HomeMy WebLinkAboutUNDERGROUND TANK-C-03/31/03
(..
j
f, A;
I rt
,y
,/
-....? ,/,>,
-1-
RAINBOW CAR WASt ,Rfl';'..~:fEi" ~i~\/o';ll
3951 wible Road Cl.u>C-Q >'/,3.'( 0, I \
I
__ .__',.'.____. ____J
\
. --\ 310066C
\\~-
,r -
.;,.> ,
" ~:,t<:: '
I
I)
I
1
~
/)
,\
~
I
.;..,
,~
"
'.r
\
~
}
,)
I
1\
, '
/'~
,
- - .-!
J
,. f _
It' 'o..-"f
G) "-
\,
, 1
!
';\
'.
/
/
y'
:1
1/1/
I¿:..,
Per
, ,1"
it
Operöte
to
Hazardous Materials/HazardousWaste Unified Permit
, .C,ONDITIONS<OF ,plS,~ :MI,J:<,()N ,REVERSE SIDE
.) ~,:, ::";.c~ .'., ' : ' ...., ":":\::I;,:::\:(~""',}~fiy;,:(;r;;~'::"";:: ,; , ;:: ¡ " .
This permit Is Issued for the following:
iii Hazardous Materials Plan
, ,0 Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
Permit 10 #:: 015-000-001369
,RAINBOW CAR WASH
LOCATION:. 3951W1BLE RD
" .
- \' ~
- '-, . . ~ -, - .
'. "
~ "
,", "I
~::
Issued by:
, . . ."';",.:' ~j,. ..' _.}-'.~
" ,
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES' . ,
1715 Chester Ave., 3rd Floor ..,~pprovedby:
Bakersfield, CA,93301 I,:' _
Voice (661) 326-3979 ", ,
FAX (661) 326-0576 . .';ExpiiaÚonDate:
. - . .{.~'~.:'"Jt~:~K-t~t4~j:~~·;!
Issue Date
'June ~, 2003
--------- -
Per... it
,\
to
Operate
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
zardous Materials Plan
round Storage of Hazardous Materials
agement Program
Waste
3951
ow PVC PRESSURE ClM
OW PVC PRESSURE AlD
OW PVC PRESSURE ClM
PERMIT ID# 015-021.001369
-RAINBOW CAR WASH
lOCATION
WIBLE
TAN HAZARDOUS SUBSTANCE
T,~f'<J' PIPING PIPING PIPING PIPING
ONrtOR TYPE TYPE METHOD ONITOR
,,", '. ::;
". ".
12,000:;9Q "µAl
12,000.0p'~l
12,OOO.00,;GAL.
¡:;;., ...... '1:.
0001, SUPREME GASOLINE
,0002 UNLEADED GASOLINE
'-1:<0003 REGULAR GASOLINE'
Issued by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL,SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (805) 326-3~79
FAX (805) 326-0576
*~
ph Huey,
ffice of ental Servi es ,
Approved by:
Expiration Date:
June 30, 2000 -
.
.
CA Cert. N,o.
00844
J
City of Bakersfield
Office of Environmental Services
1715 Chester Ave., Suite 300
Bakersfield, California 93301
(805) 326-3979
An upgrade compliance certificate
has been Issued in connection with
the operating permit for the
facility indicated below. The
certificate number on this facsimile
matches the number on the
certificate displayed at the facility.
. ------
Instructions to the issuing agency: Use the space below to enter the following information inthe format of
your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility;
facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying
information may be added as deemed necessary by the local agency.
This permit is issued on this 2nd day of November, 1998 to:
RAINBOW CAR WASH
Permit #015-021-001369
3951 Wible Rd
Bakersfield, California 93309
r
,)
\
-'-------.~----~-.,.---,-----,-----,--.-,_________,_,__=~~="c~~l=--,~--,--,.,_"
, [
r
! ,
£X1S1I?NG GASOL4NE DISPEN,$ERS (Trp, 4)
, ,)
, I ,_, , ", , ' __
EX1ST'fNJ; G4S0LINE TANKS (TYP. J J .
t '
7
"
'\
I:
./""1 I' i:
--1--,) ~'
I ~
I 1
. t ~I
I.; .
I
J 'I
I ì'
I.
I I,
¡
I \
--- " ----,--------..----- ---.'''..''..,-.........---,''--- r,-
--r-l~~----h--------_ ___~_____________
. ¡ ,-, , ..
-+, ~-~---:-._---._-...-.._..-----~-------. -- -' 0, - 0'0''"'
I I -.(\. -- .,
1 ~ ,
i ! 92 SUPER
11 _____-'-_
\ I , ' "
, I'
i
i
l
t ASPHALT ~
II
I¡
:¡
~:
i\l
i)\
J
\
f
1; RAINBOW CARWASH
J ~3-9-S-I-W~/:.&,~E~R-Ð_;_,-
I BÀKERSFIELD CA. 93309
,I
1
I:
\
'-,
~
,
;>,
.
.'
¡
f
1
SCOPE: CJfTWORt<
S"AWCUr; -" EAKOUT,AND D1SPOSE o~
- ;JI
INSTALL NEW 3:11- VAPOR RECOVERy LINE. P1PE SYSTEM TO BE
AM£110N DUÁLOY JOOO/L, Sb.DPE TO'WA:'RD TANKS 1/4,t PER I:' 0
ASPHALT.
D '
~OF((JR£,TE ~A ND
CD
®
®
()4
1/
,
ASPHAL T.
CONCRET..E /4ND
REPLAC,E
N
j" ,
---'--___..~....,..._____.~_".".F__·_~_""_..:_.....,""""'.·".._·_.~,""""".....,
SPECIAL
UNLEADED
89
87
DO 0
DOO
,J\
--.¡
-;
F-f
c:ffi
- -.ij
/'
I/~#-
DRW,
I
,
SCALE
,'"
CONCRETE
,''10.._
...
.-------~-_.
r-~--
--"...-...--.--,
.-... CONCRETE---
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. EHVtRONII£HTAl 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) 32{H)576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfleld, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfleld, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
i.
.
March 31 , 2003
Mr. Kamies Elhouty
Samsara Investment Corporation
3951 Wible Road
Bakersfield, CA 93309
CLOSURE OF 3 UNDERGROUND HAZARDOUS SUBSTANCE
STORAGE TANKS LOCATED AT RAINBOW CAR WASH, 3951
WIBLE ROAD IN BAKERSFIELD. PERMIT #BR-0298.
Dear Mr. Elhouty:
This is to inform you that this department has reviewed the
results for the preliminary assessment associated with the closure
of the tanks located at the above stated address.
Based upon laboratory data submitted, this office is satisfied
with the assessment performed and requires no further action at
this time. Accordingly, no unauthorized release reporting is
necessary for this closure.
If you have any questions regarding this matter, please
contact me at (661) 326-3979.
HHW/dlc
cc: J. Whiting
USTFORMSIUST,L 1
Sincerely,
Ralph E. Huey
Director of Prevention Services
\.c.o\.
_...
Howard H. Wines, III
Hazardous Materials Specialist
Registered Geologist No. 7239
Office of Environmental Services
--9~ de W~ .970P .AOP6 .Y~ .A W~"
! I. FACILITY IDENTIFICATION i
,--'---'---------'--' '-----------------------------~--r--------,-'-'---'----'-~'--'----~---I
j BUSINESS NAME (Same as FACILITY NAME or DBA - Doi~g Business As) 3 : PERMIT # I :,:. ¡ ¡' !!!. ¡ 1 i
. t " I 'Jl" ". Iii, '
I . 'i I ¡I. ~ ¡
: Qal\1\~()(l) Q{"JAlu.f1!' il~i8__, I', ~--'--LJ._,;_LLI__.l____J
TANK OWNER NAME
I ~~ ELhOù{~
! TANK OWNER ADDRESS ( .
¡ 3QS:( UJ,G((. Rd'
TANK OWNER CITY
\Sa kfrll¿lJ-' - ,-
On examination of the tank. I certify thétank is visually free fr~ni product,'slüdge, s6aie (thin; flaky residual of tank contents). rinseate and debris_
certify that I information rovided herein is true and accurate to the best of myknówledge.' ,
I SIGNAT < OF CERT ,IE STATUS OR AFFILIATION OF CERTIFYING PERSON
i ~' ;' Certifier is a representative of the CUPA, authorized agency. or LlA:
' I' t/ Yes 0 No
OF CERTIFIER (Print) ¡; 754
.L , r I Name of CUPA. authorized agency, or LlA:
! " S _n~Ut _ (¡Vi r(LJ(){)t
¡ TITLE OF CERTIFIER 755 City of Bakersfield Fire Department - Office of Environmental Services
I -,
i /-(rj'G
I ADDRESS
'-~'- --=-.~~--- "'-~~~- ~ -";,.,-
i
r PHONE
I (661) 326-3979
!DATE,: i , ' " ',' 7591 CERTIFICATION TIME
I '4-J~{J3 " , IO',;}l( AUA..
TANK PRE IOUSL Y HELD FLAMMABLE OR COMBUSTIBLE MATERIALS
_!!! yes, thl!..~'!~ int~rior atmosphere shall be re-checked with a combustible gas indicator prior to work being conducted on the tank.)
CERTIFIER'S TANK MANAGEMENT INSTRUCTIONS FOR SCRAP DEALER. DISPOSAL FACILITY, ETC:
'/~~7~ ~
B ERSpJD
FIRe
ART. T
........ ......
-- "---
,-_._---~-_._-
I_-
I
,
I_ ___,
-~¡
I
I
I
I
!
¡
I
":'''~:7. ~,.';:: ~---..~
TANK
INTERIOR
ATMOSPHERE
READINGS
I CITY
!
. CITY OF BAKERSFIEI.JL.
OAE OF ENVnîoNMENTAL ~ICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
UNDERGROUND STORAGE TANKS CLOSURE CERTIFICATION
, I
: I
Page ~ of ~
_._--------.._-----------_._.._-~._---,----_._._--_.-
!!
740
-.-------.
741
742 i STATE
! ¿'oi
ZIP CODE
744 I
743
19J3()?
I
_I
'--'-~-:: ,I
I
~~~~~
II. :r--AN*ebGSt:JRE"INF0RMMIeN,,--~'
----~-_.
Tank 10 #
(Attach additional copies of this page
for more than three tanks,)
I Concentration of Flammable Vapor
r Top Center I Bottom
745 i 746a 746b 746c
I
Concentration of Oxygen
Top Center Bottom
747a 747b 747c
4·0 ~. (
750a 750b 750c
tJ. ~
753a 753b
2
G-
749a
G-
752a
-G-I
752c
G-
4
749c
4-
749b
3
I
I
I
I
760 I
761 I
i
I
762 I
,
¡
----1-' ""'I
I
i
I
I
I
I
763 I
" 1-7~15,ChesterAve..---,
-.;:. ----"--.-. --"'--.-.
If certifier is other than CUPA / LlA check appropriate box below:
o a. Certified Industrial Hygienist (CIH)
"",756- --':- 0 b,- Certified-Safety'PrOfessional (CSP)-'
o c, Certified Marine Chemist (CMC)
o d. Registered Environmental Health Specialist (REHS)
o e, Professional Engineer (PE)
o f, Class /I Registered Environmental Assessor
----
o g, Contractors' State License Board licensed'contractor (with
hazardous substance removal certification) ~'--.
"
Bakersfield, CA 93301
757
758
-ø- Yes
o No
,~
I
L____ '" __,~_, _~
l A copy of this certificate shall accompany the tank !~ the recycling / disposal facility and be provided to the CUPA If there is no CUPA, I
copies shall be submitted to the LlA and authorized agency; òwn?r / operator of the tank system; removal contractor; and the recycling / disposal faci~
UPCF (7/99)
~\.
\.
';""
.~
S :\CU P AFORMS\cttsc1249 ,doc
, "
I
I '
I '
1-
, '
. :....:--. .
~
-.~~
\
... i
\...:.). \
\,
\
J
o ~~\O- ,
Q\tMl-~\l ~k,~
\
r I
\
\ ~(.l\ ~\ ~ 11 tJ ¿OJ lJjU- s k
- ~ :"-~\
\ .
r -
., \
-'
\
)qr;-/ WIGLE(
\
\
.
I
I
I
, '
..
I
--
----------- - -- ---r:_ _ ___~________
e N! 'lifi8
TANK DISPOSAL FORM
03 ,19
i,
GOLDEN STATE METALS, INC.
P. 0, Box 70158 . 2000 E, Brundage Lane
Bakersfield, California 93387,
Phone (805)327-3559 . Fax(805)32¿~5749
Scrap Metals, Processing & Recycling
Contractor's
License No.
Contractor's
Phone No.
DESTINATION:
G. S. M. . 2000 E. BRUNDAGE LANE . BAKERSFIELD, CA 93387
HAULER:
TOTAL
£T~K INSPECTION
[Ø' CLEAN & DRY (ACCEPT), OR
D RESIDUALS PRESENT (REJECT)
3000
1,32
DISPOSAL FEE
:%::::::)~)::))::::)):m::::::::::::¡:¡:::::::::::::¡:¡#I~:¡:::::~¡:¡:¡:¡:::¡::¡¡¡%::::¡:¡:¡:::L,<,;«<;,:':::::::j,iM::
5000 2.42
:::::::}>:::::::::::::::::::::::,:,:,:,::::::::::::::::¡:::¡:\¡'::¡H~'99M:::::::::!:\ ::::,:,:,:,:,)::: ",.,.,..." :::\!@M)
7500 3,28
~,:::,:::,:::,:,:,:n:::,:::::Y,:,',::::::Y::Y,:,',:,:,:,',:,:,:,:,:,',:,:,:,:,:,',:,:,:,:",:":',:,',,::,::,::,::,:,800,.,:,,",:..,:,..,.:,.,:,ø,:,'.,:,:,:,:,:,:,:,:,:,:,:,:,:,:,:,:,:,:,:,:",;,:,',,',:,:,;:,':,':,':,:'::;:;:::,:,,:: """""",:,:, "",' '::ã;U>
................,.......'................:.;.:.:-:';.:-:.:.:-:.:.:.:.:.;.:.;.;.;,.,.,'.','"
9000 3,82
:¡U::::':::::ilnn:(:::[:[:¡:::¡:[::::::'::¡::::::::::j~§,§,:~::::~::¡:::'::::¡::"¡:::: '" ".:)/:/::~:WMn:
12000 4,93
LEL RFADíNG
OXYGEN CONTENT
SCRAP VALUE
OTHER
:U:::::t:H::::::::::::::::::::::H:::¡[:[:Þ:fli:::::::::::::::
.......
.....
..
..
......,.,............
.............,."".
..................,.. .......
.,.....".............
,..................
.................
TOTAL CHARGES $
..... ,.-:-- ,-
....- - -~, - --- - - -
_ TOTAL.
All fees incurred are per load unless specified. Terms are
net 30 days from receipt of tank. Contractor's signature
represents acceptance ofterms for payment, and confirms
that tank removal complies with State laws.
/)tt()~
CQNTRACTOR'S SIGNATURE
CERTIFICATE OF TANK DISPOSAL / DESTRUCTION
THIS IS TO CERTIFY THE RECEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY
DESTROYED F~?"1RAP RECYCLING PURPOSES ONLY. 2-/'2-0 /03
~ V~ AUTHORIZED REP. ' , DATE
WHITE - Contractor Copy . YELLOW - File Copy . PINK - Permanenl Copy
..Jo-£XiDE" rtHNOLOGIES
_.."'~--
F::~\:' "~ /' \-;:=:: :,r~\\\
\:, r~, " ,,----- : :,~ \ \\
I ' '< " FE 8 2 8 2003 , \i:~ \
:'-. ..;,; . ___-J 1
L:,-~=~~~_._,-~,._-
Subject:
EPCRA Section 302 Notification
Dear Sir or Madam:
- -~_.- --
Pursuant to Section 302 of the Emergency Planning and Community Right-to-Know Act of
] 986, this letter notifies you that the facility named belo\" is subject to emergency planning and
notification provisions of EPCRA.
Please address any communications pertaining to this noi iíication to the facility contact at t!!.~_,__._,
- - - -- ----above-address-or-phone:-'-~-- ---~~~---- --~-----:---------~~~- .
EHS:
Facility:
Address:
Sulfuric acid (in battery electrolyte)
Exide Technolo~,¡es
1550 S. Union Ave
Bakersfield. CA 93307
County:
Facility Contact:
Phone:
Kern
Pat Eskew
661-835-8911
Please address any communications pertaining to this nOtification to the facility contact at the
above address or phone., '
1:--,·
S incereJ y ,
Ralph Luce Jr.
~.....,,---"- - -- - ------- -~-
------ .~
-. -'- .-..--'----
~""-'''" ~ --' .-- - ~
cc: LEPC
LFD
C P t I D t "." __ \..~-. '~~~f~\ c·)·.'~~~::~:;t ~i·'~·
..' - .,c:,(orR,qtat~...,..pyironmena _ ,~P,:~,.." TIJS 1CI,,_, "':~'::, :.i:J,' ¡.í .
.J';.?·G.Filê~'#::'~~ ,,;..:_ '~'.'. T~J:JfL~~~::S~:.....·tw !..H,;;.,'!.... ;...: ...- ____....___--,-~----. --------
·---~:;.Ç:T:-Ž'~'~::f;5'n..______---"- ...___----
T)VC::~L-:
~:. C ::-~r."--t ~.·ù:J~ < ':;¡.
··----~~f E¿y~·~il:····-_·
·--------~,rG~~:~
----_.---~.-
--~--_.~-,---..---_.~-------_.
(,:~'~. ~,_,r~_.
-....--.----...
645 Penn Street
Reading, PA 19601
(610) 378-0823
--,. _. --+-'-:-:---;·-+:::.T-· ~( ~
P,0: Box 14205 "
- Reading,PA 19612·,;>05
Fax (610) 371-0463
.' ~',
..1, .
'. .J. r'··
I
Page _ of _ pages
I
Form Approved pMB No, 2050-0072
Facility Identification Owner/Operator Name I
Name Exide Technologies, Name Exide Technologies Phone (800ì 523-4622
Tier Two Street 1550 S. Union Ave Mail Address 13000 Deerfield Pkwy" Bldg, 200 I
EMERGENCY City Bakersfield County Kern State Ca Zip 93307 Alpharetta, GA 30004 I
AND I Emergency Contact , I
HAZARDOUS SIC Code 5013 Dun & Brad Number
CHEMICAL Name Pat Eskew Title Warehøuse Supv
INVENTORY Phone (661) 835-8911 24 HI. Phone (661) $31-7953
FOR 110# I BranchlManager
Specific OFFICIAL Name Ralph Luce Jr, Title
Information USE Date Received I Phone (559) 442-1131 24 HI. Phone (559) $94-9346
by Chemical ONLY I
Rea~l all instructions before completing form I Reporting Period I
Important: From January 1 to December 31,20 02 [] Check ifinformation below is identical to the information submitted last year.
I ' - , I
Ch I. I D . r . E I
Physical Qj (j .a
c ;¡ ~ Storage Codes and Loc~tions ¡¡;
emlca escnp Ion ànd Health Inventory .¡¡¡ (I) c
U), c. (Non-Confidential) .2
-(I) U)
I Cc. OJ E Q.
Hazards 8~ .. ~ I 0
0..
(check all that apply) Storage Locations
I !Trade - 5 gal and 6 qt acid packs on pJllets
CAS 7664 93 9 ' Secret [] Fire· Max, Daily k 1 4
Chem, Name Battery electrolyte. - [ ] Sudden Release I 0 I 3 I Amount (code) Against back wall of warehouse,
I of Pressure -
Check a/l ~:~ I ~i: s~IL [X] [] [X] [X] Reactivity I 0 I 2 I Avg, Daily Amount
that apply Liquid Gas EHS [X] Immediate (acute) (code)
EHS Name Sulfuric acid [X] Delayed (chronic) I 3 I 6 I 5 I No, of Days []
I On-site (days)
I : Trade ,.
CAS Secrel [] Fire .' MaX: 'Daily·
·Chem, Name I - [] Sudden Release I I I Amount (code)
I of Pæssure
Check a/l p~!el [] [] , [] [] [] [] ReaGtivity I I I Avg. Daily Amount
that apply Mix Solid Liquid Gas EHS [] Immediate (acute) (code)
EHS Name [] Delayed (chronic) I I I I No, of Days [ ]
I I On-site (days)
I 'Trade
S , Secret - [] Fire Max, Daily
Chem, Name I [] Sudden Release I I I Amount (code)
I of Pressure
Check a/l p~!e I [] [] ;[] [] [] [] Reactivity I I I Avg, Daily Amount
that apply Mix Solid Liquid Gas EHS [] Immediate (acute) (code),
EHS Name [] Delayed (chronic) I I I I No, of Days f]
I On-site (days)
Certification (Read and sign after completing all sections)' ", , '.. Optional Attachments
I certify under penal~ of law that I have personally examined and am familiar with the information submitted in pages one through' , and that based [] I have attached a site plan
on my inquiry of tho~e individuals responsible for obtaining the information, I believe t~~formation is true, accurate, and complete, [] I have attached a list of site coordinate abbreviations
':. Ralph Luce Jr. Branch Manager /: L 2-13-03 I [1 I have attached a description of dikes a~d other
Na!TIe and offici~1 title of owner/oper'\tor OR owner/operator's Sig11á1èí'é / ~ Date signed I safeguards measures ,I
aUi!(0rized reprerentative
!\
--
,-
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Streel
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)326~576
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
~.<.j¡;;"o!Jj'r"'.
-~
February 13,2000
Kamies Elhouty
Rainbow Car Wash
3951 Wible Road
Bakersfield CA 93309
CERTIFIED MAIL
Re:
Failure to submit, Annual Maintenance Report on tank monitoring system
and Fonns A, B.
NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE
Dear Mr. Elhouty:
A joint inspection was perfonned on January 13,2000. During that inspection it was
noted that no annual maintenance had been perfonned in the calendar year. You
were issued a correction notice with 30 days to comply. You have failed to respond
and are now in violation of Section 2641 (J) of the California Code of Regulations,
Title 23, Division 3, Chapter 16.
"Equipment and devices used to monitor underground stoÌ'age tanks
shall be calibrated, operated, and maintenance in accordance with
manufacturers' instructions, including routine monitoring and
service checks at least once per calendar year for operability."
You were also required to fill out and return fonns A and B so that underground tank
infonnation could be updated. It has been more than 30 days since our notice was
issued and our office requires the documentation showing that the maintenance has
been completed.
Be advised that your penn it to operate your underground storage tank will be
revoked in 15 days which will be on February 27, 2000, unless the above mentioned
documentation is received by this office.
Should you have any questions, please feel free to call me at (661) 326-3979.
Sincerely,
Ralph Huey
¡. rec or of Environmental Services
~
teve Underwood
Inspector
SU/mv
~~7~~~f&.A~ ff~.A W~"
14]006
, ~~' ~~ ~04/03 ,~: 1~ F~ 80~~~21~. _, _ ~&~d.~R~C..K ,~_~RA~E_ ,.
t:;;;I.. - CITY OF BAKERSFI£LiØ
\'Yìr;'~-;~-:~p OF.. ~ OF ENVIRONlVlENTAL Sl ICES
. ~E"~"'T 1715 Chest~¡' Ave., Bakeisfielà, CA 93301 (6(n) 326-3979
~-- --- ..-'
UNDERGROUND STORAGE TANKS CLOSURE CERTIFICATION
./--"- " "--~ I.FAcllrrv I~ENTIFICAT10N
BUSINESS NAME (Same as FACILITY NAME or ,\. Ooing Buslnes$ As) ] PERMIT #
,Q.~W\~,Ou.L, éílr_W"u'!J.h. "J.':" d' ' ",_..ß,R-j)J.18
TANK OWNER NAMe
'4.\\\t~'l-_,__._eL.ho_lJf.i-._. ... .... ,.., ..
TANK OWNER ADDRESS ' /
...' 3QsJ, .U110lf-..R.d....., .....
TANK OWNER CITY , /
_ ßal¿"dl~lJ /
Pog' __ uJ ,.
110
7"1
7~~
STATE N3 ZIP CODE
¿vi __..~91307
7H
II. TANK CLOSURE INFORMATION
Ta9k-ID 1#. Conc4ôntraUon 01 Flammable Vapor Concenlration 01 Oxygen
(Affltc;,/!:':;:::~::::~~:tg. .....,- ..röp"\',..·-'-..ëãñlër '--'-'B'oÏtam - '-"rõb' .' Cen'ler BÒli,,~\
_ __._,___.. .., .,_.._ _ ...__.._ _. ..' .d-i~5'·--' ...", . 'f¡Ø;;--" ,-,-..,- 74Gb - ·.---'74GC--- ''i~7~·d . '76.7b'-..'" 741C
~ 4
~;~~~~~ERE '.J _~_~irm\.,._.uü~'-u~L_LQ.~ .,_,_ ,£ç,.__.9-__-'-,.."Q-----...y. 0 ~- ,(..,."
READINGS ' 7d u . 7490 1~9c 7508 1500
__~., ~l1(A . { !JJf.Ak¿., Lo_t__~.., _~__, _~_.. ~_..___....I:, :J-.___...__. ~-, --, ~
~ 15\ 75<1 : 752D 752c 7538 753D ~;~c
3 : Jetl cln(ca:k¡ loti :G--: 43- -e:r t. ì
. ,.,. : . III. CERTIFICATION
0" slCamlnation of the rank, I certify the tank is visually free from product, sludge, scale (thin. flaky r",,.¡dual of tank contents). rinse..ta and debris, I t'urlhlu
cerliry that information rovided herein is true and ~cCllrate to the best of my lenowledge.
'SIGNAT' OF cÉåJ: IE --'STÃTÛS'OR AFFILlAT'ÕÑ 01= CERTIFÿiNG PIÜ~:sb'Ñ'---- --,..- -- ,
- Certifier Is a represenlative of the CUPA. aulhori;:ed agcncy. or LlA; I~r,
V Yes 0 No
Name 01 CUPA. authorized agency. or LlA:
NA Or: CERTIFIER (Prinf' ---., .. .-.........., 1$4 .
..... ., 5t1JlL.._tJ~C1loJ,--, .. -.- -....--'" ----------.-.....
TITLE OF CE.BII~IER .
, ADDR~SŠ-.f:( V~_,"--.Lllip.!dPr .-.---......-,
1715 Chester Ave.
755
..-------...-.--.,. -.
756 :
- crTY , ..
_____.~... ,_____OR..-----..-...;.' ... .0_---'''-' "'.--..-----....."
Bakersfield. CA 93301
., . '0' ...
.0 ___.__ .
....-.... - ..._._. ..
. . . ... ....... ..-
PHONE
(661) 326-3979
CArl' ,...---. ..-" ....... "750 , CERTIFICÄ-riöN'ï:iMË' : , .
, TA:·!;~L~~'H~LD FLÃM;Ã8L~-ÖR/~~~~U~Tì::~ TER·~·LS-·-' ..1___.._
~50c
i. Q
e-{}-
...--- - --.----...
.¡
-...--.....1
761
CIty Df Bakc,<\,n..ld Flra Oapar1mcnt . 00109 of Envfroflmantal Servic""
7!Jl '
II certifier is other lhan CUPA I LlA check spproprl~le box below:
o a, Certified Industrial Hygieni$l (CIH)
Q b, Certified $;¡¡Iaty Professional (CSP)
o c. Certified Marine Chemist (CMC)
CJ d, R8gi~lered Environmental He¡;¡lth Speclaligt (REHS)
I
o e, Professional Engineer (PE)
o f. Class II Registered !;nvironmenlal ASsessor
o 9. ConlraclQrs' Stale Liceflse Board licensed contn'ctor (wllh
haz¡;¡rdous subslance removal certification)
762
;'
'59
~ .._..__......._.....__.._........ _._ ._.._... _....____.... _n
1Í Yes
o No
Ifi~
, (It yss. [he Ipnlt ¡"/BriO( Bl1nosphsfO Sh811 be [f-{;hac/(ed wflh B cOmbuSrJ/¡(8 gas indicator prior 10 work oo;ng concJucled on the lank,)
, CÊRTIFIE:R'S TANlfMÄÑÄGI!MË-NT INSTRUÕ1i¡ONS FÕR SCRAP DEALER-.-bïspõ'SAL' FACllITY~ë'i'C:" . ----- -.-,
~._-_.__.. .--.. -.. . -_..~..
1~.
^ ëOpy òf ttiiš- cërtïÏicalëshãil å'öëõmpåñyï¡'ë 'tÏ;¡ñi<'tö ïherécyèl¡õg ( dlspos~I'faöillly 'áñ(j' bép';öv1ded Lo the ëijPA: ,ï ih~ré is' õo CUPA.
, CO~!~~.~h~!I.~,B...!,~_~!:~ ~~..~~ LlA an~ ,a':'~~,~lze~.~.~~~~': ,~'!'!2~!.!..':,~.!..ra_Il?!..?' ~.e_~!,~.~yslen'J: r~~~_~~,I, ~o~tr~,~.t9!:,,~~~ ~~~. ~~,cy_c!!~~ I, djsRosal f¡¡cilily,
UPCF (7/99)
S:\CUP^FORMSldhõc 1249.dc
S~Je.of C~li'~<"nia-Environmental Protecli~n Agency _
Form Approved OMB No. ,2050-0039 (Expires 9-30-991
Please print or type, F<!m çlesigned for use on eli'" I' 2-p;/ pewr;/er,
1. Gen.rotor', US EPA,II;> No,
o
\l')
\l')
'"
N
\l')
CO
6
, 0
,,.... !
10::1
! iIIIt «
'CD~
:CD~
:z
i (.\~Õ
!N!:
'N<
u
z
Ï
I-
~ G
N E
o N
~ E
,;, R
~ ,A,
6 T
o
~O
- R
c.:
W
I-
Z
W
U
W
V)
Z
o
Q..
V)
W
0::
<
Z
o
¡::
«
z
w
:I:
I-
.....
.....
«
u
.....'
....
¡¡:
V)
0::
o
>
u
Z
'W
C)
0::
W
~
W
....
o
'w
V)
«
u
6
Seelnstructiôns on back_age 6.
Department of Toxic Substanc.s Canlral
Sacramento, CaliFornia
Inlarmatian in ,h. shad.d areas
is not requ!r.d by F.d.rallaw,
UNIFORM HAZARDOUS
WASTE MANIFEST
Manifest ,Qpcument No,
2, Page 1
A~t;,~! ,
It.Mllf:i! t:;U'¡O;)'!''l
~I
'I
3, G.n.rator', Nom. and Mailing Addr...
nA:n:g{;·~~ C)\J{ï;¡1\, if! i
'H!H r,¡rBLC P,i)?).D
r, 1\.1( F.: n. i:~ f.' n-; l,D ; ('}i 9 ;i.' ,:; f:, i:
4, G.n.ratar's phon. l7,f1 :1)¡~:>J.<~':,n'
S, Transport.r 1 Company Name 6, US EPA 10 Number
;~.fJAM,:,) ,~fH',J:Ln;,?I ,PIC' ,
7, Transporter 2 Company Name
9, Designated Facility Name and Site Addre..
fJLH8tl/:,:.,i r E:¡l[)'::": 'I I
¿(Ion n" J'tL^},r,:;D,~\ :,'1'91: \':'1'
ct-:~'m'l'i.·-n, CA ':';1~,:';'~,:
H,
11, US DOT Description lincluding Proper Shipping Name. Hazard Class. and ID Number)
12. Containers
No, T e
13, Total
Quantity
a, t¡I,:'!)" Pn-~J\, fl.it;~A!,~Y .In ¡#,3'1'1:~ Î,IQíJ! f.!
I,' \'."I'i, r, '"'.t\rl'Ef~"
b,
d..;
..Ø_d....~..
c.:".
d,
~~~j~~~r1~,ii~7tàii~h~~~!,t,~~'~Þ~¡:~;!
-." . '.(.'
15. Special Handling Instructions and Additianallnlarmation
~WnH) !f,,('f! I,:,rmtl,l,f..~r ~; Wr.;,M!;fHW\'H'J\ (:H:íJVí':~
fa~JR Or'G'NAJ.
Þ~J~Y.i::;',i\~~;~;~j ')/ /: ,i~.r3~,¡ ,b ....!', 1. J
~Á-{~ì~p ~'¥.~.!l~Et'; P.~::~.A¡l~\·
~·i<~ '.:~ 0 .~
'I,
16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name ,and are classilied, packed,
marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and national government regulations.
If I am a larg. quantity g.nerator, I c.rtify that I hay. a program in plac. to reduce the volume and toxicity 01 waste generated to the degree I have determined to be economically
practicable and Ihall have selected the practicable method 01 treatment, storage, or disposal cu"enlly available to me which minimizes the present and luture threal to human health
and Ihe .nvironment; OR, ill am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is
available to me and that I can allard, .. .. '.. ' "
I.' ~ .. \', . '1., " ~
T
R
A
"
S'
P
o
R
T
E
R
j/
I
\ ~
F
A
C
, I
1
I
T
Y
19, Discrepancy Indicalion Spac.
, ,<
crtlflcatlon of roeol
"j I. mcmi 0.' o"c;o t g. notad in hom 19.
t of hoxordou. matoriol. c;oyorod
~ig"1~é_"
,/
, ...".(~:?.._.
._Ie
."
/.~. '~. .
DO. ,NOT WRITE, BELOW THIS LINE. '''.._......... ..
.,04~~~:::::~'~:';':.,
DTSC 8022A (1/99)
EPA 8700--22
Green;
TRANSPORTER RETAINS
DATE
."'-. '.
'./
, ,--;
':," 'j
. ',' oJ
I
,¡
",
!
