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Home My WebLink AboutUNDERGROUND TANK Operftte to it Per Waste Unified Permit Materials/Hazardous Hazardous CONDITIONS OF PERMIT ON REVERSE SIDE ~', l-i Thi i i ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Mal'!agement Program o Hazardous Waste On-Site Treatment Permit ID #: 015-000-001521 CAR WASH OF AMERICA LOCATION: 7991 WHITE LN ~ TANK 015-000-001521-0001 015-000-001521-0002 015-000-001521-0003 Jt' ." Approved by: Date Issue Expiration Date: '" ..' Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Issued by: Operftte to it Per Waste Unified Permit Materials/Hazardous Hazardous CONDITIONS OF PERMIT ON REVERSE SIDE This ennit is issued for the followin @~ardous Materials Plan ,""" round Storage of Hazardous Materials tQagement Program Waste PIPING ONITO PIPING METHOD J~~tRI Pi~~~ I Pi~~G "i' .::: PERMIT ID# 015-021.Q01521 NIAGARA CAR WASH WHITE HAZARDOUS SUBSTANCE 7991 lOCATION TAN PRESSURE ClM PRESSURE ClM PRESSURE ClM F F F DW DW DW 12,oomQQ"GAl 12,OOO.ÚOG~l 12,000.00' ,¡~A~ GASOLINE, UNLEADED GASOLINE, UNLEADED PlU GASOLINE, PREMIUM Approved by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Expiration Date: Issued by: · e· CA Cert. No.00855 ] City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. In~tructions to the issuing agency: Use the space below to enter the following information in the tonnat of your choice: name of owner; name of operator; name of facility; street address, city, and zip code oftàcility; tàcility identitication number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: CAR WASH OF AMERICA Permit #015-021-001521 7991 White Ln Bakersfield, California 93309 ,:i . . . .. CONTINUED (See 2nd File) " I} f CERTIFICATE OF UNDERGROUND STORAGE TA K SYSTEM TESTING .,~ r~ DJnlmology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: VacuTect TEST DATE: 09/07/00 CUSTOMER PO: CLIENT: TOWER ENERGY GROUP 111 WEST OCEAN BLVD. SUITE 1650 LONG BEACH, CA 90802 MARK VASEY (562)435-4225 PURPOSE: COMPLIANCE WORK ORDER NUMBER: 3113466 SITE: NIAGRA CARWASH 7991 WHITE LANE BAKERSFIELD, CA 93309 MARK (562)435-4225 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Tank Tests 1 UNLEADED 2 PLUS 3 SUPER 12,024 12,024 12,024 96.00 96.00 96.00 0.000 0.000 0.000 PASS PASS PASS PASS PASS PASS Line and Leak Detector Tests 1 UNLEADED 2 PLUS 3 SUPER 0.000 0.000 0.000 P P P P P P Y Y Y Y Y Y Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any time, day or night, when you need us. Tanknology representative: Test conducted by: KEN MINTON /L --!1 ~ Reviewed: DAVID TOHIR J:p~ Technician Certification Number: 1315 Printed 09/18/2000 18: 11 KOHLMEYER INOIVIOtL TANK INFORMATION AN'TEST RESULTS. ,~ ~~ TBnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE: 09/07/00 CLIENT: TOWER ENERGY GROUP TanklD: 1 Product: UNLEADED Capacity in gallons: 12,024 Diameter in inches: 96.00 Length in inches: 388 Material: DW STEEL COMMENTS COMMENTS ALL 3 TANKS PULLED DOWN TOGETHER WORK ORDER NUMBER3113466 SITE:NIAGRA CARWASH Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / DW FIBERG 2.0 75.0 50 o 30 09:53 10:23 0.000 PASS PRESSURE RED JACKET 141. 0 147.0 45.0 4.0 DUAL ASSIST ~;!:~,~J~1[5~iJi,li~~~f!!!'r!¡1!1~~l:~~U:iÖ8ig~çµ'.i!ãÈ"£fI¡~1¡!¡iY'G¡" ta rt In Dipped Water Level: 0.00 0.00 Dipped Product Level: 77 . 75 77.75 Probe Water Level: 0.000 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 08: 38-12: 47 Inclinometer reading: -0.30 VacuTect Test Type: Multiple tanks VacuTect Probe Entry Point: Fill Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: -1. 00 0.00 PASS New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate mllm: Metering psi: Calib. leak in gph: Results: VAPORLESS LD2000 UNREADABLE 2.00 11 80 189.0 29 3.00 PASS NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 09/18/2000 18: 11 INDIVIDUAL TANK INFORMATION AN -", DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE:09/07 /00 CLIENT: TOWER ENERGY GROUP EST RESULTS WORK ORDER NUMBER3113466 SITE:NIAGRA CARWASH TanklD: 2 Product: PLUS Capacity in gallons: 12,024 Diameter in inches: 96.00 Length in inches: 388 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Dipped Water Level: Dipped Product level: Probe Water level: 0.00 78.50 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 08: 38-11: 11 Inclinometer reading: -0.20 VacuTect Test Type: Multiple tanks VacuTect Probe Entry Point: Fill Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS -1.00 0.00 PASS Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 144.0 150.0 48.0 4.0 DUAL ASSIST New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 NOT TESTED Impact Valves Operational: YES VAPORLESS LD2000 UNREADABLE 2.00 10 115 189.0 30 3.00 PASS NOT TESTED Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate mllm: Metering psi: Calib. leak in gph: Results: COMMENTS Material: Diameter (in): length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 75.0 50 o 30 10:26 10:56 0.000 PASS PRESSURE RED JACKE T NOT TESTED NOT TESTED Printed 09/18/2000 18: 11 INDIVIDUAL TANK INFORMATION AN S~ 7ånknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE:09/07 /00 CLIENT: TOWER ENERGY GROUP EST RESULTS WORK ORDER NUMBER3113466 SITE:NIAGRA CARWASH Tank 10: 3 Product: SUPER Capacity in gallons: 12,024 Diameter in inches: 96.00 Length in inches: 388 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / ~t~~!S~1ls~lt)~~~~Ui;~~~~Jlttl~Y;le2¡;y:~B,i~~ç~i;;,~;";;,,':,j!;,:!!.:V:ti tart In n In Dipped Water Level: 0.00 0.00 Dipped Product Level: 78.25 78.25 Probe Water Level: 0.000 0.000 Ingress Detected: Water N Bubble N UllageN Test time: 11: 25-12: 47 Inclinometer reading: -0.20 VacuTect Test Type: Multiple tanks VacuTect Probe Entry Point: Fill Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS -1. 00 0.00 PASS Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 146.0 152.0 50.0 4.0 DUAL ASSIST New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 NOT TESTED Impact Valves Operational: YES VAPORLESS LD2000 UNREADABLE 2.00 11 100 189.0 28 3.00 PASS NOT TESTED Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate mllm: Metering psi: Calib. leak in gph: Results: COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 75.0 50 o 30 11:39 12:09 0.000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED Printed 09/18/2000 18: 11 ,. - .ONITOR SYSTEM CERTIF~TION TANKNOLOGY Test Date: 09/07/2000 Work Order #: 3113466 Client: TOWER ENERGY GROUP Site: NIAGRA CARW ASH 111 WEST OCEAN BLVD. 7991 WHITE LANE LONG BEACH. CA. 90802 BAKERSFIELD. CA. 93309 Overall System Operation The pumps; Shut down automatically if the system detects a leak, fails to operate, or is electronically disconnected. [ ] Yes [X ] No The system has functioning audible and visual alanns. [X ] Yes [ ] No The circuit breaker for the system is properly identified. [X ] Yes [ ] No The system is certified operational per manufacturer's perfonnance standards. [X ] Yes [ ] No Product Tank Monitoring: [X ] Double wall [ ] Single wall Make: GILBARCO Model: EMC-FLOA Type: ANNULAR SPACE VAPOR How many: 3 Operational: [X ] Yes [ ] No (Automatic tank gauge, annular space vapor probe, annular space liquid probe, hydro guard system, vadose zone monitor well, groundwater monitor well) [ Commen'" I Product Piping Monitoring: [X ] Double wall [ ] Single wall Make: GILBARCO Model: FLOAT Type: SUMP LIQUID SENSOR How many: 3 Operational: [X ] Yes [ ] No (Piping sump liquid sensor, piping trench liquid sensor, electronic line pressure sensor, mechanical line leak detector) I Comments I Other Monitoring Systems: Make: GILBARCO Model: EMC Type: AUTOMATIC TANK GAUGE How many: 3 Operational: [X ] Yes [ ] No I Comments: I Technician: DAVID TOHIR Technician Signature: J4::7~ '. ,. e SITE DIAGRAM e ,.,,ff ~-., "DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 09/07/00 CLIENT: TOWER ENERGY GROUP WORK ORDER NUMBER3113466 SITE: NIAGRA CARWASH ~ ~ A 0 A ~ B B B ^ ^ ^ SUP PLUS UL 0::;0 VENTS BAY FACILITY ø ø ø ® ® 0 Printed 09/18/2000 18: 11 KOHLMEYER ;; ¡ " CERTIFICATE OF STAGE II VAPOR RECOVERY TESTING "ii!"- ~_,,--,--, .~ ~ .cø·...-::II 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 09/19/00 CLIENT: TOWER ENERGY GROUP 111 WEST OCEAN BLVD. SUITE 1650 LONG BEACH, CA 90802 ATTN: MARK VASEY WORK ORDER NUMBER3113588 SITE: NIAGRA CARWASH 7991 WHITE LANE BAKERSFIELD, CA 93309 CONTACT: MARK PRESSURE DECAY TEST 1 2.00 2.00 2.00 2.00 2.00 1.98 1.89 9254 PASS Tanknology appreciates the opportunity to serve you, and looks foward to working with you in the future. Please call any time, day or night, when you need us. Tanknology representative: KEN MINTON Test conducted by: MARCO GODOY /¿ +r ~ + Æ. /l(jJrG Reviewed: Technician Certification Number: Í' ~ -~DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE:09/19/00 CLIENT: TOWER ENERGY GROUP WORK ORDER NUMBE~113588 SITE:NIAGRA CARWASH COMMENTS Wi.tness test PARTS REPLACED 3 FILL ADAPTOR GASKET - OPW-H0415 3 DROPTUBE GASKET - OPW-61TG 3 2" PRESSURE VENT CAP THREADED W/3" WC - OPW 523V-2203 1 VAPOR RECOVERY DRY BREAK HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 10/02/2000 17:24 KOHLMEYER \ ~ ..:- e e Form 1 Source Test Tesults Static Leak Test Date: 09/19/2000 Time: 08:30 Application No. GDF Name and address: NIAGRA C-WASH 7991 WHITE LANE Stage II system (check one): Vapor Balance Single Hose M.P.D. Vacuum Assist [X] Type: GILBARCO Stage I type (check one): Two point [X ] Manifolded? Yes [X] Coaxial No Tank # 1 2 3 Product grade 87 89 92 Actual tank capacity (gallons) 12024 12024 12024 36072 Gasoline volume (gallons) 9368 9401 8049 26818 UJlage (gaJlons) 2656 2623 3975 9254 Initial pressure ofUST, inches H2O 0 Number of nozzles served by tank 6 6 6 18 Test location: (A) Stage I vapor coupler of (B) Stage II riser a a a Initial Pressure, inches H20 (2.0) 2.00 Pressure after 1 min. (inches H2O) 2.00 Pressure after 2 min. (inches H2O) 2.00 Pressure after 3 min. (inches H2O) 2.00 Pressure after 4 min. (inches H2O) 2.00 Final Pressure after 5 min. (inches H2O) 1.98 AJlowable Final Pressure: Table lA, Table lB, Equations 9.1, 9.2 1.89 Test Status [Pass or Fail] Pass Tests Conducted By: MGODOY Test Company: T ANKNOLOGY Date of Tests: 09/19/2000 Tests Witnessed By: \: ...:- e e TO BE ENACTED APPENDIX C STAGE IT POST TEST INSPECTION FORM Facility Name: Application # NIAGRA C-WASH Address: County: 7991 WHITE LANE l.:ny, :state, Llp BAKERSFIELD, CA 93309 DISPENSER AREA INSPECTION [ ] All Vapor pipes under the dispenser are capped, plugged, or re-attached. [ ] No leaks are present under dispenser, nor from hoses or nozzles. [ ] All impact valves are open on all product lines. [ ] All dispenser panels are correctly re-installed. [ ] All lock-outs or "Out of Service" bags are removed from dispenser nozzles. [ ] All tools, testing equipment, cones, and caution tape removed from dispenser area. TANK AREA INSPECTION [ ] Isolation plugs are removed from vapor risers (if applicable). [ ] All tank top components (plugs, caps, etc...) are reinstalled and secure. [ ] "Drop out tank" free of product and functioning properly (with all caps replaced). [ ] Submersible pit(s) free from leaks. [ ] All tools, testing equipment, cones, and caution tape removed from tank area. [ ] All lids and covers are properly replaced. Site Mgr. NAME: Site Mgr. Signature: Date: Tester NAME: Testers Signature: Date: MARCO GODOY 09/19/200 Testing Company and Address: TANKNOLOGY, 8900 SHOAL CREEK, SUITE 200, AUSTIN, TX 78757 , .. ~" e Date: 09/19/2000 GDF Name and address: Notes: e Reverse Side of Page Work Order #: NIAGRA C-WASH 7991 WHITE LANE 3113588 '. :1' . ~ e AIL V ACUSMART Stage II Vapor Recovery Testing Results e Facility Name: NIAGRA CARWASH Facility Address: 7991 WHITE LANE, BAKERSFIELD, CA Test Date: 09/19/2000 Work Order: 3113588 Testing Using Hasstech Vacusmart Alternative to TP-201.5 Test Unit S#: Testing Tech: Marco Godoy Air District: SCAQMD Representative: System Type: GILBARCO Disp# Grade AIL GPM P/F Comments 0.00 0.00 1 87 1.13 10.50 F need flow restricter 1 89 1.10 10.10 F 1 92 1.09 9.50 P 2 87 1.14 9.79 P 2 89 1.15 9.60 P 2 92 1.08 9.96 P 3 87 1.00 9.89 P 3 89 1.00 9.89 P 3 92 1.06 8.80 P 4 87 1.07 9.50 P 4 89 1.08 9.50 P 4 92 1.12 8.13 P 5 87 1.07 9.93 P 5 89 1.06 7.80 P 5 92 1.01 8.06 P 6 87 1.15 7.82 P 6 89 1.06 7.93 P 6 92 1.09 7.80 P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Page 1 ..r' -.. . _ j .( .r ¡...... . . SITE DIAGRAM. :t. DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 09/19/00 CLIENT: TOWER ENERGY GROUP WORK ORDER NUMBER3113588 SITE: NIAGRA CARWASH ~ ~ A 0 A ~ B B B ^ ^ ^ SUP PLUS UL CCD VENTS BAY FACILITY ø ø ø ® ® ® Printed 10/02/200017:24 KOHLMEYER · - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME (0 r (~ ð.(.A IN. t tltL ADDRESS 1t¡<{ l W,," \ L hat\( FACILITY CONTACT INSPECTION TIME INSPECTION DA TE~()O PHONE NO. ß~.J~ ')3 ,,~ BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES ì 0 Section 1: Business Plan and Inventory Program o Routine cB Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate permit on hand v ,,- Business plan contact information accurate \..I' Visible address V ". Correct occupancy V Verification of inventory materials V Verification of quantities V Verification of location V Proper segregation of material V , Verification of MSDS availability V Verification of Haz Mat training V Th.s.\tIiIlJ-t ~) (t1'VA\. ftltAN. II. Verification of abatement supplies and procedures v I1:,mln.cc_ Þvt I"f'~" ðo~ k~rS Emergency procedures adequate V Containers properly labeled V Housekeeping vi Fire Protection (/J V I!l.t D(~f( l "- tDÁ+ bùlt.. (::.J,tJ.. 5'~h Site Diagram Adequate & On Hand V C=Compliance V=Violation White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 --~." --...... ~_._- -. .. í .--.,~ ['oj I AG{\F:f; (:AF:I,.JASH 7'391 I,..\H J TE LANE f:JAKEF:~:W I ELI). Cf'1 . jr" ~'>.,.-.- ". ~~r-----'",~ _. o NO\/ 22. 20CiO 1::2: 03 PI"l .,~ .{J' ~3",..~:n'Ef··1 E:TATUf':: FŒF'Of:T L :~:: FUEL ALAE'I'1 -- - - - _. - - - - - - - ¡ ['oj"./EI,m:;.¡;(/ REPORT T 1: UNLEAf¡ '·.lOLUr"lE ULLAGE 9[1~,~ ULLAl:;E= TC "./(¡LUI'1E HEIGHT I.\IATER \/C'L IAATER" TEr"IP T 2: F'LU::3 \/OLUr"lE ULLAGE 90~::, ULLACE= TC \/C'LUf''1E HEIGHT L,JATER \/C,L l.,IATER TEI"lP T ::::: ~=; I..IFÐ;;' 1/(¡LUI"IE ULLAGE 9(1:\: ULLAi)£= TC "JOLLIt"IE HEIGHT (,,,lATH: 1./01. I/oJATER TEI'lP ::::~;oo (~3 :.3724 GAIJ3 2fS:? 1 GAL.:; -e2:_:¡tlt.,¡¡'1L~..::- 62 . :~5 1 NCHE:':; o GALf~ 1].00 I"" 'I[S '7 1 . t: [i"./,F·- 414'7 (¡ALS 7ti7? GALB 6674 (';ML~3 4,1 02 '::;fiU:; :3E.. DO INCHES I] (;AU:; O. 00 I NCHE3 75.6 DEG F 2905 GALS ':119 GAU:; 7St16 GAL~3 ~~873 GPL~3 Zi' . 77 I NCHE::~ Ü GALt:: 0.00 INCHES 75. I DEG F '"' '" ,1< '" '" END'"' :oi '"' ::oi, .* \ ) e ì e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME t!(J r (l}fl.!."-. at A~r,(ð.. INSPECTION DATEJ?",Z,/Of) Section 2: Underground Storage Tanks Program o Routine Q9 Combined 0 Joint Agency Type of Tank Ol11Fc C; Type of Monitoring à fV\ o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping ~w 1= ORe-inspection OPERA nON C v COMMENTS Proper tank data on tile V Proper owner/operator data on tile V Penn it fees current V Certification of Financial Responsibility V Monitoring record adequate and current t/ Maintenance records adequate and current V Failure to correct prior UST violations V Has there been an unauthorized release? Yes No V Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGA TE CAPACITY Number of Tanks OPERA nON Y N COMMENTS /.'. SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO 100r'''0, Â (~ Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy ~ . II \b( : Øí"'b5?~ . CITY OF BAKERSFIELD ?J (~d?(1 OFFICE OF ENVIRONMENTAL SERVICES , 1715 Chester Ave., Bakersfield, CA (805) 326-3979 APPLICATION TO PERFORM A TANK TIGIITNESS TEST FACILITY tV ~fY<.j-'L c...wr ,)a5 "'- ADDRESS 'r)q h,-fe- ~/(\eJð¿y~~/(!A- Q33òf PERMIT TO OPERATE # OPERATORS NAME I 1J, ~Ar-r4..- /LCv-f Wc./)[,-- OWNERS NAME ~ Õ w é.-r ' NUMBER OF TANKS TO BE TESTED TANK # VOLUME I I ztc 2- Jlt- J J2--IL IS PIPING GOING TO BE TESTED CONTENTS ..~.;;; 5V1r~ TANK TESTING COMPANY 7"'1 A k 1\ i1 / '?jfj '( rV D L r) , ",,-- S/A I+e.- O&J , I" MAILING ADDRESS .27)76 LDf\^-~~(..e~, ,t:~ ,D(J-r~e(;\~ ~)(J1+4'Z57D NAME & PHONE NUMBER OF CONTACT PERSON j4?/f\ tnfv\kn. Q1J'1-Jof-1 -¿.IÙ TEST METHOD V at- (AT ~ NAME OF TESTER J)av\ d \ð h..\ r CERTIFICATION # /3 I ~ DATE & TIME TEST IS TO BE CONDUCTED q -7.....{) D /b A-¡v') ~- APPRO BY g~ Z>/ -co DATE SIGNATURE OF APPLICANT " CITY OF BAKERSFIELD "FICE OF ENVIRONMENT4!tSERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 (Ð UNDERGROUND STORAGE TANKS· UST FACILITY I TYPE OF ACTION {C/tecIt one ¡fMI only} o I. HEW SIT! PEAMIT ~ ). RENEWAL P!AMIT o 4. AMENDEO PERMIT Ü 5. CHANGE OF IHFORMA TION (SpK"Y CIM. . /oeM 1M only} o e. TEMPORARY SITE CLOSURE "'_01_ o 7. PERMANENT\. Y CLOSEO SITE o 8. TANK REMOVED ~ I. FACIUTY I SITE INFORMATION , BUSINESS NAME (Same . FACILITY NAMI! or OM . 00in9 ØuIII*I AI) 3 FACUTY 10 . '()U ~~\t) cl' mvt~ "7CA\ ~lte LI\l Cf6b(}t , NEAREST CROSS STREET o 3. FARM 0 5. COMMERCIAL o 4. PROCESSOR 0 e. OTHER 403. II *-y on InciIn ReøMIIon or .. OWIIII' 01 UST . puIIIIc agency. lIMIt 01Il/1*'IIIIO" 01 ~ ctIIIIIon. ..alan or aI'IIcI wIIiCfI aper-. tile UST. (1'l1lI11 fie oonI8cII III'IOII far tile .. ~) 401. FACIUTV OWNER TYPE o 1. CORPORATION 02. IHDMOUAI. o ). PARTNERSHIP o 4. L.OCALAGENCYIOISTRICT" o 5. COUNTY AGENCY" o 8. STATEAGEHCY" o T. FEDERAL AGeNCY" 402. I. GAS STATION o 2. DISTRJ8UTOR i TOTAl. NUMBER OF TANKS i RfAWNlHGATSITI! I 404. o v. "'{] No 405. 408. L PROPERlY OWNERINFORIIATION 401. b1D.3 L~ . t9 ~ (¡ 408. 409. 41 . 412. o 2. INDMDUAI. o 3. PARnEASHIP \ o 4. I.OCAI. AOEHiCf , DISTRICT o 5. COUNTY AOEHiCf 41 . o e. STATE AGEHtCY 413. 07. FEŒJW. AGEHtCY I...·· ..,¡.:~. 414- PHONE 415. to" -?J 2~ . cg~ llc.o 418. 419. ()2- o e. STATE AGENCY G. o 7. FEDERAL AGEHtCY .' .. TANK OWNER INFORMATION o 2. INDMDUAI. o 3. PARnEASHIP o 4. I.OCAI. AOEHiCf , DISTRICT o 5. COUNTY AGE.H1CY TV (TK) HQ ,: IV. BOARD OF EQUALIZATION U8T STORAGE FEE ACCOUNT NUMBER Call (9115) 322-ge69/f questlons.rIse 421. . '.' .. ~ 't ' '" v. ~ U8T FINANCIAL RESP0H8181UTY INDICATE MEntOC(S) 1. SELFoINSURED o 2. OUNWITEI! ' o 3. INSURANCE o 4. SURETY 80HD o 5. LETT!R OF CREDIT o e. !XEMPTION 7. STATE FOND o e. STATE FUND a CFO LETTER 08. STATEFUNDaCO o 10. I.OCAI. QQVT MECHANISM o 911. OTHER: 422. 1 VI. LEGAL NOTIFICATION AND MAlUNG ADDRESS I CIIedI_1IOI1O iIIdIœIe wNdI ....1IIouId lie UNCI for IeII ~1I1IId ..-na. ........... - 0 L.egll1lGllllclllal1l1IId III8IIngIwII lie MIll 10 tile ** OWIIII' unIIu IlOl 1 or 2 Ie dIecUd. '~. 1. FACLITY 2. PROPERTY OWNER 03. TANK OWNER 423. VlL APPUCANT SIGNATURE ~ ".,.. Ie true IIIcIICIQftIe 10 tile belt 01 my k/IcMIeCIge. , 425. 4rI, I STATa UST FACIUTY NUMIIR(ForIO<»lIlllOllly ,421. I' II1II UPGRADII CERTIFICA TI! NUMBER (For IouI 1M only) 428. ! UPCF (7199) S:\CUPAFORMS\sWrCtH·wpd c '""... _ STATEOFCAUFOANlA _ . STATE WATER RESOURCES CONTROL BOAR. CERTIFICATION OF COMPllANC~ FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION STREET _LùhJú L.aJG CITY ~~f1L ~r lClct (&~ LLn/¡¡ûCf.pd) COUNTY~ II. INSTALLATION (mark all that apply): o The installer has been certified by the tank and piping manufacturers. ~ The installation has been inspected and certified by a registered professional engineer. ~ The installation has been inspected and approved by the implementing agency. ...-!2f All work listed on the manufacturer's installation checklist has been completed. ....ø' The installation Contractor has been certified or licensed by the Contractors State License Board. ¡ o Another method was used as allowed by the implementing agency. (Please specify.) .J ':! Print Name Address -¡q L ed is true to the best of my belief and knowledge. Date P5luJ (f/) \ )~-?J2''l~4~ 9 LOCAL AGENCY USE ONLY STATE TANK I.D. # COUNTY # rn JURISDICTION # [IT] FACILITY # ITIIIIJ TANK # = FORM C (7191) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOAOO35C7 '.::-. ST ATt OF CAUFOIHA e STATE WATER RESOURCES CONTROl BOARD_ CERTIFICATION OF COMPLlANC~ FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION STREET lGtC1 I lDht+e ~¡'TG 1 CITY /ß . ìC.- . Ct~\6~ ¡Ldeo.o/ed) COUNTY Ilt:e U II. INSTALLATION (mark all that apply): [J The installer has been certified by the tank and piping manufacturers. 7' The installation has been inspected and certified by a registered professional engineer. ø The installation has been inspected and approved by the implementing agency. P All work listed on the manufacturer's installation checklist has been completed. .9 The installation Contractor has been certified or licensed by the Contractors State License Board. U Another method was used as allowed by the implementing agency. (Please specify.) ." Address vided is true to the best of my belief and knowledge~ Date Jð\-!1-{ ÕÒ Phone ( \) ~~''ì~4~ q LOCAL AGENCY USE ONLY STATE TANK I.D. # COUNTY # IT] JURISDICTION # ITIJ FACILITY # ITIIIIJ TANK # = FORM C (7191) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOROO35C7 · .~)- STATE OF CAUFORIIA e STATE WATER RESOURCES CONTROl BOARD .. CERTIFICATION OF COMPLlANCe-r FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION STREET 1qq\ V::N\k ~ (~1t*'QJi\t l1.il!mafJ!) · CITY ~ COUNT~ II. INSTALLATION (mark all that apply): o The installer has been certified by the tank and piping manufacturers. ß The installation has been inspected and certified by a registered professional engineer. y-the installation has been inspected and approved by the implementing agency. % All work listed on the manufacturer's installation checklist has been completed. ':: ~The installation Contractor has been certified or licensed by the Contractors State Licens~ Board, U Another method was used as allowed by the implementing agency. (Please specify.) . 'ded is true to the best of my belief and knowledge. Date 3(lL( (Jl) Phone _) ~S2 ''7~1L " LOCAL AGENCY USE ONLY STATE TANK 1.0. # COUNTY II IT] JURISDICTION II [IT] FACILITY II ITIIIIJ TANK II = FORhA C (7191) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 i . ,.if- . . IT ATI Of CAUrolNA STATE WATER RESOURŒS COKTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONL'1 ONE ITEM LJ 1 NEW PERMIT o 2 INTERIM PERMIT 3 RENEWAL PERMIT 4 AMENDED pERMIT o 5 CHANCE OF INFORMATION o e TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPlETE ALL ITEMS - SpECIFY IF UNKNOWN .... OWNER'S TANK i. D.' C. 0'" TE INSTALLED (MOIOAYiYEAR) B. MANUFACT\JRED BY: ~ D. TANK CAPACITY IN GAlLONS: II. TANK CONTENTS IF A· 1 IS MARKED. COLIPLETE ITEM C. o o ,. REGULAR UNLEADED b PREMIUM UNlEADED 2 LEADED B 3 DIESEL 4 GASAHOL 5 JET FUEL og OTHER (OESCRIBE IN ITEM D. BELOW) o e AVIATION GAS o 7 METHANOL A. 1 "'OTOR VEHICLE FUEL o 2 PETROLEUM o 3 CHEMICAL PROOUCT o 4 OIL o 80 EMPTY. o !15 UNKNOWN ~ 1 PRODUCT ~ WASTE C. O. IF (A. I) IS NOT MARKED. ENTER NAIooIE 01' SUBSTANCE STORED C.A.S.': III. TANK CONSTRUCTION MARK ONE ITEM ONlY IN BOXES A. B. AND C, AND ALL THAT APPliES IN BOX D A. TYPE OF ~ OOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER o 115 UNKNOWN SYSTEM D 2 SINGLE WALL 0 4 SECONOAAY CONTAINMENT (YAWL TED TANK) o og OTHER D 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS ~ STEEL CLAD WI FIBERGlASS REINFORCED PLASTIC B. TANK MATERIAL D 5 CONCRETE 0 8 POLYVINYL CHLORIDE 0 7 AlUMINUM o a 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 II BRONZE 0 10 GAlVANIZED STEEL 0 115 UNKNOwN o og OTHER o 1 RUBBER LINED o 2 AlKYD LNNG 0 3 EPOXY LINING D 4 PHENOLIC LINING . C. INTERIOR D 5 GlASS LINING ~ UNlINED 0 D , UNING 115 UNKNOWN og OTHER . IS LINING MATERIAl COWPATI8lE WITH 00% MEnt\NOl? YES_ NO_ D. CORROSION D 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYl. WRN' ~ 4 FIBERGLASS REINFORCED PlASTIC PROTECTION D 5 CATHOOIC PROTECTION 0 111 NONE o 115 UNKNOWN o l1li O~ER ; C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION IV. PIPING INFOAMATION CIRCLE A IFABOVEGROUNOOR U IFUNDERGROUND,BOTHIFAPPLICABLE A. SYSTEM TYPE A U 1 SUCTION II 2 PRESSURE II U 3 GRAVITY II U og OTHER B. CONSTRUCTION II U 1 SINGLE WAlL II 2 OOUBLE WAlL II U 3 LINED TRENCH II U 115 UNKNOWN _ II U og OTHER II U 1 BARE STEEL II U 2 STAINLESS STEEL II U 3 POLYVINYL CHlORIDE (PVC)II U 4 FIBERGLASS PIPE II U 5 AlUMINUM II U e CONCRETE II U 7 STEELWlCOATINO AtG"\a 100% ME'THANOL COMPATlBLEWiFRP II U II GALVANIZED STEEL II U 10 CATHOOIC PROTECTION II U 115 UNKNOWN II Yog OTHER 1 AUTONATIC LINE LEAl< DETECTOR 2 LINE TIGHTNESS TESTING IoIONITORI«J Dog' OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK o 8 TANK TESTING 0 2 INVENTORY RECONCILIATION D 3 VAPOR MONITORING 4 AUTOWATIC TANK GAUGING D 5 GROUND WATER MONITORING 7 iNTERSTITIAL MONITORING 0 111 NONE D 115 UNKNOWN 0 og OTJ.IER VI. TANK CLOSURE INFORMATION I. ESTlMA rED OA TE LAST USED (MOIOAY/YR) 2. ESTIMATED OUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAl 7 YES D NO 0 ST OF MY KNOWLEDGE. IS TRUE AND CORRECT D STA TE 1.0.