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HAZ-BUSINESS PLAN 3/13/2003
'~ HAZ.OUS MATERIALS ~SION_ TIME CHARGED BUSINESS/DEAPRTMENT NAME: ~~\if ~4C::(Q :t:t (2..1017 ADDRESS: 7--~f) ( Wh,k L"" - PROJECT DESCRIPTION: Çl~e- M~ + PROJECT NUMBER: D79 TIME DATE: NAME:. . CHGD: J~M-!cYl- ~ '. . ZJ-.r q/tf!();L ..6iILuL ~ e s¡o, pÙ.:= /~O, ~./. ..¿/9ho/~ c;¡;;{~ ~ N- ¡ , ~ /1/7f;2- ~ 21Í4J ~ rÓ ;: / ~O. .4w' /t?-I,~/01... ~ 2- ~ .I/~//}j . bLœtL .;2MJ @ YO.= /66." ~ -/J!ts!ö') ~ . A h·r PROJECT COMPLETION: ~ ~q~ COMMENTS: ~,evJR&11ø.ft.l ~ - ~ )J-ë ÍMfll-r; (2e.,¡tM ~~~te.~ t ~ ~4.f)fd\Ærl-tr. ì.) ..(...~~<"J c~ t Vlòh'.t 5klf ð,' M~~+- ~ I $k~lL ref' '¢ ~,;"j,ú c I¿)~u'l"è. . DATE: "1! I'll o~ / FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 .. , - - January 22, 2003 .-JV ~ (A.V~ Y Texaco Star Mart 2601 White Lane Bakersfield CA 93304 . RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1,2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Si2z Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~.Y~ de Y?~ .FOP ~0Pe y~ A Y?~" ..,ç;o'~' ~ --::,~- CITY OF BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES FIRE SAFETY SERVICES, ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 C~Eí\jHi\!: Gt:j..¿VIC:;o; HEO U ~=ST:::D [L~. /\\ViERíCAí\ CI'f1 G/\<'FR::-,r: F~-.:-: ~ -', e !>~ 0tij W<i t-, ~U (1):- w(.!.) ::r.:c.: ~ -. I..I'-?~ . .'#s~ I (, r;;; (' \ I!, OJ JAN23'03 d t \\~~_/ -.:::::-=-:--::--;.--- ,'., c\~.<). j':~'S~[~GS ~ r: Y- "'.' . <:7 '\:-~ - \7':> " .!:.0, Ü ,. h '. J ,~ ~;: t ~ ~ ~, '-0'}GU J..;: '.~ i: ~-: MEY~.?;"'; ~'--='·ìC2·{' TFXAr(ì (;.''1'AD -,.- .-.....~ '\ !' IC^~OV~~ ~~~V~/~VV ~~VC ~O V~/cO/V~ RETURN TO SENDER :TEXACO STATION MOVED LEFT NO ADDRESS UNABLE TO FORWARD RETURN TO SENDER .. . ._ _. _. ._. - TT.r'IOENM .¡ Q~ :;~:..:::.J ~4..J :. ~ i ì! i!! !!HmU.H.nu .ll! ì .i. ¡¡i.iwiHlmmU:!iJiHu1)""" e e - City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 Shell Oil Products US 10602 NE 38th Place P.O. Box 2969 Kirkland, WA 98038 'January 2, 2002 Attn: Mr. Howard H Wines III ..,-..-----~- SUBJECT: NFA Request Former Texaco Service Station ~. ---Z60rWliite Lane, Bakersfiëla;CA- - -- -- - -,- ----- --- Dear Mr. Wines; In response to our telephone conversation of December 18, 2002 I have reviewed the report forwarded to you by WGR-Southwest pertaining to the above-captioned former Texaco station. In reviewing the data documented in the report it is apparent that only minimal residual petroleum hydrocarbons exist in the soils beneath the site and given that data Shell Oil Products - US (Shell) requests that designation of No further Action status be granted by your department. As per your request I have notified the Shell consultants working on projects in Bakersfield to include a more comprehensive evaluation ofthe data and to provide a conclusion that identifies the next steps proposed by Shell. . It may be beneficial to meet in the near future to discuss the current status of sites I have just begun to manage in your area and address issues common to all the sites. An item of particular interest to me is the ability to conduct no purge sampling at sites where we have established groundwater trend data. I'd appreciate any comments you have on that subject. I will attempt to contact you in the next week or so to see if we can find a time to meet and determine which sites are worth discussing. . aòy questions please feel free to contact me at (425) 377-8530. ~ ... Cc: File FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H'Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H' Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE sAFm SERVICES. EIMROHIIEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 32eH0576 PUBLIC EDUCATION 1715 Chester Aw. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 32eH0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . - October 3, 2002 Mr David Williams R G WGR Southwest Inc 11021 Winners Circle Suite 101 Los Alamitos, CA 90720 RE: Site Assessment at Former Texaco Station c£6_0~tWl1it~ J;::~tf1!! :in-~~k~r~fi~ld_~ Dear Mr. Williams: This is to notify you that the work plan for the above stated address is satisfactory. Please give this office 5 working days notice prior to the commencement of work. Please be advised that any work done that is not performed under direct oversight by this office will not be accepted, unless previously approved. If you have any questions, please call me at (661) 326-3979. Sincerely, dWdÍLJ.-e ~. Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dc cc: E. Paden, Shell Oil Products US S:IUSTFORMSIUST.L3 --y~ de W~.¥eve -AOR? g~ A W~" '.. .; EQUILDN _ ENTERPRISES LLC BhIIII & TiJ>caco Working Tbget¡hs,. July 8, 2002 Mr. Howard H. Wines, III City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 - -- ---------- ----- ~ ---- ~---' --~-'- ---------'-.- "--~.,.....---- --- - - -.-- RE: EQUILON ENTERPRISES LLC / EQUIV A SERVICES LLC dba SHELL OIL PRODUCTS US Dear Sir or Madam: The Shell purchase of Texaco's interest in Equilon Enterprises LLC and Equiva Services LLC has been approved by government authorities and was completed in early February. Please be advised that effective March 1, 2002, Equilon Enterprises LLC and Equiva Services LLC will begin doing business as (DBA) ·Shell Oil Products. US" Since Equilon Enterprises LLC win remain the owner and/or the responsible Party of assessment/remediation activities at Former Texaco Station, 2601 White Lane, Bakersfield, CA, no changes are needed or requested for permits. If you have any questions please contact Mr. Ed Paden at (310) 816-2075. Yours truly, f1~~fc1 l ~~vironmental Engineer Shell Oil Products US FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399·5763 'ue fl' May 29, 2002 Mr. Ray Alyeshmerni Shell Oil Products P.O. Box 7869 Burbank, CA 91510-7869 RE: Laboratory results from preliminary site assessment conducted at the Former Texaco Station 121017 2601 White Lane in Bakersfield. Permit #BR-0288. Dear Mr. Alyeshmerni: Upon review of the recently submitted laboratory results from your facility, this office has determined that the extent of the contamination plume, associated with the #1 Dispenser and #3 underground tank previously located on your property, has not been adequately defined in the vicinity of samples D-1 and 3BB. This office requires (in accordance with Chapter 6.7 of the California Health and Safety Code and Chapter 16, Title 23 of the California Code of Regulations) that further assessment be done to define the vertical and horizontal extent of the contamination plume. - Please submit a work plan for further assessment, to this office, within 30 days from receipt of this letter. The workplan should follow guidelines found in: Aooendix A -Reoorts. Tri - Reaional Board Staff Recommendations for Preliminary evaluation and Investiaation of Underaround Tank Sites; July 6, 1990. Additionally, be advised that oversight cost for this project will be billed to you at a rate of $80.00 per hour. If you have any questions, please call me at (661) 326-3979. Sincerely, Ralph E. Huey Director of Prevention Services by: ~~~ ~ Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dc cc: D. Williams, WGR S:\USTFORMSIUST.l2 --.9'~ d!e ~~ ~ ~0Pe .9'"'~ .A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - . April 12, 2002 TEXACO STAR MART 2601 WHITE LANE BAKERSFIELD, CA 93304 Re: Enhanced Leak Detection Requirements REMINDER NOTICE Dear Owner/ Operator, The purpose of this letter is to remind you about the new provision in California law requiring periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(1) ofthe California Code of Regulations, Title 23, Division 3, Chapter 16; ~_., . '. . :.::'Asanalternative;:.the own.eroropera!çlr.may submit a proposal and ~. . ,_ . . . {' ... , '.·0 . - . .'. ¡workplanlor enhanced leak detéction to the local agency, by July 1, 2002; complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." :¿ I .~~ . Please be advised that there are only a few qualified testers available to perform "Enhanced Leak Testing". All testing must be under-permit through this office. For your convenience, I am enclosing a copy of the code as a reference. Should you have allY additional questions or concerns, please feel :&ee to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services bY:!4~':-:/!)//:"0:f:' ':'..~:.<:>::'.'~;.;';'., :. ,,', ':,~; . . ~:~:.: :;..:~'':',:'~':;.:'.',... ..... ..!' . Steve UndetWQQd:,..,. ··'::"i\t·'!~,:...:'.! ;'""," ';;:'::"<'; :.... ,"" ~;:' :ï .... Fire Inspector/F;nŸirømTI.e1Jt~léody_~nfor~emeJ1t,Offi<;et . Office of Envirònmental Services . - ~ '. SU/kr Enclosures ""Y~ ~ W~ ~OP ~0Pe..rbt. A W~" _, ~-:''!!!!''..o-o.-____ CITY OF BAKERSFIELD FIRE DEPARTMENT FIRE SAFETY CONTROL 1715 CHESTER AVENUE BAKERSFIELD, CALIFORNIA 93301 e '. - -~------- .- - ----,-----.- --- - ~ ---- -_. -_.- ~._,..=."""",'~- .!(::;~~ --¿:,~.-"'.,,==~~~-,~.. .~~. ...... .,.,..' G,~!-; rUk!\: ~)t:kV¡Ct: :~EQUESTED ¿~l;,. i-\IVIERICAf\i en'? :_..;¡\>~F.~Sl::! r:'L"!~:J .~/~~ TEXACO STA ART " 2601 WHITE ANE BAKERSF LD, CA 93304 "---~- ~~- ot'J wt') t-"" lY-) öÜ> (1)1- wc.r.; (7.1"'; ~~-: ~ç~ / ~ r< .- t.)",\, t* -/ ~\\ !¡Ç>' ~\: (LN' APR:2'O? \:;¡~ ~\ -)í \ l ~'YI ;!>.,., ;"Y;Y!'Gi" '*~~) -\\2"~~) ~:; .~, .:" I~,\ , .h (' I I' I .; I ~r< " ~.>. \.y u, "J C -<:!....¡ ~ c< ;í¡ ~\, ~! / c. ;.; ;j~¿';:_,,~~ -. '.:_·r-¡3[! ~ I '--/ n:::x~óo.1.·^' ~.::I30~c!0ë!c! .1..1.02 OS 0~/.1.7 /Oi::l I Rt::TUI4N ro SE::NDëR :TEXACO STATION MOVED LEFT NO ADDRESS UNABLE TO FORWARD RETURN TO SENDER .=- _; _. ._.. 8l~. ~ E)l8. ª 3 3 e J -:- .:.. :.J ¡ - ..,: ¡. ¡ :.; l .~ . ----~- -- II I I I' I, 'I I 'I I' 'II' II I : I' 111111 III h hllll11 !I¡ !I! II!!II 1!!!!lIlh II! II!!! i ' ./ /{ { " FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -. - April 12, 2002 TEXACO STAR MART 2601 WHITE LANE BAKERSFIELD, CA 93304 Re: Enhanced Leak Detection Requirements REMINDER NOTICE Dear Owner/ Operator, The purpose of this letter is to remind you about the new provision in California law requiring periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(1) of the California Code of Regulations, Title 23, Division 3, Chapter 16; As an alternative, the owner or operator may submit a proposal and workplan for enhanced leak detection to the local agency, by July 1, 2002; complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." Please be advised that there are only a few qualified testers available to perform "Enhanced Leak Testing". All testing must be under-permit through this office. For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services bY:~~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SUIkr Enclosures ""Y~ de W~ ~ ./#I;0P6 .r~ A W~" - eBA1ŒRSFIELD FIRE DEPAR'1'HIii1' , -- EHVIROHIIDft'AL SBRVICZ_ 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK RDOVAL INSPECTION FORM ADDRESS ':>lno I ûJb.Je- hN PERMIT TO OPERATE' -13 R - m ~ ~ CON'l'ACT PERSON 5fül'( , #OFSAMPLES :> "k--;:: .$UI\{f'Íc.~ I~ 1)(1 Q I~plt\;(r !.~ [wi , J < .... ~ ff[ I '0 o \S~ct\$cr J.!¡\&Q\cf ¡----- t i '{,.f . ~ - - - --- ~. .,J ..t ftJ, ()o'ð IftlL ù N 1.1'J :~ y~ - -;-1 "----~ J ~ IV,O()t) 'It.d. P{u~ uN10 I - - - 1 1- y- _ y.--J. I([), () co -rd. ¡Jf'ca1. r-~ --:¡ 'i )< IL- _ ~ ~ 14:J c CJ() Ð qtt(. Q),~~c.( -- fJJi\lf~t~ CONDITION OF TANKS t()~C\/.. II1tlt ç:: ~r f-{ CONDITION OF PIPING k,{)ö¡{ lD/JIF CONDITION OF,SOIL COMMENTS -11 i{) ¿ lY'lvr( Øm (,¡j /.1A Y r fLA II I {J..f ,c:;.ft¡ "" I Þ1 ~ IJ r- 'l] {II [II tú t ~fL it ~ dAIII/'\ ILS 4t1Þ1 !;. ,~+ll)L tJ\'\dctu)l)l}o ( INSPECTOR' HAIlE J!: ~J/K1 SI.-ANII 3/LfI01- DATE FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAX(661)32~576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399·5763 .'.- . - , . . --- --. February 11,2002 -- Texaco Star Mart 2601 White Lane Bakersfield CA 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fÏt your facilities. ' If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincer;J' / ~~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services ' ,'H , SBU/dm ....9'~ /A:e W~ ~eve vØ60Pe ff~ A W~·" 'Ö'{¡¡¡I.,;¡2ti ();'jl'b ¡¡Ii ) IIAZ IIIAT )IV, permitNO,~"'O~B~ . CITY OF BAKER'IELD 7tTtIJ. 11/~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 , _, I _ Ii I (J ,'';' U l¡ PERMIT APPLICATION FOR RElVlOV AL OF AN UNDERGROUND STORAGE TANK SITE r:\FOR1\IATlON SITETEXhCö tz,t 017 ADDRESS 2<:>01 WttfTt LIJ Z[P CODE t.t330if ..\PN [ACILITY NAME -r'EX;P,t.O It 1210'7 CROSS STREET C::foRIbN' $; T:\i'<r;: O\VNERJOPERATORE('i)UtI.DN tNTf£epR.,Sé.s LLC PHONE NO.7''''' -992 -06K9 "rAILING ADDRESS P.O. ~ 67tj1. .2~ CITY Hou3ïorJ ZIP 7 JOb 7 CONTRACTOR INFORMATION CŒvlPANY L Co S~~VIC(fS ADDRESS 52-7 N~ PAIlKJII£V"I INSURANCE CARRIER S,-rA1ES FUND PHONE NO.5S<J -CfW .. 173 ð LICENSE NO. 7 7q 2.6 7 A /HA1- CITY FRESNO ZIP 93'728' WORKMENS COMP NO. '5b04~1 PRELIML'\'ARY ASSESSMENT INFORMATION COMPANYCAMB~/A E1IV1lt.ðNIAEfI/'j~L PHONE No.5tO-~ZO-330q LICENSE NO.7t+o58'2. ~/tJ'E-lrtA'Z.. .WDRESS IIt+tf 65f1!.. $:r CITYo"k:ù9Nb ZIP Cftfb08 INSL'RANCE CARRIER $î7ÍIT1! FUND WORKMENS COMP NO.oQ2- OOðol..'1'i.I TANK CLEANING INFORMATION COMPA1'lY E C...I PHONE NO. 31(1 -120 - z)£;C;; ,\ DDRESS 2ø8LJ b NOI?MRN'D1t: Ave: CITY ïõlZ..J?AJl/cÆ ZIP 90.S"'02.. WASTE TRANSPORTER IDENTIFICATION NUMBER '533 CADQg 2.030n3 \1f\.ME OF RINSATE DISPOSAL FACILITY RDMIc.. ADDRESS 208( e &y ~,;:> CITYE.·?t9l..Ofh"ro zIpQtf8"OL FACILITY IDENl1FICATION NUMBER CA-D DOQLl5?-6S2- T.\c\K TR.\NSPORTER INFORMATION COMPA~ EC.' . PHONE NO.3/0- 32.0 -~5Ç LICENSE NO. 74( bit ,I!/-IV'1Z- ADDRESS 2Oflti.b 1\k>€MeIVDIt! Ave: CITYIð)!~NC.(f ZIP 905ò2.. TANK DESTINATION ê.C( TANK INFORi\1A TION TANK NO. , 2- --~ ---,-~- AGE VOLUME Il), Dò'O 1 D ow I OJ òtfu t () DÒt;) CHEMICAL STORED ~7 LlNl-D tzq UML('} ctJ UNJ-D DIESEL # 2- For Official Use On "'.:; ·..·':F'M~~.1"V·:~:ø)~;'.'· DA TIS STORED CHEMICAL PREVIOUSL Y STORED tJlA ~ APPLICATioN DATE;· . .,....: .",,:L;' ~', :: , . '. .: .' . . ::Nä'ØFTA.NKS· d'·'·'FEE S THE APPLICANT HAS RECEIVED, UNDERST ANDS. AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF TH!S i'!RMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULAT IONS. ""l' HAS BEEN COMP LETEO UNOER PENALTY OF PERJURY, ANO TO THE BEST OF MY KNOWLEOGE IS TRUf -\~DC RECT,"- {{; . V / ,:~ KIP LC Sf~YICi6' ' \¡1'PRO\,ED B' APPLICANT NAME (PRINT) ANT IGNA liRE THIS APPLICA nON WILL BECOME A PERMIT WHEN APPROVED e e RESIDUAL INFORMATION PICK-UP REQUEST (RIPR) Equilon Pipeline Company P. O. Box 2648 Houston, TX 77252-2648 Date Submitted to CRMT: ì2-(3- z.o-o , This fonn must be filled out completely and all required analysis attached. FAX to the Residual Disposal C d' t fi h t' . . d t rtat" f te' I oor IDa or . or c arac enzatlOn an ranspo Ion 0 IDa na. RDC AREA PHONE FAX Marcus Craig CT, KY, ME, MA, NH, RI, VT 713/241-0710 "713/241-2553 Jake Hairell !D, IL, IN, lA, KS, MI, MN, MO, MT, NE, 713/241-8372 713/241-7161 ND, OR, OK, SD, WI, WY Tim Dazey Northern CA 713/241-8673 713/241-2380 Jim Martin Southern CA 713/241-1516 713/241-1536 Robert Billeck DC, DE, MD, NJ, NY, PA, VA, WV 713/241-2258 281/212-3183 Rachel Williamson AL, AR, FL, GA, LA, MS, NC, SC, TN, TX 713/241-2393 713/241-0850 lanae Williams AK, AZ, CO, Ill, NM, NY, OR, UT, W A, 713/241-0436 713/241-2013 SITE INFORMATION Alliance Contact (e.g., EE, FE, CE, etc.): C.C- RegionlDistrictf Area: 1'5 Phone: 55"t ~Cf44 - 173() Fax: 559---tµ.µ..f - 73Ç' Facility Address: 2bo I lÑtJ IT{; LtJ City: ßA.K.éR.Sf'IE'LD State: CA Zip: ~ County: kØ!.A/ Non-Remediation Tech. Services SAP Cost Center # SAP Cost Element 0 R ( Check One) Other Info. (e.g., Facility ID#) [ ] Remediation (S&E Onlv) S&E Environmental Incident # SAP Cost Element 276501 Other Info. (e.g., LPST 10# Facility 10#) o Reimbursement Invoice Copies to: o Oirect Payl Alternative Funding Copies to: CONSULTANT/CONTRACTOR INFORMATION Company Name: L C. SEI!Vlc.£S Address: 527 tV. PAt'~V'f;..vJ City: ~g~ N C> Contact: SKJP CvX Do you want standard pickup? If no, specify date: State: Phone: SSC(-1./4I..J -/73 D Yes~ NoD time (if necessary): Cr) Zip: <i372X Fax: SSe¡ -l/44 -(73& Is the site in operation? Yes 0 No ~ Ifno, is it locked? Yes 0 No ~ Is the residual accessible? Yes D No D. jt:no, explain: . What type of facility is currently on site? f!2r Texaco 0 Shell 0 Other: For bulk shipments, who will supply loader? Consultant 0 Contractor 0 Transporter 0- Page lof2 UTDU U...., 1'101'1";11'1' e e SAP Cost Center # (Non-Remediation) OR S&E Environmental Incident # (Remediation): f210l7 RESIDUAL INFORMA TIQN Attach a separate page(s) for additional residual material(s) Material Description: l=èoDucr J \If)Jf' ¿f V~ PI PIN9 .. Free Liquids? 0 Yes ~~ Process generating this residual (be specific): ----rANt::.. ?u u-- Accumulation Date: Sampling Date (if applicable): Type of container: Drums - Quantity: Drum ID #s: Bins - Quantity: Type: Size: Size: Size: Size: Volume in Bin: Volume in Bin: Volume in Bin: Volume in Bin: Bin supplied by: Bulk pile: D Size: (estimated cubic yards) Other (Frac Tank, AST, UST): Volume: Container Description: Conœnts/Previous Contents: Residual inspection to be handled by: o CRMT o Consultant o Alliance Contact Requirements/conditions associated with pick-up (e.g., rusty, missing parts, leakers, etc.): Comments and/or suggestions for local vendor: ß(rJ W,LL e~U (/ê'f: lAfZ.6( t2ùL -O~(2 Form f1Iled out by: ~t P (OX Phone: 55Q-(P/1.../--/73 Ò E-Mail Address: sk:, f COX@ MS y) . CDrY\... NOTE: IF VERIFICATION FORM IS NOT RECEIVED BY CONTACT WITHIN FIVE (5) DAYS OF SUBMITIAL, NOTIFY RDC OR OTHER CRMT REPRESENTATIVE. Date: 12. -13- 2001 Fax: SSq- 4-tJ.-4 -/735" Page 2 of2 DIDD D",,, f\O/'lI:/{) e e RESIDUAL INFORMATION PICK-UP REQUEST {RIPR\ Equilon Pipeline Company , P. O. Box 2648 Ho~ TX 77252-2648 Date Submitted to CRMT: ¡ 2-f~- 200' L '. This form must be filled out completely and all required analysis attached. FAX to the Residual Disposal Coo dinato f4 characte' . . d . f . al . Ii r or nzaUon an transportatIon 0 maten RDC AREA PHONE FAX Marcus Craig cr, KY, ME, MA, NH, RI, vr 713/241..Q710 "'13/241-2553 Jake Haire11 !D, n.., !N,IA, KS, MI, MN, MO, MT, NE, 713/241-8372 713/241-7161 ND,OH. OK. SD, WI. WY Tim Dazey Northern CA 713/241-8673 713/241-2380 Jim Martin Southern CA 713/241-1516 7131241-1536 Robert BiUeck DC,DE,MD,NJ,NY,PA, VA, WV . 713/241-2258 281/212-3183 Rachel Wil1iam$OU AL, AR, FL, GA, LA, MS, Ne, se, TN, TX 713/241-2393 . 713/241..Q850 Janae Williams AI{, AZ, CO, m, NM, NY, OR. UT, WA, 713/241-0436 713/241~2013 ~ITE INFORMATION ¡\JJiançe Contact (e.g.. EE. FE. CEo etc.): C-L- ' RegionlDistrictlArea: 1'S. Phone: 5sq...~~-1730 Fax: Ssq...tµ.µ.J - 173Ç Facility Address: 7bO WH tT€ LtJ City: ßA.~f'IE:LJ)· State: CA Zip: ~ County: J(~ '. Non-Remediation SAP Cost Centèr # SAP Cost El~ (Check One) . Other Info. (~~g., Facility ID#) OR [J Remediation (S&E Only) S&E Environmental Incident # SAP Cost Element 276501 Other Info. (e.g., LPST ID# ." Facility ID#) o Reimbursement Invoice Copies to: o Direct Pay/Alternative Funding Copies to: CONSULTANT/CONTRACTOR INFORMATION Company Name: LC Se¿VIc£S ~:. ~~NI\I} Ao,potVIr;w. State: Contact: p . fiX Phone: ssq.-t.µµJ -/73 D Ðoyou want standard pickup? Yes ~ No 0 Ifno. specifý dàte: . time (if necessary): ~ . Zip: ~72X Fax: S5q-'I44-(7~Ç . Is the site in o~on? Yes 0 No ~ If no. is it locked? Yes 0 No if" Is the residual accessible? Yes 0 No 0_ Jtno, explain: . What type of fàcility is currently on site? I!2r Texaco 0 Shell 0 Other: For bulk shipments, who will supply loader? Consultant 0 Contractor 0 Transporter U '. Page 1 of2 DTDD D_. 00/')01::/01 e e ~ Cost Center # (Non-Remediation) QB S~ Enviionmenta1Incident # (Remediation): . . 12(0\7 RESIDUAL INFORMATION '. AUatb a separate paae(s) for additional residual material(s) Material Description: ~ Free Liquids? 0 Yes 0 No Process generating this residual (be specific): IÃN4:::.. ?u U- . Aoonuulation Date: Sampling Date (if applicable): Type of COJ)tain~Ì': Drums - Quantity: Drwn ID #s: Bins - Quantity: Type: Size: Size: Size: Size: Volume in Bin: Volume in Bin: Volume in Bin: Volume in Bin: '. .. Bin supplied by: Bulk pile: 0 Sìzé: (estimated cubic yards) Other (Frac Tank, )\ST, UST): .volume: Container Description: ContentslPrevious Contents:· Residual inspection to be handled by: 0 CRMT o Consultant o AIµance Contact ~c004itions associated with pick-up (e.g., rusty, miSsing parts,leakers, etc.): ~, Comrn~ and/or suggestio~ for local vendor: '. Form filled out by: ~, P C oX PlIone: 4If55C(-q,tµ..