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Home My WebLink AboutUNDERGROUND TANK #2 ~ ----- -----..- -. -.,-. -.---.-.---- .~.._--._------ - ____..___.___n.________... PerDlit to Operate . Hazardous Materials/Hazardous W aste Unified Permit , I ~ . -~ \~!, I CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 01S-Q21.o00S03 MARKET EXPRESS #2 ,¿~ LOCATION 2500 WIBLE This permit is issued for the following: zardous Materials Plan round Storage of Hazardous Materials agement Program Waste ..... -.. . TAN HAZARDOUS SUBSTANCE CAPACIW':'!:GÄIL . . :¡;... l\ ':os ... "'-"¡ i ! I - 0001 GASOLINE . _ ~ 0002 GASOLINE 0003 GASOLINE I I, i\ . . ! \~ " . 1.\ I~sued by: Bakersfield Fire Department OffiCE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 ... "is PIPING PIPING TYPE METHOD ONITO LPT F PRESSURE ALD LPT F PRESSURE ALD LPT F PRESSURE ALD . ," .. . 12,00Ò;Oþ\GAL . 12,000:(UGAL 12,000.Oð"G~~ Approved by: *~ ph Huey, ffice of ental Servi es June 30, 2000 Expirati8!lDáte: d:- . ..//«- _.r, . .' , . , P··,·,,~··:··:··:;·:,·, .'. ; . er ~. ¡\ I, L I 1 L ~ .J , ~ L.. . .' ~ ·.:f;¿~1\: ' ., . Permit ID #:: 015-000-000503· MARKET EXPRESS-WIBLE " - ;i:-.' LOCATION: 2500 WIBLE RD [-." ISsued by: . .,!- +' ~ ~ .', .." ·<'1" ' , . " ,"". . ~'+ " . ~ >. ,,~ i. .,. , , . .... .;/ :, "', . <·í!. .;. '-. '+ fr·.... . . , . . . . .., .,. ',' . :, '~': .~. , - _ . ::::.....' .. -;' - :. t· __ "': , . Bakersfield Fire Department· -, OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor ',,':', ";': Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 ":1 I ! Appmvoo by: Issue Date . ,<I Expiration Date: . .June 30, 2003 ~ ........----- ~. / .-- ~ I CA Cart. No. 00742 I City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following infonnation in the fonnat of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Fonn A); name of issuing agency; and date of issue. Other identifying infonnation may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: MARKET EXPRESS-WIBLE Permit #015-021-000503 2500 Wible Rd Bakersfield, California 93304 - . - :.., -. ------- - -- ~ft .....- .1;'-11.... i I -' . 31t:z.¡'~ 4 CA.1£ecJ.._GA/,_é~fm~n_,LS~ VJ4,J./e7-1-()f>ee.rtt-~-cQ ~VI.~_._~k_c:lQ~L~fA. I I ~u_'ipl.V\~ +_ tu-Pc6-R~(!.eJt.¡-.s..eA"_.":~ecf., J\,oti-' Lj;.,IC_/~~.------ - -- I - - - I I i . 1 I 1- - I I 1--- I ,- 1 ¡ 1 : I \ I 1 . ! .. ~ ! ! ~ II II I I ! I ! I 1 I I - I j I j I 1 ¡ 1 1 . _. I " ! 1 I~ UNIFIED PROGRAM I~ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 9330 1 Tel: (661)326-3979 I - FACILITYCONTACT ,..._____,__.___ 'Ns~i]id:t'n- ,~~~:_~~TI:~~::E_ P'ð3 r~ 95v I No of EtOyeeS n________________,____·____·_·______ BUsinessïC Number-'--~ -.- .....--,--..--..--~-.----.-..-._~- FACILITY NAME (\f) d '<.8+- b (Ë;$? <0,,"'''------1'':- --.K,¡L-RJ- ---- __..22QD__,¡¿Ùt~l~.____,___ ~~ 15-021- Section 1: Business Plan and Inventory Program LJ Routine )( Combined L] Joint Agency L] Multi-Agency L] Complaint L] Re-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS ~ L] ApPROPRIATE PERMIT ON HAND _____._.__~____________~.__.________.______.__. ~___~____.________..._n____ _ .._...._...._ +_.___,_____. .__.___..._____.__+_.. --..-.....----- -.---., -. ..-.-.-. -.-..--...-..- -- -~--.--...--_..- .---- PiÍ. L] BUSINESS PLAN CONTACT INFORMATION ACCURATE _______.____~~_~_______ _____,_______._,__ __ ____....__, ...__.__._______ . _._. ,_ _..._,,__.__.___ _. . ... ._..___...._.___.. ._.._n.. _ ~ c::J ... VISIBLE ADDRESS --------.-----.---..-.-----.--------..----.-+------+- ._ .._..___....____,_.._...__ m ____ ____..___ ______..__.,._._.__.__._....___...__..,_ ~ L] CORRECT OCCUPANCY -----_._.._----~-----_.._--------------_._.._-_._---_._-~-- ..~_____...,_______h._ n_'___~"_" ___uh _~______..__...___._.____ .._ _ __ .,_,_. ._____~_ .------.-.-- ..----- .- _~.~__ VERI~~~~~ON OF INVENT~~~_MATE~~~_...____ _____ ØÍ L] VERIFICATION OF QUANTITIES n_____·__·_ _....___._____ __. __~_____,_ .__ .._.__...__,,__. __ ___,_____.___________. ...___ n_______·_ ._,_ ------.--.-.----.------------------.------ ..--.-------...-- _ ___.______ ______, _ __n __ .._____'_.n. _ ________ ..._..m_.____..__ ____ ___ __. _............_~ .-_ _~__~_,__~~_~~~ATIO~ OF _~OC~~I~~___.__,_____________,__. ' ____._________________.__.___ .__._u.____,__._____....__ __.__..__. ~ LJ PROPER SEGREGATION OF MATERIAL ;:r'-'- - .--------..-,-- .....__.,_._____h...·_....___.. _,..._uo,_._,..........· ..,-..-..-. --.. .. _..____,___...,.._..uo__u,__.. -....-,... ~ L] VERIFICATION OF MSDS AVAILABllITYE -------------- ---~~-------- ----- -- -- -- - - _____ ____ ___ ___~ ____ _____~_ ___ ___ - - __ __ __ _._.__..._'.._n._____ _..__.__.________~. L] VERIFICATION OF H~AT TRAINING ,......----------..---,----...-.-.,-.- ---- ..--..... -- -n-'r'----'--'-' -----.-..-..-..--... - ...____h__._ -..--............. .-...- ~ L] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ~ -~_. EM~RGENC~ PR;CED~;~--~DE~~~TE....--'·----..----'-i-..---'-----..----------- --,.., --,. ___'u,__,___.._____' __..___ __ ____ _ _ _____ _ _ __..___ __.. _______ ___u _u -..--4-....-.----.-..--..- _..__u_......_.._,.____m _ ....,__ -.. .. ..n ~- i::~:;~:~~:OÆRLY lABELED ---.- u n l~-Wh;re-1)('^~ r~~ - ~~-:::~:=::E~:~TE~~N~~~· .~--~ ==tt~~~-Ç.'~~~~~-'~~ . . 1 ANY HAZARDOUS WASTE ON SITE?: ~ YES c:J No EXPlA'N{)¡&~.J¡~ 0W- Ðf '^J,-<A(J t-JþSfu QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ß' .~ ~ ./ ð'M"""" ~---...¡g¡,¡¡õ:u--n- )(-"'-·.,_u ·s.. ""","..,.",,,,"-' ~ .. Environmental Services Yellow .. Slation Copy Pink· Business Copy - - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES IJNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester A ve.~ 3rd Floor~ Bakersfield~ CA 9330 I FACILlTYNAMEJ'Y}sJ~t b-)<p(es~ INSPECTION DATE 8/-¿ 7/04- Section 2: Underground Storage Tank~ Program o Routine ~ Combined Type of Tank ' ?vU Type of Monitoring o Joint Agency F Cl::> ATe;. o Multi-Agency Number of Tanks Type of Piping o Complaint 7:> l-eI ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile )( Proper owner/operator data on tile K Pennit fees current ~ , Certification of Financial Responsibility )( Monitoring record adequate and current ~ Maintenance records adequate and current X' Failure to correct prior UST violations 'I. Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA nON y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO qJ- .¡. Business Site Responsible Party White - Fnv. Svcs. Pillk - RlIsiness Cory ... ~.- - . p1010255.jpg (1280x960x24b jpeg) Q\~l~ VùN I ?Ù,,~, J~L' ç tiS'OO Wlblc Dl. [fr)@OfR ORIGINAL 'i e e 'OOR ORJGI~~l ., - e e p1010258.jpg (1280x960x24b jpeg) POOR OR'Ggb~Mr .' ...,.~ . e e p1010257.jpg (1280x960x24b jpeg) í?OOR ORIGI~ä~ .; <.", e e I rOOR ORIGI~~~· ¿" .(\.' .j, e e p1 01 0256.jpg (1280x960x24b jpeg) P~OR O'~G~~~þ,,\r · _..."!'"// ~/ ',;~ " 11:29 eCGRS INC e970 493 7986 P.01/02 Facsimile Transmission P.O. Box 1489 Ft. Collins, CO 80522 (970) 493~7780 - Phone (970) 493-7986 - Fax info@cgrs.com· Email www.cgrs.com ~ Web Date: June 17, 2004 Number of pas.-a: 2 (including cover) To: Mr. Steve Underwood City of Bakersfield Prevention Services (Fire 900 Truxtun Avenue Suite 210 Bakersfield. CA 93301 Fax Number: 661-852-2171 Phone Number: 661-326-3979 Fro....: Kelly CroUeau SLlbJeot: ELD Test Results Market Express 2500 Wible Road Bakersfield CA Message Fallowing are the ELD test results for the Market Express in Bakersfield. Please don't hesitate to call If you need additional information or have questions. Have a great daylll NOTICE;; me infotmltJon contained in this facsimile document is oonfidentiøl and Intefldød only for the IJse of VIe pal'SOll(s) or entity named abCl/Ø. " the mader oIlh/s message is not the intended recipient. you am hereby notified that aflY cfjll:JðmillfJtion, distribution or copying of this oommunlcaUon 1$ strfctJy prohlÞiled. If you hal/Ø TSC8ivød this fax in emY, or If thefÐ 818 problema 01 any kind with the receipt aI thkIlllx, p/eMe notify us IMMEDIA TEL Y at the above phone num"'r. FMP/OGRS 5.OICOrrespondencel -,- - ''7 . ... JUN-17-2004 11:29 eCGRS INC 970 493 7986 P.Ø2/02 e Praxair Services, Inc.. ~hn¡CaI: Sofutibns for'tI!Ie Industriðt\Noild. tiC/SO.O (;'¡1 :LillT~~:~~"" eonœun CERTIFICATION OF ELDsM TRACER TIGHT® TEST RESULTS Date: 04128/04 Job # 37317NC Prepaired For: CGRS, INC. 5~,,~ {,t.f,fN Po ~ 14.48' ~("T' Cou("~J C.ð April 25-28, 2004 Site Info: Market Express 2500 Wible Road Bakersfield, CA Test Time Period SYSTEM TRACER STATUS Dieeel Tal'1k A PASS 57 Tank A PASS 91 Tank A PASS Piping 87 Pñmary W . PASS Piping 91 Primary W PASS Piping Vapor Recovery Pnmary W PASS PiPing Vent Pñmary W PASS Piping Diesel ~ PrlmarylSecondárv WIR PASS PiDÎI'IQ DieQel - Vent - Primary W PASS Dispenser Sun~pa W PASS Praxalr Services Ine. certifies that the tank and product distribution lines listed In the above table have been tested by means of Enhanced Tracer Tlghte. According to EPA standard test procedures for evaluating leak detectIon methods, the Enhanced Tracer Tlght@ method is capable of detøoting leaks of ~.OO5gallons per hour with a Probability of Detection (PO) of 0.95 and Prob.blllty of false alarm of <0.06 Tester: Bob Caummlsar CA WOo . 03..1665 Signature: Me? ....-- ---- Date: 4-28.04 , I declare under penalty of perjury that I am a licensed tank tester in the State of California and that the Information contained in this report Is true and correct to the best of my knowledge. The following criteria are used for the clas&iflcatlon of leakage baSéd on the presence or ab$enoe of tracer. PASS Criteria: No Tracer Detected FAIL Criteria: Tracer Detected TOTAL P.02 e \.t - ENVIRONMENTAL· CONSTRUCTION· COMPLIANCE \ June 14,2004 Mr. Steve Underwood City of Bakersfield Prevention Services (Fire 900 Truxtun Avenue Suite 210 Bakersfield, CA 93301 Subject: ELD Test Results Market Express 2500 Wible Road Bakersfield CA Dear Mr. Underwood: Following are the ELD test results and horizontal probe site map for the Market Express III Bakersfield. Please don't hesitate to call if you need additional information or have questions. Have a great day! ! ! -~ FMP/CGRS 3.0/Correspondence/ 27 ,- , P.O. BOX 1489 · FORT COLLINS, COLORADO 80522 · PHONE: 970-493-7780 . FAX: 970-493-7986 ":...,l¡"~" :~ e e Praxair Services, IrlC~ Technical Solutions for the Industrial World. UCf,SC(J r"::: n U TI'ßf."$~""~ßf<':ørnr-~h C:Q~røt:~~ ~ CERTIFICATION OF ELCsM TRACER TIGHT® TEST RESULTS Date: 04/28/04 Job # 37317NC Prepaired For: CGRS, INC. ðR.JAN &- ~EEN Po (30)( ILl 8<t r=O~T C-oU.'I\5J c.ð Site Info: Market Express 2500 Wible Road Bakersfield, CA Test Time Period SYSTEM April 25a28, 2004 Diesel Tank A PASS 87 Tank A PASS 91 Tank A PASS Piping 87 Primary W PASS Piping 91 Primary W PASS Piping Vapor Recovery Primary W PASS Piping Vent Primary' W PASS Piping Diesel - Primary/Secondary W/R PASS Piping Diesel - Vent - Primary W PASS Dispenser Sumps W PASS TRACER STATUS Praxair Services Inc. certifies that the tank and product distribution lines listed in the above table have been tested by means of Enhanced Tracer Tight®. According to EPA standard test procedures for evaluating leak detection methods, the Enhanced Tracer Tight® method is capable of detecting leaks of ~0.005gallons per hour with a Probability of Detection (PD) of 0.95 and Probability of false alarm of <0.05 Tester: Bob Caummisar CA Lic. # 03-1665 Signature: /Af~ ----- - Date: 4-28'()4 , ( I declare under penalty of perjury that I am a licensed tank tester in the State of California and that the information contained in this report is true and correct to the best of my knowledge. The following criteria are used for the classification of leakage based on the presence or absence of tracer. PASS Criteria: No Tracer Detected FAIL Criteria: Tracer Detected , r' n. ~ 1 . ' f ,. ¡ ; , : '.!, .'. . i. J...., ' '1 ¡. r'''~~~, f :-r:'~1'~ 1-: ~' '. ~: .k_f,·. . ¡. :L 'W,{~lì ~<v: R?-J.' ~~ -~. ) ... '-~t·'~'~~:~~~~"L,ll~:".l.L:;.c~~~=-~ I,: - ~,' ". . f-'- '. ì:.. ,.. - . :', " . . 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LEGEND -;)~oO wr~<£ Jf.oI"9J() 6 Anode 0 -w- Water line ¿/TA/t.æ$~ ~ 9$70'/ ê Vapor Return 0 [Zf2 Automatic Tank Gauge -5- Sewer F V Vent Riser I I Fill Riser 0 Electrical Site No. . -E- 'Íinch = ..1.{L ft. e§) Sub Pump /(J Monitoring Well -T- Telephone CGRS MW Prepared by: lL? · C["fYOF BAK.SF[ELD OFFICE OF ENVIRONì\'IENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD.-\T JOB SITE FJ,ilìty Address W' Ið \c.... City. Zip ~..A Phone '10. ~3\" q ç(,¡ ( Own.:r Address City. Zip Pennit ~ I,'ISTRL:CTIONS: Please call for an insf><:'tor only when each group of inspections with the same number are ready. They will run in consecutive order beginning with numb.:r I. DO NOT cover work tor any numbered group until all items in that group are signed otTby the Permiuing Authority. Following these: instructions will reduce [he: number or xquired inspection visits and theretore prevent assessment of additional fees. TANKS AND BACKFILL Backlill ofTank(s) INSPECTION DATE INSPECTOR Spark Test Certification or A- ( Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) / Product Line Leak Detector(s) h-I()'I'J (I lsJiU LC:3k Detector(s) for Annual Space-D.W. Tank(s) 4- 9 -() c.f ...jl¡ 'v Monitoring Well(s)/Sump(s) - H20 Test Le:ak Detection Device(s) for Vadose/Groundwater /I Spill Prevention Boxes C; -I (J- dI (( ~O .......v CONTRACTORJC e~~tt~tl~£.S 'ONTACT_ßoID d~'\d<.. twCO/ Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements ( Authorization tor Fuel Drop FINAL Type,g- ?'ÇQ LICENSE # <Aa. ~{" 7r{::J ì 33" PHONE # (tJfo 3 . ì() ç ¿ APR 15 2004 8:31 BKSFLD FIRE PREVENTION e (661)852-2172 p. 1 - I ~ , I .'5,.. .~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 ß1-Ò{~7 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTING/TRACER TESTING FACILITY ADDRESS PERMIT TO OPERATE # OPERATORS NAME OWNERS NAME NUMBER OF TANKS TO BE TESTED q?ßoZ TANK # , 2.. VOLUME 15'1 CW f(p 1\ O.M- \ 61 OLD ea~ loÞ--- CONTENTS tAL -lfewHUJtt{ cüesæ TANK TESTING COMPANY CGfS'~'A~ MAILING ADDRESS-=rO f!J.}{.. I~t 1T[{)Ct~ ct ~S O/)c¿o~ NAME & PHONE NUMBER OF CONTACT PERSON TESTMETHOD~ Eh~~Llk.J NAME OF TES1ER OR SPECIAL INSPECTÇJR.::J) ~~ CERTIF1CATION# QA1ávU<. ~* -I . DAT];E&:rIME TESTIS TO BE CONDUCTED - r' ·ltt ro~btCA-f,tiw {~ n~^ . W~~ . J tI~ . 4i16lþ4- UW~ 916[S APPROVED BY . DATE OF APPUCANT cAlY£Y-\o I (J1vu.ptt~ btv I @ II ;7 e - .. ,:;; \ CGRS. INC, 3174 City of Bakersfield Check Number: 31749 Check Date: Apr 15, 2004 Check Amount: $198.00 Item to be Paid - Description Discount Taken Amount Paid permi t #6623 198.00 r ..... ....... .. . ;_":11<11",''''1.1'''''''''''' ..oJ-il"; ",.'1'.": I "",II~"" :1""'" '.'i=-:HoJ":.'.'..,:. '11":('JoJ:III. ,,,.. "" :1'1,,:-.4"" :1",-,.":1-4 _41.1=- ~':(("'J 'loJ_ ::11;*-4""'1 :i'.' ~ "., ,II: I~--~ ;~ COLORADO GROUNDWAltR REsouRCE SERlilCES 970/493·7780 PO Box 1489 Fort Collins, CO 80522 (i) First National Bank 205 West Oak Street Fort Collins. CO 80521 (970) 482-4861 317 82·26/1070 DATE AMOUNT Apr 15, 2004 *********$198, Memo: PAY One Hundred Ninety-Eight and 00/100 Dollars TO THE ORDER I OF I . I ~R>._.___ I \ City of Bakersfield 1715 Chester Avenue Bakersfield, CA __L~ ) M' ___ ._ ._.: 1 ~.. .j.:";1 ¡'I" ~ ~ II'; .; ~ I r ., i~I~: I""fi~" ~ !-41.l·'" i~ I :_I.j'I..:..]:II:J ,I "-4-1:1" ,I ~,I" '111"'~"'1'" .1!-""','oJ:J "., :!-....',./ j I:.: I "., _;_m._~'L4liI!:l!ii'" "I 0 :l ~ 7 ~ g "I I: ~ 0 ? 000 2 b 2 I: 0 ~ OO:ì 5 B B ? "I STATE OF CALIFORNIA Qt ntr dI _6···· tIS 1£......, nø' 11",', _ . . .."-- . ~ . . . - - - .. , ... o . ,a ...' t ... ·.,';,¡I ·tœ;, ",e ,'iiGlf.' SIGNATURE OF LICENSEE 13L·24 (REV.7·01) ~ OSP0159446 Witness my hand and seal this day, October 10, 2003 ~/~. - -~::en P. Sands Re~!strar of Contractors Issued January 28, :2002 This license is. the property of the Registrar of Contractors, is not transferrable, and shall be returned to the Registrar upon demand when suspended, revoked, or invalidated for any reason, It becomes void if nat renewed. .... 803616 Liçense Number AUDIT HØ: 298365 .,"'f_ ." - . fe, e ~~-' e I ~ #"f; ~ . STATE OF CAL~NlA WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK TESTER LICENSE License # 02-1630 EXPIRES: 2128/05 D. Christian Hem1in8 3467 Sam HousIml Circle Fort Collies. CO 80526 , ~~d l'~UA...,:' ~.~~OTIL,SWRCB 1" . d 888L-ESv-OLS [ccl S~~:J I --I I I I dSE:LO EO SG das ~~.~- lC e·' . ,..POLiCyHotÖER C~PY " . :' ";'-.' . ,_ ~,._', .',~ _. ,"; '_:' :"+':.- .,~>~.:.'.;,rs·,~~'\~\ ':;~~.:,."~ "-'~'~:"<:' : P.O. BOX ?07, SAN F.RANCISCO,CA:,94J42~.O&.Q7~· . " ..... .........., ", .:: :, '.<".~~.:~:.~..'< ~,,:,~?'r,,::~~;>~'·-,F ;'.' CERTI~léATE'OF, WORKERS', 'COMPENSATIO~.Î~IÑSuRAÑœ~ ," J', :;;~, '" ?:~'~_",:GR~~~:';'::~\ :~~':~;ir¿~k,~::~'~, ,': \" .' ,',> ¿ . '.> ~'eoLiév': NUM8ER:.<'(;~::~:'17270e6-:2004 ~'.' ;;:CÉRTIfIÇ,ê..'r~jQ¡':.: ,:;.:::.:!¡:~::'1 ". ',.,' .::. :.'~' ':,', ' 'carrlFCÄTs,-EXPIRES:~',01-C)1--200s: .J.> .. ' .....:.. . '~.".-.' , :':';-;"/;-::"S:';~'::;"/""". " ,:V:,',~.· ·9-1~~1'~20ò410;1;-ó1:~~~~.:~··.·~{;.. ~F ~ . , .\.~:~".:.ç::" ::~-:~.s ~:_"~r"-:~': '~';<~:~"~:-~~:~"';" -~: .:.~~~;<;~'.~~~~:/:i) ~:.~~ CÒNTRACTORSSTATE l fCENS"E.BÖARDL;",.,'.. '\ "LlCJ!NSE)liUMBÈRf':'LlC.';.lI8036.18 ~~~~~~~~~;g~~:l::H::"~NJ;~\,~;x~:~:,~!,~:;, ;i~';:::;~'2~~:~~;~~~~[~fte; This is tocei1:ify that we have issued.a valicilWork~rs' .Co~¡'SatìOfl:irls.ur!Jnce';poIiC\1'~¡n~a'fo.f,m~'iâPp(.oy~d .by",the- California Insurance Commissioner' to the' em¡::iToyer. namèd·.6efövlí"~dÖr~tHe'.þolícy·periócl ïi)djc~ct.«:>'\'\"'''·':' .:" "'~ , " '. . .:",:.' ,': </ ~'(:;:~~.~;{;..~\~; ';::,;;:;i;¡¡ _)~.,,<:::t:.i;·~~;;',ì~:<~f;:' '..:;",;<.'1' ,': This policy is not subject to canceUatiol1bythe<Funä,éxcept· upon 1cÒ~YS:: adlÍ~Cè. wiìtten', notièe to the' employe..' :: ~:;:;;:::;~:;~,:,~:"~~I~;:::~d1j~~t*;:fl~~i,~f~:~~2tt;o,: by' the. pplicies Ii~te,d her~h N~ty.vithst~!~g any.requir.f;!ÍJl~t.:térñ1;,ò~ ',éon'd¡tio.~ ,9f ,ar)Y .~Q!"t,réJéfQr':other dqcurn.~Dt~: wIth resPect to whIch thIs" certIfIcate oíflnsuran.ce'tnay be' Issued' or' may: pertáln, ,·the'c.lns.urance .affordecLby. the :, . policies d~scribeCJ herein is subject to -¡¡'(the 1$rlTis:ëX:c~s¡çms',andconditióris' of -sueh policies:" : . . . . . ~.."'.. .. ." .'"'c··,}:~,:·;:A~0;::, &i:: · < · AUTHORIZED ";,,,~~.mATIVE/"·~S~'g,f;':;7·::·: ,', . . HI" - STATE COMPIiNSATIO,.. INS URA NCE FUND ,.. " ,'" .. . "'0' - . .,.~... '..-,' '",' . ^. -q " ,} ,. ISSUE DATE: 01-01"'2004 'f; . . ¡ :';.; , ,'~' . ..; '" ~~ >, ,.',,: ,,::, ~ l~ .,,' -, " , '. , , ". . >.::' ',:. l' . u''''''' .,. '._.> ,/,,:< ,I'~/';:'v~;/-;;~-" _',~>"~.H~l".~··._;·"'. ._' :'--;'_':"~;''':_''-~:>',''...~:;~;.,,> .,'. . INCLUDING DEFENSE :cbS't$~ ~$1.ÒOO.;dQ.o:ÓO~ÉR;~OcÇu~RENcE " . . '.. ·;¡~;;:,~~¥~f~r,:;\'Z::;~ç;Jj< . .' .' '.' EMPLOYER'S LIABILITY ,L.IMIT CG~SiNt, PO BOX 1489 FORT COLLINS " ~:. . ,~ ~, . .~ ' . ., .,. I '~, '_. '_- ;. . , ,~ '~7 ' " . , ." '-,' .. ",', : " ,- ~. EMPLOYER .' " "...., . . ., ....~ ..;. , '" 'co ··..89522 .. -/ ' .'. 'j: " .. IREV.3-03)' """ . PRINTED: 12-17-2003 P0409 I..k¡\;.~·t.;'rj;,~m~~.¥~~"l:·~~~~~_ I r___:..Þ'" ,;;." ò, ...;. :; ,-~-,_" --:., " .~ ,-- '-.~.. '--~.",~.. '+"'''-~'''~. -.;...:.....:...,;-,- ...,w·~'_....·:_·,--';"'.i;;':_¥,':'';',·____:::;..g,->_....",~.~,-..",~~...k~..".:,.~~.~~.;..¡,; ,¡j.~~:~~~~;'~'~¡;;¿'''~':;'~~.-~_~o1¡_~ CERTIFICATE OF LIABILITY INSURANCI;;R~:~~ DA~E~~~~~)4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..l.º-- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOI:.ÒE'R~~~~?"tO'TH~ LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LlA13ILÍrýÒF ANÝ ¡(ìND UPOrUHE INSURER, ITS AGENTS OR REPRESENTATIVES, "-·"L·!;,.S,. ;' ) AUTHORIZED REPRESENTATIVE ACORD,. PRODUCER ,:, iV \nden/Bartels & Noe Agency FC ·,114 Oakridge' Drive, Un±t. A Fort Collins CO 80525 Phone: 970-229-9304 Fax: 970-229-1398 INSURERS AFFORDING COVERAGE INSURED INSURER A: INSURER B INSURER C: INSURER D: INSURER E: Gulf Insurance Grou Dee South of Colorado Pinnacol Assurance St. Paul Fire & Marine C G R Si Inc. PO Box 489 Ft. Collins CO 80522 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~f~ TYPE OF INSURANCE POLICY NUMBER b~flfMtbõmYE P~k+~~~~rÓ~J}~N LIMITS A GENERAL LIABILITY - X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE IJ.{J OCCUR ~ POLLUTION/PROF 03/01/06 EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG Emp Ben. 03/01/03 GU2840262 - - - - --=-- GEN'L AGGREGATE LIMIT APPLIES PER: -::::I n PRO- n X I POLICY JECT LOC AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT (Ea accident) B DMA000001669 03/16/04 03/16/05 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON·OWNED AUTOS - - ~ X - \~ I BODIL Y INJURY (Per person) $500 DED COMP $500 DED COLL - ,- BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) C GARAGE LIABILITY R ANY AUTO EXCESS LIABILITY tJ OCCUR D CLAIMS MADE R DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 01/01/05 I TORY LlMrrS I X IOJ~- EL. EACH ACCIDENT EL. DISEASE, EA EMPLOYEE E.L. DISEASE, POLICY LIMIT AUTO ONLY, EA ACCIDENT $ OTHER THAN AUTO ONLY EA ACC $ AGG $ EACH OCCURRENCE AGGREGATE 01/01/04 4029480 OTHER I D Equipment Floater I BP01351087 03/16/04 03/16/05 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Rented/ Leased CERTIFICA TE HOLDER I I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLA TION ) I TOWHOMI TO WHOM IT MAY CONCERN I ACORD 25-5 (7/97) Michael D. Pierce ~:~::<~~ " "~··_-~--~~_n. ©ACORD CORPORATION 1988 $1,000,000 $ 100,000 $10,000 $1,000,000 $2,000,000 $2,000,000 1,000,000 $ 1000000 $ - $ $1,000 DED $ $ $ $ $ $ 1000000 $ 1000000 $ 1000000 $200,000 $500 Ded . e . i' -- \ Q\\\t. ~ t+ \'\\~.(\L c..t ~1-~ ~ lS 1 8 çoO UJ,6\l Qtt f@OR OR'GB~~ä ¡. - e '@@fÆ OR'GBfM~l1o ~ e - p1010230.jpg (1280x960x24b jpeg) . '@OR OR~G~~&l . I -~ ... e e p1010229.jpg (1280x960x24b jpeg) ~@@rÆOR~~~~~~ ,- e e p1010228,jpg (1280x960x24b jpeg) '@@R ORIG~~ßM. .-. t~:~_·~ ~ -;\~ _.!LJU P f.-º "". All'. , ....... ......... . ~_. -- ..-' ...,- CITY OF BAKERSFIE~ OFaE OF ENVIRONMENTAL S.VICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 ce UNDERGROUND STORAGE TANKS CLOSURE CERTIFICATION Page _ of _ ._., . .._ . _._'._ - ..____.. _, _.. ______~__ _.__ ... ._ - _..___.._ __,__,_ ____..____.___.. ____ .._____,__ _... _n' .._.._..___._ -----...,--.-. I. FACILITY IDENTIFICATION . _ ,.___. ._..... .._.____._.... _..,..__ _ __._..n.__+_________..._u__.____u__o_.....__.__n.._'__._ BUSINESS NAME (Same as FACILITY NAME or DBA· Doing Business As) PERMIT # ......- ----- - . ',_ _,.. _ß;\_o."d~:C.t.--G.~-rL..s-~ ; TANK OWNER NAME c,__,___AkLoLA 4l--L TANK OWNER ADDRESS ____.@.îCÐ--l.lli.~\L QJ. TANK OWNER CITY L-ßt&l t .1...Ç\d A ___~13 R... 0.3 Lt{ U_,h....C_..L__,_,.._~, .-. -+..------.-..---.-- -'--'- 740 .-----..---.---- -~ .-.--....--- --------.---.-- -. .'. -.----.--- 741 -------------- -- ..--.--------.-.,--------- 742 STATE 743 ZIP CODE 744 ! lv1- r330lf II. TANK CLOSURE INFORMATION Tank ID # (Attach additional copies of this page fo, more than three tanks.) Concentration of Flammable Vapor Top Center i Bottom : 746a 746b : 746c , ! Concentration of Oxygen Top Center Bottom 745 747a 747b 747c TANK INTERIOR ATMOSPHERE READINGS 748 3.ß 749a 1 I i ¡ 752a ¡ .j(~;·1J~~~~1~ç~J~g~j¡~;~~~:t\;\'. 4.0 749b 3. .2- 750a ~.o 750b 5.3 750c 2 \ J. '<.. P.'1' UI\l(un!.t! 751 752b 752c 753a 753b 753c. 3 i' i On examination of the tank, I certify the tank is visually free from product, sludge, scale (thin, flaky residual of tank contents), rinseate and debris. I further certify that t / information provided herein is true and accurate to the best of my knowledge, SIGNA TU . OF CER FI STATUS OR AFFILIATION OF CERTIFYING PERSON I Certifier is a representative of the CUPA, authorized agency, or LlA: 760 V' Yes 0 No Name of CUPA, authorized agency, or LlA: NAME OF CERTIFIER (Print) SttVL cJ£1.1l ífMDo! TITLE OF CERTIFIER 754 761 755 City of Bakersfield Fire Department - Office of Environmental Services If certifier is other than CUPA 1 LIA check appropriate box below: o a. Certified Industrial Hygienist (CIH) o b. Certified Safety Professional (CSP) o c, Certified Marine Chemist (CMC) Bakersfield, CA 93301 757 I 0 d, Registered Environmental Health Specialist (REHS) ¡ PHONE IDe. Professional Engineer (PE) ! (661) 326-3979 '" I 0 f. Class II Registered Environmental Assessor ¡-DATE 759 ¡ CERTIFICATION TIME 0 g. Contractors' State License Board licensed contractor (with L--- .31..~t.() t../ I 10'. () 3. A VIA... hazardous substance removal certification) I TANK PREVIOUSLY HELD FLAMMABLE OR COMBUSTIBLE MATERIALS 'Ø Yes 0 No (!' .res. "!~_~~~ interior atmosphere shall be re-checked with a combustible gas indicator prior to work being. conducted on the tank,) ADDRESS 762 l' 1715 Chester Ave. 756 CITY 763 764 CERTIFIER'S TANK MANAGEMENT INSTRUCTIONS FOR SCRAP DEALER, DISPOS^~ , ;,CILlTY, ETC: I I I 1__.___- ,..__... ,__ .,_.._.__,..__'__.____' ........_,_... _____,_______._,_______ r A copy of this certificate shall accompany the tank to the recycling 1 disposal facility and be provided to the CUPA. If there is no CUPA, I copies shall be submitted to the LIA and authorized agency: owner 1 operator of the tank system; removal contractor; and the recycling 1 disposal facility. --...--------- ---.-------.-------.- UPCF (7/99) S :\CUP AFORMS\dtsc1249.doc ," BADRSFIELD FIRE DDAR'l'IIIH'l' II ENVIRONDIfl'AL SDVIa_ ,~ 171~ Che.ter Ave., - Bakersfield, CA 93301 (80~) 326-3979 TANK RBIIOVAL INSPZC'l'ION PORII FACILI'l'Y~ Ev;prr 45 OWN!R~U7 COIft'RAC'1'OR-.-J~(' (':;.l^.\..rr:pta ",It, COlfl'AC'l' PERSON LABORATORY t OF SAMPLES q TEST ME'l'HODOLOGY Tt/IH rTPAO ~lih\8(; . PRELIMANARY ASSESSMENT CO. CONTACT PERSON CO2 RECIEP'l'_~f{twl( () LEL' ßù.lJt~ .... - I - --, '''1- Y. ~ I L-_ _ --I U "- 171(;'( .- -- --I ! '1 ,. 1- I - - - ~ - "~, O(~d r----- 1"1(: ~ "!-' ....... - - - __I I) l Pltse / CONDITION OF TANKS htll'Jfr,l INl,. HAil tt( O2' U/f" It' 1It{ 1-1 j ~ .1 z: Q .1'\ ~ ~ ..I.. CONDITION OF PIPING ~I~qk (1JtLO ç\~tr~(~~j CONDITION OF, SOIL í/1.~\.. ~ '^/'\U\l~'t" ,û\l iJ,1 Ilwhr l'lbl"\r I~Jl~.ír1.jØlE COMMENTS 'í'j"~ "'-l \-"-:1,'" !!.~. ¡/...f ,.¡. J..+ H +1.,..., '\ ~'Y ~ ø., "If "'I\J~ ~~ _~; ,.\nlllt ~___ ~ WfJ l{ DATE b \-t llt.. ÛJJc N IICJ&£ IHlPICTORI ... J:- ~a,hl() '-" IlGMnIII I: - -:--, . .\-,-.,. I Permit No. ß ¡: -0"37~ CITY OF BAKER.ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 - PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE-tANK ADDRESS 2.f"ilL' W, hi.I'. Á'd ZIP CODE q/.:¡", 4/ APN ~ /? ~ jß CROSS STREET' UlI L $IOV l1... PHONE NO. ~ 31 þ qç~ CITY ~jiß'l /)..$: e ¡¡. . ZIP.ftfJ 'I CONTRACTOR INFORMATION COMPANY;;~ t?~fí/tj.fj~J~ 5. . PHONENO·¿;U-7..o...r Z LICENSENO..q~79'2~-:-li~.z ADDRESS 11 - ( ;, ,.J'í CITY ß/thðJ'Mt ti1-. ZIP4..?3/3 INSURANCE CARRIER .sIJtTe- H/Ud WORKMENSCO NO. /f/3 ~~L>~J3 9 '-&'~ PRELIMINARY ~ESSMENT INFORMATION COMPANY c~#J#4¿. 5't::Ji¡(11 ~IV/. PHONENO.32.5"--ya¿'2 LICENSE NO. çr¡,) ~;£¿ ADDRESS /~¿7.o Fj'TÞ~ blJ _1.1;. 132- CITY ð)1rt..~ ~J'I.. ZIP~3~oq INSURANCE CARRIER 0;(.1 /-, J. é!-. WORKMENS C NO. r;µ A/.. c... TANK CLEANING INFORMATION (.,pI. e.. ~. e.~ 1I1'l.-€...$ ~ CII J.. ppt?i!.~B ¿,¡¿.Z COMPANY M EIV·kfl1~l:·~./ . PHONE NO. -i ~~'Þ7í':>..5-:2.. ADDRESS # I:J.. AN .r/ CITY Æj¡Ç~'p~ ~A . ZIP 1'3..?/~ WASTE TRANSPORTER IDENTIFICATION NUMBER De;l1tf?Ahfh>! )(~Il Do¿>,¡(,) 3Z..:¡ 1 (e,.,. 93 J..r¿¡.3J~~ G-.rfJ. NAME OF RINSATE DISPOSAL FACILITY e. e/l/. :>' 0,(,./ " ADDRESS j. 1/ CITY é.P ßf.f Ti-? ¡u FACILITY IDENTIFICATION NUMBER (' i4- r () fI(/p 133.5":2 PHONE NO. 393 -¿J7"9r LICENSE NO. f CITY f//1keûÞ; ~ L b ZIP Cf.¡;¡-¿?8' 'i? I.. Þe. JU $"17J. r<:.. yJf ~r,q. t.. TANK INFORMATION TANK NO. J 2 3 AGE VOLUME 12.,bt?t? t~,C'PO J 2. t'J~¿:? , CHEMICAL STORED çl'1::5' if DATES STORED CHEMICAL PREVIOUSL Y STORED' 'I APPLlCATIQN.DA.:iiL ,;;~:~;:';i.,;,;·;:",·,· ',:L ·"¡:.',~tJ;;,;~¡~";', THE APPLICANT HAS RECEIVED, UNDERST ANDS, AND W ILL COMPLY WITH THE A IT ACHED CONDIT IONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULAT IONS. THIS F HAS BEEN COMP LETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE (3) ANDC RECT. /J /J/ / l () "i 8t7b JJJVd.£?KuJdJd ~ A' P~O~ED BY: APPLICANT NAME (PRINT) , APPLICANT SÍGNA T~;~i THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED .. Î I I I I @ e emit No. ß~- C 338 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK /,1 W TER TO í\CILlTY PROVIDED BY ¿ iM "'t!: I't DEPTH TO GROUND WATER UÞA Nf/¿,'tl /V' SOIL TYPE EXPECTED AT SITE or/! uti V NO. OF TANKS TO BE INSTALLED 3 ARE THEY FOR MOTOR FUEL ~¿,l Y~S NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE t/Þ!.f YES NO / TANK NO. I I SECTION FOR MOTOR FUEL VOLUME UNLEADED / oS. If)Pl7> . l./JV /.. . I r; "po 5('-/ r GyJ!> ðó'6~ I APPUCA nON DATE THE APPLICANT HAS RECEIVED, UNDERST ANDS, AND W ILL COMPLY WITH THE ATTACHED CONDIT IONS OF THIS PERMIT AND ANY OT HER STATE, LOCAL AND FEDERAL REGULATIONS. TANK NO. VOLUME REGULAR g'7 D~J: PREMIUM c¡ Þ¿-'¡' DIESEL AVIATION SECTION FOR NON MOTOR FUEL STORAGE TANKS CHEMICAL STORED (NO BRAND NAME) CAS NO. (IF KNOWN) CHEMICAL PREVIOUSLY STORED FOR OFFICIAL USE ONLY FACILITY NO, NO. OF TANKS FEES $ THIS E RM HAS BEEN COMP LETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRU ND~9JRPffCT, /1. iJ. _ I1_ ;. 1 n C1. ~ B(/j, JJ/lJdeA {'uOl!>d I~,~~ APPROVED BY: APPLICANT NAME (PRINT) APP~NT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED SENDER: COMPLETE THIS SECTION · Complete items 1, 2, and 3, Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Market Express 2500 Wible Road Bakersfield, CA 93304 ',,-- 2. Article Number (Transfer from service label) PS Form 3811, August 2001 , o Agent 1 o Addressee I C. Date of Delivery I DYes ONo I' 3. Service Type . ~ Certified Mail ) 0 Registered o Insured Mail o Express Mail o Return Receipt for Merchandise DC.O,D. 4, Restricted Delivery? (Extra Fee) 0 Yes 7003 2260 00047652 3195 U Domestic Return Receipt 102595-02.M.1549 UNITED STATES POSTAL SERVICE -~. .1 1/ 1 . Fir.s. t-Class M'.' ail... .J \ \;:. L 0 I//;:;r:'\ Postage¡ & fe~s Paid I c:; ~r.k>- -µSPS~).aD:[)iU1 I ~ PM ~~ ":y /P,~rQ1itI'!0"G,-10~jn :-/. /, (...._~,/!~_ .j' ">\("~' '-','" , :,-:' ,;'~,~rr í1¡,,1 "'<- ~ '\ .:' ,-I. ¿ 16 D:::~ ..è" I Y/ ,;.'X.....:...--->,:n'p.:r;,,· '- "~'~/I · Sender: Please print yo rJla.w-!N:-..adoress, and ZI€t4 ~L!P)S bJ?~, ~)OS' :iJi S~~n'i:¡:el -~ I Bakersfield Fire Dep,artment I Prevention ServIces I 1715 Chester Avenue. Suite 300 I Bakersfield, CA 93301 UNITED STATES POSTAL SERVICE I I I I ,/;7"\ First-Class Mail 7" ,J: ";bS',)S9J':&F~~~;d ; I ~ Permit No G-10"" I ~- ~ / , "''¡ ìJ1 -. r J.U C.L v~ I, /' .... ~ - , 1 ,_' > J ) . Sender: Please print yo~~ess, and ZI~.i4 wr.thi~ tÝÐJt·eJ:;s 'J~ ::u·"Îii.: 1 1 I I 1 1/ I I I I Bakersfield Fìre Department Preventìon S~rvices 1715 Chester Avenue, Suite 300 Bakersfìeld. CA 93301 SENDER: COMPLETE THIS SECTION I . Complete items 1, 2, and 3. Also complete I item 4 if Restricted Delivery is desired. I. Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: MR ABDUL AZIZ MARKET EXPRESS 2500 WffiLE ROAD BAKERSFIELD CA 93304 '2. Article Number (Transfer from service label) I PS Form 3811. August 2001 . . . . . A. Signature xB~ B. Received by ( Printed Name) ß It-' r¡ D. Is delivery address different from Item 1'7 . D Yes If YES, enter delivery address below: 0 No "";,.,.",,, -~. 3. SelVlce Type 'II( Certified Mall 0 Express Mall o Registered 0 Return ReceIpt for MerchandIse o Insured Mall 0 C.O.D. . 4. Restricted Delivery? 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Renewal of Valid Authority to ConstTuct. [ ] PERMIT TO OPERATE (PTO) - Existing Emission Unit Now Requiring a Permit to Operate. 2. MAILING ADDRESS: 2 6- L\ J STREETIPO. BOX: . C> ~ ,.... (1 CITY ¡g l1)1e &-A ~ iJ) ) ST A TE t.P. ¡ti. ~;~[g~~E: 9.1.$,c> c¡ , 3, LOCATION WliERE THE EQLJIPME. NT WILL BE OPERATED:. Ût ? STREET:, 2.6 P P. ¡A.I i hÁ e- r:?d. CITY ¡gflF L-1J'l t!j::/ Zs;:f;'IP tf /4 SECTION -- TOWNSHIP RANGE WITHIN 1,000 FT OF A SCHOOL? [ ] YES C><J NO SI.e. CODE(S) OF FAC[LlTY ([f known): 4. GENERAL NATURE OF BUSINESS: ml 5. TITLE V PERMIT HOLDERS ONLY: Do you request a COC (EP A Review) prior to receiving your A TC? 6, DESCRrPTION OF EQUIPMENT OR MODIFICATION FOR WHICH APPLICATION IS MADE (include Permit #"s ¡fknown, and use additional sheets ¡fnecessary) '. '..¡"'J u '"u .p¡~ ·1ít~k~ ¡4 ytl/ /£Ic, )t1Þd LlI G~Hd.e- r~~1.1 jI) (., s-ysn/n WI /n ,., ¿,,, '/ ~ ¡g . /./9-¡t.I~¿ /IIevJ r;, Jßnæ('.p Ð/šjJ-t'weÆ.f (3) w/íh jJ),l1s-e.- ,'[:C "Jtflt'1A . /l ' Sy..1' ~.)-Y! 7, HAVE YOU EVER APPLIED FOR AN A TC OR J><T YES [ ]NO PTO IN THE PAST? If yes, ATC/PTO#: 8. HAVE ALL NECESSARY LAND·USE AUTHORIZA nONS BEEN OBTAINED? L>4 YES [ ] NO (If "No" is·checked. please attach explanation,) 9. IS THIS APPLICATION SUBMITIED AS THE [ ] YES J>4NO RESULT OF EITHER A NOTICE OF VIOLATION If yes, NOV/NTC #: OR A NOTICE TO COMPLY? Optional Section 10. CHECK WHETHER YOU ARE A PARTICIPANT fN EITHER OF THESE VOLUNTARY PROGRAMS: "SPARE THE AIR" ]Yes [ ]No [ ]Send info "fNSPECT" ]Yes [ ]No [ ¡Send info IrA ~ '" ï\IR c~ If¡#, ~ DATE: TITLE OF APPLICANT: . rJ e. p~ PHONE#:(6"/) 2p3-SJ tJë¡ FAX #: «(,~/) ¿,.f:0 - r ¿;.~~z. E-MAIL: FOR APCD USE ONLY: DATE STAMP FILING FEE RECEIVED: $ CHECK #: DATE PAID: PROJECT #: FACILITY 10: Northern Regional Office * 4230 Kiernan Avenue, Suite 130 * Modesto, California 95356-9321 * (209) 557-6400 * FAX (209) 557-6475 Central Regional Office * 1990 East Gettysburg Avenue * Fresno, California 93726-0244 * (559) 230·5900 * FAX (559) 230-6061 Southern Regional Office * 2700 M Street, Suite 275 * Bakersfield, California 93301-2370 * (661) 326-6900 * FAX (661) 326-6985 Rev; ,Iú 2003 :10 .. ~ . San Joaquin Val. Unified Air Pollution Control_strict Suplllmental Application Form GASOLINE DISPENSING Location where the equipment will be operated: 25"P¿:> tv' CUn',m Plrmlt to Operate number (if applicable): to Construct .nd Permit to 0 t. form, rlrPJ" c!,4 , Instructions . . 1 I Complete a separate fonn for each tank and dIspensing system which has a different type of Phase I or Ph... II vapor recovery system with as much informatIon .. pOlSlble, 2 Attach a copy of the site plan showing underground fuel and vapor lines and location of dl.pen..r islanda. Note: Information on Vapor Recovery Executive Orders Is available online at: VNIW .arb.ca.aovlvaoor/vaDor .htm Gasoline Storage Tanks and Nozzles Quantity of Tanka Type of Tanks (CfWtçk One tol t.cI1 TenII) jJ ~ Underground 0 Aboveground· I ]14' Underground 0 Aboveground· D Underground D Aboveground- o Underground 0 Aboveground· Total Number of Gasoline DIspensers: Total Number of Gasoline Fueling PointS: TolIIl Numb,r of Gasoline Dlipenslng ,Nozzl..: Total Number of Vapor Reçovery Instruction Signs; I 2. Ii- Capacity In Gallons '(lndJcIl8 II SplI Tari/(} Type and Grade of Fuel PP.k ¡lAll,¿J dd fJA ¿J11 1./ AJiefJA i'''' LJC) LJ t ppP '1h11 e_ e- S I ';( .)/ fMlXimum numb., of V9hic166 which CiI! ". fu9lød at ona limo. nomt./Iy two vah~la$ DfJI dlso8nS&/,! (Do not incJuøø DiNe/,! iSnwld bø cJøarty 188Cfab/9 from ev9/Y fueI¡{g PiJIn'l *':or ",bov_ground Tan~1 '" Manulactur$r: CARS Executive Orde~ Nùmber:. PLEASE CONTINUE ON REVERSE SIDE 7/01 -.' .. I~ Phase I Vapor Recovery System Manufacture.r: oPw CARS Executive Order Number: if) I A¿-A Component Manufacturer Model Number Spill Containment Bucket (Product) '~ i'I'1 ~ e.n ¿ S //6' -IL?/J 3 D~'7RJ .., .¡I ~ . SþUI Containment Bucket (Vapor) I j I I t/ Cebrls Bucket (Product) ,v/¿ A//A I Debrt. BUQket (Vapor) I' " Rotetable Adaptor (Product) tJpw' IÞ / S'1jJ..fJ - jf)2LJ E t/ /?, Rotatable Adaptor (Vapor) . ' D(JW ¿, I JI.sA - AII6 J o¿pEJl, ) Drop Tube DfJ/U ~ /1-- 73~8 '. . Dust Cap (Product) ofJW k 34 '"Ír-7Pkt5~Et/J~ Dull Cap (Vapor) .' IJ{JW )7'/ í-- 7ø8S ... EvÆ P....urelVacuumV.nt Valv. Ji./L~ It v ifl1R6' 2 ," ,,€¡/æ, Extractor Fitting ofJw 2 _?_~ V h1 aa" Float Vent Valve -PW .f".3 VI11¿ -OIZO Additional Equipment Not Listed Above (JOm(!t! C> I~AC" ~..,¡/JI üI J." ''r;,~ PL> h'1 ;., t! 0 ~.5. - Hot? ,etl R. .~......LI Aj,j. /!J I A.d t~Lo : MJ. J.I j) 'p."i, n~ /lor>--r g ~~-o /._,pþ / n-¿.~~ ~ 101? ....-øoi ~",.Jé../1 be.. t J4 P Ç'JtJ. '1/)/"'. k I 'r '~-"'A -:: /) If"' Jt ;1- O/L/." J4k, Phase II Vapor' Recovery System ! I Manufacturèr: Syst4tm Typ,: )í Balance . o Vacuum Assist o Burner CARa Executive O.rder NUmþer: . C J '1 A/J. /{ (! 1:-' '. Mlnufacturer Model Nurltber COJ1)PQnenr . . . .", Noule P IJ1 (IOU' J. " __'r::, .. j ,q J.j £105-- ~~ ;z .. . V{ 1"" VDV-lÞ2-3J Coaxial Hose '6 l~ " Breakaway Flttrng H-lL5l<ú .=l,,? I..~ £7 1/ R Dispenser ; .' a//.BA£~o P- ÁI (!.. 3 t? lJ Ad(Jtional Equipment Not Listed Above r~l>JtJ 1-1 '¡: J. wh.Þ )/\J>.5e vs-1' i/51/1 ~/2 IEJJ . e ,,:v'R, 'Ul !["'" 1..=1 1m ru Ul ..J] I"- .. U.S. Postal ServiceTM ,'. -'. , CERTIFJED MAILM RECEIPT~ ' (Domestic Mail Only; No Insurance coverage-. _-,vided) Postage $ ::r o o ! 0 ! o ¡..J] . ru ru 1m !O 10 ¡l"- I I Certified Fee Return Reclept Fee (Endorsement Required) Restrtcted Delivery Fee (Endorsement Required) Postmark Here Total Posta, Sent To Market Express -..:n_~_nn'_. 2500 Wible Road . ;:,¡reet. Apt. Nt ~~r:.~.~~_~~ Bakersfield, CA 93304 City, State, Z/f "'-- - 1 In I 1 ~n , certmed ""_rOVideS: · A mailing r (8SJ9Jl9tJ) ~ eunr 'OO8ß WJO:I Sd · A unique Ide er lor your mailplece . ~. · A record ot deliVery kept by the Postal Se""œ tor twO years 1 Iml?!'rtønf RemInders: . · certified Mail may ONLY be combined with FIrst-Class Maile or PrioritY Maii@. . · Certified Maills not available for any class of intematlonal màll. 1 · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables. please consider Insured or Registered Mall, . For an additional tee. a Return Receipt maY be requested to provide proof of deliVery, To obtain Return Receipt seNlce, please complete and attach a Return Receipt (PS Form 3811) to the article and add appllcàb1e postage to cover the 1 tee, Endorse mailplece "Retum Receipt Requested''. To receiVe a tee waiVer for a duplicate retum receipt, a USP5GÞ postmark on yoùr Certified Mail receipt Is fequlred, . For an additional tee, deliVery may be restricted to the addressee or addressee's authorized à@nt, Advise the clerk or mark the mallplece with the I endorsement uRes/rlctedTJelivery", . It a ~stmark on the Certified Mail receipt is desired, please present tlie arti- cle at the post office tor postmarking, If a postmark on the certified Mail ; receipt Is not needed, detach and affix label with postage and mail. IMPORTANT: Save t\1ls receipt and present It when making an inquifY· tnternet access to dellvei'Y intormaUon is not aval\able on mail addressed to APOs and fPOS. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e December 12, 2003 CERTIFIED MAIL Market Express 2500 Wible Road Bakersfield, CA 93304 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Unifonn Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete fi lIed. 2) Spaced not more than 4 feet between posts, on center. .. c/'. ,,/J Q::/ ,'/. UL ,I7 677' ."/ CL::" , "- ~~ .7en'Ul;?· UUi úonl/.IU~/I.~1? .,,TO/' .1(xy'~' .J/la/I, .,.'(.'J 0M././~/'r .' .lIP" (,~ ' ~ 'j:. LeU. To: ~wner/operators of Propane Exchange 'ems Re: Propane Exchange Program Dated: December 12, 2003 Page 20f2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. 4) Set with the top of the posts not less than 3 feet aboveground. 5) Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under pennit 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 pennitted 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 pennit, 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, ¡; c£k(;., n lJJiv / . . ,..,/ Steve Underwood Fire InspectorlPetroleuml Environmental Code Enforcement Officer ["" o .:s- IT! ru LI') .J] I"'- .:s- O o o Retum Reciept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Certified Fee Postmark Here o .J] ru lru ,IT! o o I"'- I , , Sent To Total posta9MR ABDUL AZIZ ARKET EXPRESS Sfñiëf.ÄpIiV02500 WIBLE ROAD or PO Box No ëi¡;.;:Siãie:z/~ BAKERSFIELD CA 93304 i 1 .. , I '"- -4' Certified Mail Provides: · A mailing receipt (8S.I91191:J) ~ eunr 'ooss WJO:l Sd · A unique Identifier for your mal/piece · A record of delivery kept by the Postal Service for two years I fml?!Jrtant Reminders: ~ · Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. · Certified Mail is not available for any class of Intemational mall. i · NO INSURANCE COVERAGE IS PROVIDED with Certified Mall. For valuables, please consider Insured or Registered Mall. · For an additional fee! a Return Recel"t may be requested to provide proof of delivery, TO obtain Re um Receipt serv1ce, prease complete and attach a Retum Receipt (PS Form 3811) to the article and add applicable postage to cover the fee, Endorse maiJplece "Retum Receipt Requested", To receive a fee waiver for a duplicate retum receipt. a USPSe POstmark on your Certified Mall receipt is required. · For an additional fee, delivery inay be restricted 10. the addressee or I addressee's authorized agent. Advise the clerk or mark the mal/piece with the 1 endorsement "RestrlctedDellvery". · If a postmark on the Certified Mail receipt Is desired, please present the artl. cle at the post office for postmarking. If a postmark on the Certified 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. e e December 10, 2003 CERTIFIED MAIL Mr. Abdul Aziz Market Express 2500 Wible Road Bakersfield, CA 93304 FINAL REMINDER NOTICE Re: Deadline for Dispenser Pan Upgrade - December 31, 2003 FIRE CHIEF RON ;'R."