# COUNTY , OJ JURISDICTION" ITIJ FACILITY " = TANK" ITIIITI PER"'IT NUMBER PERMIT N'PROVED BY/OATE PERMIT EXPIRATION DATE FOR'" B (~901 THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON . FORM A, UNLESS A CURREKT FORM A HAS BEEN FILED. FOAOGMIoIW e - STAT! OF CAUFOINA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONL If ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT ~ 3 RENEWAl PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 8 TEMPORARY TANK CLOSURE D 7 PERMANENTL V CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. · 2- C. DATE INSTALLED (MOIOAVIVEAR) II. TANK CONTENTS IF A·1 IS MARKEO, COMPLETE fTEM C. A. ~1 MOTOR VEHICLE FUEL 0 4 OIL D 2 PETROLEUM 0 80 EMPTY D 3 CHEMICAL PRODUCT 0 Q5 UNKNOWN O. IF (A. 1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED B' .~ 1 PRODUCT D~ASTE O ,. REGULAR C. UNLEADED o Ib PREMIUM UNLEADED o 2 LEADED o 3 DIESEL o 4 GASAHOL 5 JET FUEL 99 OTHER (DESCRIBE IN ITEM D. BELOW) 'C.A.S..: o 8 AVIATION GAS o 7 METHANOL III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND AlL THAT APPLIES IN BOX D A. TYPE OF 1 DOUBLE WAlL 0 3 SINGLE WAlL WITH EXTERIOR LINER 0 115 UNKNOWN SYSTEM 0 2 SINGLE WALL o 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEel o 3 FIBERGLASS 4 STEEL CLAD WI FIBERGlASS REINFORCED PlASTIC B. TANK MATERiAl 0 5 CONCRETE D 8 POLYVINYL CHLORIDE 0 7 AlUMINUM 0 8 100% METHANOL COMPATIBLE WiFRP :Primary Tank) 0 8 BRONZE D 10 GAlVANIZED STEel D 115 UNKNOWN 0 99 OTHER 0 1 RUBBER LINED D 2 AlKYD LNNG o 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING -n e UNLINED o 115 UNKNOWN o 99 OTHER UNING IS lINING MATERIAl COMPATIBLE WITH 100% METHANOl ? YES_ NO_ D. CORROSION PROTECTION o 1 POLYETHYlENE WRAP D 2 COATING o 5 CATHODIC PROTECTION D 81 NONE o 3 VINYL WRAP o 115 UNKNOWN 4 FIBERGlASS REINFORCED PLASTIC o 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABlE A. SYSTEM TYPE A U 1 SUCTION A 2 PRESSURE A U 3 GRAVITY A U 9SI OTHER B. CONSTRUCTION A, U 1 SINGLE WAlL A U 2 DOUBLE WAlL A U 3 LINED TRENCH A U 95 UNKNOWN _ A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHlORIDE (Pvc)A~o4 FIBERGlASS PIPE CORROSION A U 5 AlUMINUM A U 8 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GAlVANIZED STEel A U 10 CATHODIC PROTECTION A U 115 UNKNOWN A 99 OTHER D. LEAK DETECTION 1 AUTOMATIC LINE LEAl< DETECTOR 2 LINE TIGHTNESS TESTING UOHITORIHG D 99 OTHER V. TANK LEAK CETE o 1 VISUAL CHECK o 8 TANK TESTING 2 INVENTORY RECONCILIATION D 3 VAPOR MONITORING 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 7 INTERSTITIAL MONITORING 0 81 NONE 0 115 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE lAST USED (MOIOAYIVR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FillED WITH GALLONS INERT MATERIAL 7 YES 0 N0D EST OF MY KNOWLEDGE, IS TRUE AND CORRECT H tD STATE 1.0.# COUNTY , rn JURISDICTION" ITIJ FACILITY , = TANK II ITITITI PERMIT NUMBER PERMIT APPROVED BY/OATE PERMIT EXPIRATION DATE FORM B Sl-g( THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOAOO:J4B-At ,t'" I e - Sf A11 or CAUFOfMA STATe WATeR ~ESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM 8 COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o o I NEW PERMIT 2 INTERIM PERMIT '8'~ RENEWAL PERMIT AMENDED PERMIT o o 5 CHANGE OF INFORMAT~N 8 TEMPORARY TANK CLOSURE o o 7 PERMANENTLY CLOSEO ON SITE 9 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMF'lETE ALL ITEMS - SPECIFY IF UNKNOWN .... OWNER'S TANK I. D. . B. MANUFAC1\JRED B : t C. D'" TE INSTALLED (MOiOAYIYEAR) II. TANK CONTENTS IF A·IIS I.lARKED. COMPLETE ITEM C. A. MOTOR VEHICLE FUEL o 2 PETROLEUM o 3 CHEMICAL PROOUCT o 4 Oil o 90 EMPTY. o Q5 UNKNOWN ~ 1 PRODUCT []) WASTE C 0 1. REGULAR . . UNLEADED ~ Ib PREMIUM ~ UNlEADEO o 2 LEADED 8 3 DIESEL 4 GASAHOL 5 JET FUEL lie OTHER (DESCRIBE IN ITE.. D. BELOW) o 8 AVIATION GAS o 7 METHANOL D. IF (A.\) IS NOT MARKee. ENTER NAME 01' SUBSTANCE STORED C.A.S.': A. TYPE OF SYSTEM MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND All THAT APF'lIES IN BOX 0 o 3 SINGlE WAll WrTH EXTERIOR LINER 0 o 4 seCONDARY CONTAINMENT (VAUlTED TANK) 0 o o o RUBBER LINED 0 2 AU<YD LNNG Ii GlASS LINING . 'lsl.' UNlINED IS LINING MATERIAl. COMPATIBlE WITH 100% METHANOl? 2 SINGLE WALL Q5 UNKNOWN gQ OTHER B. TANK MATERIAL :Primary Tank) 1 BARE STEEL 2 STAINLESS STEel 0 3 FIBERGlASS 8 POLYVINYL CHLORIDE 0 7 ALUMINUM 10 GALVANIZED STEel 0 ~ UNKNOWN o 3 EPOXY LINING o ~ UNKNOWN ~4 STEEL CLAD WI FIBERGlASS REINFORCED PlASTlC o 9 100% METHANOL COMPATIBLE WIfRP o lie OTHER o 4 PHENOLIC LINING o lie OTHER 5 CONCRETE II BRONZE C. INTERIOR UNING YES_ NO_ D. CORROSION PROTECTION o 1 POLYETHYlENE WRAP 0 2 COATING o 5 CATHODIC PROTECTION 0 01 NONE o 3 VINYl. WRAP o ~ UNKNOWN 4 FIBERGlASS REINFORCED PlASTIC o lie OTHER C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABlE A. SYSTEM TYPE A U 1 SUCTION A 2 PRESSURE A U 3 GRAVITY A U lie OTHER B. CONSTRUCTION A U 1 SINGLE WALL A DOUBLE WALL A U 3 LINED TRENCH A U Q5 UNKNOWN _ A U lie OTHER A U 1 BARE STEEL A U 2 STAINµöSS STEEL A U 3 POlYVINYL CHLORIDE (PVC)A U 4 FIBERGlASS PIPE A U 5 AlUMINUM A U 8 CONCRETE A U 7 STEELWlCOATINO AíG'ìs 100% METHANOL COMPATlBLEWiFRP A U II GALVANIZED STEel A U 10 CAn~1C PROTECTION A U 85 UNKNOWN A Y lie OTHER 1 AUTOI.IATlC LINE LEAK DETECTOR ~ LINE TIGHTNESS TESTING IotOHITORIHO D lie OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK ~ INVENTORY RECONCILIATION o 6 TANK TESTING 0 7 INTERSTITIAL MONITORING o 3 VAPOR MONITORING o 111 NONE 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING UNKNOWN 0 lie OTHER VI. TANK CLOSURE INFORMATION ,. ES TII.. A TED DA TE LAST USED (LIOIOAYIYR) 2. ESTIMATED OUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FillED WITH GALLONS INERT MATERIAL ? YES 0 NO 0 EST OF MY KNOWLEDGE, IS TRUE AND CORRECT STA TE 1.0.# COUNTY II OJ JURISDICTION II [II] FACILITY II = TANK II ITIIllJ PERMIT NUMBER PERMIT APPROVED BYIOATE PERMIT EXPIRAT~N DATE ~OR"" 8 (11-901 THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON . FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOfIOO,)4~ COMPLETE THIS FORM FOR EACH FACIUTY~rrE , '_ STATE OF CAUFORNJA :_ I STATE WATER RESOURCES CONTROL SOARD_' UNDERGROUND STORAGE TANK PERMIT APPLICATION'· FORM A MARK ONLY ONE ITEM GJ 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl PERMIT o 4 AMENDED PERMIT 5 CHANGE OF INFORMATION 0 7 PERMANENTlY CLOSED SITe o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS -.(MUST BE COMPLETED) I NA E OF OPERAT R D INDIVIDUAL o PARTNERSHIP = LOCAL·AGENCY DISTRICTS O ./ IF INDIAN . ~KS AT SITE E. P. A. L D.. (optiDn/IJ) RESERVATION OR TRUST lANDS :::::J COUNTY -AGENCY o STATE-AGENCY o FEDERAl-AGENCY 1 GAS STATION C 2 DISTRIBUTOR o 3 FARM C 4 PROCESSOR 0 5 OT"ER c:J STATE-AGaICY o FEÐERAl-AGENCY IV. BOARD OF EQ LIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 739·2582 if questions arise. TY(TK) HQ !IIIJ.= V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal n::;::cation and billing will be sent to the tank owner nless box I or /I is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR lEG:'~ ~OTIFICATlONS AND BILLING: 11·0 111.0 THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PER.JURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT .-.... ~;:>?LICANrS TITLE CEtJ COUI'.'7Y # OJ JURISDICTiON /I []I FACILITY # = LOCA TlON CODE - OPTIONAL 'CENSUS TRACT. - OPTIONAL ! SUPVISOR - DISTRICT CODE - OPTIONAL I THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OFSrre INFORMATION ONLY. , FOROOOOA~2 FORM A (9-90) e . STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM ~ 1 NEW PERMIT D 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT D 5- CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE D 7 PERMANENTLY CLOSED ON SITE o S TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # :3 D. TANK CAPACITY IN GALLONS: B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAYIYEAR) II. TANK CONTENTS IFA-1ISMARKED.COMPLETEITEMC. f)l1 MOTOR VEHICLE FUEL 0 4 OIL B. C. o 1a REGULAR 0 3 DIESEL o 6 AVIATION GAS A. UNLEADED 0 ~1 4 GASAHOL o 7 METHANOL 02 PETROLEUM 0 so EMPTY PRODUCT ~ 1b PREMIUM 0 UNLEADED 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE D 2 LEADED 0 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX 0 A. TYPE OF ~ 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER ~1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 S 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING D 4 PHENOLIC LINING C. INTERIOR D 5 GLASS LINING 15<:1' 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES_ NO_ D. CORROSION D 1 POLYETHYLENE WRAP D 2 COATING D 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION D 5 CATHODIC PROTECTION D 91 NONE D 95 UNKNOWN D 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A@4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEELW/COATING A{iDs 100"10 METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING 3 ~~~~~m~~ D 99 OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING ~ 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING D 6 TANK TESTING IS(j' 7 INTERSTITIAL MONITORING D 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LA T ED (MO/DAYIYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING YES D NO 0 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? THIS FORM HAS BEEN COMPLETED UNDER PEN TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME }J (PRINTED & SIGNATURE) J', ""~/J LOCAL AGENCY USE ONLY THE STATE I.D. NU ?t..(' ~ STATE 1.0.# COUNTY # OJ TANK # ITITIITJ JURISDICTION # [IT] FACILITY # ITIIIIJ PERMIT NUMBER I PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034B-R4 --_~-_-C-::,=-I..-~1C=-~--" ~'",=--~--,"", .;..---:~~- ~~--- ~ "'""-..,---~~ --=--~--- ~--- ~ '. '{.:, . . (, ¡l,I'·~i ;~f1- :1' r r f· ( ), ;' t, I, .t' .,' , :1' ;1 ~ I, I,' {i " I; ( (::, t;:', "- , '" , ) <. " e e Sf ATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM ~ 1 NEW PERMIT o 2 INTERIM PERMIT' o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN C. DATE INSTALLED (MOIDAYIYEAR) A. OWNER'S TANK I. D. # ~ B. MANUFACTURED BY: II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC. A. ~ 1 MOTOR VEHICLE FUEL 0 4 OIL o 2 PETROLEUM 0 80 EMPTY o 3 CHEMICAL PRODUCT 0 95 UNKNOWN D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED ~ 1 PRODUCT o 2 WASTE C·O o o 1a REGULAR UNLEADED 1b PREMIUM UNLEADED 2 LEADED o 3 DIESEL 0 6 AVIATION GAS o 4 GASAHOL 0 7 METHANOL o 5 JET FUEL ~ 99 OTHER (DESCRIBE IN ITEM D. BELOW) C.A.S.#: B. III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C, AND ALL THAT APPLIES IN BOX 0 A. TYPE OF ~1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 02 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER ~1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING .ø 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES _ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP i:8' 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A <f) 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL At!) 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A <ff) 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING 1([)8 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING I)( 3 INTERSTITIAL D 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING ~ 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST S D (MO/DAYIYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL ? YES 0 NoD ~L TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT z.. ,.. ~ STATE 1.0.# JURISDICTION # ITJJ FACILITY # ITIIIIJ TANK # ITIIITJ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B i9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR00348-R4 - - -- - - . ~"","--~~~=--=~...;:.,...---=---=- --'-- _.:-.'~.-~-::-~-...",,~~:--,:"-- ~ ,-~- -~_:::~~--'---...:....:.. -~'.-.~--~--:=-'''=:_----~ - e STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM b21 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED ON SITE 6 TEMPORARY TANK CLOSURE 0 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACITY IN GALLONS: II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC. ~1 MOTOR VEHICLE FUEL 0 4 OIL B. C. ~ 1aREGULAR 0 3 DIESEL o 6 AVIATION GAS A. UNLEADED 0 02 0 ~1 PRODUCT o 1b PREMIUM 4 GASAHOL D 7 METHANOL PETROLEUM 80 EMPTY 0 UNLEADED 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE o 2 LEADED 0 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C. AND ALL THAT APPLIES IN BOX 0 A. TYPE OF ~1 DOUBLE WALL D 3 SINGLE WALL WITH EXTERIOR LINER D 95 UNKNOWN SYSTEM 02 SINGLE WALL D 4 SECONDARY CONTAINMENT (VAULTED TANK) 099 OTHER ~: BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS ~ 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM o 8 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~ 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES_ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ¡gr 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A@ 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A@ 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) ACiD 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A <\278 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. lEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING '5!(t 3 INTERSTITIAL D 99 OTHER MONITORING V. TANK LEAK DETECTION D 1 VISUAL CHECK D 2 INVENTORY RECONCILIATION D 3 VAPOR MONITORING r& 4 AUTOMATIC TANK GAUGING D 5 GROUND WATER MONITORING o 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED I AYIYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES D N0D THIS FORM HAS BEEN COMPLETED UNDER PEN APPLICANT'S NAME (PRINTED & SIGNATURE) 0 . f? Ho 8/ N STATE I.D.# COUNTY # IT] FACILITY # ITIIIIJ TANK # D:IIIIJ OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT DATE LOCAL AGENCY USE ONLY THE STATE I.D. NUMB PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FilED. FOR0034B·R4 -- ----------- - ------ - - ---------~- . ~ - --- . --~---=~- -----~....--------~=-= .=-=-'----~-'-...-=--- . - -- - . - -- - ST ATE OF CALIFORNIA . STATE WATER RESOURCES CONTROL BOARD e . CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C : ,..,: , f~:. . COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION CITY r¡c¡c¡/ tJ/I,1¿ Á/dNð ~~~4'~ COUNTY Jr'iR4/ STREET II. INSTALLATION (mark all that apply): ~he installer has been certified by the tank and piping manufacturers. [J The installation has been inspected and certified by a registered professional engineer. g-rhe installation has been inspected and approved by the implementing agency. ~ All work listed on the manufacturer's installation checklist has been completed. ~The installation Contractor has been certified or licensed by the Contractors State License Board. [J Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information provided is Tank Owner/Agent /))¡jýðtJtJ7{ ('~ Print Name ~r. tJe,g¿µð1{ Address 17/0 tk!/dc"Jlfr 19~ the best of my belief and knowledge. Date //,. :;¿'t!--9 r Phone ( fp<;") 5"8"9-5"S?GJ ~r~h ú9- 9B~/:2 LOCAL AGENCY USE ONLY STATE TANK I.D. # COUNTY # OJ JURISDICTION # ITD FACILITY # ITIIIIJ TANK # IT:LJ \ II FORM C (7191} THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOROO35C7 _ STATE OF CALIFORNIA . STATE WATER RESOURCES CONTROL BOARD e CERTIFICATION OF COMPLIANCE . FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C ,.,' -, COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION STREET 7qql WI-IITlE. LANEE CITY l3ItK e;f{6 FIE:. L. 0 COUNTY KEERN II. INSTALLATION (mark all that apply): ~The installer has been certified by the tank and piping manufacturers. D The installation has been inspected and certified by a registered professional engineer. ~ The installation has been inspected and approved by the implementing agency. ~AII work listed on the manufacturer's installation checklist has been completed. ~ The installation Contractor has been certified or licensed by the Contractors State License Board. D Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information provided is true to the best {\ my belief and knowledge. Tank Owner/Agent Wé(;.g;Jtf~ tó....J'JfAt~'1'6:,¡J A.J~ ~ Date //-ól8'--'ls Print Name {)t)u7 W BGs;Jdll Phone ( ~'f:) S"~?" 5'"S"'h::> Address "'1/0 r:A/~lIt ¡£)~ ~)ð;ø£óh/ Ó- 9~B/;2.. LOCAL AGENCY USE ONLY STATE TANK 1.0. # COUNTY # IT] JURISDICTION # UTI FACILITY # ITIIIIJ TANK # = FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 STATE OF CALIFORNIA e STATE WATER RESOURCES CONTROL BOARD e CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION CITY 79'11 U)/ftttf /?;/i~ftó!o C/J I.-AtJõ STREET COUNTY /(d,¿,J II. INSTALLATION (mark all that apply): [3'The installer has been certified by the tank and piping manufacturers. D The installation has been inspected and certified by a registered professional engineer. [2Í The installation has been inspected and approved by the implementing agency. I /Î All work listed on the manufacturer's installation checklist has been completed. r3 The installation Contractor has been certified or licensed by the Contractors State License Board. D Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information proVided1l·S jt to the best of my belief and knowledge. Tank Owner/Agent t/)i3'ì~.Þr¡, ((NSf --4~ ~ Date /hlX..c;S Print Name f)t9ur WOt;.ð¡JR Phone (gz»)5~'í-:r5?c) Address 17/l> CIJ//âVA¡ ¡;)~, ælJ(;~tJh CiJ. 9'3;)/7- LOCAL AGENCY USE ONLY STATE TANK 1.0, # COUNTY # IT] JURISDICTION # [ll] FACILITY # ITIIIIJ TANK # = FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 . . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME tflr Wo..,," Q,f A~ttur¡ ADDRESS 1111 W~\~L M./"(. FACILITY CONTACT INSPECTION TIME INSPECTION DATE 'µ5/11 PHONE NO. <rJ 3J ~7 3 4t¿ BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES '?,r;- Section I: Business Plan and Inventory Program ¡g Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand ,/ Business plan contact information accurate V Visible address V Correct occupancy Iv Veritication of inventory materials if Verification of quantities V Veritication of location V Proper segregation of material Iv' Veritication of MSDS availability V Verification ofHaz Mat training V Veritication of abatement supplies and procedures / V Emergency procedures adequate \I Containers properly laheled V Housekeeping lJ CktHC\ (!>o ~ <:\(Cl~IOt'" ..: dd" (' Ác/.n,f A.~ n. .1. f f ( Fire Protection J I11t1UI.t+ ..c(~ r.>vl. .. ,a./" r-- I Ìt\ lkfl A I'cLl . Site Diagram Adequate & On Hand V ) C=Compliance V=Violation Any hazardous waste on site?: ãfÝes 0 No Explain: l-UMk ~ I r ... ,,(, ({....t$ White - [nv. Svcs. Yellow - Station Copy Pink - Bminess Copy Inspector: Questions regarding this inspection? Please call us at (805) 326-3979 . , ' '. .~. . ','.", ',' .: LW ENTERPRISES ~014 SO UNION AVE 1107 .AKERSFIELD. CA 93307-4154 Invoice Number: S 2920 Inv01ce Date: Mar 30. 1999 Page: 1 'oice (805) 834-1100 ax: (805) 834-4216 , I Sold To: NIAGARA CAR WASH 2301 H STREE'!' BAKERSFIELD. CA 93301 CAR WASH AMERICA 7991 WHITE LANE Customer ID NIAC01 Sales Rep ID Quantity Item 1. 00 WSC 5080 1. 00 WC 2120 .1.00 WC 2120 1.50 LABOR 2 Customer PO Payment Terms Net 15 Days Shipping Method Hone Ship Date Description Unit Price Due Date 4/14/99 Extension PERFORM TESTS/ FOR CITY COMPLIANCE OH GILBARCO EHC SYS.TEM OTHER TESTED SYSTEM FOR PROPPER OPPERATION TESTED OK *******RECOMMEND REPLACING FILTERS EVERY 6 MONTHS ********* 60.00 90.00 1 I 25.00 25.00 I I 1. 00 ZOHE 1 TEST RATE FOR LABOR 3-26-99 AT WHITE LANE LOCATION MILEAGE/TRAVEL TIME DRIVER/TRUCK CWA ÐK &MIE-ROAD - Zt"¡VOiCE APPROVAL INV. NIif. $_ GIL1o.CCT. #: DUED.~1E_I_I_ DEPT#: DESC. Datc: 4 ,.$r q~ Date:"7:-I+~ Dale:_'_J_ - OFFICE USE ONLY BELOW THiS LINE Vendor #:- Status: Hõidl Separate Ck Acctg P£:riod:_I_Co. #: fJ2007 Approval Pr;mafY: Secondary: 1;:' I . itla.: Check No: Subt'Otal 115.00 Sales '!'ax Total Invoice 115.00 .. Payment 0.00 TOTAL 115.00 PAY FROM THIS INVOICE/ NO STATEMENT WILL BE SENT!!!! · e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME r6. r U.JlQ,1h £91 A U'l 'fC(~ INSPECTION DATE ~//t5 /'11 Section 2: Underground Storage Tanks Program iYRoutine 0 Combined 0 Joint Agency Type of Tank 1bJFc ~ Type of Monitoring ~/l ba..\1tn o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping lJUl r= ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile V Proper owner/operator data on file V Permit fees current 1/ Certification of Financial Responsibility V Monitoring record adequate and current -V Maintenance records adequate and current V Failure to correct prior UST violations .\/ Has there been an unauthorized release? Yes No ,,/ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? I f yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO In'p,,'o, i ~ Oftice of Environmental Services (805) 326-3979 White - Env. Svcs. Responsible Party Pink - Business Copy - - --..---., . -- . "".:-:".:.:' . seate of Califamia .- Swa Water Raourœs.1 Board (lunClÌGaI oa .....1'18) :]~ì¡\"it4_c· CERTIFICATION OF FINANCIAL RESPONSIBiliTY R UNO GROUND STORAGE TANKS CONTAINING PE1"RO 1M A. (.. nq.... .... 11 ~r'''''rr~~~ .,..!'!J In:· ~~ ~~ ........,. _ : ,~~~"í~ ÌII<~ 210'1. CIaapciIr La;~:3.'~",,-Z3.~;;V o _CIIO..a;.n,., öâà.ñ..."_....- ..- - 0 1 .iIioe doll.................. 01' AND or ~ 1 .ilioa doUan per OOCIIInaœ ~ 2 .iDioll dolJan au'" Ignple 8. hereby certifies that it is in compliance with the requirements of Section 2807, fN-oI7Wo-r..q.r.a,r) Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms ustId to demonstrate financial responsibi'" as required by Section 2807 are as follows: gf:::':::::~~~:_ _~~¡;~ij~~;:;~m~r'~¡~~¡:~:¡¡i¡¡~~ ::::~¡~:l~~~:¡¡¡:::¡:¡::~:ir:=~0:·:::·:::·:::¡:::\.,::¡::..; :i:i:¡i::~ðTI~¡j:ii:i:' ::;:;¡::~~r:j;:;:::::! :::ij~:. urgg~~~! ·~-~~V. ·D ~ ¡ Õ -,gg~ I ., F'ð'Zl-# 8+. fuu;5~ ) í"1{:)1 ~1O~ ),-Q./ln I I j I I I q?y3()~ ! Note: If you are using the State Fund as any part of your demonstration of ñnancial responsibility, your tIXBCUtion and submission of this certificstion also certiñes that u are in com liance with all conditions for rticl tion In the Fund. F8áIIIJ Addr-. PdIJ~ F8áIIIJ~ II Due 3-1"'9 H_ _11d4101T1akOllMr<<OpInØ .::JJIþv~ G. ~ H_eotWl__«HoIIry &irb fYI()oí'¿ 10 c:op¡. - P8áII.,.s"e(l) -Z'O 0... c:7I(OW2) fUJr: Ori.... - LøcaI ÂIP'<:1 '- , CALIFORNIA ALL-PURPol ACKNOWLEDGMENT e State of Œa,; +orf\\ ~ County of /-oS A 1\ ~I ~ On fY1 ~ rei c¡ l,at} q qq personally appeared :r Q Y"t\ ~ before me,fucbQra. /Y} oofilõûai¡ð ~otqr\.~llbl (ý Name and Title of Officer (J.g.. . Jane ode. Notary Public') e.. ~x..~ter Name(~ of Signe~ ~ersona"y known to me - OR - 0 pfOvecl ta FRe on the b~~ì~ nf iati€factory 9visSfl6ð to be the person(s) whose name~) is/Me subscribed to the within instrument and acknowledged to me that he/sAe.'tl::lQ¥ executed the same in his/herAA9.ir authorized capacity(ieG), and that by his/AÐr!th9ir signature(~) on the instrument the person(s), or the entity upon behalf of which the person(!.) acted, executed the instrument. 