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Home My WebLink AboutUNDERGROUND TANK - .~~~~,.~ Per It to Operftte ' .. Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE . ; This oermlt Is issued for the following: ' , ~ ~ Hazardous Materials Plan .j !if Underground Storage of Hazardous Materials . o Risk Management Program o Hazardous Waste On-Site Treatment PERMIT ID # 015-021-000437 NAIDA WI CHEVRON l if." f.' \ " iI··· j~', LOCATION 2525 tw B04 ~I. L..., -'. ~'... '. -~~. k:..' ," f!;,. TANK HAZARDOUS!;Sl ~R PAN MON \,. 015-000-000437-0001 Unleaded Plus GaS OS SHUTOFF 1,. ~ 015-000-000437-0002 Unleaded Gasoline' OS SHUTOFF . 015-000-000437-0003 Supreme Unleaded OS SHUTOFF Issue Date Approved by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Issued by: e - CA Cert. No. 00891 I City of Bakersfield ,/' Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compllance'certlflcate 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. I I In;tructions to the issuing agency: Use the spabe below to enter the following information inthe format of your choice: name of owner; name of operator! name of facility; street address, city, and zip code of facility; facility identification number (from Form A); riame of issuing agency; and date of issue. Other identifying information may be added as deemed necessaJ by the local agency. I I I This permit is issued on this 10th day of October, 2000 to: I I NAJDA WI CHEVRON I Permit #015-021-000437 2525 White Ln. I Bakersfield, Califolinia 93304 I I I ¡ ¡ I I I I i I ¡~ \. - - r,. S \\'RCB, JanLl~Y 2002 '" ., e e l LJ Page _ of-=-_}-__ Secondary Containment Testing Report Form TiÚS form is jntended forus,e by contractors performing perioilic testing of UST secon.dary containment systems. Use the ~!Ppl·DjHÙ.ue pages of this form to report results jòr all components tested. The completed form, written test procedures, and pi'i()[JL¡csß'Orll lescs (ifapp/ieab/e). should be provided tothefaciZíty owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION II Facility Name: c... ~u !rFaciliry Address: 9. <5";t 5' W t+lr[ L IV ¡I racilil~' Comact: rDare Loc'al Agency Was Notified of Testing : :1 i'\Ja.nlè of Local Agency Inspector (ifpresent during testing): Date ofTestin : ~A-KFtsF'IVL1'/ / I Phone: 2. TESTING CONTRACTOR INFORMATION it- Company Name: ~/I C~ ENV IRONMENT AL : TècÌlllÎcian Conducting Test: Credentials: IX CSLB Licensed Contractor o SWRCB Licensed Tank Tester :¡ I License Number: 809850 :: License Type, C611D40 \};":"::\-\;':I':':iY')í1W ~7"'~'¡¡\\\:IIJ:1J~'''r\í\''''''''';'"' ., ~ r,I11Ir.I11"\ :1 Mal\~fa~turer'Trainin2: :ì Manufacturer CoInnonent( s ) Date TraínínR; Expires ,[ ¡-.- , 8/04 Ii INCON INCON T,S-STS \\ iì \1---·- :: II-- if ---. .-----.- -- Ii Component Pass Fail Not Repairs Component Pass Fail Not Repairs '! Tested Made Tested Made L.___ I FiLL $fILL goO X. !IV 0 0 0 0 0 0 0 [ VV) l ~ <?'1 :r-··----- Lh'\-?a!f. spiLL ~K ~ 0 0 rr' 0 0 0 iV~L -~ 0 ;!-. [l(' :t Ptf-WI ~~, FilL Sftc..L BoX 0 0 0 0 0 0 0 :1· [¥ 0 'if~v1-~1 \JPrF"~Sf"L ~DX .....0 0 0 0 0 0 1:-- [\(' !ID~-S~L FLlL ØJU-L (S-p)< D 0 0 0 0 0 0 :r----'- tJ)4fc7{2... SfûL ¡y 0 0 0 0 0 0 0 'i òle~CL <¡;OX t- O 0 0 0 0 0 0 0 Ii i 0 0 0 0 0 0 0 0 !i if-- " 0 0 0 0 0 0 0 0 'I :r 0 0 0 0 0 0 0 0 " il 0 0 0 0 0 0 0 0 !r 0 0 0 0 0 0 0 0 'L... 3. SUMMARY OF TEST RESULTS lÌhydrostaric testing was per~Qrmed, describe what was done with the water after completion of tests: RECYCLE AND REUSED CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING Tû rile bEst DImy knowledge, tilefac stated in this document are accurate and in full compliance with legal requirenumts T c:chnician' s Signature: Date: s-/?-oy ::;WRCB, hnuary ~002 e e Page '?,- of I.Â - -- 9. SPILL/OVERFILL CONTAINMENT BOXES r F;ci1Úy is Not E uip ed With S ill/Overfill Containment Boxes 0 [ Spi1l~Ove¡-£ill Conta.inntent Boxes arð Present, but were Not Tested .0 II Test Method Developed By: 0 Spill Bucket Manufacturer Ii \1 0 Other (Specify) :\--;-r~s[ MeùlOd Used: 0 Pressure il 0 Other (Specify) I Test Equipment Used: TS-STS na Industry Standard o Professional Engineer " o Vacuum S Hydrostatic Equipment Resolution: . 000 in. i Bucket Diameter: r ~U~ke~ Depth: . 'I Vi an Üme between applymg 'I 'I pressurelVacuum/water and Ii s canin cr lest: :1 TeST Stan: Time: II initial Reading (Rl): I; Ii Test Enà Time: if ! Final Reading (RF): I T~st Duration: ! Change in Reading (Rf-R¡): ¡ Pass/Fail Threshold or ¡ Criæria: ¡ - ; Test Result: (.I)'\(-'i7SpiH Box # FILL ~/( ~~I< v.,t-i1 SpUI Box #VA-f4!.., ftiM"l I Spill Box #ALL lQ I, I l;;¿" I I' 3Db1rl<.J 'WM;0 IO:jOA)'1 lo~:;)CDAu, 'JD!IDfr'tl1 /O;;;2£¡"AIM. 'g. lo~'h\IJ '5. (P~Of.; ~.1 ') 'f,N ~. t¡~f)(~ 'frJ."'6, )'~ 5· foq!:J/~ ç: fsq~ D~~A~ 1l>:~1A-1I'11o:~A-V\ 1Dst.lIÆ~1D~~S~ lo:lflA-u, Jï:>:)S¡ 1();lJ~ 3·(o:JD{J 3, Co!C6\J ~/7'Y\I~ 2· ']f'J7J.J .c.J~~\.J 5, <f;?5í,; 5·(4(;¡w ýtA,/~ I WI''''' ~$)'V\,.J 15w¡·..J iSVl1uJ 1Ç-1.Nt~..J 5....,....1 15in<tJ IS/.#1~ .(90 (f.J tbo~ll",) ,CTOOI.J ¡oeo,tJ .tn:l2.uJ ,&o(.,¡J d7l:JO,;J ,00(",,.) L (70~ ,,¡J . CTO? ( ~ t o-~ I .J . ~ d ,.,J Pass 0 F:aiJ p~s 0 Faj) Pass 0 Fail ass 0 Fail @l£r9tSpill Box #~ { ,( I~ Ir 5ÒI14''''/ CÙ]fuments - (include information on repairs made prior to t?Sti;ng, and recommended fallow-up for failed tests) -"--- . DMl"J ~S'T. l/ÆLú'é- ¿971 lJv\L-~~ L/A-?dQ 'S(ll"-- E;t>)< 'TD t. CL~A~ ___12t1-5S 9. SPILL/OVERFILL CONTAIN'MENT BOXES r F~-cilÚy is Not E uip ed With S ílVOverfill Containment Boxes 0 ¡[ Spí1l/0vc:::áill Contuim:l1cnt Boxes ~ Pl'esent. but were Not Tested 0 \ Test Method Developed By: 0 Spill Bucket Manufacturer II 0 Other (Specify) II--:--r~~t Metbod Used: 0 Pressure :i 1 It i Test Equipment Used: ! Buckèt Diameter: 1--- I Bucket Depth: :\ \VaÌl time between applying ii prôsSLlL'e/Vacllum/water and Ii s canin a rest: \ Te:Sl Start Time: II lniIia.t Reading CRl): Ii Ii Test End Time: i' I Final Reading (RF): Test Duration: Change in Reading (RF-R¡): Pass/Fail Threshold or ; Criteria: ! Test Result: S\VRCB, J~nuary :1002 e e Page -3- of -li :öa Industry Standard o Professional Engineer " o Vacuum S Hydrostatic o Other (Specify) TS-STS Equipment Resolution: . 000 in. . 'i.. Spill Box # fiLL ~ 'r ~'( go M..J t' ~Ob?t-h1 lc.Qf£,..I I t ~~/h~l l( . {f.p?...J 15 wv.J '~SpmBòx#~ (;). .. I. ,( Spill Box # Spill Box # lO: '5PAvr¡ 4., 'ltJ,'J/..,) /I ~ oS""-Arn t(: '7 b;\..,. I-S- \111\ I ,,¡ 3D f"1 ..J lò:~ "';.oSlt~ 5. (9Q l¡'II ":). .~~DI~ t\ '..ùSA-W'\ /(:;Þ>'fth¡ -g,ls;).D{p) S .f.d).ftf1l 1S-V'1LI\/ 1!;lA1wJ ,$,;)( L ...) /O';O( \Ai . cx::D~ , c::c;;t.? I .J I Ó-O~ IvJ Pass 0 Fail , ~'::) I vJ rr-Pass 0 Fail o Pass 0 Fail o Pass 0 Fail __ç,¡}.mments - (include information on repairs made prior to testing. and recommendedfollow·up for failed tests) _J, 1:::>1 JZ:s¡;L __J2'~5$¿ TtA1v f( V I"\t-t wA-ç 'T~ A ~scLIÆ ~k... /A4fc{l S fiLL ß'i> X c:~T&-P rv cA-f€ì? · " ¡ - e i-1 of'1 .. ;¿ .' ... SB989 TESTING FAILURE REPORT SITE NAl-:IE: é... 1+£ V'K C9N ADDRESS: ~ 5 ;;Z S- t.J f{ \ 1'£. LvJ CITY: gA-~t~PS 'F J£Lb ,c:f1 DATE: 1) - ¡J-¡r ð<j TECHNICIAN: Mfo...¡J~· ~~-- SIGl~AT : SITE CONTACT: THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE THE SB989 TESTING, LIST OF PARTS REPLACED/REPAIiŒD: REPAIRS: t . C-L~A .J UY\ L -~ vA-,?oR. SpiLl. ];.0)( 'þ/l;4l,J u,4ú€ /D ¡Ht-S 5 71i-<ð r. LABOR: ~ PARTS INSTALLED: ~ '·Jf;.J[Jril".J ¡ CHE\i¡;::I)N 252:, .I,m I 'IE LAI''ÍE BAKERSFIELD. CA. 93304 :::Cl5'-E:J~"~ '-'3~/ f: 1 02-2'5--[1.:1 1 [I: '55 ,i["1 ~}''l:=;THl ~:-:TATII:~; RH";;'F(], - -- .- ..-. ALL FiJl'·JCT ¡ ':)I'J:::; N()F:I"lAL I 1'.¡'v'EI'.¡TO¡;::',/ F:EPC'F:T T A, I E:::;El. \,I'.'IE = ULLAC;E 90',:;; ULLHGE= TC: \/C'UII"IE HE ¡ \,=;HT [,JATEF: "./OL klATER lB'lP T ::::: f:UPfŒ\"!E \,"C'LUI'IE ULLHGE '31]::::: UUJ1GE= TC' \/':iLiJ["lE HE I (;HT ¡"k\TEP \/C'L 1"JAT£1.': THiP T ,-.coIIL"F.' '- _, - H 0 '",,'OL _ = ULLAGE 9U\ ULLAC;E= TC \.IOLUr··lE HEr,(~HT ,.',' I...JH1-EP. \....,'L ; I^JATER . TH'lP 271 t. G,;L:::~ 'j;:::I] t', C:AL:':: \:ì 1 0:3 (~HL~:3 2708 GAU3 :30.71 ¡ I"¡CHE:~=~ I.:J G,;1-::': 1=1. tiE: I NI::fŒ~3 bb. to lÆC F :J~: j:~ f:: Gr1L:::~ ::::724 (;AL~~~ (' ~I ~~ 1 Gj0¡L::-~ :C¡';'q':¡ GAL:::; ::::, . :=<:: I NCHE:::: Ci CriU:; [1.00 II',,::HE:,,; ':)'j ..:j [lEG F '. 7922 CAU; 4100 GAL:::; ~? ft 9 ? GAL:3 7':J:J:::: GALf; t.9 . .:J t: I ¡,¡C HE:::; o '::AU3 I] . 00 I NCHE:::; 58. 1 DE(:; F ~ ¥ f ~ '~ END * ¥ ~ ~ w .. . - - UNIFIED PROGRAM ìFlsPECTION CHECKLIST 'r SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE ! INSPECTION TIME _-_~JJ2 A-~_L-___Œ-h£~(_ò¿J_____ ----- ----------.--.-- .......----- --------..,-". "l-/2 :;/o+i ---------r-:-;--.----------- AOOR SS ~ PHONE No. I No, of Employees ____f._ 5 2. S __ vV~ k _~A) ~__________----- 93Z-Q761 I __._1:________ I FACILlTYCONTACT Business 10 Number 15-021- Section 1: Business Plan and Inventory Program o Routine ;Rt Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection C V ( C=Compliance ) V=Violation OPERATION 'COMMENTS kf 0 ApPROPRIATE PERMIT ON HAND ----------------------- _._---~------------------_._--------------_._- ~ 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ 0 VISIBLE ADDRESS ~ 0 CORRECT OCCUPANCY œ( 0 VERIFICATION OF INVENTORY MATERIALS ~ 0 VERIFICATION OF QUANTITIES J( 0 VERIFICATION OF LOCATION ~ 0 PROPER SEGREGATION OF MATERIAL !3t 0 VERIFICATION OF MSDS AVAILABILlTYE ------ ø 0 VERIFICATION OF HAT MAT TRAINING t5ir 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .P( 0 EMERGENCY PROCEDURES ADEQUATE !( 0 CONTAINERS PROPERLY LABELED --------- .--..-.-------- ---.--------.--------.----..- ------------..------..--.---.-.. ..._------ ..---------------._.. .._- --.-.--------.---.----.--------.----.....------...--------- ----------.-------..-----..----------------.------- ..-._------ ------..-.-- -.----.-.---------------------------.... .....-.------ --.---.-----.---. .----------.-----.---.-...-.-.- ...-- - ----------.---. -------. ----.-----.----- ..-------------.---------------.--. .---.-.--- --.-------.-----.-- -----.---..----..--.-------------.-.---.-- .----.-- ---------------.- ---------- -----..----- ------------..----..-----...----.-------.-- ----.-- ------------.- ..-----..-.-.-----------------------.-.----------.--- -------.---. ..------..---.-.-. .--.-------------.-----------..- .----.----------- ø 0 HOUSEKEEPING ~ ._~- D-~~ FI~~ PR~~E~TI~_____~~=_==~~__ ___-==_-=-~~~=~~-=_==~~=~~-=_-~ it 0 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES ~O EXPLAIN: THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 /,\ \ ~ . ,;1 J~ " _~t~~____G~~! /i J J Business Site Responsible Party White . Environmental Services Yellow - Station Copy Pink - Business Copy i e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES lJNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rtl Floor, Bakersfield, CA 9330 I FACILITY NAME Á)4j rJ¿....~ I Q hEV{ ð..J INSPECTION DATE -Z/2-S/D 4- Section 2: Underground Storage Tanks Program o Routine Œt Combined 0 Joint Agency Type of Tank VlAJ r Type of Monitoring QJL \'\I, o Multi-Agency 0 Complaint Number of Tanks 3:. Type of Piping VII\J r ORe-inspection - OPERATION C V COMMENTS Proper tank data on tile ì' , Proper owner/operator data on tile >< Permit tees current )( Certification of Financial Responsibility )<.. Monitoring record adequate and current ~ Maintenance records adequate and current X Failure to correct prior UST violations ~ Has there been an unauthorized release? Yes No xC Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/landing Is tank used to dispense MVF? I f yes. Does tank have overtill/overspill protection'! C=Complianœ V=Viol¡¡tion Y=Yes N=NO 9 í ~. ~.: . U \l~A.... 01J~<t ~ \. Business Site Responsible Party , ; Pink - BlIsillcss Copy \<:CI 10 ¡<:CI ¡ru ru I LJ1 , ..n ;1"- I=s- 10 10 \0 \5: ru lru I 'rrt 10 o II"- "1 I. . . qstal SerViCeTM . , ; .' ~\, ' 1 CERTIFIED MAILM RECEIP _ . (Domes,¡dl Mail qnly; No Insurance Coverage Provided) Postage $ Certified Fee Retum Reclept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Postmark Here f~ Total Pos\ ent 0 Chevron ."".-___.____2525 White Lane ,,¡,reel, -"pt. , , CA 93304 or PO Box" Bakersfield, ëñÿ,-Siãié;2 ~ ~ /,---1 Certified Ma_Vides: '6SJOMlI::/) "'", ounr '''^'''' WJO: Sd · A mailing receipt \' """" UVD~ · A unique Identifier for your mallplece 1 '. · A record of delivery kept by the Postal Service for two years ImfJ.Ortant Reminders: · Certified Mail may ONLY be combined with Arst-Class Maile or Priority Maile. · Certified Mail is not available for any class of Intemational mail, · NO INSURANCE COVERAGE IS PROVIDED with Certified Mall. For valuables, please consider Insured or Registered Mail. I · For an additional feewa Return Receipt may be requested to provide proof of ¡ delj¡le(Y. To obtain Re m Receipt servIce, prease complete and attach a Retum I Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailplece "Return Receipt Requested", To receive a fee waiver for ! a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is I requIred, I · For an additional fee, delivery may be restricted to the addressee or , addressee's authorized agent. Advise the clerk or mark thè mallplece with the I endorsement "Restricted1Jelivery·, · If a postmark on the Certified Mail receipt is desired, please present the artl- 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. I IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mall addressed to APOs and FPOs. - SENDER: COMPLETE THIS SECTION I - Complete items 1, 2, and 3. Also complete I item 4 if Restricted Delivery Is desired. I- Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. . _ I 1. Article Addressed to: I Chevron 2525 White Lane Bakersfieid, CA 93304 í2. Article Number (Transfer from setV/œ label) I PS Form 3811, August 2001 ..,. , I 3. Service Type , '.' ; "lCertifed Mall C Express Mall ~ 0 Registered D Return Receipt for Merchandise D Insured Mall 0 C.O.D. 4. Restricted Delivery? (Extra Fee) I I I I I I 102593'02-M-1540 I Dves Domestic Return Receipt 7003 2260 0004 7652 2808 Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 ~., ".1 !(]f,'~/, ',(,'. ~~~~,;t,;~a.'J.paid '1: ,.~(,,;,ses· r .fI" ft I ?C1'T~-:") \~tmi(Nf.G~1:1)Ir;, 'If¡ , ' I i.' /,\1.\ I J ..~. ' C:S) ;::' :::r\i~~{:!' , address, and ZIP+4 in this box · - ...... I ~ I I I I I I I ... · Sender: Please print yo 1 ~;. Ii ,III "Ii IIIII,IIIIII"IIII,IIII!' 1111111111111,11,1,1,1111,1 ..... FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SëRVICES' ENVIRONMENTAl SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326H0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326H0576 FIRE INVESTIGATION 1715 Chesler 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 - - December 12,2003 CERTIFIED MAIL Chevron 2525 White Lane Bakersfield, CA 93304 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Unifonn Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete filled. 