HomeMy WebLinkAboutFMC 2004
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Monitoring System Eq'uipment Certification
For Use By All Juris(lict¡r)n~· Withln Thr: State ofCalf/òrnia
Authority Cited: Chapter 6- 7. Health and Sqfély Code: Chapter /6. Division 3, Title 13, Califomia Code of Rr!gulatiol'lJ
This fonn must be used to document testing and servicing of monitoring equipment. A sepa.rate certification or report must be
prepared for each monitoring system control panel by the technician who perfonns the work. A copy of this fonn must be provided
to the tank system owner/Cfg,Usel'Name_ The l1wner/Cfg,UserName must submit a copy Of this form to the local agency regulating UST s
within 30 days of test date,
A. General Information
facility Name: ~"¡te Lane Shell
Site Addr~ss: 2600 White Ln. @ EI Potrero
r-acî1ity Con:t~ct Person: Charlene
MakelModelofMonltoringSystem; VIR Simplicity
ß, Inventory of Equipment Tested/Certified
Check the Dpp.'tpriate hClx" tC1 indicaete speeif1c equlllment inspcetcd/sc.."iccd:
Bldg, No.:
City: Bakersfield, CA Zip: 93304
Cunl.i:l¡;L P1!UI~t: Nu,; (805) 831-0502
Date of Testing/Servicing: 2/5/2004
Tank 1D: U1 ' Kegu Tank ID.:. 02 ' Plus
f:J In - 'funk Gauping Probe. Model: VR 84U90,'07 CJ In - Tank <Jlluglng Probe, M(lùel: VR 847390,'07
5 Ann\ll3r Sø:lCI! or Vault Sen~Or, M()dd: VR 794380.302 1m Annul:lt Space élr Vault Sensor. Model: VA 794i80-J02
251 PipinG Sump \ i rench :Sensol' (5), Model: YR 7114380·392 II!I Piping Sump \ Trencb Sensor (o). Model: VR 7943800352
o Fill Sump Sensor (5), Mooc!: Nr;>no o fill Sump Sensor (5). Model: None
CJ M~ha¡1;elll Line Leak Detectot, Mod!:l: None [] Mcchanical Line Leak Dc!è¡;tu<, Model: NonQ
I!!I Elt\;u'Ullie Lint: Lt:IIlc Dctt:t:tor, MOCe: VR ~.r10S ...... II!I Eleclnlnic I_ine i,eak )('1cCLOf, Mo¡el: VR Berles 1484
[J Tank Overti\l \ High-Level Sl.-nsor, M()dd: Nono o Tank Overfill \ ¡.jlJh-LL'Vel Sensor. Model: NOne
[] Other (5pccifyequipment type and model in Section E on Pa¡;c 2). o Otllcr ( specify equiprrn:nL type ILnd modol in Sççtion E on Page 2).
Tank ID: 03 - Prem Tank ID: 04 - Waste Oil
o In - 'rank Oau¡ing Probe. Model: lilt &4'r~!ilD-1D7 r::J 11, - 'rank Gauging Probe, Model: Nane
II Annul/¡T SDllee 01' Vault ScnS01', Mud~l: VR 794380-302- IX! Annular SI",r,n "" V:tlllr ~/\n.nr Mnrl,.l· "" t!I.~~D"'~
II Piping Surnp \ Trench Sensol' (I). Mm¡~I: Vii 71143800352 [J Piping Slimp \ Tn:nuh Sensor (:;). Model: None
o Fill Slimp Sensor l~). Moðe\: Nr;>hQ I:J Fm Slimp SÇf)SQr (s), Modd; None
o ML~h:LI1icsll.inç Leak Det«tOI', Model; None [] MççhanicaJ Line Leak Detector. Mcxtel: Nono
II Electr'111ic Lin= l.uslc 1.>CWCLOr, Model: VIUer1ee 8484 [] F.~ctronie Line l.cak Deteclor. Mood: None
CJ Tan Ie OV~'1'fill \ High-Level SIInSór. Madel: NOlie o Tank OverLiII \ High-i.evel Sensor. Model: Hone
o OLher ( ¡pecify cquipmenllypc and I11OOcll11 Secllon E on Page 2), [J Other ( spccify equipment type and mudel in Section J:: on P41gç n
Dispenser ID: 01.02 Dispenser ID: 03004
II Dispenset Containment Sen:;m (3). Model: B"!\!t;lrv~ 408 III Dispenser Cc;mt:,¡lmYlent Sensor (s), Medel: 5e8utlreu 4C8
II!! F:huDr VDV~ (3). \!II 5h<;vVolvc (I).
(J Di~ser Cunt:LinTl1l-~1t Float (s) and Chin (8), CJ Oispcnser Conul'inment Float (8) and Chain M,
Dls&cnscr ID: OS.()6 __". , Dispenser ID!
D!I iSPCllS<.-r CnnLainmcnt g=Nor (s). Medel: .-.iHu~reu 40$ CJ Di~"p~nscr Containment Sensor (8), Model:
P¡ Shear Valve (8), IJ SheiU' Valve (s).
(] OiS1JcnSCf Containmcm Float (8) and Chain (~). [] Dispenser COlltainm<mL Ploj,t (~) and Chain (~).
Dispenser ID: Dispenser ID:
o J )i~p~nSl.'r Conù1 ¡nment Sensor (8), Modd: o 'Displ!l1ser CCn1toinmcnl S~nsnr (5). Mt1cel:
[J !\I'...M VI'\~I1(~) o S:h~"'r \1,,1.-. (<<).
[J r)l$p~nscr COOl:llnl11Clll Floa! (s) and Chl\Ìn (~), [J Dispenser Containment FlouL N a.nd Chain (s),
-'fthe fllcility contains more tllnks or dispensers, (:(1(1)' thi. r~...m. Include information tor every tank and dispenser at the facility
C, Certitication - I \"l:rtiCy tll8l the equipment iden¡ified in this document Will ilUII\~1~/6Cr\lleed In accordance with tbe
manufacturer's ~uidolinllS. Att:acllod to this Certilie¡1lioll is infurmution (e,¡:, manufaetul'c,s' checlclisU ) necessAry to vcrify thut thís
Infl'r\¡ttLGn is correet alld a Plót Plan 5howinJ: thc t.)lClut Clf mClaiwrill4 equIpment, Fin' MY (:<¡ui\)mcnt apabtc of genc'"IIting Mach
repllrta;. I bave 815D attacbad a QDPY or ~h.: (chf!ck aI/thfll applY)1 0 SYNtem sd-up CJ AI.rnl history re)()rt
Signature: Original on file at SSS
License. No_: 485184
Phone No.: (408) 971-2445
Date ofTBstin~/Se1'Viçin;!;: 2/5/2004
Tec:1miciatl Name (print): SSS-RauIS
. Certific~ti.or'l No,; 666-90-.0788
TestingCompanyNamc: Ser, Su.. Sys.
Site Addre5s: 2600 White Ln. @ EI Potrero
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PAGE 03
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Monitoring System Certification - Page 1 oí 3
Site Address: 2600 White In, @ EI Potrèro
Date of Testing/Servicing: 215/2004
D, Results of Testing I Servicing
Software Version Installed:
c
Ittl ~1I
b kI't
,omple e Ie I) OWIIJ2 c ec IS :
aaYes o No· Is the audible alarm operational?
IIIIYos o No· Is thc visual al4rm OPQfAtiolULl?
l1li Yes [J No· Were all sensors visually inspected functionally tested, and confiT1l1ed oøerationa'!
1& Yes o No" Were all sensors installed at lowest point of secondary containment &nd positioned so that other equipment will
not irttcrfere with their proper operation?
I Yes o No'" Jf alarms are relayed to a remote monitQri:ng station, is all communications equipment (e.g. modem)
CN!A opero.tionù.I'!
II "ies o No· For pressurized piping system$, does the turbine automatically shut down ¡fIDe piping secondary containment
IJNfA monitoring system detects a leak, fails to opcratt:, OT is electrically discOIUlccted? If yes: which sensors initiate
positive shut-down? (Chèck alJ that appl}~ lID Sumpfl'rench Sensors; C Dispenser Containment Sensors,
Did you confirm positive shut-down due to leaks and sensor failure/disconnection'? II Yes CJ No
eYes o No'" For tank R)'Rtem'l fhat IIfll1~t: 1111~ mnnit01;ng ~ystem as the primary tal'll{ overfill watnil1g dL-vice (i.e, no
IIDNfA mechanical overtill prevention valve is insta1led), is the overfill warning ~1irm visible and audib1e at the tank
fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? o %
[J Yes'" l1li No Was any monitorinG equipment replaced'! It yes, Identity specitic senson¡, probes, or other equipment replaced
and list the manufactW'Cr name and model for all reølacemcnt parts in Section E, bc:low_
o Yes· II No Was liquid found inside any secondary contaimncnt systems designed as dry SystenlR? (r.hpp.k 1111 thnt npply)
[J Product: C Waler, Jfyes, describe causes in Section E, be1ow,
181 Yes IJ No· Was monitoring system set-up reviewed to ensure proper settim:s? (Attach :>et-uD revorts if aDólicableJ
BYes D NQ· h ~ll mOllitoring CqULPIII\::II~ uJl:!ittiuurd pt:r rrlaDu!àcturur's spec1ncatlons?
* In Section E belowþ describe how and when these deficiencies were or will be corrected.
E. COmments:
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PAGE 04
Monitoring System Certification· Page 3 or 3
Site Address: 2609 White Ln. @ EI potrero
Date of Testing/Servicing: 2/5/2004
F, In - Tank Gauging I SIR Equipment:
III Check this box ¡ftank gauging is used only for inventory control.
o Check this box itno tank gauging or SIR equipment is installed.
This section must be completed ifin-tank gauging equipment is used to perforT11 leak d~tf"dion monitoring.
c
II
h )d'
omplete the fa aWln1! c: ec 1st: ..-,
.., ...-
[J Yes [J No'" Has all input wiring bcf.:n inspected for proper enU'}' aad lermil1ation, including testing for ground faulls?
DYes DNo* Were all tank gauging probes visually inspected for damage and residue buildup?
OYe.s o No'" Was accuracy Df system product level readings tested,?
CYes o No'" Was accuracy of system water level readings tested'!
DYes o No" Were all probes reinstalled properly?
OYe$ CNo* WeIe all items on the r;:quiprnem manufacturer's maintenance checklisr cotnpletcd'~
* In Section H below, describe how and when these deficiencies were or will be corrected,
G, Line Leak Detectors (L1..D):
o Check thi~ hmi i r r J .D', f1r~ not installed.
Complète the follo,,'iu checklist:
l1li Yes LJ No'" for equipment start-up or annual equipment certification was a leak sinnùated to veritY LLD performance'?
oN!A (Check all that apply) Simulated teak reate: II 3 g,p.h. (1.); 0 0.1 g-p,h. (2,); 0 0,2 g,p.h, (2.).
Note~: 1. Reqllir~cI for ~1'l\lipmpnt ~tart-\1p r.el·tificntion and annual certification.
2. Unless mi1udared by local agency, certification required only for e1ectronic LLD start.up.
lYe!> oNo* Wel'e all LLD's conf'lI1Ilcd operation¡) and accurate \Io'Íthin rr::gulatotY requirements?
I Yes D No· Was the testiIu!; apparatus properly calibrated?
DYes CNo* For mechluùCAl LLD's, doe6 the LLD restrict product flow jf it detects a leak?
III N/A
lID Yes DNa" For electronic LLD's. does the turbine automatically shut off if the LLD detects a leak'?
oNfA
, ,.-
!IIYes oNo* For electronic LLD's, does the turbine ¡¡.utomaticaIly shut off if any portion of the monitoring system is disabled
ON/A or disconnected?
IIYC3 DNu· Por electronic LLD's, does [he turbinc automatically Sllut off if any portion of the monitoring system
IJ N/A malfunctions OT fuils II test?
l1li Yes [J No'" For electronic Lill'S. have all acces¡¡ible wirine (!(\~n~h,'n!': nnpT'l vis\1ally inspected?
ON/A
!II Yes o No· Were all items on the equipment manufacturer's maintenance checklist completed'!
. ...
* In Section H below, describe how and when these defic:icncies were or will be c:orr"ted,
H. Cuumumts:
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PAGE 05
Monitoring System Certification
UST Monitoring Site Plan
2600 White Ln. @ EI Potrero in Bakersfield
1/30/04
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Instructions
On your site plan, show the general layout of tanka ond piping. Clearly Identity location!> of the followillY I:Il.¡uiprmmt, If
inSlðlled: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill
containers. or other !,:p.r.nnrJ~ry ~nnt~inment areas; mechanical or electronic line leak detodtor~; ~nd in-tEmk liquid
level probe$ (if used for leak detection). In the space provided, note the date this Sìte Plan was. prepared.
,,~ i
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PAGE 06
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ANNUAL TEST RESULTS FOR mE PRODUCT AND V APQR OVERFILL CONTAINMENT
Shell 2-5-04
2600 White Lane - Bakcrsfield~ Ca, 93304
Test Method Dcvc10ped By: IJ Spill Bucket Manufacturer iii Industry Standard I:) Professional Engineer
1:1 Other (Specify)
Test M~thod Used: lEI Hydrostatic
o Other (Specify)
Test Eq\lipment Used: Incon Tester
Buck.et Capacity in gallons;
Bucket Depth:
Wait time between fiHing with
wate!" and statÛIl test:
TC3t Stl1rt Time:
Spilt Box # 89
20 5
SpiU Box # 91
20 5
Spill Box ##
Final Reading (Rp):
Test Duration:
Change in Reading (Rp-R.):
Pass/Fail Threshold or CritC1:ia:
Test Result:
1:48pm L48 pl'l~ 1:29 pin 1:29 pm 1;12 ~Jll L 12}1U1
6.4509 5,3405 6,3069 3.3631 5.1388 4.4345
2:04 pm 2:04 pm 1 :44 pm 1:44 pm 1 ;27 pill 1.27 .IUI
6.4509 5.3398 6,3067 3,3631 5.1394 4.4342
1 S min 1 5 min IS min 15 min 1SuUn 15 nUll
ZERO LOSS ZBRO LOSS ZERO LOSS
ŒI Pass lEI Pass !!I Pass
lnitial Reading (R):
Te~t 12nd 'rime:
Comments - (inr./udp. ir¡jrJl"tnati(l1l (IN I'PoI)(1¡'~~ rom/Po f'1'ì()r to t('~'fiJ?g, and J'Y!commendedlollowoup jÌJ,. ftn'/iuJ iflj'ts)
All Buckets Passed
M""" . ___.__
Tested By: Service Station Systems, Inc,
Contractor License: 485184
Technician: Dan p,
'1' ~
'°1213/1214/212104 11: 32 41218971& 555 INC
JAN 30 f004 15:17 BKSFLD FIRE PREVE~TIO"
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PAGE 07
p.2
(SS1l852-2172
,
811~J~B84 13:17 48B!718135 SS5 IHO
...,i'ír ON .-..... an ..nil »I(.~J:I FIRE PRE"'E"TIQ"
(SB1)SS2-2t,a
PACE Ø2
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12,~
, CITY OF ."'u.R8J'ŒT .n
OFFICE OF ENVIRONMENTAL SEltVICM
1715 CbeIter Ave., ........"'. CA ('61) ~
v-'::It: NO_
(, TA.NK. ' VOL1JWB .~~
-L.. ' 'qNXl :=
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I'IAIoIII&PIIDlIIINtØdBIIILOPCON'l"ACr-- . ~ _ L-Ð~;>II,g-
ÐA1S_~1UT.m'BB~_~/<:"'/~ ../ I{"-~ ~ '
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APPaOVBDBY
.1 h.lfJ -(J if
DAm
;J.,~.L" ;,~ J
SraNA'tUUOfI ~
(
.-., ,.~'..
FIRE CHIEF
~~)i',j :7K,Ù.,ZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY 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 Chesler Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave,
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
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March 10, 2004
Shhuy Chao
Ready Go Market
3620 Wilson Road
Bakersfield, CA 93309
NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE
RE:
Failure to Perform/Submit Annual Maintenance on Leak Detection at the Above
Stated Address.
Dear Business Owner:
OUf records indicate that your annual maintenance certification on your leak detection
system will be past due on 02-11-04.
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, April 10, 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 Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
SB U/db
~~ r/) . .lÉ' (L? .Y_ 6Z.. /.Id 67Þ' /J CL/ ~~
.Je/'~/u¿.? Ute- uonlnu//u~ ,./'òft ,./~·(ÿo/~e-· ,//l.U./'b .../0 6e/Z&/~
03/17/2004 10:14
6613920.
-
PAGE 01/01
*COpy REQUESTED PLEASE
FAX(661)392-0621
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
171.5 Chester Av.e., Bakersfield, CA (661) 326-3979
FAX (661) 'as"Z - -z. 17.
APPLICATION TO PERFORM:
FUEL MONITORING CERTIFICATION
FACILITY m()~\ L
ADDRESS ''3lD-::LO tAJLL~ '~-~"F\r¿:Û)"'C1T
OPERATORS NA.ME---.::t~~ ~A ~
OWNERS NAME '---r-R o'-l, (' ~,& .
NAMEOFMONITORMANUFÅC'I1.1RBR V~"btÐQ. Roor .LOS -~SO
DOESFACD.lTYHAVEDISP~SERPANS? YES~ NO_
TANK #,
\
"2-
"3
VOLUME
l5 'K
Ib\')
':5J<.
CONTENTS
U(\t-~(_
~
DIÇ-~~l
NAME OF TESTING COMPANY ~1: ell E~Iio~EN~~L
. ,
CON'ÍRACTORSUCENSB# 90-1072 I.
NAME.&PHONBNUl\iBEROFCONTACT~S~N JAMES RICH {66:~~687
DATE&TIMBTESTISTOBECONDUC'I'ED .i¡~Id-1 - q.'ðOa_,
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. .
J.> Ci&,lt}(}(D
~
s/(11otf
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DATE:,·,
~ .
r.l.I'Jð ¡ 1, ~
NATURE OF APPLICANT
"
APPROVED BY
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WAYNE PERRY, INC.
Environmental Remediation, Construction and Consulting
June 28, 2002
Certified Unified Program Agency
Steve Underwood
1715 Chester Ave" Third Floor
Bakersfield, CA 93301
SUBJECT: SB 989 COMPLIANCE TESTING AT Shell, 2600 White Lane, Bakersfield, CA 93304
Dear Steve:
Below please find the secondary containment testing results for the above-referenced site. These results are
being sent to you per the requirement of SB 989.
If any of the secondary containment components failed or were not tested at this facility, repairs will be made
within 30 to 120 days. If, for some reason, the repairs will take more than 120 days, your Agency will be
immediately notified.
CONTRACTOR: Wayne Perry, Inc.; License No: 300345
TECHNICIAN: Jeff Funk
Components Tested Component Date Type of Test Pass I Fail
Manufacturer Tested Performed
WO - Sinqle Wall Pipinq Steel N/A N/A
WO - Tank Annular Testinq Wet Annular N/A N/A
If you have any questions regarding this submittal, please contact me at (916) 646-9680.
Sincerely,
Wayne Perry, Inc,
Brandon Smith
Project Manager
Attachments SB 989 Testing Results & Procedures
Cc: Tim Woodson - Shell Oil Products US
30 Main Ave. Suite 5
Sacramento, California 95838
Phone (916) 646-9680
Fax (916) 646-9683
_ S8 989 Test Log
Testing Contractor:
C Shell -
, 2600 White Lane
Bakersfield, CA 93304
. N021160 - SB989 Testing
~.
Product Piping Secondary Containment Test Date: 5"" - 14 - 03
Line Information: Fuel Grade: 87 / 87 Syphon Una / 89 / 91 / 0 / Mas / ~Remote~
Type: ~Ie WÐ Double Wall
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Test Start Test Finish P-Test
HH:MM I Pressure HH:MM I Pressure Pass I Fail Condition (Repair Notes)
/ / Pass / Fail
/ / Pass / Fail
/ / Pass / Fail
/ / Pass / Fail
/ / Pass I Fail
Primary Piping:
AO Smith (GOld):C]
Ameron (Red):C]
Environ (Green, FleX):C]
CTC (Black, FleX):I- ~
Western Co-Flex (Grey, FleX):C]
Other .s'-ee. L :0
Secondary Piping:
AO Smith (GOld):1
Ameron (Red):)
TCI (Grey, PlastiC):1
~TC (Orange, PlastiC):'
CTC (Blue, PlastiC):1
: I
I
I
I
I
I
I
Other
"
SB 989 TA!'\t I nn Fnrmc:. ? "
".
sa 989 Test Log
Testing Contractor:
L Shell
2600 White Lane
Bakersfield, CA 93304
.. N021160 - SB989 Testing
]
Tank (Annular Testing)
Test Date: 5' -/cr - 0 -3 .
i
Tank Information:
Fuel Grade: ·87 / 87 Slave / 89 / 91 / D / M85/rfj)
Type: Single Wall ~Uble W~
Annular Monitoring Method: ~ §NO Testing Necessary) / Dry (See Testing Notes Below)
Modern Welding (Red, Smooth Walls): D Xerxes (Red, Ribbed Walls): I
Owens Corning (Beige, Smòoth Walls): D Joor (Blue, Smooth Walls): J
Owens Corning (Beige, Ribbed walls):D Other ù\,,~o¡,JV'\ (~ov'e.,~,-", G.-~\C(): I
I
I
xl
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.- Test Start Test Finish V-Test
HH:MM I Vacuum HH:MM I Vacuum Pass I Fall . Condition (Repair Notes)
I I Pass I Fail
I I Pass I Fail
I I Pass / Fail
I I Pass / Fail
I I Pass / Fail
SB 989 Test Loa Form~ ?l1
t '.
-........o----~ -
"¡i;'t:"iö""ø?¡eriat~
Hazardous. Materials/Hazardous Waste Unified Permit
" .J. .'
Per
Permit 10 #:: 015-000-000355
WHITE LANE SHELL
LOCATIÒN: 2600 WHITE LN
~," "\' ~'~~" .'L r·
TANK HAZAROOU~::SIJl~S1¡'A~Œ
015-000-000355-0001 GASOLINE i~:>f y Ü
015-000-000355-0002 WASTE OIL r<'l if
015-000-000355-0003 GASOLlNE;f·:j , I>J.
015-000-000355-0004 GASOLINE t:·~ ~f' r\
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CONDITIONS.,;Q:F,·',PEI:;IM:IT·.ON'REVERSE SIDE
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This oermlt Is Issued for the following:
·1tJ Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hàzardous Waste On-Site Treatment
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Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES',
1715 Chester Ave" 3rd Floor Approved by: .
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
Issue Date
. June 30, 2003
----
". -"~'~ ,- .-".--------.---.--- "
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Per... it
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"'
Hazardous Materials/Hazardous W aste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
zardous Materials Plan
round Storage of Hazardous Materials
Q,agement Program
Waste
2600
PRESSURE AlD
GRAVITY l TT
PRESSURE AlD
PRESSURE AlD
PERMIT ID# 015-021.000355
WHITE LANE SHELL
lOCATION
WHITE
TAN HAZARDOUS SUBSTANCE CAPA
T,~~~ PIPING PIPING PIPING PIPING
qN!l];OR TYPE TYPE METHOD ONITOR
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GASOLINE
WASTE Oil
GASOLINE
GASOLINE
Issued by:
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SW F
SW F
SW F
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
*~
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ffice of ental Servi es
~une 30, 2000
Approved by:
Expiration Date:
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CA Cart. No. oon8 1
City of Bakersfield
Office of Environmental Services
1715 Chester Ave., Suite 300
Bakersfield, California 93301
(805) 326-3979
An upgrade compliance certificate
has been issued in connection with
the operating permit for the
facility Indicated below. The
certificate number on this facsimile
matches the number on the
certificate displayed at the facility.
Instructions to the issuing agency: Use the space below to enter the following information in the format of
your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility;
facility identification number (from Fonn A); name of issuing agency; and date of issue. Other identifying
infonnation may be added as deemed necessary by the local agency.
This permit is issued on this 2nd day of November, 1998 to:
WHITE LANE SHELL
Permit #015-021-000355
2600 White Ln
Bakersfield, California 93304
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1. Address: Identity the
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by the Street nu.bera.
9. Lock (key).
10, MSDS Storaie Box
11- Railroad Tracks
12, Fence or Barrier
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3. Stor. Drolns, Culverts.
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4. Drainoie Canale. Ditches.
Creeks,
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5, Bulldine:s
a. Fra.e construction
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Identity the
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18. Oikin¡ or Bel"
b. Electr Icity
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18. Evacuation Area:
Identity the
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22. Type or Hazardou.
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8. Pire Depart.ent Aeces. '
TYPB OP HAZARDOUS MATERIAL
P · Fl....ble I · bplo.1ve L · Liquid R . Radioloeical
C · Corroelve 0 -. Oxidizer G · Ga. P . Polaon
If · Water Reactive T · Toxic 5 · Sol1d 'B . Cryo¡enic
D · Wa.te B · Btiolo¡ical
Exa.ple: Plaaaable Liquid· PL
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PACILITY DIAGRAM (Required ite.. in addition to the-above)
1- Rin'r. tor Sprinldera 8, Pire B.eapee
2. ParU tion. 8. Air Conditionin, Unit.
3. Stairway.: Indicate the 10. Windo..
level. served tro.
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Storale
4. Escalator: Indicate the
levels served troll 13. In.ide Hazardous
hieheat to lo.e.t. Materials St.orace
5. Elevator 13. In.ide Hazardoua
Material. U.e/Handline
8. Attie Acees.
14. Sewer Drain Inlet.s
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CAMBRIA
Oakland, CA
Sonoma, CA
Portland, OR
Seattle. WA
Cambria
Environmental
Technology, Inc,
1144 65th Street
Suite B
Oakland. CA 94608
Tel (510) 420-0700
Fax (510) 420-9170
Steve Underwood
Bakersfield Fire Department
Environmental Services
1715 Chester A venue
Bakersfield, California 93301
Re: Dispenser Soil Sampling Report
Shell-branded Service Station
2600 White Lane
- Bakersfield~ California
WIC #204-0461-0501
Cambria Project #240-1217-984
Dear Mr. Underwood:
.
November 30, 1998
)
. ,
~ ~ - -~._~-" .
On behalf of Equilon Enterprises LLC, Cambria Environmental Technology, Inc. (Cambria) is
submitting this report presenting the results of sampling conducted during station upgrade activities
at the site referenced above. Presented below are a description of the site conditions, sampling
activities, analytical results, and conclusions.
SITE CONDITIONS
The site is located at the intersection of White Lane and El Potrero Lane in Bakersfield, California.
The area surrounding the site is primarily of commercial use.
This Shell-branded service station was upgraded by LC Services of Fresno, California, LC Services
added secondary containment to the existing dispensers and gasoline turbines, and abandoned the
waste oil remote fill piping (Figure 1).
SAMPLING ACTIVITIES AND SAMPLE ANALYSIS
Personnel Present
Title
Michael Paves
Steve Underwood
Staff Engineer
Environmental Health Specialist
Company
Cambria
Bakersfield Fire Department
,
ì
.
-
CAMBRIA
Steve Underwood
November 30, 1998
- -- -- -"---
Sample Date: July 10, 1998,
Sampling Requirements: Based on Cambria's April 30, 1998 conversation with Steve Underwood
of the Bakersfield Fire Department, soil sampling is required beneath the dispensers during upgrade
activities. Soil sample collection is required during waste oil pipe removal projects if secondary the
pipe is not secondarily contained. '.
--Dispenser- Sampling: Cambria inspected the dispenser, waste oil tank, and-gasoline tank pit areas.
Cambria collected soil samples beneath all three dispensers, at a depth of 2.0 feet into native soil,
at the direction of Mr. Underwood. No field indications of hydrocarbons, such as staining or odor,
were observed in any of the samples collected at 2.0 feet (Figure 1). Therefore, no additional
sampling was performed at these dispensers, No sampling was required at the waste oil tank due
to the presence of an existing PVC secondary containment casing surrounding the waste oil remote
fill pipe. Cambria's standard procedures for dispenser and piping sampling are presented as
Attachment A.
- ._ ___0____
Sample Analyses: Sequoia Analytical of Redwood City,Califomia (Sequoia) analyzed samples
from beneath the dispensers for total petroleum hydrocarbons as gasoline (TPHg) by modified EP A
Method 8015, and benzene, toluene, ethylbenzene, and xylenes (BTEX) and methyl tert-butyl ethèr
(MTBE) by EPA Method 8020. Sequoia's analytical report is included as Attachment B.
ANALYTICAL RESULTS
The only detectable hydrocarbon concentration was 1,1 milligrams per kilogram (mglkg) TPHg in
sample D-3(2'). BTEX and MTBE concentrations for all soil samples were below laboratory
detection limits (Table 1).
CONCLUSIONS
Due to the lack of detectable hydrocarbons in the dispenser areas, no further investigation is
proposed at this time.
2
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CLOSING
-
Steve Underwood
November 30, 1998
We appreciate the opportunity to work with you on this project. Please call Michael Paves at
(510) 420-3332 if you have any questions or comments.
Sincerely,
c¡Jjlonmenl31 Technology, Inc.
Diane M.Lundquist, P.E.
Principal Engineer
Attachments: A - Standard Piping and Dispenser Removal Sampling Procedures
B - Laboratory Analytical Reports for Soil
cc: Mr, Tim Hargraves, Equiva Services LLC, P.O. Box 8080, Martinez, CA 94553
Mr, Ed Paden, Equiva Services LLC, P.O, Box 6249, Carson, CA 90749-6249
G:\Bakersfield 2600\Upgrades\Upgrade Reportwpd
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EXPLANATION
o 15 30
I
-+- Tank Observation Well
Disp-1. Dispenser Sampling Location
Scale (ft)
Shell-branded Service Station
2600 White Lane
Bakersfield, California
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CAMBRIA
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FIGURE
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Dispenser Sampling Locations
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CAMBRIA
-.
Table 1.
Dispenser Sample Analytical Data - Shell-branded Service Station - WIC #204-0461-0501:,2600 White Lane,
Bakersfield, California
Date Sample ill Depth TPHg MTBE Benzene Toluene Eth y Ibenzene XyIenes
:
(feet) .. (Concentrations reported in milligrams per kilogram) .
7/10/98 D-1(2') 2.0 <1.0 <0.025 <0.0050 <0.0050 <0.0050 <0,0050
7/10/98 D-2(2') 2.0 <1.0 <0.025 <0.0050 <0.0050 <0.0050 <0.0050
7110/98 D-3(2') 2.0 1.1 <0,025 <0.0050 <0.0050 <0.0050 <0.0050 e
Abbreviations and Notes:
TPHg = Total petroleum hydrocarbons as gasoline by modified EPA Method 8015.
MTBE = Methyl tert-butyl ether by EPA Method 8020.
Benzene, ethylbenzene, toluene, and total xylenes by EPA Method 8020.
<n= Below detection limit of n milligrams per kilograms
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G:\Bakersfield 2600\Upgrades\Dispeosers.XLS
Page 1 of 1
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- --~-- - -- ---- - ,--
__ ____________. _ ___._ _._._ _. _n_ u ____._ _ _____._ _.,'_______ _<.__"".____ ._ _ ___<._ __ ____ _
ATTACHMENT A
Standard Piping and Dispenser Removal
Sampling Procedures
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CAMBRIA
STANDARD PIPING AND DISPENSER REMOVAL SAMPLING PROCEDURES
. -- -~._~ --- -
Cambria Environmental Technology, Inc. (Cambria) has developed standard operating procedures
for collecting soil samples during petroleum dispenser and piping removal. These procedures ensure
that the samples are collected, handled, and documented in compliance with California
.. - H.h u Administration-Code Title 23 :nW aters;-Chapter3 : Water Resources Control Board;-Subchapter 16:
Underground Storage Tank Regulations (Title 23). Cambria's sampling procedures are based on
guidelines contained in the California State Regional Water Quality Control Board Tri-Regional
Staff Recommendations for Preliminary Evaluation and Investigation of Underground Tank Sites
dated August 10, 1990.
Piping and Dispenser Removal Sampling
The objective of sample collection during routine dispenser and piping removals is to determine
whether hydrocarbons or other stored chemicals have leaked to the subsurface. We collect one soil
sample from the native soil beneath each dispenser unit, at each piping elbow, and at every 20 ft of
product piping, as applicable.
The soil samples are collected in steam cleaned brass or steel tubes from either a driven split-spoon
type sampler or the bucket of a backhoe. When a backhoe is used, approximately three inches of soil
are scraped from the surface and the tube is driven into the exposed soil.
Upon removal from the split-spoon sampler or the backhoe, the samples are trimmed flush, capped
with Teflon sheets and plastic end caps, labeled, logged and refrigerated for delivery under chain of
custody to a State certified analytic laboratory.
1.'
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.. __ __._ _.. _. _ _. . ___.. u_._ ~~_~____.__ .__ ~__..__ ..... _ ..._____.._....~_..___._ _.____.. _ _..__.
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ATTACHMENT B
Laboratory Analytical Reports for Soil
'~~ '
-. --,.------.-.- ,.-. ---.
Sequoia
~ Analytical
",Aesapeake Drive
~. Wìget Lane
819 Striker Avenue, Suite 8
1455 McDowell Blvd, North, Ste. D
Redwood City. CA 9.e
Walnut Creek, CA 94598
Sacramento, CA 95834
Petaluma, CA 94954
(650) 364-9600
(925) 988-9600
(916) 921-9600
(707) 792-1865
FAX (650) 364-9233
FAX (925) 988-9673
FAX (916) 921 -0100
FAX (701) 792-0342
Cambria
1144 65th St. Suite C
Oakland, CA 94608
Attention: Mike Paves
Project:
Shell 2600 White Ln.
Enclosed are the results from samples received at Sequoia Analytical on July 13, 1998.
The requested analyses are listed below:
.. ·SAMPLE # --~---,- - .- SAMPLE·DESCRIPTION· .---,_., --- -.----- DATE COLLECTED- . --TEST· METHOD- - ----~-_.
9807713 -01 SOLID, 0-1 (2') 07/10/98 Pùrgeable TPH/BTEX/MTBE
9807713 -02 SOLID, 0-2(2') 07/10/98 Purgeable TPH/BTEX/MTBE
9807713 -03 SOLID, 0-3(2') 07/10/98 Purgeable TPH/BTEX/MTBE
Please contact me if you have any questions. In the meantime, thank you for the opportunity to work with you on
this project.
.....-.
TJ crCAl
p~'gߥ'P{¡nner -
Project Manager
@
Sequoia
Þ\nalytical
.esapeake Drive
404 N, Wiget Lane
819 Striker Avenue, Suite 8
1455 McDowell Blvd, North, Ste. D
Redwood City, CA 9.
Walnut Creek. ,CA 94598
Sacramento, CA 95834
Petaluma, CA 94954
(650) 364-9600
(925) 988-9600
(916) 921-9600
(707) 792-1865
FAX (650) 364-9233
FAX (925) 988-9673
FAX (916) 921-0100
FAX (707) 792-0342
m Cambria
¡¡¡ 1144 65th S1. Suite C
¡¡¡ Oakland, CA 94608
u.
Attention: Mike Paves
Client Proj, ID: Shell 2600 White Ln.
Sample Descript: D-1 (2')
Matrix: SOLID
Analysis Method: 8015Modj8020
Lab Number: 9807713-01
,u
u.
u.
...
QC Batch Number: GC071598BTEXEXA
Instrument ID: GCHP22 "'.
Total Purgeable Petroleum Hydrocarbons (TPPH) with BTEX and MTBE
----Al1alyte
_0,_- ___ _._ _ ____,"_... _"___..__ __ __ ____ ... _____
-Detection -limit
mg/Kg
_ ..__._ .. - _._.___, no
Säï1fplé ResUlts
mg/Kg
N,D.
N.D.
N,D,
N.D,
N,D.
N.D.
TPPH as Gas
Methyl t-Butyl Ether
Benzene
Toluene
Ethyl Benzene
Xylenes (Total)
Chromatogram Pattern:
1.0
0.025
0.0050
0.0050
0.0050
0.0050
Surrogates
Trifl uorotol uene
4-Bromofl uorobenzene
Control Limits %
70 130
60 140
% Recovery
110
95
Analytes reported as N,D. were not present above the stated limit of detection.
ELAP #1210
Page:
@
Sequoia
Analytical
.esapeake Drive
404 N. Wiget Lane
819 Striker Avenue, Suite 8
1455 McDowell Blvd, North, Ste. D
Redwood City, CA 9.
Walnut Creek. CA 94598
Sacramento. CA 95834
Petaluma, CA 94954
(650) 364-9600
(925) 988-9600
(916) 921-9600
(707) 792-1865
FAX (650) 364-9233
FAX (925) 988-9673
FAX (916) 921-0100
FAX (707) 792-0342
Hi Cambria
¡¡¡ 1144 65th S1. Suite C
¡¡¡ Oakland, CA 94608
'..
...
Client Proj. ID: Shell 2600 White Ln.
Sample Descript: D-2(2')
Matrix: SOUD
Analysis Method: 8015Mod/8020
Attention: Mike Paves Lab Number: 9807713-02
QC Batch Number: GC071598BTEXEXA
Instrument ID: GCHP22'.,
Total Purgeable Petroleum Hydrocarbons (TPPH) with BTEX and MTBE
,..
...
,..
-'-'Afiälyte' -, ____,n_
____ _ ..___n_" ___ __~._._ __ _.._
- . Dëtection Limit --""--~------SamplffResults
m~~' m~~
TPPH as Gas
Methyl t-Butyl Ether
Benzene
Toluene
Ethyl Benzene
Xylenes (Total)
Chromatogram Pattern:
Surrogates
Trifluorotoluene
4-Bromofluorobenzene
1.0
0.025
0.0050
0.0050
0.0050
0.0050
N,D.
N,D,
N.D.
N.D.
N.D.
N,D.
Control Limits %
70 130
60 140
% Recovery
93
102
.D, were not present above the stated limit of detection,
ELAP #1210
Page: 2
@
Sequoia
i\nalytical
aesapeake Drive
404 N. Wiget Lane
819 Striker Avenue. Suite 8
1455 McDowell Blvd. North. Ste, D
Redwood City, CA 9'-
Walnut Creek, CA 94598
Sacramento, CA 95834
Petaluma. CA 94954
(650) 364-9600
(925) 988-9600
(916) 921-9600
(707) 792-1865
FAX (650) 364-9233
FAX (925) 988-9673
FAX (916) 921 - 0100
FAX (707)792-0342
Client Proj. ID: Shell 2600 White Ln.
Sample Descript: D-3(2')
Matrix: SOLID
Analysis Method: 8015Mod/8020
Lab Number: 9807713-03
u.
Hi Cambria
:[: 1144 65th St. Suite C
¡¡¡ Oakland, CA 94608
..: Attention: Mike Paves
...
u.
OC Batch Number: GC071598BTEXEXA
Instrument ID: GCHP22 "'"
Total Purgeable Petroleum Hydrocarbons (TPPH) with BTEX and MTBE
-Analyte--' ---
_. ---~- ~- ,- -
~._ __ on_
-- ---- - .,.- --
. - 'Oetection-timit---
mg/Kg
--------.-.-. --.---
Sample Results .-
mg/Kg
TPPH as Gas
Methyl t-Butyl Ether
Benzene
Toluene
Ethyl Benzene
Xylenes (Total)
Chromatogram Pattern:
Surrogates
Trifluorotoluene
4-Bromòfluorobenzene
....................
1,0
0.025
0.0050
0.0050
0,0050
0.0050
....................
....................
.....................
1,1
N,D.
N.D,
N.D,
N,D.
N,D.
C6-C12
Control Limits %
70 130
60 140
% Recovery
9000
114
e not present above the stated limit of detection,
ELAP #1210
----...'.........
Page: 3
@
a/~~;·:" 'C' . '
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.~"",;;,: A-n· 'a~y, 'H:C'::\ì1
~3~+~1t~.g~ ~ ", I .1 tl' uJl.
aesapeake Drive
404 N, Wiget Lane
819 Striker Avenue, Suite 8
1455 McDowell Blvd. North, Ste. D
Redwood City, CA 9_
Walnut Creek, CA 94598
Sacramento, CA 95834
Petaluma, CA 94954
(650) 364-9600
(925) 988-9600
(916) 921-9600
(707) 792-1865
FAX (650) 364-9233
FAvX(925)988-9673
FAX (916) 921-0100
FAX (707) 792-0342
Cambria
1144 65th St., Ste. C
Oakland, CA 94608
Atlention: Mike Paves
Client Project ID: Shell 2600 White Ln,
QC Sample Group: 9807713-01-03
Reported: Jul 27, 1998
QUALITY CONTROL DATA REPORT
Matrix: Solid
Method: EPA 8020
Analyst: G, PESHINA
_._------_.~-
- -.-------- -----
----.--.- - - _..----- -.-.-
"__0.__". ___ __~_____.__ "____.__. __. _~_____...
.___n_.m __.._, _. ~"'" ___.___
ANAL YTE Benzene
Toluene Ethylbenzene Xylenes
QC Batch #: GC071598BTEXEXA
Sample No.: GC9807713-3
Date Prepared: 7/15/98 7/15/98 7/15/98 7/15/98
Date Analyzed: 7/15/98 7/15/98 7/15/98 7/15/98
Instrument I.D.#: GCHP22 GCHP22 GCHP22 GCHP22
ample Conc., mg/Kg: N.D. N.O, N.D. N,O,
Conc. Spiked, mg/Kg: 0.20 0.20 0.20 0,60
Matrix Spike, mg/Kg: 0.27 0.27 0.27 0.83
% Recovery: 135 135 135 138
Matrix
ike Duplicate, mg/Kg: 0.24 0.24 0.24 0.73
% Recovery: 120 120 120 122
elative % Difference: 12 12 12 12
RPD Control Limits: 0-25 0-25 0-25 0-25
LCS Batch#: GSBLK071598A
Date Prepared: 7/15/98 7/15/98 7/15/98 7/15/98
Date Analyzed: 7/15/98 7/15/98 7/15/98 7/15/98
Instrument I.D,#: GCHP22 GCHP22 GCHP22 GCHP22
Conc. Spiked, mg/Kg: 0,20 0.20 0.20 0,60
Recovery, mg/Kg: 0.21 0.21 0.21 0,65
LCS % Recovery: 105 105 105 108
Percent Recovery Control Limits:
MS/MSD 60-140 60-140 60·140 60-140
LCS 70·130 70-130 70·130 70-130
All standard operating procedures and quality control requirements have been met.
Please Note:
The LCS is a control sample of known, interferent free matrix that is analyzed using the same reagents,
preparation, and analytical methods employed for the samples. The matrix spike is an aliquot of sample
fortified with known quantities of specific compounds and subjected to the entire analytical procedure, If
the recovery of analytes from the matrix spike does not fall within specified control limits due to matrix
interference, the LCS recovery is to be used to validate the batch,
@
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Sequoia
Analytical
~esapeake Drive
Z'.' Wiget Lane
819 Striker Avenue, Suite 8
1455 McDowell Blvd, North, Ste, D
.
Redwood City, CA 9
Walnut Creek, CA 945
Sacramento, CA 95834
Petaluma, CA 94954
(650) 364-9600
(925) 988-9600
(916) 921-9600
(707) 792-1865
FAX (650) 364-9233
FAX (925) 988-9673
FAX (916) 921- 0100
FAX (707) 792-0342
Client Proj. ID: Shell 2600 White Ln.
Lab Proj. ID: 9807713
Received: 07/13/98
Reported: 07/27/98
'n
Hi Cambria
¡¡¡ 1144 65th St. Suite C
¡¡¡ Oakland, CA 94608
¡¡¡ Attention: Mike Paves
w
w
LABORATORY NARRATIVE
.~
...._..._...crn...oxdert.o pr.o.perly interpret ~hiS report, it must .be reproduced in. its entirety. This
report contains a total of pages including the laboratory narrative, sample
results, quality control, and elated documents as required (cover page, cae, raw data,
etc.) .
SEQUØ~? L YTICAL
0'''-
Peggy Penner
Project Manager
~
@
Page: 1
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Q 3 :PREMI UI"1
GROSS LINE FAIL
OCT 29, 1998 5:12 PM
PRESSURE LINE LEAK ALARrv
Q 3:PREMIUM
PLLD SHUTDOWN ALARM
OCT 29. 1998 5:12 PM
e
T 3: PREM I Ulv1
INVENTORY INCREASE
I ra~ASE START
O~9. 1998 5:02 PM
VOLUME 1429 GALS
HEIGHT 19,55 INCHES
WATER 0.00 INCHES
TEMP 82.5 DEG F
INCREASE END
OCT 29. 1998
5: 12 Ptvl
VOLUME
HEIGHT
WATER
TEMP
3452 GALS
35.83 INCHES
0,00 INCHES
77.5 DEG F
GROSS INCREASE= 2023
TC NET INCREASE= 2003
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F'RH)~::;URE L! I'Œ LEriK ALARI"]
o :3: FREt"! I UI"l
"OSt; LINE Ff1IL
~ 29. 1998 5:13 PM
PRESSURE LINE LE~K f1Lf1RM
l) :3: P FŒI"11 IJI"j
PLLD SHUTDOWN ALARM
OCT 29. 1998 5:13 PM
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PRESSURE LINE LEAK ALAR!"!
< Q 1: REGULAR'
GROSS LINE FAIL
, OCT ~9, 1 9~38 5: 20 pr1
e
PRESSURE LINE LEAK ALARr'l
Q 1: REGULAR
PLLD SHUTDOWN ALARM
OCT 29. 1998 5:20 PM
PRESSURE LINE LEAK ALARM
Q 2:PLUS
GROSS LI NE FAIL
OCT 29. 1998 5:22 PM
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----- SENSOR ALARM
L 3:PREMIUM SUMP
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.=~H/ L I QU I D ALARr1
;T 29. 1998 5:32 PM
----- SENSOR ALARM -----
L 6:PREMIUM ANNULAR
ANNULAR SPACE
FUEL ALARI"l
OCT 29. 1998 5:34 PM
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SE NSO R ALARI"l
L 5:PLUS ANNULAR
- ANNUbAR-SPACE
FUEL ALARI"'
OCT 29. 1998 5:35 PM
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----- SENSOR ALARM -----
L 4:REGULAR ANNULAR
ANNULAR SPACE
FUEL ALARr"l
OCT 29. 1998 5:36 PM
----- SENSOR ALARM -----
L.I,JA~::~TE 0 I L ANNULAR
AI'LAR SPACE
FUEL ALARI"!
OCT 29. 1998 5:36 PM
PRESSURE LINE LEAK ALARM
Q 2 :PLUS
PLLD SHUTDOWN ALARM
4It 29. 1998 5:22 PM
PRESSURE LI NE LEAK ALARr"l
Q 2 :PLUS
GROSS LI NE FAIL
OCT 29. 1998 5:24 PM
PR.URE LINE LEAK ALARr'1
Q 2 :PLUS
PLLD SHUTDOWN ALARt"l
OCT 29. 1998 5:24 PM
--~----~-
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SENSOR ALAR!"1
L 2: PLUS sur"1F
STP SUt"1P
HIGH LIQUID ALARt"1
OCT 29, 1998 5:27 Pt"1
----- ~3ENSOR ALARI"1
L 1 :REGULAR sur1P
STP SUf1P
HIGH LIQUID ALARt"1
4IjT 29. 1998 5:31 Pt"1
-----
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PIPING TIGHTNESS D~TERMINATION;-PL400 FORMAT
TEST LOCATION: WHITE LANE SHELL
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2600 PARK LANE
BAKERSFIELP, CA, 93307 _
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BOBSY G. SMITH OTTL LlC 97..1431
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TEST OPERATOR:
UNDERGROUND TANK TESTERS
15806 AVENUE 2~8
VISALIA, CA 93292
DATE: 07/24/98
REG UNLD
PLS UNLD
SUP UNLD
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TEST INITIAL FINAL VOLUME LEAK RATE LEAK RATE
DURATION PRESSURE PRESSURE DISPLACED
PASS
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30 50 40 3 -,0071 X
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OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakenfield, CA (805) 326-3979
rNSPEcnON RECORD
POST CARD AT JOB SITE
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r:"lSTR UCfIONS: PI_ caU for aD iDIpec:rar oaIy whea ada pip of ~ with the IIIDI aIIIIIbIr ..I'IIdy, 1bøy wiUl\III ÎD 0GmICIIâw ardIr 1HItJ' . I wiIb IIIIIIIber
1. 00 NOT cover work for 1ft)' IIUIIIiNnd pili UIIIiI all iteaII ÎD tbI& pili ..liped oŒby the &..~ AuIbarity, FoUowiaa m- ~~ wilI__ tile..... at
required impec:rica vilitlllllllbnfon pnIo'IIII IIf ¡ ¡- III of ~ c...
TANXS AND BACKrILL
INSPEcnON DATE INSPECTOR
AJtA BadcfiU o(TIlllc(I)
J.l1.A Spark Test Cctific:Iûoa or Me",I'.-". McdIod
AI/ r¡q Ca1bodic: Procec:tioa ofTankCl)
PIPING SYSTEM
Piping & Raceway wlCoUKÚOD Sump
Corrosioa Procec:tioa of PipiD& JoiaII. rill Pipe
Electrical IsoIl1ioa of PiPiDI From TIIIk(.)
Cathodic ProIectioa SyslCm-ñping
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Liner InsWla1ion . TanIc(s)
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SECONDARY CONT AIN:\fE:\ï, OVERFILL PR0TECI10N, LEAK DETECrION
Level Gauges or SenIors. F1011 Vent Valva
Product Compatible Fill Box(es)
Product Line Leak Detector1s)
Leak Deuct~s) for Annual Space-D. W, Tanlc(s)
MOIÙtoring Well(sYSwnp(s)· H20 Test
Leàk Detection Device(s) for VadosciGroundwatcr
Spill Prevention Boxes
MOIÙtoring W olll. Caps & Loc:ka
Fill Bo" Lode
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ONTACT '1"1 h~
FINAL
UCENSE" · q c{ ("57
PHONE" (J~ 9"- l{'3¡'" '3110
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STATE OF CALIFORNIA
STATE WATER RESOURCES CONTROL BOARD
UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A
COMPLETE THIS FORM FOR EACH FACILITY/SITE
MARK ONLY 0 1 NEW PERMIT 0 3 RENEWAL PERMIT KX 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED. SITE
ONE ITEM 0 2 INTERIM PERMIT D 4 AMENDED PERMIT 0 6 TEMPORARY SITE CLOSURE
I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED)
DBA OR FACILITY NAME NAME OF OPERATOR
~ W W \IE:. L..-/'ÇNE 'S\..\f:LL- \.-\\JE:-N~()DÌ) , \NC-
ADDRESS NEAREST CROSS STREET PARCEL # (OPTIONAL)
LJooo \.N 1-\ \'1" E:. Lh1\Jt
CITY NAME STATE I ZIP CODE + SITE PHONE # WITH AREA CODE
gp.'L82S~\ ELþ CA 93~D l. 'DDS) <Ö~ 1- DS02
.... BOX iXJ CORPORATION o INDIVIDUAL o PARTNERSHIP o LOCAL-AGENCY o COUNTY-AGENCY' o STATE·AGENCY' o FEDERAL-AGENCY'
TO INDICATE DISTRICTS
, n owner of UST is a public agency, oomplete the following: name of supervisor of division, section or office which operates the UST
TYPE OF BUSINESS !XX 1 GAS STATION D 2 DISTRIBUTOR D .... IF INDIAN 1# OF TANKS AT SITE EP.A, I. 0, # (optional)
RESERVATION 3
D 3 FARM D 4 PROCESSOR D 5 OTHER OR TRUST LANDS N/A
EMERGENCY CONTACT PERSON (PRIMARY)
EMERGENCY CONTACT PERSON (SECONDARY)· optional
DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE DAYS: NAME (LAST, FIRST) PH)E # WITH AREA CODE
I-t I L-l" E:í2 'ß(2:t'\1'1 is \ LL ( 'bD~ ') 61.-L..--?:>\2.:Z- Qo f:-\UAA f1~ I~ CßO'S ß~1-SIS1
NIGHTS: NAME (LAST, FIRST) PHO~ # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE
\--l\ L-l E:::1L'g ~ ß\ LL L'DD'5 S'ß~- DSS2 Q Û E:-i2.u A R:2.fçN Ie... l<t>DS) ~O¡D- ß~9 7
(I, PROPERTY OWNER INFORMATION - (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
EQUILLON ENTERPRISES LLC
MAILING OR STREET ADDRESS .... box to indicate D INDIVIDUAL o LOCAL·AGENCY D STATE-AGENCY
P,O, BOX 8080 iZJ CORPORATION D PARTNERSHIP o COUNTY~GENCY o FEDERAL·AGENCY
CITY NAME STATE I ZIP CODE , I PHONE # WITH AREA CODE
rrJARTINEZ, CA 94553
III. TANK OWNER INFORMATION· (MUST BE COMPLETED)
NAME OF OWNER CARE OF ADDRESS INFORMATION
EQUILLON ENTERPRISES LLC
MAILING OR STREET ADDRESS .... box to indicate D INDIVIDUAL o LOCAL,AGENCY o STATE-AGENCY
P,O, BOX 8080 [XJ CORPORATION D PARTNERSHIP o COUNTY·AGENCY D FEDERAL-AGENCY
CITY NAME STATE I ZIP CODE I PHONE # WITH AREA CODE
MARTINEZ, CA 94553
IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 322·9669 if questions arise,
TY(TK) HQ [f[]-lQ~
V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED
v box 10 indicate Q{J f SELF-INSURED 02 GUARANTEE 03 INSURANCE 04 SURETY BOND 05 LETTER OF CREDIT 06 EXEMPTION 07 STATE FUND
D 8 STATE FUND & CHIEF FINANCIAL OFFICER LETTER 0 9 STATE FUND & CERTIFICATE OF DEPOSIT D 10 LOCAL GOV'T, MECHANISM 0 99 OTIiER
CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR lEGAL NOTIFICATIONS AND BILLING:
1.0
It [X] 111. fX]
VI. LEGAL NOTIFICATION AND BILLING ADDRESS legal notification and billing will be sent to the tank owner unless box I or II is checked,
{¿i
LOCAL AGENCY USE ONLY
COUNTY #
CD
FACILITY #
ITIIIIJ
LOCATION CODE - OPTIONAL
CENSUS TRACT # . OPTIONAL
SUPVISOR - DISTRICT CODE - OPTIONAL
FORM A (6-95)
THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PEf!MIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY.
OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS
-
.......... -. -'-- -..-.-,---
~"- - - .- --.
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* HAZARDOUS MATERIAL MANAGEMENT PLAN
DEALER: Livengood. Inc.
Equilon Enterprises, LLC
BUSINESS NAME: White Lane Shell
P,O, BOX 8080
STREET: 2600 White Lane
MARTINEZ, CA 94553
CITY; Bakersfield
WIC No; 0461-0568
DESCRIPTION
RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS,
DESCRIPTION OF THE UNDERGROUND TANKS ARE AS FOLLOWS:
No, of SIZE MATERIAL
TANKS (gal) (STLIFG)
CONST,
(SWfDW)
FormulaShell Regular
1 10,000 FG
1 10.000 FG
1 10.000 FG
DW
FormwaShcllPrenllum
DW
FormulaShell Plus
DW
Diesel
Waste Oil Tank
1
550
FG
DW
PRODUCT LINES:
MATERIAL: FG
CONSTRUCTION: Single Wall
All product lines are pressurized using a submerged pumping system,
Impact valves under each dispenser are also inspected annually to assure closure.
Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and retested
to meet the above test conditions,
... This document is to be kept current and placed in the Safety, Health & Environmental "Green Book" maintained at the site,
(revision 05/13/98)
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Date: May 13, 199_
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WRITTEN MONITORING PROCEDURES
UNDERGROUND STORAGE TANK MONITORING PROGRAM
This monitoring program must be kept at the UST location at all times. The infonnation on this monitoring program are
conditions of the operating pennit. The pennit holder must notify Bakersfield Fire Department within 30 days of
any changes to the monitoring procedures, unless required to obtain approval before making the change.
Required by Sections 2632(d) and 2641(h) CCR.
Facility Name White Lane Shell
Facility Address 2600 White Lane, Bakersfield
A, Describe the frequency of performing the monitoring:
Tank Continuous Electronic Monitorin~
Piping Continuous monitoring/electronic Line Leak: Detector, Annually all product line
are pressure tested,
B. What methods and equipment, identified by name and model, will be used for performing
the monitoring:
Tank RONAN TRS76 annualar space monitor and Veeder Root TLS-250 electronic
inventory reconciliation, Ronan waste oil tank monitor,
Piping Ronan TRS76 EL-LPM line pressure sensor
C, Describe the location(s) where the monitoring will be performed (facility plot plan should
be attached):
The monitor is located in the building,
D, List the name(s) and title(s) of the people responsible for performing the monitoring
and/or maintaining the equipment.
Bill Hilterbran I Manager
Frank Ouercia I Manager
E, Reporting Format for monitoring:
Tank: A written monitoring log,
Piping: A written monitoring log and annual certification
F, Describe the preventative maintenance schedule for the monitoring equipment. Note:
Maintenance must be in accordance with the manufacturers' maintenance schedule
but not less than every 12 months.
The monitoring systems shall be certified annually in accordance with manufacturers
recommendations
G, Describe the training necessary for the operation of UST system, including piping, and
the monitoring equipment: The operators receive initial and annual refresher training in
accordance to the manufacturers recommendations, Refer to the stations H,S&E green
binder. Employee Training Section, located at the cashier counter, for more detailed
information,
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Date May 13, 1998
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EMERGENCY RESPONSE PLAN
UNDERGROUND STORAGE TANK MONITORING PROGRAM
This monitoring program must be kept at the UST location at all times. The infonnation on this monitoring program are
conditions of the operating pennit. The pennit holder must notify Bakersfield Fire Department within 30 days of
any changes to the monitoring procedures, unless required to obtain approval before making the change.
Required by Sections 2632(d) and 2641(h) CCR.
Facility Name White Lane Shell
Facility Address 2600 White Lane, Bakersfield
1. If an unauthorized release occurs, how will the hazardous substance be cleaned up?
Note: H released hazardous substances reach the environment, increase the fIre or
explosion hazard, are not cleaned up from the secondary containment within 8
hours, or deteriorate the secondary containment, then Bakersfield Fire Department
must be notified within 24 hours. For small spills the on site personnel will use
absorbent material to clean up the released material, In the event of a larger spill. the
dealer will call 9-1-1 . (if necessary), his/her Equilon Representative and the Equilon
SH&E Coordinator to assist in the emergency,
2, Describe the proposed methods and equipment to be used for removing and properly
disposing of any hazardous substances,
Spent absorbent will be placed into an approved container and disposed of in accordance
with all Local, State, and Federal laws and regulations, Any additional equipment will
be provided be the responding contractor,
3, Describe the location and availability of the required cleanup equipment in item 2 above,
Absorbent is maintained on site and restocked as needed, Any additional equipment is
maintained by the contractor, and available on an as needed basis,
4, Describe the maintenance schedule for the cleanup equipment.
Absorbent is inspected weekly and reordered as needed,
5, List the name(s) and title(s) of the person(s) responsible for authorizing any work
necessary under the response plan:
Bill Hilterbran / Station Manager
Aura Mattis / Equilon Safety, Health & Environmental Coordinator
Alex Perez / Equilon Environmental Engineer
Brett Hovland / Equilon District Engineer
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EMERGENCY RESPONSE PROCEDURES
0461-0568
In the event of a fire, spill, or a leak or suspected leak in the tanks and lor piping, the following steps are to be taken as applicable:
1. TURN OFF PUMPS using the Emergency Pump Shut-Off Switch.
2. EVACUATION: If there is any immediate danger, ,ANNOUNCE to all persons on the site: "There is an emergency. Please
turn off your engines and leave the station on foot immediately,"
3. CALL FOR HELP in case of an emergency by dialing 9-1-1 and giving the following information:
"THERE IS A FIRE / GASOLINE SPILL at the SHELL station at 2600 White Lane," If anyone is trapped or needs medical
attention, tell the answering dispatcher. Stay on the phone and be prepared to answer any questions concerning the situation.
4, LOOK AROUND to assure that all others have left the station if necessary, particularly those in vehicles who may need
assistance or may not have heard the emergency announcement, Assist, or direct assistance to, anyone having difficulty
leaving the station area, and anyone who may be injured.
5, ATTEMPT TO EXTINGillSH any small or incipient fire if you can do so safely, Have the fire extinguisher ready to use
in the event of any spill. Try to contain any large spill, or use absorbent on smaller spills,
6. REPORT to arriving emergency response personnel to provide them with any information or assistance they might need.
7, CONTACT the station dealer if s/he is not already at the station, Use the list below for emergency contacts:
1. NamelBus Phone/Home Phone: Bill Hilterbran /805322-3122 /805588-0352
2. NamelBus PhonelHome Phone: Frank Ouercia 1805831-5151 /805-398-8997
8, NOTIFY your Equilon S,H & E Coordinator or District Engineer by phone WITHIN 24 HOURS
A. Equilon S H & E Coordinator: Aura Mattis
Equilon District Engineer: Brett Hovland
Phone Number: office: (510) 335-5026, pa~er: (800) 656-9726
Phone Number: office: (510) 335-5032, pager: (510) 840-2426
You must mail a completed Unauthorized Release Report to Equilon within 24 hours.
Equilon will notify the appropriate State and Local agencies unless the situation requires urgent immediate resPonse by the
agencies, in which case the DEALER should notify these agencies:
B, LOCAL AGENCY: Bakersfield Fire Department
PHONE NUMBER: 80S 326-3979
C, CALIFORNIA OFFICE OF EMERGENCY SERVICES, (800) 852-7550 (24 HOURS)
D, Submit a follow-up Spill Notification to the State Office of Emergency Services.
These agencies must be notified within 24 hours of release detection,
9, Dealer should attempt to isolate leak: location by inspection.
10, Equilon will coordinate whatever corrective actions need to be taken beyond the Dealer's capabilities, Equilon will file
whatever reports need to be filed with local and state agencies, and send a copy to the station for the Dealer's files,
.,
11. RE-ENTRY: If evacuation has occurred and emergency responders have been called, re-entering this facility should take
place with extreme caution and only under the direction of the senior emergency responder on site and Equilon engineers.
THESE EMERGENCY RESPONSE PROCEDURES MUST BE FILLED OUT AND POSTED CONSPICUOUSLY ON SITE
ALONG WITH THE ATTACHED SITE PLAN
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LEAK RESPONSE PLAN
fRODUCTION
IT IS THÉ PURPOSE OF THIS SECTION TO ESTABLISH BASIC GUIDELINES AND PROCEDURES FOR USE BY THE EQUILON
ENTERPRISES, LLC, FOR THE HANDLING OF PRODUCT SPILLS/LEAKS WHICH MAY OCCUR AT EQUlLON FACILmES.
DESIGN AND INSTALLATION IMPROVEMENTS ARE CONTINUOUSLY BEING EVALUATED AND IMPLEMENTED IN ORDER
TO REDUCE, AND ELIMINATE, THE POTENTIAL FOR PRODUCT LEAKAGE.
RESPONsmLE EOUILON PERSONNEL
NAME
Tfl'LE
PHONE
Bill Hilterbran
Manager
Day: 805322-3122
24m: 805 588-0352
Aura Mattis
SH&E Coordinator
Office: 510-335-5026
Pager: 800-656-9726
Alex Perez
Environmental Engineer
Office: 510-335-5021
Pager: 800-462-1512
Brett Hovland
Project Engineer
Office: 510-335-5032
Pager: 510-840-2426
RESPONsmLE CONTRACTOR
Services
:.1636 N, Hazel #108
Fresno CA 93722
800-552-1503
LEAK VERIFICATION
WHEN A SERVICE STATION PRODUCT LOSS IS SUSPECTED OR REPORTED, THE FOLLOWING LEAK VERIFICATION
PROCEDURES WILL APPLY:
1. THE EQUlLON ENGINEER WILL ARRANGE FOR THE EQUlLON TERRITORY MANAGER TO IMMEDIATELY
(fHE SAME DAY) VISIT THE STATION TO REVIEW THE DEALER'S PHYSICAL CONTROL OF PRODUCTS AND
INVENTORY RECORDS,
2, AT THE SAME TIME, THE ENGINEER WILL ORDER A PUMPIDISPENSER CALffiRATION, ASSURE METERS
ARE SEALED, INSPECT ACCESSffiLE POTENTIAL LEAK SOURCES, AND CHECK LEAK DETECTOR
OPERATION (ON REMOTE SYSTEMS).
3, ALSO, THE ENGINEER SHALL START MAINTAINING A PRODUCT LOSS LOG AS WELL AS A RECORD OF
SIGNIFICANT DAILY LEAK RELATED ACTIVITIES,
4, IF THE ABOVE INVESTIGATIONS PROVE INCONCLUSIVE, THE TERRITORY MANAGER SHOULD
IMMEDIJ\TELY BEGIN A DAILY INVENTORY LOG (EXHIBIT B), WInCH WOULD BE MAINTAINED FOR A
MINIMmJ PERIOD OF 48 HOURS AND A MAXIMUM OF 1 DAYS, FOR SUBSTANTIATION OF A SUSPECTED
LEAK, DEPENDING ON THE CIRCUMSTANCES (pOTENTIAL HAZARDOUS CONDmON, ETC.), IT MAY BE
NECESSARY TO TAKE ADDmONAL LEAK RESPONSE ACTION DURING THE PERIOD OF INVENTORY,
5, IF PRODUCT LOSSES ARE VERIFIED, PRODUCT LINES AND/OR TANKS MAY REQUIRE TESTING TO
DETERMINE THE LEAK SOURCE.
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A. PRODUCT LINES MAY BE TESTED USING AIR PRESSURE (APPROXIMATELY 50 PSI) OR A Equilon
APPROVED LINE TESTING SYSTEM (E.G., KENT-MOORE). SHOULD THE LINE TESTS INDICATE
LEAKING LINES, THEY SHALL BE REPAIRED OR REPLACED AND RETESTED TO ASSURE THE LEAK
HAS BEEN STOPPED. IN ADDITION, A PRODUCT LOG INVENTORY CHECK SHOULD BE MAINTAINED
FOR A PERIOD OF 7 DAYS AFTER THE LINE REPAIRS TO ASSURE THERE ARE NO OTHER LEAKS IN
THE SYSTEM.
B. SHOULD THE TEST INDICATE THE LINES ARE NOT LEAKING OR IF A SHORTAGE CONTINUES AFTER
THE LINES HAVE BEEN REPAIRED, THE UNDERGROUND TANK(S) SHALL BE TESTED BY A
PRECISION OR OTHER APPROVED PROCEDURE, (SEE N.F,P,A,329).
NOTE: LOCAL FIRE CODES AND ORDINANCES MAY DICTATE THE APPROPRIATE TESTING PROCEDURES FOR USE
ON UNDERGROUND TANKS, AIR TESTS OF UNDERGROUND TANKS ARE NOT RECOGNIZED AS
CONCLUSIVE, ARE DEEMED UNSAFE BY MANY FIRE PRE.VENTION AGENCIES, AND SHOULD NOT BE USED,
IF THE TANK TEST INDICATES ONE OR MORE TANK LEAKS, REPAIR OR REPLACEMENT WILL BE
COMPLETED.
CORRECTIVE ACTION
1. THE EQUlLON ENGINEERING STAFF SHALL TAKE IMMEDIATE ACTION TO STOP, CONTAIN, AND SHALL
TAKE IMMEDIATE DECISIVE ACTION TO RELIEVE THE THREAT OF PUBLIC HEALTH AND SAFETY
HAZARDS, OR PROPERTY DAMAGE.
2, IT MAY BE APPROPRIATE TO OBTAIN SAMPLES OF THE RELEASED PRODUCT FOR TESTING AND
IDENTIFICATION BY EQUlLON LABORATORY,
3, OBSERVATION WELLS WILL ONLY BE INSTALLED WITHHEAD OFFICE, MARKETING ENGINEERING,
ENVIRONMENTAL GUIDANCE, IF LOCAL AUTHORITIES AND/OR CONDITIONS DEMAND IMMEDIATE
INSTALLATION, THEN INSTALL THE TEST WELLS IN ACCORDANCE WITH STANDARDS SHOWN FOR
MINIMUM FOUR INCH PVC PIPE WITH INSTALLATION.