¡,-f73 Ò E-MailAddresa:. S\(¡ fCOX.@ YY}$ y). CDYY\- NOTE: IF VERIFICATION FORM IS NOT RECEIVED BY CONTACT WITHIN FIVE (5) DAYS OF . SUBMITrAL. NOTIFY RDC OR OTHER CRMT REPRESENTATIVE. Date: ~2.-'3-200' Fax: ist;q- 44c.t -/ 35"" ~ Page 2 of2 1)r1)1) 1)__ M/"~1n1 e' e RESIDUAL INFORMATION PICK-UP REOUEST(RIPR\ Equilon Pipeline Company .' . P. O. Box2648 Houston, TX 77252-2648 Date Subnútted to CRMT: ì 2.-{'?,- 2.0'0 ,_ ,:. This form must be filled out completely and all required analysis attached. FAX to the Residual Disposal Coo dinato fC characte' . . d . f . aI . '. ¡; r or nzatlon an transportatIon 0 maten RDC AREA PHONE FAX Marcus Craig cr. KY. ME. MA. NH. RI. vr 713/241..()710 "'13/241-2553 Jake Hairell . ro. IL. IN.IA, KS, MI. MN. MO, MT. NE, 713/241-8372 713/241-7161 ND OR OK. SD. WI. WY Tim Dazey Northern CA 713/241-8673 713/241-2380 Jim Martin Southern CA 713/241-1516 7131241-1536 Robert Billeck DC. DE, MD. NI. NY, PA, VA, WV 713/241-2258 281/212-3183 Rachel Wi11i!lmMU AL. AR. FL, GA, LA. MS, NC, SC. TN, TX 713/241·2393 713/241"()8S0 Jauae Williams AI<. AZ, CO. m, NM, NY, OR, UT. WA, 713/241..0436 713/241~2013 ~ITE INFORMATION Alliance Contact (e.g., EE, FE, CE, etc.): CC- ' Region/DistrictlAr.ea: 1'5. Phone: 5~...q:44-1730 Fax: 5sq,..~ -173S- Facility AddresS: 2bO' Wri rr€ LtJ City: 'ßA.~f"":LJ>' State: CA Zip: ~ County: k~ '. Non-Remediation SAP Cost Center # SAP Cost Element (Check One) Other Info. (e.g., Facility m#j OR [] Remediation (S&£ Only) S&E Environmental Incident # SAP Cost Element 276501 Other Info. (e.g., LPST ID# Facility ID#) _ o Reimbursement Invoice Copies to: o Direct Pay/Alternative Funding Copies to: CONSULT ANT/CONTRACT<)R INFORMATION Company Name: L C. SEt.,VIC~£S Address: 5~7 I\J. FÞ,P~VI{;.vJ . City: . '~N 7; . . State: Contact: p . ûX Phone: ssq.-Lþ.p.J -173 D Do you want standard pickup? Yes if No 0 Ifno, specify date: time (if necessary): Cr)- . Zip: 9372X Fax: 559 -'144 -rZ3b . Isthesiteinope~on? Yes 0 No ~ Ifno, is it locked? Yes 0 No ø Is the residual accessible? Yes 0 No [J _ Jtno, explain: . What type of 1àcility is currently on site? 0' Texaco 0 Shell 0 Other: For bulk sbipmeots, who will supply loader? Consultant 0 . Contractor 0 Transporter U '. Page 1 of2 1)~1) 1).... nn/-',(/n1 e e '. SAP Cost Center # (Non-Remediation) QB S&E Environmental Incident# (Remediation): 12fOl7 lp:SIDUAL INFORMATION Attach a separate paae(s) for additional residual material(s) Material Description: ~ Free Liquids? 0 Yes 0 No Process genCrating this residual (be specific): "'"lÃNK.?U LL- Accumulation Date: Sampling Date (if applicable): Type: '. Type of container: Drums - Quantity: Drum ID #s: Bins - Quantity: Size: Size: Size: Size: Volwne in Bin: Volume in Bin: Volume in Bin: Volume in Bin: Bin supplied by: Bulk pile: D. Sizé: (estimated cubic yards) Other (Frac Tank, ¡\STt UST): Volume: Container Description: ContentsIPrevious Contents: Residual inspection to be handled by: 0 CRMT o Consultant o Al\iance Contact RCquiremeotsIcouditions associated with pick-up (e.g., rusty, miSsing parts, leakers, etc.): v '. Cnmm~audl0r suggestions for local vendor: Form filled out by: ~( P C OX Plaone: ~-q"tI4-'73 Ò E-Mail Address:5\0fCOX.@rY1SY1.co((\.. NOTE: IF VERIFICATION FORM IS NOT RECEIVED BY CONTACT WITHIN FIVE (5) DAYS OF SUBMITrAL, NOTIfY RDC OR OTHER CRMT REPRESENTATIVE. Date: ~Z.-f3-200f . Fax:5SQ- 4~c.t -f 3~ " Page 2 ol2 DTDD D.... 00/'),1;/01 License Detail e Page 1 0£2 e /;Al..ffORtM CQNTRACTQR$ STATe t.ICe;NS£ !WARP ~.....~..'''.^.:.........''..' . ',"?:,-v.':~,:. . . '.' -l..:·-·. ~ ¡;;<Y.--". DISCLAIMER A license status check provides infonnation taken rrom the CSLB license data base. Befure relying on this infonnation, you should be aware of the following limitations: · CSLB is prohibited by law rrom disclosing complaints IU1til they are referred for legal action. · Per B&P 7071.17, only construction related civil judgments known to the CSLB are disclosed. · Arbitrations are not listed unless the contractor fails to comply with the tenns of the arbitration. · Due to workload, there may be relevant infonnation that has not yet been entered onto the Board's license data base. Extract Date: 12/12/2001 .;. * .;. Business Information .;. * .;. LARRY & CLIFF ENTERPRISES INC dba: L C SERVICES 527 N P ARKVIEW FRESNO, CA 93728 Business Phone Number: (559) 444-1730 Entity: Corporation Issue Date: 05/19/2000 Expire Date: 05/31/2002 .;. .;. .;. License Status';' .;. .;. This license is current and active. All information below should be reviewed, .;. .;. .;. Classifications * .;. * IClassl1 Description I DIGENERAL ENGINEERING CONTRACTOR .;. * * Certifications * * * I Cert II Description I ~IHAZARDOUS SUBSTANCES REMOV ALl * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number CLB1600726 in the http://www2.cslb.ca.gov/CSLB_LIBRARY/License+DetaiI.asp 12/12/01 License Detail e e Page 2 of2 amount ot $7,5UU With the bondIng company CONNECTICUT SURETY COMPANY. THE, Effective Date: 02/15/2000 BOND OF QUALIFYING INDIVIDUAL(1): This license filed an exemption certificate for the Responsible Managing Officer (RMO) CLIFFTON LLOYD WOODS certifYing that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifYing individual is not required. Effective Date: 05/19/2000 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1560491 Effective Date: 11/01/2000 Expire Date: 11/01/2002 Personnel listed on this license (current or disassociated) are listed on other licenses, Personnel List Other Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request ~ ---- ~ . CQ~T!I£'F !;!.~ A public servièê-;;f the Contractors State License Board. Copyright @2001. All rights reserved. Last Updated 10/08/2001 t\it -- http://www2.cslb.ca.gov/CSLB_LIDRARY/License+Detail.asp 12/12/01 e e Page 1 of2 License Detail CAUfORmA ço~nRAçnm$ 3TAT& I. Ci:NS£ SOARD License Detail Contractor License # 740582 ~...~'.....'.'.">..'.'...'.... ~.,.' .,.. ." , . "J<Þ.<. . DISCLAIMER A license status check provides ìnfonnation taken ffom the CSLB license data base. Before relying on this ìnfonnation, you should be aware of the following limitations: · CSLB is prohibited by law from disclosing complaints IU1til they are referred for legal action. · Per B&P 7071. 17, only construction related civil judgments known to the CSLB are disclosed. · Arbitrations are not listed unless the contractor fails to comply with the tenns of the arbitration. · Due to workload, there may be relevant infonnation that has not yet been entered onto the Board's license data base. Extract Date: 12/12/2001 * * * Business Information * * * CAMBRIA ENVIRONMENTAL TECHNOLOGY INC 1144 65TH STREET SUITE B OAKLAND, CA 94608 Business Phone Number: (510) 420-0700 Entity: Corporation Issue Date: 09/18/1997 Expire Date: 09/30/2003 * * -Ie License Status * * * This license is current and active. All information below should be reviewed, -Ie -Ie -Ie Classifications -Ie -Ie -Ie ¡Classll Description I ~IGENERAL ENGINEERING CONTRACTORI * -Ie -Ie Certifications * -Ie * I Cert II Description I mc ¡¡HOME IMPROVEMENT CERTIFICATION ~IHAZARDOUS SUBSTANCES REMOVAL I * * * Bonding Information * -Ie * http://www2.cslb.ca.gov/CSLB _ LIBRARY /License+DetaiI.asp 12/12/01 e Page 2 of2 License Detail e CONTRACTOR'S BOND: This license filed Contractor's Bond number 35314 in the amount of $7,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY, Effective Date: 08/25/1997 BOND OF QUALIFYING INDIVIDUAL(I): This license filed an exemption certificate for the Responsible Managing Officer (RMO) DIANE MARIE LUNDQUIST certifying that he/she owns 10 percent or more ofthe voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 01119/2001 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STA TE COMPENSATION INSURANCE FUND Policy Number: 092-0000294 Effective Date: 07/0112000 Expire Date: 07/01/2002 * * * Miscellaneous Information * * * I Date II Description I 107/31/200011 CLASS B & HAl REMOVED Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request ~~_.. ~~ -.- A public service of the Contractors State License Board. Copyright © 2001. All rights reserved. Last Updated 10/08/2001 ~. - http://www2.cslb.ca.gov/CSLB_LffiRARY/License+Detail.asp 12/12/01 License Detail e e Page 1 of2 CAUfQRN:>!A COf'tTAAÇTQR$ STATE UCE.NS£ SOARO 00]-. ....... ".;"._:"i'..'~"....'.... .'. .. ~.~.~- ". . ,-; 'r':"', ~ r~,:.~.·".. _. DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying on this information, you should be aWare of the following limitations: · CSLB is prohibited by law from disclosing compla~ts until they are referred for legal action. · Per B&P 7071.1 7, only construction related civil judgments known to the CSLB are disclosed. · Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. · Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base. Extract Date: 12/12/2001 * * * Business Information * * * ECOLOGY CONTROL INDUSTRIES INC 255 PARR BOULEVARD RICHMOND, CA 94801 Business Phone Number: (310) 654-9999 Entity: Corporation Issue Date: 10/21/1997 Expire Date: 10/31/2003 * * * License Status * * * TlÍis license is current and active. All information below should be reviewed, * * * Classifications * * * ¡Class!! Description ~~]GENERAL ENGINEERING CONTRACTOR * * * Certifications * * * I Cert /I Description I ~IHAZARDOUS SUBSTANCES REMOV ALl * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number ESD5297453 in the amount of $7,500 with the bonding company http://www2.cslb.ca.gov/CSLB_LffiRARY/License+DetaiI.asp 12/12/01 ~ License Detail e e Page 2 of2 lNSURAN(;J£ (;UMPANY UJ"- THJ£ STATJ£ UF PJ£NNSYLVANlA. THJ£, Effective Date: 08/18/1999 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): This license filed an exemption certificate for the Responsible Managing Officer (RMO) RONALD JAY FLURY certifying that he/she owns 10 percent or more of the voting stock! equity of the corporation. A bond of qualifying individual is not required. Effective Date: 10/02/2001 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1614227 Effective Date: 12/27/2000 Expire Date: 12/09/2002 * * * Miscellaneous Information * * * I Date II Description I 111/09/200011 CLASS B, C36, HAl, C21 REMOVEDI 110/31/200111 CLASS ASB, HAl, mc REMOVED I Personnel listed on this license (current or disassociated) are listed on other licenses, Personnel List Other Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request ~ 00II"'"'' A public service of the Contractors State License Board. Copyright © 2001. All rights reserved. last Updated 10/08/2001 l\ti _.b http://www2.cslb.ca.gov/CSLB_LillRARY/License+Detail.asp 12/12/01 ~:)V e - AGENCY EQUILCN _ENTERPRISES LLC hell . Teu.. """lal T....... September 11/ 2001 City of Bakersfield Fire Department Environmental Services 1715 Chester Avenue/-=Frnr-å r BakersfieldrGA-93301----___ ~~ Re: Texaco Food Mart #121017 2601 White Lane @ EI Portrero Bakersfield, CA 93304 ement, Tank Monitoring, Leak Response To Whom It May Concern: Enclosed is an updated Owner/Operator Agreement, Tank Monitoring and Leak Response Plan to reflect the recent upgrade of monitoring equipment to Simplicity, Please replace your copies currently on file with this. Should you have any questions, please don't hesitate to call me at 818-736- 5078, Thank you. Yours truly, Feryal Sarrafian SH&E Compliance Coordinator P.O. Box 7869 Burbank, CA., 91510-7869 e e .. EQUILCN -ENTERPRIGES llC noli. rluca _lal ToI..... September 11, 2001 Texaco Food Mart #121017 Attn: Calvin Wills, Retailer 2601 White Lane Bakersfield, CA 93304 Re: Updated Owner/Operator Agreement, Tank Monitoring and Leak Response Plans Dear Mr, Wills: Enclosed are the updated Owner/Operator Agreement, Leak Response Plan and Monitoring Plan Updates as required due to the upgrade of your monitoring system to Simplicity. 1) Please sign all sets of copies of the plan where "flagged". 2) Forward the "AGENCY" copy along with cover letter in the envelope provided. 3) File the "RETAILER" copy in your Environmental binder (BLUE BOOK) behind the tab marked HMMP. a) This must be available to all employees and agency personnel at all times. b) It has been three hole punched for your convenience, 4) Return "EQUILON" to Feryal Sarrafian in the enclosed envelope. This must be done immediatelv in order to avoid charges of NON- COMPLIANCE and a possible fine. Should you have any questions, please don't hesitate to call me at 818-736- 5078. Thank you, Yours truly, Feryal Sarrafjan SH&E Compliance Coordinator 2255 N. Ontario Street, Room 208A Burbank, CA., 91504 e e OWNER/OPERATOR AGREEMENT TAKK MONITORING AND LEAK RESPONSE PLANS TEXACO FOOD MART 2601 WHITE @ EL PORTRERO BAKERSFIELD, CA 93304 C/C #121017 (661) 397-4771 Revised 09/11/2001 e e EQUILON - ENTERPRI$ES LLC suit . reu.. Wmlll. r....... September 11, 2001 Dear Texaco Retailer: The underground storage tanks located at your facility must be monitored in accordance with the Permit to Operate issued by the local agency and articlefs of your Motor Fuel Station lease. The following excerpt from the California Health and Safety Code, Division 20, Chapter 6.7 defines the penalties for violating the Permit to Operate or other applicable regulations. Section 25299. Violations; civil and criminal penalties; operative date. (a) Any operator of an underground tank system shall be liable for a civil penalty of not less than five hundred dollars ($500) or more than five thousand dollars ($5,000) for each underground tank for each day of violation for any of the following violations: (1) Operating an underground tank which has not been issued a permit, in violation of this chapter. . (2) Violation of any of the applicable requirements of the permit issued for the operation of the underground tank system. (3) Failure to maintain records, as required by this chapter. (4) Failure to report an unauthorized release, as required by Sections 25294 and 25295. (5) Failure to properly close an underground tank system, as required by section 25298. (6) Violation of any applicable requirement of this chapter or any requirement of this chapter or any regulation adopted by the board pursuant to Section 25299.3. (7) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, record, report, or other document submitted or required to be maintained pursuant to this chapter. (d) Any person who falsifies any monitoring records required by this chapter, or knowingly fails to report an unauthorized release, shall upon conviction, be punished by a fine or not less than five thousand dollars ($5,000) or more than ten thousand dollars ($10,000), by imprisonment in the county jail for not to exceed one year, or by both that fine and imprisonment. Please contact your Retail Marketing Consultant if you have any questions regarding this Section of the California Health and Safety Code or article/s of your Motor Fuel Station Lease agreement. Equilon Enterprises LLC P.O. Box 7869 Burbank, CA., 91510-7869 e _ost Center Nbr 1210 17 ; BUSINESS PLANS AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY WEST COAST COMPLIANCE SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOWLEDGING THAT THERE ARE NO REPRESENTATIONS OR WARRANTIES THAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR RESULT WITH REGARD TO THE SUBJECT MA TIER. OWNEWOPERATORAGREEMENT OPERATOR: As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations and I have received a copy of ,;:1 :::::::::::::::::: ;Section 25299, chapter 6.7, California Health and Safety Code. . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ~);~;~;~;~;SIGNATURE: {J~~ vA DATE: / ¿j -/,ß -6/ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... - ... ... ... ... ... ... ... ... OPERATOR NAME: CALVIN WILLS BUSINESS NAME: TEXACO FOOD MART LOCATION #: 121017 OWNER: <;, As the owner of the underground storage tanks, EQUlLON ENTERPRISES LLC certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety Code. SIGNATURE: ~ ~ÇL~ DATE: ~J L~ l ~ Equilon Enterprises LLC 121017 White El Portrero September 11, 2001 . e .ost CenterNbr 121017 SERVICE STATION MONITORING PROCEDURE Title 23 of the California Code of Regulations (CCR) requires that a written monitoring procedure be established for all underground storage tanks. This fonn is used to satisfy the infonnation required in Section 2632 & 2641, Title 23, CCR. A Copy of this fonn will be maintained on-site (located inside the Equilon's Marketing Service Station Health, Safety and Environmental Manual also known as the Red Book) and a copy will be submitted to the local administering agency (inside of the Business Plan and inventory disclosure). Facility Name Facility Address: TEXACO FOOD MART 2601 WHITE @ EL PORTRERO BAKERSFIELD, CA 93304 Facility Telephone Number: (661) 397-4771 Tank Owner: Telephone Numbers: EQUILON ENTERPRISES LLC ATTN: SH&E DEPARTMENT P,O, BOX 7869 BURBANK, CA 91510-7869 (818) 736-5078 or (714) 992-0689 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632 or 2641. My signature below confinns that I have read and understand my responsibilities as they pertain to ~-- . - . - . - . - . - . - . - . - .tank monitoring, reporting, and records retention. . »«::;: ?~~ ¿.//~ : / ! : ! : ~ : ti: Operator Signature :.:.:.:.:.:- :- .. .. . . . . . . . . . . . . . . . . . . Underground Storage Tank/Line and Monitoring Information Tank Type: Tank Material: Monitoring Type: Tank Monitor Mgr: Line Type: Line Material: Monitoring Type: Line Monitor Mgr: 121017 White EI Portrero September 11, 2001 Single Wall Fiberglass ( X) Interstitial ( ) Wet ( ) Dry ( X ) Electronic Tank Monitor Veeder Root Model Nbr: TLS-350R Single Wall Fiberglass ( ) Interstitial ( X ) Electronic Line Pressure ( ) Mechanical Veeder Root Model Nbr: TLS-350R 2 e _ost Center Nbr 121017 .. Dispenser Information: Containment Box Mgr: Containment Sump Type: Sump Liquid Sensor Type: Positive Shut Down: BRAVO ( ) Deep (X ) Shallow ( ) None ( X ) Electronic ( ) Mechanical ( ) None (X)Yes ( )No REPORTING REQUIREMENT Any monitor that is discovered in Alann (RED Lights On) or audible alann is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: 1, Equilon Enterprises LCC SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator ( 714) 992-0689 Trainin2 by Company Personnel Per manufacturer guidelines, the authorized installation contractor performs the training necessary to operate the tank and line monitoring system. The location is also responsible for daily inspections of the monitoring panel, alann Panel Test Log and corrective actions. Operator/Manager 1. Each Individual alann system is determined and located at the service station premises. 2. Visually inspecting the alann panel lights and pushing the appropriate audible alann button activate each Individual alann system. 3. No impromptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the station. Designee · It shall be the responsibility of the operator/manager to train the designee to perform alann panel tests. o It shall be the responsibility of the operator/manager to train the designee to perform physical inventories. Additional Releases Safety Features at the Service Station · Inventory reconciliation as defmed by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if the absolute value of the monthly variations exceeds a variation of 1.0 percent of the total monthly input to or withdrawals from the tank plus 130 gallons, the variation shall be investigated in accordance with subsection (e) of Paragraph 2646 · Electronic Monitoring systems described above · Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency) o Physical Inventory · Annual UST Equipment Certifications 121017 White EI Portrero September 11, 2001 3 e .ost Center Nbr 121017 , o Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic monitoring of the annular interstice space in each tanle A monthly status report of the annular space condition in each tank is submitted to the station at the end of each month. Hard copies of all test data will be maintained on-site in the ETM Results binder. . Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank at least once per month after product delivery or when tank is filled to within 10% of highest operating level during previous month. The system is capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in the ETM Results binder. o Single wall tanks with no eletronic monitoring equipment will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR. Lines . All lines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a month according to CCR, Title 23, Div 3, chapter 16 UST Regulations. Also the monitor is capable of a 0.1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from Local Regulatory Agency. All product lines have Positive Shut Down and will stop the flow of product through the lines in the event of a leak. Some Double Wall lines are also monitored with either interstitial or sump sensors. o Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which are certified annually. . Single wall lines: All single wall lines will be pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified annually Tank / Line Testin2 or Certification Results: . The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alanns along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. o Tank and line testing will be conducted by a qualified contractor and results of these tests will be maintained on-site and available for inspection. Fuel Tanks . Veeder-Root TLS-350R The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alanns along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the fIrst week of each month. 121017 White El Portrero September 11, 2001 4 ,¡ e .ost Center Nbr 1210 17 These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. I ,I i Veeder-Root TLS-3S0 o On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. o Dealer Inventory Rec, Inventory reconciliation as defmed by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if the absolute value of the monthly variations exceeds a variation of 1.0 percent of the total monthly input to or withdrawals from the tank plus 130 gallons, the variation shall be investigated in accordance with subsection (e) of Paragraph 2646 Fuel Lines Veeder-Root TLS-3S0R . The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. . o Veeder-Root TLS-3S0 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. o Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency 1210 17 White _ EI Portrero September 11,2001 5 ) e _ost Center Nbr 121017 Dispenser Containment Dispensers are contained with: BRAVO · Bravo containment boxes. Bravo boxes are equipped with float switches to detect liquid under the dispenser. When liquid is detected the float switch engages the shear valve shutting down product flow to the dispenser. · Beaudreau sensors. These boxes are equipped with a mirror liquid sensor system, which detects liquid by light refraction. When liquid reaches are set level the mercury sensor switch is activated which engages the shear valve and shuts down product flow to the dispenser. · The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alanns along with automatic notification through the Veeder-Root system in the event that a leak is detected. · A sump liquid sensor will cause the fuel supply to the dispenser to be shut off in the event the liquid level reaches a prescribed height. In some cases an alann will sound. In the event of a shut down or an alann is activated, it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required · If an under dispenser leak occurs, the fuel supply to the dispenser will be shut off. It shall be the responsibility of the dealer or designee to remove the dispenser cover and visually check to determine source of leakage. The environmental contact and/or facility engineer plus the designated maintenance contractor shall be called to make repairs as needed and before returning dispenser to service. · Waste Oil Tank · Veeder-Root TLS-350R The Simplicity System Installed at this location provides continuous electronic leak detection. The system provides audible and visual alanns along with automatic notification through the Veeder· Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. o Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alann test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF.These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required 121017 White EI Portrero September 11,2001 6 e _ost Center Nbr 1210 17 Dealer Inventory Rec, . Inventory reconciliation as defmed by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if the absolute value of the monthly variations exceeds a variation of 1.0 percent of the total monthly input to or withdrawals from the tank plus 130 gallons, the variation shall be investigated in accordance with subsection (e) of Paragraph 2646 o On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. 121017 White _ El Portrero September 11, 2001 7 e _st CenterNbr 121017 UNDERGROUND STORAGE TANK LEAK RESPONSE PLAN Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH & E DEPARTMENT P,O, BOX 7869 BURBANK, CA 91510~ 7869 Telephone Numbers: (818) 736-5078 or (714) 992-0689 If a Leak Detection Alarm or System is Activated: 1. Detennine which tank system is involved. 2. Shut offpump and discontinue operations. 3. Call the Tank Owner Immediately. 4. Persons responsible for contacting the leak response unit / company and authorizing any work necessary. SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (714) 992-0689 5. Notify the local agency: BAKERSFIELD CITY FIRE DEPARTMENT ENVIRONMENTAL SERVICES Phone: (661) 326~3979 Fax #: (661) 326-0576 6. Call 911 (if necessary): The Methods and Type of Equipment Used for Removing Hazardous Substances, All unauthorized releases will be removed from the secondary containment by vacuum truck. A licensed hazardous waste contractor will be called to perfonn the clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licensed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of small generated hazardous waste, the operator / dealer will call Equilon's Contractor for proper disposal A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. 121017 White _ El Portrero September 11, 2001 8 e .ost Center Nbr 1210 17 .. SERVICE STATION MONITORING PROCEDURES Product Information Volume Regular Unleaded 10,000 Regular Unleaded 10,000 Premium Unleaded 10,000 Diesel 10,000 M-85 Waste Oil Tank 550 Total Number of Tanks on Site: 5 Persons Responsible for Performin2 Monitorin2: CALVIN WILLS, DEALER OR DESIGNATED SENIOR EMPLOYEEIMANAGER Preventive Maintenance Schedule Daily Operator / Manager / Designee will perform equipment checks to ensure that monitors are operational. The Alarm Panel Test Log must be initialed by the person perfonning the daily equipment check (sample attached). Annual- (A) All monitoring equipment will be inspected and certified operational, according to manufacturer's specifications, by a licensed tank tester who is authorized and trained by the manufacturer. (B) Operational status will be reviewed on site by the Equilon SH&E Representative using the Equilon Service Station Audit Check List once a year. Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system must be on site and available to Equilon / Agency auditors for a period of not less than three (3) years. . Operating status of the monitors will be recorded DAILY on the Alarm Panel Test Log (as mentioned above.) o Physical Inventory will be recorded daily on the Inventory log. 121017 White EI Portrero September 11, 2001 9 e _ost Center Nbr 121017 '.- I i Tank and Line Testin~ Guidelines: . All Simplicity monitors are continuously being monitored at a central office In Connecticut. Simplicity operators will notify each dealer and Equilon in the event that an alann goes on at a station. They will also dispatch a service contractor to investigate those alarms and notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0.1 and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak Detection CSLD which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. o In the event that an alann is activated it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at a 0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. o In the event that the Operator fmds a reconciliation variance during physical inventories greater then the allowable variation, the Operator will begin the inventory discrepancy investigation procedures. The Operator will be responsible to notify an Equilon Representative if any further action is required. Inventory is taken on daily basis. Each month will have a monthly report which will be maintained on-site. As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, Califomia Code of Regulations. My signature below confirms that I have read and understand my responsibilities as they pertain to leak response, reporting, and records retention. --~. . .. .. .. .. - .. .. . . . . . . . 11 . . . . . . . . . . . . . . S ............... .~ !:!:!:¡:.: C--~ tr)¿~ ~ :::::::::::::::::Signature . . . . . . . . . /¿J 7,J -t:) / Date . . . . . . . . - .. .. .. .. .. .. .. TAL VIN WILLS Print Name of Operator/Dealer 121017 White_EI Portrero September 11, 2001 10 (.\ V;v' \f' ' " ~ .' t. J. Myers & Co., In' ENVIRONMENTAL COMPLIANCE CONTRACTOR 451 CONSTITUTION AVENUE, UNIT E CAMARll..LO, CA 93010 805-383-9244/805-383-9245 FAX SUBJECT: Annual Electronic Leak Monitoring System Inspection and Certification DATE: S/S #: 05/15/01 Texaco S/S 121017 LOCATION: 2601 White Lane Bakersfield, CA., 93304 To Whom it May Concern, Enclosed are the reports for the annual inspection of the existing Monitoring System that was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Co., Inc. has been contracted by Equiva Services LLC to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, :¡¿;;:;;¡¡~ INC. ~ Ronald J. Myers, II !YUfA President RJM/rf CONT. LIC. #330631 (B-061) SERVING THE PETROLEUM INDUSTRY SINCE 1967 e e R. J. Myers Co., Inc. ENVIRONMENTAL COMPLIANCE CONTRACTOR 451 CONSTITUTION AVENUE, UNIT E CAMARILLO, CA 93010 805-383-9244 / 805-383-9245 FAX DATE OF SERVICE: 5/15/01 S, S. #: Texaco 121017 W, 0, #: TECHNICIAN: Dillon Harrington SERVICE REQUESTED BY: Feryal Sarrafian BILL TO: Equiva Services LLC P. O. Box 7869 BurlDank, CA 9151~7869 PROBE I,D. #: In Tank Setup T1 Premium TLM T2 Plus TLM T3 Unleaded TLM T 4 Diesel TLM SERVICE REQUESTED - Annual monitor inspection and certification. DESCRIPTION OF WORK: Inspected and tested all leak sensors and probes for proper operation. Verified proper operation and calibration of all TLM probes. All systems normal. liQuid Sensor Setup L 1 Premium STP Sump L2 Plus STP Sump L3 Unleaded STP Sump L4 Diesel STP Sump PLLD Line Disable Setup Q1 Premium PLLD Q2 Plus PLLD Q3 Unleaded PLLD Q4 Diesel PLLD MODEL #: Veeder-Root TLS-350 Simplicity SERIAL #: 81253305105001 SYSTEM CERTIFIED 69 NO SYSTEM PSD G WA SYSTEM RUNNING ~ NO NO WASTE OIL YES 8 NO SYSTEM SEALED G NO e UST EQUIPMENT INSPECTION REPORT e STATION ADDRESS: 2601 White Lane SAP NUMBER: BRAND NAME: 121017 CITY: Bakersfield Texaco STATE: California TANKS AND LlNI!S Tank Product Tank Type Tank Size UST or AST Tank Corrosion TvDII line Type lIna Corrosion Type R = Regular M = Mid Grade DWF - Doublewall Fiberglass Circle the correct F c Fiberglass DWF = Doublewall Fiberglass F = Fiberglass P = Premium D = Diesel SWF = Singlewall Fiberglass Nominal GallOns type of tank. L=Uned SWF = Slnglewall Aberglass IC = Impressed Current U = Used Oil K = Kerosene SWS = Singlewall Steel Underground Storage IC = Impressed Current SWS = Singlewall Steel A=Anode DWS = Doublewall Steel or AboVeground A = Anode FDW = Flexible Doublewall P = Plastic Flex DFS c Double Fiber Steel Storage 1 Reoular SWF 10000 UST FiOOmlass SWF FiOOmlass 2 Mid Grade SWF 10000 UST FiOOmlass SWF ROOmlass 3 Premium SWF 10000 UST Fibemlass SWF FiOOmlass 4 Diesel SWF 10000 UST Fiberalass SWF FiOOralass 5 Used Oil DWF 550 UST Fiberalass Comments: PRODUCT TANK MONITORING SYSTEM Positive Fall Qtv Tvoe Shut Down Safe OD8rat1onal Manufacturer and Model Number SW Tanks With Intemtitlal Sensom Automatic Tank Gauge Probes (ATG) 4 Programmed: CSLD Ves Ves Ves Veeder-Root TLS-350 Simplicity Mao #1 Groundwater Sensors FillNapor Recovery Riser ETM(ATG) Sump Comments: USED OIL TANK AND LINE MONITORING SYSTI!M (UST Only) Manufacturer and Model Number o rational Electronic Sump Monitor Fill Sump Manllor ETM (ATG) Probe Comments: Manufacturer and Model Number o mUonal Electronic Sensor In Fill Sum 4 Electronic Une Pressure Sensors 4 Electronic Sen90f In Turbine Sum Electronic Sensors In Contained Trench (TLM) Comments: Ves Ves Ves Ves Ves Ves Veeder-Root TLS-350 Sim r' PLLD Veeder-Root TLS-350 Slm I . 1208 I certify that the above Information Is accurate and the equipment Is functioning according to manufacturer's apeclflcatlona unless otherwise Indlcatød. SIGNATURE: COMPANY: R. J. Myers & Co., Inc. PRINTED NAME: Dillon Harrington DATE: 5/15/01 Pllge1c1J UST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 2601 White Lane CITY: Bakersfield STATE: California SAP NUMBER: 121017 BRAND NAME: Texaco DATE: 5/15/01 TURBINe AREA e Test BootlDraln Plua: Flex Connector !1M. Pennlt Required Turbine Head Have test boots been Protection: Plastic M!n!f2! : Is Are there Conflned Space Protection Tvoe: backed off secondary Flex, Booted, Taped, the product any Are there top seal 01 Identification Contelned Sump, containment piping, or Sump, Anode, manifolded observation Are the side seal adapters Are there Internal or Tag or Decal RJgld SoIl Barrier, Is The drain plugs removed fo Impressed Current, between wells In the products Turbine on the tank fill external draIns on the Tank Product Present Liner, None Sump Dry proper drainage? Unable to Verify tanks? tank area? blending? Filter? pipes? spill containment? 1 Reaular No Contain Sumo Yes Yes Sump No Yes No No Too Seal Extemal 2 Mid Grade No Contain Sumo Yes Yes Sump No Yes No No TOD Seal External 3 Premium No Contain Sumo Yes Yes Sumo No Yes No No Too Seal Extemal 4 Diesel No Contain SumD Yes Yes SumD No Yes No No Top Seal Extemal Comments: TANK FILL AREA Caps and Overfill Protection DID StIck Protection Spill Gaskets In IJaIi: Ball Float, hili: Strike Plate, Containment Spill Containment Spill Containment on Good Fill Lid Fill Lid Product Flapper, Both, None Basket Cage, Both or Tank Product Size Drain Operational Remote Fill Remote Fill Condition Condition Painted Identification or Unable to Va None R ular 5 Yes No NIA Yes Good Yes Yes Fla 2 Mid Grade 5 Yes No N/A Yes Good Yes Yes Fla 3 Premium 5 Yes No NJA Yes Good Yes Yes Fla e 4 Diesel 5 Yes No N/A Yes Good Yes Yes Fla Commenta: Caps and Vapor la There A Spill Vent CaD 1Voe: Remote Gaskets In Recovery Containment Box Pressure Cap, Vapor Recovey Vapor Dry Break In Good Good Lid IdenUflcation Around Each VR Spill Containment Tank Product Rain Cap, None Type Recovery Operating Condition Condition Lid Painted Condition Tag Present Point Drain OperaUonal R ular Dual Point No Yes Yes Yes Good Yes Yes Yes 2 Mid Grade Dual Point No Yes Yes Yes Good Yes Yes Yes 3 Premium Dual Point No Yes Yes Yes Good Yes Yes Yes 4 Diesel Rain Ca Comments: 1'9:2d3 UST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 2601 White Lane CITY: Bakerfleld STATE: California SAP NUMBER: 121017 BRAND NAME: Texaco DATE: 5/15/2001 DISPI!NSER ARI!A _ DlSDenser Nozzles Impact Mechanism Dispenser Containment Impact Type: Gallons per Mechanical Flex Connector SumD Llauld Oldest Date minute being Staae II VapOr Valve or Protection: Boot, Tape, Containment Sensor TVÞe: on pumped by Recovery Type: MoUen Mechanical Contain Sump, Anode, Sumo Tvoe: Mechanical, Sump DIspenser Securely Dispenser Number closest nozzle. Balance, Vacuum Sensor or Securely Valve Impressed Current, Deep, Shallow, Electronic, Sensors Numbers Manufacturer Anchored? Fuel Flners of Nozzles Reg Mid Pre Assist, None Both Anchored Operational Unable To Verify None None Operational? 1/2 Gilbraco Yes None 6 Balance MV Yes Yes Unable To Verify Shallow Electronic No 3/4 Gilbraco Yes None 6 Balance MV Yes Yes Unable To Verify Shallow Electronic No 5/6 Gilbraco Yes None 8 7.0fi.Ofi.0 Balance MV Yes Yes Unable To Verify Shallow Electronic No 7/8 Gilbraco Yes None 8 Balance MV Yes Yes Unable To Verify Shallow Electronic No TOTAL # OF NOZZLES: 28 Comments: GI!NI!RALINFORMATlON e Eme veney Shutoff ESO) Car Wash 011 - Water Separator Automatic Tank Gauae Strip Reclaim Drain If a remote Sump Needs to Attach A Printout Of The Tank Monitor Does the water level Simplicity (S), monitor I. Needs to be be Set.Up and Most Recent Test Results shown on the ATG match PoleCat (P) or Installed, I. It Pumped Pumped B: Service Bay Needs to be (SWF Tank Locations). Is . PrintOut what Is shown on a Neither (N) operating Operational Qtv Out? OUt C: Car Wash Pumped Out Attached To This Form. manual stick readlna? Installed on ATG. correc:ttv? Exterior Yes 1 N/A N/A N/A N/A Yes Yes Simplicity Yes Interior Yes 1 Comments: . -.... ~h13 e e MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3. Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or report must be prepared for each monitorinl! system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. Instructions are printed on the back of this page. A. General Information Facility Name: Texaco 121017 Site Address: 2601 White Lane City: Facility Contact Person: Cat MakeIModel of Monitoring System: Veeder-Root TLS-350 Simplicity Bldg. No.: Bakersfield Zip: 93304 Contact Phone No.: (661) 397-4771 Date of Testing/Servicing: 05/15/01 ß, Inventory of Equipment Tested/Certified Check the a Tank ID: Unleaded 181 In- Tank Gauging Probe. DAnnular Space or Vault Sensor. I8IPiping Sump! Trench Sensor(s). DFill Sump Sensor(s). DMechanical Line Leak Detector. I8IElectronic Line Leak Detector. I8ITank Overfill / High-Level Sensor. I8lDispenser Containment Sensor(s). I8IShear Valve(s). DDispenser Containment Float(s) and Chain(s). DOther (s i e ui ment e and model in Section E on Pa e 2 . Tank ID: Premium I8IIn-Tank Gauging Probe. DAnnular Space or Vault Sensor. I8IPiping Sump / Trench Sensor( s). DFill Sump Sensor(s). DMechanical Line Leak Detector. I8IElectronic Line Leak Detector. I8ITank Overfill! High-Level Sensor. I8IDispenser Containment Sensor(s). I8IShear Valve(s). . DDispenser Containment Float(s) and Chain(s). DOther s ci ui ment and model in Section E on Pa e 2 . Model: Veeder-Root Mag#1 Model: Model: Veeder-Root #208 Model: Model: Model: Veeder-Root PLLD Model: Veeder-Root Mag #1 Model: Beaudreau Model: Veeder-Root Mag #1 Model: Model: Veeder-Root #208 Model: Model: Model: Veeder-Root PLLD Model: Veeder-Root Mag #1 Model: Beaudreau ected/serviced: Tank ID: Plus I8IIn-Tank Gauging Probe. DAnnular Space or Vault Sensor. I8IPiping Sump! Trench Sensor(s). DFill Sump Sensor(s). DMechanical Line Leak Detector. I8IElectronic Line Leak Detector. I8ITank Overfill! High-Level Sensor. I8lDispenser Containment Sensor(s). 181 Shear Valve(s). DDispenser Containment Float(s) and Chain(s). DOther s ci e ui ment and model in Section E on Pa e 2 . Tank ID: Diesel I8IIn-Tank Gauging Probe. DAnnular Space or Vault Sensor. I8IPiping Sump / Trench Sensor(s). DFiIJ Sump Sensor(s). DMechanical Line Leak Detector. I8IElectronic Line Leak Detector. I8ITank Overfill! High-Level Sensor. I8IDispenser Containment Sensor(s). I8IShear Valve(s). DDispenser Containment Float(s) and Chain(s). DOther s ci e ui ment e and model in Section E on Pa e 2 . Model: Veeder-Root Mag #1 Model: Model: Veeder-Root #208 Model: Model: Model: Veeder-Root PLLD Model: Veeder-Root Mag #1 Model: Beaudreau Model: Veeder-Root Mag #1 Model: Model: Veeder-Root #208 Model: Model: Model: Veeder-Root PLLD Model: Veeder-Root Mag #1 Model: Beaudreau C, Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy ofthe (check all that apply): Technician Name (print): Testing Company Name: Dillon Harrington R. J. Myers & Co., Inc. CALM-Ol I8ISystem set-up report; DAlarm history report. Cert./Lic. No.: 600-52-4741 Signature: Dillon Harrington Phone No.: (805)383-9244 Page 1 of3 11/15/99 e e Instructions for Equipment Testing and Certification General Instructions 1. Equipment that monitors underground storage tank systems containing hazardous materials must be tested/serviced annually, or on a schedule specified by the manufacturer, whichever is more frequent. 