2) Spaced not more than 4 feet between posts, on center. .. ..%~,~;~? & CC'o,N/nu/u{? ..'Y¡./' . 16o/~' .'Yh'/l .. -I, r;;YI/U/'r~~ ;¡- ., ~ leU_TO: Owner/Operators of Propane Exchange .ems Re: Propane Exchange Program Dated: December 12.2003 Page 20f2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. 4) Set with the top of the posts not less than 3 feet aboveground. 5) Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confinned, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4,2004) to comply with the procedures outlined. Once compliance has been confinned, each exchange system wiII be issued a pennit, which wiII be placed on the exchange system. Sites not confonning to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, ! 1/ / /ì J£u~ St~~e Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer ~i \:..J «'J MONITaING SYSTEM CERTIFI&TION For Use By All Jurisdictions Within the State of California Aurhoriry Cired: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code ofReg¡¡[atiolJs Thi~ form must be used to document tegting and gervicing of monitoring equipment. A gepal'Bte certification O!' !'ep0l"t mmt be pI'èp-iì..."J for each monitorirlf,!, system control panel by the technician who performs the work. A copy of this form must be provided to the tank SYS[èll1 owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of rest date. A. Gcncrallnformation Facility Name: A/4<rð&cJ/ G I'/£v/Zð,u SiTe Address: ;;5 Js- wl:ll.,.:F L."e/ Bldg. No.:____________ City: CA~Fß[rIE¿O Zip:_______ Facility Comacr Person: Makeil\locJel of Monitoring System: rL.,~ - 3S0 B. lnventory of Equipment Tested/Certified Cheri; rile ¡j) 1'0 riate boxes to indic:He s eeific e ui mellt ills Jceted/scrviccd: Contact Phone No.: ( ) Date of Testing/Servicing: £/~_j~-3_ . - Tank lD: rK$~ ~ In-Tank Galiging Probe. _t-Mi!Oodl.jeell:.1JJ~~~-.,.__,_.,.--.,. ~ Annular Space or Vault Sensor. 7~ _ __ ~ Piping Sump / Trench Sensor(s). Model: .2Pi' o Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: .ø Electronic Line Leak Detector. l\'!odel: ~______ o Tank Overfill/ High-Level Sensor, Model: o Other (s eci 'e ui ment t e and model in Seclion Eon Pa"5' :2). Tank ID: o In-Tank: Gauging Probe. Model: o Annular Space or Vault Sensor. Model: o Piping Sump / Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o Mechanical Líne Leak: Detector. IVlodel: o Electronic Line Leak: Detector. Model: o Tank Overtìl1/ High-Level Sensor. tvfodel: o Other (s ecifY e ui menT 'e and model in Section E on Pagè 2). --_..-.--.. Tank 1D:L!._</'~ ~ 7 Jl(f In-Tank Cìaui.(ing Probè. ModeJ: » AnIlular SpaZe 0-1 Vauit Sensor. Model: 2t Piping Sump / Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o I\kdumical Line Leak Detector. Model: $'Fkwonic Lit1<~ Leak Detector. Model: I P t...~o.-... o Tank Overlì1J / High-Level Sensor. Maciel: o Other (S JecitV e ui ment I' e and model in Section E on Pa'e 2). Tank 10: .4:5 '- )1 In-Tank Gauging Probe. Model: f'1/ffn I ~ Annular Space or Vault Sensor. Madej: ~ð , pc Piping Sump / Trench Sènsor(s). Model: ~ ð Y o FilJ Sump Sensor(s), Model: o l\kchwlical Line Leak Detector. Mode!: ~ EleCTrO¡ÙC Linè Leak Dètècror. Model: --P-::-LJ... () o T\lI1k OVèr1ìlJ / High-Level Sensor. ModèJ: o Other (s edt'\' èl ui ment tv e and modèl in Section E on 1'a Dispenser ID: _i::lt. o Disptnser Conrainment Sènsor(s). Mode!: J2('Shear ValVè(s). -- pjs]2ènser Containment Float:' and Chai '. Dispenser ID: o Disµèl1ser Conrainmènt Sensor(s). Model: ~Shèar VaIve(s). pis~sèr Containmenr Floar s and Chain . Dispcnser 10: ~__ ~" 0 DispèJ1Sèr Containment Sensor(s), Model: o Shear Valve(s). . ODjs 1ènsèr Conrajnj]]cnr FJoar(s) and Chain(s). *lfthe tilcilily contains more tanks or dispensers, copy this form. (I1,4IPf " ~ :.2. CJ 2..Ct: .~---~---- .__._---~- - e 2). Dispenser 10: o Dispenser Containment Sensor(s). Model: o Shear Valve(s). o Dis enser Containment Float(s) and Chain(s). Include information for every tank and dispenser at the facility. --- ------->_. C. Certification -I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also .¡ttached a copy of the report; (check Ill/ 111111 IIpply): il!( System set-up ~ m histor' eport T ",dmician Name (print): f2Y¿lj "r},f;)(/,c.;l /' Signature: Cerriiìcariol1 No.: ~lÞf - 7.1 - f' J oé) License. No.: 61/040- # 8..09850 Phone No.:(661 ) 392-8687 Date of TestinglServicing: _..5:1 ~j ð~ TèSting Company Name: RICH ENVIRONMENTAL Sile Address: d-D6- If4.)JfJr~ I LA/ ~ 4^G~fF;.tc" LO Page 1 of 3 03/0 j MonilOring System Certification ~ ,¡ e e D. Results of Testing/Servicing Sott\\ are V èrsion lnstalled: J IS ð I ------- COlJn!eÜ: the followinu checklist; ID~èS 10 _~c:'s 0 'Ús 0 Yc:'S 0 Is thè audible alarm 0 eratiollal? Is the visual alarm 0 erational? Were all sensors visuall¡ ins ected, functionally tested, and confirmed 0 erational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipmt'nt wlll not interfere with their 1'0 er 0 eration? If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressw-ized piping systems, does the turbÍlle automatically shut down if the piping secondary containl11enf monitoring system detects a leak, tàils to operate, or is electrically disconnected? If yes: which sensors iniriate positive shut-down? (Check all thar app~v) WSump/Trench Sensors; 0 Dispenser Containment Sensors. Did 'ou confirm ositive sluH-down due to fe~ks and sensor tàilure/disconnection? Yes; 0 No. For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e_ no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at tile tank tìll oimes) and 0 eratino 1'0 erly? Ifso, at what ercent of tank ca aci does the alarm trigger? '~-"o Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manutàcturer name and model for all re lacement arts in Section E, below. Was liquid fOW1d inside any secondary containment systems designed as dlY systems? (Check all rhat oppM 0 Product; 0 Water. If es, describe causes in Section E, below. \'es 0 No* Was monitorin s stem set-u reviewed to ensure ro er settinas? Attach sd up re }Sf; ~:' èS 0 No* Is all monitoring e ui ment 0 erational er manufacturer's s ecifications? '" in Section E below, describe how and when these deficiencies were or will be corrected. I 0,-- I Yes DYes I< o \'èS* No* No* No* No* y-:;s o No* %N/A o No* o N/A o No* ~ N/A ~No E. Comments: ----. ._.__..,--,-_._---~- .--...--..---------------.. _._ __...n. __.. .,__..___._~__ ... "._____.___.._u..____ ----..--.-- -" -------,.. ---------.---. - ~._-------_...- ------~~-~-_._- ___________....._ _"0 ,-------- --- ---_.__.__.~----~. .n_ .___ .___._'n._.._._..~___ -~._---_.,._-"----' ----.------.--- - ______u_.______ --------.--.-..---.- ~._. -.------------ - -..,---,-----~----- ---.,----.---- ------- ..--- ._-~-- ----~-_._------ -"-_.- . --.------.. ------.--..- -~~-- "---~---_.-.- ._~_.~ -...-.-..----...---.--- --,.--.--,. -.-------- -.. -_.- ~_.__._---_... -.--,..-..----.-----.----- -.----~---~- ~_._--_._---_.- ---+.- .-- ..- ---~._------_._- .------------- -- Pagi> 2 ûf3 UJ/UI , e ~ Check this box if tank gauging is used only for inventory control. o Check this box if no tank gauging or SIR equipment is installed. e F. In-T:ank G¡mging / SIR Equipment: This s~ction must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ..- DYes 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? -' DYes 0 No* Were all tank: gauging probes visualJy inspected tòr damage and residue buildup? 0 Yc:s 0 No* Was accuracy of system product level readings tested? -- U Yes 0 No* Was accuracy of system water leve I readings tested? 0 Yc:s 0 No* Were all probes reinstalled properly? 0 Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? * III the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): o Check this box ifLLDs are not installed. Complète the folJowing checklist: ~ Yes o No* For equipment start-up or annual equipment certification, was a leak simulated to verity LLD performance? o N/A (Check all that appM Simulated leak rate: J.ïr3 g.p.h.; 00.1 g.p.h; 00.2 g.p.h. )Y Yes 0 No" Were all LLDs confirmed operational and accurate within regulatory requirements? Øí'{es 0 No" Was the testing apparatus properly calibrated? DYes o No* For mechanicaI'LLDs, does the LLD restrict product flow jf it detects a leak? ~ N/A Il" Yes 0 No* For electronic LLDs, does the turbine automaticaI1y shut off if the LLD detects a leak? 0 N/A )J{ YeS 0 No* For electTollic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled 0 N/A or disconnected? f---~ !Jf Yes 0 No" For electronic LLDs, does the turbine automaticaJly shut off if any portion of the monitoring system malfunctions 0 N/A or fails a test? )4 Yes 0 No* For electronic LLDs, have all accessible wiring connections been visually inspected? 0 N/A ~ Yes 0 No" Were aU 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: ---- -~---~-~-'--- _.. ..._...._u._.__.___" --.-.----.---.------- ..-...------------.-.. _.__..._ mn.__m.__..____~~_____ ----------.-..- .__.__..,_._~,-_._------ ---------.---------- ~._------- ..------.- --.----.....----- ----.-...--.-. -.-.----- --- .----------- --..-.----------. -----.-- ----- --------------.....- - Page 3 of3 03/0 l ~ e e IHonitüring Sysrem Certification SitC'Address:__~~ t;JH/TE UBT lVfonitoring Site Plan L ;t} If 4/:.£12:5 Fie L. 0 --------.----------- ;,4¡(/b V ·f'/1.·L. . .VHð/~·- . : ~T:l7 : . . . . . . 'f t)fl GI ~D~: :(f,: . , . . . . . . . . . . . . . . :In~ :~O~· ~::'::N':: . . .. . . . .. . ..... ¡ :,;.;Jf:J·rE . LY' - - Dare map was drawn: _,,5::"/ -xjQ.3 Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, witll your Monitoring System Certiíìcation. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sllmps, dispenser pam, spill containers, or other secondary containment areas; mechanical or electronic line kak detècrors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page ~of~ OSiU() ~ ~:;ENSG¡;; MLAF:["I ------- L G: PLU:3 TLJF:B I NE i3U["lP STP ::HJ["¡P HIGH LlOUJLi ALARI"] 05-08-03 1 :50 PM PRESSURE LINE LEAK ALARM Q 2: FLU::3 PLLD SHUfDŒJN ALARM 05-08-03 1 :50 H1 ------ SENSOf~ ALARI"1 L 4: REGULA¡;: TU¡;::S [NEf3U("tP STP :3LJI"lP . FUEL ALARr"! 0':'-,08-0:3 1 :51 FI"t F'F:ESSI.JRE LINE LEf\K ALAF:I"l (] :?: REGULAR PLLD :=3HUTDOL"JN AU~R("'l 05-08-03 1 :51 PM ----- sENS~R ALARM ----- L C· ¡::"'r ·L-¡C.· . T'-' I 'IDB I NE S IJI"lP '_I. .. ~J _ 1'. _ SIP SUI"lP HIGH LIQUID ALAR!"'1 05-08-03 1 :51 PM SE/'~E;OR AU~F:/"l------ L 2:SUPREI"lE TURBINE SUMP EŒP BUr")f' HIGH LIOUID ALARM 05-08-03 1 :52 FJ1 ---.-- ~ --~.._-"'::'"__.- e I>F:E~3;::;UI~E L.I NE LEt~K ALAF:('\ o 1 :DI ESEL PLLD :=::;HUTDOL,JI', ALARr"1 05-08-03 1 :52 PM ----- SENSOR ALARM ----- L 5:REGULAR ANNULAR ANNULAR :3.PACE FUEL f~LARI"1 05-08-03 1 :56 PM F'RES:3URE LINE LEAK ALARI"1 o :3: REGULAR PLLD f;HUTDOl..,JN fiLARr"! 05-08-03 1 :56 PM ----- -- SENSOR ALARI"l L :3: PLUS ANNULAR ANNULAR BPACE FUEL ALARr"! 05-08-03 1 :56 PM PRESSURE LINE LEAK ¡.~LnRI"·l o 2: F'LU~3 F'LLD SHUTDOL,JN ALAF:r"! 05-08-03 1:56 PM ------ SENBOR ALARM ----- L 1: :3UPRH'lE ANNULAF: ANNULA¡;~ SPACE F UEL ALAf~t"l 05-08-03 1 :57 PM e PR 1 NT TC \/OLUI"IES ENABLED ---- I N-TANK f~U:'Rr"1 T 1 :DIEEìEL DEL I \lERV NEEDED 05-07-03 1:01 PM ------. THrp COI")PENSATlON " _ _ \,IALUE (DEG F ): , bU.U STICK HEIGHT OFFSET DISABLED f,OFTkIAF:E RE'',}' I S I ON LEVEL \lERSION 115.01 SOFTWAREØ 346115-100-8 CREATED - 97,10.23.11.08 S-MODULE# 330160-010-A S''/STEI''l FEATURES: PERIODIC IN-TANK TESTS ANNUAL I N-'TANK TEEm:'; PRECISION PLLD S"ïBTEr"l SETUP - - - - 05-08-03 1 :23 PI"l S''l~3TEr''1 UN I TS U.S. S''/STEr''l LANGUAGE ENGLISH fJ'iSTEf"! DATE/I I f"IE FOR/"lAT 1"lf"l-DD-'y"y' HH: 1"11"1: S8 .>:1"1 NA.JDALJ I CHE\lRON 2525 LJH I TE U:;NE BAKEF:BF I ELD, CA. 9:3304 8()5-83~:-978 1 SHIFT TIf"IE D I ::;ABLED SHIFT Tlr"IE 2 DIBRBLED BHIn TII"1E :3 DISABLED SHIFT TIr"IE 4 D I E;ABLED SHI FT B I R F'R I NTOUTS ENABLED DAIL\' BIR I:>RI NTOUTS ENABLED TANK PEF: I GD I C 1",lf~RN I NGS DIBABLED TANK í~NNUAL I,JAm~ I NGS DISABLED LI NE PER roD I C l..,JAF:N I NGE; DISABLED LINE ANNUAL WARNINGS DISABLED H--PROTOCOL DATA FORr"\f\T HEIGHT '. - .'. 'I '-'¡'J PRECISION TEST [JUF:HT u' HOURB: 12_. DAYL I GHT SAV I Nl3 1 II"IE DISABLED RE-DIRECT LOCAL PRlI'HOUT DISABLED S'lf;TEf"l SECLlR ~ T"i CODE : OOCJiJOLJ COI"U"lL1I'HCAT ION:3 t;ETUF' - -- - --- PORI' SETT I NGS : COI"II"1 BOARD BAUD RATE PAR I TV STOP BIT DATA LENGTH: 1 (RS-2:J2;' 960Cl E'oJEN 1 STOP 7 DATA AUTO TRANSI"1 I T SETT I NI~;S: AUTO LEAK ALAF~J"1 L I 1"1 I T DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO O'o./ERF ILL L I 1"1 I T DISABLED AUTO LOLoJ PRODUCT DISABLED AUTO THEFT LII"llT DISABLED AUTO DELIVER\' START DISABLED AUTO DELIVER\' END DISABLED AUTO E><TERNAL I NPUT ON, D I Sf~BLED AUTO E><TERNAL I N,HIT OFF DISABLED AUTO SENSOR FUEL ALARI"1 DISABLED AUTO SENSOR l,\JfHER ALHF:/"l DISABLED AUTO SENSOR OUT ALAF:I"¡ DISABLED RS--232 SECURITV CODE : 000000 R~3-232 END OF l"lEB~3ACE DISABLED ; '--../ IN-TANK SETUP ------ - T 1 :DIESEL c':' PRODUCT CODE' THERI1AL COEFF TANK D I Ar'1ETER TANK 'PROFILE FULL VOL· 83.3 INCH VOL: 55.5 INCH VOL': 27.8 INCH VOL: ----- : 1 : .000450 111 .00 . 4 PTS 12022 ,967'1 : 6011 2357. FLOAT SIZE: 4.0 IN. 8496 , ! i , 't' LEAK MIN ANNUAL '\' LEAK MIN PERIODIC: O~.I:,¡ : 0 1 , I 0% \1 LEAK 1"11 1'1 ANNUAL: '0% i,:1 PER IOD I C TEST TYPE o . ÇI :,1 STANDARD , , I 0% ' "I ANNUAL TEST FAIL o ,Ii PERIODIC TEST TYPE :," ¡, ';, ALARM DISABLED STANDARD ;! \ If PERIODIC TEST FAIL PERIODIC TEST TYPE .j ANNUAL TEST FAIL ' ¡I~! ALARM DISABLED STANDARD ,ALARM DISABLED; II "ii' GROSS TEST FAIL ANNUAL TEST FA I L ' PER I OD I C TEST FA I L ,", i ~I"','¡, ALARM DISABLED ALARI"I PI SABLED ALARt1 DISABLED II \ . 'I ANN TEST AVERAGING: OFF PER I OD I C TEST FA I L . GROSS TEST FA I L; : I I PER TEST AVERAG I NG : OFF ALARI"' D I SuB LED ALARM D;I SABLED , ¡ I ,;, , I Ii TANK TEST NOTI FY : OFF ANN TEST AVE RAG I N~ : OFF Ii PE,R TEST A\JERAGING: OFFI~"I TNK 'fST SIPHON BREAK:OFF , ,¡ i ~ I TANK TEST NOTIFY: ,0Ff,II..,:,!,' DELIVERY DELAY,: 3 MIN TNK TST SIPHON BREAK :OFIf:1 ' TANK TEST NOTIFY: OFF " ; i ,: TNK TST SIPHON BREAK:OFF i DELIVERY DELAY . 3 MI~[~: J ' ! I~ DELIVERY DELAY ,. 3 MI N j 11 f/: f . ¡II . ! , " . '.1 r :' ñ----.. "" ,,:,-,;[,,:,_,¡¡ rLEAK TEST METHOD ----.- ' ' ¡ II¡~ TÚ~T - oÑ DATE ~ ÃLLTA,ÑK -, :, JAN 1. 1 996 '1 STARt TIME : DISABLED .. t TEST ,RATE :0.20 GAL/HR ¡: DURATION 2 HOURS ! I ~ LEAK TEST REPORT FORMAT f NORMAL WATER WARNING : HIGH WATER L1I"l1T: MAX OR LABEL VOL: OVERF I LL L I 1"1 I T HIGH PRODUCT DEL I VERY L I 1"1 I T LOW PRODUCT :' ,LEAK ALARt-1 L I M IT:' SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS T¡i: NONE ' LEAK r1IN PERIODIC: LEAK 1"1 IN ANNUAL LO r~' 0 12022 9m,~ 10819 95% 11421 12% 1442 500 32 25 3.70 GROSS TEST FAIL , . ALARM DISABLED ANN TEST AVERAGING:' OFF PER TEST AVERAGING: OFF e T 2:SUPREME PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL 83.3 INCH VOL 55.5 INCH VOL 27.8 INCH VOL . ? f . - 11 : .000700 ' 111 . 