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Home My WebLink AboutUNDERGROUND TANK FILE #2 FIRE CHIEF ::(.~ ~,! .::;z .L\ LE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326·3941 FAX (661) 852·2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES fiRE SAfETY SERVICES' ENVIRONMENTAl SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 852·2171 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 It _r June 10,2004 Najdawi Chevron 2525 White Lane Bakersfield, CA 93304 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Sir: Our records indicate that your annual maintenance certification on your leak detection system will be past due on 05-08-04. You are currently in violation of Section 2641 (J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services by: Á (j£WtC Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/db {{rfJ:/}'.'I1Ù~1Ihe Y;;¡'I}IIIIINII.//f 0/Ío.1' 0 !(oj((> C7hrNI 00( Y;;;>'I,þ.ll;j N ~'.- .,t ,,>. . <'7 MON~?;~~:~L~r~o:~~n ~~!J::J~!'~ TION .·w/horiry Cj¡ed: ChapTer 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, Califomicl Code ofReglllmiol1s This form, l1.1.llS( be lIsed w document testing and servicing of monitoring equipment. A separate certification or report I1Ulst be prepal'~d for caLli moniTOring sysœm conn-at panel by the œchnician who performs the work. A copy of this form must be provided to the t<lnk SY:;lclll ùwner/operiÍmf. The owner/operator must submit a copy of tllÎs form to the local agency regulaling UST systems wirhin 30 LtiY~ l)f ltS[ datè. A. Generallníormation b1cilÙy Name: C 1fEvRÐ-iJ SÜ" Addrèss: ~~ S""'W 1+ \ TE. L-N Faciliry Comact Person: Bldg. No.: City:. i6A1<UJ FllUj;:> Zip: ____,_.. Contact Phone No.: ( ) Date of Testing/Servicing: 6/ Ill/ Oe.{ l\¡bl~è:Modçj of Monimring System: ~E.Þœ-f4::0T 'Tl-:s-~ $V 'R.. T~ID: þ/E.~,L , ~ )f(.'Í'ank Gauging Probe. Model: LVJ.;v4..b-.' r ð'..)r1IñÜlar Space or VaLllt Sensor. Model: I ~ Piping Sump J Trench Sensor(s). Model: .~ "5' --;;¡-_._~_u:~._~_ 'I o Fill Sump Sensor(s). Modtl: o )trechanical Line Leak Detecror. Model: I ~Electronic Line Leak Detector. Model: P LL{) , o Tank Overfill / High-Level Sensor. Model: I o Other (s eci e ui mem t e and model in Secrion E on p~ e :ú.'~':-I TankID: I o In-Tank Gauging Probe. Model: i o Annular Space or Vault Sensor. Model: I o Piping Sump J Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: o Electronic Line Leak Detecror. Model: o Tank OverfiH / High.Level Sensor. IvIodel: o Other (speci e ui ment t e and model in Section E on Pa è 2), Dispenser ID: '1 +- <t o j)ispenser Containment Sensor(s). Model: c:(ßheàr Valve(s). ~ /" g'Dis enser Containment Float(~ and Chain Y Dispenser ID: o Dispenser Containment Sensor(s). Model: o Shear Valve(s). o Dis enser Containment Float(s and Chain(s). Dispenser ID: o Dispenser Containment Sensor(s). Model: o Shear Valve(s). o Dis enSer Containment Float s and Chajn s . Include information for every tank and dispenser at the faciliTy. B. Invc.ntory of Equipment Tested/Certified ClièéL rill: " ] )('0 rÎarc bO:l:cs ro indicare s eeHic c ui me\r ins )ected/serviced: rf:ì-'ìl~·i~· U YÎ L - ~ ¡Ii ~_ Llllk Gaugll1g Probe. Model: I g""l1nul.lr Spaœ or Vault Sensor. Model: l3P1Plllg Sump! Trench Sensor(s). Model: o 1 ill Sump SènSOI'(s). Model: o í';J.èLh'U1ic'll Line Leak Defector. Model: gl':lèL'tJ'onic Line Leak De[ecLOr. Model: p<....L h OLmk OVèrÎÍlI/ High-Level Sensor. Model: _ o ºE}1~'r_ls ecifve ui menr r' e and model in Section E on Pae 2 . TaJ}li.lD: ~\lv - J ~ y.- LWK Gauging Probe. Model: 1MA\' h- - r ø' ~nular Spaœ or Vault Sensor. Madej: Œ""Piping Sump / Trench Sensor(s). Model: '35 ~ o Fjl Sump Sen$or(s). Model: o ~¡;h'l.lìi¡;al Line Lèak Derector. Model: M'Í.:lè..:r1'ùllic Line Leak Detector. Model: PL<..,'þ o Link Ovtr!ìJ / High-Level Sensor. Madej: o (jrhèr lspe¡;it)· Cl ui menr tV e and model in Section E on Pae 2 . l11 If\' (,.- I 'SSó? Dispenser lD: o j)i.spt1l5èf Comainmènt SeJ1$or(s). Model: . . ¡¡('~iìr Valvels), /' . .(M'1)j5~1Isèr CO~llainmènr Floa¡(~d Chain(~ Dispellser lD: "\-dL o DjspèJìSèr Conrainmem Sensor{s). Model: ~JìèUJ' V:;llve(s). _~is Jell?"r COl1lainmèO£ Floar(~ld Chain~ Dispellser 1D: õ-\-LP o J)i-,;pèlbèr Conrainm.::m S.::nsor(s). Mod.::l: e1Y':Sho::U'V¡Jvèls). ~~~ elber COJ1l,unmenr FJoar d Chain( . ¥ 1 ÌI]¡ " l'acjjÜy conrains mar.:: ta.nks or dispensers, \fopy this form. C. Ce.rtification -1 certify that the equiprµent identitied in this document was inspected/serviced in accordance with the manufaCtul'el's' guiùdines. Att¡¡ched to this Certificatiod is information (e.g. manufacturers' checklists) necessary to verify that this information is èOtTèCr and a Plot Plan showing the layout; of monitoring eq~ent. For any equi nt capable of generating such reports, L have ¡~Iso :HfaCh¡;d iI copy of the rep2\rt; (cÞ,t!ck lIiI thar Ilpply): œr System set-up Jar- re ort l'¡;;c!Ul1ClaJ.1 Namè (prim): n-AJ::;o-vJ Koq~ Signat : CènÜÌC<nion No.: gc¡¡ V Töring CùmpaJ.1yName: RICH ENVIRONMENTAL Silc:Ai.idress: ~S-àÇ wtt(1E iN pA-K..~g:/£LJ,)/lI C61/D40- #809850 . a. Phone No.:(661 ) 392 -86 87 Date afTesting/Servicing: S;-jl"lJ_v ~l l'doHiwring System CertiíïcatjoD Page 1 of3 03/01 ôi V. iZcSliÜS of Testing/Servicing e US-: Of e Sùfm ,lfè Versiùn Installed: CùÜi' è(è rhe followin<J' checklist: r~ 0 No" Is dlè audible alarm 0 ~rational? i ~ I U No' Is me visual alaml 0 erarional? \ __ ,'~ 0 No" Were all sensors visual1 ins ected, functionall tested, and continned 0 erationaJ? \ (j!('~s \ 0 No" Were all sensors installed at lowest pointof secondary coutairunent and positioned so that other equipment wilt not imerfere with their; ro )er 0 eration? II oÿ~-s 0 1W-* If alarms are relayeq to a remote monitoring station, is all cOl1ununications equipment (e.g. modem) ~" ~N/A operational? l](y¢s 0 No'" For pressurized piping systems, does the turbine aut~maticany SIlLlt down if the piping secondary comainmenr ON/A monitoring system detects a leak, tàils to oper~ is electrically disconnected? If yes: which sensors iniri;;l(ç posi!ive shut-down? (Check all ¡hat apply) !f Slimp/Trench SensOl's; Cl Dispenser Co~ent Sensors_ Did IOU confirm ositive shut-down due to leaks f!lli1 sensor failure/disconnection? ~ es; 0 No. ¡if 0 '):'l:S 0 ~ For rank SystèffiS that utilize the monitoring system as the primary tank overfill warning device (i.e. no I3"NiA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at d1è rank tìll oim(s} and 0 eratino )1'0 erly? rf so, at what ercenr of tank ca ací does t1le ala.rm triU'''er? ~'l1 r 0 Y..;:;'i< Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equípmem replaceJ I and list the manufacturer name and model for all re lacement arrs in Secrion E, belów. I ~;;:,. 0 No Was liquid fOlU1d inside any secondary containment systems designed as dry systems? (Check all That appM 0 Product; 0 Water. If es, describe ca.uses in Section E, below. ~ 0 Nù* Was mOll.Ítorina s srem sec-u reviewed to ensure ro er settinas? Attach set lJ Y èS 0 No" Is all monitoring e ui menr 0 erational er manufacturer's specifications? ., In Section .E below, describe how and when these deficiencies were or will be corrected. lícable - I £. CO:mmenTS: ~___.,_yH£\rz.~ ÞvA S ;A ,_þ,~f?e.f: :SU1.-t¡-:;> ~ Þ ___æÞ~} f:J fib A-'60VI ____772 ~ \N1o-v-€ A-LL :5 WI A--LL AvYÞv~ Þ'sP -#= P¡¿ogG~~ LAA4-~'¿ 5+4 ~D o r LfA-~ !..AJ D¿,.;yVU .~S l/ÝtS 1 A/S ìf2,..;c-1fþ> -.....-..---------.---- .---.-".--.- _.____..._u_ .-..~- ,.-----.- _.,,-- -----" -----.--.....- ....-..--... -.-.. -..- ..-----. -._---- .__._.__·_..A'_ -.-" - ..-..-----_.... .--.-.-.-. ---_.~._...-.. Page 2 of 3 03101 " 1". l.u-rf.uÜ;: Gauging J SIR EqUiP.nt: ¿Ck this box. iftaAuging is lIsed only for inventory control. , CJ Check this box if no tanle gauging or SIR equipment is insmlkd. This SèèÜon H1US1: be con1.pleted if in"tanlc gauging equipment is used to perform leak detection monitoring. Cü 1'1'.!dt tilt Ïotlowino checklist· 1 , ..... -.. o Y.::s 0 No¡¡ Hag all input wiring been inspected for proper entry and termination, i.ncluding testing for ground faults? 1---- Were all tarue gauging probes vigually inspected for danlage and residue buildup? o \'è.S 0 No* I ~ ~~: I ~ ~:: Was accuracy of system product level readings tested? Was accuracy of sysœm water level readings tested? - o Yè:S \ UNo'· Were aU probes reinstalled properly? [~__\' è:S 0 No* Were all irems on the equipment manufacturer's maintenance check]ist completed? " 111 fllt Setrion H, below, describe how and when tlu~se defIciencies were or will be corrected. G. Lint' Le.ik Detectors (LLD): o Check this box if LLDs are nor installed. Con' - ete rtlt' followinG' checldist: o No* For equipment start-up ~r annual equipment ~catìon, was a leak simulated to verify LLD performancè? o NJA (Check all thaI appM Sunulated leak rate:ef'3 g.p.h.; 00.1 g.p.h; 00.2 g.p.h. o No* o No* Oß-ð'* ~N/A o No'" o N/A o No* o N/A o No* o NiA J:J No" , 0 N!A o No'" Were all items on the equipment manufacturer's maintenance checklist completed? >< in r11e Section H, below, describe how and when tbese det1ciencies were or will be corrected. H, Cònnnents: .\ --VV\L, 13 1 -.-." -------- Were all LLDs confirmed operational and accurare within regularory requírements? Was me testing apparatus properly calibrated? For mechanical LLDs, does the LLD restrict product flow jf it detects a leak? For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? For electrol1ic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disablèd or disconnected? For electronic LLDs, does the turbine automatically sbut off if any p0l1ion of the monitoring system malfunctions or fails a test? For electronic LLDs, have all accessible wiring connections been visuaJly inspected? ?CL'b - ~<;. _?,_____eK~ -~ ( PU-b -- P-ft-S ~ .---- .-.---. f?LLb - f-ÆS S <5, Pt~SØ- ._.-,-.._-------. -...,.... ._,,~-_._. 03/01 Pafle 3 01'3 'î' <:> Monilùrillg System Certi1ìcation e e Silë Address: ;;¿ S-J-S- J \ UST Monitoring.ßJte Pla~ t...J 11 t ì-E. Lv-J VðA~5 F HVUD t··e,,4 : ~ t3 :l : >~( tJ ~: o P I f",µ (,- :S"""f:> J :0::;;::. 1>Ai ,"tfv':1<. tæ: ,~: :~:: . (l, , 0FICL.' , ,(J). . . :A~ :0.: . lR1-'1r- ~j::) . :0:: J::~~~ X' . . '0 . . ~ . . . ·fLL ... b... : ~~~SQ~: . . . . . . . . . 'LJ t+ lli~~: .~. . /& l1J~j). . . vr:.~l'r{~t-:- . :~o ?: :ip:~: .. . I . "0'" · . . . . . . · . .. .. .?tf>,IoIl.rr $..,..;.þ . "'0" ~:~~: -.J' ~: OF' ILL D' . . : Æ.v~#.t.: : · . . L../ =se# Daœ map was drawn: ~ / Ÿ/ / !!!.![. Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locm:ìons of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak derèi.:rors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan \.va,;: prepared, Page _of_ 05/110 1, 'i' ~. e e MONITOR CERT. FAILURE REPORT SITE NAME: C. J+£U Rð,-J ADDRESS: ;)..£;;;< S- Wit! r£ L vJ CITY: '6 ftJ<ef-SF ( ELb I CA DATE: '5 -{ "/-0</ ¡¿cW Kt3ð~ TECHNICIAN: SIGNAT SITE CONTACT: THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE THE MONITOR CERTIFICATION TESTING. LIST OF PARTS REPLACED/REPAIRED: . - REPAIRS: /LI D ~ l. A S n'1Â--lL ~V"1o·~..h'\T e:rF wA-IV,e. W)f\-S Fo~.",Ì) 1 ¡V Di fisë( ~ ~ . <t- þlSP fÞ 61"'~ I r-- LABOR: /VI) ¡ve, PARTS INSTALLED: ~. NAJDAWI CHEVRON 2525 ~'JH I -fE LANE BAKERSFIELD. CA. 93304 805-832-9781 ~'f~I:rol_ S:T~P _ _ _ _ _1 .,r_ 05e04 10: lOAM - i ! 05-17-04 10:10 AM S''i'STEI''I UN ITS U.S, SYSTEI"I LANGUAGE SYSTEr"1 STATUS REPORT ENGLISH . _ _ ,_ _ _ _ _ - .- - - -SYSTEM DATE/T !t1E FORr1AT I"IM-DD-YY HH:MI"I:SS xl"! ..., I NAJDAWI CHEVRON i 2525 WH I TE LANE . I ~~~:~~~~~~~íCA. 93304 [ ¡I SH 1FT T !t"!E 1 : D I SAB,I;.~p¡d.,.:.: SHIFT ~TIME 2 : DISAB¡t.EP1í;; ~.H I FT TI ME 3 : D I SAB...,.4.·..::.Ji¡........'..~...·.'.~.'...,.:...,:.:.'..:...;.:.:.i...', SH [,FT TIME 4 : D I SA~¡;i' '.U ',,':.. ,t..,. ßHIFT BIR PRINTOUTS ".. :"1:;: ENABLED '; ;'.:,1 DAILY BIR PRI NTOUTS 11'1 ENABLED it TANK PERIODIC WARNINGS, DISABLED .. '.,.1, TANK ANNUAL ~JARNI NGS:t DISABLED ,; LINE PERIODIC WARNINGS j DISABLED ·1 LINE ANNUAL WARN I NGS, ,. j DISABLED 1 ' ,J j PRI NT Tc VO~UI"IES",;:,1 ! ENABLED ; .:,:::¡,.! 'I"h'~ TEMPÇ9MPENS~TI ON:j~:' ..d~Ii'~1 VALUE <PEG PI }: 6dLO;" S'r:ICKHEIGHT¡ OFF~ET¡r:; I DJ SAe~;;p", I' , ' '- L.:...._·::.:. i:!:'rf::~'!~f41J..\\,h" '. t,:"";:", ¡ H-PRÓTOOO~D~TA FORMAT í HEIGHT' I .....: I PRECISION TEßT DURAtION I HOURS: 12, .. , ' DAYL IGHT SAViI NG T !tolE DISABLED " RE-DIRECT LOCAL PRINTOU DISABLED . ALL FUNCT IONS NORI"IAL SOFTWARE REVISION LEVEL VERSION 115,01 SOFTWARE~ 346115-IOO-B CREATED - 97,10.23,11.08 S-I"10DULE~ 330150-01 O-A SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL I N-TANK TESTS '1 PRECISION PLLD SYSTEM SECURITY CODE : 000000 .- ----- , ·v ~~~N:C~T :O,*,-,t ~ PORT SETTINGS: COMM BOARD BAUD RATE PARITY STOP BIT : DATA LENGTH: 1 <RS-282, 9600 . 1 EVEN ' 1 STOP 7 DATA AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED A~TO OVERFILL LIMIT D,H$ABLED AU'VÍ))·LOW PRODUCT D n,ABLED AJ4'1;(J'THEFT LIMIT D fSRrBLED, ' . AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTo EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTQ,SENSORWATER ALARM DIsAeLED . AUTO'SENSOR OUT ALARI"! DISABLED RS-232 SECURITY CODE : 000000 RS-232 END OF MESSAGE DISABLED -_ I --..., ¡ ¡ , FLOAT SIZE: 4,0 IiN, ,: 8496 WATER WARNING :: HIGH WATER LIMIT:: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT " DELIVERV LIMIT ,: 1. Ci " 3. Ci 12022 . 9m;; 10819 95~" 11421 12~'(: 1442 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS L 11'1 I T: TANK TILT MANIFOLDED TANKS T~: NONE 50Ci 32 25 .3,70 LEAl< M I N PER lOD IC: œ,¿ o , , . LEAK M I N ANNUAL : . o~~; [I PERIOD I C TEST TVPE iSrANpARD ANNUAL TESTFAIL¡: ' , : ALARM·)D J SAJ3LED .. , !. '~ PERIODIC TEST F~IL ~ ALARM ;DISA.f3LED , I GROSS TEST FAIL i ALARI"!D I SA;eLED ANN TEST AVERAGING: I OFF PER TEST AVERAGING: iOFF TANK TEST NOTIFV: 'OFF TNK TST SIPHON BREAK¡OFF DELIVERV DELAY 3 MIN I', )-¡-. ,. ¡ T 12: SUPRElv1E PRODUCT CODE THERI"lAL COEFF TANK DIAt"IETER TANK PROFILE FULL VOL 83.3 INCH VOL 55.5 INCH VOL 27.8 INCH VOL ¡ , 2: ; .0007001 111 ,DO! 4 PTS: 12022: 9677 6011 , 28571 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 1,0 HIGH WATER LIMIT: 3,0 MAX OR LABEL VOL: 12022 OVERFILL LIMIT 90% 10819 HIGH PRODUCT 95% 11421 DELI VERY LI M I T 1 2% 1442 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS L Ifv IT : TANK TILT : MANIFOLDED TANKS Tit: NONE l.EA}( MI N PERIODIC: LEAK Ivl I N ANNUAL 500 82 25 2.50, PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARI"1 DISABLED PERIODIC TEST FAILt ALARt"l DISABLED,]·· GROSS TEST FAIL· ...... ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAV -- --I , ','-' 8 MIN ~i~~~~1~t.:0070~,-~~~~~È - Li~~~ ~. TANK. DIA.METE.R : 1 U...·.OØ.I TANK PROFILE : 4 ¡iTS' Ql:.DIESEL , FULL VOL 120~2! 83,3 INCH VOL '''''7.111 PIPE TYPE: FIBERGLASS 55,5 INCHVOL;60H! LIrNE LENGTH: 180 FEET 27.8 I NCH VOL \2$15Œ!. 0.20 GPH TEST: ENABLED , ":1 0 .1.0 GPH TEST: DISAB¡'E.D . ¡ SHUTDOWN RATE: 3.0 GPH FLOAT SIZE: 4.0 IN. 8496i T l:DIESEL '¡ DISPENSE 1"10DE: WATER WARNING : 1.01 STANDARD ì. HIGH WATER LIMIT: 8.Ó! SENSOR: NON-VENTED MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELI VERY LI t"1I T 12022' 90% 10819 95% 114211 12%1 1442! 500 82: 25' 2.00' LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : MANIFOLDED TANKS Tit: NONE 0% O. LEAK MIN PERIODIC: O}Ó o LEAK MIN ANNUAL PER I OD I C TEST TYPE; 1, I . . ., !,STA~P~Rf: ANNUAL TEST i FA I" ii:,';t .', .. , ..,.. ¡.,}, , ArARt"h D I S~~Hl~ i PER I QD I ŒE :.1;./' r· , --"'.- ....~.d ,11 ,-,' - ~~. ro" o '. r·.. " r GROSS· '.1';$T f " ··f! A'A.~M¡' I .. ,",.. _'- 1',1 L', .... 0..·'·'. Hf"f, A. N.N. \T.E...,I;I.-.'J'.',..'.\AV~~.;~,..¡J~G. PER'Ta~W'ìAVf~~, 1¡j¡$ .. " 'O,,!,< \\~;' r ~. i:1:'r ¡:A~:~ .; ': TANKiT~~~ N~]lff~ ..:. ~ '~',~ :~~ ,~; TNKTST:SIP~Çi~ ,[¡J~;:. . . ~ ~''''..'- i! . ~f. t! DELIVERY DE~AV j:i I .! iìi ~¡¡ LEAK TEST l"1ETHOD W;f:: 'Ail; _ ~. - - - _. - - - !:~)i~.,-+; ;{~~f' ,TES.T. . ON DATE : ÀLL ~.:.~.:i~.'..:!1JIf..,·{~I.: > :JAN 1. 1 996:"':\'< . '1( . START T I ME : D I SABL;~Ð .... ¡ .t TEST'RATE . : 0 . 20 GPiL/.H~ ~.! . DURATION : 2 HOURS!)1' f'.!! Il.ji , 'oi ' ': LEAK TEST ~EPO~T ..;~~'~æ~r 1 o~i tJI r' ! 0%1 10 Q 2 :ÞLus PIPE TYPE: FIBERGLASS LINE LENGTH: 180 FEET 0.20 GPH TEST: ENABLED 0.10 GPH TEST: DISABl.ED SHUTDOWN RATE: 8,0 GPH T 2:SUPREME DISPENSE MODE: STANDARD SENSOR: NON-VENTED i.: ' . . ~;~' :~E~UI;.@.~ PI~E :'. TYPEi¡::X LlN~' LENqq!,[ij; O:.~O . GP,H 0:.10 GPH . SHUTDOWNiRé TANK: NONí;ii'", ., SENSOR: NQNWE~t~. i LEAK LOCKOUT SiTIJP ~. -.~ - - - - - .- .OUT SCHEDULE Y .T TIME: DISABLED., . TI t"U;: : D I raAB~ED . LIQUID SENSQRßETÛP 2,;;,'-; - ~,,';Ç,i¡'!,!wj',[&~,,~',: ~,.'.- - L,1-.,S~~~@¡;'i¿iftl)/t\lU14,,"R;' . NORMALL. Y:!.'~~~Q~~~' H'; ': I CJ;jTEGORY .. A'INU4f;RSPRCEi , . II I L2 : SUPREME TUREI NE SUr"1I1 DUAL FLT. DISCRÚ1I NAT INti CATEGORY : STP SUMP , L 3:PLUS ANNULAR NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 4 : REGULAR TURBI NE SUf"'¡[, DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 5:REGULAR ANNULAR NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 6:PLUSTURBINE SUMP DUAL FL!. DISCRIMI NATI NG CATEGORY: STP'$UMP PLLD LINE DISAiLE SFTUP - - - ~ ~ >.,. (_,t,;....j >_ t-..... _ t;ï!~i~;;:,.~.,.I ...'. i'l: ).', ., ,¡I tl.'.'¡;:t, if ,;.; 'N j .. ... ,<t!!i I N-"TANK'¡ .. . r" ':; , . T . 1: H l:GH:WAEij;' AL~M T 1·: LOW 'PROPU~rr;ALfRM LIQUID S6NSOR~J,.MS, L 1 :FUEL ALARM ,: ' L 2: FUEL ALARM : L 2:HIGHLIQUID A~ARM Q 2:PLUS. IN-TANK ALARI'1S. T 2: HIGH WATER ALARt"l T 2:LOWPRODUCT, AëARM LIQUID SENSOR ALMS L 8:FUEL:ALARM L 6:FUELALARM L 6:HIG~ LIQUID ALARM Q8:REGULAR IN~TANK ALARMS T 3:HIGHWATER ALARM T 8: LOW PROPUCT A4ARr"1 ,'. Ll~U I D SENSOR ALt"\S L 4 :FUELALÄR/Y' . t5:FUEL ALARM ,L; ~ : H I ~H ...~ t~~q:, Abil:¡RI"¡ .. ..,...~~;~.._- ~,,<'r;:~;¡:!fi~~H;~:¡tr· <i",' ',', i~òNQlJAATIONsETuP ~~.~J,.:_.. _ _ _ _ _ _ _ _ _ _ AUTOMATIC DAILY CLOSING TI!1E: 2: 00 Ar1 AUTO SHIFT ~1 CLOSING TIME: DISABLED AUTO SHIFT ~2 CLOSING T II"1E: DISABLED AUTO SHIFT ~3 CLOSING TIME: DISABLED AUTO SHIFT ~4 CLOSI NG T II"IE: DISABLED PERIODIC RECONCILIATION MODE: MONTHLY ALARM: DISABLEP TEMP COMPENSATION STANDARD BUS SLOT FUEL t'1ETER TANK ------ - - - - - 1 TANK fulAP Et'1PT\" ALAR!" HISTORY REPORT , ----- SYSTEM ALARt"1 -----, PAPER OUT 04~11-04 10:23 PM PRINTER ERROR 04-11-04 10:23 PM BATTERY IS OFF 01-01-96 8:00 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ . ------ "----,--' '. --- ..----..-. ~ .::~ A::::~~r~~~: :~::Y:F:~j~ T 1 :DIESEL i T 2:SUPRE!"IE SUDDEN LOSS ALARM 12-22-03 12:31 PM 02-03-00 7:59 AM SUDDEN LOSS ALAR!"! 06-24-99· 1: 13 Pt"1 01-21-04 6:16 AM 07-02-02 10:11 AMi INVALID FUEL LEVEL 06-19-02 6: 07 PM ~r .~,,"_~06:-,18-~~'f0!i.:P...tl " ... ':W;~~~p .:;( : 1'4'f'f{~F¡ INVALID FUEL LEVEL . ....\.'..~ ..1:g;"i'i2,~7r;fQ:r;::',9:43Þt1.· .... 01-21..,.04 6: 34 AM I: ,""(,¡: . ... . . 12-19-03 9 :5'7 PM ¡ \~ROBE OUT' , .j 06-19-02 8:27 AM! i' 02-08-00 7:59 AM Cd 06-24-99 1: 13 PM~: '96~24-99 9:45AM HIGH WATER ALARM 06-19-02 3:32 PM PROBE OUT 07-02-02 06-19-0~ 06..,.19-02 10: 12 AM,; : 6:27' PM:I í 6: 07'~[tpELIiVE:R¥, NEEDED '. ;:\i.,.. ¡ i. ·¡O;?f'FB-04·· 6: 03 PM HIGH WATER WARN'iNG ~i::!¡¡i¡1' .:0'1""04-,04 8:47 PM 06-19702 . 3~82 .~12~28-03 9:38 PM LOW TEMP WARNING 02-08-00 1: 53 PI'1 _ -~i DELIVERY NEEDED 05-15-04 2:51 PM, 05-06-04 1: 13 PM; 04-80-04 6~88 A~ ".:'} :...::; LOW TEMP WARNING I 07-02-02 10:15 AM! ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ i ~ ~ ~ ~ ~ END ~ . . ~ I -.:.--..-------.' .. ----- ",..., .,!. ..': \1",., ALF\iM<'Hl '.' ,... i ---- IN-TANK AI¡¡;~R~H-:--:--- T 3 : REGULAR ., ¡ '\ OVE;RFILL ALARM 05-08-03 6:30 PM 05-02-03 7:3$ PM 04-12.,.0r32:4l PM . i' LOW PRODUCT ALARM, 10-21-03 12:51 PM 09-12-01 4:58 PM 08-25-01 10:2~ AM SUDDEN LOSS ALARM 12-19-97 5:11 PM HIGH PRODUCT ALARM 10-08-02 7:58 AM 07-09-02 4:61 AM 01-24-02 4:38 AM INVALID FUEL LEVEL 10-21-08 11:40 AM 09-06-02 10:41 PM 04-18-02 2:08 PM PROBE OUT 07-26-99 2:10 PM 06-24-99 1:31 pM .. DELIVERY NEEDED 04-15-04 4:38 PM 12-1B-08 5:01 PM 10-21-03 8:86 AM LOW TEMP WARNING. : 06-24-99 1:34 PM ¡ · ~ * · · END ** * *¡ . ALARM HISTORY REPO~T IN-TANK ALARM- T 4: SETUP. DATA 'WARNING . 04-09-98 5 :27 PM PROas: QUT . '04-09,.98, 5.:'2?; P!"1 C. . .·':;!fiI..ARM HISTORV RE~ORT <~.'.;...'.:.'.'¡{¡."...A.: ¡"'FiI.'FiÞ1..\)~.I'S.-:. 19..J~.,.:...Y;R..,....<..E.,.,:.,k'Q,.....R......,J~...'.l.,.,.i.;.'.'.'...:.'.:....;..~..... .............................:. ............ .. .. .a . . :;.~,\,.;,¡¡,;;¡<"': ··Ö·'·, "''¡:'' ,:,~::" !~i'f'· 'fit'!! .:, ,.----_ S R ALARM ,.;> -_.:..,... - SENSOR ALARM ist:';;¡"4 'REG TURBINE .'.. ,'.,..' Ll : SUPRE~IE: ANr\UL~Ri,;:!\::¡ :;\':;'STP 'SUMP . ANNULAR . SPACE .' :\,'~r,I~{:i\~q¡;LALARM . FUEL Al.ARM .":'.< t~'~:W1" 05-17-04 9: 37 :~::~¡:~:: ;::¡II~lt~;:: ~ ~ ~ ~ ~ END ~ ~ ~ ~ ALARM HISTORY REPORT i ----- SENSOR ALARM --~ L 2:SUPREME TURBINE S . STP SUMP HIGH LIQUID ALARM I 05-17-04 9:46 AM HIGH LIQUID ALARM i 05-08-03 1: 52 PM I ¡ HIGH LIQUID ALARM I 04-24-02 9: 39 AM ' '" '" ~ '" ~'END }I >, ,.':,"·n~i:~~. j ,:,~:,-..i '.':'''·;iY..'·~.' ALARM HISTORV ~RT ----- SENSOR AL~ --_ L 7: OTHER -SENSORS ! . I ~ .~ ~ ~ END ~ '" ~ '" ~ ¡ . ~ ~ ~ ;¡,¡ ~ END, ¡.; ¡.;: '" ALARM HISTORY REPORT ¡ i ....---- SENSOR ALARM ----I L 8: ·þTHERßENSORS . . . ALARM HI~TOR\'j Rf~ART, " ----- SENSOR ALARM - L 5:REGULAR ANNULAR ANNULAR SPACE FUEL ALARM . 05-17-04 FUEL ALARM 05-08-03 ; 1: 56 PM FUEL ALARM , 04-24-02 ! 9: 23 AM !IE. ~ ~ ~ ~ END f¡ ¡ ¡~ARIy:: HI STORY REPORT 'Hi!, t~$OR:, . ".J_, .. '1.' '~~!J,I ¡ ", ;)¡'k~j; :HISTORY! ~ERORT 'L ^RM HISTORY REPOR;r~, ..': ¡. :_:_~ SENSOR ALARM :,-.4ii¡f!!GZ~B§Im~~a~ L 3: PLUS ANNULAR "!ti¡r\it:Iìp:ßùMP!{ ,:'1':,: ANNULAR SPACE ¡!;,::t~~S¡ýTD¡:,WÂR!'H Np ,fJ FUEL ALARI"! 1, ::L<"; '05Hl?,....04 .~ ,?:. ~ 05-17-04 9: 38 ~~ tV, '; ":! i . ;'1 } <;:'1% :~,~::- :Jr~:,tQhr ;Li[~ . > FUEL ALARM ",.,' ,. . "i:. 05-08-03 1:56PM!:!.; FUELO~~~08 9:~1 AMI~~~ 'jlEjIE¡'; ., /It .~: ·:·:fr ~t:') ..i;:. b"::~~i1~1§~:.~ :'~f~'~ !tf.~':r ;'i1, I<;~~;:" ALPtRt~;+H Sl,QR~¡ii1lii.$.Rl1 r ~~? ;-87~SEN~¿;:tl~~~~i'hit- OTHER SENSOR~ ' i 'i :~ Y: :) 'F ,; ~;I . l .~ . ~ '*.1 '*. ~ ì>E END ~ ìOE '~ l' ì>E,.,i~. ~/", it .'. ;L~' ,1" :¡. l' ì I ! i i ; :( ALARM HISTORY REPORT ' "'i--".- SENSOR ALARM ,,_.,¡_- $ 4: . . ,,' :'1 OTH¡;R SENSO,RS ...... L~' r ')!:;III! .t :' " .:;: ~':: ~ ,.. ~ ÌIE ìOE jIE ÌlEE:NP!;ìOE,:~j"'¡:ÌIE ~ , ~ ¡ ~: . {; ALARM HISTO~Y RE:PQ~r . ì; ---- PRODU(:;T:;f1L;I1~(j1¡"'r-~:- F 1 :PJf;SEL,Jj:;V:,¡t!,i 1 jL .' ..' . fi";¡i'{i;U¡¡tl fA¡: ¡ Ii;, '.' ' i "j1YrYfil,1¡ fii'tin: . ! ' ~ ill< '" ill< ALARM HISTORY REPORT ----- SENSOR ALARM .'. ":,Cd 1 :DJESEL · ';;;(GROSS LINI;:FAIL :ìoE~* š;~I 05~177049 :~1 ~M :!,;i%¡f'r,;LDS~l.ITpOWN ALrnRI1 '.. + ~ì~¡~D O::J;~N~!~~~! :.g . 05",q8'7'Q3J"~~'¡fæl~~ ::::;j::¡F <: f {: :: ';,~j~~1l ~ :i - ~ < ,:' ,~~' <:,:,-: ...;~: ",,'" ',. ''-'i'>,:~'' '" '" '" END '" '" '" '" '" ALARr1 H I STORY REPORT ---- PRODUCT ALARM F 4:DIESEL '" '" '" '" '" END '" '" '" '" ~ ~ ~ ~ '" END '" '" ~ ìoE .~ I I ~1 ·'ALARI"1 HI STORY REPORT . Ii·'·'··· ----- S~R ALARM ----~ Q 2:PLU~ . PLLD SHUTDOWN ALARM ... 05..,17-04 9:41 GROSS LI NE FAIL 05.., 17-04 9: 41 . , .' ,PLLD SIdUTJ¡)OWlNrnL~RM" ......, '05;;;17:;:;O4'¡$:3~ NAJDAWI CHEVRON 2525 WHITE LANE BAKERSFIELD. CA. 93304 805-832-9781 05-17-04 10:12 AM e .--- ---,-- ..---. .~--- - , ìoE '" '" * * END '" '" '" '", SYSTEM STATUS REPORT - - - - - - - - - - - ALL FUNCTIONS NORMAL I i r I I ! ¡ , I ALARM HISTORY REPORT ----- SENSOR ALARM ---~.., Q 3:REGULAR GROSS LINE Ftr\IL 05-17-04~ 9:40 AM PLLD SHUTDOWN ALARM 05-17..,04i 9:35 AM i PLLD SHUTDOWN' ALARry 10-21-03112:51 PM I NAJDAWI ,'" CHEVRON 2525 L.JH I TE LANE BAKERSF-IELD.CA.93304 805-832-9781 05~ 17-04 10: 12Ar"l SYST~ STATUS REPORT - - - - - - - - - - - . ALL FUNCTIONS NORMAL .' ~ :! ! "(" :, ,[i' .~.' (.~ i'ì'¡,¡I;Nf :!~ .;¥¡rÌlE, 'i.'!' ¡! r~tl! ' ., . .> . .,.. ;1 I I t·; . " ... ". ,t ( ..... ... e e *COpy REQUESTED PLEASE FAX(661)392-062~ CIT~O,F BAKERSFIELD OFFJCEOF~VIRONMENTAL SERVICES Ciao'1RlL><TDn J) Bakersfield, CA (661)326-3979 FAX. (¡661) : ~5 Z- -2/7'2 APPLICA TIO~I'O PERFORM FUEL MONITOlUN~ CERTIFICATION FACILITY C .:k-\:F \.) V"¿ D n . i ;;, ADDRESS ~,5Jf) wH-lTG (JffI1E- '13f/-kEJ2SP/ELþ, LR ; OPERATORS NAlV1E i . .}t- '1\ OW~RSNMŒ i , l' ~ . 1 NAME OF MONITOR 1Y.lANUF4CT~·.·, ,WE.EDER-l'<öOT DOES FACu..rrYHA VEDISPEI1'ŒERP ~S1: YEs.L... NO TANK#: f Q 2 VOL~" ¡It), qD<? : / 01 (~f?() , 10 I t)()Q ! ,'J I : CONTENTS {Jfl ( '-~7 P~"9/ Vi£<)F-l . , ~:~ .. c, 1; )' NAME OF TESTING CQMPANY RICij,,~~JI~Qij~EftJT~L CON1RACTORSUCENSEf 90-1072: :' . '::' . ' .' :~. ::.: - . T~ : "":!: NA1v1E &PHONEN{}¥BER OFCONTAÇ'r,~.SON JAMES RICH DATE & TlMB TEST IS TO BE CONDuCt;¡P\~r ' 5 J ~ 1 { 0 l( -- l661)392-~687 . . {(j :()O~ Yn APPROVED BY if\, '. ~'~, .' 1:, I : ., " t. " ¡.; : i! ~. ¡ i '0 ; 1:: ,r;, · Complete items 1; 2, and 3. Also complete 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. r. Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: I, I' ROORDA NAIDA WI NAJDA WI CHEVRON 2525 WHITE LANE : BAKERSFIELD CA 93304 '-----~--- -- '\ 3. Service Type D Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes r 7002 3150 0004 9985 3745 I PS Form 3811, August 2001 Domestic Return Receipt I 2A~PR'-o3,z,09851 UNITED STATES POSTAL SERVICE e I I ~ . ""', · Sender: Please print your name, address, and ZIP+4 W . Bakersfield Fire Department Prevention Services ' 1715 Chester Avenue, Suite 300 Bakersfield. CA 933Ð1- I IL1'J I=t" I~ I , L1'J 1<0 []"'" ,[]"'" I.:r- o 10 ¡o o L1'J ,~ IT1 ru ' ROORDA NAIDA WI ~ ~ NAIDA WI CHEVRON 'f'- "S6Øii. 2525 WHITE LANE orPO, ~~, BAKERSFIEW CA 93304 u.s. Postal ServiceTM CERr- '~IED MAILM RECEIPT (Dome}"lcJMail Only; No Insurance Coverage Provided) . ." . " . . ". . . I OFFICtA->L=USE I Postage $ Cel1lfied Fee Retum Reclept Fee Postm8lk (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) Total? . ... - ... =1 ::J Certified Mail Provides: · A mailing receipt · A unique identifier for your mallpiece · A record of deliyery kept by the Postal Service for two years Im¡Jortant Reminders: I · Certified Mail may ONL¥.J;Ie, combin~d with First-Class MaJle or Priority Mail®. · Certified Mail is not available for any class of international mail. ¡ · NO INSURANCE COVERAGE IS PROVIDED with Certified MaJl. For I valuables, please consider Insured or Registered MaJl. I · For an additional fee, a Return Receipt may be requested to provide proof of I delivery. To obtain Retum Receipt service, pfease com)lete and attach a Retum I Receipt (PS Form 3811) to the article and add applicáble postage to cover the I fee. Endorse maJlplece "Return Receipt Requested". To receive a fee waJver for a duplicate return receipt, a USP8® postmark on your Certified Mail receipt is reqUired. I · For an additional fee, delivery may be restricted to the addressee or I addressee's authorized aQ.ent. Advise the clerk or mark the mailpiece with the ¡ endorsement "Restricted1Jelivery". , · If a postmark on the Certified Mail receipt is desired, please present the arti- ; cle at the post office for postmarking. If a postmark on the Certified Mail receipt Is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present It when making an inquiry. Internet access to delivery Information Is not available on mail addressed to APOs and FPOs. (8SJ8A8/:f) ¡:oa '008£ WJO'¡ Sd FIRE CHIEF "ON ¡:R.AZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES' ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e - J.v:...., ~ , Apri I 30, 2003 #" ~. ~ Roghda Najdawi Najdawi Chevron 2525 White Lane Bakersfield, CA 93304 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Perform/Submit Annual Maintenance on Leak Detection System at the Above Stated Address. Dear Business Owner: Our records indicate that your annual maintenance certification on your leak detection system was past due on April 24, 2003. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, May 30, 2003 to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services bY~~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~\o C-£/ '. /.ß <L'/ ___Y'. úZ: j// ú77l ~? <'L2_/. '1'1 Je.P~'Ul;0' me ()o;'/lnlUF~ ...7'~;~ <-t: (:}OPe .J" /tUn .j Ð (j&ú././~~ ...._"--"""'---~ 05/06/2003 14:38 66139~1 - PAGE 01/01 *cOpy REQUESTED PLEASE FAX(661)392-0621 CíTY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave.~ Bakersfield, CA (661) 326-3979 fax (,"-) 326-0576 "~ APPLICATION TO PERFORM FUEL l\'10NlTORING CERTIFlCA TION F ACll.J1'Y .N. A:;f () rJ.) ) CJ::t1; u /hJ~ ADDRESS ø:2.~1Z.5' t u ~rr£ LA) --(3tL~ftg~()- C;f OPERATORS NAME, 1)1EAJl ~ OWNERS NAME NA:MEOFMONlTORMANUFACflJRIiR lJ€~(.)efC. ~d'J DOES FAC1UTYHAVEDISPE.NSERPANS7 YES-X- NO_ TANK # I ~ '3 YOLUIv.Œ ¡O¡oo 0 . CQNI1D'ITS UP L.- V'7 P~-ql Dt'f '5%(. -' to, aD c) /OJ4,ðU 7 NAMEOFTBSTINO COMPANY RICH. "F.NVT~QNMF.N'T'~L CONTRAcrOR.S UCENSEff 90-1072 NAME & PHONE NUMBER OFCON1'ACT P.ERSQN !lAMES RICH 392-66~.J DATE&. TlMETBSTIS TOBECONDUCfBD ~-lt:-d '3 - / ~d~~~ , ¡J it (fA)70 S-~....c:;J3 DATE t2;;-J //¿ ~GN^ OF ~PUCANI: APPROVED BY ,~ '<') _PerM: ~ ~\r~ø4y p,\'tA ~~~ ?Jl ((1-1 Î -0 ð) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave" Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CONTAINMENT TESTING FACILITY ^) ~j eo,UJ OJ Cle.-vrtS'Y\ ADDRESS ~Sd~- Luh.;t-c- ltzlhC ßo.ker~~te--~W PERMITTOOPERATE# ()(5-D~{- 00043'1 OPERATORS NAME (Y\r. ~AiOQ,W'i OWNERS NAME fV\ r· f\.hj ðr:uu ; NUMBER OF TANKS TO BE TESTED 3 TANK # VOLUME I 1~IDoOG~ ~ 1~lboO()AL '3 ItÂ()ðt') GAl.- o¡ 33òtJ IS PIPING GOING TO BE TESTED~ CONTENTS R ~ij/A.-ltlf &ptr Dte~e.l TANK TESTING COMPANY Re(twlt\CL ìë.ç;.·.L"j 0C'''\Jlu.'i If\G } RIC~ ~(\v(NJI'\~{L1 MAll..ING ADDRESS P. D. BðX /'5(/1 BlÀ-~.çe.Jd. J tA <13i3ÖJ- NAME & PHONE NUMBER OF CONTACT PERSON'~af'\ !ï.t...."Q..r {o/,,/- P3L/- ft,c¡Q3 ~ TEST METHOD ~('IoC\ NAME OF TESTER OR SPECIAL INSPECTOR Jam£>.g, ~í. R t ( h CERTIFICATION # qb'(D~ J- Cøf'rr\l1e.--lcrs L\Uhg<. S3~)P7~ 1+ ~L.. ',--,",'" DATE & TIME TEST IS TO BE CONDUCTED f'Y\øf\. :JCLr\u..o.x"y lo) ~ð3 R:öo Am _~ d ¡NAif£) APPROVED BY DATE rBr~ SIGNATURE OF APPUCANT I d..-lc· o a.... I "AGE ~'-17,.J... STATroIJ tro. 4 ., 1 . '-{ '·'7~ » ~ SERYr.;E STATION AOCAE$.$ .... ~ ,::1 <; " j-. ~ - ~~ \. '-« -1 L ~~. tØ(: ...... (S.) W <.!J <I: a... Cf WAS JOB CDlI'lETlO o YES 0 NO ~ ( T . K L. ". r'-' . I CONTRAC1Cfl ~ c;. <, R.. 1'. R'EI'œTED PROBLEM r:., ~ PI' ,.. t' 0 d /l C, AJJlJUNT o , · o I , , I , · I I L , , , r o I · I I I , I I · , I MA1ERIAL CHARGES PFlŒ o o · o I I r , o · I o o o I I r o o L · I I I o o [)£SGRIPTIO~ MATERIAL LABOO CHARGES ...-¡ ~-: 1 SERVICES I AEP~S ÆAFOAMED NOS, If fU,lP T01101.IZER IS æÞ.NGED. SHON I!EFM /\ 1 L ,.. 01'1'. AIdOUtlT RA.TE TIME to AnER TOTMJlffi REAOINGS. SHOW MFG. NAMES &c SERIAl o I o o I I · I , I ; I I L !il4 ic.. ~ ~ '-- r ,. ~í .¡;-- /\ {. " .~ I A -1 .. " r !-: ~ ..-1 -L t" r r .. 80B HALEY CHEVRON 25'25 WHITE LANE BAKERSFIELD.CA.93304 805-832-9781 o I o r o o · o , · ( o o I i I I · ( , PM SYSTEM STATUS REPORT - - - - - - - - - - - ALL FUNCTIONS NORMAL e ~. L ,<. , ~~! .I v , ~ ! . ~ ,¿o' , , (i ( - r ~ £l 03 : 5 8-ÛO I 07- o o , I o o r o o · I , , o o I r I I · I , ~ .- , . .~ . A ,- " .... ;~ { ~ (" i L ..i ? :!1' i-' ~. ¡j i ~öOR OR!G~~~£~ - ¡ r , .~ r I j L r ,.. , ..I t \Å ~\ \.. '1 (-. ~ .,. 1 , AL ., ! '- ~, i i ,.. f'. uA /t¿ ~ ;. ~ /'Iii ;<[ ¡:Q o ¡:Q TOTAl L.A8OR CHARGE I I · I o SUB1'OT101. tAATERIAL MARK [ UP '!I TOTAL MATERLÞ.t VEH(;L[ NUMBER ft[4NG ODOMETER REAIJMì o I o I I I · , I I þ TÑÕOF ~RSQNS EOOIPMEttT TIME VENDOR'S iMVEL TOTAlIZER READlrtGS o o o · I I o ; o I r I , , I I o r o o I ; o , r < , I AIoIOUNT MA~ 1.1'% SUB· TOTAL RAtE TIME r I I . I I ITEM EQUIPMENT RENTAL SUB· CONTAACf{)R DlSPEMSER SEßIAl NO. SAlES TAX ON TOTAL Mo\TEAIAL IIEGflNING ODCME!¡:? REAONG o , . I o , I · o o I I . I I BEFORE TOTAL lABCfl CHARGE TOTAL TRAVEL TM!' T01/tl Mrt.E.AGE TO SITE C(JlRAClOR CONFIRMED SERVICE CALL F I .¡ ~ u<l ,Ý~ J.... , ¡ /~ (' f f ~ ,r. . AFTER IlEMARKS N CD ...... N N 01 CD TOTAl MlLEJ>.[jE TOTAL VENDORS EQUIP, TOTAL EOUP. RENTAl AM ("PM FR~ ~E AM d'M SITE f<M 1 ARPJ.~Al TIME AT PM J:L .. DEPAR1lÆIE \1'011' .. , TOTAL I'MI' DATE I " ..; PERSON CONTACŒD AT SITE .. {) TOTAt SUBCONTRAC1C11 mAL. í \... K t DATE ï- MI!o, AT SITE HAS, PEll.S~ WHO PlÞŒD GAll SfFORE SKì~~ fORM, ~" RS ,... -.- .!~ VERIFY ARRIVAL;mŒ, \ < DEPARTURE TIME, AND Aunmzro PERSON'S SlGNATUR SERVICES P£AFORMED, SERYIŒ PERSON (PRINT NAIÆ) SlGNo\TURE SER'III:E PERSON'r, SER\IICE PERSON (",urH 1h\1.fE) ~s '" c.. r A. "'fI PERSON'S SIGNATURE /\ ,-. ¡ '''t -~.. YF. .~ f~ HBII (REV 1-94; PRlmlH,¡~.sA. (S.) ...... " ...... c;;¡ c;;¡ c;;¡ N , CD ...... , " (S.) FACILITY NAME e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 If-.. INSPECTION DATE ì - , ß ,. 0 Ü Section 2: Underground Storage Tanks Program [g"Routine 0 Combined 0 Joint Agency 0 Multi-Agency 0 Complaint Type ofTaok OWF~ il(2L1H NomberofTaoks :3 Type of Monitoring fecAl r' /(00 ' Jiype of Piping Ol1J{-= ORe-inspection OPERA TION c V COMMENTS Proper tank data on tile No l./ Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? I f yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services ~Ieparty Pink - RlIsiness Copy ~._-~.- -- FACILITY NAME . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE 7 - ,tg .. 0 0 Section 2: Underground Storage Tanks Program [9"Routine 0 Combined 0 Joint Agency Type of Tank OfùF~ Type of Monitoring Jf(J, ¡-' {(croL o Multi-Agency 0 Complaint Number of Tanks :3 Type of Piping Ol1J{-= ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile J Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No /' Section 3: Aboveground Storage Tanks Program AGGREGA TE 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/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services 5) 326-3979 White - Env, Sves, ~lcparty Pink· Business Copy e e FACILITY NAME ADDRESS 9,'] d t; FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 IA INSPECTION DATE ì -I ~. 00 PHONE NO. BUSINESS ID NO. 15~21O- NUMBER OF EMPLOYEES Section 1: ~outine Business Plan and Inventory Program o Combined o Joint Agency D Multi-Agency o Complaint D Re-inspection OPERATION C V COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: 'i . .1. -:- CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~^b f{á~"'f r1!vr\JUJ ~\ ADDRESS ~ t) ,.;\ ~ tJI"~L }.4r.L FACILITY CONTACT INSPECTION TIME INSPECTION DATE ~ -I ~. 00 PHONE NO. BUSINESS ID NO. 15~21O- NUMBER OF EMPLOYEES Section 1: ~outine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION \ V COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White· Env. Svcs, Yellow - Station Copy Pink - Business Copy Inspector: - -.~~----- .. -~-.,...:;.'~- ,( . .. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~~t':('1 tf(ltr~ rt..r\fUJ 1\ ADDRESS ?S' ~C; (dh.h. ~4!hL FACILITY CONTACT INSPECTION TIME INSPECTION DATE ì -, f). cO PHONE NO. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: ~outine Business Plan and Inventory Program D Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERATION C V COMMENTS Appropriate penn it on hand Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow -Station Copy Pink - Business Copy Inspector: ¡ ~.-.- - TIm PROGRAM CONSOT,IDATED F ~. TANKS UNDERGROUNDSTORAGETANKS-FACäITI (one page per site) Page 1 of 1 TYPE OF ACTION o 1. NEW SITE PERMIT o 3. RENEWAL PERMIT 181 5,CHANGE OF INFORMATION o 7.PERMANENTL Y CLOSED SITE (Check one item OIùy) o 4, AMENDED PERMIT specify change local use only 08. TANK REMOVED o 6,TEMPORARY SITE CLOSURE 400 L FACILITY I SITE INFORMATION BUSINESS NAME (Same as FACILITY NAME 01 DBA - Doing Business As) 31 FACILITYID# 11 /5 1 1012 I 1 I' 10 10 10 1413 /7 1 Chevron Station #95325 NEAREST CROSS STREET 401 FACILITY OWNER TYPE 04. LOCAL GENCYIDISTRICT* El Potrero Lane 121 1. CORPORATION o 5. COUNTY AGENCY* BUSINESS 1:811. GAS STATION 03. FARM o 5. COMMERCIAL o 2. INDIVIDUAL 06. STATE AGENCY* TYPE o 2. DISTRIBUTOR 0 4. PROCESSOR 0 6. OTHER 403 o 3. PARTNERSHIP o 7. FEDERAL AGENCY* 402 TOTAL NUMBER OF TANKS Is facility on Indian Reservation or *If owner ofUST is a public agency: name of supervisor of division, section or office which REMAINING AT SITE trustlands? operates Úle UST (This is the contact person for the tank records,) 3 DYes 121 No 405 406 IT. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME 407 I PHONE 408 Chevron Products Company, Attn: Permit Desk 925-842-9002 MAILING OR STREET ADDRESS 409 P.O. Box 6004 CITY 410 I STATE 411 I ZIP CODE 412 San Ramon CA 94583 PROPERTY OWNER TYPE 1:811. CORPORATION 02. INDIVIDUAL o 4. LOCAL AGENCY I DISTRICT 06. STATE AGENCY 03. PARTNERSHIP o 5. COUNTY AGENCY o 7. FEDERAL AGENCY 413 m. TANK OWNER INFORMATION TANK OWNER NAME 414 I PHONE 415 Chevron Products Company, Attn: Permit Desk 925-842-9002 MAILING OR STREET ADDRESS 416 P.O. Box 6004 CITY 417 I STATE 418 I ZIP CODE 419 San Ramon CA 94583 TANK OWNER TYPE 1211. CORPORATION 02, INDIVIDUAL o 4. LOCAL AGENCY I DISTRICT o 6. STATE AGENCY 420 03. PARTNERSHIP o 5. COUNTY AGENCY o 7. FEDERAL AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER IT (TK) HQ 44- I 0 I 3 I 1 I 9 I 1 I 3 I Call (916) 322-9669 if Questions arise 421 V. PETROLEUM UST FINANCIAL RESPONSffiILITY INDICATE METHOD(s) 1:811. SELF-INSURED 04. SURETY BOND 07. STATE FUND o 10. LOCAL GOVT MECHANISM 02. GUARANTEE 05. LETTER OF CREDIT 08. STATE FUND & CFO LEITER o 99, OTHER: o 3. INSURANCE o 6. EXEMPTION o 9. STATE FUND & CD 422 VL LEGAL NOTIFICATION AND MAILING ADDRESS . Check one box to indicate which address should be used for legal notifications and mailing, Legal notifications and mailings will be sent to Úle tank owner unless box I or 2 is checked, o 1. FACILITY o 2, PROPERTY OWNER 1813, TANK OWNER 423 VII. APPLICANT SIGNATURE Certification - I certify that the infonnation provided herein is true and accurate to the best of my knowledge, SIGNAWjÕ~t? /} A DATE 424 I PHONE 425 04/12/00 805-986-5527 NAME OF APPLICANT (print) - 426 TITLE OF APPLICANT 427 Chevron Products CompanylHal O'Rear Retail ESH Specialist STATE UST FACILITY NUMBER (ForIO<:a!useonIy) 428 1998 UPGRADE CERTIFICATE NUMBER (For local use orùy) 1429 00738' .. , D PROGRAM CONSOLIDATED F TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 (two pages per tank) Page50f 6 TYPE OF ACTION o I NEW SITE PERMIT o 4 AMENDED PERMIT 1:81 5 CHANGE OF INFORMATION o 6 TEMPORARY SITE CLOSURE (Check one item OJÙY) o 7 PERMANENTLY CLOSED ON SITE o 3 RENEWAL PERMIT (SpecifY reason -: for local use only) (SpecifY reason - for local use only) o 8 TANKREMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 1 31 FACILITY ID: IllS I 0 12 11 I 1010101413171 I Chevron Station #95325 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (A scaled plot plan with the location ofthe UST system including buildings and landmarks shall be submitted to the local agency.) TANKID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK 0 Yes 181 No 434 1 Joor If "Yes", complete one page for each compartment, DATE INSTALLED (YEARlMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 06/27/90 12,000 0 ADDITIONAL DESCRIPTION (For local use only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 1:811. MOTOR VEHICLE FtÆL o la, REGULAR UNLEADED o 2, LEADED o 5, JET FtÆL (lfrnarked complete Petroleum Type) I:8Ilb, PREMIUM UNLEADED o 3, DIESEL 06, AVIATIONFtÆL o 2, NON-FtÆL PETROLEUM Ole, MlDGRADE UNLEADED 04, GASOHOL o 99, OTHER o 3, CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS# (from Hazardous Materials Inventory page) 442 04, HAZARDOUS WASTE (Includes Used Oil) PREMIUM UNLEADED 8006619 o 95, UNKNOWN m. TANK CONSTRUCTION TYPE OF TANK 01. SINGLE WALL 03, SINGLE WALL WITH o 5, SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Che<:k one item OJÙY) EXTERIOR MEMBRANE LINER o 95, UNKNOWN 1:812, DOUBLE WALL 04, SINGLE WALL IN VAULT o 99, OTHER TANK MATERIAL - primary tank 1:811. BARE STEEL o 3, FIBERGLASS / PLASTIC o 5, CONCRETE o 95. UNKNOWN 444 (Che<:k one item OJÙY) o 2, STAINLESS STEEL o 4, STEEL CLAD W/FIBERGLASS o 8, FRP COMPATIBLE W/IOO% METIIANOL 099, OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL - secondary tank o 1. BARE STEEL 1:81 3, FIBERGLASS / PLASTIC o 5, CONCRETE o 95, UNKNOWN 445 (Check one item OJÙY) 02, STAINLESS STEEL 04, STEEL CLAD W/FIBERGLASS 08, FRP COMPATIBLE W/IOO% METIIANOL 099, OTHER REINFORCED PLASTIC (FRP) o 10, COATED STEEL o 5, CONCRETE TANK INTERIOR LINING o 1. RUBBER LINED o 3, EPOXY LINING o 5, GLASS LINING 095, UNKNOWN 446 DATE INSTALLED 447 OR COATING o 2 ALKYD LINING o 4 PHENOLIC LINING 1:81 6 UNLINED o 99 OTHER (Check one item OJÙY) (For local use only) 095 UNKNOWN 448 448 OTHER CORROSION 01 MANUFACTURED CATHODIC 1:81 3 FIBERGLASS REINFORCED PLASTIC PROTECTION IF APPLICABLE PROTECTION o 4 IMPRESSED CURRENT o 99 OTHER (Check one item OJÙY) o 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use OJÙY) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that apply) 1:811 SPILL CONTAINMENT 1990 1:811 ALARM 1:81 3 FILL TIJBE SHUT OFF VALVE , ~ 2 DROP TUBE 1997 OPW 61-S0-4 o 2 BALL FLOAT 04 EXEMPT 181 3 STRIKER PLATE Tank Mfg IV. TANK LEAK DETECTION (A des<:ription of the monitoring progmm shall be submitted to the local agency.) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item orùy) o I VISUAL (EXPOSED PORTION ONLY) 05 MANUAL TANK GAUGING (MTG) 01 VISUAL (SINGLE WALL IN VAULT ONLY) 02 AUTOMATIC TANK GAUGING (ATG) o 6 VADOSE ZONE 1:81 2 CONTINUOUS INTERSTITIAL MONITORING o 3 CONTINUOUS ATG o 7 GROUNDWATER o 3 MANUAL MONITORING 04 STATISTICAL INVENTORY RECONCILIATION o 8 TANK TESTING (SIR) BIENNIAL TANK TESTING o 99 OTHER IV. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YRlMO/DA Y) 455 1 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 1 TANK FILLED WITH INERT MATERIAL? 457 gallons DYes D No ,. lED PROGRAM CONSOLIDATED F TANK üNDERGROUND STORAGE TANKS-TANKPAGE2 VI. PIPING CONSTRUCfION (Check all that a Iy) UNDERGROUND PIPING SYSTEM TYPE 1811. PRESSURE D 2, SUCTION D 3, GRAVITY CONSTRUCTION D I, SINGLE WALL D 3, LINED TRENCH D 99, OTHER MANUFACTURER 1812, DOUBLE WALL D 95, UNKNOWN MANUFAC~R AO Smith 461 D I. BARE STEEL D 6, FRP COMPATIBLE w/IOO% METIIANOL D I. BARE STEEL D 2, STAINLESS STEEL D 1. GALVANIZED STEEL D Unknown D 2, STAINLESS STEEL D 3, PLASTIC COMPATffiLE W/ CONTENTS D 99, Other D 3, PLASTIC COMPATffiLE W/ CONTENTS 181 4, FIBERGLASS D 8, FLEXIBLE (HDPE) D 4, FIBERGLASS D 5, STEEL W/COATING D 9, CATHODIC PROTECTION 464 D 5, STEEL W/COATING VII. PIPING LEAK DETECfION (Check all that a Iy)(Ades<:ri tionofthemonit UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): D I, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDffiLE AND VISUAL ALARMS, D 2, MONTHL Y 0,2 GPH TEST D 3, ANNUAL INfEGRITY TEST (O,IGPH) CONVENTIONAL SUCTION SYSTEMS D 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INfEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUND PIPING): D 7, SELF MONITORING GRAVITY FLOW D 9, BIENNIAL INfEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDffiLE AND VISUAL ALARMS AND (Check one) D a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 181 b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc, NO AUTO PUMP SHUT OFF 18111. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITH FLOW SHUT OFF OR RES1RICTION 18112, ANNUAL INfEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) D 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF· AUDIBLE AND VISUAL ALARMS D 15. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITHOUT FLOW SHUT OFF OR RES1RICTION D 16, ANNUAL INfEGRITY TEST (0,1 GPH) D 11. DAILY VISUAL CHECK Page 6 of 6 458 ABOVEGROUND PIPING D I, PRESSURE D 2, SUCTION D 3, GRAVITY D I. SINGLE WALL D 95, UNKNOWN D 2, DOUBLE WALL D 99, OTHER MANUFACTURER 463 460 459 462 466 D 6, FRP COMPATIBLE W/lOO% METIIANOL D 7, GAL V ANIZED STEEL D 8, FLEXIBLE (HDPE) D 99, OTHER D 9, CATHODIC PROTECTION D 95, UNKNOWN shall be submitted to the local ,) ABOVEGROUND PIPING SINGLE WALL PIPING 465 467 PRESSURIZED PIPING (Check all that apply): D 1. ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDffiLE AND VISUAL ALARMS, D 2, MONTHLY 0,2 GPH TEST D 3, ANNUAL INfEGRITY TEST (O,IGPH) D 4, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) D 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM D 6, TRIENNIAL INfEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): D 7, SELF MONITORING GRAVITY FLOW (Check all that apply): D 8, DAILY VISUAL MONITORING D 9, BIENNIAL INfEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): ]0, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) D a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS D b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc NO AUTO PUMP SHUT OFF D II. AUTOMATIC LEAK DETECTOR D 12, ANNUAL INfEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) D 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF · AUDIBLE AND VISUAL ALARMS D 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) D 16, ANNUAL INfEGRITY TEST (0,1 GPH) D 17, DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT D 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 1812, CONTINUOUS DISPENSER PAN SENSOR + AUDffiLE AND VISUAL ALARMS 181 3, CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE DISPENSER CONTAINMENT DATE INSTALLED 468 12/19/97 I certifY that the infonnation provided herein is true and accurate to the best of my knowledge, SIGNATURE OF Permit Approved (For local use only) Permit Nmnber (For local use only) 473 D 4, DAILY VISUAL CHECK D 5, TRENCH LINER/MONITORING D 6, NONE 469 DATE 04/12/00 TInE OF OWNER/OPERATOR Retail ESH S cialist 470 472 Permit Expiration Date (For local use only) 475 .' TFTF.D PROGRAM C.ONSOLIDATED F TANKS UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFICATE OF COMPLIANCE (one page per tank) Page 1 of 2 L FACILITY IDENTIFICATION BUSINESS NAME (Sam. as FACILITY NAME or DBA-Doing BusÍJ1essAs) Chevron Station # 95325 ADDRESS (For local us. only) 476 TANK. ill # I Supreme UIÙeaded 477 II. INSTALLATION (Check all that apply) 478 ~ The installer has been trained and certified by the tank and piping manufacturers. D The installation has been inspected and certified by a registered professional engineer having education and experience with underground storage tank installations. ~ The installation has been inspected and approved by the Utúfied Program Agency. ~ All work listed on the manufacturer's installation checklist has been completed. ~ The installer has been certified or licensed by the Contractors' State License Board. [g The underground storage tank, any primary piping, and secondary contaimnent was installed according to applicable voluntary consensus standards and written manufacturer's installation procedures. Description of work being certified: 479 480 481 482 483 III. TANK OWNER/AGENT SIGNATURE I certifY that the information provided herein is true and accurate to the best of my knowledge. N DATE 04/12/00 485 TITLE OF TANK OWNER! AGENT Retail ESH S cialist 484 486 UPCF (7/99 revised) 177 Fonnerly SWRCB Fonn C !FlED PROGRAM CONSOLIDATED TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (two pages per tank) Page 3 of 6 TYPE OF ACTION o I NEW SITE PERMIT o 4 AMENDED PERMIT IðI 5 CHANGE OF INFORMATION o 6 TEMPORARY SITE CLOSURE (Check one item OIÙY) o 7 PERMANENTLY CLOSED ON SITE o 3 RENEWAL PERMIT (SpeciIY reason - for local use OIÙY) (SpeciIY reason - for local use only) o 8 TANKREMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 131 FACILITY ID: 115 I I 0 12 11 I 1010101413171 I Chevron Station #95325 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANKID# 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK 0 Yes ~ No 434 2 Joor If"Yes", complete one page for each compartment. DATE INSTALLED (YEARlMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 06/27/90 12,000 0 ADDmON AL DESCRIPTION (For local use OIÙY) 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 IðII. MOTOR VEHICLE FUEL o la, REGULAR UNLEADED o 2, LEADED 05, JET FUEL (Ifmarked complete Petrolemn Type) o Ib, PREMIUM UNLEADED o 3, DIESEL 06, AVIATION FUEL o 2, NON-FUEL PETROLEUM IðIlc, MIDGRADE UNLEADED 04, GASOHOL o 99, OTHER o 3, CHEMICAL PRODUCT COMMON NAME (ftom Hazardous Materials Inventory page) 441 CAS# (ftom Hazardous Materials Inventory page) 442 o 4, HAZARDOUS WASTE (Includes Used Oil) MID-GRADE UNLEADED 8006619 o 95, UNKNOWN m. TANK CONSTRUCTION TYPE OF TANK D 1. SINGLE WALL o 3, SINGLE WALL WITH o 5, SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item OIÙY) EXTERIOR MEMBRANE LINER o 95, UNKNOWN IðI 2, DOUBLE WALL 04, SINGLE WALL IN VAULT o 99, OTHER TANK MATERIAL - primary tank IðII. BARE STEEL o 3, FffiERGLASS / PLASTIC o 5, CONCRETE o 95, UNKNOWN 444 (Check one item only) o 2, STAINLESS STEEL o 4, STEEL CLAD WIFIBERGLASS 08, FRP COMPATIBLE W/IOO% METIlANOL 099. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL - secondary tank o 1. BARE STEEL IðI 3, FffiERGLASS / PLASTIC o 5, CONCRETE o 95. UNKNOWN 445 (Check one item OIÙY) 02, STAINLESS STEEL 04, STEEL CLAD WIFIBERGLASS 08, FRP COMPATffiLE W/IOO% METIlANOL 099, OTHER REINFORCED PLASTIC (FRP) o 10, COATED STEEL o 5, CONCRETE TANK INTERIOR LINING o 1. RUBBER LINED o 3, EPOXY LINING o 5, GLASS LINING D 95, UNKNOWN 446 DATE INSTALLED 447 OR COATING o 2 ALKYD LINING o 4 PHENOLIC LINING IðI 6 UNLINED o 99 OTHER (Check one item only) (For local use OIÙY) o I MANUFACTURED CATHODIC IðI 3 FffiERGLASS REINFORCED PLASTIC 095 UNKNOWN 448 448 OTHER CORROSION PROTECTION IF APPLICABLE PROTECTION 04 IMPRESSED CURRENT o 99 OTHER (Check one item OIÙY) o 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check ail that apply) 181 I SPILL CONTAINMENT 1990 IðII ALARM IðI 3 FILL 1UBE SHUT OFF VALVE 181 2 DROP TUBE 1997 OPW 61-S0-4 o 2 BALL FLOAT o 4EXEMPT ~ 3 STRIKER PLATE Tank Mfg IV. TANK LEAK DETECTION (A description of tile monitoring program shalI be submitted to the local agency,) IF SINGLE WALL TANK (Check ail that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) o 1 VISUAL (EXPOSED PORTION ONLY) 05 MANUAL TANK GAUGING (MI'G) o 1 VISUAL (SINGLE WALL IN VAULT ONL Y) 02 AUTOMATIC TANK GAUGING (ATG) o 6 VADOSE ZONE 181 2 CONTINUOUS INTERSTITIAL MONITORING o 3 CONTINUOUS ATG 07 GROUNDWATER o 3 MANUAL MONITORING 04 STATISTICAL INVENTORY RECONCILIATION 08 TANK TESTING (SIR) BIENNIAL TANK TESTING o 99 OTHER IV. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MOIDA Y) 455 I ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 I TANK FILLED WITH INERT MATERIAL? 457 gallons Dyes D No IFIED PROGRAM CONSOLIDATED F TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCfION (Check allthat a !) UNDERGROUND PIPING SYSTEM TYPE 1811. PRESSURE 0 2, SUCTION 0 3, GRAVITY CONSTRUCTION 0 1, SINGLE WALL 0 3, LINED TRENCH 0 99, OTHER MANUFACTURER 1812, DOUBLE WALL 095, UNKNOWN MANUFACTURER AO Smith 461 o 1. BARE STEEL 06, FRP COMPATIBLE w/IOO% METHANOL 0 1. BARE STEEL o 2, STAINLESS STEEL 0 7, GALVANIZED STEEL 0 Unknown 0 2, STAINLESS STEEL 03, PLASTIC COMPATIBLE W/ CONTENTS 099, Other 03, PLASTIC COMPATIBLE W/ CONTENTS 181 4, FIBERGLASS 0 8, FLEXIBLE (HDPE) 0 4, FIBERGLASS o 5, STEEL W/COATING 0 9, CATHODIC PROTECTION 464 0 5, STEEL W/COATING VII. PIPING LEAK DETECfION (Check aJI that a Iy (Adescri tionofthem UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): o 1, ELEC1RONIC LINE LEAK DETECTOR 3,0 GPH TEST wrrn AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS, 02, MONTHLY 0,2 GPH TEST o 3, ANNUAL INTEGRITY TEST (0,1 GPH) CONVENTIONAL SUCTION SYSTEMS o 5, DAIL Y VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUND PIPING): o 7, SELF MONITORING GRAVITY FLOW o 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARll.. Y CONTAINED PIPING PRESSURIZED PIPING (Check aJI that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WIlli AUDIBLE AND VISUAL ALARMS AND (Check one) o a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 181 b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DC, NO AUTO PUMP SHUT OFF 18111. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) wrrn FLOW SHUT OFF OR RES1RICTION 18112, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM o 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Cluocl< all that apply) o 14, CONTINUOUS SUMP SENSOR WIlliOUT AUTO PUMP SHUT OFF · AUDIBLE AND VISUAL ALARMS o 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) wrrnOUT FLOW SHUT OFF OR RES1RICTION o 16, ANNUAL INTEGRITY TEST (0,1 GPH) o 17, DAILY VISUAL CHECK Page 4 of 6 458 ABOVEGROUND PIPING o 1, PRESSURE 0 2, SUCTION 0 3, GRAVITY o 1. SINGLE WALL 0 95, UNKNOWN o 2, DOUBLE WALL 0 99, OTHER MANUFACTURER 463 460 459 462 06, FRP COMPATIBLE W/lOO%METHANOL 07, GALVANIZED STEEL o 8, FLEXIBLE (HDPE) 0 99, OTHER o 9, CATHODIC PROTECTION o 95, UNKNOWN 465 466 shall be submitted to the local ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): o 1. ELEC1RONIC LINE LEAK DETECTOR 3.0 GPH TEST wrrn 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) 04, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) o 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6, TRIENNIAL INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7, SELF MONITORING GRAVITY FLOW (Check aJI that apply): o 8, DAILY VISUAL MONITORING o 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARll.. Y CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): (0, CONTINUOUS TURBINE SUMP SENSOR WIlli AUDIBLE AND VISUAL ALARMS AND (Check one) o a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DC NO AUTO PUMP SHUT OFF 011. AUTOMATIC LEAK DETECTOR o 12, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM o 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check allthat apply) o 14, CONTINUOUS SUMP SENSOR wrrnOUT 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) 017, DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT o 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 1812, CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS 1813, CONTINUOUS DISPENSER PAN SENSOR wrrn AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE DISPENSER CONTAINMENT DATE INSTALLED 468 12/19/97 Pannit Nwnber (For local use only) 473 Permit Approved (For local use only) 04, DAILY VISUAL CHECK 05, TRENCH LINER/MONITORING o 6, NONE 469 DATE 04/12/00 TITLE OF OWNER/OPERATOR Retail ESH S cialist 470 472 Pannit Expiration Date (For local use only) 475 TNTFTED PROGRAM c;ONSOT,IDATF.D F M TANKS UNDERGROUND STORAGE TANKS-ffiSTALLATIDN CERTIFICATE OF COMPLIANCE (one page per tank) Page 2 of 2 L FACILITY IDENTIFICATION BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) Chevron Station # 95325 ADDRESS (For local use oruy) 476 TANKID#2 Midgrade Unleaded 477 II. INSTALLATION (Check all that apply) 478 I2J The installer has been trained and certified by the tank and piping manufacturers. o The installation has been inspected and certified by a registered professional engineer having education and experience with underground storage tank installations. I2J The installation has been inspected and approved by the Unified Program Agency. I2J All work listed on the manufacturer's installation checklist has been completed. I2J The installer has been certified or licensed by the Contractors' State License Board. I2J The underground storage tank, any primary piping, and secondary containment was installed according to applicable voluntary consensus standards and written manufacturer's installation procedures. Description of work being certified: 479 480 481 482 483 m. TANK OWNER/AGENT SIGNATURE I certifY that the infonnation provided herein is true and accurate to the best of my knowledge. SIGNATIJRX7~2'7?~ NAMEOFTANKOWNE~AGENT(prim) Chevron Products Com /Hal O'Rear DATE 04/12/00 485 TITLE OF T ANK OWNE~ AGENT Retail ESH S cialist 484 486 UPCF (7/99 revised) 178 Fonnerly SWRCB Fonn C .~ - lED PROGRAM CONSOLIDATED F TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (two pages per tank) Page I of 6 TYPE OF ACTION o I NEW SITE PERMIT o 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION o 6 TEMPORARY SITE CLOSURE (Check one item only) o 7 PERMANENTLY CLOSED ON SITE o 3 RENEWAL PERMIT (SpecifY reason - for local use only) (SpecifY reason - for local use only) o 8 TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) \31 FACILITY ID: 1\5 10 \211 I 101010\41317\ I Chevron Station #95325 LOCATION WITHIN SITE (Optional) 431 I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK 0 Yes 181 No 434 3 Joor If"Yes", complete one page for each compartment. DATE INSTALLED (YEARlMO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 06/27/90 12,000 0 ADDmON AL DESCRIPTION (For local use only) 438 II. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ~ 1. MOTOR VEHICLE FUEL ~ la, REGULAR UNLEADED o 2, LEADED 05, JET FUEL (If marked complete Petroleum Type) o Ib, PREMIUM UNLEADED o 3, DIESEL 06, AVIATION FUEL o 2, NON-FUEL PETROLEUM Ole, MIDGRADE UNLEADED 04, GASOHOL o 99, OTHER o 3, CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAB# (from Hazardous Materials Inventory page) 442 o 4, HAZARDOUS WASTE (Includes Used Oil) REGULAR UNLEADED 8006619 o 95, UNKNOWN IlL TANK CONSTRUCfION TYPE OF TANK 01. SINGLE WALL 03, SINGLE WALL WITH o 5, SINGLE WALL WITH INfERNAL BLADDER SYSTEM 443 (Check one item only) EXI'ERIOR MEMBRANE LINER o 95, UNKNOWN ~ 2, DOUBLE WALL 04, SINGLE WALL IN VAULT o 99, OTHER TANK MATERIAL - primary tank ~ 1. BARE STEEL o 3. FffiERGLASS / PLASTIC o 5, CONCRETE o 95, UNKNOWN 444 (Check one item only) o 2, STAINLESS STEEL 04, STEEL CLAD W/FffiERGLASS 08, FRP COMPATffiLE W1100% METIIANOL 099. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL - secondary tank o 1. BARE STEEL ¡g¡ 3, FffiERGLASS / PLASTIC o 5, CONCRETE 095, UNKNOWN 445 (Check one item only) 02, STAINLESS STEEL 04, STEEL CLAD W/FIBERGLASS 08, FRP COMPATffiLE W/I00% METIIANOL 099, OTHER REINFORCED PLASTIC (FRP) o 10, COATED STEEL 05 CONCRETE TANK INfERIOR LINING o 1. RUBBER LINED o 3, EPOXY LINING o 5, GLASS LINING o 95, UNKNOWN 446 DATE INSTALLED 447 OR COATING o 2 ALKYD LINING o 4 PHENOLIC LINING ~ 6 UNLINED o 99 OTHER (Check one item orùy) (For local use only) 01 MANUFACTURED CATHODIC ~ 3 FffiERGLASS REINFORCED PLASTIC o 95 UNKNOWN 448 448 OTHER CORROSION PROTECTION IF APPLICABLE PROTECTION o 4 IMPRESSED CURRENT o 99 OTHER (Check one item only) o 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that apply) ~ I SPILL CONTAINMENT 1990 ~ 1 ALARM ~ 3 FILL TUBE SHUT OFF VALVE ~ 2 DROP TUBE 1997 OPW 61-80-4 o 2 BALL FLOAT 04 EXEMPT 1813 STRIKER PLATE Tank Mfg IV. TANK LEAK DETECfION (A description of the monitoring program shall be submitted to the local agency,) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) o I VISUAL (EXPOSED PORTION ONLY) 05 MANUAL TANK GAUGING(MTG) o I VISUAL (SINGLE WALL IN VAULT ONL Y) o 2 AUTOMATIC TANK GAUGING (ATG) o 6 VADOSE ZONE ~ 2 CONTINUOUS INfERSTITIAL MONITORING 03 CONTINUOUS ATG o 7 GROUNDWATER o 3 MANUAL MONITORING 04 STATISTICAL INVENTORY RECONCILIATION 08 TANK TESTING (SIR) BIENNIAL TANK TESTING o 99 OTHER IV. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YRfMO/DA Y) 455 I ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 I TANKFILLEDWTIHINERTMATERlAL? 457 gallons DYes 0 No .... D PROGRAM CONSOLIDATED TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 VI. PIPING CONSTRUCfION Check all that a I UNDERGROUND PIPING SYSTEM TYPE ~ I. PRESSURE D 2, SUCTION D 3, GRAVITY CONSTRUCTION D I. SINGLE WALL D 3, LINED TRENCH D 99, OTHER MANUFACTURER ~ 2, DOUBLE WALL D 95, UNKNOWN MANUFACTURER AO Smith 461 D I. BARE STEEL D 6, FRP COMPATIBLE w/lOO% METIIANOL D 1. BARE STEEL D 2, STAINLESS STEEL D 7, GALVANIZED STEEL D Unknown D 2. STAINLESS STEEL D 3, PLASTIC COMPATIBLE WI CONTENTS D 99, Other D 3, PLASTIC COMPATIBLE WI CONTENTS ~ 4, FIBERGLASS D 8, FLEXIBLE (HDPE) D 4, FIBERGLASS D 5, STEEL W/COATING D 9, CATHODIC PROTECTION 464 D 5, STEEL W/COATING VII. PIPING LEAK DETECfION Check all that a Iy)(A ' tionofthemonit UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): D I, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. D 2, MONTH!.. Y 0,2 GPH TEST D 3, ANNUAL INTEGRITY TEST (O,IGPH) CONVENTIONAL SUCTION SYSTEMS D 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO V ALVES IN BELOW GROUND PIPING): D 7, SELF MONITORING GRAVITY FLOW D 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) D a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~ b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc, NO AUTO PUMP SHUT OFF ~ II. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION ~ 12, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) D 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF · AUDIBLE AND VISUAL ALARMS D 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION D 16, ANNUAL INTEGRITY TEST (0,1 GPH) D 17, DAILY VISUAL CHECK Page 2 of 6 458 ABOVEGROUND PIPING D 1. PRESSURE D 2, SUCTION D 3, GRAVITY D I, SINGLE WALL D 95, UNKNOWN D 2, DOUBLE WALL D 99, OTHER MANUFACTURER 459 462 460 466 463 D 6, FRP COMPATIBLE W/loo% METIIANOL D7,GALV~DSTEEL D 8, FLEXIBLE (HDPE) D 99, OTHER D 9. CATHODIC PROTECTION D 95, UNKNOWN shall be submitted to the local ,) ABOVEGROUND PIPING SINGLE WALL PIPING 465 467 PRESSURIZED PIPING (Check all that apply): D 1. ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS, D 2. MONTHLY 0,2 GPH TEST D 3, ANNUAL INTEGRITY TEST (O:IGPH) D 4, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) D 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM D 6, TRIENNIAL INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): D 1. SELF MONITORING GRAVITY FLOW (Check all that apply): D 8, DAILY VISUAL MONITORING 09, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) D a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Db AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc NO AUTO PUMP SHUT OFF D II. AUTOMATIC LEAK DETECTOR D 12, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D ]3, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) o 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF · AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) o 16, ANNUAL INTEGRITY TEST (0,1 GPH) o 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT D 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ~ 2, CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ~ 3, CONTINUOUS DISPENSER PAN SENSOR WIH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE DISPENSER CONTAINMENT DATE INSTALLED 468 12/19/97 Permit Number (For local use only) 473 Permit Approved (For local use only) D 4, DAILY VISUAL CHECK D 5, TRENCH LINER I MONITORING o 6, NONE 469 DATE 04/12/00 TITLE OF OWNER/OPERATOR Retail ESH S cialist 470 472 Permit Expiration Date (For local use only) 475 ,ÌI·.... · TF.D PROGRAM C.ONSOT,IDATF.D F TANKS UNDERGROUND STORAGE TANKS - INSTALLATION CERTIFICATE OF COMPLIANCE (one page per tank) Page 1 of 2 L FACILITY IDENTIFICATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Chevron Station # 95325 ADDRESS (For local use only) 476 TANKID#3 Regular Unleaded 477 n. INSTALLATION (Check all that apply) 478 ~ The installer has been trained and certified by the tank and piping manufacturers. D The installation has been inspected and certified by a registered professional engineer having education and experience with underground storage tank installations. ~ The installation has been inspected and approved by the Unified Program Agency. ~ All work listed on the manufacturer's installation checklist has been completed. ~ The installer has been certified or licensed by the Contractors' State License Board. I2S3 The underground storage tank, any primary piping, and secondary containment was installed according to applicable voluntary consensus standards and written manufacturer's installation procedures. Description of work being certified: 479 480 481 482 483 ffi. TANK OWNER/AGENT SIGNATURE I certifY that the information provided herein is true and accurate to the best of my knowledge. SIGNATUR 0{;Jf2YP~ NAME OF TANK OWNER! AGENT (print) Chevron Products Com /Hal O'Rear DATE 04/12/00 485 TITLE OF TANK OWNER! AGENT Retail ESH S cialist 484 486 UPCF (7/99 revised) 177 Formerly SWRCB Form C '. . April 30, 2000 RE: CERTIFICATE UNDERGROUND TANKS OF FINANCIAL RESPONSIBILITY FOR To Whom It May Concern: Chevron Corporation hereby certifies that it is in compliance with the requirements of Underground Storage Tank financial responsibility regulations. This certificate covers all tanks in the States of California, Alaska, Arizona, Florida, Georgia, Hawaii, Louisiana, Nevada, New Mexico, Oregon, Texas, Utah and Washington owned by Chevron Corporation. The financial assurance mechanism used to demonstrate financial responsibility required under State and Federal regulations is as follows: Corporate guarantee of Chevron is the amount of $1 million per occurrence, $2 million annual aggregate. Said guarantee covers taking corrective action And compensating third parties for bodily injury and property damage caused By either sudden accidental releases and non sudden accidental releases or Accidental releases. This guarantee is renewed annually (within the first 120 days of the year). Copies of the renewed certificate and a complete list of the facilities are sent to the governing agencies yearly. Sincerely, By: C. P. Garc nvironmental Compliance, Permit Notarized by: ~ ~ ~ Susan R. Weber, Notary ~ J - ~~ -. ~u~-;.;EB~ -.- J a Commission # 12Z3067 z í ~ Notay Public - Carlfomia ~ Z Contra COSta County i J _ _ - -My-~.:~~~~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVEN1l0N SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 . e April 4, 2000 Chevron Products Mr. Hal OIRear POBox 668 City of Port Hueneme CA 93044 Dear Mr. O'Rear: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The permits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B, & C must be filled out and returned prior to the issuance of a new permit. Please make sure that you are sending the updated forms which are indicated by the date 7/99 in the lower left hand comer. Please complete and return to this office by May 15, 2000. Failure to comply, will result in a delay of issuance of your new permit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, JL CÚkV Steve Underwood, Inspector Office of Environmental Services SU/dam attachment "7~ de W~ ~ vØ&~ ffbt, A W~'I'I ·... \" <;' !~ . Facility Name Steve Thome Chevron Stewarts Chevron Bob Haileys e Address 2700 Oswell Street, Bakersfield, Ca 93306 230 I Panama Lane, Bakersfield, Ca 93306 2525 White Lane, Bakersfield, Ca 93304 ~y " /\ . . 4, ., Tan 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 T est Date: 02/03/2000 Order Number: 3111025 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 95325 2525 WHITE LANE BAKERSFIELD, CA. 93304 Testing performed: Line tests Tank tests Sincerely, :D~K~ Dawn Kohlmeyer Manager, Field Reporting " ~ CERTIFICATE TEST DATE: 02/03/00 CLIENT: CHEVRON U.S.A, P. 0, BOX 2833 LA HABRA, CA 90631-2833 JUDY BOWE (310)694-7349 UNDERGROUND STORAGE TA' SYSTEM TESTING Ifi: ~ . DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: VacuTect PURPOSE: COMPLIANCE CUSTOMER PO: 4580351 WORK ORDER NUMBER: 3111025 SITE: CHEVRON 95325 2525 WHITE LANE BAKERSFIELD, CA 93304 Manager (805)832-9781 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Tank Tests 12k 12k 12k 1 REG UNLEAD 2 PLUS 3 SUPREME 12,022 12,022 12,022 111.0 111.0 111. 0 0,000 0.000 0.000 PASS PASS PASS PASS PASS PASS Line and Leak Detector Tests 12k 12k 12k 1 REG UNLEAD 2 PLUS 3 SUPREME 0.000 0.000 0,000 Y Y Y Y Y Y P P P Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future, Please call any time, day or night, when you need us. Tanknology representative: BRIAN HARMON Test conducted by: TODD PARKER ~c.~ Reviewed: Technician Certification Number: Printed 02/10/200008:27 CWHITE INDIVIDU TEST DATE:02/03/00 CLlENT:CHEVRON U.S.A. TANK INFORMATION AN ..... ~. "'ft.~ 4! ~ --. ---::II 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 EST RESULTS WORK ORDER NUMBER3111025 SITE:CHEVRON 95325 TanklD: 12k 1 Product: REG UNLEAD Capacity in gallons: 12,022 Diameter in inches: 111.00 Length in inches: 290 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / ··æAN·· . ·g"TeSæ·g·S··UC·TS· ······t .. ... . .... ........ .. .. . ... ...... ...... .... ...... ... .... .," . .... .. .. . .... ..... . ~'!'~""'!:"""""""""""}~',.,,!....:.:........\..?,...,........:.::.....,',..:..,....:::~'...\.....:,~,~,..J¡~§L~ I!4§IK_§ºmºRm§$;mB§iYb¡l~t.tº9~¡IIII Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 165.0 170.0 54.0 4.0 DUAL BALANCE New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: 0.00 0.00 Dipped Product Level: 49.00 49.00 Probe Water Level: O. 000 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 10: 57-12: 50 Inclinometer reading: -1.00 VacuTect Test Type: Single tank VacuTect Probe Entry Point: Fill Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS double wall tank with dry annular. Make: Model: SIN: Open time in see: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: -1. 00 0.00 PASS COMMENTS LD tested with monitor certification 1/7/00 NOT TESTED NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 100.0 50 o 30 11:10 11:40 0.000 PASS PRESSURE RED JACKET NOT TESTED Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 02/10/2000 08:27 INDIVID ¡, TEST DATE:02/03/00 CLlENT:CHEVRON U. S .A. L TANK INFORMATION AN :t., DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 EST RESULTS WORK ORDER NUMBER3111025 SITE:CHEVRON 95325 Tank 10: 12k 2 Product: PLUS Capacity in gallons: 12,022 Diameter in inches: 111.00 Length in inches: 290 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / ····""';o'''..·'''··_~''''''-''''·u''''-,·· ,','..,..'.', ",·.'~.h!1!rl.,..t5é~éFg",.'."F.!.ß)@§ º§IIQ§[§§Ji@lrn§lmB§§g';li§¡I~t.!99~*Î~III n In Dipped Water Level: 0.00 0.00 Dipped Product Level: 35. 60 35. 60 Probe Water Level: 0.000 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 08: 45-10: 40 Inclinometer reading: -1. 20 VacuTect Test Type: Multiple tanks VacuTect Probe Entry Point: Fill Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS dry annular Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 164.0 169.0 53.0 4.0 DUAL BALANCE New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 DW FIBERG 2.0 100.0 50 o 30 09:45 10:15 0.000 PASS PRESSURE RED JACIŒT NOT TESTED -1. 00 0.00 Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate mllm: Metering psi: Calib. leak in gph: Results: NOT TESTED NOT TESTED PASS COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 02/10/200008:27 '. INDIVID TEST DATE:02/03/00 CLlENT:CHEVRON U. S .A. TANK INFORMATION AND .... a;r: 'I'h~ . IP .-....-:11 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 EST RESULTS WORK ORDER NUMBER3111025 SITE:CHEVRON 95325 Tank 10: 12k 3 Product: SUPREME Capacity in gallons: 12 ,022 Diameter in inches: 111.00 Length in inches: 290 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 165.0 170.0 54.0 4.0 DUAL BALANCE ··itAN·· . ·f("TSSit'R6S"SU·m·· """ .. ... . .... ....... .. .. . ... ...... ::::I",)t~~ ................................... .................................. ;.;.;.;.;.;.;.;.;.;.:.;.:.:.:.:.:.:.:.:.:.:.:.:.;.:-:.:.:.:.:.:.:.:.: .................................. ................................... ::::::::::::::::::::::::::::::::::::::::i~:::¡:¡:¡:¡:¡:¡:~¡:¡:¡;;::: g§~lIfm¡nªgigBim§~!iB@§!I§¡~¡;.1.1rì9ëffi_I New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water Level: 0.00 0.00 Dipped Product Level: 33.60 33.60 Probe Water Level: 0.000 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 08: 45-10: 40 Inclinometer reading: -1.00 VacuTect Test Type: Mu1tip1e tanks VacuTect Probe Entry Point: Fi11 Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS dry annular Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib, leak in gph: Results: NOT TESTED NOT TESTED -1. 00 0.00 PASS COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 100.0 50 o 30 09:45 10:15 0.000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 02/10/2000 08:27 e SITE DIAGRAM e ,. .; ~;f: . ~ TánknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 02/03/00 CLlENT:CHEVRON U, S ,A. WORK ORDER NUMBER3111025 SITE: CHEVRON 95325 Cf:X) VENTS I I ® ® ® ø ø ø 0 0 0 :::è: :::è: :::è: N N N ..... ..... w § § § U a:: U 0 I- (f) I Ü u u Printed 02/10/200008:27 CWHITE 'i' '~Ju e 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 .' Test Date: 01/04/2000 Order Number: 3206395 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 95325 2525 WH ITE IN. BAKERSFIELD, CA. 93304 Testing performed: leak detector tests Monitor certifications Sincerely, :D~K~ Dawn Kohlmeyer Manager, Field Reporting .. . CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING ifl~ 41! ~ Dlnlmology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: TLD-1 PURPOSE: COMPLIANCE TEST DATE: 01/04/00 CUSTOMER PO: 4578365 WORK ORDER NUMBER: 3206395 CLIENT: CHEVRON U.S.A. P. o. BOX 2833 LA HABRA, CA 90631-2833 SITE: CHEVRON 95325 2525 WHITE LN. BAKERSFIELD, CA 93304 JUDY BOWE (310)694-7349 MANAGER (805)832-9781 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests 12k 12k 12k 1 REG UNLEAD 2 PLUS 3 SUPREME Y Y Y P P P Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future, Please call any time, day or night, when you need us, Tanknology representative: TODD PARKER Services conducted by: RICHMOND PHILLIPS Reviewed: Technician Certification Number: 91-1071 Printed 01/06/2000 08:19 CWHITE ," INDIVID ,¡ TEST DATE:01/04/00 CLlENT:CHEVRON U. S .A. TANK INFORMATION AN .,~: a;,¡~~ '¡i ~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 EST RESULTS WORK ORDER NUMBER3206395 SITE:CHEVRON 95325 Tank ID: 12k 1 Product: REG UNLEAD Capacity in gallons: 12,022 Diameter in inches: 111. 00 " Length in inches: 290 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 165.0 170.0 54.0 4.0 DUAL BALANCE Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS New/passed Failed/replaced New/passed L.D. #1 L.D. #1 L.D. #2 Bubble Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: VEEDERROOT L.L.D. 000550 189.0 3.00 PASS NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS Ullage NOT TESTED COMMENTS DW FIBERG 2.0 100.0 NOT TESTED NOT TESTED PRESSURE RED JACKET NOT TESTED NOT TESTED Impact Valves Operational: UNKNOWN Printed 01/06/2000 08:19 INDIVID TEST DATE:01/04/00 CLlENT:CHEVRON U. S .A. TANK INFORMATION AN EST RESULTS "-":~: rIP DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3206395 SITE:CHEVRON 95325 Tank 10: 12k 2 Product: PLUS Capacity in gallons: 12,022 Diameter in inches: 111.00 Length in inches: 290 Material: DW STEEL COMMENTS ""·æ·:AN: ., "'J(.."'.¡œ: :s·:·æ·:"'R···ES··U' ·ti"'·y·:S·""·' '·e·····'·s··:·'·t: ... . ... . ._. . ... . .. . .... . . ;:;:;:;...::..:::.....:....:..::<::::;...;:..............;::...;::::...;...:....:..;.....:::..:..::...:.:::...::::.....::::::..:::::.....:.....:..:: Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 164.0 169.0 53.0 4.0 DUAL BALANCE New/passed Failed/replaced L.D. #2 L.D. #2 Bubble Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib, leak in gph: Results: 3.00 PASS Ullage VEEDERROOT L.L.D. 013453 NOT TESTED NOT TESTED 189.0 COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 100.0 NOT TESTED NOT TESTED NOT TESTED NOT TESTED PRESSURE RED JACKET Impact Valves Operational: UNKNOWN Printed 01/06/2000 08: 19 .. INDIVID .. TEST DATE:01/04/00 CLlENT:CHEVRON U. S .A. TANK INFORMATION AN EST RESULTS Tank ID: 12k 3 Product: SUPREME Capacity in gallons: 12,022 Diameter in inches: 111.00 Length in inches: 290 Material: DW STEEL COMMENTS fir- . ~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3206395 SITE:CHEVRON 95325 165.0 170.0 54.0 4.0 DUAL BALANCE Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: Failed/replaced L.D. #2 NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS New/passed Failed/replaced L.D. #1 L.D. #1 Bubble Make: VEEDERROOT Model: L.L.D. SIN: 005965 Open time in sec: Holding psi: Resiliency cc: Test leak rate mllm: 189.0 Metering psi: Calib, leak in gph: 3.00 Results: PASS Ullage NOT TESTED COMMENTS DW FIBERG 2.0 100.0 NOT TESTED NOT TESTED NOT TESTED NOT TESTED PRESSURE RED JACKET Impact Valves Operational: UNIrn"OWN Printed 01/06/2000 08:19 '. e SITE DIAGRAM e .. ,~ Jr~ »JnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451 -6334 FAX (512) 459-1459 TEST DATE: 01/04/00 CLlENT:CHEVRON U. S .A. WORK ORDER NUMBER3206395 SITE: CHEVRON 95325 ",_. CC;O VENTS --0 0- to- ® ® ® ø ø ø 0 0 0 ~ ~ ~ N N N ..- ..- ..- w 8 8 8 n cr: n 0 I- (f) I U n n Printed 01/06/2000 08:19 CWHITE ~ONITOR SYSTEM CERTIFI~TION . TANKNOLOGY. Test Date: 01/04/2000 Work Order #: Client: CHEVRON U.S.A. P. O. BOX 2833 LA HABRA. CA. 90631 Site: CHEVRON 95325 2525 WHITE LN. BAKERSFIELD. CA. 93304 Overall System Operation The pumps; Shut down automatically if the system detects a leak, fails to operate, or is electronically disconnected. The system has functioning audible and visual alarms. The circuit breaker for the system is properly identified. The system is certified operational per manufacturer's performance standards, Product Tank Monitoring: Make: VEEDER-ROOT [X ] Double wall Model: ] Single wall FLOAT Type: ANNULAR SPACE LIQUID How many: 3 Operational: (Automatic tank gauge, annular space vapor probe, annular space liquid probe, hydro guard system, vadose zone monitor well, groundwater monitor well) I Comments 3 A TG' s operational. Product Piping Monitoring: [X ] Double wall Make: VEEDER-ROOT Model: ] Single wall PLLD Type: ELECTRONIC LINE How many: 3 Operational: (Piping sump liquid sensor, piping trench liquid sensor, electronic line pressure sensor, mechanical line leak detector) I Comments Other Monitoring Systems: Make: VEEDER-ROOT Type: SUMP LIQUID SENSOR Model: FLOAT How many: 3 Operational: I Comments . 'urb;.e sump ,en'o", Technician: RICHMOND PHILLIPS Technician Signature: 3206395 .' " [X ] Yes [ ] No [X ] Yes [ ] No [X ] Yes [ ] No [X ] Yes [ ] No [X ] Yes ] No [X ] Yes ] No [X ] Yes ] No 01/28/00 12:~S !t861 328 0576 BFD BAZ HAT DIV IaJ 002 .. --- ~~e'U' --... ~- f-5\-O'S4~ ____..N. .. 0____- . _.._ r ).. <:..t ~?'Î" "7 CITY OF BAKERSFIELD '" \ þ-Ç' OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakenfield, CA (805) 316-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY (1. h ~i/({)n. ~ c; ~3z..S- ADDRESS ~S'"' W ~ ,+~ L tV I ß4K.q-s"¡:'øl1-. . . pER.MJT TO OPERATE # OPERATORS NAME (!kvrð f'.... OWNERS NAME C-~" (ô A.. NUMBER. OF TANKS TO BE TESTED ' TANK # VOLtJME . I Ii ¡ç;,'(:.'.' z- I Z. '''}L ;, ' I Z,..,J¿.,. C!¡:J qnð( , ' . r' . . , '''_M~_' 'of ': ,,;\'~. ~ ~ ...,'~ ;'~':'¡', .' . . " IS PIPING OOING TO BE TESTED CONTENTS " ;! . ,;/2.é&-IJ.NI ,:~,.' ¡~ PI tJ f ~ IA tv'L ' .~;~0T,Ù~J ::~ :ß Prt!.,; .:...lA. tV L . ,i,':V!':rIr' " :í - ¡",' . '.~ . 1 ;'-¿'. .'1. " ,..,' .-"\. . <, '1 ¡'.,''',' .' / A II J¿~ 6/ f7; ,,- N J) (;. , '::." MAILINGADDR£SS 2. COth ' ,¿t4tJC.~lJtf (# zs-9.9 NAME &. PHONE NUMBER. OF CONTACT PERSON ÎJf ~()I "666- Z11" ... TEST METHOD 'laL_I"'~./"'\-- ." '. NAME OF TESTER TD;::{&' f Qe. ,- fc..