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HomeMy WebLinkAboutUNDERGROUND TANK #2 ::I \ , c ~ c ~ c w .. U1 W ~ Year 2004 Products = , c: o II ...¡ . ::I \ , c: 0- \ 411 :y ... $, Lt""J~ Bakersfield FD Bakersfield FD Bakersfield FD Bakersfield FD Bakersfield FD Bakersfield FD Bakersfield FD ZIP 93301 93304 93308 93309 93309 93309 93309 Shell & Texaco Branded Facilities State CA CA CA CA CA CA CA County KERN KERN KERN KERN KERN KERN KERN City BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD Address 2401 N OAK ST~~,_, 2600 WHITE LN' /' 3605 ROSEDALEHWY~ 3621 CALIFORNIA AVE 3698 MING AVE 4050 GOSFORD RD 5321 STOCKDALE HWY UST Financial Responsibility - Equilon Enterprises I Shell 01 Bakersfield Market Brand __TEXACO ,- '.' \} SHELL SHELL TEXACO TEXACO TEXACO TEXACO I , . C..u.If'\ A ~ Kem Co Kern Co Kern Co 93308 93308 93243 CA CA CA KERN KERN KERN BAKERSFIELD BAKERSFIELD LEBEC TEXACO 5300 OLIVE DR TEXACO 6439 ROSE DALE HWY TEXACO 9069 GRAPEVINE ROAD WEST N C (C I en ...,¡ ...,¡ I U1 (C en ~ ~ . ~ )0 ~"S . '" l Kings Co 93239 CA KETTLE MAN CITY KINGS 25712 WARD DR Bruce T. Marubashi HS&E Analyst 925-766-3498 SHELL It Mar 04 04 03:53p Bille T. Marubashi 20.77-5964 P ..+ : \' Shell Oil Products US Northwest 'Region 3468 Claremont Avenue Modc~to. Ci\ 95,;50 ru: $T t. \I t... u... V\ J......., IV II ". .L ~~.s t. ~ I J... F j) DATE; :r/JlðV 'tl "]2.' (),s-" FAX 1/-: FROM, Bruœ T, rvJùruhashi Shell Oil ProdUCls W'c:sh:rn Region hmmru bashi@slu:IIl'pus.l:ül1I Ph"lI<: I;; (2()9) 577-;'960 FII:-¡ #: (:!09) 577-5964 FAX TRANSMITT.-\L ;\ilj:\-IBEK ur 'AliES INC/.UDlNli nits PAliE 4 IF YOU I.)IU NOT RECEIVE ALL Of nn.:: PAGES. I'LEASE CALL (209) 577-5960 COMMENTS: :WO" - SIŒLl. OIL I"ROOtlCTS (I} tls..- ¡'·INANCIAl. LIABILITY 1>0CUMt:NT .----..-....--.-. mUST 0...· SHELL BRANDEl> FACILITIES COVERED BV THIS DOCUMENT "LEASE FORWARD TO THE AI'PROPRIATE SHELL INSPECTOR'S. TO A VOID NllMEROUS nrrUlu: Rf.OlfF.STS FOR nlls DOClIMENT. .., IF HŒRE ARE ANY OUTSTANDING PA YMENT ISSUE.S RELATED TO fACILITY OPERATING PERMITS. PLEASE CONT;\CT l\'IlCnELLE KENNEDY PONCE JU)-8I 6-Z207, 20945 S. WILMINC;TON :\ VE, CARSON, CA 90810. MY OFFICE AT 3468 C1.AREMONT AVE. MODESm WILL BE CLOSING SOON, IIli\NKS I CA1.L ME IF ANY PI(OBLEMS. I~nlc~ T. M¡¡rubll$hi flSI: /\nillysl .. Wcsh:m Rc,!;il'". B¡¡~ Ared -~ Mar 04 04 03:53p B~e T. Marubashi 20.7-5964 p .~-?,~ -:- ~ UNDERGROUND STORAGE TANK LIABILITY ENDORSEMENT Named Insured Endorsement Number Shell 011 Products US POUc:y Number 1 2004 Gl09307950..Ql Janua 1 2004 to Janua 1 2005 Issued by (Name Of Insurance Company) Zurich American Insurance Company 1400 American Lane Schaumburg,IL. 60196-1056 1-800-382-2150 Insert the polity Number. The remainder or the Informat101\ IS to be completed onIv when tills endorsement Is Issued subsequent to the preparaUon or tf1e, polity. THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance provided under the following: COHMERClAI. GBVERAL llABlLlTY CERTIFICATION ENDORSEMENT FOR SCHEDULED TANKS 1. This endorsement certifies that the policy to which the endorsement is attached provides liability insurance covering the following Underground Storage Tanks: Schedule of Tanks ðttached for 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 "acddental releases"; in accordance with and subject to the limits of líabllity, exduslons, conditions, and other terms of the policy; arising from operating the underground storage tank(s) identified above. The limits of liability are: Each Occurrence Annual Aggregate $1,000,000 $2;000;000 exdusive of legal defense costs, which are subject to a separate limit under the policy. This coverage is provided under GL09307950-01. The effective date of said policy is January 1, 2004. 2. The insurance afforded with respect to such occurrences is subject to all of the terms and conditions of the policy; provided, however, that any provisions Inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby amended to conform with subsections (a) through (e); a. Bankruptcy or insolvency of the insured shall not relieve Zurich American Insurance Company of its obligations under the policy to which this endorsement Is attached. b. Zurich American Insurance Company Is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a UST - Shell . Federal Mar 04 04 03:53p o.e T. Marubashi 20.77-5964 p..,ª." !'- ~ damaged third-party, with a right of reimbursement by the Insured for any such payment made by Zurich American Insurance Company. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified In 40 CFR 280.95-280.102. c. Whenever requested by a Director of an implementing agency, Zurich American Insurance Company agrees to furnish a signed duplicate original of the policy and all endorsements. d. Cancellation or any other tennination of the insurance by the Zurich American Insurance Company, except for non-payment of premium or misrepresentation by the insured, will be effective only upon written notice and only after the expiration of 60 days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the Insured will be effective only upon written notice and only after expiration of a minimum of 10 days after a copy of such written notice is received by the insured. e. The insurance covers dalms for any occurrence that commenced during the tenn of the policy that Is discovered and reported to the Zurich American Insurance ,Company within six months of the effective date of the cancellation or termination of the policy. I hereby certify that the wording of this Instrument is identical to the wording 40 CFR 280.97{b}(1} and that the Zurich American Insurance Company is licensed to transact the business of insurance or eligible to provide insurance as an excess or surplus lines insurer In one or more states. -------- Representative for Zurich American Insurance Company Name: Title: Address: Dave Hirshorn Senior Vice President Marsh USA, Inc. 1000 Louisiana - Suite 4000 Houston, TX. 77002 J UST - Shell - -. -"":-- 102960 204-0461-050i 2600 ~JHITE LANE. BAKERSFIELD, CA. 80950832505001 MAR II, 2004 12:35 PM I N\lENTORY REPORT T I: REGULAR VO L ur"1E ULLAGE 90% ULLAGE= HEIGHT l¡JATER VOL WATER TEMP T 2 :PLU~3 \/OLUt"1E ULLAGE 90% ULLAGE= HEIGHT WATER VOL WATER TEt"lP T 3: PREt1 I ur", VOLUt"1E ULLAGE 90% ULLAGE= HEIGHT WATER VOL WATER TEMP 8267 1461 488 72.15 o 0.00 61.9 2119 7609 6636 25.53 o 0.00 61.2 1454 8274 7301 19.78 o 0.00 62.7 -, GAU3 GALS GALS I NCHÐ3 GALS INCHES DEG F GALS GALS GALS INCHES GALS INCHES rJaF \ GALS GALS G{~LS INCHES GALS INCHES DEG F M M M M MEND M M M M M ---. - · . UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 '-~DO lÞ.~6 ~n~" --------.--- --------------------~ W~~__~§_, IN~7!lÆ+ PHONE No. Z - 4~{)1 INSPECTION TIME FACILITY NAMEtv~ &~ ADDRESS --,--- No. of Employees -z.. ----.------.-.--,- FACILlTYCONTACT Business 10 Number 15-021- , . Se~ti()n1 : Business Plan and Invêritoryprogram D Routine d Joint Agency D Multi-Agency D Complaint D Re-inspection ( C=Compliance ) V=Violation OPERATION I COMMENTS ,________,______J ,_,.._______",__,__.._..____,,__,_________..,__,___,__,,_,____,_____,__,,___ C V blD ~D ~' D ApPROPRIATE PERMIT ON HAND BUSINESS PLAN CONTACT INFORMATION ACCURATE ----..- ...--.,-.---------.-- --- -.- -~_.._----~- ------,----_.__.--_._-------------,_.._,--- ----------.....------. VISIBLE ADDRESS .----------+-----------.-----. .--- ---------------_..---------_.._-~--_._---_._---_...._-----.--..-..-----.--- D CORRECT OCCUPANCY -------------,-----,._._-+._- ----,----,-..--..------.-.------.--.,---------.,--.-,.-----,-----------------..--.----- ~ D VERIFICATION OF INVENTORY MATERIALS .. D VERIFICATION OF QUANTITIES ---------------.-- .-------... -.-..---.-.-. -------.--.----------------.------------...-.-. .~------- ~--- --- -------------..--.------.-----.----- ---------_._---------------------------,_._-,----~------~_.++-- b( D VERIFICATION OF LOCATION - --'--.¡--------'-----.-..-..--.-----'----..'-----------..,----- Þ( D PROPER SEGREGATION OF MATERIAL ____ - _.__________'_________.__..___" __________.________._.__.._,._____________________.__,.---'._-...-'-<0_- ~ D VERIFICATION OF MSDS AVAILABILlTYE ~~~- _________._____ "________ ---<0_,--._-------".- _________.___________________.____._,_____ 'Tfi... D VERIFICATION OF HAT MAT TRAINING rA 0 VE~FlCATlON OF. ABATEM~NT s~;,;:,~A~~~;l=_=_-=========== ~ D --=MERGENC~~~~EDURES ADEQU~~-=-_________..__L,__________________________,____________.______",___, ~ ~~NTAIN~RS PRO~ERLY. LABELED~-----.-_--l--,-------,-----_--------,-.----,--.,__________ : : ::::::::~:QUATE & ON HAND==-~~Qr·- ~:~ fï ~-§~~I~~~C_- ANY HAZARDOUS WASTE ON SITE?: DYES ~No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 White - Environmental Services Yellow . Station Copy Pink· Business Copy It e CITVOF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 17 t 5 Chester A ve.~ 3rd Floor~ Bakersfield~ CA 93301 FACILITY NAME 1AJlilik ~iWt ~~/f INSPECTION DATE 3!¡J/ð1- Section 2: Underground Storage Tanks Program o Routine --J2{ Combined 0 Joint Agency Type of Tank þLùF Type of Monitoring C.,LfV\ o Multi-Agency Number of Tanks Type of Piping o Complaint 4- ~1Iù F ORe-inspection OPERA nON C v COMMENTS Proper tank data on tile X. , m X Proper owner/operator data on tïle Permit fees current ~ Certification of Financial Responsibility >< Monitoring record adequate and current )( Maintenance records adequate and current X Failure to correct prior UST violations ;( Has there been an unauthorized release? Yes No y.. Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtilIloverspill protection? C=Compliance V=Violation Y=Yes N=NO White· Fnv. Svcs. Pillk - Rusiness Copy 01/30/2094 13: 17 .408971.5 SSS INC ,....... ~w .........., ~n~þ I:tI(SF\.D FIRE PREVENTION . (GS1} 852-2172 PAGE 02 p.2 I ~5D'æ . CITY OF BAKEKSIt1ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPUCA TION TO PERFORM FUEL MONITORING CERTIFICATION FACIUrY-1úb t 1R. liJ. r(? S b.e.lJ ADDRESS OPERATORSN~~P ~Cj OWNBRSN~ 1 l' l \ (bd).= NAMI! OP MONITOR MANUFA \/ e.~d; ¡-- ~),-. DOBS PACIUI'Y HA VB DISPENSER PANS? 'YBS-2L NO_ - ( TANK ff --L ~ ~ VOL1JME IqN:0 {tJ}'(j)() IQ 1\'Oò . CONTENTS ~ --..t21m~ =:==:;m ~g~fK~\MN\ S~<)J.Ùns ¡::c-- _ NAME &. PHONE NUMBER OP CONTAct PERSON l:)f.'o h ~ ~. \J)Ü ~~ (4œ )~3.r-711 ß- DATE & TIME TEST IS roBE CONDUCTED_ ðI /c;- /04 '" ( I ("D . . . J,da~ ..... ( APPROVED BY L ~J() ~() <£ DATE ,í)J~ ,~ SIGNA'I't.JR:B OF APPLICANr ...[] cO /T1 /T1 u.s. Postal ServiceTM . CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) ru Lr ...[] f'- Postage $ :::r ~ o o Return Reciept Fee o (Endorsement Required) Certified Fee Postmark Here o Restricted Delivery Fee ...[] (Endorsement Required) ru ru Total Posteg /T1 I o Sent To i White Lane SheIl ~ šfrëêi,",4¡;f"Ni 2600 White Lane or PO Box No Bak f· ..,..--.------! ers leld CA 93309 City, State, Z¡"'-. ' "" . II :1. .. II Certified Mail Provides: '9SlIM"'" zoœ øunr 'n~ ....n' Sd' · A mailing receipt "-"" uvo<.--:o · A unique identifier for your mailptece · A record of delivery kept by the Postal Service for two years Iml'Ortant Reminders: - · Certified Mail may ONLY be combined with First-Class Mallqþ or Prlohty Mall@. · Certified Mallls.~t available for any class of intemational mall. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail, ,~ · For an additional f8elùa Return Receipt may be requested to provide P!!JOf of delivery. To obtain Re m Receipt seIVIce, please complete and attach a Retum Receipt (PS Form 38111 to the article and add applicàble postage to cover the fee. Endorse mailplece Retum Receipt Requested". To receive a lee waiver for a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is reqUired. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mallplece with the endorsement "RestrictedVelivery", · If a J)9stmark on the Certified Mall recei~ is desired, please present the arti- cle at the post offlca for postmarking. If a postmark on the Certified Mail receipt Is not needed, detach and affiX label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. UNITED STATES POSTAL SERVICE 11111 First-Class Mail Postage & Fees Paid USPS Permit No. G-10 ~~:'" ... · Sender: Please print your name:~ address, and ZIP+4 in this box · Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 '1.'$ n I \It '" \ \ \ \ H \ \\\ \ II "I I 1\ 1\ .1. \ ,\" \ H n II t1 \ \ H\ \ 1\ \ \\ \ 11\ · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. ¡to . . · Attach this card to the back of the maìlpìece, or on the front if space permits. 1. Article Addressed to: White Lane Shell 2600 White Lane Bakersfield, CA 93309 2. Article Number (Transfer from service label) PS Form 3811, August 2001 o Agent o Addressee C. Date of Delivery , Y') \ \ , ~\J1 D. Is delivery address differe from itèm 17 c\. Vi If YES, enter delivery address belo~1f\O No 1 3''gService'TYPe CertifIed Mall 0 Express Mall Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extta Fee) 0 Yes 7003 2260 0004 7652 3386 Domestic Return Receipt 102595-02-~1540 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 J SUPPRESSION SERVICES , 2101 "W Street ¡t Bakersfield, CA 93301 · VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES· ENVIRONMENTAl. SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAX (661) 326·0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - . December 12, 2003 CERTIFIED MAIL White Lane Shell 2600 White Lane Bakersfield, CA 93309 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Unifonn Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete fi lied. 2) Spaced not more than 4 feet between posts, on center. .. .Y;~/m:? ~ c¿J'CWI/~lN/l/7p ..tý-r·~' . !¿r¥q] .~/l/ '0'-6 Z¡;~I////'r ~~ Lette.tro: Owner/Operators of Propane Exchange .ms Re: Propane Exchange Program Dated: December 12.2003 Page 20f2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. Set with the top of the posts not less than 3 feet aboveground. Located not less than 5 feet from the cylinder storage area. 4) 5) ;. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "1 . "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4, 2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, /1 î~ ..¡" ~ 0. Lc' . " ¿' Steve Underwood Fire InspectorlPetroleum/ Environmental Code Enforcement Officer SYSTEr"l SETUP JUL 14. 2003 5:07 PM SVSTEI"l UN I TS U.S. SYSTEr"l LANGU~~GE ENGLISH SYSTEM DATE/TI r"1E FORt"lAT ~10N DD YVYY HH: ["n"I: SS :x:l"l 102960 204-0461-0501 2600 WHITE LANE. BAKERSFIELD. CA. 80950832505001 SHIFT Tll1E SHIFT TlI"1E 2 SHIFT Tlf"1E 3 SHIFT TIr"1E 4 4:00 AI'" 5:45 At"1 DISABLED DISABLED SHIFT BIR PRINTOUTS DISABLED DAILY BIR PRINTOUTS DISABLED TICKETED DELIVERY ENABLED TC TICKETED DELIVERY ,DISABLED CLOSE DAV OF [¡,lEEK SUN DAILY DLVY VAR RPTS DISABLED WEEKLY DUN \JAR RPTS DISABLED PER I OD I C DL\JY \JAR RPT:=: DISABLED DAILV BOOK \/AR RPTS DISABLED WEEKLV BOOK 'liAR RPTS DISABLED PERIODIC BOOK \/AR RPTS DISABLED DAILY VAR ANAL'{ RPTS DISABLED -- - WEEKLY VAR ANALY RPTS DISABLED PER IOD I C VAR ANAL V RPTS DISABLED TANK PER TST NEEDED ~JRN D I SABLErI TANK ANN TST NEEDED ~JRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LI NE PER TST NEEDED \,·JRN DISABLED LI NE ANN TST NEEDED ~'JRN DISABLED PR I NT TC \/OLUt"1ES DISABLED TEMP COMPENSATION VALUE (DEG F): 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT QPLD f"10NTHL Y PR I NTOUT ENABLED PRECISION TEST DURATION HOURS: I? 0.20 GPHLINE TEST AUTO-CONFIRM: ENABLED O. 1 0 GPH LI NE TEST AUTO-CONFIRM: ENABLED DAYLI GHT SAV I NG T II"1E ENABLED START DATE APR WEEK SUN START TIME 2: 00 AI"1 END DATE OCT WEEK 6 SUN END TIt"1E 2:00 AM RE-DIRECT LOi.::AL PRI NTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECUR ITV CODE : 000000 COf"lI"lUNICATIONS SETUP ------ - - - - PORT SETTINGS: COI"lt'l BOARD 5 ŒS-485) BAUD RATE 9600 PARITY NONE STOP BIT : 2 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : ~~~~~~ COI"1[,,1 BOARD 6 (S -SAT) BAUD RATE 9600 PARITY ODD STOP BIT 1 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : ~~~~""~ DTR NORr'lAL STATE: HIGH RECEIVER SETUP: D 8: VEEDER ROOT ( H1S ì CALL 4000010025 RCVR TYPE: cor"lPUTER PORT NO: 6 RETRV NO: 5 RETRV DELAY: 5 CONF 1 RI1AT I ON REPORT: OFF AUTO DIAL Tlr"IE SETUP: D 8: VEEDER ROOT (H1S) DIAL ON DATE JUN 23, 2003 DIAL TIME: 7:02 PM RECEIVER REPORTS: .' RS-232 END OF 1'1ESSAGE DISABLED AUTO DIAL ALAF:I"' SETUP - - - - - - - - - - - - D 8: \/EEDER ROOT ( Fl"lS ) IN-TANK ALARt"1S ALL: LEAK ALARI'1 ALL: HIGH ~,JATER ALAR~1 ALL: OVERF ILL ALARt"' ALL:SUDDEN LOSS ALARt"1 ALL: HIGH PRODUCT ALARI'" ALL: INVALID FUEL LEVEL ALL:PROBE OUT ALL: H lGH ~,JATER ~JARN I NG ALL: t'lAI< PRODUCT ALARt1 ALL:GROSS TEST FAIL ALL:PERIODIC TEST FAIL ALL:ANNUAL TEST FAIL ALL:PER TST NEEDED WRN ALL:PER TST NEEDED ALt"1 ALL: NO CSLD IDLE T II1E ALL :CSLD INCR RATE v.JARN ALL:ACCU_CHART CAL WARN ALL: RECON ~JARN I NG ALL: RECON ALARt1 ALL: LOW TEI"lP ~JAR N 1 NG ALL: GROSS FA I L Ll NE T NK LIQUID SENSOR ALl1tì ALL:FUEL ALARt"1 ALL:SENSOR OUT ALARt"1 ALL :SHORT ALARt'l ALL : WATER ALARt'l ALL : WATER OUT ALARt"' ALL:HIGH LIQUID ALARt"1 ALL:LOW LIQUID ALARt"1 ALL:LlQUlD WARNING RECE 1 VER ALARt"S SERVICE REPORT WARN ALARt"1 CLEAR WARNING PRESSURE LINE LEAK ALL : GROSS Ll NE FAIL ALL:ANNUAL LINE FAIL ALL:PER TST NEEDED ALt"1 ALL: PLLD OPEN ALARI"' ALL:UNKNOWN ALARt"1 ALL: UNKNO~JN ALARI"' ALL: UNKNOWN ALARI1 ALL:PERIODIC LINE FAIL ALL:ANN TST NEEDED ALI1 ALL: LOW PRESSURE ALARI"' ALL: UNKNOWN ALARt'-- - ~;--- - ~I. : com -HANDLE ALIi ALL:FUEL OUT ALL:LN EQUIP FAULT ALt"1 I N-TANK SETUP' ------ ----_.- T 1 :REGULAR PRODUCT CODE THER!"lAL COEFF TANK DIAr"lETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL METER DATA 1 : .000700 : 92.00 4 PTS 9728 7910 4864 1818 NO FLOAT SIZE: 4.0 IN. WATER WARNING : 0.8 HIGH vJATER LIr"lIT: 1.5 r"tAX OR LABEL VOL: 9728 OVERFILL LIMIT 94% 9144 HIGH f'RODUCT 98% 9533 DELIVERY LIMIT 14% 1459 LOW PRODUCT 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 50 TANK TILT : 1.16 t"tANIFOLDED TANKS HI: NONE LEAK r"tIN PERIODIC: 0% o LEAK MIN ANNUAL 0·", /, o PERIODIC TEST TyPE STANDARD ANNUAL TEST Hi I L ALARr"1 DISABLED PERIODIC'TEST~FAIL ALAR!"I DISABLED GROSS TEST FAIL ALARI,··t DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREf\K:OFF RECON WARN LIMIT: 3 RECON ALM LIMIT: 4 DEL I VERY DELAY 3 r"l I N T 2: PLUS PRODUCT CODE THERfvlAL COEFF TANK DIAr1ETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL !"1ETER DATA " "- : . 000700 92.00 4 PTS 9728 7910 4864 1818 NO FLOAT SIZE: 4.0 IN. WATER WARNING 0.8 HIGH WATER LIMIT: 1.5 l"lAX OR LABEL VOL: 9728 OVERF I LL LI 1"11 T 94% 9144 HIGH PRODUCT 98% 9533 DELIVERY LIMIT 14% 1459 LOW PRODUCT 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 50 TANK TILT 1.56 I"¡AN I FOLDED TANKS Tit: NONE LEAK !"llN PERIODIC: 0% o --LEAK ~1 I N ANNUAL :- 0% o PERIODIC TEST TYPE STANDARD ANNUf1L TEST FA I L ALAR!"l DISABLED PERiODIC TEST FAIL ALARr"¡ DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I F'i: " OFF ,~ TNK TST SIPHON BRÉAK:OFF RECON WARN LI!"IIT: 3 RECON ALM LIMIT: 4 DELI VERY DELAV 3 ('1l N T 3 : PREM I UM PRODUCT CODE THERr"IAL COEFF TANK DIAr"1ETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL METER DATA 3 : .000700 : 92.00 4 PTS 9728 7910 4864 1818 NO FLOAT SIZE: 4.0 IN. kJATER WARNING : 0.8 HIGH WATER LIMIT: 1.5 MAX OR LABEL VOL: 9728 OVERFILL LIMIT 94% 9144 HIGH PRODUCT 98% 9533 DELIVERY LIr"IIT 14% 1459 LOW PRODUCT 500 LEAK ALARM LIMIT:_ 3 SUDDEN LOSS LIr"lIT: 50 TANK TILT 1 .61 MANIFOLDED TANKS IIi: NONE LEAK r"1 I N PER I OD Ie: U-·, ,". o LEAK r"1 I N ANNUAL 0% o PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARr", DISABLED PERIODIC TEST FAIL ALARt"! DISABLED GROSS TEST FAIL ALARt'1 D I S¡:;BLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I PI: OFF TNK TST SIPHON BREAK:OFF . . RECON WARN LIMIT: 3 RECON ALM LIMIT: 4 DELIVERY DELAY 3 MIN LEAK TEST tvlETHOD - - - - , ~l" - - - - TEST CSLD : ALL TA' rdV Pd = 99% u. CLIMATE FACTOR:MODERATE GROSS TEST AUTO-CONF IRr"l: DISABLED REPORT ONLY: DISABLED TST EARLY STOP:DISABLED LEAK TEST REPORT FORt"lAT NORtvtAL 102960 204-0461-0501 2600 loJHITE LANE. BAKERSF I ELD.. CA. 80950832505001 JUL 14. 2003 5:08 PM FUEL rvlANAGErv1ENT SETUP ------ ------- DELIVER'! ~JARN ÜA',/S: 0.0 AUTO PRINT: DISABLED T"1 : REGULAR AVG SALES-SUN: AVG SALES-lv10N: AVG SALES-TUE: AVG SALES-WED: AVG SALES-THR: AVG SALES - FR I : AVG SALES-SAT: T 2:PLUS AVG SALES-,SUN: AVG SALES-Mot~: AVG SALES-TUE: AVG SALES-WED: AVG SALES-THR: AVG SALES-FRI: AVG SALES-SAT: T 3 :PREMI urv1 AVG SALES-SUN: AVG SALES-MON: AVG SALES-TUE: AVG SALES-WED: AVG SALES-THR: AVG SALES-FRI : AVG SALES-SAT: 1873 GAL 1671 GAL 1687 GAL 1701 C'AL 1639 GAL 1908 GAL 1829 GAL 503 GAL 376 GAL 311 GAL 280 GAL 34'3 GAL 386 GAL 426 GAL 284 GAL 326 GAL 189 GAL 165 GAL 204 GAL 231 GAL 279 GAL - - - - - - PRESSURE LI NE LEAK SETUP - - - - - - Q 1: REGUIfI-f.__ TYP:2.0/3.0IN FIBERGLASS 2.0IN DIA LEN:230 FEET 3.0IN DIA LEN: U FEET 0.20 GPH TEST: REPETITIV o . In GP H TEST: .41)1'0 SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI T I: REGULAR DISPENSE l"lODE: STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI Q 2 :PLUS TVP: 2.0,/3.01 N FIBERGLASS 2.0IN DIA LEN:230 FEET 3.0IN DIA LEN: 0 FEET 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI T 2:PLUS DISPENSE t"10DE: STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI Q 3: PREt"l I Ut"l TVP:2.0/3.0IN FIBERGLASS 2.0IN DIA LEN:230 FEET 3.0IN DIA LEN: 0 FEET 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI -i " 3 ': t:REryl I Ut'1 DISPENSE ¡"lODE: STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI LINE LEAK LOCKOUT SETUP - - - - - - - - - - LOCKOUT SCHEDULE DAILY ST ART T II"1E: DISABLED STOP T I tiE : DISABLED LIQUID SENSOR SETUP - - - - - - - - - - L 1 :REGULAR SUMP DUAL FLT. HIGH VAPOR CATEGORY : STP SUr"lP L 2: PLUS SUriP DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 3:PREMIUM SUMP DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 4:REGULAR ANNULAR TRI -STATE <81 NGLE FLOAT) CATEGORY : ANNULAR SPACE L 5:PLUS ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE .. L t.: F'RÐ:tï~t~NULAR TR I ~STATE . (S I,NGLE FLOAT) CATEGORY' :' ANNULAR SPACE .' L,"7:WASTE, 01L ANNULAR TR I -STATE <8 ì NGLE FLOAT') CATEGOR'l : ANNULAR SPRCE ,~r'/<¡' L 8: NONE I ' ¡I'}// NORr"1ALLY CLOSED ,,'{ ì~' CATEGORY ':- OTHEF: SENSORS. 1 PLLD LI NE DISABLE SETUP ------ --,---- ',' Q 1: REGULAR IN-TANK ALARI"lS T 1': LEAK ALAR~'l T 1 :HIGH WATER ALARM T J: LOW PRODUCT ALARI"! T 1 :SUDDEN LOS~3 ALARI"1 T 1 :GROSS TEST FAIL LIOU I D SENSOR ALMS L 1 :FUEL ALAR!'! L 4: FUEL AU~Rr1 L 1 :HIGH LIQUID ALARM L 4:LOW LIQUID ALARM Q 2:PLUS IN-TANK AUiRt'1S T 2: LEAK ALARr'1 T 2:HIGH WATER ALARM T 2: LOW PRODUCT ALARI'1 T 2: SUDDEN LOSS ALARI'l T 2:GROSS TEST FAIL LIQUID SENSOR ALMS L 2:FUEL ALARM L 5: FUEL ALARI"I L 2:HIGH LIQUID ALARM L 5:LOW LIQUID ALARM Q 3: PREM I UI'1 I N-,TANK ALARt'lS T 3: LEAK ALAR~1 T 3:HIGH WATER ALARM T 3:LOW PRODUCT ALARM T :3: SUDDEN LOSS ALARI'l . L I au I D- SENSOR ALHS L 3: FUEL ALARr'l L 6: FUEL ALAR!"! L 3:HIGH LIQUID ALARM L 6:LOW LIQUID ALARM RECONCILIATION SETUP - - - - - - - - - - AUTO!"lATIC DAILY CLOSING T I I"IE : 2 : 0 0 A~'1 AUTO SHIFT "1 CLOSING TIt1E: 5: 45 AI"' AUTO SH I FT 112 CLOS,! NG T I!"lE: DISABLED AUTO SHIFT 1t:3 CLOSING TIME: DISABLED AUTO SHIFT 1t4 CLOSING TIME: 4:00 AI"¡ , PERIODIC I"IODE: ALAR!"1: , I TEMP COMPEI'~BA'Ì' I ON BTANDARD r"IETER CALIBRATION OFFBET : o. oom,. RECONCÎLIATION , MONTHLY DIBABLED BUS SLOT FUEL r'lS:TER TANK ------ - ,- - -- TANK I"IAP E!"1PTY~ - _.....: -:- '\-.- ,~ ..: " " -~- ~ --.,t.:IJAf"'13TZËT 4 . 0 IN. WATER WARNING 0.8 HIGH WATER LIMIT: 1.5 l"tAX OR LABEL VOL: /9728 OVERFILL LIr"tIT :'" 94% ,/ 9144 HIGH PRODUCT 98% 9533 14?. 1459 DELI VERY LI r"11 T .' "~ LOW PRODUCT I : 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 50 TANK TILT : 1.56 MANIFOLDED TANKS TIi: NONE LEAK MIN PERIODIC: 0% o LEAK MIN ANNUAL 0% o PERIO[JIC TEST TYPE - ~- STANDF\RD ANNUAL TEST FAIL ALARI1 D I BASLED PERIODIC TEST FAIL ALARI1 DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREAK:OFF RECON WARN LIMIT: 3 RECON ALM LIMIT: 4 DELIVERY DELAY 3 MIN "",' '102960 204-0461--0501 2600 WHITE LANE. BAKERSFIELD. CA. 80950832505001 JUL 14. 2003 6:15 PM SVSTErvI STATUS REPORT ------ ------ ~t\IAT~ALARt"1 T 1 :HIGH WATER WARNING L 4 : FUEL ALARM L 5:FUEL ~iLARr"1 L b : FUEL ALARt"1 Q 1 : PLLD SHUTDOl.llN ALARr"l S'l~3TEr"1 SETUP JUL 14. 2003 6:15 PM S'lSTEf"l UN ITS U.S. S''iSTEt-'l LANGUAGE ENGLISH SYSTEl"l DATE/T I r"lE FORMAT MON DD Y'lY'f HH: nn : SS xr1 102960 204-0461-0501 2600 WHITE LAr.JE. BAKERSFIELD. CA. 809508:32505001 SHIFT TIt"1E 1 SHIFT TIr1E 2 SHIFT TIr1E 3 SHIFT TInE 4 4: 00 Ar1 5:45 Ar"! DISABLED DISABLED SHIFT BIR PRINTOUTS DISABLED DAILY BIR PRINTOUTS DISABLED TICKETED DELIVERY ENABLED TC TICKETED DELIVER''! DISABLED CLOSE DAY OF WEEK SUN DAILY DLVV VAR RPTS DISABLED WEEKLV DLV'i \¡AR RPTS DISABLED PERIODIC J)LVY \lAR RE:..TS_ _ DISABLED DAILV BOOK \lAR RPTS DISABLED WEEKLY BOOK VAR RPTS DISABLED PERIODIC BOOK VAR RPTS DISABLED DAILY VAR ANALY RPTS DISABLED WEEKL Y VAR ANAL\" RPTS DISABLED PERIODIC VAR ANALV RPTS DISABLED TANK PER TST NEEDED WRN DISABLED __ TANK ANN TST, NEEDED ~\JRN DISABLED Ll NE RE-ENABLE f'1ETHOD PASS LINE TEST LINE PER TST NEEDED ~\JRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES DISABLED TEMP cor"IPENE,AT ION VALUE <DEG F): 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORf"lAT HEIGHT QPLD MONTHLY PRINTOUT ENABLED - PREC I S I ON 1l::tJ-r'DURAT I ON HOURS':-::'~", 0.20 GPH LINE TEST ~, AUTO-GQ~EI.Rtl:_ ,ENé\BLED_ . 0.10 GPH LI NE TEST AUTO-CONF I R~1: ENABLED DAYLIGHT SAVING TInE ENABLED START DATE APR WEE}( SUN START TH"lE 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2: 00 At"l RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEf1 SECUR I TV CODE : 000000 COMMUNICATIONS SETUP - - - - - - - - - - PORT SETTINGS: COMM BOARD : 5 (RS-485) BAUD-RMTE----:-9600 -" PARITY : NONE STOP BIT : 2 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : :IE ,.0000.' cor"tr1 BOARD 6 Œ -SA T ) BAUD RATE 9600 PARITY ODD STOP BIT 1 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : "'~oooü. DTR NORr1AL STATE: HIGH -~ RECEIVER SETUP: D 8: VEEDER ROOT ( nls ) CALL 4000010025 RCVR TYPE: Cor"lPUTER PORT NO: 6 RETRY NO: 5 RETRY DELAY: 5 CONFIRMATION REPORT: OFF AUTO D I AI T T M'-' - ¿.. ur . =~~ D 8: \JEEDER ROOT (nls ) DIAL ON_D6TE T'.]UN 2:]. 2003 DIAL TIME: 7:02 PM RECEI\JER REPORTS: RS-232 END OF r")ESSAGE DISABLED AUTO DIAL ALARM SETUP - - - - - - - - - - - - D 8: \iEEDER ROOT (FMS) IN-TANK ALARr"IS ALL: LEAK ALARr") ALL: HIGH WATER ALARr") ALL: O\JERF I LL ALAR~'1 ALL: SUDDEN LOSS ALARr"¡ ALL: HIGH PRODUCT ALARr") ALL: I N\JAL ID FUEL LE\JEL ALL:PROBE OUT ALL: HIGH LJATER ~JARNI NG ALL: r"IA>< PRODUCT ALARM ALL:GROSS TEST FAIL ALL:PERIODIC TEST FAIL ALL:ANNUAL TEST FAIL ALL:PER TST NEEDED WRN ALL: PER TST NEEDED AU" ALL: NO CSLD IDLE T I r"IE ALL :CSLD -I.NCR RATE l,JARN ALL:ACCU_CHART CAL WARN ALL:RECON WARNING ALL:RECON ALARM ALL : LOW TEr" p WARN I NG ALL:GROSS FAIL LINE TNK LIQUID SENSOR AU" S ALL :FUEL ALARI"1 ALL:SENSOR OUT ALARM ALL: SHORT ALARr" ALL: LJA TER ALARM ALL : WATER OUT ALARr"1 ALL:HIGH LIQUID ALARM ALL : LOW LIQUID ALARr" ALL:LIQUID WARNING RECE I \JER ALARr"IS SER\JICE REPORT WARN ALAR,." CLEAR WARN I NG PRESSURE LINE LEAK ALL:GROSS LINE FAIL ALL:ANNUAL LINE FAIL ALL: PER TST NEEDED AL"'¡ ALL: PLLD OPEN ALARt' ALL:UNKNOWN ALARM ALL: UNKNOLJN ALAR,.,! ALL:UNKNOWN ALARM ALL:PERIODIC LINE FAIL ALL:ANN TST NEEDED AU"1 ALL : LOLJ PRESSURE ALARr'1 ALL:UNKNOWN ALARM ALL:CONT HANDLE ALM ALL:FUEL OUT ALL:LN EQUIP FAULT ALn IN-TANK SETUP ------ T 1: REGULAR PRODUCT CODE THERMAL COEFF TANK D 1 A¡"1ETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL t"1ETER DATA : 1 : .000700 92.00 4 PTS 9728 7910 4864 1818 NO FLOAT SIZE: 4.0 IN. WATER WARNING 0.8 HIGH WATER LIMIT: 1.5 !"lA>< OR LABEL VOL: 9728 OVERFILL LIMIT: 94% 9144 HIGH PRODUCT 98% 9533 DELIVERY LIMIT 14% 1459 LOW PRODUCT 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LI r"1 IT: 50 TANK TILT : 1.16 !"1AN I FOLDED TANKS Tit: NONE LEAK r"l I N PER 10D I C : 0% o LEAK MIN ANNUAL 0··" -'ý o PERIODIC TEST T'lPE STANDARD ANNUAL TEST FAIL ALARr"1 DISABLED PERIODIC TEST FAIL ALAR!"1 DISABLED GROSS TEST FAIL ALARr"1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIF'l: OFF "TNK TST SIPHON BREAK :OFF RECON WARN LIMll~ ~ RE()0~ f:ll..1"1 Llf"11T: 4 DELIVERY DELAY 3 111 N T 3: PREI"1 I UM PRODUCT CODE THERMAL COEFF TANK DIAr"lETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL t"1ETER DATA 3 : . 000700 92.00 4 PTS 9728 7910 4864 1818 NO FLOAT SIZE: 4.0 IN. WATER WARNING : 0.8 HIGH WATER LIMIT: 1.5 r1AX OR LABEL \./OL: 9728 OVERFILL LIMIT 94% 9144 HIGH PRODUCT 98% 9533 DELIVERY LIMIT 14% 1459 LOW PRODUCT 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: 50 TANK TILT 1.61 t"IANIFOLDED TANKS TIi: NONE LEAK MIN PERIODIC: 0% o LEAK 1"11 N ANNUAL 0% o PERIODIC TEST TYPE ST f~ NDARD ANNUAL TEST FAIL ALARr"1 DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARt"1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF RECON WARN LIMIT: 3 RECON ALM LIMIT: 4 DELIVERY DELAY 3 MIN LEAK TEST METHOD ------ - - - - TEST CSLD : ALL TANK Pd = 99% CL I r"IATE FACTOR: r"10DERATE GROSS TEST AUTO-CONFIRM: DISABLED REPORT ONLY: DISABLED TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORMAL 102960 204-0461-0501 2600 WHITE LANE. BAKERSFIELD. CA. 80950832505001 JUL 14. 2003 6:16 PM FUEL IvlANAGÐ'IENT SETUP - - - - - - - - - - - - DELIVERY WARN DAYS: 0.0 AUTO PRINT: DISABLED T 1 :REGULAR AVG SALES-SUN: AVG SALES-MON: AVG SALES-TUE: AVG SALES-WED: AVG SALES-THR: AVG SALES-FRI: AVG SALES-SAT: T 2:PLUS AVG SALES-SUN: AVG SALES-I"ION: AVG SALES-TUE: AVG SALES-WED: AVG SALES-THR: AVG SALES -FR I,: AVG SALES-SAT: T 3: PREM I UI"l AVG SALES-SUN: AVG SALES-MON: AVG SALES-TUE: A'v'G SALES -WED: AVG Sf~LES-THR: AVG SALES-FR I : AVG SALES-SAT: 1873 GAL 1671 GAL 1687 GAL 1701 GAL 16:39 GAL 1908 GAL 1829 GAL :,03 GAL 376 GAL 311 GAL 280 GAL :349 GAL 386 GAt 426 GAL 284 GAL 326 GAL 189 GAL 165 GAL 204 GAL 231 GAL 279 GAL PRESSURE LINE LEAK SETUP - - - - - - - - - - - - G 1 :REGULAR TYP:2.0/3.0IN FIBERGLASS 2.0IN DIA LEN:230 FEET 3.0IN DIALEN: 0 FEET 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI T 1: REGULAR DISPENSE ¡"lODE: STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI ..,:~. ---~,." ~ ' .Jr '_..-..,.."1. ';'f¡rM--:b"",,--, '\ Q 2:PLUB TYP : 2 . 0/3 . 0 I NFl BERGLASS. , 2.0IN DIA LEN:230 FEET 3.0IN DIA LEN: 0 FEET 0.20 GPH TEST: REPETITIV 0,10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI T 2:PLUS ¡jp:i,p.'p,_ ~, NSE ("lODE: , ~J'smANDARD SÉNSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI ,<it' " Q 3: PREI"1 I ur"1 TYP:2.0/3.0IN FIBERGLASS 2,OIN DIA LEN:230 FEET 3.0IN DIA LEN: 0 FEET 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI + 1 -.- --- -~ ._~~ I T 3: PREr"1 I Uf"1 DISPENSE 1"10DE: STAì~DARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O,OPSI (' .;' I LINE LEAK LOCKOUT SETUP - - - - - - - - - - LOCKOUT SCHEDULE DAILY START T II'1E: DISABLED STOP TIME : DISABLED LIQUID SENSOR SETUP - - - - - - - - - - L 1 :REGULAR SUMP DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 2 :PLUS sur"IP DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 3: PREM I Ut"1 suriP DUAL FLT. HIGH VAPOR CATEGORY : STP SUI"IP L 4:REGULAR ANNULAR TR I -ST ATE (8 I NGLE FLOAT) CATEGORY : ANNULAR SPACE L 5:PLUS ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 6:PREMIUM ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 7:WASTE OIL ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 8:NONE NORl"lALL Y CLOSED CATEGORY : OTHER SENSORS -- -- - PLLD LI NE D I SABLE SET UP - - - - - - - - - - - - Q 1 :REGULAR IN-TANK ALARI"lS T 1: LEAK ALARM T l:HIGH WATER ALARM T 1 :LOW PRODUCT ALARM T 1: SUDDEN LOSS ALARr"1 T 1 :GROSS TEST FAIL LIQUID SENSOR ALMS L 1: FUEL ALARr'l L 4: FUEL ALARI"I L 1 :HIGH LIQUID ALARM L 4:LOW LIQUID ALARM Q 2:PLUS IN-TANK ALARr'lS T 2:LEAKALARM T 2:HIGH WATER ALARM T 2: LOW PRODUCT ALAR!"l T 2: SUDDEN LOSS ALARI"1 T 2:GROSS TEST FAIL LIQUID SENSOR ALMS L 2: FUEL ALARI"I L 5 :FUEL ALARri L 2:HIGH LIQUID ALARM L 5:LOW LIQUID ALARM Q 3: PREl"lI Ut"1 IN-TANK ALARMS T 3: LEAK ALARI"1 T 3: HIGH WATER ALAR!"! T 3: LOW PRODUCT ALARr"1 T 3:SUDDEN LOSS ALARM Ll QU I D SENSOR AlliS L 3:FUEL ALARM L 6: FUEL ALARri L 3:HIGH LIQUID ALARM L 6:LOW LIQUID ALARM RECONCILIATION SETUP - - - - - - - - - - AUTOf"1ATIC DAILY CLOSI NG TIlvlE: 2: 00 Af"1 AUTO SHIFT ;11 CLOSING T!fv1E: 5:45 Ar"! AUTO SHIFT ~2 CLOSING T Ilv1E: DISABLED AUTO SHIFT ~3 CLOSING TIME: DISABLED AUTO SHIFT ~4 CLOSING T I f"1E : 4 : 00 AM PERIODIC RECONCILIATiON r"lODE: l"lONTHLY· ALARM: DISABLED TEt"lP COr"lPENSATIQrC____ -STÁfìJtJA:RD---- METER CALIBRATION OFFSET: 0 .oom-. BUS SLOT FUEL r'1ETER TANK - - - - - - - - - - - - TANK IvJAP Ef"lPTY 102960 204-0461-0501 2600 L',JH I TE LANE. BAKERSFIELD, CA. 80950832505001 JUL 14, 2003 6:18 PM SYSTEM STATUS REPORT - - - - - - - - - - - - T 1: HIGH WATER ALARt"l T I:HIGH WATER WARNING L 4: FUEL ALAN~'l L 5: FUEL ALAR!v L 6: FUEL ALARlv1 Q 1 :PLLD SHUTDOWN ALARM 102960 204-0461-0501 2600 WHITE LANE. BAKERSFIELD. CA. 80950832505001 JUL 14. 2003 6:23 PM - - - - - - - - -- - - - S'!STEr"! STiWUS REPORT T 1: HIGH L·JATER ALARI"! '., T l:HIGH WATER LJARN LNG L 4:F~EL ALARI"! L 5:FUEL ALAR'"! , . L 6:FUEL ALARr"1 Q 1 :PLLD SHUTDOWN ALAR!"l c ,~ \ \: 102960 204-0461-0501 2600 WH ITE LANE. BAKERSFIELD. CA. 80950832505001 JUL 14. 