00 4 PTS 12022 9677 6011 ,2357 " FLOAT SIZE: 4.0 IN. ,,8496 , WATER WARN I NG, : HIGH WATER LIMIT: I MAX OR LABEL VOL: II" OVERF I LL L I ¡-I I T , HIGH PRODUCT ," : DELIVERY LIMIT 1.0 3.0 12022 90% 10819 95r. 11421 12% 1442 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIl"l1T: 'TANK TILT : MANIFOLDED TANKS T~: NONE T 3':REGULAR - PRODUCT CODE a: '3 THERMAL COEFF~.000700 TANK DIAMETER : 111.00 TANK PROFILE 4 PTS FULL VOL 12022 83.3,INCH VOL 9677 55.5 INCH VOL 6011 27.8 INCH VOL 2351': FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LIt"lIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELIVERY LIMIT 12022 90% 10819 95% 11 421 12% 1442 500 32 25 2.00 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS T¡i: NONE 500 32 25 2.50 LEAK 111 N PERIODIC: 1.0 3.0 ,I "" I':'R~S~U~E_L:NE_L:A~ ~E~U~ ~ 'I 'IG 1 :DIESEL I I \'PIPE TYPE: FIBERG~ASS LINE LENGTH: 180 F.EET 10.20 GPH TEST: ENABLED . ,0.10 GPH TEST: DISABLED ,:SHUTDOWN RATE: 3.'0 GPH T 1 :DIESEL ' ,DISPENSE MODE: ;: STANDARD :SENSOR: NON-VENTED , I I I !G ,2 :PLUS , i , ' 0% o ip 1 PE TYPE: FIBERGLASS [L I NE LENGTH: 1 80 FEET !0.20 GPH TEST: ENABLED I 10.10 GPH TEST: DISABLED ¡ ¡SHUTDOWN RATE: 3.0 GPH \ IT 2: SUPREI"IE \DISPENSE MODE: ¡ STANDARD ¡SENSOR: NON-VENTED 0% o ¡Q 3: REGULAR ¡ " " !PIPE TYPE: FIBERGLASS iLl NE LENGTH: 180 FEET iO.20 GPH TEST: ENABLED ,¡0.10 GPH TEST: DISABLED ¡'SHUTDOWN RATE: 3.0 GPH TANK: NONE ' ,SENSOR: NON-VENTED ! I ILINE LEAK LOCKOUT SETUP - - - - ~ -' - - - - ,LOCKOUT SCHEDULE 'DAILY , ¡START T I ME: DISABLED ¡STOP TIME : 'DISABLED I ' ' i t LIQUrD SEN~~OH ~:::ETUP - -- -- --. ... -' -- -- -- L 1 :SUPREME ANNULAR NORI"lf,LLY CLO~3ED CATEGOF:'/ : ANNULAR SF'ACE I L 2: 8UPFŒr"lE TlÆB1 NE ¡::UI"IP DUAL FLT. DI8CRIMINATI~; CfHEGOR'i : STP SUI"lP L :3: PLUfJ ANNUU\R NORI"lALL'l CLOSED CATEGORY : ANNULAR SPACE L 4 : REGULAR TURBI NE SUI"IP DUAL FLT. HIGH \IAF'OR CATEGORV : STP sur"1P L 5:REGULAR ANNULAR NORI"'lALL'i CLO~3ED CATEGORY : ANNULAR SPACE L 6: PLUS TURB I NE ~3UI"lP DUAL FLT. DISCRU"lINATING CATEGORY : STP SUMP PLLD LINE DISABLE SETUP - - _. - - - - - - - - - Q 1 :DI[~ÆL IN-TANK f\LARI"lS T 1: HIGH l"JATER ALAHM T 1: Lm,, PFWDUCT ALARI"1 LIQUID SENSOR ALMS L 1: FUEL ALARt"1 L 2 :FUEL ALARt"l : L 2:HIGH LIQUID ALARM Q 2:PLUS IN-TANK ALARI"1S T 2:HIGH WATER ALARM T 2: LOl,,) PRODUCT ALARI"l LIQUID SENS{)R ALI"1S L 3 :FUEL ALARI"1 L 6 :FUELALARI"1 L 6:HIGH LIQUID ALARM Q :3: REGULAR IN-TANK ALARI"lf:3 T 3:HIGH WATER ALARI"1 T 3: LOt"I PRODUCT ALAF:I"l LIQUID SENSOR ALI"lS L 4 :FUEL ALARI"1 L 5: FUEL ALARI"l L 4:HIGH LIQUID ALARM e RECONC.: ILl fIT 1 C'N SETUP -- -- - -. - - - -. -- -. AUTOMATIC DAILY CLOSING TII"I£: 2:00 At"1 AUTO SHIFT ~1 CLOSING T II"lE: DISABLED flUTO SHIFT rt2 CLOSING T II"lE: DISABLED AUTO SH I FT rt:3 CLOS I NG T I t"'lE: DISABLED AUTO SHIFT rt4 CLOSING T II"lE: D I SIc,BLED PERIODIC RECONCILIATION !"lODE: 1"10NTHLY ALAR!"1 : DISABLED TE!"lP COI"1PENSATION STANDARD BUi:: SLOT FUEL r"1ETEF: TANK - - - - - - - - - - - - TANK 1"IAP EI"lPT'l ALARI"1 HI STORY REPCRr ~3'iSTEJ'1 ALARt'·¡ Pi1PER OUT 03-29-03 5: 27 PI"l PRINTER ERROR 03-29-03 5:27 PI"1 BATTER",' I S OFF 01-01-96 8:00 AM :-<, "" '" '" '" END :--:: 1t: ~ ALARI"'1 H ¡ :3TOF:",' F:I-: l'- In ---- I N-Ti~NK f:iL ----- T 1: D I E:3EL HIGH WATER ALARI"1 06-19-02 3:32 Ffl :3UDDEN LOSS ALARt"l 07-02-02 10:11 A!"l 06-19-02 6:07 P!"l 06-19--02 8: 12 At"j INVALID FUEL LEVEL 06-19-02 8:27 AM 12-25-01 4:37 F'I"1 PROBE OUT 07-02-02 06-19-02 06-19-02 10: 12 At"l 6 : 27 Pt"1 b : 07 PI"1 HIGH WATER WARNING 06-19-02 3:32 P!"l DEL1VER\" NEEDED 05-07-03 1 :01 P!"l 05-02-03 6:39 AI"1 04-26-03 4:33 PI"1 LOl.,J 1Et"IP l..JARN I NG 07-02-02 10:15 AI"1 * "" '" '" * END '" ~ ~ "" ~ ALARt"1 HI STOR'y' REF'ORT ---- IN-TANK ALARM ----- T 2: SUPREI"lE SUDDEN LOE,S ALARt"1 02-03-00 7:59 AI"1 06-24-99 1 :13 PM 06-22-99 5:49 PI"1 ;.¡; * I N\lAL I D FUEL 06-18-02 06-16-02 12-27-01 LEVEL 9:05 PI"l 2 : 1 4 HI 9: 43 PI"1 PROBE OUT 02-"03-00 06-24-99 06-24-99 7 :59 Ar"1 1 : 13 PI"l 9: 45 AI"1 DELIVER"! NEEDED 05-06-03 2:49 PM 01-0?-03 8"1" PI"1 12-oî-02 1 ;¡{ AM LOl.,! TEr"lP l.·,JAHN I NG 02-03-00 1 :53 PM ~ '" ~ ~ '" END ~ '" ~ ~ '" ALAR!"l HISTORY REPORT ---- IN-TANK ALARM ----- I T 3: F:EGULAR O\lERF I LL ALAF:r"1 05-02-03 7:36 PM 04-12-03 2:41 P!"l 03-23-03 10:44 PM LOW PRODUCT ALARM 09-12-01 4:53 P!"l 08-25-01 10:22 A!"l 09--08-98 8: 48 PI"1 SlIDDEN LOSS ALARI"I 12-19-97 5:11 PI"1 HIGH PRODUCT 1 0--08-02 07-09-02 01-24-02 ALAF:I"J 7:58 AI"1 4: 51 AI"1 4 :38 At"l I NVM. I D FUEL 09-06-02 04-18-·[12 09-12-01 F'F:OBE OUT 07-26-99 06-24-99 LE\lEL 10:41 PI"! 2:08 Pf" 4 : 32 PI"1 2: 10 Pt'l 1 : 31 PI"l DELIVERY NEEDED 04-22-03 1 :17 ~1 03-29-03 12:14 AM 02-14-03 6:03 PM LOL,! TEf"!!> WARN I NG 06-24-99 1 :34 PM '" '" '" ~ ~ END '" ~ ~ '" ~ ALARI"1 HISTORY REPORT IN-TANK ALARI"l T 4: SETUP [¡ATA L,JAF:N I NG 04-09-98 5:27 P!"l PROBE OUT 04-09-98 5:27 PM '" ~ '" ~ '" END "" w '" '" '" AU~¡;:I"1 fV ~TOR'i ~~EPOF:T ----- SENSOR ALARM ----- L 1 :SUPREME ANNULAR ~\NNULH¡;: ~=;PACE FUEL f~LMRJ"l 04-24-02 9:24 AM FUEL ALARI"1 05-29-01 1 :10 PM FUEL AIJ,RI"l 01-04-00 9:26 AM M M M M MEND M M ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----. L 2:SUPREME TURBINE SUM! f3TP SUf"lP HIGH LIQUID ALARM 04-24-02 9:39 AM HIGH LIQUID ALARM 05-29-01 12:54 F~ HIGH LIQUID ALARM 01-04-00 9:26 AM '" '" '" '" ." END ;'" "', ;.i. '" '" ALAR!"] H I ~3TOR'/ REPORT - ---- -- E:ìENf30F: ¡i,LARI"l L 3:PLUS ANNULAR I~NNULAF: SPACE FUEL ALARt"] 01-06-03 9:21 AM FUEL ALARt"] 04-24-02 9:26 AM FUEL ALARI"] 05-29-01 4:47 PM ALAF:I"! feC'R" REPORT ~---- SENSOR ALARM ----- L 4: REGULHR TURB I NE E;UI"lP STP f3UI"lP FUEL ALAF:I"1 02-19-03 10:21 AM FUEL f~LARI"l 04-24-02 9:49 AM f IJEL f~LARI"1 05-29-01 12:55 PM '" '" M M MEND M M M '" M ALARI"l HI STOR\' RH'ORT ----- SENSOR ALARI"] ----- L 5:REGIJLAR ANNULAR ANNULAR SPACE fUEL ALARt"] 04-24-02 9:23 AM FUEL ALARI"l 05-29-01 1: 13 PI"] FUEL ALARI"1 04-21-99 11 :44 AM '" ;.i. ;.i. M M EI~D '" M M M '" ALAR!"! H H:nORY REPORT ----- SENSOR ALARM ----- L 6: PLUS TURBI NE :3U("]P STP E;UI"1P HIGH LIQUID ALARM 04-24-02 9:37 AM FUEL ALARI"'! 06-17-01 5:42 PM HIGH LIQUID ALARM 05-29-01 1:03 PM ALHRI"] HI f.3TOR'i eCRT , _____d f3ENS(:>R ALARI'1 9 1: OTHER ~3ENE;ORS '" '" M ;.i. MEND M 'M M M M HLARM HISTORY REPORT PRODUCT ALARI"] ---- F 1 :DIESEL M M M M '" END M M ~ ;.i. ;.i. ALARI"! H [STOF:V F:EF'ORT PF:ODUCT ALARI"1 ------ F 2:DIESEL ~ ;;.¡: ~ M MEND M ;.i. M M ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- (¡ 1: DIESEL PLUI SHUTDO~,n·J ALf~RI"1 06-19-02 3:32 PM PLLD SHUTDm~N ALAF:I'·'] 04-24-02 9:25 AM PERIODIC LINE FAIL 01-30-02 9:31 PM M M M M '" END M '" M M M ALARM HISTORV REPORT ----- SENSOR ALARM ----- (] 2:PLu:3 . PLLD SHUTDOWN ALARM 01-06-03 9: 21 AI"! PLLD SHUTDOWN ALARM 04-24-02 9:37 AM PLLD SHUTDOVm ALARf"! 04-24-02 9:26 AM M M ~ ~ ~ END ~ ~ M M M ~~LAF:I"l H I STORY REPORT __._'d :3ENSOR ALARI"' ------ o :3 :.REGULAR PLLD ~;HUTDOL'JN ALAR["¡ 02-19-03 10:21 AM PLLD SHUTDOL-,JN ALARf" 09-04-02 3:56 PM GF:OSS LINE FA I L 09-04-02 3:56 PM î,-:- 0/. . -, . ~ ~, ,'_": - . It e .. ' SÈCONt)~f)SYSTEM CERTIFICATION FORM DATE/",:~3 -: , -- _ " , FACILITY ID A!Âcr-oAWt -ce1t-u~J.) , , FAOIJT\' ADDRESS:Q~2~ (J)i!f17'1j 1.-14~ - ßA~~S~/~" UST AMuJar Sp4K:e SW1 Time Iniüa1 Pnswr-e Eud Tlwe FùuI1 Pmcuré Certifkation (Slpature) Second.vy PtpiDc Start Time IøltiaJ Pressure ' End Ttme Final Prt1l;,ure Certlf"JC.atlOQ (Sipature) Tack 4 L1.oe 3 0 ~ " ...... 4 Page lof:3 . -... >-<_..... --..... c' el tI, SECOND~~ SYSTEM CERTIFICATION FORM DATE L-~ "0"> . FACILITY ID }.J~~AI;iJ I-~(}¡U.A) FACILITY ADDRESSß ~$ (» H:.I~. J.M~ - ßAt(:~/Ê4,(l-G4 , . Turbine SumPI Start Time Sump 2 ~~o~ lnld&1 Height of Water ' I, q'tt r AJ Time Wa&er Heipt. Time Water Height Time OverfWBucket8 Start Time , rnJUaJ HelghC of Wwr Time Water Hei¡bt Time Wa~r Heipt Cen.lfh::at.lon (Signature) Su~4 OWrfW 1 t{)IL. q~ , 5 ~ overno 4 p~ 2 of:3 ~ e· e SECON1J~M·Y SYSTEM CERTLFICA nON FORM DATE /... ~ ..0 ., FACILITY ID)J iÁðV6 fPl .... C Iff£r)~ FACILITY ADDRESS ~~'2.$' Wr,.k~ L.ÁAJf. _~¡.~f)-<:A- UDCTESTING START TIME IN111AL HEIGHT OF WATER TIME WATER HEIGHT TIME WATER HEIGHT CÈRTIFICA nON, (SIGNATURE) DISPENS.:l DISPENSER 2 DISPENSER 3 DISPENSER 4 Ii) : ':(~ '~(I"J ~,'1"O IN I. M I LJJ 6.1.('31 IN Iv~'f() ~,M. I DISPENSD:S DISPENSER 6 DISPENSER 7 DISPENSER 8 ST AU TIME lJœ'IAL 1ØGHT or WATER TIME WATER HEIGHT TIME WATER HEIGHT . ' CEaTlJl'lCA 110N (SIGNA 11JR£) . P.30f~ " DEC 06 2002 15:28 BKS~ FIRE PREVENTION (661)852-2172 p.l ~/ tTh 6l er"'; \- "...\ r (~ y P..¡ol ~ ( ,,~n -0> ) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICA TION TO PERFORM A TANK TIGHTNESS TESTJ SECONDARY CONTAINMENT TESTING FACIUI'Y ^J a~ða.w' CÀurtrr\ ADDRESS ~s~~ Lu~·I+(. Utr.L &L,.~t~~ PBRMlTTO OPERATE' ð,S' "'o~f - ooo4s'l . .1 OPERATORS NMiE Mí. ~A~o£tw·, OWNERS NAME Mr. No.jðð..W; NUMBBROPTANKSTOBBTBSTED .3 TANK. VOLUME I I ~IOCO GPrL ~ I~.. 000 ~ 6L. :, ~~.od ~ ft(,... C;33DLl IS PIPING GOING TO BE TESTED Ý e~ . CONTENTS R t1.:juJiU' ~ Dl~¿..\ - TANK TESTING COMPANy.-£ut4/)/tllf T~II\'5 ~({'Yus.!~ ~ \l:k. ~J\\J! rtJnrt'ft.~-ð.J MAILING ADDRJ;SS ~g. ~~~,<L~{g·1.. &kU..cri£jJ J tAt e1t 3JòJ.- ~ NAME & PHONE NUMBER OF CONT ACf PERSON ~an -,- W"I'\U"'" {"fA f - ~3t./ "'ClJ q~ ..-:-. TEST METHOD ~_~J)C'('H\ _,w" NAME OF TESTER OR SPECIAL INSPECI'OR ~ g. ::y. M CERTIFICATION ,qo, -/ 07 ~ Ct>rm-~~~s L\u)'>~-c. 53~P'ì~ A- \4.At... .... r. ........... DA TB &. TIME TEST IS TO BE CONDUCTED ~ t\. 3~u.Lry (, I ~6 3 g:oo ~ ~.d",#{) APPROVED BY DATE ~~ SIGNATURE OF APPUCANT r ;)..- ~ . C êJ- ,¡ . -r .NSPECTION & PERMI.TATEMENT " , ", (fØ__'_ìM1V___...,,_.;'¡t.Illta.W(.:':~~'~~ -~~"tM~*K:;'~J¡¡":'Jh-:".\.~1i4.!I.¡M'N:A-¡~i:ill'¡¡.~ft,,","'./~¡")i:_ Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 82 STATE SURCHARGE 86 TENTS, LPG. FIREWORKS. POWDER/OTHER PERMITS 84 COPIES/REPORTS 89 INSPECTOR: I DATE TIME SPENT: ICHrR~S~.... I CHARGES CODE: I REASON and DATE {SeA ,4.......,....\ . ~__._". FOR INSPECTION: ,,, '. D-í'1 ~ Cito of Bakersfield , 1.1 C STOMER RECEIPi ~~~ .~ . Oper' KKOSQUED Type: oç Drawer: 1 Date: 9/17/02 01 Receipt no: 35193 Descriftion Qty AJlount \(2 R STORIGE IIRK I $192.00 --.-------------.---.....------ ~-_. 'ender deLall $192.00 CK CHECK G28b 'I atai tendered $192,00 Total payaent $192.00 Trans dale: 9/17/02 Tile: 14:40:28 ., .' ---- INSPECTOR/RECEIVER SIGNATURE . - ORIGINAL WHITE: FINANCE CUSTOMER PINK OFFICE: YELLOW FD 1734 ß' '- ' '" t:~y '<Jt ~J 1212/1216/21211213 13:1219 e 6618363177 e, REDWINE TESTING SVCS PAGE 1216 ~~~~.SYsTEM CDTU'lCATI0N ~1tM DATE &~~ _. " : . FAaUTY ID ¿)~ Cr.f'f.cJ(l.¡jJ.J ' " ' FACILITY ADD " ~.t-u.f'7e L tIIJ!"# - Li4W6Jt'1-"^*,? ' '.:. œr A.nørdar SpHe 5,. TIme :IøWd ........ Ed TJme I\uII\ UIIIft' ~ ~) ~I')" PIp.. 5...... n-. bdllall'Naure ' lad TIØ ,Filial Prenure ~oø (SIpabue) '. ' ".. .. . 00. . .. , , , '. " .. . .' , , " "~4 . . . . .. . '. p~ 1 0('3 . , ~ . "¡ 02/06/2003 13:09 -- 6618363177 e REDWINE TESTING SVCS PAGE 07 SBCONDP.~SY5T£M CERTIFICATION fO~ OATE /-~ "'Q~ ',. FAQLn'Y ID )J~ q.~.i,tJ. - ClfflJ(lU) . FACILITYAÐo.us..3$~ WIol-,"'1f. ~~f -~A(~6~.~ , . . T8tbi... Su1ap5 StArt T_ IaIIW JIeIIh' 01 W... 'time W.-Iieieb& T.- w.. JhI&ht TIDIe Water JIdcbt Certillallaa ~ 0vufIU B1IdœtI Start TI.åae . IIdtIaa BeI¡Id .rW.. TIme W.r.... Time W_.1Iefpa CerUfIa,tio. <Si ) ~4 .' , Pa¡t2cf¿ '. .(~ ~ - e REDWINE TESTING SVCS 02/06/2003 13:09 6618363177 " SECONIJØ·,r, SYSTEM CERTIPICAnON 101m DATE I'" fI. -<J 1~ ' . . FACILITY m.(J~rNl"',C¡n!~ FAClLlrY ADDRJ$c ~ø$' Wt..k~ t~U'Ø""~«.Ø"~ . . VDC'lUTING STARTTIMB INITIAL IlEnïBT OF WATER 1'JME WATER. HEIG.... 'nMI: WÂTU BBIGBT C&RTØ'ICÄ'I'ION (SIGN¡\~ ,DJSI'ENSER 2 DISPENSER 3 DJSPENSER 4 II '?Þ H ,/oJ ~ . 'f '" ,A) DlsrD11Q:5 ~, D~7 DISPENSER 8 srAJiØ'TDIE .IJ'III'.UL ItIIGBT Of WATBR, TIME . . , , WATER HBrOHT " 'l'DŒ WAT£8 BElçsr , CIUI1'U1CA1'IOi'I (SIGNA~B) , . Paøe 3 of~ PAGE 08 , / ~'1 e . I '\ì 02/06/2003 13: 09 6618363177 REDWINE TESTING SVCS. . _. PAGE 09 --- __ ~wv~ A~.LU UAQr~U r.~~ r~~v~nILun l~ÞIJaO~-~I/~ p.l " 1'-1 . ~.ð\l ~ ,......- er~ ~ t- ~\ r (...of. 'f P"d . ( ""'f Î "0 ). ~ Cl'l'Y OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 32'-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTING FACILITY---.àl-~ j 1Ið.W ~ ~ rtrf\ ADDRBS PBRMlI'TO OPBRATB, Of~ -o~'" oo~11:l OPERATORS NAME mr:~ A ~ðQ Cù: OWNERS NAMB f'ôr. Ns.}nI1UJ; NUMBER. Of TANKS TO BE 1ES'ŒD 3 TANK., VOLUMB ----L- 2...1~() G M.. . ~ '3 J.!}.fmO I)A~ '~f'1ðo/\ ~Atr IS PJP~O GOING TO BE TSSTJ!D~ CONT.ENTS Q ðß,.Jø.r ~f""'" Dl~tJ TANK. ~o COMPANy~,ta..::::rßLAj .s"'JlI~~ &VlrtJtt~' MAIUNO ADDR.BSS P. . 5"'" ~ 3 . NAME&PHONB~BROPCONTACTPERSON~an Tw-n.u- l,1n'~~fJ~ TBST MBTHOD _\ N\n" ' -- I_ . NAMEOP'I'ESTER OR SPECIALINSPBCTOR ~~ ~ CERTIFlCAnON_ ~·'l)7~ ~C9'!tfAdt"S L\~-e:. S~-A- ~~ DATBATIMBTESTISTOBBCONDUCTBD-Ù'tJn. ~4.l\cU..~ l.. w~ R~oo~ ~JL~ . /:J..IÞ·DiJ- ~1.---... APPROVBD BY DAm SIONATURB OF AP'PUCANT ---- - Nri.JDAkl I CHE'\/F:'~iN 2525 L·,IH I TE LANE BriKERSFIELD.CA.93304 805-832-9781 01-30-03 10:22 AM ::3\'~3TH1 STATU:::: REPORT _...----- ALL FUNCTIONi:) NOF:r'1AL I NIJENTOR\' F:EF'ORT __ T 1: DIESEL IJOLUr"1E ULLAGE 90\: ULLAGE= Te \.10 L ur··tE HEIGHT L·,JATER \lOL t;,JATER TEf''1P T 2:SUPREME \/0 L UI·,'tE ULUiGE 90% ULLAGE= TC \/OLur"IE HEIGHT ~'}ATER \/OL [,JA TER TEf"lP T :3: HEGULAH \JOLUr"1E ULLAGE 9œ'~ ULLAGE= TC \JOLUI"IE HEIGHT ~')ATER \/OL l¡JATER TEf''1P 6:320 GALS ~5702 Gf~LS 4499 GALS 6:322 GALS 57.73 INCHES 14 GALS I] . 8'7 I NCHE3 58.9 DEG F 9196 GALS 2826 GALB 162:3 GALS 9202 GALS 79.31 INCHES o (.-;-. SES' 0.00 59.0 [ _ F t3175 GALS 3847 GALS 2E>44 GALS 8169 GALS 71 .38 INCHES o GALS 0.00 INCHm 61 . 1 DEG F M M M M * END M M M M M ~ UNIFIED PROGRAM IlpECTION CHECKLIST e SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILlTYCONTACT INSPECTION DATE INSPECTION TIME lli__Jj~CJlroH______.____________________m__.___.____._ ¡ ~3.JL=.o PHONE No. No. O. f ~.I.Oe. es_._ ~J-Ji_______.______.___________ ~ t¡'7 ..-:J__.__ Business ,titumber 15-021- Sadion'1 : Business Plan and Inventory Program o Routine O15ombined t:I Joint Agency o Multi-Agency o Complaint j Re-inspection C V ( c=comPliance) V=Violation ~ ApPROPRIATE PERMIT ON HAND ~:... /.CJ 0/ [ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ VISIBLE ADDRESS ~. CORRECT OCC~PANCY f----.-.-------- ~ CJ VERIFICATION OF INVENTORY MATERIALS OPERATION COMMENTS ---~----_._------------ -_..---- ------_.__._-_._-----------,_.~-_..---_.__._-_._----_..----------.-.---.--.. _._- -----.------....--..----.-..-----.-- --------.-------- .----.