HomeMy WebLinkAboutUNDERGROUND TANK FILE #3
I-
I
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I
I.
T 2:UNL.2 SIPHON 775
I N\/ENTORY INCREASE
INCREASE START
AUG 20. 2004 12:33 PM
\lOLUi"lE
~JA TER
;IEASE END
AUG 20. 2004
8985 GALS
0.00 INCHES
107.7 DEG F
1:10Pr'1
\lOLUME
WATER
TEMP
9976 GALS
0.00 INCHES
108.7 DEG F
GROSS INCREASE= 991
TC NET INCREASE= 951
---- IN-TANK ALARM -----
T~UNL.2 SIPHON 775
O.F I LL ALARt'l
AUG 20. 2004 1 :24 PM
FASTRIP 19
4901 S. UNION A\lE.
BKFLD. CA. 93307
661-397-9387
AUG 20. 2004 1 :25 PM
SYSTEM STATUS REPORT
-----
------
T I:IN\lALID FUEL LE\lEL
T~ELI\lERY NEEDED
T 2:0\lERFILL ALARM
---- IN-TANK ALARM
T 3:PREM.UNL. 775
HIGH WATER WARNING
AUG 20. 2004 1 :26 PM
e
---- IN-TANK ALARM -----
T 3:PREM.UNL. 775
HIGH PRODUCT ALARM
AUG 20. 2004 1 :26 PM
---- IN-TANK ALARM
T 3:PREM.UNL. 775
OVERF ILL ALARM
AUG 20.2004 1:26 PM
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
AUG 20. 2004 1 :28 PM
e
SYSTEM STATUS REPORT
------
------
T I:INVALID FUEL LEVEL
T 1 :DELIVERY NEEDED
T 2: OVERF I LL ALAR,.,l
T 3:0VERFILL ALARM
FASTRIP 19
. S. UNION AVE.
- D. CA. 93307
515 -397-9387
AUG 20, 2004 1 :28 PM
S'lSTEf"! STATUS REPORT
- - - - - - - - - - - -
T 1 :INVALID FUEL LEVEL
T 1: DEL I VER'l NEEDED
r I
T 2: OVERF I LL ALAR!,'!
T 3:0VERFILL ALARM
e
FASTRIP 19
4901 S. UN~ON AVE.
J?KFW. CA. ,,93307
b51-397-938?
AUG 20, 2004 1 :29 PM
1
,
~
SVSTEM STATUS REPORT
- - - - - -~ - - - - - -
T 1 :INVALID fUEL LEVEL
T 1: DEL I VERV1 NEEDED
T 2: O\/ERF I LL; ALARf"l
T 3:0\/ERFILL ALARM
e
FASTRIP 19
4901 S. UNION .WE.
BKFLD. CA. 93'
661-397-9387
AUG 20, 2004 1 :29 PM
S'lSTEM STATUS REPORT
- - - - - -
- - - - - -
- -T- 1- :-1 N'V'AU D-FtlEL -I:E\/EL-
T ¡:DELI\/ERY NEEDED
T 2:0\/ERFILL ALARM
T 3:0VERFILL ALARM
F.IP 19
4. S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
AUG 20, 2004 1 :30 PM
SYSTEM STATUS REPORT
------
------
T 1:INVALID FUEL LEVEL
T 1 :DELIVERY NEEDED
T 2:0VERFILL ALARM
T 3: OVERF I LL ALAR~'1
e
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
AUG 20, 2004 1 :30 PM
SYSTH'1 STAT US REPORT
------
------
T 1:INVALID FUEL LEVEL
T 1 :DELIVERY NEEDED
T 2:0VERFILL ALARM
T 3:0VERFILL ALARM
e
---- I N-TANK ALAR~' -----
T 4:DIESEL 775
OVERF I LL ALARI"1
AUG 20,2004 1:31 PM
---- I N-TANK ALAR~'1 --___
T.IESEL 775
H PRODUCT ALARM
AUG 20. 2004 1:31 PM
---- IN-TANK ALARM --___
T 1: UNL. 1 775
PROBE OUT
AUG 20. 2004 1 :33 PM
---- IN-TANK ALARM --___
T 1: UNL. 1 775
HIGH PRODUCT ALARM
AUG 20. 2004 1 :34 PM
e
---- IN-TANK ALARM
T 1: UNL. 1 775
""IAX PRODUCT ALAR,...I
AUG 20. 2004 1 :34 PM
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
AUG 20. 2004 1:36 PM
-STE~1 STATUi ~EPORT
- - - - - - - - - - - -
T 1 :HIGH PRODUCT ALARM
T 1: ~1A>< PRODUCT ALARM
T 2:0VERFILL ALARM
T 3: OVERF I LL ALARI"I
T 4:0VERFILL ALARM
FASTRIP 19
4.S. UN ION AVE.
B . CA. 93307
6 397-9387
AUG 20. 2004 1 :38 PM
SYSTEI"I STATUS REPORT
- - - - - -
T 2:0VERFILL ALARM
T 3: OVERF I LL ALARI"I
T 4: OVERF I LL ALAR~1
-.tÞ IN-TANK ALARI"!
T 1: UNL. 1 775
HIGH PRODUCT ALARM
AUG 20. 2004 1: 38 N'!
---- IN-TANK ALARM
T 1: UNL. 1 775,
I"IAX PRODUCT ALARM
AUG 20. 2004 ~ :~R DM
JOB CARD
.
Bakersfield Fire Dept,
Prevention Services
900 Truxtun Ave #201
Bakersfield, CA 93301
Tel: (661 )326-3979
POST CARD AT JOB SITE
OWNER
þC,D - -N.( , I
ADDRESS
3(0 I 'St-pTt5
CITY (\ {
t3l> ev~-r¡ 6.lc
PERMIT No. IS ..L- - 035 c::¡
Kd
ADDRESS
AvE
ZIP
9~!;D7
CITY
PHONE No.
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 ONE. 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.
INSPECTION
PRIMARY PIPING
SECONDARY PIPING
TYPE OF PIPING 0 FLEX
PlPINGSyrSTEM
'~5' ~\i'--
~ '51)----5
íé *" a~I.¡-~ ØD~\ J
o FIBERGLASS
CATHODIC PROTECTION SYSTEM-PIPING
DISPENSER PAN
dSECÒNDARYCÓN:tAtNME:~, (¡)veRftia,,:PRou:ê'TtON, lEAK DETeCTíoN
r';' _ - /""- " . \' f ,,;' - ."- >' '_ - .;J _;', < "':_ ~ -'" . ~,.: " .. _ .,~ - - - -. ;Y ,t_ '. _", :
CONTINUOUS VAPOR MONITORING
ENHANCHED LEAK DETECTOR TEST
LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES
FILL TIGHT FILL BOX(ES)
PRODUCT LINE LEAK DETECTOR(S)
LEAK DETECTOR(S) FOR ANNUAL SPACE-OW. TANK(S)
MONITORING WELL(S)/SUMP(S) - H2o TEST
SPILL PREVENTION BOXES
'. ..,t=INAL
,- - ,,,"- '
MONITORING WELLS, CAPS & LOCKS
FILL BOX LOCK
MONITORING REQuiREMENTS
TYPE
---~------
AUTHORIZATION FOR FUEL DROP (7I(eJ/ f( .AltsV......... T~r
CONTRACTOR --~,,!--(ky~stL~--------- LICENSE NO~r@ ð$Æié,'5
CONT ACT _______:22QJtLE&JJ~_______________________________________________ PHON E No. :iCl~_l~_'l7/8
fd 1743
-
PERMIT APPLICATION TO CONSTRUCT/MODIFY
UNDERGROUND STORAGE TANK
..
Bakersfield Fire Dept,
Environmental Service
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
PERMIT NO. I 8~ - ò.3 5"9
TYPE OF APPLICATION (CHECK)
o NEW FACILITY e(MODIFICATION OF FACILITY
o NEW TANK INSTAllATION AT EXISTING FACILITY
STARTING DATE I PROPOSED COMPLETION DATE
June, 2004 June, 2005
FACILITY NAME I EXISTING FACILITY PERMIT NO.
Fastrip
FACILITY ADDRESS I CIT~ I z~~~~7
4901 S. Union Avenue -.
TYPE OF BUSINESS I APN#
Gas Station
ADDRESS
Kern County Construction
CITY
ZIP CODE
93308
TANK OWNER
Jaco - Hill
ADDRESS
3101 State Road
CONTRACTOR
P.O. Box 6096 Bakersfield
PHONE NO. BAKERSFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO. INSURER
3848-2003
BRIEFLY DESCRIBE THE WORK TO BE DONE
UPGRADE PHASE 1 VAPOR RECOVERY SYSTEM TO MEET EVR-102-D
WATER TO FACILITY PROVIDED BY
California Water Company
DEPTH TO 150+/- I SOIL TYPE EXPECTED AT SITE Clay Sand
GROUND WATER
NO. OF TANKS I ARE THEY FOR MOTOR FUEL I SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE
TO BE INSTALLED 0 DYES o NO DYES ONO
THIS SECTION IS FOR MOTOR FUEL
TANK NO. VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
AVIATION
THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS
TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME)
CAS NO (IF KNOWN)
CHEMICAL PREVIOUSLY STORED
FOR OFFICIAL USE ONLY
APPLICATION DATE
FACILITY NO.
NO. OF TANKS
FEES $
The applicant has received, understands, and will comply with the attached conditions of the permit
and an the state, local and federal regulations. This form has been completed under penalty of
pelju / and to t e t of m knowledge. is true and correct.
Mark Blackburn
APPLICANT NAME (PRINT)
THIS APPLICATION BECOMES A PERMIT WH
APPLICANT SIGNATURE
C")
LO
o
N
:E
PPROVED
eK #-"J-L" L{ ð ~ 1
Jul 14 04 07:41a
It
Ron Roget"'s
.
661-a-87-6522
p,a
. . -
. CITY OF BJ\ 'ICR~mLD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester A~ BakenGeId, CA (661) 3U.3979
APPLICATION TO PERFORM
FUEL MONITORING CERTIFICATION
PACD.n"Y 77 S J 72- '5 FJ.......re.;,':¡p Irr
ADDRESS 'Y,?O;..s. @.e,v A"J<=- I ~~~j ~ <.ri
OPERATORS NAME Be-,.~(~ J~\~
OWNERS NAME 7Z:t- ~........, "ot!>...I
NAMe OF MONIIOJl WANUFA.C'J."UR:eR t/j.L 7l:> 3~"l>
DOES PAaLI'rY HAVE DlSP£NSBIl PANS? YEs Y'" NO_
(
TANK #
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2-
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5
VOL'(.hIR
/~ cÞ~
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./-0 0-"
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/4 n,.,?
,
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CONTBNTS
.17
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D,e~£~
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... I MIII-..JIIII'
NAMEOF-I1:..YluJO<::oMPANY .4c~ P€Z!'!:£.¿GVM 5~1UO
CONTRACTORS UCBNSB;I: '?'/3 6/ ¿. A,z...A
N'AME&:rHONBNt.JMBl!kOFCONTACTPERSON ?t>CJ .~~ ¿6/- '??2-LOO/
DATE 4'X1MB 'œST JS TO BB COHl)UCTEI) 7- /L/ -() f/
..1 cfufko
2--/ Cj--() tf
~OPAPHEAm
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APPROV1ÐBY
DATE
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MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6. 7, Health and Safety Code; Clwpter 16, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment A seoarate certification or reoort must be oreoared
for each monitorin~ System control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30
days of test date.
A. Generallnforma~ c:.. . #.
Facility Name: ?'?,:5 rH~p /y
Site Address: 9'90 / ,,;:;;-, t/,A/rCw A-cA5
Focililyeo-tPe,,,,,e ßer~E ~/,,,",,,,,,,
MakeIModel of Monitoring System: _ 'l. '1l.S" - 350
Tao!J ID: ;s-
.fJÍn- Tank Gauging Probe. Model: ~
WI" þnoJar Space or Vault Sensor. Model:_
~Piping Sump / Trench Sensor(s). Model:
[J Fill Sump Sensor(s). Model:
[J Mechanical Line Leak Detector. Model:
[J Electronic Line Leak Detector. Model:
[J Tank Overfill/ High-Level Sensor. Model:
[J Other Stand model in Section E on
Tank ID: L</.s
~Tank Gauging .
a'" AJ¡nuJar Space or Vault Sensor.
¡;¡r'p¡ping Sump I Trench Sensor(s).
[J Fill Sump Sensor(s).
[J Mechanical Line Leak Detector.
[J Electronic Line Leak Detector.
[J Tank Overfill! High-Level Sensor. Model:
[J Other (s oj t and model in Section E on P e 2).
~ID:' 2.,
Ia1>ispenser Containment Sensor(s). Model:
erShear Valve(s).
[J Di nserContainment Float(s) and Chain(s .
~~tai~t Seosor(s). Model:
~hear Valve(s).
[J Dis ser Containment Float(s and Chain s .
DisJJenser ID:
B'þïspenser Containment Sensor(s). Model: [J Dispenser Con
Ia"'ShearValve(s). [J ShearValve(s).
[JDi Containment Float(s) and Chain s). [J Di nser Containment Float(s) and . s).
"If the facility contains more tanks or dispensers. copy this fonn. Include information for every tank and dispenser at the fac
C. Certification - I œJ1Üy that the equipment identified in this doc:ument was ÌlJSpectedlserviœd in acconIanœ with the 1DIIIIUf'adurer'
guidelines. Attached to this CertUication is iDf'ormation (e.g. manofaeturers' dJecldIsts) necessary to verity that this Infonnatioo is
correct and a Plot PIau showing the layout of moDitoriug equipment. For any equipment capable of generating such repot1s, I have also
a~acopy~tbe~ect~_apply): ...ersÿSœm ~-up ~tzreport .
Technician Name (pnnt): ~ ~ð"~ Slgnature:_ ~
Certification No.: 'Ý ?J6 License. No.: /6 4 ~
Testing Company Name: ,//-CI!!f ~T£O¿euA1 clt=þ.J IC.e,s Phone NO.:( 6 b Ó.3J7?- IS' S'z.- ~
Site Address: / S£-¥c::' £ T;£6ß O/L. O~. . J14/{EltAU=¡ iSt.O lh- Date of Testing/Servicing: 1// ¥/ö~
. , 93J'y
Monitoring System Certification
Bldg. No.:
City: ¡?+kEiitd/ei:ù Zip: 9'Ä30?
Contact Phone No.: (bb/ ) .Y'ý?, -:9.3 ?7
Date of Testing/Servicing: 7..-JL75..¿;Y
Serviced:
Tank ID: Y-f1/1"1 7 S-
a1i- Tank Gauging. Model:~
~ Annular Space or VauJt Sensor. Model: _
~ping Sump / Trench Sensor(s). Model:
[J Fill Sump Sensor(s). Mode]:
[J Mechanical Line Leak Detector. Model:
[J Electronic Line Leak Detector. Model:
[J Tank Overfill! High-Level Sensor. Model:
[J Other (s oj t t and model in Section E on Pa e 2).
TankID: lãE«- :s-
Gt1n- Tank Gauging Probe. Model: ~
er ~nuJar Space or Vault Sensor. Model: ~
la"f>iping Sump! Trench Sensor(s). Model: '/ A-
[J Fill Sump Sensor(s). Model: .
[J Mechanical Line Leak Detector. Model:
[J Electronic Line Leak Detector, Model:
[J Tank Overfill! High-Level Sensor. Model:
[J Other (s i oj nt and model in Section E on Pa e 2).
ID:
..g J:Ú.Spenser Containment Sensor(s). Model:
.a-Shear Valve(s).
[J Dis Containment Floai(s) and Chain(s).
Dispenser ID:
~er Containment Sensor(s). Model:
ers~Valve(s).
[J Dis ser Containment Float(s) and Chain(s).
nsor(s). Model:
Page 1 of3
03101
.;;,
, .
e e
MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6. 7. Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. A seoarate certification or report must be preoared
for each monitorinl! system control oanel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30
days of test date.
A. Generallnformation _ ~
Facility Name: -;f/S- ~rþj) ~ 7
Site Address: '0/ S. t/~¡d.{/~
Facility Contact Person: ß~/e-. $"",,~
MakeIModel of Monitoring System: ¡/J£ TÃS 3;Sl)
.
[J Other (s t
Tagk ID:
a""Iß-Tank uging Probe.
~nular Space or Vault Sensor.
~ping Sump I Trench Sensor(s).
[J Fill Sump Sensor(s).
[J Mechanical line Leak Detector.
[J Electronic Line Leak Detector. '.
[J Tank 0verfiß I High-Level Sensor. Model:
[J Other (s ui t t and model in Section E on P e 2 .
Dispeuser ID: Z.
~penser Containment Sensor(s). Model:
~hear Valve(s).
[J Dis ser Containment Float s) and Chain(s).
Disp!nser ID: ¿ 'í
a""'"'~ser Containmènt Sensor(s). Model: ~
~hear Valve(s).
[J Di ser Containment Float(s) and Chain(s).
~: ~ Dispenser
. Containment Sensor(s). Model: Pj/¿,. [J Dispenser Con
hear Valve(s). [J Shear Valve(s).
[JDis Containment FJoat(s and Chain(s . [J Di oser Containment Float(s) and Chain
-If the facility contains more tanks or dispensers, copy this form. Include infonnation for every tank and dispenser at the facility.
Tank ID:
Q1D: Tank Gauging Probe.
t::I"'"'".ðImular Space or Vault Sensor.
a--Piping Sump I Trench Sensor(s).
[J Fm Sump Sensor(s).
[J Mecbanical Line Leak Detector.
[J Electronic Line Leak Detector. .
q¡r
'/,t..
, Bldg. No.:
City: .&+/<E/lðfeEfc,L Zip: 93E¿) 7
Contact Phone No.: fb'bJ ) $Ç 7 -73? 7
Date of Testing/Servicing: ZLý'i~
serviced:
Tag,k ID: lßél... z.-.
a'1n- Tank Gauging Probe. Model: ~
Ji:r"'" Annular Space or Vault Sensor. Model:
CJ'1Siping Sump I Trench Sensor(s). Model: ~
[J Fill Sump Sensor(s). Model: .
[J Mechanical LiDe Leak Detector. Model:
[J Electronic Line Leak Detector. Model:
[J Tank Overfill I High-Level Sensor. Model:
[J Other (s ui t and model in Section E on Pa e 2 .
Tank ID:
Tank Gauging Probe.
[J Ann or Vault Sensor.
[J Piping Sump I sor(s).
[J Fm Sump Sensor(s).
[J Mechanical LiDe Leak Detector.
1:1 Electronic Line Leak Detector.
[J Tank Overfill I High-Level Sensor. Model:
[J Other (s ui nt and model in Section E on
Dispenser ID: ';5 (,
~nserContalnment Sensor(s). Model:
Gr'Sbear Valve(s).
[J Di nser Containme t Float s) and Chain(s).
:eID:
. ser Con
hear Valve(s).
[J Dis r Containment Float(s) and Chain(s).
~
nsor(s). Model:
C. Certification - I œrtilÿ that the equipment identU1ed in this document was iDspected/servi in acconIanœ with the 1II8IlDfadurers'
gnüWipe& AUached to this CerØtieation Is infOl'lD8tiou (e.g. manufacturers' ~kUsts) neœssary to verify that this iDfonnation is
-.....---...-..-_ For_~~.....-I........
attad1ed a wpy otthe ~~ tIuIt IIpply): a"System set-up ry
Technician Name (print): I!!.tb Signature:
Certification No.: 97-1'Þ License. No.: . 3 6 1f,¡f"L
Testing Company Name: /lei!!" fr71!POJVM ~<£i) PboneNo.:(66/ ) 38'7~S-L.'Z--
Site Address: / ~ .s;~ /)¡(.. ~""G:<.ð~ Vt- Date of TestinglServicing: ZJI,/f'O r
/ ~3¡.Y
Monitoring System Certitieation
Pagelof3
03101
e
e
Software Version Installed:
D,Results of TestingIServicing
-/8
checklist:
Is the audible alann
Is the visual alann 0 tional?
Were all sensors visuall ins . functionall tested. and confirmed tional?
Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their 0 ration?
[J Yes [J No* H alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
r;a"'NI A operational?
Yes [J No* For pressurized piping systems. does the turbine automatically shut down if the piping secondary containment
[J N/A monitoring system detects a leak. fails to operate. or is electrically disconnected'! H yes: which sensors initiate
positive shut-down'! (Check all that apply) a-gumplI'rench Sensors; I3'11iSpenser Containment Sensors.
Did ou confinn . 've sbut-down due to leaks and sensor failure/disconnection'! a-r'es; [J No.
[J Yes [J .1l0* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
ZN/A mecbanical overfill prevention valve is installed). is the overfill warning alann visible and audible at the tank
fill int s and 0 ratio rl ? H so. at what rcent of tank ca aci does the alann tri er? %
[J No Was any monitoring equipment replaced? H yes. identify specific sensors. probes. or other equipment replaced
and list the manufacturer name and model for all lacement arts in Section E. below.
No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) [J
Product; [J Water. H es. describe causes in Section E. below.
[J No* Was stem set-u reviewed to ensure ro r settin ? Attach set u
Yes [J No* Is all monito . ui ment 0 'onal r manufacturer's ifications?
· In Section E below, describe bow and when these defidencies were or wiD be corrected.
E. Comments:
7-- /'-oy
t<4 ke'ð 7Z~;3 ~ ¿""h}ßS
Page2of3
03101
e
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Monitoring System Certlßeation
Site Address:
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If you already have a diagram that shows all required information, you may include it, rather than this page, with your
Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identifY
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
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Date map was drawn: 2// Y / tly.
.
.
Instructions
55""""
Page ~ orL
05100
S\¡"STEI"I SETUP
JUL 14, 2004 10:40 AM
SYSTEI"¡ UN I TS
U.S.
SYSTEI'1 LANGUAGE
ENGLISH
FABTRl P 19
4901 S. UNIO~_~~E.
BKFLD. CA. 9:.iJUI
661-397-9387
BHIFT TIME 1 DISABLED
SHIFT TIME 2 DISABLED
BHIFT TIME 3 DDII~S~AABBLLEED[)
SHIFT TIME 4
PERIODIC TEST WARNINGS
DISABLED ~~
ANNUAL TEST WARNIN~~
DISABLED
B''{'STEt'1 SECUR I TY
CODE : 000000
PR I NT TG VOLUI"IES
ENABLED
TEI"IP COt'IPENSAT I ON
\/ALUE (DEG F ): 60.0
CO~'U"ILJN I CAT I OI~:3 SETUP
------
PORT SETTINGS:
COl"I1"1 BOARD 1 (RS-232)
BAUD RATE 9600
PARITY NONE
STOP BIT 1 STOP
DATA LENGTH: 8 DATA
AUTO TRANS!"! I T SETT I NGS:
AUTO LEAK ALARM LIMIT
DISABLED
AUTO HIGH WATER LIMIT
DISABLED
AUTO OVERFILL LIMIT
DISABLED
AUTO LOW PRODUCT
DISABLED
AUTO THEFT LIMIT
DISABLED
AUTO DELIVERY START
DISABLED
AUTO DELIVERY END
DISABLED
AUTO EXTERNAL INPUT ON
DISABLED
',I,'TV\ r.VTt:''DhI.::!.T T NPIIT OFF
e
--.---.
----. LlT.;:JHOLJ:.L'
RS-2:32 SEGUR I TY
CODE : 000000
RS-232 END OF MESSAGE
DISABLED
IN-TANK SETUP
------
T 1 :UNL. 775
PRODUCT CODE
THERI"IAL COEFF
TANK D I At"1ETER
TANK PROFILE
FULL VOL
: 1
: . 007000
96.00
1 PT
12032
FLOAT SIZE: 4.0 INCHES
!AIATER WARNING . 2.0
HIGH WfWER LI "'lIT : 3.0
MAX OR LABEL VOL: 12032
OVERFILL Llt"IIT : 95%
11430
HIGH PRODUCT 97%
11671
DELIVERY LI"'IIT 10%
-; 1203
LOL.J PRODUCT : 500
LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: 99
TANK TILT : 7.30
"'IAN I FOLDED TANKS
11:1: NONE
LEAK 1"1 I N ANNUAL : 1203
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALAR!"! DISABLED
PERIODIC TEST FAIL
ALAR~'1 DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVER~;ING: OFF
PER TEST A\/ERAG I NG : OFF
TANK TEST NOT I FY : OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
e
'-'~~----. .1
-~
- -.........-
.
T 2:UNL.PLUS 775
PRODUCT CODE : ___ _?
THERMAL COEFF :.uuU7uu
TANK DIAMETER : 96.00
E 1 PT
TANK PROFIL 1')032
FULL VOL "-
FLOAT SIZE:
4.0 INCHES
WATER WARNING :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT :
HIGH PRODUCT
DELI VERY LI M IT
2.0
3.0
12032
95%
11430
97%
11671
10%
1203
1000
99
99
9.88
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TILT :
MANIFOLDED TANKS
1I:t: NONE
LEAK MIN ANNUAL :
PERIODIC TEST TYPE
STANDARD
1203
ANNUAL TEST FAIL .
ALARt'Ì DISABLED
PERIODIC TEST FAIL
. ALAk'l" DISABLED
GROSS TEST FAIL
ALARI"! DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOT I FY : OFF
TNK TST SIPHON BREAK:OFF
DELIIJERY DELAV : 15 MIN
-----
T 3:PRE!"I.UNL. 775
PFWDUCT CODE
THER!"IAL COEFF
TANK D 1 A~'IETER
TANK PROFILE
FULL VOL
3
: .000700
: 96.00
1 PT
12032
FLOAT SIZE: . 4.0 INCHES
(..·.IATER ~"ARN I NG :
HIGH WATER LH1IT:
MAX OR LABEL VOL:
OVERFILL LIMIT :
HIGH PRODUCT
DEL I VERY L I ¡-) I T
12032
95%
11430
97%
11671
10%
1203
1000
99
99
2.67
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TILT :
1"IAN I FOLDED TANKS
Trt: NONE
LEAK MIN ANNUAL: 1203
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARI'" D IBABLED
ANN TEST AVERAGI~~: OFF
PER TEST AVERAGING: OFF
TANK TEST NOT I FY : OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 HIN
e
2.0
3.0
-..
--_...._~.-
T 4:DIESEL 775
PRODUCT CODE
THERMAL COEFF
TANK D I A!"IETER
TANK PROFILE
FULL VOL
: 4
: . 000450
: 96.00
1 PT
12032
FLOAT SIZE:
4.0 INCHES
klATER L"ARNING :
HIGH WATER LIMIT:
t'1AX OR LABEL VOL:
OVERF I LL LI tvl IT :
HIGH PRODUCT
DELIVERY LIMIT
2.0
3.0
12032
95}.
11 430
97%
11671
10%
1203
1000
99
99
3.75
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TILT :
MANIFOLDED TANKS
Trt: NONE
LEAK MIN ANNUAL: 1203
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL t
ALARM DlöABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALAR!"1 DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTI FY : OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
4'
--~'-
T 5:UNL. 725
PRODUCT CODE
THERI"!AL COEFF
TANK DIAt-1ETER
TANK PROFILE
FULL VOL
: 5
: . 000700
: 96.00
1 PT
12000
FLOAT SIZE:
4.0 INCHES
WATER WARNING :
H 1 GH WATER Ll tvll T :
MAX OR LABEL VOL:
OVERF I LL Ll tvl IT :
HIGH PRODUCT
DEll VERY Ll!"lI T
4.0
4.0
12000
95%
11 400
97%
11640
10%
1200
500
99
99
0.00
LOW PRODUCT :
LEAK ALARM Ll M IT:
SUDDEN LOSS LIMIT:
TANK TI LT :
MANIFOLDED TANKS
TI!: NONE
LEAK MIN ANNUAL: 1200
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARtvl DISABLED
PERIODIC TEST FAIL
ALAR!"! D I SABLEr'
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTI FY : OFF
TNK T£:T SIPHON BREAK:OFF
DELIVERY DELAY : 15 HIN
~~~:p~,:"~,',..'
T 6:PREM.UNL. 725
PRODUCT CODE
THERI"IAL COEFF
TANK DIAr"IETER
TANJ( PROFILE
t¡j~!i;t:'!~'ti\""""'''i''., FULL VOL
: 6
: . 000700
96.00
1 PT
12000
FLOAT SI2E:
4.0 INCHES
WATER L,JARNI NG :
HIGH WATER LIMIT:
2.0
3.0
I"\A>< OR L.ABEL VOL:
O\lERF I LL L I I"J I T
HIGH PRODUCT
DELIVERY LIf''1IT
12000
95".
11400
97~.
11 640
10%
1200
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LINIT:
TANK TILT
MANIFOLDED TANKS
Tit: NONE
LEAK NIN ANNUAL: 1200
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARN DISABLED
PERIODIC TEST FAIL
ALAR/"¡ DISABLED
1000
99
99
0.00
GROSS TEST FAIL
ALARf'1 DISABLED
ANN TEST AVERAGING: OFF
PER TEST fWERAG I NG : OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DEL I VERY DELAY' : 1 5 /"¡ I N
-
T 7':D I ESEL 725
PRODUCT CODE
THERMAL COEFF
TANK DIA~'1ETER
TANK PROFILE
FULL VOL
: 7
: .000450
96.00
1 PT
12000
FLOAT SIZE:
4.0 INCHES
WATER WARNING :
HIGH WATER LIMIT:
'MAX OR LABEL VOL:
OVERF I LL LI M IT
HIGH PRODUCT
DELIVERY LIMIT
2.0
3.0
12000
95%
11400
97~~
11640
i O~Ó
1200
1000
99
99
0.00
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TILT :
MANIFOLDED TANKS
nt: NONE
LEAK /"1 I N ANNUAL: 1 200
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALAR/"J DISABLED
..,
PERIODIC TEST FAIL
ALARt" DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGI NG: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFV: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
LEAK TEST METHOD
------
- - - -
TEST ON DATE : ALL TANK
JAN 1, 2000
START TIME: 2:00 AM
, TEST RATE : 0 . 20 GAL'HR
DURATION : 2 HOURS
LEAK TEST REPORT FORMAT
NORI"IAL
-
-...----%,,;>~-..J!:~
-~-
LIQUID SENSOR SETUP
-------
- - - ...
L 1: UNL . SUI"IP 775
TRI-STATE (SINGLE FLOAT)
CATEGOR'i : STP SUT"IP
1. 2:UNL.ANN 775
TRJ-STATE (SINGLE FLOAT>
CATEGORY : ANNULAR SPACE
L 3:UNL.PLUS SUMP 775
TR I -STATE <S I NGLE FLOAT>
CATEGORY : STP SUMP
L 4:UNL.PLUS ANN 775
TRI-STATE (SINGLE FLOAT)
CATEGORY : ANNULAR SPACE
L 5:PRE/"I. UNL.SUI1P 775
TRl-STATE <SINGLE FLOAT>
CATEGORY : STP SUMP
L 6:PREM.UNL.ANN 775
TRI-STATE (SINGLE FLOAT)
CATEGOR'i : ANNULAR SPACE
L 7:DIESEL SUMP 775
TRI-STATE <SINGLE FLOAT)
CATEGOR'i : STP Sut1P
L 8:DIESEL ANN 775
TRI-STATE (SINGLE FLOAT)
c;::,rEGORY : ANNULAR SPACE
L 9: UNL . SU/"'P 725
TRI -STATE <SI NGLE FLOAT)
CATEGORY : STP SU/"IP
L1 0 : UNL. ANN 725
TR I -STATE (S INGLE FLOAn
CATEGORY : ANNULAR SPACE
L 11 : PREI"1. lINL . SU/"IP 725
TRI-STATE {SINGLE FLOAT}
CATEGORY : STP SUMP
L 1 2 : PRE,..' . tlNL. ANN 725
TRI-STATE {SINGLE FLOAT}
CATEGORY : ANNULAR SPACE
e
~--_.._--
L13:DIESEL SUMP 725
TRI-STATE (SINGLE FLOAT)
CATEGORY : STP SUMP
LI4:DIESEL ANN 725
TRI-:STATE {SINGLE FLOAT>
CATEGORY : ANNULAR SPACE
Ll5:DISP 11-14
NOR~'!ALL Y CLOSED
CATEGORY : DISPE~~ER PAN
Ll 6 :DISP 15-18
NOR~1ALL Y CLOSED
CATEGORY : DISPENSER PAN
Ll8 :DISP 3-4
TRI-STATE (SINGLE FLOAT)
CATEGORY : DISPENSER PAN
L20:DISP 7-8
TRI "STATE <81 NGLE FLOAT)
CATEGORY : DISPENSER PAN
L21:DISP 9-10
TR I,-STATE <8 I NGLE FLOAT>
CATEGORY : DISPENSER PAN
OUTPUT RELAY SETUP
--~----
R 1: UNL -PREI"!. UNL. 725
TyPE:
STANDARD
NOR!"IALLY CLOSED
! N-TANK ALARt'lS
T 5: LEAK ALARrv1
T 6: LEAK ALARM
T 5:HIGH WATER ALARM
T 6:HIGH WATER ALARM
LIQUID SENSOR ALMS
L 9:FUEL ALARM
Ll 0 :FUEL ALARM
Ll1 :FUEL ALARlv
L 1 2 : FUEL ALARI..,
L 9:SENSOR OUT ALARM
L10:SENSOR OUT ALARI"!
Lll:SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L 9: SHORT ALARt'1
L 1 0 : SHORT ALARlv!
LlI :SHORT ALARI"!
Ll2 : SHORT ALARM
R 2:DI£8EL 725
TYPE:
STANDARD
NORI'1ALL'l CLOSED
..
IN-TANK ALARlv1S
T 7: LEAK ALARl"l
T 7: HIGH WATER ALAR!"!
LIQUID SENSOR ALMS
Ll 3 : FUEL ALAR!"l
Ll4 :FUEL ALAR!"!
L13:SENSOR OUT ALARM
L 14 : SENSOR OUT ALAR!"!
Ll3 : SHORT ALARM
Ll4 : SHORT ALAR!"!
e
-~
.~
".
R 5:UNL. 775
TVPE:
STANDARD
NORI"IALL Y CLOSED
IN-TANK ALARI"IS
T 1: LEAK ALARt'l
T l:HIGH WATER ALARM
LIQUID SENSOR ALMS
L 1: FUEL ALARM
L 2:FUEL ALARM
L l:SENSOR OUT ALARM
L 2:SENSOR OUT ALARM
L 1: SHORT ALARM
L 2: SHORT ALAR!"!
R 6:UNL.PLUS 775
TYPE:
STANDARD
NORlv!ALL Y CLOSED
IN-TANK ALAR!"IS
T 2:LEAK ALARM
T 2:HIGH WATER ALARM
LIQUID SENSOR ALMS
L 3:FUEL ALARM
L 4:FUEL ALARM
L 3:SENSOR OUT ALARM
L 4:SENSOR OUT ALARM
L 3: SHORT ALARI"!
L 4: SHORT ALARlvl
. ~-"'¡:
-..'"
R 7 :PRElv!. UNL. 775
TYPE:
STANDARD
NORI'1ALL Y CLOSED
IN-TANK ALARMS
T 3: LEAK ALARI..,
T 3:HIGH WATER ALARM
LIQUID SENSOR ALMS
L 5: FUEL ALARI'1
L 6: FUEL ALAR!v!
L 5: SENSOR OUT.ALAR~·1
L 6:SENSOR OUT ALARM
L 5: SHORT ALAR!"!
L 6 :SHORT ALARM
R 8:DIESEL 775
TYPE:
STANDARD
I~ORMALL Y CLOSED
IN-TANK ALARMS
T 4: LEAK ALARI1
T 4:HIGH WATER ALARM
LIQUID SENSOR ALMS
L 7 :FUEL ALAR!"!
L 8:FUEL ALARM
L 7:SENSOR OUT ALARM
L 8:SENSOR OUT ALARM
L 7:SHORT ALARM
L 8: SHORT ALAR!"I
----- SENSOR ALARM
U¡::, :DISP 15-18
DISPENSER PAN
FUEL ALARI"!
JUL 14, 2004 11:00 AM
----- SENSOR ALARM
U 5 : D I ::::p 1 1 - 1 4
DISPENSER PAN
FUEL ALARM
JUL 14, 2004 11 :01 A~1
----- SENSOR ALAR!"!
U 5 : D I SP 11 - 1 4
DISPENSER PAN
FUEL ALAR!"!
JUL 14, 2004 11:02 AM
____n__ SENSOR ALARI"!
Lt6 :DISP 15-18
DISPENSER PAN
FUEL ALARI"!
JUL 14, 2004 11:04 AM
------ SENSOR ALARM
LI0:UNL.ANN 725
ANNULAR SPACE
FUEL ALARf"!
JUL 14, 2004 11 :04 AM
------ SENSOR ALAR!"I -----
L 9: UNL.SU!"IP 725
STP SU~1P
FUEL AU\RI'1
JUL 14. 2004 11 :05 AM
e
----- SENSOR ALARM -----
LI2:PREl1.UNL. ANN 725
f1NNULAR SPACE
FUEL ALARf"!