2003 6:24 PM ....:.--...--.,,--~ SYSTEI"I STATUS REPORT - - - - - - - ,- - - - - T I :HIGH WATER ALARM T 1: HIGH WATER L\!ARNl!'-lG L 4: FUEL ALAR~' L 5: FUEL ALARt"l L 6:FUEL ALARM Q 1: PLLD SHUTDOVJN ALAF:r"1 102960 204-0461-0501 2600 LJH I TE LANE. BAKERSFIELD, CA. 80950832505001 JUL 14. 2003 6:26 PM SYSTErv STATUS REPORT - - - - - - - - - - - - T 1: HIGH L,JATER ALARI1 T 1 :HIGH I;JATER L,JARNING L 4: FUEL ALARr" \ L 5: FUEL ALARrv L 6: FUEL ALAR~'1 Q 1: PLLD SHUTDOl"JN ALARr"l ~-,--~~,'-..........,.:-- ---- IN-TANK ALARM T 1: REGULAR , SUDDEN LOSS ALARr"1 JUL 14. 2003 6:36 PM ---- I N-TANK ALAR~'1 T 1 :REGUU\R INVALID FUEL LEVEL JUL 14. 2003 6:37 PM 102960 204-0461-0501 2600 WHITE LANE. BAKERSFIELD. CA. 80950832505001 JUL 14. 2003 6:40 PM SYSTEl1 STATUS REPORT - - - - - - - - - - - - L 4:FUEL ALAR~'1 L 5:FUEL ALARr1 L 6:FUEL ALARt1 r) 8: ALARr"1 CLEAR ¡"'JARN I NG ./ T I: REGULAR I NI/ENTORY INCREASE INCREASE START JUL 14. 2003 6:36 PM \lOLur"1E HEIGHT WATER TEt1P INCREASE END JUL 14. 2003 \lOLUr1E HEIGHT WATER TEI"lP 2509 GALS 28. 66 I NCHE~3 2.76 INCHES 8:3 . 1 DEG F 6:44 Pf"1 3722 GALS 37.80 INCHES 0.00 INCHES 83.6 DEG F GROSS INCREASE= 1213 ~-:: PRESSURE LINE LEAK ALARr1 Q I: REGULAR PLLD SHUTDOWN ALARr"! JUL 14. 2003 5:24 PM ..._--,- SENBOR ALARf"1 -_.._- L 4:REGULAR ANNULAR ANNULAR SPACE FUEL ALARt"l JUL·14. 200:3 5: 24 pr"! 102960 204-0461-0501 2600 LIJH I TE LANE. BAKERSFIELD. CA. 80950832505001 ' JUL 14. 2003 5:26 PM S\"STEI"l STATUS REPORT - - - - - - - -, - - - - T 1 :HIGH L\JATER L'JARNING L 4 :FUEL ALARr"l L 5: FUEL ALARr"1 L 6 :FUEL ALARr"l 102960 204-0461-0501 2600 L~HlTE LANE. BAKERSFIELD. CA. - 80950832505001 JUL 14. 2003 5:26 PM SYSTEM STATUS REPORT ----- - ------ T 1: HIGH Uf.ì'l'i'.R WARN I NG L 4:FUEL ALARr1 L 5:FUEL ALAR~'l L 6: FUEL ALARr1 .'!ì ~ '.\' " MON~~~~~r~~~~n ~~!~J~f* TION Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations -. }~."< ..~ - \ This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be preµared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. ~h ' , -~?s form to the local agency regulating UST systems within 30 days of test date. : ell I . :2600 White lane ' A. General InformSak f Id C Facility Name: t ers Ie , A . ¡N02582 - Annual Testing SIte Address: I Facility Contact Person: MakeIModel of Monitoring System: B. Inventory of Equipment Tested/Certified Check the a ro riate boxes to indicate . IC ui ment' tedlserviced: ~d Bldg. No.: I I C· Z· :- lty: IP: Contact Phone No.: ( ~)b ) (P i.Í'b r o¡ ~ Date of Testing/Servicing: ~fu-ºl. 'c, Testing Company Name: Site Address: Tank ID: Tank ID: v~ ..,~ DIn-Tank Gaugi Probe. Model:' 0 In-Tank Gauging Probe. Model: t9" AnnularSpace~rVaw.tSensor. Model: ð19l/~9ð - ~Ó ~nnularSpace or Vault Sensor. Model: Ò 'J9¥.J~-~ E)...P¡ping Sump/Trench Sensor(s). Model: /}9q~ ð ~ '3 S ú&-Piping Sump/Trench Sensor(s). Model:1)9<1JR-ð -.J<~ o Fill Sump Sensor(s). Model: 0 Fill Sump Sensor(s). Model: " o Mechanical Line Leak Detector. Model: 0 Mechanical Line Leak Detector. Model:, I&J-£Iectronic Line Leak Detector. Model: <It( ,8(,{ [!t-'Electronic Line Leak Detector. Model: o Tank Overfill/ High-Level Sensor. Model: 0 Tank Overfill/ High-Level Sensor. Model: o Other s ci ui ment and model in Section Eon P e 2). 0 Other (s ui ment and model in Section E on Pa e 2). Tank ID: I' I'.., ~ Tànk ID: t-<;I ~ t1r~ <3 ~ o In-Tank Gauging PÍ'obe. Model: 0 In· Tank Gauging Probe. Model: [J..1\nnular Space or Vault Sensor. Model: ~ 1J2.~ ~ - ~2L) 0 Annular Space or Vault Sensor. Model: ¡¡¡..piping Sump / Trench Sensor(s). Model: I') 9L¡\~ 6' ð . _1 {z.., j;)-pjping Sump / Trench Sensor(s). Model: ð ~ 94<3 9ð . ~. o Fill Sump Sensor(s). Model: 0 Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: 0 Mechanical Line Leak Detector. Model: ~lectronic Line Leak Detector. Model: gqg( [ ~d ~ lB"'Electronic Line Leak Detector. Model: ?~g~ -.a /fl/ 3P o Tank Overfill/ High-Level Sensor. Model:. ¿.~ 0 Tank Overfill/ High-Level Sensor. Model: o Other s i ui ment and model in Section E on P e 2). 0 Other (s i 'ui ment and model in Section E on Pa e 2). Dispenser ID: ,1- Dispenser ID: Gl-Ðispenser Containment Sensor(s). Model: c¡¿4, -1/ 5' ð '- 0 Dispenser Containment Sensor(s). Model: ~ear Valve(s). 0 Shear Valve(s). o Dis nser Containment Float(s) and,Chain(s). 0 Dis nser Containment Float(s) and Chain(s). Dispenser ID: .., / t/' Dispenser ID: CJ-.Ðispenser Contaï'nment Sensor(s). Model: Lfðl:Þ" /£ ,.ç~ ~ 0 Dispenser Containment Sensor(s). Model: o Shear Valve(s). 0 Shear Valve(s). o Dis nser Containment Float s) and Chain(s), 0 Dis nser Containment Float(s) and Chain(s). Dispenser ID: S / t Dispenser ID: (!H)îspenser Cont3(nment Sensor(s), Model: t.¡ ¿,,¿; - /1 .> ð"? 0 Dispenser Contaihment Sensor(s). Model: o Shear Valve(s). 0 Shear Valve(s).· DDis nser Containment Float s) and Chain(s). 0 Dis nser Containment Float(s) and Chain(s). "If the facility contains more tanks or dispensers, copy tIùs fonn, Include ¡nfonnation for every tank and dispenser at the facility. C. Certification - I certify that the equipment ide~tified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certificati~)ß is húormation (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of ~òuitoring equipment. For, any equipment capable of generating sum reports, I have also a~~ed a copy ~the repo~; (Che,ck aU t~aPPly): [) System ~et-up 0 AIaJ'ú) hist0IJ.,~port ,r:7"\ Techmclan.Name (pnnt): ÙðrJ If/ t::-:/r 5 SIgnature: '~~.,4L -- - ~ Certification No.: c:> /.,f "Z.. ' License. No.: 1 ðO Ie¡ 0 '.' Phone NO.:(Cf t& ) t; Vb -9 ,¡O . Dat~ ?fTestinglServicing: -.!1.1J.:fJ S!..3 ~VA"" / cØ _d "")' Page 1 of 3 03/01 Monitoring System Certification \"" ,. r re. ,-,; D. Results of Testing/Servicing e Q;Sóftware Version Installed: Com Jete the foUowin checklist: \i1..-¥es D No* Is the audible alarm 0 rational? D-¥es 0 No* Is the visual alarm 0 erational? ü--'Yes 0 No* Were all sensors visuall ins cted, functionall tested, and confirmed 0 erationa]? GJ.-Yes 0 No* Were aU sensors instaUed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er 0 eration? If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply)G1-StunpITrench Sensors; etDíspenser Containment Sensors. Did 00. confirm sitive shut-down due to leaks and sensor failure/disconnection? ~Yes; 0 No. D Yes D No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no Œt"N1 A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill int s) and 0 ratin ro rl? If so, at what cent of tank ca acit does the alarm tri er? % Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) D Product; D Water. If es, describe causes in Section E, below. IŸ-¥es Q No* Was monitorin s stem set-u reviewed to ensure ro settin s1 Attach set u es 0 No* Is all monitorin ui ment 0 rational r manufacturer's s ifications? * In Section E below,describe how and when these deficiencies were or will be corrected. ~es o No* o N/A D No* Q N/A l3-Yes o Yes* ŒH'fo D Yes* !'9-No E. Comments: e L- ~ l--'; L-Ç 4:~ :::/ -£. ./ -3 f1?/l L~~.4" <2> ß L ~ :~~ ~/ ~ ,ðW1Jl '. Page 2 of 3 'j ~ ' '.. 03101 F . ,., .~ ,,,: "F. In-Tank Gauging / SIR Eq.ment: o Check this box if tank Iging is used only for inventory control. o Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. C th f: U h klist omplete e 0 owm~ c ec : (1t---y'"" es 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ~es 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? Gl-¥es 0 No* Was accuracy of system product level readings tested? I!J.-Yes 0 No* Was accuracy of system water level readings tested? (3-Yes 0 No* Were all probes reinstalled properly? ~es 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): o Check this box if LLDs are not installed. Compl ete e 0 owm2C ec : UJ-'Yes o No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD perfOlmance? o N/A (Check all that apply) Simulated leak rate: IJr'rg.p.h.; 0 0.1 g.p.h; 0 0.2 g.p.h. !i1 Yes D'No* Were all LLDs confirmed operational and accurate within regulatory requirements? ~es o No* Was the testing apparatus properly calibrated? DYes o No* For mechanicallLDs, does the LLD restrict product flow if it detects a leak? W-NI A cg.-yes Œl-No* For electronic lLDs, does the turbine automatically shut off if the lLD detects a leak? IJ NI A [} Yes o No* For electronic lLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled o N/A or disconnected? I9-Yes o No* For electronic lLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions o N/A or fails a test? ~es o No* For electronic lLDs, have all accessible wiring connections been visually inspected? , o N/A l.:J'C7'fes o No* Were all items on the equipment manufacturer's maintenance checklist completed? th r. II h klist * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: IJ , r.<~ ç/,t:/ I?LJ -/ "f ~ /' L6'_ 7 Page 3 of 3 03/01 ~. ii' t"'('·;~ ¿ e e UST'Monitoring Site Plan M~mtoring System Certification 'i: Site Address: . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . .o.. . . .. .o. [ñ" .. . . . . .. . . . . . . .. .. . .. . . .. . . . . · . . . . . . . . . . . . . .. ... . . . . . . .. '. ... ::B·· .........._..,.~...'.. . .......~.:.. . . . . . .. . .. . . . .. .. . <II . . . . . .. . . . . . . .. f'· L........ . .. .. .. . · . . . .. . . .. . V /l.. .. . . . . . .o.o . . . . . . '1 . .. . .. "L 'D' . · . . . . . . . . . . . . . . .. .... . --=-...:: (. . . ). . . . . . . . . . . . . , . . . . . . (,.. { . .. ~ /'1"\ lv4 " I -t" I ( . : ...~¡ {:>. ~';ð· ·~?Ó : : . : : ·:1J':J.:,;¡çj' 1-£ -po :T:1'ç;t... . . . . . Ilr-J .t.-.> ¡ /'1 s· t..-4 (J-r~1 itI . . .(t <l1. . 'l!J' ¡)' . . d p' . . . . . . .. . . . . .. .. . . . . . .... . . . .. . .. . . . . . . . . · . . . .. . . . . . . . . . . . .. .. .. . . . .. . .. . Date map was drawn: Instructions If you already have a diagram that shows all required information. you may include it. rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. --~ .". ...... .IED PROGRAM CONSOLID,ATE.ORM -1. , 1\\6) ~\ UNDERGROUND STORAGE TANKS - FACILITY " TANKS (one page per site) TYPE OF ACTION (Check one item only) r 1, NEW SITE PERMIT X 2, NEW OPERATOR 8/18/03 r 3, RENEWAL PERMIT r 4, AMENDED PERMIT r 5, CHANGE OF INFORMATION (Specify change· local use only) r 6, TEMPORARY SITE CLOSURE r 7, PERMANENTLY CLOSED SITE r 8, TANK REMOVED 400 3 White Lane Shell, Shell Oil Products 2600 White Lane, Bakersfield, CA 93304 NEAREST CROSS STREET 401 EI Potrero BUSINESS TYPE X 1, GAS STATION r 2, DISTRIBUTOR r 3, FARM r 4, PROCESSOR r 5, COMMERCIAL r 6,OTHER 403 r 4, LOCAL AGENCY/DISTRICT' r 5, COUNTY AGENCY' r 6, STATE AGENCY' r 7, FEDERAL AGENCY' 402 TOTAL NUMBER OF TANKS REMAINING AT SITE Is facility on Indian Reservation or trust lands? 404 4 rYes XNo 405 'If owner of UST is a public agency: name of supervisor of division, section or office which operates the UST. (This is the contact person for the tank records,) 406 , ' . ,'....."..- , 'II: PROPERTY QWNERINFORMÄTION 408 SHELL OIL PRODUCTS US C/O Bruce T. Marubashi, HSE Analyst MAILING OR STREET ADDRESS 409 3468 Claremont Avenue CITY 410 Modesto X 1, CORPORATION STATE 411 ZIP CODE 412 CA 95350 r 2, INDIVIDUAL r 4, LOCAL AGENCY / DISTRICT r 6, STATE AGENCY 413 r 3, PARTNERSHIP r 5, COUNTY AGENCY r 7, FEDERAL AGENCY PROPERTY OWNER TYPE SAME AS II MAILING OR STREET ADDRESS 416 CITY 417 STATE 418 ZIP CODE 419 TANK OWNER TYPE r 1, CORPORATION r 2, INDIVIDUAL r 3, PARTNERSHIP r 4, LOCAL AGENCY I DISTRICT r 5, COUNTY AGENCY r 6, ST ATE AGENCY 420 r 7, FEDERAL AGENCY 422 r 3, TANK OWNER 423 ',: ,,:~ '" . - " '~ .:. ". ,- "', ':." - " - -, ' ..; , , ;'. ;" ,,' Certification: i-~ertify th¿tth~"'inf~r'm'ation pro~i'de'(i" here'¡~ ¡~ tru~ and accur~t~ 't~'thè best of ~'y"k~O~\~dge, SIGNATURE OF APPLICANT ¿ DATE 8/13/03 424 PHONE 925-766-3498 425 NAME OF APPLICANT (print) BRUCE T. MARUBASHI for Shell Oil Products TITLE OF APPLICANT 426 HSE ANALYST 427 \ STATE UST FACILITY NUMBER (For local use only) \ ~CF (1/99 revised) 428 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 429 5 Formerly SWRCB Form A I\~' . '('~'/16(2..3 FRIll:'. FAX ,., "S'Þ-t,lj' ro'\~I'Ìi.'" d'~§¿~ ~~ri ~1,;~Si(':;~:' f ~\·G-\\\\',.'\';'" . f4I 0011002 Wayne Perry, Inc 30 MainJil'f)e~ Suite 5 Sac.ramento, ~ 95838 rre4pftone (916) 646-9680 !F~ (916) 646-9683 ".'.. ..,. , "Ê S1mil0". ' " .'" , , " : ""..".,...", ".,......".,'"",:." 1täfiS"'''''' ":,' ,\ tta1 ,,,' "",," , "'" . , ". '~.. '~oII I,!,,,,,, (III' ~\". Oß' ~,,\ ':',. 'i, ',:,1" " " r . , I ,/ I, "'1\ , .(., \ . , .. .. ..,,, I ", ~'. \. . . , , ~\I'''\ I ~ I, , ,t' . I .. .. ,........" , ~, , .. ."." I. ,: ',~d''':'' , ,.)1' I '". ~ . t' . . ' . ." I. ,,) '. I I,'; ,,' \ '~t ....' I" '" I, ~ To: Howard Wines/Steve Fax: 661-326-0576 Underwood From: Jamie Ferman Cate: 5/16/03 He: sa 989 Testing Pages: 2 ~ cc: D Urgent D ForR~ o Please Convnent D PIœse Reply [:] Pleaee Reoycle Howard, Please see the following page regarding the schedule for 58 989 Testing for the following site: 2600 White Lane, Bakersfield Thank you for your timel Jamie Ferman 05/1~~2003 FRI 11:51 FAX - e raJ 002/002 Sçheduled S8 989 Testina for Mav 19. 2003 Dear Howard, As we discussed in our phone conversation, the station, 2600 White Lane, Bakersfield, is scheduled for SB 989 Testing May 19, 2003 at 7:00 am. We will be testing the secondary containment equipment during this time. We do not anticipate the site being shut down for this work. If you have any questions or concerns, please feel free to contact me. Thank you for your time. Brandon Smith Maintenance Superintendent Wayne Perry, Inc. (916) 646-9680 User: RightFAXUser Host:' FAX Class: Fax Job: !Q_HAZl - e 05/18/2003 FRr 11:52 FAX e e ~ 001/002 r:;~~\. m """,w,;;;;':iì{'" I ~ Wayne PerTY, Inc 30 !Main .9Lve, Suite 5 Sacramento} CfJl. 95838 'Iélepfwne (916) 646-9680 !Twc (916) 646-9683 "'" II ,\ ,\,:,' . . $~~:h~I'!1\ ,':,..~" '.... ~~~~~~~1.· "., ,"',' ".., ,", ,:,;,11 '",,, ," '... "~'h.~i':¡':¡'''''''II' .'. .,' '.':' t. . ""~¡':'I\;t): :J'(¡~':'I~S ¡;,.; ~; t "e:,,~t(\~.I::U:~CIiUt)~: t"':~ , .:.~:).~.,:.:~,,\;,\',:~:: ':~ '.. ::'.:>c\:::,~~,:,;::;:~ ::i..: :~>:'~ ,,~) ,':~"', . " '~ '" To: Howard Wines/Steve Fax: 661-$26-0576 Underwood From: Jamie Ferman Date: 5/16/03 Re: S8 989 Testing Pages: 2 cc: D urgent o For Review o Please Comment D Please Reply D Please Recycle Howard, Please see the following page regarding the schedule for sa 989 Testing for the following site: 5321 Stockdale Hwy.~ Bakersfield Thank you for your time! Jamie Ferman 05/1~/2003 FRI 11:52 FAX - e ; Scheduled sa 989 Testing for May 20. 2003 Dear Howard, As we discussed In our phone conversation, the station, 5321 Stockdale Hwy, Bakersfield. is scheduled for S8 989 Testing May 20,2003 at 7:00 am. We will be testing the secondary containment equipment during this time. We do not anticipate the site being shut down for this work. If you have any questions or concerns, please feel free to contact me. Thank you for your time. Brandon Smith Maintenance Superintendent Wayne Perry. Inc. (916) 646-9680 III 0021002 e SVSTH'I SETUP MAV 19. 2003 1 :12 PM S'/STH'l UNITS U.S. S'/STH1 LANGUAGE ENGLI SH SVSTEr1 DATE/T I t"lE FOR~1AT 1"10N DD WYV HH :lvJr., :SS.:["l 102960 204-0461-0501 2600 WHITE LANE. BAKERSFIELD. CA. 80950832505001 SHIFT TIr"1E 1 : 4:00j SHIFT TIME 2: 5:4E SHIFT TIME 3 : DISAB ' SHIFT TItv1E 4 : DISABLED f SHIFT BIRPRINTOUTS DISABLED DAILY BIR PRINTOUTS DISABLED' TICKÉTED DELIVERY ENABLED ' TC TICKETED DELIVERV DISABLED CLOSE DAV OF WEEK SUN DAILY DLVY VAR RPTS DISABLED WEEKLY DLVY VAR RPTS DISABLED ~ PERIODIC DLVY VAR R~ DISABLED DAILV BOOK VAR RPTS DISABLED WEEKLY BOOK VAR RPTS DISABLED PERIODIC BOOK VAR RPTS DISABLED DAILV VAR ANALV RPTS DISABLED WEEKLY VAR ANALY RPTS DISABLED PERIODIC VAR ANALV RPTS DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED4ItN DISABLED LINE ANN TST NEEDED WRN , DISABLED PRINT TC VOLUMES DISABLED TEI1P,."COf"IPENSAT I ON VALUE <DEG F }: 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORlv AT HEIGHT QPLD f"10NTHLV PRI NTOUT ENABLED PRECISION TEST DURATION HOURS: 12 , 0.20 GPH LINE TEST AUTO'-CONFIRI"1: ENABL ' o . 10 GPH LINE TEST AUTO-CONF I Rt'l: ENABLED DAYLIGHT SAVI NG TIf"IE ENABLED START DATE APR WEEK SUN START TI ME 2:00 AM END DATE OCT WEEK 6 SUN END TII1E 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED EURO PRG1'0ê0L '\>?í:.t' \ )<. S e SYSTEM SECURITY, CODE : 000000 CO¡"\I"IUNICATIONS SETUP ------ .- PORT SETTINGS: COI"U"1 BOARD 5 ŒS - 4 8 5} BAUD RATE 9600 PARITY NONE STOP BIT : 2 STOP DATA LENGTH: 7 DATA RS-232 SECURITY CODE : ~"''''''',Ü,¡ COMM BOARD 6 (S-SAT BAUD RATE 9600 PARITY ODD STOP BIT: 1 STOP DATA LENGTH: 7 DATA RS-232 SECUR ITY CODE : "''''~''''''''' DTR NORr'1AL STATE: HIGH RECE I VER SETUP: e D 8: VEEDER ROOT (nlS ) CALL 4000010025 RCVR TYPE: COMPUTER PORT NO: 6 RETRY NO: 5 RETRY' DELAY': 5 CONF I RI"1AT I ON RJ:::PORT: OFF e /, AUTO DIAL TInE ~3ETUP: D 8: VEEDER ROOT (nlS) DIAL ON DATE nAV 19, 2003 DIAL TInE: 7:06 PM RECEIVER REPORTS: e RS-232 END OF MESSAGE DISABL~D AUTO DIAL ALARM SETUP - - - - - - - - - - - - D 8:VEEDER ROOT {FM4IÞ IN-TANK ALARt"lS ALL: LEAK ALARt"1 ALL:HIGH WATER ALARM ALL:OVERFILL ALARM ALL:SUDDEN LOSS ALARM ALL: HI GW PRODUCT ALARr'l ALL:INVALID FUEL LEVEL ALL:PROBE OUT ALL:HIGH WATER WARNING ALL:MAX PRODUCT ALARM ALL:GROSS TEST FAIL ALL:PERIODIC TEST FAIL ALL:ANNUAL TEST FAIL ALL:PER TST NEEDED WRN ALL:PER TST NEEDED All '1 ALL:NO CSLD IDLE TIME ALL:CSLD INCR RATE WARN ALL:ACCU_CHART CAL WARN ALL:RECON WARNING ALL:RECON ALARM ~ ALL :LOW TEr'IP WARN I. ALL :GROSS FAIL LI NE TNK LIQUID SENSOR ALMS ALL: FUEL ALARr'l ALL:SENSOR OUT ALARM ALL : SHORT ALARt"1 ALL:WATER ALARM ALL:WATER OUT ALARM ALL:HIGH LIQUID ALARM ALL:LOW LIQUID ALARM ALL:LIQUID WARNING RECE I VER ALARr'IS SERVICE REPORT WARN ALAR!'1 CLEAR WARN I NG PRESSURE LINE LEAK , ALL:GROSS LINE FA I ALL:ANNUAL LINE FA ALL:PER TST NEEDED ALI'1 ALL:PLLD OPEN ALARM ALL: UNKNOWN ALARt"1 ALL:UNKNOWN ALARM ALL:UNKNOWN ALARM ALL:PERIODIC LINE FAIL ALL:ANN TST NEEDED ALM ALL: LOW PRESSURE ALARt"1 ALL:UNKNOWN ALARM ALL: CONT HANDLE ALI'I ALL:FUEL OUT ALL:LN EQUIP FAULT ALM ," I~'t..·:;:: 'f.-,.' . IN-TANK SETUP ------ - T 1: REGULAR PRODUCT CODE : 1 THERr1AL CöEFÞ-~~D7OD- TANK DIA~ETER 92.00 TANK PROFILE 4 PTS FULL VOL 9728 69.0 INCH VOL 7910 46.0 INCH VOL 4864 23.0 INCH VOL 1818 t"lETER DATA N. FLOAT SIZE: 4.0 IN. WATER WARNING : 0.8 HIGH WATER LIMIT: 1.5 MAX OR LABEL VOL: 9728 OVERFILL LIMIT 94% 9144 HIGH PRODUCT 98% 9533 DELIVERY Llt'1IT 14% 1459 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : t"lAN I FOLDED TANKS n¡: NONE 500 3 50 1. 16 e LEAK MIN PERIODIC: 0% o LEAK t'l I N ANNUAL 0% o PERiODIC TEST~VPE STANDARD ANNUAL TEST/FAIL ALAR!'! DISABLED PERIODIC TEST FAIL ALAR!'1 DISABLED GROSS TEST FAIL ~ ALARr'l D I S.ED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK rST SIPHON BREAK:OFF RECON WARN LIMIT: 3 RECON ALM LIMIT: 4 DEL I VERY DELAY;?: 3 r'l IN .~. ~'F- 2::-f!LUS--=-· PRODUCT CODE THERMAL COEFF TANK DIAr'1ETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL r"1ETER DATA e FLOAT SIZE: WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL LI 1"11 T HIGH PRODUCT DELI VERY LI tv1 I T LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : MANIfOLDED TANKS T!:I: NONE LEAK MIN PERIODIC: LEAK tv1l N ANNUAL 2 : .01700 : 00 : TS 9728 7910 4864 1818 NO 4.0 IN. 0.8 1.5 9728 94% 9144 98% 9533 14% 1459 ADO ·3 50 1. 56 0% o o}ó o PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL . ALARr"1 D I S~ED PERIODIC TEST fAIL ALAF:~'l DISABLED GROSS TEST fAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF RECON WARN LIMIT: 3 RECON ALM LIMIT: 4 DELI VERY DELAY 3 Ivll N e ~_. T 3: PRE!"! I UM PRODUCT CODE THERl"lAL COEFF TANK DIAI"1ETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL I"1ETER DATA FLOAT SIZE: 3 : . 000700 92.00 4 PTS 9728 - 1818 NO 4.0 IN. WATER WARNING : 0.8 HIGH WATER LIMIT: 1.5 1"1AX OR LABEL VOL: 9728 OVERFILL LIMIT 94Y, 9144 HIGH PRODUCT 98y, 9533 DELIVERY LIMIT 14y, 1459 LOW PRODUCT : 500 LEAK ALARM LIMIT: 3 SUDDEN LOSS LIMIT: ~Ol TANK TILT . rvlAN I FOLDED TANKS Tit: NONE LEAK Ivl1 N PER 10D I C : LEAK 1"1 I N ANNUAL O}ó o 0% o PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARt"1 DISABLED PERIODIC TEST FAIL ~ ALARM DIS~D GROSS TEST FAIL ALAR!"1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK 1ST SIPHON BREAK:OFF RECON WARN LIMIT: 3 RECON ALt"1 LIMIT: 4 DEL I VERY DELAY 3 Ivl IN . TTI'FI1ITE-FACrOR : MODERATE GROSS TEST AUTO-CONF I RI"1: DISABLED REPORT ONLY: DISABLED TST EARLV STOP:DISABLED LEAK TEST REPORT FORMAT NORI"IAL 102960 204-0461-0501 2600 ~'JH ITE LANE. BAKERSFIELD, CA. 80950832505001 e MAV 19, 2003 1 :12 ýM - - - - - - - - - - FUEL rvlANAGErv1ENT SETUP DELIVERY WARN DAYS: 0.0 AUTO PRINT: DISABLED e T 1: REGULAR AVG SALES-SUN: AVG SALES-MON: AVG SALES-TUE: AVG SALES-WED: AVG SALES-THR: AVG SALES-FRI : AVG SALES-SAT: T 2:PLUS AVG SALES-SUN: AVG SALES-r"10N: AVG SALES-TUE: AVG SALES-WED: AVG SALES-THR: AVG SALES-FR I : AVG SALES-SAT: T 3:PREMIUM AVG SALES-SUN: AVG SALES,,:::tl0N: AVG SALES'q'ÛE: AVG SALES"':WED: AVG SALES-,THR: AVG SALES-FRI :' AVG SALES-SAT: 1687 GAL 1628 GAL 1505 GAL 1512 GAL 1528 GAL 1894 GAL 1656 GAL 440 GAL 304 GAL 285 GAL 271 GAL 297 GAL 297 C'AL 39E. 198 GAL 153 GAL 121 GAL 120 GAL " 1 77 GAL 198 GAL 266 GAL ~R~S~U~E_L~NE_L~A~ ~~ Q 1 :REGULAR TVP:2.0/3.0IN FIBERGLASS 2.01N DIA LEN:230 FEET 3.01N DIA LEN: 0 FEET 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI T 1 :REGULAR DISPENSE ,...IODE: STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI e Cd 2;PLUS TYP:2.0/3.0IN FIBERGLASS 2.01N DIA LEN:230 FEET 3.0IN DIA LEN: 0 FEET 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: O. T 2:PLUS DISPENSE 1"10DE: STANDARD SENSOR: HIGH PRESSURE PRESSURE OFFSET: O.OPSI Cd 3: PREr"t I Ufvl TYP:2.0/3.0IN FIBERGLASS 2.01N DIA LEN:230 FEA. 3.01N DIA LEN: 0 FEll' 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: AUTO SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFE:NO LOW PRESSURE: 0 PSI T 3: PREI'1 I Uf'1 DISPENSE MODE: STANDARD ... SENSOR: HIGH PRESSUR~ PRESSURE OFFSET: O.OPSI LINE LEAK LOCKOUT SETUP - - - - - - - - - - LOCKOUT SCHEDULE DAILY START TIME: DISABLED STOP TIME : DISABLEf4IÞ ..,F PERIODIC RECONCILIATION rv10DE: . t10NTHLY ALAR~1 : ' DISABLED TEf1P COt"lPENSATION STANDARD METER CALIBRATION OFFSET: 0 . ooo~~ BU¡¡3 SLOT FUEL J"JETER TAN~ ------ -----'~ TANK ¡vtAP E~'1PTV f ,,"'--- AUTO SHIFT 1i3 CLOSING TI ME: DISABLED AUTO SHIFT 1i4 CLOSING , T Hv1E : 4 : 00 At"¡ AUTO SHIFT Ii! CLOSING ! \T !t"1E : 5: 45 AJ"l AUTO" SH I FT #2 CLOS I Nt. "- T I rvlE; DISABLED AUTot"1ATIC DAILY CLOSING TIr"1E: 2:00 AI"1 - .¡;. , RECONdILIATION SEtDP'~-~ _ _ _ _ _ i _ _ _ ~ _ _ -- ANNUAL TEST FAIL ALARt'l DISABLED PERIODIC TEST FAIL ~ ALARM DIS.D GROSS TEST FAIL ALARI"1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF RECON WARN LIMIT: 3 RECON ALM LIMIT: 4 DELI VERY DELAY : 3 1'1 I N PERIODIC TEST TYPE STANDARD 0% o 0% o 9728 94% 9144 98% 9533 14% 1459 500 3 fÎ? 0.8 1.5 4.0 IN. 3 : .000700 92.00 4 PTS 9728 - 1818 NO LEAK 1"1 I N ANNUAl, LEAK rvl1 N PERIODIC: LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT 11AN I FOLDED TANKS TI*: NONE WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DELI VERY L I M IT FLOAT SIZE: T 3: PREM 1 ur1 PRODUCT CODE THERI"IAL COEFF TANK D I AI"1ETER TANK PROFILE FULL VOL 69.0 INCH VOL 46.0 INCH VOL 23.0 INCH VOL I"1ETER DATA - _..: _.~~ - ---. -~~ PLLD LI NE D I SABLE SETUP - - - - - - - - - - - - Q 1: REGULAR IN-TANK ALARtvlS T 1: LEAK ALARt"l I T :HIGH WATER ALA i T 1: LOW PRODUCT ALA 1 T : SUDDEN LOSS ALARf"1 T :GROSS TEST FAIL L,I QU I D SENSOR ALMS L : FUEL ALARr"! L 4 :FUEL ALARt"l L 1 :HIGH LIQUID ALARM L 4:LOW LIQUID ALARM Q 2 : PLUS IN-TANK ALARMS T 2:LEAK ALARM T 2:HIGH WATER ALARM T 2:LOW PRODUCT ALARM T 2: SUDDEN LOSS ALARrv1 T 2:GROSS TEST FAIL LIQUID SENSOR ALMS 4IÞ L 2:FUEL ALARM L 5: FUEL ALARt"1 L 2:HIGH LIQUID ALARM L 5:LOW LIQUID ALARM Q 3: PREM I Utvl IN-TANK ALARlvlS T 3:LEAK ALARM T 3:HIGH WATER ALARM T 3: LOW PRODUCT ALARt"1 T 3:SUDDEN LOSS ALARM LI QU ID SENSOR ALt"IS L 3:FUEL ALARM L 6:FUEL ALARM L 3:HIGH LIQUID ALARM L 6:LOW LIQUID ALARM -- .----~~ ~ ~ LIQUID SENSOR SETUP - - - - - - - - - - L 1 :REGULAR SUf'1P 'DUAL FLT. HIGH VAPO~ CATEGORY: STP SUMP~ L 2 : PLUS SUfvlP DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 3: PREM I ur"! SUI"IP DUAL FLT. HIGH VAPOR CATEGORY : STP SUMP L 4:REGULAR ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 5:PLUS ANNULAR TRI-STATE (SINGLE F~) CATEGORY : ANNULAR ~E L 6: PREr"1 I Ut"1 ANNULAR TR I -STATE (SINGLE FLOP.'I'~ CATEGORY : ·'ANNULAR SPACE -,\:" '.. .... , '-" " L 7:WASTE OIL ANNULAR TR 1 -STATE --mmdLE ,FLOAT) CATEGORV : ANNULAR SPACE L 8:NONE - NORt"\ALLY CLOSED ._ CATEGO~Y : OTHER SEN. S 05/16/2003 FR! 17:23 FAX µ~~ ~~ ~UUG I¥;¥~ -- ~~~~LU ~lK~ ~K~V~MllUN . l~61J85a-21?2 IaI 003/004 p.2 / 7\ CITY OF BAKERSFIELD ~T - 0 I ( 0 OFFICE OF ENVIRONMENTAL SERVICES ?~ 1715 Chester Ave.., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTINGtrRACER TESTING PAaurv ~~ . . ADDRESS - D ~lA.:i~ \ ~ I ?·n.\&.vs~(7ld " C,Q , PBRMl'I'TO OPERATE4t . OPERATORS NAME ~\A.Q.o.1.. t)7l {O~~f\'ú' OWNERS NAME ~ l~~ Q'\ \ C rN"O~Y'. ~ NUMBER OF TANKS TO BB TESTED PIPING GOING TO BE TBST.ED_ TANK # 1 VOLUME 550 CONTENTS \J\Jo...%-+e.. o'i 1_ TANKTl!STlNGCOMPANY~ili~~('t::t~" . MAILING ADDRESS .?~Ö CÙI"' "s.~+é." -/~ '\'"£'...1'">\ o,'~~ \ c:~~')~.~~ NAME & PHONE NUMBER OF CONTACT PERSON?::rCt "rJc.r,Sm N.k C(fcP-·(¿,,/(P'i"'='<Pð TBSTMBTHOD ~tc-ø~J2JreLW =-D ~ NAME OF TBSTBR OR SPECIAL INSPB :-'- :FIt\. Y'.k- CERTIFICA'IION- 5DD~LtS- DAm & TIME msT IS TO BE CONDUCTED 511 q/ 03. 7~.......... ~~ -'/~~J 6i1"1.~h""".' ¿ APPROVED BY DATB GNA, ¥ APPliCANT Mrp. lÞ 03 12:59p . S.I1. Bruce T. Marubashi . 209-577-5964 p. 1 e:;,\,\;;;/,!i" ; '.', " .,- ~:m;ü:t'.\J~ '"r:~~,,_,.. Shelf Oil Products US Northwest Region 3468 Claremont Avenue Modesto, CA. 95350 TO: R~{rl II u.~'r 1Sd<.crs {;f:..IJ F Þ DATE: ~ / II 101 " (. ( J l.' 0 S ') , FAX#: fROM: Bruce T. Marubashi Shell Oil Products Northwest Region btmarubashi@equiva.com Phone #: (209) 577-5960 Fax #: (209) 577-5964 FAX TRANSMITIAL NUMBER OF PAGES INCLUDING THIS PAGE 4- IF YOU DID NOT RECEIVE ALL OF THE PAGES, PLEA.SE CALL (209) 577-5960 COMMENTS: 2003 EOUILON - SHF.LL OIL COMPANY (I) UST FINANCIAL LIABILITY DOCUMENT (2) LIST OF SHELL BRANDED FACILITIES COVERED BY THIS DOCUMENT PLEASE FORWARD TO THE APPROPRIATE SHELL INSPECTOR'S, TO A VOID THE NUMEROUS REOUESTS FOR THIS DOCUMENT. ïSç..kC¥".Þ·t~~ I J.. 01 k/ r7'" I <-~-7 THANKS! CALL ME IF ANY PROBLEMS. Bruce T, Marubashi HSE Analyst - NWR, Bay Area -'-- -'- ----.. '-' e H.;'r 11' 03 12:5Sp Bruce T. Narubashi e 20S-577-5S64 p.2 UNDERGROUND STORAGE TANK LIABILITY ENDORSEMENT ,: Named Insured ',Endorsement N..mbèr:--'·.. " i :-_;:~~~i~~pany" '¡-poliCY P8riöëï'- .".- -"-- .-- ,- £ffèdjÿë-ö-.õfËi"io,.semënt I !, GL09307950-00 ....,_ i Januðr)' 1,2003 to Jan.u_~_ry_~(._~OO4 __-' January 1, 2003 I Issued by (Name of Insurance Company) Zurich American Insurance Company 1400 American Lane Schaumburg,Il. 60196-1056 1-800-382-2150 -jöSëri the pÕiitY- ':¡¡''¡;¡ië,:''iiië i-emãiñïié-;: -ör tM' iiiti:miatlOn IS to be completed only when tI1lS endorsement Is "iiSuecÎ suÞsèQiïéñïtôtiíè- ,. I"epðratlon or the pelley. THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance Prav1ded under tÞe following: COMMERCiAL GENEIlAL UA8JUTr CERTlF1CATlON ENDORSEMENT FOR SCHEOUlED TANKS I. This endorsement certifies that the policy to which the endorsement is attached provides iiðbility insurance covering the folloWIng Underground Storage Tanks: Schedule of Tanks attached for taking corrective action, and/or compensating third parties for "bodily injury" and "property damage" caused by either "sudden accidental releases" or "nonsudden acddental releases" or "accidental releases"; in accordance with and subject to the limits of liðbllity, exdusions, conditions, and other terms of the policy; arising from operating the underground storage t.ank(s) identified above. The limits of liability are: Each Occurrence Annual Aggregate $1,000,000 $2,000,000 exclusive of legal defense costs, which are subject to a separate limit under the policy. This coverage is provided under GL093079So-00. The effective date of said policy Is January 1, 2003. 2. The insurance afforded with respect to such occurrences is subject to all of the terms and conditions of the policy; provided, however, that any provisions inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby amended to conform with subsectIons (a) through (e); a, Bankruptcy or insolvency of the insured shall not relieve Zurich American Insurance Company of itS obligatIOns under the policy to which this endorsement is attached. b. Zurich American Insurance Company Is liable for the payment of amounts within any deductible appliCZlbfe to the policy to the provider ot corrective action or a damaged third-party, with a right of reimbursement by the insured for any such payment made by Zurich American Insurance Company. This provision does not ò M::ëtr ,1],t 03 12: 59p -- Bruce T. Marubashi '. 209-577-5964 p.3 appfy with respect to that amount of any deductible for which coverage IS demonstrated under another mechanism or combination of mechanisms as spedfled in 40 CFR 280.95-280.102. c. Whenever requested by a Director of an implementing agency, Zurich American Insurance Company agrees to furnish a signed duplicate original of the policy and all endorsements. d. Canœllation or any other termination of the insurance by the Zurich American Insurance Company, except for non-payment of premIum or misrepresentation by the Insured, will be etfective only upon written notice and only after the e (piratioo of 60 days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written noöce and only after expiration of a minimum of 10 days after a copy of such written notice Is received by the insured. I hereby certify that the wording of this instrument is identical to the wording 40 CFR 280.97(b)(1) and that the Zurich AmeriC3n Insurance CompDny is licensed to transact the business of Insuranœ or eligible to provide Insurance as an exœss or surplus lines Insurer In one or more stares. ," A-e~ T ~ Authorized Representative for Zurich American Insurance Company Name: Title: Address: Duncan Plaskett Vice President Marsh USA, Inc. . 1000 LouiSiana - Suite 4000 Houston, TX. 77002 Q.. o o .. -0 o ('I) o .4 -1. L., "'h 1: '.. .c VI "' .D ::J L IV 1: . I- III o ::J a',L WaI Bruce T. Marubashi Shell Oil Products - Northwest Region 209-577-5960 (fax5964) .. CD (7) If) I r- r- If) I . TEXACO SHELL TEXACO TEXACO TEXACO TEXACO HS&E Analyst BAKERSFIELD BAKERSFIELD 5300 OLIVE DR BAKERSFIELD 5321 STOCKDALE HWV BAKERSFIELD 6439 ROSEDALE HWY BAKERSFIELD 9069 GRAPEVINE ROAD WE LEBEC 25712 WARD DR KETTLEMAN CITY UST Financial Responsibility - Year 2003 Shell Oil Products - Shell & Texaco Branded Facilities Bakersfield Market Brand Address TEXACO 2401 N OAK ST 2600 WHITE LN TEXACO TEXACO SHELL SHELL 3805 ROSEDALE HWY 3621 CALIFORNIA AVE 3698 MING AVE 4050 GOSfORD RD City BAKERSFIELD BAKERSFIELD BAKERSFIELD BAKERSFIELD KERN KERN KERN KERN KERN KERN KERN KERN KERN KINGS County KERN State CA CA CA CA CA CA CA CA CA CA CA ZIP 93301 93304 93308 93309 93309 93309 93308 93309 93308 93243 93239 I .. . Q.. ~--- lU~~~U 204-0d61-0501 2600 I",JH J TE LANE. BP,)ŒF:~3F I ELI). CA. 8[1'3~,Ot::~:2'~050Cll n '-."./ JAN 28. 2008 1 :22 ~1 I r'~\,iENT¡)¡'('¡' REF'C¡;rr T 1: F:EGUUIR \/(jLUnE ULLAGE 90:\: ULLAGE= HEIGHT I",IATER '·./OL ~,JATER TEf''IP .:4 '3~':::~~ 1,';HLf3 '1 :'j 0 J ':;AU:; :3:::::30 ,jiU:: 'It,.43 J 1"ICH£3 o 1~.;ic';L;=:: U . 00 JI"ICHD3 61 . r:, DEG F T :::: PL,U:3 VOLUME 4484 GP,LS ULLAGE ~:'~:44' GAL:=:; ':)0":: ULLAGE= 4~'71 (;11' -, HEIGHT = '1:3.29 J e=:; klATER \lOL. 0 I~;AL~~ ["JATER 0 . 00 INCHES TH'lF t,. '3 . Eo DEG F T :3:¡:'F:H'IIUI' \/OLUnE ULU~GE 90% ULLN:;E= HE J (;HT ~,JATER VOL I.JATER TEr"lP ~.3452 GAL~::: y ~??f. GALE; ::j]I]:3 Gf'~LS 50. 19 I I'K~HES o GAU:; 0.00 I I~CHES 7J.J DEG F ~ ~ M M M END ~ ~ ~ ~ ~ ~ (\. UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program FACILlTYCONTACT Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ( INSPECTION DATE INSPECTION TIME ~CULc- ~bcL_____,____________.,,_.___.______ . - ~fl3 ___,_____, PHONE No. No. of Employees ~ \k LN____, g3J . t{RO ( _..£..__ Business ID Number 15-021- e ADDRESS LJ Routine , ,,§~þti.on1 : Business Plán~nd Inventory Program ~ombined 0 Joint Agency D Multi-Agency LJ Complaint LJ Re-inspection ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND -----------~---_.._._----------~-------- -----_._----_...--------~---_._----_., --_.~-------'-+_.----_._--"---------_._--'-----'---'---~ BUSINESS PLAN CONTACT INFORMATION ACCURATE ______" ..___.__~___._______.__ _~._._,___,_____ ____,_._____.__.___.______.,.___________ u_____.._.._.....___.___.....__ VISIBLE ADDRESS ---------------.---.----.----..-----. ..--- - _.__._-----------_._-~-------_._-~_._._,-----_.._-_._.-~- -.... ---.----""---. - -----.-----.,------ CORRECT OCCUPANCY ----_.~--_.. - ----..-.-+-----.--..-.---,-.. _..---_._._------------._"".._~~---_._._---_._---_.