1.- - ~ - :~M:o:e~:; ¡ _ Commission .1œœ38 ~ ~. Notary P\bIIc - california ~ 2 Los Angeles CoU'ItV 1_ _ '"' ~~m~Ex~:~ ': ':wI WITNESS my hand and official seal. ~ ' Signaturaof NO~~ OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document "5+Cd'L o~ G:Ü ~foY'rÙa.. TItle or Type of Document: ~er+ì -t-ì CQ. t; 01\ of' ç¡ nG! ð 6 Q\ R es ~ .;;; ,Bt \; +~ Document Date: _. (Y\ a Y'c ~ Cf. q Number of Pages: I Signer(s) Other Than Named Above: N..o f\ €- Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: RIGHT THUMBPRINT OF SIGNER D Individual D Corporate Officer Title(s): D Partner - D Limited D General D Attorney-in-Fact D Trustee D Guardian or Conservator D Other: Top of thumb here o Individual o Corporate Officer Title(s): D Partner - D Limited D General o Attorney-in-Fact D Trustee D Guardian or Conservator o Other: Top of thumb here RIGHT THUMBPRINT OF SIGNER Signer Is Representing: Signer Is Representing: C 1994 National Notary Association· 8236 Rammet Ave., P.O. Box 7184· Canoga Park, CA 91309-7184 Prod. No. 5907 Reorder: Call Toll-Free 1.aoo.876-6827 TRANSACTION COMPANIES A.CORDIA OF CA ~ CWA HQ @ 003/003 ~ 003/003 . '.' 0 3/05/99 11DS IUNØBJ1IS A "JDO.IORAky ~œN1llACr, 5tJBØCT TO TB& CONlJlnOMl SIIOWN ON TBE JIEVUSE OF 'l1IJS JOlW Pa~ COMPANY IDIDIŒ. NO. Flremans Fund InG.Co. XYZSe12346B ØDC'mIE S25 MBrIœt St.. Suite 2200 AM 3107199 rM 5130/99 'I'IIIS 1IÐID1IJLJS JS!IÐEDTO ~ COVl!R4Gl! 1N"I'IŒ AJIOYB I'IAIŒD CllJMJto1Uft' I'EKED'IIIDtG PaUC'r 'fO ~orc:arsM'I"(œlsMœ:l~~~ Umbrella Liability Aco1dia af Cslifomia InS Svc San Francisco. eA. 941 05 «mE 04302314 ~ IMitJItEØ CarwatI of Amèl'lca . PO LlC Attn: JOhn DeClercq 20fil5 ICn.. St.. Süte ^ Berkeley CA 94.704 .. ~4~'JZ raoÞ.,..~ Ace. JIGS. . a1lV. DIroR1' EACH OCQ.1JIJŒNœ JIIU!: I1nI MED.~ (.'OHJQ1If:E2t SI!(GU: UNlr ÞODILY JN7.1J'cc' JIIoos.} aoDIII!' J]G. cPw::r,t.c,) ~,,~ MEDJC.\L PA'bGt\ft'!I PI:ØSONAL 1MI.1IUJI'_ ~~ JŒ'ŒO DATIe IQIt CI.ADØ)fADE: ,.uro rIft'JJ1c"l. þAMAGB lICIUCTIBI.1i: oloUSlON: 'IBAN COL: EXC!IS:S UAIIUn' ,.,.. THAN uaQltml Y.... raJOC ALL. Y.EIIIt:ùrS . 5OŒDOL1tÞ \'EIIIeI.a A~Co\8H "lAL. STAn:D All'0IDn' 0lJŒR rw:a0(.",;~ AGGMœAD ~JŒISPI. srA~ UMI!'S ~~ D&&\5&fClUCYUMIr DIŒ"~DW. 20000000 20000000 1Œ11tOD4.'lBJlaCIL6DŒ~ WOItJCJII8' COMPENSATION ANÞ EMl'LOTD'9 LJA.DD:.n'Y Sl'ECa.u.~CO~ SUBJeCT TO POUCV TERIlllEi, CONCmONS ANb EXCLUSIONS. @002/003 @ 002/003 . '0 3J05/99 'IlØSBlNDBB.IS A' TBMl'ORARY ~ CONI'RACI', smmr.cr TO TIlE CONJ>1TlONS SHOWN orl TIŒ ItBVERSE SIDE 0'1 TIllS ~ ~AN1 I~NO. Valløy InGurance Ca. 4202cw017837 øncnw ON -01 AM 3~'r.99 ~ 5/30/99 'DDS IINÞIR 1& I&IÐø 'to EXU1'm CtWÐtAC& 1M nÆ ØOVE NAMJ!» X CC*PA!CYrD~IULICYNO; 4202CW017837 IIIaICIUI'DONOI'Of£SlA'l10NSM!:llZ~ ŒadødInI ~I 1IIÞ CAAWASH I.QCATlONS PLUS TOFlAENCE OFF1Œ 03/05/99 18:44 FAX v a~/aS/99 -+ CWA HQ Acordia of CllIifomi8 Ins Sw 525 Market St.. SuitS 2200 CODlt Søn Françisco. CA 94106 smw:oør. ~ C:arwa8h of Amarica - PO U-C Am: John DeClercq 2085 K"mredge St.. Sui!e A B4!1rkerey CA 9470& SCHEDULED LIMITS PER lOC_ SCHEDULSfI UMITS PEA LOe. 'AGREEC VALUE/REPLÞ.CEM9IT COST GEJŒR,\LUAULrn' X . GØlDtAL LI.UQU1.'Y ~IIMAIIB 0OCQ/R os a OCI/IPJ'JU(:!"S PItO'I'. ~AÇCIŒGA'IB I'IWØ.. (:CJIIG'lOP .-,00. I'IIJIS. II AÞV.1NnIP &U:B~~a ... lire) M8D.~""1 COMIIINEI1 SINGLE WUT BClDG.Y INJ.(E'W.... IWIJØ.Y'JNJ. Iftr As!.) l'R0I'D'I'Y 1WIfAGi: MElI1CA1- PA noans ~1!G.1'&O'r. 1JNIl'ISmIBD MOT()RJSl' LIMITS APPLY SEPARATELV TO EACH LOCATION. EMPLOYMENT PRACTICES IS CLA,rMS,MAflE WITH $100.000 LIMIT. IŒ'Ø!.OIM....ft& euJMS ~ ANY AutO AU. oWNED AUIŒ SClŒDtJU:D Auras X 8DIED Auras X N~.()W\/J!D AUTOIi ~ UIIBILtIY A\TOO PØYSICAL þ~¡; ÞEÞW1DoLB 01'1> 'rBAl'I c:m.. .sxa.s:s~ IOId4 TIIAN ÇHBØUA I01tM. 41L VBBIGES ~V£ØICLIIS ,u:TUAL CUll VAt.. STA'ŒD ANamrr 011ŒII. tAœ OCCCDErlCE "~TE $EU.1NSVJIEJ) IŒ'rDL 5t'''1'I7'I'ORt' IoJMrni EACHJ\~ DISEASE JIOIJC1/ LDdJT -1IBt.c.u:sPU'. Jdr.ftO DAn: ....aAtMS MAÞII: WœlŒllS'~UON IoNJ) 1òMI'LOY£R'S UADILrTY SP£QA1.~COVUAG!!S SUBJIiCT TO THE SAME TERMS, CONtlITlONS AND EXCLUSIONS AS EXPIRING EXcEPT AT NOTEP. EMPLOYEE BENEFITS \.JAØIU'1Y INCLUDED ~,\,OOO,OOO. !:~. , .~.... . , . 1000 1000 60 80 2000000 ' :lOOOOOO 1000000 1000000 200000 10000 1000000 5000 1000000 ······..~¡s;.,.··;;·;..T. .'..". / /' // 4. .- e EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST Jocation at aU times. The ilÛonnation on this monitoring program are conditions of the operating pennit. The pernùt holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures. unless required to obtain approval before making the change. Required by Sections 2632(d) and 264 I (h) CCR FacilityName ~~~010 Facility Address' C\ . 1. 2. 3. quipment in item 2 above. ~ S. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: F. G. ~ MONITORING PROCdbu:S UNDERGROUND STORAGE TANK MONITORING PROGRAM lbia monicoring program must be kept at tbc UST location at aU lima. The idmDation on thÏllIIOIIÍIariDI program arc œadiàoDl of tbc operating permit. The permit holder IDUIt aoti1Y tile OffIce of Environll........1 Services within 30 days of all)' chAngr-.c co the monicoriDg proc:edwa. un1ca requin:d co obcain appnM1 before making the change. Rcquin:d by SediODS 2632(d) aad 264 1 (h) CCR. ~ Facili~Nwe ~~~~ ... 4 Facili~ Address - I - u -.-- ---.I{)J¡ P Jf¡ trJrJ I ,f.1 q0?f)9 A ~~~~\~ Piping B. What methods and equipment, identified by name and model, will be used for perfomiDg the m~t~~~. " P" Áflf\fI ), TankL2I~OJY ~ Piping c. Describe the location(s) where the monitoring will be performed (facility plot plan should ~~).~rt l~ ~T~~xr D. List the name( s) and title( s) of the people responsible for performing the monitoring ~:J¥-~: mot~~(~Df\Ì:) Re~~~~~t~,or ~onitorin8: _ ^ ' 1/ ^ J /) . A 1; t T~l¡f~ ~ \(OP1JYU',.) urvitJJ fåuQy ~ j(\.IL ,JI/pm 3 Plpmg E. FIRE CHIEF RON ;oRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'H· Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX(805)3~5763 - e February 9, 1999 Niagara Car Wash 7991 White Lane Bakersfield, CA 93309 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any ques~ions, please feel free to contact me at 805-326-3979. Si1~ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure ""7~ de ~~.n.nuuu~ .¥OP .A0Pe ff~ ..A We/lb-"~" STAF:T IN-TI-\NI: LEAI': TEST TEf3T B'I PROGRl-\t"U"1EÜ T I r1E DEC 7. 1998 1 :00 AM TE3T LENGTH T 2 :PLUS IJOLUr"IE ULLAGE 90% ULLAGE; TC VOLUI"lE HEIC;HT L,JW~-ç: VOL Y~'Þn/! 2 HOURS 6709 GALS 5315 GALS 4112 GALS 6661 GALS 52. 1 J INCHES o GALS 0.00 INCHES '70 . J DEG F ~- --- - - - - smF:T I N-TANK LEAK TEST TEST Hi FROGRAI"U"lED T I 1"1£ DEC 7. 1998 1 :00 AM TEST LENGTH T 3 :SUPER VOLUI"lE ULLACE 90·' ~'..JLLAGE:= TC\. ..IL Ur'1E HE ft:.;11T WATER IJOL L'JATER TEr"lP 2 HOURS 6278 GALS 5746 GALS 4543 GALS 6227 GALS 49.41 I NCHÐ3 o GALS 0.00 INCHES 71 . 6 DEG F STOP IN-TANK LEAK TEST T 1: UNLEAD DEC 7. 1998 3:00 AM N í;-- ~~\RA CARL"JAS H 7'~L·,JHITE LANE BAKERSFIELD. CA. DEC 7. 1998 3:00 AM LEAK TEST REPORT T 1: UNLEAD "QOl;!E .?ERY:¡L NUn 073159 -------------- - ----- --- - --- N !<:¡C;ARA C:ARltJAS H 79S,\ L,JH I TE U::'NE BArE:RSF I ELD . CA . AF -'. '" I, '''99 ~:J: :-~E PI"I , ,.J.. '" _ _ __ - I N\/ENTOR'l EEPORT T 1: UNLE~:¡D I/D> L Uf''IE ULLAGE '30\; ULLAGE= TC-V(>Lur'1E HEIGHT LJATER \/OL -Wf¡IEP.~ TEflP T ~: :FLUS \/0 L [Jr"1E ULLA,jE 90~~ ULLAGE; TC \/OLUI"1E HEIGHT LJATER \/OL "',JATER TEf"lP TV-..IC:;UFEF: \'/,'\..-70"1£ UUAGE '9[11;; ULLAGE= TC \/OLUI"lE HEIGHT l"JATER I/OL LJATEF: TEI"lP 7682 GAU3 4:342 GAU3 :3139 GAU3 7647 GMU::; 58 . ¿~5 [1'K:HÐ3 o GALS IJ~GJ O-I-NC HEB b6.:3 DEG P- 6121 l.r,1 5903 (:'1 ,j <4700 Chi 6085 ChL, 48.4:J I NCHL::i CJ GALS I] .00 I r'~r,:,:HEt:; 68.2 DEG F 509 I GAL~3 69:3:3 G~:¡LS 5730 GALS 5058 ,:;AU3 4 1 . '39 I NC HEB o GALS iJ . DO I NCHEf3 68.9 DEC F ~ ~ ~ ~ ~ END M ~ ~ * M -1 --- ----~ N 1 AGflRh CARt",ASH 7'391 l,dHITE LflNE BAIŒF~~;F I ELD. CA . APR 15. 1999 2:35 PM -------..- ,~ ~3\'f.HH'1 SlAfLl~=:; REH:'RT ------_. ALL FUNCTIOrt3 I'JORt"IAL I N\IENTCiF:Y EEFORT T I: UI"JLEAÜ \/0 L UI"IE UL Li~GE qn:;¿ ULU;CE'" ii: ',/{)t:Uf"JE HE; I GHT IoJATER \/OL ~'A TER TEr"lP T 2: F'LU~5 VOLUt"1E ULLAC;E ; 90% ULLAGE; TC \/OLUI'1E HEIGHT L',Jf1TER \JOL W~Ó¡:;: TIV T :3: SUf-ER \,IOL ur"lE ULLAGE. . CJD% ULLJ'II.;E: IC I/OLLJr"1E HEIGHT L,,ATER ",lOL l.-JATEF1 TEf''1P 76:36 GALt; 43:38 GALE 31 :3':, GAL~:~ 7~,5::1 (~"~J.~,::,,- 58. 28 f¡~CHEf3 Ü GAL.f:: 0.00 I NCHe=: 65 .:3 DF~ F 6/21 GALS 5903 GAU3 4700 GALS 6085 G~~LS 48.4:3 I NCHE;=; [I GALS o . 00 I NCHE:3 68.2 DEG F 5091 G(':¡LE; 6933 GAL::::~ :,7:30 GALS 505'3 .GALS ,~1 .99 I (',,::HE::::; o Gl4LE; o . OC! I NCHE~3 6,;':1. '3 DEG F ~ * ~ ~ ~ ErlJD ~ ~ ~ ~ ~ ~---------- ~- ,--- -~- ----- ~--,- -------- - - "---- N I AGAF:H CAR~',JASH 7991 ["JH I TE LANE BAKERE::F J ELD. CA . DEÇ \1. 1998 3:48 PM "---/ SYSTEM STATUS REPORT - - - - - - - - - - - -- ALL FUNCTIONS NORMAL INVENTORY REPORT T 1: Ur'jLEA[J '~IO L UI'1E ULLAGE 9Ü:~~,; ULLAGE= Te \.10 L UI"1E HEIGHT [,JATER VOL ["'JATER THIP T 2 :PLUS VOLur"lE ULLAGE 901 'ILLAGE= TeL JLUlvlE HE l<:;HT WATER \lOL ["JATEF: TEr'1P T 3 :SUPER \/0 L UI"lE ULLAGE 90\: ULLAGE= TC \iOLUI"lE HEIGHT ~JATEF: VOL WATER TEi'1P 7D50 GALS 4'374 GAU3 :3771 GALS 7031 GAU3 54.24 INCHES [J GALS o . 00 I f"JC HES 63.8 DEG F 71 88 GAL:3 4836 GAU::; 3633 GALS 7146 GALS 55. 1 1 INCHES o GALS o . 00 I IK~HES 68. 1 DEG F 6924 GALS 5100 r;ALS 3897 GALS 6880 GALS 5:3.45 I NCHÐ:~ o GALE:; o . 00 I f',JCHEE:; 69.0 DEG F M ~ A A ~ END M M ~ . M C~RRECTION NOT~E BAKERSFIELD FIRE DEPARTMENT N~ 634 Locatioll ÑtU.1fA- ell. r ()Jb..5A 7'1fl. w4JG "alAe Sub Div. ~ :tl ~ ì?¡q~ . Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No d) dCd /~/ w;fÁ Completion Date for C Date t/&!1t Inspector 32&·3979 ----, ...--.---.-..........- ". -q.~' (- ~ . .....~, "- ...~ . , _ '.r " ':)' ", l' \'. NIAGARA CAR WASH WHITE LA~E'GÂS REPþRT . DEC 31 199i7.~... ~:.>.:~( ~. ,:.~''': ,~ ': REGULAR RÈGHkAR':~;.~·: SUf?ER: SIDE ; PRODUCT # PR'ÖbUdT,;#:,1 PRobUét·,# NO. MONEY GALLOt-.is';'. . '-MONEY,:·. ",,1. ! ~:_...,__. ".___....__~__.... ::-~' :' :'.:~ l ~ ",' -, . SUPER PLUS PLUS PRODUCT# PRODUCT# PRODUCT#3 GALLONS MONEY GALLONS --------------- ----------------- -----------~---------------------------_._---------------------------------------------------------- 1 2 3 4 5 6 424388.84 134764.23 307868.38 157922.28 212388.97 51784.54 319879.60 101813.70 230747.00. ' 119028.10 158365.70 38804.20 163963.44. 99908:52 1 0655;U~1 ' ~8à25.05,.., " 7020't¿2~·· . 4:,1 82€f..34/ 109703.70 66535.00 70721 .40 65843.80i 46572.00 27740.50 155019.85 60557.19 111653.04 67609.30 70411.94 21998.65 110202.30 42832.00 79000.20 47933.10 49674.70 15638.50 --------------- --------------------------------------------7~7~---~~-~--~---------------------------------------------------------- DAILY··· 1289117.24 968p38.3q; '58}2ß4,:98 387116.40 487249.97 '.,:.\,; 345280.80 --------------- -------------------------------------------------------------------------------------------------------------------- . .' I. '." \,' : PREVo 1287614.01 967481.00,.58081.7.08.. 386804.20 486561.45 344788.50 . ....., ,- ". --------------- ----------------- --------------------------------------------------------------------------------------------------- DAILY 1503.23 11.57:30" ··'4.67.·ªo'·· . 312.20 688.52 492.30 t...,,' " ...', . xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxx~xxxxxxxxxx~~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx PUMPS GALLONS AMOUNT,"" ,REGISTERS AMOUNT 0 / S UN/REG 1157.30 1~93,~~" '.! 1'-,:, ,.., UN/REG 1497.83 -5.50 UN/SUP 312.20'!:">t~~:t6;(:99, UN/SUP 441.45 -26.54 f'-'¡,'~. "" ':',:':'""'-.. ""'/,':'.< UN/PLU 492.30,·}\\~;:.Gl~~~i7.'ä·,:, t I"" UN/PLU 658.27 -30.46 . :-'.;' ~.... .~,\\I..;">'~-" tl.:-~.¡. . --------------- ----------------- ------"":'::-T--\,7;r-:-,~'7-"~_7 ::~" i..':;,;',","~ .~, ------------------- ------------------- --------------------- TOTAL 1961.80 2f3f30,.Oß· TOTAL 2597.55 -62.50 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx GALLON SALES DAILY· :_:~ : ",:,/:::: MO. TO DATE TOTAL UN/REG 1157.30 ...)\;:. ;,;::i;;; ;, 29193.20 30350.50 UN/SUP 312.20'<ÙL,Ö !.!' , 9145.10 9457.30 UN/PLU 492.30 ..7 : 8968.8åŸ 9461.10 --------------- ------------------------------------------~-~;~~~\~F~t5-~:-~-------------------------------------------------------- TOTAL 1961.80 ........;,. . ";" . 47307.10 49268.90 xxxxxxxxx~xxxxxxxxxxx XXXXXXXXXXXX~~~~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxx GAL PURCH. 2-D/37. f 7 ð-d, . '",:,,!,.,' " UN/REG ~77/ç 0 W ..; f'; ',,' .'. ,,::: 34202.00 34202.00 UN/SUP ~,' ,>'.~':<O;'.';~ ;. 16345.00 16345.00 ---~-~~~-~~-~ --~~-~~-=~-: ________L.~~_ZZ=:~::~~t:__~_~·~~~___~_~:~~~~~_ ___________________ ________~_~:~_~~~_~_ ''r, ", \ ;{-~~- .,. .' . ;:.: t;'- l ~ .,'., J P.,)· ,. TOTAL 'G.OO.::; , 66135.00 66135.00 '\- .~ - .~'.i·· , .h,i iõ . ; ,- ¡o' ,; xxxxxxxxxx xxxxxxxxxxx xxxxxxx~Xx~xx~xxxxxxxxx~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx INVENT REG. R SJ;iék>,::. SUPÈR . S. STICK U/PLUS U/P STICK =====================~~~~~~J~fF~=~=S=~##7=================================== PURCHA 34202.00, , ";T::'" 16345.00 15588.00 I _______________ ___________________________~~·d__~~~_~_____~~~~__~~~~_~~______________________~~----------------------------_~--~- SALES' 30350.50, ~ ~~:71 "~45'Z..~0, ~ '1/-1. 9461.10 1'''' --------------- -----------------------------~-~-~~~-~---------~----~.~-----~---------~------------------------------~------------ V\ . ., " . '/ COMPo 3851.50 q,'~.,ß8~7.70 .~\I';,-' 6126.90 \~' _______________ ___________________\~______________~~_______~_~~~~~_~~_~__\~1r:---------------------------------~~-----------______ STICK 3899.00X 34 ,. '68é9:do~ . 53': 6077.00'< 49 ==================================~~~~~~~=================================== 0/8 -47.50 ;: :~êl~:~.t~O':" 49.90 ."," ;' :.,.' '..' . It t'h -- --.----- -- TEST STFiRTING TInE: [JEC 7. 1998 1: 00 At"1 TEST LENGTH'" 2.0 HRS STRT \IOLUI"1E '" biJr:,'2·:3 GAL LEAK TEST REf'3UL T';:; " -- D. '-)(1 GAL/HR TEST PPlSS v STOP IN-TANK LEAK TEST T ,-,' 'F'LUc' DE~' 7.~1998 :3:00 AM NIAGARA CP,Rl.,jASH 7991 l"JHlTE LANE BAKERSFIELD.CA. DEr ,7. 1998 3:00 An LE¥TEST REPORT T 2:PLUS PROBE SERIAL Nun 073132 TE~3T f'3TART Ii'll:; T 11"\£ : DEC 7. 1998 1: 00 AI"1 TEST LENGTH'" 2.0 HRS STRT VOLUI"1E '" 6661.9 GAL r-LEAK TEST RESULTS ,_ -l 0.'20 GAL/HR TEST Pf-\SS \ tit ----- _._-~~--~'-'- ------- ~ STOP IN-TANK LEAK TEST T 3:SUPER DEC 7. 1998 3:00 AM NIAGARA CARI,JASH 7991 l.JH 11'E LANE BAIŒRSF I ELD . CA . DEC 7. 1998 3:00 AM LEAK TEST REPORT T 3 :SUPER PROBE SERIAL NUM 073133 TEST STARTING DF \ 7. 1998 T~ LENGTH '" STRT VOLur"lE T rr"lE : 1: 00 A~'l 2.0 HRS 6227.3 GAL L~A}: TEST RESULTS 0.20 GAL/HR TEST PASS .J' ------ NIAGÁRA CÂR WASH WHITE U:I~AS RE~Ç>ftT" ":,:,;,, . NOV 30 1997 " , I.';' ;;1,!, REGULAR REGULAR SbPER". SÛ~ÊR PLUS PLUS SIDE PRODUCT # PRODUCT # 1 PRODüct#~"PROÒÜCt #' PRODUCT # PRODUCT # 3 NO. MONEY GALLONS MONEy" G~LL;9NS;'. MONEY GALLONS _______________ _________________________________________________~~~~~~~~-~~-~~~~--~¿:r~1~]~f02~¡~~~-----------------------~--------- 1 411652.86 310349.90 159557':5.~~,<>'106ª3~tº~}:~~){1:51130.74 107,501.70 2 130745.61 98800.00 97469.34 6494:fs,Q':"i"; 58917.47 41'686.00 3 298407.96 223661.70 10417·4.60"", :6,Ø:1'7L50 108458.39 76770.20 4 153567.18 115761.10 9663Ò]:'(;'~ 64:414.36' 65518.63 46473.30 . v' ""7'''' ' ,-< 1 )r~'\ . " 1 ''''k 5 203814.89 151913.00 J3.828.5.o.:r" 45314.00 68283.19 48179.20 6 50452.63 37802.10 '~40723':58" .... 27019.50 21388.73 15209.30 l:'~.. : ,'I,,: ' ':~,?:~ -'.. . --------------- -------------------------------------------------------------------------------------------------------------------- DAILY 1248641.13 938287.80 566840:45'." "377699:10 473697.15 335819.70 _______________ _______________________________________________~_~~~__~~J'~_~___~~L~________~______________________________~_________ PREVo 1248621.11 ,F, . ~ 938273.20 5667Q5~51,..::.:371670.50 473697.15 335819.70 --------------- --------------------------------------------------~--~-~:~-~-----~-------------------------------------------------- .' . DAILY 20.02 14.60;;·~;:;;f 44';9~~.',;;~< 28.60 -0.00 0.00 , - > ':', ,} ,:' ~ :>;-' ',', ,'" ~':- ". ., xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxXXXXXXXXXXXXX PUMPS GALLONS AMOUNT . REG1STERS AMOUNT 0 / S UN/REG . 14.60 19.99 ""x")()ÙN1REG 20.00 0.01 " c': -: ~ ~ UN/SUP 28.60 44.87 UN/SUP 44.94 0.07 UN/PLU 0.00 0.00 -:. ~..,...:. .....,~;: UÑÎÞLÜ' 0.00 -0.00 ¡ " :-.\'.'~ : . --------------- -------------------------------------- ----------------------------------------------------------- . . TOTAL 43.20 64.86 '\.' :TOTAt., 64.94 . 0.08 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxx~~xxxxxxx~xxxxxxxxxxxxxxxxxxxxxxxxx~xxxxxx GALLON SALES DAILY H'~:). 'MO. tðDÞ(FE~f'.;t"( TOTAL UN/REG 14.60';" ':'., 2Î349.2Q 27363.80 UN/SUP 28.60 . :;;;8'755.50 8784.10 UN/PLU 0.00 ):..':'J ~~~7~;fi}~~..;.:'~~5a:90 8258.90 --------------- -------------------------------------------------------------------------------------------------------.------------ TOTAL 43.20 . 44363.60 44406.80 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx GAL PURCH. ''', ..:.'::: UN/REG .... .',34786.00 34,786.00 UN/SUP . . '.1')"".'16003.00 16003.00 UN/PLU A ,d!:,~:».· '15911.00 15911.00 --------------- -__________________________________________:~:~L_;~~~:::;Í{L_2~~~________________________________________~__________ TOT AL ~.. 0.0066700.00 66700.00 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx It'JVENT REG. R. STICK SUPER"·' S. STICK U/PLUS' U/P STICK ---------------------------------------------------------------------------- ------------------------------------~--~--,~---~~~---~----------------------- PURCHA 34786.00 16003.00 . 15911.00 " ., . . . . . --------------- --------------------------------------------------------------------~-------,---------------------------------------- .' "" '::'';~. ,j. .- t·]',~:~. ·,,"':.~.t::·¡/,~~,;~·-:..:':.',¡ ¡ SALES 27363.80 8784.10" . 8258.90 ~~..:: ';~i:iF: - _l__,:-. ",f';':..,. .'; > '.:'> '/ç"'~:~¡<':" ---~ë)-~~~-- ------;;~~~~~~-----------------------------~~1-~~~,Ç[:----~---;~1~~~--~~~---7~~---~~~~~~-~-----------:--------- --------------- ----------------------------------------------~:-~~~~~~~~~:~~---4~~;L---~-~~~---------------------------------------- STICK 7640.00 60 ;.;··Z2~8i9P;~'··' .. " "t~¥;·; .~: ~~ 7665.00 58 =========================================='================================== O/S -217.80 -24.10 -12.90 ~. . , ':::;'1 " , ';.'" , "'.Î'- ',i' "'~ '" ".' . ' .' ,,~. .. -'.' , ,,". ~É£fiJl::~~GAS R!::i[':~;' SJ~ÈR. ·PLUS PRODUCT # PRODUCT # 1 PRODUCT # :::P'RODtJê:r·#': PRODUCT # MONEY GALLONS MONEY'·: '" GALLONS' MONEY PLUS PRODUCT # 3 GALLONS I " ~,'! ~--- -----------------------------------------~--------~~----~-~---~~~-~------------------------------------------------- .' . 15607'2..33 .[ -104674.80 9491Ø;5.3:.1:; . ,63356.70 101675.72, 67621.40 '94402,.i1'Y ... '63033.70 .66203.8.8" :' 414023.40 '39408:75 2E5205.00 . .. ( . , f- i: ~ . ~ --------------- --------------------------------------------~----~-~-------------~~-------~----------------------------------------- 399743.53 126941.20 288808.18 149587.30 195937.42 49062.88 301894.80 ' 96097.90 216853.40 112934.80 . . 146327.20 36815.90 147560.88 57582.30 105512.06 63724.44 66120.76 20717.75 105138.60 40800.20 74822.90 45286.70 46748.10 14764.30 DAILY 1210080.51 910924.00 552673:92368915.00 461218.19 327560.80 --------------- -----------------------------------------------------~~--------~---~~~----~_._~-~------------------------------------ PREVo 1207929.44 909429.20 551923;'4J 3684:59;~i9b;"460516.67 327;105.00 --------------- --------------------_-----------------------------~--_~~-·~------~;t~2~f~~~~l~----------------------------~-------~-- DAILY 2151.07 1494.80 750.51.' ;(1)455'.10 701.52 455.80 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxkxxxxxxx~~~xxxx~xxxxxxxxxxxxxxxxxxxxxxxxxxxx " I;' . '~ ' ~'q;.,¡'C<:~ > 1'-" PUMPS GALLONS AMOUNT . .'. REGISTERS AMOUNT 0/ S UN/REG 1494.80 2151.02 "UN1..f3EG 2523.07 372.05 UN/SUP 455.10 '750.46 UN/SUP 765.92 15.46 UN/PLU 455.80 701.48'·"·;·~UNÎPLU = 646.07 -55.41 ,.,.-/. ,Ii .,.... --------------- -------------------------------------- '~ } ~:---<': .-----""'\~------------ ------------------- --------------------- TOTAL 2405.70 3602.95·.J " ~'- .,n..... ,:IOTAL 3935.06 :332.11 , ,.r, ,1~_> "'.' .' xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx GALLON SALES DAILY ,0; ~jCf"-' MO. TO DATE TOTAL UN/REG 1~94.80 . / '/'.1; 36484.00 37978.80 UN/SUP ,455.10- .:; ,'; ;:;:;:-. ".. :10935.50 11390.60 UN/PLU 455.80 . ',: ::7 ,; ", "'11142.40 11598.20 .-.'".\, ".. --------------- -------------------------------------------------------------------------------------------------------------------- . , ~::.'.: -,j '-;:..:". ....., I . ¡, i' . , ,. TOTAL 2405.70, , ,58561.90 60967.60 .t '..:" xxxxxxxxxxxxxxxxxxxx~xx~xxxxxxxxxxxxxxxxxx~xxxxxxxxxx~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx AL PURCH. "3,4- Î-.-/ . 1)3 ~ . ...... n. ...... EG - < ~YO~.f>Ò 2;:"'" '. 436;1'~:QÒ'""'~,, 43613.00 UN/ "0" 19'3~6,bb ' 19316.00 UN/PLU t?--,07 ~·0.3 . , ,. i$553':OO 19553.00 ---=rC;:rj\~-- --------------------------------~~~~------~--~-~~~~~~;~~-~----~~t;~;:~()----------------------------;3:2:;;3-2~~~- xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxx~xxx~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxx INVENT REG. R. STICK S_ÚPER': S. STICK U/PLUS UlP STICK ---------------------------------------------------------------------------- -----------------------------------~;-~~~-~-~-T?~~--------------------~----- PURCHA 43613.00 1'931£,;QO: 19553.00 ~ ¡ \ : .. " I;\ì ,,\1 . ;i: j.11 ",,) ,1,:'1 e, d¡ , I~· ,:.;\ '."." : 'I! ( ¡r.:.: íl:.. hi' ; I'·': Ii;: , r¡1'; . Iii" ¡~..;.';.,J;. I "H: /'J; , 1~, : H;: ';,}I ~;Û' :í· .). I·,>: , ~ ¡; , ~I'.-! it~¡ ¡.il,,; !'~.'.¡.'. If í I:! y. --------------- ---------------------------------------------~--------~---~--~~~----------------------------------------~----------- SALES 37978.80 .. 11à~ö.º0.". 11598.20 -ëõMP.- ----5s34.2Õ --;.-.J\{.?)\-----;~jJi~'4if;-~~ßîiTÜ:f'---79M~ãõ~I-.~]jrfl;¡:f(\ ----sTiëï< ---6õ43~õ?f\~~:---4ã-~-~~~8dt7::Qo-;J;-\~~~-ãõ------7997.0r\lJ~-6õ- ============================================================================ '( , ',- t, . ~'; '\~4"::"'" . O/S -408.80 ~91,.60;" -,.< . -42.20 . ',..<.~ : ()'"'Y .. .'. :.:., ",' .\'... M., . ~ , , . ~.... ,', .," '" ,,. ....-.. ~",.''-"", ,,... ~ ,t'o .',-' ¡.- i'''~ . . '-' '~v: !;J . .....:¡ _ '" ....:;.. ;;-, ~. , .~ .,...« -0 _~~ ^' e ";,,.... - - "'I" .L_ ~_' .' j' ...,:.. ,., t ¡ç e - I NIAGARA·CAR WA~ITE LANE GASA~EPORT:"" ';. SEPT.' 30 1997 ,._:.,", '..', < REGULAR REGULAR""{:;!;: ... SUPER,· SUPER PLUS PLUS SIDE PRODUCT # PRODUCT #1:)PRODUC.l~:'#~2PRODUCT # 2PRODUCT # PRODUCT # 3 NO. MONEY GALLONS', MONEY.:..~ .": GALLONS MONEY GALLONS ______________________________________________i~~~~:~~?;~~----~~--,~~~-~:~-t~i;~--------------------------------------------------------- 1 382337.23 289799..06\:' 151631.0J': 101981.50 142116.42 101601.00 2 121389.20 92239.8Ö';'/ 913'56.52 61201.40 55173.23 39234.80 3 275665.05 2077:20¡1<f 98021.00 65405.10. 101286.36 72077.20 4 143078.78 ,J98¡f1'1',~i90:' J 91291:Ö3 61146.70 61353.24 43746.00 5 185853.58 f39319:äO" '63865:41 42605.30 63566.90 45088.70 6 41103.99 35454.6(,}: 377~5;61 25184.40 19872.22 14214.90 . .,:. , . --~-------------------------------------------------~~~~-----------~---~--~-~-----------------------------------------------~~~~~:;~~=~~ 872945:2þ\' 533890ßQ::~:: 357524.40 443368.37 . /¡" . ,.,' ------------------------------------------------------~ ~~\--~--~--~-~~--~~-~~----------------------------------------------------------- PREVo 1153220.12 871411.16',;:533166;~:f: 357085.20 442761.61 315568.30 ______________________________________________________~ ·j~~:_S~~___~~~i~~!i:~~-~-~~~-------~~~~--------------____________________________ DAILY 1155427.83 315962.60 DAILY 2207.71 1534.10'124';1'1:' 439.20 606.76 394.30 xxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx PUMPS GALLONS AMOUNT r;";'~ "..... REGISTERS AMOUNT 0 / S UN/REG 1534.10 2207.57' UN/REG 2113.92 -93.65 . ,,\ UN/SUP 439.20 '724~.24 .' ,,¡.'