2. This certification form must be used to document the following activities: I.) Periodic testing as described above; 2.) Testing of new monitoring systems upon installation; 3.) Testing of replacement sensors, probes, or other system components; and 4.) Testing of repaired sensors, probes, or other system components. 3. As noted on Page 1, a separate certification form must be completed for each individual monitoring system control panel. For example: If one control panel monitors in-tank gauging probes and another panel monitors electronic line leak detectors, two certification forms are required. 4. Except in the case of emergency repairs, many local agencies require that a permit be obtained prior to installing new monitoring systems or components (i.e. installation of new or different equipment, rather than using parts identical to those replaced). Check with your local agency for their requirements before starting work. Section B 1. In the Tank ill sections, describe which tanks you worked on (e.g. Diesel Tank, North Tank, Middle Tank). 2. For compartmented tanks, list each compartment as a separate tank. 3. Where "Model" is asked for, the name of the manufacturer and the manufacturer's specific model name or number, as referenced in the "List of Leak Detection Equipment and Methods for Underground Storage Tanks" (i.e. LG-I13) must be specified. 4. Hands-on functional testing of individual leak detection components to confirm operability to manufacturer's specifications and state regulations is required. This includes verifying any mechanical or electronic automatic shut-off features (e.g. dispenser floats and chains). In the case of sensors that can not be non-destructively tested, contact your local agency that regulates UST systems to see if they will approve alternate testing methods (e.g. testing of representative samples). Section C 1. Certification must be made by a licensed and certified technician as per 23 CCR § 2. All work associated with testing/servicing of equipment must be performed by or under the direct supervision of the certifying technician. Section D 1. When testing operability of positive turbine shut-down, you must: 1.) verify shut-down by simulating a leak; and 2.) verify shut-down by disconnecting the sensor. Attachments 1. Site Plan - You must attach a drawing showing the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spiII containers, and other secondary containment areas; mechanical or electronic line leak detectors; and in- tank liquid level probes (ifused for leak detection). Note the date the Site Plan was prepared. 2. System Se~-up Report - If the monitoring system or diagnostic equipment used in testing is capable of generating a hard- copy report describing system set-up, you must include a copy of the report with this Certification. 3. Alarm History Report - If the monitoring system is capable of generating a hard-copy alarm history report, you must include a copy of the report with this Certification. Relevant alarms that should appear in this report include overfill, high water, and leak detection equipment-related alarms. This report should be printed before you test any sensors. CALM-Ol 11115/99 e e Monitoring System Certification Site Address: 2601 White Lane, Bakersfield Date of Testing/Servicing: 05/15/01 D, Results of Testing/Servicing Software Version Installed: 121. 00 DYes lete the followin checklist: DNo· Is the audible alann 0 erational? No· Is the visual alann 0 erational? DNo· Were all sensors visuall ins cted, functionall tested, and continned 0 erational? DNo· Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er 0 eration? If alanns are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) [8J Sumpffrench Sensors; D Dispenser Containment Sensors. Did you confinn positive shut-down due to leaks and sensor failure/disconnection? [8J Yes; D No. For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is installed), is the overfill warning alann visible and audible at the tank fill oint s and 0 eratin ro erl ? If so, at what ercent of tank ca aci does the alann tri er? % Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment re laced and list the manufacturer name and model for all re lacement arts in Section E, below. Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) D Product; D Water. If es, describe causes in Section E, below. [8J Yes D No· Was monitorin s stem set-u reviewed to ensure ro er settin s? [8J Yes D No· Is all monitoring e ui ment 0 erational er manufacturer's s ecifications? * In Section E below, describe how and when these deficiencies were or will be corrected, No· DN/A DNo· DN/A [8JYes Yes DYes· DYes· E, Comments: CALM-Ol Page 2 of3 11/15/99 e e Monitoring System Certification Site Address: 2601 White Lane, Bakersfield Date ofTestinglServicing: 05/15/01 F, In-Tank Gauging / SIR Equipment: DCheck this box if tank gauging is used only for inventory control. D Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. c h ~ II h kl' omp ete t e 0 owmg c ec 1St: [8J Yes DNo* Has all input wiring been inspected for proper entry and tennination, including testing for ground faults? [8J Yes DNo* Were all tank gauging probes visually inspected for damage and residue buildup? [8J Yes DNo* Was accuracy of system product level readings tested? [8J Yes DNo* Was accuracy of system water level readings tested? [8J Yes DNo* Were all probes reinstalled properly? [8J Yes DNo* Were all items on the equipment manufacturer's maintenance checklist completed? .. In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): D Check this box if LLDs are not installed. c Itthfill h klist omp ee e 0 owme: c ec : [8J Yes DNo* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD ON/A performance? (Check all that apply) Simulated leak rate: [8J 3 g.p.h.l; D 0.1 g.p.h?; 0 0.2 g.p.h.2 Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. [8J Yes DNo* Were all LLDs confmned operational and accurate within regulatory requirements? [8J Yes DNo* Was the testing apparatus properly calibrated? DYes DNo* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [8J N/A [8J Yes DNo* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? DN/A 181 Yes DNo* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is DN/A disabled or disconnected? [8J Yes DNo* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system DN/A malfunctions or fails a test? [8J Yes DNo* For electronic LLDs, have all accessible wiring connections been visually inspected? DN/A [8J Yes DNo* Were all items on the equipment manufacturer's maintenance checklist completed? .. In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: CALM-Ol Page 3 of3 11115/99 e e Instructions for Testing Line Leak Detectors Section G 1. Line leak detectors should be tested in-place, not removed. 2. The functional elements of the mechanical LLD are the piston and the diaphragm. To ensure that these elements are functioning properly, the submersible pump can be started and the time that the piston or diaphragm takes to move into a position to enable full flow of the product noted. The range of allowable opening times is specified by the manufacturer and is available in the equipment manual. 3. The presence of air pockets in the system will result in longer opening times since air is much more compressible than product. 4. Thennal expansion and compression may be a problem in areas where there are large temperature variances between day and night. The difference between product temperature and air temperature may be significant enough to create an expansion or contraction as the product is pushed up the line into the LLD. 5. The purpose of the relief valve is to ensure that the LLD can function properly and is not damaged by an excessive build-up of pressure behind the piston or diaphragm. If the pressure is excessive, the relief valve will vent into a copper tube that leads back to the tank. The connections to this tubing should be checked for leaks. CALM-Ol 11115/99 . , e i; Monitoring System Certification e UST Monitoring Site Plan Site Address: 2601 White Lane. Bakersfield, CA .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . . . Veeder- Root Cashier .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .STPIPL .. .. .. .. 00 o 0 0 o 0 0 000 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .[:] "'[~J .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. :[:] . . [~l .. .. .. .. . .. .. .. .. .. .. .. .. . . .. .Sump Sensor . Vapor. . . . . . Fill. . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .TLM. . . . . . . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Date map was drawn: ~ JL -ºL. Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. CALM-02 Page -L- of Ì- 11115/99 ò e e i; A.Q,M,D, SUMMARY REPORT DATE: Texaco S/S 121017 2601 White Lane Bakersfield, CA. 05/15/01 S/S: ADDRESS: TP201,3: PASS FAIL N/A X Reason For Failure: Test not required at this time. TP201,4: PASS FAIL N/A X Reason For Failure: Test not required at this time. TP201,5: PASS FAIL N/A X Comments: Test not required at this time. Electronic Monitor Results: PASS X FAIL N/A Reason For Failure: Drop Tubes: PASS X FAIL N/A Drop Tubes That Were Replaced: 87 89 92 Diesel Siphon Tank None X Reason For Failure: Containment Box Reoort: PASS X FAIL N/A Reason For Failure: Manufacturer: Size: 5 Gallons In Ground Type X Retrofittable CNI Pomeco Phil Tite Safe Lite FRC OPW Unk. 1 ,)'l-, ·I'f'··..:'· 'I';,"', ,:....]'.. L. ,,,¡ ...... , ,-'...... . .,' ,r- '_ ,_, ~...J t 1[". 2601 1.·,Ih ¡ I: ". Lön¡: 8."d<.;,,' sf j .;,] d J:A '3::nCJc1 8 J 25:3:3051IJ500 1 "1A'/ 1 O. :;:~ÜO I 'j : 25 !-if'l 1 r'·J\/Ef'rr,:)p·/ RLPC:'F.'T T _::1(."",,-. P] us VC'LU¡"IE ULLAGE 49:31 '3œ¿ ULLAGE> -:].949 HEIGHT IoJATER \/OL ~f~i T 1 : P01/.1';' '" VOL.Llr·'IE ULL.AGE '3œ.; UU.AC;1:> HEIGHT I,JI~TER \/0[, /··JfHER TEI"IP PI"ern 4 'i'[:'1 f; (I :~j ~~' 405U '14.1':.0 o 0,00 (;AU::; GfìLE3 G~1L~3 l¡··jf::HH:; GAL~::; If'JC'He::; DEG F 71 .:] 4E::35 (~;{;LE ~=~l;L~3 Gf~LE; INC.; HH:: Y~5. :.33 - CJ Gr1LS 0.00 I NCHE:::: 75.0 DEG F T 3: Un 1 ,,'¿d"'d \JOLU"'lE 6266 I.:;;:.\L:::; ULLAGE 3550 GALS 90\ ULLAIÆ~-, :2~JCt; GALS HEIGHT = 55.47 [NCHES L'JATER \/C'L (I 1:;i~U:; (.JATER I] . 01] I ¡.J(;HE::':; TEr-'IP 79. '3 DEG F T 4:D¡ <;'5".j VOL.Llr··1E ULLI4GE '3 W,; ULU\(;E" HEIGHT I,JI4TER \,/OL (,JATER TEI"1f' - '" '" '" '" .*: END ~ .* :~ ,,.,. .~ 72Cif., 2C10 162f:: t·;?65 CI 0.00 GML~3 GAU:: Gt-iL:=:: 1 NC HE:; (;AU::: 1 NC;HEi3 DEG F 74.2 e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester A ve,~ 3rd Floor ~ Bakersfield~ CA 93301 - c:~ f FACILITY NAME Ic'f.fArO u.JQ¡. t'tta fr INSPECTION DATE 5'10'(}\ Section 2: Underground Storage Tanks Program o Routine I:iÍCombined 0 Joint Agency Type of Tank ~ ~CJJP- Type of Monitoring ~ T~ o Multi-Agency 0 Complaint Number of Tanks l.( Type of Piping !'úJF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile V / Proper owner/operator data on tile v / Permit fees current V Certification of Financial Responsibility V / Monitoring record adequate and current , / '" Maintenance records adequate and current vi / Failure to correct prior UST violations I\.......- / / Has there been an unauthorized release? Yes No t / Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank 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~comp¡;.n'iV~V;OI";on V~V" lo,p"to", . d4»o Office of Environmental Services (805) 326-3979 White - Env. Sves. N=NO a~6Q~-:;t- Business Site Responsible Party Pink - Business Copy e e CITY OF BAKERSFIEI"D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd J;'loor, Bakersfield, CA 93301 FACILITY NAME ¡;~(~ Fõl)~. ADDRESS ~fn() ( A) l-k. . FACILITY CONTACT_ INSPECTION TIME INSPECTION DATE r:;"ro "Of PHONE NO. :3 q7- U ìì { BUSINESS ID NO. 15-2 I 0- NUMBER OF EMPLOYEES 5" Section 1: Business Plan and Inventory Program o Routine ~ Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate penn it on hand '-' V Business plan contact infonnation accurate v V Visible address V / Correct occupancy \... / Verification of inventory materials L.- / Verification of quantities it...- / Verification of location L.. / Proper segregation of material L / Verification of MSDS availability v / Verification of Haz Mat training t... / Verification of abatement supplies and procedures l / Emergency procedures adequate L I Containers properly labeled \.. I Housekeeping v / Fire Protection l.- I¡ Site Diagram Adequate & On Hand ~ C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ONo Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ·IED PROGRAM CONSOLIDA TED FORM . FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION P""e of 1. IDENTIFICA TION FACILITY ID I I I I I I I I I I I 1 I II I BEGINNING DATE 100 I ENDING DATE 101 1/15/01 12/31/01 BUSINESS NAME (Same as FACILITY NAME or DBA· Doing Business As 31 BUSINESS PHONE 102 TEXACO STAR MART #121017 661-397-4771 BUSINESS SITE ADDRESS 103 2601 WHITE LANE (a), EL POTRERO CITY 1041 ZIP CODE IOS BAKERSFIELD CA 93304 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 5541 COUNTY 108 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 CALVIN WILLS 661-397-4771 II. BUSINESS OWNER OWNER NAME III OWNER PHONE 112 CALVIN WILLS 661-397-4771 OWNER MAILING ADDRESS 113 PO BOX 7869 - CITY 1141 STATE liS 1 ZIP CODE 116 BURBANK CA 91510-7869 III.ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 FERY AL SARRAFIAN 818-736-5078 CONTACT MAILING ADDRESS 119 PO BOX 7869 CITY 120 I STATE /2/ I ZIPCODE 122 BURBANK CA 91510-7869 -PRELIMINARY - IV. EMERGENCY CONTACTS -SECONDARY - NAME /23 NAME 128 CALVIN WILLS FERY AL SARRAFIAN TITLE IN TITLE 129 OWNER SH&E COMPLIANCE COORDINATOR BUSINESS PHONE w BUSINESS PHONE 130 661-397-4771 818-736-5078 24-HOUR PHONE 126 24-HOUR PHONE 131 661-837-1389 310-489-6296 (CELL) PAGER # 127 PAGER# In NONE NONE ADDITIONAL LOCALLY COLLECTED INFORMATION: /13 Certification: Based on my inquiry of those individuals responsible 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 infonnation is true, accurate, and complete. SIGNATURE OF OWNER/OPER~TOR ~~~EPRESENTATIVE DATE \ /34 NAME OF DOCUMENT PREPARER 135 11 - l. ~ _V' R.S. WATSON NAME oFSIGNER (print) - C 136 TITLE OF SIGNER /17 FERY AL SARRAFIAN SH&E COMPLIANCE COORDINATOR UPCF ( 1/99 revised) 4 OES FORM 2730 (1/99) ß..(@~~CV FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "HO Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399·5763 -. IÞ January 22, 2001 Texaco Star Mart 2601 White Lane Bakersfield Ca 93304 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went into effect January 1,2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will . be forced to revoke your permit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plàns to update you. I urge you to start planning now to retro-fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Si~ d£w Steve Underwood, Inspector Office of Environmental Services SBU/dm ""Y~ de Y5~ .¥OP .Æ60Pe ..o/~ .Æ W~" -- CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301 FACILITY NAME TC'itl(O Fool f(,1Q I't INSPECTION DATE~ Section 2: Underground Storage Tanks Program o Routine crtombined 0 Joint Agency Type of Tank ,gwF Type of Monitoring A-~ o Multi-Agency I L 0 Complaint Number of Tanks r Type of Piping l,w F ORe-inspection ) OPERA TION C V COMMENTS Proper tank data on tile vi Proper owner/operator data on tile / V Perm it fees current V V Certification of Financial Responsibility VV Monitoring record adequate and current V Maintenance records adequate and current V- \ / Failure to correct prior UST violations ../ Has there been an unauthorized release? Yes No 1 / - 1 Section 3: Aboveground Storage Tanks Program AGGREGA TE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION 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? White - Fnv. Svcs. Pink - Business Copy C=Compliance Y=Yes N=NO Inspector: Oftïce of Environmental Services (805) CITY OF BAKERSFIELD \ "L, 0 \ I OFW'E OF ENVIRONLVIENTAL _VICES 1715 Ch~er Ave" Bakersfield, CA 9330?'f661) 326-3979 ~. RENEWAL PERMIT 0 5. CHANGE OF INFORMATION (Spacìlychanga' o 4. AMENDED PERMIT IoC81 usa only) "__,,_._.. . ._. . . 0 6. TEMPORARY SITE CLOSURE ".._.JJ:t.{) (' , 0~~'\¿=[f1-'--·----·'--'--~~'· ~.;;;~;~ I SITE INFORMATION --.------------..---....------.. BUSINESS NAME (Same as FACILITY NAME or DBA - Ooòng Business As) 3 : FACILITY 10 * I : '(Tí J; II ¡ -l ¿:y~ cS TAt<. \-./\\A.Q.'Î ¡ ! I ;. 'ÑÊAREST C~. os ~-ÉET-- Q 401. i FACILITY OWNER TYPE -.;.,- ..i__L-_ l\1J~~r. é::-L-. Q ~\R¿-~ 0 I ~~: ~~~:::ION BUSINESS lot 0 0 1 . TYPE ¡a 1. GAS STATION 3. FARM 5. COMMERCIAL ! 0 3. PARTNERSHIP o 2. DISTRIBUTOR 0 4. PROCESSOR 0 6. OTHER 403. I 'rõTÃlNuMBER OF TANKS Is ladllty on Indian Reservation or 'If owner of UST a public agency: name of supervisor of REMAINING AT SITE trustlands? division. section 0( office whid1 operates the UST. 4- I' (This is the contact person (0( the lank records.) 404. 0 to Yes j.o!S.No 405. i UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Cheel< one Ilem only) o 1. NEW SITE PERMIT II. PROPERTY OWNER INFORMATION Page L o( :J o 7. PERMANENTLY CLOSED SITE o 8. TANK REMOVED 400. o 4. LOCAL AGENCY/OISTRICT' o 5. COUNTY AGENCY' o 6. STATE AGENCY' o 7. FEDERAL AGENCY' 402. 406. LLC 407. PHONE 400. 6\ ß -'"1 =3 '==' - 5078 PROPERTY OWNER NAME - - t::::::: Q V\.'- (:) N t:::: \-.l "T ¿..g y R. \ :;; c.s MAILING OR STREET ADDRESS Po 60>-' 7~q CITY 0V~\BA~C- -PROPERTY' OWNER TYPE !&t' 1. CORPORATION 410. ¡STATE 411. ¡ OA I o 4. LOCAL AGENCY I DISTRICT o 5. COUNTY AGENCY o 2. INDIVIDUAL o 3. PARTNERSHIP 409. ZIP CODE 412. q I .5"\ 0 - ~8C79 o 6. STATE AGENCY o 7. FEDERAL AGENCY 413. Ill. TANK OWNER INFORMATION 414. PHONE 415. fh8- t-f2>&-5078 416. TANK OWNER NAME ~ E:;:.. V\. L.- 0)--4, C. "'-l T ë ~ f> \ ð c ..=:. MAILING~ STREETADDRESS ~O QOX If 8eoc¡ CITY . \~...JR0AN'c::... -'TANK OWNER TYPE L L c... 417. ; STATE 418. ¡ OA ~ 1. CORPORATION o 2. INDIVIDUAL o 3. PARTNERSHIP o 4. LOCAL AGENCY I DISTRICT o 5. COUNTY AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER TY{TK)HQ Call (916) 322-9669 if questions arise V. PETROLEUM UST FINANCIAL RESPONSIBILITY ZIP CODE c:¡ I S\ 0 - ~BbC¡ o 6. STATE AGENCY 420. o 7. FEDERAL AGENCY 419. 421. INDICATE METHOO(S) ~ 1. SELF-INSURED o 2. GUARANTEE o 3. INSURANCE o 7. STATE FUND o 8. STATE FUND & CFO LETTER o 9. STATE FUND & CD o 4. SURETY BOND o 5. LETTER OF CREDIT o 6. EXEMPTION o 10. LOCAL GOVT MECHANISM o 99. OTHER: VI. LEGAL NOTIFICATION AND MAILING ADDRESS 422. Check one box to Indicate whid1 address should be used (0< legal notificalions and mailing. Legal notifications and mailings will be sent to tile tank own.... unless box 1 0< 2 is cMed<ed. o 1. FACILITY ~ 3. TANK OWNER 423. o 2. PROPERTY OWNER VII. APPLICANT SIGNATURE Certification: I certify that the In(onnatlon provided herein Is true and accurate to the best of my knowtedge. SIGÑÃfüRË OFAPPLICANT V ~~. I OA~ l ~ VV 42~J ~~~~.~;~ _ 5~ 7;' .: NAME OF APPLÎCÃÑT(;;;¡;'U' =:::s -0 426'~1 ,"'-, ;b,,~,.¡--- a '" ~~ /?"'--:i.~~_...~_~R.er..F~ A.bl__._____.._____ .5 5-\.__ª,~__a~\.p'_J.è..~~~..,. ----ºgP\.~~T<?~ STATE UST FACILITY NUMBER (For IoC8/ use only) 429. 428. /1998 UPGRADE CERTIFICA TE NUMBER (For local use only) PCF (7/99) S :\CU P AF ORMS\swrcb-a. wpd (/~. , . l(. ~,.,;; I All'. """"-- ...... -- CITY OF BAKERSFIELD l 2. \ 0 , Î OFFI~OF ENVIRONlVlENTAL SE.CES 1715 Chester Ave" Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 rYPE OF ACTION I Clleck one ,tern only) o 1. NEW SITE PERMIT 0 4. AMENDED PERMIT ~J RENEWAL PERMIT Page t.. 0( o 5. CHANGE OF lNFORMATlON) o 6. TEMPORARY SlTE CLOSURE o 7. PERMANENTLY CLOSED ON SITE o 8. TANK REMOVED 430 (Specify reason . lor local use only) (Specdy change· lor local use only) I. TANK DESCRIPTION BUSINES: ;:~;:CI~~::A -~~ú~~~~__-__ ~=_--J~: FACILITY 10 # [-~-~I--¡T-~I_--, _LI--' . LOCà i'ìü-Ñ-¡,<iíTHiÑ5ÎTE (Opäona/j------------------ DATE iNSTALLED (YEARlMO) .._. ~ -~. - ----- --- -- .-. ----.