IF FORCED, BY SITUATION, TO INSTALL OBSERVATION WELLS OFF SITE ON PUBLIC PROPERTY,
ACQUIRE LOCAL AUTHORITY APPROVAL OR WRITI'EN ORDER TO PERFORM THE WORK,
4, OBSERVATION WELL INSTALLATION STANDARDS (SEE OBSERVATION WELL DETAIL ATIACHED),
A, INSTALL OBSERVATION WELLS IN LOCATIONS SPECIFIED AND/OR APPROVED BY HEAD OFFICE,
MARKETING ENGINEERING, ENVIRONMENTAL,
B. DRILL (AUGER) A MINIMUM 12-INCH DIAMETER HOLE TO A DEPTH OF AT LEAST 5 FEET BELOW
THE MINIMUM WATER TABLE,
C. INTO THE HOLE, INSTALL 4-INCH OR 6-INCH DIAMETER SCHEDULE 40 SLOTIED AND BLANK PVC
PIPE, WITH PIPE SIZE DEPENDENT UPON THE SITE'S GEOLOGY AND LOCAL REGULATIONS,
SLOTIED PIPE SHALL HAVE FACTORY CUT TWENTY THOUSANDTHS (,020) INCH SLOTS,
D, USE SLOTIED PIPE FROM THE BOTIOM OF THE WELL HOLE TO APPROXIMATELY 3 FEET ABOVE
THE MAXIMUM GROUNDWATER TABLE, CONSIDERING WATER TABLE FLUCTUATION, THE
SLOTIED PIPE SHALL BE CAPPED AT THE BOTIOM.
E, THE BLANK PIPE SECTION ATIACHED TO THE TOP OF THE SLOTIED PIPE AND EXTENDS UPWARD
TO JUST BELOW GRADE ELEVATION, AVOID USING GLUE TO COUPLE THE PIPE SECTIONS;
RATHER, USE THREADED PVC PIPE OR OTHER COUPLING METHODS WHENEVER POSSIBLE. A
LOCKABLE CAP SHALL BE INSTALLED ON TOP OF THE BLANK PIPE,
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F. ONCE THE SLOTTED AND BLANK PIPE HAS BEEN SET IN THE HOLE, BACKFILL WITH A FILTER
PACK OF POROUS MATERIAL SUCH AS PEA GRAVEL. THE FILTER PACK SHOULD BE FILLED
AROUND THE PIPE TO AT LEAST 2 FEET ABOVE THE TOP OF THE SLOTTED SECTION. DO NOT
BACKFILL AROUND THE SLOTTED PIPE WITH CLAY OR OTHER MATERIAL WHICH WOULD IMPEDE
GROUNDWATER FLOW INTO THE OBSERVATION WELL.
G. ABOVE THE FILTER PACK, BACKFILL WITH CLEAN, DRILLED SOIL MATERIAL TO APPROXIMATELY
2 TO 3 FEET BELOW GRADE, AND TOP THE BACKFILL WITH A SURFACE SEAL OF CEMENT GROUT
OR PACKED CLAY TO PREVENT SURFACE CONTAMINATION FROM INFILTRATING THE FILTER PACK
AND ENTERING THE WELL,
H. "DEVELOP" THE OBSERVATION WELL BY FLOODING IT WITH WATER AND THEN PUMP IT OUT,
THIS ACTION WILL DRAW DRILLING MUD AND FINE PARTICLES OUT OF THE FILTER PACK,
IMPROVING THE PERFORMANCE OF THE WELL,
1. AUGURED HOLE SOIL CHARACTERISTICS WILL BE RECORDED.
1, OBSERVATION WELLS SHALL BE PROTECTED FROM DAMAGE DUE TO TRAFFIC OR OTHER
HAZARDS AND REMAIN ACCESSffiLE FOR FUTURE USE AND OBSERVATION, WHERE LOCATED IN
TRAFFIC AREAS, DRIVEWAY MANHOLES AND COVERS SHALL BE INSTALLED,
5. OBSERVATION WELL MONÌTORING AND DATA
A, ESTABLISH A BENCHMARK AND DETERMINE THE RELATIVE ELEVATIONS AT THE TOP OF EACH
TEST WELL PIPE,
B, MONITOR THE WATER AND DEPTHS IN EACH PIPE,
NOTE: IT IS IMPORTANT THAT ALL MEASUREMENTS BE FROM THE TOP OF EACH PIPE TO THE WATER AND/OR
PRODUCT LEVELS IN EACH PIPE, RECORD MEASUREMENTS TO THE NEAREST EIGHTH INCH.
C, PRODUCT SHOULD BE PUMPED OUT OF THE OBSERVATION WELLS ONLY WHEN DIRECTED BY
HEAD OFFICE, PREMATURE REMOVAL OF SAID PRODUCT COULD CAUSE INCORRECT WELL
"READINGS",
WELL EQUIPMENT/MATERIALS
1. OBSERVATION WELL PIPE .
A. SCHEDULE 40 PVC PIPE (4.5" OD-,237 WALL THICKNESS) AVAILABLE IN BOTH FACTORY SLOTTED
AND STANDARD PIPE WITH FITTINGS AND CAPS AVAILABLE,
B. SIX, EIGHT, TEN AND TWELVE INCH SCHEDULE 40 PVC PIPE ALSO AVAILABLE WITH FACTORY
MACHINE SLOTS AT TWENTY THOUSANDTHS OF AN INCH,
C, FACTORY SLOTTED PIPE AVAILABLE FROM THE FOLLOWING MANUFACTURERS:
1. 2" TO 14" AVAILABLE
GATOR PLASTICS, INC.
BOX 15020 BROADVIEW STATION
BATON ROUGE, LOUISIANA 70815
TELEPHONE: 504/926-0100 MR. TOM HAYES
2. 2"T014"AV~LE
HYDROPHILIC INDUSTRIES
5815 A NORTH AMERICAN
PUYALLUP, WASHINGTON 98371
TELEPHONE: 206/927-4321 MR. PHIL GALLAGER
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3.2"T012"AVMLABLE
DIVERSIFIED WELL PRODUCTS, INC.
P.O.BOX 3495
FULLERTON, CALIFORNIA 92634
TELEPHONE: 714/632-9334 MR. KURT GOSS
4. 2" TO 12" AVAILABLE
HANDEX
703 GENESI DRIVE
MORGANVILLE, NEW JERSEY 07751
TELEPHONE: 201/536-8500 MR. GREG REUTER
5,2"T08"AVMLABLE
JET STREAM PLASTICS
SILOAM SPRINGS, ARKANSAS 72761
TELEPHONE: 5011524-5151
NOTE:
IN ORDERING PIPE, REMEMBER TO ORDER POLYVINYL CHLORIDE (pVC) PIPE. BE CAREFUL THAT
A SUPPLIER DOES NOT SUBSTITUTE ACRYLONITRILE-BUTADIENE-STYRENE CABS), WHICH TENDS
TO BECOME BRITILE WITH WEATHERING, SELECTION OF THE CORRECT WELL CASING AND
RELATED PRODUCTS IS OF PARAMOUNT IMPORTANCE, MISAPPLICATION AND IMPROPER
SELECTION CAN BE THE SOURCE OF POTENTIAL WELL FMLURE,
IT IS RECOMMENDED THAT ALL PVC PIPE ORDERS BE SCHEDULE 40 PVC,
2, SUBMERGED PUMP AND MISCELLANEOUS PRODUCT RECOVERY EQUIPMENT,
A. THE EQUIPMENT SELECTED FOR A PRODUCT RECOVERY OPERATION WILL DEPEND UPON SPECIFIC
CONDmONS AT THE JOB SITE. THE HEAD OFFICE HYDROGEOLOGIST WILL SPECIFY THE
EQUIPMENT TO BE USED FOR EACH SITUATION,
_,-ODUCT RECOVERY SYSTEMS
1. SHOULD A PRODUCT RECOVERY BE NEEDED THE DESIGN WILL VARY DEPENDING UPON THE SPECIFIC
SITE CONDmONS, IN SOME CASES, WHERE PRODUCT MOVEMENT IS CONFINED AND THE WATER TABLE
IS RELATIVELY SHALLOW, A TRENCH MIGHT BE USED TO INTERCEPT AND COLLECT THE PRODUCT, IN
OTHER SITUATIONS, WHERE PRODUCT MIGRATION IS WIDESPREAD AND/OR THE WATER TABLE IS
RELATIVELY DEEP, THE "CONE OF DEPRESSION" RECOVERY WELL APPROACH MAY BE MOST EFFECTIVE.
(SEE RECOVERY WELL DETAIL ATIACHED,) EXACT METHOD OF RECOVERY WILL BE APPROVED BY
EQUlLON ENTERPRISES, LLC, HEAD OFFICE MARKETING ENGINEERING, ENVIRONMENTAL.
2. IN A LIMITED NUMBER OF SITUATIONS, THE OBSERVATION WELL MAY BE USED EFFECTIVELY AS A
PRODUCT RECOVERY WELL, THE FOLLOWING CONDmONS MUST EXIST:
A. PRODUCT DEPTH IS NOT BEYOND THE LIFTING CAPABILITY OF AN APPROPRIATE PUMP,
B. PRODUCT LOST IS MINIMAL, CONCENTRATED IN THE AREA OF THE OBSERVATION WELLS, AND
. OF THICKNESS WHICH CAN BE SKIMMED OFF OF THE WATER TABLE,
C, PRODUCT IS CONTAINED IN AREA BY SOIL CHARACTERISTICS (CLAY, ROCK, ETC.) AND HAS
MINIMAL MIGRATION,
HAZARDOUS MATERIAL REMOVAL
THE WATER/GASOLINE MIXTURE WILL BE REMOVED BY A LICENSED INDUSTRIAL WASTE HAULER (SUCH AS I.T,
1U»ORATION OR ACE INDUSTRIAL CLEANING INC,) AND RETURNED TO EQUlLON ENTERPRISES, LLC, MARTINEZ
..¿ANUFACTURING COMPLEX, MARTINEZ, CA 94553 FOR REPROCESSING.
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EMERGENCY PHONE NUMBERS
wrc#: 0461-0568
Site Address: 2600 White Lane, Bakersfield
EMERGENCY RESPONSE CONTRACTORS:
MAINTENANCE CONTRACTOR:
LC Services
3636 N. Hazel #108
Fresno CA 93722
Phone Number: 800-552-7503
ENVIRONMENTAL CONTRACfOR:
ECl
255 Parr Blvd., Richmond, CA 94801
Phone Number: 800-788-1393
Crosby & Overton
8430 Amelia St., Oakland, CA 94621
Phone Number: 510-633-0336
FOR EMERGENCY CALL:
Week Davs:
SH&E COORDINATOR: Aura Mattis: 510-335-5026 or 800-656-9726
ENVIRONMENTAL ENGINEER: Alex Perez: 510-335-5027 or 800-462-7512
DISTRICf ENGINEER: Brett Hovland: 510-335-5032 or 510-840-2426
After Business Hours or Weekends Call:
SH&E COORDINATOR Aura Mattis: 510-335-5026 or 800-656-9726
ENVIRONMENTAL ENGINEER: Alex Perez: 510-335-5027 or 800-462-7512
DISTRICf ENGINEER: Brett Hovland: 510-335-5032 or 510-840-2426
CONTRACTOR: LC Services: 800-552-7503
LOCAL ADMINISTERING AGENCY:
Bakersfield Fire Department
805 326-3979
FIRE DEPARTMENT:
911
POLICE DEPARTMENT:
911
EMERGENCY MEDICAL AID:
911
';
"
e
-
STA TE OF CALIFORNIA
STATE WATER RESOURCES CONTROL BOARD
UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A
COMPLETE THIS FORM FOR EACH FACILITY/SITE
MARK ONLY
ONE ITEM
o 1 NEW PERMIT
o 2 INTERIM PERMIT
o 3 RENEWAL PERMIT
D 4 AMENDED PERMIT
~ 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED SITE
o 6 TEMPORARY SITE CLOSURE
I, FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED)
DBA OR FACILITY NAME NAME OF OPERATOR
"fÞ W 1-\ \It:. \..--f\NE: 'S\-\f:LL L.\\Jé:"N~()DÌ) I \~L-
ADDRESS NEAREST CROSS STREET PARCEl' (OPTIONAL)
'2Jooo W \-h Î E::. ~E
CITY NAME STATE I ZIP CODE + SITE PHONE # WITH AREA CODE
gp.t-e£Sç-\ EL-þ CA 933,D l '6D$) ß~ 1- DS D2
¡I BOX IX] CORPORATION o INDMDUAL o PARlNERSHIP o LOCAL·AGENCY o COUNlY-AGENCY' o STATE·AGENCY' D FEDERAL-AGENCY'
TO INDICATE DISTRICTS
, a owner of UST is a public agency. complete the following: name 01 s~rvisor of óMsion. section or offICe which operates !he UST
TYPE OF BUSINESS !XX 1 GAS STATION D 2 DISTRIBUTOR 0 '" IF INDIAN # OF TANKS AT SITE E. P.^- I. D. , (optional)
RESERVATION 3
o 3 FARM o 4 PROCESSOR o 5 OTHER OR TRUST LANDS NIA
DAYS: NAME (lAST. RRST) PHONE' WITH AREA CODE DAYS: NAME (lAST, FIRS"!) PH)E' WITH AREA CODE
W \ L-"1ô2 'ß 12.f\1'J I tS \ u.. ( 'tÞ'S J 3]...'2.,-~ \2-7- Gu f:-'\U.AA ~ K- é'ßo'S 'b~\-SI5(
NIGHTS: NAME tLAST. RRST) PHO:) , WITH AREA CODE NIGHTS: NAME (lAST. FIRST) PHONE' WITH AREA CODE
~\L-\~~ ß\L.L L'toS 'S'ßß- D~S2 ~ûEQ.c, A I R2:t\N \(.. l'bDS) ~O¡Ö- ß~9 7
EMERGENCY CONTACT PERSON (PRIMARY)
EMERGENCY CONTACT PERSON (SECONDARY)· optional
\I, PROPERTY OWNER INFORMATION· (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
EQUILLON ENTERPRISES LLC
MAILING OR STREET ADDRESS '" box to inálcate o INDMDUAL o LOCAl·AGENCY D STATE·AGENCY
P,O, BOX 8080 IZJ CORPORATION o PARlNERSHIP o COUNlY·AGENCY o FEDERAL-AGENCY
CITY NAME STATE I Z'PC094553 I PHONE. WITH AREA CODE
Iv'áRTINEZ, CA
/II. TANK OWNER INFORMATION - (MUST BE COMPLETED)
NAME OF OWNER CARE OF ADDRESS INFORMATION
EQUILLON ENTERPRISES LLC
MAILING OR STREET ADDRESS '" box to indicate o INDIVIDUAL o LOCAl-AGENCY D STATE-AGENCY
P.O, BOX 8080 IZJ CORPORAllON o PARlNERSHIP o COUNlY-AGENCY o FEDERAL-AGENCY
CITY NAME STATE I ZIP CODE I PHONE' WITH AREA CODE
MARTINEZ, CA 94553
IV, BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 322-9669 if questions arise.
TY{TK) HQ @ill-IÞ~
~
V, PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED
'" box 10 Irdi:ate !XII SElF-INSURED 02 GUARANTEE 03 INSURANCE D. SURETYBONO 0 5 lEITEROFCREDIT 06 EXEMPTION 07 STATEFUND
08 STATEFUNO & CHIEF F1NANaALOFFICERLETTER 09 STATE FUND & CERTIFICATE OF DEPOSIT 010 LOCAL GOVT. MECHANISM D 99 OlHER
VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked..
CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BilliNG:
1.0
II. [XI III.IX]
RJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT
2'
LOCAL AGENCY USE ONLY
COUNTY II
IT]
FACILITY II
=
lOCATION COOE . OPTIONAL
CENSUS TRACT. . OPTIONAL
SUPVISOR . DISTRICT CODE . OPTIONAL
fORM A 16-95)
THIS FORM MUST BE ACCOMPANIED BY ATlEAST (1) OR MORE PEf!MIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY.
OWNER MUST FILE THIS FORM wrnt THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS
)
F ,-¡ ~.
e .permitNo.5)I- 0' 17
CITY OF BAKE~IELD "
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK
TYPE OF APPLICATION (CHECK)
[ ]NEW FAcn.m []MODŒ1CATION OF FAcn.m []NEW TANK INSTALLATION AT EXISTING FAClllTY
STARTING DATE ~ -I - ~ PROPOSEDCOMPLETIONDATE ~ -I -- C\ t
FACn.ITYNAME ,^-c¡ EXISTlNGFACILITYP~NO.
FACn.ITY ADDRESS \00 '" CITY t> t.~~ l-t',,-'--..\ ZIPCODE ~ ~1JOl...\
TYPE OF BUSINESS APN f# .
TANK OWNER PHONE NO,
ADDRESS CITY ~ ZIP CODE Or- _l./ ~~" ")
CONTRACTOR ~ c: ~ ~ 4' ~'jt , CA UCENSE NO. .., 0'" 't, 1. - 14." ~"2-
ADDRESS 'J~» ., ~~~ (~,,,~ CITYY('~ ZIPCODE "'t'1?Z-Z
PHONE NO. ""J, ò«-; ~ ~'-\ - ? &'u ., BAKERSFIELD CITY BUSINESS UCENSE NO,
WORKMAN COMP NO,f.I VIt - "%5'/~'6. INSpRER ~;f ~l'~~~ 'Z-6~... '-( ~ - '}.,ro,
BRIEFLY DESCRIBE,!HE WORK TO BE DONE T ..J ~ v--r __ ",\- _ _ .f yO r.~ f'" "'\ ..r ~ ~"t:S
f\. ~ v..J Ç-, 1\ Ôto. O~ ,(Jv\" f''''''''' s.."\ f'" lot t. .d" 1':' ",~~- ù" ~ .
.¡- C! ø,/J atf- ~'71-~ \-( I l ~~c.
WATER TO FACll.ITY PROVIDED BY
DEPTIl TO GROUND WATER SOn. TYPE EXPECTED AT SITE
NO. OF TANKS TO BE INSTALLED ARE TIlEY FOR MOTOR FUEL YES NO
SPn.L PREVENTION CONIROL AND COUNTER MEASURES PLAN ON FILE YES NO
TANK NO.
=+=
=:t=
VOLUME
{Òð~\
~cJû
~d'
5,m
TANK NO.
VOLUME
SECTION FOR MOTOR FUEL
UNLEADED REGULAR
f<7
~2
Ð,
W\7~ "'\ (
PREMIUM
DIESEL
AVIATION
SECTION FOR NON MOTOR FUEL STORAGE TANKS
CHEMICAL STORED
(NO BRAND NAME)
CAS NO, CHEMICAL PREVIOUSLY STORED
(IF KNOWN)
. .
'.' .... FOR omC'$;:'E ONLy.... ......... ..... ........ .............]'1
.':;"..:f\ffif~XQ~.:..3~.:.,...:.::~010TI:m~:¡:¡::!:¡¡¡:¡:!::,¡!;::,¡:.,:,:j~¡~¡¡¡¡¡¡;::::;¡¡::m;::¡:i:;¡::W!111111
IAPPUC~~?:N.,DATE
TIlE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY wrrn TIŒ ATTACHED CONDmONS OF
THIS PERMIT AND ANY OTIŒR STATE, LOCAL AND FEDERAL REGULATIONS.
i_·~j}~.'::;
/
~
1(gOO wnl~ .
en~*ttd
e
~ .~
..
1998 COMPLIANCE JOB SCOPE
scorE OF WORK SUMMARY FURNISH
rERMITS
· Provide Health Department Pcmtits
. Provide Building DepactmentÆlecáica1 Peanits
· Provide Air Quality Peanits
· Provide Fire Department Pcmtits
· AIB Fonus and HMMP
GC
N/A
· Ensure SoH Sampling is Completed
GC to contact ~
RHL
GC to contact Cambria
Cambria
SHElL . N/A
BOOTS
SHELL - PANS, G.Cì
SENSORS
DISPENSERS
BOOTS FOR FLEX NNECTORS
· Otock one dispenser for boots on .flex connectors,
· Boot aU flex connectors underneath the dispenser pans if flex
_- .coriñëdofs do not exist
, DlSPENSER PANS
· . Install dispenser pans,
· Install Beaudreau dispenser sump monitors underneath dispensers.
· Flex connectors should reside in the dispenser pan, Beaudreau
dispenser sump monitors are stand-alone and do not require a
conduit run,
\//
~.~?":,;~.~.. ~.::"~'~, ;.: :!::~; .~::.; ,;'~=-:I~:' -:~:. ..:~. .:.~,'~ ;,::'~ ,; :'>;'~"~ .~ ;7'~ :;-'::'~~~' ; ';' <. :. >1 : :: ..', ',:...,,¡...~"~';:~~~..~: :.~.:..:.::..ç. .~: ·.~~~::;~~\~.~t:',~:, :~~ :'~~:.:.: ::'~ ~~ ~
GASOLINE TANKS
STIUKER PLATES SHELL- NIp..
· InstaU striker plates, PLATES
OVERFILL PREVENTION SHELL - ~/f\
· InstaU overfill prevention drop tubes, OVERFILL
OVERSPILL SHELL - GC
· InstaU fuel overspiU and vapor return overspilL OVERS PILL
· Tank slab replacement for ovecspiU and/or vapor return ovecspitL.
OVERSPILL 60
· Ensure overspiU dnin valve is woddng properly and overspiU is
cleaned out
TURBINE CONTAINMENT SHELL- aG
· Remove and replace tank stab (I O'x30') for turbine containment TURBINE
· [nstaU large bolt-on turbine containment. CONTAINER,
· [nstaU BeadrCilu turbine sump monitor, SENSOR
· Flex connectors should reside in the dispenser pan, Beaudreau
turbine sump monitors are stand-alone and do not require a
conduit run
TURBINE REPLACEMENT SHELL- 'Ñ/A-
· Remove and install new turbine 1URBrNE
TANK GAUGE SHELL - RISER N/Pr
· Install riser for tank gauging,
· Run conduit (or new tank monitoring system and turbine sump
monitoring. (nsbll pull string in new conduit.
..-
V?
If'
NOTE: ENSURE SHELL STANDARD SrEC(F(CA T(ONS ARE FOLLOWED
,,' -:fC
~ -,
..
e
e
SCOPEOFWORKSU~RY FURNISH INSTALL
REMOTE FILLS NIA
. Demo remote fills
REMOTE FILLS NIA
. Secondarily contain remote fill
'i'/ TANK TESTING
\/' WASTE OIL TANK-
/ 1. Cap off remote fiU line,
~
/ 2, Install overspiU SHELL - oc,
;' OVERSPILL
t,.... "'3, Ensure overspiU dœin valve is working properly and (¿¡ú
overspill is cleaned out.
4, Remove and replace single wall waste oil tank. SHELL- NIPI
WASTE OIL
TANK
NOTE: ENSURE SHELL STANDARD SPECIFICATIONS ARE FOLLOWED
.,
- ---
--. -~_. --
i\
\,
e
.
'~
r.;-
~
Shell Oil Company
One Shell Plaza
P. 0, Box 2463
Houston,Texas 77252-2463
Dominique Cardy
Vice President Finance
April 28, 1998
Federal Financial Assurance (California)
I am the chief financial officer of Shell Oil Company, p, 0, Box 2463, Houston, Texas 77252,
This letter is in support of the use of the fmancial test of self-insurance and/or Guarantee to
demonstrate financial responsibility for taking corrective action and/or 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 per occurrence and
$2,000,000 annual aggregate arising fÌ'om 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 owner or operator and/or guarantor:
See Attachment A for Retail Locations;
See Attachment B for Distribution Locations;
See Attachment C for Manufacturing Locations;
See Attachment D for All Other Locations;
See Attachment E for Subsidiaries.
All tanks covered by this financial test except those in Virginia.
A financial test and/or guarantee is also used by this owner or operator or 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:
EP A 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)
Closure
*Post-Closure Care
Liability Coverage
Corrective Action
Plugging and Abandonment
Total
Amount
$
$
$
$
$
$ 57,497,437
$ 128,359,451
$ 16,000,000
$ 3,676,398
$ 176,059
.. $ 215,709,345
*30 Year Post-Closure Care
SHH036A.DOC
.
t:
.
.;,
This owner or operator or 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**.
Alternative I
1.
Amount of annual UST aggregate coverage
being assured by a financial test, and/or
guarantee
Amount of corrective action, closure and
post-closure care costs, liability
coverage, and plugging and abandonment
costs covered by a financial test, and/or
guarantee
Sum of lines 1 and 2
Total tangible assets * *
Totalliabilities**
Tangible net worth** (subtract line 5 from
line 4)
2,
3,
4,
5,
6,
7,
8,
9,
Is line 6 at least $10 million?
Is line 6 at least 10 times line 3?
Have fInancial statements for the latest
fiscal year been filed with the
Securities and Exchange Commission**?
Have financial statements for the latest
fiscal year been filed with the Energy
Infonnation Administration?
Have fInancial statements for the latest
fiscal year been fIled with the Rural
ElectrifIcation Administration?
Has financial infonnation been provided
to Dun and Bradstreet, and has Dun and
Bradstreet provided a fInancial strength
rating of 4A or 5A?
10,
11.
12,
"Period ended December 31, 1997,
SHH036A.DOC
$ 2,000,000
$ 215,709,345
$ 217,709,349
$ 29,601,000,000
$ 14,723,000,000
$ 14,878,000,000
Yes No
-Å._
l_
-Å.
-
N/A
N/A
-
l
,\
'"
-
.
NOT USED
Alternative II
1. Amount of annual UST aggregate coverage
being assured by a financial 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, and/or
guarantee $
3, Sum of lines 1 and 2 $
4, Total tangible assets $
5, T otalliabilities $
6, Tangible net worth (subtract line 5 from
line 4) $
7. Total assets in the U.S, $
Yes No
8, Is line 6 at $10 million?
9. Is line 6 at least 6 times line 3?
-
10. Are at least 90 percent of assets located
in the U,S, (if "No", complete line II)? -
11. Is line 7 at least 6 times line 3
(fill in either lines 12-15 orlines 16-18)? -
12, Current assets $
13. Current liabilities $
14, Net working capital (subtract line 13 from
line 12) $
Yes No
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
19. Have financial statements for the latest
fiscal year been filed with the SEC, the
Energy Infonnation Administration, or the
Rural Electrification Administration?
SHH036A.OOC
~
e
.
,;;;
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.
Signaþ~
D, Gardv
Vice President Finance
April 28. 1998
Attachments
** * Typographical errors have been corrected; Explanatory footnotes have been added where
appropriate.
SHH036AJX)C
~
.
.
ATIACHMENT A
April 28, 1998
SHH039A.DOC
(e
~
.:,
PAGE 1
COUNT OF DIRECT INVESTED SERVICE STATIONS BY STATE SUMMARY
RET, NO, 5002020
STATE NO OF STATIONS
ALABAMA 23
CALIFORNIA 1024
CONNECTICUT 119
DELAWARE 23
DISTRICT OF COLUMBIA 7
FLORIDA 336
ILLINOIS 327
INDIANA 138
KENTUCKY 17
LOUISIANA 78
MARYLAND 169
MASSACHUSETTS 182
MICHIGAN 174
MISSOURI 104
NEVADA 10
NEW HAMPSHIRE 12
NEW .JERSEY 247
NEW YORK 160
OHIO 216
RHODE ISLAND 53
TENNESSEE 14
TEXAS 269
VIRGIHIA 69
HAWAII 34
GRAND TOTAL 3805
1998
MARCH 9,
"
PAGE 11
DIRECT INVESTED SERVICE STATIONS BY STATE DETAIL
RET, NO, 5002020
---------------------------------------------------
MAR 09, 1998
------------------
DIST
-...----------....
(e
-
COT
013
013
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
CITY/ST/ZIP
SOUTH GATE CA90280
SOUTH GATE CA90280
SOUTH GATE CA90280
SOUTH LAGUNA CA92677
STANTON CA90680
TORRANCE CA90S01
TORRANCE CA90S03
TORRANCE CA90S03
TORRANCE CA90503
TORRANCE CA9050S
TORRANCE CA90S04
TORRANCE CA90S02
TRABUCO CANYON CA92679
TUSTIN CA92680
TUSTIN CA92680
VENICE CA90291
WESTMINSTER CA92683
WESTMINSTER CA92683
WESTMINSTER CA92683
WESTMINSTER CA92683
WESTMINSTER CA92683
WHITTIER CA90606
WHITTIER CA90606
WHITTIER CA90603
WHITTIER CA90604
WHITTIER CA9060S
YORBA LINDA CA92686
WEST LOS ANGELES CA90025
WEST LOS ANGELES CA90064
WEST LOS ANGELES CA90049
WEST LOS ANGELES CA90049
ALAMEDA CA945 02
ALAMO CA94507
ALBANY CA94706
ANTIOCH. CA94509
ANTIOCH CA94509
ANTIOCH 'CA94509
AUBURN CA95603
AUBURN CA95603
AUBURN CA95603
BAKERSFIELD CA93304
BAKERSFIELD CA93308
BAKERSFIELD CA93312
BAKERSFIELD CA93308
BAKERSFIELD CA93309
BAKERSFIELD CA93301
BAKERSFIELD CA93307
BAKERSFIELD CA93309
BERKELEY CA94702
BERKELEY CA94702
BERKELEY CA94705
ADDRESS
8901 S ATLANTIC/FIRESTONE
5201 IMPERIAL HWV/WRIGHT
3226 FIRESTONE/STATE
32342 PAC CST HWVIVIS,SOL
12950 BEACH BLVD
22930 S WESTERN/SUPULVEDA
20305 ANZA/DEL AHO
4530 TORRANCE BLVD/ANZA
4437 SEPULVEDA/ANZA
25904 ROLLING HLS/CRENSHW
3101 ARTESIA BLVD
911 W CARSON/VERHONT
21712 PLANO TRABUCO RD
13891 REDHILL/LAGUNA
13131 .JAHBOREE
1020 VENICE BLVD/LINCOLN
15501 BEACH BLVD/HCFADDEN
5981 WESTHINSTER/SPRINGDA
10002 BOLSA/BROOKHURST
8990 WESTMINSTER/MAGNOLIA
14502 BEACH BLVD/HAZARD
11347 E WASHINGTON/BROAWV
14965 E HULBERRV/LAHIRADA
10807 E WHITTIER/NORWALK
11515 E SLAUSON/NORWALK
14005 E WHITTIER/STRUB
18503 YORBA LINDA/LAKEVW
11574 SANTA MONICA/FEDERL
11944 OLVHPIC BLV/BUNDV
11811 SAN VICENTE/MONTANA
800 N SEPULVEDA BL/HORAQA
1601 WEBSTER ST
3188 DANVILLE BLVD
999 SAN PABLO AVE
2838 LONE TREE WAY
5545 BRIDGEHEAD RD/HWY 4
2010 SOHERSVILLE RD
1650 LINCOLN WAY
390 GRASS VALL V HWY
13436 LINCOLN WAY
2600 WHITE LN/EL POTRERO
3605 ROSEDALE HWY/US 99
29645 STOCKDALE HWY 1-5
5212 OLIVE DR/HWY 99
3700 HING RD/REAL
3130 24TH ST/OAK
101 S UNION/BRUNDAGE
3623 CALIFORNIA AVE/REAL
1200 ASHBY AVE
1250 UNIVERSITY
2996 SHATTUCK AVENUE
DEALER WIC
204-7398-0322
204-7398-12S4
204-7398-1452
204-7404-0191
204-7488-1131
204-7872-0145
204-7872-0228
204-7872-1549
204-7872-1630
204-7872-1739
204-7872-3248
204-7873-0185
204-7878-0248
204-7980-0268
204-7980-1126
204-8106-0380
204-8364-0353
204-8364-0635
204-8364-0874
204-8364-1062
204-8364-1229
204-8454-0354
204-8454-1451
204-8454-1535
204-8454-1634
204-8454-1964
204-8640-0177
204-9140-0360
204-9140-0469
204-9140-0535
204-9140-0717
204-0072-0486
204-0078-0142
204-0079-0158
204-0258-0540
204-0258-0730
204-0258-0938
204-0402-0149
204-0402-0461
204-0402-0768
204-0461-0568
204-0461-0733
204-0461-1020
204-0462-0856
204-0462-1847
204-0462-1979
204-0462-2191
204-0462-2399
204-0642-0610
204-0642-1212
204-0642-1766
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
285
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
PAGE 12
DETAIL
INVESTED SERVICE STATIONS BY STATE
RET. NO, 5002020
DIRECT
MAR 09, 1998
--------------
DIST DEALER WIC
-------------~----------
(e
(e
..:
COT
013
013
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
013
013
012
012
013
012
012
012
012
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
013
013
013
013
CITY/ST/ZIP
CA93206
CA94515
CA95608
CA95608
CA95307
CA95610
CA9561 0
CA95610
CA95621
CA93612
-CA93612
CA94521
CA94518
CA94520
CA94520
CA94521
CA94521
CA94526
CA94506
CA95616
CA95616
CA95616
CA95616
CA94566
CA94566
CA94568
CA95762
CA95624
CA95624
CA95758
CA95624
CA95758
CA94803
CA94608
CA94533
CA94533
CA94533
CA94533
CA94533
CA95628
CA95630
CA95630
CA94539
CA94538
CA94538
CA94538
CA93705
CA9371 0
CA93711
CA93710
CA93706
BUTTONWILLOW
CALISTOGA
CARHICHAEL
CARHICHAEL
CERES
CITRUS HEIGHTS
CITRUS HEIGHTS
CITRUS HEIGHTS
CITRUS HEIGHTS
CLOVIS
CLOVIS
CONCORD
CONCORD
CONCORD
CONCORD
CONCORD
CONCORD
DANVILLE
DANVILLE
DAVIS
DAVIS
DAVIS
DAVIS
DUBLIN
DUBLIN
DUBLIN
EL DORADO HILLS
ELK GROVE
ELK GROVE
ELK GROVE
ELK GROVE
ELK GROVE
EL SOBRANTE
EHERYVILLE
FAIRFIELD
FAIRFIELD
FAIRFIELD
FAIRFIELD
FAIRFIELD
FAIR OAKS
FOLSOM
FOLSOM
FREMONT
FREMONT
FREMONT
FREMONT
FRESNO
FRESNO
FRESNO
FRESNO
FRESNO
ADDRESS
20649 TRACY / 1-5
1108 LINCOLN AVE
4625 HANZANITA
5103 FAIROAKS BLVD
3021 FOURTH ST
7741 AUBURN BLVD
7349 HADISON AVE/SAN JUAN
7899 GREENBACK LANE
6141 GREENBACK LN/AUBURN
521 CLOVIS AVE / FIFTH
640 SHAW AVE / CLOVIS
1500 KIRKER PASS RD
800 OAK GROVE/TREAT LANE
2484 OLIVERA RD
1990 HONUMENT BLVD
1500 CONCORD AVE
4290 CLAYTON ROAD
811 CAMINO RAMON
7777 CROW CANYON ROAD
1010 OLIVE DRIVE
435 G ST
1944 ANDERSON RD
4480 CHILES RD.
11989 DUBLIN BLVD
8999 SAN RAMON RD
5933 DUBLIN/DOUGHERTY
1021 SARATOGA WAY
8901 ELK GROVE BLVD
8607 ELK GROVE BLVD/EMERA
9100 HARBOUR POINT DRIVE
9190 E, STOCKTON BLVD.
9100-R HARBOUR PT DRIVE
3621 SN PABLO DAM RD
1800 POWELL
1051 OLIVER RD
3345 N TEXAS ST
1990 N TEXAS ST
1300 TRAVIS
4450 CENTRAL WAY
8865 MADISON AVE
301 EAST BIDWELL
13397 FOLSOM BLVD
42816 MISSION BLVD
39080 FREMONT BLVD
5505 STEVENSON & FARWELL
41700 GRIMMER
5325 W SHAW / HWY 99
1021 ESHAW AVE/FIRST
2020 'If SHAW / WEST
1778 E SHAW AVE / CEDAR
1212 FRESNO/C
204-1074-0326
204-1134-0167
204-1320-0286
204-1320-0617
204-1464-0274
204-1566-0156
204-1566-0461
204-1566-0891
204-1566-1014
204-1656-0231
204-1656-0322
204-1752-0333
204-1752-0689
204-1752-1067
204-1752-1273
204-1752-1844
204-1752-1935
204-2004-0410
204-2004-0618
204-2028-0214
204-2028-0461
204-2028-0651
204-2028-0941
204-2277-0261
204-2277-0451
204-2277-0717
204-2395-0110
204-2424-0149
204-2424-0222
204-2424-0313
204-2424-0412
204-2424-0511
204-2467-0196
204-2495-0143
204-2579-0167
204-2580-0362
204-2580-0487
204-2580-0669
204-2580-0750
204-2586-0176
204-2742-0268
204-2742-0524
204-2864-0971
204-2864-1052
204-2864-1250
204-2864-2035
204-2886-0942
204-2886-1437
204-2886-1643
204-2886-2146
204-2886-4589
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
,-~.
.,
PAGE 13
(e
e'
COT
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
DETAIL
CA93721
CA93702
CA93706
CA9371 0
CA93726
CA93726
CA93704
CA94544
CA94541
CA94544
CA94547
CA93239
CA95719
CA94549
CA94549
CA94549
CA96150
CA95705
CA93243
CA94550
CA94550
CA9455 0
CA94550
CA95240
CA95240
CA95336
CA94553
CA94553
CA94553
CA95350
CA95350
CA95350
CA95350
CA95351
CA94556
CA94556
CA94556
CA94556
CA94560
CA94560
CA95615
CA94602
CA94611
CA94605
CA94601
CA94605
CA94618
CA94601
CA94610
CA94621
CA94607
DIRECT INVESTED SERVICE STATIONS BY STATE
RET, NO, 5002020
MAR 09, 1998
-------------------
DIST DEALER WIC
CITY/ST/ZIP
FRESNO
FRESNO
FRESNO
FRESNO
FRESNO
FRESNO
FRESNO
HAYWARD
HAYWARD
HAYWARD
HERCULES
KETTLEI1AN CITY
KINGS BEACH
LAFAYETTE
LAFAYETTE
LAFAYETTE
LAKE TAHOE SOUTH
LAKE TAHOE SOUTH
LEBEC
LIVERMORE
LIVERI10RE
LIVERMORE
LIVERI10RE
LODI
LODI
MANTECA
I1ARTINEZ
I1ARTINEZ
I1ARTINEZ
110DESTO
110DESTO
110DESTO
110DESTO
110DESTO
110RAGA
NAPA
NAPA
NAPA
NEWARK
NEWARK
NORTH SACRAI1ENTO
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
ADDRESS
3109 E SHIELDS / FIRST
5605 E KINGS CYN/CLOVIS
2595 S EAST AVE / JENSEN
1014 E BULLARD / FIRST
4206N BLACKSTONE/ASHLAN
5405 N BLACKSTONE/BARSTOW
4819 N BLACKSTNE/SNTA ANA
1097 If TENNYSON RD
22810 FOOTHILL BLVD
31235 I1ISSION BLVD
3900 SAN PABLO AVE
25712 WARD DR/HWY 41
HIGHWAY 28 AND BEAR
3356 I1T DIABLO BLVD
3603 I1T DIABLO BLVD
3255 STANLEY BLVD
1020 EI1ERALD BAY ROAD
HWY 50/PIONEER TRAIL
INTERSTATE 5 AT GRAPEVINE
318 S LIVERI10RE AVE
1155 PORTOLA
809 E STANLEY
4530 LAS POSIT AS ROAD
420 If KETTLEHAN
880 VICTOR RD
1071 N HAIN
3630 ALHAI1BRA AVE
1175 MUIR ROAD
4355 PACHECO BLVD
3225 I1CHENRY AVE
1606 SISK
800 OAKDAlE RD
1400 COFFEE RD
1467 I1ITCHELL
1405 HORAGA WAY
300 LINCOLN
110 SOSCOL AVE
1491 TRANCAS ST
6005 JARVIS RD
5489 THORNTON AVE
2400 DEL PASO BLVD
2120 110NTANA ST
230 If MACARTHUR BLVD
8930 BANCROFT AVE
3750 E FOURTEENTH ST
9750 GOLF LINKS RD
6039 COLLEGE AVE
4411 FOOTHILL BLVD
3600 PARK BLVD
285 HEGENBERGER RD
610 MARKET ST
204-2886-6139
204-2886-6444
204-2886-6550
204-2886-6832
204-2886-7046
204-2886-7251
204-2886-8143
204-3336-0730
204-3336-0813
204-3336-3254
204-3395-0126
204-3930-0151
204-3948-0136
204-4038-0135
204-4038-0234
204-4038-0556
204-4139-0257
204-4139-0471
204-4254-0421
204-4380-0311
204-4380-0725
204-4380-0865
204-4380-1327
204-4416-0293
204-4416-0863
204-4728-0544
204-4782-0448
204-4782-1040
204-4782-1222
204-5034-1225
204-5034-1449
204-5034-1522
204-5034-1639
204-5034-2017
204-5148-0261
204-5286-0131
204-5286-0289
204-5286-0339
204-5340-0168
204-5340-0671
204-5462-0269
204-5508-0240
204-5506-0737
204-5508-1347
204-5508-2766
204-5506-2840
204-5508-3368
204-5508-3434
204-5508-5173
204-5508-5579
204-5508-5769
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
PAGE 14
DETAIL
DIRECT INVESTED SERVICE STATIONS BY STATE
RET. NO, 5002020
MAR 09, 1998
------------
DIST DEALER WIC
----------------
lei
(e'
,,'
COT
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
013
013
012
012
012
013
013
013
013
013
013
013
013
013
013
013
013
013
CITY/ST/zIP
CA94601
CA94621
CA94606
CA94601
CA94610
CA94618
CA94607
CA94619
CA94563
CA94610
CA93650
CA94564
CA94564
CA94565
CA94565
CA94565
CA94565
CA94565
CA95667
CA95667
CA94523
CA94523
CA94566
CA94566
CA94566
CA94566
CA94566
CA95670
CA95670
CA94804
CA94801
CA953&&
CA95678
CA95678
CA95678
CA95678
CA95678
CA95678
CA95821
CA95841
CA95826
CA95828
CA95825
CA95826
CA9582&
CA95823
CA95820
CA95816
CA95820
CA95822
CA95825
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
OAKLAND
ORIHDA
PIEDMONT
PINEDALE
PINOLE
PINOLE
PITTSBURG
PITTSBURG
PITTSBURG
PITTSBURG
PITTSBURG
PLACERVILLE
PLACERVILLE
PLEASANT HILL
PLEASANT HILL
PLEASANTON
PLEASANTON
PLEASANTON
PLEASANTON
PLEASANTON
RANCHO CORDOVA
RANCHO CORDOVA
RICHMOND
RICHMOND
RIPON
ROSEVILLE
ROSEVILLE
ROSEVILLE
ROSEVILLE
ROSEVILLE
ROSEVILLE
SACRAHENTO
SACRAHENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAHENTO
ADDRESS
-----------
630 HIGH ST
540 HEGENBERGER
510 E 14TH ST
820 PORTWOOD
350 GRAND AVE
5755 BROADWAY
lOS-5TH ST/OAK
4255 MACARTHUR BLVD
9 ORINDA WAY
29 WILDWOOD AVE
7090 BLACKSTONE
2690 PINOLE VALLEY RD
2301 SAN PABLO AVE
2980 WILLOW PASS RD
3737 RAILROAD AVE
1315 BUCHANAN RD
261 BAILEY ROAD
2253 LOVERIDGE ROAD
151 HAIN ST
150 PLACERVILLE DR
2401 N PLEASANT HILL RD
606 CONTRA COSTA
4226 FIRST ST
1801 SANTA RITA RD
3790 HOPYARD RD
5251 HOPYARD RD
6750 SANTA RITA RD & PIML
3050 ZINFANDEL DR
12210 TRIBUTARY POINT DR,
5500 CENTRAL AVE
831 23RD ST
341 E HAIN
21 WHYTE RD
1600 DOUGLAS BLVD
3999 DOUGLAS BLVD
1813 TAYLOR ROAD
3998 FOOTHILLS BLVD,
6720 STANfORD RANCH ROAD
3501 EL CAMINO
5045 HADISON/AUBURN
9100 KIEFER BLVD
8062 FLORIN RD
3510 FAIR OAKS
9199 FOLSOH BLVD
8090 FOLSOM BLVD
6400 STOCKTON BLVD
3701 FRANKLIN BLVD
730 29TH ST
5551 HARTN LUTHER KING BL
4000 SO LAND PARK DR
2270 FAIR OAKS BLVD
RD
204-5508-5843
204-5508-5934
204-5508-6064
204-5508-6163
204-5510-0238
204-5510-0352
204-5510-0428
204-5510-0659
204-5694-0152
204-6001-0125
204-6030-0237
204-6054-0170
204-6054-0220
204-6084-0331
204-6084-0554
204-6084-0620
204-6084-0851
204-6084-0935
204-6108-0226
204-6108-0812
204-6133-0365
204-6133-0654
204-6138-0345
204-6138-0469
204-6138-0584
204-6138-0931
204-6138-1012
204-6315-0753
204-6315-0928
204-6462-0416
204-6462-0895
204-6522-0356
204-6624-0254
204-6624-0676
204-6624-1070
204-6624-1211
204-6624-1310
204-6&24-1419
204-6677-0953
204-&677-1548
204-6677-2041
204-6677-2215
204-6677-2660
204-6677-2843
204-6677-3056
204-6678-0549
204-6678-0739
204-6678-1174
204-&&78-1414
204-6678-3543
204-6&78-8344
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
28&
286
286
286
286
286
~86
286
286
286
286
286
286
286
286
286
286
286
286
286
28&
286
286
286
286
286
286
286
286
286
286
286
286
286
.;.,
'j
PAGE 15
DETAIL
INVESTED SERVICE STATIONS BY STATE
RET, NO, 5002020
DIRECT
1998
MAR 09,
<e:
,e)
COT
013
013
013
013
013
013
013
013
013
013
012
013
012
012
013
013
013
012
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
CITY/ST/ZIP
CA95825
CA95814
CA95831
CA95831
CA95815
CA95827
CA95821
CA95823
CA95834
CA95842
CA95828
CA95831
CA95834
CA95843
CA94577
CA94578
CA94577
CA94577
CA94806
CA94806
CA94583
CA94583
CA93662
CA95682
CA95476
CA95205
CA95210
CA95205
CA95207
CA95205
CA95204
CA95204
CA95212
CA95206
CA95209
CA95207
CA94585
CA95730
CA95730
CA96150
CA95376
CA95376
CA95734
CA93274
CA94587
CA94587
CA94587
CA94587
CA94587
CA95688
CA95688
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SACRAMENTO
SAN lEANDRO
SAN lEANDRO
SAN lEANDRO
SAN lEANDRO
SAN PABLO
SAN PABLO
SAN RAMON
SAN RAMON
SELMA
SHINGLE SPRINGS
SONOMA
STOCKTON
STOCKTON
STOCKTON
STOCKTON
STOCKTON
STOCKTON
STOCKTON
STOCKTON
STOCKTON
STOCKTON
STOCKTON
SUISUN CITY
TAHOE CITY
TAHOE CITY
TAHOE PARADISE
TRACY
TRACY
TRUCKEE
TULARE
UNION CITY
UNION CITY
UNION CITY
UNION CITY
UNION CITY
VACAVIllE
VACAVILlE
ADDRESS
1301 HOWE AVE
225 N JIBBOOM ST
6431 RIVERSIDE
1315 FLORIN ROAD
1600 ARDEN WAY
3100 BRADSHAW RD
3500 AUBURN / WATT
4050 flORIN ROAD
3801 NORTHGATE BLVD
4301 MADISON AVE
6490 MACK ROAD
8900 POCKET ROAD
1599 W, El CAMINOITRUXEl
7969 WATT AVENUE
1285 BANCROFT
1784 150TH AVE
2115 MARINA BLVD
1944 DAVIS STREET
14290 SAN PABLO AVE
2876 El PORTAL DRIVE
2850 CROW CANYON ROAD
3048 CROW CANYON ROAD
2806 FLORAl/HWY 99
3405 COACH LANE
616 BROADWAY
1313 E CHARTER
7910 SACRAMENTO RD
2494 E FREMONT
4445 N, PERSHING AVE
4315 WATERLOO RD
2575 COUNTRY CLUB
2320 N ElDORADO
7700 MORELAND COURT
620 W CHARTER WY
3011 W BENJAMIN HOLT
6131 PACIFIC AVE
200 SUNSET AVE,/RT, 12
HWY 28/FABIAN WY
HMY 28 & 89
2950 HIGHWAY 50
3725 TRACY BLVD
2375 W, GRANT lINE ROAD
10278 HIGHWAY 89, SOUTH
1111 E TULARE/BLACKSTONE
2001 DECOTO RD
31301 ALVARADO/NILES
31889 ALVARADO BLVD
33365 HISS ION BLVD
32187 ALVARADO-NILES ROAD
1611 E MONTE VISTA AVE
950 MERCHANT
DEALER WIC
204-6678-8583
204-6618-9018
204-6678-9185
204-6678-9870
204-6698-1246
204-6698-1535
204-6698-1683
204-6698-2236
204-6698-2756
204-6698-2947
204-6698-3028
204-6698-3127
204-6698-3622
204-6698-3838
204-6852-0737
204-6852-1446
204-6852-1716
204-6852-2519
204-6902-0133
204-6902-0638
204-6924-0178
204-6924-0228
204-7134-0438
204-7200-0213
204-7356-0140
204-7524-0428
204-7524-0873
204-7524-1897
204-7524-2440
204-7524-2895
204-7524-3570
204-1524-3687
204-7524-4180
204-7524-4362
204-7524-4453
204-7525-0187
204-7572-0221
204-7686-0356
204-7686-0489
204-7692-0192
204-7884-0943
204-7884-1313
204-7938-0147
204-7950-0579
204-8026-0346
204-8026-0668
204-8026-0791
204-8026-0882
204-8026-1088
204-8046-0342
204-8046-0664
DIST
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
286
PAGE 16
DETAIL
DIRECT INVESTED SERVICE STATIONS BY STATE
RET, NO, 5002020
MAR 09, 1998
--..----.....--...
,e,
COT
013
013
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
CITY/STlZIP
CA95687
CA945<J0
CA94590
CA94594
CA94590
CA945<J1
CA94590
CA94590
CA94589
CA<J3277
CA93277
CA93277
CA945<J8
CA94596
CA94598
CA94596
CA95691
VACAVILLE
VALLEJO
VALLEJO
VALLEJO
VALLEJO
VALLEJO
VALLEJO
VALLEJO
VALLEJO
VISALIA
VISALIA
VISALIA
WALNUT CREEK
WALNUT CREEK
WALNUT CREEK
WALNUT CREEK
WEST SACRAMENTO
ADDRESS
101 PEABODY RD
3300 SONOMA BLVD
1850 SPRINGS RD
1702 TUOLUMNE
199-A LINCOLN RD WEST
400 LINCOLN RD/E 1-80
505 TENNESSEE
708 ADM/CALLAGHAN LANE
1604 MARINE WORLD PARKWAY
1013 S MOONEY/MEADOW IN
201 W NOBLE/lOCUST
2736 S MOONEY /WHITENDAlE
2900 N MAIN
265 YGNACIOVALlEY BLVD
1790 YGHACIO VlY BLVD
1599 NEWELL AVE
4900 WEST CAPITAL AVE
DEALER WIC
204-8046-0714
204-8064-0489
204-8064-0547
204-8064-0661
204-8064-1172
204-8064-1891
204-8064-2287
204-8064-2733
204-8064-3020
204-8196-0423
204-8196-0647
204-8196-0746
204-8238-0159
204-8238-0316
204-8238-0456
204-8238-0548
204-8388-0728
DIST
ceì
,.
013
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
012
013
013
012
013
013
~
013
013
013
013
013
013
12
3
CA92009
CA92008
CA92
CA 010
C 92010
A91910
CA92011
CA91910
CA92021
CA92020
CA92021
CA92020
CA92019
CA<J2024
CA<J2024
CA92024
CA92027
CA92025
92025
CA 029
CA92 6
CA9202
CA92343
CA92543
CA<J2032
CA92040
CA92041
92041
CA 041
CA92 1
CA9202
CA92563
CA92050
VILLAGE DR
REAL
l
-t
PAGE 18
DETAIL
DIRECT INVESTED SERVICE STATIONS BY STATE
RET. NO, 5002020
1998
09,
MAR
':-.-'
~I=
-
~ ~~-
COT
N-YSIDRO/SVeAMORE--9AN-YSIÐR
OAÐ/K~NORA ~P~~NG-VA~~~¥ C~~~~1 Ol~
CITY/ST/ZIP
ADDRESS
DEALER WIC
DIST
Ie:
A
.'
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
012
013
013
013
013
013
013
013
CA95003
CA94002
CA94010
CA95008
CA95008
CA95008
CA95008
CA95010
CA93921
CA94931
CA95014
CA95014
CA94015
CA94014
CA94015
CA94014
CA94015
CA94017
CA95020
CA95020
CA94019
CA94947
CA93930
CA94939
CA95030
CA95030
CA93933
CA94025
CA94025
CA94025
CA94025
CA94025
CA94941
CA95035
CA95035
CA95035
CA95035
CA95037
CA95037
CA94040
CA94043
CA94040
CA94040
CA94041
CA94040
CA94947
APTOS
BELHONT
BURLINGAME
CAHPBELL
CAHPBELL
CAHPBELL
CAHPBELL
CAPITOLA
CARHEL
COTATI
CUPERTINO
CUPERTINO
DALY CITY
DALY CITY
DALY CITY
DALY CITY
DALY CITY
DALY CITY
GILROY
GILROY
HALF MOON BAY
IGNACIO
KING CITY
LARKSPUR
LOS GATOS
LOS GATOS
MARINA
HENLO PARK
HENLO PARK
MENLO PARK
MENLO PARK
HENLO PARK
MILL VALLEY
MILPITAS
HIlPITAS
MILPITAS
HIlPITAS
HORGAN HILL
MORGAN HILL
MOUNTAIN VIEW
HOUNTAIN VIEW
HOUNTAIN VIEW
MOUNTAIN VIEW
MOUNTAIN VIEW
MOUNTAIN VIEW
NOVA TO
18 RANCHO DEL MAR
2000 RALSTON AVE
1390 BAYSHORE
1530 W CAMPBELL AVENUE
570 E HAMILTON
2855 WINCHESTER BLVD
2029 SOUTH BASCOH AVE
1649 41ST AVE
5TH/SAN CARLOS
7675 REDWOOD HWY
20999 STEVENS CREEK
19990 STEVENS CREEK RD
493 EASTHOOR
950 HILLSIDE
398 GELLERT BLVD
4698 CALLAN BLVD
1000 KING DR
390 HICKEY
8385 N HONTEREY
850 PACHECO PASS ROAD
201 SAN MATEO RD
5821 NAVE DRIVE
1301 BROADWAY CIR
295 SIR FRANCIS DRAKE
255 LOS GATOS-SARATOGA RD
14000 BLOSSOH HILL RD
3030 DEL HONTE BLVD
495 EL CAMINO REAL
1400 EL CAMINO REAL
125 SHARON PARK DR
3201 EL CAMINO REAL
201 LA CUESTA
798 REDWOOD HWY
1780 SHAIN
12 N, PARK VICTORIA
950 E CALAVERAS BLVD
990 .JACKLIN ROAD
17905 N MONTEREY RD
810 EAST DUNNE AVENUE
1220 GRANT RD
807 NORTH SHORELINE BLVD
1708 MIRAMONTE
790 E EL CAMINO
1288 EL CAMINO REAL
110 N RENGSTORFF AVE
7473 REDWOOD BLVD
204-0282-0151
204-0600-0131
204-1032-0418
204-1182-0440
204-1182-0671
204-1182-0937
204-1182-1166
204-1278-0122
204-1314-0136
204-1824-0154
204-1956-0329
204-1956-1236
204-1990-0145
204-1990-0657
204-1990-0723
204-1990-0897
204-1990-0954
204-1990-1143
204-2988-0147
204-2988-0436
204-3252-0326
204-3646-0131
204-3942-0272
204-4200-0152
204-4542-0241
204-4542-0662
204-4752-0139
204-4866-0314
204-4866-0561
204-4866-0942
204-4866-1247
204-4867-0123
204-4950-0493
204-4962-0333
204-4962-0457
204-4962-0937
204-4962-1521
204-5160-02&4
204-5160-0611
204-5208-0581
204-5208-0847
204-5208-1175
204-5208-1662
204-5208-2645
204-5208-3023
204-5478-0352
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
PAGE 19
DETAIL
DIRECT INVESTED SERVICE STATIONS BY STATE
RET, NO, 5002020
HAR 09, 1998
------------
DIST DEALER WIC
----------------
,e
e·
,
COT
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
012
012
013
013
013
013
013
013
012
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
013
CITY/ST/ZIP
CA94947
CA94947
CA94947
CA94947
CA94044
CA94044
CA94044
CA93950
CA94301
CA94306
CA94303
CA94306
CA94303
CA94952
CA94952
CA94952
CA94952
CA94952
CA94061
CA94063
CA94061
CA94063
CA94061
CA94928
CA94928
CA93902
CA93901
CA93901
CA93901
CA93905
CA93901
CA93906
CA94066
CA94066
CA94070
CA94070
CA94103
CA94122
CA94102
CA94109
CA94112
CA9411 0
CA9411 0
CA94112
CA94107
CA94107
CA94122
CA94103
CA94115
CA94123
CA9411 0
NOVATO
NOVATO
NOVATO
NOVA TO
PACIFICA
PACIFICA
PACIFICA
PACIFIC GROVE
PALO ALTO
PALO ALTO
PALO ALTO
PALO ALTO
EAST PALO ALTO
PETAlUI1A
PETAlUI1A
PETAlUI1A
PETAlUI1A
PETALUI1A
REDWOOD CITY
REDWOOD CITY
REDWOOD CITY
REDWOOD CITY
REDWOOD CITY
ROHNERT PARK
ROHNERT PARK
SALINAS
SALINAS
SALINAS
SALINAS
SALINAS
SALINAS
SALINAS
SAN BRUNO
SAN BRUNO
SAN CARLOS
SAN CARLOS
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCQ
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
SAN FRANCISCO
ADDRESS
1390 S NOVATO BLVD
2085 NOVA TO BLVD
7300 REDWOOD BLVD
401 ENFRENTE ROAD
PALHETTO/AURA VISTA
4475 COAST HWY
679 HICKEY BLVD
687 lIGHTHOUSE AVE
355 AUlA STREET
2200 El CAMINO REAL
1161 EI1BARCADERO RD
3601 El CAMINO
2194 UNIVERSITY AVE
801 E WASHINGTON ST
900 PETAlUMA BLVD N
4990 PETALUMA BLVD NO
421 WASHINGTON ST
1001 LAKEVIllE ST
2108 ROOSEVELT AVE
690 VETERANS BLVD
582 WOODSIDE RD
639 WHIPPLE
1667 WOODSIDE RD
5060 REDWOOD DR/WILFRED
1484 EAST COTATI/MAURICE
1198 N HAIN ST
458 E MARKET
417 N I1AIN ST
1300 S I1AIN ST
705 N, SANBORN ROAD
1060 FAIRVIEW AVE
1764 N HAIN ST
798 El CAMINO REAL
1199 EL CAMINO REAL
1098 EL CAMINO
500 EL CAI1INO REAL
400 S VAN NESS AVE
1200 19TH AVE
800 TURK ST
1898 VAN NESS AVE
2200 ALEMANY BLVD
3550 MISSION ST
400 GUERRERO ST
4298 HISSION ST
551 THIRD ST
300 FIFTH ST
601 LINCOLN WAY
1201 HARRISON ST
2501 CALIFORNIA
1800 LOI1BARD
899 VALENCIA
204-5478-0444
204-5478-0543
204-5478-0659
204-5478-1046
204-5738-0192
204-5738-0259
204-573~-0416
204-5742-0337
204-5802-0144
204-5802-0326
204-5802-1027
204-5802-1555
204-5807-0156
204-5958-0187
204-5958-0344
204-5958-0591
204-5958-0658
204-5958-0849
204-6378-0138
204-6378-0336
204-6378-0484
204-6378-0591
204-6378-0856
204-6598-0322
204-6598-0520
204-6702-0234
204-6702-0986
204-6702-1059
204-6702-1430
204-6702-1562
204-6702-1851
204-6702-2222
204-6750-0441
204-6750-0789
204-6756-0148
204-6756-0221
204-6786-0449
204-6786-0779
204-6786-2122
204-6786-2239
204-6786-2379
204-6786-2684
204-6786-2981
204-6786-3765
204-6786-4557
204-6786-4672
204-6786-4920
204-6786-5067
204-6786-5356
204-6786-5570
204-6786-5687
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
288
~
MAR 09, 1998 DIRECT INVESTED SERVICE STATIONS BY STATE - DETAIL PAGE 20 .,
RET, NO, 5002020
------------------------------------------------------------------------------------------------------------------------------------
DIST DEALER WIC ADDRESS CITY/STIZIP COT
------------------------------------------------------------------------------------------------------------------------------------
288 204-6786-6438 4501 GEARY BLVD SAN FRANCISCO CA94118 013
288 204-6786-6727 1070 OAK ST/DIVISADERO SAN FRANCISCO CA94117 013
288 204-6786-7139 2399 19TH AVE SAN FRANCISCO CA94116 013
288 204-6786-8293 598 BRYANT SAN FRANCISCO CA94107 013
288 204-6786-8897 2890 THIRD SAN FRANCISCO CA941 07 013
288 204-6786-9242 2380 SAN BRUNO AVE SAN FRANCISCO CA94134 013
288 204-6786-9465 793 S VAN NESS AVE SAN FRANCISCO CA94103 013
288 204-6786-9838 388 POTRERO SAN FRANCISCO CA94103 013
288 204-6790-0161 377 SIXTH STREET SAN FRANCISCO CA94103 013
288 204-6790-0450 319 BAYSHORE SAN FRANCISCO CA94124 013
288 204-6790-0930 3035 GEARY STREET SAN FRANCISCO CA94118 013
288 204-6791-0624 2198 MARKET ST SAN FRANCISCO CA94114 013
288 204-6834-0268 1610 MERIDIAN AVE SAN JOSE CA95125 013
288 204-6834-0557 1698 SOUTH DE ANZA BLVD, SAN JOSE CA95129 013 -,
288 204-6834-0953 1025 S WINCHESTER SAN JOSE CA95128 013
288 204-6834-1159 1698 TULLY RD SAN .JOSE CA95122 013
288 204-6834-1662 1699 STORY RD SAN JOSE CA95122 013
288 204-6834-1951 609 SARATOGA AVE SAN .JOSE CA95129 013
288 204-6834-2124 910 N BASCOH AVE SAN JOSE CA95128 013
288 204-6834-2389 5270 MONTEREY RD SAN JOSE CA95111 013
288 204-6834-2793 5607 ALMADEN RD SAN JOSE CA95118 013
288 204-6834-4682 2090 THE ALAMEDA SAN JOSE CA95126 013
288 204-6834-4773 1804 SARATOGA/QUITO SAN JOSE CA95129 013
288 204-6834-7255 5599 SNELL RD SAN .JOSE CA95123 013
288 204-6834-7420 2698 MCKEE SAN JOSE CA95116 013
288 204-6834-7560 1455 THE ALAMEDA SAN .JOSE CA95126 013
288 204-6834-8162 5422 CAMDEN AVE SAN .JOSE CA95124 013
288 204-6834-8857 1120 N FIRST ST SAN JOSE CA95112 013
288 204-6834-8956 3290 S WHITE RD SAN JOSE CA95148 013
288 204-6834-9053 1155 TULLY SAN .JOSE CA95122 013
288 204-6834-9533 610 S BASCOM SAN JOSE CA95128 013
288 204-6834-9749 1103 CURTNER SAN JOSE CA95125 013
288 204-6834-9822 288 E VIRGINIA SAN ..JOSE CA95112 013
288 204-6836-0225 6097 SNELL RD SAN .JOSE CA95123 013
288 204-6836-0464 16601 ALMADEN SAN ..JOSE CA95120 013 e
288 204-6836-1165 1199 SARATOGA AVE SAN JOSE CA95:ì29 013
288 204-6836-1439 1601 CAPITOL AVE SAN ..JOSE CA95132 013
288 204-6836-1744 3939 SNELL AVE SAN ..JOSE CA95136 013
288 204-6836-1819 1705 BERRYESSA SAN JOSE CA95150 013
288 204-6836-2080 1031 LEIGH AVENUE SAN JOSE CA95126 013
288 204-6836-2312 2510 ALUM ROCK SAN ..JOSE CA95116 013
288 204-6836-4128 3295 SIERRA/PIEDMONT SAN JOSE CA95132 013
288 204-6894-0273 2901 S NORFOLK SAN HATEO CA94403 012
288 204-6894-0331 1790 S DELAWARE SAN MATEO CA94402 013
288 204-6894-0489 221 E HILLSDALE BLVD SAN HATEO CA94403 013
288 204-6894-0588 611 E THIRD AVE SAN HATEO CA94401 013
288 204-6894- 0851 1990 EL CAHINO REAL SAN MATEO CA94402 013
288 204-6894-1222 400 PENINSULA SAN HATEO CA94401 013
288 204-6894-1388 94 S EL CAMINO SAN MATEO CA94401 013
288 204-6894-1438 1400 W HILLSDALE BLVD SAN MATEO CA94403 013
288 204-l>918-0333 755 SECOND ST SAN RAFAEL CA94901 013
------------------------------------------------------------------------------------------------------------------------------------
DIST ·DEALER WIC ADDRESS CITY/ST/ZIP COT
------------------------------------------------------------------------------------------------------------------------------------
288 204-6918-0465 834 IRWIN ST SAN RAFAEL CA94901 013
288 204-6918-0838 950 DEL PRESIDIO BLVD SAN RAFAEL CA94901 013
288 204-6918-1059 1833 4TH ST SAN RAFAEL CA94901 013
288 204-6948-0451 2455 LAWRENCE EXPWY SANTA CLARA CA95051 013
288 204-6948-0568 3751 LAFAYETTE SANTA CLARA CA95051 013
288 204-6948-2911 2800 AUGUSTINE DRIVE SANTA CLARA CA95051 013
288 204-6954-0353 745 OCEAN STREET SANTA CRUZ CA95062 013
288 204-6954-1419 705 CAPITOLA RD SANTA CRUZ CA95062 013
288 204-6996-0668 777 STEELE LANE SANTA ROSA CA95401 013
288 204-6996-1450 2005 GUERNEVILLE AVE SANTA ROSA CA95403 013
288 204-6996-1617 255 DUTTON AVE SANTA ROSA CA95407 013
288 204-6996-2060 2799 FOURTH ST SANTA ROSA CA95405 013
288 204-6996-2136 3453 CLEVELAND AVE SANTA ROSA CA95401 012
288 204-6996-2565 2575 CORBY SANTA ROSA CA95407 013 -
288 204-6996-2680 3785 SANTA ROSA AVE SANTA ROSA CA95407 013
288 204-6996-2979 266 COLLEGE AVE SANTA ROSA CA95401 013
288 204-7056-0242 2901 BRIDGEWAY BL SAUSALITO CA94965 013
288 204-7081-0159 1 HACIENDA DR SCOTTS VALLEY CA95060 013
288 204-7081-0225 90 MT HERMON RD SCOTTS VALLEY CA95066 013
288 204-7098-0150 2081 FREMONT SEASIDE CA93955 013
288 204-7098-0465 1600 CANYON DEL REY SEASIDE CA93955 013
288 204-7104-0152 778 GRAVENSTEIN HWY SO SEBASTOPOL CA95472 013
288 204-7320-0267 1105 SOUTH FRONT SOLEDAD CA93960 013
288 204-7416-0221 248 S AIRPORT BLVD SO SAN FRANCISCO CA94080 013
288 204-7416-0353 899 AIRPORT BLVD SO SAN FRANCISCO CA94080 013
288 204-7416-0577 123 LINDEN AVE SO SAN FRANCISCO CA94080 013
288 204-7416-0767 710 EL CAMINO REAL SO SAN FRANCISCO CA94080 013
288 204-7416-0833 140 PRODUCE AVE SO SAN FRANCISCO CA94080 013
288 204-7620-0413 1300 SUNNYVALE SARATOGA SUNNYVALE CA94087 013
,288 204-7620-1320 925 FREHONT SUNNYVALE CA94087 013
288 204-7620-1551 1101 N LAWRENCE EXPWY SUNNYVALE CA94086 013
288 204-7620-2336 776 N MATHILDA SUNNYVALE CA94086 013
288 204-7620-2757 703 S WOLFE RD SUNNYVALE CA94086 013
288 204-7620-3136 905 EEL CAMINO REAL SUNNYVALE CA94086 013
288 204-8293-0243 1830 FREEDOM BLVD WATSONVILLE CA95019 013
288 204-8520-0180 9033 OLD REDWOOD HWY WINDSOR CA95492 013 -e'
STATE COUNT 1024
27 NEVADA P a~ 5'5'
286 227-4782-0177 HWY 28/VILLAGE INCLINE VILLAGE NV89451 013
MAR 09, 1998 DIRECT INVESTED SERVICE STATIONS BY STATE - DETAIL PAGE 56
RET, NO, 5002020
------------------------------------------------------------------------------------------------------------------------------------
DIST DEALER WIC ADDRESS CITY/ST/ZIP COT'
------------------------------------------------------------------------------------------------------------------------------------
286 227-7279-0295 6220 SO VIRGINIA RENO NV89511 013
286 227-7280-0383 690 KEYSTONE RENO NV89503 013
286 227-7280-1134 1790 MILL ST/KIETZKE RENO NV89502 013
286 227-7280-1472 4101 S VIRGINIA ST RENO NV89509 013
286 227-7280-2280 3295 KIETZKE RENO NV89502 013
286 227-7280-2686 130 W PLUMB LANE RENO NV89509 013
286 227-7280-3643 2470 E SECOND ST RENO NV89505 013
286 227-8240-0588 800 PRATER WAY SPARKS NV89431 013 :~
286 227-9920-0146 HWY 50 / ELK POINT ZEPHYR COVE NV89448 013 ,
..~
,
FIRE CHIEF
MICHAEL R, KEllY
ADMINISTRAJIVE SERVICES
2101 'H' street
Bakersfteld, CA 9330 1
(805) 326-3941
FAX (805) 395-1349
SUPPRESSION SERVICES
2101 'H'street
Bak9lSfleld, CA 93301
(805) 326-3941
FAX (805) 395-1349
PREVENTION SERVICES
1715 Chester Ave,
Bakersfteld, CA 93301
(805) 326-3951
FAX (805) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bak9lSfIeId. CA 93301
(805) 326-3979
FAX (805) 326-0576
TRAINING DIVISION
5642 VIctor street
Bakersfield. CA 93308
(805) 399-4697
FAX (805) 399-5763
.