-ZE Dear Underground Storage Tank Owner/Operator: ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326'3941 FAX (661) 395-1349 One month from today, this office will be forced to revoke your Permit to Operate your Underground Storage Tank System, effectively shutting down your fueling operation. SU'!fRESSION SERVICES ~ 2101 "H" Street B'akersfield, CA 93301 VQICE (661) 326·3941 ¡tAX (661) 395-1349 Section 2636(H)(l) California Code of Regulations Title 23, Div. 3 Chapter 16 reads as follows: "Owners or operators of an UST System shall have the system fitted with under-dispenser containment by December 31, 2003." PREVENTION SERVICES FIRE SAFETY SERVICES· ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 It is noted in your file that you have been receiving "Reminder Notices" since May of 2002. PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 As of this writing, no permit has been pulled nor have you conveyed your plans for compliance to this office. If we find it necessary to revoke your permit for non-compliance, you will have limited options as stated in the following: FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-Q576 After 90 days of closure, your tanks will be considered illegally abandoned and we will take action to properly close these tanks. If you do not comply with our tank closure requirements, we will find it necessary to take legal action, including but not limited to citation and/or injunctive relief. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Prior to the 90 days inactive, you hire a contractor and complete the upgrade per code. This office has extended you every courtesy with regard to timely reminders and support over the last 18 months. If we can be of further assistance, please feel free to contact me at 661-326-3190. Sincerely yours, .~ :/t~ ~~ v' Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services ""7~ de Y5CY/~ ~.A0Pe .r~ A Y5~?"" I I ..lJ I £"- I r-9 ¡L/1 L/1 It:[) 10- '0- u.s. Postal ServiceTM CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage PrOvided) ,; , ~ostage $ Certified Fee 1.::1'" 11::1 11::1 1::1 Return Reclept Fee (Endorsement Required) 11::1 Restricted Delivery Fee I L/1 (Endorsement Required) , r-9 'T Total Posù\ Postmark Here ru 1::1 Sent To 1::1 £"- šfrëëi,AjjCti orPOBoxM ëitÿ;štãië:ž "'= MR ABDUL AZIZ MARKET EXPRESS 2500 WIBLE ROAD BAKERSFIELD CA 93304 PS Form 3800, June 2002 A I Certified Mail Provides: 'I · A mailing receipt (SSJSAS/;) <:oœ sunr 'OOBt WJO=f Sd · A unique identifier for your mallpiece . · A record o! deliv:~ry kept by the Postal Service for two years ' I ImR0rtant Rèm¡ncÌ~rs: · Certified Mail may ONLY be combined with First-Class ~ail® or Priority Mall@.1 · Certified Mall is not available for any class of international, mall. I · NO INSURANCE COVERAGE IS PROVIDED with iiertified Mall. For I valuables, please consider Insured or Registered Mail. t I · For an additional fee, a Return Receipt may be requested to provide proof of I delivery. To obtain Return Receipt service, prease complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the I fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mall 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 mallpiece with the endorsement "Restricted Delivery". · If a postmark on the Certified Mall receipt Is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. I 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. Complete, items 1, 2, and 3. Also complete item 4 if Restricted Delivery ~ deslrecb · Print your name and addres$ on-tlíe reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits, , 1. Article Addressed to: I I I MR ABDUL AZIZ MARKET EXPRESS I 2500 WIBLE ROAD !: BAKERSFIELD CA 93304 Ii I i,,----. ~?_"_~-.__- _, ~_=~_ I 2, Article Number (Transfer from service label) PS Form 3811, August 2001 o Agent I o Addressee I C, Date of Delivery I /2 - f ~ 1) I D, Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No j 3. ~:rvice Type . I2f, Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise OC.O,D. 4. Restricted Delivery? (Extra Fee) DYes 7002 3150 0004 ~985 5176 Domestic Return Receipt I 102595-02-M-1540 11111\ First-Class.Mail , =, --=--.' . . ~p.ostagêg~~~.~ paid , ,~~~ -WSPS~~- --... _ . ;::.. ~ ~Refmit-Nô-:-G:-10-""" wi ~-=- t> U''; EC 'v ~--==---~- .. -, . Sender: Please prine YOO~,f'1a -<.\ , address,.-aAd..z:I3"T4in-this$bex·~·-- ~, IF...:>'.....u.. ~. Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 1 I I .1 I 1 I I I I I 1 I J . - II,I""II",II,II"""II,I,I",I,I",HII"""IIII,I,11'111 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 WH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 WH" Street Bakersfield, CA 93301 VOICE l661) 326-3941 FAX (~1) 395-1349 4Íb.' PREvEfÌ'£rloN SERVICES FIRE SAFETY SERVi(ft;S . ENVlROHIlENTAl 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.Q576 TRAINING DIVISION 5642 Victor Ave. Bakersfletd. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e . December 4, 2003 CERTIFIED MAIL Mr. Abdul Aziz Market Express. .2500 Wible Road Bakersfield, CA 93304 FINAL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Re: Failure to Complete SB989 (Secondary Containment) Repairs & Re-test Dear Underground Storage Tank Owner/Operator: Our records indicate that you have not completed the repairs and re-test of your secondary containment system. Our records further show that you have received "Reminder Notice" sent on August 26, 2003 and a Notice of Violation on November 5, 2003. If repairs and re-testing have been completed, this office has not received documentation to support it. Your secondary containment system is part of your overall fuel monitoring program and is a condition of your Pennit to Operate. Therefore, prior to December 30, 2003 you will have made the necessary repairs and re-tested the components that failed. Failure to comply will result in revocation of your Pennit to Operate. This office has extended you every courtesy with regard to timely completion of these repairs. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey, Director of Prevention Services By: /L ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/db (,(,..7~ de Won~ ~ L~o'e .r~ A We/Úu~" COIGRECTION NeTICE 05094 BAKERSFIELC FIRE CEPARTMENT Location It\(,l(V (Æ E·y.p rt' 5.7 Name .~ ÇúC t\.)¡ "It 12l You are hereby required to make the following corrections at the above location: Cor. No. ~\r t- Completion Date for Corrections Date ---1d1 ( 71 {J ~ Inspector 326-3951 FD 1950 } - UNIFIED PROGRAM IsPECTION CHECKLIST _1' _" . ___M_~__ SECTION 1 Business Plan and Inventory Program . Bakersfield FtreDept. En,ironmental Services 1715 Chester Ave Bél.kersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ÃDDRE~}{U.lcl--- E \(~_'LS.5_______________.____~__________~______..___,___-,--,,-.-- PHONE~------- ÑÕ-:OtEm¡;¡OÿëeS--'- 'A''''''~~ ~WJ,\Lß!· m ...... -- - . --- - -------- ·~fi;;~--- ·S~9tion·1 :.BusinfJss Plan~rïd írîvel:1tory Progr~m c:J Routine c:J Joint Agency c:J Multi-Agency c:J Complaint c:J Re-inspection ~C.. .' (c=comPliance) OPERATION '.' V=Vlolatlon ~ ApPROPRIATE PERMIT ON HAND ~-------------,._._..~----,----_....._--------_......__.-.._-"-.....-- . ~ BUSINESS PLAN CONTACT INFORMATION ACCURATE '~ ----~ISIB~-,:~~~~--'----'------··---···--'--··--------.-- ----. --,----,.----.-.-----------------------.---------.---.- ----...-------.----.--.....-.- rn/êí CORRECT OCCUPANCY COMMENTS .-l, :J . . . ì_ .J:;. ~ ·~C ,",hi' , ,~bil(L.__.__._,...,,__,_,__________..________ __ ______________.__u,. _.___.______.u~__ n.._.__ _______....._._.___._ ____,._. .. _..__ ...._...._._______ _ ___ ___....__'.___nn_._._ __._u. ... ..,-----._--.._~._-----....__._.. - ----.- ~c:J . VERIFICATION OF INVENTORY MATERIALS ---..----,----.-- .-.----.,-.., . ----_._--,-- ----------_.._--~._- --- -. .------ ~_._-_._--_._----------_."'_.__.._-------------_._-_._..--------- ----.----,.-----.--.--- -----.---. ----.------.-----~--------------.---------..--------.----_.---~ ~~...--.---------..-..--.- -. _ .---..---~.____.__.._._______.._._.___.__ ..__, __ ____._._._...__.._._.... - . ._u .. _ _ . _.__________,..___..___..,.__..______.__._..~m_ rg/~ c:J VERIFICATION OF QUANTITIES 1------,-.....--,----.-------------..-.....-.-.....-.-....-- / º c:J VERIFICATION OF LOCATION ~,--..-....__.....,___._,__..___.____.. '_'...._m' ..._..._.._.._.. 0/' c:J PROPER SEGREGATION OF MATERIAL .-, ...._~._-_..._.._-_._-----,_._..._~....., .........-......-----,...--- -.. ....-...., _ _ .__. _.. _.__. .._.__.______.._______ __________m..__m ~- ---------"----------~-~ - ----..--.---------------- ------.- --.-- ,.- ....--..-- -.......-... - -------_.._._..._----------~--- ---------~- --.------------.----.---------.--. - ...-----._______.. ___,___.__..___ __ _______ _..__ _,_. .._____ ._.___________.u__._._._ ______ _____ __.__.______.._ _______________, __._._________.__.__..__ ~c:J __ ~!=_~IFIC~~ION_~~SD~~~AIL~BI=I~~__,___..~____...___. .t-J OJh~J2_?_.~Jhll'1J_ ,_...__.__.____...,___________.... ~~t~~::::=:~:~=~~N;I';~~R~S . r~~. .=~~C/~==1Ull'~=tll~~"J=O':;:~= ~--O~..-C-~~~~~-;~S P~~_;E~~~:~;~~--- .-..-----..----------m-'--t..--~~~..-------'----- .-, __m,_ . -- _____...._.._'___'¡¡_'m_" ,-..-'---'-,------___,~___,______.._'..m .... --,----,-,...-- -..--'-t~..m,..--,-"-- ... ____,__·__."_.m'_______ ... - ,.... '----..,-.--,---..--,--,..- ~ ~ ~~~:~~;------- -- ;~Si'lf~J?(tl'71""('.fly ,<l<'ft.liL¡2Ul....ß: tJÓ¡'~ e------,--_ -------........,---- -----___.... _,..__..____.._..,. '''_''.__, _~~__,__\,::,tL.,.. _·HJ:l,5_.._..ÛJ(¡'-'_I\{¡.tY,_..,__....'_'_'m__ c:J Q,../SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: L'] YES Q.þIó/ EXPLAIN: INSPECTION? PLEASE CALL US AT (661) 326-3979 --'-_._----~---.__._-------_._-_.__.__.__._.__.. ~ Fire Prevention 1 st-In/Shift of Site Business Site Responsible Party (Please Print) -------- While - Environmental Services Yellow· Station Copy Pink - Business Copy ~ ~ · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ',1 FACILITY NAME----Ílfuu.~ Gv.pt't ~ ~ INSPECTION DA TE-1l:../11 ( 0 3 Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank _c)wFc.5 Type of Monitoring frTc' o Multi-Agency 0 Complaint Number of Tanks J Type of Piping t.vr ORe-inspection OPERA TION C V COMMENTS Proper tank data on file V v Proper owner/operator data on tile ~ PenTIit fees current V Certification of Financial Responsibility '.......... Monitoring record adequate and current / Maintenance records adequate and current ,/ / ,/ Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program 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=Compliance 1V=Violation Y=Yes N=NO lo'peolo, ~iL l4~ Office of Environmental Services (805) 326-3979 White· Env. Sves. ~ Business Site Responsible Party Pink· Business Copy U.S. Postal ServiceTM CERTIFIED MAILM REC§IPT,.", (Domestic Mail Only; No Insurance Ccfverage Provided) 0 0" 0 0 0 '0 0 . ß FFiCIAL USE I ¿"I Postage $ " Certified Fee Postmark Retum Reclept Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) ( Total Postage I , I 1m 1U1 ,~ ,:2 ¡ IT" IT" ~ CJ :D CJ I CJ I~ m ABDUL AZIZ ru CJ Sent To MARKET EXPRESS ~ šiñilii,AþI"Nõ:; 2500 WIBLE ROAD ~:'::!.~.,,!f}:., BAKERSFIELD CA 93304 CIty, State, ZIP- ~- -- --=----- j Certified Mail Provides: . A mailing rece.ipt . , · A unique identifier for your mailpiece · A record of delivery kept by the Postal Service for two years I Important Reminders: · Certified Mail may ONLY be combined with First-Class Mai~ Priority Mail®- · Certified Maills not available for any class of intemational mail,,, · NO INSURANCE COVERAGE IS PROVIDED with Certified'\Mail. For valuables, please consider Insured or Registered Mail. '; I · For an additional fee, a Return Receipt may be requested to provide proof of I delivery. To obtain Retum Receipt service, prease complete and attach a Return I I Receipt (PS Form 3811), to the article and add applicable postage to cover the I fee. Endorse mailpiece 'Retum 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 I addressee's authorized agent. Advise the clerk or mark the mailplece with the endorsement "RestrictedTJelivery". , · 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 Mall receipt is not needed, detach and affix label with postage and mail. I IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. , I (9SJ9A9/:J) <:00(: eunr 'ooee WJO, Sd I SENDER: COMPLETE THIS SECTION · Complete Items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired, · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits, 1. Article Addressed to: ( . t ABDUL AZIZ I I MARKET EXPRESS I 2500 WIBLE ROAD I ¡ BAKERSFIELD CA 93304 I I ~. 2. Article Number (Transfer from service labelj I PS Form 3811, August 2001 . . . . . D. Is delivery address different from item 1? If YES, enter delivery address below: ~/ 3, Service Type ~ Certified Mail o Registered o Insured Mail I I I I o Express Mail i o Return Receipt for Merchandise ' o C.Q,D. v 4. Restricted Delivery? (Extra Fee) 0 Yes Domestic Return Receipt 7002 .3150 0004 9985 5053 102595-02-M-15491 , 11111,; ~ irii-Clas¡? Mail 1.O i '~"'-; . !R9~tà.J 9Ø[~ Fees Paid c..J '7:: ~ ,ppp.~ ~~f, , w > .[f, \0r;Ì'~~< .£,~r,mt NR;:'<:~40 ç; () IIQV 4è /)--;.g,'¡;, ¡:"'m J~" '1. '":;;.Î /"Ji.~ U.<:. Post;;)! S?Ví -øf e, address, and ZIP:¡'4 in this óox . " 'i, I . ". Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 I I I I I I .1 I I , '11,1111 I1I1 11111/111111 1111111,1/,/,1,/11/, 1111/1 !I,/ I /11111 FIRE CHIEF RON "RAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 211!J1 "W Street ",8àl<ersfield, 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 . . November 5, 2003 CERTIFIED MAIL Abdul Aziz Market Express 2500 Wible Road Bakersfield, CA 93304 Re: Failure to Complete SB989 (Secondary Containment) Repairs and Re-test NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Mr. Aziz: Our records indicate that you have not completed the repairs and re-test of your secondary containment system. Our records further show that you have received "Reminder Notices" sent Certified Mail on August 26, 2003. If repairs and re-testing have been completed, this office has not received documentation to support it. Your secondary containment system is part of your overall fuel monitoring program and is a condition of your Permit to Operate. Therefore; prior to December 30, 2003 you will have made the necessary repairs and re-tested the components that failed. Failure to comply will result in revocation of your Permit to Operate. This office has extended you every courtesy with regard to timely completion of these repairs. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey Director of Prevention Services By: it ~ Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/db (,(, --%~ de Y§onvnu~ ~OP .//1;OP6 .o/'bt, A Y§e.daPp" I ~l'!9'2"0l , . I 07:45 'ð'661 _0576 BFD HAZ :\LH DIV _ @002 MONITORING SYSTE~I CERTIFICATION tor Use Bv Ail jurisJic/lII/!s Wil/lI/1 {he' Sf(/(It (If C"uti/omiu .Awhority Citltd,' Chupta 6. 7. Health and Saji:ry Codlt: Ch(.!pfer /6. Divisioll 3. Titie 23, C,tlijlJmia Code of RegulariulIJ This form must be used to document testing and servicing of monitoring equipment. A separate certitìcation or report must be oreDared for each_ mQ,nitoring system control P.ª11eJ by the technician who periorms ¡he work, A copy of this form must be provided to the tank system owner/operator. The owner/operaror must submit a copy of this foml to the local agency regulating UST systems within 30 days of leSl date. A. General Information FacilÌ[v Name: /?/ALl<rF:í ~,K/l/t.Li::>~ Site A:jdress: i,,>-"""Q;> Ø/.d-'._~ Facility Contact Person: ~ ,,^'-... ~r:. ~ MakeIModel of Monitoring System: ~# Ct:;::J¡V ~t!.E.t="Ir:LO Bldg, No.: City; Contact Phone N·o.: ( ) Date of Testing/Servicing; ~/ //?/O,$ Zip: 933ö,/ B. Inventory of Equipment Tested/Certified Check the a ro rlate boxes. to indicate s ecific e uj ment ins ectedlservicoo: : Tank ID: Ott::.-;5(?(... . ¡ Tank ID: ,-:::S';/At!-&'.A-r,t? , 0"Íi'-Tank Gauging Probe. Model: _-'_____ ~ 01n-Tank Gaugmg probe,.. Model; Q ~nnular Space or Vault Sensor. Model:. I 0 Annular Space or Vault Sensor, Model: Ø"Piping Sump I Trench Sensor(s). Model: ___. Q1Siping Sump / Trench Sensor(s), Model; o FiJi Sump Sensor(s), Model: 0 fiJI Sump Sen50r(S}. Mode!; :J Mechanical Line Leak Detector. Model: 0 Mechanical Line Leak Detector, Model':- :J Electronic Line Leak Detector. Model: Q Electronic Line Leak Detector, Mode]: :J Tank Overfill i High-Level Sensor. Model: _ 0 Tank Overtìll/ High-Level Sensor. Model: o Other (s ecif e ui ment t e and model in Section E on Page 2), , CJ Otr.er (s cif e ui mem t e and model in Section E on Pa e 2), Tank ID: t/.v¿ ¡ Tank ID: A/.-+ ~In-Tank Gauging Probe. Mode}: CJ In-Tank Gauging Probe, Model: o Annular Space or Vault Sensor, Model: Q Annular Space or Vault Sensor. Model: ::rPiping Sump / Trench Sensor(s). Model: a .Piping Sump / Trench Sensor(s). Model: o Fill Sump Sensor(s). . Model: .___~_ CJ Fill Sump.5enSI)f(s), Mode]: o Mechanical Line Leak Detector. Model: ' Q ~!echanicaJ Line Leak Detector. Mode]: o Electronic Line Leak' Detector. Mode!: Q Electronic Line Leak Detector. Mode!: o Taok Overfill! High-Level Sensor, Mode!: _. a Tank Overfill ¡High-Level Sensor. Model: Q Other (s clfve ui ment t e and model in Sectjon E on Pa e 2), 0 Other (s ecifv e ui ment t e and model in Section E on Paae 2). Dispenser ID: ~ .___~__ Dispenser ID:/ o Dispenser Containment Sensor(s). Model: :J Dispenser Containment Sensor(s), Model: .e(Shear Yalvt:(s). ~ear Valve(s), 8 Dis enser Containment FJoat(s) and Chaines). U Dis enser Containment Float(s) and Chain(s). I: Dispenser ID::t,;" __ I Dispenser ID: :1 :J Dispenser Containment Sensor(s). Model: ¡ 0 Dispenser CDntainment Sensor(s). Model: J 6'"Shear Valve(s). I, 9'Shear Valve(s). o Dis cnser Containment FJoat(s) and Chain(s). 0 Dis enser CO¡Jtainment FJoat(s) and Chain(s). Dispenser ID: 'b ____; Dispenser ID; 1 Q Dispenser Containment Sensor(s). . Mod.;l: 0 Dispenser êontainment S.;nsor(s), Mudd: ~hear Valve(s). . 2'Sheur Yalve(s), :J::>îs enser Containment Float(s) and Chain(s). , CJ Dispenser Ccntwnment Float(s) and Chain(s). -If the facility contains more tanks 'or dispensers. copy this form, Include informaoon for every tank and dispenser at the facility. C. Certification· I certify that the equipment identi1ied in this document was Inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is nfonnation (e.g. manufacturers' checklists) necessary to verify that this infomlation is correct and a Plot Plan showing the layout of monitoring eql.1;!pment. For ~ny equipment capable of generating such reports, I have also attached a copy of the report; f&b.eck Q{)l}I;/ apply): ~ystem set·up E:rAlar%Ory~re rt Technician Name (print): ¿ri?./J/ ~;t.ð" Signatur.::: n~ , - ---- Certiticatlon No,; LÌ<;en~e.. No.: ::>? :?.:J7"7 Testing Company Name: _~(,¿4Je¡- . __..___ Phone No,;~ _) 322 - 06lP&> Site Address:' .s ~ /2. ?,I(/OI!4/1n Date ofTesting/Servicing:...z. / /6/!2.3.. /3h,<'é'Æ.sr/ELLJ " 1 ¡it ;: 1 ~ Page 1 of 3 03/01 Monitoring System Certification "uIJ/ :!8/01 ~ 07:46 '8'661 3_0576 BFD HAZ MAT DI\' e @OOJ D. Results of Testing/Sen'icing C), 99/0 Software Version [nstalled: Com lete the followin checkJist: Yes 'CJ No'" ls the audible alarm 0 erational?' Yes CJ No" ls the visual alarm operational? es 0 No'" Were all sensors visuall ins ected, functionally tested. and confirmed operational? Yes 0 No'" Were ail sensors installed at lowest pO'jnt 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 automaticaJly shut down if the piping secondary containment monitoring system detects a leak. fails to operate, or is eJect.rically disconnected? If yes: which sensors initiate positive shut-down? (Check !lit that apply) ¡:f'SumplTrench Sensors: Q Dispenser Containment Sensors, Did ou confirm ositjve shut-down due to leaks and sensor failure/disconnection? ~Yes; CJ No. o No'" For tank system~ that utilize the monitoring system ;is the _pril1?ary tank overfill warning device' (j,e, no a' N/A mechanical overfiil prevention vaJve'~js'insra!Jed), is 'thé õverfiJl warning alarm visible and audible at the tank till oint(s) and operating properfy? If so, at what percent 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 de!>igned as dry systems? (Check all that apply) 0 Product; ~ater. If 'es, describe causes in Section E, below. . o No* Was monitorin s Stem set-u reviewed to ensure 1'0 er settin s? Attach set u re orts, if a licable Yes 0 No* Is all monitorin e ui menr 0 erational er manufacturer's s ecifications? '* In Section E below, describe how and when these deficiencies were or win be corrected. o J\lo" '2rN/A CJ No'" Q N/A C) Yes C) No E. Comments; £/.4/ .(!)L ;;2 // It:;> /ó..l. / 1" ;?e ~e:> vê.!> 2. // ~//y~ /. , t:t#n?d r~ ¿.9w~r ,4CJ/:V¡- /0/ ~/VC..éf , -T"At.":o"v ~ ~~h./-c. c5þ,-ð<:.)µ/-V , / ¿fe//¿éO / ....-.----....-----.....--..-...--.--.--.----. ..-..-.,.....-.--- .-----.-..--.--.-- -..------------------ --..--.------.....---........-.- ....-.-......---.--.-.-. ...-..-............... -------.--.. Page 2 of 3 03/01 09/28/01 07:47 '&661 tit 0576 BFD H.-\.Z MAT DIVe ~004 '. ~ " F. In-Tank Gauging / SIR Equipment: u Check this box if tank gauging is used only for inventory COntrol. o Ch~ck this box if no tank gnuging or SIR equipment is ¡n:;¡alled. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring, Co lete the foUowin checklist: Yes I:) No* Hns alJ input wiring been inspected lor proper entry and termination, including testing for ground faults? Q No* Were all tank gauging probes visuaJly inspected for damage and residue buildup? o No'" Was accuracy of system product level reading~ tested? o No* Was accuracy of system water level readings tested'? 1:1 No'" Were all probes reinstalled properìy'> Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? ... In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): o Check ¡his box if LLDs are not insta!led. Complete t e following chec 1st: uc3"Yes 0 No* For equipment start-up or ¡mnual equipment certification, was a leak simulated to verify LLD perfonnance? 0 N/A (Check all/hat apply) Simulated leak rate: ø1'" g.p.h.; U 0.1 g,p,h; 00,2 g,p.h, . eryes I:) No* Were all LLDs contìm1ed operational and accurate within regulatory requirements? ŒYes ' Q No'" Was the testing apparatus properly calibrated? 6'"' Y es ·0 No* For mechanical LLDs. does the LLD restrict product flow if it detects a leak? CI N/A DYes CJ No* For electronic LLDs, does the turbine automaticaJly shut off if (he LLD detects a leak? ~~/A CJ Yes CJ No'" For electronic LLDs,does the turbine automaticaJly shut off if any portion of the monitoring system is disabled Ø/N/A or disconnected? 0 Yes ~o* For electronic LLDs, does the turbine automatically shut off jf any portion of the monitoring system malfunctions N/A or fails a test? 0 Yes ~o* For electronic LLDs, have all accessible wiring connections been visually inspected? . N/A f¿:{ Yes o No* Were aU hems on the equipment manufacturer's maintenance checklist completed? h kI' ... In the Section H. below, describe how and when these deficiencies were or will be corrected. H. Conunents: RE¡f1¿4 C€ð . ./?¿¿ ¿{ é/9k. ðé'":r-ec:tD~~' -Z//6/03 . .. ......~-_._._- --.-----. -......---------.. ---_., Page .J of 3 03/01 ,~ MARKET EXPRESS e 251313 WIBLE RD. BAKERSFILED, CA. 933134 SITE # 132 2/16/213133 11:23 AM ALARM REPORT 2/16/213133 POWER DOWN 113:34 AM MARKET EXPRESS 251313 WIBLE RD. BAKERSFILED, CA. 933134 SITE # 02 2/16/2003 11:23 AM ALARM REPORT 2/16/213133 . POWER UP 11 ='23 AM MARKET EXPRESS 25013 WIBLE RD. BAKERSFILED, CA. 933134 SITE # 132 2/16/213133 11:25 AM ALARM REPORT 2/16/213133 POWER DOWN 11 : 24 AM ~ MARKET EXPRESS 25013 WIBLE RD. BAKERSFILED, CA. 933134 SITE # 132 2/16/213133 11:25 AM ALARM REPORT 2/16/213133 POWER UP 11: 24 AM 21m£,¡ r €LXf R#§S BAKERSFILED, CA. 933134 SITE # 132 2/15/213133 11:45 AM DELIVERY REPORT. ¡ TANK NO. 3 12131313 GAL UNLEADED SUP BEGIN TIME 11:28 AM I BEGIN DATE 132/15/213133 BEGIN GROSS 2489.3 GAL BEGIN NET 2478.2 GAL BEGIN LEVEL 24.753 IN BEGIN WATER 13.131313 IN BEGIN WATER 13.13 GAL BEGIN TEMP 67.183 F END TIME 11:37 AM END DATE 02/15/2003 END GROSS 3295.3 GAL END NET 3284.0 GAL - -END (EVEL -30.2691N- END WATER"·--'-- 13.01313 IN END WATER 13.0 GAL END TEMP 65.511 F GROSS DEL 8135.9 GAL NET DEL 805.8 GAL MARKET EXPRESS 251313 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 132 2/15/21303 11:56 AM DELIVERY REPORT TANK NO. 2 1213013 GAL UNLEADED REG BEGIN TIME BEGIN DATE BEGIN GROSS BEGIN NET BEGIN LEVEL BEGIN WATER BEGIN WATER BEGIN TEMP END TI ME END DATE END GROSS END NET END LEVEL END WATER END WATER END TEMP GROSS DEL NET DEL 11 : 25 AM 02/15/2003 2360.4 GAL 23513.7 GAL 23.836 IN 13.131313 IN 13.0 GAL 65.854 F 11:47 AM 132/15/213133 113145.9 GAL 1131413.5 GAL 74.459 IN 13.131313 IN 13.13 GAL 613.758 F . 7785. 5 GAL 7789.8 GAL e MARKET EXPRESS 251313 WIBLE RD. BAKERSFILED, CA. 933134 SITE # 132 2/16/21303 131:132 PM ALARM HISTORY REPORT 2/16/213133 11 : 36 AM POWER UP 2/16/21303 11: 37 AM LINER LO PNT 2/16/213133 11 : 45 AM LINER LO PNT 2/16/2003 11:47 AM LINER LO PNT 2/16/20133 . 11 : 48 AM LINER LO PNT 2/16/213133 11 : 54 AM LINER LO PNT 2/16/2003 11= 58 AM LI NER LO PNT 2/16/213133 12:31 PM POWER DOWN 2/16/213133 12:55 PM POWER UP 2/16/213133 12:58 PM LINER LO PNT ~. ~ MARKET EXPRESS 2500 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 132 2/16/2003 11:58 AM ALARM REPORT 2/16/2003 LINER LO PHT 11: 58 AM MARKET EXPRESS 2500 WIBLE RD. BAKERSFIL~D, CA. 93304 SITE # 02 2/16/21303 12:55 PM ALARM REPOR-T - -- 2/16/213133 POWER DOWN 12:31 PM MARKET EXPRESS 251313 WIBLE RD. BAKERSFILED, CA. 933134 SITE # 02 2/16/2003 12:56 PM ALARM REPORT 2/16/213133 POWER UP 12:55 PM t1 MARKET EXPRESS 2500 WIBLE RD. BAKERSFILED, CA. 933134 SITE # 02 2/16/2003 12:58 PM ALARM REPORT 2/16/20133 LINER LO PHT 12:58 PM . MARKET EXPRESS 2500 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 02 2/16/2003 11:45 AM ALARM REPORT 2/16/213133 LI NER LO 'PNT 11:45 AM MARKET EXPRESS 2500 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 02 2/16/21303 11:47 AM _ALARM- REPORT~-~ - _ _,~ .' 2/16/2003 LINER LO PNT 11:47 AM MARKET EXPRESS 25013 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 132 2/16/2003 11:48 AM ALARM REPORT 2/16/2003 LINER LO PHT 11:48 AM MARKET EXPRESS 2500 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 02 2/16/2003 11:54 AM ALARM REPORT 2/16/2003 LINER LO PHT 11 : 54 AM MAt<Kt:.1 t:.1\t"K~;:';:' 4IÞ 2500 WIBLE RD. .. BAKERSF I LED, CA. 93304 SITE # 02 2/16/2003 11:33 AM ALARM REPORT 2116/2003 LINER La PNT 11 : 33 AM MARKET EXPRESS 2500 WIBLE RD. BAKERSFILED, CA. 93304 SITE *I 02 2/16/20133 11:36 AM ALARM REPORT 2/'16/20133 POWER DOWN n :3-"'6 AM - MARKET EXPRESS 251313 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 02 2/16/20133 11:36 AM ALARM REPORT 2/16/20133 POWER UP 11:36 AM MARKET EXPRESS 251313 WIBLE RD. BAKERSFILED, CA. 93304 SITE # 02 2/16/20133 11:37 AM ALARM REPORT 2116/2003 LINER LO PHT 11 : 37 AM - I! IlUVC. \.,.nHN l BAUD CHAN 16 DATA B ITS ~ STOP BITS 1 PAR ITV 1 SECURITY 1 ACCESS 1 PHONE 1 REDIAL 1 ACCESS 2 PHONE 2 REDIAL 2 ACCESS 3 PHONE 3 REDIAL 3 ACCESS 4 PHONE 4 REDIAL 4 DIAL DELHI DIAL ALARM DIAL LEAK "_~CHQ Œ9TRY. TIME1 (NUTR TIME2 INUTR TIME3 INUTR SCHD INURC TIME1 INIJRC TI ME2 I HIJRC TIME3 INVRC SCHD DLHST TIME1 DLHST TI ME2 DLHST TIME3 DLHST SCHD ALHST TIME1 ALHST TI ME2 ALHST TI ME3 ALHST SCHD ACT AL TIME1 ACTAL TIME2 ACTAL TI ME3 ACTAL SCHD ALST TI ME 1 ALST TIME2 ALST TIME3 ALST ~ NATIVE 121313 '8 1 NONE MARKeXPRESS 251313 ~JI BLE R[). BAKERSFILED, CA. 933134 SITE # 132 DISABLED 2/16/213133 131:22 PM SYSTEM SETUP REPORT SOFTWARE VERSION ø~991ø DISABLED LOCATION 1 LOCATION 2 STREET 1 STREET 2 CITY 1 CITY 2 STATE ZIP CODE SITE # DISABLED DISABLED MARKET EXPRE SS 251313 WIBLE R D. BAKERSFILED CA. 933134 132 VOL UNITS GALLONS LE\:fEl:~ONnS-'-~-~INCHES' -~- TEMP UNITS FAHRENHEIT TIME STYLE 12 HOUR DATE STYLE MM/DD/YY DAYLIGHT SAV ENABLED SET TIME 1:23 PM SET DATE 132/16/213133 _., - --"-. - _NONE.-.._ 12:1313 AM 12:1313 AM 12:1313 AM NONE 12:1313 AM 12:00 AM 12:130 AM NONE 12:130 AM 12:013 AM' 12:1313 AM NONE 12:00 AM 12:130 AM 12:1313 AM NONE 12:00 AM 12:1313 AM 12:00 AM HONE 12:1313 AM 12:1313 AM 12:00 AM NO. TANKS LEAK LIMIT THEFT LI M IT DELI V LIMIT SNTNL MODE START SNTNL END SNTNL DELIV DELAY REPORT DELIV REPORT ALRMS REPORT TESTS NO. OF ALARMS PRINT INTERVAL 3 2.1313 113.1313 21313.1313 OFF 12:00 AM 12:00 AM 15 ENABLED ENABLED ENABLED 113 5.1313 ALARM 1 .ER LO PN'T' ,. ALARM 2 NONE ALARM 3 '. NONE .,' ALARM 4 NONE ALARM 5 NONE ALARM 6 NONE ALARM 7 NONE ALARM e NONE SENSOR TYPE SENSOR 1 SENSOR 2 SENSOR 3 SENSOR 4 SENSOR 5 SENSOR 6 SENSOR 7 SENSOR e STD STD STD STD STD STD STD STD CONTROL OUTPUT GRACE PERIOD - --. =-==._~= ='-LOW'~tOW 1- ~~,~ - ~-NONE~ LOW LOW 2 NONE LOW LOW 3 NONE LOW LOW 4 NONE LOW 1 NONE LOW 2 NONE LOW 3 NONE LOW 4 NONE HIGH WTR 1 NONE HIGH WTR 2 NONE HIGH WTR 3 NONE HIGH WTR 4 NONE HIGH 1 NONE HIGH 2 NONE HIGH 3 NONE HIGH 4 NONE HIGH HIGH 1 NONE . HIGH HIGH 2 NONE HIGH HIGH 3 NONE HIGH HIGH 4 NONE SYSTEM FAIL NONE STD 1 ALL STD 2 ALL STD 3 ALL STD 4 ALL STD 5 NONE STD 6 NONE STD 7 NONE STD e NONE CONFIDENCE LEAK TEST SCHD TEST TANK 1 TANK 2 TANK 3 TIME TEST TANK 1 TANK 2 TANK 3 13 ALARM TI ME OUT HIGH LIM LOW LI M HIGH HIGH LOW LOW WATER LIM LEAK LIM SYSFAIL THEFT a 99. Ø% .. 13.113 15TH DAY 15TH DAY 15TH DAY 12:1313 AM 12:1313 AM 12:013 AM 30 ON ON ON ON ON ON ON ON --REl:AY~~~-- -.' TIMEOUT HIGH LIM LOW LIM HIGH HIGH LOW LOW WATER LI M LEAK LI M SYSFAIL THEFT STD ALARM ALARM! ALARM 2 ALARM 3 ALARM 4 ALARM 5 ALARM 6 ALARM 7 ALARM e STDRELAY ALARM 1 ALARM 2 ALARM 3 ALARM 4 ALARM 5 ALARM 6 ALARM 7 ALARM 8 --=-~~._--.---....,..--,.-~ ,--- ~--_. - - 15 OFF OFF OFF OFF OFF OFF OFF OFF ON ON ON ON OFF OFF OFF OFF ON ON ON ON OFF OFF OFF OFF FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES' ENWIOHIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Av'e. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e . January 22,2003 Market Express 2500 Wible Rd Bakersfield CA 93304 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1,2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Si;l Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dc ""Y~ ~ Y7~ ß70p ~0P6..r~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakerslield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FiRE SAFETY SERVICES. ENVIRONMENTAl. SERVICES 1715 Chester Ave. Bakerslleld, CA 93301 VOICE (661) 326-3979 FAX(661)32~576 PUBLIC EDUCATION 1715 Chester Ave. Bakerslleld, CA 93301 VOICE (661) 326-3696 FAX (661) 32~576 FIRE INVESTIGATION 1715 Chester Ave. Bakerslleld. CA 93301 VOICE (661) 326-3951 FAX(661)326.Q576 TRAINING DIVISION 5642 VIctor Ave. Bakerslleld, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - . Amin Ahmad Market Express 2500 Wible Rd Bakersfield, CA 93304 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Monitor Certification Failure Dear Mr. Ahmad: A report filed by Ron Rogers of Sunset Mechanical noted a problem with your fuel tank monitoring system. These are as follows: 1. Incon monitoring is not wired to do positive shut-down. 2. All three product leak detectors failed simulated leak test. Title 23, California Code of Regulations requires your tank system to have positive shut-down and working leak detectors. Therefore, prior to February 18, 2003, you must have your tank monitoring system repaired and re-tested. Failure to comply will result in the revocation of your pennit to operate. Should you have any questions, please feel free to call me at 661-326- 3190. Sincerely, Ralph E. Huey Director of Prevention Services bY:,J -~ .- rý:JlZ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc cc: Debbie McMaster, Sunset Mechanical "".9~ ~ WonlhU~ .97'0P ~0Pe §"~ A W~'I'I '09/28/01 07:45 '5'66_26 0576 BFD HAZ MAT D. @002 ..1r .,~ MONITORING SYSTElVl CERTIFICATION For Use By Af{ JlIrisJiCllli/!J" Wilhin l/¡~' Slate of ClIli!omiu Awhuritv Cited: Ch'lpler 6. 7. Health and SaIny Cude,' Chapler /Ij, Divi.\'iOlI J, Tille 23, Calilomia Code of Regulatiuns This form must be used to document testing nnd servIcing ot monilOring equipment. A separate certitication or report must be prepared for .:ach..JI]Q,nitoring system control J14J1el by the technician who performs th.: work, A copy of this form must be provided to the tank .system owner/operator, The owner/operator must submit n copy of this form to the local agency regulating UST systems within 30 days of leSt d¡¡¡e. A. G~neral Information FacililY Name: .I'nAR..KE"t éXI;>4.cS.~ Bldg, No,: Sitc Address: --2..:5.DC /"A)/l3i-ë% ;<0 City: ~€Il_::"'-¡:::IG'W) Zip: Q3.3tJ'-I Facility Contact Person: 19m/^, ~#/.YJAD Conmct Phone No,: ( é6/) RJ3i - 9:5"~/ MakelModel of Monitoring System: .::rt-J CQ\J / Ts i Ç"OC E:'Fr Date of Testing/Servicing: ---1-1 If I~ . , B. Inventory of Equipment Tested/Certified Check the a ro rlate boxes to indicate s ecific e uI ment ins eeteel/serviced: LEAbê.b 1 Tank ID: D i~..sE:"'- ~ ~~~~~~; ~;~;~n~ ~~~I~·Sensor. ~~~::~ Ì)3~. . I ~~~~~: ~;~;~t~~:~I~·sensor. ~~~:;~:!:^' C.-C~\ ~ 'I r;¡( P~~tng Sump f Trench Sensor(s), Model: .:QJùeIJ ~:-:Q ~ CJ ~!ping Sump 1 Trench Sensor(s). Model: :1 a Fib Sump Sensor(s), Model: _ ~ CJ FIll Sump Sensor(s). Mode!: :a'Mechanical Line Leak Detector. ' Model: Re~AC..r<,:er ~echanical Line Leak Detector, MOdel:·~AC.k.1LÍ :J Electronic Line Leak Detector. Model: CJ Electronic Line Leak Detector. ModeJ: :J Tank. Overfill i High-Level Sensor. Model: _,______ CJ Tank Overtìlll High-Level Sensor, Model: o Other (5 ecif e ui ment t e and model in Section E on Page 2). CJ Other (s cif e ui mel1l t e and model in Section E on Pa e 2). Tank ID: PReM I' Tank ID: 2""ln-Tank Gauging Probe. Model: .:t:ìI!(Æ:¡.ù CJ In-Tank Gauging Probe, Model: o Annular Space or Vault Sensor, ~..lodel: . CJ Annular Space or Vault Sensor. Model: ::J Piping Sump / Trench Sensor(s). Mode]: 0 Piping Sump / Trench Sensor(s). Mode]: ¡ :J Fill Sump Sensor(s). Model: CJ Fill Sump Sensor(s). Model: ; ~:r}vfechanica] line Leak Detector. ModeJ: ·~~cJÃc..(,.¢r - CJ ~Iechanical Line Leak Detector. Mode]: o Electronic Line Leak DetectOr. Model:___. CJ Electronic Line Leak Detector, Model: CJ Tatlk Overfill 1 High·Level Sensor. Model: a Tank Overfill / High-Leve! Sensor. Model: Ii CJ Other (s dfve ui ment t e and model in Section E on Pa e 2), C) Other (5 ecifv e ui ment t e and model in Section E on Paoe 2). ¡; Dispenser ID: II Z. __._._,____ j Dispenser ID: 7 : 0 Dispenser Containment Sensor(s), Model:. :J Dispenser Containment Sensor(s). Model: : a"Shear VaJve(s). ~hear VaJve(s). . :J Dis enser Containment Float(s) and Chnin(s). U Dis enser Containment Float(s) and Chain(s , ¡ Dispenser ID: .3 I Dispenser rD: :~ 0 Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model: . Ø'Shear Valve(s). ð" Shenr Valve(s). , 0 Dis enser Containment Float(s) and Chaini,s), CJ Dis enser Co¡¡tainment Float(s) and Chain(s), Dispenser ID: '12-_,______ ._____ Dispenser ID: r . Q Dispenser Containrr.ent Sensor(s). Model: 1 0 Dispenser Containment Sensor(s), Model: id"'Shear Valve(s). ~Shear Valve(s). :J:)jsDenser Containment Float(s) and Chain(s), u Dis enser Ccntwnment float(s and Chain(s). "If the facility contains more tnnks or dispensers. copy this form. Include infomlation for every tank and dispenser at the facility. . Site Address: C. Certification· I certify that the filuipment identi1ied in thJs document was Inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification Is Information (e.g. manufacturers' checklists) necessary to yerify that thJs Infomlation is correct and a Plot Plan showing the layout of monitoring eqlÚpment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all thaI apply): ~ystem set.up '~"'I~ hlsto;<- ~epoct Technici¡¡n Name (prim): ~ðt-J ~~ R-=:> Signature: _ Q~ ~ Certitica¡ion No,; ~f;- C'ZC q 2. 7 2./ Lice!)~e, No.: Testing Company Name: __.;5"~_~ê\ MeCt-\-_ _______ 39', ~ epiVDIlA 4W\ Ct.. ß.A.Kc:;~ ç::.¡E:\. D :.5"'il9S/7 Phone No,:( ~hl J3Z2..- 066'D Date of Testing/Servicing: i_I !..!j 03 Page 1 of 3 03/01 Monitoring S}'stem Certification UI:I/28/01 Oi:46 ~.6.326 05i6 BFD HAZ MAT D4IÞ @003 ;:.>- D. Results of Testing/Seryicing Software Version [nstalled: .. C¡C¡iO Com lete the followin checklist: Yes '0 No* ! Is the audible alann 0 erational?' ¡Yes 0 No'· I Is the visual alann operational? I Yes 0 No* Were all sensors visuaJl . ins ected, functionally tested. and confirmed operational? 1'::1 Yes No* Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er 0 erauon? j 0 Yes If alarms are relayed to a remote monitoring station, is all communications equipment (e,g, moàem) operational? Q Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary cq.ntainment Q N/ A I monitoring. system detects a leak. fails to operate. or is electrically disconnected? If yes: which sensors initiate I positive shut-down? (Check all that apply) 0 Sump/Trench Sensors; 0 Dispenser Containment Sensors. I; Did ou confirm osi¡jve shut-dQwn due to ieaks and sensor failure/disconnection? 0 Yes: D No. DYes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning del'ice (i.e, no iiir'N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank I) . fill oint(s) and operating properly'; If so, at what percent of tank ca adt does the alarm tri er? % I5Y;";; W" any mO'lito<1ng "",ipm,nt repI,,"'? If Y". ¡d,miry 'podfi, sonso". probes. or oth" ,,'ipm'nt rep''',d and list the manufacturer name and mode} for all re lacement arts in Section E. below. Yes* 0 No Was liquid found inside any secondary containment systems de,~igned as dry systems? (Check allrhat apply) 0 Product; Ø'Water. If 'es, descrjbe causes in Section E, below. Yes 0 No* Was monitorin s stem set-u reviewed to ensure ro er sertin s? Attach set u re orts, jf a licable Yes I:] No* Is all monirorin e ui ment 0 erational er manufacturer's s ecifications? * In Section E below, describe how and when these deficiencies were or wiU be corrected. E. Comments: - LDwpo/.Jr T~E"I'JCl't L,NG/Z. Se/l.1$cA.. 1.1Ji:lS R-4ì-f'en ù9 A hove... L04:~Ä. lJò,el ì~ Tp ~"-'~ L,-'J ElL -=.-2 /' Of= WA-Te:A.. I' IS iJ r~~\-\, Li,Je"'R. :t¡J~1Ù f\.\.~.0lio/L t5 /v'Dï Ü.J,it..~f) 4' -+0 010 (h:>s';"'"'VC?- ~~ OFF DP- 1::;~(L ~~e . -----.--...--.-.,...--,'""'->---- ......--.---......-----...-....----,--.-------. --..----.---------------------,---- --...--.-------,...---.......--.- ..-.-......-.--.----.-. .~._¥_.._......_.¥ ---_..._~-- P<lge 2 of 3 03/01 0.9/28/01 07:47 ~6_326 0576 BFD HAZ MAT D4IÞ @004 .. f-" F. In-Tank Gauging / SIR Equipment: ù Check this box if tank gauging is used only tor invemory comrol. a Check this box jf 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, Compl ete t e o owin2 c ecklist: er Yes 0 No* Has alJ input wiring been inspected lor proper emry and termination, including testing for ground faults? ·Ø'"Yes Q No'" Were all tank gauging probes visuaJ1y inspected for damage and residue buildup? a" Yes a No* Was accuracy of system product level readings tested? !2(' Yes 0 No" Was accuracy of system water level readings. tested? (2( Yes 0 No* Were all probes reinstalled properly') 2'Yes a No* Were all items on the equipment manufacturer's maintenance checklist completed? h ~ IJ h * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): u Check this box if LLDs are not installed, c h ~ 11 h kJ' . omplete t e 0 ow ß2 c ec 1St: -- La' Yes a No* For equipment stan-up or annual equipment certification, was a leak simulated to verify LLD perfonnance? 0 N/A (Checkal/ thatflpply) Simulated leak rate: g1 g.p.h.:u 0.1 g,p.h; Q 0.2 g.p.h, . DYes Iã No* Were all LLDs confim1ed operational and accurate within regulatory requirements? E1" Yes o No'" Was the testing apparatu~ properly calibrated? DYes . '2f No* For mechanical LLDs. does the LLD restrict product flow if it de.tects a leak? ':J N/A 0 Yes o No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ~"J'/A , ::1 Yes o No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled iã-'Ñ/ A or disconnected'? 0 Yes u No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions z"N/A Of faiJs a test? 0 Yes a No* For electronic LLDs, have all accessible wiring connections been visually inspected? 3"'" N/ A ~Yes o No* Were all items on the equipment manufacturer's maintenance checklist completed? .- * In the Section H, below, describe how and when. these defIciencies were or wiII be corrected. H. Comments: ,L\LL 1M!!:&"" p~C/+::s. iLeAl<. D(¿.-J.,eL:T'O/tS FA-~ .....€D .5íh\LX'~TE"O LE4;< ~T. - Sir€' h:~.s .3 :5rgE:<=-~1<.s IN . ~ I-/;';t:..~ WitH cÁJ'€ 1.011/ 1')0/;,;.;- .$€A).soR. A~c:> Me-Gl+ LF4K t.>-£n.~TÐf<:S. .::r'NCÐt-J WA~ .rJo'\ ' SE\ vp -1-0 clc c:\ 'TÂ..JK Jg,~Ç(/'A-l"\.IktD AND ..! ~ - ~ '\ Sc.H €.DvL.~D C.IO L<=A"-~L_.._J5T~_t")A'1_QE: eu~ M~T~" '---'--' Page ,3 or 3 03/01 . e e .1''' Monitoring System Certification UST Monitoring Site Plan Site Address: N'Ä~t<er e)(;p-íl~5S ZSOO c..-0tBL.e" RD ~"t:It',;)t=-I\f"Lß .; I " Îf\: ' N .' '. .' '. , , , .' " (l1 tlJ 00 " D" d'" 0"0" : ::\ :::*;:~ : : ~ :: ~ ~\;~~ 0, :.S"'.,....~~."', , "".."." . /. I I, \,-4 ,.. /Þ... . " -/. . . , . ::: I::: '~~~:~:~V" :': . . , . . . , . ~ /' . , . , . , , . .' . 0·',· ,q'" :.~:6·:" . . . .. . ':'f, . ~:~. ',' . '~'f ';" ~. ~: .:. ~: '. .' '. .' " . . 'f . .' f t,' ~ ", . ... .'; ,,~ ·f .' :. .. . . I . . 'f . . . . . . '.' .@ '. ' " '. "'; f' '. .....>.'~..' '. , .- ,I...;~~ ,DÇ>Ir7, . .', ':, ,. '~. ,.. , t'oQ.. "¡:t:~~ \...\..3E,t., ., ". ,~~,., ,.. . '. ~.:~', ~:'..: . " ~. I : '. ~ . , . ..f '. . . . . . . .. . ,f,· t' . ,I .. . . ... fT\~i"tPÞ.... . I . . t . . . . . . . : [jtt), l¢ : 5~ :~~~~~~ 'r : ~ct-*~A;, . , '. . . t, . ,. Date map was drawn: -Ll.ljj Dg Instructions , '~. 1': " ~¿~~ò~:dly~~;~¿~~rc~£~~,~:~:;l {¡~g~~:~¿~~~~iJ;~f1.l1~ítþ1ê~~:t~u.r;!¿~¡~¡~i~~~~ locations. of tþe following equipment, if installed:<!!;rnôÏ1itôririg··&Y5ierri..,ÇÇpµ;9rP~el~;~s.êÎiS~i.s'mò?itöriIig!