-e., r- CERTIFICATION # ¿;V- ~ DATE &. TIME TEST IS TO BE CONDUCTED to ~~~/e>D' AP DATE SIGNATURE OF APPUCANT · e IJÞ 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 . Test Date: 10/20/1999 Order Number: 3206145 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: CHEVRON 95325 2525 WHITE LN. BAKERSFIELD, CA. 93304 Testing performed: Stage II blockage tests Stage II pressure decay tests Sincerely, -:D~ K~ Dawn Kohlmeyer Manager, Field Reporting ~ ~ CERTIFIC E OF STAGE II VAPOR REC VERY TESTING TEST DATE: 10/20/99 ~,tiL ~ ~ "DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3206145 SITE: CHEVRON 95325 2525 WHITE LN. BAKERSFIELD, CA 93304 CLIENT: CHEVRON U, S . A. P. O. BOX 2833 LA HABRA, CA 90631-2833 ATTN: JUDY BOWE CONTACT: MANAGER SUPREME 1 0.10 0.27 0.43 PASS PLUS 1 0.11 0.27 0.56 PASS UNLEADED 1 0.12 0.27 0.43 PASS SUPREME 2 0.12 0.29 0.55 PASS PLUS 2 0.12 0.31 0.54 PASS UNLEADED 2 0.11 0.30 0.55 PASS SUPREME 3 0.11 0.28 0.50 PASS PLUS 3 0.12 0.31 0.47 PASS UNLEADED 3 0.12 0.30 0.48 PASS SUPREME 4 0.11 0.24 0.41 PASS PLUS 4 0.11 0.30 0.51 PASS UNLEADED 4 0.11 0.25 0.45 PASS SUPREME 5 0.12 0.30 0.53 PASS PLUS 5 0.12 0.31 0.55 PASS UNLEADED 5 0.12 0.30 0.58 PASS SUPREME 6 0.11 0.25 0.39 PASS PRESSURE CECA Y TEST 12k 1 2.42 2.42 2.42 2.42 2.41 2.41 1.94 27045 PASS system manifolded Tanknology appreciates the opportunity to serve you, and looks foward to working with you in the future. Please call any time, day or night, when you need us, Tanknology representative: TODD PARKER Test conducted by: RICHMOND PHILLIPS Reviewed: Technician Certification Number:91-1071 " TEST DATE: 10/20/99 CERTIFICÄ E OF STAGE II VAPOR REC VERY TESTING ~&~ 4ìr ~ »Jnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3206145 CLIENT: CHEVRON U. S .A. P, O. BOX 2833 LA HABRA, CA 90631-2833 SITE: CHEVRON 95325 2525 WHITE LN, BAKERSFIELD, CA 93304 A TIN: JUDY BOWE CONTACT: MANAGER PLUS 6 0.12 0.28 0.58 PASS UNLEADED 6 0.12 0.29 0.57 PASS SUPREME 7 0.10 0.28 0.42 PASS PLUS 7 0.08 0.17 0.30 PASS UNLEADED 7 0.11 0.21 0.36 PASS SUPREME 8 0.11 0.26 0.44 PASS PLUS 8 0.12 0.26 0.52 PASS UNLEADED 8 0.12 0.31 0.55 PASS PRESSURE DECAY TEST Tanknology appreciates the opportunity to serve you, and looks foward to working with you in the future, Please call any time, day or night, when you need us, Tanknology representative: TODD PARKER Test conducted by: RICHMOND PHILLIPS Reviewed: Technician Certification Number: 91-1071 ~~ ~~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE:l0/20/99 CLlENT:CHEVRON U. S .A. WORK ORDER NUMBERa206145 SITE:CHEVRON 95325 COMMENTS PARTS REPLACED 1 I 3 X 4 ALUMINUM VAPOR ADAPTOR OPW 1611AV HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 11/021199908: 19 CWHITE '. e SITE DIAGRAM e ~Ii: 4~ ~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 10/20/99 CLlENT:CHEVRON U. S .A. WORK ORDER NUMBER3206145 SITE: CHEVRON 95325 CJ:X) VENTS I I ® ® ® ø ø ø 0 0 0 ~ ~ ~ ('\ ('\ ('\ ..... ..... ..... w § § § U a:: U 0 I- Cf) I () u u Printed 11/02/199908: 19 CWHITE ... e e Form 1 Source Test Tesults Static Leak Test Date: 10/20/1999 Time: 08:00 Application No. GDF Name and address: 5325 2525 WHITE LN. Stage II system ( check one): Vapor Balance [X] Single Hose M.P.D. Vacuum Assist Type: Stage I type (check one): Two point [X ] Manifolded? Yes [X] Coaxial No Tank # 1 2 3 Product grade 92 89 87 Actual tank capacity (gallons) 12022 12022 12022 36066 Gasoline volume (gallons) 3170 2478 3373 9021 Ullage (gallons) 8852 9544 8649 27045 Initial pressure of UST, inches H2O 2 2 Number of nozzles served by tank 8 8 8 24 Test location: (A) Stage I vapor coupler of (B) Stage II riser b b b b Initial Pressure, inches H20 (2.0) 2.42 Pressure after 1 min. (inches H2O) 2.42 Pressure after 2 min. (inches H2O) 2.42 Pressure after 3 min. (inches H2O) 2.42 Pressure after 4 min. (inches H2O) 2.41 Final Pressure after 5 min. (inches H2O) 2.41 Allowable Final Pressure: Table lA, Table IB, Equations 9.1, 9.2 1.94 Test Status [Pass or Fail] Pass Tests Conducted By: RPHILLIPS Test Company: T ANKNOLOGY Date of Tests: 10/20/1999 Tests Witnessed By: 'Õ e e Form 2 Summary of Test Results Dynamic Pressure Performance Date: 10/20/1999 Time: 08:00 Application No: GDF Name and address: 5325 2525 WHITE LN. Quantity 20 (gallons) of gasoline introduced into Stage II riser. Stage II system type: (Manufacturer and Executive Order number) Riser 40 CFH 60 CFH 80 CFH PASS Riser 40 CFH 60 CFH 80 CFH PASS No. .16" .35" .62" or No, .16" ,35" ,62" or MAX MAX MAX FAIL MAX MAX MAX FAIL 92 .12 .27 .43 PASS 87 .12 .30 .48 PASS 89 .12 .28 .56 PASS 92 .11 .24 .41 PASS 87 .12 .27 .43 PASS 89 .11 .30 .51 PASS 92 .12 ,29 .55 PASS 87 .11 .25 .45 PASS 89 .12 .31 .54 PASS 92 .12 .30 .53 PASS 87 .11 .30 .55 PASS 89 .12 .31 .55 PASS 92 .12 .28 .50 PASS 87 .12 .31 .58 PASS 89 .12 .31 .47 PASS 92 ,11 .25 .39 PASS Did gauge needle pulsate or peg at any flow rate during test? No [X ] Yes Indicate location of storage tank(s), condensate pot(s), and location where gasoline was introduced into the vapor return system on reverse side of this page: Tests Conducted By: RPHILLIPS Test Company: TANKNOLOGY Date of Tests: 10/20/1999 Tests Witnessed By: '" e e TO BE ENACTED APPENDIX C STAGE n POST TEST INSPECTION FORM FacilIty Name: Appl1catlOn # 5325 Address: county: 2525 WHITE LN. CllY, ðIaœ, ¿lP BAKERSFIELD, CA 93304 DISPENSER AREA INSPECTION [X ] All Vapor pipes under the dispenser are capped, plugged, or re-attached. [X ] No leaks are present under dispenser, nor from hoses or nozzles. [X ] All impact valves are open on all product lines. [X ] All dispenser panels are correctly re-installed. [X ] All lock-outs or "Out of Service" bags are removed from dispenser nozzles. [X ] All tools, testing equipment, cones, and caution tape removed from dispenser area. TANK AREA INSPECTION [X ] Isolation plugs are removed from vapor risers (if applicable). [X ] All tank top components (plugs, caps, etc...) are reinstalled and secure. [X ] "Drop out tank" free of product and functioning properly (with all caps replaced). [X ] Submersible pit(s) free from leaks. [X ] All tools, testing equipment, cones, and caution tape removed from tank area. [X ] All lids and covers are properly replaced. Site Mgr. NAME: Site Mgr. Signature: Date: Tester NAME: Testers Signature: Date: RICHMOND PHILLIPS 10120/199 Testing Company and Address: TANKNOLOGY, 8900 SHOAL CREEK, SUITE 200, AUSTIN, TX 78757 " ~ Date: 10/20/1999 GDF Name and address: Notes: e Reverse Side of Page 5325 2525 WHITE LN. e Work Order#: 3206145 "'" ~ .~i' . April 30, 1999 Bakersfield Fire Department UST Division 2130 G. Street Bakersfield, CA 93301 RE: FJNANCIAL RESPONSmILITY FOR UNDERGROUND TANKS Dear Sirs: Please find enclosed the following documents: 1) Proof of Financial Responsibility 2) "Certificate of Financial Responsibility" e Chevron === Chevron These documents meet the financial responsibility requirements for all USTs owned by Chevron and have previously been submitted directly to the State. If you have any questions feel free to contact me. Chevron is responsible for the following facilities in your jurisdiction: CHEVRON SS# 90705 91536 STREET ADDRESS 9700 Rosedale Hwy. 2700 Oswell Street ''''' >'T' . 3100 Niles St. 2525 White Lane 1131 Oak Street 5201 Olive Dr. 8100 E. Brundage Lane 6601 Ming A venue 1125 Coffee Road 13003 Rosedale Hwy. 3360 Panama Ln. ""'~~A 93978 95325 98109 99702 201238 201527 203576 205673 206561 Sincerel y, {it. (10 1Lt,>c¡,Ll / C. R. CarrlÍcld Marketing Assistant Retail Compliance 925-842-9002 Enclosure CITY Bakersfield Bakersfield ... " Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield \ ..-. .~ . . April 30, 1999 RE: CERTIFICATE OF FINANCIAL RESPONSffiILITY FOR UNDERGROUND TANKS To Whom It May Concern: Chevron Corporation hereby certifies that it is in compliance with the requirements of Underground Storage Tank financial responsibility regulations. This certificate covers all tanks in the States of California, Alaska, Arizona, Idaho, Nevada, New Mexico, Oregon, Texas, Utah and Washington owned by Chevron Corporation. The financial assurance mechanism used to demonstrate financial responsibility required under State and Federal regulations is as follows: Corporate guarantee of Chevron is the amount of $1 million per occurrence, $2 million annual aggregate. Said guarantee covers taking corrective action And compensating third parties for bodily injury and property damage caused By either sudden accidental releases and non sudden accidental releases or Accidental releases. This guarantee is renewed annually (within the first 120 days of the year). Copies of the renewed certificate and a complete list of the facilities are sent to the governing agencies yearly. Sincerely, D Environmental Compliance, Permit Notarized by: ~lA..Lu / ~ . ~-L Susan R. Weber, Notary ;' :.' .(/ (. . 0IIM0n === Chevron April 26, 1999 Chevron Corporation 575 Market Street San Francisco. CA 94105-2856 Martin R. Klitten Vice Pr~sident. Finance UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the [mancial test of self-insurance and guarantee to demonstrate [mandaI responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor - all underground storage tanks owned by Chevron U.S.A. Inc. in_ the United States are assured by this financial test. A [mancial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EP A regulations or state programs authorized by EP A under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264, 143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b)) Plugging and Abandonment (§144,63) $ $ $ $ $ 141,190,186.00 49,662,705.00 8,000,000.00 -0- 2,666,400.00 t .1' - - California State Program Closure $ 198,699.00 Post-Closure Care $ 701,566.00 Liability Coverage $ 66,000,000,00 Corrective Action $ -0- Plugging and Abandonment $ -0- Louisiana State Program Closure $ 4,640,059.00 Post-Closure Care $ 797,537.00 Liability Coverage $ 1,000,000.00 Corrective Action $ -0- Plugging and Abandonment $ -0- Total $ 274,857,152.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his fmanciaI statements for the latest completed fiscal year. Page 2 of 4 ;- " . , e ALTERNA TNE II 1. Amount of annual UST aggregate coverage being assured by a test and guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee 3, Sum oflines 1 and 2 4. Total tangible assets 5. Total liabilities 6, Tangible net worth 7,Total assets in the U.S. 8, Is line 6 at least $10 million? 9, Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S,? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12, Current assets 13, Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17, Name of rating service 18. Date of maturity of bond - $ 2,000,000.00 $ 274,857,152,00 $ 276,857,152.00 $ 36,355,000,000.00 $ 19,506,000,000.00 $ 16,849,000,000.00 $ 19,622,000,000.00 Yes No X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors August 15, 2004 Page 3 of4 ~ ~I e e Yes No 19. Have fmancial statements for the latest fiscal year, been X filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? I hereby certify that the wording of this letter is identical to the wording specified in 40 CPR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that information concerning California and Louisiana was added to make disclosure more complete. ?m(J~ M. R. Klitten Vice President, Finance April 26, 1999 Page 4 of 4 ,/ . I e e GUARANTEE Guarantee made this April 26, 1999, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC, ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the fmancial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee , underground storage tanks at various facilities in the states of: Alaska Arizona California Florida Georgia Hawaii Idaho Kentucky Louisiana Nevada Oregon Texas Utah Virginia Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating, third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1 ,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to ' any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered . by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. Page 1 of 3 .1f e e In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or· award based on a detennination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280,108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4, Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the [mancial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt òf the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280, 7, Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by, certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantorls obligation does not apply to any of the following: (a) Any obligation of CUSA under workers I compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and in the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; Page 2 of 3 , -; e - ~ (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA, I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 26, 1999 CHEVRON CORPORATION By ~~~ M. R. Klitten Vice President, Finance /.f?jJ~ By Assistant Secretary Page 3 of 3 - I e e " CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The [mancial assurance mechanism used to demonstrate [mancial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 26, 1999, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120' days of 2000. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 26, 1999 By By l ÙJ.-¡ÍÞ~ ¿ /:;J-ú 1~ ludith L. Geisler Legal Analyst " " .~ . i e . CERTIFICATION OF FINANCIAL RESPONSIBILITY CHEVRON U;S.A, INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The fmancial assurance mechanism used to demonstrate fmancial responsibility under subpart H of 40 CPR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period conunencing April 26, 1999, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 2000. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 26, 1999 CHEVRON U,S.A. INC. /!I!;;- By rian p, Roberts Senior Counsel By ~! it-V /}I?A-0 Judith L. Geisler Legal Analyst , . ;" . . ..;; ~ CUSA UST FINANCIAL ASSURANCE April 26, 1999 bcc: J. M. Bauer L. T. Brown C. R. Canfield G. F. Cooper H. P. Davis Jr. A, G. Fredeluces M. Leong P. T. Liang D. E. Ludlam L. J. Marshall S. E. Merritt A, R. Mora D. A. Newell I. O. Ng W. C. Ishimoto D. T. Sherman E, A. Thompson R. A. W ondolleck Permit Desk, Chevron Park L-1338 (2 copies) Arizona Dept. of Environmental Equality UST Section Attention Brian Kelley 3033 N Central A venue Phoenix, AZ 85012 (602) 207-2214 BOB HALEY CHEVRON 2525 I,.JH I TE LANE BAKERSFIELD.CA.93304 805-832-9781 04-05-99 8:57 AM SYSTEI"l STATUS REPORT - - - - - - - - - - - - ALL FUNCTIONS NORMAL I N\/FJ~TORY REPORT - T 1: SUPREt"1E \!OLUI"lE ULLAGE 9œ~ ULLAGE= TC vOLUr"1E = HEIGHT - -[,JA:r-ER \jOL- =_ ltJATER TEm' T 2:PLUS VOLU~'1E liT AGE = ULLAGE= , _' VOLUr"lE = HEIGHT l.-JATER \/OL WATER TEt"lP T 3: REGULA~: VOLUr"lE ULLAGE 9œ~ ULLAGE= TC \/0 L Ur"lE HEIGHT ltJATER VOL It,JATER TEf"1P 275:3 GALS GALS GAUJ GALS I NCHE:::; (;ALS \ ul~'¡\:: H £3-- [lEG F 9269 8066 2744 :31 .01] n u,Ou t~I'~ . ~I 3:316 GALS 8706 GALS 7503 GALS :3308 GALS 35.47 INCHES o GALS 0.00 INCHES 63.2 DEG F 5401 GALS 6621 GALS 5418 GAL:::; 5383 GAL:~; 51 .06 I NCHE:::; o GAL:::; 0.00 I NCHE:~; 64.5 [lEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ e .. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME--.ßl)tJ Hale\.} ChcUf'O '^ INSPECTION DATE ''1/ ~ /1 7 Section 2: Underground Storage Tanks Program 0' Routine 0 Combined 0 Joint Agency Type of Tank OuF(, Type of Monitoring Tt..S· , çlJ o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping Jxv P ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile \/ Proper owner/operator data on tìle l.i I Pemit fees current V V Certification of Financial Responsibility .J Monitoring record adequate and current / ,\ / Maintenance records adequate and current V , / Failure to correct prior UST violations V - Has there been an unauthorized release? Yes No V 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=CompJiance Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 White - Env, Svcs, Pink - Business Cory . . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE 'If ç-j'17 PHONE NO. 11)· 17 it- BUSINESS 10 NO. 15-21 0- NUMBER OF EMPLOYEES 10 ~~<¡;~~~~ NAM:s:~1o ~ b;/::(~f2 V\ FACILITY CONTACT_~) ¡IfI{{d INSPECTION TIME { Section 1: ~outine Business Plan and Inventory Program D Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate permit on hand / Iv Business plan contact information accurate V Visible address I iV Correct occupancy V- I Veri tication of inventory materials / V Verification of quantities vi Veri tication of location / \I Proper segregation of material (,/ Verification of MSDS availability l/ Verification of Haz Mat training V Veritication of abatement supplies and procedures l/ j Emergency procedures adequate t./ Containers properly labeled V / Housekeeping v j Fire Protection V / V < Site Diagram Adequate & On Hand ,. C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes æNo White - En\', S\'cs, Yellow· Station Copy Pink - Business Copy . Busines2 Respons e Party Inspector: J ~~~~ Questions regarding this inspection? Please callus at (805) 326-3979 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street BakelSfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street BakelSfìeld. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. BakelSfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesler Ave. BakelSfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. BakelSfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 '. .' February 9, 1999 Bob Haleys Chevron 2525 White Lane Bakersfield, CA 93304 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits, This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. S1'~ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure "".7~ de W~ ~ JØ6~ .r~ A Wt'?/UÚ/?" - r._ April 30, 1998 RE: CERTIFICATE OF FINANCIAL RESPONSmILITY FOR UNDERGROUND TANKS To Whom It May Concern: Chevron Corporation hereby certifies that it is in compliance with the requirements of Underground Storage Tank financial responsibility regulations. All tanks in the States of CaliforIÚa, Alaska, Arizona, Idaho, Nevada, New Mexico, Oregon, Texas, Utah and Washington owned by Chevron Corporation are covered by this certificate. The financial assurance mechanism used to demonstrate financial responsibility required under State and Federal regulations is as follows: Corporate guarantee of Chevron is the amount of $1 million per occurrence, $2 million annual aggregate. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases and non sudden accidental releases or accidental releases. This guarantee is renewed annually (within the first 120 days of the year). Copies of the renewed certificate and a complete list of the facilities are sent to the goverIÚng agencies yearly. Sincerely, By: .J. £. 134 Lf dÁ .J S. L. Beller, EnV~liance, Permit Notarized by: c:rf\,~ Susan R. Weber, Notary "i. -_ --i' Facility: . . CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM MONITORING PROGRAM FACILITY INFORMATION SHEET l~.l~ C~ I/PI? 2 IV~]j '13y. 1 7998 .~ Chevron Products Company Service Station #9-5325 2525 White Lane Bakersfield, California 93304 UST Owner: Chevron Products Company 6001 BollingerCanyo~Road, Bldg L P. O. Box 6004 San Ramon, California 94582-0804 (510) 842-9002 {* For inquiries regarding the content of this plan, call (562) 694-9129} UST Equipment Tanks Type Tank Tank Monitoring Spill Tank # Storage Capacity Type Classification Containment 1 Gasoline 12,000 DIW Plasteel New OPW-l 2 Gasoline 12,000 DIW Plasteel New OPW-I 3 Gasoline 12,000 DIW Plasteel New OPW-l Piping For Piping Piping Monitoring Tank # Operation ~ Classification 1 Pressurized D/W Fiberglass New 2 Pressurized D/W Fiberglass New 3 Pressurized DIW Fiberglass New Note: "Existing" -- Installed prior to January 1, 1984 "New" -- Installed after January I, 1984 9-5325 2525 White Lane Bakersfield, California 93304 EX-0102 Rev, 7/29/96 , .' . e CHEVRON PRODUCTS COMPANY , UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Owner Certification Chevron Products Company, as the owner of the Underground Storage Tank system located at 2525 White Lane, Bakersfield, California 93304, I hereby certify that: Owner: 1. We have entered in to a written agreemerit with the operator of the Underground Storage Tank system at the referenced location. This agreement is contained in our contract with the operator. 2. The operator of the Underground Storage Tank system at the referenced facility is responsible for and will perfonn all monitoring, record keeping, and reporting requirements for the UST system as outlined in the documents listed below. 3. The operator has been provided a copy of the Pennit to Operate the Underground Storage Tank system at the facility. 4. The operator has been provided a copy of the provisions of Health and Safety Code Section 25299, January 1997. 5. The operator has been provided a copy of the California Code of Regulations Title 23 - Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994. 6. We understand that we are required to notify the Underground Storage Tank Program of the Bakersfield City Fire Department, in writing, of any change of operator within thirty days of any such change. CHEVRON PRODUCTS CO. We hereby certify that the preceding monitoring plan for underground storage tank systems will be implemented at our service station located at 2525 White Lane, Bakersfield, California 93304. To the best of our knowledge, all infonnation contained herein is true and correct. Signature: Date};} ?1/ fl 9-5325 2525 White Lane Bakersfield, California 93304 EX-OI02 Rev, 7/29/96 "f e e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Operator Certification As the operator of the Underground Storage Tank system installed at 2525 White Lane, Bakersfield, California 93304, I hereby certify that: Signature: 1. I am, or represent the individual, firm, tnÏst, partnership, association, or corporation that is in control of and has the daily responsibility for the operation of the Underground Storage Tank system at the referenced facility. 2. I have entered into a written contract with Chevron Products Co., the owners of the Underground Storage Tank system I am operating. I understand that this obligates me to perform monitoring, record keeping, and reporting requirements as outlined in the documents listed below. 3. I have received a copy of the Permit to Operate the Underground Storage Tank system at the facility. 