-._-- --------~----_... VERIFICATION OF INVENTORY MATERIALS 7>ERIFlC:~0N Of ~UAN-'IT"S ___=~==--== ===-=-~=_====-======-~== o VERIFICATION OF LOCATION -+---~--------_._-------_.._---- -------.-----..,-,,-"'--.--.,-----,----..---.-,-,.--,-..-_....,--, ~ PROPER SEGREGATION OF MATERIAL ~ ~ . .~_._---_._---_._--,_._._-.._-- .._---+---~-,-----_.-._----,----,-,.._---_._------------ --------.---.----.---.. ..---- LJ VERIFICATION OF MSDS AVAILABllITYE -----------~--------------------,,--_._--- ------.-.,.---------.'--.--..------.----.----------.-"-------_._~---------- ~ VERIFICATION OF HAT MAT TRAINING ._-_._--_._,--~ -~---------_.._----------_.,-----------_._--_.._----_.---,~_._-_._-_._._-----_._-_._. o VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ¿ EMERGENCY PROCEDURES ADEQUATE ~-----~- -- ~-------_.~----------~--~-- ---- ~ FIRE PROTECTION --- --------------~-----------_._----------- ----------------:----------,-. -------.-----.---------- .--.-.----------. o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: LJ YES rO EXPLAIN: £_---,- Badge No. CTION? PLEASE CALL US AT (661) 326-3979 White - Environmental Services Yellow .. Station Copy Pink.. Business Copy 0, e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME CohJc. I-N ,~h.~{( INSPECTION DATE I,. d ß" () 3 Section 2: Underground Storage Tanks Program o Routine 9 Combined 0 Joint Agency Type of Tank Orl)F- Type of Monitoring UW\ o Multi-Agency 0 Complaint Number of Tanks t.f Type of Piping ,4fllP ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile L / Proper owner/operator data on file v / Permit fees current V ~ Certification of Financial Responsibility V / Monitoring record adequate and current V I Maintenance records adequate and current V t/ /' Failure to correct prior UST violations /' Has there been an unauthorized release? Yes No \ / - Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY' Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Comp]jance N=NO Inspector: Office of Environmental Services (805) 326-3979 White· Env. Svcs, Pink· Business Copy FIRE CHIEF' RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES' ENYIRONIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 32&0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 32&0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- .-- January 22,2003 White Lane Shell 2600 White Lane Bakersfield CA 93309 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1,2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel deli very for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Si;( Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc . ""~~ de WO/~ j7tve ~0P6 §"'kz, A W~'I'I FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES. ENVIRONIlEHTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 32s.D576 PUBLIC EDUCATION I 1715 Chester Avè. " Bakersfield, CA 93301 VOICE (661) 326·3696 FAX (661) 32s.D576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)326~576 TRAINING DIVISION 5642 Victor Ave, Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 It - January 3, 2003 Mr. Tony Palagyi Shell Oil Products US P.O. Box 7869 Burbank, CA 91504-7869 RE: New Landowner Notification and Participation Requirements 2601 White Lane Texaco #121017 in Bakersfield, CA Dear Mr. Palagyi: This letter is to infonn you of new legislative requirements pertaining to cleanup and closure of sites where an unaµtho!Ízed release of hazardous substance, including petroleum, has oçcUITed from an underground storage tank (UST). Section 25297.15(a) ofCh. 6.7 of the Health & Safety Code requires the primary or active responsible party to notify all current record owners of fee title to the site of: I) a site cleanup proposal, 2) a site closure proposal, 3) a local agency intention to make a detennination that no further action is required, and 4) a local agency intention to issue a closure letter. Section 25297.15(b) requires the local agency to take all responsible steps to accommodate responsible landowners' participation in the cleanup or site closure process and to consider their input and recommendations. For purposes of implementing these sections, you have been identified as the primary or active responsible party. Please provide to this agency, within twenty (20) calendar days of receipt of this notice, a complete mailing list of all current record owners of fee title to the site. You may use the enclosed list of landowners fonn (sample letter 2) to comply with this requirement. If the list of current record owners of fee title to the site changes, you must notify the local agency of the change within twenty (20) calendar days from when you are notified of the change. ----- ~~7~ ~(~~ '.¥OP.A~.r~ A W~" ":.' -- e I¡' ~ Landowner Notification Page 2 If you are the sole landowner, please indicate that on the landowner list form. The following notice requirements do not apply to responsible parties who are the sole landowner for the site. In accordance with Section 25297. 15(a) ofCh 6.7 of the Health & Safety Code, you must certify to the local agency that all current record owners of fee title to the site have been informed of the proposed action before the local agency may do any of the following: 1) consider a cleanup proposal (corrective action plan) 2) consider a site closure proposal' 3) make a determination that no further action is required 4) issue a closure letter You may use the enclosed notice of proposed action form (sample letter 3) to comply with, this requirement. Before approving a cleanup proposal or site closure proposal, determining that no further action is \ required, or issuing a closure letter, the local agency will take all reasonable steps necessary to accommodate responsible landowner participation in the cleanup and site closure process and will consider all input and recommendations from any responsible landowner. Sincerely, dLJff~ -- Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dc enclosures S:\USTFORMS\UST.U - - ~, :; $ .. < ¿~ample Letter (2): List of Landowners Form ,:r Date: City of Bakersfield Fire Department Office of Environmental Services c/o Howard H. Wines, III 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Certified List of Record Fee Title Owners for Site name Site address Fill out item 1 if there are multiple site landowners. If you are the sole site landowner, skip item 1 and fill out item 2. 1. In accordance with section 25297.15(a) of Chapter 6.7 of the Health & Safety Code, I, Name of primary responsible party certify that the following is a complete list of current record fee title owners and their mailing addresses for the above site: 2. In accordance with section 25297. 15(a) of Ch. 6.7 of the Health & Safety Code, I, Name of primary responsible party certify that I am the sole landowner for the above site. Sincerely, Signature of primary responsible party Name of primary responsible party ~ ~ ,/.,;" ~'t '~ ¡f Sample Letter (3) NotieProPOsed Action Submitted to Local Agenc. Date: City of Bakersfield Fire Department Office of Environmental Services c/o Howard H. Wines, ill 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Notice of Proposed Action Submitted to Local Agency for Site name Site address In accordance with section 25297. 15(a) of Ch. 6.7 of the Health & Safety Code, I, , 'certify that I have notified all Name of primary responsible party responsible landowners of the enclosed proposed action. Check space for applicable action(s): _ cleanup proposal (coITective action plan) _ site closure proposal _ local agency intention to make a detennination that no further action is required. _ local agency intention to issue a closure letter. Sincerely, Signature of primary responsible party Name of primary responsible party cc: (Names and addresses of all record fee title owners) UNITED STATES POSTAL SERVICE I; -.. First-Class Mail Postage & Fees Paid USPS ~ Permit No, G;10 e · Sender: Please print your name, address, and ZIP+4 in this box · BAKERSFIELD FIRE DEPARTIAENT OFFICE OF ENViRONMENTAL SERViCES 1715 Chesær Avenue, Suite 300 Bakersfle.!d, CA 93301 · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverså' so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1, Article Addressed to: WHITE LANE SHELL 2600 WHITE LANE BAKERSFIELD CA 93309 2'r' .. ., o Agent o Addressee C, Date qte~iVery '\ D, Is delivery address different from ite~h 0 Yes ,\,,"'- If YES, enter delivery address below: 0 No 3. Service Type )[] Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.Q,D. 4. Restricted Delivery? (Extra Fee) 0 Yes 7002 0860 0000 1641 7138 PS Form 3811, August 2001 Domestic Return Receipt , 02595-02-M-0835 ~--- ---~---- ,...:¡ .::t' ..J] M CJ CJ CJ CJ U 5 Postaga $ \. Certified Fee CJ Return Receipt Fej> ..J] (Endorsement Required) cO Restricted Delivery Fee CJ (Endorsement Required) Total Postage & Fees $ Postmark Here ru CJ CJ Sent To I"- WHITE LANE SHELL s;;;,;;¡;Äpi.,¡õ:¡···············..·..······..··..·····..··..·····............................ 01 p~ Box No. ........~f!º.º..1m!!)L!~lL.............._........... ëiiy,·šiåi;;,·ž/Ì';;ï BAKERSFIELD CA 93309 :., -. II .. . A. . . r~H:=~"~~ Certified Mail Provides: · A mailing receipt · A unique identifier for your mail piece · A signature' upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mail or Priority Mail, · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail, · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee, Endorse mail piece "Return Receipt Requested", To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. / · For an additional fee, delivery may-. be restricted to the addressee or addressee's authorized agent. Advise t'he clerk 0rc' ark the mailpiece with the endorsement "Restricted Delivery". · If a postmark on the Certified Mail receipt is desired, please present the arti-, cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed_tach and affix label with postage and mail. IMPORTANT: Save th . eipt and present it when making an inquiry. PS Form 3800, April 2002 (Reverse) 102595·02·M·1132 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 MW Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 MH" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 PREVENTION SERVICES FIRE SAFm SERVICES' ENVIRONMENTAl. SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 ~---~---- ~. .!i\ .., ',.~..,~ ~ .~ . --; \;. - - --. e -, f't, .. \ October 31, 2002 White Lane Shell 2600 White Lane Bakersfield CA 93309 CERTIFIED MAIL REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last six months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perfonn this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to Derform this test. bv the necessary deadline. December 31. 2002. will result in the revocation of vour Dermit to ODerate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sin~ cUko Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services ""7~ de W~.¥OP ~0Pe.r~ A W~" - Q 1 :PLLD SHUTDOWN ALARM D 8: AU'iRt"l CLEAF: II,JAF:I'~ I NG D 8:AUTODIAL FAILURE T 1: SUDDEN LOSS AU~Rr"1 - - - - -- - - - -- - - SYSTEM STATUS RE~)RT JUL 31. 2002 12:29 PM 1 (I' - =,(1 204-,(146,1-0501 2t I....JHITE LA/.JE. BAL F:EF I ELII. CA. 8095083250:11]01 D 8: AUTOD li\L FA] LURE D 8: ALARt'l CLEf4R í,JAF:N 1 NG Q 1: PLLD BHUTDOI^IN ALARI"1 T 1: BUÜ['EN LO~3t:: !\LAF:I"l -- - -- - ----....- SYSTEf" STATUS F:n>ORT JUL :3\. 2002 12:29 1='1"1 102960 204-046\-0501 2600 1"IH I TE LANE. BAKERSFIELD. CA. 809508:3250500 \ AUTODIAL ALARM ---- D 8:VEEDER ROO~ ¡FMS) AUT0rHÄCFÄ Î LURE- JUL 31. 2002 12:27 PM PRESSURE LINE LEAK ALARM o 1: REGULAR PLLD SHUTDm,IN AU'IRr'l JUL 31. 2002 12:13 PM ~---- SENSOR ALARM L 1: REGULAR ~:)UJ"lP STP S UI"1P HIGH LIQUID ALARM 0UL 31. 2002 12:13 PM pAURE L ¡ NE LEf1K ALAR!'" o '~IREC; ULAR ' PLLD SHUT[iOJ,..)N ALAF:t'l JUL 31. 2002 12:14 p~ ----- SENSOR ALAR~ ----- L 4:REGULAR ANNULAR ANNULAR SPACE FUEL ALARt"1 JUL :31. ::~002 1 ~~: 14 PI"1 " e PRE:=~SURE LINE LEAK ALARt" Q 1: REGULAR PLLD :3HUTDOI/JN ALAF:I"I JUL 31. 2002 12:20 PM T 1: REGULAR SUDDEN LOSS ALARM JUL 31. 2002 12:20 PM i., ---- IN-TANK ALARM T 1: F:EGULHR FRO BE 0 UT JUL 31. 2002 12:21 ~1 e 102960 204-0461-0501 2600 ¡,.JH I TE LANE. BAKER~:W 1 ELD. CA, 809150:3:32505001 JUL :31. 2002 12: 25 pr"! SYSTEM STATUS REPORT - - - - - - - - - - - - T 1: SUDDEI'- LO;::;f:: AU\Rr"l D 8:ALARM CLEAR WARNI~; Q eLLD SHUTDOl.JN ~~LAF:r'" PF1E;':.;SLJRE LINE LE~~}: ALARr"! Q ,~,. F'LlI".' PLL:¿ Sf:¡'lJ1T10I/lr" ALAF:1"1 JLL 31. 2002 12:26 PI"1 --.--- ~'3D SOF: ALAF:r"1 L ~~: PLUb SUI"'P f3TP SUI"lP MIGH LIQUID ALARM JUL 31. 2002 12:26 PI"1 · 102960 204-0461-0501 2600 I,,·JH I TE LI-1NE. BAKEF:SF I ELD. CA. 80'3508:32505iJCJ 1 JUL 31. 2002 12:34_PM S'i:::n'Er''I STATU:'::; REPORT -. - - - - - - -. - - - - T I :SUDDEN UX3~3 fiLAF:I'1 c ~[:r-8-:-Attivtr1Ht:Î:'ATI:;tJRE~~-~= D 8:ALARM CLEAR WARNING o 1: PLLD SHUTDOklN ALhRr"1 102960 204-0461-0501 2600 l..JH 1 TE L(';NE. BI-1IŒR::W ¡ ELD. CA. 80eE::::::250500 1 JUL 31. 2002 12:34 PM S'iSTEM STATUS REP~RT -.- - -, .- - -- - .- --. - .- T 1: :=3UDDEN LO:3S ALARr'l D 8: AlITOD I AL FA 1 Ll.lEE D 8: ALAF:I"l I::LEAR l,'JI-1F:N I NG l) 1: PLLD SHUTDOl,.JN AU:'RI"t - 102960 204-0461-0501 2600 1;,JHlTE LANE. BAKERSFIELD. CA. 80950t::3250500 1 JUL 31. 2002 12:35 ~1 S...'~:3TEI"l ::;TATU::::; F:EPORT - - - - - -- - - - - .- - T 1 :E;UDDEN ux:m ALARr"1 D 8 :AUT<.)DIAL H11 LURE D 8 :ALARt"1 (:LEAR ("JARNI NG Cd I·: PLLD -f3Hl:JTDOl,',/N ,f1LARIL_ I N-TANK ¡::'Lt~Rr'l T 1: REGULAR HIGH WATER ALARM JUL 31. 2002 12:36 PM ---- IN-TANK ALARM J 1: F:EGULAR HIGH 1)¡è.:¡TER I,JAF:N I J'~I:; JUL 31. ~?OCJ2 12: :]6 pr"1 ----.. . 102960 204-0461-0501 261~0 1.",jH I TE LANE. BAKERSFIELD. CA. 80%08:32505001 JUL 31. 2002 12:89 pJ . - ,_ TE _I ~:)Yö r"] öTATUt:; REP':JR,T - - - - - - - - - - l' r:HII:;H I"JATER ALAR!"1 T 1 :SUDDEN UX:;~3 ALARI"1 T 1 :HIGH WATER WARNIN~ D 8:AUTODIAL FAILURE D 8: AU1Rr"] CLEAR I."IAF:N I NG fa e.LD ~=:;HUTDOI",.IN ALAkr"1 I PREf:S UF:E LINE LEAK [I] tV; JUL 31. 2002 12:40 H1 (] I: F:EGULAR j . I] TEST PA~::~~3e=:; - - - - fA PI P2 ,JL¡j~. 200~~ 12: 02 It'] 40.2 ;:: 1 . ~' 21 .:, JUL 31. 2002 12:01 H1 31 . t" ') 1 1 '~, 1 .p ,JUL 31. 2052'11 :58-A~T 27.0 ')1 I '~'1 ,r,' JUL 31. 20B2'11 :53-~;-j' 40.6 01 0 01 4 JU~~3!. 20~2·tl:50~A~r :jb.~ 91 0 '~'l III _J~:NT:8:r ~:;LS_ -J NO TH3T DATA ¡::1\NH LABLE: I 3.0 HI PRESSURE EVE~rs -~ -- \ PON PI P2T NO TEST DATA AVAILABL~ PRE;=:::3Uf:E LINE LEf~I: D 1 fiG JUL 31. 2002 12:41 PM It ø 1: REGULAR _. -- -. -- t"lI D TEST PAß~3m - ,- - - PON J IJL 29. 27.6 JUL 27. 27.2 ,JUL 25. 27.1 JUL 25. 27.3 JUL 25. 27.8 FI P2 2002 1:~: '36 AI"1 20.5 20.4 2002 11: 45 F'f"1 20.7 ::;~,tJ.b 2002 4: 32 AI"1 21] . EI 20.5 200:::' 2; :32 Af"l ~:0.6 20.6 2002 12: 51 At"1 20. 8 ~~O. 9 1"11 D TEtrr FA I L8 - -- - - - -- - - FON PI P2 NC4ìj8T LI~m·~ f,\iA I LABLE PREßSURE LINE LEAK DrAG JUL 31. 2002 12:41 PM o 1 :R£GULAR 0.20 TE::n DIRe; CURF:Er:n:......Te3T.:___ _ ,., _ .. ---TIME--PRESS-RAMP RATE JUL 2'3 12:34 AM 30.7 0.39 12:18 AM 29.5 0.52 F'RE\l1 OU~3 DATA: ---T 1I"1E--r'REB~::;'F:Ar" p F:i-1TE JUL 28 12:29 AM 32.0 0.24 12: 14 Ar"l :31.9 0.35 JUL 27 . 11 : 58 PI" 11: 43 Fl'] 11 : 27 Pr' 11 :00 pr"! :31 .4-0.05 ::'W.8 0.15 28.::: '-0.28 28.:] --û.:J! AUTO-C:OI'W I Rr"J DATA -.---'--- ----,-- CURREr'H TEST: START TIME: JUL 31. 2002 r_:iH ION·: - -" '~, 0- DAY~3 SEOIJÐJT I AL F'At~;::;ES: 0 SEQUENTIAL FAILS: 0 TOTAL PASSES: 0 TaWiL FA I LS : 0 RÐ3UL T REH~::;or"J CODE: I.JORK I NG RESUL T: r"JONE LAfn TEST: 'START TIME: JUL 27. 2002 DURATI ON: 1 DA""~::; SEOUENTIAL PASSES: 2 9EQUENTIAL FAIU::;: 0 TOTAL PASSES: 2 TOTAL FAILS: 0 REBULT REASON CODE: SEQUENTIAL RESUL T: TEST PAS;::;£[) - - .', - - - - - .- - o. ~~o TEST R£E;UL Ti.;; paN RAT r 0 DUE' F:ESULT JUL 29. 2002 12:36 AM 30.7 0.39 33 PASB JUL 28. 2002 12: 29 At"] 32.0 0.24 78 PASS JUL 25. 2002 4:32 AM . 30. £, O. 12 :33 PASS JUL 23. 2002 9:58 Pf1 28.5 0.04 33 PASS JUL 21. 2002 12': 47 N"J . 27.9 0.15 j3 PASS JUL 19. 2002 7:16 Pf1 25.7 -0.17 33 PASS JUL 17. 2002 1 :09 AM 32.] -0.05 33 PASS JUL 15. 2002 3:13 AM 29.9 0.30 46 PASS JUL \ \. '2.ÜÜ'2 1 [): 5:' Ft'1 29.3 0.04 46 PASS ~1UWo.· 2002 L?: 54 Ar"] ~ 0.14 62 PASS NO-\/ENT TEST ABORTB: o OUT OF 10 TEBT 102960 204-0461-0501 2E,OO v.JH I n: U'iNE. BRJŒR:3F I ELD. C:A. 809508:32505001 JUL 31. 2002 12:41 F~ e f3',¡,'E;TH'] STATII:3 fŒP()RT ---._- T 1: HIGH ¡",lATER ALARr", T 1: f;UDDEN UX.';::=': ALARr"l T 1 :HIGH WRTER WRRNING o 8:AUTOOIRL FRILURE D 8: ALAF~r"l CLJ;AF: ",JAp.r', I NC.'; (j 1: PLLD :::3HUTDOI...JN ALRF:r"1 102960 204-0461-0501 '~f,OO "JH I TE LANE. BAKERSF 1 ELD. C:A. 809'308:32505001 JUL 31. 2002 12:44 PM F;',iC;THI ::nATUE; REF-OF:T T . (::H -I,~r~TER i~L~F:'~ - .. T'1 :SUDDEN LO::::;3 i~Lf\RI" T 1: HIGH 1,',JfiTEF.' .,JRRN I NG D 'S :AUTODIRL Fr1I LURE o 8: AUiRr"1 C:LEAR ¡¡,JARN I Nt:; (d 1: PLLfJ f3HUTDOI,,'.IN AU'iRf"1 I l'f'/ENT\::.R'l F:EPORT T 1 :REGULRR \./OLUr"IE ULLA(~E 9[1\, IJLUil:;;E"" HE.T '-', l ,.~, 1/,1, \,'uL {...IR Ta'IP f,8:3E. (;ALS '~84:? %L3 1869 GAU::; 60.75 I NCHEE; ,16 (;AL:3 :~' . 1 6 I NCHEE; '.j4 . 7 DEG F T 2:PLUS '\/0 L U""IE ULLAGE 9œ~; UU.AGE"" HEIGHT WATER VOL ~,JA TER TEr'IP 42'34 GALS 54:34 GALi:; 4461 GALS 41 . '.3:3 I NCHE:3 o GALS 1].00 I NC:HÐ3 88.:::" DEe F T 3 :PRÐII U(" \/OLUI"IE ULLAGE 90\ ULLACE", HE I ';HT ~,l(\1:E.~. \Y)ì.. -WATER TEr-IF' 439'7 GRLE; 5:3:31 GRLS 435S GALS < 2.67 [NCI-{¡;:'¿ o (;ALS O.DO I NCHE;3 89.2 DEï::;--F" M M ~ ~ M END ~ ~ ~ M ~ ~- 102960 204-0461-0501 2600 l.JH 1 TE LANE. BAKERSFIELD. CA. 809508:32505001 _I 31. 2oCI3 12: 4''JPI'1 £.¡"{f3TEf'1 ~3TATU~:i RH'ORT -----_.-~ - - - --. -+ T 1: HIGH I,JATER 1,.J~1RN I NG Ii 8 : AUTì)[¡[AL FA [LUfŒ D 8 :ALARf"1 CLEAR \...JARNl NG PF;ESE~I.IF:E LINE LEA}: ~\U'\Rt"1 o 2: FU.l~::ì PLLD f3HUTDOL,JN ALAF:I"1 JUL 31. 2002 12:52 ~1 ___n SENtìOF: ALAF:t'1 L 5: PLU~3 ANNULr'\R m~NULAF: SPACE FUEL ~\LARf'l JUL :] 1. 2C)I):;: l~': ':',2 Ft'l e PRESSURE LINE LEAK ALARM o :::: rLU~=':; PLLD SHIJTDí.}l..JN ALAF:f"l JUL 31. 2002 12:54 PM I fFrANK (ìU,F:I"1 T ,2:PLUE! SUDDEN LOE;:3 fiLAF:f'l .JU~. 2002 1:2: 54 Pt"! ~--- IN-TANK ALARM -.--- T 2 :rUJE; PF:OBE OUT -,JUL :::J1. 2002, 1~::: 54' PI"1 AUT{)[) I AL ALAF:I"1 D 8: \/EEDER ROOT i, H'I:::;) AUTODIAL FAILURE ,JUL 31. 2002, '2 : 55 PI") L I ou I [I ~3ENE~:)F: ~3ETUP --.----- ." ... ,~, ,- L _I:;UU\R ~::,UI"n:' DU~l:r. HIGH ",/¡:,P,:)F: CATE~ORi : f3TP :':ìLIt"IP L 2: PLUB ~=:ìUr''lP DUAL FLT. HIGH VAPOR ChTEGOP.'i : ~3TP ~:~Uf"lI:;' L :3: ¡:'REf"11 Uf") SUf"lP DUAL FLT. HIGH VAPOR CATEGO¡:;:;V : f;TP BUf"lP L 4: F;,£GULAR {,NNULAP TR I -'STf1TE (~~ [NCLE FLOAT I CATEGOR'{ : ANNULAf': E:~PACE L _LUB ANNULAR TF.TATE (S INGLE FLOfiT¡ CATEGOR'i : i,NNULAH :::~PACE L 6:PREMIUM ANNULAR TR I ·BTATE .; it; r NGLE FLOAT:, CATEGORY : ANNUU1H :=::PACE L 7:WABTE OIL ANNULAR T¡:;:: I -STfHE (f; I NI~~L£ FLOAT.I, (;ATEGOR\' : ANNULAR E;PACE L 8: NONE NORr"tALL\' CLOSED C!~TEGORì' OTHER ;3EN;30R~3 · -----.. SEN~30F~ ALi'iR["¡ L 2: PUt::~ ~3Ur"lP STP ~3Ur"!p SE!', ~::;()R OUT ALAPI"l JUL 31. 2002 1 :02 F~ I FF:e::;,3UF:E LINE LEHK HLARf'l o 2: PL.U':; PLLU SHU1T'OI,.IN AL¡:;Rr'l JUL 31. 2002 1 :02 PM i:ŒNf::OF: f,LARr"] L :?: PLLJt; sur"1F fHP SUl"lP HIGH LIQUID ALHRM JUL 31. 200:? 1: CI~2 PI"! Pf:E~::;,3UF:E LINE LEAr AL.¡:,:¡F:r·'1 o :3: PREt'] I ur··! PL.L.D SHUTDOli,IN ALAF:r"l JUL 31. 2002 I :05 PM ___A, ,~3ENSOF: ALAF:r'l L ~Ei'11IJr'1 sur"IP fHF' E; Uf''lI> HIGH LIOUID ALARM JUL 31. 2002 1 :05 PM FFŒSSURE LINE LEAL ALr'~F:J"l Cd :3:PRH'lIUt"! PLLD E;HUTDOt...JN ALFiRI"! JUL 31. 2002 1:06 H1 e ----- SENSOR ALARt"! ----- L 6: PREr"l! UI"l HNNULAR ANNULFiF: :3PAC~E FUEL ALARt"1 JUL 31. 2002 1:06 PM -~F'RE:3S I:lRE-"I:,tr,, Ê,{"£Þ¡K ' i'1t;AP'~'r~ Cd :3: PREf"1 I UI"l PLLD SflUT[J>:)I;.J!" ÄLARI'l JUL 31. 2002 1 :08 81 .. .Þ I N'-TFiNK :ALA}':i"1 T :3: PFH'l I Uf'l SUDDEl',j LOS:':: AU\E'I"l .J UL :31. 2002 J: 0:::: PI"l e .. I ¡ !' I N-TMW !iLr~EI"1 T ::::: PF~E!'I I UI'1 FEOBE OUT JUL 31. 2002 1 :08 pt"! l~I'Y F'~~~H {,~t p.:~f;r05Cll BA" ,tWIELD. CA. 8095CJ8::::2':!W:iOO I f: ,JUL :31. 2002 1: I::' F,[,'1 :::5i:::rTEI~1 :::3TATU;::::: kEF(:'F:T - -. - - - - - -. -- - - - ,p 8: f1UTCo[I I AL FA: LUkE ...-' ,II ::::: HLHF:r"¡ CLEiiE L.IAF':I" I NC I ,,. ~. ____ Y" ---- AUTODIAL ALARM I D 8: \/EEIÆR F:OOT ': FIt::; ,I 'I AUTODIAL ,FHILU¡~E JUL 31, 2002 1 :15 PM r 102960 204-0451-0501 2600 I.,JH I TE LANE. BHIŒF::3F I £LD. CA. 8D9':jOB:,32'150':;OD 1 '., JUL 31. 2002 1 :17 PM e ' --,-, ~3'l:::HEI"1 STATU:'::; F:E{'ORr~' ---- - - - - - - -- - - - D 8:AUTODIAL FAILURE D 8: ALARI"" CLE_Ó1)" F!/F/0!:N I,Jj;~ ::, /"" 1; , I I'~-TANK f'.:ŒTUP -~--,_.._- T 1; PECULAF: PF:ODUCT CODE THH~I"1AL C\)EFF TANK D I f; "1ETEF: TANK PROF'I LE . FULL \IOL .0 INCH VOL , 6. [I I NI::;H \/OL 23.0 j NCH \lOL ("lETER DATA FLOAT f;jZE: lJATER klARN I N('; H j (~H [,·JATER L II''1J T: r"lf~>< OR LABEL ",/OL: O\lERF I 1.L L I 1"11 T HIGH PRODUCT DELI \JERY L 1I''1I T Lm,J PRODUCT LEAK ALARM LIMIT: eA£N UÆ;~3 LIMIT: TW TILT : MANIFOLDED TANKS nt: N01' E 1 : .ODD?OO '32.00 4 PTS 97~ 8 ?910 48EA 1818 NO 4. ¡J IN. 1.0 :::.0 9728 94~;; 9144 '38~'(: 953:3 14~\ 1459 500 :3 50 1. 16 LEAK r''tIN PERIODIC: CÞ:. [I LEAK ["I I N ANNUM. 1]'\ [I PERIODIC TEST TVPE STANDARD ANNUAL TE::r1' Hi I L ~ ALÁF:t"1 DISABLED PH: I OD I C TÐ3T FA I L AbARM-b-I-SABt:Eb- (;RO~3B T£:31 FA I L ALt;iRf"l D I BASLED ANN T£::.:T AVEF:AG ¡ NG ;' PER TEST f;"JEF:f;C I Nt:; : TANK 1£';:;)' NOT I F'i : ÜFF OFF OFF DEL I \/ER''l [JELA'l TNK TST :3 I PHON BREAK: OFF :3 r"lI N e T 2: f'L US PHODUCT CODE THEF~r"lAL COEFF TANK D I Af"lETER TANK PROFILE FULL \/GL 6'3. Ü INCH I./OL 46.0 INCH 'v'()L 23.0 INCH \lOL 1"1ETER DATA FLOAT SIZE: /¡JATER I"IAF:N I NG HIGH WATER LIMIT: r"lA/ OR LABEL \JOL: O_ILL LIJ"lIT HIGH PF:ODUCT DEL I \/EF.'\' L I r"11 T LOI;../ PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: lANK TILT ¡"1AN I FOLDE[; TANKE: TIt: Nor·. [ .-, "- : . 000700 '3;:-~ . 00 4 PT~3 9'128 7'310 4864 1818 NO 4.0 IN. 1.0 ::J.lJ 9728 94% '3144 '3E:~·;:; 9533 14\: 145'3 500 :3 50 1 . ~,6 LEAK t"IIN PEPIODIC: 0\: 0 LEAK f"1IN Ai'JNUAL œ~ 0 PERIODIC: TEST '!"l¡:>E STANDARD ANNUAL TEST FAIL f~U'\F:r"1 D I BABL.ED ~ERIODIC TEST FAIL AU~Rr"1 D I ::iABLED GROSS TEST FRIL AU,¡;~J"l D I Sf1E:LED ANN TEST AVERAGING: OFF f'ER TEST A\ÆRAG I NG: OFF TAN}: TEf.n' I'KH I F\' : OFF n¡¡<: TST S 1 F'HON BREPIK: OFF DeIER'l DELA''i :3 f"1IN T 3: PREf"l I ur"1 PF:ODUCT CODE THEF:r"lAL (X)EFF TANK D I Af"1ETER TAI~K PROFILE FULL \lOL 6'3.0 INCH \JOL . 46.0 INCH \JOL 23.0 INCH \lOL ("'_ DATA FLOAT :3 I ZE : 3 : .00C1700 92.00 4 PTS ':~728 7910 481':.<1 H)l8 NO 4.0 IN. l.JATER I¡JARN I NG 1 .0 HIGH WATER LIMIT: 3.0 r"1A>< OR LABEL \/OL: 9'728 O\lERF I LL L I 1"1 I T 94~. '3144 HIGH PF:ODUCT 98~~ 95:33 DEL I \/ER'! L I 1"1 ¡ T 1 ,r~{; 1459 LOIAI PRODUCT : 500 LEAK ALARM LIMIT: :] SUDDEN LOSS hIMIT: 50 TANK TILT 1 .61 r"lAN I FOLDED TANKf; Tit: NONE 7..-- : LEAK 1"11 N PERIODIC: 0% o LEAl< 1"1 I I', ANNOr~L o::~ o PERIODIC TEST TYPE f3TANDARD ANNUAL TEST FAIL 'ALARI"1 D ¡ SABLED PERIODIC TEST FAIL ALARI'" D I f:::ABLED GROf3~3 TÐ3T FA I L ALARr"l [i I f3ABLED A.TEST iNERA(; l NC; '. (:>'i''i' ~.,'ìE3T A\/ERAG I NG : OFF TANK TEST NOTIF'{: OFF TNK TST f.'HPHON BREAf::OFF :ÇtEL I \JERl DEUÙ' :] ("IIN COt"1!"lUN I CAT I ,:)It::: ~3ETUP - - - ,.. - -- - +- -- -, PO F:T f:5ETT I NG~3 : CA,¡ BCiAFdi :3 C=:>-:=::AT > _D RATE 9600 PARITY ODD :3TOP BIT I STOP DATA LENGTH: 7 DATA F:S'-232 SECUF: I TY CODE : D I f::ABLED DTR NORMAL STATE: HIGH F:ECE I \/ER ~3ETUF': D 8:VEEDER ROOT (FMS) CALL 40000100;;:5 .RC\/R T'/PE: CC'I"IPUTER PORT NO: 3 RETR\' NO: 5 RETRy' DELA\/: :' ¡CONFIRI"1ATION REPORT: (:,Ff e AUTO DIAL T 1 1"1E ~:iETLJP: D 8:VEEDER ROOT (FMS) DIAL DAILY DIAL TII"1E : DISABLED RECEIVER REPORTS: -. --<~~ ----- -~- RS-232 END OF f"IES:3F1GE DI:3ABLED AUTO DIAL ALARI"! HETUP - - - - - - - - - -- -. D 8:VEEDER ROOT (rMS) I ",j-Tf;r',n: f~U~Rf''i:3 r~Ll. : LEA); filAR/"1 ¡-'iLL: HIGH j.',JATER f~LARt'l riL.L. ; ')\/EF.'F ILL. AU,RI" AL.L. : SUDDEN LOf3:3 AU\E'I"I ALL: HIGH PF.'ODUC~T {,LAR!! ALL: I M/AL I D FUEL L.E\/EL ALL:PROBE OUT ALL: HIGH tJATEF.' /,,I{\RN I NG ALL: f"1f.¡:< PRODUCT f,U,R/" ALL: GROS:3 TEEn' Ff\ I L ALL;PERIODIC T£E;')' FAIL. ALL : ANNUAL TE::::;T F;:\ I L ALL: F'ER 1'ST NEEDED ("IRN .... : PER 1';;3'[ NEEDED AU'! - : NO CSLD IDLE T I 1"1£ AL.L :CSLD I NCE' RATE '.Jf~RN ALL : I~CCUJ;HAFn C{\L I/JAF:r,¡ ALL: REGOI"¡ ',JARN I NG ALL: RECON f\U,RI"1 ALL : LmJ TEt"IF' j.'JAR/'¡ I NG . ALL:GROSS FAIL LINE TNK L I OU I D SEN:30R AU'IS ALL : FUn ALAF:r,' f,LL : SEN:30R GUT ALARf"! ALL : SHORT ALARf" ALL : (,JATEE' f,U,Rf"1 ALL : (".lATER OUT ALA Rf"1 ALL:HIGH LI(¡UID AL.AF:r'" ALL: LOW L I ou I Ii MAE'I"I ALL:LIQUID WARNING RECE I VEF: ALARI"!E; .' VICE REPORT [.JARN R~'I CLEAR J/.)fWN I NG PRE:3SURE LINE LEfH: ALL:GROS:3 LINE FAIL ALL: MJNUf\L Ll NE fA I L , ALL: FER Tf;T NEE!ÆÜ AU'] P,L.L : PLLD (¡PEN ¡:iUU;'/'' ,t,LL : UI'WI'JO/.\/N i~L¡::,~?r'! (~u. : UNKNOI'.JN (iLARI'! I~LL : UNKNOIoJN P,U,RI'I ALL:PERIÓDIC LINE FAIL f~LL : ANN TE;T 1"jEEÜE:J:t ¡'iLl"] ALL: LOW FRD:¡::::ueE ALAF:f"1 ALL: UNKNOWN' i;LAR/~ _ .,;. . ALL : cor'tr HANtlLE AU'! ~,LL : FUEL OUT' ALL:LN EQUIP FAULT ALM \ ...~~ _...--~-----'----- --~- --~ (02960 204-0461-0501 2600 IJJHlTE U,I', E. BAKEF:f;F] ELLI. Ci'ì. 809~,08:]25Ct'::;OO 1 JUL 31. 2002 1:25 ~1 -'-'---~-- ~:::;'i;:nTI"1 ~3TATU~; PEÇ'ORT - -". -- - D 8: AUTOD JAL FA I LURE D_LARI'" CLEAR I/H~RN] NG I N'"j[I~TOR\{ REPORT " T 1; F:EGIJLi1R \/OLUf"1E ULLAGE '30~:: ULLAGE= HEIGHT ~JATER \/01.. L-,JHTER TD1F' , T, 2 :PLUS 1,/0 LlJr"lE ULLAGE 9œ;; ULLAGE= HEIGHT IJ.'· ""'L ,', . l,/I,j ~ [,.1 -: = T '. ,,' = T 3: Pf~Er'¡ I Ur-'! ',.1(:' L Uf"'1E ULLAl;E 9()~; ULLAI,:;f.:= HEIC:HT I^JATER ',,'OL ~,JH TER TEf"lP ,. ,. ,. ,. ,"" nm 68'.':A em,s 2:::74 GAL~::~ 190 1 G{~U3 60 . ~,O I NCHE:::~ o ':;ALS o . 00 I NCHEt; 94.7 DEG F ·1 :2 f;:3 C¡:,1.:=:: :,,:W:, GALE: 4472 GALS ,11 . t::E. ] NCHE:-:: [I GALS [I. 00 I NCHE:-:; 8::: . 2 DEG F 4404 Gf~U::; t;:]24 Gf~L~3 4:351 GALf; 42.72 II',¡CHE::; o GAU3 o . 00 ] NCHÐ'ò 89. 1 DEG F * ~ ::-:: ::-:: *- '" 'i':' - ~ -~-~ù:;----- ; S',¡,'::HEI"l SETUP JUL 31. 2002 1:38 PM S''/STEI''1 UN I TS U.B. t3Yf::TEf'-'1 U~NGUAGE ENGLISH ,.,. C:",'<..;TEr"1 Di4TLT It''1E FUF-:I'Ii4 r i:;o'~ DD V'/'ti HH: ("11"\ : E:~3>J'1 1-'0 204-0461-0501 2'-- ~JH I TE LPtNE. BAIŒRSF I ELD. CA. 80'3508:32505001 SH 1 FT TI 1"1£ BH I FT T I ("'lE 2 SH II~Þli;i.J Il'lE 3 S~}:Fi!r:rj'T II"1E 4 " ,'J"',"v/ ( I SHÍF:r' BIR PRINTOUT~::; D I E;ÄBLED DA I L''/ B I F,' PR I r-no UT:3 -[¡ISABLED TICKETED DELIVERY HJf~BLED TC TICKETED DELI\lER''/ DISABLED CUX3E DA''{ OF l.JEEK SUN ,_ DA I L''/ DL \iY \/AR RPT:::: DA8LED ~,J~. V DL\/',{ \if',R F:PT:3 DISABLED PERIODIC DLVY \/AR RPTS DISABLED DA I L'i 8(}OK 'liAR RPTS DISABLED llJEEKL Y BOOK 'liAR RPTS DISABLED PEF:IODIC BOOK VAR ¡;!PT:3 DISABLED DA I LV IjAF: ANAL"," RPTE; DISABLED WEEKL',/ VAR ANAL"! F:PT~3 DISABLED PERIODIC liAR ANALV ~Rf'TS DISABLED TANI( PER 'T:3T I'ŒEDED I..JF:N DISABLED TANK ANN TST NEEDED I,ÆN DISABLED "I :00 AI"! 5: 45 Af"! DISABLED DISABLED ,;. LI NE RE--ENABLE 1"lETI'KiD PASS LINE TEST LINE PER TST NEEDED I/·JRN D I Sf~8LED LINE ANN T:3T NEED£[¡ l..,¡RN DISABLED PR I NT TC \/OLur"IES DISABLED TEr'lP COI"IPHJE;AT 1 ON VALUE (DEG F J: bU.U ST I CK HE I GHT OFF:3ET ["BLED H-PROTOCOL DATA FOF:r"1AT .HEIGHT PRECI:3ION TEST DURATION HOURS: 1 2 0.20 GPH LINE TEST AUTO-CONF I RI"1: ENABLED 0.10 GPH LINE TEST AUTO-'CONF I Rr"l: ENABLED DA'iLI (;HT BA\I I NG T I f"1£ ENABLED START DATE APR I¡JEEJ( SUN START T II'1E 2:00 AI"1 END DATE OCT WEEK 6 SUN END T 11"1E 2 : 00 AI"1 ~) r RECT LOCAL FR r NTOUT WBLED EURO PR(:¡l'\)COL PREF L< Fi SYBTEf"1 ~3ECUR IT...' CODE 000000 ~""" . " e ~, e MON{TORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6, 7, Healtll and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations .' This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by Ù1e technician who performs the work. A copy of this form must be provided to the tank system owner/operator, The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. , A. General Informati~q , Facility Name: 5 ~ t::..1/ Site Address: :;( ÓJ ()e; w,{/ f(;. LpNt:; Facility Contact Person: D Y IVd 9 rrClIñ -e Make/Mode] of Monitoring System: V ~ e..d ~ £. .... Æ lOt.? r B. Inventory of Equipment Tested/Certified Check the a ro rlate boxes to indicate s (fie ul ment Ins ted/serviced: Bldg. No.: City: Baley J' !/e Io! Zip: 953 CHt þ Contact Phone No.: (k,bl ) 9 3 ¿ - tf ro! - '7ZS ? ~O Date of Testing/Servicing: 2-C2LJ ð ¿ Tànk 10: Tank ID: / 9 ~ln.Tank Gauging Probe. Model: .$!..!;/.131ð -/. 0 7 ètin-Tank Gauging Probe, Model: '8'/..1'7 3.!lf:L. -I t.'J1 /' ~ Annular Space or Vault Sensor. _ -,Mod~l: .Æ2~'l,..o - '11.0 >~'Annu1ar Space or Vault Sensor. Mode!: 0 7 q 41 3 9ð-- <¡ ¿ò }LPiping Suínp (Trench SeltSOr(s). Model: '7'1 '131f'0 - ~~ ¿. ~ Piping Sump I Trench Sensor(s). Model;? ''I3fJ'CJ .... 3...> ¿ o Fill Sump Sensor(s), Model; LJ Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: LJ Mechanical Line Leak Detector. Model: 2 )ZlEJectronic Line Leak Detector. Model: 'Yý g-r 'lFlectronic Line Leak Detector. Model: <}-¥ fj-q o Tank Overfill I High-Level Sensor, Model: 0 Tank Overfill / High-Level Sensor. Model: ' " o Other (s eci e ui ment t and model in Section E on Pa e 2), 0 Other (s eci ui ment t and model in Section E o"n Pa e 2). Tank 10: Tank ID: ,)ì:¡Ún.Tank Gauging Probe. . Model: 911./ 7) Qt7....., &7 LJ In-Tank Gauging Probe, Model: )iÍAnnular Space or Vault Sensor. Model: (} 7'll.Jgqð ~t¡2.0 0 Annular Space or Vault Sensor. Model: '1,8. Piping Sump I Trench Sensor(s), Model; ?tJ'f 380 ~ '5 ~-2. LJ Piping Sump I Trench Sensor(s). Model: o Fill Sump Sensor(s), Model: LJ Fill Sump Sensor(s), Model: o Mechanical Line Leak Detector. Model: LJ Mechanical Line Leak Detector. Model; )f Electronic Line Leak Detector. Model: ~" 'fI"L1 LJ Electronic Line Leak Detector. Model: o Tank Overfill I High-Level Sensor. Model; LJ Tank Overfill I High-Level Sensor. Model: o Other (s eci' ui ment t and model in Section E on Pa e 2). LJ Other (5 eci e ui ment and model in Section E on Pa e 2), Uispenser ID: Dispenser ill: o Dispenser Containment Sensor(s). Model: LJ Dispenser Containment Sensor(s). Model: o Shear Valve(s). a Shear Valve(s), o Dis nser Containment Float(s) and Chain(s). a Dis nser Containment Float(s) and Chain(s). Dispenser ill: Dispenser ill: o Dispenser Containment Sensor(s). Model: a Dispenser Containment Sellsor(s). Model: o Shear Valve(s). a Shear Valve(s), o Dis nser Containment Float(s) and Chain(s), LJ Dis nser Containment Float(s) and Chain(s), Dispenser ill: Dispenser ID: o Dispenser Comainment Sensor(s), Model: LJ Dispenser Containment Sensor(s). Model: o Shear Valve(s). LJ Shear Valve(s). ODis nser Containment Float(s) and Chain(s). a D~nser ContainmenlÐ.oat(s) and Chaìn(s).C:-- ~ ,. 'If the facJlity contains more.tanks,or dispens<:ts; c6pyil\iš'i'oniLlnc1ûde information for every tank and dispenser at the facility, ,. - C. Certification. I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): 0 System,set.up O-ÂJarm DJ, h'storue~port, Technician Name (print): .5'ktf./4rl- tl.....44f Signature: ~ d L5¿_ Certitication No,: ?J 3.)"7 License. No,: '7792..b 7 /f/Ii 'Z- Testing Company Name: Lé! SerlJlCeS Phone No,:( 55"9 ) <-('1-'1 -(7} () Site Address: 2.~o wI, ìfe.. ~Yle Date ofTestinglServicing: 2/! I / 02- Page 1 of 3 03/01 .I\Jonitoring System Certification 'I' ~ ~, e e D. Re~ults of TestinglServicipg Software Version Installed: 1.2. \. üO Com tete the followin checklist: Yes D No* Is the audible alarm 0 erational? Yes D No* Is the visual alarm 0 erational? Yes D No* Were all sensors visuall ins ected, functionall tested, and confl1"1ned 0 erational? )8( Yes D No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their 1'0 er 0 ration? If alarms are relayed to, a remote mOIÚtoring station, is all commuIÚcations equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping4econdary containment mOIÚtoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check aLL that apply) Q Sumpffrench Sensors; 0 Dispenser Containment Sensors. Did ou confum ositive shut-down due to leaks and sensor failure/disconnection? 0 Yes; 1:1 No. D No* For tank systems that utilize the monitoring system as the primary tank overfiJl wanùng device (i.e. no o N/A mechanical overfill prevention valve is installed), is the overfill wanùng alann visible and audible at the tank fill oint(s) ,and operating properly? If so, at what percent of tank capacity does the alarm trigger? % Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipm.ent replacèd and list the manufacturer name and model for all re lacement arts in Section E, below. Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) D Product; 1:1 Water. If es, describe causes in Section E, below. No* Was monitorin s stem set-u reviewed to ensure ro r settin s7 Attach set u :Yes No* Is all mOIÙtorin ui ment 0 erational r manufacturer's s ìficatÎons? * In Section E below, describe how and when these deficiencies were or will be corrected. D No* D N/A D No* D N/A o Yes* o E. Comments: -- ,---"-'~ '"'- - -- - - - --,..