~ annular spaces, sumps, dispenser' pans, spill containers" or Other sèconda&côntáinm~nt ãréas;niechanical oi"è1ectröniclineleak detectors; and in-tank liquid level probes (if used for leak detection). . In the Space provided~t10te the date tlJ:is Site Plan was prepared, . . ,. , . '::-. ,....':'.,.. '.:" . ..... :" ., p{~,;. . .. or ·:~r:~1~(j~~:'jJ~~;~;,~tli;,,_. ..... . 05100 .:,' '. .,~..?;/ ,: ~".. '¡.':~: , , .~":- . .':~; - 111"1[\1\1:.1 I:.^rr::t.~~ ··,e- MODE CHAN 1 NATIlJEe 251313 hI I BLE RD. . CONFIDENCE BAUD CHAN 1 121313 BAKERSFILED, CA. 933134 ~ LEAK TEST 99.13% DATA BITS 1 8 SITE # 132 SCHD TEST 13.113 STOP BITS 1 1 TANK 1 PARITY 1 NONE 1/18/213133 139:49 AM TANK 2 15TH DAY SECUR ITY ALARM REPORT TANK 3 15TH DAY ACCESS 1 TIME TEST 15TH DAY PHONE 1 1118/213133 139:49 AM TANK 1 12:1313 AM REDIAL 1 DISABLED LINER LO PNT TANK 2 ACCESS 2 TANK 3 12:1313 AM PHONE 2 12:1313 AM REDIAL 2 DISABLED ALARM ACCESS 3 TH1EOUT PHONE 3 MARKET EXPRESS HIGH LIM 313 REDIAL 3 DISABLED 251313 I¡J I BLE RD. LOW LI M ON ACCESS 4 BAKERSFILED, CA. 933134 HIGH HIGH ON PHONE 4 SITE # 82 LOW LOW ON REDIAL 4 DISABLED WATER LIM ON DIAL DELI.lJ 1/18/213133 113:313 AM LEAK LIM ON DIAL ALARM SYSTEM SETUP REPORT SYSFAIL ON DIAL LEAK THEFT OFF SOFTWAREUERSION 13.99113 ON SCHD INlJTRY NONE RELAY TI ME 1 I NlJTR 12:1313 AM LOCAT I Ot~ 1 MARKET EXPRE TIMEOUT TIME2 INlJTR 12:1313 AM LOCATI ON 2 SS HIGH LIM 15 TI ME3 I NlJTR 12:1313 AM STREET 1 251313 WIBLE R LOW LIM OFF SCHD INlJRC NONE STREET 2 D. HIGH HIGH OFF TI ME 1 I NlJRC 12:1313 AM CITY 1 BAKERSFILED LOW LOW OFF TIME2 INlJRC 12:1313 AM CITY 2 WATER LIM OFF TI ME3 I NlJRC 12:1313 AM STATE CA. LEAK LIM OFF SCHD DLHST NONE ZIP CODE 933134 SYSFAIL OFF TIME1 DLHST 12:1313 AM SITE # 132 THEFT OFF TIME2 DLHST 12:1313 AM OFF TIME3 DLHST 12:1313 AM lJOL UNITS GALLONS STD ALARM SCHD ALHST NONE LElJEL UN ITS INCHES ALARM 1 TI ME 1 ALHST 12:1313 AM TEMP UNITS FAHRENHE IT ALARM 2 ON TIME2 ALHST 12:1313 AM TIME STYLE 12 HOUR "(; ALARM 3 OFF TIME3 AL!1ST 12:1313 AM DATE STYLE MM/DD/YY ALARM 4 OFF SCHD ACT AL NONE DAYLIGHT SAlJ ENABLED ALARM 5 OFF TIME1 ACTAL 12:1313 AM SET TI ME 113:31 AM ALARM 6 OFF TI ME2 ACTAL 12:1313 AM SET DATE 131/18/21303 ALARM '7 OFF TI ME3 ACTAL 12:1313 AM ALAR'M 8 OFF SCHD ALST NONE NO. TANKS 3 OFF TI ME 1 ALST 12:1313 AM LEAK LIMIT 2.1313 TIME2 ALST 12:eø AM THEFT LIMIT 10.013 TIME3 ALST 12:1313 AM DELIlJ LIMIT 2013.1313 SNTNL MODE OFF START SNTNL 12:00 AM END SNTNL 12:013 AM DELI lJ DELAY 15 REPORT DELIlJ ENABLED REPORT ALRt1S ENABLED REPORT TESTS ENABLED NO. OF ALARMS 113 PRINT INTERlJAL 5.130 ...---- .D RELAY ~ARKET EXPRESS LARM 1 ON '. 56121 WIBLE RD. ALARM 2 OFF BAKERSFILED, CA. 93304 ALARM 3 OFF ¡r:- SITE # 02 ALARM 4 OFF ALARM 5 OFF 1/ 18/21211213 1121:34 AM ALARM 6 OFF ALARM HISTORY REPORT ALARM 7 OFF ALARM 8 OFF 1/18/21211213 1218:15 AM POWER DOWN STD ALARM 1 LINER LO PNT 1/18/201213 08:15 AM ALARM 2 NONE POWER UP ALARM 3 NONE ALARM 4 NONE 1/18/21211213 08:55 AM ALARM 5 NONE POWER DOWN ALARM 6 NONE ALARM 7 NONE 1/18/2003 1218:56 AM ALARM 8 NONE POWER UP SENSOR TYPE 1/18/2003 1219:26 AM SENSOR 1 STD WD TIMEOUT SENSOR 2 STD SENSOR 3 STD 1/ 18/212103 09:28 AM SENSOR 4 STD SYSTEM FAIL SENSOR 5 STD MEt10RY ERROR SENSOR 6 STD SENSOR 7 STD 1/ 18/21211213 1219:28 AM SENSOR 8 STD POWER DOWN 1/ 18/2003 09:28 AM POWER UP 1/18/201213 1219:3121 AM WD TIMEOUT 1/18/2121133 139:49 AM LI NER LO PNT , Io/~ .... I N Undcrground Storage Tank System Secondary Containmcnt Ccrtification Form . Page_ of_ Turbine Sumps, Fill Sumps and Under Dispenser Containment UDC l-'J 10 (1/2, 314, CIC.) . '- - Mltnufacturcr ,..(t Time (to) WAter Level Time (t,) Water Level g" en Time (t2) ~ Water Level N Tùnc (t» .... (T) Water Lcvcl. 0 Time (t..) (T) Water Level 0 "¡C Test Results >C'IO "1 Signature 7.), Rpv 11/01 g" Facility Address: CD o .... o r-- -~ en II) II) Turbine Sumps ID (north, slave, clc.) Manufacturer Start Time (~) Water Level ~ (tl) ~ ater Level Time (tz) Water Level Tillie (h) Water Level Time (t4) Water Level Test Results Signature T"UDg CDntrndD"11f.: 57lIff'<2Ir!l æ~J}ït D,t" ¡ Z -,/¡ ~'.~'<- Contractor Address: C;¡;Y.ð't cJ;;?-4/7'" ~ech. Name: 1J;J.:¡øt/f;? I 8 89 91 \) 87 89 9 } 87 89 91 Fill Sumps 87 89 91 D 87 89 91 D 87 89 9\ D 87 89 91 D JD (north. ~tªy~ etc.) Manufacturer Start Time (to) Water Level Time (t1) Water ~vel Time (tz) Water Level Time (h) Watcr Level Time (t4) Water Level -- _. Test Results Pass Fail Pass Fail Pass Fai) Pass Fail --------.-, -- Signature 87 89 91 D Fail UDC ;g- q' tD (1/2, 3/4, etc.) Manufacturer Start Time (to) Water Level Time (tl) Water Level Time (t2) Water Level Time (t» Water Level Time (t4) Water Level Test Results Pass ~, Pa.'lq <fair} Pass Fail . Pass Fail Signature ~. -r/Z /, ~ /V7----I¿ 3"-<f '7 Whitp - O"oin.. Y,·Hnw _ Ar,..n ¡:'~nvil·nnmpnt~l rnmn1i~nrp, Pinl< _. rnntr",.tnr ... / co o ... o t'- -~ en U') U') Underground Storage Tank System Secondary Co"ntainmentCertification Fonn . , . fitf11i1.,?Juð",.., . OJ'k 17 Æ . ity-#: /, t...¡.r. City: r.;ttj~~ " Facility Address: rZ /d /~ I &é £¿:? (I') . Q. Tanks, Pipjng, & Spill Buckets Page_ of_ Tes~ing Contractor: 1Jø''' S7;?¿t? ?~Ý~å~est Dale:ß "'//>{7'Z Contractor Address: ~d' ú/7è"":p?/»,./.~~e:ØM%Ød'_ UST Altlwlar S ace Tank #1 Product 89 91 D Capacity Manufacturer I . . _~t Start Time ---_..~~.., Initbtl Pressure Test End Time Final Pressure Test Results Signature ..--...--- S ill Buckets Pmduct Manufacturer - ,.1:4..rt Time (to) ! ter Level Time (t,) Water Level Q. Time (t2) en Water Level v Time (t3) C\I Water Level ... (I') Time (It) 0 Water Level (I') 0 Test Results .c Signature ¡;ru "") ~'~. Rev. II/Ol ~ Tank #2 Tank #3 Tank #4 87 89 91 D \ 87 89 9 D' 87 89 9 D Pass Fail verfill #l Overfill #2 89 9(!I') @ 89 OverfiU #4 87 89 91 D White - Original Product Line #1 Line #2 Line #3 Line #4 87 89 91 D 87 89 91 D 81 89 91 D 87 89 91 D Piping Type Primacy Siphon Primacy Siphon Primal}' Siphon Primary Siphon Manufacturer Test Start Time Initial Pressure \.1' .-.---- Test End Time Filial Pressure Test Results Pass Fail Pass Fail Pass fail Pass Fail Signature s d, p: Fail econ arv lPml! Line #5 Line #6 Line #7 Line #8 Product 87 89 91 D 81 89 91 D 87 89 91 D 87 89 91 D -- Piping Type Prirmuy Siphon Primary Siphon Primary Siphon Primary Sipholl Manufacturer - Test Start Time _. Initial Pressure Test End Time Final Pressure Test Results Pass Fail Pass Fail Pass Fail Pass Fail Signature YeHow - Arco Environmental Compliance Pink - Contractor 3, Service Type o Certified Mail o Registered o Insured Mail I ~ o Agent I o Addressee I B. Received by ( Printed Name) C. Date of Delivery I A i't' ,J . Â -)/-(()- . D, Is delivery address different from item 1? 0 Yes I If YES, enter delivery address below: 0 No I I I I I I I I ,I 1 02595-02-M-0835 .1 Arr- · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. ~\ · Attach this card to the back of the mailpiece, or on the front if space permits. I , I I 1, Article Addressed to: I I ( I I ABDUL AZIZ II MARKET EXPRESS I I 2500 WIBLE RD I I : BAKERSFIELD CA 93304 I: I I ,-.. . .~~~-_~~__--../ I I """"\ o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 7002 D860 000016415516 PS Form 3811, August 2001 Domestic Return Receipt BAAlERSF1ELD FIRE DEPARTIJJENT OFFiCE OF ENVIRC:'~;:é~ruAL SERVICES 1715 Chester Avenue, Suite 300 Bakersftsld, CA œ301 \ 'S IIII! 11111111111111 II IIIIIIIIIII! 111111111 III 1111 1111111 1111 ...D M L11 L11 - - ----- U.S. Postal Service . CERTlfl~D MAIL RECEIPT (Darnel 'Wail Only; No Insurance Coverage Provided) \ / 1M I~ M ¡ 0 10 , 0 10 ! d Return Receipt Fee !...D (Endorsement Required) ,I:{ Restricted Delivery Fee ! 0 (Endors ( I ru TotalPj ABDUL AZIZ ! 0 I MARKE 10 SentTo T EXPRESS I r'- _.m_....! 2500 WIBLE RD . ~!.?~~ BAKERSFIELD CA 93304 City, Stti,,,= Postage $ Certified Fee Postmark Here ì --d l£!!-W-¡m-S6Sl0! (8SJ8A8U) .~OOlI!JdV '009£ WJ0:l Sd "ÁI!nbu! ue·6uIJlew U31M I! IU3S3Jd pue Id!333J S!IIA =1NVIHOdWI 'I!ew pue a6e¡sod lH!M ¡aqe x!ye pue 4:>e¡ap 'pap.u S! ¡d!a:>aJ I!ev-¡ pa!~!µaa a4¡ uo >Jew¡sod e 11 '6u!)Jew¡sod JO~ a:>!Jo ~sod a4¡ ¡e ap -!µe a4¡ ¡uasaJd asealå'paJ!sap'~ ¡d!a:>aJ I!ev-¡ pa!l!µaa a4¡ uo )Jew¡sod ell _ ',.ÃJaliJ/aa paJ:J¡JJsal:J" ¡uawaSJopua a4¡ 4¡!M a:>a!dl!ew a4¡ )Jew JO )Ja:> a4¡ as!^PV' '¡ua6e paziJ04¡ne s,aassaJppe JO aassaJppe a4¡ O¡ pa¡:>!JISaJ aq J;ew ÁJa^!lap 'aa~ ¡euo!¡!ppe ue Jo.:J _ 'paJ!nbaJ S! ¡d!a:)aJ ¡!ev-¡ pa!~!µaa JnoJ; uo )Jew¡sod SdSn e '¡d!a:)aJ UJn¡aJ a¡e:>!ldnp e JO~ Ja^!eM aal e a^!a:JaJ 01 '"pa¡sanbal::f Jd¡a:Ja1:J wnJal:J" a:Ja!dl!ew aSJopu3 'aa~ a4¡ Ja^o:> O¡ a6e¡sod a¡qe:J!ldde ppe pue al:J!µe a41 O¡ (~~BE: WJO.:J Sd) Id!a:>a!:l UJn¡a!:l e 4:>e¡¡e pue a¡adwo:J asead 'a:>!/iJas ¡d!a:Ja!:l UJn¡al::f u!e¡qo 01. 'ÁJa^!lap 10 ~oQld ap!^Qld O¡ pa¡sanbaJ aq J;ew ¡d!a:Ja1::f UJn¡al::f e 'aalleuomppe ue Jo.:J _ l!ev-¡ paJa¡s!6al::f JO paJnsu/ Jap!suo:> asea¡d 'sa¡qen¡e^ Jo.:J '/lev-¡ pa!~!µaa 4¡!M 03aJAŒ:ld SI 3Ð\fI:f3AOa 3aNV'l::fnSNI ON _ 'I!ew euo!¡eUJa¡u! 10 ssep Æue JO~ aqe/le^e ¡cm S! /lev-¡ pa!~!µaa _ l!ev-¡ Æ¡iJOiJd JO I!ev-¡ ssea·¡SJ!.:J 4¡!M pau!qwo:> aq A1NO J;ew I!ev-¡ pa!~!µaa _ :SJapu!wal:J JUeµodw/ sJeaJ; OM¡ JO~ a:>!/iJas e¡sod alH J;q ¡da) ÁJa^!lap 10 pJo:>aJ V' _ ÁJa^!lap uodn aJn¡eu6!s V' _ a:>a!dl!ew JnoJ; JO~ Ja!muap! anb!un V' _ ¡d!a:>aJ 6u!l!ew V' _ :sap!AOJd lIew palllua~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES' EIMROIIIlENTAI. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBUC 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 . e 'J "\-..,--~- 'P' Ï' ... December 30, 2002 Abdul Aziz Market Express 2500 Wible Road Bakersfield, CA 93304 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Perform/Submit Annual Maintenance on Leak Detection System at the above stated address. Dear Business Owner: Our records indicate that your annual maintenance certification on your leak detection system was past due on November 14,2002. You are currently in violation of Section 2641(1) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, January 30. 2003 . to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services bY::i ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney ··Y~ ~ ~~ ~ ~t'H'e.9'"'~ A ~~" "V / 10/ . . Dee 02 02 09:29a 5592??0106 p. 1 .. ~jœ®ŒnŒŒf~ 'j1} FEB 2 8 2002 ~ CITY OF BAKERSFIELD IBY .. OFFICE OF ENVIRONMENTAL SERVICES ßT.' 010<0<6 1715 Chester. Ave., Bakersfield, CA (661) 326..3979 ?d .¿ I . , ()o t 1o'S <6.3 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTING FACllXfY ex-PI2E:2J (Í) fJfUC.e:7 ADDRESS 2.S-ex::; W ( ~'-E. 120 PERMIT TO OPERATE # U IIC OPERATORS NAME IU]OuL ~ Z/l- c.. II OWNERS NAME NUMBER OF TANKS TO BE TESTED ::> TANK # VOLU1vŒ l l U, 00c.) '2.. l 1.... L '-> C,) <:) J tu I OCJO. -1 IS PIPING GOING TO BE TESTED '1 ~ CONTENTS (1 A-.=s c-.17.S Y.) I e:;j t= L TANK TESTING COMPANY /}¿¿jm~ ßJt=;-r- MAILING ADDRESS 4(1J¡-¡- .u. J&J/J/F~7talo/ NAME & PHONE NUMBER OF CONTACT PERSON rS7- 27(O-s-<-t7:., TEST METHOD (£Lecr~/J Ie... NAME OF TESTER OR SPECIAL INSPECTOR /7-J/? ~~ / CERTIFICATION # DATE 8ý TIME TEST IS TO BE CONDUCfED ( 2{' ,i C) 7- 1/;1 &L )?u :~-, Û~ '~ }7j7J07- APPROVED BY DATE 8:00AM SiJ ~&wt/) SIGNATURE OF APPUCANT -.'- .- - - .- -'- -- . .' CITY OF BAKERSFlEl..D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd floor, Bakersfield, CA 93301 FACILITY NAME 1\'\6..~~t~ ADDRESS ~Ç'ÖÜ' 'L FACILITY CONTACT INSPECTION TIME " t ~rf'r ,,5 Q1 INSPECTION DA TE-U· ~ì - 0 L PHONE NO. ~~n . 990 ( BUSINESS 10 NO. 15-210- NUMBER OF EMPLOYEES 3 Section I: Business Plan and Inventory Program o Routine ~ombined 0 Joint Agency 0 Multi-Agency o Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate \..; / , ./ Visible address \.- Correct occupancy I \.." / V erification of inventory materials l. / Verification of quantities L ./ Verification of location l. / Proper segregation of material \.. V Verification of MSDS availability \.. Nt<) Ub. 1- Ã_ 'M'ttl~r~"", ~to.'N.l. Verification of Haz Mat training l.. I \'- t, Verification of abatement supplies and procedures l., / t\.. l( Emergency procedures adequate V (\.... " Containers properly labeled V Housekeeping v '/ Fire Protection '\.I '~;t. C2.J. "'\\~~,,~( '" D. \. 11... nil\. t' n.t Site Diagram Adequate & On Hand ,ÍÀ I \\\.D ' , Il}~L ~l.\ &;. iV\ltII^"~l ..(.tI( 6< (L . , . \('L C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o Pink - Business Copy' ... Questions regarding this inspection? Please call us at (661) 326-3979 While - Enll. SIICS, Yellow - Slalion Copy Inspector: , r . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST t 7 t 5 Chester Ave., 3rd Floor, Bakersfield, CA 9330 t FACILITY NAME.J\1\u...~t¿f- EfVrt(þ INSPECTION DATE rh:3 ì'() L Section 2: Underground Storage Tanks Program o Routine ŒÝCombined 0 Joint Agency Type of Tank ,SLÙ Fc:..S Type of Monitoring ;tI(o , o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping AtPr ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile \..... / Proper owner/operator data on tile l.. V Permit fees current ",v Certification of Financial Responsibility l,.v Monitoring record adequate and current \.J ~(lb.\- Dvl i\" ( II "0 L Maintenance records adequate and current V Failure to correct prior UST violations v Has there been an unauthorized release? Yes No I / '-'" Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO ( lo,poolo, ~J tØ~ Office of Environmental Services (805) 326-3979 White· Env. Svcs, ~ ~-J" Business Site Responsible Party Pink· Business Copy Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired, . Print your name and address J¡m the reverse so that we can return the cård to you. I . Attach this card to th€"back of the mail piece, or on the front if space permits, 1, Article Addressed to: MARY~T EXPRESS 2500 WIBLE RD BAKERSFIELD CA 93304 ,.. A -L' I ... I: ~ - <:~'- 7002 D8bO u......,,_ PS Form 3811, August 2001 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) r13l I-- Domestic Il .urn Receipt I I I I 102595-02'M-0835 DYes I I I I I I UNITED STATES POSTAL SERVICE . \ \\\\ \ .:¡ f, First.Class Mail postage & Fees Paid USPS Permit No. G-10 dd and ZIP+4 in this box · . Sender: Please print your name, a ress, I I I I I I I I i I BAKERSF1ELD FIRE DEPARTI'AENT OFFICE OF ENVIRONfl!ENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfietd, CA œ301 ..,,.I m l"- I"'- .JJ M 3" .JJ M U.S. Pos~al Service ' :, . CERTIF,,"·\ MAIL RECEIPT . (Domesti, jil Only; No Insurance Coverage Provided) C I./A b USE r::J r::J r::J r::J Postage $ Certified Fee r::J Return Receipt Fee .JJ (Endorsement Required) CO Restricted Delivery Fee r::J (Endorsement Required) I ~ Total Postage & Fees $ r::J Sent To 'I"'- MARKET EXPRESS š;;iiëi;Äpï.·Ñõ:¡....·..···..·..···..·······-..·..····..······..··........................... or pt¡) Box No. 25.00 WIBLE RD ëiiŸ,·šišië,-z'p¡·:¡···BÄiŒiŠFÏEiD..ëi····9"330¡;..········..........· Postmark Here I Certified Mail Provides: I · A mailing receipt I · A unique identifier for your mail piece . A signature upon delivery I · 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 mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is I required. · For an additional fee, delivery may be restricted to the addressee or , addressee's authorized agent. Advise ti9.clerk'oMnark the mail piece 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, detach and affix label with postage and mail. IMPORTANT: S_iS receipt and present it when making an inquiry. PS Form 3800, April 2002 (Reverse) 102595-02-M-1132 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 FIlE SMm SERVICES· EIMRONIlEJlTAI. SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3979 FAJ«661)326"0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield. CA 93301 VOICE (661) 326-3696 FAJ< (661) 326"0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 fAJ< (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfietd. CA 93308 VOICE (661) 399-4697 FAJ< (661) 399-5763 . e> ~~. r _,-, October 31, 2002 Market Express 2500 Wible Road Bakersfield CA 93304 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 perform this test. bv the necessary deadline. December 31. 2002. will result in the revocation of vour 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. S2~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services ""7~ de W~ .¥OP uØ60Pe y~ ..A W~" " FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326,3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFE1Y SERVICES' ENVIROHIlENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e . September 30, 2002 Market Express 2500 Wible Road Bakersfield CA 93304 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 five 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. sin2~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services ""Y~ de W~.¥'OP ~0Pe ff~ A W~" '" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 21 01 "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 e e D August 30, 2002 Market Express 2500 Wible Road Bakersfield, CA 93304 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 iTom the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perfonn this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perfonn this test, by the necessary deadline, December 31, 2002, will result in the revocation of your pennit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sifi ~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services ""Ye/VÚ~ de. ??on~ .%/<' vØ6tH¥P .Y~ A W~.,., FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 PREVENTION SERVICES FDlE 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) 32EHD576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e July 30, 2002 Market Express 2500 Wible Road Bakersfield CA 93304 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to 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. Si":;:{ ~ Steve Underwood Fire Inspector Environmental Code Enforcement Officer ~"7~ ~ W~.97.we.A0P6 y~ ../6 W~'I'I 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 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 . June 30, 2002 Market Express 2500 Wible Road Bakersfield, CA 93304 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 2500 Wible Road. 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 will be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 will be tested by January 1,2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661)326-3190. Si~~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Environmental Services SU/kr ""Y~de W~ ~ ~0Pe ff~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 21 01 "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 e e April 12, 2002 MARKET EXPRESS 2500 WIBLE RD BAKERSFIELD, CA 93304 Re: Enhanced Leak Detection Requirements REMINDER NOTICE Dear Owner/ Operator, The purpose of this letter is to remind you about the new provision in California law requiring periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(1) of the California Code of Regulations, Title 23, Division 3, Chapter 16; As an alternative, the owner or operator may submit a proposal and workplan for enhanced leak detection to the local agency, by July 1, 2002; complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." Please be advised that there are only a few qualified testers available to perform "Enhanced Leak Testing". All testing must be under-permit through this office. For your convenience, I am enclosing a copy ofthe code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services bY.ft. ./ ti££. . . - ~\ . . ~. , , Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU/kr Enclosures ""SC~ de ?!?~ ~ ./!tOPe .9""bt- A ?!?~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 °H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395,1349 SUPPRESSION SERVICES 21 01 °Ho 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 . February 11,2002 --- Market Express 2500 Wible Rd Bakersfield CA 93304 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1,2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. .. ,. ..." .. . -. ,... . .. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Si2~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm ~~7~ de W~ ~ -.A0Pe ff~ ../6 W~" e . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f'loor, Bakersfield, CA9330I FACILITY NAME ml1.t~t G'!:ift55 ADDRESS ~SOO llhttL~ FACILITY CONTACT INSPECTION TIME INSPECTION DATE I J./13/0 ( PHONE NO. ~3' - qS<o' ' BUSINESS 10 NO. 15-210- NUMBER OF EMPLOYEES L Section 1: Business Plan and Inventory Program o Routine ~ Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pennit on hand Iv V Business plan contact infonnation accurate V 1\..... Visible address Iv V V Correct occupancy Iv Veri fication of inventory materials IL V Verification of quantities IL- V Verification of location II / Proper segregation of material v / Verification of MSDS availability / V Verification of Haz Mat training I / Veri fication of abatement supplies and procedures V / / Emergency procedures adequate ./ Containers properly labeled V ./ Housekeeping V V Fire Protection ~ V Site Diagram Adequate & On Hand /' C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes rt...NO Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow - Station Copy Pink· Business Copy Inspector: · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAMEJ\'la th-t E'lf~ INSPECTION DATE (d.I, ~)IJ I I I f- Section 2: Underground Storage Tanks Program o Routine tr=combined 0 Joint Agency Type ofTankt;W Fè_~ Type of Monitoring AT('") o Multi-Agency 0 Complaint Number of Tanks .3 Type of Piping ~ ORe-inspection OPERA TION C V COMMENTS Proper tank data on tìle I / Proper owner/operator data on tìle í / Permit fees current ; /' Certification of Financial Responsibility l / Monitoring record adequate and current L- / / Maintenance records adequate and current V Failure to correct prior UST violations -" Has there been an unauthorized release? Yes No ( ./' - Section 3: Aboveground Storage Tanks Program AGGREGA TE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS SPCC available spec on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MYF? If yes, Does tank have overfill/overspill protection? c~comp¡;,"'l v~v~ y~y" Inspector: ../ ('II.d1O Oftìce of Environmental Services (805) 326-3979 White - Env. Svcs. N=NO r¡;j)- Business Site Responsible Party Pink· Business Copy' NO.....-19-2001 (~ 04: 13 PM BC-ENTERPRISES - 6616637052 _ P.03 e· , 7104 Ellfhorn St1eet Salce,sfi.,d, CA. 93313 (651) 683-7052 . ~nter~rises ...... ........ ~ Lie # 742735-A f'Y!oNitØ"" E,'P\c..f"~,""'c>, S¡"~1 ODU.l~ ¡lst. ~ ^JI~,n~ CI.. I "AM! I ADD",1181 "Mlt ..10....TURla C)l~TE or 'fUT: /I..... 1'1- ð) J!1rJt"iTOr" fyp"': £''Yt..ov - LLbl LLÞ ).. L L Þ 3 LLÞ t¡ çtP 1 s~p ~ S-+P 3 ~t P '1 ~ G,^1 Sc.,.¡JtJr: ,v/,A t ð""~ ", ~ CITY OF BAKERSFIELD eFFICE OF ENVIRONMENT_SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 (Ð UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Check one item only) o 1. NEW SITE PERMIT o 3. RENEWAL PERMIT "¢ 4, AMENDED PERMIT o 5. CHANGE OF INFORMATION (Specify change . local use only) o 6. TEMPORARY SITE CLOSURE Page _ of _ o 7, PERMANENTLY CLOSED SITE o a. TANK REMOVED 400. BUSINESS NAME (Same as FACILITY NAME IX DBA - Doing Business As) I. FACILITY I SITE INFORMATION 3 FACILITY ID /I 401. FACILITY OWNER TYPE o ,. CORPORATION o 2. INDIVIDUAL ~3. PARTNERSHIP o 4. LOCAL AGENCYIDISTRICT' o 5. COUNTY AGENCY' o a. STATE AGENCY' o 7. FEDERAL AGENCY' 402. Cl dc.c+ NEAREST CROSS STREET w,b ¡ ~1. GAS STATION o 2. DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE .s5 BUSINESS TYPE o 3, FARM 0 5, COMMERCIAL o 4, PROCESSOR 0 6, OTHER 403, Is facility on Indian Reservation IX 'If owner of UST a public agency: name of supervisor of tnJsllands? division. section IX office which operates Ihe UST, (This is the contad person fIX the tank records.) o Yes 405, 406. II. PROPERTY OWNER INFORMATION 408, (. SJ7 ~ 9'11 Ê>R{"U. ((c ¿r 409, CITY 410, STATE 4", ZIP CODE ~I\- 33( ~ 412, PROPERTY OWNER TYPE o ,. CORPORATION o 2. INDIVIDUAl 'l9C3. PARTNERSHIP o 4. LOCAL AGENCY I DISTRICT o 5, COUNTY AGENCY o 6. STATE AGENCY o 7, FEDERAl AGENCY 413, :111;'TAtiK()~ERINFORMATlON' ..... 416. T. CITY 417, 419. o ,. CORPORATION o 2, INDIVIDUAl ~. PARTNERSHIP o 4. LOCAL AGENCY I DISTRICT o 5, COUNTY AGENCY 3),3 o 6. STATE AGENCY . 0 7. FEDERAL AGENCY 420, INDICATE METHOD(S) ': IV. BOARD OF EQUALIZATlONUST STORAGE FEE ACCOU~~~BER .. ' Call (916) 322-9669 if questions arise 421, TY (TK) HQ " - ~:. ".-~., "., ,,'; :; PETROLEUM USTFINANCIAL RESPONSIBILITY o 10. LOCAL GOVT MECHANISM o 99, OTHER: $ 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 a, STATE FUND & CFO LETTER 09. STATEFUND&CD 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used fIX legal notifications and mailing. Legal notiflcations and mailings will be senllo the tank owner unless box 1 or 2 is checked, '1J 1. FACILITY o 2. PROPERTY OWNER o 3. TANK OWNER 423, VII. APPLICANT SIGNATURE Cer1iflcalion: I certify thelthe Information provided herein Is tnJe and accurate 10 the best of my knowledge. SIGNATURE OF APPLICANT ~ DATE 424. PG6l) d 1J '-\l\~ (fì) 425. }O ~ \d-.-O \ ul. Ç\2."2.'2- 426. TITLE OF APPLICANT f \\\(\ ¡v (·k 427. 4. 1998 UP TI 429. UPCF (7/99) S:\CUPAFORMS~wrcb-a.wpd 4. 5, e e EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The infonnation on this monitoring program are conditions of the operating pennit. The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR Facility Name ~+ ~~p\f(!? t7 Facility Address 1. If an unauthorized release occurs, how 'Will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up crom the secondary containment within 8 hours, or deteriorate the secondary containment, then the Office of Environmental' Services must be notified witIUn24hours. ~b1:i7 O~ ~ø;:~~~ <- ~~'- ~ ~~. ~N\l.c.« ~t? It( .c.r· c..,~1A 4tC'(t1 J L~". l^nc~( gf,lk LLlI l( (tIr.L(( tit{ 2. Describe the proposed methods and equipment to be used for removing and properl¥ disposing of any hazardous substance. z:; ql. ( nlft·trf- (l).ç. It.dl.y "ckr 3. Describe the location and availability of the required cleanup equipment in item 2 above. k.,{l1 ~A-tr~t"r(..· o~ to,t;PlPlc,rr- L'~,^, Describe the maintenan/;e schedule for the cleanup equipment: ~~~(þj rlJd L Ÿ List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: f..£ {\ ß ~u l, K. Î-\ z.:::r. 2- \\ \'<\ 3-N' ß. b\ \-\ rv\\\ t:> WRlTEN MONITORING PR~DURES UNDERGROUND STORAGE TANK MONITORING PROGRAM This moDitoring program aiust be kept at the UST locatioa at a11 times. The iDtbrmaIioa oa IhilIIIOIIÌtIXiDI program are COnditiODl of the operaIiag permit. The permit bolder IIUIII DOå1ÿ the Oft1co of EnWonn~.,..1 Services within 30 days of any clul"r to the moDitoriDg Procedures. unJcss required to obrai.a appnwa1 beCorè makiag the chaage. Required by Sectioas 2632(d) aDd 2641(h) CCR. I I I. I Facility Name M~~ Facility Address _ _ _ {;)C~;t5 5 fL Ie fl.l A Describe the ffequency of perfonning the monitoring: Tank ~l'\U\~t"ÙN'; Piping ~'" 11\~ IÍI\I/I'HJ S B. What methods and equipment, identified by name and model, will be used for" perfomiDg the monitoring: Tank 'T hI' (\ If' 1m t') Piping '\Jr.fofA lOot) C. Describe the location(s) where the monitoring will be performed (tàcility plot pIan should be attached): ßc.W Mbk",t- (lJtîrk s-kttt1.\ D. List the name( s) and title( s) of the people responsible for performing the monitoring ançl(or maintaining the equi'pment: (j) A ß\) v L. r::. ~ 7- 3- z- ~ \\ fT\ :t.(\) , fl . 1\\1 In 1\ D E. Reporting Fonnat for monitoring: Tank ~ f.l " Piping ~ A- Tc, F. Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maintenance seb~ule but not less than every 12 months. fut-y LJ. Iht. ~I' r tIt.f.f ?/JI/ÍillA'J G. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: PI í tI^-'f' ~P((I{;¡L.{f(Il-kÒt.r At'tJRDN . CERTIFIC E OF LIABILITY INSU NC¡;'ID JJ . ~-5 09/19/01 THIS CERTIFICATE SUED AS A MATTER OF INFORMATION ONL YAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS' CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DATE (MMlDDIYY PR~DUCER Thomco Insurance Fresno 0791299 4333 N. West Avenue Fresno CA 93705 Phone:559-226-1000 Fax: 559-226-1900 INSURED INSURERS AFFORDING COVERAGE Market E~res-Wib+e Abdul AZ1Z and Amin Ahmad 2500 Wible Road Bakersfield CA 93304 INSURER A: West ort Insurance CO INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ~: TYPE OF INSURANCE POLICY NUMBER DATEfMMlDDNYI DATE iMMlDDN'Ÿ)' LIMITS GENERAL LIABILITY EACH OCCURRENCE $ f..- A X COMMERCIAL GENERAL LIABILITY SST105564 09/07/01 09/07/02 FIRE DAMAGE (Anyone fire) $ 50,000 l CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ ~ 1,000.000 LIQ.LIA PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ I POLICY n j~g n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY f..- $ NON-OWNED AUTOS (per accident) ~ ~ PROPERTY DAMAGE $ (per accident) GARAGE LIABILITY AUTO ONLY, EA ACCIDENT $ 1,000,000 A ~ ANY AUTO SST105564 09/07/01 09/07/02 OTHER THAN EA ACC $1,000,000 X OTHER THAN AUTO AUTO ONLY: AGG $ 2,000 ,000 EXCESS LIABILITY EACH OCCURRENCE $ ~ OCCUR o CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I ¥b~~L~~~s I IUé~- EMPLOYERS' LIABILITY E,L, E....CH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E. L. DISEASE - POLICY LIMIT $ OTHER A Property Section SST105564 09/07/01 09/07/02 SEE BELOW SEE BELOW A Glass & Sicm SU'P'Pl SST105564 09/07/01 09/07/02 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS BLDG-$190,000 PERS. PROP. $60,000 PUMPS $45,000 CANOPY $25,000 HOSES & NOZZLES $6,000 SPECIAL FORM REPLACEMENT COST $500 DEC.-CRIME $5,000 IN & OUT GLASS (UNLIMITED) - CERTIFICATE HOLDER TN I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION CENTRCA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL R.L. RAGSDALE, INC IMPOSE NO ~GATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 3940 ROSEDALE HWY. REPRESENT . IVt;S, /h /f) /:J- BAKERSFIELD CA 93312 -..-~ c... . (. (..]"7 ,~~./' I ACORD 25-5 (7/97) @ACORD CORPORATION 1988 ... , ' . . ~ . .. ..,' .- .--,_.. ..-,-, ,., "-.,..,-....-,......--.-.'.. ".' ,.".' "'..'..' '···/'HAR1Ot"s/""""",· .....................,.....,..,.......,...,'.,......."......:-....'....' ''',·'.·,.·..·,.·,.I,·.·.D, .........................'....,.......,......J....................J,.,..,'.,','.,....,......"."...,..,........,.',....,.,.......,.............,'"....,',-,..,...,.,....."...'....'...........,.....,......,....,..........,.,.......'.....,.....,............................ ~.ÓÎ~I$.~.ÄO: '.'...·..·....·...,.~~,~~~[).~·.'..~t'.~#](.e1:,....Ii~J:~~.~~+~~.~.................................... .. NAMED INSUlŒD: AMIN AHMAD, A MARRIED MAN, AS SOLE AND SEPARATE PROPERTY, AS TO AN UNDIBIDED 1/2 INTEREST AND ABDUL AZIZ, A MARRIED MAN ,AS SOLE AND SEPARATE PROPERTY AS TO AN UNDIVIED 1/2 INTEREST. 438 BFUDOES APPLY-LOSS PAYEE TO READl R.L. RAGSDALE, INC.3940 ROSEDALE HWY.BAlŒRSFIELD, CA 93312 ...... .........""...,....".... ". ...........'..'..p. A· "G' '. E·······2..···· ........."......'." ... .. ".... ...... .", .. :;:;:::::;:;:::;:::;::::::::::.::::;:::::/::: .' ::-:< :/:::::: ...........""..................,... --.. ºA!~º~l~~Aª~..· @) ~&a. Of ç,¡wgnua . S~ W..... a..ou.rc- Coaaol Board . .. ".. I .%, · n_--'" .>:~;;i;,~~~tf~~"~"; ... 'CE'ATIFICATION OF FINANCIALAESPONSIBllITY FOR UNDERGROUND STORACE TANKS CONTAINING PETROLEUM A. I.. "*'.... Ie ...1 ~..o ... AIt?J r Jlr .',-..... ..................1pIGiØIcI ÎII Sealiaa3lG'7. o.,.r ,I. OW. J. -nca. 2J. CCJI¡ 0--....,...-..- . D' .iI*................... . ~D « 01 .we. 40Uan pI'..-rn-- D 1.iDioD doUan au........... 3. htlreby certifies that it is in compl/anctl with the ffIqU/trImfInt6 of &It:tion 2807, ~oi1WØIiIIr'.q.naw ArticJø3, CMpier 16, Division 3, Tttlø23, CalilomÍII Cede 01 Regulations. Themøchllnisml ,..¡ ID døtðQ,tMÆtfI /lnllnt:ial respontlibi!." as requited b Section 2807 are as follows: ~::Møc~~,: '~~~.'I :~~i~t~~=~;:;:::~~¡~:,;::~¡:::; it~~~~cffi~~t ::::¡!:~~1=~:¡~ ~?:t=· ~Jr~~~:' lote: If you are using the StlIte Fund ølUJY part of your demonstJation of tinlfncÍIIlresponsibility, your aøcutJon 1UJd.ubmløion of this certJflclltion also certifltlS that fIOU lire in comDllsncewith III/ cond/tJong for . .. n In the Fund. oa1I.,H- FeåII.,~ , ~ ! : aa1I.,H_ FeåIIlJ~ , , i I ! aciIi., "'- 1'1åII1J~ . ~IJH- '1åII.~ I õ:i1frr "'- F"IJ~ ro(1'Mllo.--o,.r.. .' 0- "- ...11de aI,...o.--ep..- ,..... 01 WI__....., 0- ~alW\__~ I .. ~~ PILII OI1þe1- Lo.I,...., c:.pMI- '1IIØI1JiII1I(1) . - . nr8ftU~%O.8 ~U'lc:azx~ or PIDIICIAL USPOllSIJIu.Ift rallM Pt.... ~ or prfnt ct..,.'y .u iñf...cfon on Certfffc.tfon of ,fr--=f.1 .......f..Ulty fon.. . AU UIT fecH fcf. ..".. .fc_ ... or operated _., be listed on one fo,..: therefor. . ....r.c. c.rclflcat. I. noc requfred for eedl .fce. ooc:unT I.PalMATION A. .............- -- ..... Check tII. ewoprf.te boxe... B. __ of Tn owr.r - full ".. of either Che tank owner or the operator. .. Clpentor c. ......... i)pe - __ of I...... - ......... ....... - c:........... MaLftt . Indfcace ....fdt St.te approved Mdt."i..) .re befni used to MOM. ffrwtcfal roaponafblllty el ther a. contafned in che feden' rotUlatfaN, 40 C'., 'art 280, SWlpart H, Sections 280.90 through 280.103 (S.. flnancf.1 Rpanefblt Ity Gufde, for ..re fnfo....tion), or Section 2802.1, Chapter 18, Dfvf.ion 3, Tftle 23, CCR. List .ll ~ II1d addresses of c~i.. ardIor fndivfduals f....fng coverag.. Lise IdlntffŸt,,¡ nuabér for .ach Mchanf. used. ExMple: Insuranc. policy ......r or fHe nulber as indicated on bond or doc:\DwIt. (If using Stat. CIOIftIp fn (State 'n) l.ave blank.) Jndlcate ~t of coverage for each type of MCh."I..). If.... th." one Mdt",i. I. indlc.ted, total IllUSt equIIl 100x of flnanci.l. responsfbH fey for udI facH Icy. . Indlcat. the effectfve dateCs) ot all tinanclal lIIedIenISll(s). CState f\.nd coverage would be contilUlUS as long as you _Incaln cOlllpllence and r_In el fgfble co conti,.. participation In the F\.nd.) . cornett". Acttan - Indfcaee yes or no. Does tho speciffed flnanci.l Mdtanf. provfde cove..... for correcelve actfon7 (Jt uslngSt.t. Fund, Indlc.t.,..,..·.) COV'8I.... Perf ad . third Party - c...,....ø..Cf on D. facfllty- In''''''.ctan E. Sf.,wacwe Ilode - Indlcat. yes or no. Does the specified financial MChanf.. provfde cover.ge for third party ~atlon7 Of using State Fund, Indlcat. ...,....) provl de .ll facH f ty end/or site "...s and address... Provide .Ignature and date signed by tank owner or oper.tor; printed or typed ~ and eltl. of tank owner or operator; signature ot wltneaa or nota,.., and date signed; and printed or typed name ot wltn... or notary (If noea,y.fgns .. witness, pl.... place notlry seal nexe to notary's signature). ~ to Ian I:IdJffClltfon: . Pl.... aend orf,fnaL co your local agency (agency ....0 f.aues your UST penlfe.). Ie.. a copy of the certfff~cfon at each feef l fty or .ft. llsced on the fo,... awstlON: If you havo quøelona on ffnancial rnponaibHlty requirements or on the Certification of financial ...porwibUley'o,.., please contact the State UST Cleanup FI.Td at (916) 139·2415. Note: '-ttt. for f.Uure to ,.-tv with 'l'*'Clat lesoorwlbUlev Reœd~.: 'allur. to c~'y..y r..utt fn: (1) Jeoperdlzlng clal..nc eligibility for the St.t. UST Cle~ Fund, and (2) lilbn fey for civIL penal tl.. of up to ,110,000 dollars per day, per ~rgrClU1d acorag. tank, for .ach day of vfolaelon .. sceeed In Artlcl. 7, Section 25299.76(8) of the Califomla He.Uh and s.f.ty Code. . .-..... ,lJ/ . ,~' "(·1~~,!t. ";' A.' /- ....... .......... . -- -- '-' r'fPE OF 4CTIOH I C.....,. ~". ,,..,, """" , CITY Of BAKERSFI.£.LD __FICE OF ENVIRONMENT. SERVICES 1115 Chester Ave., Bakersßeld, CA 93301 (661) 326-3979 UNDeRGROUND STORAGI! TANKS. TANK PAGE 1 t ,.. a '. HIW 'ITII PeAMIT 'Ef"4, ~o PeAMlT a J. AeNtWAto PeN.4lT - III o s. OWIOI 01' INFO~ TION) o S, TI!MPOAAAY SlTII ct.o~Re . o T. PEAMANeHTl Y ClOseo ON 3I1'e o s, TAM< ReMO\'1!O 1Sø«q __ . oW 1OcM.... """" !lUStNESS f\Wo4I! Is-... ""OUTY NAMII Of 08A. Doong..... "'-) + J ANI< I . lOA I , I /-. ilJ L TANK DeSCRIPTION en(. (1W local.,.. odyJ ~ COMPAAnENTAto!ZEO TANI( a v.. It -v.... oamlele one page lor .. TANK CCN'rINTI '. i TN«USI .. i 'M I. MOTOR VEHICU ~ I ¡r; maMd. ___ """"1)pe) ! 0 2. HOfUUEl~ I 0 3. OfEMICAL PAODUCT I 0 4, HAlAAOOUS WA8TI! (htåIdN , 01) I095.~ I TVPE OF TN« I (Ch«Jt - ." odyJ ; i T ANI( '"" TERIAI. . pftftIry ... 0 1. &W! STEEl. 11Ch«Jt OM ..., odyJ 0 2. STAN.ESS STEEl. I TAM( '"" TëRIAl . NQQrICMry ... 0 1. &W! STEa 1Ch«Jt OM ." odyJ [J 2. STAH.ØS STœ, TAM( /HTEAIOR IJNN:J OR CQAT1NO . fCMdl_1MI MM OniER CORfIOSIOH PROT£CT1ON If' APPlICAIU (Ch«Jt OM ltm only) SPILL AHO OIl£AFU ICheck.' ~I~) I P!1'AOU!UM TYPI! o 1L ReGU.Nt UNJ!AŒD 0 2. LEADED 1J.1b. PAÐoIUM \JNUW)ED 0 3. DIESEL o 1Co r.IOGfW)E IN.E.AOED 0 4. GASOHOl COI.M)H NAMe 1hIm HutItdøua AMIIMIò 1tMtIby~) [J 1. MNU'ACnJN!D CATHOOIC PAOT!CT1CIH a 2. SACItI'ICW. ANOOI! . YeAR INSTALL£D ~ I. ~COHTAN.EHT g 1 ~ 2. 0fI0P TtJ8a ! ) 51 ,. ITAIICIR PLAT! ~ ) "1B 1. 8IQJ! WALl. o 2. DOU8U! WALl. C 1. RUIIIIR LHD C .2. AUa'D UNNQ o 5. JEr FUEL EJ e. AVlATIOH F1JEI. 0.. OTHER CAS '(homHuatrløua~~~) 441 .. TANK CON8TRUCTION . 0 3. SlNGUWAU. WITH I!XTI!IUOR '1&ØWE L.ø o 4. SINGLe WAlL IN A VAUI, T o 3. FI8ERQlASS 1 FUSTIC f)i£ ... STEEl. CW) WIFæRGlASS RElNFORŒO FUSTIC (FRPI o 3. FlBERGtASS I FUSTIC o ... STEEl. CtAD WIF1BI!RGtASS , REJNFOAœO PlASTIC (FAf') o s. i::oHcAere o So EPOXY I.M«) [J ... PHI!NOUC I.M«) o So SINGle WAlL WITH IN1'ÐINAL ILADOER SYSTEM 0115. ~ Dee. OTHER o 5. CONCRETE 0 lIS. ~ o .. FRP COMPATIBlf Wl100% METHANOL 0.. OTHER 44- ~ o a. FRP COMPATI8U! WI100% METHANOL o t. FRP HOH-CORRoot8lE JACKET 0,0. COATED STEEl. o lIS. ~ o lie. OTHER 44.5 o .. 0LA88 LINNJ 0 lIS. UNCNOWN [J .. UN.N!D 0... OTHeR 1Zf So I'fISI!AGI.AaS A!N'OftCED, PlASTIC 0 115. ~ 448 b ... M'AESSED CUARI!HT a ee. OTHI:R D4T1! INSTALL£D 447 .... 7FM'1«»I.,.. onM D4T1! INSTALL£D 44¡ 450 TYPE (FotIOUl UN only) (F« 1«»1_ only) 451 OVERFILL PROT1:CTION EQUlfIt.EHT': YEAR INSTAlLED 452 o 1. AI..AAM 03. FILL TU8ESHVTOFFVAlVE_ o 2. BAlL. FlOAT 0 4. exEMPT 05. MAHUAL TAHKQAUOINO(MTO 0 1. WJuAL(SINOUIWAlLINVAUlTOM.Y) o .. VADOse ZOHf! 0 2. CONTINUOUS INTI!ASTlTIALMONlTOAINQ o 7, CWXJNDwATER 0 3. MANUAto MONITORINQ o .. TN« TUTINO o It. OTHIR V. TANK CLOIUQ INI'ORIIA TIOH I P."IIAHINT CLOIUQ IN PLACI 4U IITIMTIO QUAHJTTy 01' sueeTANCIIWoWNNI .... TANK ,uao WITH INIAT IMTllUAl.1 .,T'MATIO OATI L.4tT UUO~Y) UPCF (7m) A.~~ MION o v.. O. S:\CUPAPORMS\SWRCø-Ø.WPO ~ ;è I e CITY OF BAKERSFIELD . OfI'ICI OfIINVIRONMENTAL Sf.S 1715 C........ Aw.. llakerefteld. CA '3301 32e-Jt1t -I VI. .-...0 CONITRUCTIOH (C/** iI..., WIr1 UNOEAOAOUNO PlPINO , SYSTEM rYPE . b(, PRESSURE 0 2, SUCTION 0 ). OAAVlTV ..,. 0 I. PRESSURE :: TRUCTIONl~ '. SINGle WALL 0 ). LIN1!D TRfHOf 0 . . OTHER 480 0 I. SiNGlE WALL MANUFACTURERiÓ 2, OOUBle WALL 0 M. U~ 0 2, OOUBLE WALL ' i IMNUFACTURER .., MANUFACTURER ¡O I. BAAl! STEEL 0 e. FRPCOto4P4T111l!WI l001UÆTHANOL 0 I, BARE STEEL ; MATERIALSANOI~O 2. STAlHLESSSTI!I!I. 01. QALVAHIZ!OSTUL 02, STAINlESS STEEL : CORROSION , PROTECTION ~O)' PlASTIC COMPATI8U! WITH CONT£HT'S 0 M. UNICNOWN 0 3. PlASTIC COMPATIBLE 'MTH CONTENTS . I ~. FIBERGLASS 0 a. 1'lÐCJ8U! (HOPE) o !Ie. OTHER 0 4. FI8éRGl.ASS , ; S. STEEL WI COATING 0 9. CA THOOIC PAOTECTION 4ð4 0 S. STEEL WI COATING W. PPtNG U!AK DnECTJON (Chd iI tIM -øpIyJ o I S, ANNUAL INTEGRITY TEST (0. I GPH) o 11. DAILY VISUAL CliECK ~lIauT ·':'~..i,æ~ì::~;~·'¡~' ....... ~~\... ..'. .-('.......,,;;¥'<'t¡.,. I DISPENSER CONTAINMENT 0 I. FLOAT MeCHANISM THAT SHUTS OFF SHeAR VALve OA TE INSTALLED ... 0 2. CONTINUOUS DISPI!NSt!R PAN SENSOR . AUOI8U! AHO VISUAL ALARMS NON l --' 0 3. CONTINUOU8 OI8ÆNSeR PAN SENSOR mnt AUTO SHUT OFF FOR DISPENSER. AUDIBLE AND VISUAL AI.AAMS DC. OWNIRJOP!RA TOR SIONA TURe I oeMy 11181 tile illlormlllon II'O';tCec II...." It Ir\Ie end IICQ'~ 10 l1li bell 01 Illy 1IJIowIedge. S~TUReOFO~~TOR UHDERGftOUNO PIPING PI PRESSURIZED PIPING (CMcIt ., tN,~): ~ 1.' ELECTRONIC UNI! LEAl< DETECTOR 3.0 Gf'H TEST mDf AUTO PUMP SHUT OFF FOR r LEAl<. SYSTEM FALURI!. AHO SYSTEM DISCONNECTION. 4UDØJ! AHO VISUAL AI..AAMS o 2. MOfffiC. Y U 0fIH TEST o 3. ANNUAL INTEORITY TEST (0.1 GPH) . CONVENTIONAL SUCTION SYSTEMS: I 0 s. CAlLY VISUAL MONITORING OF PUY>IHG SYSTEM . TRIÐH4L PIPING INTEORITY TEST (0. I GPH) I, SAFE SUCTION SYSTEMS (NO VALVES IN BelOW GROUND PIPING~ o 7. SELF MONrTORlNG .' GRAVITY FlOW. o 9. BIENNIAL INTEGRITY TEST (0.1 OPH) 8eCOHDARA.Y' COHTAlNED PII'UIQ PRESSURIZED PIPING (Ch«Ir ., /Nt~): I 10. CONTlMJOUS TUR8INE SUMP SENSOR M111 AUDI8t.£ NÐ VISUAL AlARMS AHO (Chedc one) i 0 a. AVTO PU~ SHUT OFF ¥MEN A LEAK OCCURS o Þ. AUTO PU.... SHUT OFF FOR LEAKS. SYSTEM FAILURE NÐ SYSTEM DISCONNECTION o Co NO AUTO PUMP SHUT OFF , o I ,. AUTOMATIC UNI! l.EAJ( DETECTOR (3.0 Gf'H iEsT) mDf FtÞN SHUT OFF OR RESTRICTION o 12. ANNUAL IHTEGRrTY TEST (0.1 GPH) SUCTIONIGAAVITY SYSTI!M: o 13. CONTINUOUS sua.P SENSOR. AUOI8U! NIlJ VlSUALA&NIMS !IWtODICY' O!NIMT'OftS OM. V (CIIedr" fief."" o 14. CONTINUOUS SUMP SENSOR wrTHOl11' AUTO PUt.IP SHUTOfF. AUOIØU! NIlJ VISUAL AI.NWS o 15. AUTOW.TIC LINE l.EAJ( DETECTOR (3.0 GPH TEST) ~ FlOW SHUT OFF OR RESTRICTION I 0 1 a. ANNUAL INTEGRITY TEST (0.1 GPH) 10 17, OAILYII1SUALCliECK . Peoe utT o1'AHk ,. t:I - ASOveGAOUNO PIPING - . o 2, SUCTiON o 95. UNJ<NQWN o 911. OTHER o S. FRP CO....ATlBLE WI 10011. ~ I o 7. GALVANIZED STEEL o S. FlÐCI8U! (HOPE) O!le. OTIiE o 9. CATHODIC PROTECTION 095. UNKNOWN o 3. ORA"",,, - 4M ASOVEGAOUND PIPING WALL PIPING PReSSURIZED PIPING (CINIc1c " tN, .",q): o 1. ELECTRONIC UNE LEAK DETECTOR 3.0 GPH TEST:œI11 AUTO PUMP SHUT OFF FOR l.E SYSTEM FALURe. NÐ SYSTEM DISCONNECTION. AIJOI8U! NÐ VISUA&;ALAAMS o 2. MOHTHl Y 0.2 0fIH TEST o 3. NHJAL IHmWrY TEST (0.1 OPH) o 4. OAA.Y II1SUAL atECX CONVENTIONAL SUCTION SYSTEMS (Chedt .. IN'~): o 5. CAlLY VISUAL MOHrTORING OF PIPING AHO PUMPING SYSTEM o S. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BElOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Chd" tN, ~J: o 8. OM. Y VISUAL MONITORING [J II. 8IENNIALIHTEGRITY TEST (0.1 GPH) 8ECONDARIL Y' CONTAINED PfPfNG PReSSURIZED PIPING (CINIc1c ., tNt appIyJ: . 