~,
j
:1
:¡
1
i
1
.i¡;
e
e
I J?:.
,
b --... I
f)t)~1';f~ a MI!
.. "':.~ ~5 ,;::.:~~
i·, ~' W'D :fIij' " ~. Li' D'
"",. d';"'" ..-". 'f'"_:, ~" '" ;'~_ ~'" ."_' .,. -L:,_,,;.~.__,
~'-'- .,.': ~,-, 0:-' .<'. þ' 'x.: --, f" :'~'
SERVICE ORDER
#
'MO",,' ,., 5~74
¡, ~\ ~ u '~
~ Tank Cleaning ~ Industrial and Hazardous Wáste Services
406 E. Alondra Blvd. . Gardena, CA 90248-2902 . Tel.: (310) 523-4430· Fax: (310) 523-1518
SITE NAME t</\ ¡ ¡\; ::~j\J\I
'. ',. ",.."
i ,',
L. L f.J )~'-~7 .)'
...-..... -. \
~..~; (.,,,~, \,' ·L/·. :',~ !'~+
, '
GENERATOR NAME .!~:,'
,.
;;¡", ~ ¡
SITE ADDRESS '" ':1 :.
t/-,.i'¡:. ,_ ).""'. ¡ : "IJ'4i.,......y.
',i '.J. /,1 I' (' ('", I ", \ H " r"_
" '.......... _" ,_ .. " r '-
i ~ .....
'-,./1" ~:;. GENERATOR ADDRESS
CUSTOMER NAME:
'"
b.; ,i.. S
(1 ~- ~ ~,.'
\., / ¡'.j",,:' I
GENERATOR PHONE:
¡.. .
(';~."". \ .':"~·i ~
,;" _:~ , i
¡
I
j
I
~\
I
J
)
,;
//... /'~ í ' ,--:,:/...: I~- -;:-', ~'-. /.....
: ': ' ,K. C "',.J I ' c. L v
~~<~:/_~~.)~j'
,
"';- ",'
4, ,.
.'
-,'
"," ¡, ~
.. ;.
EPA# " :':,
. ~.
/.'"~:'" ),'.~ -" '. ~.~_. (¡ l .~.. L:·' i->..,
, I.· ,.., ì
CONTACT:'-',-, I:: r ('.". 'j
/i !
P.O.# II -II )JÍ' I
PHONE:
/'¡ '",
....r,.,-
. ,ji...li /
" ,
",
, ---
¿..,! ,~) /
MANIFEST #
,I
7
,,-;,- J),j/-- 0¡
z G 1 XC¡. (,' SERVICES PERFORMED
/ / ( ,'¡ : ) ..'¡'
..."",,~. ,_ .... ........-.1 ~ : ("}... :. ~-' -:-
J
,A _Ifot/
~
EQUIPMENT NEEDED
CLEANING CREW: ¡\:(:,r¡\"
Al
(, () ß I.~
CRANE:
VACUUM TRUCK: ¡\ '(i:'\,'
FLATBED(S):
DEGASSER:
1\' (i
CHEMIST:
OTHER:
DRY ICE:
JOB NOTES
HOURS
¡-,
ff
7-12 JL,j
ù\J(,J' ),If.
1~ír E: l.
, ;
SCHEDULED START', ;'.,::¡ (\ I
I','"',, '^I
yo u
~ Alto/\.''::' Tì),.al..
( ~ I\A ( p.,....,J l A r¿ A ' {, i ,'V ~~D~R QtlIGIN,t1\ t
LEAVE SITE:
'Ai)!,)
STANDBY:
DRIVER
¡}t
'.I\I,!\I\v"¡gdi'lr!'¡¡5:.r'd(:es,co~{(,/;)~"" " <' .
(' ,../!,,\-(1-- I I v rJ CUS;OMER SIGNATURE;'\ -, ,h'" .
,
,
/ '~~':
'\" '
/"
,.:.¡.;.\ :1:!
. ./'
,',!CL.~ý :
, '
".,/;
... S!Ote,oU;~lilornio-Environmenlol Prolection Agency __
-form Approved OM8 No., 2050-0039 (Expire. 9·30·991
Plea.e prinl or type, Form de.igned for u.e on elite (12· typewriter,
o
10
10
......
N
10
ex)
6
o
r-~
b~
'I --
'---
'~ «'
i~U
'(O~'
h.z
I. " 0::
!N2
I' -
N<
U
Z
:I:
¡-,.,
~
N
o
ex)
ex)
..:r
N
'<t
6
o
~
0::
W
I-
Z
W
U
w
II)
z
o
Q..
II)
W
0::
<
Z
o
~
«
z
w
:I:
I-
--
--
«
U
--'
--
ã:
II)
0::
o
>-
U
Z
w
<D
co:
ID
~'
W
ü.:..
o
w
II)
«
U
~
See Instructions on bae page 6.
Deportment 01 Toxic Sub.lonce. Control
Sacramenta, California
Inlarmatian in Ihe .haded area.
is not required by federall~w,
J
'[
\1
+
!
ì
I
¡
i
'I
i
I
UNIFORM HAZARDOUS
WASTE MANIFEST
1, Generator's US EPA ID No,
Manifest Document No,
2, Poge 1
~L -\
01"'
1
222664,07'
3. Generator's Name and Mailing Address
J..ti1::»'\ :
J:AMIE3 ELHOO'fY
A. State Manilest Document Number
RJ.IHBO¡'¡ CARw7d H
3951 WIBLE R::'~.IJ
BAKER3FIELD, CA S2209
8, Stote Generator's ID
4, Generotor'. Phone p61 )1831·.;331t
5, Transporler I Compony Name 6, US EPA ID Number
,":.
G
E
N
E
R
A
T
o
R
c,
C,
ADlU13 3ERVICE~, INC.
>,' D, Transpò'rter's phone
E, State Transporter's ID [Reserved,]
7, Transporter 2 Company Nome
¡
¡
!
I
I
I
j
\
t
I
II
1
..9...,.DJUjg¡¡!;\Iid faciJjn- ~~ qndSite Address
Dt:ME1'1!1\.)¡ KE;HD'.x..~N
2000 N_ A~~ŒD^ ~TR£ET
COMP'i')Nr CA 90222
f, Transporter's phone
10, US EPA ID Number
,'f
13, Totbl
Quantity
14, Unit
Wt/Vol I.
II, US DOT DelCription (including Proper Shipping Name, H~zard Closs, and ID Number! "
1 2, Containers
No, Type
a,HO¡-t,-CP-À flÁZt..RDOU3 WÀ3TE LIQUID
(OIL Ii WJ.TER)
b,
d,
J, Additional Descriptions lor Malerials listed Above '
99\'WAn:R, U OIL "
a,
c,
15, Speciol Hondling Instructions ond Additionollnlormation
^\~lD ~yt t~~TÁL-r & ~AR RU6~tR GLOÇ'~
{"",' "~.':-.r;,! Ù.;}ll
~~~~:.'jj. l.;IBLf: 1~"C'.6.D
~Ai{~~~~rIfLD ; ~A ~3Jù9
16, GENERATOR'S CERTIFICATION: I hereby declare that the contents 01 this consignment are fully and accurately described above by proper shipping name and are classilied. packed,
marked, and labeled, and ore in 011 respects in proper condition for transport by highway according to applicable international and nationåf government regulations,
If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically
practicable and that I have selected the, practicable method 01 treatment, storage, or disposal currently available 10 me which minimizes the present and luture threat to human health
and the environment; OR~ ill am a small quantity generator, I have made a goac;Uaith ellort to minimize my waste¡¡eñe~ation <:ßd select the best waste management method Ihat is
available to me and'that I can allord, A , ", . ",.... , "...}', ,/
rinted/T~~ame ,
.. )/A !VIe L
¡
\,
{
1"1
"
t
.~ ;
il
¡I
:1
J.
I
¡,
0'
I
," !
'.' ,/~. .¡." /'
'~), C ,/ í,f-?
. "l--','. '.-:..(....
T
R
A
N
S
P
o
R
T
E
R
,"\
-' :
ement 01 Recei t 01 Materials
t
/ } ...... .~,
i,
"
,
/! /'
18. Trans orter 2 Acknowled
Printed/Typed Name
F
A
C
I
L
i
T
Y
19, Discrepancy Indicalian Space
@JOOR O~IGINAL
20. Facili Owner or 0 erator Certification of recei t of hazardous materials covered b this manifest exce t as noted in Item 19,
Printed/Typed Name Signature
DO NOT WRITE BELOW THIS LINE.
DTSC 8022A (1/99)
" :~I'A, F0o-22
Blue:
To:
GENERATOR SENDS THIS COPY TO DTSC WITHIN 30 DAYS,
P,O, Box 400, Sacromonlo, CA 958 ¡ 2,0400
I
e
e
p1010025,jpg (12BOx960x24b jpeg)
~)OOR OftlGINAL
-
-
p1010024,jpg (1280x960x24b jpeg)
:-:-----::1
:
POOR OR'GINAIl.
:.¡\ '. \,
e
e
p1010023,jpg (12BOx960x24b jpeg)
¡f)OOR ORIGINAl
e
-
:1
I
p1010022,jpg (1280x960x24b jpeg)
I'
f ~
..1,/
.:?
/?
, I
/POOR '
, ,>,:",,~RIGINIM~
';¡'''' .
e
e
p1 01 0021,jpg (12BOx960x24b jpeg)
POO" Q ,
, "~', ;.', "'ltlI1/44.
e
e
p1010019,jpg (1280x960x24b jpeg)
Poo" .
. . ~RI(;INAl>
e
e
p1010028,jpg (1280x960x24b jpeg)
!JOO/f Q .
, -, ,'II/GINA
¡{
e
e
p1010027.jpg (12BOx960x24b jpeg)
'OOR OR!GINþt
e
e
p1010026,jpg (12BOx960x24b jpeg)
'-""1WiIiI!'- ~_. ".~.,,~
I
.. t i
~J
..-. '''',,~ --....- "-
..
".~
.'
-,,;,...:......;;..,
~.
~OOR ORIGINAIL
e
e
p1010018,jpg (1280x960x24b jpeg)
ÞOOIl O~ .
":_. 1GINIIl.
e
e
p1 01 0017,jpg (1280x960x24b jpeg)
POOR .
ORIGINAL'
e
e
p1010016,jpg (1280x960x24b jpeg)
POOR ORIGIN/U
e
e
p1010015,jpg (12BOx960x24b jpeg)
'OOR ORIGINAl
BAlŒRSrIELD FIRE DUARTIJP'l'
e EHVIRONDHTAL SDVI~
- 171.5 Chester Ave., ,
Bakersfield, CA 93301
(805) 326-3979
TANK RDOVAL INSPECTION PORII
ADDRESS ji'H w,{,{, ~
PERMIT TO OPERA~' - ~~ <7:;1
CONTACT PERSON l (' IÅ
tOFSAMPLES
FACILITY
OWNER
CONTRACTOR
LABORATORY
TEST METHODOLOGY
. PRELIMANARY ASSESSMENT CO.
CO2 RECIEPT
CONTACT PERSON
LEL' 02'
PLOT PLAN
\N
..
·1
,¡
It r- rir
1-- I~ I j ,~ I I ~
I - 1'\1) 'i;,)
I ... ,-
r Ii. I .. I ~
I 'J.. I~ I"¡" fç:X 'i- I~
r- - i I:- .--' L:-I
'f.. ::: So.~\ö
CONDITION OF TANKS ~c>ti
CONDITION OF PIPING
CONDITION OF,SOIL
~d CtJ/o 3
DATE
.,
,*,~}t (Jnl('TilIIJJ
'INlPECTORI HAIlE
.IGIIA1'UII
\ . .
1'7
_ Permit No.
-_ CITY OF BAKERS.LD .~ '
OFFICE OF ENVIRONMENTAL SERVI~ÉS--O)~Ò
1715 Chester Ave., Bakersfield, CA (661) 326-3979 VCLA-
PERMIT APPLICATION FOR
REMOVAL OF AN UNDERGROUND,STORAGE TANK
CITY
HONENO.gU-/ðU LICENSE NO. 7f2.e/f4
CITY e~ñ;::J ZIP ð ~
WORKMENS COMP NO. £2f - ðtJ I ?4.-r;- ¿:)
PRELIMINARY ASSESSMENT INFORMATION
COMPANY ß (!. L A-~ PHONE NO. LICENSE NO.
ADDRESS CITY ~~rp ZIP &
INSURANCE CARRIER WORKMENS COMP NO. .
TANK CLEANING INFORMATION ' ,
COMPANY fiQ,¡ð/l4~ ~(//~~ PHONE NO. ("310) Jl!5Ø5 -443.0
ADDRESS #ðú 6· "t:JlóLI/?~ !J,,,,//? CITY G""',e~^/,4- (!;4- ZIP Ø'ðZ4X
WASTE TRANSPORTER IDENTIFICATION NJ1.MBER ~:z I~
NAME OF RINSATE DISPOSAL FACILITY .t/¿=.MEú/<.!()/ J<g:."ç::t:KJA/
ADDRESS ~ð()D AI· ¡:lL,oJV1 B;7A ðA ð B S~ ~"",P/CJN (1,4 ZIP ?¿)~?~
FACILITY IDENTIFICATION NUMBER r, óo/~";;Z
TANK TRANSPORTER INFORMATION
COMPANY /!OþYl.4 ~Vlð~ PHONE NO. I ( LICENSE NO.
ADDRESS ' , CITY, ( ZIP "
TANK DESTINATION IIfI &o¿O,ç,<f -~.4~ ~(! eA-f'?
TANK INFORMATION
AGE VOLUME
,'Zit!-
'2~
,z.~
CHEMICAL
STORED
&~
Ô"A-?
é?~
DATES
STORED
CHEMICAL
~?USL Y STORED
" ttJ,(/' ,/
, I
, I
TANK NO.
)
'Z-
~
THE APPLICANT HAS RECEIVED, UNDERST ANDS, AND WILL COMPLY WITH THE ATTACHED CONDIT IONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS.
LETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE
APPROVED BY:
o #fil¿:=
APPLICANT NAME (PRINT)
THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Slreel
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' ENYIRON/lÐlTAL SERVICES
" '1715ChesterAve.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chesler AvÌ!.
Bakersfield. CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
, 1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
e_
-e.
January 22, 2003
Rainbow Car Wash
3951 Wible Road
Bakersfield CA 93309
RE: Upgrade Certificate & Fill Tags
Dear Owner/Operator:
Effective January 1,2003 Assembly Bill 2481 went into effect. This
Bill deletes the requirement for an upgrade certificate of compliance
(the blue sticker in your window) and the blue fill tag on your fill.
You may, if you wish, have them posted or remove them. Fuel
vendors have been notified of this change and will not deny fuel
delivery for missing tags or certificates.
Should you have any questions, please feel free to call me at 661-
326-3190.
Sincere/,¡
)jff£.~
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
"\r~d!e Wty~ ~ ~0Pe.9'"'bt, A W~.,.,
, ,
~' Complete items 1, 2, and 3. Also complete
.r item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits,
1, Article Addres~d to:
KAMLES ELHOUTY
RAINBOW CAR WASH
3951 WIBLE RD
BAKERSFIELD CA
93309
2, f
D, Is delivery address different from item 1?
If YES, enter delivery address below:
3, Service Type
IX) Certified Mail
o Registered
o Insured Mail
o Express Mail
o Return Receipt for Merchandise
o C.O.D,
~
I
]
102595:02'M-0835
4. Restricted Delivery? (Extra Fee)
DYes
7002 0860 0000 1641 6087
! PS Form 3811, August 2001
Domestic Return Receipt
UNITED STATES POSTAL SERVICE
e
First-Class Mail ~ '
Postage & Fees Paid
USPS
Permit No, G-10
-'
· Sender: Please print your name, address, and ZIP+4 in this box ·
BAKERSFIELD FIRE DEPARTiV¡ENT
OFFICE OFEN-VIRONrv~ENTAL SERVICES
17i5 Chester Av~nue Suite 300
Bakersfie!d, CA ~301
I~
1c(J
, e
I
1....[1
:,...:¡
I =t"
. ..0
I ,...:¡
,
CJ
e
e
CJ
e
1..0
¡I:ÍJ
e
lru
Ie
, e
,I"-
'." :;"'~"Y ' \. ,,~, ,'l:,!J:~~'r,.'. «,,-':;.:>1f\!r,</,£ '';; "t'k"f,,,,~.j,...,~'r;.. "'¡",1~~<h
US \Po'stàl Service' " '.,,'1 1 ,,,,,.;"ì)~; ~i.'~;'¡;':';;i~;,w:~r~5'~Íf'¡!;~"d~(il~;í1-~
. . ~ 1;} ~ V' ,~, ii" J 'j ': . >' 't: ....,. ,,"
' CERTI~'r:O MÀIL RECEIPT ,,'.., '. ), , '"
(Domes\ ìail Only; No Insurance Coverage Provided)
"--- '
FICf
-" .,
.;
Postage $
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $
Postmark
Here
Sent To
KAMLES ELHOUTY
si;ëëi;Äpi:·Ñõ:¡..············..····..····_··_···.._.....·.................................-
or PO Box No. 3951 WIBLE RD
ëitŸ.·šiåie;¿,iP;·1j~~;~m..·~···_·93·3Ö·~··.....···..···.._···.....
:" '. "
I Certified Mail Provides:
I . A mailing receipt
! . A unique identifi~r for your maiipiece
. A signature upon delivery
· A record of delivery kept by the Postal Service for two years
Important Reminders:
· Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
· Cèrtified Mail is not available for any class of international mail.
· NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail. '
· For an additional fee, a Return Receipt may be requested to provide proof of
delivery, To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is
required.
· For an additional fee, delivery may -1)'a restrio~d to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery". ~
· If a postmark on the Certified MailÎ'eceipt is[fesired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not ne~ded, detach and affix label with postage and mail.
IMPORTANT: _hiS receipt and present it when making an inquiry.
PS Form 3800, April 2002 (Reverse)
102595-02·M·1132
.'
1
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION'SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
, PREVENTION SERVICES
FIRE SAFm SERVICES' ENVIROHIlENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 32e.o576
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
-
-
-:¡1 .\ '"
'}-,
('
January 15, 2003
:...'~J'~~'
Kamles Elhouty
Rainbow Car Wash
3951 Wible Road
Bakersfield, CA 93309
I
I
CERTIFIED MAIL
NOTICE OF VIOLATION & SCHEDULE FOR
COMPLIANCE
RE: Proper Closure of Tanks at 39'51 Wible Road in Bakersfield
Dear Mr. Elhouty:
Per our telephone conversation on Tuesday, January 14,2003, you
informed this office that you plan to remove your underground storage
tanks. You are advised that you have until Thursday. March 6. 2003 to
properly close (remove) your tanks. Failure to comply will result in
further enforcement action.
For your convenience, I faxed you a coy of a contractor list to aid yo.u
ún your selection of a contractor. If I can be of further assistance,
please feel free to contact me at 661-326-3190.
Sincerely,
Ralph E. Huey
Director of Prevention Services
bY~~
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
, I
SBU/de
""7~ ~ '7?~~ .¥'OP ~0Pe ..7kt, .A 7?~?'I'I
I
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 oW Street
Bakersfield. CA 93301
VOICE (661) 326·3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 oW Street
Bakersfield. CA 93301
VOICE (661) 326·3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAfETY SERVICES. ENYIRONIIE//TAL SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715ChesterAvè. ,
Bakersfield. CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661)326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield. CA' 93308
vOice (661) 399-4697
FAX (661)399-5763
I>
--
-
January 13, 2003
Rainbow Car Wash
3951 Wible Rd
Bakersfield CA 93309
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
ýour facility as soon as possible.
Should you have any questions, please feel free to contact me at 661-
326-3190.
Sincerely,
~~
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
--Y~bfe ~~ ~ ~0P6,ff~ J6 ~~"
. - . ' ".
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
1, Article Addressed to:
KAMLES ELHOUTY
RAINBOW CAR WASH
3951 WIBLE RD
BAKERSFIELD CA 93309
1"\ A~" . I
3, Service Type
zlgl Certified Mail
o Registered
o Insured Mail
1"L-Z-iJL
DYes
o No,
I
I
I
I
I
I
102595.02.M.08351
; ·"H
o Express Mail
o Return Receipt for Merchandise
o C,Q.D,
4, Restricted Delivery? (Extra Fee)
7002 0860 TI0001641 5622
Domestic Return Receipt
DYes
PS Form 3811, August 2001
UNITED STATES POSTAL SERVICE
e
First-Class Mail
Postage & Fees Paid
USPS
Permit No, G-10
I
I
I
I
I
I
I
I
,
I
I
I
I
"
· Sender: Please print your ..(la,me,~address, and ZIP+4 in this box ·
, .....,
BAKERSFIELD FIRE DEPARll\·~ENT
OFFICE OF ENVIRON,\ŒNTAL SERVICES
1715 Chester Avenue, Suite 3DO
Baltersfield, CA 93301
I1J
I1J
...D
Lr
M
::r
..J]
1M
11::1
, 1::1
1::1
,1::1
11::1
;.n
I~
I~
I~
, ~ ,,",~'\ ' ., ~..-:~- "'''~~'"J' ·!$;;!:"';:J;;f~.::.~;;~~;-¡;t::'<ÿ~ ~l\ i~!tr2::t~':,f:~,
U.S. Postal Service, >,', . '. J !\", ",,' ó: ",I /'1c '", .'
'¡CERTlfIED MAIL RECÈIPT " .' " ~ ' ," " "
(Dome! '¡¡fail Only; No Insurance Coverage Provided) ,
\.../ '
Postage $
Certified Fee
Postmark
Return Receipt Fee Here
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $
Sent To
KAMLES ELHOUTY
s;;éëi;Ä;iï.·Ñõ:¡····..·····..··-···-···-..··..···-....-···-··-.........................-.....
~~~~-~~.~~:...._.~2.~.L~!~!:~...~..._...._............................._...
CIIy,Stat..ZlP+4 BAKERSFIELD CA 93309
: " :,. ..
'. Certified Mail Provides:
. A mailing receipt
· A unique identifier for your mail piece
. A signature upon delivery ,
· A record of delivery kept by the Postal Service for two years
Important Reminders:
· Certified Mail'may ONLY be combined with First-Class Mail or Priority Mail.
· Certified Mail is not available for any class of international mail.
· NO INSURANCE COVERAGE IS PROViDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
· For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mail piece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is
required.
· For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery"."f ~,~
· if a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking, If a postmark on the Certified Mail
receipt is no.eded, detach and affix label with, postage and mail.
IMPORTANT: this receipt and present it when making an inquiry.
! PS Form 3800, April 2002 (Reverse) 102595-02-M-113'
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "HO Street
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395-1349
SUPPRESSION SERVICES .
2101 "W Streel
Bakersfield, CA 93301
VOICE (661) 326·3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFm SERVICES. EHVIRON/lEHTAl SERVICES
1715 Chester Ave.
Bakersfield. CA 93301 '
VOICE (661) 326·3979
FAX (661) 32€H0576
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326·3696
FAX (661) 32€H0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326.{)576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399·5763
.
-
-,-,
-~
- D~embêf 9. 2002
Kamles Elhouty
Rainbow Car Wash
3951 Wible Road
Bakersfield, CA 93309
CERTIFIED MAIL
NOTICE OF VIOLATION &
SCHEDULE FOR COMPLIANCE
RE: Tank Components Not Meeting Code
Dear Mr. Elhouty:
This is a follow up to our meeting on Friday December 6, 2002. I was asked
by Mr. Bruce Hinsley of Cal Valley Equipment to stop by last Friday and
observe his finding as it relates to your underground tank system. Several
problems were uncovered.
As you are aware, the City of Bakersfield Fire Department did not take over
the underground storage tank program until November of 1991. This office
relied heavily on documentation from Kern County Environmental Health as
a basis for underground storage tank compliance. Having said that, there
appears to be an inconsistency in what is documented in your file with regard
to piping components. These are as follows:
1. The piping listed on the county checklist indicates 2" A.O. Smith
Fiberglass Pipe, when in fact, you have steel pipe.
2. Your Form B lists DWF (double wall fiberglass) from 1991.
3. Your updated Form B from May of 2000 also shows DWF.
4. The riser coming out of your tank is PVC and not steel (cannot use,
fiberglass).
You are therefore required to either bring the tanks up to current code or
properly close them (remove). An office hearing has been scheduled for
Tuesday, January 14, 2003 at 10:00 a.m. Please plan to bring your work plan
and be prepared to discuss what action you plan to make with régard to your
tanks. Should this not be an accepta.ble time, please call my office and we
can reschedule.
Sin:¡e,re ,
/ I /' .._.f'
~ .
Steve Underwood
Fire InspectorlEnvironmental Code Enforcement Officer
Office of Environmental Services
~~y~ ~ ~~ ~ ~OPe.o/~ A ~~"
· Complete items 1, 2, and 3, Also complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you,
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1, Article Addressed to:
(
RAINBOW CAR WASH
3951 WIBLEROAD
. ¡c--':3AKERSFŒf:D CA 93309
II .
I ~ -
,
Ie
I
, PS
1
I
3, Service Type
o Certified Mail
o Registered
o Insured Mail
I
I
I
I
102S9S-02-M'083sl
o Express Mail
o Return Receipt for Merchandise
DC,Q,D,
4, Restricted Delivery? (Extra Fee)
DYes
Q9~O 1b41' ;5'1'4,1 '~
Domestic'Return ecelp
V
,1
.,
, I
UNITED STATES POSTAL SERVICE
4jt:,
First-Class Mail
Postage & Fees Paid
USPS
Permit No, G-10
I
-
· Sender: Please print your name, address, and ZIP+4 in this box ·
BAKERSFIELD FIRE DEPARTMENT
OFFiCE OF ENVIRONMENTAL SERVICES
1715 Chester Avenue, Suite 300
Bai<ersfi8td, CA 93301
illll 111111 11111111111111111111 ;1 I ì 1111111111111111111111, ! II
'0
o
o
o
o
, C I
Postage $
;:~
Certified Fee
I Retum Receipt Fee
o (Endorsement Required)
'...a
<t! Restricted Delivery ,Fee
o ¡endorsement ~~Ulred)
I g;: I RAINBdW CAR WASH
'R13951 Wn3LEROAD
· ! BAKERSFIELD CA 93309
i
Postmark
Here
~~~'~"~Ill"
~~
,
!.~
1.=..,.....-......./ '
~
Certified Mail Provides:
.¡A mailing rec!,!ipt
. A unique identifier for your mail piece
. A signature upon delivery
· A record of delivery kept by the Postal Service for two years
Important Reminders:
· Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
¡ · Certified Mail is not available for any class of international mail.
· NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
· For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is
required. (~ :~
· For an additional fee, delivery mÈ¡y be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the i
endorsement "Restricted Delivery". '
," · If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT:e this receipt and present it when making an inquiry.
PS Form 3800, April 2002 (Reverse) 102595-D2-M-1132
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY SERVICES' EIMRONIlEHTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX(661)32~576
PUBLIC EDUCATION
1715 Chester Avè.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 32~576
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
-
~ of, .';'.~
I
I
I
I
~/--0
December 1, 2002
Rainbow Car Wash
3951 Wible Road
Bakersfield CA 93309
CERTIFIED MAll.
FINAL REMINDER NOTICE
JANUARY 1, 2003 DEADLINE
Dear Tank Owner/Operator:
You will be receiving this letter on or about December 1, 2002. One
month from today, January 1,2003, your current underground
storage tank(s) will become illegal to operate. Current law would
require that your permit be revoked for failure to perform the
necessary Secondary Containment testing.
In reviewing your file, I see that you have received "Reminder
Notices" since April of this year. This is your last chance to comply
with code requirements for Secondary Containment testing prior to
January 1,2003.
Should you have any questions, please feel free to contact me at 661-
326-3190.
Sincerely,
1t~
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
~"Y~ de W~ ~ ~0P6.r~ ./6 W~"
Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpjec~
or on the front if space permits. ~,
1, Article AddresSed to:
RAINBOW CAR WASH
3951 WIBLE RD
BAKERSFIELD CA 93309
DODD· :1~::+,
. -~:'>......-.
3, Service Type
:f:¡ Certified Mail o Express Mail
o Registered 0 Return Receipt for Merchandise
o Insured Mail 0 C,Q,D.
4, Restricted Delivery? (Extra Fee) 0 Yes
I
I ít~'- 7E1- 2 D8bD
I "eš.totWJ~81(~tÀugust 2001
" ~ nT~\.Y,
Domestic Return Receipt
102595-02-M.0835¡
UNITED STATES POSTAL SERVICE
. "'"
First-Class Mail
postage & Fees Paid
USPS
Permit No, G-10
· Sender: Please print your name,add'ress, and ZIP+4 in this box.
f
I
I
I
I
I
I
I
I
I
I
I
BAKERSFIELD FIRE DEPAR1ì\JiENT
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chesær Avenu{t, Suite 300
~~kGrsflEMd,CA 93391
I
~i::::7'::;:i i ./:S2. i =:=
,
111111 ! I II, 11111/1 , 11111II1 i 1111;1 ¡ 11111111111111111, r. j Iii I11I
Lr
rr
'rr
, ...0
I,;
. .:::t"
..D
r-'I
'a
la
a
, a
a
'..D
<:Q
a
ru
a
a Sent To
¡ f'-
Postage $ ~h '-.
Certified Fee
Postmark
Return ReCeipt Fee Here
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $
::tifl:~~~:¡·i95ï·_·WÏB"LË··ÏÜj·······--··--············"··-'......._...
ëitŸ.Šià;ë:ž7P;·4jjÃiŒiis·¡;ÏËiñ·-ëÄ····-9·33·Ö9···········_·····.-...-.
RAINBOW CAR WASH
:.. .t. "
" Certified Mail Provides:
· A mailing receipt ~.
· A unique identifier,f<;>ryour mail piece
· A signature upon delivéiy
· A record of delivery kept by, the postal Service for two years
I Important Reminders:, '
· Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
· Certified Mail is not available for any class of international mail.
· NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
I . For an additional fee, a Return Receipt may be requested to provide proof of
delivery, To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mail piece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS postmark on your Certified Mail receipt is
required. . Þ.-<-
. For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement" Restricted Delivery".
, . If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on thè Certified Mail
receipt is not need!;!d, detach and affix label with postage and mail.
IMPORTANT: saeiS receipt and present it when making an inquiry:
PS Form 3800, April 2002 (Reverse)
1 o2595-o2-M: 1132
FiRE CHIEF
RON ;;RAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAfm SERVICES. EIIVIROHIIENTAL SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBUC EDUCATION
1715 ChesterAvè.
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
.
--
r~
;-
October 31, 2002
r"".,;
/../~'- - ,,-
Rainbow Car Wash
3951 Wible Road
Bakersfield CA 93309
CERTIFIED MAIL
REMINDER NOTICE
RE: Necessary secondary containment testing requirements by December 31,
2002 of underground storáge tank (s) located at the above stated address.
Dear Tank Owner / Operator,
If you are receiving this letter, you have !!2! yet completed the necessary
secondary containment testing required for all secondary containment
components for your underground storage tank (s).
Senate Bill 989 became effective January 1,2002, section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary
containment components upon installation and periodically thereafter, to
insure that the systems are capable of containing releases from the primary
containment until they are detected and removed.
Of great concern is the current failure rate of these systems that have been
tested to date. Currently the average failure rate is 84%. These have been
due to the penetration boots leaking in the turbine sump area.
For the last six months, this office has continued to send you monthly
reminders of this necessary testing. This is a very specialized test and very
few contractors are licensed to 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. bv the necessary deadline. December 31.2002. will result in the
revocation of your permit to ODerate.
This office does not want to be forced to take such action, which is why we
continue to send monthly reminders.
.t....._..
Should you have any questions, please feel free to call me at (661) 326-3190.
Sijlk .
s'eveunde~
Fire Inspector/ Environmental Code Enforcement Officer
Office of Environmental Services
--7~ de ~~ .¥OP v#60Pe .rbt, A ~~"
FiRE CHIEF
~ON FRAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "W Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY SERVICES' ENVIRONMENTAl. SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326"0576
PUBLIC EDUCATION
1715 ChesterAvè.
Bakersfield. CA 93301
VOICE (661) 326-3696
FAX (661) 326"0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
e
-
September 30, 2002
Rainbow Car Wash
3951 Wible Road
Bakersfield CA 93309
REMINDER NOTICE
RE: Necessary secondary containment testing requirements by December 31, 2002 of
underground storage tank (s) located at the above stated address.
Dear Tank Owner / Operator,
If you are receiving this letter, you have not yet completed the necessary secondary
containment testing required for all secondary containment components for your underground
storage tank (s).
Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety
Code) of the new law mandates testing of secondary containment components upon installation
and periodically thereafter, to insure that the systems are capable of containing releases from
the primary containment until they are detected and removed.
Of great concern is the current failure rate of these systems that have been tested to date.
Currently the average failure rate is 84%. These have been due to the penetration boots leaking
in the turbine sump area.
For the last five months, this office has continued to send you monthly reminders of this
necessary testing. This is a very specialized test and very few contractors are licensed to
perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out.
The purpose of this letter is to advise you that under code, failure to perform this test, by the
necessary deadline, December 31, 2002, will result in the revocation of your permit to operate.
This office does not want to be forced to take such action, which is why we continue to send
monthly reminders.
Should you have any questions, please feel free to call me at (661) 326-3190.
