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Home My WebLink AboutHAZ-BUSINESS PLAN 9/27/2002 Per LOCATION: Operate Hazardous Materials/Hazardous Waste Unified Permit it to CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: iii Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment CA 93309 TANK 015-021-002355-01 015-021-002355-02 Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Issue Dat~ June 30, 2003 . . 285:f3 I CA Cart. No. City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (661) 326-3979 An upgrade compliance certificate has been Issued In connection with the operating permit for the facility Indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following infonnation in the fonnat of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Fonn A); name of issuing agency; and date of issue. Other identifying infonnation may be added as deemed necessary by the local agency. This permit is issued on this 2ih day of September 2002 to: BIG COUNTRY CHEVRON Permit #015-021-002355 3300 WHITE LANE Bakersfield, California 93309 .,-..L..o A\iE o ,cLD CA 9:330'3 b6T-827-0487 " I:. i: JUN 8. 2004 12:49 PM " ( :¿ . ( . ~¡ ~I::t'" STATUS REPORT ~; i ___H____ ;., F\LL FUNCT IONS NORt"lAL I N\lENTOR'y' REPORT T AIPRH'IE voIM = ULLAGE '3 O~,: ULLAGE = TC vowr"1E HEIGHT ,AfATER 'vOL "JA TER TEt"lP 3991 8009 6809 3920 '-JJ:; ,-,.-, ....,:.J.<-0 o 0.00 85.4 T 2:REG UNLEADED VOLUME 5963 ULLAGE 6037 90% ULLAGE= 4837 TC VOLUME 5859 HEIGHT 47.77 ""-lATER \/OL I] WATER 0.00 TEMP 84.8 ''''~¥. :;.¡ END .I 1 '\ ... .j\, GALS GALS GALS ~ (~ALB ~, I NC HES ¡II GALS INCHES " DEG F « " " " , G{~LS II ¡ GALS (,' GAL~3 '" GALS ~; I NCHÐ3 ~., GALS ,'ç'l: I NCHESi1i, DEG F ;,.~ '.~ ~~ ¥. ¥. '" :;.¡ ¥. ~ j-- '~ '¡íf f' ; , e . FACI LITY NAM E--1-:S '5 (?):JÙA1 tr j c.. Vt6/Ýo1\\ INSPECTION DATE rr! P/04- CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST t 715 Chester Ave.. 3rd Floor. Bakersfield. CA 9330 t Section 2: Underground Storage Tank~ Program o Routine ~ Combined 0 Joint Agency Type of Tank VV\Jf~~ Type of Monitoring ~/L VV\ \ o Multi-Agency Number of Tanks Type of Piping o Complaint Z- ÞINE ORe-inspection OPERA nON c v COMMENTS Proper tank data on tile ~ Proper owner/operator data on tïlc )<. Permit fees current ~ Certification of Financial Responsibility )( Monitoring record adequate and current )( Maintenance records adequate and current ~ Failure to correct prior UST violations X Has there been an unauthorized release? Yes No )< Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGA TE CAPACITY Number of Tanks OPERA nON Y N COMMENTS SPCC available SPCC on tïle with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes. Does tank have overfill/overspill protection? C=Compliance V= Violation Y=Yes N=NO Inspector: Office of fr While - Fnv. Svcs. PillK - AlIsincss Copy ~~~~~;;=~;;-1 Bakersfield Fire Dept. EnironmentaJ Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME J? t 7 AJ 1-0 ev ( ~ '"'''''=---~QQ_t~L~~=i~~~-===~_-~~.·_ FACILlTYCONTACT 1:~ìßiQ±-___ ~NS:_:ON TI~E_h PHONE No, No_ of Employees ~Qt~Z____~___________ usiness 10 Number --- -- -- .._-----, ..- -.- 15-021- Section 1: Business Plan and Inventory Program D Routine ..b( Combined D Joint Agency D Multi-Agency D Complaint D Re-inspectìon C V ( c=ComPlianCe) V=Violation OPERATION COMMENTS W D ApPROPRIATE PERMIT ON HAND ~-~-----_.__.._------,..__..,---------~----~_._--_._---_._---~-- --_._--~--_., ..----- - -- --- -- ---- .-- ,. .- _._~. ,--- -- . _ .._. .__ u... __......._.____.__________.___.._. ......._______ ~ 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE .-_.__._------_.~--~---------_..__.._-------,._-"._.__.- ---.----.-,-..--.------.....--.....-------.-.. ~ --?n- VIS~=~_~DDRES~__________n ______ ____ ____________ ~_g__~O~_~:~~'O~~~~~~~_~___._______,h___'____ ____________________.___ ,__ ~---~~~="~~~-~~~~~-~~-~~~~~~~~~-A~~~I~~~n-------- ____ ____ ___, g____~___~~~~I:~~I~~_~_~~.t\~~I~I~~_ ______nn_ ".. n_~__________ u____ n ~____~n_ VER~~C~~~~~_~~_~~_~~I~~_m___ __ __________________nnn D PROPER SEGREGATION OF MATERIAL __.._ . _.~___~__. _ _ _..n. ____ .. -.. ---.-- -------_.---, - --.-.---- .---.--...-- . .. .. -..--". ---. u. ____c._____. _._ _.... -- -....-..-.---.- _. --'-- '- .___. __. _u_ ____._n_.. __.__ . ~__·_____.__n__.___·_·____ ...._. ._.___. . . --. ..---.--....-..-.--..-....-.--.--.-- _.- ..... .n .. .___ ____~ -----.-,. -,~ ..- . - __.n __u_ ____ _ _________. ... _ u. - ____._____.n...____ .'__ _._______.__.._ _________. _n···_______u·___....____ __ ____.._____.__...___._________________.____________.____ ________________ ___.._._._.._____.__u _'._ _____.u... . .__._ ___.___..___ _...____ __ __~.._ _ _ .__ .____.______ _ __ _ ___. ._______._ __ ~__.~.__._____~.__.. ____~_~~~I_~~~~~~~_~~~~~__~~IL~~I:I~~n_______n___n _n ___I m__ __ )if 0 VERIFICATION OF HAT MAT TRAINING 1 nÉ___~~~~-~~~~I~;~I~N~~~_;~~_~~~~i~;~~I~_~:~~~~~~~~~~-=~--1-n:~-~-:-: ___m___ ( D EMERGENCY PROCEDURES ADEQUATE ~--D---C;~~~I~~~~~~;~~~~-~~~~~~---- - _______________________n_ 1________ -------- _n___ ,-- _h_ __m -- _n__ m__n ___d___h__ --- ___n :~~~Äs~~~-~~~-~-~-~·~··.f~~~n~ ~ ··~.I~-rt>f;{~.~;. ~ 0 SITE DIAGRAM ADEQUATE & ON HAND I ... .- p -- -. .- ~.. --------~".._. _."-~- "---.- .-------.- ---------.<-... --..-...-.-....----.--.-. ----_.__._-~--- ...- .__.._-~_. --------.-...---.-.--.- -..-.-" ANY HAZARDOUS WASTE ON SITE?: DYES )(NO EXPLAIN: G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Fire Prevention 1 5t-ln/Shift of Site )<BU~Re5Pon ibl en g '" 12 ._ _____~..~._ ____·____~__·___~___._~-._____~__n.____._.._~· White - Environmental Services Yellow - Station Copy Pink - Business Copy S'lSTEr1 SETUP OCT 8. 2003 9:41 AM S\'STH'1 UN ITS U.S. SYSTHi LANGUAGE ENGLISH . - SYSTH1 DA TET I I"IE F 0 F:I"1A T t"10N DD 'y"}ll'l HH :1"11"1 :SSx:M . BIG COUNTR'I CHEVRON 3300 WHITE LANE AVE BAKERSFIELD CA 93309 661-827-0487 SHIFT TInE I ~3H I FT T HiE. 2 SHIFT TIf"1E ':3 SHIFT TII"IE 4 6:00 Af"1 DISABLED DISABLED DISABLED TANK PER TST NEEDED INRN DISABLED TANK ANN TST NEEDED ~JRN DISABLED LINE RE-ENABLE f"1ETHOD PASS LINE TÐ3T LINE PER TST NEEDED WRN D I t:~ABLED LINE ANN TST NEEDED WRN DISABLED PR I NT TC VOLUr'·'1ES ENABLED TEf"1P COf"1PENSATION VALUE (DEG F}: 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORr"1AT HEIGHT ,-DAYL..IGHT 5;AV I NG-T--I'¡'1E ENABLED START DATE APR WEEK SUN START TIr1E 2:00 At"1 END DATE OCT WEEK 6 SUN END TIf"1E 2:00 Ar"1 RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREF I >< S n ~ SYSTEr"l SECUR I TY CODE : 000000 CotvltvlUN I CAT IONS SETUP - - - - - - - - - - PORT SETTINGS: COMM BOARD 1 (RS-2321 BAUD RATE 1200 PARITY EVEN STOP BIT : 1 STOP DATA LENGTH: 7 DATA RS-2:32 SECURITY CODE : DISABLED AUTO TRANSr1IT SETTI NGS: AUTO LEAK ALARlv, L I tv1 I T DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT -D1 SABh.ED- -- -- -- - AUTO THEFT LIMIT D I ~3ABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARr'1 DISABLED AUTO SENSOR WATER ALARtvl DISABLED AUTO SENSOR OUT ALARt"1 DISABLED ------ RS-232 END OF MESSAGE DISABLED IN-TANK SETUP ------ T 1: SUPREME PRODUCT CODE THERt1{:\L COEFF TANK D I ArvlETER TANK PROFILE FULL \IOL FLOAT SIZE: WATER [,JAR N I NG HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DELIVER'''' LIt"lIT LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : PROBE OFFSET MANIFOLDED TANKS nt: NONE : 1 : .000700 96.00 1 PT 12000 4.0 IN. 2.0 3.0 12000 97% 11640 95~. 11400 10% 1200 500 99 50 0.00 0.00 LEAK tvl IN PERIODIC: 10% 1200 LEAK MIN ANNUAL 10j. 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARr"l DISABLED PERIODIC TEST FAIL ALARt"l DISABLED GROSS TEST FAIL ALARr'l DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DEL I VERY DELAY 15 Iv1 IN PUMP THRESHOLD : 10.00% · ~ _--.-~ -,. ---=-_.~.,:~~ - - -=--....,.. --~ --: .-. --.;-- - ----~ T 2:REG UNLEADED PRODUCT CODE THER!'lAL COEFF TANK D I Af'1ETER TANK PROFILE FULL VOL FLOAT SIZE: WATER WARNING HIGH WATER LIMIT: !'IAX OR LABEL VOL: OVERF I LL LI 1'1 IT HIGH PRODUCT DELI VERY LI r1 IT LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET !'tAN I FOLDED TANKS nt: NONE 2 : .000700 95.00 1 PT 12000 4.0 IN. 2.0 3.0 12000 97% 11640 95% 11400 10% 1200 500 99 50 0.00 0.00 LEAK MIN PERIODIC: 10% 1200 LEAK MIN ANNUAL 10% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALAR!"1 DISABLED PERIODIC TEST FAIL ALAR!"l DISABLED GROSS TEST FAIL ALAR!'l DISABLED ANN TEST A\/ERAG I NG: OFF PER TEST AVERAGING: OFF -TANK 1'ES1'-- NOT I FV: -- OFf~_n TNK TST SIPHON BREAK:OFF DELI VERY DELAY 15 r1 IN PUMP THRESHOLD : 10.00% - LEAK TEST METHOD ------ - - - - TEST ANNUALLY: ALL TANK SEP WEEK 2 1"10 N START T II"IE: 2: 00 AM TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FOR~'IAT ENHANCED LIQUID SENSOR SETUP - - - - - - - - - - L 1: 87 STP TRI-STATE (SINGLE FLOAT} CATEGORY : STP SUr'iP L 2:87 ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY' : ANNULAR SPACE L 3:87 FILL TR I -STATE (ß I NGLE FLOAT) CATEGORY' : ¡"10NITOR l,JELL L 4:91 ANNULAR TRI-STATE (SINGLE FLOAT} CATEGORY : ANNULAR SPACE L 5:91 STP TRI-STATE (SINGLE FLOAT) CATEGORY : STP sur'w L 6: 9 ¡ FI LL TRI-STATE <BINGLE FLOAT) CATEGORY' : MONITOR WELL L '3 :DISP ¡-2 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN ~ LI 0 :DISP 3-4 TR I -STATE (S I NGLE FLOAT> - .. CATEGORY : DISPENSER )'AN .- -- ..... - LIl :DISP 5-6 TRI-STATE (SINGLE FLOAT> CATEGORY : DISPENSER PAN L12 :DISP 7-8 TR I -STATE <S I NGLE FLOAT> CATEGORY : DISPENSER PAN L1 :3 : D I SP 9-10 TRI-STATE (SINGLE FLOAT> CATEGORY : DISPENSER PAN L1 5 : D I SP 1 1 -1 2 TR I -STATE <S I NGLE FLOAT> CATEGORY : DISPENSER PAN OUTPUT RELAY SETUP ------ R 1 :POSTITIVE SHUT-OFF TYPE: STANDARD NORI'1ALL Y CLO~3ED LIQUID SENSOR ALMS ALL: FUEL ALARI'1 ALL :SENSOR OUT ALARI"1 ALL : SHORT ALARt'1 RECONCILIATION SETUP ------ AUTor"IAT I C DA I L Y CLOS I NG T 11"1£ : 2: 00 AI"1 PERIODIC RECONCILIATION I'IODE : 1'10m HL Y TE\"IP COI"IPENSATlON STANDARD BUS SLOT FUEL t1ETER TANK ------ - - - - TANK 1"1AP Et''1PT'/ -- ALARI"1 HI STOR''! REPORT SYSTBi ALAR!"1 PAPER OUT OCT 1. 2003 10:42 AM PRINTER ERROR OCT 1. 2003 10:42 AM BATTERY IS OFF JAN 1. 1996 8:00 AM M M ~ M MEND M M M M M ALARM HISTORY REPORT ---- IN-TANK ALARM ----- T 1: SUPREI"tE SETUP DATA klARN I NG SEP 16. 2002 2:43 PM OVERF I LL ALAR!"1 SEP 20. 2002 9:51 AM LOW PRODUCT ALARM OCT 13. 2002 4:24 PM OCT 12. 2002 7:06 PM SEP 16. 2002 2:59 PM INVALID FUEL LEVEL OCT 13. 2002 4:17 PM OCT 12. 2002 6:20 PM SEP 16. 2002 2:43 PM PROBE OUT JUL 30. 2003 SEP 20. 2002 SEP 16. 2002 1 : 53 pt"1 3 : 2 4 PI"1 2 : 43 PI"! DELIVERY NEEDED AUG 4. 2003 8:27 AM JUL 23. 2003 8:57 PM MAY 28. 2003 4:02 PM M M M M MEND M M M M M ALARI"! HI STOR'" REPORT ----- SENSOR ALARM ----- L 1: 87 STP STP SUt"lP FUEL ALARr"] SEP 25. 2002 10:33 AM FUEL ALARI"1 SEP 21. 2002 8:45 AM FUEL ALARI'1 SEP 21. 2002 7:39 AM M M M M MEND M M M ~ M ALAR~'l H I STORY REPORT ---- IN-TANK ALARM T 2: REG UNLEADED ~3ETUP DATA WARN I NG SEP 16. 2002 2:43 PM O\/ERF I LL ALARr"1 OCT 21. 2002 6:47 PM SEP 20. 2002 9:51 AM LOL~ PRODUCT ALARI"1 JUL 29.. 200:3 3: 49 Pt'1 MAY 17. 2003 12:50 PM APR 20. 2003 10:29 PM SUDDEN LOS~3 ALARr"l SEP 8. 2003 3:49 AM HIGH PRODUCT ALARr"! OCT 21. 2002 6:26 PM INVALID FUEL LEVEL JUL 29. 2003 3:38 PM JUL 4. 2003 2:14 PM MAY 17. 2003 12:49 PM PROBE OUT SEP ~u. 2002 3:23 PM SEP 16. 2002 2:43 PM DEL I \/ERY NEEDED AUG 7. 2003 8:01 PM AUG 1. 2003 7: 09 Ar'1 JUL 29. 2003 12:59 PM M M M M MEND M M M M M .............