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Home My WebLink AboutUNDERGROUND TANK or' ~ p1010182,jpg (1280x960x24b jpeg) ,i ~'. ~l\ \ \c.. ()2 (. ft\.l V LÙ \,\\L W(¡..~lC ~lÄi' Wtl5l { 1 q ( t-u th ~ t L N ..- FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield.CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES fiRE sAfm SERVICES' ENVIRONMENTAl SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chesler Ave.. 3'd Floor Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 10, 2004 Mr. Julio Sical Whitewater Car Wash 7991 White Lane Bakersfield, CA 93309 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Mr. Sical: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators. These are as follows: 1) January 1,2005 deadline for submitting declaration statement designating: (a) Owner/Operator understands and is in compliance with all applicable UST requirements, and (b) Owner identifies the designated UST Operator for each facility owned, (c) Owner/Operator passes and submits proof of International Code Council Test. 2) EVR upgrade requirements on spill buckets are due April 1, 2005, 3) Secondary Containment Testing on all secondary systems, Code requires re-testing 36 months from date of last test which was in 2002. Should you have questions regarding these compliance deadlines, please feel free to call me at 661 - 326-3190, Sij¡;; {fIk(] Steve Underwood Fire Prevention Officer SU:db "Q9;)('t'bJIt7 ¡lte Yfi:)/fl'MUI'III<1J ci1().1" Cllo)(e d:Jlu;IdI,G:;íYfj~'ltIi/'-)l~1f J/ ,¡,Î' .. ~ r ,i .,i~ e e FACILITYNAMEJ.AJV1\~ Wbte." ~ [¡{jib+' INSPECTION DATE7/z?jm- CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave,. 3rd Floor. Bakersfield. CA 93301 Section 2: Underground Storage Tanks Program o Routine -~ Combined 0 Joint Agency Type of Tank _þ V\J F êÆ "S Type of Monitoring (\/Lvv\ o Multi-Agency Number of Tanks Type of Piping o Complaint S Þ lit) F ORe-inspection OPERA TlON C V COMMENTS Proper tank data on tile Proper owner/operator data 011 tìlc Penn it fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No 'f- Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? [I' yes, Does tank have overtill/overspill protection? C=Compliance V=Violation Y=Yes N=NO White - Fnv. Svcs. Pink - Business Copy ponsible Party _~_ ."j.··__oO, o _.'_.. ""'-'-~_. - ---- ------- ------ EŒNSOR fiU~Rr"l G 5: OTHEF~ SENSORS SETUP DATA WARNING JUL 23. 2004 II :22 AM WHITEWHITER CARWASH 7991 WHITE LANE BAKERSFIELD.CA. JUL 23. 2004 12:18 PM S'iSTEr"1 STATUS REPORT ------ ------ G 1: SETUP DATA ~~ARN I NG G 2:SETUP DATA WARNING G 3:SETUP DATA WARNING G 4 : SETUP DATA ~~ARNI NG G 5:SETUP DATA WARNING G 6: SETUP DATA WARN I N(~ G 7:SETUP DATA WARNING G 8:SETUP DATA WARNING G 9 :SETUP DATA WA,RNrr~G GIO:SETUP DATA WARNING I Gl1 :SETUP DATA WARN liNG GI2:SETUP DATA WARNiNG '-..c. GI3:SETUP DATA WARNING G 14: SETUP DATA L~ARN I NG ¡-G~:SE~ÚPDATA WARNING \ G16:SETUP DATA WARNING GI7:SETUP DATA WARNING GI8 :SETUP DATA L~ARNI NG G 19: SETUP DATA liJARN I NG G20: SETUP DATA vJARN I NG G21 :SETUP DATA ¡.vARNI NG G22:SETUP DATA WARNING G23: SETUP DATA WARNING G24:SETUP DATA L~ARNI NG G25:SETUP DATA l.vARNI NG e '. ......._-'-.... - ../ IN\lENTORY REPORT T 1; UNLEAD \lOLU~1E ULLAGE 90~.; ULLAGE= TC VOLUriE HE IGHT LJATER \IOL WATER THiP T 2 : PLUS \lOLUr'1E ULLAGE 9W~ ULLAGE= TC 'v'OLUr'IE HEIGHT WATER \lOL L~A TER TEI"!P T 3:SUPER \lC'LUI"IE ULLAGE 9U'.,; ULLAGE= T(~ VOLUlvfE HE ¡ I.:~HT WATER VOL L·JA TER TH'tP 7618 GALS 4406 GALS 3203 GALS 7465 GALS 57.84 INCHES o GALS 0.00 INCHES 88.6 DEG F 2751 GALS 9273 GALS 8070 GALS 2698 GALS 26.71 INCHES o GALS 0.00 INCHES 87. 1 DEe F 2549 GALS 9475 GALS 8272 GALS 2502 GALS 25.29 INCHES o GALS 0.00 INCHES 85.8 DEG F " y ~ ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ <..:.~ 'I. -('."-'-.'. '.' ~¡...'\¡;. -? \ \ e UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept, Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 FACI~~~N_~~E IAlh !It~__kV~. ___CtDV'___w'g~h_.__._______·u________n____m !IFI)~~iZi?r_-~~:~:TI:~~~:E-m- ADDRESS q' PHONE No. No. of Employees ______. -¡ g} ~}]~___~JJ~_________________________ ru.:'131ß__f¿Q~?º__.__ FACILlTYCONTACT Business 10 Number 15-021- Section 1: Business Plan and Inventory Program LJ Routine ~ Combined LJ Joint Agency o Multi-Agency LJ Complaint LJ Re-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS J(__. LJ ___.Ap~RO~~~~~E~~~~~~_~AN~____ _____________________ _ ."__ ______ __ ._______________. _ _mm_._. ~ LJ BUSINESS PLAN CONTACT INFORMATION ACCURATE --._-" "---. -...--......-.-..... ---_._--~~._-------------- ---------_._--- ~ ------_._~ --~_.__. ----~- - -...-..--.------ ....-.--....------.--.. . ....---....-..--.... ...--. -.-.."--.'- d LJ VISIBLE ADDRESS -~--_:~~-------_..__._--_._._---_.._._-------_._--,_.-...---..--------- LJ CORRECT OCCUPANCY ... ._...____..___. _.__w__ m. ____ _.__..___ ..____....___.___._ .__ _ _.~.. ._.. _.. ---.---.----------.--.---.---------------.-.-.---..-----.----- ..___.__....__..____.. _._._.___.._._ ___...._____.__.__..__..._.__.._.._. .__ __. .__..__.. _..____.._._ no_.__.... __~-~-_~ERI~~~~~ON OF ~_~=NT~~~_MATE~~~=-.u____n_ ____u______________ __ _n_____u_ _u_______.. ___ _________.. ____ _____ i..' LJ VERIFICATION OF QUANTITIES _____.___..___.. ___~.._____________u___.._..______ ...M.________....__._...__ ..___ ____._.._____.____.____.. __.._.__........_.__._______._.__.____.._.___...__ _._ __ __".d'.._ .__ _._ _'í-_9.____~~~~~AT':!~ OF _~OC~~I~~_______________________...._. ______._______________ .._______________ _.0____ ~_~~~~~_=_EG~~GA~I~~_~~~~~:~~~__._______n___________ ___nm_______u______ __ _ ... __________.___________ ________ ... ~__ LJ__~=~~~~TION OF ~_~~~ AV~~L~~~~~_~___.__m____. _____ ____u.____________._.__ _ .. _____.u__n ___...._..._ ____ . ._____ ~~_~~IFICATION o~~~M~~ TR~~~~~________________ ____________________________.______________u_____ _ __u_ _____ ~ LJ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~-a--~~~RGENC~- PR~CE~~;~~-~DEQ~~~~...----·n---m---n n_________________________..__ Un' _u _._m_m_______________ -.. ..__m__n.. n ___________._____.__.____._________.__m.._..n___._...._______._.________.____+.___.__.__ .___._ .. ._.____.._.__.._____nn_._ _ .___ _.... _ _.. _. _.._. _.. _ __.._ _.___._. ~_~__~~NT~N_E~~ PRO~E_~_~~ _~~~~=~____ _ _________ _ _ --1------------ . _h_______nm__ m_'_ __ _______n_ . ______ __ .. _______ ~ LJ HOUSEKEEPING. 1· _l\m_~_n~I~~!~~:~c~~~_____m________________ _____n___ ________.______ ____________.__ ____ ..____ _ _ __ nn______... _ __ ___. ~ LJ SITE DIAGRAM ADEQUATE & ON HAND I I ANY HAZARDOUS WASTE ON SITE?: )( YES LJ No EXPLAIN: U5J 0;/ ð ._~..__...._-------_._-. -------- (/ Badge No., ..--.--.- G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 arty White . Environmental SeNices Yellow - Station Copy Pink - Business Copy I~RE CHIEF ~~(;¡\j :=R..:..ZE 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 iAFETY SERVICES· ENVIRONMENTAL SERVICES ,I' 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-<1576 PUBLIC EDUÇjATION 1715 ChestElr 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 15,2003 CERTIFIED MAIL Mr. Julio Sical Whitewater Carwash 7991 White Lane Bakersfield, CA 93309 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Sir or Madam, Our records indicate that your annual maintenance certification on your leak detection system was past due 12-11-03. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have fifteen (15) days, November 19,2003, 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 yours, Ralph E. Huey Director of Prevention Services By: it:- (/¿£ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBD/db "" ¿;o~ de Wonl/nU/l~ ~Oß uØ6OP8 .o/'k.,¿, A WeAb/~<t<t It - o · .::r ,,..:¡ ru · .::r , LI1 , ..D · .::r U.S. Postal ServiceTM CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) '["- iO ,0 : 0 Retum Reclept Fee (Endorsement Required) ,0 Restricted Delivery Fee BUt:. S · c( (Endorsement Required) AK~}1SFlEl ..D · ,-:¡ Total Postag Mr. Julio Sical Whitewater Carwash 2301 H Street Bakersfield, CA 93301 . !i Postage $ Certified Fee 4 0 l!~ark /'Iere '; ~ \, 'm '0 , 0 ["- - -==-=-=--=-- - PS Form 3800, June 2002 See Reverse for Instructions ~ .ì - e MONITOR SYSTEM CERTIFICATION For Use By All Jurisdicllons 'MIhin the Slate of California Authority C~ed; Chapter 6.7. HeeIth and Safety Code; Chapter 16. Division 3. TItle 23, California Code of Regutations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who perlorms the work. A copy 01 this form must be provided to the tank system owner/operaIoor. The owner/operator must 8I.Gmit a copy of INs form 10 the local agency regulating UST systems within 30 days ofl8lt date. A. GenenllnformMIon Facility Name: WhItøwaIer Cswash Site Address: 7991 V'lhite Lane Facility Contact Person: Elia MakeIModel of Monitoring System; Gilbarco SIN 50132702705001 Bldg. No. Ci1y: Bakersfield Zip: 93309-7685 Contact Phone No. (661) 343-1706 Date of T estinglServicing: 2 / 26/ 04 B. Inventory of equipment T~ Check the .ooroortlte boxee to Indlcete "'uloment I Iced: Tank ID; . 1 Røaular Tank ID: . 2 Plus 1= In- T ank Gauging Probe. Model: Gilbarco In- Tank Gauging Probe. Model : Gllbarco 1= Annutar Space or Vault Sensor. Model : Tr1S1ate Annular Space or Vault Sensor. Model : Tr1 State F= Piping SumpfTrench Sensor(s). Model : TriState PIping SumpfTrench Sensor(S). Model : TriState Fill Sump Sensor(s). ...." -- Fill Sump Sensor(s). Model : i= Mechanical Line Leak Detector. Model : it",1 Mechanical Line Leak Detector. Model : VMI f= Electronic Line Leak Detector. Model : Electronic Line Leak Detector. Model : F= Tank Overllll/ High-Level Sensor. Model : NIA Tank Overfill! High-Level Sensor. Model : NIA F= Dispenser Contalrvnent Sensor(s). Model : NIA Dispenser Containment Sensor( s). Model : NIA 1= Shear Valve(s). = Shear Valve(s). Þ Dispenser Contairvnent Float(s) and Chain(s). Dispenser Containment Float(s) and Chaln(s). Other !soeclfv øawoment \we and model In Section E on Paae 2\. Other Is' . ment type and model in Section E on Pace 2). ¡l!mk ID: . 3 Pem/um TolD: 1= In- Tank Gauging Probe. Model : Gilbarco In- Tn Gauging Probe. Model : 1= Annular Space or Vault Sensor. Model : T r1 State Annular Space or Vau/t Sensor. Model : 1= Piping SumpfTrench Sensor(s). Model: TriState PIping SumpfTrench Sensor(s). Model : 1= Fill Sump Sensor(S). Model : Fill Sump Sensor(s). Model : 1= Mechanical Line Leak Detector. Model : VMI Mechanical Line Leak Detector. Model : 1= Electronic Line Leak Detector. Model; Electronic Line Leak Detector. Model: Þ Tank Ovenlll! High-Level Sensor. Model: NJA Tank Overfill! High-Level Sensor. Model : Þ Dispenser Containment Sensor('). Model: NIA Dispenser Containment Sensor(s). Model : !- Shear VaJve(s). 1= Shear VaJve(s). :=J Dispenser Containment Float(s) and Chain(s). '':J Dispenser Containment FIoat(s) and Chain(s). ñ Other (9DecIfv øauioment lvDe and model in Section E on Pace 2\. Other . woment lvDe and model in Section E on Pace 2). C. Certification - I certify thai the equipment Identified in this document was Inspected/serviced In accordance with the manufac!ure(s guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify tha1 this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable 01 generating such reports. I have also attached a copy of the report; (check all that apply) : . 0 System set-up o Alarm history report Tec:I1ni<:a1 Name (print): MIchøeI Moore CertAic. No. 5.62E+08 Signalure: ~1It~f..aO v11AAA.; - Testing Company NIWI1e: Redwine Testina SeMœs, Inc. Phone No.: (800 ) 582-6368 Page 1 of 3 ~; - e Monitor System Cenlftcatlon Site Address: 7991 'MIite ~. Bakersfield. CA Dale 01 T œtinglServiQng: 2126/04 D. RMUlbI of T..ting/SerYlclng Software Version 1nstI¡1ed: Gilbsco x x x Is the eudlble allWTT1 ? 18 the visual alarm erational? Were all sensors visual I ected func:tional tested and COOftnned erational? Were all sensors Installed 8IIowes1 point 01 secondary containment end positioned so that other equipment will not- inlertere wi1h their r er eration? No' ~ alarms ere relayed 10 a remole monitoring station, is ell communications equipment (e.g. modem) operational? N/A No' NlA licable. E. Comments: 87 Calegory L-1 Annuler UnId L-2 STP SumP UnId 89 L-3 Mnular Space L-4 STP Sump L-5 Annular Space L-B STP SumP Normally Closed Normally Closed Normally Closed Normally Closed Normally Closed Normally Closed Manway Manway Menway Manway 91 Manway Manway 3 - Una Leak Detectors L02OOO'SieraI , 399'Z7 There Is no overfill proledion installed. p~ 2 of 3 03101 t e e Monltoñnø SY8I8m c.ntfIcaton Site AdcIrwa; 7991 W1Ite lIW1e. B8k.-sflek. CA D818 œ T estinglServiâng 2/26/04 ŒJ Check !his box if tank gauging is used only for inwntory control. o Check this box if no Ia1k gauging or SIR equipment is installed. This sec::tion must be completed if in-1a1k gauging equipment is used to petform leak detection monitoring. F. In· Tank Gauging I SIR Equipment: Com lete the followln checklist: x Yes No' Has alii ut win Þ~ I for and termination Indudi tesü for round faults? . Wlere visiÞle x Yes No' Were all tank robes visual i ected for dam e end residue Þuild ? Yes No· Was acx:u œ tem roduct leVel reedi s tested? Yes No' Was 8CCIK œ s em water level reedi s tested? Yes No' Were ell robes reinstalled r Yes No· Were all Items on the ui ment menufaclurer's maintenance checklist com leted? , In the SectIon H, below, describe how and when th_ deflc:lencles were or will be c:orrected. G. Line Leak Detectors (LLO): o Check this box if LLDs are noIlnstaIled. For electronic: LLDs, does \he turbine automatically shut 011 If \he LLD detects a leak? For electronic LLDs. does \he turbine automatically shut off if 8n')' portion of \he monitoring system is disabled or disconnected? F or electronic LlDs, does \he turbine automatically shut 011 if 8if'I portion œ the monitoring system malfunctions or fails a test? For electronic LLDs, have elllICC8SSIÞIe wiring connections Þe«1 visually inspected? H. Comments: All three leak detectors are the erne LD 2000 Sieral. B9 39927,8739938,9139929 p. 3 of 3 00101 . ',,- .,'''' ,'" ".'--.. ....... '-"". '-~-" . . .12/2112001 14; 35 6&18363177 - REDWINE TESTING PAGE 04 e' USTMonitoring Site Plan \,.o..,^c- 1 WL~\\c... l~ '. .... , , , JŸ" ~ . I . ~\". . .¡,. 0' \,? "'ù '7' , .~.t'. , . .'v.\~~ . ·0" . . .. ~ . . o 'ß'~ " . . . . . . . . Cþ~ .~.,. 7Q ....~. ~~ :1'0: '-' . ,., ( 'ÞO' " . ~ . .. oJ '-'$7' '5 <:f~'" "7 y , '~ . 'r'<': . \-, ~' .\,...~ ~l\~ ~~ ,. $1+,: > f ;"~.; i~:>:' ~~~>, ~\ .;!~ ? .~ ~b . \"'5~ . 1~~ :'.' . ~ i;;;~:' . r.,¡ , , , ,?~ '.' C ;:..r' . ..t i~? ,'. O· () ·0'.,;.. . ~.:-~~ ~i~~ ".,. .. . . . ~ . ;:¡ ':~ v- I~~:.~"· '~. .~,.~<$ . ~. I!"'~' · 'j, ;:~. C) ~ .~'. ~ :~.':'." , .. '.."-' t 7 ..\ ~ .. · . ~ ~.~. .... ~i ~:':'. : ~l~-~;; . ff:l~\<.. ~~~.; t. ·i....~' , I -&of · ;j!~'( : rutru\;Uons ~_,yOO already have a diagram that shows all required information, you may include it, rather than this page, with "~!i:t~ Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly ': :~... . locations of the fonowing equipment. if installed: monitoring system control pands~ sensors moDhoring .~ annular spaces. &µmP~ dispenSer paM, spill containers, or other secondary containment &IUS; ~hanicaJ or I~:~~unic line 1~ :deteáors; and in-tankliquid levcl probe$ (¡fused for leak detection), In the space provided, :~~. the date this Site Plan was prepared. . t.)d. ..... . ~J.:-~:";" : . . . : ..,.:. ~':-.~..,/ . . ..' ~"'r ..... .....r.;c;.',. : ~~:{ : ~f····· ~{<.:. - ~1;4- ~I \. O' , . . ~ 7 ~~. ~(, ....¡- , , , ~ , " . " , ., .~ . . y . , . ~ . Date map 'WaS drawn; .-.:b.. M.. S!::I-. ~- '-.. ..' ., :"' .,~:.r: .., '.......... . ......~,.. -:. .:- . ,. ... ..~..J:i.f'..'..,. . '. ~:t" -' " ..,:'..""" . ~:.'. :~~..-. ·.1,~? ~..~." ~':;-~.'. ~"::~'.~~~: !1:':.~f.~~~~~;.~~~~.~:' ';' '..~ ' " -... :'';-;' ;:',:!: ,. .... ,. . .',' .1¿·:~":~:···· . ;~. . ~i:/f~~,~:,~~f.;.·;\::~t . . ::'. '/..... . .. ~ :. ~ .~\ > :' . . . - BKSFLD FiRE PREVENtIO~ e (661)852-2172 e p, 1 - ;. F-E Q 1 3 2004 7: 45 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester A ve., Bakersfield, CA (661) 326-3979 APPLICA TION TO PERFORM FUEL MONITORING CERTIFICATION FACIUTY f1J)f/Z . UJkl)'R C¿l~ ~/I , . ADDRESS . 91ft/I WItI71r ~E:' OPERATORS ~AME ~ JUt./o S/~~L owNERs NAME· b;rll? 5/1th? NAME OF MONITOR MANUFAcrURER 1!CJ!1J<S1l, kXJT 3S"O DOES FACIUTY HAVE DISPENSER PANS? YES-¥ NO TANK #I 1 !J ...( VOLUME /01< /t)~ /()¡¿ CONTENTS !? f9 9/ NAMEOPTESTING COMPANY Æ('þJ.JI/W' J6r7l~ S'ð",~tJ/CÆ CONTRACfORS UCENSE II s.? lð' ?! . /'f /f~ z...." NAME & PHONE NUMBER OF CONTACT PERSON W6/9?v 7ù~A.Jpe.( c '" )!JÝ'~fZ3' DATE & TIME TEST IS TO BE CONDUCTED 'tJ'g¡tS .2-ZC-ðÿ f.'C)O /JAI~ ~ ..- LatJJY£J APPROVED BY ~'/~'tJ<¡ DATE 1r~~ SI NAW OF APPUCANT -- - CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester A ve" Bakersfield, CA (661) 326-3979 APPLICA TION TO PERFORM FUEL MONITORING CERTIFICATION FACIlJTY (ÁJI!I715 u.J,kíðR CA~ t,uÆ'# , I .. ADDRESS 7 rCJI wt!l711 !.A/lJ£' OPERATORS NAME ~ J(fL./() S/~/fjL OWNERSNAME'SIrIn 5//fh:J NAME OF MONITOR MANUFACTURER 1It:f!:lJ6lL tððT 3¡Ç-O DOES FACIlJTY HA VB DISPENSER PANS? YES-¥- NO TANK # 1 ;; ~< VOLUME /0/( /IJ K ¡¿)/¿ CONTENTS t? f9 0/./ NAME OF TESTING COMPANY ß~/lf)tJ" 76r71~ S"'ð'¡tt//US CONTRACTORS UCENSE # S?l~?J'· /9 /I'Ý z-- NAME & PHONE NUMBER OF CONTACT PERSON iV6/rN 7ù¿,U"'.,e( CV }tJ~~923' DATE & TIME TEST IS TO BE CONDUCTED fr(l~S 2-2C-ðŸ /: oC:; ~,m.J . it, dinK£) - ~ ,r~~(JC¡ DATE ~~ SIGNATURE OF APPLICANT APPROVED BY 11/26/2663 14:57 6613926621 -- ,. Secondary Cont~inment Testin.g Report Form e PAGE 01/02 Pag.e _ _\.. ~,r. ).. .f ~\VI·~Gn. .fL1ìIUÐ.lŸ' ;:)002 ! . 1 thi.\'.fc.1/"'1 (.~ Intandad/rJr ".nt br C017fractor.t pe.rjbrml11g perlodlr. testIng (~f usr .tecr:mdalJI r;onfcil1meI1( S)'SWII.f, u.~,! 111ft (TPI'I'OprÍt;1lfl page" fJ,f thi.r/of'IIIIO røpOrl l'f;s1JlIsfor ell C()"'P()I1~"t$ tested. The crm1plefedform, ""rtrrrm /(m I'rrJcftcll/"c,t (711'/ pl'/ItII'IfI,fjì'n1l1 (asrs (if QPpllr::ablfl), ,should bfl Pl'c'''I'(/ad (0 flre/fJr,:ilif)' r)wIler/op(i:ralm'fo{' subll1irfa/ to thfl loc(1/ /,t¡.g-t¡/,rlo/·y (7,~(.''''T. I (II tL~ ].--.----.=.~J , __."...,. N'," ",; I --,' ..... . -'1 _.....~,... .,..,." .~ -........,,--.-.. Z. TESTING CONTRACTOR J:NFORMA1ION "1 ......- J J........-- .. .. ~. ... CO~!Ir.a\1Y Name: RI CH EN" t -aON:MEN.'T' ÄT ., . . ._ _:~::cl~I~5!'~~.Ço\,ducting Test~ ~f~ ,~ <':r'edcnti(lh¡: ØJ CSL.I3l..lcenðec! ~ont1'actor' 0 $WI~C'~ Licensed TMk TeRtel' , .... -.-. ..-,"..--.-.---". -¡ ~~~:~~.!:~:'-~6..11 D40 __ . ~' .". "~","",_.. .. !J.i.~~.n~e~:~~..~~.6.:~_~ '" ..... .~....._"... ..__. .; MJI)!Jra~tul'er Trainln¡ i '" Cº-mPQnellt(:;) _ Date TrÐi~~...£. Ex£ir~:\__~ ¡NCON TS-STS 8/04 ¡ ...._<r_ .__.... ,., r ~--l \,,--.-.-.--- # -...."" "..... ,. ...":,,,···_-t ~~~!!!.t)cru·er INCON _._-_..~---- -...."'..--... ..,..-.------.... ,...,.,-- , , ---:, .._.__.__.....~... --.,. __..ttIf/W. .-........ .. ¡.... ...--. -..---... _e. ......- ... ,.." ,...' -.. "j , ",.lrJ"o"P:T. ~.' RepRlr, N()t I Hoc,,:!, Component Pus Fall Not Component PASS 17all 1estcd ~I~.~.e. Te.ste~+Ma~ A-iîi1ì 11 AA ~~.- fK ..., .- [I 0 0 r- U f'": I . ..J _~L___. . ...--... -........ f-"'- (1 0 [J [ 0 l.J C: ! ....--- ..- ....... .. O' CI C1 C1 r] [1 :ï : I ,....- -.- .~ -__L__. . 0 (J rJ r.1 (J [I n I ______0 --. ............ -- . .! - U [1 0 rJ 0 [] ..., ., -..,-...-- e',. _.. ,.., '" '" ..,,- . , '," "" I. .... ~.. .. .. 0 [1 [I C] l] /J . . _. ." -f.., - :,~- ....--- If'! ,.... [J [1 0 n (] Li [1 -,_.....,.".....,....- - ......-...- ."".. ..- --.,. .. 0 0 0 U rJ n D : 1---- --...... -.. ....-.- ....- .- _._'''' .#0.._ 0 0 rJ 0 U (: ,. l . --.-.. 'A. nY- . .--- -- ¡.--:.:.~ - ~ 0 n CI CJ rJ i. ; ¡-, I -.....-...- .......-- ......",.,....,..... .~ .. . .J _ ..... .. 0 C1 fJ CJ rJ [ I'· .........--- . . ,,''''' .. ... , .... - -.--......- ;';:.. _.L. I-_~_ J .. .... .. [1 LI U [] [I [I U! . ...~_...- 3. SUMMARY OF T:E:ST RES{TL TS "".'j ;~ ., ¡ "1 I ~:.! ·-f ..í i --~ ~ ~ I"~ J .J T f hydrO:ltatic te~tl1g was pcrfo""ed, describe whitt WélS done with the water after cOll1ph:tion of t~sts: .,..............- 'R ~ ..~'-..- - ....,. - -' .... RECYÇ~: ANÞ R~FD .......-..--.. '., .-.....---- ..........-.......... ....--.--....... ". . ........- "..-..........- . _...,.......-...-~... ÇERTIFICAT10N O'F TtCRN1C1AN 'R.'eSÞON~T'8L'E FO~ CONDUCTT.NG THfS TV,STTNG Tn II,lt hesl o/",y ¡'7towle«te, tl'«lacft~ .'Mla n this documaltf n" f1 c"ra~f} nlll! ill l"ll compliance ~)if/¡ leRal ff1qlllremc",," TCl:hn ¡cilln's Sigl,ature' Dat.:~o/0J -. ~_I ~. 1.... 'I Tc~c MCtl'\1d Dcvcloped By: t:) Tank Manufacturel' .___ ...~. ,_ ._ Ll Other' (Sp¡¡(:!fj1J .._ 'l'cst Method Used: . 0 'Pres.IIU!'o ._....... ...__._....__.__ 0 OLher (Spedf.i~ Tc!,;tF,qllip,,'entU:¡ed: 4in, DIAL GAUGE ,"'.'''' I" " :'~i.·.I,"j· '1 .¡,' '·i,,' I, ',I ""'1',','1,,1.. ·.....·f I ,. .~, ", . ::;"'I:'~" .".~~,;,.'::I~·:lljÚ, . ..;rr:.....~.:. I~t _t,.'..;: '.:'¡'..; I. .., '.'~:,~';~\;'JJ;.''' ..:....'..-:.... '::(.~' ..:":" __.~'1~'''''r-'-- ._-~~W~/:·:,·~~.:....·:· ~;..>:':T:··,,~::..::::;,:~\./!:· T~nk # Jt\) l."'(,\ Tanl, # Tn"k # ..I.~ 'I,'~~k ExeJ"E~..~I'om Te5t~~g?' U Yes ~J., fJ Yo: 0 No.. 11 Yes 0 No .. Tm1k C'aps¡city: \ ~ t. ~·T~~~~.~?_~~rilll: _...... .1-, ~( ~ {,,~ < _ "'- .·~·.~~~~~~~~~ufaCl\l'e~:. . _ +("~:>..~ \J AJ t.. 'l'\ ""- 0 . ~ r\',^, ~ ~()l) Â_ t 0 ~..' :i~øo '.-.. 10 ..f.. I' ly.¡ r o \04 '\ b \{'-\ Q( Pass. 0 Fall ~~ ONI.' DNA I(Yes ONo DNA OYas oNo DNA DYes ON\') UNA DYes ClNC' :"IN^ 11/20/2003 14:57 í . ~wr~cn. ,7UIHla,.y 2002 \ 1 PI','dLlct Stored: \V~i¡i-limë b"ëtwecn applying "re~,~l\re/vaCIIUIl1/water and . .~(~1J't¡~£..~:~!: Tc~t Stlll't Time: ....--..... .---'.- _I~!.:!.~.~onding (R.IJ..: T~!':I' End Time: .....--.. Fi""\ Reading (1\,.): -----_.". T'c~t 01lI'otlon: --..------.. Chon!,.c In Readin~ (R,,-R): ..- ---.....- -- Pass/Faíl Thl'esh(lld or Criteria: - '-Tc:\tR~sult: ..'--..- \\In!! ~çns(ll" I"c'11oved (or testing7 10-."."........-.. - WI.'I~ ~cn!lOI' properly replaced nod ',~l"Îtiecl f\.mctional after t~stin¡? 6613920621 -- e PAGE 82/62 Pag.e.: _~ of. ~. 