~
BAKERSFIELD
FIRE DEPARTMENT
.
'.
-
February 13, 1998
White Lane Shell
2600 White Lane
Bakersfield, CA 93304
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.
Sincerely,
j¿ti4fJ
Steve Underwood
Underground Storage Tank Inspector
cc: Ralph Huey
'Y~~ W~ j7~ ~0Pe ~.A W~ "
;;; - ;,..-
CERTIFICATE OF
~NKNDlDGY - HDE
......
ERGROUND STORAGE TANK
T ANKNOLOGY -NDE
8900 SHOAL CREEK, BUILDING 200
AUSTIN, TEXAS 78757
(512) 451-6334
FAJ< (512) 459-1459
TEST RESULT SITE SUMMARY REPORT
TEST TYPE: PTK-88
PURPOSE: COMPLIANCE
TEST DATE: 01/21/98
WORK ORDER NUMBER:
2203334
CLIENT: SHELL OIL COMPANY
P,O, BOX 4023
CONCORD, CA 94524
SITE: SHELL 0461-0501
2600 WHITE LANE
BAKERSFIELD, CA 93304
ATTN: HS&E ANALYST
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 Det~ctor Tests
1 UNLEADED 0.007 P Y P
2 PLUS 0,008 P Y P
3 PREMIUM 0,012 P Y P
4 WASTE OIL
,
Tanknology-NDE appreciates the opportunity to serve you, and looks forward to working with you in the future, Please caIl any time, day or
night, when you need us,
TANKNOLOGY-NDE Representative:
MARK SHAW
Services conducted by:
MICHAEL T LEVESQUE
~~
Reviewed:
'7Id ~
Technician Certification Number: 1405
Draft01/23/9811:31 MSHAW
(' 'i
INDIVIDUA~ ~NKlLlNE/LEAK DETECTOR TE
TÄNKNOlOGY -NOE
TEST DATE: 01/21/98
CLIENT: SHELL OIL COMPANY
REPORT
WORK ORDER NUMBER: 2203334
SITE: SHELL 0461-0501
TanklD: 1
Product: UNLEADED
Capacity in gallons: 10,000
Diameter in inches: 92,00
Length in inches: 352
Tank age (years):
Fuel pure rating:
COMMENTS
Material: DW FIBERG
Tank manifolded: NO
Vent manifolded: NO
Vapor recovery manifolded: YES
Impact Valves Operational: y
Overfill protection: YES
Overspill protection: YES
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
Installed:
176,0
184.0
84.0
4.0
DUAL
BALANCE
~4!'&. ë
PSI at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Tank water level in inches:
Test time:
Number ofthermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
Result:
New/passed Failed/replaced New/passed Failed/replaced
L.D. #1 L.D. #1 L.D. #2 L,D, #2
Make: FE PETRO
Model: P.L.D.
SIN: n/r
Open time in see:
Holding psi:
Resiliancy cc:
Test leak rate ml/m:
Metering psi:
Calib. leak in gph:
Results:
COMMENTS
COMMENTS
4.00
12
165
189.0
10
3.00
PASS
Test time: Material: FIBERGLASS
/ Ullage volume: Diameter (in): 2.0
Ullage pressure: Length (ft): 80.0
Results: Test psi: 50
Bleedback cc: 60
DATA FOR UTS-4T ONLY: Test time (min): 30
Test 1: Start time: 12:55
Time of test 1: Finish psi: 48
Temperature: Vol change cc: 14,
Test 2: Start time: 13:05
Flow rate (cfh): Finish psi: 50
. Time of test 2: Vol change cc: 0
Test 3: Start time: 13:15
Temperature: Finish psi: 50
Flow rate (cfh): Vol change cc: 0
Time of test 3: Final gph: 0.007
Temperature: Result: PASS
Flow rate (Cfh): Pump type: PRESSURE
COMMENTS Pump make: RED JACKET
COMMENTS
8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334
Draft 01/23/98 11 :31 MSHAW
INDIVIDUAL
NKlLlNE/lEAK DETECTOR TES
TANKNöLOGY -fIDE
EPORT
TEST DATE: 01/21/98
CLIENT: SHELL OIL COMPANY
WORK ORDER NUMBER: 2203334
SITE: SHELL 0461";0501
TanklD: 2
Product: PLUS
Capacity in gallons: 10,000
Diameter in inches: 92 .00
Length in inches: 352
Tank age (years):
Fuel pure rating:
COMMENTS
Material: DW FIBERG
Tank manifolded: NO
Vent manifolded: NO
Vapor recovery manifolded: YES
Impact Valves Operational: y
Over,fill protection: YES
Overspill protection: YES
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
Installed:
175.0
183.0
83.0
4.0
DUAL
BALANCE
\êS'till
~"
PSI at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Tank water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
Result:
New/passed Failed/replaced New/passed Failed/replaced
L,D. #1 L.D. #1 L.D. #2 L.D, #2
COMMENTS
Make: RED JACKET
Model: X.L,D.
SIN: 102917371
Open time in see: 4.00
Holding psi: 12
Resiliancy cc: 145
Test leak rate mllm: 189.0
Metering psi: 10
Calib. leak in gph: 3.00
Results:
COMMENTS
PASS
Test time: Material: FIBERGLASS
Ullage volume: Diameter (in): 2.0
" Length (ft):
Ullage pressure: 80.0
Results: Test psi: 50
Bleedback cc: 50
DATA FOR UTS-4T ONLY: Test time (min): 30
Test 1: Start time: 13:25
Time of test 1: Finish psi: 48
Temperature: Vol change cc: 16
Test 2: Start time: 13:35
Flow rate (cfh): Finish psi: 50
Time of test 2: Vol change cc: 0
Test 3: Start time: 13:45
Temperature: Finish psi: 50
Flow rate (cfh): Vol change cc: 0
Time of test 3: Final gph: 0,008
Temperature: Result: PASS
Flow rate (cfh): Pump type: PRESSURE
COMMENTS Pump make: RED JACKET
COMMENTS
Draft 01/23/9811 :31 MSHAW
8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334
,.
INDIVIDUAL
NKlLlNE/lEAK DETECTOR TE
TÄNKNOlOGY-FJDE
EPORT
TEST DATE: 01/21/98
CLIENT: SHELL OIL COMPANY
WORK ORDER NUMBER: 2203334
SITE: SHELL 0461-0501
TanklD: 3
Product: PREMIUM
Capacity in gallons: 10,000
Diameter in inches: 92.00
Length in inches: 352
Tank age (years):
Fuel pure rating:
COMMENTS
Material: DW FIBERG
Tank manifolded: NO
Vent manifolded: NO
Vapor recovery manifolded: YES
Impact Valves Operational: y
Over:fill protection: YES
Overspill protection: YES'
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
Installed:
175.0
184.0
83.0
4.0
DUAL
BALANCE
R
PSI at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Tank water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
Result:
New/passed Failed/replaced New/passed Failed/replaced
L.D. #1 L.D, #1 L.D. #2 L.D, #2
COMMENTS
Make: RED JACKET
Model: FX1
SIN: 0418969162
Open time in sec: 4 . 00
Holding psi: 12
Resiliancy cc: 135
Test leak rate ml/m: 189,0
Metering psi: 10
Calib. leak in gph: 3.00
Results:
COMMENTS
PASS
Test time:
Ullage volume:
Ullage pressure:
Results:
Material:
Diameter (in):
Length (ft):
Test psi:
Bleedback cc:
Test time (min):
Test 1: Start time:
Finish psi:
Vol change cc:
Test 2: Start time:
Finish psi:
Vol change cc:
Test 3: Start time:
Finish psi:
Vol change cc:
Final gph:
Result:
Pump type:
Pump make:
COMMENTS
FIBERGLASS
2.0
80.0
50
60
30
13:30
47
22
13:40
50
o
13:50
50
o
0.012
COMMENTS
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
PASS
PRESSURE
RED JACKET
Draft 01/23/98 11 :32 MSHAW
8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334
~ .ç
SITE DIAGRAM
T ANKNOLOGY -NDE
8900 SHOAL CREEK, BUILDING 200
AUSTIN, TEXAS 78757
(512) 451-6334
FAX (512) 459-1459
~NKNDIDGY - NDE
----
TEST DATE: 01/21/98
CLIENT: SHELL OIL COMPANY
WORK ORDER NUMBER: 2203334
SITE: SHELL 0461-0501
llJ
c=
C~
CAR
WASH
C-STORE
Shell #204-0461-0501
2600 White Lane
Bakersfield, CA
IAiRil
~
+
N
Draft 01/23/98 11 :32 MSHAW
.. ; - '.
e
e
SERVICE STATION MONITORING SYSTEM CERTIFICATION
STATION ADDRESS: 2600 WHITE LANE
CITY: BAKERSFIELD, CA
WIC#: 0461-0501
Tank Material:
Tank Type:
Line Material:
Line Type:
Waste Oil Tank Type:
Waste Oil Line Type:
[ X] Fiberglass
[ ] Single Wall
[ X] Fiberglass
I X] Single Wall
[ ] Single Wall
I X] Single Wall
I ] Steel
[ X] Double Wall
I ] Steel
I ] Double Wall
[ X] Double Wall
I ] Double Wall
Fibersteel
Flex Line
Trench Containment
Above Ground
Direct Fill (No Product Lines)
FAIL
SAFE
OPERATIONAL
MANUFACTURER
MODEL NUMBER
3
3
Dry Annular
No
No Yes
Electronic Tank Level Monitor
No
RONAN
VIR TLS 250
o Vadose Monitor
o FiliI Vapor Recovery Riser
Comments:
MANUFACTURER
MODEL NUMBER
1
Interstitial Monitor
[X] Wet [] Dry Annular
Waste Oil Line Monitor
[ ] Wet [] Dry Annular
Yes
RONAN
o
o FiliI Vapor Recovery Riser
Comments:
3 Mechanical Leak Detector
3 Electronic Line Pressure Monitor Yes
Electronic Line Pressure Monitor
0 with Mechanical Leak Detector
0 Electronic Sump Monitor
0 Electronic Line Trench Monitor
Yes
No Yes
1-FX1, 1-XLD, 1-FEP;ET
RONAN JT1
I certify that the above information is accurate and functioning according to manufacturers specifications.
SIGNATURE:
~~
COMPANY: Tanknology-NDE
PRINT NAME: MICHAEL T LEVESQUE
DATE:
01/21/98
Rev: 12/4/95
Page 1 of 3
09/16/96 13:55
'6'805 326 0576
lfr'D HAl ßIAT 1) 1 V
~uu~
-
.
B~ERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave.,
Bakersfield, CA 93301
(805) 326-3979
E)í-Oy<öç
APPLICATION TO PERFORM A TIGHTNESS TEST
FACILITY ~'h~\\ ~ÛY\
"
PERMIT TO OPERATE #
ADDRESS ¿teJOD 11 J ~ ).¿ L.{lne..
OPERATORS NAME
NUMBER OF TANKS TO BE TESTED
OWNERS NAME ~h~\.\ n\ I
IS PIPING GOING TO BE TESTED V~
TANK'
/
.2
3
'I
VOLUME
JDK..
¡DK
IÇJ(
I..~
CONTENTS
TANK TESTING COMPANYJQJ\'á\n\öQ1' WD~ ADDRESS /¥,¿>¿) l.ù, ifþJ.tIQ.:rr1il.nLn ð~r
J Lodi C~ ¿y2.. J
TEST METHOD \T\'<-.. ~~
NAME OF TESTER ""'\0... Lw~~g~ CERrrIFICATION # ¡'IoS'
DATE & TIME TEST IS TO BE CONDUCTED JßJ\. L~ \qq~
~~~-
/-20"?~
DATE
/~f)ßJ!
SIGNA1URE OF APPLICANT
"
¡;OO/¡:UO~
'110 TI:JIIS
U£I09L9U[£ XVd gg:g[ 96/9[/6U
U'NDERGROUND STORAGE TAN.SPECTION
Bakersfield Fire Dept,
Office of Environmental Services
Bakersfield, CA 93301
FACILITY NAME W~ I·~ Ål1ul_4,<,1I
FACILITY ADDRESS ,))~Oð l11hrk- ÅN
BUSINESS I.D. No. 215-000 35'S-
CITY f¡r-.-U- ZIP CODE 13.:Jo t(
FACILITY PHONE No, 10# 10# 10#
INSPECTION DATE 'S..:rJ'"Cfr I .;. q.:3 L/
Product Product Product
TIME IN TIME OUT Ith.'#n, ¡JIJ i./¿'+ "'Ill..- t';~-;;¡'c- 01 I
Insl Dale Insl Dale Insl Dale
INSPECTION TYPE: ('fSfÞ 11 R<ô (~8Co
ROUTINE tV FOLLOW-UP Size Size Size
IO,t>.!Jo 10, 000 10 ")Or
REQUIREMENTS yes no nla yes no nla yes no nla
1a, Forms A & B Submitted ./
1b, Form C Submitted 1/
1c. Operating Fees Paid V
1d, State Surcharge Paid V
1e, Statement of Financial Responsibility Submitted V
11- Written Contract Exists between Owner & Operator to Operate UST /
2a, Valid Operating Permit \/
2b, Approved Written Routine Monitoring Procedure ./
2c. Unauthorized Release Response Plan if
3a, Tank Integrity Test in Last 12 Months v'
3b. Pressurized Piping Integrity Test in Last 12 Months ¡-ì-tlf7 V
3c. Suction Piping Tightness Test in Last 3 Years V
3d, Gravity Flow Piping Tightness Test in Last 2 Years -/
3e. Test Results Submitted Within 30 Days V - ....
3f, Daily Visual Monitoring of Suction Product Piping V ~ 1J.
4a, Manual Inventory Reconciliation Each Month V VI :;:J
4b, Annual Inventory Reconciliation Statement Submitted V ~
4c. Meters Calibrated Annually V ~ ~
5, Weekly Manual Tank Gauging Records for Small Tanks ,/ .~ \Ì'\
6, Monthly Statistical Inventory Reconciliation Results V
7. Monthly Automatic Tank Gauging Results II'
8. Ground Water Monitoring V
9. Vapor Monitoring v
10, Continuous Interstitial Monitoring for Double-Walled Tanks v
11. Mechanical Line Leak Detectors 11/
12. Electronic Line Leak Detectors V
13. Continuous Piping Monitoring in Sumps V
14, Automatic Pump Shut-off Capability V"
15. Annual Maintenance/Calibration of Leak Detection Equipment v
16, Leak Detection Equipment and Test Methods Listed in LG-113 Series .,/
17. Written Records Maintained on Site V
18. Reported Changes in Usage/Conditions to Operating/Monitoring
Procedures of UST System Within 30 Days J
19, Reported Unauthorized Release Within 24 Hours v
20, Approved UST System Repairs and Upgrades ../
21. Records Showing Cathodic Protection Inspection ,/
22, Secured Monitoring Wells v'
23, Drop Tube / /
( "", ~ ß ¿1 £?".....-
RE-INSPECTIO~ TE RECEIVED BY: ;/ ?
INSPECTOR:, ~ J (~JJ~ OFFICE TELEF4fÓ~ No. ~ ~ -?'f'¡ 7
FD 1669 (rev, 9/95)
, HAZARDOUS MATERIALS INSPE.N
akersfield Fire Dept.
OFF]"!!!!!' OF ENVIRONMENTAL SERVICES
1715 Chester Ave,
Bakersfield, CA 93301
Date Completed S-.J )-1)
Business Name: wl,,1c., #-.tU\ -t.. 4r/(
Location: r9fooo wh ~k t.N
Business Identification No. 215-000
(Top of Business Plan)
Inspector -5+<-VL Vnt:krw€Jt!J¿:.f
Station No,
Shift
Arrival Time:
Departure Time:
Inspection Time:
Adequate Inadequate Adequate Inadequate
Address Visable Gt D Emergency Procedures Posted ~ D
Correct Occupancy cg." D Containers Property Labled ~ D
Verification of Inventory Materials g' D Comments:
Verification of Quantities ß:Y D
Verification of Location a D Verification of Facility Diagram g' D
Proper Segregation of Material r¡y D Housekeeping ~ D
Fire Protection D
Comments: Electrical ~ D
Comments:
Verification of MSDS Availablity ty' D
Number of Employees: ,5 UST Monitoring Program ar D
Comments:
Verification of Haz Mat Training ~ D
Permits rrI 0
Comments: Spill Control ~ D
Hold Open Device D
Verification of Hazardous Waste EPA No,
Abbatement Supplies and Procedures rtÝ (] r!!
Proper Waste Disposal D
Comments: Secondary Containment ~ D
Security D
Special Hazards Associated with this Facility:
Violations:
~ . -:/- ¿,
~ó;!'""¿µ/ ?-.#-o/L" .
Business Owner/Manager PRINT NAME
White-Haz Mat Div.
Yellow-Station Copy
¡¡)
¿ ~
~
All Items Q,K ~
Correction Needed D e:-
N
Il">
<D
~
Pink·Business Copy 0
u.
--'-ç-.
...~~.".~".~.~".~..~..~~.~.œ.~.~~~.......
CERTIFICATE W~RGROUND STORAGE TA1fY4IEM TESTING
7ÄN(NOIDGY-NDE ' TANKNOLOGY-NDE
~ 8900 SHOAL CREEK, BUILDING 200 I'
__ AUSTIN, TEXAS 78757
(512) 451~6334
FAX (512) 459~1459
TEST RESULT SITE SUMMARY REPORT
TEST TYPE:, VPLT
WORK ORDER NUMBER:
TEST DATE: 01/07/97
2200063
ATTN: JOHN KOCH / AURA MATTICE
The following test were conducted at the site above in accordance with all applicable portions of Federal, NFP A and local regulations
Tank Tests
~-~.__...
1 UNLEADED 10,000 92,00
2 PLUS 10,000 92,00
3 PREMIUM 10,000 92,00
4 WASTE OIL ,550 52,00 0,000 PASS
CLIENT: SHELL PRODUCTS COMPANY
1390 WILLOW PASS ROAD
CONCORD, CA 94521
SITE:' SHELL 0461- 0501
2600 WHITE LANE
BAKERSFIELD, CA 93304
1 UNLEADED
2 PLUS
3 PREMIUM
4 WASTE OIL
0,011
0,007
0,006
0,000
TANKNOLOGY-NDE 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-NDE Representative:
MARK SHAW
Test conduted by:
MICHAEL T LEVESQUE
·""'7 ¡ ~.-----..~--,..
'¡ ./'Î /,/' ~:,~
/'"' ( // V ....' ..{ :
'¿" [..... 'r- :
¡, ¡
-JJd,,' '~. - .
. , '. .
. " .
. .'.. ..
Reviewed:
Technician Certification Number:
¡,
INDIVI~. . NKlLlNE/LEAK DETECTOR_TEST REPORT
TANKNOLOGY-NDE .-:I
WORK 0 DER NUMBER: 2200063
SITE: SHELL 0461-0501
TEST DATE: 01/07/97
CLIENT: SHELL PRODUCTS
Tank 10:
Product: UNLEADED
Capacity in gallons: 10,000
Diameter in inches: 92,00
Length in inches: 352
Material: DW FIBERG
Tank: NO
Manifolded Vent: NO
~-~~~~~"~
1
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
176,0
184,0
84,0
4,0
DUAL
BALANCB
Test Method:
PSI at tank bottom:
Fluid level in unches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
I COMMENTS I Result:
I--~-l
::¡iiii::i:::¡i:¡ii¡::¡:::¡:::¡:::¡:::¡:::¡:::~IIM::11i:mÎI~~~I::¡¡:¡¡¡:i¡:¡¡¡:¡¡¡:¡¡¡:¡¡¡:¡¡¡:¡:¡:¡¡::¡¡¡::¡¡:¡¡¡lm: ¡¡::i¡:¡¡¡::I¡¡::¡i:¡::!t~~ij:¡¡¡:¡¡::¡¡¡i¡:¡¡¡:¡¡::¡¡¡:¡¡i:i¡¡¡i:¡:¡i:¡::iil::i::i¡::¡::¡¡¡:!j¡:li.:t:¡::::::tt:::::¡~::t:::::::}::::::::¡d?:i¡:i¡¡i:i¡i¡ii::I:M1t,:w','n' "'," '. " '
Test Method: Material: FIBERGLASS
Test time: Diameter (in): 2,0
Ullage volume: Length (ft): 80,0
Ullage pressure: Test psi: 50
Results: Bleedback cc: 70
DATA FORUTS4TONLY: Test time (min): 30
Time of test l' Test 1: S~a~ time: 22.55
, FInish psi: 47
Temperature: Volchange cc: 21
Flow rate (cfh): Test 2: S~a~ time.: 23.05
FInish pSI: 50
Time of test 2: Vol change cc: 0
Temperature: Test 3: Start time: 23.15
Finish psi: 50
Flow rate (cfh): Vol change cc: 0
Time of test 3: . Final gph: 0,011
Temperature: Result: PASS
Flow rate (cfh): . COMMENTS Test type: PTK-88
Pump type: PRESSURE Pump make: RED JACKET
New/passed L,D,
Test method: FTA
make: RED JACKET
Model: FX
SIN: 1207955243
Open time in sec: 4,00
Holding psi: 11
Resiliancy cc: 135
Test leak rate mllmin: 189,0
Metering psi:' 10
Calib, leak in gph: 3,00
Results: PASS
I COMMENTS t,."""""""""" """ "" "..,' ''''',.."''uu",.,,,.u.''w~''u,~._u''u.,
¡m.mm......._.m___
8900 SHOAL CREEK. BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334
TEST DATE: 01/07/97
CLIENT:. SHELL PRODUCTS
Tank 10:
Product: PLUS
Capacity in gallons: 10,000
Diameter in inches: 92,00
Length in inches: 352
Material: DW FIBERG
Tank: NO
Manifolded Vent: NO
¡=-::~~~~~~~~
2
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
. Stage I vapor recovery:
Stage II vapor recovery:
175,0
183,0
83,0
4,0
DUAL
BALANCE
Test Method:
PSI at tank bottom:
Fluid level in unches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
I COMMENTS I Result:
'--'I
l¡:::::~;:;' "":::::'¡~~::::¡::::::::;~!I:~;,;,:,: ,:::,:,¡;:]I~tl:::::¡::¡:::i¡:¡¡¡:i:::¡i:¡::::::¡:¡::¡:¡:¡i:::::¡:¡:¡:¡:¡: ¡:¡:¡:::¡:¡:¡:¡:::¡:¡:::¡:::U~~:::;:::¡;i~:~Jt¡t¡:¡,¡,¡'¡::')!:¡'¡':':;',,',:,:,:: , , ,·:;:::,::,::,:,,11::~f:::¡:¡:~ttt""" ,:.,,:.,,::,:::,;::;:;;::J¡¡¡:,:;¡¡%~,¡W,
Test Method: Material: FIBERGLASS
Test time: Diameter (in): 2,0
Ullage volume: Length (ft): 80,0
Ullage pressure: Test psi: 50
Results: Bleedback cc: 55
DATA FOR UTS-4T ONLY: Test time (min): 30
Time of test l' Test 1: Start time: 23.00
. Finish psi: u
Temperature: Vol change cc: u
Flow rate (cfh): Test 2: Sta~ time.: 23.10
FInish pSI: 50
Time of test 2: Vol change cc: 0
Temperature: Test 3: S~a~ time.: 23.20
FInish pSI: 50
Flow rate (cfh): Vol change cc: 0
Time of test 3: Final gph: . 0,007
Temperature: Result: PASS
Flow rate (cfh): . COMMENTS Test type: PTK-88
Pump type: PRESSURE Pump make: RED JACKBT
New/passed L,D,
Test method: FTA
make: RED JACKET
Model: X,L,D,
SIN: 102947371
Open time in sec: 4,00
Holding psi: 12
Resiliancy cc: 145
Test leak rate mllmin: 189,0
Metering psi:' 10
Calib. leak in gph: 3,00
Results: PASS
I COMMENTS l
"."""""'..."....",, ,. ,. ,. ,.,,,,,,<,,,.,:,>:,,,,:,:,:,:,:,,,,,,,:,:,,,,:«,~<<<<<,~,,,»:.:,,",:,:«"",,,,,,,,,,~....~,,,,~,,~~~..,,~....,.,.._~~,
8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334
TEST D~TE: 01/07/97
CLIENT:, SHBLL PRODUCTS
INDIVI~NKlLlNE/LEAK DETECTORTEST REPORT
TANKNOLOGY-NDE ___ '
- WORK ORDER NUMBER: 2200063
SITE: SHELL 0461-0501
Tank ID:
! Product: PREMIUH
Capacity in gallons: 10,000
D,iameter in inches: 92,00
Length in inches: 352
Material: DW FIBERG
Tank: NO
Manifolded Vent: NO
~_____L:~~~----¡.
3
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
175,0
184,0
83,0
4,0
DUAL
BALANCB
Test Method:
PSI at tank bottom:
Fluid level in unches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters
Specific gravity:
Water table depth in inches:
Determined by (method):
, Leak rate in gph:
I COMMENTS I Result:
1':--,
fit?;:;'" ""'" ""i!fji¡~!lftl:¡I~~¡mll!£lij¡jl;Ij¡j¡jI:I!:¡f""""",:,:,:.: ,!ji¡j¡j¡¡:¡j::¡::¡¡¡:¡(::::~::::::::::::::::::::":"" """ "':':':':':':::::!¡j:!jj::¡j::j!~jij::tji:¡m:j:~:~::):j~:~¡mm:::(;;::,::"",
Te~t Method: Material: FIBERGLASS
:Test time: Diameter (in): 2,0
Ullage volume: Length (ft): 80,0 .
Ullage 'pressure: Test psi: 50
: Results: Bleedback cc: 45
DATA FORUTS4TONLY: Test time (min): 30
Time of test l' Test 1: Sta~ time.: 23.15
. Finish pSI: U
Temperature: Vol change CC: 7
Flow~ rate (cfh): Test 2: S~a~ time.: 23.25
, FInish pSI: 49
Time of test 2: Vol change cc: 4
Temperature: Test 3: S~a~ time.: 23.35
: FInish pSI: 50
Flow:rate (cfh): Vol change cc: 0
Time of test 3: Final gph: 0.006
TelT1perature: Result: PASS
Flow rate (cfh):COMMENTS Test type: PTK-88
Pump type: PRESSURB Pump make: RED JACKET
New/passed L,D,
Test method: FTA
make: RED JACKET
Model: X,L.D,
SIN: 102947372
Open time in see: 5,00
Holding psi: 13
Resiliancy cc: 140
Test leak rate mllmin: 189,0
Metering psi:' 10
Calib. leak in gph: 3,00
Results: PASS
I COMMENTS l
I-~
Failed/Replaced LD,
8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334
INDIVI
REPORT
TEST DATE: 01/07/97
CLIENT: SHBLL·PRODUC'l'S
WORK ORDER NUMBER: 2200063
SITE: SHBLL 0461-0501
92,0
96,0
40,0
4,0
NONB
NONB
Tank 10: 4
: Product: WAS'l'E OIL
Capacity in gallons: 550
Diameter in inches: 52,00
Length in inches: 61
Material: DW J'IBERG
Tank: NO
, Manifolded Vent: NO
, VIR: NO I COMMENTS I . '
¡---_.._~'-~"-=~~
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
Test Method: New/passed L,D,
PSI at tank bottom: Test method: J''l'A
Fluid level in unches: make:
UFT/OFT: Model:
Fluid volume in gallons: SIN:
Water level in inches: 0,00 Open time in see:
Test time: Holding psi:
Number of thermisters Resiliancy cc:
Specific gravity: Test leak rate ml/min:
Water table depth in inches: Metering psi:'
: Determined by (method): Calib. leak in gph:
. leak rate in gph: Results:
I~~~~N".....J---!:~ 1·c:c:·....·E~".......~
::I1:j:j:jI:j¡:::j:j:j:j:i1:j:j:j:j:::::::~~I~lj{lli:111!~ltj:¡:j¡:j:j:j:j:j:j:Ij:j:j:j:j:j:::j:j:::j:j:::j¡::j:::::::::;;;:;;;:;;;:;:;:::::::::::::,
Te'st Method: U'l'S-4T Material:
. iTesttime: 23:00-23:40 Diameter (in):
Ullage volume: 550 length (ft):
Ullage:pressure: 4,00 Test psi:
: Results' PASS Bleedback cc:
DATA FOR UTS-4~ ONLY: Test time (min):
Time oftest l' 23: 10 -23: 20 Test 1: S~art time,:
, . Finish pSI:
Temperature: 73,20 Vol change cc:
FlovJ rate (cfh): 0,200 - 0,200 Test 2: S!a~ time.:
: FInish pSI:
Time of test 2: 23: 20-23: 30 Vol change cc:
T erilperature: 73 , 30 Test 3: S!a~ time,:
: FInish pSI:
Flow rate (cfh): 0,200-0,150 Vol change cc:
Time of test 3: 23:30-23:40 Finalgph:
I
Te~perature: 73,30 Result:
Flow/rate (cfh): 0,200-0,150 COMMENTS
Failed/Replaced L,D,
23.10
·
o
23.20
·
o
23.30
·
o
0,000
PASS
Test type: PTK-88
Pump type: GRAVITY Pump make: NONB
! ~~~~~~
8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334
I
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SITE DIAGRAM
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~NKNOID6Y - NDE
~
TANKNOLOGY-NDE
8900 SHOAL CREEK, BUILDING 200
AUSTIN, TEXA~ 78757
(512) 451-63'3..~
FAX (512) 459~1459
~\....
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TEST DATE: 01/07/97
CLIENT: SHELL PRODUCTS COMPANY
WORK ORDER NUMBER: 2200063
SITE: SHELL 0461-0501
, "-r:'
White Lane
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CAR
WASH
C-STORE
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Shell #204-0461-0501
2600 White Lane
Bakersfield, CA
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SERVICE STATION MONITORING SYSTEM CERTIFICATION'
STATION ADDRESS: 2600 WHITE LANE
CITY: BAKERSFIELD, CA
WIC#: 0461-0501
Tank Material:
Tank Type:
Line Material:
Line Type:
Waste Oil Tank Type:
Waste Oil Line Type:
[ X J Fiberglass
[ I Single Wall
[ X J Fiberglass
[ X J Single Wall
[ I Single Wall
I X I Single Wall
I J Steel
[ X) Double Wall
[ ) Steel
. [ ) Double Wall
[ X) Double Wall
[ I Double Wall
Fibersteel
Flex Line
Trench Containment
Above Ground
Direct Fill (No Product Lines)
CTY TYPE POSITIVE
SHUT DOWN
3 [X) Wet [ ) Dry Annular Yes
3 Electronic Tank level Monitor
0 Vadose Monitor
0 FiliI Vapor Recovery Riser
FAIL
SAFE
OPERATIONAL
MANUFACTURER
MODEL NUMBER
No . Yes
No
RONAN
TLS-250
Comments:
o
o FiliI Vapor Recovery Riser
Comments:
3 Mechanical leak Detector Yes 2-XLD, 1-FX1
3 Electronic Line Pressure Monitor Yes No Yes RONAN
Electronic Line Pressure Monitor
0 with Mechanical leak Detector
0 Electronic Sump Monitor
0 Electronic Line Trench Monilor
I certify that the above information is accurate and functioning according to manufacturers specifications.
SIGNATURE:
-,;d. .~
COMPANY: NDE Environmental Corp.
PRINT NAME: MICH~EL T LEVESQUE
DATE:
01/07197
Rev: 12/4195
Page 1 of 3
..
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,-
Print your name, address and ZIP Code here
.
.
BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Avenue, Suite 300
Bakersfield, CA 93301
II,II! 111111, II, I L 11111111 L III
'----- - -- -- -- -- ~--- -- ------~ -----
,...
~ SENDER:
ïñ . Complete items 1 and/or 2 for additional services,
() . Complete items 3, anI) 4a & b, . ,,,
!? . Print your name and address on the reverse of this form so that we can
() return this card to you,
~ . Attach this form to the front of the mailpiece, or on the back if space
... does not permit, '
1 . Write "Return Receipt Requested" on the mailpiece below the article numbeL
... . The Retur'lReceipt will show to whom the article was delivered and the date
delivered.
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> PS Form 3 11, December 1991
.!!!
Articlé' Addressed to:
ô'El,LIVENGOOD
-PZIf7 APRIL ANN
--:.-'~ .
Bt1KERSFIELD CA
93312
-IrU.S. GPO: 1993-352-714
4b. Service Type
o Registered 0 Insured
IXJ Certified 0 COD
o Express Mail 0 Return Receipt for
Merchandise
7. Date O,f, DeliveJ,Y~ ~,r.
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8. Addressee' re (Only if requested ~
and fee is paid) 16
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I also wish to receive the
follo,wing services (for an extra
fee):
1, 0 Addressee's Address
a)
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2. 0 Restricted Delivery
Consult postmaster for fee.
Article Number
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P 390 214 498
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DOMESTIC RETURN RECEIPT
FIRE CHIEF
MICHAEL R, KElLY
ADMINISTRATIVE SERVICES
2101 'H'Street
Bakersfield, CA 93301
(805) 326-3941
FAX (805) 395-1349
SUPPRESSION SERVICES
210 1 . H' Street
Bakersfield, CA 93301
. (805) 326-3941
FAX (805) 395-1349
PREVENnON SERVICES
1715 Chester Ave,
Bakersfield, CA 93301
(805) 326-3951
FAX (805) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave,
Bakersfield, CA 93301
(805) 326-3979
FAX (805) 326-0576
TRAINING DIVISION
5642 Victor Street
Bakersfield, CA 93308
(805) 399-4697
FAX (805) 399-5763
'-
~
.
.
-
BAKERSFIELD
FIRE DEPARTMENT
October 9, 1996
.
Del Livengood
12117 April Ann ;
Bakersfield, CA 93312
.'\'
Certified
NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE
RE: Underground Waste Oil Tank located at 2600 White Lane, in Bakersfield
Dear Mr. Livengood:
The waste oil tank at 2600 White Lane has been out of service for over one
year and is in violation of the following section of the Uniform Fire Code as
adopted by the Bakersfield Municipal Code, Chapter 15.64:
Section 7902.1.7.2.3, Uniform Fire Code (1994 Edition)
"Underground tanks which have been out of service for a period on one (1)
year shall be removed trom the ground in accordance with section
7902,1. 7.4 and the site restored in an approved manner."
In order to avoid further regulatory action, you must properly close the
tank within 30 days of this notice, by November 9, 1996.
If you have any questions regarding this notice, please feel tree to contact
me at 326-3979.
~
RalphE. ~
Hazardous Materials Coordinator
'Y~&fe cp~ ~ ~ORP ~ A cp~ II
i í
CERTIFICATE O.NDERGROUND STORAGE TA&VSTEM 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
~~
TEST TYPE: VPLT
TEST DATE:
April 8, 1996
WORK ORDER NUMBER: 965799
INVOICE DATE: April 11, 1996
CLIENT: SHELL PRODUCTS COMPANY
1390 WILLOW PASS ROAD
CONCORD, CA 94521
INVOICE NUMBER:
19611
SITE: SHELL 0461-0501
2600 WHITE LANE
BAKERSFIELD, CA 93304
ATTN: JOHN KOCH I AURA MATTICE
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
1 UNLEADED
2 PLUS
3 PREMIUM
4 WASTE OIL
0.012
0,016
0.008
P
P
P
YES
YES
YES
PASS
PASS
PASS
-.------.---
NDE appreciates the opportunity tq serve you, and looks forward to working with you in the future, Please call any time, day or night, when you need us,
Reviewed:
Test conducted by:
MIKE LEVESQUE
IHiie
NDE Customer Service Representative:
JERRY BELLOLI
INDIVIDU ANK/LlNE/LEAK DETECTOR T
NDE ENVIRONMENTAL CORPO
REPORT
ATION
TEST DATE: April 8, 1996
CLIENT: SHELL PRODUCTS COMPANY
WORK ORDER NUMBER: 965799
SITE: SHELL 0461-0501
HDE
--
Tank 10:
Product:
Capacity in gallons:
Diameter in inches:
Length in inches:
Material:
Tank:
Manifolded Vent:
VIR:
1
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
UNLEADED
10,000
92,00
352
DW FIBERG
NO
NO
NO
176,0
184,0
84,0
4,0
DUAL
BALANCE
Test method:
,Psi at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
RESULT:
A:4'Zi::Qgr1:!'{1j1'{C0MMEl'i4mSiÂ,_ -
New/passed
detector
Test method: FTA
Make: RED JACKET
Model: FX
SIN: 1207955243
Open time in sec: 4,00
Holding psi: 12
Resiliency cc: 245
Test leak rate mllmin: 189,0
Metering psi: 10
Calib.leak in gph: 3,00
RESULT: PASS
.--
Failed/replaced
detector
RED JACKET
D,L,D,
402820636
3,00
FAIL
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT:
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
Material: FIBERGLASS
Diameter (in): 2.0
Length (It): 80,0
Test psi: 50
Bleedback cc: 75
Test time (min): 30
Test 1: start time: ::13110
finish psi: 48
vol change cc: 15
Test 2: start time: 231::10
finish psi: 49
vol change cc: 7
Test 3: start time: ::13130
finish psi: so
vol change cc: 0
Final gph: 0,012
RESULT: PASS
Test type: PTK-88
Pump type: PRESSURE Pump make: RED JACKET
8906 WALL STREET SUITE 306 AUSTIN TEXAS 78754 512 719-4633
_.~.
INDIVIDU.ANK/LlNE/LEAK DETECTOR T. REPORT NDE
NDE ENVIRONMENTAL CORPORATION ~ ~
WORK ORDER NUMBER: 965799
SITE: SHELL 0461-0501
TEST DATE: April 8, 1996
CLIENT: SHELL PRODUCTS COMPANY
Tank ID:
Product:
Capacity in gallons:
Diameter in inches:
Length in inches:
Material:
Tank:
Manifolded Vent:
VIR:
2
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
PLUS
10,000
92,00
352
DW FI:BERG
NO
NO
NO
175,0
183,0
83,0
4,0
DUAL
BALANCE
Test method:
Psi at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
RESULT:
:SQ·
New/passed
detector
Test method: FTA
Make: RED JACKET
Model: X,L,D,
SIN: 102947371
Open time in sec: 4,00
Holding psi: 12
Resiliency cc: 225
Test leak rate ml/min: 189,0
Metering psi: 10
Calib. leak in gph: 3,00
RESULT: PASS
Failed/replaced
detector
--
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT:
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of t¡;¡st 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
Material: FI:BERGLASS
Diameter (in): 2,0
Length (ft): 80,0
Test psi: 50
Bleedback cc: 95
Test time (min): 30
Test 1: start time: 23.40
finish psi: 47
vol change cc: 20
Test 2: start time: 23. so
finish psi: 48
vol change CC: 11
Test 3: start time: 00.00
finish psi: so
vol change CC: 0
Final gph: 0,016
RESUL~ PASS
Test type: PTK-88
Pump type: PRESSURE Pump make: RED JACKET
'~~11\V01s0:~;)i(~lf'~\\ii~GG)MME' ~
" MENmStili¡A¥",,,;;"~>.1i'~'~><")'
8906 WALL STREET SUITE 306 AUSTIN TEXAS 78754 512 719-4633
· .
INDIVIDU.ANK/LlNE/LEAK DETECTOR Tt4Þ REPORT NDE
NDE ENVIRONMENTAL CORPORATION 1111
TEST DATE: April 8, 1996
CLIENT: SHELL PRODUCTS COMPANY
WORK ORDER NUMBER: 965799
SITE: SHELL 0461-0501
TanklD:
Product:
Capacity in gallons:
Diameter in inches:
Length in inches:
Material:
Tank:
Manifolded Vent:
VIR:
3
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
PREMIUM
10,000
92,00
352
DW FIBERG
NO
NO
NO
Test method:
Psi at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
RESULT:
New/passed
detector
Test method: FTA
Make: RED JACKET
Model: X,L,D,
SIN: 102947372
Open time in sec: 4,00
Holding psi: 11
Resiliency cc: 215
Test leak rate ml/min: 189,0
Metering psi: 10
Calib. leak in gph: 3,00
RESUL~ PASS
175,0
184,0
83,0
4,0
DUAL
BALANCE
Failed/replaced
detector
'::>iŒit&~;;"J:J0"'íS¡'iíij¡',1;iØ\!iß¡itill1;C0MMeNm$.
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT:
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
Material: FIBERGLASS
Diameter (in): 2,0
Length (ft): 80,0
Test psi: 50
Bleedback cc: 55
Test time (min): 30
Test 1: start time: 23:45
finish psi: 48
vol change cc: 15
Test 2: start time: 23.55
finish psi: 50
vol change cc: 0
Test 3: start time: 00.05
finish psi: 50
vol change cc: 0
Final gph: 0,008
RESULT: PASS
Test type: PTK-88
Pump type: PRESSURE Pump make: RED JACKET
8906 WALL STREET SUITE 306 AUSTIN, TEXAS 78754 512 719-4633
_._~
" ,
IE ENVIRONMENTAL CORPORA,tN
8906 WALL STREE, SUITE 306
AUSTIN, TEXAS 78754
(512) 719-4633
FAX (512) 719-4986
NDE
..
TEST DATE: April 8, 1996
CLIENT: SHELL PRODUCTS COMPANY
WORK ORDER NUMBER: 965799
SITE: SHELL 0461-0501
COMMENTS
PARTS REPLACED
1 LEAK DETECTOR - RED JACKET FX1
---
HELIUM PINPOINT TEST RESULTS (IF APPLICABLE)
'\ ,> '.
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.
SITE DIAGRAM
NDE ENVIRONMENTAL CORPORATION NDE
8906 WALL STREET, SUITE 306 . .
AUSTIN, TEXAS 78754
(512) 719·4633
FAX (512) 719-4986
TEST DATE: April 8, 1996
CLIENT: SHELL PRODUCTS COMPANY
D
,N
SUP
OLIVE DRIVE
000
VENTS
WORK ORDER NUMBER: 965799
SITE: SHELL 0461-0501
(1i4\
~
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REMOTE FILL
SHELL STORE
#0461-0501
2600 WHITE LANE
BAKERSFIELD,CA.
D
MPD
D
MPD
~-----~~
MPD
D
-- -~.~-~-
I .' ',"
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SERVICE STATION MONITORING SYSTEM CERTIFICATI,O~___
STATION ADDRESS: 2600 WIUTE LANE
CITY: BAKERSFIELD, CA
WIC#: 0461-0501
3
o
Interslitial Monitor
lÄ~L¡~_rYJ~_'!!'~
Eleclronic Tank Level Monitor
Yes
[ ] S tee! Fibersteel
[ X] Double Wall
[ ] Steel Flex Line
[ ] Double Wall Trench Containment
[X] Double Wall Above Ground
( ] Double Wall Direct Fill (No Product LInes)
FAIL OPERATIONAL MANUFACTURER
SAFE MODEL NUMBER
No Yes nONAN NO 1D NO.
Tank Material:
Tank Type:
Line Material:
Line Type:
Wasle Oil Tank Type:
Waste Oil Line Type:
[ X] Fiberglass
[ ] Single Wall
[ X] Fiberglass
, ,[ X] Single Wall
[ ] Single Wall
( X J Single Wall
QTY
TYPE
POSITIVE
SHUT DOWN
o Vadose Monitor
o FiliI Vapor Recovery Riser
Comments:
QTY
TYPE
OPERATIONAL
MANUFACTURER
MODEL NUMBER
_.--- ----
Interslitial Monilor
j X lWeI L_l Dr Annular
Wasle Oil Line Monilor
[ ] Wel [ ] Dry Annular
FiliI Vapor Recovery Riser
Yes
RONAN NO 1D NO.
o
o
Comments:
LINE
QTY
POSITIVE
SIIUT DOWN
FAIL
SAFE
OPERATIONAL
MANUFACTURER
MODEL NUMBER
n_'__~_.
TYPE
3
Mechanical Leak Detector
Yes
2·XLD,1-FXl
o Electronic Line Pressure Monitor
Electronic Line Pressure Monitor
3
with Mechanical Leak Delçclor
Yes
No
Yes
RONAN NO ID.NO.
o Electronic Tank Sump Monilor
o Electronic Line Trench Monitor
I certify that the above information js accurate and functioning according to manufacturers specifications,
SIGNATURE:
COMPANY: NDE Environmeiltal Corp,
PRINT NAME: MIKE LEVESQUE
DATE: 04/08/96
Rev: 12/4195
Page I of 3
;5
4t.
:.;
.
" ]RECEJ[VEn
, ANlkt'fAL UNDERGROUND TANK INVENTORY VARIATION REPORT
JAN 19 19!§tfPORTING PERIOD: JAN, 1 - DEC, 31, 1995- · REPORT DUE FEBRUARY 15, 199~
MAIL TO:
SAN JOAQU/¡ffmll£ly¥~E AND ADDRESS:
APCB;-)HI~N~F1Þ/jJ1J~ S' f/eG (...
TANK OWNER NAME AND ADDRESS
SHELL OIL COMPANY
~ ~(/tJ WHITe, ¿AIY e P.O, BOX 4023
ß/t/( elf S ~/eL{) C IJ. ?JJP¥' CONCORD, CA 94524
ATTN: HS&E CLERK
Allowable over/short: 1 % of thruput + 130 gallons (0.01 x Thruput + 130)
For the facility and reporting year indicated above, records for all underground tanks monitored by inventory
reconciliation indicate that:
iiI A. All monthly inventory variations were within the allowable limits specified above.
o B. Inventory variations in excess of the allowable limits have occurred in the amounts and months as
'd' t db I
In Ica e eow. ACTUAL TOTAL OVER/SHORT BY MONTH
PRODUCT JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
NOTE: Only report variations which have exceeded the allowable over/short for month.
--~~~-.'~ ,---
EXPLANATION/INVESTIGATION PROCEDURES FOR ABOVE VARIATIONS:
...___=_~- ~_ - ...."..,,--r-_~_ '.::;... _. - .-----=------ '--"'~--=-~ .~~-=..~'" -..,~
-- -~-~-
~ify, un r penalty ~f perjury, that the foregoing information is accurate,
~ h1'AIVK q1/e¡f~/1J 1YIIII/IIJGetf / -I' -Cf ~
Signature of Operator Printed Name and Title Date
Original - UST Agency · Canary - Operator's Copy · Pink - Shell Oil Company
\
02/09/96 FRI 12:29 FAX 8034994516
.
KB CURTIS
2' --;,.--r- i)¡¡"
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...'...... ~ cø",mUC110NCD.,IIIC.
...... J>ICK:
Q 002
e
1400 OLD comwo RD., lUiWBUlU' PAD. CA 918.
(805) 499-0418 PAX: (80S) 498418
:febTU<try ~. 1996
Bakersnc1.d FIm Dcpmtmenl
ßazædous MuterJa1s Dlv.ls1on
1715 Chesler Aveone
Ðakcr$field. CA 93301
Attent1on~ Ra1pb. IIuey
R.e~ She1\ 011 Company Serviceø Stat1oDS. Various LocaUons. Batærslie1d.. CA
Dear Mr, Huey;
We will be InstaWnS1ho foRowïns eqmpmeal ~ 1;!'moo 'Wheaton AllOO03' Overtm
Prevention DIV}) Tubes wit1\ BBW78S Twit Bottom ptotectors on each gasoline U.S,t"
at the foJ1ow1ng loçatioDs: .
Ret# .Address
. 13, 2600 W1úte Lane
14, 360S RoAeða1e Highway
17, 3700 Ming Road
18. 3130 24th Street
~O, 3623 Ca11fomJaAvenue
Please contact tnc at our Not1hcm CalIfornia offtce (~10) 247-95')1. with any qucsdons.
Thank You.
Díc1c Burgclkt
Northern CaUfomia. DivIsIon
!J
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EBW 785 TANK BOTTOM PROTECTOR
\
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782 DROP TUBE
.3" and 4,t sizes.
· Protects steel and flbergrass tanks from punctures and
wear made by gauge stick.
· Easily Installed and removed In Drop tubes.
. Plastisol dip coating,
. Plated expanded metal cage.
.
j
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.
.
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Emco Wheaton Introduces A1100 System
A 1100 .. 055 Complete Overfill Prevention System
. ~ :¡
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Top Drop Tube Factory Installed to A1100 Valve
Ensures a tight seal..
Can pass tough pressure decay tests
Easy to ¡"start
Bottom Drop Tube Included
Ready to instaU
\
,
. .-
·
Tube Strengthening ~ i
Collar Kit - Ensures ~. :
proper strength during :
product shut-off
.
·
·
:
!
·
i
·
i
f
·
!
- Factory installed
Top Tube .. no
slte assembly
needed
Bottom Tube
Included.. ready for
easy lnstallatron
i
T
I
i A 1100 - Jndustly'S
:::J i C leadfng Overfill
Prevention Valve
EmcQ Wheaton, Inc.
3800 Gateway Centre Blvd.
Suite 301
. ¿-
MorrisviJJe, NC 27560
919.319.8999 - Fax: 919.319.7224
1f'
>
.
CERTIFICATE O~NDERGROUND STORAGE TAN'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
.-
rEST TYPE: VPLT
TEST DATE:
October 10, 1995
WORK ORDER NUMBER: 964814
CLIENT: SHELL PRODUCTS COMPANY
P,O, BOX 4023
CONCORD, CA 94524
SITE: SHELL 0461-0501
2600 WHITE LANE
BAKERSFIELD, CA 93304
ATTN: JOHN KOCH / AURA MATTICE
The following tests were conducted at the site above in accordance with all applicable portions of Federal, NFP A and local regulations.
Tank Tests
1 UNLEADED
2 PLUS
3 SUPREME
4 WASTE OIL
10,000
10,000
10,000
,550
92.00
92.00
92.00
52.00
0.000
PASS
Line and Leak Detector Tests
1 UNLEADED
2 PLUS
3 SUPREME
4 WASTE OIL
0.000
P
NDE 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.
NDE Customer Service Representative:
JERRY BELLOLI
Reviewed:
Test conducted by:
MIKE LEVESQUE
~
Technician Certification Number:
~
~
,>
INDIVIDUeTANK/LlNE/LEAK DETECTOR T_ REPORT NDE
NDE ENVIRONMENTAL CORPORATION ~.
WORK ORDER NUMBER: 964814
SITE: SHELL 0461-0501
TEST DATE: October 10. 1995
CLIENT: SHELL PRODUCTS COMPANY
Tank ID:
Product:
Capacity in gallons:
Diameter in inches:
Length in inches:
Material:
Tank:
Manifolded Vent:
VIR:
4
WASTE OIL
550
52,00
61
DW FIBERG
NO
NO
NO
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
92,0
96,0
40,0
4,0
NONE
NONE
r%;---~
I
-
,....;.;.;.;.;.:.;.;.;.;.:.:.;.;.:.;.:.;.:.:.:.........:.....:...:.........;.;...,.........,;..;..;;.,:..,:,:,,..:.:.;.:...:.:.;.:.:.;.;.;.;.;,;.;.:,
:::,:::,::::::::::::::,::;;;:;;:::::,:,:::::::::::::::::::::::;:::::;:,:;:;:::;:::;:;::;=:::::::::::::::::::;::::::::::::::::::::::::::;~:;:(;:;:
~:::¡:::::::::::::::i:::i::::::::+!~
Test method:
Psi at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches: 0.00
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method): MONTR WELL
Leak rate in gph:
RESULT:
:mi"':;::i;;;:',':":;:::'IQQMMeNillßII
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT: PASS
DATA FOR UTS-4T ONLY:
UTS-4T System
13:15-13:55
550
4,00
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
13:25-13:35
74,60
0,200-0,200
13:35-13:45
74,70
0,200-0,150
13:45-13:55
74,70
0,200-0,150
rj%,,ª,~--
........ ·····....·..1
:::;;:::::::':::'::::::;,
Newlpassed
detector
Test method: FTA
Make:
Model:
'.S/N:
Open time in sec:
Holding psi:
Resiliency cc:
Test leak rate mVmin:
Metering psi:
Calib. leak in gph:
RESULT:
Failed/replaced
detector
;;::::::::::::::::::::::::::::::;};:::::::::{::::~
..,.,...............,.....,..........................."'0·'0' .1\1' IVI·· ¡¡¡'N" ¡¡;s.. ..,.........
................,.,................................................. '..,. .............
::':':':':':':':::';:;::::::::::::'::::::::::::::::::::::::::::......,.::...:.....:.:.. '.:"".::"".::.:::::::::::::::
Material: FIBERGLASS
Diameter (in): 2,0
Length (ft): 15,0
Test psi: 4
Bleedback cc: 0
Test time (min): 30
Test 1: start time: 13 .25
finish psi: 4
vol change cc: 0
Test 2: start time: 13 .35
finish psi: 4
vol change cc: 0
Test 3: start time: 13.45
finish psi: 4
vol change cc: 0
Finalgph: 0,000
RESULT: PASS
Test type: PTK-88
Pump type: GRAVITY Pump make:
';"';:':;fI:I!::;';.""'·'·'· ;II:I:::;;;;I:OOMMGN!t$;, .
LINE TESTED DURING ULLAGE TEST,
NONE
~flI~/fmt}}t::ffHf:(W¡tt:}m:n~:tHm~:~~t~:~~~;::{:::::::j:
8906 WALL STREET SUITE 306 AUSTIN, TEXAS 78754 512 719-4633
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SITE DIAGRAM
NDE ENVIRONMENTAL CORPORATION RBE
8906 WALL STREET, SUITE 306 . .
AUSTIN, TEXAS 78754
(512) 719-4633
FAX (512) 719-4986
TEST DATE: October 10, 1995
CLIENT: SHELL PRODUCTS COMPANY
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OLIVE DRIVE
000
VENTS
WORK ORDER NUMBER: 964814
SITE: SHELL 0461-0501
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REMOTE FILL
SHELL STORE
#0461-0501
2600 WHITE LANE
BAKERSFIELD,CA.
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BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
APPLICATION TO PERFORM A TIGHTNESS TEST
FACILITY sb..e..u. ~+o..-\-\Of\
ADDRESS 2IDOQ / 1 )h',~~ J....o.s.. (J
PERMIT TO OPERATE *
OPERATORS NAME
NUMBER OF TANKS TO BE TESTED /
OWNERS NAME '-<),,~\\ Ð,\ PrN111rb
IS PIPING GOING TO'BE TESTEDY~
.
TANK #
I
VOLUME
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CONTENTS
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TANK TESTING COMPANYJ\J Ù £: E~Y)\,of\'f'1\¡Jr\iclADDRESS ðlJZ. .sf, (~eArLlA~
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TEST METHOD U.s I - 7' J
NAME OF TESTER/J1:~ JA:¡/~.s6!¡,/¡f CERTIFICATION # "/&/0
STATE REGISTRATION #
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DATE & TIME TEST IS TO BE CONDUCTED {)t!.fob~ JÔ¡ J99S
~~~
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DATE
~~~APPLICANT
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,1400 Old Gonejo Road 0 Newbury Park, CA 91320
(805) 499-0428 0 FAX (805) 499-4516
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, < Branch qffice
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, 21456 Outl90kCourt· Castro Valley, CA 94546
51 0-247~9591·FAX 51 Q~247-9592 ·Mobil 510-693-7650
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O.E OF ENVIRONMENTAL .RVICES ¡
UNDERGROUND STORAGE TANK PROGRAM rd' <fÍ;lJ f loS
-=a e. -0135
PERMIT APPUCATlON FOR REMOVAL OF AN UNDERGROUND STORAGE TANK
PERMIT No,
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~:~INFORMAnON . ADDRESS 2£ 0 (> ""h,je/~îP~oDE APN
FACILITY NAME 5 hell ~~~ ~,o )IQ¡o~ CROSS STREET
TANK OWNER/OPERATOR __ <'-' J/ CJ, / CO PHONE No, .:J70 ~~?r - (f'1 q.,£
MAILING ADDRESS ,PO BOA" 402,? CITY GhCO,...) G ZIP CODE q~J2~
'+1; -Dr~ LICENSE No, 2..q '5?o 0
CI N!"1cI v)ot Ph 4 ZIP CODE q /? ¿ 0
WORKMENS OMP No, 'PWC7lfJ J; (J)
Pwc 2. 4-611101
PRELlMANARY ASSEMENT INFORMATION
COMP ANY e h'J L" ðb. A f J ð £:,. . PHONE No, Z '7:r -"fq ð g LICENSE No, cA ç 1 2- ?
ADDRESS iJ. 2. ~ ~ W." f/p ;'ÞO-f;/ f1 Q o/J-t"!' $' i IJr CITY t:"Þ e f h ð ZIP CODE .-.:} ~72. Z
INSURANCE CARRIER ~ '.J. -- A w. ~hC H... WORKMENS COMP No, ÿ"l·. Ã ¥ c: .
I-!OH.,,,, II £5 ¡;¿,.:"- ,e S-r/t?r2. ð
TANK CLEANING INFORMATION
COMPANY /Vi e To 'ët- 5"0." '7
ADDRESS J¿~j 8';-(;"éi Cgh. /fd
WASTE TRANSPORTER IDENTIFICA TI N NUMBER
NAME OF RINSTATE DISPOSAL FACILITY n" ~ c:I d CJ i"1
ADDRESS 2ô D i) Q' J fl:i.... CITY Çê. /'?fo~ ZIP CODE QC2z.2.
FACILITY INDENilFICATlON NUMBER r"Aï DS' ¿>o ¡~1~¿
PHONE No, 7/"1- 990-6"rrs-;-
B~ eq / ZIP CODE 9'2~2./
TANK TRANSPORTER INFORMATION
COMPANY IV, e 1-0 "ê- 5~~ '.; PHONE No, 7111-- 99o.6'~.r.rL1CENSE No. OS- ô3
ADDf<ESS 12 y1/ 8;. é'":;C,;,¡: /?~ CITY 8 ¡. eq ZIP CODE <t2. 6"2.'
iANKDESilNAilON A~ I~U' Þ1 f¿¡1 f(eL-rc/e~5
TANK INFORMATION
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CHEMICAL
.STORED
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DA TES
STORED
CHEMICAL
PREVIOUSLY STORED
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TANK No,
C)
AGE
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VOLUME
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THE APPliCANT HAS RECEIVED, UNDERSTANDS. AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER
STATE. LOCAL AND FEDERAL REGULATIONS,
THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT.
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APPLICANT NAMETpRINT)
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APPLlCANTSI TURE
. THIS APPLICATION BECOMES__A~RMIT .WHEN.APPROVED·
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Roads and alleys
buildings
location of tanks, piping, and dispensers
utilities
SCALE
water wells (If on site)
any other relevent information
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K. E, CURTIS CONSTRUCTION COMPANY, INC~
PETTY CASH ACCOUNT
1400 OLD CONEJO ROAD 805-499-0478
THOUSAND OAKS, CA 91359
6168
9/'2..(
19 fJ::
90-3193/1222
01079395
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411NORTHCENTRALAVENUE Z~oo \.u",'¡~qh e B",I1'<!¥-S-~/'/
GLENDALE. CALIFORNIA 91203
MEMO 5/'ell !.Vb ÎÜlt),. ¡p~41 - -te --f6 ~
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Cfi'RRECTION N0"iCE
BAKERSFIELD FIRE DEPARTMENT
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052G
Locatiol1 D()h ;t~ ~ J...':::¡I'I.-p_ SJ,.p\{
Sub Div. ;+I~ ¿.,)L1-e-4Blk. . Lot
You are hereby required to make the following corrections
at the above location:
Cor. No
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Completion Date for Corrections IØ-
Date q/!:,:/5S- -;:lJ~~1~
, Inspector
t2"5 'I>f'J "'- Ç.
ð~
326-3979
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UNDERGRb~~O~G~JAN"'SPECT10N
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FACILITY NAME v)~ I~ le7re ' çh" If
FACILITY ADDRESS ~ (.~,h ,+e LI'1
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Hazardous Materials Division
Bakersfield, CA 93301
35S
933:::>~
BUSINESS I.D. No. 215-000
CITY &.sQ1 ZIP CODE
FACILITY PHONE No. .3;¿~- "SI ~~ 101 IOI~£ ~ 101
I .lJ
INSPECTION DATE ~~ Product PJ~ '{
TIME IN TIME OUT V\\ ; ",.111 1J--1.IIo/<:. b QL L.. <::::I.
Ins! Date In&! bate Ins; 9R¿:
INSPECTION TYPE: ~. ~ ATe:. J'1f.?'?' I Q;2t-.
ROUTINE ./' OC: Af\t\, btt~p Size Size Size
/ /J I'Y)'-' I ~ \I J 11 ncr:, I/. ' J:;' /'
-
REQUIREMENTS yes no nla yes no nla yes no nla
1a, . Forms A & B Submitted Ý v' V
1b, Form C Submitted /'" ý" V-
1c, Operating Fees Paid ",.- ¡/ ,,/
1d. State Surcharge Paid ,/ r /
1e, Statement of Financial Responsibility Submitted V ./ "'"
1f, Written Contract Exists between Owner & Operator to Operate UST ,/' V Ý
28, Valid Operating Permit V A / ,/' ,.
2b, Approved Written Routine Monitoring Procedure ~ .,.,r ----
2c, Unauthorized Release Response Plan ,,/ J v ..,..,...-,
38, Tank Integrity Test in Last 12 Months' J V" ...- , 1--
3b, Pressurized Piping Integrity Test in Last 12 Months WI!. Iq4 "..- ~ 1000-'"
3c. ' Suction Piping Tightness Test in Last 3 Years V , ¡....-.
....-
Gravity Flow Piping Tightness Test in Last 2 Years v ¡
3d, ........ -
3e, Test Results Submitted Within 30 Days ./ v V
3f, Dally Visual Monitoring of Suction Product Piping .,...- .......... ---
Þ"'" ~
48. Manual Inventory Reconciliation Each Month .....- -
4b. Annual Inventory Reconciliation Statement Submitted /' ./ ....... ' -
0 , ./f ,,/ V" ~.
4c. Meters Calibrated Annually
5. Weekly Manual Tank Gauging Records for Small Tanks .".,- - ~ .~.
6. Monthly Statistical Inventory Reconciliation Results ......- .,.. ---
7. Monthly Automatic Tank f'auging Results ... >-" v - -
,
8. Ground Water Monitori~g ,/'jI' Q~':/.,,!""/ / /:,~ /';i; iW";':;' W ,/. . ".... ---
9. Vapor Monitoring ,. . -" r-... .,..... ~
" ---
10, Continuous InterstitialMonitoring for Double-Walled Tanks ~ ~~ V ., "'V ~ V"
", Mechanical Line Leak Detectors VI/ø./<;<;" ,'/n .110" ,./",n/IIC ' \ .,..... ".... .--
.12. Electronic Line L~ak Detectors --.J. ¡y. v .,..,
13. Continuous Piping Monitoring In Sumps '\ Y" ".... ~
14, Automatic Pump Shut-off Capabifity ., *. v' - '-""
.~.
15, Annual Maintenance/Calibration of Leak Detection Equipment ..;:¡: ~ /' V
"....- I;~.
16, Leak Detection Equipment and Test Methods Listed in LG-113 Series .{ .~\ ,/ ..--
17. Written Records Maintained on Site ': i y"'" v' ,......-
18. Reported Changes in Usage/Conditions to OperatingJMonitoring \ ¡/ v ~
Procedures of UST System Within 30 Days
19. Reported Unauthorized R~lease Within 24 Hours I ¡/' V t--
20. Approved UST System Repairs and Upgrades ./ V- I/' ,..-
21. Records Showing Cathodic Protection Inspection t ¡.;'". .-- ~
,
~. Secured Monitoring Wells ' v' """" ~
23. Drop Tube V - ,,- .........
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RE-INSPECTION DA T A RECEIVED BY: 'l'//p.;f"¿:L '-_.~ ÆaJ
INSPECTOR:
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OFFICE TELEPHONE No.
~f)6- ~/?
FD 1669
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jþORRECTION ~Oj}CE
)¡~~~,~~~,F!~~~~,~¿.RE DEPARTME~T" ,'~:',:,~!'; '~r? 53 8
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LocatlOtït,IA~~lW.J' L- ~ I~e. \-e.: \
Sub Div,~~ U..Jk ¡..Jr, l"1$-(~Blk, , Lot
, You are hereby required to make the following corrections
V at the above location:
Cor. No
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326·3979
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UNDERGROUND,STORAG,E TA.P.EC~ION
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. , , " .",Bakersfield Fire Dept.
Hazardous Materials Division
Bakersfield, CA 93301
FACILITY NAME L~;\~ L..ø..Ae- Sk\ l
FACILITY ADDRESS ~ f.._i. ~4e ~.....e-
BUSINESS I.D. No. 215-000
CITY g~.c\dd ZIP CODE q 3?ðj
FACILITY PHONE No. II» II» II»
b/~(ÁÇ I ;/lft2.
INSPECTION DATE ~uctt11I~A'" 11 ProdU~ "" ~ L pr~.:'-L ,.<): I
, Ul ~L
TIME IN TIME OUT
Iris! ~IÄt. Ins! D!.~~", Insl Da181"
INSPECTION TYP/, I'Y J9^
FOLLOW-UP Size Size Size
ROUTINE -;;i"""o Dct .s.::s-Q
REQUIREMENTS yes no nla yes no nla yes no nla
1a, Forms A & B Submitted /' v v
1b. Form C Subn'Íitted " --- .....
1c. Operating Fees Paid y' y v
1d, State Surcharge Paid ø./ v'.. ' .....-
1e, Statement of Financial Responsibility Submitted r/ ./. ,/
Written Contract Exists between OWner & Operator to Operate UST ~ ,
1f. -
2a, Valid Operating Permit v- I I \ v' ~
2b, Approved Written Routine Monitoring Procedure 1I\b\ ?')\A, l~ lp ~ ¡fiX ./ /'
2c. Unauthorized Release Response Plan V ! I ,/ ¡/
I
38. Tank Integrity Test in Last 12 Months ./
3b. Pressurized Piping Integrity Test in Last 12 Months /).../, ~/t; C 0/ : V .....
3c. Suction Piping Tightness Test in Last 3 Years V ~ V'"
3d. Gravity Flow Piping Tightness Test in Last 2 Years \ 7 V' 10""'"
3e. Test Results Submitted Within 30 Days II'" V' r/
3f. Daily Visual Monitoring of Suction Product Piping ......- ".,. -'
4a. Manual Inventory Reconciliation Each Month V"" .". -----
4b. Annual Inventory Reconciliation Statement Submitted ! v ¿,,- ........
4c. Meters Calibrated Annually "'~t- ".,... ...... ",..
5. Weekly Manual, Tank Gauging Records for Small Tanks \ V' ~~ 1. IIn ,,/ c,...oo - I...---
\"
6, Monthly Statistical Inventory Reconciliation Results ; V (,,000 ~-
7, Monthly Automatic Tank Gauging Results I ......' --- --
!
8, Ground Water Monitoring, i v V ----
I
9. Vapor Monitoring ,",.. J .V'. v ..........
10. Continuous Interstitial Monitoring for Double-Walled Tanks Lv~d I 7 A ,,/ 0/'
11- Mechanical Line Leak Detectors ¡,¿g'f ...... ¡J. .....' ,JÞI- ..-'
12, Electronic Line Leak Detectors t/ "" ,/
13. Continuous Piping Monitoring in Sumps ,,/ ..... ,,----
14. Automatic Pump Shut-off Capability ,,/ v' ~
15, Annual Maintenance/Calibration of Leak Detection Equipment I ./ .,./,
16. Leak Detection Equipment and Test Methods Listed in LG-113 Series r/ / V
17. Written Records Maintained on Site *- V" V'" V
18, Reported Changes in Usage/Conditions to OperatinglMonltoring .'
