUP. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:08/24/2004 HAZ. SUBSTANCE -15- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0006 ¡:::::= COMMON NAME / CHEMICAL NAME RUBBER & VINYL SHINE SiteID: 015-021-001038 ì Facility Unit: SECTION III ì Days On Site 365 Location within this Facility Unit W SIDE Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS# 2.50 o-Xylene, m-Xylene, p-Xylene No 1330207 40.00 1,3,5-Trimethylbenzene No 108678 1. 00 Isopropylbenzene No 98828 0.20 Ammonium Hydroxide No 1336216 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Ext Ag.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -16- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 015-021-001038 ì Facility Unit: SECTION III ì Days On Site 365 Location within this Facility Unit SECTION III & IV Map: Grid: CAS# 74-86-2 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 382.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 382.00 FT3 %Wt I 100.bo Acetylene HAZARDOUS COMPONENTS Daily Average 200.00 FT3 I~ CAS# 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -17- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0005 === COMMON NAME / CHEMICAL NAME WASH & WAX ALLSTAR WASH & WAX Location within this Facility Unit E SIDE SiteID: 015-021-001038 ~ Facility Unit: SECTION III ~ Days On Site 365 Map: Grid: CAS# 27176-87-0 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 25.00 Dodecylbenzenesulfonic Acid No 68608888 3.00 Monoethanolamine No 141435 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -18- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT p= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME PARTS WASHER SOLVENT RRT PARTS WASHER SOLVENT Location within this Facility Unit SECTION III & IV SiteID: 015-021-001038 9 Facility Unit: SECTION III 9 Days On Site 365 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 150.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 90.00 Kerosene No 70892103 10.00 Benzene No 71432 HAZARD A E TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod SS SSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined?: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -19- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0004 == COMMON NAME / CHEMICAL NAME PROPYLENE GLYCOL SiteID: 015-021-001038 ì Facility Unit: SECTION III ì Days On Site 365 Location within this Facility Unit E SIDE Map: Grid: CAS# 57-55-6 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 500.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 250.00 GAL %Wt. RS CAS# 97.00 l,2-Propylene Glycol No 57556 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -20- 10/01/2004 '. e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-001038 ~ Facility Unit: SECTION III ~ Days On Site 365 Location within this Facility Unit SECTION III & IV Map: Grid: CAS# 7782-44-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 251.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 251.00 FT3 Daily Average 150.00 FT3 HAZARD US COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 o HAZARD ASSE SMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -21- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0008 F== COMMON NAME / CHEMICAL NAME CLEANER ALLSTAR LIQUI TERG CLEANER Location within this Facility Unit SECTION IV E SIDE SiteID: 015-021-001038 ì Facility Unit: SECTION IV ì Days On Site 365 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL HAZARDOUS COMPONENT %Wt. RS CAS# 100.00 Cleaning Solvent No 8030306 S HAZARD A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod SSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.DefinelO: Ag.Defined5: - Ag.Definel1 -22- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT p= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID SiteID: 015-021-001038 ì Facility Unit: SECTION IV ì Days On Site 365 Location within this Facility Unit SECTION IV EAST SIDE Map: Grid: CAS# 64742-55-80 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 190.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 190.00 GAL Daily Average 90.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 HAZARD AS ESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: r- Ag. Define11 -23- 10/01/2004 .. e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0004 F= COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 015-021-001038 ì Facility Unit: SECTION IV ì Days On Site 365 Location within this Facility Unit SECTION IV E SIDE Map: Grid: CAS# 64742-54-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 1655.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1655.00 GAL Daily Average 1030.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -24- 10/01/2004 e . ',~ F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0006 F== COMMON NAME / CHEMICAL NAME GREASE SiteID: 015-021-001038 9 Facility Unit: SECTION IV 9 Days On Site 365 Location within this Facility Unit SECTION IV E SIDE Map: Grid: CAS# 64742-52-5 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 820.00 LBS Daily Average 600.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Heavy Machine Oil No 8020835 HAZARD AS ESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min S Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined1: Ag.Defined8: I- Ag. Define11 -25- 10/01/2004 . . '" F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0007 F== COMMON NAME / CHEMICAL NAME GEAR LUBE SiteID: 015-021-001038 , Facility Unit: SECTION IV , Days On Site 365 Location within this Facility Unit SECTION IV E SIDE Map: Grid: CAS# 64742-62-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 190.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 190.00 GAL Daily Average 100.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag. Define11 -26- 10/01/2004 e . KËRN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 Manager : Location: 3701 E BELLE TERRACE C City BAKERSFIELD BusPhone: Map : 124 Grid: 03C (661) 327-2751 CommHaz : Moderate FacUnits: 5 AOV: CommCode: COUNTY STATION 41 EPA Numb: SIC Code:4151 DunnBrad:01-071-6280 Emergency Contact / Title Emergency Contact / Title BUD BANKSTON / DIRECTOR BUD BANKSTON / ASSISTANT DIREC Business Phone: (661) 631-3199x Business Phone: (661) 631-3199x 24-Hour Phone : (661) 821-0708x 24-Hour Phone : (661) 393-0308x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 827-3199x State: CA Zip : 93307 Phone: (661) 631-3203x State: CA Zip : 93307 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : DELL OLIVER MailAddr: 3701 E BELLE TERRACE C City : BAKERSFIELD Owner Address : City KERN HIGH SCHOOL DISTRICT 3701 E BELLE TERRACE C : BAKERSFIELD Emergency Directives: I, OC¿"¿ OL-IVI5~ Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ment plan for ¿¿. f I-J. IS:' j;) and that it along with (Name of Business) any corrections constitute a complete and COffect man- agement plan fOf my facility. p~d· Signature /(f) , ~'1:I1 Date -1- 10/01/2004 e . F KÈRN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 =t STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: KERN HIGH SCHOOL DIST TRANS DEPT Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : BUD BANKSTON Phone: (661) 631-3199x Address: City : State: Zip: Type : COUNTY AGENCY TANK OWNER INFORMATION Name : BUD BANKSTON Phone: (661) 631-3199x Address: City : State: Zip: Type : BOE UST Fee# : UNKNOWN Financ'l Resp: Legal Notif : Date: Phone: ( ) - x Name: Ttl: State UST # : 1998 Upg Cert#: 00805 -2- 10/01/2004 e F K~RN HIGH SCHOOL DIST TRANS DEPT f= Hazmat Inventory f== MCP+DailyMax Order . SiteID: 015-021-001038 By Facility Unit SECTION I "I "I "I DailyMax IUnitMCP 11000.00 GAL Mod 11000.00 GAL Low 500.00 GAL Low specHazlEPA F F F Hazmat Common Name... GASOLINE UNLEADED DIESEL #2 WASTE OIL HazardS Frm I IH DH IH DH DH L L L -3- 10/01/2004 SiteID: 015-021-001038 l By Facility Unit l SECTION III l DailyMax IUnitMCP 55.00 GAL Ext 382.00 FT3 Hi 55.00 GAL Hi 150.00 GAL Mod 500.00 GAL Low 251.00 FT3 Low e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... specHaZEPA Hazards I Frm RUBBER & VINYL SHINE F IH L ACETYLENE E F P IH G WASH & WAX DH L PARTS WASHER SOLVENT F L PROPYLENE GLYCOL F IH L OXYGEN F IH DH G -4- 10/01/2004 e F KERN HIGH SCHOOL DIST TRANS DEPT f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-001038 9 By Facility Unit 9 SECTION IV 9 IspecHazlEPA Hazards I Frm I DailyMax unitlMCP 55.00 GAL Mod 190.00 GAL Low ~6SS.00 GAL Min 820.00 LBS Min 190.00 GAL Min . Hazmat Common Name... CLEANER TRANSMISSION MOTOR OIL GREASE GEAR LUBE FLUID F F F F DH DH DH DH DH L L Lleeo L L -5- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0013 = COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED SiteID: 015-021-001038 ì Facility Unit: SECTION I ì Days On Site 365 Location within this Facility Unit SECTION I W SIDE Map: Grid: , CAS# 8006-61-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 11000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 11000.00 GAL Daily Average 5000.00 GAL %wt. I 100.00 Gasollne HAZARDOUS COMPONENTS CAS # I 8006619 [æ] TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -6- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 9 f= Inventory Item 0013 Facility Unit: SECTION I l STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SECTION I W SIDE TANK DESCRIPTION Tank ID#: 3 Mfr: JOOR Installed: 07/1989 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL Matl Name:GASOLINE UNLEADED TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: 8006-61-9 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1989 Drop Tube : 1989 Striker Plate: 1989 Sgl Wall: PLASTIC Alarm : Ball Float : 1989 Fill Tube S/O: 0 LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No TANK Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -7- 10/01/2004 ·e . F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì f= Inventory Item 0013 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping PRESSURE DOUBLE WALL AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 08/16/2002 Date: 12/06/2000 Name:DELL OLIVER Prmt Number: 1038 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MAINT. SUP. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:08/24/2004 -8- 10/01/200,4 e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0012 = COMMON NAME / CHEMICAL NAME DIESEL #2 SiteID: 015-021-001038 ì Facility Unit: SECTION I ì Days On Site 365 Location within this Facility Unit SECTION I W SIDE Map: Grid: CAS# 68476-34-6 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 11000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 11000.00 GAL Daily Average 5000.00 GAL HAZARDOU COMPONENTS %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 S D A ENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZAR SSESSM S Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: I- Ag. Define11 -9- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì f= Inventory Item 0012 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SECTION I W SIDE TANK DESCRIPTION Tank ID#: 2 Mfr: JOOR Installed: 07/1989 Capacity: 12000 Gals Additional Info: Compart Tank: N No. Of Comparts: Tank Use: MOTOR VEHICLE FUEL MatI Name:DIESEL #2 TANK CONTENTS Petrol Type: DIESEL Cas #: 68476-34-6 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s}: STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 1989 Drop Tube : 1989 Striker Plate: 1989 Sgl Wall: PLASTIC Alarm : Ball Float : 1989 Fill Tube S/O: 0 TANK LEAK DETECTION Dbl Wall: VADOZE MONITORING Installed: Installed: Exempt: No AUTOMATIC TANK GAUGING INTERSTITIAL MONITORING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -10- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì f= Inventory Item 0012 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : UnderGround PRESSURE DOUBLE WALL AboveGround Piping FIBERGLASS PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 08/16/2002 Date: 12/06/2000 Name:DELL OLIVER Prmt Number: 1038 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR w/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:MAINT. SUP. Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:08/24/2004 -11- 10/01/2004 e . F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0011 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001038 9 Facility Unit: SECTION I 9 Days On Site 365 Location within this Facility Unit SECTION I W SIDE Map: Grid: CAS# 221 STATE - TYPE Liquid Waste PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 500.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 250.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: - Ag.Define11 -12- 10/01/2004 - . F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0011 Si*eID: 015-021-001038 9 Facility Unit: SECTION I 9 Treated On Site CA Code US Code GAL Generated/Mo. GAL Generated/Yr. No 2000.00 Treatment UnitID: I Unit Type: Agency-Defined Text Label WASTE DATA -13- 10/01/2004 e - F KÈRN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 9 f= Inventory Item 0011 Facility Unit: SECTION I 9 STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: SECTION I W SIDE TANK Mfr: JOOR Capacity: DESCRIPTION Tank ID#: 1 Installed: 07/1989 Additional Info: 1000 Gals Compart Tank: N No. Of Comparts: Tank Use: OIL Matl Name:WASTE OIL TANK CONTENTS Petrol Type: OTHER-DESCRIBE Cas #: 221 TANK CONSTRUCTION Type : DOUBLE WALL Material(p): STEEL CLAD W/FIBERGLASS R. P. Material(s) : Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED Spill Cnt : 0 Drop Tube : Striker Plate: Sgl Wall: PLASTIC Alarm : Ball Float : Fill Tube S/O: TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Installed: Installed: Exempt: No o Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -14- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT SiteID: 015-021-001038 ì f= Inventory Item 0011 Facility Unit: SECTION I ì STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping GRAVITY LINED TRENCH AboveGround Piping Type : Const: Mfgr : Mtl : & : Corr : Prot : BARE STEEL PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: DISPENSER CONTAINMENT Type: NONE OWNER/OPERATOR SIGNATURE Date: 12/06/2000 Name:DELL OLIVER Prmt Number: 1038 Ttl:MAINT. SUP. Approved: Yes Expiration Date: 06/30/2006 AGENCY DEFINED TANK/LINE TEST : CP CERT. : MANWAY INSP. :07/01/1999 UST MONIT. CERT:08/24/2004 HAZ. SUBSTANCE -15- 10/01/2004 "" e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME RUBBER & VINYL SHINE SiteID: 015-021-001038 , Facility Unit: SECTION III , Days On Site 365 Location within this Facility Unit .W SIDE Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS# 2.50 o-Xylene, m-Xylene, p-Xylene No 1330207 40.00 1, 3, 5-Trimethylbenzene No 108678 1. 00 Isopropylbenzene No 98828 0.20 Ammonium Hydroxide No 1336216 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Ext HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag .Define11 -16- 10/01/2004 , e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0001 === COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 015-021-001038 ~ Facility Unit: SECTION III ~ Days On Site 365 Location within this Facility Unit SECTION III & IV Map: Grid: CAS# 74-86-2 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 382.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 382.00 FT3 %wt. I 100.00 Acetylene HAZARDOUS COMPONENTS Daily Average 200.00 FT3 ~ CAS# 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined8: f- Ag.Define11 -17- 10/01/2004 It e F KERN HIGH SCHOOL DIST TRANS DEPT p= Inventory Item 0005 == COMMON NAME / CHEMICAL NAME WASH & WAX ALLSTAR WASH & WAX Location within this Facility Unit E SIDE SiteID: 015-021-001038 ì Facility Unit: SECTION III ì Days On Site 365 Map: Grid: CAS# 27176-87-0 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS# 25.00 Dodecylbenzenesulfonic Acid No 68608888 3.00 Monoethanolamine No 141435 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: i- Ag.Define11 -18- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0003 === COMMON NAME / CHEMICAL NAME PARTS WASHER SOLVENT RRT PARTS WASHER SOLVENT Location within this Facility Unit SECTION III & IV SiteID: 015-021-001038 ; Facility Unit: SECTION III; Days On Site 365 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 150.00 GAL %Wt. RS CAS# 90.00 Kerosene No 70892103 10.00 Benzene No 71432 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: ~ Ag. Define11 -19- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME PROPYLENE GLYCOL SiteID: 015-021-001038 ì Facility Unit: SECTION III ì Days On Site 365 Location within this Facility Unit E SIDE Map: Grid: CAS# 57-55-6 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 500.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 250.00 GAL %Wt. RS CAS# 97.00 l,2-Propylene Glycol No 57556 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined1: Ag.Defined8: - Ag .Define11 -20- 10/01/2004 - e F KERN HIGH SCHOOL DIST TRANS DEPT p= Inventory Item 0002 == COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-001038 ì Facility Unit: SECTION III ì Days On Site 365 Location within this Facility Unit SECTION III & IV Map: Grid: CAS# 7782-44-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 251.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 251.00 FT3 Daily Average 150.00 FT3 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: - Ag.Define11 -21- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0008 F== COMMON NAME / CHEMICAL NAME CLEANER ALLSTAR LIQUI TERG CLEANER Location within this Facility Unit SECTION IV E SIDE SiteID: 015-021-001038 ì Facility Unit: SECTION IV ì Days On Site 365 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # 100.00 Cleaning Solvent No 8030306 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod HAZARD ASSESSMENTS Ag.Defined5: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: Ag.Defined1: Ag.Defined8: - Ag.Define11 -22- 10/01/2004 e e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0003 == COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID SiteID: 015-021-001038 ì Facility Unit: SECTION IV ì Days On Site 365 Location within this Facility Unit SECTION IV EAST SIDE Map: Grid: CAS# 64742-55-80 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 190.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 190.00 GAL Daily Average 90.00 GAL %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag. Defined8:· Ag.Defined9: Ag.Define10: - Ag.Define11 -23- 10/01/2004 · e F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-001038 9 Facility Unit: SECTION IV 9 Days On Site 365 Location within this Facility Unit SECTION IV E SIDE Map: Grid: CAS# 64742-54-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 1655.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1655.00 GAL Daily Average 1030.00 GAL %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.Define10: -.Ag.Define11 -24- 10/01/2004 . . '$ F KERN HIGH SCHOOL DIST TRANS DEPT p= Inventory Item 0006 F= COMMON NAME / CHEMI CAL NAME GREASE SiteID: 015-021-001038 ì Facility Unit: SECTION IV ì Days On Site 365 Location within this Facility Unit SECTION IV E SIDE Map: Grid: CAS# 64742-52-5 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 820.00 LBS Daily Average 600.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Heavy Machine Oil No 8020835 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -25- 10/01/2004 i . . ç" F KERN HIGH SCHOOL DIST TRANS DEPT f= Inventory Item 0007 F== COMMON NAME / CHEMICAL NAME GEAR LUBE SiteID: 015-021-001038 ì Facility Unit: SECTION IV ì Days On Site 365 Location within this Facility Unit SECTION IV E SIDE Map: Grid: CAS# 64742-62-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 190.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 190.00 GAL Daily Average 100.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.Define10: - Ag.Define11 -26- 10/01/2004 ~ = ~. _ ~l~ MONIT~ItING SYSTI~~M CT;R'I~I~ICATIgN Fur Use (3r /Ill.hrrt.wlrc•I~rrr),t• Wr~lrlr) 1ltr S+<ur ul'Cuhjw•+tru ;1 u1lrn.+•itt C`rrrrl: Clurprpr bJ, Narrl~h uncl5njelt' C•otlt~: C'hnpier 1<, l~ivre'iurz ,~, Tlllc 23, ~'4rlfjumia Crvrlt' r+f Xc•,t{nRNrun t• This 1'4nn must be used to docum4nt testinL* and servicing nl• monitoring cquiptncnt, A SC)asratc certification or rc~orl tnutit l)C I)R'I)arCd 1'nr each monitorin>? svsten, contmf Hanel by t.hc technician wi,n perl'c,rm~ the weak. A copy of ittis !'vrm toast he !)rnvid~tl to the: tank tiyvtcm owner/Qperatc~r. 7lre t~w'nerlc~pcr~tor mtr~t suhtttit a copy of this forth ttt the local agency rcg,ulatittg UST vystcnu within 3(l day. of test date. r~. C.encraf ~trlforrn:ttic)n Fae•iltly V,rmc: ~G~~Ctf-~!f..~5}.-~~~.~~'~/y~~.,--.~ . /~ j~~~q~/ 131d~>. Nci,: ----.._..... •-° - Sll.c rldtlt'C}ti: _.. ~~~7~~--L~ ,J=-r~~,t~'~''. _ . -- Lily: ~y_~_-- ~tp~ __-...__ .. (-'..I~ilil~~ contact Person: -. .._ _ Contact. Phone No.: (. ).-~- •- ----... ..- ~~1akclMudel of Monitoring System: ~~ ~-~,~.'~~_^~J'~b ~ ,_ Date of TestinglSer•vicin,,: _`~_._t2~~! R. Imenf.ory of Equipment Tested/Certified Clocck tNc~ pppn,printc boxes to irtdimle st)c[ittc eor+ioment htspccled/sr~n•iccd: 'I':,nk If): ~_~~._ Tank IU:..~~.~/-L -_ ._ ~L,I~,.T'ank Gauein~ Probe. Motfcl: ht-Tank Gau};ing PI'obe. Mr)Jcl: ~~ - ~ ~.,lnnnl;n Sp~icc nr ~'au)I Sensc)r. Model; S~ ~yx~t~fay~ ~ AnnulilY Space Or Vault 5ensvr. Madcl• ,j,~"1' ~iyS1t' hrpn,;; ti?uttp / Tn:nch Scnsr?r(~). Mrx1C1: ,~ s.~,,,,a~~p~- t~ Pipirt~ Snmp 1 Trench Sensnr(S). Model: l+tiYk~SL31SA.~ ...__ 1 Frll tiump ticnsoria. Model: , ^ Piil SutrU Scissor(s). Mattel: _-, ,-..... - ~' ~lcchanical L,Ene Lcak pCt.:ctor. ~ i~lrxicl; ~-f~ - ~ ^ Mechanical 1 ine Leak hrtectvr. •_ _ MtidcL• __~____„ • O Electronic trine Lcak Detector, Model: C•] Flcctronic Line Lcak r]cteCtor, Model: , ._..-.__ _ ^ Tank i)verfill JHigh-Level Sensor . Model: _ ^ Tank Ovet'fii] I High-Level SEttsor. Model: 1:.1 C)thCr t~.r.cii' a ui mem Iv ~e anr,1 mtxtel iq Section E vn F^ ,c 2). O Qiher (s city ai mcnt t ~e and model in Section G r,n F'n~t,r'). 'I'rtnk 11.?: --~ .. ~~~ ._ Tank 11): _ • ,.-- ~ f n.T:a,k Caa,ing Prohc. Mlodcl: _ ^ hvTnnk Gauging Probe. Model: . ..-__. ._--.- Z4.:1n,ttalar Space <n Vnuh Sensor. Y MndcL E ac~~y~py~ u Annular SpaCC or Vault 5atsnr, _ tttodcl:., ,,,-,_•,__ „•__- f'tpmL $urnp I Trrrtch Srns01'fs). MUdcl: ~~S%M3a~~a.~J1~.~ ^ Piping 5~hnp I Trertclt Sensor(s). Modal. -.. .,_-__. •_•_-_ _• U F"ill Swnf, tienctrrCs). Model: ___ ~ U Fill 5um17 Sensor(s), Model: '~ hlcchunit:al Ling Leak 1)CICCtar. htCtdcl: _ ^ Mcchaniv:J I_irle Leak Detector. .., „•,__._ _.-,_ Mcxle): •_•._ iJ I'-:ICCU~nnic I foe 1.cnk pelectnr. Model: , ^ Electronic Line Leuk 1JCteCmr. Modr..l; ,_, • -~._ . , .• ^ Tank C},•,;riiH I High-Level $COSt7r. Model: _ __ ©Tank t?e'Crfr[I 1 High•Levcl Sensor. Model: f..t Othci (s ccif' a ui . mcnt t anCl tttodel in SCGt1oR F t,n F'a c 2). Q Other (s coif C ui mcnl t ttnd tnoelCl in Section F on pre~c ~ t. w I)icryeltxer 1[,): Imo-. 1,)isl)ChsCr IIU: ~i _ k~C)i~1~~•n,:crConlni,trnent Sensor(s). i~'Rodcl:,SGrJ~-_~„~$i?,(•~Y" _ •• ~ L7icpcnserContairtmcnt.r?cnsor(s). Mot3cl: ~Gi~~ ,• - ,B- S h, ar L ;,i,-c+• I. ~ Shear Valve(s). • ^ 17i~ n~~,~cr Cont:riurt,ent f~Wxtis) and Cban,rs). O l7is cnser Containment Float(s) and Chain{.). I)1.5(mnser 1 U: ~~ Dispenser 1D: _ {~ f7i>pansrr Cootai„matt 5ci?sot(s). Mtx]e1: bc.r» y8 ~_ Q Dispenser Containment ~5cnsor(s). •.__ l+rlodel: -_. _____. ,• t!P Shc:.lr ~':,Ivrf±r. U $I1Cat' Valve(s). ^ Di> cnsrr Cunminmem Flgal(5) and Cltam(s). ^ Dis cnser Conrsti~tment Float(s) and Chain(s). l)igt)t•I7SCr lI). ~~ _ ~ 1)ispral4Cr iii: .. Ui.pcn.ci Containment ScnSgr(A). Mode): „~LbIYI,~ _}lflp.