10. CONTINUOUS TURBINE SUMP SENSOR:!!D1! AUDIBLE AHO II1SUAL AlARMS AND (c:heC:k 0- o a. AUTO PU.... SHUT OFF 'MEN A LEAK OCCURS o b, AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCOHNECTJC o Co NO AUTO PUMP SHUT OFF o 11. AUTOMATIC l.EAJ(.OETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONlGRAVITY SYSTEM: o 13. COHTlNUOUS SUMP SENSOR + AUDIBU! AHO VISUAl. A&AAMS EMERGENCY' OeNeItAT'OftS OHL Y (Chd" tIM ~ o 104. CONTlMJOUS SU.... SENSOR wrrHOUT AtlTO PU.... SHUT OFF. AUDIBlE NÐ VISUAL AL4AMS o 15. AUTOMATIC LINE LEAl< DETECTOR (3.0 GPH TEST) ... ' ... '/ Z ~'2- I PemIII túnOet IF« OeM .". OIIIyJ 47:1 I PemúI ~ {Fot 1OotI... onIyJ UPCF (1199) ,.'~."~. .~~~ o .. OAA.YVlSUALCHECK o 5. TR£HCH UNER I MOHrTORJNG '1st. NONe .46G CATE 470 411 10- lð..· 0 l TITU! OF OINNERIOPERA TOR r~\\.1N C-r- 472 474 PennJf f!q)hIjotI 0Me {FoIIOCII uN (ItIIy) 4U¡ S;\CUPAFORMS\sWRcø-ø. \¡{po ····1t . ...,~ . l .. 1 , ". ':1 t.,f. .'J_.~,_. rYPf! OF 4CTI()H I CJI«. ~". ._ """" CITY OF 8AIŒRSF~LD __FICE OF ENVIRONMENT. SERVICES 1115 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNOeRGROUNOSTORAG!TANKS-TANKPAGEt , a " NIW SITII I't!AMlT rr:J... 4, AMeNClD Pl!AMlT Peoe 01 o s. OW«JI 0' INF'OAMA noN) o 4. TI!MPOAAAY SITS CLOStJRe o 1. PEIUWll!NTI. Y ClOseD ON SITe o 4. TAM< AeMOVf!D a J. ~A4. PelUMT ($tHcq -- . _1IIcaI "'. 0III'f1 au SINESS I'WoII! (SIme . ,. AClUTY NAMII at 08A . 0cIIII9 ...... AI) J 11';;" 1M L TANK D!SCRIPT1OH ANKI COMPAATMENTA4.IZED TANK a Yes It "Y.'. comøIIC. one øege for Nett c:cmø-tmen«. .. TANK CONTINTI .. i TAN<UR ... ; 0 I. MOTOR VÐtICU I'UB. ! (If tNMd. ~......... J)peJ ! 0 2. NOH-F\JEl~ I I 0 ), OfEMICAI. PAOOUCT I 0 4, HAlAAOOUS WASTI! (1/dIdN , /JMd 01) I 0 95. 'UNOIO't'M I I TYPE Of' TAN< I {CMck OM ..." odyJ i i T ANI< AM TERIAI. . PI"*Y '-* 0 1. BoW! STEEl. I {Ch«Jc OM om odyJ 0 2. STAN.£SS STEfL , r AAK AM TERIAI. . -*'Y ** 0 1. BoW! STI!EL (CMck OM ..." odyJ C 2. STAINLUS STI!S, UTlMATID CArt WT UIlO~Y) TAN< INTI!AIOR LNNO OR COAT1NO I {CIt«J¡ _1M /111M OTHER CORROSION PROTECTION '" AfIf'UCAIUI (CIt«J¡ OM 11m tidy) SPILL ANO O\I£RFU I (ChKk ~. ~11PPI'1) I -- UPCF (7m) ÆTROl!UM TYÆ o II. RIGUlAR tJtUAOED 0 2. U!AOED o III. fIftSIUI<t tJtUAOED 0 3. 0IESa o Ie. MOGRAOe UNt.EADED 0 4. GASOHOL COfoM)H IW<I! 1Iom HIzatdocØ AM..,. ~".) o S. JEr FUEL EJ I. AVlATIOH FUEl. 0.. OTIi£R CAS .(ftom,.,...~~~) 441 4 ~ 1. 8INOU! WALL 2. DOU8U! WALL .. TANK 00N8TRUCTI0N o 3. SINGle WALL \\mt EXrEIUOR ~1!I1IfWE LINER 04. sa-ø.eWAlLtfAVAULT 44 o 5. SINOU! WALl. wnH IHTERNAI. 8LAOœR SYS'T'EM o 85. UN<NOY.tf o eg. O'THER o S. CONCRETE 0 85. UHI<HOYrN o IS. FRP COMPATIBle Wf100% ~ 0.. O'THER [J 1. ....LMD [J 2. AIJM) LIINQ o 3. FIBEROlASS I PlASTIC ~ 4. STEEl. a.AD WIFI8ERGlASS REN=ORœD PlASTIC (mP) o 3. FllERGtASS 1 PlASTIC o .. STEEl. a.AD WFIIERGL4S8 , AEINFORœ.D PlASTIC (FRP) o 5. i::oHaœr& o 3. EJIOJCY UNNO C 4. PH!HOUC LM«) 44- o IS. FRP OOt.IPATI8t.E 'M100% METHAHOl o t. FRP NOH-CORRoot8Le JAO<ET o 10. COATED STEEL 085.~ D.. OTHER 445 o .. 0LA881MNJ CI.UN.NÐ 0.. IJNCNCMN C II. OTHeR D4Te INSTALLEO 447 448 fF<w1oW _ ðfWJ D4Te INSTALlEO 44¡ [J 1. awurACTUAmCATHOOIC PAO-m:noH [J 2. SAaUI'ICW. ANOOe Y1Wt INSTALlEO ~ 1. SPIll. CONTAINMeNT ~ ~ P 2. DfIOP T\JI8 ß > J. ITRICI!R f't.ATI . ~ ) $ 3. f1IEROlAaa RDI'ORCEO.1'\AIT1C 085. UN<NOY.tf á ... M'AeSSED CURReNT 0 lit. OTHeR ..... (FtNloWuu ody) OVERFill PROTECTION EQUIPf.EHT: YEAR INSTAlLED o I. AlARM 03. FlU. TUBE SHUT OFF VALYe _ o 2. 8AU. FlOAT 0 4. exa.tPT 450 TYPf!. (For IouIUH tidy) 451 452 ~~tr.~WK 4M o So MAHUAI. TNIK GAUGINQ (MTO) o .. VADOse ZONe [J 7, OftOUHDWATER o .. TAN< TUTINO o It. OTHeR V, TANK ct.OIUtaIlHP'oRMATIOHI P."MAHIHT CLOIUQ IN PLACI IITIMTlO 0UAHnTV ~ SUllTNCI ftIMANNQ 4H TAHIC ,uao WITH IHIRT MATlltlAL1 IIIaN 0 v. C No 457 o f. VISUAI.(SIHOlIWALLINVAULTONLV) o 2. CONTINUOUS INT!ASTITIAL MONrTORIHO o 3. MANuAL MOHlTOAlNQ S;\CUPAPORMS\SWRC!HI·WPO 'I . e CITY OF 8AKeRsFleLD . o.r'ICIOI' INVIRONMEHTAL serAes 1115 c........ Aw., llak.""".,d. CA t33011Wf, 328-3919 - VL ..... COHITRUCTIOH (C/IKIf .. Nt IIIPIYI' UNoeAOAOONO PlPINO , SYSTEM rfPE '1á I. PflESSURe (] 2. SUCTION 0 3, OAAVlTY ~sa' 0 '. PflESSURE CONS TRUCTiONl%'; SINOle WAlL (] 3, LINEO TAEHOt 0 911. OTHeR 480 0 I. SiNGlE WALL MANUFA.CTUREÅIÖ 2, oou8I.e WALL (] M. UNI<NO'MI 0 2, OOUBLE WALL i AMNYFACTURER oIðl MANUFACTURER ! 10I.BAAESTEEL. 08. FRPCOfo4PATI8l.I!WllOO1UIITHANOL 01, BAAESTEEL : MATERIALS AND¡ 0 i. STAINLESS STeEL (] 7. QALVAHIZ!O ma. 0 2. STAINLESS STEEL : CORROSION , , PROTECTION 10 3, I'lASTrc COMPA TIIU! WfTH COHTEHTS 0.. UNKNOWN 0 3. PlASTIC COMPATIBLE WITH CÒNTENTS ~ 4. FI8I!RGlASS ' (] .. FU!XlBU! (HOPE) 0 911. OTHER 0 4. FIBeRGlASS ! tJ S, STEEL WI COATING 0 g. CA THOOIC PROTECTION 4ð4 0 S. STEEL WI COA TINa VI. PItIfG LEAK DeT1!CT1ON (CMdt .. "., ~J '. , UNOEAGROUNO PlPINO PRESSURIZfD PlPlNO (Ch«k ., INt fPPIY): I. ElfCTRONIC UNI! LEAl( OET1!CTOR 3.0 GPH TEST mnf AUTO PUMP SHUT' OFF FOR LEN<. SYSTeM FAlLUIU!, AND SYSTÐtf DCSCONECTIOH . AUOØ.I! AND VISUAL AI.AAMS o 2. MONTHLY 0.2 OPH TEST o J. ANNUAL fHTEQAfTY TEST (0.' OPH) CONVENTIONAl SUCTION SYSTEMS: I 0 5. CAlLY VISUAl MONITOR/NO OF PUMPING SYSTEM . TRØNAL PIPING IHTEOAITY TEST (0.1 GPH) /' SAFE SUCTION SYSTEMs (NO VAlVES IN BElOW GROUND PIPING): o 7, SELF ~NITORJNG " GRAVITY FlOW: o 9, BiENNIAl IHTEGNTY TEST (0.' OPH) Sl!COICWaI. Y CONTAINEO PIPUIQ PRESSURIZED PIPING (CMdr ., "., fPPIY): 10. CONTINUOUS TUR8INE SUMP SENSOR Mn1 NJOI8lE NÐ VISUAL ALARMS N#O ' (Checx one) o a. AUTO PUMP SHUT OFF WHEN A lEAK OCCURS (] b. AUTO PUMP SHUT OFF FOR LEAI<S. SYSTEM FAILIJÆ NÐ SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUTOFF , o 11. AUTOMo\ TIC UHI! LEAl( OETECTOR (3.0 GPH TEST) mnt RJ:1N SHUT OFF OR . RESTRICTION o 12. ANNUAlIHTEGNTY TEST (0.1 OPH) SUCTION/'GAAVITY SYSTEM: o '3. CONTINUOUS SUI.tP seNSOR + AUOI8U! N#O VISUAL AiNIM9 IIŒMINCY OEHIItATOftS OM. Y (CINdI....., WIYJ o 14. CONTINUOUS SUMP SENSOR ~NJTO PUfo4P SHIITOfF.AUOIIIU! N#O VISUAL AI..AAMS o 15. AUTOMo\ TIC LINE LEAl( OET1!CTOR (3.0 GPH TEST) ïdItQ!JI RJ:1N SHUT OFF OR ReSTRICTION I 0 Ie. ANNUAl INTEGRITY TEST (0.1 GPIi) o 17, OAILYVlSUALCHECK .., , '.. '".' Peoe lIlT 01'",-,. ~ AaovEGROUNO PIPING o 2. SUCTION o 9$, UNKNOWN o 98, OTHER o 3. OAAIII'TV - - o 8. FRP COMPATl8I.E WI '0011. ~ o 7. GALVANIZED STEEL o 8. FlEXI8LE (HOPE) 0 911. O'ni£ o 9. CATHODIC PROTECTION , 0 95. UNKNOWN 4ðð A80VEGROUND PIPING WALL PIPING PRESSURIZED PIPING (Ch«k ., INt IIJPIY): o 1. ElfCTRONIC UNE LEAl( DETECTOR 3.0 GPH TEST mnt AUTO PUMP SliUT OFF FOR LE SYSTeM FAILURE. AND SYSTEM DISCON'ECTION . AUDI8U! AND VISUAL ALARMS o 2. MOHnit. Y 0.2 GPH TEST o 3. NNJÞL NTEGRlTYTEST (0.1 GPH) o 4. OAII. Y VISUAl CHeCK CONVENTIONAl. SUCTION SYSTEMS (Ch«;k" INt-mJ: o 5. CAlLY VISUAl. ~NITORJNG OF PIPING N#O PUMPING SYSTEM o 8. TRlENMAL INTEGNTY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VAlVES IN BelOW GROUND PIPING): o T. SELF ~N1TORING GRAvrTY FlOW (CMdc ., INt ~): o 8. CAA. Y VISUAl. MOHfTORING CJ e. BIENMAL INTEGNTY TEST (0.1 GPH) 8ECOHDARSt. Y CONTAINED PIPING PRESSURIZfD PIPING (Ch«k "lNt apply): . 10. COHTINUOUS TUR8INE SUMP SENSOR m:!!:1 AUDIBLE AND VISUAl. AIAAMS N#O (åI8ck c:r o a. AUTO PUMP SHUT OFF WHI:H A lEAK OCCURS o þ, AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTIC o c. NO AUTO PUftI> SHUT OFF o ". AUTOMo\TIC LEAl( DETECTOR o 12. ANNUAL IHTEGNTY TEST (0.' GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUOI8U! N#O VISUAL ALARMS EIŒROeHcv OI!M!RATOItS ON\. Y (CMdc""" ¥PM o ,<4. CONTINUOUS SUMP SENSOR wrrHOl1T AUTO PUMP SHUT OFF. AUDIBLE N#O VISUAt. AlARMS o 15. AUTOMATIC LINE LEAK DETeCTOR (3.0 GPH TEST) o 18. ANNUAl INTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAl CHECK Þ.. .' ~.. ~~:).~·;~t~~~~~1~:- OISPEHSERCONTAlNr.tI!NT 0 1. FlOAT Ml!CHANISM THAT SHUTS OFF SHI!AR VALve CA Tf INSTALLeD ... 0 2. CONTINUOUS DISPEHSEA PAN SENSOR + AUOf8U! AHa Vl8UAl AlAAMS o ). CONTINUOU8 DlSPt!N8l!R PAN SENSOR mD1 AUTO SHtIT OFP FOR DISPENSER · AUDiBlE AND VISUAL AIAAMS IX. OWNIRJOPI!RATOR SIONATURI! 1 '*"t)/ 11181 lIIe ltllonnalloll ØIO'ACIed ".,., It! rrue 8nd .œur8le 10 IN *' 01 my 1InowIedge. SIOHA TURe OF OWNERIOPeRA TOR NAMI! OF OWNERIOPERA TOR (pmt ~ \1 IJlJ l . Ç\ , -z.. -:1 '2.- ,P."rIII tbrtoet (For /oeM uø only} 413 I PwmllAøøtCMd(I"Ot....M)'} UPCF (7199) 471 470 CATe <412 474 P","II~OIIe(ForGCIIIM~} 415 S;\CUPAFORMS\sWRcø-ø·WPO ,.LV . ~ · 1 ~ ". : ':.,1, 1 ~~ -""" ' ~ -- -- .-. . CITY OF BAKERSFI.£..LD _FICE OF ENVIRONMENT. SERVICES 1115 Chester Ave., Bakersfield, CA 93301 (661) 326-3919 uNOeRGROUNO STORAGE TANKS· TANK PAGE 1 , P-oe rYPf! 0' .CTI()H CJ '. HI:N 31TII PeIUMT 'rp. 4, AMVOIO ,",R"'T 0 S, OWICJI 01' INFORIM noNI 1 CMc' 0'" ._ øNI 01 o a. rl!MPORAAV SIT!! ClOS\JR¡! o T. PERMANeHn. v ClOseD ON 3fT!! o S. TN« RI!MOvt!D CJ 1. /t!NeWAt. PelUMT (~---- . '-1OcM.u. ""'Y) BUSIHE'S ~ (SIme.. ~AClUTV NAA4III QI 08A . ec.no..... "-I J I rtJIE OF TN« I (~OM.... ody i ¡ T ANK' ~ nR!Al. ømIIIy link 0 1. B.W! ST&L ¡ (ChWc OM - ody 0 2. STMuss ST&L , TAN( ~ TëRIAI. . --.y link 0 1. B.W! STI!a. (ChWc OM "'" ody 0 2. STAH.US 8T!EI, IS( 1. SINOU! WALL o 2. OOUIIU! WALL AHI(I ì I~~~--- i TN« USI 4» ; 'fi,. MOTOR VI!MCU JIUI!L I (It tNmtI. ~ "...,.... 7)e)e) ~ 0 2. NQN.AJEL fIE'T'AOL.eUM I I 0 J, CHEMICAL PAOOUCT I 0 .. HAZAAOOUS WAST!! (Ittt:AIdN I' !bed 0#) o 95. UfICNO'Ittf TN« IHT!IUOR ~ OR COATINO s L TAHK DeSCRIPTION CO....AATMEHTAt.1ZED TANI< 0 v.. 0 No /I "Yea'. com.. one liege for UCI1 CIOInØartment, (Jk_ .. TANK CCN'T!NTI .. fI!TAOU!UttI T'I1'e 15(1.. RI!OU.Ntt.H.l!AOED 0 2. LEADED Ó 1b. ~ t.H.I!AOED 0 3. 0IESa. o Ie. ~UtUAœD 0 4. GASOHOL COIM)H IWoI! (10m ~ """""'1IMfIÞy".) o S. JET FUEL EJ .. AVlATIOH F\JÐ. O~. OnŒR ....1 CAS' (Itom~......,. ~".) . .. TANK CON8TRUCTION o 3. SlNGU!WALL \WH EXT2RIOR 'eWWE LN!R 04. SINOU!WAU.NAVAUlT o 1. FI8ERGlASS I f'tAST1C ':-C' 4. STEa. Cl.AO WIFI8eRGlASS 7' RElNFORœO f'tAST1C (FRP o 1. FlBE.RGt.4SS I f'tAST1C o 4. STEEL Cl.AO WIF18ERGlASS , ÆJNFORœD f'tAST1C (FRP) o .. C:oNc:AmI [J 3. I!JIOXY LIf..o [J 4. PH!NOUC LM«I o 5. SINOU! WAU. WfTH IHTERNAI.IILAODER SYSTEM OM.~ o ge. OTHER o S. CONCReTe 085. UN<NOYttI o 8. FRP COMPATISU! WllOO% IÆTHAHOt. 0 ge. OTHER .... 4-(: o 8. FRP COM>ATI8lS W/100% IÆTHAHOt. o .. FRP NOff.OORROOt8t. JACKET o 10. COATED ST'EE1. o M. UN<NOYttI o lit. OTHER ~ C 1. ItUllNRLMD C 2. ALIM) LIINQ .... C So 0LA88 LJNNJ CI,UN.NO MTe INSTAlL£O ....7 O..~ 0.. OTHER 448 Iot*_ MTe INSTAlL£O ...8 (ChWc OM _ ody SPILL AND OVERFU. I (Ch~k~' 1tUI11PPf1} I C 1. awurACTUR!D CAntOOIC 'Jll1. FIIN!AOtAIS It!HORCED P\AInC [J M. ~ PAOT!CT'ION 0 4. IIM>RESSEO CURR!NT' 0.. OTHER o 2. SACftIOICW. AHOOI! " (FIN locaIuu ody) \1!AR INSTAlL£O 450 TYPe (FotIOUlIM ody) 451 OVERFill PROTECTION EQUIPt.ENT: YEAR 1NSTAlJ.Ð) 452 "'P 1. SPlU.COHTAINMI!NT 1qg7 0 1. AlARM 0 3. FIll TUeI! SHVT OFF VAlVE _ 'FJ 2. DfIOP TU8I! '1 r ) 0 2. BAlI. FlOAT 0 4. I!JŒWT bJ 3. STRIC!RPlATI 11(( ì ,:1.',; , "'T'MAr'OOATfWTUMØ~Y) UPCF (7190) ,;.~i1."tWC LIAIC. .. ~. ..~. .4.. '.0.... ..~# ". .,_ ......:O,....i;;f.,. ....'.,.. "-;;~""';'J .t,..~.."''''''''''''.'.... . ,'.:.:Il ,., .~~,:...,: 4 .......~,,~. .:..'.....,......:fo'~.. .; .,-".. Yo 'l'!0A v....:·.,,··.· . " ;l'f··· .../X .~ ~, , II' 00U8UI WAU. TANK 0.. TANK WITH ~ (CMdt_,.", Ø(I/y: 454 o 1. VISUAL (SINOC.8 WALl. IN VAUt. T 0Nt. Y) o 2. CONTINUOUS INTeRSTITIAl. MONlTORJNO o 3. MAHUAL MONITORINQ ... C S. MANUAL TAHK OAIJOINO (MfO) o .. VAOOSI! ZONe o 7., ~ATE!R o .. TANK TUTINO 0... OTHIR Y. TANK CLOIUq IHPORMATIOH I '."MAHIHT CLOIUIUI IN PLACI IITIMTIO QUAHTJTV Of' SUllTANCI MMANNQ ... TAHIC 'WO 'MTH INIAT ~TØlAA.1 457 IIIIION Ov. CNo S:\CUPAPORMS\S~C8.8.WPD ·e -' crrv OF BAKERSFIELD - , OfI'ICI OPINVIRONMENTAL seAn 1115 C""ter Aw.. Bak.rsfl.,d, CA t3301~)-32Wt19 VI. ...... CONtTRUCTION {CII«t " ..., Wi'rl UND~OAOUNO PIPING I SYSTEM rYPE I, PRESSuRE 0 2, SUCTION 0 J. QAAVlTY 454 a I. PRESSURE CONSTRUCTlONl! I, SiNGle WAlL 0 J. LJN1!D TReNCH 098, OTHER .eo a I. SINGlE WALL 'MANUFACTURERIO 2, couBLe WALL a M, U~ a 2. COUBLE WALL , MANUFACTuReR 401 MANUFACTURER : a I, IWU! STEEL . 0 e. FRP COWATlIIU! WI lOO'UoCTHANOL a" BARE STEEL : MATERIAlSANO¡O 2. STAlM.I!SSSrea 07. GAlVAHIZ!OST!E1. a 2. STAINlESS STEEL , CORROSION ; PROTECTION ,0 J. PlASTICCOMPAT18U!WlTHCONT'EHTS 0.. UNKNOWN a J. 'PlASTICCOMPATIBLE'MTHCONTëNTS 1t$; 4. FIBERGlASS 0 e. FU!XJIIU! (HOPE) 0 98. OTHER a 4. FIBERGlASS ! Ó 5. snEL WI COATING 0 9. CA THOOIC PROTeCTION 4ð4 a 5, STEEL WI COATING VI. PPING L2AK DeTECT10N (CMcIt" fNl ~J o 1,' FLOAT MeCHANISM THAT SHUTS OfF SHI!AR VÞLYe o 2. CONTINUOUS DISPEHSI!R PAN SENSOR . AUOI8U! AHa VI8lIÞL AlAAMS o 'J. CONTINUOUS 0I8PEN8ER PAN seNSOR mIU AUTO SHIJT' OFP FOR DISPENSER · AUDIBLE AHa VlSUÞL AtAAMS DC. OWNIRIOPI!RATOR SIGNATURI! I cendy 11181 ~ I/llormallan ønMCIed ".... Ie InIe 8nd 1ICICUI'a\e 10 !lie MIl 01 my 1InowIecIoe. SIGNATURe OF OWNeR.<>PI!RATOR ~ NAME OF OWNERIOPERA TOR (pml) {\. i ,~ ~ UHOERGAOUHO PIPING PR SSURIlfD PIPING (CMcIt " ..., Wf): I. ELECTRONIC UNI! I.EAK OET£CTOA 3.0 Gf'H TU1' mItt AUTO PUMP SHUT OFF FOR LEAl<. SYSTEM FALUfU!. NÐ SYST!M DlSCX)MECT1OH. ~ NÐ VISUAL ALARMS o 2. MONTH&. Y 0.2 OPH TEST o 3. ANNUAlINTEORITY TEST (0.1 QPH) CONVENTIONAL SUCTION SYSTaIS: , I 0 S. CAlLY VISUAL MONITORING OF PUIo4P1NO SYSTEM . TRØNAL PIPN) INTeGfUTY TEST (0.1 GPH) /' $ME SUCTION SYSTEMS (NO VALVES IN 8ELOW GROUND PtPING~ o 7. seLF MONITORING ' GRAVITY FlOW: a 9. BIENNIAL INTEGRITY TEST (0.1 Gf'H) SKOHDARIL Y CONrAlHlm PIPIJQ PRESSURIZED PtPtNO (Ch«:Ic II /Nt~): 10. CONTIMJOUS TURBINE SUMP SENSOR mIU AUOISU: N«J VISUAL AlARMS NÐ (Chedl ~) a a. AUTO PUMP SHUT OFF ¥MEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAIlURE NÐ SYSTEM DISCONNECTION o c. HO AUTO PUMP SHUT OFF , o 11. AUTO ""TIC UNI! I.EAK OET£CTOR (3.0 Gf'H TEST) mItt FU:1N SHUT OFF OR IU:STRlCT1ON o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOHIGRAVITY SYSTSt o 13. COHTINUOUS SUM' SENSOR . AUDIIIU! NÐ VlSUALNJIWS ÐWtOI!NCV GINØATORS OM. Y (CMdt"1IIt win o 14. CONTINUOUS SU" SENSOR mntQI4 AUTO PUfo4P SHUT 0ffI+ AUOIIIU! AKJ VISUAL ALARMS o 15. AUTO"" TIC UNI! LEAl( OET£CTOR (3.0 Gf'H TEST) ~ FIÞN SHUT OFF OR RESTRICTION I 0 1 ð. ANNUAl INTEGRITY TEST (0.1 GPH) o 17. OAll Y VISUAL CHECK ." , '" ',,' vL \\ ?- ':S...- '-- 474/ Pennll~DIIe{ForbCM"'øØY} 475 J I Permit tbnDer IF« /OeM UN 0IIfy} m PennII Aøøtowd (Fot 100II.. OÑ/) UPCF (7199) ... utT. "AHIc,. 01 - 'A80veGAOUNO "IPlNG a 2,' SUCTION a 95. uNKNOWN o gg, OTHER o J. OAAVIT'r o 8. FRP COMPATIBLe WI 100% ~ o 7, GAlVAHIZEOSTEEL o 8. FlEXI8L! (HOPE) 0 98. O"niE o 9. CATHODIC PROTECTION o 95. UNKNOWN ." .. , ASOVEGAOUNO PIPING WALL PIPING PRESSURIlfO PIPING (Ch«Jr II tN, IPPIY): o 1. ELECTRONIC UNE LEAl( DETECTOR 3.0 GPH TEST mItt AUTO PUMP SHUT OFF FOR I..E SYSTEM FALUA!!. NÐ SYSTEM DISCONECTIOH . AUDI8U! AHO VISUAL AlARMS o 2. MONTHlY 0.2 OPH TUr o 3. NHJN. MEGRITV TEST (0. t QPH) o 4. DAIlYVlSUALaæCl< CONIIENTIONAL SUCTION SYSTEMS (Chedr .. /Ita,~): o S. CAlLY VISUAL MONITORING OF PIPING AHO PUMPING SYSTEM o 8. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES,/N BELOW GROUND PtPING~ o 7. SElF MONITORING GRAVITY FLOW (CMcIt II tN, ¥PlY): o 8. OM. Y VISUAL MONITORING tJ II. BIENNIAL INTEGRITY TEST (0. t GPH) SECONDARILY COPITA/NED PIPING PRESSURIZED PIPING (CMdr" tN, ~ . 10. COHTINUOUS TURBINE SUMP SENSOR:!!1!!1 AUOIBLf /IHO VISUAL AlARMS NÐ (ctMÌdc 0", o a. AUTO PU..... SHUT OFF 'MiEN A LEAK OCCtJRS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM OISCONNECTlC o c. HO AUTO PUMP SHUT OFF o t t. AUTO"" TIC LEAl( DETECTOR o 12. ANNUAL INTEGRITY TEST (O.t GPH) StJC'TIOWGRAVITY SYSTEM: o t3. CONTINUOUS SUMP SENSOR . AUDI8U! AHO VISUAL ALARMS EMI!ROENCY GeNeRATORS ONLY (Ch«:Ic" fNl.pp¡y, o 14. CONTINUOUS SUMP SENSOR 'MTHOUT AUTO PUMP SHUT OFF. AUOIBLf NÐ VISUAL ALARMS o 1 S. AUTO"" TIC LINE LEAK DETECTOR (3.0 GPH TEST) o 18, ANNUAL INTEGRITY TEST (0.1 GPH) o 17. OAlLYVISUALCHECK , . 'þ., " ~.. !'JN~:~~,;~t~~~~~1~~·· ~J,;~'" o 4. OAILYVlSUALCHECIC 0' S. TRENCH UNER I UOHITORIHG e. HONe 46!1 DATe 470 471 lOr \à-' 0 l TITU! OF OWNERIOPt!RA TOR r A,-(t"\ vv(·\. 472 S;\CUPAFORMS\SWRC8-8.V*O W" . FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 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.Q576 TRAINING DIVISION 5642 VIctor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 '. . August 3,2001 Market Express 2500 Wible Road Bakersfield Ca 93305 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31,2003, which is the deadline for compliance, this office will be forced to revoke your Pennit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sin¡,erel, ' J'¡J /' /),' ~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm ~"CL? . .I./? C/' . ()'7" jj'- " C j ~~ ..7epUUl;?' uw (.J("Jnl/;u'4~ tY"o~'" ../Í'"(:)C'Pß .o/~O/b ../6 ~é/lú/-'.r' I' ' FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93~01 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 IjI ..- January 22, 2001 Market Express 2500 Wible Road Bakersfield Ca 93304 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went into effect January 1,2000. This bill requires dispenser pans under fuel pump dispensers. On . December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your pennit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you, to start planning now to retro-fit your facilities., If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sin11Y, ,II! ...---, ' , ~~ Steve Underwood, Inspector Office of Environmental Services SBU/dm ""Y~de W~ ~.A~ §"~ A ,W~" I, I I It , I I ! r-'-'~'~' -,-, .-.,-..-' __H.__'___·_·-"--··-' ......-....-. -. - --- ,.------ ---_..,- -¡¡;:;, - 7104 e/lchotn Street ~¡nterprises 8akersfi(~:,)c:e:~~~~ -..1 I .~ LI~ , 742735-A .II N IV U. lI. I I /'110 '" ,: to,. E... c. t" !1 *-"" c y S ¡., '" 1 P.. v., '" fa t LLÞ I LL D ¡. L L b 3 LLþ '4 StP !:t P 'i I , I .~¡. T'~ ale.......' -. - -'" - DATE OF 'tEST: I '- - 7 - (ltJ J!lrJf~:ftJ" T~pc".: ~LO~ . - ~ , I ",/ G~' S~AJflr: ~ ';IV¿ / J... -1)" -ØO ~' ß ..' .., ~ ! I tJ = i,i"n i<-..\k t~¿+t.~-t(J~ STP~ .$" P ~,_.-S{'r' -~--- - - -~- ---- CIRRECTlON NO TiE BAKERSFIELD FIRE DEPARTMENT N~ 1027 Locatio~5..5 Sub Div. ;::}.~OC wlbk. pi Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No d L C'UA( t. (- () or S H-t(~ VJc 5 #-5 lfl N ù"^, ~ <: r-S th,o. t ð.. \J"L I «( 'I. S' 1I ~(\'... M L tttÓo-,^1- h Y'c:... (a~ L COt1\. It.r ~ t. cJR. WL~l~ 3Ð d(Co Completion Date for Corrections Date ( {jl r(I!J'D ~ Inspector 326·3979 e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAMEJlI\lìtVrl- E~pR!,~ INSPECTION DA TE-illrlf GO Section 2: Underground Storage Tanks Program o Routine 0 Combined 0 Joint Agency Type of Tank ,t¡11Fc5 Type of Monitoring A\Co o Multi-Agency 0 Complaint Number of Tanks .3 Type of Piping AIT ORe-inspection OPERA TION C V COMMENTS Proper tank data on tìle vi Proper owner/operator data on tile V Penn it fees current V Certification of Financial Responsibility V Monitoring record adequate and current V Maintenance records adequate and current 1/ U^I\ 11,\ .t.tVl4.1.t1L- V Nt) :AL\. '" Ù'd. ( Failure to correct prior UST violations V Has there been an unauthorized release? Yes No L..,.-/ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGA TE CAPACITY Number of Tanks OPERA TION Y N COMMENTS spec available spee 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? :~~~:I;"/;; ZkN" Oftìce of Environmental Services (805) 326-3979 White - Env. Svcs. N=NO ~A ~' Business Site Responsible Party Pink· Business Copy . . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME~ì1~t e¡¡¡ ~ ~ ADDRESS ~S() b\L FACILITY CONTACT INSPECTION TIME INSPECTION DATE (tÛJiQO PHONE NO. ~J( ~ tj s"<o , BUSINESS ID NO. 15.,210- NUMBER OF EMPLOYEES ;{ Section 1: Business Plan and Inventory Program o Routine ~ Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection OPERATION C V COMMENTS Appropriate penn it on hand i/ V Business plan contact infonnation accurate v " Visible address ~ ~. / NUJ \Åt n (A..c...L.. 1L>...t..l \ " 'I.ç I' Correct occupancy \.., J Verification of inventory materials \..; / Verification of quantities V Verification of location l,...-" Proper segregation of material V / V erification of MSDS availability V Verification of Haz Mat training Ivv Verification of abatement supplies and procedures V¡,. Emergency procedures adequate Iv Containers properly labeled Iv Housekeeping Iv Fire Protection V 1M l'I ð "'\- Ç,..f..'kðv~"-O' ç Site Diagram Adequate & On Hand (... V C=Compliance V=Violation 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 Pink - Business Copy Inspector: .' ~~~ -- ....-. '-'" -- .-" ~ LITY u¡.' BAKEK~¡'It;LD O.CE OF ENVIRONMENTALeRVICES I11S Chester Ave., Bakersfield, CA 93301 (661) 326-3979 (9 UNDERGROUND STORAGE TANKS -lJ5T FACiliTY rr~ Of,&gOl (C/I«Jr II"- """ 0/fI'/ o I, ~ siT¡ PGRMrT )1!.J. ~E"EWÁL P'EA~ o 4, AllENO€D PE~ o ~,é~ m; -O~'I'IóH(s,.r;~~.· "11_ 0IIIr1 . 0 I. T'EMF'OIUAY $IT€ ClQSUAI1 L FActLrrt I alTa tHPORIIATION 3 P'AC:IUTY /I:U PIIge _ af _ o 7. PliAMt.NENTt. Y CloseD 81T1! 1:1 8. TAl'll( ItEMOVEO ~ : et,/~s$ NMIIIí (s-. _ F IiWoIII! ar D8A - Daiftg ""'''') I+Rt:81' bdJ~~ .#:2-- , HeAAiST ~$9 STREET , l..U :, he. I =NESS ~;, GA8 STAnoN OZ.~R II TQT AI. NI,IM8I1R OF T.iMtS ~INIHGAT SIn 3 *' o ~_ FAIIit C $, ~AèIAI. o 4. PAOCESBOA [:J I.OTHEA .m. Ia Cll'ns.>~" "~afU5T.I.èIç8lllll"lCy._af~d ~ ~.I&tIaIo"dIIca...tllcl\'~I'IIIUST. en. ill'III~....I\fI'le"~) 401. l~1TY OWNER 'TYP'! œ,. CiOØORATIOH o 2. IJiIDIIIIOU-'I. a J. PAATJII!ASI'IIP , C 4. lOCAL AGÐICt'IOI$1RICr CJ 5. aJUNT'I' AGENCr CJ .. STATE N3ÐC'r CJ 7. FEOEIW. AGÐICY· ! I ~ CJy. ~ -. ~. '. ' I. PIICP~u QWM!RlfllQAMAtION_ O~ 4IR. "";(, (_ § :;; I '1')' I 4àII. i PAQPESnY O'MG *ME ~ '-" f\. MMJNG ~ S AODfIII!SS .:2-'">00 G. 02.~ O,-p~ 4' CJ 4. I.CICAL AGIÐfCt I DISTRJCT" o 5. <XUI1Y.aGENcY q ~ 50 CJ L SJA'Æ AGÐtCt a 7. f'I!DI!ItAI. N:1Ðiicf 413. . , ~., . . '. ' .. TANK~INFORMA1ION. ;"" : -::.t~, -~~~ TANIC. o..ø NMI! ~ '-< ..wuHG~ .,... &Col-~~7"~~' 411. 417. o L ST"'TI! AfJ/l!HCr o 7. FI!œJIW..&GENet 41. ~ COfII'IOAATIDN a 2. NItYII:II.W. o 3."~ o 4. LOCôo\L ACI!Nt'f I pl$TRJCT o 5. (:.OI.Jwrt ÀGÐC1' 1Y 42'. -- .. ." 'I> ' ." ~':, .~' . ,. -.. . \ .. . .. , :',' .: .'. .' :!,: .~". '. Y. ~U. U8T 'INANCIAL RESPONIIIIUTY IHOICATlH«TMOQIS) a 1. SI!U'~ 0 .. ~ IiIOND 7. STATI! FUND o 2.. C3UNWfT!e ' a 5. L.EtTat OF oa;on' [J e. STA'TI! PUN) a CFO I.STTER [J s. IJI$JWoQi [J ... SŒMPT'IOH 0 II. $TAT!; FIJM) & CD CJ 10. I.OCAL aovT toECHANISW o .. O-niER; œ. Yt. LEGAL NOTIFICATION AND MAIUNO ADDRESS 01_ _ _ . ÌIIIII*8 ""*" ...... ...... De ..... fir" . ............. ..., rNIIII¡. l.l'II:IIImkn.... m-... De"'¡!D" "_~ID 1 ar a,,~. o ,. FACILITY CJ 2. fIROP&Rn' QWNIiR 3. TAlI( OWN£R 4ZS- VIL APPUCANT SIGNATURe ,*,*,"_ed__IiD_lIIIII!dmy~. * ... ~TI () 424. """'Z(ÍÍ(- 3J...?)ò-t,,-425, í2b"'s ¡¡Jet-/! 6%1, I i I STATe UST FACa.11Y ~ ~..... fIIII1 UPCF (7.) 421" ''''~QI(f'''I{;A'U'U-...Rl'*'*-I~oNrJ 621'1 S:\cUPAFORMS\IWrcÞ08·wpO lID A3llV^ NnS ~d90:t OOOZ '9Z'JdV 8 . d Z 9VS . 0 N laCITY OF BAKERSFIELD ", OFFICr-OF ENVIRONMENTAL SER-=es 1115 Chester Ave., Bakersfield, CA 93301 (661) 328--3979 UNDERGROUND STORAGE TANKS ·'NSTAUAT10N CERTIFICATE OF COMPLIANCE One form per tank p. - - -----------., -~..._-- ..--....------ --..- ..--..------------- --....--.-- BUSINESS M ..---'-------. -.---... . - . ---....... --......---..........-.. ..---',--......... ,.. - - -...---- -----..... ..-.-------- --...----.,. 11. INSTALLATION : CItecIr ., ..., apply . 6- The Installer has been certified by the tank and piping manufacturers. fj) The installation has been inspecfACIand certified by a registered professional engIneer. <'"Jf The Installation has been InsPf'ded and appro"8CI by the City of Bakersfield OffIce of Environmental SeMees. ft, AJI work Ilsteel on the manufaclUre(s Installation checkfist has been completed. ¡I The Instllllation contractor has been certified or licensed. by the Contractors Stale Ucense Board. a Another method was used as allowed by the City of Bakersfield Offlce of Environmental SeNlces. Identify method~ III. TANK OWNERlAG~NT SIGNATURE ..IMI&__...._~:!...~_.___ DA-n,~--'--'---'-"-"'ou.-. h_ .. .. .-----~_:¡¡¡_ J; fk ()ì / Lf()..(p ( (J() !WII1IiOFT: ,-- '-;-óiiiTl -. , , . to- _ TnUOFTÁNk ----. -.--.- .. ----- ..-:, CÝif-y(lHPf~ ~~~ t!4{(Y'ß'1Œtf Ctð f71 ~(OevJJ ~ - .__..__ _.,__.__._______~_~__ .___,~__~~. ____ .__n_ _.__ ,... c t 'd Z9t8'oN l!D AJll~^ NnS ~dLO:t OOOZ '9Z'jd~ '- & & I '-J~ u.....~~&' &£.L.~ E OFF. OF ENVIRONMENTAL S.VICES 1115 Chester Ave., Bakersfield; CA 93301 (661) 326-3979 . ~, UNDERGROUND STORAGe TANKS.. T ANt< PAGE 1 NP!; 0' AiCTIÓN , C"4/Ç1r ..... ."", _J Q ;, 0W0IQI! 0' '''''OItMA noN) '"-- .. a t. ~ SIT!! C:LOSIJRI o 7. P'E~NT\,'" c.r.o~o 0.. !lITE o e, TAI( ReICl~O 3 .::t±2-- .0lil J I. TANt( DEsatIPTICIN i i ~ONIIL. I ¡ ! r -r_use 4:D .~. "'TORvÐCU ~ ; (If 11\1"", =--~ 7e.J I 0 2. 1Oof..AÆL~ : 0 3. ~~PRXIUCT o 4. ~WAST!('-' u_ C-:I o 915. UNIQfC)WN MðOEJ<D T~~ Iff ðÒ I ~~~~T~ CT_ ~ If '"'I.', ~. """ p~ tar UàI CZI!nII81II!n, NU ~r L TAMe CCIN1'INTa . ~1'rÆ )(,.. ~~ a 2. LfAÐaI o lit. .......1.JUAœD a 3. OESI!L o 11:0 ~ UOrI.EACED a '. G&SiI:)Q, c::oMIOir...........,........... ~/JfI1iIII) 4- o S. JIE.T FUa. [J .. AIMTICIN RÆJ. 0.. OneR c;.s" (tomHuMelø......... ~~ ..... ..., TYPE QF fAl« (0-. -... ØIi)1 [J 1. .....WN.L o 2. I:ICt*A WALl.. TAl« /IM~ . IINIy ... CJ 1. UN: sn!B. (CMd one .c.m ..,.., 0 z. STAIiU!SS STEfl. TAl« /lMT1õR\il\l.. --'''' CJ 1. ~ $TEla. rc.- -.......",J CJ z. -,"AH.aa 5TUL aTMØC~ )( ~ -.aWiIU. ""'" E.XTuaI:IA --UE LJiIER o .. SINOI.I!w..u."AVAU,T o :II- I"JISeROLASS I JIIUSr1C )( c, STEa. CUDWIP1I!RG1ASS ~P\ASTIC{~ o 3. ~GLASSI PU.STIC a .... STm. a.AØ \OtIF1IIØOLASS ~ "'-"Snè (F1iIP C'.~I. C s. SINGIZ WAU. WIt'rM IN'I'ÞNAL 81AX11ER~ [J... IJIIIOrIOWN c.. cmtÐt . '"'" o II. ........-...::, '" a L FRP COI.f>AT18I.E WI"I~ JE'I'HAN:Il o..~ D.. OTHER *" o L ". COIoPATI8iÆ W1111J'!t. ~ C .; ""~,IACII;2T a 10. ~'ÆD STEÐ.. CJ..~ [J... OTHER 445 r"* 1NTVOOR.....o ,It CXI.I\T1HQ ¥1 C 1. .....u.e CJ a. .........~ c ,. .....AC1'\ØD c:.t1HOCle ~I ii:iCTICN C Z. ~MCIØII veNt INBTAU£D 4ðI) T'I'Æ (FW /IICIII_ odtJ '- 1. SPJU. aJH1'AMeHT l ~ 7 ~2. ~n. t~g7 STAICIR"-"f'I l ~1 pi So ~ TAHIC QNJ(NQ (ttrO) a e. v.ÀOO8ll! ZON& o 7. OAOUI'OIfATI!A I;J &. T~ TIlTING a iii. cmet V. TANK a.osuu ...'ClRIIA'nOIII1 NRllAJtÞT CU3Iùb IN PlAcI UT1M\'m:I ~ 06 $UUTAHCllII"'i'~ .... T~ I'1LUO \!IfTN MM *TUW,.? '~--.m1. )n4Ø co.o'*"C 'llQTt'CTIOH IfI ~ ~- --tId1J :PIlL AND .0VEAF1U. ~..,,, ~f ,../ NlPlYJ !STIw,TfD I),i,TlI.AIT UMD~," 411 C s. POW.:...o [J .. PHÞI:IuC.....a 1i1'..~ d..OTHER C &. <Usa LMG C&.IKN!D ... ea.T1! 1NITAW1Ø ~-~ ~ INIIT~ .,9 03.".,---~~~ !:IE$.~ [J .. ~ CUAIII!fIIT a.. O'ni&R .... (FwIDl;:iJl_tllf'tT) 40St O\IPFIU. PRo~c:no" EQIJAo1Efrm'tEÑt 1NSTAU..eD ~ o I. AI.NIM 0 3. FILL 'NeE SHU'I' OJ'I" VALlIE _ o z. ..u.FlOAT CJ 4. !XDPT ,,:.~~"~I( taAK Y,,'" .....,.~.'.,..;-..~',,:'. __.::'-. :,,~~.:;~~.., .",'. :,:.....t1i::~,. ..~, ;:..., .. .... :.t.. , ' '......., .. '_'~l.", . ,._ .. "'"~. ... '... u.~.. .. ,I. ......... ..' .. . DO...... WAa.i. 'rAM 0" r... WI1'M ~ fa.:. _~~ . Q 1. ~(SAHCll.fWAU..INV.......T~T) C 2. COHTINUOUIINTUtSTlTIIIL 1tCI~ a 3. 1oWIU-'L. MONrTOAINQ .' ... CJ.,. eND ·CF (7191) 9 'd (;9VS'ON llO A3llV^ NnS S:\CtJPAP~MS\S'IrtICø..8.WPO ~dLO:v 000(; '9Z'jdV ~ CõfTT gp IIAKC......I.D .. omcl OP IDMItONlileNTA&. 'IIMCI~" .... o....r Aw.. ~ c:...381 (u..) ~11 - . ..... alNl.1WC"hOIt tCIIMt "..... IM._.. ,... - ", ...... ". ~PIPING s'rsnliill"t'Pl ·OCôt, PM$SI.I_ C ¡. ~ C So OMwrt ... 0 1. ~ r:c»tS~jiit.,· SM3L.I!WALL J!!S. UN!DT'IœNCÞI 0.. QTIIIIIIt .. C t. SlfGJiWAU. : ~~~a z. ~WAU. a.. 1,1U'1OIIIIIiIr a 2. OOU8U!-u. ; i IIIoIUIUFICTUIiI8t ..1 ~~ ; ;0,....S1UL c.. FRP~T&I.''''~ 0 1. MAeS'lm. :""TEAW.SAICI~C ¡. JrMIIUUI'Ta C 7. OAI.YN8Ds7a C 2. IT,QUama I COJIIAOSIOIiI r PIaø~ IC S. ~~T&I!!WmUDna".. C.. urlODM 03. A.ASTIC(:iI)IIfIATIIU!wrrMCQf'1'Ð1T8 jst, .--.. ... C .. AaaII )CPI!) 0.. ~ 0 4. FI8Ii'JI"GI us ;0 s.. .fII!IiL 1/WClCMDG 0 .. c,&1MCIOIC~._l'Qi ... a $. ~ WlC04T11G va. "'- OÐEc::TIC* ~""...w ~...... PIE~~{QIørIlÍ"'" ~ '. a«..~ UN! LØIC. O€I I!\.. 1__ 3J).... TD'f'JIIDt.iUn:l......."éfii: RIA LfM, S\'SMN MLUAE. NG SY8TIM~:: "«,-,.~",,VIa&A&. ~ a z.. Ml:lim&Y U.... TfSr ~ I. ~ ~'ÆCTto.1 CII'I1) ~aJC:nI:IN".'_ o 5. DM.Y~ ~ ~;""'8I'SI'EM- ....e......,....IfÆIaM'.. ¡ TBf (tL 1 CIPN) I SAF! 9IJI:TI)It Mt&e tfC) VÁLYØ.1II!t..ØW GIAI:II,IIO ~ 07..u:~ ' ~YIn'~ (J .. 811EiMMU.'ÆGIIft'I'1'U'r (tI.t ~ - ~"0I:IIrr"""" F'RSSIIIJAIZED ....~_IW...r.t fa. ~~"'~Ir1D!AUDIIIÌIJ¡"~A&AArÆ~ ~ AUTO,.,..-.w (IIF WteNA &..£M0QCIUA8 o ~ AI.ITO AM>.." Of'p' fait U!MaI, SY$r&IiFA&.uMNC 8\'8'IIjIi ~ bec:rØI a Co NO AUTO...... SMUT en . ' QJ ft. ~~I.M! I.Mit œtlil(._OAO,ØGIIM TI!In)~ RGW......oi:FCIR . & 12. ~MEGAII'Y""'øu ~ ' ~~ c ,,, ~......_.--....."..,~ 4111Ma~. .....,..-.yP-*II..... I:J 14. ~...~~.un:lIUiP.tUlOfF..~NtÞ YllUALAUMa CJ 15. AU1'Ofo1¡r.1'IC: ue L!M ~1~ IU GIIM 1UT) !llJ:l&![FU:lWINIrcn: OR AEI'nUCT1OH CJ 11. ANN\W.IlflmAlT'tTliST (0., GIIM) C 17. C*.T~CN6a; ~IIpGIG C2.~ c..~ C.. cmt!A C So GAàomor· 0... FJIP~,...,~~- , C 1. ~Y"""sn!I!I. C .. ~ ØtIIfIIQ [J.. CJntI!R o .. CAT1CII:IIIe fIlII) '1(.. ¡gN CQ5.~ ~~ .,~~ ~1'I'ING(o.t..""~ o ,. ~LN!Ll!AiCc..I_.~S'OØPH1'ØT"mmA&nQ....8HUTMFfQR* IIY8TDIFAI,I,IIE. _ srsna. _=11_, __ .AUDaÆAND__~ C ~ IliDmLTUCFM1DT C ~ MMJIIL~TMr(tL' QIIIt [::J &. DU,.T \IISUiL /::.J4II!CX ~IIJI:rIC*MÆMlIea.""~ C .. DalLYWlif.W.~CF fI'FIMG JIM) PUlill'MJ8TS!8I o .. ~INÆGAß'~ Tat(O., GPM) MP8 sucn:IN 8'lS11IIII (NO VAL\IES "II&LOWGfIOUND PIPIIG~ [J 1. 81!1Jr~ GIIWmT fU)Wtc/IIII*lI"~ [J .. DU,.TWItw.~ [J .. lIIiM..umhn'n!ln'(O.1 GfIHJ - :HI.WlLYCOlÏraililD.... r- 1PØ!O PlPlGfø.d....~ . 10. CI:IH1'IHI.ICIU'JUABIE ....~.us<U.llal AMI............ NIÞ{~ID C .. mro PUW" IHIIr OFF.., A t.I!AI(OCQIRS [J ~ AUTO....... atUT Of<tr fat ~ SYS'I1iM ~ NlD8'I'!J1a.l'\Ilir:c '1_,..1 [J Co ,0 AUio A,IW 8tM' ow o 11. AUTaIM~L.SAICOI'Q,ioI"" C 12. AliìNUil.INI'IiGM'\" 1Ur CCL I GPN) -":;~'fn'I' I'I'STIiIiC C ,~ ~"'~..-...eNG'VBW.""'" . -~---,.....y~",-...., C 14. CI:INnIUIUS BUIlt $ØIIIORBlDl:llr.ttNSrD A.IW 1NUT00000.ALCB.IiàIÞ WU&. ~ C 'a. ~T1OI.M!I.!MCIG'T&C't'Oft(UGPH1UI') ~'''i' ~;~ .~~~, .. , '~';;'I: ~~:';i:'$(Y.;"~~':.,.'~' . .' ~\''··~':::'o-:~·i~~:::;;:~-;:\~Z::.~.·~~~~f_~1:"~"~F~~.t· t: -...~ ". .~.Jo_''':'''_'._ . . . .' .···~..:".-:o:t'.J...:.::.~-;·~U~~~i:·~~_ .........,'.... .~.i:'\I~.:-__......,._':1:..~~:L.:õ.:.__u. c ,.. ~'KÆGMY'ÆIf(O.,~) C 17. DAll.ywaw.~ C 1. NMT--1J__1IMf""'~""_w C 2. ~_ J.-.-......AUDBÆMOV8K.MAMtI [J So c::Dd'IU:IIø_ -....,.,,-mmA&m»ItIUTOFP~~ .AUDaE/IICJ~""'" II. OWNIIUOPIUTOR 11GIIA1UIU! ....... -... -- .....",,., CIIIIJIeH8I5R CCIMT......, OAT5....iI4ID· _ {(.{S? ?tJ(l., S" ~øt £/(1 ~ 67¿ , ......_~~I,.,..._..", ~ ,........ ,~- "01)/) ~ ~---"....-.. UPŒ (1m) 9 'd G9H'ON o &. DILTYIIUM, CleeK ~.1JI!tDI""/~. c...~ " - . '72 S:\CUPAII~WPf lID A3ll~^ NnS ~d80:v OOOG '9Z'jd~ ¡ I r .CITY OF BAKERSFIELD OFFIC"!"OF ENVIRONMENTAL SER-=eS 1715 Chester Ave., Bakersfield, CA 93301 (861) 326·3979 UNDERGROUND STOAAOE TANICS ·tNSTAL1.ATlON CERTIFICATE OF COMPLIANCE One form er tank p... _ ttl -..---.--.------ ----- 8U$Ij!S$)AIIIII¡¡ (.... ."'ir¡aLiW;¡;W~CI8Á - CiDIIIg ~ ~ ~~ff;¡lmfSH t:: \ ~. ,~ ·1 I ' " , .....L-:" , WI (- I ---------.-- -....... ..---.----...... ..-..... .....-. I. FACILITY IDENTIFICATION -------.......--........ ..,........, ... .............. -.....---..--- ~.~ -..--.---...... .. - .. ""--"-- ----_... ..........,--""'-.-... --.-.. : -6 ~ Á ¿ o II. INSTALLATION Chect ell th8t eppIy The Installer has been certified by the tank and piping manufacturers. The installation has been Ins~61CI and certified by a registered professional engineer. The InstaßatJon has been inspected and approved by the City of Bakersfield Office of Environmental Services. . All work flStscl on the manufacturer's Installation checklist has been completed. The inatallatlon contractor has been certJfted or licensed by the Contractors State license Board. Another method was used as sUowed by the City of Bakersfield Office of Environmental Services. Idenltfv method: PI. TANK OWNERlAG~NT SIGNATURE -_._,...~..._--- ...- - .. ...~._-~~ ...., JalMC L 'd Z9H'oN lID A3llV^ NnS Wd80:v OOOZ '9Z'JdV , ......... t; '<oJ'" U",~~r;~c.LU E OFFie OF ENVIRONMENTAL SreVICES 1115 Chester Avea, Bakersfield, CA 93301 (661) 316-3979 . ~ UNDeRGROUND STORAGE TANKS. TANK PAGE 1 )"loPe OF "C:T~ , a..a. ""'" _ 1Of'ir} o s. 0W0Iœ ~ IØWO~TIOI$) PII¡II _ ( a i. ~.., 5/T! I:LOSVRI! o 1. PERIIWII!NTt.., a.oseÞ 0.. SI'11: o .. ,fA/« R£1oIQ~ (~."..,... . 4It' ~... od¥J ] FACQJT"I' ID .. ~2- I. TAHtC OESCIIP"rtCN ~ œ~~~OT~ OT. ~ If".".~. _ MIIttOr ~ ~ Mð$ El<"'" T~ ~ IN I ðÒ I .:: .. T,,*~ T.... USE at ~. JC)'fDR \lÐCUna (1__,....~ TJøtIJ CJ2.~~ o 3, 01I!1«.AL fIIAa:U:T o ., HAVAOOUI!I WYr&~ u.d 01) CJ.. UNIQIIOMI , ~'I'I'P! ¡;¡,.. JIEGItA.tR~ C 2. ~ ti1,... ~IJM.EADI!D 0 3. Da& [J 1Co ~1.NSœD 0 "-~ ~ *'E ,.....,....". ......... .....,. PfIf1I) [) 5. ,(¡;r ~ () e. A\MTDfFœ. CJ.. OTHaf 6&, c:AS. /100ft --- ..............-,. »f1tí) .. .. ~OFT.uI( 'CJIcIr_ _..., C 1. .....WIU. [J 2. co..-..s WIIU. .. TARK CCIHS1'ItIJICnQ )( ~ -..:au!.u. Ytmt b, CIUI,IIC ......IIE U<8II 1:1 .. DIOUWALI...AVQ.T o 5. ~WALl.wmt~~8"tSTÐd C.. I,INIOOWN Q... <mER 443 rANI< *1'iIUIII. . pm.y IInIr. [J,. ~ STEEL .t:Iooç.t .- i!iIoIIod1) 0 , STAM.ÐS sn:a. 'A/'CJ( ~~I&L "--,.1II'It a ,. ~ S'tUL o.dr - - onr' C z. ST........ &1'eI!L 1:1 3. ~I PI.AST1è )( 4, STEB.o...ao~ ~ I'USTIC (FAP) CJ s. P'18ERGiI.ASS I fIVo,SnC o '" SÆIiI.¢I.AO~ ~PIASTIC(FRP) C I. ~I. a 5. ~'J: I:J &. FRP C::CU>ATIBLë.an AEnwCII,. a.. UNoIOWN c.. O'tH!R. a.. ~ [J.. CITHI:R .... 1:1 .. FPI' c:::o...ATI8I.E...."CIJ'J' ~ CJ .. FPI' ~..-.I! IN:JttEr C 10. COIt.TID aTœ.. ~ ,,*~I.ØNO IR CQllTINO c " -'-UieD C a.. AUC'IO..... +'7 ==:= ~.~ a ~ !J:IQXY u.. o ... PNÐCIUC:u.G 1ii1'.. ~ dill. 0".. . Me IMT& ""-AUS) o s. c..... LNI'IO Ca.uÞÎLNO ~/I!iai_~ .....AU,.ØI .., C 1. ......~CAntCQC C s: FWfG".~~ Cs:s. ~ ~,_"TOoo 0... Ilil'""'(nEÞCUÌAÐrr . [JII,OTMSt =-- - .....,.", "IU.. ANtI 0\I9FU ~. ~ ,../.......) JT-_no 04TW L.A8T 1.IIB»~'t? ... :F (7198) 8 'd Z9H'ON , ... (ltwlf/Ql_ odfJ ~f CM!J'F1lL fIROTECTION~: 'n!M INST.AUED .s~ 01. AI.NVoI (J :I. FlU. TtJeI!SHUfOFJ'VAL1Æ_ [J Z. ...... R.04T [J .. PEWT . ",. ..,..... > ~. ',.., "''''',~, ",,' . ',,,:;:;.....; ............ .·.,.....,'..w.,:s.~ ,,,~ ... (~. -,.;¡," :.. ,.. '.' . ÞO....w.u. TAMt OR ~ ..". ~(CIIet:w_...... ~ _ [J 1. VI$UAL(~WAL1...V.ILILT~T) a 1. CONtINUOUS 1NTÞSmw. MCINrrCAIMO C 3. 1oW«.W.~..a PI So. ......... T'" o.uáINo(1If01 C .. V~~ C7. ~Tat ~ a. TA* TE$TINQ a.. CIne V. TANK a..a._ _Cllt1lA1IaN I PI........,. ct.aIU.. '" PLACa .......,. cawn'\T'f CIfI.,MTMCI.......~ .. T... F1UIO wmtlt4RT .....1U....' .7 .... 0.,. c.. llO A3llV^ Nns S:\CUPAFORMs\sWRc:ø-8·Wf'O ~d6D:V DDDZ '9Z'JdV -. 1" _ --=_...,.,u __ 0PfJICW OIÞ IIIMROHMINTAL .!RVICU.... W',. CI.w ........ ..l1li4. CA Iaa, (tlf) ,.-" '- ...... .o!hJ~CIIdi"_", ~~..-...o SYSfEM"~ 'a=:;..IIM'- C 2. ~ 0 J. GMWft"f .. C I. ""iSIUAE C:ON~jiI:.s· ~W~ J!! $. ~~ C.. 01'HI!R _ 0 1. .....EWAU. : .....1IUF"'CT\IAIiAIQ r. ~ w.u. CEo UNIIlØM CJ 2.. øauae.u. I i ~~ ., MAiIUF~ I 101.WIIIS1'Sa. C C. "~1a.!.f"'MIIMiIQ. Ct.....S1'UL ¡ *T!!RIALSAICI:O 2. 1!n'AIICØ:I SJa. C 1. GA1,V.-..øsim, 0 z. SfAlNU!8SSTIa. I~; Plllól_hi.- iO 3. FUSrIC~1'IILE""'CII:WI"IWrI C.. 1NIa'0wWd C $, ~CI:IIiPA~wrntc:arm!NrS ')See.. ~""8S 0.. ~tøI) 0.. ontIR C... PIIEAGLNJI ;0 I, S1'æL*'CQlt.1IG C .. CIo~....,....\uo/ ... C 5. sn!I!I.lIIIIc:QAnrc .~LMaOl'lKTlClMfOIå"__ ~...... PAESSUNZED fi'ftc3~....~ ~ to ~''-'-UMl'''' o.o:.._."""a.o....1IIITIIIDI.IUR).....INUT'" Pœ I.ÞI(,......~... """'NI8( 1 .~J...........4IIIG..... ~ o 2. aorntLY UMt_ P 1. AfØ,W.~IT.,..('U GPNJ ~su=JDlJ'I-tI._ ,Os. CWLYVIIUIL ~ ~ ,......8I'S1'eII.1T4J ..........,...1 T I ' 1'Bf (0. HIPN) I WE sur::rIOM SWSt8IIJII) VALwa..E.OwGAl:Ul)~ a ".SEI.F~ ~VlTYnaw: a .. ~~T1I!:In''''1 GPIO --- ......,.~....' ~IAIZED .....fOIIIa......~ ,a. ~~...~IIIII:t....u_~~,IIi WiGI_ (0Id_ 'EiI8. AUrO........". OFF..... UWl:OI:ICIIN 0-': AUIO NIP..". OW~ LIMri.'ImSMP.I&I.IiIIEMlI'mat N6¢Q . ecrICIN D Co IIICI oIIUJQ IIIUW' ..uT' 0ffÞ ' . _ fl. ~~.......O&IL.0i0I(U...1IIn1_~MIf.CIII . ~~wrr 898'I1I1II: a ta. CII:IIfTIeUaUI............u!MI)~..... '1 l.~__.....y~._.., C 1¿, ~ ....~9IImICJi.n' IIUtOP\MI'åMu\'OIIF .AlUD&EMD vtIIUIL...... C ,,. ~11C UIiI& uwc Di&1",.àIJ¡¡ca.o ....TllnlllDll&tf\.OW ,"",OI"P' Oft ~ C ,I. AIMMI,. ~1 T 1Uf tt.t QIItQ a 11. CIiIo\."~~ ""--1It .... II - ~ 1oICIW13IIICIUN::I..... CJ 2. tuCTI:IIiI a!li. UJAIQWIt a.. OTMSA C1.~·- . C a. FRP CDIØiIIoTaE wr,.,. ~ CJ 7. QALv.....~ o .. fILØI&! (till;) c.. OI'HI¡ c .. CA'ntCD: PRújaCnlC:lil\o Ces. ~ ..:,f; ~fVIIG ~PÅQ~"IIIIIt__ C ,. .....:..- UE~Þ!._.~ SoOGlPM1IST .\tIIDfAUlD.ulFIHUTQFF FatU IIYSI'ENFM.!ME,AND ~"""" '~~AIUI:e.a""\1aML",,-, C 2. 1iCINM,." ~""1!IIT C .. ......... MJea.... r 1IB1'~t GPtfJ C .. DiIL"I'VlSW.ØtECIt ~SUI;:I1CIH"""'~_ftl!t~ [J $. ~T~M»oiI~OFPRGMID~..snaa C .. ~_.1Id1. ..rt-.'-f 1&1' ~t GPH) ¡ ~ I MFE suc::nDM 8YSI1!IIe(Nl)vÁLWI"II!LOWGAOUND PIPINqJ: C 7. SI!LF~ ClliAá!mTnow tcI-:*....~ o "CWL"I'VIS&ML~ C 's. ......Ø1_nTliB'r(Q.f.. i I j ¡ ! II -~ II ¡ ¡ ! i I ! i ¡ I i I j I II I I ¡ .. 1J~.COIÏøiIB.... ~ _ PfIIIGfQW....... . . ' tI. COIfIN.IiDUa Tt-.e .......JiIDI.....~'o/I!JUIILAlAMlSANDc-=1 [J &. AU'J"O IIUIiP MlfOfP--.A LIiiIIK~ ., , C a.. N,t'IO P'IM" I!II1Uf CIPJf PCIR I.SIIII:S. 8YSTBf ~MDIPI'S'I"I!!W ~ [] II:. No AUrO IIQIIII a«uTCII=F [J 11. ~1'IC1.EM:DIi11I!CJOR o .2. ~""~IT1!St(Q.t GPW) 8UC1'I:IIIGÞ.WIV smat [] ,*' CCIfmMUCIuI..._·.....MlDWIUIIIL~ ...... ~ -,....yfQl¡¡¡f.... [J ,¿, COfT1IMIUI...S!MI:IR~.uro~8fUfOfl:.~MCI,.,. ~ C 111.. AU'IO....TlCLNHÞkœ'Q,òorWKQ.OOfIM1Bf) CJ fa. AlNM&.INTEIMrrr11ilT ca., GPH) C ". OULY1I!kW.CHIja( C t. ~T"IKr ~,,",TItIIJIIIQIIF""'YAI.WI C z. ~M. .a¡_.......,.....MC»\IIUIL~ C a. c:atJ'MJaUI ~ --'''''-IIIDIMma 1MU'r000fIOftDlPelfll!Jt.AUDIILIAND "'IUIL~ &.... ~ ~n:IIt .au.'NII! ............ -........, I ~..,....f~..._..." Çda.. .f ul't ~ ~ , III 1 ~~."""-- . UPCF crill) 6 . d Z9V8'ON c ... 1)1&..,......... ctBIC 6J:s. ,1I8IItUl8t, ~I~.. c.... ' .. 61 ~. r"~~-"""'-""~ 8:\CUP.y~·Wf liD A3llV^ NnS ~d60:t OOOZ 'gz'ldV ·CITY OF BAKERSFIELD OFFIC'!"OF ENVIRONMENTAL SER-=ES 1715 Chester Ave., Bakersfield. CA 93301 (661) 326-3979 -- -...---------...........-- -..-.-- I. ______ I. FACILITY IDeNTIFICATION I 9US~~~(s-.:mT~~ #2-- -~-_._.~.._----.,-,_._... ..' ----....~-.._------- ! .~;.; (: I LL.IlUli1 . JTõiiii>. ~ -=~~=~_.~:.:.=------ UNO!RGROUNDSTORAGeTANKa·*8TALLA~ CERTIFICATE OF COMPLIANCE One form per tank "-"" - - _J...__..____N -.- .-------.-- -... ~ ... - - ... .. II. INSTALLATION . tf r/ r/ ~ [J Chet:Ic l1li ".t apply The installer has been certified by the tank and piping manufacturers. The InstaUation has been inspec-tltd and certified by a registered professional engineer. The Installation has been fnsPfded and approved by the City of Bakersfield Offtce of EnvIronmental Services. All work listed on the manufacturer's Installation checklist has been completed. The fr.stellatlon contractor has been certified or Hcensed by the Contractors State License Board. Another method was used as aUowed by the City of Bakersfield Office of Environmental SelVices. Identify method: III. TANK OWNER/AGENT SIGNATURE It- rJ:7Où ~MU~(J) G~;;:ïY;<=>Y;;¡¡~.=..__u_-- - ... ._..-.---... -.- ..... ,. -_..._-~ ,.... ~ Ol'd ZSt8'oN llO A3ll~^ NnS ~dOl:v OOOZ '9Z'jd~ ....."'" OF ~11O" ,C'JICr __ _ ~J LOCATIO'" ~ -..... .. .....,.. "'l"""L...~..........,.c. c.&..;........., E OFF. OF ENVIRONMENTAL SIllVICES 1115 Chester Ave., Bakersfield, CA 93301 (f61) 326-3979 UNOeRGROUNDSTORAG!TAHKS.TANKPAGE1 T....ta aa ì!.;. WOTOR IIII«:U ,.... (lfma_. -... ~ J)pu 02.~~ a ~, 0EJ«,4~ 0.. ~"WAI'Æ(~ Iðoof 01:1 o 95. lJNOIOIIIIIN ..... fill o $. Qo.UQ!! 0' ....,o~ nolOl) CJ .. ~... ~ a.osu"t! a ,. ~R""""'NTl" CLOSEO 0fiI ~ c:J I, r ANIiI; ~a.C)vED (~-...tv..,... 4nIJIJ ~ F...èIUT'I' IP . ..::i:Þ2- NIl( , L TAM( DEsatP11CIM OA .o.:oT1OIW. fV\.ðt) €R0 T-w~ IN I ~Ò COWAR1'1EHTALIZRI TAl« a T. .. '"'f"',~. _ ØIII't rcr.-:it CZIII~ c:: .. TANK c:can!N1'8 . ~'M'I! .0'.,.. IIII!GU.,M'~ a 2. ~ CJ '" ~~ Ji('s.. ..... : _1C, ~-'Œ1.tUW)ED 04. GASOHOl. COI6ICIN NAlil!I'IIMt,.............. ~~) D So .ÆT' Fta EJ ... A'AIoTIQN FUEL 0.. OTHER ..., c.t.S . (lam I8IMIIuIt ....... ---"'~1 .... 4- 1"rP'IS OF T AlII( 'o..c. _ ..... ....." r-,* No\~........,..... 'C/I«.t: ..... ..., ~ C 1. aa.&1IIfiU. a 2. c.cuae WAI.L o 1. e.N!! SÆI!I.. o 2.. Sl'AINU!S$ STEa. ',AIO( ......TfA~ - -*"-7"" 0 ,. IWtE STI!Ð,. C".IIoodr_....." C :to sr.....us ~ a 1. ......LJeÞ o 2. AIA'WD...... o ,1. ..,..,,~ CATIeXIIC ~ [J 2.. ~NØZ 'I'I!M ICII'~ ~ T'\'Pe ~1ot;If/I.. ~ '" 1. SPIU. CQf!'AMI!Hf l q,& 7 '1iil2. ~ TUBI! l f{g7 STIiIIII8' "-',. l ti.ß1 NIl( JNJÐiIIOR L.-G « COAT1NQ ,..,--= TH$ ccMo ~tcenOH.~ :..ocz. _ ......-" "'l.L AND ChI!RI'U :/Ie(.I " /Ia/ epIy) "T~~ )!!(s.. ...~ WI'nt ÐO_ 1119eANELIMER a c, s.G£WAU."AYAUl.T 03. ~/PVISTIC )( .0 STI!I!L.a.AD~ ~~ff'RP) o 3. ~'PI.AST1C C ""- Sf&L.Q.AD~ ~~(I'JP C $. CQCN5TE C So ~.:...:a c 4. A.~ !eLM'O [J s......... WAt,L v.mt IN1'ERIW. ~ 8't'StÐt 0.. Wlq1OWH o_~ C5_~ Ces.~ o a. 'JtP c:::tIWA.!18U5 WI11X1'1. ~ 1:).. O'nER... .... 10&3 c .. ...... C:OW>AT1BL! Wl11X1'1. ~ C "IW"~~ a 14L Cl.'MTED srœ. [J.. UfiIOCIWN c.. cmt!R 44S if.. \.NOOWC d.. on..- C I. ___ UNNJ CI.IAIIiEI ... 1Mn! 1118T'AUS) 447 "......,~ Do\T! NlTAUa) 449 o s: FIfIA'JI AU AIW'OAaÐ ~ a.. \NfH:PMc o 4. ~ c:uMÐtf tJ _. 0T11EA . .. (~---.,.) IG' 0IIEItF1U. PROTeCTION EO~ 'f'&AA 1tISTAUl!Ø ~2 c:J 1. ALNtM C1 3. FlU. 'TtIBESHUT'OFFvIoLVI:_ o 2. BALI. ncMT D .... I!XBfI'f ... ......._..~ " -..,~ .. ·to·" ' : ".... "~""; -iIØ¡. ....;' ..'