JUL 14. 2004 11:07 AM
-.----- SENSOR ALAR!"I -----
L 1 1 : PREI"/ . LlNL . SUI"IP 725
STP SUMP
FUEL ALARI1
JUL 14. 2004 11:08 AM
------- SENSOR ALAR!"I
LI4:DIESEL ANN 725
ANNULAR SPACE
FUEL ALAR!"1
.1UL 14.. 2004 11: 09 AM
..,
------ SENSOR ALARM -----
LI3:DIESEL SUMP 725
STP SUI"IP
FUEL ALARM
JUL 14, 200411:10 AM
----- SENSOR ALAR!"1
U8:DISP 3-4
D I SPENSER F'AN
FUEL ALARM
JUL 14, 2004 11:30 AM
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
JUL 14. 2004 11:30 AM
SYSTEM STATUS REPORT
------
---..---
U8:FUEL ALARM
e
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397 '-9387
JUL 14. 2004 11:33 AM
SYSTEI"I STATUS REPORT
------
------
ALL FUNCT IONS NORI"1AL
------- SENSOR ALAR~'I
L20:DISP 7-8
DISPENSER PAN
FUEL ALARM
JUL 14, 2004 11:35 AM
----- SENSOR ALARM -----
L21 :DISP 9-10
DISPENSER PAN
FUEL ALARM
JUL 14, 2004 11:36 AM
------ SENSOR ALARM -----
L 4:UNL.PLUS ANN 775
ANNULAR SPACE
FUEL ALARI"1
JUL 1 4. 2004 11: 40 At'!
----- SENSOR ALARi"1 -----
L 6:PREI"1.UNL.ANN 775
ANNULAR SPACE
FUEL ALAR~'1
JUL 14. 2004 11 :41 AM
----- - SENSOR ALARM
L 8:D1E8EL ANN 775
ANNULAR SPACE
FUEL ALAR~1
JUL 14, 2004 11:44 AM
----- SEN80R ALARM -----
L 7:D1E8EL SUMP 775
STP SUI"1P
F UEL ALAR~1
JUL 14, 2004 11:45 AM
----- SENSOR ALARM
L 5:PREM. UNL.S~1P 775
STP SUI"1P
FUEL ALAR!"1
JUL 14. 2004 11: 47 AI"1
. ·,c--""-'7...SEN80R.AL8RI"¡ -----
L. :3: UNL. PLUS SU~'1P 775 '.'
STP SUI"IP
FUEL ALARt'l
JUL 14, 2004 11:48 AM
----- SENSOF: ALARM
L 1: LlNL .SUMP 775
STP SU~'1P
FUEL ALARf"¡
JUL 14. 2004 11:49 AM
----- SENSOR ALARM
L 2:UNL.ANN 775
ANNULAR SPACE
FUEL ALAR!"!
JUL 14. 2004 12: 01 P!"1
e
ALARM HISTORY REPORT
SYSTEM ALAR!"!
PAPER OUT
MAY 22. 2004 6:54 PM
PRINTER ERROR
I"IAY 5, 2004 3: 45 A!"I
BATTERY IS OFF
JAN 1. 1995 8:00 AM
ALARf"1 H I STORY REPORT
---- IN-TANK ALARM
T 1 :UNL. 775
O\IERF I LL ALARM
DEC 29. 2003 9: 04 P!"I
NOV 27, 2003 8:44 PM
fEB 28. 2003 11:51 PM
HIGH PRODL~T ALARM
DEC 29. 2003 9:05 PM
NOV 27. 2003 8: 45 PI"I
JAN 26, 2003 5:44 PM
INVALID
OCT 14,
AUG 30.,
!"IAR :31.
FUEL LEVEL
2003 2 : 00 {~~'I
2003 2: 33 AI"I
2003 6: 16 PM
..
11:32 AM
il :29 AM
1 1 : 22 A!"1
PROBE OUT
DEC 22. 2003
DEC ¿¿. 200:3
DEC 22. 2003
DELIVERY NEEDED
OCT 14. 2003 2:32 AM
AUG 30. 2003 2:55 AM
1"IAR 31. 2003 b : 31 PI"!
¡"lAX PRODUCT ALARI"!
DEC 29. 2003 9:07 PM
NOV 27. 2003 8:47 PM
JAN 26. 2003 5:45 PM
ALAR!"1 H 1 STÒRV REPORT
----- IN-TANK ALARJ"1
T 2:UNL.PLUS 775
INVALID fUEL LEVEL
DEC 27. 2003 6:2~ PM
OCT 3. 2003 1º:~b AM
SEP 26, 2003 ~:u4 PM
e
.----.
ALARM HISTORY REPORT
---- I N-TANK ALAR!"!
T :3: PREf1. UNL. 775
LOW PRODUCT ALARM
JUN 10. 2002 10:24 PM
JUN 1. 2002 6:19 AM
INVALID FUEL LEVEL
JUN 12. 2002 4:29 PM
DELIVERY NEEDED
AUG 31. 2003 5:31 AM
JUL 22. 2003 4:39 PM
MAY II. 2003 4:27 AM
ALARM HISTORY REPORT
---- IN-TANK ALARM
T 4:D1E8£L 775
LOW PRODUCT ALARM
MAR 23. 2002 7:42 AM
INVALID FUEL LEVEL
MAR 23. 2002 11:00 PM
DELIVERY NEEDED
JUN 21, 2003 11 25 PI"I
JUN 16. 2002 9 16 AM
APR 27. 2002 10 40 AI··1
"
HU~Rr"l H I STORY REPORT
.---.- I N-TANK ALAR!"!
T 5:UNL.725
,:}\lERF I LL ALAR!"!
SEP 21. 2003 1: 26 AI"!
JUN 19. 2003 6:12 PM
"'lAY 17. 2003 8: 04 P!"1
LOW PRODUCT ALARM
JAN 31. 2004 4:02 PM
NOV 15. 2003 3:59 PM
NOV 2. 2003 8:15 PM
HIGH PRODUCT ALAR!"!
JUN 19. 2003 6:12 PM
l"tAR 3. 2003 12: 49 AI"!
JAN 22. 2003 11:21 AM
I N\}AL 1 D FUEL LEVEL
JAN 31. 2004 4:06 PM
NOV 15. 2003 4:03 PM
NOV 2. 2003 8:22 PM
PROBE OUT
DEC 30.. 2002 1: 06 PN
FEB ~2. 2001 8:20 AM
NOV 18. 1999 10:53 AI"!
DELIVERY NEEDED
JUN 12. 2004 7:06 AM
FEB 2. 2004 5:49 PM
JAN 31. 2004 1:12 PM
MAX PRODUCT ALARM
I"IAR 9. 2002 11: 50 PI"!
ALARI"I HIBTORY REPORT
---- IN-TANK ALARM
T 6:PRÐ"I.UNL. 725.
HIGH WATER ALARM
DEC 30. 2002 12:42 PM
OVERFILL ALARM
DEe 30. 2002 12:41 PM
LOW PRODUCT ALARM
JUL 4. 2003 11 :36 PI"I
NOV 19. 2001 8:39 AM
AUG 5. 2001 6:14 PM
HIGH PRODUCT ALARM
DEe 30. 2002 12: 42 PI"!
INVALID FUEL LEVEL
1"tAR 19. 2001 6: 14 I'M
PROBE OUT
APR 22.. 2003
DEe 30. 2002
DEC 30. 2002
9:21 P!"!
1 : 1 0 PI"I
1 :04 PI"!
HIGH ~"ATER WARN I NG
DEe 30. 2002 12:42 PM
DELIVERY NEEDED
JUL 4.. 2003 11 05 At·1
APR 17.. 2003 7 19 AI"!
FEB 24. 2003 10 37 AM
e
~._."~c.;;,<;::~.;.;..;;:1õoòII.
ALARM HISTORY REPORT
---- IN-TANK ALARM
T 7:[oIESEL 725
LOW PRODUCT ALARr"!
~JJJL. 2...~ 2004 ... 6: 1 3 PI-!
,. J'A'N:u'2'8~2'O'Ô3' '""t: 56 PM
DEC 30, 2002 1:21 I'M
INVALID FUEL LEVEL
DEC 30. 2002 1:22 Pl"t
ýROBE OUT
DEC 30, 2002 1 :22 ~1
HIGH I..IATER t.IARN I NG
DEC 28. 2002 8:16 PM
DELIVER'l NEEDED
JUL 2. 2004 1:42 PM
OCT 13.. 200:3 5: 36 A!"I
MAY 16. 2003 5:36 AM
..
ALARM HISTORY REPORT
IN-TANK ALARI'1 ------
T 8:
ALARM HISTORY REPORT
------- SENSOR ALAR!"!
L 1: UNL.SUr"IP 775
STP SUMP
FUEL ALARM
JUL 14, 2004 11:49 AM
FUEL ALARt1
AUG 11. 2003 10:55 PM
FUEL ALARr1
DEC 17, 2002 7:55 PM
--
".---..
ALARM HISTORY REPORT
-.. ---- SENSOR ALARt"!
L 2:UNL.ANN 775
ANNUUiR SPACE
FUEL ALAR,..'
JUL 14, 2004 12:01 PM
FUEL ALARI"J
AUG 11.. 2003 10:49 PI"!
FUEL ALARt"l
AUG 4,2002 1:29 PM
ALA~'I"I H I STORY REPORT
------ SENSOR ALARt1 -----
L 3: UNl. . PLUS SUI"IP 775
STP SUlvlP
FUEL ALARI'1
JUL 14. 2004 11:48 AM
FUEL ALARI'1
AUG 11, 2003 10:57 PM
FUEL ALAR!"!
AUG 4. 2002 1:20 PM
ALARf"1 HI STORY REPORT
-----. SENSOR ALARlvJ -----
L 4: UNL . PLUS {iNN 7'75
ANNULAR SPACE
FUEL ALARM
JUL 14. 2004 11:40 AM
FUEL (=lLARI"1
AUG 11, 2003 10:51 PM
FUEL ALARM
AUG 4. 2002 1:45 PM
ALARM HISTORY REPORT
----- SENSOR ALAR!"I -----
L 5:PRÐ1. UNL.SUMP 775
STP BUMP
FUEL ALARI"I
.JUL 14, 2004 11: 4'7 AI"!
FUEL. ALAR!"!
RUG 11,2003 11:00 PM
FUEL ¡::\LARI'1
fìUG 4, 2002 1: 1 8 PI'1
~
ALAR!"1 HI STOR"",' REPORT
----- SENSOR ALARM -----
L 6:PREM.UNL.ANN 775
ANNULAR SPACE
FUEL ALAR~'1
JUL 14, 2004 11:41 AM
FUEL ALARI"I
AUG 11, 2003 10:51 PM
FUEL ALAR!"!
AUG 4. 2002 1: 56 PI"
ALAR!"I HI STORY REPORT
----- SENSOR ALARM -----
L 7:DIESEL SUMP 775
STP SU!"IP
FUEL ALAR!"!
JUL 14, 2004 11: 45 At"!
FUEL ALARI"!
AUG II, 2003 11:02 PM
FUEL ALARM
AUG 4, 2002 1:17 PM
ALAR!"I HISTORV F:EPORT
----.- SENSOR ALAR!"!
L 8:DIESEL ANN 775
ANNULAR SPACE
FUEL ALARt"
JUL 14, 2004 11:44 AM
SENSOR OUT ALARt,,!
OCT 14, 2003 2:28 AM
SENSOR OUT ALARM
SEP 5, 2003 4:52 AM
ALARt'·'! HISTORY REPORT
------ SENSOR ALARr" -----
L '3: UNL.SUMP 725
STP SUI"IP
FUEL ALARM
JUL 14, 2004 11: 05 AI"I
FUEL ALARM
DEC 26. 2003 9:18 AM
SETUP DATA WARNING
DEC 25, 2003 3:08 PM
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ALARM HISTORV REPORT
----- SENSOR ALARM
L1 0 : UNL. ANN 725
ANNULAR SPACE
FUEL AU\R!"!
JUL 14. 2004 11:04 AM
FUEL ALARt'!
AUG 11, 2003 11: 26 Pf"1
FUEL ALAR~1
AUG 12. 2002 3:56 PM
I-'lLAR/'1 H I STORY REPORT
----- SENSOR ALARM -----
Lll:PREM.UNL.SUMP 725
STP SUMP
FUEL ALARM
.JUL 1 4. 2004 11: 08 A!"!
FUEL AU)RI"!
FEB 2. 2004 7:54 PM
FUEL ALARI"J
DEC 26. 2003 9:18 AM
..
ALARM HISTORY REPORT
------ SENSOR ALAR~' ---__
L 12 : PREI"J . UNL. ANN 7'/5
ANNULAR SPACE -
FUEL ALARM
JUL 14, 2004 11:07 AM
FUEL ALAR,...!
·JAN 13. 2004 12: 31 PI"'
SENSOR OUT ALARM
NOV 30, 2003 10:31 AM
-ß,.,I,t!Et1tIIJ3TORV REPORT
----- SENSOR ALARM _____
LI3:DIESEL SUMP 795
STP SUMP ~
fïJEL ALARM
·JUL 1 4. 2004 11: 1 Ü AM
FUEL ALAR,...,
MAR 26, 2004 4:38 AM
FUEL ALARM
DEC 26. 2nn~ Q~Q ^M
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ALARM HISTORY REPORT
.------ SENSOR ALAR~'I
Ll4 :DIESEL ANN 725
¡~NNULAR SPACE
FUEL ALAR,..!
JUL 14. 2004 11:09 AI"!
FUEL f~LARI"!
AUG 16. 2003 2:40 AM
FUEL ALARM
AUG 14. 2003 1:06 AM
ALARM HISTORY REPORT
.----- SENSOR ALARM
Ll 5 : D I SP 11 -1 4
DISPENSER PAN
FUEL ALARI"!
JUL 14. 2004 11:02 AM
FUEL ALARI"1
JUL 14, 2004 11:01 AM
FUEL ALAR!"!
APR 21. 2004 8:16 AM
ALAR!"! HI STORY REPORT
-----. SENSO;: ALARM
L16:DISP 15-18
DISPENSER PAN
FUEL ALARM
JUL 14, 2004 11:04 AM
FUEL ALARM
JUL 14, 2004 11:00 AM
FUEL ALARN
APR 21, 2004 8:16 AM
ALAR/"! HISTORY REPORT
----- SENSOR ALAR,...'
Ll7:DISP 1-2
DISPENSER PAN
SENSOR OUT ALARN
DEC 26. 2003 9:18 AM
SENSOR OUT ALAR,...,
SEP 11, 2003 2:46 AM
FUEL ALARI"1
,~
.
ALARM HISTORY REPORT
------ SENSOR ALAR"')
Ll8:DISP :3-4
r· I SPENSER PAN
FUEL ALAR,.,
,JUL 14. 2004 11: 30 A""
ALARr"¡ H I STORY REPORT
----- SENSOR ALARM
LI9:DISP 5-E,
DISPENSER PAN
SENSOR OUT ALARM
DEC 26. 2003 9:18 AM
SENSOR OUT ALARM
SEP 11. 2003 2:45 AM
ALARM HISTORY REPORT
----.- SENSOR ALARM
L20:DISP 7-8
DISPENSER PAN
FUEL ALAR"'I
JUL 14. 2004 11:35 AM
ALARI'1 H I STORY REPORT
----- SENSOR ALAR!"!
L21:DISP 9-10
DISPENSER PAN
FUEL ALARM
JUL 14. 2004 11:36 AM
ALARI"! HIS;rORY REPORT
SENSOR ALARM -----
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave,. 3rd Floor, Bakersfield. CA 93301
FACILITY NAME
rb6-\-{-'-r
INSPECTION DATE 7/,k!{Jt.f-
Section 2:
Underground Storage Tanks Program
o Routine f&1 Combined Fo Joint Agency
Type of Tank ~ V\J - Q., ~
Type of Monitoring ~'TGJ
o Multi-Agency
Number of Tanks
Type of Piping
~omPlaint
LPT
ORe-inspection
OPERA TlON C V COMMENTS
Proper tank data on tile ~
. ...
Proper owner/operator data on file )G
Pennit fees current ~
Certitication of Financial Responsibility I\[¡
I .
Monitoring record adequate and current )0
Maintenance records adequate and current ><-
Failure to correct prior UST violations ~,
Has there been an unauthorized release? Yes No >G
- ~It-~ vv1J..I·".HSW'\~ Dp Ý\:56ð~~ ~y-st, !::u'f\ \~~ ...
0\11
Section 3: Aboveground Storage Tanks Program
ëJ
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TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
OPERA TION Y N COMMENTS
SPCC available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overlìll/overspill protection'?
C=CompJiance
V=Violation
Y=Yes
N=NO
Pink - Rusiness Copy
UNIFIED PROGRAM INtECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME ~ ~ IINS~CTION DATE INSPECTION TIME
"¡¡,,,,- . - ... .~. ...r~.p_. .-- .... .. ------.4- - .--. ... ..---- . ..~?],Jit~lt----Nõ-OTEñiPloYees---
-------M~L~~_il({J~ð1'2___._~____________________ ___________ ____5______'_
FACllITYCONTACT Business ID Number
15-021-
Section 1: Business Plan and Inventory Program
LJ Routine
)( Combined
.
LJ Joint Agency
LJ Multi-Agency
LJ Complaint
LJ Re-inspection
C V ( C=Compliance )
V=Violation
OPERATION
COMMENTS
~ LJ ApPROPRIATE PERMIT ON HAND
--~---~-- B~~'NE~-;;LAN -~~~~~~..~~~~;~~~;~~-~~~~~~~-------
-~--~--_._---~-------------------~__ - _....__..___ '··____····_______n________
LJ VISIBLE ADDRESS
... -.....- _______. __. _ ___.__._.._ ___._._n__.. _ _un._____ ______ ...__
_.__.__.u. _.._._..
.._n.._ _."+·h__.__.____ ._.._........____._._. .._. '_"___'_.___.__n
-' ----------------_._--_._._----_.~--~----_.._- -..-.---.------.- ---
__ _.._h_·_··___~.___..__nm .______.___ u __...____.__.__._.
J<!. LJ CORRECT OCCUPANCY
_._-------------------_._---,-----_.~-_._._-_._---_._----
~ 0 VERIFICATION OF INVENTORY MATERIALS
..__.·__....__.__._._..n..____.._.. ____.__~_._,,_...__ ....___.n..._. _______ ___..__._ _.________ ..__._..
-----·-·----~----··________..__.__~_____u..____________ _____ _...__._.___.._._ .. _._ __..____,_ __. ~_.___ ___ .n .._.______.__ u ~________.....______.. _..___u _._.._._ .___00_ _00'
~___~__~ERIFI~~TION_~_~~~N2~~~ES ________ ________________ _.________________ ________ _____u_.u________ __u______ __.
_~____~____~~_~~~AT~~ OF _~OC~~I~~___________.._______n_____u _____________________ _______________._...___ .. _______ _..
·ßu_~~ROPER S~G~~G~~~~~~M~~ERIA~____________________ ___n_______.______ _______ __ _________.____u__ __ ____ _____
Ff__ LJ ___~E~~I.:~TION OF ~_~~~ AV~~~~~=_______________n _ __u..____________ n_____._____.__ u__ _n___n___ .______ ___
'Ø LJ VERIFICATION OF HAT MAT TRAINING
--~.---.-------.-----.~-_._______.._.____.__ --_0 ____.__.. ~__.._._.
·________n__ __. _.___._.._..______n__. _ ..._.______..__
~_~__ VE~IFICATI~~~_ ABA~~~~~T SUP~'-~~~~D!~~C~~~~=-S______________u_____m________ __.___ _____._______________ _.. __
J-~~_~::~~~~~~~~;~ATE-=~=-_~t~~- _= .-~·.··..~·n~..__.
.,. LJ HOUSEKEEPING
.. __"_~_.m_._._ _
-- ---~-----.--.~----------..-----_..--_.__.__.._____ ..._ _'___'~n___ ___ _____.___._._____.___
- --.---..------.-.-------. -. -- ------ -.-
<1SL LJ FIRE PROTECTION
_n.L______________ _______.__ __m__ ___._.._____._._______.._ __..____ ______ ___..~_.__ .________.___ _._.~ ___....... ___ ~___._..___._~._... _. __ .___ .___
..q.. LJ SITE DIAGRAM ADEQUATE & ON HAND
- - .~. .--..,,-..~--.---...-
ANY HAZARDOUS WASTE ON SITE?:
LJ YES
;tNo
EXPLAIN:
QUESTIONS REGARrn G .mIS;:;;:L: =:US_A~(661) 326-39¡e
U Badge No.,
White - Environmental SeNices
Yellow - Station Copy
Pink
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.
.
State of California
AIR RESOURCES BOARD
.¡
Executive Order VR-1 02-D
OPW Phase I Vapor Recovery System
WHERE~:AS, the California Air Resources Board (ARB) has established, pursuant to
California Health and Safety Code sections 39600, 39601 and 41954, certification
procedures for systems designed for the control of gasoline vapor emissions during the
filling of underground gasoline storage tanks, in its CP-201, Certification Procedure
for Vapor Recovery Systems at Gasoline Dispensing Facilities (Certification
Procedure) as last amended October 8,2003, incorporated by reference in title 17,
California Code of Regulations, section 94011;
WHEREAS, ARB has established, pursuant to California Health and Safety Code
sections 39600, 39601 and 41954, test procedures for determining the compliance of
Phase I vapor recovery systems with emission standards;
WHEREAS, OPW Fueling Components, Inc. (OPW) requested and was granted
certification of the OPW Phase I Vapor Recovery System (OPW system) pursuant to the
Certification Procedure by Executive Order VR-1 02-A, first issued on
September 26, 2002, and reissued on October 10, 2002;
WHEREAS, OPW requested a further modification to the certification to include
additional components of the OPW system;
WHEREAS, the requested modifications to the certification of the OPW system have
been tested and evaluated pursuant to the Certification Procedure;
WHEREAS, the Certification Procedure provides that the ARB Executive Officer shall
issue an Executive Order if he or she determines that the vapor recovery system,
including modifications, conforms to all of the applicable requirements set forth in the
Certification Procedure;
WHEREAS, G-01-032 delegates to the Chief of the Monitoring and Laboratory Division
the authority to certify or approve modifications to certified Phase I and Phase II vapor
recovery systems for gasoline dispensing facilities (GDF); and
WHEREAS, I, William V. Loscutoff, Chief of the Monitoring and Laboratory Division, find
that the OPW Phase I Vapor Recovery System, including modifications, conforms with
all of the requirements set forth in the Certification Procedure, and results in a vapor
recovery system which is at least 98.0 perèent efficient as tested in accordance with test
procedure TP-201.1, Volumetric Efficiency for Phase I Systems;
NOW THEREFORE, IT IS HEREBY ORDERED that the OPW system is certified to be
at least 98.0 percent efficient when installed and maintained as specified herein and in
the following exhibits. Exhibit 1 contains a list of the certified components. Exhibit 2
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contains the performance standards and specifications, typical installation drawings and
maintenance intervals for the OPW system as installed in a gasoline dispensing facility
(GDF). Exhibit 3 contains the manufacturing specifications.
IT IS FURTHER ORDERED that compliance with the applicable certification
requirements, rules and regulations of the Division of Measurement Standards of the
Department of Food and Agriculture, the Office of the State Fire Marshal of the
Department of Forestry and Fire Protection, and the Division of Occupational Safety and
Health of the Department of Industrial Relations are made conditions of this certification.
IT IS FURTHER ORDERED that OPW shall provide a warranty for the vapor recovery
system and components to the initial purchaser and each subsequent purchaser within
the warranty period. The manufacturer of components not manufactured by OPW shall
provide a warranty for each of their components certified herein. This warranty shall
include the ongoing compliance with all applicable performance standards and
specifications, and shall comply with all warranty requirements in Section 9.2 of the
Certification Procedure. OPW may specify that the warranty is contingent upon the use
of trained installers. Copies of the warranty for the system and components shall be
made available to the GDF owner or operator.
IT IS FURTHER ORDERED that the certified OPW system shall be installed, operated,
and maintained in accordance with the ARB-Approved Installation, Operation and
Maintenance Manual for the OPW Phase I Vapor Recovery System, A copy of this
Executive Order and manual shall be maintained at each GDF where a certified OPW
system is installed.
IT IS FURTHER ORDERED that equipment listed in Exhibit 1, unless exempted, shall
be clearly identified by a permanent identification showing the manufacturer's name and
model number.
IT IS FURTHER ORDERED that any alteration in the equipment, parts, design,
installation or operation of the system certified hereby is prohibited and deemed
inconsistent with this certification unless the alteration has been submitted in writing and
approved in writing by the Executive Officer or Executive Officer's delegate.
IT IS FURTHER ORDERED that the following requirements be made a condition of
certification. The owner or operator of the OPW system shall conduct, and pass, the
following tests no later than 60 days after startup and at least once every three (3) years
after startup testing, using the latest adopted version of the following test procedures:
TP-201.3, Determination of 2 Inch WC Static Pressure Performance of Vapor
Recovery Systems of Dispensing Facilities, TP-201.1 S, Static Torque of Rotatable
Phase I Adaptors and depending on the system configuration, either TP-201-1 D, Leak
Rate of Drop Tube Overfill Prevention Devices and Spill Container Drain Valves;
or TP-201.1 C, Leak Rate of Drop Tube/Drain Valve Assembly. Shorter time periods
may be specified in accordance with local district requirements. Notification of testing,
and submittal of test results, shall be done in accordance with local district requirements
and pursuant to the policies established by that district. Alternative test procedures may
be used if determined by the Executive Officer, in writing, to yield comparable results.
OPW PHASE I VAPOR RECOVERY SYSTEM - VR-102-D
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Testing the PN valve will be at the option of the local districts. If PN valve testing is
required by the district, the test shall be conducted in accordance with TP-201,1 E, Leak
Rate and Cracking Pressure of PressureNacuum Vent Valves.
IT IS FURTHER ORDERED that the OPW system shall. be compatible with fuels in
common use in California at the time of certification and any modifications to comply
with future California fuel requirements shall be approved in writing by the Executive
Officer or Executive Officer's delegate.
IT IS FURTHER ORDERED that the certification of the OPW Phase I vapor recovery
system is valid through September 30, 2006.
IT IS FURTHER ORDERED that Executive OrderVR-102-C, issued on January 9, 2004
is hereby superceded by this Executive Order.
. t~'
Executed at Sacramento, California, this ZL day of April 2004.
Attachments:
Exhibit 1 OPW Phase I Vapor Recovery System Equipment List
Exhibit 2 Installation, Maintenance and Compliance Specifications
Exhibit3 Manufacturing Performance Standards and Specifications
OPW PHASE I VAPOR RECOVERY SYSTEM - VR-102-D
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Executive Order VR-1 02-D OPW Phase I Vapor Recovery System
Exhibit 1
OPW Phase I Vapor Recovéry System Equipment List
EQuipment Manufacturer/Model Number
PressureNacuum Vent Valve Husky Model 4885, 2-lnch Threaded
OPW 623V, 2 and 3-inch Threaded
Spill Containers and Covers OPW TTT-21WVWI/X-YZZZ
TIT indicates spill bucket material/cover type:
(not required with sump configuration lid)
1 = Aluminum .
1 C = Cast iron
1 SC = Sealable aluminum cover with an
expandable seal.
WWW Indicates bucket size:
00 = 5-gallon
15 = 15-gallon
OOE = 7.5-gallon (deep bucket model)
X indicates bucket base type
C = Cast Iron
No letter indicates composite base
Y indicates drain valve or plug
ZZZ indicates special configuration
EVR = Standard
SH = Self supporting container without ring
and cover
Pomeco. 5XX
XX indicates spill bucket material/cover type:
11 = Composite base, bolt down cover
21 = Composite base, rota-lock cover
61 = Cast iron base, bolt down cover
71 = Cast iron base, rota-lock cover
Sump Configuration Lid 1 Fibrelite FL-36 inch .
Replacement Drain Valve Kit OPW 1 DK-21 00
Dust Caps OPW 634TT-EVR (product)
OPW 1711T-EVR (vapor)
OPW 634LPC (product)
OPW 1711 LPC (vapor)
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Product Adaptor
OPW 61SALP-EVR
Vapor Adaptor
Extractor Assembly 1
Ball Float Vent Valve 1, 2
OPW 61VSA-EVR
OPW 233
Jack Screw Kit
OPW 53VML
OPW 30MV
OPW 61JSK-4400-EVR
OPW 61JSK-4410
OPW 61JSK-44CB
Face Seal Adaptor
OPW FSA-400
OPW FSA-400-S
Drop Tube
OPW 61T (various lengths)
Drop Tube Overfill Prevention Device 1
OPW 61S0-XXXC-EVR
Where XXX = 400,410,412,420 or 440
Tank Bottom Protector 1
OPW/Pomeco 6111-1400-EVR
Tank Gauge Port Components 1
Morrison Brothers 305XPA 11 OOAKEVR (cap &
adaptor kit)
Morrison Brothers 305-0200AAEVR (replacement
adaptor)
Morrison Brothers 305XP-11 OACEVR (replacement
cap)
Ever- Tite 4097 AGBR Adaptor
Ever- Tite4097 AGMBRNL Adaptor
Ever- Tite 4097MBR Cap
Veeder-Root 312020-952 (cap & adaptor)
1 Component optional for vapor recovery; may be required by other applicable regulations.
2 The 53VML and 30MV includes both the 2" and 3" models
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 1, Page 2
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Table 1
Components Exempt from Identification Requirements
Component Name. Manufacturer Model Number
Replacement Drain Valve OPW . 1 DK-21 00
61 JSK-4400-EVR
Jack Screw OPW 61 JSK-441 0
61 JSK-44CB
305XP A 11 OOAKEVR (cap &
Tank Gauge Port Component Morrison adaptor kit), 305-0200AAEVR
(Cap and Adaptor) Brothers (replacement adaptor, and
305XP-110ACEVR
(renlacement can).
Drop Tube OPW 61-T 61S0
Face Seal Adaptor OPW OPW FSA-400
OPWFSA-400-S
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 1, Page 3
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Table 2-1
Gasoline Dispensing Facility Compliance Standards and Specifications
Component Test Method I Standard or Specification
Minimum, 360-degree rotation
Rotatable Phase I TP-201.1 B Maximum, 108 pound-inch average static
Adaptors torque
Overfill Prevention TP-201.1 D ::;0.17 CFH at 2.00 in. H2O
Device
Spill Container Drain TP-201.1 C or ::;0.17 CFH at 2.00 in. H2O
Valve TP-201.1 D
Positive pressure setting: 3.0 ± 0.5 in. H2O
PN Valve 1. TP-201.1 E Negative pressure setting: -8.0 ± 2.0 in. H2O
Positive Leakrate: 0.05 CFH at 2.0 in. H2O
'. Neqative Leakrate: 0.21 CFH at -4.0 in. H2O
Gasoline Dispensing TP-201.3 As specified in TP-201.3 and/or CP-201
Facility
Connections and fittings Leak
Detection
certified without an Solution or No leaks
allowable leak rate Baqqinq
Table 2-2
Maintenance Intervals for System Components
Manufacturer Component I Maintenance Interval
Husky PressureNacuum Vent Valve Annual
Morrison Brothers Tank Gauge Components Annual
OPW PressureNacuum Vent Valve Annual
OPW Dust Caps (all models) Annual
OPW 61-T Straight Drop Tube Annual
OPW . Every 3 years
Ball Float (all models)
OPW Rotatable Phase I Adaptors Annual
OPW Drop Tube Overfill Prevention Valve Annual
I OPvv\Pomeco
I Spill Containers (all models)
I Annual
1. Compliance determination is at the option of the district.
Executive Order VR-1 02-0, OPW Phase I Vapor Recovery System, Exhibit 2, Page 5
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Figure 2A
Typical Product Installation Using OPW System
OPW lDK-2100
Replacement Drain
Valve Kit
OPW 634TI-EVR
(Product) Dust Cap
OPW 1-2100
. Spill Container
OPW 61 SALP-EVR
Product Adaptor
OPW 61JSK-4400-EVR
Jack Screw Kit
OPW FSA-400
Face Seal Adaptor
OPW 61SO-EVR
Drop Tube Overfill
Prevention Device
(Optional)
OPW/POMECO
61 I 1-1400-EVR
Tank Bottom Protector
(Optional)
'"
6 inch Max.
y
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 6
OPW 233
Extractor Assembly
(Optional)
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Figure 28
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Typical Vapor Installation Using OPW System
OPW 53VML
Ball Float Vent Valve
(Optional)
...
OPW 1-2100
Spill Container
OPW 1711T-EVR
(Vapor) Dust Cap
OPW 61VSA-EVR
Vapor Adaptor
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 7
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Figure 2C
Typical Vent Pipe Manifold
Yveotva".
- 2" Threaded Nipple
Threaded Fittinqs - 3 Places
T
Approx. 4"
1
Steel Nipple (6 places)
4
Steel Coupler
"Varies"
"Varies"
(3 -12" Typ)
(3 - 12" Typ)
Existing Steel Vent Pipes
@
@
4
1" x 1/4" Steel Flat Bar Or Equivelan1
Bolted in Place 2 places minimum
(Sway Control I Alignment Purposes)
Note: This shows only one typical configuration; other manifold configurations may be
used. For example, a tee may be located in a different position, or fewer pipes may be
connected, or more than one PN valve may be installed on the manifold.
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 8
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Executive Order VR-1 02-D OPW Phase I Vapor Recovery System
Exhibit 2
Installation, Maintenance and Compliance Standards and Specifications
This exhibit contains the installation, maintenance and compliance standards and
specifications applicable to an OPW system installed in a gasoline dispensing facility
(GDF).
General Specifications
1. Typical installations of the OPW system are shown in Figures 2A and 28.
2. The OPW system shall be installed, operated, and maintained in accordance with
the ARB-Approved Installation, Operation and Maintenance Manual for the
OPW Phase I Vapor Recovery System.
3. Any repair or replacement of system components shall be done in accordance with
the ARB-Approved Installation, Operation and Maintenance Manual for the
OPW Phase I Vapor Recovery System.
4. The OPW system shall comply with the applicable performance standards and
performance specifications in CP-201. Compliance of the system and all
components shall be demonstrated in accordance with TP-201.3, Determination
of 2 Inch WC Static Pressure Performance of Vapor Recovery Systems of
Dispensing Facilities.
5. There shall be at least one vapor recovery connection, throughout all Phase I
deliveries, between the cargo tank and the GDF storage tank into which fuel is
being delivered to ensure that vapor is returned to the cargo tank from the
underground storage tank system.
PressureNacuum Vent Valves For Storage Tank Vent Pipes
1. No more than three certified pressure/vacuum vent valves (PN valves) listed in
Exhibit 1 shall be installed on any GDF underground storage tank system.
2. Compliance determination of the following PN valve performance specifications
shall be at the option of the districts:
a. The leak rate of each PN valve shall not exceed 0.05 cubic feet per hour
(CFH) at 2.00 inches of H20 positive pressure and 0.21 CFH at 4.00 inches
negative pressure as determined by TP-201.1 E, Leak Rate and Cracking
Pressure of PressureNacuum Vent Valves.
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b. The positive pressure setting is 3.0 ± 0.5 inches of H20 and the negative
pressure setting is -8.0 ± 2.0 inches of H20 as determined by TP-201.1E,
Leak Rate and Cracking Pressure of PressureNacuum Vent Valves.
3. A manifold may be installed on the vent pipes to reduce the number of potential
leak sources and PN valves installed. Vent pipe manifolds shall be constructed of
steel pipe or an equivalent material that has been listed for use with gasoline. If a
material other than steel is used, the GDF operator shall make available
information demonstrating that the material is compatible for use with gasoline.
One example of a typical vent pipe manifold is shown in Figure 2C. This shows
only one typical configuration; other manifold configurations may be used. For
example, a tee may be located in a different position, or fewer pipes may be
connected, or more than one PN valve may be installed on the manifold.
4. The vent pipe manifold shall be installed at a height not less than 12 feet above the
grade used for gasoline cargo tank delivery operations and shall conform to all
applicable regulations.
5. Each PN valve shall have permanently affixed to it a yellow or gold-colored label
with black lettering stating the following specifications:
Positive pressure setting: 3.0 ± 0.5 inches H20
Negative pressure setting: -8.0 ± 2.0 inches H20
Positive Leakrate: 0.05 CFH at 2.0 inches H20
. Negative Leakrate: 0.21 CFH at -4.0 inches H20
Rotatable Product and Vapor Recovery Adaptors
1. Rotatable product and vapor recovery adaptors shall be capable of at least
360-degree rotation and have an average static torque not to exceed 108 pound-
inch (9 pound-foot). Compliance with this requirement shall be demonstrated in
accordance with the latest adopted version ofTP-201.1 B, Static Torque of
Rotatable Phase I Adaptors.
2. The vapor adaptor poppet shall not leak when closed. Compliance with this
requirement may be verified by the use of commercial liquid leak detection
solution, or by bagging, when the vapor containment space of the underground
storage tank is subjected to a non-zero gauge pressure. (Note: leak detection
solution will detect leaks only when positive gauge pressure exists.)
Vapor Recovery and Product Adaptor Dust Caps
Dust caps with intact gaskets shall be installed on all Phase I tank adaptors.