4. TANK ANNULAR TESTING ~ .. ~ Jndusn')' Standard or. ~~..... o rrof~5sionflJ Hnginl:'.Cl· ..----- ..'---. :R1 Vncllum. o Hyd rostlltje - ...........-- Equipment'R,e50Iution: ,5% TAJ1¡;# +,"",1'- DYe; 1,1 Nít '''''-''--...-.. - ---.-.-- - .- .._··_..··-..·~i --....- --...-. .. -, .. . .-....-----.... _..... . .w ... _._........~ -, - ~- .. -..,..--- - -- -, ...----....--..... - ---",....---. ---.;¡r-- ---'-"-"1 ,.......-..- ,..------- .', -,- ~"- .-....--..-... o Pass [,1 .FI1 il DYes ONo QNA o ."Pass IJ Fan DYes l1No DNA [Jp¡¡~~ rJFníl ~--- DYes ONo 'JNA .,......- ......- _Ç2.~~~!!~l1t~ - (jnch(de il¡fof'111Clllon on r~p,,¡l's l11ada p'rlor fo taSIi'!.£.!T1d ,.(?~omf11el1dedf()lloJ!·-III?[(),..raJled tens) .-' .......--- ,...-.--..- -.. _....... " 11 -.--.......---.-.. .........-..- #''''''--' .... ....-..--.- --....-.- .'.---- 'H'___'" _ .--.... ~-_..._--- -..-....- ----., " -_..__...._~ .. '--..---..' - ,'-'--- --...-....... .-....--.... .....--..-.... ----.... ,"'-'''--- --~. I Secondsry containment systems whel'e the continuou¡; mon.itoring automatically Inon ¡tors bNh tbe prll'nary and seco.ndary cl"l1loinmi.:nt, SlJch Ð:'IlIystcrns that lI'e: hydrosti'tically l"onitored Qr \lnder constant vacuum, al'o exempt from periodic cn.ntainlnent ...1 :.... 1,....114>.._:.. "'.,rI.. ^f' O......I.Hn"c Tin,.?":I ~nr.tln" ?fi17(A)(6)} 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"()576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3696 FAX (661) 326"()576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326"()576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 'fA, ~ . November 19, 2003 Sam Siam Whitewater Car Wash 7991 White Lane Bakersfield, CA 93389 RE: COMPLETION OF REPAIRS Dear Mr. Siam, Repairs to your 89 Annular Tank were conducted on November 18,2003 by Redwine Testing, Inc. under permit #BI-0323. Certification testing was performed on the same day. Accordingly, your system is now deemed (Secondary Containment Testing) and requirements. compliant with SB989 meets current code Should you have any additional questions, please feel free to contact me at (661) 326-3190. Sincerely, Jk~ Steve Underwood Fire Inspector/Petroleum/ Environmental Code Enforcement Officer ""~~ de ~n~ ,%/e ~0Pe ykt, A ~~" ~_NO~- 3-03 . - . , , MaN 1 &4 FROM B.S.S.R. ec. .0Y .1 . . .' I ' ; . . ~~y ;:::¡::; f.J .$pE~1'o(¿. (...11'1 i) é: -.<. t..<-~C) é.') 0 :: . \1$~ Annular $p'~ . .... 717 Ta~" 1 N'Ëê':P .,' . SECOrroARY SYS'fEM CERTIFIC~ TION F01ù'\<l . . DATE-Ie> -2..~ - ,b 3". . FACJI.,ITY Q) W lijTÇ: W/4'("e(.!.. C'..# a. k)~ S H- " F~ÇµJTY ApD~: 79 1/ t..vtl~'-.:E· ¿)..If d t1 1:::. ~~ 'J.'Ime Initial Pressure :':'; 't.. ';. '.,~~n. . . 'i~ Pre.re " .', ,~ .,. Certification "1'" .'.' ," . . ': ($lgnat1lre) S~Ddary Piping , '. .$~~ . ~D~d~~re , . Eqd Time 1 . .' . "!IJIl~ Certification (SIgnature) , . .,1" f ' \ ; ep.4 ·ors ~ Tank 2 <.,~ (.0 (() '7/:;' P (,1.1<::.. . { Tank 3 ^/~~l> ~ / Co t rs . .-,-to . ~n...~''- - P. 01 'fA.-'L\¿' tt .if I h3-Dj' .. Tank 4 ç.40:- f'é:D q( ~":1 ... I: ~<r f!J ~ IlJ S.. ~:30 f.Q~ 6" l(j S.. '7'1 ":;o'~. ¿? ~r~ f.il/ S,5f3:D A ':/~" ~ ~e2 AI¢E.?> 5 ,,-1 c. . DÒT" -' ~71 -:- /"1 ~.~ ~K' F;1: I en P8g~ 1 of ~ ,F~; 16.0 .> . Line 3 Line 4 1"\/t;C' J '~}T ,b"..-;- I 1-'\ ¿: <:. . /j~\.. jJ?". ~ h~¿ . rA ~lêJO ~. N 0 {.o - . ::; - 0 ::; M 0 N 1 & :5 FRO M B. S . S . R. -. C . P.02 ':: " SECONDARY SYSTEM CERTIFICATION FORM . .' ' I :: ',.DATE It?·... í. > :-; 0 3 ~, I ·FAcILITtm,wt+";""..-œ~A1'"'e¡(" C!.A-V-¿"""I"f ~ H 'FAClLrt¥ ~DØESS ~. tvH7J-r;,' úv" . . . ' " Turbine ~µJPps f'7 G 9 ...... ,..... ~1 Sump 2 Sump 3 Sump 4 .001 . 10 :ç' 4a' I 6 ÑA.' ,1/"" , Start Time /0 /ð : .5"6 - ~tIal HeIght ofWa* G.',<\? ( './:1..0 S-, 4 ? '2.. " Time /ð ~ SC; 10 .11 '¿ <.:> ~ $'~ .. Water lIelght -S'..~ f g f:, ·IL 0 'S' . I-¡??.. TiDae 11 ~ .0 l).. . /0;..2.(... 1 ( ~ 0 ~2~ Water~t '6'. ~ ,~ {,-I;J-o ') -; '-I 7 ').. 11me JI ": óç J f.!:) -; "1- ~- " "'ðs,""" Water ~etalû $"..., I ~ 6. I ~ D C:erdncatlou ~ ?~ (SI.....rè) pt1 ssë=b 0verðII B~ ql ,II Qv.ernn 1 OverfØl3 . . S.-n~ :4'1 II; '-( / :;.., :: if) :1..:- 0 7 InhIal Be1¡ht <6, ~'8"~ ~.1t¡3 orWa. 7,/S' Time U"'.L( 12,: 10 Water }IeIgh~ 7- I ';)" ') ~"~7~ Time ) -,5D ! .Wa~,~~pt . . \ Ca1JftcadØII (Slpalure) '\:. : ,S~NJ;>~YSYSTEMCER1'IFIeAT10NFORM t . . . f . , . . '.'. ¡..DATE ~p....'J,. )""-;...Ð '} ~. , 'FACILITY m 4! l:f'l-;¡J:; ~1'1'í13.e C;tf·p"¿--'" 5 t-l . ¡"'ACILlrv ~DRESS ". A ~~~ ¿,.;~ . . . .' NOøv- 3-03 MON f: . . '. Turbine ~U. 1_56 FROM &c. B.S.S.R. P.03 . . b .. ,. "... . . . . -- ..... - Sump 2 Swnp3 Sw:np 4 . .., " 1.. '"(' . " . .~tart '"-. , , "" .- ,- : ~~ BeiPt ......,....-' ~Wa_ "- ~; ~ / , - TIme / . W.~ øeJa;ht ~ , ':. /' ~ 11nae . W8terBelJb~ , / " Time / " .' '" W~lIelPt ...... CertUicadoa . 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Line 1 8 Line 2 ~9 Line 3 Line 4 Start Time 10:30 10: '-10 Initial Pressure 5.00 p,>, 5,00 rs, End Time \O:~~ \0: q 5 ~ ,00 ($' f;).OO PSi . Final Pressure Certifica tion ~ 1 (')( nQ , (Signature) C~ ('~ Page 1 of _ ~ ':'¡,~ - .J~~'[~-~ WAT~R r~:f~RWA~~~ W:::=:;P TC:;TŒ >"y~ '. ',JH I T[ :...H ~L[I Cft. ~ ]0: '0 AM SUMP LEAK TEST REPORT ':::[; ,:.: T L.:.~. TE::;, ::;TftPTEC' ':. ':.:~ .~~; T ~::; T f1 !~:T I:~ D E:Ei:,Hi LEI..JEL ::riC' T I :'1!.:~ um ['ATE ::i',~~) i .~:::1)F~L l..EAK THRE::::HOlD ~I:::;:T;:[:::ULT ::;":" FILL ~~:~:T :~:;T(1F~T!:~.C) TEST ::::TARTED ':-:[C; I (J ~_[t.1[L D·m TI~1[ ]1;) I:+IT;:: EN[;' U-:U[L .:i1f: TH!~:[::::HOL.D T[::::T f<:E:::;UL T :::::7 I:;:: I 1... i... Tr':;T :=:;HiPTŒ ;T:::;T '::T;if;:T[[) BŒ H~ LEUEL :~, ;"~[) T I 1'1 [ Œ[' DATE ;'.:'.'~"~¡:> ; _.::"i)¡:·=L LEftf THf<:E:::HOU) ",. [::;T ';:[::::1.11.. T . YiJ~rn ~w~ ~j'~l~"~ j~TCR ~;~RWAS~~ E::;::::::P T[:::;Tt:¡;· "',<1] .,JH I ,.:. ..:~ E:AfŒP::::F I [lX' IJI. : I}. ;'9"2C1lß 9: 5~1 hr'>] ] 0·2':¡·20C(: 6.0LA H! 1 ø: 1;:) ,"1:'\ 1 O/2'9/20~;(, ,',.Z:Ü4 Iii 0.00:::: It-'. I r~C;~::Eft::::[[) "")j. Sl~r LEAK TEST REPORT Ü: ::::::~ "1T'~ T[:::.:T ::::T £11': T [[, ""1" [~~:: ~., ~:~: T (1 P T [, j) 8EG I ~.! LEUEL ;,HO TIr'l::: H1D DATE U1D LCI)[!_ LEAK THRE:::HDLC' T:ë:::;T ::ŒSUL T 9 ~ ~:¡~; ¡1!" 1 (1/29.·..'200::- ;::..47':':0 Ii< 10: 10 At'l 1 Ü/:i:9·/¿OØ3 t.. 4826 H~ Ü.002 Hj I NCREf1SŒ ::;:'3 FILL. T[~~~;T :::::T ¡:1b:";'~~r) T[::::T STARTEC' ',::[C; I F' Uël)[L EtiC> TH1E CHD !HT!: END LEI)EL .,Jlf::: TH!~:E~;HC)LC' T[:3T RE:::ULT ~~: 5:, ftr,: 1 ~;v::::9..<:ØO::' 6.332(' It·! 10: 1\j 'j!" 1 Ø/29/200~: ':" :~,~:~::::: I H 0.002 IN ~3? \.:: ILl.., T[::::T :;::TAF,:TED Tf:5T :::;TIWT[[I BEe; H·i LEI)EL ;Hi) T I 1'1E om DATE i]·m :.Ei)[L LEAK THRESHOLD T:::}::T i~:t:::::UU" F'!1~:;~:;ED 10:1:::: f'i[" !.0/:·"'/200:;, 6.4100 Ir'; ) 1'1 : ",::: i~í'1 10.·..2·3/20((':: ;',.40'361:1 0.002 It; ,:::0 A ~:; :::: [¡) ;. 0 ~ :l :~::: ¡;i['1 1 O,··2·3.·..20~::C ':"q.::::2·:j H¡ 10: 33 Ar, 1 ø/:?9/:?tj~:1:~; Eo. 4:::;34 I i·¡ ø. ÜÜ~: I I, PA:::;::::EC' 10: U::: f'W :.0.'29/'::00:', t..:?446 IH : 0: "~:; ,~:; 1:11"1 1 ~V29/2Ii:KC 6.24:::/' I ~,l 0.002 It'< I r·1CPEA::;[[' - e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor, Bakersfield, CA 93301 FACILITY NAME W\".\c.. CÙtltcv-- tll( LUl~" INSPECTION DATE 9 ~ 1- 0 1 Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank D(l)R'.5 Type of Monitoring ð U1J\ o Multi-Agency 0 Complaint Number of Tanks ""3 Type of Piping (JWç ORe-inspection OPERA nON C v COMMENTS Proper tank data on file V / Proper owner/operator data Oil tile L / Penn it fees CUITent V Certification of Financial Responsibility L.- / Monitoring record adequate and current L.;' Maintenance records adequate and current ,/ Failure to correct prior UST violations /' 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 OPERA nON Y N COMMENTS spec available spec on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispcnse MVF? If yes, Does tank have overfill/overspill protection? White - fnv. Svcs. Pink - RlIsiness Copy c~c"mp¡;,"~.e /'ÍV=Vi()l~tion, Y=Yes I I~ ~ Inspector: _ /, .J L .Lt.Jrkl'_ / Office of Environmental Services (661) 326-3979 N=NO -- e ~.----- ------ N I AGAHA CAF:I".IASH 79'31 l..JHlTE LANE BA}~ERSF I ELD. '::A . ......~ "^- -----...' '~r- SEP 29. 2003 9:22 AM S\'~3TEt"1 SmTUS HEFOR~' -, -- .,~ - - -. -- -. _. r·- -, -- ALL FUNCT I Of,JS NORf"lAL I I'NENTOR''{ REPORT T 1: UNLEAD V()LUr"IE ULLAGE 9œ~ ULLAGE= TC '</GLUr"lE HEIGHT L'JATER VOL l..,JATER TEr"lP T 2 :F'LUS \,/0 L Llr"lE ULLAGE 90j~ ULLAGE= TC I,JOLUI"IE HEIGHT 1."IATER VOL l,JA TER TEf"lP T ~3: ~3UPER \/0 L Llr"IE ULLAGE 90% ULLAGE= 'IC \.IOLUf"lE HEIGHT L',JATER \lOL ~,JATER TEI"lP 39'15 GALS 8049 GALE; 6846 G¡~LS :3897 GALE; 34.89 ! NCHEf3 o GALS 0.00 INCHES 87.8 DEG F 5935 GALE; 6089 GALS 4886 GAU3 5805 GALS .:/ 7.2'.7 I Nr~HÐ3 14 GALS o . 75 I t"~YEE; 91.2I~ ,iF ~~ :3811 GALE; 8213 GI,LS 7010 c;I,U3 3731 GALS :3:3. B2 INCHES ' o GALS 0.00 INCHES 89.8 DEG F ~ ~ M ~ ~ END M ~ ~ ~ ~ e UNIFIED PROGRAM If:-~ECTION CHECKLIST · SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 9330 I Tel: (661)326-3979 FACILITY NAME __~LÙlÅ~w "-~{C__._SAL__WwL___._______ ADDRE~S ---1 ~ q ( (,t)/~L~L----------------__ FACILlTYCONTACT INSPECTION DATE INSPECTION TIME -()q '"0 3 - -~. --....-------.----- ..'-. ~------.-.----.--.-..---- PHONE--·Nõ~----+·--·'---·-n- No:-õfëmployees"----- _____.__.____._____________ - _:lll{~__ __)'6________ Business 10 Number 15-021- Section 1: Business Plan and Inventory Program o Routine r1. Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection c V ~D ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND -~--------~------_._-~-------_.__._-_._--_._----- ____. __.____ ...__ ____.__u____.__.______ _. .....___.______.._. .___.nn.n._____._____.... _.... _ _.... ._....._...___ __ ____m_·..____·····___ ..... .-.--..-- ci/6 BUSINESS PLAN CONTACT INFORMATION ACCURATE _____~_____________________"_______..___~__._____..__ ..__.__,_.____.n.._.____._. . _ .___._..__._._____ .._._...__._._.__._,~.... _..___...._..__ ....__.. _...._..__.._....._... cl/"D VISIBLE ADDRESS _._.____c-'-___.__.____.___.___.______._._____._._____ _. ___.._______.__...__ . _ . _ .__. ____.___. ......._ ....... .____ _ _____. ,,________ .___._._...._.. _. u .___._. ... . ...__ ._. _ __.._ cD/'D' CORRECT OCCUPANCY __._m._._______________._._______.______._._ ...___.__________ ...-. _ . -.-f-----.------.--.-- _ ,,---.--. ---,,----.-...--...- .-.--.-- ---.-. --. ----. ..----...... .--' . .. 0./ D VERIFICATION OF INVENTORY MATERIALS -?o-- VERI~~~~~ON OF Q~~~;I~;~~______m___...________ ---- -- ------...- --. ---- -- --------- ...____m__.. -------------------..-- __._.__~..__..._____.____._________.._.__._____ .....____..____..._ ... __ .........__. _.___._____..____._.___. ~..____._..._._ ____._____________.____.._.___...__ __. _.m..._..__ ___. ..n. .___.._ ro/"D VERIFICATION OF LOCATION .--.--/-----------------.-----------------------------.-- rtV' D PROPER SEGREGATION OF MATERIAL ..... r-----.------.- ---.----.--.-- ..+. _._..____._.. ______.m_ .~. _____...____._ ___....___.._ _. _... .__._ -_._----~----------_.._-------_._._._._- .....--.----------.---....-....--.---.- -- .-.---..------.-..-.- ..--_..._.-_..._~. ...--.-.------.---.----...--..-------. -..------..--.-- C/'D VERIFICATION OF MSDS AVAILABILlTYE __._.__.__~~____._______________.__________..________ ._n.. .______...._.___.. ._.__...___ _ __..______.__.______._.... .__ _._. _.__...____.__...n_____ n___._____.._.. ._.._________ - --..--.----..- m/' D VERIFICATION OF HAT MAT TRAINING (i/6~~IFICATION OF -~~~TE~;;;-;~;~~;~~-~~D- ;~~~~~~~~~- r------------ -- ---~---------.. - u________ .._._u__.. ----- -~--E~~RGENC~-~;;CE~~;~--ADE~~~TE --- --- - --- - - -- u__ -- ----- -- -- -- ----- ---- --- - - - --- ---- -- --- - ---------- --- - -- - --- --=-7..-- ------- - --- - - - -- ------- - ----- _m_____ ----- -------- -- ~- --- - -- - -- -- - --- -- - --- --- - - - - - - - - - - - - ---. _~¿__~ONT~N_EHS PRO~E_~~~~B~r=~_ ______________ ---J---- ______ ____ ______ __ _ __ ___ ______un u_ _ _______ ~;,:;s:::~~~~------------1----.---- _____________u____..._____.______.__._________ -. - ---- -.......---.---. r;~/o---SI~~D~~~~-AM -A~~~~~~~-&-ON--H~~~----- ------------ -------.----- ----.---- ----------- .-- --- u_ _______._u_.· . . - --- u .--- i ANY HAZARDOUS WASTE ON SITE?: qVES D No EXPLAIN: W&.Jt () It ~ \ lÁ-ir ~ '1- v\tk~I'-( frr ~ L White - Environmental Services Yellow . Station Copy QUESTION~f, EGARD~/TH/fSPECTI~N? PLEASE. CALL US AT (661) 326-3979 . - ~-- - -~------- --- Inspector Badge No., - --_._._---------~.._----- Bus ess Site Responsible Party ........... FiRE CHIEF ':;>C1'l ::RA.:E ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 SUP~RESSION SERVICES '2101 "W Street .j~kersfield. CA 93301 it. OICE (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(661~326rlD576 PUBLIC EDUCATION 1715 Che:lter 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-oS76 TRAINING DIVISION 5642 Victor Ave. Bakersf1eld. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . June 9, 2003 Sam Siam Whitewater Carwash 7991 White Lane Bakersfield CA 93309 CERTIFIED MAIL Re: Outstanding Repairs needed for SB989 Testing Dear Mr. Siam, I have discussed with Julio the deadline for repairs for your White Lane facility. All repairs are required by June 15,2003. This office has yet to receive a work plan permit outlining the needed repairs. Please be advised that you must have a permit pulled by June 16, 2003 in order to stay operational. I have provided Julio with a list of contractors to assist you in your efforts. If I can be of further assistance, please feel free to call me at 661-326-3190. Sincerely, ~vt~ Steve Underwood Fire Inspector, Environmental Code Enforcement Officer '--.. "" .%~ de rf'Nnnuuu(? --%fl ,jøgOfte' ,o/'bt, .A tff:../l/u/;?"" . - 10FFICIAl . :3" o '0 '0 Postage $ Certified Fee Return Reclept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) ,0 .LI' ,-:¡ ITI , ru ;0 ;0 ,I"- Total Postage & Fees $ USE Postmark Here ~¡;~AP£Ï'Tõ.;-.~..~h~._.--...--.............--....._...- 'Clty.0!..'::!Sta_~_~.?:_'__.lN~ /' "" .'1, ttl C' IJ . te.ZlP+4 ~~~.0-'~~ .-......- :11 ... 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 ~ can return the card to you. · Attach this card to the back of the mail piece, or on th~ front jf space permits. 1. Article Atldressed to: , SAH SIAN WHITEvJATER CAR WASH 7991 WHI'F'E LANE BAKERSFIELD CA 93309 ." D. Is delivery address öifferent from item 1? If YES, enter delivery address below: 3. Service Type o Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) 2. Article Number (Transfer from service label) , PS Form 3811, August 2001 7002 3150 0004 9985 4193 Domestic Return Receipt DYes 102595-02-M-1540 -~-~--- ... ~~ " f ç r- ( ) '"-'" re CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTING FACllJTY ADDRESS PERMIT TO OPERATE # OPERATORS NAME OWNERS NAME NUMBER OF TANKS TO BE TESTED TANK # VOLUME IS PIPING GOING TO BE TESTED CONTENTS TANK TESTING COMPANY MAlllNG ADDRESS NAME & PHONE NUMBER OF CONTACT PERSON TEST METHOD NAME OF TESTER OR SPECIAL INSPECTOR CERTIFICA nON # DATE & TIME TEST IS TO BE CONDUCfED APPROVED BY DATE SIGNATURE OF APPUCANT (" .-/ r~ , CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACILITY ADDRESS OPERATORS NAME OWNERS NAME NAME OF MONITOR MANUFACTURER DOES FAClllTY HA VB DISPENSER PANS? YES_ NO_ ( TANK # VOLUME CONTENTS NAME OF TESTING COMPANY CONTRACTORSUCENSE# NAME & PHONE NUMBER OF CONTACT PERSON DATE & TIME TEST IS TO BE CONDUCfED I ( APPROVED BY DATE SIGNATURE OF APPUCANT -- n .-/" (- j n '-" CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY ADDRESS PERMIT TO OPERATE # OPERATORS NAME OWNERS NAME NUMBER OF TANKS TO BE TESTED TANK # VOLUME IS PIPING GOING TO BE TESTED CONTENTS I \ TANK TESTING COMPANY MAILING ADDRESS NAME & PHONE NUMBER OF CONTACT PERSON TEST METHOD NAME OF TESTER CERTIFICATION # DATE & TIME TEST IS TO BE CONDUCTED ( APPROVED BY DATE SIGNATURE OF APPLICANT ..I ~ I l.1'~'1.~ . '\' ,. " SWRCB. January 2002 It e Page -L of 2. Secondary Containment Testing Report Form _ Thi.~ form is intended for we by contractors performing periodic Ie.fling of UST .fecandary containment systems. Use the appropriate pages of this form to report results for all components tested The completedform, writ/en test procedure.f, and pr;ntout.~ from test.f (if applicable), .~hnuld be provided to the facility owner/operator for suhmittalto the lrx:al regulatory agency. 1. FACILITY INFORMATION Facility Name: Niagara Car Wash I Date of Testing: 2/5103 Facility Address: 7991 White Lane, Bakersfield, CA Facility Contact: Sam or Julio I Phone: 661.832.7348 Datc Local AgL'Ilcy Wa:; Notified of Testing: by phone, call from StL'VC Underwood Name of LocaJ Agency Inspector (if pre.~ent during testing): NI A Company Name: Central Coast Taòk TC!>1in~ Technician Conducting Tcst: Robert Ilankcnson Credentials: o CSLB Licensed Contractor X SWRCB Licensed Tank Tester Liccnæ Type: I LiccnscNwnber: CA 91-1169 Manufacturer Trainin2 Manufacturer Componcnt(s) Date Training Expires 2. TESTING CONTRACTOR INFORMATION 3, SUMMARY OF TEST RESULTS Component PII!I!I Fail Not Repairs Component Pass Fail Not R~palrs Tested Made Tested Made T#l (91) 0 0 X 0 UDC 5/6 X 0 0 0 T#2 (89) 0 0 X 0 UDC 3/4 X 0 0 .0 T#3 (87) 0 0 X 0 UDC 1/2 X 0 0 0 0 0 0 0 0 0 0 0 T#l turbine sump 0 0 X 0 T#1 91 )ine 0 0 X 0 T#2 turbine sump 0 0 X 0 T#2891ine 0 0 X 0 T#3 turbine sump 0 0 X 0 T#3 87 line 0 0 X 0 0 0 0 0 0 0 0 0 T# lover spill 0 0 X 0 0 0 0 0 T#2 over spill 0 0 X 0 0 0 0 0 T#3 over spiJl 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 If hydrostatic tcming was ~Tformed, dcscrilx: what was done with the wat<..T after completion oftcsls: Visual fai1 on annulars - major work required to risers Visual fail on sumps - major work required to entry boots Visual fail on lines - major work required to test boots CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the be&t of my knowkdge, thefacts staled in this document are accurate ond in full compliance with legal requirements Technician's Signature: ~ Date: 2-1 t& 1 0 3 I God EBBO¿B9S0B u~~saL ~ueL ~seo~ te~~ua~ dOE=EO EO EG ~d~ ~ '. ;0/ ~ e e SWRCB, January 2002 Page ? of z.. Test Me,,.thod Developed By: o UDC Manufacturer o 1ndustry Standnrd o Profcs~,.ional Engineer o Other (Specify) Test Method Used: o Pressure o Vacuum X Hydrostatic o Other (SpeciJý) Test Equipment Used: UST 2001 probes or Air Bellows gauging system Equipment Rc..'SOlution: 0.()01 .. / 0.005" UDC#5/6 UDC#3/4 UDC #112 UDC# tIDC Manufactw-er: UDe Material: Poly PoIv Poly UDC Depth: Deep Deep Deep Height from UDC Bottom to Top of Highest Piping Penetration: Height from UOC Bottom to Lowest EJectrica( Penetraûon: Condition of UDe prior to Clean Clèan Clcan lcsÛt1Q: Portion ofUDC Tested Above product 2" Above product 2" Above product 2" Does turbine shut down when UDC sensor detects liquid (both DYes DNo DNA DYes DNo 0 NA DYes DNo DNA DYes DNo DNA product and wate:r)?" Turbine shutdown resoonse time Is syslc..'TD. programmed for fail- DYes DNa DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA safe shutdown?- Was fail-safe verified to be DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA o~'"I'ational?- Wait time hctween applying 10 mm to mins 10 mins pressure/vacuum/water and startin,g te~1 Test Start Time: 0 0 0 Initial ReadinlZ. (R.¡): 37.0 76.0 37.0 Test End Time: 30 30 30 Final Readinsx (R,,): 37.0 76.0 37.0 T cst Duration: 30 mins 30 mins 30 mins Change in Readin~ (RF'"R,): 0.0 0.0 0.0 PassIFai1 Threshold or Criteria: Test Result: Pass Pass Pass o Pass o Fail Was sensor removed for testing? DYes oNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA Was sensor properly r"''Plaœd and DYes DNo DNA o y<.,'S oNo 0 NA oy~'S ONe DNA DYes 0 No 0 NA verified functional after testîn~'l 4. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Comments - (include information on repairs made prior 10 lesting, and recommended.fòl1ow-up for failed tesls) Maior work reauired to other comt)on~nts. I If the entire depth of the tIDC is not tested, specifY how much was tested. If the answer to !mY of the questions indicated with an asterisk (*) is "NO" or <'NA". the entire UDC must be tested. (Sce SWRCB LG-160) £'d £BBO¿B9£OB u~~saL ~ueL ~seo~ le~~ua~ dO£:£O £0 £G ~d~ 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 PREVENTlDN SERVICES FIRE SAfETY SERVICES. EHVIROHIlENTAI. SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326.0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326.0576 fiRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326.0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 ft e_ January 22, 2003 Niagara Car Wash 7991 White Lane Bakersfield CA 93309 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1,2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Si~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~9~ de ~r¥~ ¥OP vØtOPe .r~ .A ~~" )-- e . . CCTT 8056870883 p.l ~ ';j :~ .~ '1 f tl TO: it t' !1 ìi !; ;~ :1 " U " .' \. f' t ~ Phon~ [Fax Phone Co {oJ I Date \2-}20/0? ;~ Numbar 01' :;~9es it?c!!.JdÙ-¡(! {\?\t$: sl>et1( JO ~ . - ...-... -.--- ~¿,(p ~ FROM: " '1 ~ f ~ ,'..; .. ~ . ~ ~~ Pt;One ~I 11 := :_ t ,9X ~ t\ ~~E: \l\{\\J~WQ)Ob Centra! Coast ïa.nk Testing P. O. Box 2155 . tçc: r. ~ REMARKS: , Ii t\ H !'i ;¡ 0' j} 11 ;¡ !i :¡ I; U 11 1i " I' ;1 I: r,f II 11 H ,. ,; ¡; ¡; H 0: Ii I; ti t: .\ " " :1._..- Sf:f;ta ~art~ara. CA 93120 $()5.t~8:t. {~e:,·~n --..------. --......-.-...--.....---... {J'5ï(p 805..68:: 3)8·gg ----....--...-..----......--. . o Urge.r;it o For yaur fev¡eH' 0 Reply ASAP 0 Pfef'1se Gc.::mmem a\>t>\;~ ~V-- t-1\~~ (\;\ ~-\-(.u* ~ W~ ~\ d 3 Q l ~ llf'l \a.%-T ~d I \>\OL~S ~~s - SD.A.CJ....t~ , ¡ I I I I I I I ¡ .-..---.....--..-.-- ì '- e e Dee 20 02 09:01a CCTT 8056870883 p.4 Central Coast Tank Testing (Çjß., .-'-'" -.....