--- - ... ALARI"1 H I STORY REPORT I N-TANK ALAR~'l ----- T 3: M M M M MEND M M M M M ALARt"1 HISTORY REPORT ----- SENSOR ALARI"1 L 2:87 ANNULAR ANNULAR SPACE FUEL ALARr"1 SEP 25. 2002 10:34 AM FUEL ALARr"l SEP 21, 2002 8: 43 At"l SETUP DATA L.JARNI NG SEP 16, 2002 2:43 PM M M M M MEND M M M M M ALARM HISTORY REPORT SENSOR ALARM ----- L 3:87 FILL r'10N !TOR WELL FUEL ALARI'1 SEP 21. 2002 8:52 AM SETUP DATA WARNING SEP 16. 2002 2:43 PM M M M M MEND M M M M M ALARM HISTORY REPORT -- - ---- ~-- - --- ----- SENSOR ALARM L 4:'31 ANNULAR ANNULAR SPACE FUEL ALARr'l SEP 25. 2002 10:37 AM FUEL ALARM SEP 21. 2002 8:49 AM SETUP DATA L,JARN I NG SEP 16. 2002 2:43 PM M M M M MEND M M M M M L :::¡.-:;t! blP STP SUt"1P FUEL ALARr"] MAR 6. 2003 2:35 PM FUEL ALARr'! SEP 25. 2002 10:37 AM FUEL ALARr"1 BEP 21. 2002 8:47 AM ~ ~ ~ * ~ END ~ ~ ~ ~ ~ ALARt"l H J STOW! REPORT ------ SENSOR ALARt"! L 6:-9T -FIn. ["10NITOR l,JELL FUEL ALARt"l SEP 21. 2002 8:51 AM SETUP DATA WARNING SEP 16. 2002 2:43 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARr"1 HI STOR\" REPORT SENSOR ALARt"1 L 7: OTHER SENSORS ~ ~ ~ * * END * ~ ~ * ~ ALARf"\ H I STORY REPORT SENSOR f~LARr'1 L 8: OTHER SENSORS * ~ ~ ~ ~ END M M ~ * * ALARI"1 H I STORY REPORT _____ SENSOR ALARI"1 L 9:DU3P 1-2 DISPENSER PAN FUEL ALARM SEP 25. 2002 10:40 AM FUEL ALARI"' SEP 21. '2002 8: 53 AI'" SETUP DATA WARNING SEP 15. 2002 2:43 PM ---_.~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM LlO:DISP 3-4 DISPENSER PAN FUEL ALARr"l SEP 25. 2002 10: 41 Af"t FUEL ALARf"l SEP 21. 2002 8:54 AM SETUP DATA WARNING SEP 16. 2002 2:43 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ - ALARr"1 HI STOR'y' REPORT ----- SENSOR ALARr"1 Lll :DISP 5-6 DISPENSER PAN FUEL ALARI"' SEP 25. 2002 10:43 AM FUEL ALARr"1 SEP 21. 2002 8:54 AM SETUP DATA WARNING SEP 16. 2002 2:43 PM ~ ~ ¥. ¥. ~ END ~ ¥. ~ ¥. ~ ALARI"1 HI STORY REPORT ----- SENSOR ALARM Ll2 :DISP 7-8 DISPENSER PAN FUEL ALAR,...l SEP 25. 2002 10: 46 Ptr1 FUEL ALAR,...! SEP 21, 2002 8: 54 AI"1 FUEL ALAR,...1 SEP 16. 2002 3:12 PM ¥. ¥. ¥. ¥. ¥. END ¥. * * * ¥. - - - - - - I N-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 1: PROBE TYPE l"IAGl 8ER I AL NUI"!BER 61 5:321 ID CHAN ~ O>~COOO GRADIENT ~ 350.1700 NUl"! SAI"IPLES 20 coo 1328. 1 C02 9786.7 C04 9790.7 C06 9786.0 C08 9787.8 CI0 9788.5 C12 11069.7 C14 10379.8 C16 10293.7 C18 45477.9 SAÞ~LES READ ~34237583 SAlulPLES USED ~34235492 COl 9785.0 C03 9788.7 C05 9792.7 C07 9786.7 C09 9788.3 Cl1 45476.5 C13 10426.0 C 1 5 1 0471 . 8 C17 10294.3 IN-TANg DIAGNOSTIC .... -- - -- - - >ROBE DIAGNOSTICS ' 1: PROBE TVPE MAGI ERIAL NUMBER 615321 D CHAN '" O>:COOO ?ADIENT = 350.1700 1M 8Af"IPLE8 ~ 20 -------> COO 1328.4 COl 9782.0 C02 9782.0 803 9782.9 C04 9783.9 C05 9785.1 C06 9785.9 C07 9786.8 C08 9787.8 C09 9788.5 Cl0 9788.8 Cll 45476.6 C12 11069.3 C13 10426.5 C1410379.5 C1510471.5 C16 10293.7 C17 10294.2 C18 45478.0 SAMPLES READ =34237592 SAMPLES USED =34235501 IN-TANK DIAGNOSTIC ------ PROBE DIAGNOSTICS T 2: PROBE TYPE r"IAG 1 SERIAL NUMBER 615322 ID CHAN = OxCOOO GRADIENT = 349.7900 Nun SAI'1PLES 20 COO 1364.3 COl 16404.9 CO2 16404.8 CO:3 16404.4 C04 16404.7 C05 16404.8 C06 16424.9 C07 16424.9 C08 16425.1 C09 16424.9 CI0 16424.4 Cl1 45886.5 C12 11253.4 C13 11020.3 C14 10991.8 C15 11337.0 C16 11257.5 C17 11240.0 C18 45886.3 SAMPLES READ =34237477 SAMPLES USED =34235782 ----- SENSOR ALARM ----- L 1: 87 STP STP S Ur"IP FUEL ALARf'" OCT 8. 2003 10:07 AM - - - -- SE NSO R ALARf"' L 2:87 ANNULAR ANNULAR SP¡;CE FUEL ALARf"' OCT 8. 2003 10:09 AM ----- SENSOR ALARM ----- L 5:91 STP ~3TP SUf"lP FUEL ALARf"' OCT 8,. 2003 10:10 AM ----- SENSOR ALARM L 4:91 ANNULAR ANNULAR SPACE FUEL ALAR!"1 OCT 8. 2003 10:11 AM - BIG COUNTR"l CHE\/RON 3300 WHITE LANE AVE BAKERSFIELD CA 93309 661-827-0487 OCT 8. 2003 10:12 AM S'lSTEt"1 STATUS REPORT ------ ALL FUNCT IONS NORr"IAL ----- SENSOR ALARt"l L 3:87 FILL r"10NITOR tJELL FUEL ALAR!"1 'OCT 8. 2003 10: 18 AI"1 ----- SENSOR ALARM L 6:91 FILL f"10N I TOR I"JELL FUEL ALARt"1 OCT 8. 2003 10:18 AM BIG COUNTR'l CHEVRON 3300 WHITE LANE AVE BAKERSFIELD CA 9:3:309 661-827-0487 OCT 8. 2003 10:19 AM S'lSTEr'1 STATUS HE PORT - - - - - - - - - - - - L 3: FUEL ALARr"1 ----- SENSOR ALARM LIl :DISP 5-5 DISPENSER PAN FUEL ALARr'1 OCT 8. 2003 10:21 AM __n_ SENSOR ALAR!"1 LI 0 :DISP 3-4 D I SPEt~SEH PN~ FUEL ALARr"1 OCT 8. 2003 10:22 AM ----- SENSOR ALARM L 9:DISP 1-2 DISPENSER PAN FUEL ALARI., OCT 8. 2003 10:23 AM -- -~ --~~ - -- ----- :3ENSOR ALARf" Ll 5 : [JI SP 11 - 1 2 DISPENSER PAN FUEL ALARt1 OCT 8. 2003 10:23 AM - - - - - SE NSO R ALfiRr"J Ll3:DISP 9-10 DISPENSER PAN FUEL ALARt" OCT 8. 2003 10:24 AM ------ BENSOR ALARt"! Ll2 :DI:3p 7-8 DIBPENSER PfiN FUEL ALARt" OCT 8. 2003 10:25 AM BIG COUNTRY CHEVRON 3300 /..IJHITE LANE AVE BA1ŒRBF I ELD CA 9:3309 661-827-048í' OCT 8. 2003 10:26 AM BYSTEt" STATUS REPORT ALL FUNCT IONS NORt"IAL - - - - - - 1, ¡, o /28/01 07:45 ß'66e6 0576 BFD H.-\Z MAT DI.~ @002 MONITORING SYSTElVl CERTIFICATION For Use Bv Alf Juri.l·dietIllIlS Withill tilt: St(/(I! (lj CClli/omiu Awhurity Citl!ci: ChClptf!r.s. 7. Health umi Safety Cod/!: Chuprt!r 16. Divi.ri;m J. Title 13. Cellij'omiCl CCJdl! "f Regl/laricms 111. : i:; form mU.5t b.e u~ecl to document testing nnd s~rvic.in.g of mQnÌlo~ing equipment. A SCDornte ce~tit~cation or repoIi n:u.~t be DreDared r¿" ~:\ch monitOring systcm control'p'¡)J~ by the teChniCian who pertorms the: work. A copy of IhlS form must be: provided to the t¡¡nk. s~ tem owner/operator. The: ownulope:rator must submit II copy of thiS form to the 10c:l1 IIgency regulating UST systems wilhin 30 d,f¡ S of leSI date, ~: . General Information F' ilityNamc: ~ ~¿YAV'~ ~-VA'~ Bldg. No.: . s : . Addrm: 3~C:t2 b .Jv/'Tê L..c/. City: ~""~.R.s"'¡c/ê.¿O Zip: F: ility Contact Person: ~V/D ~~ COnlnct Phone No.: (t"'~~/)...~':7.6~s:3 ~I keIModel o(Moníloring Syste:m: øJ-~--~:r ~~'l:) Date of'TÚtíngISe:rvicíng: ¿Qj.J!flj.C!.3 Ii ~f Im¡entory of Equipment Tested/Certified C\i ck !h~ ~ ro date boxes to Indicate s eclnc e uJ ment Ins eeleclJservlced: ~: kID: 7/ ,~~::h;>g ,_ Tank1D:, n- Tank Gauging Probe. Model: ~/ Q In- Tlink Gauging Probe. Model: , ,i Annular Space or Vault Sensor. Mode:l: - . ÇJ Annular Space or Vault Sensor. Mode:J: , ¡ping Sump / Trench Sensor{s). Model: - Q Piping Sumpl Trench Sensor{s). Model: ¡g¡ ill Sump Scnsor(s). Model: .~ Q Fill Sump Sensor(s). Model: 3,li lechani.cal ~ine Leak Dctector. Model: Q Mechanical Line Leak Detector. Model:' :J! lecrronlc Line Lcak Dctector. Model: Q Electronic Line LeU. Detector. Model: 31: ank Overfill i High-Levèl Sensor. Model:' Q Tank Overtll1l High-Level Sensor. Model: ¡ 0: ther (s ecif e ui ment t e and model in Section E on ,Pa e 2). Q Other (s cif e ui ment I e and model in Section E on Pa e 2). i T I k ID: Tank ill: ,.,/,M I ai n-Tank Gauging Probe. Mode): ,Q In-TlU1k Gauging Probe. Model: : 1/Iular Space or Vault Se·nsor. Model: Q Annular Space or Vault Sensor. Model: I ' ! jpin~ Sump I Trench Sensor(s). ·Model: 0 Pipin¡Sump / Tn:nch Sensor(s). Model: .~I ill Sump Sensor(s). Mooel': .~~ - ..:;)'")8 Q Fill Sump Sensor(s). Model: o i 1echanical Line Leak Detector. Model: Q ~!echanical Line Leak Detector. MOdel: o Ilecrronic Line Leak Detector. Model: Q Ele.ctronic Line Leak De:tector. Model: Q Ii allk Overfill I Hieh-Level Sensor. Model: Q Tank Overfill I High-Level Sensor. Model: 0: ther (s cirve ui menc t e and model in Sectjon E on Pa e: 2). Q Other (5 ecifv e ui ment t e and model in Section E on Paoe 2). DII enser ID: ~ Dispenser ID: I ispenser Containment Sensor(s). Mode:I:, 79'Y,,!!,ßo. ~ ~Dispenser Containment Sensor(s). Mode'l: :?91C~~ : hear VaI"e(s), ¡¡(She:!r Valve(s). Q : is enser Concainmem Float(s) and Chain(s). Q Dis enser Containment Float(s) and Chajn(s). Di' nser lD: Dispenser rD: ~ ~I': ispenser Containment Scnsor(s). Model: ~ ~Dispen~er Containment Sens:)r(s). Model: (S(: hear Vah·e(S!. ~hear Valve(s). o I is enser Co~tUinment Float(s) and Chain(s). Q Dis cnser Containmem Float(s) and Chajn(s). Vis enser lD: ' DIspenser lD: ./.-Ø.:> 'Sf] ¡spenser Containment Sensor(s). ~1od~~~·~.6. Cíl"Dispenser Containment Sensor(s). Model: ~..;?~ ~ ' hear Valvc(s). ~Sh~ar V¡¡lve(s). :1,' s enser Containment Float(s) and Chain(s). CJ DisDenser Ccnutinmenc foloat(s and Chain(s). ,-¡fit e facílicy contains more tanks or dispensers. copy this ronn. Include infomlalion fr¡r every IlU1k and dispenser at the facility, C.¡ Certification· I certify that the equipment Identified In thJs document WIIS Inspected/servIced In accordance with the manufacturers' II guIdelines. Attached to thIs Certlf1catloll Is Information (e.g. manufacturers' checklists) necessary to "enly that tMs Infomtation is " correct and a Plot Plan showing the layout of monitoring equipment. F~r any equipment capable of generating such reports, I have also I.,. at/ached a copy Dr the report; (chec alllhal apply): U System set·up 0 .~ hst~ ' Te~ nician Name (print):. !;"ð Signaturi::~ ~ ..0-) , ce~ itication No.: n~. ' Licen~e. No.: 6~9s;/, ':7 TeJ ng Company Name:~~~ê' /??ë~#~/L'~..~__ Phon<: No.:(~_) .::> "':2.,,:>. ~~ ð Sit~ ddrm: ~/7 ~~ ,-Çv,.c- Dnte ofTesting/Se:rvicing:Lb/A../~ I I, I Puge I or 3 0)101 M9· ¡to ring S)'stem Certilic:lCion i i ! " '" U!l/~8101 07:46 tß'.66.26 0576 BFD HAZ MAT D. @003 D. Results of Testing/Servicing Software Version [nstalled: /9. ~ Com lete the followin checklist: r¡{ Yes 0 No" Is the audible alarm 0 erational? r:r Ye5 0 No~ Is the visual alarm 0 erational? rs- Yes 0 No· Were all sensors visual! ins ected, functionally tested. and confirmed oper:lcional? ~ Yes 0 No* Were ail sensors ¡nsealled ae lowest point of secondary containment and positioned so that other equipment will nOI interfere with their ro er 0 eraú(ln? Q Yes Q No· [f alarms are relayed to a remote monitoring station, is all communications equipment (e.g. moåem) N/A opera[jonaJ'? i¥ Yes CJ No" For pressurized piping systems. does the turbine automatically shut down if the piping secondary containment Q N/A I monitoring system detects a leak, fails [0 op.erate. or is eJecrricaJ(y disconnected? If yes: which sensors initia[e positive shut-down? (Check!lll that apply) œ- SumplTrench Sensors; ¡¡(Dispenser Containment Sensors. Did ou confirm ositive shut-down due to leaks and sensor failure/disconnection? Yes: 0 No. CJ Yes Q No* Por tank system~ that utilize the monitoring system as the primary tank ovcrfill warning device (i.e. no !if NiA mechanical overfill prevention valve is installed). is the overfill warning alarm visible and audible at the ClInk fill oint(s) and 0 erating ro erl ~ If so, at what rcent of tank ca acit does the alarm tri er? % a Yes* Was any monitoring equipment replaced? If yes. identify specific sensors, probes. or other equipment replaced and list the manufacturer name and model for all re Jacement arts in Section E, below. o Yes· Gïr No Was liquid found inside any secondary conta.inment systems de~igned as dry systems? (Check all Ihal apply) CJ Product; 0 Water. If es, describe causes in Section E. below. oa Yes 0 No* Was monitorin s seem set-u reviewed to ensure ro er setCin s? Attach set u CJ' Yes 0 No'~ Is aU monitorin e ui ment 0 erational er manufacturer-'s s ecifications? * In Section E below, describe how and when these deficiencies were or win be corrected, E. Comments: -;. --...--...-...---.---- ......----...---.-.---.----.--.--.-----.--. -.-...---- --.-------....-..-.... ..-.--....-----.-. ...-.-----...