. "'.'~.~' ....~~,::~_..- ,,·~:;pocfr;,:~·i1.~:·,:-· " i\T"......",.-,¡;" .... . "...'..,.,'...... "OO,*,- WALL T~OIlt T...1IIITM I&.AØDIR fCI*:It -~fIIr/# d4 pits, IIMIiIUM. TMIt CJAIJCJIICJ (l,ffQ1 0 1. WIUo\L (MCIIJ! WALL IN VAlJt.T-'"" C .. VAOOIIE ~ CJ:z. ~ 1HTMST'I'TIIoL.-cHITOAING C 7. ~A1'I!A 0 3. MoUIIUAL.I,OdTOIUItQ ~.. TANK TESTIJ«) a.. one Y. TANK Ct..,.... ""~"T1QM I I'IIItIIANINT QØIUU IN PLAœ - II8'nMo\TID QI.WmrY QII Sù8lJTNCII....,.... ... T~ ~ 'MTM IMUIr MATlRlAL.1 467 !T......TI!Ø DATI ~U8ID~" .... o "" c ... :F (YIeI) It'd Z9V8'ON S:1CUPAFORMS\SwRC8-8. \lllPC llO A3llV^ NnS ~dOl:v OOOZ '9Z'JdV I ...tV' __ ~""'I&U Â._ 0IPftCa 0. 8JMaON1IIINTAL I~, ..... ~ a.... ~ CA'" (e81) wm '- ~~ ....... ~11WC1~fCII**"_'" UIr__.. .... - If: '''ST9I1"1'PE .[J:;,......,.. CJ :L ~ C 1. GU.\Ift"t _ 0 t. ~ ~jiZ.-. IllCUWAU }ðs. UNl!D1'IIDc:It o. 0THrJt .. C t. SUG.EWoILL : IIMIiIUFAC1'URERIC z. DClu-...u, a.. UPIOD'* 0 2. DClU8U!WoW. ) ......IIC'I1M!R ., JooWIt:~ \ :0 1.""...ea.. C L "'~ta!.,'" ~ [J 1. aUIUteL ¡ -tfilULaAfCI ~c 2. It"...". aa. [J 7. ......... CJ 2. -,"-USS STEiL I a:3IIUÐ8ICIN : IIJiIO~ :e l.'F\.A8nC~1'Ia.IiiWJHCCNI'aIta o..~ c S. ~~TI8U!\NITMCONTEN1"S ~ ~-'.] ,.. c .. fll.D8Rl'Ø"ID 0... GnaIR 0 .. ~ :0 I. aTIIiI....CDI."*\I C t, O\ntClDCHW~ìCIoI ... 0 S. STœ.1IWc::Q.\l'1NG " . ·"~LÞKDmC'11CINQIIIt~_...." UNDIII * ..)UNþ..... 1"IœSSI'lIZ!D ..... to...... tIIIIert .. 1. 1!Lco,;'~~LÞl:CIÐ"'"_a.o...1UT_AUlD""....rClfll*' FCA I.EAk 8'tSTI1II1I........ MC 8VWniM '1< If ..h. ...... -......AIC VISIIL ~ o 2. IIDI'IM....U CMl1QT ~ s. ~-nL--'TTUr(D.1"" ~SUCI1I:III.... ~ . c s. 0A&....~~~......8I'SJBiI..11\I£ 1nL....1M1SM\.. . TOt'~., QIIIMJ I SAFe lUCnOIIam..poVM.Wla.....IIAIQD~ c 7.SBJ:~ GlRAvny FI.CIW! o .. ~1NÆOAfI"f1'l!S'rca.'..... "'- .....TCØIr.-......' PAE!IIURIZID ~lQiIIIIe.",,- 1D. ~~"''''''IIDI......teMD""~,, (OIleR ...., 'S8._1WWO Pl.liitPIMUrØF""'ALØlCoc:aN o ¡- ~':T==,OFFflClltU!!M8.___P4.tIA&Mesmae C Co ..0 AUTO ...... --.w CJPF . .' - ". AUn:lM&1IC", &alCÐ&\ ....~ CU"'18I) !llDlPIÞIt'RJr. CIIII -..ø,.....,.... . IUCTDIOMvrrr I'ra'I8t [J u. COMnIIIICIUI...... .--.e..,......... I IL _T '"'q;IWI ._OII.Y~""", o l' ~1iJUÞ~~.urG~__QJ'F--'UÞeIJ!MD WUl.\.AU1118 o 15. AUIOMf.n:: LIE LIaI( .DE'f~'....ØJI""~fIIIDIIa'lDW,"", 0fIIir eM AØt"'l000 [J 11. ~~IT1iST'(Q.' CIP'O o 11. OM....WIIM&.CHIiCI\ A8QWØIQUIØ IIfto¡:Q CZ.IUCTICIN c..~ c.. O'MiR C:L~' . C e. FlU' Cl:liØlA1a!: wr ,... acn..a [J 7. GALY"" S1'!m. o .. ~~, c... 011Ij c .. CATI1DØCPAO'78CYDI o...~ .,~ ~N'trIG ~PIIIDIOrea.....,.... o 1. ~LlELlrM.ÐèIQ,o'~ :U"'1ISI'JII!Dt.ll&m)~"""OFFR)R1J S't'STEIt flM.UIIE. AN) ~....... . I_I",". .fIUI:I&I.............. C 2. lIICINnII."tu"'1Øf C 3........ JIftWN. T'TDT...' "" C Co ~"WUL.CtIEI;I( CQif.emaNAL 1UC'nON8'rSTIiIe~..~aII)Jt [J S. DAL"VIaW.~~"""AND"""'1JI'8'IIiIII [] ... .........mGAi~ TRrtlJ,., GIPtf) UFE ~~(IID\fAL\ID"øaøwGAQUlilDPIPINGI: C 1. æF~ CIAAWJT I'LOWtQiIdt....~ CJ .. ......."....uøn'C. J.lo. C 'a. ~...._. .18'r(Q.11D1O -.1._. "' ~- Y COIÌÍ" nÏ!ll..... -- -,.,...~.._~ to. ~ 1WiIIIIII!...--.l!lDlJIUI8J!AIiD".....~.........4 C .. ~ I"IM".-n'OfIP..........oc:a.. C .. iUIO.... StttJT Of"r PaRUiAII:S. mn&I ~NID~ C"... ~ '1Sm D I;. .10 JUTO.uFavrow CJ h. ~11CI.IiM~I~._ [J tt. ....... ..._... TBSr (0.1 ~ '. .....~ I'I1m!IIIt C ta. CQmIIJCIUI"'_.-.!AIiD~~ 1IId..._~. ~"""OIL"fQlåtl..... [J '6. CONmIØJ8.... "'VII'rMq.G' AImI fI\aIP MlTQR= .~"WIUI&. HNIaB C IS. ~11CU"n."oe:l_......ø.oØPHTeat) ." C t. ~,"'«" 1JIf..,.'.....CRr...__ C :. ~o... ................AIiD\llaMLAUAMI C $. ~.. J............WlDlAUI08HUI'oPF ,...MN.18 .AUœLiAIDWSUAL--.. lit . IlJØlDPlaA1'c. ......MI --.......-......"..., C)p!1111!1t CDNr'."1f OI.TI!Nn'AU,8 .. ('IS? I aIIF.... ......... ... C II. ...,.... OIII:IIC ~.1III8Dt..../~ C.... . .. ~4-..J /;J(¿. .f~'t tilt ~ 4rI j "'~PW"'__ UPCF (7188) G l . d G9V8'ON " 6 4741._1 ~~~.._~~ s.'\QJP.v~WF lID Ajll~^ NnS ~dll:v OOOG '9Z'jd~ CITY OF BAKERSFIELD .FICE OF ENVIRONMENT_SERVICES 1715 Chester Ave., Bakersfield, CA93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY I (91 TYPE OF ACTION (Check OM Item only) o ,. NEW SITE PERMIT o 3, RENEWAL PERMIT o 4. AA.ENOED PERMIT o 5. CHANGE OF INFORMATION (SpecIy Chenge . ~I use only) o e. TEMPORARY sm: CLOSURE ,Page _ 01 _ o 7, PERMANENTlY CLOSED SITE o 8, TANK REMOVED 400. o 3, FARM 0 5, COMMERCIAL o 4. PROCESSOR 0 e, OTHER 403, Is IIIdfIly on Inchn Reserv8IIon or 'If _ 01 UST a public agency: name 01 superviSor 01 trusIIanda? dvIaIon. sec:Iion or olIIoe whk:fI operates !he UST. (This is !he CDlIKt person for !he lank records,) i BUSINESS NAME (s.me .. FACILITY NAME or DBA . 0aIng 8usineu AI) VV\OK'~ NEAREST CROSS STREET ., . WI i ~~~NESS 00.. 1. GAS STATION o 2. DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE M f1~~c; Y" PROPERTY OWNER TYPE ,'b/-1. CORPORATION I. FACIUTY I SITE INFORMATION 3 FACILITY 10 . 401, FACILITY OWNER TYPE o 1. CORPORA nON o 2. INDIVIDUAL o 3. PARTNERSHIP o 4, LOCAL AGENCYIOISTRICT" ' o 5. COUNTY AGENCY" o e, STATE AGENCY" o 7. FEDERAL AGENCY" 402. 405. 408. IL PROPERTY OWNER INFORMATION DO" -Q¡t 409. 410, STA~ 411. ZIPCODE q ? -30 412. o 2. INDMCUAL o 3. PARTNERSHIP 413, o 4. LOCAL AGENCY I DISTRICT o 5. COUNTY AGENCY 08. STATE AGENCY o 7. FEDERAL AGENCY s~ MAILING OR STREET AOORESS Q.c:' ... - . :;., ~::.r.;.::":~ ~~-'_';.._....' .' ':-"',,:;~:~;~~~)~~;;~~~::::¡~~ - ::':: ~b¿sv'~ 414. 416. CITY TANK OWNER TYPE 417. I STATE , 0 4. LOCAL AGENCY I DISTRICT o 5, COUNTY AGENCY ZIP CODE 418. 419. 08. STATE AGENCY o 7. FEDERAL AGENCY ¥,. CORPORATION o 2. INOIV1DUAl. o 3. PARTNERSHIP 420. :¡.j';:':-!"':; .,-, , ' ,';:' "~':;',"'>S';,ï\I.·BOÁïtQOF EQ~~(~~~1JP~ ,USTsTdRAGEFeEÅCÇÔÙNT,..u.ìI:BÊ~ Call (916) 322-9669 If questions arise 421. , " , . .' '. V. PETROLEUM UST FINANCIAL RESPONSIBILITY o 7. STATE FUND 08. STATE FUND & CFO LETTER 09. STATEFUND&CO o 10. LOCAL GOVT MECHANISM o 99. OTHER: o 4. SURETY BONO o 5. LETTER OF CREDIT o 8. I:)(EWT1ON 422. VI. LEGAL NC)TJFICATION AND MAlUNG ADDRESS Ched< one box to lndc8te whk:tI addr-. should be UMd lor Ieg8I noIIftc:aIJons and mlllllng. Legal notIfIc:adona and maillngl wIJ be sent to !he lank _ unJ_ box 1 or 2 Is c:hec:ked. o 1. FACILITY o 3. TANK OWNER 423, 2. PROPERTY OWNER ;.1 . .. , . .. R ... , . 't·· ~. . ... , VlI.ÄPPlICÂNt SIGNATURE ' ,. ""11' .. ~... :1'" C«t/tlcarJon: I ceII!fy IhelIIIe Information prcMded ~n Is InHI and lICI:tnIe to !he "-I 01 my knowledge. -SiGNATURE OF APPLICANT DATE NAME OF APPLICANT (ptlnt) ~ fl-.. 424. PHONE 425. 426. TITlE OF APPLICANT 47:1. 426., 11198 UPGRADE CERTIFICATE NUMBER (For 1oC., u.. only) 4zg, I STATE UST FACILITY NUMBER (FtN/oCM uø only) UPCF (7/99) S:\CUPAFORMS\swrcb-a.wpd e e,' March 29, 2000 Market Express 2500 Wible Road Bakersfield, CA 93304 Dear Underground Tank Owner: Your pennit to operate the above mentioned fueling facility 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 arrangements to have the new fonns A, B & C completed and returned to this office by May 15, 2000. For your convenience, I am enclosing all three fonns which you may make copies of. Remember, fonns B & C need to be filled out for each tank at your facility. Should you have any questions, please feel free to contact me at (661) 326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dlm Enclosure State of California State of Water Resources Control Board Division of Clean Water Programs P.O. Box 944212 Sacramento, CA 94244-2120 For State'Use Only J. .:-- 8'\1'- M.!~· (Instructions on reverse side) ';'1.' " ", CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in the Required amounts as specified in Section 2807, Chapter 18, Div. 3, Title 23, CCR: D [ZJ or 1 million dollars per occurrence AND [ZJ D I million dollars annual aggregate or 2 million dollars annual aggregate 500,000 dollars per occurrence B. hereby certifies that it is in compliance with the requirements of Section 2807, 'l/rL.. ~T ~~¿l , , . . . , ,·Name and Address oflssÙér·.. 'í9;¿' fk¡r~;YQr 74'/J/d ;¿f ~ ~~j/~/qzJ , / , ~f~Ø£~.g, '& ~ '1"~-~/pL .t7 ,e~&#.ALL~ ~->d#¿/,¿¿~~d¿ ""'?,P# çe,,5E'/,L 6 ~ÉÆ'ø- YJ¿?J" f~ {!£r;C , ~//4/R#~//I!/ CJ):'/"/(l £.Æ/ ;¿~;/L-£-e. . .€-.S, Note: If you are using the State Fund as anY./lart of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance with all conditions for participation-in the Fund. Facility Name Facility Address D. Facility Name 'ZS-é90 C-J I ß<.£ «D Facility Name '. "-,. FILE: Origmal - Local Agency Copies - Facility/Slte(s) , JfE: e e Effective July 1, 1995, California Small Businesses and California Businesses with 500 employees or less must demonstrate at least $5,000, exclusive of the UST Cleanup Fund, businesses with over 500 employees must demonstrate at least $10,000. (Chap. 6.75 H&SC, Sect. 25299.32) ì The Chief Financial Officer or the owner or operator must sign, under penalty ofpeIjury, a letter worded EXACTLY as follows or you may complete this letter by filling in the blanks'with appropriate information: tf?¿ e ~ This letter is in support of the use of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and proRerty damage caused by an unauthori d rel;yse of petroleum in the amount of at least $ ~Çl,4 "\ d per occurrence and ~ P , annual aggregate coverage. (Dollar Amount) . (Donar ount) Underground storage tanks at the following facilities are assured by this letter: . , ~~ ' ,. (Name and address of each facility for which financial responSl ' . 1. Amount of annual aggregate coverage being assured by this letter......................................................................... I!I 0 $~ø , ~ø?:L'/~ ~J7Lý'3 $/~~)!/~ ,ð 2. 3. Total tangible assets........ .................................... .-................. Total liabilities. ...................................................................... ø ð 4. Tangible net worth (subtract line 3 from line 2. Line 4 must be at least 10 times line 1 ).................................. ~ 0 I hereby certify that the wording of this letter is identical to the wording specified in subsection 2808.1 (d)(1), Chapter 18, Division 3, Title 2~ of the California Code of Regulations. I declare under penalty of peIjury that the foregoing is true and correct to the best of my knowledge and belief. Executed a#~h.** a On ø~x=tiOO) (Date) ~"''''~ ~~~ . '1Þrin~ / ¿::Jø/ /' E. ' (Title) /' - UST 02FR revised 4/95 , h<" "','H ......-.. ", , " FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "W 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 E~RONMENTALSERVlCES 1715 Chesler Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX(805)32~576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 "\ ;e . February 9, 1999 Market Express 2500 Wible Road Bakersfield, CA 93304 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. SiZ' dtkQ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure '-'-.57~de, w~ ..¥"&ð ~0P6 ffbz, .A W~p'" e /- ' WRlTIEN MONITORING PROC.URES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The iDformation on this IDOIIÎtariJI8 program are CODditioDS of the operating permit The permit holder must DOtify the Office of EDYiron.I~.I..1 Services within 30 days of any ch.nr to the monitoring procedures, un1aa requin:d to obrain approval bc:foœ making the cbange. Required by Sections 2632(d) and 2641(h) CCR. Facility Name Facility Address A Describe the Û'equency of performing the monitoring: Tank Piping B. What methods and equipment, identified by name and model, will be used for perfomiDg the monitoring: Tank Piping C. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment: E. Reporting Format for monitoring: Tank Piping F. Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturer's maånteDaDce schedule but not less than every 12 months. G. Describe the training necessary for the operation ofUST system, including piping, and the monitoring equipment: e . EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The infonnauon on this monitoring program are c:oaditions of the operating permit The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures. unless required to obtain approval before making the change. Required by Sections 2632(d) and 26-$1(h) CCR Facility Name Facility Address I. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up Û'om the secondary containment within 8' hours, or deteriorate the secondary containment, then the Office of Environmental Services must be notified within 24 hours. 2. ' Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substance. 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment: S. List the name( s) and title( s) of the person( s) responsible for authorizing any work necessary under the response plan: ....... FIRE CHIEF MICHAEL R,KELlY ADMINISTRATIVE SERVICES 2101 'W Street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 ·w Street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield. CA 93301 (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield. CA 93308 (805) 399-4697 FAX (805) 399-5763 .J ~ . e - BAKERSFIELD FIRE DEPARTMENT May 6, 1998 Xaverio Bae Market Express #2 2500 Wible Road Bakersfield, CA 93304 RE: Failure to Respond to Correction Notice SECOND NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Mr. Bae: OUf records reveal that you have failed to comply with the Notice of VÌolation which was issued on March 18, 1996. Title 23, Division 3, Chapter 16, of the California Code of Regulations require the following: 1. 2632(d): Written routine monitoring plan and, 2632(d) 2: A unauthorized release response plan. 2. Section 2641 (J): Requires an annual calibration and maintenance be perfonned on underground storage tank monitoring equipment. I I I 3. Fire extinguishers must be serviced annually per Unifonn Fire Code 1994 edition. The above corrections must be made by June 6, 1998. Failure to correct the above mentioned will result in the revocation of your Pennit to Operate. Should you have any questions, please contact me at 326-3979. Sincerely, Ralph E. Huey, Director Office of Environmental Services by: I' .#:'"~ ,,/ Steve Underwood Underground Storage Tank Inspector cc: Walt Porr, Assistant City Attorney 'Y~~ W~ ~vØ6~~ A W~" - - - - ----....;7._~--- ---.., <¡PRRECTION NO~CE BAKERSFIELD FIRE DEPARTMENT N~ 663 Location V\.\<»:hJ- f-::'tpîC~Ç 1+- 2.. Sub Div. DS'()[) ().)" (ok.. ßL. Blk. You are hereby required to make the fOllowing corrections at the above location: . Lot ß31 - ? f'r., ( Cor. No (frf 2.3 c c P kif" ,~('a!..l. t1.ð.uc- f{.... IJ htJlk 0~ (rCL ./.{oC13 í{ À 3V l\¡ Complet on Date for Correctio s Date 3ft o/9~ Inspector 326-3979 ~-~~-~~~~~~~-~TY~~__~~~_~_~_ ..' - h1H^ "f(r-T r-·:<'F'r-.E-=":· i- f.l. 1'"="'1:., C" r:. ,_,,_, 25f10 I.dIBLE ~:[:r. P^V~R0FTLr-~ 1~^Q77-4 ~·H"..~ 'J . CL.I, _,H. _.,~..~.1::.1 ~ SITE # 02 " '- , 3/14/1998 08:50 AM DEL I I..JEF.:'...' REPO~:T TAr.w. 1 12Ø00 GAL ". [dESEL BEG rr~ TI t1E BEGIN DATE BEG I ti GROSS BEG I t~ t,JET BEG I [~ LEI.)EL BEG I N I¡.IATEF.: BEG Hi '-¡lATER E:EG I ~j TEt1P ŒD TI t1E END DATE Et·j[) GROSS E rW [,j ET ,>~ .:¿ft·j[) LEI.)EL ,,~ Et~D 1.I.lATER END 1.¡lATEF.: Œ.NP GF.:b DEL t~ET DEL :::: 34 Ar1 03..···14..·..1998 801. 1 GAL 79:::.3 GAL 11 .'341 Hj I 0.543 W I 8.8 GAL 67.712 F :::: 35 At'1 03/14.··..1998 1259'.4 GAL 12~i4. 9 GAL 15.438 Hj·. 0.547 IN :::.9 GAL 67.758 F 458.3 GAL 456. 7 13AL '~,...;..:.,'~...:_-=-=- -----~ t'1APKET E::'::F'PESS ~2500 WIBLE RD. ~~RSFILE-D;¡ CA. '1333Ü4 ~ :::ITE # 02 3/14/1998 ~Y:RY AN DEL I I..JEF.:'.,,' F.:EF'OF.:T ~ TA~jK ~jO. 2 12QEt0< GAL', U[·jLEADED REG 8EG H~ TI I1E BEG I t,j DATE BEG I [,j GRO:::S BEG It~ [·JET 8EG Hj LEI.)EL 8EG I [.j h.lATEF.: BEG It~ I~IATEF.: BEGEj TENP Þ E~J I t'1E . E;~j[) 'DATE ám GROSS E¡·j[) ¡·jET ŒD LEI.)EL am !.I.IATER END h.lATER :::: 36 At'1 03....14/1998 1136.9 GAL 1132.4 GAL 14.315 Hj ø. 000 Hi 0.0 GAL E,5.644 F :::: 59 At1 03/14.,·..1998 8671.3 GAL 8651.6 GAL 64.246 I [,j 0.000 -} . ~C1."GÀL .M -,. .-} .-, .¡ r- END. TENP", t..). L':'':' r 13F.:O% DEL/~_r- 7534.3 GAL t~ET DEl"---" 7519.2 13AL -' !¡~ , .'i /; · e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME fl1/lt~~+ (;'fprcl:J.C; iI- c2 ADDRESS /J~OrJ w,{,ffL- f2d. F ACILlTY CO NT ACT INSPECTION TIME INSPECTION DATE --3118/18 PHONE NO. ~J ( - 9('w I BUSINESS ID NO. 15-21 0- NUMBER OF EMPLOYEES ?_ Section 1: 5t""Routine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand V Business plan contact information accurate V Visible address V Correct occupancy V Veri tìcation of inventory materials \I Verification of quantities '\J Veritication of location Ý Proper segregation of material if Verification ofMSDS availability V Verification ofHaz Mat training \J Verification of abatement supplies and procedures J Emergency procedures adequate V Containers properly labeled V Housekeeping J Fire Protection V t{1/"C.. G"i II-\~Ot.jkt".s Nù:c\ 6ctulCc:è\ Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes c6No White· [nv. Svcs. Yellow· Station Copy Pink· Business Copy Inspector: Questions regarding this inspection? Please call us at (805) 326-3979 , ' - . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME fhat~r'¡' Pyorrc,c: rf:-:; , INSPECTION DATE al,of1g Section 2: Underground Storage Tanks Program ~Routine 0 Combined Type of Tank 50JI- Type of Monitoring o Joint Agency 0 Multi-Agency 0 Complaint Number of Tanks 3 fi-T Q-> Type of Piping n I-PT ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile ..¡ Proper owner/operator data on file V Pemit fees current V Certification of Financial Responsibility Ý Monitoring record adequate and current if "'0 toIP1'f OTUít"~" 1'f\oV\\To''''f QI 1)W1"~(UP..j" 1'1 -. litH.. Maintenance records adequate and current v' ¡./() -tffl t 0" (care clcfc,flcI') ~'t*" Failure to correct prior UST violations Has there been an unauthorized release? Yes No Ifl") Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? ¡fyes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes .~~ N=NO Inspector: Office of Environmental Services (805) 326-3979 White - Env. Svcs. *'" fL- @-~ usmess SIte ResponsIble Party Pink - Business Copy RRE CHIEF MICHAEL R. KEllY ADMINISTRATIVE SERVICES 2101 ·w Street Bakerstield, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'W Street Bakerstield, CA 93301 (805) 32~394 I FAX (805) 395-1349 PREVEN110N SERVICES 1715 Chester Ave. Bakerstield, CA 93301 (805) 32~3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakemlek:l, CA 93301 (805) 32~3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield, CA 93308 (805) 3w-4fR7 FAX (805) 399-5763 . -,~'" .' -- ~ BAKERSFIELD FIRE DEPARTMENT ~ February 13, 1998 Market Express 2500 Wible Road Bakersfield, CA 93304 RE: "Hold Open Devices" on Fuel Dispensers Dear Underground Storage Tank Owner: The Bakersfield City Fire Department will commence with our annual Underground Storage Tank Inspection Program within the next 2 weeks. The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire Department now requires that "hold open devices" be installed_ on all fuel dispensers. The new ordinance conforms to the State of California guidelines. The Bakersfield Fire Department apologies for any inconvenience this may cause you. Should you have any questions, please feel free to contact me at 326-3979. Sincerely, ¿~ Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey IY~~W~ çop~~~ A W~" 05/16/1997 08:34 -f'. 8058314639 SUBURBAN PAGE 02 -- - e " - X ;;$ 'BcJ \>~ "~~0S'8 .-' ~) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Cbester Ave., Bakersfield, CA (80S) 326-3979 APPLICA TION TO INSTALL AND/OR REMOVE ABOVE GROUND STORAGE TANK(S) In conformity with provisjons of pertínent ordinances, codes andlor regularions~ permission is hereby granted to: SUBURBAN PROPANE Name of Company 5700 So. Union Ave. Address to display, store, ínltaJl, use, operate, soU or handle materials or proces. involving or creating conditions deemed hazardous to life or property as follows: Install a 500 Gallon W/C Propane tank and dispencer unit. - location. TEXACO MARKET EXPRESS. 2500 Wible Rd. Bakersfield Tªn~ is d.~signed......t2...ASME ÇOø~ subject to the provisions and/or limitations as provìded. Violation ofpeninent ordinances, codes ancilor regulatjons shall void this permìt. ~ P~~-2r-27 Date ~~.h_ M. G Gilmore Applicant Name (print) Ø/~ Applicant Signature THIS APPLICATION BECOMES A PERMIT WHEN APPROVED 05/16/1997 08:34 -. 8058314639 e SUBURBAN PAGE 03 e ¡JOTl : ORIG/~/f/L iDCItII(!)~ 5 {£ #(lU [oC17Tlolý Suburban Propane NAME OF COMPANY TEXACO MAR~fLEXPRESS ADORESSOFLPGtNSTALLATION 2500 WIer F RD BAkERSfIELD. CALIFORNIA TANK SIZE 5.D.O_.\ijÇ.J!Jll1...&l SDen.Ç~r u~l t OATE INSTALLED ____.._ PLOT PLAN ~ N I WILSON 5T =.J proposed LPG tank Lù ZV) .....Q.. ....JE: o=:;) ~a. (!' I.LJ ;Z::/n ~t 0::;. V) a. ~ Q à: I.L/ ....I a) - ~ I I.{$ z .,.J ¡.- IØ~ Z o In a: OIl( ~ TEXACO MARKET EXPRESS 2500 WIBLE RD PROPERTY LINES Not'lto SCALE: A·31 05/16/1997 08:34 " 8058314639 e SUBURBAN PAGE 04 ~h-f~ : ^k~ "tÐCClf/~(j/' e I ' PAGE 1 SLlburban PrOpal1C NAME OF COMPANY TEXACO MðRKET EXPRESS AI)D~ESSOFlPQ'NSTAlLATION 2500 WIBLE RD BAKERSFIELD. CALIFORNIA TANK size _~ GALLON DISPENSER DATE INST ALLEC PLOT' PLAN ~ N '" I l WIL:)ON ST .-1 I . I I --.....- I n L&.I UJ LLI Z CI') ~V) z CI') IJJ Q. _Øa. LLI Q. s~ ...IE ~~' 0:) CI') a.. V) Q. z; 0 < < ..J 0:: (:;I ë:I c.!' ,'.¡ Z W ~ ...J ~ P('(JfJt"#ÑL TóNk ~ - =- ,...J . .So. ~ I+¡ ~ /kfq " L ~.~: , , . TEXACO MAR~ET EXPRESS 2SÒÒ WIBLE RD , SCALE: A3t 1'/1. ~ Fete-I'D IJ/tfA rRIISH - BIN ó, ID ~, C>1 , W I~I ~ (!J N <I Q.. UJ <!7 !-de. p~ . 01( 0.... TExßCO MhRKET GXP~£55 -r.I.pJ.~ 'I g.500 wib/.e f?d. I , \,j I ~ . ~ - L z <I . E co æ ::J co '~8 ' 1,,1 ::J (J) . 1? .. 0 I (1) e (Y) lD I '0" G .-t (Y) IJ co ID 5 C>1 co C , '0" 1 (Y) , co C>1 I"- (1) . (1) ,._.uJ I I .-t "- lD .-t "- ID C>1 L ffl<5otV ¿IV ,..-'-- - e e X3~o Þc\ I±L 1~8 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 chester Ave., Bakersfield, CA (805) 326-3979 APPLICA TION TO INSTALL AND/OR REMOVE ABOVE GROUND STORAGE TANK(S) In confornúty with provisions of pertinent ordinances, codes and/or regulations, permission is hereby granted to: SUBURBAN PROPANE Name of Company 5700 So. Union Ave. Address to display, store, install, use, operate, sell or handle materials or process involving or creating conditions deemed hazardous to life or property as follows: Install a 500 Gallon W/C Propane tank and dispencer unit. ,Location. TEXACO MARKET EXPRESS. 2500 Wible Rd. Bakersfield Tank is designed to ASME codes subject to the provisions andlor limitations as provided, Violation of pertinent ordinances, codes andlor regulations shaH void this permit. Issued Permit Denied f- 2%-7;7 Date ~~ " 0 ed by: M. G Gilmore Applicant Name (print) !Jt!(£ Applicant Signature THIS APPLICATION BECOMES A PERMIT WHEN APPROVED e ;:J/!!!? '. . NAME OF COMPANY TEXACO MARKET EXPRESS ADDRESS OF LPG INSTALLATION 2500 WIBI F RD BAKERSFIELD. CALIFORNIA TANK SIZE 5fiO_,~lÇ,JH.ll}.Jti spencer unit I DATE INSTALLED ,___ PLOT LJ.J ZV) ......0.. ...J~ O=:J ~o.. C.!) c c::: LJ.J ...J CD - 3: , "II crash post 411 :dia. fJtANT£n 2' in ground 3' abov.e GLFc-r"'c.. spaced 4' apart~'61~ ~s 50~ . WILSON ST LJ.J ZV) ......0.. ...J~ O=:J ~o.. C.!) TEXACO MARKET EXPRESS 2500 WIBLE RD PLAN I.LI ZV) ~o.. ...J~ O=:J V) 0.. « C.!) proposed LPG tank I L.(5 PROPERTY LINES Not, ,to SCALE: ~ N I Z ...J I'- lð~ z o U) c::: « ...J A-J1 c e:: UJ -l co ..... :3 - Suburban Propane ~.,._,... Mj, - NAME OF COMPANY TEXACO MARKET EXPRESS ADDRESS OF LPG INSTALLATION 2500 WIBLE RO BAKERSFIELD. CALIFORNIA TANK SIZE 5O.LW/C With disDencer u~it DATE INSTALLED _, PLOT WILSON ST UJ z(/) .....c.. -l:E a=> ~c.. C!I UJ z(/) .....c.. -':E a=> (/)c.. < C!I TEXACO MARKET EXPRESS 2500 WIBLE RD PLAN UJ z(/) .....c.. -':E a=> (/)c.. < C!I proposed LPG tank PROPERTY LINES Not'lto SCALE: ~ N I z -' I'- lð~ z ° VI e:: < -' A·31 ~ - -- - - -~--- -....----- --- Ç~RECTION NOTIW BAKERSFIELD FIRE DEPARTMENT N~ 591 LocatioI1 Møtlcl!+ FY:'tt~S 1f- L Sub Div. .;>Çbf) W\t:Jk fJ.J . Elk. . Lot You are hereby required to make the following corrections at the a ove location: ~ to "' c!\ If ~cf , 11'11 3Ð Inspector Completion Date for Corrections Date ~¡'t:¡/t¡7 326-3979 HAZARDOUS MATERIALS INSP.ON .kersfield Fire Dept. OFFJf!!l OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed ,gf¡t/1; Business Name: 1l1dt~t'f ~O(f'~5 I Location: :J Ç'('(f) tv I lot 0(.., fl.d Business Identification No. 215-000 5"03 (Top of Business Plan) Inspector -5-kC}L U/1,claw"ðf' Station No. Shift Arrival Time: Departure Time: Inspection Time: Adequate Inadequate Ade~te Inad6uate Address Visable r5I LI Emergency Procedures Posted Correct Occupancy rY LI Containers Properly Labled LI LI Verification of Inventory Materials cgI' LI Comments: Verification of Quantities ~ LI Verification of Location :í LI Verification of Facility Diagram d LI Proper Segregation of Material LI Housekeeping IIi LI Fire Protection ~ LI Comments: Electrical rí LI Comments: Verification of MSDS Availablity rV LI Number of Employees: 3 UST Monitoring Program LI g' Comments: Verification of Haz Mat Training rtÝ LI Permits ~ LI Comments: Spill Control LI Hold Open Device LI ~ Verification of at Hazardous Waste EPA No. Abbatement Supplies and Procedures LI Proper Waste Disposal r:1 0 Comments: Secondary Containment r;ý LI Security r9' 0 Special Hazards Associated with this Facility: .."......- Violations:~\cQ.!><- tc·"'lDtlt. It ~Id ropeV\ /1 rÍrult', t, .(.,,('1...... f'V'k.f'3 I fl\Ð~ (Ilk.- l-kvc.. LLttlc. -k&k( c. l . X J.h/ é;'fi., II) /J If r:r SIGNATURE Œ !2:! All Items O.K Correction Needed ~ ~ e;. f?j <D ~ White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy a u.. UNDERGROUND SrORAGE TA_NSPECTION Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 FACILITY NAME ~(ltrd' e~t'rd'!J 1f- 2- FACILITY ADDRESS ~Söf) l1'JtJ~ Il& BUSINESS r.D. No. 215-000 50 '3 , CITY Bt-fl ZIP CODE <l 'J.:3() if FACILITY PHONE No. ~( ~ 9%/ 10# 10# 10# 3k~/9) f '2 ~ INSPECTION DATE Product Product Product . TIME IN TIME OUT tlL & IU Inst '1~e Inst Date Inst Date INSPECTION TYPE: I 51 Ie'} !/ 1 19rt ') ROUTINE ,/ FOLLOW-UP Size Size Size ,"I .-- 12 CCÐ J' ;It ?I REQUIREMENTS yes no nIa yes no n/a yes no nIa 1a. Forms A & B Submitted \/ 1b, Form C Submitted V 1c, Operating Fees Paid if 1d, State Surcharge Paid v 1e. Statement of Financial Responsibility Submitted \/ 1f. Written Contract Exists between Owner & Operator to Operate UST \/ 2a, Valid Operating Permit ",'/ 2b. Approved Written Routine Monitoring Procedure \1 2c, Unauthorized Release Response Plan if 3a. Tank Integrity Test in Last 12 Months V 3b, Pressurized Piping Integrity Test in Last 12 Months v' 3c. Suction Piping Tightness Test in Last 3 Years J 3d. Gravity Flow Piping Tightness Test in Last 2 Years \/ , 3e. Test Results Submitted Within 30 Days lJ 3f. Daily Visual Monitoring of Suction Product Piping \/ 48. Manual Inventory Reconciliation Each Month I) 4b. Annual Inventory Reconciliation Statement Submitted .,¡ 4c. Meters Calibrated Annually tI 5. Weekly Manual Tank Gauging Records for Small Tanks \/ 6. Monthly Statistical Inventory Reconciliation Results J 7, Monthly Automatic Tank Gauging Results II 8, Ground Water Monitoring .J 9. Vapor Monitoring ...::-. tI 10, Continuous Interstitial Monitoring for Double-Walled Tanks -/ 11. Mechanical Line Leak Detectors....", v' 12. Electronic Line Leak Detectors ..../ ., 13. Continuous Piping Monitoring in Sumps 14. Automatic Pump Shut-off Capability \) 15. Annual Maintenance/Calibration of Leak Detection Equipment ..J 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series ../ 17, Written Records Maintained on Site V 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days V 19, Reported Unauthorized Release Within 24 Hours ,/, 20. Approved UST System Repairs and Upgrades ..¡ 21, Records Showing Cathodic Protection Inspection ..¡ 22. Secured Monitoring Wells ,/~ 23. Drop Tube V ./ RE-INSPECTION DATE RECEIVED BY: A r~ VL-' ~ INSPECTOR: OFFICE TELEPlòN~ No. FD 1669 (rev, 9/95) -\ ) I ,'\. e BAKERSFIELD FIRE DEPARTMI BUREAU OF FIRE PREVENTION ÂPPUCA TION X 9l Application No. 1\ ' 'H} Ma'~ 1 ~(H Dote In conformity with provisions of pertinent ordinances, codes and/ar regulations, application is made by: \ tit' ; ~ J , '," ~,> 1 . Nome of Com~any ,.,.. '':"' ,,,..\~ rT...~.f; ~'O:L. Address to display, store, Instoll, use, operate, sell or handle materials or processes involving or creating con- d¡tions deemed hazardous to Ufe or property as follows: rÇá_"""gt~r·'':~'fÀ ~-t"a ':r,,, .'1: 1']' nrt...-·... . '«:.ð'l;-r:,.: . ,'Vë1'(~f<-: Pr..a~("~ 11. :r :"Þc."t:ion S.& at: ~"". ,. I, ~ :~ . ., ,'t, ,. ~'" , .......-< , . , .. ~ .. i'. / ~.......--....... ',- :.. ~ 1',::..~i.: tn:' i ~ - ::1.". 1:r!1C~L- .c..> ~t9.~ 1 A.¡ Pennit~ .¡;;,ç~ _....D..iiOi{J..~.!.d__.~ ~. / -~7;l-L~---- . ,~.1\uthOr¡zed Rupresêntéhive ...IJð' -n (\ " ,r~, " ' By...~.ci.:\.r:a.sÇ~Qhÿ'.gLYLV)."a~¡.x~..-L... u .._'...... FIre Marshal ,--.p, Ü\C~ -------------. ------ ----------- --it--______ _ . ----- - . - - - - - - -- -.- - :- /"' - '''' ~'r't1 CHA."'¡GE. ,P/"- A '" .,., 18 REDI2AWIJ 8 ", lO' 79 PHOl.'JE UQ. C~A)JGE C 4, \=--80 ~F', OWe.. \CI~ '0\4,., ~ IfJ';;rA~ i>2OC.ES5 I 1..6 UlJIT C. VC.Q, Z. MOCEI.. t::ePI(.TE:O) --('SEE Do'JG>, "0101&, ~ET~ 1.-~) oUTLET" ~ ca.LE LTlo..) lJ'J1T 11:> SA..~E. TAU"" vENT ...<;" 0.)1 C:F TAt.JIo::. 012A11.J CHEC."'- DeAII.J LINE. , -:.., , ·co:rx 1~",rAi..L MM.JII'Cu) AlJD r1 ' - PI" VALVE: PEl<: De:rAlL 2, j D'N6 toJo, I 010, SH 2, ()1,\6 r1Jj' 10'::07, OETT>.II_ " 1. I _ ,:>\.Of'E: : - - - - ~ _c:;-o IIJSn.U. (1)1 c:s= TAU:. œAnJ UlE<I' I'EI2. ŒTAll.i,-----... (;M.G. 1JQ,104O a 10':>1. ~ ..... o II..JSTAU. CCu..E:LTIQ,J \AJIT (~E QIII(:,. ...0. 100b, ~ 3) '>-I$TA!..L VA~ LIIoJIi -- ~~g;~rr "'HE.E~ 1-5 '''-'$T"AU... DISPE"'~Q. CCIwIÇQ>Jë~ /' (~ D\IIItã. NO, 101.(0) I NOl E :_ o.n- cç T~ Dl2AIIJ O-IE:Q::. ~ UlJæ~~.D I-IAI'JIFa..D I-IA't' eE.lOCATED IIV SA"'~E. PIT, A'5DE~MIU:De.Y lOCAl.. Cc...JC1ln~, ':£E: ~ ,IJQ. I CF.-.1 0ETÞ.l1. 11. ' TItS DRAWII\G I/'O.lŒS CCJt-FŒN1lAl PRCX'A- ETARY N'alMATION Œ;G.J.F SCÐCE A1Ð TECHNOLOGY COMPANY. IS 10 BE USED SOLELY FOR TIE INST AlLA TION. OPERA no MAlNTEIW'Œ OR ÆPLACEI.£NT Œ TI-£ V APæ caJ..ECT1ON /IHJ I'AOCESSING SYS FCR WItCH n£ DRAWN3 IS 5Lf'I'\S). /IHJ IS t()T Toæ c:aÐ> OR DISClOSÐ TO On£RS Win-Oft WRTTEN PERMSSION CF <ll.F SCÐŒ /IHJ TEON1OGY CCM'N«. \~QUIQEO 1'-1001 FI C.A TIOt..J GUU:- sc.IE~ ~ ~t-JOLcx-:,V CO. P.O. OOA.W E Q '203& PlffiWI2~. PA. 15230 TELC41"2) "-5-'=lí)O . VI ~ o :z ~ r NOt.}- tv\AtJlrou::eo ßAlNJC..EJ) ~TEM RE'NO~ S<ALE ~"IIIr: BeU- .....""'"'..., (' r l., lO~C -- --- -- -.~- --.---- - --,-----,---- -- --- --- - ," " ' C(.)~RjCTION NOTICE.. BAKERSFIELD FIRE DEPARTMENT N~ Location (fJ,qR-ko'i l-v..Þe~ *:l... I . Sub Div. ;:3--.f;CO IA/,'jj~ . Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No e..... 2-) da'l'Eè.'-I-/Orl dt2 '¿?' \. Completion Date for Corrections 1~"5¿J~ Date ¡(/5ð/q ç;- , , 7Z~;P~M ~ ~ Inspector, 326-3979 ""'- 0213 ~..~:~-""""~~"I.!~~--.f".;.:-::;~~-:...t..'Q.~_~~~:~~~,~_~;;:&:.'tJ:'~~~'~:.'7'/~--~~;~-,,;¥ i "~'c"'~i~' ~...,,_~ .;'.' ',"t, .. -"-~'\~' -/.~ UND~~GROUND STORAGE,TA.,NSPECT,ON ~, , , . ,>i\~ , ~. '. ".. ~ -~:... ,~ , , :\. '''--<~_:' ," . i.--:'~' ."t__:;.....~.-.,;\._':"';~.--... .:.... ~..:~....~:....:.,:~.~~:....j,...f..:..,_~...".....:':""~- ..,:-~. .f.' , , , Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 ..5u~ \JA 1\e.)I O~ ( CD. ~ :~~:~:~ :~:ES~~ Dt~~ :t C'TYB~~i~t 2~:~~DE '')~~.!f FACILITY PHONE No. 931 ~ '7 Sf.,. J II» II» II» 6/ 1">'1. 63 INSPECTION DATE Product Product Product , I Jl ð. A«nI ì "" iJL UL. TIME IN TIME OUT 111&1 Dali-' Ins! Dale Insl Dale INSPECTION TYPE: ·l/r.CÞ Whe~ -{.or'\ J é1{;/7 J9f17 J9R7 '~ FOLLOW~UP Size Size Size ROUTINE J ') Am J" /11"11'1 J f') .11, '"Jð REQUIREMENTS yes no nIa yes no nIa yes no nIa - ,,/ " V , 1a. Forms A & B Submitted ,/' 1b. Form C Submitted .. V v' r/' 1c. Opèrating Fees Paid r ,,;" V" 1d, State Surcharge Paid v" ,/" y- 1e. Statement of Financial Responsibility Submitted v' r -' 1'. Written Contract Exists between Owner & Operator to Operate UST Â ,/ V / 2a. Valid Operating Permit ..". "..,- "r' 2b, Approved Written Routine Monitoring Procedure v' ,/ .,r 2c, Unauthorized Release Response Plan v V" ¡/'" 38. Tank Integrity Test in Last 12 Months II"" II""" ",.., 3b. Pressurized Piping Integrity Test In Last 12 Months II"" V'" ..-- 3c. Suction Piping Tightness Test in Last 3 Years "" " ,,-- 3d. Gravity Flow Piping Tightness Test in Last 2 Years .,,- ~. ", 3e. Test Results Submitted Within 30 Days ,; .- ~ 3f. Daily Visual Monitoring of Suction Product Piping ", .". ...... 48. Manual Inventory Reconciliation Each Month v ----- .,r 4b: Annual Inventory Reconciliation Statement Submitted .,/ ,,,/' ---. 4c, Meters Calibrated Annually /" /' ,/' 5, Weekly Manual Tank Gauging Records for Small Tanks ,/ ,/' ..,/ 6. Monthly Statistical Inventory Reconciliation Results , .",..,- ......- 7, Monthly Automatic Tank Gauging Results ,,/ V'" ¡/'" 8, Ground Water Monitoring ,/ .,..... .,./ 9. Vapor Monitoring .,; .,/' ..,/' 10. Continuous Interstitial Monitoring for Double-Walled Tanks ;./ ,/' 6"" 11. Mechanical Line Leak Detectors -- ,/ ¥' -- 12, Electronic Line Leak Detectors , -', .,/ ". ¿,/ , Continuous Piping Monitoring in Sumps yy¡"" ,:LI>,,,,~ _'" Ie:. ./' .. .- 13. ,/ ,/ 14. Automatic Pump Shut-off Capability :~ >ý ,- ~ 15, Annual Maintenance/Calibration of Leak Detection Equipment ¡.1 V .~ ":.. "r ,/ ~ rI""" ,- 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series / ,-/ .,-/ 17. t;: '. ,/ v ...;...-' Written Records Maintained on Site ~. ~, - ""'""',~,; ...,-", 18. Reported Changes in Usage/Conditions to operati~gIMonïtoring -""'."..:t" -~"t>..~ Procedures of UST System Within 30 Days $ ~. ,./ \ /' -- ,19. Reported Unauthorized Release Within 24 Hou~!f ~ ,/' \ ,.,.' ..-- !~. Approved UST System Repairs and Upg~ I ¡/" .......' -' ~1i Records Showing Cathodic Protection Inspec;fiOn ,I V v --- 22. Secured Monitoring Wells t , ~ ./' ./ I........ ---- ........ . \ Drop Tube \ \"" 1< ~ 'Î / V r\ .,/ ~:\ i\ it / , RECEIVED BY: ( f /d Á &I~ RE-INSPECTION DA T qA . . ,INSPECTOR: ~~Ø~~34 >~ ,',' 1'\ "'"<I ,I ........ ' t:;", ~. t:/' - Af!-I:J (;'1)",--1 "'\ ~ ,,\w.t .1.", I; ~~ ~ _ i-Mv\..~k ',< '\ \ \ \ \ j ;1 OFFICE TELEPHONE No. ~.1.(,.,- -:z..q? <9 , I <!:. .5.'1."y (~,..d " c. I ~\.e. L'I.. (0).... '-{1ò'I " k.t ,". FD 1669 ,'t'tf)f¡\ :1. '-U8- 1/1" ",'¿P; p.I....<:. 'Ie'!", cl'-ft' ;' :) ~ ~~~~~,~Û~'~"i' ~(W~"ò(~~;,~i~b"t...:~,~..r " . HAZARDOÜS MATÈR.S INSPECiJ"ION ""'''~~···'W''4'1'''';'·\-~;¡((v''ii''¡;''''"¿;;''';;;'~;''':'':;~~~'''Í':;~:(.;¡~.;;:!.,i;'-¡~';;¡"~¡;;"4>-"J;H'j;';--~"'" s~v¥?fi~fif" ',~,;;.":':":V\~¡i;:";:}:;~;;<': '.', I' ,,:jiS .,;Y,~i;' ", ,:ü~;y,,!;;,,'Jrlf.'\"" --;7 ," . . . ~ ",,"'j \..~. '¡';:fl"~'Y>~\Aj~:·i"'tfI,~''tIo.fi¡~'·{\~~r'''ii!'F' , .-. , , I \ ~, " i" .~fi.eJ4 ~ire D~pt. Hazardous Materials Di\lision '~, DateCompleted I 1/3/)/e¡ Š- Business Name: . '/{JP R ~' l=;~ ~ :::tt::"2 1 Location: ", 9,~ (.) ~ hi e. P ,...l Business Identification No. 215-000 ' 5¿Y~ . (Top of Business Plan) Station N·o._UA2. ~ Shift ~ " Inspector ~ I,..Q 1<' ' ' Arrival Time: Departure Time: . Inspection Time: I -I ,', ' Verification of Inventory Materials Verification of Quantities ,'Verification of Location Proper Segregation of Material Comments: ........----.-:--::-..-,.-. .~ Number of Employees. Verification of Haz Mat Training Adequate ær ~ [ð l2r'. ~ ~' Comments: Verification of Abatement Supplies & Procedures Comments: Inadeqùa~ .. LI .. LI D D D D crY D Emergency Procedures Posted Containers Properly Labeled ~/ DY Comments: D D Verification of Facility Diagram Special Hazards Associated with this ,Facility: GY D Violations: 4// t)'k ~~; ~Ke ~~~vJ Business OWnerlManager PRINT NAME I miL SIGNATURE ' ., White-Haz Mat Div Yellow-StatioÌ1'Copy Pink-Business Copy All Items O.K Correction Needed ~ L]' ¡;) S; I,>:,,.,,_....""~~ ~ " t Q' u. - I - . 1____ u-------+-me~,-&f>~-~.-d~9SØ-fÃJ:¿fi¿. ~- -- -.---.. .- I Jt/~I7S:-+I1'eT_~-ts~~ L~rt2lè. "~5/~"k.-Af,~jfs I~ _-- :_ . _ '_H ____. _ __~.~~.. ~..." /.¡tIH.~., Á>4v'e.. -..s)'~~~-¡''rlI'!.1 ., w/ - /'fI\#Þ4~1t.- no . I d" -- -,- _Itu~,_\-t..-\l ,-bJÐ..~ô~~ Joc,JA-~'- -x-~ .l~""t.~ ,G~u .. , n .---, -- -- ,- i~ _á~~~..._ ..ft\;-çJ<--1 __T~~___Þ~,b/~ __n -- . '--1 : - u__~¡:;PA Aw. 11l1O:t.1<QU-+, fhD"-. (e.'k.) ßern.sL-.OJ 1-:;)3ð9<¿. . J./e-__ I, __, _ n-rs~~- ~- \-.Aá_\1:k.~1A\. f~~h-~~- ,r~R._ All_-s"t~e-e.ç._ ~.le.-eA:.:-Cy-n' ,..- -. '_nn.__ !-- -'..------ ..---t-~~~-±l~- ":W\-.ø.-1h'~,* - h¿ u@__~k. J()C4-'t'~_V2-]-¿'t-r__tk-_ --,----- , _ __ --jW....'tt- l,<LQ>1"'WdBL ,;f2 k"""'L<-"..L j""g cJdI. 'Jes~ - - u -- . , -- = _ -l~~""~e~ ~'t-u ~¡-$~",,,çç,,~ ~ it, C".,. ß~ . '.- _. -- .. '___. .-_..--- .'~ _ - __.. __,_. u _, ___ ,..,l, __ ___,_ _ _ __ .. ,..'_ __.. .. __.. _. ""__' _"" _ u_ _ _ _,_. u, _n ,,~'u_ - ".I I I :: :~-::: -:: r---:: -:---.: - - - .... _-'-_,_,____ _n.._, .~__ __ ___ '_n .._.. _..., _h_ __..__ , ,.. __._, -.. -,--'..---, I , I - -- - -+- ---- - - - -- - -- ---- p'- - .---~- .-------- ----.-- - ----- ----_._---~-- -+-- --- -- ---.- -~--- - - ---- - - - --- --- - --- -. --- -- --- -- - -- _.- ---------. - -+---- ---~- I __U__u____________. _______._______n_'_u_ u -- -- __un'. -- .___n.__u'___,,______ __h____ ,---,--,-,----.-" ,.." ---I - -~----------- -~------- - ------- -- ---- --- -----.- - -,- +--_.----------- - -- - - - -+ - - ,_. - - - -- -- - i _,_, __,.. __ ...'__,.., 'u______ _________..._______ " - - - --- ~ - - . - - - - --- - - - - - - - -- - - ~ __ __ -- - - - I -----~--------_.._- ---------- ---~~---------- ------- _ _ ----. -.--- -- ----- - - - - -- - ~ ..I , 1_' -~,_--~~ --~ -..__-_ ,~_,-_~_- _.~. ---~._-_-~~_ - ~-~--~-.. --- -. - -~----- ---.- - ------- - - -. ----- - - - - - - - - I I - -'- ---- n - n_' T - ,..,-- -'--- __n --- __.,__n - -- --- .u,.... .. -,..-- ~,____..______.__.._,~..----..- .____ ,__ ...., - .,,__ n·_ ____,.._..'__.._ _.." -_"..-. -- - - -- -- -.- - -- - - - _. . 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'P"-,' , .~~."'.,. .,....-..,..~ -'-,1, City of Bakersfield ' *** CUSTOMER RECEIPT *** DATE: 9/27/95 01' RECEIPT ä: 3307445 NAME AMOUNT TP FR UMDERGRN TANK $19.38 82 CK FR SJATE SURCHAR $157,92 86 CK I TIME: 14:49:44 TOTAL CHECK $168.913 -, ~- PERMlffT~EMEN:r: ,~ Bakersfield Fi ~ . ept. 1715 Chester Ave. Bakersfield, CA 9330 I DATE 9/ ~7 4 ~ t :::> AMOUNT UST/AST PERMIT ß 8°11-52280 011-52090 ~3 011-56068 § 011-56010 OTHER by h~ -/ TOTAL DUE , lo8.00 I I FD 1595' , \éJO 0 '1-0? ·,ó,..",< '..... ...._, .; '" .- .- .' . ~ I " -~-.---- '. .'. "C: ~,.~. . CITY of BAKERSFIELD FIRE DEPARTMENT FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE, . BAKERSFIELD, CA · 93301 I R.E. HUEY HAZ-MAT COORDINATOR (805) 326-3979 R,B. TOBIAS. FIRE MARSHAL (805) 326-3951 September 15, 1995 MARKET EXPRESS #2 3940 ROSEDALE HWY BAKERSFIELD, CA 93308 : Owners of underground storage tanks must register those underground storage tanks with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section ~5287 of the California Health and Safety Code. This means that for state registration renewal you must submit a state surcharge of $5~.0Q. f2! ea..9~t~"!~' Pleas~_~_~~e your check payable to the City of Bakersfield. ':-:--~";,":':~ ' -, --- ,,-. . -"~'.. -- -> -~ ·..··you have 30 days from the date of this letter to return the state surcharge t01715 Chester Ave., Bakersfield, ~3301. If you have any questions or if we can be of any further as is ~rlease/on't hesitate to call 326-3979. t.~ // -- ~ . (V,'1IÐ ~~(~..G; , ~r ¡j;t-I I J Sincerely Yours, ";..2.b& ~ ~ rr; 1;"'.,: 1" # ~.. ~ ~¡J .:11- Ralph E. Huey 8.. .; . " pd ~p :1'~~ .' ....-.,",. .,",o_"-"#7Jl - .-~---- REH/ed /' r:¿;! J/J3 ~:. ".....,.---' . .' ....~. :..-- e . CITY of BAKERSFIELD FIRE DEPARTMENT FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. . BAKERSFIELD, CA . 93301 -I I R.E HUEY HAl·MAT COORDINATOR (805) 326·3979 R,B. TOBIAS, FIRE MARSHAL (805) 326·3951 September 15, 1995 MARKET EXPRESS #2 3940 ROSEDALE HWY BAKERSFIELD, CA 93308 Dear Business Owner: NOTICE OF VIOLATION . STATE REGISTRATION REQUIREMENT Failure to renew your state registration is a violation of Section 25287, California Health and Safety Code, and will result in your Permit to Operate the underground tank(s) being revoked. Owners of underground storage tanks must register those underground storage tanks with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to return the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, REH/ed Permit to Operate Underground Hazardous Materials Storage Facility ..............,......... S ta tel D No LJ 4 CJ OC¡:3 ...::;}.):}:,::'::;::;::;;:,:::::::::;;.::;::.:::::;:::,::'.:;:::':';::::.:::.;'::::::;::::':::::::::::.::::}::;::::::::':' P e rmi t No .:. .. :" ::::::.: '; '.::::;:;:;:::::;:: ',:. /2}~':; ; ,:;\:'i~i"ðwJ}\:i;:1;(q1.L\ 1';~: ..; .~. P r fI",C',rC .... " " . .',. ":.::</ . : '..' :::::",,:::::: .:' .' ; .: .. , ,: .: v: :;' "". ';:: ::::.:.;:'~'::: . . ::::,:;;::,:,:":::,.:~,,:)/{:¡::::,::,¡':::::::::'/:::;:)::::,::;'.J'::::/::'i··)::::::::::¡,{i .::. ." '\ ):\'iJ\";;~i;)~.ij\ '.'...úú· .. . ,·::;:::::.::::',:::,.,::::;::"...'.,,-::;;:;;,:..,..:.~::·i' ';::, ,........... -:;:.,',:::: '"~;,:~~~{ìF"¡t11i"'î;'~!¡;¡(q~::d To: Bakersfield Fire Dept. . ....::.:.:: :::.:::....>.: .:::::...::....: .:.:.: :"'::::." : -,,= i:'.i'-:·' " I ( I HAZARDOUS MATERIALS DIVISION ..: ...,:.:':.,.......,::.:::. ~>V"Î Vc. fc/" (~, i (", ~ 1715 Chester Ave., 3rd Floor M.~'r.b ,~,.( {', ..;. _ ~, Bakersfield, CA 93301 ,,' .~ ~.)f <. ::. (, ',' 2.- (805) 326-3979 '? S" 00 c.), ~ IE. K<:,1 Tank Number ( , Z- "( ~ Issued By: , .; Approved by: I' , 5""'03 Hazardous Substance Piping Monitoring L)/c.. (:.,-, ',' I..", ", AcC> lY[ (:. .'