~ •• ^ DispcnsCY Containment Scnsol'(s). _.... _ Mode{; _-• _ _- Shr:u' V,tlrc(sl, Q Shear Valve(s), • :~I.1it rcn.cr ('rxnainmcnE Flual{s) and Chain(s). _ C] L)ispcnscr C:ontflinmcnt Float(s) and Chain(s). I I' Ih~? t:acrlil~• Ce~ntains ntorc harks or rfispcnsers, copy this: form. lnclerde infrnmarinn for every tank and dispenser to the I~tcility ~... ~.~1'f<1~}Cilt[p[1 . I ccrttfy that the equipment idt:nti6ed in Ihir document ~t'av inspeetedlserviced in stcrnrrlsnce with tltc manul:x9urt'r~' ~videfittes. Attached t.o lltfis CertiPcatlon is intornttttign (C.g_ rnanufttcturers' eheclk{tSC4) nnCC53ary to verify N)it( Ihl5 inPnrmutlatt i5 cnrrert anti n Plnt flan showing the Iilyout of monitgrin{; equipment. Irnr nny Equipment capal)Ir of ~encrsrfftg loch rt:phrts, 1 tune nkp nrtachcd a copy nl'~he repm•h (dreck all flint apply): t~~•stem Srt•up B`~xUarm history report Tc~hniari;:in NaIt1L (print): ~ 7~_a. !v- /wit, f/r Si,natttrc; ,_.~"',~~cu~L~- __, yt~-. -~ C'crut'iratir,n Vn.: ~2~2J~.-, ._.._ti_ Lict:n.~c, No.: ~e~+.~j?1~~. -,--.....__._.__ Tcclut~: Ct,ntlrtny iVantc; _CGL tt Lt;. ~6~ 2 ~ ~ y~-/.-1~yw~~122~/~.t ~ f ._ chant: No.:( )_~' 9~~!_..---- S,te ~\tltlrCxs: ~..~~JC..-,~11.'«J~'~,~'j/y~,CC...._~CL,t~ '~S ~~€1~~'~ . Date of Testing/5L•t•viein~. , ~ _J L~-JG'~ 1~r1}~c I of 3 ,f.4/Ill Vlttllllbt•in~'~1YFtCrn CCrtiliC;ltlOtl J " In Sertian T below, descrihe Ilow and N•hen these tieCcieneie5 were nr tivil! bC corrccled. F,. Comments:..~.P..~_~ ~ ~,y~L~+~.bc.~taa~~.._I~.~~3"~l~t. a/~ J'~i~'c'e -~~M-~ - - _._,.,~2. ~c_I_~i~~?~~~aK~~.~t~C ~J~1~~~r.'...~~~'~s.~~of_fj E ~1.!i [~s't _. t~:,gc z ,~r ti ~~„n, 17. results of Testing/Serv~cin~ `ic,fiwarc Vc,•sion instalJcd: I~_f~~ ~_.. F. In-'~`aTlk G~tlgin[;1 SIR ~qu'tp177Clttt ~'Chcck This box i[ tank gaining i5 usCCl only I'nr invcntvey control. ^ Check this box i[ no rmnk gauging ctr SIIt CllU,plflent is instnilcd. 'i'tlis section mull be ct~mplel.ed if in-t~lnk gaining ecluiptnent is used la perfpl-m teak detection monitrn-in,~. t:o+tt Isle the followin c)teclclfst: ^ Yes U Nn~ Fitts all input wiring been inspected For prttptr entry and tenttination, inctttding testing for ~;raunrl iauh.~? G 1'cs ^ Nn'k Were all tank gauging prp6cs visually inspected for damage tiacf residue buildup? U Yc~x ^ Ncr„ 1Ua. ;,ccuraCy of system pr~.tduct Ievcl readings trsterl? D 1'e~ L7 IV+," WITS acc,.n-ucy ul. system u~atcr Icvel rt:adings tested? ~.] Yeti . ^ 1Vq°'' Were all prohCS reinstalled properly? D Yc, ^ No~° Werc• all items on the cgiipntcrn. manul'aClurer's mrtintenance cltt:cklis[ completed? °~° In ttte Seclien I.1. bchnv, describe how sod when these dCliciertcies were or +vlu be corrected, ~ - Cr. Line I.e~k Detectors (LI,I)): ^ Chccic this box i[LLDs arc not installed, (:om lete the f~ltmritt ~ checklist: ''Yes Q Nei"' 1=ttr cqt+ipmcnt srarl•up 4r annual equipment ccrtiticari(tn, wns a leak simulatCd to voril\• L1.1:7 perlc+rnT~ntce'' U NIA rr-nrck .r!! /ntt, t,nn~T~) Simulated Icak roue; 13-3 g,p.h.; ^ 0.1 g.P,h ; D 0,2 g.p.h, I~-Yc~ No" 4Ver•c ::tl! LL.T~s confirmed ty(TCratiitnal and accurate within t~egulatory requirements? Q3~Yer ^ Nn°' ~j's,s Qte resting apparatus Properly catihrs,ted? r1g'Yc• ^ No~ Fpi mechanirctl LLIJs, doe• the LLI~ 4'CStI'ICI pfOdltCr Ilow il' it deters a leak? ^ ~11A 7 Yr.. ^ Nr" Fur elcctrrntie LLUs, does tAe turbine autonTatically shut ofF if the LT.D detects a leak'' N!n ^ Yrs ^ Noy For electronic LLUs. dc~cs the rurbirte {ntmrnatically slTUt off' ii' any portion of the mnnitorim~ system i.e tfisahlecl ~ Nlr~ nr dicconnecrcd? ^ Ycs ^ N<,~ bur clectmnic L1.Ds. does nc~ turbine automatically shit n[I' iF any Portion o[ the monitrTrin~= system nmll'unctic,n~ U Yc;s ^ ;\1a" f-car electronic 1..LDs, have all ;tct;cs~il,>IC wiring eonn~ct ions been visually intpr,:elcd'' .V! ~\ ~'' Yes ^ No* Were all itcnts on the eyuipme,u, manu[ltcluter's maintenance citccklist Completed? In the $ectic+n EI, below, desrr)he hOw :-ttd when [hFSe. defiriencies.vet•e nr tivit! ht: corrected. f A};e 3 of 3 n~~or T-4onitoring System Certifrcation UST 1V~onitolriln~ S~#e Plan Si1,e Address: _~.~1~~P,,~jC ~eyy~c~ ~~4°~l'°1' y'G°~~- tom. - _ ~::::~ ::::: :,:::S~Q:~::::~:::::::::::: ~:..~:::::::; ,C7E.5u+«p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~~ . .,St~i9~ q~tj. _. _ , Date map was drawn; t? r'~J ~'~ )(nstructions If you already have a diagram that shows all required inforntatian, you may include it, rather than this page, with your Monitoring System Certification, Qn your site plan, show tha general layout of tanks and piping. Caearly identify locations of the following egnipm.ent, if installed: monitoring system control panels; sensors mo>zitaring tack atlttulac .spacc5, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line teak detectors; a.nd in-tank Itquid level probes (i.f used far leak detection). 1n the space provided, note [he date this Site Pl:~.n was propared. Page Y of ~! osrnn sv~c~, ianuary coos Spil.~ Bucket Vesting Report Form i 77us form is 1nte,~dedfor use by caruractars p~etforr~rrg annual testing of ~IS7'spiT! ror+tainment stractu,~es The eompletedforn rnrd ~ printouts from tests (rf applicable), should he provided to flee fxility awnerlop~eraror for submittal to the local regulatory agency. .. __ X. FACII,TI'X INFORMATION Date of Tcstias: 53 Faoiiity Address: ~ ~ .2 +~ d ~ a e ~' ' Facility Contact: Fhane: IhOe LgCa1 Agency Was Notilaed of Testing ; Name of Lvcal Agetzcy Znspec-tot ~f~esern during iestfng): ~~'¢' iii r /~, .er~~~,.~.~ " 2. TESTING CONTItA.CTOR INk'ORMATIQ~i Company Natne: Technician Conducring'J'est: Credentials': p CSLB Contractor D JCC Service Toch. D SWRCB Wank Tester ^ Oder License Number(s): _COIIi[lIBRE3 - (inelu~ it formcuiv» o» rtiep~airs mode prior tv iestirq~ and rsconin~erntedfotlo--=-t~n~ for failed tests) CERTIk'ICATION OFTECHNICIAN R7rSPONSIBLE FOIL CONDUCTING THLS TESI'IIYG I Ite~seby ce~ify that all the laforp~iton eoned~-t this rcporl is ti7r1C, mxurat~ and In full cohpllance with legal requ~i ehte~ts. 'i'echniciafl's Signature: ~r~..r~ __~-- ,~y~- Datc: ~ ~ i~-{7~ - ~, 'State laws and regu]atians do not cinrendy require t~rtiung to be pcrfcmned by a qualified cantractar. However, local requirements may be more strir~geni ~~~ ter.. Cat-Yull~y ~'quipntent 3Sf10 Gilmorefty~ $ak~rs~eld, G'A 9330 dt51-3~7-4341 ~AX# 661325-2519 VAPCIR~.ESS MANTJFACTUI~NG, INC. LAT-~0 Leak Detector Test Record Contractor Customer .~L~all~ ,,~~xrc.,'~1y1 Gtr _ ~..1~~v'~, f~-i~1~~SG~a~/ l1„~{~ Datc /~- L~tioa p act ~f ZLl 0 7 ~ 7r~i fi l`~.~ I/~ 7'~? ~'~a~n l~d~'~.~ r~'~/~~~ ~~ ~ ~ .l Manutacturcr Model No. Setlial Number ~ a~K~~ ~I.eak Detector ~dentificat~on ~~ Mauufacttit~r beSCriptivu ptlter Stvle ,Leak betector -~ ~ l ~CCE7` ,UiaPhragm-type~ Piston-type_ ~' Tamper proof sear installed? Yrs_ Np Test at Dispenser 1. c~ ~ Psessuro~~,,~psi ~. l s) 2_ Galip~as per hour rate ~ (para. Z2) 3. Line pressure with pu~atp shat vfl' psi, (pars. Z3) 4, Bieedhack Test witfi~ ptm~ a8' ~ Q mil (para. 26) 5. Step•throug?t timt to £ull flaw secpads (para. 30) ti_ I.tak detector stays in IeaiC search position. (pata,42) Yes Ivp~^ LEAK. DTTEGTaR TEST' Note: ~xss - k~csta detector r~ xst t~~ r.at - beak aet~r aa~ tcst prat~oi Fars Fail ~~ Form 890C(9-t-96) 'Comptett theisnal expansion fret be~'ore failing ieatc detector. a99b Yaporless Manufacnuing, inc., Pr+esaott vau~y, A,Z - CV,+E CaC-Palley Equ~pmcnr 3SQ0 Gilmore ~5(ve. Bakersfield, C,~ 933A8 661-3~7--9341 ~.riX# 66I-32S-2Sd9 VAk'ORLFSS 11~ANU,F'A.C~'UI2TNG, INC.. LDT-894 beak ;Detector Test ~ecard Contractor Customer ~'dt! ,~itJ~ ~d Lt,i~rlrr e x Y..L~I~~~~tf'fi ~- Date l ~ catioa Product M~uu#'actutxs Model No. Serial Nttatber '~cc ._r__.~. Leak Detector Identification Manttfactwrer Descaivtiaa tether Style Leak Uetecmt f aC~"E'~" Diaphragm-type .c~~'. Pistaa-type _ Tatter--proof seal ir~tied7 Yes _ No _ _ _ ~-- r Leak Detector is Sttb~oaers~bl~e Pamp_ Test ~t Di~Spenser 1_ Op~tiag Pump Pressure ~ 7 psi (pate. 15) 2. Gallons lacy boor rate ~, p {para. 22) 3. Line pressure with pump shut off ~ L psi (para. 23) 4. Bleedback Test with pump off 1'~~ rtzl (para. 26) 5. Step-through time to full flew ~ seaoxtds (pans. 30) 6_ Leak detector stays is Ieak search position. {para.42) Yes~_ No ~_.. - LE~4K DE'i'ECTDIt TFS"i' Trott: IP~s~ +~ i.esk dceeceor fits tear protncal FW = teak dete~eor fails teat pmtorol )Picas y~~ Full Form 89t7C(~-I-46) •Catnple#e thermal e~8unsiat test bePora failing leak detector. 196 Vaporless Manufactauiag, loo., PrescAtt Valley, AZ ~y~' Cal- T~a11ey Equipment 3SOp Gilmore Avg Bakersfield, C.sI 93308 S6l-327-9341 Fi~Y# Fi61-32S-ZS29 VAY'Ul.~.ESS 11'~,A-,NUF,A-CTURING, ANC. LDT-$9p Leak Detector Test kteeord ~o~t~Ct4r GSistp~raai Date -~ocat~orx ' Product "Y'rl C2, lt~ 1~'I~ISl~c~_bmexsfble )E'ump xdentificatlon -- Manufacturer Me-de# NoNo. Serial Ntmtber '~- l;.eak ]yetector IIderttifi ~ n Manufacturer ~eactitrtion O lies 5tyle Lcak_Dete~ctor ~~~~e~ ~~~-~ Piscon-type ~~ TauxpGr-proof seal installed? Yes No~ Detector i11 Submersible PAri~p 'Vest at D~spensee- 1. operating Pr~mg Pressure ~ ,~ asi (para. # 5) 2. Gallons p,er hoar talc _ :~. G (pain. 22) 3. Line pressure wills pump shut o#P~'~ ysi (pain. 23} 4. B#ecdback Test with p+unp vff T„~c~ _ tsil (pars. 2b) 5. Step-thmugh tune to fuU Clow ~ seconds (para. 30) 6. Leak detector stays in lei searc4 position. (para.42) ~'as X .- No LEAK DE'~'ECTU)vt T~.S'~ [vote: Fars ~ L~[c detector fees test pratoool Fait - beak detocWC f~iis 4xc prtrtnool Piss __, j~, Fall Farm $9QC(9-I-96) •Complcte t6erntal eapartsiott test before tiling leak detc~tar. I49G Yaporless Manufscttuing, Iec.. Prescott VallCy. AZ MANII=4LDED TANKS ~- T-~~~~~~ T#: NONIr ~r1~I ~ /~- LEAK MIN PERIODIC: 2~ COMMUNICATIONS SETUP - - - - - - - 24C1r1 - i„£AI{ MIN ANNUAL. : 40% PORT SETT' 1 NGS : aY£3TE"i SETUP _ _ .~ _ - _ _ _ .- - .- 4809 AUG 22. 2007 I:A7 PM NONE FOUND PERIODIC T1rST TYPE S'T'ANDARD SYSTEM UN 1 TS ANNUAL TIrST FAIL • ALARM DISAHL.iwD RS-232 END OF MESSAGE U.S. SYSTEM LANGUAGI3 DISABLED EN©LISH p);R I OD I C TEST FA I L ~ SYS"!'IwP'I ,DAT>r~'T I ME FORMAT ALARM DISAHL.ED MON DD YYYY HH:MM:SS xM GROSS TEST FAIL ~ y' ~ ~ KERN HIGH SGHOOL DST ALARM D 1 SABLED 370 i E .131;LI.E TERRACE 8A1CER8F I EI.I7 CA . ANN 'T'EST AVERAGING : OFF 661-827-3199 PER TEST AVERAGING : OFF SWIFT TIME i 6:tltl AM TANK TTrfiT NOTIFY: OFF SHIFT TIME 2 DISABLED SH T FT T I ME 3: D I fiAI3LlrD TNK TST SIPHON BREAK:dFF I N-TANK S>MTUP _ - _ _ _ _ _ _ _ _ _ _ ~ BHIi°T TIME 4 DISABLED DELIVERY DIaLAY 3 M I N 10 006 T 1 : UNLEADED ~ TANK PER TST Na~I;D1~I) WRN DISAI3L£D PUMP THR£$HOLD . PRODUCT CORE 1 TANK ANN TST NEEDED WRN THERMAL CaEFF :. 000700 DISABLED TANK DIAMETER 111.00 TANK PROF I L£ 4 FTS ~ L I NE R1=-1; NABI..E METHOD ' FULL 110E 12023 PASS LINE TEST 83.3 INCH VOL : '9679 55.5 INCH VOL 6011 235'7 LINE PER TST NI:1~DED WRN 27.8 I NCH VOL. : ~ D I SABLED ~ LINE ANN TST NEEDED WRN FLOAT BI2]~: 4.0 IN, ~ DI9AHLED T 2:DI£S£L 2 WATER WARNING Z,p PRINT TC VOLUMES 1;NAI3LED P1?OpUCT CODE THERMAL COEFF :, 000450 H I GH WATER L J M I T' 4.0 . TANK DIAMETER : TANK PROFILE 111.00 4 PTS MA7~ OR LABEL VOL: 12023 TEMP COMPENSATION VALUE (DEG F )' 6D.0 FULL VOL : 72023 OVERFILL LIMIT 90% 1082p STICK HEIGHT OFFSET 83.3 INCH VOL : 5 INCH VOL : 55 9678 6011 HIGH PRODUCT 95% DISABLED DAYLIGHT SAVING TIME . 27.8 INCH VOL : 2357 DELIVERY LIMIT 11421 ~ 10% ENABLED START DATE 1202 APR WEEK 1 SUN FLOAT S[~E: 4.0 IN. ~ LOW FRODUGT 600 START TIM!~ 2:00 AM WA1~R WARNING : 3.0 LEAK ALARMM LIMIT: SUDDEN LASS LIMIT: 99 39 . END DATE HIGH WATER LIMIT: a.0 TANK TILT ~- 0~?5 OCT WE1;K 6 SuN END TIME MAX OR I.AI3$I. VOL : 12023 PRONE OFFSET 0.00 I 2 : 00 AM OVERFILL LIMIT ~~ • 10820 ' HIGH PRODUCT 95Y ' 11421 DELIVERY LIMIT 2D26 2404 LEAK TEST METHOD TEST ON DATE ALI. TANK JAN 1. 