-.. ----. Page 2 (If 3 03/0t y i) 09/28/01 BFD HAZ ~IAT D. ~004 07:47 ~6.326 0576 F. ,In·Tank Gauging / SIR Equipment: 1åif Ch~ck this bøx if tank gauging is used only for inventory control. D Check thi~ box if no tank gauging or SIR equipment is inst¡¡lIed. ' This section must be completed if in-télnkgauging equipment is used to perform leak detection monitoring. c h f II h kli omplete t e 0 owmg c ec' 5t: i_Yes o No* Hô1s all input wiring been inspected for proper entry and termination, including testing for ground faults? I I if Yes 0 No* Were all tank gauging probes visually inspected for-damage and residue buildup? PD Yes 0 No* Was accuracy of system product level readings tested? f8 Yes 0 No" Was accuracy of system water level readings,tested? tt Yes 0 No* Were all probes rei nstalled properly? ~ Yes 0 No" 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): 'ÿlf Check this box if LLDs are not instaUed. c h ~ U h Id' ompJete t e 0 ow ng c ec 1St: '0 Yes (J No· For equipment start-up or annual equipment certification, was a leak simulated to verify LLD perfonnance? 0 N/A (Check all that apply) Simulated lenk rate: CJ 3 g.p,h.: 00.1 g.p.h; 00.2 g.p.h. DYes 0 No" Were all LLDs contìm1<~d operational and accurate wirhin regulatory requirements? o Yes 0 No'" Was the testing apparatus properly calibrated? o Yes . CJ No" For mechanical LLDs. does the LLD restrict product flow if it detects a leak? ':J NIl\. DYes Q No" For electronic LLDs, does the turbine automacically shut off if the LLD detects a leak? a N/A a Yes CJ No'" For electronic LLDs, does the turbine automaùcally shut off if any portion of the monitoring system is disabled o N/A or disconnected? DYes uNo'" For electronic LLDs. does the turbine automatically shut off if any portion of the monitoring system malfunctions o N/A or fails a test'? 0 Yes CJ No" For electronic LLDs, have all accessible wiring connections been visually inspected? :J N/A Q Yes o No· 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: , -.-....-.--- -_..~._------ rage.3 of3 03/01 " ~' e . Monitoring System Certification Site Address: ~3œ UST Monitoring Site Plan b~...v/7~ c<"A/.' , . . .; . .' ~ì:D~J; '. .' .' . : ¡v) Ò,N I:T Ò,K : . . . .. . . : B1~l\Ji~ -p",,,,: : ^~: . -N$o«~... ¿s,V.. " .: . " " ':':' . , ., . " .... . " " , '- . ''! 1 " , , 'I,·. " '.. '. <fJ.f).: . . . , .' .' '. . '/\.1).' 'V" : \ .'.',. . . . . . "0 . ,d,." . . .' . t.. "', .... ,'¡ ." ~ ~. .'. t,·,'-' . ...w....... <,' t·-:. . . . . . . .' ,... . .'.. ~: ~...: . .... ~ . ., " .;. .. . MiL ~UPtP : . :5£II/::$oR5 . . .f ", .' " '. . . .' '. .. , . . , . , . . . . . . . . 'NUl:A~ d: :S1? .suP1·P·~RS:. Bir~ . , ,. . . . . t. ,: , . . . . '.. Date: map was drawn: &)£:LI.123 Instructions . "'. !"'.~' If yo~. a~ready þ'~v~.a ,~i~gr~~..$~t:sho\'{s :a~~ .~~~~ir.~,~,}~fotp.l~~i9t}!,Y~~:;œ~t~.i.~~!~,ª~..Ú,' ~fh,9:.r:tp~~~~~.p~i,~, ,W.t1.1 y~ur Momtonng Sys~e.m .Ç~rtlficatiqn~:: ,Qn your stte pla!).,:show ~,e,.genet:t!! J~Y9!.}.t..pfJ~ks,,~d.,PIP!~~. :,::qe~1tldentlfy locations. of tþë foIloWing equipmènt, if installeð:'1./ñiôÏ1it6'ririg ·~Yst,~ni..§9!.w.t9rp'Øiiel~tseiis~r.s:Iñö.h~~Örm.g':~ annular spaces, sumps, dispenser pans~ Spill containers" or other sècondaryconuiinroe.i1tãréas;niecbanical or''dectrönic line leak detectors; and in-tank liquid level prQbes (if used for leak detection); ,In the Space provided, note the date this Site Plan wa~prepared.' '" . ,. . ,. ""d . :.~""d '. '.:" '., ".- ,., , . .... ". '. ',. '. ~'..' .. . . ';~..~.:..?: :t~·."" ' -"-;" ~.... . ":. . . ...;".\.";~.." h: Pa e"'~~;;' '):~:::',::.,~:;:" .....;:::;:~::: .:..: :' . ;;"~"";'" i!~'~"jf¥I;~·,~r~Ê~I"~~~ïi:;'!;""." ...". , , 05/00 . .~. . '. "'.~ "';/:'; . ,"f: ...':.:':: 10/06/2003 07:40 661322tllÞ2 SUNSET OCT 03 2003 12:27 DKSFLD FIRE PREVENTION -- PAGE 02 p. 1 (881)852-2172 . CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES. 1715 Chester Ave., Bakerst1.e1d, CA (661) 326·3979 APPLICATION TO PERFOBM FUEL MONITORING CERTJFICA TlON PACILII'Y. /?/d a~-...~;."'" ~..G~~-" ADDRESS '-- ;?~I) Þ .J.A/j"~.... .a/A/ OPERATORS N~~~~ ......~L ~7"'~..d""L.Io".A1 OWNBRSNAMB ~ _~~-";.I--'~A/ NAMS Of'MO:NIl'OR MANUPACTUR:ER ~~ DOES PAaurYHA VB DISPENSER PANS? ÿp.qy ~7 NO_ (, TANK. / Ñ VOWME /~.~ ..Ira cr'() CONTBNTS ~~~" ~~~'i''''.A::' NAME OPTBSTlNO COMPANY--S::::-.h1L.<J-- >- .A?~AA;.oo'./""".A_: CONTRACI'ORSUCBNSBI ~/"-7 NAME" PHONBNUMBRR OPCONTACT PBRSON~ ~ 9>9- 9;;98 DATE" 11MB TBST IS TOBS CONDUCTED e; c2:'7' a? /~ ~~ , cIddJ - IO'~-o '3 ~~. SIGNATUlœOPAP CANT ( APPROVBD BY DATB .. ~~. y l, e fI~ 'ßj- Oll~ CITY OF BAKERSFIELD 'VCtA ~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTING FACILITY B ìG (!, x.;w'(LTY ÎlA6Vt2..LJAI ADDRESS 3~oó (, ,,'^~~ ~\,,\ PERMITTOOPERATE# /11 ~ 11~ I nn~35.<"" OPERATORS NAME~lA-ù \=>~t'. LU'. OWNERS NAME SL.1I. ~U\A~ \?e--c, kLt.... NUMBER OF TANKS TO BE TESTED -r ~ \0 IS PIPING OOING TO BE TESTED 'te:s TANK # VOLUME CONTENTS / /:Jmo M."L F. ~ J:J .bt:Jt:::I _WL"l. f. TANK TESTING COMPANY <-'Suw~r lMFt"~\Þ.f.Af MAlLING ADDRESS 3 ßu.. ~u..lO\'UAIM\A \:)L NAME&PHONENUMBEROFCONTACTPERSON~~"ill ~~jf.JJ q7q~'9," \ TEST l\ŒTHOD f..1-{ð. t2..D - 61 ¡q t\C- 'f "~(..),J '-- NAME OF TESTER OR SPECIAL INSPECTOR ~\E:N. ~V1_~ CERTIFICATION # S-PflS/1 /'A. 1r S"~t:)~4q~ DA TB & TIME TEST IS TO BE CONDUcrED ð& - t:>~ - ö~ ~'.OI.:J - ye:;Jo ~ (itkm{) ~ ~;; APPLIC;;· APPROVED BY DATE -;:,.- .~. . · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on Ute front if space permits. 1. Article Addressed to: ~ . DAVID BIRG BIG COUNTRY CHEVRON 1508 18TH STREET ,. BAKERSFIELD, CA 93307 / - - -- ~-- ~~-_~~_ _-_-~____;o__~~-~__"___'________ -__ -___ ___ -- ---- ~ COM· . I ... ."1< .ß:::::.r.:....-- A. ~aQ \) . ~gent X '\' ~ 0 Addressee B. Received by ( Printed Name) ~Epat3 0oD~~ñ3 D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No '\ 3. Service Type O!tçertified Mail b Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) PS Form 3811, August 2001 7002 3150 0004 9985 4551 Domestic Return Receipt 102595-02·M·1540 UNITED STATES POSTAl,. SERVICE First-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · , Bakersfield Fire Department Prevention Servicès 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 .-'I U1 U1 ~ I. . · os a erviceTM CERTIFIED MAILM RECEIPT (Domesttr: Mail Only; No Insurance Coverage Provided) U1 ~ IT" Ir O\FFICI l USE Postage $ ~ c:J ~ RelUm Reclept Fee ....... (Endorsement Required) c:J Restricted Delivery Fee U1 (Endorsement Required) .-'I nl Total PostagE Cerljlied Fee Postmark Here ~ ent 0 c:J ~ -sfiiëfAPCiQõ. or PO Box No. ëiiÿ.-šiãiš;Z¡p DAVID BIRG BIG COUNTRY CHEVRON 1508 18TH STREET BAKERSFIELD, CA 93307 :.. ... .. ~. . Certified Mail Provides: · A mailing receipt (BSJBilBk/J i:OOi: BUnr '009& WJO: Sd · A unique Identifier for your mailplece r · A record of delivery kept by the Postal Service for two yeartl Important RemInders: . · Certified Mall may ONLY be combined with First-Class MaÜ@ or Priority Mailœ¡. · Certified Mail is not available for any class of Intemational "'ail. · NO INSURANCE COVERAGE IS PROVIDED with Cêrtified Mail. For valuables. please consider Insured or Registered Mail. . · For an additional fee, a Return Receipt may be requested fu provide proof of delivery. To obtain Retum Receipt service, please complete and attach a Return Receipt (PS Form 3811). to the article and add applicable postage to cover the fee. Endorse mailpiece 'Retum Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized alien!. Advise the clerk or mark the mallpiece with the endorsement URestrictedLJeliveryu. · If a postmark on the Certified Mall receipt Is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mall. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. F!RE CHIEF KO~I 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 FIRE SAFETY SERVICES· ENVlROHIlENTAl SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX(~1)326H0576 PUBLIÇ~ EDUCATION 1715~hester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (6,P1) 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 - - September 26, 2003 CERTIFIED MAIL David Bird Big Country Chevron 1508 18th Street Bakersfield, CA 93307 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Mr. Bird: Our records indicate that your annual maintenance certification on your leak detection system was past due 09-16-03. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, September 8, 2003, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey Director of Prevention Services By: it (~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db ('''.%u~ de ~/,nnlu~ ~" ._4tOPe y~ A W~:?" -:j: ~ II]: :ff(fl.'li~/:J.:a l::a l: I ¡'...1 ;t8ll'1.' .1l.JJ~/:J.=-i:a;:IJ".··....t:£Hi[.Jl'L.Jl'..'f~.!rJ=t~;.-' · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mail piece, or on the front if space permits. D. Is delivery address different from item 1? If YES, enter delivery address below: 1. Article Addressed to: DAVID BIRD BIG COUNTRY CHEVRON 3300 WHITE LANE BAKERSFIELD CA 93309 3. ~rvice Type C\ Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. -~~ .~ '=--- - "-~--"~~--- 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) PS Form 3811 , August 2001 7002 3150 0004 9985 4544 Domestic Return Receipt 102595-02-M-154C UNITED STATES POSTAL SERVICE .'-'" First-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 \ 'So H¡; ""II,! ¡/l111 II 1/ "II,I,LII/,I ulill II It I! Ii ,¡lllIllIi 0.-, · os-~a -~, ceTM CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) o 0' 0 , 0 0 '0 0 0 I .OFFICIAL USE I 1 Postage $ CÐrtllled Fee ...~, " " Return Reclept Fee Postmark (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) Total Posta e '\ .::t" .::t" LI1 .::t" LI1 I:[) IT" IT" .::t" a a a a LI1 ,..: IT! 9 ru a ~ "Siñié£A;i£Nci) or PO Box No. ëñÿ;-stãtë:ŽlP+ ITo . . ;.1. DAVID BIRD BIG COUNTRY CHEVRON J 3300 WHITE LANE BAKERSFIELD CA ~~~:rn1I' _ Certified Mail Provides: · A mailing receipt (9SJ9119/:J) <:00<: 9unr 'oos£ WJO:l Sd · A unique identifier for your mallpiece · A record of deliyery kept by the Postal Service for two years . Important Reminders: ~ · Certified Mail may ONLY be combined with First-Class Mal~ or 'ty Mail«). · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified ail. For valuables,.~ consider Insured or Registered Mail. · Fo~-an· additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, prease complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USP~ postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized a~nt. Advise the clerk or mark the mailpiece with the endorsement "RestrictedTJeliveryu. · If a postmark on the Certified Mall receipt Is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mall receipt Is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present It when making an Inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. FIRE CHIEF RON FRf\Z:: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVtCES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES· ENVIRONMENTAL SERVICES 1715~'hester Ave. Bake~ ;d, CA 93301 VOICl, --J61) 326-3979 FAX í 61) 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 - e September 26, 2003 CERTIFIED MAIL David Bird Big Country Chevron 3300 White Lane Bakersfield, CA 93309 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Mr. Bird: Our records indicate that your annual maintenance certification on your leak detection system was past due 09-16-03. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, September 8, 2003, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey Director of Prevention Services B . ~-~ duL f". y, , . è" '10 / " ~' Steve UndelWood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBD/db I.I.Ye/V~ ~ ?J::,nvnu~ .