-------..+.-.-.-------------.------...---+------._------- .---- ----- --.-----..------ --.-.-- .....- --..-oo--.--------.......--------·---oo-----.---.-----...---.-_____ _..._.._..____.__ .--.-.---- ------..------.---.-.----.-. --..----------..-------...---.----.---- ---oo.-.. .____._______ - ____________._ __.__ .______...___... _._.______ .________~.______________________~___ __.n ____._.___ iI]./"'CJ VERIFICATION OF QUANTITIES -~~- VERIF~ATION OF LOCA~I~;------...------------~- --------.----------------------------------.---- ------ ---:-1---------------.-------------- ______.__·______u_________________·_·____·______·___·_ Cf 0 PROPER SEGREGATION OF MATERIAL ,..._ ______________.__.____._ ...________._________ ...._._______________ ___u__·___·___····_·_...__·_ \J/'CJ VERIFICATION OF MSDS AVAILABILlTYE r-~~RIFIC~TION OF HAT MAT T~INING ----------------- ------- ---------------.-- -...----------.-------------------------.......---- f----- .---------.-----.---------.-- -----------..--------.----------.----.---..-..------.- -.-----.--.---.oo-- ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES If!./'CJ EMERGENCY PROCEDURES ADEQUATE __ ..___._______________ - __________.....____..________._______._____ _____..________~_u..__._....___ 0/'0 CONTAINERS PROPERLY LABELED ------.--.--.--------..--.--- ---_.__._--_.__..._-_._-_._--_._-_._---_.--~------------------.--- -------------~~----------------- ....----.-.- _._---~-_._-----_.._---_._-_._----_._._---.._----~_.._-.+---------------_.. ~ HOUSEKEEPING t 1----- ---- ------.----.- -----------------..-------------.----..-----. j FIRE PROTECTION ----/'--.-.----------- -------.--..-.-- -.--------.--.-------.-.------.----..------.--------- .---...--------.- 121' 0 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES CJ No EXPLAIN: T IS INSPECTION? PLEASE CALL US AT (661) 326-3979 . -- .fNO~- ~~bIoP'rty Inspector White - Environmental Services Yellow - Station Copy Pink - Business Copy e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME-¥tù ( C'kù('(J"f INSPECTION DATE (~35 " 0 :s Section 2: Underground Storage Tanks Program o Routine [1(Combined 0 Joint Agency Type of Tank Jlj)r Type of Monitoring ¿un o Multi-Agency 0 Complaint Number of Tanks .3 Type of Piping JìLJr ORe-inspection OPERA TION C V COMMENTS Proper tank data on tìle L /' Proper owner/operator data on tìle t / Permit fees current 1'/ /' Certification of Financial Responsibility k / Monitoring record adequate and current \,.. ;/" ./ Maintenance records adequate and current / ./ Failure to correct prior UST violations ./ Has there been an unauthorized release? Yes No / /' Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGA TE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MYF? If yes, Does tank have overfill/overspill protection? :~~:,~:'I:¿~7lti:; Oftìce of Environmental Services (805) 326-3979 White - Env. Svcs. N=NO ~~ Business Site Responsible Party Pink - Business Copy FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES. ENV1ROHIlEHTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326.0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 ¡ 1 I I i~ e eL January 22, 2003 Najdawi Chevron i 2525 White Lane : Bakersfield CA 93304 RE: Upgrade Certificate & Fill Tags ¡ Dear Owner/Operator: : Effective January 1,2003 Assembly Bill 2481 went into effect. This , Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel í vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. ,.',1 SinC¡rel , &' ! ','''- Iii I . i ,- I i/ ! Steve Underwood ; Fire InspectorÆnvironmental Code Enforcement Officer i Office of Environmental Services i ! SBU/dc I ""Y~ ~ ?5~~ ~OP.AOPe 7~ A ?5~'" - ----c---~;---,- ,------------ 10/ e e ßT ð63/ 7ú-(~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICA TION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING FACILITY Naioawi Chevron ADDRESS 2525 White Lane, Bakersfield, CA' 93304 PERMIT TO OPERATE # 015-021-000437 OPERATORS NAME Mr. Naioawi OWNERS NAME Me. Najoawi NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO BE TESTED Yes' TANK # VOLUME CONTENTS 1 2 3 12.000 Gallon Regular 12,000 Gallon 12,000 Gallon Sup. Diesel TANK TESTING COMPANY Redwine Testing Services, Inc. MAll.lNO ADDRESS P.o. Box 1567, Bakersfield, CA 93302-1567 NAME & PHONE NUMBER OF CONTACT PERSON Dugan Turner 661-834-6993 TEST METHOD Incon "'" NAME OF TESTER OR SPECIAL INSPECTOR James J. Rich 90-1072 CERTIFICATION # Contractors License 532878 A HAZ ~-':' " DATE & TIME TEST IS TO BE CONDUCTED Thursday, September 26th @ 1: 00 PM It dÛmr. J ,~ APPROVED BY q~1 rg.{) L- DATE ~l^ SI NA~OFAP;UCANT FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Streel Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . tI, D August 30, 2002 Najdawi Chevron 2525 White Lane Bakersfield, CA 93307 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perfonn this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perfonn this test, by the necessary deadline, December 31, 2002, will result in the revocation of your pennit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sin~erelY .i~ Ste e Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services (,(,.%~ de g:¿Wl/~ .%.,e vØbOPe ykz, A W~?.,., FIRE CHIEF Rml 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 PUBLIC EDUCATION 1715 ChesterAvè. 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-()576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - - July 30. 2002 Najdawi Chevron 2525 White Lane Bakersfield CA 93307 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31,2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner I Operator: If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perfonn this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perfonn this test, by the necessary deadline, December 31,2002, will result in the revocation of your pennit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sinc~'1 ~ St&rwood Fire Inspector Environmental Code Enforcement Officer ~~.Y'~ de W~ 370P uØ60Pe .9'"'~ A ~~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661)326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 It e June 30, 2002 Chevron (Najdawi Chevron) 2525 White Lane Bakersfield, CA 93307 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 2525 White Lane. Dear Tank Owner / Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to e~sure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 will be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 will be tested by January 1,2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661)326-3190. Sin~Jt r{~ St~rwoOd Fire Inspector/ Environmental Code Enforcement Officer Environmental Services SUIkr "Y~ de W~ ~ J#!;0Pe §'"'~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . _. Najdawi Chevron 2525 White Lane Bakersfield, CA,93304 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 2525 White Lane REMINDER NOTICE Dear Tank Owner/ Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are~ detected and removed. Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1,2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Sin;¡erel~, d£i , . ' rJ(]' , ' . .,' ; Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer SBU/kr enclosures "7~ ~ W~ Yeve ~0Pe.r~ A W~" """ Mð~ 07 02 02·52p Fra HI'II ~ /7· nzen 68511,9 1467 .,\,y- > 0' MON~;'~~~9.,J!~!~~,~!i!~J~~¡iTION Authority Cited: Chapter 6.7, Health and Safety Code; Chapter J 6. Division 3. Title 23. California Code of Regulations p.3 This fonn must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who perfom1S the work. A copy of this form must be provided to the tank system owner/operator. The o\vner/operator must subnùt a copy of this fom) to the local agency regulating UST systems within 30 days of test date. A. . ~eneral Inform,tij>~_.l ,,__ /'? . / LI~A F aClhty Name: JL' ff :J C i/Î¿.¡, I L JtJv Æ Site Address: :J-:S J.,_lJ \)J h rt-é: tv kN.{ Facility Con~~ct Person: ~ kJ-clt\VJ' MakelMode1 of Monitoring System:':; t J?c.Vl 51 IV. 'í. b" (,:) c.:,-oc.,}4., B. Inventory of Equipment Tested! erti led Check, the :1 ro riate boxes to indic:ate 5 ecific c: ui ment Ins erted/servic:c:d: Tal}k ID: \ <: "!-i. fJ'I;I"ll.. I ~/;..) I :2. l) :2. 'Z- QlÎyTank Gauging Probe. Model: I'1t1 !51 E3' A.o~ular ~ce or Vault Sensor. Model: ~i IJ S;4~1" AJf'7' __ ~plt1g S;~~p'y Trench Sensor(s). Model:'!;. f StJ::'~ ~;' )f' o Fill Sump Sensor(s). Model: fJl Ar o ~hanical Line Leak Detector. Model: f\J, A- ~~trDnic Lin~ Leak Detector. Model: IA! Q L /, D GJ.-1ánk Overfill! High-Level Sensor. Model: 11. 'Ç 3.t;ð i o Other (s ecìf e ui ment t e and model in Section Eon Pa e 2 . Tank 10: ~ /I ¡J ß Ad TJ/ tAl :z, ~ Tank ID: o In-Tank Gauging Probe. Model: 0 In-Tank Gauging Probe. Model: o Annular Space or Vault Sensor. Model: 0 Annular Space or Vault Sensor. Model: o Piping Sump! Trench Sensor(s). Model,: a Piping Sump! Trench SensoT(s). Model: 0. Fill Sump Sensor(s). Mode!: 0 Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: 0 Mechanical Line Leak Detector. Model: o Electronic Line Leak Detector. ' ModeL 0 Electronic Line Leak Detector. Model: o Tank Overfill I High-Level Sensor. Model: 0 Tank Overfill! High-Level Sensor. Model: o Other s ecif' e ui ment t e and model in Section Eon Pa e 2). 0 Other (s ecif e ui ment t e and mode] in Section E on Pa e 2 . Dispet15er 10: ; Ç.. :::... D~nser ID: '5 ~'.: , ~enser Containment Sensor(s). Model:/-'V::J ~X;(" ~)~ r c::r pi spenser Containment Sensor(s). Modcl:L¥'d \..~/.J ~ 01':' _:'- CYSJ1e~rValve(s). ... crShear Valve(s). Grt1fsí: cnser Containment Float sand Chain(s). o--r51s; enser Containment Float(s) and Chain s). Dispenser ID: "5 ~ ,_.; DiSfcnser lD: -/ -::. ~, i ~spenser Containment Scnsor(s). Model: 1/) .s::.e/.,-~ 01{(" ŒJ"'"'pispenser Containment Sensor(s). Model: 1/) J..j ¡/-'/.' :"1i:S a-§tIear Valve(s). ershéar Valve{s). ifDis cnser Containment Float s and Chain s). 0 Dis cnser Containment Float s) and Chain s . Dispenser ID: Dispenser ID: o Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model: o Shear Valve(s). 0 Shear Valve(s). ODis enser Containment Float s and Chain s . 0 Dis enser Containment Float(s and Chain s). -If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification ~ I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify tbat this information is correct and II. Plot Plan showing the layout of monitoring eql!!Pment. For any equipment upable of generating such reports, I have also at~a~bed a copy o~ the rep~; (cIl~c:k a~t1.'at ~pply): I:JSystem ~et-up ~ AlarJr history report Techmclan Name (pnnt): ,\ '... ~HI:" t(:' Signature: "...(' A·:7''''-- City: &~,tS h ~jd. Bldg. No.: Zip: <133 T.>y Contact Phone No.: (hbl ) ~J '2. -- '17 ð / Date of Testing/Servicing: -.!/.J;t,r 1[1 2...- .. Tank 10: ~ .D ~ I...( ~ D I '...v' ì)' 0 :2. :z- a'jn-Tank Gauging Probe. Model: MÆ-.::¡ cr Annular Space or Vault Sensor. Model: .... a Piping Sump I Trench Sensor(s). Model: o FiJI Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: C3"'tk~tronic Line Leak Detector. Model: '.;<.1 [>~.. U B""f~nk Overfill I High-Level Sensor. Model: T t.."5. ;'SD i:!. e and model in Section E on Pa e 2 . Certification No.: ')415 License. No.: ....... .., ~ "'J 1/ r ',;~.k .;.-! ~ Phone No.:(S5'?¡ ) :~~'? -:...::~ -; 7 Date of Testing/Servicing: '-; I>.: !-::)z- --- Testing Company Name: ç( nf' J~'1 .<.~ i. Site Address: _II O!) N· f -r~..f I:t~~ · ¡.. Page 1 or3 03/01 Monitoring System Certification ~a.l:f 07 02 02:52p Franzen Hill e 6851fO 1467 p.4 . D. Results of Testing/Servicing Softv,'are Version Installed: P ç'! ) .. Com tete the tollDwin checklist: Yes a No· Is the audible alarm 0 erational? Q.....¥es tJ No· Is the visual alarm 0 erational? c¡vy'es a No· Were all sensors visuaU ins ected, functional1 tested, and confirmed 0 erational? o No. Were all sensors installed at lowest point ofseeondary contaironent and positioned so that other equipment will not interfere with their ro er 0 eration? If alarms are relayed to a remote monitoring station, is an communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically discOlUlected? If yes: which sensors initiate positive shut-down? (Check all that apply) J21]Sumprrrench Sensors; 0 Dispenser Containment Sensors. Did ou confum ositive shut-down due to fea.ks and sensor failure/disconnection? §¡r Yes; a No. D No. For tank systems that utilize the monitoring system as the primary ta.nk overfill warning device (i.e. no a N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint sand 0 eratin ro erl . If so, at what ercent of tank ea aci does the alarm tri er? ôf 0 % 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 lacement arts in Section E, below. Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) D Product; 0 Water. If es, describe causes in Section E, below. a No'" Was monitorin s stem set-u reviewed to ensure ro er settin s? Attach set u Yes a No· Is all monitorin e ui ment 0 erational er manufacturer's s ecifications? * In Section E below, describe how and when these deficiencies were OT will be corrected. tJ Yes o No'" r;r"N/A tJ No'" a N/A ~ I4""'i es .c.;rY es a Yes'" DYes'" licable E. Comments: :. Page 2 of 3 03/01 ~a~ 07 02 02:52p Franzen Hill e 6851'0 1467 p.s s· F. In-Tank Gauging I SIR Equipment: o Check this box if tank gauging is used only for inventory control. a Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. c h fi 11 h leI" t omll ete t e 0 OWIOI! C ec IS: , -q Yes Q No· Has all input wiring been inspected for proper entry and tertIÚnation, including testing for ground faults? , O,Yes 0 No· Were all tank gauging probes visually inspected for damage and residue buildup? c:I JYes 0 No· Was accuracy of system product level readings tested? (j jYes 0 No· Was accuracy of system water level readings tested? CÍ'yes o No· Were all probes reinstalled properly? I!' Yes o No· Were all ite~ 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): J' Q Check this box ifLLDs are not installed. COIUPlete the ollowinf! c eckhst: E1' Yes (J No· For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? o N/A (Check all that apply) Simulated leak rate: .,03 g.p.h.; (J 0.1 g.p.h; 0 0.2 g.p.h. / g' Ye.}/ o No· Were an LLDs confirmed operational and accurate within regulatory requirements? ~s"'" Q No· Was the testing apparatus properly calibrated? !3' Yes o No· For mechanical LLDs, docs the LLD restrict product flow if it dctects a leak? 01 NI A DYes o No· For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? /. o N/A [j Yes o No· For electTonic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled /. o N/A or disconnected? ej Yes o No· For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions /' (J N/A or fails a test? r:;:í Yes DNa· For electronic LLDs, have all accessible wiring connections been visually inspected? .