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 2
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Spill Container Drain Valve
The spill container drain valve shall be configured to drain liquid directly into the drop
tube and shall be isolated from the underground storage tank ullage space. The leak
rate of the drain valve shall not exceed 0.17 CFH at 2.00 inches H20. Depending on
the presence of the drop tube overfill prevention device, compliance with this
requirement shall be demonstrated in accordance with the latest adopted version of
either TP-201.1 D, Leak Rate of Drop Tube Overfill Prevention Devices and Spill
Container Drain Valves; or TP-201.1 C, Leak Rate of Drop Tube/Drain Valve
Assembly.
Drop Tube Overfill Prevention Device
1. The Drop Tube Overfill Prevention Devi.ce (overfill device) is designed to restrict
the flow of gasoline delivered to the underground storage when liquid levels
exceeds a specified capacity. The overfill device is not a required component of
the vapor recovery system, but may be installed as an optional component. Other
regulatory requirements may apply.
2. The leak rate of the overfill device shall not exceed 0.17 CFH at 2.00 inches H20
when tested as in accordance with the latest adopted version of TP-201.1 D, Leak
Rate of Drop Tube Overfill Prevention Devices and Spill Container Drain
Valves.
Face Seal Adaptor
The Face Seal Adaptor shall provide a machined surface on which a gasket can seal
and ensures that the seal is not compromised by an improperly cut or improperly
finished riser. A Face Seal Adaptor shall be installed on the following required
connections. As an option, the adaptor may be installed on other connections.
a. Product Spill Container (required)
b. Tank Gauging Components (required)
c. Vapor Recovery Spill Container (optional)
d. Rotatable Adaptors (optional)
Ball Float Vent Valve
A Ball Float Vent Valve (ball float) is designed to restrict the flow of a gasoline delivery
by using back pressure when the storage tank levels exceed a specified level. If
installed for overfill prevention, a ball float must be installed at each vapor and vent
connection to the tank. Ball floats are not required components of the vapor recovery
system, but may be installed as optional components for vapor recovery; other
requirements may apply.
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 3
..
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Figure 2D
Typical VaporRecovery Riser Offset
~ TOTPL a=FSE
I No< To E><ooed 20 '0"""
Vapor Riser'
Threaded Cap
(typical)
Extractor or Tee
Threaded to Riser
or direclty into tank
Threaded BboW/
Thread"" N~P')
V Vapor Riser or Fitting
threaded directly into
tank bung
Note: This figure represents one instance where a vapor recovery riser has been offset
in order to construct a two-point Phase I vapor recovery system. The above figure
illustrates an offset using a 90-degree elbow. However, in some instances, elbows less
than 90 degrees may be used. All fittings and pipe nipples shall be 4-inch diameter
similar to those of the spill container and rotatable Phase I adaptors in order to reduce
back pressure during a gasoline delivery.
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 9
Figure 2E
Example of a GDF Phase I Maintenance Record
Date of Repair
Maintenancel Date To MaintenancelT est/I nspection Name of Individual Telephone
Correct Affiliation Conducting
Test/lnspectionl Perlormed and Outcome Number
Failure Test Maintenance or Test
Failure
..
.
I I
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 2, Page 10
.'
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Executive Order VR-1 02-0 OPW Phase I Vapor Recovery System
Exhibit 3
Manufacturing Performance Standards and Specifications
The OPW system and all components shall be manufactured in compliance with the
performance standards and specifications in CP-201, as well as the requirements
specified in this Executive Order. All components shall be manufactured as certified; no
change to the equipment, parts, design, materials or manufacturing process shall be
made unless approved in writing by the Executive Officer. Unless specified in Exhibit 2
or in the ARB-Approved Installation, Operation and Maintenance Manual for the
OPW Phase I Vapor Recovery System, the requirements of this section apply to the
manufacturing process and are not appropriate for determining the compliance status of
aGDF.
PressureNacuum Vent Valves for Storage Tank Vent Pipes
1. Each pressure/vacuum vent valve (PN valve) shall be 100 percent performance
tested at the factory for cracking pressure and leak rate at each specified pressure
setting and shall be done in accordance with the latest adopted version of
TP-201.1 E, Leak Rate and Cracking Pressure of PressureNacuum Vent
Valves. Each PN valve shall be shipped with an card or label stating the
performance specifications listed below, and a statement that the valve was tested
to, and met, these specifications.
a. The pressure settings for the PN valve
Positive pressure setting of 3.0 ± 0.5 inches H20.
Negative pressure setting of-8.0± 2.0 inches H20.
b. The leak rate for each PN valve, including connections, shall not exceed:
0.05 CFH at 2.0 inches H20.
0.21 CFH at -4.0 inches H20.
2. Each PN valve shall have permanently affixed to it a yellow or gold label with
black lettering listing the positive and negative pressure settings specified above.
The lettering of the label shall have a minimum font size of 20.
Rotatable Product and Vapor Recovery Adaptors
1. The rotatable product and vapor recovery adaptors shall not leak.
2. The product adaptor cam and groove shall be manufactured in accordance with
the cam and groove specifications shown in Figure 3A of CP-201.
3. The vapor recovery adaptor cam and groove shall be manufactured in accordance
with the cam and groove specifications shown in Figure 38 of CP-201.
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4. Each product and vapor recovery adaptor shall be 100 percent performance tested
at the factory. Each adaptor shall have affixed to it a card or label stating the
performance specification listed below, and a statement that the adaptor was
tested to, and met, the following specifications.
a. The average static torque for the rotatable adaptor shall not exceed 108
pound-inch àverage static torque when tested in accordance with the latest
adopted version of TP-201.1 8, Static Torque of Rotatable Phase I
Adaptors,
b. The rotatable adaptor shall be capable of rotating at least 360 degrees when
tested in accordance with the latest adopted version of TP-201.1 8, Static
Torque of Rotatable Phase I Adaptors.
Spill Container and Drain Valves
Each Spill Container Drain Valve shall be 100 percent performance tested at the
factory. Each Spill Container Drain Valve shall have affixed to it a card or label stating
the performance specifications listed below, and a statement that the valve was tested
to, and met, the following performance specification.
a. The maximum leakrate shall not exceed 0.17 CFH at 2.00 inches H20 when tested
in accordance with the latest adopted version of either TP-201.1 C, Leak Rate of
Drop Tube/Drain Valve or TP-201.1 0, Leak Rate of Drop Tube Overfill
Prevention Devices and Spill Container Drain Valves.
Drop Tube Overfill Prevention Device
Each Drop Tube Overfill Prevention Device shall be 100 percent performance tested at
the factory to verify that it does not exceed the maximum allowable leak rate. Each
Drop Tube Overfill Prevention Device shall have affixed to it a card or label stating the
performance specifications listed below, and a statement that the device was tested to,
and met, the following performance specification.
a. The maximum leak rate shall not exceed 0.17 CFH at 2.00 inches H20 when
tested in accordance with the latest adopted version of TP-201.1 D, Leak Rate of
Drop Tube Overfill Prevention Devices and Spill Container Drain Valves.
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 3. Page 2
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Table 3-1
Manufacturing Component Standards and Specifications
Component Test Method Standard or Specification
Minimum, 360-degree rotation
Rotatable Phase I TP-201.1 B Maximum, 108 pound-inch average static
Adaptors torque
Rotatable Phase I Micrometer Cam and Groove Specifications
Adaptors (CP-201 )
Overfill Prevention TP-201.1 D $0.17 CFH at 2.00 inches H2O
Device
Spill Container Drain TP-201.1C or $0.17 CFH at2.00 inches H2O
Valve TP-201.1 D
Positive Pressure: 3.0 ±0.5 inches H2O
PressureNacuum Vent TP-201.1 E Negative Pressure: -8.0±2.0 inches H2O
Valve Leak rate: $ 0.05 CFH at +2.0 inches H2O
Leak rate: $ 0.21 CFH at -4.0 inches H2O
Executive Order VR-102-D, OPW Phase I Vapor Recovery System, Exhibit 3, Page 3
----. - ~--. ....~'"';/" ... r~"-~ ..
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UNDERGROUND STORAGE ANKS -UST FACILITY
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OFn"CE OF ENVIRON~IENTAL ~VICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
rYPE OF "CTION
, CMck one ,rem only)
o ,. NEW SITE PERMIT
o J. RENEWAL PERMIT
o 4. AMENDED PERMIT
5. CHANGE OF INFORMATION {SÞ«tIy c~nge .
lOcal use only}
o 8. TEMPORARY SITE CLOSURE
Page _ ot
o 1 PERMANENTLY CLOSED SITE
o 8. TANK REMOVED
400.
I. FACILITY I SITE INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing BuSIness As)
-
7;¿!5
3 FACILITY ID "
401.
FACILITY OWNER TYPE
. 0 1. CORPORATION
o 2. INDNlDUAL
!2t3.PARTNERSHIP
o 4. LOCAl AGENCYIOISTRICT'
o . 5. COUNTY AGENCY"
o 6. STATE AGENCY"
o 7. FEDERAL AGENCY'
402.
1. GAS STATION
o 2. DISTRIBUTOR
TOTAL NUMBER OF TANKS
REMAINING AT SITE -3
o J. FARM 0 5. COMMERCIAL
o 4. PROCESSOR 0 6. OTHER 403.
Is taciJily on Indian ReseMation or " owner ot UST a public agency: name ot super'lisor 01
ttusdands? . . 1ivisiaI, section or oIIIc:e ""'ictI operates the UST.
(This ìa Ihe alntxl pet'Sa1 tor !he lank rac:ords.)
404.
Dyes
~
405.
II. PROPERTY OWNER INFORMATION Ol'~ - /3e.r-,¡(..n'~ S~/C.JtT..u
407~¿)$~3_/~ 406.
409.
406.
PROJERTY OWNER NAME .
\. @1 h/7/'cðoA-J
MA~&~SS '.
C~
Oe¿k<V-
PROPERTY OWNER TYPE
410.
ZIP CODE
rr33BéJ :;l5/'5
412.
o 1. CORPORATION
o 2. INOMDUAL
~ARTNERSHIP
o 4. LOCAL AGENCY I DiSTRICT
o 5. COUNTY AGENCY
D 6. STATEAGENCV
o 7. FEDERAl AGENCY
413.
III. TANK OWNER INFORMATION
414.
- ;¿ç¿/¿)
415.
416.
417.
ZIP CODE 419.
9'3390 -,<.575
D ,. CORPORATION
o 2. INDNlDUAL
~TNERSHIP
o 4. LOCAL AGENCY I DISTRICT
o 5. COUNTY AGENCY
o 6. STATE AGENCY
o 7. FEDERAl AGENCY
420.
TY (TK) HQ
IV, BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT ~UMBER
Call (916) 322-9689 if questions arise
421.
V. PETROLEUM UST FINANCIAL RESPONSIBIUTY .
INDICATE METHOD(S)
y;. SELF-INSURED
o 2. GUARANTEE
o 3. INSURANCE
o 4. SURETY BOND
o 5. LEITER OF CREDIT
o 6. exEMPTION
o 7. STATE FUND
o 8. STATE FUND & CFO LETTER
o 9. STATE FUND & CD
o 10. LOCAL GOV"T MECHANISM
o 99. OTHER:
422.
VI. LEGAL NOTIFICATION AND MAILING ADDRESS
Ched< one box to indicate ""'ich address should be used tor legal notjncalions and maiUng.
Legal nOlißcalion. and mailings wiU be sent to Ihe tank owner unless box 1 or 2 i. checked.
o 1. FAClllTY
D 2. PROPERTY OWNER
~OWNER 423.
VII, APPLICANT SIGNATURE
CMinc:aUon: I COI1ity that Ihe intormation provided herein " lrYe and aa:unlle 10 Ihe best 01 my knOWledge.
SIGNA TURE OF APPLI DA TE
426.
( or local use only)
426. 1998 U
II
( or local use only)
429.
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OFFle OF ENVIRONMENTAL S~\lICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
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. SAFe SUCTION SYSTEMS (NO VAt-YES IN IIELOW GROUND PfIWG):
: 0 7. SELF Io4ONrTOAJNG
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: t1l I I. AUTO~ TIC LINe LEAK OET'ECTOR (3.0 GPH TEST) ~ Ft.OW SHUT OFF OR
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Ff 12. ANNUAL INTEGRfTY ~ (0.1 OPH)
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a 13. COHn«JOUS SUW SEN8OR. AUOeUIAM) VIIWUI.MMI
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OFFI~OF ENVIRONMENTAL SF4ltlCES
( 7 15 Cheste~ ve., Bakersfield, CA 93JO 1 ('ft'I) 326-3979
UNDERGROUND STORAGe TANKS· TANK PAGE t
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COtNEHT1OfW. SUCTION SYSTaIS (Dtedt ., /Ita, .øy):
o S. DAI. Y VISUAL MOHrroftINO OF PfIING NÐ PUto4PINO SYSTaI
o I. TRlEHMt.INTEGRtTY TEST (0.1 GPH)
SAFE SUCTION SYSTEMS (NO VALVES IN ea.ow GROUND PIPING):
o 7. SELF A.IONTOfUHG
GAA'iITY FttJW (Cha:Ic .. III« .øy):
o .. DAI. Y VISUAL AOCTORINQ
o t. IllENNW.INTEGRITY TEST (0. t GPH)
leCONDARI&.y CONTAINED I'I'IHG
PRESSURIZEC PIPING (ChWt ., III« øppIy):
10. CONT1MJOlIS T1JfI8INI! SlAiF SENSOR MIH AUOI8le NlO VISUAL ~ N«J IdIedt cne
o L AIJ'TO PUMP SKIT OFF 'MEN A LEAJ< OCQJRS
o Þ. AIJTO PUMP SHUT OFF FOR l£tJ<S. SYSTEM FAWÆ AKJ SYST'E1.I ~
o c. NO AIJ'TO P\.u> SKIT OFF
o II. AI.ITOM4 TIC I.EAI< 0€nCT0R
o 12. AhNJALINTEGRfTYTEST(O.1 GI'H)
SUC'T'IOf6'GRA'iITY S'\'ST£M:
o 11 COHTNJOUS SUM" SÐt90R . AOOIIIU! AHO VISUAl. AtMMS
IIIPOEHCY O!HI!RATOftS OM. Y (Chtct ., 111M wo»
o I.. COHTNJOUS SUM> SENSOR:tdniœlI AUTO PU.... St«JT OFF. AUDIBLE NlO VISUAL
AI.AAMS
o 15. AUTOMATIC ioN LI!AI< œreCTOR (3.0 GPfi TEST)
. ...:.....~.!':
IISPeNSER CONT AHoENT 0 1. FLOAT MECHANISM THAT SHUTS QFI SI«AR VALV1!
~ 'IiZf. 2. COHT'NJOUS 0ISP!H8!A PAH SI!NIOR . AUOI8U! NÐ VISUAl. AI.AAMS
~ b 3. CONTINUOUS ~ PAH SI!NIOR mntAUTO SHtJT OfF FOR OISPENSEA . AUOI8LE ANO V1SOAI. ALARMS
, DC. OWN!RIOPI!!RA TOR SIGNA TURI!!
I I o.rtIty !II. l/Ie ~aoon øroo.Ided /let.... Ie rn,. Md .:a.nIe 10 lie _ II my 1IncMIedge.
Slew. TUR! OF OWNEAAJPEAA T~ , OA TE
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_ CITY OF B.-\KERSFIELoe
OFFICE OF ENVIRON~IENT AL SERVICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
rYPE OF ACTION .
I C",eck one ,tem only)
o ,. NEW SITE PERMIT
o J.RENEWAL PERMIT
o 4. AMENDED PERMIT
~NGE OF INFORMATION ($p«1fy clUlnge .
local use Only)
o 8. TEMPORARY SITE CLOSURE
(91
I
Page _ 01 _
o I PERMANENTLY CLOSED SITE 'I
o 8. rANK REMOVED 400.
UNDERGROUND STORAGE TANKS - UST FACILITY
I. FACILITY I SITE INFORMATION
-
776
3
FACILITY ID .
401.
FACILITY OWNER TYPE
o 1. CORPORATION
C? ~IVIDUAL
~ 3. PARTNERSHIP
o 4. LOCAL AGENCYiClSTRICT'
o S. COUNTY AGENCY"
o 6. STATE AGENCY"
o 7. F.EDERAL AGENCY"
402.
BUSINESS ~'S STATION
TYPE ~ 1. <.>A
o 2. DISTRIBUTOR
TOTAL NUMBER OF TANKS
REMAINING AT SITE
o 3. FARM 0 S. COMMERCIAL
D 4. PROCESSOR D 8. OTHER 403.
Is facìtily on Indian ResetvaIion 01 "If owner 01 UST a public agency: name 01 suøervisor 01
11usIIands? division, secöon 01 otIIce whicn operates !he UST.
(This ia lI1e conlad p«son for !he lank rec:otds.)
Dves
I21'N:' 4OS. 406.
II, PROPERTY OWNER INFORMATION ~)P~~- J6B-r"",un:=. G<h?/~cvU
. 407. ~() :Y9r/lXJÒ 408.
404.
///// ~.
5/5
409.
410.
412.
D 1. CORPORATION
D 2. INDIVIDUAl.
t;'3.PARTN~IP
D 4. LOCAl AGENCY I OISTRJCT
o 5. COUNTY AGENCY
D 8. STATE AGENCY
D 7. FEDERAL AGENCY
413.
III. TANK OWNER INFORMATION
414'1~~ )
(/..593- 7¿9ðð
415.
418.
o ,. CORPORATION
o 2. INDIVIDUAl.
I2t3.PARTNERSHIP
417. ST~
o 4. LOCAl AGENCY I DISTRICT
o 5. COUNTY AGENCY
418.
ZIP CODE
~8è -0266
o 6. STATE AGENCY
o 7. FEDERAL AGENCY
419.
420.
TY(TK)HQ
rv. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT ,.UMBER
Call (916) 322-9669 if questions arise
421.
V. PETROLEUM UST FINANCIAL RESPONSIBILITY '.
INDICATE METHOO(S)
rJr ,. SELF· INSURED
D 2. GUARANTEE
o 3. INSURANCE
o 4. SURETY BOND
o 5. LETTER OF CREDIT
o 8. EXEMPTION
o 7. STATE FUND
o 8. STATE FUND & CFO LETTER
09. STATE FUND & CO
o 10. LOCAL GOVT MECHANISM
o 99. OTHER:
422.
VI. LEGAL NOTIFICATION AND MAILING ADDRESS
Chec1< one box 10 Indicate which address Should be used for legal notiftcations and mailing.
Legal nOlincalions and mailings wiD be sent to the lank owner unless box 1 Of 2 is c:I1ed<ed.
o 1. FACILITY
o 2. PROPERTY OWNER
~K OWNER 423.
¡. VII. APPLICANT SIGNATURE
¡ CeniftcaUon: I c:el1ìty that the information provided herein IS true and accurate 10 the best 01 my knOW1edge.
SIGNA TURE OF APPLI
NAME OF APPLICAN
428.
425.
427.
c.(¿~
( or Ioclll Ule only)
428.
I I
( or Ioc,' US, only)
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OFF. OF ENVIRONMENTAL StltVICES
1115 Chester Ave., Bakersfield, CA 9JJOl (661) 326-3979
. UNDERGROUND STORAGE TANKS· TANK PAGE 1
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: 0 4. F'~ 0 .. nDIIU (HDfIf) 0.. Ontt!A 0 4. FIWIGlASS
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o 95. UNl<NQWH
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PRE~RIZfD PlPlNO {CII«:J¡ ~ '* eppjyþ: .
¡;;;¡...-í. ELECTRONIC LH! L.!N< DET!C1'OR 3.0 QfIH TEST mns AUTO ...... SHUT' on FOR .
LEAl<. SYSTEM FAILURe. AHO SYSTÐIOIICX 1..C11ON . A&.CaI AHO VIIUAL
~Y0..2QPH TEST
~ ANNUAL INT'EGMY TEST (Q.' QPtf)
PRESSURIZED PIPING (CII«:J¡ ~ /Nt lIPØly): I
o I. ELECTRONIC LH! L.!N< DE'nCTOA 3.0 GPH TEST mD1 AUTO ...... SHUT OFF FOR I.£A¡ ,
SYSTÐI FAll.UA£. NÐ SYSTEM OISCONECTION . AUOØJ! AHO VISUAL ALAAMS
o 1. UOHTK. Y 0..2 QfIH TEST
o 1 NMJIL M'!GAfTY TEST (0.' QPtf)
o .. DAI. Y VISUAl. CHECK
CON\IEHT1OHAL SUCTIOH SYSTEMS (CItedt .. IN, lIPØly):
o s. DAI. Y VISUAl. MOfCTOAINO OF PIPING AHO PUfo4PING SYSTEW
o .. _ TRlEHML.INT'EGRtTY TEST (0.' GPH)
SAFE SUCT10H SYSTEMS (NO VAlVES IN BElOW GROUND PIPING):
o 7. SElF MONITORING
GAAVfTY FtJJW (CII«k ~ ".,~):
o .. DAI. Y VISUAL MONrTOftINCJ
o .. 8IÐHAL INTEGRITY TEST (0.1 GPH)
II!CONDARII. Y CONTAlNIO PIlING
PRESSUfVZfD PIPING (CIt«:It 16".., lIPØly):
10. COHTNJOUS T1JR8INI! StAP SENSORmIt1AUOf8LE NÐ VISt.W.~ NÐ (dldone
o .. AIJTO PUW SHUT OFF WHEN A L.eN< OCCURS
o Þ. AIJTO PUW SHUT OFF FOR LEAKS. SYSTa4 FAILURE NÐ SYSTEM ~ I
o Co NO AIJTO PtJI,p SHUT OFF
o 1'. ~TIC LEN< DETECTOA
o 11. NNJALINTEGRtTYTEST(o.t GPH)
SUCTIOH/IJAA'mY SYS'T'EU:
o 11 CONTNJOUS SUIoIP SEHSOA . AUDI8U! AHO VISUAl. ALANe
IIIPGEHCY OI!NERATOa ONl. Y {Ch«k II /11M ~
o 14. COHT'JN.IOIJS so...- SENSOR wmiOUT AUTO PUMP SHUT OFF. AUOI8L.E 00 VISUAL
ALAAMS
o 15. AUTOMAT1C LINE LEAK D£TECTOR (3.0 GPH TEST)
..~~
IJNDEItGAOUHO PIPING
CONllEHTlOfW. SUCTIOH SYS'1'!MS:
o 5. OAII. Y VISUAl. LIONITOAINO OF JIUYIING SYSTEM . TRII!NMI. PFINO NT"EGAn"I'
TEST (0.1 GPH)
, SAFE SUCTION SYSTEMS (NO VALves IN IIELOW GROUND PI'ING):
I 0 7. SELF MOHITORING
i GAAVrTY Flow.
o 9, IllENHW.INTEGRtTY TEST (0.' ~
)
1eCONDMIL., CONrAINID .....,
PReSSURIZED PPHG (CIt«:It ~ ".., lIPØly:
10. e:::.. SUIoP SEHSOA·mnfAUDeU! NCJvtaW.Al.NtMSAHO
( )
a. AUTO PUMP SHUT OFF 'MEN A L.eN< OCCURS
o Þ. AUTO PUMP SHUT OFF FOR LEAICS. SVSTEM FAII..UÆ NCJ SYS'TeM
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¡ 0 Co NO AUTO PUMP SHV1' OFF
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'r--: RESTRICTION
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i ~NIGRA'mY SYS'T'EU:
o 13. CONTNJOUSSUIoIPSEN8OR.~AHOVllUALALAM8
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¡ 0 14. COHTlNUOUS SUMP seNSOR wmiOUT AUTO ~ SHUT~.AUOelE AHJ
! VISUAl. AI.AAMS ..
i)R '5. AUTOMATIC LINE LEAK DeTECTOR (3.0 OPH TEST) mItQS4 fV1W SHUT OFF OR
. ï~ RESTRICTION
o IS. ANNUAlINTEGRrTY reST (0.1 GPH)
o 17. OAlLY VISUAL CHECK
o IS. ANNUAlINTEGRrTY reST (0.1 GPH)
n 17. DAA.YVlSUALCHECK
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CITY OF 8..\IŒRSFIElD
OFFltJ OF ENVIRONMENTALS_VICES
1115 Chester Ave., Bakenfleld, CA 93301 (ð61) 326-3919
UNDERGROUND STORAGE TANKS· T ANI( PAGE 1
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: 0 4. Ff8ER<õlASS 0 .. ~ (HCf'!) a.. OTHER 0 4. FllIERGlASS
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o 2. SUCTION
o 9$. uNKNO-
o 99. OTkER
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o . e. FRI' COfof'4'T11L! WlI 00"4 ~
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o I. CA THOOfC PAOTECTIOH
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: PRe~RIZ.ED PlPlNO (CIt«;Ir II 11M WlYJ:
t:Ví. eLfCT'ROHlC UN! L!NC OET!CTOA 1.0 QfIf4 TUT mDf AUTO lUll St«JT' OFF FOR .
LfA.I<. SYSTEM FAll.UN!. AKJ S't'S'TBIOIIOOIMC11OH . A&.e*.I ~ WIUAL
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COHVENTlOHA&. SUCTION SYSTÐo&S:
o 5. OAK. y 'IISUAI. MOHrTOfUNO 01' PUfoIPIHO SYSTÐ,I. TRI!NIAI.I'I'M) IN1"EGftfT'Y
TEST (0.1 GPH)
SAFE SUCT10H SYSTEMS (NO v-"VES IN ea..ow GAOUND ~
o 7. SELF MOHrTORING
PRESSUIUZED PIPING (CMcIlII ,.., WIY):
o 1. ELfCTAOHlC UN! I.V.I< OET!CT'OR 3.0 OPH TUr :ðtD1 AAJf'O pt.Ut SHUT OFF I'C)R l£\;
SYSTaI FAl.UAI!. AN) SYSTEM DISCONECTION . AUCØ.! AN) VISUAL ALARWS
a 2..om..y U OPH T!ST
a 1 NNJL M'!OfIfI'Y T!ST (0. 1 QIIH)
o .. r:w. Y vtSlIAI. OEOC
CON\IENT'IOHAL SUCTION SYSTÐcS (Otedr .. .,., 6PPIY):
o S. r:w. y VISUAl. MONfTOAINO.OI' PIPINO NÐ PUWINO SYSTaI
o I. TRIEHMI.IHT'EGRnY TEST (0.1 GPH)
SAFE SUCTION SYSTaCS (NO VAl.IIES IN ea.ow GROlJND PIPING):
o 7. SEl.F~
GAAVfTY FI.tJW (CtI«* II II« W/y):
o .. CAllY VISUAL WOHr1'OAINQ
o I. IIÐNAL IHTEGAfTY TEST (0.1 GPH)
SI!CONDARJLy CONTAINED PI'ING
PRfsstJRlZEO PIPING (0I«:It III ..., 1/IIPI1):
10. COtfflMJOUS TUR8N! St.u> SENSOR ïdl11 AUOI8l.E NIO VISUAl. ~ AND (eNet one
o .. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS
o Þ. AUTO PUMP SHUT OFF FOR LE.AI<S. .SYSTa4 FAA.URf NIO SYSTEM DISCONNECT1Of-o
o c. NO AUTO P\JU> SHUT OFF
o 1 1. AU'T()MA TIC L.E.4K OETEC'T'OR
o 12. NHJALIHTEGRfTYTUr(O.1 GPH)
SUC'TJC)M:iAAvrT'Y SYSTÐt
o 11 COHTNJOUS SUoIP SEHSOR . AUÐIBU! AHlJ 'iISUAL AI.NtMS
IMØGIHCY O!HØATOftS 0... Y {Chect II 11M ~
o 14. COHTNJOUS SUW SENSOR vmHOUT AUTO PUMP SWT OFF. AUOI8lE Nio VISUAl.
ALAAMS
o t 5. ALlTOMA TIC LINE LEAl< DETECTOR (3.0 GPH TEST)
GAAvrrv FlOW:
o I. se..w. M'EORITY TEST (0.1 ~
'I!CONDMIL. y CONr.w.D .....0
PR£SSURIZED PI>HO (CMcII III II«IfPpIy:
10. e:'T\IRSINI! su,p SEH80A mD1 AUOIIJU! NÐ YaW. AlAAMS AND
( )
.. AUTO PUMP SHUT OFF 'MEN A LEN< OCCURS
o Þ. 4UTO PUMP SIiUT OFF FOR LÆAICS. ~ FAIWN! NÐ SY'ST'EM
OISCONEC'T1ON .
o c. NO AUTO PUMP SHUT OFF
I £Q., II. AUTOIM Tic llNl! LEN< OET1:CTOR (3.0 QfIH TEST) ~ RJ:NI ørr OFF OR
RfSTRlCTlOH
ø- 12. AHf«JAL M'EGRnY TEST (0.1 QPH)
~VT1Y SYS'TÐt .
o 13. CONTHJOUS SUIoP SEH80R . AUC:e..I AND VI8&W. MNW4
!IIOOÐICY QUllftATQM ONLY (CItec* II lilt .,
':J 14. COHTW.JOUS SUM' SEHSOR WJTHOUT AUTO PUW SMI1'~..AUDIIlJ! AKJ
VISUAl ALAAMS
~ IS. AUTOMATIC LINE LEAK oereCTOA (3.0 OPH T'ES11 MIt1Q!4 RJ:NI SHUT OFF OR
RESTRICTiON
:J I e. ANNUAl. 'NTEGRITY TEST (0.1 (;pH)
:J 11. OAlL Y VISUAl. OiECK
Ole. ANNUAI./NTEGRITY TEST (0.1 GPH)
o 11. OAJl Y VISUAL OiECK
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CORROSION
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o 95 uNKHO~
o 99. OT~EA
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o t. 8IÐHAI. INTI!GRrTY TEST (0.1 ~
A80veGROUNO PIPING
W.
PAESSUAàEo PIPING (CJtKII .. IN, 1JPI)Iy):
o I. ELECTRONIC L.H! L.!N< OET!CT'OA 3.0 GPH TEST:tdn1 AUTO PUY" SHUT OFF FOR L£\i
SYSTaI F4I.UIU!. AIC) SYSTEM OCSCONECT1OH . ~ AIC) VISUAl. ALAAIoIS
o 2. WOHTM.Y 0.2 QfIH T!ST
o 1. NHJN..1IT!OArTY T!ST (0.1 0fIH)
o ... DAI. y VISUAL OEQ(
COtMNTIOHAL SUCT10H SYSTEJ.IS {CItedc .. ..., ."".,):
o 5. DAI. Y VISUAl. MOMTOfaNO OF PIPING AHO PUtoIPINO SYSTaI
o I. TRJEHMlIHT'EGRrTY TEST (0.1 GPH)
SAFe SOCT1ON SYSTaIS (NO VALVES IN øa.ow GROONO PIPING):
o 7. SElJ"~
GAAvrTY FlOW(Ch«;k eI,..,."".,):
o I. DAI. Y VISUAL MONTOAINQ
o .. IIIÐHAL IHT'EGfUTY TEST (0.1 GPH)
IeCONDARIL Y CONTAINED PI'INO
PRESS\.IRaEO PIPING (0t«Ic.. '*IIPPI¥):
10. COHTNJOUS T\JA8H! sua.tP SENSOR rm11 AOOI8lE NÐ VISUAl. AlNVoCS AHO (dIeCk an<'J
o L AUTO PU&M> SHUT OFF 'MiEN A lEAl< OCCURS
o Þ. AUTO PUMP SHUT OFF FOR LE.AI<S. SYSTEM FAA.URf NÐ SYSTaI 0ISC0NEC'TJ00'.
o c. NO AUTO P\JI,IP SHUT OFF
o 11. AU1'OM'TIC LEAK DETECTOR
O' 12. NHJÞL IHT'EGRITY TEST (0.1 GPH)
SUCT1OfK3RAVTI"Y SYSTEM:
o 11 COHT'NOUS suy" SENSOR . AUCI8U! AHO VISUAL ALAIIUS
IMDGI!HCY OeJll!RATOfIS ONt. Y (CltedleI '* ~
o 14. COHTHJOIJS SUW SENSOR WITHOUT AUTO PUMP StM' OFF. AUOI8lß AHO VISUAL
AI.AAMS .
o 15. AUTOMATIC LINE LEAK OETECTOR (3.0 GPH TEST)
PRe~AIZI!O ~PlNO (CJtKII.. 11M"""'):
GJ.-"í. ELECTRONIC UN! L.!N< OET!CTOA 3.0 OAf TEST ml1I AUTO~ SMJr ~ FOR .
LEAl<. SYSTaI FAlLUAt!. AHO SYSTÐIOCICCrH!C'T1OH . AUCaI Me WIUAL
~YUQPHT!ST .
~ AHNtJA£. NT'I!OMY TEST (0.1 0fIH)
I f CONllEHno""l SUCTION S'fSTtMS:
; 0 5. OAIL Y V\SUAL MOHITORINO OF PUM'INO SYSTaI. TRI!NIAL PI'ING HrEGAn'Y
TEST (0.1 GPH)
SAFe SUCT10H SYSTEMS (NO VAL.IIES IN IIELOW GROUND PI'Ni):
o 7. SELF MONfTORING
NCONDo\"''' CONrAINID ~
PReSSUAJZa) P'PNJ {0t«Ic eI ..., IIPPIrJ:
10. E!:TtJR8INI! su.. SENSOR:tdII:1 AUDIIIU! NÐ VISUN. AI.AAMS NÐ
( )
a. AUTO PO.... SHUT OFf' 'MEN A U!NC OCCURS
o Þ. AUTO POMP SHUT OFf' FOR I.fAICS. SYSTaI FAUN NÐ SY'S'TI!M
OISCONECTION
o c. NO AUTO PUMP SHUT OFf' .
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ø. t 2. ANNUAL INTI!GRrTY TEST (0.1 QPH)
~V1TY SYS'TEM:
o 13. CONTNJOUS suy" SENaOR . AUCelIAHO VISUAL~
!IIOOÐIC'/' OINlJltATOM ONLY lOtec*"... WM
:J 14. COHTlMJOUS SUMP SEJ$)R mnQIŒ AUTO PUW StM'~ +AUDIIU! NÐ
VISUAL. AUJWS
~ t 5. AUTOMATIC LINE LEM OET£CTOR (3.0 OPH TEST) MItQ!.II FlOII SHUT OFF OR
AeSTRICTIOH
] t I. .4NNU.4I. IHT£GAITY TEST (0. t GPH)
] 17. OÞULY \/ISUAI. CHECK
o t e. ANNIJ.4I. IHT£GAITY TEST (0. t GPH)
o 17. OAJL Y V1SUAL. CHECK
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OFFltJ OF ENVIRONMENTAL SeVICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
UNDERGROUND STORAGE TANKS . TANK PAGE 1
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o I. ALARM _ 0 J. FlLlTV8ESHIITOFFVAlVE_
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~ CONTINUOUS ~TITIAL. ~HlTORJHQ
o J. MAHuAl MONrTOAlNO
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CJ So MANUAL. TAM< OAUOINO (""01
o .. VM)(J5e ZOHE
CJ r. OAOUN)WAT!R
a.. TAl« TUTINO
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V. TANK Cl.OIUIUIIH'OftMATICIH I JlIRMANIHT Ct.OIURIIH PlACI
IITIMT10 QUAHTrTV ~ sueaTAHCt /W.WNN2 4U TAN( 'WO WITH INMT IoMT!RW.?
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a ~f'1CI ~ IHV'ROHMeHTAL SERVICes ....
,-=,,"_ Ave.,IaJc.,,teld. CA '3J01 (M1) 3~
-
VI. NIetO CONI'T1WCTION (CItMIt III fit, ~
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\MNIJF"C~lJRERI~ z. OOUIIU! W"LL. a M. u~ I 0 Z. OOU&¡,E 'N.AlL.
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10M TERI.ALS "ICJ 0 Z. STAINUSS STEa 0 T. GAL VAHIZIO ma. 0 2. ST .AlNI.ess STEEL
~~~~CS~: 0 J. PI.ASTIC COfoPA T18L! wm4 COHT!HT'S a M. UNCNOWN 0 3. PlASTIC CO..." T18U! WITH CONTENTS
'0 .. FIIIERQ.ASS 0 .. ~ (HDPe) a II. OTHER 0 .. FI~
o S. STEa WI COATING 0 I. CA T)o()()C PAOTECT1OH ... 0 s. STEel WI COA T1HG
w,1IIIINQ LeAK DeT!CTIOH (CItMIt III ,.."",)
AIIO\lt!!GIIOlJNC PIPING
a z. SuCTION
a 95. UNI<HOWN
o 99. 0 THEA
o S. FRS' COW'''TI8l.! WI ,~~
o .,. GA¿,vAHlZEO STE£1.