---- --'--";' ~~AO;:~~.X;~:120 . .. ~_ . ¡¡¡; TEL 805.966.9915 FAX 805.687.0883 SB 989 TEST PRO~EDURES The test procedures will follow one of three groups: 1) Manufacturer's, 2) Industry Standard or Code, and 3) Other engineered or third party evaluated standard or protocol. The logical hierarchy to which procedure used depends on whether it is a new installation site or existing site. With new installation sites the manufacturer's testing procedures applies unless the regulating agency allows any other procedure. With existing sites any procedure applies depending up on site evaluation at time of testing. Annular Testing Method The equipment to be used is NIST calibrated test gauges, Venturi vacuum pump, and/or UST 2001 acoustical ullage testing system. Manufacturer's test procedures Joor Plasteel Tanks Test Procedure. Summarized. Application is for PLASTEEL ELUTRON (jacketed) and PLASTEEL COMPOSITE. Assemble proper test apparatus. Slowly apply vacuum to IO"Hg. After establishing a stable vacuum with no decrease for an hour, maintain and observe vacuum for an additional hour. If no loss is observed after this second hour test is complete. Declare pass. If Joss is observed call manufacturer. Xerxes Test Procedure. Summarized. Check annular for vapor or liquid. If vapors/liquid are found, investigate the source and determine whether tank is leaking. If tank is found to be leaking do not continue and contact manufacturer. If no vapor or liquid is present gradually apply vacuum to lO"Hg and wait for stabilization. Mter wait reestablish vacuum to lO"Hg and start test Test duration depends on size (less than 20K thr, larger than 20k 2hrs.) If vacuum after test duration is above S"Hg. and annular is dry declare pass. If less than S"Hg repeat observations, test from 10"Hg up to three more times. Declare fail if readings are still below S"Hg and then call manufacturer. Containment Solutions Test Procedure. Summarized 1 e e Dee 20 02 OS:Ola CCTT 8056870883 p.5 The test procedure requires that a vacuum be established and held for a certain period of time depending on tank size, The test protocol indudes an initial hold time with a maximum loss of 2"Hg. If the vacuum loss in this initial time is greater than 2"Hg, the vacuum is then observed for a longer period of time with a maximum loss of 4"Hg. This continuation is some times required for the influences of temperature change and other variables.. Hold Time Tank Ca ci ' Initial Hold Time 2"Ho dro U to 15,000 allons 4S minutes 15,000 to 20000 Ions 1 3/4hrs 20,000 to 30,000 allons 2 3/4 hrs 30,000 to 50,000 alIons 4 3/4hrs *Total Hold time includes initial time TotaJ Hold 4" Ho dro * 1 3/4hrs 4 hours 6 1/4hrs 10 3/4hrs Modem Weld Test Procedure. Summarized. Adopted the Steel Tank Institute Recommended Practice for Interstitial Tightness Testing of Steel Underground Secondary Containment Storage Tanks RPOI2.01 Considers the influence of groundwater on the outer wall and uses the NFPA 30 as it's primary basis. I. Determine tank capacity and style of tank annular. (fype I, Type II, or Jacketed). 2. Determine ground water influence, 3.Detennine condition of annular. If liquid is found in the annular, further investigate and do not test. Identify if the liquid is water or product. 4. Check gauges and all test apparatus. Assemble apparatus to tank. 5. Slowly pun vacuum to 7"Hg or groundwater compensated vacuum. Allow for stabilization. 6. Mter stabilization obse~e reading for one hour. If reading at the end of one hour is within 1 "Hg of 7"Hg (tanks not exposed to groundwater) or predetermined vacuum for tanks exposed to ground water then declare pass. Industry Standard or Code Applies to any annular (steel or fiberglass tanks - any design type.). NFPA30 Section 2.4.2.3 states"... The interstitial space (annulus) of such tanks shall be tested either hydrostatically or with air pressure at 3-5 psig (gauger pressure of 20.6 to 34,5 kPa), by vacuum at 5.3 inches Hg (17.9kPa), or in accordance with the tank's listing or manufacturer's instruction. The pressure or vacuum shall be held for not less than one hour or for duration specified in the listing procedure for the tank. Care shouìd be taken to ensure that the interstitial space is not over pressured or subject to excessive vacuum," 2 e e Dee 20 02 09:01a CCTT 8056870883 p.6 Applies to any steel tank - design type. Steel Tank Institute Recommended Practice for Interstitial Tightness Testing of Steel Underground Secondary Containment Storage Tanks RPOl2.01 Considers the influence of groundwater on the outer wall and uses the NFPA 30 as it's primary basis, . 1. Detennine tank capacity and style of tank annular. (fype I, Type II, or Jacketed). 2. Detennine ground water influence. 3.Determine condition of annular, If liquid is found in the annular. further investigate and do not test. Identify if the liquid is water or product. 4. Check gauges and all test apparatus. Assemble apparatus to tank. 5, Slowly pull vacuum to 7"Hg or groundwater compensated vacuum, Allow for stabilization. 6. After stabilization observe reading for one hour. If reading at the end of one hour is within l"Hg of 7"Hg (tanks not exposed to groundwater) or predetermined vacuum for tanks exposed to ground water then declare pass, Southern California CUP A established testing guidelines. Refer to your own copy. General Test Procedure l) Secure Work Area using caution tape. cones, or barricades, 2) Site preparation which includes gathering and verifying tank information such as product levels, water presences, burial depths, annular conditions. last delivery, and groundwater influence. Start the job/test log. 3) IMPORTANT. Calculate all external and internal pressures applied to the secondary and primary portions of the tank. Equipment set up and verification of operation and safety to all equipment including sea] off equipment and apparatus. 4) Pun a low rate of flow vacuum estabJishing manufacturer's recommended test vacuum. Allow for any necessary stabilization time per manufacturer's specifications or procedures 5) After any required stabiJjzation time. proceed with the test. Note time and initial vacuum read. Observe incremental readings. 6) Obtain a final test vacuum reading. Dec]are Pass or Fail. Finished, 7) Release the vacuum slowly allowing ample time to establish stabilization. Disconnect vacuum lines. Remove test apparatus. 8) Restore the monitoring sensors and verify functional operation noting this in the test log. Other engineered or third party evaluated standard or protocoL The testing method to be used to evaluate the annular portion of a tank is the UST 2001 U (pressure and vacuum test), The test equipment has been third party certified and Jisted 3 e e Dee 20 02 09:01a CCTT 8056870883 p.? as an approved method of leak detection in the State's Local Guidance Letters (LG-J ) 3). The method is a non-volumetric, qualitative tightness test method. An acoustical signal to noise ratio preprogramrned into the computer. not adjustable by the operator is used to declare the space tight or not tight; pass or fail. The UST2001 U is a computerized sonic test system. Utilizing a sonic microphone and proprietary software. the 2001 U digitally converts, processes. and analyzes sonic signals in order to identify leaks. A microphone is lowered into the empty space through the riser and all openings are sealed off. The microphone is linked to an amplifier that relays the signal to a computer equipped with a high speed analog to digital converter. The operator verifies equipment operation and obtains a background signaJ prior to applying pressure or vacuum, One pound of negative pressure (vacuum) is applied. The operator obtains a test signal. A computer analysis of these two signals is performed. A leak. produces an identifiable noise signature. If this noise signal is out of range a not tight or fail condition exists. A "not tight" declaration occurs when a substantial increase in the acoustic noise signal) is above the background signal (when the tank is under pressure or vacuum vs, when the tank not under pressure or vacuum), The advantage of this test method is only having to apply one psi (approx 2inHg) of vacuum to the annular. The chance of over evacuation of the annular is minimized; the need to stabilize the gauge readings after inducing additional stress is minimized or eliminated by comparing acoustical signals. The following annular test procedure is identical to test equipment manufacturer's ullage procedure except for the incremental stepping up of the vacuum pressure and 200psi vacuum final test (2x required) General Test Procedure 1) Secure work. area using caution tape, cones, or barricades. Site preparation which includes gathering and verifying tank information such as product levels, water presences, burial depths, annular conditions, last delivery, and groundwater influence. Start the job/test log. 2) IMPORTANT. Calculate all external and internal pressures applied to the secondary and primary portions of the tank. Do not exceed Spsi net stress at bottom of either the secondary tank or the primary tank. 3) Equipment set up and verification of operation and safety to all equipment including seal off equipment and apparatus. 4) Obtain background signal in each tank prior to the inducement of vacuum. S) Pull a low rate of vacuum establishing O.2Spsi to O.SOpsi of vacuum. Run a test signal on all tanks. Analyze. If this initial "holding" vacuum produces a "not tight" condition, Check all seal offs and record gauge reading. Reestablish vacuum and rerun lest signal. Analyze. If the same results occur stop test. 6) Incrementally proceed by O.SOpsi of vacuum to 2.00psi of vacuum or calculated vacuum, which ever is less. following the logic in step #6 4 e e Dee 20 02 09:01a CCTT 8056870883 p.8 7) Obtain a final test signal, Finished. 8) Release the vacuum slowly allowing ample time to establish stabilization, Disconnect vacuum lines. Remove test apparatus. 9) Restore the monitoring sensors and verify functional operation noting this in the test log. 10) Restore Site. Line Testing Method The equipment to be used is NIST calibrated test gauges. The secondary piping system installed on most locations will be "open loop" or gravity drain systems The following is a summary of manufacturer's testing procedures (pneumatic ). Manufacturer's summarized test procedures Smith Fiberglass Installation: Secondary containment piping, 3" and 4" wiJI be tested by installing an in line tee with a test gauge at a termination fitting or test boot. Care will be taken not to over tighten and damaged the secondary piping fitting boot or pipe. Pressurize the lines not to exceed IOpsig and hold pressure throughout installation in order to monitor for possible damage during construction and backfilling. Note: Accepted practice has been to demonstrate integrity of this secondary line by holding 5psig for one hOUT with no apparent loss of pressure. In Service: Summarized from Smith fiberglass technical bulletin dated 6/20/2001. Technical bulletin for "In Service" Secondary Containment UL Piping Systems for open loop systems states: "testing 3" and 4" open loop systems with air to the equivalent static head pressure listed in Table 1. The test pressure should be left on the system for a minimum of one hour. The test pressure should not exceed the pressure ratings on any component in the piping system.".. Table I Test Pressure For n Loa S stem Feet of Head Test Pressure ( si ) 2' 1.0 4' 2.0 6' 2.5 8' 3.0 10' 4.0 12' 5,0 Feet of Head is equal to Hjgh Point in System to Low Point in System Ameron Installation: Allow for stabilization a few minutes. Check test equipment and fittings. Do not exceed IOpsig. Hold pressure for Ihour with no apparent loss. Environ Installation: Allow for stabilization using an inert gas. Pressurize line to 3psig- Spsig and monitor for one hour. 5 .. e e Dee 20 02 09:02a CCTT 8056870883 Advanced Polymer Technology Installation: Assemble testing apparatus. EstabJish I Opsig and aJlow for stabilization for a few minutes. Check test equipment and fittings for leakage. Each piping run should hold pressure for a minimum of 112 hour with no significant loss of pressure. Total Containment Omniflex Test at S psig (maximum of lOpisg). Piping Jackets Specjfically recommends hydrostatic testing but does have an air testing procedure. As stated above. Hydrostatic testing. Summarized. Tennination boots secured at tank ends. Water flooded from the tenninatjons at dispenser ends., ensuring no entrapped vapor. Observe established level for one hour. If the drop of level does not exceed 2" declare pass. Line Testing Procedure Manufacturer's summarized test procedures Smith Fiberglass Installation: Secondary containment piping, 3" and 4" will be tested by installing an in Jine tee with a test gauge at a termination fitting or test boot. Care will be taken not to over tighten and damaged the secondary piping fitting boot or pipe. Pressurize the lines not to exceed IOpsig and hold pressure throughout installation in order to monitor for possible damage during constt'Uction and backfilling. Note: Accepted practice has been to demonstrate integrity of this secondary line by holding 5psig for one hour with no apparent loss of pressure. In Service: Summarized from Smith fiberglass technical bulletin dated 6/20/2001. Technical bulletin for "In Service" Secondary Containment UL Piping Systems for open loop systems states: "testing 3" and 4" open loop systems with air to the equivalent static head pressure listed in Table 1. The test pressure should be left on the system for a minimum of one hour. The test pressure should not exceed the pressure ratings on any component in the piping system." Table 1 Test Pressure For n Loo S stem Feet of Head Test Pressure ( ) 2' 1.0 4' 2.0 6' 2.5 8' 3ß 10' 4,0 12' 5.0 p.9 6 ~- ~, e . Dee 20 02 09:02a CCTT 8056870883 p.l0 Feet of Head is equal to High Point in System to Low Point in System Ameron Installation: Allow for stabilization a few minutes, Check test equipment and fittings. Do not exceed lOpsig. Hold pressure for I hour with no apparent loss. Environ. Installation: Allow for stabilization using an inert gas. Pressurize line to 3psig- 5psig and monitor for one hour. Advanced Polymer Technology [nstalJation: Assemble testing apparatus. Establish IOpsig and allow for stabjJjzation for a few minutes. Check test equipment and fittings for leakage, Each piping run should hold pressure for a minimum of 1/2 hour with no significant loss of pressure. Sump and UDC and OverspiD Testing Methods. Equipment to be used: The level measurement capability of UST 2000P-2001 or the Homer &yChek testing methods. Sump Testing or UOC testing Manufacturer's specifications will be followed on new installations unless allowed differently by the local agency. All sump or ude manufacturer's test procedures. Summarized. Modem WeldIWestem Fiberglass New Installation: Test all penetrations. Establish a level above the highest penetration with no significant loss APTÆnviron Installation: Test aU penetrations. Establish a level above the highest penetration with no significant loss. All other manufacturer's: Applying the same principles as above, Existing Sites: AU manufacturer's Deducting from the State S8 989 Testing fonn, if tbe monitoring system is wired/programmed with fail safe and provides for turbine or pump shutdown then the portion to be tested is 2" above the highest product line penetration. An rinseate or test fluid wiIJ barreled and properly labeled for transportation or pick up at a later date, 7 I I '-.v - 'I' x Dee 20 02 09:00a 5"- CC, 805tÞ70883 p.3 Jsr--()L00 c¡-~&.;r- (fW"~) CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTINGtrRACER TESTING :=~t)~~)~. PI!RMlT TO OPERATE. . \'0 \A.- \ 5""2.. \ . OPERATORS NAME ,\t.J.\O OWNERS NAME ~ NUMBER OF TANKS TO BE 1"EST.ED ~ IS PIPING GOING TO BE TESTF..D_ TANK it l "2- "3. VOLUME t L... t~ ..' CON'IENTS Ç)1 ~9 '1{ " Central Coast Tank Testing TANK TESTING COMPANY ~.~ Post 0IIic:e Box 2155 -. Santa Batt)ara, CA 93120 MAILING ADDRESS NAMB&PHONB~FCONTACT~:~~= 9f1'1:li61·{¡¡l¡¡110 T.BSTMETHOD <;.p~~ \\öu)~ ~. . NAME OF 1ES'ŒR OR SPECIAL INSPECTÒR M..l:.-.D . CERTIFICATION # C., \A- q \. \ l\ lö~ DA ~4'lt TIME TEST IS TO BE CONDUCI'ED -').-/7...- Î I ()'L b (.2..... 'Z./2>I'þ2 . 1'2þðlf'k ~J-- DA SIGN· APPUCANT ý'~' · . ~DeC 13 02 12:34p CCTT 8056870883 p,4 DEC 13 2002 9:39 BKSFLD FIRE PREVENTION (661)852-2172 p.2 . CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACILITY-.JJ.'l Q ~ccro- ADDRESS--r~ q ~ tÙ~ \\E l AN~, I ~'c..ex\.<).fte.td OPERATORS NAME j u... \. '\ 0 OWNERS NAME ScvYV\ NAME OF MONITOR MANUFACTURER. \J~ ~.e...J2 C)Xj\ DOES FACIUTY HAVE DISPENSER PANS? YES_ NO_ ( TANK II \ L. ~ VOLUME CONTENTS ~Î'~ l,q~ --9. , Central Coast Tank Testing ~". '. . Post Office Box 2155 Santa Barbara, CA 93120 . NAME OF TESTING COMPANY tJ~Lo- t>-f. ~l~ CONTRACTORS UCENSB # q I - 1 \ V;, q NAME&PHONENUMBEROFCONTACTPERSON\¥C;tot'" 60. \\vrlb J ß, ~~ DATE&TlMETESTISTOBECONDUCTED l z..ll\ IQL- -hv\"~ ( Jz dLo ,~j,,~- ~S ih - APPROVED BY ~ 51 ATURE¿FAPPUCANT ~ - ?~ y' CCTT Dee 13 02 08:32a 9' e 8056870883 p,2 MONITORING SYSTEM CERTIFICATION For lhe By AII.IIIrØtJk:sloll$ W"1Ihin tile Sune cifC4/i/órnia Ardhorily Cited: Clrøpœr 6. 7. Hukb IIIId Stifety Code; Cllaptcr /6. Division 3, Title:J J. CQ/ifor'lJiD CQdø of keplfllions This fonn IIId$t b~ used f9 docøment .1eStÌIJg aad servicia& of ØIODÏCDring cquipmenz. A ~ ...,.~fj._inn or ~ nma Iz nrqøed fur eadI monitørin: !MI1em COJIbol P'PtIf by the technil:illa wbD performs eM work. A capy of this fbnn na851 be provided to the tBn1 ~ oWnClfopentlGr. 1bc: ownedopcratOr must submit a copy oftbis finm to die JOQIJ agpu;y rquJating UST S)'Stem1I wittúÞ 30 days or lEst date. A. GeaerallnfOl"lllatioa FadlityName: _ UI Ac.A(t'li\ ~ At. ~~~ she Address: , ,,\c, , u.J "' : \.r_ ~~_ Facility COÐ2act Pencm: ..:r:;. (;.""" c...R ~. \ JØ. MaJcdMoðd ofMoaitorina System: ~~ ~-.r CD ~<- B. løveøfory 0' EqaipJl1alt TestedICer1iraed CIoœIt die . . IIøIca 10 iMiatIr: . Taøk ID: e,...., . r:r Jø- Tmak Gau.me Probe. ~Ø"1I1ar Space OT V8IIh s.:o-. Modd: .... 5,;S il~...... ~II& Sump I Trmd\ S-.(s). Moðel; ~o;.~.3 2ow-.3 '._ BIdg. No.: City: ~ð\lL~'\o ¡~€\J Zip: _<:J'!.')Q'" COGta::t Phone No.: { i,.C" I } B 1I."Z... - ~~ 'DaIe of TesliøglSr:rvicìnz; '2-/.iLJ~ Maciel: 0 c=ta.oiAO D FW Swup ~s). S" MtdIaIIic:aI Liœ LcM Ocamr. Model: Model: ".....1oU UJ1/o? D ÐGCU'ODÎC Líac' LcIIk ~. Model: D ŸanIc 0wca1iII1 Hip-tcYd Salsør. Mode1: 8Dd model in Sa:ôoo E on D Otha T_. JD: C\I _ IiiI' fD-TIIJIk <ia&aIÏøg Probe. r;¡{ AnoøJ1Jtc Space or Vak Sensor. r;Z Piping Sump /1'rmcb $cqlOl(s). MÕ4cI: CGt~a Model: L.. os. - -:J ~()W.-J Model: L,..... . ~ a.~......:1 a Fill Sump Sensoc(s). œI~ Uœ LeaIr; DcCcaor. Model: Model: WIII'DC.u~;s "l,é1ð(>? Q Ela:IroPic LiDe I..cIIt DiÎõ.1Dr. ModcJ~ a TIIIIk OvafiU I High-Level S--. Model: a 0Iber anll model 1ft Section £ em Disp_r ID: , Q Dispeoeer Cantainnw:al ScDsor(s).. g SII,*, VaIYII(s). Q' r CaPlå:aøeal A s.ød CbB DiIpH.,. ID: .3 _ a Oispcmc:r COidaiamcnt Seascn(s). Model: ~ ar'SJIIcaIr VaIYC(s). a' CœtIÚIr.IDUI Dilpeuer m: a Dispeaser c-r-l SaIIior(s).. Mockl: Moclel: Q Shœr V.....C(s). a - CoøtaiDmart 'PI s &lid s ." dae iKility ~ !lIOn: Iøb or dispeøSåS, copy I2üs (oma. Tpk JJ); ~ IiJln-Taøk~ Mo4IeJ; 0 q~o uf' Anaular Space M Vaall SI:Dsot'. Model: LS -~ ~ð~~ ~I: L.S - '3 2.a...,.....:J ÚPipiOC Sump I T~ Scuœ(s). a Fill StøDp senSDr(~). G"MeduIJricaI UaelAå Dc:r.a:mr. Mode1: Model: ,,~~ ~oon \"Þ C EtcaJ'ODk tine Leak Dt4ecCw. Model: t:J 'J'aak OvcIfiU Iltip.-Lc:wi Sen~. Model: a Ocher an4 model in Scx:Iiøn £ ØII T-'c ID: a Js..TarIt ~ ~ Nodd: a ÅDß1IJ# SpIçc 01' V.aulC 5atsor. Model: D Piping Sump I TrWda Seasrø(s). Model: D FiJI Sump 5cn¡a(s). Model: D MechIDicaÎLine "4* Derc:ct.«. Model: D £Iedronic Line LaIt DeII:dor. Modd: a T.ac 0wafiI11 J.Ij~ S-, Model: D OIlIer -.cJ ØIØCId in Scx:tioa E oa M.odcJ: MocId: [J 511..- V.m(s). D Dá cøser C-~ FJ .Þãpcqer1D: Q Oi.tpeaser C....... Scuor($). Moder: Q SIIœr Vlllw(s). . a' CoIdaiDlNllt $ aød s Jnc:IIIdc ÍIIfOnIIIItiOn for e\'aY.1IUIk MCI dispena:c 81 Ibe &dUlY. I.¥ e e 8056870883 p,3 ~,.., ...... Dee 13 02 08:32a CCTT ,. l.:. ~erUlic:atioa -I CINtIfy .... Dle..~ id_1iIicd ill ... d_...a .... i..~ po;¡ '~-iad ill ~ ... die ..............rcrs·......... ........... tWs ~ fa ~ (*-e- ...~, dlecIdIsU) a.ec.suy fa 'W'rifY...... iafar'matIM is correct _d. .'.t PIa.......... Ølc Ia.fnt fil~ .mt.J'~*-D7 a,¡.~ ......... 411'.......... ... nporù, I..,. .... aIIIpW._ ClOp)' !!f!Ie ~ (t::ItId tIIl""".",.J: . ~6t-uP 13" .u..... IaIdør7 report TedmiQaa Name (print):~_ SjpaQn;' Dt Cerâficatiøn No_:~'!:;:S".35O{ License.. No.. ---" - C\ t -Ub, TestmgCompaayNlDlllle:~~~~_ ~....\.. . Pbœt'No.:( ~ tL..ID.~ &..L.'\ð SiIf: Address: ._ Dafc ofTesdøglSc:rvic:inC: 'l../1Ll9L- hpUf3 aMI MØIIQråI! SystnI Certif'lC8tio1J D, R.WàOfTqdD~Senœœg Software Version InsIaUed: g.ciJ . -...-....... Is the audible aIIWøJ Is the 'VisaaI alarm ? Were all seGSOß vi confinøeð . onaI? Ware aU scøscra iDsIaJled at &nw:st point ofsocoDdary ~ 8I1CI posiaioocð SO thai odIer eqpiJacDt wilt DOt intorfere with thI:ir . fJ It a1anIIs .-e n:Jayed to a nm*1DØJtÌIOñItg station, is aU ~ For prasaøi.œd pipin,g sysu:ms. does die 1UItIinc auI01Utic:aII)' shatclowD iClht pipiag~ COII1IIÙUhCat maniIoring sysu:m detects a leak, fails 10 apeI'$ or is c:Jc:dricIIJ)y~? Iryes: which scmors üùIi8œ pasitiw shut-doMt? (C/Icr:/& all thtIt øpply) fir SIUIIpITrenc:b Sensws; 0 Dispeaser Coraraiamcnr Scnsaø.. Did c:onfiJm ., sbut-dOWl1 ø to laJcs.ilDd se:asar fiúlurcIdi~7 ,t'"v. . CJ No. POI' taøk s.ySfICmS UllllIItiIiø tho mooiÞiøg sysum as Ibe primary butt ovediU wanûag device (ì.e- 110 meç1IAn.e¡,1 overfi1J pftM:II1ÌOII vaJye is iDslalled). is die owedill wamïnø aØrm visible IIIICI awlihIo.dIe bait fill . s 8Itd' . If at what ohmic . does die aIama tri " Was aøy moniroñlJg cquipdwmt ftP1aœcI? 1f')aS. ideadiÿ specific seøsorz,. probes. or othar equiømcbr JÇIaœd aød Ii&t tbo maaufac:bln:r name aMI modeI_ an in SeecioD below. Was liquid found inside aay seœnd1III'y c;OG~ 5)I5CaDS dcsigJi:d as dIy S}'&GmlS? (Chtd 1111 tbIII ttpp/y) a t:I Wate'r. If describe cusos iD Scctiaa below.: Was I'eYÏewed to CDSIØ'O seam A.ItadI set ~ -res ~ Isallm mllDlfiu:.......? · I. ScdiDD Ii: behrw, dacrlbe..... ... db Iftae deficJ~JW'I- wue or will be correded. die CJ No* a No· D No· D No· ? Yes [) No· Iil""NI A Q No* ON/A commuaiCil&ions eqaipmcnt (Co8- mocIem) a Yes o Yes II Jd:able E. COlDØle.