Since~ ~
Ste~rwood
Fire Inspector/ Environmental Code Enforcement Officer
Office of Environmental Services
""Y'~ de W~ .ÇOP ~0P6 y~ ..A W~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 oW Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 oW Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE sum SERVICES' ENVIROHIIEHTAL SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 32EH>576
PUBUC EDUCATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3696
FAX (661) 32EH>576
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) 399-4691
FAX (661) 399-5763
-
e
September 30, 2002
Rainbow Car Wash
3951 Wible Road
Bakersfield CA 93309
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 1,2002.
This bill requires dispenser pans under fuel pump dispensers. On
December 31, 2003 which is the deadline for compliance, this office will
be forced to revoke your Pennit to Operate, for failure to comply with the
regulations.
It is the hope of this office that we do not have to pursue such action,
which is why this office plans to update you. I urge you to start planning
to retro-fit your facilities.
If your facility has been upgraded already, please disregard this notice.
Should you have any questions, please feel free to contact me at 661-326-
3190.
Si:;1 ~
Steve Underwood
Fire Inspector/ Environmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
~~y~ ~ W~ ~.A~ ykt, A W~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chester Ave,
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave,
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
e
e
August 30, 2002
Rainbow Car Wash
3951 Wible Road
Bakersfield, CA 93309
REMINDER NOTICE
RE: Necessary secondary containment testing requirements by December 31, 2002 of
underground storage tank (s) located at the above stated address.
Dear Tank Owner / Operator,
If you are receiving this letter, you have not yet completed the necessary secondary
containment testing required for all secondary containment components for your
underground storage tank (s).
Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health
& Safety Code) of the new law mandates testing of secondary containment
components upon installation and periodically thereafter, to insure that the systems are
capable of containing releases from the primary containment until they are detected
and removed.
Of great concern is the current failure rate of these systems that have been tested to
date. Currently the average failure rate is 84%. These have been due to the
penetration boots leaking in the turbine sump area.
For the last four months, this office has continued to send you monthly reminders of
this necessary testing. This is a very specialized test and very few contractors are
licensed to perfonn this test. Contractors conducting this test are scheduling
approximately 6-7 weeks out.
The purpose of this letter is to advise you that under code, failure to perfonn this test,
by the necessary deadline, December 31, 2002, will result in the revocation of your
pennit to operate.
This office does not want to be forced to take such action, which is why we continue to
send monthly reminders.
Should you have any questions, please feel free to call me at (661) 326-3190.
Si~~
Steve Underwood
Fire Inspector/ Environmental Code Enforcement Officer
Office of Environmental Services
~~y~ de W~ ,%;,. ~0Pe .o/~ A W~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave,
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
.
e
August 30, 2002
Rainbow Car Wash
3951 Wible Road
Bakersfield, CA 93309
RE: Deadline for Dispenser Pan Requirement December 31, 2003
REMINDER NOTICE
Dear Underground Storage Tank Owner:
You will be receiving updates from this offices with regard to Senate
Bill 989 which went into effect January 1,2002.
This bill requires dispenser pans under fuel pump dispensers. On
December 31, 2003 which is the deadline for compliance, this office
will be forced to revoke your Pennit to Operate, for failure to comply
with the regulations.
It is the hope of this office that we do not have to pursue such action,
which is why this office plans to update you. I urge you to start
planning to retro-fit your facilities.
If your facility has been upgraded already, please disregard this notice.
Should you have any questions, please feel free to contact me at 661-
326-3190.
Sin~ /',
Steve underw~
Fire Inspector/ Environmental Code Enforcement Officer
Office of Environmental Services
SBUIkr
~~y~ de Wonvnu~ .¥OP ~0Pe ybt, 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. ENVIRONIŒHTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 32€H0576
PUBLIC EDUCATION
1715 Chester Av'e.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 32€H0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 32EH>576
TRAINING DIVISION
5642 VIctor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
'e
41"
July 31, 2002
Rainbow Car Wash
3951 Wible Road
Bakersfield CA 93309
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 1,2002.
i
I
, I
I
This bill requires dispenser pans under fuel pump dispensers. On
December 31, 2003, which is the deadline for compliance, this office
will be forced to revoke your Pennit to Operate, for failure to comply
with the regulations.
It is the hope of this office that we do not have to purse 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.
sincl cWko
Steve Underwood
Fire InspectqrÆnvironmentalCode Enforcement Officer
Office of Environmental Services
SBU/dc
(,(,sP~SE-R~-O~L~~P~N~~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY SERVICES' ENVIRON/lEHTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326-D576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
-
-
July 30, 2002
Rainbow Car Wash
3951 Wible Rd
Bakersfield CA 93309
REMINDER NOTICE
RE: Necessary Secondary Containment Testing Requirements by December
~1, 2002 of Underground Storage Tank (s) Located at
the Above Stated Address. '
Dear Tank Owner / Operator: '
If you are receiving this letter, you have not vet completed the necessary
secondary containment testing required for all secondary containment
components for your underground storage tank (s).
Senate Bill 989 became effective January 1,2002, section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary
containment components upon installation and periodically thereafter, to insure
that the systems are capable of containing releases from the primary
containment until they are detected and removed.
Of great concern is the current failure rate of these systems that have been
tested to date. Currently the average failure rate is 84%. These have béen due
to the penetration boots leaking in the turbine sump area.
For the last four months, this office has continued to send you monthly
reminders of this necessary testing. This is a very specialized test and very few
contractors are licensed to perform this test. Contractors conducting this test
are scheduling approximately 6-7 weeks out.
The purpose of this letter is to advise you that under code, failure to perform
this test, by the necessary deadline, December 31, 2002, will result in the
revocation of your permit to operate.
This office does not want to be forced to take such action, which is why we
continue to send monthly reminders.
Should you have any questions, please feel free to call me at (661) 326-3190.
Sin~~
Steve Underwood to
Fire Inspector Environmental Code Enforcement Officer
""Y~ ~ W~ ~0p.A0Pe!Vbt, J6 W~" .
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
Rainbow Car Wash
3951 Wible Road
Bakersfield, CA 93309
REMINDER NOTICE
RE: Necessary Secondary Containment Testing Requirement by December 31,
2002 of Underground Storage Tank located at 3951 Wible Road.
Dear Tank Owner / Operator:
The purpose of this letter is to infonn you about the new provisions in
California Law requiring periodic testing of the secondary containment of
underground storage tank systems.
Senate Bill 989 became effective January 1, 2002, section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary
containment components upon installation and periodically thereafter, to ensure
that the systems are capable of containing releases from the primary ,
containment until they are detected and removed.
Secondary containment systems installed on or after January 1, 2001 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 pennit issued thru this office and
shall be perfonned by either a licensed tank tester or licensed tank installer.
Please be advised that there are only a few contractors who specialize and have
the proper certifications to perfonn this necessary testing.
For your convenience,.I am enclosing a copy of the code for you to refer to. Once
again, all testing must be done under a pennit issued by this office.
Should you have any questions, please feel free to contact me at (661)326-3190.
since~~
S~rwood
Fire Inspector/ Environmental Code,Enforcement Officer
Environmental Services
_.. .\__ h .
" .,.'
SUIkr
""7~ de W~ ~ ,~OPe.o/~.A W~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chester Ave,
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave,
Bakersfield, CA 93301
VOICE (661) 326·3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
-
e
July 1,2002
Rainbow Car Wash
3951 Wible Road
Bakersfield, CA, 93309
RE: Deadline for Dispenser Pan Requirement December 31,2003 for Site
Location at 3951 Wible Road, Bakersfield.
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.
Sin~ (/4)
Steve' Underwood '
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
""Y~ de 'P~ ~ ~0Pe.r~ .A 'P~"
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
.
May 30, 2002
Rainbow Car Wash
3951 Wible Road
Bakersfield, CA 93309
RE: Deadline for Dispenser Pan Requirement December 31, 2003 on
Underground Storage Tank(s) located at'3951 Wible Road, Bakersfield.
Dear Underground Storage Tank Owner:
You will be receiving updates from this office with regard to Senate Bill 989
which went into effect January 1,2000.
This bill requires dispenser pans under fuel pump dispensers. On December
31,2003, which is the deadline for compliance, this office will be forced to
revoke your Pennit to Operate, for failure to comply with the regulations.
It is the hope of this office, that we do not have to pursue such action, which
is why this office plans to update you. I urge you to start planning to retro-fit
your facilities.
If your facility has been upgraded already, please disregard this notice.
Should you have any questions, please feel free to contact me at (661)326-
3190.
sin;l ~C
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
SBU/kr
~~..r~ de W~ ~ v#!;t'H¥7 g--~ .Æ W~"
Ma~ 10 02 10:32a Allstar/WestStar 559-277-0106
~"_: ,. e e
/~eJ " MONITORING SYSTEM CERTIFICATION
~ For Use By A/I Jurisdictions Within the State of California
. . Authority Cited: Chflpter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, ca/~forn~a Code afRegulations
TIùs fonn must be used to document testing and servicing of monitoring equipment. A separnte certlficanon or report must be prepared
for each monitoring system control panel by the teclmician who performs the work. A copy of this fonn must be provided to the tank
system owrier/operntor. 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: q*5
Site Address: 'B '5
p.2
Facility Contact Person:
MakeIModel of Monitoring System:
Bldg. No.:
City: Zip: 1,5?ù L¡
Contact Phone No.: ( '" I ) y '"3/- J ? It
Date of Testing/Servicing: ~R) f 01
fu-.~ rJe'¡'fl~r 'Uç 0
B. Inventory of Equipment Tested/Certified
Check the a ro riate bcIxes to indicate 5 «¡fie e ui ment ins ectedlserviced:
Ty.nk ID: pre:""""-
!!:J 70- Tank Gauging Probe. Model: (){ 0
!3'þnuJar.Spacc or Vault Sensor. Model: -1 /
ei Piping Sump / Trench Sensor(s). Model: ~/
o ¡ill Sump SeDsor(s). Model:
IZ'Mechanical Line Leak Detector. Model: fLt{J ì,¡:;( I:::ti
o ß]ectronic Line Leak Detector, Model:
C3'Tank Overfi1l / High-Level Sensor. Model: B-¡) (u..,-j
o Other s eci e ui men! and model in Section E on Pa e 2).
~k:m: /hI-
, -Tank Gauging Probe. Model: (frO
IlJ þnuLar Space aT Vault Sensor. Model: --l/'
¡;¡(Piping Sump / Trench Sensor(s). Model: *
\ D¡Fi1l Sump Sensor(s). Model:
r2f Mechanical Line Leak Detector. Model: tt~c..' .!'Y-' k<! t-
Dßlectronic Line Leak Detector. Model:
ct Tank Overfill / High~Level Sensor. Model: (5"'.11 ;::/0,,, t-
O Other s eci ui ment and model in Section E on Pa e 2).
"
Tpk ID: Tank ID:
r!J In-Tank Gauging Probe. Model: 0 0 In-Tank Gauging Probe. Modé::l:
16 Annular Space or Vault Sensor. Model: I I 0 Annular Space or Vault Sensor. Model:
dPiping Sump / Trench Sensor(s). Model: ~ I D Piping Sump / Trench Sensor(s). Madej:
q. Fill Sump Sensor(s). Model: ' 0 Fill Sump Sensor(s). Model:
Ó Mechanical Line Leak Detector. Model: Ii...¡ d )4{'t:1'1 0 Mechanical Line Leak Detector. Model:
a Electronic Line Leak Detector. Model: a Electronic Line Leak Detector. Model:
I cYTank Overfill / High-Level Sensor. Model: &:1 /1 flo., t 0 Tank Overfill / High-Level Sensor. Model:
o Other (speci e ui ment c. ~d model in Section E on Pa e 2). 0 O~er (s ecjfy e ui ment . e and model in Section E on Pa e 2).
Dispenser ID: F~ It { , Dispenser ID: If ( f1
Oßispenser Containment Sensor(s). Model: 0 ))ispenser Containment Sensor(s). Model:
ef Shear Valve(s). c:a' Shear Valve(s).
o Dis enser Containment Float(s) and Chain s . 0 Dis enser Containment Float s) and Chain s .
Dispenser ID: ~ . Dispenser ID: tP- . ,
o ))ispenser Containment Sensor(s). Model: G Dispenser Containment Sensor(s), Model:
e( Shear Valve(s). a Shear Valve(s).
o Dis enser Containment Flcat(s) and Chain s . 0 Di enser Containment Float(s) and Chain s).
Dispenser ID: Dispen.ser ID:
o Dispenser ContaÙ1Jnent Sensor{s). Model: 0 Dispenser Containment Sensor(s). Model:
D Shear Valve(s). t:J Shear Valve(s).
DDi enser Containment' Float(s) and Chain s). a Dis enser Contaimnent FIe s) and Chain(s).
*Ifthe facility contains more tanks or dispensers, copy this fonn. Include information for every tank and dispenser at t~e facility.
C. Certification - I certify that the equipment identified in this document was inspectedlsenriced in accordaace with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufa~rers' checklists) necessary to verify that this information is
correct and a Plot Plan showing the layout of monitoring equipment. For'any equipment capable of generating such reports, I have also
. attached a copy of the repg¡;t;..(check a/UJlat opp,ly): Q System set-u, P 0 ~~ry report
Technician Name (print): J A"iJrJ .J;:.5(i/fJ.fc/:. Signa~: '~
Certification No.: h7.)CS:~P;J~ Lice~e.No.: (;ihìL/:2
Testing Company Name: IJ//@ (' ¡q-.¡ Phone No.:(5£4 ) ...ì7( - ý.i;l()
Site ACidress: 'i b 'frt ¡,J, jet: '(1 ffi I frdFJO" (,;If ~ .OC:¡ '2 Date of TestinglSexvic:ing.: '"J /~_Lj o~
POOR OltlOINAl'
Page 1 of3
03/01
Monitoring System Certification
Ma~ 10 02 10:32a
Allstar/WestStar
-
D. Results of Testing/Servicing
559-277-0106
p.3
.
e
~t
Software Version Installed:
Com lete the foIlowin checklist:
. Yes a No* Is the audible alann 0 erational? ,", .,
Yes a No* Is the visual alann 0 erational?
o Yes No* Were all sensors visuall ins ected, functionall tested, and confirmed 0 erational?
Yes a No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their fa er 0 eration?
o Yes If alarms are relayed to a remote monitoring station, is all communications equipme:lt (e.g. modem)
operational?
o Yes For pressurized piping systems, does the turbine automatically shut down if the piping secon::lary 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) 0 SumptTrench Sensors; 0 Dispenser Containment Sensors.
Did au confirm ositive shut-down due to leaks and sensor failure/disconnection? 0 Yes; a No.
D Yes For bnk systems that utilize the monitoring system as the primary tank overlill warning device (i.e. no
mechanical overfill prevention valve is installed), is the ovexfill warning alann visible and audible at the tank
fill oint( s) and 0 eratin IO rl? If so, at what ercent of tank ca aci does the alarm tri er? %
o Yes* Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all r lacement arts in Section E, below.
Was liquid found inside any secondary containment systems designed as dry systems? (Check!JlI thLIt apply) 0
Product; 0 Water. If es, describe causes in Section E, below.
Yes 0 No* Was monitorin stem set-u reviewed to ensure ro er settin s? Attach set u
Yes a No'" Is all monitorin e ui ment 0 erational ermanufacturer's s ecÌfications?
'* In Section E below, describe how and when tbese deficiencies were or will be corrected.
L Comments: -.1!11 <;,..,. s J """'" eu"f,,,,,,, 1 /;> vt tiv. 1J111y."FiJe ¡:, II ç ,¡¡J1 f1. /1;,/ 5 ,"'$,r 10 fl. f
(i...ù<'< f'¿)ç.4ive ç~+ -dóLlt" ~ A~-' ,
lWOOR OR~GrNffi\,'
Page :z of 3
03101
Ma~ 10 02 10:32a
Allstar/WestStar
559-277-0106
p.4
,.
e
( e
~ Check this box if tank gauging is used only for inventory control.
o Check this box if no tank ga.uging or SIR equipment is installed.
,fI'"
F.' In-Tank Gauging I SIR Equipment:
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
\Complete the followint! checklist:
à Yes a No· Has all input wiring been inspected for proper entry and termination, including testing for groun¿ faults?
Ci Yes a No· Were all tank gauging probes visually iDspectedfor damage and residue buildup?
I!J Yes a No* Was',accuracy of system product level readings tested?
tSI Yes 0 No· Was accuracy of system water level readings tested?
!J Yes 0 No* Were all probes reinstalled properly?
Lg Yes 0 No· Were aU items on the equipment manufacturer's ma:intenance checklist completed?
* In the Section H, belo,w, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
o Check this box ifLLDs are not installed.
c
th fí 11
h kr
omPlete e 0 OW1n! c ec 1St:
'Ð Yes o No· For equipment start-up or annual equipmeicertification, was a leak simulated to verify LD perfonnance?
1:1 N/A (Check all that apply) Simulated leak rate: 3 g.p.h.; 00.1 g.p.h;O 0.2 g.p.h.
~
Ql Yes a No" Were all LLDs confirmed operational and accurate within regulatory requirements?
.~ Yes 0 No· Was the testing apparatus properly calibrated?
Q Yes 1:1 No" For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
a N/A
a Yes ~o. For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
N/A
DYes ~NO*. For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
N/A or disconnected?
o Yes ~No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
N/A or fails a test?
DYes ~o* For electronic LLDs, have all accessible wiring connections been visually inspected?
fA
o Yes r:t 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:
POOR1)fÐGJNlL
.-
Page 30f3
03/01
Ma::¡ 10 02 10:33a
Allstar/WestStar
559-277-0106
p.5
'.
e
e
..,
;"
i
IVlonitoring System Certification
UST Monitoring Site Plan
Site Address:
:0':::
.. .. I ..
.. ......
.. -....
.. ~....
..
.'
·0···'0···
.. ...... .... - .. ..
.. .... .. .. .. .. .. .
.. .. .. .... .........
.. .. I .... ..........
.. .. .. .... .. .. ..
"
.. .. .. ..
.. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
. . . . . . . . . fil/wv.-f, . . tJ· ~\,.
·D~ . . i' .,....-1, . . . . , .. f.1\Jfvo,{J
: . .~~'\:~\\~:: :~ : ;~,: : : : . ~: :
:QJ:~: . : 1J~':' ~: {j jv!~'t :
.. ... .. ..
.. .. .. ..
.. .. .. ..
~\(NJ~ d
: Of;') : : : ð:(~\~,: ¡"iJ,i~jf
'0 P(i}bJ /,d" O· .P{Ò. IÄ/' . . . . .
. . . . ¡1tJn 1;14". . . . ¡4,YJy'J\/. . .. ..
..p i ()/'rI...
Date map was drawn: ~ 2) / 0 ì.
Instructions
If you already have a diagram that shows all required informatioD;. 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
detectots; and in-tank liquid level probes (if used for leak detection). In the space provided, note the dat~ this Site Plan
was prepared.
Page _of_
~OOR O~IGINAL
05/00
~.....
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 Chester Ave,
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326"()576
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
.
.
April 19, 2002
Kamies Elhouty
Rainbow Car wash
3951 Wible Rd
Bakersfield, CA 93309
NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE
RE: Failure to SubmitlPerfonn Annual Maintenance on Leak Detection
System at RAINBOW CAR WASH, 3951 WmLE ROAD
Dear Kamies Elhouty:
Our records indicate that your annual maintenance certification on your leak
detection system is past due MARCH 15, 2002.
You are currently in violation of Section 2641(J) of the California Code of
Regulations.
"Equipment and devices used to monitor underground storage tanks shall be
installed, calibrated, operated and maintained in accordance with manufacturer's
instructions, including routine maintenance and service checks at least once per
calendar year for operability and running condition."
You are hereby notified that you have thirty (30) days, May 19, 2002, to either
perfonn or submit your annual certification to this office. Failure to comply will
result in revocation of your permit to operate your underground storage system.
Should you have any questions, please feel free to contact me at 661-326-3190.
Sincerely,
Ralph Huey
Director of Prevention Services
by:
)l¿ ~'"
Steve Underwood
Fire InspectorÆnvironmental Code Enforcement Officer
Office of Environmental Services
cc: Walter H. Porr Jr., Assistant City Attorney
~~ýO~ de W~ ~ ~0P6 ff~ A W~"
'-1 __~___
FIRE CHIEF
B..01::J F.RAZE
" ."_ _c__ _,_NO.TICKOF_¥IOLATION~&_SCHEDUIJKEOR COMPLIANCE
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
_ F~ (~~!) 39!1-~7~~_ ___
'.' .
',.'. '
.
-
.
April 11 , 2002
KAMIES ELHOUTY
RAINBOW CAR WASH
'3Q61 3.751 WIBLE ROAD
Bakersfield, CA 93309
RE: Failure to Submit/Perform Annual Maintenance on Leak Detection
System at RAINBOW CAR W ASH)J5' 1 WIBLE ROAD
:>'161
Dear KAMIES ELHOUTY,
Our ~ecords indicate that your annual maintenance certification on your leak
detection system is past due MARCH 15,2002.
t-'..;;:·:.>:~ '.; ~.(:;~',:'__{;/,;';.¥;;;"'~J:.~.f: ~~'>'./._:.__,,::.;
yºu',ar¢currel}~lyjn'\T.iolation~qf~e~tiQ.n,264-l (J),<:(theCalifornia Code of
RegulaÜons.";:;(I,'
. ' " .... ~
"Equipment and devices used to monitor underground storage tanks shall be
installed, calibrated, operated and maintained in accordance with manufacturer's
instructions, including routine maintenance and service checks at least once per
calendar year for operability and running condition."
You are hereby notified that you have thirty (30) days, May 13,2002, to either
perform or submit your annual certification to this office. Failure to comply will
result in revocation of your permit to operate your underground storage system.
ShouH-you-have-any-questions, please feel free to contact meat 661-326-3190. -
- --- --
Sincerely,
Ralph Huey
Director of Prevention Services
bY~iJz'" ' ", '" "
. . .' I _ ' ,~ . . " .
, ,; ,,' ;' ,/; ~'."," :1Ý!·A/,,::: r~,;: C c,."":'-
-._- , .
Jh~~<?·_.".
r : ~ .
SteY~¡LJnderwood
~'~refuspeçtPr/Ep.vir()runell~aLG()de Enforç¡::l11,eÍlÌj Officetj, :;:.' c,:, ''": ' ,-,,', 0;.
Office of Environmental Services
, . ... 1 . ~,' ~. '; -,. ' . I . ...: ,) :,,: ~
cc:Walter H. Porr Jr.; As'sistant City Attorney
~~.7~ dJ:, W~ .¥OP ~oPe .r~ .A W~"
i
r
¡
¡
,
~
;~
~
I
"
I
:1
'~, " ---...,~...- ----'"
U.$, POSTAGE 111
~ g
QOO.28::
(r
H METERfi1i;"j1769J 't1
{RETURN SERVICE at/)
wen
REQUESTED ~ct
0::.....
0<'>
INSUFFICIENT ADDRESS All AMERICAN CITY ~~
_. ( !i!AKERSF~A ~¡;:
¡ ~_m(m_
KAMIES E IOUTY ~ I
/
RAINBO IC\.\R W AS ~ ~
3751WIB OAD
BAKERS I , CA 93 09
"--- ,.;",;, ;r
.,-.---~-
CITY OF BAKERSFIELD
FIRE DEPARTMENT
FIRE SAFETY CONTROL
1715 CHESTER AV~NUE
BAKERSFIELD. CALIFORNIA 93301
-¡
l'
" I!Ì
f
----.:....~r<-"j
,I
;111
III
hi
11/111'11;1
I
-
II
I
i:ß:l"i &fiH-&:. j i Y 9\1':?
~-
I
FIRE CHIEF
RON FRAZE
I ,_
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 Chesler Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326H0576
TRAINING DMSION
5642 VIctor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
.','
..-
fÎt
April II, 2002
KAMIES ELHOUTY
RAINBOW CAR WASH
êl151 3161 WIBLE ROAD
-áakersfield, CA 93309
NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE
RE: Failure to Submit/Perfonn Annual Maintenance on Leak Detection
System at RAINBOW CAR W ASH~1 WIBLE ROAD
Dear KAMIES ELHOUTY, 3q~1
Our records indicate that your annual maintenance certification on your leak
detection system is past due MARCH 15, 2002.
You are currently in violation of Section 2641 (J) of the California Code of
Regulations.
"Equipment and devices used to monitor underground storage tanks shall be
installed, calibrated, operated and maintained in accordance with manufacturer's
instructions, including routine maintenance and service checks at least once per
calendar year for operability and running condition." .
You are hereby notified that you have thirty (30) days, May 13, 2002, to either
perfonn or submit your annual certification to this office. Failure to comply will
result in revocation of your pennit to operate your underground storage system.
Should you have any questions, please feel free to contact me at 661-326-3190.
Sincerely,
Ralph Huey
Director of Prevention Services
by:
~~
Steve Underwood
Fire Inspector/Envirorunental Code Enforcement Officer
Office of Environmental Services
cc: Walter H. Porr Jr., Assistant City Attorney
""Y~ a;, W~ .9'"'r.ve ~~ ff~ . We/UÚ~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 oW Streel
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 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
-
.~
April 12, 2002
RAINBOW CAR WASH
3951 WIBLE RD
BAKERSFIELD, CA 93309
Re: Enhanced Leak Detection Requirements
(i'
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;
II
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 seçtion 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 perfonn
"Enhanced Leak Testing". All testing must be under-pennit 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.
I
!
I
:1
I
¡!
I
I.
i
¡
,
I
"
\:
Sincerely,
Ralph Huey
Director of Prevention Services
by:Jt~
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
SU/kr
Enclosures
--7~ de W~ ~.A~.r~ .A W~'I'I
-_.-.-'~-',---- --'.-
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
... -O-"'-~"'-"""'IJ.
. - __ -e--_' .___
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. _ ,n ._____ on _, '" ___ __ ...'_ _ __
- If your facility has. been upgraded already, please disregard this,~otice,
Should you have any questions, please feel free to contact me at 661-326-
3190.
81 &¿]
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
SBU/dm
~~y~ de ~~ ~.A~.r~ A ~~"
LT~T rrcrf{TTcrR-R"E'F~:-
-- '-\ËËDr~=ROOT---
TL::;-25~~1
T iNk LEVEL SENSOR
- . - - - - - - -
IN ¡E~TORY REPORT
. - - - ...
1~.:.1 :'::... An
FE: 6~ 20Ü2
-
T .: i
., .. -
::-=:T :A
I ~..:.1:: t:
!'~::,2
5 . = I:: ("
[1 = :::
:::: = '3
'. TA i~::: :~:
!~ALLClt'4::; Fij
C1AL::; tiLLA!~
U~CHES rUE
I t·~CHES L'~AT
DEG~:EES F
,ø:~ø
~'- ::; Ij I E F: ti t·~ LEA II E II
: (1 ~~ :::
- --
.... ...., I
. -
. = . - . I I
- - - -
(1:(1
~2
TA j~< 4
Ijt·~ .E~ IiEII
C3 ALL c! t·~ ~:; F t~
GAL::; ULLAG
I tK:HE::; FUE
I t·KHES LH:¡T
DEGPEES F
: 4 :- :-: I~ ALL c; t·~ ~:; F ij
;5~ e !~ALS ULLAG
5 '= :: 4 I t'~CHES rUE
J = ø I t·4CHE::; L'JÄT
::::,~ :~: IIEC3f:EE::; F
e
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAMEpt1lV\~OLt) éll.X- WO-.,!J"
INSPECTION DATE~ ~/o I
Section 2:
Underground Storage Tanks Program
o Routine ~ Combined 0 Joint Agency
Type of Tank IJwFc.S
Type of Monitoring ~ ATf>
o Multi-Agency 0 Complaint
Number of Tanks 3
Type of Piping 5wP
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile V V
Proper owner/operator data on tile l V
Pemit fees current V
V
Certification of Financial Responsibility V V
v
Monitoring record adequate and current V
Maintenance records adequate and current V V
Failure to correct prior UST violations V
V
Has there been an unauthorized release? Yes No 1,/
Section 3:
Aboveground Storage Tanks Program
AGGREGA TE CAPACITY
Number of Tanks
TANK SIZE(S)
Type of Tank
OPERA TION Y N COMMENTS
SPCC avaiJable
SPCC on fiJe with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
c'comp¡¡an¿V~VioIation y~y"
In'poolm _ ' . ct1dv
Oftìce of Environmental Services (805) 326-3979
White - Env, Svcs,
N=NO
<'
, esponsible Party
Pink - Business Copy
e
e
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd I~loor, Bakersfield, CA 93301
INSPECTION DA TE~ ç/ (J ¿
PHONE NO.J3j ~~311
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES ~f
FACILITY NAME ~lnk>~) t'lf¡ (.tJ'tti~
ADDRESS ~qç tvl (L'
FACILITY CONTACT
INSPECTION TIME
Section 1 :
Business Plan and Inventory Program
o Routine ì:á Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION C V ' COMMENTS
Appropriate peonit on hand II /'
Business plan contact infoonation accurate v /
Visible address /'
V
Correct occupancy /
V'
Verification of inventory materials /'
.-
Verification of quantities j r
Verification of location i...... ".
Proper segregation of material \ /
V erification of MSDS availability V /
Verification of Haz Mat training \... /
Verification of abatement supplies and procedures V
Emergency procedures adequate L- /
Containers properly labeled L./
Housekeeping t,..
Fire Protection V
,
Site Diagram Adequate & On Hand t... /
C=Compliance
V=Violation
Pink - Business Copy
Any hazardous waste on site?: ,0 Yes rta No
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979
While - Env, Svcs.
Yellow - Slalion Copy
Inspector:
(\~'\
N J5
o
o
a.
I
I
c:{
\D
In
..
CO
I 0
,...,
o
I
m
N
I ,,1;
m \"
:J '
<t ~
~
ALLSTAR PETROLEUM EQUIPMENT
Certification of Compliance to Manufacturer's
~/-/~---Sp~c;;ifications
'~
Facility: Rainbow CarWa~h
Location: 3951 Wible Road
Bakersfield, CA 93309
Report Number: 4456
./
, .--'
,,/'
./
,."".-"
/'-//
-----
~hjs certifies t àt-on-3-1-S-01an annual inspection and any necessary service was
Rerformed at the above location. The monitoring system is in compliance with the
dtanufacturer's specifications and requirements.
Phillip Mendrin
x~
,
ALLSTAR PETROLEUM EQUIPMENT · 468B W JENNIFER FRESNO,CA 93722 . 1-800-660-5410 . _W~V\V-!'~LLS 'ARPI':I RO.~_·{)\.1
I . ,I
ete items 1, 2, and 3, Also complete
ite if Restricted Delivery is desired,
I · Print your name and address on the reverse
so'that we can return the card to you.
· Attach this cardtb ,the back of the mailpiece,
or on the front i('space permits. .
1. Article Addressed to:
Kamies' Elhouty
Rain~bw Car Wash
3951'Wible Rd
Bake~sfield CA 93309
2, Article Number (Copy from service label)
0520~021 9610 7875
J _~,1
3, Service Type
XJ Certified Mail
o Registered
o Insured Mail
o Express Mail
o Return Receipt for Merchandise I
o C,O.D,
4. Restricted Delivery? (Extra Fee)
DYes
Domestic Return Receipt
~.".--~,-........-.--.~
"~,I
102595-99-M-1789 ',' 'I
,
----
UNITED STATES POSTAL SERVICE '
First-Class Ma.,
Postage & Fe id
USPS
Permit No, G-10
· Sender: Please print your name, address, and ZIP+4 in this box ·
"
"
BAKERSFIELD FIÁE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES If
1715 Chester Avenue, ßuite 300
Bakersfield, CA 93301,-
i=5
"
, Hilll/IIII "II 11111111111111 11111,111111111111,111111111111,,1
.
- - - --
, u.s. Postal Service
CERTIFIED MAIL RECEIPT
(Domes( "'ail Only; No Insurance Coverage Provided)
\- ~I r- ,
Ul
1"-'
I:Q
,I"-
I:J
M
...[]
I:
lru
, I:J
c::J
'I:J
ru
Ul Recipient's Name (Please Print Clearly) (To be completed by mailer)
I:J Kamies Elhouty', ,,'
I:J ši;ë;fÄp"i.-Ñõ"J·õ-¡¡;öëõi¡Ñõ.---..--..·-.-----··-~-·----..---·_m___..___
I:J 3951 Wible Rd ,
~ ëi~~ii§rt~ïd·--ë:;;-----933Õ-9--..------·-
Postage $ .34
Certified Fee 2.10
1.50 'Postmark'
Return Receipt Fee Here
(Endorsement Required)
, Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $ 3.94
... !..
Certified Mail P'rovides:
_. A mailing receipt
- . A Ul)ique Identifier for your mail piece
· A signature upon delivery
· A record of delivery kept by the Postal Service for two years
Important RemInders:
. . Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
· Certified Mail is not available for any class of international mail.
· NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
,: valuables, please consider Insured or Registered Mail.
_'. For an additional fee, a ,Return Receipt may be requested to provide proof of
delivery, To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
, a duplicate return receipt. a USPS postmark on your Certified Mail receipt is
required. _
. For an additional fee. delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or rn,ark the mailpiece with the
endorsement "Restricted Delivery".
, . If a postmark on the Cer:tified Mail receipt is desired. please present the art]-
cle at the post,office for postmarking, Ifß'!1I'ostmark on the Certified Mail
receipt is not .d. detaèh and Mffix lacel with postage and mail.
lMPORTANT:S, is receipt and present it when making an inquiry.
, '
PS Form 3800, February 2000 '(Reverse)
102595-00-M-1489
1':-
....;-
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
.