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: PAE~RIZEO PlPlNO (CIt«J« III '* ."",/:
(iJ/í. ElêCT'ROHlC UNI! l!NC œT!GTOR 1.0 OPH TEST mItt AUTO P\,Ut SMJT' OFF FOR.
lEAl<. SYSTat FALUAI!. N#lJ SYST&fOC8OO II.CT1ON · ~ N«J VIIUAL
~YIUQPHTEST
~ AIHJAI. HTEGMY TEST (0.1 QPH)
'.:¡"è
CON\ÆHTlOfW. SUCT10H SYSTÐ.CS:
o 5. OAll. y YISUA&. UOtCTOfUNO OF P\JU"INO S\'S'T'EM . T'III!NMI. PI'N3 NTEC:JAn'V
TEST (0. , GPH)
SAFE SUCTION SYSTEMS (NO VAt. V!.S IN ea.ow GROUND PFNì):
o T. SELF MOHrTORING
PRESSURIZED PIPING (CMcJr III tN, 1IPØIy):
o I. a.eCTROHlC UN! L.!N< O€T'!CTOA 3.0 GPH TEST mItt AUTO P\.U" SHUT OFF FOR Ib;
S't'STEAI FALUAI!. AM) SYS'T'EM OISCX)NECTIQH . AUDØ.E AM) VISUAL ALARMS
o 2. ~YIU oAt TEST
o 1 NHJN. N1"!OAfTY TaT (0.1 QPH)
o .. DALY VISUAL OEOC
CON\IÐfTIOfW. SUCTIOH SYST'EJ4 (f:hecIr .. fit, .",q):
o s. DALY VlSUALIoIONTOAIHG OF PIPING N#lJ PUWING S't'STEAI
o .. TR/EHIW.IHT1:GAtTY TEST (0.1 GPH)
SAFE SUCTION SYSTaCS (NO VAt.YES IN BeLOW GROONO PIPING):
o 7. SElF r.IONTOfUNQ
GAAVYTY FlOW (CII«k III ".., 1IPØIy):
o .. DAI. ~ VISUAL MONT'OAINQ
o I. seHAL INTEGAn'Y TEST (0.1 GPH)
RCOND.\R!LY CONTAlNED....,.g
PR!:SSURIZEO PIPING (Ch«;Ir III ".., .",q):
10. COfl'I'NJOUS TUA8H! StJU> SENSOR mD:1 AVOI8le IHJ VIStW. ALARMS IlK) (c:IIeci: one
o L AIITO PU&M' SHUT OFF 'MEN A lEAl< OCCURS
o Þ. AIITO P\JMP SHUT OFF FOR L£N<S. SYSTEM FAa.URE NÐ SYST'EM 0ISC0NNECT10f.
o c. NO AUTO PUoIP SHUT OFF
o 11. AI.JTOM,\ TIC lEAl< OETEC'TOR
o 12. þJMJAUITEGAtTYTEST(O.1 GPH)
SUC'T1C)f..aRAIITTY SYSTÐI:
o 11 COHTNJOUS SUf,p SÐISOR . AUDIBU! N#lJ VISUAl AlAItt4
DllJtGINCY GaBATOM ON&. Y (Chect..,.., ~
o 14. COHT1NUOUS SUW SENSOft VImtOUT AUTO PU'" SKIT on: . AUDIBU! »Ð V'ISUIL
AUAAIS
o 15. AUTOMATIC lINE lEAX DETECTOR (3.0 GPH TEST)
AaO\i1:0A0UNO PIPING
W.
GAAVrTY FlOW:
o I. 8IÐHAL 1HTEGRm' rur (0.1 0Pt1>
UC'ONDMIL. Y CONrAINBJ ...-.a
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10. ~TtJA8N! su.. SEHIORmntAUoaeNÐvaw.~N#lJ
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a. AUTO PIJ.... SHUT on: WHEN A lEAIC OCCURS
o Þ. AIITO PIJ.... SKIT on: FOR L.I:NtS, SYS'TÐoI FAI.UÆ IHJ S'tS'rEM
OISCONECTJON .
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g¡, t 1. AI./TOMA TIC lH! lEAIC O£TECTOR (3.0 QPH TEST) mItt FtJ1it ØIT OFF OR
RESTRICTlOH
ø- t 2. ANNUAL IHTEGAtTY rur (0.1 QPH)
~vrTY SYSTEM:
o 13. CONTØJOUS SUY" SEN80R . ~ N#lJ VllUM.AiAMe
!MUO!NCY GDllJltATOftI ON&. Y (CII«*""""
:J 1.. COH'rIMJOUS SUM> SEHSOR mI1QUI AUTO PUW StIlT ~ . AOOØJ! N#lJ
VISUAl ALAAMS
~ 15. AUTOMATIC lINE lEAX DETECTOR (3.0 QPH TEST) ~ A.t1N SHUT OFF OR
RESTRICTiON
:J 'S. .ANNU.AI. INTEGRITY TEST (0.1 GPH)
I :J 17. OAllY\IISUAl.OiECK
o IS. .ANNU.Al.INTEGRITY TEST (0.1 GPH).
o t.,. CAllY \IISUAl. CHECK
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S;\CUPAFORMS\SWRCs-8. wPC
'CF (7/991
· COI~plete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
· Print your name and address on the reverse
so,that we can return the card to you.
· Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
Fastrip
.\.
4~OI South Union
~~àkersfie]d, CA 93308
~
'-:...
[ 2. A!ticle Number
I (7funsfer from service label)
I PS Form 3811, August 2001
[
3. Servlce1)1pe
riCertifled Mail [J Express Mail
OÀegistered 0 Return Receipt for Merchandise
o Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
7003 2260 0004 7652 2983 J
Llumestlc Hetum Receipt
102595-02-",
UNITED STATES POSTAL SERVICE
III " I
First-Class Mail
Postage & Feesfaid
USPS ,
Permit No. G-10_
· Sender: Please print your name, address, and ZIP+4 in this box.
Bakersfield Fire Department
Prevention Services
1715 Chester Avenue, Suite 300
Bakersfield, CA 93301
"
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U.S. Postal ServiceTM -'
CEB;r!FI~D MAILTM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
postage $
.:T
I !:J Certified Fee
I !:J
I !:J Retum Reclept Fee
(Endorsement 'Requlred)
!:J Restricted Delivery Fee
I rß' (Endorsement Required)
I ru Total postage
rn
!:J
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II'-
Postmark
Here
Sent To
, Fastrip
šiñitiï:A¡ji."fJõ'¡ 4901 South Union
or PO Box No. ,
ciiÿ,-šiãïê;z;p+ Bakersfield, CA 93308
- - ---- ---
See Reverse for Instructions
-4
·
Certified Mail Provides: ..... ""..
· A mailing receipt (9SJ9II9!:J) croœ oonl""OO8& WJO~ Sd
· A unique idenllfler for your mallplece I
· A record of delivery kept by the Posta! Service for two years I
Iml'Ortant RemInders: I
· Certified Mail may ONLY be combined with Arst-Glass MailaÞ or Priority Mail®-
· Certified Mall is not available for any class of intemational mail. I
· NO INSURANCE COVERAGE IS PROVIDED with Certified Mall. For i
valuables, please consider Insured or Registered Mail. .1
· For an additional f~1 a Return Receipt may be requested fo provide proof of
delivery. To obtain Retum ReceIpt S8Mce, prease complete and attach a Return
Receipt CPS Form 3811), to the article and add applicable POstage to cover the I
fee. Endorse mailplece 'Retum Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USP5œI postmark on your Certified Mall receipt Is
reqUIred.
· For an additlonai fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailplece with the I
endorsement "RestricteãDelivery'. ,
· If a postmark on the Certified Mail receipt is desIred, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mall
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save Ihis receipl ani! presenl il when making an Inquiry. I
Internel access 10 delivery information is nol available on mail
addressed 10 APOs and FPOs.
I
i
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
~. 2101 "H" Street
Bakersfield, CA 93301
: VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY SERVICES· ENVlRONIEKYAl SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
:j
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
.
.
December 12, 2003
CERTIFIED MAIL
Fastrip
4901 South Union
Bakersfield, CA 93308
RE: Propane Exchange Program
Dear Owner/Operator:
The purpose of this letter is to advise you of current code requirements for
propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not
apply to large propane tanks, only propane exchange systems.
Over the past two years this office has noted a dramatic increase in the propane
exchange system in the city of Bakersfield. It has also been noted, with great
concern, that many of these installations are a clear violation of the UFC
(Uniform Fire Code) and represent a danger to public health and safety.
Accordingly, procedures for storage of propane cylinders awaiting use, resale or
exchange, have been adopted through BMC (Bakersfield Municipal Code) and
adoption of the 200 1 UFC. The procedures are as follows:
Storage outside of building for propane cylinders (1,000 pounds
or less) awaiting use, re-sale, or part of a cylinder exchange point
shall be located at least 10 feet from any doorways or openings in
a building frequented by the public, or property line that can be
built upon, and 20 feet from any automotive service station fuel
dispenser. (Note distance from doorways increases when
cylinders are over 1,000 pounds cumulatively.)
Cylinders in storage shall be located in a manner which
minimizes exposure to excessive temperature rise, physical
damage or tampering (Section 8212, California Fire Code, 2001
Edition).
When exposed to probable vehicular damage due to proximity to
alleys, driveways or parking areas, protective crash posts will be
required as follows (Section 8001.11.3 and 8210, California Fire
Code, 2001 Edition):
1) Constructed of steel, not less than 4 inches in diameter,
and concrete fi lled.
2) Spaced not more than 4 feet between posts, on center.
.... ,(/;;~~IÚ~? ~. ~~n//u//u& ..~~/! . 16o/'e .9%;,/1, '. ,-6 r;;../lú/~~ ~~
,., ~
-- Lett.To:owner/operators of Propane Exchange tems-
Re: Propane Exchange Program
Dated: December 12. 2003
Page· 20f2
- ---- -
3) Set not less than 3 feet deep in a concrete footing of not
less than a 15 inch diameter.
4) Set with the top of the posts not less than 3 feet
aboveground.
5) Located not less than 5 feet from the cylinder storage
area.
Exceptions: Cylinders storage areas located on a
sidewalk which is elevated not less than 6 inches above
the alley, driveway or parking area, with not less than
10 feet of separation between the curb and the cylinder
storage area.
"No Smoking" signs shall be posted and clearly visible
(Section 8208, California Fire Code, 2001 Edition).
Resale arid exchange facilities must be under permit to verify compliance. All
existing facilities will be checked and when compliance is confirmed, a permit
will be issued. All new propane exchange systems must be permitted prior to
installation.
You will have 90 days (March 4, 2004) to comply with the procedures outlined.
. Once compliance has been confirmed, each exchange system will be issued a
permit, which will be placed on the exchange system.
Sites not confonning to current code, will be "red tagged" and must be taken out
of service immediately.
You should contact your Blue Rhino representative, Mr, Taylor Noland, or your
local Amerigas representative. They are aware of current code requirements. If
you do not have a propane exchange system, please disregard this letter.
Should you have any questions, please feel free to contact me at (661) 326-3190.
Sincerely,
il II ( ~
~ ~
Steve Underwood
Fire Inspector/PetroJeuml
Environmental Code Enforcement Officer
~.-- ~-_._-~- -~ --- ~---.--.
FA:,.3TF: I P 1 >:1
4901 S. UNION AVE.
BKFLD. CA. 93307
661 -3g?-I:.(~:t:7
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e
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
t 7 t 5 Chester Ave" 3rd Floor, Bakersfield, CA 9330 t
FACILITY NAME_h .tJìlp
INSPECTION DATE Î ¡¡I' (D 103
Section 2:
Underground Storage Tanks Program
o Routine rjQ Combined 0 Joint Agency
Type of Tank ODt=(<;
Type of Monitoring t t/JI\
o Multi-Agency 0 Complaint
Number of Tanks ì
Type of Piping (JwF
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile C V
Proper owner/operator data on tile L V
../ V
Penn it fees current
Certification of Financial Responsibility \.... ./
Monitoring record adequate and current 1-"" V
Maintenance records adequate and current /
v ./
Failure to correct prior UST violations f
Has there been an unauthorized release? Yes No J
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
OPERA TION , Y N COMMENTS
SPCC available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
AGGREGATE CAPACITY
Number of Tanks
Pink - Business Copy
NOmPI;""'~V~V~"
Inspector: l- 7J. )
Office of Environmental Services (805) 326-3979
White - Env. Svcs.
N=NO
UNIFIED PROGRAM 'SPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
~:'L'T~f~:i~~_____~_________._____.____________ __.__._____..._ .___..________....._ _____.______.___ 'N:1~l~~l;AÌ---JJ.~:~:~:~I::~~::--..-
ADDRESS PHO~E No. No. ot Employees.
t{ 1 D ( g~lU1~~L_____________..______________________________ :1f1_~f1j2_~ ___ ___i_)______..__
-FACILlTYCONTACT Business ID Number
15-021-
e
.
r:J Routine
Section 1: Business Plan and Inventory Program
~ Combined
r:J Joint Agency
r:J Multi-Agency
r:J Complaint
r:J Re-inspection
c V
~r:J
( C=Compliance )
V=Violation
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
~---T-------------"-'-'-----"-----"------------"-----'------ ..-
__~_~____ BUSINESS PLAN ~~NTA~~_'_N~~~~~~<:'.~~C=-~_~:-=-_____._¡m
LJ.../6 VISIBLE ADDRESS
-.----;7"'-."'--------.-------.---.-----.-.--------....---....-..-.----------.. . -. ..
(3" r:J CORRECT OCCUPANCY I
-.---.-------.----. ------.-------..----.-- - - ..------.--...,-..
...._...... __...._.u..._
... ....--..--
..- -..-"-~---_._--_.. ._..._--.-----.~-_._.- ... .-._-_....-. .--.
_..,____._..___. ·__..___.u... ____ _____ __n_ ___.___...._..___._. .__._.._._...._...
-. --...-
--~_..._._-_._---~._-------.---_._._._----._--_.._---
...._..._...___..__._.._._.._~.__.._._ __..n__________.. ....___.__.._. .__ ____ __. .._.. _.___~._._ ___~_..
~ r:J VERIFICATION OF INVENTORY MATERIALS
----./~-.-.....---.---..-________._________.._.__u_______ ____...______._ ..._ __. _____. __. __________._.. .._________ u _______......_..__...m..__._._._ _. ..... . ..._ . _ _.
go' r:J VERIFICATION OF QUANTITIES
~_?2~_-_~~~~~A;~N' ~~~~~~,i~_~~_~~~~~_~~~=_~~~_....~~__:~-:· ---~~=~~:~-~-~=~.-~-~.-..----~~~-~-~-.~:-=~-~..--.--..
rf" r:J PROPER SEGREGATION OF MATERIAL
--..-/----------.---------:-----------.-- __··_·_______h_...._....__..__ __ ·_·___·____h._._._.... ........_._.. __ .. ______________ _.____u______. __'__"'uu
t:'J" LJ VERIFICATION OF MSDS AVAILABILlTYE
-u--/:......------._____.____._.____________..__u__...__...__u__.._._m .______ _ _.____u_..______._.....__ __ . ..__........__.......___...u....._._ _.. _m__ _.._ 'u_ ____ ...m.
ø r:J VERIFICATION OF HAT MAT TRAINING
f--------·....-----_._____________......_._._____..____m. __ _._n f-.--------..-- __ ____._.__._____.... _ ..._______..__ .._ .__
~ r:J VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
. c-g70--~M-ERGENC-; PR~CE~~;~nADEQ~~TE·-------------·------ _h___________u_______ --- --- --..----.. ---....--- -..------------ -.. --
---·-----------------·---___·__·__._.____n......_.__.____.._.__._____.__ _____..__. __.__~h...--.m-u-.--..-.. ......_.u_____._..n.. ..._n_.___...._...._._ _ ........ _ ___..____.... ...... ___ ._...___.
__~_~_~ONT~N_ER~ PRO~~_~.~~_~B~_L=~_ _____________ ---lfl!!&..jJhittt;>____lKLJS _ n(!~5{ _p~J1..f __ ___"___
~ r:J HOUSEKEEPING j
--- -- -- --- -------------- -- ------ ----__ _n_ ______ h__ __ _______ _ _____m_. __ ___ ______ ___________ _ ________ .._
t6" r:J FIRE PROTECTION
-7¿]---S~~D~A~~-AM A~~~u~~~ &-ON--H~~-~- -- - - ---- --- --- - -------------- ---- -- - -------- un -- - -.... - ------- -
I
-.._...
_ _____.n n..... _.__
_ n..____.___...
ANY HAZARDOUS WASTE ON SITE?:
r:J YES
r:J No
EXPLAIN:
Q:7l7IJ;;;;2N~:L:E C~L_~~T_(661) 326-3979
Inspector Badge No..
White - Environmental Services
Yellow - Stetion Copy
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H' Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395·1349
PREVENTION SERVICES
FIRE SAfETY SERVICES· ENVIRONIlEHTAt SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAJ< (661) 326"0576
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3696
FAJ< (661) 326"0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAJ< (661) 326'()576
TRAINING DIVISION
5642 V1ctor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAJ< (661) 399-5763
-
.
January 22, 2003
Fastrip
4901 South Union
Bakersfield CA 93307
RE: Upgrade Certificate & Fill Tags
Dear Owner/Operator:
- Effective January 1,2003 Assembly Bill 2481 went into effect. This
Bill deletes the requirement for an upgrade certificate of compliance
(the blue sticker in your window) and the blue fill tag on your fill.
You may, if you wish, have them posted or remove them. Fuel
vendors have been notified of this change and will not deny fuel
delivery for missing tags or certificates.
Should you have any questions, please feel free to call me at 661-
326-3190.
Sß
Steve Underwood
Fire InspectorlEnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
~~7~~ W~ ~.A0P6 ~ A W~;.,
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "W Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY SERVICES' ENVIRONIIENTAI. SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chester Avè.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
e
.
January 13, 2003
Fastrip
4901 South Union
Bakersfield CA 93307
RE: Deadline for Dispenser Pan Requirements December 31, 2003
REMINDER NOTICE
Dear Underground Storage Tank Owner:
A review of our files indicates that you have been receiving quarterly
reminder notices since April of 2002.
The purpose of this letter is to remind you of the necessary retrofit of
your fueling system. Current code requires that you install dispenser
pans prior to December 31,2003. I urge you to start planning to retrofit
your facility as soon as possible.
Should you have any questions, please feel free to contact me at 661-
326-3190.
Sincerely,
Jt tMøv
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
""..9'~ ~ W~ ~ ~~ ff~ ./6 W~"
Fi~~3TR I P 1 9
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397--9:387_
NOV 12. 2002 10:4~
. <dO "'Á ORIGINAl
--------
- 8\::3T£1'1 STATUS-REI:'ORT
- - "- - - -
¡2,LL FUNCTI ONS NOR~'lAL
I I'NENTOr:\" F:EPORT
T J: UNL. 775
VOLUI"IE
ULLAGE
'3m;; ULLAGE=
TC VOLUME
HEIGHT
WATER VOL
LJATER
TH1P
T 2: UNL . PLU~3
\/OLUI"lE
ULU¡GE
9œ,¿ ULLAGE=
TC \/OLU~'1E
HEIGHT
!.,·JA TER \/0 L
I¡JATER
TEI"lP
8994
3038
18:::4
7999
67.19
o
0.00
75.8
GALS
GALS
GALS
C;ALS
INCHES
GALS
INCHES
DEG F
775 .
4474 ',. S
7558 S
6354 GALS
4417 GALS
38.27 INCHES
o GALS
0.00 INCHES
78. 1 DEG F
T 3:PREM.UNL. 775
VOLur"1E 4580 GALS
ULLAGE 7452 GALS
~._9.0~'¿~ULLAGE,",__b 24B-_Gf\LS---..-.-,
TC VOL~1E = 4507 GALS
HEIGHT 38.94 INCHES
WATER VOL 0 GALS
WATER 0.00 INCHES
TEMP 82.3 DEG F
T 4:DIE8EL 775
\/{)LL/I"1E 9442 GALS
ULLAGE 2590 GALS
90~~ ULLAGE= 1386 GALS
TC VOLUME 9342 (..c ~ES
HEIGHT 70.30 1
WATER \/0 L 0 l_
WATER 0.00 INCHES
TEMP 83.4 DEG F
T 5: UNL . '725
VOLur"1E
ULLAGE
90% ULLAGE=
TC \/OLur"1E
HEIGHT
klATER VOL
kIATEF:
TEI"lP
10578 GALS
1422 GALS
':) ,') ') GALS
10464 GALS
7 9 . 1 0 I NC HES
o GALS
0.00 INCHES
75.3 DEG F
T 6:PREM.UNL. 725
VOLUME 5737
ULLAGE 6263
90% ULLAGE= 5063
TC VOLL~E 5667
HEIGHT 46.35
WATER VOL [I
WATER 0.00
TEMP 77.3
T 7:DIE8EL 725
\/OLUI"lE
ULLAGE
90% ULLAGE=
TC VOLUI"1E =
HEIGHT
klATER VOL
l:JATER
TB'lP
GALS
GALS
Gi-ìLS
GALS
INCHES
GALS
INCHES
DW
7040 GALS
C¡'3E,O GALS
:3760 GALS
6'376 GALS
54.55 INCHES
o GALS
0.00 INCHES
80.0 DEG F
M M M ~ ~ END ~ ~ M M M
e
.
CITY OF BAKERSFlEl.D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301
FACILITY NAME~ #~~.
ADDRESS I{q () ,() fII ÍI\
FACILITY CONTACT
INSPECTION TIME
~
INSPECTION DATE , ,- I J. '0 "7_
PHONE NO. ~17" q3 Sì
BUSINESS ID NO. 15-2 I 0-
NUMBER OF EMPLOYEES t 3
Section 1:
Business Plan and Inventory Program
o Routine
~ Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate pennit on hand l l/
Business plan contact infonnation accurate L V
Visible address "- V
Correct occupancy "- l/
Verification of inventory materials ....
Verification of quantities 1'-/
Veri fication of location ,..
Proper segregation of material . ..... ./
-
Verification of MSDS availability ,/
Verification of Haz Mat training r' ./
Verification of abatement supplies and procedures L V
Emergency procedures adequate "-- V
Containers properly labeled ....V
Housekeeping \..lI
Fire Protection aC I"v Wùr . .(.nr l1,tl'Jr( .'"
Site Diagram Adequate & On Hand L v
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes c:rN~
White - Env. Svcs.
Yellow - Station Copy
Pink - Business Copy
Inspector:
Questions regarding this inspection? Please call us at (661) 326-3979
~/.'
\¡
e
DB 3 ?-
.it No. j?;]:
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK
TYPE OF APPLICA nON (CHECK)
[ ]NEW FACILITY ~]t>4PDll'h_AllUN OF FACILITY []NEW TANK INSTALLATION AT EXISTING FACILITY
1(1;; t' ~ t (t.. .
STARTING DATE ~.L.~ \lS" 9<:::x::>'J- PROPOSED OOMPLETION DATE~U{ .. I ~ \ 1 ;)<:xJ')-
FACILITY NAME ~t:::_':2 EXISTIN.G..FACILlTY PERMIT NO. ~
FACILITY ADDRESS I..{' ~-.J '0 CITy'h<A-IC-G-~ It.,..}. ZIP CODE q;~xCJ'1
TYPE OF BUSINESS APN #
TANK OWNER PHONE NO(.tG"'~ ') 3c::¡.~" 7cx::o
ADDRESS \o\. t'""1A-~ L ZIP CODE ~~?C> 8
CONTRACTOR uw6õS- \ CA LICENSE NO. ,S-f?,q 5 ï 7
ADDRESS . \A \M..V~ ITY <A ¡;:s II.. ZIP CODE q, =ß~G:.
PHONE NO{(O(O( )...~t-b~ D BAKERSFIELD CITY BUSINESS LICENSE NO. {")f\l ç~ ~-
WORKMANCOMPNO._ _Cj -0,:)... INSURER ~ ~'-".\.ð.
eE,lEFL Y DESCRIB§,THE WORK 1:0 BE D0(lE K~Ç>L\4e. -:;= ~ ~ _0:" ,¡{f, . . ¿ '- i..-? i .u"W /l'L-r:š .~
~(þAt'67 {;.L!: ~t"~(. "'-<;U-v.Ao~:5
WATER TO FACILITY PROVIDED BY I . ...... rv
DEPTH TO GROUND WATER / J ,r;- .:..r m?_ - SOIL TYPE EXPECTED AT SITE
NO. OF TANKS TO BE INSTALLED Ç-'{ ARE THEY FOR MOTOR FUEL
SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE
6A1A.Ó
"><J YES
Y' YES
SECTION FOR MOTOR FUEL
TANK NO.
I
d
:3
'I
VOLUME
%~
/¿J(t900
1.2 tuð'<J
UNLEADED
YJ
REGULAR
PREMIUM
DIESEL
AVIATION
}/J
VJ
)ð
,
SECTION FOR NON MOTOR FUEL STORAGE TANKS
TANK NO.
VOLUME
CHEMICAL STORED
(NO BRAND NAME)
CAS NO.
(IF KNOWN)
CHEMICAL PREVIOUSLY STORED
;:.;
FOR OFFICIAL USE ONLY
I APPUCATION PATE
l:HE APPLICANT HAS RECEIVED, UNDERST ANDS, AND W ILL COMPLY WITH THE ATTACHED CONDIT IONS OF
THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS.
FACILITY NO.
NO. OF TANKS
FEES S
HAS BEEN COMP LETED UNDER PENALTY OF PERJURY, AND TO THE BEST
CO c.
$~I/ ?£JI!Í~I~
APPLICANT NAME (PRINT)
APPROVED BY:
THIS APPLICATION BECOMES A PERMIT
e
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301
FACILITY NAME fñ5~ 11: \1
INSPECTION DA TE-l (- (,) - () l _
Section 2:
Underground Storage Tanks Program
o Routine 0 Combined 0 Joint Agency
Type of Tank OwR:~
Type of Monitoring ¿ '-h1.
o Multi-Agency 0 Complaint
Number of Tanks 7
Type of Piping (¡JuJF
ORe-inspection
OPERA nON C v COMMENTS
Proper tank data on tile l. /
Proper owner/operator data on file '- ./
Permit fees current .,.". ~
Certification of Financial Responsibility ,
../
Monitoring record adequate and current ~ V
Maintenance records adeguate and current / ./
Failure to correct prior UST violations /
Has there been an unauthorized release? Yes No V
Section 3:
Aboveground Storage Tanks Program
:1
I
TANK SIZE(S)
Type of Tank
OPERA nON Y N COMMENTS
SPCC available
SPCC on file with OES
Adeguate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspiIl protection?
AGGREGA TE CAPACITY
Number of Tanks
cocompJ;'n~ VOVio. lation Y=Yes
, . ia
Inspector: _ . " 1 [' í ~
Oftice of Environmental Services (805) 326-3979
White - Env. Svcs.
N=NO
hi; ~
Business ~sponsible Party
Pink - Business Copy
WI.;JØ#.,¿V'.¥_,
_.~iL.!'..!; I 0 E PO E V ~NJ :.21:' _, 0.'0" ""':2 - 2 I 72
p:e
I@ UO 1
OCT .17 2002 14:53
~-D~'57¡J
?CLt~
CITY'OPB~~LD
OFFICE OF ENVIRONMENT4L SERVICES
UNDERGROUND STORAGE TANK PROGRAM
1715 Chester Av~, Bakenfleld, CA (105) 326-3979
APPLICATlON'TO'PERFORM'A'TANKTIG~ TEST
FACDUTY Fas~ri~#775
- ~-
ADDRESS . 4901 SCh Union. Avenue , ,Bakersfield, CA 93307
J .
PERMIT TO OPERATE·#-····
OPERATORS NAME Jaco Oi 1 Company
OWNBRSNAME Jaeo Oil Company
NUMBER Of TANKS 'TO 'BETESTED 3 ' ISPlPlNGGOINOTO.BB TBS'IED Yes
\
TANK # VOLUME CONTENTS
1
12,000'
Unleaded
2
33
~ì-±-
12.000
12,000
\ ~,OðO
IIQ.' ~ñri.,.n
"
Diesel
tuA,,~cL.
TANK TESTING COMPANY Con! idence y US,T Services, Ine.
MAnJNG ADDIlESS·417 M.on.tclairStreet~· Bakersfie~d,. CA 93309
NAME&PHONENI!MRijROFCONIACT.PEBSONche.ryL Younw (661) 631-3870
TEST~OD Alert 1000 Underfill; AES PLT-IOOR
NAME OF TESTER DouÇJlas .M.. Young.
CERTIFICATION fl. 90-1076,.'
DATE&TlMETESTISTOBECONDUCTED October 30, 2002, 2.:00 p.m.
¿, rit1ø()
APPROVED BY.
to -(?...{) ê
DAtE..
~~~
f:<v.._
--<:" (i.----~i
CONFlofNcE UST SERVICEI, INC.
417 Montclair Street, Bakersfield, CA 93309 , 800-339-9930 or 805-631-3870
:FINAL TEST RESULTS:
ALERT 1000 / ALERT ULLAGE 10S0X / AES PLT-100R / AES SYSTEM II
CUSTOMER ADDRESS:
Jaco Oil Co.
P.O. Box 82515
Bakersfield, CA 93380
SITE CONTACT: Omara Garcia
TECHNICIAN: Doug Young
WORK ORDER: 4811
TEST DATE: 10/30/02
SITE ADDRESS:
Fastrip #775
4901 So. Union Ave.
Bakersfield, CA 93307
PHONE NUMBER:661-393-7000
PHONE NUMBER:800-339-9930 LICENSE: 901076
WATER IN BACKFILL: 0 . 00"
DATE & TIME OF LAST FUEL DELIVERY:6+ hours
TANK INFORMATION:
(WETTED)
TANK 1
TANK 2
TANK 3
TANK 4
PRODUCT TYPE: - ---Regular -- -- - -- -------- Plus - _ - . -- Premium - Diesel
. --
TOTAL GALLONS: 12000 gallons 12000 gallons 12000 gallons 12000 gallons
PRODUCT LEVEL: 69 inches 67 inches 59 inches 82 inches
PERCENT FULL: 78% 75% 65% 92%
TEST METHOD: Alert 1000 Alert 1000 Alert 1000 Alert 1000
WATER IN TANK: 0.00" 0.00" 0.00" 0.00"
TANK MATERIAL: Glåsteel Glasteel Glasteel Glasteel
P.S.I.@ BOTTOM: 1.725 psi 1.675 psi 1.475 psi 2.952 psi
TEST DURATION: 2.0 hours 2.1 hours 2.1 hours 2.2 hours
FINAL LEAK RATE: -0.031 gph -0.004 pgh +0.027 gph +0.035 gph
TEST RESULT: PASS PASS PASS PASS
TANK INFORMATION: ALERT lO50X ALERT lO50X ALERT lO50X ALERT lO50X
(ULLAGE)U/F ONLY
ULLAGE GALLONS: 2683 gallons 3059 gallons 4174 gallons 990 gallons
START PRESSURE: 1.5 psi 1. 5 psi 1.5 psi 1. 5 psi
END PRESSURE: 1. 5 psi 1. 5 psi 1. 5 psi 1.5 psi
TEST RESULT: . PASS PASS PASS PASS
PRODUCT LINES: AES PLT-1OOR AES PLT-1OOR AES PLT-1OOR AES PLT-1OOR
LINE TYPE: Pressure Pressure Pressure Pressure
START TIME: 3:15p 3:45p 2:10p 2:45p
ENDTIME-: '. - 3:45p ._- 4:15p 2:40p 3:15p
TEST PRESSURE: 55 psi 55 psi 55 psi 55 psi
FINAL LEAK RATE: -0.003 gph -0.002 gph -0.001 gph -0.003 gph
TEST RESULT: PASS PASS PASS PASS
MECHANICAL
LEAK DETECTORS: Red Jacket FTA Red Jacket FTA Red Jacket FTA Red Jacket FTA
MODEL:
SERIAL NUMBER:
CHECK VALVE PSI:
BLEED OFF ml:
LEAK RATE TESTED:
TEST RESULT: Not Installed Not Installed Not Installed Not Installed
A) These systems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329-87 and all'
applicable state codes.
B) Any fa- e listed above may require further action, check with all regulatory agencies.
0:
86116
.. .
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ALERT TECHNOLOGIES
PLOT OF ULLAGE TEST DA TA
Fastrip #775
4901 SO.Union Ave.
Bakersfield, CA
12000 GALLON Regular TANK
0.75
12KHz AMPLITUDE RATIO
1.5
750+
5
M
I
N
U
~3
S
12KHz DETECTION RATIO
1. 11
0.75
25KHz AMPLITUDE RATIO
1.5
5
25KHz DETECTION RATIO
1 . 15
TEST RESULT = PASS
DATE AND TIME OF TEST: 10/30/024: 09PM
BEGINNING BOTTLE PRESSURE = 1100 ENDING BOTTLE PRESSURE = 1000
BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG
;-
, I
I
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e
750+
e
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M
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ALERT TECHNOLOGIES
PLOT OF ULLAGE TEST DA TA .
Fastrip #775
4901 SO.Union Ave.
Bakersfield, CA
12000 GALLON Plus TANK
12KHz AMPLITUOE RATIO
1.5
750+
25KHz AMPLITUDE RATIO
1.5
M
I
N
U
~ 3
S
5
5
12KHz DETECTION RATIO = 1.05
25KHZ DETECTION RATIO = 1.15
TEST RESULT = PASS
DATE AND TIME OF TEST: 10/30/02 4: 17PM
BEGINNING BOTTLE PRESSURE = 1100 ENDING BOTTLE PRESSURE = 900
BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG
I
..
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750+
r II·
'I
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I
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...1~~1::·::1111!1.11111111111111::.11·..1....1·.::1.1.I.·::IIIIIIIIIIIIIIIIIIII:::::::I:IIIIIIII.III:..I:~:E~~:~~IIII~~~·cIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!1111111111::11:.:..:.:::1....:11::::1....1.:11111111111IIIIIIIIIIIIIIIIIII:II~·.
~~~.. I' . "': '.1 I" ....1::::::.......1111::::::::.'1":' .'. . .IIIIIIIIII!:I:::I.II. 1111111111:1:::::11111111111111111111\: ...::.. . ':1'1: ·I·.::I.I::::::I!I""IIIIIIIII: .. æ~~il~:~~i11
.. .. . ""11 .. ... ...... __
H~I~.III:::... ..... .··.111111.111:·· :'" . . .:". H··:········ ..··H:.......... ... . ..... ':' ". · .... . .:. ".::::..... ·.·:H::::::::::·: :"llllllllllllr~º»~~~J
:::.:,::..,:,,':::::::.:... ··:111:::::::.······ .... .··:·.::::....1:::·::::::,·:,:,···:.:::::::::::::",::::::::",,·· ..:.: "':"':::::::::1111111111:::'::::":·:"".11"''':::'':':':::.....~
·:~~·.I:I::·'·· ". ..' ·.:::.:...:::::::::::::::'·..·:111:::..·1·. .' ·11····1:...1·:'.1..1':":111111':::::111:'1'11,· :··..··..1···· .11111111_
111111111111111: .. '111111111111111111111111' .. .:' : . '. · .':'" . .:. :...: ':,. ...:'. :." . ..".. .... . ,.... .:::::.:.... '.:.. .:::.... :. .' ..' .... ·rOT.,:::::HÔÛRS
. ......, . ... ··11111:::: .. ..... '.. ... .. '.. ... 1111111111"1111.. ..""",:.. :::,... lB.;
. ::::eB::I::i:::!ijj! . ... ... .... ::llllii ... ... ................ . .. ........ .. ..... .:::::. . . ....... .... . :::=::=H" :¡:::¡:¡¡¡(
:"~0:0~jj¡I!li:::;":··:" :;;..C\<::. ...~:. : . . .... ':. .:H= .:: .. .::.. ':-':::-: "::::>··:;:..II¡:::.::.:" :::" . ': .: . .::. ::'" .:::::.::: ::.:::~' :: '::.::::>::.' :::.:.' '. . .:' ;:>::::::::::J¡:: !.::::m:
~Dtiu:~: .. a ¡' ..... .... . [I;~Ö 'I'tilil:::3Inl:J:lltTEI'I~IIII~~W:::IIIQI:H HnSI!}r>s~B I II .J"::'
Gust:1 I . ~IIII~ '. .. '. .' . ::::::1111
tOGa: · · ~ I I' - : - -, EsIII 'Fa_ .. . . .
ALERT TECHNOLOGIES
PLOT OF ULLAGE TEST DA TA
Fastrip #775
4901 SO. Union Ave.
Bakersf ield. CA
12000 GALLON Premium TANK
12KHZ AMPLITUDE RATIO
1.5
750+
M
I
N
U
T 3
E
S
M
I
N
U
~ 3
S
12KHz DETECTION RATIO
1. 00
0.75
25KHZ AMPLITUDE RATIO
1.5
5
25KHz DETECTION RATIO
1. 05
TEST RESULT = PASS
DATE AND TIME OF TEST: 10/30/02 4: 38PM
BEGINNING BOTTLE PRESSURE = 1100 ENDING BOTTLE PRESSURE = 700
BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG
..
I
e
750+
i
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I
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.... ....... .
. .. .... .
'I
. ...
ALERT TECHNOLOGIES
PLOT OF ULLAGE TEST DA TA
Fastrip #775
4901 So. Union Ave.
Bakersfield. CA
12000 GALLON Diesel TANK
12KHz AMPLITUDE RATIO
1.5
750+
M
I
N
U
~ 3
S
M
I
N
U
~ 3
S
5
12KHZ DETECTION RATIO
1. 06
25KHz AMPLITUDE RATIO
1.5
5
25KHz DETECTION RATIO
1. 15
TEST RESULT = PASS
DATE AND TIME OF TEST: 10/30/02 4: 24PM
BEGINNING BOTTLE PRESSURE = 1100 ENDING BOTTLE PRESSURE = BOO
BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG
.'