~ ~~~ 01.3 As;. Gt...-t.. ~t.3\")uUAo«" 6\>flc..~ ~o"'eo.\J <",<1/ v1 t ~If",-k T''!a.kJ ~,.JS;Ool o~, ,,~~..... t. "";>,J.\- bA<.. ~ '-.Þ_ A....e..). ~Þ~,-t:.., l..c.t4- 9~ ~. ALAI\M. "'"'0 ~"'~ c!~ d.~ ~ Q/,.Aft."". ~1J~~ $O......{' ~£.~sor.J ¿ "f.~ Ot.A. ~'£.Û"Dr"S~ So, ,1c.. ~-"':. cto....~ \ hA.lt. v~.~.... ~\t~.1- J.o~ . 4S'-~CV'" > .s.~~sor..s ~c(, Iø ~~. ~ G..'~ 0- ~~~~ DPf.~~L a.w~ LS1 -.... -.- -- "'2013 8M1 ,~ e e 8056870883 p,4 ø,¡ Dee 13 oe 08:32a CCTT F. Ju-Task Cauging I SIR EquipØleat: o Chec:k lbis box fftadk gauging Is used orúy for iøvcnrory c:ontro1. a Cleek ¡his box if rI() tank pugine OT SIR equipment is ;nsralled. This section must be completed if in-tank gaoging equipment is used to .perfurm Jeak dcteclioD moniLuring. ComltfeCe die foUu",iup cbeeldíst= U Yes a No· Has aD iaput wiring bcca ìrJspected Cor proper enqy aøc1 œrmina&ioa. încludlog taring ror ~ &ulrs7 C Vc¡ [] No· Wen: all ClInk Gauging probes viswdly inspeœcd fur dølagc and n::sidue buildup? a Yes 1:1 No- Was acc:wacy of ~rcrD prude level n:actiD!s œsœd? avt!:!C aN~ Wa$ acewaçy of s)'$lÞn water IewJ I'Uldinp tested? a Yes a No· W_ all probe:; rein$tltlkd pRpt:rIy? C Vt:S I:J No* Were .n iœms ad Ihc cquipracDt b1l11Jufiu:IuJer's mllÌlltenarlœ cbecIc~SI compJdect? . Or III dtc Sec:1iøn H. bdow. dcsc'riOe flow aad wlaeG ..ae deficfCJlCICS were or wiD be .eorrceW. G, LÌQc Leak Detectors (LI.D): CI Check this box if LLDs IP'e not in.-=aJlcd. ComDlC'CC abe fo1lcnril12 c:heddist: o Ye5 C No· FOJ' equipment start-up or ~ equipment certilieaûon, was a leak simulated 1In vcrif)' Lf.Ð pot1ònnance? CJ N/A (CñecJ: ø/J Ihat apply) Simulated leak taU:: C 3 g.p"'.; [:I 0.1 g.p.h ; t:I 0.2 g.p.h. aves a N<J'" Were aD LLDs conf"lDIIc:d ~ ami accurate within Algularøy Rquin:mems? Q Vcz 1:1 No· Wøs die œ:sting ¡¡pparatus ~ caIiInted? C Yes a No" Fðr mechanical LLDs. ~ tbe U.D J'eSU'Ì(;t pmcWct flow if it dclcct$ a leaL? Q N/A Q Yes CJ No'" f.Or e1ectmaic 1.L0s. docs the baIbint;: autonJati(¡¡dly shUt olnfthe I,LD dcled$ a 1c8k.? o NlA a Yes o No· For c:ledl"oøi~ 1J.Ds, does du:: lIlrbine autOmatically shut offifany portion of1lae mmùtoriog 1IY9ICm is disabled o N/A or discoanedcd? Q YC$ [J No· For cleca'OGic; LLDs. docs the bØ'blne autumatícally shut off if all)' ponion uf tM monïtoriD: system CJ NlA maI.fiIldion.' or W1s a tcsr? CJ Yes a No- For eJeçuonjc U.Ds, flavc all accessible wirÏI18 conncdions b&øa visaall)' ÍJ1."J)edCd? Q N/A a Yes a No- Were aU ire.ms on the equipment mMUCa.t:uøer"S IQVjn~ chœIdist ~eœd'! '" la UIe SediOJl. If. below, dacrlbe how aad ",hell dJese ddiciellcíes were or ",ill be ~rec:ted. fl. Couamenh; __ _, .--.- -- ---".- .----..-".-----. ..-' --.... ..-'.- ._#" '-"'-'--- .-. --- -'.- ..-- .-'- -......-..-. .- --. .--- . --... . -"- -- .-" --- _......._._. ...___ _, .__._ ...__0__ __ ..__-_._._. .-'__"-_'0_-_"_" ___'_'_"'_ -.-... -.. --..-... ..--- -......-..-. .--.--. _ .-...--.......--...- ._." - _.___ .._ '0 '_' ___._ ___ _ __ .._,.__ _-......__ - '___'" __ .___ __....._. -'"100.- ..- -- -- -- --.-- .- --. ---.- .- .-' -.- ---'- "_'0 .___ '0'_"._- _._.. _.._.. _._ ....--.- .-....--- .-.---- -.-'- .-- rage .J of .J G3I'OI -- 80568?0883 p,4 · f[jóPlh -- - .-- --.- /,ç- Dep 11 02 01:44p I~<¿ '</ CCTT e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3t79 1"'. _. ,,' . .. .' ...: . APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILlTY ~ ~ A (?f&. ~ ~J ",i~ tr -#- Z- ADDRESS-=:1.9..9 \ \t\)\-\: \ TE- . LA~ E PERMIT TO OPERATE # \.Ù~ 152 \ OPERATORS NAME O~"SRS NAME NUMBER. OF TANKS TO BE TESTED IS PIPING GOING TO BE !EST1ID~ S· TANK # VOLUME CONT.ENfS r "':...., ,....J. '- \ ¡ \)~~tðM\L,-\ TANK. TEST1NG COMPANY C,~~\~'t- \'8ST\ Ñ6-- MAlUNGADDRBSS P.o.ß)x. 2\~6, S~~ßAe.fr Ci\- Q3l-¡'O NAMS & PH(R<.¡"E NUMBER OF CONTACT PERSON ~~ ~Ka\fSO~ e;:f5. bB1·/¡; ltJ4.0 TEST METHOD...- ?-~~.5t ~ \'~ f\t. ~fey- NAMEOFTESTER R!J~ ~~E\Ñ~ CERTIFICATION # () ~ 0 :1.£LL-- \ "1- -z, '"?-- DA1E & TlMETEST1S TOBECONDUC'ŒDMillfh'\\ %=\f{da..u ,'æ. -,\.~_ ~ t""l-/\5" !J CDn~WÌ' b~ ~1XÌtJd:~.t~~· ~~ CM/fÐ 12-f¡.t//)~ ~(1A-· APPROVED BY DATE 81 ATURE OF APPLICANT { FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONIIEHTAl SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e r , -P-", ... ;, December 2, 2002 Julio Sical Niagara Car Wash #2 7991 White Lane Bakersfield, CA 93309 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Submit/Perform Annual Maintenance on Leak Detection System Dear Underground Storage Tank Owner: Our records indicate that your annual maintenance certification on your leak detection system was past due on September 20, 2002. You are currently in violation of Section 2641 (J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, January 3,2003 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 bYA~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney --7~ de W~ .¥'OP vØ1;~ .9T~ .A W~" e e ill ;/ .:-'" . . ~'ô .JJ ,ru ru L/' d-"! ~ 0 ,...::¡ . CJ CJ CJ CJ U.S. Postal Service CERT&D MAil RECEIPT (DomewMail Only; No Insurance Coverage Provided) F I crt h l Postage $ Certified Fee CJ Return Receipt Fee .JJ (Endorsement Required) r:(] (EnRestrIcted Delivery Fee · CJ dorsement . ,ru Total Posta · CJa JULIO SICAL ent To NI · f'- AGARA CAR W St;ëëfÄpt.' 7991 WHITE LANEASH #2 or PO Box I ----......... BAKERSFIELD CIty, State" CA 93309 Postmark Here :.. 6. II ... -. .. .. 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 mail piece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? If YES, enter delivery address below: ate of Delivery - ç'-~ DYes ONo JULIO SICAL NIAGARA CAR WASH #2 ! 7991 WHITE LANE BAKERSFIELD CA 93309 3. Service Type o Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes ~. ----- - - - --- ---- -- - ----"- -- --- -~._~ ~ A.......· I 11.1 L- 7002 0860 0000 1641 5226 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835 - ----- --~---- 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' ENVIIIONIIEIfTAl SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661)326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e ¡. ,j' .....". >!,¡ December 1, 2002 Niagara Car Wash 7991 White Lane Bakersfield CA 93309 CERTIFIED MAIL FINAL REMINDER NOTICE JANUARY 1, 2003 DEADLINE Dear Tank Owner/Operator: You will be receiving this letter on or about December 1,2002. One month from today, January 1,2003, your current underground storage tank(s) will become illegal to operate. Current law would require that your permit be revoked for failure to perfonn the necessary Secondary Containment testing. In reviewing your file, I see that you have received "Reminder Notices" since April of this year. This is your last chance to comply with code requirements for Secondary Containment testing prior to January 1,2003. Should you have any questions, please feel free to contact me at 661- 326-3190. Sin:¡erel..... ' . . /'( /) -- ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~7~ ~ W~ ~ ~0P6 ff~ A W~" . - ~, ....,.. ,. ..D U.S. Postal Service ..D CERT.D MAIL RECEIPT ~ (Dome 'Mail Only; No Insurance Coverage Provided) . ,...::¡ .:r ..D . ,...::¡ .a a a 'a a ..D '<tJ 'a I C -, A ~ Postage $ Certified Fee Return Receipt Fee (Endorsement Required) Restricted DeJivery Fee (Endorsement R uired) Postmark Here . ru Tots . g Sent NIAGARA CAR WASH , r'- ....... 7991 WHITE LANE ::';~ BAKERSFIELD CA 93309 ëitŸ,"j ................ ............. :.. '. .. _. ... - - . 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: ( ì NIAGARA CAR WASH , 7991 WHITE LANE , BAKERSFIELD CA 93309 --. ------. -~-~--'"- - - ~--===:fl 3. Service Type o Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes "" 2. Article Number (Transfer from service label) PS Form 3811, August 2001 Domestic Return Receipt 1 02595-02-M-0835, \- -----~-- --~- _ __ _~_________~__.~_"~.__.~__~_ _________~___~_ r ~_______~~ FIRE CHIEF RON FR<\Z~ ADMINISTRATIVE SERVICES 2101 "W Street Bakerslleld, 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 FIlE sAlm SERVICES· E/MIIOHIEHTAL 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) 321H>576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 , . { ;$\ " ,.,,-¡ r\ ø October 31, 2002 Niagara Car Wash 7991 White Lane Bakersfield CA 93309 CERTIFIED MAIL REMINDER NOTICE' RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner I Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last 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 oeñorm this test. bv the necessary deadline. December 31.2002. will result in the revocation of your oermit to ooerate. 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. s~~ Steve Underwood Fire Inspectorl Environmental Code Enforcement Officer Office of Environmental Services ··7~ úfe W~ S7lJP .A~ §'"'~ A W~" . , .J.." .... ~ ~ u.s. ROlerVice : ~ CERT- . MA!.k RECEIPT . ,~(Domes ail Only; No Insurance Coverage ProvIded) ...D 'ñ . .:r ,..D ,ñ '0 o ,0 .0 o ..D ~ o ICI'~L u s Postage $ Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ Postmark Here ru o o Sent To f'- NIAGARA CAR WASH šiñ¡ëi;Äiii.·Ñõ:;-··..······,········..········..···········.................................. or PO Box No. 7991 WHITE LANE ............__......._ ëiiý;šiåië,zi¡.:¡;;·········~~~;·~~···~··9·3309 PS Form 3800, April 2002 See Reverse for Instructions · 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 mail piece, or on the front if space permits. SENDER: COMPLETE THIS SECTION 1. Article Addressed to: NIAGARA CAR WASH 7991 WHITE LANE BAKERSFIELDCA 93309 3. Service Type XXI Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) O'Ves ? àrti""I..c. f\.1t u·.....ho... _ 7002 0860 0000 1641 6865 PS Form 3811 , August 2001. Domestic RefrJr'M' Recei¡1t ,. 102595-02-M-0835. ...J1 FIRE CHIEF RON FRAZ::: ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENV1RONIlEHTAl SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326H0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326H0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)326-D576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . September 30, 2002 Niagara Car Wash 7991 White Lane Bakersfield CA 93309 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31,2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner I Operator, If you are receiving this letter, you have !!2! 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. sin1kcfWv Steve Underwood Fire Inspectorl Environmental Code Enforcement Officer Office of Environmental Services ~~7~ ~ W~ ~eY<' .A0Pe .o/'"'kv .A W~" . . CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd f'loor, Bakersfield, CA 93301 FACILITY NAME N (/1 fft ~ tel r WfJ.J.k. ADDRESS ')fq ( wh.ck &í FACILITY CONTACT INSPECTION TIME INSPECTION DATE to -;}. of) c- PHONE NO. . R-~~73«g BUSINESS ID NO. 15-2 10- NUMBER OF EMPLOYEES Co 0 Section I: Business Plan and Inventory Program o Routine ~ombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate pennit on hand \.. / Business plan contact infonnation accurate L.. / Visible address L- / Correct occupancy \...... / Verifkation of inventory materials V ./ Verification of quantities V /" Veri fication of location '- ./ Proper segregation of material ./ v J Verification of MSDS availability t,. ./ Verification of Haz Mat training ./ ~ Veri fication of abatement supplies and procedures \.. ./ Emergency procedures adequate l.. ./ Containers properly labeled / v Housekeeping ,/ ......... ./ Fire Protection "" Site Diagram Adequate & On Hand l. / C=Compliance V=Violation Any hazar~oudaste on ~e?: Explain: t,s c th-tlJ r l)~ Yes 'Ø No White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 , t' N I f\GAEf, Ci~F:kIASH 7991 ~,.IH I TE LriNE Bi~¡:EF:EW I ELD . CA . . OCT ~:. 2IJD~' 7: 4:3 At"1 -- .- -- - - :'::\\'8'1'[11 ~:rmTu::'3 F:EP(:'¡;::T ._ _ __ n. __ L :3:F UEL i\LARI"l INVENTORY REPORT T I: UNLEf\D \l(iLUI"1E ULLHGE qO:';: ULLAGE; Ie 'I,/GLUI"lE HE lGHT I",JATER \lOL ~',JHTEF: TEt"lP T 2: PL LJ~~ I,/OL.UI"lE ULLAGE 90::": ULLAGI> Te I./OLl.JI"lE HEIGHT I,,J{HER '.lOL 1,',JATEr:: TEI'lP T :3: ~:!LJFER I./OLUI''1E ULLAGE 9W,; ULLNÆ= TC ",/OLUI"l£ HEIGHT l..JATEF: \/OL IAIATER TEI"1F' o 13697 1~~f;Lß 2:=-127 CALS 11 ;!4 CAL~; 13487 G~1LS '/1 .79 I NCHH:: o Gi~LS o . 00 I r'K:¡-IEE: 90. E: DEC F 158b GALS 1 04:]E: GAL~) 92:]!:J Gf-~LS 1 :,51 GAU:; 1 ::: . 1 1 I NC HES " 0 CHLS I] . 00 I NCHEE~ 91 . 1 DEG F .'-1 49':J:] I:~ 71]:3 1 I~,i-\L:) 58~~E: GHL~3 48:3 '7 GAL~3 41 . :37 INC:HE3 [I GAU3 O.OD INCHES 90.:3 DEG F .~ . )' -,.--., ¡;: ,.: END .",,..--:,,--:...:-;..:- 4 ~- ------ r··J I HCAF:i\ Ci-1F:i...li~:3H 7991 i..JH I TE UiNE B¡::¡}TF::::~;F I ELLI . Cr\ . OCT ,n, . 2ÜCi2' 10: (¡ J <'it"1 v 1.. :3: FIIEL AL!~F:r"l G,:::3'ffJ'1 ~;T AT'Lf: F:H'i,)F:T INVENTOP¡ REPORT T 1: ur··LEi\D 1,,(:'LUI"lE ULLAGE 9Cr\ ULLAGE= TC \/OLlJf'1E HE 1 (;HT I..,JATEF: \/01.. I,',IATER T El"1 1=' T ~): FLU:':': \,,:::'LUI"IE ¡JLLAGE 9[1"., I.ILI..A(;£= TC ·'/C'LI.JI"lE HEIGHT ~·,JriTER \/C'L I;,JATER TEI"lP T J :E;UPEE ",/CUJI"lE ULLAGE 91J;:;:. ULLAGE; TC \/(:,LUI"1E HEIGHT I,\IATEF~ \/01, klA TEF: TEr·tf-' 'jf.2f; ¿139'j 1 1 ':Ji:', 941 ',? 71 . 2:~: [I D.DO 90.8 tf::;::it., 104:3l:: ~2:35 1 f,['i 1 18.11 -101 0.00 91.1 4'374 70fiiJ 5f~4 7 486:3 41 . ~!5 [I 0.00 go. :3 C~HLE:~ Gf1L~::~ G .-.) (~ i~ES Gf1L8 1I'JCHe3 DEG F GHL~~'::~ GALE3 GAL¡~3 GAL:::~ I NCHE~~ Gf"ìLS I NC: HE:=~ DEe F (~riL~:: GALS (;{,LB GALt:~ I r',cHE:3 Gf'~LB II'J'-.:HÐ::; r: ··,F ~ ~ ~ - ~ ~ END * ~ ~ ~ ~ · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301 FACILITY NAME f(1f19/{Il'å t4V- (jj(J st\ INSPECTION DATE 10 ~f) ~Ol_ Section 2: Underground Storage Tanks Program o Routine ljg Combined 0 Joint Agency Type of Tank þ')CLH~ Type of Monitoring f!J t...l/V\ o Multi-Agency 0 Complaint Number of Tanks .3 Type of Piping Dw,- ORe-inspection OPERA TION C V COMMENTS Proper tank data on file Proper owner/operator data on tile Perrnít fees current Certification of Financial Responsibility Monítoring record adequate and current Maintenance records adequate and current Faílure to correct prior UST violations Has there been an unauthorízed release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AOGREGA TE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file wíth OES Adequate secondary protection Proper tank placarding/Jabelíng Is tank used to dispense MVF? If yes, Does tank have overfill/overspilJ protection? I 0 :~~,:~~I~71J¡&;; N=NO J U .7 Office of Envíronmental Services (805) 326-3979 Bu" iness S~esponsible Party White - Env. Sves. Pink - Business Copy 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 FIRE SAFETY SERVICES. EIMRONIIEIITAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 32SH0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield. CA 93301 VOICE (661) 326·3696 FAX (661) 32SH0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661)'326-0576 TRAtNING DtVlStON 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . ,,~ ... ~ .-.../ " ~ September 13,2002 Julio Sical Niagara Car Wash 7991 White Lane Bakersfield CA 93309 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to SubmitlPerform Annual Maintenance on Leak Detection Systems Located at 7991 White Lane, 2301 H Street & 1701 Stine Rd. Dear Underground Storage Tank Owner/Operator: Our records indicate that your annual maintenance certification on your leak detection system is past due. (1701 Stine Road, September 14,2002,2301 uR" Street, September 20,2002, 7991 White Lane, September 20,2002). You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, October 13, 2002, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services by: Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services cc: Walter R. Porr Jr., Assistant City Attorney ··7~ ~ cp~ %OP ~0P6 ff~ .A cp~" . . '-.'? ÓO"- ;to. -<- ¡1 : u.s. Postal Service ~ CER.ED MAIL RECEIPT ru (Dom Mail Only; No Insurance Coverage Provided) ..LI "'" M : ::r ...LI ,M ..~ ~t:J , t:J · t:J t:J · t:J · ..LI · <tI t:J Postage $ Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ Postmark Here · ru t:J t:J Sent To .!'- Julio Sical Niagara Car Wa h ši;ëëi,·¡¡jii:Ñõ:¡·..····..····..···..···..···..···············................................ or PO Box No. 7991 White Lane ëjiŸ,·siãtë,·ŽIP;4..···...··~·:~·~~·~~·~~~·~···~~··..·~;·;·~~._............ PS Form 3800, April 2002 See Reverse for Instructions SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY · 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: Julio Sical i. Signature ,~L7 ~ X .~ \, D Agent D Addressee 8. .Received by ( Printed Name) fos¿~/1("'1. ~t--/ D. Is delivery address different from item If YES, enter delivery address below: Niagara Car Wash 7991 White Lane 3. Service Type XX Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.O.D. Bakersfield CA 93309 4. Restricted Delivery? (Extra Fee) DYes 2. 7002 0860 0000 1641 1216 PS Form 3811, August 2001 Domestic Return Receipt 102595.02.M.0835 --- ------- ---- ,-,-~-..-.,........-~-_.~~--~-- -------- ~-' FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES· ENVIROIßIEJITAL SElMCES 1715 Chester Ave. Bakersßeld, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersßeld, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. BakersßeId. CA 93301 VOICE (681) 326-3951 FAX(681)3~76 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (681) 399-5763 . . August I, 2002 Sam Siam Niagara Car Wash 12424 Wilshire Blvd Los Angeles, CA 90025 CERTIFIED MAIL Re: Failure to Perform or Submit Three Year Cathodic Protection Certification NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Customer: According to our records. your three year Cathodic Protection Certification is due on August 7. 2002. Failure to comply is a violation of section 2635 2(a) Failure to Perform/Submit Cathodic Protection Testing results. Section 2635 2(a) is as follows: ''Field-installed cathodic protection systems shall be designed and certified as adequate by a corrosion specialist. The cathodic protection systems shall be tested by a cathodic protection tester within six months of installation and at least every ~ years thereafter." The cathodic protection is part of your leak detection system and is a condition of your Permit to Operate. Therefore. prior to August 30, 2002, you shall either perform or submit evidence of cathodic protection testing. Failure to comply will result in revocation of your Permit to Operate. Should you have any questions. please feel free to contact me at 661-326-3190. Sincerely, Ralph E. Huey Director of Prevention Services B~ r£k Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services ¡'¡'7~ de W~ ~ ~~.r~ ../6 W~" . . ~ ,ø' ! suo!¡:>nJ¡Sul JOI aSJMatj aas ~OO¡: AJenuer '009\: WJo:! Sd ÇZ006 v:> S:iI'UI~NV SQ.1dIZ 'BIBS 'A[:) ~ .. m........_..____.__···..·..·........·····..·--···..·..··......···..··--·m--..mm....m I:J aNUI IDIIBS'lI" ..!~.!~S:;z:t;~?~!~:;. :-J .......................................m--···...·····...·m S WVS I:J O.LluaS UJ D"" t¡ 6 . {; $ 6ee" '1/ e6e¡60d le¡o.L I:J (paJ!nb81:1 ¡U8weSJopu3) I:J S8:1 ÁlSlI!lSa pe¡Oµ¡S81:1 I:J (paJ!nb81:1 ¡U8WSSJopU3) I:J S8:1 ¡d!80SI:1 Wn¡81:1 ru 8JSH I\IeW¡SOd OÇOl ss" PS!I!¡JS::> t.n ru ~ ~ ..y I:J :-J CÞ .----------- .------------ .. ENDER: COMPLETE THIS SECTION · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ..y~" · Print your name and address on the reverSif so that we can return the card to you. · Attach this card to the back of the mail piece, or on the front if space permits. ~. Article Addl1JSSed to: x D. Is deliv address different from Item 1? If YES, enter delivery address below: o Agent o Addressee DYes ONo SAlviSI1\K NIAGAIiA: CAR WASH 12424 WILSHIRE BLVD L( þGELES CA 90025 . " ;'L , .. 3. Service Type Bcertified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mall 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 7001 0360 0002 5244 7018 S Form 3811, July 1999 Domestic Return Receipt 102595·00·M·0952 " .. CIT" OF BAKERSFIEL.~ Ó~ICE OF ENVIRON~IENT AL .:»ERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 r:~I/- e UNDERGROUND STORAGE TANKS - UST FACILITY rYPE OF "CTlON í Clleck one ,Iem only) o ,. NEW SITE PERMIT o J. RENEWAL PERMIT o 4. AMENDED PERMIT o S. CHANGE OF INFORMATION (Specify Cll8nge . local use only) o 6. TEMPORARY SITE CLOSURE Page _ 01 o 7 PERMANENTLY CLOSED SITE o 8. TANK REMOVED 400. I. FACILITY I SITE INFORMATION 401. FACiliTY OWNER TYPE E:J 1. CORPORATION o 2. INDNIDUAL o 3. PARTNERSHIP o 4. LOCAL AGENCYIDISTRICT' o S. COUNTY AGENCY'" o 6. STATE AGENCY" o 7. FEDERAL AGENCY'" 402. 3 FACILITY 10 " - 3 404. o 5. COMMERCIAl 403. " owner 01 UST a pub8c: agency: name 01 supeMsor 01 civisioo, section or oII\ce whíál operates the UST. (ThiS ¡a !he c:onlaCl person lor !he lank rec:ordS.) OVes r:;¡ No 405. II. PROPERTY OWNER INFORMATION 406. 407. PHONE 408. ~\O -L\4ì-12~ 409. V\C MAILING OR AOORE~, . IJ-4L4- ~1 \~Y\Ì\'t t::\.\fÀ ,\1t -MQJ eJ\rt . >/ . . PROPERTY OWNER TY g';. CORPORATION o 2. INDMDUAl o 3. PARTNERSHIP 410./ ST~ o 4. LOCAl AGENCY I OISTRICT o 5. COUNTY AGENCY 411. I ~Ö\Déo ~ CS o 6. STATE AGENCY 07. FEDERALAGÐCf 412. 413. III. TANK OWNER INFORMATION 414. I PHONE 2.11 415. ð\O~44'l~ \2-<>r 416. 417. ZIBlDoz s o 6. STATE AGENCY o 7. FEDERAL AGENCY 419. c:r;. CORPORATION o 2. INDMDUAl o 3. PARTNERSHIP o 4. LOCAl AGENCY I OISTRICT o 5. COUNTY AGENCY 420. TY(TK)HQ IV, BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT ~UM.BER Call (916) 322-9669 if questions arise 421. . . . ..... ~ V. PETROLEUM UST FINANCIAL RESPONSIBIUTY >: INDICATE METHOD(S) o 1. SELF·INSURED o 2. GUARANTEE 03. INSURANCE o 4. SURETY BOND o 5. LETTER OF CREDIT o 6. EXEMPTION o 7. STATE FUND æ'é. STATE FUND & CFO lETTER 09. STATEFUND&CO o 10. LOCAL GOV"T MECHANISM o 99. OTHER: 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS ChecX one Þo>c 10 indJcale which addreu should be used for legal notincations and mailing. Legal nOlillcations and mailings wiD be sent to the tank _ unless Þo>c 1 or 2 is checked. o 1. FACllI'TY ~. PROPER'TY OWNER o 3. TANK OWNER 423. VII. APPLICANT SIGNATURE rovtded h':'n ¡a ltue and accurate 10 the best 01 my knOWledge. ~ DATE Î \ 1-1-~ D2- TITLE rooNT 424. PHONE 425. =6\0 -44\ - '2~ 4XT. 428. 