Pröcedures of UST System Within 30 Days .--- -' ...--
19. Reported Unauthorized Release Within 24 Hours ' E. / V t-'-
20. Approved UST System Repairs and Upgrades '1/ . ~' ,..-
21. Records Showing Cathodic Protection Inspection V' t-- ~.
22. Secured Monitoring Wells I/" / t-- --
23. Drop Tube /' Ý V
-
.. ¡ RECEIVED BY: ~.~...,O ~ V, 'j
RE~INSPECTION D :r;, ¡ ~,
, /' ~ "
INSPECTOR: ~~~'-
i
/
t:R~_ OFFICE TELEPHONE No."" 7% - 397)
FD 1669 ____
J
l~
,¡I" l i
/l: .~ ,.';i
"6 ;':':' '.; ~..,!!'
e
·-:a
. 0 fECGfEuW1~
... EMERGENCY RESPONSE AND TRAINING PLAN
DEALER: Livenl;!ood, Inc,
OWNER: SHE·
BUSINESS NAME: White Lane Shell
P,O, BOX 4023
STREET: 2600 White Lane
CONCORD, CA 94524
CITY: Bakersfield
WIC No: 0461-0568
DESCRIPTION
RETAIL SALES OF GASOLINE AND RELATED PETROLEUM PRODUCTS.
EXISTING UNDERGROUND TANKS ARE AS FOLLOWS:
No, of SIZE
TANKS (gal)
FORMULA SHELL REGULAR
1
10,000
MATERIAL CONST,
(STL/FG) (SWIDW)
FG DW
FG DW
FG DW
FORMULA SHELL PREMIUM
1
10.000
FORMULA SHELL PLUS
1
10.000
DIESEL
o
WASTE OIL
1
550
FG
DW
PRODUCT LINES:
MATERIAL: FG
CONSTRUCTION: Single Wall
All product lines are pressurized using a submerged pumping system,
All product lines bave in-line Red Jacket leak detectors which restrict product flow rates by more than 50%, Annually all
product lines are pressure tested and a test performed to assure the leak detectors are functional.
Impact valves are also inspected annually to assure closure.
Repair and/or replacement of all leak detectors and impact valves will be done annually at the time of inspection and
retested to meet the above test conditions,
... This document is to be kept current and placed at the site as part of the "Green Book" in the manager's office.
(revision March 22, 1995)
F:IHAZMATlSHEU._EBlfonm\UST -CVR.MRG
1
'CO "I", -. ~1>5
3/22/95
e
1995 HMMP SUPPLEMENT
.
----------------------------------------------------------------------------------------------------------------------------------
WIC#: 0461-0568
Livengood, Inc,
White Lane Shell
2600 White Lane
SITE PHONE:805 831-0502
, Bakersfield
, CA 93304
----------------------------------------------------------------------------------------------------------------------------------
EMERGENCY CONTACT PERSONNEL
FIRST CONTACT: Bill Hilterbran Manager SECOND CONTACT: Frank Quercia Manager
9401 Southwick Drive, Bakersfield 93312 I 25 Williams Ave #0, Bakersfield 93309
DAY PHONE:805 322-3122 24-HOUR PHONE:805 588-0352 I DAY PHONE: 805 831-5151 24-HOUR PHONE: 805-398-8997
--------------------------------------------------------------------------------------------------------------.-------------------
PUMP SHUT-OFF:
ELEC, SHUT-OFF:
\JATER SHUT-OFF:
GAS SHUT-OFF:
FIRE EXTINGUISHER:
FIRST AID KIT:
ABSORBENT MATERIAL:
EMERGENCY EQUIPMENT LOCATIONS
1-FRONT BLDG WALL, 1-CASHIER
2-\JEST INTR SERVICE BAY \JALL
IN SIDE\JALK ALONG EL POTRERO LANE
NONE
1-CASHIER, 1-UTILITY ROOM, 1-SERVICE BAY
1-CASHIER, 1-UTILITY ROOM
SERVICE BAY
----------------------------------------------------------------------------------------------------------------------------------
TANK INFORMATION
SIZE #TNKS MATERIAL SPLL OVFL TYPE MANUFACTURER YR
REGULAR 10,000 1 FG Y N D\J O\J CORNG 86
PREMIUM 10,000 1 FG Y N D\J O\J CORNG 86
PLUS 10,000 1 FG Y N D\J 01,1 CORNG 86
DIESEL °
\JASTE 01 L550 1 FG Y N DW 85
PIPING CONTAINMENT: Single \Jall PIPING MATERIAl:FG
TANK MONITOR ALARM: RONAN TRS76
SPLL = OVER SPILL PROTECTION OVFL = OVER FILL PROTECTION
DW = DOUBLE WALL SW = SINGLE \JALL
FG = FIBERGLASS STL = STEEL
----------------------------------------------------------------------------------------------------------------------------------
REGULAR
PREM !UM
PLUS
C02
CHEMICAL INVENTORY
MAXIMUM AVERAGE LOCATION
10000 3500 NORTH SIDE OF LOT
10000 2500 NORTH SIDE OF LOT
10000 2500 NORTH SIDE OF LOT
348 174 IN SALES AREA
-----------------------------------------------------------------------------------------------------------------------.----------
USED OIL
WASTE INVENTORY (if any) .
MAXIMUM AVERAGE THRUPUT LOCATION
550 0 0 NORTH SIDE OF SALES BlDG
----------------------------------------------------------------------------------------------------------------------------------
LOCAL·REPORTING AGENCY: Bakersfield Fire Department
2130 IIGII Street, Bakersfield, Ca 93301
805 326-3979
.;:]'-;;;;;¡
':f-.J::: -<:"r,!':.t"l"~
e
~ .
WlCN 0461-0568
1
2
3
4
I'-
I'-
I'-
5 ---! I
w
I-
a 10
~
6
7
~
.;
~
--0 L
o )7
~~
~~
o ~
(' .A
%
~
\
I
.... ...
... ....
....
WHITE LANE NORTH
a CD
TEXACO SERVICE STATION
9
A J
FULL SERVICE STATION LEGEND
<e:âQ) EMERGENCY PUMP .. MONITORING WELLS SITE
SHUT-OFF b. OBSERVA~ON WEllS PLAN
<® ELECTRICAL PANEL (£) WHITE LANE SHELL
SHUT-OFF ANTIFREEZE
<® NA lURAl GAS ® BA TìERY STORAGE 2600 WHITE LANE
SHUT-OFF
@ WATER SHUT-OFF ® GREASE (BARREL)
~ TANK MONITORING ® MOTOR¡'TRANSMISSION
ALARM OIL BAKERSFIELD, CALIFORNIA 93304
0 TELEPHONE ® A.G. PRODUCT TANK
9Þ FIRST AID KIT ® U.G. PRODUCT TANK
~ FIRE EX~NGUISHER WlC# 0461-0568
~ STORM DRAIN @ SOLVENT SINK
m OIL/WATER SEPARATOR @ U.G. WASTE Oil TANK ~
® EMERGENCY 0 SHELL OIL COMPANY
ASSEMBLY AREA ABSORBENT
HMMP HMMP. AND MSDS €?
MSDS LOCA~ON WASTE OIL FILTERS
® HOIST (SÈRVlCE BAY) @ WASTE AN~FREEZE IUAOBERT H. LEE "ASSOCIATES, INC.
Ö FIRE HYDRANT @ ARDiITECTURE ENGINEERING EN\IIRONMENTAl SER\IICES
FENCE WASTE BATTERIES 11~ No McOOWElL ØCM.£VARO PUAI..IJUA. CA M9ð4. (707) 7U-181O
*""*
L il
IS,
. Permit to Operate
. Underground Hazardous Materials Storage Facility
3-D
~ ((10 (7c.
S t· t I D N ð ( ~ <l q,,;;:;;;tt;;:::;,;;:';':::/::':'::::i}:::::::::'};:":::::::;:::::>:::>:):;;;::";:;;"",,, P · t N
a e 0 0 -, . "'.;'.'::'.'::'..;:' .:'::,: '.:'..'-:.'-:::''-.::;'(''-;::':':::.'':::':;:;:::;.;:''.::,,;..:;':./'.../.../',:.;:;';'::::::.;... arml 0
.... ,-. . '. .. ....... ....., . .' . .. ....
Tank
Number
I I
Z.
~
6-
Issued By:
Approved by:
~
Hazardous
Substance
pr~""',v\- ulL-
(j.,...1~J~J PI...,,>
(2c~...-kr u(e..
L-J c. ".(,e:_ 01 \
Piping
Monitoring
(Ð~..n ;:1 ......q.,... . ..., ... ,,,,,, --wr C <:':-1. ,. " ...L.J F ":'I~
w. -:¡ <!. >~ (..j t:.,
ALÛ
At')
;.;..... ':. . .
(þ:/þc<p,:1
(~f~pO ::::
1l::~q
pr..- ':;. ~,y;.-
/:1r"C Ç',vI ~
/(\ L D
.,
., ,q··þw,ç-
P/\ :f &/::',:::::/ ~ LA) (:
(§./è. J, -11
, "'fA
...:.:.:.:......: ....
... .....
... ......
.=:::;:... ....:\. -\L ::::: ..i«:;':';,·;...
\"~~~~ÎF(·~t';F~~H]¡;~SU:d To:
'.: ..;........ ,,:.....~~:...:..:. .. ":';:::::'::~::'...... :.:..:......::..:::..: X .: .= ,::.}:::':-"
Bakersfield Fire Dept.
HAZARDOUS MATERIALS DIVISION
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
(805) 326-3979
Ï)G( L , v é:v" 4 ðc)cf
c'\) L.\ ,-( c L ~ /.-\"~ S I" ", (I
'2 <De> 0 ( ..J /.\,.t" C v\
. ,
. . . .
..
.'. . ,: .....:..".
. . . ..........
.................
Ralph E, Huey, Hazardous Materials Coordinator
Valid from: ~tyt ((7::.1 to: JvC I 1'1
,~._.................-,_....._-........ __.u '" ~._
..~ .... ........_:~~-".....~,- .-,-
_. .._,..... -.#-..0.....--<--:-..... ..-.
t, _ 'ï
CERTIFICATE OF UNDERGROUND STORAGE TAN 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
IIDE
..
OpclJe
~pvk
f!
¡,t ~
TEST TYPE: VPLT
TEST DATE:
INVOICE DATE:
February 16, 1995
WORK ORDER NUMBER: 91U55
INVOICE NUMBER:
CLIENT: SHELL OIL COMPANY
ATTN: KAREN CLARK
P.O. BOX 4023
CONCORD, CA 94524
ATTN: KAREN CLARK
SITE: SHELL 0461-0501
2600 WHITE LANE
BAKERSFIELD, CA 93304
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
1 ~ED 0.009
2 PLUS 0.000
3 SUPREME 0.015
4 WASTE OIL
P
P
P
YES
YES
YES
PASS
PASS
PASS
NDE 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.
NDE Customer Service Representative:
FRANK MILLER
Test conducted by:
JOHN MASON
Reviewed:
e ?,) ~\-
/~
Te Ician Certification Number: 1073
~-" ..' .- . ~. -... --
.. ~_.._.......,,_._..~~-..... -,-'-~ .
INDIVIDLtt TANK/LINE/LEAK DETECTOR Titr REPORT NDE
NDE ENVIRONMENTAL CORPORATION ..
TEST DATE: February 16, 1995
CUEN~ SHBLL OIL COMPANY
WORK ORDER NUMBER: 914455
SITE: SIŒLL 0461-0501
Tank ID:
Product:
Capacity in gallons:
Diameter in inches:
Length In inches:
Material:
Tank:
Manifolded Vent:
VIR:
¡....'.'....'....'...'.."
"""""""":";"""",,,,,:,.,-,.,-,
:':::'=":"=,=,:,:::,:::::,::::,,,::"':":
"-':"':":-":"':":"""":':':::"":::::'::':":':::::::::::::::::::;=ki:
.....-..:.........;..-....:-..,--..,-....":
,.:.'.:.'.:.'.:.:.:-:.:-:.:-:.'.:.:-:.,..,.-'-
:;":::::::"::::::::::::::::::::::::::::':::::::::::::::::::':::::::::::::::"';;";:)':;;:;:':~::::::':;::.:: :.:.:-,...-,;-:-:.:-:::.:::.;::;;.; :,;.:.:.:,:.
.'.~
1
Bottom to top fill in inches:
'Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
176,0
184,0
84,0
4,0
DUAL
BALANCE
UNLEADED
10,000
92.00
352
1M FIBERG
NO
NO
NO
.:-:;::.);,,~~:;.:.:.
:mm:m:m:m::m:m:::n
,:~~',:};m .·.···.···}¡;:;:;;'::';::;;:;::;':tt'j¡ ......... ","""'" .. .....
""""""""""";;"·1
..~
Test method:
Psi at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
RESULT:
":";",;i¡,':øOMMemS
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT:
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
[.".;'.':'\;..'.'.'
.........
..... . . .. <.,.,.~
':ti¡Qt)MMENTsm
......,..........
0,00
New/passed Failed/replaced
detector detector
Test method: FTA
Make: RED JACKET
Model: D,L,D,
SIN: 40288-0636
Open time in sec: 3.00
Holding psi: 22
Resiliency cc: 260
Test leak rate mVmin: 189,0
Metering psi: 10
Calib. leak in gph: 3.00
RESULT: PASS
SURVEY
...'...'...'.-...........-...-....-.........:...................
::: :;r~ ~;~:::::::::::::~:~:::::~:» ::'::::::::::::;: .::
;}}"QQMMeN1;S,'}':
--~Ll
:-:::':-:':':':-:-:':':"
::::~r~r~::::::t:~~:~m::j::m:::)
.... ........._,
OK,
.......
Material: FIBERGLASS
Diameter (in): 2.0
Length (ft): 80,0
Test psi: 50
Bleedback cc: 14 0
Test time (mín): 30
Test 1: start time: 09.63
finish psi: n
vol change cc: 12
Test 2: start time: 09.53
finish psi: u
vol change cc: 5
Test 3: start time: 10.03
finish psi: 50
vol change cc: 0
Final gph: 0,009
RESULT: PASS
Test type: P'l'K-88
Pump type: PRESSURE Pump make:
~:=:::?::~;:;:::::~::~:~;:~~::;:~:,;.;....... . ..... ::::::::::::::::::::::::::}:t;,:;:::::::::::: :::~t}(}:~(~)}}{CØMMENT$r ::::::::::::';:::;::::'~"::'
::{:>~::<::{{:::;:"';::,{<::::::::::::::::::):,:;,::',;:
.. ····1
::;,:-:;:.::,:/;:,\,::,}:.::;:::::.,,::::=:
...... .............,.:..:.:
RED JAC1Œ'l'
~'~'I
."..~.0 I
8906 WALL STREET SUITE 306 AUSTIN TEXAS 78754 512 719-4633
_ ....__.'"-"...........f<.... ____....__....._.... ~..._..'E. ._~
.._.t.:;"_.__,'--"-.__'........_40.:......._~"""-";... _:. ._.~<..~. _. _'"__
INDIVIDUeTANK/LlNE/LEAK DETECTOR TA: REPORT tiDE
NDE ENVIRONMENTAL CORPORATION ..
TEST DATE: February 16, 1995
CLIENT: &BELL OIL COMPANY
WORK ORDER NUMBER: 9144 5 5
SITE: SIŒLL 0461-0501
Tank ID:
Product:
Capacity in gallons:
Diameter in inches:
Length In inches:
Material:
Tank:
Manifolded Vent:
VIR:
::::·:::::~;,;f/::':;:::;·::::::::;·;:·:: :-:':::':-:':':':':-"':-:,:,:,::::::::::::::,;,;::, ..~
,,::::,:~:"::': .:....<.:.:.:::::::::::::::::.,:::::':::::::::,':,::;,:':';::'::':::':::;:~:'~;::
...................,..
:::"::::':"':':':':':':".:,:.:.:.:-,.'.>:,:.:-,.'.',....
Test method:
Psi at tank bottom:
Fluid level in inches:
UFT 10FT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
RESULT:
·.·.w········
"'->
:'::icOMMems
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT:
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
I-~
.~..
::;rWCOt\lMENt$:·r
2
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
PLUS
10,000
92.00
352
DW PIBERG
HO
HO
HO
::::::::;,;,:,;,;:,:,:::::
............................................~N1tS
m{?mmr:/@tHftt..~:.::-.':':,:..-. .... ':';'" ,',': "'" L.-.;' _':.::
.....,..........;
Jàf1it]~¡Iff¡:¡¡~ :::::~:: ..':;:;:;:':<:?'::WJ:
..
::,',::,:~,;;;:;~;œ::
:;:::~:;,::;~:::,:
.:::;:::;,:::-:;:::::,'::::,:::;,;:::::~;::::'::;:::':~:
0,00
Newlpassed
detector
Test method: P'1'A
Make: RED JAC1Œ'l'
Model: X.L,D,
SIN: 10394-7371
Open time in sec: 2,00
Holding psi: 21
Resiliency cc: 220
Test leak rate mVmin: 189,0
Metering psi: 10
Calib, leak in gph: 3,00
RESULT: PASS
t:·";:.'f¡IfIm:¡'I'Wmœ¡~eN'TSr
SURVEY
..-.-.-...-...--......-.-..........,.-
...-.................,...'...._....<...,_....:.:...-..'........-...-..,......,.,.,............
,:.:::,::'.::::::::::-:,::,:;::;:::>::;::,::::...;:.:.:-:::.:.:.:-.......... .
Material: FIBERGLASS
Diameter (in): 2,0
Length (ft): 80,0
Test psi: 50
Bleedback cc: 130
Test time (min): 30
Test 1: start time: 09150
finish psi: 50
vol change cc: 0
Test 2: start time: 10100
finish psi: 50
vol change cc: 0
Test 3: start time: 10110
finish psi: 50
vol change cc: 0
Final gph: 0.000
RESULT: PASS
Test type: P'l'K-88
........, "1W'!<1 Pump type: PRESSURE Pump make:
I~ ~W·'" ... ............~_._-
:_C..... .. . __.__
8906 WALL STREET SUITE 306 AUSTIN TEXAS 78754 512 719-4633
175,0
183.0
83.0
4,0
DtrAL
BALANCE
.. :.:.:,~ :...:.:.:.:.:.:.::::::::,:::",:::,:::~;.,.:.; "":'::::~
:::,:::::::::::::::::{;I,,:,::::::;:;::::::;:':':':::':.:.:.......:-......... ..
CI
..............
Failed/replaced
detector
. '..
-~.
", '::.:.,.:;:.:~;::~:.:;,;
RED JACIŒT
:;::::::::<.~:;:~:';:
i01
..>....
':;::;;:::,:;:::,::,
::::'::::::;::::::;;:;::":::::::;;:;~':';;
.~.........( -....-.......---..'--'.- .~- ¥ -'¥
u ~....l-..:,,- ......,.......... _. --:. '._ _.._ _...... ....._ _ .:-
INDIVID TANK/LINE/LEAK DETECTOR T REPORT
NDE ENVIRONMENTAL CORPORATION
NDE
..
TEST DATE: February 16, 1995
CLIENT: SHELL OIL COMPANY
WORK ORDER NUMBER: 914455
SITE: SHELL 0461-0501
Tank ID:
Product:
Capacity in gallons:
Diameter in inches:
Length in inches:
Material:
Tank:
Manifolded Vent:
VIR:
I~"~~-
3
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage II vapor recovery:
175,0
184,0
83,0
4,0
DUAL
BALANCE
SUPREME
10,000
92,00
352
DN FIBERG
NO
NO
NO
.:.;~.: Y:::::n:::~,:::::::::':::':"
..... :;,,~:',~;,{, .:.:::-;.:.:.;.:.
';Ii'::t¡~N:r$
),:;¡¡¡'m::¡'¡?I?:¡¡:;'"
.:.:.,.:.:.:.:.,.:...:::.,:;.:.::::::::..........
:;:;:':":::::;:~:'::;?:.
-"1
:::::'::;-:::::"';':":
.;,;.:;:;::::::::::::::;.;.........
.............,',.........
y::~\?::;:::;;¡:œgtf?w·
w
::;:;::;;,;~;{;,,:;:;:,:,,:::::.:
........... ,.
Test method:
Psi at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
RESULT:
···;;:"!i',ØQMMeN"fS');¡:¡¡!i
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT:
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
r--
New/passed Failed/replaced
detector detector
Test method: F'l'A
Make: RED JAC1Œ'l'
Model: X.L.D.
SIN: 10394-7372
Open time in sec: 2 , 00
Holding psi: 24
Resiliency cc: 240
Test leak rate mVmin: 189,0
Metering psi: 10
Calib. leak in gph: 3,00
RESULT: PASS
0,00
SURVEY
:.:.:.-.-.:.:.:.:.:.::,;,,:;;..::.:::::::::::::,:.,.;.
::;~;:;:,,;~{{:::::t>:~
Iitt@¡m:m:m:r:::::':ji
··············COMMENTS·
.,.:.:.:.:.:.:.....;.:.._.. .: - '-'-'-, :-:
.,....-........_........... '-'. .", -,.
;;::::::;:;::';::':::::..,.....-..... -., ',,:.::,': ".
:.;.;.,.'.,.,.:.:.:.;.:.;.,.;.,.:.:.,.:.:.:-:.:.:.:.:
::::::::::::.:::..,::::;::.;.:::.:;::::::::~;;::;;".
·.w.·......·...·...
Material: FIBERGLASS
Diameter (in): 2,0
Length (ft): 80.0
Test psi: 50
Bleedback cc: 145
Test time (min): 30
Test 1: start time: 10.25
finish psi: u
vol change cc: 20
Test 2: start time: 10.35
finish psi: <lIB
vol change cc: 8
Test 3: s1art time: 10.45
finish psi: 50
vol change cc: 0
Final gph: 0.015
RESULT: PASS
Test type: P'l'K-88
Pump type: PRESSURE Pump make: RED JAC1Œ'l'
--, -- ""'" -"" ~,"~7i '"*'"' I
,;"""",,,,,,rr,,,,,,,,.r''''''''·''''''·l
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,.,
8906 WALL STREET SUITE 306 AUSTIN TEXAS 78754 512 719·4633
. ~.-....J':":..:.....J,...._._~,_.
_.-=-::~._ _".........",.. .... _ __ _~~._. ,," ,.........ok- _
INDIVID~ TANK/LINE/LEAK DETECTOR Ta REPORTNDE
NDE ENVIRONMENTAL CORPORATION ._
TEST DATE: February 16, 1995
CUEN~ SHELL OIL COMPANY
WORK ORDER NUMBER: 914455
SITE: SHELL 0461-0501
Tank ID:
Product:
Capacity in gallons:
Diameter in inches:
Length In inches:
Material:
Tank:
Manifolded Vent:
l'b~~=
."""" FILL LOCATBD IB _.
4
WASTE OIL
500
48.00
66
1M FIBERG
HO
HO
Bottom to top fill in inches:
Bottom to grade fill in inches:
Fill pipe length in inches:
Fill pipe diameter in inches:
Stage I vapor recovery:
Stage" vapor recovery:
:::::::;iiit;M~mm
[]&~f~~iiir1M[t[[[[ ...,
';:::':'"
....:.:.:.:.:.:.:............,:;....
,:,:::,:::,:,:::::,:::,:::,:,',:::,:~~,:,',:, . ....-.-.-:-.
:,::::::>::",.;
HONE
HONE
....:.:.:.:.;.;~:;.,
'~1
......-.........,..,.;.,..,.,
.w.'.·.·;~,··.'.
"b:"::ii:1;" ",,,,q:,,,,,,,,,
Test method:
Psi at tank bottom:
Fluid level in inches:
UFT/OFT:
Fluid volume in gallons:
Water level in inches:
Test time:
Number of thermisters:
Specific gravity:
Water table depth in inches:
Determined by (method):
Leak rate in gph:
RESULT:
.""""""""" .............. IIC~eNTS@;;i;!
0,00
New/passed
detector
Test method: F'l'A
Make:
Model:
SIN:
Open time in sec:
Holding psi:
Resiliency cc:
Test leak rate mVmin:
Metering psi:
Calib. leak in gph:
RESULT:
:,']jCØMMENTS"If'
SURVEY
_. ..... ·tmMt;i;~;::,:,:,:,
"""':"';';'.,.;.,.;.;.;.
";';':::::':':";::~:;:;:;
:.....,.....,.;...
Test method:
Test time:
Ullage volume:
Ullage pressure:
RESULT:
DATA FOR UTS-4T ONLY:
Time of test 1:
Temperature:
Flow rate (cfh):
Time of test 2:
Temperature:
Flow rate (cfh):
Time of test 3:
Temperature:
Flow rate (cfh):
Material: FIBERGLASS
Diameter (in): 2,0
Length (ft): 15,0
Test psi:
Bleedback cc:
Test time (min):
Test 1: start time:
finish psi:
vol change cc:
Test 2: start time:
finish psi:
vol change cc:
Test 3: start time:
finish psi:
vol change cc:
Final gph:
RESULT:
Failed/replaced
detector
"
::~:,},,:,::}:::;:
¡."",
.....~,.,.'..: ..:. ~..': .....'-:'...
......................
Test type:
æ1 ~~=;::~...
M"'I
. . .
':'@OGNJ.Œ'm$III
{:::mm:::mHHt\(,
8906 WALL STREET SUITE 306 AUSTIN TEXAS 78754 512 719-4633
...
.n --..._-"~,.-.o _... .... _"T'_ L ..
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e e
NDE ENVIRONMENTAL CORPORATION
8906 WALL STREET, SUITE 306
AUSTIN, TEXAS 78754
(512) 719-4633
FAX (512) 719-4986
IIDE
..
TEST DATE: February 16, 1995
CLIENT: SHELL O:IL COMPANY
WORK ORDER NUMBER: 914455
SITE: SHELL 0461-0501
COMMENTS
PARTS REPLACED
1 F:ILL CAP
HELIUM PINPOINT TEST RESULTS (IF APPLICABLE)
-
e
SITE DIAGRAM
NDE ENVIRONMENTAL CORPORATION NDE
8906 WALL STREET, SUITE 306 . .
AUSTIN, TEXAS 78754
(512) 719-4633
FAX (512) 719-4986
TEST DATE: February 16, 1995
CLIENT: SHELL OIL COMPANY
D
N
OLIVE DRIVE
000
VENTS
WORK ORDER NUMBER: 914455
SITE: SHELL 0461-0501
~
~
o
REMOTE FILL
WO # 914455
SHELL STORE
#0461-0501
2600 WHITE LANE
BAKERSFIELD,CA.
D
MPD
D
MPD
MPD
D
~" ,
MenTOR SYSTEM CERTIFICA-eN
NDE ENVIRONMENTAL CORPORATION
Test Date: 02/16/95 Work Order #: 914455
Client: SHELL OIL COMPANY Site: SHELL 0461-0501
AnN: KAREN CLARK 2600 WIDTE LANE
CONCORD , CA, 94524 BAKERSFIELD , CA, 93304
Overall System Operation
The pumps; Shut down automatically if the system detects a leak, fails to operate, or is
electronically disconnected. [ X] Yes [ ] No
The system has functioning audible and visual alarms. [ X] Yes [ ] No
The circuit breaker for the system is properly identified, [ ] Yes [ X] No
The system is certified operational per manufacturer's performance standards. [ X] Yes [ ] No
Product Tank Monitoring: [ X] Double wall [ ] Single wall
Make: OWENS CORNING Model: OWENS CORNING
Type: ANNULAR SPACE LIQUID PROBE How many: 4 Operational : [ X] Yes [ ] No
(Automatic tank gauge, annular space vapor probe, annular space liquid probe, hydroguard system,
vadose zone monitor well, groundwater monitor well)
Comments:
OWENS CORNING OOUBLEW ALL FffiERGLASS WIm WET ANNULAR.
Product Piping Monitoring: [ ] Double wall [ X] Single wall
Make: RONAN Model:
Type: ELECTRONIC LINE PRESSURE SENSOR How many: 3 Operational : [ X] Yes [ ] No
(piping sump liquid sensor, piping trench liquid sensor, electronic line pressure sensor,
mechanical line leak detector)
I CO~OŒ I
Other Monitoring Systems
Make: VEEDER-ROOT Model: TLS 250
Type: AUTOMATIC TANK GAUGE How many: 4 Operational: [ ] Yes [ ] No
Comments:
NOT OPERATIONAL FOR QUITE A LONG PERIOD OF TIME,
Technician: JOHN MASON Technician Signature: ~e //~ .....
\..
. ,^ ~ ., - '"'~._~.
,'- 6 ,"
e
.
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SERVICE STATION MONITORING SYSTEM CERTIFICATION
STATION ADDRESS: 2600 WHITE LANE
CITY: BAKERSFIELD, CA
WIC#: 0461-0501
Tank Material:
Tank Type:
Line Material:
Line Type:
Waste Oil Tank Type:
[ X] Fiberglass
[ ] Single Wall
[ X] Fiberglass
[ X] Single Wall
[ ] Single Wall
[ ] Steel
[ X] Double Wall
[ ] Steel
[ ] Double Wall
[ X] Double Wall
Fibersteel
Flex Line
Trench Containment
Above Ground
TANK..MÔNITÔRì:Ñê§.sYš~ïÊM:.··; .·····êER~[fi.iÊD: ......................................................·.Û·.·](;)þERXnGNAE·.....·.·.· ··ÛXj·Ñ'(;)Ni.ØæR:ATîÖÑAû.i.·····\··············
QTY TYPE POSmVE * FAIL * OPERATIONAL MANUFACTURER
SHUTDOWN SAFE MODEL NUMBER
Inlerstitial Monitor
4 [Xl Wet [ 1 Dry Annutar X Yes No Yes No X Yes No OWENS CORNING
4 Electronic Tank Level Monitor Yes X No VEEDER ROOT TLS 250
0 Vadose Monitor Yes No Yes No Yes No NA
0 Fill I Vapor Recovery Riser Yes No Yes No Yes No NA
All Monitor Visually All Underground Product Tanks Are Monitored Using Inventory Reconciliation,
· Positive Shut Down and Fail Safe are NOT required under Title 23, Division 3, Chapter t6 of the California Code of Regulations,
~í\.$rnøfiJ·;:MÖ~º~~SYSj'E:M#ØEJ:{þt~:··.!..··.?·········.··.··.[... ·.·····.].·.··..ºp~j'íöNAE..····· [~]·NÖN'tQPERt\j'îÖN$.ï:y
QTY TYPE OPERATIONAL MANUFACTURER
MODEL NUMBER
Inlerstitial Monitor
1 [X] Wet [ ] Dry Annular Yes X- No OWENS CORNING
0 Fill I Vapor Recovery Riser Yes No NA
Monitoring Visually Inventory Reconciliation: Yes No
JP~·MöNì'tºRì:NG..·SySTEM'..·2 ·GERj'ît'Ü~b·: .[~lØp~tßÖN;.\î;r .a ~ØNfØPEMTIØNAE>·····
QTY TYPE POSITIVE FAIL OPERATIONAL MANUFACTURER
SHUT DOWN SAFE MODEL NUMBER
3 Mechanical Leak Detector X Yes No RED JACKET,
Electronic Line Pressure Monitor Yes No Yes No Yes No
Electronic Line Pressure Monitor
3 with Mechanical Leak Detector X Yes No Yes No X Yes No RONAN
Electronic Tank Sump Monitor Yes No Yes No Yes No
Electronic Line Trench Monilor Yes No Yes No Yes No
I CERTIFY TIIAT THE ABOVE CERTIFICATION INFORMATION IS ACCURATE AND TRUE.
SIGNA11JRE:
~-e
JOHN MASON
7.1~
, -
COMPANY: NDE Environmental
PRINT NAME:
DAlE: 02/16/95
Rev: 12131/94
Page 1 of3
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Environmental Systerns~ Inc.
P. O. Bo).: BQ\'-¡.c:7
Bakersfield! CA 93380
(1305) 393-2212
, ,6~~
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---------.---.....-..-..--..-"----.--.-------
SITE RESULTS COVER SHEET
-------.-----.------...----------.--..-
TEST LOCATION:
SHELL OIL
2&121121 WHITE LANE
BAKERSFIELD CA 9331214
1. D. ::þ
DIST/REG
ENG./CONTACT
2tZ1'+øLtE\ 1121568
Lr~ EAST
CINDY PfètDDEN
TEST DATE = 1217/1218/92
TEST TIME 1219:121121
W/O
168;:~::5
COUNTY \-1,. [
TECH
~~
B~JH
681 Lt2
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ASSOCIATED ENVIRONMENTAL SYSTEMS, INC. HAS TESTED AND CERTIFIES
THE t7."OUJ)(,.) I NO :
Certification # 9216623
---------------------------------------------.--------------.------.---------.---
Tank
PRODUCT
TANK
P F~ODUCT
LINE
L.E("¡K
[)E~TECTClH
-----~T-----------------------·----------·--------·--·-----------------.------
1 87UL NIT pnS::3 I=tA S S
i:i:: 89UL NIT Pi='6S PASS
:3 92UL NIT Ç)I::-1S~; P i='~ GE:;
4 lo-J/O NIT
5
b
INTERSTITIAL MONITOR~
PRODUCT LINE MONITOR:
WASTE OIL MONITOR:
87UL P/L :::: '-.1211219
TECHNICIAN: BRUCE
-¡ê.j¡::J I 'J F;Ui"JnN-·'
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89UL P/L :::'- .'.. ØiZ1:3
HINSLEY O.T,T,L. 91-1iZ169
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···OPEt~f:::¡T IONnL·,,·
-[lPE RAT I OI\j~¡L-
Cji=:UL P/L :::: ··-.øtZi3
---------------.----------------------------,-.--.-----..-.------.-------------------------
ANY FAILURE LISTED MAY R~QUIRE NOTIFICATION OF AGENCY.
.",
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Recertification Date Recommended:
1217 i':")3
.-,--..-.--..--.----------.---------------------
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I NVO I CE ?H)DFŒb~3:
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Contact: : Contact: . : Test Date:
___.."_____..____.,,,_.___"'_,_.__..__, : ___.._______""_____"""..,....,,,,121..@,C__,......__.._____.,...._,,,.._,_".... : ..,......_..,.."",,_...,..,_.___...._,_,_Z=_'l..-fZ:,.._,_
Phone: : Phone: ~ : Test Time~
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EMERGENCY CONTACT:
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HYDROSTATIC PRODUCT LINE TEST RESULT SHEET
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HYDROSTATIC PRODUCT LINE TEST WORK SHEET
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DiviØe the volume differential by the test time 15 minutes) and
multiply by 0.01583119 which will convert the volume differential
fro~ milliliters per minute to 8allons per hour.
'The conversion constant is found by :
(60 min/ht') / (T190 ml/!]",\l) ::::: U.. 01~7iH::;;;11 (min/h,·-') (g¿:\l/inl)
The conversion constant causes the milliliters and minutes to
c'·:::·\nc:el out.
Ex. If the level dropped 3ml in 15 minutes then:
...
.:~;/15 i1Il./minn,;"~ O.O:L5a.311 (min/h1"J <::],:;\1/1111) =" 0..00::::; ~3,:::\I/ht..,.
RESULTS OF THIS WORK SHEET TO BE COMPILED ON RESULTS SHEET.
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EEE:r::: FEEt:::
__, __ ._, (__ - ,_' ,m _,
bb~::;\"' :::;~:::;:';::'
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Associated Environmental Systems? Inc.
{::'iE:~:3
t_EA¡~~ I)El-E(:~l'OF~ F~ESUL.l·S
D p¡ T E : ----'''Z---:::.:Jl.:-i.2::-.----------'---
. SIT l:;: AD D F:~ E ~:3~:¡ : _.:2S¿f..ic;Z~Zi.R':,:,~~:.2,:i~;:,~:.~:::'::',':::,~,::,~,:':.~:~~~::~~:::=::~:',~,~=,~':.~:~==
,ß~r;;J~~£Lt'L~~L~3,.:_,_,_..____.,_,______________,_,.______,-.
T I::: C I·,·j \j I C I {.~ N : ,:::;;!l.f..-k.,_._H,~____,..___,.,.,____'_m___.'_,_.
ltJ / U~* .__l.Ç;L~Z:_3..___._____
VJ I C ~* _£&.,'ß?..!LE.LtJ5:.,€..L____
***~.**~.****************~.**~.****.~.*~"**~.***~.*~.***"~********.~.**~.**~.~.*********.******
P F\ ODUC T T Y P E : .___<g2_v.L..,(:.,,__,_.,.._.,_,_.__._,_,.____
TYPE OF LEAK DETECTOR TESTED (CIRCLE ONE)
@ P L D X L F' CJ T 1-,1 E: F\ __'m'_m'__'._____,__,._______
(fr;' () rZ ,- [I ç. J f.
SEF, I ('·~L NUlvIBEF,: ¡.,
--.-...-...-......---......-.-......--....-..................
¡'"'F.·-S I [J'lJ(" I VOL U"1"- D-'? 1"'1
.'\ ,:.. ,-~ ,-- - I ::_ ..,_---7-_~,_"''"'__,_,_,_._.. _" 'I .." ..
I:: U L I (') P F F\' r:} '1" I· ¡--,. G I:::' p .::' c~ c t' J F~\' ::~ ;Z .(;
_ . ._. ,,' "I .. I:..............J.. .._ ...._.__...._..._.~.~_.__.........._._.........._
FUNCTIONAL ELEMENT HOLDING PRESSURE
r.1E·"E-'""·"¡'I"" -'''¡IVII''- ,,...-;7 ""¡-"·C-'
I· -', ,- "\1 ,L:i I::, / t:H::, _.
IVI E T E ¡;: I 1\1 G ' F' F< E S f3l.JR E~ -..==Z~~~~=~~_...'"',....___._._......_, ¡:::, ~~; I ..
F'E>]: II
·'2-2.
¡::'E1:r. :;
.........-...........--...-...-.........-...-...-....
INDUCED LEAK RATE OF 3 GPH @ 10 PSI USING RED JACKET FTA
LEAK DET'ECTOf~ DID RECDGN I Z E :~: [ì¡:::'H L.I:::rÜ< @
LEAK pET ECTOR DID NOT RECOGNIZE 3 GPH LEAK
F'{"\IL'
REPLACED FAILED LEAK DETECTOR? (CIRCLE ONE
YES
NO
******************************************************************************
TYPE OF NEW LEAK DETECTOR
DLD
PL,D
XL,P
()TI"'IEF~
..-..................................-.......
SERIAL NUMBER OF NEW LEAK DETECTOR
....-.....-.-...........-.-....--....--.-.--..-..-..--.--.-.---..
LEAK DETECTOR DID RECOGNIZE 3 GPH LEAK
¡:::'(.~if:;S
LE?H< DE::n:':CTOFï: DID NOT FŒCOGNI ZE :::;; G¡:::'H u:::rH:::
¡:~- (.~I I L_
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Headquarters P.O. Bex 80427, Bakersfield, CA 93380 (805)393-2212 (800)237-0067
3651·PegBsus Drive~ Suite 102 Bakersfield? CA 93308
,.
I O;Õ;'-.:J '"-1. ;..":)...... ;..1 J.J I .1,,"'- '';;:; ;,J ....1...... .1. '..: i:::
I...' -;;;.. I·'. ~.:;: f =:) I .L "',~: .L \,.1 '} "-.0 n r ....1..... '.... ....1
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(-i ¡:.') A {"ì (.'.¡ P¡(·W1 A
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Associated Environmental Systems, Inc.
(.\[[:¡
LEAK DETECTOR RESULTS
DA TE : __. 7- g- 9'£_.____,_....__
l1J / O~* __L~ ?IZ:.:J-"-__.__
SITE ?'iDDF;;ESS:
~\J I C~*
....-...-.....-.-..-.-......---..-
_...._-----..........._.._..._..._._.....................~......._..._............-....-...........
.-....-..-.----.....---..---....-.....-.--............-.............................-.....--...-.............-...-....-.
-.....-......--.-...----..--....-.-.........-....................................................................-.......................-...
TEO-I\¡ I C I (."11\1:
__::Li?f..~11.,.__,....,_,_...,_,._.._.._,_...
************~.*.~*~.****~.****.~.~**.~..~~..~.**~..~*~.~..~*~.**.~.~.~..~.*.~.*~.*~.**~.**~..*.***.*.~.*~.*.~***.~**
¡::OR 0 D UC T T Y F' E: :: __.,_,CZ~'_m.~~~.m__'._.,._....'m.__.'_.,.
TYPE OF LEAK DETECTOR TESTED (CIRCLE ONE)
~ PL.. D x: L F' (} '1" I-I E F: ...,.,_.,._...,...._......,._.,
S E F:: I {.I L, 1\1 U ¡VI Ü ¡:::: 1"( : ._1::.J?_lff.CZ:::,2..:k22,;,m,m,
I::;: ES I D U ~~ L \)0 L. U j'1E __,_,__ZL2_.,..,...._..,..._._.,__.....,_. ivl L. "
::'ULL OPEF;~()l' I '-ICJ F'¡::;:EE;SURE:: _.....,_....2.=2...,._..._..,....,_.,.. ¡:::,,::; I "
FllI\ICT T r'¡\iP¡1 Fl Fl'cIFI\IT I,..r"¡ì D T ¡\F) i::'p¡:::-,::::,c;IIF"::' / (5"'
:~ ~~ ~~: ~~ ~~ ::~ :::: ;:~ ;~~ ~:: :j:¡~~ !;~ ,¡:::Î!:~·é~:~,::~~~~~:~~~:~:~::....~~:'~,~'.~,~:~~!,~::: .... F:: ;;;; :1. .....".......,...,....', ,'....,........,-,..........'....
¡::'E; I"
INDUCED LEAK RATE OF 3 GPH @ 10 PSI USING RED JACKET FTA
LEAK DETECTOR DID RECOGNIZE 3 GPH LEAK
~I--"....",J
(1::1 P1 ~::)_9
~-_.'
LEAK pETECTOR DID NOT RECOGNIZE 3 GPH LEAK
FrIlL
REPLACED FAILED LEAK DETECTOR? (CIRCLE ONE
YE:i3
(,iO
*****.~..~******~.****.*****.*.~.*~..~.*~..*..*.~~.~.*.*..**~.~.*~.*.*.~**.~******.~.~.*.*****~.*~.**~..***~.*****
TYPE OF NEW LEAK DETECTOR
DLD
¡:::'[_D
XL,F'
(::)1" IwlER
·.·..·..~....····.·...·.w.·..···.._···..········~.
SERIAL NUMBER OF NEW LEAK DETECTOR
.._....................~......_..............-............_...-.......................-.......-..-...
LEAK DETECTOR DID RECOGNIZE 3 GPH LEAK
¡:::, 1'::;'1 ~;::; ~::)
LE:(~< DE:TL:C'TOR DID ¡-\¡tiT F:E::COC;/\I J ZE: :'!; C,::¡¡::,¡../ LE::P¡i<
¡:::.p¡ IL,
Heacl9uartet~S F'.C:Jn Box 8()427, Ba~::ers·f:~elc¡~ CA 9338<:) (805)393--2212 (BOO)237--()06'¡
3651 F'eqasus D:'~ive~ Sl.lite 1(j2 Ba~~et~s'Field, CA 93308
I':
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RECEfVËO
3/()ÓI7
CJÞb
~'t
~ERVICE
-STATION
SERVICES
AUG l' 1991
~~)
County of Kern
Environmental Health
2700 "M" street, ste. 300
Bakersfield, CA 9~~01
~,-c- ~~.
Re: Product Line Testinq Results
Please find enclosed the product line testinq results for the
below listed Shell Oil Company service station sites within your
jurisdiction.
If you have questions concerninq these results, please contact
our office.
Sincerely,
~fŒ1 'Z
Larry L. G rdon
Environme al Group Manaqer
LLG/js
Enc
,r
\
r<
2600 WHITE LN/EL POTRERO
BAlŒRSFIELD
204-0461-0501
2122 S. ORAND AVE.. SUITE E " F . SANTA ANA, CALIFORNIA 82705 . (714) 548·1227
'i' 4_._
II:"I~ rm
~ NIl J,~
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e
Rssociated Environmental Systems~ Inc.
P,O. Box 80427
Bakersfield, CA 93380
(805) 393-2212
PߺDJ!~LJ.ANç__-=-!£S T
SITE RESULTS COVER SHEET
------------------------
TEST LOCATION:
SHELL OIL CO.
2G00 WHITE LANE/EL POTRERO
BAKERSFIELD, CA.
1. D. 4+
DIST/REG
ENG./CONTACT
20L¡·046 10501
LA EAST
JUL I E fYiC C1UEEN
TEST DATE
TEST TIME
7/17/91
Ø9:0Ø
WID
11+756
COUNTY
KE
TECH
#
PNH
88134
.....--.--..-.......-----
CERTIFICATE
-- -...---..---.. ------.-
ASSOCIATED ENVIRONMENTAL SYSTEMS, INC, HAS TESTED AND CERTIFIES
THE FOLLO!,.) I NG :
Certification # 911475&
.'...-------------------------------------------------------------------------
Ti:',nk
PRODUCT
TANK
PRODUCT
LINE
IMPACT
') PoL 1,1 ES
LEA~<
DETECTm~
--.---------------.--------------------------------------.-----------------
1 S/UL DI.-JF
'-. ~UUL DWF
.:::.
3___ REG, DWF-
4
5
6
PASS
PASS
--pASS--
PASS
PASS
PASS
PASS
PASS
PASS
INTERSTITIAL MONITOR:
PRODUCT LINE MONITOR:
S/UL,P/L= -.Ø02 R/UL,P/L=
WASTE OIL TANK MONITOR:
TECHNICIAN; PAT HARRIS
-RoNAN-
·--HONAN-
+.002
-RONAN-
O.T.T.L. 91-1302
riEG. , P/L=
-OPERATIONAL-
-I]PEliAT I ONAL-
ø,øøø
-OPERATIONAL-
------------.------------------------------------------------------------
ANY FAILURE LISTED MAY REQUIRE NOTIFICATION OF AGENCY.
---. - -----
Recertification Date Recommended:
07/92
---------------------------------
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Associated Environmental Systems, Inc.
P. O. Bc.x 80427
Bakersfield, CA 93380
(805)-393-2212 ,
BILLING ORDER
I'(lvoice Nllmbe~~
If7.5þ
....-----------------------------------------------------------------.-----------
.......-.----------.-- ---.-
INVOICE ADDRESS:
, TANK LOCATION:
I
I
1 J)re/( lJ}(~# ~tJ'Ið({tl.s-ðr
1
I
: ~tðt) t<J) fie-- /4 æ
I
: &k~¡;rd~ e.A.
3~f3'11 at ~,
/! a ß(Y;( if ytf r
j),41JJhle1t1¡Ú/ ?:l ðf/3
¡ Taken by:
,-----------------------
1 Date taken:
1
----------.-------------
I Salesman: Terr:
¡
- - - -- - - - - nm_ ----71 - -- -- _n__'.'_ ----
: __=:::=~:~:_=~.iÞ!~_n__,_
: _~:~~=:~~_,_.k_t¿_'n__,._n____
I Co. Not i fi(ed:
I______~----------------
I : P. O. :~: Ptt1,t/ß cX~7
-.:::~~':=~::~~J~l/~~jlë~~~~~ : ~~:-:~::~~-.~~~_.~_.-~~~_.~~~~~~~ : ~=::~~~:~:~_.~-~?i~f¿-~~
.n,i~.:ì~~,:_-=:,~_ _.f~~=rrz~-_~~~~_nn_"_' I, _.:~~.~,:::: ,:__,ft!..~ _ ~:!J~,~~~_~__' _':~:,:~__,-~ ~::__:___~ '~!'~'____h_'_
EMERGENCY CONTACT:
-.--------------.--------.---.----.-------.---.--------'"--.------------------------.------
PHDNE:
HYDROSTATIC PRODUCT LINE TEST RESULT SHEET
~-----------.._------------_._---_._-_._--------,---_.--.-----.------------.--.---------
1 1 START I END 1 TEST I VOLUME I I
I PRODUCT ! VOLUME I VOLUME ¡ PRESSURE ! DIFF. (GPH) I PASS/FAIL!
I ¡ , I I I
: ~:~~~~~:~ : ~~~~?~~~~~~ I ~~~~~~~~ : ~~~~~~~~~~~ : ~~~:~;~~~~~~~ : ~A~-;~~~~~ :
¡ -:;~~---- ¡ ----~~---- i ---~--- i ---~~~- i ----:~~---- j ~1~:--- ¡
__________ _________,____ _________ ______~'---- __________,__ __"'i!lc____.,__ .
1 DIESEL 1 - -, I -I I I I
1_________1___________1_________'___________'______---___/__________1
I OTHER I , 1 I I I
,---______1___________1_________1___________1______---___1__________1
I I
1 CONFIRMATION TEST IF FIRST FAILED I
1______-----------------------------------------------______________'
I I I I I I I
1 , I I IIi
--------- ----------- --------- ----------- ------------ -----------
I I I I I I I
1_________1___________1_________1___________1______---___1__________1
I 1 1 I 1 1
I ¡ I I I I I
--------- ----------- --------- ----------- ------------- ----------
~--_.~.-
------ ~-~-
TEST PRESSURE IS 50 PSI WITH LEAK DETECTOR REMOVED & IMPACT
CLOSED.
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Associated E1'wi1"'oYlme1',Gal Systeffls, Inc.
P. o. Box 80L¡27 I
Bakersfield, CA -~380
(805) --3'33'--221 i:::
'h
'.¡"
I nvo i ce Nur(be1"'___L1!.z~(Çf______
HYDROSTATIC PRODUCT LINE TEST WORK SHEET
.MH._.__.__________________________.______________________________________.______._____
¡TEST 1 PRODUCT ! START END I START END ¡ TEST VOL,
i NO. I I TIIYfE TIri\E' VOL. (MU VOL. (MU 1 DIFF. (lylU
1______1_________1________,________,__________1___________1________________1
I¡ ____1__ I, ---fA~'---n- : __.I!J'!!{?_, : ,_~_~_~~ : ___f7.______ : ____~t___.__ : __~"_~q~~_______,__,_ :
I I I I I I I I
I ___,_~__._ I ..__Lf¡~_.__, , __~f'?-?:__ I ___~~,~~._ I _____,~~______,_ I _._____~£_____ ___!~~~,-:£____,___,_ I
: _____3_,__ : --~.1~~--- : ___t.#l!_~: _..~~_~~_ II ,___ft:_t¿___,______ : _________~~_______ : ._-=~_~_º_,~____'___n_'___'___ :
i V 1 0' I I ¡ 1 I
! ( I ß tic. I tð;ZQ I /65'$ÇI :S1? ¡.s-b' I -,()O"l:.- I
------ --- ------- -------- -------- ----.------ --------.--- ----------_..--.---
;,__._~__: --Æft__, I, _~,!_~_L'-(.º_: __~~~.~ _,____~!'!.._,_____ ~.____~_.1._,____: __._=-~~~_____,__._,___ :
: .---~-- : _gF.f__,__.,: .__t~,_:~: ____~_(,:!~__: ___,___?::"1__,___,: ._.___.~_L,__.__.,_: ___~_~__._'__n_____'____._, :
1 I 1 1 I !
______1_________1________1______-- __________1___________,________________
I I ¡ I I
______1_________1________1______-- __________1___________1________________
I 1 I I
______ ---______1________1______-- __________1___________1________________
I I
______ ---______1______-- ________ __________ ___________1________________
¡ ,
______ _________ ________ _________ __________ -----______1______-,----,-----
¡ 1
------1--------_ ________ ________ _______.___ ___________,__________._______
1 I
I I
.-.----..--- ---.----.-..-- .-.----.....----.-. -.--...-.--.-.--- -- ...-.---.- ---...--......-.- ...-----.---- -.---- '--- -.---........-.... -.... .....--.-.-..--.---.
I 1
______1______--- __,______ ________ __________ ___________1________________
I
_.----- ---------
--"---'---
---------- -------.--- --.--------- ------------------
Divide the volume differential by the test time ( 15 minutes) and
multiply by 0.0158311, which will convert the volume differential
from milliliters per minute to gallons per hour.
The conversion constant is found by :
(60 min/hr)/(3790 ml/gal) = 0.0158311 (min/hr) (gal/ml)
The conversion constant causes the milliliters and minutes to
caY'lcel out.
Ex. If the level d1""'opped 3rl1l iYI 15 miYlutes then:
.. -.-- .3t.15- ml.-.Lf¡1-LI"I.~O. 015831·1- (·mudh1"') {Qa 11ml )..=- O.--O03_Q.ß..ILh1":'.---.
. ._--------~
RESULTS OF THIS WORK SHEET TO BE COMPILED ON RESULTS SHEET.
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Associated Environmental Systems, Inc.
P.O. Box 80427 ..
Bakersfield, CA ~BO
(805) --393-2212
'.-
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'-,
I '("IVO i ce Numbe'r~__~~2:.~jf________
LEAK DETECTOR TEST DATA
------------------------
TEST LOCAl ION:
---,. -;;;~~G!~J,-7_e_--r--'--- -------
===lr4~~'º~~~~========
HiCILITY :1*
CONHiCr:
PHOI'-JE ~:: :
TEST DATE:
::;ðt7ðtj'~ /ð.sëJ/
-- --¡;Z;¡Z:;:;Æ - - - - - - -' - -.- -- ,- --'- -. ,--.- ,-, ..- '-' -.- -' ,-,
- -'05"" - -- - ~- -- - -.- - .m__ - - -- -, -. -, - --- ---
__~.f(~9_~I::Jlª"?___.______ ,_ __m__u._ ___
---------------..----------.----.---
..-.---------------.-----------------.-------------"--------------------.------.---------.-.----.--.
¡ PRODUCT I DOES LEAK I TEST #1 TEST #2 RESULTS I RESULTS I
1 I DET E X 15T I I I I P / L TEST I
: ___m'________: -ŸEs==~ïL~'-: -sï~RIAL--#-b~c¡f--------m---.-.---- : --¡:'ASS--=¡L: -¡:'ASS--=.~:
¡REG "I NO __...___, I _______L___G(-)L I _._.~__.3_._ GÞ)I:_~P I F(..)I L _______.__ I FÇH L _...______ I
: -.,-.--.-------- : --ŸES==¿-- : -SERiÃL-:¡¡õ?j~ : ____,____,__u___ : ---~:ÃSS-==~ -PÃSS-'=~
! P/UL I NO ____.n._ I _,____.__L___G¡:)L I ,________:5m,___GAL I FAIL' u____m___ I FAIL __'___U"'_ I
:---'----'-----.---- : -ŸES~==~- : "-sE"RIAL--#-ßt~ ---------'-'----: --¡:,Ass-=~~-ï:,Ãss--':=~/
¡ S/UL I NO ______,__ I _____L___Gí.:1L 1 ____..3:___u_GAL I FAIL _______ I FriIL. u...:_uu.u..__ I
,----______1______-----,------------- ____________,____________1___________1
I yES______ I SERIAL # I PASS I PASS I
DSL I NO ______ ¡ _______GAL _______GAL I FAIL I FAIL I
..---______1______-----,-,------------ ______,.._____1____________1_________,__1
NOTES: ____________________________~________________________________________
.-.---.----.----------------------.------------------------------------------.----------
_M______.______________________.__._______._____________.._________________________.______
'TEST PFmCEDURE
..... ..-.-..-----..------
Test #1: perform for 30 seconds with nozzle in full open position
Test #2: perform for 30 seconds after nozzle closed for 10 seconds
EXAMPLE OF POSSIBLE RESULTS
--.-------------------------
Te~st # 1
1 Gal
Test #2 Results
3 Gal Pass
Test #1
.::, Gal
Test #2
3 Gal
Results
Fail
TECHNICIAN
--~d.~--------------
DATE
7-/7.- f7
----------------
¡-
e
-
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'¡
'¡i:!.
IMPACT VALVE OPERATION CHECK
DATE___.~7.:L2:_<t[_______ l.-JORK ORDER___!_rz.f:b TECH. AC_&..£RJ£__.___._._____
~:>T REET ADD. _ ;£1L~Ll_.2. ~_t1~__~~!k_L!JNg:_ _______________ _____ __ ___.___ ___,___.________.___
CITY -__,BAk~~fJ~/~(A.-----.-------,-,-
t,¡ I C # ___2t?,f{ç?_t(.~!P..,~(2L_,_,_,__________,__.______
----------------------------------------------------------------------------------.-
1 I I 1 I ltiPACT VAL VE CLOSES ¡"JHEN
IDISPENSER # 1 R/UL 1 S/UL I REG DELATCHED MANUALLY YES NO
ì I I I I I
i -.---.-------.-------- I -------- 1----·--- 1 ------ I ------------------------,----'-·-7-,-----·-·-'--- I
! ,__________,J.:-_?_______ I _.__~_._ I __,_~,____. I ,.._:é 1 ______.___.l1j{,___C!.._?(.,_____ I ____~__._ 1 ____,__,_____. I
¡~~~~~~~~~~~~!~~~~!~~~¡~~~~~~~~~~~~~~~~~~¡~~~~~~~~~j
I I I 1 I 1 1 1
----------------,-------,-______1______1______--------______1_______1________,
I 1 I 1 I 1 1
----------______1_______1______-,______1______--------______1_______1________1
I 1 I f I 1 I
________________1_______1_______1______1____________________1_______1________1
f , I I I 1 I
----------______1_______1_______1______1______--------______1_______1________1
I 1 1 I I 1 I
,----------______1_______1_______1______1______-------_______,_______1________,
1 1 I 1 1 I I
----------______1_______1_______1______1______--------______,_______1________1
I I I' I I' 1
----------______1_______1_______1______,--------------______,_______,________1
¡ I I I ! I !
-----~----______I_______I_______I______I______--------______I_~_____I________I
I I 1 1 I 1 I
I____________~___I_______I_______I______I_____________-______1_______1______--,
I 1 I I 1 I I
________~_______I_______I_______I______I____________________1_______1________1
I I I 1 I I I
I I I I I I I
---------------- ------- ------- ------ --------------------- ------- --------
I I 1 1 I I I
----------______1_______1______-,______1______--------______1_______1________1
I I 1 I 1 1 1
----------______1_______1_______1______1______--------______1_______1________1
EXPLAIN ANY "NO" CHECKED
---------------------------------------------------------------------------------
--.-.----------------------------------------------------------------------------
..---------------------------------------------------------------------------------
--------------------------------------------------------------------------------
1\
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-~~-------
ASS 0 C I ATE DEN V I RON MEN TAL S Y S T E H S
..
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Site Layout For: shell wicl 29494610501 bakersfield, cal
... I. It
S~L¡' OIL COMPANY-CBR!J:CATION' OF UNDBRGROUND s"o
Facility WIC Number ;¡ð(('ðt¡'6/ð5""ðl District:
Facility Address : 3h~l/ 7~O tJk¡J.a;- ~,t:)PF
/24 ~aS!{ìelj J èA
,
Purpose of Visit : f;/¿ ~/þ TðT
"
.~';: ..
Product Tanks
Product Lines
Waste oil Tank
[ ] Steel
[ ] single Wall
M Single Wall
[ ] single Wall
rJ;;.tJ-;Fiberglass
[)q Double Wall
[ ] Double Wall
[}<j Double Wall
[ ] None
Tank/Line Material
Product Tank Monitorina System
QTY TYPE
btJ Interstitial Monitor ~
[] Vadose Zone Monitor
[] Monitored Visually (Daily Inventory)
Manufacturer: [H"' API Reservoir []
[ ] API MOS(VADOSE) [ ] Genelco [ ]
[ ] OC [ ] pollualert [ ]
[ ] Soil Sentry [ ] Spearhead [ ]
-[-.-]- Wet
,- -iXJ ~ Dry --
API IR(VADOSE)
Leakalert
Red Jacket
Other
Model:
Status @ Arrival: ~] Operational
Corrective Action: [] Performed
Status @ Departure: ~ Operational
[ ] Non-operational
[ ] Required
[ ] Non-operational
Product Line Monitorinq system
~~
[ ]
[ ]
TYPE
Electronic Line Pressure Monitor w/ Mechanical Leak Detector
Interstitial Monitor w/ Mechanical Leak Detector
,Mechanical Leak Detector Alone
ect onic Line Pressure ~ Interstitial Monitor Manufacturer:
API Pressure [] API Sump [] API Sump/Line
] Leakalert [ ] Other
Model:
Status @ Arrival: t1 Operational
Corrective Action: ] Performed
Status @ Departure: operational
[ ] Non-operational
[ ] Required
[ ] Non-operational
--~-
----
-------
.~------'--'-
CONTINUED ON REVERSE
;. .
.
.. " s-
'é -
~j ,f'.
li!
'. Product .Lill Moni torinq svstem.-cont.
Mechanical Leak Detector Manufacturer:
,M RJ Slow Flow
[ ] RJ Shut Off
Model:
Status @ Arrival:
Corrective Action:
Status @ Departure:
r(;A
W
Operational
Performed
Operational
.
[ ] Non-operational
[ ] Required .
[ ] Non-operational
Waste oil Tank Monitorina system.
_~"'--.,."o--=.~~ -
----"' ". -
- ---TYPE
[ ] visually Monitored (Daily
[ ] site Well Vapor Probes
~ Interstitial Monitor
Inventory)
[KJ. Wet
Manufacturer:
[ ] Leakalert
Model:
[h API
[ ] Pollualert
Status @ Arrival:
Corrective Action:
Status @ Departure:
('Þ<J. operational
( ] Performed
[\() operational
[ ] Dry
[ ] Other
[ ] OC reservoir
[ ] Non-operational
[ ] Required
[ ] Non-operational
I do certify that the above information and operating status is
representative of the actual condition of the monitoring system.
"- -------, -- -~---
--- -~---------
SiÆf:f ~ sft~M
, /l f5:S
Company
7-/7-91
Date
.~-~
-----
Facility Naee: ',/t/hife LAJJe S Aetl
Flc1l1ty Addl'ess: 2(,00 VJtllte lJt;Je
. Cl ty: ßAr..EtJ PIC cO
Count y: ~~ JJ
State: A,
WI C # 2,0 Lf 0 'f to I 0 5 {, r
-. -
. "-'
..---
o
o
.
.
:ðIO¿))-7
INVENTORY REPORTING
t[~
}' ¡v -."\
'Z:~J \. c' ';:" ~
., ...., \-,'< ,,":";..'..,
.,'<~ . '~__ ~ ~~\"';:J
QUARTERL y,
. ..--... -- -.---
Tank . SSze Prøøuct
I /0 I D D 0 S0 -l6DD
~ JD DD'D f2. U' 2..000
3 10, DDO K.& (J la.. i~
"-'
...te 011
.,
~\~'" .: '. .~'\.~>'
'''-,.
.... "
I hl~eÞy Clrt1fy under ølnalty of plr2~Y tftlt III product
¡evel var1at1ona tor the above ..nt1oned ,.tl11ty were
w1th1n allowabl1 11.1tl tor tft11 QUlrter.
Inventory var1at1onl excIICIC the allowable Ii.ltl for
thl1 Quarter. I h.reÞy Clrt1fy undlr penalty of ø.rjury
that the lourte for the varllt10n ..a NOT Clue to an
unauthorlZld (ll.k) rell.le.
Lilt dlte, tank f and uount tOt" III variltionl
that excled the Illowable 11.1tl
Date TanK , AIIount Date TanK , Mount
/-ID --0/ ) r 5rb
/,/oP¡/ 1., iCj3(
I--/o-,?¡ 3 ..(' I <f 3
Thl QUa,..terly .'*,II"Y ....POl"t "Ill be .uÞaltt.CS .lth1n i5 ..,.
of the end 0 f .aCh tlUart...
a.rtr s - ........, thru ....-ch - _"It It, '-11 i5
....ter 2 -.n tfW"u -.Þ\e -'-it It, -a.l, 15
IYrter ! - .All, ttru SePtellÞef' - ...It It, DctoÞer 15
.....ter ~ - October ttIru Decemer - su.lt It, ......, 15
Send To n..ocl1 Agency):
i'
KEEP COPIES OF THIS FORM· FOR YOUR OWN RECORDS
White - Agency Copy Cana~y - Deale~ Copy
"
.
__, _n' _" e _____u
--I
~
":, ...
-P . Kor=RN COUNTY
ENVIRONMENTAL
2700 "MOO STREET,
:roo
RESOURCE MANAG.EMENT
HEALTH SERVICES DEPARTMENT
SUITE 300, BAKERSFIE~D. CA.93301
(805)861-3636
AGENC""r
i"" ."
...~
UNúERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY
* INSPECTION REPORT *
PERMIT
PERMIT
TIM E I N _d~,J5p_ ¡1M E JU T __....____.<,__.,,---._,~DI.sM.8,_~R.__º_~~~:~~_~.s: ,..__,=~,_A,___..__'"
\lES..____._"........ NO -,,,:x..m,, ,,,--- INSPECTION DAtE :___",?l:_J~:-'\t"",..--,
ROU T I \ E_,,_.,_ '"1--'"'''' REI ~J ~3 P ~CT I ON ""'_"'. COM P LA I!'J T ,n'"" _'''''_
.. .h"~""'_" _.... ...__..._._....._..,.. ....... ...._,........"......... ... ....., _ 0"
::: A C I LIT Y N AM E : ,~.If~X\Lº9g,º",,,~,~.tttT~___,~,~:.l:L~___,§tL~,l::.~"n___".__"",_____"___",____"___________,______,_____"""________,,__,,,__..__,,,,_.,,.,"__,,,_,,,
FACILITY ADDRESS: ?ß__ºJ:"J~hJ,T.~,."'~.~:!.:J,~__''',."'',."__...__,__,,,.,,,,.,,__, ,,__.'._.m._' ".,______"'''_'''Hm'''__'''__".".,__",,,,,,_,,,, ___",_""___,,,,,, .
BAKERSFIELD, CA
;;'~~ ~:~ 0 ~~M ~ ~.~~ ~~~:8:~:~~t:=:º:I:~::~::~:ª:~:~:~:8:X:~:::::~:::::~::::~:~:~:~:;~:I:::::::,j1::~'::n::¿:r:::P:f¿:~::::::::::::::::::::::::::':::::::,::::,:::::::':::.
COMMENTS:
,__.............~........... .................................................................... "._.........",..·..·'..n.............·.",,,·..·......··....,.·....··. ....,.."....,,,..,,........... .... .' ..."'" .~,............"....................,,'.....
..."~,,..........~.................., .._...........".................."..............................,.....................~."..... ......_.............. ,........,............._. ....."........................."... ..0'"
.-.............................."."
...........~...,..........."...-....................................... ..................."..................................-.................
. ",.'...".................................... ..............................................
iTEM
VI8LATIONS¡OBSERVATIONS
'RIMARY CC~TAiNM:NT ~ON¡TOR!NG:
è, inter:eòting an directing system
ø Standè:,d. !:wentory Cor,tro 1
'ê,:h_- ~.ociifiec Inventory Control
d. In-tanK Level Sensing Device
e, Grounòwater Monitoring
f . Vadose Zone Monitoring
~~Cr ð~
'<
L~'-'--_ v-û,,j CJL0(s-
2, SECONDARY CONTAINMENT MONITORING:
a, Liner
,~ Doub"le-waìled tank
':. Val! 1:
fT'PS ~oY\c-.''-- ~6~~"^-' - ~!-v..-~:Ö~\.A~
'?/\~()Q.~A- -
~
t-k& Q'\/~ Q~ cJL &--~Cñ-
tr Q~l\(N~ 6~ ~ ~\-
:, PIPING ~O~¡TCRING:
--Q Pressurized
b. Suction
c. Gravity
4. OVERFILL PROTECTION: ~~ÚM-
,. /~~ ,ý
5, TIGHTNESS TESING
~ ~h()
5, NEW CONSTRUCTION/~0Dië¡CATIONS lJ~
7. CLOSURE/A9ANDONMEN; 1
;l)ú~
8. UNAUTHORIZ:[. REL:;AS:; ¡ . )J CJì'\.Q...-
,
J.
I
g, MAlimN,À,~::;, 3ENERAL SAFE:';' ,A.ND
OPERA7I~~G :ONC:T~QN OF ;ACI~:TY
COMMENTS/REC8MMENDATIONS
....h'·....~'·"........H.....'...~.........,.........'..·..·...."................ ..................................,............................................................,........................................
.... ..."...-.... .... ........~.................... ................... ..... .,--......... ......... .............. ..~" . ...... ......... ............. ...... .... ................... ...... ........ "'...... .......... ,.... ..... .... ..........,.. ..... ._.. n' .............. ...... ........... .... ................. ......... ......
..........,...................................................................,..................................,...................."..,...,.........................
...........................".,....,.,.....................................................................,............,..................
................................-.................... ..... ....................,.......
................"................,..,............. .....................,......................................,.......................,.........,..........................,........,..... ........................~.....
··,··.......u.......................~.... ..... .... .............. .....".... ............ . ............................ ...,..
RETNSPEC7:0N S:~~JU~~D~........_.. yes ~-n~
, , ~d; ,
~ I.¡·_',I~¡~~, ~;~; . .'7,*.:.~!,~ I'''''' .,~..(' . I~~;l.~,. .t...: ,j:..... . n
f~' ' " I ,., .-
..·u............ ...."