// o N/A IZ:f Yes Q No· Were all items on the equipment manufacturer's maintenance checklist completed? t h * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of3 03/01 t'a~ 07 02 02:53p Franzen Hill e 6851.0 1467 p.6 . 1\'Ionitoring System Certification ,I. UST Monitoring Site Plan Site Address: Nt D·:: . . '~'fV"::'-¿~, '5"~5yj 1Ft+- :~: .þ;d,.,' '_." '1" "'-:_..:.-~ ,'"' . ...... ... .. .. ............ .. .. ... .. .. .. :c: :-J: '0' , . . · o 0: . ' ,)"tJ,¿ , , ',' , . . ,', \J";\, 1) ~:fù.iè.... " .. .. .. .. .. .. . .ív. R ;;',,.J~S ," " .. .. .. .. .. :'i',e I) 13f" S .. .~.--. ,0' . 1tN'¡Vl44.! ;i9,.,S I~.J · . · Slf~..u.., . ,P~\.\5 t<~: ' , . . , . . . , Nihf-~ ~j4{-' ì'~' YC',i·/e· Date map was draMl: ~ .J'¡ /!) 2- . Instructions If you already have a diagram that shows aU required information. you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces. sumps. dispenser pans, spill containers, or other secondary containment areas; mechanical or e1ectronic line leak detectors; and in-tank liquid level probes (if used for leak detection), In the space provided, note the date this Site Plan was prepared. Page _of_ 05100 ,- ,,' .' . '. ·t,. .. W~~l~ NMOOrnHS Ql1d:2: e W~~l~ NMoarnHS Glld: I e - - - - - - - - - - - - 1~Od3~ snr~lS W31St\S W~ 62::6 2:0-ÞZ-PO {Blo6-GE8-S0B P0886'~0'013IdS~3~~8 3N~1 3rIHM 92:9ë: NO~A3HO IM~or~N , . e ," .. .. ,. .'.. . .'.' ". . ";- ;:. f ." " .. . " l..SOBë':O'O 9'2:Þ W~ 81:;::;t 6Þ8ÞEO'O c·st> Wd 8(;: t - " 80Þ990'O Þ'9Þ Wd G2::6 " c.8ë:9S0'O 8'9Þ Wd Þ9:0t .' , . 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't ." , II~H uazue..l.:l dES: em em l..O F;e., Mß~ 07 02 02:58p ALARM HISTORY REPORT IN-TANK ALARM ----- T 4: SETUP DATA WARNING 04-09-98 5:27 PM PROBE OUT 04-09-98 5:27 PM ~ ~ ~ ~ ~ END * ~ ~ ~ ~ ALARM HISTORY REPORT ---- I N-TANK ALAR!"! T 1 :SUPRE!"IE SUDDEN LOSS ALARM 02-03-00 7:57 ~1 04-09-98 5:22 PM INVALID FUEL LEVEL 12-25-01 4:37 PM PROBE OUT 02-03-00 7:57 AM DELIVERY NEEDED 04-21-02 7:02 PM 04-18-02 11:34 AM 04-11-02 12:12 AM ~ ~ ~ ~ ~ END * * ~ ~ ~ Franzen Hill e .. . , .' ,', ~ . , , . ", .. '. ,'. '" .. .. -. . , .. ".; ",'." ~ .... h . . .., -.... i' j." ALAR!"I H I STORY REPORT ---- IN-TANK ALARl"f T 2:PLUS SUDDEN LOSS ALARM 02-03-00 7:59 AM 06-24-99 1:13 PM 06-22-99 5:49 PM INVALID FUEL LEVEL 12-27-01 9:43 PM 06-24-99 1: 32 P/"I PROBE OUT 02-03-00 7:59 AM 06-24-99 1:13 PM 06-24-99 9:45 AM DELIVERY NEEDED 04-18-02 8:04 AM 04-11-02 7:46 AM 04-08-02 2:48 PM LOW TEMP WARNING 02-03-00 1:53 PM ~ ~ * ~ ~ END ~ ~ ~ ~ . ;,. '. ....... 685 WO 1467 "'. ." .", . ' .' . ..~ '"/. . .' ..' , .: f p. 15 '. ALARM HISTORY REPORT ---- IN-TANK ALARI'1 T 3:REGULAR OVERF I LL ALAR!"! 04-23-02 1:34 PM 01-24-02 4:36 AM 09-06-01 4:07 AM LOW PRODUCT ALARM 09-12-01 4:53 PM 08-25-01 10:22 ~1 09-08-98 8:48 ,PM SUDDEN LOSS ALARM . 12-19-97 5:11 PM HIGH PRODUCT ALARM 01-24-02 4:38 AM 01-26-00 4:38 AM INVALID FUEL LEVEL 04-18-02 2:08 PM 09-12-01 4:32 PM 08-25-01 10:05 AM PROBE OUT 07-26-99 2:10 PM 06-24-99 1:31 PM DELIVERV NEEDED 04-18-02 8:38 AM 12-22-01 6:35 PM 12-17-01 7:20 PM LOW TEMP WARNING 06-24-99 1:34 PM ~ ~ * ~ ~ END ~ ~ ~ ~ ~ Ma~ 07 02 02:55p 1 8YSTEI"I SETUP - - - - ------ 04-24-02 10:04 AM SVSTEI"I UN I T8 U.S. SY8TEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MM-DD-YY HH:MM:SS xM NAJDAWI CHEVRON 2525 WHITE LANE BAKERSFJELD.CA.93304 805-832-9781 SHIFT TIME 1 DISABLED SHIFT TI/"IE 2.. DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED SHIFT BIR PRINTOUTS ENABLED DAILY BIR PRINTOUTS ENABLED TANK PERIODIC WARNINGS DISABLED TANK ANNUAL WARNINGS DISABLED LI NE PERIODIC LJARNI NGS DISABLED LINE ANNUAL WARNINGS DISABLED PR I NT TC VOLUI"IES ENABLED TEMP COMPENSATION VALUE <DEG F): 60,0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT PRECISION TEST DURATION HOURS: 1 2 DAYLIGHT SAVING TIME DISABLED RE-DIRECT LOCAL PRINTOUT DISABLED SYSTEM SEe UR]TY CODE : 000000 Franzen Hill e . u. ...,"' :::;\'£~1TI'1 r'll.iil\l": P¡;: 1 NTER ERf.~'.)R O~-24-U2 9:45 RH .'., ~j'ŒT £\"1 ~'iLi"'F:I'·t PHH~R OUT O,~-24-Ü2 ".1:4,,) FlH .. .. r·¡;.J [:;,"-\1.,\ l CHEVRON .:)1:,':'1:' bhllTE LANE ËÄ~ŒßF 1 ELD.CA.. 93304 F;[)i)··8:J2.. '3781 -~.... ...,,", .;;. '¡ ..~ ,,:. : .;~:.;: .:.. ":::" -. ~'"~~:.', .. ',,: .' . , U,~"24-02 9:46 e,¡''1 , SYSTEI"1 STATUS REPORT -. - .. - - ----.- .... ø 1: PLLD SHUTDQI¡.'N RLf~Rt"I Q 2: PLLD :~;I·IUT[JÜl.,H·'1 f~Lr;Rr"1 ... .. ...... h - , , ~~ .~ J"':... :.,: .. , ~ . ,0 ~ ¡. -, .' . :,' '0" .~ ~ ; .' . . . "': <.", ;:~ ' '::' :" " -. '.t'" .. ' .-..... .. . "', -", ~ -; ;" ", ."' ". .,,,,. ..' . .... .;, , , .. . "', .' ,. '. . . . .. . . .. . .. . ,...: . ./:'. -:'. :,::._'~,':.'<. .. . I -... ... . . '" .. "J ..... ." .ld .!o#" .... ~. .',~;,:..'~':'::""'~~"::.', ~'-'~~':" '~:':'. ," ....... ..... .... ',' . . . - . - .. , . .' ~ ,', . ..~ 685 ~O \:;~~m.,I¡ 1.~~1¡::".iNON p. 10 · ~52Îj bJH ITE U;NE fJAIŒRSF I ELD . C"" . ~~:~1:3Ü·1 tHJ6--832'-9781 - . ", ¡ '", :. :'! . . ,. .. "'. . . ~ . . . .. .. . . "., 04-24-02 '3: 4t, AI'! ::::'{fiTfI"l ~=';TATU8 F:EPORT ., ,." ~- - - ., '" -.. - .- Ü 1: F'LLD SIJUTDi)l,.)N ~~L¡;F;r'l " (¡ 2: PLLD :3HUTDÜL,11'/ r1Lhr~I" NfI.JON-.) [ CHEVRON 2fj2','} t·.JH lTE LANE B,\J>:H!SF I ELD. CA. 93304 805 --832-'9781 04-24-02 9: 46 AI"! SYSTEl'l STATUS FŒPORT ------ ... -. -" - - - Q 1: PLLD SHUTDOWN ~1LHR¡"1 l:;¡ 2: P LLD SHUTDmm ALARr"1 NA.JDAW I C'HEIJRot'J 2525 L.JH 1 TE LANE BAKERSFIELD.CA.93304 805--832'-9781 04-24-02 9:47 ~1 PRESSURE LINE LEAK TEST RESULTS Q 1: SUPR8"\E 3.0 GAL/HR RESULTS: LAST TEST: 04-24-02 9:24 AM PASS NUI"IBEF~ OF TESTS PAS-':::J:::D PREV 24 HOURS 47 SINCE MIDNIGHT : 7 O f'lr> . . - . " Ma~ 07 02 02:55p LEAK TEST METHOD . ~ - - - - - - - - - - - - TEST ON DATE : ALL TANK JAN 1. 1996 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS LEAK TEST REPORT FORMAT NORMAL PRESSURE LINE LEAK SETUP ------ ------ Q 1: SUPREME PIPE TYPE: FIBERGLASS LINE LENGTH: 180 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH T 1 :SUPREME DISPENSE MODE: STANDARD SENSOR: NON~VENTED Q 2:PLUS PIPE TYPE: FIBERGLASS LINE LENGTH: 180 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH T 2:PLUS DISPENSE MODE: STANDARD SENSOR: NON-VENTED Franzen Hill e 685~~ 0 1467 p.S . r ........... L! m:. 1)! ;:jMt:l1..c. ::it;;~fU'" - - - - - - - - - - - - ". ". '.'" ~ I !- ~ . . ,'- ~ " .' . '. - . .... :.~< ," ':: ::, .' " " .. . ,.. .' '" ,"..: :.... " . , " . ~. .. ~", '- Q 3:REGULAR PIPE TYPE: FIBERGLASS LINE LENGTH: 180 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: DISABLED SHUTDOWN RATE: 8.0 GPH TANK: NONE SENSOR: NON-VENTED .. LINE LEAK LOCKOUT SETUP - - - - - - - - - - LOCKOUT SCHEDULE DAILY START TIME: DISABLED sTOP TIME : DISABLED LIQUID SENSOR SETUP - - - - - - - - - - L l:SUPREME ANNULAR NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 2:SUPREME TURBINE SUMP DUAL FLT. DISCRII"IINATING CATEGORY : STP SUMP L 3:PLUS ANNULAR NORMALLY CLOSED CATEGORV : ANNULAR SPACE ,. L 4 : REGULAR TURBI NE sur1P DUAL FLT. HIGH VAPOR CATEGORV : STP SUMP L 5:REGULAR ANNULAR NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 6:PLUS TURBINE SUMP DUAL FLT. DISCRIMINATING CATEGORY : STP SUMP :. .... .... f~" Q 1: SUPREME IN-TANK ALARr"1S T l:HIGH WATER ALARM T l:LOW PRODUCT ALARM LIQUID SENSOR ALMS L J: FUEL ALARM L 2:FUEL ALARM L 2:HIGH LIQUID ALARM Q 2 : PLUS IN-TANK ALARMS T 2:HIGH WATER ALARM T 2:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 3 :FUEL ALARM L 6:FUEL ALARM L 6:HIGH LIQUID ALARM Q 3:REGULAR IN-TANK ALARI1S T 3:HIGH WATER ALARM T 8:LOW PRODUCT ALARM LIQUID SENSOR ALMS L 4: FUEL ALARM . L 5:FUEL ALARM L 4: HIGH LIQUID ALARM .i, ..' I:". RECONCILIATION SETUP . . - - - - -- ---- . ' . AUTOMATIC DAILY CLOSING TIME: 2:00 AI"J AUTO SHIFT #1 CLOSING TI ME: DISABLED AUTO SHIFT #2 CLOSING TIME: DISABLED AUTO SHIFT #3 CLOSING TI/"IE: DISABLED AUTO SHIFT #4 CLOSING TIME: DISABLED ' . .. PERIODIC RECONCILIATION MODE: MONTHLV ALARM: DISABLED TEMP COMPENSATION STANDARD BUS SLOT FUEL METER TANK - - - - - - - - - - - - TANK MAP EMPTY M~~ 07 02 02:56p ~u ~~L/H~ ~LPU~lP; 04-24-02 12:09 AM PASS 04-23-02 11 :02 AM PASS 04-22-02 9:20 ÞM FASS 04-22-02 6:29 AM PASS 04-21-02 4:42 PM PASS 04-20-02 7:52 PM PASS ~04-20-02 3:51 AM PASS 04-19-02 1: 09 PM PA,SS 04-ia-02 11:09 PM PASS 04-18-02 7:40 AM PASS 0.10 GAL/HR RESULTS: NO 0.10 DATA AVAILABLE ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ _---- ':'ENSOR ALARt1 ----- L 4:REGULAR TURBINE SUMP STP SUMP FUEL ALARI'" 04-24-02 9:49 ~1 PRESSURE LINE LEAK ALARM Q 3:REGULAR PLLD SHUTDOWN ALARM 04-24-02 9:49 AM NAJDAWI CHEVRON 2525 WHITE LANE BAKERSFIELD,CA.93304 805-832-9781 04-24-02 9:51 AM SYSTEM STATUS REPORT - - - - - - - - - - - - Q 3:PLLD SHUTDOWN ALARM Franzen Hill e .....,. , ',. , '. .,' . ¡ ,.... .'-, .. - . .,' '. . I:: \ ......,.. l:'~'w::,:>: I· . NAJDAWI CHEVRON 2525 WHITE LANE BAKERSFIELD.CA.93304 805-832-9781 04-24-02 9:35 AM SYSTEM STATUS REPORT Q 1: PLLD - SHUT¡;O~N - ALARM -'. NAJDAWI CHEVRON 2525 WH ITE LANE BAKERSFIELD.CA.93304 805-832-9781 04-24-02 9:36 AM _ ~Y~T:M_S:AT~S REPORT Q 1: PLLD SHUTDOWN ALARM- NAJDAWI CHEVRON 2525 WHITE LANE BAKERSFIELD.CA.93304 806-832-9781 04-24-02 9:36 AM SYSTEM STATUS REPORT Q ï:PLLD-SHUTDOWN-ALARM ':to 6851.0 1467 . .' ..' .. 1'-,'-' .. " ,'. '.' .... ',' .. ",. ,'." , .:/ .' . p. 11 _____ SENSOR ALARM ----- L 6:PLUS TURBINE SUMP STP SUMP HIGH LIQUID ALARM 04-24-02 9:37 AM . , P~ESSURE LINE LEAK ALARM G .~:PLUS PL D SHUTDOWN ALARM 04-24-02 9:37 AM .' .. ..... ----- SENSOR ALARM ----- L 2:SUPREME TURBINE SUMP STP SUMP HIGH LIQUID ALARM 04-24-02 9:39 AM " ,: ' NAJDAWI CHEVRON 2525 WHITE LANE BAKERSFIELD.CA.93304 805-832-9781 04-24-02 9:41 AM SYSTEM STATUS REPORT - - - - - - - - - - - - G 1 :PLLD SHUTDOWN ALARM Q 2: PLLD SHUTDOWN A.LARI'" .. Ma~ 07 02 02:56p '13 1: SUPREME IN-TANK ALARMS T 1: HIGH IìJA1'ER ALARM T 1: LOW PRODUCT ALAR!"\ lIQUID SENSOR ALMS L 1 :FUEL ALARM L 2·:FUEL ALARM L 2:HIGH LIQUID ALARM NAJDAWl . CHEVRON 2525 WHITE LANE BAKERSFIELD,CA.93304 805-832-9781 04-24-02 9:34 AM , ,~. SYSTEM STATUS REPORT - - - - - - - - - - - - Q l:PLLD SHUTDOWN ALARM NAJDAWI CHEVRON 2525 WHITE LANE EAKERSFIELD,CA.93304 805-832-9781 04-24-02 9:34 AM ", SVSTEI"\ STATUS REPORT - - - - - - - - - - - - Q l:PLLD SHUTDOWN ALARM :-" Franzen Hill e" _____ SENSOR ALARM ----- L 5:REGULAR ANNULAR ANNULAR SPACE FUEL ALARM 04-24-02 9:23 AM .:,... PRESSURE LINE LEAK ALARI1 Q 3:REGULAR PLLD SHUTDmJN ALARM 04-24-02 9:23 AM I»: I' . ". 1 ':: i I i" _____ SENSOR ALARM ----- L 1: SUPREME ANNULAR ANNULAR SPACE FUEL ALARM 04-24-02 9:24 AM PRESSURE LINE LEAK ALARI'1 Q 1: SUPREI"\E PLLD SHUTDOWN ALARM 04-24-02 9:25 AM , ", i,·· '. -....>' '.;.\':~; _____ SENSOR ALARM L 3:PLUS ANNULAR ANNULAR SPACE FUEL ALARM 04-24-02 9:26 AM . ' " PRESSURE LINE LEAK ALARM Q 2:PLUS PLLD SHUTDOWN ALARM 04-24-02 9:26 AM 685.0 1467 . '.- .'..: ," . " . - ~. . ,'., \" . . .. '. '. ,~. .' .' p. 12 \..", NAJDAW r ' 2525 WH CHEVRON BAKERS ITE LANE 805_83~~~~~íCA.93304 04-24-02 9:27 AM ~Y~T:M_S:ATUS REPORT Q 1: PLLD SHUTD~N - A~ARM - ~' Q 2:PLLD SHUTDOWN ALARM . ' NAJDAWr 2525 WHITECLHEVRON BAJŒRSF I ANE 805_832_~~~íCA.93304 04-24-02 9 :27 AM ¡¡"'i" :. ' :~. ~Y:T~~_S:ATUS REPORT Q 1 :PLLD SHUTÕOI~N- - - - w ALARM Q 2:PLLD SHUTDOWN ALARM '.4::-;.... NAJDAWI 2525 WHITECHEVRON BAJŒRSF LANE 805_832:~~gíCA.93304 0'1-24 0 - 2 9:27 Af"! "': '.:;';.~:.." t.' . ~Y~T:M_S:ATUS REPORT Q 1: PLLD SHUTDowN -ALARM - Q 2:PLLD SHUTDOWN ALARM 'Õ Franzen Hill e Ma~ 07 02 02:57p .' ....."'....,r""W\JJ, ......n.c.v.r:;:V1\1 2525 WH 1 TE LANE BAKERSFIELD. CA. 93304 805-832-9781 04-24-02 9:27 AM SYSTEM STATUS REPORT - "- - - - - - - - - - - Q 1 :PLLD SHUTDOWN ALAR!"! Q 2:PLLD SHUTDOWN ALARM . ' PRESSURE LINE LEAK DIAG 04-24-02 9:29 AM Q 1: SUPREME 0.20 TEST DIAG .. . -" '. CURRENT TEST: ---TIME--PRESS-RAMP RATE 04-24 12:09 AM 44.3 0.028347 04-23 11:53 PM 45.8 0.026884 11 : 38 PI1 47. I) 0 . 034115 11:22 PM 49.6 0.043120 PREV lOUS DATA: ---TIME--PRESS-RAMP RATE 04-23 10:58 AM 40.7 0.015970 10:43 AM 41.9 0.019401 10:02 AM 42.9 0.021545 9:47AM 44. 7Q-,.QG62l.Q..__ .. ..' '. . '-. PRESSURE LINE LEAK DIAG 04-24-02 9:29 AM .:' Q 2:PLUS 0.20 TEST DIAG .. ',' '.- CURRENT TEST: ---TIME--PRESS-RAMP RATE 04-23 10:32 PM 47.0 0.042695 10:17 PM 47.5 0.048485 PREVIOUS DATA: ---TIME--PRESS-RAI1P RATE 04-23 9:38 AM 42.4 0.030234 9:23 AM 45.0 0.030329 9:07 AM 47.7 0.042095 8:03 AM 44.4 0.025837 04-22 6:48 PM 43.4 0.030261 6:33 PM 45.8 0.033660 .<,. ...... "~ '. NAJDAWI CHEVRON 2525 WHITE LANE BAKERSFIELD.CA.93304 805-832-9781 04-24-02 9:29 AM SYSTEM STATUS REPORT - - - - - - - - - - - - Q t:PLLD SHUTDOWN ALARM . 'r. NAJDAWI CHEVRON 2525 WH ITE LANE BAKERSFIELD,CA.93304 805-832-9781 04-24-02 9: 29 AI"! SYSTEl1 STATUS REPORT - - - - - - - - - - - - G 1 :PLLD SHUTDOWN ALARM INVENTORY REPORT .. T 1: SUPREME VOLUME = 3338 GALS ULLAGE = 8684 GALS 90% ULLAGE= 7481 GALS TC VOLUME 3294 GALS HEIGHT 35.64 INCHES WATER VOL = 0 GALS WATER 0.00 INCHES TEMP 78.7 DEG F ,. T 2:PLUS VOLUME ULLAGE 90% ULLAGE= TC VOLUME = HEIGHT = WATER VOL WATER TEMP 3309 GALS 8713 GALS 7510 GALS 3270 GALS 35 . 41 INCHES o GALS = 0.00 INCHES = 76.7 DEG F . t T 3:REGULAR VOLUME = 8697 GALS ULLAGE 3325 GALS 90% ULLAGE= 2122 GALS TC VOLUME = 8590 GALS HEIGHT = 75.38 INCHES WATER VOL 0 GALS WATER = 0.00 INCHES TEMP 77.6 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ 685_0 J "". ... ..... ... -' .. , ' . , ..- ".:.', .... ...'.... ; , 1467 p.13 NAJDAWl CHEVXUN ?525 WHITE LANE BAKERSFIELD.CA.93304 805-832-9781 04-24-02 9:30 AM SY~T~1_S:AT~S_R:P~R: _ Õ l:PLLD SHUTDOWN ALARM ALARM HISTORY REPORT ----- SYSTEM ALARM PAPER OUT 01-30-02 4:47 PM PRINTER ERROR 01-30-02 4:47 PM BATTERY IS OFF 01-01-96 8:00 AM * ~ ~ ~ ~ END ~ ~ ~ ~ * .~ ", ALARM HISTORY REPORT ----- SENSOR ALARI"! ----- Q 1 :SUPREME PLLD SHUTDOWN ALARM 04-24-02 9:25 AM PERIODIC LINE FAIL 01-30-02 9:31 PM PLLD SHUTDOWN ALARM 05-29-01 1:10 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ * Ma~ 07 02 02:58p 'i ALARI'" HISTORY REPORT _____ SYSTEM ALARI1 ----- PAPER OUT 04-24-02 9:45 AM PRINTER ERROR 04-24-02 9:45 AM BATTERY IS OFF , 01-01-96 8:00 AM ~ ~ ~ ~ ~ END ~ * ~ ~ )Ii ....:. :'." ,- ALARM HISTORY REPORT ____ 1 N-TANK ALARI'1 T 1: SUPREME SUDDEN LOSS ALARM 02-03-00 7:57 AM 04-09-98 5:22 PM INVALID FUEL LEVEL 12-25-01 4:37 PM PROBE OUT 02-03-00 7:57 AM " , . DELIVERY NEEDED 04-21-02 7: 02 PI" 04-18-02 11:34 AM 04-11-02 12:12 AM . -.' ',' " - ~ * )Ii ~ IE END ;,¡ * IE )Ii ~ Franzen Hill e . ,";-,: ......... '. ", .' " -,- .', . ,'- ..' '.... . ," 685.0 1467 .. ALARM HISTORY REPORT ---- IN-TANK ALARM T 2:PLUS SUDDEN LOSS ALARM 02-03-00 7:59 AM 06-24-99 1:13 PM 06-22-99 5:49 PM INVALID FUEL LEVEL 12-27-01 9:43 PM 06-24-99 1:32 PM PROBE OUT 02-03-00 7:59 AM 06-24-99 1:13 PM 06-24-99 9:45 ~1 I q , I· ". '...' .'. . ~i;,~;;+"'\} .'