4. I have received a copy of the provisions of Health and Safety Code. Section 25299, January 1997 5. I have received a copy of the CalifomiaCode of Regulations Title 23 -Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994 Date: 0 7/7Ý 9-5325 2525 White Lane Bakersfield, California 93304 EX-O 102 Rev, 7/29/96 ~HEVRONPRODUCTSCOMPAN~ MONITORING PROGRAM FOR "NEW" UNDERGROUND STORAGE TANKS Monitoring of underground tanks constructed pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2631 - Shall be implemented pursuant to: California .Code of Regulations Title 23 --Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2632 (C) (2) (A) and Section 2632 (C) (2) (B) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stored: Method of monitoring: Overfill protection: Dry Volatile Continuously operated electronic liquid level indicator * Positive Shut off in fill tube set at set at 95% of tank's capacity * Audible high level alarm set at 90% of tank's capacity is part of control panel program Monitoring equipment Control Unit Make: Model: Veeder Root TLS 350R with *TLM Liquid level probe: Gasoline Tank Interstitial Space: Location monitoring to be performed: Make: Veeder Root Model: VR: 794390-420 At Facility - inside all underground tank( s) interstitial space (3) * Note: Tank Level Monitor (TLM) is used for tank inventory control and not for tank monitoring Person responsible for performing the monitoring: Bob Haley, Facility Operator Persons responsible for maintaining the monitoring equipment Chevron Products Company -- Marketing Operations -- Maintenance Department 9-5325 2525 White Lane 'Bakersfield, California 93304 NW-0101 Rev. 12/17/97 e e Visual monitoring of the tank monitor alarm box is performed daily by the dealer or a designated employee. Chevron also requires that the tank monitoring equipment operational and alarm condition be documented daily by using a "UST Equipment Monitoring Log" (see Attachment B). This log is also required to be used to document when equipment problems are reported to Chevron Maintenance and is to be kept as part of the station monthly inventory reconciliation records and on site at all times. Please see the attached site map for the location of all equipment at the site. The electronic monitoring devices are maintained according to manufacturer'srecommendations. The dealer will also perform inventory reconciliation according to the procedure outlined in the Inventory reconciliation section of this plan, as stated in detail in Section 2626 of the copy of the California Code of Regulations, Title 23, Division 3, Chapter 16 dated May 5, i 994 tha~ is attached to the dealer's copy of this plan. Daily and monthly inventory reconciliation is required by Chevron Policy. Training will be given to the dealer of record, Bob Haley, which includes information regarding: how to self test the electronic monitoring equipment, what the equipment monitors, how to tell when the alarm goes off, how to perform inventory reconciliation, record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other emergency. Chevron requires that all station employees be trained and familiar with tank alarm systems and reporting requirements, however training of the dealer's manae:ement and employees on the above mentioned subjects as well as the completing and filing of any further documentation outlining such training, as may be required by the Bakersfield City Fire Department, will be the responsibility of the dealer of record. In the event of an alarm activation, the operator may have cause to suspect a leak and is required to investigate. In the case of a monitoring equipment malfunction (e.g., green lights not on, lost power, etc.), operator is required to notify Chevron immediately for equipment maintenance. In the event of a leak, the operator will notify the Chevron Territory Manager (or other Retail Management), and will take the following actions: - 1. Shut down the tank: or product line. 2. Contact Chevron Maintenance Dispatch. 3. Contact the Fire Department or local Emergency response agency, if warranted: 4. Keep employees, customers, or bystanders away from any gasoline. In the event of a suspected leak, Chevron specifies procedures and mandates the use of a "Suspected Release, Activity Log"(see Attachment B) for investigation in case of an inventory tolerance problem, and equipment alarm, and/or if there are any other reasons t9 suspect a leak. When circumstances occur to the point where this log needs to be used, it is to be kept as part of the monthly inventory reconciliation records as proof that suspected leak situations were investigated. In the event of an emergency, the operator will follow their site Emergency Response Plan which consists of 1) Emergency Response Procedures: 10 Steps to Safety During em Emergency, where employees know what to do in the event of a fire, spill, or an observable leak. 2) Site map, where employees know the location of critical equipment (e.g., emergency shut-off switches, etc.). And 3) Emergency Contact List, where employees know who and how to contact all appropriate people in the event of an emergency. 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev,12/17/97 Attachment A e e UST EQUIPMENT MONITORING LOG I Facility No.: MonthlYear: Equipment: Date Equipment Operational? Alarm Status O.K.? Comments Initials 01 YesD NoD YesD NoD 02 YesD NoD YesD NoD 03 -Yes D NoD YesD NoD 04 YesD NoD YesD NoD 05 Yes D NoD Yes D NoD 06 YesD NoD YesD NoD 07 YesD NoD YesD NoD 08 YesD NoD YesD NoD 09 YesD NoD YesD NoD 10 YesD NoD YesD NoD 11 YesD NoD Yes D NoD 12 YesD NoD YesD NoD 13 YesD NoD YesD NoD 14 YesD NoD Yes D NoD 15 YesD NoD YesD NoD 16 YesD NoD YesD NoD 17 YesD NoD YesD NoD 18 YesD NoD Yes D NoD .. - 19 Yes D NoD YesD NoD 20 YesD NoD YesD NoD 21 YesD NoD Yes D NoD 22 YesD NoD YesD NoD 23 Yes D NoD YesD NoD 24 Yes 0 NoD Yes 0 NoD 25 YesD NoD Yes D NoD 26 YesD NoD YesD NoD 27 Yes D NoD YesD NoD 28 YesD NoD YesD NoD 29 Yes D NoD YesD NoD 30 Yes D NoD YesD NoD 31 Yes D NoD Yes D NoD . In the case of alarms (e.g., buzzer sounds, red lights on, etc.), or if you have other reasons to suspect a leak (e.g., unusual system occurrences, etc.), you must investigate and track your activities using the "Suspected Leak Activity Log". . If the equipment malfunctions (e.g., green lights not on, lost power, etc.), or for cathodic protection systen;¡s that are not operational or show abnormal status, contact Chevron Maintenance Dispatch. I Ch'''M R"iow (N~,",ig""=) Date: 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev. 12/17/97 Attachment B e e Facility No. Maintenance Release No, MonthlYear If Applicable: Tank No. Tank Product If Applicable: Equipment Suspected Release Activity Log Initiating Circumstances (e.g. inventory out of tolerance. alarm, etc.) (EXAMPLE) Action ¡Cross out actions that do not apply and/or list additional actions. Assign numbers to each action.) Date Time Initials Re-Q'aU!!e tank and re-check inventorY calculations. Check accessible nortions of the oroduct svstem for leaks. Check meter calibrations. Contact Chevron Maintenance. . - Note: Depending upon initiating circumstances, file with inventory reconciliation or UST equipment monitoring paperwork, 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev,12/17/97 ttHEVRONPRODUCTSCOMPAN~ MONITORING PROGRAM FOR "NEW" UNDERGROUND PIPING Monitoring of underground piping constructed (>ursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2631 Shall be implemented pursuant to: CalifomiaCode of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2636 (f) (1) and Section 2636 (f) (2) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stores: Method of monitoring: Dry Volatile Continuously operated electronic liquid level indicator with positive shut down of turbines and dispensers Monitoring equipment Control Unit Make: Veeder Root Model: TLS 350R Automatic line leak detector Make: Model: Veeder Root TLS 350R with PLLD Liquid level probes - Tank turbine sumps: Tank fill sumps: Gasol ine dispenser containment boxes - Make: Model: Model: Make: Veeder Root VR: 794380-352 (discriminating) VR: 794380-208 (non-discriminating) Mechanical- Gasoline collected in dispenser containment boxes will shut off product flow by raising a float. This float is connected to a cam which pulls a chain that will close the product shear valves Location monitoring to be performed: At Facility - inside all underground tank fill (0) and turbine containment sumps (3) and under gasoline dispenser containment boxes (4) Person responsible for performing the monitoring: Bob Haley, Facility Operator Persons responsible for maintaining the monitoring equipment Chevron Products Company -- Marketing Operations -- Maintenance Department 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev,12/17/97 e e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN If the unauthorized release detection (tank monitoring) system is activated the facility operator (Dealer) will be responsible for: 1. Determining the source: UST and/or pipeline (if possible) 2. Discontinuing operation of the system (if necessary) - 3. Telephoning Chevron Products Company IMMEDIA TEL Y Week Days: Chevron Products Company Maintenance: (800) 423 - 6911 Week Ends and Holidays Days: RL W Equipment Nights: RL W Equipment Chevron Emergency (Spill) Information Center (24 hours) (805) 834 - 1100 (805) 834 - 1100 (800) 231 - 0623 Chevron Products Company will be responsible for: 4. Initiating unauthorized release determinationIMMEDIA TEL Y. 5. Initiating cleanup procedures IMMEDIATELY (if necessary). 6. Contacting agencies within 24 hours. Person responsible for work authorization: Roger W. Cleworth, Maintenance Supervisor, or a designated representative In the event that a release occurs inside a motor fuel dispenser cabinet and triggers a sensor to shut the dispenser down and/or trigger an alarm, the dealer is to contact Chevron Maintenance, or the after hours contractor identified above, immediately. Using the station on site clean up equipment and procedures, the Dealer is to clean up any visible spill that may have penetrated through the dispenser cabinet to dispenser island(s) or driveway(s) and block off access to, or attempted use of, such dispenser(s). Chevron Maintenance, or the after hours contractor identified above, will respond to all dispenser calls within 4 hours. Chevron Maintenance, or the after hours contractor identified above, will pump out, or otherwise remove any hazardous substance from the under dispenser secondary containment within eight hours, as specified in California Health and Safety Code, Chapter 6.7, Section 25294, dated January 1997. Hazardous substance will be removed according to all laws and regulations regarding hazardous substance handling, transportation, storage and disposal. Equipment Chevron uses to remove hazardous substance will be owned and operated by a state licensed contract hauler. Chevron will use the hauler with the best response time. Maintenance of all equipment used by haulers is the hauler's responsibility. At a minimum, Chevron reserves the right to dispatch proprietary transport vehicle from the Van N uys, California bulk storage facility. 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev,12/17/97 e e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN (continued) With the exception of under dispenser containment, 'as previously outlined, all unauthorized releases will be removed from the secondary containment as quickly as possible, but not to exceed a maximum of 30 days, per Section 2632 (d) (2) and 2634 (e) of the California Code of Regulations, Title 23, Division 3, Chapter 16, dated May 1994. This response plan outlines required dealer actions and Chevron's response if the facility's unauthorized release detection (tank monitorimÜ system is activated. Chevron requires that all station employees be trained and familiar with tank alarm systems, reporting requirements and in the use of clean up equipment, however training of the Dealer's manae:ement and employees in the alarm systems and in the use and maintenance of any on site clean up equipment as well as the completing and filing of any further documentation outlining such employee training, as may be required by the Bakersfield City Fire Department, will be the responsibility of the Dealer. Signature: t ichael Welty pliance Specialist, DatePflfl17 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev. 12/17/97 -. e e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK MONITORING EQUIPMENT PREVENT A TIVEMAINTENANCE SCHEDULE Veeder Root - TLS-350 Underground Storage Tank and Pressurized Piping Monitoring System Preventative maintenance frequency: Annually Performed by: Veeder Root Certified Representative Annual maintenance checklist InspectlIardvvare Inspect panel for loose vvÌres. Inspect for intrinsic safety cover in place. Inspect for touch screen mounted and enclosed properly. Inspect for CPU operation. Test Operation of Operator Interface Terminal (OIT) Test all screens for live data. Re-enter date and time (even if currently correct). Test Tank. Level Monitor and Printer Calibrate product and vvater readings to physical measurements (stick readings). Print out inventory report. Test Pump Control Interface and Link Leak Svstem Start line test for each product. Note pressure rise for each product. Note pressure at vvhich each check valve seats. Verify pump shutdown. Verify emergency stop shuts off all submersible pumps. Test External Alarms and Remote Communications Individually simulate each alarm condition and Verify the event on the 0 IT. Verify dial tone at telephone extension on modem module. Verify modem operation. Site Documentation Verify installation manual is on-site. Verify maintenance log. Certification Certify the TLS-350 has been checked according to manufacturer instructions. Certify the system is operating properly. Verify vvith appropriate agency that certification has been completed. NOTE: All functions listed in this preventative maintenance schedule may not be present at each specific site. All functions present at each site vvill be maintained according to this program. 9-5325 ' 2525 White Lane Bakersfield, California 93304 NW-0101 Rev. 12/17/97 .f 1 '. e e UNDERGROUND STORAGE TANK SYSTEM OPERATOR TRAINING REQUIREMENTS The training required to operate the underground storage tank system and monitoring equipment located at referenced facility is as follows: - Underground Storage Tank System Orientation session on the operation of an underground storage tank system topics include: underground storage tanks, double wall piping, overfill prevention, spill protection and monitoring systems. Chevron Service Station Maintenance Guide is provided to each operator. This guide provides in depth instruction on the operation of an underground storage tank system. Underground Storage Tank and Pressurized Pipe Monitoring System -- Veeder Root TLS-350 Operators are given an orientation session during system start-up to familiarize them with the operation of the unit. The Veeder Root TLS-350 Installation and Operation Guide is provided to each operator. This guide provides in depth instruction on the unit. 9-5325 2525 White Lane Ba~ersfield, California 93304 NW-0101 Rev. 12117/97 i ¡ i i ¡ ¡ f ¡ I, ¡ --,------------- -- --- ---~ , i ! 1 I i I I N ~ GROUND a: GRADE PLAN ... SERVICE STATION '9-5325 2525 WHITE UI " Ð. POTRERO UI BAKERSFIELD. CA 93304 8D11V11111 ...... ßIgian II1II: "11i'IO - _l1l'i1.1" A ICIILII 1·.10'-0" fUIIMI£I am MAP 4 Iii! z " o , GIW'NC sou ao.oo' 10.34' .15.00' 24.5" - ~ ::J c ~ ~ c Q. ;j 10'00'00. 20.00' .... ì I Ut.st' -, - dl ~ f»1=- LA /'fO ~.f I ~ "J -3-'~ ( -.L_~ -- -J 'J74~ ...øI 1-'0- - ,- - - J7.\.SO - " )1~- - )1100- - - - - -- ~- , - - - - - - - ~ ~ - -.- Sf ;:: .. t-~ - - - ( - ,/..- ~ ~ ----/:! M._ S ...,rH"E tl2.l2' ~ .... ~- LANE ~ ...... il ~ ;. " 10>' .. . \ ~, .., ')/ 3 ! " ¡ , , , , ¡ ¡ ~ \ ; ~ .. "';;' '~';ú" ,t~~~ }~.~; :;~~$' \\',.' 5?~~\ .~;: ~ :,: ~~~~~ \"'"',, ,~~ I:~'I ':>~~~ ",'>." ..~:~~}. ,:{~~:- W~~, ~ e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ßob ¡.ftt If'! c.heúro V\ ADDRESS ;JS a'5 I.tJhL-k Ivln p FACILITY CONTACT &b I-Io.le'l( INSPECTION TIME INSPECTION DATE !Jln/rß PHONE NO. BUSINESS 10 NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program ~Routine D Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate permit on hand j Business plan contact information accurate V Visible address J Correct occupancy \I Veritication of inventory materials \I Veritication of quantities V Veritication of location V Proper segregation of material V Verification of MSDS availability vi Verification of Haz Mat training \/ Veritication of abatement ~upplies and procedures U Emergency procedures adequate vi Containers properly labeled V Housekeeping V / Fire Protection \I / Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ONo White· En\', S\'cs, Yellow - Station Copy Pink - Business Copy Inspector: Questions regarding this inspection? Please call us at (805) 326-3979 . . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor, Bakersfield, CA 93301 FACILITY NAME~lc'l ckllfon INSPECTION DATE ,g1;)~/?ß Section 2: Underground Storage Tanks Program IS(Routine 0 Combined 0 Joint Agency Type of Tank 1\wFc....5 Type of Monitoring t2tJMI'\ 1..S" 3 o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping Dul F ORe-inspection OPERA nON C v COMMENTS Proper tank data on tile t Proper owner/operator data on tile t.. Pemit fees current C- Certification of Financial Responsibility ë Monitoring record adequate and current c... Maintenance records adequate and current G Failure to correct prior UST violations f!:..- Has there been an unauthorized release? Yes No 110 Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes 'n'p"to, ~ riJV1;/Ç) Office of Environmental Services (805) 326-3979 White - Env, Svcs, N=NO Pink - Business Copy onsible Party [::',::'8 HALE'," CHE'.,/F:ON 2::,25 l..,iH IrE LANE BAKERSF!ELD.CA.93304· 8û5-832-9781 . ~ .c~- FEB 27. ! '3'3:3 ] I : '="_ r1I"1 S''ï''STEI''1 :3TATUS REPORT ------ ALL FUNCT! (iNS NORr"'1AL BOB HALE\' CHE\/F:C'¡\J 252::, I....,IH! TE LANE BAKERSFIELD. CA. 93304 801=)-8'i';J-q7:=: I '- ~- -"- _4 FES 27. 1998 11 :50' , , :3\"STEf"1 STATU:3 REPORT ------ ALL FUNCT 1 ':)NE NORf"IAL FIRE CHIEF MICHAEL R, KELLY ADMINISTRATIVE SERVICES 2101 ow Street Bakersfteld. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 ow Street Bakersfield. CA 9330 1 (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 9330 1 (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield. CA 93308 (805) 3W~7 FAX (805) 399-5763 ~ BAKERSFIELD FIRE DEPARTMENT Bob Haleys Chevron 2525 White Lane Bakersfield, CA 93304 . &¡ - February 13, 1998 RE: "Hold Open Devices" on Fuel Dispensers Dear Underground Storage Tank Owner: The Bakersfield City Fire Department will commence with our annual Underground Storage Tank Inspection Program within the next 2 weeks. The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire Department now requires that "hold open devices" be installed on all fuel dispensers. The new ordinance conforms to the State of California guidelines. The Bakersfield Fire Department apologies for any inconvenience this may cause you. Should you have any questions, please feel free to contact me at 326-3979. cc: Ralph Huey Sincerely, j£av Steve Underwood Underground Storage Tank Inspector 'Y~bfe, W~~~~~ A W~" I .). j ( , ~ \ ~ _1 . _", BAKERSFIELD FIRE DEPARTMEN~- ' HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE., BAKERSFIELD, CA 93304 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST &r -0411 pA- ... FACILITY C heJj(ò f\ -¡fq5'3~ESS 2-525' ¿JhlkLn.. PERMIT TO OPERATE * OPERATORS NAME ekev ý t1 V\... OWNERS NAME C &.....e.ù (ù (\ · NUMBER OF TANKS TO BE TES~ED~ IS PIPING GOING TO BE TESTED~ T AN"lC 4F I "Z. ..:J VOLUME / ¿ /e:.. /~ I Z/L- CONTENTS ¡¿~ ð ¡,f rV " (//k5 5~Cf7 "TANK TESTING CO~ANY ¡;t;",J4.,p/ttr-rlPE ADDRESS ~,)'7.6 lol-.~œ. w{er Dr" :.TEST 'METHOD~~ ' /ZD J "1~~Ii: ( cA- ¿¡z..,riÔ NAME OF TESTER Oerlllg{1Jh,J- CERTIFICATION ~ :?/2- STATE REGISTRATION ~ / 5 j ç- <l~ç //-/7-97 DATE ' DATE & TIME TEST IS TO BE CONDUCTED L.,'V1I'ç..., Oil/Ii / " I ...:' , " -"~ ( /" ";, ? ;: . (D (~( " ,.: 1,', " ~-- __I . e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM MONITORING PROGRAM FACILITY INFORMATION SHEET s· {} ~ Facility: ~-~-_._-~._) Chevron Products Company Service:S~tion #9-5325 j 2525 White Lane Bakersfield, California 93304 UST Owner: .~-~ r;c~~1¡ i!!!