1996 START TIME DISABLED TEST RATE :0.20 GAL~fiR D1IRATION ~ HOURS T8T EARLY STOP:DI$ABLED LEAK TEST RI~PORT FORMAT ENHANCED LIQUiD_SENSOR_BETUP- - - L 1:RUL ANNULAR TRI-STATE (SINGLI: FLOAT) CATEGORY :ANNULAR SPACE L 2:RUL STP TRI -:7TA1'E ( S I NGI..]/ FLOAT ) CATEGORY : STP SUMP L 3:RUL 1-2 TRI-STATE (SINGLE FLOAT) CATEGORY bISPENSEI2 PAN L 4:RUL 3-4 TRI-STATE (SINGI.£ FLOAT) CATEGORY DISPENSER PAN L 5:DIESEL ANNULAR TRI-STATE tSINGLE FLOAT) CAT1~CaRY : ANNULAR SPACE L 6:DIESEL STP TRI-STATE C9INGL$ FLOAT) CAT>~CORY STP SUMP L 7:DSL 5 TRI-6TATE (SINGLE FLOAT) CATEGORY DISpl~NSER FRN T 3: ~JASTE O I L LOW PRODUCT ban THERMAL CaF;FF :.000450 ~iK ALARM LIMIT: LF 99 TANK DIAMETER TANK FROFILI~ 62.00 ~ 4 PT9 . SUDDEN LOBS LIMIT: 99 2 , 25 FU~.L VOL 2014 TANK T I LT OEI~ OFFSET 0.00 46.5 INCH VOL : 1621 pR 31.0 INCH VOL : 1007 15.5 INCH VOL 394 MANIFOLDED 'TANKS Tat: NONE T:LOAT S1ZE: 4.0 iN. ' WATER IdARN1 NG 5.0 • HIGH t~AT>rR LIMIT: 5.0 MAX OR LABEL VOL: 2014 OVERFILL LIMIT 9591 1913 HIGH PRODUCT 90% 1812 DELIVERY LIMIT Og: 0 LOW PRODUCT 0 LEAK ALARM LIMIT; 99 SUDDEN LOSS LIMIT: 99 ~ TANK TILT 0,00 PROHJ: aI=F81~T o . 00 MANIFOLDED TANKS T~: NONE LEAK MIN PERIODIC: 1f~C 201 LEAK MIN ANNUAL : 109: 20l PERIODIC TEST TYPE STANDARB ANNUAL TEST FAIL ALARM D Il3ABLED F>rR I 0D I C TEST FA I L ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: aFF PER TEST AVERAGING: OFF TANK TEST NOT[F`f: OFF TNK TI3T SIFWON HREAK:OFF DELIVERY DELAY 3 MIN PUMP THRESHOLD 10,00ts LEAK MIN PERIODIC: 2flS, 2404 LEAK MIN ANNUAL ~ gg09 PERI4DiC TEST TYPfi QUICK ~, ANNUAL TESALARM DIgABLI;D PERIODIC TFA.SLpRMAD I SABLirD GROSS TI;GTALA~C'1 DISAaL£D ANN TEST AVERAGING: aFP p~ ~~' AV£RAG S NG : OFF 'TANK TEST NOTIFY: OFF TNK TST SIPHON HRSAK:Oi=F 3 MIN p ~ THRESHOLD : 10.p~ E • E } ~rl~~~£ND~~rt~~x ALARM HISTORY REPdRT -- SENSOR ALARM ----- I,^2:RlR. STP sTP surer fiUEL ALARM AUG z2, 20D7 9:11 AM FUEL ALARM AUG 24. 20D6 2:30 ply FU]~J„ ALA12M AUC 24, 2aa5 1:5I pM ~t ~E x ~ ~ >: ND ~ K K * ~ ALARM HISTORY R$pORT -- -- SENEOR ALARM ----- L ~:RUL 1-2 DISPENSER pAN FUEL ALARM AUG 22. 2D07 $:55 Ahl Fl!)~L ALARM A1JG 24. 2006 2:26 PM FUEL, ALA12P1 AUG 2d, 2pp5 1:17 PM ~~~ ~*irND~~t~~x LIAUID SI;NSOx IiLPIb L 5:FUEL ALARM L 6 : FfJEL ALARM L 7: FUEL ALARf7 L B:FUEL ALARM L. 5:SIrNS4R OUT ALARM L 6:SirNSOR OUT ALARM L 7:SEN'SOR OUT ALARM L B:SENSOR OUT ALARM L 5:$HORT ALARM L 6:SHORT ALARM L 7:SHORT ALARM I. 6:SHORT ALARM R 3:OV£R-FILL ALARM TYPE: STANDARD NORMALLY CLOSED IN-TANK ALARMS ALL:OVERFILL ALARM RECONCILIATION $FI'UP AUTOMATIC DAILY CLOSING ' TIME: 2:Od AM ~~ PERIODIC R1~CONCILIATION MODE: MONTHLY TEMP COMPENSATION STANDARD BUS SLOT-FUEL Mz; I'ER TANK TANK MAP EMPTY ALARM HISTORY RFrPORT -- SENSOR ALARM -~--- L 1:F2UL ANNULAR °, ANNULAR SPACE SENSOR OUT ALARM AUG 22, 2007 11:50 AM FUEL ALA12M AUG 22. 2007 9:22 AM ` FUII. ALARM i AUG 2a, 2006 4:12 PM L B:DaL 6 TRI-STATE tSINGLE FLOAT? C.A'fEG012Y :DISPENSER PAN L 9:WASTE O1L ANNULAR TR I-S'i'ATE t S 1 NGLE FLOAT 3 CATEGORY % ANNULAR SPAC1: L10:WASTB OIL STP NORMALLY CLOSED CATEGORY PIPING SUMP L11:LUH-OiL SUMP l CFiTEGORYE :1 P I P 1 NG SL>r1PT } L[2:LUH-OIL 2 E,ISLAND ' CATEGORYE:tPIPiNG SUMPTI L13:LUH~OIL 3 W•ISLAND CATECORYE:tpIP1NG SUMPT? OUTPUT RELAY SETUP s _ - ~- - - - - - ~ ~ - l i >z 1:RUL~fiTP TYPIr : ', S'I'ANDARA NORMALLY CLOSED j Y LIGUID SENSOR ALMS L 1:FUEL ALARM L 2 :1` UEL ALARM t L 3:FLlEI. ALARM ~ it 4: FUEL ALA12M ~ L I:sBNaOR OUT ALARM L 3:[3EN9OR OUT ALARM L q : SENSOR OUT ALARM L I:SKORT ALARM I. 2:8HORT ALARM ' L 4~SHORT ALARM R 2:DIESEL-STP TSfP)~ : STANDARD NORMALLY CLOSED rwnr<rr n s a i V1CY 1'tt,l-'VK l SENSOR ALARM L B:nsL ~ AT5PEN9IrR PAN FUEL ALARM AUG 22, 20Q7 9:D3 AM fUl;I, ALARM AUG 24, E006 3:41 PM FUEL ALARM AL9G 24. 2805 1:22 FM ~*~~*1rNA**~~~ ALARM HISTORY REPataT ~_ 5EN3OR ALARM -~~-- S'CP ~ SUMF£L STP FUEL ALARM AUG 2Z, 2007 9;14 AM FUEL ALAI~`9 AUG 24. 20D6 3:33 PM FUEL ALARM ALIG 24. 20D5 150 PM *~~t~~END*r~x*~ ~ HI STOR`~ REpOR"~ AL ~- Sg~OR ALA12M -'_ L A:kUL 0_Q ~ ~~gPE1`1SFp FA pUEL Al-ARM g : q0 AM aU~ 22~ 2007 A~ 2a A p06 2:27 ~ . AUGL 2 a~ 2ap5 1 ~ 20 PM ~~*~~END~~~~ ALARM HISTORY REPORT --~-- SENSOR ALARM ------ L 9:WASTE QIL ANNULAR ANNULAR SPACE FUEL ALARM AUf~ 22. 2007 9:43 AM FUEL, ALARM AUG 24. 20D5 2:2b PM FUEL ALARM AUG 24. 2004 12:50 PM ~~~~~ENU~~~~~ ALARM H I STORY REPtSRT -- SENSOR ALARM ----- Li0:WR9TE OIL STP PIPING SUMP FUEL ALARM AUG 22. 2Dp7 9:46 AM FUEL ALAI?M SEP 1. 2006 1.36 PM FU&I, ALA1s't'1 SEP 1, 2006 1:31 PM ALARM HISTORY REPORT ~, .-_-~__ SENSOR ALARM _~_"_ L 7:D°L 5 ~~ lyjBFENSER PAN gUET. ALARM ~ AU(`, 22, 2007 9: p5 AM FUEI. AI-aRN1 AUG 24. 2006 p:41 PM FUT;I. ALARM p~PT{ 20. 2006 9:02 AM r i ~r~~e~~ENAr~~~*x i '~~ HISTORY RgpOR ALARti'~ _ _ s~NS~R pT,QRM ,r! L+~~DIESEL ANNULAR Z ANf~1JLAR~UTA A~ ARM t A ~, 2007 12:10 ,~ A~ ~~A20Q7 12'0 r~ SENSOR OUT ALAR2~ 0 ~ Auc 22. 2aa7 ,, r t 4 i r I 1 1 }~ ~ ___.._ SENSOR ALARM ----- L1 t :LUB-orL slap 1 PIPING SUMP FUEL ALARM AUG 22. 2007 9:50 AM FUEL ALARM AUG 24. 2006 4:2? PM FUEL ALARM AUG 24. 20fl5 2:54 PM ALARM HISTORY REP0li1' ----- SENSOR ALARM ----- L12:LU8-OIL 2 E.ISLAND PIPING SUMP FUEL ALARM AUG 22. 2007 9:53 AM FU>~1. A1..ARM AUG 24, 2006 4:24 PM FuFl. ALARM AUG 24. 2005 2:51 PM .y ~ 3E ~ ~ ~E END ~ * ~ ~ # ~~ !I ALARM HISTORY RF~PORT ----- SENBQR ALARM --_-- L13:LUB-OIL 3 w.1SLAND PIPING SUMP F UEI. ALARM AUG 22, 200? 958 AM FUI~I. ALARM AUG 24. 2006 4:22 PM FUEL ALARM AUG 24. 20D5 2:63 PM CAL-VALLEY EQUIPMENT 35oD GlLMORE AVENUE BAKERSFIELD, CA 93308 (661) 327-934'[ FAX: (66'i) 325-2529 CONTRACTOR'S L!C_#7$417Q A HAZ To: ~1~~~ ~~"1 f" C/i.~- From: r Fax: 8 ~~~ ~'~~ ~ pages: ,~/ INCLUDING COVER A77: ~~L~t~.Q [~~J~ Datc: /~ ~(~ .~ Re: CC: Urgent d For Review ~ Please Comment ©Please Reply O Please Reoycle Cvmment,~: ~- UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / S6989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 FUEL MONITORING CERTIFICATION PERMIT NO. ~ ~' O S'~ / ~ .. ^ ENHANCED LEAK DETECTION ^ LINE TESTING :' ^ TANKTIGHTNESS TEST- ® TO PERFORM FUEL MONfrORING CERTIFICATION Page 1 of 1 ^ SB-989 SECONDARY CONTAINMENT TESTING ^ Cathodic Protection Testing SITE INFORMATION FACILITY Kern Hl9h SChOOI DISC. NAME rt< PHONE NUMBER OF CONTACT PERSON ADDRESS 3701 E. Belle Terrace OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 ~ 87 UL 2 Diesel 3 Waste Oil TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: F125212 DATE 8 TIME TEST TO BE CONDO ~AU9USt 22, 2007 08:00 I #: SIGNATURE OF APPLICANT ` DATE July 16, 2007 APPROVED BY n.-~~ DATE ~ Z FD 2095 (Rev. 09/05) ~_ . =~ ~ Prevention Services "UNIFIED PROGRAM INSPECTION CHECKLIST( e E.._R__5_F_,_ 0 9ooTruxtunAve.,suite210 _...__ _._. _ _~ , ~ -._~....~ mm ~- _=-~ ._ _ ~. ~ I F-eE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~~ ARZ-M r Tel.:. (661) 326-3979 ~; ~ Fax: (661) 872-2171 FACILITY NAME INSPE TION TE INSPECTION TIME _ ADDRESS PHON NO. NO OF EMPLOYEES `3'10 t ~, ( ~' ? - 3 f 4 FACILITY CONTACT ~ BUSINESS ID NUMBER 15-021- to - ~ ~ ~ ~ - ~ . Sic#ion 1~: Business P=Ian anc~ ~ventory Program ~_. ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ,.., ~ LFr ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS LSV LI CORRECT OCCUPANCY ro .,. ~r° ~`' ~ ~- LAY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~^ PROPER SEGREGATION OF MATERIAL ~l ^ VERIFICATION OF MSDS AVAILABILITY L'2 ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -/ CAS ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUSSWASTE ~ S~E? r~- Y S ^ /N~~O EXPLAfN: ~LIRS~TC_. AL{! ( ~ S . V~J ~~ t fl~Ll nor-outs IS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy I usm ss /Responsible Party (Please Print) Pink -Business Copy FD 2155 (Rev. 09/05 ~~- INSPECTIONS ~~ B E R S F I L D BUSINESS PLAN & ~RrM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: (LCr; h ~fe~~p~~[S~ INSPECTION DATE: i~ Section 2: Underground Storage Tanks Program ^ Routine q/Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank Qut~°_s Number of Tanks Type of Monitoring Li C.ILi Type of Piping d'Ju;F OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ~No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services siness Si Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ;F KERN HIGH SCH DIST TRANS DEPT Manager MIKE GRAY Location: 3701 E BELLE TERR C City BAKERSFIELD CommCode: KCFD STA 41 EPA Numb: SiteID: 015-021-001038 BusPhone: (661) 327-2751 Map 124 CommHaz Extreme Grid: 03C FacUnits: 5 AOV: SIC Code:4151 DunnBrad:01-071-6280 Emergency Contact / Title Emergency Contact / Title BUD BANKS TON / DIRECTOR / Business Phone: (661) 631-3199x Business Phone: ( ) - x 24-Hour Phone (661) 332-9680x 24-Ho ur Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MIKE GRAY Phone: (661) 827-3199x MailAddr: 3701 E BELLE TERR C State: CA City BAKERSFIELD Zip 93307 Owner KERN HIGH SCHOOL DISTRICT Phone: (661) 631-3203x Address 5801 SUNDALE AVE State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST Based on n?y inquiry of those individuals responr.>ii?iz for ol:i3.aining the information, ! certify under penalty of ia~ that I have per-ovally examined and am familiar N~ith the information submitted and ~~elie~~e the infon~ation is true, accurate, and complete. t [7 `t ~N~°Q ~ ~ P' 1 ~ ~Qp7 ure igna a e -1- 07/12/2007 ~,-~ h.. `F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ STORAGE CONTAINER DATA (UST FORM A) Las-t Action Type: FACILITY/SITE INFORMATION Business Name: KERN HIGH SCH DIST TRANS DEPT Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRUCE HINSLEY (CAL-VALLEY) ICC Nbr: 1064437} PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type COUNTY AGENCY TANK OWNER INFORMATION Name Phone: ( ) - x Address: City State: Zip: Type BOE UST Fee# $250 MONTH Financ'1 Resp: SELF INSURED Legal Notif Tank Owner Mailing Address Date:02/17/2005 Phone: (466) 193-41 x Name:CAL-VALLEY EQUIPMENT Ttl: State UST # 5240885-UC 1998 Upg Cert#: 00805 -2- 07/12/2007 i ~ ~ -.l ~. `F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order SECTION I ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP GASOLINE UNLEADED F IH DH L 12000.00 GAL Mod DIESEL #2 F IH DH L 12000.00 GAL Low WASTE OIL F DH L 900.00 GAL Low -3- 07/12/2007 ~~. ~, 'F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order SECTION III ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP RUBBER & VINYL SHINE F IH L 55.00 GAL Ext ACETYLENE E F P IH G 382.00 FT3 Hi WASH & WAX DH L 55.00 GAL Hi WINDSHIELD WASHER SOLVENT DH L 55.00 GAL Hi OZZY JUICE F L 150.00 GAL Mod PROPYLENE GLYCOL F IH L 500.00 GAL Low OXYGEN F IH DH G 251.00 FT3 Low -4- 07/12/2007 -, _, 1 J ~F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order SECTION IV ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP TRANSMISSION FLUID F DH L 300.00 GAL Low GREASE F DH L 820.00 LBS Min MOTOR OIL F DH L 500.00 GAL Min GEAR LUBE F DH L 190.00 GAL Min -5- 07/12/2007 -6- o~/ia/aoo~ =F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0013 Facility Unit: SECTION I ~ COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: SECT I W SIDE CAS# 8006-61-9 ~iquid TMixtur~mbient~E ~ AmbientT~E UNDER GROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 5000.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Gasoline No 8006619 L1HGrittL ti.7.7P.