%p ~0Pe .Y~ A ~/lÉ£u:?" - e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME---.ßl·~ ~tJl h'\~ \t-~ C.kvtOM INSPECTION DATE q~tr~ ~ 0'3 Section 2: Underground Storage Tanks Program o Routine B Combined 0 Joint Agency Type of Tank ð.o~è5 Type of Monitoring C. t..1V\ o Multi-Agency 0 Complaint Number of Tanks J. Type of Piping t'}wF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile !L) Proper owner/operator data on tile V Penn it fees current V Certification of Financial Responsibi!ity V Monitoring record adequate and current V Maintenance records adequate and current t) UI'u( -+0 nl' I'.{O\~ h1--r l I~. l "(' \ Failure to correct prior UST violations Has there been an unauthorized release? Yes No l/ - ,1 Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGA TE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on tìJe with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance Y=Yes N=NO Inspector: Oftìce of Environmental Services (805) 326-3979 White - Env. Svcs. 0~· ¡£LM<ÂJ Business Site Responsible Party Pink - Business Copy . -- UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ::::~,~M'_t0 U~\!'\l!k<l~H_ _______ ____ UU _ .__ ij'J'-'ô'L ;:';::~;;~ ~_~_3 30 0 w.b_L_Ç.__¡"~'-__________.________________________ _____________ _____________ __.' _. __ _____u__ FACILlTYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program o Routine tiCombined CJ Joint Agency CJ Multi-Agency CJ Complaint ORe-inspection c V 0/0 ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND -~~-_._-------_.~----~----_.__."----_._--_.._-----_._---- ------- -.-- -.--"----.--....---.--."-- "._ ._.._._ .__.____._._. . ·__,__.__·______._d_..... _ .- -~--_. -.--. ..... . -.-'.'. - ..... .-._- ----..-,..--.---. ----_.--- ~D BUSINESS PLAN CONTACT INFORMATION ACCURATE __~___,_________________________._____._____ 4__ _____.__. ,. __~_..,...____ . - -_.._..._---~.,--- ....-...-..-.-.--...-.--. .. ._.--_...._..~_....-_.._-_... -... O/"CJ VISIBLE ADDRESS _.----~-'-----------------------------------_._---_._-_._-- -..-.---.------ ---- g/'D' CORRECT OCCUPANCY n;6-- VE~;CATIO~- OF-I~~~~~~RY ~~TE~-IAL;-----------u----- .. mu_ ~______u____ - -..--- _____u__...____u_ ------.-.. .______u -~D--VER,~~~~~~ OF ~~:NTI~;~~--------·-------------·u----- ..------ - __.________u________u___________m m.._______ -.--~-__Z.------------.-----------u-------;:--.-.------ -.-- ---------.-. -..-----.. -----.---------.-. _n_. ----.---.-.------------.------------.-- ---. -.-.--..- '-- .-- CJ/D VERIFICATION OF LOCATION -~-----p~~~~~~GREG~~IO~~~-~;~;;~:--------------m _________u___u________ -- -..------------ ..-- ------ ~~;~,-FICA~;ON ~;_M~~S A~~;:~~I~-~----------------·-- -.------------- ---- -.- ... --.. ... ------------- ..___m___ ----- uQ/6--V~~;I~~TION of-H-~-MAT ~~~~;~~-h----n---.h-------- -.--------------- --- - .. ___unu__uu__u.._un_.. - m_.._" -------- -;J/b-VE-RIFICATI~~~-~~~TE~;NT ;~;~,~~-~~~-;~~~~~~~~~- r----__uu_ -- ________.__u_ - ----------..--.- . ----. -.... - -- __u. - ~'--- E~~RGENC~- PR;CE~~~~--ADE~~~TEu_----n----m----m --- ----------------- -- -- _u -..---- _____nm_ ------------ -.. -- ---~--Z"---------------------u----. _._._._u____._ --.-----.--------.----.- - __nm.__. ____.In___.__ __u_ _u_ ___ _ _ _ _ _ ____ __...__....._ __ ... ____ _ _u __ _ _... _ _ _ '0' LJ CONTAINERS PROPERLY LABELED I --tIi7!--------- -- -----------.- ____·u_______ -.--.--.-- - --------...---.---.-- -. -- J------- -.--.----- - -- -. ______.____m__ -.. _mm__ --- .. --------- - .------ J~-~:~S::7::;ON _. _n - -- u._ .~- --~!LMo:-f\1t"~u-i~"~ ;-- - - - -------------~------ -----_ -- nu __ ______ ___h__ _ _ _ ____ _______ _ í2k~ ____ (.._O'_f..~~___(_.'f -'~fVlJ- __ ~ ___ _ lS1./Ö SITE DIAGRAM ADEQUATE & ON HAND ...._n..u_____.._________ m ~___. ____...____. nm._._... _..._.~____". .____._.__.. __.. _.. +. _._ ...on__·__ .. ..--------....-.--. ANY HAZARDOUS WASTE ON SITE?: CJ YES CUI6' EXPLAIN: QUES;lIONS EGARDING T IS I ? ~ Inspector PECTION? PLEASE CALL US AT (661) 326-3979 ~t.* . _ _.________.__'::1...____________. Badge No._ White - Environmental Services Yellow . Slalicn Copy Pink . Business Copy /~J/ '< '7 :. - - ¡- SWRCB, January 2002 Page L of _~ Secondary Containment Testing Report Form Thi3,/orm is intended for use by contractors performing periodic testing of UST secc.>ndm)' contaÙ/meltt system$. ú:~e tI/f? appropriate pages of this/arm to repert /'ewIts fór all components tested. The conipletedfcmn. ~witte1 te.st procedures. and printouts from tests (if applicable). should be provided to the facility ûwner/operator for s!l.bmitta! to the local regulator} age.m)', 1. FACILITY I~FORMATION Facility Name: Ru.;: Cô<...u..iT2- Y Cf.lQ£~o þj Facility Address:~~ '"' ("\ W ¡..¡ IT ~ LA;..};:: RAKË12..~FI~ Facility Contact: Date Local Agency Was Notified of Testing : , Name of L()clll Agency Inspector (ifpres-em during testillgj: ! Date of Testing: , - ~. Q330Q I Phone: 3 -6 - 0 3 -~ ~ 2. TESTL"'TG CONTRACTOR INFORMATION ~ o SWRCB Licensed Tank Teste.r License Number: 5 IPMF ,..\T' Mðw ~T.o~' NC. Date Trainin" Ex ires (,,-2.5-<>5 1-'L"L- (\~ C; '11'4 -05 b-lì~O~ Manufacture.! , 1<.../~~"-'tC> Component Pass Fail Not Repairs Component Pass F '1' Not ! Repairs M.1de a1 I r Testcd Tested Made ,4. .,,, 1 / .Â Ii' ç;.Öt:',CS- i;to., ~ [j 0 CJ woe ~-.L- "L 1M 0 0 0 ^ .ðC' £'n .- :a.. 2- ~ :] 0 0 u,...r.g~-.~ \8 0 0 0 0 0 0 0 I' n r of> €'. -, ¿:. ~ 0 0 ~º- 'PI p. 1\.\ <:_~~I ~ 0 0 0 urv' .,. Q ~ 0 0 0 .- P.¡;:'INb f¡L~ 18- 0 0 0 IJC'\r'tq -. 0 ¡g. 0 " 0 Ru.. ~ \..J 0 0 0 C 11.....,,~i-~1"? ~ 0 J L.JL i>L- I ~ 0 :J 0 CJ 0 r-' 0 ç;:, I I\À P ,J ~h /llAP ~ 2. g 0 0 0 0 n 0 0 ", ¡ 0 0 0 0 0 0 0 0 I 0 C .-, 0 0 0 0 0 u -- 0 0 0 rí 0 n 0 0 ' , LJ 0 0 0 0 0 0 0 3. SUMMARY OF TEST RESULTS I[hydrostatic testing was perfonned, describe what waS done with the water after completion of tests: ~F.T¡;;¿M--..fcllltz:::nl.J.HT,"" AP¡Q..x '-Joe Gill.j ...,t.)~ €"I f- i.A.JA-rE..t2. ~~ M(}i~ L Ï'A /Vie f;"D(1- '-'£;:~1 J-j~, I,vR-rE.R. ÙùAf:: PUM p~.;;:- RACK:.. ~TO f4,..."IRI L ïlJ.Ni<.. ~1Z.... R.E~E- ð12.. n1':>Pð~~ t CERTIFlCATIO~ OF TECHNICIAN· RESPONSIBLE FOR CONDUCTING THIS TESTING To lite best of my klZ(JH1Iedge, tlte fucts stated ill tltis dOCU/lteltt are accurate and ill full ccmp/ioltce )lith legal re'luiremeltts Tech.nicìan's Signaru.re:_ _Y!!'~~, ~ ß-----. Date:_ B-G -03 ----- · .·1···.·· - e ;' SWRCB, January 2002 Page ~ of .-.::L Test Method Developed By; 4. TANK AN1\"VLAR TESTING 3'Tank Manufacr..::'-. 0 Industry Standard o Other (Specify) o Pressure )(I' Vacuum o Other (Specify) o Professional Engineer Test Method Used: o Hydrostatic o ~ ð lie:. Is Tank Exempt From Testing?' Tank Capacity: Tank Material: Tank Manufacturer: Product Stored; Wait time betwe~ applying pressure/vacuum/water and startin test: Test St<1rt Time: Initial Reading (Rr): Test End Time: Final Reading (RI'): Test Duration: DYes ONo Tank # DYes DNa ~I lð """It'-> q',oo A"~~ I 0. H (> . :0 M N q:oo A .'~ l lð Hb.1 "'. . ~ ""\ /101,1\) I:! 1',,\ Change in Reading (RF·R¡): PassIFail Threshold or Criteria: Test Result: Was sensor removed for testing? W <1$ sensor properly replaced and verified functional after testin ? -+ ~J2f Æ. PaSs 0 Fail ¡¡Yes DNa JNA o Pass 0 Fail DYes ONo DNA o Pass 0 Fail DYes ONo DNA 2 Pass 0 Fail ~Yes LI No 0 NA iMYes ONe DNA ið.Yes 0 No C NA iJ Yes CNo DNA eYes ONo DNA Comments - (include Ì1~ft)rmatioll Oft )'f;."Pairs made príor to testing, Ql1d recòmmer!dedfol1ow-up for failed tests) /vO IJ t!:: - I Secondary containment systems where the continuous monitoring automaticaJJy monitors both the primary and seconå3ry c.ontainment, such as systems that are hydrostatically monitore.d or under constant vacuum, are exempt from periodic containment testing. {CaHfornia Code ofRegulation$, Title 23, Section 2637(a)(6)} · ~ SWRCB, January 2002 ': Test Method Developed By: Test Method Used: Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of i in ·run isolaûon: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (Rr): Test End Time: Final Reading (RF): Test Duration: Change in Readjng (RF-R¡); PasslFail Thrtshold or Criteria: Test Result: e :, . jl e ", , Page -E- of ~L 5. SECONDÁRY PIPE TESTING ü Pipíng Manufacturer 0 Industry Standard [) Other (Specif¡) G Pressure o Other (Specify) I, -EL. FiU-£ð t\JWiI -- o Professional Engineer o Vacuum o Hydrostatic CfCt!.T6 Equipment ResoJution: ð -. / '5 PS-¡; oz.:;.: :·:~-::~·.:':""-":'o.':"~"'::~":': Piping Run # 2 Piping Run # Piping Run # Ao SM. c TG:';i B<..':IO;- "5U.1VI P ¿ UD' '0 M...v lð vv\, N I ð : 0 $' ^ t'~ P52· A p..I\. ~"'^ ø ~ Pass 0 Fail -. ø .kf Pass 0 Fail o Pass 0 Fail o Pass 0 Fail Comments - (ÙlCluàe i~formation on repaiJ's made prior (.0 fe,fling, and rr:comllu?.mledfollo11l-UP lorfailed tests) ^,U\ N E. - .. - , . é' SWRCB, January 2002 Test Method Developed By: Test Method Used: Sump Diameter: Sump Depth: Sump Material: Height ITom Tank Top to Top of Hi hest Pi in Penetration; Height from Tank Top to Lowes! Electrical Penetration: Condition of sump prior to testing: Portion oîSump Tested! Does turbine shut do\vn when sump sensor detects liquid (both roduct·and water}'!" Turbine shutdo\-VIl response time Is system progmmmed for fail-safe shutdown?· Was fail-safe verified to be o erationalf Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (RI): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R¡): Pass/Fail Threshold or Criteria: Test Result: V"¡as sensor remov~d for testing? Was sensor properly replaced and verified functional afte' testin '? e -',I~ . e Page -.::L of _.:L 6. PIPING SUMP TESTING ~ Sump Manufacturer 0 Industry Standard 0 professional Engineer o Other (Spec~fy) o Pressure CJ Vacuum Ø'Hydrostatic o Other (Speci.M % T, r S Equipment Resolution: '!:. ðO'L n . G -, Sump # "2- '. 6 -~ <I , p, é:: ~ 14 ., -I 1'+ " - -/ i Sump # Sump # 4 ;' FI c,Q. LA$ l'f ., -+ l'f" "=w [+ ~~':: o NA ~Ye5 DNo :JNA DYes ONo DNA ± 36" .'SlYes C No DYes ONo DNA :t 10 5«:.-<.... -r 10 ~ GC'_ . [J Yes DNo DNA ,¡,EYes DNo DNA DYes ONo JNA DYes ONò c;NA fPYes DNo DNA .æ Yes ONo DNA o Yes ONo DNA DYes ONo DNA 30 "'" , "" ð 0 N\.t..j i Z ',Z3 P..'-t ri'.l\.. C .2.b6.... .-, '2', 3'3 p¡."-'\. . . -z.¿;,'1 4 ., IS'M,\'V -to. ~ ðOol .I' /6 -) '. I : -z.. B' P.V\ &:. ~ ~ IS i4,~ '!" ·00'2.. ':: a Pass 0 Fail l!irYes C No C NA ,gYes DNa 2NA -1'- .001.. " 2{ Pass 0 Fai~ g:yes ONo DNA 0 Pass o Fail o Pass o Fail DYes :JNc [JNA DYes DNa DNA eYes ~-JNò DNA CYes ONo ONA ~y cS ::J No C! NA "-10 t>J E - Comments - (include information on repairs made prior to ze.stÌnf(. and reçommended follow-up for/ailed tests) --- --'-- -- ~----"'" I If the entire depth of tht sump is not tested, specify how much was tested. If the': answer to ~ of the questions indicated with .111 asterisk C*) is "NO" or "NA", the entire sump must be tested, (See SWRCB LG-160) UNDER-DISPENSER CONTAINMENT UDC) TESTING ~ UDC Manufacturer LJ Industry Standard 0 Professional Engineer o Other (Specify) o Pressure o Other (Specify) , Test Equipment Used: :i:r..:J CON TS' ST ..{ - SWRCB. January 2002 7. 'T est Method Developed By: Test Method Used: e , , e .' , ~ -. .... Page --5- of:L- C Vacuum ~Hydrostatic UDC Manufacturer: UDC Material: UDC De th: Height from UDC Bottom to Top of Hi hest Pi in Penetration: Height ftorn ODC Bottom to Lowest Electrical Penetration: Condition ofUDC prior to testin : Portion orUDe Tested Does turbine shut down when UDC sensor detects liquid (both roduct and water 1" Turbine shutdown res onse time Is system programmed for fail- safe shutdown?' Was faiJ-safe verified tc be o erational?