.," UN/SUP 672.96 -51.28 UN/PLU 394.30 606.83 . . UN/PLU 634.95 28.12 TOTAL 2367.60 3538.64. , . ------------------------------------------------------------- ~. ". - .,' . ---------------------------.---------------------------' . . TOTAL 3421.83 -116.81 xxxxxxxxxx xxxxxxxxxxxxxxxxxx~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx GALLON SALES DAILy"1/F;H, '~··'.i; MO. TO DATE TOTAL UN/REG '. /~~;Þ:3.41JO 39330.30 40864.40 UN/SUP C;ß;~i~ß:~;i2<;>" 12253.40 12692.60 UN/PLU·,·:i~:i(¡J394:j90 '. 13224.19 13618.49 -------------------------------------------~~-~-~-~~7-- -~---7,:~~~~--~~------------------------------------------------------------------ TOTAL 2361;}60 64807.89 67175.49 xxxxxxxxxx XXXXXXXXXXXXXXXXXXXXXXX~...·XX.~~~XXX.' .XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX GAL PURCH.37 t( 7 :>.t3 ~. ,: .' ,,~,. i.' ~~~i~~:~~:(~ ::~:ggr"'9:;,~" ~~~:gg ~ ~¡~iHg ------------------------~-~-~-~~~~-------------~-~--T~~~--~-~7~-~~------~~-------------------------------------------------------- TOTAL 8964.00'." i. :, 86064.00 95028.00 xxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxx~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx INVENT REG. R. STIC~\t . . SUPER'S. STICK UlPLUS U/P STICK ========= ========== ======:::~..;d:;;;= ===-===;:;==== =======~= =========== ============ --~~~~=:~~----v.");;;~ ~L~~~~,~~:--ll-~-~-~-:-------------=~~~~q~d:¿ SALES 40864.40 I ~J:í",:",' 'Si(,;,t~~:6~2:60 13618.49 I -----------------------------------------~~----~i~~~- ----~~~;--------------------~-----------------------------------~--~---------- COMPo 9347.60":"t,~1ii];\1!::d,, I. :,:9163.40 }\1\o 9341.51 01v-' ---------L-----------------------~-~-~~--~~f~~~~~---- ___~--~~~~~~---------JLl-------------------------------------~~----------------- STICK 9628.00'X .~r\è '{;',~;~·~.:71 .... "':'9~88.00 -.( 70 9573.00~ 71 =======================~~==~F======~~~====================================== O/S -280.40 -224.60 -231.49 ··.·f. ~ ,.~. , " ' .'! oJ. .." . .. "-. ~ .. .'. I . . ':." ~ . , , .;~~~- ;';<':i':~,: "¡;~:;:~ij' ~ ¡ '. ~~r\.; \T\ CAR WASH WHITE LÂ~A~s REPØR~<" " e AUGUSr 31 .1,997î.:'....j!:;~;i·,· ¡..:.:-. '~. ,"-,.- ..¡¡-. \".. .,;. --, , REGULAR J~E~,~LA8.,,;i, SUPER SUPER PLUS SIDE! PRODUCT # PRODÙ:e*:# 1;PRODUGT::# 2PRODUCT # 2PRODUCT # . ~ 't - , ,. "I _ .. ,.: .'~J . NO. . MONEY GALLONS;i¿ "', MQNEY:; GALLONS MONEY PLUS PRODUCT # 3 GALLONS ------------~---------------------------------~-~-~c~~ ____________~~~~_~~2~_________________________________--------------------------- 1 2 . 'i.' 3 '1 ' ~. 4 ..., 5 6 364248.66 116042.17 261384.87 136251.11 173775.11 44920.44 277229~1iQ.:', 146678:62:., 88524.20>" 87621:35:' '197796.6Ði~;"·:; 93889;52.';: 103667.30 'J "..:8803,6:;7-3 130926.30 ',' .697ff.;90,' 33937.30,,' ..' 390J1.:12 98978.20 58936.40 . 62899.70 59173;30 40699.50 24144.70 . 135844.73 52302.12 96463.10 59047.59 59578.18 19173.38 . 97525.90 37369.30 68943.21 42247.90 42497.00 13760.80 ". " , , ' ______________________________________________________~;~~--~~-----------w-------------------------------------_______________________~- DAILY 1096622.36 834080.8.Q<;~ 51.2960:24 344831.80 422409.10 302344.11 --------------------------------------------~~--7~~~~i~·-----~~~;~7i:~~--~~~------------------------------------------------------------- PREVo 1095353.84 831199.20' 5124a4~'35> 344531.10 421989.41 302071.50 I .. ,,'.'~; ',,,', \::¡,.:: "._'.,' -------------------------------------------------~~--¡~-.~----------~~~------~----------------------------------------------------------- DAILY 1268.52,.8.8,1.60.495.89.'.;: 300.70 419.69 272.61 . ~_ , r.. . '.¡ ".... ~f . -., ... '.. '. - . XXXXXXXXXX xxxxxxxxxxxxxxxxxxxX>OP<XX?< 'XXXX>9<XX~XXXX'XXXXXXXXXXXXX xxxxxxxxxxxxx xxxxxxxxxxxxxx PUMPS GALLONS AMdlJNT'·:~ff. "': " REGISTERS AMOUNT 0/ S UN/REG 881.60..,;¡.~1iR?:ª:..§;2·.. . ". . . UN/REG 1240.17 -28.45 UN/ßUP . 300.70 ;F~h;(~{,::~4~:§,~ª-5. UN/SUP 495.94 0.09 UN/PLU 272.61í:~;;<::)r~~¡~\~t9,i;:55r.·'jt·.·\ ;,:;,~. UN/PLU 419.66 0.11 ---TÕTÃ~----------1454~91-----------;184~Ö; . . . 'I; h;~' "". -----TÕTAL-------------21-55~77------------~2ã~25 > . (;;<' ..". , xxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxx~f'·.XXXXXXXX'9<?Cxx.)<Xxxxxxxxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxxx GALLON SALES DAILY,.:" ....,. ~... ;MO. TO DATE TOTAL UN/REG 881.qp;·;,'" "~"" 41640.5...0 42522.10 UN/SUP 300.70~:··:,. .', .,134l0,,~0 . 13771.50 ___~~~~_~_________________________________~~~~~_~._~--~_~~~~2:~;:~~~-------~~~:>-::~~~~-----------------~------~~~~~~~~ TOTAL 1454.91.;".,,,.;.>' , .... 68637.00 70091.91 xxxxxxxxxx xxxxxxxxxxxxxxxxx~xxxxx~i~xx:~~~~>s.{Ç,~xxx xxxxxxxxxxxxx xxxxxxxxxxxx~ xxxxxxxxxxxxxx GA~ PURCH. 3.2. I 5"'/. b1 . ...;:.q';". :",,::.;' UN/REG 2... 7 ~ 3"Z.· ßi} :~~i· . '::' ';' '. ." 47677.00 47677.00 UN/SUP'<' :"" . 2262500 2262500 ~~_:~~:._~--=:::-,:,-~~~----~ . TOTAL .',: ,~,O;ÓO ',''''',:'' 93008.00 93008.00 'r ,>, ,.",,~_ :'" . ','1'" ',,'v> XXXXXXXXXX xxxxxxxxxxxxxxxxx~~x'xxxXxX~xxxxxx xxxxxxxxxxxxx xxxxxxxxxxxxx XXXXXXXXXXXXXX . _ .' 1'fk-01'',,-:¡-..' ,,"-', ' INVENT REG.:,J~';'ê~I:~!s0): §4eE;.R s. STICK U/PLUS U/P STICK ______1__ __________ _~~·.::::~~.~.;,;;,;,,~f~:.:;·~~ ~_~..;.~.~.~____ ___________ ___________ _____,..¡,______ ----~-~-------------~7~~~~S~~~~·~7~~7~~~;------------------------------------ PURcHA 47677.00 ¿;.~io¡.,t7i·, . .'.·22R2.!5..00 /2.'i7ý.9;;3 22706.00 Izz,j¡. r.j -----------~------------------------------~~---~._~-~- --------------~---~-------------------------------------------------------------- SALES 42522.10 \) ..,;&: ,.·.13.7~)1;..5q. all 13798.31 ----------------------------------------~--------~~- ----------~~~~-----------~---------------~----------------------~------------ COMPo . 5154.90 \¡1¡'\'ci~fL ,,',6~.p~..50· '\~t . i, 8907.69 t,J. -----------~--------------------~-----------------~~.;~---7~-~---;~~~-~5~--------------~~r----------------------~2L----------------- STICK 5318.00 43, :·,,9059.QO., 67 9072.00 67 , ,: ~ "'{~': "':_, ================================~==~~=~=~=================================== O/S -163.10 ~,' ~::" ..,,:. "-205.50 ',.:- '.'- -164.31 ~~~~~\, ; , ... ~ .\ . . " ".." 'I I"" ._.~ . ',Y:' r ~, r ='~- - . NIAGÀR~ C~R ~ASH WHITE LANE ~~ RERò~J·~ ':'-- JULY 31 1997 ......,.,.".-.. , ~. J :<.t.~ l:. ,REGULAR REGULAR.. ., SUPER .' SUPER SIDE r PRODUCT # PRODUèT # 1'ÞROÖl!¢'~r# PRODUCT # NO. MONEY GALLONS MONEY" GALLONS . i.· _~ .' ,¡. __~ . ..__ _u._._ ", ! .:J~ - PLUS PLUS PRODUCT# PRODUCT#3 MONEY GALLONS _______________ ____________________________________~i~--------~~~~~~~~__~~~~------------------------------------------------------- 1 346792.43 264488.20 ;.' 141525044:.. 95716.90 129549.89 93247.70 2 110637 .80 845.8.~;~~ø~~:, 8363'f:95':"\:; " 56404.30 49855.04 35700.00 3 247008.68 187309.10\::~'ì 89396.5·6~; 60037.30 91616.98 65645.70 4 129524.00 98754:ed?:;'. .84722.69 57064.70 56684.31 40645.50 5 161767.88 .....1t:~:jf~~.\·¡.:.Q9~.t'·· '57392.86 38562.50 56056.53 40113.20 6 42610.14 .!:l,:'32252~17Ø' 3461Q<ôS 23274.60 18343.10 13193.70 -------------j- --------------------:2j~~?:~:~~4:t.J;i+:~C~~~--~~~:~:~~~~------------------------------------------------------------- DAILY 1038340.93 7a9558~'70; . 4912'80':'15 331060.30 402105.85 ': :;....: 288545.80 -------------~- -----------------------------~------~~~-----------------~----------------------------------------------------------- PREV.·· 1036887.42 788439.7á(]· 49086:Ö;87' ':,,330780.60 401501.09 288113.60 --------------- ------------------------------------~4,~.~.~~-----------~-~~~.~:--------------------------------------------------------- > ~ .~)":.: .',:;. :. ~ '" , DAILY 1453.51 1119.00;;'::..419.28:;"'. 279.7q~ 604.76 432.20 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxXxxxxxxxxxxxxxxxxxxxxxxxxxxx PUMPS GALLONS AMOUNT " ;"I~,:l,§r: ::-"REGISTERS AMOUNT 0 / S UN/REG 1119.00 1453.58 .' . <,:,:;:t:~:):;~j,è); UN/REG 1416.03 -37.55 UN/SUP 279.70 419.27' ':>:; ..le UN/SUP 400.91 -18.36 UN/PLU\ 432.20604.65:~,,;~:·· UN/PLU 614.56 9.91 \0 : ¡ ¡ ;. -------------~- ----------------- ------------:--..;----~,~~i ': ". " . ., '. .,;:.------------------ ------------------- --------------------- TOTAL 1830.90 247'7.5Q';c,o :':,:~".,.. TOTAL 2431.50 -46.00 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxx~xxxxxxxxx~x~~~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx GALLON SALES' DAILY:;;" .'J'", ' , ,,' '..' ,GMO. TO DATE TOTAL UN/REG 1-iJt~j9~;:> ;"'. 37050.44 38169.44 UN/SUP····· 2:7~: 7.0:\ ,',:'.,. 12424.50 12704.20 ._ ), _ ..-r - ,,', ' ',~ . " ~, UN/PLU':,:;!W,3..2,;,z~;r;,· .: :;:."(f'·' .,. 11945.70 12377.90 -------------t- ---------------------~~Jo~~~;~~f.~~~~~------;;;rrr4~~~~~---------------------~--------------------------------------- TOTAU,,':::éi1-83éf:90"":,.,.""" 61420.64 63251.54 } , ....-...."-.......¡ ~'~'-,...:>;~:.;- ~ '".:.' ,~. ~ ~..:-. xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxx~~xxxxxxx~~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx GAL PURCH. ;2 ì .$- ~ -z... - ?:i?:' .!.'~i.'..:'·: .~.. _. . UN/REG ;2.. 0 8"0 (. c. 7~' ,.."., .. 44232.00 44232.00 , UN/SUP -'.' .. 20346.00 20346.00 UN/PLU ch ¿, 73/· /}ø :.'..: 20872.00 20872.00 . ...-.,...,' . ,"' ,.- --------------- -------------------------------------~;;~~--7:-~---~~{;-~\~~-----~--------~;~~---------------------------------------- TOTAL 0.00 ',' r··~;':\;{~; ,:" 85450.00 85450.00 xxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxx~xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx =2~~;=~~= ===~;~=== ===~=~:~~~<f:~~~~~~:';.:'~==~~~!~~~~J."r.,.=~~;~=~== ==~;;,,~!2~~~~\' PURCHA 44232.00 ;;~r~i: , " ~9·3.4~iOO . 'VV- 20872.00 '.)'1\ --------------- ----------------- -----------4~-----..-----------_:~------,------------~----- ------------------- ------------~------- SALES 38169.44 "o~ '. : ".':>.' ".~,~·~Q4:~O,::.: ({I \ . 12377.90 Q4 \ \ --------------- ---------------------~~----7c~:9..-..:~;~-----(~-:~~~<"~~~~~;~Tr-7\~-----------------------------------~-------------- COMP. 6062.56, ):~ ,f'; /.:~: '764'1':80"" ~4 8494.10 t(" --------------- -----------------)l~:---"---tç-;---~~~~---:--;~~~~~~~~:~--~~----------------------------------~~---------------- STICK, . 6638.00 .,.·~:L¿',j~~?::'· . ·:!~'iØ8Efoo 60 8522.00 64 ======================~~=~~~S========~====================================== o/s 1 -575.44;~~·.~I!?j~Jift~~1~t',; C:' .~;':~~~~~?O -27.90 ',., .!:~/' ":""',? <;~l, "~,"J¡;~l'/t" it,,> " 1;' f~ .' ,'. ',"-,.., . .:.~ ~ ¡. ~ . ~ - - ---~ ......----' '---.. --------. N I ¡''''~RA CARWiSH 7': ~',JH I TE LANE B/'~ JC.'F I EL 'c ,-, ,^ ri~..., ,I,,\A-\. DEC 6. 1998 5:45 PM INVENTORY REPORT T 1: UNLEAD VOLUf"lE ULLAGE 90~; ULLAGE'" TC VO L urvlE HEIGHT ~JATER VOL ~,JATER TElvlP T 2 :PLUS \JOLUr"lE ULLAGE 90'" 'LLAGE'" TC"-../L Uf"IE HEIGHT ~JATER VOL L-.JATER TEr-1P T :3: ::::UPER \lOLUrvlE ULLAGE 90% ULLAGE'" TC VO L ur"IE '" HEIGHT___ ""' I.JATER VOL - - L-.JATER TEf1P 6177 GAL3 5847 GALS 4644 GALE; 6 1 4 7 GALE~ 48.78 INCHES o GALS o . 00 I f"JCHES 66.9 DEG F 6720 GALS 5304 GALS 4101 GALS 6672 GALS 52. 17 INCHES o GALS 0.00 INCHm 70.0 DEe; F 6340 GAU3 5684 GALS 4481 GALS 6289 G{iLS 49.80 INCHD3 . D· i:~AL~"3 0.00 INCHES 71 . 4 DEe; F ~ ¥ ¥ ~ ~ END ¥ ~ ¥ ¥ ¥ v START IN-TANK LEAK TEST TE~3T Hi PROGRAf"If"lED Tl [vIE DEC 7. 1998 1:00 AM TEST LENGTH 2 HOUR:::; T 1: UNLEAD VOLU~1E ULLAGE 90% ULUiGE= TC VOLUr"lE HEIGHT ~'JATER \lOL I.JATEF: Tn'lP - 6083 GALS 5941 GALS 4738 C,ALS 6052 GALS 48 . 1 9 I NC HES o (:;AL:3 o . 00 I r"JCHES 67. 1 DEG F ~, ,~ e· J ./ . I _1'/ f . ': \ . , ~:: . AsBURY ENVIRONMENTAL SERVICES . .. :.' .~: ""'i!2100'NORTH AlAMEDASTREET 0 COMPTON~ CAUFORNlA90222 0 (310J 886.3400': "'e,...·/".· . ': ··.'SAN DIEGO OFFICE" .\ NORTHERN OFFICE .' i H30(}748-5744 I;PANÖ. CAD02a.277036 . I -800-7-ASBURY ~ ' ::' ,"', I ,!,i." \ \ . ';, :'::'\~'~'>'. '..>~<,1: ~" II ,:', .' .', , , - '"', '~ 't.'( . ~ .'.; i .,. '. NO. tt. . I j I. . \ ... ." '. ... ¡ ï .... · ; ,. ! ,"" .';.:. ..' ',,':, ¡ . I.' . ' i:~ '.;. . j, . .'. 1;(', ';"'''_' ":".' 'I' ~. '; ) '-, ' ~ ¡' :1' " ! ~ ~ :!~.[ ::i. . '"¡,f, '':''.,'''-'':.'' . . , . '! . . '..";'",.(::;.' .\. . t ~ ~.: :"',; ;1, !: ~~ ~ '. . ~. .' SERVICE 'ORDER '. ~ .' I! 'I ;/ ~.~:~.. \ ., , . . I. .¡ t¡ \ ; ¡ , t· I I' ..;~: . ,.] . i' ,,1' · ¡ ~ . '. 'r:-: ./"'1" . :' " ,I· '212511 , ONE TIME PICK UP a ,YES or o-Nð"" .; PAT~"( I~"'$/- 1;7 .. ~" CU~T9~~R:' . :T/.fly I v J~ j~~âJÛ.IN~i~~ÓRÉ~.S.>.?9?/ I{..J4: If> IN" .' , '-.!Áip )r/~"Ø 1 ¿$ , 9( j'// :' 'PHON~º'tjØf,'(· "'rve . CONTACT ,··'¡·~us~.6MeRe;Å#' C AI 000 1]091/ t ; !"~:,·,'L¡· .~AOßSI;r~APDRe~s. ~ . ~,' , . RESIDENT CONTRACT CUSTOMER ~ . ., I' ,'- !." 'J, 'i:- ,~~:. ~~o. ~: - ;";',I~ ! ~ ~. . AècOUNT NUMBER AMOUNT (If ~ny) ::; L:. <, -: .'~ CHECK NUMBER . .; .'" ~ :. , t; , . . I '. ~. ~., , " !' . -. ," ? , . . \', .~, ,....' j CRqSS: STREET~ !.:\., ¡ '¡" . .~ \ ; J .....,. . .: ,_1~""': :'i . \ P.O. NUMBER ~'. ~ ,\.~ r" ...': ';'"'/';"':' ¡'·r · ~. " J', :'¡" ,"!, ',.:-~:.' .1.,' .~', ( ~ CASH RECEIVED ," ',Fi ,"' .' .' ':NOTES; , COMMODITY ...·.·r (.' . . '.:l " : li HALIDES ·¡:;¡:b' ,'. ; t· .:\) : .\ ~BUSTíBlE I..IQUID, N.O.S. (USED OilS & MIXED OilS) NA 1993, PG III 'i o ETHYLENE GLYCOL NON-RCRA :. '. .H~RPOUS WASTE liQUID ::: q U.S;þOT DESCRIPTION: ": ~IF~STNO. ; 7¡8JB7(~ V .j' . I, . // .~ u/' :. PRlve~:" ;~r/d . r/.n1 1'fP1-'1l'7')if /' ~. . . . f ~ ::; NO PLACARD REQUIRED NEXT SERVICE DATE· . . DRUMS . ~ 1,: ,L ,1/ .~¡ , ! t :i I 11. " ':, NO. OF GALLONS , ~: : :" 1". ¡. ." " ~i' . TRUCK NO. & RT . '-:,,,,' :. . :1,',. \.'.... . 0 YES or ~ . (.. . P YES or 0.-00" N/c.. . e- (AMOuN1) ~)/ð <' A:>cOc) -:7 P.P.M. /~ Ó.;?) ß .!J?I-/,øt . ~~ . I..' .' DES,IGNATED TSDF: DeMenno/Kerdoon; 2000 N. Alameda Street, Coinpton, CA 90222, CAT080013352 . .1' . .,.' . ,.... I' This is' to: certify that the above name<l articles are properly classified, describe<l, package<l, :":,1' :'.' .'j, ,.;. .:. .... ','1 marked ánd labeled', and are In prpper condition for transportation, according to the applicable ":'í'\ .'." ¡ ,,1; . '. regUlaqOQ~ºqhep~~artm.e10f'Trans~0~~~. ;.:.:!H¡;·'::'.::18E~E6Yé~RTIFYTHATIHAVENOTMtXED .... / /}~:',íl~-r; 1/'. ."".'. . .". . X:", : ,', I/I.U./. I/'·r.> I..:Z.J;.....J/'/ . :V,,:'::"·:)':~~:~~~~~~~~~~~:~~Ep~~. THE, . /': CUSTÓMER SIGNAi:UR~~ ,-~ ! DATE i r'~:- . ¡:': 'i'~Û~TH~R·~GREI:TOACçEPTTHeADDITIONAL. ',. ··x /';',. I! .' ..' cr ¡ :'; .'I~·¡CJ::lARGeSFOR LEGAL DISPOsAl-IF THIS WASTE ' . ri,' r/' . t . ',' ....:. IsoyeR1oo~ P.P.M, TOTAL HALIOES :< PRINT NAME "~"~I "", ¡"<', ·i' \/ \. .. ; r~ ",' \ '~:, '''1:" .~\\ (~!JRY ENVIRONMENTAL SERVICES, ': .,;>.::; : >,:./ .\? !'OONORTH ALAME9~~RE~.c.~ÇT.Ml~ PTON; CAtlFORNlA 90222' 0 (310) 886-3400' '..')';, :,'" ",; SAN DIEGO OFFICE I \ . ,\11, ' , ." 'NORTHERN OFFICE ;':X·;· . " .':.' ~ I-aOo,.748-5744 L..I:< l,./~~ N .CAD028~7~36 1-800-7-ASBURY :;;¡i ".'\ SERVI~E ~~~E~ ,.. ì ,/. f . i , i " !,..,.. '~-,-~--. ". í :1 . ~' .; ',' ~. ..' ," .:. .", - -- - - _. - ........... Si'."_.i.'· == !!!!!!!!!!!!!!! .... -- ¡¡¡¡¡¡¡¡¡¡¡::;;'~-.-' ~ . ;¡;;;;' .a= . - ==:.. ~-' i!i!ji;"" .. ~.' - - -,-, ~ " '. '- ."'1 ' ~. ,.' e " "é' :-r1 .~: ".' \ ""' , , . , .;'~ ,r.-,;~.1" -. : ~ ~~ '.':, " i . ':',' I I." . ,. . I '..::: .... NO. " [, ..... ;.1',' ~ -', to . : ,; t . ,., " ,..- /\ ('ÓNe Zl ~ PICK UP. . 'f\ I ".7 . t., /; '. RESt E~r¡_/' ¡ \ 1 l ('" ,~cot/rRACT CÚSTOMER '\-. (¡ .... .....-' . '1988'66 ".'''' ". o YES or Oo-f«) o YES or ~' . v ~sor~ I. . ¿:' ) I. ACCOU~.T NU~BER A~i#" .'. /V/<:-, CHECK NU~BER ¡ , " O~S'GNATED TSDF: DeMennolKerdoon, 2000 N. Alameda Street, Compton, CA 90222. CAT080013352 :' ¡ y: . . (' This,is to certify that the above named articles are properly classified,. described, packaged, . . marked and laÞ.eled, and are' in proper condition for transportation, according to the applicable regulations of the Department of .Transpyrtatlon. '/ ~,~I ' " .:\'.' .~,... / X . I· /, . . / (' ..' '. L .....I./'{,.!( ",./",":/' . t: t /' ( i . .":. ,,/" C~STÓMER SIGNATURE ¡./ . )' ", ''';.,\ , . é -).' :. " P.O. NUMBER '. . "r.J: "'<' 'i'~::'- "~'i i"~' . ,:.¡} ..,' If. ." . '.',:¡ ¡ y' . .' 1"1 '\. .\ \~ ",::'--\- '. !'. .:;; ,,:- CRo.S$¡'e'fR,eer~ . . 1'-', ' I., .:'i " "I .. CASH RECEIVED " /IIOTE$:" . . . ,',' . . , .> ~ . "., ÇOMMODITY .' ' . '" HALIDES : : f ' ~: ~~Sñ~~ '~;åUID, ~.O.S; (USED OILS & MIXED OILS) . .NAJ993. PG¡III.. ~, . . . ,', I "'",' , . '0. ETI:IY4ENE'GLYCOL NON-RCRA ':~,';.! ." " HAZARDOUS:WA$TE I-IQUID . NO PLACARD REQUIRED ;. ,..' - \ .. ,. j ~,.' _.' ., ~ '. ,t,. '.1'. . ,..:(. " a U.S. DOT P~ßCRJPTION: . ,¡.. :" ::.: ~ ';. ~IF~s.rNO. ..: q ¿{ß s8? ::ll :ì';:';¡¡, .<¿RIV~~:~'·~¿/· C*~~/ .' ,i:··F, '>,<:'. . ~ \ . .' i NEXT SERVICE DATE DRUMS (j t.7 , c r"JI /) (- // // NolOF GAt:t:t5NS' . TRUCK NO. & RT .'. ~'I'~/~~: , -.' - ,',", .' . ,',' ~ . I·;. ",'. : , ,. i: ',r,);> ' ,! ' '. I HEREey CI;:.RTIFY THAT J HAVE NOT MIXED ,,¡,i.I·. .'.". . THIS WASTE WITH ANY OTHER WASTe, AND THE '.',' :.,:., TOTALHAUDESARELESSTHAN1000P.P.M. '.' . . ,. ;'. '" I FURTHER AGREE TO ACCEPT THE ADDITIONAL, " ,L: . ·".CH~GES FOR LEGAL DISPOSAL IF THIS WASTE . , ' i: IS. OVER 1000 P,P.M. TOTAL HALIDES "\~I; , ' X"··· .: , ~ r}!. . ,..... . .~..:. ·-;~~·t., '," ',', '¡"'.:', '. PRINT NAME ", .. .~ ',; .~- ~. (AMOUNT) ~.. ~.óCd? P.P.M. \, /~... _. "7?S ¡Ç.f ~kP "Î /,)".j "'--;.... 1 J..... 1 ".{, I' 'I 7.... .L-~~'- ". DATE /" /" / "'~'-~---'--~-"'--~-- .'-~~-'--------'------'" ,. './" ~ ',: .~, < ,<OJ:, ' . , '\ <" , í ',' , .. ,. ." . . . \ . , I' '. " " . , , . . , ., . ~ . .1' , ,'i· ·i:. I " ..:.: "e e :[t¡. <:""·.,_.::,l<'1 . . "" .. .' ~' ~ . 1'98831' '~ .' Ii ; , , '. , " , i'l NO. " , " .. .:ï' ; " :;:~::. ï ", " "'; ASBURY ENVIRONMENTAL SERVICES , >;;<~';": I' :>;,~,;..j: \::j":j21QONORTH AlAMEDA STREET DCOMPTON; CAUFORNIA 90222 0 (310) 88(;1-3400: I' ",' :. ~ .¡, \;' .,I$AN DIEGO OFFICE NORTHERN OFFICE .' ',,' ::,: ,. tI-800~748-5744 EPA NO.ôADo28277036 1-800-7-ASBURY . :.',.. ~ . ::; \: ; I ,::~ ~ ;. ~ , . ,.:':-: '\.', : . :~.; : I. I . . SERVICE ORDER . . ,;' ~ ! " . :', :\>"'r ~', . : ' ':;;..; DATE',\/~.~/h. ~-;> :,;,¡:Jf) I" ' " L ' i "t,,; : ;·~USTO~E~':. '/VIA{(/!//Jf ¿:~Jt· ¡ ;' ~':I ;' i ~ ;: ~'!' ,; , , If' I :'.::'~::~ ,·..,:éìÙjNGfAÒO~ESS 1'?1'9/' 42) I'l.". ::,: "'" 'I . .' '. , . '.' .- '>', '; : :: IJlrj4{.{;,P:' .?ß;.' . '7 1'1/ / .. i ' . ' ,', ." t·· 'If . : ~;,:;. . ,:' ,~HONE~()$'Úrj2- -; 3 'IA CONTACT -;: ì. ,'.',' i , CU~~OMeR EPA; # C rl ( &ð (? 1.:1(',) <1 ~/{ ,,' " '1'," l' ' .~~ ...,.. ONE TIME PICK UP . P YES or q)ICJ" L. -ll"l'r ~ /N, RESIDENT o YES or~a ... .~Oi'ONO. . CONTRACT CUSTOMER ::! ,;. . ACCOUNT NUMBER '-" AMOUNT (If any) ¡JJ /6.. ,I}: . , t,"" ,'.1' JOB '~¡~ ADDR~SS 4;-:9 Ñ'f>'.~ ,: :,.' '.": ':'I. ,,' . ".:, ','" ' I··· ' ,,' -.. -I" .. ~ .; ¡ ,:'i'~'t\ '·:.fW _ CHECK NUMBER , ', · :;,;1" ; '^. . ~ P.O. NUMBER , . . -: " ¡ '. , .: ~;' .,. ,"; ":".:,")., ' .t I í , . j':1 ',ÇROSS.~TÀE;f;TS : " ~!J --<~ ,~i: , . J;' :J-,'~ .:: . ~ ~ ' '. . CASH RECEIVED ...ef (AMOUN1) ¿'1 VO "",',,: , . \":; ii . " NOTES: . COMMODITY ..~'. :, "'!~: HALIDES <.Iòõc) .., P.P.M. .. . . ''':~-,:~" ;;~': : :: .1;~ ;., ~M~BbsTiBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) . , :\ NA 1,993. PG III. '.' . " j' ': . ,: I Q ETHYLENE GLYCOL NON-RCM (I': ':' I' . 'H~OUS WASTE LIQUID ..' NO PLACARD REQUIRED · , , . ~, ".:,~ :'1 ,I, "; : I . " .;, [J U.S."þ.DT D~SGRIPTION: NEXT SERVIC.E DATE /4)' DRUMS ì ··MANIFESrNO.' q.tø (8'//6 :,D~IVER: ~""./~/·LJø'~ ~.~ 4, / NO. OF GALLONS s,ð ¿ r ./Yk~/../ TRUCK NO. & RT ....-q,..,. 'j ,,:,: t- ~ ; , , , D~SI,~NATED¡TSDF: DeMennolKerdool), 2000 N. Alameda Street. Compton, CA 90222, CAT080013352 '.' '. .' !' ....... . "i.'. This is to.certifý that the a,.bove named articles are properly classified, described, packaged. ,~ ';, ,:.~,,' "; ",:,1.< i:!' marked an~ laQ~léd, 'and are-in proper condition for transportation, according to the applicable ',', . . ~ ,"~ regulations of the pepartment of Trans90}tatl0l). './.. . : , .' I HEREBY CERTIFY THAT I HAVE NOT MIXED '..;', I . / /'~, ...1:f ¡l ',::.:', :. '.' THIS 'WASTE WITH ANY OTHER WASTE. AND THE'¡" ,~! .' /' l;-f-~ '::":; :-.-':- :: TOTAL-HALIDES ARE LESS THAN 1000 P.P.M. '.. '::,' CUSTOMER SIGNATURE , ; 1 . '. ( ." - ; ~ · " . ' ,: I FURTHER A<;3REE TO ACCEPT THE ADDITIONAL . .; ¡':, " ',:, CHARGES FOR LEGAL DISPOSAL IF THIS WASTE ,;,.~. IS PVER 1000 P.P;M. TOTAL HALIDES . !. 1!LJ.!Lt/7 DATE . x PRINT NAME , . " . . ':. ..... ".1 '.> .: ~ .;. ~ :'1 . .,; i . f t, ~ '¡', -' -' . ... ' ;! ; ~:' ". '. , . ,,' j. " ' . ;"',1 ','. " ;.. .' ~ ',: : ¡.I· 'i': -' ..i'.. . ;' -..(: .J 1,..'.,_: e.· NO. e ., . ~ ~ ' l' . I. I .," .' ":? :.: .~".. . . ':"::':,0"." '1"'8:1.5 .::Jj' . .. . . i ,: ~:;. -' . " , ; ¡ . : ~;.. " r'! .; ~, . ASBURY ENYIRON[V1ENTAL SERVICES' ;2 roo; NORTH AlAMEDA STREET O'COMPTQN/CAUfORNIA 90222' 0' 131 O)886~3400Í':':' ". '$AN DiEGO OFFICE. .. ." .. NORTHERN OFFICE· :1-800:'748-5744' EPANO.CAD028277036 -800-7-ASBURY 1 , . , :,:, ,: 1', .' .,:.' I" ¡ ~. ',-' ¡": '. ':- -' ,'.' j . ¡ . ..' ..' . . ',j. . ·.1 ,.,: . · ·:PAT~~'·:;I.~-:r-.9 ? , ...¡ .. ". .>C~St9ME·~·;:'·~hj47Þ9"'A ßj~ "_4ø (A . .' ),'~i,LUNGt~DRE~~'·:;'?r,I·/~ '¡Å :It- I~l:i , ", ..' . , . ;r1f1~i' ;f1;'#; 4 q? ? 1/ ·..PHo~~å?~) fJ 1 :;.. 'If/II CONTACT ',': cùs'¡'?~i;R EPÄH ~.. /' A/ðt:)() / sO P/"~/¡( . ~ " " 0, .' . ':,JOB SITE ADDRESS .Sï:i. ~ :!: . I,.. . ' .\~, ~ '->;"' ~.' .; I ,,;.'<': ~¡ . -", '. ;; ,'r ¡., -J. p:I, . , ", . " · ~ -' ;.,' '.' 3 . . SERVICE ORDER , . . , I.;" ;,i . '¡':: ,~ I', j ONE TIME PICK UP o YES or ~ RESIDENT 0 YES or ~:, . CONTRACT Cl,JSTOMER ·~"or 0 NO ACCOUNT NUMBER AMOUNT (If any) IV~ CHECK NUMBER ,,' " :- ,';' .', i '" .', ", ",,~. . '~J I.. j¿¡:J:.';';~ji· H ,_ P.O. NUMBER ,__L-._ __._.__ _______,.' ~_ A:-. . ,t":,., : ~ .,) ". l " ~ .' ¡ ~ . ì I , . CROSS' STREETS . , . -~: ~ . . . ,1' !'" ¡:.; ~~ ~.. ¡'NOTE~L' , ';1 ~ ~ (AMOUNT) 4)ÅO , 4( i(')(>~"'" P·fI·M. .' ¡i.... ,C;:,."H . cOMaiJsTISLeLIQUID. N.O.S. (USED OILS & MIXED OILS) . 'NA 1995;'PG ~II ") , . : ~ J 'J f. · ...,0: è'rtlYU;NE GLYCOL NON·RCAA ;. ~ 'HAZARDOUS WASTE LIQUID ,- ", .... ." '.; :.: i··.... '0: U.s.: DOT'DeSCRIPTION: ;:.::.t::, "':MANI.~E¿TN~.. ?Jæt87 ;,;t ":);",,.':'. ::..:. /. /7 // ;i~J:·; /j'DRIVER:"~~ '¿, / ....,.'~'>'T~l i::f:<.::' ':j .'L".... ~: '.' (. "~:r~:ò . '; ë'DESI~NATEDTSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 9Ô222, CAT080013352 .>, i '~'''': . :.... .:. : L.· . This~is.to,ce(1ifythat the áÞove named articles are properly classified, described, packaged. '~,';I:.!'¡>:' .....~. : ; : ", ';'::'. :' < ~ .' :~~=;:d~:~~eg~=~~~~~~r~~~~~~~~~!or transportation, accord:ng to the applicable '. ; ", . f ' '''-1 "T :":: f HEReBY CERTIFY THAT I HAVE NOT MIXED X· ¡ ,'- .':. .' ,.; ¡/ 1;iIS WASTÈ WITH ANY OTHER WASTE. AND THE .. Y;..1J: ~,," . ';1\'\ TOTAl.. HALl PES ARE U:SS THAN 100Q p.p.M.l.' :' ,I. ':' ;. ·'r, I fUF\"Ì'HERÅGREE TO ACC,EPT THE ADDITIONAL . X f/ . ....' : CHARGI;S FOR I.EßAL DISPOSAL IF THIS WASTE :' .' . ¡ ISaVER 1000P.P.M. TOTAL HALIDES .., \ ~ }; , ,{' ;}\(;"~ ~ \ .. r:,::: <. ",t- . ! ¡'. . ,": \ ; ~ ", . CASH RECEIVED .' ~ .. ºQMMQDITY , . HAUDES . : NO PLACARD REQUIR~D NEXT SERVICE DATE J vk, .., :::,~ , DRUMS NO. OF GALLONS 6·~\o t<.(' ¿r #Ø7 TRUCK NO. ~ AT / ---.!.L_-1_ . DATE . . . .