~ ,,::) I . t" e0. (:"{' <"1/. '.,... '._" I,' ~ _, .~ Ralph E. Huey, Hazardous Materials Coordinator \ I 1(\ /1 Valid from: :...J.F-\Y 1 ··-r·· ~ f to: ~";"J I cr '1 :~ ..; '- ~ .------.---- -.- e 1{õ1 ~ IÇ ~ II W7 ~ ~ 1 SEP 21 1993 !y/¡ 8v ~~._,- Wholesale Petroleum Distributors September 9, 1993 ENVIRONMENTAL HEALTH STATE WATER RESOURCES CONTROL BOARD California Environmental Protection Agency 2700 M Street Suite 300 Bakersfield, CA. 93301 - --,,---- TO WHOM IT MAY CONCERN: I am the Cheif Executive Financial Officer for R.L. Ragsdale, Inc. DBA Sun Valley Oil Company and with the company's history of financial support it will be guaranteed the Certification of Financial Respdnsibilty will be met. All requirements required to meet rules and regulations for federal register will be endorsed. R.L. Ragsdale/Sun Valley Oil Company's register number with State of California Board of Equalization Special Taxes Division is TKHQ44-0-32884 underground storage tank fee return. Reported quarterly the following locations which are combined under the single register number: G.L.'S Mini Mart Lucky 7 1f2 Lucky 7 #4 Lucky J's·" Market Express ~bb1~a*J- . 465 11th st., Delano, CA. 93215 10530 Rosedale Hwy., Bksfld, CA. 93308 770 E. Lerdo Hwy., Shafter, CA. 93263 . 72 6S-.-U n ion -A v·e ., B k s f 1 d, CA. 93307 3940 Rosedale Hwy., Bksfld, CA. 93308 2500 W i bl e Rd., B k s f 1 d, CA. r3 3 0 Lf ..--.:if Sö3 þ:~Ul:ÖC~V GARY D. CHAPMAN, CEO R.L. Ragsdale, Inc. Sun Valley Oil Co. 3940 Rosedale Highway· Bakersfield, California 93308 · Telephone (805) 327-7212 0 FAX (805) 327-1615 ~ . State of California State Water Resources Control Board CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A, I am required to demonstrate Financial Responsibmty in tbe required amounts as specified in Section 2807. Cbapter 18. Div, 3. Title 23. CCR: 8500,000 dollars per occurrence ~ 1 miDion dollars annual aggregate M ~D M D 1 miUion dollars per occurrence D 2 miDion dollars ánnual aggregÀte hereby certifies that it is in compliance with the requirements of Section 2807, (NRmeofTankO"'Det" r~rBtor) " . Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 arè 8S follows: !'.P'~\fr~ti~tt(\..Affi\1~¡~Þ¡~~?~~¿~~~ 'J-h~gffi~~¥ . . ð" ~r 0- N! "'" - 't5 ~ ~ ~ .e.¿ -<!!:d~L ( ~;'. ~:t<b' fi'L e,. ~ ~~\r ~ ,-; ~d¿ F.dUtyN"",. [)a", 03~23-1994 10:39RM FROM4IIUN VRLLEY OIL TO . SUN VALLEY OIL COMPANY Wholesale Petroleum Distributors 3940 Rosedale Highway Bakersfletd, California 93308 . Telephone 327~7212 FAX MACHINE # 805-327-1615 FROM: c/frì~~ TO: /1 OF PAGES: 10 INCLUDING COVER DATE SENT: ~-;).?71f L 3260576 P.01 03-23-1994 10:39AM FROM~N VALLEY OIL TO . 3260576 P.02 BSSRt INC. 6630 ROSEDALE HWY. 'B BAKERSFIELD, CA 93308 (805) 588·2777 e..."'ERSFIE'I.r:> cln' I'"rRE OEPART~FNT Invoice ~ INVOICE # . . MARK TURK IN'!'.I'CC:'OIq . ~'A% MAT uy ~ ~ lJ L.. ~ laos) 326-3979 FAX laO~1 326·0576 tiAZAROOUS MATERIAL 011/. I' 1715 CHF;5TF,R Avr¡, B^I\ERSFIELO. CA 93301 , ~UN VALLEY 0 I L <"'''0 3940 HOSEDALE Il-lY' ~{ERSFIELD, CA 93308 HAAIŒ'l' EXPRESS WIB¡J A~ P.O, NUMBER TERMS F.O,B_ PROJECT STAN Due on recpt 9 Aug ~:r3 Hol 1418 QUANTITY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 1 18 PART PART PRESsunE ~lTQ{ IIASSTWI 800' DECALS SUB TOTAL Of' 'l'AXABI,E 1 '1'Ð1:3 SALES TAX 208.50 5.00 7.LS't ~O~.t.U 90.00 298 . 50 2 L C·t 13 120 LABl LABOR MIL MILEAGE 30.00 0.40 390.0U 48.00 1. FREIGHT SIHPE>ING/llANPLING 7.50 7.5U REPAIRt:D HASS'l'ECU SYS1'tM AS NEEDED. lW'>'l'1\t.I,W 10 000' DECALs. SErfI' CDPIES OF WORK ORDERS 1'0 APCD AS I'ROOFOF RI::I'All\S. rfnt:~t?;~ ' . J J , , d iJ.IJ fOp. ~..."' ;.:.:"~~ , (;~ ThallI'. you for YOUl:' business. TOTAL .,uJ QIPq!IP/V "\ '765. t.. BALANCE DUE: 765. (:,. I WORK ORDER · liffB : 03-23-1994 10:39RM r' ~ ".' .-!::' ~A"¡'. , ) .' ~,~., ...... '1 ÌI ,II " J." FROM~N VRLLEY OIL TO ~ .t6. e ~, '. ~Jji$R, 'NO. ~AELQ SiRVICE STATION REPAIR , '.. ~ALE HIGHWAY,". ~~R8f1ELl), C4 .Of (IO$).~ (8S$ft) f~~~_'7" STOftE # 3260576 II~ ....... . , P.03 , I ì\t... ,- ....... ,~ ( \ Ch~,(~ fast Sl~ Adjusted To ' Totalizet $.e¢ed Meter S8~led DYes o No o Yes o No Calibration: Fast Slow Checked Adjusted Fast Slow To Totalizer SeaJ~d Meter Sealed .. DYes o No Q Yes o No DATE ORDERED Teq.¡NICIAN DATE ,CO~PLETeD , '-, -~~~ Cal~..tl~: Chl!Ck~ Adj~IQd To Tot~izer Se~ed o ÿ~ 0 No ~II~~:' F~ ~ AcIjuSlecl To ' Tocalizer ~I~ o Yes 0 No '~Ibr.tlon; Fast , Fin~h (money) . To....' , R' ,. ' StaI1 (mQney) FIf'Î$h (~llOn~) Stan (S!aUon~) f~f Proåuçt' ~~urn tØ. ~ora9.~ ($lall~) Meter Sealed DYes $tow FlnI{¡h (money) , .. . , ,. .. J=~ Sta"'(m~) !,..,'."'...:.".. FIniJtt (~ns) ~VI (ta~k!nf) , .,' F~ PrQdl.!çt'! '.:.' :': ,'.. "\:,,, ~ur'l tt) ~(~ons) Meter Sealed OY8$ Slow . .,.,:., . F-Ift"~'~,"~~ T-"I~, ' ~, Start (money) fin,~h (pI~$~ ~. .., " ~. ":. ' ~rt (9at~$) Prôdud Return to 5{orf!~ (~I1ons) Fi"i~ (money) lo~ fI~ln.: Stan (money) Flnl$h (~allons)' Stan (~~llons) Product . ~um to Storage (g!lllon~) '~ePQftTEp PR08Le~: ~ .. ..; . "~ '.. , \V\~\'~ '^~ ~ 1 ^ '''f,) ~n~. DESCRIPTtO~Of~ORK: ~~ ' c .' '. . " \ V\~Th~ .t~\,~ A~ ~\~. (~,,'-~ ' ' Slow o No SlOW Cl~ ~.~ C'~ at¡ kr~ lod- .....-... .-" TQTAI,.. LABOR TOTAL MATERIA TOTAl t.tILEAGE . ......{.. . '.,. TOTAl. TA)Ç T9TAL ~r'·· .'..... . "', , . ...~. , ......;........ ,.'" .... '.'~' :>... " , .-~'" .., , .: AMOUNT' ; 11 , ..¡ ,r , . . _.+~., : J I ,.', r ': ... I " t 03-23-1994 10:40AM FRO~UN VALLEY OIL TO, . 3260576 P.04 DOCUMENT JAM 03-23-1994 10:41AM o FROM4I'UN VALLEY OIL TO e SUN VALLEY \ OIL COMPANY Wholesale Petroleum Dl8trfbutor$ 3940 Rosedale Highway Baker$flel~. California 93308 Telephone 321-1212 rAX MACHINE # 805-327-1615 FROM: ~ TO: urh.®-l-~vL 11 OF PAGES: 10 INCLUDING COVER DATE SENT: ?-J.?Af 3260576 P.01 ~ 03-23-1994 10:41AM FR01llJUN VALLEY OIL TO e BAKERSFf"Lt> Clrv FIRE OF:"AnTME:NT 3260576 P.02 855ft. INC. 6630 ROSEDALE HWY. 'B BAKERSFIELD, CA 93308 (805) 588,2717 MARK TURI'\ tN!;f'tc:rOR' ~IAZ MAT Invmice s-. INVOICE # ¡ , uy ~:!. , jH.:J (805) 32(;'3979 FAil 18051 321),0576 HA~A~DOUS MAT¡¡;RIAl DIY. 1715 CHE!.TFn AVE. eAKF,"SF'ELD. CA 93~OI I SUN VALLEY OIL CO 3940 ROSEDALE, IJlY BAKERSFIEI..D, CA 93308 , fl. P.O, NUMBER TERMS EO.B. PROJECT S'l'AN Due on recpt 9 Aug ~n HOI 1418 QUANTITY ITEM CODE DESCRIPTION PAICE EACH AMOUNT 1 IB PART PRESSURE ~ I Tal IIASSTWI PART 800# DECALS &'UB TOTAL O~' 1'AXABI,E I 'I'Ð1~ SALES TAX 208.50 5.(10 7.tS s¡, :108.!;;U 90.00 298 . 50 21.(,4 13 120 tJ\Bl LABOR MIl. MILEAGE 30.00 0.40 390.0U '48.00 1 r..'t<EIGlIT SIHFI-'ING/UANDLINlJ 7.50 7.50 REPAliŒ.'D ffASS'rECI! SYSTEM AS NEEDED. mS'l'ALLED 1 ß aool DECALS. SEN'f aJPIES Of' HORK OfIDERS TO APeD AS ¡,'ROOF ULi' RE[,A 1 r~s . f( pt:"i1 ,- ' '. ;¡ I .J: ;i'f] fOP ..... ,;~..~., (/;~ '-... " .,......,. 'l'haul~ you tor YOUt· business. r TOTAL ~~ ~f/lp/f) 765 . l,t BALANCE [>£JJ::: '165.6-1 .' ... .' ~ }. .,' Jr.... FR01llJUN VRLLEY OI~ ' TO 4IÞ :" . ~ji$R, INC. B.tüŒRSf1ELØ SERVICE STATION REPAIA '~a ROSEDÂLE HIGHWAY,' II!' ~~~D,C.N3Of (005)'-m1 (BSS!") , f~ (~Hf-~7" STOftE . 3260576 P.03 03-23-1994 10:42RM ., ~ I\;... .~ " ~,;.)'~' .. ~\' '....... "1 ,r.! ~ I WO/t¡rOâDER. ,I TO: Y\~, ~S \'JORK ORDERED sy DATE ORDERED FQti8h (mon~) , . To,.11&8.- , ft'''''''. $t~ (rnoney~ finish (gallons) . Stan (~aIIon~) DATE CO~PLETeD ø' ~ . ~-'f~ ~~: Fast Checked Adju~t~ To ' T!)t~izet SealèCI o Ye", 0 No , ~11:!....km: ~ Fast Ch8:k~ AdJlj$led To TcrtaJ~r S8f~ DYes 0 No Calibration: Fast f;t~ Slow Ptoð'uct . Rtturn ~CI $tora~ (~IIcn~) ~eter Sealed DYes Slow --- ONo . Fîn~1't (mo~ T otfIIJf, A,~ Start (mon,y) ,'" FInish ~ns) St~rt (9.~~~) Fa~ SIoI¡6t ¡, }~~:~ : . ': ., ':, .. . , Far.I'tt~~!'Y) , T~f' . R..~I"(I Start (rnDn$Y) FinîS!1 (~allons) ,..,; I Meter Sealed DYes Slow DNp Product:" \ ,,' ." "': , " . Retur" t,? ~r..~~(gl!l/on$) .. , Start(g~lons) Checked Adju'ted Fast Slow To Totalizer Sealed Meter Sealed DYes DNo lJ Yes o Nþ CaIl~Uon: Fast Slow Checked Adjusted F~ Slow To i T otallzer ~alecl Meter Sealed " I DYes DNa g Yes GNP Start (gall'!fIS) , P'<Jdua Return to StO!'~. (~IIon$) finish (money) Totalizer ~c:pn ." Start (money) Finish (gallons) Product í Retum ~O ~'.ge (~Ion$) REPORTED p~BLeM: \V\~~ ,~',' ^. ·"b DESCRIPTiO.... Of WORK:· " '. ~ ~n~ . . I. \Y\?~~_~\\~ A~~\~ . ~'(~~~~" , ',' ,'.. . ~\t:. . ~ ~~ ~~I:)\>HO""'~ ~ 01' ~\ 8ÅIg~ 1u± AMOUNT" '- ..' ..~.r' TOTAl LABOR TOTAl MATERIA TOTAl. MILEAGE 'I 1 1 :' ~ , . ,) " ¡ --L.L. ~.r':' "i ; } I ': " " . '.7,."'- TOTAL TAX TOTAL . : , , ,:,:~., , ...,.. " .. . . .,'" ",~. . ..:.,...~-:'-),.' ., ,', ..,,~ .,.." , :' ,."....,... , ,., 6 ..____.~ .._......_.. _ ____ ._ __ _.. _.... ~. __...___ _.. __ _.._ ___.._ __.__0. . ,: ø~~~~-1994 lø:42AM FR.OM'UN VALLEY ~IL. " TO . ..... . ',.. - '. '.' :aSSR~INC. l# ~SFlElD SERVICE sttTION REPAIR .' ' ~ROSEDAU£HlGHftAY", BAKERSFIeLD, CA.,.. '. (~) _~ (BSSR) f~ ('PM)~2. 32613576 P.ø4 ~ I WOR( OROEJ:i · 1t/18 : TO: LOCATION, STORE' O~TE oRq;ReD AAAIV4L TIM~ <ti J ~. ~A(11ó r"DOl> IHAcr :Z~ê)O Wr t¡¡t ' 7' ~~ ú ' . ~ ; WORK ORDERED ($V' ' P.O. . TECHNICIAN DATE COIIPLETED ÞEPAm'URE 11~~ D , ~h{(s ' -i-3~- '13 1¿).'/5 : ~~ Finish (rnoom '. Fi!'lÎ$h' (gallonS) Cellbratlor,: F~t Slow Totalizer Cfleck~ ..--- ~1Id1"911 Sfan (money) Start (gallons) AdjuSted Fast Slaw To I ' PrOduct Retum to ~~e (gallòns) I M~ter Sealed - . Totaliz~r Sealed o "r~s DNo o Yes o No FInish (money)' Fini$h (~IIon~) Cellbratlon: F~ Slow TOIaker i Chec~~ .,i ,.4.- ReadI ' ' Sf,¥, (~y) StWt (~n~) F~" Slow . .. œ,. AdjU$Ie4 , To ' Pro(juçt R~turn to stor~e ~llons) To~li~", ~ed Meter Sealed DYes C1 No DYes o No Fin,~h (mon~) Finish (gallons)' r C:.II~tlon: Fast Slow Totalizer Ch~ked ----'-, ~!ldln" Start (mon~y) &,rt ~ªlIor!ç) Adjusted Fast Slow To ' ' Product Retum ~o ~or~ (gallons) T oJallzer Sealed I Meter &taled ayes CJ No o Yes CJ No AnI$h (money) finish f9a1lons) " Call~o,,: F~ Slow TOI8'. Checkec! ~~. Start (money) Start ~Ions) Adjus1ed Fast Slow To ( Product Return 10 Storage (gallons) Totalizer Sealed I Meter Sealed o Yea o No o Yes o No REPORTeD PROBLEM: HAS7/t t H t fty()( C;qskIAA DESCRIPTION OF WORK: .. -rA)S'Tftf\EÌ) 1'\ $Pì>, SNit':;:> Swf~ti IFf" HI £ Vr¡)w¡j/~ ¡/AJì!.l<IffïJfl) ¡J t~I("'7 f ðilÎ ðiÞ ANi) Wtl?/fJ ClV7! ¡jet.- II! £;L/t,!r,vt f"5 WV'zIÁ'1t1 (!(/({f (ill¡- 3õ~_ïì~~~~ e ~ I fY.)\j F-- ~òu_ LABOR TRAVEL TOTAL HRS. RATE AMOUNT J.. .1S .) 3.~ QUANTIn ,. PARTS NEEDED '. . ' PRice AMOUNT , \ sri1T SIi. i\'"P SfAJlmH " ._- Üj TOTAl LAÐOR . J.J.g l~o'1l1 '2 00/ . tJJ I ~ F-. TOTAL MATERIAL . TOTAL' MILEAGE , .' TOTAl TAX TOTAL , . , ,~ . "', ~. , , .' ,.., ,.,. , I HEREBY ÂCKNOWL¡;;Dt"~ T.f~ '::~T1~¡;;.."';I'\DV ~u"" ~":'., "",,' 'Pu",' ..""^"." .......ð" '''-~-1JfJ~:~~::~ l_~:'~;'~~"IP~~N., V:'~~E:~;.,,~. _~.~.:~_.......~ ~~. ., . / II . _' . . . .B$SR"INC~ , . · BAkERSFIELD SERVICE STATION REPAIR . t . , 1830 ROSED~E HIGHWAY, . 8 . · BAKER$RELÞ. CA 83308 (105) ...2777 (~) FAX (805) ~278G 3260576 P.05 _ ..--~JIIIf'fII"~I;"""",,,,,,,",n',.,,,, ..~"" ~'4I~""-"I."~... ,. I W;RK ORDER # 'If' , i TO; , LOCATION STORE' DATE ORDERED ARRIVAL Tlr$: ~ '\.0\ ",1'" (.-- - ~~~ ~,~~ ~-~<=¡.. ,~ -- - ' y cx....J : WORK OROEREO 8Y P.O. # TECHNICIAN DATE COMPLETEO çA~E~MQi~ ~1!I.1E; ~ ! Finlsl'l (mo",y) , Finish (gallons) Callbnltlon: Fast Slow Totalizer Checkecs ~~j¡ start (mon~) , Start (gallctis) AdjuSted Fast Slow , i i To : :' Product ( Aetur~ to ~tor~~ (~Io"s) . ,Tot~l!z~r ~9~~ 1 Meter Sèaled . , " , , . o Ye$ o No o Yes o NÞ , : Rnish (mone~) . ; Finish (gallons) CaIIbr,tton: Fast Slow . ; Totalizer ! Checked Rt8dln~e Stan (money) F Start (gallons) Adjusted FêU}~ Slow To . Product Return to Storage (gallons) , Totalizer Sealed I Meter Sealed o Y~s o No DYes ONþ Finish (money) . ! Finish (gallons) Calibration: . Fa.st .- Slow ! ¡ , Checked Tolallz.r ( , R'-nF Stal1: (rnortey) Start (~Ions) Adjusted Fast SlOW , To ' Product \ Retl.lm to Stor~e (gaHons) Totalizer Sealed I Meter Sealed ; , o Ye:J o No o Y~s UNo Fin~ (mon~) !! Fll\ish (gallons) Calibration: Fast . ' Slow ToteUzè.. " Che<:k~d A,adl~ 5tart (mon"v) " Stan (gallons) Adjusted Fast Slow .~~~ i, I To ~ . Product I, Rétum to ~torage (gallons) T otaJizer Sealed I Meter Sealed ¡ ! .' ,! ! LJ Yes o No' DYes UNo , I REPORTED f'ROE!LEM: ....' "FQ'. At"\~ ""'~ ,TtIIt ' tt , ! t; ~ \~, '. ,'t' , i , oeSCRIPTIO~OF WORI<:.:'~ ~,~ I ¡, , , / i I i , , or' .,. ~PsO'"'\ t~- ~ ~,\.Ù T.t.n. -- fS)o~ -t"Y\..... J/-.¡ l.?-cnl'Ci)... Cc LABOR TRAVEL TOTAL tiRS. " RATE AMOUNT ,.... .'S I hr· I~~ f)"\\ r\ QUANTITY . PARTS NEEDED PRICE ' AMOUNT TOTAl LABOR tOTAL MATERIAL TOTAL MILEAGE .. ; ," " TOTAL TAX .. . . , , ¡ TOT.AL '" .... " ../ ..0....... ' - '-- '. ' .R.......,.. ø..... .... -. ", .'. . ..-", (p ~ ~"'''''''''~J¡M;I .~. . . ." ~."'- ,-. 1213-23-1994 1121: 43AM FROM SUN VALLEY OI L TO ,. 326121576 P .1216 "--;'1?11""'('-" "~';~ ~""""""~"~~''''''"'''~'''"'f':''.~"'~'~^''''''''!''';I!'''' ."....'.'...', ...,¡......'.. .,.1 {o-,. > '.'"t...">";~',~ .. -,",,' ''', ,. ~. .'~~!" ~ -. · . "ES~$R~ INC~ ~. · .-' f ' ~KeRSF!eLþSERVICE$TATION REPAiR ~ RO.EDAlE HIGHWAY,. P , , þJŒRSAElJ). CA ~ , (~) ".,2m (8S~) ,^ f~ (80~) "27~ .... , .' . ,. . .- [WOi"1 røE TO: LOCATIœ, MIf K.t> ~T~E I DATE ORDeRED ARRIV.." TIME ~ ......_,...... ~ " f{ fT ç, -'"-',... ßO t; 2t:;00 oJ, I : ()Ô . , \VORl< ORDERED BY P.O., TECHNICIAN ' DATE COMPlETED DEPARTURE T....~ ~Arì'7 . 7-27~''73 lO'ðo "r~ Anish (~y) Ani~h (gallons) Çallb~tloo.: Fast Slow TOfaOzer Checked Rl!'atdlngE Start (money) $tart (~Ions) AdjustGØ Fast Slow To Product Return to Storage (gallons) Totalizer Sealed I ~eter Sealed DYes o No o Yes o N~ fini~ (money) Finish (g«llons) ç.llbredon: Fast Slow T9tdzer Checkèd , Aftldl"QI &art (money) Stan (~allons) AdjuliI~ed Fa&t Slow To . Product Ret\irn to Storage (gallons) Totalizer Sealecl I ""erer Sealed Dyes [J No [J Yes ONe) finish (motley) Finish (ganons) ~Hbro1!ltlon: Fast Slow T otall¡er Checked , R8!C"riiP Sta/1 (money) Start (g811o~) Adjulilted f~ Slow To ( Producl Return JO St~~!? (~Ions) Totalizer Sealed I Meter Sealed Dyes o No DYes o N~ Finish (money) . Finish (gallons) CaPbratlon: Fast Slow , Totalizer Check~ ReedJn$~ Start (rron~) Start (gallons) Adjusted F",st Slow To Próduct Return to Storage (gallons) Totalizer Süled I Meter Sealed o Yes o No DYes o Nq REPORTED PROBLEM: DESa<I~:'·::~,tl . Vflp()£ ¥k~ No! tVdI2J(,"1 , _ , / I16111-1IEi) 771Rft NfW lowei2 i?elC/ys, (!llftlt ç.11(f II Relcú//();! ;){~l~~ 0lfPIffl')JV,; tj.Jf~~ -n1E. (f.;/Iedf;p~ ,VA/IT H(iIo..Z í0r ,(fJ?fr CJì>fpfJh(¡ÁJJ .' verily A:¡~ mE,' ?roCi?SIN'j ()1'f)¡T(ý/)fftS ¡1ND ¿vr,vs V-o/Jdr ,il/OjJf¡2/((. '/t1>5/trJJ¡ Vl¡JP( 4(f5kµ IG ¿,¡)o;?J(I.1Jð-- (10ffec-f/ý.:sD"Z ('~Ie'it:.. ì1-Vt1J( 'IoU. 8!. LABOR . TRAVEL TOTAL HRS. RATE AMOUNT o 11.I\~Pr 3D ,5 3.5 QUANTITY PARTS NEEDED PRICE AMOUNT ~ "ª¡.Oe~ k'~_ I IU> "At!.. I~I'J Ii Z- A.4> TOTAL LABOR 3;<Î '/5"E I -- TOTAL MATERIAl. TOTAL MILEAGE "...., TOTAL TAX / TOTAL '., "" ,. ~.~.... ~.,..<:,~,." ...... " . . '. '. I Ii Urft~D" .~I~." @'~_._ ___.__..____..... __...._. _ .___ ... 03-23-1994 10:44AM FROM SUN VALLEY OIL , : '. e' .. .,. .,.......' -.. '... .. ,.... -.. '.. , TO ',...,.. ·S$SR, INC. . .. .. .. ." .. . . , . .' :~ . 3260576 P. 07: BAlŒR~FIELD SERVICE STAT1~ REPAIR ~ RO~ÞAµi HlGHViAY, " 8 IAIŒRSFlELP, C:A 93308 (805) 588-2777 (BSSR) FAX (~Slf-2788 STORE ., .' Finish ~Of'S) , S1an (gaJlon$) Product Return to Stof~ge (gallons) Finish (~ney) Finish (gallonS) Totalizer ft-ø'ng $ta", (money) Stan (~a"on&) Product Retum to SJorage (gallons) Finish (moI'l8Y) T otall2er Reading Start (moner) Finish (galtons~ Product Finish (money) Start (g~lIons) Return to Storage (~Ions) REPORTED PROBLEM: 142/ VI1ptJ2 5t/5/.e;·v/ t.æ/r-hÞ()t ?U7S ~;2 ;?ek;ý' 3)t7~S-i?- DESCRIPTION OF WORK; K¡ I WORK PROER * 11(1 B 1FJ1HN,IClAN t/n (, Callttnltlon: DATE O,aDERED 7- dC¡; DATE COMPLETED AAAIVAl TilliE ¡9' L/~: ~' DEPARTURE :TI/d' 3·'3ð Slow Fast Cheeked i:'~ Adjusted Fast Slow To Totalizer Sealed o Yes DNo DNa CaUbrÆitlon: Fast C~kec:l Adjusted Slow To ' T I~er Sealed Meter Sealed o V'$ o No DYes LJ No Callb~tlon: Fàst Slow Checked --- AdjU$teQ Fast Slow To Totalizer Sealed Meter Sealed DYes o No o Yes C No Calibration: Fast Slow CþfilÇked Adjusted Fast Slow To Totalizer Sealed Meter Seale(! o Yes DNa ..:J V $I> C No ..4-Nb lJ<! ¡¿~ . '7I/ç.¿L-/ (//:::> '. ,,\,~, . lABOR TRAVEL TOTAL HRS. RATE AMOUNT J7<: , d.\. t·D QUANTITY PARTS NEEDED PRICE AMOUNT TOTAL LABOR TOTAL MATERIAL TOTAL MILEAGE , - TOTAlTA)( TOTAl.. 03-23-1994 10:44AM FROM SUN VALLEY OIL TO _ 3260576 P.0S . ,r _ ,___~ '..............."·7.»-~''''.,,·....,~.,....'Î, "'('''~...;ic'I'~¡..,..-*' ,..!.l>....~.... ,,'"J<;¡,.....(.~ .;... -,to'. . :, :\~; . -.:4" . . <; ': S$SR, INC. ~,~. , ~RSFlf1LD SERVICE STATION REPAIR . I' . ~ ROSI;DALE HIGHWAY, . .. " IAIŒRSFlELD. CA 83308 (8OS)ua:.am (BSSR) F~ (~) "27. . ".'. ,.' .:í'· TO: LOCATION ' STORE' DATE ORDERED , .AAAIV~LTtN¡:¡.~ J71iAtn 9c:.7Y\ IJ th/¿, , ED ,6U C,I'N t> WORK ORDERED BY P.O.' TECHNICIAN DATE COMPL3ED DEPA~flE ~IME (!I)P/S '7-¿¿)-'7 3 : l5~ ~. Finish (money) Finish (gatlons) CaUbtetlon: Fast SloV; TOfaIl~er Check~ R~.~. Star1 (money) Start (gallons) AdjU$ted Fa&t SlOW To . Procluet ~um to Storage (g~"ons) T ~Iizer Sealed I Meter SeaIéd ~ aVes [J~ o Veli ONo finish (morley) FÎnÏ$l1 (gallons) Çallbralion: Fas¡ Slow Tc,,*,lz4Þr Checlled "'aClln. Star1 (money) S,art (gallons) .. Adjusted Fast Slow To Produd Return to ~~or~ (gallons) T oœJlzer Sealed . I Meter Sealed [J Yes o No OV8$ o Nb Finish (money) FInIsh (gallònS) Callb....tlon: Fast Slow Totalizer Checked ~I",,' Start (money) Stan (gallons) AdjU$t~ Fut Slow To Product Retum to &or¡¡gf1! (~IIOns) T otaÍ%er S~aled I Meter Sealed o Y81i o ~o D Ves o No Finish (money) . Finish (gallons) Callbraticln: Fast Slow TotaffZer Checked . Re$dJng¡ Start (money) Start (gallon~) AdjuSled Fast Slow To Return to $torage (gallon$) Totaliler Sealed I Meter Sea1ed - Product Dves o No o YØ$ o N9 .) REPORTED PROBLEM: -d~I€.~~\ Vtt oK- e~oVf~\. ç S/('¡M ItfrfVS"Iv$f {!¡P;tf OUI J DESCRIPTION OF WORK: . fl. ,;( ~'? - .-n' ,::> ., J V~::> - ' rvifT Wr 'ft T~$/7((!.I'bfl;- WEN) vvrx:.... ':;;'0tt'It-{, etc.! r.V ¡ 5~'7k.L/ /)Jft5 }JðIO?!RII7íItJ6- (lðí12fé/; }i?CJV6U; Shõt ¿ffiJÎ> 7ðyhcl , I ¡Iff p!f?f-¿ /?etht/ 5""íkk ley A/or f1)lJRKllv! (bf/rt'/It/. aN! if Iv?A.J ,4N;~ 7 Re;JI'H'/~ 71J¿ ;1'ôi>le~/r µ()ðz.L vc.,p- 2/2-1} /.'. I'· T' 51N AcoZ<í " I ;t!vi P ISj ~(.f{ IoD I I I os I S- \1 ú ,..' fr~ -,. 7 LABOR TRAVEL TOTAL HRS. RATE AMOUNT d. ;¡Ç ,)" d.7Ç I OUANTfN PARTS NEEDED , PRICE AMOUNT TOTAl LABOR TOTAL MATERIA~ TOTAL MILEAGE - TOTAl TAX . ' TOTAL . , II HER~BV AðICNOWI S:~: TN'" ~ATI,C:::~A"""I'IDV 1""..... ......'^.., ~ 'O'U'" .D".... ..."...~ 03~23-1994 10:45RM FRO~SUN VRLLEY OIL C"" 0,' . ,1\ WR'" E~~ 'C' T"" 0,: N" , '.... ~ ~..~ '. TO " ~_ ~._ ~~:'?:Ji" P. 09 __ N 0: ,':;¡:'!."..':. >:r~g:~:·~;··:·, .... :J; . " \.. ,.:>..~:'..;J..:' ,r...:,>,;. :. :\.~~ . . .~ì . '~l , .~? , .,¡ < , BAKERSFIELb Fï~E DEÞA~tMI:NT :...... ; 'i~ \.. ,. , "'00:31 ;)ii "il~,:\\:;j& (' '., , . Lòèát1Oi1' ¡)JAl!k~t 1~,.,e."$~ .""~ ··},~j:!¿h.';~ sub Div. 2300 ¿..;:L.le Ref Btk. ò Lot '. .:.t. '~',,;. . ';' . '( ."';:::,...; You are hereby required to make the following correctlöfij at the above location; '... Cor. Ko , " . : .~~ ';1 , ......._.~'...:;-,_..., .' "., '., . '. ,~¡.; ,. '.. ,'\,. .,." ~.,¡.. . ",~ ~\~ ... 'ø , ,'. , '.' , ".. ..~. . , . \,'0," : ¡.~, .,: 'f. . ., " ~, ., 'i ( " ,,' , {" Q.;c~/ r " ·.':;i . ',.;. , " , ,"'.. . " , . '. . , \~t ' ..'j; , . I ,~..~; . . P',. ,. ,'~ , :.', "" '. ",..,., ~~..: ~'.. ..' , '. . ','~ . , ': , ,;,·;..:.,:'~~L::::; :i(;.: ,.:f~: :»":';"'.::';<:::' " ., .: ..... .Z¡~~,~:;F:,':·.·.·· .~:' '. , , . , , , ':, :.,:'; .:.;:,,)~::~: '·::··::)i~. Datè co;;;~~~ for C07;;;J)~~xjj:·~' ,', ,Ihs~tot. . '. ..,.:. 4"~.j¡¡.'-" . : .;.' .' . .....:.~, " "' 03-23-1994 10~45AM FRO~SUN VALLEY OIL UNDERGROUND STORAGE TANK INSPECTION,. TO I 3260576 P.10 , kersfield Fire Dept. . Hazardous Matèfiårs'Division _"BDQ~~JiJ¡f~':~W!1·'i~~~~g!1\~~~~~&2~jf;¡1~i:',;i;:~:;r.~i,i~~~:\,:~:'~:,',)":;~:',,/~:':i~;í¡~;;~:\¿,:,: Date Completed 5/'r) .f1'-f Operating Permit: ::l~oo{')~ £:>' (K.(,) C;~ f'-t:-A-o"",,;-I-: 1<181 Business Name: ~¡;~.:'$ Pc- /') mô.Q k-oA' Ë >tþQ 0<:::' <; ~IJ... ~ ~ ;:$- Location:.. ~'5oo (,J\~(>~ : r .. BusirÌeså IdentifiCation No. 21s.ooo f ' NUmb~OfTanks. ' ~ _Type: I~~r.ø.) \ Conbiinment S \JIt\ i l ~ '-\ ~ \: \ ¡ ""~~ ..; I CONTACT INFORMATION lines: ~~~..."'S ~? 50~' (Top of Business Plan) OWner: ~.... Val('e\._ 0: [ C.b. r Emergency Contacts: 'f,)U \A...:>. v.? cQ ...,.)~ Monitoring Program .. ¡~~ W~"'A -;'0"" '- -¡ ~,~k 1"'\1D I M/" ..··f 1-.r,... Adequate o Inadequate 'ø/ RECORDS Maintenance 0 ~ Testing (!( 0 Inventory Reconciüation ~~. 0 RESPONSE PLAN ~ CJ , Errtergency Plan Violations: ¡JC.:i~'( (7,.df>':Jr;'\J.-.d. ,~4~~AJ ~) ~/QoA<)e. Ctf'!'IvíA~ ,IO\I,'j..p"t.rÇ) f '¡~",-N.s. QoP¡¡>- s.¡ J4'f.,p ILJ'. I. ~-'"" ~-- \)p, Q.VI'\ 14 Vl.1-:> ~ ~ f>~4¡;:>,-( I .¡ì'<),r y¡.,,.,,... :JFJte¡'~ rJH\,! .pJ€o,,?Æ.ð'I"'¿' --...j ,\,j All Items O.K. 0 Correction Needed e-/' White . Hal t.fat Div Pink . Busines& CoDY i î !!:. j ..... ~~~CORREC~N NOTICE . BAKERSFIELD FIRE DEPARTMENT N~I 0037 Locatiol1 hJ~'7 F >£S>2.<t!-S~ ::tr.2... . " Sub Div. ~l)O' t"./L~J...{eJ /iX1 Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No O~.t2..- I QuM~ I , f ",. e~w.~ , Completion Dat~ for COIT~e~ot»r Date $11~ß't -7Æ ' ~~ Inspector 326-3979 ~~Ù~DERGROUND STO'GE TANK INSPECTION .ersfield Fire Dept. Hazardous Materials Division Date Completed 0/1.rf' /1'7 Operating Permit: ~ ~ Ö(\f) q ß (K. c.') C ¡~ ~~;+ -: J~87 Business Name: TeYÐrc> (y>t1¡<:Ùl<Q,+ Ë Xp~~R<; #'.)... Location: ~S-ðf) (,.)~W P.... ~A ( Business Identification No. 215-000 15 Ö ~ (Top of Business Plan) Number of Tanks. ,~ Type: 19..,0005 Containment: .s~~-{l"Q.~ ~<:. \ Ì"1I\~iR. CONTACT INFORMATION Owner: ~Y\- VAl ~ &X [ Cc.' Emergency Contacts: 't()I.A~ 'ßAo / Lines: -f:{~~ Monitoring Program t;~ L. )~A-'\-oV\ '- .,....~Í< lL\lld tvt,.... 0 " i-,~. Adequate L:J In.d~e RECORDS ~ Maintenance D Testing [!( D Inventory Reconciliation ~ D RESPONSE PLAN Emergency Plan ¿ D Violations: ,~ "I\ÀØ~d~ '~~ 1)..) ~/QA-Çe- ~o,,))..ll!:?- ~"JÚJvtL'¡;J I ~~' n.p(}- sJ..,¿J-{p /4(0" , ~~' øz usin ert ~~~~ ~L\- ~ IO.() YM"'lA_,~~.e./~ IrIA~J1~(2rJ¡tvu{J All Items O.K. Correction Needed v ~ ~ !!ó. ~ a "'- White . Haz Mat Div Pink - Business Copy " . .: <'\ \. \ .. ...~ L- Bulletin No. 431 \ 4:â ;'::~,,::' .. ~i:JJ\\¡"~ ~", q:",¡'f' .;:' ' "'~'~" _ ","~' '. .,.:'" ,:¡" ,'" ," ~, ,,' ":"':.:':... ,trI,,·, " ,hr~ /' ,···"'1: ,\ ',. ·,7';'7 ,'i~i~ ~ J,;,~,~ ~ ~:~~1 I . :': ' '. it;' '.)", '1 , :.1 ,,,. -..------. Tokheim 'Fuel Inventory System CBÞ ï , " ',',1 I"!, ~ . . Tokheim Fuellnventory System Now you can have accurate control over fuel inventory-even if you have up to eight tanks! . Tokheim's new Fuel Inventory System (TFIS) incorporates ad- vanced sensing devices and elec- tronics to help you pinpoint and help explain fuel losses. A problem that can be both dangerous and expensive. Completely Compatible Communications Tokheim's Fuel Inventory System can be oper- ated as a stand alone unit, or interfaced (via a modem) with a wide range of electric computing/ output devices. The TFIS has the capability of work- ing with POS terminals and fuel consoles, TFIS can Model C1OO-18 Modem M-1oo be connected to offsite computers and telecom" munications systems, enabling your regional office to monitor inventory and security data. Constantly available infor- mation includes: · Product height (tank level> · Product temperature · Gross gallonage · Net gallonage · Delivery verification (gross and net volume readings) Pre-programmable alarm "-" conditions include: '-- . Water levels I . Low and high product levels · Leak detection (by daily moni- toring and trend analysis) There is a repeatability fac- tor of 99.5% and an accuracy of .1 inches, with resolution of.OO4 inches. Tokheim's Fuellnven- tory System is the clear choice among today's fuel inventory systems. L . Total AccLtaCy and Control The Tokheim Fuel Inventory System allows you to monitor your tanks simultaneously, with accuracy to within 1,/10 of an inch. A centrally located console/microprocessor , .- ~'" '... -'- ~, -.., r~ '" , ' .....·-·:..·:~~1.. .... -- -~ ~ . , '. - ~ ":-.... ..... :.-"?- J: ........:....~......: -' ( , - -~..- -. .:' :-~'.-:.: ~'¡~'P::.~ '. ,ì '- ~~- - ", ,""', -. ~~ '. , . -....,,~. ,,', ' \;.'..',',',",,', ' " ~5:.'~1·:.::_ ...... '.,.:~:'.{':: A Superior Measuring System L unlike using a stick, which can't account for human error such as: a tank that isn't level, the presence of water, pilferage, or even inaccurate de- livery by your supplier, TFIS incorporates an ultra- sonic probe inside your tank which sends out ultrasonic waves that determine the height of the product in the tank, and then a series of pulses are is continually on., monitoring tank activity, sounding pre-programmed alarms, and printing requested data-all at the touch of a button. .~.........". Probe P100-10 (10feetl P100-14 (14feetl -' '; 0; measured for accuracy. Water level can be accurately measured as well. . What's more, TFIS probes can be individually sized in the field to match varying tank diameters and burials. Ease of . Installation TFIS can be installed quickly and easily, without interrupting your gasoline operation! Factory trained technicians can install TFIS in as little as four hours for a standard three-tank system in a planned installation. Because probes are in- serted Into tanks through a standard 4" riser, no special hardware is required. Coaxial cable is avail- able in a 250 ft. length. -..- -L'-,'~-- Model W100·25 System Requirements· , C100- Ta Console P100-10 Probe Supports 1 to a probes/tanks 10' Probe includes Housing Kit-one per tank 250' Wire includes two connectors W100-25 Wiring KIt ; Options- I . P100-14 Probe 14' Probe includes' Housing Kit-one per tank 2 Additional 300 Baud 26" x 26" J100 M100 91 Connectors Modem Street Box Take fne Guesswork Out of Fuel Inventory J The Fuel Inventory System from Tokheim is the complete solution to your inventory problems. Our system-a console, probe and optional communica- tions device-provides you with the flexibility to tailor TFIS to your particular location. If you've been waiting for a fuel inventory system that gives you complete control of all tank data without interruPting your operation, there's never been a better time to "lCUk to Tokheim:' ~[t@~~- C10o-ra W100-25 P100 .-/' , \ \ , ... ... Tokheim policy is one of constant improvement. Specifications subject to change without notice, CiiÞ Systems for the Movement and Measurement of liquids TOKHEIM CORPORATION '- PETROLEUM EOUIPMENT DIVISION P,O. 80X 360, FORT WAYNE, IN 46801 219/423-2552 Bulletin No, 431 Litho in U,S.A, Thi~ Shipping Order mu~t bf!' leqibly ",,""., In,,,..I" Inil: In IndfOl;hl~ Penc.il 0' in Cdfbon ""1- < inf'd'bv thl AQ~nt. ~Ior.lcrn~ {cldlnrr Cn. (N"me of CoUrier) ArçEÎVËÖ~Iu¡;¡.ci 10 tïïèCiãïliiiêïiion. .nd ,.,iff. lñ .ff.ct on the d.'. of tho Iliu. of ¡ii¡isiifõiï:;'dïñq, . Shipper'. No. 12292 Carrier'. No ðt FRESNO, CALIFORNIA 93711 1\ p r i 1 2:1 19 37 From MODERN WELDING COMPANY, INC. thl' propf'rty Itll"M'"rtlu>d moln",", In :.tJ~r.nt COOd 01'11.1', ("xC('f't .a not.:od {('tonlents :'loci ("nr!dlllon vi ('ontl'nt'4 It' 11i\,·k:t~.. unknuwn., rnarhert, ("nnlte-nM. and d..tlned .11 Indl('at." belOW'. """I('n ,..Q ,·"rrlt'r (lhf' word ('arrif!'1' 1~lnf! undl"rl'ltond throuR'huut. Ihh. (·onu~('t ß!I m(':.nln.. any ptot..nn or ,'''' porJltlon In pn"""!';,,'"n or th.. !,topt'rl)' undc-r th. ('unt,..rU ......r. to ('any to Its uaUIII pia" ð( d.. ""'ry at uhl dlll'!itln:atlnn. If un It~ routp, othC",,""e to fI('lh'.r tn annthf'r ("nrrl... nn Ih~ rt'ulp 10 uld IIp..(lnolllon. Jt I.. mUIu:llly A~r..d. D.. 10 C";\("h c;¡rrlet' of "U or .n" at ~Dld ~rt)" oyer all nr ,In)" ~"lInn of !Lalit rnulp In '.""U":llIon, and a" 10 ~ach ,':lrly :II IIny limp Intf'r...·¡tf'fl In "II or ;"1)" of II.h1 pm')f·rH·. lluIt t!'Yf'rJo' ~«,"I"p to M lM't'fnrftM'd h......ftd." ...... be auhJ«t to ... tM te,,,,. ;~nd ..n,..tHlnn. ~f th.. tJn"nr,n f)un..·:o.tle ~lrnl2'ht nlll III ultlns: flrt forth' I) In ntrh:t:al, ~nu'ht"n, We"l.rn An" IlIlnol. FrelCh& <:t...ltlt.Uon. In «'tI..r't on US. date benol. I' thle t. . ra.. or . 1'811. w·a''-'' IIhhIlH('nt. nf' 12) In the "J1I,I1f";thIO motn.. ("11rrl.r t'I."..lflrnUf1n or'tarlCf If Ihl" h . nlntnr "arrlf'1' IIIh1r'ment. .' ."Ip,""r ....r("by eel'''''.. that h. I. 'a...llla.. .U" 0111 th. t.r.... .nd eoncUtlon, of t.... $.:" bill 0' ladlnv. InC'lud'.V tho.. on the b_1I: th....... ,., ,...... I. ... c.....neaU_ ... tariff w"'c. .."...,,_ tI.. .,.",....tallo.. of th'. .hlpro.nt, and U.. ..id ........ .nd C'onditlon. a,. h......., .....·.d to by tho ."'''..'' an4 .ce.p'M '01' "I.....f aA4 hi. .."1.... Consigned to p ;1 h~ [ s f j e 1 r! ~t1I\ V;lllcy Oil Co. State Ca. (Mail ur str~et add feu of consignee-for purpoSeI of notification only.) County _Delivery Address * ? t; () 0 '!; Po 1 c Rd (* To be filled in only when .hipper de.ires and governing taiiffs provide or delivery íh~reat.) Destination Route Delivering Carrier Car or Vehicle Initials No No. Package. Kind of Package, Description of Articles, Special - Mafks, and Exç~ptions .WF.lt:IIT CSUhJ...-t: to eorr~lnnþ ClalS or Rate Check Column 8ubPd: te s.rlloa '7 011 COftdltlon" of appIkabt. bin 01 ladl....., II thl. Ithlpm.... I_ to be _.ÞwNd to the COIMt..... with.. oat ~ oa tile COIMIIcnor, tlMo ~on- atenor ahaU .... t_ followlnc .&awm.n&.l Tbe ~ ..... MIl: ...... Mil""" 01 till. .hl....... wtu.-t ..-)"'ftMId ,. tnl..... ... all ~ ....,.. cIIar'Þeo 1 12000,[1'allnn Single \. T . 1 ,~ iJ. ,( .c Glasteel 300 1 (~ 1 :l S t e el kit \S_..... 01 CaIIolcnorl I' ~ .... te he ....,..14. wrtte _ __ "To"'_" -.-, to .PP'Y la ...~""'"" 01 the c....... ,.,. the pnJpeI1iF dHcrtbM heNoa. :~:ïOOQ volt holiday test witnessed by:, ...... - ('........ .... (The allKftlltaN ,..... ____'ecta.. ..._,. tbe ._ prepatd.) .., tbe IIIhlpment 1nO'9'" b.tWefta two pone bJ" . tarrl... by ....aw.r. lite la. require. u..t tbe bill .hIJl~r·. ".llfhL :-4OTF..-W....N tht ...t. .. dePl'nclftlt ðft ..Iu.. ."IPIM'r. aft requtrM to IIta'. APN"ln,..lIr In W1"ltlnc the ....... _ 4tK1.... WI'" .. ..... pt"OpPrty. TIt. ..NH _ Mela..... .alu. e4 Ute IÞro..~ la ft.,..... ..-clflc.ally ...~ ~ ,he ...I.....r .. .. ... ~'''' Cbarca .o\.dYaDt»d. , Permanent post-offiœ address of shipper. - tn. fltw. hMt.. u~.d fM thl.. "hlpnW!d ~ðn'OI'Ift to ~~~~"ollrt.tNt .·n"R'h' n.".I,....t'o..... tlMftoa. aDd all 0ÜIft' .............. tShI.......·. ~nt t. II.... OIl .eawnp, n.. . ,." of 11111 of 1Ad1na< ............. .." .... IJderataC. o..lIMI'Ce Com_I..lon. .... Agent rnu" detach end retain, thi. Shipping Cij) Order .nd mud I.qn th. Original Biil of t..ding. ß MODERN WELDING COMPANY, INC. .. Thi~ Shipp, ing 'Order mu.1 b. l.qib1y ftll.d In. In Ink, in Ind.l;bl. P.ncil or in Cd'b. r.t.in.d by tho Aq.nt. '!()f) n rpT q: r I) prr, C0 (Nð,!"e of C,jrr:er) . ìii'cÊiVÊD.';;;¡;¡;~i-'¡;-~Îfutlon. end tariff, In .ff.ct on tho dat. ~f th. ¡.... of thl, 1111 of ladÎn9. . Shipp.,', No. 12293 C..,ie,·, No (It FRESNO, CALIFORNIA 93711 ^or 11 "0 ¡. c.. 19 ? ï From MODERN WELDING COMPANY, INC. Ihl:" prUI-"-,rt:¡.· c1eM"rltwd ht·'ow. In npparent 1'00d orfler, ('xt=<,J'I( a. noiM «('un tent. ,1"1.1 ro~cllllon ul t·unl"nt.. uf Illh·k:.~.. unkn..wn,. m:trkt'II, ("on"l~nrd. and d..UnH aft Indl..at." below, whlrh $.,Q ("~rrh'r tth.. word rar"I., tl4:"lnwr unller!t&ocld thrOUW-huUI Ihl!t ("nntrart All mt:':lnlnllf Any ~r""n or '·fI,-poraUnn In J'ln'"""~"'on of tht> l'rnlM'rly und.... the ('untra("U .~r. to ".rry tð It!ll u.ua. pi.... o( doe. Ih"'ry at IIAllt d."Un:Ulnn" If on I'''' rout.., ntht'rwl... to dpth'.r In anntht"r <""fTlf" on the rO\lI(' 10 lIald df'l..lIn~tln". It I~ ""uuld')" nc:.....t. ... to (oJ\rh ..orrl,", ~ ~II or .n,. of IUIld propeor'Y 0"'.1' ... nr .111" P<"'rtlnn ot "'!'lId rou... .,. d..",lInI'lUon. And a. '0 ~.C"h NU'" .t any 11m", Inl~"""I..t In an or 11111' nf ..lIIld prol"'rt}', nUll @Yf'lr)' III...,,'.... to hIÞ þPl.tO"nM'd he,.und.r .""11 n. .uhJ~1 to an .... '...m_ ¡;n_1 ..nn_Utlon. tlI th.. '!"Ir"nn "flt1I.'~IIc: 'IrftlRhl. nlll tit IA_lInA' ...t forth (I' In Urrl<-I.I. ~"utllf"r". W..'.rn lInd IIlInola FUlltrh' C·la"..,lnUonll In e"~ nn tM d.t. twNðt, If thl. 'e . ran or a' rail. "'~I.r ..hl,"".."I, nr 12) lit th.. AI'IIII(":thle molC'll" ("lIrrl.l" <"I..",I(I...tlo" or·.a..trr If 1hl_ I. . Inn1o.. I'.rrl.r .hll1m.nt. Shipp",.. "e....by ee"tlll... t"a' h. I. f....III... wit" ull the term_ ..... conditione of th. uíof bill of ladln9, Inc'udll"g tho.. ... the baclll th",r.-of. ... fiNt" I. tile at"''''"I'" ... tar'ff whlctt ooy.r"_ the transportaUon of th's shlp",.nl. and Ih. .ald tor"'. and co"dIUo". .... h.,..." ..,.ed to b" 'h. shftttt.r and accept.. 'or hi",.... .... hi. ......... Consigned to ;:'In \In 11 f'Y Oi Destination f1 n k r. r " f i (\ 1 d \.() State r,., County (* To be filled in only when (Moil ur IIreet oddren 01 consign_For pu'POSet 01 notilicotion only.) Delivery Address * ~ r:; n n hi i h 1 Po R ci .hippe, desir.. ond gove,nin9 torills p,ovide fa, delivery thereot ,) Route No. Podoge. Kind of Podoa.. Description of Article,. Special Marks, and Exceptions ew.a(JHT (SuhJOf"t tø Correoctlont / N Delivering Carrier Car or Vehicle Initials Clo.. or Rate Check Column R1IbJ«t te S«tlott 1 at applk-llbl. bill 01 lacllre. " Ihl. IIblpm.... I. ... be cIoU..rod to tM eo""....... wit.... oat ~ 0-. U. cOII.lenor. the con-' ...... abaU a'", t_ foU........ .....m..nU TM cm'I"Ift e.baI1 not. mall. _nY9ry 01 till. ....,....,.. Wltboat pa"..... 01 ,rel.-be ....&11__<_ ? l~OOO [';nllon Sinr,lc Hall Glalsteel !fnrt('r~r()1tnd tnnk~. ULff J42073R, J426739 9300# kits ca....twoe fill CoaaICftðr' If c....... are to he "......-14. .....te ........... liTo be PNpaJd.' t ., ., Glnst0cl ,I ...,.,...... . to appl,. I. pre"YftM'nt cA the cbar1E'.. oe the propII"CJ' -.en.... beNoa. Aa",1I& or (·...I.r ");ï(1W) ,-f"l' ", .... (The a'traaLor. heot'e KILnowI.... _I,. .he ....._ ~Id.) ell th. .hlpm..nC mcno.. bltt,.,.___ two porta b,. . ~n1... by __&'1'. tINt 1._ requlNa l,.d,... .haU .... whether It I. ~...'. or .htp,..r·. we'lI'tlt. # ~OTF_-Where Ih. nI'. f. deþPn.nt oft ..Iu.. shlppaore .re rt'qUfr~ to .f.'. .pe.rIIl...U" la wrltlq the ..... _ dee...... ".,_ 01 ..... Pft'P«'rt,.. TÞI. ....... Of' 40clarM value" Ute P.....rf7 I. ..er.1t» s~UI"'II, s..... ~ .... .hl~r Ie _ Rot .JICM4.... ~ A.d....Deedr . ... fTh. ,,""' ·flltt1r... U!liõ4'd Inr fhls IIhlønwø.& ronlorm to the 1I~lnc:.tton. Nt 10l'&Il (Do .n!" of Ih. ConllolhtfttNt .·",I~h' na".lflraUOft. Permonent post-<:>ffiœ address of shipp.,. aDd _n other reqa1remeata t~1J'PPI'·. 11n1Jrin' ,_ II... of .tamp; "at . s-rt at IItll of Ladl... aPPf"""'" bJ' ,... r.........te 0aa:I~ Comml..lon, MODERN WELDING COMPANY, IHC, .... Agent must detoch ond retoin. this Shipping Cij) Order ond must ..qn the Original Bill of Lading. ß 1700 Flower. SIre"t Bakersfield. California 93305 Telepl1pne (805) 861·3636 . KERN COUNTY HEALTH DEPA'RTMtT HEALTH OFFICER Leon M Hebertson, M.D, ENVIRONMENTAL HEALTH DIVISION FACILITY NAME/ADDRESS: DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY PERMIT N~mER 2900048 OWNER(S) NAME/ADDRESS: 2500 \'lible Road Bakersfield. California 93304 Sun Valley Oil Company 3940 Rosedale Highway Bakersfield. CA 93308 \Vi ble Texaco ¡XXI NE\'J BUSINESS PERMIT EXPIRES October 22, 1987 I_I CHANGE OWNERSHIP i_I RENEWAL APPROVAL DATE April 22, 1987 I--.J MODIFICATION ..--;, I [ OTIIER APPROVED BY Tom 1>1e1e . . .. .. . .. . . .. . . . . . . . . . POST ON PREMISES. . . . . . . ., . . . . . . . . . . , CONDITIONS AS FOLLOWS: Stan~ard Instructions 1. All pertinent equipment and materials used in this construction are subject to identification and approval by the Permitting Authority prior to construction. This permit is issued contingent upon guaranteed compliance with the guidelines as determined by the Permitting Authority, 2. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. 3. Permittee must ·contact· Permitting Authority for on-site inspection(s) with 48 hour advance notice. 4. Backfill material for piping and tanks to be as per manufacturers' specifications. 5. Construction inspectiori record card is included with permit given. to Permittee. This card must be posted at jobsite prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill . b. Piping system with secondary containment leak interception/raceway c. Overfill protection arid leak detection/monitoring d. Any other inspection deemed necessary by Permitti~g Authority. DISTRICT OFFICES f)':!:H10 )_¿¡mntl l.,ll",I""bell;; Mojavf~ RirJqecrest Shorter T3ft . . PEIUUT TO CONSTRUCTUNDEHGlWUND STORAGE FACILITY PEIU>UT NUÞlDER 28000tlß FACILITY NAr·JE/ADDJŒSS: mVNER (S) NMIEI ADDRESS: 2500 IHble Road Sun Valley 0 i 1 Company 3940 Rosedale Highway Bakersfield. CA 93308 lVible Texaco Bakersfield, California 83304 6. Monitoring requirements for this facility will be described all final "Permit to Operate". 7. Spark testing (35.000 volts) required at site prior to installation of tank(s). Test(s) must be certified by the manufacturer. and a copy of test certification supplied to the Permitting Authbrity,. 8. The following equipment and materials must be identified by manufacturer and model prior to their installation: x Tank ACCEPTED BY DATE " [ ANERICAN LINING CONPI.'.'" . - º~~gBDb~SEEÇ1E!G8I!º~§_Eºß_2ºbY=IBg~Ç~_§Y§I§~§ eªc~_!~~~_=_§~n~r~l 1 . ø 1·- SCOPE This section covers the material and labor to provide and_ i n~~t ëd 1 the HDPE "POLY-TRENCH" seccl)".dè.H~y C':')"lt a i )".ment t ¡"eY"lch 1 i net~ s)'ste"o. The intent is to provide a continuous homogeneous secondary containment device around subgrade piping syste~s eHtending from fuel islands and terminating with attachments to manway covers or turbin piping on various tank designs. 1.02 RESPONSIBILITY American Lining Company shall be responsible for supplying, handling, seaming and installation of the secondary containment POLY-TRENCH system to be used in the construction. American Lining shall provide the services of a competent field t.-:~chnicL.l"r·1 tCI pt'clvide guidance arid supet'visic.r. fot~ the POLY-TRENCH installation. All field seams shall be 100 percent tested and inspected and ~pproved by the. Owner/Contractor and the manufacture's technical t"'f'!Pi"I?~SI~nt; at i ve. Uµon completion of the installation of the POLY-TRENCH system, the manufacturer's technician representative shall furnish the owner with a written statement to certify that all field seaming, pipe pen~trations attachMents, tank manway attachments and other related trench liner installation work has been completed to his entire satisfaction, and in accord with m~nufacture's instructions. Should this st~tement not be available due to t~e contractor's having improperly carried out the manufacturer's instructions, the contractor shall perform tl'H? nt::cC:?SSi:.,t'Y rt?".ledial ¡"¡Ot'~< è.u·.d supply arlY è.,dditic'Y"'dl m¡:.ti?t'i.-:.ls, labor or equipment required to obtain this certification at the contrac~or's sole EHpense. Stt'ir.::t ly adhr~t~e tCI the marlllfactut'et" s iY"lstt~LIct iC'Y"ls a'(ld the recommendations of the manufacturer's technical representative for the storage, handling, grading, installation and seaming of the POLY-TRENCH system. Repairs of the POLY-TRENCH system shall be in strict accord witn Section 3.02 of this specification. The manufacturer's warranty ,;.;f'rr:tl1 ter-'"oini::ite :if any t'ep¿dt~s arf;! dCI¡-ll~ by ar,ycl)"!!? othEt~ thëHO, the rn.:.;nu fdct lJi"~;¡i'" s t echn i c.:i 1 t'ept'l~sent at i VP-. ( 1 ) ANERICAN LINING COMP. e !~~3~_ÇYº~lIIQL§L_G~BIIE!Ç8Ilº~ê_8~º_~8BB8~IY A. The Owner/Contractor shall furnish detailed drawings that include any new or existing piping systems and storage tank locations that require secondary containment. Wh8re required the Ownet'/CCIf"ltt'actc.t' sh~ll "Hi-Lite" thclse at'f?aS ì^eql.lit'iY"IY ~i;(::!condat'y cc.rd;ë:\inmer.t. It is iwpc1t'tant that the Owner/Contractor specify all storage tank dimensions and, storage tank manufacturer. American Lining Company shall submit detailed drawings that include typical fabrication details, field seaming methods, anchoring methods, trench liner attachments, collection weirs, mbnitoring wells and pipe penetration details. Sublïlittal shall include a 2" )( 311 5¡awple elf matet'ial arid extrusion weld s~ffiple with material specifications. B. Ce\^t i fic.at ior.s- The Manufacturer/Installer shall submit certifications as required herein fo~ ~ubgrade preparation, field seaming, t t'ench Ii 'net' arlchc1rage ¿¡\rld t'r'er.ch liner i nst a 11 at i c,rl. C. ~.Jat't'aY'lty- The POLY-TRENCH manufacturer shall furnish the Owner a written warranty stating the POLY-TRENCH system as delivered to the site is, first quality, free from'any defects in materials and/o~ workmanship, and is in compliance with all applicable requirements contained in thes~ specifications. D. Test Hesl_ll t s- The manufacturer shall submit to the Owner/Contractor test results performed by an independent testing company that provides proof that HDPE has been tested to the requirements arising from the California Underground Storage Tank R~gulations, Section 2631 (J) and is in compliance with the AdministrativE Requirements. ~Q~~_S~~~-~_~ª£~~iªl .. 2.Øl- TRENCH LINER MATERIAL All POLY-TRENCH C'OUlpc')"lents shall cc.r,sist c"f a 1/4" llnifot'm thickness of HDPE conforming to the minumum physical property requirements set below. - -... .