+ Wait time between applying pressure!vacuum'\vater and Startin test Test Start Time: Initial Reading R, : Test End Time: Final Readìn (RF; Test Duration: Çhan e in Readin RJ'-R,: PassfFail Threshold or Criteria: Test Result: Was sensor rem.oved for testing? Was sensor properly replaced and verified functional after testin ? I ð " 'íI IJ e u..> +- "2.0 d 10 n to c 10 " , 'i? " l..Jt::w -t- /, ~es ONo DNA :to I 0 S é..-(" . Art' es ONo DNA .ä. Yes ONo DNA 8 ,.. t:!..I,.J -1-,. ". Nis +- ~, ~Yes o No CNA .¡¡ Yes DNo DNA ~Yes CJNo DNA ..,.. I ë5t.1>;C- i _. 10 $ë;;;.c.. aYes QNo DNA 8Yes ONo DNA æ¡ Yes ONo DNA ~Yes ONe DNA ..& Yes ONo DNA ~,Yes C!No DNA +~ ooc::., " of- .oo-Z ,. Pass 0 Fail ~Yes oNo DNA J.fYes 0 No 0 NA " ,vV -.ð06/·'-" 't:' . {) ð -z.. " ~ Pass 0 Fail Z¥es ONo DNA ~Yes ONo üNA J <' 115 :!:. "Oð"Z. "'~ ~ }?ass 0 Fail j¡<Yes ONe DNA ~Yes ONo ONA ~Yes ONo ONA ~, ,0 + .00'2. .., ~ Pass 0 Fail ~Yes DNo ONA Comments -- (include rll/ormatioll on repairs made pt'ior to te$ting, and recommended/allow-up far failed tests) IDCI0 Zf -- -..-... I If the entire depth oft.he UDC is not tested, specify how much was tested. If the answer to ß11Y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG.160) · .~ '. SWRCB, January 2002 e e Page -Íl_ of_::1- UNDER-DISPENSER CONTAINMENT UDC TESTING Ii1JDC ManufactUrer J Industry Standard 0 Professional Engineer o Other (Specffy) o Pressure Ci Vacuum 1) Hydro$tatic o Other (Specify) 7. Test Method Developed By: Test Method Used: UDC Manufacturer: UDC Material: UDC De th: Hëight from UDC Bottom to Top of Hi hest Pi in Penetration: Height ITom UDC Bottom to Lowest Electrical Penetration: Condition ofUDC prior to testin : Portion ofUDC Tested Does turbine shut doVltl when UDC sensor detects liquid (both roduct and water 1" Turbine shutdown res onse time h system programmed for fail- safe shutdown?" Was fail-safe verified to be o erationa!?" Wait ûme between applying pressure/vacuum/water and startin test Test Start Time: lnitial Readin~ R¡); Test End Time: Final Readin R,,: Test Duration: Chan e in Readin R¡>-Rr: PassIFail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testin ? uoc# Equipment Resolution: +. ðO ~; (TDC # f 0 " 10 h DYes ONo ONA DYes DNo DNA DYes ONo DNA o Pass 0 Fail DYes UNo ONA DYes ONo nNA Comments·..: (include ¡'¡¡forma/ioll on repairs made prior to te.st':ng, and reco7ltmer:dedfollow-up for/ailed tests) IV 0 IV-Æ- -- 8 -. 8 .-" ~iG.1".",) -1- .... '-0 -, /" j 0' Yes D No C NA jAVes ONo ONA ¡ DYes CJNo DNA ::- Ii!> s~.:.... .:!: /0 S cc:... . fiYes ONo DNA ij,Yes ONo DNA DYes ONo DNA J.RYes ONo DNA ð!Yes ONo DNA DYes ONo DNA 30 ..va 'vV AM -') 0.. Pass 0 Fail ~Yes oNo DNA J;tYes D No 0 NA +. -+ -00 .2 Pass 0 Fail ~Ves ONo ONA ~Yes DNo DNA o ~ass 0 Fail eYes ONo DNA DYes DNo DNA ..-- - I If the entire depth of the ODC is not tested, specify bow much was tested. If the anSwer to ill1Y of the questions indicated with an asterisk (*) is ''NO'' or "NA", the entire ODC must be tested. (See SWRCB LG-160) 9. SPILL/OVERFILL CONT AlNMENT BOXES, Facili is Not R ui ed With S ilVOverfill Containment Boxes 0 SpiJ]/Overfil1 Containment Boxes are Presrnt, but were Not Tested C Te$t Method Developed By: ~ Spill Bucket Manufacturer G Industry Standard C Other (Speèify) Test Method Used: 0 Pressure 0 VaclIUm o Other (Specif.;~ ,¡. e .. SWRCB, January 2002 Bucket Diameter: Bucket Depth; Wait time between applying pressure/vacuum/water and starting test: Test SUl.rt Time: Initial Reading (R¡): Test End Time: Final Reading (R,,); Test Duration: Change in Reading (Rr,Rr): PassIFail Threshold or Criteria: Test Result: ~... ~,J .) +. 0001 .j ..;- ,J ) - . 00 '2. ãt Pass 0 Fail e 'OJ. Page ~ of _L w Professional Enginec:r ~ Hydrostatic Equipment Resolution: ......00"2-" l Spill Box # G.- Spill Box # Spill Box # '- J- I ~ oJ~ -r' ,~.,~ _.Oð~ ~ Pass 0 Fail o Pass 0 Fail o Pass 0 Fail Comments - (include information Q1! repairs made prior to testing, and l'é(;ommendedfòllow-uf!lol'jàiled tests) NlS7e. ~eN I lL ~ T/6' NT ~i L1V\ P 'TV PrE $:. Y<;.;.îlé.. A.A.. -----'- TnTAI P.C1R . . ¡:::-!T(; r·¡J~'JJ\i'J'T",· ¡:;:I,.J rour:!),'. _, J, _"J ¡.-¡" r ..... 1l:". I~. 3300 ~·¡H r1T U·;. ßfjKE~~SFIELD CA. (93309 1. -6E.l-::;;22-0E,60 03/06/2003 DP9-1f2i ::;Ut'1P U:::HK. TEST H[PORT 11 : 22 At'1 ¡EST SWIRlED TEST STARTED SEGIH U:::UEL aiD TI ME EJ~D Dfm: END lEl..lEL LEAK THf<:ESHOLD TEST RESUL.T DPll-12 TEST STARTED TE~~T STftRTED BEGHi LE\...U EI'm TU'1E n1D DATE EHD LÐJEL LEAK THRESHOLC' TE::::1 RESULT 11 : >37 At'1 03/06/2003 4.5158 IN 11 : 22 A~1 Ø3..···Ø6....·2003 4..5159 IN ø.ØØ2 IN PASSED 11 : 07 Ar'1 03/06/2003 5.4076 Hi 11 : 22 AI"1 03/136/2003 5.4077' Hi Ø.ØØ2 It..¡ PASSED ¡~IG COUHTR'T' CHEIJRON e 33Ü0 ì~H ITE U·1. i3etKC:¡;::SFI ELi) CA. 9~53ØS~ 1--661-322-0660 03/06/2003 SUt1P-2 :::;Ut'1P U::AK ";"[:3T REPORT 1=28 Pt'·! TE~;T ~3Tr¡RT[D TEST STAF:TED BEGIt4 U::IJEL E~1D TH1E E}ID DhTE END LEIJEL U:~AK THF:E:3HOLD TEST RESULT 1: 13 pr'1 03/06/2003 ~5.:::167 11'1 1:28 pt" 03/06/2>303 ~í. 8167 IN 13.002 11'1 PASSED 8 I G COU¡'iTR'rl CHE'JRON ~:'3ØØ ~JH ITE Ui. 8AI<EF~:::FIELD CA. 93309 t -661-~)22-0660 03/0E./2003 12: 38 P~1 ..,.. ê5 (:! .. I~ ::J Z {t: '.J) W_JU '" :r: ~ C'liJO I ~-- ..J Q', (".j :.-...... L¡J<::;:'N Ü::::J::H!"")t··' j-.:3 lL t··) " :-z: u, (f'. l-t ::.:.:- ($:1 CJ::: I.D (JGIW '-.0 L~ t..'"):::¿ t",) -::c C) 0) I-~. r,~' E fL '.1" ;'",:1 I-- a::: C' û.. W c,t;: [¿r~;5~~~~ß <::;:, C\) tr) .;1'" ç'~ N ..,t ('<j t-.) N tt') ....... ..... Nt·') ", ('.~ ,3) <I: .. '."1 U-.. .. '" u-.. ''''"' û.. (--iiS.'¡;s)(·"¡I:::I~ -".. ",. ...... IS! t··) f'~ t··) f'~ 1St I~ :;ur1P U::fìK TEST REPORT sur'1P-l TEST :3Tf¡RTEi) TEST STARTE[) BEG n-l :_gJEL HID T H1E EI'~D DriTE END LEI.)EL LEAK iHRESHOLD TEST RESULT 12: 23 P~1 03/06/2003 6.2667 IN 12:38 pe't 03/06/2003 6.2674 m 0.002 IH PASSED ../ N t·"') C\) C\) ç.~ ~ò .::;:, ", t"', C\) I-- (-, Gj j..-. ""1 I OJ lL a c~ C'¡c -l LdW..J ~I--" ~; ~ ~ .,J i:;3 ~ <3:: <I: Ld Lei l.J W er.: if) ~,- I-- _J E: 1--- ::> I W ((I ((I t-i <C I..L.I ~._.. CI::: ¡-._¡-.._31--C.-ly~_ ((I tl) ("::1 C C~ 0 <:t: (,I') [";1 }:! ?èi i3 CS [5 ~j }:! ("~ I co lL (:1 l''': t,) :z: -:::: t,) .z :z: 0 û..g.....n_&:HHb; cr', N U-.. 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L...J (l) ((I ...-/ <r lw I-- 0.":: ~¿ ¡.... ,:::r_J ¡-..' ¡-.-..... ::.:: 1-' (,0 (;) (,.:t 0 Q C,:, <J: (.r.¡ LdWWZ:ZXWbJ ¡-.- 1--- co Ld L...J l.,] ....I 1·- 0,:'.:1 t~ ~~!d I,j) I tn CI.. c E:t·-:,:z:Et...,ZZO .:1: ,:¡:, ..... <I: C5:J ..... ..... I.JJ <::;:, Ci:I (f.J ~~~~~~~~ "'. 1..0 v ... ,,£) V ctl CL. ($) ($) lO ..... '::;:1 .í.t . ......¡...... ....-4...... . crl t·') t-) t,) 1") ~ ($:I ,':) ....J o :::r: ~- (I) _...I ,,,,0:::=' _!W::. <I: <I: l..J W L..J L...J œ (.I) \-.. I-- ,..1 E: I-- ::> ::c W (I) (.1) ...~,: .:¡: lI...I f--. æ z I-~ C, --I ~_. r- ¡..-.¡ :::.::: t-.~ ()., (f.J (:) C C C <1: tt') WWW:ZZ:Z:Ldl..,J ¡.....I--COWWL.oJ_JI--.. (;JC ~}:!d E: t') :z :E: t··' :z: :z: .:::. <J: IS) ....... .:]: GI t-'" ...... W ,~ .:¡:¡ (.I) '·D N eel (.~ ("..¡ 'D ('I (.I) v··... "<t. o:s:. \ '1" ,::;;) <I: .. ,..öC:::I... ..{)~~ Ct. ~I ~ I.f',1 ....... C£llf) .. . ~..... .....-...... .~ "''',I Ii") t·'" lí.l (5;) GJ CO I f'- û.. c:) ,:::;. ....J C:.,'::t 0 L..J Ld ..J :r. ..... f- I-- W tr¡ ...J c¿ a::: ::> ..J l..J ::. <I:<CWWWWO:::~I) ~- ¡-.- _I E I-- :::> :J:: W (f.1 (0 ....-1 æ w t- c~: :Z:I--C....J ¡.-I--..... ::':::1- (.I) ~:) <.::, 0 0 C <I: to WLelL..JZ:ZZWW I-- 1--" co Ld W u..I ..J ¡-..., FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Slreel Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' EHVIROHIlENTAL 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 Vlelor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e. . January 31, 2003 Sullivans 1508 18th Street, Suite 222 Bakersfield, CA 93301 RE: Upgrade Certificate of Compliance and Fuel Tags Dear Fuel Vender: Please be advised effective January 1,2003 AB2481 deletes the requirements for both upgrade compliance certificates and fuel fill tags. ,.' Underground storage tank fuel facilities have been notified of the change. Customers have the option of leaving the fill tags and certificate in place, but can remove it if they wish. . Should you have any questions, please feel free to contact me at 661- 326-3190. S2'~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc "'7~ de W~ 9'"'0P ~~ ¥~ A W~" 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 FIRE SAFETY SERVICES' ENVIRONMENTAl. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX(661)32~576 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 TRAININGDIVlSfON 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . January 31, 2003 Sullivans 1508 ISth Street, Suite 222 Bakersfield, CA 93301 RE: Upgrade Certificate of Compliance and Fuel Tags Dear Fuel Vender: Please be advised effective January 1,2003 AB2481 deletes the requirements for both upgrade compliance certificates and fuel fill tags. Underground storage tank fuel facilities have been notified of the change. Customers have the option of leaving the fill tags and certificate in place, but can remove it if they wish. Should you have any questions, please feel free to contact me at 661- 326-3190. S2'~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~ 7~ de tff~ ~eve uØbOPe 9'"'~ A W~" 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 FIRE SAFETY SERVICES' ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 I J PUBLIC EDUCATION 1715 Chester AvÌ!. 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 ~~e · .J' ,f¡."t' t Ù \ ~L. 1..-z-L \ SOß '~'T'" \;,;}~, t :) ekU" (^ q13t) ( January 23, 2003 Sullivans P.O. Box 5007 Bakersfield CA 93388 RE: Upgrade Certificate of Compliance and Fuel Tags Dear Fuel Vender: Please be advised effective January 1,2003 AB2481 deletes the requirements for both upgrade compliance certificates and fuel fill tags. Underground storage tank fuel facilities have been notified of the change. Customers have the option of leaving the fill tags and certificate in place, but can remove it if they wish. Should you have any questions, please feel free to contact me at 661- 326-3190. si1cer~. y, I, .'d£vl, ' /' l,' Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services· SBU/dc ~~.7~ ~ Y!?~ .¥'OP ~~ .o/~ A Y!?~" ~ <r_~~:=:::-:: ~.~~- ~~, CITY OF BAKERSFIELD- FIRE DEPARTMENT PREVENTION SERVICES FIRE SAFETY SERVICES. ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE BAKERSFIELD. CALIFORNIA 93301 e ~':'71;~;)tf¿~,;~. "~_ <. i'".,JJ ró'J '.,,1 ¡;-.' I(...·.:....è...-' Y,-_f'¡;: e" " _ (\ (~~ F.ft.r,O..-: !'f. :1'.~....... Ã ..',:. { .;~ <.,;.-",... _ .""-'.;~_ ....lii "\;'i t;-.-:::.:". ' -""'1 ¡? i ,;~'{~ . ~. -~~~r;¡ f: ~ :'.;-~-.~ -.,. ""d::'-~;ìi!Ö .., ?:ìf"" .'J.\,{:;, f --; ,; qt., ,r' A~fPi . . t;:,f¡jOh r:' J I- f¡f~t SWUiV.A.N~ " I, .~ *.~L;;.-.s{.;Jf(;fi:2 7. ;~ ==-~~ ..-,-.~ --""~"---.__.. . . " /~~~~¥·d~·~~~:¿~~~~_o~ (~ ,JA~..~.~~ Þ.~7·~~~~ ~~~ß :>{ \,",;E"1::;~ 7:;'¡J~!j V' '. ,'¿ü , ·.:;,~·l.~¿: ~::t_¡_..........) i; .. !