·./~:tH} . PRINT NAME .. . '. . ..: ,: : .,\' e u'\ . ,t ..:', , } ':: I¡ ,i.: , ' --- ---- ==.: ==. .-:=:- _&.. - ~~ ææ . :¡¡;:' -. === ' ,- e , " , '. t' " \.; NO., " ;:"~ .:- ;... . . '19878'2 :: : ,~ . I' '''"-.. : ~. : "~ .. ¡ , ): : ", , . ~ \. . i' ' I!. , , , j . \ ~ ,,' _ ASBURY ENVIRONMENTAL SERVIÇES " . .':': 2 t 00 NORTH AlAMEDA STREET 0 COMPTON, CAUFORNIA 90222 0' (3 ror886¡3400Y;'¡OW",':: ,""" . ,;: SAN DIEGO OFFICE NORTHERN OFFICE ': t .-800-748-5744 EPA NO. CAD028277036 1-800-7-ASBURY SERVICE ORDER . . . /,-. . 1 ),!. ','- ';' ~--.- ~"/~':_.'~~\','~'.. , )\ ¡, .,'.' ", , ' \; 1';- ", " . ~'. . . -HI~ . ~.,."" ~,~j...,' , , . . i' ' ' ;'" DATE;' /J - 2{"-5 '7 .! . , ÇU$To.~ER!l1 J4jfi-tlA 4~/1 ¿, ))9\ 4 BILLIf~~ ADPRéss 7'JCi / h / Â I'~ &"1, :&Þ(fr;~~4 9:S~51/ , ';~ : PH~~r )ß:š'.:?- 7s'lfj CONTACT " '_ I' :. :~U~TOMeREPA/( C 14/ ~6 /}69'/6' :.." :' !JO'~:S~E,APP~ESS :S/1~ . "'~ ',' .;' . , : ~ ' : ' .", :. ONE TIME PICK UP RESIDENT ,0 YES or ~ o YES or l21"'"Ño t;c,. .:' ¡ .t'. CONTRACT CUSTOMER LrYÉs or 0 NO ' .' . ~ . , , ACCOUNT NUMBER AMOUNT (If any) " .IV /c.. " CHECK NUMBER ,,:.,', . \ f ';'.\ ~ ., . \ . . , , .' , "', " P.O. NUMBER ; \1' ,i ", " '. , , ,CROSS STREer~ ", . . .. '~'i "",. . ". :f~~f ':"{~~t,: . 'j',', . CASH RECEIVED ø-' . (AMOUNT) COMMODITY, /~ ~ , " HALIDES <~ðÖ ')J' R.p·M. " ::~....-;;-",' ~ ~ .}. "':'; ;:,', .' ,~ú~fi~LELJQUJD. N.O.S. (USED OILS~ MIXED OILS) :. ',.~1993; P~III , ;. ." ~ , , . 'j : ; . "Q :~HYLeNe GL. yeOl NON-RCAA : .J::' ,. : >"HAZAADOl)~ WASTE LIQUID : r, ,; :"'~ ~-~: . .:: " . . , '.;,: ," .,' ,(] U.$;POT DESCRIPTION: , " , ",' 1 , , '~~¡:'~ANIF~STNO.: 0t8..l9768 c;'"., ~RIVE~,..rv/6~~ / , ' NO PLACARD REQUIRED NEXT S~RVICE DATE ,/ ¿..:iA. DRUMS ,:1, :; , !.I t '." NO. OF GALLONS :')', $ " TRUCK NO. & RT 6:51"'6 ~/'¿(/ "'~ ' . ~. DE~(:aNATEP TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 . This Is to certify that the above named articles are properly classified; described, packaged, .', .' ',,' ',' , marked and labeled, and are In proper condition for transportation, according to the applicable . ,." ,!, ï " regulations of the Department of Trans rtat/on. ,"r~ ~~~~~~~~;:~1~~k~~~~~~~~~~~:g THE :'~¿~/ .', ,.;, \":: "TQTALtiAuDe~'AR~ LESS THAN 1000 P.P.M.' ,,' ", I FlIR1:I:iER AGREe TO ACCEPT THE ADDITIONAL. ,','''CHAAGES FQR LEGAL DISPOSAL IF THIS WASTE , J 1$ OVÊR,10OO P;P.M, TOTAL HALIDes 111 I~:;I?? ..¡J.-...J DATE ' ~ I' I, .:':"\" . .: ;,' I, x --:-~. -;"~--'. ,I .~ , ,P~¡Nr~AME '. ~, " ¡: .¡t, . , ¡ ; , '; \. ~,: .. r-' : "I" 'e . , ~ \ . , ~ . .. i.. .¡ ., ., .' ..!. ,,1 j. } ','-') . '1.: , ." t 1.' ',.' .. I :' ',. ;.', NO. 198744 .. ,¡' . ',.. ',. c ' '. ,.;:1.. '.' ". ASBURY ENVIRONMENTAL SERVICES '. i.,' . . \~" . Ii· ", ;., '\·~:!~~.lOd'NORTH ÄLAMEDA STREET q CqMFry"ON;' CAUFORNfA90222' q (3 t 0)' 886-34Ô·d:<·'··'··'~\";·.'· ',., ,_ t, . . ' ;.. . i "1 $.AN DIt:GO OFFICE NORTHERN OFFICE " J..; ¡ t -:800;'748-5744 EPANO. CAD0282770:36 t -:80D-7-ASBURY ", .',t·;·,. :. '::,:';' I ' , ~.f., i>, .:',;.' ; ~:;~ . . .' SERVICE ORDER '1 :: :; I · " : , " , , '~'r"',"f , ., , '. í;' ; , !" :',,;!f< . :;~« .; '; :;, ,~:'; /. :JQ dO? : ..pÄ.T.~'I'{,:, f (#(-1 /' · 1· . :".: pusr~~ER~A(j.µ1J ~~:fL , I . ,~'.. 1-. ..... . .", .........,.....-.. -,'"-''' ~ , I, ,'~:, t' 1', ÒNE TIME PICK UP q 'yES or ~. . ., " . RESIDENT . D YE~or ~'. ~DNO I' .~' (!., >: '.:' ~ .<.: ), :. . BIL\-ING 'ADDRESS ' . . ,I , " . ~ r': ;'1~1 -~ , ! 'J ~~1 ,,{ · , ,II' CONTRACT CUSTOMER , , ,, ~ ¡ ;..:.. ,:~HQN.e~>~~ iJr4...,j4'B CONTACT ¡', . . ," "'I, , . , , }" C'. "ï 111/ '·~;*~;:~;~·,CuSTo~eREPA.ff.:-·' Ó{JO Jft) '7''7ð ~ 'r'\1 . ¡:",:: .; ,:3 >,: . . 1; .'.::': . : JOB ¡il1'Ê'ADDR~!S"'" S" hP ~;":.';? ":.:' .; :";f, ":""-¡', . ' I'".' ' ACCOUNT NUMBER AMOUNT (If any) .;:( ') <r.:::!- CHECK NUMBER . ~, 1.1'('.,' . .. ... r ~ . ,\ . ~ ~. P.O. NUMBER ~?ý'2/ t:ð" (AMoUNl) ~~/O ¿ /L'X:Jð"'";> P.P.M. " . i .~" 0( '. i ,I .\ .- . ...~' CRO.SS'STReETS ' . r ¡ 't 1, , : ~', , . I '. NÇ)TEsi· '".d::1 'jr~":~'", ,,,:~, _. 1:1 C CASH RECEIVED :. ,; I::' ¡',.,' COMMODITY 4', '>.'j;::: ':, >1'"'ft:;:;; I .: L;~. '. ''}; ':;'1 · ,t.: .' HALIDES t. ,":' ", ~ : ," ~~~ijus~iBLI; LIQUID. N.O.S. (USED OILS & MIXED OILS) · NA is,9~, PG!II . . :' ~ ~~ · . D ETHYLENE G~ YCOL NON-RCRA ..'.' ,~9qU~~WASTI; LIQUID . , . Î ._ . q U.S: pOT DESCRIPTION: NO PLACARD REQUIRED NEXT SERVICE DATE ,),~ DRUMS '. : 1 . ~I.FÊSTNO. qtB.)1?7~ ':~ < ~RIV~~,7Õ¿/ C~.-.Pt~":f~/ .," ".,.' , NO. OF GALLONS ~Oó 6-1 ~,,¿ø TRUCK NO. & RT , :~ ¡ :: ¡ :;".;." ¡::"PES'~NATED TSDF: DeMennolKerdoon. 2000 N. Alameda Str~et.,C~.mpton.CA 90222, CATOsq013352 .I,~;. . , '. ,... '¡,:j ¡ : This is to certify that the above named articles are properly classified, described, packaged, . I '';'" ,".', .,: ',i" , marked and'labeled..and,a.re in,.pcòper condition for transportation, according to the applicable . .; : i.. c': ';' '.'::./. . . t, '. regulations of the Dj~;¡75!l1tJ~ _!r~~~~~~'~;J !i,¡r'" ;:' I. t;tEF;\ESÝ CERTIFY THAT I HAVe NOT MIXED . X /~/:ï /..- ';:·;~7~l/k. .... /.;" /., Jp I/~· / . .,j';,";;"I,;'..:."" ~1..'.."~!HI~:WASTeWITHANYOTH~RWASTE.ANDTHE . Y. ,,/'! ".-.J r'·. <' , ';;\~' ,~ ',. ';TOTAL HAlIQ~S ARE; LESS THAN 1000 P.P.M. /1 CUSTOMER SIGNATURE ~ DÄ - .. . ~'. ,'. ' .. I " t , ," . I F;URTHeR AGREe TO ACÇ¡;PT THE Al3QJT~ONAL . '. ,-' 'CHARGes FOR LEGAL DISPOSAL IF THIS WASTE . : .,: '. IS.OYER 100ó P.P.M. TQTAI,. tlALIPI;;S !~., " '1' ..)~(,~'.l; , .', 'I, ,I' ' '."~:':." .' :',;.::' ,x . '. PRINT NAME . < , " ' ;.' NO. ¡ t' ~ ~ 4 :', .~..~:' ::. 't ~ '. : ~- ~., ." " e, e .. ¢ I.. ¡ ¡ , ,..... ',' \.' ,"!'{',',;.: . " , ;". "; I': ." . "., '. t ¡:.", . , .' -'j', . .:, ;,' , . ,,' 19:8'711 .t'.'~~ '~'/,\;, ' ' · ',,', \1 .\ ' ;,.!~:: ".:' : t· , , i l ASBURY ENVIRONMENTAL SERVICES ¡ . . , ~,2 i 00 NORTH ALAMEDA STREET 0 COMPTON; CAUFORNIA' 90222 0 (310) 886-3400, ' ' '\sÅN DIEGO OFFICE :.~' ". h. NORTHERN OFFIce,' :¡ljH300-748-5744 EPANO;CAD028277036 1-B0Q-7-ASBURY'" · ,'. · .~... .": " '. ,,' .. f~;~'. ,'.'. :;- 1 ":~ . , ,\ ¡ -I., '¡oO' ,1: ;.: ~" .!. " ",h:::.:" j. , " , ' , \. .. '.r : :11 . .: '~: J SERVICE ORDIER I, I I I " !' '.. j ! ~; , . ",., :'! ~ f ,:. '., ;;" ·1 , ,. ", ..-:}~.~~., .. .~.,,' . ,. ONETIME PICK UP :/:.;:; "':·D.Aw,)ï/~;I.-9? ". ", 14/·' /l I >:::".C,'..µ~T9"M,',.·e.R:.:· :~v 11l9~~ ' L ¢?/~ ui~{ { ,~{ ; : t ,i "<'J. ::.: B~I.I~~~ADPRE~S <11'7/ It/.ÁJ"# IN.., " .' ¡ :'l-_:' '''JA'¡; , :.;; .¡'. If&~#~/P If/;- ~,?lJI :.; ;,', :, . ,t ( <', ' :.~Hq~~:(jþslø.!l..? lyg CONTACT -':·:;;.::';:',:.cuátÓ~ÉRÉP~:t# r:»~( bOt!) /$D q/(t:. , I ~ ~ ; ,..; " ~ . . ~', " , . ' < '+:i; :', JOB ~ITf: ADDRE~S ,S' p.-e \ ',i; .., ~I, :/ RESIDENT CONTRACT CUSTOMER AÇCOUNT NUMBER AMOUNT (If any) CHE~K NUMBER ,~ .' .; ·\·1~t " ..- P.O. NUMBER 1.., :-;-, ,.: ,i;¡"~ ¡, .>. ." ...;. f::',!:': '-f:,' " (. .J~. ,.., :CRq~S STREETS "'!' , «' ~C~, " ,". : ..' ~. ,. ¡;, , .' I'·, , .'t~ :, : CASH RECEIVED . I .~'. , NOTES: COMMODITY . ~ "1", HALIDES q ;'YES o,r ¿ OYESor~ . . '(....... ~or 0 NO ~S'"~ ..#"~ // -¢Nn I...t. --</ ó <! ~ '/ P.P.M. ; '< , :'i'f'; :'1 :.' ": ~MBUSTIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) . r; ;::' X: I: ~ ~,:..1~9.~,' PG 111 : :.1~\ ~:~;. :.' q, ETH,YLEN~ GL. YCOl NON-RCM ., ,:~';'{::' ':;;' tlAZ{\RDOUSWASTEUQUID NO PLACARD REQUIReD :~., ,"" ',F . , \ ~ .. ~~~ ,.' ¡ , 0: ,:.;', Q .u.s:: pOT PESC~IPTION: .':~I~I-~ . :'~ r~ ' . ;-:\: ." .."~ .' . ':>::: ,¡:~~IFGSTN,O, :q(ð'< /7;L(' ' :;~'~RI~~{ "..~~ ð~'1k : i:'c . i" NEXT SERVICE DATE DRUMS NO. OF GALLONS: TRUCK NO. & RT . ~ " jot; ;',:. . ,> ':' DI¡:SIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 ", 0:',.,+::" :. This is,tocertifyth~tthe above nal)1ed articles are properly classified, described, packaged. , ! . . marked and labeled, and are In. pr9Þer condition for transportation, according to the applicable , "': regulati0lls. of the De,¡~~~2:e~~"bf~1ra.~71,' t!9n. ,~.·I He~eBY CE.RTIFY THAT I HAVe NOT MIXED X .'/ /Xliy i '1U· j' , II /11 p";L /_ I THISWASTe WITH ANY OTHER WASTe, AND THE , " 01. ¡ . '. . I : '!:-, :1ÒT~HAUP~S ARE leSS THAN 1000 P.P.M. ",,\ ~ CUS OMER SIGNATURE DATE "," I FuRTHER AGREE TO ACCEPT THE ADDITIONAL. ,OI;1A8GeS FOR Lt:GAL DISPOSAL IF THIS WASTE ;', ' IS Oy'ER 1Qoo P.P.M. TOTAL HALIDES ' ., '. ¡ . x /J~ ~/~ (r :4k/'¿~ PRINT NAME ,', 'r.::. ., ' 198489 ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAMEDA STREET [J COMPTON,: çAUFQRNlA90222 [J (310) 886-3400 SAN DIEGO OFFICE . ' NORTHERN OFFICE H30D-748-5744 EPANO. CAD0282~7036 1-800-7-ASBURY SERVICE ORDER .. , DATE II..:' L/--<:J 7 CUSTOMER M~.H~ ð-/?_ /()A<~ BILLING ADDRESS ') 1 ~ I It...J Â ;l-~ IN" c ¡fI1Þ4\S~~ ~ '7??// . PHo~t'b5")Ø?1-7.?'I!? CONTACT CUSTOMEREPAII t?/l1 ðc-o/fÓ7l/£ , . ..,ì-:~ :'~ .',. e,~ . ,'" . ....'.". , ONE TiME PICK UP RESIDENT CONTRACT CUSTOMER ¡"h' .~!'. ~.; ACCOUNT NUMBER AMOl':JNT (If any) , JOB SITE ADDRESS ,S'~ ,- .....". . "'.. ,..,........." _.·d . .., ." CHECK NUMBER ! ,I :' ~. 1" . '"" ,.; ~~"j , . . :¡. ,P.O. NUMBER ¡ ;~,~:. '\ f, . ' ~ .'!. . CROSS STREETS f r, , t:, ! '~.' t'.,'~ . " CASH RECEIVED , NOTES: "'\ COMMODITY HALIDES .. " :i~B~~;I~LE LIQUID, N.O.S. (USED OILS & MIXED OILS) i NA 199~, PG III [J ETHYLENE GLYCOL NON-RCRA H~RDOUS WASTE LIQUID NO PLACARD REQUIRED P U.S. DOT DESCRIPTION: MANIFEST NO. 9,<'8:2/ -; ~ 9 PRIVE~ ~¿,k/ C:n.~ ¿/ [J YES Dr .~ o YES or Ø"ÑÕ 04 or [J NO ~~\?30~ ~~ ~ /ýdf/ ß'Y . (AMOUN1) .eu~ - </ax>? P.P.M. I I , "'.'. 'I"" NEXT SERVICE DATE / L<..)./·;' DRUMS ~ ., ....d. ". . ..'~~ "'_", NO. OF GALLONS TRUCK NO. & RT ~7~ 6r /S¥~ DESIGNAT;P T~DF; D~Menno/Kerdoon. 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 ~f/ð3 This Is to certify that th~ abov~ :f,\amed articles are properly classified, described, packaged, marked and labeled, Md'are ir'(ptoper condition for transportation, according to the applicable regulations 9t the Depariment:ôt Transpo tlon. : , , x I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HAl-IDES ARE U:SS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGE~ FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1Qoo P.P.M. TOTAL HALIDES .i i "x' '. ::1 I PRINT NAME tw~1æ1.IJ.)tr.~_r.__n~~~~~~~r ~~~\:!-.,"?;tr.!:I,*\",~r~w'~~> ~;:'.'~~ J' .~.t~·~~~~-~~-T··-·· .¡L~J \"-".)\ .1' ,'I " u' , . ,>-"., .." . ~~.i~}' :~ ,''"''''. ~. ~;.:'; ::. . ..·.r·" .., ,.. tl,·,¡. e NO. 198452 :. .r\. '.'.: ; It. ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAMEDA STREET 0 COMPTON.CAUj:ORNIA 90222 0 (310)886-3400 SAN DIEGO OFFICE NORTHERN OFFICE 1-800-748-5744 EPA NO. CAD028277036 ' . -800-7-ASBURY (:; SERVICE ,ORDER '·.·~~·:1~?/~.., , ONE TIME PICK UP '..~ ," '. .~. DATE 1D-:1., "")-q 7 CUSTOMER pJ 117/1714 ¿J/f £J »s / BILLING ADDRESS '7'~1 WÁ/~ ¿)II,," AkLf ~/ p' tÁJ¿ / ?~II PHot{ttS)ð32... 71 V8 CONTACT CUSTOMER EPA 1# tldL ~ A-f () 9'16 . JOB SITE ADDRESS O~ RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER AMOUNT (If any) ", ~.... ..-~...~.. ' .......' CHECK NUMBER -,... .......... .. ,",. ".,,-,. '.-' ::. t: . .~- ~.,;: :. .: ','_ , ~ ¡. \~;" ,i . P.O. NUMBER . 'I' ,\. CROSS STREETS CASH RECEIVED NOTES: . /, l' /.1,.,.. "COMMODITY , c , HALIDES ¿/L>t;¿)"/ P.P.M. ~BUSTIBLE LIQUID, N.O.S. (USED OILS & ~ED OILS) NA 1993, PG III o ETHYLENE GLYCOL NON-RCRA HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED , "'~: o U.S. DOT DESCRIPTION: NEXT SERVICE DATE .,' -,. DRUMS MANIFEST NO. 9&" is 2.... I ? ~ Ý DRIVER 'i'Mit' ~~Cf'.., ~('" NO. OF GALLONS TRUCK NO. & AT o YES or ~ o YES or ~ ~rDNO ,j\f?;(Ø d;(r~ d&- '-I'I.J 1/ ~ . (AMOUN'T) ¿,J/ô I ¿JÆ. ~s- 6?~~ DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 vŽ¿;/JØ'¿;;?,,~ This is to c~rtify that the above named articles are properly classified, described, packaged, marked, and ,labeled, and are in.proper ondìtion for transportation, according to the applicable regut~tlonspf the DepartmenrQf Tr portation. I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES fOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES x x 1/!U2711;z ¡DATE ',' " PRINT NAME -.--..." ......, .. ! -----._-_._,......~~,-,....- , ...._"'-~-.- " '~'--""'~. :..--!-.. ß' It .. ~~ w- ~"'~....~ ~. .. "It '.ßIil.l. ,.'" Ik "'IAAa.WVI~ - - ----- - - - --. - --- - - - --- ;;;;;=' ~ ~ -=r--= ,,".-"'" . ...... e NO. 1. ..:.,.1 198429 ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAMEDA STREET 0 COMPTON. CALIFORNIA 9Ò222 0 (310J 886-3400 SAN DIEGO OFFICE \J NORTHERN OFFICE 1-800-748-5744 EPANO.CAD028277036, . 1-800-7-ASBURY SERVIÇE ORDER DATE /Ò...~ 1-97 CUSTOMER ß/ljlJJil.J? ~ ~ ¿_) IJ" .4 BILLING ADDRESS '"/0/// ¿u j;,?, I p/, .g)1~t{J({~~~; 9~?// PHONE{f(19))fl?j. 7?~ CONTACT CUSTOMER EPA It {! -4!ÓÔð / r () c; t/ ( . . .." .. -" ~ '..". ONE TIME PICK UP RESIDENT CONTRACT CUSTOMER AècOUNT NUMBER "¡"'" . AMOÙNT (If any) JOB SITE ADDRESS _S~ . ..~ ,~_.. , .. .. , CHECK NUMBER ¡'- > ~ .. r' P.O. NUMBER r ~.. ~ '.1 ' '.......~ ; ., ~ ~. ,. . .'. .f¡ CROSS STREETS " .-,;'. CASH RECEIVED NOTES: ,'."1- . COMMODITY . 'J>'" ." .'- '. . HALIDES ~BUSTIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) , NA 1993, PG III o ETHYLENE GLYCOL NON-RCRA HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED' , t . o U.S. DOT DESCRIPTION: ,<. . NEXT SERVICE DATE DRUMS MANIFEST NO. 968:1/76/ PRI~ER~// ¿~~..~/ NO. OF GALLONS ,r,.,..""""", _,' . ,.,.-......,,> TRUCK NO. & RT o YES or ~ o YES or I3""NÕ ~'or 0 NO .;¿~ -#- lf~.7& ? .e- (AMO\t)NT) L.; ~-) <ÎÓ()ú".:) P.P.M. / ¿Jk. .- ')r- ,') J t? )fkl'¡;;~ DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 ?/:7 4 This is to certify that the above named articles are properly classified, cfe'scribed, packag~d, marked and labeled, and are in proper condition for transportation, according to the applicabl~ regulations of the Department of Transportation. x'" :~-..r;-é·.:;-nv 1/C' 1l;<jJ" 1~---1_ CUSTOMER SIGNATURE I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL . CHARGES FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES .' ., ~, .... ",J'A", x 'DATE PRINT NAME '. ¡, I» \".- . ~ :'~.'" ""':~.~. ..' '. ... ;..··~a ..'~~. --- -- ....-.' ,~ - =.... , --- - -=- == --= - - - NO. 117795 ASBURY ENVIRO~MENTAL ?ERVICE? ' 2100 NORTH ALAMEDA STREET 0 COMPTON. CAUFORNIA9022,2 0 (310J 886-3400 SAN DIEGO OFFICE NORTHERN OFFICE 1-800-748-5744 EPA NO:CAp0.282770.36 1-800-7-ASBURY SERVICE ORDER DATE /Ô-/V-7' 7 CUSTOMER ¡\/; 19419-,4,4 al? ¡, }.-9\ ) - BILLING ADDRESS /7 ~ / ¿() Á ; ~ IIV_ . -- . " . '¿;:}k~~/;/) a~ 9.71//.' PHON~..s)1'3i- '/ JL(fi CONTACT CUSTOMER EPA #I eAt C;'Dð l.f C"" '7¿/( , ','1'< :' ....'--..~ '¡ . '.. . " \ . ~ JOB SITE ADDRESS ..s rh-r" .". '. ~'.'. . . ,~ ,,- ~." ". '1, \" CROSS STREETS NOTES: .... :;. " k. '" ~ ~ ; . - " .' ~BUSTIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) , NA 1993, PG III ' o ETHYLENE GLYCOL NON-RCRA HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED q U.S. DOT DESCRIPTION: ", . - ,.,,-"} ~ANIFESTNO. CJtf}2) 7.5'/ DRIVER ~¿;/ C/~--l7~ I ONE TIME PICK UP RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER AMOUNT (If any) " CHECK NUMBER ,,'\ .' " ·P.O. NUMBER . CASH RECEIVED COMMODITY HALIDES NEXT SERVICE DATE DRUMS NO. OF GALLONS ., TRUCK NO. & RT o YES or g.-1JÕ o YES or ~ ~or 0 NO <--\\ f3r)S ;¿ -ç:=0 ~tf'( ? 71 .kY (AMOUNT) 0/c> ¿I¿JOO""/ P.P.M. /0k. L¡ 7 <)' 6.sXk~ DESIGNATED TSDF: DeMenno/Kerdoon, 20.0.0. N. Alameda Street, Compton, CA 90.222, CATo.~0.0.:13352 /;' 1f,.:JéI This is to CMify that the abo e named articles are properl{ d~ssified, described, packaged, marked and labeled, an re roper dition for transportation, according to the applicable regulation¡¡ of ,he Dep, e Transp n l I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE lESS THAN 100.0. P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL ' CHARGES FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 10.0.0. P.P.M. TOTAL HALIDES ;,. ~ ,,- '. ..X······'· .", >, . ,. -'.!. . ,. ~- ,... x PRINT NAME /&J/.!LFLL . DATE ..:~.~~.:~;: :~.:;:~ :.'£~1·::t .. l¡ ',,-, ... \.......~ ....,/....\".,' ."~'I" I', ' . . '^-_. -~. ~".-' ;. '. '~'. " ~, ., '.... - .' <. ' , H ' ·,·t';It. :-,.q:,f. f.. w,r? æ;¡¡¡¡#··æ· ;;-:: =.1!!"-'- ..·It " -- _:::. ~ ====:' = !!!.-. - - -- - - - --~- ~~----- - - ....-..-- NO. 177768 ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAMEDA STREET 0 COMPTON, CAUFORNIA 90222 0 (310J 886-3400 SAN DIEGO OFFICE NORTHERN OFFICE ) -800-748-5744 .EPA NO~..C~D028277036 1-800-7-ASBURY SERVICE ORJ)ER DESIGNATED TSDF: DeMenno/Kerdoon. 2000 N. Alameda Street, Compton. CA 90222. CAT080013352 T.hls is to certify that the above named articles are properly classified, described, packag .::,:·",àrkë~;anØ·léll>:eled,j\nd are In proper condition for transportation. according to the applica ':'régulations of the:Depårtment of Transportation. '0 ,', .~. ':G~77ttl V(//tø/ 1---1---1_ CUSTOMER SIGNATURE If; ,. i :J} ~, ~ DATE /õ- 7-9? CUSTOMER ¡V, 4;7J1-/t/9 &/1- 11 ))1.)' 1 BllUNG ADDRESS "7 7 '7/ i-t. .) ¡, í ~ IN', : . thk¿5~¿/I¿2;. '7 $JI/' PHONE(ßbSJ ß.? )-7f '-Ið CONTACT CUSTOMER EPA i# &1 DðO /:5 () e¡t:/ 6' . ...: ,._'" _, C:' ,.' .,. '.: "". , .. "'. ONE TIME PICK UP RESIDENT , .. CONTRACT CUSTOMER ACCOUNT NUMBER i ~ I AMOUNT (If any) JOB SITE ADDRESS ..s~ CHECK NUMBER " . í. r ,~' ,. :' ; ,. .,' I P.O. NUMBER .~I··'-.:, :.t;:,'.r· 'U ~?!-J\:" 't CROSS STREETS , "."i\ ~J,i;;._,. CASH RECEIVED NOTES: COMMODITY HALIDES COMBUSTIBLE LIQUID. N.O.S. (USED OilS & MIXED OILS) NA 1993. PG III o ETHYLENE GLYCOL NON-RCM HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED' o U.S. DOT DESCRIPTION: NEXT SERVICE DATE <·\t DRUMS MANIFEST NO. C)bI32J7S-2 . ~¡{/ ¿",.~¿/ NO. OF GALLONS DRIVER TRUCK NO. & RT I HEREBY CERTIFY THAT I HAVE NOT MIXED TH',S WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL DISPOSAL IF nus WASTE IS OVER 1000 P.P.M. TOTAL HALIDES . .'X " PRINT NAME o YES or o.-NÔ o YES or ~ ~or 0 NO ~ :2ç'~ ::7 ~~J'~ ,¿y (AMOUN1) ~/c::) <"'.IOC'ò '/ P.P.M. 4.),k, g ::? S- (..t ¿'~ DATE I' ~ .. \{tt.·Ù\ ü;ç ÌL ... e e NO. 177753 /) .:(' ~' ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAMEDA STREET 0 COMPTON. CAUFORNIA 9d222' 0 (310) 886-3400 SAN DIEGO OFFICE NORTHERN OFFICE 1-800-748-5744 EPA NO. CADo~a277036., 1-800-7-ASBURY SERVICE ORDER RESIDENT O¡YESor~ o YES or D~ DATE /0-)L-77 CUSTOMER ,NIÎ-+.f'HØII af ¿)¥ { BILLING ADDRESS '"/t:}<:j / 0), /k . ¿ø ,,'.' i~k~~&ø I 4. 9\?,fll. I PHoN{96S' )8g~- 73''//3 CONTAÇT CUSTOMER EPA 1# ¿?/tJ. ¿ ðc::ú 1...7 C> 9 r ( ONE TIME PICK UP CONTRACT CUSTOMER ~or 0 NO CROSS STREETS f:"':'¡,,: \'.:' ,.. ACCOUNT NUMBER ~ \ Y?/Of7 AMOUNT (If any) ;2s~ .. . CHECK NUMBER .i ··P.O. NUMBER ~ It(~ ~2 J .¥., . . t:.", . CASH RECEIVED --Pr .. . COMMODITY L-v.%NT) -. . HALIDES </6ðÒ/ P.P.M. JOB SITE ADDRESS .:$'...-9~ ..... ' NOTES: COMBUSTIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) NA 1993, PG III o ETHYLENE GLYCOL NON-RCRA HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED o U.S. DOT DESCRIPTION: MANIFEST NO. 96"ß.2/7J'/ DRIVER ~// ßÞ1~~/ NEXT SERVICE DATE /0./-,. DRUMS NO. OF GALLONS s?)' 6:?ff ,,(I'~ TRUCK NO. & RT . " DESIGNATED TSDF: DeMenno/Kerdoon. 2000 N. Alameda Street, Compton, CA 90222, CAToa0013352 /.! c/~.f!, This is to certify that the above named articles are properly classified, described, packaged. marked and labeled, and are in prop r condition for transportation, according to the applicable reQulatlq.~s oHhe Depart01e sportation. I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE. AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL DISPOSAL IF THIS WASTE' IS OVER 1000 P.P.M. TOTAL HALIDES . ... ·····X··· '. ~ '.,> . ,.... ,,~ . . .' , ,"' . //& /~1..l DATE ,';" x . {, ~ PRINT NAME ~~·...~_Qi"''"'''..·r 1.... __ ~..... ___ "It .. II - , J\S~URY ENVIRQNMl;NTAL SERVICES ,J 1':: .:' 2 t ??, N.O~T.~~~"TPÔff.~F.~ 0 C9MPTON;' CAUFORr-J1A 90222 0 (3 ~ 0) ~86-3400 , ,~~~~~~~{.p~f./" '. 'EPA Nq.èAD028277036 '. .', '",' ~~~6~~~~:0ICE , .!~. '. i/:'," .J," - ~: ._~--- \ I. ' I ! . , I 1 ¡ ~ ~ ~ 1\ . t..", '..\~1 ~. ' '.'1¡¡: . " \ : \.~ ,1~ ~, . ¡,' NO'. el ·e í, :.&.~.: ~L~", ,. -~':I~': +1i!~~ " , ¡ :~¡" \'~1~': . , . ,", 'f !. SERVICE ORDER " . . ,. ~. " ~ ~,·..uM~9í""'''''''·'''';~t.· .,~ , rDÃTè~-~Y~-'->/ '/, : . i !"t¡-,' , , 'Y? ::. ' /' 7' J ì~;lCY~TPME:R ~Ïfp#/! ~ ~4-$ /¡ ;¡;t~;~t~I:~p'~~S$7o/9Î{~Þ4/rk ¿~," :',1 ~¡" "w~4,-( ~é-'/ 6/~ ;;73// .~ { .... - --' ;¡:\ 'd"~ ",d it1, ~K'~~, ,,' ~"'lw rl~ ,~' " , 1"1 ' . ¡ ~;~~I~!\~e~À ø . ~"nll ' ·¡h-..\.' tIC l~ !~P~ '~TES ~PR~SS it :;-, , ~: J.~'~ :~" *' ¡;'I,::h\1-: t\(I'~~;111f~~R~ëTS í t.I:', \ .' " ,'::~~~~~¡) <~". ¡ I ' :', ~ " ,. 1 tI : t . ¡'j I '".~ ~ '. j ..,'\.\ 'r '. ;töi\,.. t! tµ~ ~. ~fì_~"'~"! .,' ;, .,.·..t; ONE TIME PICK UP , RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER AMOUNT (If any) CHECK NUMBER .".,. 'J.,.t¡,;.. :' ,:,~.,J;'(9' NUMBER 1,- I, , . ~ I, , ; j, 1'\< :' i, ..; 1 l' ,I ~ , .. CASH RECEIVED i COMMODITY HALIDES \: \, " 1.1:1 : , II .... ~... '. of" '''f/. NEXT SERVICE DATE DRUMS NO. OF GALLONS TRUCK NO. & RT i , ':"t' ~~~,j (. :h.~\ ¡ ., \ '~.,: ~ ...: ~ '" 177714" I \ o YES or ~ o YES or ¿ ~r IJ NO ~ ~~ P-', ~?7lS~; 4(38D~~ .£JY' . (AMOUNT) ~/¿> ¿ /òOz», P.P~M. 'J, .... .". /~ SDO ~~',g:~ø ~. ,i 'g~.NATeQ.·;räDF: peMenOQlKerd~on, 2000 N. Alameda Street, Compton, CA 90222, GAT080013352 / ,,~, , ' ~, ;' "I I c. -' This Is 'to certify tha~ the a~ove named"artlcles are properly classified. described, pacl<age marked and labeled, and arè In p'roper ~ondition for transportation, according to the applicat ,eg.'''- ;11>0 Dopartmoo' ofT """p alloo. :..1.J ß ~ DATE I H~.e:f,iY Ç¡':RTIFY THAT I HAV~ NOT MIXED THI~,WA~T~;W'Tij .ÞliY QTHr¡:R WASTe. AND THE T~~ ~I~~.M~ ~S~ 1f.1AN,1000( P.P.M. I FMaTHeEi AGRee TQ ACCEPT THE ApDITIO~AL CHARGI;§ f,q~ I,.~~.~ PISPOSAL IF THIS WASTE 1$ aY\=R 1Çqq ~..grtv1., TOTA~ HAl.IDES ·x , '\' ." , ' PAINT NAME .' ì~) ¡~~ ;.. ~ \/~, e e NO. 177698 ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAM¡:DA STREET 0 COMPTON,1~ALiFORNIA 90222 D (310) 886-3400 I SAN DIEGO OFFICE : "_,, , NORTHERN OFFICE 1-800-748-5744 EPA NO. CAD02~277036 1-800-7-ASBURY SERVlêEÔR~ER j~Pi~':'1 '! . , ! ifd., . : 'C~ ':~ I . 1~t'1' 1~F ¡ ,q,p. ~6~~)~7~77 CUSTOMER AI ¡.1f7 /h'l/l ¿;;},t/? - L-t ~~< ~ BILLING ADDRESS 7Cj.'J./ ¿.,u)¡þ ¿~II .¿/(~.¡:;-e:ø ) LÃ~" 9 ,73// ~':PH6,"~)g3)"/sY~ CONTACT CUSTOMER EPA 1# C .lit 6Óð/ S 6 9ç/ 6' " AMOUNT (If any) ~ '. ': . ..",. . "'" .' ,,-, <"ONE TIME PICK UP RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER JOB SITE ADDRESS ....S~ CHECK NUMBER ,I P.O. NUMBER I', . CROSS STREETS \. ".~' ~ .'''' '.,~" ..~.. CASH RECEIVED NOTES: -' "/'//Î¡. . "., I:;?~{ COMMODITY .. Ii, HALIDES . ~", ',¡( ~: . ~BUSTIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) NA 1993, PG III o ETHYLENE GLYCOL NON-RCAA HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED o U.S. DOT DESCRIPTION: DRUMS NEXT SERVICE DATE MANIFEST NO. 9t..£~gt¡~7 DRIVER fi~/ ßMe..~/ NO. OF GALLONS TRUCK NO. & RT D YES or ~ DYES or s-1\iÔ ~or D NO ~\Y~D.-- .2)~ "i¥"3(;o10 k? , (AMOuNT) 0/ô CIO(;)ò/ P.P.M. /¿v)., SOD 6:? Å¥¿:J DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compt~n, CA 90222, CAT080013352 This )s to' ce~ify that the above named articles are properly classified, described, packaged markeq and labeled, and are i proper condition for transportation, according to the applicabl reg!JlatJo~spf the ,D~partm f Tr sportation. I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER' WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES fOR LEGAL DISPOSAL IF THIS WASTE "~., ' IS OVER 1000 P.P.M. TOTAL HALIDES ~~tit...,-....,..w......,,,,,, ;> x '. - x I!LJ 1ZJ.:rr DATE PRINT NAME '. ;~, ASBURY ENVIRONMENTAL SERV¡CES e "~ ~ '21OQINQRTH ~EDA STREET Q COMPTON. Cl\UFORNIA 90222 D (310) 88ó-3400 c FAX (310) 763-5922 - , _ INVOICE DATE .. 09/12/97 INVOICE NUMBER 195597 TERMS I ~tFrFY LlIßE . SOJ:,D'. 7~9-1. WH ~ TE l,;ANE ,:: Tq;, ~A;' R~r.:q:~p , CA l~\ti,; '~C¡¡tN ~Q.~R~; CAR' WASH) ,at!,: ' ~W ':'~~JSÞlAN 2 CUSTOMER ORIGIN' SHIPPED VIA .~;.