------ 431 -TANKID# 434 \0, Ç/C'O . II. TANK CONTENTS PETROLEUM TYPE }g[1a. REGULAR UNLEADED o 1b. PREMIUM UNLEADED o 1c. MIDGRADE UNLEADED D 2_ LEADED D 3. DIESEL D 4. GASOHOL o 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WALLIN A VAULT ')(3. FIBERGLASS I PLASTIC o 4'. STEEL CLAD W/F1BERGLASS REINFORCED PLASTIC FRP 3. FIBERGLASS I PlASTIC o 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING o 4. PHENOLIC LINING o 1. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE YEAR INSTALLED - -----------~ 433 , COMPARTMENTALIZED TANK 0 Yes )ð,l No II ·Yes·, complete one page lor each compartment. 436 nmMBEROF COMPARTMENTS ----- --.-. r TANK MANUFACTURER Ov.Jre\-l,~ Q(.<~\,-\C\ TANK CAPACITY IN GALLONS 432 435 : ADDITIONAL DESCRIPTION (For local use only) · TANK USE 439 · ¥ 1. MOTOR VEHICLE FUEL · (If marked, complete Petroleum Type) o 2. NON-FUEL PETROLEUM o J. CHEMICAL PRODUCT D 4. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN ):(1. I!(2. œt 3. 43-7 438 : TYPE OF TANK : (Check one flem only) . TANK MATERIAL - primary tank . (Check one item only) 440 D 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER 441 CAS # (from Hazardous Materials Inventory page) COMMON NAME (from Hazardous Materials Inventory page) ~^,OTo~ QA~O'-\.~¿ III. TANK CONSTRUCTION 1. SINGLE WALL o 2. DOUBLE WALL o 1. BARE STEEL o 2. STAINLESS STEEL TANK MATERIAL - secondary tank 0 1. BARE STEEL : (CheCk one flam only) 0 2. STAINLESS STEEL I! TANK INTERIOR LINING OR COATING UCheek one flem ani , OTHER CORROSION ! PROTECTION IF APPLICABLE I : (Check one itam only) SPILL AND OVERFILL : (Check all that apply) D 1. RUBBER LINED o 2. ALKYD LINING SPILL CONTAINMENT DROP TUBE 3. FIBERGLASS REINFORCED PLASTIC D 4. IMPRESSED CURRENT 450 TYPE (Forloeal use only) 451 .6' QAt.- a~ 0~~.... ¡ h:.APP¿t ø-A~ t::... T" at;. <: ; :«!:iy·t~ijl(j:.~ ÒE.:rÊë:1'tC?N 453 STRIKER PLATE 0,. ,~,~,;~~~~~,il~~::,~~~¡!;~~;1~:1E:;~Y J:,~. :. :~~ ·f;~:~:~.:~:~~~r;~:,~~~,'~;~' IF SINGLE WALL TANK (Check all /hat apply): VISUAL (EXPOSED PORTION ONLY) AUTOMATIC TANK GAUGING (ATG) CONTINUOUS ATG D 1. 15l2. 03. D 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING f-~'----'- 442 o 5. SINGLE WAll WITH INTERNAL BLADDER SYSTEM o 95. UNKNOWN 099. OTHER o 5. CONCRETE o 8. FRP COMPA TIBLE W/100% METHANOL 443 095. UNKNOWN o 99. OTHER 444 o 8. FRP COMPATIBLE W/100% METHANOL o 9. FRP NON-CORRODIBLE JACKET 010. COATED STEEL __ ,95. UNKNOWN o 99. OTHER 445 o 5. GLASS LINING o 6. UNLINED X 95. UNKNOWN o 99. OTHER DATE INSTAllED 447 446 (For local use only) DATE INSTALLED 449 ,,.95. UNKNOWN o 99_ OTHER 448 (Far local use Only) OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 o 1. ALARM .Þ('3. FILL TUBE SHUT OFF VALVE ~2. BALL FLOAT _ 0 4. EXEMPT '~',:~: ·;':~/r,¡· :" :" )···,;>~\~t;:~~r/~!\:~-F~~r;,<::~; ~'!{:~<}~,:~l' ~'~,' :-.". '.",,' " ·:'F~~~h(,-;:~}~~Ã~:::;t;,;·:~, IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 Ot. 02. ! 0 J. o 5. MANUAL TANK GAUGING (MTG) o 6. VADOSE ZONE o 7. GROUNDWATER o 8, TANK TESTING o 99. OTHER V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ~..-----~. ; ESTIMA TED DATE LAST USED (YRlMOIDA Y) VISUAL (SINGLE WALL IN VAULT ONLY) CONTINUOUS INTERSTITIAL MONITORING MANUAL MONITORING gallons Dyes 456 TANK FILLED WITH INERT MATERIAL? 457 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING DNa ---------. ".--...---.--.--- -.-.,.---- -.."'-.------- - ..-.-"--- -------. -.--.......-.-,....- . --..--..-.------ ----_._-._----~------_.'-- --- UPCF (7/99) S:ICUPAFORMSISWRCB-B.WPO =' ~. a CITY OF BAKERSFIELD I .. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave.. Bakersfield. CA 93301 (661) 326-39 9 / " UST - TANK p~¿, . Page ~of ~r ---~--.._.__._._.- .-------.---- - .- -.------- .,--.--. . -..-..---------- A"ëÕ"VËGROUND -PiPiÑÕ'--- -.---.-----..--- .----- VI. PIPING COHSTRUCTION (CMck an that apply) sysrEM TYPE V 0 0 . - "0 Jl!!.. . PRESSURE 2. SUCTION 3. GRAVITY 456 i.... I. PRESSURE CONSTRUCTlON1)8( 1. SINGLE WALL 0 3. LINED TRENCH 099. OTHER 460; 0 1. SINGLE WALL MANUFACTURER:O 2. DOUBLE WALL 095. UNKNOWN : 0 2. DOUBLE WALL ___. . MA~~~~CT~~'::R___ ._____ _____ .~~~-L _______._MAN~~~~~~~_~R._ .' :0 L BARE STEEL 06. FRPCOMPATIBLEWIloo%METHANOL ! 0 I. BARESTEEL MATERIALS AND:O 2. STAINLESS STEEL 0 7. GALVANIZED STEEL , 0 2. STAINLESS STEEL œAAOO~N ; I PROTECTION 10 3. PLASTIC COMPATIBLE WITH CONTENTS 095. UNKNOWN I 0 3. PLASTIC COMPATIBLE WITH CONTENTS :k 4. FIBERGLASS 0 6. FLEXIBLE (HOPE) 0 99. OTHER : 0 4. FIBERGLASS :0 5. STEEL WI COATING 0 9. CATHODIC PROTECTION 464 ! 0 5. STEEL WI COATING . V11. PIPING LEAK DETECTION (Check all that apply) . .. ] A~~.vEGROUND PIPING 466 : SINGLE WALL PIPING I PRESSURIZED PIPING (Check all that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3_0 GPH TEST!!YllJj AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0. 1 GPH) o 4. DAILY VISUAL CHECK o 16. ANNUAlINTEGRITYTEST(O.1 GPH) o 17 . DAILY VISUAL CHECK ,,;:.';.l.i.···:.l.·...·.'.j..:.':.'.:';;1:;-. .'<,;. f..{:\·¡;,:¡;.if~)2~Ä~i'~~>té:~.íll¡DISPi:~SER CONT AiNME.NT' ~ ".~ "",. :'~,-' ".",)"",10.,.~,~,_":>",,,, '."" ...w." ,'fI,-:Þ.. ..;~ .,.,.'.'.. ,c' "'; ,.,~ ~,','. 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ~ 3_ CONTINUOUS DISPENSER PAN SENSOR!!YllJj AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERA TOR SIGNATURE ..--.----.-- UNDERGROUND PIPING . --~----_.- UNDERGROUND PIPING ....._-- ---- ·--·--------SïNGLE WALL PIPING PRESSURIZED PIPING (Check all (hat apply): ~ 1. ELECTRONIC LINE LEAK OETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION. AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST 8( 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all thet apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Ched< one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) W1TH flOW SHUT OFF OR RESTRICTION - o 12_ ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) o 14. CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS :J 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION o 16. ANNUALlNTEGRITY TEST (0.1 GPH) o 17. OAIL Y VISUAL CHECK DISPENSER CONTAINMENT DATE INSTALLED 468 02 o 3. GRAVITY SUCTION o 95. UNKNOWN o 99. OTHER 459 462 ..._. ___________ _ 463 o 6. FRP COMPA TlBLE WI 100% ~ET;;-~~;:- -- o 7. GALVANIZED STEEL o 6. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 ---"467 CONVENTIONAL SUCTION SYSTEMS (Check all that apply): o 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check all that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERG ENCY GENERATORS ONLY (Check all that apply) o 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) -'..,. ~~,< ;'~. r~ ,. . ,'~, .,( o 4. DAILY VISUAL CHECK o 5. TRENCH LINER I MONITORING o 6. NONE 469 '_'_'___'__'_'Ow '1 certify Ihallhe information provided herein Is IrtJe-;';d accurale 10 Ihe besl of my knowledge. SIGNA JURE ÒF OÌo\ÎNERÍÕÍ>ERà TOR ~------ .-----~,,-- --'1' DATi ---------- .---- . -- ----- ---- ---- -----'47õ ""'&~~:=:;-=~:--- ~~'Lßn!~7~~ð,=~€=~~~ß_a~~~:.~ PermIt NumDer (For local use only) 473 I Permit Approved (For local use only) 474 Permll Expiration Dale (For 10çel use only) 475 JPCF (7/99) S:ICUPAFORMSISWRCB-B. WPD /("/~'~. "" !L.'LLU F "111 AIIT" -- ....... .~- ---- . CITY OF BAKERSFIELD. l 2.. \ 0 I Î OFF~ OF ENVIRON~IENTAL SÈ1fVICES 1715 Chester Ave" Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 rì'PE OF ACTION IC/leck one ,rem only) D I. NEW SITE PERMIT D 4 AMENDED PERMIT Page <=t t&,J. RENEWAL PERMIT o 5. CHANGE OF IN FORMA TlON) of D 6. TEMPORARY SITE CLOSURE D 7. PERMANENTLY CLOSED ON SITE (Specdy reason -lor local use only) (Specdy change -Iorlocal use only) D 6. TANK REMOVED BUSIÑESSNAME(Sa;;:'e~;FAÒLïiŸÑÃMEófDBÃ-_Öoi-;'g-ãúS;~-As)--- -- --3--iFAëïUiŸÏ6Ïl-í-~]-' ---. -:- --I' --- - --. -- -- - - ----------- ! I I : r ______~ ~~c.o '5TA-Q... \:..-^ oA '2 -r : ',¡ " ,::' ----- - -- -------------------- -----_________ __U _ ._.___.____ __ _ LOCA TlON WITHIN SITE (Optional) - -- --- - - ---431 430 I. TANK DESCRIPTION 434 -r ANKIÕ# TANK MANUFACTURER ([:) -....N fê\.J..=;) TANK CAPACITY IN GALLONS r--ì 433 COMPARTMENTALIZED ~ AN':-O~-""1?( No L-i::> ~ ~ \ '--,,, If "'fes·. complete ooe page IQ( each compar1ment. . -'-43š-r-N-üM"ãË1fõ-F COMPARTMOOS --"-.- --- ¡ 432 -ÖÄiË-ii;¡SiÁï:LED (YEARiMO) 435 ADDITIONAL DESCRIPTION (For lOcal use only) \0\ C?OO 4:3"7 438 II. TANK CONTENTS 440 \./ TANK USE )2Sl1. MOTOR VEHICLE FUEL (If markad. complete Petroleum Type) D 2. NON-FUEL PETROLEUM o 3. CHEMICAL PRODUCT D 4. HAZARDOUS WASTE (Includes Used Oil) D 95. UNKNOWN PETROLEUM TYPE o 1a. REGULAR UNLEADED t8:, b. PREMIUM UNLEADED o 1c. MIDGRADE UNLEADED D 2. LEADED o 3. DIESEL D 4. GASOHOL 439 o 5. JET FUEL D 6. AVIATION FUEL o 99. OTHER COMMON NAME (from Hazardous Materials Inventory page) 442 441 CAS # (from Hazardous Malerials Inventory page) ~f\O'lO~ QA::>O,-..~ rì'PE OF TANK III. TANK CONSTRUCTION o 3. SINGlE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WALL IN A VAULT ~ 3. FIBERGLASS I PLASTIC o 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC FRP 3. FIBERGLASS I PLASTIC D 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE 'Check one item only) 1. SINGLE WALL o 2. DOUBLE WALL "ANK MATERIAL - primary lank 0 1. BARE STEEL Check one item only) 0 2. STAINLESS STEEL 'ANK MATERIAL - secondary tank 0 1. BARE STEEL Check one item only) 0 2. STAINLESS STEEL o 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM o 95. UNKNOWN o 99. OTHER 443 o 5. CONCRETE o 8. FRP COMPATIBLE W/100% METHANOL o 95. UNKNOWN o 99. OTHER 444 o 8. FRP COMPATIBLE W/100% METHANOL o 9. FRP NON-CORRODIBLE JACKET 010. COATED STEEL .- 95. UNKNOWN o 99. OTHER 445 ANK INTERIOR LINING IR COATING o 3. EPOXY LINING o 4. PHENOLIC LINING 446 450 TYPE (For local use only) 451 )(1. SPILL CONTAINMENT 5G',q..... a~ ¡g.2. DROP TUBE 0.Q....... J ';:---...Af'&t ~ 3. STRIKER PLATE 0-A~-=::c:T' UG...¿: IF SINGLE WALL TANK (Check aI/that apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 VISUAL (EXPOSED PORTION ONLY) 05. MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL INVAULTONLYj AUTOMATIC TANK GAUGING (ATG) 0 6. VADOSE ZONE 1 0 2. CONTINUOUS INTERSTITIAL MONITORING CONTINUOUS ATG 0 7. GROUNDWATER i D 3. MANUAL MONITORING STATISTICAL INVENTORY RECONCILIATION (SIR) + 0 6. TANK TESTING BIENNIAL TANK TESTING 099. OTHER ! V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE o 1. RUBBER LINED o 2. ALKYD LINING ;heck one item ani 'THER CORROSION ROTECTION IF APPLICABLE o 1. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE YEAR INSTALLED 3. FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT ;heck one item only) PILL AND OVERFILL ;heck a/l rhat apply) :J '. ~2. ] 3. ] 4. o 5. GLASS LINING D 6. UNLINED X 95. UNKNOWN D 99. OTHER DATE INSTALLED 447 ;J5. UNKNOWN o 99. OTHER (For local use only) DATE INSTALLED 449 448 (For local use only) OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED o 1. ALARM .Q(3. FilL TUBE SHUT OFF VALVE ]5(2. BALL FLOAT _ 0 4. EXEMPT 452 DNO .STIMATED DATE LAST USED (YRlMOIDAY) 455 ESTIMATED QUANTIìY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 gallons Dyes - ---.---- -'-.'.---~---~.#~ --.----.------" -'--'-"-.-.-.,".- . .__..-------- -------,._--------~-_.,---- 'CF (7/99) _ ___ ___hA _._. .._-..'----_._--- S:\CUPAFORMSISWRCB-B. WPO ,-o-.f' ;' .. CITY OF BAKERSFIELD I . OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield. CA 93301 (661) 326-3 ,/ '.--.----------- UST. TANK p~::" --.:.....---------.. ._-_._~-~- - § '?~._~,. UNDERGROUND PIPING --Ä'ãÕ'VEGRõUÑÕ-PiPiNG--- -'-' .----------.... --.-- VI. PIPING CONSTRUCTION (CMck en that apply) -._"------~._--- SYS rEM TYPE 'M:. I PRESSURE 0 2. SUCTION 0 3 GRAVITY 458 : 0 I. PRESSURE CONSTRUCTlONI)&( 1. SINGLE WALL 0 3. LINED TRENCH 099. OTHER 460; 0 1. SINGLE WALL MANUFACTURER.O 2. DOUBLE WALL 095. UNKNOWN ¡ 0 2. DOUBLE WALL MA~~~~.CT~~~_______ _______ ~1_L _____._ .~N'!.~~~~~~~~. '. : 0 ,. 8ARE STEEL 0 6. FRP COMPA TI8LE WI1 00% METHANOL ¡ 0 1. 8ARE STEEL MATERIALS AND '0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL I 0 2. STAINLESS STEEL CORROSION ' PROTECTION ,0 3. PLASTIC COMPATI8LE WITH CONTENTS 095. UNKNOWN ,0 3. PLASTIC COMPATIBLE WITH CONTENTS [,b( 4. FIBERGLASS 0 8. FLEXIBLE (HOPE) 0 99. OTHER I 0 4. FIBERGLASS '0 5. STEEL WI COATING 0 9. CATHODIC PROTECTION 4641 0 5. STEEL WI COATING . VII. PIPING LEAK DETECTION (CMck all that apply) . I 466 EMERGENCY GENERATORS ONLY (Chack al/ that apply) o 14. CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS :J 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION o 16. ANNUALlNTEGR/ìYTEST(0.1 GPH) 016. ANNUALlNTEGRITYTEST(0.1 GPH) o 17. DAILY VISUAL CHECK 017. DAILY VISUAL CHECK ; ,_ <~';",~,{ ".~}~,/~.:·.;~;:E~ :'\...·~Z:~~~~ii:-;t'?~H::'.w':,'1(j"iR!S~E,~~ER CO~1" A(~~~NT' .... DISPENSER CONTAINMENT 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE DA TE INSTALLED 468 0 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ~ 3. CONTINUOUS DISPENSER PAN SENSOR~ AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE UNDERGROUND PIPING ....---..--- .--. --------ŠïNGLE WALL PIPING PRESSURIZED PIPING (Check aI/thai apply): ~ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST ~ 3. ANNUAL INTEGRlìY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAL INTEGRlìY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check aI/ that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Ched< one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o ". AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION - o 12. ANNUAL INTEGRlìY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS o 2. SUCTION o J. GRAVITY 459 o 95. UNKNOWN o 99. OTHER 462 463 ...--.-.- --.- o 6. FRP COMPATIBLE WI 100% MéT~;~-;~" o 7. GALVANIZED STEEL o 8. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION 095. UNKNOWN 465 ABOVEGROUND PIPING ŠINGLE WALL PIPING I PRESSURIZED PIPING (Check all that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. SYSTEM I=AlLURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0. 1 GPH) o 4. DAILY VISUAL CHECK -- 467 CONVENTIONAL SUCTION SYSTEMS (Chack all that apply): o 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN 8ELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check aI/that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING I PRESSURIZED PIPING (Check aI/that apply): , 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (d1ed1 one) IDa. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS lOb. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION 0 c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC lEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUOl8LE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check a/I thet apply) o 14. CONTINUOUS SUMP SENSOR~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) -. ~.;...I."r.' . ,', .,( o 4. DAILY VISUAL CHECK o 5. TRENCH LINER I MONITORING o 6. NONE 469 .-----.-... 'ï certify Ihallne infonnallOf provided here;n I. lrue-;;;;d accurale 10 Ihe best of my knowledge. ::;;:;~;'~::~-~-A:---.,~l;;~~¡cf:;=-:<---=-:~~~- ~~:; .' ......___~f?::d'â..L- _56J___ R ËU_.__.~ ._._..L._________.._______ ..__ _.____p _.JA.t::\C____a___~__~ Permil Number (For locs/ uss only) 473 I Permll Approved (For local usa only) 474 , Permll Expiration Dale (For local usa only) 475 JPCF (7/99) S:\CUPAFORMS\SWRCB-B.WPD (/.~.. ;:: ':ki~1 ..0100..- ---oa. -- . CITY OF BAKERSFIELD. l 2- \ 0 I Î OFF~E OF ENVIRONlVIENT AL SETvICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 Page c:¡ 0( r't'PE OF ACTION o t. NEW SITE PERMIT 0 4. AMENDED PERMIT o 6. TEMPORARY SITE CLOSURE o 7. PERMANENTLY CLOSED ON SITE (Specdy reason -lor local use only) (Specdy change -/orlocal use only) 0 8. TANK REMOVED BUSIÑES-SNAMEtSa;'~~FAéiÜTYNÃME 0; OS;.: : D(,¡r;g-B~ši~ess-ÄS)'-'-" --.. .----.----3-TFACiUiYíi5ïlr-i]-.. ----;-'-1' i' --. ;,u_.' '-- '- _'''_'__h_ .--.-.------.-. j t I ¡ j. ! . . _.__._~.~~C-O _~_'T~._~"_~_~_~__._._____._L____L: ·.Ll_ t __.:.LL.__ LOCA nON WITHIN SITE (Opüonal) -'--..-- -- '---431 (CtlÐck one dom only) ~3. RENEWAL PERMIT o 5. CHANGE OF INFORMAnON) 430 -tÀNKIÕ¡¡------- 434 I. TANK DESCRIPTION 433 : COMPARTMENTALlZED-TAN;-'--Ö Yes -~ No If "Yes". complele one page for each compar1menl. :tfÙMBER OF COMPAATMOOS' ---- --'---¡ii ! I TANK MANUFACTURER o "" ¿;\..l.= Q c.<. N.. \ '-.\C\ TANK CÃPACITY IN GALLÕ¡"¡S ()ÄfË-INSi'ÃÜ.eD (YEARlMO) 432 435 ADDITIONAL DESCRIPTION (For local use only) 436 \0, <::X:/O \ 438 II. TANK CONTENTS V TANK USE 439 .øL 1. MOTOR VEHICLE FUEL (If marked. complete Petroleum Type) o 2. NON·FUEL PETROLEUM o 3. CHEMICAL PRODUCT o 4. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN PETROLEUM TYPE o 1 a. REGULAR UNLEADED o 1b. PREMIUM UNLEADED R'1C. MIDGRADE UNLEADED 440 o 2. LEADED o 3. OIESEL o 4. GASOHOL o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER 441 CAS # (from Hazardous Materials Inventory page) COMMON NAME (from Hazardous Materials Inventory page) \.-..(\.0 .....0 Q. QÂ~O 1....\ ~¿- 442 rY?E OF TANK 443 'Check one ;rem only) -ANK MATERIAL - primary tank Check one ;rem only) 1. SINGLE WALL o 2. DOUBLE WALL o 1. BARE STEEL o 2. STAINLESS STEEL - ANK MATERIAL· secondary tank 0 1. BARE STEEL Check one ;rem only) 0 2. STAINLESS STEEL ANK II'-ITERIOR LINING IR COATING :heck one ;rem ani 'THER CORROSION ROTECTION IF APPLICABLE ;heck one item only) PILL AND OVERFILL ;heck all that apply) ] 1. ~2. ] 3. ] 4. o 1. RUBBER LINED o 2. ALKYD LINING III. TANK CONSTRUCTION o 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WALLIN A VAULT ~ 3. FIBERGLASS I PLASTIC o 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FR?) M.3. FIBERGLASS I PLASTIC o 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING o 4. PHENOLIC LINING o 5. SINGLE WALL- WITH INTERNAL BLADDER SYSTEM o 95. UNKNOWN 099. OTHER o 5. CONCRETE o 8. FRP COMPATIBLE W/100% METHANOL SPILL CONTAINMENT DROP TUBE o 95. UNKNOWN o 99. OTHER 444 o B. FRP COMPATIBLE W/100% METHANOL o 9. FRP NON-CORRODIBLE JACKET o 10. COATED STEEL _ .95. UNKNOWN o 99. OTHER 445 .>( 95. UNKNOWN o 99. OTHER 446 DATE INSTALLED 447 (For local use only) DATE INSTALLED 449 o 5. GLASS LINING o 6. UNLINED o 1. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE YEAR INSTALLED )(1. ø::.. 2. ~ 3. ,STIMATED DATE LAST USED (YRlMO/DAY) 3. FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT ,.95. UNKNOWN o 99. OTHER 448 STRIKER PLATE ~::: :,: .~. .~,~~'~~~.ft\G;~:,~;!·tf~:~~~1};:i~ X~ '.~' ::~~_ '1~_;':;;:~~~~~;~:~;'~~¡r:~~:":'f;(!,:~iy~ ~fÂ'ij~:L~ ~~Ê'ë:tt.~ ..'~':~~:)~.~~,~:::: .) ;:/(h: t~:' t7\:~?¥.1f . t !~-¿,~ ~ ... f ;~ . " ·:{:~:~.tr~·~¡.>~~}~~:2~::~j~, ~ . IF SINGLE WALL TANK (Check all that epply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only): 454 VISUAL (EXPOSED PORTION ONLY) 0 5. MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL IN VAULT ONLY) AUTOMATIC TANK GAUGING (ATG) 0 6. VADOSE ZONE 0 2. CONTINUOUS INTERSTITIAL MONITORING CONTINUOUS ATG 0 7. GROUNDWATER 0 3. MANUAL MONITORING STATlSTICALlNVENTORY RECONC/LlA TlON (SIR) + 0 8. TANK TESTING i BIENNIAL TANK TESTING 0 99. OTHER j V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE 450 TYPE (For local use only) 451 ..5 QA'- a~ 0~,-.... ¡ ~....A pp,¡¡ t 0-A-,t:¿-T' rJ...G..£ (For local use only) OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 01. ALARM _ .k(3. FILL TUBE SHUT OFF VALVE _ jS;(2. BALL FLOAT _ 04. EXEMPT 456 TANK FILLED WITH INERT MATERIAL? 457 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING -.-.------ 'CF (7/99) .-...-.-- -...-------..--.--.---.------- I , gallons DYes DNa ,. .-..--...----..-- -------.--------'----.'-- --. S:\CUP AFORMS\SWRCB-B.WPD .,- i< e / CITY OF BAKERSFIELD _ OFFICE OF ENVIRONMENTAL SERVICES .. 1715 Chester Ave., Bakersfield, CA 93301 (661) 326.3979 . ...--.---.----- UST . TANK PI"':', .-:....---.------.- .._._._~.~ -~ '?~._:3.'" ~._.._-------- ABOVEGROUND PIPING VI. PIPING CONSTRUCTION (ChecJ! an thet apply) UNDERGROUND PIPING SYS rEM TYPE ~ 1 PRESSURE 0 2. SUCTION 0 3. GRAVITY 458" 0 I. PRESSURE CONS TRUCTlONI)g( 1 SINGLE WALL 0 '3. LINED ';R'ENCH 0 99. OTHER 460; 0 1. SINGLE WALL MANUFACTURER;O 2. DOUBLE WALL 095. UNKNOWN ! 0 2. DOUBLE WALL i '.._ ,. MA~~~CTU.~~.__ ..... __.__ .~1_L '_"'h..~N~~~~:::~~~R.... '0 1. BARE STEEL 0 6. FRP COMPATIBLE WI 100% METHANOL ! 