---,--,-- '"" --- _/... Page 2 of 3 03/01 A e ;;f __ .. ~<.!. e ~. F. In- Tànk Gauging I SIR Equipment: o Check this box if tank gauging is used only for inventory control. o Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perfonn leak detection monitoring. c I t tb r n h kl' t omple e e 0 ow n~ c ec IS: YfJ Yes 0 No'" Has aU input wiring been inspected for proper entry and temùnaûon, including testing for ground faults? ~es 0 No'" Were all tank gauging probes visually inspected for damage and residue buildup? r¡s..,Yes 0 No'" Was accuracy of system product level readings tested? ~Yes 0 No'" Was accuracy of systêm water level readings tested? , !lL Yes 0 No'" Were all probes reinstalled properly? ~ Yes 0 No* Were all items"ón the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe bow and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): o Check this box if LLDs are not installed. Complete-the- 01 OWiD ~'C ec ISt:-~'~,·~,~·--- -- -. ---- ~- ----,.. -- ~--^"..;;:.-~-...,.~ -=-~,,--~, - .~- . .-..-"" --~ -- .. ,~ 3 Yes o No'" For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? o N/A (Check all that apply) Simulated leak rate: )¡(3 g.p.h.; 00.1 g.p.h; 00.2 g.p.h, . ':i\' Yes 0 No'" Were all LLDs confinned operational and accurate within regulatory requirements? m' Yes 0 No'" Was the testing apparatus properly calibrated? o Yes o No* For meChanical LLDs, does the LLD restrict product flow if it detects a leak? '):9: Nt A ~Yes o No'" For electronic LLDs, does the turbine automatically shut off jf the LLD detects a'leak? Q N/A 1t Yes o No'" For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled o Nt A or disconnected? f/ì.. Y es o No'" For electromc LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctìons Q N/A or fails a test? , JZi' Yes 0 No* For electronic LLDs, have all accessible wiring connections been visually inspected? 0 NtA i~ Yes 0 No* Were aU items on the equipment manufacturer's maintenance checklist completed? f I h k.l' -"'- - --~--~ * In the Section H, below, describe how a~d when these deficiencies were or will be corrected. H. Comments: -~~- --~-:'----,"-"""---- --- -"'="--':-- - - ,~-'<---~'"!"""" Page 3 of 3 03/01 13:3~ LC SERVICES PAGE 04 0~05/2002 . '~ $.. 4441735 e e MONITORING SYSTEM CERTIFICATION .. For Use By AU Jurisdicrlon, Wtthin che Scale of C"llfornia Authuriry Cited: Chßpttr 6, 7, Health and Safety Code; Chapter 16. Division 3, Title 23. Co.liforn.ia C()de of Regulari()n.r This fOrIn must be used to document testing and scrvicing of monitoring equipment. A se9atato œrtification ~ reyort mu¡;tbe DretlaJ'td rOT eacb, monitorine: o'\l~;tetp Ç()mrotmn~ by the technician who perf()m.\S the work. A éOp)' of this form must be provided to the tank system ownèr/operatQf. The owner/operator must submit a copy of this fonn to the local agency regulating UST systems ",,¡thin 30 days of tcst date. . A. General InfOrmatla~ .1/ Fa.cility Name: 5 ~ t'?- Site Address: 2 ÓJ /;0 .. wÆ.,·¡'c Là'~6 Facility Contact Person: J) y ~d ~ ¡=rg h1 'ë- MakefModeJ of Monitoring System: v~ ~'/71!! ~ ~ I!tPtJr B. Inventory of Equipment Tested/Certified ~heck tbe a n> rbte 1101\4:8 10 IJIdlcab\ 6 Inc \II ment Ins tedMn1cedl Bldg. No.: City: t3o.&v-J.ìc 101 Zip: 9g.JO,/ Contact Phone No.: (""I )!} 2- - '1 ro I ~ 72s ~ rð Date afTesting/Servicing: LJ..:l..L/ 02.. ~m ~~. ~1[\.TankOaugil1gprobe. 'Model: 2~.l'tt:2-1:.07 ~b·r!QlkQp.ugingProbc. ~ Annulnr Spaç!: or Vault Sen6(){. Model: .~ 1 i:¡ 'f ~ q 0- 'tJ.b S:-AnnuIar Space 01 Vault Seosor. )LPipillg Sump I Trench S~nsor(s). Model: '71 "I31PtJ - ~<" ¿. \J Pipillg Slimp I Trench Se:nsot(&). Q Fill Slimp Sensor(5), Model: 0 Fill Sump SflI1S0r(S). Model: Q MC4':banic;al Line Leak P~or. Mòdd: Q Methlll\icalLlne Leak Detector, Model: ~E ecttonk Un/: J,..eak I>etector. Model: ~i" 'B"1 ~Icctrolliç Line Le~ ~U)ctor. Model: 9y e-~- b Tallk OvemU I High-level Se[l$o{. Model: C Tank Overfill I Higb-Level Sensor. Model: - [:J Othe{ (s j e ui ment and n:lodel In Section E 00 Pa e 2 . [J Other s ø;Ì uj IJ)eIJt t aJJd model ill Sec::ùon E 0'1 Po. C 2 . Tank [D:! Tanic ID: :r£¡n·Tank Gauging Plobe. "Model: f1'~ 7 $t¡t:! "::/éJ7 , a III-TIU1k ~ugingPtobc. Model: ~Annu 1It Space O{ V811!t Sensor. MModod:II:.7P. 74 ,':I..:.,.l!".;:1.2.C r;J Annular Space or Vault Sensor. Modøl: 'fIi, Piping Sump I Trench S~Qsor(S), w .!!i.~3.Ji.R... d.l.~~ [:J Piping Sump I T{e¡¡ch Sensor(s). Model: o FîU Sump Se/IIIQr(S). Modcl: 0 flU SUtl1P Sensor(s).. Mcxle1: Q. Mechanical U/le Leak Deu;Clbr. Model: Q Mcc:halllcàt Line Lea1c. De!£.Ctor, Mode!; ~ Electronic LÌ1Iè Leak [)elf:ldot. Model: "ít c¡ {ft./ Q Electronic Line Leu Detccto(. Model: o Tank OvertlJl I Hlgh·Level Sensor. Mood: 0 TIlIIk Ov«fill I High-Level Sensor. Model: ~ o Other (s cd u tn ![lt and Dtodel in Section E! on Pi e 2 , Q Other '8 cc:i ui ment and model in Section E! on Pa t 2 . IJispensf:r ß): D1~pelJl er 10: o Dispenser Containment Sensor(s). MQde:!: a Dispenset Containment Sensor(s). Model: Q She.iI! V!II.\¡e{s). a SheBl VaI'Ie(t». Q Dls set Containment Float(s) IInd Chain s . 0 Dis nsee Containm~L1t Floilt(8 and ChllÌn(s . I)ispenser ID: . Dispenser ID: a Dispenser COl1tainmeut Sen5Qr(s), ModeJ; 1:1 DispellSe( C01\taÎnn1etlt Sensor(s). Model: o Shear Valve(s}. [:J Shear Valvc(s), [:J Dls IJSt:I Containment Flollt(s and Chain(s . a Dls ,o"r Containment Float s aod Chain s , Dispenser ID: ÐQpenser ID: a bis~ ser Containment Sen8oJ'(s). Model: 0 DispenS4r ContlÙnr¡¡eot Sensor(s). Model: t:J SheD.( Valve(s). a Shear Valve(s). IJDi$ nsel COt wnment Float 5) r«Id Chain s . [:J Dis nset Containment Flo~ s and Chain S). 'a (he facility cOQ[aias more tanks or dispensel1, c::opy this form 1nelude information for every tank and dîspenser at the facility. C. Certification - I certify that the equipment tdentifi~ in this document was ¡nspected/seniced.ln luxònbnœ wil.b. the nuutur.dlU'~rs· guidelines. Ataa-chc:d to Ibis Ceriifidltion Is Information ("g. manuf'Bcturers' checklists) neceSQry &0 vedl'y lbat this information i~ correct and a Plot Plan showing the layout or monitoring equipmen.t. For any tqulplDlnt capable or gènerating such reports, I have also 8tlach~ a copy of the report; (t/l4!c1c all ,hat dU'Y): Q System set-up Q-Alar~m h stoq¡eport ·~"'~ida,n Name (prin!:), ,~i: /k. "f Signature, ""~ ---'- ~ ( ertlhCI1t1on No.: g 3,)'9 License. No.: -¡'?9U 7 ~ ~ T¢stingCompa.nyNarnc~: LC 51/:f'Vlc-ej' PhoneNo,:(5~·9 ) <left¡ -(730 She Address: :2~p uJl, ìf e.. La.,.,t'!.. Date of Testing/Servicing: 2.1 3 I / O"L. Pallo 1 of J 113/01 Monitoring System Certlßcatlon 08105/2002 13:34 'If" 4441735 e LC SERVICES PAGE 05 ~, . e D. Re~u'ts of T~sUnglServlci!1g Software Version Installed: 1. '1 \. 0 \:) Com fete the fóUowln cbeddist: Y tIS Q No. Is the audible alarm 0 Yes Q No· 1s the visual à1aun . onal? :Yes a No· Were a11 Sensors visuall ins ectecl func;tionall tested and confirmed Q erational? Ji[ Yes Q Noll< Were all sensors Ùl8tallèd allowest point of second Ill)' contalnment and po~iùoned so that otheJ.' equipuwnt wì1l : not intenel'e with their 1'0 er 0 ation1 If a1:u:ros are ~laYe4 to a remote monitoring SUition, is all communicatioDS equipment (e"g. modem) operationa17 Fot pressurized piping systems, does the turbine automaticaJly shut down if rhe piping4econdary containment monitoring system detects a leak, fails to operate. or is electrically disconnecœd? If yes: which sensors initiate positive sbot-down? (Cluck alJ fhaf 4i'ply} C Sumprrreo.cb SalSon;~ 0 Dispenser Containment Senson>. Did ou conftml sitive shut-down due [0 leaks nd S6D$O( failure/disconnection? IJ Yes; IJ No. Yes 0 No'" For tank ¡¡ystems that utilize Û1e monitoring øystcm as the primary W1.k overfill warning device (ì.e, ))0 Q Nt A mechanieál ovcrfill prevention valve is. inst:allèd). is the ovc:tfill warning alarm visible and audible at the tli1ÙC fiU int(s) anø 0 ratin 1:'0 er1 ? If so, at what c:ent of tank ca aeit does the a.1ann tri er1 % Was any monitoring equipment replaced? If yc:.s, identify specifLC sensors, probes, or other equipment teplacbd and list the ma.nufac:turer name and .IIJodel for all to laeement arts in Section E, below. . Was liquid found inside any secondaJ:y containment systems designed as dry systems? (Check all that apply) 0 Product; C Walßt. If e8. dej tribe ClI.uses in Se.ction E below. No'" Wa$. monitorin s stem set- reviewed to ensure ¡to 8cttin 87 Attach sct u :res 0 No. Is all monitorin . ment 0 tional r tnønufaèturU'S 8 iñcatio,ns? · In Section E bèllrn', de&cI"Ibe how and when these defiçlenclcs 'Were OJ: will b~ t.onedul. C No· D N/A o No· D NtA . E. Comments: Page Z 0[3 03/0) 08/05/2002 13:34 'iõ 4441735 e LC SERVICES PAGE 06 Q6 e F. In-Tànk Gauging/SIR Eq1ÌÍpment: o Chock this box if tank gauging is used only for inventory control. o Check: this box. if no tank g~uging or SIR equipment is installed. This sectìon must be completed if in-tAnk gauging equipment is used to perform leak detection monitoring. <..: h ~ II h leU 'omolete t e 0 ow ne c: ec st; 1J!íJ Yes a No· Has all input wiring been inspected fo~ pJ::Qper entry and toaninàûon, including resting for ground faults? ~es o No· Were aU tank gauging probes visually inspèèted for damage and residue buildup? ~Yes a No· Wns accuracy of sys~ product ttNel readings tesu:.d1 il::; Yes o No· Wns àCèuracy t)f system wa.ter level readings tC/itèd'l !LYes Q No· Were aU ?tobé.~ reinsb.ned proper1y? !!I Yes [J No'" W C".re all items òn the equipmènt manufacturer's rnai.ntðnanc:e checklist compJe(ed? \1< In the Section H, bel(I'W, describe bow QIId when the$e defldendes were or will be corrected. G. Line Leak Detedot's (LLD): b t win heddls a Check this box. if LLDs are not instatled. Complete t e oUo IIf:C t: 3 Yes t:I No'" Fo.r equipment start-up QJ: annual equipment ce11iflcation, WIIJ;: a )eû simulated to verify LLP perf(lrmance? [J N/A (Cj~~ck all thaI apply) Simulated leak rate:)t3 g.p.b.; CJ 0.1 g.p.h; tJ 0.2 g.p.h. ":ii$ Yos tJ No'" W~~rc nil LLDs' confinncd oporational and accurate within œgulatol)' requÌ,(ements? V!f Yes Q No· Was the testing apparatus properly calibrated'! o Ycs [J No* Fo.r mr.t:hanical LLDs. docs the LLD restrict product flow if it de.tec:ts a leak? )!(. N/A ~Yes a No.... Fo.r electronic LLDs, dOts the turbine automatically shut off if tho LLD detects Ii leak? tJ N/A ~Yes IJ No'" Po.r electronic LLD$. does the turbine autom.atica1ly shut off if any ponion of the monitoring system is disabled [J N/A or disconn~ted? ~Ye5 Q No'" For elecl.roroc LLDs. doe¡¡ the turbine automalÌcal1y sbUl off if any ponion of the monitoring system mnUunctìons o N/A or fails II. test? '^ J!' Yes [J No* For electronie 1LDs, have aU accessible wirlrtg connectiOJ:18 been vÌsually inspected? [J N/A "{.:iJ.. Ycs [J No· WI~e al1 items on the equipment manufacturer's maintenlUlce ch~klisl completed? .. [n the Section H, behlW, describe how and when the$e 4e(1c1endes were or wlll be corrected. H. Comments: Pq-Ii! 3 of3 OJl01 08/05/2002 13:34 ~ ~ ;! LC SERVICES PAGE 02 :¡ - 2879.9 Billable Factory Won. r:=::J Mointendnce CJ No"'- Billable CJ Bid Job ~ (559) 444·mO * ft ~: (559) 444- m5 * 52r~. Pårkvfaw * Fresno, CA 93728 * license No, 706992 Name: <;;( ~ /I " . Service r) I . Address: ;~ 6 t1léJ tV /I i It£. ð f/ /"t 1~4J.t!"Ak (I! ~¡"./ . f.... ÌÁ' City: ;..., q;t..- -e., Zip: 9 B()l'/ Phone: ' Date: ?- JI-ðè.r I Ii z~tl Work Order # Name: 13i\ling Address' (ust. Order #' . Close Confir. # ¡F'/ "1f1 J' ,~ Q¡p.",¡' 'J:: "Á .l/ðAJ .. r Vc:::. r::d''t!'.e -~¡- Sft-ø:/d-/,L ¡)~c<I''f'''''i '~ Unless otherwrJ8,providing by low, the $eller (l:C. Services) hereby eJpress~ disclaims all warranTle!, either èJprelserl or implied, induding any implIed warranty of mermanlabîl¡ty of fitness lor Q particular purposa, and nailhar assume! nor authorizes any onler person to a\SUI1IØ\ for it any liability In (onnedlon with the sale of said prodoch. . ." ,\"<'" . Tota.l Labor Tota.l Parts Mileage Sublet Sales Tax. Total Amount Pn"nfl l tf hv A A A Grl7tlhk DR'$ltm t Pmlth," I~~"\ 1'.j'7..1.'ltX 08/05/2002 13:34 4441735 ~ _ " .r.; 07/30/02 13:17 1S'661 _0576 LC SERVICES 8Ft) HAZ MAT DIY e PAGE 03 141 00 Z I ----.--- el7I29(~~~~f ...l5: 9",4...,. 44.uJ~~.,I. ......, U'H\> . I,' '... LC S~RVlc~5 DJilol ~ a&1. u~¥ pþ,G~ 01¿el IilLlIJ¡ ..&d ."... - ...- . '. A I ~ CITY OJ' BAY1l~$".o:I~D \ OFFICE OF ENVIRONMENTAL SERVICES . . ,1115 Chester A" BaIœnIIeId, CA (661) 32'-:'i97' , " .UPLICATIONTOPIJØ'ORM . ,'; '. ":." FUÈL MONITORING CEKTlPICÅTION , , ' " " ..,..: FAC~'Y ~~ ··I~Cf . . ItJXWWI 7J:rñ ~1l'E" W, J'tJJ(,œç,:,61.D 1 Gt oPSaA'1rOaSNAMl;.r:-~~ tnN ~R1ŒS.lL' r ç)'WMBRS ~ ~,LdJ ~i'l1~ J lU'. A NAJŒOP)40N1TORMÄNuPACI1.m~ V~~-'Rcoï . .Þ011S Fl,-ClUTY BA va 'DISPm'lSD PANS? ns..L· NO_ , " TANK' VQU1MB CONTlN'l'S I . J (hQOc.; 87 U/w'LQ --..- . ... -~ .t 0., COO aq£lNLJ) 3 t l?J ceo 'it UNlJ} - , ' N4Ud œ T8S11NGCOMPANY L· c:. ~ S~VlCfS CCD1't'L\CI'OaSL1CENSBf. ",q~ ì AL.Tj~~ _ N~~AP.HDNI5.NtJNBB1.O!'CO!'iTACI'rBRSONSKIP C01- - '8CV"';;S2~'~ DA1'¡ å: 1'I).Œ TEST IS TO BE CONDUCŒDJ..::. 30 - 02- ? ~d~ APP&OVED BY . 1-22p2C02- DATE ~ç¿, ç~ L.C.. S;œ"'~ S ATUaS OF APP1..ItANT '. , ,07/291 '" ~~, wl5: ~'"t. n 444U~..ô\, uo I U (~~.. .. '. I, '\ LC SERVICES _ Þl'U aJu~ ðlJU JJ.I. V . PAGE 01/01 ~uu.;: .. . . - . CITY OF BAKERSFIELD \ OFFICE OF ENVIRONMENTAL SERVICES .1715 Chester Ave., Bakersfield, CA (661) 326-3979 ',APPLICATION TO PERFORM '. ':, FUEL MONITORING CERTIFICATION .. FAC!U1'Y 5He~.I~Y ADDRESS 2l:Cl? ~rr€ Lv M 13R (~Ç"F/~JU. , OPBRA1rORS NAME ~~/4/N £'/\JTQ?PR~ES J Ll C " OWNERS NAME GÐUII.LJI'J ~ill£t > I.J-î... " r NAMB OF MONITOR MÅNuPACl'URER VE6DE:e. - ':pCOT . DOES FACILITY HA VB DISPENSER. PANS? YESX' NO_ . ' " VOLUME J OJCJO() ) OJ COO t O. 000 - TANK' ì 2- 3 CONTENTS 87 UNLD a9 UNLJ) 91 UNLþ N.A)¡Œ ()P TBST1N~ COMPANY L· C- " S'ER- V/cfS CONTRACfORS UCBNSE #. Îi92h 7 A/HAl.. NAMHiI~PHONENUMBER.OPCONTACTPERSONSKIP COJ. - ~-S5Z-,::t=0 DATB &:TDŒ TEST IS TOBECONDUCTEDJ -30- D2- ? " ~dk -, ·Z2-2OO2- ~(þ f,*- L.C-.$e¡\1CÃS . SlG ATUØE OF APPUCANT \ APPlWVED BY . DATB FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street BakelSlield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "HO Street BakelSlield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIROIIIIEIITAL SERVICES 1715 Chester Ave. BakelSlleld. CA 93301 VOICE (661) 326-3979 FAX (661) 326HD576 PUBLIC EDUCATION 1715 Chester Avè. BakelSlleld. CA 93301 VOICE (661) 326-3696 FAX (661) 326HD576 FIRE INVESTIGATION 1715 Chester Ave. BakelSlleld, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. BakelSlleld. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . - July 30, 2002 White Lane Shell 2600 White Lane Bakersfieìd CA 93309 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31,2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not vet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31,2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sin~~ Steve Underwood Fire Inspector Environmental Code Enforcement Officer (,(,.9~ de W~ ~.A0Pe ykt, J6 W~" /\v/ \/ -- - 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 _~",....,~~."¥..,_,-,~-"'~_"~~__M""...,,,,,~,~,-~,~..,-",,,,,,.,-'-.---__ '~~~~".""',."""""!-"".,."""";" Oo,.¡'#'*'"--...~~'~.... .. ,'«'1'1.""'''~'''_''''_....~_~ S(~ SB 989 COMPLIANCE TESTING AT Shell, 2600 White Lane, Bakerslield, CA 93304 ) ""- ~,- ./ ~'''III.~ ~.,~,.,,,,~,.- - - &. ~_~~ ~ Dear SteVJe~~.,....~n~''ft!~~íI'¡ø._1I''~ii'Øo'1JWÞ'-'-~'"'''i'Ì",r~''''''' ,. '-'~~-~ ,-.- - ,. --~---..,-,..".,,,,- 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: Scott Happ Components Tested Component Date Type of Test Pass I Fail Manufacturer Tested Performed Tank Sump Turbine - 87 American 6/20/02 Hydrostatic Pass Containment Tank Sump Turbine - 89 American 6/20/02 Hydrostatic Pass Containment Tank Sump Turbine - 91 American 6/20/02 Hydrostatic Pass Containment Dispenser 1 & 2 UDC Western 6/20/02 Hydrostatic Pass Fiberç¡lass Dispenser 3 & 4 UDC Western 6/20/02 Hydrostatic Pass Fiberç¡lass Dispenser 5 & 6 UDC Western 6/20/02 Hydrostatic Pass Fiberalass 87 - Sinç¡le Wall Pipinç¡ AD Smith N/A N/A 89 - Sinale Wall Pipina AD Smith N/A N/A 91 - Single Wali Pipinç¡ AD Smith N/A N/A Tank Annular Testing Wet Annular N/A N/A 30 Main Ave. Suite 5 Sacramento, California 95838 Phone (916) 646-9680 Fax (916) 646-9683 - Ii; e ~>- 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: Perry Pineda - Shell Oil Products US 30 Main Ave. Suite 5 Sacramento, California 95838 Phone (916) 646-9680 SB 989 Compliance Testing Shell 2600 White Lane Bakersfield, CA Page 2 of 2 Fax (916) 646-9683 Shen 2600 White Lane Bakersfield, CA N021160 - S8 Test Log ng Contractor ~~ 58 989 Test Testi i~ (0 - Zò '-0 -z:;- Date Test Turbine Containment SU,mps ® ~5L M85 I o 91 I ßI:)1) I 89 ~t( I 87 Slave I Fuel Grade Sump Information Model # Monitoring Sensor (Red) Xerxes (Grey) Western Fiberglass White Inside) (Green Outside Other Tite i Ph ,)C Manufacturer: Monitoring Sensor American Cntmt OC or Fluid Cntmt e White Gel Coat) (Beige or or TC Winding) (Green. HOPE Plastic) (Beige wI Spira Environ Total Containment (Blue. HOPE Plastic) l¡'-' tiíì¡ '~ ~ Notes) ir i H-Test I Fa Pass Test Finish level Differential 000 -z... '7 Test Start Time H:MM (12 Minute Duration) (. t:f7j 1.-% AM g Fa Fq Fa S8 989 Test Log Forms 2.0 / / / Pass Pass ---- Pass ~, S8 989 Test Log Shell Testing Contractor: 2600 White Lane Bakersfield, CA N021160 - S8 Test Turbine Containment Sumps Test Date: &'-lO ·-o-z.-- Sump Information: Fuel Grade: 87 I 87 Slave I@ I 91 I 0 I M85 Monitoring Sensor Manufacturer:~ {R á.e..( r~oÐ t-- Monitoring Sensor Model #: 3 <6 1..-- - e \ TCI or American Cntmt (Beige or White Gel coat):[;fJ Xerxes (Red):D OC or Fluid Cntmt (Beige wI Spiral Winding):D Western Fiberglass (Grey):D Envi~on (Green, HOPE Plastic):D Phil Tite (Green Outside, White ,nsìde):D Co' Total Containment (Blue, HOPE P,astic):D Other - 0 - Test Start Time Test Finish H-Test H:MM (12 Minute Duration) level Differential Pass I Fail Condition r 0(: fO~OIJ4't'~ .-..... ooODq (Pass)1 Fail Pass I Fail Pass I Fail Pass I Fail Pass I Fail SB 989 Test Log Forms 2.0 ,.\ 88989 Test Log Shell ", 2600 White Lane Testing Contractor: Bakersfield, CA N021160 - 88 Test Turbine Containment Sumps Test Date: (() -z¡;; -0 "............. Sump Information: Fuel Grade fP I 87 Slave I 89 / @¡ b ¡M85 Monitoring Sensor Manufacturer:~p e.àu ' \ù5Lk " Monitoring Sensor Model #: -S$'2- ·e , TCI or American Cntmt (Beige or White Gel Coat):' ÞCI Xerxes (Red):' I OC or Fluid Cntmt (Beige wI SPirarWinding):D Western Fiberglass (Grey):D Environ (Green, HOPE Plastic):' I Phil Tite (Green Outside, White Inside):J I \'1' Total Containment (Blue, HOPE Plastic):1 I Other -:1 I Test Start Time Test Finish H-Test HH:MM (12 Minute Duration) level Differential Pass I Fail Condition r Notes) ~þ:3( CCt16'D Pass I Fail Pass I Fail Pass I Fail Pass I Fail SB 989 Test Log Forms 2,0 J- Shell 2600 White Lane Bakersfield, CA N021160 - S8 Test Log Testing Contractor: , ¡,\~ 58 989 Test 6' Sump Type e~Deep I Deep L OPW Pices (White, Straight Sides, Deep): I I Total Containment (FiberglasS):1 I Western Fiberglass (Grey, ~):~ Other :1 ' I Bravo (Mechanical Float): I I Veeder Root (ElectroniC):1 I Condition (Repair Notes) 'b -' W -()-z..,..-' Test Date: Containment Dispenser Under Number: -- 'Z- - Bravo (Steel, Shallow Pan): Bravo (Fiberglass, Deep Sump): Bravo (Plastic, Deep Sump): (White Inside, Green Outside, Deep L): Information: '(Sm Black Puck, Light Sensor):~ 3eaudreau (Modern Electronic): J I : II Dispenser . . Monitoring Sensor .. Beaudreau ,oj Sump Information Phil Tite e SB 989 Test Log Forms 2.0 Test Level Differential Finish Other Test Start Time HH:MM (12 Minute Duration) - /1 ] Shell 2600 White Lane Bakersfield, CA N021160 - S8 Test C Date ",\ SB 989 Test Log Testing Contractor: " (g -w -0-:2-- Type:~a~1 . . Test 3- '-i Dispenser Containment Under Deep): I Containment (FiberglaSS):1 Western Fiberglass (Grey, ~I ): I k :1 Bravo (Mechanical Float): I I Veeder Root (ElectroniC):' I Deep L I Deep Sump Sides (White, Straight Total OPW Pices Bravo (Steel, Shallow Pan): Bravo (Fiberglass, Deep Sump): Bravo (Plastic, Deep Sump): Green Outside. Deep L): Dispenser Number: . . Sump Information (White Inside Tite Phi e¡ Other . . nformation Monitoring Sensor Light I y I (Modern Electronic): I I :1 I Sensor): (8m Black Puck Beaudreau Beaudreau SB 989 Test Log Forms 2.0 H-Test Pass I Pass I Fai Pass I Fai Test Finish Level Differential oœâ..o Other Test Start Time (12 Minute Duration) ; ~- C Shell 2600 White Lane " ' , Bakersfield, CA , N021160 - 58 Test lo' 58 989 Test Log Testing Contractor: Test Date: -2L) ~O7-- -G. Dispenser Containment Under Deep):1 Containment (FiberglaSS):) Western Fiberglass,(Grey, ~L):I >< :1 Bravo (Mechanical Float): I I Veeder Root (Electronic): I I Bravo (Steel, Shallow Pan): Bravo (Fiberglass, Deep SUmp): Bravo (Plastic, Deep Sump): Tite (White Inside, Green Outside, Deep L): Monitoring Sensor Information: Beaudreau (Sm Black Puck, Light Sensor): I 'X. I (Modern Electronic): I I : I I Deep L I Deep I Sump Type:' Dispenser Number: . . Sump Information Sides (White, Straight Total Other OPW Pices Phil _J Beaudreau Repair Notes) ( Condition H-Test Pass I Fai ~Fai Pass I Fai SB 989 Test Log Forms 2.0 Pass I Fai Pass I Fa Pass I Fa Test Finish Level Differential GOOOe) Other (12 Minute Duration) l! ,'oZ ;1{< - - . .. Test Start Time (..t S8 989 Test Log Shell Testing Contractor: 2600 White Lane Bakersfield, CA N021160 - 5B Test - Product Piping Secondary Containment Test Date: 0-LO -Ð~ - Line Information: Fuel Grade: ê 87 Syphon Line / 89 / 91/ D / M8S / WO Remote Fil Type:~~ I Double Wa e, Primary Piping: Secondary Piping: AO Smith (Gold):1 I AO Smith (Gold):1 Ameron (Red):[2] Ameron (Red): Environ (Green, Flex): D TCI (Grey, Plastic): CTC (Black, Flex): I I CTC (Orange, Plastic): Western Co-Flex (Grey, Flex): I I CTC (Blue, Plastic): Other I I Other Þ Test Start Test Finish P-Test HH:MM / Pressure HH:MM / Pressure Pass / Fail Condition(Repair Notes) I I Pass / Fail , I I Pass I Fail I I Pass / Fail I I Pass / Fail I I Pass / Fail SB 989 Test Log Forms 2,0 :" l-\ SB 989 Test Log Shell Testing Contractor: 2600 White Lane Bakersfield, CA N021160 - SB Test Product Piping Secondary Containment Test Date ~-"Zò -é) ~ Line Information: Fuel Grade: 87 / 87 Syphon Line (jJ) 91/ D / M85 / WO Remote Fi Type: ~ / Double Wa e; Primary Piping: Secondary Piping: AO Smith (Gold): , I AO Smith (GOld)J , Ameron (Red):W Ameron (Red):D Environ (Green, Flex): D TCI (Grey, PlastiC):J I CTC (Black, Flex): I I CTC (Orange, Plastic): 1 I (.) Western Co-Flex (Grey. FleX):1 , CTC (Blue. Plastic): 1 I Other I , Other :1 I , Test Start Test Finish P- Test HH:MM I Pressure HH:MM I Pressure Pass I Fail Condition (Repair Notes) / / Pass' Fail / J Pass' Fail / J Pass' Fail / J Pass' Fail / J Pass' Fail SB 989 Test Log Forms 2.0 J- Shell 2600 White Lane Bakersfield, CA N021160 - S8 Test - --- Test Date: rb--20......ð'C- SB 989 Test Log Testing Contractor: r¡, I 89 @ D I M85 I WO Remote F Secondary Piping Piping Secondary Containment 87 I 87 Syphon Line I Double Wa Fuel Grade: Type: ~ Primary Piping: . . Product Line Information AO Smith (GOld):1 Ameron (Red): J , TCI (Grey, PlastiC): CTC (Orange, Plastic): CTC (Blue, PlastiC):D - :1 ' I Other AO Smith (GOld):1 1 Ameron (Red):~ Environ (Green, Flex):D CTC (Black, Flex): I I Western Co-Flex (Grey, Flex): I I . _: I I e '. (Repair Notes) Condition SB 989 Test Log Forms 2.0 P-Test Pass I Fai Pass I Fai Pass I Fai Pass I Fai Pass I Fai Pass I Fa Finish Test HH:MM I Other Test Start HH:MM I Pressure Pressure I I I I I I I I I I 0' 4'. SB 989 Test Log Shell Testing Contractor: 2600 White Lane , Bakersfield, CA N021160 - S8 Test Tank (Annular Testing) Test Date: b- zç r-é) '<- Tank Information: Fuel Grade: [j;) 87 Slave / 89 / 91/ D / M85 / WO e Type: Single Wall / De Annular Monitoring Method: I Dry (See Testing Notes Below) Modern Welding (Red, Smooth WaIlS):U Xerxes (Red, Square RibS): I Owens Corning (Beige, Smooth WaIlS):[L] Joor (Blue. Smooth WaIlS):U ') Owens Corning (Beige. Round RibS):U Other f I --- -- ~. Test Start Test Finish V-Test HH:MM I Vacuum HH:MM I Vacuum Pass I Fail Condition (Repair Notes) I I Pass I Fail I I Pass I Fail I I Pass I Fail I I , Pass I Fail I ~ I Pass I Fail , SB 989 Test Log Forms 2.0 C·) '.] S8 989 Test Log Shell 2600 White Lane Testing Contractor: Bakersfield, CA N021160 - 58 Test Tank (Annular Testing) Test Date: 6- Co --0 "2.- - Tank Information: Fuel Grade 87 I 87 Slave I @ / 91/ D I M85 / WO e Type: Single Wall / Annular Monitoring Method: / Dry (See Testing Notes Below) l."~ ' Modern Welding (Red, Smooth WaIlS): I Xerxes (Red, Square Ribs):1 I Owens Corning (Beige, Smooth WaIlS):@ Joor (Blue. Smooth walls):D Owens Corning (Beige. ROU/ld Ribs):D Other D IÞ, Test Start Test Finish V-Test HH:MM I Vacuum HH:MM I Vacuum Pass I Fail Condition (Repair Notes) I I Pass I Fail I , I Pass I Fail I I Pass I Fail / ' I Pass / Fail I I Pass / Fail 5B 989 Test Log Forms 2.0 fj>: ~) 58 989 Test Log Shell Testing Contractor: 2600 White Lane Bakersfield, CA N021160 - sa Test Tank (Annular Testmg) Test Date: &ZLJ -0""2- Tank Information: Fuel Grade 87 I 87 Slave I 89 /@))' D / M85'/ WO e Type: Single Wall Annular Monitoring Method: / Dry (See Testing Notes Below) \~' Modern Welding (Red, Smooth Walls):D Xerxes (Red, Square RibS): I ..' Owens Corning (Beige, Smooth WaIlS):@ Joor (Blue. Smooth walls):D Owens Corning (Beige. Round Ribs):D Other I I IÞ Test Start Test Finish V-Test HH:MM I Vacuum HH:MM I Vacuum Pass I Fail Condition (Repair Notes) I I Pass I Fail I I Pass I Fail I I Pass I Fail I I Pass I Fail , I / Pass / Fail SB 989 Test Log Forms 2,0 , '·SB 989 Test Log Shell ~ 2600 White Lane Testing Contractor: Bakersfield, CA N021160 - S8 Test Tank (Annular Testing) Test Date: 0-2.0-0''2,... Tank Information: Fuel Grade: 87 I 87 Slave I 89 I 91 I 0 I M8S é~ e Type: Single Wall I ~ Annular Monitoring Method: ~' o Testing Necessa ) I Dry (See Testing Notes Below) Modern Welding (Red, Smooth Walls): I I Xerxes (Red, Ribbed Wails): I I .' Owens Corning (Beige, Smooth walls):1 X I Joor (Blue. Smooth Walls): I I Owens Corning (Beige, Ribbed Walls): 00 Other : I f -- --- --- -- - ~ -~ - -- ' - ,- ',' Test Start - Test Finish - . - ' V.;Test ,- a HH:MM I Vacuum HH:MM I Vacuum Pass I Fail Condition (Repair Notes) I / Pass I Fail / / Pass I Fail / / Pass I Fail, / / Pass I Fail / / Pass I Fail I sa 989 Test Log Forms 2.0 · ?;;f;D?~3 7A I~ÐLtß/- r4J 003/006 @OOJ 06/13/2002 THU 13:13 FAX 916 646 9683 Wayne perrYBIF%CH~Z M~T DIV /. ~l¡;P3/0: 11"7 ßß613211i57. - - - ÿ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST! SECONDARY CONTAlNMENT TESTING FACILTIY $~ , ADDRESS -µ 8 D W~ LOJyto PERMIT TO OPERATE # ülS''-f);Jl-- ()n()3~ OPERATORS NAME 1)":) 11 Gt", OWNERS NAME liv~~ovd I Ík:lC, NUMBER OF TANKS TO BE TESTED ...3 IS PIPING GOING TO BE TESTED Y TANK. # VOLUME CONTENTS I If) r_ cJlJ\ lw.Jc.1 ~ 't) \-' ' ftCl1Á' ) ( 0 Y_ lJo ¿J ~ ø-Q.JL- t.j 'S ~ 0 (Va t,~ () ¡J TANK TESTING COMPANY vJ ~.e.. 9ev- (LA J 'J'-V'lL.. MAILING ADDRESS 80 MOJ(\ St· ~ ~~ C,\ ~~ NAME ~ PHONE NUMBER OF CONTACT PERSON ~ {ç,'1f:)~t-.~f c£U. TESTMETIIOD ACLe,!U~ p{i>~ \Ø?-t NAME OF TESTER OR SPECIAL INSPECTOR 5('",otl..lLtrp CERTIFICATION # DATE & TIME TEST IS TO BE CONDUCTED \i{ ed.. } j"~ 1C1. åm2. ¡J ~~ ~. ~ \¡~ ~ 'ir"'l~ tJffZ di4m? C, -¡t(--{) è . ~ - APPROVED BY DATE 51 ATUREOF APPLICANT FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 --. . White Lane Shell 2600 White Lane Bakersfield, CA,93309 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 2600 White Lane REMINDER NOTICE Dear Tank Owner/ Operator: The purpose of this letter is to infonn you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1,2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be perfonned by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perfonn this necessary testing. For your convenience, I am enclosing, a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Sj£'~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer SBU/kr enclosures ~~9~ de W~ ~ ~0Pe.r~ .A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 21 01 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326·0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e - April 17, 2002 White Lane Shell 2600 White Lane Bakersfield CA 93309 RE: Necessary Secondary Containment Testing Required by December 31, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1,2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. sincelre,l,~'_, ~_' / . , /,' I ../ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer SBU/dm enclosures --y~~ W~ ~ ~0P6 y~ A ~~" t;' ~ ;i '.ß, -- " . EQUILCN _&NTERPRlfJES LLC _ . reu.. _... T....... February 8, 2002 City of Bakersfield Fire Department 1715 Chester Avenue, Third Floor Bakersfield, CA 93301 y0 ;~ ~~. ~ 1\q Re: Equilon Enterprises LLC/Shell{fexaco Stations Change of SH&E Compliance Coordinator To Whom It May Concern: The stations listed on the attachment have been reassigned to another region. Responsibility for underground tank matters, permits, etc. has been transferred to: Tim Woodson, SH&E Compliance Coordinator Equilon Enterprises LLC 2401-A Waterman Blvd 4-257 Fairfield, CA 94533 Telephone: 925-766-3494 209-577-5960 (alternate) 925-766-3498 (cell) Please direct all future correspondence to Tim. Thank you. Yours truly, Pe rya { Sarrafian 6y~s. Watson Feryal Sarrafian SH&E Compliance Coordinator P.O. Box 7869 Burbank, CA., 91510-7869 .~ ~-:..~ :t,l '-' ~, ."imI¡:¡~ II îmu¡, ,iJlPJrT~~~~ TEXACO 93301 - __rKËRN WOO~,~.9~_ GLENN HENRY _______~~~-861:~~J~Q~_()_.Jº!I3~d_, TEXACO I KERN WOODSON CALVIN WILLS 1661.397-4771 ICORO ICIBK --_..-_._¥.._-~. --Y'-- ,_.__ -·-~---~-'----·->-·-'···-'·~·'T-"-",_·__·__·__m_'_._·i"'-"~'----""-""'-i""'-"'<""""'~ _.... TEXACO 193309 KERN WOODSON LlNMAR #1 MGR (Marsha Hoyt) :661-325-3388IcORO ¡CIBK TEXACO 193309 -- KERN WOODSON LlNMAR #15 MGR (Marsha Hoÿij-------¡Ëis1=S34=2ã22jCORÕ-¡cisK-'-. ____i._~_._....__,___., "__'___ '_______... .___.______._._"'_...._,....~...".¥_..._..,._.._.._._._.__..'"m.y'_....___.__.._..,~,."'¡_,.._,.".._".... TEXACO 193309-7.692 KERN WOODSON L!NMAR #11 MGR (Janice StottS)______~~~~:~~~-4002¡~O~2..-j<::.!I:!~- TEXAC()J.9330~____ KERN WOODSON, CALVIN 0 WlLL~___._____.._j~~1:~~~:1_~~~j~O~.9_¡ºIBI< ~HEL~~ KERN WOODSON CALVIN WILLS ________J661-832~~~1~_R..Q..Jº!I3~__ ~~~~t~:i~~~t=- ~~~--- ~~~g~~~- ~~~~~~:~A --·-------=~.=_:I~~i~~ti~H~~§JEDj~l~~,.. SHELL i93308 KERN WOODSON PERM CLOSE 4/12/01 1661-726-7954lcLOSED ICIBK SHELl·--is33õi---- KERNÏÑOODSON TEMP CLOSED---------1ËiËi1=32-:ž=0792'CCosE6icIBK· SHELL 93309- KERN WOODSON GLENN HENRY rm close 6/27) i6Š1-637-18Ó-lcORO iCiBK-- ~ ~ ill __-.-J~09"Œl~i.02.~c OAK/24TH _ _ BAKERSFIELD _,___!~9.!?!~~~!_,___ yvH!TElEL POTRERO __.___ BAKERSFIELD 121164i3621 CALIFORNIA/REAL ROAD BAKERSFIELD ::~g~_~~__._ i.I!!i..G/REAL ROAD_-=::'_.I3~I<ERSFIEL~,_, ___12122~~_ GOSFORDIWHITE BAKERSFIELD _____g~~~~~?1...__. ~TOCKDALEI~~~.!~~~_.__ BAKERSFIELD 13506812600 WHITElEL POTRERO BAKERSFIELD ----13Sõ69jã6õ"S" ROSEDALE HWv/US 99---- BAKERSFIELD ",·,"'-,··'·",i3sõiô!2964S" " STOCKDÄLEHm,ï=s-·'·,",··---- -ËiÄKE'RSFIELD-- ---_.,._-_._~--_.- ._-----_.__._.~ - ~?~.!l?~g__. .9,~~~~~~~______._ .l:!AKERSFIEL~, 135074i101 S, UNION/BRUNDAGE BAKERSFIELD 35075[3623 CALIFORNIA/REAL BAKERSFIELD e '.' ~- -- . ,,¿; k'f.. "" f EQUILCN _ ENTERPRISES LLC _ . reu.. _la, r....... February 8, 2002 ~Jf'r- . A ~~Y) City of Bakersfield Fire Department 1715 Chester Avenue, Third Floor Bakersfield, CA 93301 Re: Equilon Enterprises LLC/Shell{Texaco Stations Change of SH&E Compliance Coordinator To Whom It May Concern: The stations listed on the attachment have been reassigned to another region. Responsibility for underground tank matters, permits, etc. has been transferred to: Tim Woodson, SH&E Compliance Coordinator Equilon Enterprises LLC 2401-A Waterman Blvd 4-257 Fairfield, CA 94533 Telephone: . 925-766-3494 209-577-5960 (alternate) 925-766-3498 (cell) Please direct all future correspondence to Tim. Thank you. Yours truly, p erya{ S arrafian 6y ~S. Watson Feryal Sarrafian SH&E Compliance Coordinator P.O. Box 7869 Burbank, CA., 91510-7869 ' (~ -, .~ ~., = ~~-œ'!T~gfi~ t~§'861 :~72 ~~Q~q_._¡-º!!:I!5_._.", T~~H~~=*~ij~~~ò-l¿¡ã~ ,,'.,.. '"" i~6.)-~~,~~~~·,'@Q~9,.'~,'·.¡ªf~~K.." ' '661·833-4002 !CORO !CIBK ¡·~~!~~i~:)..~~-¡!i.9~Q:.·.:"¡çï~K"'" 661·832-4801 iRORO !CIBK 661-326-8792lëoRO"T¿isK- .""'" 661=764-5931Tëï:õ"š'EÓTCisK"- ,. 661-726-79541 CLOSED[ëisK-......'·.. '--......-'----...:-r-'--...-',..--....,',.."..,',..,., 661-322-0792ICLOSED..~~BK _._ 661-637-1817 CORO ICIBK 2/01 ---~_¥_, rm close 6/27) HENRY SHELL SFIELD SFIELD SFIELD \ . \ .I ~ :.", - . '.... - - - , ~ ,,:' ~.' .,.. ~..~. e .....;,;--...,. ,-. I . '< . .;\. ;~.. ,"" ... .' ".- ---~.~~,........-'--- 1 U,:':jbll ~'CI,I-'Ci,I;:, I "I:I'c;Ü I 2t,l]¡J I,.!I! I["E: Uil'.JE. BAI'TF:;:::~F f EL[I. '::,::" 8DI:~5Ci]:3:~: ;::':1050 U 1 FEE: ;:' 1. 2'1:1\:!:':: l:l: '~,:::: NI ¡ r·'J\iEI-rf'(:Ft·/ F:E:P(,'F:T' ,t-.... TYF:E>:;UJ.f~F.' \/c.LUr"1E ULLHGE 9U:;, ULU~I:;E~ HEI':;HT ",IATEF: \i(:'L ['·.IATER TEJ'lP T 2': F UJ:'~: \iC;,LUr"lE ULLAI:;[ '3[1"',; ULLJ'II:'['~ HEIGHT [.',JF1TEF: \i{:'L .,JiHER TH1P 'If ':f'R [['11 UII \/~~ = 1,.iLU·~,_ 9U:;; UU.fi;.;E= HEIC;HT VIATEF: \/(:'1. 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V',,, '<, 1, e " ¡ :1;,~'~,~ -G¡;:¡ - ; FACILITY NAME e ¡ / CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE~ Section 2: Underground Storage Tanks Program o Routine !Yiombined 0 Joint Agency Type of Tank tJh 1P Type of Monitoring Ct-W\. o Multi-Agency 0 Complaint Number of Tanks t{ Type of Piping ~wF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile \ l/ Proper owner/operator data on tile Â.