¡.J¡/. ~ '.r "r: 'fR'l' '1 " ~, NV. 93311 '7'7????????????? CUSTOMER ORDER NO. 38025 1'." , J I F303 ,280-1 - . ,,-. . .' \ ,- ~ ,;.j " , . 9 "" <171672 9/12/97 SERVICE 1. 0 EAC 25.0000 I' ,. , . . ;. , ( ," . I,' ; I,'" , '¡':''''-':'' l/~' ~ ' ..; /~i" ):" ,'_ ,:'~, '"... ~' . - , RE~lIT TO ADDRESS: FILE NO. ~1 ~ I' ¡ 1 ' \ ,.' LOS AN El.~!;.8~qo}4-8995 f~~t~~~~~~IIfÖllfD;-~ö:s~(aSBnm=s IrMIX pn:s)-~r:s..·-~60-·-'-- o eTHYU;NE GLYCOL NON-RCM .....-:-....-.--. H~DOU$ WA$TE LIQUID o U,S. POT DESCRIPTION: ..... ~ .OC - ---- -_._~- DRIVFA. XT SERVICE DATE I 4..;),,1 ' ., O. Of GALLONS 620- b~ L.if/ --........ MAN WEST NO. · Lo·o0 ~- RUCK NO. & RT DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 / ~;7 This ¡,s to certify that the above named articles are properly classified, described, packaged, marked and labeled, and are' proper condition for transportation, according to the applicélble regul~tlons .of ~he De a of Tra s atlon. n,_ .,t._ J HeRI:EfY CERTIfY THAT I HAVE NOT MIXED TH',$ WÞ,.6TE WITH ANY OTHER WASTE, AND THE TOT.f\L HA..IpEe AR~ LESS THAN 1000 P.P.M. I f4ßTH.~R A~R~E TP ACCEPT TI1I; ADDITIONAL '. ~G¡:~ FQR LEGAL DISPOSAL IF THIS WASTE IS QVER 100Q r.p·M. TOTAL HALIDES ' 'X', ' SIGNA ruRE t1.JLi!::J q ¡- DATE - x, PRINT NAME " 11L¡ \,;\ ,J,' l. 'M'.....~......-r-I1~f'TT-þ' ," i , ~. . . ,,}:'; ','''' L,; :' .,. ~. ~, ,~, . r .;. .'.~ j:/ t·' ~.~: '. " 1 >'1) '. .: ~ ~':,~ , I ~;; ¡~,; ¡\ .~' : :¿ ~. :. ~; I, :J ~f ~ "~ ,. , '. .". .. ,r,i, f; "',I , " . . ':1' ,t, iI, :' . ~~ìt!"1 .: till:. ü~ ¡ .. --~._,._..-. - .' r' TRUCK NO. ~ RT ~(, ÆAI'4t! ,!::I'I i .~' jh¡ I, ~ '. . ~!,\ ,1\' . ;¡,~ sæ:five~,œ:;O~QEA , . ',\ '~I . .,~~ ~ .' . ~,;. . ;,. ", ..~, :\[ Ji . ·n X ¡.i L,. . ., " 1,1, '. '0 .. '. . -.... , ~... I. ~;. I >; .:": .. ! ~, '^ .;.,..., 'I'. ,~., >'. .; ;-. ' , ~"r"" ';"~ NO Pl-AqAAD. REQUIRED "". ",. :tFì.:. ;:¡; 'f i. '''¡'i~:V¡'' ;. , ~ìt· ~ :, ~,. . T',:j i·"j "Ii.: ~, .; i I to . , 1'\1 o YES or Q..NO·llii i.~ I n l' r. ~ :, . ::{ i : .:'f¡ ~ RESIDENT :', ; , ~ 0 YES or r::;¡....M() i'\~J ~" ,,', ~ \ . CON~RACT C4STOME~ i:'· \,,¡ ~?r~~O\'~Q:.'tf.~, .- j ,\ \ ~. 'f ..,~ j , . ,I I :" :-¡~ 1 , ....~'¡i~·"'.' '~.I t. t '\ ~ . f :1M 11\ 'IN' ;"'Î ONE TIME PICK UP " " I ¡ ACCOUNT ~J~BER i: . , ~ , , .f :: ¡, i\ A~OUNT (lr IlPY) ../ ',.~ , .cHECK NUM~fR ;:¿ r':'JJÞ ~ 4.. ___ . ~. ,',I " ;! Lt; -: "I ¡ ~.' , ' ;.,¡ ;. . ,}:;;: PO NUMBER! '" 17'J'j'1f;1! C~SH RECElyt=D Ø'" :.,~~\¡ (AMOUNn ~r{~ 1 ~' ;'\: ,.?k /,1111 HALIDES '~,¡,:. ;~":~ ~,7. R,p, I ' ., 'r.:f.'~' 11$, ~.).'."" I . COMMODITY' '".~ . , '!" !..1 NEXT SERVIC~ DATE I 4.,~k· ~ ... ~ DRUMS :TAINT N~~i~\ . .., , ,li I, "' ,I",~ . \ '" 1 4~,: t. ..~~ ' ~T¡'1~," 'e [ !;i 'Ì ", 'f; ~ ~¡ : ~i' \:PA NÇ>, fA99z8~77?3Q .i. .(,. .' "' S¡RVD(f~: Ofi~E~ /) ¡(A f--)!I1l ,~Á/./,ø 11\1, ~a ("Á, <) 53;/ -7 #/8' CONTACT (7AI t?X?/~?D9ij6 F/?~ ONE TIME PICK UP '~' 0 YES or~, qONTRACT CUSTOMER , o YES or rJÑå o YES'or ~. RESIDENT ACCOUNT NUMBER AMOUNT (If any) c2~~" .. CHECK NUMBER COMMODITY ;]</.1-</ ~ (AMOUN1) !-J/D . " " ~ ;". P.O. NUMBER . CASH RECEIVED ¡. r:;, HALIDES ¿ /()Oó '/ P.P.M. 'it 'j. " ;\~ : ;. : ',,:' "" " ~' . .:- \' :!~> "': "~. '" .p' ,!. .. ",I "!i~.. ; , ' ~F ,9~IA~Jm..~ I-IQUD. N.O.S. (USED OILS & MIXED OILS) \ NA'1S~~~Pß 111 h, g §-r.~~4~~ ~I- YGOL NON-RCRA ,\, ," JMÇ>OUS WASTI; LIQUID NO PLACARD REQUIRED ij~ 0 ~;~~ÊP~¡'P~~CRIPTIPN: ~rM~I~~~Tí~o. ' 76J(/:52£*:) i~',.rRRì'~,i:~¡'.'" l>~/ L;h,r-~-1,/ , .,I¡!!I :~1 ;~';jW?~ j , /:~"il .íii<~~·"~· , '~t{) ~f,'~~,?~ÄTê'6'TSDF;'DeMennO/Kerdoon. 2000 N. Alameda Street, Compton, CA'90222, CAT080013352' ~': ; ¡, ~¡i'. ," ' This is to certify that the above named articles are properly classified, described. packaged, ~¡;: . ; i~'i;I' , marked and lat?eled, and are in proper condition for transportation. according to the applicable , ; .!, ¡ " :1 '¡:k' ;,I,ii"., i' ,:, regulations of t~~ Depart, men, t,of Tran~ortatlon. " \. ,,~;, ,. '\"1"11" ',' ,;!, I, " ,,' ,-;,' ' ~:¡~tL §J~C~~TIf.YTHATIHAVENOTMI>Ç~D 'j(:: '(' "..' /, . ,:,,' , I '/' II/) 1,<72-,,' ,'(.' .^ªnrWITH ANY OTHeR WASTE. AND THE" ,.::. ,/1' I' I( ~I " 1,( .,,-t..·l . .. ...f I-f--:. , ~,,~iI-ES:? THAN 10oç¡ P.P.M. t:::/ CUSTPMER SIGNATURE DATE ijf;; W ACCGl?T THE ADDITIONAL ~j DI~.fQSA,," IF THI:;I WASTE :P..M rrOTAI- HAqp~S: ~"'Ù ' I'. . t ~J . I ,; \ 'f':;'¡ , . '" ~ '! ¡~ NEXT SERVICE DATE J ··)L G....:f'\ - :'1,' , '¡'I" j: ¡ ", ,,{.. " :. ' ! 'I ',I J~: . ¡Iii ,f .:I ~. t: , ',I'd ~ Ii! ,: I'i ('1.1 ":1 ' ',! : DRUMS 't . NO. OF GALLONS .:S~ --::u. /P; , ~~ "J (/" 6...) /.1. ¿: TRUCK NO. & RT : ~r~';" ~'.·J:I:~;:"j PRINT NAME " , í, ('" a,·': . . ~~ .*~ '\~ :~ .. '<1>~ e e .' .. NO. ïJ:'r:~~ ;. ' ~ . Jj': ASBURY ENVIRONMENTAL SERVICES 2 J 00 NORTH AlAMEDA STREET 0 COMPTON, CAUFORNIA 90222 0 (3 J OJ 886-3400 SAN DIEGO OFFICE NORTHERN OFFICE 1-800-748-5744 EPA NO. CA,D026277036 J -800-7 -ASBURY SERV;CE O~DiElR :S.2~ &?.,~~, . '.;1":" ...., , " , ,. i .. Y', . ,¡..,~ ,I'.,....,..' ,,,. 1.;t DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA90222, CAT060013352 /~'!~ í!;i).~ L '" :~fl ~J~~ This Is to cértif}i that the above named articles are P,roperly class¡fI~d!' déS.cr(b~; pac~~ )1; ¡\ marked and labeled, and In proper condition for transportation, accördlng to tile app'üc e1: \ 1 regulations of the pep. nt Q ortatlon. : \ . ,\ ; , .. i' I' B 1';S...Itc·~ -MTê ' DATE 8- S-"':'<7 7 CUSTOMER N/'?7 /nt-<J?/t ¿Æ//))~ BILLING ADDRESS 7,/Cj / I ~ ...JJ/ ~ &. ßRf.~:ø ) a, 9.«// PHONE {/oS.J BJ 2-7-1 'Iß CONTACT ,_.~USTOMER EPAt (þt ¿ èx:X> 1::5 Ò <;N 6 1 JOB SITE ADDRESS ..$' ~ . "." ONE TIME PICK UP RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER AMOUNT (If ~ny) CHECK NUMBER " ¡.. P.O. NUMBER ,I ;. . CROSS STREETS ,', CASH RECEIVED " NOTES: COMMODITY HALIDES ~TIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) NA 1993, PG 11\ ¡ , o ETHYLENE GLYCOL NON-RCRA HAZARDOUS WASTE LIQUID I',. NO PLACARD REQUIRED NEXT SERVICE DATE o U.S. DOT DESCRIPTION: DRUMS MANIFEST NO.' 9t..1 yt lJ- ? 7 D.EUVEF1- /0# Ch-ze:+-# / ~ I NO. OF GALLONS TRUCK NO. & RT ~ HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR lEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES x x ¡',." f On .,~. :: '1\' ~ :"r" , q ,:\ o YÊ~~t'~: ';"~ ~ ~ L : d YË§ br t1"Nd', , ~r"b NO ~E?Q~ ' .. ! : ,'/ " .,,,\ to' ~~~~..\ ,.; : ,.,~~:~,. f,'¡!; , " ; ! ", , ; , .¡: ! ) LJ}, PRINT NAME , " .,._. ~.;+':._¡;~,y r' t\ ·',V.,'j' . ." ~J'ir, "IV ' ~, .', , " ,'. /"',V e 'e NO. ~ -- .....:~- 17738'6 ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAMEDA STREET 0 COMPT9N,CALlFORNIA 90222 0 (310) 886-3400 SAN DIEGO OFFICE NORTHERN OFFICE 1-800-748-5744 EPA NO. CAD028277036 1-800-7-ASBURY SERVfiCE ORDER DATE '7-X/-c¡ 7 CUSTOMER NIIJfMØJ /!/JÆ k)/}s A BILLING ADDRESS "771/ ¿,) h Þ .ßð~~{;?# ,j/Á, '7 if 1/ PHON~~ /332- '):¡Yg CONTACT CIJ¿ ÓO() I~OC¡ý 6 .. - ,,,. ':- 'ONE TIME P\CK UP ?Lð ¿(? ¿:4,4:(/ . . ¡ DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, com~íò~, CA 90222, CATOB0013352 ~I . .;j¡., : '~!I:':" ...d.: This is to certify that the above n,amed articles are properly classified, described, packaged. . marked and labeled, ~nd are In pr~per condition for transportation, according to the applicable regulations of the ~ep~rtrnent ~~ T~~n9 rtatlon. ¿tV. CUSTOMER EPA #I ~ JOB SITE ADDRESS s~ CROSS STREETS ..' .. NOTES: ~USTIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) NA 1993, PG III o ETHYLENE GLYCOL NON-RCM HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED o U.S. DOT DESCRIPTION: , { "'~ MANIFEST NO. q 6- {' y~? ~ DRIVER %// G~hC"'ýMI /",.. ' ~- ;.,: RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER AMOUNT (If any) CHECK NUMBER ",P.O., NUMBER (¡.¡~ '~' 'CASH' RECEIVED 'q:>MMODITY HALIDES NEXT SERVICE DATE DRUMS NO. OF GALLONS TRUCK NO. & RT x.. I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES x \ dl rr" '~f', P~INT NAME o YES or ri o YES or ~ o ÝE~.or ~ J I/:::-S J-p MS~- t ~SC¡S/:2. ø-¡ /' (AMOUNT) h)~ t' </cr:(\/ P.P.M. /4/).. ~ , ¡Z;)1¡1?z- DATE :¡ \ I .( I ~.-----~ ~o~~ -.. -- ~ III4\!:IIIiI ---- .. .a:a ... e e NO. 177357 ASBURY ENVIRONMENTAL SERVICES 2100 NORTH AlAMEDA STREET 0 COMPTON. CALIFORNIA 90222 0 (3 J 01 886-3400 SAN DIEGO OFFICE NORTHERN OFFICE 1-800-748-5744 EP A NO. CAD028277036 1-800-7 -ASBU RY SE~nnC[E ORDER 4 "DATE 7-;2-:;2--<17 . CUSTOMER ~ #1 L<../ j,("" BILLING ADDRESS 799'/ 4;JÁ /.h- /¢/ r EJ9~ctq âJ 9:£?)~ PHON(ß";B)~,?~ 7.5 Y8 CONTACT CUSTOMER EPA /I JOB SITE ADDRESS S ~ CROSS STREETS NOTES: t.... 'f ~ s--ðOMausTIBLE LIQUID, N.O.S. (USED OILS & MIXED OILS) NA 1993, PG III o ETHYLENE GLYCOL NON-RCRA HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED o U.S. DOT DESCRIPTION: '\. MANIFEST NO.-% s C¡Y 267- DRIVER ~¿# r:;Þl-1r---r-4/ ONE TIME PICK UP RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER AMOUNT (If any) CHECK NUMBER P.O. NUMBER CASH RECEIVED COMMODITY HALIDES o YES or Q-NO o YES or ~ o YES or ~ ( 1/~5 '-J I 7~":::-~ r7\ - R3Y l (AMDUNl) (~A> I C::/t::XJð"/ P.P.M. NEXT SERVICE DATE I L-... )~ r' DAUMS NO. OF GALLONS TRUCK NO. & AT ¿7) r{? -ð,Æf}Ø DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 // /ðt?/ This is to certify that the above named articles are properly classified, 'described, packaged, marked and labeled, and are in proper condition for transportation, according to the applicable regulations of ,the Department of Transportation. x~j 5S fé~~ --------- cu TOMER SIGNATURE I HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHERWASTE, AND THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. TOTAL HALIDES I.:L} ;)112.). DATE X';::T00Lì~ ~~'\ rG-. : . , " PRINT AME 1 " "';'~" ,~ ':1"', ,:'! '> ,t. '.: DESI~NATED T~DF; DeM~nnolKerdoon, 2000 N. Alameda Street; C()mpt~n, CA 90222, CA Tð'á~3~5i'~' if.~; . . .t·" ' .' ..... 1)f. "'J;,I\ \ ; t''' . ~ ¡ This is to certifY ~hatlhe above namedârticies arè pr~pe . marked and labeled, and are In proper condition fo~ tri1nsp(f t regulations of the Department of Transpòrtatlon.·· .;:.. ~1~: .~¡, ,~, ". . '~~tb ~. ~·t. '-;'~ ~--e> CUS~?1teRSIGNATURE ::' .... I HEREBY CERTIFY THAT I HAVE NOT MIXED THISWASTE,WITH ~Y OTHER WASTE: ~D THE TOT~'HÞþ!p.~~~.e \ÆSSJH~ 1000 P.P.M. I FURtHE~ ~ÁE~T9 ACCEPT THE ADDITIONAL . CHARGES FOR LEGAL DISPOSAL IF THIS WASTE IS OVER 1000 P.P.M. 'TOTAL HÁLlDES x .' 3e5~ . ~~f(G .' PRINTN E:~. ~: ,,\ ~ . . '--~-'---- - "':"t~fff(Mf~(~~k- !f'"'~~~...,:"j ~ :;,!¡~;':;7' .~..rr '~. ~.J ~~""__'(\.lJ ; ASBURY ENVIRONMENTAL SERVICES \~~2t~2/~?RTHÄlAM~~~ STREET 0 COMPTON~ CALIFORNIA 90222 0 (310) 886-3400 ~~ÈGO OFFICE . NORTHERN OFFICE 1-800~'~:a.,5744 EPANO.CAD028277036. 1-800-7-ASBURY ~a "~. SERV~CEORDtER '.' ....:.! 'c" . ",'t. ,'" .~. . DESIGNATED TSDF: DeMenno/Kerdoon, 2000 N. Alameda Street, Compton, CA 90222, CAT080013352 This Is to certify that the above named articles are properly classified, déscribed, þaèkagedd ' marked and labeled. and are In proper condition for.transportation, according to Jhe âp"pllcàblà~ . ; regulations of th~ epartment of Transp rtatlort'" . F·,.·~"I1I"-·~,\ '·t. ·...-·~~tD~~" ~ .¡ ~.." . .., , 'I .'j l~ ,f / / f ¡,(/ .' ... ", 'i.;'- .,.'J'''; ,,' DATE /":-'&77 CUSTOMER .:r;#y ¿uk BIL:LlNG ADDRESS /7)1 ¿, ..Jh lie ! AII' /f/lk~S~Pr¿;, 9?s// PHON~S') ß.?2 -73' rE CONTACT . . ~ . . .- ONE TIME PICK UP RESIDENT CONTRACT CUSTOMER ACCOUNT NUMBER . CUSTOMER EPA 1/ AMOUNT (If any) JOB SITE ADDRESS $~ CHECK NUMBER , P.O. NUMBER . CROSS STREETS . .,: CAS¡'fRECEIVED NOTES: CØMMbblTY . . HALIDES ~USTÎßLE LIQUID,' N.O.S. (ÚSED OILS & MIXED ~ILS) NA 1993, PG III o ETHYLENE GLYCOL NON-RCRA HAZARDOUS WASTE LIQUID NO PLACARD REQUIRED o U.S. DOT DESCRIPTION: fr~~nFEST.l\o.. 9q l/ J¡6~ DRIVER ~ C:~~¿, (' NEXT SERVICE DATE DRUMS NO. OF ~ALLONS TRUCK NO. & RT I HEREBY CERTtFY THAT I HAVE NOT MIXED THIS WASTE WITH MJY OTHER WASTE. MJD THE TOTAL HALIDES ARE LEss THAN 1000 P.P.M. I FURTHER AGREE TO ACCEPT THE ADDITIONAL CHARGES FOR LEGAL DISPOSAL IF THIS WASTE 15 OVER 1000 P.P.M. TOTAL HALIDES '.v.v~ /--1~_ DATE x , ".r, x" PRINT NAME ~J':\ìw.'1Wffl$;"·"1'r"'!?i':III'·t,,1¡ . .v·I"~I~;· ....). "'\~" :-1¡'~'i'ij":)ì;l~'~.'" '~~}."~:."-., :~ ':.\' I~' .: ;'~)~ ." -- '-'--_._~'_.p .-' o YES or IiiH'ro" i \ ~~ ~. it' f: ~ o YES or o-NrJ . o YES or ~ it . , :f (/[ If:3zr~ '-" ~~ . .~. I , I. I j:, ~ Ii .~. \ " S . '1 '9 Llr¿9s-' ," kY . (AMOUNl) . 4.J~ :, < /cðO"/; :!i~.P.M:·~· I ì¡ , ,. 14J4, '. ~ 65Ò &r ZÆf'~'·. , . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME /'I¡tt"(t''' ~ð.Î (Jto..~hïqq, C.u"I~ ^'''I.c....INSPECTION DATE ,¡tófe¡g Section 2: Underground Storage Tanks Program 51 Routine 0 Combined 0 Joint Agency Type of Tank O\LIfc.5 Type of Monitoring G. htlC"C'f'I e,"-" o Multi-Agency Number of Tanks Type of Piping o Complaint .3 ORe-inspection l} o.} ¡::: OPERA TION C V COMMENTS Proper tank data on tile è Proper owner/operator data on tile ¿ Penn it fees current L Certification of Financial Responsibility <:... Monitoring record adequate and current t, l'opltj wd\ "c. ~raJ(J.fJckJ { tÐIt1 IivtI", i! f-!(; Maintenance records adequate and current c.. Failure to correct prior UST violations t.. Has there been an unauthorized release? Yes No ('6() Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? I f yes, Does tank have overfill/overspill protection? C=Compliance Æ,~ V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy ~- e 1- ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 F ACIUTY NAME ;..{'d1 rd-- rtt r Wa.{3h, 7f1l1 fJ/~lk, hfJ'^L INSPECTION DATE lo/1g EP A ID # OéJ OJ { ;:') 0 Cf Ii (" 'ection 4: r;h Routine Hazardous Waste Generator Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste determination has been made V EPA 10 Number (Phone: 916-324-17RI to obtain EPA 10#) if Authorized for waste treatment and/or storage V Reported release. tire. or explosion within IS days of occurance Ý Established or maintains a contingency plan and training V Hazardous waste accumulation time frames V Containers in good condition and not leaking V Containers are compatible \vith the hazardous waste Ý Containers are kept closed when not in use V ~,l ~IH(f!'.J NIJ ~ Ilfp~ t(~:: f1t,j " Ne IJ.,..:IIJJ.,(I ' 6 ¿'¡. Weekly inspection of storage area V Ignitable/reactive waste located at least 50 feet from property line V Secondary containment provided IV" Conducts daily inspection of tanks V Used oil not contaminated with other hazardous waste V Proper management of lead acid batteries including Jabels H(A Proper management of used oil filters 0/ I " Transports hazardous waste with completed manifest /AJII( ~ (HI<.. I: 11; l, -'fÐ fCtJttvtt Ý' Ç-tllUt V t1Ii\ 111M tC.L Sends manifest copies to DTSC if Retains manitèsts for 3 years V Retains hazardous waste analysis for 3 years V Retains copies of used oil receipts for 3 years ,/ Determines jf waste is restricted fì'om land disposal V ('o('omph,n'iJ: V~V;~]?n ~. /Le~~ ~ If . n Inspector: rL Oftice of Environmental Services (805) 326-3979 \\'hite - En\'. Svcs, Business Site Respo ,I ty Pink - Business Copy I, - . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor. Bakersfield. CA 93301 FACILITY NAME 11 fait IrI. d;h" 11l114J.. ADDRESS 7q4 f IÅ~Jc.., 1uJ.1A~ FACILITY CONTACT Btlc~ Hofo~ INSPECTION TIME .,: 60 AAf INSPECTION DATE ¡'(1C PHONE NO. 83d. - ì 3l/8 BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES 110 Section 1: Business Plan and Inventory Program [if Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand t Business plan contact information accurate t. Visible address (: Correct occupancy L- Veri tìcation of inventory materials ~ Veritìcation of quantities t, Veritìcation of location ~ Proper segregation of material ~ Verification of MSDS availability e... Verification ofHaz Mat training St'N:' (>(1\0 't ....'0"' £.\cu '^ It. t '\In... t.- Veritìcation of abatemcnt supplies and procedures 't Emergency procedures adequate C. Containers properly labeled Housekeeping ~ Fire Protection J - rc (' 'Ñh'ítll.5I¡U IH I H(Þ1 iû l' I 1.1 .1 All c, ,^""A J. , Site Diagram Adequate & On Hand c.- C=Compliance V=Violation Any hazardous waste on site?: Explain: I1Jak ",1 riYes 0 No White - En\'. S\'cs. Yellow - Station Copy Pink - Business Copy Questions regarding this inspection? Please call us at (805) 326-3979 01/05/1998 12:23 8058315269 NIAGARA CAR WASH , - . . - - . - ~, . " "..... .. ~ ... ~ ~ M'" I to I.. F'I "" ~ EI.as 4i: 1 1 2 9 .,~ FACILITY ANNUAL U.A1'· . PAGE 02 p.el PtaI1t';~ =~~tÅ ~~~(rV\., ~ .\. c:ø.\HG&llMODJrlCAnONl (IJI"'~ 1. .... ~ - AUowtd for __ våúct. W .. œa.I. U.A W ...... ..... .. ..... DIa. TMk N..... N... ,..a ..... -1-'- , , --- , I --- WoDJcartq Pedod.. Ptoø:~1 . ,t;t. llIJr/Ij OpttVÞf:~k bh1 2. HI.,. .... .,.A'"' .......-. ... --4'md II III» ~ ..., 1M _ L2....., WI.. HO s..... " HOTEl AI np&In Dr",'tJ. .11 ÙlI"'~ "I _....... . ~ ,..It ,,.. &be....... ~. All................ tø .... pi'" . -.J..... ~~~ .:II ..,.. .. .. ~ ....., alii....... . v"'~1&fta ~ ...... COIIIIå ... ~ ........, w,.. ..,. .., .. ~ 11ft . .. MUN"l'lM4NClJSl:PAIU eM........ I. N.J~ .. U,.. _k...~..............,.... ¡, -41.u, .....1-\ ...~. . ~..~ .......... dI¥i'- ia 1M __ ~ of.. laW loG". pipùl,? , NO U1"~ .......~"" =..... cbock _...... . bJ¡ --ffl~.L ....1-' í/!Jc.l (,AI.&. AU....... ~ ,........ Þ I iIIIId ..... lilt.,... "va - ~ .. __lor? z:;¡¡, * u.,.. "'1'II¡ULrIII .....a -~- .... cIIs:k ... ""T ....-... ": ~LtJ F~.". "Q~~fS "-L1..!iJ~ ¡_....u~ ~. o. uu. _1IIIk: .WI.... 1ImCII... ..".,I.r iura1Jed OIl ~tiJ1 ÇCIa,.¡....... ,.....u.a ....... .. ....... aIIDIoI .....,..,. ... .... '-lit 111: "{r<' - -L/.S..1!l:1 a a . .AI.tda a CD." 1/11_ .. .... . · a .4. n. ~ ...l1li1 BiD.... c:W.k GO aU ·"'1M~r UM leak ddø:.IorI wu ~... ..,:-t~~..!~~f!Þ --J-'+':J.S .0 1» ....... biuav.al _ ~ .... ~ ~ ¡r _ *1..... .. . ÅI ~ "It 0 by: -A- ..,= __,_,_ 'ASS,OI 'AIL . , I .A$I or rAIL --...r ~__ ~ Hal" 7.p. 39ttd NO It,(j! C'CINI;11J\1 ~e.E~ttL;0e b~:zt 'b~t(8t/\t .. 1211/1215/1998 .1 f: :?~_ . . 812158315269 --.,.: . "..............-;... NIAGARA CAR WASH ..... ¡. I e.l..~He .2. 112~ PAGE 1213 P.el2 2. W.rw -7 of'" foJJo'A1a. JePûn CQad~ II. lb.. tMi1i~? It)'., I~ bch~w. YaI NO - ..- of ~... PIMIIIII .r "Roe. ....... ..,IMe_a or I&u 1_ __ton _.1..-1 or 41~ or ØIð&l::n a.,.Jr or I'IIpJea._& ol.l~c 1_ cI...~OII co....*' - IUMMAaY: AI """"'·c. sr~AØIMOÐØ'IEÞ lNYEH"roar CONI'ROL MONITOJUHG Ø'11w.¡.. ""'~ Ia.....". f9WGt ...)') ¡M'W. ÍaI.~ 1111 twp:tt1abI. 11=".. 1J.1CId I.D œ. applC'~ iav_1Ør7 ao"~lI11OÀ&tQ~1 dlilÙl, ÙIie ,.. N"y. ...... ~ Si~ ST4.TJSnCAL INVENIOJ.Y UCONCILIATION (SIR) S'OMMAILY UJIIOaT "lAiIiI*~'''~ (...... -....... ...:......... III) 1_I.D. M1&d.;" r-.at c.p.cJE)': I..uI TìIAII: T- DaM:_J_/_ ,.us or J',\D" . lMI 'ipiA'... ~_I_I_ p,u,s <6 F.uL C All ~ .. .-... ..... - ..... .. .... ...u;q _ø .,... .... .... ........ " 1- ....... a ......., I. ...... ___ oN·. .__w..' ........ _ .. ~ ....... ill.. .... ....... _ ... ..... Uft. U .... ... ..... ........... .. fa .....'1.... . ....lit g..,.., .......~ ...,.. __ ..~.... '- ...... :INt.! ... ...... nIa ....,.'" _ ...... ..... :w kI&n 0' ~ . "..... '.......... up. .... ),fiai-.a t..k . ~1~tf"lc c.I~ ~td r...t .. t..r.ù ... Pw, PaLl. Mulb!Ycar (rpb) (øb) (øIa) ~lwá" "'.... Iii _Y' t- ~r ~ ~ pgDua 01 iIMI ¡ww.,..... Þmt:ICI CGVfJWo ,DY u¡r.II..~~~.n .....--, of............ h. IIICIIItW, sm rep>"', COmp.... (or aU 1a ........ 12/12/1997 12:05 8058315269 .¡ NIAGARA CAR WASH e PAGE 07 EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TAN" MONITORING PROGRAM Tb.i.s moailOriq propam dlUII be ap. at the UST toc:acioa. at all times. The íntormatioD OD this ØIOIIåtoriD¡ praøIIII an CDIIdiàoaa of me opaariq permit 1lIe pmn.íl bolder dl1&II ~ tbe omœ of EØYÌIDIUIIeØgJ ~ -.itJIiD 30 àyI of My ~ht... to tbe IbOGÏtoriD. procedwa. ualesa requUed to obWn applVVlll before -"'1"* daIap. Ilcquìnd by Seaiou 1632(d) aI14 26l1(b) CCll Fdty Name Facility Address 'f\.\~~ ~ ~~..h ...,~~ \ ~ '-"\ \- ~ \..1:-m~ I. 1I &II WllUthOnzed release occurs, how wiU the hazardous substance be cleaned up? Note: If teJascd hazardous substances reach the environment, increase the fire or etplo.ion hazard. lI'e not cleaned up trom the secondary containment within 8 hours. or deteriorate the IeCODduy containment, then the Ot1ice of Enviroauncmal Services must be notified witbiD 24 bows. A~C'.n't' d\ ~ -\b ~ ~~~ ~ ~~ ø~ Y"~ \~~"-. ~ c.:;y~\ ~'.\\ '~ ",'o~\.c..." ~ ~1:.~~. ~~ ~~~\ ~ ~~~~ a~ o..~~~\~ '\Q \~t...Ì \ ~\;.. ~ ~ ~\ ~'~\~~~'a . 2. Describe the proposed methods and equipment to be used for removing and properly dispolÎÞ8 of any hazardous substance. ~b~'bt-~ ~ Q.'-J;".\ \~\:a\"\.. '-'1 "'r'~ ç., ~'4. ~ ~ '^~..\ ''''' ~~ " c.. ~\\. 3. Describe the laçation and availab~ of the required cleanup equipment in item 2 above. ~~"'" ~~ ~ ~J \.'-. ÛJ~~~ "'V~. o..r.. \.. ~ c;..~,t..\ \~\:a\"" 1..~ "'....,. ~ ~'1 . 4. Describe the maintenance schedule for the cleanup equipment: c.on. ~\~ Co.'t""L ~~ ~,\'\ ~ ~ ~1' ~~ ~ ~Y. ' br 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work neçeøary under the response plan: ~L."'~~ ~\:;\t' (Q~u..."\ ~\~cÀ~ "'VY.....A-1~~\ 12/12/1997 12:05 NIAGARA CAR WASH .. WRITrEN MONITORING PROCEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM .; 8058315269 p--' ".- .. PAGE 08 TbilIMIIicariD& prapam must be kqK II die UST tOCllioa It aU riøI. De, hA..... OD dÚI.~""'iua pftaIPID are CIOIIIdiâooa of me apa1IIiq penDit. ~ permit baIcIa' II1II& ØOIify ~ omøs 01. ~IM.'-_. I s.:m- wídúD 30 daJI of 1111 ""'~... 10 die møaatariq proœduIa. -- nquind 10 CIIIai.a ....,........ bI!Iftn Nfri"l die c.... RÆquínd by Scaioas 2632(41) aod 2661(b) CCR. Facility Name Facility Address Y\, ~~~ G..,. \-J ~...\ ., ,C\\ \J~"- ~~ A Describe the fi'equCDCy of paformìnl the monitoriø8: TIDk ~\'\ ~ ~~\~ \ Pipinø B. What method. aød equipmcat. identified by name ad moc:t.... wiD be .ø 1br ~ the monitoriDø: Taak ~\~ .- Frí\.~ Pipinø C. Describe theloc:aD.on(s) where tho monitoring will be ~ (tàc:llity plot plaa sbou.Id be attached): ~ ~,~~ \. \ '::Þ "'~ 'ol \.~ f.\~W... \ Lcae """ D. List the name(s) and title(s) of the people responsible for pertòm:ùDs the mollÏtoriDl and/or maiøœ.inias the equipment: ~(~c.4. ~~~~ (G.r.- ~ '\ ~\ ~\c..\ A,.\~ (À.~\. ~r) E. Reponing Format for monitoring: Tank ~ \~ -::::t::u......-\r.....: ~~t^"t., \Úa."'·"" Piping " F. Describe the preventive maintenance schedule for the mollÎt0r1nø equipmeat. Note: Maiateaaace mu.t be ia accordaace with tbe m...lacturer'. maillteaHce tcbed_ but Dot la. tba. eve." 12 moar.... .A...n~\ \~~,..ro-- ~\ ~\\\ v-..+ ~ ~ ~~\A - \ - G. Describe tho training necessary for the operation ofUST system. incIudiøl pipiD& IIId the monitoring equipmeftt: (t~~ ~"'...~\... ,..,,.\-.. ~\h~.. ~\c~\ ~yQ ...-\- ~\ cs.....'Þ..., --"r 6.i \" '\0'61..... ~ ... ~ ""~ ~ . ð - - - - - - - - - tt:)RRECTION NOllcE BAKERSFIELD FIRE DEPARTMENT N~ ' 021 0 Locatiol1 /V1'~;42.4- C~R úJII<4 . Sub Div. 79Ç I 4.)J,,:'/.o L J1. Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No Completion Date for Corrections I z,lz ~- Date/f/-Z-?-/U- 7ØI~cØß~~__ Inspector 32&·3979 ," - "''''Wllllce & S.illl CI.trlctlrs 3325 Lal1(ico Drive Bakersfield, CA 93308 (805) 327;-1436 FAX (805) 327-8865 -- LETTER OF TRANSMITTAL To: Wegener Construction 1710 Calloway Road Bakersfield, CA 93312 Date: 11-22-95 Job # , Attn: Doug RE: ~ § lE; GENTLEMEN: WE ARE SENDING YOU: [ ] Attached [ ] Under separate cover via UPS NEXT DAY the following items: [ ] Shop drawings [ ] Prints [ ] Plans [ ] Samples [ ] Specifications [ ] Copy of letter [ ] Change order [ ] Pay request [ ] Copies Date NO. Description THESE ARE TRANSMITTED as checked below: [ ] For approval [ ] Approved as submitted [ ] Resubmit copies for approval [ ] For your use [ ]. Approved as noted [ ] Submit copies for distribution [ ] As requested [ ] Returned for corrections [ ] Return corrected prints [ ] For review and comment [ ] [ ] FOR BIDS DUE ,1995 [ ] PRINTS RETURNED AFTER LOAN TO US REMARKS Doug: I talked to Mark Turk. It sounds like he has lost the forms. Before you fill out the forms, call him. Call if you need my assistance. SIGNED: :MiÆ! ŒucÆ!y " . , I STATE OFCAUFORNlA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A e e COMPLETE THIS FORM FOR EACH FACIUTYISITE MARK ONLY ONE ITEM , NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl. PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION. 0 7 PERMANENTlY CLOSED SITE o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACILITY NAME NAME OF OPERATOR PARCEL' (OPTIONAL¡ o CORPORATION o INDIVIDUAL o PARTNERSHIP . 