0 1. BARE STEEL MATERIALS AND' 0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL II 0 2. STAINLESS STEEL CORROSION : PROTECTION iO 3. PLASTIC COMPATIBLE WITH CONTENTS 095. UNKNOWN! 0 3. PLASTIC COMPATIBLE WITH CONTENTS ¡jx( 4. FIBERGLASS 0 8. FLEXIBLE (HOPE) 0 99. OTHER Ii 0 4. FIBERGLASS ;0 5. STEEL WI COATING 0 9. CATHODIC PROTECTION 464 i 0 5. STEEL WI COATING . . VII. PIPING LEAK DETECTION (Check all that apply) . . I 466 o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o 17 . DAILY VISUAL CHECK \;.(~~;;V~~"";i'~'ik~'$\"Y¡I/~J:~!S.~E~~ER CO~TAÌ.~~.~NT' .... 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ;g¡ 3. CONTINUOUS DISPENSER PAN SENSOR ~ AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE UNDERGROUND PIPING ....._-- .....- '--'--------SiNGLE WALL PIPING PRESSURIZED PIPING (Check al/lhal apply): ~ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST 8( 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check alllhalapply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION - o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERA TORS ONLY (Check all that apply) ::J 14. CONTINUOUS SUMP SENSOR!"!!I!:!Q!!.I AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS :J 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o '7. DAILY VISUAL CHECK DATE INSTALLED J -il- f'f 468 --..-------.----.---. .-. ._.~------_....._-- 02. o 3 GRAVITY SUCTION o 95. UNKNOWN o 99. OTHER 459 462 463 o 6. FRP COMPATIBLE~;;~~-~~~;~~;:-h o 7. GALVANIZED STEEL o 8. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 ABOVEGROUND PIPING SiNGLE WALL PIPING I PRESSURIZED PIPING (Check all thai apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) o 4. DAILY VISUAL CHECK --"---. 467 CONVENTIONAL SUCTION SYSTEMS (Check all that apply): o 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check all that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) . SECONDARILY CONT AJNED PIPING PRESSURIZED PIPING (Check all thai apply): 10. CONTINUOUS TURBINE SUMP SENSOR J:Y!!!:! AUDIBLE AND VISUAL ALARMS AND (check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) o 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR á.o GPH TEST) ~!:' .:'(,": . ',' ~:>.... ..' o 4. DAILY VISUAL CHECK o 5. TRENCH LINER I MONITORING o 6. NONE 469 -.---.-.--.--.-.--..- " ë;¡¡¡ÿ Ihat Ihe ¡;;¡Òm1aUon provided herein Is lrue-ä;ïéj accurala to the besl of my knowledge. :;::~;:::::~ SX~,. ~ --.,~ti:¥f~AA~~:;=-:~~·=·::~=. A-r::: ..... C~_R~ê..L.:::._28-~R ~_.è____...L_.._____._.._....____.__.._._.._._.. _.J_I.'.\:._____a__._~__~ Permil Number (For local usa only) 473 I Permit Approved (For local use only) 474 I Permll expiration Dale (For local use only) 475 JPCF (7/99) S:\CUP AFORMS\SWRCB-B.WPD .- /"l..r- ........ .::(' , iLiLLLl ß' 1'111. AIlT. ~ ....... -- fì' PE OF ACTION I Clleck one ¡(em only) . CITY OF BAKERSFIELD a l 2.. \ 0 II OFF~ OF ENVIRON!\'IENT AL SEW\1ICES 1715 Chester Ave" Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 o 1. NEW SITE PERMIT 0 4. AMENDED PERMIT (! Page 1:P 0( 9..-. ~J. RENEWAL PERMIT o 5. CHANGE OF INFORMATION) 430 ..A.__._______.. -fANKIÕ'# 434 o 6. TEMPORARY SITE CLOSURE o 7. PERMANENTLY CLOSED ON SITE (Specify ",ason . lor local use only) (Specify change . lor local use only) 0 8. TANK REMOVED '""Ñ~:~~~~";:~;~~~~_==_= "ciümo. [I~i ¡l_~Ú,_ LOCATION WITHIN SITE (Optional) - ...----- -·------431 'ÖÄrË- iNSTALLED (YEARtMO) I. TANK DESCRIPTION 433 ", COMPARTME~AlIZED ~AN;---Ö Yes """if No If "Yes'. complete one page for eact! companment. 436 nrÜM'âËï:m-F COMPAATM8'¡'(S' ---- --"---¡-;ii i , TANK MANUFACTURER ([:) -...N ceW.=:J 0 (.( M. \ '--\~ TANK ëÃPACITY IN GALLÔNS 432 435 ADDITIONAL DESCRIPTION (For local use only) \G\ C?DO 438 II. TANK CONTENTS \.,¡ TANK USE )2Sl1. MOTOR VEHICLE FUEL (If marl<ed. complete Petroleum Type) o 2. NON·FUEL PETROLEUM o 3. CHEMICAL PRODUCT o 4. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN 439 PETROLEUM ìYPE o 1 a. REGULAR UNLEADED o 10. PREMIUM UNLEADED o 1c. MIDGRADE UNLEADED o 2. LEADED ';Kr 3. DIESEL o 4. GASOHOL 440 o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER 0\ té:5¿-L. ~v¿~ 442 1. SINGLE WALL o 2. DOUBLE WALL III. TANK CONSTRUCTION o 3. SINGLE WALL Wffii EXTERIOR MEMBRANE LINER o 4. SINGLE WALL IN A VAULT COMMON NAME (from Hazardous Materials Inventory pege) 441 CAS # (from Hazardous Materials Inventory page) TYPE OF TANK 443 'Check one ffem only) "ANK MATERIAL - primary tank Check one ffem only) o 1. BARE STEEL o 2. STAINLESS STEEL )(3. FIBERGLASS I PLASTIC o 4. STEEL CLAD W/FIBERGLASS REINFORCED PlASTIC FRP 3. FIBERGLASS I PlASTIC o 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING o 4. PHENOLIC LINING 'ANK MATERIAL - secondary lank 0 1. BARE STEEL Check one ffem only) 0 2. STAINLESS STEEL ANK INTERIOR LINING IR COATING :heck one item ani 'THER CORROSION ROTECTION IF APPLICABLE ;heck one item only) PILL AND OVERFILL ;heck a/l that apply) 450 ìYPE (For local use only) 451 5G?A,- a..~ DROP TUBE 0~,-,- .t t='".....A pp¿ t STRIKER PLATE ØA~~¿-( U&:...£ '.~;:,i::~:c'IT'i:';;:s;'~,':;~';~~:::iy.;~tÂ~¡();;~ ÒE.:tEçnpN:y,;;-~~' , 453 IF DOUBLE WALl TANK OR TANK WITH BLADDER (Check one item only): o 1. RUBBER LINED o 2. ALKYD LINING o 1. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE YEAR INSTALLED 3. FIBERGlASS REINFORCED PlASTIC o 4. IMPRESSED CURRENT )(1. ø:2. ~ 3. SPILL CONTAINMENT ] 1, ~2. ] 3. :J 4. 01. 02. ! 03. i i o 99. OTHER ! V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE 05. 08. 07. DB. VISUAL (EXPOSED PORTION ONLY) AUTOMATIC TANK GAUGING (ATG) CONTINUOUS ATG MANUAL TANK GAUGING (WG) VADOSE ZONE STA TlSTlCAL INVENTORY RECONCIUA TlON (SIR) + BIENNIAL TANK TESTING GROUNDWATER TANK TESTING o 5. SINGLE WALL WITH INTERNAL BLADOER SYSTEM o 95. UNKNOWN o 99. OTHER o 5. CONCRETE o 8. FRP COMPATIBLE W/100% METHANOL o 95. UNKNOWN o 99. OTHER 444 o 8. FRP COMPATIBLE W/100% METHANOL o 9. FRP NON-CORRODIBLE JACKET 010. COATED STEEL 95. UNKNOWN o 99. OTHER 445 o 5. GLASS LINING o 6. UNLINED )(95. UNKNOWN o 99. OTHER 446 DATE INSTALLED 447 (For local use only) DATE INSTALLED 449 (For local use onty) .,95. UNKNOWN o 99. OTHER 448 OVERFILL PROTECTION EQUIPMENT; YEAR INSTALLED 452 o 1. ALARM _ .k(3. FILL TUBE SHUT OFF VALVE _ ~2. BALL FLOAT _ 0 4. EXEMPT 454 VISUAL (SINGLE WALL IN VAUL T ONLY) CONTINUOUS INTERSTITIAL MONITORING MANUAL MONITORING gallons 457 :STIMA TED DATE LAST USED (YRtMO/OA Y) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING .--.".-.-- -...---.---.... ".-..-----------. -..-,.... .--.---... 'CF (7/99) 458 TANK FILLED WITH INERT MATERIAL? DYes DNa - ---- ----... "... ._------- ". .-.._0....-___._-- __.____.________._____"__ ___ S :ICUPAFORMSISWRCB-B. WPD ~ / ~ CITY OF BAKERSFIELD AOFFICE OF ENVIRONMENTAL SERVICES ... 17"esler Ave., Bakersfield, CA 93301 (661) 326-39. 'I UST. TANK PA':', ..------------ :.:c,..' -----_._._--_._-_._~-~- - ..... -~~--<j-- ABOVEGROUND PIPING VI. PIPING CoNSTRUCTION (Check aN that apply) SysrEM TYPE V 0 0 0 .IlS. . PRESSURE 2. SUCTION 3. GRAVITY 456 <.. . PRESSURE CONSTRUCTlON/·. 1. SINGLE WALL 0 3. LINED TRENCH 099. OTHER 460; 0 . SINGLE WALL MANUFACTURER 0 2. DOUBLE WALL 095. UNKNOWN ! 0 2. DOUBLE WALL i MA~U~CT~~~R.__ . ________.______ un___ ______~1_L ____..._MAN':!.~~~~~~_~~... o 1. BARE STEEL 06. FRPCOMPATlBLEWI 100% METHANOL ! 01. BARE STEEL . MATERIALS AND' 0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL Iii 0 2. STAINLESS STEEL . CORROSION ' PROTECTION j 0 3. PLASTIC COMPATIBLE WITH CONTENTS 095. UNKNOWN ! 0 3. PLASTIC COMPATIBLE WITH CONTENTS :k 4. FIBERGLASS 0 6. FLEXIBLE (HOPE) 0 99. OTHER ¡ 0 4. FIBERGLASS ;05. STEEL WI COATING 09. CATHODIC PROTECTION 464105. STEEL WI COATING ---..---.------- UNDERGROUND PIPING .. ------------.--- . --- .------- ----. ..----- o 2. SUCTION o 3. GRAVITY 45q o 95. UNKNOWN o 99. OTHER 462 463 o 6. FRP COMPATIBLE W/1¿;:;" ~;;.;:;-~~~~- o 7. GALVANIZED STEEL o 6. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 VII. PIPING LEAK DETECTION (Check a/l that apply) - ---------.---- UNDERGRëJüND PIPING . -. I ABOVEGROUND PIPING . ....---- __n..... ·----..----SiNGLE WALL PIPING 466 . SiNGLE WALL PIPING --..---- 467 PRESSURIZED PIPING (Chack all that apply): ,i PRESSURIZED PIPING (Chack all that apply): :~ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST Y!!lli AUTO PUMP SHUT OFF FOR 0 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL I SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS 0 2. MONTHLY 0.2 GPH TEST ~O 2. MONTHLY 0.2 GPH TEST ! ~ 3. ANNUAL INTEGRITY TEST (0.1 GPH) I 0 3. ANNUAL INTEGRITY TEST (0.1 GPH) ~ ! 0 4. DAILY VISUAL CHECK I CONVENTIONAL SUCTION SYSTEMS (Chack al/ that apply): ¡ 0 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM I ¡ 0 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) i i SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): I 0 7. SELF MONITORING GRAVITY FLOW (Check al/ that apply): o 6. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: ¡O 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING ~ GRAVITY FLOW: ; 0 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check al/ thet apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF : 0 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR ¡ RESTRICTION - ~ 0 12. ANNUAL INTEGRITY TEST (0.1 GPH) i SUCTION/GRAVITY SYSTEM: ~ 0 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS ~ ~o !î EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR!Y!I!:!Q!:!I AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) Y!!lliQ1!I FLOW SHUT OFF OR RESTRICTION 16. ANNUAL INTEGRITY TEST (0.1 GPH) 17 . DAILY VISUAL CHECK ~o 10 ~ ~O I ~ ~ DISPENSER CONTAINMENT ~ ¡ DATE INSTALLED ( 468 ¡ d-c(·~l- I 1------- SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (cI1eck one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERG ENCY GENERATORS ONLY (Check a/l that apply) o 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) o 16. ANNUALlNTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAL CHECK '.~fJiV':;.,~M\;{ ~~;:g;¡~~?,;;5if~~!~~>¡': Ni"~Q!S~E~~ER - CO~T-,¥.~~~NT'· ." 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ~ 3. CONTINUOUS DISPENSER PAN SENSOR ~ AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE ., <1-1:'.:",'.","': .,': o 4. DAILY VISUAL CHECK o 5. TRENCH LINER I MONITORING o 6. NONE 469 ..---.-.--.--.-..--..--- I certifylhallhe IntoonaJlon provided herein Is true and accurate to the best ot my knowtedge. _ __ .. ___..... ___ .... _ .. ._ ..-..... _ _.. __. _. ___._.___ S (iNÀTUREÓF'ÖWÑERlOPEAATOR ~---\- ----,- . --TÕATÉ-----~·T-- 470 "'''' O~:;iW'''¡,''OÄ ,,.,<;' ~~ :)-----·"i~iŒ-¥i'~~-..:..::; =-;: c-~-:..- - .;" C~.~~~_.5:8J_..B.~__..ê~ .L____..___._.._______.__.___.__ ...J_A:._____ _a__'O..L~~._~ Permit Number (For local use only) 473 I Permit Approved (For local use only) 474 I Permit ExpiraUon Dale (Forloca/ use only) 475 UPCF (7/99) S:\CUPAFORMS\SWRCB-B.WPD TE><AC:ü ;::;T'hR r"lHRT 2601 L-Jhi t(;, Lane Bak¡;;'r-s f i i? 1 cL CA '3:3:30,\ AUG 22. 2000 8:00 AM CSLD TEST RESULTS AUG 22. 2000 8:00 AM T 1: P,jhJer Pr- (;'tfl PROBE SERIAL NUN 428352 [I . 2 r;AL/ HR TE;3T PER: AUG 22. 2000 PASS T 2:¡:'Oh'"T Pi 1.1.:', FF:OBE ;3ER ¡ riL NUr'¡ ..¡2f::::,!IJ [I .~' GHL HF: Tr:~:T ¡:'Ef~~: f,>UG 22. _ ~~IXII"!. I H~:)~:; T :~:: Urtl ""ad" d PF:c'8E ::;EF: [hL NU['1 ,\2::)3',:8 o . 2 ':;ALHR TD:H' PH:: HUG 2~' .2liOO f··¡;,\~=:~f.:; T y :Dì to's,,·] PROBE ::ÆF: I nL ["JUI"I ,~:::'8:3<::: 1 0.;'2 GI-\L. 'HR TEST PER: AUG 22. 200U PHSS T£>:I-1(>:) :-:::TAR ["IHET 2t,0 1 L,.lh it",· L.",n¡;;· Bakersfield.CA 93304 RUG 22, 2000 10:15 AM SYSTEM STATUS REPORT ------ ALL FU~:TIONS ~)RMAL INVENTORY REPORT T 1: Pm<Jer- VOL UJ"lE ULLAGE 90\: ULLAGE= TC \lOLUJ"!E = HEIGHT ~3TK HEIGHT= L'JATER I,lOL I."JATER TEI'lP Pr-·¡:·tn 7100 2716 1734 6'344 61 .09 b 1 .09 o o .IJO 91.1 GAL:3 GALt~ I.:;HLE~ GALS I NC HE:::; I t'K: HE~7; (;AU:; I NCHE:::; DEG F T :2 : POVJET Plus VOLUJ"1E G98E: GALS ULLAGE 2828 GALS 90~;:, ULLAGE= 1846 GALS TC \/OLUf"lE = 6832 GALS HEIGHT 60.24 I r~CHE::; :::;n: HE IGHT= 60.2'-1 ¡ NC HE:':; [..JATEf: \lOL 0 GAL:::; 1"IATH: 0.00 I NC HE:::: TEr"H> 91 .8 DEG F T 3: Un 1 E'ad,,'d I,JOLUr"IE 5930 GALS ULLAGE :jl:1tttl GALS 91]:\ ULLAGE= 2904 GALS TC \/OLUI"1E = 579D GALS HEIGHT 52.51 INCHES sn: HEIGHT= 52.51 I J~CHE:::; L'JATER VOL 0 GALS ["JATER 0.00 I NC HE:::; TEJvlP 93.6 DEG F T 4:Dle=:E'1 \lOLUJ"1E ULLAGE 90~,: ULLAGE= TC \/OLUJ"lE = HEIGHT :3TK HEIGHT= I",JATER VOL I,JATER TEr"IF' 5551 GAL~::~ 4265 Gf~Lf3 :3283 Gi-\LS 5'-171 Gi-\LS 49.81 I r'JCHES 49.81 INCHES o GALS 0.00 INCHES 91 . '3 DEG F M M M M * END * * * * M - e .(Æ. f J~/ tê (f~.", ffno. ENVIRONMENTAL COMPUANCE CONTRACTO 'RT:' P.O. BOX 191 . -0f1'rV CANOGA PARK, CA 91305 M,qy -~ ..' En 818-702-6470/818-702-6484 FAX 262000 By:, ~ SUBJECT: Annual Electronic/Mechanical Monitoring System Inspection and Meter Calibration DATE: S/S II: LOCATION: 2601 White Lane Bakersfield, CA 93304 5/17/00 Texaco 121017 To Whom it May Concern, Enclosed are the reports for the annllal inspection of the existing Monitoring System that was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R..1. Myers & Co., Inc. has been contracted by Equiva Services LLC to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R. J. MYERS & CO., INC. Y ~ Q:-fv\~J Ronald .1. Myers, II President R.1M/rf CONT. LIe. #330631 (B-06I) SERVING TIlE PETROLEUM INOUSTRY SINCE 1967 · e e R. J. MYERS & CO., INC. ENVIRONMENT AL COMPLIANCE CONTRACTOR P. O. BOX 191 CANOGA PARK, CALIFORNIA 91305 818-702-6470/818-702-6484 FAX DATE OF SERVICE: 5/17/00 S. S. #: Texaco 121017 w.O.#: TECHNICIAN: Jason Nonnweiler SERVICE REQUESTED BY: Feryal Sarrafian Equiva Services LLC P. O. Box 7869 Burbank, CA PROBE I,D, #: In_lank_Setup T 1 Premium T2 Plus 13 Unleaded T 4 Diesel eressu~o.eJ.e.a~U¡¿ Q1 Premium Q2 Plus Q3 Unleaded Q4 Diesel Li.Quid5eoNL5e.rup L 1 Premium Sump L2 Plus Sump L3 Unleaded Sump L 4 Diesel Sump BILL TO: SERVICE REQUESTED - Annual monitor inspection and certification. DESCRIPTION OF WORK: Inspected and tested all leak sensors for proper operation. Verified proper operation and calibration of all TLM probes. All systems normal. MODEL #: Veeder-Root TLS-350 SERIAL #: 81253305105001 SYSTEM CERTIFIED ~Y~TEM~D SYSTEM RUNNING ~ NO ~ NO (ð N/A NO WASIE.1>IL YES ~ NO SY5-TEM~EAI.ED. 8 NO e U~LfQ\III!MfNT_IN~l!fkTION_RfI!OR__ STATION ADDRESS:?~LVYhil~_~n~______ SAP NUMBER: _~º-!L- CITY: Bakersfield BRAND NAME: Texaco STATE:º~li!Q!!!!~ TANKS AND LINES 6 R M p U o DWF SWF SWS DINS liST Tank Corrollon Type Line Type Line Corrollon Type F a Fiberglass OWF a Doublewall FibergJaS3 F . FiberglaS3 L = Lined SWF = Singlewall Fiberglass IC· Imp'us<)d Current IC a Imp'essod Current SINS .. Singlowall Steel A . Anode A a Anode p. Plastic Fie. l IC A OWF IC A P l IC A DWF IC A P l IC A DWF IC A P l IC A DWF IC A P F l IC A DWF SWF SINS F IC A P F l IC A DWF SWF SINS F IC A P Tank Product R . Regular M . Mid Grade p :II: PrcmllJm U = Used Oil O· Methanol 01 ~ Tank Type Tank Size DWF . Doublewall Fiberglass SWF = Singlewall Fiberglass Nominal Gallon SINS . Slnglewall Stoel DINS = Doublowall Steel _!.._ ..®---.!~!:~--.2 DWF ~ SINS DINS 10 000 ___~ _~__~ P U 0 DWF ~ SINS D~ 10,000 ___~__ ___~___M.__Q)~_Q__ __º~~-º'!Y~_!Q,~ . __:!____ R____~___~_IJ_(§)__ -º'!YF~~'!Y§-º'!Y~ 1Q,000 __.?_ __~ .__M_~_!cJ__9 D~21{'!F~'!V2-º.~_ UST AST AST PRODUCT TANK MONITORING SYSTEM Positive Fail Otv Tvpe ShutDown Safe Operational Manufacturer and Model Number OW Tanlo.s With Interstitial Sensors ----- ( ) Wet ( ) Dry Yes No Yes No Yes No Automatic Tank Gauge Probes (A TG) Programmed 4 ( ) Static Test ( X ) CSLD ®_t:!~_ ~ No ~ No Veeder-Root TlS-350 Mag#1 ---- ----------------- '-"" Groundwater Sensors Yes No Yes No Yes No -- ------ Commenls: USED OIL TANK AND LINE MONITORING SYSTEM lUST Only} o Manufacturer and Model Num~r _.__J_J~~t____~_'L_ Yes No Eloctronic Lino Monitor - --------- -"--.. Comments: Yes No Positive Manufacturer and Model Number 01 T _!'!__ ~!£E1!£.nic l~e Pr~~~u!~ Se~sors _~_ ~~~!!~~.§~~~i~l~!Ei_'!O Su~p____ Yes No es No _~_ No ®-1i~ ~-1'!o Veeder-Rool TlS-350 PllO Veeder-Root TlS-350 #208 Electronic Sonsors In Contained _ Ir!-n~l1jTg,1L Comments: Plus failed the .10 line leak lest. Yes No Yes No Yes No I certify that the above in'ormation Is accurate and the equipment is functioning according 10 manufacturer's specifications unless otherwise indicated. SIGNATURE: COMPANY; R. J. Myers & Co., Inc. PRINTED NAME: Jason Nonnweller DATE: 6/17100 Pog<tlot3 UST EQUIPIIEHT INSPECTION REPORT STATION ADDRESS: 2601 Whibt Lane CITY: Bakorsfleld STATE: Colfomta SAP N~BER: 121011 BRAND NAME: Toxaco DATE: 5/11.oø TURBINI! AIIRA Tank D K e 5 M P D K Tl.Jt1J4ne Head Ttt1It BootJDr:a.ln Pfun' Have ~~ tn't boots been backed off Ta.nk M-:mtfokf: Contained Sump, Rigid pcondary containment piping Is 1M product Soil Satr1er. Uner, Of ~n plugs removed for manlfokjed No"" proper dtaJnagt:? betwftn tanks? No Yes No A IC UTV Yes No Yes No IC UTV Yes N No Yes No A IC UTV Yes >Ja Yes No A IC UTV Yes Yes No No Yes No NIA B T 8 A IC UTV Yes Yes No Yes No Yes No Yes No CS RSB l N Yes No Yes No N/A B 8 A IC UTV Yes Yes No Yes No Yes No Are t!'lere InternalOf' ex1ernaj drains on the .pHl e.ont2lnment ? Ex:emal 8:emal E(temal T8 T8 ss SS Internal E.x1emal Ex::emal Internal External Tank Product SpUI Containment SIze Spûl Containment Crain OperatIonal TANK FILL AR!!A ---'---0 M P D K &12,5 25 None 2 ; R M P 0 K ~5 25 None 3 [~~<GJ'5 25 None ~_~~~Q5 25 ~one 5 ; R M P 0 K 5 15 25 None ., :R M P 0 K Col'T1lYWnts: 15 25 None N UTV SP B N UTV SP - N >J UTV SP - N UTV <0 B N >J UTV SP 8 >J No None Yes No Poor, Yes No Yes Na 8F F 8 >J UTV SP BC e N e Product Vtnt Co1QJYØt: Pr.nute Cap, R;¡ln C.aD. Non. Vapor RocO'ltory Is T'h<er. A SpUl Identtflca1lon Tag Containment Box Around lid C~dttlon PreMnt Each VR Point Spill Containment Orain Oøef3tlonal No ~ ~one No ~;or:e No ~~cne Coax 131 Ye-s _~.~~Y-º--_~_~Ç.____~~__~~_~~~r:t C:.a.xta: ''fe-s Cotrnwnts : No No Yes Yes No Yes Yes No Yes No !'-~C:1e ~_~?~___~_ __?.,Ç_J~_~~2Ir:! Wax13! Yes No No Gcoc1 Poor Yes >Jc Yes No Ye-s No ~~ot'.e :--~o GOOd Poor Yes No Yes No Yes No ~;one UST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 2601 While l..1ne SAP NUMBER: 121017 CITY: Bakersfield BRAND NAME: Texaco STATE: California DATE: 5/17100 DISPENSER AREA nkn.-.t ....""'- hnn=w-t M.r.ha.."m OkJWII,,_t C^ftbin-ø GaUom per minute Old.st o.œ being pu~ by Ctspensar s.curety on DIspenser Nu_ of c~ ftOzzM. R~ Numbers Manufact\lrer Anchored? Fuel ~n Nozzles MId PTo 112 Wa e No No Date 6 7.2/7.2/8.5 e 314 No No Dale 8 516 No No Date 6 7/8 No No Dale 8 Yes No Yes No Yes No Yes No Comments: fkx...C.onnp.ctnC' PmtBction: Boot. ~ Tape, Contatn Sump, Anode. Impressed CUrrent, Unable To Verify Containment SumD ß'I>!I: C"P, SI1.IIOw, None Sum!) lkvJid ~: Mec""nicO~ EJec:tronk:. None Sump Sensors Ope_a/? N i~NO N I @ No NI@VNo Ni~ I . N I Yes No ~ B VA N MY MS Yes No Yes No 8 8 VA N MV MS Yes No Yes No 8 8 VA N MY MS Yes No Yes No 8 8 VA N MV MS Yes No Yes No 8 IC UTV D ~ N i(Ð E IC UTV D ® N i® E IC UTV D cD N i@ E A IC UTV D 0 N !® E T CS A IC UTV D S N ! M E T CS A IC UTV D S N M E T CS A IC UTV , D S N M E T CS A IC UTV D S N M E Ve-eoer-Root # 208 Sensors N ¡ Yes No N Yes No N Yes No GENERAL INFORMATION E""'~l!£Y~_o¡tofIIE_~Q.I Car Wash Ort· Water Seøa~tOf Automatic rank GauQe e I I :~~~ -------É..xterior : ~ No InterIOr es No Comments: ] Reclaim Sump' StJip Crain ì Needs to be N.-d'S to be : Pumped Out? Pumped Out If a remote monitor is Attach A Printout or The Tank Monitor Set~Up and Does ttle water ~wl shown on SlmpUcity (5), . installed. i$ it B: Service Bay i Needs to be Pumped Most Recent Test Results (SWF Tank Locationsl. Is the ATG match what is shown on. PoleCat (P) or Neitherl operatin9 C: Car Was" Out a PrintOut Attached To This Form. i a manual stick reading? . (N) Installed on ATG. j correctly? . ~ No ~ No S PQ~__~ \!::3/ ~ " ! N/A . â " , " . e ~. M. D. SUMMARY REPORT S/S: ADDRESS: Texaco 121017 ----- 260 I White Lane Bakersfield, CA -----,-_._---+-~-_. 