~-~JCI,!KÆI ~ ¡ ---.,--~- jj - - Chevron Products Company 1300 South Beach Boulevard P.O. Box 2833 La Habra, CA 90632-2833 (310) 694-7300 UST Equipment Tanks Type Tank Tank # Storage Capacity 1 Gasoline 12,000 2 Gasoline 12,000 3 Gasoline 12,000 Tank Monitoring Spill Type Classification Containment D/W Plasteel New OPW-l D/W Plasteel New OPW-l D/W Plasteel New OPW-l Piping For Tank # Piping Operation Piping ~ Monitoring Classification 1 2 3 Pressurized Pressurized Pressurized D/W Fiberglass D/W Fiberglass D/W Fiberglass New New New Note: "Existing" -- Installed prior to January 1, 1984 "New" -- Installed after January 1, 1984 9-5325 2525 White Lane Bakersfield, California 93304 EX-0102 Rev, 7/29/96 e e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Owner Certification Chevron Products Company, as the owner of the underground storage tank system located at 2525 White Lane, Bakersfield, California 93304, I hereby certify that: Owner: '), 1. We have entered in to a written agreement with the operator of the UST system at the referenced location. This agreement is contained in our contract with the operator. 2. The operator of the UST system at the referenced facility is responsible for and will perform all monitoring, record keeping, and reporting requirements for the UST system as outlined in the documents listed below. 3. The operator has been provided a copy of the Permit to Operate the UST system at the facility. 4. The operator has been provided a copy of the provisions of Health and Safety Code Section 25299, January 1997. 5. The operator has been provided a copy of the California Code of Regulations Title 23 - Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994. 6. We understand that we are required to notify the UST Program of the Bakersfield City Fire Department, in writing, of any change of operator within thirty days of any such change. CHEVRON PRODUCTS CO. We hereby certify that the preceding monitoring plan for underground storage tank systems will be implemented at our service station located at 2525 White Lane, Bakersfield, California 93304. To the best of our knowledge, all information contained herein is true and correct. Signature: Date:ð' ~ 71 ~~~ ichael Welty pliance Specialist, Environme al Safety & Health 9-5325 2525 White Lane Bakersfield, California 93304 EX-OI02 Rev, 7/29/96 ·' It . CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATOR AGREEMENT Operator Certification As the operator of the Underground Storage Tank system installed at 2525 White Lane, Bakersfield, California 93304, I hereby certify that: 1. I am, or represent the individual, firm, trust, partnership, association, or corporation that is in control of and has the daily responsibility for the operation of the UST system at the referenced facility. 2. I have entered into a written contract with Chevron Products Co., the owners of the UST system I am operating. I understand that this obligates me to perform monitoring, record keeping, and reporting requirements as outlined in the documents listed below. 3. I have received a copy of the Permit to Operate the UST system at the facility. 4. I have received a copy of the provisions of Health and Safety Code. Section 25299, January 1997 5. I have received a copy of the California Code of Regulations Title 23 - Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, May 1994 ~ Signature: Bob Haley, Fac1l1 perator Dat~ ¡/.J /5-7 9-5325 2525 White Lane Bakersfield, California 93304 EX-OI02 Rev, 7/29/96 e - CHEVRON PRODUCTS COMPANyta MONITORING PROGRAM FOR "NEW" UNDERGROUND STORAGE TANKS Monitoring of underground tanks constructed pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2632 (C) (2) (A) and Section 2632 (C) (2) (B) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stored: Method of monitoring: Overfill protection: Dry Volatile Continuously operated electronic liquid level indicator * 3 inch ball float installed in Phase I vapor recovery riser set at 95% of tank' s capacity * Audible high level alarm set at 90% of tank' s capacity is part of control panel program Monitoring equipment Control Unit Make: Model: Control Engineers Inc. Station Link Series 3000 with *TLM Liquid level probe - Tank(s) Interstitial Space: Make: Model: Ronan LS-3 Location monitoring to be performed: At Facility - inside all underground tank(s) interstitial space (3) * Note: Tank Level Monitor (TLM) is used for tank inventory control and not for tank monitoring Person responsible for performing the monitoring: Bob Haley, Facility Operator Persons responsible for maintaining the monitoring equipment Chevron Products Company -- Marketing Operations -- Maintenance Department 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev. 8/25/97 l' e e Visual monitoring of the tank monitor alarm box is performed daily by the dealer or a designated employee. Chevron also requires that the tank monitoring equipment operational and alarm condition be documented daily by using a "UST Equipment Monitoring Log". This log is also required to be used to document when equipment problems are reported to Chevron Maintenance and is to be kept as part of the station monthly inventory reconciliation records and on site at all times. Please see the attached site map for the location of all equipment at the site. The electronic monitoring devices are maintained according to manufacturer's recommendations. The dealer will also perform inventory reconciliation according to the procedure outlined in the Inventory reconciliation section of this plan, as stated in detail in Section 2626 of the copy of the California Code of Regulations, Title 23, Division 3, Chapter 16 dated May 5, 1994 that is attached to the dealer's copy of this plan. Daily and monthly inventory reconciliation is required by Chevron Policy. Training will be given to the dealer of record, Bob Haley, which includes information regarding: how to self test the electronic monitoring equipment, what the equipment monitors, how to tell when the alarm goes off, how to perform inventory reconciliation, record keeping requirements and procedures to follow in the event of alarm activation, leak, suspected leak, or other emergency. Chevron requires that all station employees be trained and familiar with tank alarm systems and reporting requirements, however trainio2: of the dealer's mana2:ement and employees on the above mentioned subjects as well as the completing and filing of any further documentation outlining such training, as may be required by the Bakersfield City Fire Department, will be the responsibility of the dealer of record. In the event of an alarm activation, the operator may have cause to suspect a leak and is required to investigate. In the case of a monitoring equipment malfunction (e.g., green lights not on, lost power, etc.), operator is required to notify Chevron immediately for equipment maintenance. In the event of a leak, the operator will notify the Chevron Territory Manager (or other Retail Management), and will take the following actions: 1. Shut down the tank or product line. 2. Contact Chevron Maintenance Dispatch. 3. Contact the Fire Department or local Emergency response agency, if warranted. 4. Keep employees, customers, or bystanders away from any gasoline. In the event of a suspected leak, Chevron specifies procedures and mandates the use of a "Suspected Leak Activity Log" for investigation in case of an inventory tolerance problem, and equipment alarm, and/or if there are any other reasons to suspect a leak. When circumstances occur to the point where this log needs to be used, it is to be kept as part of the monthly inventory reconciliation records as proof that suspected leak situations were investigated. In the event of an emergency, the operator will follow their site Emergency Response Plan which consists of 1) Emergency Response Procedures: 10 Steps to Safety During an Emergency, where employees know what to do in the event of a fire, spill, or an observable leak. 2) Site map, where employees know the location of critical equipment (e.g., emergency shut-off switches, etc.). And 3) Emergency Contact List, where employees know who and how to contact all appropriate people in the event of an emergency. 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev. 8/25/97 'HEVRON PRODUCTS COMPANY e MONITORING PROGRAM FOR "NEW" UNDERGROUND PIPING Monitoring of underground piping constructed pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations - May 1994 Section 2636 (t) (1) and Section 2636 (t) (2) Monitoring Frequency: Continuous Methods and equipmentto be used: Condition of secondary system: Type of substance stores: Method of monitoring: Dry Volatile Continuously operated electronic liquid level indicator Monitoring equipment Control Unit Make: Control Engineers Inc. Model: Station Link Series 3000 Automatic line leak detector Make: Model: Control Engineers Inc. Station Link Series 3000 with PLLD Liquid level probes - Tank fill/turbine sumps and gasoline dispenser containment boxes Make: Model: Ronan LS-3 Location monitoring to be performed: At Facility - inside all underground tank fill (0) and turbine containment sumps (3) and under gasoline dispenser containment boxes *(0) * Note: Containment boxes have been installed under the 4 dispensers, but have no probes Person responsible for performing the monitoring: Bob Haley, Facility Operator Persons responsible for maintaining the monitoring equipment Chevron Products Company -- Marketing Operations -- Maintenance Department 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev. 8/25/97 e, e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN If the unauthorized release detection (tank monitoring) system is activated the facility operator (Dealer) will be responsible for: 1. Determining the source: UST and/or pipeline (if possible) 2. Discontinuing operation of the system (if necessary) 3. Telephoning Chevron Products Company IMMEDIA TEL Y Week Days: Chevron Products Company Maintenance: (800) 423 - 6911 Week Ends and Holidays Days: RL W Equipment Nights: RL W Equipment Chevron Products Company will be responsible for: (805) 834 - 1100 (805) 834 - 1100 4. Initiating unauthorized release determination IMMED IA TEL Y. 5. Initiating cleanup procedures IMMED IA TEL Y (if necessary). 6. Contacting agencies within 24 hours. Person responsible for work authorization: Roger W. Cleworth, Maintenance Supervisor, or a designated representative In the event that a release occurs inside a motor fuel dispenser cabinet and triggers a sensor to shut the dispenser down and/or trigger an alarm, the dealer is to contact Chevron Maintenance, or the after hours contractor identified above, immediately. Using the station on site clean up equipment and procedures, the Dealer is to clean up any visible spill that may have penetrated through the dispenser cabinet to dispenser island(s) or driveway(s) and block off access to, or attempted use of, such dispenser(s). Chevron Maintenance, or the after hours contractor identified above, will respond to all dispenser calls within 4 hours. Chevron Maintenance, or the after hours contractor identified above, will pump out, or otherwise remove any hazardous substance from the under dispenser secondary containment within eight hours, as specified in California Health and Safety Code, Chapter 6.7, Section 25294, dated January 1997. Hazardous substance will be removed according to all laws and regulations regarding hazardous substance handling, transportation, storage and disposal. Equipment Chevron uses to remove hazardous substance will be owned and operated by a state licensed contract hauler. Chevron will use the hauler with the best response time. Maintenance of all equipment used by haulers is the hauler's responsibility. At a minimum, Chevron reserves the right to dispatch proprietary transport vehicle from the Van N uys, California bulk storage facility. 9-5325 2525 White Lane Bakersfield, California 93304 NW·0101 Rev, 8/25/97 e e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN (continued) With the exception of under dispenser containment, as previously outlined, all unauthorized releases will be removed from the secondary containment as quickly as possible, but not to exceed a maximum of 30 days, per Section 2632 (d) (2) and 2634 (e) of the California Code of Regulations, Title 23, Division 3, Chapter 16, dated May 1994. This response plan outlines required dealer actions and Chevron's response if the facility's unauthorized release detection (tank monitorine:) system is activated. Chevron requires that all station employees be trained and familiar with tank alarm systems, reporting requirements and in the use of clean up equipment, however trainine: of the Dealer's management and employees in the alarm systems and in the use and maintenance of any on site clean up equipment as well as the completing and filing of any further documentation outlining such employee training, as may be required by the Bakersfield City Fire Department, will be the responsibility of the Dealer. Signature: Date: á' ;5 77 1 Safety & Health 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev. 8/25/97 e e CHEVRON PRODUCTS COMPANY UNDERGROUND STORAGE TANK MONITORING EQUIPMENT PREVENTATIVE MAINTENANCE SCHEDULE Control Engineers, Inc. Station Link Series 3000 Underground Storage Tank and Pressurized Piping Monitoring System Preventative maintenance frequency: Annually Performed by: Control Engineers Certified Representative Annual maintenance checklist Inspect Hardware Inspect panel for loose wires. Inspect for intrinsic safety cover in place. Inspect for touch screen mounted and enclosed properly. Inspect for CPU operation. Test Operation of Operator Interface Terminal (OIT) Test all screens for live data. Re-enter date and time (even if currently correct). Test Tank Level Monitor and Printer Calibrate product and water readings to physical measurements (stick readings). Print out inventory report. Test Pump Control Interface and Line Leak System Start line test for each product. Note pressure rise for each product. Note pressure at which each check valve seats. Verify pump shutdown. Verify emergency stop shuts off all submersible pumps. Test External Alarms and Remote Communications Individually simulate each alarm condition and Verify the event on the 0 IT. Verify dial tone at telephone extension on modem module. Verify modem operation. Site Documentation Verify installation manual is on-site. Verify maintenance log. Certification Certify the Series 3000 has been checked according to manufacturer instructions. Certify the system is operating properl y. Verify with appropriate agency that certification has been completed. NOTE: All functions listed in this preventative maintenance schedule may not be present at each specific site. All functions present at each site will be maintained according to this program. 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev, 8/25/97 e e UNDERGROUND STORAGE TANK SYSTEM OPERATOR TRAINING REQUIREMENTS The training required to operate the underground storage tank system and monitoring equipment located at referenced facility is as follows: Underground Storage Tank System Orientation session on the operation of an underground storage tank system topics include: underground storage tanks, double wall piping, overfill prevention, spill protection and monitoring systems. Chevron Service Station Maintenance Guide is provided to each operator. This guide provides in depth instruction on the operation of an underground storage tank system. Underground Storage Tank and Pressurized Pipe Monitoring System -- Control Engineers, Inc. Station Link Series 3000 Operators are given an orientation session during system start -up to familiarize them with the operation of the unit. The Station Link Series 3000 Installation and Operation Guide is provided to each operator. This guide provides in depth instruction on the unit. 9-5325 2525 White Lane Bakersfield, California 93304 NW-0101 Rev, 8/25/97 N ~ GROUND ct GRADE PLAN .. SERVICE STATION '9-5325 2525 WHITE UI .t EL POTRERO UI BAKERSFIELD. CA 9JJ04 IICIIIMOII SUI.- ... QIIII: "'I~ - _all ¡.1M A ICIUI 1·.10'-0" -- - MAP II ~ o , 10 -.c: sau 50.00' 10.34' ".00' 24.51' 312.00' 15.1C1· --- l ~ ~ o ~ ~ o A. kj å. to'OO·oo· . . 20.00' L . 28.28' ...... - i i ", I '!! 131..31 ...17'31"£ CIIIICIIEIE _ LANE 31J.~ , 0 0 ; 37~, ~4' CØQIf í 37~_ 313.00 - -- CDICIIEI! _ , Ñ ... . b tit ~ ~ ,I ¡I . ';~(~-I .",1.., '. . ;~~?~ ' ,;,. ,~I J~ , , ¡ , ) , ¡ ~ j ~ , .: ¡' . ~ ~~~~þ.~'. >~q~ :;m"~' ~~'~ ",' t.,)~ '~:}'?;:1 I "'."~' .,~: , j 4 ! . , I , '.:" "'::' :\",~»....'~ :~Mm ;ma~ . ,~\t«(.(:~f , e '--.-,. '''-''._,.. e '--, .-= :'.'::-':-'::-'---' I ~ I,'~C ie:.; ',.' ;; :~~:i ;¡ ¡.., .. , 'F! ¡' ill IIììiØ /;' MAY ..\ 7 í99ï Ii h ¡-- . tr ¡ ¡ ¡By I ~-.....-....._--_........_,--.. .-~.~-...-..~ ô'. . April 30, 1997 Bakersfield Fire Department UST Division 1715 Chester Ave, Bakersfield, CA 93301 RE: FINANCIAL RESPONSffiILITY FOR UNDERGROUND TANKS Dear Sirs: Please find enclosed the following documents: 1) Proof of Financial Responsibility 2) "Certificate of Financial Responsibility" Chevron Chevron Products Company. Inc. P,Q. Box 6004 San Ramon. Ca 94583-0904 Cheryle Canfield Permit Desk Phone No. 510-842-9002 Fax No. 510-842-9591 These documents meet the financial responsibility requirements for all USTs owned by Chevron and have previously been submitted directly to the State. If you have any questions feel free to contact me. Chevron is responsible for the following facilities in your jurisdiction: CHEVRON SS# 90705 91536 91554 93978 94025 94416 95325 98109 99615 99702 201238 201527 201921 203576 STREET ADDRESS 9700 Rosedale Hwy. 2700 Oswell Street 10 U nion Avenue 3100 Niles St. 800 34th St. 3699 Wilson Road 2525 White Lane 1131 Oak Street 3624 California Ave. 5201 Olive Dr. 8100 E. Brundage Lane 6601 Ming Avenue 6601 Ming Avenue 1125 Coffee Road CITY Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield e e i' .. Sincerely, ~£~"Yf~J~ -- C~r~anfield Marketing Assistant Environmental Compliance Enclosure e i' April 28, 1997 UST FINANCIAL ASSURANCE To Whom It May Concern: e Chevron === Chevron CheVron Corporation 575 Market Street San Francisco. CA 94105-2856 Martin R. Klitten Vice President. Finance . I am the chief financial officer of Chevron Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the fInancial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating Underground storage tanks. Underground storage tanks at the following facilities are assured by this fInancial test or a fInancial test under an authorized State program by this guarantor - all underground. storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this fmancial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of fmancial responsibility in the following amounts under other EP A regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b» Plugging and Abandonment (§144.63) AMOUNT $ $ $ $ $ 182.211.758.00 52.567.819.00 8.000.000.00 -0- 2.430.000.00 .. California State Program Closure Post -Closure Care Liability Coverage Corrective Action Plugging and Abandonment Louisiana State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment Total e e $ $ $ $ $ 196.731.00 694.620.00 66.000.000.00 -0- -0- $ 4.504.037.00 $ 774.158.00 $ 1.000.000.00 $ -0- $ -0- $ 318.379.123.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year. Page 2 of 4 e ALTERNATIVE IT 1. Amount of annual UST aggregate coverage being assured by a test and guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee 3, Sum of lines 1 and 2 4. Total tangible assets 5, Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9, Is line 6 at least 6 times line 3? 10, Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13, Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service 18. Date of maturity of bond e $ 2.000.000.00 $ 318.379.123.00 . $ 320.379.123.00 $ 34.785.000.000.00 $ 19.231.000.000.00 $ 15.554.000.000.00 $ 18.855.000.000.00 fu NQ X X X X $ NIA $ N/A $ NIA $ N/A AA Standard & Poors August 15. 