...... ..",. ...'....... ."'"'''' ............................... ..·....h...........·.···
~ p P t'\ C\ ~< I Ì\tj, :- E ~~ E I 1\; S !=" =: C ~. I C:r !,.~ D I,L. T E: /
~ E :=-' Ci F~" ::~ ~ C .=: ~ \... = D '3 "'./ ~ <, :) ( ~l~¿-s.~~··~:~~::.
-,~ /"
~
KERN eUNTY AIR POLLUTION CONTRO_STRICT
2700 "M" Street, Suite 275
Bakersfield, CA. 93301
(805) 861-3682
PHASE II VAPOR RECOVERY INSPECTION FORM
....,.
t'" ,¡....,r·..'
¡;
Station Location .~~ ( aDD lA) ~ I! p(n )(\,..!--
Company Address ...56.""",--,,---
Contact ~--f~ ~rM\ Phone /(05)IT 3j ~'Y\:2---
Inspector _tJI\_~¿"~ Date (0 I ~ ,I
, VI
,-
PIO # 'RS~r6:J 7-0Ò1
----, (; (\ Q ~ J
City Do1- ~ A-L\ J iu/cV Zip Î (J30 I
S· L;
System Type: BA. . RJ i~ , .HE,~ ~~'h HA
'j 1(,: (' 7}., (/ l ,11 J (Ii-- " ./--:::::>
Notice Rec'd By /~~~'~/,. n '--,v',-" '. .v"
-;j
¡:
,.
NOZZLE # Ik ¡p) \r. jÞr 'lP- 12~ ,~A; 36 3( ~I\ 4-6 dt Sl\ 58 5C ¿pA ~{~ :
I --
R ~ rUt (( ?JL 'R ('vi.. '< (ilL-
GAS GRADE I)/"'- L)L :PùL ~ U\.- IJL.. Û'-:- L)L- RILL
~\ .~~ ~'-\'\ - \;:: ~~ .~~
NOZZLE TYPE -Kr0 .'30 ,/)
;¡~. ./
1, CERT NOZZLE
2, CHECK VALVE fu \\Ç
N ...-
. -}f
0 '3, FACE SEAL ~~'ß
Z -",
Z 4, RING, RIVET I~"
L I'"'
E 5. BELLOWS
6, SWIVEL(S)
I
7. FLOW UMITER (EW) ~
1, HOSE CONDITION . \
I
V
A 2. LENGTH
P \
0 3. CONFIGURATION
R
4, SWIVEL \
H ,
0 5. OVERHEAD,RETRACTOR \
S h \ ..J
E 6. POWERIPILOT ON ;
7, SIGNS POSTED
Key to system types: Key to deficiencies: NC= not certified, B= broken 'I
BA=Balance HE =Healey M= missing, TO= torn, F= flat, TN= tangled
RJ =Red Jacket GH=Gulf Hasselmann AD= needs adjustment, L = long, LO= loose,
HI =Hirj HA =Hasstech S= short MA= misaligned, K= kinked, FR= frayed, .-"
.,?
'. !f
c.:.
..'
~v
I Ä
,;v.'
..:I1iii,
li
(~
~
** INSPECTION RESULTS **
Key to inspection results: Blank= OK, 7= Repair within seven
days, T= Tagged (nozzle tagged out-of-order until repaired)
U= Taggable violation but left in use,
':;'
.Ii
i~
':8,
COMMENTS:
'!'...:
/'
VIOLATIONS: SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN COUNTY
AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE
SPECIFIES PENALTIES OF UP TO $1,000,00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682
CONCERNING FINAL RESOLUTION OF THE VIOLATION.
NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES
- BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION
,:.",
~.
,
.;r::
""
<.
..~j
".\
9 4,:·,-1(~!5
APCr. F!LF
.. .' 'V
~ ......'....:f!' <"
'~,. .
"---"'1<ERN CØUNTY AIR POLLUTION CONTROL DISTRICT
2700 "M" Stre~t, Suite 275
Bakersfield, CA 93301
(805) 861-3682
of'
PHASE I VAPOR RECOVERY INSPECTION FORM
Slalion ~ame,L; ~~<h Jh,+-lr,,"~L ~tion éJ (.co I . ~~ R
Company Mailing Address
.::).r, ...... G---'
City
SYS~~YP~~~~"I>
,l.-j<..t( " jC .l,t.eA./../ é>--
PIO # ff5S'ifCú7-001
J. I /I
K':. /::/1"',' i t Ic.f
\
Date (:,. /3- q f Phone~.~Iì~~)6 ~ I-OSÓ";¡
Inspector txf</<,,-,(J ~.l Notice Roo'd By
TANK # 1
{fL
Eç/d~
1, PRODUCT (UL, PUL, P, or R)
2, TANK LOCATION REFERENCE
3, BROKEN OR MISSING VAPOR CAP
4. BROKEN OR MISSING FILL CAP
5. BROKEN CAM LOCK ON VAPOR CAP
6. FILL CAPS NOT PROPERLY SEATED
7. VAPOR CAPS NOT PROPERLY SEATED
8. GASKET MISSING FROM FILL CAP
9. GASKET MISSING FROM VAPOR CAP
10, FILL ADAPTOR NOT TIGHT
11- VAPOR ADAPTOR NOT TIGHT
12, GASKET BETWEEN ADAPTOR & FILL
TUBE MISSING I IMPROPERLY SEATED
13. DRY BREAK GASKETS DETERIORATED
14. EXCESSIVE VERTICAL PLAY IN
COAXIAL FILL TUBE
15. COAXIAL FILL TUBE SPRING
MECHANISM DEFECTIVE
16. TANK DEPTH MEASUREMENT
17. TUBE LENGTH MEASUREMENT
18. DIFFERENCE (SHOULD BE 6" OR LESS)
19, OTHER
20. COMMENTS:
TANK #2
~aq;
G 1..dJ...--
TANK #3 TANK #4
'V\ ) l--
\ )~t~'
I' ¡fir-¡ t' f1f} !I
/11
I
('
I' /1'\' ~ J(
I' ----. .i~ i f./'- /ií
,.f..;S rl' .
4'/( / I .. '1 , '(
"to ;; ~. ! lÍ
, I ,...- , '
* WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL
DISTRICT RULE(S) 209,412 ANDIOR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES
OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU-
**** TION OF THE VIOLATION(S) ***************-t.r**********************************
'---'91~O--;O--- - APCD FILE
,;~';';'-,:,,:,," ",'"
,....;.
.~
~
Operator's Name
Station Address
Major Cross Street
Telephone No
Inspector
~
Totalizer Reading When Tagged ¡;;'(l~C:¡/š'
Totalizer Reading When Tagged !)Ç.¡ L'1 srx--
e
Repaired by
1ìtle
WARNING
Use of this device Is prohibited by state law and un.
authorized removal of this tag or use of this equipment
will constitute a violation of the law punishable by a
maximum dvll fine of $1,000 per day or a maximum
criminal fine of $500 per day and/or six months In jail.
I declare under penalty of perjury that the device tagged
was not used, nor was the tag removed, until the required
repairs were effected and the district notified.
Repaired by 1ìtle
(Please print)
WARNING
Use of this device Is prohibited by state law and un:
authorized removal of this tag or use of thIs equipment
will constitute a violation of the law punishable by a
maximum dvil fine of $1,000 per day or a maximum
criminal fine of $500 per day and/or six months In jail,
I declare under penalty of perjury that the device tagged
was not used, nor was the tag removed, until the required
repairs were effected and the district notified,
(Please print)
Totalizer Reading at 1ìme of Repair
Repairs made
Signature
Date 1ìme
Totalizer Reading at 1ìme of Repair
Repairs made
Slgn¡¡ture
Date
1ìme
e
BEFORE USING THIS DEVICE Telephone your local air
pollution control district at .
If repairs were made to the nozzle body you must notify
the County Department of Weights and Measures.
BEFORE USING THIS DEVICE Telephone your local air
pollution control district at . .
If repairs were made to the nozzle body you must notify
the County Department of Weights and Measures,
Ser.#
68507
Ser. #
68508
--- -- --~~----------
~ ---
.
.
~
Shell Oil Company
Los Angeles East Retail
3281 E Guasti Road Ste 480
Ontario CA 91761
MAY 29, 1992
JOE A. DUNWOODY
HAZARDOUS MATERIAL SPECIALIST
UNDERGROUND TANK PROGRAM
CITY OF BAKERSFIELD
2101 H STREET
BAKERSFIELD, CA 93301
;/
Re: 2600 White LanetEl Potrero
Dear Mr. Dunwoody:
Reference is made to our telephone conversation of May 28, Per your
request, I am enclosing copies of Shell Oil Company's Financial
Responsibility letter for the above-noted Shell service station within
your jurisdiction.
Also, please note that:
** Shell executes an Owner/Operator agreement with respect to
underground storage tanks in the Lease/Dealer Agreement between
Shell and its service station owners.
** The spill response plan for Shell service stations is located
within the station's Hazardous Materials Emergency Plan (Business
Plan), a copy of which has previously been submitted to your
department.
Should you have further questions with regard to the information
provided herein, please contact me at (714) 460-3347.
enclosures
~ t .ti
e
.
Shell Oil Company
One Shell Plaza
P. 0 Box 2463
Houston. Texas 77252
L E. Sloan
Vice President
Finance and Information Services
April 23, 1991
I am the chief financial officer of Shell Oil Company, p, 0, Box 2463,
Houston, Texas 77252. This letter is in support of the use of the
financial test of self-insurance to demonstrate financial responsibility
for taking corrective action and/or 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 per
occurrence and $2,000,000 annual aggregate arising from operating under-
ground 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 owner or operator:
All tanks are assured by this financial test:
See Attachment A for Retail Locations;
See Attachment B for Distribution Locations;
See Attachment C for Manufacturing Locations;
See Attachment D for All Other Locations,
A financial test is also used by this owner or operator to demonstrate
evidence of financial responsibility in the following amounts under other
EPA regulations or state programs authorized by EPA under 40 CFR Parts 271
and 145: '
EPA Regulations
Closure (Sec. 264.143 and Sec. 265.143)
Post-Closure Care (Sec. 264.145 and Sec. 265.145)
Liability Coverage (Sec. 264.147 and Sec. 265.147)
Corrective Action (Sec. 264.101 (b»
Plugging and Abandonment (Sec. 144,63)
Closure
*Post-Closure Care
Liability Coverage
Corrective Action
Plugging and Abandonment
Total
California
Amount
$
$
$
$
$
$140,616,203
$110,191,900
$ 18,000,000
$ 522,990
$ 633,630
$269,964,723
*30 Year Post-Closure Care
BQMQ9110205 - 0001,0.0
. \ . 'j
e
.
2
This owner or operator 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*.
Alternative I
I. Amount of annual UST aggregate coverage
being assured by a financial 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, and/or
guarantee.
3, Sum of lines 1 and 2.
4, Total tangible assets*,
5. Total liabilities*.
6. Tangible net worth* (subtract line 5 from
line 4).
7. Is line 6 at least $10 million?
8, Is line 6 at least 10 times line 3?
9, Have financial statements for the latest
fiscal year been filed with the
Securities and Exchange Commission*?
10. Have financial statements for the latest
fiscal year been filed with the Energy
Information Administration?
11, Have financial statements for the latest
fiscal year been filed with the Rural
Electrification Administration?
12. Has financial information been provided
to Dun and Bradstreet, and has Dun and
Bradstreet provided a financial strength
rating of 4A or 5A?
*Period ended December 31, 1990,
BQMQ9110205 - 0002,0.0
$ 2,000,000
$ 269,964,723
$ 271,964,723
$28,496,000,000
$12,161,000,000
$16,335,000,000
Yes No
----x- -
-
X
X
N/A -
N/A
x
-
. ~ ''1
e
NOT USED
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, and/or
guarantee. $
3. Sum of lines 1 and 2. $
4. Total tangible assets, $
5, Total liabilities, $
6. Tangible net worth (subtract line 5 from
line 4), $
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 at least 90 percent of assets
located in the U,S, (if "No",
complete line II)?
11. Is line 7 at least 6 times line 3
(fill in either lines 12-15 or lines
16-18)?
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.
19. Have financial statements for the latest
fiscal year been filed with the SEC, the
Energy Information Administration, or the
Rural Electrification Administration?
BQMQ9110205 - 0003.0,0
.
3
Yes No
~
...............
$
$
$
Yes No
. , . 1
e
.
I hereby certify that the wording of this letter isidentical* to the
wording specified in 40 CFR Part 280,95(d} as such regulations were
constituted on the date shown immediately below,
~;frQ(r~
l. E. Sloan
Vice President Finance and Information Services
April 23, 1991
Attachments
*Typographical errors have been corrected; Explanatory footnotes have
been added where appropriate.
BQMQ9110205 - 0004.0,0
4
'¡,;
e
.
CERTIFICATION OF FINANCIAL RESPONSIBILITY
Shell Oil Company 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:
Financial test of self-insurance per 40 CFR Sec, 280,95.
The financial test of self-insurance in the amount of $2,000,000 covers
for calendar year 1991 (using year-end financial statements for the .
latest completed fiscal year ended Oecember 31, 1990), taking corrective
action and/or compensating third parties for bodily injury and property
damage caused by either sudden accidental releases or nonsudden
accidental releases or accidental releases,
Shell Oil Company
Finance and Information Services
J. iL +ttif /44--
S. H, Hi llman
April 23, 1991
BQMQ911020S - 0005.0,0
MAR 12, 1991 DIRECT INVESTED SERVI~~TATIONS BY STATE - DETAIL P~,GF ?
RET. NO, 5002020
------------------------------------------------------------------------------------------------------------------------------------ -
DIST DEALER HIC ADDRESS CITY/ST/ZIP COT
------------------------------------------------------------------------------------------------------------------------------------
--,
03 ARKANSAS
235 203-5130-0239 1922 N UNIVERSITY LITTLE ROCK AR72204 013
,-.,
STATE COUNT 1
04 CALIFORNIA .-.
282 204-0108-0773 1401 S GARFIELD/VALLEY ALHAMBRA CA91803 013
282 204-0108-1052 3200 H VALLEY/HESTMONT ALHAMBRA CA9I803 013
282 204-0294-0249 916 SANTA ANITA/DUARTE ARCADIA CA91006 013 e-
282 204-0294-0314 25 E FOOTHILL BLV/OAKWOOD ARCADIA CA91006 013
282 204-0330-0112 4421 HHY 101 ARot1AS CA95004 013
282 204-0438-1111 422 S AZUSA AVENUE AZUSA CA 91702 DB
282 204-0461-0568 2600 WHITE LN/EL POTRERO BAKERSFIELD CA93304 013 --
282 204-0461-0725 3605 ROSE DALE HNY/US 99 BAKERSFIELD CA93308 QJ3
282 204-0461-1012 29645 STOCKDALE HNY 1-5 BAKERSFIELD CA93312 013
282 204-0462-0823 5212 OLIVE DR/HWY 99 BAKERSFIELD CA93308 013
282 204-0462-1839 3700 MING RD/REAL BAKERSFIELD CA93309 013 ~
282 204-0462-1961 3130 24TH ST/OAK BAKERSFIELD CA93301 013
282 204-0462-2183 101 S UNION/BRUNDAGE BAKERSFIELD CA93307 013
282 204-0462-2399 3623 CALIFORNIA AVE/REAL BAKERSFIELD CA93309 013
282 204-0462-2753 HHY 99/LERDO BAKERSFIELD CA93308 013 ~-
282 204-0480-0292 3660 N PUENTE/PACIFIC BALDHIN PARK CA91706 013
282 204-0480-0334 12999 E GARVEY/BESS BALDmN PARK CA91706 013
282 204-0480-1233 4405 N MAINE BALDmN PARK CA91706 013
, 282 204-0498-0144 780 E RAMSEY ST/HARGRAVE BANNING CA92220 013 """
282 204-0516-0555 1390 E MAIN ST /IiT VIEW BARSTOH CA 92311 013
282 204-0516-1272 1601 E MAIN/I-15 BARSTOH CA92311 013
282 204-0576-0578 7121 S ATLANTIC/FLORENCE BELL CA90201 013
282 204-0580-0275 6350 E FLORENCE/GARFIELD BELL GARDENS CA9020I 013 """
282 204-0588-0343 10210 E ROSECRANS/HOODRUF BELLFLOI~ER CA90706 013
282 204-0588-0459 8504 ARTESIA BL/DOHNEY BELLFLOHER CA90706 013 e~
282 20~-0588-0764 15904 LAKEWOOD/ALONDRA BELLFLOWER CA90706 013
282 204-0588-0947 17254 LAKEWOOD BL/ARTESIA BELLFLOHER CA90706 013
282 204-0588-1549 17608 S HOODRUFF/ARTESIA BELLFLOI~ER CA90706 013
282 204-0816-0859 8990 HOBSON WAY/HHY 95 BLYTHE CA 92225 013
282 204-0816-0941 201 S LOVEKIN/I-IO BLYTHE CA92225 013
282 204-1074-0326 20649 TRACY / 1-5 BUTTONmLLOH CA93206 013
282 204-1122-0278 1213 CALI MESA BL/SANDALWD CALIMESA CA92320 013
282 204-1392-0131 69010 HHY Ill/DATE PALM CATHEDRAL CITY CA92234 013
282 204-1392-0339 67-455 E PALM CYN/RIMROCK CATHEDRAL CITY CA92234 013
282 204-1530-0159 12510 CENTRAL/HALNUT CHINO CA91710' 013
282 204-1578-0244 1091 H FOOTHILL/TOWNE CLAREMONT CA91711 013
282 204-1578-0335 267 S INDIAN HILL/ARROH CLAREMONT CA91711 013
282 204-1578-0699 806 S INDIAN HILL/I-I0 CLAREf10NT CA91711 013 ~
282 204-1580-0422 15701 E VALLEY /HACIENDA CITY OF INDUSTRY CA91744 013
282 204-1580-0596 2600 PELLISSIER PLACE CITY OF INDUSTRY CA90601 013
282 204-1580-0638 1325 SOUTH FULLERTON CITY OF INDUSTRY CA91748 013
MAR 12, 1991 DIRECT INVESTED SERVI~J]J19~ BY STATE - DETAIL PAGE ~
RET. NO, 5002020
---------------------------------------------.--.----------------------------------------------------------------------------------- .
DIST DEALER WIC ADDRESS CITY/ST/ZIP COT
-----------------------------------------------------.------------------------------------------------------------------------------
282 204-1656-0231 521 CLOVIS AVE / FIFTH CLOVIS CA93612 013
282 204-1656-0322 640 SHAH AVE / CLOVIS CLOVIS CA 93111Z-Ql3
282 204-1716-0312 1600 W VALLEY/PEPPER COLTON CA92324 013
282 204-1716-0445 2718 IOWA/RIVERSIDE COLTON CA92509 013
282 204-1794-0127 321 E 6TH ST CORONA CA91nO 013
282 204-1794-0499 111 N LINCOLN/HWY 91 CORONA CA91720 013
282 204-1794-0564 1825 H 6TH ST/HWY 91 CORONA CA91nO 013
282 204-1794-0671 4721 H GREEN RIVER DR/91 CORONA CA9l720 013
282 204-1794-1026 1205 HAGNOLIA/RIHPAU CORONA CA9l719 013
282 204-1794-1224 175 NORTH MCKINLEY/HWY 91 CORONA CA91720 013
282 204-1794-1331 794 N MAIN CORONA CA9l720 013
282 204-1854-0389 871 H SN BERNARDINO/AZUSA COVINA CA 91723 013
282 204-1854-1031 110 H ARROH/CITRUS COVINA CA91722 013 e"
282 204-1854-1197 1274 H SN BERNDINO/LKEJ,.LN COVINA CA 91723 013
282 204-1938-0173 9524 FOOTHILL B/MALACHITE CUCAt10NGA CA9l730 013
282 204-2173-0274 206 S DIAMOND BR/PALOMINO DIAMOND BAR CA91765 013
282 204-2173-0316 3241 S BREA CNYON/DIA,BAR DIAMOND BAR CA 91765 013
282 204-2250-0460 8801 N LAKEHOOD/TELEGRAPH DO~INEY CA90240 013
282 204-2250-0643 9305 E FIRESTONE/HOODRUFF DOWNEY CA90241 013
282 204-2250-0759 7395 IMPERIAL HY/OLD RVER DO~NEY CA90242 013
282 204-2250-0981 13541 LAKE HOOD/ROSECRANS DOHNEY CA90242 013 '''''''\
282 204-2250-1245 9090 IMPERIAL HHY/CLARK DONNEY CA 902(t2 013
282 204-2250-1542 7360 E FLORENCE/OL RIV SC DO~JNEY CA90240 013
282 204-2442-1020 12004 E RAMONA/COGSWELL EL MONTE CA91732 013
282 204-2442-1277 11301 GARVEY/PECK EL MONTE CA91733 013 ,A',.
282 204-2706-0320 1-5 AND PANOCHE ROAD FIREBAUGH CA936~2 013
282 204-2886-0934 5325 I~ SHAW / HI~Y 99 FRESNO CA93705 013
282 204-2886-1155 1190 N CHESTNUT/OLIVE FRESNO CA93702 013
282 204-2886-1429 1021 E SHAH AVE/FIRST FRESNO CA93710 013 /'F'.>"
282 204-2886-1643 2020 W SHAH / ~IEST FRESNO CA93711 013
282 204-2886-2146 1778 E SHAW AVE / CEDAR FRESNO CA93710 013
282 204-2886-4555 1212 FRESNO/C FRESNO CA93706 013
282 204-2886-6139 3109 E SHIELDS I FIRST FRESNO CA93721 013 ""'\
282 204-2886-6444 5605E KINGS CYN/CLOVIS FRESNO CA93702 013
282 204-2886-6543 2595 S EAST AVE / JENSEN FRESNO CA93706 013 -
282 204-2886-6832 1014 E BULLARD /FIRST FRESNO CA93710 013
282 204-2886-6956 4245 N CEDAR / ASH LAN FRESNO CA93702 013 .~:¡
I
282 204-2886-7046 4206 N BLACKSTONE/ASH LAN FRESNO CA93726 013 I
I
282 204-2886-7244 5405 N BLACKSTONE/BARSTOH FRESNO CA93726 013 i
282 204-2886-8143 4819 N BLACKSTNE/SNTA ANA FRESNO CA93704 013 .....i
282 204-2887-0214 4194 E SHIELDS AVE FRESNO CA93726 013 ,I
282 204-2934-0548 BEACH BLVD/CHAPMAN GARDEN GROVE CA92641 013
282 204-2998-0210 10171 MISSION/H~Y 60 GLEN AVON CA92509 011
282 204-3012-0731 1401 E COLORADO/VERDUGO GLENDALE CA91205 013 ~,f
282 204-3012-1127 3333 VERDUGO RD GLENDALE CA91208 013 I
I
282 204-3012-2695 625 N PACIFIC AVE/PIONEER GLENDALE CA91203 013
282 204-3018-0172 322 H FOOTHILL GLENDORA CA 91740 013
282 204-3018-0362 106 E ALOSTA/GLENOORA GLENDORA CA9l740 013 I
,
282 204-3018-0669 1860 E ALOSTA/LONE HILL GLENDORA CA 91740 013 '-'1
!
282 204-3248-0133 3060 S HACIENDA/COLIMA HACIENDA HEIGHTS CA91745 013
282 204-3282-0155 620 H 7TH HANFORD CA93230 013
I
--I
.'
MAR 12, 1991 DIRECT INVESTED SERVI~TATIONS BY STATE - DETAIL PAGE 4
RET. NO, 5002020
------------------------------------------------------------------------------------------------------------------------------------ ,
DIST DEALER HIC ADDRESS CITY/ST/ZIP COT
------------------------------------------------------------------------------------------------------------------------------------ """'
282 204-3384-0582 1704 H FLORIDA/LYON HEMET CA92343 013
282 204-3384-0939 25235 SAN JACINTO HEMET CA92~13
282 204-3420-0224 13105 H MAIN STREET HESPERIA CA92345 013
282 204-3420-0315 14717 BEAR VLY RD/MARIPOS HESPERIA CA92345 011
282 204-3606-0121 2701 E GAGE/SEVILLE AVE HUNTINGTON PARK CA90256 013
282 204-3606-0261 2400 E SLAUSON/SANTA FE HUNTINGTON PARK CA 90256 013
282 204-3606-0949 2322 E FLORENCE/SANTA FE HUNTINGTON PARK CA90257 013
282 204-3678-0256 81-950 46/MONROE INDIO CA92201 013 ---
282 204-3678-0793 43411 MONROE/I-I0 INDIO CA92201 013
282 204-3930-0151 25712 HARD DR/HI'N 41 KETTLE MAN CITY , CA93239 013
282 204-4027-0112 4530 N ANGELES CRST/I-210 LA CANADA-FLNTRDGECA91011 013
282 204-4190-0238 1031 S HACIENDA/GALE LA PUENTE CA91745 013 e--
282 204-4190-1012 1009 N HACIENDA/AMAR LA PUENTE CA 91744 013
282 204-4230-0289 1090 FOOTHILL/DAMIEN LA VERNE CA 9175lL.-Q13
282 204-4254-0421. INTERSTATE 5 AT GRAPEVINE LEBEC CA93243 013
282 204-4482-5838 6720 PARAMOUNT/91 FWY LONG BEACH CA90805 013 .-,
282 204-4482-6554 6590 ATLANTIC AV/ARTESIA LONG BEACH CA90805 013
282 204-4530-1656 2603 S CENTRAL/ADAMS LOS ANGELES CA90011 013
282 204-4530-1961 1900 S SAN PEDRO/HASHNGTN LOS ANGELES CA90011 013
282 204-4530-3777 1285 E VERNON/HOOPER LOS ANGELES CA90011 013
282 204-4530-5228 3600 E THIRD ST/INDIANA LOS ANGELES CA90033 013 .-..
282 204-4531-1176 306 H SLAUSON AV/BRO~~~AY LOS ANGELES CA90003 013
282 204-4531-1960 400 S. SOTO STREET/fOURTH LOS ANGELES CA90033 013
282 204-4531-4055 5533 E HASHINGTON/EASTERN LOS ANGELES CA90040 013 -.
282 204-4531-5169 2806 E HASHINGTON/SOTO LOS ANGELES CA90023 013
282 204-4531-5425 5137 N FIGUEROA/ AVE 52 LOS ANGELES CA9004~3
282 204-4531-5573 449 H IMPERIAL H~N/FIG LOS ANGELES CA90061 013
282 204-4531-6159 3130 N BROADWAY/EASTLAKE LOS ANGELES CA90031 013
282 204-4531-8734 BEVERLY/ST ANDREHS LOS ANGELES CA90004 013 ~'!-.
282 204-4531-9757 1020 E FLORENCE/CENTRAL LOS ANGELES CA90001 013
282 204-4532-5846 2600 N FIGUEROA/AVE 26 LOS ANGELES CA90065 013
282 204-4532-6851 1541 S CENTRAL/16TH ST LOS ANGELES CA90021 013
282 204-4534-2239 4357 BROOKLYN/HUMPHREYS LOS ANGELES CA90022 013 .~
282 204-4534-2742 1900 E BROOKLYN/STATE LOS ANGELES CA90033 013
282 204-4534-2940 1520 SANTA fE/OL n1PIC LOS ANGELES CA90021 013 e·
282 204-4534-3294 1454 E FIRESTONE/COMPTON LOS ANGELES CA90001 013
282 204-4534-3914 4405 S AVALON/VERNON LOS ANGELES CA90011 013 A".
282 204-4534-5364 6505 N FIGUEROA/MERIDIAN LOS ANGELES CA90042 013
282 204-4534-6040 3853 E THIRD ST/GAGE LOS ANGELES CA90063 013
282 204-4534-8343 4236 EAGLE ROCK/EL PASO LOS ANGELES CA90065 013
282 204-4534-8582 5160 E OLYMPIC/ATLANTIC LOS ANGELES CA90022 013 .--
282 204-4539-0139 918 N SOTO ST/HABASH LOS ANGELES CA90033 013
282 204-4539-0394 3047 GLENDALE/GLEN FELIZ LOS ANGELES CA90039 013
282 204-4539-1343 4411 E WHITTIER/EASTERN LOS ANGELES CA90022 013
282 204-4539-2267 4625 E OL nIPIC/MCBRIDE LOS ANGELES CA90022 013
282 204-4539-3158 1511 E FLORENCE/COMPTON LOS ANGELES CA90001 013
282 204-4539-3216 4380 S BROADHAY/VERNON LOS ANGELES CA90037 013
282 204-4539-5054 1203 N SOTO/CHARLOTTE LOS ANGELES CA90033 013
282 204-4539-7753 255 E MANCHESTER/SN PEDRO LOS ANGELES CA90001 013
282 204-4539-8884 304 H CENTURY/BROADHAY LOS ANGELES CA90003 013
282 204-4539-9122 4530 N ANGLS CREST/I-210 LOS ANGELES CA91011 013
MAR 12, 1991
DIRECT INVESTED SERVICE STATION$ BY STATE - DETAIL
RET. NO. 5002020
PAGE 5
';'
------------------------------------------------------------------------------------------------------------------------------------
DIST DEALER WIC
ADDRESS
CITY/ST/ZIP
COT
------------------------------------------------------------------------------------------------------------------------------------
-
.
282
282
282
282 '
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
282
204-4539-9668
204-4539-9981
204-4540-0359
204-4540-0763
204-4540-1365
204-4540-6430
204-4830-0366
204-5076-0242
204-5076-0440
204-5076-0622
204-5100-0135
204-5100-0325
204-5100-0481
204-5112-0362
204-5112-0784
204-5112-0867
204-5112-0917
204-5112-1238
204-5155-0113
204-5155-0212
204-5430-0532
204-5454-0111
204-5472-1174
204-5472-1224
204-5472-1737
204-5472-1828
204-5652-0426
204-5652-0558
204-5652-1168
204-5652-1630
204-5790-0171
204-5796-0118
204-5796-0464
204-5796-0530
204-5838-0597
204-5838-0670
204-5838-0746
204-5862-0760
204-5862-0885
204-5862-1677
204-5862-1958
204-5862-2055
204-5996-1262
204-6030-0237
204-6168-1627
204-6168-2062
204-6168-2179
204-6168-2245
204-6168-2831
204-6360-0138
204-6360-0211
2005 E 4TH/CUMMINGS ST
1317 E WASHI~GTON/CENTRAl
3965 E OlYMPIC/DITMAN
1410 S SOTO/OlYMPIC ST
605 E FLORENCE/AVALON
3053 lOS FELIZ/BRUNSWICK
5645 S ATLANTIC BLVD/57TH
102 H HUNTINGTON/MYRTLE
705 H HUNTINGTON/MONTEREY
702 E HUNTINGTON/SHAMROCK
712 H BEVERLY/MONTEBELlO
2900 H BEVERLY/GARFIELD
7825 TELEGRAPH/SLAUSON
2291 S ATLANTIC/BROOKLYN
306 E GARVEY/NICHOLSON
631 N GARFIELD/HEllMAN
430 PETRERO/MARKlAND
2219 GARFIELD
23050 SUNNYMEAD/FREDRICK
12301 HEACOCK/HHY 60
1850 HM1NER AVE Q) 2ND
20000 INDIAN AVE/I-10
10970 FIRESTONE/STUDEBAKE
10644 AlONDRA/SAN GABRIEL
11821 ROSECRAN/SAN ANTONO
12843 NORI~AlK BLVD/IS
421 H HOLT ST
1521 E FOURTH/I-10
2431 S EUClID/HHY 60
859N MOUNTAIN/I
73-051 HWY 111/H~IY 74
2796 N PALM CYN/YORBA
1690 E RAMON/SUNRISE
67455 E PALM CYN/RIMROCK
7512 E ALONDRA/GARFIEID
8455 AlONDRA/DOHNEY
7511 E ROSECRANS/GARFIELD
2716 E COLORADO/S GABRIEL
200 NFAIR OAKS/WALNUT
701 N lAKE AV/ORANGEGROVE
3800 E FOOTHILL/QUIGLEY
1050 S FAIROAKS /GlENARM
9411 WASHINGTON/PASSONS
7090 BLACKSTONE
2500 S GAREY/CTY lINE
604 H HOLT/WHITE
3177 TEMPLE/HWY 57
1518 N GAREY/ORANGEGROVE
400 '~EST FOOTHILL/FALCON
W REDlANDS BVD/NEJ~ YORK
127 e RED LANDS BLVD/6TH
LOS ANGELES CA90033 013
LOS ANGELçS ÇAiQV~~3
lOS ANGELES CA90023 013
LOS ANGELES CA90023 013
lOS ANGELES CA90001 013
LOS ANGELES CA90039 013
MAY WOOD CA90270 013
MONROVIA CA91016 013
MONROVIA CA91016 011
MONROVIA CA21016 013
MONTEBELLO CA90640 013
MONTEBELLO CA90640 013
MONTEBEllO CA90640 013
MONTEREY PARK CA~1S~3
MONTEREY PARK CA91754 013
MONTEREY PARK CA91754 013
MONTEREY PARK CA91754 013
MONTEREY PABK CA9175~11
MORENO VALLEY CA92388 011
MORENO VALLEY CA92388 011
NORCO CA91760 013
NORTH PALM SPRINGSCA92282 013
NORWALK CA90650 013
NORHAlK CA90650 013
NORI'IAlK CA90650 DB
NORWALK CA90650 013
ONTARIO CA91761 013
ONTARIO CA91764 013
ONTARIO CA91761 013
ONTARIO CA91762 013
PALM DESERT CA92260 013
PALM SPRINGS CA92262 013
PALM SPRINGS CA92262 013
PALM SPRINGS CA92262 013
PARAMOUNT CA90723 013
PARAMOUNT CA90723 013
PARAMOUNT CA90723 013
PASADENA CA91107 013
PASADENA CA91103 013
PASADENA CA91104 013
PASADENA CA91107 013
PASADENA CA91105 013
PICa RIVERA CA90660 013
PINEDALE CA93650 013
POMONA CA91766 013
POMONA CA91766 013
POMONA CA91768 013
POMONA CA91766 013
POMONA CA91767 013
RED LANDS CA92373 013
RED LANDS CA92373 013
_.
.'!
-',
.-.,
....'....
--.
-
.-..
----
.-,.,
.' "
·
MAR 12, 1991 DIRECT INVESTED SERVI~1AI1Q~ BY STATE DETAIL PAG~ {,
Ref, NO. 5002020
.....,
---------------------------------------.--------------------------------------------------------------------------------------------
DIST DEALER WIC ADDRESS CITY/ST/ZIP COT
-------------------------------------------.----------.-------------------------------------.---------------------------------------
282 204-6360-0385 800M EAST LUGONIA/CHURCH RED LANDS CA92373 013 .--,
282 204-6360-0534 941 CALIFORNIA/I-I0 RED LANDS CA 923 74 013
282 204-6426-0338 684 E FOOTHILL/EUCALYPTUS RIALTO CA92376 013
282 204-6552-0177 2190 MAIN/CONNECTOR RIVERSIDE CA92501 013
282 204-6552-0656 3261 IOWA/BLAIN RIVERSIDE CA92507 013
282 204-6552-1845 3504 CENTRAL/RIVERSIDE RIVERSID~ CA92506 013
282 204-6552-2660 11090 MAGNOLIA/LA SIERRA RIVERSIDE CA 92505 013
282 204-6552-2884 1308 UNIVERSITY/IOWA RIVERSIDE CA92507 013 ---
282 204-6552-3411 3502 ADAMS/DIANA RIVERSIDE CA92506 013
282 204-6552-4724 6100 CLAY/LIMONITE RIVERSIOE CA.22509 013
282 204-6552-4849 4890 VANBUREN/WELLS RIVERSIDE CA 92503 013
282 204-6618-0161 4242 ROSEMEAD BLVD ROSE MEAD CA91770 013 e
282 204-6618-0278 3603 ROSEMEAD BL/GLENDON ROSEMEAD CA91770 013
282 204-6639-0117 1709 NOGALES/COLIMA RO~LAND HEIGHTS CA91745 013
282 204-6639-0349 18505E COLU1A/JELLICK ROI~LAND HEIGHTS CA 91745 013
282 204-6744-0226 799 H BASELINE/H SAN BERNARDINO CA92410 013
282 204-6744-0721 1108 HIGHLAND/MUSCUPIABE SAN BERNARDINO CA92405 013 -,
282 204-6744-1414 4342 SIERRA ~AY SN BERNARDIMP CA92407 013
282 204-6744-1885 295 E 40TH/HATERMAN SAN BERNARDINO CA92404 013
282 204-6744-2016 505 ORANGE SHOW RD/E SAN BERNARDINO CA 92408 013
282 204-6744-2123 .501 N WATERMAN SN BERNARDINO CA 92408 013 .-,
282 204-6744-2677 907 W MILL/I SAN BERNARDINO CA92410 013
282 204-6744-2941 10359 TIPPECANOE/I-I0 SAN BERNARDINO CA92408 013
282 204-6744-4483 2886 DEL ROSA/CITRUS SAN BERNARDINO CA92404 013
282 204-6744-4541 1930 SO HATERMAN/I-10 SAN BERNARDINO CA92408 013 -
282 204-6744-5217 3909 HALLMARK PKY/UNIVER SAN BERNARDINO CA9240L..Q13
282 204-6774-0369 630 W BONITA/ARROW SAN DIMAS CA91773 013
282 204-6792-05.57 800 W LAS TUNAS/MISSION SAN GABRIEL CA91776 013
282 204-6792-0870 1861 S SN GABRIEL/MARSHAL SAN GABRIEL CA91776 013 ....,~,
282 204-6960-0421 13203 E TELEGRAPH/PAINTER SANTA FE SPRINGS CA90670 01.3
282 204-6960-0587 11344 TELEGRAPH/BARTLEY SANTA FE SPRINGS CA90670 013
282 204-7134-0438 2806 FLORAL/H~Y 99 SELMA CA93662 013
282 204-7389-0232 1130 $ PECK/DURFEE SOUTH EL MONTE CA91733 013 --.
282 204-7398-0314 8901 S ATLANTIC/FIRESTONE SOUTH GATE CA90280 013 e
282 204-7398-140+5 3226 FIRESTONE/STATE SOUTH GATE CA90280 013
282 204-7410-0466 FAIR OAKS/MONTEREY SO PASADENA CA91030 013
282 20(+-7410-0532 1400 MISSION/FREMONT SOUTH PASADENA CA 91030 013 -,
282 204-7420-0274 712N SAN GABRIEL/MUSCATEL SOUTH SAN GABRIEL CA91770 013
282 204-7604-0199 26730 ~1CCALL/SUN éITY SUN CITY CA 92381 013
282 204-7764-0823 9010 E BROADHAY TEMPLE CITY CA91780 013 '-',
282 204-7944-0347 7671 FOOTHILL BL/APPERSON TUJUNGA CA91042 013
282 204-7950-0561 1111 E TULARE/BLACKSTONE TULARE CA93274 013
282 204-7951-0123 1297 E PAIGE AVE TULARE CA 93274 013
282 204-8034-0155 486 N EUCLID UPLAND CA91786 013
282 204-8034-0254 183 E FOOTHILL/2ND UPLAND CA 91786 013
282 204-8034-0346 1188 H FOOTHILL/MTN. UPLAND CA 91786 013
282 204-8148-0786 15483 PAtMDALE/I-15 VICTORVILLE CA92392 013
282 204-8148-0968 14526 7TH ST/LORENE DR VICTORVILLE CA92392 013
282 204-8148-1313 17876 BEAR VALLEY RD/TAMA VICTORVILlE CA92392 011
282 204-8196-0415 1013 S MOONEY/MEADOW LN VISALIA CA93277 013
282 204-8196-0647 201 W NOBLE/LOCUST VISALIA CA93277 013
ql
<;.r¡
~1AR 12, 1991 DIRECT INVESTED SERVI~TATIONS BY STATE - DE.IA..IL PAGF: 7 ;1
REI. NO. .5002020 I
"",
~I
------------------------------------------------------------------------------------------------------------------------------------ 'q
,
!
DrST DEALER HIC ADDRESS CITY/ST/ZIP COT I
I
.------------------------------------------------------------.---------------------------------------------------------------------- ¡
,--.\
282 204,..8196-0738 2736 S MOONEY /~IHITENDALE VISALIA CA93277 013 i
282 204-8343-0235 200 S AZUSA/GARVEY WEST COYINA CA 9ll1!L-Q.13
282 204-8343-0.557 305 N CITRUS/~QRKMAN WEST COVINA CA91791 013
282 204-8343-1233 801 SO GLENDORA/CAMERON WEST COYINA CA91790 013
282 204-8343-1324 2701 EAST VALLEY/NOGALES HEST COVINA CA91792 013
282 204-8454-0347 11347 E WASHINGTON/BROAWY WHITTIER CA90606 013
282 204-8454-0859 10742 E BEVERLY/NORHALK WHITTIER CA90601 013
282 204-8454-1535 10807 E WHITTIER/NORHALK HHITTIER CA90603 013
282 204-8454-1618 11.515 E SLAUSON/NORWALK WHITTIER CA90604 013
282 204-8676-0414 34429 YUCAIPA BLVD/NR 4TH YUCAIPA CA92399 013
283 204-0048-0149 5134 KANAN RD/HWY 101 AGOURA CA 91301 013
283 204-0048-0214 30245 AGOURA RD/REYES ADO AGOURA CA91301 011
283 204-0054-0116 30245 AGOURA RD/REYES ADO AGOURA HILLS CA91301 011
283 204-0310-0322 13255 OSBORNE/I-5 ARLETA CA 91331 013 e
283 204-0342-0357 222 GRAND AVE/HWY 101 ARROYO GRANDE CA93420 013
283 204-0378-0180 9155 SAN GABRIEL/HWY 101 ATASCADERO CA93422 013
283 204-0n8-0214 US HHY l/ENTRADA ATASCADERO CA93422 013
283 20{~-1014-0436 90 EAST H\~Y 246 BUELLTON CA93427 013
283 204-1026-0168 181 H ALAMEDA/LAKE BURBANK CA91502 013
283 204-1026-1570 550 N HOLLYWOOD WY/VERDUG BURBANK CA91505 013
283 204-1098-0146 4849 LAS VIRGENES/RONDELL CALABASAS CA91302 013
283 204-1158-0663 1604 VENTURA BLVD/CARMEN CAMARILLO CA93010 013
283 204-1242-0141 21935 ROSCOE BLVD CANOGA PARK CA 91304 013
283 204-1242-0554 7601 TOPANGA CYN/SATICOY CANOGA PARK CA91304 013 -,
283 204-1242-0679 22001 VAN OWEN/TOPANGA CY CANOGA PARK CA91303 013
283 204-1242-0976 22761 VAN OWËN/~ALLBROOK CANOGA PARK CA91304 013
283 204-1242-1248 20505 ROSCOE BLV/MASON CANOGA PARK CA91304 013
283 204-1242-1446 9061 DE SOTO AVE CANOGA PARK CA91304 013 ""-:",
283 204-1260-0213 28401 N SAND CANYON/I-14 CANYON COUNTRY CA91351 011
283 204-1368-0511 31428 RIDGE ROUTE/I-5 CASTAIC CA91384 011
283 204-1488-0136 20450 LASSEN ST/MASON CHATSWORTH CA91311 013
283 204-1488-0250 21924 DEVONSHIRE/TOPANGA CHATSWORTH CA91311 013
283 204-1488-0359 20850 DEVONSHIRE/DESOTO CHATSWORTH CA91311 013
283 204-1944-0126 3801 SEPULVEDA/VENICE CULVER CITY CA90230 013
283 204-1944-0654 10704 HASHINGTON BLVD CULVER CITY CA90230 013
283 204-1944-0712 12343 WASHINGTON CENTINEA CULVER CITY CA90230 013 -~
283 204-1944-1363 10332 CULVER BLVD/MOTOR CULVER CITY CA90230 013
283 204-1944-1454 6240 SLAUSON CULVER CITY CA90230 013
283 204-1944-1819 12313 H JEFFERSON/CENTINE CULVER CITY CA90230 013
283 204-2460-0243 310 E GRAND/EUCALYPTUS EL SEGUNDO CA90245 013
283 204-2514-0132 16801 VENTURA BL/LA MAIDA ENCINO CA91316 013
283 204-2514-0215 15612 VENTURA BLV/HASKELL ENCINO CA 91316 013
283 204-2514-0322 17660 BURBANK/HHITEOAK ENCINO CA91316 013
283 204-2928-0132 16216 S CRENSHAW/REDONDO GARDENA CA90249. 013
283 204-2928-0249 15700 S NESTERN/REDONDO GARDENA CA90247 013
283 204-2928-0439 12810 CRENSHAW/EL SEGUNDO GARDENA CA90249 013
283 204-2928-0520 1408 H ROSECRANS/NORM GARDENA CA90249 013
283 204-2928-0868 854 H EL SEGUNDO/VERMONT GARDENA CA90247 013
283 204-3066-0595 55 N FAIRVIEI~ GOLETA CA93117 013
283 204-3294-0193 1695 ~ PAC CST HWY/WESTRN HARBOR CITY CA90710 013
283 204-3294-0342 898 H SEPULVEDA BL/VERMNT HARBOR CITY CA 90710 013
e
,
'. ~ 1.__".. ~"'-"_'
10H/ - ~/-I(J;2 211//
tx--(J¡7J~KERN COUNTY ENVIRONMENTAL HEALTH SERVICES OEPARTMENT
SERVICE AND COMPLAINT FORM Date :L -;27 -c¡ / Time:
i Service Request 0 Complaint . C; No..3LC_()~_./sslgned to:~._=~~~~~~~~~~~~~~~~~~~==~______~~=~=~~~~=~
I_oeatton ._____~t&!..__.~__...________._________.___..___._______ City ___.____________.____________________._._________.___._._______.____.._____________
Dlrectlon!li
.------.......--.-...------....--.---...------........-........--..---....----........-...---............---...---............-.....-......-..........................-----........-...........---......--..........---.....---.--......--..---.--..-....------..---...--..-...---.---...
Heport I ng Person .______._____.__________________...____.__._____._____.__.._._._. Address _.___._____._____.____._____._._.____.____.____.___.____..________ Phone ____________.._________
Information
Taken by
RESULTS OF / ..',
I N V EST I GA TI 0 N______...__________________.__ _._____________.____.__.____...._____.._...___ m_.. __________._..______CA.!.L._____1.3AJ_U¡ßo.£L.t;;:þ_._____.._______.___......_..
------..--------------------------...-.--------.--.---------.-------.-----.----.-------------------.------...------·------·---4-----------,·¿-...··-L4-------S.~Lnt.-----.-------.----
--.....-..---....-.....---..-.....--....-----..--..--.........--......--..-----.....---...------........----------------.---------..--------------...-..-
...----.....--.......-...-..--...-.--.-------.-.---..-..--..-..-..--..-.....-.-.-.---....-....-..-.-.....----..-..-..-...--.---.---------..--..-----...--...----.-...-..-...---.-----.-------------------
Complainant notified
of resutts
----.--.---.-....-.----..-.....-..-
I nvest I gated by __._______._____..._____....__.._..__......______.______....__.__.._______.______._._____._.__..____..___.._ Da t e ..__.._.___.______..__.___________........-_
Environmental Health 58041132.029 JRev,.9/1'\,9)
~-- ----
- e
f
,. FILE CONTE~JTS SUMMARY
,¡
'i
l SHaL OIL c.v SC:Î<-Ù I c..£. STI41íòtU
FACILITY:
ADDRESS : '200D W.f(Té LA,j E.
PERMIT #: 3100/1 ENV, SENSITIVITY: E.E.S
Activity
Comments
Date
# Of Tanks
.3/ DOlt
Ao1(P
3a/Ylfl.t I( PSuJ ~
OK. ldkr
1Q.r¡ K f Ú ÍJe 1ësf Re :su.1f5
~
3JðO/7Æt
9JlP/8S"
9/~'5 /<g~
.
fY)adr'fi¿"a.h·on
-
6
/DIII /~~
. .
~f~olr:fo
11/1/88
.
:1/ /J. /1/
IJD
fa. S5
/Yl ()d¡-ß/~ a-h 0 r1
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-
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.
A.& S ENGINEERING
--
207 W. ALAMEDA AVE., STE. 205, BURBANK. CA 91502
I~\ r--
jll (\. . ¡ ,'.';" (~ ~----_
I 1_':::" 1;"-:;.;" ¡': '-., ...-.--.......
11!J)li-~~";.. '.'..~..~
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Ju~~'
C\(
February 12, 1991
Kern County Resource Management Agency
Environmental Health Services Department
ATTN: Environmental Specialist
RE: Shell Service Station
2600 Whitelane
Bakersfield, CA 93304
To Whom It May Concern:
I am sending Plans on the above subject location, Shell Oil Co, is
proposing a Pump Island Dispenser Modification,
The contractor will remove existing Dual Dispensers and Pump Island,
and then replace with new Gilbarco M,P,D, Dispenser and replace Pump
Island as well, There is an existing Single Wall Piping at the Pump
Island location, The contractor will be extending new Piping about
1 1/2 I to 2' and also tying into existing pipe as well, Please
contact me when the plans have been reviewed and approved,and if
your office needs any further information, please do not hesitate
to give me a call at 818-842-3644,
Sincerely,
Juan sandOV~~
. ..-/~
TELEPHONE: 818-842-3644
FAX 818-842-37F)Q
i~ N V 1 H 0 N 101 E N TAL Ii E A L T !I D F
2 7 0 0 "101" S T R E E T, S T E, _
UAKERSF~ELD, CA 93301
lENT
A_CU~~:I~ tU:~~ ~j_ ~.;j '::.:/¡,'
" "
~.
APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
Type Of Application (check):
[]New Facility QgModification Of Facility [JExisting Facility [JTransfer Of Ownership
A. Emergency 24-lIour Contact (name, area code, phone): Days ~ q'-ll - ¿¡.3S"S
Nights ~t::::> £f' «7 - t.f3S S
Facility Name J¡'¡GLL JrIJT¡oN' No, Of Tanks 3
Type Of Business (check): tplGasoline Station [JOther (describe)
Is Tank(s) Located On An Agricultural Farm? [JYes [2gNo
Is Tank(s) Used Primarily For Agricultural Purposes? DYes [XI No
Facility Address 2~G?¿:::;> ~Hln;; ¿¡:jAJE Nearest Cross St. eLpeJ/~RO
T R SEC (Rural Locations Only)
Tank Owner ..sHEiLL- lOlL- c:-c> Contact Person mltf*t::= '::::~""",,4PI,ð
Address ?2-e>f é,l/'19ô77 RO CitY/StatettA/T.I}~/O cA· Telephone 8co ~"I7-~c3SJ'
Operator o)f~~ ~/L- ~~. Contact Person
Address .5"11 N. ß R.OOt<H.LJf'lJT AliI/HElm Zip <92..J!f!303 Telephone t3ðð e.¡o/7~.?.s5
B, Water To Facility Provided By C/J't,IF. ¿vA7El2 e:::::¿:).
Soil Characteristics At Facili ty C;~AY sf-- ~~NO
Basis For Soil Type and Groundwater Depth Determinations
Depth to Groundwater 170
"
C.
Contractor ¡r: E· ¿;::'L.//2Trcj
Add res S Il./ ()O t::JLr? c::¿>1/ ~ 0 (2¡;J -r: tJ,
Proposed Starting Date
Worker's Compensation Certification No,
CA Contractor's License No. -z-C:; "3700
Zip 9/32.0 Telephone ~ 1''77- d'l2EJ
Proposed Completion Date
W·C, S8'Z., OC:¡-OS Insurer Ac:::..c:>12 0
D, If This Permit Is For Moùif ication Of An Existing P"aci Ii ty, Briefly DescribE
Modifications Proposed IZ2"Mö\t;:¡ e::)(.\ ~ ï P\~~~6(L\S + po (II¡ P ,I~L.Q¡ NO
E, Tank(s) Store (check all that apply):
Tank , Waste Product Motor Vehicle Unleaded Re~ular Premium Diesel Waste
Fuel Oil
/ 0 ë:J 0- 0 ~ 0 0 1]
Z- 0 Er g---'- G- O 0 0 0
:J 0 B- El 0 0 ~ 0 0
0 0 0 0 0 0 0 0
F.
Chemical Composition Of Materials Stored (not necessary for motor vehicle fuels)
Tank # Chemical Stored (non-commercial name) CAS # (if known) Chemical Previously Stored
(if different)
\
"Z-
3
"O.oc>o G7A-L-LoI\J ~L)LQ(L
\ D t oða ($1~~ UNLEo,.OEÛ
\ It I 000 6z ø.-LL.ð~ :5\J pE,Q
G.
Trànsfer Of Ownership
Date Of Transfer
Previous Facility Name
I.
Previous Owner
accept fully all obligations of Permit No, issued to
I understand that the Permitting Authority may review aRd
modify or terminate the transfer of the Permit to Operate th is underground storage
facility upon receiving this completed form,
- - - - - - - - - - - - - - - -
- - - -
------
- - - - - - - - - - - - - -
This form has been completed under penalty
and correct. f) ~
Signature +~ ~~
of perjury and to the best of my knowledge is true
Title ~ ~/'
Date ,¡I-/2-¿(
"""-
Facility Name
H, 1.
2.
;-
3.
4.
8.
I ,.., . '-- ,
Ye1l1l1L .\0.
~ (FILL OUT SEPARATE FORM FOR..'::h .ANI<)
F~ACH SECTION. CHECK AU. APPROPRI~BOXES
Tank is: ( ) Vaulted ~ Non-Vaulted iß. Double-Wall () Single-WalL
Tank Material
() Carbon Steel () Stainless Steel () Polyvinyl CWoride () Fiberglass-Clad Steel
r::/J. Fiberglass-Reinforced Plastic () Concrete () Aluminum () Bronze ( ) Unknown
() Other (describe)
Primary Containment
Date Installed
5.
Thickness (Inches)
YqJl
Tank Secondary Containment
Œ Double-Wall () Synthetic Liner
() Other (describe):
() Material -r1ß6(.26¡ L~ oS
Tank Interior Linin~
() Rubber () Alkyd
() Other (describe):
Tank Corrosion Protection
() Galvanized () Fiberglass-Clad () Polyethylene Wrap () Vinyl Wrapping
() Tar or Asphalt () Unknown () None ~ Other (describe): F18e2.G; t..-.:J.. ~ ~.
Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System
Déscribe System and Equipment:
Leak Detection. Monitoring. and Interceotion
a, Tank: () Visual (vaulted tanks only) () Groundwater Monitoring Well(s)
() Vadose Zone Monitoring Welles) () U-Tube Without Liner
() U-Tube with Compatible Liner Directing Flow to Monitoring Well(s)'"
() Vapor Detector'" ~ Liquid ~ Sensor* () Conductivity Sensor*
() Pressure Sensor in Annular Space of Double Wall Tank*
() Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space
() Daily Gauging & Inventory Reconciliation () Periodic Tightness Testing
() None () Unknown () Other
Piping: () Flow-Restricting Leak Detector(s) for Pressurized Piping'" :
('jI Monitoring Sump with Raceway () Sealed Concrete Raceway
() Half-Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None
() Unknown () Other
*Describe Make & Model: ¡;?oN AN A P -¡:
Tank TiS1:htness
Has This Tank Been Tightness Tested? () Yes
Date of Last Tightness Test
Test Name
Tank Repair
Tank Repaired? () Yes
Date(s) of Repair(s)
Describe Repairs
Overfùl Protection
() Operator Fills, ControlS, & Visually Monitors Level
() Tape Float Gauge .w. Float Vent Valves
() Capacitance Sensor () Sealed Fill Box
() Other:
Capacity (Gallons)
¡ðrCCO «1AL
Manufacturer
6v.JENÓ -C-c'rZ/'J I"-'C')
() Lined Vault
Manufacturèr:
Thickness (Inches) V -4 II
() None
() Unknown
Capacity (Gallons) l t¡ DCO ~
() Epoxy () Phenolic ~ Glass () Clay
( ) Unlined
() Unknown
6,
7.
b.
r) No ~ Unknown
Results of Test
Testing Company
9.
crt No
( ) Unknown
10.
N:. Auto Shut-Off Controls
() None ( ) Unknown
List Make & Model for Above Devices
11.
Piping
a.
b.
Underground Piping: 'fJ Yes () No ,() Unknown Material
Thickness (inches) Diameter 31 Manufacturer A,o, SiY11nt·
W Pressure () Suction ( ) Gravity Approximate Length of Pipe Run
Uhd'erground Piping Corrosion Protection:
() Galvanized () Fiberglass-Clad () Impressed Current () Sacrificial Anode
() Polyethylene Wrap () Electrical Isolation () Vinyl Wrap () Tar or Asphalt
() Unknown () None !YJ Other (describe): r{ B~U;...~::,..
Underground Piping, Secondary Containment:
91 Double-Wall () Synthetic Liner System () None () Unknown
(J\) Other (describe): :51 Gi LG ~ C\ L..'-
c.
.'
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'"
K.E, CURTIS CONSTRUCTION COMPANY. INC.
@
Department of Consumer Affairs
Contractors State License Board
3132 Bradshaw Road P.O,Box 26999
Sacramento, Ca, 95826
February 4, 1991
State of California
Re: Authorization to sign permits for contractor 293700
Gentlemen:
I hereby authordze the following person to act on my behalf
in obtaining permits from the Building Department and to sign
permit applications for me, I am properly licensed as ':':,
required by the State of California,
I assume full responsibility under the law for permits taken
by persons authorized to act on my behalf,
I understand notarization is required and is included,
This authorization shall continue until you are notified in
writing that such authorization is cancelled by its
contractor.
Persons Authorized TQ Siqn Permits and his Signature
Juan Sandoval
State of California
County of Ventura
Contractor State License 293700
(-''',
by Œ.-
Gary ,Snyder,··
Vice/ resident
On this the [j3rd day of March, 1990
before me, Shirley Ann Gayer the
undersigned Notary Public, personally
appeared, Gary D, Snyder, personally
known to me to be the person who
executed the within instrument as Vice
President or on behalf of-the
corporation therein named, and
acknowledged to me that the
corporation executed it,
WITNESS my hand and official seal.
.¿U/A ~ ~t;~ /L ;')&';-1 L t '
/ Notarr//s ~Sig~aturE7_/
~ OFFICIAl. SEAl.
SHIRLEY ANN GAYER
Notary P\.bI~Homla
VENTURA COUNTY
My CarmI, ~....,. 13. 1m
NOTAR Y SEAL
1400 OLC (,(;I,>,F; PU,\~; . c· ','
~1..';X .F~,~,·. ~ti(~~j!:'.A"'·j: ~!AK:":' ("'öt I~(-"J~,II^ Qt"H;'O. ,onÞ:\ H)n í'\,.,'"Ir'l
~ ~ ~-- > ;--- -.-.; ~-<.. -...",'
STATE OF CAUFOtINIA
DEP~TMfNT OF INDUSTRIAL RElATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
e
.
N?-0541934
~
ANRIAL
PERMIT
Permit Issued To
(Insert Employer's Name, Address and Telephone No.)
No.
1 K E Curt is ,Col1stmcti O!1 (".. ITV'.
,14m Old C:'lllt'jo Rd.
Ne.,bur-y Park, CL1. enD)
L.._ (005) !~cn-f;i¡28
--1
Date 12-28"""'9
R· /.
eglon -.----:'
--,- j
District 'j-- Vent:mB
Tel. (005) 654-4:81
Type of Permit
[,\CWA11ü:J~~ ilnd/ul '¡1\lmITN; - ANNUAL
_ .._..~~n_
Pursuant to labor Code Sections 6500 and 6502, this Permit is issued to the above-named
employer for the projects described below.
--_. . - - ..._. .-.-- .
.----.--.----.
'- -- .. . ' .'~ - - - - , ..
I P.""it VolKi t+.~
1-1-9) through 12-31-9J
lo<o+ton Add,..... A~ Dates
Cioy and COVnty
~toT1Õn9 c~
,
, nsr ADV1SE !HI: UlSIRICT OfFIC Ivml\E TIlE WR.1\ Im.L BE
.L
State Controdor's UCe.\'" Num~
~~-"' ''"i'' ~~--1
VI.RIClS UX'ATIŒS I
AlL PARTIES' oom:; (f1{IR,\, IT" RllA m I "l,
~, I
___-=.'C -=-=_ ,..~
This Permit is ¡uued upon the following conditions:
1. That the work is performed by the same employer. If this is an annual permit the appropriate
District OHice shall be notified, in writing, of dotes and l<xatÎon of job site prior to
commencement.
2, That employer will comply with all occupcitional safety and health standards or orders ap-
plicable to the above projects, and any other lawful orders of the Division.
3. That if any unforeseen condition causes deviation from the plans or statements contained in
the Permit Application Form the employer will notify the Division immediately,
4, Any variation from the specification and assertions of the Permit' Application Form or violation
of safety orders may be cause to revoke the permit.
5. This p~rmit shall be posted at or near each place of employment as provided in 8 CAC 341.4,
Rece/Yed F.-
- '-'" "-J'~'
R..........d 8,
J7Ph5
.~- .._- ,-
Amo<JftI o.m,
lW,CO. 12~:2S-59
Investigated by . ,.
APprOV.d!~~~~~
~ ~!IL---G«8!JoI CtSntCT ~y-_
~ C'OI'Y--<:AMArf ~ corr-WHfTI
~(Aew, ~,!!1)
--10: lülbtH:J -'bt!
.-~,
)
;>
10.
r I'um. /" t, LUKn~ ' IIf'b I KUL 11U~1
J ~j ~U-j:~8am p,J
e
e
j --
K,E. CURlIS CONSTRUCTION COMPANY. INC.
~
\~
~, .
ACCIDENT PREVENTION PROGRAM
1.
Provide tangible items such as hard hats, good ladders,
first aid materials and safety devices on equipment.
2.
Provide that capable, responsible supervisors~make regular
inspections of all excavations, forms, scaffolds, stairs,
ladders, structures, machinery and equipment at frequent
intervals1 take corrective measures to eliminate hazards
directly under control of the employer, or report safety
violations to the responsible employer.
3...
Require that foremen assume their share of responsibility
for accidents and provide written reports on each accident
with suggestions on avoiding similar accidents in the future.
4.
Require superintendent to hold monthly meetings of all fore-
men to discuss any safety problems or accidents that have
occurred.
5.
Display safety posters and proper warning signs.
6.
Require foremen to give individual safety instrudtions and
orders, as needed, to new ~mployees and those found to be
working unsafely.
7.
Require foremen to call short "tool box" or "tail-gate"
safety meetings with their crews about once each week to
emphasi~e particular safety pr.oblems.
Keep tr~ck of safety reoords with graph or charts, indioating ,
g~ins and losses.
~,
9.
EnoQqraqe safety suggestion. from all employees.
Arrange for frequent and regular field safety inspections.
1drvl(1Inr(UJClncn...n....ðr"ll orìv..n..."7.Tt',......_.....__.·....... _..._'-_"'U'" -~--- .---- .-- ----
To: 18188423760
From: K.E, 411fIS rONSTRUCTION
e
3-23-~0 9:52am p.5
:;;
Page Two
10.
Crowding or pushing when boarding or leaving any vehicle
or other conveyance shall be prohibited.
11.
Workers shall not handle or tamper with any electrical
equipment, machinery, or air or water lines in a manner
not within the scope of their duties, unless they have
received instructions from their foreman.
12. . All injuries shall be reported promptly to the foreman or
superintendent so that arrangements can be made for medical
or first aid treatment.
13. When lifting heavy objects, the large, muscles of the leg
instead of the smaller muscles of the back shall be used.
14. Inappropriate footwear or shoes with thin or badly worn
soles shall not be worn..
15. Materials, tools, or other objects shall not be thrown from
buildings or structures until proper precautions are taken
to protect others from the falling objects.
16. Emplo}'ees shall cleanse thoroughly after handling hazardous
substances, and follow special instructions from authorized
sources.
17. Hod carriers should avoid the use of extension ladders when
carrying loads. Such ladders may provide adequate strength,
but the rung position and rope arrangement make such climbing
difficult and hazardous for this trade.
18. Work shall be so arranged that employees are able tö face
ladder and use both hands while climbing.
19. Gasoline shall not be used for c1~aning purposes.
20. No burning, welding, or other source of ignition shall be
applied to any enclosed tank ot vessel, evert if there are
some openings, until it has first been dètermined that no
possibility of explosion exists, and authority for the
work is obtained from the foreman or superintendent.
21. Any damage to scaffolds, falsework, or other supporting
structures shall be immediately reported.to the foreman and
repaired before use.
J
~.
To: 1818842376Ð
From: K,Eo4llJTIS ~~NSTRUC~ION
e
3-23-90 9:53am p.6
~
Page Three
.....
USE OF TOOLS AND EQUIPMENT
22. All tools and equipment shall be maintained in good condition.
23. Damaged tools or equipment shall be removed from service and
tagged "DEFECTIVE".
24. Pipe or stillson wrenches shall not be used as a substitute
for other wrenches.
25~ Only appropriate tools shall be used for the job.
26. Wrenches shall not be altered by the addition of handle-exten-
sions or "cheaters".
27. Files shall be equipped with handles and not used to punch
or pry.
28. A screwdriver shall not be used as a chisel.
29. Wheelbarrows shall not be pushed with handles in an upright
position.
30. Portable electric tools shall not be lifted or lowered by
means of the power cord. Ropes shall be used.
31. Electric cords shall not be exposed to damage ~rom vehicles.
32. In locations where the use of a portable power tool is diffi-
cult, the tool shall be supported by means of a rope or similar
support of adequate strength.
HACHINERY AND VEHICLES
33. only authorized persons shall operate machinery or equipment.
34. Loose or frayed clothing, or long hair, dangling ties, finger
rings, etc., shall not be worn around moving machinery or other
sources of entanglement.
35. Machinery ,shall not be serviced, repaired or adjusted while
in operation, nor shall oiling of moving parts be attempted,
except on equipment that is designed or fitted with safeguards
to protect the person performing the work.'
..
I
To: 18188423760
From: K.E.~TIS r~NSTRUCTION
.
3-23-~Ø ~:54am p,)
'è
~
Page Four
36. Hhere appropriate, lock-out procedures shall be used.
37. Employees shall not work under vehicles supported by jacks
or chain hoists, without protective blocking that will pre-
vent injury if jacks or hoists should fail.
38. Air hoses shall not be disconnected at compressors until
hose line has been bled.
39. All excava tions shall be visually inspected before backfilling.,
to ensure that it is safe to backfill.
40. Excavating equipment shall not ,be operated near tops of cuts, ,
banks, and cliffs if employees are working beiow.
41. Tractors, bulldozers, scrapers and carryalls shall not operate
where there is possibility of overturning in dangerous areas
like edges of deep fills, cut banks, and steep slopes.
42. Employees shall not enter excavations in excess of 51 unless
it is determined that proper safety precautions have been
taken and proper permits issued.
e
.
,
~
R2CEI~T
P /~, r:; ::
---------------------------------------------.-----.----------------------------
,
J2/27/91
Invcice Nbr.
~51S3
1 : 33 pm
KERN COUNTY PLANNING & DEVELOPMENT
2700 'M1 Street
Bakersfield, CA 93301 Type of Order W
¡ (80S) 851-2615
1______-----------------------------------------------________________________1
I
I CASH REGISTER A & S ENGINEERING
I I
I I
I I
1______-----------------------------------------------______________~_________I
¡Customer P,O.~ I Wtn By IOrder Date i Ship Date I Via I Terms I
IH0227911 I NDJ I 02/27/91 I 02/27/91 I I NT I
1_______________1________1___________!___________1________________1___________1
Line Description Quant~7Y Price Unit Disc T0t~1
~OO!FICATION OF PACTLl-7'( (PER HC1JR) 7 50.00 _ 350.00
:7CH
2
Order Total
'350.00
Amount: Due
350.00
Payment M~de By Check
350.00
THANK YOU!
--
"
~
PERMIT NUMBER
~1()()f~C
TYPE OF INSTALLATION
( ~, In-Tank Level Sensor
( ~2,
Leak Detector
( ~,
FACI¡'ITY NAME
~0~ :IŸ1c.
o ¡)hife laYle
b\\\ vYll~d
FACILITY ADDRESS
CONTACT PERSON
e
~er4~
)
Fill Box
1, IN TANK LEVEL SENSORS
Number of Tanks ~
List By Tank ID
/
Name of System \fJr21er Pun+-
Manufacturer & Model Number
Contractor/Installer
2, LEAK DETECTORS
Number of Tanks
~ List By Tank ID
Name of System ~5-h-h~
Manufacturer & Model Number ~
Contractor/Installer
3, FILL BOXES
Number of Tanks
List By Tank ID
Name of System
Manufacturer & Model Number
Contractor/Installer \ t J)jVìe- tðeY~ (f)Vì'?-tr'ü..('hOV)
. -----,
/(Ifo
, .lor
,./' /'
i' /- ¡ .
~~R'IÓP 'RATOR
li~<Xd -r;,(,.
I kd1 f01
DAT
PERMIT U
HeH
FACILITY
_E'
.. ..-..... . ......... ........
..........................
NUMBER OF TANkS AT THE SITE: ENV, SENSITIVITy".. ..".
.....n........·.. ... ....,..................