5/17/00 DATE: TP201.3: PASS FAIL No test at this time. PASS FAIL No test at this time. PASS FAIL No test at this ti me. PASS X FAIL Reason For Fai lu re: TP20 1.4: Reason For Failure: TP201,5: Reason For Failure: Electronic Monitor Results: Reason For Failure: Drop Tuhes: PASS FAIL X Drop Tubes That Were Replaced: None 87 89 Diesel _____ Siphon Tank 92 --- --+--- ------- -----+- Reason For Failure: Containment ßox Report: PASS X FAIL --- Rcason For Fai lurc: Marmfactm'er': Size: 5 Gallons In Ground Type X Retrotìttable CNI Pomeco ---- Phil Titc Safe Lite FRC OPW X N/A N/A N/A N/A N/A None N/A X X X x 'i. .. - e STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A Location Number 610581408 COMPLETE THIS FORM FOR EACH FACILITYISITE MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT [!] 5 CHANGE OF INFORMATION 0 7 PERMANENTLY.CLOSED. SITE o 6 TEMPORARY SITE CLOSURE 1. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACILITY NAME I NAME OF OPERATOR Texaco #1408 Manager ADDRESS NEAREST CROSS STREET PARCEL' (OPTIONAl) 2601/ WHITE LANE WHITE LANE CITY NAME STATE I ZIP CODE SITE PHONE, WITH ~r CODE BAKERSFIELD CA 93304 805.397.47 tI 60X EJ CORPORATION o INOIVlDUAl. o PARTNERSHIP o LOCAL·AGENCY o COUNiY ·AGENCY . o STATE·AGENCY· C FEDERAl·AGENCY· TO INDICATE DISTRICTS . n owner of UST is a public agency, complete the fOllowing: name 01 sU JeMsor 01 division. section or 01f1C8 which operates the UST TYPE OF BUSINESS ~ 1 GAS STATION D 2 DISTRIBUTOR 0 tllF INDIAN , OF TANKS AT SITE E. P. A- I. D. , (oplior:al) RESERVATION o 3 FARM o 4 PROCESSOR 0 5 OTHER OR TRUST LANDS 4 EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS: NAME (LAST. FIRST) PHONE' WITH AREA CODE DAYS: NAME (LAST, F1~ PHONE, WITH AREA CODE Manager 805.397.4771 L..~\ ~¿o txú- 2> 2-{, - (\:-~ 1- Cø NIGHTS: NAME (LAST, FIRST) PHONE' WITH AREA CODE NIGHTS: NAME (LAST, ßBST) PHONE' WITH AREA CODE L-o~~\ r-Q..C.o Se S'~ ':?> Z-Go::> - 4-~ t.. w. II. PROPERTY OWNER INFORMATION· (MUST BE COMPLETED) NAME I CAfå 95é'BD~D1:~INf2'ðtt1-T]°töni ver sa1 Cit y, CA 91608 Equilon Enterprises LLC MAILING OR STREET ADDRESS tI box 10 indicate o INDIVIDUAl. o LOCAL·AGENCY o STATE·AGENCY P.O. Box 4453 ~ CORPORATION o PARTNERSHIP o COUNTY·AGENCY o FEDERAL·AGENCY CITY NAME STATE I ZIP CODE I P~~f1 rl~ f3f!18ffiJ Houston TX 77210-445 III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER CARfoOFuA~Rfð1:~F~~~~~~Nuniversa1 City, CA 91608 Equilon Enterprises LLC MAILING OR STREET ADDRESS tI box to Mica'e o INDIVIDUAl. o LOCAL·AGENCY o STATE· AGENCY P.O. Box 4453 ~ CORPORATION o PARTNERSHIP o COUNTY·AGENCY o i=EDEi'W.·AGENCY CITY NAME STATE I ZIP CODE I PH~'l3')TH i~Ef S98EQ 0 Houston TX 77210-445 IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 322-9669 if questions arise. TY(TK) HQ @ID-= V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED tI boXloindi:al. ŒJ 1 SELF·INSURED 02 GUARANTEE 03 INSURANCE 04 SURETY60ND 05 LETTER OF CREDIT 06 exEMPTION 07 STATEFUNC 08 STATEFUNC&CHIEHINANCIAl.OFI'ICERLETTER 09 STATEFUNO&CERTlFICATEOFDEPOSIT 010 LOCAl.GOVT.MECHANISM 0 99 OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked, CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: 1·0 11·0 111·0 THIS FORM HAS BEEN COMPLéTéD UNDER PENAL TV OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT TANK OWNER'S TITlE SH&E Coordinator g~T:Ê1_ 9 ~ONTHtOAYf'(EAR LOCAL AGENCY USE ONLY COUNTY /I OJ JURISDICTION /I ITIJ FACILITY /I = LOCATION CODE· OPTIONAL ¡CENSUS TRACT' - OPTIONAL I SUPVISOR· OISTRICT COOE . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY ATLEAST(1) OR MORE PERMIT APPLICATION· FORM B. UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM A (6-95) .' e STATEOFCAUFORHIA e STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. Location Number 610581408 MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT []] 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENT!.. Y CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Texaco #1408 I. TANK DESCRIPTION COMPLETE All ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. . B. MANUFACTURED BY: UNK C. DATE INSTAlLED (MOICAYIYEAR) 1987 D. TANK CAPACITY IN GAllONS: 10,000 II, TANK CONTENTS IF A-I IS MARKED, COMPLETE ITEM C. A. ŒJ 1 MOTOR VEHICLE FUEl. 0 4 OIL 8. C. LtJ la REGUlAR UNLEADED 0 3 DIESEL 0 6 AV1ATlON GAS 0 2 PETROlEUM 0 so EMPTY Œ] 1 PRODUCT o Ib PREMAJM UNlEADED D 4 GASAHOL 0 7 METHANOL o Ie MIDGRADE UN.EAOED 0 5 JET FUEL 0 8 M85 0 3 CHEMICAL PRODUCT 0 95 UNKNOWN 0 2 WASTE o 2 lEADED 0 99 OT1iER (DESCRiBE IN rTÐ.I O. 88.0W) D. IF (A. 1) IS NOT MARKED. ENTER NAME OFSUBSTANCE STORED C.A.s..: III, TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALL THAT APPUES IN BOX D AND E A. TYPE OF 0 1 DOUIIlE WAll 0 3 SINGLE WALL WITH EXTERIOR UNER D 5 INTERNAl. BlADOER SYSTEM o 95 UNKNOWN SYSTEM ŒJ 2 SINGLE WALL 0 4 SINGLE WALL IN A VAULT 0 99 OTHER B. TANK 0 1 BAAE STCEL 0 2 STAINLESS STEEL ŒJ 3 FIBERGLASS 0 4 STEEL ClAD WI FIBERGlASS REINFORCED PLASTIC IotA TERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE WfFRP (primary Tank) 0 9 BRONZE 0 10 GALVANIZED STCEL 0 95 UNKNOWN 0 99 OTHER C. INTERIOR o 1 RUBBER UNED 0 2 AlKYD UNING 0 3 EPOXY UNING 0 4 PHENOUC UNING LINING OR ~ 5 GLASS UNING 0 6 UNUNED 0 95 UNKNOWN 0 99 OTHER COATING IS UNING MATEflIAL COMPATIBLE wmI 100% METHANOL? YES_ NO_ D. EXTERIOR o 1 POLYETHYlENE WRAP o 2 COATING o 3 VINYL WRAP ø 4 FIBERGLASS REINFORCED PlASTIC CORROSION PROTECTION o 5 CATHODIC PROTEC1'1ON 0 91 NONE o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL, etc. ~:~ ~~AI~~~~D (YEAR) OVERFIll PREVENTION EQUIPMENT INSTAlLED (YEAR) STRIKER PLATE YES ---A- NO DISPENSER CONTAINMENT YES .::L NO IV. PIPING INFORMATION C1RCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPUCABLE A. SYSTEM TYPE B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SUCTION 1 SINGLE WALl A 2 PRESSURE A U 2 DOUBLE WAll A U 3 GRAV1TY A U 4 FlEXIBLE PIPING A U 99 OTHER A U 95 UNKNOWN A U 99 OTHER A U 3 UNED TRENCH A U 1 BARE STCEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE A U 5 ALUMINUM A U 8 CONCRETE A U 7 STEEL WI CQA1'1NG A U 8 100% METHANOL COMPATIBLE WfFRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTEC1'10N A U 95 UNKNOWN A U 99 OTHER f'o;;:7f 1 Io£QWIC,I , utE WI! r.::7;a lIE 11GIITNESS 0 3 COIT'oIAJQJS IN1iIISlmAI. rv1 4 EUcnIØIC UNE 5 ~~ ~ 0 99 OTHER L£:j. œn:CTOA I.z:t- TESTING YONTOAING ~ ŒAIC œTECTOA ~,~"" V. TANK LEAK DETECTION O 1 VISUAl CHECK 0 2 MANUAl INVENTORY 0 3 VADOZE rvt 4 AUTOMA1'1C TANK 0 5 GROUND WATER 0 8 ANNUAL TANK RECONCIUATlON MONITORING ~ GAUGING MONITORING TESTING o 7 CONTINUOUS INTERS1'11'1AL rV'I 8 SIR 0 9 WEEKLY MANUAL 0 10 MONTHLY TANK 0 95 UNKNOWN' 0 99 OTHER MONITORING I£S TANK GAUGING TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN·PlACE) 1. ES1'1MATED OATE lAST USeD (MOIDAYIYR) 2. ESTIMATED QUAN1'1TY OF SUBSTANCE REMAINING 3. WAS TANK FILlED WITH GAllONS INERT MATERIAL ? YES 0 NoD THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNER'S NAME DATE (PRINTED&SlGNATVRE) Feryal Sarrafian / Fred Long 6-11-98 LOCAL AGENCY USE ONLY STATE 1.0.# COUNTY , CD JURISDICTION' DIJ FACILITY , = TANK If = PERMIT NUMBER I PERMIT APPROVED BVIDATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPlICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COIIPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE. TANK REGULATIONS FORM B (6-95) ,. e STATEOFCAUFORHIA e STATE WATER RESOURCES CON"TROl BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. Location Number 610581408 MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT ûD 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK ClOSURE o 1 PERMANENTlY CLOSED ON SITE o S TANK R~OVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: Texaco #1408 I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. , B. MANUFACTURED BY: UNK C. DATE INSTALLED (MO'OAYIYEAR) 1987 D. TANK CAPACITY IN GALLONS: 10,000 II, TANK CONTENTS IF A-liS MARKED, COMPLETE ITEM C. A. [X] 1 MOTOR VEHICLE FUEL 0 4 OIL B. C. W 1. REGULAA UNlEADED 0 3 DIESEL 0 6 AV1ATlONGAS o 2 PETROLEUM 0 80 EMP1Y ŒJ 1 PRODUCT ŒJ 1 b PREMIUM UNlEADED 0 4 GASAHOL 0 1 METHANOL o Ie MIDGRADE Utf.EACEO 0 5 JET FUEL 0 8 M85 o 3 CHEMICAL PRODUCT 0 !is UNKNOWN 0 2 WASTE o 2 LEACED 0 99 OTHER (DESCRIBE IN ITEM D. B8.DWJ D. IF (A. 1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.I: 1\1. TANK CONSTRUC110N MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALL niAT APPUES IN BOX 0 AND E A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL 'MTH EXTERIOR UNER 0 5 INTERNAL BlADCER SYSTEM o 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL 0 4 SINGLE WALL IN A VAULT 0 99 OTHER B. TANK U 1 BAAE STEEL 0 2 STAINLESS STEEL ~ 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGlASS REINFORCED PI.AST1C MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE Ð 1 ALUMINUM 0 S 100% METl-fANOL COMPATIBLE WIFRP (primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OniER C. INTERIOR 0 1 RUBBER UNED 0 2 ALKYD UNING 0 3 EPOXY UNING 0 4 PHENOUC UNING lINING OR ~ 5 GLASS UNING 0 6 UNUNEO 0 95 UNKNOWN 0 99 OTHER COATING IS UNING MATERIAL COMPATIBLE WITH 100% METHANOL '1 YES_ 140_ D. EX1ëRIOR 0 1 POLYETHYLENE WRAP 0 2 COATING CORROSION PROTECTION 0 5 CAniOOIC PROTECTION 0 91 NONE E. SPill AND OVERFill, etc. ~~~ ~~Aly~~~ INST~D (YEAR) o 3 VINYL WRAP I:2S 4 FIBERGLASS REINFORCED PLASTIC o 95 UNKNOWN 0 99 OniER OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAA) STRIKER PLATE YES"y- NO DISPENSER CONTAINMENT YES ~ NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOni IF APPUCABLE A. SYSTEM TYPE A U 1 SUCTION A 2 PRESSURE A U 3 GRAV1TY A U 4 FLEXIBLE PIPING A U 99 OniER B. CONSTRUCTION 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 UNED TRENCH A U 95 UNKNOWN A U 99 OniER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A() 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 1 STEEL WI COATING A S 100% METHANOL COMPATIBLE WIFRP PROTEC110N A U 9 GALVANIZED STEEL A U 10 CAniODIC PROTECTION A U 95 UNKNOWN A U 99 OniER D. LEAK DETECTION 1 IECIWIICAI. \.IE LEAK 2 I.ItE T1GI!T1E5S 0 3 taIT1IIIJOJS III1iIIS1'T!1AL [i] 4 £UC11ICNC UNE $ := PUll' D 99 O'O!ER DETeCTOR TESt1NG 1IOIfT0AIIG ŒAIC œTECTOA V. TANK LEAK DETEC110N O 1 VISUAL CHECK 0 2 MANUAL INVENTORY 0 3 VADOZE r::¡ 4 AUTOMATIC TANK 0 5 GROUND WATER 0 6 ANNUAL TANK ~ RECONCIUATlON MONITORING LA! GAUGING MONITORING TESTING o 1 CONTINUOUS INTERSTITIAL I£:j 6 SIR 0 9 WEEKLY MANUAL 010 MONTHLY TANK 0 95 UNKNOWN' 099 OTHER MONITORING TANK GAUGING TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN·PlACE) 1. ESTIMATED DATE lAST USED (MOICAYIYRI 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH INERT MATERIAL '1 YES 0 NoD THIS FORM HAS BEEN COMPLfETED UNDER PENAL TV OF PERJURY, AND TO THE BEST OF MY NOWLEDGE, IS TRUE AND CORRECT TANK OWNER'S NAME DATE (PRINTED'SlGNATURE) Feryal Sarrafian / Fred Lon 6-11-98 LOCAL AGENCY USE ONLY STATE 1.0:# COUNTY I CD JURISDICTION" UTI FACILITY , = TANK. = PERMIT NUMBER I PERMIT APPROVED 8YICATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCAnON· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTAlLAnONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FIlE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULAT10NS FORM B (6-95) ,. ., e STATEOFCAUFORNIA e STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. Location Number 610581408 MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT ŒJ 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENT!.. Y CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Texaco #1408 I. TANK DESCRIPT10N COMPlETE All ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. . B. MANUFACTURED BY: UNK C. DATE INSTAllED lMOlOAYNEAR) 1987 D. TANK CAPACITY IN GAllONS: 10,000 II. TANK CONTENTS IFA·IISMARKED.COMPlETEITEMC. A. [XJ 1 MOTOR veHICLE FUEL 0 4 OIL 8. C. W ,. REGUlAR UNlEADED 0 3 OIESEL 0 6 AVIATION GAS 0 2 PETROlEUM 0 EMPTY ŒJ 1 PRODUCT o Ib PRElAlUM UNWDED 0 4 GASAHOL 0 7 METHANOL eo [X] 1c III1DGRAÐE U!t.EAœD B 5 JET FUEL 0 8 MaS 0 3 CHEMICAL PRODUCT 0 95 UNKNOWN 0 2 WASTE o 2 lEADED 99 OlliER (l)ESC!œE IN ITEM O. B8.0W) O. IF (A. 1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STOREO C.A.S..: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND All THAT APPUES IN BOX 0 AND E A. TYPE OF 0 1 DOUBlE WAlL 0 3 SINGLE WAll wmi EXTERIOR UNER 0 5 INTERNAL BLACOEA SYSTÐ.I o 95 UNKNOWN SYSTEM ~ 2 SINGLE WAll 0 4 SINGLE WAll IN A VAULT 0 99 OTIiER [3 -,. B. TANK 1 BARE ~EL 02 STAINLESS STEEL ~ 3 FIBERGLASS 0 4 ~EL CLAD WI ABERGlASS REINFORCED PlASTIC MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED ~EL 0 95 UNKNOWN 0 99 OTHER C. INTERIOR 0 1 RUBBER UNED 0 2 ALKYD UNING 0 3 EPOXY UNING 0 4 PHENOUC UNING UNING OR ~5 GLASS UNING 0 8 UNUNED 0 95 UNKNOWN 0 99 OTHER COATING IS UNING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_ D. EXTERIOR 0 1 POLYETHYLENE WRAP o 2 COATING o 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC CORROSION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER PROTECTION E. SPILL AND OVERFILL et SPill CONTAINMENT INSTAllED (YEAR) OVERALL PREVENTION EQUIPMENT INSTAllED lYEAR) , C. DROP TUBE YESX-- NO STRIKER PLATE YES -L NO DISPENSER CONTAINMENT YES .L NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPUCABLE A. SYSTEM TYPE A u 1 SUCTION A 2 PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 OTHEA B. CONS-mUCTlON A 1 SINGLE WAll A U 2 DOUBLE WAll A U 3 UNED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC¡ A U 4 FIBERGLASS PIPE CORROSION A U 5 AlUMINUM A U 8 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTEC"TlON A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 'gj' IEClWlCAI. \.IE I.£NI ~2 I.ItE TIGII1JiESS 03 COHT1NUOUS IIITõRSTI11AL ŒJ 4 EI.£~ UNE 00 5 AUTOMATIC PO" 0 99 n<ER œn:CTOII 1iS11lG IICIITCAIIG tEAK ŒIiCTOA SKI100WN 0 V. TANK LEAK DffiCTlON o 1 VISUAL CHECK 0 2 MANUAL INVENTORY 0 3 VACOZE Œ 4 AUTOMATIC TANK RECONCtUATIQN MONITORING GAUGING o 7 CONTINUOUS INTERSTITIAL ~ 8 SIR 0 9 WEEI<l.Y MANUAL D 10 MONTHLY TANK MONITORING I£::J TANK GAUGING TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN.PlACE) O 5 GROUND WATER D 8 ANNUAL TANK MONITORING TESTING o 95 UNKNOWN' 0 99 OTIiER 1. ESTlMATEO DATE LAST USEO (MOIOAYNR) 2. ESTIMATED QUANTITY OF SUeSTANCE REMAINING 3. WAS TANK FIlleD WITH GAllONS INERT MATERIAL ? YES 0 NOD THIS FORM HAS BëëN COMPLëTëD UNDëR PëNAL TY OF PëRJURY. AND TO THë BëST OF MY KNOWLëDGë. IS TRUë AND CORRëCT TANK OWNER'S NAME (PR1NTED&SlGNAT\JRE) Feryal Sarrafian / Fred Lon DATE 6-11-98 LOCAL AGENCY USE ONLY STATE 1.0:# COUNTY . OJ JURISDICTION' [IT] FACILITY . = TANK. = PERMIT NUMBER I PERMIT APPROVED BYIOATE I PeRMIT EXPIRATION DATE TMIS FORM MUST BE ACCOMPANIED BY A PERMIT APPlICATION· FORM A. UNLESS A CURRENT FORM A HAS BEEN RLED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. TMIS FORM SHOULD BE ACCOMPANIED BY A PLOT PI.AH. RLE TMIS FORM WITH TME LOCAl. AGENCY IMPLEMENTING TME UNDERGROUND STORAGE TANK REGULATIONS FORM B (6-95) ô' .~ e STATEOFCAUFORHIA . STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICA TtON . FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. Location Number 610581408 MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o " AMENDED PERMIT [X] 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Texaco #1408 I. TANK DESCRIPTION COMPLETE AlL ITEMS - SPECIFY IF UNKNOWN A. OWNERS TANK I. D. . B. MANUFACTURED BY: UNK C. DATE INSTAlLED (MOICAYIYEAR) 1987 D. TANK CAPACITY IN GAllONS: 10,000 II. TANK CONTENTS IF A·1 IS MARKED. COMPLETE ITEM C. A. 5¿]1 MOTOR VEHICLE FUEL D " OIL B. c. a I. REGULAR UNlEADED [X] 3 DIESEL D 6 AV1ATION GAS 02 PETROLEUM 0 eo EMPTY [i] 1 PRODUCT Ib PRElARJII UNlEADED 0 " GASAHOL 0 7 METHANOL o Ie MIDGRADE UN.EADED D 5 JETFUEL 0 8 M85 0 3 CHEMICAL PRODUCT 0 95 UNKNOWN 0 2 WASTE o 2 LEADED 0 99 OTHER (CESClllBE IN ITEM O. BaOW) D. IF (A. 1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.s..: Ill. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B. AND C. AND ALL THAT APPUES IN BOX D AND E A. TYPE OF 0 1 DOUBLE WAlL 0 3 SINGLE WAlL WITH EXTERIOR UNER 0 5 INTERNAL BlACOER SYSTEM o 95 UNKNOWN SYSTEM ~ 2 SINGLE WAlL 0 " SINGLE WAlL IN A VAULT 0 99 OTHER Ö 02 ŒJ 0 . . 1 BARE STEEL STAINLESS STEEL 3 FIBERGLASS " STEEL CLAD WI FIBERGlASS REINFORCED PlAST1C B. TANK MATERIAL 0 5 CONCRETE 0 8 POL YV1NYL CHLORIDE 0 7 ALUMINUM 0 8 100·'" METHANOL COMPATIBLE WIFRP (primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER C. INTERIOR 0 1 RUBBER UNED 0 2 ALKYD UNING 0 3 EPOXY UNING 0 " PHENOUC UNING LINING OR ~5 GLASS UNING 0 6 UNUNED 0 95 UNKNOWN 0 99 OTHER COATING IS UNING MATERIAL COMPATIBLE WITH 100% METHANOL 1 YES_ NO_ D. EXTERIOR o 1 POLYETHYLENE WRAP o 2 COATING o 3 VINYl WRAP ¡:g¡ " FIBERGLASS REINFORCED PLAST1C CORROSION PROTECTION o 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL, etc. ~~~ ~~Aly~~~ INST~D (YEAR) OVERALL PREVENTION EQUIPMENT INSTALLED (YEAR) STRIKER PLATE YES X NO DISPENSER CONTAINMENT YES ,,- NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPUCABLE A. SYSTEM TYPE B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SUCTION A 2 PRESSURE A U 3 GRAV1TY AU" FLEXIBLE PIPING A U 99 OTHER A 1 SINGLE WAlL A U 2 COUBLE WALL A U 3 UNED TRENCH A U 95 UNKNOWN A U 99 OTHER A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POL YV1NYL CHLORIDE (PVC) A ~" FIBERGLASS PIPE A U 5 ALUMINUM A U 8 CONCRETE A U 7 STEELW/COATING A V 8 100% METHANOL COMPATIBLEWIFRP A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER ~' ~CAI. LM LEAK ~2 ~ T1GHTNESS 0 3 ~ IIfTERS11T1AL IE 4 ~~ 5 = PUY' 0 99 On¡ER V. TANK LEAK DETECTION O 1 VISUAL CHECK 0 2 MANUAL INVENTORY 0 3 VADOZE ~ " AUTOMAT1C TANK 05 GROUND WATER 06 ANNUAL TANK ~ RECONCIUATION MONITORING L....õJ GAUGING MONITORING TESTING O 7 CONTINUOUS INTERSTITIAL 8 SIR 0 9 WEEKLY MANUAL 0 10 MONTHLY TANK 0 95 UNKNOWN' 0 99 OTHER MONITORING TANK GAUGING TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN·PLACE) 1. ESTIMATED DATE lAST USED (MOIOAYNR) 2. EST1MATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL 1 YES 0 NOD THIS FORM HAS BEEN COMPLETED UNDER PENAL 1Y OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNER'S NAME DATE (PRIHTED&SIGNAruRE Ferya1 Sarrafian / Fred Lon 6-11-98 LOCAL AGENCY USE ONLY STATE I.D.# COUN1Y , CD JURISDICTION' [II] FACILl1Y It = TANK" = PERMIT NUMBER PERMIT APPROVED BYIOATE PERMIT EXPIRATION ClATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPlICATION· FORM A. UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPlETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PlOT Pt.AN. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B (~) FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVEN110N SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesler Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMS/ON 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4897 FAX (805) 399-5763 -- . April 4, 2000 Equilon Enterprises LLC Ms. Feryal Sarrafian 255 N. Ontario St #208A Burbank CA 91504 Dear Ms. S8ITafian: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The permits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B, & C must be filled out and returned prior to the issuanceof a new permit. Please make sure that you are sending the updated forms which are indicated by the date 7/99 in the lower left hand comer. Please complete and return to this office by May 15,2000. Failure to comply, will result in a delay of issuance of your new permit to operate. Should you have any questions, please feel free to call me at 661-326-3979, Sincerely, ÆtI£v Steve Underwood, Inspector Office of Environmental Services SU/dam attachment ~~7~ ~ g::'~ ~ ~eve .r~ ../6 W~" '-i' r . . ... \. -- .-- :7 Facility Address California Ave Shell 3623 California Ave, Bakersfield, Ca 93301 Cleo Reyes Shell 3605 Rosedale Hwy, Bakersfield, Ca 93308 White Lane Shell 2600 White Lane, Bakersfield, Ca 93309 Formerly Macias Shell 101 S. Union Ave" Bakersfield, Ca 93305 Ming Ave Shell 3700 Ming Ave, Bakersfield, Ca 93309 Shell Service Station 3130 24th Street, Bakersfield, Ca 93301 Stockdale Texaco 5321 Stockdale Hwy, Bakersfield Ca 93309 Texaco Gas . 