428., 1998 UPGRADE CERTIFICATE NUMBER (For Ioca' u~a only) 429'1 I ST A TE UST FACILITY NUMBER (Few local u.. only) UPCF (7/99) S:\CUPAFORMS\swrcb-a.wpd , CITY Of BAKERSFIELD O.CE OF ENVIRONMENTA!8ERVICES 1715 Cliester Ave., Bakersfield, CA 93Jði (661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 II II. 01 ,..,."! OF .CTION . Co''''.J''' .- 0ttIr1 a ,. NIaW SlTI! I'tNMT 0 .0 AMeNCeD PeAMlT a ). AI!NtWA&. Pf!AMT o ,. CHANOI! 0.. ¡NFOAMA noN) o S. T!MPOAAAY SlTI! CLOS\JRI! o 1. F'EAr.w4!NT\.Y CLOSED ON SITe o S. T ANI< IU!MOVED ) (~__ 0 ftN 1OøI.... oNfl - ~C\0 ( Ü\ C\4 I TN« use at . fZ1'o WOTOR VEHICU AI&. ! f¡,'",.tWd. ~ ..........1)tpe I 0 2. NQN.I'\JEL ÆT'ROI.EUM : 0 ). OfEMICAL fIAOOUCT ! 0 .0 HAl.AAOOUS WASTe (1IIctIdN IJ_ 01) i 0 95. uNCNCM9f ; m:>e OF TAN( ! (CINdr _ am ody ! : T ANI< AMTaUAL . MIaIy ** : (CINdr _ ." 0IIIy L TANK OESCRIPT1ON \~ 1CLn~ \ 2 (þ{) COMPAAnENTAUlfD TANI< 0 v. j1lf No /f-V.., com.. ~ ø. lor UCft ~ .. .. TANK CON7BI'Ia PITROU!UM TYPe 6a t.. RICUM UN.IAOED 0 2. LfADED [J ,... ~utUAOEO 0 3. DIESEL [J 'Co AtIOQfW)I! UN..EAOED 0 4. GASOHOl COIM)N rw.t! Itam~....,.,. ~~ G1OJD~ C t. INJU!WAU. fia'2. OCUU! WALL o t. BARE STEEL o 2. STAItUSS STEEL : TANI< AMTEAIAL· -*'Y ** 0 t. BARE ST!B. (CINdr _ am ody CJ 2. STAN.ØS STm. o t, fUleRLMD C 2. AIJM) UNNCI I ., SIHOLI WALL. TANK (ChecIr" flållllJlf): lOt, VlSUA&.(PJIORDPOfmOHOHLY) o 2. AUTOMATIC TAMe CJAUGIHO (,\TO) I I 0 J. CONTINUOUIATO I 0.0 STATIST~~OAVNCONCIUATIOH(SlAI· , IJII!HHIAL TAM< nœTlNO ¡- --- ISTIMATeD OA TlWT UIIO (YMotO/QAY) o 5. JEr FUEL EJ .. AVIATION FUEL. D.. O'OEA CAS' Itam HazarIIDuI....,." ~~ ~61)lÐ- W-C1 40 44' .. TANK CONS1RUCI'ION o 3. SNJU!WALL wmt EX11!AIDR \ÐIIIWE LIER o 4. SINQU! WAlL IN A VAUlT . o 1. FI8EROI.ASS I PlASTIC Œt4. STEEL ClAD WlFI8EAGI.ASS REJNf'ORŒD PlASTIC (FRP) o 1. FIIERŒASS I PI.ASTIC o 4. STEEL ClAD WIFIIIERGLA8S AEN'OAŒD PlASTIC (FRP) [J s. COHCAeTE o 1. EPOXY LN«J o .. PH!NOUC UNNCI [J 5. SINOl.E WAlL wmt INTERNAL tUDOER SVSTÐC o IS. UNCNOWN o It. OTHER o 5. COHCAeTE 0 IS. UN<NOWN 0.. FRPCOWATI8U!WJtOO'UETHANOl O..ona #' TANK INTEIUOR UNNCI OR COATINO 44: o .. FRP COIotPATI8U! W110K a.ETHANOl o .. FRP NOH-CORAOOIIIU! JACKET o to. COATED STEEl. 015. UtICNOWN o SIll. OTHER ~ .... D"TE! INSTALLED 441 o 5. GLAIII.NNO G-I. UMJNED CJ 15. UN<NOYtW o et. OTHER 449 (C/I«Jt _ ~ ody SPILL. AND OveRFILL ¡ (Cflee. .. rIUI/Ipp/yJ Ii I . r-' o 1. F1IEROLASS RD*OACI!D PI.ASTIC CJ 15. tJNKNO\OM o 4. IMPR£SSEO CURÆNT CJ.. O'rnER CJ t. awurAC11JN!Ø CAntODIC PROT!CT1ON o 2. SACIWICIAL ANOOe YEAR ~~~I 450 TYPE (FMIouIIIM OIIIyJ Et1. SPlLLCOHTAMENT \ Li\V\L\- o 2. DROP TUII! o 3. STRIIœItP\ATI .... (FM local... 0IIIy 45t 0VEAF1lL PROTECTION EQUIPMENT: YEAR INSTALLED 452 Er1. ALAAM \ C\ C\4-0 3. FILL TUBE SHUT OFF VAI.'Æ _ o 2. BAU. FlOAT 0 4, exaPT UPCF (1m) a So MANUAL TAMe GAUQINQ(MTO) a .. VADOse ZONe a 7. OAOUHDWATeA a .. TAM< TUTINO a et. OTHeR V. TANK CLOIUU IN'OftMATIOH I PlltllANlNT CU)lUItIIN PlACI IInMTID QUAHTJTY 01 SUllTAHCI fW,WNt4Q ... TAM( PUlO ~ IHIR1' M4T!1tJA&.7 - 467 .... a v. a No - S:\CUPAPORMS\SWRC8-8,wPC 12, ,;0' .........: ....... ....~ ,.- .-..... Q , CITY OF BAKERSfiELD a.. OfI!I1CI M I!NVIROHMENTAL SERVICEiã.._ .'15 C...... Ave., e.k....".ld. CA 13301 (11411) ~79 - lIlT , rAMIe ~AQI! ~ - fII VI. ,... CONITItUC'TlON (CIt«II " 1118' IfIIIIrl --. UNOI!ROAOUNO PI"'NO I sYSTeM T'fPE 9"", ~ESSUAI! 0 Z. SUCTION 0 3. GRAVITY 458 10 I. ~ESSURE CONSTRUCTION!'O 1 SiNGle WALL. 0 3. UHED TRENCH 0 tII. OT'HEA 4ðO I 0 I. SINGLE WALL MANUFACTURERI~. DOUIIU WAI.L 0 M. UNtCHOWN 0 2. DOUBLE WAlL , !AAHtJFACTVAI!R 4411 MANUFACTURER .0 ,. IWU! STeeL CD1: FRP COMPAna! W/IGn MEnW«:)1. 0 . BARE STEEL : MATERIAlSANO '0 2. STAINU!SS STEEL 0 7. QAl.VAHlZEDSTIa 0 2. STAINLESS STEEL ¡ CORROSION , PROTECTION 0 3. PlASTIC C()MOAT1IU! WITH CONTENTS 0 M. UNICNO't"t'N 0 3. PlASTIC COMPATIIILE WITH CONTENTS : 0 4. FIBERGLASS 0 .. FL!XIIIU! (HOfIt!) 0 It. OntER 0 4. FIIIERGlASS ·0 S. STEel. WI COA nNO 0 t. CA T'HOOIC PROTECTIOH 464 0 S. STEEL WI COATING VI. f'IIIIIG LI!AK DeTECT10H (CIt«II",..,.,,) UNOERGAOUNO PIPING I PReSSURIZED PlPlNO (CMdr .. ..., ¥PlY): o ,. eLECTRONIC LJNI! LEAl< OETECTOR 3.0 C3PH TEST mD1 AUTO PUIoP SHUT' OFF FOR t.£AI(. SYSTEM FAlLURI!. AHO SYSTEM Dl8COfMCTIOH . AUÐa.II NflJ VI8UAL ALARMS o 2. MONTM. y o..z GfIH TEST o 3. ANNUAL INTEGRITY TEST (0.' QPH) CONVENTIONAl. SUCTION SYSTEMS: 0 5. DAILY VISUAl. MOHtT'OMIG OF PUU'ING SYSTÐf . TRØNAI. PIPINØ INTEGAf1'Y TEST (0.1 GPH) ¡ SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PFING): i 0 7. SELF MONITORING I GRAVITY Flow. o t. 8IÐNAL INTEGRITY TEST (0.' QPH) UCONÞMIL Y CONrAINID PIPING PRESSURIZED PFN) (ChedI" ..., IItJt1/y): 10. CONTINUOUS T\JR8INI! su.. SENSOR mD1 AUOIIILI! AN) IllSUAl.AlAAMS NIIJ (~-) e-a. AVTO PUMP SHUT OFF WHEN A LEN< OCCURS o Þ. AUTO PUMP SHUT OFF FOR LEAKS. SYSTÐf FAILURE AN) SVST1!M DISCONNECTION I 0 c. NO AUTO PUMP SHUT OFF i Q""11. AUTOMATIC LINE LEAl< DETECTOR (3.0 C3PH TUT) mD1 FLOW SHUT OFF OR RESTRICTION o 12. AHH\JAL INTEGRITY TEST (0.1 QPH) SUCTlONl'GRAvrTY SYSTEM: o 13. CONTINUOUS sur.p SENSOR . AUC*.II NG VISUAlALNWI bIOG!NCY G!NIJtATOM ONLY (CItd" lilt""" o 14. CONTINUOUS SUM> SENSOR WITHOUT' AUTO PUã. SHUT OR . AUOI8U! NIIJ VISUAl AI.ARMS I 0 15. AUTOMATIC LINE LEAl< DETECTOR (3.0 GPH TEST) mIt1Q!,Œ FLOW SHUT OFF OR I ReSTRICTION ! 0 18. ANNUAl INTEGRITY TEST (0.1 GPH) : 0 17. DAlLYV1SUALCHECK I, .' ¡ DiSPeNseR CONTAINMENT ! DATe INSTAlLED 4411 . ~,,(~:;r~~r<'" ~.. .:- ~.~·oÞ.;'.:.J . . .. .. .:..".~.._.~: '\ ).~.. ........_.....;_;.. I... ···:,....;..;·~·!r A80IIEOAOUNO PIPING o 3. 0RAvrr, o 2. SUCTION o 9$. UNI<NQWN o 91. OTHER 4. ... o 8. FRPCOMPATlllLEwtIGn~ o 7. GAlVANIZED STEel. o 8. FlEXIIILE (HOPE) 0 tII. OTHER o t. CA THOOtC PROTECTION o 95. UNKNOWN 46. .....Y;~. ABOVEGROUND PIPING NO W PII'IHG 46 PRESSURIZED PIPING (CMdr "IN, ¥PlY): o 1. aeCTRONIC LJNI! LEAl< DETECTOR 3.0 GPH TEST mII:t AUTO PUMP SHUT OFF FOR lEAK. SYSTaI FAII.UA!.AND SYSTaI DISCONNECTION . At.08LE N#O VISUAl AI.ARAIS o Z. MOHTM.Y 0.2 OPH TeST o 1 ANNUAL IN1'!GRI1'Y TEST (0.1 QPH) o 4. 0AIt. Y IIISUAI. OIECI< COHVENT1ONAI. SUCTION SYSTÐCS (ChedI" 1118''''''''): o 5. OAII. Y VISUAl. MONfTORJNO OF PIPING NlO PUMPING SYSTaf o 8. TRIENNIAl. INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTaCS (NO VALVES IN 8ELOW GROUND PIPING): o 7. SELF MONrTOAINO GRAvrTY FlOW (CMdc""'" ¥PlY): o .. 0AIt. Y VISUAL MONITORING o a 8IENNIAI.INTEGRtTYTEST(O.1 QPH) IKONIWaLY CONTAINED PI'IHO PRESSURIZED PIPING (ChedI..... ¥PlY): 10. CONTINUOUS TUR8INI! SUM> SENSOR mnt AUOI8LE AN) VISUAL AI.ARAIS AND (dleckone) o .. AUTO PUMP SHIIr OFF WHEN A LEN< OCCURS o Þ. AUTO PUMP SHIIr OFF FOR LEAKS. SYSTEM FAIWAE AN) SVST1!M 0ISC0NNEC110N o c. NO AUTO PUMP SHUT OFF o 1 1. AUTOMATIC I..EAIC DETECTOR o ,z. ANNUAL INTEGRITY TEST (0.1 GPH) SUC'T'IOM'GRAvrTY SYSTEM: o '1 CONTNIOUS SI.N" SÐISOR + AUOIBU! AHD VISUAL AI.NIMS I!M!RGENCY GI!NI!RATORI OHtY (CMå" /tIat WIn o 14. CONT1NUOUS SUMP SENSOR WITHOUT AUTO PUMP SMJT OFF. AUDI8U! AHD VISUAL AlARMS o 15. AUTOMATIC UNE LEAl< DETECTOR (3.0 GPH TEST) o 18. ANNUAl INTEGRITY TEST (0. I GPH) o 17. OAILYVlSUALCHECK ¡ôÿMAI"U.vr'{~:\r.r.;;~.î~.~..::. ~~.!'~~t.":":~~'~..-:r.-1: o 1. FlOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o Z. COHTNJOU8 OISPI!NSI!R PAN SI!N8OR . AUDI8U! AHO VISUAL ALAAMS o 3. COHT1NUOU8 0IIÆN8I!R PAN SI!N8OR mD1AUTO SHUT OFF FOR DISPENSER· AUDIBLE AND VISUAL ALARMS DC. OWNERIOPI!RA TOR SIONA TURI! I CItIIty tile. SIGNA TUR ~ 471 472 470 474 Petmlt !qIIrIIIon 0IIe (For IØCIt .,.. odYJ 47J Permit Numoer IF« lOCal 11M ody) 473 / PwmI AHtOvId (F« àclllUII CJdI)1 lJPCF (7/99) S;\CUPAFORMS\SWRC8-B.wPD CITY Of BAKERSFIELD O.CE OFENVIRONMENTA.RVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 Œ o S. CHANGe OF INFORM-' T1ON) P-oe o S. TEMPORAAY SITE CLOStJRI! o 7. PERMANENTLY CLOSlD ON SITe o S. TANK REMOVED t:JI 1"fP1!; OF __CTION I Cited Olle .,.." OIIIyJ a I. H&t SIT! P!lUMT 0 4. AMeNCeD PERMIT a 1. RENEWAL PEIUMT (~__ . fIN /OeM 11ft OIIIyJ (~C'*9I' fIN/OeM.... onI'rJ 1 ( I ~ I~œ I i TN« use 43t ¡ l3'1.' MOTOR VÐfICL! IIUEI. ; (1f1M'**I. ~PøaIIum 1)pe) ! 0 2. NQN.F\J£L PETROlEUM : 0 1. CHEMICAl. PAOOUCT I 0 4. HAlAAOOUS WASTE (1ttdudN ! U_ 01) ¡ 0 95. uN<NO'Mf I : TYPE OF TN« I (Chedc OM ..... ody i ¡ T ANI( 1M TERIAL . pnMIy ** ! (Chedc OM .,.", 0IIIy) ¡ L TANK DESCRIPT10N \rlA&o \0Jì~ \d OCO .. COMPARTMENTALIZED TANK 0 Y.. IB"No If "Y.... CCIIIIeI. one peIe for uctI CCIII~ent. 4:! .. TANK CONT!NTI P!TAOLEUM TYPe a fL REGAAR UfUADEO 0 Z. LEADED a III. PA!UW UfUADEO 0 1. DESB.. ŒI-Œ YDOfWII! UN..EADED 0 4. GASOHOl CQaM)N !WE (/lam """"'''''''''/tMnby ¡»ge) ßtMD~ [J f. SINOU! WALL B'"2: DOUI&.£ WALl. a 1. BARE STEEL a z. STMUSS STEEL , T ANI( 1M TERIAL . -*'Y ** a I. BARE STEEL (Chedc one..... only) a z. STAINL!SS STœ. TANK INTERIOR L....o OR CQAT1NG [J t. IUII!R LN!D CJ Z. AI.K'tD LN'G 4< o S. JET FUEL £J I. A\I1ATIOH FUEl. o 911. OT)ER CAS II (ftom ~ AIUtriIII bIwIrQy ¡»ge) Ç-OlJlo- l.Q:t -C) 44: ..., .. TANK CONSTRUCTION o 3. SINOU! WALL WITH EXTERIOR MBIIIWE LINER 04. SINOU!WAU.INAVAULT o 3. FIBERGLASS I PWmC 19-'"4.' STEEL CI.AD W618ERGiASS REH'ORCED PWmC (FRP) o 1 FIBERGLASS I PWmC o 4. STEEL CI.AD WJFI8ERGLASS RElNFOACED P\AST1C (fNI) o S. OOHCAETE o 3. EPOXY LN«J [J 4. PHENOUC L...o o 5. SINGLE WALL WITH INTERNAL 8LADOER SYSTEM OM. UNKNOWN o ft. OTHER o 5. CONC:ÆTE 0 \)5. UNKNOWN o I. FRP COMPATIBLe WIf~ METHANOL 0 ft. OTHER 444 443 OM. UNKNOWN o ea. OTHER o I. FRP COMPAT18lE W11~ METHANOL o .. FRP NOH<:ORROOIIIU! JACKET o 10. COATED STeEL 445 441 DATE! INSTALLED 447 o 50 GLA88 LINNJ e-.: UNJNED OM.~ o ft. OTHER 449 (CltecJt one lMI only) SPILL AND OveRFILL I (CIt«/u' tNt 1IpIy) o 3. FI8ERGLASS ReINFOACED P\ASTIC 0 M. UNKNOWN o 4. M'A£SSED CURRENT 0 ft. OT)ER o f. MNU'ACT1JAI!D CATHODIC PROTE!CT1ON [J Z. SACAF1CIAI. ANOOf! YEAR INSTALU:D 450 TYPE (For /oeM 1M only) s-(' SPILL COHTAMENT \ C\C\ 4:. o Z. DROP roBe o 1. STRØŒR Pl.ATI! 441 (For local use ody) 4Sf OVERFIlL PRO~N EQUIPMENT: YEAR INSTALLED 452 erí: ALARM t~C\4- 01. FILL ro8ESHUTOFFVALYe_ o z. BALI. FLOAT 0 4. E!XStPT . ,~ ... ,'. ~··'I. '" . '-- esTIMATI!D OATI ~ U8IO (VAIMO/OAY) 411 :: t:..~":t1,.. ; ~,1i/: ~':.~. ~:' '. ;:.-:'-tr~:\~ :.;:~':!~}'\~' . ::,M:'t~K LIAK " SlNGLI WALL. TANK (CIteoIr.. /lit, II/PI'I): o I, VlSUAL(IXPOAOPOfmONON.Y) o 2. AUTOMATIC TAN< QAUOINO lATa) o J. COHTINUOU8ATO c- O 4. STATISTICAL /HIIIHTORY AlCOHCIUATIOH(SIA). IIII!HNIAL TAN< Tl8TIHO - ·~t: ~~~~.~;.r·~~i..:;~··~'!:· >.:-.""..' ;¡~~~~'.:.t.~~?,"' "';~.' y .:.:..:.~..:::.:~~~~~ "DOUIIUI WALl. TANK 0" TANK NTH 8L.ADOIR (CMdrOM /lettI onI1J: 4&4 o I. VlSUAL(SINOLEWALLINVAUlTON.Y) ~ CONTINUOUS INTeRSTITIAL MONlTORIHQ o 1. MANUAL MONITOR/NO UPCF (7199) o 50 MANUAL TANK QAUQINQ (Mfa) o I. VADOse ZONE 07. QROUNDWATER CJ .. TANK TI!STINQ [J II. OTHeR V. TANK CLOIUU IN'ORMATION I PIRMAHINT Q..OIUItIIN PLACII ^ ..~ ISTIaMTIO QUNmTY g, SUI8TANCI qw....o .... TANK FlUID WITH INIRT MATI!RJAL? "7 ... o v.. CJ No S;\CUPAFORMs\sWRCs.s·wPC rr: CITY OF BAKERSFIELD__ a OfIfI1ClI ~ ENVIRONMENTAL SERVICE'- .,5 C,,"ter Ave.. Bak.rsfl.,d, CA 13301 (se1) ~19 UIT . TAJac ~AQe _ VI. PIPING CONI'TRUCTION (CMdI " INt IPfIIYJ UNDERGROUND PIPING ¡ SYSTEM rYP€ Q-1'. PRESSURE 0 2. SUCTION 0 J. GRAvrTV 451 0 I. PRESSURE CONSTRUCTIONl'O I. SINGLE! WALL 0 J. LINED TR£HOi 0 ill. OTHER 4GO 0 I. SINGLE WALL . MANUFACTURERI ~ DOUBLE WALL 095. UNI<NOWN 0 2. DOUBLE WALL i MANUFACTURER 4411 MANUFACTURER , : 0 I. BARE STEEL CWC"'FRP COMPATIIU! WI Iem. METHANOL 0 I. BARE STEEL : MATeRIALS ANO : 0 2. STAINlESS STEE\. 0 ,. GALVAHIZED ma 0 2. STAINLESS STEEL I CORROSION : I PROTECTION ; 0 J. PlASTIC COMPA"BLE WITH CONTENTS 0 M. UNI<NO'NN 0 J. PLASTIC COMPATIBLE WITH CONTENTS ! Q 4. FIBEAGI.ASS 0 .. FUOOBLE (HOPE) 0.. OTHER 0 4. FIBERGlASS ; a 5. STEEL WI COA"NO 0 t. CATHODIC PROTECTION 4ð4 0 5. STEEL WI COA"NG W. ..-..0 LeAK DETECTION (CMdI" /Nt WIY) 1!MIROt!NCY GØll!JtATOM ON&. V (CIIecIt" lilt WIY a 14. CONTINUOUS SUMP SENSOR mJ:Ijg,[I AUTO PUMP SHUTOFF . AUDIØlE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) mI1IIII F\t1W SHUT OFF OR I RESTRICTION I ! a 18. ANNUAL INTEGRITY TEST (0.1 GPH) a 18. ANNUAL INTEGRITY TEST (0.1 GPH) , 10 11. DAJLYVlSUAl.CHECK a 11. DAlLYVlSUAl.CHECK , .' '. '..:.,.;J<.&..!~ ". . .,.:gqg~:~!i\~_~:¡: ~ CISPENSERCONTAJNMENT 0 1. FlOATMECHANlSMTHATSHUTSOFFSHl!AAVALVE CA TE INSTALLED 4ð8 0 2. COH11NUOUS DISPENSER PAN SENSOR . AUOI8U! AND VISUAL ALARMS o 3. CONTINUOUS DI8PENBER PAN SENSOR mItt AUTO SHUT OFF FOR DISPENSER · AUDIBLE AND VISUAL AlARMS IX. OWNI!RIOPI!RATOR SIONAT\JR! allan IO\IIdec ,..." !lINe ØtCL__. 10 !III II1II rI my 1InowIIdgI. OWNERIOPERA T UNDERGROUND PIPING i PI 4ð8 PRESSURIZED PIPING (C/IKk " INt WIY}: a 1. ELECTRONIC UNe LEN< DETECTOR 3.0 GPH TEST mD1 AUTO fIUI,p SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SVST'EM DISCONECTION . AUDØJ! AND VISUAl. AI.AIWS o 2. MONTHLY 0.2 GAt TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAl. SUCTION SYSTEMS: o 5. CAJL Y VISUAl. MONITORING OF PUMPING SYSTEM . TRIEMIAI. PIPING INTEGRfTY TEST (0. I GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BElOW GROUND PIPING): o 7. seLF MONITORING GRAVITY flOW. a 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SI!COMWILV COHrAlNED PIPING PRESSURIZED PIPING (C/IKk " tNI WIY}: 10. CONTlMJOUS TtJA8ItE SUMP SENSOR mItt AUDI8lE N«J VISUAl. AI.ARMS AND (ChJI:* OM) 9""a. AUTO PUMP SHUT OFF WHEN A LEN< OCCURS a Þ. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILUAE N«J SYSTEM DISCONNECTION o Co NO AUTO PUMP SHUT OFF ~ ,. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TUT) mD1 F\t1W SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTlOWGRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR . AUDt8U! AND VISUAl. N.NUfj NAME Pete d - -- ABOVEGROUND PIPING o 2. SUCTION o 95. UNKNOWN o 99. OTHER o J. GAAvnv .' -:: .€ ~ o s. FRPCOMPATIBLEWI1em.~ o 7. GALVANIZED STEEL o 8. FlEXIBLE (HOPE) 0 ill. OTHeR o 9. CATHODIC PROTECTION o 95. UNKNOWN ~ó .) ~:;µ~. ABOVEGROUND PIPING NGL WALL PIPING 467 I PRESSURIZED PIPING (C/IKk" INt ~}: o 1. ElECTRONIC LINE LEN< DETECTOR 3.0 GPH ~ST mI!1 AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AHO SYSTEM DISCONNECTION. AUDIBLE AHO VISUAL AI.ARMS o 2. MONTHL V 0.2 OPH TEST o 3. NHJAI.INTEGRnY TEST (0.1 GPH) [J 4. DAJL Y VISUAl. CHECK CONVENTIONAl. SUCTION SYSTEMS (CMdc" INt -wY}: o 5. DAILY VISUAl. MONITOAINO OF PlPlNO AND PUMPING SYSTEM o S. TRIENNIAl. INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): [J ,. SElF MONITORJNO GRAVITY flOW (CItedc "lNt~}: a s. DAII. Y VISUAl. MONITORING o 8. BIENNIAL INTEGRITY TEST (0.1 GPH) IECONDARIL V CONTAINED PIPING PRESSURIZED PIPING (CItedc.. tNI ~): 10. CONTINUOUS TURBINE SUMP SENSORmn1 AUDIBLE AHO VISUAl. AI..AAMS AND (ctIedt_) a a. AUTO PUMP SHUT OFF WHEN A LEN< OCCURS a Þ. AUTO PUMP SHUT OFF FOR LEAI<S. SYSTEM FAIlURE N«J SYSTEM DISCONNECTION o Co NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR . AUDIBLE AND VISUAL ALARMS EllDGENC'f GENERATORS ONL V (C/Iet:II" /Nt Wi}') a 14. CONTINUOUS SUMP SENSOR m:nI2IlI AUTO PUMP SHUT OFF . AUDIBLe AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DeTECTOR (3.0 GPH TEST) . ''''J'':'~''''':':'.'' '. :' ",~:~x. [J 4. twL Y VISUAL OtECK o 5. TRENCH UNEA I MONITOR/NO 0.. NONE 4Ø9 411 474 I PetmItExplrallonDlle(FofløclllMødY} 4751 DA~ 410 472 I 1''''"11 NutnIW (For IOU/ CIIf only} 473 I Petmll AIptcMd (For...... only) UPCF (7/99) S:\CUPAFORMS\SWRC8-S.WPD CITY OF BAKERSFIELD O.E OF ENVIRONMENTAL.RVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3919 UNDERGROUND STORAGE TANKS· TANK PAGE 1 (! o ,. CHNa 0' INf'ORMA noN) p. o 4. T1!MPORAAY 'lTe CLOSORe o ,. PERMAAEHT\.v Cl.OSEO ON 5/Te o s. rANI( IU!MOVEO rJt r'l'P'!; QF ~CTI()H . C.'.c_Jne ,_ 0Ifi'f a ,. H&t 5ITe PeMIIT 0 t. AMeNOI!O PERMIT a 3. "INeWA£. PI!RMIT I ~ /W.IOtI . ffN 'OeM u.. 0Ifi'f I~ c/teItge . ffN 1OcM.... 0Ifi'f FN:aJTY 10 . ANK! t> u -ffiS C1 .0'\ I L TANK DeSCRIPTION COMPARnEHTA£.IZ£D TANK 0 v.. No If -v..'. CIQfIIp¡.ce ~ øege fer NCtI CIQfIIPWtment. \ ~~SCQ) TOJ\ '<-- a-tsCD 4: "TANK~ , TN« use 4» . g--( MOTOR V!HlCLlIIUEL ! I" ".."*1. ~ "..".... J')pe} i 0 2. NON-FUEL PETROI.£\JM : 0 3. OiEMICAL PAOOUCT ! 0 t. HAZARDOUS WAST1! (tdIdN . Uwd 01) i 095. uNOIOWN I ¡ NPEOFTN« ! IC/I«Jt _ I111III ody I 'T ANI( MA TaUAL . prftI8ry ... \ ; (C/I«Jt _ ".", only) fIIITRDUUM TYPe (] t& ReOI.UR UN..fAOED 0 2. UWIED ~II. PASIUU UN..fAOED 0 3. DESEL o t, YDQfW)E UNLEACED 0 4. OASOHCX. COIoM)H ÞWE /!lam HIøIá:Ius ....,." ~ ¡»ge) Gl~ (] t. It«U WALL 1iJ.-í' OOUIU! WALL o t. loW! ST'EI!L o 2. STAM.!SS ST'EI!L i T ANI( MATERIAL . -*'Y I8nII 0 t. loW! STØL I IIC/I«Jt - I111III ody (] 2. STAN.ØS ST!I!I. T ANI( INT£RIOA L....o OR COATING ICIIKk _ iIMI only) I i ! SPILL. ANO OV1!RFIU. ¡ (Ch.d ~1~'.wY) i II r-' I. o t. ...... LND o 2. AIJM) LIØI ... o S. JEr FUEL £J .. AVIATION FIÆL 098. OncER CAS' /!lam HuMrJoua ~ ~ ¡»ge} %CCù2~loJ~ 44 44t .. TANK COfØ1"RUC1'ION o J. SNJU! WAU. \\mf EXT!RIOR \ÐeR.4JE UNER 04. SINOLSWAU.lfAVAtA.T o J. FI8EROLASS I PL4STIC o 4. STEEl.. cu.o W618ERGtASS RSNFORŒO PL4STIC (FRP) o 3. FIIEROiASS I Pt.ASTIC ø-c STEEL cu.o WIFI8ERGLA8S ROFOACED PlASTIC (FAP) o S. CONCN!TE o 3. EPOXY LIØI o 4. PHINOUC L.MG o $. SINGLE WALL \\mf INT1!ANAL 8I.ADOER SYSTEM 085. UN<NOWN 098. ontER o S. COHCÆTE 085. UNIOIOWN o .. FRP COWATlBU! wt100% METHANOl. 018. O'nER 44A 44J o .. FRP CO&otPATI8U! wt100% a.ETHANOL o .. FRP NOH-COARooIIII. JACICET o to. COATED STEEl.. a 115. UNIOIOWN o III. OTHER 4t5 ..... MTe INSTAU.EO ....7 o So QLAI8 UNNJ S'í: UMJNED 085. UNCNOWN [J II. OTM!R 1øe.I_ MTE INSTAU.EO ....9 o 3. F1IEROtASS ft!N'OAa!D IUITIC [J 115. UN<NOWN o 4. IWAeS8ED CUAÆNT 0.. OTHER [J t. foWU'ACnØ!D CATHOOIC PRO'ÆCT1ON [J 2. SACftIIICIAL ANOOI! YI!AA INSTALL£O 450 TYPE (FtNbW.". only) ~. SPIU. CONTAINMeNT J C\ q 4- o 2. DROP TUIe o S. ~A.ATII 448 (Fw IøcaIUM only) .st OVEIV'IU. PROTECTION EQUlf'toEHT: YI!AA INSTALlED 452 I:Et"í.' AlARM \ C\Ú¥\- 0 3. FILL TUBE SHUT OFF VALve _ o 2. ØAlL FlOAT 0 4. I!XSIPT I' SINOLI WALL TAMe {CIIeoIr""'" ¥tJI1: o '. VISUAL (exPO"" POfmON ON. V) I 0 2. AUTOMATlCTAM<ØAUOINQ(ATO) o J. CONTINUOUtATO o t. STATISTICAL INWHTORV AllCOHCIUATIOH(SIA). IIleNHIA&. TAM< rw.T/HO /' --- IISTIMATeo ~T. WT UIID ~V) UPCF (719Q) 411 a So MANUAL TANK QAUOINO(MTO) o .. VADOse ZONE o 7. OROUHDWATeA o .. TANK TEaTIHO o II. OTHeR V. TANK CLOIUU IN'ORMATICH I PllUlANlHT C&.OIURIIN PlACI! UTlaMTID 0UNmTV 01 SU8I1'ANCI RIMAM'O ... TANe ~D WITH IHIRT MATllAlAL1 467 .... o v.. DNa S;\CUPAFORMS\SWRcs..s,wPD [ CITY Of 8AI<ERSFIELO .. ()fI~1 Oft INVIRONMENT AL SERVICEiiL. _ .-15 C_* ""'f Bak."fteld. CA 13301 (111) ~79 , . UIT, TAMe ~AQI! ... - tII VI. 'INIO CONSTRUCTION (CMdt II ..., ¥t1IYI A80I/EGAOUNO PIPING --- uHOI!AOAOuNO PIPING i SySTEM rt"E ~ PAUSUAI! 0 2. SUCTION a J. GRAVITY 451 10 I. PRESSURE CONSTRUCTION!'O I. SINGlI! WAU. 0 J. UNED TRfHCH a ill. OTHER 4eG I 0 1. SiNGlE WAI.l. MANUFACTURER' e-i' OOU8I.E WAI.l. 0 M. UNKNOWN 0 2. OOU8I.E WAll. I MANUFACTURI!R 4411 MANUFACTURER .0 I. IWU! STEEL .. FAP COMPAT1a.I!.... 1~ M!'n4ANOl 0 I. BAAE STEEl. : /o4A TERIAlS ANO . 0 2. STAIHlI!SS STEEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STEEl. : CORROSION : PROTECTION a J. PlASTIC CQWATIIlE WITH CONTENTS 0 M. UNICNOWN 0 J. PlASTIC COMPATIBLe WITH CONTENTS : 0 .. FI8EAGiASS 0 .. FU!XJIU (HOPe) (J III. OTHER 0 .. FIßERGI.1,$S a S. STeEL WI COA TlNO 0 I. CA'T)()(C PAOTECTION ..... 0 S. STeEl. WI COA TlNO VI. PIlING U!AK DeTECTION (CMdtIl/lt« ~ o 1. FlOAT MECHANISM THAT SHUTS ow SHI!AR VALVE o 2. COHTINUOUI 0ISfII!NII!R PAN SI!N8OR . AUOI8U! AHO VISUAL AlAAJ,tS o 3. COHnMJOUI DIIÆNI!R PAN SI!N8OR mD:1AUTO SHUT OFF FOR DISPENSER · AUDiBLe AND VISUAL AA.AAMS DC. OWNIRJOPIRATOR SIONA 1\JR! l'amarJon ørcMded .......... 18 !rUe 8IId __ 10 IN MIl fII my 1aIcMItdge. RIOPEAA TOR UHOERGRQUfC) PIPIHG I PRESSUAIZED PIPING (ClHlcllII /Nt ~): o 1. ELECTRONIC UNE I.ENC DETECTOR 3.0 QfIH TEST mIlS ÞUrO PUlP SHUT OFF FOR lEAl<. SYS'ÆM FAlLUfU!. AND SYSTEM OISCOfMCTlOH. AUOa.I! AND VI8UAL ~ o 2. MONTK. Y 0.2 QPH TEST o 3. ANNUAL IHTEGArTY TEST (0.1 CJfIH) CONVENTIONAL SUCTION SYSTEMS: 0 S. DAlI. Y VISUAL MOHtTOfUNO OF PUIiPING SYSTEM. TRIHIAI. PFINO ~ TEST (0.\ GPH) I SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GRQUHO PIPIfG): ¡ 0 7. SELF MOHfTOAING I GRAVITY Flow. o g. 8IENHIAL INTt:GRI1Y TEST (0.1 CJfIH) secoNDARILY CONrAINØ I'U'ING PFU:SSUAIZED PIPING (CheeJ¡ II /Nt IIPtJ/1): 10. COHTlMJOUS TIJR8INE SUW SENSOR mD1 AUOIIIlI! N#IJ VIaW. AI.ARMS AND (C1w9 aM) G"á. AUTO PU.... SHUT OFF WHEN A I.EAK ocaJAS o Þ. AUTO PU.... SHUT OFF FOR LEAKS. SYSTEM FAIWA£ N#IJ SYSTEM , DISCONNECTION : I . 0 Co NO AUTO PUMP SHUT OFF . ì [2( 11. AUTOM4T1C I.INE LEAK DETECTOR (3.0 QfIH TUT) mIlS FLOW StM' OFF OR ReSTRICTION o 12. ANNUAL INTt:GRI1Y TEST (0.1 GPH) SUCTIONlGAAvrTY SYSTEM: o 13. CONTINUOUS SUW SENIOR. AUDIIU! AND VlSUALALAMtI !IŒRG!NCY GÐlDA1'OM ONLY (CItecA"""" o 14. CONTINUOUS SUW SENSOR wmiOU1' AUTO PUW SHUTOfF +AUDB.E NÐ VISUAL AI.AAMS ilo IS. AUT0M4T1CI.INELEAKOETECTOR(3.0GAtTEST)~FLOWSHUTOFFOA I RESTAICTION ! 0 '8. ANNUAlINTEGflITY TEST (0.1 GAi) ': 0 11. OAlI.YVlSUALCHECK I I ì DISPENSER CONTAINMENT ! I OA TE INSTALl.ED 4ð8 I I "..{~:;r~~r~~;',,' . .~~ ~I;'-~; . .. ...:...~~~__~: ,\ J.. '. ........_""""-_.... I.. ···:·.·.,;..~·.~··!r I CIeI1JIy 1/1. S/aHA TUR! o J. GAAIII'T't o 2. SUCTION o 95. UNl<NQWN o 99. OTHEA 4, .., . 0 8. FAP CO....ATI8U! WI I~ ~ o 1. GAlVAH1ZEO STeEL o 8. FlEXJ8l! (HOPe) 0 III. OTHER o 9. CA Tt100IC PROTECTION 095. UNKNOWN ~. ....