... ...., """,
,..,
d'- -.. ,'"'"
August 27, 2001
Karrúes Elhouty
Rainbow Car Wash
3951 Wible Rd
Bakersfield Ca 93309
CERTIFIED MAIL
NOTICE OF VIOLATION & SCHEDuLE FOR COMPLIANCE
RE: Failure to SubmitlPerfonn Annual Maintenance on Leak Detection
System
Dear Karrúes E1houty
Our records iD.dicate that your annual maintenance certification on your leak
detection system is past due. (March 1, 2001.)
Y ouare currently in violation of Section 2641 (J) of the California Code of
Regulations.
"Equipment and devices used to monitor underground storage tanks shall be
installed, èalibrated, operated and maintained in accordance with manufacturer's
instructions, including routine maintenance ahd service checks at least once per'
calendar year for operability and running condition."
You are hereby notified that you have thirty (30) days, September 26,2001, to
either perfonn or submit your annual certification to this office. Failure to' comply
will result in revocation of yoUr pennit to operate your underground storage
system.
Should you have any questions, please feel free to contact me at 661-326-3190.
Sincerely,
Ralph Huey
Director of Prevention Services
by:
Æ. /) /' --.,' , '
~~
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
cc: Walt Porr, Assistant City Attorney
I
I
.. YIÞOÚly ~ W~Y;I/~. .970P J/6~ y~ A W~?~~
, '
~-----
FIRE CHIEF
RON FRAZE
I,
I,
i
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
.
.
January 22, 2001
Rainbow Car Wash
3951 Wible Rd
Bakersfield Ca 93309
RE: Dispenser Pan Requirement December 31, 2003
Underground Storage Tank Dispenser Pan Update
Dear Underground Storage Tank Owner:
You will be receiving updates from this office now, and in the future with
regard to the Senate Bill 989, which went into effect January 1, 2000.
This bill requires dispenser pans under fuel pump dispensers. On
. December 31, 2003, which is the deadline for compliance, this office will
be forced to revoke your 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 ftee to contact me at 661-326-3190.
Sincerely,
J£Jkv
Steve Underwood, Inspector
Office of Environmental Services
SBU/dm
"7~ de W~ ~ ~0P6 ff~ A .W~"
~~.
·~··f
/
/
CJì
e
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITYNAMER~l";O~ feu' Wa.e,h
ADDRESS '3QS( t \. lL (Qj, /
FACILITY CONTACT
INSPECTION TIME
INSPECTION DA TE---J 5 { () (
PHONE NO. 831 - 33 ( I
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES,·3S
Section 1:
Business Plan and Inventory Program
o Routine
at Combined
o Joint Agency
o Multi-Agency
o Complaint
D Re-inspection
OPERATION C V COMMENTS
Appropriate pennit on hand \, V
Business plan contact infonnation accurate V V
Visible address ,\I
Correct occupancy V V
Verification of inventory materials v V
Verification of quantities V V
II v
Verification of location
Proper segregation of material V lr
V ,-
Verification of MSDS availability
Verification of Haz Mat training V V
Verification of abatement supplies and procedures \/ V
-
Emergency procedures adequate 1I
Containers properly labeled \.. II
Housekeeping V V
Fire Protection L ~
/
Site Diagram Adequate & On Hand /
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes DNo
ess Site Responsible Party
Inspector: ~,d~
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env, Svcs,
Yellow - Station Copy
Pink - Business Copy
"'i-''- ---'-~ --
~1
.
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME--AtlV\~aù Ól,ç- Wahh..
INSPECTION DATE-DS/e/
Section 2:
Underground Storage Tanks Program
o Routine ~ Combined 0 Joint Agency
Type of Tank fi.ùFc.S
Type of Monitoring I£.JV\
o Multi-Agency 0 Complaint
Number of Tanks 3
Type of Piping '1W F
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on file V /
Proper owner/operator data on tile v /'
Permit fees current v ./
Certification of Financial Responsibility ,..
V
Monitoring record adequate and current \...- /
Maintenance records adequate and current 'V
Failure to correct prior UST violations V
Has there been an unauthorized release? Yes No ,/
-
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
OPERATION
Y N
COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
::~~:];'n:i;:~~"
Oftìce of Environmental Services (805) 326-3979
White - Env, Sves,
N=NO
Pink - Business Copy
CITY OF BAKERSFIELD
IIrFICE OF ENVIRONMENT_SERVICES
1715 Chester Ave., Bakersfield, CA 9DoI (661) 326-3979
:(9
UNDERGROUND STORAGE TANKS - UST FACILITY
TYPE OF ACTION
(ChecK one ,11m only)
o 1, NEW SITE PERMIT
~, RENEWAl PERMIT
o 4, AMENDED PERMIT
Page _ 01 _
o 7, PERMANENTLY CLOSED SITE
o 8, TANK REMOVED
400
o 5, CHANGE OF INFORMATION (Speclft cllange .
Joe. use onlY)
o 8, TEMPORARY SITE CLOSURE
I. FACILITY I SITE INFORMATION
eUSINESS NAME (SIme.. FACILITY NAME 01 DBA - Doing BulIn-. AI) 3 FACILITY ID .
ç". , '3bg
¿~
~
o 3. FARM 0 5, COMERCIAL
o 4. PROCESSOR 0 8. OTHER 403.
II fIIdIIy on IncIan R8IeIYIIIon 01 "If _ 01 UST a puÞIc agency: name d suøervIIor d
1NIII8ncII? dMIIon, Mc:IIon 01 oIIIœ whidI opeI1It.the UST.
o y..,~ 405. (Tll1I II the cont..:I person tor the **-œ.)
401. 51LITY OWNER TYPE
\.D(1. CORPORATION
o 2. INDMDUAL
o 3, PARTNERSHIP
o 4. LOCAl. AGENCYlDlSTRtCr
o 5, COUNTY AGENCY" ,
o 6. STATE AGENCY"
o 7, FEDERAL AGENCY·
402,
404.
410.
o e. STATE AGENCY
o 7. FEDERAL AGENCY
406,
~
406.
409,
412,
413,
C-o"(
- --. ~.""" ~ - '. -
~.........--:---
.....--2~..,......".... _
IL PROPERTY OWNER INFORMATION
+-
7/1-- 13 )-3'3) J
o 2. INDMDUAl
o 3. PARTNERSHIP
o 4. LOCAL AGENCY I DISTRICT '
o 5. COUNTY AGENCY
'.
..,.
, ni., TMK OVIïNERINFORMATION
, ..
414.
PHONE t~) - 13/-33 )j"
í<1J
416,
o 2. INDMOUAL'
o 3. PARTNERSHIP
417. STATEIfr 418. 1JPCO; 3301
o 4. LOCAL AGENCY I DISTRICT 0 6. STATE AGENCY
o 5. COUNTY AGENCY 0 7. FEDERAL AGEHCY
419:'
420,
TY (TK) ,HQ
---------
. IV. BOARD OF EQUALIZATION U8T STORAGE FEE ACCOUNT NUMBER
Call (918) 322·9689 If questions arise
421.
'i'"
'., Ý. PETROLEUÌI usT FINÂNCIAL RESPONSIBILITY
....'.., -
. '.~ - -' --.. -
'-I
I
INOICATE METHOD(S) 0 ,. SELF-INSURED
o 2. GUAIWITEI!! '
o 3. INSURANCe
o 4. SURETY BOND
o 5. LETTER OF CREDIT
o 8. EXEMPTION
II! 7. STATE FUND
08. STATE FUND & CFO LETTER
09. STATEFUND&CD
o 10. LOCAL GOVT MECHANISM
o 99. OTHER:
422.
).
VI. LEGAL NOTIFICATION AND MAILING ADDRESS
Check one IIox 10 IncIIceIe wIIicII ....1ItouId lie used for /eII nollllc:eltonl ancIlNIIIng.
Legal notJIIc:eItonIlnd m8lllngl willie MIlIto the ** _ unlelllIox 1 or 2 II c:IIecIIed.
)( 1. FACIlITY
o 2. PROPERTY OWNER
03. TANKOWN£R 423.
VII. APPLICANT SIGNATURE
428,
PHONE , . 425,
. ~?)....t'3 '~93})
4Z7,
Cer1ItIc:IIIkÍÍI: I CII1II'y l1l8I the InbmeIton II'cMdId .... II tMllIId 8CCUr8Ie 10 the bell d my tcnowIedge.
SIGNATURE OF APPUCANT
'ST" Te UST FACILITY NUMBER (For IOAI /III 0IIIyJ
421.,
1118 UPGRADe CERTIFICATe NUMIIR (For IocM UI. only)
,429, I
UPCF (7199)
S:\CUPAFORMS\swrcb-a.wpd
.~~
' ""'
It': ..
.: ; ,."
$I A.~'
, _.~ .-.
CITY OF BAKERSFIELD
OIllCE OF ENVIRONMENTA~RVICES
171! Cl1IIter Ave., Bakersfield, CA 933M (661) 326-J?79
UNDERGROUND STORAGe TANKS. TANK PAGE 1 '.
rvPl!.OP ACTION CJ " NIW SITI,.,..,. . CJ' .. AMHDID PIAMT
(Ch«:/t _ _ oWIJ
3. "INIWAL PIIUT
1414
- ~~';:;~~"'"---.
I ,TAN( ueeGl
I r;J t. MOTOR VIHICL8 PUlL,
; ~....."...... J)pe
I 0 2. NOH-FUB. PITRDLIUM
¡ 0 3. CHEMICAl. PADDUCr
I 0 4. HAZARDOUS WASTI! (tIaMU
IMd Of,
015. UNCNOWN
(6
CJ s..CtWIGI~Hr~TION)
,.... 01
CJ e. 1'ÐofIOfWff SrTII a.o.".
o 7, Pl!!1UMNIN1\., CLosm ON srTI
CJ e. TAN( RIMOWO-::
L TÂHK DEsatPTION
COWARTMENTALIZED TNÍK [] ". [] ND
II, -V... CiIII/IIIIIe - pege rar -.eft 0IIIIII*1/tIeI..
4
4.
tf'\ (t
, Zt:H;)O
atA. lof\f5'
.'
4J;
_~~~~_~o~-~~~-,.;:-,__ -'_=:.~__~.~-_ -~~-::-=----="'~~~:"''':'~ - -.,-.-..~~
'.
.. TAIIC CGIIIIßS
NnQ.BMT'tN
tá,.. MGUI.M UN.IAœD [] 2. WÐI!D
ræ(,... ......UfUADIo CJ 3. DEE.
þt,c. YDCIIWXi UtI.EADED a 4. Go\SIOHOL
COMMON'" /IIaIIt",.,.......... *-"DIy.J
TYPE OF TAN( [] ,. ....WML . " .
(CMdl-"'OIfI1 . Þ( Z. DO&a.IWM.&.4""'C' ..,',
i :'" ,'"'"
! TANKaMTERIAL.ñIIIIyllMo 1. MAESTm. ,.," '~.
I (CIttIdt -..", 0IfI1 [] 2. STAINLØS ST!B.
I
TANK aMTERIAL·~ 11M [] t., MAE ST!B.
(CIttIdt - ... 0IfI1 0 Z. STAINLDI STIlL
TAN( INT!AIOR LMG
OR COATING
C_t.,"-ue
C. Z. 'AUM).....
...
o So .lET FUEL ..
[] L AVIATION FUEL
a.. OTHER
CAS.,..".,.,.......... ~""J
44:
.' ,.'
'",
.~--~ :
",TANK c:aanRUC1'ION
a So ......WML v.mt
EX11!RIDR ,.... LN!R
e 4, ....WALL~.\VAUl.T
e So FI8I!ROLASSI PLASTIC
~ 4. STEEL a.AO WIFIIIf!RGI.A8S
REINFORCI!D PLASTIC
e 3. FllERGtASSI PLASTIC
~ ITEI!L a.AO WIFIIIf!RGI.A8S
, , REINFORCI!D PLASTIC (FAP)
e So CONCRt!TE
a a; IPOXY LMG
a 4,' ,.....10 IJNNG
,.;M\'!:t'~WK
~ ,( ~ .,
e L 8INGU WALL wmt INTfIItW. aADOI!R 8'tS1'Ðt
e..~
0.. cmÈR"
o SoCONCAeie " 0.. ~',.
þ(L FRPCOtoFAT18LEW1t~METHANOI. e..OTHEJi .
, 443
'..p . -~
" '
., /.
..
44-4
e L FRPCOtoFATIIIlEW1t~METHANOI.
e L FRP HDN-COÁRODI8Le JACICET
[] to. COATED STEEL
e IS. UNICNoWN
'e.. ~:,':;~ ;
44.5
:r'~ -, '"" .
a So GI.AII LNG 'a.. UNICNOWN
ra: L UN.INI!D' C.. OTHER
441 CMTI! INSTALLED
't- ~' .~-
447
".,
- -448/ - - ' ",DftTl!INITAW!D. ,...~ '
(CIttIdt _ IIMI 0IfI1
SPIlL AND OII!AAL
I (CIttIdt "IN, WYJ
'a 't. .wøAèMlDèÀ1HODIC"' So f'lleRGl.MlRllHfÌÓPaDfI&AIYIÇ CU&.UMCNOWN .:
a MOTICnON [J 4, ........e cuMørr e.. OTHER
z. IACM'ICW. ANDOI
VlARINITALLm 4SO 'fYPe(FfNIocMIMOIIIy} .t
[J ',. SPILL COHI'ANoeft'
e 2. OADP TUII
, a 3. ITMCM PlATI
(IW IoøIIM OIIIyJ
OWAFU PROTECTION EQUIPMENT: VI!AR INSTALLED . 452
o t. ALARM a 3. FILL TUIJI!SHUTOFFYALVE_
¡ e 2. BALL FI.OAT e 4. EXÐPT
I QTlaMTIO OATlI.AIT UIID ('tMDDo\Y)
II ',fJ/? /?-oirt>
1PCF (7'")
I·, ...
[J So MÅNuAL TANK ~ (M'I'Q)'
e .. VADOl8 ZOHI
e 7. QAOUM)WATIR
C .. . TAN( TUTIHO
C.. cmtIR
V. TANK CLOIUIUIINPOIUIATIGH I PIIIIIANIHT CLOIUU IN PI.AC8 . ~ .; ;
411 IITIIMTID QUNmTV CW SUllTAHCI........o .... TANK rUJD WITH INIIn' aMTIItIAL,
C}7ò/
: ' ,';,';" :~"":::", ' ,', >,::,.',.,¡" ~~ ''': '·joØ,t. ..; ~":',,:, ''':'~~' ",
. .' """~'''''''''''': ..,. ;\Ý"".....J:o,":If,¡¡... "10_','" '.', ......". .:!'
. DOU8U WALL 1: 0.. TANK WITH IUDHIt (OIecIt- ""'''111#, ....
at. VllUALC......WALLINVAULTONLY) ,: '-',\1 'I:,' .~:
JI( 2. CONTINUOU8IHT!RSTft'1AL MONITORING
a 3. MANUAL MONITORINOi
\ '
"'"
....,
......
Cv.
aND
S:\CUPAFORM~'WPO
ern' OPIAKERSFIELD
.. OPPlCIOP INVlRONMINTAL SERVICES
.. e....., Ave.. 1IIÌ"..fleld. CA .3301 (IIi) .
" '
ð
UIT.T~_I
,... .~ -..::: {I
--
VI. .... CONI1'ItUCT1ON (CINc*" lilt""
o 3. QRAvnv'
". :.
~PIPIHO
, SYSTeM TYPE ; rÄ t, PReSSURe 0 2. SUCTION CJ 3. QRAvrTY 458 0 t, PReSSURE '
, ~ONS;RU~~IO~IO t. S~I!WALL 03. LNDTIWICH 0... OTHER ..eo 0 I. SINGLI!WALL
:: MANUFACTURER:Þ( 2. OOU8U! WALL' 0.. UNKNOWN 0 2. OOUeu! WALL
I I MANUFACTURIR . 4It MANUFACTUAM
i ;0 t,lAAI!sT'ÈI!L Ø[.. FAPCOWATllLlwrtOKMITHANOl .:0 t. BARESTE£L'" "
i MATERIALSAHD '02. STAIHU!säSTUL ìaf: 7. QALVAHIZIDSTEa 02. STAINU!sSSTEEL
I CORROSION i toll(. " ,
PROTECTION 103. PI.A8T1CCOWAT1IU!WlTHCONTENnI 0.. UNICNOWN 03. PLASTlCCOMPATIBLEWlTHCONTENTS
! 0 4. FlIEROLASS 0 .. F\J!XIILE (HDÆ) 0... OTHER 0 ... FIBERGLASS
, ' : 0 5. STEeL WI COATWO 0 t. CATHODIC PRom:noN .... 0 5. STEEl. WI COATING
',..,. VI. ~ LØK DETECTION (CIId" II-' IIJIIIYJ
A8CM!GAOUNO PIPING
o a:sucnON
o IS: UNICNOWN.
0... OTHER
4'
4.
4<
o .. FAP COMPATIIU! WI tOK MeTHANol.
07. GALVANIZED STEeL
o 8. FLÐCI8U! (HOPE) 0 It. OTHER
o t. CATHODIC PÅoTeCTlON
095. UNKNOWN
4E
. .:..~:?~j\
I UNDERGROUND PIPIHO ABOVeGROUND PIPING
I 4E
~ESSURIZED PIPIHO (CIt.ør " ".., W/)'): ~SSURlZEO PlPING,(~" lite, W/)'J: , 0 ,'. '. .
~t. ELECTAOHIC UNI! U!AK DETECTOA 10 OPH TEST mItlAUTO PUYlSHUT OFF FOR O' t. aECTAONIC LINE U!AK DETECTOR 3.0 OPH TEST mItI AUTO fIUIIt SHUT OFF'FOR LEAK.
L£AK. SYSTEM FAILUAI!. AND SYSTEM ~ .A&II&IAND VISUAL SYSTEM FAILURE. AND SVST'EM 0ISCXH0IECTI0N· AUDØJ! AND VISUAL ALARMS
" ~, . , 0' .
o 2. MOHM.YUOPHTEST - C~- "'-O~ ==:,:;;;.¡;:-----:-c-- c-___·-:..--_~_
o 3. ANNUAL INT!GRITY TEST (0.1 OPH) 0 ... DALY VISUAL CHEQ(
CONIIÐfT1C)NAL SUCTION SYSTEMS (CItedr""" ¥PIYJ:
o 5. DAILY VISUAL MONrORING Of' PFINo ÑÐ PUMPING S'tST1!M '
o .. TRIENNIAL INTEGRITY TEST (0.1 OPH) ~ ,.. '.. '
SUCTIONIGRAvnY SYSTBot
o 13. cpHt1NUOUS..... SENSOR . AUDIBLE AND'VI8ÛAL AL.We
( .
~ ~~~~~~~~'(~JI,~~=-?---_- '", ".-7 ~ >"'..:.'-"-..:--~--='::--;-.,'--~..G~1:0IJ~t()M.!~~"'!~~~-þ..,.,·
o t4. CONTINUOUS..... 8EH8OR mDIILIAUTO PUtofI8HU1'OFF.AUDI8U! AND' CJ t4. CONTINUOUS suaIP SENSOR mDDIIAUTO PUMP SHUT OFF. AUOIBLe AND VISUAL
.vISUAL ALARMS ALARMS' '
o t5. AUT'OMt'TIC UNI! U!AK DETECTOR (U OPH TEST) mItIID: FtlNt SHUT OFF OR CJ t5. AUTO~TIC LINE LEAK DETECTOR (3.0 GPH TEST)
RESTRICTION
o UI. ANNUAl. INTEGRITY TEST (0.1 GPH)
o 17, OAILYVlSlJALCHECK
CONVENTIONAL SUCTION SYSTEMS:
,0 5. OM Y VISUAL IoCINITORINO Of' ~ SYSTEM. TRENNW. PI'INØ IHt'EGRfTY
I TEST (0. t GPH)
We SUCTION SYSTEMS (NO VALVES IN BI!LOW GROUND PI'ING):
o '7. SELF MONfTORING
GRAVITY FlOW:
o t. BlENNlALINÆGfUTY TEST (0.1 OPH)
..'
~~ "..:~ ': .'
" . ,,:,.!! '"j. ~·ì,
ltIICOMM...v CGNTAINB)....
I;'RESSURIZED PI'ING (CIt.ør .. ..., wI1J: ,. ' ,,", ,e.
to., CONTINUOUS roMøe UP SENSORYa'ÌnlAUÔÍÎÍiE Ni)WlÙALNNiMs AND
JS'** -) , , " ,
~ L AUTOPUMPSHUTOFFWHENAIJ!N(OCCUAS "':."
o II. AUTO PUMP SHUT OFF FOR LeAKS. SYSTEM FAlWREAND SYSTEM .
o Co ~SHUTOFF '¡, '
o t t. AUT'OMt'TIC UN! U!AK œt'ECTOR (3.0 OPH TØT) mIÌi RaN SHUToi:F OR
RESTRICTION ~ . ' ' '
o t2. NNJAL IN1GAfTY TEST (0. t OPH) ,
, SUC'I'I()NGRAVITY SYSTÐtt
o 't3. 00HT'NJ0U8 SUMP 8ENIIOR . AUOaI AND wIuM,"¡;""" "'
SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING):
o 7. SElF MONfTORING '
GRAvrTY fVJW (CIId""".,Jy):
CJ ... IW. Y VISUAL MONITORING
o t. 8lENNW.INTEGRfTVTEST(O.1 OPH)
:,\.. .
,.
" ¡ , ; "
O';.'.J-,;:,:""
':. ":' .
, .:'p,j.~..
. ,.-" ...._~ . .
, , 81!C011DA"'VcoN1'AIJEUIII'ING
PRESSUfUZED PIPING (CIId""" wI1J:
to. CONTINUOUS TUA8DE SUMP SENSORmII1~ AND VlSUALAtARMS AND (dÌedI_)
o L AUTO PUMP SHuT OFF WHEN A IJ!N( 0CCÛRs " '
o ,II. AUTO PUMP SHUT OFF FOR LEAKS.,SYSTEM FAILURe AND SYSTEM DISCONtECTION
CJ Co No AUTO PUMP SHUT OFF
CJ t 1. AUTOMATIC LEAi< DETECTOR
o 12. ANNUALINTEGRfTV TEST (0.1 GPH)
CJ 18. ANNUAL INTEGRITY TEST (0. t GPH)
o t7. OM. Y VISUAL CHECK
~~~;.
......, ,-,þ.,....
.~ .'/: ".:~~.;~~':;~
,('/k¡;: ,<~¡¡ŒF ;.~~: ; :''-':' . . ';.: ':";:;·:'7J.'i'..··, '
k_~ ,. ~ ~Jo_ __.-.0....... . _ . . _.~j.~~..
o 1. PI.OAT~THATIHUTIOI'PIfeMYALVII
, .
o 2. CONTINUOUI CllllII'IIR WI'IIN8OR+ AUOIIL8 ÀK) VISUAL ALARMS
o 3. c:oHTI.Uouï DIIPINÌIIt PAN SINIOAYdIII AUTO SHUT OFF FOR OISPENSI!R · AUOI8LE AND VISUAL ALARMs
(g ¿J1 t 1 .-DC. OWNUIOPI!RATOR IIONATURI!
CItIItv III" IN iIItomtlllon II'OWIdId ..-18 ,true ... .."...10 IN IMII fA "" 1InCMIecIe.
SIONATU F
, "*"'" /lUll.... (~1ocII1III OIIIyJ
473 PwIIIII AnMCI (~...... CMf)IJ
UPCF (1199)
...:.~::..,. ,'6;
o ... DAILY VISUAL QfECK
CJ .. ,TRINCH LINER I MONrfOAIfØ
CJ .. NONe ...
47t
, 474 ,",",*~OIIe(FOr~",Øi)' 41'J
470
472
S:\CUPAFORMS\SWRC8-8·wPD.
..
CITY OF BAKERSFIELD . ..4~,
o.ece OF ENVIRONMENTAL .VICES
1715 Chester Av....Bakersfleld. CA 93301
(661) 326-3979
,
I
i
, '
UNDERGROUN~ STORAGE TANKS . INSTALLATION
CERTIFICA TE OF COMPLIANCE - ;)
, "
One form per tank
P-øe _ 01
----.. --..- -----" .-.----..
0.___-_-·-----
----- ...-----..-----...-......... .....--..--
I. FACILITY IDENTIFICATION
BüSiÑešš'ÑAME (S- .iFAëiLiiŸ NAMe Of D8A . 0aIng ØuUIIII AI)
R~ v~
FAClLITYID'::- I U '
, } ! :?:L£ D I 31'" <'{}
---.---.....---- - ... .- .-.... .. .. .. .
... -.-.....---..----.
ro'
...--.--...-.
..- .......---..----..-....
..-..~....._-_.--_. --......-.....
~~~~~_ ._~_-_"'T_,;'_ ~~-:...~
~'=-=-_~..-~....,,;.,~-.k~.f,~~~-- ~-.-- - -~
II. INSTALLATION
ChecIc all that apply
.
~ The Installer has been certified by the tank and piping manufacturers.
¿
¿ The Installation has been Inspected and approved by the City of Bakersfield OffIce of Environmental Services.
¿ All work listed on the manufacturer's Installation checklist has been completed.
~ The Installation contractor has been certified or licensed by the Contractors State License Board.
-~ÞÍ~----Ano~er method was used as allowed by the City of Bakersfield Office of Environmental Services.
IdentifY method:
The installation has been ins~Ad and certified by a registered professional engineer.
.- - -~ .~-
- ~. .... -.,.......
,'- -- -~ '--
·I~·--
i
III. TANK OWNERlAGf;NT SIGNATURE
-.---.---.------.---
ÕÃie
--.--- --.---.-.. .-..- -.,. -
, . .... -'----:¡¡¡-
.-.-.
~Lr l_~._.----".. ... ,--
485 TIT\.! OF TANI< OWNER/AGENT
,__~ ~5,-..~,---- -..,-.--- ---..... '. . -..
. . -.. ..----;¡¡¡:-
: 2.'i.~2,!I."£Lk!lý'~,~-±...-Cf1;) T~___
'0IIII C
e CITY OF BAKERSFIELa
OFFICE OF ENVIRONMENTAL SERVICES
171S Chester Ave., Bakersfield, CA 93301 (661) 326-3979
P_07
Feb-2S-00 04:13P
UNDERGROUND STORAGE TANKS - UST FACiliTY
(9
rYP1!: OF ACTION
('IIeek ((Ie ,,.'" OfItyJ
o I IIEw SITE PERMIT
~ 3. ~ENEWAI. PER"'"
o 4. AMlNOEO PÈRMIT
o 5, CMANCE O~ IN~OFlMl\TION (Sp.cl/y ,"-,,It .
loCal we 0"'.,)
a II, TEtotPOI'WtT SITE Cl.O$IJRE
Page_d-
o 7 PERIIMNENT~'" CLOSED SITE
o II. TAN(' FlEIoC)VEO
Q
~-
t. FACILItY I SrrE INFORMA TtON
.., 8uSlNESS "II\ME cs.n.. FACI~ITY NAN!! or OIIA - CaIn¡¡ 81.1..... AI' 3 FACIliTY 10.
~
~ I. GAurATJOIiII
o 2. DISTRIBUTOR
TQTAI. NUIoeER OF TAHIC$
; Rf/MININO AT SlfE
!
I
I
401,
F~CIUT'f OWNER TYPE
Þt I, CORPORATION
o i, IIoICrvlDUAL
o J, P~TNI!FlSMIP
o 4, 1.0CAL AOEN1;Yt'I)l$TRICT.
o S. COI.M"r AGeNCY'
C II. STATE AGeNCy"
o 7, ~EOEAAl..AGENCY·
~~,
c:J 3. FARM 0 S, CQt.tIoERCIAL
a a. ~CES$CR ...r::r II, OYMER , 4(13,
III''''' "" 1_ ~ ør "It _ dUST. þUbtic: aoencY' _ d............ d
Il'I.IIIIIo'01 ~. Malan or aIIIaI IIII1Id\ ...... ... UST,
(TN811111e COIII1t.a ~ Iar Ihe t_ -.:III.)
,
.._;.
4Coi.
c:J'I'_
...
ttIS.
-,
IL PROPERlY OWNER INFORMATION
MAl 11010 OR S
: 375/ w;8it RD
, arv .
,0ffk~'RsFIL P
; PROPE~ OWNeR TrPf ~
I )If I, CCIØOAA TIOIoI
I ~ A ,/o¡f'I, ç;
! TANI< O~R *M!
I
I MAIlIHG Ofõt STREET ADDRIi$S
i .
I
!CfIY
401. f'toIOHE á,
¿J;/- ¡3/-~3) J
G.
o 2. INDMClUAL
o 3. PARrNERIHIP
410./ STCfr
a a, LOCAl.. AOENCY I DISTRICT
o 5. COUNTY AGeIC'l'
'11.
IlJ;'qgc/f
o e. lUTE AQENCy
I:) 7, FEDEfW,AGENCY
412.
613,
0.. TANK OWNER IN,0RIIA11ON
414. PHONE
411,
6.e,
1:1 1. C'D~TIQN
[J Z. IfClMOOAI..
o 3. P~IP
'17J_ STATE
o 4. LOC.aL.&GÐIC'f' I 0I91'R1CI"
o 5. CO\1NlY AGENCY
4j ZIP CODE
o II. STArt! AGENCY
a 1. FECER.Al AGENCY
"9,
,
i TANI( O~E~ 1'f'Pf
420,
TV (TI<) HQ
IV. 80ARD OF Eat....· I7.1\TlON U8T STORAGE FEE ACCOUNT NUII8ER
Call (916) 322·9689 If quesdons art..
V. P~U" U8T FINANC~ RESP0N8t.,UTY
421,
INDICATE ~Sl
o 1. 8I!LF4IISUA.ED
o 2. QlJ.tRAllft'I!&!
o 3. ....SURAHCE
D .. SURETt IIOIiIIO
o 5. L..ETTER OF ç~EDrr
o I, axJ!t.tl'TlON
CJ 7. STATE RJND
o e, STATE FIJM) & GO IZTTEFI
CJ I. STAre FUND & C;D
a 10, L.OéAI. OOV'T MECIWII~
o .. OTHER:
an,
VI. LEGAL NOTIFICATION AND MAILING ADDRE$8
! Chedl.... belli to it!dI:IIIw 'IIIfIIaI ...... ttIGuId be UIIIIII ,..1. ~ .-I rq[jn, f;;¡ ,..., ~ -~""RTY O"'--''''D
, l. noII~ 8I'Id f/\IIIUrogII.... be ..,. ID IIIe 1a>III-..- un.... belli , .. 2 f. dYdt-.l. ,... I, FACIUlY ..... L ~'.. ....."'..
t,.· ' VII. APPLICANT liGNA TURE
Cdll//lCIIIIm: lWIifJ "'- .... WorItI..., p,....., ""'n I, .....e WId -=nale to the beet d my 1IMoOI1Idge.
I SIGNA T OF ØA iE
o J. TAHI( OWNER an,
'2&,
424,
rti- 1'3/- 331}
'25,
4'Z1,
,14TAT~USTFAClLITY~(II'or""'_~J
UPCF (7199)
421. 11I11III VI'QMACe œ.TII'tc;A ~ HU"':R (For bctJ 11M 0Ñ1)
'2V J
, I
Feb-25-00 04:12P
/
-
~r
. '-
:~~fr
-. ~ --- .-.
---
e CITY ,OF BAI<ERSFI£LD-
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
UHDERGROUNDSTORAGETANKS-TANKPAGe1
P.03
<Ð
(~.-... . ........ OIIIII)
J 'M:Ur"I to .
~ -
a I, rl!~'I' SIT. Q.O~
(J 7. "'~"a.O"O(lfsrrl
o .. r.... MIoIÉI'III!O
.J
.....PE 0" .oCT ON
,CII«......'_ ~I
(J '. ~CI"'I!MiIIIT
o s. CÞWaI Or IfIFOlItM TIOfoII
. I
'3
L TAMIII: oucaPTICIN
AN .
COWAR'ßEN1'Al.IŒOT,-- a T. CJ IIID u< 1
""'.'. an...._~...._~"'
i ~o
I 'lDQlT1QMIL DI
I
I
i T.lflll:UII ...
, ~I, IIIDTl:lRVlNCUØ\& I
: ('.............--- TpJ
! 0 2. NCNoA&.......
ia3,~~
i 0 .. ~-.nr,.........
¡ ~CIIO I
I a.. .....,...
I I
i nÆOF TN« C 1'. ..........
I (CIIedt_...." Ala. DOIa1!.u.
¡ I
,TNilOM1'ÞW,....-r.... C i'. MMSTm.
i (~;..-.." 0 a. Sf.........'..
; I
I T.... ....T!IUL. ~.. C r. IIIUIe STUL
(0.:.__"" C a. 1TAM8a ~
I
4371
Ge
L T~ c:anBIfrt
, ~1WII!!
«,~ ........~ CJ z. WI:IIO
..,.. ....... Ui't ...om CJ I. œ-..
j:i(" -\OlIN I!ADED 0 .. QA80ftCl
c::cIMION...... c-.. __............ ---,,,.,.,
440
[] S. .fI!f na
£J .. AWt'T1l:lH r:ua
(] _. OÐIER
~ . ,...,........... .....,,,.,,.,
..,
612
"T~~
[] s. ..... WIU. .......
_,_~~~
[] .. ......IIWILL.. A y.u.r
D .. 8Ma.t:WAL&. *"" ~ IUOœJI S't'I1&t
[]..~
a.one
..,
TAN( IN'YUIII:.I-.o
CIA ~,.
o So ~/~
¡;( .. ama QAØ WF......
~~~
OJ. ~/PUmC
~.... STIlL CUI)~....