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e
750+
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CITY OF BAKERSFIELD
OFÐCEOFE~ONMœNTALSERWCES
UNDERGROUND STORAGE TANK PROGRAM
1715 Chester Ave., Bakersfield, CA (805) 326-3979
. APPLICATION TO PERFORM A TANK TIGHTNESS TEST
FACILITY Fastrip #775
ADDRESS 4901 So, Union Avenue, Bakersfield, CA 93307
PERMIT TO OPERATE #
OPERATORS NAME Jaco Oil Company
OWNERS NAME Jaco Oil Comt-Jany
NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO BE TESTED Yes
TANK # VOLUME. CONTENTS
1 12,000
2 12.000
_,3 12,000
Unleaded
TTnlPrlnpn
Diesel
TANK TESTING COMPANY Confidence US,.T Services ~nc,
NUULUNGADDRESS 417 Montclair Street~~akersfield, CA 93309
NAME & PHONE NUMBER OF CONTACT PERSONClleryl Youn.., (661) 631-3870
TEST~THOD Alert 1000 Underfill; AES PLT-100R
NAME OF TESTER Douýlas M, Youný
CERTIFICATION # 90-10':16
DATE & TIl\.1E TEST IS TO BE CONDUCTED October 30 I 2002, 2í:00 p ,m.
J¡,~
APPROVED BY
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DATE
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07:45
'Ö'66_6 0576
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MONITORING SYSTE~l CERTIFICATION
f'or Use Bv All jurisdiCl/IJl!s WillulI ¡ht' Stare (If California
.A¡;If!urirv Cired: Chap:a Ô. 7. Health wicÎ Sufer)' Code: Ch(!{lI!'r 16. Divisioll 3. Tirle 23. CtilijlJr/¡ill Code of Regulariulls
This form must be used to document testing and servicing of mQnitoring equipment. A separate certitìcation or report must be prepared
[2Le3ch-Iк.nitorin£ system cOl1trol Q¡)Jlel by [he technician who pedorms the work. A copy of this form must be provided [0 the lank
,ystem owner/operator. The oWI1~r!operaror must submit a ,;oPY of [his foml (0 the local agency regulating UST systems within 30
days of leSt dale
Å. General Information
.,...- ~ '0
F:lcility Namt:: ------C"A8rR lþ I I ,
Site Address: -39-01 5, u.uteV ~
F:lcility Contact Person: ße.a. ¡.)l~ J"Ã-Y'I\ \e.s.s~
MakeA10del of Monitoring System:T¿ ;S -3 'S"b
Bldg. No.:
CilY: ..ߥe.r.bft~ Zip: q~3Ö7
Conmcl Phone No.: (~¡"'I ) Yì7-9J,81
Date of Testing/Servicing: 1/ 5 / () 2..
B. Inventory of Equipment Tested/Certified
Check the a ro riate boxes to indicate s ecific e ui ment ins ected/serviced:
!T~kID: TI U.\)~77~.. ':TanklD: 3 pt.€.r^\.)Ñ\....·775" ~
:~ c¡( In- Tank Gauging Probe. Model: _L'149.. I ___ '~~ râ'j,n-Tank Gauging Probe. Model: -fG4-t, / !~
II ::(./'''':l1nular Space or Vault S~nsor. Mod~l: 7(7 ~ 310 ·-YAQ I e:(..,Annular Space ~r Vaul~ Sensor. . Model:. ~. 9.0-c.¡?o r~
'I '.JPlplng Sump / Trench Sensor(s). Model: ~;;'..11.2 -:u:>1L I rzr PIping Sump/ lrench Sensor(s). Model: 7q'T.~ðO "~e.~
oj 0 Fiji Sump Sensor(s). . Model: Q Fill Sump Sen~,or(s). Model:
,i CJ y!echanical LineLeíÙ< Detector. Mode!: . Q Mechanical Line Leak Detector. Model:'
. :J Electronic Line Leak Detector. Mode!: 0 Electronic Line Leak Detector. Mode!:
:J Tank Overtill i High-Level Sensor. 1vlodel: . 0 Tank Overt1ll/ High-Level Sensor. Model: '. .
Ii 0 Other (s ecif e ui mer1t t e and model in Se~ion E on Page 2). _J~r.er (specify equipment type and model in Section E on Page 2).
i: Tank ID: 2...J L ~ tv 7 S. . ~ Ta!}k ill: -I' D I €4 e:"'L '7 S-
, ~n-Tank Gauging Probe. Mode]: /l14'b ¡- ~ G:r)n·Tank Gauging Probe. Modcl:
ø':AnnuJar Space or Vault Sensor. Model: 7q Cf'; ~O -t.F¿..o I Ø"'.;\nnular Space or Vault Sensor. Model:
'"(¡(Piping Sump / Trench Sensor(s). Model:.';Z.':L_!f)~ ~ '-2.cJ'8 CÝPiping Sump I Trench Sonsor(s). Model:
I CJ Fill Sump Sensor(s). Model: .___--'-___ 0 Fill Sump Sensor(s). Model:
, 0 Mechanical Line Leak Detector. Model: ___ ~I' 0 ~Iechanical Line Leak Detector. Model:
o Eleccronic Line Leak Deteccor. Model:___- c:J Electronic Line Leak Detecwr. ModeJ:
o Taok Oyerfill! High·Level Sensor. Mode!: 0 Tank Overfill/ High·Level Sensor. ModeL
. 0 Other (s cifve ui men! t e and model in Section E on Page 2). 0 Other (s ecifve ui ment t e and model in Section Eon Paoe 2).
,I Dispenser ID: ~.____.__._.________j Dis'~nser ID:
'; 0 'p;5pen~er Conta.inment S~nsor(s). Model: ? Dispenser Con¡ainment Sensor(s). Mode]:
" 8"'Shear vaJve(s). c::('She;¡r V3.lve(.».
¡ 0 Dis eroser Containment F1oat(s) and Chajn(s). Q Dis enserContainment Float(s) and Chain(s).
i, Dis~nser ID: V9' I Dispenser rD: ¿¡;;> . .
:~ 0 J?ispenser C~ntainment Sensor(s). Model: . :J .!)ispenser Containment Sensor(s). Madej:
" ¡:f Shear Valve(S). a'Shear Valve(s).
:' 0 Dis enser Containment F1oat(s) and Chaln(s). 0 Djs enser Containment FJoat(s) and Chain(s).
Dispenser ID: .__________ Dispenser ID:
? 'pispen~er CO. nlainrr.enl Sonsor(s). Model: ____ I s!"pispenser Contajnment Sensor(s). Modol:
:£ Shear \. alve(s). ¡:Shear Yalve(s).
::J:)js enser Contaj!1ment Floal(s) and Chain(s). . 0 Dispenser Ccnt¡Unment Float(s) and Chain(s).
<rf thefacili!)' contains more lanks or dispensers. copy this form. Include infomJallon for every rank and dispenser at the facility.
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C. Certification· I certify that the equipment identilied in this docutoent was inspectM/serviced in accordance with the manufacturers'
gllidelines. Attached 'to this Certification is infonnati~n (e.g, manufacturers' checkJists) necessary to verify that tills information is
correct and a Plot Plan showing the layout of monitoring eq~ment. For any equi.wnent capable of generating such reports, [ have also
attached a copy of the rep~~ (~I!Ck all that apply): ,,"System set·up 1:f Alarm ~eport .
TechniCian Name (print): _ Ð '@~--I\--~ Stgnatur~: _ /4svv ~ ~__
Certitication No,: . 9' 7 3 ~. Lj¡;eo~e. No.: S'8Ý b'17
Testing Company Name: __.~'0.",!S&T /l4ai:t'. ________ Phon<: No.:cø£ZLJ g2.'2... ~D
Site Address: '/(,;c?/ &~ 6&v ~ Date of Testing/Servicing: _~/~ / 62_
Pug" I l>f J
03/01
,\-lonitoring System Certilication
o fJi 2 8 /0 1
07:45
'ð'66le6 0576
BFD H.-I.Z MAT DI'e
@002
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MONITORING SYSTE~I CERTIFICATION
For Use Bv All it/risdicIIO/!.\' WillI/II Iht' Srale of Califomia
.AllI{¡uritv Cited: ChUplN Ô. 7. HeLllth wicÍ Sajet}· Code: Cil(!f'rr:r II). Divisioll 3. Titie 23, Calij(Jr/2ia Code of Regulariulls
This ¡'orm must be used to document testing and servicing of monitoring equipment. A separate certitìcation or report must be prepared
for è3cfu:Dº_nitoriu2: 'system control p.ilJ1el by the technician who performs the work. A copy of [his form must be provided [0 [he tank
system l1wner/opermor. The owner/operaror must submit a copy at' ¡his t'orm (Q [he 10<:'31 agency regulating UST systems within 30
days of ¡est date.
A. G.eneral Infor!J)Ption - . 9
Facility Name: ~Síf2.."(> I
Site Address: -.!Lq:f2L~ ¿(MI7/"" ~
Facility Cqncac[ Person: l?'G·1-nIil:!-- ~/L1ie:SQV
y{akeNodel of Monitoring System: T¿S ?':;z::>
Bldg. No.:
City: ~4-J/.U/!She/J:ß Zip:
_____ Con¡nçt Phone No.: (tcøJ ) 2C?7--c;1Jf(7
DfJte of Testing/Servicing: .? IS- / Co 2...
B. Inventory of Equipment Tested/Certified
Check the a ro riate boxes to indicate s ecific e u.i mentins ected!servic<ú:
~i; Taj;lk ID: T.<:;' VAJL 72-S- i. Tank lD: . '-e~~
,. 8"}n.Tank Gauging Probe. Model: _~~___ ~. c:j)n-Tank Gauging Probe.
:1 'A þJ1nular Space or Vault Sensor. Model: '74 i{. -t.¡.'2.ØJ I ef :þ-nnular Space or Vault Sensor.
;, r:¡{ Piping Sump / Trench SensorÜ). Model: ~'b ._.~1J_ ¡' G('Plplng Sump / Trench Sensor(sJ.
o Fill Sump Sensons). Model: 0 Fill Sump Se""or(s).
o 'vlechanical LineLenk Detector. Model: 0 Mechanical Line Leak Detector.
:J Electronic Line Leak Detector. Mo.del: I 0 E1ecrronJc Line Leak Detector.
::J Tank Overfill i High-Level Sensor. !vlodel: . 0 Tank Overtilll High-Level Sensor.
o Other (5 ecif e ui ment [ e and model in Section E on Page 2). ~1_9_29~er (specify equiement type and model in Section E on Page 2).
TaDk ID: ,.,., 72-S" ~__ ~ Tank ill: jL!4-
:Jj¡n-Tank Gaugln~ Pro e Model: ~ ~ ~ II In-Tank Gauging Probe. Mode]:
'3 ,;\J1nular Space or Vault Sensor. Model: 7tjV.~ ~(/-r¡'7<? _I 0 Annular Space or Vault Sensor. Model:
u'Piping Sump / Trench Sensor(s). Model. .z'2.!ll /fZ? ~,¡.<:>'""é1 0 Piping Sump I Trench Sensor(s). Model:
I 0 Fill Sump Sensor(s). Model. ._______ 0 Fill Sump Sensl,r(s). Model:
, 0 Mechanical Line Leak Detector. Mode]: ___ I~ 0 !vlechanical Lìn~ Leak Detector. Model:
o EIewonic Line Leak Detecror. Model:____ 0 Electronic Line Lèak Detector. Madej:
.~ Taok OverfjIJ / High-Level Sensor. Mode!: 0 Tank OvcrfjIJ /High·Lcve1 Sensor. Model;
o Other (5 cifve ui ment t . e and model in Section E on Page 2). 0 Other (5 ecifye uj ment t e and model in Section Eon Paoe 2).
:' Dispenser ID: _.____.__________ j DisPenser lD:
o 'þispcnser Containmc :J Dispenser ContainrnentSensor(s). Mode.!:
Ø"Shear YaJve(s). ETShear VaJve(.».
o Dis eDser Containment Floa¡(s) and Chajn(s). 0 Dis enser Containment Float(s) and Chain(s).
Dispenser ID: /J ¡ DispenserID: '.;:Zð
? ~ispenser C?ntainment Sensor(». Model: 0 Dispenser Containmenl Sensor(s). Model:
Ø":')hear Valve!». E1"Sheàr Valve(s).
o Dis enser Containme t Roat(s) and Chain(s). 0 Djs enser Containment FJ at(s) and Chain(s).
Dispenser ID: I '/. .___________ Dispenser lD:
a Dispenser Conlainrr.ent Sensor(s). Model: ____ I 0 Dispenser Containment Sensor(s). Model:
~hear Valve(s). 0 Shear Valve(s).
08is enser Coiltainment Float(s) and C11ain(s). . CJ Dispenser Ccntainmenr Float(s) and Chain(s).
··If the facility contains more tanks or dispensers. copy [h'is form. ·nclude infomwlJon f0r every rank and dispenser a¡ the faciJity:
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C. Certification· I certify that the equipment identìlied in tills document was inspectt'd/servlced in accordance with the maJ1ufacturers'
gu.idelines. Atæched to this Certification is inforTrultion (e.g. manufacturers' checklists) necessary to verify that tills infornl3tion is
correct and a Plot Plan showing the layout of monitoring equJwnent. For any equipment capable of generating such reports, [ have also
attached a copy of the rep0Þ,4ch.eckfltl that appLy): ~ystem set-up ~¡¿.::;~y report
Te.::hnlclan Name (prim): _~~ç...--r...). Slgnatur.::: _ ~~ ___
Cenitìca[on No.: 973 ç..., Li¡;eo~e. No.: 5~ :s7 7
.
Testing Company Name: __._~~Slt·T /J'7f!:..r...1t- __._____ Phor1¡: Nü.:( 6"1 J .322. -066>0
Site Address: ~þ.tt::'J &~ Aè.v- Øvr Date ofTesting/Servicing: J{jþ /0'2-:.
Pu!!e J of 3
03/01
:\o10nitoring System Certitication
JJ9/28/01
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'ô'661_6 0576
BFD HAZ MAT Dr.
@003
,.
D. Results of Testing/Servicing
Software V<::rslon [nstaIIeJ:
C¡/DO
~
Co lete the following checklist:
Yes 0 No* I Is the audible alarm 0 erational'"
o No" Is the visual alarm operational?
o No* Were all sensors visually inspected, functionall~sted. and confirmed operational?
o No* Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere \Vith their ro er operation')
[f alarms are relayed [0 a remote monitoring station, is all communications equipment (e.g. modem)
optrational0
For pressurized piping systems, does the turbine automatical!y shut down if the piping secondary containment
moni,taring system detects a leak. f¡¡ils to oper~, or is electrically disconnected? If yes: which sensors initiate
positIve shut-down? (Check all that apply) Ø"SumplTrench Sensors; 0 Dispenser C9Jl{¡¡mment Sensors.
Did 0": confirm positive shut-down due to leaks and sensor failure/disconnection? ø"Yes: 0 No.
Q No* Por tank systems that utilize the monitoring system as the primary tank overfill warning device (i .e, no
ß"Ñ/A mechanical overfill prevention valve is installed), is the overfiH warning alarm visible and audible at the tank
fill oint(s) and ~ating properlY'~ If so, at what percent of ~ank ca acit does the alarm tri er? .. %
Was any monitoring equipment replaced? If yes, identify specific sensors, probe.s, or other equipment replaced
and list the manufacturer name and model for all re lacement arts in SectionE. below.
Was liquid found inside any secondary containment systems de.~igned as dry systems? (Check all ¡hat apply) Q
Product; CJ Water. ff 'es. describe causes in Section E. below.
es 0 No* Was monitoring s stem set-u reviewed to ensure ro er settin s? Attach set u
Yes Q No" Is all monitorin . e ui ment 0 er¡¡tional er manufacturer's s ecifications?
* fn Section E below, describe how and when these deficiencies were or will be corrected.
Q /;o¥
Ø' N/A
o No*
o N/A
o Yes
a No
o Yes*
No
licable
E. Comments: 2 ¡\ Ít\-L.€l) {Jf1--Æ..p-1/~/!/ ..'S.>;1\J601L.s (w,'¿o.AJ~-Æ¡(J¿;)
_,4-A/O ß4, tt6õo ~/JAj'JS pr fttgA/I7z;~,
_~____._R___._.._,,_, ._.__ _._
......--.--.--.....---.--....--.......---.--....-.------------.
--------..--.----.------------.-----
--_.__._--------_...._.._-~,...._,~--,----_.._--_..._..,_.~._.__._.__._-_.....
------------
._-_....--~
.._._~-~-_._-..__. -------.------------.-
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Page 2 of 3
03/01
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09/28/01
Oï:47
~66.6 0576
BFD HAZ MAT DItIÞ
@004
F. In-Tank Gauging / SIR Equipment:
e('Check this box if tallk gauging is used only for inventory control.
CJ Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
I?:I Yes Q No* Has all input \viring been inspected for proper entry and termination, including testing for ground faults?
er Yes 0 No* Were all tank gauging probes visuaJly inspected for damage and residue buildup?
~Yes 0 No" Was accuracy of system product level readings tested?
r;a' Yes 0 No" Was accuracy of system water level readings tested')
E::f "'yes 0 No" Were all probes reinstalled properìy')
~ Yes 0 No* Were all items on the equipment manuÌacturer's maintenance checklist completed?
>I< In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
íd"êheck this box if LLDs are not instaHed.
C
h fi II
h !d'
omDlete t e 0 ow De c ec 1st: --
DYes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD perfolTI1ance?
0 N/A (Check alllhal apply) Simulated leak rate: 0 3 g.p.h.: U 0.1 g.p.h; 00.2 g.p.h, ..
-
DYes 0 No* Were all LLDs contìm1ed operational and accurate within regulatory requirements?
DYes 0 No* Was the testing apparatus properly calibrated?
DYes ·0 No* For mechanical LLDs. does the LLD restrict product flow if it detects a leak?
':J N/A
0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
0 N/A
:I Yes a No* For e]ectronic LLDs, does the turbine automatically shut off ir' any portion of the monitoring system is disabled
0 N/A or disconnected?
0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
D N/A Of faiIs a tesl'!
/
0 Yes a No* For electronic LLDs. have all uccessib1e wiring connections been visually inspected?
':J N/A
0 Yes 0 No* Were aU items on the equipment manufacturer's maintenance checklist completed?
.-
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
~.__.._-_.
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WORK ORDER
DATE: 1-s--0 L-
LOCATION OF JOB
NAME ~TY2-I-() 19 .
ADDRESS ~t.? / S ¡//tA.c4 /4rA!.., .
CITY m,kWt> h~Jd
...
CONTACT PERSON .B6t2.-;vIO TA-W\lG::;.9vV
PHONE NUMBER 6h/-3CJ¡-Ci.?.?7
DESCRIPTION OF WORK TO BE PERFORMED:
'K~ \A-c~ ¡4-/V/t/~ ,~')s>-kS ~^ 1--A''¡/'.5 ~ /11ø-"Io.1L
ASSIGNED TO: 5~g¡ /"1~
DATE: t?..- S- -- ¿:) ":L-
WORK PERFORMED:
R€..fJ /k C ß0 (,/) ~/¥~..4-V ÞV~~v.5 /l/f../C> ( 2-) /A-/"f?rS ø-r
/?1t.;r/Ý1P /V
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MATERIALS USED: ¿A-/""¡?.>
MATERIALS USEt: '
MATERIALS USED. 5e~.~~0
MATERIALS USE: (j)
I ,130~ '(., ~ b,Q pM
{j)
79 Y-1.9 ¿;- '1«»
VENDOR:
VENDOR:
VENDOR:
VENDOR:
'YðS
ALARM HISTORY REPORT4IÞ
----- SENSOR ALARM -----
L 3:UNL.PLUS SUMP 775
STP SUMP
FUEL ALARI"1
AUG 4, 2002 1 :20 PM
FUEL ALARM
SEP 7, 2001 11 :07 AM
FUEL ALARM
SEP 19, 2000 11 :19 PM
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L 4:UNL.PLUS ANN 775
ANNULAR SPACE
FUEL ALARM
. AUG 4, 2002 1 :45 PM .
FUEL ALARM
AUG4, 2002 1 :40 PM
FUEL ALARI"!
SEP 7, 2001 11 :07 AM
ALARM HISTORY REPORT
----- SENSOR ALARI"! -----
L 5:PREM. UNL.SUMP 775
STP SUl"lP
FUEL ALARM
AUG 4, 2002 1 :18 PM
FUEL ALARI"!
FEE 25, 2002 4:32 AM
FUEL ALARM
SEP 7, 2001 11 :08 AM
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L 6:PREM.UNL.ANN 775
ANNULAR SPACE
FUEL ALARI"!
AUG 4, 2002 1 :56 PM
FUEL ALARM
AUG 4, 2002 1 :51 PM
,
FUEL ALARM
SEP 7, 2001 11 :09 AM
ALARI"! H I STORY REPORT
---- IN-TANK ALARM
T 7:DIESEL 725
LOW PRODUCT ALARM
SEP 28, 2000 4:04 PM
AUG 25, 2000 10:09 AM
AUG 6, 2000 12:16 AM
DELIVERY NEEDED
MAY 18, 2002 9:28 PM
APR 22, 2002 12:11 PM
MAR 12, 2002 6:34 AM
ALARM HISTORY REPORT
IN-TANK ALARM -----
T 8:
ALARI"! HISTORY REPORT
----- SENSOR ALARM
L 1 :UNL.SUMP 775
STP SUMP
FUEL ALARM
AUG 4, 2002 1:21 PM
. FUEL ALARM
FEE 25, 2002 5:46 AM
¡ FUEL ALARM
· DEC 2, 2001 4:34 PM
~(Q)@IRSOIR~~~~ffi\r.,
ALARM HISTORY REPORT
----- SENSOR ALARM -----
L 2: UNL.ANN 775
ANNULAR SPACE
FUEL ALARM
AUG 4, 2002 1:29 PM
FUEL ALARM
AUG 4, 2002 1 :24 PM
FUEL ALARM
FEE 25, 2002 7:01 AM
e
ALARM HISTORY REPORT
---- IN-TANK ALARM
T 5: UNL. 725
OVERF I LL ALAR~'1
JUN 24, 2002 2:27 AM
JUN 23, 2002 9:52 PM
JUN 10, 2002 5:54 AM
LOW PRODUCT ALARM
JUL 24, 2002 12:20 PM
JUN 20, 2002 10:22 PM
MAY 12, 2002 6:28 AM
HIGH PRODUCT ALARM
JUN 24, 2002 2:31 AM
JUN 10, 2002 5:54 AM
JUN 1, 2002 12:17 PM
INVALID FUEL LEVEL
JUL24, 2002 12:22 PM
JUN 20, 2002 10:30 PM
MAV 12, 2002 6:48 AM
PROBE OUT
FEB 22, 2001 8:20 AM
NOV 18, 1999 10:53 AM
DELIVERY NEEDED
AUG 2 2002 11:13 PM
JUL 27' 2002 6:11 PM
JUL 24: 2002 6:08 AM
MAX PRODUCT ALARM
MAR 9, 2002 11:50 P.M
ALARI"1 H I STORY REPORT .
---- IN-TANK ALARM
T ô:PREM.UNL. 725
LOW PRODUCT ALARM
NOV 19, 2001 8:39 AM
AUG 5, 2001 6:14 PM
MAR 19, 2001 12:21 PM
INVALID FUEL LEVEL
MAR 19, 2001 6:14 PM
PROBE OUT
NOV 18, 1999 11 :36 AM
NOV 18, 1999 11:24 AM
NOV 18, 1999 11:11 AM
DELIVERY NEEDED
MAR 26, 2002 3:47 AM
JAN 17, 2002 6:46 PM
NOV 25, 2001 3:53 AM
ALARt"1 H I STOR~EPORT
----- SENSOR"'ARM -----
Lll :PREM.UNL.SUMP 725
STP SUMP
FUEL ALARt"t
AUG 4, 2002 2:44 PM
FUEL ALARM
FEB 24, 2002 11 :41 PM
FUEL ALARM
SEP 7, 2001 10:35 AM
ALARt"1 HI STORY REPORT
----- SENSOR ALARt"l -----
LI2:PREM.UNL. ANN 725
ANNULAR SPACE
FUEL ALARM
AUG 4, 2002 2:54 PM
FUEL ALARM
FEB 25, 2002 7:04 AM
FUEL ALAR~1
SEP 7, 2001 10:36 AM
--------
ALARM HISTORY REPORT
----- SENSOR ALARM -----
LI3:DIESEL SUMP 725
STP SUMP
FUEL ALARM
AUG 4, 2002 2:51 PM
FUEL ALARM
MAY 19, 2002 10~41 AM
FUEL ALARM
FEB 25, 2002 1 :20 AM
ALARM HISTORY REPORT
----- SENSOR ALARM
LI4:DIESEL ANN 725
ANNULAR SPACE
FUEL ALARM
AUG 4, 2002 2:52 PM
FUEL ALARM
AUG 4, 2002 1 :08 PM
SETUP DATA WARNING
JUL 21, 2002 2:34 PM
ALARM HISTORY REPORT
----- SENSOR ALARM
LI5:
OTHER SENSORS
ALARM HISTORY REPORT
----- SENS~LARM -----
L 7:DIESEL SUMP 775
STP SUMP .
FUEL ALARM
AUG 4~ 2002. 1:17 PM
FUEL ALARM
SEP 7, 2001 11:10 AM
'SENSOR OUT ALARM
JAN 19, 2001 3~46 PM
ALARM HISTORY REPORT
----- SENSOR ALARM
L 8:DIESEL ANN 775
ANNULAR SPACE
FUEL ALARM
AUG 4, 2002 2:21 PM
FUEL ALARM
AUG 4, 2002 2:03 PM
FUEL ALARM
SEP 7, 2001 11:11 AM
ALARM HISTORY REPORT
----- SENSOR ALARM
L 9:UNL.SUMP 725
STPSUMP
FUEL ALARt"1
AUG 4, 2002 2:41 PM
FUEL ALARM
FEB 25, 2002 1 :15 AM
FUEL ALARt"1
SEP 7, 2001 10:33 AM
~@@!RS ~~~G~~~~;
ALARM HISTORY REPORT
----- SENSOR ALARM
L1 0: UNL. ANN 725
ANNULAR SPACE
FUEL ALARM
AUG 4, 2002 2:56 PM
FUEL ALARM
SEP 7, 20Ql 10:34 AM
FUEL ALARM
SEP 19, 2000 9:42 PM
T 2:UNL.PLUS 775
PRODUCT CODE : 2
THERMAL COEFF :.000700
TANK DIAMETER : 96 00
TANK PROFILE 1 'PT
FULL VOL 12032
FLOAT SIZE: 4.0 INCHES
~~Ó~RW~*~~Ir?MIT; ~:8
MAX OR LABEL VOL: 12032
OVERFILL LIMIT 95%
11430
HIGH PRODUCT 97%
11671
DELIVERY LIMIT 10%
1203
LOW PRODUCT : 1000
LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: 99
TANK TILT 9.88
MANIFOLDED TANKS
T;I: NONE
LEAK MIN ANNUAL: 1203
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
e
IN-TANK SETUP
- - - - - - - - - - - -
T 1 :UNL. 775
PRODUCT CODE
THERMAL COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
1
.007000
96.00
1 PT
12032
FLOAT SIZE: 4.0 INCHES
WATER WARNING . 2.0
HIGH WATER LIMIT: 3.0
MAX OR LABEL VOL: 12032
OVERF I LL LI MI T: 95%
11430
HIGH PRODUCT 97%
11671
DELIVERY LIMIT 10%
1203
LOW PRODUCT : 500
LEAK ALARM LIMIT: 99
SUDDEN LOSS LIMIT: 99
TANK TILT 7.30
MANIFOLDED TANKS
T;I: NONE
LEAK MIN ANNUAL: 1203
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
.'
TANK TEST NOTIFY: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
e
SVSTEM SETUP
AUG 5., 2002
------
3:06 PM
SYSTEI"1 UNITS
U.S.
SVSTEM LANGUAGE
ENGLISH
FASTRIP 19
4901 S. UNION AVE.
BKFLD. CA. 93307
661-397-9387
SHIFT TIME 1 DISABLED
SHIFT TIME 2 DISABLED
SHIFT TIME 3 DISABLED
SHIFT TIME 4 DISABLED
PERIODIC TEST WARNINGS
DISABLED
ANNUAL TEST WARNINGS
DISABLED
SVSTEM SECUR ITY
CODE : 000000
PRINTTC VOLUMES
ENABLED
TEl"lP COl"1PENSATI ON
VALUE (DEG F ): 60.0
COMMUNICATIONS SETUP
------ -
PORT SETTINGS:
NONE FOUND
RS-232 SECURITY
CODE : 000000
RS-232 END OF MESSAGE
DISABLED
(?J@@fRt (OR'~n~¡R
~
:I~U~D_SENSOR SETUP .
I - _ __
'oj
L 1: UNL . SU/"IP 775 ~~."
TR I -STAT "
CATEGORyE: (~+~G§GMþLOATi"
!
L 2: UNL . ANN 775 . t
l~+Ë~J~JE. (81 NGLE FLOAT!
. ANNULAR SPAC1
¡
L 3: UNL. PLUS SUMP 771
l~+Ë~J~~E. (SINGLE FL5ATi
· . STP SUMP r
!
fR 1 ~MNL . PLUS ANN 775 I
CATEGJ~JE. (SINGLE FLOAT~.¡
. ANNULAR SPACE
i
fRt~~RE/"l. UNL.SUMP 7751
CATEG6RA~E. (SINGLE FLOAT~
· . STP SUMP .
fRf:~REM.UNL.ANN 775
CATË~6~JE: (~~ZBt~RF§2~l~
.t'
L 7:DIESEL SUMP 775 j
TRI-STATE (SIN .
CATEGORY: STpG§GMþLOATJ
):
L 8~DIESEL ANN 775!f
l~+E~J~JE. (SINGLE FLOAT}
. . ANNULAR SPACE
L 9: UNL . SUMP 725;)
l~+Ë~JRA~E. (SINGLE FLOAY.j
· . STP SU/"lP.;';;
J~
.~~
LID: UNL .ANN 725 j'
l~+ËgJRA~E. (SINGLE FLOAT..?~..
· . ANNULAR SPAQ"
'1.
\1\
. 1
Lll :PREM UNL SUMP j
l~fË~~JE: 'Ëj~G¡¡:j,.,iÊgATf
L12:PREM UNL ANN r
l~+Ëg6~JE: (~~~Bt~R ¡~§~T r
L13 :DIESEL SUMP 7"'5 ¡}
6~+E-GSOTRA~E. (SINGLE'FLOA!'
r . STP SUMP ,
. f
L14:DIESEL ANN 725 I.
l~+Ëgl~yTE. (SI~GLE FLOATb
. ANNULAR SPACf
l
T 7:DIESEL 725
PRODUCT CODE
THERf"IAL COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
: 7
: .000450
: 96.00
: 1 PT
: 12000
FLOAT SIZE: 4.0 INCHES
WATER WARNING : 2.0
HIGH WATER LIMIT: 3.0
MAX OR LABEL VOL: 12000
OVERFILL LIMIT: 95%
1 :100:'.
HIGH PRODUCT . 7%'
11640
ll"'~
120Q
1000
~.,.,
99
0.00
DELI VERY LI f"1 IT
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TILT :
MANIFOLDED TANKS
T¡:t: NONE
LEAK MIN ANNUAL: 1200
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARf"1 DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFV: OFF
TNK TST SIPHON BREAK:OFF
DELIVERV DELAV : 15 MIN
LEAK TEST METHOD
- - - - - - - - -
TEST ON DATE : ALL TANK
JAN 1. 2000 '
START TIME: 2: 00 Af"1 "
TEST RATE :0.20 GAL/HR'
DURAT I ON : 2 HOURS ..
LEAK TEST REPORT FORMAT
NORMAL
e
T 6:PREM.UNL. 725
PRODUCT CODE
THERf"IAL COEFF
TANK DIAMETER
TANK PROFILE
FULL VOL
6
: .000700
: 96.00
: 1 PT
: 12000
FLOAT SIZE: 4.0 INCHES
WATER WARNING :
HIGH WATER LIMIT:
MAX OR LABEL VOL:
OVERFILL LIMIT
HIGH PRODUCT
DELI VERY LI f"1 IT
LOW PRODUCT :
LEAK ALARM LIMIT:
SUDDEN LOSS LIMIT:
TANK TILT :
MANIFOLDED TANKS
rt:t: NONE
LEAK MIN ANNUAL:
2.0
3.0
12000
95%
11400
97%
11640
10%
1200
1000
99
99
0.00
1200
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST FAIL
ALARM DISABLED
PERIODIC TEST FAIL
ALARM DISABLED
GROSS TEST FAIL
ALARM DISABLED
ANN TEST AVERAGING: OFF
PER TEST AVERAGING: OFF
TANK TEST NOTIFV: OFF
TNK TST SIPHON BREAK:OFF
DELIVERY DELAY : 15 MIN
~(Q)@~ OR~Gntfj~~
ovrlWHKc ~ëV1SION LEVEL .. ..... UIU.. .J:-'.L.U::¡ '('(5
TVPE:
VERSION 9.00 STANDARD
30FTWAREU 346009-100-A NORl"fALL V CLOSED
CREATED - 95.08.28.11.2
~ ,
S-!"fODULE;:t 330160-002-A IN-TANK ALARMS
SVSTE!"1 FEATURES: T 2:LEAKALARM
PERIODIC IN-TANK TES T 2:HIGH WATER ALARM
ANNUAL IN-TANK TESTS
-CSLD LIQUID SENSOR ALMS
L 3: FUEL ALARM
L 4:FUEL ALARM
¡i. L 3:SENSOR OUT ALARM
¡il L 4:SENSOR OUT ALARM
L 3 :SHORT ALARM
¡II L 4:SHORT ALARM
L
fd
II R 7: PREM . UNL. 775
J
. ¡'i TVPE:
STANDARD
., NORMALLV CLOSED
:.1
i
IN-TANK ALARMS
T 3:LEAK ALARM
IN~TANK DIAGNOSTIC T 3:HIGH WATER ALARM
------ - - - LIQUID SENSOR ALMS
PROBE DIAGNOSTICS L 5:FUEL ALARM
T 1: PROBE TYPE MAGI L 6: FUEL ALARM
SERIAL NUMBER 11599 L 5:SENSOR OUT ALARM
ID CHAN = OxCOOO L 6:SENSOR OUT ALARM
GRADIENT = 352.6900 L 5: SHORT ALAR!"l
L 6 :SHORT ALARM
NUM SAMPLES 20
COO 1368.0 COl 7369. R8:DIESEL 775
CO2 7369.2 C03 7369. TVPE:
C04 7369.6 C05 7369. STANDARD
C06 7393.6 C07 7394. NORMALLV CLOSED
C08 7394.4 C09 7394.
CI0 7394.7 Cl1 42778.
C12 6102.9 C13 8405. IN-TANK ALARMS
C14 8704.5 C15 8746. T 4:LEAK ALARM
C16 8825.1 C17 9047. T 4:HIGH WATER ALARM
C18 42749.7
LI QU ID SENSORAL!"IS
SAMPLES READ =52116017 L 7: FUEL ALARM
SAMPLES USED =52102729 L 8:FUEL ALARM
L 7:SENSOR OUT ALARM
L 8 SENSOR OUT ALARM
L 7 SHORT ALARM
L 8 SHORT ALARM
IN-TANK DIAGNOSTIC
- - - - - - - - -
PROBE DIAGNOSTICS
T 2: PROBE TVPE MAGI
SERIAL NUMBER 115991
ID CHAN = OxCOOO
GRADIENT = 352.7800
NUM SAt"IPLES = 20
COO 1 339 . 4 CO 1
C02 6602.0 C03
C04 6602.0 C05
C06 6602.1 C07
C08 6602.1 C09
CIO 6602.0 C11
C12 4939.3 C13 7722.
C14 8184.0 CI5 8305.
CI6 8542.8 C17 9405.
C18 41774.4
SAMPLES READ =52116000
SAMPLES USED =52111009
v U J. r u .L J'\..L..L.on.&. . ~L.oI .: '-':' _ _
.: :N:-PREM. UNL. 725 .
TYPE:
STANDARD
NORt"lALL Y CLOSED
IN-TANK ALARt"lS
T 5:LEAK ALARM
T 6:LEAK ALARM
T 5'HIGH WATER ALARM
T 6;HIGH WATER ALAR~
LIQUID SENSOR ALMS
L 9:FUEL ALARM
LIO:FUEL ALARM
L11 : FUEL ALARM
L12 :FUEL ALARM
L 9:SENSOR OUT ALARM
LIO:SENSOR OUT ALARM
L11 :SENSOR OUT ALARM
L12:SENSOR OUT ALARM
L 9:SHORT ALARM
L1 0 :SHORT ALARM
L11 :SHORT ALARM
L12:SHORT ALARM
R 2:DIESEL 725
TYPE:
STANDARD
NORMALLV CLOSED
IN-TANK ALARMS
T 7' LEAK ALARt"1
T 7:HIGH WATER ALARM
LIQUID SENSOR ALMS
LI3:FUEL ALARM
L1 4 : FUEL ALARM
L13:SENSOR OUT ALARM
L14:SENSOR OUT ALARM
L13:SHORT ALARM
L14 : SHORT ALARM
R 5: UNL. 775
TYPE:
STANDARD
NORMALLY CLOSED
IN-TANK ALARMS
T l' LEAK ALARM
T 1 ;HIGH WATER ALARM
LIQUID SENSOR ALMS
L 1: FUEL ALARM
L 2'FUEL ALARM
L 1 :SENSOR OUT ALARM
L 2:SENSOR OUT ALARM
L 1: SHORT ALARt"l
L 2 : SHORT ALARt"l
M~~@~ @I.IG~M~~.