EMERGENCY CONTACT PERSON(PRIMARY): ~/DO/:-r
~ NAME: '
............-..................................................................................................'.......................................,...................-................... .....
PHONE NUMBER:
....................................................................................-................................................................................
EMERGENCY CONTACT PERSON(SECONDARY):
NAME:
...................................................................,....,.
........,.......,..............................,.............,.........................,.~................
PHONE NUMBER:
.....,.... .......,........ .... ........... .... .......... .............. ........,... .n............. ......~.. ....~... ....~.....h... ...n..... ......... .............,....
TANK OWNER INFORMATION:
NAME:
.......~_.............~..~.............................,.....,...................~...~...........~~~~h~._~~h...~.....h..'........,..~.~......,.......h......h~h..........n....h..........,....
ADDRESS:
..... ....... ~....... .......... .,. . _...... _~n." .................... ....... ._.... .... ...h........~..u........ ..h..........~.. .........~... ...... ,~.. ..... ._. .....~.....h~_n...~..... .... ."~......._.. .... .~,_...
PHONE NO.:
TANK CONTENTS:
.......~.n............................,...............h..........~...n.n......'...n...'......~................................~~.~~n..................................................
TANK # MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS
I
TANK CONSTRUCTION:
TANK U TYPE(dw, sw, sec.cont. ) MATERIAL INT. LINING CORROSION PROTo
LEAK DETECTION: TANKS:_...____.... VISUAL GROUNDWATER MONITORING WELLS
___._......_....... V ADO S E Z 0 N E M 0 NIT 0 R I N G WE L L S "m..."..._...._..................... U - TUB ES WIT H LI N E R S
,._....._.........,_.., U-TUBES WITHOUT LINERS .._....__.m.......... VAPOR DETECTOR .....,....._, LIQUID SENSORS
.....__.._.........._ CONDUCTIVITY SENSORS .."..._m_......_........m. PRESSURE SENSORS IN ANNULAR SPACE
..._......,_............. LIQUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING WELLS, OR ANNULAR
............_..._'''_... NON E.. ..,_......",_.....\.1 N K NOW N ,__..."..."............... 0 THE R ......,...,.........._.."."........._._...................._..,,_..."."__m......_._..__m"_'"
PIPING INFORMATION:
TANK n SYSTEM TYPE
(SUC, RE . ,GRAV.)
CONSTRUCTI ON
(SW,DW,LINED TR)
MATERIAL
I
R t:>,ù AI\J I
,t~p
LEAK DETECTION: PIPING: FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED
PIPING........"__,....."..",, MONITORING SUMP WITH RACEWAY
SEALED CONCRETE RACEWAY HALFCUT COMPATIBLE PIPE RACEWAY
....................
,.."H.....H' SYNTHETIC LINER RACEWAy.."............. NONE".........,.. UNKNOWN
OTHER
".......................
e
e
-'
November 29. 1989
Kern County
Ann Boyce
Environmental Health Spec.
27 M Street
Bakersfield, CA 93305
RE: Leak Detection Certification
Please find enclosed the leak detection certification for
Shell Oil Service Station sites, The following locations
are enclosed, If you have any questions, please call us
(714) 546-1227,
cerely,
w. Hogie
Station Services
SWH/js
1. 2600 White/EL Potrero
Bakersfield, CA
WIC# 204-0461-0568
2122 S. GRAND AVE, SUITE E & F . SANTA ANA, CALIFORNIA 92705 . (714) 546-1227
~
·~dams
~reCISIOn
D nstrumentatlon, Co.
.
,;
~
12410 BENEDICT . DOWNEY, CALIFORNIA 90242
(213) 803-1497
November IS, 1989
SHELL OIL COMPANY
511 N, Brookhurst
Anaheim, Ca. 92803
SHELL STATION WIC' 204-0461-0568
2600 White/EI Potrero
Bakersfield, Ca,
'RE: LEAK DETECTION SYSTEM CERTIFICATION
For your information and records, the leak detection system at
the above referenced site was certified on 11/02/89 by a
representative of API/Ronan, as indicated below.
PRODUCT LINE
Type_SWF_
TANK
Type_DWF_
WAST OIL TANK
Type_DWF_
MONITOR
MONITOR
MONITOR
Non Existing Non Existing
_~I_Operational operational
Non Operational _API_Non Operational
Non Existing
_API_Operational
Non Operational
All Mechanical Leak Detectors are tested for normal operation per
Manufactures Specifications. Leak Detectors are wired and sealed
to increase tamper resistance. Please feel free to contact our
office for any questions you may have regarding your leak
detection equipment,
Best Regards,
Adams precision Instrumentation
~~R:n¿r.L~~tlon Systems
~~;:. Kl·ll:-~·
General Manager
3/ '
Product ~ !10nit!nq S¡:stem
,
e
QT'f
""
Type: (~Line Pre.szure I"loni t~r (zingle wall)
[ J Monitoring Probe/Collection Sump (double wall)
System Ma~uf~cturer: (~] API Ronan [ ] Other [ ] None
Hodùl: [\() ì ¡¿s 7&- 3 - 4 -J'--t;} "-- ~ '"
Opera t::'ng Sta tu.s: [~J Opera tional
Correct::' ve Action: (~Performed
)'fI':f ~~rp~ ~¡ ~ ~JL..J?I-,
~ V- µ,., Þ"f/O Ii' ~5 c: # ~ /l'V.c:-l-l'd' (lll,~
( Nonoperational
( J Required
#//6 --t:?/7'; ¡--"'vH 4 S (,/ ~IV
s...t.-e I( ~ .s iI F' - -5 h.¿ z: I- ~
5Jr
Waste Oil Tank Monitoring System
QTY
Type: (]. Si te rTell Vapor Probes (single wall)
[fi Annular Space Wet Reservoir (double wall)
Hodel:
.
(~
( ~J
A?I Ronan
I
,( I. .
:/
ì~)ì6-s- 't.s-..ð-~
( ] Other
[ J None
System Manufacturer:
Opera~ing Status: (] Operational
(KJ Nonopera~ional
Corrective Action: ex] Performed [(J Required
h t/' 4-.£ t-#' > J/'i uJ f\ t7, tv{ {;7 'If r:J I- t(J ~ I ~ .¡ I'd. ,rl1 ~ ;I- r" t/ ,.,
r tJ If 'II / -I- ¡::- '" P Þ10f ~ IN"I r t r(.J c. ~ i~ "j II.f ¡:-",,z., ¡,~ II tP I ¿'
fo {otMi c ~v1 ~é1/ ~ ¡ee¿ltl'~ arl..¡- ~)'7;Ltf7~.t.-t-'/rl.~
\
,'-' ~r- ,~.A"" I ..ð_ ~ I -)i.~ ~ ' I
I'IH "'Yt(.; ,.- { - ct" d ~o""~'-r ,"" '" ~~ ø~ /4 ¡fJiV9'J-R: ¡¡,{. '>}/ -¡,:J.¡J¡.-
I do certify that the above information and operat~ng status ~s ,
representative of the actual condition of the monitoring system.
12410 Benedict
/J ~ _IL, I _ ~ i
./Y~~,--T~
Signa ture / /_ 2- _ /,j7
Date
API, Co.
Downey, Ca, 90242
l
4 t '¡~·PEi~
q,fU!'EQ~IPME~¡ IN'>"
Co
1
r--,
--"'".
ffidae
[preCISion
o nstrumentatlon, Co.
.
..:. :r /1 ,/
SERVICE ORDER NUMBER
" ,/\
li~'(_.
'··--l, \._-
\~
A.PJJRONAN LEAK DETECTION SYSTEMS
12410 8FNEDICT. DOWNEY. CALIFORNIA 90242
(L13) 803-1497 FAX: (213) 803-0063
DEPARTED
S. " ¿?
Bill TO
M µ, F'ot.l4
ADDRESS
CITY, STATE AND ZIP CODE
P,O, NUMBER
DESCRIPTION OF W~R'SfERFORMED ~ '...d ~ ~ It'.:r L 11 ~ "# //6 - 0/'7
)< ¡tJ"J./ /""57. - 3 -l.¡ ~ - D - JYf '-
J ~I/- > t:I 00 1\..1 ~,o'" S ~
¡Cd V'¡ ¡ s V - H C y~.... ~ 1¡d'¡(rz~d ~) µ~tI/d r~t/vI (! ,
e(oJ ~..,þI/,il/' I roviJIVc¿'11cI. '1.I~.I,/I¡lcI I.f ~ LS-).~ ,t..! Æ~$, /,."p¡~c
at éJ ~ t. ~V'- 06 fJs I' ¡:-¡'¡I''¡~ ~¿;;ø la¿;of' ~~II'/J~' ".",.¡'r /"-t'J W6! ,ðvl/ÆI
f.o Lo~~ ~ ~#6'/' lA/Ú¡£In... ¡,V/1"/1(1 ~"",., '?>A"~ IT". .v/I'-I\:t; f:J ¡/I/~
;=-i/'''~ 1.V(t;' ¡W~~ It] l\fj/'d'~ ~.;L#¡L/'t7~ €? "t/þ ..../4'-.>i.,¿ ~t:Jvi--.
L ~ Þ I- Ý''' '" 1J t:1" I:'-(" ""'/ø v 14 ¡Of i./! J -t c/,., iT
~~ - :JCJ, -tJ¥¿.*f ~ i/ - t¡o~:¿ - ð¿JV, ~I ~ ~y ~~ tlI", /
~/ SYSTEM RUNNING
/0 ,/()I" ¡Q' YES ~ NO 0
DEMONSTRATED FOR ~;I?' ~ I ~ M< ~ t.Å'i/ V't' ~ / ~ ~ ..,/'/ 4
MATERIALS USED DESCRIPTION &.&If!
QTY MODEL # slu e f
1- 2 ~ v - I 04 w.Jr¡ '/i
~
,
I-S-' ;s
L" tj S'-i.
..-Y'~ tv - ~~J14f- ~'72
,,/d' ~/t/6JJ"":' ~
;. -'!>v- "'''
, ";4.()
;J;ZS. ðO
Nit
¿/ e 11vcfr
~"d.. ~ $
t
UNIT PRICE
/J!:
t¡~
¡¿J- L./¿J
RATE
AMOUNT
,
.
/
'7~ Sí
=rr
MilES , -4 S
f11!C S$S ON ().) () V7t7J~ - , FIX /1 f N
~ Ð-D n1/f11JT'. TO ¡¿dÆR UlJiON 4;3itjf'1JeV:;-
r~~;'m~ //-~/if'J s:~~
SUB- TOTAL
TAX
TOTAL
þ~
---.
e
;,,'
-, ,
e
SH}~J:1:. OIL ÇOMPA_~Y
110TOR FUEL FACILITIES
CE_RTJFICATJ;.QJi OF T~J'Ð5 HOl'!ITORINQ SYSTEM'
Facility WIC Number
Facility ~ddress :
2C?o/-07L6/- C/:;-ó'»
26- èJ 0 i.1/h /7'- e 0,// /:=¿" ¡IC) 0/1'" i1 r c>
p ¿If IN,~ ¡:: /:¿; Ie! /' [' # r
Retail District
Product Tanks ( SiI:lgle Wall (.3] Double Wall
Product Line (,3) Single ¡-¡all ( ) Double Wall
Waste Oil Tank Single Wall (/] Double Wall
:QTY
Product Tank Monitoring System
Type: ( ] Site Well Vapor Probes (single wall)
(3) Annular , Reservoir (double wall)
Space Wet
[ J Annular Space Dry Monitor (double wall)
System Manufacturer:
¡Nodel:
Opera t.ing S ta tus: (Xl
Corrective Action: ~
¡)f 5 ;J.1'//¡IId' ~
(JIYJ h.¿.j- ,. F"I/~ ¿
[ X]
( ~]
API Ronan [] Other
ì&.5 7b - 5-
'[ ] None
i l' i/
7"5- 6 -14
Operational
] Nonoperational
Performed (
Lr~\-:J ~ ~5~
-1// ƿs_ {/~J
Required
,'VI ~L It '- e ø,Þ (;) Ii' é I'
.
·;
.,
USE THIS TO RECORD DISPENSER LEAK/SEEPAGE PROBLEMS
:;
SITE LOCATION: DATE: /1- 27 Y
2CJ~ -096/ -è?56'
-- -------------_____ __ dP
2c6i9Þ t.vh/~f?Lv,,/~1 /""v~ .
/
44 kt,~ /'¡'éJld C' ¿.I~
,
DISPENSERS BY NUHBER ': INDICATE PROBLEM
~ 7'--6 æ-i4
:,¿e/J ¡Ii ~ e VÞ1/'o ~
~
# 1-2 5(/- 1't!'1/1ï'J.(!J
(!J (/V! 1'0 v¡ ~ - JIU¡'~ J'- ~
/Îtl ,III;- t/l1.~ /~ /,
,
/4-1s.o
.#
2. -.5£/
~
¡4t:?¿! è/~
J ~ vC I-
~ø-
U~ø Oø~...
,
\
S I / ~ ..-10!.:u4 ~,-"
JA()~¡'~/\~cI.
IMPACT VlU..VES: INDICATE PROBLEM AND IF YOU CANNOT ACCESS
ICi~d ~/",6 )
./
#- ~ '-4 - S'i../.
'">11 /O~c f - J::a// 1-1, 1-... ~4' ¡..
,
I 'IJ ~ I- ?J<... ¡ k.t?/ ~Y¿ b
,
.
~~ ~qss/
..... ._----- ------- --...- -.---.---
- -. - .-----.. -._--. --. -.
SERVICE
'STATION
SERVICES
.
.
ó[~
October 25, 1990
County of Kern
Environmental Health
2700 M Street, Suite 300
Bakersfiled, California 93301
RE: REPAIRS ASSOCIATED WITH PRODUCT LINE TEST
Please find enclosed a copy of the repair letter from API/Ronan indicating repairs made
to dispensers 'and impact valve, which were identified during a product line test at a Shell
Oil Company service station at:
2600 White Lane/EI Portrero
Bakersfield, CA
WIC #204-0461-0501
The aforementioned product line test was forwarded to your agency on October 8, 1990.
Please contact our office jf you have questions.
Sincerly,
Larry Gordon
f'.-...
"""
~
\J
~
LLG/svt
Enc
2122 S. GRAND AVE., SUITE E & F . SANTA ANA, CALIFORNIA 92705 . (714) 546-1227
~
~dams
[precision
o nstrumentatlon, Co.
-
A,P.I./RONAN lEAK DETECTION SYSTEMS
October 23,1990
SHELL OIL COMPANY
511 N, Brookhurst
Anaheim, Ca. 92803
SUBJECT~ Station #204-0461-0501
2600 White Lane/El Potrero
B?,}.:;yY"sfield, CÇ1., 9330C!
To Whom It May Conce~n;
Repairs completed on Dispensers #3 & #4, replacement of I~pa~t
Valve on SU-2000 product, on October 22, 1990.
I!",p':1ct Val'/2 r,!é',~ ti:;~t'='::; a.r:d fOU!1.J to be ()pera::ional.
If you should have any questions please call.
cerely, ~
' t1- . lMA-
. Y"'" i ; r'" r',
g _ ^. K _ .L 'co ,= r
Service t-1acager
SALES/SERVICE
12327 WOODRUFF AVENUE
DOWNEY, CA 90241
213-803-1497
FAX - 213-803-0063
SHIPPING/RECEIVING
12410 BENEDICT AVENUE
DOWNEY, CA 90242
213-803-1499
FAX - 213-803-3201
N. W. REGIONAL OFFICE
3031 TISCH WAY - SUITE 200
SAN JOSE, CA 95128
408-244-6739
FA Y - dnp-?;:;:.ç Cir'
e
¡
;,
-
3 I /'- ~ 17
' j.../ J
QvARITRL Y I~vE NTORY
., ~
""-'
nr:-pn-RTThIG
tjt.- vi I _ I\}
"l/J h ì re LA "Je )~ 1\ e / I t Tank---;¡-- ;~z-;¡;'~~-~-;-'¡
Facility Name. _ ! / 1 ie/ooal çu ~2.ocol
Fa c 11 i : y Add res s: 2- to 0 0 VI h ( teLA. µ è.. ¡ 2.-- : lO, () ¡) 0 j f!.. U ' 2 ceo :
City: 6IttéK)f/~¿tJ I -3 lo¡¡)OO ¡ Requ/ct¡r- ì
Count',!: ' K-Ef{¡V r \ ~
State: CA. ¡' ¡ . i
in c # 2Déf:r¿ 'f-~/ o.iff t ¡ Wast~ all
'.
I he~eby ce~t1fy unde~ pen8lty of perjury that III product
D level va~iatio!"ls fo~ the above Ilent10ned facility we~e ,\'2.3456/&' "
wi t!11n a!lowab le limits for:' this que~te~. I ,;~/ + .9~\
~ventorY v!\~1et1o~! Ixce~~e~ the allowable lim1t! fol'" <'-; Nt _-",'
this quarter", ¡ he~e~y c:ert~fy under pene1ty of perjur.y;."S ",.OV 1990 "~;:
that the source for the v!r-1zstlon ~! NOT due to an '\S, RfCF'Vtr-n :!.¿
uneuthor1zed {1eak.] release, '\::;>, . - d~' - u :3,:;'
\' -.,
List date, tank , and amount for all varllt10ns - "-.: : " '2"-
trust exceed the allo'lt'1Sble Heits '" ;: :..;::~,"
,'---
Date
o -/
10' /
o -~,
T8nk' I
Amount
/"102--
-r 2357
-f/3b7
¿
3
¡
!
I
!
I
¡
¡
~ Cat.
¥j
~:~
~
~ro
i
y4
~0)
ßç-
,¡(.I?-
l:~
jJ
-~
be ,ub_1tted w1th1n
T8nk I
ÂIIIount
The quarterly suæma~y ~eport shall
Df the end of ..ch qu.r~er.
GkJarter 1 - Janua~y th~u ~~ch - ~þ.1t ÞyAQr11 15
Qarter 2 - ~~11 thNJ ~e $l.t.)81t by ~ly is
QJar-:'er 3 - ~ly t.;"11"U Sept!!~er - 9Jbsait Þy t>:tober- 15
Quarter ~ - CC~Ob8~ thru Deca~er- - Suba1t by Janaury ~5
Send T~ (Loca! Agency):
15 days
'--
Wh~Le - Ag~ncy Copy
KEEP COPIES QF THIS FORM FOR YOUR OWN RECORDS
Canary - Dealer Copy
ì
I
I
~(d
o [0Ul /
.
.
:...._--:::~:-__~--'Io.
..---- . .\'\ \
, " . _ ".:~"- -:-. -,\:; "-:-,:'\ : 'ì
I~~G:~'~ ~ '::l~
&ERVICE
~TATION
S~RVI~ES
I
'"
October 8, 1990
County of Kern
Environmental Health
2700 M street, Ste. 300
Bakersfield, CA 93301
Re: Product Line Testing Results
..
Please find enclosed your copy of the test results for the
product line test performed on July 25, at the Shell ,oil Company
service station located at:
2600 white Lane/El Portrero
Bakersfield, CA
wic# 204-0461-0501
It was discovered at the time of the test that the impact valve
in the #3/4 dispenser for the Super Unleaded product was not
sealing internally when tested. API Ronan was immediately noti-
fied to make the necessary repairs. All lines and systems were
tight and operational.
If you h~ve any questions please contact our office at (714) 546-
1227.
Sincerely,
LLG/svf
Enc.
2122 S. GRAND AVE., SUITE E & F . SANTA ANA, CALIFORNIA 92705 . (714) 546-1227
"'II' n
~, ':'
.
ì
'-
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Associated Environmental Systems, Inc.
P.O. Box 80427
Bakersfield , CA 93380
(805) 3'33-2212
------------------------
SITE RESULTS COVER SHEET
------------------------
TEST LOCATION:
SHELL OIL CO.
2600 WHITE LN.
BAKERSFIELD, CA.
I. D. ..
DIST/REG
ENG./CONTACT :
20404610501
LA EAST
JULIE MCQUEEN
TEST DATE 7/25/90
TEST TIME 14:00
W/O
12259
COUNTY I KE
TECH
..
BWH
88142
-----------
CERTIFICATE
-----------
ASSOCIATED ENVIRONMENTAL SYSTEMS, INC. HAS TESTED AND CERTIFIES
THE FOLLOWING:
Certification # '301225'3
-----------------------------------------------------------------------
Tan 1-<
PRODUCT
TANK
PRODUCT
LINE
IMPACT
\)ALVES
LEAK
DETECTOR
-----------------------------------------------------------.------------
1 S/UL DWF PASS FAIL PASS
2 RIUL DWF PASS PASS PASS
3 REG. DWF PASS PASS PASS
4
5
6
INTERSTITIAL MONITOR:
PRODUCT LINE MONITOR:
W/O INTERSTITIAL MONITOR:
-API, RONAN-
-API, RONAN-
-O/C(WET)-
-OPERATIONAL-
-OPERATIONAL-
-OPERATIONAL-
TECHNICIAN; BRUCE HINSLEY O.T.T,L. #1069
-----------------------------------------------------------------------
ANY FAILURE LISTED MAY REQUIRE NOTIFICATION OF AGENCY.
Recertification Date Recommended:
07/91
-..-------.---------------------.--------.-----
...
'.
.
.
, "
"
'~
IMPACT VALVE OPERATION
DATE__~_~~~~!. WORK ORDER__L?~~~_
STREET ADD. 2 r;; or) u/ /~ / ¡-c La 1/( -e.
-----------~---------------------------------------
C I TV _:z2::::-L;~£.LÍ.L~./~-Ç..f3:..:..---
L-J I è# _:kq_LCY..f..ie-i.:o..L______,______
CHECK
TËCH. -;tS [A./" --J,J-. .
_______J~________
-------- -----..--
----------------
...._------------------.....---~-----
~lª.eg~.êgB__jt _____.
..,1___2:__________
__~:1:,_________
)-G
IMPACT VALVE CLOSSS WHEN
.BLYk__ÊL~b__Bg§__ºgbeI~~gº_~B~WBbbY__lgª__~º
V-- v-- V !/
.----- -
--.--------...---------.- ._----- ---....-
~
?--
¿,.~/.
- ----- ..-- ._- ------.-- ------ - -... ---- -----. -----
.-~....-.---,.- --"---'--. -- ---. ._~
v
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ASSOCIATED ENVIRONMENTAL SYSTEMS, INC,
P,O, BOX 80427 '
BAKERSFIELD, CA 93380
(805) 393·2212
INVOICE NUMBER /2!- j-9
LEAK DETECTOR TEST DATA
JEST LOCATION:
"~ dfl e II
: 2000 U/'j,¡K L1.-1-1 e_
'~key,r Iì/é-!~ C¿-¿,
FACILITY II:
CONTACT:
,PHONE fJ:
TEST DATE:
2 O~07'b ICS-O/
)/yf 3 r-
(¡ctJS) 3J/-OFo2
7-2-'s:- ?/{l
DOES LEAK RESULTS
PRODUCT DET EXIST TEST 01 T E $'" HZ RESULTS PIL TEST
!/ SERIAL:. if 1ðLjtz ¿/ (/
yes oQ'L. , Pass Pass
REG no / Gal 3 Gal Fail Fail
,
/ ::>ERIAL It (.;'¡f F d.-
yes () JcJ Pass V Pass L---'
R/UL' - ( 3 Fail
no Gal Gal Fail
./' ::>t:.KH\L iF ::::r.-7?[' v--- ¿,/
yes // ~ ·,3, Pass Pass
S/UL - K ~.~t~ . 'Ga'l Fail Fail
no
,
SERIAL II
yes Pass Pass
-
DSL no Gal Gal Fail Fail
-
NOTES:
TEST PROCEDURE
Test 11: perform for 30 seconds with nozzle in full open position
Test 12: perform for 30 seconds after nozzle closed for 10 seconds
EXAMPLE OF POSSIBLE RESULTS
,Test 11
....;L Gal
Test fJ2
~ Gal
Re su It s
Pass
Test 11
....3 Gal
Test 12
.::L Gal
Results
Fail
TECHNICIAN ~- ~'
DATE 7-2-,j-9()
.:
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ASSOCfA TED ENVIRONMENTAL SYSTEMS, INC.
P.O. BOX 80427
BAKERSFIELD, CA 93380
(805) 393-2212
INVOICE NUMBER
/22.'\"-7
AES HYDROSTATIC PRODUCT LINE TÈST WORK SHEET
TEST PRODUCT START END START END TEST VOL.
NO. TIME TIME VOL. (ml) VOL, (ml) DIF? (ml)
I JÞ¿ /2;)0 /2 : L¡J /'7.J /'11 r
+.ø,;
/ (( e.g , /? :/0 I ... . J.:S 50 S-( +~ oof
1"/·
I /-/f/¿. / ? ' t/ì / 'I: (lfl . I?"~ 2C +.r:>ð8
., / ~
,
Divide the volume differential by the test time (15 minutes) and
multiple by 0.0158311, which will convert the volume differential
from milliliters per minute to gallons per hour.
The conversion constant is found by:
(60 Din/hr)/(3790 ml/gal) = O.Ol583ll(min/hr) (gal/ml)
The conversion constant causes the milliliters and minutes to
cancel out.
Ex. If the level dropped 3ml in 15 minutes then:
3/15 ml./min. X O,0158311(min/hr) (gai/ml) = 0,003 gal/hr.
Product Line Moni4trinQ System-Cont.
..
· ~ "n= ITh
~~ :i~ ~ I:@'\\~\
~L I~
Mechanical Leak Detector Manufacturer:
" [ (,,-r' RJ Slow Flow
[ ] RJ Shut Off
Model: HOf.1ked -tv f(Clf1::¿h 7YJ-7r;
Status @ Arrival: [t~operational
Corrective Action: [] Performed
Status @ Departure: [~~Operational
[ ] Non-operational
[ ] Required
[ ] Non-operational
Waste oil Tank Monitorinq system
TYPE
[ ] Visually Monitored (Daily Inventory)
[ ] site Well Vapor Probes
[t1'Interstitial Monitor [VI Wet [] Dry
Manufacturer: [\.~ API , [ ] Other
[ ] Leakalert [ ] Pollualert /~ OC reservoir
Model: ~
Status @ Arrival: ~perational
Corrective Action: (] Performed
Status @ Departure: [?/] Operational
[ ] Non-operational
[ ] Required
[ ] Non-operational
I do certify that the above information and operating status is
representative of the actual condition of the monitoring system.
0-~L-~
Sl.gnature
AEf'
Company
7-2.5-=-70
Date
e!
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~
-~
..~
Im!iI . TM
~
ASSOCIATED ENVIRONMENTAL SYSTEMS, INC.
P.O. BOX B0427
BAKERSFIELD, CA 93380
(805) 393·2212
INvaCE NUMBER
TAKEN BY:
/Z2-')- l'
BILLING ORDER
INVOICE ADDRESS:
TANK LOCATION:
Sh e /1 f-ví'( Z fiì'1C'16/t).)O/
2G CO tvj1/t~ Lah e.
8t/l-l\evJ'¡;'e/~ Ce¿.
DATE TAKEN:
SALESMAN:
TEAR.:
P.O. I:
CONTACT:
PHONE:
/-05"02
TEST DATE: 7- 2S--70
TEST TIME: /2: 00
EMERGENCY CONTACT:
PHONE:
A.E.S. HYDROSTATIC PRODUCT LINE TEST RESULT SHEET
START END TEST VOLUME
PRODUCT VOLUME VOLUME PRESSURE DIFF. (GPH) PASS/FAIL
REGULAR /t¡J IC¡J 50 fJï. t. 00 ')- ¡J c..JJ
.
S/UL J"- () !)'-- / S-O IJt-' I-"IJI fa..jJ
R/UL IX 2..6' S tJ fs/ t-, tJ OJ' ptt.JJ
DIESEL
OTHER
CONFIRMATION TEST IF FIRST FAILED
TEST PRESSURE IS 50 PSI WITH LEAK DETECTOR REMOVED & IMPACT
CLOSED.
-- £dC.J..J..J.CY 'r^I.J.~ 1'jul11Der
r.:~
District: -
~.- ~ '--J -'
"Î /' ....
L {::;, () 0 !--v h t',f-ê Lc;: /1 "W
---X C'L-~ e r: /-/;' 'c~ /d' / C?'-. '
Facility Addres~
> Purpose of Visit :
I?Æ 5''¿YV/'Le
/'
[ øt steel
~\.I . Sing. Ie Wall
Single Wall
Single Wall
Tank/Line Material
Product Tanks
Product Lines
Waste oil Tank
Product Tank Monitorinq System
~Ef
[ ]
[ ]
c.. t r 1ì '~I é c,-t-/'{).i-¡
@FiberglasS
[61l Double Wall
[,'::1. Double Wall
U~ Double Wall [] None
'~.
TYPE
Interstitial Monitor [~wet
Vadose Zone Monitor
Monitored Visually (Daily Inventory)
[ ] Dry
Manufacturer: [ ] API Reservoir [ ] API IR(VADOSE)
[ ] API MOS(VADOSE) [ ] Genelco [ ] Leakalert
( ] OC ( ] Pollualert [ ] Red Jacket
[ ] Soil Sentry [ ] Spearhead [ ] Other
Model: I< 011 t?vn IrS -7 6
status @ Arrival: [ ?10perational [ ] Non-operational
Corrective Action: [ ] , Performed [ ] Required
status @ Departure: [£>1 Operational [ ] Non-operational
Product Line Monitoring System
QTY TYPE
[VJ Electronic Line Pressure Monitor w/ Mechanical Leak Detector
[] Interstitial Monitor w/ Mechanical Leak Detector
[] Mechanical Leak Detector Alone
Electronic Line Pressure or Interstitial Monitor Manufacturer:
[ ] API Pressure [] API Sump [] API Sump/Line
[ ] Leakalert [I] Other:¡: rr
Model: /J/..e. ()- tJ.i¡ f/I fJr~J:S'vye J'wl tel¡
Status @ Arrival: [v.( Operational
Corrective Action: [] Performed
status @ Departure: [V1 Operational
[ ] Non-operational
[ ] Required
[ ] Non-operational
A ¡'<~;:;11
"," !¡¡H~W.
~¡mmn
lIJI!iJü¡¡
1¡;;lli;m ~~¡;:H~\ P¡ill~:~;¡:¡-~¡;\:\
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Syst_~s Inc.
(~) frì rë:D w7
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Associated Environmental
----------.-.--------------
SITE RESULTS COVER SHEE
------------------.-------
TEST LOCATION:
:D \1
~\O
1. D. *
DIST/REG
ENG./CONTACT
20404610501
LA EAST
FRANCIS FULLER
SHELL OIL CO,
260Ø l~HITE LN.
BAI-\ERSFIEl2D, CA.
TEST DATE
TEST TIME
7/26/8CJ
0CJ:0Ø
WIO
9562
COUNTY
KE
TECH
#
JRL
87132
___0--____-----
CERT I F I C¡:nE
-----------
ASSOCIATED ENVIRONMENTAL SYSTEMS, INC. HAS TESTED AND CERTIFIES
THE FOLLOl~ I NG :
Certification # 899562
--------------.----------------------------------------------------------
Tank·
PRODUCT
TANI-\
PRODUCT
LINE
IMPACT
VALVES
LEAK
DETECTOR
_______________________________________w________________________________
1 S/UL Dl--JF PASS PASS PASS
2 FVUL DWF PASS PASS PASS
:3 REG. DWF PASS PASS PASS
4
5
e:.
ANNULAR MONITOR:
PRODUCT LINE MONITOR:
PRODUCT LINE MONITOR:
- RON(-)N-
-FWNAN-
- f<ONr':¡N-
-OPE HAT I ON¡:)L-
-OPERATIONAL- ON THE S/UL AND REG.
-NONOPERATIONAL- ON THE R/UL
-----------------------------------------------.------------------------
ANY FAILURE LISTED MAY REQUIRE NOTIFICATION OF AGENCY,
Recertification Date Recommended:
07/9Ø
---------------------------------
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SHELL P?~)O:_iCl· LINE CEP-rIF"ICATION
.;
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HYDROSTATIC P?0CUGT LINE TEST
--------------
c/
T~ST ,{~CHANI CAi... i...EA¡l{ DETECTORS
Leal,: Detec:;:,r must be sealed ~i tj", ê\" t2.mper
prcof seal. Era~d of leak detector,serial
nu~~cr, and type. Must be recorded en tne
lc~k detector results sheet.
--------------
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--------------
PROPERLEY
~
VAP.IFY THAT
PR('PE;:1LEY
THE MONI70RS ARE OPERATING
.
( Sea 1 u; i ¿~ up 1 i i?" d 5 tic k :2 r s=, ) ". ~
~ Z:;Þ/'ál('/:::;£ "t/c;7 ,?c/c:lh?-'.:.c//C/&:o-
----- -----------
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CLEAN OVERFILL BOXES
~- -.__._-~--------
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SHELL SITE SU~VEY
--------------
________~____~r" S! ;f~ P:"'I)¡-"-J.'..:!Y;:':A"iD¡·:; T:-iE LOCAT!,):,-! '_'r ,,:,,:\!y
MONIT0~lNG WELLS
~..æ9tTM
~
ÅOCfATED ENVIRONMENTAL SYSTEMS, INC.
~ BOX 80427
BAKERSFIELD, CA 93380
(805) 393·2212
INVOICE NUMBER
C¡S69-..
..
.
AES HYDROSTATIC PRODUCT LINE TEST WORK SHEET
TEST PRODUCT START END START END TEST VOL.
NO. TIME TIME VOL. (ml) VOL, (ml) DIFF. (ml)
I R~- : i' , ,r iJ3ù 1:~ , Ith1/ -,6 ~
,/ r: 1--.,.. /! ' ) '""-:':- d- 0) ¿,
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(J. p)-
- , OO(
-,ð I~
-"ot:J[
-.ð/'í
-"DO'
Divide the volume differential by the test time f15 minutes) and
multiple by 0.0158311, which will convert the volume differential
from milliliters per minute to gallons per hour.
The conversion constant is found by:
(60 Din/hr)/(3790 ml/gal) = 0.01583l1(min/hr) (gal/ml)
The conversion constant causes the milliliters and minutes to
cancel out.
Ex. If the level dropped 3ml in 15 minutes then:
3/15 ml./min. X Q,Q158311(min/hr) (ga1/ml) = 0.003 gal/hr.
RESULTS OF THIS WORK SHEET TO BE COMPLIED ON A, E. S. RESULTS
SHEET,
~..-... e
.. =__ TM
~
~
ASS£D ENVIRONMENTAL SYSTEMS, INC.
P.O. BOX 80427
BAKERSFIELD, CA 93380
(805) 393·2212
INVOICE NUMBER c¡ ~& 2.
BILLING ORDER
INVOICE ADDRESS: TANK LOCATION: T -'KEN BY:
/')t:-:. ,:) ¡;;? 'I ø ÇI t:. J&5¿)! DATE TAKEN:
S.I-Ié-.? ? c;J / L-- {tv, SJ·¡E¿:L
SALESMAN: TERR.:
í~C7X 'i p; ¿¡g (J t., 0" ?~ ;!.f" / /,",:"¿ 1- /1-7':-1 E.....
?, ¿J. TECHNICIAN:
- ,.. ¡:;-'::;;'2:, (iA -::Tiel.-
fj-PfflÝ ¿/ ~n 1 //'1 q .:l'6'?J3 j3 ¡+ X r;-:'''''''ç,o- I'," .::->/ COUNTY:
K'E
CO. NOTIFIED:
P.O.':
CONTACT: - ~ CONTACT: Il/d'7t.'> TEST DATE: 7/ ;;;J(,/~9
Î/?/I7Ai /~ /t"/¿,tZ/¿
PHONE: £'~- ¿¡¥"l- "'/.3 s,- j'; PHONE: g(lç- g :> /-- ~ S'"¿/ 'Z- TEST TIME: Cl '1 dO
EMERGENCY CONTACT:
PHONE:
--
A.E.S. HYDROSTATIC PRODUCT LINE TEST RESULT SHEET
START END TEST VOLUME
PRODUCT VOLUME VOLUME PRESSURE DIFF.(GPH) PASSIFAIL
REGULAR 'Î;J rYl} ¿, ~ ;>?J ( J. -7) ;:;;. - , ¡:'(.} tc ?~""
.;;;;;¡t.- '._-
S/UL ';:; 'I )J /, ?rI .1.( 9;:$ -, t)o? H~c:.
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R/UL i.:Jø 77'1.12 '?Y1£ - -, 00') r;;/.~ :;,
6/ ~ç.) -
DIESEL
OTHER
,
CONFIRMATION TEST IF FIRST FAILED
TEST PRESSURE IS 50 PSI WITH LEAK DETECTOR REMOVED & IMPACT
CLOSED.
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.AA>cIATED ENVIRONMENTAL SYSTEMS, INC.
PWsOX 80427
BAKERSFIELD, CA 93380
(80S) 393-2212
INVOICE NUMBER
r;ç6 ;:L
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.>
LEAK DETECTOR TEST DATA
TEST LOCATION:
SJ.lE?¿
~~ðO /A/~/Í /.E
FACILITY II: )t//G dO'/Cqt,./¿?sD/
/ \
CONTACT: 41&?Z (_T;;n )
... oJ
g/JI( áeS :;::/,6.<2:>
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PHONE iF:
R05- 8'.3/- ¿JSC2
"l-.:J6- g9
TEST DATE:
DOES LEAK RESULTS
PRODUCT DET EXIST TEST /11 TES~T #2 RESULTS P/L TEST
yes 1- tI~ 7'.'-/ Pass X Pass
REG no Gal Gal Fail Fail
-
yes -2L ;;),0 ~Õ Pass X Pass
R/UL no -' Gal Gal Fail Fail
yes L- ,2- ~O Pass >< Pass
S/UL no Gal Gal Fail Fail
-
DSL Jl~ø yes -" Pass -' Pass -
- -" Fail
no Gal - Gal Fail
-
NOTES:
NI'¡""u Þ/-r;:./....JT !:;,¡/?/7"" ~c-d,":/ ¡f¿c .1/../ (..~ ::','
¡ ;-. ;-:::u w 7/1'é o,;;:ij;ê/.
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TEST PROCEDURE
Tést /11:
Test 112:
perform for 30 seconds with nozzle in full open position
perform for 30 seconds'after nozzle closed for 10 seconds
EXAMPLE OF POSSIBLE RESULTS
Test #1
-L Gal
Tes t 112
-3 Gal
Results
Pass
Test /11
-3 Gal
Test #2
-3 Gal
Results
Fail
TECHNICIAN
c/?~~~
t{/<-./,
DATE
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Associ?ted Enl,lir~onmental Systems. Inc.
r-¡ ¡--.
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203 :-. '2,"~ ¡= :.?-~::: ,
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<B¡¿ìS) 2;93-2~~.~~
------------.----.-----.---.--..---.-
SI"rE RESULTS CO~:ER SHEET
---.-.------.-----.------.---------
TEST LOCATION:
AJ(\
~\V
I. D. #
DrST/REG
ENG./CONTACT
~~(14;,~Ji+.=.1 :Zi.5Jl11
=:r-jEt_~_ [I I Ì-. ~=.C¡.
;,~SiZiØ \'JH I T[ LN,
8AI-ŒRSF I ELD, c¡:.~.
Uè. é:¡:"~= I
FRRI,jC I '::, FLU_E,::;:
TEST DATE
TEST TIME
7/26/89
ø<j:øø
WID
<j562
COUNTY
KE
TECH
*
JRL
87132
-----------
CERTIF:ICRTE
---_.:-_-----
ASSOCIRTED ENVIRONMENTAL SYSTEMS, INC, HAS TESTED AND CERTIFIES
THE FOLLOWING:
Certification # 899562
----------------.---------------------------------------------------------
Tank
PRODUCT
TANK
PRODUCT
LINE
IMPACT
VALVES
LEAK
DETECTOR
------------------.------------------------------------------------------
1 5/UL DL.J F PASS PASS PASS
2: fUUL DWF PASS PASS PASS
3 REG, DWF PASS PASS PASS
4
5
b
ANNULAR MONITOR:
PRODUCT LINE MONITOR:
PRODUCT LINE MONITOR:
-RONAt'-l-
-RONAN-
-RONAN-
-OPERATIONAL-
-OPERATIONAL- ON THE S/UL AND REG,
-NONOPERATIONAL- ON THE R/UL
-----------------------------------------------------------------------
ANY FAILURE LISTED MRY REQUIRE NOTIFICATION OF AGENCY,
Recertification Date Recommended:
iZ17/9iZ1
---------------------------------
- - -
- , -
, -
ASS 0 C I AlE DEN V I 'R '0 -HM lN TAL _ S Y S T E H S
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T:-.=:T . !,.:,CHAUI C";:'" LEAf': DETECTORS
LE:Ji-: L'eb~c~='r rTlust bE' s".?aled ~Iit! i:\, t¿',mper
prccT se~l. Bra~d of leaK detector, serial
nu~~cr, ænd t~pe. Must be recorded on tne
le~~ detector results sheet.
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PRO;';'EPLEY
VARIFY THAT
PRC'PE~LEY
T!-!E r-10NI'TORS ARE OPERATHJ6
(Sealwi~~L'plied stickers>:
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CLEAN OV~RFrLL BOXES
SH~L~ SITE SU~VEY
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I'~C)¡'¡ I TC''-/ I r'~\:; ~ELLS
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A- ,'ATED ENVIRONMENTAL SYSTEMS, INC.
P ~OX 80427
BAKERSFIELD, CA 93380
(805) 393-2212
INVOICE NUMBER
C¡S-6~
..
AESHYDROSTATIC PRODUCT LINE TEST WORK SHEET
TEST PRODUCT START END START END TEST VOL.
NO. TIME TIME VOL. eml) VOL. eml) DIFF. eml)
/ r.- .- ;¡,:~ 1)3(.) - '.., Ith1': -,6 -::
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-II DO'
Divide the volume differential by the test time (15 minutes) and
multiple by 0.0158311, which will convert the volume differential
from milliliters per minute to gallons per hour.
The conversion constant is found by:
(60 cin/hr)/(3790 ml/gal) - 0.0158311(min/hr) (gal/ml)
The conversion constant causes the milliliters and minutes to
cancel out.
Ex. If the level dropped 3ml in 15 minutes then:
3/15 ml./min. X 0.01S8311(min/hr) (gai/ml) - 0.003 gal/hr.
RESULTS OF THIS WORKSHEET TO BE COMPLIED ON A. E. S. RESULTS
SHEET.
~..æ~T'
~
ASsaa TED ENVIRONMENTAL SYSTEMS, INC.
P,Q. _ 80427
BAKERSFIELD, CA 93380
(805) 393,2212
INVOICE NUMBER c¡ S-(¿;,;¿ .
~
BILLING ORDER
, T AKfN BY:
INVOICE ADDRESS: TANK LOCATION:
~j./.€ ~ i- ).Jlt:- ~ç;; 'I t:' (/~ J~S-()/ DATE TAKSN:
SHE"¿..¿' C/ / L.. (ie?,
!-</#/ :-¿ J- ~7"..J Co. SALESMAN: TERR.:
"? , 0, i3Ci;K q q- ¿,¡R' ~bðð TECHNICIAN:
f (IA Vt?!...
¡J. 1:.1 rf H"~ / ,)oJ / /,~ q~¿~'3 73;J.....cÆ'/.J;;:' ~/~,;<!;./ COUNTY:
X'Æ
CO. NOTIFIED:
p,O,':
CONTACT: - ,- CONTACT: /) jJi?e- TEST DATE:
)-;?'/~ /~ r ¡t/ ¿ ? -----.....; 7 J ;x,/ )19
PHONE: ¡¡A::/- ¿.¡'¥~_ ~'3~-S PHONE: g~~- &-3/-- ~S-¿? z.. TEST TIME: 09~
EMERGENCY CONTACT:
PHONE:
---
A. E. S. HYDROSTATIC PRODUCT LINE TEST RESULT SHEET
START END TEST VOLUME
PRODUCT VOLUME VOLUME PRESSURE DIFF.(GPH) PASS/FAIL -
REGULAR" '?~ I'Y1 ì ¿, ~ '>'P1 ( 6? -;:;. - . ~,,(¡, i?~
S/UL J;) i./ >r¡1, jJ ¡, 77'1 ¿ 9# -,ðO? þ,x~
R/UL bg ??-1,i' "I ."" ¿ ~#- -, 00/) P;9-s ::.
DIESEL
OTHER
.
CONFIRMATION TEST IF FIRST FAILED
TEST PRESSURE IS 50 PSI WITH LEAK DETECTOR REMOVED , IMPACT
CLOSED.
~ 111 = -"M
~ ""¡J
@ I @
I ';IATEO ENVIRONMENT,~L SYSTEMS, INC,
BOX 80427
B EASFIElO, CA 93380
(805) 393-2212
INVOiCE NUMBER
C¡Ç6 ;L
,
LEAK DETECTOR TEST DATA
",
TEST LOCATION:
FA C I LIT Y II: 1// :.:... ;; ¿;) Lt"Ç?~t, / ç s'::: /
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CONTACT:
/J),...!,..-:o (' -' ,
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PHONE II:
520.5"- 8'.3/- V 5"c?2.
'1-;.76- t'9
, E,ß.,( E-../'$ ,~/¿=¿ Z;
..
/
/1,#
TEST DATE:
DOES LEAK RESULTS
PRODUCT DET EXIST TEST 111 TES'T In RESULTS P/L TEST
yes ~ /J;¿ Lj.Lj Pass X Pass
REG no Gal Gal Fail Fail
-
yes ...lL :;.0 ~[) Pass X' Pass
R/UL no Gal Gal Fail Fail
-
yes 1- ~O Pass x: Pass
S/UL no ,:2 Gal Gal Fail Fail
-
µ~ø yes -- Pass - Pass -
-
DSL no -, Gal - Gal Fail Fail
-
NOTES: ~IV)';Vß Þ''"þA-)T ~H?r- ~c4A/
,~c
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T. -,' t:: ¿)..;'-;':]I".'fÇ
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10;1 g;z. - ð~ 3&,
TEST PROCEDURE
Test 111:
Test #2:
perform for 30 seconds with nozzle in full open position
perform for 30 seconds after nozzle closed for 10 seconds
EXAMPLE OF POSSIBLE RESULTS
Test 111
-L Gal
Test 112 Results
-E Gal Pass
Test 111
.3 Gal
Tes t In
.::L Gal
Results
Fail
TECHNICIAN
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DATE
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Address:
Ci ty:
Count :/:
State:
~D ~~f-~ ~,20 i
I he~eby ce~t1fy unde~ pen!lty of perjury that all product
level var1at1cns fo~ the above eent10ned fac1lity we~e
w1t~1n allowable limite fo~ th1! QU8~ter,
Inventory variat10ns excee~ed the allowable ,11mits fo~
th1s Quarter, I hereby cert!fy under penalty of perju~y
that the source for the var1!tion ~! NOT due to an
un!uthorized (leak) release.
List date, tanK I and amount for all var1!tions
that Ixc!ed the !llc~ble l~mits
',--.
Amount
Date TðnK f
.
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~.;
-,
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Date
Tank ,
Amount
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t- IO~3
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The ~u.rterly summary reøort shall be euba1tted w1~1n is days
of the end of ..ch quart~r.
Quarter 1 - January thru Kerch - ~b.1 t t)y A¡J'" 11 15
Q.rarter 2 - April thl"\J ~e 9.balt by ..\lly 13
OJðt"~er 3 - ..Ally t"1ru SepteJiJer - SUb.lt by 1>:tob«r- IS
Quarter ~ - Octo~Gr tht"u Dece8Òer - Sub.it by Janeury 15
Send T~ (Loc81 Agency):
KEEP COPIES OF THIS FORM FOR YOUR OWN RECORDS
White - Agency Copy
Canary - Dealer Copy
-
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Shell Oil Company
"
P,O. Box 4848
511 N, Brookhurst Street
Anaheim, California 92803
PROOF OF FINANCIAL RESPONSIBILITY
INCIDENT NOTIFICATION
May 24. 1990
To: AMY GREEN
SUBJECT: SHELL OIL COMPANY
INCIDENT REPORT OF CONTAMINATION
Dear Ms. Green:
This is a report concerning discovered soil contamination at Shell's
gasoline retail facilities existing at the following locations:
5212 Olive Drive. Bakersfield, CA 93308
Description of the incident is as follows:
Soil contamination was discovered during a tank removal
project.
The V,S. Environmental Protection Agency has issued regulations that
require a company to demonstrate proof of financial responsibility of up
to SlMM for corrective action and third party liability caused by sudden
and/or non-sudden releases of petroleum products from underground
storage tank systems.
Accordingly, we have attached a copy of Shell's proof of Financial
Responsibility for these locations, The letter shows proof of self
i nsurabi 1 ity, is in the form approved by the V. S. EPA and is signed by
the Company's chief financial officer.
Please advise if additional information is required.
Enclosures
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Shell Oil Company
,~,
One Shell Plaza
POBox 2463
Houllton, Texas 77252
l. E, Sloan
Vice President
Finance and Informatíon Services
April 24, 1990
I am the chief financial officer of Shell Oil Company, P. 0, Box 2463,
Houston, Texas 77252. This letter is in support of the use of the
financial test of self-insurance to demonstrate financial responsibility
for tak.ing corrective action and/or 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 per
occurrence and $2,000,000 annual aggregate arising from operating under-
ground 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 owner or operator:
All tanks are assured by this financial test:
See Attachment A for Retail Locations;
See Attachment B for Distribution locations;
See Attachment C for Manufacturing locations;
See Attachment 0 for All Other Locations,
A financial test is also used by this owner or operator to demonstrate
evidence of financial responsibility in the following amounts under other
EPA regulations or state programs authorized by EPA under 40 CFR Parts 271
and 145:
EPA Regulations
Closure (See, 264.143 and Sec. 265.143)
Post-Closure Care (Sec. 264.145 and Sec. 265.145)
Liability Coverage (Sec. 264.147 and Sec. 265.147)
Corrective Action (Sec. 264.101(b))
Plugging and Abandonment (See, 144,63)
Closure
*Post-Closure Care
liability Coverage
Corrective Action
Plugging and Abandonment
rota 1
California
Amount
$
$
$
$
$
$ 60,609,381
S 99,384,692
$ 10,000,000
$
$ 1,090,680
$171,084,753
*30 Year Post-Closure Care
BQMQ8901105 - 0001,0.0
·
$-
,
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2
This owner or operator 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*,
Alternative I
1. Amount of annual UST aggregate coverage
being assured by a financial 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, and/or
guarantee.
3. Sum of lines 1 and 2.
4. Total tangible assets*.
5, Total liabilities*.
6. Tangible net worth* (subtract line 5 from
line 4).
7. Is line 6 at least $10 million?
8. Is line 6 at least 10 times line 3?
9. Have financial statements for the latest
fiscal year been filed with the
Securities and Exchange Commission*?
10. Have financial statements for the latest
fiscal year been filed wit~ the Energy
Information Administration?
11. Have financial statements for the latest
fiscal year been filed with the Rural
Electrification Administration?
12. Has financial information been provided
to Dun and Bradstreet, and has Dun and
Bradstreet provided a financial strength
rating of 4A or 5A?
·Period ended Oecember 31, 1989,
BQMQ8901105 - 0002.0.0
$ 2,000,000
$ 171 ,084,753
$ 173,084,753
$27,599,000,000
$11,550,000,000
$16,049,000,000
Yes No
X -
X
x
-
N/A
N/A
X'
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,,'
3
NOT USED
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, and/or
guarantee, $
3. Sum of lines 1 and 2. $
4. Total tangible assets. $
5. Total liabilities. $
6. Tangible net worth (subtract li ne 5 from
line 4). $
7. Total assets in the U.S. $
Yes No
8, Is line 6 at least $10 million?
9. Is line 6 at least 6 times line 3?
10. Are at least 90 percent of assets
located in the U.S. (if "No",
complete line II)?
II. Is line 7 at least 6 times line 3
(fill in either lines 12-15 or lines
16-18)?
12, Current assets; $
13, Current liabilities, $=
14. Net working capital (subtract line 13
from line 12). $
VëS No
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.
19. Have financial statements for the latest
fiscal year been filed with the SEC, the
Energy Information Administration, or the
Rural Electrification Administration?
BQMQ8901105 - 0003.0.0
;s.
....".
.
.
I hereby certify that the wording of this letter is identical* to the
wording specified in 40 ~FR Part 280,95(d) as such regulations were
constituted on the date shown immediately below,
-- tltJr...--
ignature
l. E. 510an
Vice President Finance and Information Services
Attachments
Apri 1 24 t 1990
*Typographical errors have been corrected; explanatory footnotes have
been added where appropriate.
BQMQ8901105 - 0004.0.0
4
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.
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~
CERTIFICATION OF FINANCIAL RESPONSIBILITY
Shell Oil Company 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:
Financial test of self-insurance per 40 CFR Sec. 280.95,
Shell Oil Company
Information Services
~~~
April 24, 1990
.
BQMQ8901105 - 0009,0.0
¡i
FEI 28. 1990
DIRECT INVESTED SERVICE STATIONS BY STATE - DETAIL
~E'r:-Nd:-600Z0Z0
PAGE 2
------------------------------------------------------------------------------------------------------------------------------------
DI~r_DÈA[ERtnC
ADDRESs
CÏTYIST¡žfp
COT
-----------------------------------------------------------------------------------------------------------------~------------------
D~
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236 203-5130-0239 1922 N UNIVERSITY
1
LITTLE ROCK
AR7ZZ04 013
M CALIfORNIA
-
282 204-0108-0713 1401 S GARFIELDIVALLEY ALHAMBRA CA91803 013
282 204-0108-1052 3200 H YALLEVIHESTHONT ALHAr.BRA CA91803 013
t8t 204-0294-0249 916 SANTA ANITA/OUARTE ARCADIA CA91006 013
282-204:':ljZ94~O:n4-2S -CFOOTHI LCBlV/OÄÏOÏJÒO- ARCADIA CA ;îoo;, -Oï3
282 204-0330-0112 4421 HHY 101 AROHAS CA95004 013
282 204-0438-1111 422 SAZUSA AVENU£ AZUSA CA91702 013
282 204-0461-0568 2600 HHIrE LN/EL POTRERO BAKERSFIELD CA'3304 013
282-204::046 F07l5-n05 ROSEDALËHH'f iuS-;'-áAKERSF IELD cÃ93~oâ - ói3
282 204-0461-1012 2'645 STOCKDALE HKY 1-5 BAKERSfIELD CA93312 013
282 204-0462-0823 5212 OLIve DR/HHY " BAKERSFIELD CA93308 013
282 204-0462-1839 3700 HIND RD/REAL BAKERSFIELD CA9330' 013
Z8z---204-=046t-:.1. 9n~13crt4Ttf'ST IOAK BAKERSnElD CA933010f3
282 204-0462-2183 101 S UNIONIBAUNDAG£ BAKERSfIELD CA'3307 013
282 204-0462-23" 3623 CALIFORNIA AVE/REAL BAKERSFIELD CA'330' 013
282 204-0462-2753 HHY 99/LEROO BAKERSFIELO CA9~308 013
Z82~04-=0462=z98!J"1.1'50-0AJCsri'cÄ[IrORHt¡__BAKERSfIELO c1:;3304- 013
282 204-0400-0292 3660 N PUeNTE/PACIfIC BALDWIN PARK CA91706 013
t8Z 204-0480-0334 12'99 E GARVEYIBESS 8ALDHlN PARK CA91706 013
2&2 204-0480-1225 4405 N KAINE BAlDHIN PARK CA'1706 013
28z---204~0493=01~60-é·RAHSEY-$T/HARGRA~BANNING CA92220--013
282 204-0516-0555 1390 E HAIN STIHT VIEH BARSTOH CA'2311 013
2e2 204-0516-1272 1601 E HAIN/I-15 BARSTOH CA'2311 013
282 204-0576-0576 7121 S ATLANTIC/FLORENCE BELL CA90201 013
;;:8Z-204~0580-;.;027S_635o_rFlOnENcE/GARFIELD-BElL-GARDENS CA90Z01-013
282 204-0588-0335 10210 E ROSECRANSIHOOORUF 8ELLflOHER CA907~6 013
282 204-0588-0459 6504 ARTESIA Bl/DaiNEV 8ELlFLrniER CA90706 013
2e2 204-0588-0764 15'04 lAKEHOOD/ALONDRA BELLFLOHER CA90706 013
¡,:Sz--204:'058EF0947-'1.72S4-[AKn:OOD- BL/ ARTEsn-aE lLFLOHER CA 9070f. --013
282 204-0568-1549 17608 S HOODRUff/ARTESIA BELLflOHER CA'0706 013
262 204-0816-065' 8'90 HOBSON HAY/HHY '5 BLYTHE CA'2225 013
262 204-0816-0941 201 S LOVEKIN/I-I0 BLYTHE CA92225 013
¡,:8z--z04-;¡u74--017r-Si'E"ttrI~5TSTOCKDAlr~BUTTONHIlT~CA93'20~013
262 204-1074-0326 20649 TRACY / 1-5 BUTl~iIlLOH CA9~206 013
262 204-1122-0278 1213 CALIMESA Bl/SANDALHD CALIMESA CA92320 013
282 204-1392-0131 69010 ~'N Ill/DATE PALH CATHEDRAL CITY CA'2234 013
,,8z-204~I3qZ:'Oß9-õl;':455--f "AlWCYN/RI~CATHEDRACC:rrv-CA 92234-013
~6Z 204-1530-0159 12510 CENTRALlHALNUT CHINO CA'1710 013
282 204-1576-0244 1091 H fOOTHILL/TOI+IE CLARE/IONT CA91711 013
2ei! ,. 204-1576-0335 267 S INDIAN HILL/ARROH CLAREMONT CA91711 013
,us Z--Z0't-157ff--06 n--uOõS""INÐIANrtI L1JT=1.u I.L:AREP1Ott I CA'171 r-ou
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COUNTY OF KERN
ENVIRONMENTAL HEALTH SERVICES
2700 "M" STREET, SUITE 300
BAKERSFIELD, CALIFORNIA 93301
(805) 861-3636
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PERMIT/INVOICE #310017C-90
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SHELL OIL CO./ATT~. ~KKI f~Y WE31X~
LIVENGOO~ WHITE LANE SHELL ~
r. 0, Inn 1182"" p,O. 'ðQ,( 4&4~
!L.C.TT..... .....f'\,.. I'T'!'C" ....,.... t'\.. (\ . .t\_ _"- I/"'\Þ: ;'\.Q. ¡"'j~[O ""J.-.
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Ptm', L-A taEJ+-Qis+riC+ -1 )
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DETACH HERE +
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BILLING DATE
05/02/90
AMOUNT DUE
160,00
AMOUNT ENCLOSED
luQ,UtJ
CHARGES PAST DUE ARE SUBJECT TO PENALTY
PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION
PLEASE MAKE CHECK PAYABLE TO THE COUNTY OF KERN
DUE DATE
06/01/90
r DETACH HE~
.
January 10, 1990
County of Kern
Environmental Health
27 "M" Street
Bakersfield, CA 93305
RE: Testing
.
f}'VÞz~
In closing out the 1989 season we noticed that the green
card portion of certified mail was not returned to us.
Please check your records, if you have received this
result please disregard, if not please resubmit.
Sincerely,
Josephine M, Smith
Service Station Services
JMS/mfd
"
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3:30 ~WSNTYFotJRTH/OA!( (\ ry
BAKERSFIELD ~ ;})
204-0462-1904 ì
2600 WHITE LN/EL POTRERO rf
BAKERSFIELD /) I C<,)) !
204-0461-0501 ~
3700 MING RD/REAL
BAKERSFIELD /'
204-0462-1805
1../
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101 S. UNION/BRUNDAGE
BAKE.qsFIELD
204-0462-2100
3623 CALIFORNIA/REAL
BAKERSFIELD
204-0462-2308
1130 OAK ST/CALIFORNIA
BAKE.qsFIELD
204-0462-2902
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Station(-Location~ 2600 White Lane @ E1 Potrero
Bakersfield, CA 93304
Dealer WIC #: 204-0461-0568
SUPPLEMENT TO DEALER AGREEMENT
BETWEEN SHELL OIL COMPANY AND LIVENGOOD, INC,
EFFECTIVE AUGUST 1, 1989
EPA GASOLINE REGULATIONS SUPPLEMENT
'nIIS SUPPLEMENT to the above Dealer Agreement (or Contract) ("Agreement") shall be effective from June
30, 1989, This Supplement sets forth the terms and conditions regarding compliance at Dealer's
Station with the regulations of the Environmental Protection Agency ("EPA") covering unleaded gasoline
and gasoline volatility, and with any applicable state regulations covering gasoline volatility, and
supersedes and replaces any prior agreements or Supplement(s) relating to the subject matter hereof,
The terms and conditions of the Agreement shall apply to the sale and delivery of gasoline to Dealer
except as set forth herein,
In the operation of Dealer's Station, Dealer shall strictly comply with the EPA regulations promul-
gated as Part 80 - REGULATION OF F1JELS ANDF1JEL ADDITIVES, of Chapter I, Title 40, Code of Federal
Regulations, and with any applicable state regulations covering gasoline volatility, as heretofore or
hereafter amended (the "Regulations"), Under the Regulations, Dealer, as a retailer of gasoline, must
regularly offer for sale one or more grades of "unleaded gasoline" and, during specified annual SUlllDer
"regulatory control periods," may not sell, offer for sale or dispense gasoline whose Reid vapor pres-
sure ("RVP") exceeds the "applicable standard," "Gasoline" and other terms used in this Supplement
. shall have the same meanings as defined in the Regulations or in the Agreement, With respect to
Dealer's Station, Shell and Dealer will have the following rights and obligations:
(a) Shell's Rights and Obligations, Shell shall:
(1) Make available for sale to Dealer Shell branded gasoline, including one or more grades of
unleaded gasoline, complying with the Regulations;
(2) Supply to Dealer the pump notices and labels required for unleaded gasoline by the Regulations;
(3) Continuing for such period as Shell, in its sole judgment, deems appropriate, take periodic
samples from the gasoline dispenser(s) of Deale~ and/or other dealers supplied from the same Plant and
test such samples to determine whether the gasoline is in compliance with the Regulations, any such
sampling and testing, however, not to relieve Dealer of any obligation Dealer may otherwise have here-
under or by law to sell, dispense or offer for sale only gasoline complying with the Regulations;
(4) Give prompt notice and details to Dealer (by telephone, followed by formal notice) if ariy test
performed under (3) above or other circumstance known to Shell reflects that Dealer's gasoline inven-
tory is not in compliance with the Regulations, and cooperate with Dealer in the taking of such
further action as is necessary (including pump out) to restore the availability of complying gasoline,
the costs of any such further action, including further sampling and testing, to be for Dealer's
account if the cause of contamination was within Dealer's control;
(5) Arrange for the painting of manhole covers and fill line caps to identify storage tanks dedicated
to unleaded gasoline;
(6) Have the right, through its employees, agents or representatives, at all reasonable times for the
purpose of determining compliance with this Supplement and the Regulations, to enter upon Dealer's
Station premises and utilize Dealer's facilities as necessary to take samples and conduct tests of
gasoline offered for sale or dispensing at Dealer's Station and to inspect Dealer's gasoline storage
and dispensing systems and records of gasoline receipts and sales or deliveries; and
(7) Have the right, following any default by Dealer under this Supplement, and without limitation of
any other rights or remedies available to Shell hereunder or otherwise, to suspend deliveries of gaso·
line to Dealer and/or enter upon Dealer's Station premises and take such action as is appropriate in
its judgment (including padlocking of pump dispensers) to avoid any violation or continued violation
of this Supplement or the Regulations,
(b) Dealer's Rights and Obligations, Dealer shall:
(1) Utilize for the storage and dispensing of unleaded gasoline only those facilities which have been
approved for such use by Shell;
(2) Properly affix and maintain the pump notices and labels required for unleaded gasoline by the
Regulations;
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....
.
(3) Equip the gasoline pump dispensers (both leaded and unleaded) with nozzles in compliance with the
Regulations and maintain such nozzles in good condition and repair and otherwise in compliance with
tne Regulations;
(4) Establish and enforce a positive program of compliance to assure that Dealer, Dealer's employees
or agents, or third parties (including the employees, agents or contractors of Shell) will not cause,
allow or permit contamination of Dealer's gasoline by any other gasoline product or foreign substance
at any time after delivery by or for Shell to Dealer and prior to. introduction by Dealer into any
motor vehicle, such program to include, if and as necessary, periodic sampling and testing by Dealer
of Dealer's gasoline inventory, the securing of manhole covers, fill line caps and dispensers to avoid
unauthorized entry or use and the supervision and instruction of employees and others having access to
Dealer's gasoline system regarding proper procedures to prevent contamination of Dealer's gasoline or
the introduction of leaded gasoline into vehicles designed only for unleaded gasoline;
(5) Give prompt notice to Shell (by telephone to Shell's District office) of (a) the taking of any
gasoline samples at Dealer's Station by a representative of the EPA or state agency to test for com-
pliance with the Regulations, together with all relevant details relating thereto, and (b) the receipt
of any test results from any such sampling;
(6) Give prompt notice and details to Shell (by telephone to Shell's District office, followed by
formal notice) of any circumstance or occurrence at Dealer's Station which reasonably could cause
Dealer's gasoline or gasoline dispensing equipment to be not in compliance with the Regulations; and
upon discovery of any such condition cease forthwith to sell, dispense or offer for sale such gasoline
until Shell and Dealer can mutually determine by sampling, testing and/or other means whether the
gasoline is in compliance, and if found to be not in compliance, take such further action as is neces-
sary (including pump out) to restore availability of a complying product, the cost of such sampling,
testing and/or further action to be for Dealer's account if the cause of contamination was within
Dealer's control; and
(7) Otherwise comply with all obligations imposed on Dealer by the Regulations, whether or not such
other obligations are referred to or restated herein,
(c) Notices, Except as otherwise specified in this Supplement, notices hereunder shall be given as
provided in the Agreement,
:¿)~¿..rn ¿/r)£)~~-¡
(Type or Print Name)
4G?t- ~ð '-_
(Title of Officer or Agent)
)-/0 ,19M
EXECUTED on the date(s) shown below,
LI7J;)~
By
~5~~~~~n~ f_¡
pJ-(-s/d~r
(Title of Officer or Agent)
By
7-/v
, 19 ¿-<7
Date:
Date:
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TTATRgl<;102
-2-
_. . R ~.) ,~'J U N T ~:' '-', ¡:; Ii. L T H ::.~ E PAR T M
., ?ERMITC) CONSTRUCT .
UNDERGROUND 3TORAGE FACILI~
P E !1 :'1 I T ¡'þ 3 1 rJ 0 1 "( B
F~~ILITY NAME AN~ ADDRESS:
OWN~~(S1-~~ME A~~~~ILING ADDRESS:
------------,--------
Livengood White Lane Shell
2 Ó I),) W hit. e Lane
Shell Oil Company
P.O, 20x 4343
B3i-:ersfield,
...... ,',
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93304
S2803
:--:--NEW-BUSINESS---------------
CHANGE OWNERSHIP
RENEWAL
MOD I FIe A T I ON
OTHER
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PERMIT EXPIRES ~eptem~~6~9B6
APPROVAL DATE
¿tember 6 . 19Q5
~_d:~
Bill Scheide
A,PPROVED BY
POST THIS PERMIT ON PREMISES
CONDITIONS AS FOLLOWS:
All pertinent equipment and materials used in this construction a~e
subject to identification ~nd approval by the Permitting Authority pricr
to construction. This pe~mit is iS3ued :ontingent upon gua~anteed
compliance with the guidelines as determined by the Permitting Authority,
All construction to be as ~e~ facility plans approved by this
department and verified by inspection by Permitting Authority,
Permittee must contact Permitting Authority for on-site inspection(s) with
43 hours advance notice.
All underground metal Droduct piping, fittings and connections must be
wrapped to a minimum ¿O-mil thickness with corrosi~n-preventive,
g~soline-resistant tape or otherwise protected from corrosion,
Construction inspection l'c:.',;ord is included with oermit given to Pe;'Cíittee,
This card must be possed at jobsite prior to initial in2pection,
Permittee must contact Permitting Authority and arrange for each group of
required inspections numt~reà as per instructions GO card, Generally,
inspections will be made of:
a. Tanks and backfill
b, Piping system with secondary con~ainment !2~~ detection
c, Overfill protection and leak detection!mG~i·~r_ng
d, Any other inspection deemed necess~ry by Fer~~~~'ng Authority
Provide product piping layout on plan plan pri~r to ~~æpletion of
construction project,
Per ill i t tee top r 0 v ide "a s - b u i 1 t d r a ~.¡i n g '3" U pc ..~. C :,,'";'1 ¡) 1e V. ,) n 0 f pro j e c t 0 f
waste oil tank and secondary containment.
All product piping must be installed t~e requ~. sd distqnces from all
utility lines and othe~ e~vir'nmentally ~~~~~~~vs .~3sure3 in order to
qualify for the exemption fr~m secondary ~t¿i~me~t.