~~IIAP)
a J. ~r.
o s. ØQIrf LNiJO
o .. 1IteI:IUC.....-.a
C I. oo-.....,~
)t& ". c::a.A1'1IU WlftCIØ aeTI'WQ.
[]..~
[]...cmø
C..~
0.. OTN!A
....
o & ". CII:IMOAT8..I! .....1Ift wnwa.
[J .. RP~JttDIÐ
C 10. Q)lt.T1!DSTm.,
...
c ~. __ute
C t AU'\'O LNG
I
c ,l .......~ c.'nCICIC
I Htó rL'TDoI
o z¡ IoiIQWIJC:W. oUIXII!
I .... IMITAu.ID ao T'tPI! ('- --.. OOIIW
C 1. a.tLL CQIIT'AMeft'
c ¡,I ~n.
C ,,1 .,....u.,..
,:r::'"", ·i..~!. ,', ' ,: ," ,,',:: .,.!,,:', :>..K~' ·:V~, ".:.II!'·'~~.n8M
IP IIIIMJ. ....., WIÞt
I C] . VlILW. (IØIDIID II'QmCW ..,
a 1. AIiTCJoIATIC TANC ~ 111'0)
I 0 J. ~..1'O
a.. "..ATISTICAL~..COHc::IIIATDiC....
I 8II!IIINW. T....1U'I'_ 1
I
UTIMiITlOa."l u¡rr~~"
2. ill, /2-0 1710
. I
C .. .... L-.a
t!..~
c.. ~
C... OTHl!Jt
... 1M,. MTAUJ!D
617
s.~~~
C .. ""ttI!O~
c.. IN'lCMI
o ft. o'ntØ
....
IItttaI
q INITAÜ.IØ ,....
"....-.,
"I ~ PROT1!CTION I!QUR4!HT; Y'!.AA 1NITALLa) .2
C ,. A&..NIM C 3. ~ILL TUII!! þuro~VAl.III! _
C z. a.u. rulAT C ... IÞ!Wr
" 'i:~r:: 'i,,~~'
. -..u WAU. ,.... 011 ,..... """ a.aœa (
~ ,. "'IUAI.I~ WAU.IN "AU~ T CIM.."
,. z. C:O""-II«.IOUIIMI'UIS'TI1'lA1.ICHlTQRIIoG
C 3, ~ 1IoOCfTg~/IOIO
" . . ,:,;~~~~.
[J So ~ T.... Qjt,UQHQ (IIITOI
C .. v~ ZI:IHII!
o 7. CPOU'CIWÀTØI
C.. T",* TlSfbcJ
C.. on.
V. TAIII( CLOIUU .,o.uTJOlf ,.........-r a.oeu.. ØI Pt.ACII
IIftI4o\ftO QI.WImn' OIIIJUT.ucI-..r -'0 ... ,.... 'UID WIn. ....-r IMTUIAI,?
-....... ...
-
"'7
~
CT.
0..
I .ft.llllt~ ...........,
Feb-2S-00 04:12P
P.04
, cn" Of! BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVIces
f7fS Chea.er A.... '.kersfl.,d, CA 93301 (881) 328-3171
PIige
un ·fAN/C "AlG! l , I
d
~ "PING COIIIITJtUCTlON CIâ .. IN ."
.-=
UNDERGROUND PlPlNQ
šŸsrelo1TYPs' T~:: ~~$~~~ 0 2, suem" 0 ]. GAAVITY 458 0 1. PReSSURE
.._~--'--'" ...-... .......-.-..-
CON$TJ'luCTO~ ¡ 0 1, SINGLE WALL. 0 ), LINED TIœNCM o !III, oTHeR 48CI Q I, SINa&..E WALL.
""'I'/UFACTUReR Ø( 2, oc;'Iuel.e WAlL 0 8S, UNI<NOWN 0 2, DOU81.e WALL
IWINUFACTUR£R .a, 'MANUFAC1\JRER
1:1 I, ~RE STEEL Þ( II. FRP COW'" TI8I.J: WI 101M10 ME1'I'WC)L 0,. BAAE STEEL
, IMrE~IALS ~Þ 0 2, ,TAKESS STI!EL I( 7, ~LvA"IZ£O STEEL 0 2, STAIN\..SSS ST¡¡:eL
: COAROSION . a
' PROTeCTION 0 J, PLASTIC CO,..",TIBL,E WITH CQNTENT$ M, UNIQoIOWN 0 J, .......STIC COMPATIBLE WITH CONTENTS
a &, F'BEAGLASS 0 II. FlExI8I.E (HOPE) 0 98, O'OfER 0 4, FIBERGLASS
o 5. STEEL WI COATING 0 9. CAn«)OlC PM>TECTION 4ð4 0 5. ST£EL W, COATING
va. PIPING I.bk DI!'ÆC'I'1aN tc-t "-~J
o 111. AlllNUAl ¡,.,-eGRITY TEST (0,1 GPH
o 17. DAlLTVISUALCHECK
'" '.~'~' :~~~~,}:~!··~:~i\.,. ...:."......". .:.~·:;.~~·~~~:f~2f.:~~~~.;,~.:~~~:·~~~· .:~,
o 1. I"lOA T r.l!!QtANISM Tt1AT SHUTS 0'" SH!Nt IIALII'E
CJ 2, CONTINIooOUS ot8PEIoISER PAH SoEHSOR . AUDIBLE AND VISUAL AUoRMS
IJ J. CONTINUOuS )ISPEHSP PIIM S£NSOR Jð!III:\ AUTO SMUT O~F FOR DI8PI!N$ER .. "UÞIBLE AND VISUAL Al.ARI.4B
IX. OMf!RIOP!RATOR 8I0IfATUR!
, UNOeRGAQUHC PIPING
¡--,-., " IlMa~ WALL P'IPI ..
i PReSSUR~D PIPING (CMc. ......I/IPIr):
¡lit. , ELECTRONIC LIfE LÐ.I( OETECTOR J.D (¡PH TEST:tlm1 AUTO PUMP SHUT OF~ FOR
I LEN<. SY5TÐ' ~AII.IJR£. A\fC) SYSTeM DlSCOIlNiCß)N . AIJC)IIIl.£ &NO VISUAl.
I' ,l\LARMS
o 2. MONTHLY 0,2 GAol TeST
o J. Ál'lNUAL IHTI!GRI1Y TeST (0.1 GPN)
coNVENTIONAl.. suÇTlQN STSTEIo&
,0 $. CAlLY VISUAL MOMT~IHG OF PU~ SI'$11!w .. TAIEMIIAL PlPIJIoIG 1JofT'E00nY
TEST (0.1 GPH)
Ii SAFE, SUCTION SY$'f'EM$ (NO VAL.....S IN BELOW GaCuND PlPING)~
ø... T, $SLF MOMTORI/IIO
GRAVITY !=lOW:
j 0 I, eJENNIAlINn:GRI'IT TEST (0.1 0PtI)
II SIICO........, CONTAlN!Ð PIPING
t PRESSURIZED PIPING (Check .. Ñr ....,J;
10, CONTINUOUS T1J1iI8INE SU'" SENSOR mII:2 AIJ)IBLf NC) VISUAl.. ALAAMS AND
, J!1'd. .....)
, ! ' ~ a, AuTO ~ SHUT OFF WHEN A I.EAK OCCURS
a b. AUTO 1'\1.... SHUT OFF FOR 1.!AICs. SYSTEM FAIlURE AND SYSTEM
OISCOlI'IICTIQN
o Co NO AUTO PU,.. SfWT OFF
[J , 1, ...",TOMATIC UN!! IBUC DeTECTOR (3,0 GPM TEST) mIJ::\ FlOW SHUT OFF OR
RESTRICTION
o 12, ANNUAL INTEàAITY 11:ST (0,1 GAi)
SUCTION/GRAVITY SYSTat
o 13. CO,,"INUOUS SIJWP seGOA . AUOI8I..E AHD WIUA.l ~
e.I!ROÞIC"t' OellnATOIItI 0tIL., (Chedr" Nor--'1)
o 14, CONTINUOUS SU'" SÐlSOA It'I.ItIØlI AUTO PU'" SMUT OFF .. ~UOI8l.E,4,HO
VISUAL ALAA~
15, AUTOMotlTIC UNE LEAK CETECTOR (3.0 OPH resT) ~ FLOw SHUT OFF OR
AeSTRIcTIOH
o 18. ANNUALlHTEM'IT"!' TEST (0.1 GPt11
o ", OAIL Y VISUAL CHECK
t ~'I ~_(FctAocØu_~J
4~ l "-""Ii ~ (~1Otø ". "'*)
. UPCF (7/99)
ABOVEGROUND PIPING
o l, SU<;TtON
o 95, UNI(IoIOWN
D Ii. Of HER
46:
o J. GRAvITY
&5.
--
_ 46J
o $, FMp COtotPATI8LE WI 100'" MeTHANOl.
o 7, GAL\r~NIZE) SiEEL
o 8, FLExiBLE (MOPe) a 99, OTHER
o 9. CATHODic; ~orEC:TION
o IS, UN(NOWN
~s
.t.aOVEGROUND PIPINO
,"NGL.WA1,I,.",PlIoIG --467
I"R.E$SURIZ£D PIPING (Cìteclt ., /tie, $ÞIy):
o ,. ELEC'rROHIC UNE I.eAK DETecTOR J,O GPt1 TEST mnt AUTO PU.., SHU," OFF FOR LEAA.
SYSTEM FAIlURE. AN) SY$11õM DISCOHNECTION .. AUDIBLE N«J VISUAl AI.AAMS
(J 2. WOIolTHl Y o..a OPtI'JUT
o ~. MNJAL IN'l"eGRnY nEST (0.1 GPH)
D 4. DAILY VISUAL CHeCl(
COHIIENtIONAI.. SLlCTION S'r$~ (CIte" .. .t ~J:
o 5, ClAJL'" \/ISUJ,I. IoCINITORINO OF PIPING AND PUhlPlNG SYSTEM
o I. T'RIENHlAL INTEGRITY TEST (0,' GPH)
SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING);
(J 7. $ELF MCNTOA1NG
MJ.'IfTY FlOW (Citeck" /PIe, .".,.):
o II. Qt./L Y ....~AL MONITORING
D 9. BIENNW..fNT1õGRlTYllSST(O,1 GPH)
SECOMDAIaL" CO....AlMI!D "'''NG
PRESSuRIZED PIPING (CI1æIt ~ Ihf' ~):
10, CONTINUOUS 11JR8NIE SUMP SENSOR mD:I. AUDIBLE AHØ VISUAl. AlARMS AND (.;.2 Øle)
o .. AUTO PUMP SMUT OfCF WHEN ~ LEAl< OCCURS
. 0 b, AUTO PUMP sHUT OFF ~OR LEA('s. SYSTEM FAILURE AICI SYSTEM DISCONNECTION
D Co NO AUTO F'UMP S/'tOT OFF
D 11. ALn"OMotlTJC: L..eAI( DeTECTOR
o 1~. AN"UAlI~GRITY nEST (0.1 OPH)
SUCTIO~0A411nY SYSTEM:
o 13. COHT1HUOUS SUIoF SÐISOR . AUDI8LE AND VISUAL ~
ElIiIl!MeNCY G£NIiItATOÙ ONL., (Chèd¡" IfYI ~
o 1., CONTINUOUS SlJMP SEH$OA mœw: AUTO PuMP SHUT OFF . AUDIBLE ANO VISUtlL
AUoRroIS
CJ 15, AJTO-..TIC I.I"E ~EAI'; DETECTOR (3,0 GPH 'Æ$T)
:, (~.~t~·~~~··
o 4. 0AIl Y IIISUAL CHECK
o 5. TRENaI UNERJ WONITORlNO
CJ I. NONÈ ..9
."
47.' fWmlf~I)Ite("'''_'')47J
&70
472
~·'''''IDAe^D..o'.''''Iá'''lILa INPD
1-
Feb-25-00 04:12P
P.os
: T....-. _
¡ ~ t. 1I01QIt '4CLI1IUII. '
; ("------~~
i a a, ICINoI1.t!L ~
: Q 3. aeII:AI.~
I 0 .. ~,,~(.......
.... áIJ
O..~
1rt
.~ "..
..,.
...... ----.
-.. -- .-,
rr"'li 0' ACTIO'"
fa...:. _ .... ~J
I ,
i T"i'PI!i OF r... .
¡ ICI«Ji -... CIIIW
i
I rN« _~. t/fIffWf'"
e CITY OFBAIŒRSFIELDe
OFFICE OF ENVIRONMENTAL SERVICES
1715 CheSler Ave., Bakersßeld, CA 93301 (661) 326...3979
UNDeRGROUND STORAG~ TANkS - TANk PAGE 1
s
CJ t. IiCW SITe PØWr C.. MoIUCIfD PllllioIfT
,.. tI
CI IS. RW'QØWt" SITe CLOSU"l!
a 7, "~Hn..TCLOIIDO"~
a .. T.tIC IU!acv.D
.
a s. QWoICM c- -OlltMaTlON)
~~~
.J
L T~IC ~~aca.,...
4J~
CØoPAIITWI!HT~IZED TAM{ C .,.. 0 ..
. "T.". aum.... _ .... b _ 1DIIIIoftn_
4:1-
I 2. "e>o ~
GI
.. TNIIIt~
~nft
'a. ~ UM.a"'Clll> [] t, LÞœD
'.. ~ WI IWIII!D C 3. DIIEaL
'CI.~""~ a..~
CI:MIDII1We tt- ----......... .....,. II9IIJ
..0
C $. .-r FUEl.
C .. A*TDI Ra-
e.. O'nlllt
M, CM.,...,,...........~... 442
C I. ...... WIIIL
Ita. ~.....
..T~~
[J J. ~ IIW.I....,.
-.-.--.....
[J 4. ~"""."VNoLT
eo
o ... .... WALl. ""'" ~........1'rSftM
0.. '.....,.,..
c.~
C I. 11M!! sna
C Z. IT....... STIlL
I {CJIcJt _... ....,
I
fAl'll(" T'!AW. . ......,.. C t. IiIIœ ST-.
(Citc* - ..,..." C I. .,-...-..-.,.
[J 3. JIWJIGLAII ffllASh: C &. .......-,.
ø' .. snaQ,.tG_~ J1d.. "'~TBJ!...,aø ~
~PUmCIFJIPI .....,
C J, ......./PU811C CJ.. AllPCICM'A~.."aø'u.mwCIL.
CJ(...~a...o~ o......~~
~ UJ'PUSnCAIPt C,a. COo\TmST'EB.
C'''~'I:
...
11_'" WILL ~ III'" ~
a I. Vl&lAl.IIIPOeID~ OiLY)
o l. NJfOMInc:T....~CATQ)
o J, c:.r»n'IlII,O,IS ..TO
o f, ST.uISTlCAL~~..,.TCIIII(UI).
II--..&. ,AI« ~
rNl(~"'"
0lIl Cll:».TNa
(C/tcIl_ .... M)o
SPILL AIIQ O\ItØLL
,
i (ClICk ~ N/ '""')
I
I,
a..PIVICIWN
. [J.. 01teL
~
0.. ....o.w.
a..~
C t. _....
C Z. AI..IIMt.....
C ,. .........<ICi\N!DCoIIIntIXIIC
~....:ncw
C ~ 8arILNID
C ... ~.....a
Oa.&<I88u.o C.. .~
)1.. tN.MID [J... OTtet
.. GATe Mn'MLJID
..,
ItJoJì
IIISTM1.ÆO
...
CJ.... ~
0.. 0'ntØ
~~~~
CJ ... ...---0 CUIADIT
....
[J .z. ~.uc':IOI!
YUAIeTAU£D .. nÆ (Ço,-.J1oW1IJI/If
pr...... -,.,
.., ~IU. ~T!C:fIOH lQUIfIIoEIn': \'ÞA INST.IU.I!D .sa
[] I. A&NIN [J ~. FU 'I1JMStlU'TOFFVALII£_
[J 2. 8IU ~T ' C .. 0&Pr
[J t. ~CI:MT~
C Z. CIIIQIÞ 'l11li
C I. .,... "'-''q
, . ";~;t': ':,,~,~.. "
..' .~.?e~~·.
...
CJ i. ~ TAMC<IAUOINØ(IIrO)
C .. VACIO.. ZGIIII
C p. ~"1'VI
CJ &. TAM( ''*T1NCI
C ..Ot1Ø
V. T_a OIl.. IIPCWlATICIII '.............,.CLOIu..... PUCII
UNMTID G&Wmn' 0fI1&IM1A1C1: MM...1tI ~ TNt(,.",.D 'MTM 14M _".,....",
--~ ...
I!STI~"eo OA" I..VfUllO ~"
2/J(,/?~",.
. Ift,.C' I"~"
.7
,.....
0.".
CND
l
Feb':"'2S-00 04:12P
Po OS
I
~ CITY OF .....E.....LD . .
CFFICE Of INVIRONMENT4L SERVICES
1715 ""'to. ".... _... co. '3301 (",) 32..,.70
lIST - T AlilIe p.-o", 2
P..".
..
-
'~ PlPI_ CONaTlWCTIQIt lCò'** ill ..., WIY)
UNœR~ PPlNG
SYSTEM NPE ie( I, ~ESSUlile 0 2, SUCTION (J ), GfUVITV4S8 0 1, PReSSURIi
CONSTRUCTIOHI' (J I, SINGl.e WALL 0 3, LINED TRENCH r:J 98. OTHER 4eO (J 1 SINGLE WALL
, Mo\NUFACTURER ri... 2, OOUBLE WALL 0 95, UNICNOWN 0 2. DOU8Le WALL
I I1114NUF..CTURER 41 MllNUF...CTURER
.---- -....... ............-...-
o I.I!IAAI! STEEL ~ .8. FRP COMPATI8LE Wlll1ni1foET101ANCL 0 1, aARE STEeL
I MATERIALS AND 0 Z. STAINLESS STE£L 7, GALVANIZED STEEL 0 2, sr..INlESS STEEL
: cORROSION 0
~ PROTECTION 0 3, PLASTIC CCMl'ATI8I..£ WITH CONTENTS 0 till, UNICNOWfoI 3, Pu\STIC COMPATl8LE WITH COIotTENTS
[:J e. FI.IXI"! (HoPEl 0 te, OTHER 0 4, F18ER~S
o 9. CATI10DIC PROTECltlON .... 0 S, STEEL WI CO...TINO
YlL.-....o LbK þfftCTQII (Qd ill .....,)
10 4. F_R~S$
10 5, S'ÆELW/CÖATING
:....--..
UND~GROuNO PIPING
II I11III1.1 WAi.L PIPING ..
I PReSSURlleD PIPINO (CItecIr III /II.'~: "
: 0 1, el.eCTI'tQNIC UHE LÆM œrectoR 3.0 GPH TEST !ðIIItI AUTO All. StlUT OFF FOR
, LEAK. S1STEM I' AlLUM. AND SYSTI"" Dlsc::c)Io8oIeènON · AUDl8LE AND VI$L.IAL
ALAAMS
o 2, NOfI/THLYO.2 0fIH TEST
o 3. AioINU.\&. 1JilTSGR/TY TEST (0,1 GPN)
I
I' CONII£lojT1OHAL suctION S'fSTEMS:
o s, DAILY VISUAL MOI<IfTOAtNG OF PUMPING SYST1!M . TRIIif/II..... PI'''NG INTEOAITY
TEST (0, I GPM)
¡ SAFE SUCTION $YSTEMS (NO VA/':-tf,S IN BELOW GAOt)ICI PIPING);
07, $ELF hC)NlTOAIHO
MAvITY ~I.Ow.
o 9, BIEHN...... /llTEGRITY TUT (0.1 ~)
'I SlCOMDAML Y CONTAI..D PIPING
! PRES$URIZED PIPING ra- 1II.,.,.øn:
I 10, COI<ITINúOUS TUR8INE WWP SENSOR wm1 AlJDI8LE AND VlSUAI_1\L.ARtICS AHD
I (C/IeØc _) ,
! 0 ;0, AUTO PU.... SHut O¡:F WHEN A LEN( OCCURS
I [:J II. AUTO PUW' SHUT OFF FOR tBUl:S. S'/'STÐII FAIluRE AHO ~ITS'ÆM
DISCONNECTION '
o Co NO AUTO PUWSHIJT OFF
o 1, AUTOMAnc ulE LENt DETECTOR (3,0 OPH TEST) mna FLOW SIoIUT OFF OR
RESTRICTIOIoI
o I Z, .&IOIUAI.. INTEGRITY TEST (0. GPH)
SIJÇTIOMlGIUoVllT S'l'STbI:
o 13, cowrlNUOUS...,... 8I!NIOR . .woI8LI! .t,ND \II8UAI. ~
...øoVeCROUHD PIPING
-...-.--
o 3, GR.IIV1TY- -:-,
--~~"
o 2, SUCTIOIof
O~, UN/(NOWN
O. OTHeR'
46:
4$"
o e, FRP COMPATI8L&-W/100," MET~L
07. GALVANIZED STEEL
o ø, FLEXIBLE (HOPe) 0 98, O~ER
o 9, CATHODIC PROTECTION
OSS, UNI;NOWN
465
...eovEGROUPilD PIPING
!IINGL! WN.L PIPING 467
~SSI.IRlZeo PIPING (CMcIt .. ,.., apptr):
o 1, a,eCTRQNIC LING Lb( DETEèToR 3.0 GPH TEST ~ AUTO PUMP 9UT OFF FOR LE.IJC,
SYSTaI FAilURE, AND SYSTEM DISCONNECTION. AUOflll.£ AND VISUAl.. ...~
o a. ~Y 0.2GPH"tEST
[:J 3, AHNUAL IHTEOIIUJT TEST (D.; GPH)
o 4. 0A4. T VISUAl CHEOC
COI'M:NTICINIIL SUCTION SYST1õMS (CÞt«, .. III., -m):
o s, ONLY VISUAl.. ~"ITORING OF PIPING AHD PUMPING $YSTIi'"
D s. TRIENNIAlINT1!GRITY TlST (0.1 GPH)
SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING):
o 7. Sl!LF ~NfTORlNG
GfUoVlT'l" FLOW (Chelf.. _r ~):
D 8. DAft. Y II1SUAl. ICINITORlNG
o I. BIENNI&L INTEGRITY TEST /0. T GPH
SECOMDARlL't COMTAlIOIIED PlPIIOIG
PRESSURIZED PIPING (a.ø .. INr 1II1IlIy):
10. CONTINUOUS T\JA8INE SUMP seNSOR ~ AUCIBLE AND VISUAL AUUU4S ANO (1NdI_¡
o a, ALlTO PUMP SHUT OFF WHEH A lEAX OCCURS
o II. ...UTO PUMP SHUT OFF FOR I.I!.AI(S. SYSTEM FAß..URE AND SYSTEM DISCONNECTION
o Co NO AUTO P!JUF> SHOT OFF
o ". AUTOMIITIC L£N( D€TECTOR
[J 12. NNJALINŒGRlI'YTEJT(0.1~)
SUcrlOHlGAAVITY SYSTEM:
o 1:'. CONTINUOUS SUMP SENSOR.. AUDIBLE _0 VISUAL A&.t.RMS
e.PGIIC't GÞI!MTOM Ola.., (CItetIk II III'~)
o T£. CONTINUOUS SU'" SENSOR ~ AUTO PUM> $HUT OFF· ..uDlet..! AHO
VISUAl. ~
o 15, ,l\UTOMo\TIC LiNE I.eAJ( DeTECTOR (3.0 Gf'" TliST) ~ FI.OIII/9IUT OFF OR
RESTI'IIC'tIOfil
o 18, ANNUAL I/llTEGPITY TEST (0.1 GP'Ii) 0 IS, AlllNUAL INTEGRrT'I' TEST (0,1 GPH)
)011, OAILYVfSUAlCHECk, ,;·.,::"-.:~!i:";<:~:_~. ,',' ,:';~;;;;;;:~;~;;:,"~~~. ", <'~::\.;:'\"~'>;.:'/;.i,::,: ~,;¡.>", ", :.' ."t'f,'~tð;
I DISPENSER CQNTAIHWI!NT a 1. FLOAT I41!OIA".UI,UMAT SHUTS 01''' ,"u.A VAl..VE [J 4, 01\11. y VISUAL CHEÇJC
DA tE INSTAI.~') ue CJ Z. CQIIoITI,.UOUS I)ISPlNS!R P~ ....SOh ÀUDIBL£ AHD VISUAL AlAFlMS ' 0 5. Tf;ŒNCH LINER I MOIoICToRING
a 3. CONTINUOUS DISP'!HSI!I'I P,," UHSOF!. :ð1II:I AUTO SHUT OFF FOR DlSPeHSliR . AUDIBLE AHD VISUAL AI-"RMS a e. NOHE -
IX. OIIWNI!RIOPfRATOA SIGNATURE
.~I!JICY OEtiEAATOU O.L l' (~ .. twr-.vøM
o 14, CONTINUOUS SU... $ENSOR mItlQ!4AUTO PU.... SHUT OFF· 4UOIBlE NlCYISUAL
~
D 15, AI,ITOMATK; LINe L£6I< DETECTOR (3,0 GPH TEST)
OATE j I! .
2--, ,~ ,~'C> ......-,6
£71 "1'0.£ OF OwNERIOPlEAATOR
v-~f
.70
4?)
I PII'ITIII NIImMr (foI' b:"-'ØU<1TyJ
473J "","n___(F«'-'~.~)
£74
Pwml\ bJII"CIIIn 0.1. (For 1OcII- f#T) .7j ,i I
UPCF (1/99)
~,\r.lIPA~nAU~\~WRCø:.a.wPD
II
I,
Feb-2S-00 04:13P
~t
:m,
..A...- ---oio.
'-'- -- .-.
P.OB
e ICITY OF BAKERSFIELDe
OFFICE ()F ENVIRONMENTAL SERVICES .
1715 Chester A've", Bakersßeld, CA 93301 (661) 326-3979
UHDE~:GROUND STORAGE TANKS.. TANK PAGE 1
~
r"rP£ 0' -.çrlQlill 0 I, ~ SIT. ~ a ... ~o "II'-.rT
(c_a ON ..., 0fItP) .J.
~ ~.....,. (~_. -.....,118.....)
8USIÞtI!SS!liMe ,1IIRIt. 'oIICLI'h' *MI.. OM· CII*Ie ___..., -
<f?flJ/vB.b"W ("'4\,,' W4?~' _
, LCXA TIQIII \IifmftIIII SfTW /'QIDWJ
"- f1I
o to CNoUCIII r:w ~OA""ncN' a I, re:~" SlTI ca.cS&¡q
o " ~1tMuI!H'n.. or å.ase:o 0IiII SIT!
(~........,_.........., a.. r~lU!loC7V'Io
· ! -...mo. fIIJIIIIIIIl
~
~
111..- I
'-
,.:
I. TANK al!sc:a1PnON
if
..., -...,
Q;
CO-~""~OT""" 0,,_ 0.-
· "'.-. ----....,.. -=it ~~_
4.)..
./ Zt?ð~'?
Ge
.. TAI8C: CIIIIIBI'P6
, T-.U. _
i J!!. ,. IIIOTCIIIt ~ ,...
; (If......... __ ...... TJp,I
i 0 2. ~.........
a,.~~
o .. ~......,.,......
IbIItt ce
o..~
¡~(IJT~
I (~........"
I
'lTlQalMm'll
!,.. IIIIIGIAM~ 0 Z. LÞaID
,11. ........~ a :L QIDS,
'11. ~&.N.EIoDÐ:1 a '. ~
c::&:MII:IIII... ,...,..... ........ ~ /tIIpt)
4e
[] So .ET JUeL
C .. AIM110N 'WI.
a.. cm4U
M.¡...._--__
M2
c.. .....u.
~ 2. 1Q&I..u,
.. TNIIIi~
o :I. ..... WoILL. 'Mnf
~'_~-.....Ui8
C '.. 1MU1oWoU.".VAa,T
...,
c ...... WALL """ IIfœINAI. LG:IIR S'WSTIM
[].. I.NINDWN
[].. one
I rAl« IIIIJ,TBQo1IL. ~... [].. _......
! (0.1_ ........, 0 2. "........IYUL
I
I TAl« ....TÐIIoL ......,.. a ,. ......,.,
(~00It....,., [] & It...... ITBL
TAI«~.....o
()III CÓ6TWG
(C/>eIt _ ..., MI):
SPILl. ...,c OVI!N'U
I
(Cltel:a.,..., ~
I
o :t. F:IIPQ ....1 "UoST1C ,
)( e:ITHLc:uø~
AEIIFOIIC!DJIU8nC~
a ~l ...-.ot "'"/~
if " ITDiI. a..D ..... _ -l1li
~PUISTIC(RIP)
[] .. ___Ie
CS.~I"
, J( .. "~T8J!"'. aenwø.
C .. "'~TW.II"'CIJIII, ~
a .. AIP~..........w::aœr
(] 10. CD&t&) ITEE1.
c... UNIMMM
a.cmp
c..~
(]..~
-
-
[],.--~
o L &It'I'D......
C 1, 1POIC'I'r.øG (] .. GI.A8t &.-.0 c..~
[] e.. I'IeCIUC ~ þ(.. IAMD (].. 0".. -
1 ~ ~1/&o1Im: a.. UMcrIQWH ...
C ... ...,.SIID ~ [].. 01MA
... ~,.. -.rAU.ID
*"
,.,--- ..,
IMTlICIT~
C t. ......~c:"a1lCXllC
~
(] z. ~AIiOØI
~ MT.w.m
[] t. .uCCMT~
C 2. .....,.
C 1 ...... "'-'YW
...
,410 'n'PE ("'1Itu/ ~ ~
".",. - oMf)
.at 0IUFru. ~n;cnolllll!QU~: ~ INST~ .a
o '. ~ 0 :S. 'IU. tull!lNJTo'", "AI.~ _
(] z. kL neAT a e. DIWT
,", ',:r~'~':'..~~ '~: '~·.:..',:;t~~.
~ WAU. ,.... ~ TA* 1'01**......... ~ .
o ,. VlIUI4.(~WAU."Y""'LTo...."
)( z. CDNTINt.OUSIN1'fJt8TJTW, ~1IfTOAIICI
C:s. ~~fI"
-
C.. IIIMHWI&. TAM( CWJQøG (utOI
(J .. ""OOSlUO...
C P. CPOUNIWATefI
o .. TAIM( TlS1'1NO
a.O~
V. TAMe Q.OIUUI_CMIlATDlI ,.It~ c::a..oeu..IN "-AQ
UftM7IØ tNNIrTrY ~ IUUTAICI ~""'" 4M TAMII;,....." WITM..,.., Mll.TIIIW.?
fl1
UTtW,arIO OIITlI..UT uMD~"
2,·J!¡'/2.~O¢
I
'JPt"~ !71OA\
....
Cy. C_
1_.
Feb-25-00 04:13P
P.09
f
~.. CITY OF ....e..FIELD .
C)FFICE 0' ENVIRONMENTAL SERVICES
.710 C...... ".... .._'.. CA _. ("') ,.....,.
VI. """0 COIifSTaUCTtOM tt:II** eI lite,,,,,,
'.. ... "- .....- UNCEIltGJllOUHO PIPING I
.~~EMTYÆ~~ ~;!~~~.!' O· 2. SUCTION (J ), GRAVITY 6sa 0 1, PRES~.:!RE
, C;ONST~uCtIONl 0 I. SINGLE WALl. 0 ), uNEe TRENCH ::J gg. OTHER -eo 0 1. SINGLe WALL
, MANlJFACTLJRER ~ 2, OOU8lE WALL 0 IS. UNQO()WN 0 2, OOUSLf WAlL
MANUFACTURaR 4$1 MANUFACTURER
a 1, ~¡;¡e STEEL ~ I. FRP COMPATIBLE WIIQO'¡' toIETHANOL 0" 8AAE STEEL
: MATERIALS AND 0 2, STAlNL&S$ STEEL ~ 7. GAl,VANlZEO ST'!EI.. 0 ;I, STAINLESS STEEL
:C~ROSlON
, ~OTECTION 0 3, PlASTIC COWATlIII.£ WITI'! COHTENTS 0 IS, UNICNOWH 0 ),P\;\STIC COM~ATl8Le WITH CONTENTS
o ., F_~5S 0 8. FlÆXJIII.£ (HDÆ) r:J gg, OTHeR [J 4, FIBERGLASS
[J 5, STEELWlCO...TIHG as. CA'n1ODICPAOl'ECTQ1IoI 466 0 S. STEEL WI COATING
vu. ~ U!AIC D8'n!C11CIIII (QII8d¡eI -~J
[J 1. FLOAT"~"THAT9HUTSeFFI,"fAA.VAlVE
o Z. CONTINUOUS OI~ER p~ SIHIiO'¡ . AUDI8LE AND VISUAl.. ALARMS
o 3, CO~IM.lDUS DISA;Þl8ER p~ SfNSOl¡ mIl:! AUTO SHUT OFF FOR OISFÐlSER . "'U0I8L£ AND VISUAl AI,NU.C8
IX. OMII!RlCWl!RAfOR 8IGNATU~E
I œ'¡fy "'.. tile Inlcml.aœl nIoÓ~ ~..m I."" MCI ~_IO IIIe _I d Illy .~,
SIG eo TOR
I
,
,
UNOERGRoUHD PIPVoIG
I IlNaU WALL íltPl..o ...
i ~ESSURIZEO PIPING (Cllect aM""..,,:
f..t¡ 1, ELECTRONIC LINE LEA/( DETEÇTCR ),0 GPH TUT mII:I.wTO PUIoØ' SHUT OFF FO¡
! -r:: LEAl<, SYSTEM F,\/LURE, AHO SYST!J04 OISCCIHNECTION .ItUOllll.E AND WIUAL
~MS
o a. IIC)NT)IL Y U GI't4 T!ST
D 3. ANNUAl.. INTEMlTY rUT (0. Gf't'I)
, CONYENTIOfIW.. SUCTION 5TSTEIoII$:
o S, CAlI.." ....'stW,IIiCNfTORING OF PU....NQ,S...STe... .. 'tRJ£NIIoIIAL PU'IHG IHTEOAI'IY
TEST (0,1 GPH)
I SAJi.' SUCTION SYSTEMS (NO VjJ.VES IN 8EL.OW CADl)NO PiANO);
ct. 7, SELF IIC>NrrORING
ClRl>.VITY FLOw:
o I, BIENNIAl rNTEGRIT'( TEST (0.1 GPH)
SECOlGUllLl' ÇONJA1II8J rlrING
I'fISSSURIZEO PlPlIG (Qed.. IÍYf -'YJ:
10. CONTIIlolOOUS TURBINE SUMP SENSOR ~ AlJÐfBLE AND VISUAl" ALAAMS AND
(C/ItD ane)
~.., "'UTO I'\'" SHUT OFF WHEN A I.£N( OCC:URS
lOb. AUTO PUWP SHUT OFF FOR lEIIICS. STS'1ÐI F.....LURE NIO SYST£N
I OlSCONNECTIOIII '
[J c' ~ AuTO PU.... SHUT O~
o 11, AUTOMATIC WIllE Lw DETECTOR (3,0 Gøt'-TUT) ~ FLOW SHIIIT 0"1' O¡;¡
RESTRICTION
o 12. AHNUAl..II'lÆGRnY TEST (D. I QP.)