~.7.7P7~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0012 Facility Unit: SECTION I ~ COMMON NAME / CHEMICAL NAME DIESEL #2 Days On Site 365 Location within this Facility Unit Map: Grid: SECT I W SIDE CAS# 68476-34-6 Liquid TMixture ~mbient~E ~ AmbientT~E ~ UNDEROGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest 12000100rGAL Dai112000100m GAL I Daily5000r00e GAL r1tiL~tiLCLVlJ ~7 l..Vl•1L'V1V L'1V l~J ~Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 rarlcirucl~ n~ ~1;Jal•lrtvta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -7- 07/12/2007 `F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0011 Facility Unit: SECTION I ~ ,,,.,..,.,.,-.,.T wTr,~r ~ ..,,r,,,,.T~„r ~~,,.,r, AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1000.00 GAL 900.00 GAL 400.00 GAL I11'iGHLCLVUiJ 1.V1~lYV1VL~1V 1.7 ~Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ruic~r~cL r~a a~~ai~i~lvla TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -8- 07/12/2007 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~iquid TWaste ~ Ambient ~ Ambient ~ UNDER GROUND TANK ~F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0006 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME RUBBER & VINYL SHINE Days On Site 365 Location within this Facility Unit Map: Grid: W SIDE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 2.50 o-Xylene, m-Xylene, p-Xylene No 1330207 40.00 1,3,5-Trimethylbenzene No 108678 1.00 Isopropylbenzene No 98828 0.20 Ammonium Hydroxide No 1336216 riHGHKL E~7~J.C;Jb1~1L'1V15 TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Ext ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit SECT III & IV STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: SECTION III ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co382100rFT3 Daily 382100m FT3 I - Daily 200r00e FT3 r1L~GEitCLUU~7 1.U1~lYUlV~1V 1 J °sWt. RS CAS# 100.00 Acetylene Yes 74862 t1HGKKL L-x.7 .7 C~.7.71~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -9- 07/12/2007 =F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0005 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME WASH & WAX Days On Site 365 Location within this Facility Unit Map: Grid: E SIDE CAS# 27176-87-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 25.00 Dodecylbenzenesulfonic Acid No 68608888 3.00 Monoethanolamine No 141435 I11~iGtiiCL tSJ JP~J J1~1r,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi ~ Inventory Item 0007 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME WINDSHIELD WASHER SOLVENT Days On Site BIOSOL WASH 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 55.00 GAL ( GAL r-u-ac~rutl~vvo ~.vrlrvlvL~ty t J %Wt• RS CAS# 70.00 Methyl~Alcohol No 67561 r1tiL+ri[CL L~i J JL~J J1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi -10- 07/12/2007 ~ Y 'F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0003 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME OZZY JUICE Days On Site WATER BASE 365 Location within this Facility Unit Map: Grid: SECT III & IV CAS# = STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 150.00 GAL 150.00 GAL TTT ATTI T/'1TTA /'1111~RT1/1T~TTlT.TTM _ - -..._ ntiGtiRLV V J ~.vlTlrvlvP~ly 1 a %Wt. RS CAS# 90.00 Kerosene No 70892103 10.00 Benzene No 71432 ri1~GEitCL H.7 ~7~~751~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0004 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME PROPYLENE GLYCOL Days On Site 365 Location within this Facility Unit Map: Grid: E SIDE CAS# 57-55-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 250.00 GAL rariurucLV V o ~.vrirvlv~ty 1 S %Wt. RS CAS# 97.00 1,2-Propylene Glycol No 57556 rLC~L~riRL CiJ JL' ~J Jl•1L'1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low -11- 07/12/2007 ,. 'F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0002 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SECT III & IV CAS# 7782-44-7 STATE TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~G3S Pure Above Ambient I Ambient I PORT _ PRF~~ _ CYT,TTTI~F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 251.00 FT3 150.00 FT3 - HAZARDOUS COMPONENTS %Wt• RS CAS# 100.00 Oxygen, Compressed No 7782447 l1t~l~riRL HJ JL~J J1.1L~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -12- 07/12/2007 ~F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0003 Facility Unit: SECTION IV ~ COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: SECT IV E SIDE CAS# 64742-55-80 LiTAid Mixture AmbRentURE TEMPERATURE CONTAINER TYPE qu' T ~- ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 GAL 300.00 GAL 90.00 GAL - nra~t~tcLVUa ~~inr~lv~ivl~ °sWt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 r~c~titcL ~i~a~~~in~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME GREASE Location within this Facility Unit Map: SECT IV E SIDE STATE TYPE PRESSURE TEMPERATURE Liquid TMixture ~mbient ~ Ambient Facility Unit: SECTION IV ~ Days On Site 365 Grid: CAS# 64742-52-5 CONTAINER TYPE DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 LBS 820.00 LBS 600.00 LBS r1tiL~tiiCLV V w7 l.VllY V1V P~1V i S $Wt• RS CAS# 100.00 Heavy Machine Oil No 8020835 I1tiGHi[L H~ J.7r,.7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -13- 07/12/2007 'F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0004 Facility Unit: SECTION IV ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SECT IV E SIDE CAS# 64742-54-7 Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE TMixture~mbient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 500.00 GAL - riAGAKLU U 5 1.U1~lYU1V L' 1V 1 J %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1F~GL~2CL Y,~7JL'i~751~1L"1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0007 Facility Unit: SECTION IV ~ COMMON NAME / CHEMICAL NAME GEAR LUBE Days On Site 365 Location within this Facility Unit Map: Grid: SECT IV E SIDE CAS# 64742-62-7 LiTAid Mixture AmbRient~E AmbientTURE CONTAINER TYPE qu~ T -~ ~ ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 190.00 GAL 190.00 GAL I 100.00 GAL nti4titCLV V ~J ~..vrirvivr,ly t S °sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 ru~aru~L r~a ~~~~iir,lvt~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -14- 07/12/2007 `F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/17/2000 ~ CALL 911. Employee Notif./Evacuation 07/11/2006 NOTIFY EMERGENCY AGENCY. NOTIFICATION OF IMMEDIATE SUPERVISOR. CLEAR THE AREA OF ALL PERSONNEL. Public Notif./Evacuation 03/27/2007 ESTABLISH MOBILE COMMAND CENTER: ESTABLISH EMERGENCY OPERATING CENTER AT DISTRICT OFFICE, 5801 SUNDALE AVE; PHONE OPERATOR 1, PHONE BPD, PHONE 911, PHONE KHSD M&O DEPT; PHONE OPERATOR 2, IF NECESSARY, PHONE HAZMAT FIRE AND FOR CLEAN-UP, PHONE LICENSED HAZARDOUS WASTE HAULER; MOBILE UNITS 1 AND 2, NOTIFY RESIDENTS DOWNWIND OF SPILL; AND RADIO OPERATORS 1 AND 2, ASSIST AS DIRECTED BY MOBILES 1 AND 2. Emergency Medical Plan 07/11/2006 VERNON C SORENSON MD INC, 3838 SAN DIMAS ST B100, 326-0088. -15- 07/12/2007 `F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/11/2006 ~ LIMITED QUANTITIES ON HAND. EMPLOYEE INSTRUCTION OF PRODUCT USED SAFETY PROCEDURES. ROTATE CONTAINERS, FIRST RECEIVED, FIRST EXPENDED. MARK CONTAINERS THAT CONTAIN PRODUCTS OF A CORROSIVE NATURE WITH A PLACARD. Release Containment 03/27/2007 WITH THE USE OF ABSORBANT, CONTAIN SPILL OR LEAK IN A CONFINED AREA. NOFITY FIRE DEPT OF A LARGE SPILL. Clean Up 03/27/2007 USE ABSORBANT TO ABSORB SPILL, CLEAN UP ABSORBANT AND CONTAIN ABSORBANT IN SEALED DRUM. CALL A LICENSED WASTE HAULER. Vl.liCt 1tG~7VU1VG lll. l.lV0.l.l V11 -16- 07/12/2007 'F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCl.:1dl L1d'GdIUwS' Utility Shut-Offs 03/27/2007 GAS - NW CRNR OF BLDG OUTSIDE ELECTRICAL - E WALL IN WHSE WATER - NW CRNR OF BLDG OUTSIDE Fire Protec./Avail. Water 12/12/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN BLDGS AND IN VEHICLES. FIRE HYDRANT - E SIDE OF BLDG AND W OF MAIN ENTR ON E BELLE TERR. Building Occupancy Level 04/03/2006 35 EMPLOYEES -17- 07/12/2007 ~~~ :. lF KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/11/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: INSTRUCT ALL SHOP PERSONNEL OF HAZMAT USE, SPILLS, HANDLING SAFETY, CONDUCT MONTHLY TRAINING WORKSHOPS OF ONE-HOUR MINIMUM AND REVIEW MSDS WITH ALL SHOP PERSONNEL. ra~c c nclu 1Vi L'UI.ULC USC [lclu 1V1 rUI..ULC VaC -18- 07/12/2007 KERN HIGH SCH DIST TRANS DEPT = Manager ,,°lll~~ ~ru~ -- Location: 3701 E BELLE TERR C City BAKERSFIELD CommCode: KCFD STA 41 EPA Numb: BusPhone: (661) 327-2751 Map 124 CommHaz Extreme Grid: 03C FacUnits: 5 AOV: SIC Code:4151 DunnBrad:01-071-6280 Emergency Contact / Title Emergency Contact / Title BUD BANKSTON / DIRECTOR / Business Phone: (661) 631-3199x Business Phone: ( ) - x 24-Hour Phone (661) 332-9680x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MIKE GRAY Phone: (661) 827-3199x MailAddr: 3701 E BELLE TERR C State: CA City BAKERSFIELD Zip 93307 Owner KERN HIGH SCHOOL DISTRICT Phone: (661) 631-3203x Address 5801 SUNDALE AVE State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ ~ ~QO~ ~ \ 9 PROG C COMM HOOD ~~`~ ® `'t` ` = PROG H HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK ~ PROG U - UST ~ _ n ~ , y ~`8v~ Based on my inquiry of these individuals responsible for obtaining the inft~rm~tti®n, I certify under penalty of law that I h~gve personally examined and am familiar with the information submitted and believe the information is true, a urat nd complete, _.__ ~ ,Z~, d~ g e Date 3a4~ SiteID: 015-021-001038 -1- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ = STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: KERN HIGH SCH DIST TRANS DEPT Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRUCE HINSLEY (CAL-VALLEY) ICC Nbr: 1064437} PROPERTY OWNER INFORMATION Name Phone: ( ) - x Address: City Type COUNTY AGENCY State: Zip: TANK OWNER INFORMATION Name Phone: ( ) - x Address: ,City State: Zip: Type BOE UST Fee# $250 MONTH Financ'1 Resp: SELF INSURED Legal Notif Tank Owner Mailing Address Date:02/17/2005 Phone: (466) 193-41 x Name:CAL-VALLEY EQUIPMENT Ttl: State UST # 5240885-UC 1998 Upg Cert#: 00805 -2- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order SECTION I ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP GASOLINE UNLEADED F IH DH L 12000.00 GAL Mod DIESEL #2 F IH DH L 12000.00 GAL Low WASTE OIL F DH L 900.00 GAL LOw -3- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT ~ Hazmat Inventory ~ MCP+DailyMax Order SitelD: 015-021-001038 ~ By Facility Unit ~ SECTION III ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP RUBBER & VINYL SHINE F IH L 55.00 GAL Ext ACETYLENE E F P IH G 382.00 FT3 Hi WASH & WAX DH L 55.00 GAL Hi WINDSHIELD WASHER SOLVENT DH L 55.00 GAL Hi OZZY JUICE F L 150.00 GAL Mod PROPYLENE GLYCOL F IH L 500.00 GAL Low OXYGEN F IH DH G 251.00 FT3 Low -4- 02/02/2007 .F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order SECTION IV ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP TRANSMISSION FLUID F DH L 300.00 GAL Low GREASE F DH L 820.00 LBS Min MOTOR OIL F DH L 500.00 GAL Min GEAR LUBE F DH L 190.00 GAL Min -5- 02/02/2007 -6- oa/oa/aoo~ F KERN HIGH SCH DIST TRANS DEPT ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED Location within this Facility Unit SECT I W SIDE STATE TYPE PRESSURE Liquid TMixture ~ Ambient = SitelD: 015-021-001038 ~ Facility Unit: SECTION I ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average - 12000.00 GAL 12000.00 GAL 5000.00 GAL tiHGF1tCLV U5 1.:V1~lYV1Vl~;1V'l °sWt . RS CAS# 100.00 Gasoline No 8006619 ti1~L,tiKL EiaJ~.7a1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME DIESEL #$2 Location within this Facility Unit SECT I W SIDE Map: STATE - TYPE PRESSURE TEMPERATURE Liquid Mixtur~mbient ~ Ambient Facility Unit: SECTION I ~ Days On Site 365 Grid: CAS# 68476-34-6 CONTAINER TYPE UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL I 5000.00 GAL l3HGHKLVU~J ~v1~lrVlv~lvlJ °sWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riHG1jKL H~ ~1',7~L~1J;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / j / Low -7- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit SECT I W SIDE STATE TYPE