~;,. A8O\lEGROUND PIPING NO W. PlPI ~: PRESSUAIZED PIPING (CMcIr IIlNt~): o 1. a.eCTROHIC UNE LEN< OETECTOA 3.0 GPH TEST mIlS AUTO PUW SHUT OFF FOR I.EAK.. SYSTEM FAlLUAE. AN) SYSTEM OISCONEcnoN . AUOI8l.E N#IJ VISUAl. ALARMS o 2. MONTHLY 0.2 0fIH TEST o 1 NNJAL IH1'!GAITY TEST (0.1 GPH) o 4. OAILY VISUAL OECK CONVENTIONAL SUCTION SYSTEMS (Chedr" Ita, ~): o 5. OAA. Y VISUAL MCINn'OAING OF PIPING AND PUMPING SYS'ÆM o .. TRJENoIIAlINTEGRrTY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BElOW GROUND PIPING): o 7. SELF MOHITORINO GRAVITY flOW (C/IWt II...,~): o .. OAILY VISUAL MONrTORINO o .. BlEHNW.IHTEGArTY TEST (0.1 GPH) IECONDAJISLY CONTAINED PIPING PRESSUAIZEO PIPING (CheeJ¡ II...,~): 10. CONTINUOUS TUR8INE sua.tP SENSOR mIt1 AUOI8l£ N#IJ VISUAL AI.AAMS AND (dIeCk CIIe) o a. AUTO PU.... SHUT OFF WHEN A LEAK OCCURS o Þ. AIITO PU.... SHUT OFF FOR U!AKS. SYSTEM FAIlURE N#IJ SYSTEM DISCONNECTION o Co NO AUTO PUMP SHUT OFF o 11. AUTOM4TIC LeAK DETECTOR o 12. NNJAL INTEGRITY TEST (0.1 GAt) SUC1'1Ot4IGAAvrTY SYSTÐot o 11 CONTINUOUS St.u» SENSOR . AIJDIØU: AND VISUAL AtNIMS Dll!AGENCY OINl!RATOttS OM. Y (Ch«k II".., ~ o 14. COHTHJOUS SU.... SENSOR wmtOUT AUTO PU.... SHUT OFF . AUDIBlE ANO VISUAL AI..AAMS o 15. AUTOM4 TIC I.INE I.EAK DETECTOR (3.0 GAi TEST) o UI. AHNUAlIHTEGflITY TEST (0.1 GAi) o 17. OAII.YVlSUALCHECK ~AIUUIlUT'{~:;~;~~':: ~.Þ.':;'.: ~,.!~~.. ':0'; ".~.,,>,... '1!'0.&"~.~~~...'.,,. . :¡r~~\i¡ o 4. OAII. Y VISUAL CHECK a 5. TRENCH LINER I MQMTORJHG o I. NONE - 411 414 I PennJI EJIpIn¡IIon 0. (For j¡CaIl/Ø CJd)1 475J 470 412 r Penntt ~_IFot IOCIJ UN only) 473 I ,..".. AWtMd(FotItlCtl"'onIy 'JPCF (7/99) S;\CUPAFORMS\SWRC8-Ø.wPO 3'-W..~Coaaw80ard - (1..-. Ai ... _ ......, CERTIFICATION OF FINANCIAL RESPONSIBILITY NT: AND ~. htlt.by cettifla IMt it ¡, in complltutt:e with thtIlfIttJ/twMtD 01 S«:tiøn R607, - ~ ~t~ 'fCg nttt f\\0QY\GicLO ~fS 'Irs ~CfV" : L-e++t( rø: If you IUØ 16/n( the-..- Fund _ .ny pIIIt øI your dllll'lOMtlatkm of 1/nIInCia1 trl!lpønsibIIlly, your ØJIICUtJon.œ""""" 01 th1:I cøttlflœJlDn'" cø1l1/lø thtII u .,./n com 'ItInctJ with æl CDndltitJlø for I7Iht1 Fund. rpH_ jrp~ \\ UrpH_ ~\\ ~U Peållrp~ da')\ "~ /I 8\fecr- -&7t~(QìOcI t~ . f\q~ l1~ I Irp~ rp~ "'lI"~o..r.o,... m 'O\CUY\ CJj elWW__.,.., "' PILe Orfflal .. r.-I AI/1N1 c.,M" """'11(') . .. Jul-25-02 11: lOA WI, ER CENTER INSURANCE 31.89 3630 P.03 AgJRD", CERTIFICATE OF LIABILITY INSURANCE PRODUCER WILSHIRE CJS:NTER INSURANCE 800 S.ROBERTSON BLVD #10 LOS ANGELES CA 90035 THIS CERTIFICATE IS ISSUED ONLY AND CONFERS NO RI HOLDER. THIS CERTlFICATE ALTER THE CöVIERAGE AFFC DATE IMM/DOI'rI) 07 25/02 SA· ¡iA1TER OF INFORMATION TS UPON THE CERTIFICATE S IIOT AMEND, EX1'E....þ OR .~~~y THE POLICies BELOW. INSURERS AFFORDING' ::OVERAGE 11ISU1I~ NIAGARA CAR WASH 7991 WHITE LANE BAKERSFIELD CA 93309 JN5URE~~t. IN~t;E C~~!~ JNSUR£I1 0: JNSURE'R c: INt\UREn D. INSURF.R F.' .-' .-. COVERAGES THE POLICIES OF INSURANCE 11~11.l> UL:LOW HAVF IILLN ISSUED TO lJ1lINSUREO NAMlD ABOVE FOH mE POlICV 'I MIOD II' )\C'..AH.O. NOTWITHSl'i\NnING H4Y REQUIlu';Mt:NT, TERM OR (.;ONO\1l0N 01 ANY OONTRAGI cm Ol'HER O<X:\JMENT 1MTH III:&t:CT TO WI1t(:1I fl-ilS \;F.f "UICAl'E MAV Rf ISSUED OR MAY PERTAIN, TUL INSURANce N IOHl1EO BY THF POLICIES DEscnlllLD HEREIN If> SUUJECT TO AI L I liE TERMS, I-xO.lISlOt :; /IN) WNDmONS OF SUCH POUCIF.$, AGGREGATF IIMII S SHOWN MAY IIAVL DEEN REDLJCt'o jy PAID CLAIMs, I~ft TYPE OF INSURANcE i POUCY NUMBER . POUCY Ì¡FFECTrVE 'POLK:V fXPlllATION A GEMEAAI.UAIIILfTY CAB706831 05/17/02 05/17 /03 t;".ÇII'f'<:~~J~~:N¡;t. x CQMMEllCIIIL. aFNF.-HAL UAB Lrr'! \ .., I CLAIMS Þ.4A(If: I X; J OGCIJH ¡ . ---" LIMITS ~.:"~-_. OEN'LAGGRFGATE UMrT N'PLIF!I ?I;H' X PCllleT' ~~g!"' .hoc I\I1TOMOB1LE UA8ILI1Y AN'( AUTO ALL OWNED AlJT'OS SCHI::DULED AUTOS . HIReD AUTO!! NON·(IWNEO MJTœ $lpOO~ . l'I~c.o.~~Alil:.!"'Y.~!!!L. s. ...100PQO MFfJ I:tl' (AI,y I"" person) $ 1,000 P~H!it~^l.~..!i\l;~HY . ;·lõo. 00 a£N':~l A['[!I~()A!E....-." 1P 0 010 0.0 P~(I)I.!C1S.c!!\oIÞ,~~AlI( \ $. .._ OARAOE UABtUTY AN'( AUTO --.- COMHINl:ll S!NiL.r. LIMIT It ¡Fa ~1t"\\ : I:IOOILY.INJURY $ (Per pel""!1) ElOlHL'I'INJUnv $ (pe. ",,~idenn rROPFII'V L1AI ,\O¡¡ " fC'..'C:Qt:1llm) AU In ~~': . ~. /I¡;x';n)ENT . A mc.çESS UA9lut\' X 1 OCCUR I I CLAIMSMÞ..)I, 4602RS240938-0 \ I '05/17/02 05/17/03 F~;H r~:r:ur¡,!:~,~¡;_ , EA!,CC , !. AGt~ S. , $ So $ It _ SOQOOOO : OTllrFl'lHAN AUTO OM Y Ar.itil(I:~:'~ .._. OFI)VÇTBLI: fit: TENT10N .-. $ , , .- WORKEJU: QOMPENSAnON ANO EMPLOYERS' \.IAU'UTY $ -- $.._-- $ A . CAB70683 05/1' /02 \ 05/17/03 $50,000 UILDING CA:B70683 05/1? 02 05 17/03 $50_0, OO~~_ DESCRIPTIO" OF OPERA110N!õIl.OCAT10Nti'VfHléLESIEXCUJSIONS ADDED DY ¡;!IIUOFl5EMENT/SP&c:U\L PROVISIONl! CERTIFICATE! HOLDER . A[nITIONAL INSURED: INSURER LmEA: CANC~Lt.ATlON SHOULOANYOFTHEABOVe PC$CI'IIseo POuc;lll¡¡S I!E( .\NCELLEOIiI¡¡FOIIETHeEXPlIlATtON DAT¡ THEREOF, THE IS4ulNO INSURiR WIll EHDEAVC II fO MAIL .3. 0 _ DA'18 WRITTEN NOTiCe TO THE Cel'fTlflCATE HDI.D!FI NAIlilED:TO TI1!IL!'F1, BlIT FAJUJRE"rO 00 SO SHALL '!WIPOSE NO OQUGATIO"l OR UAIIIU't\' DF ANY (JND ~ 'ON THE INSURER, ITs I\I;I£NTS OR REIõ'FlESENTATlVES. AUTItOR~ED \\¡¡PRESmATIVI! U1I ~u; AC~D 25-5 (1/17) . . The Chief Financial Officer or the owner or operator must sign, under penalty of perjury, a letter worded EXACTL Y as follows or you may complete this letter by filling in the blanks with appropriate infonnation. LETTER FROM CHIEF FINANCIAL OFFICER I am the Chief Financial Officer Cheaoer. Inc. 12424 Wilshire Blvd.. Los Angeles. CA 90025. 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 property damage caused by an unauthorized release of petrolemn in the amount of at least $ 10.000 per occurrence and $ 10.000 annual aggregate coverage. (Dollar Amount) (Dollar Amount) Underground storage tanks at the following facilities are assured by this letter: Niagara Car Wash #1. 2301 "H" Street Bakersfield. CA 93301 Niagara Car Wash #2.7991 White Lane. Bakersfield. CA 93309 Niagara Car Wash #3. 1701 Stine Road. Bakersfield. CA 93309 1. Amount of annual aggregate coverage being assured by this letter................................. ........................ .... $ 10.000.00 2. Total tangible assets... ... ... ,.. ... ... ... ... ... ... ...... ... ...... ... .... $ 19.000.000.00 3. Total Liabilities ...... .................. ......... ......... ............... $ 1 LOOO.OOO.OO 4. Tangible net worth (subtract line 3 from line 2. line 4 must be atleast 10 times line 1) '" ......... ......... ......... $ 8.000.000.00 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 23 of the California Code ofRegulatiorts. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at Bakersfield. California 93309 (PIace ofExecution) On Julv 24. 2002 . ~~ ~~ 19nature) Sam Siam (Print Name) Owner/CEO (Title) -'i. ~. '7;. e e Cheaper, Inc. DBA "Niagara Car Wash" Emergency Response Plan Underground Storage Tank Monitoring Program For Store # 2 ~ ~, if: e - I.Clean-up procedures for unauthorized release or a hazardous substance For a Major Gas Spill 1. Turn off the gasoline emergency shutoff switch at the check stand. 2. Survey facility for injuries. 3. Make sure no one is smoking or car engines are operating around the area of the gas spill. 4. Contain the spill with absorbent material to keep spill from spreading (Kitty Litter). Shore up or dam any drains or sewers that the spill may impact. 5. Call the local fire department. 911 6. Call Cheaper, Inc.'s main office. 310,447.1234 7. Call the Office of Emergency Services. 800,852,7550 8. Notify by personal visit any neighboring residence, business, or schools that could be affected by a product spill. For a Minor Gas Spill 1. Contain the spill with absorbent material (Kitty Litter). 2. Dispose of the material in accordance with state and federal laws at proper disposal sites. 2. Prooosed method and eauioment for disoosal of hazardous material Safety equipment and absorbent materials to remove hazardous material shall be used and placed in a proper container. Safety Equipment 1. Safety Goggles 2. Rubber Gloves 3. Face Mask 4. Rubber Boots Absorbent Material 1. Kitty Litter 2. Other Environmental Absorbent Material 3. Location of cleanuo eauioment Safety material and cleanup material to be kept in the outside storage room. 4. Maintenance schedule for cleanup eauioment Cleanup equipment and containers are to be inspected by site manager and assistant manager on a daily basis. 5. Authorization Contact List for Response Plan Sam Siam Julio Sical Raul Salas Jose Arenas Taya Power Company CEO District Manager Site Manager Assistant Manager Site Administrator 310.447.1234 661.343.1706 Cellular 661.827.8580 661.827.0442 661.201.0829 '" -, ¡ ~ . ~" . e Cheaper, Inc. DBA "Niagara Car Wash" Written Monitoring Procedures Underground Storage Tank Monitoring Program For Store # 2 .... ,¡¡ .-. (~ e e 1.FreQuencv of performine: monitorine:. Tank inventory. Daily printouts from Gilbarco E.M.C. and Daily Stick Readings to reconcile gasoline 2. Monitorine: Equipment Gilbarco Environmental Control System 3. Location of monitorine: equipment Auto printout monitor located in outside storage room and manual stick to be done at the opening of the tank. 4, Persons responsible for performance monitorine: and/or maintenance of equipment Raul Salas Jose Arenas Taya Power Store Manager Assistant Manager Site Administrator 5. Report format for monitorine: Tank Fuel reconciliation and individual tank reports are done daily. 6. Preventative maintenance schedule for the monitorine equipment Yearly inspections of monitoring equipment and maintenance performed by RL W Equipment 7. Employee Trainin1! for ouerations ofUST system Department supervisors are shown how to operate the monitoring device and trained to check the pumps and equipment for leaks. 8. Deuartment Suuervisors Raul Salas Jose Arenas Taya Power Macario Zambrano Mario Tarango Site Manager Assistant Manager Site Administrator Vacuum Supervisor Vacuum Supervisor ) FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Streel 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 -- . D August 30, 2002 Niagara Car Wash 7991 White Lane Bakersfield, CA 93309 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have not 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 ofthis 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. SinC;¡ rt£mo Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services "" Y6'VÚ~ a;, Wc¥/l//~ ~ v#6C'Pe .ß7'~ 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 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVTRONIlEHTAl SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBUC 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 VIcIor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . - July 30,2002 Niagara Car Wash 7991 White Lane Bakersfield CA 93309 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31,2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not vet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31,2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. sin;lerel" ~.. , ¡ / . I Steve Underwood Fire Inspector Environmental Code Enforcement Officer ~~y~ de W~ ~ ~0P6.r~ 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 1715 Chesler 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 . . June 30, 2002 Niagara Car Wash 7991 White Lane Bakersfield, CA 93309 REMINDER NOTICE . RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 7991 White Lane. Dear Tank Owner / Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to 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. Sín";¡i ctdv Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Environmental Services SUIkr "7~ de t?~ ~ ~OPß ff~ A t?~.,., FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 \ '/ e e Niagara Car Wash 7991 White Lane Bakersfield, CA,93304 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at -éGG·Bmflða5c Lmc tqq I ?J H (T6- LN. . REMINDER NOTICE Dear Tank Owner/ Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are' detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1,2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. S:1k C~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer SBUIkr enclosures --.7~ ~ W~.97op ~0Pe .?7~ 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 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e _. April 17, 2002 Niagara Car Wash 7991 White Lane Bakersfield CA 93309 RE: Necessary Secondary Containment Testing Required by December 31, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 shalI be tested upon installation, six months after instalIation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1,2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Si2 tf4J Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer SBU/dm enclosures --Y'~ de W~ ~.A0Pe ff~ .A W~" --- ,.u ~"'\"( þ-'" ¡ .. BSSR, Inc. . 6630 Roseda1e Hwy., #~akersfield, CA 93308 Phone (661) 588""7-Pax (661) 588-2786 B F1J Cq;Y(f I I I I 'MONITORINqSYSTEM CERTIFICATION- J:. . '~Thìs form must be ~ed .to doCument testing and servicing ?f. moÌùtoring equipment. A separate ce~ficatioi1 or I~ort must be" ¡ ~prepared for eachmomtonngsystem control panel by the technic181Ìwho perfoi'm$thø wQrJf.. A copy of thIS forp1 must be providedtc>. ;the tank systëm owner/operator. Thè' owner/operator must submit a copy of this f0tm tö the local agency regulating UST systems' "within 30 days of test date. .. .,. , ¥A. General Information f'aci11tÿ Name: ,"',N'"'' 't\R~ Cf\12 þ.)F)"S.t-\ Bldg. No.: iSiteAddress: . 7~q, W·ti\:f~ l,..~t. . City: t3At'ER~\E"L~ Zip: q--=3'3cq FacilityCoDJactPerspn: '~Rf\vL '.?:',' .' Contact Phone No.: (6l>l ) &"32--=j}<tB Mal<eIModelofMoni~oring System:;EMC i'Rao26"J oio06oo Date ofT~tinglServicing: -3.J ~Ol CI Ii, Inventory 9f Equipm~ntl'~t~dÍçê.~ef:t:::· Cbèck the a ro riafé boxes to ,indicate s eêlOc eul . meilt hiš èi:tedtservlced: Tank ID: ,\... ONL'Ê,F\b~1\ Tank ID: ~- PLuS' ~~~~a~ ~;~;;~o~ ~~~~·sensor. ~~~:l~ ~~~T~j=od ~~¿:ï!r~;u~n;~:;~·sensor. ~~~~~ ~~tl~ClÖ~~~O ÇJ ~ing Sump /Trench.Sensor(s). Model: .' . '. 0 PipingSuinp IJrjmch Sensbr(s). Model: . I!r'""MSumpSensor(s). S'1'p· Model:~.~q( '~'{OOO·· ~SumpSensor(s). ,,&'"Tp Model: 7')9t 114 «,(.ðOO a Mechanical Line Leak Detector. Model: . (J MechanicalLine Leak Detector. Model: b' Electronic'Li'ne Leak,Detector. Model: Q ElectróriiëUneLeak Detector. Model: 'þ TIUI~ºverfiIi I High-Level Sensor. Model: . O. Tank 'overfill / H~gÍt~~vel Sensor. Model: .,' . ëJ OtKe~~"š'#"è;i eui ment e and modeliri Section E on Pa e 2 . [J Other si e iii ment and mooelin 'Section E on Pa e 2 ;' Tank ill: .< ~ -:; 0 p-e- R TàÎÍk'ID: B1"n-TankGaugingProbe. Model:pA02115DQ60200 Q IÌ1-TankGaugingProbe. Model: tiVÄnnularSpace or Vault Sensor. Model: 'l5Q " t.) (,IOc\o Q Annular Space or Vault Sensor. Model: a Piping Sump I Trench Sensor(s):' Model: Q Piping Sump/Trench Sensor(S). Model: ü'iI""U? Sump Sensor(s). Model: ~ ~q .f LI '1000 0 FiJI Sump Sensor(s). Model: a Mechanical Line Leak Detector. Model: a MechanicalLine Leak Detector. Model: o Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: ?ê)i'Tank Överfiíl/ High-Level Sensor. Model: [J TankOverfill / High-Level Sensor. Model: a Othër s' ecif" ùi ment e and model in Section E on Pa e 2 . 0 Other eci ui ment and model in Section B on P e 2 . Dispenser ID:·' - J. . ßO 6 Dispenser ID: ~ -(I 6~ 5 o Dispenser Containment Sensor(s). Model: a Dispenser Containment Sensor(s). Model: ~hear Valve(s). Ci'"'Shear Valve(s). o Dis enser Containment Float s and Chain s . [J Dis enser Containment Float s and Chain s . Dispenser ID: ;) - b - Be> 5 Dispenser ID: ~f. \'ii.. a Dispenser Containment Sensor(s). Model: 0 Dispenser Contalllmènt Sensor(s). Model: lVSIiear Valve(s}. 0 Shear Valve(s). . a Di enser Containment F10àt s and Chain s . 0 Dis ser Containment F10at s and Chain s . Dispenser ID: Dispenser ID: o Dispenser Containment Sensor(s). Model: [J Dispenser Containment Sensor(s). Model: a Shear Valve(s). . 0 Shear Valve(s). aDis enser Containment Float s and Chain s . 0 Dis enser Containment PI oat s and Chain s . "If the facility contains mo~e tanks or dispensers, èop:y thi's fonn. Include infonnation for every tank and dispenser at the facility. C, Certification - ~ ceriuy that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guid~es,¡ Attaçb~ to this Certification is information (e.g, manufacturers' cheddlsts) necessary to verifY that this information is c:orre~t and! a Plot Plan showing the layout of monltormg equlpm~ 'For any equipment capable of generating such re. po.rtS,..· Iba. \Ie also a~ed a copy of the report; (chedr. all that apply): ~vstf::t. s~t-uQ 9 Alarm hi\t0!'Y report Technician Name (print); F, b-E"L C A 2 (2\ L La Signature: _ðJ...t.X. ~..{5 t' .... .' I Certification No.: II 00 ~ t..( ¡. License. No.: b 7 ;2 a \ ~ . . I '. Testing Company Name:,---'15 $ -SR . tV C"'... Phone No.:{ b~ \ ) 5 8f17L '7 '1 -:¡. Site Address: b6:ßo j<OCS£fJA( 1: MW'{. ~ DateofTestinglServic~_:.~:¡OI Cl ..... - Page t of3 03/0 t .~ Monitor,ing System Certification ..... .. ;~ . . I - D: Results of Testing/Servicing Software Version Installed: 8-cú Com Jete the followin checklist: tt.V"Yes Q No'" Is the audJ.'ble alarm 0 rational? es a No'" Is the visual aJann 0 erational? 6iI" Yes a No'" Were all sensors visuall . in ected functionall tested and confirmed 0 erational? fã,YYes a No'" Were al1 sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro r 0 eration? If alarms are relayed to a remote monitoring station, is all communications equiptpent (e.g. modem) operational? For pressurized piping systems. does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) IJ Sumptrrench Sensors; .·0: Dispenser Containment Sensors. Did ou confum ositive shut-down due to leaks d sensor failure/disconnection? a Yes' a No. es (J No'" For tanJc systems that utilize the monitoring system. as the primary tank overfill warning device (i.e. no a NI A mechanical overfiII prevention ~"lve is installed). is ~e overfill warning alarm visible and audible at the tank fill in s and 0 era . r erl 1 If so, at what rcent of tank ca ci does thea1arm'tri er? % a Yes'" jiI No. Was any monitoring equipment repIacèd?1! yes, ideritÌfy sp~ific sènsors, probes, or other equipment replaced and list the manufacturer name and model for al1 r lacement 'arts in Section E below. Was liquid found inside any secondary containment syst~rnt' Ø~igned as dry systems?, (Check all that apply) a Produc a Water. If es descnõe causes in Section E below. . Yes Q No* Was monitorin s stemset-u reviewed to ensure ro er settin s1 Attach set u re orts if a licable . Yes a No· Is an monitorin ui mènt 0 erational er manufacturer's s ifications? * In Section E below, describe how and whénÍhese deficiencies were or will be corrected. ti-'Yes IJ No* Q N/A IJ No· ~ N/A Q Yes a Yes* pi No E. Comments: ., .... f Page 2 013 03/01 i oR î~- Tank Gauging I SIR Equ¡'-nt: (J Check this box if taAuging is used only for inventory control. D Check this box if no tank gauging or SIR equipment is installed. Thi§",<jection must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Comolete the foUowinf! ch~cklist: t í , . '. efyes o No· Has all input wiring been inspected for proper entry and termination, including testing for ground faults? GVYes a Nó· Were all tåIÌk gauging probes visually inspected for ~age and residue buildup? (!"'Yes o No· Was acc~ct of~¡j'stem product level readings teSted? {' ¡¡ryes a No* }-Yasac,c'!11"Ìicý of'systc?m""ater level readings tested? '. . (ÝYes (J No* Were an probes~installédpropër1y? , , /YYes (J No* Were aU i~ on the equipment manufacturer's maintenance checklist cOmpleted? ~.- .,' * Inothe Section H, below, describe how and when these deficiencies were or wiD be córrected. G. Line Leak Detectors (LLD): C I thtill ch (J Check this box if LLDs are not instaIled. oDlDlete e 0 OWÎnf! eeklist: GVYes a No. For equipment start-up or annual equipment certification. \Vas a leak simulated to verify LLD perfonnançe? DNIA (Check all that apply) Simulated leak rate: [J 3 g.p.h.;[J·O.ì g.p.h; (J 0.2 g.p,h. " üir'"Ves a No'" Were all LLDs confirmed operational and accurate witJli:!l regulatory re£tUirements? urYes· Q No'" Was the testing apparatus properly calibrated? i 6' yes a No* For mechanical LLDs, does the LLD restrict product flow if it detects'. a: leak? Q NIA a Yes Q No· For electronic LLDs. does the turbine automatically shut off if the LLD detects a leak? 61 NIA , a Yes Q No* For electronic LLDs. does the turbine automatically shut off if any portion of the monitoring system is disabled œ N/A or disconnected? ; _., . Q yes a No'" . For electronic LLDs, does the tmbine automatica11:Y shut off if any portion of the monitoring system 6!1 NIA malfunCtions or fails a test? . DYes a No* For electronic LLDs. have all accessible wiring connections been visually inspected? ~ Gf NIA Gil'Yes a No· Were all items.on theequi,pm~t manufacturer's mainteJ}ap.ce cl;1ecklist completed? ... In tbeSection H, below,descn'be how and when these deficiencies were or will ,þ~. cOJTected, H. Comments: .. Page 3 of3 03/0 t .' · .. ¡;; ',. ~¿.I.- e Monitoring System Certification " UST Monitoring Site 'Plan Site Address: -:¡ °L9 1 (A) H \ í E LN , t . . · · : . B . · · · Qf~~: · C:l~~' · ~f' . . · · . · , · · . ~ t · · · · · · · · · · · . a ~f): . Df''''': . jt r~y : Lubc' o~· . 0 ',p- o \S fl1 . O'~' "fl. . · . · · · · · · . , · · · · . · · · · · , .. · · · · · · · · i · · . · · · · · · · . . . · · . · · . . . · · · · · · . · · · · · · · · · · · · . .... ffi" · · · · · · · · · · · · · · · · , · . . .. , E}··@· · .. :@ · . . . · . · · o t-~~: · . · · · . · · . · · · · · · · · · · · · · · · o~~~: . · · · · · · · , · · · . . . . · . . · .. .' :":::6' .:: .... ~ , .... . .. .. .. .. .. ... ... .. .. .. .. .. .. .. · · , · · · : , · · , · · · · '. · · · · · · · · · · · · · · · · · · · · · · · · · , , . . · · · . · . · , · · · · · · . · · · · · · · · · · · · · · · · · · · · · · · , . . .. .. .. .. .. .. vJl . :. .. I: . { ., .~ /"!' .'~ '. .... · :s: ~ :I~~I:~ ~.' . .. .. . .. .,. !. i l' . .. .. I'" .. :.. £: . . ~. \ " e · · · · . · · , · .' · · · · · · · · · · " · · · · · .. .. .. .. . .. .' . · · · · · · · · · · · · · · · , · · '. , . · · , · · · . · · .. .. .. .. .. .. .. .. .. · · · , · , · · · · · · · · · · , · .. · · · · · · · · , · · · · · · · · · · · · · · · .. · '. · · · .. · · · · · · · · · ; · · · · · · · · · · · · · · · · · · · · · · · · o..{'fl1)l· (;""' · I.W. ~.~ . . .. ........ .. .. .. · · · · · · . . . · · · . . · · · · , .. .. .. .. .. .. .. · . · · . · · · . · . · · . · · · . · · . . · · · · · · · · · : · · · · · · · · . · · . . , . . .