A 11 e q Ll i P men tan d mat e r ì-::. l sin t his con s t rue ': i c 'î '" ,'. :3 t b e ins t a 11 e din
accordance with all manufacturers' specift~~·iJ~"
t: ':) p !' 0 dun t s hall b est 0 red i n tan k ( s) u n t i 1 .~, -., .~ J l 3 g ran t e d '-.. .
Per~~~ting Authority.
)Æ~':1j',,:):'i.rlg requirements. for this f3.cil~ty ¡,,,--,-.,
I' P .,0 (.;, ~.~: t Ò 0 per ate II . I':
,// ,./7.// ~'I' /1 / ¡
~/ . /. I "
/ \ /~/./;/--A
Aces p~' ~ 0 !3 '[ L!Jj¿r--f '(¿U-:d:¿~/;l___ _.______.
1 ,
2 .
3.
4,
5.
6,
7,
8 .
9,
10,
1 1 .
': ,..::. ~ ,"
" i. bed 0 n
DATE
.-'
,',";
I _.
t:"'" ,,~,"-
;;; <:;; -.
.:-- ---- -.--...-"'--
'Ö'i "iis'¡~~"~! Ë~~ i ~~¡~e~~~i'''H~~ 1 ~
1 ì{)O Flower Street, Bakers:Eiel~A 91305
Application Da---'-i-:.?,h':<:r;'5-'---c _~__c__,___
e
APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORÞ£;E F'ACILI'IY
~ of Application (check):
ONew'FacilitylDfot>dification of Facility DExisti~ Facility DTransfer of OWnership
A. Emergency 24-Hour Contact (name, area code, phone): Days PJ.¡L ~?I-OSO¡ :2iJ/¿OfJ6RAf¡oN
Nights SA/rI6' '
Facility Name ~1t:!I ~ J¿f1ih, 14NE SA¡¿L No. of Tanks f'o-wv
Type of Business- =Ck) :ti1Gaso'~hne-Statlon èJûther (describe)
Is Tank(s) Located on an Agricultural Farm? Dyes [SINo
Is Tank(s) Used Primarily for Jlgricultural Purposes? Dyes" [ No
Facil i~y Address ,1' 00 â/JII -f' .:tÁ~ Nearest Cross St. é L ¡?"fÆ:F .eO
< T " R" , SEC Rural Locations O'1ly) ,
OWner/~lEd (OJ~L'C. " . Contact Person lJð..vAfJo).1Ji
Mdress ~~ ~. zip 9J.!?o::i. Telephone 8oÇ- 1;7-16~7
Operator · '~ " , ," Contact Person Ph I L
Addr~~s. ", . , t¡(~rf¡,LrJ Zip ??3p~ Tele¡X1one V1/-0!S02.
, . ~ . ,;.c_}~ ::::__ ¡ ;':[' .... : . _;: _.': ~;:.' . ;." : :_,.., .'.':
8. Wa~r: tQ, 'a,cilitý'pr~ided by ,
" So11<Qw¡;açter~.~IC::I,.t Facility
~a¡~;~~; Soil '~:"ând Grotmwater DePt.þ Detel1lInàtlons
...... ......,.~.';.:.'.,-;"..". .... "- _.: . .' ',- .- ," ~.., ~.:- -~ ~'. .- .
c. 'còntrà~r~~~Xd*f¿CA Contractor's License lb. .$~I:J: i, '/'~(61
Address ;2'3_ ________ '!...__.---Zip ~'1"'JI/ Telephone ;;'0'1- ¿,.J49-0'-lt'J"¡
Proposed'Start I'¥J Date 9-ij- t~ Propos Canpletion [)Ste q-;¿I-lls
Worker'fI,:,~~t1on Cert ~lcatiOl1:I"ç<k Þl (,. , Iosurer I:t>JIAL / NY,,(~ç,~
. -.' . ..,' . , . . !
D. If This Permit Is ror Modlfi~tion afAn EdstiJ¥] Facility, Briefly Describe Modifications
. propa~",~~~_~~tf~~_~~ 7l~~,. ~"1~ ¿¡/d¡}4/~A
E. Tank(Srstore.itcbe<:k all that apply): . '. .
Tank I 'n waste ,Product-; Motor Vehicle . unleaded Regular Pr_i~ Di...l Waste
-- " ,Fuel. on
I 013 EI E
1. DO ". '_ ~ ,fa 0
± [J (j ~.' ~
Depth to Groundwater
~
B
~
8
8
8
~
F. ' ,Chflßical Canpoai tion of Materials Stored (not necessary for mtor vehicle fuels)
Tank . Cheaical Stored (non-coamercial name) CAS t (1£ known) Chemical Previously Stored
(if different)
:~ ~~ L ~ ~ ~ ä/~~
'.'d"'l/-,~I - ..... .
. . . -. . '. ,- .
G, fransfer of Ownership
t:Bte of Transfer " 7Z. {Æ~~l( prev ious Owner 7& ~ U
previous FacUity Name .)2t, ~~ rr-
I, , , . accept lWlyVall obligations of Permit No. issued to
. , . I understand that the PermittiJ¥] Authority may review and
modify or terminate the transfer of the Pe~it to Operate this underground storage
facility upon reoeiviJ¥] 'this completed form.
this fonq haf;l been canpleted under penalty of
~rue and correct.
;qnature~~~
; . .
perjury and to the best of my knowledge is
Title ~.lii
Date ? -30-i 5.
'0
c..
e .
illdams
~reclslon
Q nstrumentatlon, Co.
,.-'
,
3 ¡QO/7 13
A.P.I./Ronan leak Detection Systems
12410 BENEDICT. DOWNEY, CALIFORNIA 90242
(800) 634-0085 FAX: (213) 803-0063
october 28, 1988
SHELL OIL COMPANY
511 North Brookhurst
Anaheim, Ca. 92803
SHELL STATION WICi 20404610501
2600 White/El Potrero
Bakersfield, Ca, 93304
For your information and records the A,P,I,/Ronan Leak Detection
System at the above referenced site has been certified by a
representative of A.P,I,/Ronan on October 19, 1988, A calibration
seal has been placed on the system,
We would like to suggest that this system be calibrated by an
A,P.I,/Ronan represintative at least twice a year,
Please feel free to contact our office, at the number stated above,
for any questions you may have regarding your leak detection
equiptment,
Best Regards,
Adams Precision Instrumentation
API/Ronan Leak Detection System
~~
Todd A. Stewart
Service Manager
LIQUID CONSTRUCTI. ¡C.
P.O. Box 1220
TULARE, CALIFORNIA 93275
, ';'"
[LJEu11f
@ff uœ£~~[K'1]Duu£[L
~
(209) 688·1980
JOB NO.
ATTENTION
Under round Tank Division
RE;
TO
Kern County Environmental Health Dept,
Shell Oil Com an
1700 Flower Street
R~kpr~f;pln. r.A Q110S
WE ARE SENDING YOU KJ Attached 0 Under separate cover via
the following items:
o Shop drawings
o Copy of letter
o Prints
o Change order
o Plans 0 Samples
fu Tank Test Data
o Specifications
COPIES DATE NO. DESCRIPTION
1 2/8/88 2600 White Lane/El Potrero, Bakersfield - Test Data
1 1/5/88 1-5 & Grapevine, Lebec - Test Data
I fer-.¡ 1t 3/00-/7 ~C-
THESE ARE TRANSMITTED as checked below:
0 For approval 0 Approved as submitted
Œl For your use 0 Approved as noted
0 As requested 0 Returned for corrections
0 For review and comment 0
0 FOR BIDS DUE 19
o Resubmit_copies for approval
o Submit_copies for distribution
o Return_corrected prints
o PRINTS RETURNED AFTER LOAN TO US
REMARKS
PRODUCI 240·) (Ni;.~~7 Inc. Groton, Mass IJ 1·1l!
If enclosures are not as noted. kindly notify us
COPY TO
SIGNED:
e,
e
L,CI
LIQUID CONSTRUCTION, INC,
February 10, 1988
Doh Adolph
Sh~ll all Company
4193 Dan Wood
Westlake Village, CA 91362
Re: 2600 White Lane/El Potrero, Bakersfield, CA
De:ar Mr. Adolph:
, On February 8, 1988 a Petro Tite System Test was performed
at; the above-referenced locat ion. The test was performed by
Geörge Yarbrough, LCI Technician. The NFPA Code 329.02 criteria
fot a tight system is a maximum loss of .05 gallons per hour.
Betause of the almost infinite variables involved, this is not
irltended to be a mathematical tolerance and is not the permission
o~ actual leakage.
i
I During the stand-pipe test procedure the internaf ;liquid
h~drostatic pressure applied to the underground tank system is
generally two to three times greater than normal liquid storage
prlessures, This increase in hydrostatic pressure will amplify
the indicated rate of leak accordingly.
I
I
I .
SYISTEM TEST
TJnk No.4 - South
Size - 550
P~Oduct - Waste Oil
The test showed a minus ,001 gallons per hour. Based on the
ab:ove criteria, we find the tank tested mathematically tight.
i This concludes our test and findings. If you have any
questions regarding the results, please contact me. It is your
r~sponsibility to notify your local County Health Department,
Erlvironmental Health, within thirty (30) days of the results of
t~is test. This notification is required by the California
Administrative Code, title 23 Waters, Chapter 3 Water Resources
Cdntol Board, Sub-chapter 16 Underground Tank Regulation, Article
4 .130 .
I
I We have enjoyed working with you on this project.
need any further information, please feel free to call.
I
I
I
I
i
I
:
If you
;l'~
Steve Coldren
Tank Testing Coordinator
SC/meo
enclosure
1054 North 'J' Street
Post Office Box 1220
.
Tulare, California 93275
.
.
(209) 688-1980
,.;.,u..u v
".." . U I
11.4TH\.- V y,,,H,u OJ.
p~tro Ilt~
TANK TESTER
.- fgTI1~-
e
,..),,:)__1 C;.;)I.
¡;'LEASE PRINT
e
1. OWNER Property 0 Sh ell Oil Company, 4193 Dan Wood, Westalke Village, CA 91362
Tank(s) 0 "·§'hell Oil Company, 4193 Ita'N"'t-lood, Westalke V il f¿fg'ën;··''CA 91362 T .1.Ohon.
N.m. AGeless ReOfes.ntauve T .Ieonone
Z. OPERATOR Shell Oil, 2600, ,White Lane/El Potrero, Bakersf ield, CA
Name Add'", r .¡.onon.
3, REASON FOR To test sy stem for tightness
TEST
(Explain Fully)
4. WHO REQUESTED Don AdolDh Sh ell Oil
TEST AND W~EN Name Title Comoanv 01 AHilá.uon 0.11.
, <:;hell Oil r.omDany 41cn Dan Wood Westalke Village CA 91362
I .Address T .Jeonone
: Shell Oil Don Adolph
5. WHO IS PAYI~G
FOR THIS TE~T? comDan:rh..~orr ot In.dyidë:J IPé 4 19 3P''òä~UI'WÕO'à , Westalke Villag~i~. CA 91362 T .¡eonon.
Seal om any,
SWine; Addr.ss Ci.., SUt. Zip
I Attention 0': Orde' No. Otn., Instructions
I Idenllty by Direction Capacity I Brand/Supplier I Grade Approx. Age / $teel/Fìbe,glass
I ::::.J.i -ç4~-r"'~ )'5"0 '''.JJ ~4.. -;..~~ ""L- ;)N Lv ~i...> ~ 2~,.7"~-...L~·î.:'
Ô. TANI«S) INVqLVED u ,'~ ;C.N ¡:) !»
: I I I I I
I I I
I ! I I . I:· I
,
¡ Location Covet Fills Vents Sipnones I Pumps
7. INSTALLATION lJot"'I-~ ¡I., e.<» , I - i.J:: ' , I/o/'-r¿
- - / 'f NaNd
DATA I þ¡:; s r.1.i'ð "'¡ 8/·, (...}I·c.¡·J! :"-. .J-.
/ -1 Y7- ' .0- I
I
i Non" inside dri",ew.y. Concrete. BI~clc Too. Sill. Titetill m.lle. Oroo Suction. Remote.
I A ut of ,1.llon. olC. Eann. atC. luOes. Remot. Fills Si.u. M8n1lolde4 Whicn lankS ? Mu.. I' known
8. UNDERGROUNp Is the waCM over the tanK 7
WATER Depth to the Water table I'-U " DYes ~ No
\
I
! Tanks to be filled _ hr, Date Arranged by
9. FILL·UP N.m. T elegnon.
I Extra producl to "top ott" and run TSTT. How and who 10 provide I Consider NO Lead.
ARRANGEMENTS
I
!
! Terminat or other contact
I for notice or inquiry
I Comoany N~m. T1!laonone
CONTRACTOR,I .
10.
MECHANICS. I
any other contractor
involved I
:
I
11. OTHER I
INFORMATION'
OR REMARKS
Addiuonal Information on any Items aDove. Otficials or otners to be advised wnen testing IS In progress or completed. ViSICors or oOservers present
i dUring test etc. . /
I
i TeslS wOfe m8(e on IIIe above lanl( syslems in accordance willi leSI proc8(ures prescribeà tor ~tro r1tp
1 Z. TEST RESULTS as delail8( on attached lest cllarts willi results as tollows: ....,.. ,H;i~
I Tanle. Identl'ic3t10n I Tigh. I Leakage Indicated I Oatil Tested
,
, I
I Þ¿'¡ ',.J l',:;;;-< -,001 I ;, -8- gS
, ~-- '....
! I !
! I I
I I I
I I I
I
I This IS to certify IIIalltlese lanlc systems were test8( on Itle dale(sl shown, Those indicaled as "Tign!" m....t the criterìe eslabllshed by
13. CERTlFICA TlOr¡¡ tll. Nallona' Ffre Protecllon Asoclallon Pamphlel 329.
i
J-....13-'6'~ t..f!L..JGII "3-;" LCI 1.1 :..l ! I
6 .A:.'J:-_" (' /./":~. ''':-~;'\..,
O~1. r dStlnq ~onll~C1o' Of Como~nv. Bv SIQA"<II1u,e ;/
q" { p, 0, Box 1220, Tulare, CA 93275
Sert.1.1 No at Tn~mal í eCt'ln'C.o.In" .Jt.dd"'",
-
~~
"-to
;;:¡-,
~o
I~
7þ
e-·
e-
14.
Shell 011, 2600 White Lane/ElPotero, Bakersfield, CA
Him. 01 suppntr, Own:.. Of Out., Add,... "'0. end 511"'(1)
Clt.,
:c.. ô- e 'ò
SU1e
Olle 01 't ,,'
16, CAPACITY
f,om
15, TANK TO TEST )
If!: If S 0 t.{ 'f~I"
Idtnll1y ¡;ŸPÕ;¡"on
., t
~ v1 Sf( ._º rl' L
Brtnd and G"t.de
ç~!2
Nomlnll Clplclty
Olllonl
II lherl doubt "' to tru. Clp.dty I 0
See S.cUon "DETERMINING TANK CArACITY"
By mo.1 ICCU,.t. ,- /. 'i
c.p.clly chert ,vlllobl'-L_1P
Otllon,.
[] Stlllon Chl,1
><I hn~ Mlnu'"ctu..,·, Cho,l
i J Complny [ng,n..,ing 01"
I'] Chilli 'uppli.d wilh p-!:lro TIff"
- r;,,,,'L7¡f¡r
[J Oth.,
G.llone
Tot.1 G.llon.
u, ne.dlng
17. FILL·UP FOR TEST
Slick Wolttf Bonom
Mlor. FIlI-Itp
..¡e-
10 ~ In.
..e-
Oolfono
Fill up, STICK BEFORE AND AFTER EACt! COMPARTMENT DROP on EACt! METEnED DElIVEnY QUANTITY
T.nk OI.mt11f 5'" 4 r" ,
18. SPECIAL CONDITIONS AND PROCEDURES TO TEST TItIS TANK
See monuol JeClion, .PPIiC.bl.l. Ch.ck b.low Ind record proc.dure In log (26).
o W~I" In lank I 0 t11gh weIer leble In le~k ucevellon 0
I
19. TANK MEASUREMEN¡ TS FOR
TSTT ASSEMBLY
Bollom 01 I.nk 10 Orlde' .. . .. , ,. . , . , . . .. . ,. ,
. Add 30" 'or 4" J ,.,..,.....",...
Add 24" '0' 3" J or 01, nol .......
Tolll tublog 10 Inembl. AP~o_lmoto ,.....,.' I '--b
20, EXTENSION !lOSE dETTING
hn~ 101' 10 grode' """ HH" ¡""" H""'" H';"
Extend hote on 'utUon tube 6" 0' more
below Iln~ lop H""""", H ¡, , , . , , , H , , , , H' H H .
I
'II Fill pipe ..'ond. .bov. grod., un top 011111.
Slick n~ftdlngs
10 V. In,
Inventory
5Cf
,e-
w»r~¡I'
íO I' () rF-
{';3
_ 5;; r.¡
Product In lull lenk (up 10 1111 pl~1
lIne(sl b~lng I..led with lVllT
21. TEMPERATURE/VOLUME FACTOR la) TO TEST TIllS TANK
J-(Pl..{
~.
10
ç- (P if
--G-
10
1)- '7 t¡
VAPOR RECOVERY SYSTEM
o Slftg~1
o Slftg~ II
NON£
1(.:,
3 0
22.
IS Today Warmer? I Colder? I J _' f Product I" h"k _' f fill·up Product on Truc~ _" f (opecled ChanQe . or . I
"F
Therm.'-Sen.or ,eedlng .Mer clrculaUon 0 83 'r 8
di(l1S
jn'1
23,
Olgll. ~r 'F In IInge 01 e_pltCled cherig@
dIgIt!
Ç7L¡
lolftl q\Jftntlty In
lulll.nk (18 or IT)
24.
4l-
?-If
25, ~~ 71, 0
volum. ch.nge per 'F (241
x . 000 If J ,lJL{)_
cOtllllclen' 01 e_pon.lon lor
'nvolved producl
+
307
II 1/ (.¡ ø
'Heo,ut
"" -!..LCfJll_cr_IJ~_O_ gellon.
volume chang~ln Ihl. Ian" B
~, 'F . (}OO
---
IOOOfJQß~-.L
Volume chong. p@r dIgit.
Compule 10 4 d@clma' ploc~.,
Thl. I.
lut
'OCIOf \01
pB 7;;0 -r"fS/c¡·,__ 30( __ . ooof'~1f}7c' - .O()o8
OBSERVED GRAVIITY ;). e. '-i
OBSERVED TEMPERATURES '1 g
CORRECTED API IGRAVITY '"'7 . ~
c, o. E..OOC)I(3;¿!Lo
~ t
I
19.9
.~'-!
J " ).
q ~I
OIglt. pi!r 'F 'n,,@it
nenoe (23)
-.,---....----------------
26,
lOG OJ 1IS1 PROnOUR!S
I,) tI J , f' r!J , it..
'1 1/ ') f;' U . ¡,
n 28.
- --~-----
11M!
114 ~r.l
OA/(
RHo,d del.its 01 se1\ing up
.nd !lInning les1. (Use 11111
lenglh 01 line if needed,'
.~.._----_..- ..-- ~ -----
30. IIIIJROSIo\lIt
PRI~SIlRl
CON I nOl
29.
St.ndpipI lUlt
in 'nch..
-..-----.---.-- -- --_._--~---_._--
---.--------- -.
- ._. ..._. .0·. ____.
--.. --
JJnðJ",
Wa,
----- -----------
1hoinning t hi' 1o
0' which
"udin, nfl'Of'
31.
YOlUII( MIISU~(II[M'S IYI
REtORD ID .001 &AI.
34- lB, ~ll ,tauMI n
IIIIP(RAIUR( tonlMSAllOM tll^NG!S AllUM'1I ^ 11 0
US! JAtlOR "' UCI! R!^DlNG CH^NGl
35. 36, 37. hrnJ"fltuft AI Hilft lI,,' fltOf'
Ch.nv. Compu1.tion Adìullm'nl 10bl (I'd o.l1n\io"
H'.f",.' lIiV"" . «I . I" - ~- ---------
Vofume Mjnu~
S'n,of tUYl' - hp'"Sion -f hpansion ( . ) 0' I' h- h,,1 tom"ul'
n..ding I" Contfluio" - Conhac1ion f I Chin" J'" Hour
133fV/- 131(1/ IlIfrA (,,,,,i.,
32.
Pn.tucl in
GlIdu.'.
P'(lduc'
R.pl."d 1-
..-.-'-.---. ---------- ---
1hfo"
Rudinl
All..,
Rudin;
r..du,!
n"...rod f'
IQL_ ~~~~~~._~r_~I.!:~~ ___~Q~~_2·~~~__~~~_~!-'\L M ~!:!~~^ I.~NI~ LÇI!~~~~l .JQ.~n~~i~~.:._____..
roOK INVENTORY OF PRODUCT ON /IAN I): REPAr<1 D ArŒ, FOR SE rING LIP rESrERS
.-.
.-.. .- .
. ... -. ._-~
._-- ------
. w,..._
PLEASE NOrE: IN TIlE :VENT Al /VAFOR
.---------.--- ----- ,-- --- -'- -.-.-- ----.. --~ . .... . -. -.-... -
POCKET WERE PRESENT IN T/lE-1 NK/SYSTHf
------- ..------... ------ ---- -----~---- -.
IT COll_D /lAV - AN Ern 1T ON TlI rEST REA1INGS.
...
IpELIVERY TRUCK ARRIVED: ASSISTE7 DR VER H Fl LL NG TANK SET UP TEST
_.
!); ()i> fSTAND AND STARTED CIRCULATING PUl-fP, 1 LED A R.
I J /II' "'" ~ C. ,'I?c.u (,&1"1.)
¡J; I 'j'. r I RSis ENSO R~ READ I NG .
1.1.".3 D ~TART SENSOR READING
(~.' Ilf ~ONT' D /fIG/f LEVEL TEST
(I f! I, f'
.
(~ : (J ¡)
lJ."(
" ~'L
-'-_.~.
, r
1 í
1-
If
1:1', : fo _ilt.2.'¡L10 1- 0 \II I- c v r (.
r~'<(¡; C;f,J,Î l-b.., I~(',u'l 1··,-:,t,1"
lí(:(~'" (' n ,í 'J Ln :" ¡. ('.\f(~ t. : ,,~ r
'..I:~'" " I: If "
e
~f: ~..~
,"c ¡ '. f I ,~ I'
1 .
2.
3,
4,
5.
6,
7,
8.
'.f..J___L. ! I 2. ' Q
("1·13 t¡~,o
'1.1,0 tI~ 0
43,0 l,i.9
(,Jl'fr( ,rJ.::::;.
· OOf) B-
-
. .
,SfF () 083'18
..(7 (!_ ,J3 !J_ 1:J_0.3..£.. 4)c' -r 5..8_ t, 0Y...b_ -...9LLh
rL 3 S- , 'i 7 J _'" 0 '1 0_ .5/0 t J II . r-, 0 'f "3 -.: 0 eV_
.'775', ~..2.- j·,OlfrJ S''-4 1-S-~:L h ot¡L t" OO/{
~?-o .t,,,,, .",DL/) ~{fe, fS;.±.OljL_ ""003
-~---~--_.
---
--_.
(,.,
"!
8
'1
-
(' 'i' /. r;
'._. i
-
.
._._-~ -~.
---
)g 9"1 'i
, L-f 3S-
~" !Z.~.nl
-----
.J.Ji.82_ -+ J) 8 0 . 7 to 1- .z=.L. f:.....!.JL'-l.L ~t.!.JLJ8_ ._
, if l/ ç ±, O.ld r_~ZO _~ 1:. 0 40 hM.L t I V () S-
Il~ 7 0tJ..04~__ -.a.¡O T fo t. 040 ,.., 0& ~r (', ù 10
l..!::i} r- 'h () 3 ,- e bß _!3...JL.Ih,_JL-s.J:L - , Q~ + , 00 7
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LIQUID CONSTRUCTION, INC,
P. 0, Box 1220
Tulare, CA 93275
(209)688-1980
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l"acil ity Ndme d{iij9~CL4z:; ott1út.l~4Lltt/ . Permit No.
TANK ~ j (fI LL OUT St:PARATr~ FOHM FOR ~CH TANK)
- FOR -ÊAêH--SEcrIoN , æEëK ALL APPR~Hili(BõXEŠ--
:-I. 1. Tank is: OVaulted ONon-Vaulted ~{))uble-Wall OSingle-Wall
2. TanK Material
-~carbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass~lad Steel
Fiberglass-Reinforced Plastic 0 Concrete 0 AlLmimm 0 Bronze OUnknown
Other (describe)
3. primary Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
9" / ~- '8'"5
4. Tank Secondary Containment
mDouble-Wall--r1 Synthetic Liner 0 Lined Vaul t 0 None Dlk1knoll«\
DOther (describe): OÚ/?/!/s COP-A,III1'~. IJwr --/0 Manufacturer:
DMi!lterial Thickness (Inches) Capacity (Gals.) jJ),;1J.a2-
5. Tank Interior Lining ,
JY~Rubber OAlkyd OEpoxy' DPhenolic DGlass DClay OLhlined Dlr\knoll«\
// /f OOther (describe):
6. Tank Corrosion Protection
-UGalvanlzed Wnberglaas-clad DPt)!}ethylene Wrap OVinyl WrapplB)
DTar or Asphalt Otk\known DNone DOther (describe): '
Cathodic Protection: .mJNone Dìmpcessed OJrrent System [JSacrlflcl~ Anode system
Describe System' Equipnent:
7. Leak Detection, Monitorifi' and Interception
¡:--Tank: LJVisual (vau ted tanks only) [fGroumwater Monitorirg' Wlt11 (s)
o Vadose Zone Monitoring Well (s) 0 U-'J'ube Wi thout Uner
OU-Tube with Compatible Liner Directin¡ Flow to Monitorirg welles)·
o Vapor Detector· 18 Liquid Level Sensor 0 Condoctivit~ Sensor·
- 8 Pressure sensor in Aruutlar Space of [):)ubl~ Wall Tank
Liquid Retrieval fa Inspection From U-Tl.be, Mon! toriB) Well or ~ar Space
o Daily GaUJlrq , Inventory Reconciliation 0 Periodic T1c)htnoa ~iBJ _
o None D li\knoW1 mOther ~lh7e7ë~ Jv~ ,1wd.tn ~b.>f<~~{ OI/."fA44 ¥#VJ
b. PiplB)I mrlaw-Restr1ctl~ Leak Det ores) for Pressurized Ipin:J . ,
8 Mont torin:.¡ &lip wi th Racftllly 0 Sealed Concrete Race'8Y
Half-cut Ccmpatible Pipe Race~ 0 ~the~ Ll; Raceway 0 Ilona
DUnknoW'\ B)Other I!I~ /C/2i~v' 7!~~1 ~
*Describe Make , Model: " ./ /
8. Tank Tightness
ø' Ìt Haa 'IbIs Tank Been Tlqhtnesa Tested? DYes OM:> O{)\known
/U~ Date of Last.Tightness Teet Results of Test
Test Nðme TestiRJ Canpany
9.· Tank Repair
r¡;Tãñk RepaIred? DYes ONo Dlk1knoW'\
I{IM Date(s) of Rspair(s)
'I' Describe Repairs
10. OVerfill Protection
--r1õPëëator Pills, Controls, , Visually Monitors Level
OTape Float Gauge IiSIFloat Vent valves 0 Auto Shut- Off Controls
BCapacitance Sensor .taSealed Fill Box ONe>ne Olklkno\lll"\
Other: P.~b ///-11 ()PW~5'3¡J List Make , Model rOC' Ab:we Device::,
Piping
ð. {,t}derground Pipi~: ].ijYes ONe> Dlk1kn~wn Material t¡/;¿f, i2n/paf; 3000
Thickness (inches) , Diameter Manufacturer
lMPressure OSuction OGravity 'Approximate Len:)th of Pipe RLI'\
b. Underground Pipin:) Corrosion Protection :
OGalvanized I8JFiberglass~ DImfX'essed Current OSacrificial h10de
DPolyethylene Wrap OElectrical Isolation OVinyl Wrap OTar or As¡:tlalt
DUnknoW'l1 o None Oather (describe):
c. Underground Pipirq, Secondary':ontairment-:--------'-·
ODouble-Wall D~::/ "~et1c L".- ': Systel ûNone ~ ~nknoW'l1
EJOther (descr i be) : (,~AtIU.{~':./ )h71/IÍ<¡.~~< 111./.1::," ,11-/:4' :'I.f _______
-___________________.______.·'._.__n'_____ __, ____._f ' . _ - ___________
11.
l"òC i 1 i ty N,U1\C
jœÚ?é'Q,:;L~~. ~, lÙ?' . Pennit too.
TN-JK ~ 1- . (F I LL OUT ~;r~PAk.A.n: F( :HM ¡-'Of{ LACH TANK)
~ ---l''ÓH --EACH--SEcrloN-, o-Ù::éï< ALLAPP-HC5PHÏATI::-BüXI::S-
- -_._~
-I.
1. Tank'is: Ovaulted ONon-Vaulted ~tbuble-Wal1 OSingle-Wall
2. Tank Material
-~carbon Steel o Stainless Steel OPolyvinyl Chlo~ide OFiberglass-Clad Steel
Fiberglass-Re inforced Plastic 0 Concrete 0 AlLmlnLlJ\ 0 Bronze OUnknown
- Other (describe)
3. primary Containment
tate Installed 'M1ickness (Inches)
9~ / ~- '6'5
4. Tank Secondary Containmênt
mDouble-WaU--c::J Synthetic Liner 0 Lined Vaul t
DOther (de~r1be): Ótv?-¥S (O,Q.A/IIt'<", OliFf' -/0
[]Material Thickness (Inches)
5. Tank Interior Lining
/Y J.;LrRubber CJ Alkyd OEpoxy OPhenolic OGlass
/.If Oother (describe):
6. Tank Corrosion ProtectIon
-rrGalvanized . (f]nberglaas-Clad OPo!ïethylene Wrap DVinyl wrappln;¡
CTar or Aaphalt OtklkncM1 ONone DOther (describe): .
Cathodic Protection: aNone OImpr-eaaed CUrrent Syst.. DSacrlflclal Anode Syst_
. Oeser ¡be Syat_ , EquipDent:
7. ~ Detection, Monitorln, and Interception . .
a. Tank:LJViaual (vau ted tanks only) crGro~water Monitoril1) Wil11 (8)
OVAdos. Zone Monitoring Well(s) [J~ Without Uner
OU-TUbe with Compatible Liner Directi~ Flow to MonItoring well(s)*
o Vapor Detector* 0 Uquid Level Sensor 0 CondLCt1vit~ Sensor*
8 pr.saure Sensor in Arvwlar Space of Doubl~ Wall Tank
Liquid Retrieval , Inspection Fran U-TIi>e, Mon! toriR:) *11 QC Annular SplIce
o DaUy GaUIJ1rq . Inventory Reconciliation 0 Periodic Tf9hmu. ~irq _
o None [J '-"know\ mOther ~&7~ Me:; lLd-m ~A'm-rk-- ~( O/J/~ ¥1111
b. Pipin¡1 SJrlOW-RestrictiRJ Leak Det or(8) for pressurized('c»iplng
B Mont torin;¡ fblp wi th Raceway D Sealed Concrete R.ocftey
Hal f-cut Cœpatible Pipe Rac.~ [] 5¥!'_the~ Li; RaC*IBY [J Mone
DUnknoW1 Sother ~ ~~'~~I ~
*Describe Make 'Modell ' .J .
8. ;:nk,i~qh~88 B4t
~ a 8 en Ti9htneaa 1'1tsted? DYes Oft) Ol.r\kno'-'\
MA Date of LA_ .Tlghtn... Te.t Results of Test
Teat Nðme Testir¥) Canpany
9. Tank Repair
WJTiiik RepaIred? DYes ONo· OLnknown
/ r In Date (s) of Repair (a)
/"' Describe Repairs
10. Overfill Protection
--rJõPërator Pilla, Controls, , Visually Monitors Level
DTape Float Gau;)e tjFloat Vent Valves 0 Auto Shut- Off Controls
Beapacitanc"" Sensor .œISealed Fill Box DNone DU1knoW'\
Othera rt?n.ub ill-V I5PW-#5Y¡) List Make , Model roc Above Devices
Capacity (Gallons)
Manufacturer
o None 0 LnknoW1
Manufacturer:
Capacity (Gals.) j.£>,lJm
/
DClay Olbl1ned Dl)ÙU1OW'\
11. Piping
4. 1bierground Plpir¥;J; J,ijyes DNa Oli1known Material fill£! ßU)/lfj 3600
Thickness (inches) Dl.-eter Manufacturer
JMPressure OSuction DGravi ty . Approximate I..e~th of Pipe RLn
b. Underg~oW1d Pipin:] Corrosion Protect ion :
OGalvanlzed I8JFiberglass~ OImlXes~ed CUrrent OSacrif1clal Anode
DPolyethylene Wrap OElectr leal Isolation OVinyl Wrap OTar or As¡X\alt
DUnknown o None OOther (describe):
c. Underground Pipirq, Secondary ':'::>ntðirment~- ------.--
o DoubJ. e-Wð 1 1 0.:,..- cþetlc _ r" ~ . Syst~ ù1-¥)nt' _ _:nkno..."
!r!Other (d~srr;.b:": lJ/l.f:- .1/..../. ,I -('- "l,
i.·d\.....4.~lLj
;\illd.JlH
¡ ~ ,-'f' till! L
. .'L:' 9r::L I.'i~,,;i:::l L: ~::~ ';U' AkAn F( '.'Of< U\CH TANK)
---'FDH -F:ACH- -~r.:CTIoÑ- I CHt:éK-ili" Af-'pl\_º-~IÚATJ:: -BOXr.:S-
¡.~.
~.
1. Tank í s: 0 Vaul ted ONon-Vaul ted ~[):)uble-W¿Ü 1 OSingle-Wall
2. Tank Mater ial
-~çarbon Ste~l ,0 Stainless S~etÜ 0 Polyvinyl Ctùo~ide 0 Fiberglass-<lad Steel
Fiberglass-Remforced Plastlc 0 Concrete 0 AlLmlOl.ll1 0 Bronze DUnkmwn
Other (describe)
3. Primary Containment
rete Installed '111ickness (Inches)
t{'1 ~-g-S
4. Tank Secondary Containment
~Double-Wal1-n Synthetic Liner 0 Lined Vaul t
DOther (describe): Otv~A/S (O!<A/íY<:'. /J¡{J t -It)
DMilterial Thicknešs (Inches)
5. Tank Interior Lining
/Y¿;LrRubber LJAlkyd DEIx>xy DPhenol1c DGlass
/I /f Cather (describe):
6. Tank Corrosion ProtectIon
-UGalvanlzed lDP1berglaas-Clad DPo!}tethylene wrap OVinyl wrappin;¡ ,
CTar or A8phàlt Dli'1kJ1OW'\ DNone DOther (describe): .
Cathodic Protection: .l8lNone Dtmpceaøed OJrrent Syst_ DSacrlflcle.l Mode Sys~
Describe Syat_ , Equipaent:
7. Leak Detection, Monitorijt, and Interception .
¡:--Tank: LJVlaual (vau tecftinks only) C!Grotniwater Monitoril1)' WillI (8)
o Vidoa. Zone Monitor1~ Well (a) 0 lJ-Jl'ube Without Liner
o U-Tube with Canpatible Liner Directi~ Flow to Monitorirq Wltll(.) *
o Vapor Detector· 0 Liquid Level Sensor 0 Condu'::t1vlt~ SeNIor·
8 Presaure Sensor in Arvwlar Space of Doubl~ wall Tank
Liquid Retrieval , Inspection Fran U-Tlbe, Mon! tor1RJ Will or Amular Space
o Deily GaUJ1DJ , Inventory Raconciliation [J Periodic T1A)hmu. ~lBJ _
C None [J ~know\ mOther ~W1~~ lv'btt, tMmt -tn ~8Y{<~--*{ ()1/~A44 ¥þñ1
b. Pip11Y111 JDrlOW-Restrlctll11) Leak Det or (a) for pressurized iping .
8 Mont toe in:,¡ a.p wi th Raceway 0 Sealed Concrete ~y
Hal f-CUt Caapatible Pipe Race~ 0 5ï!11~heti Li; RaaM.BY [J aIorw
DUnknoW1 JaJother ¡?~ ~1¿¿1t'.2;_{ ~
*De8C r ibe Make 'Modell " ,
8. Tank Tightness
'Ø HIla 'lbIa 'rank Been Tightneaa Tested?
/r/ji Date of La8t .TiCJhtneaa Teet
Teat Name
9. Tank Repair
r4 TãñK Repa! red? 0 Yes ONo Otk1knoW1
/ r /11 Date (s) of Repair (a)
í'l Describe Repairs.
10. OVerfill Protection
~ator Pilla, Controls, , Visually Monitors Level
DTape Float Ga~e L;iFloat Vent valves 0 Auto Shut- Off Controls
BeapacitancÁ' Sensor MSealed Fill Box o None Dtk1knoW1
Other: ,Þ'ð77l.U.b III-II 15PW-A5"J¡) List Make , Model Por Above Devices
11. Piping. .
a. lh:!erground PipiB): .JijYes DNo .DLnknown Material fijf.a 1211,p0-1J 3000
Thickness (inches) Diameter Manufacturer
W'Pressure DSuctlon OGravl tyI\W-i-õxim.ate Lerqth of Pipe JUt
b. UndergroW1d PipiD1 Corrosion Protect ion :
DGalvanized ~Fiberglass~ OImpc-essed OJrrent DSacrificlal Anode
DPolyethylene Wrap DElectrical lsolat ioo Ovinyl Wrap DTar or Asphalt
OUnknown o None Dather (describe):
c. Undergrolmd Pipirg, Secoodary ':ont"trment ~.._---_._- -
ODouble-wall . O~. :/,c.J1etlc L ~"~, ~'yst~ ÙNoIì~ _ ~nknown
l!JOthe r (desc n be) ~ ~-!!:U }¡7I{.1-'!t!~Z:TjjfL~_fZd4J..'!'/.(__./
Capacity (Gallons)
Manufacturer
o None D tk1knOIlln
Manufacturer:
Capacity (Gals.) jJJlbtìO
/
DClay Olt1l1ned Dl1'1know1
DYes Dt«> Dl)1known
Resul ts of Test
~sli~ Canpany
--------
\."acil ity NdfTle i}<{:nr'!:t~f e Permit t-b.
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TANK ~. --4--- (FILL OUT" ~I::PARATr~ FO~ FOh tACH TANK)
" FOR EACH SECTION, CHECK ALL APPR~RIATE BOXES
1. Tan~ is: OVaulted ONcm-Vaulted EJ~uble-Wall OSingle~all
2. Tank Material
-ëcarbon Steel 0 Stainless Steel 0 Polyvinyl Ctàoride 0 Fiberglass~lad Steel
Fiberglass-Re infoc~ed Plastic 0 Concrete 0 AlLlTlinLITI 0 Bronze 0 Unknown
Other (descr ibe)
3. Primary Containment
Date Instãïled Thickness (Inches)
9- /5- &-0
4. Tank Secondary Containment
ØDouble-Wall-r:JSynthetic Liner OLined Vault
DOther (describe):
DMaterial Thickness (Inches)
5. Tank Interior Lining .
;Vþ -rfRubber OAlkyd DEpoxy DPhenolic DGlass DClay Dl11lined DlbknCN1
r¡ I· [)other (describe):
6. Tank Corrosion Protection
),1/ /1-uGalvanlzed LJP1berglass-Clad OPo~thylene Wrap OVinyl Wrapping
/Yj í' [JTar or Asphalt Otk\kl1OW'\ DNone DOther (describe): .
Cathodic Protection: ONone Oím¡xesaed Olrrent System Osacrlflclal Mode 5yster'
Oescr its System , Equi¡:ment:
7. Leak Detection, Monitori~, and Interception --
~Tank: [jVlsual (vau ted~ks only) [JGrourx3water Monitorirg" Wdl (s)
o Vadose Zone Mani toring Well (s) 0 u-Tube Wi thout Uner
[]U-TUbe with Compatible Liner Directi~ Flow to Monitorirg WBll(8)*
o Vapor Detector· DUquid Level Sensor. D Conductivit~ Sensor·
8 Pressure Sensor in Arvu11ar Space of Doubl~ wall Tank
Liquid Retrieval , Inspection From U-Tlbe, Moni toring WBIl or Annular Space
D Deily GaUI:J1n¡ , Inventory. coI}Ç1l1ation [] Per odic TicJ tn_. '!'eftlrq
o None C lhknown mOther ".
b. Piping. [JrlOW-Restrictlrq Leak Det ort's) for Pressurized Piping
.m Mont tor in:) &lip wi th Racewøy [J Sealed Concrete R4Ce..y
o Ralf-CUt CaDpatibl_ Pis:- Race~ 0 Synthetic Liner Raceway 0 Vone
OUnknown (2IQW\1[ t"-. P1-J ~*-,,,l--2~~rj, ~J:,G
*Describe Make , Mode I "
8. Tank Tightness
U/h Has 'IbIs Tank Been Tiqhtneaa Tested?
¡V/ /1 Date of LAIK, Tiqhtness Teat
Test Name
9. Tank Repair
d Tãñk Repaired? DYes DNo O\))knoW1
N¡~ Date(s) of Repair(s)
Describe Repairs
10. OVerfill Protection
~ator Pills, Controls, , Visually Monitors Level
OTape Float Ga~e [BFloat Vent Valves 0 Auto Shut- Off Controls
BCapac~ta~e Sensor ~Sealed Fill Box o None Oll1knoW\
Other. ~~~ /11 - V f)!V 5''3 V List Make , Model Por Mxwe Devices
11. Piping .
a. l)'}derground Pipiri.J: [ØYes ONe> . o 111 known Material ¡;/"H;L¡¿L~ Jt'o éJ
Thickness (inches) Diameter Manufacturer
OPressure OSuction æGravi ty "Approx-imate Lergth of Pipe Rm 10"
b. Underground Pipin;J Corrosion Protect ion :
OGalvanized l4tFiberglass~ OIm¡xessed CUrrent OSacrificial 1\nOde
OPolyethylene Wrap OElectrical Isolation DVinyl Wrap DTar or As¡X1alt
OUnknown ONone OOther (describe):
c. UndergrolIDd Pipirg, Secondary ~0n,.",tnnent-::--------
ODouble-Wall Os::"'ehetic L "),. ': ~ystel ÙNof)t' ~ .nknoWl1¡ _+-
!BOther (descr i he): /':, ,j'1"..." / 0/ ,'-l J. ~ _ / ,.. -: -,- J,'i / '7 (,
:1.
Manufacturer
¡la.V1ð ~/''lJ.M 3
o None D ll1knoW\
Manufacturer: ('H~ð az~,,_
Capacity (Gals.) ,s:Q. _
Capacity (Gallons)
';" ':_,)
DYes Ot-b Dlklkno\rtf\
Results of Test
TestiBj Canpany
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Facility Name
.
Inspector
Date
FINAL INSPECTION CHECKLIST
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3.
Any modifications identified
depicted on the plot plans?
If "Yes" described
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4, Are monitoring wells secure and free of water and
product in sump?
5. Is piping system pressure, suction or gravity?
6. Are Red Jacket subpumps and all line leak detector
accessible? ~ ,'~ ._
Type of line leak detector if any A )-,<J < / ", )
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7, Overfill containment box as specified on application?
If "No", what type and model number:
a) Is fill box tightly sealed around fill tube?
b) Is access over water ' tight?
8.
c} Is product present in fill box?
Identify type of monitoring: ¡}, ,_I),u/J (V~í0j
~..,
J, !Î JJ / P
v A,;;"(~(/1 ':";',,,OL . C2A,'JI !I~ ·r
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a) Are manual monitoring instruments,
water finding paste on premises?
'--'
product and
b) Is the fluid level in Owens-Corning liquid level
. monitoring reservoir and alarm panel in proper
operating condition?
c) Does the annular space or secondary containment
liner leak detection system have self diagnostic
capabi 11 ties?
If "Yes", is it functional
If "No", how is it tested for proper operating
condition?
9.
Notes on any abnormal conditions:
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Fac i 1 i ty 'Name ~_¿i!cf!!lßoc!.-:I4/;ltjg_L~1!1ß.__5he//
Facility AdJress 2GOO ü/A/k L.YøP &ør.~·JV
7
-
Application Category:
~ Standard Design
- (Secondary Containment)
Approved
Be. . ?/¡Y'
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ß.5. &f<t
115 gIrt
8, ') I ~/¡g
l'v1otor V.>hicle Fu,.:l Exemption Design
(Non-Secondary Containment)
Permit Appl ication Form proper!x Compl~ted
Deficiencies:
3
foot radius around tank(s) and
Depicting:
;.. 1 tank(s)
a number and product to be stored
Adequate scale (minimum 1 "=l() I ()II in detail) II/-=: g"o'"
North arrow
All structures within 50 foot radius of tank(s) and piping
~/It~ 4tA. ú'11d--w}!.J f1{)7LJ~ ~ ß!d4L,
Location a:'Pd labeling of all produ,ct piping and dispenser
islands j{þ~,,~..-!7I'¡- -hðZt'J1 (/r,vl / /) (f;~" I~: I;.!!,l'¡
Environmedtal sensitivit daXa including:
*Depth tofirs,t ground,water a~ site M;::;V/!II(./,T~1 /;'-'¡-/.! .i'/l(~,'-tr;'-¡(/
,.. 'I' / !- . J.- _ I { , I í '. / ' I /' '
/1!-,- .--;' ::;:;~;r// )1!-/& £j;¿ ¿¡ !-(4/1/ 7fið"-1 /-r.~', /V~11 /).t~-;..·/ - !:J./ i'")(·'·f¡" .('J.;'(.JI.~A~/;' -1(; ~
*Anydomestic o'r dCj[ÌcultuLll "water well withir\ 100 feet of
tank(s) and pipinq
*Any surface water ~;1~nl ioed conveyance within 100 feet of
tank(s) and pipin<]
*;"11 utility lir\es withir\ 25 feet of tank(s) and piping
(telephone, electrical, wat~r, sewage, gas, leach lines,
seepage pits, ,!'-¿¡inage systems)
*Asterisked items: ðppropriate documentation if permittee
seeks a moLn vehicle fuel exemptTonIrom secondary
containment
Com men t s : Ó/'l ·7J;:"~ß:;Ï, ;1),-;;;;;'¡;Ø~;¡~v.t4Q;1r1.~'1~"·"¿'; 17 fi~..i/! I Þ ,?/~/<U'M/
¡J/c;'f' ;fðJl· ,<f!¿lId..:'!tt.<'£...#l dt/!Ú~ 'J¿ ÞY./'44-1~i-l- A~ /7 A/t.¡1//. -«-/./,
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"3 COpl'~~:3 ot Construction Drawings Depictinq:
ŠTcJ-ê--V i ~w õ-1-fã-ñk-IñŠ-t:".:-t ITãtTõ"ñ- wì th -Bac k ti 11, Hdceway (s) ,
See 0 n Jar y Con t a i n men tan d / 0 r LeA k M 0 nit 0 r i n 9 ~) Y s t e m i n pIa c e
/JilY ¿/ I ../', / 'rL /!
~Ç¿J-,,_ TA'U ):1¿;-1 A¡t.C.J./.1J'I..~*,
Top- Vie w :) f Tan kIn s t;¡ 1 1 a t ì 0 n w i t h R d C e way ( s), S e con d a r y
Containment and/or Leak Monitoring System in place
/l /'/ / / " -~ , / / I . - J I- /l' .{
2¿/' y;fßI/ £.u/ /ldl,:/crb/~'~ ('¿-u",/¿drr:ttr;(".·O-t-l..'2_..:.J ,
-- / . /
A Materials List (indicating those used
Backfill
Tank (s)
Product Piping
(RaCeWay(s) iltn.tt2...
Sealer(s)
Secondary Containment
in the constructio0):
Leak Detector (5)
,(/ø<L k ~.
fI I
Overfill Protection
Gas or Vapor Detector(s)
Sump(s)
Monitoring Well(s)
Additional:
Documentation of Product Performance
Additional Comments
/¡.-rtftd -:z) ("mtlt.¡'ij/14i:~'/-
Date
..--.- ~.~, ---
SITE INSPECTION:
-CÕmments:
Approved
"Iisapproved
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Inspect0[
Date
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HEALTH PERMIT IhISTRUCT-rONS
dII!!t£ ¡:¡;;//;~í: !..¡Vf/110G't! Mf,j~ ¿~/1e :9¿//
~;~f'JDLTIONS ¡\S FOLLOWS: /9/,...../1 /ill¡ /
.?-uov~ <.-VI!> e ~¿;'Jle
. t2 (-':"-"', r:./~,-/J f/'j:1 03 -;¡ 1-
Standard Instructl,)!1S Dt)'· /"'-11(",".' . /, ..J¿r<;-
----.--. -..-. --.------ ø /;~/"d:~~.d,ú'"'"- /
T his 1_' -J n d i t i 0 na 1 per m ita p p 1 i e son l! t:) t \-1 'e: ;n C j i fie a t ion J f
existing facility involving
e
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(Blank will list the construciton specified 1n S2ctlon D of
Appli~ation for Permit)
x -L- ~ All pertinent equipment and materials used in this
construction are subject to identification and approval by the
Permitting Authority prior to construction, This pe~mit is issued
contingent upon guaranteed' compliance with the guidelines as
determined by the Permitting Authority.
~ ~ All construction to be as per facility plans appr~ved by this
department and verified by inspectiõn by Permitting Authority.
:,.. 3 Permittee must contact Permitting Authority for on-s~te
inspection(s) with 48 hours advance notice,
Backfill material for piping and tanks to be as per manufacturers'
specifications,
-.1.. All underground metal product piping, fittings, anò c::;:¡¡~e,::t:.ior;s must
be wrapped to a minimum 20-mil thickness with -::::0[c05ion- preventive,
gasoline resistant tape or otherwise protected from corrosion,
Float vent valves required on vent/vapor lines of unàerground tanks
as a prevention to overfillings, ,
~ Construction inspection record card is included with permit given to
Permittee. This card must be posted at jobsite prior to initial
inspection, Permittee must contact Permitting Authority and arrange
for each group of required inspecc.ions numbered as per ins"tructions
on card, Generally, inspections will be made of:
a, Tanks and backfill
b. Pi pi ng system wi th seconda r y con ta i nmen t oy I ¿,elK d~c: ~,)Y1
: ~ a kin tce-r-ce.pt.Lo.n.,Lr- ace way.
c, Overfill protection and lea~ detection/monitoring
d, lI..~lY ocher ins:)E~~t.ion ::1e'2med ne-::::essary by ?2[rn~t~_íC!g .l..uthocity
All metal connections (e,q, pip in:;, fit:tings, fill pipe:s) to tank(s)
to be electrically i~Qlated.
-* E 1'01 0 nit () r i r. 9 r e qui r e ffi9 11 t sf,: r t h j. s f i) C ; .1 i t Y \V i 11 be d e ':::,~ r j 1: E: d on fin a 1
"Permit to Operate".
Special InJtructians
'-.-'''- --.-----. -- ---
Permi~-te:~~ ·~:-::,t ·...~:~az..~·· i.,': :n~~f.;/·'/IÌ~)r~t sdL·s-:~~.·~·..:·(.·:·;.: t.-:;} i,~}.i~,~ ", st;Jr~~ in
the underg;. 'uw1 tank;::;:' cùid piping, and v':?ciEy by ~\nemic:~>l analysis, /'"
i f nee ~ S S n ( \! co 1-' P ¿::¡ t"_ 1 b i 1 i t Y 0 f com b i 1 ,~ì S::-. :)[ e d s ,j ~y; t ::¡ n'"; e s , No" '
chemic¡.:¡l.ly llc.)In:)a.t·~b~t~~ :~·ltjS;"· --.' ~~.ay r)(~' ":.111~inE;~j In '-;..~,:, unri"?cground
tdnk(s) "In<l p.'~;r.-;, ')ç '''''')}, of CO[f,.:Ji'"ì.b-Llit: must: 'c: s'jbmitted
to permittin'J I\!j~¡,¡:)!itl :.~'-~-;r ../ ::onstruct,~CH1,
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primary and secondary containment of both tank(s) and underground
piping must not ~e subject to physical or chemical deterior~tion due
Lo the subStè1íìCi:: (:::;) stored in them, Do:.,:umentation from tank, pi?ing,
and seal man~lEc1ctdC'=[S of compatibility with these substance(s) must
be submitted to Permitting Authority prior to construction,
Provide design, method and materials for precluding any leakage or
seepë:\go at .thp piping/tank interface (s).
All tank inlets, outlets, and manway extension tubes must have seals
both product-ti'jht and product-compatible for substance(s) stored in
the tank(s),
Spark testing (35,000 volts) required at site prior to installation
of tank(s). Test(s) must be certified by the manufacturer, and a
copy of test certifications supplied to the Permitting Authority.
The vacuum gauage for each tank must have a secured access point for
periodic leak monitoring and for vacuum system maintenance.
The following equipment and materials must be identified by
manufacturer ànd model prior to their installation:
Tank(s) .
Tank liquid level gauge(s)
Tank secondary containment automatic monitoring system(s)
Underground product piping
Secondary containment of underground product piping
Tank monitor fitting(s)
Tank fill box(es)
Sealer used to secure fill box(es)
pe:mitte~ to pro~ide "as-built drawi.n9s" upor¡ comple.::ion o~
proJect, ð+- Wtlsfe orf +o!AK c:?Y1cJ PIP ¡¡'1 cl lu/t¡1 S¿:í~y!(Ï(I'ry C-()'f/oJ:r;!,1~f/;I,
Vapor detector must be used with-the leak interception system in
order to meet monitoring requirements. The vapor detector must
receive prior approval from the Permitting Authority in order to
assure it will meet current monitoring performance standards,
~ ../- ",/ -/-- ,,~/ , ,I , / ,/" ( /
-:."1':'" :,/: ";'/ ",;:.,~z..; ,~,~ ..;:.6, ¿ . ""-', ).,
/?¡t /'1 .;,1// . ¡}:iL!'lü/;I /5Ù¿/;, ".r:
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~ssaciated Environmental Systems~ Inc.
F'. O. Bo;,: 80427
Bakersfield , CA 93380
(805) 393-2212
PRECISION TANK & LINE TEST RESULTS
[nvoice Addt~ess:
Tank Location:
W.O.#: 7733
;HELL OIL CO,
:'.0. BOX 4848
\NAHEIM,CA,92803
SHELL 5,5,
+600 WHITE LN.
BAKEF~SF I ELD, CA,
I.D. Number: 20404610501
Technician:JRL
Tech.#:87132 Van#:6107
)ate: 11/01/88
~acility Phone#:
:on tac t: MGF:
Time Start: 08:00 End: 13:30 County: KE
1-805-831-0502 Groundwater Depth: N/A Blue Prints: N/A
Date¡Time system was filled: N/A
Tank Fill/Vent Product Ty~e Of Vapor Inches of Pump Tank
-ank Capacity Pt'oduct Tank Vapor Lines Line 'ecovery Water/Tank Type Material
1 lOf::: REG, N/A N/A PASS I I 0 TUF:B. DI;iF
2 10f< R/UL N/A N/A PASS II 0 TURB, Dl'JF
3 10K· S/UL N/A N/A PASS II 0 TURB, mJF
4
5
6
) d d i t ion a I I n f 0 t' mat ion:
5 t1IN, (L, A, EAST)
THIS IS A PRODUCT LINE TEST ONLY. 50 P,S.I, FOR
SITE LOG
TII'1E
jet Up E9uip:
(led Pt'oduct Lines:
led Va pOt' L i n e s :
lied Vent lines:
lied TLlt'bine:
'I ed Suc t i on Pump:
:iset's Installed:
()E:: (H)
~,j/A
N/A
N/A
i'UA
N/ ¡CI
N/ (;
) These results obtained using the patented A,E,S./Brockman system,
) This system and method meets the criteria set forth in NFPA #329,
) Any failure listed above may re9uire further action, check with
all regulatory agencies.
C@rtifimd TGchnician Signature
Dc!\tc ft
~llæ~';TM· ~
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BILLING OROEîR
INVOICE AOOREs.5:
SH ËLL
PO BD'i<- L\ <g'l{ <:¿
A ¡\JC>,HC{ ~Ì¡\Ic..A 92 -go 3
CONTACT:
PHCNS:
E¡\,IERGENCY CONTACT:
ASSOC'TE(D ENVIRONMENTAL SYSTEMS, INC.
P.O. SOX SC427
8AKERSFIELD, CA 93380
(805) 393-2:212
'INVOICE NUMBER -2 733
TAKEN SY:
~
TANK LOCATION:
, lii:AJé
OA TE TAK:¿:N: <:X)
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S..\LES.V.AN: TE,:ïR.· 1-.
'uEN
5f!£LL ¿Ute. 2o'-{04GldSO/
2 GOO Lutt I Tt:. L ,!oJ.
bA I<FLD¡ CPr.
TECHNICIAN:
,J~l-
k:Ë
COUNTY:
CO, NOTIFiED:
P,O':j.;}DH
TEST OA T::
CONTACT:
PHONE:
TEsr m,Œ:
PHONE:
A,E.S, STA~IC PRODUCT LINE TEST WORK SHEET
- ,-- - - -- - - -
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1. TI:::ST F¡:::t::~:;~;UI;E:: IS :50 F'GI. L<1ITH L,Er-Ü: m::rE:CTC:Jf~: F:::::r'IO\JED ~( Ii'1F'AC r CL,O~;ED
~2, L. T I'J!::: '·:u;::;r HULD Tt:~::; T F'¡::::E~:<3LJR~: + m- ._, 1 (¡il. ¡:::-UI~( l ~3 1"1 I I\j. TO F'r'I~;s TE~3l
'~'.. Plt'-I'( LIi'I!::: F{-UL.HIG TEST (¡JIl.L r:;::::: FI~>PUI~~:[JE:~D ~~I"W PI c;CJI\I¡:~-H-:::"IATIm, TE~¡r F:UN
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AJO, 7733.
·LY..AX DP,"l'lCTOR TY.ST DATA·'
--
LOCAl'IONr
<; H I~LC
2Loo L\) ¡-liTE L tv.
_ ~RA 1< I:=: RSF( !~~J2r C A
CAUTION: BEFORE DISCONNECTING ANY FITTINGS
IS TURNED OFF!! SOME SYSTEMS AUTOMATICALLY
WIC no. 20~- E~ ~ I ... - .5?5..£L
DISTIUCT r
LA EAST ?B2
,'LA WEST 283
'>( SO CAL 285
EAST BAY 286
. SAN FRAN 288
.'
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BE .SURE BREAKER FOR TURBINE
TURN TURBINE ON PERIODICALLY
:
RONAN LINE MONIfOR
~T:it~.\...J.k~LiM.L-'~'~. . --
Tt)~t 1 ¡ellt 2 . .,' If D<lt:sctor
jo-ññëondvolur...t 30 .lIcond vol~ Ü¡ LðAk r:ai1&d.
ith noulo in !ull After no~dll J):¡tøctor DoM it
,,', I ~ j'u .~ -=-- 7~~
ear " Gßl .- no JL=- 00
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STOPS
Product - ColorF'LOW
DOES NOT
STOP FLOW
tREGULAR - YELLO\.J
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lEG tmLEAD ~ RED
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SUP UNLEAD - BLACK
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no no
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T~ßt 2 - 3 G¿l
DIESEL
TypiCAl n~ult:ar Tu i 1 - 1 c...l
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Contractor'. Nð~J
ASSOC I A TEQ ENV IRONMENT ÅL SYS }{ðchanic '.4 Si¡n&tur.µ
Date Tut. Doner
1/- / - ;?'i?
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'rPûT O1lŒR MISC.
IF lEAK DETECTOR 0 YES
FAILED VIAS IT REPLACED 0 NO
DATE
OTHER C~nrCTlVE ACTlON 1
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IMPACT VALVE OPERATION CHECK
D;::;TE li-l-0?
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L·J I Ctf _2.ºïð_/~i~iº~Ql____________
w..__.______ _ _.___..____ _____._ ______ .__.__ __.___.__________.___.__.__------___
IMPACT VALVE CLOSSS WHEN
21§EgGê~B_~.______ _BL~k__§L~b_ .Bg§__Q~belçb~Q_~6~~BbbY_ y~§_ K:O
..____,_______(1_,___ _,_~__. .___,_,_ _,___. _____._________,__,___.__ _~__,
_i~~~~~~L_ ~f:.________ ______ _~_ ____,______________________~_
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PRODUCT L 'E SERVICE CERTIFICATlr"
Associated EnarL.",m, ental Systems, Inca' .s
and~rti~ies' the ~ollowin~
tested
,0::
Certification# 887733
DATE: 11/01/88 CERTIFIED TESTER: JRL # 87132
LOCATION:' Shell Wic20404610501 2600 White Ln/EI Potrero,Bakersfield, CA
PRODUCT
1, REG
2. FUUL
";;" S/UL
LEAKDET.
PAS:::;
F'ASS
F'ASS
IMF'T
VALVE
PASS
P¡,;SS
PASS
PROD/LINE
PASS
F'ASS
PASS
ANY FAILURE LISTED MAY REQUIRE
NOTIFICATION OF AGENCY.
4. >~:-: >~ >: ~< ;.~ >:
>: >: >: >: :-: >: >:
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>: >: >: ~.: >: >: >:
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X'·"·"·'''·''·''·'
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Recertification Date Recommended:
11 /89
115 .I
~ssaciated Environmental Systems, Inc.
~œe Office P,O, Box 80427, Bakerfield, CA 93380 - 805/393-2212
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~ssociated Environmental Systems~ Inc.
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Bakersfield, CA 93380
(805) 393-2212
PRECISION TANK & LINE TEST RESULTS
[nvo i ce Add t~ess:
Tank Location:
W.O.#: 7732
:HELL OIL CO,
:'.O.BOX 4848
~NAHEIM,CA.92803
SHELL S,5,
3700 M I NG Ai/E.
BAKER5FIELD,CA,
r.D, Number: 20404621805
Technì c ì an: JF~L
Tech.#:87132 Van#:6107
)ate: 11/01/88
::aciIity Phone#:
:on tac t: t-1GF:
Time Start: 14:00
1-805-831-5151
End: 18:00 County: KE
GroLlndwatet~ Depth: N/A ' BILle Pt~ints: N/A
Date;Time system was filled: N/A
1 10V
2 1Of:
3 10f::: '
4
Product Tank
F:E(3, NíA
R/UL N/A
S/UL N/A
Fill/Vent Pt'oduc t Ty~e Of Vapot' Inches of Pump Tank
Vapor Lines Line ecovery Watet'/Tank Type Material
N/A PASS II () TUF:B. D\.lF
N/A PH::;S I I 0 T,r,,-, Dl.1F
L:ï'·,='.
N/A p",c'~ II (I TUF:B, ÜI.jF
Hu;.:\
Tank
i ank Capac i ty
C'
..!
6
'~
~dditional Information: THIS IS A PRODUCT LINE TEST ONLY, 50 P,S.I, 'FOR
.5 MIN, (L.A,EAST)
SITE LOG
TIME
:;et Up E9Uip:
~led Product Lines:
3led Vapor Lines:
ned Vent lines:
ned Tut~bine:
~led,Suction Pump:
~isers Installed:
14:00
i'j,/A
N/A
N/A
1'1,/ (-'i
,1'1/ f'4
N/P¡
\) These results obtained uSlng the patented A,E.S,/Brockman system,
,) This system and method meets the criteria set forth in NFPA #329,
:) Any failure listed above may re9uire further action, check with
all regulatory agencies,
Certified Technician Signature
Dé:1,te
~llæ~TM.~ ~
~
AssocAED ENVIRONMENTAL SYSTEMS,INC.
P.O. ~27
8AKERSFIELD, CA 93380
(80s) 393-2212
INVOICë NUM8ER _7 7 3 ¿
S:LlING ORDER
- TANK LOCATION: TA,IŒN SY: /1AR.Lé,V'::'
INVOICE ADDRESS:
S\-iE:.í...L Ol~ SHELL UJIC. -z..oti0L/ ú r05"C( OAT~ TAK2N: /6 -.~/- ~8
~O ~o>- ~<?~~ 3700 ,Iv) ( AJ ç. /.L1- t/ ~ ~ SAL:S.I,J.A,' : TE,:;R.: /\6.1\
A "-'A HE! It"', CFt íZSO:J {3 A 1<: Ë R~ ¡:=-¡ t:::.LD¡ c.. ¡1 TECHNiCtAN: :r-RL
C:JUNïY: /<.~
co, NOTIFIED:
P,O,:: ~()Hð 2Liì .
C:JNTACT: ¡::-. P01 L~R CONTACT: /"1 G R. TEST 0,1.;:: 11- I - 8''8
PHCN!:: PHONE: <;;>05- <g3¡ -SIS( TEST m,!:: 13:30
7 I q - 5) 0 - 3S~ 0
t/
EMERGENCY CONTACT:
PHONE:
A,E.S. STA~IC PRODUCT LINE TEST WORK SHEET
.- - ._- - - - --
PRESS
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CONF[RM~TION TEST IF FIRST FAILED
.------------.----------- .-..-.---..---..-------..-...-.--.--.-.-....-.--...-.-- .------.--.--.-.-.--.---..-----------.-----
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TE~;T F(\F;-'II"I¡;:T[I~;:;::;
1. n:::ST Fï=<ESSU¡:-;;l::: IS :i(l PSI, "'lITH L,EAI-: DEII:::CTC:Jr;: F:!::::r'll1\)E[) ~~ HIF'~\Cr [;LO~)ED
2, LINE MUST HOLD TEST PRESSUR~ + O~ - 10% FOR 15 MIN. TO PASS TEST
':-'. P,,"IY l_I/'IE:: F'{)Il_Ii'ICì TE:':>T f.,.JIU._ DE:: RF:~-rLW:CJF::D P'¡'-ID (), ccn-II:: r,,:,'\;,T IC\\i T::::~;;l ¡:;:ur,¡
4. F(:::SULTS cn:::' TH I ~3 l'¡ur::!<: [:;I-/[I::T TU D~::: c::m,!;::'[ U:U Di'j {'¡. E, ~:.J. FE~)U!_ r~:; SI!El:T.
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P,Ç I< r-L/), CA.
- ---- '- ! ---
CAUTION: BEFORE DISCONNECTING ANY FITTINGS
IS TURNED OFF!! SOME SYSTEMS AUTOMATICALLY
-.
:
RONAN LINE MONITOR
STOPS DOES NOT
'rLDw STOP FLOW
Product - Color
~EGULAR - YELLm.¡ X
lEG UNLEAD .: RED I /~
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DISTRICTs
LA EAST 282 .
~ . 'LA WEST 283-
X SO CAL 285
EAST BAY 286
SAN FRAN 288
.'
BE .SURE BREAKER FOR TURBINE
rUhN TURBINE ON PERIODICALLY
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Contractor'. Nð.MS ASSOCIATEQ ENVIRONMENTAL SYS 1{ðchAnic'.4 Signaturlµ
Data T~tþ IX>ne%
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iF LEAK DETECTOR 0 YES
FAILED 'HAS n REPLACED 0 NO
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PRODucA_ :=. SERVICE CERTIFICA.
Associated Environmental Systems, Inc.- h_s tested
and certifies the following:
~
Certification# 887732
'"
DATE: 11/01/88
LOCATION: Shell
CERTIFIED TESTER: JRL # 87132
Wic20404621805 3700 MinS Rd/Real,Bakersfield,
CA
F' A f.=;:3
PPsSS
PASS
IMPT
VALVE
PASS
PASS
PASS
PROD/LINE
PRODUCT
1 . F:Et3
2. R/UL
3. S/IJL
LEAK DET.
PASS
PASS
ANY FAILURE LISTED MAY REQUIRE
NOTIFICATION OF AGENCY.
F'f;SS
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Recertification Date Recommended:
11/89
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;ssociated Environmental Systems, Inc.
~TIe Gffic~ P.D, Box 80427, Bakerfield, CA 93380 - 805/393-2212
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PRECISION TANK & LINE TEST RESULTS
:nvoice Addt~ess:
Tank Location:
v.J. O. #: 7729
::HELL
".0, BOX 4:348
~NAHEIM, ,CA.92803
SHELL S,S,
3623 CALIFOF:NIA/F:EAI_
Bf--;KEF~SF I ELD , CA,
I.D, Number: 20404622308
Techn i c i an: JPf:::
Tech.#:88149 Van#:S110
)ate: 11-1-88
:acility Phone#:
:on tac t: MGF:
Time Start: 08:00 End: 13:00 County: KE
1-805-322-3122 Groundwater Depth: N/A Blue Prints: N/A
Date;Time system was filled: N/A
Tank Fi ll/Vent Product Ty~e Of Vapor Inches of Pump Tank
-ank Capacity Product Tank Vapor Lines Line ecovery Water/Tank Type Material
1 10K F:EG, N/A N/A F"\C'-' II 0 TUF:B, D\1JF
-i...;:J
2 10f:: F:/UL N/{~ N/A F'A:::S II (\ TUF:B. D\1;F
3 10K' S/UL N/A N/A F'AS:3 II 0 TURB, DWF
4
c:'
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6
,dd i t i ona 1 In fm~mat ion:
5 MIN, (L,A,EAST)
THIS IS A PRODUCT LINE TEST ONLY, 50 p,s,r, FOR
SITE LOG
TIME
:et Up Ec:¡uip:
iled F't~oduct Lines:
: led Va pat' L i n e s :
:led Vent lines:
: led TLwb ine:
: 1 ed Suc t i on Pump:
: i set'S Ins tal led :
0::::: 00
~J / {2¡
~Uf;
~,j/ PI
N/f':)
N/A
N/t:¡
) These results obt~ined uSlng the patented A,E,S./8rockman system,
) This system and method meets the criteria set forth in NFPA #329.