!
I
LARM HISTpRY REPORT
---~IN-TANK ALARM
, 1: UNL. 775
,VERF I LL ALARM
¡EP 26, 2001 5:04 PM
lUG 11, 2001 7:23 AM
IOV 27, 2000 3: 35 AM
iIGH PRODUCT ALARM
~UG 11, 2001 7:2~ AM
~OV 27, 2000 3:3b AM
~OV 26, 2000 11:55 AM
INVALID FUEL LEVEL
JUL 19, 2002 12:00 PM
JUL 12, 2002 l:2~ AM
PEB 3, 2002 b:5b PM
DELIVERY NEEDED .
JUL 19. 2002 12:24 PM
JUL 12, 2002 4:43 AM
FEB 3. 2002 7:06 PM
MAX PRODUCT ALARM
NOV 27, 2000 3:37 AM
NOV 26. 2000 11:5b AM
FEB 14. 2000 6:08 AM
-'-
ALARM HISTORY REPORT
---- IN-TANK ALARM ~--
T 2:UNL.PLUS 775
INVALID FUEL LEVEL
JUL 30. 2002 3:21PM
JUL 6, 2002 12:21 PM
JUN 23. 2002 10:32 PM
~---_.
ALARM HISTORY REPORT
____ IN-TANK ALARM
T 3:PREM.UNL. 775
. ,
LOW PRODUCT ALARM
JUN 10, 2002 19:24 PM
JUN 1, 2002 b:19 AM
INVALID FUEL LEVEL
JUN 12. 2002 ~:29 PM
DELIVERY NEEDED8 55 PM
JUN' 9, 2002
MAY 31, 2002 12 02 PM
MAY 22, 200~ 10 08 PM
IN-TANK DIAGNÒSTIC ~-TANK DIAGNOSTIC
~E DIÃGÑOSTIës- - ,ÕBE DIÃGÑOSTIës - - -
T 6: PROBE TYPE MAG1 T 3: PROBE TYPE MAG1
SERiAL NUMBER 442519 SERIAL NUMBER 11600
ID CHAN = OxCOOO ID CHAN = OxCOOO
~ GRADIENT = 353.0500 GRADIENT = 353.0100
NUM SAMPLES 20 NUM SA/"lPLES 20
COO 1352.0 C01 6951. COO 1368.8 C01 9948.
CO2 6951.3 C03 6951 . CO2 9948.4 C03 9948.
C04 6950.6 C05 6950. C04 9948.4 C05 9948.
C06 6952. 1 C07 6951. C06 9948.8 C07 9949.
C08 6951.7 C09 6951 . C08 9948.9 C09 9948.
C10 6951.3 C11 43654. Cl0 9949.0 C11 41951.
C12 5648.3 C13 7141. C12 5083.8 C13 7787.
C14 7187.3 C15 7233. C14 8185.9 C15 8557.
C16 7081.0 C17 7563. C16 9068.8 C17 10499.
C18 43655.8 C18 41949.3
SAMPLES READ SAMPLES READ =52115980
SAMPLES USED SAMPLES USED =52113614
IN-TANK DIAGNOSTIC IN-TANK DIAGNOSTIC
------ - - - ------ - - -
PROBE DIAGNOSTICS PROBE DIAGNOSTICS
T 7: PROBE TYPE MAGI T 4: PROBE TYPE MAG1
SERIAL NUMBER 44157 SERIAL NUMBER 115993
ID CHAN = OxCOOO ID CHAN = OxCOOO
GRADIENT = 352. 1000 GRADIENT = 352.8600
NUt"l SAt"lPLES 20 NUM SAMPLES 20
COO 1340.7 C01 9852. COO 1361 .2 COI 8157.
CO2 9852.5 C03 9852. CO2 8158.0 C03 8158.
C04 9852.3 C05 9852. C04 8158.0 C05 8158.
C06 9881.0 C07 9881. C06 8157.9 C07 8157.
C08 98Bl.3 C09 9881 . C08 8157.9 C09 8158.
CI0 9881.3 C'11 43573. CI0 8157.8 C11 42108.
C12 5639.0 C13 7286. C12 5078.5 C13 7899.
C14 7548.4 C15 7789. C14 8142.7 C15 8383.
C16 867.4.5 G17 1 0791 . C16 8848.6 C17 10733.
C18 43574.3 C18 42110.1
SAMPLES READ =52115983
SAMPLES USED =52113879
IN-TANK DIAGNOSTIC
- - - - - - - - -
PROBE DIAGNOSTICS
T 5: PROBE TYPE MAG1
SERIAL NUMBER 44158
ID CHAN = OxCOOO
GRADIENT = 351.7200
NUM SAMPLES = 20
COO 1270.8 C01
C02 6676.0 C03 6676.
C04 6676.5 C05 6676.
C06 6739.5 C07 6739.
C08 6738.8 C09 6738.
C10 6738.1 C11 44295.
C12 6153.1 C13 8107.
C14 8101.2 C15 8229.
C16 8193.5 C17 8598.
C18 44297.4
SAMPLES READ =52110013
SAMPLES USED =52098749
'@@R OfU~ÐR11~&
"'''''''1'>1, n!;:,! V1'\:¥ 1'\:1:;1-'0),;'1'
--tþ: N-TANK ALARM e
'-
T 4:PIESEL 775
ç
LOLJ PRODUCT ALAR!"1
MAR 23, 2002 7:42 AM
INVALID FUEL LEVEL
~1AR 23, 2002 11: 00 Pl"l
DELIVERY NEEDED
JUN 16, 2002 9: 16 Al"l
APR 27, 2002 10:40 AM
1"1AR 20, 2002 11: 53 Pl"l
ALARM HISTORY REPORT
---- IN-TANK ALARM
T 5:UNL.725
OVERFILL ALARM
JUN 24.. 2002 2:27 AM
JUN 23, 2002 9:52 PM
JUN 10, 2002 5:54 AM
LOW PRODUCT ALARM
JUL 24, 2002 12:20 PM
JUN 20, 2002 1 0 : 22 Pl"l
MAY 12, 2002 6:28 AM
HI GH PRODUCT ALARl"l
JUN 24, 2002 2:31 AM
JUN 10, 2002 5:54 Al"l
JUN 1 , 2002 12: 17 PM
INVALID FUEL LEVEL
JUL 24, 200212:22 PM
JUN 20, 2002 10: 30 Pl"l
I"IAY 12.. 2002 6:48 AM
PROBE OUT
FEB 22, 2001 8:20 AM
NOV 1 8, 1999 10:53 AM
DELIVERY NEEDED
AUG 2, 2002 11 :13 PM
JUL 27, 2002 6: 11 PM
JUL 24, 2002 6: 08 A~'l
MAX PRODUCT ALARM
MAR 9, 2002 11 :50 PM
fJj(Q)@fR{ ~RIG~~~~~
¡,,/ J
v~ ,..
Û'....,/,
,:'{.
-
e
SUIISET MECHANICAL
3812 Panorama Drive Bakersfield, CA
Phone: 661-322-0660 Fax: 661-871-1788
CA. License # 589517
,-.' ~,.."._~._...",-,""'.'" "'''." '''~-''';;'~'';'''''~"-'_- - "~.n.",""_p....., ...,,"..-... ""_'~m~.'_''''''''·'.. ......_ _",'''4'' . ",,", '''''.,..,_~."._~,'_."......._,.-.....",~,_ .'""..>.þ..._'..,"":, ".'. , ,-., ,_.,,' ~-.". \,.,~ ..:_.-"..,.,~".;~~..~", '_'.'_;",.,~':"'""""".".. "., ,',__'.','''_'.',' ""'-".,:~~ ¥'":~>"""''''''_''~'':' ',' ,,__.."....."-.,'.~..."-1."'...,.,.,..."".. ,~,,~,""...._"',_"'~,_._.._..... . ~
Secondary TestÎo2 Certification
"it
Facility EX )('0 N -, 2. 5
Addressq.qo/ .s. u.ASJ OJ\) Aveß,Qk:~I2$J="I~L£.I (!A. 9'3'507
Operators Name ;:)Ä<::..D ðl L-
Owners Name .YACl') ð I L..
Secondary Test
Passed v
Failed
Notes:~ ~u.M. p~ :~ i 4 NI$fc:!.D ~LL £LJ:::GTC:IC.t:::.L P,r:--,o7"K
. .
Tt61i-r~N.:D .A ,.JD 12.1£···nc.ç,,-r~.1J
~ ðV~~1 L..L R·...c~~r:T .. 4 J.JA~<:; .~ i...t=.A k¡I\)..t:.Dor,;uA) ~Ll~
ïW~ AJld~.L')~ 'Rc.PLAL.~r::.
® g¡;,cö,J,)T'>A "'-\ Ø!P1ÅJ~~ ~ DI.oc;·p~)I;)~è-fZ ¡q::,..NG :Z1Ù,"PcCT't;~ 4.S,^>~
iiScrT¡'~ ~Pk. oc:ru:no"tJ 1 V(':Ii_~Mc..TI:?/C- M,--¡}.J C'\~'.
N~Tt:: OVt:.~ç::.fw.. \3~U(~T :j:; 4 RE.î€$íe.D ~-"f6..:ö?-
AÇ-tt= e. D~IJ I IV VAl..Y~12..~fþ., RS"
Name of Tester kEN f3£u...6
Tester License #52n ~~ L~ 9b
Name of Contact Person I(Erù ·R.zu~
Phone # of Contact Person 6G.J - q i q " 0 I 4 6
Date & Time Test was Conducted
Date: <6' .. i'Z. .. ð 'Z- Time: 2 ~ 15 P IV\
Signature of Tester
~~
'.
-
e
~
"l/
Sunstlt Mtlchanical
3812 PaRorama Drive Bakersfield, CA 9330&
PIIORe: &&1-322-0&&0 Fax: &&1-811-1188
SECONDARY SYSTEM CERTIFICATION FORM
DATE ~ -12.-'02-
FACILITY ill /2.5
FACILITY NAME & ADDRESS
EXXDN qQC} '8. \...LtVION AvE: IRAKEI<-¿;FE..~ (!.,q. Q'330"1
TURBINE SUMPS
SUMP-l
Start Time .............................. 12.:, 't J\f'\.1
Initial Height of Water ........... 5 '2 q ¡; -,
Stop Time.................. I ?_ ~ '2.q PI",
Final Height of Water 6. ;;:'C}I ~ "
Results .................. PA ~~S
Certification (Signature) ... ~~~
SUMP-2
12: 14 PM
4. q 18 '2.. -,
1'2... ·2.CJ PM
4-. q) 16 ~,
f'J.1SS
~~
SUMP-3
¡:4SP"",
5. '5C,(; 2 ~
2.:0<"\ r'.'~
5. '5'(;5 Z\'
~&.ç
~Il..-
SUMP-4
1:+5 NA
'3. .q.Q.55 "
2; 06 PM
3.4964 I,
. P¡J¡\S
~,IJ-
T¡ßkîef\) Iu6'ré.~'nON ßðO'T~ r-l12cC\Uo/VD ¡;;:t..lccrI<ICAL CL'JrJDu..rr
I'ù Su..".,'fp~ '3 i 4 AND Rt=TE. "ß-r,
. I
~.4--
OVERFILL BUCKETS
OVERFILL-l
OVERFILL-2
OVERFILL-3
Start Time ............... q: j t At:",
Initial Height of Water 344'5"
Stop Time ................... q: '2..6 t:>. ......
Final Height of Water ........... :3.4q 10 "
Results ....... ......................... PA 55
Certification (Signature) .... ~~~
q : 1/ A ~V\
~i. 7..8;"7'"
'1 : '1.. r;. ¡:, "'"
~ . 28-'1 (') "
R\J:çS
~~.
q. II Po 1"-'\
. 9-.1'166 '.
q : 'z..t; A I'A.
'of. J r s,+",
PASS
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OVERFILL-4
't : Ii AtV\
FA/£.' / ¡:P,SS
.1I1II!IÞ-"~~
o v£.R..F'1 t....L. Ið u..c, ICJ:;::T ii:.. 4 0 R A IIV P L u. E:'::. NO N 0 PcRA7)O N A '-
f\Je.ë:..D i; To ßIr; í1GN7ICkJD
~g~Të~ % -/6- 0"2 A~t::: eg~P.AIRS MAD&:
~4--
'"
~F
e
UST ANNULAR SPACE
Tank-l
Tank-2
Start Time ........................... 8; 4J ~ M
Initial Vacuum Pressure....... 1"3.5. N6
Stop Time........... ................... q.. q5 n .'-'l.
Final Vacuum Pressure ........ 13.!:J· H t'4
Results ...............................;. IDA r; s
Certification (Signature) .... ~~
?: q, roM
12 HI>
9:QS f>, I'A
1'2. JJ b
PA~~
..Ø'~ ~
SECONDARY PIPING
f DI~ Pt::^>~e. R. P:¡ 1\:)1::>' LlNE-l
D5p/A LL
Start Time .................
Initial Height of Water .......
Stop Time .................
Final Height of Water ........
Results ................
Certification (Signature) ...
LINE-2
q; 5.=?
PA'FS
~/3-
e
Tank-3
q: 50 A"....
13·5~"
11;00 pM
13.5',I. 6
PA~S
~.IS--o
LINE-3
.f)SP/DðL
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2. '~B4 I 'I
10:,(,. A~
2. ~~~'2.
PI:)$$
~AB-
Tank-4
Q;50·At/\
14 ;.J~
J¡:OO4'>M
1'3 .(.6
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~~
LINE-4
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WITH APPX 50c ~ALi..ðNs:. or-- WATt::.R At..:ID ¡oJ y.DR<\ß'"n)TJGLV\
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TEST STARTED
i3EG fl'·!·. U:::I.)EL
ni[) n ME
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END L.EIJEL .
!.Ef1k: Ti-lRE~iHOLD
TEST RCSULT
5:11 PM
'13/08./213132
4.71801H
5:27PM
13/38/2002
4.7177 m
13.002 IN
PASSED
;11'
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3ØØ
Barrett Engineering
Fortuna, CA
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0:::/16/2002
TEST STARTED
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0:3/16/2002
tIll 2860 I~~
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SUNSET MECHANICAl
3812 Panorama Drive Bakersfield, CA
Phone: 661-322-0660 Fax: 661-871-1788
CA. License # 589517
Secondary Testioe Certification
4f-
Facility 1=A.<rïï?1 P 'I S
Address "'~ 01 ~OfJ..'H li.N¡c::>1ú At';:: eAJ<~~~!~LO (!.A Q3'3ó"
Operators Name ::r A C-ö 0 i L
Owners Name -;)0 CO ~ '-
Secondary Test
Passed V
Failed
Notes: NON 1£
Name of Tester \<F:.~ 'RI<.LwS
Tester License # '~"U'I 8 '8 "2.4 q b
Name of Contact Person k'(CtoJ '~l>....ç
Phone # of Contact Person bÇ," q"1 q - 0 I ~.h
Date & Time Test was Conducted
Date: ~-rz-o¿ Time: G:ooP,^^
Signature of Tester ~~ ~
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IUnGIII Mechanical
3812 PaDoraDla Drive Bakerslleld, 019338&
PbODe: &&1-322-0&60 Fax: &61-811-1188
SECONDARY SYSTEM CERTIFICATION FORM
DATE '8 - /2- 02-
FACll.JTY ill ìl5
FACILITY NAME & ADDRESS
~.
FAßTRI P 4Qol U.Nl(,)~\- Avr;;;. RQKERSF1 E.LnCA. q3?:O¡
TURBINE SUMPS
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2.9643 "
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Start Time .............................. 5' 5C'\ PM.
Initial Height of Water ............;i. .14Q "
Stop Time ................:. 6 :(').~ PM
Final Height of Water 3. S4C2tQ "
Results . .. .. .. . .. . .. .. . .. CÀ'S ç
Certification (Signature) ... ~ð!---
OVERFILL BUCKETS
OVERFILL-3
OVERFILL-l
OVERFILL-2
Start Tirhe .......... ..... '3 :3 ù P.vt
Initial Height of Water ;2.·07<g 3 ;"
Stop Time ................... '3 . ¿J 5 pUV\.
Final Height of Water ............ 2...077 '? ~
Results ................................ Pt:\'RS'
Certification (Signature) .... ~~
;1 : ;;; () P tv-,
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2.hq~O J
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UST ANNULAR SPACE
Tank-l
Tank-2
Start Time ........................... 'E:, 0 P~"-'\
Initial Vacuum Pressure....... /4 Hb
Stop Time ............................. 4: I~ fM1
. Final Vacuum Pressure ........ 14 .(¿
Results . ..,.. ........ ...............,... PASS
Certification (Signature) .... ~~
'8: 10 p,,^
Jð Nb
4:J5P¡VI
l~ NG
PRSS
~~~
SECONDARY PIPING
z: D JSPf:3;..1J S i:=.P. PA 10..:5 l.INE 1
. D8P/AL.L
Start Time ................. 2.: oq p~
Initial Height of Water ....... 7 3-'53 ,..~
Stop Time ................. ·2 :24 PM..
Final Height of Water ........ 7· ~7SS -')
Results'.. .............. PA<:' S
Certification (Signature) ... .~é5A~
LINE-2
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P>@OR ORIGUNAr.
¡?r:;:;'-",.-":
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "W SIreel
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H'SIreel
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFm SERVICES' ENYIROIIIIEIfTAL SERVICES
1715 Chesler Ave.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBUC EDUCATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 32EHJ576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
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July 31. 2002
David Palmer
Jaco Oil Co.
P.O. Box 1807
Bakersfield, CA 93380
CERTIFIED MAIL
RE:
Annual Maintenance on Leak Monitoring Systems
REMINDER
Dear Mr. Palmer:
This letter is to advise you that the following Jaco Oil sites are coming due for annual
maintenance on their leak monitoring systems. They are as follows:
Howards Mini Mart
Mt. Vernon Fastrip
Fastrip #622
Fastrip #641
Chris'Liquors
Fastrip #6
Ming & Real Fastrip
Fastrip #19
Fastrip #640
Wholesale Fuels
Fastrip #621
Fastrip #26
Harris Market
Howards #6
Farrells Fastrip
Howard's #4
Fastrip #633
3300 Planz Road
3501 Mt. Vernon
4013 S. "H" St
1200 Coffee Rd
2732 Brundage Ln
1640 S. Chester
3701 Ming Ave
4901 S. Union
-SOOT White Lane
2200 E. Brundage
805 34111 Street
2698 Oswell
1701 Union Ave
4201 Belle Terrace
6401 White Ln #112
3200 Panama Ln
6401 S. H Street
Due 08-17-02
Due 09-04-02
Due 09-06-02
Due 09-07-02
Due 09-07-02
Due 09-07-02
Due 09-07-02
Due -0-07-02
Due 09-19-02
Due 09-27-02
Due 10-01-02
Due 10-01-02
Due 10-01-02
Due 10-15-02
Due 10-15-02
Due 10-15-02
Due 11-01-02
As a courtesy, this reminder has been sent to you. No further reminders will be sent, and
formal "Notices of Violation" will be sent 10 days after the due date, unless documentation
of testing has been received.
Should you have any questions, please feel free to call me at 661-326-3190.
S¡,tMko
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBUldc
(,(,y~ ~ W~ g:--eve.A~ 9'"'~ A W~"
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
APPLICATION TO PERFORM
FUEL MONITORING CERTIFICATION
FACILITY
ADDRESS
la-t,L/l..ip #775
(S.ite ID #725)
4901 South Un.ion AVenue
OPERATORS NAME
OWNERS NAME
Jaco O.if Company
Jam.ie-1on-IUff
NAME OF MONITOR MANUFACTURER
Veede/l.-Root
DOES FACILITY HAVE DISPENSER PANS? YES~
NO_
TANK # VOLUME CONTENTS
1 g 2 12000 / 12000 f1Vl
3 g 4 12000 / 12000 f1Vl
5 g 6 12000 / 12000 f1Vl
7 12000 f1Vl
NAME OF TESTING COMPANY SUNSE.T f1E.CHANICAL
CONTRACTORS UCENSE # CA 58951 7
NAME & PHONE NUMBER OF CONTACT PERSON f1a/l.k BfackfLu/l.n 322-0660
DATE & TIME TEST IS TO BE CONDUCTED 08/05/02 11 : 00Af1.-12: 30Pf1
~ dtt11Û
.......
~"("(Jl-
APPROVED BY
DATE
SIGNATURE OF APPUCANT
07/31/02 08:50
'ö'661 326 0576
.
BFD HAZ MAT DIV
@001
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& I ofo07
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, C.A (661) 326-3979
APPLICATION TO PERFORM A TANK TIGHTNESS TEST/
SECONDARY CONTAINMENT TESTING
FACUlTY la~t~ip #775
ADD~S 4901 South Union 4venue
PERMIT TO OPERA 1E # 725
OPERATORS NAME :Jaco Oil Company
OWNERS NAME :Jamie~on-IUll
NUMBER OF TANKS TO BE TESTIill 7
TANK # VOLUME
1 æ 2 12000 / 12000
3 æ 4 12000 / 12000
IS PIPING GOING TO BE TESTED Ij ES'
CONTENTS
5 æ 6
7
12000 / 12000
12000
~_.11Yl
f1Vl
f1Vl
f1Vl
-~
(
TANK TESTING COMPANY SUNSE7 f1ECIí4NIC4L
MA1LINGADDRESS 3812 Pano~ama D~ive 93306
NAME&PHONENUMBEROFCONTACTPERSON f1a~k Blackgu~n 322-0660
TEST?\1ETHOD líyd~o-~tatic æ Vacuum
NAMEOFTESTERORSPECIAL1NSPECTOR /(en B~u~ / Ron Roge~~
CERTIF1CA TION # '- ç;:J() ~
. I
[.
DATE & TIME TEST IS TO BE CONDUCfED f10n 08/l2/02 8 :j004f!1-5:00Pf1
~]¿ (j,tkh1£L ~'l-ÐL L ~
APPROVED BY DATE SIGNATURE OF APPUCANT
,
I
I
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "W Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY SERVICES. ENWlONUENTAL SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 32&0576
PUBLIC EDUCATION
1715 Chester Avè.
Bakersfield. CA 93301
VOICE (661) 326-3696
FAX (661) 32&0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326'()576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4691
FAX (661) 399·5763
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July 30, 2002
Fastrip
4901 So Union Ave
Bakersfield CA 93307
REMINDER NOTICE
RE: Necessary Secondary Containment Testing Requirements by December
31, 2002 of Underground Storage Tank (s) Located at
the Above Stated Address.
Dear Tank Owner / Operator:
If you are receiving this letter, you have not yet completed the necessary
secondary containment testing required for all secondary containment
components for your underground storage tank (s).
Senate Bill 989 became effective January 1,2002, section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary
containment components upon installation and periodically thereafter, to insure
that the systems are capable of containing r~leases from the primary
containment until they are detected and removed.
Of great concern is the current failure rate of these systems that have been
tested to date. Currently the average failure rate is 84%. These have been due
to the penetration boots leaking in the turbine sump area.
For the last four months, this office has continued to send you monthly
reminders of this necessary testing. This is a very specialized test and very few
contractors are licensed to perform this test. Contractors conducting this test
are scheduling approximately 6-7 weeks out.
The purpose of this letter is to advise you that under code, failure to perform
this test, by the necessary deadline, December 31,2002, will result in the
revocation of your permit to operate.
This office does not want to be forced to take such action, which is why we
I
continue to send monthly reminders.
Should you have any questions, please feel free to call me at (661) 326-3190.
Sin::¡ ~
Steve Underwood
Fire Inspector Environmental Code Enforcement Officer
""Y~ de W~ ~.A0P6 ff~ A W~"
~.__ _ ___ 'f'
.,.
SHIRLWNVIRONMENTAL TESTIN~.L.C.
P,O. Box 219 1928 Tyler Avenuè, Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077 /800-447-3490 626-444-7447/800-533-4030
Secondary Containment Test Report
Submersible Sumps & Fill Containment Sumps
SITE:
JACO #775 (Fastrlp #19)
4901 S. Union Ave.
Bakersfield CA 93307
DATE: 2-25-2002
CONTACT: Bernie Jamieson
PHONE: 661-397-9387
JOB #: T5 008826
Tank # 1 2 3 4 --1
Capacity 12,000 12,000 12,000 12,000 I
.. ._--J
Dimensions 8'x32' 8'x32' 8'x32' 8'x32'
o--~-----
, Product Unleaded Unleaded Plus Premium Premium
Type of Tank OW Steel OW Steel OW Steel OW Steel
(ST, FRP, DW/FRP)
e---' -----..-
I Type of Piping OW FRP OW FRP OW FRP OW FRP
\ (ST, FRP,DW/FRP) _.
\ Depth of Piping 1 Fill 4 1/2 - 5 feet 4112 - 5 feet 4 1/2 - 5 feet 4112 - 5 feet
\ Containment Sump
--..-.--
~II Sump Number I
Start Time
r -
End Time
.
,_ Staf!~ng Level
Ending Level -----
Change in Level
Results N/A N/A N/A ¡ N/A I
---<-"- L_-- ..--J
Fill Riser Containment Sumps
r---~'--~- --
Submersible Sump 1 2 3 4
Number
Start Time 1648 1648 1648 1830 I
End Time 1722 1722 1722 1845
Starting Level 5.2394 3.1478 6.4261 5.2921
Ending Level 5.2391 3.1481 6.4263 4.7252
I----
Change in Level -0.0003 +0.0003 +0.0002 -0.5669
O' .. ...
Results Pass Pass Pass Fail
L...-.________
Submersible Sumps
Technician: James S. Davis
Tester ID# 97-1579
989 Test Type
~ Incon TS-STS 0 Vacuum
o Caldwell 0 Pressure
o Fibre-Lite
,.
- /Ì'
SHIRLWNVIRONMENTAL TESTINCW'.L.C.
P.O. Box 219 1928 Tyler Avenuè:Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447/800-533-4030
Secondary Containment Test Report
Dispenser Pans
SITE:
JACO #775 (Fastrip #19)
4901 S. Union Ave.
Bakersfield CA 93307
DATE:
CONTACT:
PHONE:
JOB #:
2-25-2002
Bernie Jamieson
661-397-9387
T5 008826
r--~.
Dispenser Number 1-2 3-4 5-6 7-8
Product Gasoline Gasoline Gasoline Diesel
--
Start Time
1--
End Time
_v_____~__
Starting Level
t--=--
Ending Level --
Change in Level
Results Fail Fail Fail Fail
L_.___.___ --
- --
Dispenser Number 9-10
--
Product Gasoline
. -.- -
Start Time
I End Time
---~_._---------~.
~ Starting Level ------
I Ending Level
- -----
Change in Level I
Results Fail I
!
--
Dispenser Number
Product
---
Start Time
End Time
Starting Level
Ending Level
Change in Level
Results
-- --
Technician: James S. Davis
Tester ID# 97-1579
989 Test Type
~ Incon TS-STS 0 Vacuum
o Caldwell D Pressure
D Fibre-Lite
"
i
SHIRL~ENVIRONMENTAL TESTIN<W-,L.C.
P.O. Box 219 1928 Tyler Avenue, Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447/800-533-4030
Secondary Containment Test Report
Tank and Piping Annular
SITE:
JACO #775 (Fastrip #19)
4901 S. Union Ave.
Bakersfield CA 93307
DATE:
2-25-2002
CONTACT: Bernie Jamieson
PHONE:
JOB #:
661-397-9387
T5 008826
Tank # 1 2 3 4
Product Unleaded Unleaded Plus Premium Premium
Type of Tank(ST, OW Steel OW Steel OW Steel OW Steel
FRP, DW/FRP) -
Start Time 1700 1706 1725 1740
End Time 1730 1736 1755 1810
Starting Vacuum 11.0 11.0 11.0 11.0
Ending Vacuum 11.0 10.9 10.8 10.9
Change in Vacuum 0.0 -0.1 -0.2 -0.1
L_Results Pass Pass Pass Pass
Tank Annular Space Vacuum Test
Line Annular Space Pressure Test
K'~Oduct line Numbe I ---
1 2 3 4
Product Unleaded Unleaded Plus Premium Diesel
Type of Piping OW FRP OW FRP OW FRP OW FRP
(ST, FRP,DW/FRP)
-.- -- -
Start Time
-.~---_._._.
End Time
Starting Pressure
Ending Pressure
Change in Pressure
Results Fail Fail Fail Fail
Technician: James S. Davis
Tester 10# 97-1579
989 Test Type
o Incon TS-STS ~ Vacuum
o Caldwell r&I Pressure
o Fibre-Lite
i
_CONFINED SPACE ENTRY PERMIT _
ALL COPIES _ERMIT WILL REMAIN AT JOB SITE UNTIL JOB I~PLETED
Permit Valid for 8 Hours Only
Identity of permit space to be entered Turbine Sump Containment
Location /Description :Jì1Cèì .J)77::;-
Date: Z -¿F ~O L
Purpose of Entry: Environmental Testina Authorized Duration of Entry Permit Same Day Onlv
Communication Procedures Verbal andlor Nextel Radio phones Rescue Procedures
Remove Victim I Call 911
\ Hazards in Permit Space
(74"-,;, £ ¡r"->"0
Current Entry Supervisors Type of Crew Phone Number
Dan Marinescu Testing Technician (626) 444-7447
Dan Wallenberg Testing Technician 626) 444-7447
Rvan Kina Testing Technician 626) 444-7447
Frank Mitchell Testing Technician 626) 444-7447
Date
Time
Initials
-2..) /;;0""
Test at Intervals Initial Test DatelTime DatefTíme Initial Test Datemme DatefTime Initial Test Datemme DatefTime
of 2 hours (min) DatelTíme Initials Initials DatefTime Initials Initials DatefTime Initials Initials
(1) (1) (1) (2) (2) (2) (3) (:i) (3)
Y/N Test(s) to be Permissible Entry 2-I5-()L 2-Zð-<J '\.. Z-z.:j
taken Level biz-<$:! /6CJc' II $..<..>0
"- % Oxvaen 19.5% - 23.5% 2(.1- I ¿ú -/ <:()~I
f Lower <10% lio
Flammable I/o I ?o
Limit (LEU
Carbon >35 PPM
Monoxide
Name
..w?
DI1Vß5
Name
Equipment Type
Check
Gas Monitor
CSE E ui ment
Non-S ark Tools
PPE
Model
Serial#
Communication Procedures/Equipment Used
During Entry to Maintain Contact ~¡f\- ~ .- ÙÚ~~
Additional Permits Required f.-: ¡, b4-
Additional Information Necessary ß-
For This Confined Space i\-. ¿ I J
I authorize entry and certify that all of the above
12-o'~(J <-
Date
'Iq;)~1 o~t 6 V.>
Phone
Date:
Reason:
Signature:
Retain cancelled penn its for at least one year
·.
SHIRLWNVIRONMENT AL TESTING..L,C,
P.O. Box 219 1928 Tyler Avenue, Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447/800-533-4030
ELECTRONIC TANK/LINE MONITORING SYSTEM
OPERATIONAL STATUS CERTIFICATION
SITE:
JACO #775 (Fastrip #19)
4901 S. Union Ave.
Bakersfield CA 93307
TEST DATE:
CONTACT:
PHONE:
Job #:
2-25-2002
Bernie Jamieson
661-397-9387
T5 008826
ATG Serial Number 51035861805003
..._.............~.......~.......-....................................................-..........................
TANK STATUS CERTIFICATION
TANK NUMBER: 1 2 3 4
Auto Tank Gauge Veeder Root TLS 350 Veeder Root TLS 350 Veeder Root TLS 350 Veeder Root TLS 350
Brand I Model
Interstitial Veeder Root TLS 350 Veeder Root TLS 350 Veeder Root TLS 350 Veeder Root TLS 350
Brand 1 Model
Vapor Monitor N/A N/A N/A N/A
Brand I Model
Monitoring Well N/A N/A N/A N/A
Monitor Type -
Status Pass Pass Pass Pass
~~--' "
PIPELINE lEAK DETECTION
Interstitial Monitor N/A N/A N/A N/A
Modell Brand
--
Line Leak Detector Sensor Sensor Sensor Sensor I
Modell Brand
-
Other. Please . I
Describe N/A N/A N/A N/A I
I
Status Pass Pass Pass Pass J
-
Technician: James S. Davis
Comments:
~
MON~~~~:ir~r~o~~~n~~~~Jr~TION
Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared
for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30
days of test date.
A. General Information. - Þ 4-
Facility Name: --111 CO fr 775 ' Bldg. No.:
Site Address: Y 901 5 ~ (j Á-i-!Y:J¡V ~I I)()ð City: 1~1L.<5~5hê5L.Q Zip: 733c 7
Facility Contact Person: 2:e-J'W..I.5"l.? J I/rh~C7 0 Contact Phone No.: ((;{g / ).5 '77/ 53 ¿- 7
Make/Model of Monitoring System: U~7V(JCJ) . ïZ-s - 3 s-o Date ofTestinglServicing: ¿¡c?J.sTO <-
ß, Inventory of Equipment Tested/Certified
Check the a ro riate boxes to indicate s ecific e ui ment ins eeted/serviced:
Tank ID:
;fI In-Tank Gauging Probe. Model: ¡1/1 19b I
~ Annular Space or Vault Sensor. Model: Tït.f:"-~ìi9-,~
~ Piping Sump I Trench Sensor(s). Model: r ¡ty- S r "¡''2J''--
o Fill Sump Sensor(s). Model:
a Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
a Tank Overfill I High-Level Sensor. Model:
o Other (s eciry e ui ment type and model in Section E on Pa e 2.
Tank ID: ...3-
J2I In-Tank Gauging Probe. Model: M /J ~ /
œ Annular Space or Vault Sensor. Model: ~J>-.s hhV
fi!' Piping Sump I Trench Sensor(s). Model: ìjZ-J;' - 6r;-9¡Ì-f
o Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector. Model:
a Electronic Line Leak Detector. Model:
Q Tank Overfill I High-Level Sensor. Model:
a Other s ed e ui ment e and model in Section E on Pa e 2 .
Dispenser ID: '/ L-
a Dispenser Containment Sensor(s). Model:
~ Shear Valve(s).
a Dis enser Containment Float s) and Chain s .
Dispenser ID: .5/ &>
a Dispenser Containment Sensor(s). Model:
æ Shear Valve(s).
a Dis enser Containment Float(s and Chain s).
. Dispenser ID: 9/ / <::>
o Dispenser Contairtment Sensor(s). Model:
ø Shear Valve(s).
ODis enser Containment Float s and Chain s .
*Ifthe facility contains more tanks or dispensers, copy this form.
Tank ID: "'2..-.
t)iI In-Tank Gauging Probe. Model: jVJ/j6 /
Qt Annular Space or Vault Sensor. Model: {¡2-E- <'.f:ð/ì.f-
or Piping Sump I Trench Sensor(s). Model: (12-.J7 ~ ..5/'/Ý-/2.:::,.--
a Fill Sump Sensor(s). Model:
a Mechanical Line Leak Detector. Model:
a Electronic Line Leak Detector. Model:
a Tank Overfill I High-Level Sensor. Model:
a Other s ed e ui ment type and model in Section E on Pa e 2 .
Tank ID:
iii" In-Tank Gauging Probe. Model: vV1 /16 /
[2t Annular Space or VauIt Sensor. Model: ri2'¡;-- J", /:1-/ 2--$'
Ia Piping Sump I Trench Sensor(s). Model: ì¡2..r-..57"9i-¿E
a Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector. Model:
a Electronic Line Leak Detector. Model:
Q Tank Overfill I High-Level Sensor. Model:
a Other s eci e ui ment and model in Section E on P e 2 .
Dispenser ID: 3/ y-
O Dispenser Containment Sensor(s). Model:
j:!1 Shear Valve(s).
a Dis enser Containment Float(s and Chain s .
Dispenser ID: 7 J 8
o Dispenser Containment Sensor(s). Model:
~ Shear VaIve(s).
b Dis enser Containment Float(s) and Chain s .
Dispenser ID:
Q Dispenser Containment Sensor(s). Model:
a Shear VaIve(s).
a Dis enser Containment Float s) and Chain s .
Include information for every tank and dispenser at the facility.
C, Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is
correct and a Plot Plan showing the layout of monitoring eq~ment. For any equipment cap e 0 nerating such reports, I have also
attacbed a copy ofthe report; (check all that aP,TJ:lY): r!:rSystem set-up t:rA larm his y rt ~..