~ . . · .. .. .. .. .. .. · . · Date map was drawn: q /::bQ/ 0' . · · · · · · · · · · · · · · · · · · · · · · · · · , · · · · · · . · · · · · · · , · , · · · . '. ,i 11 . t ¡' · , . , , . · , . · · · ¡ , . ! . , . t · .. .. .... .. · . . ! 1 , J. i · · · ., ~ I · · · · · · · · · · · , · · , , · · · · · , · · · · · · · · · · · '.¡: ,. .; . · · ! · . · · .1 ./ · · · · · · . · , · .¡ , :¡ · · · . · . . '. ,. '. ~_.. .. · . .... .. · , . · I . · · · . . · . , · Instructions If yo~ a!ready have a di~~ ~at shows all ~equired information, you may include it,. rat4er ~. this page, v\r~Ìh y~ur Monltoqng System Certification,. On your SIte plan, show the general layout of tanks ahd plpmg, Clearlytdentify locations of the fonowing equipment, if installed: monitoring system control panels; sens~rs monitoring tank annular spaces, Sumps, dispenser pans, spill containers, or other se~ondary containment areas; mechatÍicà1 or elec1ronic line leak detectors; and in~tank 1iquid level probes (if used for leak detection). In the spaoe provided, note the däte this Site Plan was prepared. Page _of~ 05/00 ,', . . -, - --- - --~ -~.~.-~ [ 1 ri,j,F:i'; '·rift·it,;:::I, 7':¡') 1 I.Hll TE U~['H: 8iir:EF:;:::;!-' I ELI',. ':'r;. ¡··1¡::;"" 1 '\. 7:DC:'l 1 1 : ':"~:, NI { ::::\:"::fEI"\ ;::TrllïJ:~; F'~.-AT ,- ..- .- ~- -. -~-~:--.. . L::: FUEL i~Ui¡'::í"l I ¡F/E '·JT·:) F:\' ki:T:::'ET T 1: IIIH.fJ:;D ,,/':)LUr'U:: ULLf~GE ·3iJ·';:. ULL.;,CE= TC: \/()LUI"1E HE J (.;HT 1.,linEr: \'·:'L 1"IiìTEE TH'IF' T 2: FLU:::: "./(:'LIII"l£ ULLiÌ'.:~E 9:):,: ì.i!Jj~':;E = F:' \!'.;.!..LJI'·1E HE 1 (;H'1' I,.JHTEH \/(ìL t...IiiTER TEI'If' T :3 :::::UFEF: \/':)LU¡'IE ULl.A(·;[ 9[1:\: UL1JiGE~ IC' \/(:'LI..lI'·1£ HEIGIIT I..IHTEF: "/C'L 1.,liiTEF: n::r-IF' r:. e '? ~~ '-.:;f~L~=':; Ct~L:":~ C¡::;U:: GAL~3 I fJCHE:3 GAL~::~ 1I',I:'H[}3 DE(; F 5U);:' :ë:'ëJ49 b'?I:;l ..:: ~_j:]. 1 ;J Ci Ci . CIO ''It:, . ')' ~:::['¡Cib I.AìL~::: II'WI I:: '::;¡::;U3 :::r¡ 1 5 GAL~=; 1 9:::: l ,,'-' ,', T_.E:~ :':'1" ::34 t. 'HEt: oW::: Ci "un I NCHE:::; 7'ï".5 IÆC F ::::~;:I;:~:¡~ Gl'1L;::; :::740 GALS 7~;J'7 G~~L~3 :.3:?~t, GALr3 J Ci . :J 4 1 r··J(; ~n:::3 o GAL~J 1:1 "00 11"JCHE~3 '76.0 DEG F , . ~ ~ * ~ ~ E¡~D ~: ~ ~ ~ ~ " ~ ----- ._-~---~--- . '. . , - -./.. .. ...~~~ -:;.. ¡ -.;.~.¿ ~ ,;.' . , " e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Ntð-f4.ú'â étlr V.)f1('~ INSPECTION DATE ,ç- t {-Of Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank ,(l1l>Fr ~ Type of Monitoring èLM.. o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping (Jl1J(==- ORe-inspection OPERA TION C V COMMENTS Proper tank data on file I\.- / Proper owner/operator data on tile t...- /' Permit fees current \....... / Certification of Financial Responsibility V/ Monitoring record adequate and current t .J Maintenance records adequate and current ,,_.)1 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 OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? [[yes, Does tank have overfill/overspill protection? C=CompJiance V=Violation Y=Yes In,peolO'~' ~4a¡pt) Oftìce of Environmental Services (805) 326-3979 White - rnv. Sves. N=NO \ Pink - Business Copy . e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKl..IST 1715 Chester Ave., 3rd Ji'loor, Bakersfield, CA 93301 FACILITY NAME Hf,LJ~ ~~~ Wo..~ ADDRESS 7'1'l{ \ FACILITY CONTACT INSPECTION TIME INSPECTION DATE ö-l!1-0! PHONE NO. tõ 3J .. ì 3 '('6 BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES 7.Ç 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 permit on hand L V Business plan contact information accurate \ li Visible address t- V Correct occupancy l,... V Verification of inventory materials L.- V Verification of quantities V / ¡,- Verification of location IV Proper segregation of material Iv I Iv ,r Verification of MSDS availability Verification of Haz Mat training L / V crification of abatement supplies and procedures L" / Emergency procedures adequate Iv / . Containers properly labeled l,.. / Housekeeping v I Fire Protection V I / Site Diagram Adequate & On Hand Iv C=Compliance V=Violation Any ~azardoutwasti o~si~?: (j-Yes 0 No Explam: l.JJa,tr.. (h_. 1l tft.r~ r- , White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 \ . .. Complete the UST . Facility page for all new permits, permit changes or any facility information changes. This page must be submitted within 30 days of permit or facility information changes, unless approval is required before making any changes. Submit one UST . Facility page per facility, regardless of the number of tanks located at the site. This form is completed by either the permit applicant or the local agency underground tank inspector. As part of the application. the tank owner must submit a scaled facility plot plan to the local agency showing the location of the USTs with respect to buildings and landmarks [23 CCR )2711 (a)(8)], a description of the tank and piping leak detection monitoring program [23 CCR )2711 (a)(9)], and. for tanks containing petroleum, documentation showing compliance with state ftnancial responsibility requirements [23 CCR )2711 (a)(11 )]. Refer to 23 CCR )2711 for state UST information and permit application requirements. (Note: the numbering of the instructions follows the data element numbers that are on the UPCF pages. These data element numbers are used for electronic submission and are the same as the numbering used in 27 CCR, Appendix C. the Business Section of the Unified Program Data Dictionary.) Please number all pages of your submittal. This helps your CUPA or local agency identify whether the submittal is complete and if any pages are separated. 1. FACILITY ID NUMBER - Leave this blank. This number is assigned by the CUPA. This is the unique number which identifies your facility. 3. BUSINESS NAME - Enter the full legal name of the business. 400. TYPE OF ACTION - Check the reason the page is being completed. CHECK ONE ITEM ONLY. 401. NEAREST CROSS STREET - Enter the name of the cross street nearest to the site of the tank. 402. FACILITY OWNER TYPE - Check the type of business ownership. 403. BUSINESS TYPE - Check the type of business. 404. TOTAL NUMBER OF TANKS REMAINING AT SITE - Indicate the number of tanks remaining on the site after the requested action. 405. INDIAN OR TRUST LAND - Check whether or not the facility is located on an Indian reservation or other trust lands. 406. PUBLIC AGENCY SUPERVISOR NAME - If the facility owner is a public agency, enter the name of the supervisor for the division, section or office which operates the UST. This person must have access to the tank records. 407. PROPERTY OWNER NAME - Complete items 407-412 for the property owner, unless all items are 408. PROPERTY OWNER PHONE the same as the Owner Information (items 111-116) on the BusinesS 409. PROPERTY OWNER MAILING OR STREET ADDRESS Owner/Operator Identification page (OES Form 2730). If the same, 410. PROPERTY OWNER CITY write ·SAME AS SITE- in this section. 411. PROPERTY OWNER STATE 412. PROPERTY OWNER ZIP CODE 413. PROPERTY OWNER TYPE - Check the type of property ownership, 414. TANK OWNER NAME - Complete Items 414-419 for the tank owner" unless all items are the 415. TANK OWNER PHONE same as the Owner Information (Items 111-116) on the Business 416. TANK OWNER MAILING OR STREET ADDRESS Owner/Operator Identification page (OES Form 2730). If the same, 417. TANK OWNER CITY write -SAME AS SITE- in this section. 418. TANK OWNER STATE 419. TANK OWNER ZIP CODE 420. TANK OWNER TYPE - Check the type of tank ownership. 421. BOE NUMBER - Enter your Board of Equalization (BOE) UST storage fee account number. This fee applies to regulated USTs storing petroleum products. This is required before your permit application can be processed. If you do not have an account number with the BOE or If you have any questions regarding the fee or exemptions, please call the BOE at (916) 322-9669 or write to the BOE at: Board of Equalization, Fuel Taxes Division, P.O. Box 942879, Sacramento. CA 94279-0030. 422. PETROLEUM UST FINANCIAL RESPONSIBILITY CODe - Check the method(s) used by the owner andlor operator in meeting the Federal and State financial responsibility requirements. CHECK ALL THAT APPlY. If the method is not listed, check Aother: and enter the methodes). USTs owned by any Federal or State agency and non-petroleum USTs are exempt from this requirement. 423. LEGAL NOTIFICATION AND MAILING ADDRESS -Indicate the address to which legal notifications and mailings should be sent The legal notifications and mailings will be sent to the tank owner unless the facility (box 1) or the property owner (box 2) is checked. SIGNATURE OF APPLICANT - The business owner/operator of the tank facility, or officially designated representative of the owner/operator. shall sign in the space provided. This signature certiftes that the signer believes that all the information submitted is accurate and complete. 424. DATE CERTIFIED - Enter the date that the page was signed. 425. APPLICANT PHONE - Enter the phone number of the applicant (person certifying). 426. APPLICANT NAME - Enter the full printed name of the person signing the page. 427. APPLICANT TITLE - Enter the We of the person signing the page. 428. STATE UST FACILITY NUMBER - Leave this blank. This number Is assigned by the CUPA as follows: the number is composed of the two digit county number, the three digit jurisdiction number, and a six digit facility number. The facility number must be the same as shown in item 1. 429. 1998 UPGRADE CERTIFICATE NUMBER - Leave this blank. This number is assigned by the CUPA. - \ "'" CITY OF BAKERSFIELD ' OFFIIt OF ENVIRONMENTAL SEaICES 171S Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 (9 05. CHANGeOFfNFORMATION) Page ~ o 6. TEMPORARY SITE CLOSURE o 7. PERMANENTl v ClOSED ON SITE o 8. TANK REMOVED 43C TYPE OF ACTION (Check on. Item only) o I. NfNi SITe PERMIT 0 4. AMENOED PERMIT o 3. RENfNiAl PERMIT I BUSINESS NAME (s.m... FACILITY NAME 01' DBA· Doing Bu--. Aa) i ¡V[ð gqr ¡ LOCA no ($pedy __ . lor toceI UH only) 43: I. TANK DESCRIPTION 4J3 COMPARTMENTAliZED TANK o V.. f)ËJNo ~'lS T,U1/( 434 If "Y.... complete ane pege lor eac:II companment 438 NU 437 I J. 000 438 IL TANK CONTENTS TANK use 4311 PETROLEUM TYPE 440 ')(,. MOTOR VEHICLE FUEL ~.. REGUlAR UNLEADED o 2. LEADED o 5. JET FUEL (" marfced. c:onMM PwIrI:IIec.III Type) . D 111. PREMlUMUNlEADED o 3. DIEsel EJ 8. AVIATION FUEL o 2. NON-FlJEL PETROl£UM o 1c. t.IOGRADE UNLEAOeO o 4. GASOHOl 099. OTHER o 3. CHEMICAL PRODUCT o 4. HAZARDOUS WASTE (1ndudN COMMON NAME (fIom Hezerdous Me/'etlals InvenlDly ¡»ge) 441 CAS , (from Hazen10us Me/erleJs InvenlDly pege) 442 Used 01} Ga.sok" ~ c¡ 0()f!J -~ {'1 095. UNKNOWN I TYPE OF TANK (Check one ifBm only) I ! TANK tMTERIAl . primery !MIl i (Check one ifBm only) o ,. SINGLE WAll ~ 2. DOUBlE WAll o ,. BARe STEEL o 2. STAINLESS STEEL TANI< tM TERIAl· aeconcI8Iy tank 0 ,. BARE STEEL (Check one ifBm only) 0 2. STAINLESS STEEL TANK INTERIOR LINING OR COATING fC/leck one /Jam _I OTHER CORROSION PROTECTION IF APPUCA8le (Check one ifBm only) SPILL AND OVERFILL I (Check an tltallpply) o ,. RU88ER LINED o 2. ALKYD UNINO II. TANK CONSTRUCTION D 3. SINGLE WAll WITH EXTERIOR MEMBRANE LINER D 4. SINGlE WAllIN A VAULT o 3. FI8ERGI.ASS / PLASTIC ~. STEEL ClAD WIFIØERGlASS REINFORCED PLASTIC (FRP) o 3. FIBERGlASS / PLASTIC D 4. STEEL ClAD WIFIØERGI.ASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING D 4. PHENOUC UNlNG o 5. SINGLE WAll WITH INTERNAL BlADDER SYSTEM 095. UN<NOWN 099. OTHER o 5. CONCRETE o 8. FRP COMPATIBlE W/100% METHANOL 443 095. UNKNOWN 099. OTHER 444 095. UNKNOWN 099. OTHER o 8. FRP COMPATIBlE Wl100% METHANOL D 9. FRP NON-CORRODI8LE JACKET 0,0. COATED STEEL 445 DATE INSTAllED 447 D 5. GLASS LINING ~e. UNLINED D 95. UNKNOWN D 99. OTHER 44ð /I'M toceI UN ðlllvl DATe INSTALlED 449 o 3. FIBERGLASS REINFORCED PLASTIC D 95. UNKNOWN o 4. IMPRESSED CURRENT D 99. OTHER D 1. MANUFACTUAEDCATHODIC PROTECTION o 2. SACRIFICIAl ANODE YEAR INSTAlLED ~ SPlLLCONTAlNMENT rqý o 2. DROP TUSE D 3. STRIICER PlATE II' SlNOLI WALL T ANI( (C1I«:II ..lNt 1/IIIIy): o I. VISUAl (EXPOseD PORTION ONLY) o 2. AUTOtMTlC TANK GAUGING (ATG) o 3. CONTINUOUSATG o 4. STATISTICAlII\NENTORY RECONCilIATION (SIR) + BIENNIAl TANK TESTING D 5. MANUAL TANK GAUGING (MTG) o 8. VADOSE ZONE 07. GROUNDWATER 08. TANKTESTING 099. OTHER V. TANK CLOSURE INFORMATION I PIRMANINT CLOSURE IN PLACE ESTIMATeD QUANTITY OF SUBSTANCe REMAINING 4M TANI< FiLLeD WITH INERT tMTeRIAl? ESTltM TeD DATe I.AST useo (YRIMOJDAY) UPCF (7199) 485 44ð (For local Ustl only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTAllED 452 ¡;a-1.' AlARM i 1 Y 0 3. FILL TUSE SHUT OFF VAlVE _ o 2. 8AU. FLOAT 0 4. EXEMPT 450 TYPE (I'M IocII use only) .A~;::rANK L.iAK~~Ûi~~~'¡,~~;:H&?:?:·· .:. :.":"..;)~;'\.~?' 453 II' DOUIIU! WALL TANK OR TANK WITH 8LADOeR (Check one Item only): 454 D 1. VlSUAl(SlNGLEWAlLINVAULTONly) &:f 2. CONTINUOUS INTERSTITIAL MONITORING Ô 3. MANUAL MONITORING 457 geIIOnI Dv.. D No S;\CUPAFORMS\SWRCIJ.S.WPD ,:f'r .- CITY OF BAKERSFIELD '" OFFIC60F ENVIRONMENTAL SERVICES 17 Che.t.r Ave., Baker.fleld, CA 93301 (661) 326·39 !:~ Page uaT . TANK PAGE 2 01 UNDERGROUND PIPING ABOVEGROUND PIPING vL PIPING CONSTRUCTION (CIItcII " tIIIt.ppIy) ! SYSTEM TYPE 1. PRESSURE 0 2. SUCTION 0 3. GRAVITY 458 0 1. PRESSURE I '0 0 0 0 ! CONSTRUCTION/' 1. SINGLE WALL 3. LINED TRENCH' 99. OTHER 460 1. SINGLE WALL : MANUFACTURER 2. DOUBLE WALL· 095. UNKNOWN 0 2. DOUBLE WALL I MANUFACTURER 461 MANUFACTURER o 1. BARE STEEL ~ 6. FRP COMPATIBLE WI 100% METHANOL 0 1. BARE STEEL i MATERIALS AND 0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STEEL I CORROSION , PROTECTION 0 3. PLASTIC COMPATIBLE WITH CONTENTS 095. UNKNOWN 0 3. PLASTIC COMPATIBLE WITH CONTENTS o 4. FIBERGLASS 0 8. FLEXIBLE (HDPE) 0 99. OTHER 0 4. FIBERGLASS o 5. STEEL WI COATING 0 9. CATHODIC PROTECTION 464 0 5. STEEL WI COATING VlL PIitINGLEAK DETECTION (Check all that apply) o 18. ANNUALlNTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAL CHECK '~:,.';L~!!!~g~~""~','56·.·,:ft~~#'*it'::l;i~~~¥~~j¡:i¥1~¡;;i~~;4~~:$,~\~~~t{!;¡;l;¡G8;?~t~~ .¡. 01. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 04. DAILY VISUAL CHECK o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS 0 5. TRENCH ~INER I MONITORING o 3. CONTINUOUS DISPENSER PAN SENSOR YiII!:I AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 0 6. NONE 469 IX. OWNER/OPERATOR SIGNATURE I I I I UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check aU that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST :tiI!!:I AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST(0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVI1Y FLOW: o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check aU that apply): 10. CONTINUOUS TURBINE SUMP SENSOR mII:1 AUDIBLE AND VISUAL ALARMS AND f::: one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF 11. ~~~~~~I%~INE LEAK DETECTOR (3.0 GPH TEST) JM!!1 FLOW SHUT OFF OR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check ..tIIIt apply) o 14. CONTINUOUS SUMP SENSOR ~AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAL CHECK ..; . DISPENSER CONTAINMENT DATE INSTALLED 468 I certify thallhe information provided herein i. lrue and accurate to the best d my knowtedge. SIGNATUREOFO~~ NAME OF OWNER/OPERA TOR (print) Ir ¿(I'(\ UPCF (7/99) ""'" . o 2. SUCTION 095. UNKNOWN o 99. OTHER o 3. GRAVITY 459 462 463 o 6. FRP COMPATIBLE WI 100% METHANOL o 7. GALVANIZED STEEL o 8. FLEXIBLE (HDPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 466 ABOVEGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check aU that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST :tiI!!:I AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) o 4. DAILY VISUAL CHECK 467 CONVENTIONAL SUCTION SYSTEMS (Check an thaf apply): o 5. CAlLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (Check all that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR mII:1 AUDIBLE AND VISUAL ALARMS AND (check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o C. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check aJ/ that apply) o 14. CONTINUOUS SUMP SENSOR JO!DJ:IQY! AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) DATE 470 I t..{¡ Ø( 471 TITLE OF OWNER/OPERATOR 472 S:\CUPAFORMS\SWRCa-B. WPD ·. CITY OF BAKERSFIELD OFF. OF ENVIRONMENTAL S"ICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 (S o ~. CHANGé OF INFORMA TION) ~ (SrHCJfy cMrIg. . lor IoaI u.se only) P~ o ð. TEMPORARV SITE CLOSURE o 7. PERMANENTL V ClOSED ON SITE o ð. TANK REMOVED 4è TYPE OF ACTION (C".Ck o~ '/om ONy) o ,. NEW SITE PERMIT 0 4. AMENOEO PERMIT at o 3. RENEWAL PERMIT (Sp~ ,.uon . let IoaI use only) BUSINESS NAME (s.me.. FACILITY NAME or DBA· Doi"9 au-. h) , LOCA no gqf 43 rANK 10. ¡rt vV 3~S I DAre INST ~ëD (V [ I ADDITIONAl DE I I. TANK OESCRIPTlON 432 437 4JJ R TatiK COMPARTMENTALIZED TANK 0 Vas afJ No If "Y..... complece on.. page lor each compartment 43-' S 436 NUMBER 4J5 / J. 000 438 n. TAM( CONTEHT'S TANK USE 4J1 P€TI'b:)lEUM TYPE 44() '){' 1. MOTOR VEHICLE F1.JEl ..0 ;.. REGUUJ'I UNLEADED o 2. lEADED o 5. JET FUEL (1f_rl<II<1. ~/II ~ Type) o 1 b. PREMIUM UNLEADeD o 3. DiESEL o 8. AVIATION FUel. o 2. NON-fUEL PETROl£IJM )l1e. IwIIOGRADE U~ o 4. GASOHOL o 99. OTHER o 3. CHEMICAL PRODUCT o 4. HAZAAOOUS WASTE (IncIudu COMMON NAJ,E (from HliÞn:Jou$ loN/oriaØ Invøn/oty~) ....1 CAS II (from HJ/Jnrdous IoNteriels Inven/oty ~) ....2 U3>IId 01} bct5okl1 ~ r¡ O()G -{¡¿ (~ O~. UNI<NCM'N , III TANK CONSTRUCTION [ TYPE Of T ANI( I . I (CMcJt OM itlJm orJyJ i I TANK W. TERIAL . pM1My tIInk J (CMcJ< OM item only) I TANK W. TERIAL . secondIIry tank 0 1. BARE STEEl. (CMcJt o~ item only) 0 2. ST AJNLESS STEEl. o 1. SINGŒ WAlL ;l. 2. [)()(JBLE WAlL o 1. BARf: STEEl. o 2. STAINLESS STEEL o 3. SINGŒ WAlL wrTH EXTERIOfIIoIEMeRANE UNER o 4. SINGLE WAlL IN A VAULT o S. SINGLE WAlL wrTH INTERNAl 8I..ADOER SYSTEM o 96. UNKNOWN o 99. OTHER o 5. CONCRfTE 0 96. UNKNOWN o ð. FRP COIo4"ATlBLE W/100% METHANOL 099. OTHER' 444 44J o 3. FIBERGlASS / PlASTIC v-.. STEEL ClAD WIFIBEFlGlASS REINFORCED PlASTIC (FRP1 o 3. FIBERGlASS / PlASTIC o 4. STEEl. ClAD WIFIBERGlASS REINFORCED PlASTIC (FRP) o 5. CONCRETE o 96. UNKNOWN o 99. OTHER o a. FRP COIo4"ATIBLE W/100% METHANOL o 9. FRP NQN-CORROOIBLE JACKET 010. COATED STEEl. 44S T ANI< INTERIOR UNINO OR COATING o 3. EPOXY UNING o 4. PHENOlIC UNING o s. GlASS UNING ~a. IJN.JM:O 44ð DATE INST ALL.EO 0447 (For local UM onJyJ DATE INST ALL.EO 0449 (Fot IoaI use only) I (a..cJc OM Itftm only) OTHER CORROSION PROTECT1ON IF APPUCA.Bl.E (ClI«k one if'om only) SPILL AND OVERFILL ¡ {ClI.ck .ø <llel .ppIy} o 1. RUB8ER UNED o 2. ALXYD LJNING o 96. UNXNOWN o 9i. OTHER o 1. MANUFACT1.JRa) CATHOOfC 0 3. F1BeRGlASS REiNfORCED F'lAST1C PROTECTlON 0 4. WPRESSED CURRENT o 2. SACRIFICIAL ANOOE o 115. UNKNOWN o 99. OTHER o44ð 451 OVERFILL PROTECT1ON eQUIPMENT: YEAR INSTALLED 452 )2IC AI.AAM ~ 0 3. FILL TUBE SHUT OFF 'IN..VE. _ o 2. 8.A.lL FLOAT 0 4. EXÐAPT Ä YEAR INSTALLED 450 TYPE (For Joe'; U$4 only) rt11i SPILL CONT AlNMENT ~ [ .L o 2. OAOP TUBE o 3. STRJIŒR PlATE ~t;·;¡.::r: :!~~/~f;~:::.t,;~r .. ':.~;~U~· ,:-;:;,:\:}y ;;~¥,~;.TÁNK l.!AK ~~:~~)þ"";j(i;,?~H~j:\'~ '. .:,.. <t::·jìy.· .,~!\~:i;i J . . - .. . ..... 4ð3 II' DOlJISU! WAU. T AHK OR T AHK wmt ISLADOER (CMck OM øm 0tIIy): 454 o 5. MANUAL TANK GAUGING (MTG) 0 1. VISUAl (SINGLE WAlL IN VAULT ONLY) o ð. VAOOSé ZONE &1 2. CONTINUOUS INTERSTITIAL MONITORING o 7. GROUNDWATER 0 3. MANUAL MONITORING STATISTICAL INVENTORY RECONCILIATION (SIR). 0 ð. TANK TESTING BIENNIAL rANI( TESTING 099. OTHER V, TANK ct.08UfU! INFORMATION I P!RMAH!HT CLOSURe IN PLAœ ~ ESTIMATED QUANTITY OF SUBSTANCE REMAINING 46e TANI( FlLU!D WITH INERT MATERIAL? 01. 02. 03. D 4. IF SlHOU WAU. T AHJ( (Check d /Nt eppIy): VISUAL (EXPOSED PORTION ONLY) AUTOMAT1C TANI( GAUGING (ATO) CONTINUOUS A TO ESTIW. TeD 011 TE I.A5T U~ (YRJaAOiOAY) UPCF (7/99) 467 aa/I<IN DVM ONo S:\CUPAFORMS\SWRC6-8. WPO ~ .\: ·,1:;"::,h(,,:::,;,;¡;j·' (;)' I CITY OF BAKERSFIELD a OFFIC60F ENVIRONMENTAL SERVICES . 1 Chester Ave., Sakersfield, CA 93301 (861) 328-3979 ~i~~~?£~·:·· . -'<.'-.r': :;'tf~¡..:.., P"9<I UST· TAHK PAGE 2 01 UNDERGROUND PIPING ABOVEGROUND PIPING Vl PIPING CONSTRUCTION (CMcIr " tNt 'ppIy) , SYSTEM TYPE 1. PRESSURE 0 2. SUCTION 0 3. GRAVITY 458 0 t. PRESSURE i CONSTRUCTION/~: 0 t. SINGLE WALL 0 3. LINED TRENCH 0 99. OTHER 460 0 1. SINGLE WALL ¡MANUFACTURER 2. OOUBLE WALL 0 95. UNKNOWN 0 2. OOUBLE WALL i MANUFACTURER 461 MANUFACTURER o 1. BARE STEEL 6. FRP COMPATIBLE WI 100% METHANOL 0 1. BARE STEEL MATERIAlS AND ¡O 2. STAINLESS STEEL 0 7. GAlVANIZED STEEL 0 2. STAINLESS STEEL CORROSION I PROTECTION 10 3. PlASTIC COMPATIBlE WITH CONTENTS 0 95. UNKNOWN 0 3. PlASTIC COMPATIBLE WITH CONTENTS 10 4. FIBERGLASS 0 8. FLEXIBLE (HOPE) 0 99. OTHER 0 4. FIBERGLASS 10 5. STEEL WI COATING 0 9. CATHODIC PROTECTION 464 0 5. STEEL WI COATING VlL PIPING LEAK DETECTION (CMck ./111>11/ .ppIy) o 18. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAL CHECK ~R~f~~~~;8~~; ,. . ~...;·:P.Iì~~~~~~N~~:<.>\:; :f\);~m~~~;:i~~~li$~)~1ª~~1~~~{f~~S::Ä~1t~~:~~~~·~': :~~ ;:~::i?r~~~~~i\' 01. FLOAT MECHANISMTIiAT SHUTS OfF SHEAR VALVE 04. DAILY VISUAL CHECK o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS 0 5. TRENCH LINER I MONITORING o 3. CONTINUOUS DISPENSER PAN SENSOR ïalli AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 0 6. NONE 469 IX. OWNER/OPERA TOR SIGNATURE UNDERGROUND PIPING SlNGL£ WALL PIPING PRESSURIZED PIPING (Check all thllt apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBlE AND VISUAL AlARMS 2. MONTHLY 0.2 GPH TEST o o J. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAl PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAl INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check au that apply): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND £ooe) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAJLURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF 11. ~~W~~I~~'NE LEAK OETECTOR (3.0 GPH TEST) ~ FlOW SHUT OFF OR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONT1NUOUS SUMP SENSOR + AUDIBlE AND VISUAl. AlARMS EMERGENCY GENERATORS ONLY (Check" that apply) o 14. CONTINUOUS SUMP SENSOR ~AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST)~ FLOW SHUT OFF OR RESTRICTION 18. ANNUAL INTEGRITY TEST (0.1 GPH) o o 17. DAILY VISUAL CHECK DISPENSER CONTAINMENT DATE INSTALLED 468 o 2. SUCTION o 95. UNKNOWN o 99. OTHER o 3. GRAVITY 459 462 463 o 6. FRP COMPATIBLE WI 100% METHANOL o 7. GALVANIZED STEEL o 8. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 466 ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check aU /trill apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECT10N + AUDIBLE AND VISUAL AlARMS o 2. MONTHLY 0.2 GPH TEST o J. ANNUAl INTEGRITY TEST (0.1 GPH) o 4. DAILY VISUAL CHECK CONVENTIONAl SUCTION SYSTEMS (Check" that apply): o 5. CAlLY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAl INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FlOW (Check a/llhat apply): o 8. DAILY VISUAl MONITORING o 9. BIENNIAl INTEGRITY TEST (0.1 GPH) SECOMDARlL Y CONT AIMED PIPING PRESSURIZED PIPING (Check aft that apply): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (died< one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUALlNTEGRITY TEST (0.1 GPH) · SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL AlARMS EMERGENCY GENERATORS ONLY (Check aJI that apply) o 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL. ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) I certify that the i~'ormalloo provided herei~ is llUe <WId accurate 10 Ihe besl 01 my knCMJedge. SIGNATURE OF OWNER/OPERATOR .~~ ÞO- un only) IPCF (7/99) DATE 470 ( 't. O( 471 TITLE OF OWNER/OPERATOR 472 S:\CUPAFORMS\SWRC8-B. WPD rYPI: OF ACTION ¡Chock OM '~m only) CITY OF BAKERSFIELD OFF I. OF ENVIRONMENTAL SF4tICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - TANK PAGE 1 (Ð o I. N~ SITE Pl:RMIT 0 4. AMeNDED Pl:RMIT Page at o ð. TEMPOAARV SITE CLOSURE o 7. PERw.NENTl Y ClOSEO ON SITE o ð. TANK REMOVED 42 o 3. CHANGE OF INFORMATION) ~ (Sp.CJf'y cNrIg. ·1or1Oal un only) FAaUTY 10 . o J. REN~AL PERMIT (Sp~ re..,., . Ie, Io<:M U$a only) BUSINESS NAME (Same... FAaLITY NAME or DBA . 00i"9 ~ Aa) ! ¡V{ð gqf , LOCA TlO 4) TANK 10. P l;~- ~qS OA TE INST AliêD (Y ADDITIONAL DE I. TANK DESCRIPTION 432 ~ 4J3 COMPARTMENTAliZED TANK 0 Yes JËJ No 4:;'< It "Yes'. ccmplece on.. page for ðiICh ccmpartlnenl NUMBER ~7 435 'f 1 (For IOaIIae or/y) / ;) cOO 438 n. T.AN)( CONTEHTS T ANI< USI: ~iI PETROLEUM TYPE 440 KI. MOTOR V1:H1Cl.E FUEl. ,.0... REGlJU-R UNLEADED o 2. LEAD£[) o S. JET FUEL (If fMrltad. comp/fIIe ~ Typ<I) ø lb. PREMIUM UNLEADED o J. DiESEl o ð. AVIATION FUEl. o 2. NON-fUEl PETROl.EUM o 1 Co I.IOGRADE UN.EADED o 4. GASOHOL o 99. OTHER o 3. CHEMICAl PRODUCT o 4. HAZARDOUS WASTE (1ncJude3 COMl!olON NAME (from Hazan:Jous JM~n.4 Invon/Dry ~) 441 CAS' (from HazarrJoU3 JM~rlaØ I""",,/Dry~) 442 U3>ad 0#) Gct50kn ~ r¡ ()()G -fQ (~ o 95. UNI<NOV¥N . Ul TANK CONSTRUCTION , TYPE OF TANK I (ChKk OM ìtrtm onIyJ ¡ I TANK MATERIAl· pMuIty !link ¡ (Ch«k OM ìtrtm or/y) I TANK MA TERLAl . secondwy tank 0 ,. BARE STEEl (ChKk OM ìtrtm or/y) 0 2. ST AJNLESS STEEl o ,. SINGlE WAll '7- 2. DOUBLE WAll o S. SINGlE WAll 'MTH INTERNAl BU.OO£R SYSTEM o 96. UNKNOWN o 99. OTl-tER o S. CONCRETE 0 96. UNKNOWN o a. FRP COMPATlBLE WI100% METHANOL 099. OTHER 444 o 3. SINGlE WAll 'MTH EXTERI()R MeMBRANE UNER o 4. SINGLE WAll IN A VAULT 443 o ,. BARE STEEl. o 2. STAINLESS STEel o 3. FIBERGlASS I PtASTlC ~. STEEl. CtAD WIFIBERGlASS REINFORCED PtASTlC IFRPI o 3. FIBERGlASS I PtASTlC o 4. STEEl CtAD WlFlBERGlASS REINFORCED PI.ASTlC (FRP) o S. CONCRETE o 96. UNKNOWN o 99. OTHER o a. FRP COMPATIBlE WJ100%!.ETHANOL o 9. FRP NQp.g;QRROOI8LE JACIŒT o 10. COATED STEEl 44S o 2. OAOP TUBE o 3. STRIKER PUTE .:.t~ ','j: : :'f'{','~M',~:)' '. ·:·:·;;è~· \;r:;.;7¿;:Y;i,¥~;TANK WJ( ~(~T.1~f3þ':"';Ä¡;~1:irj·:;' ·i' ...~. ',' ·)t .~. . 'fI::~.; . ..... .:~\~;;; J IF "NOUI WAU. T AHK (CII«k .. fllal apply): 4ð3 I' OOUlSU! WAU. T AHK OR T AHK 'MT1-t 8LADO£R (ClNck one iNm or/y): 4504 VISUAl (EXPOSED PORTION ONlY) 0 ~. MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGlE WAlL IN VAULT ONLY) AUTOMATlC TANK GAUGING (A TO) 0 ð. VADOSC ZONE 4 2. CONTINUOUS INTERSTITIAL MONITORING CONTINUOUSATO 07. GOOUNOWATER 03. w.NUALMONITORING STATlSTlCAlINIIENTORY RECONCILIATION (SIR). 0 ð. TANK TESTING BIENNIAl TANK reSTING 099. OTHER V. TANK Cl08UfU! INFORMATION I PI!R~I!NT ClOSURE IN PLACE 4ðe TANI< FILU!D WITH INERT MATERIAL? T ANI< INTERIOR LINING OR COA TlNG ¡ (ChKk OM iNn! OiVyJ OTHER CORROSION PROTECTlON iF AJ>PUCA8lE (CII«k OM item or/y) SPILL AND OVERFill , I (C¡'.ck .M INt .ppiy) I I ì-- 0,. 02. OJ. 04. o 1. RUB8ER UNED o 2. AlKYD UNING o ~. GlASS UNtNG ~5. UNl.JNED 44ð DATE INSTALLED 447 (For IOaIIae 0iVy) DATE INSTALLED 449 (Fo, IoaI U$4 or/y) o 96. UNKNOWN O~. OTHER o 3. EPOXY LINING o 4. PHENOUC UNtNO o 1. MANUFACT'tJRED CATHODIC 0 3. F1BERGtASS REINFORCED PlASTlC PROTECTION 0 4. IMPRESSED CURRENT o 2. SACRIFICIAl ANOOE o gs. UNKNOWN o 99. OTHER 44ð ~ YEAR INSTAlLED 450 TY?E (For Iou! U3a only) In 'f SPIll CONT AJNMENT - [ _ 451 OVERFill PROTECTlON eQUIPMENT: YEAR INSTAlLED 452 ~ AlARM ~ 03. FILL TUB€SHUTOFFVALVE_ o .2. 8ALL FLOAT o 4. EXEMPT 44ð !!STlÞAATED QUANTITY OF SUBSTANC! REMAJNING 457 ESTIMA TED OA TE I.A$T USI!D (YRIMOICA Y) UPCF (7/99) geIIona o v.. 01'10 S;\CUPAFORMS\sWRC8-B. 'tWO ."* \, : ''', .~¡. . .;! );~'::;V;~:;":ii:)'" ,.:; .' CITY OF BAKERSFIELD , OFFICEiOF ENVIRONMENTAL SERVICES 171 Cheater A.ve., Bakersfield, CA 93301 (1181) 3211-397 ·'::~'i":~.7~"',:,:,:· -"".,' '';..'--'¡;:~ . :::,;.,. UST . TAHK PAGE 2 : Page 0/ UNDERGROUND PIPING ABOVEGROUND PIPING V1. PIPING CONSTRUCTION (CMdf "flat apply> . SYSTEM TYPE I. PRESSURE 0 2. SUCTION 0 J. GRAVITY 458 0 1. PRESSl?RE : CONSTRUCTION/ 0 1. SINGLE WAll 0 J. LINED TRENCH 0 99. OTHER 460 0 1. SINGLE WALL : MANUFACTURER. 2. DOUBLE WALL 095. UNKNOWN 0 2. OOUBlE WALL I MANUFACTURER 461 MANUFACTURER ¡ 0 1. BARE STEEL . 6. FRP COMPATIBLE W/100% METHANOL 0 1. BARE STEEL I MATERIALS AND ¡O 2. STAINLESS STEEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STeEL I CORROSION . PROTECTION /0 3. PlASTIC COMPATIBLE WITH CONTENTS 095. UNKNOWN 0 J. PlASTIC COMPATIBLE WITH CONTENTS 10 4. FIBERGLASS 0 8. FLEXIBLE (HOPE) 099. OTHER 0 4. FIBERGLASS 105. STEEL WI COATING 09. CATHODIC PROTECTION 464 05. STEEL WI COATING VlL PIPING LEAK DETECTION (Check al/lhat apply) o 2. SUCTION o 95. UNKNOWN o 99. OTHER o J. GRAVITY 459 462 463 o 6. FRP COMPATIBLE WI 100% METÌ-tANol o 7. GALVANIZED STEEL o 8. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODIC PROTECTION o 95. UNKNOWN 465 o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o 17 . DAILY VISUAL CHECK " ~'" -~:,.;:~"~~2ç~~~M.~~;i;\~:;:~?\~.~~~:~i:~t;:i~;~.~tl~~~~j~~~:~~~~~:;~~¿li::;~~?t~~~~~~\~:~~f4,;:~;:;.:~;:~.::.i~~1~$: 01. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 04. DAilY VISUAL CHECK o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS 0 S. TRENCH LINER I MONITORING o 3. CONTINUOUS DISPENSER PAN SENSOR ïm:!:! AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 0 6. NONE 4ð9 IX. OWNER/OPERA TOR SIGNA T\JRE UNDERGROUND PIPING SINGLE WALL PIPING PRESSURIZED PIPING (Check al/lhat apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAilURE. AND SYSTEM DISCONNECTION + AUDIBlE AND VISUAL ALARMS 2. MONTHLY 0.2 GPH TEST o o 3. ANNUAl INTEGRITY TEST (0.1 GPH) CONVENTIONAl SUCTION SYSTEMS: ,0 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAl PIPING INTEGRITY TEST (0.1 GPH) . SAFE SUCTION SYSTEMS (NO VAl~S IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAl INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Cheçk aU that apply>: ': 10. CONTINUOUS TURBINE SUMP SENSOR ïm!:1 AUDIBLE AND VISUAl ALARMS AND i £ one) a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM I DISCONNECTION ~ 0 c. NO AUTO PUMP SHUT OFF , 11. ~~W::tc~I~~INE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR o 12. ANNUAl INTEGRITY TEST (0.1 GPH) I SUCTION/GRAVITY SYSTEM: I 0 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL. AlARMS I EMERGENCY GENERATORS ONLY (Check" that apply) . 0 14. CONTINUOUS SUMP SENSOR ~ AlITO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 1 S. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION o 16. ANNUAlINTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAL CHECK . . DISPENSER CONTAINMENT DATE INSTALLED 468 466 ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (CI1eck aU that appiyJ: o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST:£i!I!:! AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS o 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) o 4. DAilY VISUAL CHECK CONVENTIONAl SUCTION SYSTEMS (CI1eck al/l1Iat apply): o S. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 8. TRIENNIAl INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7. SELF MONITORING GRAVITY FLOW (CI1ec/c a/l that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAl INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (CI1eck a' that apply>: 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (checlt one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AlITOMA TIC lEAK DETECTOR o 12. ANNUAlINTEGRITYTEST(0.1 GPH) , SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAl ALARMS EMERGENCY GENERATORS ONLY (Check sJ1 that apply) o 14. CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAl AL4.RMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) I certify Ihal the informallon provided herein i. tnJe and accurate 10 Ihe best 0/ my knowledge. SIGNATuRE OF OWNER/OPERATOR A- I NAME OF OWNER/OPERA TOR (print> Iou/ 11$. only) 4 IPCF (7/99) 471 '!l{¡ 6( TITLE OF OWNER/OPERATOR 470 DATE 472 S:\CUPAFORMS\SWRCB-B.WPD 1 State of ~ifornja :1It State Water Resources Control Board CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstraLe Financial Responsibility in the required amounLS as specified in Section 2807, CbapLer 18, Div. 3, Title 23, CCR: D 500,000 dollars per occurrence lX:J i. million dollars annual aggregate W ~D M [XJ 1 million dollars per occurrence D 2 millioo dollars annu.al aggregate B. Tower Energy Group hereby certifies that it is in compliance wfth the requirements of Section 2807, (NALDe or T anJ; 0><" er or Open /rX) Article 3, Chapter 18, Division 3, Trtle 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: State UST Fund Chief Financial Officer Letter ;~\. State UST Oean-Up Fund P.O. Box 944212 Sacramento, CA. 94244-2120 . ··········~~~::?\~6~~ .?þ~~~. $995,000 Per Occurence and Annual Aggregate $10,000 Per Occurence and Annual Aggregate YES Corrective Third Party »Äction Com . State UST Clean-Up Fund Continous N/ A For UST Clean-Up Fund YES YES Tower Energy Group 111 W. Ocean Blvd., Suite 1650 Long Beach, CA. 90802 N/A For This Mechanism YES Annual Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this cerüfication also certifies that au are in com liance w;rh all conditions for rtici tion in the Fund. . FacilityName '"a iff"" FacilityN e Facility Mdr... C4r /#t1!l, 11 ¡1~ ~)t, 11 'P16 ~( WtJ!4 I- JlC1t Facility Name CFR( (4192) F acili ry Mdr... Da'" Name and TItle o(Tank Owna' or Open to, J.T. Rogers - President o.l<: Name oCWitoe:s.s Of NoÞr)' Mark Vasey FILE: Ori¢.nal - Lx:aI Af1:ncy Copies - FacilitylSil<:(.) r . . , INSTRUCTIONS CERTIFICATION OF FINANCIAL RESPONSIBILITY FORM Please type or print clearly all information on Certification of Financial Responsibility form. All UST facilities and/or sites owned or operated may be listed on one form; therefore 8 separate certificate is not required for each site. DOCUMENT INFOR~TIOH A. -'-:ult Req..r; red - Check the appropriate boxes. B. N~ of Tank OWner - Full nðme of either the tank owner or the operator. or Operator 1;> C. Keehan;sa Type - Na.e ot Issuer - Mechanisa NUllber - Coverage ~t - Coverage Period - Corrective Action - Third Party - eo.pensa t; on D. Facility- Infol"Wlation E. Signature Block - ¡': Indicate which State approved mechanism(s) are being used to show financial responsibility either as contained In the federal regulations, 40 CFR, Part 280, Subpart H, Sections 280.90 thrOUgh 280.103 (See FI~ncial Rponsibility Guide, for more information), or Section 2802.1, Chapter 18, Division 3, Title 23, CCR. List all names and addresses of companies and/or individuals issuing coverage. List identifying number for each mechanism used. or file numbe' as indicated on bond or document. (State Fund) ,eave blank.) Example: insurance policy number (If using State Cleanup Fund Indicate amount of coverage for each type of mechanism(s). If more than one mechanism is indicated, total must equal 100X of financial responsibility for each facility. Indicate the effective date(s) of all financial mechanism(s). (State Fund coverage would be continuous as long as you maintain compliance and remain eligible to continue participation in the Fund.) Indicate yes or no. Does the specified financial mechanism provide coverage tor corrective action? (If using State Fund, indicate "yes".) Indicate yes or no. Does the specified financial mechanism provide coverage for third party corrpensation? (If using State Fund, indicate "yes,i.) Provide all facility and/or site names and addresses. Provide signature and date signed by tank owner or operator; printed or typed name and title of tank owner or operator; signature of witness or notary and date signed; and printed or typed name of witness or notary (if notary signs as witness, please place notary seal next to notary's signature). Uhere to Kail Certification: Please send original to your local agency (agency who issues your UST permits). Keep a copy of the certification at each facility or site listed on the form. Questions: 'If you. have questions on financial responsibility requirements or on the Certification of rinancial Responsibility Form, please contact the State UST Cleanup Fund at (916) 739-2475. ~ote: Penalties for Failure to C~ly with Financial Responsibility ReQUi~ts: Failure to comply may result in: (1) jeopardizing claimant eligibility for the State UST Cleanup'Fund, and (2) liability for civil penalties of up to $10,000 dollars per day, per underground storage ta~k, for each day of violation as stated in Article 7, Section 25299.76(a) of the California Health and Safety Code. e e The Chief Financial Officer or the owner or operator must sign, under penalty of perjury, a letter worded EXACTLY as follows or you may complete this letter by filling in the blanks with appropriate information. I am the Chief Financial Officer LETTER FROM CHIEF FINANCIAL OFFICER ~Ner 111 W Ocean Blvd., Suite 1650, Long Beach, CA. 90802 This letter is in support if 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 property damage caused by an unauthorized release of petroleum in the amount of at least $ 10,000 per occurrence and $ 10,000 annual aggregate coverage. (Dollar Amount) (Dollar Amount) Underground storage tanks at the following facilities are assured by this letter: ¡11r~r4 ~!:ne::::f:.so~ch~f!:'{whr::m!~alt::!I~i~:~{~Æ~'d¡J I cA ¢sotxf 1. Amount of annual aggregate coverage being assured By this letter................................................ $ 10,000.00 2. Total tangible assets.. .. .. .. .. . .. .. .. .. .. .. . .. .. .. .. .. .. .. . $ 155,828,000.00 3. Total Liabilities...... ........................ .............. $ 141,676,000.00 4. Tangible net worth (subtract line 3 from line 2. Line 4 must be at least 10 times line 1)................ $ 14,152,000.00 1 hereby certify that the wording of this letter is identical to the wording specified in subsection 2808.l(d)(l), Chapter 18, Division 3, Title 23 of the California Code if Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at Long Beach, California 90802 (place of Execution) Twanna Rogers (print Name) E.V.P. (Title) C:\My Documents\FinanciaIOfficerLtr.doc , CITY OF BAKERSFIELD OFFA OF ENVIRONMENTAL S~CES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page _ Of ." : FACILllY ID # 100 101 3 102 103 CITY 104 i CA ZIP 105 : DUN& ¡ BRADSTREET ! COUNTY , 106 SIC CODE (4 Digit #) 107 108 125 TITLE 130 126 BUSINESS PHONE 131 127 24-HOUR PHONE 132 I PAGER # 126 PAGER # 133 Certification: Based on my Inquiry of those Individuals responsible for obtaining the Information, I certify under penalty of law that I have personally examined ~nd am familiar with the Information submitted In this Inventory and believe the Information Is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE J ./ 134 NAME OF DOCUMENT PREPARER ~.r- V'~ 1/t.f{tJ( /l'1¿V¡(( t/crse NAMES OF OWNER/OPERATOR (print) 138 TITLE OF OWNER/OPERATOR /VIA /'{r /I A.a 135 137 UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd .. CITY OF BAKERSFIELD" OFFir"E OF ENVIRONMENTAL SE1rVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DNEW DADD D REVISE D DELETE I 1_. ! CHEMICAL LOCATION p ~+ro feuIV' ,.bDH COMMON NAME CAS' G~5olltl~ '600 TYPE opPURE PHYSICAL STATE o I SOUD QUID i FED HAZARD CATEGORIES (Check alllhat apply) ANNUAL WASTE AMOUNT ~ FIRE o 2 REACTIVE 1)..{bDO gaGA!. odCUFT . If EHS. amount must be In IbS. 217 UNITS" STORAGE CONTAINER (Check all thaI apply) o a ABOVEGROUND TANK J2I' UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM De PlASTlCINONMETALLlC DRUM Or CAN o 9 CARBOY o h SilO Om GlASS BOTTlE o n PlASTIC BOTTlE 00 TOTE BIN o P TANK WAGON STORAGe PRESSURE o 8 AMBIENT STORAGe TEMPERATURE o . AMBIENT 200 o w WASTE 211 RADIOACTIVE (one fonn per materia/ per lJuUdIng or area) Page of o Yes f;/-No 202 204 210 CURIES 213 DYes ogGAS lARGEST CONTAINER I J, OÐO 215 216 219 STATE WASTE CODE 220 214 03 PRESSURE RElEASE ~-ACUTE HEAlTH ø 5 CHRONIC HEAlTH 218 AVERAGE DAllV Mr)UNT o Ib lBS 0 111 TONS OOb 221 DAVSONS~ - 6:>..5 222 o I FIBER DRUM OJ BAG Ok BOX o I CYLINDER o as ABOVE AMBIENT o ba BelOW AMBIENT o q RAil CAR o r OTHER 223 o as ABOVE AMBIENT o ba BelOW AMBIENT o c CRYOGENIC I 225 I I ¡ i 224 I 2 /5 228 15 230 IS 234 e~ -e.. 238 242 3 4 I 5 I, ! /ÞI~tK ¡/q.s~'1 UPCF (7/99) 227 oVes ~ 228 I (p 11(- -L{ 231 o Ves $-No 232 lo~-.g'S-3 235 oVes~ 236 \ 239 o Ves l!a"No 240 1--1 - If J - ;L 243 q S ..-t, 3..- 4 ¢U^-. ý~ 228 241 246 S:\CUPAFORMS\OES2731.TV4.wpd .. CITY OF BAKERSFIELDA OF~ OF ENVIRONMENTAL SÈ1fVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DNEW DADO 200 D DELETE (one form per malenal per building or a"",) Page of . .;:'{'t>: ,. .--~~,,:,,~....' .... ..~ : - ~.'iI-~-~:~; 3 I 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 I GRID II (opoonal) ,:i~,~0g:r~~}~;~;~~(G~~~~~~-4ft;~:¡K:',;t,:;,t""ii;r}~;:~2t..·:~~2i;~:'\~:. 205 TRADE.SECRET CHEMICAL NAME Pe.-frclw.v' . 207 COMMON NAME EHS' i CASII 6Cl~ol('tt(. ~OO 209 TYPE DpPURE D w WASTE 211 RADIOACTNE Dyes PHYSICAL STATE 214 lARGEST CONTAINER I J.r 000 D s SOUD OgGAS /QUID FED HAZARD CATEGORIES (Check all that appty) i ANNUAL WASTE AMOUNT D 3 PRESSURE RElEASE ~4. ACUTE HEALTH 'Ø' 5 CHRONIC HEALTH D 1 FIRE D 2 REACTIVE 218 AVERAGE CAlLY AMOUNT D Ib LBS 0 In TONS 217 UNITS" 1;2 OOD gaGAL DdCUFT . If EHS. amounl must be In Ibs. . of) 0 I , i STORAGE CONTAINER : (Check all thaI apply) I ! D I FIBER DRUM DJBAG D k BOX D I CYLINDER o a ABOVEGROUND TANK ~ UNDERGROUND TANK DC TANK INSIDE BUILDING D d STEel DRUM D m GlASS BOTTLE o n PlASTIC BOTTLE o 0 TOTE BIN D P TANK WAGON D 8 P1ASTICINONMETALLlC DRUM O/CAN o 9 CARBOY o h SILO Oyes~ 202 204 , ..'!,:: ~:" -~.;. . ' . ,- "'", f~.·.··¡"';-. . , "'.,0" o Yes 0 No 206 If Subject to EPCRA. reler to insltudions D Yes D No 208 210 CURIES 213 215 216 219 STATE WASTE CODE 220 221 DAYS ON SITE (05 222 D q RAIL CAR D r OTHER 223 STORAGE PRESSURE D a AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE D aa ABOVE AMBIENT o ba BelOW AMBIENT 22S o c CRYOGENIC D a AMBIENT 230 231 o Yes $-No 232 233 I , I 3 23-4 235 Dyes~ 238 237 4 238 239 Dyes ~ 240 241 1:;We.- I 5 242 - Tr, 'M-v{¿ 243 246 I ,/!4tJ.;f( . J/ ¿¡'~ ty 4Al ~. ¡/ "7 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd .. CITY OF BAKERSFIELDa OFFtn: OF ENVIRONMENTAL SÈtfVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION o NEW 200 ,-. (0"" form per meleriel per building or a",.) Page 01 '. ·:;:'?f,:':. ,. '.',~~.~' r.¡ ;,'-- >~':"-'~'~:¿:" 3 FACILITY 10_ I 201 CHEMICAL LOCATION CONFIDENTIAL (EPCRA) 203 I GRID _ (optional) I CHEMICAL NAME pc, ire I WI/' rI:, 0 h 207 COMMON NAME EHS' CAS_ 6tt.sol(",,~ ZOO .'. . .,.,. ·.fI:.....;~·~·-f"~~~;-::::~··~'~ir..'';- ~ .~...:S:: 209 . .".~..~;~~':~.~'ó~.",_:,;µ .F~<I :.!i..1'.'~..~...',-..:\,: .... ~.IIII _lIIIIIfbëJab.:--' ~ '" ·~~,*-.~~;{;~~~",:.':~i~.~~.:! TYPE 214 lARGEST CONTAINER I J( 000 OpPURE Dyes o w WASTE 211 RADIOACTIVE PHYSICAL STATE D s SOUD OgGAS /QUID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 3 PRESSURE RELEASE è>ØÀ ACUTE HEALTH -ø' 5 CHRONIC HEALTH o 1 FIRE o 2 REACTIVE 218 AVERAGE DAILY AMOUNT o III LBS 0 In TONS 217 . obI) I I 1-'000 gaGAL OdCUFT . If EHS. amounl must be In Ibs. ' UNITS- STORAGE CONTAINER (Check all tl1al apply) o a ABOVEGROUND TANK ~ UNDERGROUND TANK o ç TANK INSIDE BUILDING o d STEEL DRUM D e PlASTICINONMET ALLlC DRUM DlCAN D 9 CARBOY D h SILO D I FIBER DRUM OJ BAG D k BOX o I CYLINDER D m GlASS BOTTLE o n PlASTIC BOTTLE D 0 TOTE BIN Dp TANK WAGON I I I STORAGE PRESSURE D a AMBIENT D ba BELOW AMBIENT 224 D aa ABOVE AMBIENT DYes "f;i-No 202 204 -. Dyes D No 206 If Subjecl to EPCRA, rete< 10 inslnJdions D Yes D No 208 210 CURIES 213 215 216 219 STATE WASTE CODE 220 221 DAYSONS~ - 0.) 222 D q RAIL CAR Or OTHER 223 STORAGE TEMPERATURE 230 231 D Yes $-No 232 233 3 2310 "I- 235 Dyes~ Z38 237 4 238 239 Dyes I!ifÑo 240 2..1 5 242 243 246 RIZED COMPANY RE ATlVE ;'fA ~ ¡f( I/' ~r ~^ Ý'1' UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd -r WHITE LANE , J '- .' . ,--,,",,, \- ¡.i ,~~' \ l~~ \ w~~k lÞh-t.. e" ~ >- < ~ ·z < z ~ ~ U * +i~ '. \ Y\\\MAN œ SCALE: \120"=1'-0" E; ë.' ~; ",I dl ~I :!i --1----4.- i --r--------L- I I 01 I I I I I I . oj r I 1 Î\ :Ii - J 81:'<5 i ~ / I / / I ( --t---- . -r/---- r------,I [7 ¡ Q 0 Q I I . I I I Q 0 g I I APPROVED CANOPY I I Q 0 g I ~-_____-,-_--1 (\) --~ -).('6~ r . i ~ tJ \,..f.\ LUBTHOP7 -', 'C-. ~ ~~: ~",~~.~ ~. '~~ .)~~~ . ;·9;~:J; :.~.;~~~".. -¡. '.;q¡.~--.,.~ <....~ === "'Zð~c' .........1 Ç1J "'.0" (r.C..U: EASE."E.~" r---- APPROVU> I ACCE5S DRIn SITE PLAN i ~. ~ \..... 'f--"