-.. ..... ( 2 ) - -..., .. e TABLE 5. MATERIAL PROPERTIE_ HIGH DENSITY POLYETHYLENE (HDPE) Tc~i UnluPPof1ed(U) Property Method 30 38 40 60 60 ao 100 Gauge In om in all 30 36 40 50 60 80 100 Thickness. mils minimum ASTM 01593 30 36 40 50 60 72 90 Para 8,1.3 Specific Gravity ASTM 0792 0.940 0.940 0.940 0.940 0,940 0.940 0,940 (minimuml Method A Minimum Tensile Properties ASTM 0638 teach direction) " Tensile Strength Yield (lb.r.n width) 50 60 70 90 120 140 180 2, Tensile Strength at Break 90 108 120 150 180 240 3QO (lbJin width) 3. Elongation at Yi,eld (percent) 10 10 10 10 10 10 10 4, Elongation at Break (percent) 500 5QO 500 500 500 500 500 5. Modulus of Elasticity (lbslsq in) 80,000 80.000 80.000 80.000 80.000 80.000 80.000 Tear Resistance A~TM 01004 15 18 20 ?5 30 40 50 (lb. minimum) Die C Low Temperature. of ASTM 0746 -40 -40 -40 -4ð -40 -40 -40 Procedure B Dimensional Stability ASTM 01204 :!:3 :!:3 :1:3 :!:3 ~3 ~3 :!O3 (each direction. percent chang9 maximum! ~12°F, 15 min. Resistanco to Soil Burial ASTM 03083 (percent change maximum (as modified in in original value) Appendix AI t. Tensile Strength Yield 10 10 10 10 10 10 10 2, Tensile Strength at Break 10 10 10 10 1Q 10 10 3. Elongation at Yield 10 10 10 10 10 '0 '0 4, Elongation at Break 10 10 10 10 10 10 10 5. Modulus of Elasticity 10 10 10 10 10 10 10 Environmental Stress Crack ASTM 01693 SOD 500 500 500 500 500 500 (minimum. hours) (as modified in Appendix AI Fectory and Field Seem Requirements' > Bonded Seam Strength ASTM 03083 45 54 E¡3 81 108 108 135 (factory seam, breaking (as modified In factor, ppi widthl Appendix AI Peel Adhesion ASTM 0413 FTBz FTBz FTQz FTBz FTBz FTBz FTBz (lblin minimum) (as modified in Appendix A) Dead Load' Room Temperature 73°F See Appendix A Pass Pass Pass Pass Pass Pass Pass 50% Bonded Seam Load Elevated Temperature 158"F See Appendix A Pess Pass Pass Pass Pass Pass Pass 25%' Bonded Seam Load Resistance to Soil Burial ASTM 03083 Peel Adhesion (as modified in FTBz FTBz HBz FTB> HB> FTBz PTBZ Appendix AI Bonded Scam Strength -10 ·10 -10 ·10 ·10 -20 -20 (percent change maximum in original value) 'Factory bonded seam strength is the responsibility of the fabricator. Factory seams are furtl1er idscussed in Item 4.2. 'FTB - Film Tear Bond This table provides a reliable and dependable means for industry to furnish such materials of known and consistent quality. Before selection of any material for an FML, however, the user should consult with appropriate manufacturers, because these materií1ls may not be appropriate for every application. Specific information should be obtained from the manufacturers rcqarùinu instùlli'\tiC'1l rcfjuirell1rnt-;, exposure condition:;, pcrformal1co oxpectations, and experience 'factor. e ANEiUCAN LINING CONPIY EHIJCoSUt"'1? c.-F ·fa,·~t¡"_-,t~y (·-ld".>d ~-(1 - t; d F· ld - IU g -Ulpunen' S an . Ie seams to direct, o~tdoor ultraviolet radiation and complete soil burial (internal or external), shall have no effect on the physical or chemical properties of the HDPE second~ry containment device. The HDPE material <resin) components free of holes, bl if.:;tet~s. shall be manufactured to produce delaminations, contaminents and All necessary repairs shall be made by the manufacturer bef~re the components are packaged for shipment. Material is to b~ HDPE, in 1/4" thick)'"less, as wa)'"lufactut~ed by Artlet~ica)'"1 Linirlg C'::'(,1pa(·IY, Baket~';:)field" Califc.t~'(lÍa. e~~i_~~~~-=_~2~h~~n2QiQ 3.01- Surface Preparation The existing subgrade surfaces which are in contact with the secondary containment device shall be smoothed, devoid of all sharp objects and graded to plans and specifications of the (lIi"nl.lf';:1ctut~et~., . 1)'"1 th.:.se .lt~eas whet~e the secol'ldary cCIYltairHIH?I',t device must be installed over abrasive objects, a puncture r~sistant, abrasive resi~tant and hydrocarbon resistant g~otextile shall be used for padding and protection for the contain~ent device. Clean sand, pea gravel, or earth may also be used as padding' and approved by the manufacturer's technical representative before installation begins. The manufactlJrer's tech~icial representative shall certify in writing that the surface (of the areas described above) on which the secondary containment device is to be placed is acceptable. No in~tallation of secondary containment_waterials shall commence until this certification is furnished to the Owner/Contractor. The Owner/Contractor shall maintain the receiving surface in the accepted condition untii complete installation of the secondary containment device is accowplished. 3.02- Field Joints (Seaming) A. Field Joints shall be made by overlapping adjacent components a minimum of two (2) inches and extruding a ribbon of extrusion Joining resin no les~ that one (1) inch in width over the Joint between the components. Prior to extrusion welding of the'Joints, all areas which are to become Join~ interfaces shall be cleaned of dust and dirt. It shall be the responsibility of the Contractor to winimize d~sty conditions at the installation site to ,insure proper Joining of the components. ( 3 ) AMERICAN LINING COMP~,Y . .. The slick surface of the components which are to become joint interfaces shall be roughe~ed with an abrasive disc grinder b(~fot'f~ ti,»("t;'r'lldate is placed over the lapped Joint. Extrusion Jointing shall not take place when components are wet or the receiving surfaces for the secondary containment device is saturated with fluid. B. Penetrations of'Secondary Containment Components- All pipe penetrations and manway attachments around turbins, other product piping and conduits shall strictly adhere tal the manufacturer's :appraved shop drawings and approved by Owner/Contractor representative and manufacturer's technicial representative to be fluidtight. It shall be the responsibility of the Owner/Contractor to supply the manufacturer with the type and size of all penetrations through the containment device at least one (1) week prior to actual field installation. . All pipe penetrations shall have at least six (5) inches of smooth pipe surface directly out of the storage tank to accommodate the HDPE pipe sleeve and to assure proper fllJidt ight seaL 3.03- Monitoring wells/Fluid Sensing Devices/Collection Weirs ~. Monitoring Wells- Monitoring wells used in the secondary containment device shall be Made of High Density POlyethylene, ßnd shall be chemical and fuel resistant as stated in these speci ficat i":IY·,s. The monitoring wells shall be perforated at least six (5) inches, then welded in desired location with the perforations touchi~g the bottom of the containment device to allow leaking fluid Or vapors to enter the well bore and there~ore activating the fluid/vapor sensing device. B. Fluid Sensing DeVices- Rs many cc"',pa n i as a~e currentlJf9lM ~~~~c.ca rb"r, saM i r,g devices in ather installations the Owner/Contractor and, manufacturer's representative shall discuss the suggested sensing devices offered by the manufacturer. Such devices offer visual and audio alarms for each detection probe and may he placed within the confines of a building for periodic manual inspection. It shall be the responsibility of the Owner/Contractor to ifl!sLcaI"1 anti fIIi:lintë,Ün the electt'ic vap":q"/liquid sensing rjevicc, ""r,,1 ".Ii'IY c:d;hE~r' ¡"JlI·':i.ng C,t' c'c,ncJuit ë:\S lïlay be t'equit'ud. ( 4 ) 4ÍÞ AMERICAN LINING C~MPAN4IÞ C. Collection Weirs- Collection weirs ~hall be fabricated in all POLY-TRENCH systems to impede the flow of leaking fuels throughout the containment system unless the owner notifies the manufacturer that they ara not required. A minimum of two (2) monitoring wells, fluid/vapor sensing devices and collection weirs shall be installed'in each island containment device and one (1) at each turbin containment box or where required by city or county t~eq u i t~efllerlt s. The5~ items are optional in the POLY-TRENCH system due te different county and city regulations. The manufacturer suggests using these items to aid in early leak detection. 3.04- Storage and Handling A. Strictly adhere to the manufacturer's instructions for storage and handling of th~ secondary containment components and other materials delivered with the containment components. Care shall be exercised when handli~g the components and all other containment materials to avoid cuts, punctures, abrasions and other daMa~e from protrusions, ropes, working tc,clls a¡"ld existing clbstt~Llcticlrls. e~~i_~~~~=_Eiglg_§g~m_i~§~inllLg~Èli!Y_ººn!~21 'f. iZll- Te~:.;t in!] nftœr installation, the size and position of the completed containment device system permits testing only from the upper side. This restriction considerably reduces the number of reliable testing procedures. However, two non-destructive methods can be used to verify the continuity (watertightness). The method of testing shall be indicated by the Manufacturer/Installer and approved by the owner or his t~ept~e\:.et·Jt at i ve. A. Vacuum Testing- 01'18 1¡"let hCld elf test i rig t he sea lis VaC\.l\.lhl test i rig. In t t1 i s test, the weld seam shall be placed under a vacuum using a clear plastic suction cup attached to a vacuum pump. A foaming agent indicates the exact position of any leaks er-.c::c. L\ Yït et~ed. ( 5 ) e AHERICAN LINING COMP.' \¡I Ð. I-Ja ti?I" Tt:!s t- The structural int~grity of the POLY-TRENCH systeffi provides fo~ another widely approved test method, a fresh water test. The containment device shall be filled not less that one quarter (1/4) full then left with the wat~r standing until 'thf.~ rlli",nLlfi;1ctUt'er/inst..\l1(~t, t'ept'es!:rltative arId Owner/Contractor representative have mutually approved all seams to be fluidtight. The Owner/Contractor shall bear all cClst of sl.lpplir.g, fillirlg, emptyirlg ar,d dispclsal c.f .the water. The water shall be left standing at least thirty (30) minutes or the length of time it takes to inspect all Joints. The water test also provides visual inspection of the fluids flow pattern insuring correct grading. Any repairs required as a result of these tests shall be at the sole expense of the Manufacturer/Installer. It is suggested that the Owner/Con~ractor check with local ay(;.>ncies fCIi" the acceptarlcE? of the water befot'e it; is returned to drainage or sewer systems. ~~~~=-~~~b~cis~l_§i~~DBib Terls i Ie T(?st- The tensile test is a destructive test to determine the mechanical strength of the weld. This may be conducted on a random basis. Samples taken from the welded Joints shall be tested, dated and archived for ~uture re~erences. The affected i:W'''~':' ~;¡all be patched i.... accclt'darlce with the marlu~actut'et"s repair procedures and at the sole expense of the owner. ~~~â=_1~2Q~£tiQ~ The manufacturer's Quality Control Technician shall continually inspect the secondary containment devicE for any defects during field installation. Any area showing a defect shall be marked and repaired in accordance with the fuanufacturer'S repair pt'c1ced 1Ii"'es. End elf Sect i CIYI ( 6 ) .. Facility: e . Standard Compliance Check , !..v' / 6L [~ ?¿;. i;/'<:\ ;;.: ... Approved -------- ../~ CT ~ (/ Equipment to be installed: '") Tank(s), ft. of Dsuct i on 2Pfêssurized piping Req'd I I I.~ ' primary Containment DFiberglass (FRP) G}Fiberglass-clad steel DUncoa ted steel DOther: Comment: Make & Model Make & Model Make & Model Make & Model /;-1 ,~7 :...-',eJ-? .'V' /~-::,,')cJc.:.I,:: '¡.'1/.. Additional: Inspection: Secondary Containment of Tank(s) DOouble-walled tank (s) Make & Model []S yn the t ic liner Ma ke & Model "~",':',",c DLined concrete vault(s) Sealer used DOther Type Make & Model Comment: Additional: Inspection: Secondary containment vblume at least 100% of primary tan} vol ume (s) Comment: Add i tional : Inspection: Secondary containment volume for more than one tank contains 150% of volume of largest primary Gontainemnt r 10% of aggregate primary volume, whichever is greater Comment: Additional: Inspection: Secondary containment open to rainfaJ.l must actomodatf 24 hour rainfall Total Volume Comment: 1 Reqld /' -- /,/ // Approved ,/ ....../ /' .// . . Additional: Inspection: Secondary containment Product (',C\2;,,!_///c:.. Comment: Additional: Inspection: is product-compatible Documentation ~nnular space liquid is compatible with product Product Annular liquid Commen t : Additional: Inspection: primary Çontainment of Piping ËTFiberglass piping DCoated steel piping DUncoated steel piping DOthe'r Comment: , Add i tional: Size & Make S1 ze & Make Size Inspection: Secondary Containment of pipIng DDouble-walled pipe [}5ýnthetic liner in trench DOther Comment: Size & Ma ke Size & Make r/(!;:-~ - Additional: Inspection: Corrosion Protection [JTank (s) ,0¿-=;(f::.:.A 5~, [JPiping& fittings D&lectrical isolation Comment: Additional: Inspection: Manufacturer-Approved Backfill for Tanks & Piping Type Comment: 2 'Req'd / / Approved . ...-/ -'//' . .. Additional: Inspection: Tank(s) Located No Closer Than 10 Feet to Bui1ding(s) Comments: Additional: Complete Monitoring System Monitoring device within secondary DLiquid level indicator(s) DLiquid used o The rm ale 0 nd u c t i v i t Y s ens 0 r ( s ) Drressure sensor (s) Dvac uum gauge DSump (s) DGas or vapor detector(s) DManual inspection & sampling DVi sual inspect i on [JÓther / /c -('/""7 Comments: Inspection: containment: " .-r: ':.:. / ..:;_'7:'-'\ Addl ti<;mal: Inspection: Other Moniforing DPerioòic tightness testing t1e thoò DPressure-reducing line leak detector (s) DOther Comment: Aòòitional: Inspection: Overfill protection DTape float gaugers) DFloat vent valve(s) ,_I)'· ;:.-::' DCapaci tance sensor (s) DI-ligh level alarm(s)' DA~tomatic shut-off control(s) Ofill box(es) with 1 ft.] volume ,,-;..pc'; f'C;' DDperator controls with visual level monitoring Other Comment: ~@OR OR~GIM~~ 3 'R"eq'd ---- Approved :J . " Additional: Insp.ection: Monitoring Requirements ::~::.-=¿';-/f',<- --¿:>j,;-~·,"·'i?C. Additional Comments Inspection: Inspector Date '@@{R @RnG81M~R 4 .. ,Date: Pur pose: Comment: Da te : purpose: Comment: Da te : Purpose: Comment: Da te : Purpose: Comment: . '. Extra Inspections/Reinspections/Consultations Invoice Date: Inspector ~@o~ OR~~~~~/I t1 I Time Utilized Time Utilized Time Utilized Time Utilized Total Time: Da te : /¡ KERN COUNTY HEALTH DEPARTM.' ENVIRONMENTAL HEALTH DIVIS HAZÁRDOUS SUBSTANCES SECTION . -:/ INSPECTION RECORD ,POST CARD AT JOBSIIE 1700 FLOWER STREET BAKERSFIELD, CA 93305 PHONE (805) 861-3636 FACILITY Wu:.Jt../.;. 7¿¡:'<:"C~ PERMIT #<;"'7(.)'-''''( ADDR ESS ;:::;So ù (,)/ /'I-.I~ /Ú) CITY, ,1\1\ I:','~;:"F',::,' ,') PHONE NO. ;,,-'__11 - 'f <'J :-. / : GlUER ,.J·v¡J v'M'-'-Ly <.)1,- ..: v : ADDRESS}?)"'Ò /{,,,¿;,¿Y).:.~.- ¡I.;,; : cm ;/¡C) ¡"~" 11~\/,::-~/.:. ¡ i : pg~NE NO. c,.'-/ ?,-:'!i INSTRUCTIONS: Please call ,for §tl inspector only wen each group of inspections with the same number are ready. They will run in consecuti~e order beginning with number 1. DO NOT cover work f0l4 any numbered group until all items in that group are signed off by the Permitting Authori ty. Following' these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional. fees. - TANKS INSPECTION ¡IBackfill of Tank(s) : I\S ark Test Certification : :Cathodic Protection of Tank(s) 1 I 1 I - PIPING ~ - ¡,~:Pi ing & Raceway w/Collection Sum :Corrosion Protection of Piping, Joints, Fill Pipe: :Electrical Isolation of Piping From TankCs) : :Cathodic Protection Sy~tem-Piping : t:5- <- /'v';;¡;' I , I , I I' OVERFILL PROTECTION, LEAK DETECTION - ,. J...,' _ ,"'_, ',1 _ '(:-"1 " . ,~ . ,~: ......, I. CC.7J11 :7~ I / Vïl' , <. I :,í , f -, ~~ 7(, '~', ~ " ~,~.....,...' !A..PLAL:.L I I , ; '7 '-/I~ -,~'-7 I I I' q /J I ;-(-(; I -~.-"::.., '1 .,,'. - SECONDARY CONTAINMENT, I ¡Liner Installation - Tank(s) /ILiner Installation - Piping IV aul t ili th Product Compatible Sealer I ~: Level Gauges or Sensors, Float Vent Valves : §J: Product Compatible Fill Box (es) \ \ Product Line Leak DetectorC s) : :Leak Detector<s) for Annular Soace-D.ì-l. Tank(s) i~3:Monitoring WellCs)/SumpCs) . : ¡Leak Detection DeviceC s) For V adose/Groundwat~ : : PVC Sleeve Piping : iLeak Detector< s) I I , I ~~@i ORIGi~~lb ;~ ).....L,.-<./ :;J , '(:-/>~ - FINAl. - ~5 ;/. Monitorin Wells, Ca s- & Locks Fill Box Lock Monitoring Requirements : '- ,/-'1 " I , I I I I I ~ I I '" J i CONTRACTOR ~. ') ¿ ,;-¿- AA',>lA,J CONTACT ':::;,11'- <'/ ;.: LICENSE # 3 y~ ~ 33 PHI . . ~~¡ \~ 00 \ ðÐ \ 00\ Ù <X> ').... 00 <).. Ù ðC<3 00'-1 CO \ Ú eo« DÖl DO I N 00 " 1'2..000 IC¡S7 ¿;.S 000 "t 13 (J:~q I ( , " .,., " ~if/, . FACILITY: . . 'vJ t ðLE. TeXACO FILE COHTE~TS SUMMARY ADDRESS : - --..!~.- ? c:., I"',rr, "! \ i~1 -:- ¡,C(\.:::...\ " :- - '-- '- \_.~ ¡ "'--" '"- -.. .'-f. ~_ PERMIT ,: 2.90004- J' )(~ ENV. SENSITIVITY: , \,j c. ~--' Activity Date , Ot Tanks Comments _A-PPUCAlNN -23Ðf'{'jLJ- ~ A-PPU(J~~ Or-J -A.Y- 2. 9 - 2.. q r-=i (:Pu.c.~ c,,.J 2~~LLß LHB Rl.SUL ~ ck ( llli(2 _=Ue)f'1~ rr ¡ ) ðb L)lo~7 - 3 3 q i ¡ ~ \ 4} q J ~1~''7 '. I I "--" ! t;j )1 S) ål "~ ~ è:L \ q \NJ ~. , 0P~ r? ~t.- oPtQ~~ Aß AN 00;r-J N~~C,~rJ ('^ .- -n 'Li f"~i~,' i/r' ¡ ~~. ¡"\'-'1 ! 1fJ'(QJ@~ º~!~~~~[t, 1 2T~0 'M' Street, Ste. 300 Ba~ersfield, CA 93301 .~ (80S) 861-3636 . KERN COUNT" April 6, 1989 The Twining Laboratories 3701 Pegasus Drive, Suite 124 Bakersfield, CA 93308 Attn: Bruce M. Blythe Staff G Dear Mr. Blythe: Enclosed is the information that you requested for the following facilitj.es: Howard's Mini Mart Exxon Convenience Store U. S. Post Office Texaco Convenience Store Sonny's Chevron Larson's Dairyland Mobil Convenience Store (Ready Go Market) There is a $42.00 per hour service fee for the me search required to obtain this infonnation. ' An invoice has been enclosed for this fee. Sincerely, ..// / 4/ ' :Ý~ ~~/~ Lydia V. von Sydow Environmental Health Technician Hazardous Materials Management Program LV: dr, lydia \blythe.ltr . þ ~~ j . .' ~~ Texaco Convenience Store - 2500 Wible Road Sun Valley Oil Company - Owner 3 Tanks ~ Capacity Substance Age #1 12,000 Unleaded 2 years #2 12,000 Premium 2 years #3 12,000 Regular 2 years No unauthorized releases. U. S. Post Office - 3200 Larson Lane V.S.P.S., Western Region - Owner 1 ,Tank Capacity Substance Age #1 12,000 Unleaded 3 years No unauthorized releases. Howard's Mini Mart - 3300 Planz Road Jamieson Hill Co. - Owner 3 Tanks Capacity Substance . Age #1 12,000 Unleaded 12 years #2 12,000 Regular 12 years #3 12,000 Premium 12 years No unauthorized releases. Exxon Convenience Store - 3301 Wible Road The Southland Corporation 3 Tanks Capacity Substance Age #1 #2 #3, 10,000 10,000 10,000 Unleaded Regular Premium 12 years 12 years 12 years Tidel GTM-1 Tank Monitor No unauthorized releases. ~ ~ . . =" ç Sonny's Chevron - 3699 Wilson Road Chevron U.S.A. , Inc. - Owner 4 Tanks Capacity Substance Age #1 10,000 Regular 11 years #2 10,000 Premium 11 years #3 10,000 Unleaded 11 years #4 1,000 Waste Oil 17 years No unauthorized releases. Larson's Dairyland - 2800 Larson Lane Larson's Dairyland - Owner 4 Tanks Capacity Substance Age #1 10,000 Regular 21 years #2 10,000 Premium 21 years #3 10,000 Unleaded 20 years #4 10,000 Diesel 8 years No unauthor~zed releases. Ready Go Market (Mobil) - 3620 Wilson Road Rick Evans - Owner 4 Tanks Capacit¥ Substance Age #1 #2 #3 #4 Unknown Unknown Unknown Unknown Unleaded Regular Premium Diesel Unknown Unknown Unknown Unknown No unauthorized releases. LV:cas lydia\capacity ) ~: ç 1700 FIo_r Street Bakerstleld, California 93305 Telephone (805) 861-3636 . ~.. .' . {N COUNTY HEALTH DEPARTMEN1 HEALTH OFFICER Leon M Hebertson, M.D. ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard August 19, 1987 Gary Chapman Sun Valley Oil 3948 Rosedale Highway Bakersfield, California 93308 Re: Abandonment A1429-29 Mr. Chapman: A review of the analysis of the soil samples taken at the Wible Texaco located at 2500 Wible in Bakersfield indicated that no contamination is present at this site. The Kern County Health Department is satisfied within the results of the investigation and considers abandonment A429-29 complete. Thank you for your cooperation. Sincerely, ~a.~ Tom Mele Environmental Health Specialist Hazardous Materials Management Program TM:aa ',~._n,~~ _ K~rT!Çollnty Ileal tn IkPartl11en.' , ) D: VISIon of Env ironmental lie ,~jl í~oaF1o~r Street, Bakersfield: ^ c:n )() ') ('<::llll '-lA,'. ,,.....;' "~," t?:, c0 ': / . '~, ......;..--'--""- _. -+ App 1 1 C ~ LIon ......,d Le--t,~ì" _ ':, 7 ,,_., . ._-------.~ APPLICATfON FOR PERMTT TO OPP.RATE UNDP.[{(;ROUND ---------- HAZARDOUS SUBSTANCES STO~EF^CILITY ~ of ^ppl ication (check-j: o New Facility .~MJdification of Facility DExistif¥j Facility ., .~ !..,' }.,; -'''' l:':~ 'i I .- I ¡ 'i~\' .:1. ~"t. '~_:" f.'tt'1 6· o Transfer of D.on1ershi¡:: A: Emergency 24-Hour Contact (name, area code I phone): Days /~!-\¿L! (I'-::"~~;""J;..ì.,¡ . Night5 . i , .- ~~ ~.~~.j·7¡~' ~i ,_ Facility Name \,-"I'~í ~ "('c:,:;.+:~:,:::: No. of Tanks '.~ Type of Business (check) :IS(Gasolíne Station ¡:JOther (describe) iT í~1 i /\ ,', ,. ~ "':'f.:'L"\ Is Tank(s) Located on an Agricultural Farm? Dyes [J.-Mô , Is Tank(s) Used primarily. for h:}r1cultural Purposes? DYes EJ~ Facility Address ·ll;.;):} ¡0¡ÒL.(:' (2..:,,) Nearest Cross St. :jC(L"~O,f~ T R SEC (Rural Locations O1ly) /~ ( ". ,- '1...:>-'" o..mer '¡il\.; \/."f,L..L:k--l i')lL CO. Contact Person 0.~L'-f C:HíI¡-'i~~:\,j Address ~9'-':'~ }~.q~~!)A-~.c j:..h"""l zip r.:T~:')·_« Tele¡:i1one ~ ~,l.7-')')']...I.2- Operator t<()AJ ,.....AG~y )AL.~ Contact Person heAJ l'-i-\6-.~.)¡:.)..-1 ¿- Address 2",()() ".A....: ( .1..,..F ,:¿J Zip (.1 'T') Co 1 Tele(i1one~.:; i '1S~, I ,V)::.;' /,)! ,- B. Water to Facility Provided by CC¡-\-L'lF(}4~j4\,JA-(?fLDepth to Groundwater It;E; SoU C1aracteristics at Facility <.4-J.,);.../ Basis for Soil Type and GroundWater Depthl Detennlnations ,~. ,J,cu- <-....' .-b-:;-." Contractor S.0" PCi\eì-- il\~-_~ CA Contractor's License }ok) "=-:~::¡-L l~ 3~.) Address SSêo Î~oc:)t:-ÜhLI.:.. ' proZpoiPs~3~~PletTioenle~tOene Pé'''-~ '::;,,'::::;-<:..773 '<) Proposed Startin::¡ Date 4 - L4 - ð-7 ua Worker's Canpensation certification t 0t-.J Pt LL:: Insurer , C. D. If This Pennit Is For Modification Of An EXisting Facility, Briefly Describe Modifications proposed (jPC~Pif\\*= if''' 'I[S f'~.A) ?'(¡)I"-.J(:. E. Tank (s) Store (check all that apply) : Tank J Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste -- Fuel Oil \ 0 0 f£] ~ 0 0 0 B " 0 0 IQ ~ 0 ~ 0 ¿ :-') 0 0 0 B ~ B B , D 0 '0 0 F. Chanical Canf))5ition of Materials Stored (not necessary for rootor vehicle fuels) Tank,' ChemiCðl Stored (non-coomerc1al name) CAS I (if known) Chemical Previously Stored (if different) -- ~ijOfi« ORIGð~ffiÀ~ G. Transfer of Ownership Date of Transfer Previous Owner Previous Facility Name I, accept fully all õbligations of Permit }.b. issued tc I understaoo that the PennittirY;J Authority may review and modi fy or terminate the transfer of the Permit to Operate this LI1dergroLl1d storage facility upon receiving this completed form. This form has be.en true and correet. /' / Signa ture '<//--;;)~:... ccmpleted under penal ty of pe r j ur y and to thejbes t of my knowledge / is ! f - , ~ Da te /....... -/~ -:¡ , , .,/1 'ì ~-::Jit_ Title ~ . . (\-, TANIt I (FILL em SEPARATE l'OIIt m 101 TUII) rea-DOl SlCTIœ, cur:x ~ ArI'IQIIl&'!'a lOllS I. 1. 'lank Type 'nlnk is: QVaul ted CNon-Vaul ted ODouble-wall WSingle-wal1 2. Tank Jilat.eriAl D.Carbon Steel CStainless Steel cPolyvinyl Oùoride OQ"PiberglaslH:la:! Steel CFiberglass-Reinforcm Plastic cConcrete CAl\llimm CBronæ cunknown cOther (describe) 3. l'r!JMxy Cmtailm8Dt Date InstaJ.led 'l11icKnesS (Inches) 11. .. Y&mk Sti.:cndary Cœtain.eftt o Double-Wall è(Synthetic Liner cLinëd Vault C~ C01kno'-11 COther (deEribe)IL~í!Pb . D"-l.·t:'-tJef2!(l\j.J (j~;i"-)(:' ('~) pl1aterial . ;;1 "hlokn...-n~l..) Capacity (Gal..) 5. ftat IDt.m:lor Llnfa; cRmber CAlkyd cFfoxy cPhenol1o em... Qaay ,(thl11Md Da\knoVl COther (deacr lbe) I 6. ,... Oon:œlœ Protactiao . CGalvanized~iberglass-clad CPol}ethylene wrap aVinyl ~apping eTar or Asphalt cunkno"l1 CNone cOther (deøcribe): OIt:bocUc Probectioa: KNone CIm¡xessed OJrrent system C5acri'ficial Anode Systtm Describe System' Equipment: 7. Laù Detectiœ, tbú t::oriog, md IDb=~OII m. Tank: DV1sual (vaultEd tanks only) CGroundWlllter 11onitoriI'.J We11(.) CV'adoøe Zone lb1itoring ¡.ell (s) CU-'1'\i)e Without Liner /~-TUbe with Canpat1ble Liner Directing Flow to Monitoring wel1(.) 'cVapor Detector CLiquid [evel Sensor CCcn!a:tivity Sensor DPressure Sensor in Annular Space of Double Nal-l '!'ank"-, );(Liquid Retrieval' Inspection Fran U-Tlbe,;,HonitorJng· tl!ll or Annular space cbaily Gauginq , Inventory Reconciliation bFef1õdic Tightness Testing DNone CU1kno"" ~other 'f2e.ìì CAt ,p\CttJ íTC'f'i\.-'CJ \¡-;¿LL'S b. Pipinq: CFlow-~strictirg Leak Detector (8) for Pressurized Pipirq,.. Cf'kmitoring Slmp wi th Race'M!Y cSealErl <;OOCrete RactNty CHa1f-cut Canpatible .Pipe Raceway ~Synthetic Liner Raceway DNone De~~beno:ni~=rHe-t:itior'~E--T I (~ -01 '7 i...;;;~4-u... ;\>"/Ecr?)1L-. 8. ,.. tight:Dea' . Has 'tt11a Tank Been Tightness Tested? eYes Date of Last Tightness Test Test tøne 9. TaDt Repair Tank Repaired? eYe. DNa C{)1known Date(s) of Repdr (a) Describe Repairs ONrflU Protect.ica COperator Filla, Controls, " Visually Monitors IBvel . CTape Float Gauge oFloat Vent Valves OAuto Shut- Off Oxltrola CCapacitance Sensor ~Sealed Pill Box CtQ1e Ctbkno"" . COther: Describe Ccmponenta of Systa: C)~ ~j Cì ('.{) ("'=)'S i./ r"i PipiDq a · tb3erg rotni Pi pi rg : lji(Yea Ctt) DD'1kno\on Material 'F; 6;.. <2 í-~cI'>"'~Þ,::; Thickness (inches) Dianeter 0" I Manufacturer B ('; '-n IT!-\' ~Pressure CSlx:tion CGravity 1\pproximats ~th Of Pipe IU\ fir' b. Uooergro..m Pipirg Corrosion Protection : cCalvanized CFiberglass-Clad cIm~essed OJrrent DSacrificial Anode C Polyethylene wrap CElect;rical Isolation, DVinyl Wtlp DTar or Aapbalt CUnknown CNone ~r (describe): FIßC€C;'LP.~~·~ "p:Ç-E; c. UB3ergro..m Pipirg, Secoooary Contairrnent: :.._ '- '-. -._, .... - J - . _', _ "'~ Capacity (GallONl) \ :lC"Y''''--' !. --'-- .\ -\--", Manufacturer Í>-'\' "\" .,~ ' \ ,,.'- ,......,' " \ 0\ )e.I<N v\ n...IO/^ ìC- ONa, Ctl1kno"!lt Resu1ta of Test Testing O1npmy ;(~@I}« @~I~.8., 10. C~ne atbknown 11. .. . ,TANK T/ , (!'ILL COT S!PARATZ l'OIft ~ÍOI '01 ftIIK) rat :Del SEnOR, aœ::x ~ UlWftDft laDS !'link '!'ype 'rank is: CvauHed o Nan-Vaul ted ODouble-wall )l(Single-wa11 Tank ttaterW' OCarbon Steel CStainless Steel DPolyvinyl' O1loride Whberglas8-<:lal Stsel CFiberglasS-Reinforced Plastic aCorx:rete CAl\Din\ID CBronm Ct11known DOther (describe) 3. Prhlary CZIObillMlnt Date Insta).led 'lbicJcness (Inches) Capaci ty (Gallons) \ If '. ! / ,..-;, ,- ; ,1 I"'\,t\ .-~', ' ¡} 'it"td '1 n'V"-(..ii\.h 1 / (~ ' l r .. . '!IIDk SeC'.œdary CcotailW!ftt Q[)ocl:)le-Wall ~thedc LinercLinëd Vault COttwr (delCr1be~lf \-\[)p~.1?'{ ._l\t1E1Z L({\( ,Ð11abn:l.1 ¿ 'Ml1clUMt..-(1nt;1..1 5. .,.. IDt8r1or LI or¡ oR\mb8r CAlkyd C!p)xy CPhanolio cœ... CCl.y ~1n.s DO'\kno... cOther (de.::rlbe) I 6. ,... CDrro.iœ Protw:tiœ CGalvanized l2t.1riberglaSs-clld [JPolyethylene wrap cYlnyl ~apping . CTar or Asphalt ounknoWl DNone cOther (deøc:ribe): Cathodic ftotection: . ~None OImp:essed C1rrent system cSacrificial Anode Sy8t1!m Describe System' EqUipment: 7. LMt Detectica. ftaIù taring, and 1m. ..roept.ion a. Tank: DVisual (vaulted tanks only) CGrowrlwater HonitorilB Well(s) ,eVadose Zone Monitoring Well (s) OU-T\i)e Without Liner ~-Tube withCanpatible Liner Directin;¡ Plow tJ:) Honitoril1} We11(a) cVapOr Detector CLiquid [evel Sensor CCond~tivity Sen80r CPressure Sensor in Annular Space of Double Wall Tank ~iquid Retrieval' Inspection !'ran U-'nDe, Hcnitoring 1i!1l or Annular SplIce èDaily Gauging , Inventory Reconciliation DPeriodic Tightnesø '1'e8tiß:¡ CHane Qt1'1kno"", ~r \lE:.-í2.:ïlCi)(\, H) ~ e¡ ¡ 'llL"l. c.. b. Piping: CFlOW-RestrictiDj Leak Detector (8) for Pressur zø:i P P ß:¡,.. CHon! taring SlInp wi th Raceway cSealEd O:x1crete Raceway CHalf-<=ut; CanpatiblePipe Paceway ta.Synthetic Liner Raceway DNone CUnknotllll ..,other~:';:::f\· "T".I+c.Y'(;;;'-¡ f((.:,·-Di'ì ~,~ Ì)~FC(ïl/l.., Describe Moni toril1} Methcd for AÈÒ\iê: 8. ~ 'figbtaea . Has 'ft1is Tank Been Tightness Tested? CYes Date of Last Tightness Test Test NlI'ne 9. !'ant JfI!pIir Tank aepairEd? DYes C~ Qt1'1kno"-'l Date(s) of Repair (s), Descr ibe Repairs ONrf111 Protectioa ' COperator Pills, Controls, , Visually Honitors Level . QTape Float Gauge -Wloat Vent Valves OAuto Shut- Off Controls CCap!tcitance Sensor ~SealEd Fill Box OtÐne DOùmo"", . COther: Deøc:ribe CCmponenta of 'Systa: ()çl.,(.\ ;:;c.:1 i ì ('~4j,-; '~'vr"( PipilXj , '.. a. tb3ergromd Piping: JifYes DNa C01knoWl Haœdal ~\ \?:Ve &<. ¡.\<~':j Thickness (irx:hes) Dianeter :,..' Manufacturer Â. ,~, '......\ I j1.! RPressure OSlx:tion CGravity Approximate Lerxjth of Pipe IU\ 9(": b. Umergroum Pipirç Corrosion Protection: , OGalvanized CFiberglas8~lad CImp:essed OJrrent cSacdficial Anode C Polyethylene Wrap ,OElectrical Isolation DVinyl wrlp DTar or Asphalt CUnknown C~ne pother (describe): P!ßEe~(A~:"~ 'V''P:¿ c. Uooergrourd Pipirç, Secorxlary Contairment: eDouble-Wall :ti Syntheti<: Liner System Dtbne C{)ùmo'-R\ a Other (descr1œ': " " ~ I. 1. 2. Manufacturer I. DC'" - j " .- (' If -(;t' (('f\_ ~\jf~ t. /1"--' v' Ctb18 cthkno'-l1 '-\~...I¡kl~ Cc Capaolty (Gala.) ÐNa COlkno~v-' ' Results of Test Testing COnpany I ...- ' Ii.' {--~l f~~@rR{ OR!G!Ð\Ij£~, 10. -- ---.~.----.------'-------._---_.~----~--------~----,----- ~ . I. 1. 2. TAHIt. (FIt.L oor SlPARATZ ~ .AOI!'&IIK) I'0Il DOl SlC'nOll, CIII:X ALL AlnCIIaft laDS - '!'ant Type Tank is: Cvaul ted CNon-Vaul ted CDouble-wall 1¿Single-wall Tank IllterW DCarbon Steel Cstainless Steel CPolyvinyl Oùoride ~Pibergla8S~la! Steel CFiberglass-Reinforced Plastic aConcrete C Allaimm CSronæ CD'tknown cOther (describe) 3. Pr1.aJ:y CmtaiaDent Date InstaJ.led 'ltIickness (Inches) 10. Ca~d. ty (Gallons) Manufacturer \') (Y'y"l \JINX ç:~} llt7(f)i~) ~ 4. !W:ùt Secan:iary CaatailW!ftt . . o Double-Wall ~thetic Liner cLinå:J Vault Ctb1e' Cthkno~. COttwr (de.:ribe) I -f tJj)PE': q_J~~L_/::.t-1Ç?l(l\^- \ l j lJ( ~ J(., (.7) , RJitatarlal /' '·'hickn...(Incl..) ,c!.pag1ty (0.1_.) 5. .,.. IDtar10r LiDlDriJ cR\mber CAlkyd Clpoxy CPhennUo em... ca_y JitO'l10.2 CU\kno\ll\ COtw (ðeacribe) I 6. 'raDk' OOr1:œiœ Prot:8Ctiœ CGalvanized .øriber9lass~ad CPolyethylene Wrap CV1nyl WraWing . . CTar or Asphalt' Cunkno..., DNone COther (describe): Cat:bcd1c ProbecUoa: ~ne CJm~essed ,Clrrent system CSacrificial Anode System Describe System , EqUipment: 7. L8ak ÐItt8ctioar JitaDitDringr and IDt<f'.c~CID a. Tank: DVisual (vaulted tanks only) CGrourrlwater Honitorirg well(.) Cvadose Zone Meni toring ;ëll (s) CU-TOOe Wi thout Liner CU-Tube with Canpatible Liner Directi1'lJ Plow to Honitori~ Well(.) CVapor Detector CLiquid [evel Sensor CCOnda::tivity Sensor CPressw:e Sensor in Annular Space of Double Wall Tank ~iquið Retrieval' Inspection Plan U-Tube, Hcnitoring, Nell or Amular SplIce ÍJOaily Gaugir¥:J , Inventory Reconciliation CPeriodic Tightness '1'esting CNone Ctl'1kno~ ~Other 'J({:'ìï(Aî t..\Orl,..!J rñl?i,)." \~ VJtLf b. Piping: CPlow-Restrlctil'l1 Leak Detector (s) for Pressurized P ping~.. Ctb1i toring Sunp wi th Race<,.¡ay CSealed Concrete RactN!y CHalf-cut Canpat!ble Pipe Raceway CSynthetic Liner Raceway DNone CunknoWl .Other ~ ,Q.~. í) .jA-ctc..E"{ , \ ((,-,-Ol'lI,(j;4.,(.< Ì\::::T.c.::-'r:ì:Z- Describe Honitori~ Metliiilor Above: " 8. 'rant tigbt:aeu . I Has 'n1ia Tank Been Tightness Tested? Date of Last Tightness Test Test N5ne 9. TaDt J1epair Tank Repaired? OYes DtÐ Ctbknown "./ Date (8) of Repair (a) ).; \c.: ,-,", Describe Repairs ONrflU ProtectJ.aa COperator Filla, Controls, , Visually Hcnitors Level . CTape Float Gauge _loat Vent Valves QAuto Shut- Off OxItrol. CCap!citanca Sensor ~led !'ill Box ,CtÐne Q01kno~ . COther: Oeser!be Ccmponeata of Systa: ('RA-i 0 ~) ('\ÇV0 £.::, ~v N\ Pipinq a. O1dergrotmd Piping: ~Yes CtÐ DIbknoWl 'Material ;::;:iÍ'3t-e'(:L.4<"::; Thickness (inches) Dianeter 7,11 Manufacturer /-\"c. <:,¡-t,\ ÎH ~essure C~tion CGravity Approximate Length of Pipe RI.m ' ç::., b. Underground Piping Corrosion Protection : OCalvanized CFiberglasS-Clad CDn~essed OJrrent C Sacrificial Anode QPolyethylene Wrap ,CElectrica! 'rsolatioo DVinyl W1'¡¡p, eTar or A8phalt CUnkOOWl CtÐne ,ØOther (describe): F{~~r?Gl Nf ?'Pc..- c. Underground Piping, Secoooary Containnent: CDouble-Wall A'Synthetic Liner system Ctbne C{)ùmo~ OOther (describE.»: I . I I CYes D~ D01kno~ '_.,' Resul a of Test t\...: ,;;:--.... ~ Testing Ctmpany ~,j)~ \ Or'GL ,~'\' 11. u_.._ .. _,_ _.. _"._'~"'" --'-- , \) . . -:7 ~' A.GRICUl TURC LABORATORIES, Inc. J. J. EGLIN, REG. CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 CHC MICAl ANAl. rSls P£TROlWM Pu !','Z~~1b I,~ i\roffi"1tics (SOIL) I, T. CORPURi\TION ATTN: Df}¡\NE tmÞ,]):')\~S P.O. pnx 3345 BAK~RSFIELD, CA. 93385 Di3t.e of REPORT: 5-04-87 h~ No. :8105 RIA control #028169 ele control #030862 S.'1mpl,~ T:10scription: SUN VALLE-i OIL CO. PROJEcrtJ: 260302 Tl-2'~; DATE SN'IPLE rOLLECTED: 4-30-87 DATE SAMPLE RECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 Ppnz(:-ne To 11.10n8 Ethyl Br3nzene p-Xylene rn- X:t"lene fÎ- Xy lr::'ne L:Joprnpyl P'~n3ene P,:- r.rolellm H:'drocaroon:':i pg/g pg/g )J gig µgig Ug/g pg/g ¡Jg/g Jg/g t1inirrurn ."'.nalysis Reporting Results Level none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 5.00 none detected 5.00 Const.ituent IÌ<::p.-:,rting Units '['r.." tal p,~ troleum HydrrY::'.::Ttv)nS pg/g (','\LI!ì(\W!L'\ D. I). II. S, ~,w:r)/r¡,:\::O: DRY HATTER BASIS (:( )1:r;!Eì¡T~:) : FElTin! ,FJTt'1 IrmECX~^FD)~!:~,. (,:1J't<,tj fication of vol.:ì tile hydroc.3roc>ns present (C; 1. tn C20) ut,LLiZinn1 G.3:"'.,,line Fact.()r, As ou.t.lined b/ the California D, n. H,~::', Thf''.se 'JX)troj,;! HO hydr0cartons are in addition to the constituents ~'T""(~ i Cicall y r:J,:jfined ,Xl ULl:3 report, TnT/\L PETROLEUM W{I)D(f'MìPOt·t:;: The sum total of all [non-chlor~_natedJ cr>r¡;:,t.ituents on this rc"p~'rt. I'.v .../?-j·-4?,j ,J. ,]. Eg.ffn'- !J?>@QR ORIG~~~~ .~ /)4. ' ,~~~ Analyst " . . J" . AGRICUl TURf LABORATORIES, ·Inc. J. J, EGLIN, REG, CHEM. ENGR, 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 CHEMICAL ANAL YSIS PETROLEUM PUrf~0-:ìb.l f' Arorrntics (:~nIL ) I, T. cnnpOR/\TION ATTN: DOANE ¡·mA[(:~-J;:; P. 0, BOX .33/15 PAlŒm;FTFLD, CA. 93385 Date of REPORT: 5-04-87 LAB No. : 8106 S.~le Description: SUN VALL~{ OIL CO. PROJECT~ 260302 Tl-S'S DATE SAMPLE COLLECTED: 4-.30-.'17 DATE SAMPLE RECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 Consti t1.1r:mt Rep)rting Units Analysis Results P¡:;nzeTle Tolup,np. F. t',hyl P,~nzen(~ p-Xy 18118 rn-Xy18Tle 0- Xylon-:" I ~:ó(~~['>'0Py 1 D0n::;ene P,:::trolellm Hydrocarb-:ms )Jg/g IJp;/g ).Ig/g Jg/g ).Ig/p; Ilg/g µf.2;/g pg/g none detected none detected none detected none detected none detected none detected none.detected none detected Tot.'ll Petroleum Hydrocal'b<)Tls ug/g none detected C:M.JF( )n¡'1T!\ D, ('. I¡.:;. ~,CØ1/i',IØ): DHY ¡1ATTER BASIS CO¡'U·ŒNT:·) : i I Minim.:un Reporting Level 0.10 0.10 0.10 0.10 0.10 0.10 0.10 5.00 5.00 F'F'rnnLJ~TJn HYDPCCAPß()NS: () 1'1nti fic.1.tion of volatile hydroc,::troons present (Cl to (20) ui,i1 izing a C:-'s()}jne FactDr. As outlined by the California D. (), H. S. These ['P.trolelJrrJ h;.rrlroc."3.rl:xms are in addition to the constituents speci.fif~..:Üly defined on thi:::; l'8Ix)rt. TCYI'AL' PETROLElM IIYDRCCMWONS: 111e sum tot..:Ü of all [non-chlorinated] '-;cJy,·ti tuent.s on this rel-lOrt. ~i' f:/. - - ". ,(':;C~IJ By __, ~.¿.' ~~_.~ '. .J, EglIn ~©@!í?l OP,~G~~~~ O~/~~ Analyst ; ~.i. ., . . .. -.- ..-.. - . ~,' AGRICUl rURE LABORATORIES.' I·nc. CHEMICAL ANAL YSIS PETROlEUM J. J. EGLIN, REG, CHEM, ENGR. 4100 PieRCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 n.1rr?/?"1ll1.:,> ¡ìrom'} tics (~30IL) I . T. (~()8rOIi'^TION ATTN: DUANE t'1El\DO~'ÌS P.O, BOX :3345 BAKERSFIELD, CA. g3~85 Date of REPORT: 5-04-87 LAB No. : 8107 :~":HTrrle Description: srm VALLEY OIL CO. PRO.JECTJ:t 260302 T~~ "-:~ þ ;:1 DiìTE SAt1PLE COLLECTED: Ih'JrH37 DA TIT SN1PLE RECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 pJ:"n~pn8 T·.~ 1I,IPt1P EUlyl nÔ'n::0!li~, , p' Xy ler 18 rn-Xy18ne (, '. Xy lene T·~;(.Yrr"py 1 P-8n::en(~ ppt..rrÜt~um Hyr.!ror:-arbon.'3 pg/g pg/g JJg/g j..Ig/g µg/g µg/r; µfš/ g pg/g Minirrurn Analysis Re¡:orting Results ~vel none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected . 0.10 none detected 5.00 none detected 5.00 Con:3ti tuen t R",porting Units T,~, L..l r(~t.I·01"1 1m HyrirOC::lt'1fì!l.':; pg/ß r:..\LI [i'OJiN It\ D,IUr.S. .sO:~I)/8();::U: DRY MA'ITER BASIS CCJt-IHENTS: PF.TROLEŒ1 IrlDflCCi\8BONS: t)L'mtification of volatile hydrocarbons present (Cl t,ü C:2()) uti.], L;,:inr: ,:1 r~,':::",h nr:.~ Fa(~tor. As outlined by the California Ii. (), f!. :3. 1'})t")é;e pr:>t.ro18IJrrI h~,.rl coc.Jr1"::0ns are in addition to the constituents s r""(~iFi ('.-Illy d,'fined (;(lr,h i ::::' )~PTY\rt,. TO'L^,L PETROLETJl1 HYDROCARPOt.¡:.;: The sum tot3.1 of all [non-chlorinated] ron::~tLtl1ents on this rr=>¡:x:>rt. (j J ~f" Pv _.....//._..·:..~i¿,·.~_~é ~~J-J 'á. ,J~ Eglin @~©~ O~~~~~~L\ì\,~ ~~~ Analyst . " ~1.. ,4liRICUl TURf CHEMICAL ANAL YSIS PETROlEUM . LABORATORIES, Inc. J, J, EGLIN. REG, CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 P'l',[l:r:.~\h lp Aroffi:J.tics U:·(Il L ) I, T .OÆf'(!RATlON ATTN: DOANE ¡·1EAn.:~·¡S P.O. POX 3345 SAKEn~;¡'IELD, (~A. 93385 Date of REPORT: 5-04-87 LAB No. : 8108 :::',clrrrple Description: SUN VNJÆY ()lL CO. PRO.ÆCTµ 260302 T:2-·6' S [lATE SAt'1PLE COLLECTED: 4-30-87 Cnn:,;[',iÜ10rl L P~n:::8ne Tnluene Ethyl P"mZC!le p- Zy Lf':'nf~ moo Zy l.>tlf:~ n..XyLf;n'~ I :~oI'r(~py 1 E'f-':n38ne Petro 101 Jm Hydroc."r1nns DATE SAMPLE EŒCEIVED @ LAB: 4-30-(37 DATE ANALYSIS COMPLETED : 5-04-87 ii ~¡JO rtinp: Units Minimum Analysis Reporting Results Level none detected. 0.10 none detected. 0.10 none detect..ed. 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected. 0.10 none detected 5.00 none detected 5.00 ).Ig/g pg/g ¡.I~/g }Jpjg !Jp;/g Ug/g ),Ip-;/g J.g/g Tot:Ü Pet.rc,leum HyÒrr)C,3t'fYXlé3 JP./g CALIF(ìRNIA D.O.H.S. ::-,¡(j)/i302n: DRY t1ATTER BASIS (~()r'll'lENT;3 : PFTFOLETn1 ¡¡YD8(X~^8P(:n:~: (J¡J,"'lni ifi,c,'ltion of volrltile 'hydrocarmns present (Cl to C::;O) I1till:::irH2:"; C'soJ.:i.nF) Factor. As outJined by the California D. (¡, H . ;;. 'n)F~é",P ,Þ tX(¡ ! ".' ):nh:/r\roc~i1rbons are in adcli tion to the constituents ;)['p,-:ifir:~,:'Il1y defined ,'it :}I: s rr~~port. TOTAL PETIi'OLEut'l ]JYDfiiX:,I\1<['UNS: The 5i~'ì! tot:Ü of all [non-chlorinated] r~()n~~ t,i. bJF">nt,:) onUd. s /y'!:ort, (l (7 c?1: '. r.', - (/~~~(/'!..-i-~~J(':'. ¿-/"~ ,J. ,. Lgl.f{¡ ~@OR ORØGg~t%,u //7) ~ ~ ~9£w..,--~ Analyst . . ./ '..'.. ~~ /'(jR/CUi TURE LABORATORIES, Inc. J. J. EGLIN, REG, CHEM. ENGR, 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 CHEMICAL ANAL rSls PETROLEUM Pllrçr''':~ÌJ.i e ¡\rorn;.xtics \ :301L) I . T, n~FPOR^TION A'ITN: DUMJE ~lF!\[X::\'iS P.O, EOY, 3345 B^IŒR:~,FIELD, CA. 9.3385 Date of REPORT: 5-04-87 LAB No. :8109 :~.,rnpl (' r1(,!"";CTÌpt1<XI: :;rJN V¡\j,r.l~Y OIL CO. PHO,JECTlt 2603fJ2 T2-2'N DATE SAHPLE COLLECTED: 4-JO-R7 L\í TE SAi'1PLE RECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 G:::,y¡::.t.i tuent Ri~'T:XJrting fJnits Analysis Resul ts . Minirrum Rer:orting Lev~l <7 P0nzene Tnli J"n(~ E Uwl P''-'nz~ne r-Xvlene rn- X:¡l'.,.ne o-Xyl.:?ne 1 ,~nprryr;.r 1 P-?nzeni? p(:~ t-.r'.'l'·"'-lm Hydrocarlxms .'.Ig!.p; ¡.IF~/p; !.Ii~/g JJP:/ g P.cJ;/g J.lF,:/g ! w:/ g J.I,pjg none deteci:Ad 0.10 noni? detected 0.10 none detected 0.10 none detected 0.10 noni? detected 0.10 none detected 0.10 none detected . 0.10 none detected 5.00 non0 detected 5,00 T,~.f:Ü Pl?tr01"'-~l,un HydTU~,·)l·lY"¡n:·; uP:!!"'; C::¡\LIFlìG'ìUA D, o. H. :~. 5()2()/:J(;~!1: DRY MATTER BASIS '())ì·rr-·1EN'T:; ~ I , ð I'ETììllf,EfJM HYDf{(J'CM1EONS: C) ¡:'nIL i.fic,:ÜJion of volatile hydrocarbons present ( n to C20) util.izinn: ·3 (~,-':,;nljne Factor. As outlined by the California D, (). H . S. These p"'t.r,-\] plnn t~~Tdrc'(~,~1rt"'-I!1S ,ari? in addition to the constituents :-;rfy~ifilè.'"1l1y de£inrc'd r~ln i.hi:=; ri?port. TOTMJ PETROLEUì:1 IflDRCO\REi)NS: TIll'; sum tcrtal of all [non-chlorinated] con:3tituents on this l"0port. Gy-I-f ~r::1J .J, '" Eglin ~~~ ~@O!Pi OFUG~~~~ Analyst ,/", . . ý t~ AGRICUl rURE LABORATORIES. Inc. J. J. EGLIN, REG, CHEM. ENGR. 4100 PIERCE RD" BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 " CHEMICAL ANAL YSIS PETROLEUM E\lrrT0.':lblp i\rom..:Ü,ics (~:',OIL ) [ . T. cnFP.J]iATION l\TTN; DfJ!lNE t-JEl\[X)t..¡S P, (), pnx :r:H!) PAKE83FIELD, C/\, 93385 Date of REPORT: 5-04-87 LAB No. : 8110 :~.'1mpl(~ Description: SUN V!lLLEY OIL CO. PROJECT~ 260302 T2-6'N n'\T~ SA!-1PLE COLLECTED: 4-30-87 DATE :,")AHPLE RECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 (:(~'n:=~, t..i Ll.1C~~l t R?p<:-:-rting Units Analysis Results Minirrum Reporting Level P~nz""ne Tnlllr'np EUwl P."nzene p-Xyl"è'w~ rn-X:Tlcne n - Xylr;;nr-; I:,;....¡>t·(")J'Yl P0Dzc'ne P,,,,tr0leum Hydrr:-cadxms !.Jg/g )Jg/g !)g/g PH;/g ¡-,g/g J w/F': JlP;/g l)g/ p; , none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none det.ected 0.10 none detected 5.00 none detected 5.00 1'01:;:11 P,e:-troleum Hydroc,J.r1:vJns J g/ g (~l\LIFOHNIL\ D.O.¡'I.~3. 5f120/;::\020: DRY t1ATTER BASIS C(\¡1!'1El'fr:~, : PET)~'()rEUÌ'1 HYDF:C)(;l\RDON:;: () l'1n hf'jC:,'ltion of volatile hydrocarbons present (Cl t.o C~()) l~ti.l:i::;ing ':=\ (~,:tsc)l int? Factor. !l.s outlined' by the California J), o. ¡¡. ;3, The::;", rr,r,n:\Ip'I1Tf )wd.rc,y;,~u:-]-y)tlS are in addition to the constituents .~F'''r~iLi<,:;d.Jy d,;rinr~d "n thi:::; Y·['rnrr.. T(¡'J'¡ìI, PETROLEUiJ IfmnCCM:pi¡n:3: Tb¡:~ sum tota.l of all [non-chlorinated] consti t,nents ont.his repnrt, c? /ï ÝC: . p,'! m c/~ ~- /J!__~_::.