....,' ,... .','. I' DELIVER'! NEEDED 04-18-02 8:04 AM 04-11-02 7: 46 At'1 04-08-02 2:48 PM . ,,,--:-:. LOW TEMP WARNING 02~03-00 1:53 PM .. ' ~ ~ ~ * * END ~ * ~ * )Ii ~.';~ ...:.-: :'''.".'- '~. ',~.~.~: ... - , .', ." :.1. "'.'".. '- " . . . ..:"'.' .. ' , " ." . , . , , ' p. 14 ", ':., ALARM HISTORY REPORT ---- IN-TANK ALAR('1 T 3:REGULAR OVERFILL ALARM 04-23-02 1:34 PM 01-24-02 4:36 AM 09-06-01 4:07 AM LOW PRODUCT ALARM 09-12-01 4:53 PM 08-25-01 10:22 AM 09-08-98 8:48 PM SUDDEN LOSS ALARI"! 12-19-97 5:11 PM HIGH PRODUCT ALARI'1 01-24-02 4:38 AM 01-26-00 4:38 AM INVALID FUEL LEVEL 04-18-02 2:08 PM 09-12-01 4:32 PM 08-25-01 10:05 AM PROBE OUT 07-26-99 2:10 PM 06-24-99 1:31 PM DELIVERY NEEDED 04-18-02 8:38 AM 12-22-01 6:35 PM 12-17-01 7:20 PM LOW TEMP WARNING 06-24-99 1 :34 PM ~.'- ,-- . .' . ,-' -,' - . ," " , -- .õ" .. , - ..f· ..' . .- .....,. "- - , , " ....:. ", " '.. '," j'~'~::'." :.::: ',". ...... ,-. .:,¡. ", . .- ,. ' , , . ' . ,:.:" -" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1~49 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326"()576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e -- April 17. 2002 Najdawi Chevron 2525 White Lane Bakersfield CA 93304 RE: Necessary Secondary Containment Testing Required by December 31. 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1.2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions. please feel free to contact me at 661-326-3190. s;n1t C~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer SBU/dm enclosures ~~.r~ de W~ ~ .AQR? §'kt, .../6 W~" ____~'r__r__ ~_______ ~------ T :;;': fLUE: II'J\iENTOF:'{ I N'~~F:EA~3E I NCF:EA~:Æ ~:::n'hRT 02-21-02 8:00 AM \iOLur"lE HEIGHT L-JATER TH'IP I NCF-:Ef,:::;E END 02-:21 '-02 \'/0 L Uf"lE HEIGHT I..,IATER TH'!P :::t:.::33 :30 . cn 0.00 62.1 (;AL8 1 NC HÐ3 1.,-' Eo t ~_ [ F 8: 10 Ar"1 ,ItA 1 GAU3 'I":;. '-I'::¡ INCHES 0.110 I NC:HES t,u. 1 DEG F GROSS I~:REASE= 2008 TI=: NET I NCF:Er,E;E= 2012 -- T 1: :::;UFRHIE INVENTORY INCREASE I NCF:EA~:Æ :3TAF:T 02-21-02 8:07 AM \;'OLUr"IE HEIGHT I,JATER TH'IP I NCREA~3E END 02-21-02 VOL Uf<'IE HEIGHT I",JATER TH1P 17:36 I:;ALS 22.36 INCHES 0.00 INCHES 64.0 DEG F ~-- ~-------------.- 8: 14 AI"l 2769 GALS :3 1 . 1 '-I I NC HES 0.00 INCHES 52.2 DEG F GROSS INCREASE= 10:33 TC r~ET 1 r'·C~F-:EAEŒ= 10:34 e T :3: REGULAF-: I N\/EI'HOF-:'''' ] I',¡CF-:EA:':::E I r',JCREA:::;E :::mWf 02-21-02 7:57 AM \iOLUI"\E HEIGHT 1"JATEF-: TH'IP I NCREAtÆ £I'm 02-21-02 VOLUr"lE HEIGHT I.',IATER TD'lI:' 4t:,2':3 GAU3 .1'::, . 40 INCHES 0.00 II',¡CHES 6'-1.8 DEG F tit B: 2'-1 At"1 1 0'S1'-1 GALS '30. t.:3 INCHES 0.00 INCHES t,'-I .:j [lEt:; F GROSS INCREASE= 5885 TC NET INCREASE= 58b~ e e CITY OF BAKERSFlEl.,O FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME N 1I~'i r.f..r ""p" ADDRESS ç:}Ç'.J ç , " FACILITY CONTACT INSPECTION TIME INSPECTION DATE é)~{ () è PHONE NO. ~..~-q~~1 BUSINESS 10 NO. 15-210- (/ NUMBER OF EMPLOYEES L Section 1: Business Plan and Inventory Program o Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TJON C V COMMENTS Appropriate peonit on hand / J Business plan contact infoonation accurate IV Visible address L / Correct occupancy \.... / Verification of inventory materials \. / Verification of quantities \... / \...- / Verification of location Proper segregation of material L / Verification of MSDS availability L..- Verification of Haz Mat training \. ) Verification of abatement supplies and procedures l / Emergency procedures adequate L / Containers properly labeled Iv Housekeeping It..- Fire Protection \. / Kla\ \0 '" A'+ ...... .... I ".,rf...,. htt Site Diagram Adequate & On Hand . V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Inspector: e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ND.....jJo.(l) f è~ \.H"OG'\. INSPECTION DATE 'J.J ,{ () L Section 2: Underground Storage Tanks Program o Routine ~mbined 0 Joint Agency Type of Tank nwF Type of Monitoring r L W\ o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping nUll::;;: ORe-inspection OPERA TION C v COMMENTS Proper tank data on tile ^"""Jt{J Proper owner/operator data on tile Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? . If yes, Does tank have overfill/overspill protection? c~comPI;'~ V~V;ol,,;oo y~y" lo,p"'o, dtiiHO Oftìce of Environmental Services (805) 326-3979 White - Env, Svcs. N=NO ~j 1\,~~ Business Site Responsible Party Pink - Business Cory NAJt!1 CHE\/F:OI'J 2525 I,~H I TE Li-\I'JE BAKERSFIELD.CA.g3304 805-8:32- g781 05-10-01 10:09 AM S\'EHH'l SHiTUS F:EPORT ------ fiLL FUI'JCTlOr',:::: I'K)Rf"lAL INVENTORY REPORT T :3: REGULAR VOLUI1E ULLAGE 90% ULLAGE: TC VOLUI"lE HEIGHT lnJATER VOL WATER TEl"lP ~ . .. " END " T 1: :::;UPRHIE \/OLUME ULLAGE 90\, 1IIIJi(;E~ TI~:__I Ir"w HE"'r l,JATER \" il l."¡ATEk TEi"lP T _L US VOLUI"lE ULLAGE 9œ; ULLAGE= TC VOLU!"lE HEIGHT ~~ATER VOL WATER TEI"lP 169:3 GALS 1 D:329 GALS ,:) 1 :ltJ GALS 1 6 7~1 GALS :::: 1 . Q'7 I NC HES o GALS 1'1 ¡'ICLLNCHES _ '7':; .:2 DEG F ~:'?81 GALS 9741 GALS 8538 GALS 2257 GALS 2.? . 1 1 I NC HES o C;ALS CJ . 00 1 NCHE~3 74.9 DEG F 1889 101 :3J 8930 1865 I:;ALS GAL:3 GALS GALS INCHES GALS INCHES DEG F 23.7:3 o 0.00 77.4 ;.: ~ ;..: ~ ~ ------- e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME f'l Jt.:I"Ad u rl cktl~ &\ INSPECTION DATE é;'-¡O' 01 Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank .ow F Type of Monitoring CLM o Multi-Agency Number of Tanks Type of Piping o Complaint ~ OwF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile \ ./ / Proper owner/operator data on file V / Permit fees current V / Certification of Financial Responsibility t/ / "' Monitoring record adequate and current V Maintenance records adequate and current V / Failure to correct prior UST violations V Has there been an unauthorized release? Yes No ~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=CompJiance V=Violation Y=Yes N=NO In,poolo, ~ (1datfJ Office of Environmental Services (805) 326-3979 White - Env, Svcs. ~~ 'usiness Site Responsible Party Pink - Business Copy e e CITY OF BAKERSFIEI./D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 --- INSPECTION DATE ~ -fO-O( PHONE NO. g ~. q ì '6 { BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES s- FACILITY NAME AI ~~ d t: r . d.,..jff1t\ ADDRESS ~5'.,)ç ~i k('./ F ACILITY CONTACT INSPECTION TIME Section 1: Business Plan and Inventory Program o Routine ~ Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate peonit on hand \, V Business plan contact ¡nfoonation accurate ~ V Visible address L V Correct occupancy It .I Verification of inventory materials L / Verification of quantities L / Verification of location \... / Proper segregation of material L/ Verification of MSDS availability L. / Veri fication of Haz Mat training LII Verification of abatement supplies and procedures L V Emergency procedures adequate L- Containers properly labeled V Housekeeping V Fire Protection ....,I Site Diagram Adequate & On Hand I C=Compliance V=Violation White - Env. Svcs. Pink - Business Copy Any hazardous waste on site?: Explain: DYes DNo Questions regarding this inspection? Please call us at (661) 326-3979 Yellow - Station Copy Inspector: .., CITY OF BAKERSFIELD tþFICE OF ENVIRONMENT.ERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 (Ð UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Check one Item only) o 1. NEW SITE PERMIT o 3. RENEWAL PERMIT o 4. AMENDED PERMIT o 5. CHANGE OF INFORMATION (SpecIfy ch8nge . køI uae only) o 8. TEMPORARY SITE ClOSURE Page _ of _ o 7. PERMANENTLY CLOSED SITE o 8. TANK REMOVED 400. BUSINESS NAME (SIm. . FACILITY NAME 01 DBA . DoIng Busln_ As) I. FACIUTY I SITE INFORMATION 3 FACILITY 10. 401. FACILITY OWNER TYPE o 1. CORPORATION 1i 2. INDIVIDUAL o 3. PARTNERSHIP r èh(\J r c V\ o 3. FARM 0 5. COMMERCIAL o 4. PROCESSOR 0 8. OTHER 403. Is f8cIllty on indian ~1Ion 01 ·If owner of UST a public agency: name of supervisor of truaIIands? division. sectJon 01 ofI\a whlcll operates th. UST. (ThIs Is the c:ontacl person for the tank records.) o 4. LOCAL AGENCYIDISTRICT" o 5. COUNTY AGENCY· o 8. STATE AGENCY" o 7. FEDERAL AGENCY" 402. 404. o Yes ISJ(Ño 405. 406. . ..:, . .... .. ... ,. '" ... '.' IL PROPERTvOVVNER !NfOIUlATI9,.', 410. ZIP CODE 412. 2. INDIVIDUAL o 3. PARTNERSHIP o 4. LOCAL AGENCY' DISTRICT o 5. COUNTY AGENCY 133 (!) 08. STATE AGENCY o 7. FEDERAL AGENCY 413. ' MAILING OR STREET ADDRESS CITY 417. STATE 418. ZIP CODE 419. o 1. CORPORATION b'2. INDIVIDUAl o 3. PARTNERSHIP o 4. LOCAL AGENCY' DISTRICT o 5. COUNTY AGENCY o 8. STATE AGENCY o 7. FEDERAL AGENCY 420. TANK OWNER TYPE ·:':¡~~.:!9~:~~'·ÊÄ~~~.¡·~,~~ßP.ij,·,P'!'~º~~~,,~~;:~Ç~9M~J;,~y,;'" . Call (916) 322-9669 If questions arise 421. ,,;PETRÓ~EUM'US1" FI~êlALïtEspg~sl~!Hft·.';·:··,i:; ..............-...;. .... o. "., .. . o 1. SElF-INSURED o 2. GUARANTEE o 3. INSURANCE o 4. SURETY BOND o 5. lETTER OF CREDIT o 8. EXEt.f'TION 7. STATE FUND o 8. STATE FUND & CFO LETTER 09. STATEFUND&CO o 10. LOCAL GOVT MECHANISM o 99. OTHER: 4~ Check on. box to Indlalle which acIdr-. should be used fOllegal nOllflcallons and malDng. L.eg81 noIIfIc:atlona end mailings will be ..u to the tank owner unl_ box 1 01 2 Is checked. ~ 1. FACILITY ... .. ., . .. '>.;:i·::;:-¡VI.LEGALN~TlFïCATlONAND MAlUNGADDrtES$'.. ... . , ....,..'.'.....: . ...........' .... o 2. PROPERTY OWNER o 3. TANK OWNER 423. ... - ...,. ·"~CAP~~ê~.sí~11I~~'······ . CettJfIc:atJon: certify thalth. Infotmallon prcMded herein IlI/Ue and acc:um. to the best rJ my knowledge. SIG 428. DATE /O~S ,. ÂØOO TITLE OF APPLICANT 424. PHONE Cb'-( ') <g s ~ --if 7 ð I 425. 4X1. I STATE UST FACILITY NUMBER (For ~ 11M only) UPCF (7/99) 428. I 1888 UPGRADE CERTIFICATE NUMBER (For lou' UN only) 429'1 S:\CUPAFORMS\swrcb-a.wpd -- . Complete the UST - Facility page for all new pennits, pennit changes or any facility infonnation changes. This page must be submitted within 30 days of pennit or facility information changes. unless approval is required before making any changes. Submit one UST· Facility page per facility, regardless of the number of tanks located at the site. This fonn is completed by either the pennit applicant or the local agency underground tank inspector. As part of the application, the tank owner must submit a scaled facility plot plan to the local agency showing the location of the USTs with respect to buildings and landmarks [23 CCR 32711 (a)(8)]. a description of the tank and piping leak detection monitoring program [23 CCR 32711 (a)(9)], and, for tanks containing petroleum. documentation showing compliance with state financial responsibility requirements [23 CCR 32711 (a)(11)J. Refer to 23 CCR 32711 for state UST infonnation and pennit application requirements. (Note: the numbering of the instructions follows the data element numbers that are on the UPCF pages. These data element numbers are used for electronic submission and are the same as the numbering used in 27 CCR. Appendix C. the Business Section of the Unified Program Data Dictionary.) Please number all pages of your submittal. This helps your CUPA or local agency identify whether the submittal is complete and if any pages are separated. 1. FACILITY 10 NUMBER· Leave this blank. This number is assigned by the CUPA. This is the unique number which identifies your facility. 3. BUSINESS NAME - Enter the full legal name of the business. 400. TYPE OF ACTION - Check the reason the page is being completed. CHECK ONE ITEM ONLY. 401. NEAREST CROSS STREET - Enter the name of the cross street nearest to the site of the tank. 402. FACILITY OWNER TYPE - Check the type of business ownership. 403. BUSINESS TYPE - Check the type of business. 404. TOTAL NUMBER OF TANKS REMAINING AT SITE -Indicate the number of tanks remaining on the site after the requested action. 405. INDIAN OR TRUST LAND - Check whether or not the facility is located on an Indian reservation or other trust lands. 406. PUBLIC AGENCY SUPERVISOR NAME - If the facility owner is a public agency. enter the name of the supervisor for the division, section or office which operates the UST. ·This person must have access to the tank records. 407. PROPERTY OWNER NAME - Complete items 407- 412 for the property owner, unless all items are 408. PROPERTY OWNER PHONE the same as the Owner Infonnation (items 111-116) on the BusinesS 409. PROPERTY OWNER MAILING OR STREET ADDRESS Owner/Operator Identification page (OES Form 2730). If the same, 410. PROPERTY OWNER CITY write ·SAME AS SITE" in this section. 411. PROPERTY OWNER STATE 412. PROPERTY OWNER ZIP CODE 413. PROPERTY OWNER TYPE - Check the type of property ownership. 414. TANK OWNER NAME - Complete items 414-419 for the tank owner" unless all items are the 415. TANK OWNER PHONE same as the Owner Infonnation (items 111-116) on the Business 416. TANK OWNER MAILING OR STREET ADDRESS Owner/Operator Identification page (OES Form 2730). If the same, 417 . TANK OWNER CITY write "SAME AS SITE" in this section. 418. TANK OWNER STATE 419. TANK OWNER ZIP CODE 420. TANK OWNER TYPE - Check the type of tank ownership. 421. BOE NUMBER - Enter your Board of Equalization (BOE) UST storage fee account number. This fee applies to regulated USTs storing petroleum products. This is required before your pennit application can be processed. If you do not have an account number with the BOE or if you have any questions regarding the fee or exemptions, please call the BOE at (916) 322-9669 or write to the BOE at Board of Equalization, Fuel Taxes Division, P.O. Box 942879, Sacramento, CA 94279-0030. 422. PETROLEUM UST FINANCIAL RESPONSIBILITY CODE - Check the methodes) used by the owner and/or operator in meeting the Federal and State financial responsibility requirements. CHECK ALL THAT APPLY. If the method is not listed, check Aother:: and enter the methodes). USTs owned by any Federal or State agency and non-petroleum USTs are exempt from this requirement. 423. LEGAL NOTIFICATION AND MAILING ADDRESS -Indicate the address to which legal notifications and mailings should be sent. The legal notifications and mailings will be sent to the tank owner unless the facility (box 1) or the property owner (box 2) is checked. SIGNATURE OF APPLICANT - The business owner/operator of the tank facility, or officially designated representative of the owner/operator. shall sign in the space provided. This signature certifies that the signer believes that all the infonnation submitted is accurate and complete. 424. DATE CERTIFIED - Enter the date that the page was signed. 425. APPLICANT PHONE - Enter the phone number of the applicant (person certifying). 426. APPLICANT NAME - Enter the full printed name of the person signing the page. 427. APPLICANT TITLE - Enter the tiUe of the person signing the page. 428. STATE UST FACILITY NUMBER - Leave this blank. This number is assigned by the CUPA as follows: the number is composed of the two digit county number, the three digit jurisdiction number. and a six digit facility number. The facility number must be the same as shown in item 1. 