0 LOCAl·AGENCY DISTRICTS O .,/ IF INDIAN 'OF TANKS AT SITE E. P. A. L D.' (optialaJl RESERVATION ~ OR TRUST LANDS .:;,,¡ o COUNTY-AGENCY o STATE·AGENCY D FEDERAl-AGENCY TYPE OF BUSINESS ø 1 GAS STATION 0 2 DISTRIBUTOR o 3 FARM 0 4 PROCESSOR 0 5 OTHER EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST, FIRST) PHONE' WITH AREA CODE HoBIN 8~/AN {;'4 -7570 NIGHTS: NAME ( T, FIRST) PHONE' WITH AREA CODe 8ß.IAN ,~ -7570 EMERGENCY CONTACT PERSON (SECONDARY). optional Dïlôðt'1:jFIRSFRANK ~ GP¿O;.:w;:¿r:¡.qDE NIGHTS: NAME (lAST. FIRST) PHONE' WITH AREA CODE HoB/N Pf<ANK ~t;4- -oð1-Cf II. PROPERTY OWNER INFORMATION· (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION .Æ1-'d'-þ ~ MAILING OR STREET ADDRESS .,/ 00' Þ indical8 D INDIVIDUAL o lOCAL·AGENCY o STATE·AGENCY o CORPORATION D PARTNERSHIP o COUNTY-AGENCY o FEDERAl-AGENCY CITY NAME STATE I ZIP CODE I PHONE' WITH AREA CODE III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER ~ CARE OF ADDRESS INFORMATION ~".-þ MAILING OR STREET ADDRESS .,/ 00' Þ indical8 o INDIVIDUAL o LOCAl-AGENCY o STATE·AGENCY D CORPORATION o PARTNERSHIP o COUNTY-AGENCY o FEDERAL-AGENCY CITY NAME STATE I ZIP CODE I PHONE, WITH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 739-2582 if questions arise. TY(TK) HQ [I]:±J-CIII:LI] V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I.~ 11·0 111.0 THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT APPLICANT'S NAME (PRINTED & SIGNATURE) '.I. P. HoBIN LOCAL AGENCY USE ONLY APPLICANT'S TITLE V.~ q5 COUN7Y # IT] JURISDICTION # UTI FACILITY # ITIIJI] LOCATION CODE· OPTIONAL CENSUS TRACT' - OPTIONAL I SUPVISOR - DISTRICT CODE . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B. UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (9.90) FOR0033A-R2 ~ -------, --- ----"------ ..-._-_._-_._,-----~_._.~------...:.:..------------------------~--- e . STATE OF CAUFORNlA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLlCATION'~ FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM '. o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGËOF INFORMAilON: o 6 TEMPORARY TANK CLOSURE ." 0 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: ; ¡, I. TANK DESCRIPTION COMPLETE ALL ITEMS·· SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACITY IN GAlLONS: II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC. 01 MOTOR VEHICLE FUEL 0 4 OIL B. C. D 1a REGULAR 03 DIESEL o 6 AVIATION GAS A. UNLEADED 04 02 0 EMPTY 01 PRODUCT 0 1b PREMIUM GASAHOL o 7 METHANOL PETROLEUM 80 o 5 JET FUEL UNLEADED 03 CHEMICAL PRODUCT 0 95 UNKNOWN D 2 WASTE 0 2 LEADED o 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALL THAT APPLIES IN BOX 0 A, TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 . 0 0 0 1 BARE STEEL 2 STAINLESS STEEL 3 FIBERGLASS 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 AlKYD'lINING 0 3 EPOXY I-"NING D 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING 0 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO--,- D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION AU' 95 UNKNOWN A U 99 OTHER D. lEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING D 3 INTERSTITIAL D 99 OTHER MONITORING V. TANK LEAK DETECTION 0'1 VISUAL CHECK 0 o 6 TANK TESTING 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE , 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MOIDAYIYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FillED WITH GALLONS INERT MATERIAL? YES 0 NoD THIS FORM HAS i3EEN COMPLETED UNDER PENAL TY OF PERJURY, AND TÒ THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPlICANrs NAME· DATE (PRINTED & SIGNATURE) 0 . f? Ho BIN LOCAL AGENCY USE ONLY THE STATE J.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW . STATE 1.0.# COUNTY # OJ JURISDICTION # ITIJ FACILITY # ITIIIIJ' TANK # rn=IJOJ PERMIT NUMBER I PERMIT APPROVED BYIDATE I PERMIT EXPIRATION DATE FORM 8 (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMrr APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FilED. FOROD34B-R4 STATE OF CALIFORNIA _ STATE WATER RESOURCES CONTROL BOARD _ - CERTIFICATION OF COMPLIANCE- FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM I. SITE LOCATION STREET 7qq¡ WJ.lIT/E. LANe CITY 8/tK e:.f{6 PIe. L 0 COUNTY KEERN II. INSTALLATION (mark all that apply): o The installer has been certified by the tank and piping manufacturers. D The installation has been inspected and certified by a registered professional engineer. CJ The installation has been inspected and approved by the implementing agency. D All work listed on the manufacturer's installation checklist has been completed. o The installation Contr?ctor has been certified or licensed by the Contractors State license Board. o Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information provided is true to the best of my belief and knowledge. Tank Owner/Agent Print Name Date Phone ( Address LOCAL AGENCY USE ONLY STATE TANK I.D. # COUNTY # rn JURISDICTION # ITD FACILITY # ITIIJIJ TANK # = FORM C (7191) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOROO35C7 ,. STATE OF CALIFORNIA A STATE WATER RESOURCES CONTROL BOARD .. .. CERTIFICATION OF COMPLIANCE .. FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM 1. SITE LOCATION STREET CITY COUNTY II. INSTALLATION (mark all that apply): o The installer has been certified by the tank and piping manufacturers. o The installation has been inspected and certified by a registered professional engineer. D The installation has been inspected and approved by the implementing agency. :1 All work listed on the manufacturer's installation checklist has been completed. o The installation Contractor has been certified or licensed by the Contractors State License Board. D Another method was used as allowed by the implementing agency. (please· specify.) III. OATH I certify that the information provided is true to the best of my belief and knowledge. Tank Owner/Agent Print Name Date Phone ( Address LOCAL AGENCY USE, ONLY STATE TANK I.D. # COUNTY # IT] JURISDICTION # []I] FACILITY # ITIIIJJ TANK # = FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOROO35C7 STATE OF CALIFORNIA _.- STATE WATER RESOURCES CONTROL BOARD _ ., CERTIFICATION OF COMPLIANCE" FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EAC~ TANK SYSTEM I I. SITE LOCATION STREET CITY COUNTY II. INSTALLATION (mark all that apply): o The installer has been certified by the tank and piping manufacturers. o The installation has been inspected and certified by a registered professional engineer. o The installation has been inspected and approved by the impleQ1enting agency. n All work listed on the manufacturer's installation checklist has been completed. D The installation Contractor has been certified or licensed by the.'Contractors State License Board. o Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information provided is true to the best of my belief and knowledge. Tank Owner/Agent Print Name Date Phone ( Address LOCAL AGENCY USE ONLY STATE TANK I.D. # COUNTY # rn JURISDICTION # [I:IJ FACILITY # TANK # rn:IIJ],. = FORM C (71911 THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR003SC7 . .~ ----------------..,"-.-.- -.-------- - _. - ---._--. ------ . .~~-~---- -----.---...---- 11- ;;r8' - 9"-- .~_____~___.... ~ - - ._" __ _" ..';- _'__..-<___- _...._-1 __ _~__._____ - ~ _. - --- J1/1(~ - _~,'-v..I_Kt~----_-- _ _____ ~_ -__ _ --- ----- ........-- --~--_._--- ----...-- -- -----~-----.--.- ~-~ - -~~-_.__... _ -i'J(ó _ _Ò£Ujt/1//I!s _y_ ~~__ _-Z[#~5 £ _ J~~$__ I_ __wtm~ _¡}___-;2>lk~---_ -Io___Ftlt__()þ.(_______ .-------4--------~ _______ ___ -- _ _.. --_____! _. _ ________~~_e._)1t¿t/IJ ___/lJ£tf5l~_u~_____5i.'/_ ~___~~___.~).AétJ:!----- ____ ____________ _____. _ ____ ______.3_::____iJ/.!./J1 ~__Æ _ _.____ _ ________--1 :___ _tO~&__AH____ 1:.. ___ J!ØYNQ.__ GQ¡JJ.<fJ- _cð -.--,---. ----I------c--~-- ------ ----'---'"-..-.;-------------. ~----- ------- _ __~_ _________ _________ _ .________ ________._______, _~¥JJ ________________ -------'-. ------------------"'------{)¡)JJ-f---- ------- ------...--- -.- ----..... ---------- -- --- -------- ---+-----------~.. -_.--- -- - --.- -'-'~"'- -- 1------- -----<-.---.--- ---------------.~---- ---------..--~--------- -_. ------...- -- -,"--~------ -.' --~ ,-- - -~--...-_.. _.~-----_.._~......- -" --~_.- --..-----~--_.--._--------_.---+- .---..--..---.---.-----.------------- ~ ,- - ._--- ------.-- ----------.--.--.-- ~-- .---.--...-- -...... ~.---_._--- -1'-'-- ------...----.--~--".--- ----...-------~--_. .-.---........... .----..-..-........---. ---,-~-------._~---~----- ----- --..-~------- -~--- .--. ----~-------_._....._-----.- - --- ---'---~ __,_. -___·...________....._...-_~".____.__··...__..e_'_'___,___~_... ______ _~ ....~__-.___~_.__~______+________......._ .________..____________ ______~__. _.__ -,.....__ __'._ __ _-______. ..._. ___. ..._____0._....._..._... _.. _____ _______ - -------. - ..- --- ,----------------. ---"1--1 ---- ..-.- ------------~ ~~ ---._~",",-_.-",-..__.. ___"-. -..----. - -----------.-- ---~_._._--... - .._-~-- -. ---------. -....---"""--.- - - ..--..- ------.- -.--.....--..------......----... - --..-.-- --~_..._--- ---. -._-~----_.,._-- ~-----~ _.~-'--.' .'.-....."'-........---- --...-.......-.. ----'.._-~ ~ - -- -p----. __.. -._ ___L____'___ _ ._......____.___________..___. -__,._._______.-__,-.~_..___________r-_------ --.-_ ____.__~__ _._______.__ ~_.______ - -... ""'---..._-,,_..._---~-------------~----- ......-._-""-~.. --_. -----.--"".. - ..--------..- ,.--~_. ----~.-----~-.- -~.--------------- --- ---- _______ ~._ . _ _ ...-. h_ __ _. __.. __"'_ ~_._ __ ____ -"--,. .._ ~ ~ ..__ ____ _ t---- ___ '._ __ - _-_ _" --_._ __......- ~ ___ -_ ~____ '---' ~--- ~-- _...-_._--~-----,----~~-. ,....---..- ,,-'. ---""'--_-..~..---.-.. --. -.....--. -~---;....-_.~-~-----------------------._- ------- ---------- --_._.. --, ____~___#_____.,.__ ____ _.--.-_____-._..__..___. _a,___ __..__..._______.___ ?_ _.__..........-..__...__ _ 1'_ _ _.__ __ -___._._______ - ----~ ---- ~.... --,,---.-..-....------- -.-----. ....----- -"'------.:- .--- ---------;...--:.-.- -_ ----i- -_. --- ,-_.._.~ ----------...-- ---- ----.. -~ -------- Þ_'--"-~--- _. -_..,_ _"'._...._...._____. ......_,____-..-.._ .....-..- --.........- ...,-...-.......-....- '-- -- -.----. -~---- ----+_--..~--_.-- ----...-._------- .----.- -----.. ------------¡ __ _..__ ___ - - .... ._ . ._....>.___ -0-_-"-.-- __ .. ..--~..--- -. --- -- -- - - --.. - - .. .- . WIIIICI & S.i.. C..Vlct.rs 3325 Landco Drive Bakersfield; CA 93308 (805) 327-1436 FAX (805) 327-8865 . LETTER OF TRANSMITTAL To: Wegener Construction 1710 Calloway Road Bakersfield, CA 93312 Date: 11-22-95 I Job # Attn: Doug RE: GENTLEMEN: WE ARE SENDING YOU: [ ] Attached [ ] Under separate cover via UPS NEXT DAY the following items: [ ] Shop drawings [ ] Prints [ ] Plans [ ] Samples [ ] Specifications [ ] Copy of letter [ ] Change order [ ] Pay request [ ] Copies Date NO. Description . THESE ARE TRANSMITTED as checked below: [ ] For approval [ ] Approved as submitted [ ] Resubmit copies for approval [ ] For your use [ ] Approved as noted [ ] Submit copies for distribution [ ] As requested [ ] Returned for corrections [ ] Return corrected prints [ ] For review and comment [ ] [ ] FOR BIDS DUE ,1995 [ ] PRINTS RETURNED AFTER LOAN TO US REMARKS Doug: I talked to Mark Turk. It sounds like he has lost the forms. Before you fill out the forms, call him. Call if you need my assistance. SIGNED: :MíRff ŒucRffy ,,,,- ~ --~ -- - BAKE_FIELD CITY FIRE DEPART_NT'" ~". HAZARDOUS MATERIALS DIVISION ~~~ INSPECTION RECORD fVI.~ ~ POST CARD AT JOBSITE I \ FACILITY NIAGARA SOUTHWEST CAR WASH OWNER NIAGARA rA'R' T.TA~'R ADDRESS 7991 WHITE LANE ADDRESS 1701 STINE ROAD CITY. ZIP BAKERSFIELD. CA CITY. ZIP BAKERSFIELD CA 93309 PHONE NO. PERMIT # BI-0025 INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL INSPECTION DATE INSPECTOR Piping & Raceway w/Collection Sump PIPING SYSTEM 1. Backfill of Tank(s) Spark Test Certification or Manufactures Method Cathodic Protection of Tank(s) ¡::¡ 8ectricallsolation of Piping From Tank(s) Cathodic Protection System-Piping SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEÀK DETECTION Uner Installation - Tank(s) Uner Installation - Piping Product Compatible Fill Box(es) Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Une Leak Detector(s) Leak Detector(s) for Annular Space-DW. Tank(s) Monitoring Well(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater FINAL Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements CONTRACTOR to )~-Þ1~ --- '/.' c OVl ~dJ:)f.¿t:' 'h ~V7 /\ LICENSE # ¿'¡1.:s.,'3 .-,.".. r ~"'?..... . - _._-_._~ -~. .. coNc. CURB. - " _DO. ___DOO , i - ~////./././~ +!...+I tt :t:t - ! .. . 1'--4-11 4& '- 4-" - .. 9 . -' ,- '¢ Q _I - , , ;1_+11 .' .' .' . ( ~ '. G> 1- 'XI . r .., I '-- .J 2Q;U cû ~ll~.~~~J þ - ,---- - \9 eJ 4 /J ' .00 " I .00 ú) 2 o ~j \9( ¡j~ " " .. 4'_ bit :.00 /' \9 ill y.. I }- Zo Ij)JZ ...._( 30r: \ ---J~ e,UL;K OIL T^NK FIVE. (5) COM- P^R. T - MENTS -- '?50 ^ ,- ~ BASEMENT FLOOR PLAN 0^LLONS E.A Wallace & Smith 3325 landl:o Drive BeIIersfieId, CA !a308 .3 -;;2. 7~ 143 (p MICHAEL BUCKEY V4-b .. .' _ 0 II ì-~;z.-q4- NIAGARA AUTO LUB¡:; 7qq IWH ITE LAN b. -:; e e I, I 'f Prw~";.,( ( \ ( /'--~ SÙ¿A~O jJ ft5T T?::~~ ~ is -..L E:z lè rY\Q;r!~ ~ ~~ :7AtJ\ . ¡4h 6Y z0 (~ \CüJ0 1\; aM--- CCJ.JA--- -------------- --- ¡ --- .---- -~- ® ~ ~ ~ ~ wASTE! "/ OIL- 1/+ \I = II - 0 II ì - "2. ';L -94- A ,/ v./ASTE OIL- . \ I SECTION A - - - NIAG^RA AUTO Luf?E.. ~ I i! " :e: Ie NIAGARA .:I_UBE AUTO 7-~-Z-q+ -, 1 GRt EG ~ EO ~EQ~ ;PI I .:¡ I I II I I f I J 0 0 J 0 0 0 0 '\ '2.'1 ¢ 0 I I 0 0 I I (TYP) J J BULK I I OIL 0 I Jk II ø I 0 T^NK 0 1(0.. J I (PAINT WHJ1TE:) \ t ~ IQ ~ .3" ' . I '." CHANNË~ t t I' , I: 1 < '? I~ 70/b'l > 350 GALLON COMPAR.TMENT U L LAf:)EL ~EQ. PLAN \ I A " (INCLUD. LIFT' N<S EYaS) (INCLUDE:. 6AUGE ê-.. VE:=.~T FOR EA. COMR) . NIAGARA LUBE A·UTO ï- ~ ;2.-Cf4- I~ '2 J_ Òll ,¿ANGLE ~ ~ ,.->I' - ~ . ... 'I eo" . -- ~I·· J J < 3 .. . - ._-~ I-- . 'f ) BULK OIL- T^NK. FLOOR SEC~ION v- ¿ SIN6LE WALL- ./CHANNE.L- J .-L~ '1\ , I A. - ~ I Lf\ ·NIAGARA LUðE. r--.. cj) Wr-. '>-r lliZ 0)UJ z> ¡:J ~W -.J ill I :) We( Ot!) :J. .JJ I UO I 7.7. AUTO i-2-;2-CJ4- -- 4-1- 61( \ PIPS 10 E~TEND TO E:>OTTOM OF TANK '.. j. ..' .J <: :J CJ W " J « :J G w WASTE. OIL TANK (PAINT) WH ITE. - 0) ) - cO o 000 000 '2J1¢ / (TYP. ) - -- -0 ----- o ~CH^NNELS _. ~_. CO<PG GALLONS U L L ^ 6 E L, R EQ PIPE.. TO ¡EXTE.ND 10 E:>OTTOM OF o 0 TANK -- -...J'-....) -.... -0 to " -000 o z « --1 (L o " ---7} ~ (TYP) . 1- o-~ J 0 ; -___".6.~__ t (TYF?) ! NI^GARA LUBE. AUTO 1-~2-44- 4 ,_ 611 ~ -( '2,11 ---7 I ~ . I 5(NGLE WALL ~ ~ I I I : 1"- PIPE TO I i EXTEN D TO II ~OTTOM OF II TANI<' AS II NOTE.D oN Li. PLAN WASTE OIL TANK - ) I.· ... . .'t >< _I < C'1 ~ - - ({) \ 3ß ('1 --7 ~ - - -- - ----.:.-'------- , FLOG ~ - "- CH^N' E L- I ;(u ~~ SECTION 'e/ - ~ \,.' . ~ e . . to Operate Underground Hazardous Materials Storage Facility Permit d0:ft~:rmit No. CONDITIONS,))::IN:::::::"REVERSE SIDE ...... -,.. ..... .,. . ;':'"':', ::.' "' ..;.:....;.;.: ....:.;.;.. ............:.:.; . .... . ...... ......... ... -,. . ,-. ..... .,..-." '. '" ... . .'. .... ......".. ... .. :: .::. ":':':':'. ';':'. ..;.............:.:.. ..... ", . ....,.. '.", ............... ....... '.... '::';:'" :;:.' ":;:;. '; .....:.;.:' .:.";:: "':"',....::::', . .. . . . . . . " . . . ... .. . .... ...... .. ~~!lq6:::i:::···· Y.~:ªri,!::!!>: ){=:Ìank ··:l~ok·.:·:.::·::··!':. Piping ¡lt~..~OCO¡j:·!'( .~;~>fi:,t~.~~:~,..!~cc..°~~.?~~\'~:; .. ". <} /ð· ··..·:~.I/'-'.,..C.... LI~ . .....i':!'\ _ l:Ú~ò:\ (~~;"i?l¡~p~l~(ciL~; . it:; . 0... ...... ....... .... .... ......... .. .. .... .... .... ........-.............................. ........................... . . . '.. ... .. . .................. ......... .. . ... ...... . -.- ..... ................................. . " - ..... . .. .... ............ . .. '. . . ,.... ............... . .. .. . ........ .... .. . . .. .... .... ..... ...,................. . .. . . ..... . . . .. .... ...... . . ... . '" .... .. .. .. .. '" . ....... . .. ..... .... ... . ...... . . ... ........ . . .. ......... .... .... ..... '.' ....'..... ..... .....' . .' . ,..... . .. ... ..' .. . ... ..... " ... . '" ...... '.' ... ..... '.' ." .. ........ . .' . .... ..... .' .' . ... . ... .. .. . . .. .-. .. .... '" . . .... . . . " . '" . . .. .. .. ... ... .. ... .... . . .. '.. '.. . .. ... . .. .. ~ . . .. . ... ...... .. . . . . . . . . . .. . . . . . . . '" .... ... :'.. ". ...:.:-:.:.....-; -". . . .:-. ... ..... ........... . '" .. ...- ... "- . ... . ... . .' ...... :.... .... ". .... - .... . . . . . . . . . . .. . '\;.::':'.. . .\:: ~t. :;::: ,.;t::::::. ':-.. )'. .. -:. <..': :: .,"" ':,..... ..::< -=.. "; .~< .::;...... . :·:·:·<:~:::;\:::::;~(tr /;~::<t.;::.::\;:<: ';:- :~'" ~: :'" .' .' : . ..:-.:....: ''''':::'' . :". .:)::., .... .- ....... ... .. .... .':;;:-.' :;;:::' .:::::.' ':.:.;. ......:..' . :...:.'.... :::.........:::....;...:::::: .-};:- ::::;; ::;:;:::., ..........:. ..... ...... ...... .. .. . . . . . . - . . .. .... ...... .. ..... .... ...... ". ........ ..... \:::::::::..:,=·:r: Issued To: 1.0. No. -State Piping Monitoring -ALD AL.i) RL..,D Piping Method ~5 Pfl.e6S rR.e6:> ¡:RA;\ ~ Hob;", N\'A~{\f-" c.¡\~ wAsk ì '" '\ \ !,),,', 4 <.- I. 1\ ß\-<.~Çd } OC¡ " Hazardous Substance U L.. R~~~ fl......> )L $'^r~ Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester A ve. 3rd Floor Bakersfield. CA 93301 (805) 326-3979 VL. Tank Number O( Issued By: ()'l. 03 e\ from: Valid -- Coordinator ---- Ralph E. Huey, Hazardous Materials Approved by: RB»~1"ELEPHONE~caNVER8ATlO. LcœIion: N''A~R.,t4 8 W 10#'" Business Name: 7"7<1/ IAJ 1...- íÞ / Y\ COntaå Name: f)~'J\ k~ RIAf'-J<~ Business Phone: ~ 2>2 - 734B Inspector's Name: íY), / ~ c.-~ FAX: Time of CaU: Date: all<...( /75 Time: §~so Type of Cail: Incoming [ ] Outgoing [~ # Min: ?-J Returned [ ] Content of Cail: -:z -laid /nR.. ..&d:.-€/ Å.:2. ~~.b(C ~ ~p ~< '!' 1- fe-Roy¡" :is ~e.. ~/()R"lr.JL.r-r-Ð i I Avvi t'ÂJr4J-f? ðr"'( "f-Af1k~ ,'~ Y(p-.:.. I~" ~o,¡:,. ¡./~ A<~~ ,4(fJU't- ~ f!.~ /.JC:Þ ""o,{o...(. Y-k~~ () L Ii ~ y- ~ 'fA#1kc. leA 1- .ÁQ - d.eP~ + 1..4(./1'3.. k'f.~:( ~ ~/\"1.I'\~ C-J~,QW .~ ) ~{? ~ ý.~~ <-J.Iv.JALç¿.{u~. T Tc::Jld h.:- """' (Tb! ~P'J,., ~ 3fA~ (,. . Actions Required: ~~ ~ ~wk.,,) -If.A-1 ~Je- ~<:;t!)J'YIf- ,q~i:t.-,¿,q hCCIZ Y-Á<Y+ -five. CO~(~t/J1¡p~ 1.19~~ f'Jl2;dCA~ f- -¥-,~~il Yffd. Time Required to Complete Activity # Min: If) ~~t:· -4 --- ~ .. '. .' , . " I i- -.-- '~ -.--. t ~ ~lY"¡.qðA~ t-_c..2h:±e-L10 \~?-/~:?:'¿~iÇ_--+--(;~~ ( I G.~~-~-wl-4lD.-~-~ ~~'k-~~~ cI-~~,--~---~~~ ->J- ~~_G.bv'-LÆ ~ ;» N6-~-~~-~-h.-¡-~~s-7~~v- , c~le C_t1~[L~J~~if.~~~_ : ~_'r\fJ2..ZÙ2!>-I-~-o--1>~~7-V-14£LJ¿~:_~ ~5 c-d= l-C-ð~~<e-Þ\J-L '~-~~~~-ð~~~~~ LbÐ~-® l~~p_w~lJ1~ke DkJL~ ~s_w~~-~-J~~~-I-~:--be.~s_._T_~_\.J._fu ~ k.£..~_~ ~j)Jt(~ 'l~$--k\LL>-h~-. ~t~~~~_ðL~~::: &'-GQ-S-~Ä-Ì'":I~~----0-~--LL/..I-±CD_k1_fu,,_~ ttCD-~.t.?i= ~-~c?--I:>-~-'--'-\&_-'I~tA1ð IN 4~_cl~$_~A-Jc.L.9,,&/\. _~_\¡iI\_~ ,æ¿"".o.¡;y~ --t-tlO_(cBkc.'£""VJ. N o'l.l.L.e_. -d..)2Z!-1-S::: ' &1N1- ~'4d<e..+ .Cð-Icw'i,:;t6A}5 L - 2. ,A,B4-L~-C¿~2. "J2~+I5k~<-~_~~e-Iê.-~~~J.~e...~ _______________+__ - ___________ ---_______~______________~___________~__~_, ;;'/~L2S 1lJe.'f {lac~~ SYft-D-YLSt'le.- I º-~~_IA.).e-d~(V\-' L~u.Lcie "- ,~-'/Q~~--6~""\.¿~ Av--d :r~ do\;l.'~ l~ve_ pelf.~~<\--<:'.Ji~ SA I'A '\6P~ CO~~A~--\- (\\~k.e. B\~\(Pl) ,\+'J >þ<~\ he ~~.~~\ --- .-" ~. ~ j JY~\~~ ~~P- L.) ~b ~ _ _ß(~.e~A £C ___ ~e-~~±~4 b ~~ " A-C 1Av.. """' . c9/1e. f-. ~K. I, ~ +tt-e- AA(\.'^"~ V"\.~~-'s:.~~ f"'~'\- t4+ ~ ~ iè9~ <Z.Vd( {ol Co Ie; '1 md- ÞA-V\ CeC/Z- / We~QY1 ~, I C::-;;'7- fl,Q.,'r11~ ?'JD' ~ ; (e. ~ 'I- f' ~~ u...ee- ~:l. I ts / / 8 J.... . So/l f./2e1 J.. C> t . .....'/.s I ,., D 1(.714 k:s ð~~ o~¡,U~ BO c,.., 14{/ ..¡.t,te..e.e. C.ool 11--f~c:>tD'7, GIllie:! ;./ .:J..~' .iJ¡4n'/1 IB~(/e.... I'RJIl.S~II\J2.'¿ ¿')Þ7 e>ue/U1tl"{., {fJI7,ft¡~· 1-1'1t4£/ v~ VI< ~~12- ~-P:-fÞ'/ ~~~ ~ $0/ ~ <Q2 b (".. kll) !>O.....'n- /.5~ t(.¿; e# StAðLjf-. ~ c4edc- t/p/~~ . . .öaKersneld J:t'ire Dept. þRDOUS-MATERIALS DIVIS1. UNDERGROUND STORAGE TANK PROGRAM PERMI~GLJ~ PERMIT APPUCATI0N TO CaNSTRUCT/~ODIFY UNDERGROUND STORAGE TANK TYPE OF APPttC:" Tl0N (CHE.CK) ~NEW FACILITY 0 MODIFíCATlON OFFACIUTY 0 NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE PROPOSED COMPLETION DATE '1- 3ð.. 9'1 FACILITY NAME EXISTING FACILITY PERMIT No. FACILITY ADDRESS ê j(,y/l&ð ¿; ZIP CODE 7',:.,36 TYP= OF BUSINESS CA~ W~tS'2 ~I) ~t> J..lIiØlf" TANK OWNER JlhA (; 1l1'tJ3 I.JJ, PHONE No. 'lI3/-~99,y ADDRESS :ID ¡ 5ftJð" ~~ . _ CITY !1brJMI2¡¡fJrli-:; ZIP CODE <f ~ ~ ð ? CONTRACTOR D tð m 10 -fA.¡¿1~ù.J ' CA LICENSE No. ¿j/89/.~ ADDRESS. 17/1:> CIlrIIf)til'¥ ¡]~ CITY AtrK~dl-? ZIP CODE ?ð~/:2... PHONE No. . .5'89 - :s::¡ 5"~ BAKERSFIELD CITY BUSINESS lIC.~NSE No. WORKMAN COMPo No. 5' ~/4'1 INSURER ::rIA1§' B1./\/o BREIFl Y DESCRIBE THE WORK TO BE DONE lA)f:dJ¡t/ JlJiSuJ f).iV. -¡-/HJI(~, ()<J()~A} ;<;ðì?t_ A.A.J () P, () J~ C, . ," , ,"7 WATER TO FACíUTY PROVIDED BY, DEPTH TO GROUND WATER No. OF TANKS TO BE INSTALLED 13 SOIL TYPE 8<PECTED AT SITE ARE THEY FOR MOTOR FÜEL . ~YES 0 NO SECTION FOR MOTOR FUEL, TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION ~ ~~s ~Æ~; ~~ SECTION FOR NON MOTOR FUELSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED (no brand name) CAS No. (it known) CHEMICAL PREVIOUSLY SiORED fl~~~_~~lit~1 THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND WILL COMPLY WITH THE ArrACHED CONDITIONS OFTHIS PERMIT AND ANY OTHER SiAiE. ~OCAl AND FëDERAl REGULATIONS. THIS FORM HAS BEEN COµPlEiED UNDER PENALTY'OF PERJURY. AND TO THE 3ESi OF MY KNOWLEDGE-IS mUE AND C::RRECi. n,,,,,,,. IJ'b.,-A13n- iLl JJ~ muctNT NAME (PRINT) APPLlCiNT SIG~ATÚRE APPPOVED ~Y: \ . \ , \ \ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED : .,'~~",".', ""~''-;'_'!-'' PERMIHiJ-~CO~ ..Bakersfield Fire Dept. ... ~RDOUS-MATERtALS DIVISlðIIIr UNDERGROUND STORAGE TANK PROGRAM PERMIT APPUCATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF A??UC,\Tl0N (CHECK) ~NtW FACILITY 0 MODIFrCA:TlON OF FACILITY 0 NEW TANK INSTALLATION AT EX1STING FACILITY STARTING DATE 7- 19- 9( PROPOSED COMPLETION DATE?· 3ð<' 9( FACILITY NAME c. I? ' EXISTING FACILITY PERMIT No. FACILITY ADDRESS uJ. õ I(tr~ ð tíJ ZIP CODE C¡ ,33/3 TYPE OF BUSINESS CÃ~ WÄ\'ð~ ~IJ ~t> ¡"I.Jtf3/J ' TANK OWNER NJA (; itA fa Ú}..· PHONE No. ~J-'799Y ADDRESS :1D ¡ 5!fNd ~~ CITY /jj}j¡~Ir!¡¡f¡ðJ() ZIP CODE 'tgBð? CONTRACTOR D 7tJ' m tð 'fA-l"-¡'ó;j . - , CA LICENSE No. ~/891,~ ADDRESS _ , J'7 Jò CIk IJDIll'¥ ,Of< CITY AJJ-Jt~dl-t:' ZIP CODE 9 ð ~/:2... PHONE No. . :)'8'1 - 55"r! BAKERSFIELD, CITY BUSINESS lIC,§NSE No. WORKMAN COMPo No. Õ _ ~/.''I INSURER 5fA 16 krNO BREIFl Y DESCRIBE THE WORK TO BE DONE, lAJ.s1A-JI /LJ/J/.Ù /)J.AJ. -FA-,JJ(s. ()(j¡JA..} ,c;'Mt 'fr,Jn P,pJ;Jj , I WATER TO FACILITY PROVIDED BY, DEPTH TO GROUND WATER No. OF TANKS TO BE INSTALLED !'3 SOIL TYPE EXPECTED AT SiTE ARE THEY FOR MOTOR FÜEL . ~YES 0 NO SECTION FOR MOTOR FUEL TANK No. VOLUME. I;] ()dJ I~~DD I . :.h) UNLEADED iUJ~~ A/JOIf u,¡J/ ð~.D:{) UtÙhJ_Æ}_o REGULAR PREMIUM DIESEL AVIATION J ,~ ¡'¿oypiA-L '~~'a-A4 . SECTION FOR NON MOTOR FUELSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED (no brand name) CAS No. (if known) CHEMICAL PREVIOUSLY STORED WJI'It(~~~~I;il!g!I:!