(:;t~t ì~' i( · . CITY OF BAKERSFIEjá) It,FFICE OF ENVIRONMENT ~ SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 (Ð UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Check one Item only) ~ 1, NEW SITE PERMIT o 3. RENEWAL PERMIT o 4, AMENDED PERMIT o 5, CHANGE OF INFORMATION (SpecIfy change· local use only) o 6. TEMPORARY SITE CLOSURE Page _ of _ o 7 ' PERMANENTLY CLOSED SITE o 8. TANK REMOVED 400. BUSINESS NAME (Same as FACILITY NAME or DBA . Doing BuSiness As) I. FACILITY I SITE INFORMATION 3 FACILIlY 10 II 401. ~S!::!JX OWNER TYPE <:1!T 1. CORPORATION o 2. INDIVIDUAL o 3. PARTNERSHIP o 4. LOCAL AGENCYIOISTRICT" o S. COUNTY AGENCY" o 6. STATE AGENCY· o 7. FEDERAL AGENCY" 402. f vfi!5' I. G..S STATION o 2. DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE 2-- 404. o S. COMMERCIAL o 6. OTHER 403. o Yes \ÍJl¡o 405. II. PROPERTY OWNER INFORMATION "" owner 01 UST a public agency: name 01 supervisor of diviSion. section OJ: office which operates tile UST. (This is !he contad person for !he tank records.) t-IIA- 406. IS facility on Indian Rese<vation OJ: trusllands? PROPERTY OWNER NAME ~ 50 ( I, vrn-f rC ¡ MAILING OR STREET ADDRESS 8111 S 'Is-a {¡ . ~.¿¡:¡- c¡:r z: z Z- CITY 0 d U-f"$ k( 407. PHONE 327 -5'006 408. Co ¿LL- 409. 410. STATE CA 411. Z'9°330! o 6. STATE AGENCY o 7. FEDERAL AGENCY 412. o 2. INDIVIDUAl o 3. PARTNERSHIP o 4. LOCAl AGENCY I DISTRICT o 5. COUNTY AGENCY 413. MAILING OR STREET ADDRESS íso8 f. TANK OWNER TYPE III. TANK OWNER INFORMATION TANK OWNER NAME ~ Svlllv~ l ~l~l~ Co ¿¿~ I "f1t' Sf '<#- Z z Z- ud 414. PHONE 415. 416. 417. STATE 418. cA- 419. ~. CORPORATION o 2. INDIVIDUAl o 3. PARTNERSHIP o 4. LOCAl AGENCY I DISTRICT o 5. COUNTY AGENCY o 6. STATE AGENCY o 7. FEDERAL AGENCY 420. TV (TK) HQ IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNU4UM.BER Call (916) 322-9669 if questions arise V. PETROLEUM US": FINÁNCIAL RESPONSIBILITY o 4. SURETY BOND J1!!"r. STATE FUND o 5. LETTER OF CREDIT 0 8. STATE FUND & CFO LETTER o 6. EXEMPTION 0 9. STATE FUND & CD 421. INDICATE METHOD(S) 0 1. SELF.INSURED o 2. GUARANTEE ~. INSURANCE o 10. LOCAL GOVT MECHANISM o 99. OTHER: 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS Chect< one boX to indicate which address should be used for legal notiflcations and mailing. Legal notiflcations and mailings will be sent to !he tank owner unless boX 1 or 2 is checked. o 1. FACILITY 2. PROPERTY OWNER o 3. TANK OWNER 423. VII. APPLICANT SIGNATURE I rate to the best of my knowtedge. : I cenity that the information provided herein is SIGNATURE PLlCANT NAM 426. PHONE 425. ¡;'1327~ 4Z1. ( , local usa only) 428. 429. UPCF (7/99) S:\CUPAFORMS\swrcb-a.wpd CITY OF BAKERSFIELD ~(CE OF ENV!IRONMENTA.ERVICES 1715 Cliester Ave., Bakersfield, CA 93jU'1 (661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 E r'fP'!; OF .crlOH . c.,..,. ,J'" ._ 0fIIf /)iÍ., ~ SIT! PI!MIT a .. AMeNOeO P!RAMT a 5. CHANGe OF INFORM-' noN) p. a S. I1!Mf'OAAAV SIT! CLO~Ar o 7, PERM-'HEHTl v CLOseD ON SITe o S. rANI< Rl!MOI/EO a 3. Rr"'(WAL P!IUMT fII (~__ . /fN 'OeM.... only) (~~ . "" IOUII.... only) 3 FACIUTY 10 . .... ~US3 ~ Is-.. FAClUT'f NAMI 01 08A. 0aII'0 ...... Aa) 1& ~.I\7Y'.... 1/1"'0 r-I L. CA TiCH Wl'TMIN SITI (OpIIotteIJ ANKI I. TANK DESCRIPTION '--L L ~/ £. 200L (FM 1OceI_ ody \ Dele./' NU \ v-I cJ d I/'-Þ COMPAAnEHTAI.IZ£O TANI< 0 v. No " ..,.... QOIftpMIe one øage (01 UCft QOIftI*!menl. /2 DOC> ..i. 4.: ; TAN( use 431 I þ!l,. MOTOAI/ÐCLIAJB. : (11",."*1. ___~ 7)pe) I 0 2. NOH-FUE1. ÆTROlEUM : 0 3. OiEMICAL PAOOUCT ! 0 .. HAZAAOOUS WAST! (1rIdudN ! U.-d 01} ¡ 0 95. uNOlOVttf ¡ TYPE OF TN« I (C/I«Jt - AIm od1J ! I ! T ANI( MATERIAL· IItrMry MIlk ! (C/I«Jt _ .,.." ody .. TANK CON1'1!NY'I N1'ROI..BJM TYPe o ta. R!GUI.M UtUACED 0 z. U!ADED œ:.,... .........UtUACED 0 ,. DIESEL o tc. YDOfW)I UNLEADED 0 4. QASOt()l COIM)N HAM! (IIDm Ht--......... ~¡»ge) C Herr/" [J t. INJLI WALL 18 2. OOUIIL! WALL [J t. BAAl! STæ. [J Z. STAH.!SS STEEL i T ANI( MATERIAL· -*'Y ** 0 t. BAAl! ST&L (C/I«Jt OM AIm ody [J Z. STAH.!SS srœ. TN« IHT£RJOR Ut.-.cJ OR COATINO (Ch«ll OM lent only) SPILL AND OveRFIlL j (Clt..,.~. tÑ/ ~) j . r-' [J t. RUIIII!R LND [J 2. AUC't'D Ut.-.cJ 4- o So JET FUEL o .. AVIATION FUEL 018. OTHER ....t CAS' (from HuMIotIa AIØIrlIIII ~ ¡»ge) ... [J s. SN3LE WALL WITH IHfERNAI.IItAÐDER SYSTEM [J N. UNCHOWN o It. OTHER o 5. c:oHCÆTE 015. UN<NOWN o .. FRP COWA'TISU WtOO% 1.ETMAHOt. 018. OnER 44J o 3. FIIEROlASS I FUSTIC ~ 4. STEEL CI.AO wn:18eRGLASS REIN"OAŒD FUSTIC (FRP) 13 3. F&AGlASS I PlASTIC o 4. STEEl. CI.AO WFIIERGLASS REINFORCED PlASTIC (FRP) o 5. OONC:R£'Æ o So EPOXY LIt.w«J [J s. GLAII LHNO 0 15. UN<NOWN [J 4. PHÐQJC LIt.w«J 'ø.... UtUED 0 It. OTHER o 3. FI8EROLASS fIfN'ORœD P\AITIC [J N. UNCHOWN 448 o 4. IaotPÆSSEO CUMfHT 018. OTHER 44A o .. FRP COWATI8U! WtOO% 1.ETMAHOt. o .. FRP HOK-COARoOIIIU! JAQŒT' o to. COATS) STEEl. 015. UN<NOWN 018. OTHER 445 448 MTI! INSTAU.£D ....7 bt»I_ MTE INSTAlLED 449 [J t. awurACTUN!Ø CATHODIC PROTECTION o z. SACIWICIAL AHOCe YEAR INSTALLED 450 TYPE (F« bt»IlM only) r;;t t. SPIlL CONTAMENT Zoo Z- sf OROPTUII! '2...00 'Z- at ,. STAIœJt PLATt Z. 00 Z-- (F« local 11M ØtIIy) 0651 0VEIU'1lL PROTECTION EQUIPMENT: YEAR INSTALLED 0652 r6 t. AlARM 2:0<.> 'L 0 3. FILL TUBE SHUT OFF VALV£ _ d z. 8AIJ.. FLOAT Z~ Z-D 4. I!XB4PT r :~ ISTIMA TIO OATILAll' UIIO (VMoIO/QAY) UPCF (7/90) o S. MANUAL. TANK <3AUGINO (MTQ~ a .. VADON ZONE a 7. OROUNOWATI!A o .. TAN( TUrIHO c.. OTHeR V. TANK CLOIUU IN'OftMATICH' PllUlAHlHT Q.OIUIIIIIN PLACI 411 IITIMTID QUAHnTV ~ SUIITAHCI QM\INNa ... TANK ALlO WITH INIAT MATIRIAL? ,,7 .... o v. a No S;\CUPAFORMs\sWRcø-8·wPC [.:.. 1"'Y ¡ - CITY OF SAKERSFIELD OfIP1CI OIIINVIRONMENT AL SERV'<:JiL __ e 1715 Chn.., Aw..llalc.,....'d. CA .3301 (ee......79 ueT . TANK ~AGI! ,. - « VI. ,.... CONITItUCTlON (CMdIIII /lie,,,,,,, .oIL UNOEAGAOuNO PlPINO SYS rEM r"I'Pf; I PRESSURe! 0 2. SUCTIOH 0 J. OAAvrrv 458 0 I. PRESSURE CONSTRUCTION!' 0/ "NGlt! WALL 0 J. UNlD TRENCH 0.. OTHER 4eG 0 I. SINGLE WAlL MANUFACTURERI rst 2. OOUSLE WAlL 0 M. UNICNOWN 0 2. OOUSlE WALL I MANUFACTVRt!R L. 51'1/ nk 481 MANlJFACTURER .0 I. SAR!! STI!EL 0 .. FRP COMPAra! .... 1001....THANOL 0 t. BARE STEEL MATERIAlSANO'O 2. STAIHU!SSSTEEL 07. OALVANlZEDma 02. STAINLESSSTE CORROSION PROTECTION O} Pl-'ST1C COWATIIU! WITH CONTEHTS 0 II. UNICNOWN 0 J. PlASTr ATlBLe WITH CONTENTS : ¡g' 4. FIBERGLASS 0 .. FU!XI8LI! (HCfIE) a II. OTHER 0 4. F Os. SreELWfCOA1'1NO 01. CATHODICPROTECTION ..... S. sreELwfCOATlNG VI. fIIItIIG LÆAK DeTECTION (CttecIr III "*..,) IMI!ItGEHCY GINIMTORI ON&. Y (CIIect""" IAIt.I o 14. CONTINUOUS SUMP SENSOR WITHOtII' AUTO PUã. SHUTOFF . AUDIIU! NÐ VISUAl AI.ARMS 10 15. AUTOIMT1CLINELEAI(OETEc:roR(3.0GPHTI!ST)~F\.OWSHU1'0FF0R I RESTRICTION ! 0 18. ANNUAlINTEGAITY TEST (0.1 GPH) I 10 17. OAJLVVlSUAlCHECK I': .··.:..;..;~.~r IDISPENSERCONTAINtoENT a 1. FLOATAiI!CHANIIMTHATSHUTSOFFSHENtVALVI! I DATE INSTALLED 488 'f6. 2. COHrW«JOU8 OISÆHSIR PAN SI!NSOA . AUOIIIU! NIO VISUAl AI.AAMS ¡ Zoo Z- 0 3. CONTINUOUS DI8ÆHSI!R PAN SI!NSOAmntAUTO SHUT OFF FOR DISPENSER · AUDIBLe AND VISUAL ALAAMS DC. OWNI!RIOPI!RA TOR SIONA TURI! 10 !lie ..... d my IIncMIedgt. UHDERGAOUND PIPING PRESSURIZED PIPING (CMdIIII!llet W/yJ: o I. ELECTRONIC LINE LEAl( DETI!CTOA 3.0 OPH TEST mItt AUTO fIUMI SHUT' OFF FOR LeAl<. SYSTEM FAILURe. AHO SVS'TEM DISOONNEC1'1OH. AUDaa AHO VI8UAL ALAAMS o 2. MONTHLY ().2 QPH TEST o 3. ANNUAL INT'EGRITY TEST (0.1 OPH) CONVENTIONAL SUCTION SYSTI!MS: I 0 S. DAIL V VISUAL MOHITOAINO OF PUMPING S'YSTEM . TRII!MIAL JIIII>IG NTEGRtTY TEST (0.1 GPH) ¡ SAFE SUCTION SYSTEMS (NO VALVES IN ea.ow GAOUND PIPING): ,1.S 7. S€LF MONITORING GRAVITY FLOW: o I. BIÐHAL INTEGRfTY TEST (0.1 OPH) II!ICON&WaI. Y CONfMIID I'I'INIa PRESSuRIZED PIPING (C1Iedr III ",., 1fIPIY): 10. CONTINUOUS T\JR8INE SUW SENSOR mIt1 AUDeLE NfD VISUo\L AI.AAMS NÐ (CIIeck _I o a. AUTO PlJW SHUT OFF WHEN A LEN< OCCURS o Þ. AUTO PUW SHUT OFF FOR LEN<S. S'YSTEM FAILURE NID SVSTÐI OISCONNECTION lOCo NO AUTO PUMP SHUT OFF ¡OIl. AUTOIMT1C LINE LEN< DETl!ÇTOR (3.0 OPH TEST) mD1 FlOW SHUT OFF OR RESTRICTIOH o 12. ANNUAL INTEGRfTY TEST (0.1 OPH) SUCTlON/GRAVITY SYSTeM: 13. COHTNJOUS sua.P SENSOR. AUDeLI! NG VllUALAiNIoe . ., ;~!:r~'~r<'" 'r .:~ j;;'''~J . :. .. .:...'1f.::¡¿::r¡s.._.~: \:...1 . ........_.....>_.,. ,.. !/I.tltle l/IIannetlÞn ØtOIIIded IIereIn SIQNATU RIOPEAATOR _! NAMt! Permit ~'* (F« /OeM 11M only) 473 I ,..",.. AIftIM4 {Fot foeti we 0IIIy JPCF (7/99) ASOIIEGROUNO PIPING 1. GRAVI1"'f .. 4< o 8. FRPCOWAT'BLeWlIOO%~ o 7. GALVANIZED STEEL o 8. Fl.£XIBLe (HOPE) 0 it. OTJiER o I. CATHODIC PROTECTION o 15. UNKNOWN 46 , <if.;~. ABOVEGROUND PIPING WALL PIPING 46- PÆSSURIZED PIPING (CMdIIII /lie, 1fIPIY): o 1. ElECTRONIC LINE LEN< DE1'EC1'OA 3.0 GPH TEST mD1 AUTO PUMP SHUT OFF FOR U!AI<. SYSTEM FAl.UR£. AND SYS1'EM DISC:ONECTIOH . AUOI8I.£ AND VISUAL ALARMS o 2. MONnI. Y 0.2 0fIH TEST o 1 NNJAlINTEGRfTV TEST (0.1 OPH) o 4. DALY VISUAl. CIEQC CONVEHT1ONAL SUCTION SYSTEMS (ChecIt..".,~): o 5. OAIL Y VISUAl. MOHITOAING OF PIPING NG PUMPING SYSTEM o 8. TRIaotIIAL INTEGRITY TEST (0.1 GPH) , SAFE SUCTION SYSTEMS (NO VAlVES IN sa.ow GROUND PIPING): o 7. SELF MOHITOAINO GRAvrTY FlOW (C1t«Ic III //let t/PPIy): o .. DALY VISUAL MONITOAINO o Il BIENNIAL IHTEGRfTY TEST (0.1 OPH) IECONDARILY CONTAINED PIPING PRESSURIZED PIPING (C1Iedr III //let 1fIPIY): 10. CONTINUOUS TUR8INE SUa.tP SENSOR mIttAUOl8U! AND VlSUALALARMSAHO (c:Nct_> o .. AUTO PlJW SHUT OFF WHEN A LEN< OCCURS o Þ. AUTO PUMP SHUT OFF FOR LEN<S. SYSTEM FAILURE AND SYSTEM DISCONNECTION o Co NO AUTO PUMP SHUT OFF o 11. AUTOIM T1C LEAl( DET'ECT'OR o 12. NNJAlIHTEGRfTY TEST (0.1 GPH) SUCT1OK'GAAVITY SYSTEM: o 11 COHT1NUOUS'" SENSOR. AUDI8U! NG VISUAL AlARMS I!III!ROENCY GeNDATOM ONl:.Y (C/ledl1II /lief ~ o 14. CONTINUOUS SUW SENSOR WITHOtII' AUTO PUW SHUT OFF. AUDI8LE NG VISUAL AI.AAMS o 15. AUTOIM T1C LINE LEAl( DETECTOR (3.0 GPH Tl!ST) o 18. ANNUAlINTEGAITY TEST (0.1 GPH) o 17. OAILVVlSUALCHECK ~~:{~~~.jn·~ o 4. DALY VISUAL CHECK o 5. TR£NCH UNER I MOHrTOR/NG o .. NONE ..- 471 DATE q-z£-o2- T~RIOPERATOR 470 472 ~ 474 I """'II ExIIrIIIon DIll (For'" 1M ØfIYJ 47~ S:\CUPAFORMS\SWRC8-B.wPO :t1r ';"-" ,.~ . "., . A.' _.~._. CITY OF BAKERSFIELD ~ICE OF ENVIRONMENT~ERVICES 1715 Cliéster Ave., Bakersfield, CA 93j() I (661) 326-3979 UNDERGROUND STORAGE TANKS . TANK PAGE 1 Œ rv~ OF ~CTIOH , C.,''', oJ". ,_ """'I ()í." ~ 3IT! PI!MIT a 4. AMtNCtD PERMIT o 5. C~ 01' INf'OR~ TION) It. o 8, Tl!MfIOAAAv SITe CI.O~Re o 7, PERAoWIEHn. 'f CLOseD ON SITe o 8. TANI( AfMOVED 0). AfNew..... PeIVo«T fII (~-- ·!lNIOcM.... """'I (~c:/IMgII . !IN IOcM "'. """') ) FACIIJ'TV iO . ~S6~S-~:~D8A'ëk~r~ ~OCA TIOH WITHIN SIT1I (Op#IøMI) LTANKDESCRIPT10N ìlodu~ COMPARnENTAUZED TANI< 0 v.. " -v.... COIftØlel. one øege 'or uctI COIftPWtm«ll. . vc::.O .c.: .. TANK COIf1'INI'I ; TNIC use ... i ~. MOTOR'JMCU IIUa : (11 _tad. ~,........ 7)peJ I 0 2. NQH.fUEL ÆTACX.E\At : 0 ). CMao4ICA&. PAOOUCT ! 0 4. HAlNIOOUS WASTt! (1IIdIIIIN i U..,¡ (1) ¡ 0 95. uNOIC)'MIf I , T'fP'E OF T NIC I ! (CMt:Jr _ am 0IIIyJ I I , T ANI( AoIo'TERIAL . IñIWy link ! (CMt:Jr _ ".", Ody ~T1Æ ~.. AICUNt UfUAOED 0 2. WOED o '''' ........ UfUAOED 0 3. 0ESa o 1Co a.eoAAœ UNU!AOED 0 4. QASOHOl CDM)H HAM!! 110m HuMtouI AIøwWI ~pege C I-)-e.VI'O'-') f2Ebt-> II'T1 [J t. ....WALL ~2. 00t.-e WALL o 1. loW!! STEEL o 2. STAIUSS STEEL I TANK AoIo'TERIAL' -*Y link [J 1. loW!! STœ. (CMt:Jr - .., 0IIIyJ [J 2. STANJ!SS STœ. TAN< INTE100R LJPMCJ OR COATINO (Clledt _lMt 0dyJ SPILL AND OveIU'IU. ¡ (C"..,/( ~, tluJl."pIy) ¡ I . r-' [J t. AUIIIeR LMD C 2. AUC'tD LJPMCJ , o So JET FUB. EJ .. AVIATION FtÆI. o 9t. OTHER CAS" 110m Hua"*-~ ~pegeJ .... 441 .. TANK CONI1"IWCI1ON o 3. SINOU! WALL WITH EXTeAIOR ~ANELIER o 4.. SINOU! WAlL .. A VAtA.T o 3. FIIIEROLASS I Pl.'ST1C 13. 