- l/ Penn it fees current l/ t/ Certification of Financial Responsibility V 1./ Monitoring record adequate and current v !I Maintenance records adequate and current ./ .../ Failure to correct prior UST violations ~ ../ Has there been an unauthorized release? Yes No L/ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank OPERA TrON Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? I f yes, Does tank have overfiIlloverspiIl protection? AGGREGATE CAPACITY Number of Tanks C=Compliance Y=Yes N=NO /SL-- Inspector: Oftïce of Environmental Services (805) 32 -3979 White - Env. Svcs. Business Site Responsible Party Pink· Business Copy e - CITY OF BAKERSFlEl..D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd (;'Ioor, Bakersfield, CA 93301 FACILITY NAME ~I-~Ycll~ 1.:., (( ADDRESS ~foO \ FACILITY CONTACT INSPECTION TIME ·INSPECTION DATE 9/';)'/OG PHONE NO, g':?J - L(~()( BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES 0 Section 1: Business Plan and Inventory Program o Routine !I¥éombined o Joint Agency o Multi-Agency o Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate peonit on hand L / Business plan contact infoonation accurate V /" Visible address (./ / Correct occupancy V / Veri fication of inventory materials V / Verification of quantities [; /" Verification of location L- / / Proper segregation of material V Verification of MSDS availability / (/ / Verification of Haz Mat training ./ Verification of abatement supplies and procedures / t/ Emergency procedures adequate / V Containers properly labeled I Housekeeping ./ Fire Protection / Site Diagram Adequate & On Hand ./ C=Compliance V=Violation Pink - Business Copy Any hazardous waste on site?: Explain: DYes tNO Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Inspector: UST EQ(IIPMeNT INSPeCTfON REPORT SAP HUMBER: 11506& BRANDHAME: ~ OAtE~ 5115101 STATION ADDRESS: '2600 Whit& laM . CITY: Bakemïekl STATE: Q!!11tom1a 1\IRII'PJe AJU!A ~ Q.. Tes1 BooIJ1)miri Plua: R¡¡JI ConnQd.or :ItnL Permi! ~1recI TtlrtMe Head Have test booæ!leen Prot&c:tirm: PWtIc ~:Is Are tItere ~Spac>& Þrotedion Tvœ: badIed off aecondaIy Ftex, Sooted, TqIed, tJIe !fod\lCt .1')' Are ~ tGp eeaI 01 Jcltmffi¢ètiM C~111Ød Sump, ÇOIrtafMMtlt p!pIAg, !W Sum !, Mode, n¡a!lifokled obaerwtlon At9 !he aka9 8e6I~ Ale IMN 1m.ma1 or Tag or Decaf RrgId SoUBllrJ1e,r, laThe ~nltn plugs ~ 101 Impl'E$S8d Curren!, ~J\ -us "'the ~ TIIfbttw 01\ tM tall'K fil' IOOern8I drill", 01111>9 TIRk P'rodI.lCt p~ UI1IIf,HOfIG S\lmp Ofy pro )8f dral_? Ur\ab4e to Vert1y tanb1 lan1lerea1 blending? Fiflet"l pI Ie81 epl. COI\'ta1nlltal1l1 1 RsouIar No Contain Sumn ye¡ NlA Sumn No Yes No No Too Seal Interoat 2 Mid Grade No Coma" Sumn Y~ NfA SUMn No Yes No No Too Seal Internal ~ Premium No Conlafn Sumn Yet NlA. Sumn No Yet No No Too Seat Inlema! .. - C~; , ¡ ! Qnrfl' ProtectkNI ¡ DID St!I:II Protøc1ioll .DIK: &.11 F1oet. ~ 81liu PIat$, Prodid ftappII., Both, HMe BasllØ01 eag., Both or ~ Ôf\lnabkœ Verlfy ~ Ye& 'F1a~ Basket ~ ~ t Basket V- r 8as!œt F1I1Ud hI~ Yes Yes Yea 'YANK "U:AREA Cepe e."ICI Spill CoIIt8ItneM 01\ I 0.:: In I FIll Ud ~IJI ~~ None Yes ~ None Yes Good None Yes Good .J <j 00 <j ~ \SI I' 00 ~ 00 U Z ..... d u (/) ex w >- ::z J ~. ~ LL Spill Cðn!8Inment SIIII L, ~ 5 !!.!!. ~ -L ~ 2 Mid Grade :1 Premium -LL ComI'1'ltnt&: SP¡I ConœlM\enl Q!!!!!.0pemIana1 -~ - Y!L..-. _ Yee_ Vapot 181he1ø A 8pß1 Recavery ContaiftlÞent Box Lid IIdentifiCBlfon Arovnd &ch VR ~ Tag PInent ~ ~ Yes ' Y$!. Good Vet y!!. VêS' -' VO;!. >- "'~.I VAPOR fIlSIC:O'VDY AReA Cap' and Gsslœ!a In Ory BIN. fit Good Good -.ti"9Cor1d~ ~ ,Yea ~ Yes , ~ . ~ _Ve<s Yea ' - , _hU V!WI (:110 TVœ: .......Ufe Ca ), "'!Ii Cap, Hone. PreSsure 'Pressure Pressure ~ ~ud -L ular 2;, Mid Grad 3 Premium d CpmmeIltS~ ::z a.. fI) q (\ ~ \SI \SI (\ I L.l} ~ "..J m ,~ '\(:: ~ ~ lS"" ~ . r:::> UST EQUIPMENT INSPECTION REPORT :.. SAP NUMBER: 13S0068 BRAND NAME: Shell OATE:ðl15!01 sTA 110N ADDREsS: 2SOO White Lane CfTY: Bakmfiekt STATE: C~ffom a (\ Q.. DiI~ HGZZfe9 Impact Mechanism bisPØfJ$Sr ContaJnmenl : Jmœct TYDe: S1JmD LJaufd Gallons 1* ' Nech8n!ca1 Ff&1! Connector Ol~ mlrMlt& being Staøe n v_ Valve or ProtedlQ(J; Boot, Tape, Containrnen! ~nsor Tvøt: eaIBon pumped by RocovlfV TYÐ&: ! Motion M&chanfuS Contain SUdlp, Anode, SIJIT1D Tvoe: Mechanlça , Sump DispensM S~rèIy Olspenser Number 01 ClOSMI nozzle. Bill;lnc&, Vacuum: Sensor 0# $eç.urefy Valve ImPN$Hd Current, Deep, Shanow. Etedrcnlc, Sanson¡ Number.¡ Manufacturer Anchored? Fuel F1lten NO'I'Z/Ø$ Reg Mid Pre Aseist, Nqnø . 80th ~ OpøratJona) Unable To V.rffy Nona None Operatfonaf1 r-- 1/2 Gilbaroo Yeå 9/19/00 6 BaIa[lCe MV Yes Yes UMble To VeritY Shallow Efecrronic Yes 3/4 GíIbaroo Yes 9/19JOO & BaJaooe , MV Yes Yes UMble To Verífr¡ Shallow . Eleclroolc Yes 5f6 Gílbaroo Yes 9J19/'00 6 7.on.M,() , BaIaOO& MV Yð$ Yet Unabl& To Verify Sl\alow Electronic No TOTAL II Of NOZZl..ES: ' ' Ie Comments: Olspene.erfl SJ6 Bøuðreau Inoperœ.Þle, LC Se-rv/çn Fixed, DIIPEN3t!!R ARI!A GI!NùIAL ßlFOftMAYION .... ...... (ES01- ... ~..""""'] ...__ T.... Go 8tItp Reclaim Or8in SImplicity (S). If. remote Sump Needs to ¡ Attacn A PrIntout Of The Tmk Monitor Does the waœr IMlI PoleCat (1)) or monlkJr Is Heecl910 be 8et-Up IIItd MOI!I.Recent TestResulC& &hown«l the ATG matè;hl Nellher(N) I Instal/ed, Is if , ¡tie Pum, Pumped B: SeMce Bey Needs tG b& (SWF Tank LocatIGnS . Is ¡ PrlnlOut 'NhaOs shown on, a f!\Staffed on operating OPti'iltk Qgt_ 01Jt1 Ollt C: C1Ir Wash Pum£!!!! Out ' _AtUch&ct To ThIs Farm. manual ~ reading? ATG. comedy? Exterior Yæ 1 No No Car Wash No _ Yes Yes SimÐlìci'tY Yes !ntel1or Yes 1 ServiœBav _ Comment8: - ~ - ;. t ; ; '9"",J I Ie <:::t OJ <:::t ill (\ IS) f'-. OJ OJ ~ ....... o u (J) 0:: W >- ¿: ) ~e o 0:: LL ¿: Q.. <:::t <:::t (\ IS) IS) (\ I If IS) l' m 9~05-2001 2:45PM FROM R.J, MYERS CO. INC. 8187026484 . . P.3 MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State ofÇalifornia Authority Citçd: ChaptBr 6.7. Healrh and Safety Code; Chapter 16, Division 3, Title 23, Calijcrllia C()(1e <if Regulations This form must b~ used to document testing and servicing of monitoring eqtúpment. If more thM one mönitoring system control pane) is installed at the facility, a sCþarate c~rtUicatiQn or report must be prepared for ~açh monitoring system ÇQnt,tQJ panel by the technician who performs the work. A copy of this form must be provided to ,!:þt tank system owner/operator. The owner/opc:tator must submit a copy of this form to the lOcal agency regulating UST systems within 30 dø.ys of test date. Instructions are printed on the back of this page. A. General Information Facility Name; Shell 135068 o , Site Addtess: 2600 White Lane __ City: Facility Contact Person: Cal . Makelh10del of Monitoring System; Veeder-Root TLS~3S0 Simplicity Bldg. No.; Baker.;£ield Zip: 93304 Contact Phone No.: ~ 832-4801 Date ofTestinglServicing: 05/15/01 ui ment iDS eded/servlced: Tank ID: Plus 1811n-Tank Oaugiog Probe. f81Annu1ar Sp8Cè or Vault SlmSor. . ,·I:!SJPjpingSwnp/::rrench Sensor(s). ' OFiIl Sump Sensor(s). DMechanicaI Line Leak Detector. ~Electronic:Line Leak Detector. ~Tank OV¢rflU / High-Level Sensor. rg}Dispenser Containment Sens<n(s). I8IShear Valve{s). DDispenser Contbirunent Float{s) and Chain(s). OOther (Sþl:cíí)' equipme:nt type and model in Section E on Page 2). B. Inventory of Equipment Tested/Certified Check the a to riate boxes to indicate s ec:ific T~ ID: Premium ,..,........-. -_.~._.. I8IIn~Tan.k Gauging Probe. Model: Veeder-Root Mag#1 {!S Ànnu!u"Space-oi-Vault'Sensor; _...,~., M¢"de},::V~et'-ROðf #320'" . ~¡ping Sump I TrMèh Sensof(s). Model: Veeder-Root #352 DpiU Sump Scnsor(s). Model: OMècbanicaI Line Leak Detector~ ' Model: i:!SIElectroníc Linc .Leak Detector. Model: Veeder-Root PLLD I8ITank Overfill I High-Level Sensor. Model: V ècder~Root Mag # 1 I8!Dispenser Contaínmèflt Sensor(s). Model: 'Beaudreau f81Sheax- VaJve{s). OPi:spens~ Containment Float(s) and Chaìn(s). Oather $ j, \Ii mc:nt e and mOdel in Section E on P 2 . Tank ID: Regular ~In-Tank Gauging Probe. Model: Veeder-R.oot Mag #1 'r&1Anri~ar Space or Vault Sensor. Model: Veeder-Root #420 I8IPiping Sump I Trench Sensor(s). Model: Veeder-:RJXIt #352 OFHl Sump Sensor(s). Model: DMechanical Line Leek Detector. Model: I8IElectronic Line Leak Detector. Model: Veed~-.Root PLLD 'I8/Tank Overfill I tUgh-I.evel Sensor. Model: V ceder-Root Mag # I ~Dispenser Containment Sensor{s). Model: Beaudreau I8IShè8I'Valve(s), . " DDispmser Contaio.ment Float(s) and Chain(s). 'DOther s ci e ui ment t and model in Section E on Pa 2. Model: V~;der-Root Ma.g #1 Model: Veeder-Root #420 Model: Veeder-R.oot #352" . Model: Model: Model: Veeclet'-Root PLLJ:) Model: Veeder-Root Mag #1 Model: Beaudreau Tank ID: DIn-Tank. Gauging Probe. DAimular Space or Vault $ensor. DPiping Sump I Trench Sensor(s). OFiIl Sump Sensor(s). DMechanìcal Line Leak Detector. OElectronic Line Leak Detector. ' DTank OVerfill I High-Level Sensol'- ODispemscr Containment Sensor(s). OShear VaJve(s). ODispenser Containment Float(s) and Cha.îtl(s). DOther s ed e ui ment e and model in Section E on Pa c 2 . Model: Model: Model; Model: Model: Model: Model: Model; C. Certificatiol! - I certify titat the equipment identified in this document was inspected/serviced in accordance with the maDufacturers' guidelines. Attached to thi$ Certification is information (e.g. manufaduren' eheckJists) nccessaryto verify that this information is correct and a Site Plan $howing the layout of monitoring equipmeot. For aoy equipment capable of gener_fiog sucb report5, I have also attached a eopy of the (check aU th4t apply): Tec:hnicianName (print): Testing Company Name: Díllon Harrington R. J. Myers & Co.. Inc. OSystem set-up report; OAlarm h.istory report. Cert.lLîç, No.: 600-52-4741 Signature: Dillon Harrington Phone No.: .J..ti052383-9244 9~05-2001 2:46PM FROM R.J. MYERS CO. . INC, 8187026484 . P.4 Instructions for Equipment Testing and Certification Generàllòstraetioø.s. 1. Equipment that monitors underground storage tank systems containing hazardous materials must be testedJserviced annually. or on a schedule specified by the manuf&.ctuf1:r, whichever is more &equent. 2. This certification fonn must be used to document the following acti¥ities: 1.) Periodic testing as described above; 2.) Testing of new monitoring systems' upon installation; 3.) Testing ofrepLact:ment sensors, probes. or other system components; and 4.) Testing ofrepàired senSors, probes, or othé1' system components. 3. As oote<1 on Page I, a separate certification form must be completed for ew::h indívit!ual monitoring system Control panel. For example; If one control pan~l monitors in-tank gauging probes and 3ll0ther panel monitors electronic line lealc detè(,1òts, two certification forms are required. 4. Except in the case of emergency repairs, many local agencie$ require that a permit be obtained Rri.2I to instálling new monitoring systems or components (i~e. installation of new or different equipment, raÙler thæ1 ùsing parts identical to those replaced). ChcGk with your local agency for Ùlè.Ír requirements before starting work. Section 8 I. In the Tank ID sections, describe which tanks you work.ed on (e.g. Piesel Tank, North Tank, Middle Tank). ... 2.' For compartn:lented tanks, list ow::h c:ompartrnèD.t as a separate tank, 3.' Where "Model" is asked for, the name of ,the manufacturer and the manufacturer's specific model nan)e or number, as referenced in the "List of Leak :Detection Equipment and Meth04s for Underground Storage Tanks" (i.e. LG-113) must be ".._'~'"'.m:..'... ."" "" ............,spccifi«i. ""..,:",... .. ,", .....,..,;:.;...:,~.,---,.. .,,,...,,-,,.-.-,, ..........." ,",""'," ..'." ' ..",'..-..,....,......... .-.".,""..., , 4. Hands-()n fUnctional testins of individualleák detection components to confinn operability to manufacturer's specifications and state re~ations is required. This includes verifÿing any \Tlecl1anical or eledronic automatic shut-off featW'es (e.g, dispenser floats and'c.hains). In the-case of sensors that can nQt 'be non-destn.actively tes~, cQntact your local ageocy that regulates UST systems to See if they will approve alt~te testing methods (e,g.. testing of representative samples). Section C 1.' Certification must be made by a licensed and certified technician as per 23 CCR §~_. 2. AU work asSOèíàtèd with tcstingfservicing of equipment must be performed by or under the direct supervision of the ceni1)1ing tech.níciàn. , . Section D 1. When testing operability of positive turbine shut-down, you must: 1.) verifY shut..down by simulating a leak; -ªºº 2.) verifY shut.down by disconnecting the sensor. Attac.hments I.. Site Plan' - Y QI,1 must attach a drawing showing the general layout of tanks and piping. Clearly id~nti1Y locations of the following equipment, ,jf installed: monitoring s~stem control pa.ncls; sensors monitoring tank annular spaces. sumps, dispenser pan.~, spill containers, and other second.ary containment areas; mechanical or electronic lint leak detectors; and in- tank liquid level probes (ifu.'>ed. Co.-leak detection). Note the date the Site Plan was prepared. . 2. Systém Set-tIp Report - If Ùle monitoring system or diagnostic equipment used in testing is capable of generating a hard- copy report describing systlml set-up, you must include a copy ofthe report with this CertificatÎon. 3.. Ålanø. History Report - If the monitoring system is capable of generating a hard-copy alarm history l'èport, you must include a copy of the report with this Certification. . Relevlmt alanns that should appear in this report include overfilI, higtJ water, and leak detection equipment-related alarJ11s. This report should be printed before you test any sensors. (:ALMoOl 11115/99 9~05-2001 2:46PM FROM R.J. MYERS CO, INC. 8187026484 . . P.5 Monitoring System Certification site Address: 2600 White Lane, Bakersfield Date ofTestinglServicing: 05/15/01 Do: Results of Testing/Servicing. Software Version Installed: . 119.02 - E. Comments: C~LM·Ol Page 2 of 3 11/15199 9-05-2001 2:47PM FROM R.J. MYERS CO. INC. 8187026484 . . P.6 . Monitoring System Certification Site Address: 2600 White Lane, Bakersfield Pate of Testing/Servicing: 05/15fOl F. In..Tank Gauging I SIR Equjpment: OCheok this box if tank gauging is used only for inventory control. o Check this box if no tank gauging or SIR equipment is installed. This section must be c01I!-pleted if in-tank gauging equipment is used to perform leak detection monitoring. Com. lett tbe foUowin checklist: cg:¡ Yes No· Has aU inpllt wiring been inspected for proper entx'y and tm'mination, inç}uding testi.nS for ground faults? Yes No· Were all tank gauging probes visually inspected for ~age and residue buildup? Yes 0 No· Was accuracy of system product level readings tested? Yes ' . No" Was 8cçUlÐÇ}' ofS)'SteIIl water level readings tested? Yes No" Were all probes reinstalled properly? Yes No· Were all items on the equipment rnaD\l.fadurer's maintenance checklist completed? 41 In the Sèètioli H, Þelow, di*tibe bowaaad when these deficièQcÎes were or wUI ~ <:or~teð. G. Line Leak Detecto~ (LLD): o Cheèk this box ifLLDs are not installed. Com Jete the foUowin cbecklist: ~Yes_. ....N().!,._,.Fo[..__equiPJritW.-.;.st.a;rt.;:u~_,ot:..:annuaL..equipmenLcertificati.on,_.was... ~.. Jeak,.."simulated.t(J, verify., Ll.D. o N/A perfQnrJ:moe?(Checka/l tharapply} Simulated leakra.te; ~ 3 g.p.h.\ 00.1 g.p.h.2; 00.2 g.p.h.2 Notes: 1. Required for cqcipDlent start-up certification and annual certification. 2. Unless mandated by local agency. "ertification required only for electronic LLD start-up. Were all L1.D8 conftm1ed operational and ~(:urate within regulatory requirements? . Was thete$ting appamtus properly calibrated? For ~hbnica.l LLDs, does the LLD restrict product flow if it <k.'1eGts a leak? No· No· No III t?J Nt A No· o Nt A No" ON/A No·' ON/A, No" ON-fA No· Were all items on the equipment manufàcturer's maintenance cheçklîst completed? . * In thè Section H, below, de$cribe how and when these defidenc.ie$ 'WC'n or wi1l b2 còtrected. H. Comments: For electronic LLDs, does the tui'bine automatically shut off if the LLD detects a. teak'? For electronic L1.Ds, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? For ¢lec1J:oDÏc LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? For eleCtronic LLDs, have aU accessible wiring connections be¢n "isloWly inspeçted? CA.LM-Ol Page 3 of3 11/15199 9~05-2001 2:48PM FROM R.J. MYERS CO. INC. 8187026484 . . P. 7 Instructions for Testing Line Lèak Detectors SectioD G 1. Line lcak dc:ttctors should be testedin.plac:e~ not removed. 2. The functional elements oÎthe mecl1anic::al LLD are the piston and the diaphragm. To cnstm;th.at 'these elements are functioning properly, the submersible pwnp can be started and the time that the piston or diaphragm takes to move into a position to enable full flow of the product noted. The range of allowable opening tÌIne$ is specified by the manufaètl.Jrer and is available in the equipment manual. 3. The presence of air pockets in the $y$tem will result in longer opening times since air i$ much more . çompressible than prodUct. 4. ThennaÌ expansion an4 compression may be a problem in areas w~ there are large temperature variances' betW~n day and night. Thð difference between product temperature and air tempe;!3.Wre may be significant enough to create an expansion or contraction as the product is pushed up the line into the LLD. ' 5. The purpose of the relief valve is to ensure that the LLD can function properly and is not damaged by an ~"cessive buíld.up I>fpressure behind the pistQn or diaphIagm. lithe pressure is excessive, the relief valve wiU . vent into a copper tube that leads back to the tank. The connections to this tubing should be checked tbr leaks. .. . . ,.. , ,..-;'"..',:... ~ n, " . . ' . . . . ,......n. .~...,....,.........................,..___...~,..,_..-..._.....'_.........,...,.........,...y. . ,.'.'~....... ... ..,. ...,.. -: CALM-oI 11/15/99 (' 9~05-2001 2:48PM FROM R.J. MYERS CO. INC. 8187026484 . . P.8 Monitoring Systëm Certification , ' , .. UST MonitoringSite Plan Site Address: 2600 \\'hite Lane. Bakersfield ,'. . .. .. .. .. .. .. ,¡ . 10 .. .. "," .. .. .. " . .. .. ~ ... .. ........ . 4 ·,···0,· .. .. .... .. 3 ... .. .. .. ..' " . .. '" .. .. .. .. .. II .. .. .. .. .. .. ... .. . 2 .n. ~. .... .. .. ... . r '. . .. .. .. .. .. .. .. .. ... ... . .. .. " .. . Veeder-Root. .. .. ... .. .. .. ... .. .. .. .. Car Wash S6I'Vice Bay .. .. .. .. .. . " .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ···D····· .. ..6 . $. . . . .. .. .. .. .. .... .. .. ~ .. .. . .. ... .. .. .. .. . .. .. .. .... .. .. .. .. '" .. .. .. ." .. .. - .. .. .. .. .. !I, .. .. .. .. .. .. ._.....~'n..._...._.,..........'._n_.. _,"".. H ".,. .... ..... "....,..",'..._..,... II" .,.., '. . .. , "... ~....., ..-.. ....._- ,.. ..................... ........,..,".- .... .. .. .. .. .. .. .. .. .87 . . ,0 D 0: . . 0 89 o .. .. .. , '. .. .. .. .. .. .. .. .. .. .. '" ~ .. t .. .. .. .. " <10 .. '" .. .. .. .. .. .. .. .. .. D o o . AnnularfTLM. . " . . . ..Vapor , .. .. .. .. .. .. - .. . ... .. '" . '. . . Filt . o o ." .. .. .. " .. ... .. .. .. .. .. .. .. .. .. . , . . 92. . .. .. .. .. .. II' .. .. . .. .. .. .. .. .. .. . 1 ". .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. . .. . .. '" ..... .. .. .. .. Date map was drawn: -ºL ~ -ºL. Instructions If you already have a diagram that shows all required information) you may include it, rather than this page, with your Monitoring System Certification. On your site plan) show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces. sumps, dispenser . pms, spill containers, or other secondary containment areas; JD,echanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note thè date this Site Plan was prepared. ÇAJ.M-4IZ Page 1 of ---L- UlJSI9' , 9~05-2001 2:48PM FROM R.J. MYERS CO, INC. 8187026484 . . P.9 A. Q. M. D. SUMAARY REPORT S/S: Shel1135068 ADDRESS: 2600 White Lane Bakersfield, CA 5/15/01 DATE: TP201.3: PASS FAIL NIA X Reason For Failure: Test not required at this time. TP20J..4: PASS FAIL N/A X Reason For Failure: Test not required at this time. TP201.S: PASS FAIL N/A X , , ..nH.......mn_...~.'_. , ··~··RëaŠ-õn "PorFåÜÜre:" .....~-,. .-.,.- ",-- .,.. ·..,···..·testnofreqûÚ'ecf at this timë. Electronic.Monitor Results: PASS X PAIL N/A Reason For Failure: ,DroD Tubes: PASS X FAIL N/A Dròp Tubes That Were Replaced: . 87 89 92 Diesel Siphon Tank None X --- Reason For Failure: Containment Box ReDort: PASS X FAIL N/A Reason For Failure: Manufacturer: Size: 5 Gallons In Ground Type X Retrofittable CNI Pomeco ....---..--....-- PhlI Tite Safe pte FRC X opw EBW 102960 204-0461-0501 " 2600 l.-JHITE LANE. - BAKLRSF I ELD, CA. 809508:32505001 MAY 14, 2001 9:23 AM IN\~ORY REPORT T 1 :REGULAR VOLUr"1E ULLAGE 90% ULLAGE= HEIGHT WATER VOL l.JA TER TEMP' T 2:PLUS VOLUr"IE ULLAGE 90% ULLAGE= HEIGHT WATER VOL WATER~ TEt"IP0 ._v T :3 :PRÐ1I Uf1 VOLUr"1E ULLAGE 90% ULLAGE= HEIGHT ["'JATER" VOL l.JA TER TEMP 7010 GALS 2718 GALS 1745 GALE 61.71 INCHES [J GALS 0.00 INCHES 78.8 DEG F 3586 GALS 6142 GALS 5169 GALS 36.81 I NCHL-: I] G~',L:3 0.00 INCHES 7:3 . 3 DEG F 1925 GALS 7803 GALS 683[1 GALS 23.91 I NCHÐê:: [I GALS [1.00 I fIlCHES 72.9 DEG F M M M M MEND M M M ¥ ¥ . . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd ¡"Ioor, Bakersfield, CA 9330] FAC[LITYNAM~;f'~ t"l;¡ 61dL ADDRESS dftJQ \ /... FACILITY CONTACT INSPECTION TIME INSPECTION DATE 5""'" /t{-O/ PHONE NO. ~J~ - 4 g Of BUSINESS ID NO. 15-21 O~ NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program o Routine 11J Combined o Joint Agency o Multi-Agency o Complaint o Re~inspection OPERATION C V COMMENTS Appropriate pennit on hand \... / Business plan contact ¡nfonnation accurate / V V ./ Visible address Correct occupancy l / / Verification of inventory materials V Verification of quantities v Verification of location t.. /' Proper segregation of material VV Verification of MSDS availability L- V Verification ofHaz Mat training C. V Veri fication of abatement supplies and procedures ( V Emergency procedures adequate f V Containers properly labeled L V Housekeeping L ~ Fire Protection ... Site Diagram Adequate & On Hand \... / C=Compliance V=Violation Pink - Business Copy Any hazardous waste on site?: Explain: DYes DNo Questions regarding this inspection? Please call us at (661) 326-3979 White· Env, Svcs, Yellow - Station Copy Inspector: /( e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 F ACILITY NAME--1.J.1kk~ ~lAL ~I INSPECTION DATE s -/t/-Ol Section 2: Underground Storage Tanks Program o Routine Elì Combined 0 Joint Agency Type of Tank -.1JuJ - Type of Monitoring c..LAt ~ o Multi-Agency 0 Complaint Number of Tanks tf Type of Piping 5WF ORe-inspection OPERA TlON C V COMMENTS Proper tank data on tile ·L / Proper owner/operator data on tile V / Permit fees current v / Certification of Financial Responsibility V Monitoring record adequate and current V / Maintenance records adequate and current v Failure to correct prior UST violations v /" Has there been an unauthorized release? Yes No ~' Section 3: Aboveground Storage Tanks Program AGGREGA TE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO '''pcoto, ;t, eM ¡!f() Oftìce of Environmental Services (805) 326-3979 White· Env. Svcs. 2~sponSible Party Pink· Business Copy -- -- . . _ ! !.!.. enJqa::l '0088 WJ0::l Sd ~~:..-~:~.::~a,''-I.(. ..... .. .. f¡C£ $ se&:l1I eBu¡sod I~J. (pálInbe\: ¡ueweSJopu3! ss::I Áls^llsa pe¡O J¡Ss\: ~Q SH OÇ"1 (pe¡ IIbel: ¡uswaSJoPU3! SS::I ¡dlsoe\: UJn¡s\: ,) JBW~SOcC 06"1 as::I pSII!1JSO f¡£" $ s611¡SOd r J I ~:" : '--~..Ò--''''Ò--''b(~rBt:~~-;:;~-?~-~!~~-~.:? g J'I'I c SHSI~NílJoNQ'J,]i~Q;l,1S C ·----.~----·-:-...-·--··-·--···-··----·ÑVi:ümiVš--w"iii¡ï--;-ŠW-·- c (J"I/f1UI¡(q p/lPl/áWOQ øq oJ.) (Jf/Jè/l/:1 JU/Jd eseø/d) 6weN S,JU6Id,06t1 lt1 ru c:J c c ru I::-' ..D [T" ru lt1 + ~ CÞ + - & ~"',.,.,.>.~ Certified Mall Provides: . '. A mailing receipt · A unique identifier for your mail piece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mäll or Priority Mail. · Certified Mail Is not available for any class of international mail. .. NO INSURANCE COVERAGE IS PROVIDED with Certified Mail, For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery' may be restricted to the addressee or addressee's authorized agent. Advise thè clerk or mark the mailpiece with the endorsement "~estricted Delivery". · If a postmarW,~the Certified Mail receipt is desired, please present the arti- cle at th,e post òì'fic~,r postmarking. If a postmark on, the Certified Mall receipt is,not neede~'¡rtach and affix label with postagj' nd mail. IMPORTANT: Save this re,ce¡Pt and present it when ma~ ,an inquiry. " ....~ '>Ann ""hruarv 2000 (Reverse) '1 595-00-M·1489 '\.'<0' /'''' / FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326·0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 ,e . May 14,2001 Ms, Feryal Sarrafian Equilon Enterprises, LLC P.O. Box 7869 Burbank, CA 91510-7869 Via Certified Mail Re: Temporary Closure on (2) Two Shell Facilities; ( 2600 White Lane &' 3 700 Ming Ave., Bakersfield, CA Dear Ms. Sarrafian: On April 12, 2001 thi~ office received a letter ftom A & S Engineering, Inc., requesting temporary closure of the above-mentioned locations (see attached). I responded on April 16, 2001, via certified mail, and outiined conditions for temporary closure (see attached). As of this writing, I have not received the third party certification, nor the conditions for closure as outlined. On Thursday, May 10, 2001, I conducted a visual inspection of the (2) two facilities mentioned above. The facility at 3700 Ming Avenue is in fact closed. However, the facility at 2600 White Lane is still operating. I confirmed with Mr. Calvin Willis, the operator of this facility, that he is unaware of any closure of his store and point-in-fact, he has another year on his lease. Would you please confirm the status of this facility. Until the conditions and terms set forth in my letter of April 16, 2001 are complied with, no granting of temporary closure can be made. You have until June 30th to comply after which time your facility will be considered illegally abandoned. Should you have any questions~ please feel ftee to call me at (661) 326-3979. S1 i Steve unde~ector Office of Environmental Services Enclosures SU/db cc: Mr. Ahmad Ghaderi, A & S Engineering, Inc, (w/enclosures) S:\MA Y 200ll/Sanafian re 260" "",:' , '<',3700 Ming SUunderwd Ltr,wpd "" r£? .1/' (/' ()Z'" j/ Cf7R7 ,/,/ (£:';0 " J~' Uté rJÒI"I'l/nu~ ..ry;oP ..../~00pe .!Y/lU/t- J(:) gé/úa/,~ ,:3- ~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE(661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395'1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesler Ave, Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326-0576' TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399·5763 . . April 16, 2001 Mr. Ahmad Ghaderi A&S Engineering Inc. 207 W. Alameda, Suite 203 Burbank, CA 91502 CERTIFIED HAIL Re: Temporary Closure on (2) Two Shell Facilities; 2600 White Lane and 3700 Ming Avenue. Bakersfield. CA Dear Mr. Ghaderi: I am in receipt of your letter dated, April 12, 2001, requesting temporary closure on (2) two Shell facilities at the above-referenced addresses. However, as I stated in a telephone conversation with you, Ms. Sarrafian and Mr. Massaro, the applications you submitted 4-5 weeks ago were Removal Applications and not Temporary Closure Applications. I will attempt to again explain the procedure for Temporary Closure. There is no pennit application for Temporary Closure, the fonns Mr. Mossaro submitted were destroyed. To obtain a Temporary Closure you must submit a request in writing, requesting Temporary Closure, wÞ.ich you now have done. Next you must send us a third-party certification, certifying that: (a) All tanks have been triple rinsed; (b) Fills are locked and secured; and (c) Nozzles have been removed: Once we have reviewed the third-party certification, we will send you a letter granting Temporary Closure provided that: (a) The facility will be maintained and checked at least monthly; (b) As part of that maintenance you will keep area fenced and secured; and, (c) Weeds and combustible materials will be abated. H. 'h:/'(I(;If/ /A;. (;("/.II/.II/(/I//Í/ .:A,,/, . I/'('·/'t, . /;{((/I . ¡, '(;(:/I/I//'{/ ", " <"~, (Ii e . 1\ "!!'" Mr. Ahmad Ghaderi A&S Engineering, Inc. April 16, 2001 Page 2 Should you have any questions concerning Temporary Closure procedures, please feel tree to call me at (661) 326-3979. ' I will be looking forward to receiving your third-party certification and will expedite your letter granting Temporary Closure. Sincerely, 'i~ Steve Underwood, Hazardous Materials Inspector Office of Environmental Services SU/db cc: Feryal Sarratian s:April2ool\2600 White Ln & 3700 Ming Ave,wpd ~Apr 12 01 03:27p (.~ U \\C", \.) '\ t.~ !).o ~ ~to,. \ '- ~. \ ~c. ~ ~()t e 818 842 3760 -- p. 1 . " ! 1 """'~-'./ ...,...':: ,,:~'. ï:~.'" '("::~:;":~:,. ..... n '".--" ._n:'~,t::., -~,;~~ .~;';'. .';" ¡ n' .' >ì', ,,;:'.' " ·1 .,.1. :.t..I"~:íEfì'8.·t;·f· .." ·h';I·',~f~'" .¡,;.,..:.",.,.. :', ":'/7 ' .::';·J~·};{~~~;r~:.: .'. . ~~t;l~~ , .., ,.:-,~i';:"":'.,.! :::'f 'y.: . "\¡ ,¡. ',:;," 207 W. Alamt:da, Suite no. 203, Burbank, Ca. 91502 Ph, 818-842-344. Fax. 818-842-3760 April 12, 200 I To: City of Bakersfield City fire department Attn: Inspector Steve Underwood Fax: 661-326-0576 Total no. of pages: I Re: EquiJon Shell Station Temporary UST closure pennits I. 2600 White Lane, Bakersfield 2. 3700 Ming, Bakersfield Denr inspector Underwood, Per our conversation a couple of days ago, our finn submitted the temporary closure applications for the above-mentioned sites. approximately 4-5 weeks ago. As, I mentioned the sites, tht: entire operations including the food mart sales have temporarily been suspended. Our contractor has locked the entire fill and vapor risers, including the turbines. There is a maintenance company that maintains the site. We respectfully request your approval for a I-year temporary closure. Once a decision is made to reopen or take other actions, I will notify you in writing. If you need additional information, please do not hesitate to give me a c¡¡ll. Sincerely, u/ t'7 . Ahmad Ghaderi ~ Cc: Equiva Services- ~,1s. Feryal Sarrafian ~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326·0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399'5763 - - Apri116, 2001 Mr. Ahmad Ghaderi A&S Engineering Inc. 207 W. Alameda, Suite 203 Burbank, CA 91502 CERTIFIED MAIL Re: Temporary Closure on (2) Two Shell Facilities; 2600 White Lane and 3700 Ming A venue. Bakersfield. CA Dear Mr. Ghaderi: I am in receipt of your letter dated, April 12,2001, requesting temporary closure on (2) two Shell facilities at the above-referenced addresses. However, as I stated in a telephone conversation with you, Ms. Sarrafian and Mr. Massaro, the applications you submitted 4-5 weeks ago were Removal Applications and not Temporary Closure Applications. I will attempt to again explain the procedure for Temporary Closure. There is no pennit applicatipn for Temporary Closure, the fonns Mr. Mossaro submitted were destroyed. To obtain a Temporary Closure you must submit a request in writing, requesting Temporary Closure, which you now have done. Next you must send us a third-party certification, certifying that: (a) All tanks have been triple rinsed; (b) Fills are locked and secured; and (c) Nozzles have been removed. Once we have reviewed the third-party certification, we will send you a letter granting Temporary Closure provided that: (a) The facility will be maintained and checked at least monthly; (b) As part of that maintenance you will keep area fenced and secured; and, (c) Weeds and combustible materials will be abated. ". (/';/t"";lf/ d;' (;rwl//IH/l//Í/ .:Yr/' . I¿",pro ./Àa/i . ,/; Y;r~l/u./'I/ .'. í j"< 1, ~~ . .' q;, ¡' Mr. Ahmad Ghaderi A&S Engineering, Inc. April 16, 2001 Page 2 Should you have any questions concerning Temporary Closure procedures, please feel :fÌ"ee to call me at (661) 326-3979. I will be looking forward to receiving your third-party certification and will expedite your letter granting Temporary Closure. Sincerely, ·i~ Steve Underwood, Hazardous Materials Inspector Office of Environmental Services SU/db cc: F eryal Sarratian s:April2ooll2600 White Ln & 3700 Ming Ave.wpd ,Apr 12 01 03: 27p /\(....1 '(\ , \\0'-"- . Ð '\ \~~t.o- to , '<-- \1- \\ ~c.. ~ ~( e 818 842 3760 e p. 1 :-.... ~ ! 1 '._,r-,·l "'j 207 W. Alamt:da, Suite no. 203, Burbank, Ca. 91502 Ph, 818-842-344, Fax. 8l8-842~3760 April 12, 2001 To: City of Bakersfield City fire department Attn: Inspector Steve Underwood Fax: 661-326-0576 Total no. of pages: I Re: Equilon Shell Station Temporary UST closure pennits I. 2600 White Lane, Bakersfield 2. 