429. 1998 UPGRADE CERTIFICATE NUMBER - Leave this blank. This number is assigned by the CUPA. tAt / 1_ .1 _~ ílJI.. . Á.'. ~ ....... -. -- .-. CITY OF BAKERSFIE~ OaCE OF ENVIRONMENTAL9ERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUNDSTORAGETANKS-TANKPAGE1 s or{ CHANGe OF INFORMATION) P-ve ~ o e. TEMPORARV SITE ClOSURE o ,. PERMANENTl v ClOSED ON sITe Os. TANKREMOVED TYPE OF "'CTION 0 t, NEW SIT!! PERMIT 0 4. AMENDED PERMIT (Chec. 0'" ,,.,,, 0IIIy) o 3, RENEWAL PERMIT (SIHdY _ . frN lOcal,". O~) BUSINESS NAME (Sem.. FACILITY NAME or DBA· Doing.... AI) E~ Pro k ro ANKI . (SÞedyCIYnge. frNlOcaIus. O~) 3 FACIUTY 10 . ~k \Jf(ð V\ 4' I. TANK DESCRIPTION COMPARTMENTALIZED TANK 0 v.. No If "V_., complele one Ø-sI8 for NCII compartment. 43- ..-- ~QO\ IN NU 43 o 438 .. TANK CONTENTS i TANK USI! 43t I 6t 1. MOTOR VEHIClE FUEL I (If_rlfed. ~~ J)JIe) I 0 2. NON-FUEI. PETROL£UM I 0 3. CHEMICAL PROOUCT I 0 4. HAZARDOUS WASTE (1nt:IutIN Ihed 01) o 95. UNKNO'NN PETAOLI!UM ~ o 'I. RI!GUtAA UN.!ADED 0 Z. LEADED ~1b. PREMlUMUNLEAOED 03. DIEsel o Ie. MIDORADE UtUADED 0 4. GASOHOl COMMON HAM! (from HazMdoc4 Me.,.,. Invetltoty pege) 44{ o 5. JET FUeL EJ 8. AVIATION FUEL o 99. OT)ER 441 CAS . (from Huafl»4Id,.,.,.,.1trvenIoty page) 442 I, TYPE OF TANK (C/I«It OM iIIm 0IIIyJ i , ! TANK MATERIAL· ptIn\8Iy'" 1jZ'J 1. BARE STæL I (C/I«It 0118 iIMI only) 0 2. STA/Nl£SS STæL I TANK MATERIAL· ~... 0 1. BARE STæL (C/I«ItOMilemonly) 0 2. STAlNLESSSTæL TANK INTERIOR UNHO OR COATING (Clleck _ iIem only) SPILL AND OVERFILL I (Check .IIIÑI apply) I , o 1. 8INOU! WALL. " 2. DOU8U! WALL. o 1. RU8IER LIED o 2. AIJM) LINIIG .. TANK CONSTRUCTION o 3. SINGlE WALL. 'MTH EXTERIOR MEIoIIIWE LINER 04. SINGLE WALL IN A VAULT o 3. FIBERGlASS I PlASTIC o 4. STEEL ClAD WlFIBERGlASS REINFORCED PlASTIC FRP 3. FIBERGlASS I PlASTIC o 4. STEEL ClAD WIFI8ERGlASS REINFORCED PlASTIC (FRP) o 5. CONCRETE o 3. EPOXY lNNO o 4. PHENOlIC lINING o 5. SINGLE WALL wmt INTERNAl BI.ADDER SYSTEM OM. UNCNOWN 0.. OTHER o 5. CONCRETE 0 M. UNKNOWN o 8. FRP COMPATIBLe W/I00% METHANOL 099. OTHER 444 4C3 o 8. FRP COMPATiBLe WI100% METHANOL o .. FRP NON-CORROOI8lE JACKET o 10. COATED STEEL o tII. UNKNOWN 0.. OTHER 445 44ð DATE INSTALLED 447 o 5. 0lA88 UNINO "He. UÞLINED o tII. UNKNOWN o eo. OTHER 1oW_ DATE INSTALLED 44' 3. FIIIEROlASS REINFOACEO PLASTIC o 4. M'RESSED CURRENT OM. UNKNOWN 0.. OTHER 448 o 1. MAMlFACTUAI!D CATHODIC PROTECTION o 2. SACRIFICIAL ANODe YEAR INSTALLED æ't. SPlLLCONTAINMI!NT Cfa o 2. DROP TUBe q .., o 3. STRIICI!A PlAT! t\.t W. (For lOcal 11M only) 45t OVERFIU. PROTECTION EQUIPMENT: YEAR INSTALLED 452 111,. AlARM qJ IÑ 3. FILL TUSesHUTOFFVAlVE n- o 2. BAlLFlOAT 04, EXBCPT 450 TYPE (F« IouI 11M only) .::,JV'?I.'~KLiAK IP SlNGLI WALL TANK (ChecIt" /IIa, IIIPIY): o 1. VISUAl. (lXPOaeD PORTION ONLY) o 2. AUTOMATIC TANK QAUOINO (ATO) o 3. CONTINUQUSATO o 4. STATISTICAL INlll!HrORV RECONCILIATION (SIR). 81ENNIAL TANK TUTIHO . ...:¿: ~~~,~?,~..~..~~~";I:.'.I"I::: ",.. . >;.:........-:. :~:-~~~....: '~'j~..':. ..... . . ::.::}~~.,:~,~,:,,:.' I' .,.. ," ....,.,..t:~!'''. '"~''.~''' . . .' '\.Y·'·· "'~j.:<l. . 'í. ,,' ....,..... ...., ...., óoueù w~ TANK OR TANK ~ eWôiR (CIIeck _ 18m only): 454 o t. VISUAL (SIHQU! WALL IN VAULT ONLY) c; 2. CONTINUOUS INTeRSTITIAL MONITORING o 3. MANUAl MONITORING 4U [1 50 MANUAl TANK GAUGING (MfO) o 8. VADOSE ZONe 07. GROUNDWATER o .. TANKTESTINQ o ft. OTHER V. TANK CLOSURe INPORMATION I PIRIlANINT CLOIURIIN PLAce ISTlMATID QIJAHTITV OF SUBSTANCI REMAINING 4Ø TAM< FILLED WITH INERT MATlRIAL? 457 eSTIMATeD OATe LAST UIID (YMGOAY) UPCF (7199) IIIIIOnI o V. 0 No S;\CUPAFORMS\SWRCs.S.WPD -.., f \ CITY OF BAKERSFIELD a e OfFICI! OF ENVIRONMENTAL SERVI~ 171' Che.I., Av.., Bak.rsfl.ld, CA 93301 (881) 328·3979 F'8ge utT. TAN( PAGe 2 _ 01 _ UNDERGROUND PIPING VI. PIPING CONSTRUCTION (CMc/f " INt eppIyJ ABOVEGROUND PIPING . SYSTEM TYPE I$, 1. PRESSURE 0 2. SUCTION 0 3. GRAVITY 453 0 1. PRESSURE : CONSTRUCTION/IO \. SINGlE WALL 0 3. LINED TRENCH 0 99. OTHER 460 0" SINGLE WALL : MANUFACTURER $ 2. DOUBLE WALL 0 is. UNKNOWN 0 2. DOUBLE WALL ! MANUFACTURER 481 MANUFACTURER ! 0 \. BARE STEEL 0 8. FRPCOMPATIBL£W/IOO11o METHANOL 0 \. BARE STEEL i MATERIAlS AND 10 2. STAINLESS STEEL 0 7. GAlVANIZED STEEL 0 2. STAINLESS STEEL I CORROSION , PROTECTION 10 3. PlASTIC COMPATIBlE WITH CONTENTS 0 is. UNKNOWN 0 3. PlASTIC COMPATIBLE WITH CONTENTS fEI..4. FIBERGlASS 0 8. FLEXIBLE (HOPE) 0 99. OTHER 0 4. FIBERGlASS :05. STEElW/COATING 09. CATHODIC PROTECTION 484 05. STEELW/COATlNG VIL PIPING U!AK DETEC110N (Check" /Nt apply) ~;«r¡~·~i~; U d.' .~':~~~ - .._.. ~"~:;~~).~fi¥~~~~~~Uì~l 01. FlOATMECHANlSMTHATSHUTSOFFSHEARVAlVE 4ð8 fi 2. CONTINUOUS DISPENSER PAN SENSOR . AUDIBL£ AND VISUAl AlARMS ~ 3. CONTINUOUS DISPENSER PAN SENSOR ~ AUTO SHUT OFF FOR DISPENSER. AUDIBLE AND VISUAl AlARMS IX. OWNER/OPERATOR SIGNATURE I certify Ihellh. Inform8llOn ptOIIidecl herein ie IN. 8I\Ø 8CCUI'ate 10 tile tIeeI d my knowledge. SIGNATUR TOR .' ,~ , ~~ UNDERGROUND PIPING LI WALL PIPI 4ð8 PRESSURIZED PIPING (Check " INt IPPIY): o 1. ELECTRONIC LINE lEAK DETECTOR 3.0 GPH TEST mnt AUTO PUMP SHUT OFF FOR lEAK. SYSTEM FAILURe. AND SYSTEM DISCONNECTION . AUOI8LE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAlINTEGRITV TEST (0.1 GPH) CONVENTIONAl SUCTION SYSTEMS: o 5. DAilY VISUAl MONITORING OF PUMPING SYSTEM . TRIENNIAl PIPING INTEGRITY ¡ TEST (0.1 GPH) I SAFE SUCTION SYSTEMS (NO VAlVES IN BElOW GROUND PIPING): o 7. SELF MONITORING . GRAVITY FlOW: o 9. BIENNIAl INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check allNt IPPIY): 10. CONTINUOUS TURBINE SUMP SENSOR ïdn1 AUDIBlE ANI) VISUAl ALARMS ANI) (Check one) o a. AUTO PUMP SHUT OFF WHEN A lEAK OCCURS t1-D. AUTO PUMP SHUT OFF FOR lEAKS. SYSTEM FAILURE ANI) SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF 'ijJ 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) mn1 FlOW SHUT OFF OR RESTRICTION '1$ 12. ANNUAl INTEGRITY TEST (0.1 GPH) SUCTIONIGRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR . AUDIBlE AND VISUAL ALARMS EMERGENCY GENERATORS ONlY (ChecII"lIIIIt 1fJIJIY) o 14. CONTINUOUS SUMP SENSOR mItfQUI AUTO PUMP SHUT OFF . AUOIBL£ AND VISUAl ALARMS o 15. AUTOMATIC liNE lEAK DETECTOR (3.0 GPH TEST) ïiIItQIl[ FlOW SHUT OFF OR RESTRICTION o 16. ANNUALlNTEGRITY TEST (0.1 GPH) o 17, DAILY VISUAL CHECK \ LJI I Perm,l Number (FoT /oQ/ 1M only) 473 Permit Aøftoyed (For IocIIIIM only) S:\CUPAFORMS\SWRCS-B.WPD UPCF (7/99) o 2. SUCTION 095. UNKNOWN o 99. OTHER o 3. GRAVITY 45 46. 46: o 8. FRP COMPATIBLE W/I00% METHANot. o 7. GALVANIZED STEEL o 8. FlEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o is. UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Chf/ck aI INt apply): o 1. ElECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ï4I!:t AUTO PUMP SHUT OFF FOR lEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION. AUDIBlE AND VISUAl AiAAMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAl INTEGRITY TEST (0.1 GPH) o 4. CAlLY VISUAl CHECK CONVENTIONAl SUCTION SYSTEMS (Check ..lNt øppIy): o 5. CAllY VISUAl MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAl INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VAlVES IN BelOW GROUND PIPING): o 7. SElF MONITORING GRAVITY FlOW (Check "lIIIIt apply): o 8. CAlLY VISUAl MONITORING o 9. BIENHIAlINTEGRlTYTEST(O.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Chf/ck aI that IPPIY): 10. CONTINUOUS TURBINE SUMP SENSOR ï4I!:t AUDIBlE AND VISUAl AlARMS AND (dIedt one) o a. AUTO PUMP SHUT OFF WHEN A lEAK OCCURS o D. AUTO PUMP SHUT OFF FOR lEAKS. SYSTEM FAilURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAl INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR . AUDIBlE AND VISUAl AlARMS EMERGENCY GENERATORS ONLY (ChecII"/Nt apply) o 14. CONTINUOUS SUMP SENSOR ~AUTO PUMP SHUT OFF. AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE lEAK DETECTOR (3.0 GPH TEST) o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAl CHECK o 4. DAJL Y VISUAl CHECK o 5. TRENCH LINER / MONITORING o 8. NONE 4ð9 DATE 10 - '5,.. Â-OO() 471 TITLE OF OWNERIOPERATOR Vle~ 470 472 474 Perm Exølrlllon 011. (FoT IocIIIM only) 475 I · CITY OF BAKERSFIEYi} OACE OF ENVIRONMENTAL~RVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUNDSTORAGETANKS-TANKPAGE1 (S P8ge t1l TYPE OF ACTIOH 0 ,. HEW SIT!! PERMIT 0 4. AMENOf!D PERMIT (iY( CHANGe OF INFORMATION) (Check 0". Item 0tIIy o S. TEMPORARV SITE CLOSURE o 7, PERMANENTlY ClOSED ON SITE OS. TANK REMOVED o 3. RENEWAl PERMIT (~_ . "" lOCal u.. only) BUSINESS NAME (Same. FACILITY NAME 01 08A. Doing ØuIiI*I AI) to 4;; 4~ ANK 10 . ¡ TANK USE at ~1. MOTORVEHICLEFUB. I (If _tlted, ~. ,......." 7)pe) I 0 2. NQN-ÇUE1. PETROLEUM I 0 3. CHEMICAl PRODUCT I 0 4. HAZARDOUS WASTE (1nØudN /hied 01) 095. UNOIOWN I. TANK DESCRIPT10N COMPARTMENTAlIZED TANK 0 Yes QK No If ""(... complete one ø-ve for eacII compartment. ~ ~cor IN NU 43: J. CO e- 436 .. TANK CONT!NTI P!TAOLEUM TYPe o 1L REGU.AR UNl£ADED 0 2. lEADED o 111. PASaJM UNLEADED 0 3. DIESEL $: 1e. AoIDOfW)E UNLEADED 0 4. GASOHOL COMMON NAME (tIvm HIZM»cIs Alalltrllls Inwntoty pege) I TYPE OF TANK I (Chedt one ..", only) I I ! TANK ~TERIAl· prIrn8ry'" ~ 1. BARE STEEL I (Chedt - itMI only) 0 2. STAINl£SS STEEL I TANK ~TERIAl· --.y... 0 1. BARE STEEL (Chedt onellem only) 0 2. STAINL!SS srea TANK INTERIOR L.NHO OR COATING I (Chedt onellem ðIIM OTHER CORROSION PROTECTION IF APPUCAIIU! (ar.ck onellem only) SPILL AND OVERFill I (Check.. /lYt .çJpIy) I o 1. SINOL2 WALL $I 2. DOU8U! WALL o 1. RUIIEA LN!D o 2. AUC'tDt,MG 44{ o 5. ÆT FUEL EJ S. AVIATION FUel 099. OTHER 441 CAS'(from~tdoud"__ftwenftNypege) 442 .. TANK CONSTRUCTION o 3. SINGLE WALL WITH EXTERIOR MEMBRANE lINER o 4. SINGlE WAlL IN A VAUlT o 5. SINGlE WAlL WITH INTERNAl. BLADDER SYSTEM o 85. UNKNOWN D.. OTHER o 5. CONCR£TE 0 lIS. UM<NOWN o I. FRP COMPATIBlE WI100% METHANOL D.. OTHER 4C3 o 3. FIBERGlASS / PlASTIC o 4. STEEL Q.AD WJFI8ERGt.ASS REINFORCED PlASTIC IFRP\ ~ 3. FIBERGlASS/PlASTIC o 4. STEEL Q.AD WJFI8ERGlASS REINFORCED PlASTIC (FAP) o 5. CONCRETE o 3. EPOXY LINING 0 5. 0LA88 LINING 0 15. UNKNOWN o .. PHENOlIC UNINO fit L UN.INED 0.. OTHER fil3. FI8ERGlASS REINFORCED PI.AITIC 0 85. UNKNOWN 448 o 4. IIo1PRESSEO CURRENT 0.. OTHER 444 015. UN<NOWN D.. OTHER o II. FRs> COMPATIBlE W/100% METHANOl o a. FRP N()N.(X)RRODI8lE JACKET o 10. COATED STEEL 44S ..... D4TE INSTAU.£D 447 ~1OI:eI__J D4TE INSTAU.£D 4411 o 1. MANUFACNAI!D CATHODIC PROTECTION o 2. SACRIFICIAL ANOOI! YEAR INSTAllED o ,. SPlllCOHTAINMENT qn o 2. DROP TUBe q 1 o 3. STAIIŒR PLATE! (For /oeM _ only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 SJ 1. AlARM t¡'" &3. Fill TUBE SHUT OFF VAlVE :!1.- o 2. BAlL FlOAT 0 4. EXEMPT 450 TYPE (F« /oeM _ only) ., SlNOlI WALL TNII< (ChecIr" tile, ¥PlY): o '. VISUAl (1!XP01eD PORTION ONL V) o 2. AUTO~TICTANKQAUOINO(ATO) o J. COHTINUOU8ATO o 4. STA TISTICAlIN'ÆNTORV RECONCILIATION (SIR) · IIENNIAl TANI< TUTINO asTI~T!D OATllAST UIeD (YMCOAV) UPCF (7/99) 411 ,::,IV5,':'1'~K UiAK ~.~t-' ~~~~~:~JÌ: ~:'~~~.?::'?!::!. '.. . :..;: "~' .....::. ;~?t~:~·'r.;~~· . ;~:~; ,;,' '.'. '.::}~~(~*~. ! ,,, DOU8UI WAU TANK OR TANK \\fTH It.ADOU (CMt:Ir onellem only): 454 o 1. VISUAI.(SINQL!WAlLINVAULTONLV) "2. CONTINUOUS INTERSTITIAl MONITORING o 3. MANUAl MONITORING o 5. MANUAL TANKOAUQlNQ(MTO) o I. VADOSE ZONE o 7. QROUNOWATER o II. TANK TESTING a.. OTHER Y. TANK CLOSURe INPORMATlON I PIRIlANINT CLOSURlIN PLACI UTlMATIO QUNmTY OF SUBSTANCI REMAINfoIO 4M TANK FILLeD WITH INERT ~TERIAL? 457 .... o V. a No S:\CUPAFORMS\SWRca.a.WPD · CITY OF BAKERSFIELD a e OFFICE OF ENVIRONMENTAL SERVIC. 1715 Che,'" Ave., Bak,,.f1,ld, CA 93301 (811) 328-3979 k' ~ UST. TANI( PAGe 2 _ fII "=-. UNDERGROUND PIPING VL PIPING CONSTRUCTION (CIIedt " that IPIJIYJ ABOVEGROUND PIPING SYSTEM TYPE i I, PRESSURE 0 2. SUCTION 0 3. GRAVITY 458 0,. PRESSURE CONSTRUCTION/i 0 1. SINGLE WALL 0 3. LINED TRENCH 0 99. OTHER 480 0" SINGLE WALL : MANUFACTURE~ 2. DOUBLE WALL 0 95. UNKNOWN 0 2. DOUBLE WALL ! I MANUFACTURER ~ 481 MANUFACTURER 10 1. BARE STEEL 0 8. FRP COMPATIBlE W/IOO11o METHANOL 0 1. BARE STEEL : MATERIALS AND 10 2. STAINLESS STEEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STEEL I ~~~~~i~;N :0 3. PlASTIC COMPATIBLE WITH CONTENTS 095. UNKNOWN 0 3. PLASTIC COMPATIBLE WITH CONTENTS ~ 4. FIBERGLASS 0 8. FLEXIBlE (HOPE) 0 99. OTHER 0 4. FIBERGLASS !O 5. STEELW/COATING 09. CATHODIC PROTECTION 484 05. STEELW/COATING VIL PIPING U!AK DETECTION (Check" Iller apply) UNDERGROUND PIPING NG WALL PIPING 468 PRESSURIZED PIPING (Check all that apply): o 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPH TEST mItI AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURe. AND SYSTEM DISCONNECTION. AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5. DAIL V VISUAL MONITORING OF PUMPING SYSTEM . TRIENNIAL PIPING INTEGRITY i TEST (0.1 GPH) I' SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONOARlL Y CONTAINED PIPING PRESSURIZED PIPING (Check aI that apply): 10. CONTINUOUS TURBINE SUMP SENSOR mItI AUDIBlE AND VISUAl AlARMS AND (Chec:lc one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~ Þ. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF Q 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) m!t1 FlOW SHUT OFF OR 'f' RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR. AUDIBLE AND VlSUALALAAMS EMERGENCY GI!NERATORS ONLY (Check" that apply) o 14. CONTINUOUS SUMP SENSOR mII:!QUI AUTO PUMP SHUT OFF . AUDIBLE AND VISUAL AJ.ARMS o 15. AUTOMATIC UNE LEAK DETECTOR (3.0 GPH TEST) mntœ£[ FlOW SHUT OFF OR RESTRICTION o 18. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAIL V VISUAL CHECK o 2. SUCTION o 95. UNKNOWN o 99. OTHER o '3. GRAVITY 45 46. 46~ o 8. FRP COMPATIBLE W/I00% METÏiANoL o 7. GALVANIZED STEEL o 8. FlEXIBLE (HDPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING 46ì PRESSURIZED PIPING (Check aI that apply): o 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPH TEST mItI AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAIlI./Re. AND SYSTEM DISCONNECTION. AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) o 4. OAIL V VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check aI /lie! apply): o 5. OAIL Y VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 8. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FlOW (Check aI /lie! apply): o 8. OAIL Y VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONOARlL Y CONTAINED PIPING PRESSURIZED PIPING (ChtK;k " th.t .ppIy): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL AlARMS AND (dIeCk one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o Þ. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR . AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (CItIcIt" lllat IIpp/y) o 14. CONTINUOUS SUMP SENSOR mnt2YI AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) .\" ....i. ;,t.~ . ~. DISPENSER CONTAINMENT DATE INSTAL ED 488 17 o 1. FlOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ~ 2. CONTINUOUS DISPENSER PAN SENSOR . AUDIBLE AND VISUAL AlARMS IJ 3. CONTINUOUS DISPENSER PAN SENSOR ïdII:I AUTO SHUT OFF FOR DISPENSER. AUDIBLE AND VISUAL AlARMS IX. OWNER/OPERATOR SIGNATURE o 4. OAIL Y VISUAL CHECK o 5. TRENCH UNER / MONITORING o 8. NONE 469 \ cJ/ DATE 470 /ó - 5 -- ~ 471 TITLE OF OWNERIOPERATOR V\ Q '---' 472 474 Permll ExøIrIIIon DIlle (For Ioclluse only) 475 I Permit Numtler (For loc8Iuse only) 473 Permll AøØRMd (For IoctI ure only) S:\CUPAFORMS\SWRCB-B.WPD UPCF{1/99) / 7~:.. .....! CITY OF BAKERSFIE~ OaCE OF ENVIRONMENTALW:RVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 æ ~ CHANGe OF INFORMo\TION) P8ge fA o S. TEMPORARY SITE CLOSURE o 7, PERMANENTlY ClOSED ON SITE OS. TANKREMOVEO TYPE OF ACTION 0 ,. NEW SITe PeRMIT 0 4. AMENCEO PERMIT (Check o".,tem 0li/)l) o J. ReNEWAL PERMIT ,... t:.G i i TANK 10. I J 4' ¡ TANK use 43t I '$ ,. MOTOR VEH1CU! FUEL I (If ",.r1ct4. ~"PUoIIuIt 1)pe) I 0 2. NON-FUEl PETROl.EUM I 0 J. CHEMICAl PRODUCT I 0 4. HAZAROOUS WASTE (1Iw:IudN Used 01) 095. UN<NOWN ! TYPE OF TANK I (CIt«k OM iIIm ody) I ! TANK MATERIAl· pr1maIy ... '$ 1. BARE STEEl I (C/IeCJf - item only) 0 2. STAK.ESS STEEl I TANK MATERIAl· -*y... 0 ,. BARE STEEl (CIt«k OM iIMt only) 0 2. STAINLESS STEEl TANK INTERIOR UNINO OR COATING (CIt«k _ iIMt only) SPILL AND OVERFILL I (Check .. INI apply) I o 1. SINGLE WALL 5 2. DOU8U! WALL I. TANK DESCRIPTION 3" CO,," IN 43 COMPARTMENTALIZED TANK 0 Y.. V No If ...,.... compleCe one page for UCII compartment. 43- NU -& 43e .. TANK CONT!NTI ÆTROLEUM TYPe Ø-,1. Æ<U.ARUNI.!ADEO 0 2. lEADED o 111. PREMIUM UNlEACEO 0 J. DIESEl o 1c. MDGRADI! UN.EADEO 0 4. GASOHOl. COMMON NAME (from Haørrlous AlalMllllnwnltNy".ge) 44( o 5. JET FUEl (J So AVIATION FUEl o 99. omER 441 CAS , (from Haørrlous ,.,."." /nvenIoty".ge) 442 .. TANK CONSTRUCTION o :s. SINGle WALl WITH EXTERIOR MEMBRNE LINER 04. SINGlEWALlINAVAUlT o 5. SINGle WALl WITH INTERNAL 8iADœR SYSTEM OIlS. UN<HOWN OW. OTHER o 5. CONCRETE 0 115. UNCNOWN o So FRP COMPATIBlE WI100% METHANOL 098. OTHER 443 o 3. FI8ERGI.ASS I PlASTIC o 4. STEEl CLAD WlFI8ERGlASS REINFORCED PlASTIC 3. FlBERGtASS I PlASTIC o ... STEEl CLAD w1F18ERGLASS REINFORCED PlASTIC (FRP) o 5. CONCRETE o :s. EPOXY UNNG 0 So 0I.A88 LINING 095. UNKNOWN o 4. PHENOlIC UNIIG ~ L UNJNED 0 eo. OTHER ~ 3. FI8EROLASS REINFOAŒO PI.ASTIC CJ lIS. UNI<NOWN 448 o 4. M'RESSEO CURRENT 0 W. OTHER 444 o 115. UNKNOWN OW. OTHER o So FRP COMPATIBlE W/100% METHANOL o t. FRP NOH-CORROOIBlE JACI<ET o 10. COATED STEEl 445 44ð DATE INSTAlLEO 447 o 1. RUIIER lND o 2. AI.XYD UNIIG lOQIuse DATE INSTAlLEO 449 o 1. MANUFACTURED CATHODIC PROTECTION o 2. SACAlFlCIAl ANOOI! YEAR INSTAlLED ~ ,. SPtU. CONTAINMENT IJI 2. DROP TUse 51 3. STRIIŒR Pl.ATI! (For local use only) 451 OVEAFIU. PROTECTION EQUIPMENT: YEAR INSTALlS) 452 -m 1. ALARM ..!I..:I.- I:ÎJ. FILL TUBeSHIITOFFVALVE.!l2- o 2. BALLFlOAT 0 4. EXEMPT 450 TYPE (For IOUI use only) " SlNOLI WALL TANK (ChecIr" /hit IPIJ/Y): o '. VISUAL (exPOseD PORTION ON. 'I') o 2. AUTOMATIC TANK QAUOINO (ATO) o J. CONTINUOUSATO o .. STATISTICAL INVl!HToRv Rl!CONCIlIATION (SIR) · BIeNNIAl TANK TUTINO ,,:,~{:"~K UWC .... ; ..' :.:,:.....:..:.',::;~~:(~*.;_. j 453 .... o S. MANUAL TANK GAUGING (MTG) o So VAOOSE ZON!! o 7. GROUNDWATER a e. TANK TESTING a eo. oml!A V. TANK a.OIUIU! INPORMATlOH I PIRMANINT CLOSURe IN PLAC! IITIMATIO QUANTITY OF SUB8TAHCI RIMAININO 4Ø TANK FII.U!O WITH INERT MATlAlAL1 457 eSTIMATeD OA TI WT UIIO (YRIMOIOA'I') UPCF (7199) -- a v. 0 No S;\CUPAFORMS\SWRCs.Ø.WPD I·Ç-;· CITY OF BAKERSFIELD ~ OFFice OF ENVIRONMENTAL SERVI e 1715 Chelt., Av.., Øak.ratl.ld. CA 93301 ("1) 28·3979 Page utT. TANK "AGE 2 _ d _ UNDERGROUND PIPING VI. PIPING CONSTRUCTION (Chfc¡ "l1li, tppIy) I o 3. GRAVITY 45'" 46. SYSTEM TYPE ¡ I, PRESSURE 0 2. SUCTION 0 3. GRAVITY 458 0 ,. PRESSURE : CONSTRUCTION/10 1. SINGLE WALL 0 3. LINED TRENCH 0 99. OTHER 480 0 1. SINGLE WALL : MANUFACTURE~2. DOUBLE WALL 09ð. UNKNOWN 0 2. DOUBLE WALL ~ ~UFACTURER 481 MANUFACTURER o ,. BARE STEEL 0 8. FRP COMPATIBLE W/I00% METHANOL 0 1. BARE STEEL MATERIALS AND [0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STEEL CORROSION PROTECTION 10 3. PlASTIC COMPATIBLE WITH CONTENTS 09ð. UNKNOWN 0 3. PlASTIC COMPATIBLE WITH CONTENTS rf' 4. FIBERGlASS 0 8. FLEXIBLE (HOPE) 0 99. OTHER 0 4. FIBERGLASS :05. STEELW/COATING 09. CATHODIC PROTECTION 484 05. STEELW/COATlNG VIL PIPING U!AK DETECTION (Check" /lilt epp/y) UNDERGROUND PIPING NGLe WALl. PIPI 466 PRESSURIZED PIPING (Check all tha, apply): o ,. ELECTRONIC LINE LEAK DETECTOR 3.0 OAf TEST mIt1 AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAIlURE. AND SYSTEM DISCONNECTION · AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GAt TEST o 3. ANNUAl INTEGRITY TEST (0.1 GAt) CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM . TRIENNIAl. PIPING INTEGRITY ¡ TEST (0.1 GAt) I SAFE SUCTION SYSTEMS (NO VAlVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAl INTEGRITY TEST (0.1 GAt) secONDARILY CONTAlN£O PIPING PRESSURIZED PIPING (Check all IIIIt apply): 10. CONTINUOUS TURBINE SUMP SENSOR mIt1 AUDIBLE AND VISUAl ALARMS AND (ClledI one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ..... b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM ., DISCONNECTION o c. NO AUTO PUMP SHUT OFF 'EÍ ". AUTOMATIC LINE LEAK DETECTOR (3.0 OAf TEST) mIt1 FLOW SHUT OFF OR RESTRICTION 'Cf. 12. ANNUAl INTEGRITY TEST (0.1 GAt) SUCTIONlGRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR . AUDIBlE AHO VISUAL AlARMS EMERGENCY GENERATORS OM. Y (Check" IIIIt apply) o 14. CONTINUOUS SUMP SENSOR m:D::IS2UI AUTO PUMP SHUT OFF . AUOIBLE AND VISUAl ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 OAf TEST) ~ FLOW SHUT OFF OR RESTRICTION o 18. ANNUAL INTEGRITY TEST (0.1 GAt) o 17. DAILY VISUAL CHECK ". '/ .... 473 I Pennlt Aøøroved (For'" UH only) p,""" Number (For IOU/ UH only) UPCF (7/99) ABOVEGROUND PIPING o 2. SUCTION 095. UNKNOWN o 99. OTHER 462 o 8. FRP COMPATIBLE W/I00% METHANol. o 7. GALVANIZED STEEL o 8. FLEXIBLE (HOPE) 0 99. OntER ' o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check aI that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GAt TEST rtmI AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAIlURE. AND SYSTEM DISCONNECTION. AUDIBLE AND VISUAl ALARMS o 2. MONTHlY 0.2 GAt TEST o 3. ANNUAl INTEGRITY TEST (0.1 GAt) o 4. CAlLY VISUAl CHECK CONVENTIONAL SUCTION SYSTEMS (Check ,,/Nt apply): o 5. CAlLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 8. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VAlVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check allhøt apply): o 8. CAlLY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check aIIlhøt apply): 10. CONTINUOUS TURBINE SUMP SENSOR mn1 AUDIBLE AND VISUAL ALARMS AND (å1eCk one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAl INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. COtmNUOUS SUMP SENSOR . AUDIBLE AND VISUAl ALARMS EMERGENCY GENERATORS ONLY (Check aII/IIIt apply) o 14. CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF. AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) o 18. ANNUALlNTEGRITY TEST (0.1 GPH) o 17. DAILYVISUAlCHECK ,,'..-":~ ·...~M,~:~t,~;,~~~·,;~0t;:ii}f¡~. .. o 4., CAlLY VISUAL CHECK o 5. TRENCH LINER / MONITORING o 8. NONE 469 DATE 470 ({) - $- :;ZOOV 471 TITLE OF OWNERIOPERATOR OWY\~L-- 472 47. Perml' ExQIIIIIon OIl' (For /oQ1 1M only) 4751 S:\CUPAFORMS\SWRCB-S.WPD E. F. G. ~EN MONITORING PR<A:DURES UNDERGROUND STORAGE TANK MONITORING PROGRAM Thilmonitoring program IDUSt be kept at the UST location at aU times. The i.nfonnaûon on thiI DIODÎIDI'iDI q program arc coDdiåoDl of the operating permit. The permit bolder IDUIt DOtify the OftIœ at Environn.......1 Services within 30 days of aøy chJtnpcc to the monitoring proccdwa, unJess requùed to obCaiD approya1 before makiDg tbe change. Rcquirc:d by Sec:ûODS 2632(d) and 2641(h) CCR. F~ty Name ~~ ~ Aw 1. ~kllW'\ Facility Address _ wh" hf1l1\t. A Describe the fi'equency of performing the monitoring: Tank Otl\.t'\ Piping Oo.l ( ~ B. What methods and equipment, identified by name and model, will be used for pafomiDg the monitoring: Tank ATCð ()CC'/{l t'~ llC)()+_TL~' ~. Cj 0 Piping ~ LIAA l'- I' c. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): '[(/\ ~AtJ f(l IL I't\() It\. '" (' ~f--=J-o M llL D. List the name( s) and title( s) of the people responsible for performing the monitoring and/or maintaining the equipment: Jz o...~ \, rQ..rJ. }J ú- ~ r Ld../I () (11 V\ <¿ .... ~\:) ";'l":-.E" \~ () s.. c:.. h-1fAVtrA 1 0 L Reponing Fonnat for monitoring: Tank ATCn Piping A(~ Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with tbe manufacturer's maÎDteaaDce schedule but not less t~an every 12 montbs. (JOIA c.. 'It'. tl t- ( 'I Pi r fh. "-'í' r qo ld c.CIJ'\t ( Describe the training necesSJ.I"Y for the operation ofUST system, including piping, and the monitoring equipment: hrUALr t)ClJl\c:\ t;((l u<- U;\,5{"tlc"lt d\ Ii œ =~:;:;=-T80W n-..-"" .·:·,::~::5~:!:¡f¥%ò: CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM I A I.. Net'" .. .,. 11 ~ - . .... r 1 r '11'1............................. ÎII s..ïo. 2107. QapIer 1" OW. 3. 11... Do c:ca: ! 0 -'0lIO .....,...---- 01 .¡m..................... _ ~D « I [1J 1 .œ. daßan,.r ooaarn_ 0:1 lIIiDio. doUan...... egnpta 8. ~oIn.&'o-r..~ Article 3, Chapter 18, Division 3. Title 23. CaIHomia Cede of Regulations. Th. mechanisms LÆ«i to dernotlSt18te flnllncitll responsibil' as required b Section 2807 are as follows: C.?<:.~¿:~:::<~:.). :.'" . "<~,:" ·~.=~~t~ :;::~¡~W¡:~~~~~=~;':::i~=;:\:::~:::;:; ;t~~~~~ilJ.;:: ::'::!::~1=~0!~ }i:~ ::1r~~::r .5t-o..+c. Ù~\ cfc(tv\\Jp F.J",c! 9q5',Ø~O Q,(). "o~ C)t(<.(;2\"L .p{\ ()(! ù ('c1. \'\C.. "- 50..( V'd-IN.I\.+C I ~ '^' t- J}.hI'lVo..( ~ herøby c.rtifies thIIt it is in complillnctl with thtIlfK1U/tømtItIt: of &1ction 2807. ~kk r;' '" cl ~ Cf1. ~tl'k9v ~ ~t. ~ 'C- S Note: If you IIJ'8 wing thtI StIIte Fund lIS æ1Y plitt of your demonstration 01 fiMncial responsibility, your øøcuIitm md slJbtnilsDn of this œrtiflt::tltJon /11$0 cettiRes that U lire in com 'lianes with all conditions tor rtJc n In the Fund. 'aåIIIJ~ PIciIIIJH_ fIcillIJH_ ù1'- e.. \) rD Yl ~s ~S l.J ~~'E:. L 'aåII.,~ '.aliIJ~ '1a1I.,~ '1ciIIIJH- '1a1I.,~ , IJ"- ,...,~ Du. !fJ -S r ~C/ H_ _11de oITMIIO"'.o,.nø 0111. Ow/! et:-.. Vi IO~ S ~ :;;túúo JID.II 0rI.... - t.o.I ,...., C4pie1- 'eåII . . %1f8ftUC'1'~OIlS ~D'%c:az¡0II or rDIAIICUL ".PO..UD.%ft 1'0_ Pt.... ~ or print cteerty aU t"f...clon on c...tlftcatfon of PfNflCtat .......bU.ty t..... ' AU UIT fecHlcl. ..-II.. atc.. ..... or operaced -v be tilted on one forti; Ch....for. a ....r.e. c.rttflc:et. la noe required for .ach .Ic.. -_.. ... DOC1IENT rlfFCIIMATrON A. .............. Check eh. epproprlat. box.... B. .... of Tent 0MnIr . Full name of eith.r th. tank owner or the operator. or Operator C. ......t_ 1)pe . Ind'c:et. .....,eII Stace approved MCheni..) ar. be'ng wed to shOll ffrwtef.l responelbH I ty el ther as conc.lned in the feder.l regul.tlons, 40 C'R, '.rt 280, ~rt H, Sections 280.90 through 280.103 CS.. FInancial RponalbH.ty Guide, for MOr. Info....tion), or Section 2802.1, Chapter 18, Dlyl.lon 3, Tltl. 23, CCR. .... of ...... . List aU ~ and address.s of c~ies and/or fndiyldullls Is.ulng cowrag.. MecMnt_ 1IUIber· LIst ldentlfYfni ruaber for .ach !DeChanlSID used. EXSllpI.: Insurance policy IUllDer or fH. rullber as Indicated on bond or doeuIent. CIf usl", Scate ct.~ f&nf CSCaC. f&nf) leeve blank.) CøwII... ~ - Indlcac. ~t of coverage for .ach cype of lIIeCtIeni-Cs). If IIIOI'e then one .chani.. is indicated, total DUSt equal 100X of financial. responslbHlcy for .ach facH Icy. Cowl... .....tod - Indlcace che effective dateCs) of all financial MCtIaniSIDCs). (State f&nf coverage would be conti~ as long as you .intain cDq)1 ianee end r...in ell,lble to conti,.,. participation in the fl.nCf.) Correcttw Actton - Indlcaee yes or no. Does the specified financial MChanl.. provIde cowr... for correctlye action? C If using State F&nf, indicate 1Iyn-.) Thl rd Party . eu.,.....cf on D. 'ecilfty- I~tton E. SllJIIartt Itoc:t - Indicate yes or no. Do.s the specified financial MChanl. provide coverage for third party caapensation? (If using State Fund, indicate -yes-.) Provide aU facUlty and/or site naøleS and addresses. ProvIde signature and dau signed by tank owner or operator; printed or typed ,.. end title of tank owner or operator; signature of wltnesa or notary end date signed; and printed or typed name of witness or notary Cft notary .Igns .. witness, pl.... plac. notary seal next to notary's signatur.). ...... to ...11. CertlffClltfon: ,t.... .end orlglnat to your tocat lIfency Cagency ""0 f.sues your UST paN' C.). ICeep. copy of tII. c.rtffic:etlon at each facf I fty or alt. I fsted on the form. a...sCfonl: If you have questions on financial responsibil ity requirements or on the C.rtffication of Ffnancial Resp0n8ibUfty Form, pl.... contact the SUte UST Cleanup fl.nCf at (916) 739-2475. Note: .--ttles for FaHure to ec.Dty wfth Ffnencfal ResocrwlbH ICY R~f..-tt.: faflur. to comply..y r..utt fn: (1) Jeopardizing claimant .lfgibflity for the St.t. UST Cteanup Fund, and (2) (lability for clyll penalei.. of up to $10,000 dollars per day, per I.n:Iergrcuv:t atorage tank, for .ach day of ylolatlon a. .tated fn Artict. 7, Section 25299.76(a) of the Callfornfa He.lth and Safety Code. , .--.,.... · - EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The infonnation on this monitoring program are conditions of the operating permit. The permit holder 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 264 1 (h) CCR Facility Name f4 A3'OAWI' èkv('(£)C'\ Facility Address ~5" a£ W~\\(. ho..hL 1. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up ftom the secondary containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. ~plrul~ I\~ AlaJü«..- ~ ~"~ ~ ~C~~(.' .~~cÁ l\ 5~t l (( t.,L Ab50 r bttu rc. htA L.. ~')'Pll( IH'\( ~11 t( q(( 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. jt \.t ~ ~ I -k ~ db IJ t~ Ç,ð r brJ J- W\l.l.kttð ( .(t){' '5'hJ\dJ( ~( s.,. å5 3. Describe the location and availability of the required cleanup equipment in item 2 above. ~ 16' ~11V\. V\ IJdt~1 de.- 5~rtl.~ .Area. 4. Describe the }1laintenanceJsc~edule for the cleanup equipment: ~'f A\ -Kr (~ ckc~" lllJ.l(Y to ß1ill^ht~ ~'¡'L.f.y 5. List the name( s) and title( s) of the person( s) responsible for authorizing any work necessary under the response plan: R CÀ-<õ~,º..r, }J C\.\ cktJ ( () (Á) VI e '- ~ Q...V\L<:" e RDSS )-(0.. WÚ~ ~"-