SUCiIOf'llGAAVIn' SYSTEM:
o 13. CO~INUOUS sow SE~ . AUOI8U! AIiÞ Y1SUAI.. AI..AIUoIIS
-"":;1' GI!....ro.. OML,. (C/tedt"...1 WIPIr)
o '6, CONTlHUOUS SUW SEH8OR~ AUTO PUW $HUT OFF . AUDIBLE ANI)
VISUAl ALARMS
~ U. AUTOMATIC LINE L£u: OETECTOR (3,0 GI't4 TEST) mD:IIiälI FI,OW SHUT OFF OR
RESTRICTION
o 18. ANNUAL,INTl:GRIT'/' TEST (0,1 GPH)
o ,7, 0...11.... IIISUAI. CHECI(
.'.....
utT . TAIOC ....al! Z
PIÇe
d
-
"""k.:....:
ItBO"EG~U"'D PIPING
.-..
o ~. 'CRAVITY -¡;.
o 2. SUCTI01>4
[J r,¡, Ul\N(fIIQ'MOI
o 99, OTHER
46:
46~
a IS, FIlIP C~... TIDlE WI. 00... METHANOl
o 7. G.l.LVANIZED sTeEL
t:I 8, FlEXI"-' (HOPe) I:) 99, OT1>tl<$I
o 9. CA,THODlC PlltOT.eCTIDf,
I:] ¡,so UIIoIKNOWÞJ
4I.~
,
...----
467
p,¡essuJtIZEO Pll'ING (Çltck .. ø.., tJPPirJ;
o , eLECTRONIC UNE I.IWC. DETECTOR 3,0 GP11 TeST mItt "'UTO PU.... SHUT OFF FOR U<AIC.
S'TSTEM FAlLUR!. Aiel S'fS11!M OISCONNèCTQ1IoI . AUOI8LE AHD VISIJAL AURIotS
o 2. IC)IfTHL Y 0.2 (M TEST
[J 3. ANiAJAl ~~ITY TË$T (a. ì GPH)
o .. OAU.Y '/ISlIA!.. ~
COÞIIIENTIOIW.. SUCTION SY NS (c;h«1( II ".., lIPPI1J:
o s. Oot.IL Y VISUAl.. IoC)NITOAI OF PlPIHG AHØ PlJMPlNG SYSTEU
a IS. TAJ£NHW.. tHTEGRITY 11: (0,1 GAi)
SAFE SUCT/C)1IoI SYSTEMS (ÞIQ VAL 8 IN aELOW,GAØUNO PIPING);
o 7. $lLI'MOHrTORING
GRAVITY FLOW (a-It .. "'-'IIpJIIyJ; ,
a 8. OIIIL Y IIISl./AL IC)NITORIHG
o 8, BIEHJIfLt.l.IHTEGRITYTEST(o.1 OPH)
SECO~LT CONTAlMÈD "''''NO
PRES$UAIZED PIPING (CIIer;Jr "iler .,qJ:
10. COHTINUOUS TUftSINE SU"'" SENSOIt mIM AUOI8U: AND VISUAL AIAII..uJ ~ (cMck....
,[J a. IWTO PUMP 5I1iJT OFF WHelof A &..EM OCCURS
o II. AUTO PlJMP SHUT QliF ~OR LEAKS. SYSTEM FAILURe AHO S'I'STaI DISCOfllNECTlDN
o c. NO AUTO ~ SHUT OFF
[J 11. AUTQMATICLEAll:DETECTOA
I:) ,2. ......UAI. INT1:OIi.nY TI!ST (0.1 GPI't)
SUCTIOII6'GRAVIn' STSTEN;
o 1:J. COlfTfIìIJOLIS SUW seHSOR + AUOIØU!: AHa VISUAL ALAAWS
1!.I!RGII5NC\' GPI!IU\TORl 0".... (Chet:t.. "-, ~
o ". CO.."..lfIcùOUS SUMP Sl!IofSOFt JImI::IQ!.!I"'UTO PUIW' SHUT OFF. AUDIBLE AND VISUAl.
AI..AAMS
o 1'. AUTO~TIC I.IHE LEA/( OETECTOR (3.0 GPH TEst)
,",",'
[J 18. ANNUALlNTI!GAlT'Y TEST (a, 1 GP11)
o 17. DAIJ,. Y VISUAl CHECK
~"'.-:r~.:' :--Y':',',;"::'
":': :... :a..~~" ;J...~,.~~\,..;.~:... ,'., :;'", :, ;~.~',~~: ~,i:'~
o &. o,a,lI..,. VISUAl. O1ECtC
o 5. rREIIoIc;H LINER I ~NI1'ORJIIIG '
[J 8. NONE .ell
-0-,06
.70
472
. , P-"III NumIIor (Fw' ~&I'" q/ll)'J
~~(~"II.oI/I)',
474 I P.-mIl&li..1IorI DaIe~:'_M)lJ'7j I
.13
UPCF (7199)
~.."""". .-... ---~ ~-------- - ......-
e
.'
~~A·
~þ
March 29,2000
Rainbow Car Wash
3951 Wible Rd
Bakersfield, CA 93309
Dear Underground Tank Owner:
Your pennit to operate the above mentioned fueling facility will expire on
June 30, 2000. However, in order for this office to renew your pennit,
updated fonns A, B & C must be filled out and returned prior to the
issuance of a new pennit.
Please make arrangements to have the new fonns A, B & C completed and
returned to this office by May 15,2000. For your convenience, I am
enclosing all three fonns which you may make copies of. Remember,
fonns B & C need to be filled out for each tank at your facility.
Should you have any questions, please feel free to contact me at
(661) 326-3979.
Sincerely,
Steve Underwood, Inspector
Office of Environmental Services
SU/dlm
Enclosure
/{(
-
.~
§nter~rises
........
7104 Elkhorn Street
Bakersfield, CA 93313
(661) 663-7052
CA Lie. #742735
R,FrElVED
MAR 3 2000
BY:
March 1,2000
~--,.
Bakersfield City Fire Department
Office of Environmental Services
1715 Chester Avenue
Bakersfield, CA 93301
ATTENTION: Steve Underwood
RE: Rainbow Carwash, 3951 Wible Road - Monitor repair, manual leak detector and Emg. Shut-off
Switch annual check
BC Enterprises performed the annual inspection on the monitor, emergency shut-off switch and.
manual leak detector at the above location with the following results:
1. Monitor system (leak alert) with liquid sensors at piping low point was repaired and
checked out okay.
2. Emergency shut-off switch checked out okay.
3. Manual leak detector on Redjacket turbines went into slow mode - checked out okay.
1- -
If you have any questions, Steve, please give me a call.
Sincerely yours,
lii¿dJ:~1:~~
BC Enterprises '
Feb.,..25-00 04: l~p.e
~,.t . =~~"'Coaaa_
~ n...11Ïieu.......}
CERTIFICATION OF FINANCIAL RESPONSIBiliTY
AA co NINCI
A. ¡ _......... tit ... 'FiI' ". - ··T.......... --....... ia s..m- 3IØ7. a..,.. 1" CIiIo. So. 11... U. cca.
0'" ......-~- CXJ I .¡u.....................
.. AMD -
5ZJ 1'-' doIIIn"'~- 0 Z .ili_ dallan...........
____..- _ ,,'. ,. '.' P _ 02 .
;¡¡L:¡~~1~:I~l§~'Ä;0:<
B. 5 "' hef8Þyt:onifia that Ir Is '" compllllnt:e Mth the ~. of $tIction 2B01.
rM-et7Mto-r·~
Article 3. CMptlfI' 18. D/VÎ5iøn 3. Title 23.c.llfomiIJ Code 01 ReguJatiofJf1.
The IfItIChlmitsrrø ,..,¡ .., dflh»..b-ar./lnattr:ial fa /BibiJ, ~ uftd Þ Section 280781. as follows:
~F::::;~;¿~~;;:, '; , ':., :~;;'\~;;'~'éŠ::g~~tl:'~]~;R:;;~t=~':";;:!~t::.:?::: :::i1~~~~:=:;!¡? ::::::::~=~~!~ ;/~.1!~~! ::~g:~~~!
ç e.1 ¡ ~¿:, "^ ~'f'&t l,,\VL "'\ (- .¡ÞJ{)/OOOtf'·\/')/,f(Lø 'ý-e. ~ \J,,~
d 34$"/ W' ,~}''L..e ~j) (/ /\...)
)n~u.rJl),t, . I t::;
1;'iK~-£.r¡ì<~ c.Pt/35fJ!
'"r~.k ~
C~!.IN^ \.f, f'
fu-V\ð
st&t-t(. Vlq,~<'f ~ ÐI{. "rd
f.c.ß,ox 1 t{ 4211..
1L.1f~~.¿v\to cP 1~1-4Y
9~~~,
Cr.:;,
Y<.f
y~
I
I
I
I
I' Note:"fOt/ _ _.. - Fund""'" ."'__ ",_I twptMIBiÞII/ly. -- --....
", thø œrllf'/t::llrJon "0 t:ettifin fllst }IOU are in cømpllance with all conditions "" þlJrticJperløn In tt. Funð.
'D. ,.mlplf_ ,aiililp-'- 'ê>tf t<~.,.r ietLc1
39 p/ w,'b1.£. $761
, Ip'-""-
Jf.cill.,~
f""~
.'iiioiII"",-
....., ........
,...,~
7-
JfIIø..lli n...afT..a....-~
III.- ....--....,
1--,
fIur: Ort"" - ~,....., c::.p¡. - .....,....)
.....
~ SENDER:
'iij . Complete items 1 and/or 2 for additional services,
GI . Complete items 3, and 4a & b.
f! . Print your name and address on the reverse of this form so that we can
~ return this card to you,
GI . Attach this form to the front of the mail piece, or on the back if space
... does not permit,
.! . Write "Return Receipt Requested" on the mailpiece below the article number.
.. . The Return Receipt will show to whom the article was delivered and the date
delivered.
3. Article Addressed to:
J also wish to receive the
following services (for ar~ra 8
fee): , .,.~
1. 0 Addressee's Address ~
KAMIES ELHOUTY
RAINBOW CAR WASH
3951 WIBLE ROAD
BAKE FI
2. 0 Restricted Delivery
Consult postmaster for fee.
4a. Article Number
Z 410 286 929
!J
..
Co
ãj
(J
GI
Œ:
C
...
:I
...
GI
Œ:
93309
4b. Service Type
o Registered
I!i Certified
D Express Mail
o Insured
o COD ~ g'
o Return Receipt for ·...§jl
Merchandise
elivery .2
~ ~
ddre see's Address (Only if requested ~
nd f e is paid) :ä
.c:
I-
<t
2
Œ:
::>
I-
~ 6.
...
:I
o
> PS Form 38", December 1991
.!!!
-IrU.S. GPO: 1993-352-714
DOMESTIC RETURN R
I:' "~
1<;.:
I c_'_...
I:, ,_;!NITED STATES POSTAL SERVICE
,-.. -
f'
-:.
1.::, ~
I
I
I
I
I e
I
Official Business
iI
PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
Print your name, address and ZIP Code here
· CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
1715 CHESTER AVENUE STE 300
BAKERSFIELD CA 93301
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 aHa Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661)395-1349
SUPPRESSION SERVICES
2101 aHa 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-Q576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 32EH0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
e
""..... '-.,'~...
.
February 13, 2000
Kamies Elhouty
Rainbow Car Wash
3951 Wible Road
Bakersfield cA 93309
CERTIFIED MAIL
Re:
Failure to submit, Annual Maintenance Report on tank monitoring system
and Forms A, B.
NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE
Dear Mr. Elhouty:
A joint inspection was performed on January 13,2000. During that inspection it was
noted that no annual maintenance had been performed in the calendar year. You
were issued a correction notice with 30 days to comply. You have failed to respond
and are now in violation of Section 2641 (J) of the California Code of Regulations,
Title 23, Division 3, Chapter 16.
"Equipment and devices used to monitor underground storage tanks
shall be calibrated, operated, and maintenance in accordance with
manufacturers' instructions, including routine monitoring and
service checks at least once per calendar year for operability."
You were also required to fill out and return forms A and B so that underground tank
information could be updated. It has been more than 30 days since our notice was
issued and our office requires the documentation showing that the maintenance has
been completed.
Be advised that your permit to operate your underground storage tank will be
revoked in 15 days which will be on February 27, 2000, unless the above mentioned
documentation is received by this office.
Should you have any questions, please feel free to call me at (661) 326-3979.
Sincerely,
Ralph Huey ,
Direc or of Environmental Services
~
teve Underwood '
Inspector
SU/mv
~~7~~oW~f& ~~ ff~ A W~"
------------------
----
/
cœRECTJqN NOTliE
BAKERSFIELD FIRE DEPARTMENT N~ 682
Location (2{llV\~ðCtJ êf)f(J.JI1.~ .
Sub Div. ,":{,95'1 (1J,b/c I2iBlk.
. Lot
You are hereby required to make the following corrections
at the above location:
Cor. No
t) ,!J/ UL5l
?
Completion Date for COITeetio;! - {(;2t;
Date /....( '1- tJD __ ~.J-i2
nspector
326·3979
.
.
CITY OF BAKERSFIELD FIRE DEP ARTMENT-,
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME QltlV\b()vJ '~ct~l
ADDRESS 3Qs( WI b{c- ()d,
FACILITY CONTACT
INSPECTION TIME
INSPECTION DATE l-l3-00
PHONE NO. ßó'~ 331 /
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES 'c f6
Section 1: Business Plan and Inventory Program
D Routine 1:1t60mbined D Joint Agency D Multi-Agency
D Complaint
D Re-inspection
OPERATION C V COMMENTS
Appropriate ,Permit on hand, V,
Business plan contact info~ation accurate Ii
Visible address V
Correct occupancy V
Verification of inventory materials II
Verification of quantities ~ J Aile! t 1II1ICII\. fut\4 10 JßcJsl"y !IS P(~L
v7 .'
Verification of location
Proper segregation of material ' V
Verification of MSDS availability ~
Verification of Haz Mat training vi
Verificatión of abatement supplies and procedures II
Emergency procedures adequate V
Containers properly labeled V
Housekeeping 1 )
Fire Protection V
I....
Site Diagram Adequate & On Hand II
C=Compliance
V=Violation
Any hazardous waste on site?:
.Explain:
DYes D No
White - Env, Svcs,
,Yellow - Station Copy
Pink - Business Copy
¡@,~
.' - ~s;ne-;-s ~esponsible Par1y .
Inspector: _' ~
Questions regarding this inspection? Please call us at (805) 326-3979
1
,I
,
e
.
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
F ACILITY NAME~{øl) &r (lJv.s k.
INSPECTION DATE I'" (:~",()O
Section 2:
Underground Storage Tanks Program
o Routine QYêombined 0 Joint Agency
Type of Tank .btùfc.~
Type of Monitoring rLM
o Multi-Agency 0 Complaint
Number of Tanks .3
Type of Piping -oWP
ORe-inspection
OPERA TION
c V
COMMENTS
Proper tank data on tile
'iJ
Proper owner/operator data on file
Pennit fees current
v
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
(-Ire f.m¿;;, $¡.S/tlA-t
Failure to correct prior UST violations
Has there been an unauthorized release?
Yes
No
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
OPERA TION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection \
,
Proper tank placarding/labeling
Is tank used to dispense MVF? I\~
If yes, Does tank have overfill/overspill protection?
C=Compliance V=Violation Y=Yes N=NO
In'pee'", Jt. ctarð[j
Oftìce of Environmental Services (805) 326-3979
White - F.nv. Sves,
....--......-...
Pink - Business Copy
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 ·H· Street
Bakersfield, CA 93301
VOICE (805) 326-3941
FAX (805) 395-1349
SUPPRESSION SERVICES
2101 ·H· Street
Bakersfield, CA 93301
VOICE (B05) 326-3941
FAX (B05) 395-1349
PREVENTtON SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (805) 326-3951
FAX (805) 326-0576
ENVIRONMENTAL SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (805) 326-3979
FAX (805) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (805) 399-4697
FAX (805) 399-5763
--.
41
.......,.
February 9, 1999
Rainbow Car Wash
3951 Wible
Bakersfield, CA 93309
RE: Compliance Inspection
Dear Underground Storage Tank Owner:
The city will start compliance inspections on all fueling stations
within the city limits. This inspection will include business plans,
underground storage tanks and monitoring systems, and hazardous
materials inspection.
To assist you in preparing for this inspection, this office is
enclosing a checklist for your convenience. Please take time to read this
list, and verify that your facility has met all the neèessary requirements to .
be in compliance.
Should you have any questions, please feel free to contact me at
805-326-3979. .
Sl'ádv
Steve Underwood
Underground Storage Tank Inspector
Office of Environmental Services
SBU/dm
enclosure
""..9'~ de ~0HlR~ ~ ~OP6 ..97"kt, A W~?"
From: Brett Tackett
Fax: +1 (805)588 2786
e
To: STEVE UNDERWOOD Fax: (805)326-0576
Page 1 of 1 Wednesday, Odober 07, 1998 7:09 AM
IFAX
To: STEVE UNDERWOOD
Phone
Fax Phone (805)326-0576
.
I Date: I Wednesday, October 07, 1998
I Pages including cover, sheet: 11
From: Brett Tackett
BSSR
Bkfd
CA 93308
Phone
Fax Phone +1(805)588 2786
IIimIII
DEAR STEVE, WE HAVE TESTED AND REPAIRED THE TANK MONITER SYSTEM AT THE
RAINBOW CAR WASH AT WHITE LANE AND WIBLE LOCATION. WE REPAIRED WIRING
AND REPLACED BAD SENSORS AS NEEDED.
SINCERELY,
BRETT A. TACKETT
------~----
p ceRRECTION NOT.CE
BAKERSFIELD FIRE DEPARTMENT N~ 666
Location Pâ.tt'\ b41tJ ~\ CJ../o..!,k .
Sub Div. ~3t --13 II . Elk. . Lot
You are hereby required to make the following corrections
at the above location:
Cor. No
~{j P'I 19+
t!1W f/lL'r
Q è.ð ii,
'I ~,5 f(~~ .t.¿
Date 9-( (- i ~
Inspector
326·3979
e
e
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
F ACTLITY NAME ~ll\.~'(HU 1'0 t (I Jl1,t,k
ADDRESS ?J15"1 l.(h~IL /I2d.
F ACTLITY CONTACT
INSPECTION TIME
INSPECTION DATE 9-//-1 ~
PHONE NO. 83\-3311
BUSINESS TD NO. 15-210- 13~ 'I
NUMBER OF EMPLOYEES
Section 1:
Business Plan and Inventory Program
lJ}.-1{outine
D Combined
D Joint Agency
o Multi-Agency
D Complaint
D Re-inspection
OPERA TION C V COMMENTS
Appropriate permit on hand I~
Business plan contact infomlation accurate
Visible address IV
Correct occupancy V
Veritìcation of inventory materials vi
Veri fication of quantities V'
Veritìcation of location /
V
Proper segregation of material V
Verification ofMSDS availability V
,
Verification ofHaz Mat training V /fcµJ. 1'6) .s~T up rrtWu"1 ~cO(õ5
~. pt¡;/"I ~
I . -
Veritication of abatement supplies and procedures v'
Emergency procedures adequate v' /'f Ccd 10 POST ef,N:f9C~\.t'-{ prÐ (a/\JQS
Containers properly,labeled V
Housekeeping V .
Fire Protection t! ORe. ..ç\rc.. e f tf....~1.l rSkr Nc:.ecu
,ton.! I", ;(
Site Diagram Adequate & On Hand if "'IrA ~llL () III tJ I'n IAI\
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes DNo
Jv
Business Site
j
Questions regarding this inspection? Please callus at (805) 326-3979
White - En\', Svcs.
Yellow - Station Copy
Pink - BlI~ines~ Copy
Inspector:
e
e
CITY OF BAKERSFIELD FIRE D EP ARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME {1..0..,11 ~()W ~(J..\' Úk1Á.
INSPECTION DATE 9-1(-11[
Section 2:
Underground Storage Tanks Program
if'Routine 0 Combined 0 Joint Agency
Type of Tank Fè..S
Type of Monitoring CLM
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
3
rJwF
ORe-inspection
OPERA TION
C V
COMMENTS
Proper tank data on tìle
Proper owner/operator data on tìle
Penllit fees current
v
Monitoring record adequate and current
No NO
Certification of Financial Responsibility
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release?
Yes
Section 3:
Aboveground Storage Tanks Program
AGGREGATE CAPACITY
Number of Tanks
TANK SIZE(S)
Type of Tank
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
]s tank used to dispense MVF?
¡fyes, Does tank have overfill/overspill protection?
:~~:,~:'¡;'~'It Vd~~Y'"
Office of Environmental Services (805) 326-3979
White - Fnv. Svcs,
N=NO
~
Business Site Responsible Party
Pink - Business Copy
:1
I
I
l
~N MONITORING PRocÆURES
UNDERGROUND STORAGE TANK MONITORING PROGRAM
This monitoring program must be kept at the UST location at all times. The information on this IIIODÍtOriIII
program are conditions of the opcntting penniL The permit holder must DOtify the OfIiœ of Environn...",.I..1
Services within 30 days of allY changes to the monitoring procedures, unless requïred to obrain appnwal before
making the change. Requimt by Sections 2632(d) and 264 1 (h) CCR.
Facility Name 1l1J1,^~l')tÚ ~lI.r f1Jn~
Facility Address ,q'1tï'/ wr/ie..- /1/
A. Describe the fi'equency of performing the monitoring:
Tank -1}U1't
Piping Ü a l t3:{
B. What methods and equipment, identified by name and model, will be used for perfuming
the monitoring:
Tank l/t't"Jrr- 126JtJf Tt--5 - ~ÇO
".
Piping ~ /-r" Ir ,,1ft'.. +
C. Describe the location(s) where the monitoring will be performed (facility plot plan should
be attached):
Ih roJllrl¿ f '" lJ .f..((f'; (pI", 11) ~f1,t,¡' ,,. ',..
D. List the name( s) and title( s) of the people responsible for performing the monitoring
and/or maintaining the equipment:
All p e.. .oÙe- he IŸ\ ßtnli_e eft ï
E. Reporting Format for monitoring:
Tank ~T <n
Piping rl..Wl
"~
F. Describe the preventive maintenance schedule for the monitoring equipment. Note:
Maintenance must be in accordance with the manufacturer's maintenance schedule
but not less than every 12 months. "f m. rl '-( t r Ilt -4 _.J- 'flak ,
tvf",V'rJl.I'H Ie
G. Describe the training necessary for the operation ofUST system, including piping, and the
monitoring equipment: ~fnmLfI\f frf¡"(,.k~( by BS-51l ,
· .
EMERGENCY RESPONSE PLAN
UNDERGROUND STORAGE TANK MONITORING PROGRAM
This monitoring program must be kept at the UST location at all times. The infonnation on tlús monitoring
program are conditions of the operating permit. The permit holder must notify the Office of Environmental
Services within 30 days of any changes.to the monitoring procedures, unless required to obtain approval before
making the change. 'Required by Sections 2632(d) and 2641(h) CCR
Facility Name ail I h k>u 1 ént. WM'"
Facility Address :11,<;'" t.lh~-( ,
1.
If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note:
If released hazardous substances reach the environment, increase the fire or explosion
hazard, are not cleaned up from the secondary containment within 8 hours, or deteriorate
the secondary containment, then the Office of Environmental Services must be notified
mthin¡4hou,rs ;!¿p;il ~:'f';t~~~1:: r,j( /-';~
~'pLJ I "I I, 0, ~,
2.
Describe the proposed methods and equipm~nt to be used for removing and properly
disposing of any hazardous substance. J ~o t h ... tl I ( ~ ( 4l.t1.d if
~dl~ . 111ft:¡ { {Jfllt' c. (/Ja {( 1/1 rf- Øf{lr( kf b"'oU91t6(
~ttJtù S
3.
Describe the location and availability of the required cleanup equipment in item 2 above.
P.MIM.. Nt 'I. +- I-n ltJaJt\f()()Ut .·(.o.ú (..(, , ,
4.
Describl t~aintenance schedule for the cleanup equipment:
~ t'. (b.riy
5.
List the name( s) and title( s) of the person( s) responsible for authorizing any work
necessary under the response plan:
t<om/eS c¡ t, our
&P0ClJ.~ Gí1 e..
O)/I/e:(" IJv ~t?o.s
/':¿ooln':J ve2- Ber4rdo
'---. ~~-;.;...- -~
- -- -~ -- -----
C~REcnON NOn¡E
'-¡¡
A
,.j
. ',:£
·f
.¡,'
BAKERSFIELD FIRE DEPARTMENT
. no
~\}t<:~
(! ~ l"'1 é
~. r""Jt.... ¿,
~
~
,
Locatiol1 R A ; /\ \-;0,» ~!2 LA ~
Sub Div~5( L J; bt e,., R:k BIk. . Lot
You are hereby required to make the following corrections '"
at the above location:
\~ ~ef~
~c.e (?~
/
....~e..4- .¡/1~
Cor. No
'r
---
¡41'
ð,'fJ /it,q( ~-
eú (J. I '¡l.::..t.-t<. L<-"'- ;
- /
/ ' ~--
/ /7 ~",ø'-/ ./
)! '//' V
(/-) , /<,{/:..,./,7. k
. I ,./7·/£~.....~"'" ::;I"
. '~"/ ~ ~
Completion Date 2??eorrections . '23 ,,- r1
Date 6r/~ ~)7Ç 7k~ (C¿q,A _ ,:::1., ,
Inspector
326-3979
. ,
j¡f;:'~-~i.{~:~",-·r-W'-..:~;...,¡,. ·-~---'-~-"-"'--;'t~~;¿;¡~·~*~~~)~~~~~~;~,i;·''';;':'''~-5:i{~;¿'''''~~Ç~~~'~
I\::';:~
J'{-'.~ UNDERGROUND,STORAGE TAN~SPECJION
¡
¡
I FACILITY NAME ~b, > r"", I.' f'I""\...
¡ FACILITY ADDRESS .3;', ') \ {AJ'l \~ e Q,..~
,-.:t~. ~~J,,~--';'~~':~''': -~-~- -,,-:¡........;.....;~~~'\.~: :: - _-~:.Z;::::-£-:-~..¿':: S.,:'i;~ -.-',-...r,:';'~'-;--....:-':'-". . ,~;.'... t" ."~--e-.· .
.< i Bakersfield Fire Dept.
.. Hazardous Materials Division
Bakersfield, CA 93301
,. ~.~
BUSINESS I.D. No. 215-000 Gb q
CITY ß~~o\Á, ZIP CODE' C?~?d7
~
!--
....:.:
FACILITY PHONE No. ID# ID# ID#
(P/Q.3/~5 t'?1 1)2- a3
INSPECTION DATE Product Pniduct Product
" .. c... ,,...,n "" '^"'" UL+ (J/""6I'\sQ(,~
TIME IN TIME OUT
Ý \À -rJ.$-~:So \VI 0l1'''1-~ In81 ~fg~ In81 q~ In,t~8S
INSPECTION TYPE: ''1 /, &
~ L;Å. dB , " ',Size, " ' Size Size
ROUTINE FOllOW-UP .. . "./,,' " ~ "",,)oj , ~ rv:J 'f)
I '2-. ()(:. 0
REQUIREMENTS yes !ií~ nla yes no ' nla yes no nla
I,
1a. Forms A & B Submitted ¡/f " ""v ~' !
1b. Form C Submitted ': Þ ç. y'
Operatlna Fees Paid ,,/ I /' V""
. ~"'~ 1c. ¡
." "'-""'.,1d. State Surcharge Paid V- I / ç/ /'
1'8" Statement of Financial Responsibility Submitted V- I V ¡/
1 f. ~'\ Written Contract Exists between Owner & Operator to Operate UST ...... I ,,/ ¿..-
28. Valid Operating Permit Y"" I I ~ V-
, I
2b. Approved Written Routine Monitoring Procedure ,Y ý' ---
2c. Unauthorized Release Response Plan ' , r"" Ý ...........
38. Tank Integrity Test in Last 12 Months .' v V -
.'
'. 3b. Pressurized Piping Integrity Test in Last 12 Months ¡ Ý ---
I. L/
3c. Suction Piping TIghtness Test In Last 3 Years I V' -
I ---
3d. Gravity Flow Piping Tightness Test In Last 2 Years ,.1/. . i .,- .... Y"
3e. Test Results Submitted Within 30 Days \ ,/ ..... ----
3f. Dally Visual Monitoring of Suction Product Piping , v --- .-'
48. Manual Inventory Reconciliation Each Month I -- ".,.... ---
4b. Annual Inventory Reconciliation Statement Submitted , v V" ----
4c. Meters Calibrated Annually t/' ..... e"" , ' ,;--"
5. Weekly Manual Tank Gauging Records for Small Tanks ' .~ v "/,
'~,' . " --
6. Monthly Statistical Inventory Reconciliation Resuns V- "./ ......-
7. Monthly Automatic Tank Gauging Resuns ~ -, ' I ,/' Y" ~
8. Ground Water Monitoring u V::iI';£In~ I V - --
9. Vapor Monitoring .. ....--. ,-" ", ".,. ,.-' ,...-
10. Continuous interstitial Monitoring for Double-Walled Tanks .,/. V ---
11. Mechanical Line Leak Detectors ... ".,. c...- .
i v
12. Electronic Line Leak Detectors \ (...r v ../
13. Continuous PIping Monitoring In Sumps ¥ \; \ ¿/ V
14. Automatic Pump Shut-off Capability ,/' - ----
15. Annual Maintenance/Calibration of Leak ,Detection Equipment ~ \..--- i , V IV
- ,
16. Leak Detection Equlpmènt and Test Methods Listed In LG-113 Series .,/' ¡ , , ./ .....-
"
17. Written Records Maintained on Site ~ r--I ,,;¡ y" V
/' 18. Reported Changes In Usage/Conditions to OperatlnglMonitorlng t ' ,
-
Procedures of UST System Within 30 Days ~, - --'
19. Reported Unauthorized Release Within 24 Houra "...-" _.
20. Approved UST System Repairs and Upgrades ....-:; c.--' _.
21. Records Showing Cathodic Protection Inspection 6/'" " d-' -
22. Secured Monitoring Wells "'" ~'
- -
23. Drop Tube ....~ // ...- ~
RE-INSPECTION DATE~ ' RECEIVED BY: ", A ~)/'" ~
/' ~L""" :::7 --
:!ó/L~~ I~ ~./-~ -')
INSPECTOR: 7J~/¡ Ck...- OFFICE TElEPHON . o. ~~ __ rç<,'~;--",
.~.. :
¡
L
~
f
!
<
I,
I;
I'
~:?¡
rp~ '\
81Ifí":,,):I- Jj ,
~~¡1\@tl~~~(~ £\
.' ..!.,:"~'~-&it'M.~ ' I...
FD 1669
January 30,1995
i
, ------
_~"..._....r'-
'. " ' .~~8"d'
CITY of BAKERSFIELD
"WE CARE" (
FIRE DEPARTMENT
M. R. KELLY
FIRE CHIEF
WARNING!
1715 CHESTER AVENUE
BAKERSFIELD. 93301
326-3911
CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED
,.
L::~15,:-ØØØ;-:ØØ13G9 ,
RAINBOW:CAR WASH
39~!1 WIBLE RD
BAKERSFIELD, CA 93309
Dear Underground Storage Tank Owner:
Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office.
Please forward either a copy of your existing State approved mechanism to show financial responsibility or else
complete the attached Certification of Financial Responsibility form. ); {.
An attached.letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms
required to pay for corrective actions resulting from leaking underground fuel tanks.
Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The
Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release
liability.
The total amounts of financial responsibility required (check boxes from section A of form) are as follows:
If you don't sell product from you tanks, and you pump ,less than 10,000 gallons per month,
check "$500,000 per occurrence". Else, or if you are in the business of selling from your
tanks, check "1 million dollars per occurrence".
For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar
annual aggregate" box. All others need only check the "1 million dollars annual aggregate"
box.
Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in
your Permit to Operate being revoked. (25285.1 (b) California Health & Safety .code).