2004 Page 3 of 4 e e ~ tfu 19. Have fmancial statements for the latest fIScal year been X filed with the SEC, the Energy Infonnation Administration, or the Rural Electrification Administration? I hereby certify that the wording of this letter is identical to the wording specified in 40 CPR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that infonnation concerning California and Louisiana were added to make disclosure more complete. ?J?,ÆJ~~ M. R. Klitten Vice President, Finance April 28, 1997 Page 4 of 4 e e ~ GUARANTEE Guarantee made this April 28, 1997, by CHEVRON CORPORATION,' a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHE~ON U.S,A. INC. ("CUSA "), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the fInancial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CPR 280.96(b). , 2, CUSA owns or operates the following underground storage tanks covered by this guarantee - underground storage tanks at various facilities in the states of: Alaska Arizona California Florida Georgia Hawaii Idaho Louisiana Mississippi Nevada New Mexico Oregon Texas Utah Virginia Washington ., This guarantee satisfIes 40 CFR part 280, subpart H requirements for assùring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: ~ In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has detennined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CPR 280.108, in an amount not to exceed the coverage limits specified above. e e In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CPR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and! or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CPR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and m the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; Page 2 of 3 e e (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CPR 280.93. . 9, Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CPR 280,96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1997 CHEVRON CORPORATION By ~~~ M. R. Klitten Vice President, Finance /rlU,J?d;-J By Assistant Secretary Page 3 of 3 e e " CERTIFICATION OF FINANCIAL RESPONSmILITY CHEVRON U,S,A, INC, hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The financial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 22, 1997, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1998. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 28, 1997 CHEVRON U.S.A. INC. By .~ C J!A _ "/ 2- /f/~ C Judith L. Martin Legal Analyst e e '" .. CUSA UST FINANCIAL ASSURANCE April 28, 1997 bee: D. V, Barksdale L. T. Brown C. R. Canfield J. P. Casey E, V. Cottrell H. p, Davis Jr. W, H. Ford A. G. Fredeluces E. Gonzalez M. Leong P.T. Liang D. E. Ludlam R. W. McCranie S. E. Merritt R. B. Miller, Honolulu A. R. Mora D. A. Newell I. O. Ng K. L. Norris B. C. Randle D. T. Shennan R. J. Shewchuk S. C. Stoner S. W. Strader G. L. Sweinhart E. A. Thompson C. P. Woodland . 72413 HAZARDOUS MATERIALS INSPEÎIoN 'Aakersfield Fire Dept. OFFPl OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed ~b-{¡,/~ 7 . Business Name: Go L1:la.1r'l·$ ~"'-lJtce\. Location: ~çJ. s- wht.k I-N l.f3ì (Top of Business Plan) Inspector 5+ccJL Vl\drroJO()1' Business Identification No, 215-000 Station No. Shift Arrival Time: J: I 0 Departure Time: I "1 '.0 (" Inspection Time: Address Visable Ade~e Inad6uate Emergency Procedures Posted Ade¡jfte Inad6uate Correct Occupancy ~ (J Containers Properly Labled aÝ (J Verification of Inventory Materials (J Comments: Verification of Quantities ~ (J Verification of Location (J Verification of Facility Diagram co'" CJ Proper Segregation of Material LV (J Housekeeping cgI CJ Fire Protection IIÝ (J Comments: Electrical ¡¡y (J Comments: Verification of MSDS Availablity ctÝ (J Number of Employees: 10 UST Monitoring Program c(' CJ Comments: Verification of Haz Mat Training rtÝ (J Pennits ~ CJ Comments: Spill Control CJ Hold Open Device l1Ý (J Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures (J (J rot Proper Waste Disposal CJ Comments: Secondary Containment r!Í CJ Security üÝ 0 Special Hazards Associated with this Facility: Violations: dt~" rmod !b6, ¿. Business Owner/Manager PRINT NA All Items O.K Correction Needed ~ (J ií) I<! ~ ~ ~ es ('oj Ii') CD ~ White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy a u. UNDERGROUND STORAGE TANeSPECTION FACILITY NAME &\li1 Út1/",,( Æ\I!.J'i'of"l FACILITY ADDRESS JqJ, IlJt,~k J...N Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 BUSINESS I.D. No. 215-000 ,,~ Ì' CITY ßtU ZIP CODE <t 33c 7 FACILITY PHONE No. 101 101 101 fJ{~(O I? 7 ¡ 2_ 3 INSPECTION DATE Product p~ pr~~ TIME IN TIME OUT ON PI ¡}5 "1'1 11161 Dale In61 Dale Insl Dale INSPECTION TYPE: 1110 'jt:t 0 11'10 V FOLLOW-UP Size Size Size ROUTINE JJ. ee() (..) cee 12 () 00 REQUIREMENTS yes no nla yes no nla yes no nla 1a. Forms A & B Submitted j II" V 1b. Form C Submitted ,¡ \/ V 1c. Operating Fees Paid if .¡ If 1d. State Surcharge Paid if V if 1e. Statement of Financial Responsibility Submitted ./ tI~ V 1f. Written Contract Exists between Owner & Operator to Operate UST ..( .J V 2a. Valid Operating Permit J .¡ V 2b. Approved Written Routine Monitoring Procedure v' ,¡ V 2c. Unauthorized Release Response Plan ..¡ V v' 3a. Tank Integrity Test in Last 12 Months "^",t t...,,, V 3b. Pressurized Piping Integrity Test in Last 12 Months 11.\....\ ¡i",,,,,¡ if 3c. Suction Piping Tightness Test in Last 3 Years ..I d Ý 3d. Gravity Flow Piping Tightness Test in Last 2 Years if ~J \/ 38. Test Results Submitted Within 30 Days V V V 3f. Dally Visual Monitoring of Suction Product Piping .¡ " V 4a. Manual Inventory Reconciliation Each Month J .¡ V 4b. Annual Inventory Reconciliation Statement Submitted ..¡ v' V 4c. Meters Calibrated Annually .r II V if 5. Weekly Manual Tank Gauging Records for Small Tanks J' if 11 6. Monthly Statistical Inventory Reconciliation Results .¡ V .,¡ 7. Monthly Automatic Tank Gauging Results V V V 8. Ground Water Monitoring v' V ¡J 9. Vapor Monitoring J V 1/ 10. Continuous Interstitial Monitoring for Double-Walled Tanks ..¡ V V 11. Mechanical Line Leak Detectors .¡ V V 12. Electronic Line Leak Detectors / d \I 13. Continuous Piping Monitoring in Sumps ../ V V 14. Automatic Pump Shut-off Capability .J v' V 15. Annual MaintenanceJCalibration of Leak Detection Equipment .J V V 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series v' V v' 17. Written Records Maintained on Site V \/ V 18. Reported Changes in UsageJConditions to OperatingIMonltoring Procedures of UST System Within 30 Days .J ,J ,/ 19. Reported Unauthorized Release Within 24 Hours V II J 20. Approved UST System Repairs and Upgrades V 1/ J 21. Records Showing Cathodic Protection Inspection V \J tI 22. Secured Monitoring Wells V .J V 23. Drop Tube .¡ RE-INSPECTION DA RECEIVED BY: ,~~ ~ £/ß¿~ INSPECTOR: ~?t;t¡;¡;¡o OFFICE TELEPHONE No. ~~~3?17 FD 1669 '3$ ~ wi ~ . CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING NDE ENVIRONMENTAL CORPORATION 8906 WALL STREET, SUITE 306 AUSTIN, TEXAS 78754 (512) 719-4633 FAX (512) 719-4986 TEST RESULT SITE SUMMARY REPORT - NDE .- INVOICE DATE: 09/30/96 INVOICE NUMBER: 41038 ~.. . ~(~ !iT¡7 \\\ Ï7re-~1. 1111_:::; "-:YL':=.- r VI L£ If r MAR 1 ~19~7 W ~ By I ~ '''''''-'''-...- -- - - -, - ··_-~---~o TEST TYPE: VPLT TEST DATE: September 25, 1996 WORK ORDER NUMBER: 918136 CLIENT: CHEVRON U. S .A. P. O. BOX 2833 LA HABRA, CA 90631-2833 SITE: CHEVRON 9-5325 2525 WHITE LANE BAKERSFIELD, CA 93304 ATTN: JUDY BOWE The following tests were conducted at the site above in accordance with all applicable portions of Federal, NFP A and local regulations. Line and Leak Detector Tests ~ .. NDE appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any tima, day or night, when you need us. NDE Customer Service Representative: BRAD BALLREICH Reviewed: --::>. ~ ~ ~ician Certification Number: 90-122' ~~~-- , .~ . NDE ENVIRONMENTAL CORPORATION 8906 WALL STREET, SUITE 306 AUSTIN, TEXAS 78754 (512) 719-4633 FAX (512) 719-4986 NDE .. TEST DATE: September 25, 1996 CLIENT: CHEVRON U.S.A. WORK ORDER NUMBER: 918136 SITE: CHEVRON 9-5325 COMMENTS CEI-3000 MONITORS AANULAR AND TURBINE SUMPS.MONITOR CERTIFIED OPERATIONAL. PARTS REPLACED ~~<:j HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) MON R SYSTEM CERTIFICATIO NDE ENVIRONMENTAL CORPORATION Test Date: 09/25/96 Work Order #: 918136 Client: CHEVRON U.S.A. P. O. BOX 2833 LA HABRA , CA. 90631 Site: CHEVRON 9-5325 2525 WIllTE LANE BAKERSFIELD , CA. 93304 .! Overall System Operation The pumps; Shut down automatically if the system detects a leak, fails to operate, or is electronicall y disconnected. The system has functioning audible and visual alarms. The circuit breaker for the system is properly identified. The system is certified operational per manufacturer's performance standards. [ X] Yes [ X] Yes [ X] Yes [ X] Yes [ ] No [ ] No [ ] No [ ] No Product Tank Monitoring: [ X] Double wall [ ] Single wall Make: C.E,I. Type: ANNULAR SPACE LIQUID PROBE Model: CEI How many: 3 Operational: [ X] Yes [ ] No (Automatic tank gauge, annular space vapor probe, annular space liquid probe, bydroguard system, vadose zone monitor well, groundwater monitor well) < i i Comments ~ I i Product Piping Monitoring: ] Double wall [ X] Single wall Make: RED JACKET Type: MECHANICAL LEAK DETECTOR Model: RED JACKET How many: 3 Operational: [ X] Yes [ ] No (piping sump liquid sensor, piping trench liquid sensor, electronic line pressure sensor, I~=:~meleak derectoc) Other Monitoring Systems Make: Type: Model: How many: Operational: [ ] Yes [ ] No ./ Comments Technician: MARK SHAW -.;. I. ~ -:;-::W e, Cot:¡ ßµ eM . '/1) 1íf r (J 5f'uY- . cIty April 30, 1996 ./ Bakersfield Fire Department UST Division 1715 Chester Ave. Bakersfield, CA 93301 Dear Sirs, V'_r-c~\n.::tt Rc\.ji-\ ~ ~-~.. }f.f'« ,( ~j ~~;\ ~) !:) "" ~ r. _0' (-) \\i :...:. tl Z. ¡'M".!. ~, ' : i. . RE: Financial Responsibility For Underground Tanks Chevron SS# STREET 90705 91536 91554 92718 93978 94025 94416 95325 98109 99615 99702 60201238 60201527 60205673 f 9700 Rosedale H wv. . 2700 Oswell St. , 10 Union Ave. ·5101 Stockdale Hwy. -3100 Niles St. , 800 34th St. 3699 Wilson Rd. I252YWJiitk1ane . .J , 113 1 Oak S t. 3624 California Ave. 5201 01 ive Dr. 8100 E. Brundage Lane -6601 Ming Ave. SWC Rosedale Hwy. & 1) Proof of financial Responsibility 2) "Certificate of Financial Responsibility" CITY Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield e Chevron . Chevron Chevron Products Company 6001 Bollinger Canyon Road Building L San Ramon, CA 94583 PO, Box 5004 San Ramon, CA 94583·0804 Marketing - Northwest Region Phone 510 8429500 These documents meet the financial responsibility requirements for all USTs owned by Chevron. These documents have previously been submitted directly to the State. If you have any questions feel free to contact Chery Ie R. Canfield at (510) 842-9002. S incerel y, C. R. Canfiel fY1thh~ ~ '~~~ ! ~ -. - ~n === Chevron Chevron Corporation 575 Market Street San Francisco. CA 94105-2856 Martin R. Klitten Vice President. Finance April 30, 1996 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief fInancial officer of Chevron Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the fInancial test of self-insurance and guarantee to demonstrate fmancial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this fInancial test or a fInancial test under an authorized State program by this guarantor - all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this fInancial test. A fInancial test and guarantee are also used by this guarantor to demonstrate evidence of fInancial responsibility in the following amounts under other EP A regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b» Plugging and Abandonment (§144.63) $ $ $ $ $ 151.180.720.00 46.894.203.00 8.000.000.00 -0- 3.379.327.00 -. e e California State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ $ $ $ $ 194.808.00 686.933.00 56.000.000.00 -0- -0- Louisiana State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ 4.455.472.00 $ 765.810.00 $ 1.000.000.00 $ -0- $ -0- Total $ 272.557.273.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his fmancial statements for the latest completed fiscal year. Page 2 of 4 -; e ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test and guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a fmancial test and guarantee 3. Sum of lines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service 18. Date of maturity of bond e $ 2.000.000.00 $ 272.557.273.00 $ 274.557.273.00 $ 34.253.000.000.00 $ 19.975.000.000.00 $ 14.278.000.000.00 $ 19.183.000.000.00 ~ NQ X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors August 15. 2004 Page 3 of 4 It It fu NQ 19. Have financial statements for the latest fiscal year been X tiled with the SEC, the Energy Infonnation Administration, or the Rural Electrification Administration? I hereby certify that the wording of this letter is identical to the wording specified in 40 CFR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that infonnation concerning California and Louisiana were added to make disclosure more complete. ~ M. R. Klitten Vice President, Finance April 30, 1996 Page 4 of 4 e e GUARANTEE Guarantee made this April 30, 1996, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the fmancial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee - underground storage tanks at various facilities in the states of: Alabama Alaska Arizona California Florida Georgia Hawaii Idaho Kentucky Louisiana Mississippi Nevada New Mexico Ohio Oregon Tennessee Texas Utah Virginia Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has detennined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in Page 1 of 3 ," e e accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and m the course of, employment by CUSA; Page 2 of 3 ~ " e e (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 30, 1996 CHEVRON CORPORATION By "h-?£ ~4.. M. R. Klitten Vice President, Finance By /~fcJ~ Assistant Secretary Page 3 of 3 .'; (", ';:" e- e CERTIFICATION OF FINANCIAL RESPONSffiILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CPR part 280. The financial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CPR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 30, 1996, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1997. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. April 30, 1996 By (1 vL 27~'t/~ ;~ Martin April 30, 1996 FROM : INNOVRTIVE COMPLIRNCE4IÞRVICE PHONE NO, 909 674 4008_ BAKERSFIELD FIRE DEPAR.TMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 4 S?t Sep. 08 1995 08:24RM P2 APPLICATION TO PERI'OQl A TIGHTNESS TEST ~-r'" ó ~ I J.. FACILITY BIJR }/~s ~,y " PERMIT TO OPERATE . t¡-g 7 OPERATORS NAME ao,e 1Þh:zÆJ' OWNERS NAME 988 IJAtçL£Y- . NUMBER OF TANKS TO BE TESTED~ IS PIPING GOING TO BE TESTEDJV~ ADDRESS ";)5'~ tv~ LA#'£ BHf.R~ TANK # -L- .::l 3 VOLUME Sfý ViAl( UÂ1- ptpS 1/#1-. .;$f./je ~J CONTENTS j~~lJo M/.L..oAI'f b..olJ/J ~Ks' I:::?,of~~ t:::Ab.A~ 'rANI< TESTING COMPANY J/J/I;:t:::C.5 ADDRESS ß4D h#NI!~ g¿;:Ir-';;2.lJt ~ c.A ~71' rEST METHOD @ .j;:¡:#E ~~ ONLY ~/I~ L:z;:¡yp ~ NAME OF TESTER irQ)' I! ~~£,CERTIFICATION # CA. /~ 4ft DATE & TIME TEST IS TO BE CONDUCTED ~ 97# :J)JflJ r¡- /2 - Ju- DATE ~~/Ä..- ATURE OF APPLICA~T ... FROM: INNOVATIVE COMPLIANCE_VICE PHONE NO. 1136 INNOVATive COMPLIANCE SERVICES 13100 MAGIIIOUA, SUITE G, *206 800-284-4924 CORONA'. CA 91719 ~ 16..24 PAY 1¡~(7) . . ~~~~:OF.___~~_~ ,fJ,_--I ~ - _1~~ .. N .... : __ Ø;tb_ 9.' -,B. flA ,~_______J $ ,~~ ! ~~ ~-"- CO~ONA ¡'¡\~15P~AZAOFFICIt ---."-- . -----.-- .----,-. --,.._--~ DO lLA R S WELLS FAlWO BANK 410 MC IUNL.EY STREeT, C02"cA 811'18·'": FOR r--t..Ji.-.-k;L. ¡;.,.-. 2-~~..- ,,100. ~3b"·'I: ~ 2 2000 2L.?':O?a..t¡ . (!iT __w.".____.__ ~, .,_ II _ o 18 5?Bu· --- NP, ,I -----., - FROM : INNOVATIVE COMPLIANCEtllRVICE PHONE NO. : 909 674 400~ Sep. 08 1995 08:22AM Pi t:P ,c, It~ Innovative COMPLIANCE SERVICES Date: ,,)t:J'!5 Fax Cover Sheet Number of pages (inciuding cover): :3 To: From: Name: N~/:JJ ~¥ Phone: .{jo.J- :1;:(,-#7' Fax: CsD~ ~- 1J57¿ .::;¡;::z;~ (" ~.;y~ Notes: , 1 .., .. ,,1'\ , , ....... _.. _ _ . :¡- - . ~. -.' i' { \ \ Chevron === Chevron May 24, 1995 Chevron U.S.A. Products Company Marketing Department 1300 South Beach Boulevard Building 4516 La Habra, California PO, Box 2833 La Habra, CA 90632-2833 Phone 310 694 7300 Bakersfield Fire Department UST Division 1715 Chester Avenue Bakersfield, CA 93301 ..»S'f"'I ,', . ·...~/!/. ,_. «..¿:. ~0· ~l !-fA ' "1,> Ié}O. , 1Ì44 r '-"; . bit-: Attention: Ralph Hwey Re: Underground Storage Tank Financial Responsibility Dear Ralph Hwey: The enclosed letter is provided to comply with the requirement to demonstrate financial responsibility for underground storage tanks owned by Chevron U.S.A. Products Company. Financial responsibility applies to the enclosed list of service stations located in the City of Bakersfield. If you have any questions, please contact Jean Chavira-Flores at 310-694-7452. Very truly yours, ~~"1.lJ~~~ K. F. Wiseman Manager-Environmental, Safety and Health Enclosure 057.jac PAGE 5 CHEVRON U.S.A. PRODUCTS CO. - SOUTHWEST REGION ., SW REGION STATION LIST - APSI & 3 PTY OUTLETS OS/22/95 T9SWPGR -SW_OULET ., FACILITY STREET CITY COUNTY ST/ZN ZIP CROSS ST DEALER NAME/PHONE -------- ------ --- ---- -. -------- --. ----- -------- -. ----------------- --- 91835 1011 IMPERIAL STREET CALEXICO IMPERIAL CA 92231 4TH STREET ARTURO U ANTUNEZ 8E 619-357-2336 90130 905 N MAIN ST BISHOP INYO CA 93514 MAINE RICK CASSEL, II DBA 61 619-873-4430 90086 460 S MAIN ST LONE PINE INYO CA 93545 DARRELL C CATHERMAN ~0705 9700 ROSEDALE HWY 61 619-876-5971 BAKERSFIELD KERN CA 93308 CALLOWAY RAY SUTTON INC 61 805-589-9011 ~1536 2700 OSWELL STREET BAKERSFIELD KERN CA 93306 AUBURN STEVE R THORNE, INC. e 61 805-871-1200 ~1554 10 UNION AVENUE BAKERSFIELD KERN CA 93307 NOLAN W BERST DBA ~2718 5101 STOCKDALE HWY 61 805-322-2445 BAKERSFIELD KERN CA 93309 VILLAGE LANE PHILIP A WELCH DBA 61 805-832-1818 ~fI 93978 3100 NILES ST BAKERSFIELD KERN CA 93306 OSWELL KENNETH MC COY J 94025 800 34TH ST 61 805-871-1865 BAKERSFIELD KERN CA 93301 Q ST MOHAMED MANSOUR 61 805-323-9694 ¡l94416 3699 WILSON ROAD BAKERSFIELD KERN CA 93309 REAL RD SONNY SWAFF AR 61 805-831-6075 ¡i95325 2525 WHITE LANE BAKERSFIELD KERN CA 93304 EL PORTERO BOB HALEY SERVICE, INC 61 805-832-9781 ~98109 1131 OAK STREET BAKERSFIELD KERN CA 93304 CALIF ST PHILIP A WELCH DBA ~9615 3624 CALIFORNIA AVE 61 805-324-7621 e BAKERSFIELD KERN CA 93309 REAL RD CHARLES SUTTON INC 61 805-325-1642 ø 99702 5201 OLIVE DR BAKERSFIELD KERN CA 93308 HWY 99 KEESTER INC 61 805-399-9056 \LY 201238 8100 E. BRUNDAGE LANE BAKERSFIELD KERN CA 93307 WEEDPATCH HWY THOMAS W SCOTT 61 805-366-5542 ~201527 6601 MING AVENUE BAKERSFIELD KERN CA 93307 A.P.S.I. H 1830 61 805-831-1270 ~ 93249 26056 TRACY AVENUE BUTTONWILLOW KERN CA 93206 PERRY C SCOTT DBA 61 805-764-5419 e e Chevron Corporation 225 Bush Street, San Francisco, California 94104-4289 M. R. Klitten Vice President, Finance April 28, 1995 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 225 Bush Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases andlor nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EP A regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b» Plugging and Abandonment (§144.63) $ 158.409.500.00 $ 59.726.500.00 $ 8.000.000.00 $ -0- $ 3.096.000.00 e ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test, and/or guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, andlor guarantee 3. Sum of lines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capi~ (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issues. 17. Name of rating service 18. Dates of maturity of bond e $ 2.000.000.00 $ 292.320.000.00 $ 294.320.000.00 $ 34.315.000.000.00 $ 19.811.000.000.00 $ 14.504,000.000.00 in excess of $ 20.175.000.000.00 Yes No X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors August 15. 2004 Page 3 of 4 o e e GUARANTEE Guarantee made this April 28, 1995, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA "), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee - underground storage tanks at various facilities in the states of: Alabama Alaska Arizona California Florida Georgia Hawaii Idaho Kentucky Louisiana Mississippi Nevada New Mexico Ohio Oregon Tennessee Texas Utah Virginia Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancel1ation of this guarantee and the Director of the implementing agency Page 1 of 3 .'. e e " (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1995 CHEVRON CORPORATION By mf1~ M. R. Klitten Vice President, Finance By /Ø/J~_. Assistant Secretary Page 3 of 3 .. e e ;: :;; CERTIFICATION OF FINANCIAL RESPONSmILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The fmancial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 28, 1995, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1996. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. Date: '1 . i'¡ Il--()/u.-k I ò /qqs I ) /~=\) - By: ",.f-. µ "'"\' / J. JéffreY.Mojcher, S, nior Counsel ~ v ENV8114