Technician Name (print): .:T1Yl.1{,?~ S, _1kJ~ Signature' ,A ~.5:-
Certification No.: .,5>-ëJ(7. L¡ (7' 75 2_ Licen~: 9r '/ - r,.:F7 7'
I
Testing Company Name:--S I-¡-~~ ~(.)..1Jd1-<)NMè5YJI/h..- 1L:s Phone No.:( '/ cJd) ) c>0..? 3- 9"0.7;:.
Site Address: bG)<. at"}; IJ~ ¡2..~ ~7 ,vv-- (; ¿v~Q Date ofTestinglServicing: ~j,)J"1 q L.
Monitoring System Certification
Page 1 of3
03/0J
.' ,~
D, Results of TestinglServicinge
Software Version Installed: ;tJ --.3 C( COc::f7 -/<16/ A-
e
(All.. 00
CQm lete the followin checklist:
o No* Is the audible alarm operational?
o No* Is the visual alarm 0 erational?
o No* Were all sensors visually ins ected, functionaIl tested, and confinned 0 erational?
o No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their ro er 0 eration?
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
operational?
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors in¡!iate
positive shut-down? (Check all that apply) 0 Sumpffrench Sensors; 0 Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? 0 Yes; 0 No.
o No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
8"1'l/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank
fill oint(s) and 0 erating pro erl ? If so, at what ercent of tank ca aci does the alarm tri ger? %
Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all re lacement arts in Section E, below.
Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0
Product; 0 Water. If yes, describe causes in Section E, below.
Yes 0 No* Was monitorin system set-u reviewed to ensure ro er settin s? Attach set u
Yes 0 No* Is a11 monitorin e ui ment 0 erational per manufacturer's s ecifications?
* In Section E below, describe bow and when these deficiencies were or will be corrected.
o No*
ü"'N/ A
o No*
o N/A
o Yes
o Yes*
o Yes*
licable
E, Comments:
Page 2 of3
03/01
~
F. In-Tank Gauging / SIR EqUaeÌlt:
~eck this box iftAuging is used only for inventory control.
o Check this box if no tank gauging or SIR equipment is instaIJed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
C h f, II
omDlete t e 0 OWID2 checklist:
ej Yes (J No* Has all input wiring been inspected for proper entry and tennination, including testing for ground faults?
43'Yes (J No* Were all tank gauging probès visually inspected for damage and residue buildup?
{3'"' Yes (J No* Was accuracy of system product level readings tested?
Er'"Yes (J No* Was accuracy of system water level readings tested?
!d"'Yes 0 No* Were all probes reinstalled properly?
G:YY es (J No* Were all items on the equipment manufacturer's maintenance checklist completed? .~
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
G, Line Leak Detectors (LLD): ~Ck this box ifLLDs are not installed.
C
h Ii
h
omDlete t e OllOWJß2 c eckJist:
(J Yes (J No* For equipment start~up or annual equipment certification, was a leak simulated to verify LLD perfonnance?
(J N/A (Check all that apply) Simulated leak rate: (J 3 g.p.h.; (J 0.1 g.p.h; (J 0.2 g.p.h.
(J Yes (J No* Were all LLDs confirmed operational and accurate within regulatory requirements?
(J Yes (J No* Was the testing apparatus properly calibrated?
(J Yes (J No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? _.
(J N/ A
(J Yes (J No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
(J N/A
(J Yes o No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
(J N/A or disconnected?
(J Yes (J No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
(J N/A or fails a test?
a Yes (J No'" For electronic LLDs, have all accessible wiring connections been visually inspected?
(J N/A
a Yes (J No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H, Comments:
Page 3 of 3
03/01
~
e
e
Monitoring System Certification
Site Address: (-/70/
~ÚNßJ¡J
UST Mopitorin2_ Site Plan
/lc.0 MI/-'ý,<:~12 c&-
. ~ - . .
:,J~):
'"
. . . . . . . .
·Sfd~·
~
[sj
~.
~ .
Jj
~ JE1
to . .oo[ .1
: l~ : : : : ~ ~ ( .~.
: [ö: :: 0 ~ f :3'
Þ 0 ð t Y:
Date map was drawn: 2- / ~ / {; ~
Instructions
If you already have a diagram that shows all required information, you may include it, rather than this page, with your
Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
Page Lor L
05/00
,'/
~
SHIRLe ENVIRONMENTAL TESTINeL.L.C.
P.O. Box 219 1928 Tyler Avenue, Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447 J 800-533-4030
SITE:
JACO #775 (Fastrip #19)
4901 S. Union Ave.
Bakersfield CA 93307
Corrective Actions Report
Page 1 - Testing Comments
DATE: 2-25-2002
CONTACT: Bernie Jamieson
PHONE: 661-397-9387
JOB #: T5 008826
Fill Riser Containment Sumps
N/A
.. ..0. _.. .... .... .... .... _u _n ........ .... .... .on ..... ..... _.. ..... ..... ..... _. .... .... .... ..... .... .... .... ....... .... ....... ...... _u .... _.. ___ .... .... ...... ..... _... _... ..... ..... .... .... .... _.. ...... _.. ...... .... ..... ..... ......... _... .... .... _.. .... .... ..... ......... _.. ..... _....
.-..............--.--.........................................................--...---..............-............-....-.--.--.--.-...--...-......................-..............--.--............--.--........-...........--...............-.......-...............--...........--.........-....-.--...........--...-...............
__________._._...._...._....__.._...._________...._____a_..__a______________a____a____......______..a___.._______a_____a_..___._.a_____...._..a._a_..___..._
.........~_............................-...............................~......._.........._...........................................................................................-.....................
__________.._.______________a______________..___..___..___.._______.____.._..___...._________.___________..______________________________..___
Submersible Containment Sumps
Q!ߧeh?!..!IJJP.. fs;1jl~_<tllßJQ. bIJJ~~ª<j_ bQp.t~J§ª-k.i.ng._ .N..Q_tib~[glª~ß.Jis.t~ f9r alJy_p.t tÞ_eJ'?YIJJP..~. _AII.~YroR~_b}¡ttAJar,gft ____
am.o.uot..o.f. d~brjs.(djrt .and..a. ~m.all.amø.unt .Qf. wa.ter). .which. had.t.Q .b~. r.~m.Qv.~d..................................................:....................
.... .-..- ....... -. ... .-. .-. .... .-. -. .-. .... .... .-. ... .-. .... .-..-. .... ........ .... .... .-. .... ....... .-. .....-. ..... ..... .-. ..-. ... .-. ..... .... .-. .-. ... .... .-. .... .-. .-. ... ..." .-. ... ... .... .... .....-. .... .... ..-...-. ...- -...-. ..... .-. .... ... ...
-_.._---_._..._------....._...-.~---_._-----_..----_.._._-_.-.---------..----.....----....-------..-.---..--.-.------..----..---..--..-..--..-
..................~.._............................~......~....n............................................................................................................................................................................................................................
..............................................................-........................................................"..................._.........................~.........................................
.. .... .... -.. ..~.._.. ......u ... .... "'._n _.. ....._.... __. ..... _.... _...... .... _. .... _... _...... _.. _.. .... _...... _.._.. ......u _....... ..... .... .... .... .... .... ..... _~.._... _.. _.. .....u ........ .... _.. _.. _.. .... _.. ... .... _. _.. _.. .... .... ......_ ......n......
Dispenser Pans
All product piping and SIIVR piping are missing the secondary containment boots and have therefore failed.
SUOJ¡1s_b.ad.a.Jarge. amtHJl11 o.f.debr.iA.(diJ1.and. watßd-pro.du.ctl wbis;b. hadJo. be. rß.lTlDYe_ct. .. __ __ __ __ __ __ __ __ __ __ __ __ __ __ .. _.
....................-...........-...............................................................-.......................................................................................................................
------..-------..-..---..----..-..--..---..-..---..--.-..-...-..------.----..---..-.--.-..---------..--.....---..-..-------.....---.-..-..-.....
....-.._.._...._.._......_...._._....._._.-._.~...._._....._·_·_··_·-...._._..__.~._.__..........._.._.__.._._...I._............_.._....._.._......_._..._.._....._............._",_..",.".
.................-.......................................................................-...........................................................~.........~.............-....................................
...................................................._.............................................................................................n................................................................................................................................................._.....
......-...-.............-..........-................-........-.-........--.......--.--.--.........................-.--.-.....-..............-...-.-...........-..-.............-......--...........-..................-.............-.-...--.-.....-........-..............................................-.--..........
Tank Annular
A]]ular..cap.s..I:u;:ed..to.he.repla.ced~................_..........._.....................................................................................................................................................................
...--..--..--.-...--.--.-....--..--...-..----...---..-.....---.-...........-..--.-.....-...-.--..-.........-.--...-......_......_....____......_..·.._·.._.....·..._........_..........__.__..._.__.......a...___......_._....._......_..........__...........................__..
.. .... -... -.. ........... .....- -... .... -.. .... .... .... .... .... ..... ... -...... -.. .... _.. ... .... .... .... _.. .... .... .... .... _.. ...... _u _.. ...... .... .... .... _.. .... _.. .... _... .... _.. .... .... ........ _... ........ _.._... .... ..... ..... _.. .... .... _.. ...... .............. .... ......
PiDinQ Annular
Not. able. to..test due. to .missing .~ec.o.ndary .containment boots..lo.the .dispensers....................................................................
--...-----..-...---..--..---..--...----..-..-.-----..---..-------..-..-..-------..---------------..------------------..----...--..-..---..-.---------..-
.....-. -- .... .... ...- .... .... .... ... ........ .... ....... ... .... .... .... .... ..... .... .... .... ... .... .... .-. ..... ..... .... .... .... .... ......... ..... .... ........ .a. .... .... .... .... .... .... ...... ._. ._..... .... .... ... ... .... .... ._. ... ... ...0 .... ._. ... ......._. ... .... ..__
Include all steps taken to clean or repair the equipment for testing. Attach Corrective
Actions Report Page 2 for any parts replaced on site.
Technician: James S. Davis
Tester 10# 97-1579
:-1".
- ,j
SHIRL.ENVIRONMENT AL TESTINGt- L.L.C.
P.O. Box 219 1928 Tyler Aven ,Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402_873-4077/800-447-3490 626-444-7447/800-533-4030
Secondary Containment Test Report
submersible s(!mps & Fill Containment Sumps
SITE:
JACO #725 (Exxon) 755n25
4901 S. Union Ave.
Bakersfield CA 93307
DATE: 2-25-2002
CONTACT: Bernie Jamieson
PHONE: 661-397-9387
JOB #: T5 008885
Tank # 1 2 3
r Capacity 12,000 12,000 12,000 -
¡. Dime~;-~ns --- 8'x32' 8'x32' 8'x32'
Product Unleaded Premium Diesel
Type of Tank OW Steel OW Steel OW Steel
(ST, FRP, DW/FRP)
Type of Piping OW FRP OW FRP OW FRP
: (ST. FRP,DW/FRP) -
. _"__ __ ..___.___._____"_.m___~_·__
\ Depth of Piping 1 Fill 31/2 31/2 3112
\ Containment Sump
~f~l! SLJ!",p__~~~ber
¡ Start Time
\ End Tim~
--------------
Starting Level
Ending Level
Change in Level
I N/A
¡ Results N/A N/A
,-..------
Fill Riser Containment Sumps
---
Submersible Sump 1 2 3
Number
Start Time 1122 1122 1122
: End Time 1152 1152 1152
1- Starting Level 7.1661 4.3194
c---------.-
Ending Level 7.1639 4.3176 _
Change in Level -0.0022 -0.0018
Results Pass Pass Fail
Submersible Sumps
Technician: James S. Davis
Tester ID# 97-1579
989 Test Type
~ Incon TS-STS 0 Vacuum
o Caldwell 0 Pressure
o Fibre-Lite
SHIRL~ENVIRONMENTAL TESTING..i-.L.C.
P.O. Box 219 1928 Tyler Aven'l Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447/800-533-4030
Secondary Containment Test Report
Dispenser Pans
SITE:
JACO #725 (Exxon) 755n25
4901 S. Union Ave.
Bakersfield CA 93307
DATE:
CONTACT:
PHONE:
JOB #:
2-25-2002
Bernie Jamieson
661-397 -9387
T5 008885
'~,=
Dispenser Number 11-12 13-14 15-16 17-18
~rodUc1 Gasoline Gas & Diesel Gasoline Gas & Diesel
Start Time
End Time .,
Starting Level
Ending Level
Change in Level +2" +2" +2" +2"
~esults _ Fail Fail Fail Fail
IDispenser Number
Product
Start Time
¡---
. End Time
,-~--_.
Starting Level
I Ending Level
Change in Level
Results
,,,- --"".------.---.--.-..-----
,--
I Dispenser Number
I Product
Start Time
End Time
Starting Level
Ending Level
. Change in Level
I Results
Technician: James S. Davis
Tester ID# 97-1579
989 Test Type
glncon TS-5TS 0 Vacuum
o Caldwell 0 Pressure
o Fibre-Lite
;.
,~
SHIRLW ENVIRONMENTAL TESTIN1tL.L.C.
P.O. Box 219 1928 Tyler Avenue, Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447/800-533-4030
Secondary Containment Test Report
Tank and Piping Annular
SITE:
JACO #725 (Exxon) 755/725
4901 S. Union Ave.
Bakersfield CA 93307
DATE:
CONTACT:
PHONE:
JOB #:
2-25-2002
Bernie Jamieson
661-397-9387
T5 008885
r-·-----------· 1 2 3
~ank #
i Product Unleaded Premium Diesel .-
L___.~_.___ ---
I
Type of Tank(ST, DW Steel DW Steel DW Steel
FRP, DW/FRP) -
Start Time 1012 1021 1036
! End Time 1032 1051 1106
Starting Vacuum 11.0 11.0 11.0
I Ending Vacuum 10.9 10.9 10.8
Change in Vacuum -0.1 -0.1 -0.2
Results Pass Pass Pass
Tank Annular Space Vacuum Test
I Product line Numbel 1 2 3
r Product Unleaded Premium Diesel
Type of Piping DW FRP DW FRP DW FRP
(ST, FRP,DW/FRP)
Start Time
t-····- --~-_._.-
I End Time -
I Starting Pressure
_.._~._._---. - --.......--.----------
Ending Pressure
Change in Pressure
Results Fail Fail Fail
L.______________.____
Line Annular Space Pressure Test
Technician: James S. Davis
Testerl~ 97-1579
989 Test Type
U Incon I ~-~ I ~ 1251 vacuum
o Caldwell 181 Pressure
o Fibre-Lite
¡.
,¡
SHIRL_ ENVIRONMENTAL TESTINW·L.C.
P.O. Box 219 1928 Tyler Avenue, Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447/800-533-4030
SITE:
JACO #725 (Exxon) 755/725
4901 S. Union Ave.
Bakersfield CA 93307
Fill Riser Containment Sumps
N/A
Corrective Actions Report
Page 1 - Testing Comments
DATE: 2-25-2002
CONTACT: Bernie Jamieson
PHONE: 661-397-9387
JOB #: T5 008885
.._.._-_.._.._.._._.._-_.._.....-.._.._..-.._.._~.--~......................-...............---................---......_...-~.---_.._.._-_.._.._.._.._.._.._-_.._.._.._-_.-..---.........---.,..--...
....__..._..._.................__......._...__..__..........._....__.__......__._____.__..._........_.__.__..............._...................._.........__........_..._..._.__.__...........__.........._.__.__......__...._..._.__........__._...__.........__..._._....._......._.........._....__u
-----..-----...-.-.-.---.-..-.-----.-.--------.----.---.--------.....-.---.---..----.....-----.-------.-.-.--.-.---..----...-...-....-
....................................................................................."...................-.............-.......................................................................................
-----------------..-----.-.-.-.-.-----------------------------.---.-------.-.-------------------.-.---------------.-.-.---.--..---.---.---.-
Submersible Containment Sumps
§~IJJp.~)ªr~ ªIJ. çrªç!<§d. ªQ~.r§gl!J:.~ .c~.RÇlir... Sy'rDl~Ä.t}s;lg .Ç1.l~rg~.ªmQMot Ql.Ø~bJi~_( çlJrt ß!1<t wªJªr!p,(Q.Ävd)_ wl1içh.b_ê:lØ__
to. b~ JßffiQYß.d... .QJ:\ly..tbß. Pr.emij.lffi. ßJJffiP .has.a ft.berglaßs.Jid...... ........................... .............................................. .......................
....-...........-..-.....-.......-.............-..-..-................................-.....-........................................~....__....-.....-.._....._....................~..........-...._....
--.-.-.-.-.-.---.---.---.-.-.-------------.------.------------.--.--------.---...----.----.-.------.----.-.---------.-.------.-.---
.........................................................................................................................................................................................................................................................................................
...........-.........................................................................................................................................................................-..........................
.......................-.....-...........-.....-........-..-.......................-.........................._.....~.....__............................_......................................................
Dispenser Pans
Unable to tighten boots due to depth of dispenser pans. - Pans drain back to the submersible sumps when
atteroAting.. toJe$i ._$_ec.oo.claJ:Y-_<ó>ntaiomenlb.oots ~jJl.hay.e_lo.be .1ig.hten~ .prior .to.ce:-tasting,._ .. .- -- .. .- -- .- .. .. -- -. .. -.
.......................................~..................................................................-................_...._.".~..........._................-............._..................._.~.."
--.-.-.--.-.-----.---.-.-.-----.--.-----.----.-.--..--._-_.-._.-.-._._----_._~...-.__.-._--_..._-_.-._._._...---..-.--.-.-.-..---
......................................................................-.-...........-................-.............-........-......-..-.....-....-.....-...........-........-...................-.........
........-............................-................-.......-................-...................................................................................................................-.-.....
...........................................................................................................................................................................................................................-..................................................-........
...-..........-..-...-..-.........-.......-...............--...-....-......-......-..-..............-..............--.-...-...-.--.................-..--.....-....-..--.-.....-...............-................-.........-................-...
Tank Annular
P.a.~$. :-..Bl$.e.r..O.DJ:1i~s~l.aonular.d.º~.$..QQt haxe..aD)(. tl:u:~ii1.dS.and.JibQYld. Þ.e.. r~.gajr~_dl[e.Rla~d,..8nnylçu..c.apJo.r.dj.~sitL
ds.er.ls...brok.en..and_.s.hoJJJd.be.LepJac.ed.._.....__.__.__.._....._...--.-..-..--..-.-..--.......--....-........-...........--.--.-...-....-.................-.....-..--.-...-..-.....
-..--......--......-.-....--...-.---.---.-.-....-.----...---.....---.-----..--....-..-.---.-.-..---..-..-.....-...--.-..-....--..--.---....-
Piping Annular
U.nabJa .to. isalata. tI:le.se.cand.ary. pjping. due. to .location .of .bo.o1s.io. tI:le.dispensar:ß..............................................................."
-----.----.--------.----.----.-.-.--..---.---.-.-.---------.-.-.-.---.-.---.-------.---.-----.-.--.-.--.----.---.-.----...-..-
.......-...........-..................-....-.-....-.................-...............-.............-.....-........-.-....---..........~.~_._........_....._......-..-.._.._._...._.....-..............-..........
Include all steps taken to clean or repair the equipment for testing. Attach Corrective
Actions Report Page 2 for any parts replaced on site.
Technician: James S. Davis
Tester ID# 97-1579
~ r,'
SHIRL~ENVIRONMENTAL TESTINW-.L.C.
P.O. Box 219 1928 Tyler Avenue, Suite K
Nebraska City, NE 68410 South EI Monte, CA 91733
402-873-4077/800-447-3490 626-444-7447/800-533-4030
SITE:
JACO #725 (Exxon) 755n25
4901 S. Union Ave.
Bakersfield CA 93307
Corrective Actions Report
Page 1 - Testing Comments
DATE:
CONTACT:
PHONE:
JOB #:
2-25-2002
Bernie Jamieson
661-397-9387
T5 008885
Tank Tests
....--..-.................-......-......................-..............................-...............................-....~.-.....-."...._--_...-_._.._...._.._...-....-_.............-..-..................--...
.....-.........--.-.........-......-.............................................-.........-.............................-.............-.....................................-...-.....-.--.--.........-...-......-.........--...-..............................-........-......-....................................................-.......................
......_..-.....--_.._...........-~......._......._....-..._...............-........-..-...........-........--...--.......-.........---..........-.................-.........-...-....---.......-..-
..............................................................................................................................................................................................................,..,
.-..........-..............................................................~.........._..............~..........-..........................._................._.._........._......_..............~..__....................-..........-......-..............
--..-----....---...---.-..-.---...-.-..-.....---..-.....--..-.---..----.-----..-.---.-..---..-..-----..-.---.-.-..-.-..-.-..---..---..-..---.....-..---.-..-..-..-.---....
Line Tests
...............................................................................................................................................................................................................................................................................................
......... ...... ..... ....... .................... .................................. ........ ... ...... ..... ............................. -....... _ ........ .............................................. ..... ....... .... ........
.....-.............................................................................................................-....................-....................-.................................-................-.......................................................-.........
.. ... _.. _.. .... ... .... _.. ........... _n... ..u .........n ...... ....... ... _..... .... ... ... ... _....n .... .... .... ....U ... .... ....... ... ... ... ... ... ..... .... ........ ... .......... -.. ..... .... .... ............. ... .... .... .... .... ... .... -.. .... .... ... .
............................-...............................-..........-......-.._....__.........-......_...........~..................................
....................................................~...................................................~............................................................................................................
............~....._........~........................_.._..............__.......~..._......-...._..-_._.-........._..__.~._.......-....-.-........-....-.-..--.-.-....-...-.-.....--.....-.-
Stage II Vapor Recovery Type of system, number of nozzles and test comments:
Balance Vapor Recovery (16 nozzles)
IWQ taDk S)lsten1s_- _.. .. .. __ .. .. __ eo .. __ __ __ __ .. .. ._ __ .. -. -- eo .. .. .. -. -- .. -. eo .- -- .- .. -- -- eo -- -- -- -- -- .. -- -- .- eo -- -- -- -- .- -- -- -. -. -- -. ..
TWD..1iping..s.y.stems..................................... ...... .............. ..................... ................................................................................................
...........................-................................-.-._..........~..-....-._.._......-......_........_.-..........-......................................-................-................................-...
--..---..-..-----..-..-..-..-..-..-...-.-..-..-.-.---...-..-..-.-----.......-..-...-..---..--.-.-..-.-..-.-.-.-.---.-.....-....-.---.-.-.-....-..-..----...-..-..-..-..-.-
.......................................................................................................................................................................................................................................................................................................
....................-..................................................................................................................................................................................................
......................................-..............................-.........................-.......................-.......--.-....-..................-...............-.....-.............-...........-............-................-.-................-........-.................-......................-...
Leak Detector Tests
.............................................................................................................................................-.....................................................................................................................................................
.............--..............................-..........-................................-.........................-.....................................................--.-...........-.................-.........................-....-....--.....-.........-.--...................--...-...-.....
......................-...................-.................................-....-....................................-...-....-.....-........~........._..................._......-......._...._.._.............................-............
Site Inspections
D.eep. .dispe.o.ser..1ans ::. ERP.. .sumps .aDd .pans.. ....... ........ ..................................................................................... ..........................
NQ_lU:ts_OJJ _SUß1PJì.. --.- --.- -- -- -- --.- --.- -- --.-.-.- -- -- -- ----.- .--- -- --.- -- -- -- -- -- .----- ---- -- --.- -- -- -- --.- --.- -- --.- --.- --.- -- --.-.---
.... ... ....... ....... ..... .... ... .... ........ ... .... .... .-. ... ..... ..-. .... .-. .... ......... .-. ... .... .... .-. .-. .... .... ... ..... ......-. ... .... .-...... .-. ... .-. .... ..... ..... .-. ... ... ..-. .... ..... ... ... .... .... ..... .-. ..... .... ..... ..... .....- ........... ... ... ....
Include all steps taken to clean or repair the equipment for testing.
Technician: James S. Davis
Tester 10# 97-1579
..
MO~~~~u~r~o~~~n~~~~J~~a TION
Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
, '.
This form must be used to document testing and servicing of monitoring equipment. A separate certification or renort must be oreoared
for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30
days of test date.
A, General Information
Facility Name: :J r1c..a lÍ 7 2:>
Si~e Address: c..¡ 7ö I ). U ¡J..J:JO 6\...J ¡fU(:Ç'
Facility Contact Person: .~~ IJJ $G J A~cA.J
Make/Model of Monitoring System:L)(.fl' §O(SR¡O<;;:.¡T R.s- dóì:l
Dispenser ID: II II L. Dispenser ID: I 3 / (,Y
o Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model:
Øi' Shear Valve(s). ~Shear Valve(s).
o Di enser Containment Float s) and Chain s . 0 Dis nser Containment Flo s and Chain s .
Dispenser ID: Dispenser ID: / '/ 1/8
o Dispenser Containment Sensor(s). Model: ~ Dispenser Containment Šensor(s). Model:
Ii!P Shear Valve(s). 0 Shear Valve(s).
o Dis enser Containment Float s and Chain s). 0 Dis enser Containment Flo s and Chain s .
Dispenser ID: Dispenser ID:
o Dispenser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model:
o Shear Valve(s). 0 Shear Valve(s).
ODis enser Containment Floa s and Chain s . 0 Dis enser Containment Float(s and Chain s).
.Ifthe facility contains more tanks or dispensers, copy this fonn. Include infonnation for every tank and dispenser at the facility.
C. Certification _ I certify that the equipment identified in this document was inspected/serviced in ac rdance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) ecessa verify that this information is
correct and a Plot Plan showing the layout of monitoring equipment. For any equip nt cap ble en rating~. uch r orts, I have also
attached a copy ofthe report; (check all that j'Pply)) ~System set-up Q., arm hist po ~
Technician Name (print): . TIt-~ z.:: !/Ac./¡.r-::s Signature·
Certification No.: 1:7 ...>C3é)y I 5'75 "Z-.
Testing Company Name: g>U¡/.JY--ØVfVJ I"YJ-<.- Phone NO·:(V 0 -z.....) §. 73- yo 7 ;;>
SiteAddress:~GX rJl' 'é:lYUJ.5/(/J- &'7' Ñf £¡¡;y/O DateofTesting/Servicing~~ 0<'-
ß, Inventory of Equipment Tested/Certified
Check the a ro riate boxes to indicate s ecific e ni ment ins ectedlserviced:
TankID: /
fB In-Tank Gauging Probe. Model: IM-~ /
EJ Annular Space or Vault Sensor. Model: ~ & ì-~¡-2/
~ Piping Sump I TrenchSensor(s). Model: 't-¡Z...r- SM,-l.F
Ó Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfill J High-Level Sensor. Model:
o Other s eci ui ment and model in Section E on Pa e 2 .
Tank ID: 3
~ In-Tank Gauging Probe. Model: M~ I
CÞAnnular Space or Vault Sensor. Model:ìn-c-- ..5(-Aí?..~
1;$ Piping Sump! Trench Sensor(s). Model: ~f> - ~l 1I'J¡?..f
o Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfill J High-Level Sensor. Model:
o Other s eci ui ment e and model in Section E on P e 2 .
Monitoring System Certification
Bldg. No.:
City: ~/.JslIl.6f~o Zip: 7'33 0 ;?
Contact Phone No.: (C<. I ) 3~ 7- >'.3.;;?;;>
Date of Testing/Servicing: L~/ ð 7..
-
Tank ID: 2-
QbIn-Tank Gauging Probe. Model: /1-1...~ /
Qt:.Annular Space or Vault Sensor. Model: TAJ: :5~/1.r-
9bPiping Sump! Trench Sensor(s). Model: (72..D. SÌ/71-z.r...r
o Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfill! High-Level Sensor. Model:
o Other ify ui ment e and model in Section E on Page 2 .
Tank ID:
o In-Tank Gauging Probe. Model:
o Annular Space or Vault Sensor. Model:
o Piping Sump! Trench Sensor(s). Model:
o Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfill! High-Level Sensor. Model:
o Other . e ui ment and model in Section E on Pa e 2 .
Page l'of3
03/01
D:' j~esults of TestinglServicing e
Software Version Installed: ~ 3C¡,a::;5 -lOG -It-
Com lete the followin checklist:
¡g' Yes I:] No· Is the audible alarm 0 erational?
I3"'Ý es 0 No· Is the visual alarm 0 rational?
es I:] No. Were all sensors visually' cted, functionall tested, and confirmed 0 erational?
es CJ No. Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their ro r 0 ration?
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
operational?
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) I:] Sumpffrench Sensors; I:] Dispenser Containment Sensors. ..
Did ou confirm sitive shut-down due to leaks and sensor failure/disconnection? 0 Yes; 1:1 No.
1:1 No. For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
Gl--NI A mechanical overfill prevention valve is installed), is the overfill warning alann visible and audible at the tank
fill int(s) and 0 eratin ro erl . Ifso, at what ereent of tank aci does the alarm tri er? %
Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all re lacement arts in Section E, below.
Was liquid found inside any secondary containmentsysteIDS designed as dry systems? (Check all that apply) 0
Product; [J Water. If es, describe causes in Section E, below.
I:] No. Was monitorin system set-u reviewed to ensure ro er settin ? Attach set u
es 1:1 No. Is all monitoring e i ment 0 erational r manufacturer's s ifications?
* In Section E below, describe how and .when these deficiencies were or will be corrected,
1:1 Yes
D No·
B" NI A
1:1 No·
IY'NI A
1:1 Yes
1:1 Yes
1:1 Yes·
la"'"No
1:1 Yes·
Q-'"'f.Io
E, Comments:
e
Úlf. /- OG
licable
Page 2 of3
03/0 I
F: Itn_ Tank Gauging I SIR EqUilent:
[J Check this box iftankeging is used only for inventory control.
o Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
c
omnlete the Collowint! checklist:
E:r Yes (J No· Has all input wiring been inspected for proper entry and tennination, including testing for ground faults?
(j""Yes o No· Were all tank gauging probes visually inspected for damage and residue buildup?
13'" Y es (J No· Was accuracy of system product level readings tested?
(3" Yes (J No· Was accuracy of system water level readings tested?
(ï" Yes (J No· Were all probes reinstalled properly?
£::V'1és [J No· Were aU items on the equipment manufacturer's maintenance checklist completed?
-
* In the Section H, below, describe how and when these deficiencies were or will be corrected,
G, Line Leak Detectors (LLD):
uréheck this box if LLDs are not installed.
Comolete the followinR checklist:
(J Yes (J No· For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
(J Nt A (Check all that apply) Simulated leak rate: 0 3 g.p.h.; [J 0.1 g.p.h; [J 0.2 g.p.h.
(J Yes (J No· Were all LLDs confirmed operational and accurate within regulatory requirements?
DYes o No· Was the testing apparatus properly calibrated?
(J Yes [J No· For mechanical LLDs, does the LLD restrict product flow if it detects a leak? -
(J Nt A ,
[J Yes [J No· For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
[J Nt A
DYes [J No· For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
[J Nt A or disconnected? .
(J Yes (J No· For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
[J Nt A or fails a test?
(J Yes [J No· For electronic LLDs, have all accessible wiring connections been visually inspected?
[J Nt A
DYes o No· Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected,
H, Comments:
Page 3 oC3
03/01
"
e
-
.of' - .."
Monitoring System Certification
/' / /, UST Monitoring Site Plan
Site Address: c.¡'jO / '}.- lJþßJ tV ~ K'JJf'/~.:5~.-
{Jpz..
.. .. .. ..
.. .. .. .. .. ..
: ~~: : : ~ f
ð f
~l
... .
: l~&'
: r~Ò .
.. '-. .. ..
-.
o :0
Q:
'tf
. ~ ¡:
. "-'.
.'
:~if
.. .. .. .. .. .. .. .. .
S f.'çJ(2"«: :
Date map was drawn:Z I zJí () Z-..-
Instructions
If you already have a diagram that shows all required information, you may include it, rather than this page, with your
Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or CIectronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
pageLof /
05100
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661)395-1349
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
It
-,
June 30, 2002
Fastrip
4901 So. Union A venue
Bakersfield, CA 93307
REMINDER NOTICE
RE: Necessary Secondary Containment Testing Requirement by December 31,
2002 of Underground Storage Tank located at 4901 So. Union A venue.
Dear Tank Owner / Operator:
The purpose of this letter is to inform you about the new provisions in
California Law requiring periodic testing of the secondary containment of
underground storage tank systems.
Senate Bill 989 became effective January 1,2002, section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary
containment components upon installation and periodically thereafter, ~o ensure
that the systems are capable of containing releases from the primary
containment until they are detected and removed.
Secondary containment systems installed on or after January 1, 200 1 will be tested
upon installation, six months after installation, and every 36 months thereafter.
Secondary containment systems installed prior to January 1,2001 will be tested by
January 1,2003 and every 36 months thereafter. REMEMBER! Any component
that is "double-wall" in your tank system must be tested.
Secondary containment testing shall require a permit issued thru this office and
shall be performed by either a licensed tank tester or licensed tank installer.
Please be advised that there are only a few contractors who specialize and have
the proper certifications to perform this necessary testing.
For your convenience, I am enclosing a copy of the code for you to refer to. Once
again, all testing must be done under a permit issued by this office.
Should you have any questions, please feel free to contact me at (661)326-3190.
Si~~
Steve Underwood
Fire Inspector/ Environmental Code Enforcement Officer
Environmental Services
SUIkr
"Y~ de ~~ ~ uØ60Pe .rbt, A ~~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 'H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395·1349
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
It
tI\
'"'
April 12, 2002
FASTRIP
490 I SO. UNION AVE.
BAKERSFIELD, CA 93307
Re: Enhanced Leak Detection Requirements
REMINDER NOTICE
Dear Owner/ Operator,
The purpose of this letter is to remind you about the new provision in California
law requiring periodic testing of the secondary containment of underground
storage tanks.
Your facility has been identified as not having secondary containment on at least
one of your underground storage tank components and as such falls under section
2637.(1) of the California Code of Regulations, Title 23, Division 3, Chapter 16;
As an alternative, the owner or operator may submit a proposal and
workplan for enhanced leak detection to the local agency, by July 1, 2002;
complete the program of enhanced leak detection by December 31, 2002;
and replace the secondary containment system with a system that can be
tested in accordance with this section by July 1, 2005. The local agency
shall review the proposed program of enhanced leak detection within 45
days of submittal or re-submittal."
Please be advised that there are only a few qualified testers available to perform
"Enhanced Leak Testing". All testing must be under-permit through this office.
For your convenience, I am enclosing a copy of the code as a reference. Should
you have any additional questions or concerns, please feel free to call me at
(661)326-3190.
Sincerely,
Ralph Huey
Director of Prevention Services
by: Ji"r d££J/ ...
i / .' .. I
. /" :
'. l.U
Steve Underwood
Fire InspectorlEnvironmental Code Enforcement Officer
Office of Environmental Services
SU/kr
Enclosures
~~y~ ~ W~ S70P vØ60Pe !Y"'~ A W~"
-
.
.-- --- -~---- ..---- - .--.------ -------_..~- .---
---. -- .--.---- - --..- . _..-._._---~-_._-. ..---. ~_._-_._- .. -- --- -- ,-
February 11, 2002
---
- .-- ~
\
FIRE CHIEF
.- -RON·FRAZE
John Kerley JACO Oil
POBox 1807
_ _. __ .. _ _ _. ...4 _ _. . _~ __ __~ __ _.. __ ,__ ._.~... _... ~_ __ ~__ ___.. _ .u. . ._ .___. ____~__
Bakersfield CA 93303
_. ~_ '._n __'''_ _. ____ .___
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661)395·1349 .
RE:
Deadline for Dispenser Pan Requirement December 31, 2003
for the Following Locations: Chris' Liquor, 2732 Brundage Lane,
Fastrip, 8001 White Lane, Fastrip 1200 Coffee, Fastrip, 4901 S. Union
Ave., Fastrip, 805 34th St., Fastrip, 4013 S. "R" St., Wholesale Fuels,
2200 E Brundage Ln., Howard's Mini Mkt., 3200 Panama Ln., Howard's
Mini Mkt., 4201 Belle Terrace, Howard's Mini Mkt., 3300 Planz Rd.,
Ming & Real Fastrip, 3701 Ming Ave., Mt. Vernon Fastrip, 3501 Mt.
Vernon Ave., Harris Mkt., 1701 Union Ave.
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
- VOICE (661) 326-3951
FAX (661) 326-0576
REMINDER NOTICE
Dear Underground Storage Tank Owner:
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
... --...- ..-.
You will be receiving updates from this office with regard to Senate Bill 989
which went into effect January 1,2000.
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399·4697
FAX (661) 399-5763
This bill requires dispenser pans under fuel pump dispensers. On December 31,
2003, which is the deadline for compliance, this office will be forced to revoke
your Permiqo Operate, for failure to comply with the,regulations.
It is the hope ohhis office, that we do not have to pursue such action, which is'
why this office plans to update you. I urge you to start planning to retro-fit your
facilities.
If your facility has been upgraded already, please disregard this notice. Should
you have any questions, please feel free to contact me at 661-326-3190.
S¡D:t ~
Steve Underwood
. "
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dm
"7~ de W~ ~ ~0Pe §"'~ A W~"
200R_ORlGlNAL-----:
-:--
FAST¡;;' 1 P 1 '3
, 4801 S. UNION AVE.