4. STEEL ClAD WlFIIIERGtASS ReN'OAŒO Pl.'ST1C (FRP) ""'3. FeERGLASS' PLASTIC o 4.. STEEL ClAD~ REN=OACED PI.ASI'IC (FRP) o s. CONCA£TE o 3. ePOXY UNHJ [J ... PHINOUC UNHJ , o s. UIGLE WALL WITH IHTEANAL aACOER S'tS1'EIiI ON. IJNCNOWH o ft. OTHER o s. CONCÆ11! 0 is. UNI<NOWN o a. FRP c:oa.f>ATIBt.!: 'MtOO% METHANOl 09t. OTHER 440< ~ o .. FRP COWATI8L! WtOO% aETHAHOL o .. FRP N()H..CI()MOOIØ JAQŒT o 10. COATED STEEL ON. UNICNDWN D.. OTHER ~ 441 DATE INSTALLED 447 C S. GLAI8 UNHJ vJ-... UNLINED [J N. UNCNOWN [J ft. OTHER 1oaI_ DATE INSTALLEO 449 o 3. ~ R!H'OACm fItAITIC eN. IJNCNOWH o 4. IY'AUSED CUMINT a ft. OntER C t. MAHUflACTUfE) CATHODIC PAOTIC'nON o 2. SACIWICIAL AHOOe 'I'I!AR INSTALLED 450 TYPE (~/OeM 11M Ody) 0Yf. SPILL CONTAHAI!HT 200 z.. cr 2. DROP TUII! Zoo '- ~STRICM """111 z.o~ z... ¡. .-- ISTI~TIO OAT. WT UIIO('t'MODAY) UPCF (1J9Q) ... 441 (~/øQI fIN Ody) 451 OVERFIU. PROTeCTIOH EOUlf'toEHT: YEAR INSTALLED 452 [9'1. AI.AAM ZpO Z- 03. FILL TUBE SHUTOFF VALve _ ~ BALI. FlOAT zÞ<o"Z-fJ 4. I!XBPT .~~: ~~~·ir1Jt:.r··~~::·~··:~· ", . >.:-.11.",. ~\:t;!~.:r.:~~· .,; y .:.:,:.....:::.:~~~.. 413 ., DOU8UI WALL TANK 0" TAM( NTH IILAIIOM (CItedr _ '*" odfI: 4&4 o 1. VlSUAL(SINOL8WALLIHVAUt.TOM.Y) è...z. CONTINUOUS IHT!RSTITIAL MONlTOAIHO CJ 3. MANUAL MONITORING o So MANUAl. TAM< QAUO/NQ (MfO) o .. VADOse ZONE o 7. OI'OUHDWATeR a .. TAN< TUTINO o II. OTHI!A V. TAHIC.CLOIUIUIIH'ORIlATIOH' PlJUIANINT C&.OIURIIH PLAce IITIMATIO QUNfnTV ~ SUI81'ANCI "IttWNIIQ 4M TAM<'ILLIO WITH IHIAT MATllUAL1 447 IIIIoN o VII OND S;\CUPAFORMS\S~cs-ø·wPC [:1· ~~~ ~ :J CITY OF BAKERSFIELD 0fI1'IC1 M INVIRONMENTAL SERVI~ __ e 1715 Chn.... Aw., llake"fteld, CA 13301 (M.....79 UIT. TANIc PAGI! ~ - 01= VI. 'IPIICI CONI1RUCT1OH (CIt«II"lIIIt WIY1 UNOlAOfIOUNO PlPlNO ¡ SYSTeloll"'l'F'E 1 PRESSURI! 0 2. SUCTION 0 ). QAA\IfTV 458 10 I, PRESSURE CONSTRUCTION!'O 1 SINGLE WALL 0 ). UHI!D TR!HCH 0 tI. OTHER 4eO 0 t. SiNGlE WALL W.NUF"CTURERI~2. DOUBlE WALL M. UNKNOWN 0 2. DOUBlE WAlL I I,WoIJFJlCTURER ,,,' MAHVFJlCTURER ,0 1. BARt! ST!IL 0 e. FAP COMPATaI! WlI~ M!n4ANOL 0 1. BARE STEEL : MATERIALSJlNO '0 2. STAINLESS STEEl. 0 1. (W,VANlZEDSTEEL 0 2. STAINLESS STEEL ¡ CORROSION , PROTECTION 0 ). PlASTIC COM"AT18L2 wmf CONTENTS 0 Ie. UNCNOWN 0). PlASTIC COMPJlTIBU! wmf CONTENTS : (¡( 4. FISEAOt.ASS 0 .. FL£XIIIU! (HOPE) 0.. OTHER 0 4. FIBERGlASS o 5. STEEL WI COATlNO 0 I. CATHOOIC PROTECTION .... 0 5. STEEL WI COATING VI. PIlING LeAl( DlTECTIOH (CIt«II.."., WI1) I!MIAOI!NCY OINlltATOM 0tI. Y (Chec*"..".", o 14. CONTINUOUS sua.P SENSOR ~AUTO PUW SHUTOFF +AUOIØU! AIÐ VISUAL ALARMS 0 15. AUTOtMTlCLINELfAKDETECTOR(3.00PHTEST}mDQIl[FI.OWSHUTOFFOR I RESTRICTION i 0 18. JlNNUAL INTEGRITY TEST (0.1 GPH) 0 18. JlNNUAlINTEGRITY TEST (0.1 GPH) : 0 11. OAlLYVlSUALCHECK 0 17. OAILYVlSUALCHECK .: .' ':': :!J»:;.; MWr.&I"Unft';;'~:~~;-'~::: '¡'/~".: . .....:.....-.~.... ~~~~~........:~ ~-~.. ,.f: ~ /' OISPENSERCONTAlNMENT 0 1. FLOATMECHAHIIMTHATSHUrSOFFSHeARVALVI! DATE INSTALLED ... ta:. 2. CONTNJOUI 0ISÆHSeR PAH SI!HIOR + AUDI8U! AND VISUAL ALARMS i Z C) 0 Z- 0 3. CONTINUOUS DISPENSI!R PAH SI!HIOR m:D:I AUTO SHUT OFF FOR DISPENSER · AUDlBU! AND VISUAL AI.AAMS I IX. OWNI!RIOPI!RA TOR SIONA TURI! I I to !lie bell d my 1InowIedge. UNDERGAOUHO PIPING i PRESSURIZED "'PlNO (ChKJlII tIIeI WlfJ: o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 OPH TEST mD1 AUTO fIt.Ut SHUT OFF FOR L£AK. SYSTEM FALUAI!. AIÐ S't'STEM DlSGCIINECTIOH+AUDa!ANDVI8UAL AI.AAMS o 2. MONTHLY 0.2 OPH TEST o ). ANNUALINTeGRI1Y TEST (0.' QPH) CONVENTIONAL SUCTION SYSTEMS: I 0 5. DAILY VISUAL MONITORING OF PUIoPINO SYSTEM + TAII!NIAL fIllING NÆORtTY TEST (0.1 GPH) ¡ SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND ~ I ~ 7. SELFMOHrTORING GRAVITY Flow. o g. BIÐNAL INTEGRITY TEST (0.' QPH) SI!CONDMILY CONTAINID JIIIING PReSSURIZEO PIPING (C1I«:It II 11M ~ 10. CONTINUOUS TUA8INI! SUWP SENSOR mItt AUDIBLE AND VISUAl. AlARMS AIÐ (ChedI_) o a. AUTO PU.... SHUT OFF 'NHEN A LEAK OCCURS o II. AUTO PU.... SHUT OFF FOR LEAKS. SYSTEM FAII.UÆ AND SYSTEM DISCONNECTION 0 c. NO AUTO PUMP SHUT OFF ¡O,l. AUTOMATIC LM LEAK DETECTOR (3.0 OPH TEST) mD1 ROW SHUT OFF OR RESTRICTIOH o 12. ANNUAL INTEGRITY TEST (0. t QPH) SUCTlONlGAAVITY SYSTÐt t& 13. CONTINUOUS sua,p SÐISOR. AUDeU! AND YllUALAINIIe J\8OIIEOAOUNO "'PING o ). QAAIIIT't o 2. SUCTION o 95. UNI<NOWN o 99. OTHER ., o 8. FRP COMPATIBLE W/I~ ~ o ,. GALVAHIZE\) STEEL o 8. F\.EXI8lE (HOPE) 0 ft. OTHeR o g. CA THOOfC PROTECTION o 95. UNJ<NOWN 4¡' : ~{,¡2· J\8OVEGROUND PIPING MOL IN. PlPI 46 PRESSURIZED PIPING (ChKJlII /lie, WIf): o 1. aeCTROHIC LINE LEAK DETECTOR 3.0 GPH TEST mD1 AUTO PUW SHUT OFF FOR LEAl<. SYSTEM FALUAe. AMJ S't'STEM OISCONECTION + AUDI8LE AND VISUAL ALARMS o 2. MOHTK. Y 0.2 OPH TEST o 3. NHJAL INT!GRfTY TEST (0.' QPH) o 4. DALY VISUAL CHECK CONVENTIONAL SUCTION SYS'TEMS (CIrecIr II...' .",): o 5. OAIL y VISUAL MOHtTOAINO OF PIPING AND PUMPING SYSTEM o 8. TRIENNIAl. INTEGRITY TEST (0.' GPH SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 1. SELF MOHfTORINO GRAVITY FlOW (CMdt II /lief WI1J: o .. DALY VISUAL MONITORING o II. 8lENNW.1N1'EGRITY TEST (0. t GPH SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (C1I«:It II /IIef~): 10. CONTINUOUS TUR8ItE SUMP SENSOR mnt AUDIBLE AMJ VISUAL AtNMI AND (dIeck_) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o II. AUTO PU.... SHUT OFF FOR LEAKS. SYSTEM FAA.URE AND SYSTEM OISCONNECTION o c. NO AUTO PIJIoIP SHUT OFF o t 1. AUTOMATIC U!N< DETECTOR o 12. NNJAL INTEGRITY TEST (0. t GPH) SUCTJC)tWRAVITY SYSTEM: o ,3. CONnNUOUS sua.P SENSOR + AUDIBlE AMJ VISUAL ALARMS DllRGI!NCY GI!NERATORS ONLY (Chedr" 111«"'" o 14. CONTINUOUS SUMP SENSOR ~AUTO PU.... SHUTOFF + AUDIBI.e AND VISUAL AI.AAMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) DATE 470 q-ZYCiL- 411 412 Pennll Pbnw IF« /oeM 11M onfy) 473 I PwmI~(For"'..OII/)'} 474 PwmII!JcpftIIon 0IIe (FoIIOØIIM ønIy) "1J ~-- JPCF (7/99) S:\CUPAFORMS\SWRC8-B.wPD 3. 4. 5. e e EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on tlùs monitoring program are conditions of the operating permit. The permit bolder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures. unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(b) CCR ...- /:3 f f..9' ~U/\ fY" J ::3300 ""-f h (~_ / ~ Facility Name Facility Address 1. If an unauthorized release occurs, how \\0111 the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up fÌ'om the secondary containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. {)';ê'_ oF" AbSorhG 7/ A7'-1d b:,ro~ì"".. A-b~()t"bA-('( o\l¿r C;,þ1iA_ tJ.mt- qV"~CG IS rL'j\ 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. ()sed A h~orbí-'w"\'"I IJ 7"0 be- S-rorc...cJ . iri A fh..1T1-to,,-, zed g-ron" ~ e- C<::It1"'rf't1",U- t' .P/\'? l...- DCCACRtl c<f h"¡ 1~z-l"W"'rJ \ ,-rA~r-::>~ I-M-ù)p/ ~ / Descripe the locati~n and availability of the r~qu~ed cleanup equipment in item 2 above. ,~I"f:....d //~c; '/~_ Srore-6 DA CAL.. ~I",q Q e.- roo r-""" - Describe the m~tenance schedule for the CI~up equipment: L)Sc-rJ r~ IAr c:.-CJ A!> r-i c...U'/A~Af "- , / An~l List the name(s) and title(s) of the p~:Jn(s) responsible for authorizing any work necessary under the response plan: AYle.r ~e.. s - ~re-. r\A--nA p~ " L5rcnrLC\ r-;: I,ir f c(3 ~ - C;-ro....C" ___.S/ÃÙA- h ~~~ D. E. F. G. ~EN MONITORING PRaEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM TbiI moaitoring proøram IDUII be kepi. tile UST 1000000a II aU dmcs. 1"ba idJnDarioa 011 this ...iuIriq propam are c:oadiåoDl at tile opcI'IIiq permit 1"ba permit bolder IIIUIt IIOIity tile 0ðIc:e of EaWo~lm_.,..~ ScMca wilbiD 30 days at allY chA~ to tile moaitoriq procedwa. unJca required to obcaia IppIvyaI be:fon IlUllril1g t.be Ç~I1.. R.equired by SecåODS 2632(d) aad 2641(h) CCR. Facility Name 6) (y ~ ìY' ! Facility Address- ~~3oc:::> \",,J h ,-r-e! L-rT-rJtþ - A Descri~ the â'equency of perf~nnin~the monitoring: t I I J ~ Tank \/ ~ /2.1/"''' V ee-cJ.-er- ~'Od/ ~ I r-f e::> 1<.. TJOC~ ~ 1.:::>-0 )V ./' / Piping \.I.eÆ/F(/ \/eedu ~ 13 h'-J 1/0/""-'" ~ÍR__ ::. ~ hi I / B. What methods and equipment, ideatiñed by name and model, wiD be used for peafomiø¡ the monitorins: / . r/ Tank \/~,e:-dcr f~ô)'-¡- 'ILS 350 Piping \ / e..c d Cr ! 2--r- --r2-ß ~50 c. Describe the location(s) where the monitoring will be performed (1àåIity plot plan should be attached): _ /' f-tz..oM. £AI14- ~It"/" List the name(s) and title(s) of the people responsible for performing the monitoriDg andlor maintaining the equipDJent: ~-=-r A-rJe, r ::J:One. s ' rc1 f\Nfì q~ Reporting ~r mo~: _ Tank .. )c~ ~~ 24"/' ( Piping )\ -.' or~ Describe the preventive maintenance schedule for the monitoring equipment. Note: MaiDteDance mUlt be iD accordaDce with the maaura~rer'1 maiatea.nce schedule but Dot leu thaa every 12 mODths. ~ I-.J ~ I J œd/"T~ r-)Ai7171'b1mc.c:z..- <3t2..r \f (¿e _ ~( Describe rhe rraining necessary for the operation orUST system, including piping, and the>monitoring eguipment: ~r .or¡ I ,,- ~ /e ho....;J- c> r- e CEATIFICA TION OF FINANCIAL RESPONSIBILITY ... ~~_TAMCSCOHTAI~'NClPIi~" ;., I.......... IT"iI tAl 1" . .... - -1 III........... __.. .. .... ia SMIiea ~ 0..-11. ow.. J. t1IIiI U. c:ca, 0--....,... II "'- 0 I ................. ......... . ~D _ fgJ 1 .... ......,............ ~ % .¡Iioa clOÜU't.............,. s_ W.. a..ø.vc- Coawl &'W ttUIN ~ì ... _ ......, "'-. I~r/~ 6{~ ..J ""'ÞycettJlla that it ¡, in compl8nt:e with tJNJ ~ of S«:tJon :2607, - ~1 ¿;Prb.1 ~ F&Je/Ad Z- ,/00 ~(\ '.PrP ~ f* ZS'O q.3 38 108 phoc/\!x- A Z- f3;sv z) lÃ\ c..-h ~~f"')¡\ \,000 t 000 A ~¡ro/"- Z;<oc.o; oOC> s~Md ¡þ Yes -íJ: ")OU Ilft œ/nf the... Fund .. M7Y p61tolyour dlllTltJMttatJan o/lJnant;iatresponsiblity, your ~ MId ~ of thØ CtlttIIIt:IlIJDn .., CtltIIIJø tJøt you .,./n comfJ/ltlfICtI with.u œndllitJM /of 1WtIcIDtlt/tJn ;, thtI Fund. ;¡H_ Ór{:r ,..., ."".".. ,H_ 3300 \J t, I""t"C- ~c=' , .,~ ~~ ,...,~ I I ~~ 1Iå1I.~ .~ .,~ a. 9-25'>-D 2- ~"TMllo-r.~.. f ~'- I \I"r-U ..... et..._.,..., .. fila 0It..... 4 LMII ~ e.,NI- ......11(.) ~ ,~ ~\ ~,..~ ~i!ot,.--. r:ï "\ \ CONFI~NCE UST SERVICfs, INC. 417 Montclair Street, Bakersfield, CA 93309 , 800-339-9930 or 805-631-3870 :FINAL TEST RESULTS: ALERT 1000 / ALERT ULLAGE 10SOX / AES PLT-100R / AES SYSTEM II CUSTOMER ADDRESS: Sunset Mechanical 3812 Panorama Drive Bakersfield, CA 93306 SITE CONTACT: Mark TECHNICIAN: Doug Young WATER IN BACKFILL: O. 00" WORK ORDER: 4770 SITE ADDRESS: Biq Country Chevron 3300 White Lane Bakersfield, CA 93309 TEST DATE: 9/20/02 PHONE NUMBER:322-0660 PHONE NUMBER:800-339-9930 LICENSE: 901076 DATE & TIME OF LAST FUEL DELIVERY:6+ hours TANK INFORMATION: (WETTED) TANK 1 TANK 2 TANK 3 TANK 4 PRODUCT TYPE: Regular Premium TOTAL GALLONS: 12000 gallons 12000 gallons PRODUCT LEVEL: 82 inches 82 inches PERCENT FULL: 92% 92% TEST METHOD: Alert 1000 Alert 1000 WATER IN TANK: 0.00" 0.00" TANK MATERIAL: Glasteel Glastee1 P.S.I.@ BOTTOM: 2.05 psi 2.05 psi TEST DURATION: 2.1 hours 2.1 hours FINAL LEAK RATE: -0.038 gph +0.035 gph TEST RESULT: PASS PASS -' TANK INFORMATION: ALERT'1050X ALERT lO50X ALERT lO50X ALERT lO50X (ULLAGE)U/F ONLY ULLAGE GALLONS: 1018 gallons 1001 gallons START PRESSURE: 1.5 psi 1. 5 psi END PRESSURE: 1. 5 psi 1. 