3700 Ming, Bakersfield Dear inspector Underwood, Per our conversation a couple of days ago, our finn submitted the temporary closure applications for the above-mentioned sites. approximately 4-5 weeks ago, As I mentioned the sites, the entire operations including the food mart sales have temporarily been suspended. Our contractor has locked the entire fill and vapor risers, including the turbines. There is a maintenance company that maintains the site. We respectfully request your approval for a I-year temporary closure. Once a decision is made to reopen or take other actions, I will notify you in writing. If you need additional information, please do not hesitate to give me a call. Sincerely, u/ /7 . Ahmad Ghaderi )J!t;;:::>'- Cc: Equiva Services- Ms. Feryal Sarrafian e 102960 204-0461-1]501 2600 l,.JH ¡ TE LANE. BAJŒRSF I ELD. CA. 809508:32505001 AUG 22. 2000 'OJ: 29 AI"] I N\/ENTORV REPOFrr T 1 : REGULAR VOLUr"1E ULLAGE gœ,: ULLAGE= HEIGHT klA.* \lOL lJI-\'W' TEr"lP T .,'LUS VO~; ULCI-;I.}£ 90~¿ ULLAGE= HEIGHT lJATU: ',,lOL L,JATEF: TEr"IP T :3: P PH1 I ut·,! VOLUrv1E ULLAGE 90;.-[. ULLAI.:;E = HEIGHT l,-JATEF~ \/OL IAIATER T HiP 7421 CALS 2:307 C;ALS I :3:34 GALS 64.9.01 ¡ NCHEE; o GALE; 0.00 INCHES 88.2 DEG F -------=--- ---'"'"-- 1 '305 Ci::;U3 7:32:3 G(~L~3 6850 GALE: 23.74 ¡ I'K;HE:3 I] (~(;LE~ Ci , 00 [f'''¡CHEE; :37. J DEG F 203':1 (?AL:3 7f\89 GAL~~ E,'ì 1 6 GALS 2:) .86 [NCt1EE; [I GALE: I] . 00 1 NCHE:3 86.8 DEG F * ¥ f f ~ END ~ ~ ~ ~ f -- ,~ -~--.,.----~'- -,- --'- ~-~--- <ë'RRECTION N0"lCE BAKERSFIELD FIRE DEPARTMENT N~ 970 LocatioJ1 0 JfA \{c - kt'll <:.--*fL-. Sub Div.~. Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No ~4.~ tt\-.5 ~L :?, () do. y5 Completion Date for Correction Date fb/aJµ()(') Inspector 326·3979 I.- . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME iUh\'\c... kttV\c.. sk~l\ INSPECTION DATE <13 ( 21../0(:) Section 2: Underground Storage Tanks Program o Routine [3..e'ombined 0 Joint Agency Type of Tank O(ÙP Type of Monitoring 9IifP" )\'" ~ o Multi-Agency Number of Tanks Type of Piping o Complaint I{ ~tùF o Re-inspectìon OPERA nON C v COMMENTS Proper tank data on tile V Proper owner/operator data on file V Pemit fees current V Certification of Financial Responsibility iv Monitoring record adequate and current vi Maintenance records adequate and current V Failure to correct prior UST violations V Has there been an unauthorized release? Yes No V Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=CompJiance V=VioJation Y=Yes N=NO é!/ ~ß! Business Site Responsible Party Inspector: Office of Environmental Services (805) 326-3979 White· Env. Sves. J¡j C~JJJrÆ) Pink· Business Copy . . CITY OF BAKERSFIELD FIRE DEPARTM,ENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME~ ~~~r ~;~ ADDRESS d(oOO \-\. ho.- FACILITY CONTACT INSPECTION TIME INSPECTION DATE <a (~ 00 PHONE NO. <{<~ ~ qqO( BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES d-- Section 1: Business Plan and Inventory Program o Routine l]}C'ombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate permit on hand ~ Iv Business plan contact information accurate 1 Nwl -to dAd n.. _ ...... ~Q t 6'\.dtW\oN , , I Visible address IV"" Correct occupancy 1..1 , Verification of inventory materials Iv Verification of quantities V Verification of location Iv Proper segregation of material ,,/ Verification of MSDS availability V Verification of Haz Mat training '\/ Verification of abatement supplies and procedures V Emergency procedures adequate fV Containers properly labeled V Housekeeping IV Fire Protection ../ Site Diagram Adequate & On Hand IJ C=Compliance V=Violation White· Env. Svcs, Pink - Business Copy Any hazardous waste on site?: Explain: DYes DNo Questions regarding this inspection? Please call us at (661) 326-3979 Yellow - Station Copy Inspector: --, '-...111 vr Dß~..c.f'.ðr lI:,LU OFFlrE OF ENVIRONiVlENTAL S~VICES /.jGIJ(,i 1715 ChAIr Ave., Bakersfield, CA 93301.61) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Cheel< one Item only) ~. RENEWAL PERMIT o 4. AMENDED PERMIT o 1, NEW SITE PERMIT o 5. CHANGE OF INFORMATION (Specify chenge ' local use only) o 6. TEMPÓRARY SITE CLOSURE ..._.__' '~~~·Q~J?-~T ~__u -------;.. ~';~;~;TY / SITE INFORMATION 8USINES~M (Same as FACILITY NAME or DBA, Doing B.7siness As)-- 3 : FACILITY 10 # 5 \-\¿L-L ! 401. ¡FACILITY OWNER TYPE J ~ 1. CORPORATION o 2. INDIVIDUAL o 3. FARM 0 5. COMMERCIAL ¡ 0 3. PARTNERSHIP D 4. PROCESSOR 0 6. OTHER 403. ____,"N..tl.LT.¿:; LA "-\ ¿ NEAREST CROSS STREET E.L- 90 Q..-r~¿-gv ~~tEŠŠ-~ 1. GAS STATION D 2, DISTRIBUTOR T"õï'ACÑUMBER OF TANKS REMAINING AT SITE [ií ! I ~ i I ..J.--L__ Is facility 00 Indian Reservation or lrustlands? ·If owner of UST a public agency: name of supervisor of division, sectloo or office whid1 operales Ihe UST. (This is the conlact person for the lank records.) 4- Dyes 1'& No I 405. J 406. 404, II. PROPERTY OWNER INFORMATION Page 1. of c:¡ o 7, PERMANENTLY CLOSED SITE o 8. TANK REMOVED 400. ._-"--------~---- -- ..-------. I , : D 4. LOCAL AGENCY/DISTRICT' D 5. COUNTY AGENCY· o 6. STATE AGENCY· o 7. FEDERAL AGENCY· 402, LLC. 407. PHONE 408. 6\8 -'-1 3'==' - 507B PROPERTY OWNER NAME - - r::::::: Q V\.'-:- 0 N t:::: ~ "'\ ¿.oR Y R. \ S C..s MAILING OR STREET ADDRESS Po 80>' 7~(oq CITY 0\J~\~~~'C.- PROPERTŸ- OWNER TYPE 1&( 1. CORPORATION 410. j STATE i CA I o 4. LOCAL AGENCY I DISTRICT o 5. COUNTY AGENCY o 2. INDNlDUAl o 3. PARTNERSHIP 409, 411, I ZIP CODE I Q,51o - ~é3b9 o 6, STATE AGENCY o 7, FEDERAL AGENCY 412. 413. III. TANK OWNER INFORMATION TANK OWNER NAME .-- f:;:. V\. L..O 'N c:::: 'I--l. '[ ¿ e ~ 'MllING~ STREøDRESS \-"'0 OX If 6roQ ::ITY \ ðé.Æ:> L L c.... 417, ¡STATE 418. ¡ OA o 4, lOCAL AGENCY / DISTRICT o 5. COUNTY AGENCY 12J-.J~0AN~ rANK OWNER TYPE o 2, INDNlDUAl o 3. PARTNERSHIP ~ 1. CORPORATION IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER ry (TK) HQ Call (916) 322-9669 if questions arise V. PETROLEUM UST FINANCIAL RESPONSIBILllY -.¡DICATE METHOO(S) 1, SELF-INSURED o 2. GUARANTEE o 3, INSURANCE o 4, SURETY BOND o 5. LETTER OF CREDIT o 6. EXEMPTION o 7, STATE FUND o 8. STATE FUND & CFO lETTER o 9. STATE FUND & CD 414. PHONE 415. fh6 - "í:?:>'==' -50 78 416. ZIP CODE c¡ J S\ 0 - '/Bb9 419~ o 6. STATE AGENCY o 7, FEDERAL AGENCY 420. 421. o 10. LOCAL GOVT MECHANISM o 99. OTHER: VI. LEGAL NOTIFICATION AND MAILING ADDRESS 422. :heck one box to indicate which address should be used for legal nolificalioos and mailing. egal nolincallons and mailings will be sent 10 Ihe lank own81 unless box 1 or 2 is d1ed<ed. o 1. FACILITY )s( 3. TANK OWNER 423. o 2. PROPERTY OWNER VII. APPLICANT SIGNATURE ,ertlncatJon: I certify thaI the InformaUoo provided herein Is lrue and aCCUr3le to the bool of my knowtedge, . ,""ru.œO'-¡P'uom< "-' ~ - L 5"1 \ 0/ ~ : ~~~l( ~~ - 5~ .".; AME OFAPpiJCAÑT7p;;:~I) 0} ~ 426'1 TITLE Òf:APPLlCAÑf -- ' Q 4l7, .. ~~ i<.,"':1_\E.\..~__.._;2_~R8,EJ AH._,_.___..._____.__ .6 't-\__ª,~__a-"-^.~I,.,,..J .A..t-\ £.:::'¿-, ---ºg.Q\.~:r:q~ TATE UST FACILITY NUMBER (For /ocs/ uss only) 429. 428. I 1998 UPGRADE CERTIFICATE NUMBER (For/ocal uss only) CF (7/99) .' S :\CU P AFORMS\swrcb-a, wpd CITY OF BAKERSFIELD OFFICeF ENVIRONi\,'ENTAL SER1fES 1715 Chester Ave., Bakersfield, CA 93301 (661)326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 I'YPE OF ACTION C/Jeck one dem only) o I, NEW SITE PERMIT 0 4, AMENDED PERMIT ~J RENEWAL PERMIT o 5, CHANGE OF INFORMATION) Page 2-", <1 431 -fÀNKIOII 434 o 6. TEMPORARY SITE CLOSURE o 7, PERMANENTLY CLOSED ON SITE (Specify reason· lor focal use only) (Specify change' lor focal use only) 0 6. TANK REMOVED 430 BUSINEŠ'SNAME(Sameâ;FÃèiUTYNÃMEÒ(ÕBÃ,Õo.-;'-;iä~;;~-A3)"-' - ---"'-"--3-! FACILITY/DII--r-:-'I--' - _I" -- ~ ,-.. ., .- ---'----------..-. I : I _ ._...~rlJ ,¿-__ LA-N.¿- '5 \-\'¿--L..\,... ¡ ',; i : : ' LOCATlONWITHINSITE(Opoonal)----·-· -----,..---,-,.-.-- .-'----,--,-- -.~.. .--.--,--.- - "--'-'-,,- õÄrËINSTÃLLED (YEARlMOj-- 432 I. TANK DESCRIPTION 435 ÂÕDITIONAL DESCRIPTION (For local use only) TANK MANU-FACTURER DW'£"\~ [TANK ëÃPACITY IN GALlÕNS I ! rì 433 COMPARTMENTAL/ZED -T AN;---Ö Yes ----:Q( No ~ ~ ~ , ~G If "Yes', complete one page for each compartment --4j6-r'N-ÚMBË'ffoF COMPARTMENTS' --.- --.. J \O\cQOO 437 438 TANK USE 439 M 1. MOTOR VEHICLE FUEL (If marked. complete Peltoleum Type) o 2, NON·FUEl PETROLEUM o 3. CHEMICAL PRODUCT o 4. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN TYPE OF TANK ~Check one item only) rANK MATERIAL, primary tank 'Check one item only) II. TANK CONTENTS PETROLEUM TYPE ~ 1a, REGULAR UNLEADED D 1b. PREMIUM UNLEADED o 1 c. MIDGRADE UNLEADED D 2. lEADED D 3. DIESEL D 4, GASOHOL 440 D 5. JET FUEL D 6, AVIATION FUEL o 99. OTHER COMMON NAME (from Hazaroous Materials Inventory page) 441 CAS II (from Hazardous Materials Inventory page) 442 gA~OL.\~é III. TANK CONSTRUCTION D 3. SINGlE WALL WITH EXTERIOR MEMBRANE LINER D 4, SINGLE WALL IN A VAULT \'-1\o-ro R.. o j, SINGLE WALL 'ti( 2. DOUBLE WALL OJ. BARE STEEL D 2, STAINLESS SreEl rANK MATERIAL, secondary tank D j, BARE STEEL 'Check one item only) 0 2. STAINLESS STEEL TANK INTERIOR LINING JR COATING 'Check one item only) :JTHER CORROSION "ROTECTION IF APPLICABLE 'Check one item only) 5PIlL AND OVERFILL 'Check all thet apply) D 1. RUBBER LINED D 2. ALKYD liNING 1& 3, FIBERGLASS I PLASTIC D 4. SreEL CLAD WIFIBERGLASS REINFORCED PLASTIC FRP 3, FIBERGLASS I PLASTIC o 4, SreEl CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) D 5. CONCRETE o 3, EPOXY LINING o 4, PHENOLIC LINING o 5, SINGLE WAll WITH INTERNAL BLADDER SYSTEM D 95. UNKNOWN o 99. OTHER o 5, CONCRETE ' o 8, FRP COMPATIBLE W/100% METHANOL 443 o 95, UNKNOWN o 99. OTHER 444 SPILL CONTAINMENT DROP TUBE . :': ~.; 01, 02, 03, 04, o 8, FRP COMPATIBLE W/100% METHANOL o 9, FRP NON·CORROOIBlE JACKET 010. COATED STEEL o 95, UNKNOWN o 99, OTHER 445 o 5, GL:\SS LINING o 6, UNLINED ~ 95. UNKNOWN o 99. OTHER 446 DATE INSTAllED 447 (For local use only) DATE INSTALLED 449 o 1. MANUFACTURED CATHODIC PROTECTION o 2, SACRIFICIAL ANODE YEAR INSTALLED ):[ 3. FIBERGLASS REINFORCED PLASTIC <,¡:'f}.95, UNKNOWN o 4. IMPRESSED CURRENT 0 99. OTHER STRIKER PLATE 6Có-c....i.,.. ~¿ ·~~·:L~:~~f~~);~!\<t-~~:·1lt.~;·~~·~~T~ijK~.~·Ò~~ÇN·..~~'~:,·+~_t::'~··.': ,+ )\+~;~~j~~~~~~·fiJ)~1:r~r',:,~;::~;!~~~~/~~l 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one ifem only): o 1. VISUAL (SINGLE WALLIN VAULT ONLY) t:i(2. CONTINUOUS INTERSTITIAL MONITORING o 3. MANUAL MONITORING Œ:.1, IE: 2. ~3, ~e 450 TYPE (For local usa only) 2. -5 Q~... 6o~ 448 451 (For local use only) OVERFilL PROTECTION EQUIPMENT: YEAR INSTAllED ~ 1. ALARM D 3. FILL TUBE SHUT OFF VALVE ßf 2. BAll FLOAT _ 04. EXEMPT 452 454 ; i I V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING o 5, MANUAL TANK GAUGING (MrG) o 6, VADOSE ZONE o 7, GROUNDWATER D 8. TANK TESTING 099, OTHER gallons Dyes ONe ESTlMA TED DATE LAST USED (YRlMO/DA Y) 456 TANK FilLED WITH INERT MATERIAL? 457 JPCF (7/99) ~._._._,_.- -'.,.._-~._--_.. -~-".--.-.----_.'-'.--" ..-'-"."". ,--....-. --------,.-----------.-.- S:\CUPAFORMS\SWRCB-B. WPD 455 ESTIMATED QUANTIiY OF SUBSTANCE REMAINING -,-------.-.. .,," ... .~-- ..-------- CITY OF BAKERSFIELD .' FFICE OF ENVIRONMENTAL SERVICES 171 ster Ave., Bakersfield. CA 93301 (661) 326-397_ .~ ~) / UST, TANK PÀ¿, ______,_ -,-,-~.~ -~_~~,_c;:l"' ABovEGROUNO PIPING ..-----~ VI. PIPING CONSTRUCTION (Check.n that apply) UNDERGROUND PIPING ,ysrEM rYPE Xf'1. PRESSURE 0 2, SUCTION 0 3, GRAVlrY 458' :.0 I, PRESSURE ;oNSTRUCTIONI'~ 1, SINGLE WALL 0 3. LINED TRENCH 099, OTHER 460; 0 1. SINGLE WALL AANUFACTURER. 0 2. DOUBLE WALL 095. UNKNOWN : 0 2, DOUBLE WALL I ..._. ~~~~C,T~~~.__ ,~1_ ~_ _._,__" MAN'!.~~~:r.'!.~~~, o 1. BARE STEEL 0 6. FRP COMPATIBLE WI 100% METHANOL ! 0 1. BARE STEEL .MTERIALS AND' 0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL I 0 2. STAINLESS STEEL :ORROSION : 'ROTECTION 10 3. PLASTIC COMPATIBLE WITH CONTENTS 0 95. UNKNOWN ! 0 3. PLASTIC COMPATIBLE WITH CONTENTS ~ 4. FIBERGLASS 0 8. FLEXIBLE (HOPE) 0 99. OTHER Ii 0 4. FIBERGLASS .05. STEEL WI COATING 09, CATHODIC PROTECTION 464 ,05. STEEL WI COATING , VII, PIPING LEAK DETECTION (Check all that apply) UNDERGROUND PIPING .. 1 ~~~YEGROUND PIPING __,_____ _... ""'-'-'''---'--'-'--'---''SiNGLEWALL PIPING 466 : SINGLE WALL PIPING 467 >RESSURIZED PIPING (Chack all that apply): I PRESSURIZED PIPING (Check all that apply): g, 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR 0 1, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL I SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS 0 2. MONTHLY 0.2 GPH TEST :J 2, MONTHLY 0.2 GPH TEST 0 I 3, ANNUAL INTEGRITY TEST (0.1 GPH) g¡., 3, ANNUAL INTEGRITY TEST (0.1 GPH) 0 i 4. DAILY VISUAL CHECK ! CONVENTIONAL SUCTION SYSTEMS (Chack all that apply): ¡Os. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ì 0 6, TRIENNIAL INTEGRITY TEST (0.1 GPH) i II SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7, SELF MONITORING GRAVITY FLOW (Chack all that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) o 16, ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAL CHECK ..; ,/:.t>~,:',','~,/':%+.:q,: ,;",~,'~.j""i,,· .,:,:~,.'~:':;;".:'",':, " "';J·~Z;Þ4!i·;¡~l;;'f\l~ljH~:'i;,\(íllibISPENSER' CONT Ai~MENT' . ',,':i ..., ~£ '-,';: "'.~I\:~b,.¡",,~ '.... ," .' - . ,.1:'--,,,,~.,,, ,~_.,... ,,' . .,.-"." "., ..',.. :¡ SPENSER CONTAINMENT 0 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 468 0 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ~ 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS . .._. - . ~--'.------._-- :ONVENTIONAL SUCTION SYSTEMS: :J 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) iAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): :J 7. SELF MONITORING :;RAVITY FLOW: :J 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAJNED PIPING >RESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Ched< one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c, NO AUTO PUMP SHUT OFF ] 11. ~\~WX-¿Vlg~INE LEAK OETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR ] 12. ANNUAL INTEGRITY TEST (0.1 GPH) ;;UCTIONlGRAVITY SYSTEM: :J 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check 81/ that apply) :J 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS - ] 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION - ] 16. ANNUAL INTEGRITY TEST (0.1 GPH) ] 17 . DAILY VISUAL CHECK -DATE INST LEO 'ì ------------'--- ..-- ._._---~-- o 3. GRAVITY 459 02 SUCTION o 95. UNKNOWN o 99. OTHER 462 463 .. ...,-_. .~ -.. --, o 6. FRP COMPATIBLE WI 100% METH~~~~" o 7. GALVANIZED STEEL o 8, FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 SECONDARtL Y CONTAINED PIPING I PRESSURIZED PIPING (Check all that apply): I 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (d1ed< one) i 0 a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS lOb. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c, NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR 012. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Chack aI/that apply) o 14. CONTINUOUS SUMP SENSOR ~ AUTO P~MP SHUT OFF + AUDIBLE AND VISUAL ALARMS í o 15. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH ?ST) i ¡ í /, 'b' ..¡. <, . '.' ~'. 'I. . 'I':; '. ; i , o 4, DAILY VISUAL CHECK o 5. TRENCH LINER I MONITORING o 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE -----.---..--- ::~~:~;~~!~~~M~:~,~;_¿~~ïg=.._:=:=~~_~~~-~~ ~Q. ...., ..._,___fS.::.__,_______.__,___.__, ..__.,..L_._______..._.____.._~~ " , ~ l?$T11il Number (For local use only) 473 I Permit Approved (For local use only) 474 Permit Expiration Dele (For local usa only) 475 PCF (7/99) .~----- S:\CUPAFORMS\SWRCB-B, WPD co' o 6, TEMPORARY SITE CLOSURE o 7, PERMANENTLY CLOSED ON SITE (Specdy reaSlJn ,lor loca/ usa only) (Speclly change, for local use only) 0 8. TANK REMOVED JSINESS NAME (Sameãš'FÄèiliiYNÃME örÕBÃ:Õõinç á'CS;n_~)'-" ,. - '-"-'-. -'3-! FACilITY 10 # ·r-íI-¡ .., -;-'-11"-; ,.': .. ..,.. -,- ..--.--- J ! I I , '-NH \ ,£ LA-N..£" S \-4é"L..\"... ¡ :, ¡ ¡ :::'. X:ÄriON"WITHiN"SlTE(Optionãi)---..--.------.--- .-- ~--,-' -'~' .___c_.__._ -'''-''''''--- 'r¡: OF ACTION seX one ,tern only) \.... 1 1 I V l' VA I'\..£.. -"" I' 1 L.L U OFFICE I ENVIRON~IENT AL SERVI..s;;.ES 1715 Chester ~ "Bakersfield, CA 93301 (661.6-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 (þ:.. .~1 , ~ " Page 4- 01 9 o 1, NEW SITE PERMIT 0 4, AMENDED PERMIT o 5, CHANGE OF INFORMATION) ~J. RENEWAL PERMIT 430 431 .:ilK ID# 4J.4 ;iËIÑSTÃ[CED (YEARJMO) I. TANK DESCRIPTION 433 : COMPARTMENTALlZED~AN;--Ö Yes '~No , If "Ves", complete one page tor each compartment. 43¡¡rNÜMBE'FfOF COMPiiRTM'ËNTŠ' --.-- ! J 432 : TANK IMNUFACTURER I O'^'¿~,~ QQ.~'~(¡ , TANK CÄPACITY IN GAllÖNS ¡ \0,000 4J"i 435 IoITIONAl DESCRIPTION (For local use only) 438- TANK USE 439 U, MOTOR VEHICLE FUEL ~ed. complete Petroleum Type) J 2. NON·FUEL PETROLEUM ] 3. CHEMICAL PRODUCT J 4. HAZARDOUS WASTE (Includes Used Oil) J 95, UNKNOWN ,?E OF TANK 1leCk one item only) ~K WI TERIAl . primary lank IleCk one item only) II. TANK CONTENTS PETROLEUM TYPE o 1 a, REGULAR UNLEADED ~ 1 b, PREMIUM UNLEADED o 1 c. MIDGRADE UNLEADED 440 o 2. LEADED o 3, DIESEL o 4. GASOHOL o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER COMMON NAME (from Hazaroous Materials Inventory page) 441 CAS # (from Hazardous Meterials Inventory page) 442 o 1. SINGLE WALL 'g 2, DOUBLE WALL Q A.e>O L...\. \-\.¿ III. TANK CONSTRUCT1ON o 3, SINGLE WALL WITH EXTERIOR MEMBRANE LINER o 4, SINGLE WALLIN A VAULT 443 ~^o ,0«. o 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM o 95. UNKNOWN o 99. OTHER 05. CONCRETE o 8, FRP COMPATIBLE Wf100'k METHANOL o 1. BARE STEEL o 2. STAINLESS STEEL ~ 3, FIBERGLASS f PLASTIC o 4. STEEL CLAD WfFlBERGLASS REINFORCED PLASTIC (FRP) ~ 3. FIBERGLASS f PLASTIC o 4, STEEL CLAD WIFIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3, EPOXY LINING o 4, PHENOLIC LINING (For local use only) DATE INSTALLED 449 095, UNKNOWN o 99. OTHER 444 ~K MATERIAL· secondary lank 0 1, BARE STEEL I1ØJ:k one item only) 0 2, STAINLESS STEEL o 1. MANUFACTURED CATHODIC ~3. FIBERGLASS REINFORCED PLASTIC -' ';.95, UNKNOWN PROTECTION 0 4, IMPRESSED CURRENT 0 99. OTHER o 2, SACRIFICIAL ANODE (For local use only) YEAR INSTAllED 450 TYPE (For focal usa only) 4S 1 OVERFILL PROTECTION EQUIPMENT: YEAR INSTAllED 'Œ 1. SPill CONTAINMENT ~ 6 ,z6 c:;;'A,- aø)c. ~ 1. ALARM 0 3. FILL TUBE SHUT OFF VALVE [8:2. DROP TUBE 1j(2. BALL FLOAT _ 04, eXEMPT ~3. STRIKER PLATE 0~'C.éT CÀcä.:: . ",." '" " ':: ~.;:' ~~ .~;~~~t .~) /:;. '.::·tA: :~t~:~~~£~;~~~~::;~~'?,~~'iy;·~~;f~ij~~l~·è"~~Ç!t.èjN::'~.>~,~~~,~\:"./._~ ~~,~;~~f~f:;f!~·fl?);,,~:'f(:¡$!;::¿·f:;!~r.~~;~:,~~" ~7 ;.: '" ;'~:;;:'. ::' ~",~': :;'~J:~~~·~r,{:,~9't~t::,;·0·~: . IF SINGLE WALL TANK (Check all Ihs/apply): 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only); 454 VISUAL (EXPOSEO PORTION ONLY) 05. MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL IN VAULT ONLY) AUTOMATIC TANK GAUGING (ATG) 0 6, VADOSE ZONE ¡g( 2. CONTINUOUS INTERSTITIAL MONITORING CONTINUOUS ATG 0 7, GROUNDWATER D 3. MANUAL MONITORING STATISTICAL INVENTORY RECONCILIATION (SIR)'" 0 8, TANK TESTING BIENNIAL TANK TESTING 0 99, OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE 455 ESTIIMTED aUANTI1'Y OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? "K INTERIOR LINING COATING I>f!>ck one item only) !HER CORROSION /OTECTION IF APPLICABLE J>eck one item only) IU AND OVERFILL ""ck all that apply) ] 1, ] 2. ] 3, ] 4. o 95. UNKNOWN o 99. OTHER o 8, FRP COMPATIBLE W/100% METHANOL o 9, FRP NON-CORRODIBLE JACKET 010. COATED STEEL 445 1ZJ 95. UNKNOWN o 99, OTHER DATE INSTALLED 447 o 1. RUBBER LINED o 2. ALKYD LINING o 5. G~SS liNING o 6. UNLINED 446 448 452 457 3TlMA TED DATE LAST USED (YRJMOIDA Y) ---~--,.,._. .,. ... .-- ,.------ gallon. Dyes 01'10 --.--.-- -"'~----_. ..---.-.-----,-,.---"-----. CF (7/99) _._-------_...._-þ~- -- S :\CUPAFORMS\SWRCB-B, WPO CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES, / 1715 Atar Ave.. BakersfIeld. CA 93301 (661) 326-3979 . L .' _ UST - TANK ?Av< ,_~~__---,- -_._~.~- ....:;r:_~~._.~" , I, ~) ,-----_. _._, - . '_0_.'___------- Aãõ"VËGRõUÑÕ-PiPiÑG-' ..- .-.------, ...-- VI. PIPING CONSTRUCTION (ChIck aN thai apply) UNDERCROUND PIPING 'S rEM TYPE ;g[ 1. PRESSURE 0 .2. SUCTlCJ,N. 0 J. GRAVITY 45~' :'q I, PRESSURE )NSTRUCilON/'M I, SINGLE ;'ALL 0 3, LINED TRENCH 099, OTHER 460 ¡ 0 1, SINCLE WALL \NUFACTURER;O 2. DOUBLE WALL 095. UNKNOWN ' 0 2, DOUBLE WALL I ,__ . ~~~~~T~.~R.. 461 ' MANUFACTURER -- , .---,--.----.- "---.-.-'--" 1-. -'-' ,-----.--.--..... . . : 0 1. BARE STEEL 0 6. FRP COMPATIBLE WI 100% METHANOL ! 0 1. BARE STEEL \TERIALS AND' 0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STEEL )RROSION ! ¡OTECTION : 0 3. PLASTIC COMPATIBLE WITH CONTENTS 0 95. UNKNOWN I 0 3. PLASTIC COMPATIBLE WITH CONTENTS ~ 4, FIBERGLASS 0 8, FLEXIBLE (HOPE) 0 99, OTHER ' 0 4. FIBERGLASS :05. STEEL WI COATING 09. CATHODIC PROTECTION 464 í 05. STEEL WI COATING VII. PIPING LEAK DETECTION (Check all ihat apply) "-1 SINGLE WALL PIPING 466 : t~~URIZED PIPING (Check all that apply): ... " ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST!Y!J!j AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS 2, MONTHLY 0.2 GPH TEST ,X ANNUAL INTEGRITY TEST (0,1 GPH) EMERGENCY GENERATORS ONLY (Check all that apply) 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS - 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST)W1THOUT FLOW SHUT OFF OR RESTRICTION - 16, ANNUAL INTEGRITY TEST (0.1 GPH) 0 16. ANNUALlNTEGRITYTEST(0.1 GPH) 17,DAILYVISUALCHECK 0 17, DAILY VISUAL CHECK '. ,. '.~~/W '~~~;::':'.;t:~':;~;:i~ži~l~~;,~;¡~~¡f:'j\~;yiu~::OlS.~~!,,~E~ CO~,.Ai.~~~NT' .'/;;." 3PENSER CONTAINMENT 0 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE )A TE IN TAL rrl 468 0 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS I \ ~ 3, CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS ------ UNDERGROUND PIPING ._v___ ,___~ '____..______..,__ )NVENTIONAl SUCTION SYSTEMS: 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) .FE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 7, SELF MONITORING tAVITY FLOW: 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAJNED PIPING :ESSURIZED PIPING (Check al/ that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Chad< one) - o a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c, NO AUTO PUMP SHUT OFF 11. ~~W~~I~~INE LEAK DETECTOR (3,0 GPH TEST) ~ FLOW SHUT OFF OR 12. ANNUAL INTEGRITY TEST (0.1 GPH) CTION/GRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS o J, GRAVITY 459 o 2. SUCTION o 95. UNKNOWN o 99, OTHER 462 .. ",__,_" .", ..,.. __ .... '.. ___, __ 463 o 6. FRP COMPATIBLE WI 100% METHANÖ;:--- o 7. GALVANIZED STEEL o 8. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 ABOVEGROUND PIPING ŠINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): o ,. ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS 2, MONTHLY 0.2 GPH TEST 3, ANNUAL INTEGRITY TEST (0.1 GPH) , "'467' o o ¡ 0 4, DAILY VISUAL CHECK I CONVENTIONAL SUCTION SYSTEMS (Check all that apply): I 0 5. OAIL Y VISUAL MONITORING OF PIPING AND PUMPING SYSTEM I 0 6, TRIENNIAL INTEGRITY TEST (0.1 GPH) i II SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check all that apply): o 6. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING I PRESSURIZED PIPING (Check alt that apply): I 10, CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (chad< one) IDa. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c, NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12, ANNUAL INTEGRITY TEST (0. t GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERG ENCYGENERA TORS ONLY (Check all that apply) o 14. CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL AlARMS o 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~:..' . '., ," , ~.;.:'i'r "';' '.' ~;', '-" . . o 4. DAILY VISUAL CHECK o 5. TRENCH LINER I MONITORING o 6, NONE 469 :ertity Ihal the information provided herein Is lrue and aoxurale 10 Ihe best IGNÄ ï'i.jRE Ó¡:.: OWNER/OPERA TOR ------, .---- IX. OWNER/OPERATOR SIGNATURE "-''T'-DAr{---'---'' ...,....-'..-- ... -,. ..---- . - .- ----- .-'-- --------:ï7õ '---C;¡¡I-f-'ifŒ&~Jj~.k~-- .----- .-------- ~--¡¡¡ .__,., __;5 ~_ t£_¿:-_..Lk._~i.:'.I".,,-,-~~_~-._Qo ~~'ê-'\þt:2.. ÄMË OF ÓWNËRïopëRÃroR (print) '.. '.. E"c::C.ß::::L~ ~ _«5 A.ßß..ß_F \~ N 474 I Permit ExpI,raUon DatI (For local usa only) 475 ennil Numb« (For local use Only) 473 I Permit Approved (For local usa only) 'CF (7/99) S:\CUPAFORMS\SWRCB-B,WPD D 6. TEMPORARY SITE CLOSURE D 7, PERMANENTLY CLOSED ON SITE (Specify reason . lor local use only) (Specify change ·Ior/ocal use only) D 8. TANK REMOVED 430 USINESS NAME (Sam~'~~FÄëiLÏTYNÃME Ö;ÕŠÃ: Ò~j-;'!¡8~ši;;;;-Ä.S)·--··' -. .-.-,-. '-'3- i FACILITY 10 # r-[[~'-I', ., -'-li -- ~..~ .. . -.: - _.,- .-..-.-----.. I '-AI _! 1 f : t .:; ~ , 'l'H-\ \.,-£ LA 'N.¿ "5 \-4 - 1..-...... I .' I ' 5ëÃTíõ"NWlTHïÑši"TE(OptioneÏ}---..---..·-----,-,-':"--- I ..' ' .-.~.. '-:"'..c-.:".,.. - . ·--····----~31 PE OF ACTION Jack one dem only) \....11 I VI' Df\.~I'\.~r lC,LU OFFICE jif ENVIRONi\'IENTAL SERV~ES 1715 Chester .., Bakersfield, CA 93301 (661.6-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 (é Page V 01 c::i. D I. NEW SITE PERMIT D 4. AMENDED PERMIT D 5. CHANGE OF INFORMATION) 18(3. RENEWAL PERMIT \~jK~'-- 4~ I. TANK DESCRIPTION rì 433': COMPARTMENTALIZED ~AN;--Ö Yes -~ No \..-ó ~ t-.\. , ~G I If "Yes", complele one page for each compartment. ---436r'ÑUMSÊROF COMPARTiJÊÑTS' ---... : I 43i 432 TANK MANl¡'"FACTURER OW,£"'5 TANK CAPACITY IN GALLÕÑS \TÈ-CÑSTÃÜ,ED ('YEAR/MO) 435 \ 0 l 00 0 )OITIONAL DESCRIPTION (For local use only) 438 TANK USE 439 ~ MOTOR VEHICLE FUEL , maH<ed. complete Petroleum Type) ] 2. NON-FUEL PETROLEUM ] 3. CHEMICAL PRODUCT ] 4. HAZARDOUS WASTE (Includes Used Oil) ] 95, UNKNOWN II. TANK CONTENTS PETROLEUM TYPE D 1a. REGULAR UNLEADED o 1b. PREMIUM UNLEADED M.1c, MIOGRADE UNLEADED 440 o 2. LEADED o 3. DIESEL D 4, GASOHOL o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER COMMON NAME (from Hazardous Materials Inventory page) 441 CAS # (from Hazardous Materials Inventory page) 442 \'-^-o TO R QA60~\~¿ ?E OF TANK 443 ,eck one item only) NK MATERIAL - primary tank leck one item only) o 1, SINGLE WALL Ef 2, DOUBLE WALL , /II. TAN ( CONSTRUCTION o 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WALLIN A VAULT D 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM o 95. UNKNOWN o 99. OTHER o 5. CONCRETE D 8. FRP COMPATIBLE WI100% METHANOL o 1. BARE STEEL o 2. STAINLESS STEEL 'g¡ 3. FIBERGLASS I PLASTIC o 4. STEEL CLAD WIFIBERGLASS REINFORCED PLASTIC (FRP) ~ 3. FIBERGLASS I PLASTIC o 4. STEEL CLAD WIFIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING o 4, PHENOLIC LINING o 95. UNKNOWN o 99. OTHER 444 ;ilK MATERIAL· secondary lank 0 1. BARE STEEL leck one item only) 0 2, STAINLESS STEEL 'IK INTERIOR LINING COATING leck one item only) HER CORROSION OTECTION IF APPLICABLE peck one item only) ilL AND OVERFILL o 95, UNKNOWN o 99. OTHER o S, FRP COMPATIBLE W1100% METHANOL o 9, FRP NON-CORRODIBLE JACKET 010. COATED STEEL 445 395. UNKNOWN o 99, OTHER 446 DATE INSTAllED 447 (For local use only) DATE INSTALLED 449 (For local use only) o 1. RUBBER LINED o 2. ALKYD LINING o 5, GL:\SS LINING o 6. UNLINED 1)(3. FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT o 1. MANUFACTURED CATHODIC PROTECTION o 2, SACRIFICIAL ANODE YEAR INSTALLED SPILL CONTAINMENT C( 8 , ::95, UNKNOWN o 99. OTHER 448 OVERFILL PROTECTION EQUIPMENT; YEAR INSTALLED 1&'1. ALARM _ 03, FILL TUBE SHUT OFF VALVE 1&,2, BALL FLOAT _ 0 4, EXEMPT 452 Iðck all thai apply) 450 TYPE (For local use only) 'ZÓ 6'.--... 30')( 451 DROP TUBE \.3 -A~~'"J CIðo"" ; :~ ~'¡ ~:~~~:. ~~~~,,,i.::¡¿~:,rl': . ~:~; ,:~',,;~á:j~ )::~, '.~: '?: :~~.::~J~~±~:'~~,'t;i::!~tt\>~·&:·~;jÄij)Ç~¢EÄJÇ"èEr~¢nØN::~:.~t·i~~.t~;::<·:~ ~ f f27!t~;~~7i!.~~*;,.¥r·'~1::i!~;tV,:r!.. i~, ;: "''\;;';'. ::' ;'.~': :;~;~~~'~,';.:·~~~i~;:~~:~:\ . IF SINGLE WALL TANK (CheCkallthslepPly): " '.. ," "" '"' ,... ..... . 453 IF DOÙBLE'WALlTANK OR TANK WITH BLADDER (Check one ilemonly): 454 ] 1, VISUAL {EXPOSED PORTION ONLY) 05, MANUAL TANK GAUGING (MTG) 01. VISUAL {SINGLE WALL IN VAULT ONLY) ] 2. AUTOMATIC TANK GAUGING (ATG) 0 6, VADOSE ZONE ~2. CONTINUOUS INTERSTITIAL MONITORING ] 3. CONTINUOUS ATG , 0 7. GROUNDWATER 0 3. MANUAL MONITORING ] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + D S. TANK TESTING BIENNIAL TANK TESTING 099. OTHER V. TANK CLOSURE INFORMATION I PERMANENT CLOSURE IN PLACE ~TIMATED DATE LAST USED (YR/MOIOAY) 455 ESTIMATED QUANTIiY OF SUBSTANCE REMAINING 458 TANK FillED WITH INERT MATERIAL? 457 gallons DVe3 DNO ______,.__ .... ...___ h_______ CF (7/99) --.--'-- -.. ._,-----~ -~--_._,----,-,._-~---,._,.. ,----.. S:\CUPAFORMS\SWRCB-B, WPD -,-----------~-_.'- -- i CITY OF BAKERSFIELD gFFICE OF ENVIRONMENTAL SERVICES 1715' ter Ave.. 8aker~fleld. CA 93301 (661) 326-3979 ¡ UST, TANK p¡¿, .- ,-_._~,~- J;¡-_~~.,_c;L" ".-----.---- / 'f' .... .' .._. - . '..-..---------- A"åÖ-VËGROUND-PiPìÑÕ--' , ,-- '-..-- --~-- -.-- VI. PIPING CONSTRUCTION (Check aU thai apply) UNDERGROUND PIPING I .rs rEM TYPE ~' , PRESSURE 0 ". SUCTION' 0 3, Go ·VITY . . .' 0 ¡C,J .. .., . "" 458 i.,. I. PRESSURE :>NSTRUCTlON/'~ 1. SINGLE WALL 0 3. liNED TRENCH 099. OTHER 460 i 0 1. SINGLE WALL' ,ANUFACTURER:O 2. OOUBLE WALL 095, UNKNOWN ' 0 2. DOUBLE WALL I IAA~I!~CTLJ.~ER 461 i MANUFACTURER . 0 1. BARE ST~~~--'''- C] 6. F~P COMPA T~BLE :;'/100%'~ETH~NOL 'TêJ -;'~~~'E STE~~--'----" ... ATERIALS AND '0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL I 0 2. STAINLESS STEEL :JRROS10N : ~TECTION :0 3. PLASTIC COMPATIBLE WITH CONTENTS 095. UNKNOWN ,0 3. PLASTIC COMPATIBLE WITH CONTENTS ~ 4. FIBERGLASS 0 8, FLEXIBLE (HOPE) 0 99. OTHER 0 4, FIBERGLASS ; 0 5. STEEL WI COATING 0 9. CATHODIC PROTECTION 464 , 0 5. STEEL WI COATING , , VII. PIPING LEAK DETECTION (Check en thet apply) . '. 1 SINGLE WALL PIPING 466 : ïSJURIZED PIPING (Check all that apply): ()(; ELECTRONIC liNE LEAK DETECTOR 3,0 GPH TEST!Y!I!:! AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE, ANDSVSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) I 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS - I 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION - I 16. ANNUAL INTEGRITY TEST (0.1 GPH) 0 16. ANNUAL INTEGRITY TEST (0.1 GPH) I 17, DAILY VISUAL CHECK 0 17. DAILY VISUAL CHECK ,; ;:,~::,;~~~'::1,~~ ';.Æì;f:~,~~~::';<Jj~¡~1ft" i~~í~~f!0>ï:!''lJn ;:.R!S,~~~~E~ C()~TAi_~~,~NT' ":,.:; " SPENSER CONTAINMENT 0 1, FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE :lATE INSTA LEDJ 468 0 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS \ ~ 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE =~~;Ó;~~;:..~~=~~·..··y",,,,- W;£Ö'ÖWMiWÆRAYoR(_¡ ~ - .,~l;~~~~~:;.~~~~: _~~-~~~~~~~ _ ...., S-cC~tO¡ ~__ 6' .A,ß~ß";:::' ~ N .__,,_ __.______,..._Ll__. __ . , __.._._ '",___ .__,_._..__~DERGRO!!ND PIPING ] 2, MONTHLY 0.2 GPH TEST ~ ANNUAL INTEGRITY TEST (0.1 GPH) :)NVENTIONAL SUCTION SYSTEMS: 1 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) \FE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ] 7. SELF MONITORING ~VITY FLOW: 1 9. BIENNIALlt-rrEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING ~ESSURIZED PIPING (Chac/< all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - o a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAilURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF 11. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION - 12, ANNUAL INTEGRITY TEST (0,1 GPH) JCTION/GRAVITY SYSTEM: I 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS o 3. GRAVITì' 45<) o 2, SUCTION o 95. UNKNOWN o 99. OTHER 462 463 ..-... ..,-, .- --- -- ..... o 6. FRP COMPATIBLE WI 100% METHANOL o 7, GALVANIZED STEEL o 8, FLEXIBLE (HDPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): o 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS 2. MONTHLY 0,2 GPH TEST -467 10 j 0 3, ANNUAL INTEGRITY TEST (0.1 GPH) ì 0 4, DAILY VISUAL CHECK I CONVENTIONAL SUCTION SYSTEMS (Check all that apply): ¡ 0 5. CAlLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM J 0 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) i SAFE SUCTION SYSTEMS (NO VALVES INBELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check all that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAlINTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING , PRESSURIZEO PIPING (Chac/< all that apply): I 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (d1eck one) lOa, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF 011. AUTOMATIC LEAK DETECTOR o 12, ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Chack all that apply) o 14, CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL AlARMS o 15. AUTOMATIC LINE LEAK DETECTOR(3.0 GPH TEST) '" ," , ~:...~'r:'·' ',,(' V·,'J. ~....' .,,:. o 4, DAILY VISUAL CHECK o 5. TRENCH LINER I MONITORING o 6, NONE 489 -.---...-- "em1il Numbar (For locsl use only) 473 I P8ITT11t Approved (For local use only) 474 I Penn" EJcpiralion Dale (For/aca/ usa only) 475 'CF (7/99) S:\CUP AFORMS\SWRCB.B,WPD o 6. TEMPORARY SITE CLOSURE o 7. PERMANENTLY CLOSED ON SITE (Specrly reason ,lor local use only) (Spectlychange . lor local use only) 0 8. TANK REMOVED lusiÑe"ij's NAME(Same~'FÄêiLi'¡'YÑÃMë ';õåÃ: ÒÕiñg'ë~ši;;ë;š-ÄSi·-····· -., "-'--'-' -'J- I FACIWTY 10 #-~I-¡-I' -.-:-. -'1' "._",',~''': "~' .. - .,. -.,- ....-.---- , f ! I t t ; I ¡ ; '-NH ,. L r 5 ~ ' ;,'; , I , oëÃì'lo·Ñï;"iTi:¡ïÑ-Jr;~;;~ñãïj-_.A 'N...c::..____~'?" ~~, L-__.L' ...U. ~..