If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact
Howard Wines, Hazardous Materials Technician, at 326-3979.
;:''.-
REH/dlm
If¿,
.e\;C:~JIPermit to Opèrat~
. TIJfIHêrgtourtd Hazàrdous Materials Storage Facility
Sta~e I D No3106~6Afrrrrl¡Z;;?z!Z¿~AÞ Permit No ~¿~~ I
. · ~O~DITION~$m;fMlt1~~EVER~E SIDE
~~~~;~~~: Gt~~~;;,l;~nt~fì':j~~~; (/;~S¡~¡\~~~ :~~~d
Su P""~<' ~i-¿:~hð6Ir .:::L:'1~i'~~;RI!!nn:.:!o L~ ... ·.,Jþw F P fL<;S
.~: :~)~~ ~,!ðô\~.. (:,:,¡:..!:~&,~,',.~,:,::"'::::::::,¡,:,:,.:,:::,i:,:,:::,'::,!,.,:,::¡,¡:~'~lj;'~!::~\j)k~ Fi:i¿') (~~,
v·, "-,.e-I't.... 111:::ovo \,:::: ii41? ( " -(
, ,
Tank
Number
! i
:z
~
Issued By:
I
I·
APprove, by:
Pip'lng
Monitoring
AéG
(...-"
\
.: l
¡
'"
.......... .',
, '
'"
, ,
'.: .:.:.: :.:.: ";', ",
',:..,:::",: :::;::" :~:~:; :;::: ;.~:< t···.·.. ..
\:;::..... :·:;··..··;::;::·:··....::::::tr ··:::<·t:··::.... ......:.::>. ;...:.:::::...... ',' .' .....
..\;;:~..: :::.: :·:':::·:;::~::::·:::::lr .::f?"· ·:;:~:;::::·;:~:t/:·:·· ':;. .:....:. ....: .:..: ::'::' ::.:.:::...:\.:~' ;"::.~~~.. lcr:··:.·· . .': ': '. . ;",:'
.:..:......... .::::.....:::::: .;::::. .::::: :::::.:....:::..........:...:....;...:................;':.':;:::: .:::::. ::::'. . ..;.:'::: ;:.':;':
. .':::::::;::;:::::,::::::::::'::,?:,~:;¡::::::::::"'::':::!:i:::::~:,:::::::::,::::::::!¡::: ·!i¡¡¡:::::i!·i;;:::::~:!,',:::::':':¡:::::;,::~::;>:::::::;:{.[JJ:::::::t:,~ sue d To:
Bakersfield Fue Dept. ':'::::,:,...::/,/::':-:"":":::"':':::j: ':':: ::.//:::::" S~ <7 r< I I YV1, I
HAZARDOUS MATERIALS DIVISION ':':'.:/ ,::-':,:' ":,:::,:::i:,:':'::::-:'rvr~G( <:::\ .,v'~s-t eÞ1-
1715 Chester Ave., 3rd Floor 1<':::'1 ~\ b 0 vJ G, r c.. j ¿
Bakersfield, CA 93301 . ' \ ~ oS \
(805) 326-3979 '3 9ç-/ ~J, S l-e K,,/
, .
(2,):",
Ralph E. Huey, Hazardous Materials Coordinator
~ I " 1, .A_
Valid from: ~\ 't \ 'i
\ J ,..... ......
to: 0J\'· '( ~'r
,
State of California ___
State Water Resou~trol Board
ðtL ?CE:Þ-sE
Ç)A'TA evTC!<-
(Instructions on reverse)
CERTIFICATION OF FINANCIAL RESPONSIBiliTY
FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM
A. I am required to clemOUlnt.e F'UIAIICial RespouibiLity in the required amouota as specified in Section 2807, Chapter 18, Div. 3. litle 23. CCR:
D 500,000 dollars per OCC1IJ'nInco Ø1 miDion doUan aDDul awepte
, or AND or
~ 1 miDion doUan per occurrence D 2 minioo dollan aDDul awepte
8.
hereby certifies that it is in compliarice with the requirements of Section 2807,
""'-v:.
(NtIllJO ofTIIIÚ 0InI... or 0põnt1lX')
Article 3. Chapter 18, Division 3. TFtle 23. California Code of Regulations.
The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows:
::m~.¡'I'!,:;Î:&~':i:::!!;:" ¡i:j·:::¡¡'·::¡I:I:·;;i;.¡:~~~ill;jj~,¡t.t,,~w@}ili,¡' ...."". ,.;;?.......;....:..:¡:.:::.~~~g~~.:.....:.;.;..................... ·;;···;:~81g~¡..,::;,¡...!::~~ri~\........ ¡m~d~m'~ .lg~MélRY
5 ~ (I/'V\ SqýG\ 1:'V\ V'eST" V"\ 'Øv\T
~3~fl-j~I:j,~ ~~y~.:~-,~~.
Btìk'¿Y5fl~ W> dj1S¡a¡
7-ft7vt-e Vq+¿f ~ oqV'd
p.o.130?\ C¡lI'/2/,(/
Sq C rq ,'r\ eV\ ({)
5.eLfJ
'C ~S,^Yc.'--
..>'
S'1-"ti k ~
C ~¿'t ~ ""~
~F (A,~
~ \P, 0' ðð q '^ V\JA<t, Gr
.~, .,~~~~~-:> -=N_ ~ -,- ~= -.' ~,. ~_ ~'i~$~-t~~ ~
IpOlo.
v
'I-é:f
Y..e5
IJ~_ --.
~c~ -'=-=='-'- ~
11(4/1 0 IV~D
It.q<:, I 1991:'
. 11.1. ~
. D/J;:
Not~: .If you are using tt1eStat~ Fl!..nº, as. ª[1Y..R.FJ!t~YQur de1J1Onstra.t.lE!!. 'Of financial ~esJ!<:!,!!ibility, Eur execL1tjgn and submission
. of this certification also certifies that au are in com liance wfth all conditions tor rtiClrion in'the Fund. - - - . - -- -, - .
FlIå1ilJ'Addreoa .£\'S' tfi~.J,
FIIå1iIJ' N....o
PIIå1iIJ' NIIDO
PIIå1iIJ' Name
CFR(04'92),
Bow
31) I Wt''þ L~
FIIå1iIJ' Address
FIIå1iIJ' Addreoa
FlIå1ilJ'Addreoa
PIIå1iIJ' Address
Date
2..-
N....o ofWilDeoa... NolIIr}'
)
Namo IIId 11110 ofTaDlr. Owaer ... 0p0nI0r
Dare
FILE: Oripal - Local Apr:y Copies - PlIå1ityfSito(l)
.
.
'-
:.'
';~
~
ff
J
I
'0'
INSTRUCTIONS
~IPI~IOH OP PIHAHCIAL RESPOHSIBILIn FORM
Please type or print clearly all ,information on Certification of Financial Responsibility fòrm. All UST
facilities and/or sites owned or ~rated may be listed on one form; therefore a separate certificate is not
required for each site.
DOCUMENT INFORMATION
A. MIx.m R~i red -
/
Check the appropriate boxes.'
" ,
";::,..:.
" ,
,
B. N-.e of Tant OWner - Full name of either the tank owner or the operator.
or Operator
Indicate which State approved mechanism(s) are being used to show financial
rèsponsibility either as contained in the federal regulations, 40 CFR, Part 280,
Subpart H, ,Sections 280.90 through 280.103 (See Financial Rponsibility Guide, for
more information), or Section 2802.1, Chapter ,18, Division 3, Title 23, CCR.
('" ' '~I . ;~.I . '},. .~. ""';.., ; .','-
_ , ,II-.e o(l~r!,"j" List all J'~ and addresses of c~ni;es and/or i~ividuals issuing, çoverage. '. ' ~ '
~~~ MedtlV\i~ iium;;.:-Li;t idenâf~ng nlJ1Î)er io~ ~~h~chanism~ -~e::-¡';~rance';;ti:;:-~;- ;,~~\--
or file number as indicated on bond or document. (If using State,Cle~nup,Fund
(State Fund) leave blank.) , '> " ...'- 'o.. i
C. llec:hlV\iSll Type -
Coverage AImw'It -
~-. ..
"
"
Coverage Peri od -
Corrective Action -
D.
Third Party -
CallpenSati on
Facil ity -
Inforwltion
E. Signature Block -
o.!
",
Indicate amount of coverage for each type of mechanism(s). If more than one
mechanism'is indicated, total IIJJst equal '100% ''of .finanÙ¡I"L responsibi l·i~y ,for, each, .
, ·:'fåci L'i ty,." .
<:', ... I, ...:' '.. .' ( .. I, ,.
Indicate the effective date(s) of all financial mechànism(s). (Sta'te 'Fund'coverage'
would be continuous as long as you maintain compliance and remain eligible to
continue participation in the Fund.)
.: !
J.
, I......
." '
\.:'~ ')'~'\~ "" .' 'I I "'
Indicate yes or no. Does',·the specified' financial' mechani!lfll provide coverage for
corrective-action?, (.If'.using State Fur.d, indicate "yes".) , .
¡' .
Indicate yes or'"no·. Does, tti~'~pecified financial mechanism provide coverage for
third party c~ati'~n? (If using State Fund, indicate "yes".)
. .' , '~ . ..,....
Provide all facility and~or'si'te names and addresses.
- -.-
Provide signature 'and date signed by tank owner or operator; printed or typed name
and title of tank owner or operator; signature of witness or notary and date
signed; and printed or typed name of witness or notary (if notary signs as witness,
please place notary seal next to notary's signature).
""ere to Mail Certification:
,p laase s~· cri S1 na t~.to~your l oC2l-sgency _( agency-owho_ issLI(!~,~your,_UST ~permits,. .__Keep.8>.cOpy ,C)Lthe
certification at each facility or site listed on the form.
, ; .-" I '" '.
" ..
,
." ...... ~
f.Cluestions:·f, "_ ' , 0"
'If you hävê qUestions on financial responsibility requirements or on tlïë Certt'ficatión of Financi~i- "'1
, Responsibil ity Form, please contact the State UST Cleanup FU'Id at (916) 739-2475.
.... ,
'~ "". to ...
.I, .:t~(·
Note: Penalties for Failure to COIIÐlv with Financial Resøonsibil itv ReœJi,.-.,ts:
Failure to comply may result in: (1) jeopardizing claimant eligibility for the StateUST Cleanup Fund, and
(2) liability for civil penalties of up to $10,000 dollars per day, per underground, storage tank, for each
day of violation as stated in Article 7, Section 25299.76(a) of the California Health and Safety Code.
- ~ ~
.... .~~. ,..' .!~
... , - ~.'" ..... ~ .
-, ~.
',~ \:
,
'I
.~:. '
..;,
,!
"
-.-..............
-.._:,..,
'"
'.
.........
tJ--;"C:
,.~
,.p'
1:
.
RAINBOW CAR WASH
Balance Sheet
December 31, 1994
.,
Assets
I
Current Assets
First Interstate ,Bank
Cash on Hand
Advance to Employees
Inventory - Gasoline
Inventory - Deli & Other
Inventory - Detail Supplies
Other Assets
S ecur i1:;y~ _Depo.~Ü t_s ,~. .
Startup Costs
Amort - Startup Costs
Rainbow C.W.-Fresno
~ .; ~ '...-;.
$ 39,417.62
41,713.79
47.50
5,222.44
14,939.95
4,100.00
$ 105,441.30
492,068.63
(190,825.00)
3,250.00
( 650.00)
150,000.00
817,645.93
(46,506.00)
18,322.69
(8,364.00)
1,234,942.25
. ~ "2,,750.00
1,528.50
( 612.00)
100,000.00
103,666.50
$ 1,444,050.05
Total Current Assets
Fixed Assets
Equipment & Fixtures
Accum Depr - Equipment & Fixt.
Trucks & Autos
Accum Depr - Trucks & Autos
Land
Building
Accum Depr - Building
Computer Equipment
Accum Depr- Computer'Equip
Total Fixed Assets
Total Other Assets
Total Assets
Unaudited, For Internal Use Only
;f-ç~ ~:
~\, .
}
1
"
I
.
RAINBOW CAR WASH
Balance Sheet
December 31, 1994
.
. Liabilities and Equity
Current Liabilities
,AlP - Stuarts Petroleum
Sales Tax Payable
Accrued PIR Deductions
Accrued Payroll
Total Current Liabilities
Long Term Liabilities
Loan - First Interstate Bank
Loan from Officer
Loan from Seller
Total Long Term Liabilities
'Equi ty
Common Stock
Addit. Paid in Capital
Retained 'Earnings
Current Income (Loss)
Total Equity
~~t~! Liabj~it~~ß &~qyJty
$ (3,418.63)
1,338.37
2,608.84
10,908.72
$ 11,437.30
853,417.46
251,610.87
350,000.00
-
1,455,028.33
10,000.00
90,000.00
(173,918.82)
51,503.24
(22,415.58) I
i
-:--- ". ~ -<~-::- ~- $ 1.,A44, ,050_.05 " -I
Unaudited, For Internal Use Only
.
,-....-
.
~
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS MATERIAL DIVISION
2130 G Street, Bakersfield, CA 93301
(805) 326-3979
APPLICATION TO PERFORM A TIGHTNESS TEST
FACILITY ~/N.ßC~ t?..."..etJAS~
·ADDRESs.]1S"¡ ¿J, BLc& f D
PERMIT TO OPERATE t
OPERATORS NAME /f};1,<)dPcV r!.rlll.. /A,)/}-:;'/+ OWNERS NAME ßr 8 ~(Z'/kf
NUMBER OF TANKS TO BE TESTED 3. IS PIPING GOING TO BE TESTED+--
..
TANK.
I
2-
.3...
VOLUME
/2 J::...
_ /2 Ie..
/2 JC.
1Arwrs
UI'Ú{
TANK TESTING COMPANY~- t:Ñ&1...e"IUH1~7)4.LADDRESS ¥~5" )(~bU) ~
TEST METHOD Þ'(JL-T f u 15 -t.l1 9.330 ,
NAME OF TESTERl1/1cti Lc"tl~LJ<: CERTIFICATION t ) -.Jo~-
STATE REGISTRATION #
DATE & TIME TEST IS TO BE CONDUCTED
~ 'C¿'
I I \ '
.~ o-\\"õ"- ".. ~
APPROVED BY:
/2- 01- '12
*" /7(!)o
II! ?ù1, 11"
I DATE
L#/J1À
~ SIGNATU1œ OF APPLICANT
"
~
----------- ---f------
I
.L.~ ..
Bakersfield Fire Dept. '
. RDOUS MATERIALS DIVIIN
2130 G Street, Bakersfield, CA 93301
(805) 326-3970
~7
~
I. FACILITY/SITE
No. OF .TANKS 3
DBA OR FACILITY NAME
J
RECEIVED
JUt 2 J 199'
Ans'd.
............
,/ BOX TO INDICA TE ~PORA TION 0 INDIVIDUAL 0 PARTNERSHIP 0 LOCAL AGENCY DISTRICTS 0 COUNTY AGENCY 0 STATE AGENCY 0 FEDERAL AGENCY
1YPE OF BUSINESS 01 GAS STATION
. 03FARM'
CA~
02 DISTRIBUTOR w~¡..) KERN COUNTY PERMIT
04 PROCESSOR ~ 5 OTHER TO OPERATE No.
,-
NIGHTS: NAME (LAST. FIRST¡
v\.
Þ\..
NAME
II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED)
CARE OF ADDRESS INFORMATION
LL~
MAILING OR STREET ADDRESS
52- 1ê
CITY NAME
,/ BOX OIN'DIVIDUAl 0 lOCAL AGENCY 0 STA TE AGENCY
TO INDICATE 0 PARTNERSHIP 0 COUNTY AGENCY 0 FEDERAL AGENCY
I
III. TANKOWNER INFORMATION (MUST BE COMPLETED)
NAME CARE OF ADDRESS INFORMATION
-5 A,.v\e..-.
, MA ILlNG OR STREET ADDRESS ,/ BOX ' 0 INDIVIDUAL o lOCAL AGENCY o STATE AGENCY
TO INDICATE o PARTNERSHIP o COUNTY ÀGENCY o FEDERAL AGENCY
CITY NAME STA TE ZIP CODE PHONE No, WITH AREA CODE
OWNER'S
TANK No.
I
Z.
'--~
~!&>ß
VOLUME
PRODUCT
STORED
,-<''1.}?~
u;..i (~
~ùLA?
IN
SERVICE
1'.---,ooÒ
/7-.,000
I ? [)O:")
r(YN
&N
t0N
V/N
V/N
Y/N
DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE
,.. ":'T..L~.J:~'UH<:: .:>C::'::jÜ¡C.1-J.-'::'- Uu.l...LU.L cia\..o.1.1.--¡;;c:í.+HC/,:IJ.H..L<::':>':> GI...L.... CciiiJ{", cui'1:.t. -J::J.i.í:J::i.T.í:':::I 0..1..<::: Y;;:; "-
constructed 'of the 1:' , è materials/style and t.VDel then only fiIIOp..\t> / e
one seÇjment out., se identify tanks by ow ID #. '" "¿:::'v-?
I. :rANK D'ESCRIPTION COMPLETE ALL ITE.: PECIFY IF UNKNOWN _ .-
-
A, OWNER'S TANK L D. # . í . -z.: \~ B. MANUFACTURED ,BY: .;)ooR mF~. Co .
C, DATE INSTALLED (MO/DAYIYEAR) .::íc) II e.../ ..:? C) /99S D. TANK CAPACllY .IN GALLONS: I ¡¿,DDO t;;..4I1 c"'! .s
..._----._~_......
Ill. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B,ANDC.ANDALL THAT APPLIES IN BOXD
A. TYPE OF 1ZJ.1 DO::'!SLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN
SYSTEM 0 2 SINGLE WALL D 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER
0 1 ' BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS ~ 4 STEEL CLAD WI FIBERGlASS REINFORCEDPLASTlC
B. TANK
MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM I8J 8100% METHANOL COMPATIBLEW/FRP
(Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER
01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING
C. INTERIOR 0 5 GLASS LINING 86 UNLINED 0 9,5 UNKNOWN 0 99 OTHER
LINING
IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_
D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP .~ 4, FIBERGLASS REINFORCED PLASTIC
PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER
,
IV. PIPING INFORMATION CIRCLE A IFABOVEGRDUND9R l!,IFUNDERGROUND.BOTI-lIFAPPLlCABLE
A. SYSTEM TYPE A U 1 SUCTION " A(jJ)2. PRESSURE A U 3 GRAVllY A U 99 OTI-lER
B. CONSTRUCTION A U 1 SINGLE WALL A(ti)2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER
C. MATERIAL AND A U 1 BARE STEEL A U 2 ,STAINLESS STEEL A U-) 3 POLYVINYL CHLORIDE (PVC) A ®~\FIBERGLASS PIPE
..
CORROSION A U 5 ALUMINUM 'A-'U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEWIFRP
, '
PROTECTION A U 9 GALVANIZED STEEL A U "10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION ~ 1 AUTOMA ilCLlNE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING I2š- 3 INTERSTITIAL o 99 OTHER r~.s ~~
MONITORING
V. TANK LEAK DETECTION '-/1-0 B
o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING ~ 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING
o 6 TANK TESTI~G ~ 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER
I. TANK DESCRIPTION
COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN
A, OWNER'S TANK L D, #
B, MANUFACTURED BY:
, C, DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACllY IN GALLONS:
.{ ,
III. T ANKCONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B.AND C. AND ALI1 THAT APPLIES IN BOX D
A. TYPE Ò'" 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER' 0 95 UNKNOWN
SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (V AUL TED TANK) 0 99 OTHER I
0' BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PI.ASTIC
B. TANK 0 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLEW/FRP
MATERIAL 5 CONCRETE
(Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEI,:L 0 95 UNKNOWN 0 99 OTHER
,
01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING
C. INTERIOR 0 5 GLASS LINING 0 6 UNLINED 0 95 UNKNOWN 0 99 OTHER
LINING
IS LINING MATERIAL COMPATIBLE WITH 1000/. METHANOL? YES_ NO_
D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRN' 0 4 FIBERGLASS REINFORCED PLASTIC,
PROTECTION 0 '5 CATHODIC PROTECTION 0 91 NONE ,0 95 UNKNOWN 0 99 OTHER
'.....
IV. PIPING INFORMATION CIRCLE A IF ABOVE GROl)ND OR U IF UNDERGROUND. BOTI-lIF APPLICABLE
A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE . AU 3 GRAVllY A U 99 OTHER
B. CONSTRUCTIC'N A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER
A U 1 BARE STÉEL A U 2 ST AINLESSSTEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE
C. MATERIAL AND,
CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE W/FRP
PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER
D. LEAK DETECTION o 1 AUTOMÅ TIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL o 99 OTHER
MONITORING
V. TANK LEAK DETECTION
I' " [:J
i 1 VISUAL CHECK ._
i 6, TANK, TESTING 0
2 INVENTORY RECONCIliATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORU,G
7 INTERSTITIAL MONITORING ~:'~ 91 NON~ D 95 UNKNOWN D 99 OTHER
~.:. x· .'
, --... '
eI
, .".-.J
-,
;~
..1 fitr ¡;AJi~j,~ aJ eLL ~2& I w-kJ
ii ~c-L¿'j :"'4 f" J~_j ~ ~ L ¡. ~~/ r~ tll ¿ð?
J ~~-/..'c.vc <>f :JJ &...£ &L~I- ~~ðVS, l~
,~ J;o ~Jt/¿j ~-¡L:S L/ S-SO~ ./6r ~~
" - ,-',__ ,.-::1 aCÀA-i-~! ' " ' -p--" .
PI
.' -¡¡ 7
:_ ._,_._"._" .. ..-_.¡~t..- . ... - - ..-. '.-' .. '-. ..-. .._....n_.. "'-'"'- -.'. _._._.u·._..___.....-______
./'/13/90----ii~ Q .rnØ~j ~. . ofOlmW~.Jø.,
...___._C "'-"'-¡!I~ ~~6£~",' . 6Zz¡;;!;/ /i;:±
Ôo-b# ~. ;¿)7ó! ¿f/~¿.fr. '1iJ
,..
, p
,¡
. ~
,
, ;
. ~ ,
','
.
"
I
,,.
.
<.
~~ .
PERMIT NUMBER __3/ (J t.) {;; 0 (...J
TYPE OF INSTALLATION
("¡I. L In-Tank Le~e>l s;,nsor 2. -,-Leak Detector ¥) 3. Fill ,Box
FACILITY NAME ~ ¿L[ ~¿Lc;1¿ t U '-dO f:,;Y¿;tIL ¿ "
FACILITY ADDRESS .39~/ ~ -'7~.-t-~, ff~6
// l' _ /"7 .
CONTACT PERSON ~¿Z¿ w.~ - ~ 'tfé¿¿~i
1'. IN TANK LEVEL SENSORS
Number of Tanks ~
List By Tank
IDfJ--á
-IF .'"
.. ......-7.
J;C--c--"')
? '
, fi/)[~0
1¡¡;f{6~/
~,,~~'7t¿ ¿ ¿-:1~;
/
Name of System {;TDGR ?tJ,JI
Manufacturer & Mod I Number ~ ~
Contractor/Installer Rv " {
2;: ( ')
·f=.C r1p7ìJ e n! '
2. LEAK DETECTORS
Number of Tanks
~)
List By Tank ID
/f),4'7'!{/ t2 c t¿ dcf-é~
ð
Name of System' W;-!t-j:: /f¡¡;r~r .
Manufacturer & Model Number LJ+ /)'¡,.
Contractor/Installer ~ LL1/ Fh¿" PI] ¿;-/Yt
3. FILL BOXES
Number of Tanks
-,
')
List By Tank ID ,~n(/æ:J é¿¿lçu..~_
.-,
I
Name of System ,t
Manufacturer & Model Number
Contractor/Installer
'ì
,-
/' // /"7 /" .
li..// V' ,
[lr:'¿ i ~;~f::z.,j Æt! ,é -(/- /
OWNER/OPERATOR
)
/'-- /j; -1'/
DATE I
PERMI'r·U
-.---------- ..~-_.-
.
"' ;
F AC ILl TY "" i:..:?.L.C;.~.Q.'.f...6..........,' ..........................,.........."..
NU~8ER OF TANKS AT THE SITE:
ENV. SENSITIVITy.....····
.._........._............ .....n___._··_
EMERGENCY CONTACT PERSON(PRIMARY):
NAME:
.......___......................._h.._.._._...._........_.........._.._........._..unu.........._·.......·.··..·····nn..................-....-.....n.._............__...._......_...._........._
PHONE NUMBER:
._...................._n..............._........................-....-.--....nn.............·..·..·..···....······..···..·.....············..··..·..n.............._......
J ,
EMERGENCY CONTACT PERSON(SECONDARY)~
NAME:
. ......_nn_........_........_............................................................................._nn.................···...·....--..·--..-·........··....·......._.....__.........______nu...
PHONE NUMBER:
_.........._................__..._........._......_............_....................._........._...............-......._...__u__._._..___...._.....................
TANK OWNER INFORMATION:
NAME:
.------....---......--.....--..--..-...........................---..-..
--..-.............-----
ADDRESS:
...-.....--.-.-............--.-.........................-............-
-.-.----..................-
...-...-..--
PHON E NO.:
TANK CONTENTS:
.--------....-..---.........-----..-..........-....---.......--..
TANK U MANUFACTURER YEAR INSTALLED CAPACITY ¡CONTENTS
,
,
I I
1-
I
TANK CONSTRUCTION:
TANK U TYPE(dw. sw. sec.cont. ) MATERIAL INT. LINING CORROSION PROTo
I
,
,
,
LEAK DETECTION: TANKS:__, VISUAL .___~ROUNDWATER MONITORING WELLS
VADOSE ZONE MONITORING WELLS ' U-TUBES WIJJ:VLINERS
:~=:=== U-TUBES WITHOUT LINERS .....__...~·-'VAPOR DETECTOR ,~LIQUID SENSORS
___"_'" CONDUCTIVITY SENSORS .... ' PRESSURE SENSORS IN ANNULAR SPACE
,.___..,_ LIQUID RETRIEVAL SYSTEM.S IN U-TU8ES~ MONITORING WELLS. OR ANNULAR
..,___......_ NONE UNKNOWN '_"'__'_ OTHE~ ,..Jj.éçf\ç'p"~...- ~~.£~T L~4-5õ
PIPING INFORMATION:
TANK ~ SYSTEM TYPE
(SUC.~. .GRAV.)
H2FSS
CONSTRUCTION
(SW.DW.LINED TR)
MATERIAL
LEAK DEïECTION: PIPING: ................. FLOW RESTRICTING, LEAK DETECTORS FOR PRESSURIZE[
PIPING dd.dhdd MONITORING SUMP WITH RACEWAY f'·{ji.A:r; 0,Qc6¡:::::'\
c: :::.c~ t_ ~ fJ smJc PET E RACEWAY HA L FCU T COMPA T r'8 LE' PI P'EKAC EWA Y
"I','; (-.
~
"
-¡-,
FILE CONTE~TS SUMMARY
FACILITy::J(ain bOLO C~ar' Wash
ADDRESS: 3C¡S/\^)¡ b!-e ~()CtC(
PERMIT #: 51 00 (0 &, ENV. SENSITIVITY:
Activ1"ty Date # Of Tanks Comments
~., 1//1~/87 ð C(1~C)+ru(' +
I '
~ Oð~& b ~J;2../ eRR' ß J I
I
Q.pp) I'CQ~ìð 11 ~/ / ~/9() .3 T(ClnB~Î - t-ð ðoer:a.-k- .
, ,
I'
ENVI,kONMENTAL HEALTH ~2''1~NT
2700· "M" STREET, STE..
BAKERSFIELD, CA ~3301
.. "~rmlt No. ,:S / Of} f.tJ ~
"""L .ion Date
Type Of
[]New
APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE. FACILITY
Application (check):
Facility []Modification Of
A.
Facility O· Existing Facility ~Transfer Of Ownership
, ~.
Emergency 24-Hour Contact (name. area code, phone): Days :iJr-:¡c/ iöole &~S--2'3/-33("
r;; Nights ,/(.)~ -...5h - . ð
Facili ty Name It¡I~!icJi1/ CC;I- !-t-i./S/; No. Of Tanks
Type Of Business (check): []Gasoline Station [JOther (describe) car
Is Tank(s) Located On An Agricultural Farm? [JYes'~~o
Is Tank(s) Used Primar~ly FOF/A¡µ-~ç~lt}l-;aj Purposes? DYes , [StNo
FacUity Address1Cì,S I rJÁ--{¿{(.J ~~) , Nearest Cross St.
T' . R 'SEC. (Rural Locations Only) f?¡t /£1#'/ ~ i"
,Tank Owner t(q'i If.- 0 Co C:r.:) /e. ' COl)tact Person e. -..L5C?/'/eJ;-
Address -S~ h' j Dr, City/State err7/t!/tJ Telephone ð'o-s~~ffÎd. 'YV''Ã$
, Operator Contact Person
Address Zip Telephone
B. Water To Facflity Provided By
Soil Characteristics At Facility
Basis For Soil Type and Groundwater Depth Determinations
Depth to Groundwater
CA Contractor's
Zip
Proposed
License No.
Telephone
Completion Date
Insurer
C. Contractor
Address
Proposed Starting Date
Worker's Compensation Certification No.
D. If This Permit Is For Modification" Of An Existing Facility, Briefly DescribE-
Modifications Proposed
f:~
, "
3=
o
o
o
o
that apply):· '. "
Motor Vehicfe?~'Unlèaded
Fuel" ';.: ,: "
~ .,;' ":'\\ <"B"'"
[SJ. :~~ '~..:.' :'
8 B
'Regular
Premium
Diesel
E.
Tank(s) Store (check all
Tank' Waste Product
o
o
D
o
o
~
o
o
o
o
~
o
o
o
o
Waste
Oil
o
o
o
o
F. Chemical Composition 'Of Materials Stored (not necessary for motor vehicle fuels)
Tank' Chemical Stored (non-commercIal name) CAS' (if known) Chemical Previously Stored
(if different)
11)""" ,.....~.. - ,,' c
G.
Transfer Of Ownership
Date O~Æansfer #0 ~/I /, /~ f c:¡ ì Previous Owner
Previ 'l¿ ;Pac~ity )lame :JC).n'7, /7¡.z/ ê :'r Z:£' '
'1 v76 't.-)LM~ ¿Z/ accept fully all obligat ons of Permit No.3 (/¿J , . issued to
)fa?.,í.t!LtUf,~ v Lt ¿ /~t~A ./ I understand that the Permitting Authority may review anè
modify or terminate the transfer of the Permit to Operate this underground storagE
facility upon receiving th)s completed form.
- - - - - - - - - - - - - - - ~ - - - - - - - - - - - - -
- - - - - - - - - -
This~ for~ has bJßf~m~let,ed, under pen;11~ 0: ~r~u:y ~nd to the best of my knowledge is true
and correct: ~/ ./If.a}rtJ'-ð--ç.k-d.// &h-f.-~'¿'/) _
'Y-:': ,/ ~-/') /. ',' "/"-F! ;,l,.~ ~''ì /,'
C;!¡:rr:aturn ,/ ,r .(., /,> / Titlp. I... ï /,..r /'1/ DClt~ --7 ./'/ ',/ /
"
¡
.
1700 Flower Street
Bakersfield, California 93305-4198
Telephone (805) 861-3621
KERN COUNTY HEALTH DEPARTMEN r
AIR POLLUTION CONTROL DISTRICT
LEON M HEBERTSON, M.D.
Director of Public Health
Air Pollution Control Officer
PERMIT TO CONSTRUCT
UNDERGROUND STORAGE FACILITY
I
!I
,!
II
I
PERMIT NUMBER #310066B
I
FACILITY NAME/ADDRESS:
RainDow Car Wash
3951 Wible Road
Bakersfield. CA
. .J,.J'
OWNER(S) NAME/ADDRESS:
Robert Lu
3951 Wible Road
Bakersfield, CA 93309
Phone #
CONTRACTOR:
McNabb Construction'Co.
7808 Olcott Avenue
Bakersfield. CA 93308
License #474331
'Phone' ::
¡xx:
I_!
i_I
1-1
I
NEW BUSINESS
CHANGE OWNERSHIP
RENEWAL .
MODIFICATION,
OTHER
PERMIT EXPIRES
February 2. 1989,
APPROVED BY
APPROVAL DATE
. . . . . .
. . . . . . .
. .POST ON PREMISES. . .
"
. . . . '. . . . . .
CONDITIONS AS FOLLOWS:
1. All construction to be as per facility plans approved by this department
and verified by inspection by Permitting Authority,
2. All equipment and materials in this construction must be installed in
accordance with all manufactureri' specifications.
3 . Per m it tee m u s t con t act Per m i t tin g Aut h 0 r i t Y for on - sit e ins p e c t ion ( s )
with 48 hour advance notice.
4. Backfill material for piping and tanks to be as per manufacturers'
specifications.
5. Construction inspection record card is included with permit given to
Permittee. This card must be posted at jobsite prior to initial
inspection. Permittee must contact Permi~ting Authority and ~rrange for
each group of required inspections numbered as per instructions on card.
Geherally, iqspections will be made of:
a. Tank and backfill
b. Piping system with secondary containment
c. Overfill protection and leak detection/monitoring
d. Any other inspection deemed necessary by Permitting Authority
6. All underground metal connections (e.g. piping, fittings, fill pipes) to
tan k ( s ) must be e 1 e c t r i calI y i soIa t ed, and wrapped, to ami n i m u m2 0 mil
thickness with corrosion-preventive, gasoline-resistant tape or otherwise
protected from corrosion.