PRESSURE Liquid TWaste ~ Ambient = SiteID: 015-021-001038 ~ Facility Unit: SECTION I ~ Days On Site 365 Map: Grid: CAS# 221 TEMPERATURE CONTAINER TYPE Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1000.00 GAL 900.00 GAL 400.00 GAL tiAGi-1ttLVUS uulnrulVi~lv'1'S %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riAGHLKIJ A~~~S~1~1L1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -8- 02/02/2007 F KERN HIGH SCH DIST TRANS. DEPT ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME RUBBER & VINYL SHINE Location within this Facility Unit W SIDE STATE TYPE PRESSURE Liquid TMixture f Ambient Map: TEMPERATURE Ambient CONTAINER TYPE _ DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 55.00 GAL - tit~~tLtcLVU~ ~vrirVlv~lvl~ %Wt. RS CAS# 2.50 o-Xylene, m-Xylene, p-Xylene No 1330207 40.00 1,3,5-Trimethylbenzene No 108678 1.00 Isopropylbenzene No 98828 0.20 Ammonium Hydroxide No 1336216 t1AGAKL AS~L~51~1t;1V 1_J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Ext ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit SECT III & IV Map: SiteID: 015-021-001038 ~ Facility Unit: SECTION III ~ Days On Site 365 Grid: CAS# Facility Unit: SECTION III ~ Days On Site ~- 3 6 5 Grid: CAS# 74-86-2 CONTAINER TYPE PORT. PRESS. CYLINDER STATE TYPE PRESSURE TEMPERATURE Gas TPure ~-Above Ambient Ambient AMOUNTS AT THIS LOCATIONI Largest Co382100rFT3 Daily 382100m FT3 4 Daily 200r00e FT3 tiL~GHtCLVUS 1.:111~1rV1vL'~1v~15 oWt. RS CAS# 100.00 Acetylene Yes 74862 tiE~Gt~tCL t~~~~5~l~lt;lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -9- 02/02/2007 P KERN HIGH SCH DIST TRANS DEPT ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME WASH & WAX Location within this Facility Unit E SIDE STATE TYPE PRESSURE Liquid TMixture_ Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 55_.00 GAL ru~~HtcLVUS ~Vi~irVlv~lv~l~~ %Wt. RS CAS# 25.00 Dodecylbenzenesulfonic Acid No 68608888 3.00 Monoethanolamine No 141435 r~~tucL r~~ a~aari~lv_1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi ~ Inventory Item 0007 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME WINDSHIELD WASHER SOLVENT Days On Site BIOSOL WASH 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~ixtur~mbient .Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 55.00 GAL GAL r~~,~-~tcLVUa 1:V1~lYV1V~1V1~ %Wt. RS CAS# 70.00 Methyl Alcohol No 67561 tit~c~titu~ s-~a ~~~~ri~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi SiteID: 015-021-001038 ~ Facility Unit: SECTION III ~ Days On Site 365 Map: Grid: CAS# 27176-87-0 TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-NONMETAL -10- 02/02/2007 ~F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0003 Facility Unit: SECTION III ~ ~ COMMON NAME / CHEMICAL NAME OZZY JUICE Days On Site ~ WATER BASE 365 Location within this Facility Unit Map: Grid: SECT III & IV CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixtur~Ambient ~ Ambient DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 150.00 GAL rlti~r~tu~vu5 ~ul~irvivJ;iv~l~~ oWt. RS CAS# 90.00 Kerosene No 70892103 10.00 Benzene No 71432 t1AGKKL A~SL~:u71~11;1V'1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME PROPYLENE GLYCOL Location within this Facility Unit E SIDE Map. Facility Unit: SECTION III ~ Days On Site 365 Grid: CAS# 57-55-6 STATE - TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~ Mixtur~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 250.00 GAL rtHG[-1tt1JVUJ 1~V1~lYV1V1';1V1~ °sWt . ~ RS CAS# 97.00 1,2-Propylene Glycol No 57556 t11~GE~KL 1~SJL'~77A1~1L"~1V"1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low -11- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory Item 0002 Facility Unit: SECTION III ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SECT III & IV CAS# 7782-44-7 ~GaSATE TYPE PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~ TPure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 251.00 FT3 150.00 FT3 - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tyAGlittL A~~~~~1~l~lv~t~a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -12- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT ~ Inventory Item 0003 COMMON NAME /.CHEMICAL NAME TRANSMISSION FLUID Location within this Facility Unit SECT IV E SIDE STATE Liquid TYPE PRESSURE Mixtur~ Ambient Largest Container 300.00 GAL Map: TEMPERATURE Ambient = SiteID: 015-021-001038 ~ Facility Unit: SECTION IV ~ Days On Site 365 Grid: CAS# 64742-55-80 CONTAINER TYPE ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Daily Maximum 300.00 GAL Daily Average 90.00 GAL ••• rita~rjtcLVU~ cvi~irvlv~ly 15 %Wt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 riHGL•i.tCL ASSL751~11';1V"1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME GREASE Location within this Facility Unit Map: SECT IV E SIDE STATE TYPE PRESSURE TEMPERATURE Liquid TMixtur~ Ambient ~ Ambient Facility Unit: SECTION IV ~ Days On Site 365 Grid: CAS# 64742-52-5 CONTAINER TYPE DRUM/BARREL-METALLI~ .AMOUNTS AT THIS LOCATION Largest Con55100rLBS Daily 820100m LBS I Daily 600r00e LB5 ru-1G1itCLVUa ~v1~lrviV~ly-sue %Wt. RS CAS# 100.00 Heavy Machine Oil No 8020835 tiHG1~tCL L-~.7.7.C,5J1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -13- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ ~ Inventory-Item 0004 Facility Unit: SECTION IV ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SECT IV E SIDE CAS# 64742-54-7 ' LiTAid Mixture PRESSURE TEMPERATURE CONTAINER TYPE qu' T -~mbient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 500.00 GAL t1E~Gt1tC.UVUJ 1:V1~lYV1VL~1V l a sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 - -- IIHGHKL 1~JJJ;JJI~IJ;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0007 Facility Unit: SECTION IV ~ COMMON NAME / CHEMICAL NAME GEAR LUBE Days On Site 365 Location within this Facility Unit Map: Grid: SECT IV E SIDE CAS# 64742-62-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 190.00 GAL .190.00 GAL 100.00 GAL - L1ti4til.CLV V w7 L.Vllt'V1V L' 1V 1 D oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 L11iG1~i,RL r-~J ar,~~1~1J;J_v1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -14- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/17/2000 ~ CALL 911. Employee Notif./Evacuation 07/11/2006 NOTIFY EMERGENCY AGENCY. NOTIFICATION OF IMMEDIATE SUPERVISOR. CLEAR THE AREA OF ALL PERSONNEL. Public Notif./Evacuation 07/11/2006 ESTABLISH MOBILE COMMAND CENTER: 1) ESTABLISH EMERGENCY OPERATING CENTER AT DISTRICT OFFICE, 5801 SUNDALE AVE. ' 2) PHONE OPERATOR 1, PHONE BPD, PHONE 911, PHONE KHSD M&O DEPT. 3) PHONE OPERATOR 2; IF NECESSARY, PHONE HAZMAT FIRE; FOR CLEAN-UP, PHONE LICENSED HAZARDOUS WASTE HAULER. 4) MOBILE UNITS 1 AND 2, NOTIFY RESIDENTS DOWNWIND OF SPILL. 5) RADIO OPERATORS 1 AND 2, ASSIST AS DIRECTED BY MOBILES 1 AND 2. Emergency Medical Plan 07/11/2006 VERNON C SORENSON MD INC, 3838 SAN DIMAS ST B100, 326-0088. -15- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/11/2006 ~ LIMITED QUANTITIES ON HAND. EMPLOYEE INSTRUCTION OF PRODUCT USED SAFETY PROCEDURES. ROTATE CONTAINERS, FIRST RECEIVED, FIRST EXPENDED. MARK CONTAINERS THAT CONTAIN PRODUCTS OF A CORROSIVE NATURE WITH A PLACARD. Release Containment 07/11/2006 WITH THE USE OF ABSORBENT, CONTAIN SPILL OR LEAK IN A CONFINED AREA. NOFITY FIRE DEPT OF A LARGE SPILL. Clean Up 07/11/2006 USE ABSORBENT TO ABSORB SPILL, CLEAN UP ABSORBENT AND CONTAIN ABSORBENT IN SEALED DRUM. CALL A LICENSED WASTE HAULER. vuici Acavul~.c t~l.l.lVGtl.1V11 -16- 02/02/2007 F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~lC l:lcil nctG CLL US Utility Shut-Offs 07/11/2006 A) GAS - NW CRNR OF BLDG OUTSIDE B) ELECTRICAL - E WALL IN WHSE C) WATER - NW CRNR OF BLDG OUTSIDE D) SPECIAL - NONE E) LOCK BOX - NO ' Fire Protec./Avail. Water 12/12/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS IN BLDGS AND IN VEHICLES. FIRE HYDRANT - E SIDE OF BLDG AND W OF MAIN ENTR ON E BELLE TERR. Building Occupancy Level 35 EMPLOYEES 04/03/2006 -17- 02/02/2007 ~. ,m_ y, ~ . I r F KERN HIGH SCH DIST TRANS DEPT SiteID: 015-021-001038 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/11/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. rayc ~ Held for Future Use nciu ivi ru~ul..c ~5C BRIEF SUMMARY OF TRAINING PROGRAM: INSTRUCT ALL SHOP PERSONNEL OF HAZMAT USE, SPILLS, HANDLING SAFETY, CONDUCT MONTHLY TRAINING WORKSHOPS OF ONE-HOUR MINIMUM AND REVIEW MSDS WITH ALL SHOP PERSONNEL. -18- 02/02/2007 h -,c- ~, UNIFIED PROGRAM INSPECTION CHECKLISTS Prevention Services ~ B.._ E._R S_ F I D 900'IYuxtun Ave., Suite 210 =~=-~__~ ~ -= ~~ { FIRE Bakersfield, CA 93301 Tel.: (661) 326-3979. SECTION 1: Business Plan and Inventory Program' "RrM r. Fax: (661) 872-2171 FACILITY NAME INSPECTI N DAT INSPECTI IME O6~ }C.G 2N N ` G, I.{ SGit d a ~ ~~ s 1« I c -t- l ~ C7 G r / ' ~ ..-~- ADDRESS 301 j~~t_c 7"~eea~~ PHON NO. ~z-7-3i4~ NO OFEMPLOYEES IS c7 - FACILITY CONTACT ~~ BUSINESS ID NUMBER ~ 15-021- t/ ~~ ~ Section 'i : ~ ~Bus~ines;~ Play and Inventory P~rogr~at~t ~ ~ ~. ^ ROUTINE ~I COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance OPERATION V=Violation COMMENTS ~7 ^ APPROPRIATE PERMIT ON HAND ~00~ ^ BUSIt1eSS PLAN CONTACT INFORMATION ACCU ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY \ y ^ VERIFICATION OF INVENTORY MATERIALS o \ / / ^ VERIFICATION OF QUANTITIES ~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ~'°~~ CSC 1 O'0`~ ~ ~~ ~'O'~ ° ~ ~°'1- M^-L ^a1`.+ ~^~-dl :.- U~.. 4-SSo ~~. n~ f 7 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION pSQz~ ~~ ~pyp k' N_4 /~ /r ~1 ~ 5,~~~~ l'.`' (//V ^ SITE DIAGRAM ADEQUATE 8 ON HAND nnr-oui~ ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: ~0'~g~'~ a~ 1 Ca Il~~.,-E-z~ 1.,u .e~Ps ~vG -y 2- .3 ~,~~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 3 6-3979 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Business Site / pons Party ( ase Print) ~~~ White -Prevention Services ~ Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/05 T ~~ 1 FACILITY NAME ,~.~eta N"G~l SG~raoc- ps s-f~- mot- INSPECTION DATE ~ l.- 1 L b 6 Sectaon 4: Hazardous Waste Generator Program EPA ID # L~Z (SC~C~i 1, iS~j ~- ~iZ. ^ Routine ~~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made z EPA ID Number Authorized for waste treatm t and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters ~ r`"sl""' °i~ S ~" ~ ~ ~ Go e Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~,ompuance v=vtotanon Inspector: G~~u-r`-~---- Office of Environmental Services (661) 326-3 79 BUS1rieSS Site R6sp0 ble Party White -Env. Svcs. Pink -Business Copy -,~,,• ~ i~4y`~ -T~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~ •y UNIFIED PROGRAM INSPECTION CHECKLIS r .~kp'~gti~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 9330 `` e INSPECTIONS ~~ ~~ B E R S F I L D BUSINESS PLAN & ~RrM r INVENTORY PROGRAM ~- UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~M N~c~ Sc~iaoor_ ~,s~`tLt cr Section 2: Underground Storage Tanks Program INSPECTION DATE: ~ ~ J -6 ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank 17~ .S'fE,~LCii~D Number of Tanks Type of Monitoring U~~,,.. Type of Piping (~st~.ss~,2.6 'L7 W I -~ ~r. r fr. OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ~lo Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overtill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: ~~Icr'""~L"~- ~" LI Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Aggregate Capacity Number of Tanks Business Site Responsible Parry Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) .; z~ _ ~~ ' ~'` ~- i }:ERN HIGH i?HC~t>L DST 3? O 1 E .BELLE TERI<:rii= E ' I;Ak:ERSF I ELU CA . ~ ~ 5b1-8~7-3199 ~ ~ LiEi' 11. '~GOb 9:13 AP1 I SYSTEf°t STATUS REF'S~RT ALL FU(VCT I UPJ ~ PJti~Rf°li=tL I NVEfVTURY REF'C?RT T 1:UNLEADED ~? b+C>LUh1E _ ?71 ? GALS; ' ULLAGE = 93GE GALS 90%~ ULLA%E= 81113 C~A?,~;~: TC 'vtSLUME _ '~'t97 UALN HEIGHT = 36.71 IN~:HES, WATER '~'uL = G GAI/S l•~JATER = O.OG IN~~HES TEMF' = 7G.4 DEG F T 2:DIESEL t~c7LUME = 1 GGG3 iaALS ULLAGE = 20'20 C,ALS 9G~ ULLAGE= 817 i"~ALS TC 110LUf'lE = 9955 GALS HEIU`HT = 86. Gam' I J'Ji1'HES t~.JATER 11c~L = 17 GALS WATER = 0.98 INCHES TEh9P = 7 U . 