5 psi TEST RESULT: PASS PASS PRODUCT LINES: AES PLT-1OOR AES PLT-1OOR AES PLT-1OOR AES PLT-1OOR LINE TYPE: Pressure Pressure START TIME: 4:00p 4:35p END TIME: 4:30p "S:05p TEST PRESSURE: 55 psi 55 psi FINAL LEAK RATE: -0.001 gph +0.002 gph TEST RESULT: PASS PASS MECHANICAL Red Jacket FTA Red Jacket FTA Red Jacket FTA Red Jacket FTA LEAK DETECTORS: MODEL: SERIAL NUMBER: CHECK VALVE PSI: BLEED OFF ml: LEAK RATE TESTED: , TEST RESULT: None None A) These systems and methods meet or exceed the criteria in USEPA 40CFR"parts 280, NFPA 329-87 and all applicable state codes. ' B) Any failure listed above may require further action, check with all regulatory agencies. e M I N U ~ 3 S e ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA Big Country Chevron 3300 White Lane Bakersfield, CA 12000 GALLON Regular TANK 12KHz AMPLITUDE RATIO 1.5 25KHz AMPLITUDE RATIO 1.5 750+ 750+ M I N U ~ 3 S 5 5 12KHz DETECTION RATIO 25KHz DETECTION RATIO 1. 00 1.10 TEST RESULT = PASS DATE AND TIME OF TEST: 09/20/02 6: 15P BEGINNING BOTTLE PRESSURE = 2300 ENDING BOTTLE PRESSURE = 2200 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG :,: 835 =ÎII: I .' e M I N U ~ 3 S e ~ ~ ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA Big Country Chevron 3300 White Lane Bakersfield. CA 12000 GALLON Premium TANK 0.75 12KHz AMPLITUDE RATIO 1.5 750+ M I N U ~ 3 S 5 12KHz DETECTION RATIO .915 25KHz AMPLITUDE RATIO 1.5 750+ 5 25KHz DETECTION RATIO = 1.02 TEST RESULT = PASS DATE AND TIME OF TEST: 09/20/02 6: 26P BEGINNING BOTTLE PRESSURE = 2300 ENDING BOTTLE PRESSURE = 2100 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG -". r \.v' ~, II e ~;=l"'.? ~ ~.:.. '., . . .'.'C.it! of Bakersfield .. .... ..... ': . .'. ui:.CUSTOlIER RECEIPT III . . ~. VDAVlS' .'. '. T ····oc Dr . 1 ~.~. .. .... .' ypE!~, . awer..,· Dãt.e:,. '}/17/02 01 Recèlpt..no:: 35122:' ·~i~ti~·.· . aty" . 'Ä~od~t 81: :. FR . STORAGE TAJlK 1 S128.00' TÀnTIGHTIiÉSS TEST BIG COUllTRY CHEVROII·· 3300 WHITE 1.1 . J',' Tender detail CK CHECK Total tendered T~t.al pay.ent Trans date: . 9/17/02 &453 S128.00 S128.00 Sl28.00 Tile: 13:34:36 &~)-3872-- 6~ U~/l~/UI UU;4U "U"ðUO ~¿D UO/D . "'V HAL HAL VI. B í () (p ;)- 9 ~ 001 -.,' ~ ....~ CITY OF BAKERSFIELD O~CEOFE~ONMæNTALSER~CES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (805) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY Big Country Chevron ADDRESS 3300 White Lane, Bakersfield, CA 93309 PERMIT TO OPERATE # OPERATORS NAME OWNERS NAME NUMBER OF TANKS TO BE TESTED 2 IS PIPING GOING TO BE TESTED Yes TANK # VOLUME CONTENTS 1 2 12,000 Unleaded 12,000 Unleaded TANK TESTING COMPANY r.nnf; npnÇf? TT'srr SAn'; C'A~, Tnr_ MAILING ADDRESS_ 417 Montclair Street, Bakersfield, CA 93309 NAME & PHONE NUMBER OF CONTACT PERSON Cllery 1 Young, 631- 3 870 TEST METHOD Alert 1000 Underfill NAME OF TESTER n()l1~ 1 ;:¡ ~ M Y()l1n~ CERTIFICATION # 90-1076 DATE & TIME TEST IS TO BE CONDUCTED 9/20/2002 @ 3: 00 fJ·m. J~ fJ%d-' , APPROVED BY DATE AiL~ --~ ~ -~-===- f~" . .;,... , ~,'.~ ' . ~ ïr::.~ ._-~"- 1__~.. ~~.~ '- ~"",,C #-~- - - --:- ~~:--: ~ , . !,~ ./ ,. :~."..Á .::~~;~~~~' .,.<,:.- *::~. '?3<~~f·~t . /~~}' .~... '. -~~~ r ~. - ~ ~.....:. .. fl-' .~. ~~ ~-.._: -~. .-..~~~- ~~~~ . ~>-~~v iìL~-- ~:.~~-'~. :_~ ~~~-:~ -~'-- I -..... . I '9.ÛI . ,..~ ~... -- ~,-- ,~...,...- " .......:::~ ,~...' -."~.! I _',. _.;. . _ :..~~. ~~ - "..~ , \...,.~ ~ i; . .""'~~_ -:-:._u . - : - ""'-- -.-.' . --. -. ~--~-- - - ;'- ~,_:~- -. -_. ,~., ,:.";.. _...~.--;.~~_~ .' ........,.. d;":__'. -: -,'" .. -.,..-- .~ .~~~.- ~ >~ ..~..:. ~- . ..~ ;......~~~ ~ -<'~~ . . ~~. ~ ¿,. \~ .. ~...'!. .<~ ~= ---- . CITY OF BA~SFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 Facility INSPECTION RECORD POST CARD AT JOB SITE Owner Address Address City,Zip City, Zip Phone No. Pennit # INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number I. DO NOT cover work for any numbered group un'til all items in that group are signed off by the Pennitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL INSPECTION DATE INSPECTOR Spark Test Certification 0 Piping & Raceway w/Collection Sump (f-tJ L Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer . FINAL Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Line Leak Detector(s) Leak Detector(s) for Annual Space-D.W. Tank(s) Monitoring Well(s)/Sump(s)· H20 Test Leak Detection Device(s) for Vadose/Groundwater Spill Prevention Boxes Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements Type cr\-\l-S '3SG Authorization for Fuel Drop CONTRACTOR rhdfnt. ß\4t.Lh,,.V\ _4JI/\ C;,.f /1iI('1' "'UUf 2( LICENSE t# S" 8 c¡ 5' f) CONTACT t'h(it~ ßtdllb.JrrA PHONE # ~ 7 ;.' · · PermJ,No. 7õ1-o~1 '5 CITY OF BAKERSFIELD 'vA (d\ 612--7- OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 i PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) ~NEW FACILITY []MODIFICATION OF FACILITY []NEW TANK INSTALLATION AT EXISTING FACILITY ST ARTINO DATE ~ PROPOSED COMP LETlON DATE 7/"',2. FACILITY NAME~, A"üb l?Ase.b:fEXIST~ FACILITY PERMIT NO. FACILITY ADDRESS__ 00 ~,'NS L CITY ~'C£.~£f\_~ ZIP CODE 'i ~ð<:) '7 TYPE OF BUSINESS (;~6 15"t-(:n"tow' APN # TANKOWNER 6ue.L.,·uA"" ¿'.J..~ PHONENO. ,~"'-$2:>08 ADDRESS I CS-0ð ¡p,""¡ t'5l'e,(d-f"'d'.-o~ CITY i3Al&te.~Adû.1l ZIP CODE ~.~;!Iy:) I CONTRACTOR ð~ CA LICENSE NO. 5"Rqc~ '7 ADDRESS gßl~ I: IN.O~IA ~«...... CITY~A>L.~~\\"'') ZIPCODE C".3Bo~ PHONE NO. ~():;;) -~;:,~ BAKERSFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO. __Jj ~...,eI INSURER O/~'ÝS' / -oJ.. BRIEFLY DESCRIBE THE WORK TO BE DONE "'-\e.v...> &~ 6~'t"tow. "'-t""IA. ~ M. Ç). Q ~~~... \\u t"'\ O. ÞdO ÓtA&..I..oCI~ UIA.t....tua. tL- I WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER 1l:Jt:J'.., NO. OF TANKS TO BE INSTALLED IIf ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE , ."'" NO NO SECTION FOR MOTOR FUEL TANK NO. I ,p UNLEADED Y REGULAR VOLUME I~ «JO Jj~ððu PREMIUM DIESEL AVIATION )0 , SECTION FOR NON M OTÚR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO. (IF KNOWN) CHEMICAL PREVIOUSLY STORED FOR OFFICIAL USE ONLY I APPUCATION DATE THE APPLICANT HAS RECEIVED. UNDERST ANDS, AND WILL COMPLY WITH THE ATTACHED CÒNDITlONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. FACll.ITY NO. NO. OF TANKS FEES S ~ ANT SIGNATURE ---,., THIS APPLICATION BECOMES A PERMIT <'..¡·".······.e .:¡ . ..' -..'<'.:.. ~ . : f~·:·~~~'i~::{~ff;~~·áè6t".. SÀN FRANCISCO.CA941 0 1 ~607 \: :\:, ~.:. ¡F;U;N~m':¡ ~ð¿~'tiÞfð~ié:¡ÓF... WORKERS" ÇOMPENSA TION "'INSURANCE ) . .,:.' ":?;':~~~:: ..'. i'{~(2r'" .... .... . . J~SUE"9ÀT~: '·Pf~\Ç.1~:02i .2 . , ";~,. "',;, .-.~. -'::l-~:9:-"-: .~ <:;';"":"/~(··'!·"':'·1.,;jiL""" :.'., ·~.9NJR~Q;J008g,'~mA:g'f?t'lC.~NS E' -BOARD ·WORKE'R:S\·~GOM.P ~N.SA:r·I,ON.':.UNIJ i:I~:"O~;BØ*:'26'6bo .. :/r;·, ~.·Š~'bRAttE:~·tOWc A: '9ssi6 '>:;.";;:~~'){:(.~~.';,~!",<~: .;.::,~.:'., '.. ."" .~),!~. - .',- '. . ,: . ~, '~'~f ~<>-:{,,;! ....:~:~/;~-, ',' _ " .... . T.~is·:.!s fºi;èé~tj1.~:~hàt W$ì.þ'åve:i:issuè·d a valid Workers' Compensation insurance policy in a form Californià"lnsurahce:'Commissioner to the employer named below for the policy period indicated. 1, ',i :o" t·", ~.' -'. ' .' ~., t, ',. ...~ .,: " e NT POLICY NUMBER: 229-02 CERTIFICATE EXPIRES: 01-01-03 UNIT P018441 UOB: #589517 INCEPUON DATE: 01-01-02 D; 0 .:B~ERSFIELD .. approved by the ;,...,<~'" ,'~: ,":,,,, .:..;...."...:~;~'~-,j,':,..< . ''This po¡èÿ~':is~¡iíbt;:~úäjéi¿t tò"èärîceUation by the Fund except upon 10 days' advance written notice to the employer. , - '.';. ~ ":., , ". :."S, :'~ 'v'. " .;. ....^ ' . )-';") :1' . '.~...:<-_.....~:.::;.....:<.. ". We will also. g)~e ~'t'oÝlbdåyš'::açlvanèêriotice should this policy be canceUed prior to its normal expiration. ..:;<:,~:...<'.\,:,-: .'. ·,IT. ".. ._...._ .' . .../.1". :::.: ',':'L ';::': .. -.:. _;.. <: ::: . , _," .:: This. certificatèYc)f}:TnsuràrtC;é~.isìJi()t.an· insurance policy and does not amend, extend or alter the èoverage afforded . by thepoliçiesl(steö ,hèreiri:,\IQtwithstanding anyrequir!!lT)ent, term, or conditiqn of any contract or' other document 'with respeèt;'to.Iwhich'tnis·Cêltificate of irisurancemaybe.issued or may pertain' the insuranèe afforded by the þòlicies\'~e.~èrib:ed! liet~in::is.sù6j~è:t',to aU the t(:rms. exclusiqns and conditions of such policies. '. . ':-. . ,..,.' . , '. ~. . .......~,..:..!).').,....-.; ,.. 'j '.:"~' .~;;. '., ;~: . .' , ,:.': ",~. :' :':~:"- .... ::::;;: " ','. ~::-'<:..>. . :EMPLOYER(¡~i..zÅBI\LiT\i 'LïMit';;Ú~CLUDING DEFENSE COSTS: $1,000,000.00 PER OÇC4RRENCE. .,' _ ': ~_.-::,:;. :.:':':'..\ '~':'. > '·::·':·.~·)':-?¿::;:F~r:~,·t"~-,:~::::·j, :;::> :-.!t.·, >~~;f'~.:· '~"" :'.. -:', _.:- ". .. - . 'STAt.,jOARD';EXèLÛSIO~:~:'INDiVIÓÙALEMPLOYERS AND HUSBAND AND WIFEEMF--LOYERS ARE NOT ELIGIBLE ····.....f"ORC"BENEÈItS,ZAS:;,ÈMP,LOYEES'·,UNDER,' tHIS· POLICY .\ . . ~ .'. . :,·:::.'-:'f;~~;~¡~(:;~¡, :('.~ ,':., , ." .... ". ! . " c· ¡I '.' ;1' SÜNSÊt~,MECHANIGÅL" . , -381 ¿'~:IJANORAMA' DR.. .... i ", - BAK'ERS'F:"ElD>CA:::'93306:_ ·.)t·:,. .¡f;E :,'~':ii:·'W:%~;~oiè,j}2t:r.. i:n.... IIeltlIJ¡'.i1 ::tHj:,,:,,,,~,:,.. :]-'I =-;",:,'.i ::t:I~ l::t I" :J,:,{ej~<C:t:[elIJ~11 ; ~ . . . '..;- .~~~~~ ~ ~ ,~" ~.: ' .¡ \.:"'/(/ " ~ : ;~ : ~ , . , I' EMPLOYER: . , ~.. ~'. ~; .,. I ,. " ..1.···· ~ ·~~1~.\· .- ."" . " - .... - .', ~.' . , ~I , ..... . .. ,:.,-:, y r-/~ ~~IDENT LEGAL NAME BLACKBURN, MARK AND BLACKBURN, PATTY PRINTED: 12-18-01 P0409 "iMla[~-~lõ1.""~ ¡" ft,CORDTM CERTIFIC~ OF LIABILITY INSU DATE 07-5-2001 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND .oR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P ODUCER Mortensen I South Valley Insurance Services 1330 22nd Street, Suite A Bakersfield, Ca 93301 661·323·2673 INSURED INSURERS AFFORDING COVERAGE SUNSET MECHANICAL 3812 Panorama Drive Bakersfield CA 93306 INSURER c: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS 'AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' . ,', . ,....;::.:.. . . . :', . . I~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS -ºª.NERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY 1140382 0710312001 0710312002 FIRE DAMAGE (Anyone lire) $50.000 I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ - PERSONAL & ADV INJURY $1,000,000 - GENERAL AGGREGATE $2,000,000 ~'L AGGRnE LIMIT AnS PER: PRODUCTS· COM PlOP AGG $1.000,000 POLICY ~rgT LOC .' . . ÆTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 B ANY AUTO 01CG04631910 07-03-2001 07·03-2002 (Ea accident) - - ALL OWNED AUTOS BODILY INJURY ,$ ~ SCHEDULED AUTOS - (Per person) ~ HIRED AUTOS BODILY INJURY $ ~ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ :J' OCCUR 0 CLAIMS MADE AGGREGATE $ $ =i DEDUCTIBLE . $ RETENTION $ $ WORKERS COMPENSATION AND I WC STATU· I 10J,tI. EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE· EA EMPLOYEE $ E.L. DISEASE· POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION - -.---.........- ~~. --- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR -ft£PRESENTA TIVES. ~yr~ES¡¡'TATJVE ( } 1 r fl h(\ I ,I.. 'r ~ D... ACORD 25-5 (7/97) .. -.. .. ~þ' ACORDCORPO~TION1988- v " '" . . .'1 ";;". e Cit~ of ~¡~8tield . ,e¡¡¡¡ CUS?U:i(~ R~C;!!'" fill) 9P?rg »~ßVSLEï 7ypc: 0(; )fa~~ j, ~te~ 3/11/02 01 Fìoœ-ipt i'!O~ m16 ~SCi'il2tio!: , :}i}' 82 erR !íND2RGR:.'ï "I'¡i)¡X i í);€sIGH j)[VEIoOP:iOO Sl1Oî'? US'i'/fSf FER1UT ì'end-ar dateB CS CH::C;~ 15~1 Tot.el t(i)í'id~ Tota! paYliltnt :ranß date~ 3/11:02 ¡'j~!);'!I'!i Çl%0.Ø3 ~i35@.0Ø $195$.00 $Ä950.00 Till£): 14:12:0J PERMIT STATEMENT .v· ~ ~. Bakersfield .e Dept. 1715 Chest ve. Bakersfield, CA 93301 'J:xc".;'In ~IOpme-J- ~ RECEIVED FROM 9~ DATE 3-' OJ- UST/AST PERMIT 82 STATE SURCHARGE 86 TANK TESTING 83 COPIES/REPORTS 89 ~ FD1595 AMOUNT TENTS, LPG 84 FIREWORKS, POWDER, 84 OTHER PERMITS OTHER TOTAL DUE ---li1 r:-roß .--