4
.
~
PERMIT TO CONSTRUCT UNDERGROUND
PERMIT NUMBER 310066B
STORAGE FACILI,TY
ADDENDUM
7 . S park t est i n g ( 3 5 . 0 0 0 vol t s) r e qui red a t site . . p r i 0 r to ins tal 1 a t ion 0 f
tank(s). Test(s) must be certified by the manufacturer. and a copy of
test certification supplied to the Permitting .Authority,
8 . No pro d u c t s hall b est 0 red i n tan k ( s) un t iI, a p pro val i s g ran t e d by' the
~ermitting Authority.
9. Monitoring requirements for this facility will be described on final
"Permit to Operate."
ACCEPTED BY
DATE
~/3/8B
(
-~ERN COUNTY HEALTH DEPART.'
::NV IR ONMEr\T At HEAL T H D I V I,,:~,J
iAZARDOUS SUBSTANCES SECTIOK
. 1700 FLOWER STj~EET
" .. BAKERSFIE~D. CA 93305
\ PHONE (805) 861-3636
INSPECTION RECORD
POST CARD AT JOBSITE
"ACILITY
XDDRESS
= I TY
::>HONE NO.
PERMIT :::2/DDG!oB OWNER i-<'..:.,tu+ ~v.....
ADDRESS :;;Q,z;" 'ÁJ:l1!4
CITY I-<~,f-;; <,,,-t;€..\~
)
INSTRUCTIONS: Please call for an inspector only when each group of inspections
.\'ith the, same number are ready. They will run in consecutive order beginning
,dth number 1. DO NOT cover work for any numbered group, until all items in
:hat group are signed off by the Permitting Authority. Following these
'instrutions will reduce the number of required in~pectiori visits and therefore
~revent assessment of additional fees.
- TANKS &
INSPECTOR
INSPECTION
Backfill of Tank(s)
Spark Test Certification
Cathodic Protection of Tank(s)
;¡ Pipin~ & Racewav w/Collection
Corrosion Protection of Pipin
ElectricalI~olation of Pi in
Cathodic Protection Svstem-Pi
- PIPING SYSTEM
Sump
. Joints. Fill PiDe
From Tank(s)
- SECONDARY CONTAINMENT. OVERFILL PROTECTION. LEAK,DETECTION -
Liner Installation - Tank(s
Liner Installation - Pi in
Vault With Product Compatible Sealer
Level Gau~es or Sensors, Float Vent Valves
Product ComDatible Fill Box(es
Product Line Leak Detector(s)
Leak Detector(s) for Annular S ace D.W, Tank(s)
Monitorin Well(s)/Sump(s)
Leak Detection Device s For Vadose/Groundwater
- - ¡ ¡ "
,::; Monitoring: Wells. Caps & Locks /~_ ¡""If? II In
~ Fill Box Lock . 'I ß ;;'¡,J.P ( ~
Monitoring Reauirements I II
1/ ,
,-
,
FINAL
!POOR ORIGINAL.
CONTRACTOR .~CN,,--~ (r~
CONTACT ßr; r;~^-- ~tJr(Lo
1 '-
'-J
LICENSE # J..j14.~ -3 J
PH # =<91 - <./ 7 .c.f 2.
Prod",: t N ~::~~=:=~===~4~~=~=~=~=:===:=~=~ =;=~=. :=~=~=~===~=~~;=:~ ~
. GB. 1~5,~ . '. . '-? I OD I_í ¡¿
N P PAR a t L 1'1 9 : 1 0:-: L C L t Ij : 1 F U" Ë~ : 1 Rea c t LV L t'd : 0 :?' WI?I ~
(4=Extreme~3=High.2=Mode~ate,1=Slight.0=Insignificant)
.(
.~==========::============:=====::=====:=================================:::=:=:==:=:==::::~~.:.
DIVISION AND LOCATION---SECTION I
=:=======:==::==::==::=:::==:::==============::==:=~===:::==~:=:=======:==========:::=:=:::=:::::=:::::::~::::~::::::::.
Division: GOLDEN BEAR
Location: OILDALE. CA _
P.O. BOX 5446.MANOR & NORRIS ROADS~OILDALE.CA.93333-5446
Emergency Telephone Number: (805) 393-7110
TrBnsport~tion Emergency: CHEM TREC 1-(800) 424-9300 (U.S. and Canada)
:==:::~:=::=:====::=============::=~===========================~======================::
CHEMICAL AND PHYSICAL PROPERTIES---SECTION II
--~---------------_._----------------------------------------------------------...
_.._._._------_.._-----~------------------------------------------------------------........
CI1E~trlicëJl Name:
Fori'rH,¡la:
Hëlzardous
PetroleutrlHydrocarbon,
Not applicable -
Decomposition Products: .
Ca~bon trlonoxide and carbon dioxide from burning.
Oxides of nitrogen
0:,: ides IJf 51,11 fur
II'1 C 01)1 pat i b i 1 i t '.::I ( K e e p iHI/ a 1::.1 fro trI ) :
, Strong oxidizers such as hydrogen peroxide, brotrlin~. arId chromic a~
Toxic and Hazardous Ingredients:
None
For'l'ïI:
OdD I" :
) p e ¿II" a n'c e :
t.,.olo/":
Specific Gravity (water=l):
ßO¡,\i.ng PÐint:
M~?lting Point:
Sohlb il it'.::l 'in Wat(7~1":
Volatile (by wei.ght %):
Evaporation Rate~
Vapor Pressure (trim Hg at' 20 C):
Vapor Density (air~l):
pH ("IS is):
Oil1d liqui.d
. no objectionable odor
Viscosity SUS at 100 r:
Other physical properties:
.8to,.92
greater than 190 C (374 F)
Not applicable
0%
less than .01 at 25 C
(water~ 1) less than .01
If~ss than 1
l.c",!;;S than .:l
Not applicable
Product is stable under norMal conditions
'-!::~<;;s than lOO
Viscositlj less than 13.6 cSt at 40 C
-----.--...-----------..--.-------.-------.------------..-----------------------------------.---....
-.-.-----..---.--.-.--...-------.---.-..-.-.-.--------..------------.-.--.----------------------.----.-.-.--.-.-...-----......--....
. FIRE AND EXPLOSION DATA-~-SECTION III
----.-------.------------------------.--..----.-----.-.------.-.-.-------------.-------------.---.-...
---.--.--..--.----.---------.--.-.----.-----------------..--.-.-..--.-.------------..---.---.----..---..-.-...-..---.-..-..
Special Fire Fighting Procedures:
Avoid use of water
(continued on next page)
'<,
WIT C 0 M.~ R I A L S A F E T Y ~ A T ASH E E T
=~=========== "?=======================."===========;:~;=;
(Sect\on III continued)
,-
(
unusual Fire and Explosion Hazards:
Dense sMoke. Fire fighters should wear self-contained breathing apparatus.
Flashpoint: (Method Used) Cleveland Open Cup greater than 95 C (203 F)
FlaMMable limts %: No data available
Extinguishing agents:
Drychemical or Waterspray or C02 or Foam
Water may cause frothing.
Water may be ineffective.
Exposed material May be cooled with water.
===~============================================~=============================~:
HEALTH HAZARD DATA---SECTION IV
. "
=======================================================================::==::====
PerMissible concentrations (air):
If used in ¡:Jpplicatior)s where a Mist maid be ger)erated~ observe a,·TWA/PELof
mg/m3 for mineral oil Mist (OSHA and NIOSH).
Chronic effects of overexposure:
Prolonged contact May cause dermatitis (skin i~ritation).
Acute toxicological properties: .
No data available
Emergency First Aid Procedures:
Eyes: ImMediately flush with large quantities of water for a least 15
minutes and call a physician.
Skin Contact: Wash with soap and water.
Inhalatio~: Remove to fresh air.
If Swallowed: Contact a physician immediately. DO ~OT induce vOMiting.
( V 0 M it in 9 maid c ë1\. sea s p i rat i on in t 0, 1 un g s res u 1 t in 9 i I')
chemical pneuMonia.)
.._--------------~--------------_.._-------_.---------_._------------_._----_._--_.__.._-~._-_....
....--..-------..----..--.-----------.--.--..-------.------..---------------------------.----.--.--.--..---.-...
SPECIAL PROTECTION INFORMATION---SECTION V
========================::==================="===========================::===::=::::
Ventil~tion Type Required (Local~Mechanical~special):
Local if necessary'to maintain allowable PEL or TLV
Resp il"atol"'::! PI^(Jtf~ct; ion (Spec i.'f\ t1dpe).:
Use NIOSH/OSHA approved respirator with organic vapor cartridge if vapor
concentration exceeds permiss~ble exposure limit.
Protective Gloves: eil resistant
Eye Protection: CheMical safety goggl~s and~ if used hot. ,full face shield.
Other Protec,tive EquipMent:
1'\01')(2
------------_._--------~-----------_.__._._-_._--_._......----...--..--.----.----.---.-----.----..--.-----.........-.-..-..........
_._..__.__._.___ø_..___________··________·_··____·_·__--.---.--..-----..-.-.-.---~------------.----.--~.-.-...-.-..-.-....--..--......
HANDLING OF SPILLS OR LEAKS---SECTION VI
----.----------.---..-----------------------.---.-.---.----.--.----.-------.--.--.----.--.--.----..-.
.._-_..__._--_._-----~._...._--------------_._-----_.---...--------.-------.-----------------..-----..
Procedure~ for Clean-Up:
In case of spill or leak ~bsorb on ~n inert materi~l such as earth~ sand or
vermiculite; sweep up and dispose of in' accordance with federal~ state and
local regulations. If spilled into w~ter~ reMove bulk of the prod~ct by
( Cont i nued an m~:,d', page) .
n
~=~ =:=~=~= 4 :=:=:=~=~~~==:=~=:=:=~=t1t ,~=:=~==:=~=:;;;: 3
.'
I
I
(Section VI continyed)
( sl~iMMing.
vJ':lste Disposëll:
Dispose of in
. r'egt-Ilëlt iòns.·
'--..
accordance with all applic~ble federal. state and local
-_.__._--_._---~---------_._-------.-_._--------_._-~----.------------------.------------.--.----....
-_.....__.._.._.__._--_._------_._---_._.__.._----~---.----.--------.-------.------------------------..---.-.
SPECIAL PRECAUTIONS---SECTION VII
----.-------.--.--.--.--.----------.------.--..----.-------.---------..---.-----------------.-.--.....
_......_-_._----_.__._---_._--------_.__._.~-_._._.._---.--.-----------------.--------------.-.......-..........
Precautions to be taken in handling and storage:
Avoid prolonged or repeated contact with skin or breathing of vapors; Mists
or fUMes. Launder contaMinated clothing before reuse. Keep containers
tightly ,closed. Avoid strong oxidizers. EliMinate all sources of ignition
such as flaMes or sparks.
~=================================================================~=========:~=::::
TRANSPORTATION DATA---SECTION VIII
-------------------------------------------.--------------------------------.--...'
-------------.-----------------.-----------.--------------------------------------....
D.O.T.: Not Regulated
Reportable Qyantity: Not applicable
Freight Classification: PetroleuM Oil. n.6.i.b.n.
Special Transportation Notes:
none
_. - - - - - - - - - _._ - - __._ - _.... _._ __ __ - __ - _._ - - _._ ______ __ __ __ __ __ _____ ______0- _ _ _._ ___ _ __'__0"" ....
.....-.----.----.----...-.----..-------------.---------------------------------------.----------..
COMMENTS---SECTION IX
-----------------.--------------.-----------------------------~---------.-_._----_..
4_.._..____________._~__.____________________~__________________________________._.._._______....
0bserve good indystrial hygiene and safety prec~ytions·~hen handling this
p ^ odt-IC t .
...-.------.-----.-------.-..------.-.----.-.-.-.-----.---.--..-------------------.-----------..-.-.---.-.....
-------_._---_._-_._-_.._----_._--------~_.__..._---------..-------.-------.-----.---.------------.---.--...-..,
, '
Approved by: J.T. Cook. Manager of Qyality Control
OI^igil'1alDëlte:
Revision Date: 07/24/85
Supersedes: 12/14/82
----------------------------------.-.------------.-----------.---.----------.------.---.-.
..-------------------------.-------.---.----.---.-----~-._--------------------------_..__._._-_.._...-
We believe the stateMents, technical inforMation and recoMMendations containe0
herein are reliable. but they are given withoyt warranty or guarantee of any
kind. express or iMplied. and we aSSUMe no resþonsibility for any loss. daMage
or expense. direct or conseqyential. aris~ng out of their Yse.
-
.,'.,
, .~ ')
: - - )
;¡. ,
;"t. '. I"
0".:,..
" ..1'fjJjJD è· .-
~1~9 INDUS;:AL AVENUE. ESCONDIDO, CAUFORNIA 9202S
3980
i
<
'':''''EEL FABRICATION: TANKS .
.H1e (619) 745-0971
ADDRESS-
/ f / C),,~ .,. / . ~ j ...',... /'(
/ I' I, .n/ .. . 0,'-, "";- ."/,JO,.. J.
¡ ....~,;" , r,~.·' ...-(._~ ..... ø _ ,\-.... -:,;......,. .
~ G '," '""
I ¡ !
..
<I
OUR
NO.
INVOICE
DELlVE~TS) "'/1/.' ': ~ -' ~ r . ðJ 1... ""7/' ,/,y j
NAME r, /.' " ,.r;¡., t;;.-"r¿,.'. ........:" ,
1')'.. ,--,,,,/.~ 1 ,,' ¡"_
ADDRESS 7:;';; K ".¡ ,/1 tV?~:,~ .;.-a!--
If-' ,,) J) ) ,~r J ~ .~, ",,~/ I /,)1
CITY 'J...-<".,,_*,=-<:/ ~~r-'\...ë.A:':/~ ~.\.:....'.( _
PRICE
l'
YOUR (! '
NO. '
ORDER
BILL TO
NAME
TERMS
CITY
QUANTITY
AMOUNT
-.,.0. ~.
.'
DELIVERY TICKET .
IT IS HEREBY AGREED THAT THE lEGAl. TITlE TO Ail MATERIAl. ON THE A80VE ORDER IS IN THE NAME
OF JOOR TANK MFG. CQ INC. AND SAID ffilE SHAll REMAIN SO UNTIL SAID MATERiAL IS PAID FOR
IN FULL BUYER AGREES THAT MATERiAL .MAYBE REMOVED Ar BUYERS EXPENSE IF BAlANCE 1S.-UNPAlD
BY AGREED DATE. .
RECEIVED IN GOOD CONDITION
EXCEPT AS NOTED
ACCEPTED
®M
.-.--..-.-.---- --_.... _..~.. -.-. ."-.-- "~-...-¥..-.. --..~+'...
.-. .--.----.---.---
.
'----'J
bIDOOR ORIGINAl
.
.
Standard Compliance Check
Facility:
--J~ rà ; A, ~1JLLJ
CT
31
(ÎáÁ
LJc ~ k
Equipment to be installed:
~ Tank(s), IDD Ft. of
Req'd
V'
Approved
:s:r
.,//
~
v
V'"
.:s~
OSuction
DGravity.
rsa Pre s sur i,:Z e d
Piping
Proof 0 f Con t r act 0 r 's L ice n s e - L ice n s e' ~ 74 g'ß I
Type of License .
Worker's Co~pensation Insurance
Proof of Contractor's
Primary Containment
OFiberglass (FRP)
(21 F i berg lass "'c 1 ad s tee 1
DUncoated steel
DOther:
Comment:
Make &
Make &
Make &
Make &
Model
Model
Model
Model
::5::oðV-
Additional:
Inspection:
Secondary Containment of Tank(s)
Ø'Double-walled tank(s) Make & Model 'S-,ov
OSynthetic liner ,Make & Model'
DLined concretevault(s) Sealer used
DOther Type Make & Model
COlllment:
Additional:
Inspection:
Secondary Containment Volume at Least 100% of Primary Tank
Volume(s)
CO.llent:
Additional:
Inspection:
Secondary Containment Volume for
Contains 150% of Volume of Largest
10% of Aggregate Prillary Volume,
Comment:
Additional
More Than One Tank
Primary Containment or
Whichever is Greater
Inspection:
- 1 -
Req'd'
/'
~
/
../'
../
/
ApPl'oved
~L--
3t-
~c....
~
~-
.
.
Sècondary Containment Open to Rainfall Must Accolllmodate 24
Hour Rainfall Total Volume COII.ent:
Additional:
Inspection:
Secondary cont.a)."JfUJt
Product ~l~ 1-
Comment:
Addi tional:
Inspection:
is Product-Compatible
Documentation
Annular Space Liquid is Co.patible with Product
Product Annular liquid
COllllent:
Additional:
Inspection:
Primary Containment of Piping
ItFiberglass piping
(JCoated steel piping
(JUncoated steel piping
OOther
COlllment:
Additional:
Size Ii Make ~n A~ _<..~ý..;J,.
Size Ii Make
Size
Inspection:
Secondary Contain.ent of Piping
~Double-walled pipe
[]Synthetic liner in trench
OOther
Comment:
Additional:
Size Ii Make
Size Ii Make
.'
Inspection:
Corrosion prot.cUot l·. E ~
ŒjTank (s) rl P..¥~ ~
~Piping Ii fittin s ç: ¡;
j¡E Ie c t r j col is 0 10 t1 on .,;:;. = q.,~!t<
Corall.ent:
Additional:
Ins p e c t ion :,
Manufacturer-APP7Pved Backfill for Tanks Ii Piping
Type 5-'{.,4 L COllment:
- 2 -
ReQ I (
\Î
/
/
/
:r~ Tank(s) Located no Closer than 10 Feet to Building(s)
Comment:
Additional:
Approved
~L
.
.
Additional:
Inspection:
Inspection:
Complete Monitoring System
Monitoring device within secondary
[JLiquid level indicator(s)
!SJLiquid used
[]Thermal conductivity sensor(s)
(Jpressure sensor(s)
(JVacuum gauge
OSUIlP (s )
saGas or vapor detector(s) k~
(]Manual inspection & sampling
8Visual inspection
Other
Comment:
containllent:
AloLv+ L A DB
Additional:
Inspection:
~ Other Monitoring
[JPeriodic tightness testing
3C--
Method
~Pressure-reducing line leak detector(s) KPJ .Il\t k-'!..-I-
(JOther
Comment:
Additional:
Inspection:
Overfill Protection
[]Tape float gauge(s)
ŒJF loat vent valve (s) C ,../ I IJ.D fGa.__~ v~~
(JCapacitance sensor(s)
OHigh level alarm(s)
(JAutomatic shut-off control(s)
~Fil1 box(es) with 1 ft. 3 volume F.AA/c::> I¡Jl.,lJ+_ A/{:n?-ool
[J0perator controls with visual level monitoring
Other
COllllent:
- 3 -
ReQ'd
I
I·
I
I
I -
Approved
.
.
Additional:
Inspection:
Monitoring Requirements
Additional Comments
Inspection:
Inspector ~~~~______________ Date~~2Ui__
- 4 -
,I
i
II
I\~rl! ~ounty t!edlt.:tl Lk:µarc.me.
D1V1Slon of Envirormental H~ \
1700 Flower Street, Bakersfielu,
93305
n::LIII......\ ,. ~: " ~ E
Appl icatio. . e_ tlii==-~77; 6 B
~
A.
APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORÞ£jE FACILITY
~. of Application (check):
~ew Facility Dfo'odification of Facility OExisti~ Facility o Transfer of Chlnershi¡
Emergency 24-Ho~r ontact (name, area code, phone): Days 0:c6"ì ê~! -/9')..1-
l' /) '" Nights ~~
Facility Name :m~~ L~ Lu~-*" No. of 'tanks 3
Type of Business (check): Gaso ne StatlOn Oth5- (describe) (~r+-£. LL~
Is Tank(s) Located on an Agricultural Farm? Dyes IEJ...No '
Is Tank(s) Used primarily for h;Jr:icul al rposes? Dyes ~ '
Facility Address "3qç l bl6 ~,Nearest Cross St. u)hic;:. "-..IJ.
T ' ~ SEC Locat ons ally) <L. . ,..
Owner r... L....lJ.,J Contact Person ~~
Address' '{ W'Ibl6 RÐ. ~~. Zip 9~~9 Tele~one 8~( - q'Þ~
Operator 'O""iDU:C Contact Person e'v1_. ,/"
Address ' ~ Tele~one ~~
:JtJð / +
B. Water to Facility Provided by
Soil Characteristics' at Facility
Basis for Soil Type and Groundwater
Address
- C.
CA cont~ctor'; License ~.
Zip 3-:x,e Teleçt10ne
P~~ Camp etion Date
O~ h t£ . Insurer ' '
D. If This Permitl 5 For Modification Of An Existing Facility, Briefly Describe Modificati~
Proposed ' Æ-
E.
Tank(s)_Store (check all that apply): UJ..t. .
Tank t Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste
-- Fuel Oil
I 0 !f: gr Iii -
i 0 0 0
'- 0 ¡, Œ1 0 ~ D 0
~ 0 æ:. B B B 8
0 0 0 0
E'. Chanical Canp:>si tion of Materials Stored (not necessary for motor vehicle fuels)
Tank' ehemiCðl Stored (non-comnercial name) CAS . (if knOW11) Chemical previously Stored
(if, different)
i-*
G. Transfer of Ownershi~
tBte of Transfer Previous Chlner
Previous Facility Name
I, ùl y all õbligations of Permit t-b. issued tc
I understand that the PennittiN3 Authority may review an<
modify or terminate the, transfer of the Permit to Operate this l.I1dergrolD1d stor~~
facility upon receiving this completed form.
per jury and to the best of my knowledge
i~
This form
true and c
S 19 na tur e
t.
TitleacfR~)
~
Date .
e
-
Facil i ty. Name
¡) ."
,r~~'~~~ U{
(~~
(
permit No.,_ 3/ ðO¿'t, ß
I '
TANK ~ 3 (FILL OUT SEPARATE FORM FOR EACh TANK)
-FÕR EACH SECTION, CHEëK ALL APP'RõPRÏÃTEBõXEŠ--
-- -
1. Tank is: DVaulted ONon-Vaulted' ~uble-Wa110Single-wall
2. Tank Material J.
OCarbon Steel D Stainless Steel D Polyvinyl Chloride ŒLFiberg1ass-<:lad Steel
o Fiberglass-Reinforced plastic D Concrete D AllIT\inum D Bronze OUnknown
[]Other (describe)
3. primary Containment
Date Installed Thicknes~ (Inches)
ILl/.-
4. 'an SecondaryContainment .
Double-Wall 0 Synthetic Liner
Other (describe):
DMaterial Thickness (Inches)
5. Tank Interior Lining
--oRubber 0 Alkyd DEpoxy DPhenolic DGlass
Oather (describe):
6. Tank Corrosion 'p 0 ectlon
-o'Galvanlzed. F rg ass-Clad DPolyethylene Wrap Ovinyl WrappiN;J
DTar or Aspha t· DtAknown DNone []Other (describe): .
Cathodic protection: ~None []]mpressed current System [JSacrificial Anode System
Descriœ System & Equipnent:
7. ~ Detection, Monitoring, and Interception "
a. Tank: DVisual (vaulted tanks only) DGrourdwater Monitorirg Well (s)
OVadose Zone MonitoriN;J Well(s) OU-Tube Without Liner
o U-Tube with Canw1;.ible Liner Directinz Flow to Mon, itorirg Well(s) *
o Vapor Detector* ŒlLiquid Level Sensor [] Conductivit¥ S~nsOr:} ~
g,pressure Sensor in Annular Space of Doubie Wall Tank Á..~I'tt~ 7F~-c8
o Liquid Retrieval & Inspection Fran U-Tube, Moni torio:JWell or Annular Space
IIš[Daily, Gau:Jirq & Inventory Rq.sO~¡~C, ilia~n IJ DPeriodic' Tightness Testio:J
o None [] Unknown 0 Other \~ ~ ~.,-r.:s ~Sð
b.PipiN;J: ~Flow-RestrictiN;J Leak Detector(s) for pressurized PipiN;J~
o Moni toriN;J Sump wi th Raceway 0 Sealed Concrete Raceway
D Half-Cut Canpatible pipe Raceway [] Synthetic Liner Raceway 0 None
[]Unknown DOther 12-. ~__
*Descr ibe Make & Model: L8J l~ /I£¡¿ ~/7
8. Tank Tightness .'
Has TIns Tank Been Tightness ted? DYes DNa DUnknown
Date of Last Tightness Test Results of Test
Test Name~stlng Canpany
9. Tank Repair
,Tank Repaired? DYes DNo#' D,unknown
, Date(s) of Repair(s) ~ Iv
Describe Repairs 7l'\"
10. Ov~i11 Protection. . -
perator Fills, Controls, & Visually Monitors Level
DTape Float Gau;e IMF10at Vent Valves 0 Auto Shut- Off Controls
DCapacitance Sensor [gsealed Fill Box DNone DUnknown
Dather: ' istMake & Model ve Devic~
1--' Ù 'fA [l:ð '3 -c-c I ZDì
Underground Piping: ~es []Na DUn O\o.n Materia1'¡Z;'þO~
Th~ness (inches) , Diameter ~anufacturer A=,ð. .~"ik- I .
, ressure . qSuctlon. ÔGravi ty Approximate Length õfPìpe Run /If()1
b. Underground Plplng Corrosion Protection:' ---
g~:vanized OFiberc¡lass-C1ad Drmpressed OJrrentDSacrificial Anode
__ .. _. r-'I__. ,....,_
i H.
\ Ma~cturer
~/~
o None 0 Unknown
Manufacturer:
Capaci ty (Gals.) "':.....0...0-
. DClay ~lined Dlhknown
Capacity (Gallons)
/ ,'J-, l5b()
[] Lined Vaul t
11.
_ ..__L~'.L.
.
fa
Facility Name !k.Jt/lvf~:::~i.l.,' Lt~,~ ,(1\~ Permit. No........ ,If;! A.£)t/':C>
, ~! b ,- (FILL ~ êEPAAATE ~ Fot -"'Ch TANK I
FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES
H. 1. Tank is: 0 Vaul t:: o Non-Vaul ted ~uble-Wal1 DSingle-Wall
2. Tank Material
Dcarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride dÍFiberglass~lad Steel
o Fiberglass-Reinforced plastic 0 Concrete 0 Aluninum 0 Bronze DUnknown
OOther (describe)
3. primary Containment
Date Installed Thickne~s (Inches)
Ilf-/
Secon ary Containment
uble-Wall 0 Synthetic Liner 0 Lined Vault
DOther (describe):
o Material
5. Tank Interior Lining
-oRubber DAlkyd DEp:>xy OPhenolic OGlass
, OOther (describe):
6. Tank Corrosion P 0 ection
-rrGalvanized. F rg ass-Clad DPolyethylene Wrap DVinyl Wrapping ,
OTar or Aspha t· D~nown DNone DOther (describe): . "
Cathodic protection: Jj:lNone DImpressed CUrrent System DSacrificial Anode System
Describe System & Equipment:
7 . ~ Detection, Mon! toring, and Interception :,
a. Tank: DVisual (vaulted tanks only) DGrouoowater Monitorirq Well (s)
o Vadose Zone Monitoring We'll (s) 0 U-Tube Wi thout Liner
DU-Tube with Campa~ible Liner Directin¡ Flow to Monitoring welles)·
o Vapor tetector* IKlLiquid Level Sensor 0 conductivit~ ge~I1~r* Jt . .
Qa:.pressure Sensor in Annular Space of Double Wall Tank ~ MtEIbf 1f7J+-<::8
o Liquid Retrieval lie Inspection Fran U-Tube, Moni toring well or Annular Space
~ily,Gauging lie Inventory RrFonciliaF}onp ~riodic Tightness Testing
DNone .OUnknO\tð\ Dother \J~ ~ /(:5 ~
b. Piping: ~Flow-Restricting Leak Detector(s) for pressurized PipingW
.- 0 Mon! toring Sump wi th Raceway 0 Sealed Concrete Raceway
o Half-Cut Canpatible pi~ Raceway 0 Synthetic Liner Raceway 0 None
, 0 Unknown 0 other ß ...:::;:e::-...~-"
*Describe Make lie Model: D ~ //{p-û11
8. Tank Tightness ~
Has TIllS Tank, Been Tightness ~sted? DYes DNa DUnknown
Date of Last Tightness Test J' Ik~ Results of Test
Test Name ' -fd-t1'f;--~stl~ Canpany
9. Tank Repair
Tank Repaired? DYes DNo, OUnknown
, Date (s) of Repair (s) l' \ } ~ ~
Describe Repairs /,-¿jy(,
10. OV~ill Protection. -
perator Fills, Controls, & Visually Monitors Level
DTape Float Gau;)e !ØFloat Vent Valves 0 Auto Shut- Off Controls
o Capacitance Sensor gLsealed Fill Box DNone DUnknown
o o the.::; , List Make & Model or ~ve ~es
,)..b::.. 'F. Ii , . u.J "If é~3-t~1 ~)Ò
11. Piping
a. underground Pip!D;: ~Yes DNa DUnM0""" Material Fi~ƌ
Th~ness (inches). ,Diam7ter ¿~~anufacturer A. a " ' \.-~
Pressure qSuctlon OGravl ty ~prOXlmate Le~th ör"Pìpe Run /œ'
b. Un erg round Piplng Corrosion Protection : :, - ,
DGalvanlzed DFiberg1ass-élad Drrnpressed CUrrent 'DsacrÙicial Anode
~~~~~=.~Yl~~ Wrap rM9.Elec~:lcal..Isolati~igX~ny'~wr~.,_DTar or Asphalt
Thickness (Inches)
Manujacturer
c:::J;æ, ~
I
o None 0 Unkno."."
Manufacturer:
Capacity (G~ls.) .
- --"--
. 0 Clay O;2{lhlined Dlhkno\oð1
Capacity (Gallons)
! J., 'ffb
4.
·
e
I . ,-'
Facility Name þ.t¡J\fx.k.' l:í~{ ~'tfSk (
TANK * ( (FILL OUT SEPARATE FORM FOR EA(,(i TANK)
-- ---- ----
FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES
--
H. 1. Tank is: o Vaulted DNon-Vaulted ~uble-Wall DSingle-Wall
2. Tank Material Ú
DCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride la.!'iberg1ass~lad Steel
o Fiberglass-Reinforced Plastic 0 Concrete 0 AlLminum 0 Bronze DUnknown
[]Other (describe)
3. primary Containment
Date Installed ThiCkne~ (Inches)
4. Tank Secondary Containment .
-¡[pemble-Wall 0 Synthetic Liner 0 Lined Vault
DOther (describe):
Dtwaterial
5. Tank Interior Lining
--oRubber DAlkyd DEp:>xy DPhenolic DGlass, DClay ~lined DU1knoW1
DOther (describe):
6. Tank Corrosion '~ectlon
-rrGalvanized ~iberglass-Clad DPolyethylene Wrap DVinyl WrappiN;J
DTar or Asphalt D~nown DNone DOther '(describe): '
Cathodic protection: ~one [JImpressed CUrrent System CJSacrificial Anode System
Descril:.e System & Equi¡:ment: '
7. Leak Detection, Monitoring, and Interception .
a. Tank: DVisual (vaulted tanks only) DGroundwater Monitorin; Well (s)
[] Vadose Zone Moni toring Well (s) 0 U-Tube Wi thout Liner
[] U-Tube with Can~tible Liner Directin¡ Flow to Monitorin; Well (s) * ,
~Vapor t'etector* l,B.Liquid Level Sensor D Conductivit¥ ~ensor* .
œtPressure Sensor in Annular Space of Doub¡~ Wall Tank ,(~ ~~ ~~8
o Liquid Retrieval & Inspection Fran U-Tube, Mon! toring Well or Annular Space
œ1DailyGauging & Inventory R~çoncilia~n (Dperiodic Tightness Testing
D None .0 UnknoW1 0 Other \J~~ ~ 7l:5 btSõ
b...Piping: r&1glow-Restrictirg Leak Detector (s) for pressurized Piping""
[] Moni toring Sump wi th Raceway D Sealed Concrete Raceway
o Half-Cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway [J None .
[JUnknoW1 DOther --0 .--
*Describe Make & Model.: -J'(..ß)~e- t/-f(l£, -cl1
8. Tank Tightness
Has 'nus Tank Been Tightness Tetik DYes ONe> Dunknown
Date of Last Tightness Test I ,. Results of Test
Test Name '--'ifësting Canpany
9. Tank Repair
Tank Repaired? DYes DNo~unknown
, Date (s) of Repair (s) , _ \ ...
Describe Repairs ,
10. OVerfill Protection,' . -
ŒÍOperator Fills, Cont~ols, & Visually Monitors Level
DTape Float Gauge ~loat Vent Valves 0 Auto Shut- Off Controls
DCapacitance Sensor ŒLSealed Fill Box DNane DUnknown
Do her: , . Li t ke & Model ~ Þ.bc¡>ve Devis;es
~ ,de::. U-1 èò3-cc ~ . ~'j::.
underground Pipin;: ~es DNa DUnknown Material ~ ,
Thickness (inches) Diameter ¿u Manufacturer¡'.·
~ressure DSuction OGravi ty Approximate Len;th 0 Plpe Run
b. Underground Piping Corrosion Protection: " .
[JGalvanized DFiberglass-Clad DIrnpressed CUrrent DSacr,!ficial Anode
pe rm it
No.3 / C ÚJ (p G
-.:.3/ ()O~ø-B
Capacity (Gallons)
, '-7 G5()
Many~t:urer
~.~
I
o None 0 UnknolNn
Manufacturer:
Capacity (Gals.) .
- --'---
Thickness (Inches)
11.