&if~~~j~i THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND WilL COMPl YWITH THE ATTACHED CONDITIONS OFTHIS PERMIT AND ANY OTHER STATE. lOCAL AND FEDERAL REGULATIONS. . THIS 'OOM HAS 'EEN CO,",PlE;EO UNOER PENAlTY~~URY ~;;=ST 0' MY 'NoWlE~U:0::CT. APPPOVED tV: muc NT NA E (PRINn APPllC NT SIG¡QÄTÚRE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ..öaKerstleld J:'ire Dept. ... ÀzARDOUS-MATERIALS DIVISI. UND~GROUNDSTORAGETANKPROGRAM ?ERM1~- L...Ud-...~ PERMIT APPUCATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPllC~T10N (CHECK) ~ NEW FACILITY 0 MODIFrCA:TlON OF FAC!lITY 0 NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE PROPOSED COMPLETION DATE 7- 3'-" '7'1 FACILITY NAME EXISTING FACILITY PERMIT No. FACILITY ADDRESS õ )(tT'ŒY-tð 40 ZIP CODE C¡.~3/3 TYP= OF BUSINESS CA~ W~t5~ hAlf) ~~~t. t.ud/t' _ TANK OWNER }¡)JIt(LItA _'l,ft uL_f>_ "33/-799Y ADDRESS 17"1 5f1NJ" .lØ.AIJ ClTY ð/Jtl«r¿óÙ¿j~ ZIPCO,DE 9~,ð9 CONTRACTOR _I l)p}I!J/lJm tð/tX)-fA-lt1~ù.J CA LlC~NSE No. ¥lð9/~' ADDRESS _ J'7/ò CIJr}JOtJtJ¡. LJæ.. CITY AbJr~ðl¿:J ZIP CODE 98 (1.¡1:2... PHONE No. _ ,")-gq - :J5' 5'?f BAKERSFIELD CITY BUSINESS LICENSE No. WORKMAN COMPo No. õ_~/¿)'1 INSURER 5fA16 RtNO BREIFlY DESCRIBE THEWORK TO BE DONE 1/lJ.f11JrI/ N¡sU.) /),w. -j-A-N,f~. O<>(J¡lAJSN?~ fr,j{) P'PJ~J ' ' . , WATER TO FAcrllTY PROVIDED BY, DEPTH TO GROUND WATER . No. OF TANKS TO BE INSTALLED ~ SOIL TYPE ëXPECTED AT SHE ARE THEY FOR MOTOR FÜEL . ~YES 0 NO SECTION FOR MOTOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION ~ ~~s ~/~1~:1 ~~: SECTION FOR NON MOTOR FUEtSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED (no brand name) CAS No.. (if known) CHEMICAL PREV¡OUSL Y STORED Î!~1:~ttf~~:eÞ~.l'1!1:~î~~F1:!~1 THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND WilL COMPLY WITH THE ATTACHED CONDITIONS OFTHIS PERMIT AND ANY OTHER STATE. tOCAL AND F:DERAl REGULATIONS. THIS FORM HAS BEEN CO/:wlPI.SED UNDER PENAL1'f'OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND c=rmeCi. øJ~ -1.æ.Ø _ f),.,,,,,- f.¡)~ÆA1.!rL ~"ðr)......_, APPPIJVED ~Y: mUC;(NT NA E (PRINT) APPLlC ~~RE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED - -- .CORRECTION ~TICE BAKERSFIELD FIRE DEPARTMENT ',fO & t= 02iO Locatioll JVt'~><H?4 r~...2 &, Jf1-<" . Sub Div. 799 / ¿,,) h,''/.o L '1. Blk. ", " . Lot You are hereby required to make the following corrections at the above location: Cor. No ) L) 'ì:, " ..I ,I ,,';, !,~ J ~' ,f' Date / //'2. '2-/"--r r ' Completion Date for Corrections /2/2 2.ff'- 7ft~d#~¿~_ Inspector 326·3979 ::.' '~ UNDERGROUND STORAGE.'K INSPECTION ,~ Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 FACILITY NAME N"~A'¡:(A CA~ ~..s~ FACILITY ADDRESS 9'1 I {".JL,·..(p L BUSINESS I.D. No. 215-000 IS;)../ CITY &l<e~eJJ ZIP CODE 9336<f FACILITY PHONE No. R8~· 73tt8 ID# ID# ID# INSPECTION DATE 1/ /'2.. ?./~~ (\ I A·:J ()~ , - Product Product Product TIME IN TIME OUT L5¡ r. i4.5d,','1á I))" + L»).. s~æJon Insl D~_ Insl Dale Insl Dal~ INSPECTION TYPE: ¡D¡O¡5" /~ ?S- ,\ ./9 ROUTINE ,/ FOLLOW-UP Size Size Size I J., Ðf'>~ /" J eØa ).;;L ogoo. REQUIREMENTS yes no ;;¡: ,yes no 1ñ1a yes no ~a 1a. Forms A & B Submitted b'~ Þ"" ~- 1b. Form C Submitted r/' ,,- -- 1c. Operating Fees Paid 'J V ./ ~ 1d. State Surcharge Paid v' ,/ t/ 1e. Statement of Financial Responsibility Submitted if ¡J'I a/ IIi/' 1/ ~ " 1f. Written Contract Exists between Owner & Operator to Operate UST r/ I/' -- 2a. Valid Operating Permit ",- ......... .....- - 2b. Approved Written Routine Monitoring Procedure c/ -~ ",' .4f V- 1/ tJIF 2c. Unauthorized Release Response Plan V' tP V !Jf7 V' I.P""' 3a. Tank Integrity Test in Last 12 Months ¡/' Y'" ~ 3b. Pressurized Piping Integrity Test in Last 12 Months ¡/'" v' ~ 3c. Suction Piping Tightness Test in Last 3 Years V y' V 3d. Gravity Flow Piping Tightness Test in Last 2 Years ,/' .,/' þ<"'" 3e. Test Results Submitted Within 30 Days .,r /1"- ,......, 3f. Daily Visual Monitoring of Suction Product Piping , ./ ,/' ".-- 4a. Manual Inventory Reconciliation Each Month , rI'" v - 4b. Annual Inventory Reconciliation Statement Submitted ~ v V-- 4c. Meters Calibrated Annually ,r Þ"" v 5. Weekly Manual Tank Gauging Records for Small Tanks r ,--- ..... 6. Monthly Statistical Inventory Reconciliation Results ,/ I'" r 7. Monthly Automatic Tank Gauging Results t/' v ",-- 8. Ground Water Monitoring ...... V" ~ 9. Vapor Monitoring y'"' V-- ./ 10. Continuous Interstitial Monitoring for Double-Walled Tanks ./ ,/ V" 11. Mechanical Line Leak Detectors "r v'" v 12. Electronic Line Leak Detectors rr ".,. ,/ 13. Continuous Piping Monitoring in Sumps V V' V 14. Automatic Pump Shut-off Çapability -K 15. Annual Maintenance/Calibratibn of Leak Detection Equipment ~ 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 1/ ¡/ ,/ 17. Written Records Maintained on Site . V c/ v·.... , 18. Reported Changes in Usage/Conditiè¡ns to Operating/Monitoring ,/ V V Procedures of UST System Within 3p Days 19. Reported Unauthorized Release Within 24 Hours ., 0/' V 20. Approved UST System Repairs and Upgrades ../ 0/ r/ 21. Records Showing Cathodic Protection Inspection ./ ./ 0/' 22. Secured Monitoring Wells t/ ./ ./ 23. Drop Tube ./ q'" ./ RE-INSPECTION DATE , ~ RECEIVED BY: fi.A:-. . /~._. _". -7 I INSPECTOR: #~.ß ~~- þ~ OFFICE TELEPHONE No. ,~-,,317 5' FD 1669 (rev. 9/95) ). ,'. ---------------- " ." _'. .., ~~I' ': <.". .>-:'.,"" "" """'1 ~ '", ',~.~:''-{''-;v'., i. I' HAZARDOUS MATEa~ INSPECTION Business Name: ^N~4AþC, ('<¡{~ fA.J~t.... Location: 7C¡ q J iA)~ :'1<= in Business Identification No. 215-000 15 ~ I Station No. 11+,2. fnA+ '. . . .,~.,'.... '-~..-..7", "';' ,''t. ~ f\ ~ ", ""'f"'t...., ". ..'.\"... ~" y.~\'..; ," ...,,:.,-.¡,'~" ,,-~ .e.l"$n~'~ Fir~ Dept. Hazardous Materials Division Date Completed ' I ~/2.:Z¡ , S (Top of Business Plan) ~ .:./~' Arrival Time: Shift j)Aï Departure Time: - Inspector } ú Q t(. Inspection Time: Verification of Inventory Materials Verification of Quantities Verification of Location Proper Segregation of Mater,ial rØ' Comments: J~"'" Adequate Ef ~ ~ ,~pW Inadequate LJ LI o æ:J~ Verification of MSDS Availability /' plYt,' ~ v /jit'" 0 1/ ~. ...... ,,¡V &' H!1.. I ..... (7- /l'V "'~. ~ Number of Employees: Verification of Haz Mat Training Comments: Verification of Abatement Supplies & Procedures Comments: ø" LI g/ LI Emergency Procedures Posted Containers Properly Labeled Comments: ~ ,.-;1" V '<'" "iI ," o o )"1' o Verification of Facility Diagram Special Hazards Associated with this Facility: 0/' Violations: I! { I O/L- ¡hI''' k::- y ó VI- v' V" ~., I' ~M/'rkI5IJ It.~jk us;ness erlMan~gef PRINT NAME SIGNATURE White-Haz Mat Div Yellow-Station Copy I Pink-Business Copy All Items O.K ~ Correction Needed L] i ¡; ~ \š c;\ u.' 2. 3 . 4. 5. athGENCY RESPONSE: pIIN UNDERGROUND STORAGE TANK MONITORING PROGRAM> This aaaaÎIariIII...... .. be kcpc It Ibo UST location II aU em.. Tbe ÏIIfIIImMioa oa dIia."I' '-IIW¡, ............ (O..t__ of Ibo opeIIIbea penaiL Tbe penni& bolder InUIt aaIify m. IDeal .ØIIIaV) willaJO.,. of any ....... to &be IIIOIIÌIIDriIII prooedura. unJea required to obcùI ......,.. ...... ...... .... rL ' , I . Required by Sedioas 2632(d) aacI 2641(b) CCR. Facility Name /lJ IACA-R A CA-~ u..JA-sl-! , Facility Address 799/ &-)I-!-I (/£ LA?-J£ 1. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If r.l....d b..ardou. substance. reach the environment, incr.... the fir. or explosion hazard, are not cleaned up from the secondary containm.nt within 8 hours, or deteriorate the second.ry containment, then (the local aaencv) must b. notified within 24 hours. f!AiMOO1l5 uJA-{rL M5/J1otJ!1-é C6~ ,/(/t-L.--íðf( Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substances. ~f/( CðAJT~AC-rôl!. . Describe the location and availabil~;y of the required cleanup equipment in item 2 above.?£4. C.ð?J7~~CTðæ. for the cleanup equipment. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: );' ell?( OD II&~¡£I(A Æ-uL ~5 &(/~ ¡,;U . . .' 4IÞ WRl'ITEN MONITORING PROCEDURES. UNDERGROUND STORAGE T ANI{ MONITORING PROGRAM T1úa 18OIIÌIØr'" ....... _ ... .... . .... UST Iocatiøa at aU.... 11Ie............... .. Jill, .......-.. . ea.",tia_ of die ~...... Tbe pend holder IIIUIt aadly fth8 ..... .-_.. ........,. of uy ..... die ...o..iID.:a& pIØOIICIureI. unIeø requifed to .... ~4Md ...... ........ -"- I Reqaired by Sec:boas 2632(d) and 2641(h) CCR. Facili ty Naae N I AG. /\-i~ A C A-fZ WAS /~ Facility Address 799/ WI!lrt LN RA~1?R5f:(£L.D A. Describe the frequency of performing the monitoring: Tank DA It... Ý Piping )JAIL'!' B. What methods and equipment, identified by name and model, will be used for performing the monitoring: Tank G:.~.Q~ p(r'C w/ ~~~ Piping c. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): Sou ¡If.sl DE /!::-Ou ,Pm£µ r RðOM L' D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment J I CIt.¡(Do itéKRlz.-R./r --ß...M L S f LIr _ BR, ^ ~ I+oB¡AJ E. Reporting Format for monitorlng: Tank AAJIU¿¡,4L ~G¡JSo~ -r6ç;rIAJC Piping ~~¡£ F. Describe the preventive maintenance schedule for the monitoring equipment. Note: Maintenance must be in accordance with the manufacturers' maintenance scbedule but not less than every 12 months. c;/trYJ L A-S E G. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: <::ß¡? £ì Y m If!? íl ¡t..J ¡; S <--- State of California . State Water Resources Control Board (Instructions on reverse CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROlEUM A. I am requiRd to demoaatrate rauac:ial Responsibility in die required amounts as specified in Section 2807. Chapter 18, Div. 3. Title 23. CCR: D 500,000 doUars per OCC1U1'enCII D 1 million doUars aDDul aarel.te or AND or D 1 million dollars per occurrence D 2 miDion dollan aDDul aurelato B. hereby certifies that it is in compliance with the requirements of Section 2807, (NOJIJO ofTwOwø... arOpenItr) Article 3, Chapter 18, Division 3, Title 23, Cálifornia Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: g]·j·~ji~~~m·::·:i:·¡ ¡i¡:.:·:::·¡:·I:;·ï;·:~~:~llij!;:!i()t.)~~I:::::::¡¡~~~~~¿ ..... :i¡.:··:~ðU~t¡U·§Þ~~6de)gÂ¿~~~:Jþg~~a~1 ! St~f /I\JSuR.f, D rJ lAG AlA c...ORPo£'.4f /Ð,..J 230 ( l¡" S í ß!+ K,;R<;f(lÚ DCA CJ¡'330/ 10 ooo~ Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that ou are in com /iance wfth all conditions for rtiel tion In the Fund. . FllålityNsmo FIlåliIJ Addreos FllåliIJNsme Fllålity Address FIlåliIJ Nsmo FIlåliIJ Addreos FIlåliIJ Namo FIlåliIJ Addreos Fllålicy Nsm.. FIlåliIJ Addreos Date (-21--1 Dace Nam_ aDd 11d_ olTaaIr. Owacr 01' Oponla' H_. of WiID_ 01' NolIUJ CFR(W92) Copies - FaciJjlyl'Silti(.) -----.-""'--~ . --~ r I - ! . , - /'J",q!=l~'RJo¡ C.tQ~lVÂs4 75'9/ t-JLfe ¿ 11/1'1/9..5 . ft.nd~~¡tb, l1ðies 'IA~ d~~ 1{~~~((A-i~'1 MvL ~ /?'),-«-St~ced-. J¡".~ ,c.s ~- ê~~~.lJ4"(kp/ ,~, ð~\j{sQ::/ /d~'iï't:;rt.1k ,~Ý¡q-/¿"'Ý-#bY1 ~ - _ __ t-lAJïJt..out- ,y,c.¡-Je#;e~YeÞ'~ - 'j¡¡n-l< wAtS ndel~ "-J,;{{ .-+he. ~ð;lT!)efl'>\..·rR-+ ___ /I\SÝI4{(~ A7-~.W~~ ..ewJ. 0-+' & ~.~ Cvt45 (kt-..a~J ,'I/I.~~U¿ ~ ,r -~t.uAS. . -. .tt. - -- --. I 1J/?'2/~;;~Att- ß~;A~. ~,~ Q:S;k-. W~edU¿5T$ !i.A2.-- - - ~ ()J4>I--,,"~a::h~.,.,. fk-~'f (~ cAlled.) -MtC -~~ . -, ~ib [YJ:k ~ .h}£.-RtI..¿ ~c.d-- -..$~~£.~t,zApt- -..- - ,C,lJ4;(_ -~ I 0ru~ -~-h(re /J1p/l~ &-. ¢ ~ tJn.- ~e.~ .~. P¡~'1.i:~ ~~E({.;5_ ~Q . 04~. $'9-. &o4¡.t CJ4i(QJ f 4'k... .....~<¿. ~ . -+/fIs Ds w:t/ JJ~ tðS'f-ed /,uL'"'-Il f~~ ¡-'1 ~ 1!!.s(S)þ[. ,- (ß11'kIJPf.-/10B- ~,S G:I&~-l:./'TC µ/ ~¡Þ1-'fe¡LtÞ ~~ _0:.3L+-_ð~...tn.__I('/ê.#- ' _ . _ ( - - . - - - - - .IA-'k.... D1)~ W~~ W~\~ ~~~~ t Se-J fil£tC :~~. ,-- - -. .. - - - - - - ~ u _ -J - -~ - - - - + - --- - - - - - ~ - - - -- - , - -- -- -- --- ---- --- - --- - ~- - -- -- - ~--~----- - - - -~ " - - - . - -----~ - '- ---------_.------ ---- - ------- --- ~~- -- -". -- - - -- ~, . -- -. - - - - -- CIrn.AKERSFIEW FIRE DEPAR.ENT FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. . BAKERSFIELD, CA . 93301 R.E, HUEY HAl-MAT COORDINATOR (805) 326-3979 SEP 2 8 1995 R.B. TOBIAS. FIRE MARSHAL (805) 326-3951 WARNING I CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED :?], 5--~;~\V.)!;'J-·t?iV¡ t ~5;:'~ 1 N I nC:ìç'4 R¡':¡ ¡~:f~F: ¡,H=im-¡ ~,; I:-;! ~:;; ~ ;"j ~¡ ,~ -r F:: t_. J\.! ~:~f;~~!'<ERE\~~ .'~ E~...\.J J . ..-., :-:.·~·.::~.3iÎ.ït3 ;. F':H!\!k ¡"¡CiL-Ü I :\j Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification of Financial Responsibility form. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from you tanks, and you pump less than 10,000 gallons per month, check "$500,000 per occurrence". Else, or if you are in the business of selling from your tanks, check "1 million dollars per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All others need only check the "1 million dollars annual aggregate" box. Plea.. be aware that failure to provide the financial responsibility document to this office within 30 days will result In your Permit to Operate being revoked. (25285.1 (b) California Health & Safety Code). If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-3979. Sincerely, -//~' 1a1Pt, E. Huey Hazardous Materials Coordinator REH/dlm attachment " Operate Materials Storage Facility to Permit Underground Hazardous 1521 .. 1521 No. D. No. I. State Piping Monitoring Piping Method Hazardous Substance DWF PRESSURE ALD DWF PRESSURE ALD DWF PRESSURE ALD FRANK HOBIN NIAGARA CAR WASH 7991 WHITE LANE BAKERSFIELD, CA 93309 02-23-95 to: 02-23-00 ssued To: from: Valid Coordinator P""""'~' Tank Number 01 02 03 Issued By: ~ . f.:::) ::::. < ~~ . -: ~ ~ Approved by: Y ....... ..... T· k ......... . . .. ..... .. . . . . . . . - . . '...... .. . . . . . . . .. . ....... ... ,J~:ª&""",:" ::. "'" an ':"~i:u~~~~pe · . .,. . ,". .," · . ... ... .... o . . .. _ . . .. ... . 9· '.' ............ . .. - ". . . l'95 : (:\{ // ..- ....... · . . . . . . . . . ..", . - . .. . ......... ." ......... .....".. 19'9"'5' . " ........ '.' " . .. ............ . . . . . . . . . . . . . . . . .. ...... ... . .... ,- . ..... ...... ..... :;:::. ::::::::. ::::::::::::::::;:::::::: .... ............. ~~);;~ERSE SIDE . .. ...... .... ... ..... ...... ....... .. ".-. ", .... ............- ............. ...,.......... .. . . . .. . . . .... ... . ...... ,- .. . ~ ... ..... ... ........ .. . .... ...... ... ........... . ... ............ ..... .. . ........... .. .. . ....... ... ... .... .. .. . . . .... .. . ... .... ......... .. . ..... ... . . . . . . M~~~~~i~:~;:::\. ~~~i .... .... ..... . .. .... . .... .... . .. ... ..... ... . .. ... ,. ...... .... ... .... .. .. ..- ..... ... .. ... ..... .... .... ...... ... .. .. ......... ... .. ... ..... .... .. .... .... ..~. . . ... .... . ... .. ... ..... . ... . .... ...... CONDITIO N:S'::·')':G':'¡:·:;:.: .... ... .... .. . ... . . ... .. . .. · . . . ... .... .. · .. - . ... . .. . .. .. . .. .... . .. ... ... .. .. ... ... . .. . . - . . ... . . . . . . . · . ,. . . . . . . ... ..... -... ... . ... ... . . ... . . - . . '. .. . . . ... .. ... . .. . . . ..... ... .. . ... ... Gålfoni::'/:::/ ... . .. ... . . C~p~ç!fy{/ I ri .. ... ........ · ........ · ... . .. . .... ... ... .. ..... .... .. .... . . . - . ... .. ... P.. ..... .. ... .. ... . . .... .... ..... ..... · .... .... · .... .... · ,.... ...... · .. ..... ....... · . .......... . · ......... . -. ........ .. ... ... :i:tJ~: ~gg :::\ :::.···1· 2····:· 0:'0':::':0" '''':'. ... . ... .. . . . .,':.... J ::c: · .. · . . · ... · . · ... · . . · . .. .. .. ... · . .. . ... .... . . . . . .. ... .' .... · .. ... ... . . ... ... · . .. .. . · . . . . · . . . . . · . . . . · .. .. . · .. . ..... . .. . . . .. ... · . . · .. . . - · .. . .. . ....... .. . ... ........ . · . . . . . · . .. . · . . .... . . .... . ....... ......... -. ...... . . . . . . . . . . . . .. .. . ...... ... ... .. ... · . . . . . . . . . . P' ... .. .. .... .... .... .... .... ..... . ..... ...... ...... .... ...... .. ... ....... .......... ... · . . . .. . . . . .... . ... · ..... · . . . . . . .. ..... ,... .. ...... ..... ... .. .. . ... · . . . . . . . . ..... .. .... ... ...... ... .. .. .... CLtv1 CWft;,1 CIiM::: . g~~~~:/\ ØW/ÞCS,) UNLEADED UNLEADED PLUS ULD/SUPREME Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 WEGENER CONSTRUCTION MARCH 6, 1995 CITY OF BAKERSFIELD HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE. BAKERSFIELD, CA. 93301 RE: PERMIT #BI-0025 NIAGRA CAR WASH 7991 WHITE LANE BAKERSFIELD, CA. cYf ~ ~ ! ~ ",~~, ! ~-'-' r~¡'~\ r r= 1:- In' 'F::: I¡ i-=" \\/1 i. ~ (::;;)~U19:5LSM By ISd-' ,"' ~ Do j1ê\::: Cu. -~. , ^^ \ ~' V'{ ~2JV\ FIND ENCOLSED THE TANK AND LINE TEST RESULTS FOR THE ABOVE MENTIONED LOCATION. SnCE~LY , D~E~ _J 1710 CALLOWAY BAKERSFIELD, CALIFORNIA 93312 (805) 589-5570 FAX (805) 589-1161 LIC. NO. 413913 LINE TEST WORKSHEET A,E.SPLT - IOOR LINE #1: SUPER UNLEADED LINE # 2: UNLEADED PlUS LINE # 3: UNLEADED ----------------------------------------------" ---------------------------------------------- THE CONVERSION CONSTANT IS FOUND BY: (60 mln/hr) 1(3790 mllgil) = 0,0158311 (mln/hr) (gil/min) Divide the volume differential by the test time (15 minutes) and multiply by 0,0158311, which will convert the volume di11erentiallrom milliliters per minute 10 gallons per hour. The conversion conslant causes the milliliters and minutes to cancel out. ---------------------------------------------- START END TESTVCL. GPH PRODUCT TIME PSI VCL, (ML) VCL. (ML) DIFF. (ML) GAIN,t.OSS PASS/FAIL ---------------------------------------------- SU 1430 50 132 128 -4 -0.0042 ------------------~---------------------------- 1445 50 128 124 -4 -0,0042 ---------------------------------------------- 1500 50 124 120 -4 -0.042 PASS ---------------------------------------------- COMMENTS: LINE PASS --------------------------------------------- PRODU CT ------------------------------------------------ UNL 1530 50 156 153 -3 -0.0031 ----------------------------------------------- 1545 50 153 150 -3 -0,0031 ---------------------------------------------- 1600 50 150 147 -3 -0,0031 PASS ------------------------------------------------ COMMENTS: LINE PASS ---------------------------------------------- PRODU CT ---------------------------------------------- UNL PLUS 1830 50 148 146 -2 -0,0021 --------------------------------------------- 1845 50 146 144 -2 -0,0021 ------------------------------------------------ 1900 50 144 142 -2 -0.0021 PASS ------------------ -------------- COMMENTS: LINE PASS ------------. NIAGRA CAR WASH 7991 WHITE LANE BAKERSFIELD CA MICHAEL McCARTHY TEST LOCATION ADDRESS: 91-1061 CITY, STATE: 2-22-95 TECHNICIAN: LICENSE NUMBER DATE: REDWINE TËSllNG SERVICES, INC P.O. BOX 1567 BAKERSFIELD, CA '. 93302-1567 PH/FAX: (805) 326-0446 e e, " "'" - , - ******* C U S TOM E R JOB NUMBER CUSTOMER (COMPANY NAME) CUSTOMER CONTACT(LAST, FIRST): ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX ******* COM MEN T COOL CALM 60F TANK #1= TANK #3 ******* SIT E SITE NAME (COMPANY NAME) SITE CONTACT(LAST, FIRST) ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX GROUND WATER LEVEL (FT) NUMBER OF TANKS LENGTH OF PRE-TEST (MIN) LENGTH OF TEST (MIN) e D A T A ******** 000007 WEGENER CONSTRUCTION DAN CRUZ 1710 CALLOWAY BAKERSFIELD, CA. 93312 L I N E S ******* D A T A ******** NIAGRA CAR WASH DAN 7991 WHITE LN. BAKERSFIELD, CA. 40 01 30 .180 · 1" TANK DIAMETER (IN) LENGTH (FT) VOLUME (GAL) TYPE FUEL LEVEL (IN) FUEL TYPE dVOL/dy (GAL/IN) CALIBRATION ROD 1 2 3 4 5 - ******* TANK NO. 1 31.91 12000 ST REG UNLD 146.15 DISTANCE 10.65625 26.95313 41.93750 56.93750 74.93750 TAN K D A T A TANK NO. 2 96 67 - ******** TANK NO. 3 TANK NO. 4 ¡. ~ e . INVOICE #RT000007 TEST DATE: 02/22/95 REDWINE TESTING SVC., INC. P.O. BOX 1567 BAKERSFIELD, CA. 93302 TANK STATUS EVALUATION REPORT ----------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** WEGNER CONST. 1710 CALLOWAY NIAGRA CAR WASH 7991 WHITE LN. BAKERSFIELD, CA. 93312 BAKERSFIELD, CA. CONTACT: DAN CRUZ PHONE #: CONTACT: DAN PHONE #: ***** COMMENT LINES ***** COOL CALM 60F TANK #1= TANK #3 CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK #1: REG UNLEADED TYPE: STEEL RATE: .040895 G.P.H. GAIN TANK IS TIGHT. OPERATOR: J.d.tJ:I..£lgl_tlt_Caf!I~Y SIGNATURE: ;/I,f/lk DATE: .2-).~-c¡~ -------- -------------------- "- ... ?- e ******* C U S TOM E R JOB NUMBER CUSTOMER (COMPANY NAME) CUSTOMER CONTACT(LAST, FIRST): ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX ******* COM MEN T WARM CALM 75F NO WATER IN TANKS NEW CONST TANK 1= TANK 1 TANK 2= TANK 2 ******* SIT E SITE NAME (COMPANY NAME) SITE CONTACT(LAST, FIRST) ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX GROUND WATER LEVEL (FT) NUMBER OF TANKS LENGTH OF PRE-TEST (MIN) LENGTH OF TEST (MIN) e D A T A ******** 000006 :' WEGNER CONST. DAN CRUZ 1710 CALLOWAY . . BAKERSFIELD, CA. 93312 8055891161 L I N E S ******* D A T A ******** NIAGRA CAR WASH DAN 7991 WHITE LANE BAKERSFIELD, CA. 40 02 30 ,180 :" .. TANK DIAMETER (IN) LENGTH (FT) VOLUME (GAL) TYPE FUEL LEVEL (IN) FUEL TYPE dVOL/dy (GAL/IN) CALIBRATION ROD 1 2 3 4 5 e ******* TANK NO. 1 96 31.91 12000 ST SUP UNLD 146.15 DISTANCE 10.65625 26.95313 41.93750 56.93750 74.93750 TAN K D A T A TANK NO. 2 96 31.91 12000 ST 67 66 PLS UNLD 147.54 e ******** TANK NO. 3 TANK NO. 4 .... .. e e INVOICE #RT000006 TEST DATE: 02/22/95 REDWINE TESTING SVC., INC. P.O. BOX 1567 BAKERSFIELD, CA. 93302 TANK STATUS EVALUATION REPORT ----------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** WEGNER CONST. 1710 CALLOWAY NIAGRA CAR WASH 7991 WHITE LANE BAKERSFIELD, CA. 93312 BAKERSFIELD, CA. CONTACT: DAN CRUZ PHONE#: 8055891161 CONTACT: DAN PHONE #: ***** COMMENT LINES ***** WARM CALM 75F NO WATER IN TANKS NEW CONST TANK 1= TANK 1 TANK 2= TANK 2 CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK #1: SUPER UNLEADED TYPE: STEEL RATE: .021122 G.P.H. LOSS TANK IS TIGHT. TANK #2: PLUS UNLEADED TYPE: STEEL RATE: .010272 G.P.H. GAIN TANK IS TIGHT. OPERATOR: /!1.¡£BltÞ1.J!1.riJJ.gZli¥__ SIGNATURE: ;øf?/k DATE : .ld.:~E.:}.r -------------------- ******* C U4IÞT 0 MER D A T A ****tIf* : 000006 WEGNER CONST. DAN CRUZ 1710 CALLOWAY ~ ,.., JOB NUMBER CUSTOMER (COMPANY NAME) CUSTOMER CONTACT(LAST, FIRST): ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX : BAKERSFIELD, CA. : 93312 8055891161 ******* COM MEN T L I N E S ******* WARM CALM 75F NO WATER IN TANKS NEW CONST TANK 1= TANK 1 TANK 2= TANK 2 TANK 3= TANK 3 ******* SIT E D A T A ******** SITE NAME (COMPANY NAME) SITE CONTACT(LAST, FIRST) ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX GROUND WATER LEVEL (FT) NIAGRA CAR WASH DAN : 7991 WHITE LANE BAKERSFIELD, CA. 40 NUMBER OF TANKS : 03 LENGTH OF PRE-TEST (MIN) LENGTH OF TEST (MIN) 30 180 ·. ~ TANK DIAMETER (IN) LENGTH (FT) VOLUME (GAL) TYPE FUEL LEVEL (IN) FUEL TYPE dVOL/dy (GAL/IN) CALIBRATION ROD 1 2 3 4 5 ****e TANK NO. 1 96 31.91 12000 ST SUP UNLD 146.15 DISTANCE 10.65625 26.95313 41.93750 56.93750 74.93750 TAN K D A T A TANK NO. 2 96 31.91 12000 ST 67 66 PLS UNLD 147.54 . ******** TANK NO. 3 TANK NO. 4 96 31.91 12000 ST 67 REG UNLD 146.15 --. . . ;- INVOICE #RT000006 TEST DATE: 02/22/95 REDWINE TESTING SVC., INC. P.O. BOX 1567 BAKERSFIELD, CA. 93302 TANK STATUS REPORT -- ULLAGE TEST --------------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** WEGNER CONST. 1710 CALLOWAY NIAGRA CAR WASH 7991 WHITE LANE BAKERSFIELD, CA. 93312 BAKERSFIELD, CA. CONTACT: DAN CRUZ PHONE #: 8055891161 CONTACT: DAN PHONE #: ***** COMMENT LINES ***** WARM CALM 75F NO WATER IN TANKS NEW CONST TANK 1= TANK 1 TANK 2= TANK 2 TANK 3= TANK 3 CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK #1: SUPER UNLEADED TYPE: STEEL SN: -.07 TANK IS TIGHT. TANK #2: PLUS UNLEADED TYPE: STEEL SN: -.07 TANK IS TIGHT. TANK #3: UNLEADED TYPE: STEEL SN: -.07 TANK IS TIGHT OPERATOR: !J¡CIU£L~&r.fij___ SIGNATURE: ____A..f~-- DATE: ¿::.¿'~::!'£