~_,L,- -".....,--,.,---, 'PE OF ACTION 'heck one lIem only) 4~~ \..,11 I Vi' DA~l'-':'l' IJ:.LU OFFICE" ENVIRONi\'tENT AL SERVJ.iES 1715 Chester .we., Bakersfield, CA 93301 (661,.r.z6-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 ~ P¡¡ge ~ 01 c:i o 1. NEW SITE PERMIT 0 4. AMENDED PERMIT o 5, CHANGE OF INFORMATION) ~J. RENEWAL PERMIT 430 431 434 ÀNÏ< 10 # ÄfËïÑsi'Ã[LED (YEARiMO) I. TANK DESCRIPTION 432 TANK MANù"FACTURER 433 , COMPARTMENTALIZED~~-Ö Yes ~No I If "Yes".,complele one page for each compartmeni. 436 r'ÑÚMSËR OF COMPARTMENTS' _._,--- i J 437 QQ.""-\.,~G:. j O-..N.¿,,-':;, I TANK CÄPACITY IN GALLÒNS I I 435 550 438- ÕDITIONAL DESCRIPTION (For local use only) II. TANK CONTENTS TANK USE 439 ] 1. MOTOR VEHICLE FUEL f marked, complete Petroleum Type) ] 2, NON·FUEL PETROLEUM ] 3. CHEMICAL PRODUCT ~ 4. HAZARDOUS WASTE (Includes Used Oil) ] 95, UNKNOWN 'PE OF TANK heck one item only) .NK MATERIAL - primary tank heck one item only) PETROLEUM TYPE 01.. REGULAR UNLEADED o 1 b, PREMIUM UNLEADED o 1c. MIDGRADE UNLEADED 440 o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER o 2. LEADED o 3, DIESEL o 4. GASOHOL COMMON NAME (from HazarrJous Materials Inventory page) 441 CAS # (from HazarrJous Malerials Inven/rJry page) 442 o 1. SINGLE WALL 9. 2. DOUBLE WALL WA~T¿- 01 '- III. TANK CONSTRUCTION o 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER o 4. SINGLE WALLIN A VAULT 443 o 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 095. UNKNOWN o 99. OTHER o 5. CONCRETE o 8, FRPCOMPATIBLE WI100% METHANOL o 1, BARE STEEL o 2, STAINLESS STEEL .IS. 3. FIBERGLASS I PLASTIC o 4. STEEL ClJ\D W/FIBERGLASS REINFORCED PLASTIC (FRP) Jð.-:¡. FIBERGLASS I PLASTIC o 4. STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC (FRP) o 5, CONCRETE o 3. EPOXY LINING o 4, PHENOLIC LINING o 95. UNKNOWN o 99. OTHER 444 ,NK MATERIAL - secondary lank 0 1. BARE STEEL heck one item only) 0 2, STAINLESS STEEL " ~!J!:;¡h.~~~;:, ~~~","~"'~i~( )~:;<',}: :~t:~~~~~~:~'~~~)~~~~:~f~,:~~'::~IÄij~~~~ D~~Ç!tÇN:~~.:~tH~.t,:::: <.:~ t;~?f~~ffß;/li?~~~~~,::;!~;~V,~~j,d'~, :':"'''::~>:'. ,·;'~':~~~S{·~~~~i~F~'\· IF SINGLE WALL TANK (Check all that apPly): 453 IF COUBLE WALL TANK OR TANK 'MTH BLADDER (Check one item only): 454 ] 1, VISUAL (EXPOSED PORTION ONLY) 0 5. MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL IN VAULT ONLY) ] 2. AUTOMATIC TANK GAUGING (ATG) 0 6, VADOSE ZONE tK 2. CONTINUOUS INTERSTITIAL MONITORING ] 3, CONTINUOUS ATG 0 7, GROUNDWATER 0 3. MANUAL /;()NITORING ] 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + 0 8, TANK TESTING BIENNIAL TANK TESTING 099, OTHER V. TANK CLOSURE INFORMATION 1 PERMANENT CLOSURE IN PLACe 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 458 TANK FILLED WITH INERT MATERIAL? NK INTERIOR LINING ¡ COATING ~eck one item only) ·HER CORROSION :OTECTION IF APPLICABLE ~eck one item only) 'ILL AND OVERFILL 1eck all thai apply) o 95, UNKNOWN o 99. OTHER 08, FRP COMPATIBLE W/100% METHANOL o 9. FA? NON~CORROOIBLE JACKET 010, COATED STEEL 445 g¡ 95, UNKNOWN o 99, OTHER 446 DATE /NSTALLED 447 (For local use only) DATE INSTALLED 449 (For local use only) o 1. RUBBER LINED o 2. ALKYD LINING o 5. G~SS LINING o 6, UNLINED ~3, FIBERGLASS REINFORCED PLASTIC ,kr~5. UNKNOWN o 4, IMPRESSED CURRENT 0 99, OTHER o 1. MANUFACTURED CATHODIC PROTECTION o 2, SACRIFICIAL ANODE YEAR INSTALLED 448 SPILL CONTAINMENT OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED l5r 1. ALARM 0 3. FILL TUBE SHUT OFF VALVE o 2, BALL FLOAT 0 4, EXEMPT 452 450 TYPE (For local use only) 451 01. 02. 03, DROP TUBE STRIKER PLATE 457 STIMATED DATE LAST USED (YRlMO/DAY) gallons Dyes DNa --.-----. ... ....__...._---~- .._---,-- -" -_..,--___ ..-,_._.______._,._.___,_,.. ,____.._____....:. _w_______-___~__ --- CF (7199) S:\CUPAFORMS\SWRCB-B,WPD ¡!- 1115' 1..;11 y ut- t:lAI\t:.t<::ot-It:.LU OFFICE OF ENVIRONMENTAL SERVICES ter Ave.. Bakersfield. CA 93301 (661) 326-3919 UST, TANK P;\:.' ,_:...,.___--"7"---'- ----~~- ~-_..:;~.,.__sL-· / .;~ ...-----. ------ --- VI. PIPING CONSTRUCTION (Chðck aN thai ,pply) -- AËiõVEGROUND-PiPiÑG --, -,- .-,- UNDERGROUND PIPING I S rEM TYPE 0 t, PRESSURE 0 ,2. SU¡:::TIO,N. ~3, GRAVITY 45~ - ~.q I: PRESSURE., . NSTRUCTIONl'~ 1, SINGLE WALL 0 3. LINED TRENCH 099. OTHER 460 ¡ 0 1. SINGLE WALL .NUFACTURER 0 2. DOUBLE WALL 0 95. UNKNOWN : 0 2. DOUBLE WALL I ___ ~, M:"~~~c.:URER 461 i MANUFACTURER...,__. .. ..._ .0 1. BARE ~~~~~-- ' ··-Ö ;.--;-~;COMPA T;;~ ~7~;";:;Ë-rnAN~7'Të:J --;'~~~~STE~~--'- ----.., .., ... ' , .TERIALS AND '0 2. STAINLESS STEEL 0 7, GALVANIZED STEEL I 0 2, STAINLESS STEEL IRROSION ! OTECTION í 0 3, PLASTIC COMPA TIBLE WITH CONTENTS 0 95. UNKNOWN I 0 3. PLASTIC COMPATIBLE WITH CONTENTS ~4. FIBERGLASS 0 e. FLEXIBLE (HOPE) 0 99. OTHER I 0 4. FIBERGLASS :05. STEEL WI COATING 09. CATHODIC PROTECTION 464 ,05. STEEL WI COATING VII. PIPING LEAK DETECTION (Check all ihat apply) . ' . I 466 EMERGENCY GENERATORS ONLY (Check all that apply) 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS - 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) W1THOUT FLOW SHUT OFF OR RESTRICTION - 16. ANNUAL INTEGRITY TEST (0.1 GPH) 0 16, ANNUAL INTEGRITY TEST (0.1 GPH) 17, DAILY VISUAL CHECK 0 17. DAILYVISUALCHECK ,.. ,; ,,::;,;$ì¿;:::·?~ç(';.J~¡-:~è:~#-::\;i~~~~Åil4>~4"~::1;!,~juiPJS.~~.t-!~ER'CO~TAì.~M~NT'.:".:. .', ,,' ~.' )ENSER CONTAINMENT 0 1, FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE .TE INSTALLED 468 0 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS o 3, CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS .. .. ..-. - . .--,.---------- UNDERGROUND PIPING ...---..--- ''''''-'-'---SiNGLE WALL PIPING ESSURIZED PIPING (Check al/ thai apply): 1. ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNEëriõÑ + AUDIBLE AND VISUAL ALARMS 2. MONTHLY 0.2 GPH TEST 3. ANNUAL INTEGRITY TEST (0,1 GPH) NVENTIONAL SUCTION SYSTEMS: 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPiNG INTEGRITY TEST (0.1 GPH) :E SUCTION SYSTEMS (NO VALVES iN BELOW GROUND PIPING): 7. SELF MONITORING ~ FLOW: t/\. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING ,SSURIZED PIPING (Check all thaI apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS SYSTEM FAILURE AND SYSTEM DISCONNECTION . o c, NO AUTO PUMP SHUT OFF 11. ~~W~~I~~INE LEAK DETECTOR (3,0 GPH TEST) ~ FLOW SHUT OFF OR 12, ANNUAL INTEGRITY TEST (0.1 GPH) :TIONlGRAVITY SYSTEM: 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS 02. o J. GRAVITY SUCTION o 95. UNKNOWN o 99. OTHER 4SC} 462 463 o 6. FRP COMPA TlBLE WI 1 00% METHAN;~" o 7. GALVANIZED STEEL , 0 8, FLp<IBLE (HOPE) , 0 99. OTHER o 9. CATHODIC PROTECTION o 95, UNKNOWN 465 ABOVEGROUND PIPING ŠINGLE WALL PIPING PRESSURIZED PIPING (Check al/ thaI apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2, MONTHLY 0.2 GPH TEST o 3. ANNUALJNTEGRITY TEST (0.1 GPH) o 4, DAILY VISUAL CHECK ------467 CONVENTIONAL SUCTION SYSTEMS (Chack all that apply): o 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIALJNTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check all thaI apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARJL Y CONTAINED PIPING I PRESSURIZED PIPING (Check all thai apply): I 10. CONTINUOUS TURBINE SUMP SENSORWI-rn AUDIBLE AND VISUAL ALARMS AND (check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c, NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12, ANNUAL INTEGRITY TEST (0,' GPH) SUCTION/GRAVITY SYSTEM: o 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check al/ that apply) o 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) " " '. , ~~ .:'Lr'; '. '. . ',' ,", ',~, : . .\ '~. o 4. DAILY VISUAL CHECK o 5, TRENCH LINER I MONITORING o 6, NONE 469 IX. OWNER/OPERATOR SIGNATURE ..,"~,".,~~_~-.~~~~~..."m'_ òNA TURE OF OWNER/OPERA TOR ~ . iAË ÒF ÒWNER/OPËRÅroR (print) - ¿::::::;' .-- ' ' __.~_¿:A.:::L~'- ~ AQß~E~. . .__.__'_~M "1::õ,~~C0~-:-~. ..__:~=.:. .:_=_:==-~= :: .___,L¢i H 4..~,_~ .~.e..,- L1A..'l:::~."r- éZ,£) Q. o_~~J:2..ß. 474 Permit Expiration Oate (For local usa only) 475 mlt Number (For local use only) 473 Pennlt Approved (For IOCBI usa only) :F (1/99) S:\CUPAFORMS\SWRCB-B.WPO (>,'~: ',' 't, " .. ..... /(~ j" L- ' e æ. ;7. ~ ~ (fo-.~Ync. ENVIRONMENTAL COMPLIANCE CONTRACTOR P.O. BOX 191 CANOGA PARK, CA 91305 818-702-6470/818-702-6484 FAX SUBJECT: Annual Electronic/Mechanical Monitoring System Inspection and Meter Calibration DATE: S/S #: 5/17/00 Shell 135068 LOCATION: 2600 White Lane Bakersfield, CA 93304 -- -. -- .~~~ To Whom it May Concern, Enclosed are the reports for the annual inspection of the existing Monitoring System that was performed at the above referenced facility. The method used to test the electronic and mechanical monitoring systems is approved by and exceeds the specifications according to the manufacturer. R. J. Myers & Co., Inc. has been contracted by Equiva Services LLC to insure that their facilities comply with all the rules and regulations that govern the operation of underground storage tanks and product lines. If you have any questions, please call. Sincerely, R. J. MYERS & CO., INC. ~ .~.~~)¥ Ronald J. Myers, II President - - --- .. RJM/rf CONT. LIe. #330631 (B-06I) SERVING THE PETROLEUM INDUSTRY SINCE 1967 ! e - 1~ R. J. MYERS & CO., INC. ENVIRONMENTAL COMPLIANCE CONTRACTOR P. O. BOX 191 CANOGA PARK, CALIFORNIA 91305 818-702-6470/818-702-6484 FAX DATE OF SERVICE: 5/17/00 S. S. #: Shell 135068 W. O. #: Feryal Sarrafian TECHNICIAN: Jason Nonnweiler SERVICE REQUESTED BY: ---.- -----'-- Equiva Services LLC P. O. Box 7869 Burbank, CA PROBE I.D. #: ill Tank Setup T1 Unleaded T2 Plus T3 Premium Pressure Line Leak Setup Q1 Unleaded Q2 Plus Q3 Premium LiQuid Sensor Setup L 1 Regular Sump L2 Plus Sump L3 Premium Sump L4 Regular Annular L5 Plus Annular L6 Premium Annular L7 Waste Oil Annular BILL TO: SERVICE REQUESTED· Annual monitor inspection and certification. DESCRIPTION OF WORK: Inspected and tested all leak sensors for proper operation. Verified proper operation and calibration of all TLM probes. All systems normal. Veeder-Root TLS-350 Simplicity SERIAL #: 80950832505001 MODEL #: SYSTEM CERTIFIED ~ NO SYSTEM PSD @ N/A NO SYSTEM RUNNING @ NO WASTE OIL ~ N/A NO SYSTEM SEALED ® NO i~ .. tÞUST EQJlŒ.MENT INSPECTIOlLB.EP.O.R..'[e STATION ADDRESS: 2600 White Lane SAP NUMBER: 135068 CITY: Bakersfield BRAND NAME: Shell STATE: California 2 3 4 5 R M P U 0 6 R M P U 0 TANKS AND LINES Tank Type Tank Size UST or AST Tank Corrosion Type Line Type Une Corrosion Type OWF = Daublewall Fiberglass Circle the correct F = Fiberglass OWF = Daub/ewall Fiberglass F = Fiberglass SWF = SinglewaU Fiberglass Nominal Gallon type oltank. L = Lined SWF = SinglewaD Fiberglass IC = Impressed Current SWS = Singlewall Steel Underground Storag IC = Impressed Curren! SWS = Slnglewall Steel A-Anode OWS = Daublewall Steel or Aboveground A = Anode P = Plastic Flex Storage SWF SINS OINS 10000 L IC A DWF IC A P SWF SWS DINS 10 000 L IC A DWF IC A P SWF SINS DWS 10000 L IC A DWF IC A P SWF SWS DINS 550 L IC A DWF F IC A P DWF SWF SINS DINS UST AST F L IC A DWF SWF SINS F IC A P DWF SWF SWS DINS UST AST F L IC A DWF SWF SINS F IC A P PRODUCT TANK MONITORING SYSTEM Tank Product R = Regular M = Mid Grade P = Premium U = Used Oil o = Methanol or Die5&1 Positive Fail Safe o erational Manufacturer and Model Number T Shut Down OW Tanks Wdh Interstitial Sensors 3 (X ) Wet )Ory No Veeder-Root TLS-350 Slm lic' #420 and #301 Automatic Tank Gauge Probes (ATG) Programmed: 3 ) Static Test ( X ) CSLO No Veeder-Root TLS-350 Slm lie' Groundwater Sensors Comments: Yes No Yes No Yes No USED OIL TANK AND LINE MONITORING SYSTEM lUST Onlv) Q T e Manufacturer and Model Number Interstitial Monnor (OW tanks) ( X ) Wet ) Dry No No Veeder,Root TLS·350 Slm lie #420 Electronic Line Monrtor Comments: - - -- - Manufacturer and Mode! Number T No 3 3 Electronic Line Pressure Sensors No No Veeder· Root TLS·350 Sim lici PLLD Veeder-Root TLS-350 Slm lici #352 Electronic Sensor In Turbine Sum Electronic Sensors in Contalnod Trench M Conunents: Plus failed the .10 line leak test, Yes No Yes No Yes No I certify that the above information iSC1\:nd the eqUi:~: i\fun:tioning according to manufacturer's specifications unless otherwise Indicated. SOO"TU'" ~ I \\\~ CO,",ANY, .. J. M,.".C.., I". PRINTED NAME: Jason Nonnweiler DATE: 6/17/00 Page 1 011 SAP NUMBER: 135068 BRAND NAME: SIMI!I DATE: ~HJOO uaT EQUIPMENT IMaP£C1'10N REPORT STATION ADDRESS: 2600 White Lane CIlY: Bakemleld STATE: California -- Turbine Kaad rest BootIDr.:lJI!n PI~ J.iave Permtt RequJred Prot-ect:lon Type: tetlt bOOts been backed off Tank ManKotd' Afe there 'M'r'f Confined Space Contained Sc.unp. Rigid secondary containment piping, Ptastlc Flex. Booted. Taped. 18 the product obeervRlIon Are there top..at or aide Ar. there Internal or externat klentJflutlon Tag or SOÐ Barrter, Uner, .18 The Sump or drain plugs removed for Sump, Anode, Impressed manlfokSed weUs In the Are tl'M products ..aI adapters on the tank drains on the .pUl rank Product Decal Pros.ent None Dry proper drainage? Current, Una~. to Verify between tanh? tank &rea? b5endlng? Turbine Finer? fln ~pes? containment? 1 'R\ M I' 0 K Yes C'ÑÕ) C@ RSB L N ¡(i(ëS) No Yes No (1 A' PF B Tt IS) A IC UTV Yes Nol !/N hS) No Yes eN;;) Yes 'Q (ID 55 Cí".~ ':¡) Extemal 2 R (M) I' 0 K Yes ~ QEš) R5B L N I© No Yes No (j;) PF B T ~h Ie UTV Yes Nol ';;J ~ No Yes Œ;;) Yes Q ('fs) 55 (" Int~ ':J Extemal 3 R M(P) 0 K Yes ~ ('ëS) RSB L N !rQ No Yes No (D PF B T "Š)A IC UTV Yes NO( '7Ã' (y';;) No Yes ~ Yes ~ I~ 55 ~t> External 4 R M I' 0 K Yes No ;; RSB L N i ~ No Yes No NJA PF B T 5 A Ie UTV! Yes No N/A ~ No Yes -;; Yes No ':j's 55 Intemal External I 5 R M I' 0 K Yes No CS RSB L N ¡, Yes No Yes No NJA PF B T S A IC UTV Yes No N/A Yes No Yes No Yes No TS S5 Internal External 6 R M P D K Yes No CS R5B L N ¡ Yes No Yes No NlA PF 8 T S A IC UTV I Yes No N/A Yes No Yes No Yes No TS 55 Internal Extemal Comments: _IN~ ARY T' e TANK PILL ARI!A ~ Prateetlon TvDe: Strike Plate, Basllet Cage., Both Or None N UTV SP ® 8 N N UTV I sp@ B N I €> N UTV I SP B N '" No None N UTV I SP BC B N Yes No None Yes No I:: Poor Yes No I Yes No BFFBNUTV I SP BC B N Yes No None Yes No Poor I Yes No I Yes No I BFFBNUTV I SP BC 8 -H... - ~POR ItEC~1ERY AR~A - SpUI I.pOf RecO'fery lath, Containment ..., 01>' InttflCatlon Tag Contalnme Oraln C - Pre..nt Each 'nal .c; ~ ~ , ~ No No No ¡ Yes No ..... - I ;e ~ No No I Yes No § ~ §) No ~ J:!E. I Yes No None = I Yes I Yes = Yes ~ Yes No Yes No J:!E. No None Yes ~ Yes No F Yes No I Yes J:!E. I Yes No None Yes No Yes No Yes Yes No Yes No Yes No None 5 15 25 None I Yes No Yes 5 15 ~Nonel Yes No I' Yes - - ¡ \ - I - - IILI 'Ca¡ iem( No R& RC .J: Yes I RC .J( Yes RC i Yes RC I ¡Point Yes + RC ; ¡POInt Yes RC 1 Dual POint Yes Tank i ~ !LM 6 R M eoiTVnents: Tank ..L 2 I R ~ --LlB. I 4 I R 5 ! R S 'R ~nts: 'e~ Co, .. ~¡ . SAP NUMBER: 136068 BRAND NAME: Shell DA TE: 6/17/00 UST EQUIPMENT INSPECTION REPORT STATION ADDRESS: 2600 White Lane CITY: Bakersfoeld STATE: California e Dk~ftfUtr Nn~"" InvuId ~hankm Dk.....n'.r Cnrwb,"rnNIt staa. H Vapor ~: Oldest Data Rec:ov@ryType: Mechanical Vatve Cont3lnmønt Sun,¡) Dispenser on Dispenser Balance, Vacuum or Motion Sensor Iypt: DeeP. Shallow, Sump Sensors Numbers Manufacturer Fuel Filters Assist, None or Both None Operational? 1/2 N 314 Wa 516 VA N MIl MS Yes No Yes No B T CS A IC S N M E N Yes No Yes VA N MV MS Yes No Yes No B T CS A IC D S N ì M E N Yes No Yes VA N MIl MS Yes No Yes No i B T CS A IC D S N M E N Yes No Yes VA N MIl MS Yes No Yes No B T CS A IC D S N M E N Yes No Comments: Veeder-Root" 208 Sensors DISPENSER AREA e· " a remote monitor is Installed, Is It operating correctly? GENERAL INFORMATION - - - ,A Tank" lICe (SWFl . oed To No - - - Interior Comments: ... ~ ?, ~) e - A. Q. M. D. SUMMARY REPORT S/S: ADDRESS: Shell 135068 2600 White Lane Bakersfield, CA 5/17/00 DATE: TP201.3: PASS FAIL N/A X Reason For Failure: No test at this time. TP201.4: PASS FAIL N/A X -- Reason For Failure: No test at this time. TP201.5: PASS FAIL N/A X Reason For Failure: No test at this time. Electronic Monitor Results: PASS X FAIL N/A Reason For Failure: Drop Tubes: PASS X FAIL N/A Drop Tubes That Were Replaced: None 87 89 92 Diesel Siphon Tank None X Reason For Failure: Containment Box Report: PASS X FAIL N/A Reason For Failure: Manufacturer: Size: 5 Gallons In Ground Type X Retrofi ttabl e CNI Pomeco Phil Tite Safe Lite FRC X OPW ~-é'_ \, ,\i FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) ~1 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 . .~ April 4, 2000 Equilon Enterprises LLC Ms. F eryal Sarrafian 255 N. Ontario St #208A Burbank CA 91504 Dear Ms. Sarrafian: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The pennits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your pennit, updated fonns A, B, & C must be filled out and returned prior to the issuance of a new pennit. Please make sure that you are sending the updated fonns which are indicated by the date 7/99 in the lower left hand comer. Please complete and return to this office by May 15,2000. Failure to comply, will result in a delay of issuance of your new pennit to operate. Should you have any questions, please feel ftee to call me at 661-326-3979. Sincerely, ~~ Steve Underwood, Inspector Office of Environmental Services SU/dam attachment "7~ ~ W~ ~ vØ6~ g"'~ .A W~" $-<' ,J' 't, .. \ . Facility California Ave Shell Cleo Reyes Shell White Lane Shell Formerly Macias Shell Ming Ave Shell Shell Service Station Stockdale Texaco Texaco Gas . Texaco Texaco Texaco Star Mart Texaco Star Mart . Address 3623 California Ave, Bakersfield, Ca 93301 3605 Rosedale Hwy, Bakersfield, Ca 93308 ~-Lane\ Bakersfield, Ca 93309 101 S. Union Ave., Bakersfield, Ca 93305 3700 Ming Ave, Bakersfield, Ca 93309 3130 24th Street, Bakersfield, Ca 93301 5321 Stockdale Hwy, Bakersfield Ca 93309 2401 Oak Street, Bakersfield, Ca 93301 3698 Ming Avenue, Bakersfield, Ca 93309 4050 Gosford Lane, Bakersfield, Ca 93309 3621 California Ave, Bakersfield, Ca 93301 2601 White Lane, Bakersfield, Ca 93304 -3 ¡.-, ;.. ...,_. .' STATE OF CAUFORNIA AGENCY ST A Të W A TEFl RESOURCES CONTROL BOARD . UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A COMPLETE THIS FORM FOR EACH FACILITYJSITE MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT KJ 5 CHANGE OF INFORMATION o S TEMPORARY SITE CLOSURE o 7 PERMANENTlY CLOSED, SITE ." 1 ,¡ I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACIUTY NAME White Lane Shell ADDRESS 2600 White Lane NAME OF OPERATOR Calvin Wills NEAREST CROSS ~EET PAReS., (OPTIONAL) Protrero CITY NAME STATE CA ZIP CODE 3304 SITE PHONE,. WITH AREA CODE 805) 832 4801 wi aox G9 CORPORATION 0 INDIVIDUAl 0 PARTNERSHIP 0 LOCAL·AGENCY 0 COUNTY·AGENCY· 0 STATE·AGENCY· 0 FEDERAL·AGENCY· TO INDICATE DISTRICTS . I owner of UST is a public aget1Cf. GI1I!1Plete lI1e following: name 01 suøervisof 01 division, sedion Of olfoce \Ohm O )erates the UST TYPE OF BUSINESS IRJ 1 GAS STATION 0 2 DISTRIBUTOR 0 wi IF INDIAN "OF TANKS AT SITE E. P. A. I. O. ,. (optional) RESERV A TlON o 3 FAAM 0 4 PROCESSOR 0 5 OTHER OR TRUST LANDS 4 ' EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST. FIRST) PHONE,. WITH AREA CODE '11 Calvin NIGHTS: NAME (LAST, FIRST) Wills Calvin 805 837-1389 II. PROPERTY OWNER INFORMATION· (MUST BE COMPLETED) EMERGENCY CONTACT PERSON (SECONDARY). optional DAYS: NAME (lAST, FIRST) PHONE" WITH AAEA CODE Lon Fred (805) 326-4326 NIGHTS: NAME (LAST, FIRST) PHONE,. WITH AREA CODE Lon Fred (805) 333-2123 _r':'-'¿ Houston III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER P.O. Box 7869 Euilon Enter rises LLC 78 9 MAILING OR" STREET ADDRESS I wi bolto ndi:ate 0 LOCAl·AGENCY 0 STATE·AGENCY P .0. Box 4453 IX] CORPORATION 0 PARTNERSHIP 0 COUNTY·AGENCY 0 FEDEAAL,AGENCY CITY NAME I STATE I ZIP CODE PHONE' WITH AREA CODE Houston TX 77210-4453 (713) 277-7000 IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 322-9669 if questions arise. TY(TK)HQ @Ej-~ CAAE OF ADDAESS INFORMATION P.O. Box 7869 urbank CA. 91510-7869 wi bol to indicate 0 INDIVIDUAl 0 LOCAl·AGENCY 0 STATE·AGENCY IX] CORPORATION 0 PARTNERSHIP 0 COUNTY·AGENCY 0 FEDERAL·AGENCY STATE ZIP CODE PHONE,. WITH AREA CODE TX 77210-4453 (713) 277-7000 NAME Equilon Enterprises LLC MAILING OR STREET ADDRESS V. PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED "" ÞOIIOindi:ate XJ 1 SELF·INSURED 02 GUARANTEE 03 INSURANCE 04 SURETYBONO 05 LETTER OF CREDIT 0 S EXEMPTION 01 STATEFUNO 08 STATE FUNO& CHIEF FINANC1AlOFFICER LETTER 09 STATEFUNO&CERTIF1CATEOFDEPOSIT 010 LOCAlGOVT.MECHANISM 0 99 OTIiER 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 ,IX] 11/·0 THIS FORM HAS BEEN COMPLETED UNDER PENAL 1Y OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORREPT- . . . . . '. . . . TANK OWNER'S NAME (PRINTED & SIGNATURE) Equilon Enterprises LLC LOCAL AGENCY USE ONLY TANK OWNER'S TIT !y, :Ie =~o -' rnØ ~". ...J_ . . .' . .. ....:_-, COUNTY /I CD ! JURISDICTION ,. [IT] FACILITY , = . . . . . . . . . . . . . . . . .. . . . . . . . . . . -,'_. - ,- ~ -_.~ LOCATION CODe . OPTIONAL I CENSUS TRACT' . OPTIONAL I SUPVISOR . DISTRICT CODe . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B. UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. OWNER MUST ALE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM A (6-95) ~~ ~ sr. TE OF CAUFORHIA STATE WATER RESOURces CONTIlOL BOAilD . UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B e . ~ COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMrr o 2 INTéRlM PERMIT o 3 RENEWAL PERMrr o 4 AMENDED PEflMrr W S CHANGE OF INFORMAT10N D S TEMPORARY TANK CLOSURE D 7 PEAMANENl1. Y a.OSEO ON sm: D IJ TANK RE.loICveo DBA OR FACIUTYNAMEWHERETANKISINSTALLED: White Lane Shell I. TANK DESCRIPTION COMPLETE ALl. ITEMS - SPECIFY IF UNKNOWN A- OWNER'S TANK I. O. . B. MANUFACTUReo BY: O. TANK CAPACITY IN GAU..ONS: II. TANK CONTENTS IF .11.1 IS MAAKED, COMPLET'E ITEM C. A- D 1 I\oIOTOR VEHICLE FUEl W 4 olll t:'.d!.! fj B. C. -0 la I'IEGUUR uN..OOED 8 3 DIESEl. 0 6AVlATlONQAS 02 4 ¡ '''11<1 0 o 1 Þ PI'IaWW I.JN..E-'CED 4 GASAHOL 0 7 MEi1-iANOL PETROlEUM [Jg eo EMPTY 1 PROOIJÇT o Ie IoIIJGIWJE \J~ E! 5 JET FUEl. 0 IJ MaS 0 3 CHEMICAl.. PI'IOOUCT o 95 UNKNOWN fXJ 2 WAST'E o 2 LEADED 99 OnlER (CESC!IJ8E iN rmI O. 6ELOW) 0, IF (A- I) IS NOT MAAKE.D. ENTER NAME OF SUBSTANCE STORED Waste Oil tank C.A-s..: III. TANK CONSTRUCTION MAAK ONE ITEM ONLY IN aoxES A- B. AND C. ANO ALl. T1-IAT APPUES IN BOX D AND e A. TYPE OF f3 1 OOUBl.E WALl. 0 3 SINGLE WAL1. WITH EXTEI'IIOR UNER o 5 INTERNAL BLAOOER S'fS'i'EM o 95 UNI<NOWN SYSTEM D 2 SINGLE WALl. 0 4 SINGLE WAL1. IN A VAULT o 99 OTHER B. TANK 0 1 BAAE STEEl. 0 2 STAINLESS STEEl. [Jg 3 FIBERGlASS 0 4 STEEl. CV.O WI ABEflGI.ASS REINFORCED ?t..AS'r.C MATERIAL 0 5 CONCRETE 0 S POL YV1NYI. CHLORIDE D 7 ALUMINUM 0 8 100% METHANOL COMPAT1BLE WfFRP I (Primary Tiltlk) D g BRONZE 0 10 GALVANIZEO STEEl. D 35 UNKNOWN 0 99 on;E."I \ C. INTERIOR 0' RUBBER UNEO 0 2 AU<YO UNING D 3 EPOXY UNING D 4 PHENOUC UNING i UNING OR D S GUSS UNING 0 IJ UNUNED Œ1 95 UNKNOWN 0 99 OTHER COATING IS UNING MATERIAL COMPAT1BLE wmt 100"4 METHANOL? YES _ NO_ ì i D. EXTERIOR D 1 POLYETHYLENE WRÞP o 2 COAT1NG o 3 VINYl. WfW> Ii] 4 FlBERGUSS REINFORCeD PI..AST1C CORROSION PROTECTION o 5 CAT1-IODIC PROTECTION 0 gl NONE o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERALL, etc. ~:~ ~~AI~~EI\ T <A¡ST~O (YEAR) OVERALL PREVENTION ECUIPME.'IT INSTALlED (YEAR) _ _ $'mIKER PlATE YES NO OtSPENSEA CONTAINMENT YES NO IV. PIPING INFORMAT10N ,CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUNO. 60T1-llF APPUCABLE A. SYSTEM TYPE B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SUCTION A U 2 PRESSURE A@3 GRAVITY A U 4 FLEXIBLE PIPING ... U 99 oT1-le¡::¡ A U 1 SINGLE WALl. A U 2 cauBLe WALL A' 3 UNEO TRENCH A. U g5 UNKNOWN . U 99 OT1-lER A U 1 BAAESTEEI. A U 2 STAINLESS STEEl. A U 3 POLYV1NY1. CHLORIDE (PVC) A (úì 4 FIBERGlASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEl. WI COATING A V 8 100% METHANOL COMPAT1BLE WIFiV' A U 9 GALvANIZED STEEL A U 10 CAT1-IODIC PROTECTION A U gs UNKNOWN . A U 99 OT1-lER 0' ~\KWII D2~~ ts(!3=~ D4~ OS:=PIJ\.II 099 O'n04ER V. TANK LEAK DmCTlON D 1 VISUAL CHECK 0 2 M.VIUAL INVENTORY 0 3 VACOZE 0 4 AUTOMAT1C rANK 05 GROUND WArE."I DEI ANNUAL r.......K RECONCIUATlON MONITOFUNG GAUGING MONITORING TES1':NG ~ 7 CONTlNUOUS INTERSTITIAL 0 IJ SIR 0 9 'M:EJ<LY MANUAL 0 10 MONT1-ILY TANK D g5 UNKNOWN' 099 OT1-lEi'l ~ MONITORING TANK GAUGING TEST1NG VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN·PlACE} 1. ESTlMATëD OATE lAST useD (MOIOAYNR) I 2. ES11MATEO OlJANT1TY OF \ 3. 'HAS TANK AI.LED WITH SUBSTANCE REMAINING GAU.ONS INERT MATERIAL ? THIS FORM HAS SEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE 8EST OF MY KNOWlEDGE, IS TRClE. AND COR~~.~ TANK OWNER'S NAME OA TE (PRNTEDUIGNAT\ RE) Equilon Enterprises LLC I ~ YES, q.,~ ÇJ. ;qµ-'r'- . . . . . . . . s. 1ft I]!, ... 1ft. TIlE STATE 1.0. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW . . LOCAL AGENCY USE ONLY · . . . . . . . · . . . STATE 1.0.# COUNTY. CD JURISDICTION' [II] FACIUTY . = TANK. = . . . . . . · . . . . . . . . . . PERMIT NUMBER PERMIT APPROveD 8YiOATE PERMIT exPtRA TlON DATE nilS FORM MUST BE ACCOMPANIED BY A PERIIn' APPUCAnOM . FORM A, UMI.ESS A CURRENT FORM A HAS BEEN FILEO. FORM C MUST BE COIolP\.ETëD FOR INST ALLAnOMS. nus Fe ~UI.D BE ACCOMPANIED BY A P\.OT PLAN. FILE THIS FORM WITH 'I11E LOCAL AGEHCY..Pl.EIŒHT1NG ntE UNDERGROUND STORAGE TANK ÆGUUT10HS FOAM 8 (.es) ---./ ST A Të OF CAUFORHIA ST A Të W A TEFl RESOURCES CONTROL BOAAD UNDERGROUND STORAGE TANK PERMIT APPLICA T10N . FORM B e e ;;:.. COMPlETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o I NEW PERMrr o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMrr ŒJ 5 CHANGE OF INFORt.lAT10N D 8 TEMPORAAY TANK Cl.OSURE D 7 PERMANENTt. Y Cl.OSED ON SITE D IJ TANK ;:¡Et.\CVeo DBA OR FACILITY NAME WHERE TANK IS INSTALLED: White Lane Shell I. TANK DESCRIPTION CO~ ALL. ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. . C. DATE INSTAU.ED (MOt)AY/YtWI) Unk. B. MANUFACTURED BY: Owens Corning D. TANK CAPACITY IN GALLONS; 1 0, 000 k 11. TANK CONTENTS IF A-' IS MARKED, COMPI....~ ITEM C. A. [XJ I MOTOR VEHICLE FUEL o 4 OIL 13. C. -0 la ¡¡EG\JUR U~ED 8 3 DIESEl. 0 8 AVlAT10NGAS 02 PETROLEUM 080 EMPiY 0 1 PRODUCT o IÞ PI'IEMRJU ~ED 4 GASAHCt. 0, 7 METHANOl. ßJ Ie IiDGAAOE U~ E3 5 JET FUEl. 0 IJ M8S 0 3 CHEMICAL PROOlJCT o is UNKNOWN 0 2 WASTE o 2 LEADED 99 OTIiER (CESCPJ8E !N rroI O. BElOW) O. IF (A. I) IS NOT MARIŒD. ENTER NAME OF SUBSTANCE STORED C.A.s..: III. TANK CONSTRUCTION MARK ONE ITEM aNI. Y IN BOXES A. B. AND C, AND AU. THAT APPUES IN BOX 0 AND E A. TYPE OF ~ I 00\JBl.E WALL. 0 3 SINGLE WALL. wmi EXTERIOR UNER o 5 iNTERNAl. BUCœR SYSTEM' 0 95 UNKNOWN SYSTEM 0 2 SINGLE wALL. 0 4 SINGLE WALL. IN A VAULT o 99 OTHER B. TANK 0' BAAE STEEl. 0 2 STAINLESS STEEl. ~ 3 FIBERGlASS 0 4 STEel. ClAO WI FIBERGLASS "ENFORCED P\.AST1C MA TëRIAL D S CONCRETE 0 8 POI. YVlNYI. CHI.ORIDE o 7 ALUMINUM 0 8 100% METHANOl. COMPATlBLE W/F;:¡P (primary Tank) 0 g BRONZE 0 ' 0 GAL V ANIZEO STEEl. [RJ g5 UNKNOWN 0 99 OTHER C. INTERIOR 0' RUBBER UNED 0 2 AU<YD UNING D 3 EPOXY UNING 0 4 PHENOUC UNING UNlNG OR 0 5 GLJ'SS UNING 0 8 UNUNED G9 95 UNKNOWN 0 99 OTHER COATING IS UNING t.lATER1A1. COMPAT1BLE WITH 100"4 METHANOL? YES _ NO_ D. EXTEfIIOR o 1 POL YëT11YLENE WRÞP o 2 COATlNG D 3 VINYl. WAN' []I 4 FlBERGLJ'SS REINFORCED ~C CORROSION PROTECTION o 5 CATHODIC PROTECT1ON 0 gl NONE -- o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL, etc. SPILl. CONTAINMENT INST AU.ED (YEAR) "II~ OVERALl. PREVENTION EaUIPMENT INSTALLED (YEAR) -. 1:::/ DROP ruBE YES X NO STRIKER PLATE YES -X.- NO OtSPENSER CONTAINMENT YES --X- NO IV. PIPING INFORMATION CIRCLE A IF ABCVE GROUNO OR U IF UNDERGROUND, 60TH IF APPUCABLE A. SYSTEM TYPE B. CONS-mUCTlON C. MA TëRIAL AND CORROSION PROTEC110H D. LEAK DmcnoN A U 1 SUCTlON A PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 OTHEF\ A , SINGLE WALL. A U 2 OOUBI.E WALl. A(t:> 3 UNED TRENCH A U gS UNKNOWN A U 99 OTHE;:¡ A U 1 BAAE STEEl. A U 2 STAINLESS STEEl. A U 3 POt. YVlNYI. CHLORIDE (PVCJ A 4 FIBERGLJ'SS PIPE A U 5 AlUMINUM A U 8 CONCRETE A U 7 STEEL WI COATlNG A U IJ 100% METHANOL COMPATlBLE W/FRP A U 9 GALVANIZED STEEL A U 10 CATHOOIC PROTECTl0N A U 95 UNKNOWN A U 99 OTHER r"V 1 1Æ0WICI0I. \.IE \!M C7I' 2 \.IE OOKTI€SS C7ì 3 CCMMJOUS INTiRSTI11.II. 0 4 ELECIAOIC UII£ ~ 5 AUTOIoIAT1C PUll' 0 99 'OTHÐ\ l..ð. œreçrOA ,ð.l rtS'TYG Ið.-J IoICNTc:.fNI ŒIoII œTECTOA ~ HJTt)OWI V. TANK LEAK DETECTION O 1 VISUAl. CHECK 0 2 MANUAL INVENTORY 0 3 VAOQZE r::1 4 AUTOMATlC TANK 05 GROUND WATER L- - 8 ANNUAl. TANK RECONCIUATlON MONITOAING ~ GAUGING MONITORING TëSTING [J9 7 CONTINUOUS INTEASTlT1AL 0 IJ SIR 0 9 WEEKLY MANUAL 0 10 MONTHLY TANK 0 gS UNKNOWN' 099 OTHER MONITORING TANK GA ING TESTlNG VI. TANK CLOSURE INFORMATION (PERMANENT CI.OSURE IN-PUCE) 1. EST1MATED DATE lAST USED (MO!OAYIYR) I 2. ESTlt.lATED OUANTITY OF \ 3. WAS TANK AlLEO WITH YES 0 NO 0 SUBSTANCE REt.lAlNING GAlLONS INERT t.lATERIAL ? THIS FORM HAS SEEN COMPLETED UNDER PENAL TV OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRU~'~G:G:P~epr:: TANK OWNER'S NAME DATE ¡PRNrEDUGHAT\JRQ Equilon Enterprises LLC 3 \ . . . . . . . . . . . . . LOCAL AGENCY USE ONLY niE STATE 1.0. NUMBER IS COMPOSED OF niE FOUR NUMBERS BELOW STATE 1.0.# COUNTY '. rn JURISDICTION' ITIJ FACIUTY . = TÞ.NK. . .: .: .' .' .' .' .' .' . = . . . . . PERMIT NUMBER PERMIT APPROVED BY¡tJATE PERMIT EXPtRA TlON CIA TE nus FOAM MUST BE ACCOMPANIED BY A PERMIT APPUCAT10N . FORM A. UHl£SS A CURREHT FORM A HAS BEEN F1L.ED. FORM C MUST BE COMPt.ETED FOR IHSTALLAnoNS. THIS Fe·' SHOUlD BE ACCOMPANIED BY A P\.OT PLAN. FILE THIS FORM WITH THE LOCAL AGEHCY 1IIPlEMEKT1NG THE UNDERGROUND STORAGE TANK REGULATIONS FOAM 8 (6-85) ~ ST A Të OF CAUFORHIA STATë WATEiI RESOURCES CONT'AOl BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B - . ? COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o \ NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl. PERMIT o ~ AMENCED PERMIT ŒJ 5 CHANGE OF INFORMATION o is TEMPORARY TANK ~OSURE o 7 PERMANENT!.. 'f ClOSED ON SIr= o 8 TANK REMOvED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Whire Lane Shell I. TANK DESCRIPTION COMPLETE ALL. ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. O. . Unk. B. MANUFACTtJRED BY: Owens Corning c. OATE INSTAU..EO (MOt)A'f/YëAFl Unk. o. TANK CAPACrrt IN GAU..ONS: 10,000 II. TANK CONTENTS IF A-liS MAAKEO, COMPlETE ITEM C. ~ o ~ OIL I Q \. I'IEGIMfI UfÜ¡\Q8J 8 3 DIESEL 0 is AvtATlONQAS A. 1 MOTOR VEHICLE FUEL B. c. n 2 PETFIOLE1JM Deo EMPTY ~ \ PRODUCT o lþ PRElWW UH..EAC8J ~ GASAHCL 0 7 M£"\"1-IANCl o Ie: liOOlUDE 1J~ E! 5 JETFUEL 0 8 W!S 0 3 CHEMICAl. PFIOOOCT o 95 UNKNOWN 0 2 WASTE o 2 LEADED 99 OT1iER (OESœIIIE IN IT'ÐI O. i38.0W O. IF (AI) IS NOT MAAIŒO, ENTER NAME OF SUBSTANCE STORED C.A.$.': III. TANK CONSTRUCTION MAAJ( ONE ITCM ONLY IN BOXES A. B. AND C, ANO ALL THAT APPUES IN BOX 0 ANO E A. TYPE OF ŒI \ OOtJBLE WALL. 0 3 SINGLE WALl. WITH EXTERIOR UNER o 5 INTERNAl. awx:ER SYSTEM o 95 UNJ<NOWN SYSTEM 0 2 SINGLE WALL 0 ~ SINGLE WALl. IN A VAULT o 99 OTHER B. TANI< 0 1 8AF1E STEEL 0 2 STAINLESS STEEL lKI 3 FIBERGlASS 0 4 STEEL CLAO WI FIBERGLASS ¡::¡ElNFORCEû ¡O~C MATERIAL 0 5 CQNCRET'E 0 is POL 'f'VINYL CHLORloe 0 7 Al..UMlNUM 0 8 100% METHANOL COMPA T1SLE 'NIFRP (prilNl"f Tlllk) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER C. INTERIOR 0 \ RUSBER UN EO 0 2 ALKYD UNING 0 3 EPOXY UNING 0 ~ PHENOUC UNINQ UNlNG OR 0 5 GLASS UNING 0 is UNUNEO GZJ 95 UNKNOWN o 99 OTHER COATING IS UNINQ MATERIAL COMPAT1SLE WITH \00% METHANOL? YES_ NO_ D. EXTERIOR o 1 POL YCT11YLENE WfW> o 2 COATING o 3 VlNY1.. WRAP IB ~ FIBERGLASS RElNFORCeD ~c CORROSION PROTECTION o 5 CATIiOCICPROTECTlON 0 91 NONE ~..... o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL et SPILl. CONTAlNMENJ¿NSTAU.EO (YEAR) TIr7 , OVERALL PREVENTlON EQUIPMENT INSTALLEO (YEAA) .., _.J , C. OROP TUBE YES NO STRIKER PLATE YES X NO OISPENS~ CONTAlNMeNl' yes ~ NO IV. PIPING INFORMATION CIRCLE A IFABOvEGROUNOOR U IFUNOERGROUNO,SOTHfFAPPUCABLE A. SYSTEM TYPE "u I SUCTION A ø2 PRESSURE "U 3 GRAV1TY A U 4 FlEXIBLE i"1PING "U 99 OT:"e~ I B. CONSTRUCTION A{j) 1 SINGLE WALL. A U 2 DOUBLE WALl. ,,(P>3 UNEO TRENCH " U 95 UNKNOWN A U 99 O-;¡';ER I C. MA TëRIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POL 'f'VINY1.. CHLORIDE (PVCJ A <ii:)~ FISERG~SS PtPE CORROSION A U 5 ALUMINUM A U is CONCRETE A U 7 STEEL WI COATING A U e 1~ METHANOL COMPATIBLE Wn:;lP PROTECTION A U 9 GALVANIZED'STEeL A U \0 CATIiOOIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK OETEcnON [X] 1 ~ \.IE \.EM ~ 2 ~!1GHTIÐS [XI) == IIIT'ERS1TII.II 0 4 ~ Œ S -= ~ 0 99 OTHER V. TANK LEAK DETECTION O 1 VISUAL CHECK 0 2 MANVAI. INVENTORY 0 3 VAOOZE fX'1 ~ AUTOMAT1C TANK 05 GROUNO WATER 0 is ANNUAL TANK RECONOIUATlON MONITORING ~ GAUGING MONITORING TESTING ŒI 7 CONTINUOUS IN~ST!T1A1. 0 8 SIR 0 9 WEEKLY MANUAL D 10 MONTHLY TANK 0 95 UNKNOWN' 099 OTHEi'I I,IONITORING TANK GA ING TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN·PlACE) \. eST1MATEOOATE LAST usee (MOiOAYIVR) \ 2. eST1MATEOaUANT1TYOF \ 3. WAS TANK RLLEOWlTH YES , 0 NO 0 SUBSTANCE REI.\AINING GAU..ONS INERT MATERIAL? " ' THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY. AND TO THE SEST OF MY KNOWLEDGE, IS TRUE AÑP:c;p1lii~qt: ,: . TANK OWNER'S NAME DATE ........