þ-~_ ¿. ¡ t/ .). ,q-EgLf1í /:J / /~ '-~' ~ Analyst lPY@~ ORIGi~JUJ e. . .- ~GRICUl TURE L/~BORATDRIES, Inc. i '1 ~, CHEMICAL ANAL rSIs PETROLEUM J, J, EGLIN, REG, CHEM, ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 F\lrrr':\':1LJ,' !\roffi3.tics (;'(¡lL) I, T. (~()FF'ORl\TION A'fHJ: DUM-TE ìŒ/II(i\..JS p. n, POX 3.'345 PAKEPSFIELD, CA. 93385 D.3te of REPORT: 5-04-87 LAB No. :8111 StHnple Description: STJN VALLIrf OIL CO, PROJECT~ 260302 '1'3·-2" ~3 ¡WrE SAHPT JE cor ,LECTED: 4·-3()-87 DI\ TE ~3^t1PLE RECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 C_'rnti tl1i?nt. Reporting r1ni t.s Analysis Resul t.s Mini!!l1lT1 Reporting Level E''?n:::ene ¡Jg/15 pg/g Jle:/g )lJt/ g /.III/ g ,w.!g µg/g pg/g nonf~ detected 0.10 none detected 0.10 none detected 0.10 noni? detected 0.10 none det.ec-t.kd 0.10 none detected 0.10 none detected '0.10 none detected 5.00 none detected 5.00 T,'} L1.l8nf.? E l:.hy 1 P':'DZCTle p-X:,rlf:.c'W~ m-Xy18!1f:J (: -- X:.~ 1 pn(~ I :::;nproF/l P·Ô'n:~r=:nc P'3 t.l"C'1 r,um !,lydro(":,:Jrb()ns Total Pr)tr01eum Hydroc:,) dx'n:3 pg/g CALIFORNIA D, O. H. S. 5020/3IJ20: DRY MATTER BASIS (:(~rEm:rf':', : PETFOLEUM ¡.r{DVCCAnEON:;: C:h r:mtif.i.cation of volati 18 hydrocarbons present (Cl to C20) utilizing ;-.¡ (;,~1",(\Une Fact,or. As outlined by the California D, (), H . ;). Thes(;~trolel1rn hydrocarbons are in addition to the constituents sr'0cifically d8fin8d on t.his report. TCYf¡\f, PI~TR(iLEUM }WDROC/\FFnn;::,: 1118 sum IfYt:Ü of all [non-chlorinaV~dJ crmst.it.uents on thi3 rF:>port. py-tß... a :_¿¿hv ,.1, lÝï.,gl;X-Y~ '~k~ Analyst "íj¡@~ OR~~fi~~[l, <.:. AGRICUl TURE . " I!'ETROLEUM _ J. J. EGLIN, REG, CHEM, ENGR, LABOR Ai-DRIES, Inc. b CHEMICAL A,NAl YSIS 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 é E\n'P:e"'"lh! ,,,, i\rorrntic::: ( ; :,C> [. L ) T . T. (~(i!(Fnp^TION ^TI'N: DTJi\tJE iw.\rx},'J:; P . () ,pnx .3:>15 B.^¡Œ¡~:;FmLD, CA. :")3335 Date of REPORT: 5-04-87 LAB No. : 8112 ;)1mpl(~ Dpscriptiorf: SUN VALLEY OIL CO. PROeJECT# 260302 T,,)-6";:3 nt\ TE :;At-1PLE COLLECTED: 4-3U-87 DATE SN1PLE IJECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 Con::; Lit.up-n t" R(~r)()!~t.j,rlg Ijni L:::. Analysis Results G:~rl:-::(~n8 ToJ.ly'nÄ ELlWl 2€nZen8 ¡::>.- X.'llertt:~ rn-·X:.rl (~n(~ 0·,XyL,c,n8 T.c:"'prrT'Y 1 E":;n~~8ne" p,., !y() l ''''1 ~m Hydroc::n:!Y)!1:3 pghr. ¡¡g/g !Ip.!g Jlg/P, jlg/F!, } Jgjg ppjg liP/I': none detected none detected none detected none det.ected none det,8ct...ed non8 det.ected none detected none detected T', l:',l f'¡:; trol(~u[n I!ydro(':;,éu't.v '!is ).If'j P none detected CAL T.[ìi)RNIA D, n. II. S. 5020/i1C1:2U: DRY t11\TTER BASIS (~(:~·H·jFUT:; : Minirrum Reporting Level . 0.10 0.10 0.10 0.10 0,10 0.10 {) .10 5.00 5.00 1FTI;'()! ,FUM HYLiJì(i;AI;'f::í)NE,: (':h 1.:mtific::;¡tion of vol;:¡t,ile hydrocarbons present ((:1. t,o C20) !ltilizing ;-1 GlsoJine Fa.ctor. As outlined by the California .J:!. n. II. ::" Th«;(~ r'8t.rol':~!.Irn hydi'ncnrr.x:)Ds ;:;,re ih acldi tion to the cansti tuents :q.:(~f.:;ifi,,~,::Üly (k.~f.Lncd c'n thi ~"pc'r.x)rt. TOT¡\L PE1TiOlJElìì"1 ¡-rfDsr:r,¡,Rpr:iJ;;: The :::;um tota.l of all [non-chlorinated] r';on::;Li. r.11Œlt.S (~n this b'':'1Y:Wt:., P'l ---/í~~../~~{~!j Í/,'¡. ,V[;:glJM ~~ Analyst ~~@fR{ O~~@q~~L=-\~ -- .~ ,4GRICUl TURE LABORATORIES, Inc. J. J. EGLIN. REG, CHEM. ENGR. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 ,,,. 'ò:' CHEMICAL ANAL YSIS PETROLEUM t. . r.~~ n'~~!~',:__~bl~:-1 L\r()m~Ttic:-:) (:),~IIL ") T . T. COPPOP,'\TION ¿\TTN: DUANE ¡1Ei\Uì\,~S p, O. Fnx ::1:345 P^F:EG:è,FTET.D, C1\, :13:185 Date of REPORT: 5-04-87 LAB No. : 811.3 :~:rnr'¡ n De::-;~ript~i('n: ;::;TJN 'l!\LLFY OIL C(). PHOJECTtt 260302 TJ-2'N DATE St\l'!PLE COLLECTED: 4:-30-:]7 Cnns ti t1.18nt I?~~n~0ìl8 T<:Ùuooe Ethy 1 Pr:mzene p-Xylenc m-X.vlene (1-' X.v leTl"~ Isopropyl P""nzene Pctxolc,11Jm Hydrocarb)ns T,,)r.,l Fotrolel1ffi ¡¡ydro(~"rh"n.s DATE :3M'1PLE HECEIVED @ LAB: 1J.~30-87 DATE fu~ALYSIS CONPLETED: 5-04-87 Rewrting Units Mini11J.l!!} Reporting Level Analysis Results !I}I,/g l.tg/g pg/g J-IF!:/g p.p;/g !.Jrt./g /lg/g ¡.w;! ¡?; none detected 0.10 none d.etected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected '5.00 none detected 5.00 Ili,,:/g CUt·IT-1ENTS : CM,lFOrìNIA D, (), If, S. SII:I)/{30:;0: DRY MATTER BASIS FJï:TnOLE!Jì.-1 HYDf?CCtdi.F). )N~): () nntification of volatile hydrocaroons present U~l to C20) 11 t.il i :::ir¡g ,-I (;l:3011oe Fa.ctor. Í1s outl.Lned by the California n. n, U ' :~, 1'}1';,~,'-' Iv:r.rn) re·! 'Tn hyrì lyv;"rb-:ms ::\1,'8 in ,::\ddition to the constituents :3Pt=~,;j fically ,j,:,fLn8d Œl :j¡j,[3 rr::'QC.\rt. TOT¡\L PETPOLE\.Tl'l HYDGfXAP[J(iì!S: The SUln tot3.l of all [non-chlorinated] (,Yln~5 t.itt1f:-nt[3 cn this ly'r','\rt. /7 /" ¡¿"4. (/ ; / ,/~'" /, ' By (... - ,~., -.- "'-. (,r- \,.., ¿-, ¡ V -{/--;-'¡--7J"-- .J. .u. ErÜj,n ~~~ Analyst ~ij@R OR.G~~fti\n ~~ - " <, .. AGRICUl TURE LABORATORIES. Inc. " CHEMICAL ANAL YSIS PETROLEUM . ¡I J, J. EGLIN, REG. CHEM. ENGR, 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 F1Jt'f2:'=~,:lhl,-~ ,'\ t'í';r.::rtic;,; ( ~;(JIL ) T , T, cC}r~[,()R^TION ATTN: DUANE I'JE1\L:{_:;~~; p. n, POX 3.'345 D,~KEn:':;FIF.LD, CA, 9."):335 Date of REPORT: 5-04-87 LAB No. : 8114 :''lmnLp D-:;é;cription: }3UN VALLEY OIL CO. PROJECT~ 260302 'r3'-6'N D:\TF. SN1PLE COLLECTED: 4<30-ß'7 C')nst.i tl1r->nt. P·:'n~F·nF~ ToLI.1nn0 Ethyl P"'_'nzene p-Xyl ':'!"il") fr)''';(',.' l,~ n'~ n- Xy] ,,~n8 Tsopr0PY l' P'3nz;~n'-~ PetJnlpllm Hydr0c::ld:'0ns DlITE SAMPLE SH-:ETVED @ LAB: 4-30..;.87 DATE ANALYSIS COMPLETED : 5-04-87 () [?p~f'0rt.ing Uni t.s Analysis Results pg/K 1)fT./ f!, ¡Jg/g Jg/g ) W/rs ,IJ f:!:/ g p[J/g }If!,/<:r none detected none detected none detected none detected none det.ected none detected none detect.ed none detected ''()t.¿¡] r",:!x)l'ë)1.lm ¡{ydroCClrb.,rJ::; )18/.'1 none detected CX):'j:'1F;ìT~::, : C/\LIIì(1RNI^ D, O. ¡.t.;:;. 5020/r3cø1: DRY ['1ATTER BASIS Minirrum Reporting Level 0.10 0.10 0.10 0.10 0.10 0.10 0.10 5.00 5.00 FETf((¡f,Tl:Uì1 IrmWY::MWnNS: C) 1.'lntjfi(~.~t,Lon of volatile hydroca.r1:xms present (Clr[) C:'2C1) uti.li c,inr: él (~-';·",]in(.""> Fn.ctor. As outlined by the California [). (I, H , ;::" T)l'-~;:F:' 1Y~ tro,l,¡::~11Tr1 )-i.vrl rnr~~I,d)C)ns are in additj,0n to t,he consti tuentz ::>p,::.(j:Eir:,-illy dr:~finF>d on thi.::-; t'0rnrt. 1Ym~f, r!~TFnLE!Jì'1 rrmf((Y:;l\F8(¡tr~,: Th,: ,51 un t,üt,:Ü of all [non-chlorinated] (~C)n.c~t. j r,u(-~n t,;,; C."rl !~hi;-) repcn...·t" Py -7«, ,..:: fl:_._ç/,'~,___~IJ {/.I. {j, EgJ.~-'~-" fP'@@~ O',GijPV\ P ~~ Analyst .-/ P{[ROLEUM e LABORATORIES, Inc. it' AGRICUl TURE ." ~- CHEMICAl .ANAL rSls J. J, EGLIN, !lEG, CHEM. ENGR, 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 F'll ~"}-~'('.-\ 1 ) I (~.) /\ rc'rM_tic~~ ( :~OIL ì 1. T. (~OTì'PO~I\TI()N ATTN: DUANE ¡'!E/\!X;H:~ P, 0, PU{ .,)34~) PA!\HI::;FIELD, CI\, 9:3335 D.:=It~ of REPORT: 5-04-87 LAB No. : 8115 ;;,-:1[npl,:~ D,"'~.'3cri 1)ti,::m: SUN V l\LLEY OIL 1:0. PROJECT#: 260302 '1'4-01 D^TE SAt1PLF. COLLECTED: 4-30-87 DATE SAMPLE RECEIVED @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5-04-87 'b !}~¡Y")rting fJnit.,3 l\r:.:Üysis R~::OlÜ ts MinilTUI!1 Rep:>rting Level (:>jn~jt,i tlJ.f.~rrt P(:'n=(':n~ Tolllpne E Lb.'>'1 p'pnzen'~ ['- Xy I ':'fle m'-Xvlene ()·Xyl'?ne I::.:.npropyl P-8nzenl3 P(~trol(.:'l.un Hydrocar1:xJns j.Jg/g ¡Jg/g ),Ifr./p; pg/.g; pg/g Ug/g .IJ!./g IJg/g Tot-:ll Pe'troleum !1yd't'oc.::u-:b)os. ¡w;/ g none detected 0.10 none det.ected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detect"ed 0.10 nonl? detected 5.00 none detected 5.00 C/\LJF()RNIA D".i.~),]1.S. ~,():':()/n(ì2(): DRY t'1ATTER BASIS 1-:C\:'1l-ífì}¡T~:; : F':~Tfì(¡r ,EON 1rmR(~~!\T7P(tf~: n nn fific'1tj()n ()f vol.'l.ti le hydrocarb::ms present (('L 1".1', C:2tJì 11t¡li~,i,!JI'T':1 ':""..·,jiw; F.'·I,~t:.("'r. As outl.ined by the California 1"I,ti,H.:;. T¡lC:Y~ rYètr,'-'J'-~!"rl '1.\:¡!c()I;,'Jrlx.>tls a1'8 in addition to the constituents :q:c--"'ifi,I;.::d.Jy d,,:fin8ri' n;¡ '~'bi:,; rrèry:,ri.:,. Tn'],'[.f,F'ETf{t)f.EfJì1 ¡W[i8(;{~,^J!fì(:n:~: 1118 sum total of all [non-chlorinated] r.nn::-,tit1J,~nts on t.his l'''''!''»:'!".. Py __,u~_I-'_ '~-, ¿¿~ (j I/¡ 4' "j ;l~-~, '. ' , J',8. Ý" , ~~ (. '/-41( ~ An.:::¡Jyst , 'J(~~ OR~Ga~~~~, PETROLEUM . . .~ AGRICUI TURE .r;.' ~~ CHEMICAL ANAL rSls LABORATORIES. Inc. J. J, EGLIN, REG. CHEM, ENGR, 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 FiJ !.',!',~ '-'1 bl (': ¡\ !~crrn tic,s (:~UIL ) T ,T, \.nG'pn){ATI(IN ¡\TTN: DUl\ì1E ¡·1F.!\L:(ì>iS P.O. POX 3315 p./\I\j¡J¡:c.FIELD, CA, ~)33B5 D."Ite of REPORT: 5-04-87 LAB No. : 8116 :.:,,"'"1 IT']') 1e Description: ~3TJN V ALLEY OIL CO, PliO.JECTrt 260302 'n-(J2 D/\ TE SN!PLF C("1LLF.CTED: 4 --:¡ (h'37 DP,TJ,<: SN'!PLE RECEIVF.D @ LAB: 4-30-87 DATE ANALYSIS COMPLETED : 5":04-87 pJên=("~)Y" T,:" lIJ'?DC-' EJ,hy 1 Penzene n-' X.\T l·..··r)f-~ m-;(yJ""Jlrc) ('\- ;(\T.l_f:~!'10 T ::;':'[' t'nn~ll pJ 'n :,~ew~ f-".;t.r,)lr::I,un HydrcCal'bon::o II..'ef/ g 1I.ff,/g ¡JIJ;/g ¡..¡g/g pH-/e; JJg/g J Iff/ g ¡J.g/ g Minirrum ¡'malysis Reporting Results Level none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected 0.10 none detected '0.10 none detected 5.00 none detected 5.00 C>'n.:3titllent RC?xt.Ì!lg Units T(.,t.,l Pe:t,l.'oleum Hydroc,::'r!x<ns )IP;/g C¡\I.JI1!OPNIA D. (), H.;'.). 5(J~:()/,cI,U2(): DRY t'IATTER BASIS ('(':IT'lFNT:-" : FFTF(ILEUt1 WlDFi(:(::AP}?CìNS: () lC"'TI t Lfi C.J. tion of volatile hydrocarbons present ((:1 Lo C2fl) iJj'Llië.Lnf!êi, (~,:-,nl¡ne F:::¡ct,or, As outli.ned by the California fì. (.). H. ::;. Th(::-;,-~ r";~tn\ lF~! 1m }wr; rr'(~'lrbon:Oj are in add i.tion to the constituents ::;p:(~ifi'~~,':111y r!,"fjJl~'d ("'n ',lli:~ r'e:jx)rt. TOT/I, I, i-'FTPC')LET!t1 ¡ rŒiFi(f :¡\I': I( 'T3: Th0 sum total of ,:Ü1 [non-chlorinated] (~nn::;titl.1prlt:c; 1"11 L}¡i::; p:,[-nrt. Py ~,/;~~?!0,; ~J ,~)/_ P@O~ Oø~~~~,~ffi\; ~tJ~~ Analyst .' \ ·m' INTERNATIONAL , TECHNOLOGY \, '" CORPORATION CHAIN-Of-CUSTODY RECORD R/A Control NQ. .L.2....J '<,' / /¿:- C/C Control 'No. 03 0 8 6 31 I I ' j;) ,- / / _' _");J', / - ., < r' // LAB DESTINATION /' >. ). _, ,/ ///)"'. " ),4,. ,/.'/- ",.. /" ,~ I C" - / ')( 'if' Ø,/h;/ (1-1 (~; /::1.,/'3') ¿ .,/ / SAMPLE TEAM MEMBERS /~) ~,c /l~-4. I, c:, ,.. /<. /yjt :{/..J/'~ pROJECT NAME/NUMBER CARRIER/WAYBILL NO, I. Semple Number Sample Location and Description ,['.A-I::: c)F 7)1A.));. Date and Time, Collected Sample Type Container Type Condition on Receipt (Name and Date), I 1 I I bisþo~al Record~No, /-. ;I//?f: 0'-1- ';$-' - &'7 , I , I " . .,; , , i , ! 1'1 I I I \ Special Instructions: Possible Sample Hazards: e-· . SIGNATURES: (Nam'!>jOmpany, Dat~ an~~Time) ;D~Y'C / Jûp,-2 ~ 1, Relinquished B,~ (" /r--:,;:-.-:-:,~ / .,/ /1i~: 6t-.- -), r->~/-c.,."JÇ-f;7 3, Relinquished By: , .. .- if \ r--, (\ VÎ¡ /f¡, / Received By: J. é1~ /) lY....J.).Y- ,J./ (;' / {, 0 (: 1 r\<; Received by: ~ ,i ! ¡ ,I ! I " I' '2. Relinquished By: 4, Relinquished By: \1: , ' Receiv8d By: Received By: _r. -------~--> ,¡. , ; r.. company samples Jld copy VJ'....lf}~\;-' ~fF'\qF!'pl.. ':¡ . W bõ¡~g~k¥l%~ Pit0JECT NAME .pROJECT NUMBER 't / i/~, //~, ,/ " , -/ :») ¿/, -:;/f/,'-2" _/ - '-~ r- , , ' ~ REQUEST FOR ANALYSIS H/A Controll-Jo. . , G/C Control No.' I~'~ ~' .; , r) ,t"? ytJ :; L I ' . I ,) /, -:h/J.:.,/..o ~/;.L /, \ '--' /),/.(,-<, l.--' .... , J...?, /~ ' /., / /r) ( , /.///> <" PROJECT MANAGER '~\(L) !'/ ....,T- ...J<7/, /!.",f,¡I¡..l'. 7-/" 0'.I".;/J ' ../3[1 8.:/~ 3'31,;::)- ) ¿ , , '~~ 1pr ;£//-:-j Cfl PURCHASE ORDER NO, BILL TO DATE SAMPLES SHIPPED LAB DESTiNATION LABORATORY CONTACT SEND LAB REPÇ>RT TO . ~' ~- ,----:)(/' ~ :;; 7'- >,':' /7 - , '~--'/ I, I I ~,<~ ' .:.::::/ '.../' .,7:) ) I , I I (---~.. ::?-;7r:."- /./'-~' ~ I ) .. :1 L ..,-' '<It' ...,..1 ~//.//,,4. (';.6": ('''11 1 -1>/JL,/·1 ,,:'~ ) -- , .~ " I /1 1 1 ' /i' , / ,A'/'C/;!C-f-,¡"!/5 ~~/7<' ..-:-çç' 9' -?:?-lfl I II I I I DATE REPORT REQUIRED it Sample No. Sample Type Sample Vblume Preservative .;- --: (/ ~ <::""'- 'j , './ <: / '(., <..' ~~ (/ -t e TURNAROUND TIME REOUIRED: " PROJECT CONTACT PROJECT CONTACT PHONE NO. Requested Testing Program ' Special I structions , \: 1/ ;' : / .;, 7:-,t / /;,~{ 7;,f I ' " ,I I! /, II I ' I 1 I I I I ¡ ~ ! Normal 1" (RUSh must be approved by the Project Manager,) POSSIBLE HAZARD IDENTIFICATION: Rush (Subject to rush surcharge) (Please indicate it Sample(s) are hazar.dous materials and/or suspected to contain high levels of hazardous substances) Nonhazard _ Flammable _ " I , !! Skin Irrltanl_ Highly Toxic _ Other I (Plene Spec~y) . ! : Return to Client _ SAMPLE DISPOSAL: (Please indicate disPosition of sample following analysis Lab will charge for packing, shipping, and disposal.) Dlsposaf by Lab _ Received By I, ;,-..-/ FOR L,~ NLY I I .J .. (. '" j "\..~,'."< Date/Time ~ -;. .~ "al. to accompan,' samples leld coPy 7 ...' ~, fØ@OR OP~GI~ti,n W'· ¥ÈCHNÕrÔGŸ~~ ' , CORPORATION ' PROJECT NAME/NUMBER ,~ I~·' ·u/,) ..'/I/.1f,/ ,/ ,,0, A-;~.Pc,!J!/t/;- , , o~ / (;;/!..J/../J ,5C:)L /.) 2/;)1, /, /1:::. / ,/..<: .',.'./ OJ LAB DESTINATION ,/ 'C.¡ ,~, /... ,I" C_, R/A Control No. I .' l ;.t-.X'/?, '7' C I . C/C Control No. 0 3 0 0 (; 2 !, '. I, / /.' .,y './ I I ). //J ,O'~ '. I/J.,,:J~ 1/..-2:'h ¿~ CHAIN-OF-CUSTODY RECORD! SAMPLE TEAM MEMBERS CARRIERIWAYBILL NO, 11 Sample Number Sample Location and Description --::¿,c~,/ ~ ¿:A;~ 0/(- 7j-/A.f.....t (V " Date and,Time Collected Sample Type Container Type Condition on Receipt (Name and Date) Disposal! Record No, 7/@cJ~5 (:/7/"';;"~. ð y~ /r"::::)_/.J //¿." ') j ¿:'~¿~ r ~.,,->¿ ~.J.'<: (...--,,,(A:-.<'", '/0-'-" ('~,{-..~/:;> v .;; :':.; ,'~,. ": 1 ....~...V'... <~-" / ¿Æ.J,,:" (),.L T,;:.o,A//';: 0/ )/;/>..1).: O~ pIAl/- I C.';>/l.¿' : /,"'... 7 (.,.; "~./>L.h2.. - I..., "'r-: ? C·2::./.'/2. -) .,/I/SS ~ 0 2' C/'/ /,l/.? .. :~~'~'! ~~ ¿:.c;¿ (/L"~:'/L ~: /,.~ç .r~ () 7 (..-. ..(,...; ..1/,-"; , (': /~;:: ..:' " , ~':: ;~/,:¿~/;~C ........ '..' /'-'''(¿>'~':''- oJ/;: '-::1 ",r--:- , " <,' , I C ".L ,.7. ~.A....I,.''~ ':%:'/ / I ,- ! o/~ /¿M,~'f .--~)/ "/ ()..' .i'";t.;/~)/, r)./../-,;:,:"--:,, e--;" ..,7 Y'~ 1.1/ _,rJ'1 é"- .,' '1/ Special Instructions: _PoSSible Sa~ple Hazards: SIGNATURES: (N~;;J-e~C)mpany. Date aId T~~~J . /.2:-/'- (å'Y)({:.'/~:ù;'-T:?-.2. ,/ / .: ,::-..;/ ,,,/ ",/..r.'>" ,., ....¡......-. r: -r 1, Relinquished BS':¿:;:: ,/,-::'//j?7 é / ¿/,,' /'~~?f:.;._~r2 (:,1'./. 7 ;7~,r-:~ 3, Relinquished By: (' - n.. /i' / '/' -' .' ,j ,/,((J . ,IT " .';;/~' D o~. .'::.', It'), J r Received By: ,¡ 0....,.,.'.-:> Y.<.J<>..:-. ì ;n (_ .'H}"-"U-L " ·..,,6 1 (I..c, . Received by: ~..) I ! 2. Relinquished By: 4. Relinquished By: . ReceivE!d By: Received By: " , I .... ~, Jmpany samples ,d copy , / II I , , I ,~ ~~OR ORIGR~&~ r ï;~..:.rECHNOLOGY , CORPO~ATION PROJECT NAME PROJECT NUMBER , t· PROJECT MANAGER BILL TO ; , PU~CHASE ORDER NO, e' Sample No. ReQUEST FOR ANALYSIS " ...~ I !: ¡I; ,'I I ~-- . ! (:I.:?¿J:}( {,. .-2 I I! . .~ ,- -? ,""" <-/ -'. :,' / - ¿/ .,.L. I I '-~- ~ ,........, / ! - I - ! ¡ ,?{ é /" A r, -16:' ~'¡¢;Q (' ;;. j " , ~ ',' --í r, r 'I - ~ , ...., I ' ' 10 r I)e,;/ l' ,T1 ) RIA Control Nq. C/C Control No. -- / ./ /-' ~j/_/v' ¡;?/~. <.2> / (e-:, "~ ~ 3;)..;2 .;./, "7 ¿l,~.:,yV£ v~ /1;!L/~(..A¿'><_£ ...,.- '-r- 6.~' , ..;:::. / . ,'/~' D , ') .-, /- ~..:::..¿, '-: =' .. 1 -, ) IÇ- ,7 L/· /.....-c ~ ~'-..J /. b;. / - / L /J (;::7~ (';.,."'-- /' ~/I> L::/z-:)/ >;. ,/ C ~ ......--:. /,_' _' '-J DATE SAMPLES SHIPPED LAB DESTINATION LABORATORY CONTACT SEND LAB REPORT TO //" ~:- Þ1 . L I.. -......" -- 7)".. I , '.1 " I DATE REPORT REQUIRED PROJECT CONTACT PROJECT CONTACT PHONE NO, , , .. I,' .'/' /.' "" ;, ]. . " ,) " 1r /" V ~..L ~ .-- - - ,..',-,' .... ,-1 (" ~ c.' IC'\.' ~J)( 1_" .,. '/-;-.- ~1/J...r,/1 ~_...~. '. ;" ~- .. " .. /, "C~"l r~ -r:.---. i-...... I, .~-1 <, -- -'-, ,.;..- -7- ~? /.-<;, (,..-'I..... ,__->_/ .J',~_ Sample Type Sample Volume Preservative Requested Testing Program Special Instructions ,,-../,:'.-'/ / ! , 1/ Á'..;y 7 i / _ !;; ..:.) , /' ,,",,', --,/-, /' .../'> C.·'·-L· ._. \._ , --- .~ / .. " ,. . / ~ C./ I ...c::::.... --..x.: .. / / ('" .. 1 r- U ('.. v 6 ~ (... I.'....,: r (~ /. ~' / It: L... (, ( / , I·' I I 7-,- / '''-;/' ///. /~ -.'...., ~ /""'1'.. ".' '- .. ~ /..... t..-.. " ,.. / ~....) C.I/ / I, /, 'I < _/J ";"'_ /,. 7' 0 _0,/. , ' , /- -'.. . / ;/ ' , ' ., 'I''''' .....' '..... I, / I ---(--' / '(- I ,--,("-'I I ~~:// / , I. . ~~...L.L¡: - - , /..::;; ~ ----- ___0/1 J3 _¡'I S TURNAROUND TIME REQUIRED: e , -' , . -~,'/_~- J) , )' ....... . -- - - . , ,. /'l_,,,,,;~' -.- I , . . '; . ". / )r-. ...L~ t_: L" ! " " I, (Rush must be approved by the Project Manager,) " ' Normal x (Subject to rush surcharge) I. Rush Nonhazard POSSIBLE HAZARD IDENTIFICATION: Flammable _ Other (Please indicate if san;'ple(s) are hazardous materials and/or suspected to contain high levels of hazardous substances) Skin Irritant _ Highly Toxic _ I I, (Please Spi,clly) SAM'PLE DISPOSAL:' (Please indicate disposition of sample following analysis, Lab will charge lor packing, shipping, and disposal.) Relurn to Client _ Disposal by Lab _.L/ ... I FO"" , 'JLY " II;' I ~ 1 I ...~ RE'celved By I~~ /' ,"" ' - , , ,/ .' i' I I! ,I I Dale/Time .'¡- M ,ai, to accompany samples .eld copy , .1; ~ P@OIR OR'G~~~,~ .-1700 Flower Street \.~ake~Sfield, California 93305 'S"'O Telephone (805)'861-3636 e e KERN COUNTY HEALTH DEPARTMENT' HEALTH OFFICER Leon ,'.1 Hebertson, M.D. , ENVIRONMENTAL HEALTH DIVISION , ..' ød1~ti~ Facility Name ,? / / ,r"¡ / 7 ~1 '" :. .' , ~ i >1. I" I ' (i \ ~\ /i1/Í,r/(;.)¡ C;:;cr~c ( í..~ ( .0, { '.'~ '<::~',', "",/ ~) ï (u l' ¡ '-', ';-I'-.l'¡. L '7,) '. _ ",! '~~ ' '. ,~' _ ~, r'I ' I~ "~J...' c' ,\;:; ..' - t:JI . I .::-- '" \ \ _II -- i' "- i -...... ~ - , ' ~'/ Address d,--'~O(: ,0_: \" I ~ __ i::Lt , ~p~. ~/ Þ" ¿ /, /;/ / ~~I ~ '¡" r ----.' .. I /'Î ~.... ,/ /'1..1 j( ;' P,0 \.. ---0 C1 ""<'/\d<'~ I "J jJJ * * UNDERGROUND TANK DISPOSITION TRACKING DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard Kern County Permit # ß (¡,;Ç- ,3-0 I .. RECORD * * This form is to be returned to the Kern County Health Department withiß 14 days of acceptance of tank (s) by disposal or. recycling facility, The holder of the permit with number noted above is responsible for insuring that this form is completed and returned, , I' . .. .. .. .. .. . .. .. .. .. .. .. .. . . . . . . . , . .. .. .. .. . .. .. .. .. .. .. .. . .. .. .. .. Section ~ - To be filled out ~ tank removal ~ntractor: Tank Removal Contractor: MYEK..$. BAc-i(j-ìOE; Address ~"-> 7 / SA-N ~4-,~~i E<- 2. ,1'\ À:\ *SCA è:c~t')? C~ . ( Date Tanks Removed ~/- /0 - ,~7 .5é:'~~\LC Phone .. ~::::-~4ll,,,,,./r:c,:..-- fr /J-',.", ! " ~ '_ Co'~' Zip '1502-/ I No. of Tanks ~ .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I - To be filled out ~ contractor / 3 ' ank "Decontamination" Cpntractor Address 2/3 6 7;¡ ~ïREET A \...:J ' ,/"' ~v ,tARr.. r~ I ÄZ. f _ Zip ~S-3~r'~ L~~Authorized representative of contractor certifies by signing f)el~~ that ,[ tank(s) have been decontaminated in accordanae. with Kern County Health . Dep ~rnt r¿i::ì-=-==-- I?OOR ORIG81'1i£Q C'{r"""e:..ì> 7'. :) ¿t"N1,,\ j 1__ Signature Title "decontaminating tank(s): :J rA.R(c K ~,'2TALS Phone # &,"2' 66c;-993/ 1 tC, ti t<~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to . . . . . . - To be filled out and si~ned·.Qï an authorized representative ~ treatment, storage, ££ disposal facility accepting tank(s): Facility Name I? (3/2;). ß / Address c/ /:::£:;5/ /?/fb/?./ W~/ ~~~hÈP û9 > of. the Zip :;/.<:'-:. 0- C?:<?/:7 /,()~ ~.J /-"0":::; 91:fôf Phone # Date Tanks~ved signatur{ / ~ No. of Tanks Title /¿=# a-~)~ . . . . . . . . . . . . .. .. . . . to . . * * * MAILING INSTRUCTIONS: Fold in half and staple. Postage and mailing label have already been affixed to outside for your convenience. (Form #HMMP-150) DISTRICT OFFICES , (. ·-·,i·.....i'·· , . ,-.: "., ,.~ ''''', I. : ',r- _',. ---~ 'NEL:"S ;::;~FG¡.:' ¿^NK, ;'J.A. ' , 16.24/160.., :1 {j ¡v .'~~'I~!~~;~~~ 2L1JJH~~!~"i y ~,! ~~:~i~(~G~'~~~~::mmercia",.~~;,Of~,:.C~:: ", ".,.,::~~!~,,:.;;~~;:~::,,;~,,: :'::~'tj~tí~i:;~?:~ii{f2:':'" +:~'~ rj¡~K[RSI:I[LD,;Cf' g~~~.:,::~;: ''',",.u.':'''-'-''o·'~·"'"';''?'''''f·œr~·~'''·'r~~ecK NO ~.,i:'On5a·Sl';· ~ :A Y '," ,. .,.., :';:~··:'~a:~~~<;::·)¡ ;":"~~~fi:;~,~11:::~'~~~i!:~i~~ ¿~¿~~ OF, :,1':¡\'::',~~:.;::;;¡"3::';r;;7::':~: '. ''':'',:'c.,.,,~;:: '·:!'~;-:~';i7;,~~';"'''~·:::'~%,:'1¡~::·';:'fF8~';~;-:'H~;t;~·, ,'::~ I . :..w..~~ -ørp:~:"~'; ~'rt. , "-).. (Ji? / '.... 1;-"..... '.~' ~ ., Z-.., _..(~.~ .~ ~". _'- ::~;().. ' ,.,~:~~;. ,,¡ i ~,. .:"' '" . ;.~ ....< ~:~~~~;;~:~i,~>1 , " ;'/ '1 ! .~.';.:.~r~ ",\: ~ !' F~t:~~a·~fJL:(1i_~~-·. ,.._'-.... ., ~',' , . :-~--::.~:-- ," ': ;.;~ ....~'- .~'':;':~. , . , . . 'J ,t.., ,~' L {::.: r _..} LA :"i'~J".:" '.~ ~-,. . ,.... ',~;~::;¿: tL¿~2::~~ii>.";~~~;itJ;~i~';~ ::·00 5:] ~ ;:¡. i: ¿. 2 2 GOO 2 1, ? I:~. . ~ 0 01,23qq~ SUN VALLE:Y OIL COMPANY. ... I : t,,'j -(-~ ·.r CHECK NO. 005091. ;.J ¡.SC . , ! ¡ ~.:: ..... . ¡:i :;0 ,. .... ,:'. ':.:¡...;~~. 00 0.00 ~!~t ?, 9'~2 .00 ' '. .. "'\ \..... " \ \ .. ... ..':1 ¡ (;.. :'-j -, !~.'':'4~: . :':;(J ;';: , ':;""'2 . 00 ,)~@I ORfGUf¥¡£&n ~j~~~á~~L. a . ~ "CORPORATION P.O. BOX 3345 BAKERSFIELD, ~93385 (805) 589-4970 1~iif'~ ~çÝ . . 7097 5/27/87 Sun Valley Oil Co. Inv.# 9431 3940 Roseda1e Hwy. Bakersfield, Calif. 93308 Our Job #260302 4/24/87 Texaco Sta. @Wible & Wil son Rd. Core drilling & sampling @7 locations #2000816 $ 2,992.00 Total: $ 2,992.00 A( /f,i jlPí qf1· . . þtlf Jft ~j/ I,) (f}~~ . I 6~'þfL. U~~" ":'- ¡, t' ~",:' ~ ~~'-:1 INTERNATIONAL _ TECHNOLOGY . CORPORATION ' Y F~ELD RESPONSE SERVICE ORDER . Document No. 2000816 '4'-:' " ?,fJifW. Anaheim St., Wilmington, CA 90744 (213) 830-1781 . .' .¡()c¡1 S.T, a.T. D,T. Total Hours Hours Hours Hours EaUIPMENT Prod. Code Equip ID# Description UOM Qty Chg Prod, Code I::quip ID# Description UOM Qty Chg Truck, Gear ";'-." Port, Tank " Truck, 4 Wheel Drive Van Compressor; CFM: /725? ¡PO ¿¡ '~( l::' , Truck, P/U Irh'f Blower, Size: , Truck Generator: KW: Personnel Van ':' Boom: Perm Size: Supersucker ';";"h.; ",,:' Fresh Air Masks , ERU Unit , Air Pack 80at . Six Pack Punt Respirator, Type: Pressure Washer Fire Ex!. Blaster 6,000 J-I~nri TfV"\I~ tt·,.,.'~~~~~~â~ . . ~ "'l,' ÇOI<PORATION Anaheim St., Wilmington, CA 90744 -"1 -"'''-~-';:~--:---;:[;-~:-:ÞO·:~''''~~'~~~1~~~:';::~:_'':'.':'"::T~~;1¡¡~~· FiELD RESPONSE e· ' SERVICE'ORDER:,'" ': .. ,,?ocu~e~t~~·~1:,~1ìI1 , .... '>f~;:-:~::·,~;;·~,,~.7~~'· ,:'" ." ,.'~ ~! :':;:~ .;~~ :::~~'. \~:.~: ;~:~~~,;\,:r~P~~:~ -'.\, c· .:'. . }';i _:.,':.....,.'-:,,: . - .~, .-, - , .' .. ., Customb.", __._ -,..' / .. .... -'.- ~ .~: . r' -- ,J .~' , .. Jot> Address City Job Location on Site Service Performed ",,;/ ,., .' " Cust. P.O.lJot> No, Class Employee Name Start Time Arrive Time Time Out ...... .-;-;.1-:....) ,..-~' ~,' ," \ '.~ .i/ -'1 :.1 :. ... ::~1/) /??'â , , r· i , ¡ ,.., "..... /,.",,<..., /-f'~,.., ./,/::::...> I~):;) Prod. Code Equip 10# Description UOM Qty Chg Prod. Code Equip 10# Description . UOM Qty Chg I .."" ," ',",'>k;,' I,',' ,', ",' ,,1'1'0"+;' Truck, Gear Port, Tank ,i'''''-'? "';,, '""" " Truck, 4 Wheel Drive Van .. ; ~\:{..-. ~:~ i.-:-;_:t ¡ /: Comcressor: CFM: :",_;··t~:'~.~ >,,,:;, '''';::, .., ,.,,:. Truck, P/U jl," ". ",:'j"";:, "',,, ' 'i.. " '.." I'>:;~ .. ," ,.."" , ,/ Blower Size: ','.,¡,..,. "i"::> . ;;:':;:: i~';~';' . '.; ,;. . .~:. Truck , Generator: KW: ".";' ", Personnel Van , . "F' ',d , , ;",i:-:,'"i .." : .. <" , Boom: Perm Size: F, , , . .'",; ,;,,;>¡ " " Supersucker , ';"F' ',' ',,'" Fresh Air Masks i,,' I'· "', 'i'" ',"'", ,'.',', 'i>",' !::,', ERU Unit > ""', "''\..: ~ ,. ,'.". ,,',. Air Pack d f,;i' Boat : t':" ,.,'Jr:)i:'; Six Pack ,.. . ,', ,F' ;ti''; Punt I," . 'i;,>""",';" Rescirator, Type: >, ".., Pressure,VVasher ',: ',;,,'~ ',,' :: . ;" , '. Fire Ext. ",/' ::", :,-,:"'''', " "" ",',",' ,::." ,',. ,;;.à;;...4,;Ù ,. -~..- 0...'"'.... H ...,~--,,-......~. - Blaster 6,000 .. h .-" .' !?@OR ORI~~~#r~ ,::"" -,-; '-~~! ._'.....'... . . I I 1.,~p ~}' * 1 . 2. 3. 1700 Flower Street Bakersfield, California 93305-4198 Telephone (805) 861-3621 · KERN COUNTY HEALTH DEPAR!NT AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.D. Director of Public Health Air Pollution Control Officer PERMIT NUMBER A429-29 PERMIT FOR PERMANENT CLOSURE OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Wible Texaco 2500 Wible Bakersfield. CA93304 Sun Valley Oil 3948 Rosedale Highway Bakersfield, CA 93308 Phone #(805) 327-7212 Myers Backhoe Service 8971 San Gabrial Road Atascadero. CA 93422 Phone #1-461-3866 License No. 330631 PERMIT FOR CLOSURE OF PERMIT EXPIRES 4 TANKS AT ABOVE APPROVAL DATE LOCATION, APPROVED BY Julv 9, 1988 April 9, 1987 ~ú.~ Thomas A. Mele ~ . . . . . . . . . . . . . . . . . .POST ON PREMISES. . . . . . . . . . . . . . . . . . 4. CONDITIONS AS FOLLOWS: Permittee must obtain a City Fire Department permit prior to initiating c I 0 s ur e ,a c t ion. Tank closure activities must be per Kern County Health and Fire Department approved methods as described in Handout #UT-30 handbook included with this permit. Any deviation from sample locations and numbers or constituents to be sampled for which are described below and in Handbook #UT-30 must receive prior approval by the Health Department. a. (Tank size 1.000 gallons or less)-a minimum of two samples must be retrieved beneath the center of the tank at depths of approximately two feet and six feet. b. (Tank size between- 1,000 to 10,000 gallons)-a minimum of four samples must be retrieved one-third of the way in from the ends of each tank at depths of approximately two feet and six feet. c. (Tank size greater than 10,000 gallons)-a ~inimum of six samples must be retrieved one-fouyth of the way in from the ends of each tank and beneath the center of each tank at depths of approximately two feet and six feet. A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and also near the dispenser area(s). All (leaded/unleaded) gasoline samples must be analyzed for benzene, toluene, xylene, and total petroleum hydrooarbons. 5. ~ PERM~~ NUMBER A429-29 A~..p1"l 9, 1987 . . page two 6. Copies of transportation .manifests must be submitted to the Health D~partment wi.thin five days of waste disposal. 7. All applicable state laws for hazardous waste disposal. transportation. or treatment must be adhered to. The Kern County Health Department must be notified before moving and/or disvosing of any contaminated soil. 8. Permittee is responsible for making sure that "tank disposition tracking record" issued with this permit is properly filled out and returned within 14 days of tank removal. 9. Advise this office of the time and date of proposed sampling with 24 hours advance notice. 10. Results must be submitted to this office within three days of analysis . completion. ACCEPTED BY JrJ~ DATE ~t 1f?-- KERN COUNTY.IIEALT! DEPARTMENT . -........... DIVI~Ièiì OF EIWIRONMENTAL lIEALTII . ltITE¡WM, us!:: ÙiíLi: PTO c29â.: !G.' APPLICATION DATE PTA /J J.! /7 e-ì ..., ,::;0 r/ / ex / -0<. / 1700 FLOWER STREET. BAKERSFIELD, CA ~3305 (805)881-3636 , OF TANKS TO BE ABANDONED LENOTl! OF PIPINO TO ABANDON APPLICATION FOR PERMIT FOR PERMANENT CLOSURE/ABANDONMENT OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY THIS APPLICATION IS FOR o REMOVAL. OR o ABANDONMENT IN PLACE (FILL ,OUT ~ APPLICATION PER FACILITY) PIIONB t DAYS- 327~ 7'2-\"L... NIGIITS- ADDRESS SECITIR (RURAL LOCATIONS ONLY) NEAREST CROSS STREET í2j) PHONB __ (<(O~ ~7 - 72 \ 2- PONE (~S->~61-5g,.b ) ( Ñ.5 , INSURER PilON!! ( ADDR!!SS PIIONB . ( ) çQ CHEMICAL COMPOSITION OF MATERIALS STORED Z, ~ri' ~O . U ~ ....l- . H -l-- VOLUME 5:' DOO ~. CIIEMICAL STORED (NON-COMMERCIAL NAMß) I2Et DATES STORED TO TO TO TO CHEMICAL PREVIOUSLY STORE : ~11 rr . U ~ WATER TO FACILITY PROVIDED B ~ Z Jf:.)t¿-,M.-' " 8 NaAREST WATER WELL - GIVE DISTANCE AND DESCRIBE TYPE IF WITHIN 500 FEET . 0 E-4 ----------- , i I BASIS 'OR 'OIL TYP& ANO ';:T'ê!~PTII '~NATlON H TOTAL NUMBER OF S PLES TO BE ANALYZED SAMPLES WILL BB ANALYZBD PORI DEPTlI TO GROUNDWATER ~ ( /. Î . _5 SOIL TYPE AT FACILITY it (.)¡.//,../,...... . ~ . Cl DBaCRIBS HOW RBSIDUS IN TANK(S) AND PIPING IS TO BE REMDVBD AND DISPOSBD OF ~ § ~ ;J Ú::;~6¿£. (.f) E-4 ESCRIBB BOTH THE DISPOSAL METHOD AND DISPOSAL LOCATION FOR: ~ ~ TANK(S~ . HO N Cl ~ PIPING H . /, ,,/.-::. ;" ~.-J c'iATURB . PLEASE PR IDE INFORMATION REQUESTED ~ REVERSE ~ Qf TillS SIIEET BEFORE SUBMITTING APPLICATION FOR RE lEW · · P Em UNO'R 'EßALT'i 0' 'EILIURY ANO TO TBE .BET OF MY KNO'L~DG'~' _ TRUE ANO OORREeT. . f1Iº~R ORIGI~~TtTL' ~~ ~ \~M- "TR .~_-:. ~ 1700 Flower Street .', 'L\ Bakersfield, California 93305 Telephone (805) 861-3636 .' "ERN COUNTY HEALTH DEPART.., HEALTH OFFICER Leon M Hebertson, M.D, ENVIRONMENTAL HEALTH DIVISION INTERIM PER.MIT TO OPERATE: DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT:fI:290004C I 55 UED: JULY 1, lLJ8f EX)? I RES: JULY 1, 19E~) UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY NUMBER OF TANKS= 3 ----------------------~----------------------------------------------- FACILITY: WIBLE TEXACO 2500 WIBLE ROAD BAKERSFIELD, CA OWNER: SUN VALLEY OIL COMPANY 3940 ROSEDALE HIGHWAY BAKERSFIELD, CA 93308 ---------------------------------------------------------------------- TANK # 1,3 2 AGE(IN YRS) UNK UNK SUBSTANCE CODE MVF 3 MVE' 3 PRESSURIZED PIPING? YES UNK NOTE: ALL INTER~M REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON-TRANSFERABLE *** POST ON PREI:vI:~_ .::> ":'.'- DATE PERMIT MAILED: SE? 1 2 1986 ! ~ ž/ ., --¡-:) ,\) ri ., ¡¡fij I . I :J:;;-J..J~r",/\ \\.-,/' ~~ ..·.../f'.· ~ I.j':" IF!! ~I'''' / L",~·,',/ , ,J1// " b'" 1../1' - " /. / ' , ~'1 ';:. DATE PERMIT CHECK LIST RETURNED: I . i! i ~@/R¡ ~6W O'''GDhW/&ìP' 93305 ,,~ ,/ ,'\.....-/ , Permit .' -- Ä /jVV Application, )~- ._, . "---' K~n: çounty D1V1Slon of 17(,'{)., £21 owe r \.... ~,._. Health Cepartmen~ Environmental Hea'" Street, Bakersfield, CA A. APPLICATION FOR PERMIT TO OPERATE UNDE~;ROUND HAZARDOUS SUBSTANCES STORAGE FACILI'['Y ~ of Application (check): o New Facility 01Vbdification of Facility;ø.ExiSti~ Fac/~~.ity DTr,anS~fer of OWnership Emergency 24-Hour Contact (name, area code, phone): Days .-.i.:...~'¿;-):',.;- '~+~;:/;,;:JI/' I í ...., '-1 _,_ -r- Nights ...? /,.:-._ .~~., :" l ..,~_../:..;/-;-:-.."'- Facil i ty Name/ / '/ //'1 ¿,'r /c <.Ì-(f c>' No..' of Tanks Type of Business~(check): c;(Gá"soline Station C]Other: (descdbe) Is Tank(s) Located on an Agricultural Farm? Dyes ilS-No , ;:cr~7~~s~d~~~ssPri)~~:,;r f~~/;5,}~~lt~~;7 Pur~ses? Ne~;:~ (~o: St. }_.';~~()/': /~/ T . R '" SEC '- (Rural Locations Q1ly) .) ". , J OWn ..-. ,/ . , /' / " C ta t Pe /.., , , ,] / ' ~IÎ.,/¡ YI ' er flJ/(, ///IJ,d/j /,/./ i'."Í , 'on, c ~son /'C,./I,,;,' n",....,'-''//i-"Æ.../ ' ~ ': ' ,. . _f, ./ _ -- ; _ . I " ""I, , . , Address :~)¿:jé(/f A~¿I'S;q:£~':"'l' ,;" ~ìí,'¿/ Zip t/ ~¿,I b Tele¡X1one, :,¿ If) j,/~F,/;.Þ----- Operator ßt/;f (,./ H¡./"'/-5 ' Contact Person ./?,1.u "~7c/fl .5 Address;¿.:Jr:.;Q) ,~'J/ / A/ ;C-'/:(:d, Zip Telep,one ::."1' :;'/ C;5~~ / Wa~r to Facil~ty. Provided ~y. (l!jL-1r:. ¿Uqf~ir'_ .~~~~Q~~r SolI C1aractenstlcs at Faclllty (L¿7~/),;.ì~r ~/P ,,. Basis for Soil Type and Groundwater Depth Detenninations /1 B. C. Contractor Address Proposed Worker's /' .--.... CA Contractor I s License No. /,/j7 Zip Telephone ~. pro~sed Campletion Date Insurer (,; StartiIY:J Date-- Compensation Certification t D. If This Permit Is For ,Modification Of An Existil}3 Facility, Briefly Describe Modifications Proposed <~ ;,;.-- E. Tank (s) Store (check all that apply) : I / ( ~ jllJ!f C. {(/ Tank ! Waste Product . Motor Vehicle Unleaded Regular Premium Diesel Waste Fuel Oil ! D' 0 æ:- 0 L'£l 0 0 8 .. r --, 0 0 8 B 0 ~ 0 /J --. 0 0 EJ 8 B B B / , , 0 0 0 F. Chanical Canposi tion of "Materials Stored (not necessary for m Itor vehicle fuels) Tank t Chemical Stored (non-coo:mercial name) CAS t (if knO'4«l) Chemical Previously Stored (if different) /- ,~ / ~/ /~: /' - r <J G. , I í-....... (, l\-f' ! !accept fully all obligations I)f Permit No. 1 'Landerstand that the Pennittirg Authority may review and modify or ter.minate the transfer of the Pennit to Operate this underground storage facility upon receiving this campletedfonn. Transfer of Ownership Date of Transfer Previous Facility Name Ii Previous OWner issued to This form has been true and correct. :¡ Signature /;::?i?,~", completed .under I~malty of perjury and to the best 'of my knowledge is //?.. }IN/>.' f.J@@~ OR~~~~V&~, ,," /"7~)/~-1--- -J L ,(/- ,/.' ,;..., I.. Title (~( ,~'// ,/ ::"'.:.:';i:;/,'c' Date //¡.y/;¿') " f( ~~ ¿-.rJ ,'¡wii":; TANK! -* __ (F1L,!;: OUT SEPARATE FORM F. .CH TANK) FOR EACH SECTION, CHECK ALL APPROPRi"M BOXES -- - 1. Tank is: DvaultedtZíNon-vaulted DD:>uble-WaÚ ~~il'¥:Jle-Wall 2. Tank Mater ial Bcarbon Steel 0 Stainless Steel 0 Polyvinyl Chlo~ide 0 Fiberglass-Clad Steel '0 Fiberglass-Reinforced Plastic 0 Concrete 0 Allll1lnl.lI\ 0 Bron:z:e [JUnknown o Other (describe) primary Containment Date Installed Thickness (Inches) ,~ 3. 4. Capacity (Gallons) I>~' /-:' F) r \ //.' , '/~.' '-' Manufacturer ~··~<-~!)t",//.'f:} .-;.-""-" - .if i/:'i,~~~'-:"';:''''''';-'f,-"____ Ta~k'Sec~ndary Containment ODouble-Wall 0 Synthetic Liner [JOther (describe): DMaterial Tank Interior Lining uRubber . o Alkyd [JEpoxy DPhenolic DGlass DClay Dll1lined ~O\ll'\ [JOther (describe): 6. Tank Corrosion Protection -rfGalvani:z:ed DFiberglass-Clad DPolyethylene Wrap DVinyl Wrappi~ I8ITar or Asphalt DUnknown DNone DOther (describe): ' Cát.hodicprotection: 6dNone OImpressed OJrrent System ClSacrificial' Anode SystSD Describe System & ~quipment: Leak Detection, Monitoril'¥:J, and Interception ~Tank: DVisual (vaulted"tãnks only) DGrouOOwater Monitorin;J' we 11 (5) o Vadose Zone Moni toriD;) Well (s) 0 U-Tube Wi thout Uner ' DU-Tube with Compatible Liner Directi~ Flow to Monitoring well(s)* D vapor Detector· 0 Liquid Level Sensor 0 Conductivit;t sensor* o Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retrieval &I Inspection Fran U-Tube, Moni toriD;) well or Annular Space 9Daily Gal.X}i~ , Inventory Reconciliation I:J Periodic Tlghtne. Te.t11'J) DNone 0 unknoW'\ ,0 Other b. Piping: Flow-Restricting Leak Detector(s) for pressuri:z:ed Piping- o Moni toring SlDp wi th RaceW1Y 0 Sealed Concrete Racewsy o Hal f-CUt Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None ~~~O~r ' *Describe Make & Model: 8. Tank Tightness, Has 'nus Tank Been Tightness Tested? Date of Last Tightness Test Test Name 9. Tank Repair Tank Repai red? 0 Yes DNa" Ounknown Date ( s) of Repa i r ( s) Describe Repairs OVerfill Protection EJüperator Fills, Controls, & Visually Monitors Level 'OTape FloatGalKJe DFloat Vent Valves 0 Auto Shut- Off Controls BCapacitance Sensor DSealed Fill Box DNone DU1knoW'\ Other: List· Make & Model Por Above Devices ~ffjOR OlUGlNi[L Piping ~ ' ' a. lJndergroW1d Pipil'¥j: Byes DNa DUnknown Material ~Y.':..i-;; ~ ThicJ.c.ness (inches) / / '\ it DicDeter h,L Manufactur'er '-·IL .E3Pressure DSUction LJGravi ty Approximate Lel'¥jth of Pipe RLn A'/:' b. Underground Piping Corrosion Protection : DGalvani:z:ed DFiberglass-CladDImpr-essed CUrrent DSacrificlal Anode DPolyethylene Wrap OElectrical Isolation DVinyl Wrap DTar or Asphalt ~nknown ONone DOther (describe): ' c. Underground Piping, Secondary Contairrnent: _ ODouble-Wall 0 Synthetic Liner System I2JNone Ounknown DOther (describe): ( ¿ l;~t~l,;·:..~~ 2- ¿:/"7-'~ / ~~ OLined Vault ~ne' OunknoW'\ , Manufacturer: Capacity (Gals.) 5. Thickness (Inches) 7; DYes .~ Dl11known . . Rèsul ts of Test Testil'¥j Canpany 10. 11. ..--..... --....,. .\ 'L.~ (¡ ~4~~'~ ? ~ !.' -=-. (F1L.!:: OUT SEPARATE FORM F6 ,al~) FOR EAal SECTION, alECK ALL APPROPRi'M BOXES -- -- 1. Tank is: [SlVaulted 1:JNon-vaulted OI))uble-Wall J~lngle-Wall 2. Tank Material ~Carbon Steel D'$tainless Steel 0 Polyvinyl Chlo~ide 0 Fiberglass~lad Steel c /0 Fiberglass-Reinforced Plastic 0 Concrete 0 Þ,J.lJnlnl.rn 0 Bronze Ounkoown . 0 Other (describe) Primary Containment Date; Installed 'I11ickness (Inches) /_:!//t.lL:¡,/ t:':-'7~",~/L'/ ;' :'/~:.«~:',:;f: __' J.J<__-__ 4. I.oï'ank Secondary Containment o Double-Wall W Synthetic Liner D Other (descr ibe) : o Material Tank Interior Lining wRubber 0 Alkyd OEpoxy OPhenolic OGlass DClay Ol1:ll1ned ,&U1knoW'1 DOther (dese(ibe): Tank Corrosion Protection ~alvanized DFiberglass-Clad DPolyethylene Wrap DVinyl WrappiB) ETar or Asphalt ~known DNone DOther (describe): . C~thodic Protection: ne DImpressed CJrrentSystem DSacrif1cial' Anode System Deser it:e System &. quipnent:' . Leak Detection, Monitoring, and Interception . ~Tank: OVisual (vaulted tanks onlY)LJGrouOOwater MonitoriD3' Well (s) o Vadose Zone Moni toriB) Well (s) 0 U...J}'ube Wi thout Liner OU7Tube with Compatible Liner Directi~ Flow to MonitoriD3 well(s)* o Vapor Detector* 0 Liquid Level Sensor 0 Condu:::tivit~ Sensor· o Pressure Sensor in Annular Space of Double Wall Tank O. Liquid Retrieval &. Inspection Fran U-Tube, Moni toriB) Well òr Amular Space Sf Daily Gatqil'¥J , Inventory Reconciliation 0 Periodic Tlghtne. TestiBj '0 None 0 I11knoW'\ 0 Other b. Pipil'¥J: Flow-Restrictil'¥J Leak Detector(s) for Pressurized Piping- o Moni toring Slnp wi th RaceWÌly 0 Sealed Concrete RaceWity DHalf-cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway DNone Cf\JnknoW'\ 0 Other _ *Describe Make , Model: 8. Tank Tightness Has Ttus Tank Been Tightness Tested? Date of Last Tightness Test Test Name 9. Tank Repair Tank Repai red? 0 Yes [3Ño' OunknO'Nn Date(s) of Repair(s) I Describe Repairs OVerfill Protection ~ator Fills, Controls, , Visually Monitors Level . OTape Float GatqeOFloat Vent Valves 0 Auto Shut- Off Controls BCapacitance Sensor OSealed Fill Box o None Otk\knO'Nn Other: List Make &. Model For Above Devices 3. Capaci ty (Gallons) "1 J¡ ",,;, ,~'. Manufacturer ../ / /¿/: ',~ ¿, ,'- / 5. D Lined Vaul t I$rNone' 0 UnknoW'\ , . Manufacturer: Capacity (Gals.) Thickness (Inches) 6. 7. , ,,\ DYes ~tÐ DlbknoW'\ R'esul ts of Test Testing Canpany /ij@~ OItlCtm~rL 10. 11. Pipil'kJ ~ ~, / a. Ik\derground Pipil'¥J: 1S.-¥es DNa OUnknO'Nn Material Y,-"":'í¿- -I Thickness (inches) (Uí<' Diæneter . L! ILManufacturer /if/...... OPressure OSuction L:JGravi ty .Approximate Lel'¥Jth 01 Pipe RLn ~¿J b. Underground Piping Corrosion Protection DGalvanized DFiberg~ass-Clad .DImpcessed· current OSacrificial Anode Qpolyethylene Wrap DElectrical Isolation DVinyl Wrap DTar or AslX\alt iðùnknoW'\ ONone Dather (describe): c. U,(dergroW1d Piping, Secondary Containnent: / ODouble-wall DSynthetic Liner System ~ne OunknO'Nn DOther (describe): , cili ty Name, .. .,'.- ..~.,' !; --,. 11. ~, ," '-, " pennit . C .' ~~K ! .~". - (PI t'" OUT SEPARATE FORM . eACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES No. 1. Tank is: DVaulted ~n-Vaulted DI:bub1e-Wall t;¡Si~le-jlall 2. Tanl5. Material í ~Carbon Steel 0 Stainless Steel 0 Polyvinyl Chlo~ide 0 Fiberglass-<::lad Steel o Fiberglass-Reinforced Plastic 0 Concrete· 0 Altmlntm 0 Bronze DUnkoown o Other (describe) Primary Containment Date Installed Thickness (Inches) ;A. K LlI<-- ~ank Secondary Containment o Double-wall U Synthetic Liner DOther (describe): o Mater1al Thickness (Inches) Tank Interior Lini~ --crRubber [J Alkyd DEFoxy DPhenolic DGlass DOther (describe): Tank Corrosion Protection --¡¡Galvanized DFiberglass-Clad D~lyethylene Wrap DVinyl Wrappil'¥) @ar or Asphalt DUnknown DNoneDOther (describe): " Cathodic protection:'-t:LNone DImpressed CUrrent System I:1Sacrificial Anode System Describe System & Equipment: 7. ~ Detection, Monitoring, ~ Interception . a. Tank: DVisual (vaulted tanks only) LIGroun::)water Monitor in:¡ Well(s) o Vadose Zone Moni toriD;) Well (s) D lJ-Tube Wi thout Liner . o U-Tube with Canpatible Liner Directi~ Flow to Monitorin:j Well (s) * o Vapor Detector* 0 Liquid Level Sensor D Conduc:tivit~ Sensor* o pressure Sensor in Annular Space of Double Wall Tank .0 Liquid Retrieval & Inspection Fran U-Tube, MonitoriD;) Well or Annular Space -g) Daily Ga~il'¥) , Inventory Reconciliation 0 Periodic Tightness Tutil'¥) o None 0 ll1knOW'l 0 Other , b. Pipil'¥): Flow-Restrictin:j Leak Detector(s) for Pressurized Pipil'¥)w o Moni toriI'¥) SlDP wi th Raceway 0 Sealed Concrete RaceWiY [J Ha1f-cut Canpatib1e Pipe RaceWay 0 Synthetic Liner Raceway 0 None (9.1JnknoW'l D Other . *Dèscribe Make &I Model: Tank Tightness Has 'Ibls Tank Been Tightness Tested? Date of Last Tightness Test Test ,Name 9. Tank Repair Tank Repaired? DYes ,9No, ,;' DUnknown Date(s) of Repair(s) , _ Describe Repairs ~t9@U« tQj~~~HíP:~/.!!\tL OVerfill Protection . ~ator Fills, Controls, & Visually Monitors Level IDTape Float Ga~e DFloat Vent Valves D Auto Shut- Off Controls BCapac i tance Sensor 0 Sealed Fill Box DNane DlhknoW1 Other: List Make &I Model Por Above Devices 3. 4. Capqcity (Gailons) it')!"~ /, ?' . - ' .~ --- j Manufacturer ~- :" ; '-,-- DLined Vault ~ne DunknoW'l / Manufacturer: Capacity (Gals.) __ DClay DLhlinod \~knoW'\ 5. 6. I 8. DYes ~ Dll'1knoW'1 Resul ts of Test Testil'¥) Canpany 10. Piping, \ a. Ik1derground Pipi~: ßJJles DNa Olk1known Material ]i..:.::.~J;" ThicJmess (inches) .It ; l Diameter. ( IL Manufacturer ~A~ ' (2)Pressure DSUction OGravity Approximate LeD;)th of Pipe RLnZ,/;1 b. Underground Piping Corrosion Protection : OGalvanized DFiberglass-Clad DImpressed CUrrent DSacrificial Anode OPolyethylene Wrap DElectrical Isolation DVinyl WrapDTar or A.s¡:i1alt ßaunknown DNone DOther (describe): c. Underground Piping, Secondary Contairment: ODouble-Wall DSynthetic Liner System L5fN0ne . DUnknown DOther (describe): ' .' ';._' _I ~ .< i.J ., :J - I I~ ,. .( - .. .. .- .- j " ~ - '. .' ) ~;'--'; tÞ-~-(_, ~:'---, ~:-',:~'-----:~{,~.,'" / . 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