) Any failure listed above may rec:¡uire further action, check with
all regulatory agencies,
Certified Technician Signature
Date
· ' ".' .-. . ~
~ ~.~TM ~
~
.!
AS.sOCtA TED ENVIRONMENT AI. SYSTEMS, INC.
P.O. BOX SC427
8AKERSF/ELD, CA 933S0
(80s) 393-2:212
INVOICE NUMSeF! 77 ¿) D
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8ILlING'OROE'R
INVOICE ADDRESS: TANX LOCATION: T ,A;-ŒN a y; /ð '.l/-rF
5 h ~!/ cÚ / Co, .5 h.~ ¡l .....J... OAiE TAKEN:
W(.~
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CO, NOïlFIEO:
P.O.:: rl'fdAb Q) (¡ )
ceNT AC i: CONTACT: EST OA i=: r.-
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P¡';CN:: 71 '-1- jÇ)O- 3S~() PHONE: ~ of. 3;(;)-3j~~' TESi m.Œ: C ¡"t1()
E.\f::RGENCY CONTACT:
PHONE:
A,E,S. STA~IC PRODUCT LINE TEST WORK SHEET
---------
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1. TEST F'I:::ESSUI:-;;t;: I S ~5r) F'~; I, ~I) I TH l.E:r-H:: DEn::CTCJf~: F:!:::r'IOljE::D ~< I l'IF'Ai: r CLO~;ED
2, LINE MUST HOLD lEST PRESSURE + O~ - lOX FOR 15 MIN. TO PASS TEST
'~" {.ìt'iY L_ Hi!::: Ft-'ì[ L HIC, TE~3T I.>JI U..., DE F::I::: -'PUi~~:C¡ED p,¡..JD ('I eC)'.!:::' H::r"¡PiT I CJ"¡ TES r F:Ur,,!
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CAUTION: BEFORE 0 SCONNECTING ANY FITTINGS
IS TURNED OFF!! SOME SYSTEMS AUTOMATICALLY
Product - Color
RONAN LINE MONITOR
STOPS DOES NOT
'rLbw STOP FLOW
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1t'5
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SUP UNLEAD - BLACK
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DISTRICTs
.~~ ÈAST 282
. . tA WEST 283
SO CAL285
EAST nAY 286
SAN FRAN 288
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BE ,SURE BREAKER FOR TURBINE
TURN TURBINE ON PERIODICALLY
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PRODUCT LINE SERVICE CERTIFICATIL,.
Assçciated Environmental Systems, Inc. has tested
and certi~ies the ~ollowins:
'"
Certification# 887729
DATE: 11/01/8:=:
LOCATION: Shell
CERTIFIED TESTER: JKP # 88141
Wic20404622308 3623 California/Real, Bakersfield,
CA
PA!:::S
PPISS
PASS
IMPT
VALVE
FAIL
PROD/LINE
PASS
PASS
F'ASS
ANY FAILURE LISTED MAY REQUIRE
NOTIFICATION OF AGENCY.
PRODUCT
1. REG
2. R/UL
3. S/UL
LEA~::: DET.
PASS
PASS
4. ~.~ ~.~ >~ >~ }~ >~ >~
~< >~ >~ >~ ~< >~ >~
"""""'.'"
,'",,',,',..',..'\..',
""""",'..,
,......,........"."".,
5. ~< >: ;.: ;.~ ~< ~.~ ~.~
}~ N->~ ~< }~ }~ }~
}~ >~ }~ ;.~ ~.: >~ >~
>: ~.: ~{ >~ >~ >: >:
6. :-: >: >: :-: :-: >: :-:
>~ ~< >~ >~ >~ >~ >~
..."......1'...'.".".'
"..,..,..",...."
'I""""'"''''
,.,..'"',..',,,',,.',,',
Recertification Date Recommended:
11/89
~I" 1-
.. . ¡<,-
.- .t. 1
fÆ',. ~.e. ;~. )I!!:..JI!
)ssociated Environmental Systems,
Jme Office P.O. Box ~)427, Bakerfield, CA 93380 - 805/393-2212
Inc.
\
,
_ . __M_ ~ ......_,_._..____M_ ............_._:..~..
o ,
oþ
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~ERVICE
=STATION,
SERVICES
. ,
- ~.,:
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.'.:.:....
;'
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2 '.,
'¡
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:':~'d~Jf ... "
~ ~ '~. . :\/;:: h.j·7"), L ~.-: citL Ti~-'~
November 23, 1988
Kern County
Environmental Health
1700 Flower Street
Bakersfield, CA 93305
RE: Product Line Results
Please find enclosed the product line results for Shell Oil
Service Station sites. These sites do not require tank testing,
The following locations are enclosed. If you have any questions,
please call us at (714)546-1227.
Sincerely,
Stephen W. Hogie
Service Station Services
SWRljs
1.
3623 California/Real
Bakersfield, CA
WIC#204-0462-2308
2,
101 S, Union/Brundage
Bakersfield, CA
WIC#204-0462-2100
--?t".
é_· .,1
-. 1",
- '-..
I¿~" ::; (.- ,~:. '/
3,
3130 24th/Oak
Bakersfield, CA
WIC#204-0462-1904
¡ ..-, ., .
j ;~'\ .I '< " \ ../
~,' V'j./
4,
3700 Ming Ave
Bakersfield, CA
WIC#204-0462-1805
¿:... ~.~
:"'~1" r-
,_.'~ ' ( / ,-,'
..,.;
5 ,
2600 White Lane
Bakersfield, CA
WIC#204-0461-0501
') , ., . '~7 .
:,;,/Uii.E.
6,
1130 Oak/California
Bakersfield, CA
WIC#204-0462-2902
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POOR OR'GINAL
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Bakersfield Construction Inspection
3014 Union Ave, Bakersfield, CA 93305
(805) 324·1815
3¡O{)17
Laboratory No, P85-0237
Date Reported: 8/31/85
County of Kern
Health Department
Environmental Health Services
1700 Flower Street
Bakersfield, CA 93305
Attention: Mr, Richard Casagrande
Project: Upgrading of Gasoline System at Shell Gasoline Station at 2600 White Lane
>-'
Subject: Exploratory Boring to Determine Water Table Depth
Gentlemen:
On August 30, 1985, at the request of Mr, Bryce Ruschhaupt of California Petroleum
Equipment, Inc" the contractor for this project, an exploratory boring was made
on the Northeast corner of the property at 2600 White Lane to determine if the
Water Table in that area was below 75' in depth, According to the Health Depart-
ment a minimum of 75' is required in order to install this particular system,
The soils encountered during the boring consisted of silty sand and sand to a
depth of approximately 40' and from 40' to 75' sandy clay and clay, No water
was encountered during the entire boring,
~
Upon completion of the boring the hole was plugged to a depth of approximately
20' with Volclay Pellets and the remainder of the hole was filled with native
soil,
~~
c -
By ~ J,-,~ ~.... .-/
á rence Lc, i mer
By
.;t~
DIVISION OF ENVI RON¡v\ENT Al HEALTH
1700 FLOWER ST., BAKERSFIELD, e
TELEPHONE: (805) 861-3636
AP~¿'ffõ(f' Af;j--
P~~1¿~CATE
ð':/d 0 /~~
* PRUOSED é6~PLETION DATE
JOB ADDRESS/LOCATION T R SEC
·5.1-1 ~¿¿ .q/J50L¡"vG. ·.57/1 7/0/../
?~t:>o .. ..J../ -', Y -.I! .-
,. ~rTrl__ ¿,...,rf u':::;' .......
TYPE OF WORK (CHECK) ~' 'V¡-/~~'w^-XELtc It~'?g~UC~~J~EE%J;..-h¡~E~TR~CTlON"
INTENDED USE (CHECK) PROPOSED WELL DEPTH ..·.ë:AEIHÓ6'O¡:..CONSTRÚÒÎÓN(CHECK)e.l
ROT ARŸ JI6 DDG~ if i
~g~~;~II~:~~~E MA\Ê~~:;:~TCORC~~~f;rtl.AÿFEET DRILLED~ABLE TOOl; ~E~ III
AGRICULTURAL (CHECK) . PROPOSED CASING
INDUSTRIAL YE.~......,..... NO . .. .....,........ DIAMETER__..............,.. GAUGE/WALL._..._m_
CATHODIC GRAVEL PACK TYPE...,_.......,........ DEPTH_.,.'mmm._...'........
TEST HOlE ~~~ (CHECK)"SEALìNG'MATERiAL'(CHECK)"-"
OTHER..,.IJ'ð~¡(t;..... .' YES NO NEAT CEMENT PUDDLED ÇLAY. .
FROM .,TO ...... ...FEET CEMENT GROUT OTHER t!:..ç/;()' Iri
FROM TO FEET CONCRETE Vð/..C,LA'j..bø'
INSPECTION REQUIRED INSPECTED PROPOSED PERFORATIONS OR SCREEN
( HEALTH DEPT. CHECK)
BY FROM T FEET
:: - ::~~~-~~_~:m
BY. FROM TO ."H FEET
BY,
CONSTRUCT, RECONSTRUCT, DEEPEN
OR DESTROY A W. PERMIT NO.
C.T.
OWNER'S NAME $ É/ ð. LL, ..Ol? . ~<" .... ~ fi .~
ADDRESS Sit. PC'· tJ-;-''>Cljt;..},µ,...,;,.r..$''C.I'9/V);Jj/~E'-:?'!' . ...
CONTRACTOR&"'!'¡?¿1'rð.l¿£t¡;'}J¡f¡¡.Ul!' .. LICENSE NO.~4?-tPi3 ,
AD DR Ess,;:z.7ES£ ./.vo~;ptVaY7..J.;~"}/Jð TELEPHONE,¥.JjIy-t2~CJf
40 ACRE SUB.
PROPOSED SEAL( S)/PLUG( S)
SURFACE
ANNULAR
OTHER /d2£:.sT~D,j
FROM 7 S'l TO.. ~S' I FEET
FROM."O TO ....i&r... .FEET
FROM . TO . .. FEET ..
l/~
. om....". ""......_
, .
.. .".----...-..--.----.-
"....."". . .-----..,.-......-----..,,-----..----
CASING DIAMETER APPROX. DEPTH
DESCRIBE MATERIALS AND PROCEDURES
¿:U) ~
¡..Ib
SUBMITTED By'!3,:.f~~~·t:¿..Cþ. /!~4~.' If"Îe/.J AS AGENT FOR ~/::.'?'J7iC:-.ni~I:¿aM-
¡;;s ;'Le-:pO/J ££¡ dltr' /MW Cð'
ACCESS AFFROV AL DISPOSITION OF APPLICATION I!
FLOOD PLAIN ZONING AFFROV AL (FOR OFFICIAL USE ONLY)
ZONING
ZONE
APPROVED DISAPPROVED
APPROVED SUBJECT TO CONDITIONS
REPORT REASON(S) FOR DENIAL OR NECESSARY CONDITIONS HERE:
HEALTH DEPARTMENT
APPROVED DISAPPROVED
APPROVED SUBJECT TO CONDITIONS
REPORT REASON(S) FOR DENIAL OR NECESSARY CONDITIONS HERE
ElECTRIC LOG REQUIRED YES NO
,~,._--,.. ..,-~-".,-----'.". ,..
BY
DATE
BY
FEES PAID
CASH CHECK
DATE·
DATE
BANK #
* PERMIT EXPIRES ON NINETIETH (90) DAY AFTER
DATE OF ISSUANCE IF WORK HAS NOT BEEN
STARTED.
KCHD #306 EH (9/78)
* SKETCH WELL LOCATION
ON REVERSE SIDE
REMOVE AND REVERSE CARBONS IN FORM TO FIll
OUT IMPORTANT INFORMATION ON BACK
BAKERSFIELD OFFICE
Kt; n:1 ~oun t y
D1V1Slon of
17ÚO Flower
1
Health Depart~
Environmental _J th
Street, Bakersfi! , CA
93305
Perm." . No. ,-5/ OJ ¡ ì C
Applicati Date
(
31
.' APPLICATION FOR PERMIT TO OPERATE UNDERGRŒJND
~ ¡ HAZARDOUS SUBSTANCES STORAGE FACILITY
~ ôf Application (check):
o New Facility D~ification of Facility ~ExistiD3 Facility DTransfer of ()tIInershi
A. Ð'nergency 24-Hour Cont~ct (name, area code, phone): Days ,~GV !Ù'C' jû-¡""
I Nights (;/(/;':/ ,'?7 ¡ ì/J VC/
Facility Name SHELl- S,;I9r/ðN ' No. of TåÍ1ks "...-
Type of Business (check): a,Gasoline Station éJOther (describe)
Is Tank(s) Located on ~ Agricultural Farm? Dyes 29No
Is Tank(s) Used Primarily for h]ricultural Purposes? ,DYes !8No
Facility Address .//:,<¡y,~ /~ '/, ,'77:, .L, ii(',::" h'.;I,>frf,~arest Cross St. ,-' ,/,,-;- r;. t, ,or
T R I SEC (Rural Locations O'lly)
C>w'ner SNELl.. 01,1 CeJ~~I!JAJ r Contact Person
Address Að.BðX +8+8!. AA)II9NE/~. CA Zip ,zg()j TelePlon~l1-) ~~/-:!2.CO
Operator L'" ,,'r;> n 4/·/,d·í.r,·1 (1 _ .' . Contact Pe,rson 2:.1 h-",o-T" ~ ,';.'r"-vtü-r.-d
Address ~'7I-(!(ì ¡.f),l~,'t,; //;1. ,'?({f:;~y:,>+-;;,)/c/ Zip 'ì::l.jt)7 TelePlone (SrL~~-ì .:t~/ -f.::~-;CL.
¡ /
B. Water to Facility pr!=W!ided by f!ûl/ (, k,Jû./;,- (!. . Depth to' Groumwater
Soil Characteristics a~ Facility
Basis for Soil Type and Gro~water Depth DeteDDinations
C. Contractor CA Contractor's License No.
Address Zip , Telephone
proposed Startin;) Date: P~oposed Canpletion Dste
WOrker's Compensation Çertification I Insurer
I
D. If 'l11is Permit Is For ~ification Of An Edstin;) Facility, Briefly Describe Modificatior.
proposed I
I
I
E. Tank(s) Store (check all that apply):
~! Waste Product Motor Vehicle Unleaded Regular pr.i... Diesel Waste
I Fuel Oil
/ 'J D l2Ji IEJ 0 ~ ~ 8 8
D ø! ~ D §
// ~ D! 0 B B B f:I
D 0: 121
F. 'Chanical Can¡x>si don of Materials Stored (not necessary for motor vehicle fuels)
Tank t Chemical Stored (non-coamercial name) CAS t (if knO\lll1) Chemical previousl y Storeë
(if different)
, I
G. Transfer of OWnership,
Date of Transfer
Previous Facility N~
I,
Previous Chmer
accept fully all obligations of Permit No. issued t
I understarx1 that the PeImitti~ Authority may review ar
modify or terminate. the transfer of the Permit to Operate this œdergroll'\d stor~
facìlity upon receiving this completed fOIm.
This form has been c~pleted under penalty of
true and correct. ~'
Signature-=--UtìY) . b1-~r~
. - /J
~/
. perj ury arx1 to the best of my knowledge
Ti tIe /JJ~ Date:? ') <;
\.r
H.
TANK! A/ _ (FILL OUT SEPARATE FORM .. .J\CH TANK)
FOR~CH SECTION, CHECK ALL APPROPRmE BOXES
1. Tank is: OVaulted 0Non-Vaulted DIbuble-Wall ~single-Wal1
2. Tank Mðterial
~Carbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-<:lad Steel
B Fiberg. lass-Reinforced Plastic 0 Concrete 0 AlLmimmt 0 Bronze DUnkoown
Other (describe)
Primary Containment
Date Installed Thickness (Inches)
i' /, .. / .' /. i¡Þ
! ,'. '. I,"~
4. ~ Secondary Contai~ent
o Double-WallU Synthetic Liner
DOther (describe):
DMaterial
Tank Interior Lining
---r:fRubber 0 Alkyd DE¡x>xy DPhenolic DGlass DClay l&Jl1'1lined Dl1'1knOW1
OOther (describe):
Tank Corrosion Protection
-crGalvanized DFiberglass-Clad DPolyethylene Wrap OVinyl WrappiD:j
DTar or Asphalt DUnknown ~None DOther (describe): '
Cathodic protection: t8JNone DImpressed CUrrent System 0 Sacrificial Anode 5ystllD
Descrit:e System & Equipnent:
Leak Detection, Monitoring, and Interception
¡:-Tank: DVisual (vaulted tanks only) [JGrourrlwater Monitorin::i welles)
o Vadose Zone Moni toring Well (s) 0 U-Tube Wi thout Uner
o U-Tube with Canpatible Liner Directin¡ Flow to Monitori~Wel1(s) *
o Vapor Detector* 0 Liquid Level Sensor 0 Condœtivit): Sensor·
o Pressure Sensor in Annular Space of Double Wall Tank
o Liquid Retrieval & Inspection Fran U-Tube, Moni toring Well or Annular Space
~ Daily Gaugh):} & Inventory Reconciliation D Periodic Tightness TestiD:j
o None 0 Unknown 0 Other .
b. Piping: i&.: Flow-Restrictin:j Leak Detector(s) for Pressurized Pipin:jw
o Mani toring SlInp wi th Raceway D Sealed Concrete RaceW!y
o Half-cut Caupatible Pipe Raceway 0 Synthetic Liner Raceway 0 None
o UnknoW'l D Other
*Describe Make 6I.Model: Ii! ·j,i/C'r ¿ ¡( !),~T /,'Î.'·'- .:¡:;:'///- --</./
Tank Tightness ,
Has Tins Tank Been Tightness Tested?
Date of Last Tightness Test
Test Name
Tank Repair
Tank Repaired? DYes DNa ~Unknown
Date(s) of Repair(s)
Describe Repairs
Overfill Protection
OOperator Fills, Controls, & Visually Monitors Level
DTape Float Gauge DFloat Vent '{~lves 0 Auto Shut- Off Controls
BCapacitance Sensor OSealed Fill Box o None Dunknown
Other: List Make & Model For Above Devices
3.
Capacity (Gallons)
Manufacturer
/ . '.~: '. ~,._----",-
".Î j'
.r"" , . Ll..- -'¡. :
o Lined Vaul t ~ None 0 lk1known
Manufacturer:
Capacity (Gals.)
Thickness (Inches)
5.
6.
7.
8.
DYes O~~lJnknown
Resul ts of Test
Testing Canpany
9.
10.
11.
Piping /. . ,
a. Underground Piping: 0Yes DNo DUnknown Material i".T: ,i ,'-'.' ;',
Thickness (inches) Diameter Manufacturer
E]Pressure 05uction OGravity Approximate Length of Pipe RLI1
b. Underground Piping Corrosion Protection :
DGalvanized DFiberglass-<:lad Drmpressed Current OSacrificial Anode
Opolyethylene Wrap []Electrical Isolation OVinyl Wrap DTar or Asphalt
OUnknown G]None DOther (describe):
c. Underground Piping, Secondary Containment:
DDouble-Wall DSynthetic Liner System rdNone DUnknown
(JOther (describe):
pe nn 1 L No....5 / û u í / L..
TANK ~ e, (FILL OUT SEPARATE FORM At EACH TANK)
--FOREÃëH-SECTION, CHECK ALL APPROPRIATE BOXES-
¿ .......'- LJ.. . L.'j
l.......""lfI..
--
H.
1. Tank is':, 0 Vaul ted I23)Non-Vaulted D[»uble-Wall (8)Single-Wall
2. Tank Material
~Carbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass~lad Steel
[] Fiberglass-Reinforced plastic 0 Concrete 0 AlLminum 0 Bronze OUnknown
o Other (describe)
Primary Containment
Date Installed Thickness (Inches)
.../ /" /. .._;/ II, I
3.
Capacity (Gallons)
Manufacturer
- ",. ..
10.
4. Tank Secondary Containment
o Double-Wall 0 Synthetic L,iner
DOther (describe):
o Material
5. Tank Interior Lining .
DRubber 0 Alkyd DEp:>xy DPhenolic DGlass DClay l2IU1lined DU1known
OOther (describe):
Tank Corrosion Protection
-r::TGalvanized DFiberglass-Clad O~lyethylene Wrap []Vinyl Wrappi~
DTar or Asphalt Dunknown ~None DOther (describe): .
Cathodic Protection: 181 None DImpressed Current System D Sacrificial Mode System
DescrH::e System & Equipnent: .
7 . ~ Detection, Mon! toring, and Interception .
a. Tank: OVisual (vaulted tanks only) DGroumwater MonitoriD3 Well (8)
o Vadose Zone Moni tori~ Well (s) 0 U-Tube Wi thout Liner
DU-Tube with Compatible Liner Directi~ Flow to Monitoring W81l(s)*
[] Vapor Detector* [] Liquid Level Sensor [] Condoctivit};' Sensor*
D Pressure Sensor in Annular Space of Double Wall Tank
D Liquid Retrieval & Inspection Fran U-Tube, Moni toriD3 Well or 1vmular Space
I8J Daily Ga~i~ & Inventory Reconciliation [] Periodic Tightness Testi~
[] None 0 lJnknoW'\ 0 Other
b. Pipi~: ìX Flow-Restricti~ Leak Detector(s) for Pressurized Pipi~·
[] Moni tori~ SlInp wi th RaceWiY 0 Sealed Concrete Raceway
o Half-cut Compatible Pipe Raceway [] Synthetic Liner Raceway 0 None
o UnknoW'l 0 other
*Describe Make & Model: Frc!, i':
Tank Tightness
Bas nus Tank Been Tightness Tested? DYes
Date of Last Tightness Test
Test Name
9. Tank Repair
Tank Repaired? DYes DNa ~Unknown
Date(s) of Repair(s)
Describe Repairs
Overfill Protection
[JOperator Fills, Controls, & Visually Monitors Level
DTape Float Ga~e DFloat Vent Valves 0 Auto Shut- Off Controls
Deapacitance Sensor DSealed Fill Box 0None Dtnknown
DOther: List Make & Model For Above Devices
DLined Vault iEJNane DlJnknoW'l
Manufacturer:
Capacity (Gals.)
Thickness (Inches)
6.
'. ,
- " (,
. .
.,.
/ ~"
8.
o No gJt))knOW'l
Results of Test
Testin;¡ Company
11. Piping
a. lbderground PipifW3: BYes DNa DunknoW'l Material,; 'r",
Thickness (inches) Diameter Manufacturer
BlPressure DSuction DGravity Approximate Length of Pipe RLr1
b. Underground piping Corrosion Protection :
DGalvanized OFiberglass~lad DImpressed CUrrent DSacrificial Anode
OPolyethylene Wrap DElectrical Isolation DVinyl Wrap DTar or Asphalt
DUnknown SNone DOther (describe):
c. Underground Piping, Secondary Containment:
OOouble-Wall DSynthetic Liner System 13] None DlJnknown
DOther (describe):
Pennlt No. -5/ (JO / 7C
TANK ~ _ (FILL OUT ~lEPf\RATE FORM FOA.CH ~ANK)
--Fõ"R EACH---Š"ECTION, CHECK ALL APPROPRIATE BOXES-
r a~lll ,-y l'lc1ii\e
--
H. 1. Tank is: Ovaulted t9Non-vaulted O())uble-Wa1l0si~le-Wall
2. Tank Mat rial
~car n Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-<:lad Steel
o Fibe glass-Reinforced Plastic 0 Concrete 0 AlLminurn 0 Bronze DUnknown
o Othe (describe)
3. Primary ontainment
Date Ins aIled Thickness (Inches) Capacity (Gallons) Manufacturer
10.
~:/ ,..
- -'.-.".-"._--
, ,
Tank Sec n ar Containment
ODoub e-WallU Synthetic Liner
OOthe (describe):
OMate ial
5. Tank Int rior Lining _
URub r D Alkyd D~xy DPhenolic DGlass DClay ØJlblined Dlbkno"-l1
OOthe (describe) :
6. Tank Cor osion Protection
-UGa v n z DFiberglass-Clad DPolyethylene Wrap DVinyl Wrappin:j
OTar r Asphalt DUnknown ~None DOther (describe): ..
Cathodic protection: I2SJNone DImpressed CJrrent System DSacrificlal Anod~ System
Desc He System & Equipnent:
Leak Det ction, Monitoring, and Interception
~Tank DVisual (vaulted'tãnks only) DGroun1water Monitori~' Well(s)
D adose Zone Moni toring Well (s) 0 U-Tube Wi thout Liner
o -Tube with Canpatible Liner Directin¡ Flow to Monitori~ Well(s)·
o apor Detector* 0 Liquid Level Sensor 0 Condoctivit;t Sensor· .
o ressure Sensor in Annular Space of Double Wall Tank
o iquid Retrieval & Inspection Fran U-Tube, Moni torin:j Well or Annular Space
~ ily Gau:Jing , Inventory Reconciliation [J Periodic TIghtness TestiBj
[J one 0 tk1known 0 Other
b. Pipi : g Flow-Restricting teak Detector (s) for pressuri zed Pipin:jw
o ni toriD;J SlInp wi th Racew:ty [J Sealed Concrete Raceway
o If....cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None
o nknoW1 0 Other
*De ribe Make , Model: 1_,
Tank Ti tness
s is en Tightness Tested?
Date of st Tightness Test
Test Nam
9. . Tank Re
.Tank Re.
Date(s) f Repair(s)
Describe Repairs
OVerfill Protection
[JOperator F Is, Controls, & Visually Monitors Level
OTape ¡oat Gau:Je OFloat Vent Valves 0 Auto Shut- Off Controls
BCapaCitance Sensor OSealed Fill Box æ}None DUnknown
Other: List Make & Model For Above Devices
4.
o Lined Vault 0 None OtJnknown
Manufacturer:
Capacity (Gals.)
Thickness (Inches)
--
7.
--- .
,I ',,, I
!". r~-·. ....; .-
.j.
.,
8.
DYes D~ lØunknown
Results of Test
Testing Canpany
DNa E1Unknown
11. Piping
a. (k}der round Piping: t8)Yes DNa DtJnkno'w'l'1 Material ' .
Thick ess (inches) Diameter Manufacturer
[S essure DSuc:tion OGravity 'Þ.pproximateLen:Jth of Pipe Rœ
b. Under round Piping Corrosion Protection :
o lvanized DFiberglass-Clad OImpressed CUrrent DSacrificial Anode
OP;lyethYlene Wrap OElectrical Isolati.OO OVinyl Wrap OTar or Asphalt
Du kno'w'l'1 ~None OOther (describe):
c. Under round Piping, Secondary Containment:
DD1>uble-Wall 0 Synthetic Liner System ß]None OtJnkno'w'l'1
OOìher (describe): . ______
-
e
Permit ~.3 / 00/76
Facility Name
H.
TANK !. _-.::..~___. (FIL.!:: OUT SI::PARATE FORM FOR EACH TANK)
FOR EACH SEC1'rON, CHECK ALL APPROPRIATE BOXES
--
Tank ,:is: OVaulted ~Non-Vaulted OIbuble-Wall t8)Single-Wall
Tank Material
LSl Carbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel
o Fiberglass-Reinforced Plastic 0 Concrete 0 Ahminum 0 Bronze OUnkoown
o Other (describe)
Primary Containment
Date Installed Thickness (Inches)
'/ l ../ / . ... . ,
Tank Secondary Containment.-
o Double-Wall 0 Synthetic Liner
[]Other (describe):
DMaterial
Tank Interior Lining .
-oRubber D Alkyd DEpoxy OPhenolic DGlass DClay ~\11lined D\11knoW1
OOther (describe):
Tank Corrosion Protection
-UGalvanized DFiberglass-Clad DPolyethylene Wrap DVinyl WrappiB3
DTar or Asphalt DUnknown ØNone DOther (describe):
Cathodic protection: ßNone DImpressed CUrrent System D SacrificIal ~ System
Describe System & Equipment:
7. Leak Detection, Monitoring, and Interception .
a. Tank: DVisual (vaulted tanks only) OGrourowater Monitorirg Well (5)
o Vadose Zone Monitoring Well (s) 0 u-Tube Without Liner
OU-Tube with Compatible Liner Directi~ Flow to Monitoring well(s)*
o Vapor Detector* 0 Liquid Level Sensor 0 Condoctivit¥ Sensor*
o Pressure Sensor in Annular Space of Double Wall Tank
o Liquid Retrieval & Inspection Fram U-Tube, Moni tor in:;¡ well or Annular Space
D Daily Gau;¡iB3 & Inventory Reconciliation 0 Periodic Tightness Testin:;¡
I:i None 0 unknoW\ 0 Other
b. Piping: Flow-Restrictirg Leak Detector(s) for Pressurized Pipin:;¡w
o Moni toring SlIOp wi th Raceway 0 Sealed Concrete Raceway
o Half-CUt Compatible Pipe Raceway 0 Synthetic Liner Raceway æJ None
o Unknown 0 Other
*Describe Make & Model:
Tank Tightness
Has 'nus Tank Been Tightness Tested?
Date of Last Tightness Test
Test Name
Tank Repair
Tank Repai red? 0 Yes DNa t81UnknO\oill1
Date(s) of Repair(s)
Describe Repairs
OVerfill Protection
[]Operator Fills, Controls, & Visually Monitors Level
OTape F¡oat GaU3e OFloat Vent Valves 0 Auto Shut- Off Controls
[]Capacitance Sensor DSealed Fill Box ~None Olbknown
OOther: List Make & Model For Above Devices
l.
2.
3.
Capacity ~~llons)
I
Manufacturer
! /
4.
5.
OLined Vault .I8None OUnkno...."
Manufacturer:
Capacity (Gals.)
--
Thickness (Inches)
6.
8.
DYes O~ ~unkno...."
Resul ts of Test
Testing Canpany
9.
10.
11.
Piping
a. Underground Piping: [8JYes DNa OunknO\oill1 Material
Thickness (inches) Diameter Manufacturer
DPressure DSuction cgGravi ty Approximate Length of pipe R1.ß
b. Underground Piping Corrosion Protection :
DGalvanized DFiberglass-Clad Drmpt"essed CUrrent DSðcrificial Anode
Opolyethylene Wrap OElectrica1 Isolation OVinyl Wrap OTar or Asphalt
DUnkno\oill1 0None DOther (describe):
c. Underground Piping, Secondary Containment:
DIbub1e-Wall 0 Synthetic Liner System DNone DUnkno\oill1
nnt-hpr Idpc:rríhp\·
-_. ......
.... ...... '- ......... .... ....1
-~......~'---
L'C.Llil.L.L..
i'f'V . ,/- '-'"' \....-. r ./ G
TANK! .. (FILL OUT SEPARATE FORM FA. ...AŒ TANK)
FOR ~ECTION, ŒECK ALL APPROPR~ BOXES
H.
1. Tank is: DVaulted 0Non-Vaulted D~uble-Wall pSingle-Wall
2. Tank Mäter ia 1
o Carbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-<lad Steel
O$Fiberglass-Reinforced Plastic 0 Concrete 0 AlllOinlltl 0 Bronze DUnkrown
o Other (describe)
primary Containment
Date Installed Thickness (Inches)
3.
/ í / r~.:,'-
:/ . ,/
:' I.'
Capacity (Gallons)
, : -'-"r -C'
Manufacturer
f. ; ": . i"
, -'
10.
4. Tank Secondary Containment
o Double-Wallw Synthetic Liner
[JOther (describe):
[JMaterial
5. Tank Interior Lining
wRubber 0 Alkyd [JEpoxy o Phenolic [JGlass DClay Ølblined OlbknoW'\
OOther (describe):
6. Tank Corrosion Protection
-crGalvanized DFiberglass-Clad OPolyethylene Wrap DVinyl WrappiD)
DTar or Asphalt [JUnknown BNone OOther (describe): '
Cathodic Protection: Jg}None DImpressed CUrrent System Dsacrlf1clal 1Inode SystllD
Describe System , Equipnent:
7. ~ Detection, Monitoring, and Interception ,
a. Tank: DVisual (vaulted tanks only) LrGroumwater Monitori11;J well (s)
o Vadose Zone Moni tor ing Well (s) [] u-Tube Wi thout Liner
o U-Tubewith Canpatible Liner Directi~ Flow to Monitorirq Well (s) *
o Vapor Detector* 0 Liquid Level Sensor 0 Condoctivit~ Sensor·
o Pressure Sensor in Annular Space of Double Wall Tank
o Liquid Retrieval , Inspection Fran U-Tube, Moni tori~ Well or Annular Space
BDaily Gaugi~ , Inventory Reconciliation OPeriodic Tightness TestiRj
[J None 0 Unknown 0 Other
b. Pipir¥3: ¡g Flow-Restr ictir¥3 Leak Detector (s) for pressuri zed Pipir~·
o Moni tori~ Slmp wi th Race~y [] Sealed Concrete Racewsy
o Hal f-CUt Canpatible Pipe Raceway [] Synthetic Liner Raceway 0 None
o Unknown [] Other
*Describe Make , Model: /(.c! . ¡ ~,¡,. . r I,,> II' ,~)i T" ,'j-:-'I- ::it.- // i· -,. i /
Tank Tightness
Has 'IbIs Tank Been Tightness
Date of Last Tightness Test
Test Name
Tank Repair
Tank Repaired? DYes ONo pUnknown
Date(s) of Repair(s)
Describe Repairs
OVerfill Protection
~ator Fills, Controls, , Visually Monitors Level
DTape Float Gauge OFloat Vent Valves 0 Auto Shut- Off Controls
DCapacitance Sensor DSealed Fill Box [S]None Dlbknown
OOther: ' List Make , Model Por Above Devices
D Lined vaul t [] None 0 Unknown
Manufacturer:
Capacity (Gals.)
Thickness (Inches)
8.
Tested? [] Yes 0 No BUnknown
Results of Test
Testi~ Canpany
9.
11. Piping
a. underground Piping: 0Yes ONo DUnknown Material /,.; I f- ,,/,..-,
Thickness (inches) Diameter Manufacturer
[)Pressure DSUction DGravi ty Approximate Le~th of Pipe Rœ
b. Underground Piping Corrosion Protection :
DGalvanized OFiberglass-Clad OImpressed current DSacrific1al Anode
[]polyethylene Wrap []Electrical Isolation DVinyl Wrap DTar or As¡:t\alt
OUnknownONone· OOther (describe):
c. UndergroW1d Piping, Secondary Conta irment:
o Doub 1 e-Wa 1 1 DSynthetic Liner System ,DNone OUnknown
Düther (describe):
,- .-
,', -','
" i ven good Wh i t~ Lane Sh~ll
2600; ~:Wh ite Lane
~¡;;;ti':;Y;,J~'~; k e r :f~:1 d. p 93 3 04"
','/ "~' Perm 1 t, to: 'A ban d on
Ii':
,.
, ~..,
~ ' h
,","" '
..'
e
e
C'"
Kern County Health Department
1"700"flo,wer Street
Bakersfield, CA 93305
(805) 861-3636
Permit Number A076'
C T D._
PERMIT FOR TEMPORARY OR PERMANENT
~---
CLOSURE/ABA~DONMENT OF UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
~:.;
"
, ... ~
Facility ·Name and Address
'::'.: ~
d"
"
Owner, Naine and
, "
,_. ,01::';'
, ". ',-~' ,.:. ~-};. 'f::_'~~:'-:
, S he 11 ,0 i 1 .' C 0 ~ ~ an';:; ~_:;,;';f>~>,.i:;~:~:~·E}'~;'
: ~ ~ h e ~~ ~... ~: 4 ð9 2 å å 3i.'Ær~!{~f~~!~~J;¡ihq~i1~p:\~j~
, , Perm 1 t Ex pi res '9 /27 i à 5, ""\,¿;
Approval Date 9/27/85 ' '
pAt·/~.
t,/ Ann:: BOYC~' ,;~;' '~~',
\, ,:' "",;',' --
, 5 tanks at above
location
Aþproved by
POST ON PREMISES
. " ., , ' -,
- - ..;.¡,..- - -- - - --- - - -- -'-- -- - - - - ---,;.,;. ~- - - --~ - - -- - - - ---,-..._- - ---.- ----
"
Con~it{on~ as Follows:
';'.;'
."\:
"
~.:' ;
1.
. . '.
Per m it tee ~! 0 b t a i nap e r m it fro m B a k e r s fie 1 d C i t Y ,F i re
Department prior to initiating abandonment action.
2. All proced~res used must be in accordance with __
requirements of Standards, and Guidelines developed for
implementation of Kern County Ordinance Code U3941~, A
copy of these requirements are enclosed with this permit.
A minimum of two samples at each sample location at
depths of approximately 2' and 6'. For tanks 11 and #2
there is one sample location at each tank in' ,midpoint.
For tanks #3 and #4 there are two sample locations: each,
both approximately 15' from the end of tank. Every.15
linear feet of piping will have a sample location. All
samples taken must be analyzed for benzene, toluene,
xylene, and EDB,
4. A minimum of two samples beneath the waste oil tank at
depths of aporoximately 2' and 6' must be retrieved and
sampled for o~l, grease extr~ction and lead,
Advise this office of time and date of proposed sampling
with 24 2~v~e /~~. ce.
Accepted By, /, _ .___
//~
,:,1
",
. '.. ~;.
-:J.:
~ :,
3 ,
~
"
, ,
5.
[late
7-_2S---gj
e
Ke r n Co un t y !f e a 1 thO (; par t :~ e n t
1700 Flower Street
Bake~sfield. CA 93305
(805) 861-3636
pait
Number A076
--
CT 31
PERMIT FOR TEMPORARY OR PERMANENT
CLOSURE/ABANDONMENT OF UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
-------------
Facility Name and Address
Owner Name and Address
Livengood White Lane Shell
2600 White Lane
Bakersfield, CA 93304
Shell Oil Company
P.O. Box 4848
Anaheim, CA 92803
Permit to Abandon
5 tanks at above
Permit Expires
9/27/85
9/27/85 .
p/Jt /.~
/ Ann Boyce
location
Approval Date
Approved by
POST ON PREMISES
-----------------------------------------~------------------
Conditions as Follo~s:
,
1. Permittee must obtain a permit from Bakersfield City F~re
Department £rior to initiating abandonment action.
2. All procedures used must be i~ accordance with
requirements of Standards and Guidelines developed for
implementation of Kern County Ordinance Code #3941. A
copy of these requirements are enclosed with this ~e~~1t,
3, A minimum of two samples at each sample location a~
depths of approximately 2' and 6'. For tanks #~ 3na j2
there is one sample location at each tank in midpo:~~,
For tanks #3 and #4 there are two sample location~ ~=n~
both approximately 15' from the end of tank, E;~~:"S
linear feet of piping will have a sample location, A~l
samples taken must be anal yzed for benzene, :":;':;',)2:'),3,
xylene, 3nd EDB,
4. A minimum of two samples beneath the waste oil tank 2t
depths of approximately 2' and 6' must be retriev~d ê~d
sampled for oil, grease extraction and lead,
5. Advise this office of time and date of proposed sam¡:.:li1~:
with 2u hours advance notice,
Accepted By
Date
-----
._------
s
1700 Flo\'Jcr Street, Bê1kerSfid, CA 933D,)
No, of Tanks tu be k~ndoned
.
'"
APPLICA.TIOO FOR PERMIT FOR TEMPORARY OR PERMANDlT
CLOSURE/ABANInIMENl' OF UND~
HAZARDOUS SUBSTANCES STORAGE FACILITY
A,
~ of Application (Fill Out One Application Per Facility) ~....rJAt..
[]Temporary Closure/Abandonment DQpermanent Closure/Abandonment
Project Contact (name, area code, phone): Days~cf'+7...'l-3S' . 'Nights 3201,....");\'),.1,.-
Facility Name~\.L D\~ Co~ ~~\'e t;~ttJ
Facility Address~ y.JHi"t'!.~ ~YJmSf\~ Nearest Cross
T R SEC I (Rura Locations Only) .
Owner Telephone It
Address !::tL.
Operator
Address
B.
Water to Facil i ty Provided by \.oGð\. ~'P-- ~. Depth to Groundwater /l,PP;ZûY. 11?{l'
Soil Characteristics at Facility. 6~'~~ /SJL í ./ /Jfi(
Basis for Soil Type and Groundwater Depth Determ'inations' 73 t' e I../J (,
l
Tank Removal Contractor IJCt. CA License No~ ~\~
Address W Zip '\1.7" Telephon~. ~4\0
Proposed StartirY;J Date .. Proposed Canpletion Date 411..'2.7- RS
Worker's Compensation Certl lcatlOn it ~t-.l f1'-f!. Insurer ~A'-
~ "-1 . 1, ,;/,-; c., .:.t·...'r.t.:.f,¡..... 111 ,;.O¿:;¡;/Y'-.--
. ~~""~r'~u.{ ~,- I.'
.Envlronmental Assessment Contract r CA Llcense No.
Address !J.:?,¿¡' Z/¡'?/~'" /h¿ Zip tf'Hð'J Telephone 1;l Y' ~/-;-/-5
Proposed Starting Date' ~.q_~ Proposed Ccmpletion Date q.'Z.1-A~
WOrkers Compensation Certiflcation # Insurer
C.
D.
Chemical Composition of Materials Stored
Tank t Chemical Stored (non-commercial name)
Dates Stored
Chemical Previously Stored
(if different)
E.
\ ~ AA$I'\JUE
~ . "
S ~Q£t) <:wa Sð\"....,e
4- -.\ltrJ~ ~W\Je..
5 O\-Q ""o1,n./~~,~ U1'-' cu...
Describe Method for Retrieving Samples
~
'-.......
"--~
\5 «.(, to fCfJJS!~"
" to t\
. to .,
\4\70 to "
~ n)'~~7r:;' 5~-'/~o/" r
I /
Samples will be Analyzed for - it.,.,.+- 1('';''''0 h;; T~lv..,i\\:. 'Xv, \';>'J';o ¡::ì\'f-,
~,.j:,:_ ~i~ ~,' ('\'r"1' C;.L,P. ~', \-".0 yo. "l. J
Laboratory That ill Perform Analyses of Samples -g. c., , '¿"h1ßä£.4 J~~ /.ue..- '
Address 3cJ/6 /hl',.",) .4[/£ :B~ /{¿"Z.~~:.:(:. '?, (~,4 , Te e one 5.; 7- t./1/ I
, 'J
F, This application for: ri1 removal or [] abandonment in place
* *
PLEASE PROVIDE INFORMATION REQUESTED rn REVERSE SIDE OF THIS SHEE:T BEFORE SUBMI'ITIOC
APPLICATION FOR REVIEW.
This form has been completed under penalty of perjury and to the best of my knowledge is tr~
.,nd correct,' 1\ _ .
Signature O~O ~ ______
"'.'.e ~ c,.~..- Date -1Jn1ß.1î-
1700 Flower Street
.Bakerstlei:l, California 93305
Telephone (805) 861-3636
.~
.i COUNTY HEALTH DEPARTI\~
ENVIRONMENTAL HEALTH DIVISION -
HEAL TH OFFICER
leon M Hebertson, M,D,
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S, Reichard
June 20, 1986
Lawrence Wismer
Bakersfield Construction Inspection
3014 Union Avenue
Bakersfield, California 93305
D=ar Mr. Wismer:
This is to ad~ise you that this department has reviewed the results
of the samples taken near the product lines at the Shell Service Station
located at 2600 White Lane.
Based on the findings described in your report, this department is
satisfied that the assessment is complete and there is no significant soil
contamination at the site.
Thank you for your cooperation,
Sincerely,
~
) ~ Æ /-YlaLl
Thomas A. Mele .
Hazardous Substance Management Program
TAM: sw
DISTRICT OFFICES
Delano . Lamont . Lake Isabella Moa.e. Rldgecrest . Shalter . Taft
>'
e -
Bakersfield Construction Inspection
3014 Union Ave, Bakersfield, CA 93305
(805) 324-1815
Laboratory No, P85-0237
Date Reported: 10/11/85
County of Kern
Health Department
Environmental Health Services
1700 Flower Street
Bakersfield, CA 93305
Attention: Mr, Richard Casagrande
Subject:
Soils Report and Logs for the Removal of Four Gasoline Tanks and
One Waste Oil Tank
'"
Reference: Our Letter Dated 8/31/85
Gentlemen:
On September 26, 1985, föur (4) gasoline tanks and one (1) waste oil tank was
removed from the Shell Gasoline Station located at 2600 White Lane, This was
done as part of the system upgradi~--
Borings were made under each tank and samples for contamination were taken
at depths of 2' and 6' at each boring. The samples for contamination were
kept in glass bottles and taken to B. C, Laboratories, Inc" at 3016 Union
Avenue for testing, A drawing showing the locations of the borings and also
soil logs showing the types of soils encountered are attached,
The old product lines were not removed, but abandoned in place. It was
impossible to take any samples from these lines because no one knew the
location of the pipes and with vapor recovery lines and underground electrical
lines running in the same area there was no telling what would be found, All
existing piping was either buried in concrete or 4" of asphalt, The product
line pipes coming from the old tanks were visually in excellent condition,
B
1 ,
By (¡~K'I'- ~.,~(,,~V~
ohn H. Hansen
BCE 26544
ASRICULTUM
.
CHEMICAL ANAL ~ ~
PETROLEUII
LABORATORIES
INC.
J. J. ECUN. REC. CHEM. ENCR.
MAIN OFFICE: 4100 PIERCE ROAD, BAKERSFIELD, CA. 93308 PHONE 327.4911
PURGEABLE AROMATICS ANALYSIS
(SOIL)
Bakersfield Construction Inspection
3014 Union Ave.
Bakersfield, CA 93301
DATE OF
REPORT: 3 October 1985
LAB No,: 17356-17369
SAMPLE DESCRIPTION:
Test Holes 1,2,3,4,5,6, and Waste Oil
Tank each @ 2ft. and 6ft.
DATE/TIME
SAMPLE COLLECTED:
DATE/TIME SAMPLE
RECEIVED @LAB:
3 October 1985
DATE ANALYSIS
COMPLETED:
3 October
1::1;:::;
.....'-'oJ'"""
TEST METHODS: Purgeable Aromatics &; EDB in Soil
MINIMUì,~
REPORTING ANALYSES REPORTING
CONSTITUENT UNITS RESULTS LEVEL
Benzene ug/g none detected 0.1
Toluene ug/g none detected 0,1
Ethylbenzene ug/g none detected 0.1
Isopropylbenzene ug/g none detected 0.1
p-Xylene Ug/g none detected 0.1
a-Xylene ug/g none detected 0.1
m-Xylene ug/g none detected 0.1
EJB ug/g non8 detected 0,5
By
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o UNIFIED SOIL CLASSIFICATION
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METf~D OF SOIL CL/SSIFICATION
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a' ','t·Þ: h.t,......w Ift"~"""" ....
,..~~: ...~--
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QC ,." 0.,., ...... ...... 1Ud,,¡., ....
'/ I....
~. ~ w.u.c,..w ... .....u, ....... little
SW .. .
.t· . De ....
'. , .
.'. '~"n4" ...... .....11' .......
I' .-.
.- ' Ii ...... ,_
:~ I
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IC ~ I C\i., ..... .....<1&1 .1aW_
ML
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¡ litH
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I CIf
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! OK
I
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I__aale ..Ita ... wry ,.... ..nd.. _II
Aaur, .ilt, IW cia,., IiM IAnda Of
da,., ,ilta ..iG ,Ii,at ,Iuti.il,.
I_,call cia" 0( 1M ~ lMdi. pW.
licit" (f&"U, cia,.. l&1l4I clAt..
till7 .Ia,.. I... .Ia,...
.
I \ 0rpaM :dla .... _CUll. If"'"
! , low pluticit,.
, t ........Ia tilta, .~. or dLa......,
_..a AM -, or tUtI' ...... .I&ttio
un..
1:7~, I~ ..... .. .... _. ...
¡¿;: I
Ii/~:; 0"..,- cia,..of -.üua '- k a~ ,&a.Þ
;,' I: >I l>at,....... allta.
t::=::, ,.. .... -- ~~ .,.... IaÜt.
...-
Corapa";", Soila &1 E~"aJ liq"W li.i
Tou'~IIð' aft" 0" t..~b ¡ncr_
.'1' tncreuinc Pluticd, I....
C!I~,~
t-
01
..
- -CL N
"'-L
60
so
40
JO
1O
10
.,
4
o
o 10 ~O JO .. M .. 10 10 ,. 100
~l.ASTlCITY UCD&X
SYSTEM
e
It
~
"
Waste Oil
- -
- -
Depth Soil Description
Feet Log Þvmbo L
- .- --~
0 it I
I SM ,SaIJdy silt - fire to'- coarse poorJy graded sand, slightly cohesive
1 silt, grayish tan
r
2 ..
· ,
,
3 · r. ·
SP Sand - fine poo 'ly graded sand with some medium size particles, ;
· , evidences of si.t - light tan
4 .
, ,
,
5 ø ,
.
" .
6 t t t SM Silty sand - fine poorly graded sand. cohesionless silt-gray brown
END OF BORING
.
.
Depth
Feet )Q
o
¡,
1 ¡,
, ¡.
2 .
p ,. ,
3 · . . .
....
, .,.
4 · ,
.
· t1
.
5 · .
,
· . .
6 · , ,
, , ,
, , ,
r ,. .
1
.vmr\n
.
e
It
Test Hole #1
-
-
-
-
Soil Description
SM
Sandy silt - fine to coarse poorly graded sand, siightly cohesive
silt, grayish tan
SM
SW
êil~y sand - fine to coarse poorly graded sand, cohesionless silt -
I; aht" t-",n
Sand - fine to coarse well graded sand (river sand), golden tan
SP
Sand - fine to coarse poorly graded sand, evidence of silt clod -
light tan
SP
Sand - fine to coarse poorly graded sand
.
e
e
:,'i
, Test Hole #2
- -
- -
Depth
Feet Log ymbal Soil Description
1 SM Sandy silt - fine to coarse poorly graded sand, slightly cohesive
4 silt, grayish tan
2
3 ~' ¡
I1r SM Silty sand - fine to coarse poorly graded sand, slightly cohesive
4 silt, grayish tan
5 If
f , SM Silt - fine sand, cohesive silt, tan
~'
6 ~ ; f
, .
END OF BORING
.
e
-
, Test Hole #3
_. -
_. -
Depth
Feet Lo;; 'vmbal Soil Description
-
~
,
0 SM Sandy silt - fine to coarse poorly graded sand, slightly cohesive
~ , silt, grayish tan
1 ,
. , SM Sandy silt - fine sand, cohesive silt grayish tan
,
2 ~
, ! SM Sil ty sand - fine sand, non-cohesive silt, grayish tan
3 ~
· ,
, ' , SP Sand - fine to coarse poorly graded sand, tan
,
~ "
" ' ,.
4 · ' ~
II
IÞ "
.
, ,
5 ~ SP -Sand - fine to coarse poorly graded sand, light tan
'tþ II·
,
, ,
~
6 · ,
,
, ,
"
BORING TE&~INATED
.
e
.
'è
Test Hole #4
- -
- -
Depth
Feet La Svmbo Soil Descriotion
4
II
I
0 ·
d SM Sandy silt - hne to coarse poorly graded sand, slightly cohesive
, silt, grayish tan
1 ,
4
Þ ,
2 · r SM Sandy silt - fine to medium poorly graded sand, cohesive silt,
grayish tan
3 iii , SP Sand - fine to coarse poorly graded sand, light gray
,
" ~
. , .
4 ø
, #I SP Sand - fine to coarse poorly graded sand, tan
,
, "
,
5 ., "
II
. II
f
6 ., , SP Sand - fine to coarse poorly graded sand, light tan
,
, ,
·
BORING TERMINATED
.
e
e
¡;
"
Test Hole #5
- -
- -.'-
Depth
Feet Log ymbol Soil Description
t
0 t .
t . SM Sandy silt - fine to coarse poorly graded sand, slightly cohesive
þ
~ , silt, grayish tan
1
iP
, ,
2 r ' t SM Silty sand - fine to medium poorly graded sand, slightly silt,
r non-cohesive, light brown
.. ,
3 t t ! SM Silty sand - fine to medium poorly graded sand, cohesive silt,
f
I grayish tan
.¡. r
4 #
. "
. SP Sand - fine to med .um poorly graded sand, li3ht tan
. .-:0
I
5 ~ i
.
~ II
.
6 ,11" SF Sand - fine to medium poorly graded sand,
, tan
, , ,
BORING TERMINATED
.
.
e
" Test Hole #6
~ ~-
- -
- -
Depth
Feet Log Symbo Soil Description
0 .
, SM Sandy silt - fine to coarse poorly graded sand, slightly
þ cohesive
1 sil t, gr-ayish tan
.
, ,
2 /Þ "
,
, ,
,
3 , ,
, SP Sand - fine to coarse poorly graded sand, tan
¡II <#
,
, ,
4 ,
" -,
,
tþ t#
5 I
., " I
,
, ttI .
6 # ,
, SP Sand - fine to poorly graded sand, light tan
, coarse
#' ,
BORING TERMINATED
-
- i
"
e _
Bakersfield Construction Inspection
3014 Union Ave, Bakersfield, CA 93305
(805) 324-1815
Laboratory No. P85-0237
Date Reported: ,6/9/86
County of Kern
Health Department
Environmental Health Services
1700 Flower Street
Bakersfield, CA 93305
Attention: Mr, Richard Casagrande
Subject: Soil Contamination Report for Gasoline Product Lines at Shell
Service Station, 2600 White Lane
Reference: Our Report dated 10/11/85
Gentlemen:
On September 26, 1985, four gasoline tanks and one waste oil tank were removed
from the Shell Service Station located at 2600 White Lane, Since the product
lines were abandoned in place there was no way of locating them, Since that
time the product lines were located and sampling was done on May 29, 1986,
The enclosed drawing show the locations of the sampling,
Borings were made approximately every 15' along side the lines and at depths
of approximately 2' and 6' below the lines, All samples for contamination were
placed in glass bottles and taken to B, C, Laboratories, Inc" at 3016 Union Avenue
for testing, As showq on the enclosed Laboratory reports there is no contamination
in the product line areas,
Enclosed also are soil logs showing the types of soils encountered in the
product line areas,
By
Copy to: Shell Oil Company
P,O, Box 4848
Anaheim, CA 92803
",,;~~,
(~.:-.<.>,J~' ;: ;- ::,.' À.
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UNIFIED SOIL
,
CLASSIFICAT~N
METI~D OF SOIL CLASSIFICATION
Major Diyi.jon~
Xc:
!-é <i '9.
.. .. :I
'tot ...- ::s
-=~ ~:
~,,¡'" t
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e ~ 10
~ -
it
';
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05-5
':10
.~:
....
....
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=-3
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ëñ .
Hi,hl, Or,ani. Soila
Group Log
Symbol.
ow
. q. I
't.i 'd:
.q",
T)'Iica1 Namea
WeD.,raded ,ravell, ,rayel·sand mix·
lurea, little or nø fines.
Poorly·,raded ,ravel.. lrave~sand mix,
tUret, little or no fines.
Silty ,rarell, ,ravel'land'lilt mixture..
Clayey ...vell. ,ra vel·sand-cla, mix·
turea.
Well·,raded I&ftda, ,ravell, .uda, little
or no fin...
Poorly·,nded sanda, ,rayell, sanda,
little or no fines.
Silty sandi, SUld'lilt mixturea.
Claye, sanda, sand-clay mixturea.
Inorpnic .ilta and very fine sands. rock
Bour, lilt, or clayey fine sands or
clayey lilts with sli,ht plasticity"
IlIDr~nic cia" of \ow to medium pia..
ticsty, ,ravell, clays, sandy clay.,
lilt}' clays, lean cla,l.
II
¡
Otpnic silta and orpnic .Uty days of
low pluticity.
ap
, .
'/1·' ;
:,~~:
:: ,.
Ø}
,Æ
.. -r
-: :.
'. þ.
.'.
...
,. .
.
~
~
~
" /J~
Inora-anie Iilta, mic&ceous. or diatorna-
ceou. fine sand, or silt}' ,oill, elastic
IUta.
laora-we clayS øf bicb plaalicity, fat
cia,..
O"ani. da,s of mediWII to hi.h plu,
licit}', orpnÎC siltl.
Peat and othu hi,hly orcanie soill.
Comparinc Soill at ~ual Liquid Limi
Tou,bnell and Dry trength Incr....
wltb Increasinc Plasticit,. Index
C~\;,~
t-
OR
..
CL MH
, ML
60
so
40
30
20
10
~
o
o
10
20
30
OM
ac
SW
SP
SK
SC
KL
CL
OL
MH
CH
rh
~
Z~
/~
==
.............
OK
Pt
40
so
60
PLASTICITY INDEX
70
90 100
Q
SYSTEM
e
e
'>
PRODUCT LINES
Test Hole #1
Pepth
Feet La Symbol Soil DescriDtion
1
2 SM Sandy silt - greyish light brown, cohesive
3
4
5
6
SM Sandy silt - grayish light brown, fine sand, cohesive
7
8
. BORING TERMINATED
e
.
.
,- PRODUCT LINES
Test Hole #2
Depht
Feet Log ;ymbol Soil DescriDtion
I
2 SM Silty Sand - medium grey, fine to coarse poorly graded sand
3
4
.. " .
· .
5 , a ..
· .
6 · . , SP Sand - golden brown, fine to medium, poorly graded
t ·
.. .
7 · ·
· . ..
8 · ·
· . .
BORING TERMINATED
e
.
',.
PRODUCT LINES
Test Hole #3
Depth Symbo
Feet Log Soil Description
~
1
2
SM Silty Sand - greyish light brown, fine to medium sand with few
3 coarse particles.
4
-
5
6 SM Silty sand - dark grey, fine to medium sand with few coarse particles
7
8
BORING TERMINATED
!
A6,t"UL ME
e
LABORATORIES
INC
CHEMICAl ANAL rSIS
J (GIIN. lEG (HfM fNG.
I'ETROllUII
MAIN OfFICE 4100 PIERCE ROAD BAKERSFIElD CA 933011 PHO"'E 327-4911
PURGEABLE AROMATICS ANALYSIS
(SOIL)
BAKERSFIELD CONSTRUCTION INSPECTION
3014 UNION Av'E,
BAKERSFIELD,CA, 93305
Date of
REPORT: 6-5-86
LAB No,: 8560
SAMPLE DESCRIPTION:
P85-0237
SHELL STATION WHITE LANE
TH.#1:j)4' e,f'{;,
DATE/TIl"lt::
SAMPLE COLLECTED:
5-28-86
DATE/TIME SAMPLE
RECE I 'JED :Jì LAB:
5-28-86
DA TE AI\IAL 'y~ I~.
COMPLETED:
6-5-8Ó
CONSTITUENT
REPORTING
lJ[\1 I TS
ANALYSES
RESULTS
:-1 I i'1 I i"1Uì1
REPORTING
LEVEL
Benzer,e
Hexane
Toluene
Eth¡lbenzene
Isopropylben;::ene
P .- :< y l en e
o-;-<y 1 ene
m-Xylene
T'v'H
ug/g
ug/g
ug/g
u'-J/g
ug/g
u.q /q
ug/r..;ì
ug/g
ug/g
none detected
none detected
none detected
none. detected
none detect,Ö'd
nOTì!_~ detected
none detected
none detected
Tlon2 detected
o 1
0.1
0, 1
O. 1
O. 1
(; . 1
U, L
0,1
0.5
EPA 5020/8020
TVH:By Gas Chromatography
By
,££¥,/tÆJ
vi J'
J ~I J ,to< Eg 1 in'
A'."Ul1VlE
e
LABORATORIES
INC
CHEMICAl ANAl YSIS
J J (GUN. IfG CHfM fNGI
'£TRDllUII
MAIN OHICE 4100 PIERCE ROAD BAKERSFiElD CA 93308 PHO""E 327-4911
PURGEABLE AROMATICS ANALYSIS
(SOIL)
BAKERSFIELD CONSTRUCTION INSPECTION
3014 UNION AVE,
BAKERSFIELD,CA, 93305
Date of
REPORT: 6-5-86
LAB No,: 8561
SAMPLE DESCRIPTION:
P85-0237
SHE L L S TAT líJ ~.J ~,J HIT E U~ I'; E
TH.#~:L':3' ßf.r.7,
DATE/TIME
SAMPLE COLLECTED:
5-28-8<':.\
DATE/TIME SAMPLE
RECE I\/ED ,Î) LAB:
5-28-86
DATE AI\IALVSI'3
COMPLETED:
6-5-86
CONSTITUENT
REPORTING
u~n TS
ANALYSES
RESULTS
MINIMUM
REPORT I [',¡G
L E \JE L
Benzene
He;-~ane
Toluene
Eth'¡lben::ene
I scprÇ)C)Y Ib''?nz.::'?ne
p-Xylem=:
o-X'~,/lene
m -;< y 1 e ne
TVH
'..1g/g
'..1g/g
'..1g/g
ugig
U(~ /g
none detected
I~one detected
none detected
:lO iÎ e detectecJ
none d e t e I::: t e d
!-1one detected
none dete'.::ted
none detected
none detected
O. 1
(~\ 1
. -' . ~
0. 1
C. 1
c: , 1
ug,i'J
-'-'" ..
"..,:.1.
Llg / g
'..1g/g
'..1g/g
U. 1
() . 1
(1,5
EFA 5020/80;::'0
TVH:By Gas Chromatography
By _~4~h~¥~__-
],C1], ~n
AS'IeUL MI
e
LABORATORIES
INC
CHEMICAL ANAL rSls
."
J J IGIIN, tlG CHI'" INC;I
I'ETROllUII
MAIN OfFICE 4100 PIERCE ROAD BAKERSFIELD CA 93308 PHONE 327-4911
PURGE~8LE AROMATICS ANALYSIS
(SOIL)
BAkERSFIELD CONSTRUCTION INSPECTION
3014 UNION AVE,
BAKERSFIELD,CA, 93305
Date of
REPORT: 6-5-86
LAB No,: 8562
SAMPLE DESCRIPTION:
P85-0237
SHELL STATION WHITE LANE
TH . #2::;::4' '8 (lr-
DATE 11' I ME
SAMPLE COLLECTED:
5-"28-86
DATE/TIME SAMPLE
RECE I 'JED @ LAB:
5-28-86
DATE Ai'JALVS IS
COMPLETE:):
6-5-86
Benzene
He'< ane
Toluene
Ethylben::ene
CJg/g
ug/g
UI;¡/g
ug/g
MINIr1UM
ANALYSES REPORT I ~,jG
RESULTS LE\)EL
none detected (1,1
none detected 0,1
none detected (.. . 1
none detected 0,1
none detected I) . 1
none detected O. 1
none detected 0.1
none detected 0,1
none detected 0.5
CO!\IST I TUENT
REPORTING
UNITS
I sop~-cp·/ 1 t:¡erlzene
ug/g
ug/g
ug/g
ug/g
ug/g
p-;<,-¡lene
o-·/vlenE.~
m-;<ylenE'
T\/H
EPP ~S()20 /8020
TVH:8y Gas Chromatography
By ---14-1440 ~
vJ, ",!, E,~ 1 1 n
ASIIICUL TVM
.
LABORATORIES
INC
CHEIIICAl ANAL YSIS
-:;,
J I (GUN. IIG CHIM (MG.
flETROllUII
MAIN OFFICE 4100 PIERCE ROAD BAKERSFiElD CA 93308 PMO~E 327-4911
PURGE ABLE AROMATICS ANALYSIS
(SOIL)
BAKERSFIELD CONSTRUCTION INSPECTION
3014 UNION AVE,
BAKERSFIELD,CA. 93305
Date of
REPORT: 6-5-86
LAB No,: 8563
SAMPLE DESCRIPTION:
P85-0237
SHELL STATT (Jr"' It--IH I TE L!=\f\IE
¡ H , # 2@8 ' ? :({-{
DATE/TIr'IE
SAMPLE COLLECTED:
5-28-86
DATE/TIME SAMPLE
RECE I'v'ED @ LAB:
5-28-86
DATE Af\JAL VS I S
COMPLETED:
6-5-86
COf\JST I TUENT
REPORTING
Uf\1 I TS
ANALYSES
RESULTS
M I N I MUr'1
REPORTING
LE\/EL
Ben-:ene
He:<ane
Toluene
Ethylbenzene
I:õopropylber.zene
p-;':ylene
a-Xylene
m-Xylene
T'v'H
U(;] Ig
U[::J /g
ug/g
ug/g
ug/g
Ul~ /g
ug/g
ug/g
ug/g
none detected
none detected
none detected
lìone detected
nune detect;?d
no í"=e detected
none detected
nore detected
none detected
0.1
1-\ 1
"'.'. .It.
O. 1
O. 1
0.. l
C. 1
0, 1
C,l
O,~
EPA 5020/8020
TVH:By Gas Chromatography
By - (It/fji{.~;
n. E 1In
AS_"Ut ME
.
LABORATORIES
INC
CHEMICAL ANAL YSIS
J (GUN. lEG CHIM fHGI
I'ETROLEUII
MAIN OffiCE 4100 PIERCE ROAD BAKERSFIELD CA 93308 PHO~e 327-4911
PURGEA8LE AROMATICS ANALYSIS
(SOIL)
BAKERSFIELD CONSTRUCTION INSPECTION
3014 UNION AVE,
BAKERSFIELD, CA. 93305
Date of
REPORT: 6-5-86
LAB No,: 8564
SAMPLE DESCRIPTION:
P85-0237
SHE::U_ STAT lOf'j L'JI-H TE lJ\t\IE
TH, :i:f]D4' ê,f(t
DATE/TIME
SA~PLE COLLECTED:
5--28-86
DATE/T I!'1E SAMPLE
RECE I\JED ,J) LAB:
5-28-86
DATE ANALYSIS
COi"lPLETED:
6-5-86
U(~/:]
M Ir'H Mur1
ANALYSES REPORTING
RESULTS LElJEL
none detected 0, 1
none detected O. 1
none detected 0,1
none detected n. 1
none detected (J . ~
none detected O. 1
none detected O. ~
none detected 0,1
none detectE?d 0.5
CONST I TUan
REPORT I \JG
U~,I I TS
Benzene
1--1e ~': a ne
Toluene
:::tr.vlben;:en2
I so¡:rcpy liJen:.:ene
¡:'--'X v 1 Ene
D .- ;< y 1 en e
rr;-\ylene
TVH
ug/g
ug/g
ug/g
ug/g
ug/g
ug/g
ug/g
ug/g
EPA 5020/8020
TVH:Bv Gas Chromatography
By
Ú"1 /J.~ . -
f./ -
-. ,'. h . ~ '
-$-:/F _b~A~__
'~ , v], ~l~'--
AS.CUt TIME
, "
CHEMICAl AltAL rSls
. BC-I",
. ' .
flETROUUII
'LABORA~ORIES
INC
J J (GUN. .IG CHIM ING'
MAIN OfFICE 4100 PIERCE ROAD BAKERSFIELD CA 93308 PHONE 327-4911
PURGEABLE AROMATICS ANALYSIS
(SOIL)
,._~
r
BAKERSFIELD CONSTRUCTION INSPECTION
3014 UNION AVE.
BAKERSFIELD,CA, 93305
Date of
REPORT: 6-5-86
LAB No,: 8565
'\¡
SAMPLE DESCRIPTION:
P85-0237
SHELL STATION WHITE LANE
TH.#3,'ï)8' Jfb
DATE/TIf"IE
SAMPLE COLLECTED:
5-28-86
CONSTITUENT
Benzene
He.xane
T;J 1 uene
Etr¡y 1 benzene
Isopropylbenzene
p-lylene
IJ'" X Y l,=ne
m-'Xylene
T\./H
DATE/TIME SAMPLE
RECEIVED @ LAB:
5-28-86
DATE ANALYSIS 'f:
COMPLETED:
6-5-86
REPORTING
UNITS
MIf\jIMUM
REPORTING
"LE\jEL
ANALYSES
RESULTS
ug/I]
ug/g
ug/g
ug/g
0.1
0,1
none detected
none detected
none detec t(?d
none detecteD
none detected
none detected
none detected
none de tee ted'
none detected
t
,
o. 1
i
t
0, 1
O. 1
(1.1
ug/g
. ug /,:;)
ug/g
ug/g
ug/g
j-""\ 1
'-' , .
0,1
0,5
EP{~ 5C)20 / 8020
rVH:8y Gas Chromatography
By