5 DEu^ F T 3:WASTE GI L ViSLUf°lE = 352 i;r~I.S ULLA[;E = 1 eG':' GALS 90r~ ULLAGE= 1 ~ibG GALS TC 1+'uLUME = 349 GALS HEIGHT = 1.32 INCHES ~ WATER UUL = 18 GALS ~ I.JATER = 1.91 INCHES TEMF' = 75 . a LiEG F ~ `~ * ~ * ~ ENLi ~ * I * * ~ - \;I`' :Z 'v + KERN HIGH SCHOOL DIST TRANS DEPT ____________________ SiteID: 015-021-001038 + Manager Location: 3701 E BELLE TERR C City BAKERSFIELD BusPhone: (661) 327-2751 Map 124 CommHaz High Grid: 03C FacUnits: 5 AOV: CommCode: KCFD STA 41 EPA Numb: SIC Code:4151 DunnBrad:01-071-6280 Emergency Contact / Title Emergency Contact / Title BUD BANKSTON / DIRECTOR / Business Phone: (661) 631-3199x Business Phone: ( ) - x 24 -Hour Phone ( 661) 32-968 24 -Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact DELL OLIVER Phone: (661) 827-3199x MailAddr: 3701 E BELLE TERR C State: CA City BAKERSFIELD Zip 93307 Owner KERN HIGH SCHOOL DISTRICT Phone: (661) 631-3203x Address 3701 E BELLE TERR C State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: E~~ J(f PROG A - HAZMAT PROG C - COMM HOOD PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST Based on my inquiry of those individuals rs$pOnsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, curate, and complete. ~ 1 ~ 2~~6 ,~5~~-~ o~`$ ~~o` `~ ~~ ~ ~~ ~~ l ~ ~~~ I Signa ure `' `~ I ate -1- 06/05/2006 }, -~ ~ a~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ------~r~ ~~~~ __.~c~--- - -- -- ~~------- - ----- --- ------- _ -- -f ?--e-~- - -- ------- _ ---- --- PHONE No. No. of Employees ADDRESS ~...._ ------- ~~ ~ _~_~C~~(~----~ ~---~-~-------------------- ?'3~ Busmess ID Number FACILITYCONTACT ~ ~ - _- _ _ - -~ _ _ - 15-02 l - '(~~ Section 1: Business Plan and Inventory Pn~gram ^ Routine Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection ,,C, ~V \ V=V o ationnce ~ OPERATION COMMENTS L1!/ IJ APPROPRIATE PERMIT ON HAND L'1 ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ---- - - - ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ b~ ` i ~/~ IeJ ^ VERIFICATION OF INVENTORY MATERIALS ~j-~ --- - --- ------- ------------- ----------------------- --- ----. -- -------- __...------- ------..._.__...u ---.._ _ _ .._..._ ~^ VERIFICATION OF QUANTITIES ~~~ ---- ~---VV _~ 0.... . ^ VERIFICATION OF LOCATION --f--~------ ------------------------------------- ....- -- " - - ----._ _ .. -- ----. _ ----.....- - - - ~..----- LJ ^ PROPER SEGREGATION OF MATERIAL ~~T'D F'Eg 2 ~~ L7 ^ VERIFICATION OF MSDS AVAILABILITYE D' ^ VERIFICATION OF HAT MAT TRAINING tl' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE _.. __ -- CONTAINERS PROPERLY LABELED ~ ~ 1 1 L_. __ _ HOUSEKEEPING ~ ~ L'J ^ FIRE PROTECTION ti ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO EXPLAIN: QUESTION EGARDING THIS INSPECTIONS PL/EASE CALL US AT ~F)C)'I ~ 326-3979 Inspector Badge No., While -Environmental Services Yellow - Statbn Copy usiness Site Responsible Party Pink -Business Copy h ~. : ~~; ~~~1w4~~ - -+r~~ ~ 1~ ~ ~ M\ W y'1 ~~ ~~ • -+3r ,1 FACILITY NAME_~,~ C~ CITY OF BAKERSFiELD FIRE DEPARTMENT OFFICE OF ENVIRONI<1ENTAL SERVICES UNIFIED PROGRAM INSPECTION CHF,CKL.IST 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 I~~yl _ INSPECTION DATES-l~"~ Section 2: Underground Storage Tanks Program ^ Routine ~ombined~ ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank _,fQ 411 Number of Tanks Type of Monitoring - p LUn. Type of Piping _~nWl~' OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current i Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file ti~ith OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? if yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation 1'=Yes N-NO Inspector: Office of Environmental ervices (661) 326-3979 N'hitc - f{nv. Svcs. Pink - tZusiness C'i~Py Business Site Responsible Party ~.~~ILLING & PERMIT STATEMENT G DATE ~~ l ~ \ Bakersfield Fire Dept. PREVENTION SERVICES Fire Safety Services • Environmental Services 1715 ChesterAve~ ~, "` Bakersfield, CA 93301 ~, ;~ ~ ~ Tel: (661)326-3979 ~ ' " aw'~:t, UST/A PERMIT, TANK TESTING L~ 1t~ ~~ 82 l..V 1` 1/~` STATE SURCHARGE ~~ `°' 86 ~,. TENTS, LPG, FIREWORKS, POWDER/OTHER PERMITS 84 COPIES/REPORTS ~' ,_~~ ; I 89 FOLLOW-UP INSPECTION y ~,K ~ ~: INSPECTOR: .,w,~~ ~~ ', ~DAT ~. ~ ~'~ TIME SPENT: C S: ~ CHARGES CODE: REASON and D FORINSPEC '~. LOCATION OF INSPECTO BUSINESS NAME: ~ ~ ,° `~ 1 9 -l \ 1` f TELEPHONE NUMBER(S): ~., ~ , Z ~ ~ BILL TO: PAY BY: ~ ` ~ \ \\ ~W V 3 s~o ~,,,,a-,~.- ... ., Vie.. NOTES: 0~~~~ ~ r ~ ( ~~ ~ T CUSTOMER SIGNATURE: INSPECTO CEIVERSIGNAT ORIGINAL WHITE: FINANCE CUSTOMER: PINK OFFICE: YELLOW FD1734(r@V.12/O3) 1 r I fie. V' PERMIT APPLICATION TO CONSTRUCT/MODIFY AN UST UNDERGROUND STORAGE TANK °~"~dY~ - a~'S~ PERMIT NO. ~ ~, TYPE OF APPLICATION (Check one item only) ^ NEW FACILITY Bakersfield Fire Dept. Environmental Service $ $f~aR,t I n 900 Truxtun Ave., Ste. 210 ARTM f Bakersfield, CA 93301 Tel: (661)326-3979 ^ NEW TANK INSTALLATION AT EXISTING FACILITY ^ MODIFICATION OF FACILITY ^ MINOR MODIFICATION OF FACILITY TARTING DATE PROPOSED COMPLETION DATE FACILITY NAME c t7r~T~' EXISTINGFACILITY PERMIT NO. FACILITY ADDRESS T ~ ,yc'~ ,.-~Q~~r- _ ITY IP CODE X73 67 PE OF BUSINESS 3?a/ ~ ~- ~ ~ S ~ G PN # ANKOWNER r ~ c' lj "c n L t~ iz . PHONE NO DDRESS 7f~ ~' ~ ~~1 ~' r~~-~ c> ITY IP CODE ONTRACTOR ;". A LICpEN,S~/E NO. DDRESSr ~~©f~ ~ ~ ©t2G V` ITY ~A1~~12~~'fGL-L7 IP CODE ~3.3~ PHONE NO. °6'~l -3z,7 -_q.3 ~~ BAKERSFIELD CI BUSINESS LICENSE NO. ORKMANS COMP NO. l ~12.~~~ 2 - D _ INSURER %~7e c BRIEFLY DESCRIBE THE WORK TO BE DONE ~; C'~hI ~i~ S ~Q /l C V 2 ~~1 l Sf Ca P~ ~ 7 C~ C 7r/-~ lU(= i 'G~1Cl.G ~ t ~l r~ L'' U~"7 , L, ~ ~ ~ ~-- ~ 7- ~ ~ t r'7 I f S ~~'~'~ .~ / ice' WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE N0.OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL ^ YES ^ NO SPILL P~REV/ENTION CONTROL AND COUNTER MEASURES PLAN ON FILE y l/d'FES ^ NO THIS SECTION IS FOR MOTOR FUEL NO. PHIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. OLUME UNLEADED REGULAR PREMIUM DIESEL VIATION The applicaizt has received, understands, and will comply with the attached conditions of the permit and any other state, local and federal regulations. This form has been completed under penalty of perjury, and to the best of m~~Cnowledg,~, ir~true and correct. APPROVED BY: APPLICANT NAME (PRINT) ~ APPLICANT SIGNATURE ~ (V THIS APPLICATION BECOMES A PERMIT WHEN APPROVED .. ~_. .-^.t . h p$ ::~ ~r~ILLfNG~""& ~~~ERMIT STATEMENT ,~~ ~~ . ~~ ' =DATE- ,~` i. ` ~, Bakersfield Fire Dept. PREVENTION SERVICES Fire :Safety Services • Enyironniental Services 1715` Chester Ave Bakersfield, CA 93301 TeL ,(661)326=3979 ST/AS7 ERMIT;l'ANKTESTING ~ p `_ 82 ~. V ~ Yl STATE.SURCHARGE 86' TENTS,.LPG, FIREINORK$,POWDER/OTHER PERMITS- 84 COPIES/REPORTS ;89. °FOLLOW=UP INSRECTION DATE O iON end DATE INSPECTION: ORIGINALsWHITE; FINANCE CUSTOMER:'PINK OFFICE:,YELLOW,:. .' F~1734'(r@V 12/03) . , ,: :.r,Y:¢......r:.:.Y.,.+.u..~.~...se..a.Cn ~',d..sL~w2L,xu.tuu.sli..wbu;:.':£i.t+s.~u.._.Su~.~~ ia. - .;y ' :.,~ ., .. ... -u....~.vv:;:~::+:a.~,.mv~_ ~a~. _ ~ ~~an c' • ~9.saivts ~-. " ~^' `cY_: ~ w_r''JT^,,„,.`^`cra,„,~.~`"+X~ f I Cii~. oG ~,~"r,~rsiiald ~~. G~S`lii~ER ~~.~`EIi~T ~~~ ~ tlper: ~'?m'~i5 ;ype: OC i~r~~cr~: ,i ~~ke: 71?.+4?~U 41 ~I:<.ce~pi: nq: 13125 ~e~c.rit~°:.ir~n ~!~~ni.At~ Ai3auzt ~~ r~ `ia~3R1G~~„"L~i; PEd?~~155.~~ ~ellder ~raip ~.7. G~ C~tF;K 5~1~32~ 5255.8 i tlt.~ a teS,uEr~d 5155. g@ rr~ns d~Le: 7;2k1~b 'Tire: I.6:07:3?. PLEt~SE ~c !! RE5~~R351B1.E SET tk`dii~t3 ' ufl fit?"! L~:FiV~ Y~~~t PEfi Iti `tBc HOT. GAt? _. _. _ , CAL VALLEY 1 ~ PAGE 02 08/25/2006 11:50 6613252529 4/~ MON~TC~RTNG S~ST~IVI C~~1'~CA'TION For Use $y All JuriadicKions Wft~tin the State of Cati, j+srttia Authority Cited CJiapte7tf.?, l:ttdlt6 artd Safet9 fie: L7trrptet 1~. Divfstnn 3. Tine Z3. Ca6{f+nrnta Crime of J~~trtetioas This farm tttttat be used to document testing and setviaing of Rtonitoring equipment. A s~alata oertiftcation or t~Oct must be tmtlate~i for each moriteri,~g svsutn- - „contm~ na_nel by the ttxlntician who peufmrns the work. A copy of tihis form mn~ be provided to the Tank sysxm ownerloperator. 7'7te owrlerlopetntor nnust submit a copy of this form to the local agency regulating UST systems within 3d days of ~t date. A.. C:Ea7ea'al Facility Name: Bldg. TJo.. _ Site Address: S~~f,~/ ._..~~ elly TP~ir"P"~C~.-- -- ~tY:..(~5~,~'C.9P".l~a'~!/iQ! ZiP: Fatality Contact Persptt: Contact Pbonc No.: (_„_,J luiakc/Modei of Mottimring Syseem: _ . ~/e_~ t" .3S`C I')ate of Te~ingl5ervicing: ~.1 ~ ?.~.. B. Inve>7ttory of >Ecga~p>nntent '~'estedlCertifited fib In-Tank Gauging t'r+obe_ !~ Annular Space or Vault Sensor. Ij~ loping Suronp 17Ydieh Sensor(s). f2 l?iil Sump scnaot(s}. QI Mechanical Lino beak Detector. D Electronic Line Leak Detector: O Tanlt OvexiTll r 1~igh-l:.evet Sensor, 1Lrtlt ID: ~~ ltt-Tonic (rouging Ptvbc. rrmulat• space or vault sensor. Piplag Sump rTreneh Seasaxfs). 4 Fizi Swrtp sensor(s). ~1- Mexhatticai Line Leak laetecxor. D Blectxrrnic Line Leak beteptor. O Tank Overfill 1 Hi gll-Level Sensor. Model: std • Model: ~+ Modc3: Ste. s S~t,~_ Model: Model: ?~L Model: Model: -- - Mold: Model: Model: Model: ~ /1 Model: Model: Dlspepser II3• l-'lr,- -- M Drispenscr Cau~tairtmCnt Senr+oir(s). Mpdd:S~,1.~ ~~.sa~fw' Ct Shear valve(s)- ~Ai.cner+sartJort ~intaen~andchaince). ` nlspeoser AA; 4t Dlspenser Cantaiiareat Seaagt{s). Mudd: ~+ ~ Shear Valve(s). lltispetreet~ 1D: 0 1]iapertser Contairttnertt Sensor(s). Model: @ Shear vatlve{s}. fp7. in-Wank Gaging Probe. Eb Annular Space ar Vault SCnsa ~. Piping Sump f Trench Sdnsot(s). ~ Pill Sump Sensor(s). D Mechanical Tine Lek Detector. p Eleictronic Line Leak Detector. Tank Ove~ll r Righ-Level Sensor. ^ Outer (A~ccif~ eguiivmettt type and Tank ~: O In•7'ank t;,su$ing probe. D Anrtnlar space or Vav1t sensor. D Piping Sump /Trench Sensor(s). a Fill swop sepsot(s). 4 Mocl-anieat Luce Leak DetectgK. O >r7ecu+onic Lint Lcak betndor. d 'l'ank Ovgftll IHigh-Level Sensor. O Other favecifv tauimnent tune and Model: Modd• Sf'fE k' Sd+~ lvlodel• Sw.,+rp SELt1DY Model: - Mpdc!- Model. Model Model: Model: Model: Model: Model: Modd•-- Model: bl~taler 1]il: 6 tsFlhspensos Containment 5cnsos[s). Model: Q Shear Valve(s). DispeneerlD: O Qispepsei Containment Sensor(s). d Sheer valve(s). 1?ispenser ]D: D DiapenserGootainmcnt Senaor{s). O Shear Valves} Model: tnerC tanks ordispensers. Wpy this fdrm. Tltdude information for every tank and dispenser at the C. Cextificalaon _ I certify that lice egrdiprneot ldentifiad im this dacomntt was :nspeetcd/servtccd in atoordencR .vith tha nnpcnet[acbucers' gaidtlutea. Attarltdd to this Certl~icailon is infornxatiaa [eg. manmdactarers` cltecktlsut) necc~ry to res3lyr that this itrfat~tioa he eurr~ect And a plot 1'tatl slsowigg tl-e layout of rporitorittg egttipmenl. For ~Y esjniprtierN, egpable Ol' gene~ing spcb reports, I'have aLvo attadred a oopp of the (cilack ad that PtyJe ^ Sys~n aetrDp ^ Alarm ldstory report Tercltitician Name {pairs): ~~~= ~} ~~~ Sigpature- ~.t--u.r1. r----•- Certification Na.: ,~~~^ ~ D S`~~~/~ License. No.: '7,~~~~J~t _J , Testing Company Name: ~°*Y ".~~i~ ~~~ir ~~ .Phone No.:~~~ ~~-°~'~1~! Site Address• ~Q~ ~ ~lL~~°yr~t.~~ ~~"J~~~~ Date of Testing/Servieing:.~.~`' ~.~ Model: )1+faffitorlttg Spsbem Ccrlification ~ ~ of 3 n~+at 08f25/2006 11:50 6613252529 CAL VALLEY PAGE 03 '. r.? D. Results o~ Testinagt5erwiciag Software Version Insragod: E. Gaiornmext~: ~~ ~a. ~-~ ~ ~~~ S~ ks,~/'l~~Ry' 7~°--C7'~~ ~ ~r ]'Sam c 6.