2401 Oak Street, Bakersfield, Ca 93301 Texaco 3698 Ming Avenue, Bakersfield, Ca 93309 Texaco 4050 Gosford Lane, Bakersfield, Ca 93309 Texaco Star Mart 3621 California Ave, Bakersfield, Ca 93301 Texaco Star Mart ~Q13Wñê-LanelBakersfield, Ca 93304 Jun-02-99 02:44P SERVJjE STATION SERVICES 7l~669-B3S9 .. P.Ol _SERVICE _STATION SERVICES Date: June 2, 1999 Page 1 of 2 TO: -.Inspector Steve Underwood AGENCY: City of Bakersfield Office of Environmental Services FAX #: (661) 326-0576 FROM: Mike McNcelv (714) 669-8350 ext. 231 FAX NUMBER: (714) 669-8359 *************************************************************** ************ Subject: 2601 White Lane! Portero Inspector Underwood: Please be advised that the construction to be constructed by the contractor for the above referenced Texaco Service Station has been changed to R.J. Myers & Co., Inc. as of 5/27/99. Should you have any questions regarding this fax please feel free to call me at (714 )669-8350 ex.t. 231. Sincerely, 4~ Mike McNeely Jun-02-99 02:44P SERVtþE STATION SERVICES 714 ,669-8359 . .,' Ptt'm.it N~. CITY OF BAKERSFIELD OFFICE OF ENVJRONMENTAL SERVICES 1715 Chegter Ave., Bakersfield, CA (805) 326-3979 I I II t, PERrdIT APPLICATION TO CONSTRUCTIMODIFY mlDERGROUND STORAGE TANK mE' OF ðPPUC7 (CHECK) , . [ }NEW F ACIÜ!.Y . ODI1ICA 110~ OF F ACILlTY t ]NEW TANK INSTAlLA nON A r EXISTING FACILItY . . STARTING DA!£." '5/17/99 :P.RopOSen COM:PL:ETION DATE .,' 5/21/99 FAcn.rrYNAME 'l'i;).A(,u ött.í.L J.'I~L ~TlNGFAClLITYFERM:r;rNð, FACI!.I!YADDRESS:" 2601· Whitelane CITY:' ~kÞTJ.;fip.1ñ . mCODE. 93304 TYPE OF BUSINgSS Texe¢9 Service station ., ' Ant U 1ANXOWNERf.1;'rn'1HQ2 K~tp.rndses LLC· :..~" ',' FHONENO;'NH)S)8)2-4801 AI>PRES~' ·P.,-O':~· mx 4' CITY Houston I ZIP CODE 7721 0-4453 CONnACTQ~..1L 'J.~, Myer~ & Co. I- INc '.. _.' CA llCENSE No,..13.Q~l .ADDl'ŒSS ;'.,..-:-P.O.. ,l3Ox )'91.,'r' ·.-1, :,. I cm~'QaI:loga.~qI:k.:.· _ZIP CODt..JlU05<- FHONENO':Sí('8ì8P02-~ . , B.AJŒRBFIEID CITY.f-IU5D'æSS LICENSE NO. WOR.1CMANCOM?NO,:1~ -'99 INSURER ~~.c~n~:tJ..gg.· T~c:a]r;' DC:~ Fnnò .BIUEFI.YDESClUBinmWORXTöSE1XJ1'Œ 'RemQ'le exi5tin~ 250 Monitonnq sys em ~hò'in~r~11 N~w TL5 )59 Monitorinq sY$tem. Tn~~A" ~~~, Arnericrin ~onr f Lt' Turbi n~ ;Sl1mD~.' , . " . WAtER TO FAC1UTY P~OVID'fD:BY D:EP'1H TO OR.OtIND WATER. SOIL !YPE EXf'EC1'ED AT SUE ' ~~~k~g:~~~l~~~~~~~~OR~ ,10/4 ~~/A' ~g 5.ECtt'QNF012 MOTOB FUEL TANK NO. , 1 '.·2 ~t UNLEAXŒD REGUI..A.R PRE:MrUM X DŒ5EL A VIA'!ION VOLUME: :, 10,000 10,000 10,000 1V,ooO x .... x x -- , S'EÇ110N FOR NO~ M010R Filß-L S10.&'\Ç~ T~ T).NI( NO. VOLl1MÉ CHEM1CAL'SrORfD (NOBRAND~) CAS NO. CHEMICAL PREVIOUSLY STORED (IF KNOWN) 1".: . THE APFLlCANr HAStœCEIVED, UNDERSTANDS, AND WILL COMPLy wmrnm ATI'ACRED CONDmONS OF IRISP:ERM1T .ANDANYO!RER STATE. LðCA.t M'DPlDERALREaUIATIONS. . ., 'fBI3 FORM HAS BE!£N COMPLE'UID UNDER. PENALTY OF PER1lJRY, AND 1'0 TEE BEST OF MY ¡o.¡OWLEOOE, 1.S TRUE AND COR.RECT. Mike McNeel;: . ~ ~ APPROVED BY: APPUCAN! l'TAME (I'RtN'T) APPUCANT SIONA THIS APPLICA TtON BECOMES A PERMIT 'VHEN APPROVED ... P_02 I~ . . . perm¡__6T - 01 bS ' .'., CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 tIt It . PERMIT APPLICATION TO CONSTRUCTIMODI.FY UNDERGROUND STORAGE TANK " TYPE' OF' APPLICA~ (CHECK) . [ ]NEW FAC1ÜTV . ODIFICATION OF FACIUTY {)NEW TANX INSTAllATION AT EXISTING FACILITY STARTING DATE./ '5/17/99 PROpOSED COMPLETION DATE ,.' 5/21/99 F AC1I..ITY NAME '.L'.t;XAW star Hcu, L EXISTING FACrLITY PERMIT NO, FACILITY ADDRESS: , '2601, Whitelane CaY:' 'P.t'1k~r~field ' mCODE 93304 TYPE OF BUS!N;.SS Texaco Service Station. ' Am 1/ TANK OWNER r:t:?~l1nQ~ F'~tprDr::i ses LIe. '..~", " PHONE NO; ',(805) 832-4801 ADDRES:!' ·P..O.~-',J:3.Q~L 45 ' _ crrv H0uston (. ZIPCODE 77210-4453 CON1RAClQ~ \.!<",E·.:..Cút~ê~"Co!1ßtrL!Ctiëh ~ç. , CAUCENSENO. fj1?~~ ADDRESS ,.1, 00 OJ.ª-Co.n~~ ~~ ' 1 CITY New RAr?')' P;::¡rk ZIP CODP--IDZO PHONENO:rírBÖ£L 4.q9'~- '" '. . BAIŒRSFlELDCITYBVS1NESSUCENSENO. WOR:KMANCOMPNO, W9 A146901 INSURER. California£ompènsation .BRIEFLYDE8CRIBETImWORKTOBEOONE 'Remove existinCfTLS 250 Monitorinq System Ann 'in~bÜl New TLS 350 Monitorinq system, l:n~tal1 n¡:>t.7 American f'imt f //' Turbine .'sumps_' ' , .' ',I ! WATER TO FACltITY PROVIDED BY DE.P"rn TO GROUND WATER. SOIL TYPE EXPECTED AT SITE / ~~~~~g:~:~~~b~MEAS'i:~~~~OR~ -l(,IA ~ ~//.i· ~g \ } SiCTION:FO'R MOTOR FUEL TANK NO. , 1 '.,2 :::3 4 PREMlUM X AVIATION UNLEADED REGUZ..AR DIESEL VOLUME :, 10,000 10,000 10,000 10.000 . x " .. x x . SECTION FOR NON'MOTOR FUEL STORAGE 'f~ T).NK NO. VOLUME CHEMICAL STORED (NOBRAND~) CAS NO. CHEMICAL PREVIOUSLY STORED (IF KNOWN) /",:' THE APPLICANT HAS RECEIVED, UNDERSTANDS, RID WILL COMPLY W1THTHE ATTACHED CONDrnONS OF THIS PERMIT AND ANY 01HER. STATE', LOCAl AND FEDERAL REGULATIONS. . THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PER1lJRY, AND TO THE BEST OF MY KNOWLEOOE, ts ~. R.R.ECT. . c--- . Mike McNeely . . /'kùlk. ~ . BY: APPUCANr NAME (PRINT) APPUCANr 51Q~ THIS APPLICA TtON BECOMES A PERMIT WHEN APPROVED " \ ,I ~-'..-, ,~"'ft l · CITY OF BAKEdIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Cbester Ave., Bakersfield, CA (805) 326-3979 INSPECTION RECORD POST CARD AT J08 sm FaaJity aw... .~ Addrca City, Zip City, Zip 3 PboneNo. PermillI I:'ISTRUcrIONS: PI_ can fer ID ÍIIIpeCfIDr oaIy whea acbpoup 01 ÏIIIp4I ctÏlD with !be ....1IUIIIbIr .. lady. TbGy wiUrua ill 0CXIIIIaIIÎw'" b IIi, i", widt...... I. 00 NOT cover work for any IIUIIIbend pip uari1 all ÏIeaII ill .... poup IN liped otfby the ~~ AuIbority. FoIlowia8'" ;....... wiD reduoe die....... 01 required iølpeclioa YÍIi1IID11 tbInfan pnwaI m --...1& 01 addiIiaPl feeL TANKS AND BACKm.L INSPECTION DATE IHSPBCTOR BacktiU oCTIDk(I) Spark Tal Ccrtific:dioo or M...·~.... Mecbod CaIhodíc Proccctioa oCTank(I) PIPING sYSTEM Piping .t; R.acoway w/CoUecIioo Sump Corroaioa Procecdoo of PiJ'ÌIII, JoiatL FiU Pipe Eledric:a1 IsoIIIion of PipiD¡ From TIlllc(I) Calhodiç Protcc:tion Syst.cm-ñpin. Dispenser Pan . . , Liner InsuJlation . Tank(s) Liner lnstaIJation . Piping Vault With Product Compatible Sealer Level Gauga or SenIors. ROIl Vent Valva Product Compatible Fill BoX(ea) Product Line Leak Detec:tor1 s) Leak Dclcc:tor{s) for Annual Space-D. w. Tan1c(s) . Morùtorins WeJJ(s)lSWIIp(s). H2O Tal ('/J- :2, ~ ~ .M LeU Detec:tion Device(s) for VadoIciOroundwalcr Spill Prevention Boxes SECONDARY CONT All'"ME~" OVERFILL PR0TECI10N, LEAK DETECrION FINAL MorùtorinS Wolls. CóIpI .t; Lodes Fill Box Lock MorùcorinS Rcquiremcnu Type 72 <)" ~ é(f) c!1 ONTRACTOR y, E. ~u\f[~ UCENSE' ~ ( ì g !JJ PHONE' ({if ~ "()<¡ 2 t ONT ACT FIRE CHIEF ~ON ¡:RAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX(805)32~576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 32~576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 .: -- February 9, 1999 Texaco Star Mart #1408 260 I White Lane Bakersfield, CA 93304 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. Sil' ~ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure "".7~ ~ ~onv~ ~ vØ6~ ffbt, .A W~~" PRESSURE LINE LEAK ALARM Q 1: SUPER UNLEADED PLLD SHUTDOWN ALARf"l JUN 2. 1999 12:01 PM '" ----- SENSOR ALARM ----- L 1 :PREMIUM STP SUMP STP sur"lP a FUEL ALAR!"l .. JUN 2. 1999 12:01 PM PRESSURE LINE LEAK ALARr1 Q 2 : PLUS PLLD SHUTDOW~ ALARr"l JUN 2. 1999 12:02 PM e ----- SENSOR ALARr1 L 2:PLUS STP SUMP STP sur"IP FUEL ALARr"1 JUN 2. 1999 12:02 PM PRESSURE LINE LEAK ALARM Q 3:UNLEADED PLLD SHUTDOWN ALARr"1 JUN 2. 1999 12: 02 Pl" ~- - ------ - - ------- - - -- - - ----- SENSOR ALARM ----- L 3: UNLEADED STP SUf"lP STP SUt"1P FUEL ALARf"l JUN 2. 1999 12:02 l' PREBBURE LINE LEAK .RM Q 4:DIESEL PLLD SHUTDOf"JN ALAR~'l JUN 2. 1999 12:03 ~1 ----- SENBOR ALARM ----- L 4:DJESEL STP BUMP STP sur"1P FUEL ALARf"l JUN 2. 1999 12:03 PM e TE><ACO 2601 l¡JHITE LN BAJŒRSF I ELD CA 81253305105001 JUN 2. 1999 12:05 PM S'lSTElvl STATUS REPORT ------ ALL FUNCT IONS NORrvlAL -,.' TE><ACO 2601 WHITE LN BAKERSFIELD CA 81253305105001 JUN 2. 1999 12:05 PM S'!STEr"1 STATUS REPORT - - - - - - - - - - - - ALL FUNCT IONS NORr"IAL e INVENTOR'! REPORT T 1: PREr"1 I UM VOLUr"1E ULLAGE 90~~ ULLAGE= TC VOLUt"lE = HEIGHT STK HEIGHT= LJATER VOL WATER TEt"IP T 2 :PLUS VOLUre'lE ULLAGE 90% ULLAGE= TC VOLUr"IE = HEIGHT STK HEIGHT= WATER VOL WATER TEr1P 7451 GALS 2365 GALS 1383 GALS 7362 GALS 63.80 I NCHÐ3 63.80 INCHES o GALS 0.00 INCHES 76.9 DEG F 7896 GALS 1920 GALS 938 GALS 7792 GALS 67.39 I NI'~ ES 67.39 It' 'S o GAL:: 0.00 INCHES 78.7 DEG F T 3:UNLEADED VOLUME 5441 GALS ULLAGE 4375 GALS 90% ULLAGE= 3393 GALS TC VOLUr"IE = 5:352 GALS HE I GHT -=--49.04 INCHES STK HEIGHT= 49.04 INCHES WATER VOL 0 GALS WATER 0.00 INCHES TEMP 83.3 DEG F T 4:DIESEL VOLUME ULLAGE 9œ~ ULLAGE= TC VOLUME = HEIGHT STK HEIGHT= WATER VOL WATER TEt"IP 6705 GALS 3111 GALS 2129 GA.' 6648 GA 58 . 1 3 It -'S 58 . 1 3 I NC HES o GALS 0.00 INCHES 78.8 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ S'¡'STEt"¡ SETUP JUN 2. 1999 12:05 PM~ S'l~3TEM UN ITS U.S. SVSTEt"l LANGUAGE ENGLI SH SYSTEM DATE./TIr"1f FORr"lAT r"tcH~ DD '¡''Ny fin; 1"1t"1 : SS Xr"¡ TEXACO 2601 WHITE LN BAKERSFIELD CA 81253305105001 SHIFT TIt"IE 1 SHI FT T It"1E 2 SHIFT Tlr"IE 3 SHIFT TIME 4 6:00 Af"l DISABLED DISABLED DISABLED TANK PERIODIC WARNINGS DISABLED TANK ANNUAL WARNINGS DISABLED LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNINGS DISABLED PR I NT TC VOLUr"IES ENABLED TEMP COr"IPENSA TI ON VALUE (DEG F): bU.U STICK HEIGHT OFFSET ENABLED H-PROTOCOL DATA FORr"lAT HEIGHT ~ PRECISION TEST DURATI~ HOURS: 1 2 DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK SUN START TII"1E 2 : 00 At"1 END DATE OCT WEEK 4 SUN END T Ir1E 2:00 Al"l RE-DIRECT LOCAL PRINTOUT DISABLED S'¡'STEM SECURITY CODE : 000000 -- ~..--~._----~ COt"U"IUN I CAT I ONS SETUP - - - - - - - - - - PORT SETTINGS: cor11"1 BOARD BAUD RATE PARITY STOP BIT : DATA LENGTH: 2 (RS-232) 1200 ODD 1 STOP 7 DATA AUTO TRANSt"l IT SETT I NGS: AUTO LEAK ALARr"! LI r"1 IT DISABLED AUTO HIGH WATER Llt"lIT DISABLED AUTO OVERFILL Llt"lIT DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIt"lIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARI1 DISABLED AUTO SENSOR WATER A~'l DISABLED . AUTO SENSOR OUT ALARM DISABLED RS-232 SECURITV CODE : 000000 RS-232 END OF r"1ESSAGE DISABLED ....... - --~-~ -- -. ----- IN-TANK SETUP ------ T 1: PRH1 I ur", PRODUCT CODE THERl"lAL COEFF TANK D I A~'1ETER TANK PROFILE FULL VOL 68.3 INCH VOL 45.5 INCH VOL 22.8 INCH VOL 2 : .000700 91.00 4 PTS 9816 7999 4938 1891 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 9816 OVERFILL LIMIT 95% 9325 HIGH PRODUCT 90% 883J DELIVERY LIMIT 1r g,. LOW PRODUCT 500 LEAK ALARM LIMIT: 25 SUDDEN LOSS LIMIT: 25 TANK TILT : 0.00 t"lANIFOLDED TANKS Tit: NONE LEAK t"!IN PERIODIC: e5}ó : 54 LEAK MIN ANNUAL 25% 2454 PERIODIC TEST TYPE - - -:3T r=,1,JDARD ANNUAL TEST FAIL ALARt"! D I ~3ABLED PERIODIC TEST fAIL ALAKl"l DISABLED GROSS TEST FAIL 4IÞ ALARr"! D I ~3ABLErI ANN TEST AVERAGI~;: OFF PER TEST AVERHGING: OFF TANK TEST NOTIF' OFF TN}: TST ~;IPHON bJ'f.,,!: :OFF DEL 1 '.lRY DELA'l ST I CK OFFSE, 1 r11 N 0.00 T 2 :PLUS PF~ODUCT CODE THERf"lAL COEFF TANK DIAI"JETER TANK PROFILE FULL \.lOL c,:::.3 INCH I,/OL 45.5 ¡ NCH \.lOL ~':C . :-; J NCH \I\·L FU)¡-,r :::;] 2£ : 1.',lnTER :..1,' ;RN IN':; HI" J I"JPlTER Llr'11 f"lA:\ s:: L, EL \.lOL: (i\.lDd-' I LL L J 1"11 T HIGH PRODUCT DEL I VERY L j r"1 I T LOW F'RODUCT LEAK ~1LARrvl L I tV] IT: SUDDEN LOSS LIMIT: TANK TILT f"lANIFOLDED TriNK~=:~ Tit: NONE -- 6 : .000700 '31.00 4 PTS '3816 7999 4'338 1891 :34'36 :'.0 3.0 '3816 '35~~ g,-,,-¡Ç _ W{;.·.J _9r:J~~ r . .".;) 981 500 25 25 0.00 LEAK MIN PERIODIC: 25~~¿ 2454 LEAK fvlI N ANNUAL 25~~ 2454 PERIODIC TEST TYPE STA.tÖ.RD ANNUAL TEST FAIL ' AL.ARI"! DISABLED PERIODIC TEST FAIL ALARf"l DISABLED GROSS TEST FAIL ALARf"l DISABLED ANN TEST AVEF:AG I NG : OFF PER TEST A\iERAC; llK; : OFF TANK TEST NOTIFY: OFF TNK IST SIPHON BREAK:OFF DELIVERY DELAY STICK OFFSET 1 ¡vI! N 0.00 ..",. T 3:UNLEADED PRODUCT CODE THERt"1AL COEFF TANK DIAf"1ETER TANK PROFILE FULL VOL 68.3 INCH VOL 45.5 INCH VOL 22.8 INCH VOL --I' 4 : .000700 91.00 4 PTS 9816 79'39 4938 1891 FLOAT SIZE: 4.0 IN. 8496 l¡JATER WARN I NG ....0 HIGH WATER LIf"1IT: ~.O f"1AX OR LABEL VOL: OVERF I LL LI t'l IT : HIGH PRODUCT DELI VERY LI t"1 IT LOW PRODUCT : LEAK ALARf"1 LIMIT: SUDDEN LOSS LIf"1IT: TANK TILT r1ANIFOLDED TANKS Tit: NONE 9816 95% 9325 . 90~. 8834 10% 981 500 25 ::'1 ~ J O.ULJ LEAK r'IIN PERIODIC: 25~'. W LEAK MIN ANNUAL 25% 2454 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARr'l DISABLED PERIODIC TEST FAIL ALAR~'l DISABLED GROSS TEST FAIL ALARf"l DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY STICK OFFSET 1 t'l IN 0.00 T 4:DIESEL PRODUCT CODE THERMAL COEFF TANK DIAr'1ETER TANK PROFILE FULL VOL 68.3 INCH VOL 45.5 INCH VOL 22.8 INCH VOL ~ .oooe : 91. 00 4 PTS 9816 7999 4938 1891 FLOAT SIZE: 4.0 IN. 849b WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL LI r'l IT HIGH PRODUCT DEL I VERY LI M IT LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS TIt: NONE 2.0 3.0 9816 95j.-. 9325 90% 8834 1 OJ.-. ,~ 25 25 D.DC LEAK MIN PERIODIC: 25% 2454 LEAK MIN ANNUAL 25% 2454 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARr"1 DISABLED PERIODIC TEST FAIL . ALARf" D I SA D GROSS TEST FAIL ALARr'1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY STICK OFFSET 1 t"1I N 0.00 · ~~=-=~- e LEAK TEST t'1ETHOD ------ - - - - TEST CSLD : ALL TANK Pd = 95~. CLl t"IATE FACTOR: t"10DERATE LEAK TEST REPORT FORr'lAT NORt'1AL PRESSURE LINE LEAK ALARt'l Q 1: SUPER UNLEADED GROSS LINE FAIL JUN 2, 1999 12:05 PM PRESSURE LINE LEAK ALARr'l Q 1: SUPER UNLEADED PLLD SHUTDOWN ALARM ~ JUN 2, 1999 12:05 Pt"l- PRESSURE Ll NE LEAK SETUP ------ Q 1: SUPER UNLEADED PIPE TYPE: FIBERGLASS Ll NE LENGTH: 150 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: ENABLED SHUTDOWN RATE: 3.0~H LOW PRESSURE: 10 p. T 1: PREM I Ut"l DISPENSE r'10DE: STANDARD SENSOR: VENTED - Q 2 :PLUS PIPE TYPE: FIBERGLASS LINE LENGTH: 150 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: ENABLED SHUTDOWN RATE: 3.0 GPH LOW PRESSURE: 10 PSI T 2:PLUS DISPENSE MODE: STANDARD SENSOR: VENTED Q 3:UNLEADED e PIPE TYPE: FIBERGLASS LINE LENGTH: 150 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: ENABLED SHUTDOWN RATE: 3.0 GPH LOW PRESSURE: 10 PSI T 3:UNLEADED DISPENSE MODE: STANDARD SENSOR: VENTED ...... -- .... Q 4:DIESEL PIPE TYPE: FIBERGLASS LI NE LENGTH: 150 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: ENABLED SHUTDOWN RATE: 3.0 GPH LOW PRESSURE: 10 PSI T 4:DIESEL DISPENSE MODE: STANDARD SENSOR: VENTED LINE LEAK LOCKOUT SETUP - - - - - - - - - - LOCKOUT SCHEDULE DAILY ST ART T Ir"lE: DISABLED STOP T I t1E : DISABLED e LIQUID SENSOR SETUP ------ - - - - L 1: PREt"1 I Ur1 STP sur"1P TR I -STATE (s I NGLE FLOAT) CATEGORY : STP SUMP L 2:PLUS STP SUMP TRI-STATE (SINGLE FLOAT) CATEGORY' : STP sur"IP L 3:UNLEADED STP SUMP TRI -STATE (SU'!GLE FLOAT) CATEGORY : STP SUMP L 4:DIESEL STP SUMP . TRI-STATE (SINGLE FL~ ( CATEGORY : STP SUt"lI> ---- \ -- . .;~,~ : - -- Tank Upgrades Compliance Testing Soil & Groundwater Sampling Test Date: Aprill, 1998 Job #: 98-0015 CERTIFICA TION COMPANY: Texaco Rejiningand Marketing Inc. 3663 Gibson Street Bakersfield CA 93308 SITE: Texaco #:61058001408 2601 White Lane Bakersfield CA 93304 /' TANK NUMBER: 1 2 3 4 TANK PRODUCT: Super Unleaded Unleaded Diesel TANK SIZE: 10,000 10 ,000 10 ,000 10 ,000 TANK INOCULANT: A17 C66 R39 W12 TANK RESULT: Pass . Pass Pass Pass Mike SahÚn LicenseJ T eclutidan 98-1518 License Number: P.O. BOX 8400 · MESA, ARIZONA 85214 · (602) 926-3000 · (800) 639-5151 · FAX (602) 926-0331 RPR-09-1998 15:57 TRACER RESEARCH 5202931306 P.10 > e e .. Tracer Research Job No. 300333 Page 2 Sample Date: 4n /98 CONDENSED DATA Location Compound Coocentratioo(mg!L) 001 A 0.0000 001 C 0.0000 001 R 0.0000 001 W 0.0000 001 TVHC 0.0000 002 A 0.0000 002 C 0.0000 002 R 0.0000 002 W 0.0000 002 TVHC 0.0000 003 A 0.0000 003 C 0.0000 003 R 0.0000 003 W 0.0000 003 TVHC 0.0000 004 A 0.0000 004 C 0.0000 004 R 0.0000 004 W 0.0000 004 TVHC 0.0000 005 A 0.0000 005 C 0.0000 OOS R 0.0000 005 W 0.0000 005 TVHC 0.0000 006 A 0.0000 006 C 0.0000 006 R 0.0000 006 W 0.0000 006 TVHC 0.0000 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L). Tracer values reported in miUigrams/liter (mg/L). 0.0000 = Not Detected -999999.9999 = No sample RPR-09-1998 15:57 TRI=!CER RESEt=lRCH k - e '. Tracer Research Job No. 300333 Sample Date: 4n /98 CONDENSED DATA Location Compound Concentration(mgIL ) 007 007 007 007 007 A C R W TVHC TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L). Tracer values reponed in milligrams/liter (mg/L). 0.0000 = Not Detected -999999.9999 = No sample 5202931306 P.ll 0.0000 0.0000 0.0000 0.0000 0.0000 Page 3 TIlt" BIUlttJ CUIIlItill Iml .. .. I 8 6 E1 EJ 3 EJ , . Tank 4 Tank 3 Tank 2 Tank 1 10,000 gal 10,000 gal 10,000 gal 10,000 gal .mBJlk Diesel Unleaded Plus Super Tracer ['If] Tracer [R] Tracer [C] Tracer [A] ® ® ® ® 7 ' . , 1 @ @ 4 @ @ ŒJ , , 0 Concrete 5 0 0 2 ~ .. . '. r----. V.at. 0000 I1J I'J) ~ ~ III C ) 02 rn : ¡::: Q) CD BUILDING Po Po I1J rn .... .... Q Q 300333 . T E X A C 0 # 6 1 0 5 8.0 0 1 4 08 EXPLANATION ~ N 260 1 WHITt: LA Nt: ·1 Sampling Probe Location 0 5 BAKERSFIELD. CALIFORNIA 93304 10 I I . Monitoring Well Location I - I SAVPLING LOCATIONS f e e t 04-08-98 Figure 1 , ,-. e e ___.... ...._v "'Vi.... U"V &1.-,...... 1"(\j. ...,1" 'li:Juu..: .' '. e e or 'OSCO ¡,. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (805) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY ìFXACo *~ 6/o5'iOO L.{oF .AJ)DRESS 1601 1,.v }:H1f l~~E {3a '(fIlSFrp..D I (,~ 'JJJo'1 PERMIT TO OPERATE # '( ì 1 OPERA TORS NAME ':fA"']:" E" Sî07T S OWNERS NAME 1'f)Cf.\'-A (2£F¡",¡µt rf- f'1nI\.I.(HI.v¡; Iµt.· . ~fJJ..rf7Jt..ì" FnFt> LOµt. Nù"'MBER OF TANKS TO BE TESTED ~ IS PIPfNG GOING TO BE TESTED L.j CONTENTS TANK # VOLUME I fû OùC ¡ 1 10 DO 0 t J ¡ 0/ ODD ~ iii, ODD 5 II Pfl\. (¡¡..'¡.f'~Dl' I) C!\ '><- i..l;.- t (¡IJLe"l)1)f 1:) p/..v $ C ~Jú vwf VNLIÍ~D¡:O G~.>c",~....f D;¡uJeL TA..1\,[J( TESTING COMPANY G-fWV"'PI.vATF I\. ·1'\IWfJ{}(JAf'¡...T SðV't"U (,vlt.-Jr MAll.INGADDRESS p.c, ßðx 94ðD f'1F51!, 1J2 ~521Y NAME & PHONE NUMBER OF CONTACT PERSON MnaVJIJ þmc.Lrrl 6()2-'i26-J¿,)~ TEST METHOD Tn tier1\. lIt '·H /"I It Tµ ¡,J) NAi\1E OF TESTER M;f~t= .51f~L:W CERTIFICATION # if - 15' I? DATE & TIME TEST IS TO BE CONDUCTED ,,\-'}.*~? ItFrrr-- ",ú~fo/ ~ 11-6"''16 DATE ß- 4// SIG~URE OF APPLICANT , . " . -. j--; ... ·e i· , . . . . . . . . OUNDWATER . .~ 'NAGEMENT . -. ~UTHWEST, co. e . '. . . ,..' \-" U, 'I Tank Upgrades Compliance Testing Soil & Groundwater Sampling April 14, 1998 Fred Long Texaco Refining and Marketing Inc. 3663 Gibson Street Bakersfield ,CA 93308 Dear Mr. Long, Groundwater Management Southwest has performed precision tank tightness tests on the underground tank systems listed on the attached report. The testing was performed in accordance with the manufacturer's protocol as required by federal, state, and county regulations for compliance. The testing results, as shown on the attached certification page, indicates whether the tank and associated piping passed or failed compliance. Included with the certification is a report containing the supporting data. If you have any questions regarding the attached results or need help in any way, please do not hesitate to call us at (800) 639-5151 or (602) 926-3000. Sincerely, G~~ Office Manager gj Attachments P.O. BOX 8400 · MESA, ARIZONA 85214 · (602) 926-3000 · (800) 639-5151 · FAX (602) 926-0331 U;jlllll ~ O/S:'J9 U~05 32tt 05711 BFD HAZ MAT DIV ~002 . -~ or 0 SCJ:j CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (80S) 326-3979 APPLICA TION TO PERFORM A TANK TIGHTNESS TEST FACILITY TFXACo :n-= 6/05'100 I&.tOP ADDRESS 2601 \V }H1f U~~E ßtHlfIÚF:l(l.D I ct+ qJJo"f PERMIT TO OPERATE # ?ì' OPERATORS NAME :rA~:r"r STð1'T.f "'O~"T' . FnFo lo~~ OWNERS NAME 1'~)e4'O f2FFIwJw& rJ.o ""RI\~ r¡"I1V6 Iw(.. NUMBER OF TANKS TO BE TESTED &..\ TANK # VOLUME f 1 J ~ IS PIPING GOING TO BE TESTED 4 CONTENTS 10 000 '0 000 t JO,OOo . 10,000 SIIPFI\. 1fAf1,.f'91>~!) C:: HoL:J~f "~LIt01>7t» pLII,S CMoL-¡vE VNl.r~l}t"V c.J);Søl.-J,¡v( n:Uj eL T A.~ TESTING COMPANY G-(lø¡¡AIJ)\.v~Ti" I\. . ~~ft""f'¡"T 5ðll'tij (.v~T MAILING ADDRESS p.o. ßðx 94ðO t'lFS1!, 111. PS-21Y NAME & PHONE NUMBER OF CONTACT PERSON MßIlV1V t-4~c.Lrt1 601· '726- Jd )4 TEST METHOD TMGfl\. n&~T t-\iT»iI.o NA.I\1E OF TESTER M.J1I.1r Sq."lJ~ CERTIFICATION # ''If - IS"? DATE & TIME TEST IS TO BE CONDUCTED ~-1.-~? Itfr( ~ p.¡o~¡J ~. o BY -f-C-9'cr + ¿,/ SIG~URE OF APPLICANT DATE