-:. " . ¡PRHTm'SlGKAT\JfIE1 E uilon Enterprises LLC ':.".' ...... ~~e LOCAL AGENCY USE ONLY :::»':::>:. e COUNTY. JURISDICTION' FACIUTY. TANK' .......... .......~, - STATE 1.0.# rn ITIJ = = ,.,.-...,. Iii...,c~' PERMIT N\JMBER peRMIT APPROVED BYIOATE PERMIT EXPIRATION QATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCAT1OM· FORM A. UNLESS A CU1IREMT FORM A HAS Beat FLED. FORM C MUST BE COUP\.ETED FOR lNSTA1.LAt1OHS. THIS FOf SHOULD BE ACCOMPANIED BY A PlOT P\.AH. FlU: THIS FOAM WITH THE LOCAL AGENCY IMP\..EMEK1'1IG THE UND£RGROUND STORAGE TAN ( REGULA T10NS FORM 8 (.~) ~~' . STATëOF CAUFOANIA e STATe WATER RESOURCES CONTROL BOMlD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPlETE A SEPARATE FORM FOR EACH TANK SYSTEM. .- MARK ONLY ONE ITEM o I NEW PERMIT o 2 INTefUM PERMIT o 3 RENEWAL PERMIT o · AMENCEC PERMIT m 5 CHANGE OF INFORMATION o 6 Ì'EMPORARY TANK CLOSURE o 7 PERMANENT1.. Y Ct.OSED ON 5n'e o 8 TANK REMCVEC DBA OR FACIlITY HAlliE WHERE TANK IS INSTAllED: White Lane Shell I. TANK DESCRIPi10N COMP\.ETE ALl ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. O. . TTnk B. MANUFACì\JRec BY: Owens Corning c. CATE INSTAU.ED (MOt)AYIYEAA) UNk O. TANK CAPACITY IN GAU.ONS: 10,000 II. TANK CONTENTS IF A-liS MARKEO. COMPI...ETE ITEM C. A.. (X] 1 MOTOR VÐiICLS FUEL 0 4 OIL B. C. W ,. REGUlAA UN..EACED 8 3 DIESEL 0 6 AVIATION GAS o 2 PETROl-~M 0 eo EMPTY 0 I PROCUCT ~ 111 PRÐWW IJN..EÞJJED . GASAI-IOL 0 7 MEõ1-I.ANOL Ie IoIIJGAACE 'J~ 8 5 JET FUel. 0 IJ MaS o 3 CHEMICAL ?AOOIJCT 0 9!i UNKNOWN 0 2 WASTE o 2 LEACEO 99 OT}iER (CESCillBE ~ I'T'EM O. 6S.0W) D. IF (A. I) IS NOT MARKED. ENTER NAME OF SUBSTANCE STOREO C.A.$.': III. TANK CONSTRUCTION MARl< ONE ITEM ONLY IN BOXES A. B, ANC C. ANO AU. THAT APPUES IN BOX D AND E A. TYPE OF Q 1 00tJ8lS WALL. 0 3 SlNGLS WIoJJ.. WITH EXTERIOR UNER o 5 iNTERNAL BUCOER SYSTëM o 95 UNKNOWN SYSTEM 0 2 SINGLE WALL. 0 . SINGLS WALl IN A VAULT o 99 OTHER B. TANK 0 I aAAE STEEL 0 2 ST AINLSSS STEEL Œ1 3 FIBERGLASS 0 . STEel. ClAD WI FIBERGlASS REINFORCED PlASTIC MATERIAL [J 5 CQNCRET'E 0 IJ POL'MNYL CHLORIDE 0 7 ALUMINUM 0 IS 100"4 METHANOL COMPATIBLE WfFRP (primary Tlnk) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER C. INTERIOR U 1 RUBBER UNED 0 2 AU<Yt) UNING 0 3 EPOXY UNING 0 . PHENOUC UNING UNING OR 0 5 GLASS UNING 0 6 UNUNEC Q9 95 UNKNOWN 0 99 OTHER COATING IS UNING MATERIAL COMPATlBLS WITH 100% METHANOL? YES _ NO_ D. EXTERIOR D 1 POLYETHYLENE WRÞP o 2 COATING o 3 VlNY1.. 'IffiN' Œ 4 FIBERGLASS REINFORCED P'..AST!C CORROSION PROTEC'T10N o 5 CATHOOIC PROTECTION 0 91 NONE __ _ D 95 UNKNOWN o 99 OTHER E. SPILL AND OVERALl, etc. ~~~ ~~Aly~~ENT~ST~D (YEAR) -J ~ OVERFIll PRevENTION EQUIPMENT INSTALLED (YEAA) I ~ STRIKER PlATE YES X NO OISP~NSER CONTAINMENT YES X NO IV. PIPING INFORMA T10N CIRCLS A IF ABOvE GROUND OR U IF UNDERGROUND. 60TH IF APPUCABLE A. SYSTEM TYPE A U 1 SUCTION A (f!5)2 PRESSURE A U 3 GRAVITY AU' F1...EXIBLS PIPING A U gg OTHER 8. CONSTIlUCTlON A 0, SINGLE WIoJJ.. A U 2 OOUBLE WAll A @I UN EO TRENCH ... U 95 UNKNOWN ... U 99 OTHER C. MATERIAL AND A U I BARE STEEL A U 2 STAINLESS ,STEEL A U 3 POLYVINYL CHLORIDE (PVC)A~' FIBERGLASS PIPE CORROSION A U 5 Al.Ur.GNUM A U 6 CONCRETE A U 7 STEEL WI COATING A U a 100'%. METHANOl.. COMPAT1BLEWfFRP PROTECTION A U {,9 GAlVANIZED STEEL A U 10 CATHOOICPAOTECTlON A U 95 UNKNOWN A U 99 OTIiER D. LEAK DETECTION Gì 1 :=- ~!..EM ~ 2 ~ TXõHTIÐS Ð 3 == NTiRSTINI. 0 4 ~~ Qù s ~ PIAl' 0 99 O'n<ER V. TANK LEAK DETECTION O 1 VISUAL CHECK D a MANUAL INVENTORY 0 3 VACOZE rV1 . AUTOMATIC TANK 0 5 GROUNC WATER [J9 8 ANNUAL TANK RECONCIUATlON MONITORING ~ GAUGING MONITORING _ TESTING CXJ 7 CONTINUOUS INTERSTITIAL 0 IJ SIR 0 9 WEEKLY MANUAL 0 10 MONTHLY rANK 0 95 UNKNOWN' U gg OTHER MONITORING TANK UGING TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN-PlACE) 1. ESTlMATEO OATE lAST USED (MO/CAYIYR) \ 2. ESTIMATED OUANTITY OF \ 3. wAS TANK FILLED WITH SUBSTANCE REMAINING GALlONS INERT MATERIAL? THIS FORM HAS 8ééN COMPLëTéD UNDéR PéNAL TY OF PéRJURY. AND TO THé 8éST OF MY KNOWLéDGé. IS TR~ç:iN.G:G:P#FJE.èf ' TANK OWNER'S NAME Equilon Enterprises LLC DATE (PRW(TS) , SIGNA T\IfIE) YES 0 NOD LOCAL AGENCY USE ONL V STATE 1.0.# COUNTY' CD JURISOICTlON . ITD FACILITY . = TANK' ............. ".-.... ~...... L.LLLJLiJ"',. ., T§.. "f:~:..:-~~': PERMIT NUMBER PERMIT APPROVED BYICATE PERMIT exPIRATION OATE THIS FOAM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON - FOAM A. UNlESS A CURRENT FORM A HAS BEEN FIlEO. FORM C MUST BE COUPt.EnD FOR IHSTALLAT1ON$. THIS Fe SHOUlD BE ACCOMPANIED BY A PlOT PLAK. flU nus FORM wmt THE I.OCAL AGEHCY IIIP\..EMEJfT1IG THE utlDERGROUNO STORAGE TANK REGULATIONS FORM B (0.1151 . CITY OF BAKEAIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakenfield, CA(805) 326-3979 F aciJity INSPECTION RECORD POST CARD AT JOB SITE 0wDIr Addrw city. Zip .~ City. Zip Phono No. Permit " f:'lSTRUC710NS: PI_ caJ1 for UI ÏDIpecIIDr oaIy.... adI pip ot~ with tbe IUDIIIIIIDbar _ nady. 'I'hay 'IIWiU IUD ÌD ~-n. ....~ widI........ I. 00 NOT COWl' WGrit for III)' IIIIIIIbnd paup uaâI aU ... ia dill poup INliped oŒby tbI ~ Aurbaricy. FoUowias..... ....-.. will...... 1M..... f1L requited iDIpec:óoa YÍlillIIId thInfon ..... III .6." ot ~, r-. TANKS AND BACKFILL INSPECTION DATE INSPECTOR. BaddiU otTIlllc(I) Spark Tcsc Ccrti6catioa or ~_'~1reI MIdIod - CadIodic: Procecåoa O(TIIIIc(.) PIPING SYSTE1\f Pipiqot Raceway wlCollecliola Sump Corroùca Pracec:tiaa 0( Pipiq. Joåa. raU Pipe Elecuicallsolllion of Pipiq Ftom Tuk(.) Cathodic ProIcction System-i'ipiø¡ Dispenser Pan Liner lnsWlation. TanIc(s) --- Liner Insta1Iaúon . Piping Vault With Product CompaIible Sealer Level Oauga or Sentors. F1oa& Vent Valva ProcIua Compatible Fill Box(eI) ProcIua Line Leak Deccaons) Lak DdecCor(s) for Anrw&.I Space-D. W. Tank(s) MonirorinJ Well(s)lSlIJJ1I'(s). H20 Tc:sI Lak Dercction Devic:e(s) for VadoIeìOroundwalcr Spill Prevention Boxes SECONDARY CONT AI~':\fE.'''. OVERFILL PROTECl'ION. LEAK DETECnON FINAL Monitotin, WeIll. Capa ot l..ocb Fill Box Lode Monitotinl Roquiremenu Type ~ONTRACTORJ.e: '" I t if.!, UCEHSE' . PHONE' ~~ Q'11'" OCI z. L =ONT ACT · CITY OF BAKEdtIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield,CA (805) 326-3979 F &eility INSPEC110N RECORD POST CARD AT lOB SrrE aw. A.ddreIa City, Zip Phone No. City, Zip PermillI .~ I~STR UCfIONS: Pleue caU for ID ÌIIiIpecfØ' aaIy whIII ada pip oi ~ with !be IllDlIIIIIIIber ..nady, They will NIl iD OCØIIIIIÎW ardIIr~. II' I willa..... I. 00 NOT cover wort for any IIUIIIbend paup uø:iI aU iIeaII ÎD IbII& paup ..liped off'by the hntIiIIiaa AuIbarity, FoUowiøø 1beIe .....-... will reduoe tbllIUDIbIr oi required impecåoa YÍIitIIDd &benfcn pr'IYØ n. -- ol~1 feeL TANKS AND BACKFILL INSPEC110N DATE INSPECTOR BadcfiU ofTank(.) Sparlt Test Cctific:Gioa or ~...,~II'CI MCICbod CaIhodic Procecûon ofTank(.) PIPING SYSTEM Piping &; R.aœway w/CoUec:tioa Sump Corrosioa ProcOCIioa of Pipiur. 10ÍIIIL FiU Pipe ElectricallsollÛOll ofPipiDs fnllll TIDk(.) Cathodic Protection System-Piping Dispenser Pan Liner InsWlation· Tank(s) Liner InsWla1ion . Piping Vault With Product Compa&åblo Sealer Level Gauges or Sensors. Aoa& Ven! Valva Product CompaIiblo Fill BoX(CI) Product Line Leak Deteaons) I Uak Detectorts) for Annua! Space-D. W. TanIc(s) Moniroring Well(sYSWI1p(s), H20 Te:st Leak Detection Dcvicc(.) for V.doseiOrowldwUer Spill Prevention Boxes SECONDARY CONT AlN:\fE:\ï. OVERFILL PROTECI'ION. LEAK DETECTION Monitonng Weill. C3pI A Loeb Fill Box Lock Monitoring Roquiremcntl Typo r FINAL Ii< - (\Jt-{ ( ~ ONTRACTOR L. ,t ' \ UCENSB' PHONE . M. r; , I.{t¡t;... 0 ([2 ( ONTACT BFD HAl )L.H DIY iii 002 02/26/99 09:08 eS05 326 0576 '. . N::-ðl S7 Penalt No. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (80S) 326-3979 PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK PROPOSED COMPLETION DATE llP CODE ú I WAtER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER. SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTAlLED N I A ARE 1HEY FOR MOTOR FUEL N / A ~ N I A NO SPILL PREVENTION CONTROL AND COUNtERMEASURES PLAN ON Fn.E XX 'YES NO SECTIONro1t MOTOR J'UKL ~¡{ FOR omcw. USE ONLY ':¡_~~¡mm¡!~i:~!m~t~~R~;¡;'G~¡:{:t;~~~~~i~~\ifi~~!l;·\i;~;¡:;¡~;:¡l;;~;;~~.j[;[i~¡t~r;t~.~';¡!;:~:;:¡¡!.¡: THE APPUCANT HAS RECEIVED, UNDERSTANDS. AND WIll.. CO,MPL Y WITH THE ATTACHED CONDITIONS OF nns PERMrr AND ANY OTHER STAlE. LOCAL AND FEDERAL REGULATIONS. ~? THIS FORM HAS BEEN COMPLETED UNDER PENAL TV OF PERJ1.JRY. AND TO 1HE BEST OF MY KNOWLEDGE. 18 TRUE AND C T. ø TANK NO. 1 2 3 VOLUME 10,000 10,000 10,000 TANK NO. 1 VOLUME 550 UNLEADED xx xx REGT.JI.AR ¡ PREMIUM ¡ : DIESEL AVIATION xx SECTION ,.oR NON MOTOR FUEL STORAGE TANICS H_ CHEMICAL STORED , (NO BRAND NAME) Waste Oil ~~,;', èAs NO. (Íf KNOWN) rà '~ .''1 "r'! CHEM1CAL PREVIOUSLY SiOlU!D N/ATank currently empty V;' . ril D. Smith/Owner's Agentl~/;P<LJ. ~~ APPUCANl' NAME (PRINT) APPLlC SIGNATURE ':' ' APPLICATION BECOMES A PERMIT WHEN APPROVED ~ . ~ . '. If ;";', ,1 , "i¡ " :'~ ! '-, .. "'.of': ci . e SERVICE STATION MONITORING PROCEDURE Title 23 of the California Code of Regulations (CCR) requires that a written monitoring procedure be established for all underground storage tanks. This form is used to satisfy the information required in Section 2632 & 2641, Title 23, CCR. A Copy of this form will be maintained on-site (located inside the Equilon's Marketing Service Station Health, Safety and Environmental Manual also known as the Red Book) and a copy will be submitted to the local administering agency (inside of the Business Plan and inventory disclosure). ' Facility Name: White Lane Shell Facility Address: 2600 White Lane, Bakersfield, CA. 93304 Facility Telephone Number: (805) 832-4801 Tank Owner: EQUILON ENTERPRISES LLC A TTN: SH&E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (805) 326-4326 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632 or 264\. My signature below confirms that I have read and understand my responsibilities as they pertain to tank monitoring, reporting, and records retention. Tank Type: Double Wall Tank Material: Fiberglass Monitoring Type: TLS-350R Monitor Manufacturer: Veeder Root Line Type: Double Wall Line Material: Fiberglass Monitoring Type: TLS-350R Line Leak Detector: PLLD Monitor Manufacturer: Veeder Root il} t/ðe) Waste Oil Tank: -Double Wall Fiberglass (II tJ í - . ¡: ,I,':' REPORTING REOUIREMENT Any monitor that is discovered in Alarm (RED Lights On) or audible alarm is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: 1. EquiIon Enterprises LCC SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 Trainin!! by Company Personnel Per manufacturer guidelines, the training necessary to operate the tank and line monitoring system is performed by the authorized installation contractor. The location is also responsible for daily inspections of the monitoring panel, alarm Panel Test Log and corrective actions. OperatorlManager I. Each Individual alarm system is determined and located at the service station premises. 2. Each Individual alarm system is activated by visually inspecting the alarm panel lights and pushing the appropriate audible alarm button. 3. No impromptu repairs, changes, adjustments, etc. will be made to the monitoring equipment at the station. Designee · It shall be the responsibility of the operator/manager to train the designee to perform alarm panel tests. o It shall be the responsibility of the operator/manager to train the designee to perform physical inventories. Additional Releases Safety Features at the Service Station Inventory reconciliation a¡; defmed by Article 6.3 of the Equilon Motor Fuel Lease and Title 23, CCR. Equilon must be notified if a single daily variation exceeds plus or minus 300 gallons, or exceeds +/- 150gallons of daily variations for three (3) consecutive days, or the month end cumulative variation exceeds +/-0.005 x monthly throughput, or the month end cumulative variation exceeds +/- 130 + 0.01 x monthly throughput. · Electronic Monitoring systems described above o Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency) o Physical Inventory · Annual UST Equipment Certifications - . ':i} ~ . Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic monitoring of the annular interstice space in each tank. A monthly status report of the annular space condition in each tank is submitted to the station at the end of each month. Hard copies of all test data will be maintained on-site in the ETM Results binder. o Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank at least once per month after product delivery or when tank is filled to within 10% of highest operating level during previous month. The system is capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in the ETM Results binder. <a o Single wall tanks with no eletronic monitoring equipment will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR, Lines . All lines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a month according to CCR, Title 23, Div 3, chapter 16 UST Regulations. Also the monitor is capable of a 0,1 GPH leak rate test once a year if mandated by the City Ordinance or Municipal code from Local Regulatory Agency. All product lines have Positive Shut Down and will stop the flow of product through the lines in the event of a leak. Some Double Wall lines are also monitored with either interstitial or sump sensors. o Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which are certified annually. o Single wall lines: All single wall lines will be pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified annually Tank / Line Testing: or Certification Results: . The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alanns along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certification results will also be sent to the local agency by certified mail as required. o Tank and line testing will be conducted by a qualified contractor and results of these tests will be maintained on-site and available for inspection. - . '" ë" . .f:uel Tanks . Veeder-Root TLS-350R On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be , observed to be OFF, These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. o Ronan , All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency o Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. Fuel Lines . Veeder-Root TLS-350R On a daily basis the operator I manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. ' UST Test/Certifications results will also be sent to the local agency by certified mail as required. 5~ f: ~ o . o e . , .. o Ronan All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Waste Oil Tank Not in use Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alann test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required o Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection. A copy of the report will be sent to the local agency by certified mail as required. e .. - ._- í~~'''¡ ) UNDERGROUND STORAGE TANK LEAK RESPONSE PLAN Tank Owner: EQUILON ENTERPRISES LLC ATTN: SH & E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (805) 326-4326 If a Leak Detection Alarm or System is Activated: I. Detennine which tank system is involved, 2. Shut off pump and discontinue operations. 3. Call the Tank Owner Immediately. 4. Persons responsible for contacting the leak response unit / company and authorizing any work necessary. SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 5. Notify the local agency: BAKERSFIELD FIRE DEPT PHONE#: (805) 326-3979 6. Ca1l911 (if necessary): The Methods and Type of Equipment Used for Removing Hazardous Substances. All unauthorized releases will be removed from the secondary containment by vacuum truck. A licensed hazardous waste contractor will be called to perfonn the clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licensed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of small generated hazardous waste, the operator / dealer will call Equilon's Contractor for proper disposal A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. e . ; ,." '.(.." ....~ ,'t.:) ,J-. SERVICE STATION MONITORING PROCEDURES Product Information Volume Regular Unleaded 10 Plus Unleaded 10 Premium Unleaded 10 Diesel M-85 Waste Oil Tank NOT IN USE Total Number of Tanks on Site: 4 Persons Responsible for Performing Monitorine: Calvin Wills (Retailer/Manager) Preventive Maintenance Schedule Daily Operator / Manager / Designee will perfonn equipment checks to ensure that monitors are operational. The Alann Panel Test Log must be initialed by the person perfonning the daily equipment check (sample attached). Annual- (A) All monitoring equipment will be inspected and certified operational, according to manufacturer's specifications, by a licensed tank tester who is authorized and trained by the manufacturer. (8) Operational status will be reviewed on site by the Equilon SH&E Representative using the Equilon Service Station Audit Check List once a year. Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system must be on site and available to Equilon / Agency auditors for a period of not less than three (3) years. . Operating status of the monitors will be recorded DAILY on the Alann Panel Test Log (as mentioned above.) o Physical Inventory will be recorded daily on the Inventory log. -~/ '""..:; ~.1 ,.' . :rank and Line Testing: Guidelines: . I"," . All Simplicity monitors are continuously being monitored at a central office In Connecticut. Simplicity operators will notify each dealer and Equilon in the event that an alarm goes on at a station. They will also dispatch a service contractor to investigate those alarms and notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0.1 and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak ' Detection CSLD which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. o In the event that an alarm is activated it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at a 0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. o In the event that a Operator finds a reconciliation variance during physical inventories greater then the allowable variation, the Operator will begin the inventory discrepancy investigation procedures. The Operator will be responsible to notify an Equilon Representative if any further action is required. Inventory is taken on daily basis. Each month will have a monthly report which will be maintained on-site. -q:~ fa . SERVICE STATION MONITORING PROCEDURE 204-046l-0005 Title 23 of the California Code of Regulations (CCR) requires that a written monitoring procedure be established for all underground storage tanks, This form is used to satisfy the information required in Section 2632 & 2641, Title 23, CCR, A Copy of this form will be maintained on-site (located inside the Equilon's Marketing Service Station Health, Safety and Environmental Manual also known as the Red Book) and a copy will be submitted to the local administering agency (inside of the Business Plan and inventory disclosure). Facility Name: White Lane Shell Facility Address: 2600 White Lane, Bakersfield, Ca. 93304 Facility Telephone Number: (805) 832-4801 Tank Owner: EQUILON ENTERPRISES LLC A TTN: SH&E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (805) 326-4326 As Operator, I am responsible for monitoring the underground storage tank system in accordance with Title 23, CCR. The following pages outline the specific monitoring procedures as required in Section 2632 or 2641, My signature below confirms that I have read and understand my responsibilities as they pertain.to tank monitoring, reporting, and records retention, ð~~ 0ff ~~ wner 19n re Operator Signature Undereround Storaee Tank/Line Information, Tank Type: Double Wall Tank Material: Fiberglass Monitoring Type: TLS-350R Monitor Manufacturer: Veeder Root Line Type: Single Wall (lined trench) Line Material: Fiberglass Monitoring Type: TLS-350R Line Leak Detector: PLLD Monitor Manufacturer: Veeder Root Waste Oil Tank: -Double Wall Fiberglass - . 204-0461-0005 REPORTING REQUIREMENT Any monitor that is discovered in Alarm (RED Lights On) or audible alarm is sounding or any monitoring that cannot pass the daily inspection test must be reported immediately to: 1. Equilon Enterprises LCC SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 Trainin2: bv Company Personnel Per manufacturer guidelines, the training necessary to operate the tank and line monitoring system is performed by the authorized installation contractor. The location is also responsible for daily inspections of the monitoring panel, alarm Panel Test Log and corrective actions. Operator/Manager I. Each Individual alarm system is determined and located at the service station premises. 2. Each Individual alarm system is activated by visually inspecting the alarm panel lights and pushing the appropriate audible alarm button. 3, No impromptu repairs, changes, adjustments, etc, will be made to the monitoring equipment at the station, Designee · It shall be the responsibility of the operator/manager to train the designee to perform alarm panel tests. o It shall be the responsibility of the operator/manager to train the designee to perform physical inventories, Additional Releases Safety Features at the Service Station Inventory reconciliation as defmed by Article 6,3 of the Equilon Motor Fuel Lease and Title 23, CCR, Equilon must be notified if a single daily variation exceeds plus or minus 300 gallons, or exceeds +/- 150gallons of daily variations for three (3) consecutive days, or the month end cumulative variation exceeds +/-0.005 x monthly throughput, or the month end cumulative variation exceeds +/- 130 + 0.01 x monthly throughput. · Electronic Monitoring systems described above · Annual Tightness Testing of Single Wall Lines (If required by the Local Implementing Agency) o Physical Inventory · Annual UST Equipment Certifications " - . 204-0461-0005 . Double wall tanks are monitored by in tank gauging probes and there is a continuous electronic monitoring of the annular interstice space in each tank. A monthly status report of the annular space condition in each tank is submitted to the station at the end of each month, Hard copies of all test data will be maintained on-site in the ETM Results binder. o Single wall tanks with Electronic Tank Monitors (ETM) will at a minimum comply with Section 2643, CCR: Electronically test each tank at least once per month after product delivery or when tank is filled to within 10% of highest operating level during previous month. The system is capable of detecting a release of 0.2 GHP. A Hard copy of all test data will be maintained on-site in the ETM Results binder. o Single wall tanks with no eletronic monitoring equipment will be tested annually using the volumetric testing guidelines specified in Section 2643, CCR, Lines . All lines, Single wall or Double wall, are monitored by Pressure Line Leak Detection probes (PLLD). The sensor at 3 GPH every time the dispenser is used, and a 0.2 GPH leak rate once a month according to CCR, Title 23, Div 3, chapter 16 UST Regulations, Also the monitor is capable of a 0.1 G PH leak rate test once a year if mandated by the City Ordinance or Municipal code from Local Regulatory Agency, All product lines have Positive Shut Down and will stop the flow of product through the lines in the event of a leak, Some Double Wall lines are also monitored with either interstitial or sump sensors. o Double wall fiberglass lines will have continuous sump monitors and line pressure monitors which are certified annually, o Single wall lines: All single wall lines will be pressure tested annually according to Section 2643, CCR. And will be monitored with a line pressure device (mechanical or electronic) that is certified annually Tank / Line Testing or Certification Results: . The Simplicity System Installed at this location provides continuous electronic leak detection of the product tanks pressurized product lines. The system provides audible and visual alarms along with automatic notification through the Veeder-Root system in the event that a leak is detected. Hard copies of the UST System test results are to be mailed to the station the first week of each month. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection, UST Test/Certification results will also be sent to the local agency by certified mail as required. o Tank and line testing will be conducted by a qualified contractor and results of these tests will be maintained on-site and available for inspection. e . 204-046 I -0005 Fuel Tanks . Veeder-Root TLS-350R On a daily basis the operator I manager I designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alann and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF, These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. o Ronan All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632. CCR, A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. . The monitoring will be tested daily in accordance of manufacturer instructions, Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency o Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. Each day he subtracted sales from and added deliveries to the book inventory, His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection, A copy of the report will be sent to the local agency by certified mail as required, Fuel Lines . Veeder-Root TLS-350R On a daily basis the operator I manager I designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNCTIONS ARE NORMAL. The RED and YELLOW lights wiH be observed to be OFF. These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required. 5 " o . . . 204-0461-0005 o Ronan All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR. A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Red Jacket All electronic monitoring devises will be inspected for operation in accordance with section 2632, CCR, A log will be maintained on-site showing daily documentation of inspections and maintenance requirements. The monitoring will be tested daily in accordance of manufacturer instructions. Copies of the UST Testing and certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications will also be sent to the local agency Waste Oil Tank . Veeder-Root TLS-350 On a daily basis the operator / manager / designee will push the RED alarm test button which will indicate that the remote sensor and the monitor control panel are working as well as the condition of the alarm and that ALL FUNC~TIONS ARE NORMAL. The RED and YELLOW lights will be observed to be OFF, These copies of the UST Testing and Certifications will be maintained on-site at the station and available for inspection. UST Test/Certifications results will also be sent to the local agency by certified mail as required o Dealer Inventory Rec. On a daily basis the dealer takes a physical inventory (stick reading) of the levels of the tank. . Each day he subtracted sales from and added deliveries to the book inventory. His daily inventories are compared to the "book" inventory to give the dealer a cumulative reading. At the end of each month the dealer will compare his daily inventories to net his overage or shortage for the month-to- date and make a monthly report. These reports will be maintained on-site at the station and available for review during inspection, A copy of the report will be sent to the local agency by certified mail as required. c 1i' -- e 204-0461-0005 UNDERGROUND STORAGE TANK LEAK RESPONSE PLAN Tank Owner: EQUILON ENTERPRISES LLC A TTN: SH & E DEPARTMENT P.O. BOX 7869 BURBANK, CA. 91510-7869 Telephone Numbers: (818) 736-5078 or (805) 326-4326 If a Leak Detection Alarm or System is Activated: 1. Determine which tank system is involved. 2. Shut off pump and discontinue operations, 3, Call the Tank Owner Immediately, 4. Persons responsible for contacting the leak response unit / company and authorizing any work necessary, SH&E Compliance Coordinator (818) 736-5078 Maintenance Coordinator (805) 326-4326 5. Notify the local agency: BAKERSFIELD FIRE DEPT PHONE#: (805) 326-3979 6. Call 911 (if necessary): The Methods and Type of Equipment Used for Removing Hazardous Substances. All unauthorized releases will be removed from the secondary containment by vacuum truck. A licensed hazardous waste contractor will be called to perform the clean up and removal of hazardous substances. The location and Availability of Cleanup Equipment: Major Spills: A local licensed hazardous waste contractor. Minor Spills: A spill kit with absorbent is to be maintained and supplied by the operator. To dispose of small generated hazardous waste, the operator / dealer will call Equilon's Contractor for proper disposal ' A copy of this response plan should be maintained near the electronic monitoring system. A copy is also sent to the local agency. l' e . 204-0461-0005 SERVICE STATION MONITORING PROCEDURES Product Information Volume Regular Unleaded 10 Plus Unleaded 10 Premium Unleaded 10 Diesel M-85 Waste Oil Tank 550 Total Number of Tanks on Site: 4 Persons Responsible for PerformiD!! Monitoring: Calvin Wills (Retailer/Manager) Preventive Maintenance Schedule Daily Operator / Manager / Designee will perform equipment checks to ensure that monitors are operational. The Alarm Panel Test Log must be initialed by the person performing the daily equipment check (sample attached). Annual - (A) All monitoring equipment will be inspected and certified operational, according to manufacturer's specifications, by a licensed tank tester who is authorized and trained by the manufacturer, (B) Operational status will be reviewed on site by the Equilon SH&E Representative using the Equilon Service Station Audit Check List once a year, Records Retention All records associated with inspecting, certifying, testing, monitoring, and maintaining the UST system must be on site and available to Equilon / Agency auditors for a period of not less than three (3) years. . Operating status of the monitors will be recorded DAILY on the Alarm Panel Test Log (as mentioned above.) o Physical Inventory will be recorded daily on the Inventory log. ': . Tank and Line Testing Guidelines: . 204-0461-0005 . All Simplicity monitors are continuously being monitored at a central office In Connecticut. Simplicity operators will notify each dealer and Equilon in the event that an alann goes on at a station. They will also dispatch a service contractor to investigate those alarms and notify an Equilon Representative if any further action is required, Gas, tanks are monitored by in-tank gauging probes. These probes are capable of testing at 0.1 and 0.2 leak rate. TLS-350R controller is programmed for Continuos Statistical Leak Detection CSLD which tests the tanks at 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. o In the event that an alann is activated it will be the Operator's responsibility to investigate the cause and to notify an Equilon Representative if any further action is required. Gas tanks are monitored by in-tank gauging probes. These probes are capable of testing at a 0.1 to 0.2 GPH leak rate. Hard copies of all test data will be maintained on-site in the ETM Results binder. [] In the event that a Operator finds a reconciliation variance during physical inventories greater then the allowable variation, the Operator will begin the inventory discrepancy investigation procedures. The Operator will be responsible to notify an Equilon Representative if any further action is required. Inventory is taken on daily basis. Each month will have a monthly report which will be maintained on-site, r: ;¡:. . . 204-0461-0005 BUSINESS PLANS AS A SERVICE TO YOU, THIS BUSINESS PLAN WAS PREPARED BY SERVICE STATION SERVICES, INC. IN ORDER TO COMPLY WITH THE CALIFORNIA HEALTH AND SAFETY CODE (CHAPTER 6.95, ARTICLE I, SECTION 25503.5). BY ACCEPTING THIS PLAN, YOU ARE ACKNOLEDGING THAT THERE ARE NO REPRESENT A TIONS OR W ARRANTlES THAT THE INFORMATION CONTAINED IN THIS BUSINESS PLAN WILL PRODUCE ANY PARTICULAR RESULT WITH REGARD TO THE SUBJECT MATTER. OWNER/OPERA TOR AGREEMENT OPERATOR: As operator of the underground storage tanks, I hereby certify that I understand the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations and I have received a copy of Section 25299, chapter 6.7, California Health and Safety Code. SIGNATURE: ékf~ !J2I DATE: ~ ---/;;-7 '1 OPERATOR NAME: Calvin Wills BUSINESS NAME: White Lane Shell LOCA nON #: 204- 0461-00005 O\VNER: As the owner of the underground storage tanks, EQUILON ENTERPRISES LLC certifies that we have provided the operator a copy of the monitoring and reporting requirements contained in Title 23, of the California Code of Regulations. Equilon certifies that we have provided the operator with a copy of the penalties of noncompliance as specified in Section 25299, chapter 6.7 of the California Health and Safety Code. OWNER SIGNATURE ~~ ~\ ~ DATE '3 { II C{ , Equilon Enterprises LLC .----0- FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave, Bakersfield. CA 93308 VOICE (805) 399-4697 FAX(805)3~5763 ~~ . tI~ . " , February 9, 1999 White Lane Shell 2600 White Lane Bakersfield, CA 93304 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in prepÌ1ring for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. Sincerely, ~dkú Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure ~~Y~de W~ ~ ~ope. ~~ A W~p"