~4~ fo Lt~'er1` b~~:~7 ff~ oI, ~rP?,,./rsarar~ C'eas'1x./~1s.-z'.r~- 7L,~ Lsq•/~ b4 v ~~ a,~ Peke s at ~ as~na ' CAL VALLEY PAGE 04 08/2512006 11:50 6613252529 .• F. In-x'satnk C$agittg / SI~t E~tt3pment: i~ Check tltis box if tank gauging is aced only for Inventory central. Q Check this box il' no rant gauging M S]F, etluipmettt is installed. 'I'bis section must be ct-mpleted if in-tank gauging equipment is used to perform leak detection rtatmitaring. ^ Xes Q No# Has al] igput wixng been inspected fir per entry and termination, including testing for A 7Ces O No* Were alI taNc gauging probes visually inspected for damage and residae buildup? ^ Yes ^ Na* Was accuracy of systpn pxodud level teadings tested? ' ^ Yes O I`1a* Was s,ocuracy of system water level rradit-gs tested? ^ Yes O Na* Were all probes reinstalled properly? ^ Yes ^ Noy Were gll items an the aquiprttent manufacturer's maintenance checklist oompletc:rl? * fn flte S ectiatt I'3, belaw, d[escrebe Tsow and when these destidencies were or mgt be oairt+ected. G. xine Leak Xleteettnrs (LLD): ~ G7teck this box if LLt3s are nat installed. Yes d No* 1Rar equuprneat start-up or annual equiptaent ceatification, was a leak simulated to verify O N/A {Check all that aP1~Y) Simulated leak rate: i±lE 3 g.p.h ; ^ a.I g.g.lt : ^ a_2 g.g.h. Yes ©No* Wcae all Y.LDs coufcrmrd operational and agate within regulatory t+egttirenx,ntc? Yes O No* Was the testing apparatus pmperiy eslibratccl7 Yes ©No* Par rt~ecltaorlical LLDs. does the LLD restrict product flow if it detects a leak? ^ N/A Yea d No" For elec~vnie LLDs, dues the twrbitte a~rcoonaticariy shut o>f if the I.I.D decocts a Leak? fanMs? O Yes ^ 1~10'~ 1?or elecwamic LLDr,, does the turbine autantiaticslly shut tiff i[ any pottioa of the mor,itvring syatart is disabled ~ N/A, or discorvicectedl Q Xes ^ No" Fez electronic Li.~7s. does the turbine automatically shut trffif atcy portion of dte mvtritoring system malfunctions I~ N/A dr fails a test2 C3 Yes C] Nr~" For electronic Llbs, have all accessible wiring connections been visually inspecxad7 ~ Yes ' ^ Na* ~ Wero all items ou the equipment manufacturer`s maJintereance checklist eampli * l[n the Section lff, below, tl~sari6~e ataa~ these de~cienc~es were or wfl16e corrected. ~. C'otlntnents: . Page 3 of 3 0.9m! 08/2512006 11:50 6613252529 CAL VALLEY PAGE 05 f Monitoring System CertiCcntion ~.TS'~' Moxutolrin Site Plan SitC AddreSS- ~?Q f ~- >~Q,,~ ~C~~'„~_c°A~~'L%~ ~C2~ .. ,,St~1~ ~a __. Da#e map was drawn: ~ ~~/ O~ Instructigns if you already have a diagram xhat shows all required information, you may include it, rather than this page, with your Monitoring System Certification. Qn your site plan, show the general Iayot,t of tandcs and piping. Clearly identify locations of the following equipment, if .installed: moatitorii7g systeAxt control panels; sensors monitoring 1;ank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; meehanica[ ar electronic line Eeak detectors; dnd in-tank liquid level probes (if used for Jea.k detection). In the Space provided, note efts date ti~iS Site Plan was prepared. )f~age ~ of 7 a;~ CAL VALLEY PAGE 06 08/25/2006 11:50 6613252529 ' ~ ~APOXtL~SS N.[A~TU~"ACTUR~1`~G,1~1C. .. .. . ~ ~ LDT-89Q beak Detector Test ~eeord ' ntra ~ Gusto- Date T ocalivn - Product •~iam 23~r.<.,c~ Wr~r~r~e~ Sub~rtersible Pump Ide~ntlficatraa Manu#'actuser ode No. Setial,,~tur~ber Leak Detector Identifictttion +~lsnufactnrer Desc~oL ~ltlter Style I eak Detector ~ a:.c ~ Aiaplua~-tYPe Piston-type </~ 't'amper-proof seal ittxlalled? Yes No ,Leak Detector In 5ubxnerslble Pump 'Vest at Aispenser l . Operatixtg Pump pressuure .~ ~i' Fsi (para. 15) 2. Gallons per hour zatc ~~ -- -- (Aare. 22} 3. Line pzessute with pump shut off' ~~ _ psi (para. 23} 4. Blegdback Test with pump off ~ nnl (para. a~} 5. Step-through titrbe to full flow ~ - _ seconds (para. 30) G. Leak detector stays in teak search position. (para. 42) Yes L--~ Na LEAK DE'f~CT4R'Y'ES'1' tvox: Pass = Teak delectot ftts test proevcot Faii = l.esk detcctar fails trst proMCOt Pass_~i~' - _ rill Foxxu 8900 (9-1-9G} *Conaplete thermal expatrsivn test be#'ore :failing Leak detector, I996 Vaporlcss lvfa~nufactttrittg, Iac., Prescott Valley, ~? _ 08/25/2006 11:50 6613252529 CAL VALLEY PAGE 07 r VA,pQ~.tI, +'SS ~~,~,-~.~ VX+'AC'~'1,1RING~ ANC'. ~.DT-894 Y.ea~ De#ectvr Test R~cort! ntra Cttst~tnecr Submersible Ptitrap Identification anufA r ~Qd 1 N erg] >im er t? 1-ganufactetrer Leak Detector Idetttifrcationt D~BCriotion Vic; Style~Leal~.Detector ~- aC -~ Di$pl~g~type~~ Piston-type fir-" 'Y'~Pcz praofseal installed? Yes 7~8 a .L'eaic Detector in Submersible Pugip -- Test at dispenser 1. Operating Pump pressure 32 nsi {paxa. 15} 2_ Gallons per hour rate~~ (j (para. 22) 3- Line pressure wir]a pump shut off _ ~Q tui (para. 23) 4. 131eeaba~k rest ~,,;~, ;~,~, ore ~'s --~`_anI (para. 26) S. Step-through tirree to hill floau ~s~~ (para. 3Q) 6. Leak detector stays in leak searc}~ position- (para, 42) y~ Na ~ ~.EA,K DETECTOR TEST ~~ Voter P'>ss =Leak detector £ts test ptomcol F'ai1 ~ Leak dcucter fa7s test protocol p~--~, p'9i1 ~- Form Et9oC (9-1-96} *Cornplefie eherrrtat expansion zest before fai]ing leak detector. 1996 Vaporiess 11~anufactuzing, Inc-, Preacatt ValleY~ AZ 08/2512006 11:50 6613252529 CAL VALLEY PAGE 01 CAL-VALLI~Y EQUIPMI~NT 3500 GILAAORE AVE. BAKERSFIELD, CA 93308 (681)327-9341 FAX: (B69)325-2529 CONTRACTOR'S LIC.#784170 A l~1AZ Toe From: ~,~ pa~c ~ ~ --~~ ~ ~ pa}~: ~ trtct.UDING CO1/N=R At1= ~'~'~ Re: CC: ^ Urgen! ^ For 1~evlew ^ Please Gomme~rt ^ Please Reply ©Please R'ecy~le Comments: ~~~ „ ~~~ ~ ~~ ~ ~~~w ~~ PERMIT APPLICATION TO CONSTRUCT/MODIFY AN UST UNDERGROUND STORAGE TANK 'F`~Tu~n - o~p ~_ PERMIT NO. ~ ~ ` TYPE OF APPLICATION (Check one item only) ^ NEW FACILITY Bakersfield Fire Dept. Environmental Service B s~/R< I D 900 Truxtun Ave., Ste. 210 AIrrM T Bakersfield, CA 93301 Tel: (661)326-3979 ^ NEW TANK INSTALLATION AT EXISTING FACILITY ^ MODIFICATION OF FACILITY ^ MINOR MODIFICATION OF FACILITY TARTING DATE PROPOSED COMPLETION DATE FACILITY NAME EXISTING FACILITY PERMIT NO. FACILITY ADDRESS 'T ,vc- c- ITY e IP CODE 36~ PE OF BUSINESS ~7a/ ~ ~ S ~ C PN # ANK OWNER er ~~ c oL 1~ ~. PHONE NO DDRESS 76 ~'. ~@~ ~ r~~c c> ITY IP CODE ONTRACTOR A LICENSE NO. DDRESS 3~DU C~ ~l otz~ v' ITY l3.~~~~'tzS~'rCc~ IP CODE 9.~3~8 PHONE NO. 66i'-3Z 7 - ~r3 ~~ BAKERSFIELD CI BUSINESS LICENSE NO. ORKMANS COMP NO. i727~6 Z - o INSURER i~T~ BRIEFLY DESCRIBE THE WORK TO BE DONE .xhs earl ~ V z ,oh a s,~ e tiP aN f~7 o c Tr-+~~~= ;~a~v,~ a ~~1 _cU,2 WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO.OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL ^ YES ^ NO SPILL P~REV/EpITION CONTROL AND COUNTER MEASURES PLAN ON FILE l[YYES ^ NO THIS SECTION IS FOR MOTOR FUEL TANK NO. OLUME UNLEADED REGULAR PREMIUM DIESEL VIATION PHIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. OLUME UNLEADED REGULAR PREMIUM DIESEL VIATION 1 FOR OFFICIAL USE ONLY The applicant has received, understands, and will comply with the attached conditions of the permit and any other state, local and federal regulations. This form has been completed under penalty of perjury, and to the best of m~~Cnowled~, i~true and correct. ~~ APPROVED BY: APPLICANT NAME (PRINT) // APPLICANT SIGNATURE C (((/// tV THIS APPLICATION BECOMES A PERMIT WHEN APPROVED UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD I LINE TESTING I SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION ^ ENHANCED LEAK DETECTION ^ TANKTIGHTNESSTEST BAKERSFIELD FIRE DEPT. ~~~~ Prevention Services ARIA/ 1 900 Truxtun Ave., Ste. 210 ~- Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ LINE TESTING ® TO PERFORM FUEL MONRORING CERTIFICATION ^ SB-989 SECONDARY CONTAINMENT TESTING ^ Cathodic Protection Testing SITE INFORMATION FACILITY Kern Hlgh SChOOI DISC. NAME 8 PHONE NUMBER OF CONTACT PERSON ADDRESS 3701 E. Belle Terrace OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 87 UL TANK TESTING COMPANY NAME OF TESTING COMPANY CeI-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS .3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: 006-05-1178 DATE 8 TIME TEST TO BE CONDUCTED AUgUSt 24, 2006 12:00 ICC #: SIGNATURE OF APPLICANT ~~ r DATE August 3, 2006 APPROVED BY DATE ~' FD 2095 (Rev. 09/05) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~ ' ~ ~ Z / D a,~. ,,. ,~."1~ ~a ~r ~..^^• ~vr ,,~.. a axs~: „gin FlR! I ~gppARTM T V BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ ENHANCED LEAK DETECTION ^ LINE TESTING 1Cy SB-989 SECONDARY CONTAINfv1ENT TESTING ^ TANK TIGHTNESS TEST ^ TO PERFORM FUEL MONITORING CERTIFICATION SITE INFORMATION :' FACILITY Kern Hlgh SChOOI DIStrICt NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 3701 E. Belle Terrace OWNERS NAME Kern High School District OP'~RAiORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 87 UL 2 Diesel TANK TESTING COMPANY ;' NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: DATE & TIME TEST TO BE CONDUCTED December 72, 2005 09:00 ICC #: SIGNATURE OF APPLICANT ~~ DATE DBC. 2, 2005 T tS _ RRLICAT ; BECGM S; A P -RMl1'° EN APR OVED APPROVED BY DATE 1 FD 2095 (Rev. 09/05) E R S F I D F/RE ~1 R TM T December 1, 2005 RONALD J. FRAZE I<HSD - Transp. Dept. FIRE CHIEF 3701 E. Belle Terrace Bakersfield, CA 93307 Gary Hutton, FINAL REMINDER NOTICE Senior Deputy Chief Administration RE: Necessary Secondary Containment Testing Requirements by 326-3650 December 31, 2005 of Underground Storage Tank (s) Located at Deputy Chief Dean Clason the Above Stated Address Operations/Training 326-3652 Dear Valued Customer, Deputy Chief Kirk Blair Over the last six months this office has continued to send reminder notices regarding Fire Safety/Prevenrion Services ' secondary containment testing. 326-3653 Code requires that all secondary containment systems must be tested 6 months post construction and every 36 months there after. 2101 "H" Street ~ Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Bakersfield, CA 93301 Health & Safety Code) of the new law mandates testing of secondary containment OFFICE: (661) 326-3941 components upon installation and every 36 months, thereafter, to insure that the FAX: (661) 852-2170 systems are capable of containing releases from the primary containment until they are detected and removed. Our records indicate that your facility is due prior to December 31, 2005. RALPH E. HLTEY, DIRECTOR PREVENTION SERVICES ~ Those sites that have not been tested and have not pulled a permit prior to December 31, FlRESAFETYSERVICES•ENVIRONMENrAL3ERVICE3 2005, will have their permit to operate revoked. 900 Truxtun Avenue, Suite 210 ' This office does not wish to take such action, which is why we will continue to send monthly Bakersfield, CA 93301 ~ reminders. OFFICE: (661) 326-3979 i FAX: (661) 852-2171 Contractors are already booked several weeks in advance. I urge you to schedule your i testing date as soon as possible to avoid possible revocation of your permit to operate. David Weirather Fire Plans Examiner ! Should you have any questions, please feel free to call me at (661) 326-3190. 326-3706 Sincerely, Howard H. WIne8, III 1tALPH E. HUEY, Director of Prevention Services Hazardous Materials Specialist / 326-3649 Steve Underwood Fire Prevention Officer SU:db 1~ ~~~iK/~' ~ ai~ V ~ t.J~~~~ Y/rn~~'1~~ r City of Bakersfield Fire & Prevention Services Address: Q ~• ~ ~ ~ T r/' C° C Business Name: ~?~ IC~t~n ~ ~~~ , Aboveground Tank Business Plan Hazardous Waste NLIB Sprinkler & Alarm Plan Underground Tank Mitigation Other: Delta MicroImaging, Inc 9961 N Lower Sacramento Rd Stockton, CA 95210 1-209-478-3600 ~s~.