BKFLD. CA. ':1330'7
661-:39'7'-'3~'~Ü"l
DEC 10. 2001 10:04 PM
_ ~V~T~r"I_,:3~AT~::?_F:~P?_~
ALL FUNCT ION:=: NORI"IAL
] N\/ENTOF:V REPORT
T 1: UNL. 77!S
\/OLUf"1E
ULLAGE
9œ;; ULL.AGE=
Te \/()Lur"/E
HEIGHT
I.J~irER \IOL
I.vATER
TEt"IP
T 2: lINL . PLU:ë;;
ì/OLur"lE
ULLAGE
90\, ULLAGE=
TC "JOLur"IE
HEIGHT
klriTER \"¡)L
I..JATER
TH']P
47'79
GALS
GALS
GALS
C~ALS
1 NCHÐ3
GALS
INCHES
DEG F
725:]
6 [14'3
4777
40.2:::'
o
0.00
1:,6. '7
77'S
451 ':J
75 ì ~1
t,::::09
'-15! :;
~l8. 56
[I
0.00
69.8
GALf3
GALS
GALS
GALS
INCHES
GAL~ 'j
1 NC dE£.f
DEG .
T 3:PREM.UNL. 775
VOLUME :]7E:;:: GP1L~3
ULLAGE E:249 GALS
-"~O?<,-- ULLrè;CE= '7C1.15:GP,LS
TC' VOLU1E 3779 GALS
HEIGHT 33.80 INCHES
I,JtiTER \/OL . 0 ~;ALS
-ldAH:'R- ll",..GÜ-I-NCIoI£:.::>_._
. TEI"IP 7~:: . 5 DEG F
T 4: D I E:ë;:EL. 775
VOLUME 2233
ULLAGE 9798
90% ULLAGE= 8595
TC \/OLur"1E :'::'2:J 1
HEIGHT 23.13
t.'IATER \/OL 0
WATER 0.00
TEMP 78.9
'' 5: UNL . ?~!5
VOLur"1E
ULLAGE
9W;; ULLAGE=
TC \lOLUr"IE
HEIGHT
l.·.IATER \/OL
1."JmER
TEP'lP
Gr~LE:
GALS
GALS
GALS
1 NCHEE~
GALS
I NCali
[lEC,. .
50:34 GALS
6'3bt. GALS
5'766 GALS
5027 GALS
41.92 INCHES
o GALS
0.00 INCHES
79.:ì DEG F
T 6: P)~Ef"1 . UNL. 725
\/OLur"1E
ULLAGE
9œ~ ULLAGE=
TC \/OLUf"1E
HEIGHT
l·JATER \/OL
klA TER
TEi'W
2068
9932
R7·-..e.
L I 0.;:'
2064
21 . 9~)
o
0.00
t:O.3
GALS
GALS
GALS
GALS
INCHES
GALS
INCHES
DEG F
T 7:DIESEL 725,
VOLUME = 4578 ~.
ULLAGE = 7422 a~
3m~ ULLAGE= 6222 GALS
TC \lOLU~'1f 4573 GALS
HEIGHT = 39.01 INCHES
l,IATEF.' \1'01. = ~~cí GALS
'·J("TER =-' 1]. IXI INCHES
TH'IP .' 80. 5 DEG F
è I
~ ~ ~ * ~ END ~ ~ ¥ ¥ M
---,
e
.
CITY OF BAKERSFlEtD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301
FACILITY NAME ~.~!'f
ADDRESS c.(tf() I .
FACILITY CONTACT_
INSPECTION TIME
INSPECTION DATE l dJ, l ( () (
PHONE NO. 317- '3ۓ
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES-L{
Section 1:
Business Plan and Inventory Program
o Routine
~ Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate penn it on hand V /
Business plan contact infonnation accurate v V
Iv v
Visible address
Correct occupancy IL" 1/
Veri fication of inventory materials v
Iv
Verification of quantities II /
Verification of location l~ '/
Proper segregation of material \ /
Verification of MSDS availability V /,
Verification of Haz Mat training V /
Verification of abatement supplies and procedures l/ V
Emergency procedures adequate t...- V
/
Containers properly labeled V
Housekeeping V r/
Fire Protection v
/
Site Diagram Adequate & On Hand L..
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes ~o
Pink - Business Copy
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env. Svcs.
YeHow . Station Copy
Inspector:
()
-
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ¡;(¡~ 11=-( 9
INSPECTION DATE~
Section 2:
Underground Storage Tanks Program
o Routine [] Combined 0 Joint Agency
Type of Tank -t1Ulf-C ~
Type of Monitoring c./-Wl
o Multi-Agency 0 Complaint
Number of Tanks 7
Type of Piping (JiJ.IF
ORe-inspection
OPERA TION C V COMMENTS
-
Proper tank data on tile V
Proper owner/operator data on file U ,
Penn it fees current /
\
Certification of Financial Responsibility /
v /
\., V
Monitoring record adequate and current I
Maintenance records adequate and current V ~
""
Failure to correct prior UST violations
Has there been an unauthorized release? Yes No V
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
OPERA TION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
AGGREGA TE CAPACITY
Number of Tanks
C=Compliance
Y=Yes
N=NO
~
Inspector:
Office of Environmental Services (805) 326-3979
White - Env. Svcs.
,~M
Business Site Responsible Party
Pink - Business Copy
ç~v J~:i
"J'
~~ý"" .!"-'
J~O OIL COMPINY
~5 6~clél2J .
J\IONITORING SYSTEJ\I CERTIFICATION
For Use By All Jurisdictions Within the Slate of California
~o,.;'>' Cited. Chapter 6.7. Hec!!h and Safety Code; Chapler 16. Division 3. Title 13, California Code of Regulations
This form mllst be used to docwnent testii1g ;md servicing of monitoring equipment. A seDarate certification or report must be prepared
for ea,:h n~on¡toring system contTol Dan<=! by the technician who performs the work. A copy of this fonn must be provided to the tank
system o\\11er,'operator. The owner.'operator m~st submit a copy of this fonn to the local agency regulating UST systems ....ithin 30
days of test date. .
.-\. General Information
Facility :-:ame: -..f f\'S'1 R \P tX,LC r~
Site Address: ~I c¡ 0 \ SO., UN ¡ 0 N F\V..
,2S:
Bldg. No.: 7 2 S-
City:M 1<'£ R<;'~ IF lD Zip: Q'33(') 7-
Contact Phone No.: ( 66 \ ) 7Ft""t - q ~E ,.
Date ofTestinglServicing: 5...J t 10 I
Facility Contact Person:
Makeli\[odel of Monitoring System: TL 'S'., 35(':, / C8'-t -:¡CqO·- C~ 'J..
I
B, Inventory of Equipment Tested/Certified
Check Ihe ~ ro riate boxes to indicate s ecific e ui ment ins eeted/serviced:
Tank 10: µ l UNLEr=\DFD
Œt'Ín-Tank Gauging Probe. Model: 8~1'3Ció- IlY1
ŒrAnnular Space or Vault Sensor. Model: ~ IrA.
o PiPing Sump! Trench Sensor(s). Model:
9""Îftl S-fR?I Sensor(s). S'T? S':.'Y\ ¡) Model: Oj9.., ~eO - :}òC¡
o Mechanical Line Leak Detector~ Model:
a Electronic Line Leak Detector. Model:
a Tank Overfill! High-Level Sensor. Model:
o Other (s ecif e ui ment e and model in Section E on Page 2).
Tank ID: .¡,. :~ P/2cm,v,,"
lS¥!n-Tank Gauging Probe. Model: 6'-1 13GO - \Or
Œr'Annular Space or Vault Sensor. Model: 1'\1' ;....
a PIping Sump! Trench Sensor(s). Model:
~I StunI' Sensor(s). sa ""N'I" Model: ()1·H~f)c' - 2. OC1
a Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfill! High-Level Sensor. Model:
o Othcr (s ecifye ui ment t e and model in Section E on Page 2).
Dispenser ID: , -;).. H 4';!':2 ß .- r?- \ V
a Dispenser Containment Sensor(s). Model:
o Shear \"a\\c(s).
o Dis enser Containment Float(s) and Chain(s).
AOisµenserlD: S-6 HI..::)..')Ij -¡<IV
o Dispcnser Containment Sensor(s). Model:
a Shear Valve(s).
a Dis cnser Containment Float s) and Chain(s).
Dispenser 10: cl- I (;) H 1..1 J. 1 ~ - R- \ v'
a Dispenser Containment Sensor(s). Model:
a Shear Valve(s).
a Dis enser Containment Float(s) and Chain s).
'If the facility contains more tanks or dispensers, copy this fonn.
Tank ID: 1t.;¿ \'L0S
C!rln- Tank Gauging Probe. Model: Çl,L.{13C¡o .. Û T
Er""Annular Space or Vault Sensor. Model: N I A
o Piping Sump! Trench Se!1sor(s). Model:
GYfill fL."!, Sensor(s). 'Hi" Silh'1;> Model: D1Q'f :")ÇI,c - '1 è'i
o Mechanical Line Leak Detector. Model:
o ElectTonic Line Leak Detector. Model:
o Tank Overfill! High-1.evel Sensor. Model:
o Other (s ecif e ui ment e and model in Section E on Page 2).
Tank ID: ;¡.....\ I) I PSt L
(¥fn- Tank Gauging Probe. Model:' f',.--t "f 3Qc- i "'1
C3"'Annular Space or Vault Sensor. Model: /IV 1(\
a Piping Sump! Trench Sensor(s). Model:
GYt~1 ¡;t1I'1~p Sensor(s):n~ 'S"i>'1j) Model: v~)"1"'JBc; - 3,.c.<"\
a Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
a Tank Overfill! High-Level Sensor. Model:
o Other (s ecifve ui ment t e and model in Section E on Page 2).
Dispenser ID:3- ~I H i..t~J Î?\ - R - I \J
a Dispenser Containment Scnsor(s). Model:
o Shear Valve(s).
o Dis enser Containment Float(s) and Chain(s).
Dispenser 10: 1 -16 H3·). 'J~ R - \\J
o Dispenser Containment Sensor(s). Model:
o Shear Valve(s).
o Dis enser Containment Float s) and Chain s).
Dispenser ID:
a Dispenser Containment Sensor(s). Model:
a Shear Valve(s).
a Dis enser Containment Float s) and Chain s).
Include information for every tank and dispenser at the facili[y.
C. Certification -I certify that the equipment identified in this document was inspected/serviced in accordance with the IIUnufacturers'
guidelines. Attached to this Certification is Information (e.g. manufacturers' checklists) necessary to verify tbat this Information Is
correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I bave also
at~a~hed a copy o~ the report; (ch~ck all that apply): ~ystem ~et-up 0 Alarm ~ist0,fY re.A,0rt f' I
Technician Name (pnnt): tlD'F L c(-H?IC\ LlO SIgnature: ---=1-v,,-,Cl.l' L ~ClL~L,,--t)
Certification No.: 6;).. s- i 0 c' r?:> if License. No.: 6 1 d.. 8 I g.
Testing Company Name: \3'5 S'R. \NC, Phone No.:( 661 ) 588,1. i-=7i
Site Address: &63c..~ RD~~ DAI.-.'E r-+W-( tf- (3 Date of TestinglServicing: cì /L/ òl
W":'n~;nn I;:v·"t..m r....tifi.....tin"
Page 1 of 3 .
03101
j L,{l{t {f,
-
D. Results of Testing/Servicing .
-
:£..-
.~.
Software Version Installed:
c\ .OC
. Com lete the followino checklist:
cr Yes D No· Is the audible alarm 0 erational?
Q/Yes D No· Is the visual alarm 0 erational?
I3"'Yes D No· Were all sensors visual! ins ected, timctionall tested, and confumed 0 erational?
Yes D No· Were all sensors installed at lowest point of secondary containment and positioned so that other equipment \\i11
not interfere v.ith their ro er 0 eration?
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
operational?
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) ŒrSwnprrrench Sensors; 0 Dispenser Containment Sensors.
Did ou confirm ositive shut-down due to leaks and sensor failure/disconnection? 0 Yes; D No.
D No· For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
o Nt A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank
fill oint(s) and 0 eratin ro erl ? Ifso, at what ercent of tank ca aei does the almn tri er?" %
W as any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all re lacement arts in Section E, below.
Was liquid found inside any secondary containment systems designed as dry syste'ms? (Check all that apply) D
Product; 0 Water. If es, describe causes in Section E, below.
IB"'Yes D No· Was monitorin s stem set-u reviewed to ensure ro er settin s? Attach set u
Ýes D No· Is all monitorin e ui ment 0 erational er manufacturer's s ecifications?
* In Section E below, describe how and when these deficiencies were or will be corrected.
Yes
o No·
D Nt A
o No'"
D Nt A
GYÝ es
Q-'Y" es
DYes'"
Iã No
DYes'"
Q§ No
E, Comments:
, I
. .!. . ~ '" "
Page 2 of3
03101
/'~- .' .
"F. .In-Tank Gauging / SIR Equipment:
.
o Check this box if tank gauging is used only for inventory contro1.
o Check this box if no tank gauging or SIR equipment is installed.
5 (j(:¡q ~
This section must be completed if in-tank gauging equipment is used to perform leak deteètion monitoring.
C
h II
h kJ'
omp: ete t e fo owinl! c ec 1St:
c::YYes 0 No* Has all input wiring been inspected for proper entry and tennination, including testing for ground faults?
!3"'Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup?
C¥'Yes 0 No* Was accuracy of system product level readings tested?
C¥Yes 0 No* Was accuracy of system water level readings tested?
Q/Yes 0 No* Were all probes reinstalled properly?
51" Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
!3""'Check this box if LLDs are not installed.
C
I t th f 11
h kJ" t
omp e e e 0 owm£ c ec IS :
DYes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
0 N/A (Check all that apply) Simulated leak rate: 03 g.p.h.; 00.1 g.p.h; 00.2 g.p.h.
0 Yes 0 No* Were all LLDs confirmed operational and accurate within regulatory requirements?
0 Yes 0 No* Was the testing apparatus properly calibrated?
0 Yes o No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
o N/A
0 Yes o No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? .
o N/A
0 Yes o No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
o N/A or disconnected?
0 Yes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
0 N/A or fails a test?
0 Yes o No* For electronic LLDs, have all accessible wiring connections been visually inspected?
o N/A
0 Yes o No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3
03/01
j L£1tl ~
Monitoring System Certification
.
Site Address:
c-,q 0 \
UST .MonitoringSite Plan
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Date map was drawn: ~/ ~/ 0 I .
If you already have a diagram that shows all required information, you may include it, rather thantþis page, with your
Monitòring System Certification:- On your site plan, show the generàl_ ia.youtor tanks and piping: Clearly identify
locations of the following equipment, if installed:' monitoring system control panels; sensors monit~ring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
Instructions
Page _of_
05100
~\;\t?i
;)S<
JAt:o OIL COMPfNy
,J ú.cjCì J
iVIONITORlNG SYSTEi\I CERTIFICATION
For Use By All Jurisdictions Within tho? Stete of California
APtIr.or;f)I Cited: Chapter 6.7, Hec:fr/r and Safety Code: Chapter 16. Division 3, Title 23, California Code of Regulations
This Corm m\.:st be used to document testing and servicing of monitoring equipment. A seoarate certification or report must be orepared
Cor eJ,:h r"onitoring svstem contTol oanel by the technician who performs the work. A copy of this form must be provided to the tank
system o\\11er/operator. The O\,ller.'operator must submit a copy of this form to the local agency regulating UST systems ....ithin 30
days of test date.
A. General Information
Facility 0ì'ame: --.r f\ $í R ,p
Site Address: 'i qD 1 -SO.. û¡~ lCN .F\v,
Bldg. No.:
City: ÕA\t...tK<::;F'ELD Zip: q ~"30''1
Contact Phone No.: ( 6 6\ )3q 1 - '138'1
Date ofTestinglServicing: Ct III 0 I
Facility Contact Person:
Make/r.fodel of Monitoring System: Î L <Ç - '3 <)0 JOöl..( TCA. 0 - 0 )..;t
B. Inventory of Equipment Tested/Certified
Check the ~ ro ri:l!e boxes to indicate s ecilic e ui ment ins ectedlserviced:
Tank ID: it JL yt:ò:;
IW'1n-Tank Gauging Probe. Model: ~~"1'13<¡ () ~ \6 .:;¡
Gl-"Ãnnular Space or Vault Sensor. Model: '1£~ I,' ?fì6 "i oJ. C:-
O Pi.Ping Sump! Trench Sensor(s). Mode!:
~fI.p Sensor{s).STP -:'v~t> Mode!:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector.. Model:
o Tank Overfill! High-1.evel Sensor. Model:
o Other (s ecif e ui ment e and model in Section E on Page 2).
Tank ID: ~ ..., D ì~sFL
Gt'Tn- Tank Gauging Probe. Model:' b''I. 1 ~qC.1··tC·"1
~nnular Space or Vault Sensor. Mode!: '1"1" 3G (J- &.t ~(j
o Piping Sump! Trench Sensor(s). Model:
cafiI+Su..,p Sensor{s)...- "(.1" S;..t/Y1 j> Model:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfill! High-Level Sensor. Model:
o Other (s ccifve ui ment t e and model in Section E on Page 2).
Dispenser ID: ,31Li H'Il1.i ß -Rf>JH - P i/
CD Dispenser Containment Sensor(s). Model:
~ear Valve(s).
o Dis cnser Containment Float(s) and Chain(s).
Dispenser ID: \1 -15 \1...f1 L ß ~ R ß i"t - Pv'
o Dispenser Containment Sensor(s). Model:
o Shear Valve(s).
o Dis enser Containment Float s) and Chain s).
Dispenser ID:
o Dispenser Containment Sensor(s). Model:
o Shear Valve(s).
o Dis enser Containment Float s) and Chain s).
Include information for every tank and dispenser at the facility.
Tank ID: 1t, \JNl.E=ADEt>
fJt"Ín-Tank Gauging Probe. Model: ~'6"11BC\O" ¡Of
Gl-:\nnular Space or Vault Sensor. Model: 7C¡' ~qû- .., .1D
o Piping Sump! Trench Sensor(s). Model:
GrFill Stll'llp Sensor(s). ~ f," s"i\"\î" Model:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfill! High-Level Sensor. Model:
o Other (s ecif e ui ment e and model in Section E on Page 2).
Tank ID: tt ~) PQEtrllvlY'
Œ(Ín- Tank Gauging Probe. Model: Ô';t 13'1()- l C T
~nular Space or Vault Sensor. Model: 1 "ì<'J :'JCf(} - Y J ù
o Piping Sump I Trench Sensor(s). Model:
6J<"'fill Sll"~ Sensor(s). ~"f'i" .......(-nî" Model:
o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model:
o Tank Overfil!l High-Level Sensor. Model:
o Orhcr (s ecifve ui ment tyPe and model in Section E on Page 2).
tJiA.
,
N JA
,
Dispenser 10: \i 1;2. H4..2;;l ß ·RB1 ì 5 - iv
iEOispcnscr Containment Sensor(s). Model:
~ear Vahc(s).
o Dis cnser Containment Float(s) and Chain(s).
Dispenser 10: 15-~b li4.21 ß -RB"3/ :)-\ V
o Dispenser Containment Sensor(s). Model:
Œr'Shear Valve(s).
o Dis en5er Containment Float 5) and Chain(s).
Dispenser 10: ~ - ø
o Dispenser Containment Sensor(s). Model:
~ear Valve(s).
ODis cnser Containment Float(s) and Chain s).
. 'I f the facility contains more tanks or dispensers, copy this form.
'AH-A
~: i t\
,
C. Certifi~ation - I certify that the equipment identified in this document was inspected/serviced in accordance with the nunufacturers'
guidelines. Attached to this Certification is Information (e.g. nunuracturers' checklists) necessary to verify that this Information Is
correct and a Plot Plan sbowing tbe layout of monitoring equipment. For any equipment capable of generating such reports, I bave also
att:1ched a copy of the report; (ch~ck all that apply): Ci1-S'ystem set-up 0 Alarm history report .
Technician Name (print): f"\Dt'L CARR\LLG' Signature: ~'\.rI J CC\(L~~LLc\
Certification No.: b;;.. s - \£) '.- r~ \ -=1 License. No.: 61,2 2) V2
Testing Company Name: B:S'SR I ()C ~- Phone No.:( b 6 i ) ~8b - :::L'r T--::¡
Site Address: &6·'30 R.O~EC)AI-"E HW"{ ~ ß DateofTestinglServicing:-Î)l/C {
~?n·"ina ~vdpm ('prtifir2tinn
Page I of 3
03101
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D. Results of Testing/Servicing
.
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Software Version Installed:
. Com lete the followina checklist:
g'Yes 0 No· Is the audible alam1 0 erational?
G)/Yes . 0 No· Is the visual alam1 0 erational?
CiY Yes a No" \Vere all sensors visuall ins ected, functionall tested, and confmned 0 erational?
(Y'Yes a No" Were all sensors installed at lowest point of secondary containment and positioned so that other equipment \\-ill
not interfere 'With their ro er 0 eration?
If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
operational?
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) ~wnprrrench Sensors; 0 Dispenser Containment Sensors.
Did ou confinn ositive shut-down due to leaks and sensor failure/disconnection? ~es; 0 No.
a No· For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
a N/ A mechanical overfill prevention valve is installed), is the overfill wanúng alann visible and audible at the tank
fill oint s) and 0 eratin ro erl ? If so, at what ercent of tank ca aci does the alann tri er? %
Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all re lacement arts in Section E, below.
Was liquid found inside any secondary containment systems designed as dry systénis? (Check all that apply) 0
Product; 0 Water. If es, describe causes in Section E, below.
es D No· Was monitorin s stem set-u reviewed to ensure ro er settin s? Attach set u
Yes D No· Is all monitorin e ui ment 0 erational er manufacturer's ecifications?
* In Section E below, describe how and when these deficiencies were or will be corrected.
u;yy es
o No·
D N/A
a No·
D N/A
f3"Y' es
GYY es
DYes·
~ No
o Yes·
~ No
E. Comments:
9' ',.... \
Page 2 of 3
03J()1
....~ ...
'- i- ,.' ¡¡(
,. -
f· In-Tank Gauging / SIR Equipment:
e
o Check this box if tank gauging is used only for inventory control.
o Check this box if no tank gauging or SIR equipment is installed.
JLc{ìti J
This section must be completed if in-tank gauging equipment is used to perform leak deteètion monitoring.
C
It hfll
h kJ'
omple e t e 0 OWIng C ec 1St:
[3""'y e s 0 No* Has all input wiring been inspected for proper entry and tennination, including testing for ground faults?
CYY es 0 No* Were all tank gauging probes visually inspected for damage and residue buildup?
C¥'Yes 0 No* Was accuracy of system product level readings tested?
(ÝYes 0 No* Was accuracy of system water level readings tested?
CYY es 0 No* Were all probes reinstalled properly?
&'"Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
~ Check this box if LLDs are not instal1ed.
C h f
omp ete t e ollowmg checklIst:
DYes o No* For equipment start-up or arumal equipment certification, was a leàk simulated to verify LLD performance?
o N/A (Check all that apply) Simulated leak rate: 03 g.p.h.; 00.1 g.p.h; 00.2 g.p.h.
0 Yes 0 No* Were all LLDs confinned operational and accurate within regulatory requirements?
0 Yes 0 No* Was the testing apparatus properly calibrated?
0 Yes 0 No* For mechanical LLDs, does the LLD restrict produ~t flow ifit detects a leak?
0 N/A
0 Yes o No* For electronic LLDs, does the turbine automatical1y shut off if the LLD detects a leak? . .
o N/A .
DYes o No* For electronic LLDs, does the turbine automatical1y shut off if any portion of the monitoring system is disabled
o N/A or disconnected?
DYes o No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
o N/A or fails a test?
0 Yes 0 No* For electronic LLDs, have all accessible wiring connections been visually inspected?
0 N/A
0 Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3
03/01
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Monitoring System Certification
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Site Address:
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UST Monitoring Site Plan
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Date map was drawn: .51) ~ ê> ¡ .
Instructions
If you already have a diagram that shows all required infonnation, you. may include it, rather thaIl.tþis page, with your
Monitòring System Certification.' On your site plan, show the generàllayout of tanks and piping:, Clearly identify
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
Page _of_
05100
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 oW Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395·1349
SUPPRESSION SERVICES
2101 oW Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
TRAINING DIVISION
5642 VICtor Ave.
Bakersfield, CA 93308
VOICE' (661) 399-4697
FAX (661) 399-5763
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3.
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9.
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SBU/dm
September 10, 2001
CERTIFIED MAIL
John Kerley
Jaco Oil Company
P.O. Box 1807
Bakersfield, Ca 93380
NOTICE OF EXPIRATION
ON MONITORING CERTIFICATION
Dear Mr. Kerley:
Site Address
Farrells Fastrip,6401 White Lane
Chris Liquors, 2732 Brundage Lane
Fastrip #640, 8001 White Lane
Wholesale Fuels, 2200, Brundage
Fastrip #19, 4901 S. Union
Fastrip #621,805 34th
Fastrip.#6, 1640 S. Chester
Fastrip, #26, 2698 Oswell Street
Howards #4, 3200 Panama Lane
Fastrip #622, 4013 "H" Street
Ming & Real Fastrip, 3701 Ming Ave
Fastrip #641, 1200 Coffee Road
Howard's #6, 4201 Belle Terrace
Howard's, 3300 Planz Road
Harris Market, 1701 Union Ave
Mt. Vernon Fastrip, 3501 Mt. Vemon
71'dW
. Steve Underwood
Fire Inspector/Environmental Code Enforcement Office
Office of Environmental Services
The following Jaco sites are currently due/past due on annual monitoring certification.
These sites are as follows:
Due Date
9-04-01
9-05-01
9-05-01
9-12-01
9-12-01
9-20-01
9-22-01
9-22-01
9-23-01
9-27-01
9-27-01
9-28-01
9-28-01
9-28-01
9-30-01
10-2-01
Failure to perform or submit monitoring certification within 30 days of due date will
result in revocation of your Permit to Operate.
Should you have any questions, please feel free to contact me at 661-326-3190.
""~~ ~ ~nlAU'.nð? ¿¥¡?p .//'60/<'6 ykt, ./6 ~/lb'~~""
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395·1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395·1349
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326·3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399·4697
FAX (661) 399·5763
.
A
·w
August 3,2001
Fastrip
4901 South Union Ave
Bakersfield, Ca 93307
RE: Deadline for Dispenser Pan Requirement December 31, 2003
REMINDER NOTICE
Dear Underground Storage Tank Owner:
You will be receiving updates from this office with regard to Senate Bill
989 which went into effect January 1, 2000.
This bill requires dispenser pans under fuel pump dispensers. On
December 31, 2003, which is the deadline for compliance, this office will
be forced to revoke your Permit to Operate, for failure to comply with the
regulations.
It is the hope of this office, that we do not have to pursue such action,
which is why this office plans to update you. I urge you to start planning
to retro-fit your facilities.
>:'
If your facility has been upgraded already, please disregard this notice.
Should you have any questions, please feel free to contact me at 661-326-
3190.
S¡~
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
SBU/dm
~~ ex) . "ß CZ' . rJ7 /b/ (J7Zl a í/7 "
.]ePou~?, Ute (::J£'Wl/nu/U(~ ,Y0p ./Í'ØOPt3- '::'/UY¿, vT(:J 6e/lbU:?
---::..
/
I
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "HO Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395·1349
SUPPRESSION SERVICES
2101 "HO Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chesler Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93306
VOICE (661) 399-4697
FAX (661) 399·5763
.
.
January 22, 2001
Fastrip
4901 S Union
Bakersfield Ca 93307
RE: Dispenser Pan Requirement December 31,2003
Underground Storage Tank Dispenser Pan Update
Dear Underground Storage Tank Owner:
You will be receiving updates from this office now, and in the future with
regard to the Senate Bill 989, which went into effect January 1, 2000.
This bill requires dispenser pans under fuel pump dispensers. On
December 31,2003, which is the deadline for compliance, this officewill
be forced to revoke your permit to operate, effectively shutting down your
fueling operation.
It is the hope of this office, that we do not have to pursue such action,
which is why this office plans to update you. I urge you to start planning
now to retro-fit your facilities.
If your facility has upgraded already, please disregard this notice. Should
you have any questions, please feel rree to contact me at 661-326-3190.
Sincerely,
/jl~
Steve Underwood, Inspector
Office of Environmental Services
SBU/dm
"g;'~ de W~ ~ .A~ §7UUÞ ..Æ W~"
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.----
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FA:::TR r P 1 9
4901' fL UN10N ~\\lE.
BKFLD. CA. 93:~07 ..
(,~,1-397--:nt:'7 - ..
D8~ 7. 2000 2:1'7 PM
f(Q)ij~ ORIGINAnc
I .
't;\/.S'fE/"l ::3TA1U.i REPORT
----.---.
- - .- -
T 2:INVALID FUEL LEVEL
INVENTORY REPORT
GALS
GALS
GALS
Gf.ìLS
INCHES
GALS
INCHES
.~ F
T 2:UNL.PLUS 775 . ...'
T ~'2: I N\lHLID FUEL ILEVBV
<-- VOL I NVAL r D 1428 G~i[S
ULLAGE = 10604/i~ALS
90% ULLAGE = )ß~ 4 ¡j /CALS
TC \/OLU~'1E = 1 'v GALS
HGT I NVAUD 1 çy9'2 /['NCHES
klATER VOL = ./ 0 GALS
~JATER '- 0.00 I NCHE8
lH1P 71 . 7 rJEG F
T 1: UNL. 77~j
VOLU~'1E
ULLAGE
gœ; ULLAGE=
TC VO LLJt"1E
HEIGHT
~JATER VOL
I,~A TER
TEt"1P
3854
8178
6974
3842
34.26
o
0.00
64.4
T 3:PREM.UNL. 775
VOLUME~ ~ 4153 GALS
=-1jtl:AGE- ~~ . m7g~IJHt:5 ..
90%'ULLAGE= . 5675 GALS
TCVOLUME 4107 GALS-
HEIGHT ~~6. 21 I NCHE8 _
~\IA TER \/0 L 0 GALS
WATER 0.00 INCHES
TEMP 75.8 DEG F
, :í''''
T 4 :DIE£'ŒL 775
\/()LUt"1E 1177
ULLABE 10855
90% ULLAGE= 9651
Tt VOLU~'1E 1167 GALS
HEIGHT 14. 79, I~S
WATER \/OL 0 (~~,...
¡"tATER 0.00) Nl.HES
TEMP 77.·8 'DEG F
/
/
,:71 '27 GALS
4873 GALS
~{6?3·, GALS
7107 GALS
55 . 1 1 I NC HES
o GALS
0.00 INCHES
6:3.9 DEG F
GALS
GALS
GALV
T 5:UNL.725
\I()LU~"E
ULU'\GE
90\; UtLAGE=
TC \10 L U~'1E
HE WHT
~JA TER VOL
kll'1 TER
TH1P
T 6:PREM.UNL. 725
VOLUME 3925
ULLAGE 8075
90~ ULLAGE= 6875
TC \/OLU~'1E ~:893
HEIGHT 34.79
WATER VOL 0
WATER 0.00
TEMP 71.4
GAL~~
GALS
GALS
GALS
I NC HEE:
GALS
INCHES
DE,.
T 7:DIESEL '72¡j
\¡\)U\'M't. ';:';::ò<\ é¡
ULLAGE :3656
90% ULLAGE: 7456
TC VOLUME 332]
HEIGHT 30.94
l,J¡WEP \lOL 0
WATER - 0.00
TEMP 74.7
GAL'ð
Gf~L~~
GALS
Gf~LS
INCHES
GALS
I NC HEfi
DEG F
~ ~ ~ ~ ~ END ~ ~ ~ ~ ~
.)
.
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME fCl ~-bp if- , ~
INSPECTION DATE~
Section 2:
Underground Storage Tanks Program
o Routine I1i Combined 0 Joint Agency
Type of Tank [kdR' S
Type of Monitoring Ct.fK\
o Multi-Agency 0 Complaint
Number of Tanks 7
Type of Piping (Xc.1 F
ORe-inspection
OPERA nON c v COMMENTS
Proper tank data on tile V
Proper owner/operator data on tile V ,,-
Pemit fees current V
Certification of Financial Responsibility ~
Monitoring record adequate and current V
Maintenance records adequate and current \/
Failure to c;orrect prior UST violations V /
Yes No \/ ,
Has there been an unauthorized release? ,
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE 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 overfillloverspill protection?
C=Compliance V=Violation Y=Yes
In,p,oto, ,it d~£¡
N=NO
~-þ~
Office of Environmental Services (805) 326-3979
White - Env. Svcs.
Business Site Responsible Party
Pink - Business Copy
-"'-1' .-".,!,"~_~' - ... -, .--- ....'..--.--...J":
. .
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~'¡'tt *' 1'1
ADDRESS L(t¡O I 5. Jvua~
FACILITY CONTACT
INSPECTION TIME
INS'PECTION DATE Id ( '7/ CO
PHONE NO. 217~13@ì
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES I()
Section 1:
Business Plan and Inventory Program
o Routine
~ Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION C V COMMENTS
Appropriate pennit on hand \.. ./
Business plan contact infonnation accurate ..-
v /
Visible address tj V'"IJ f1cJlJ(o.(r AAc(ro~ if.. S /I("(..S" It
Correct occupancy L- 1......-
Verification of inventory materials \.,. :/
Verification of quantities t. ./
Verification of location v
Proper segregation of material t.-
Verification of MSDS availability L..-
Verification of Haz Mat training L V
Verification of abatement supplies and procedures v
Emergency procedures adequate Iv
Containers properly labeled Iv
Housekeeping ./
Fire Protection \../
Site Diagram Adequate & On Hand ....
C=Compliance
V=Violation
Questions regarding this inspection? Please call us at (661) 326-3979
Any hazardous waste on site?:
Explain:
DYes DNo
White - Env. Svcs,
Yellow· Station Copy
Pink - Business Copy
Inspector:
"
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Construction
& MECHANICAL
Continuous Monitorin
TEST DATEOCf-1 q.... 00
FACILITY NAME / C<x 4f I
ADDRESS q 0
CITY '
MAKE AND MODEL OF MONITORING SYSTEM VR. . :]5 ()
(661) 871-1788
TANK 1
TANK 2
TANK 3
TANK 4
Contents of Tank
Capacity of Tank
Type of Product Line (Gravity, Suction, Pressure)
INDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR No IN THE APPLICABLE BOX:
.' I
Ye.s =--
Annular Space Sensor 7"
Sump Sensor Y'e-5 7
Dispenser Containment Sensor !VO -,
./
Electronic Overfill / Level qgf6 Ye-S --
~
Electronic In-Line Leak Detector /YO , "7
Mechanical Line Leak Detector rUG ,/
;
Ye-5 ~
In-Tank Gauging Device ./
INDICATE THE FOLLOWING BY PLACING A YES OR No IN APPLICABLE BOX:
Ye:.-5 .-,.
Does the Monitoring System have audible and visual alarms? ./
Does the turbine automatically shut down if the system detects \./ <2
a leak, fails to operate or is electronically disconnected? /cc:5 ./
Is the monitoring system installed to prevent unauthorized tampering? /e~ =~
.,.. /
Is the monitoring system operable as per the manufacturer's specifications? >f:.s """"'.2 ,
/ .1
Which continuous monitoring devices Initiate positive shut down of the turbine? \ S~ YJ. SOy) 5
CERTIFIED TESTER'S ID#
SIGNATURE OF CERTIFIED TECHNICIAN
PRINTED NAME OF CERTIFIED TECHNICIAN
TESTING COMPANY NAME & TELEPHONE
p
CERTIFICATION DATA
.~ ': -
;:;--¡
i~t;/
. "/ ......
ÀU N st T
.
Construction
& MECHANICAL
Continuous Monitorin
(661) 871-1788
Device Certification
FACILITY NUMBER 1 Î S-
~ CONTACT PERSON J 0
TELEPHONE
ZIP CODE
MAKE AND MODEL OF MONITORING SYSTEM
TANK 1
TANK 2
Contents of Tank
Capacity of Tank
Type of Product Line (Gravity, Suction, Pressure)
t
INDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR No IN THE APPLICABLE BOX:
Annular Space Sensor " .es -
'"
Sump Sensor y-e-<;; "-
Dispenser Containment Sensor '-7
(}O r
Electronic Overfill! Level CIs ~ ,,~s --
Electronic In-Line Leak Detector 110 ::.-.
,...
Mechanical Line Leak Detector J1f'\ --..,
r .-
In-Tank Gauging Device v-e') ---
INDICATE THE FOLLOWING BY PLACING A YES OR No IN APPLICABLE BOX:
Does the Monitoring System have audible and visual alarms?
Does the turbine automatically shut down if the system detects
a leak, fails to operate or is electronically disconnected?
Is the monitoring system installed to prevent unauthorized tampering?
Is the monitoring system operable as per the manufacturer's specifications?
Which continuous monitoring devices Initiate positive shut down of the turbine? ~(' 1'\ S"o,r¿
CERTIFIED TESTER'S ID#
DATE cr~d-O-O b
S,GNATURE OF CERTIFIED TECHNICIAN
PRINTED NAME OF CERTIFIED TECHNICIAN
TESTING COMPANY NAME & TELEPHONE
CERTIFICATION DATA